Ndemanga ya Novomix 30 Flekspen Insulin

Mwa zina mwa mankhwala omwe akatswiri adapereka pochiza matenda ashuga, pali chida monga insulin Novomix. Kuti odwala amvetsetse momwe mankhwalawa amagwirira ntchito, ndikofunikira kuganizira mawonekedwe ake.

M'masitolo ogulitsa, amagulitsidwa pansi pa dzina la Novomix 30 Flexspen. Dzina lina ndi Penfill.

Makhalidwe ambiri ndi mapangidwe a zochita

Mankhwala ndi a chiwerengero cha insulin. Chidacho ndi kuyimitsidwa kopanda, komwe kumaperekedwa kwa wodwala mosadukiza. Zomwe zimapangidwira ndizopanga insulin Aspart ndi protamine yake.

Gawo loyamba limatengedwa ngati chithunzi cha insulin ya anthu yokhala ndi nthawi yochepa yochitapo kanthu. Chosakaniza chinanso chimadziwika ndi kuchita kwa nthawi yayitali komanso chimathandizo cha insulin ya anthu. Zomwe zimapangidwira komanso chifukwa cha mankhwalawa pa thupi la odwala matenda ashuga.

Mankhwala amagwiritsidwa ntchito kuwongolera shuga m'magazi odwala matenda ashuga. Itha kugwiritsidwa ntchito pa matenda amtundu 1 ndi 2, ngati gawo la zovuta mankhwala kapena monotherapy.

Novomix amadziwika ndi zotsatira za hypoglycemic. Izi zimatheka chifukwa cha kulumikizana kwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwala ndi ma insulin receptors mu cell membrane, zomwe zimathandizira malowedwe a glucose m'maselo ndi njira ya interellular metabolism. Chifukwa chake, shuga imagawidwa mu minofu ya minofu, yomwe imathandizira kuchepetsa kuyika kwake mu plasma. Kuphatikiza apo, motsogozedwa ndi Novomix, chiwindi chimachepetsa kuchuluka kwa glucose omwe amapangidwa, chifukwa chomwe kuchepa kwa zomwe zili mkati mwake kumapita mbali ziwiri.

Insulin yamtunduwu imakhala ndi zotsatira zofulumira kwambiri. Kuchitikaku kumayambira mphindi 10-20 pambuyo pa kubayidwa. Amaloledwa kupereka mankhwalawa posachedwa chakudya. Chithandizo chogwira ntchito kwambiri chimadziwonetsera pafupifupi pambuyo pa maola 1-4, kenako mphamvu yake imachepa pang'onopang'ono. Kutalika kokwanira kwakukhudza kwake thupi ndi tsiku limodzi. Kuti theka la magawo omwe amagwira ntchito atulutsidwe, zimatenga pafupifupi maola 9.

Malangizo ogwiritsira ntchito

Kuchita bwino kwa mankhwalawa pogwiritsa ntchito mankhwalawa kumatengera kutsatira malangizo. Ndikofunikira kuti Novomix akhazikitsidwe ndi dokotala. Mlingo uyeneranso kutsimikiziridwa ndi katswiri. Nthawi zambiri amawerengedwa potengera kulemera kwa wodwalayo (chifukwa kilogalamu iliyonse imayenera kukhala zigawo za 0,5-1). Koma izi ndizongodziwa zambiri.

Mlingo umapangidwa ndi mawonekedwe a thupi la wodwalayo, msinkhu wake, matenda othandizira, mfundo za njira yochiritsira (kutenga ma hypoglycemic othandizira kapena kusakhalapo kwake), ndi zina zambiri.

Anthu omwe sazindikira kwenikweni za insulin amafunika kugwiritsa ntchito Mlingo wapamwamba, ndipo omwe akupitiliza kupangira mahomoni awa amagwiritsa ntchito mankhwalawa pang'onopang'ono. Izi zikutanthauza kuti kudzisankhira nokha mlingo ndi ndandanda sizovomerezeka.

Mankhwalawa amagwiritsidwa ntchito pokhapokha ngati jekeseni wa subcutaneous. Kuwongolera kwa intravenous ndi intramuscular sikuchitidwa chifukwa cha chiwopsezo cha hypoglycemia.

Madera omwe makonzedwe a jakisoni ndi:

• ntchafu
• phewa
• matako;
• khomo lam'mimba lakunja.

Chofunikira china chogwiritsira ntchito Penfill ndikufunika kosinthira malo a jakisoni. Ngati mumapangira jakisoni malo omwewo, kuyamwa kwa zinthu zomwe zimagwira kumasokonekera ndipo mphamvu yake imachepa. Ndikofunikanso kupereka jekeseni pofika ola.

Mankhwala nthawi zambiri amagwiritsidwa ntchito padera kuchokera kwa ena kapena kuphatikiza ndi metformin. Pankhaniyi, mlingo wa insulin umachepetsedwa kwambiri.

Mosasamala kanthu za mfundo zamankhwala, ndizofunikira kudziwa kuchuluka kwa shuga m'magazi a wodwalayo, ndikusintha mankhwalawa malinga ndi zotsatira za phunzirolo.

Malangizo pavidiyo ogwiritsa ntchito cholembera:

Contraindication ndi zoyipa

Zotsatira zoyipa za mankhwalawa zitha kupewedwa polingalira zolakwika ndi zomwe sitingathe kuchita. Izi zimachitika bwino ndi katswiri.

Milandu ikuluikulu ya Novomix imaphatikizira hypersensitivity pakupanga komanso chizolowezi cha hypoglycemia. Mu milandu iyi, kumwa mankhwalawo ndizoletsedwa.

Palinso zoletsa zamagulu angapo odwala:

1. Anthu okalamba. Kuletsa kumeneku kumachitika chifukwa cha kuwonongeka kwa ziwalo zamkati mwa odwala amtunduwu. Pazaka zopitilira 65, thupi limafooka, zomwe zimalepheretsa kugwira ntchito kwa chiwindi ndi impso. Ndipo chifukwa cha izi, njira yotulutsa insulin imasokonekera.
2. Ana. Thupi la makanda limatha kusamala ndi mankhwalawo. Chifukwa chake, ndikotheka kusankha ngati mungagwiritse ntchito Novomix pochiza matenda a mwana wodwala matenda ashuga kokha atamuwunika bwinobwino.
3. Odwala omwe ali ndi matenda a chiwindi. Mphamvu yogwira ya mankhwala imakhudza kupanga kwa shuga ndi chiwindi. Pankhani yakuphwanya ntchito ya thupi, zochita zake zimakhala zosayembekezeka, chifukwa chake muyenera kupenda mosamala zoopsa zake.
4. Odwala omwe ali ndi matenda a impso. Impso zimagwira nawo gawo la insulin. Ntchito zawo zikasokonekera, njirayi imatha kuchedwetsa, zomwe zimapangitsa kudzikundikira kwa zinthu zina mthupi komanso kukula kwa hypoglycemia.

Kuchita bwino kwa insulansi poyerekeza ndi magulu awa a odwala sikunaphunzire, chifukwa chake, ngati kuli kofunikira, madokotala amayenera kuyang'anira ndondomekoyi.

Mukamagwiritsa ntchito mankhwalawa, zimachitika zovuta. Ena mwa iwo alibe vuto ndipo amadutsa kwakanthawi atayamba chithandizo. Ena ndi chifukwa chokana chithandizo chotere.

Zotsatira zoyipazi ndizophatikizira:

1. Hypoglycemia. Ndizowopsa zomwe zimachitika mthupi pazinthu zomwe zimagwira. Ndi mawonekedwe ake ang'onoang'ono, wodwalayo amangofunika kudya shuga pang'ono kuti akhale ndi thanzi labwino. Panthawi yovuta, kuchitapo kanthu kwachipatala ndikofunikira, popeza wodwalayo angamwalire.
2. Ziwengo. Mbali iyi imatha kuchitika ndi kusalolera kwa mankhwalawo. Thupi lawo siligwirizana zimasiyanasiyana. Zina mwa izo ndi zovulaza - redness, kuyabwa, urticaria. Koma mwa odwala ena, ma allergies amatha kukhala ovuta kwambiri (mwachitsanzo, kuwopsa kwa anaphylactic).
3. Zowonongeka. Izi zikuphatikiza retinopathy komanso kusokonezeka kukanika. Kupatuka komaliza kumachitika kumayambiriro kwa mankhwalawa ndikusowa thupi litazolowera mankhwalawo.
4. Lipodystrophy. Chizindikiro chotere chimawonekera ngati jakisoni atayikidwa pamalo omwewo. Izi zimayambitsa kuphwanya mayankho a chinthucho. Chifukwa chake, madokotala amalimbikitsa malo omwe amasinthidwa pafupipafupi.
5. Zokhudza kwanuko. Amakhala m'malo omwe mankhwalawo amathandizira. Zina mwazizindikiro ndi monga kuyabwa, redness, kutupa kwa pakhungu, ndi zina zambiri.

Kuzindikira koyipa ndi nthawi yofunsa dokotala. Nthawi zina amatha kukhala osasakanizidwa ndikusintha dongosolo la kayendetsedwe ka mankhwala ndi mlingo wa mankhwalawa, koma nthawi zambiri ndikofunikira kuti m'malo mwa Novomix insulin mukhale mankhwala ena.

Chimodzi mwazolemba za mankhwalawa ndi kusintha kwake chidwi ndi mayankho. Ndi kulekerera kwabwino kwa Penfill, maluso awa samavutika. Koma ngati hypoglycemia ichitika, wodwalayo amatha kulephera kuchita bwino.

Izi zikutanthauza kuti odwala omwe ali pachiwopsezo chotenga chodutsachi ayenera kupewa zochitika zomwe zimafunikira chidwi chochulukirapo komanso kuthamanga kwa zomwe zimachitika (kuyendetsa galimoto). Chifukwa cha iye, chiwopsezo chowonjezera pa moyo wake chimapangidwa.

Bongo

Mlingo wa mankhwala uyenera kusankhidwa ndi dokotala. Wodwalayo ayenera kutsatira nthawi yake yoikidwa, popeza kuchuluka kwa insulin kwambiri kungayambitse zovuta zake.

Nthawi zambiri, zotere zimachitika mukamagwiritsa ntchito mankhwalawa kwakukulu, koma kusintha kwachilengedwe kumathandizanso, komwe kumachepetsa kwambiri kufunikira kwa wodwala mankhwala.

Mankhwala osokoneza bongo amachititsa hypoglycemia. Itha kukhala yofooka komanso yamphamvu. Koma mosasamala kanthu za kuuma, izi sizingatchulidwe zabwinobwino.

Panthawi yovuta, wodwalayo amakhala ndi kukokana, nseru, kunjenjemera, kufooka, amatha kulephera kuzindikira ndipo mwina amagwa. Poyerekeza ndi maziko a hypoglycemia, vuto la mitsempha limayamba, chifukwa chake ndikofunikira kuti tipewe zisachitike.

Hypoflycemia yofatsa imayimitsidwa mothandizidwa ndi chakudya champhamvu kwambiri. Ichi ndichifukwa chake amalimbikitsidwa kuti odwala matenda ashuga azikhala ndi shuga kapena maswiti okoma nawo.

Ngati wodwalayo ali woopsa kwambiri, ndiye kuti simungathe kuchita popanda kuthandizidwa ndi dokotala, chifukwa muyenera kugwiritsa ntchito mankhwala kuti musiye.

Mimba komanso kuyamwa

Pakadali pano, sizinatheke kuphunzira mwatsatanetsatane momwe Novomix amakhudzira amayi apakati komanso amayi oyamwitsa. Malinga ndi zotsatira za kafukufuku wokhudzana ndi zinyama, zambiri pazowopsa za chinthu sizinapeze.

Chifukwa chake, ngati pakufunika kugwiritsidwa ntchito kwa mankhwalawa ndi odwala pakati, adokotala atha kuona mwayi wotere. Koma panthawi imodzimodzi, ndikofunikira kuyang'anitsitsa, kuwunika pafupipafupi kuchuluka kwa shuga kwa mayi woyembekezera. Panthawi ya bere, shuga wamagazi amatha kusiyanasiyana kutengera nthawi, ndipo izi ziyenera kukumbukiridwa.

Pa mkaka wa m`mawere, insulin ingagwiritsidwenso ntchito - ndi kusankha kwa mankhwalawo, komanso kudya. Chosakaniza chophatikizacho sichilowa mkaka, chifukwa chake sichitha kuvulaza mwana.

Kuchita ndi mankhwala ena

Monga ndemanga zokhudzana ndi mankhwalawa zikunena, kugwiritsa ntchito kwake kumabweretsa zotsatira zoyenera. Odwala omwe zochitika zonse sizinawaganiziridwe amadziwika.

Chimodzi mwazofunikira zamankhwala ndizofanana ndi insulin yamtunduwu ndi mankhwala ena. Kulowa nawo limodzi ndi mankhwala ena kumakhudza mphamvu yake m'thupi.

Kulimbitsa machitidwe a kukonzekera kwa insulin kungayambitse njira monga:

• mankhwala a piritsi a hypoglycemic;
• ACE ndi Mao zoletsa;
• sulfonamides;
• salicylates;
• osasankha beta-blockers;
• anabolics;
• mankhwala okhala ndi mowa.

Palinso mankhwala omwe amachepetsa mphamvu ya Novomix.

Izi zikuphatikiza:

• kulera;
• mitundu ina ya mankhwala a mahomoni;
• okodzetsa;
• mowa

Kuphatikiza ndalama zomwe zili pamwambapa ndi insulin ndikuloledwa, koma ndikofunikira kuwerengera molondola kuchuluka kwa chinthu chomwe chimagwira - mmwamba kapena pansi.

Mankhwala ofanana

Nthawi zina, machitidwe a thupi la wodwalayo salola kugwiritsa ntchito mankhwalawa mankhwalawa matenda a shuga. Poterepa, ndikofunikira kugwiritsa ntchito zina.

Palibe ndalama zofananira. Chifukwa chake, ndikofunikira kugwiritsa ntchito mankhwala omwe ali ndi vuto lofananalo, koma ndi zina zomwe zimagwira.

Mitu ikuluikulu ndi:

1. Chichewa. Mankhwalawa, omwe maziko ake ndi insulin Lizpro. Imakhala ndi kanthawi kochepa. Amazindikiranso ngati mawonekedwe a kuyimitsidwa kwa kayendetsedwe ka subcutaneous. Kupanga kwa kukopa ndi contraindication ndizofanana ndi chibadwa cha mankhwala omwe akufunsidwa.
2. Himulin. Kutalika kwazomwe zimapangidwira m'chigawo chake chachikulu, insulin yaumunthu, ndizochepa pang'ono kuposa zomwe zimachitika mu Novomix. Amapangidwanso kuti apangidwe jekeseni wa subcutaneous. Chida chimadziwika ndi malire omwewo ndi contraindication.

Wodwala ayenera kusamutsa wodwala kuchokera ku Penfill kupita ku mtundu wake uliwonse wa analogi. Kuchita nokha ndi owopsa. Kuchepetsa kwakumwa kwa mankhwala a insulin kungayambitse zovuta zina, komanso kusintha kwa mankhwalawa ndi mankhwala ena.

Mankhwalawa ali ndi mtengo wokwera, chifukwa amapangidwa kunja. Chida chotchedwa Novomix 30 Flekspen chitha kugulidwa pamtengo wa 1600 mpaka 2000 rubles. kunyamula. Novomiks 30 Penfill ndi wotsika mtengo - pafupifupi 1500-1800 rubles. Mitengo imatha kumasiyanasiyana m'mizinda ndi zigawo zosiyanasiyana.