Makhalidwe, katundu ndi kugwiritsa ntchito insulin Insuman Rapid GT

Kutengera ndi chithunzi cha chipatala, wodwalayo amatenga mankhwala osiyanasiyana.

M'mikhalidwe yofunafuna chithandizo cha insulin, jakisoni wa hypoglycemic ndi mankhwala. Imodzi mwa mankhwalawa ndi Insuman Rapid GT.

Makhalidwe wamba

Insuman Rapid ndi mankhwala oikidwa pofuna kuchiza matenda a shuga. Amapezeka mu mawonekedwe amadzimadzi ndikugwiritsa ntchito jakisoni.

Muzochita zamankhwala, imagwiritsidwa ntchito ndi mitundu inanso ya insulin. Amasankhidwa mtundu wa matenda ashuga amtundu 1 komanso mtundu wachiwiri wa shuga ndi kusagwira kwa mapiritsi ochepetsa shuga, tsankho lawo kapena zotsutsana.

Homoni amakhala ndi vuto la hypoglycemic. Kuphatikizika kwa mankhwalawa ndi insulin yaumunthu ndi 100% solubility yochepa. Thupi limapezeka mu labotale ndi genetic engineering.

Sungunuka insulini - yogwira mankhwala. Zotsatirazi zidagwiritsidwa ntchito ngati chowonjezera: m-cresol, glycerol, madzi oyeretsedwa, hydrochloric acid, sodium hydroxide, sodium dihydrogen phosphate dihydrate.

Mankhwala

Insuman amachepetsa shuga. Amatengera mankhwala osokoneza bongo omwe ali ndi nthawi yofulumira komanso yochepa.

Zotsatira zake zikuyembekezeka theka la ola jakisoni atatha mpaka maola 7. Kuzindikira kwakukulu kumawonedwa pa ora la 2 pambuyo pa kayendetsedwe ka subcutaneous.

Chithandizo chogwira ntchito chimamangilira ma cell receptor, kupeza insulin receptor zovuta. Zimatsutsa kaphatikizidwe wama michere ofunikira ndikulimbikitsanso njira za intracellular. Zotsatira zake, kuyamwa ndi kuyamwa kwa glucose ndi thupi kumakulitsidwa.

Zotsatira za insulin:

• kumapangitsa kaphatikizidwe wa mapuloteni;
• zimalepheretsa kuwonongeka kwa zinthu;
• amaletsa glycolenolysis ndi glyconeogeneis;
• timapititsa patsogolo mayendedwe ndi mayamwidwe a potaziyamu;
• Amasintha kaphatikizidwe wamafuta achilengedwe m'chiwindi ndi zimakhala;
• amachepetsa kuwonongeka kwa mafuta;
• bwino zoyendera ndi mayamwidwe amino acid.

Zizindikiro ndi contraindication

Mankhwalawa amalembedwa motere:

• Mtundu woyamba wa matenda ashuga (mawonekedwe odalira insulin) ndi matenda a shuga a 2;
• zochizira matenda pachimake;
• kuthetsa matenda a shuga;
• kulandira malipiro opatsirana pokonzekera ndi pambuyo pa opareshoni.

Hormoni sinafotokozedwe motere:

• aimpso / chiwindi kulephera;
• kukana ntchito yogwira;
• stenosis ya coronary / ubongo mitsempha;
• tsankho kwa mankhwala;
• anthu omwe ali ndi matenda oyanjana;
• anthu omwe amapitilira retinopathy.

Malangizo ogwiritsira ntchito

Kusankhidwa ndikusintha kwa mankhwalawa amaperekedwa payekhapayekha. Dotolo amamutsimikizira kuchokera kuzowonetsa shuga, kuchuluka kwa zochita zolimbitsa thupi, mkhalidwe wa kagayidwe kazachilengedwe. Malangizo amaperekedwa kwa wodwala ngati kusintha kwa ndende ya shuga.

Mlingo wa tsiku ndi tsiku wa mankhwalawa, poganizira kulemera kwake, ndi 0.5 IU / kg.

Homoni imaperekedwa kudzera m'mitsempha, intramuscularly, subcutaneally. Njira yogwiritsidwa ntchito kwambiri subcutaneous. Jakisoni amachitika mphindi 15 asanadye.

Ndi monotherapy, pafupipafupi kayendetsedwe ka mankhwala amakhala pafupifupi katatu, nthawi zina amatha kufikira kangapo patsiku. Tsamba la jakisoni limasintha nthawi ndi nthawi mkati mwake. Kusintha kwa malo (mwachitsanzo, kuchokera pamanja mpaka pamimba) kumachitika pambuyo pofunsa dokotala. Kwa subcutaneous makonzedwe a mankhwala, tikulimbikitsidwa kugwiritsa ntchito cholembera.

Mankhwalawa akhoza kuphatikizidwa ndi insulin yayitali.

Malinga ndi zomwe tafotokozazi, makatoni amayenera kugwiritsidwa ntchito ndi cholembera. Pamaso kuwonjezera mafuta, mankhwalawa amayenera kutenthetsedwa mpaka kutentha.

Maphunziro a kanema wa syringe-cholembera insulin

Kusintha kwa Mlingo

Mlingo wa mankhwalawa ungasinthidwe milandu:

• ngati moyo ukusintha;
• kuchuluka kwa chidwi ndi ntchito yogwira;
• kusintha kwa kulemera kwa odwala;
• mukamasintha kuchokera ku mankhwala ena.

Nthawi yoyamba mutasintha chinthu china (mkati mwa masabata awiri), kuyendetsa bwino shuga kumalimbikitsidwa.

Kuchokera pamitengo yapamwamba ya mankhwala ena, ndikofunikira kusinthana ndi mankhwalawa moyang'aniridwa ndi achipatala.

Mukasintha kuchokera ku nyama kupita ku insulin yaumunthu, kusintha kwamankhwala kumachitika.

Kuchepetsa kwake kumafunikira pagulu lotsatira la anthu:

• kale shuga wochepa panthawi ya mankhwala;
• kumwa kwambiri Mlingo wa mankhwala;
• makonzedwe a kupangika kwa dziko la hypoglycemic.

Malangizo apadera ndi odwala

Mimba ikachitika, chithandizo cha mankhwala sichimaleka. Zomwe zimagwiritsidwa ntchito sizidutsa placenta.

Ndi mkaka wa m'mawere, palibe zoletsedwa. Mfundo yayikulu - pali kusintha muyezo wa insulin.

Popewa kukhudzika kwa hypoglycemic, chenjerani ndi okalamba mosamala.

Anthu omwe ali ndi vuto la chiwindi / impso amasinthira ku Insuman Rapid ndikusintha mlingo woyang'aniridwa ndi katswiri.

Kutentha kwa njira yovulazidwa kuyenera kukhala 18-28ºº. Insulin imagwiritsidwa ntchito mosamala mu matenda opatsirana pachimake - kusintha kwa mlingo kumafunika pano. Mukamamwa mankhwalawo, wodwalayo sapatula mowa. Zitha kuyambitsa hypoglycemia.

Mukamamwa mankhwalawo, wodwalayo amafunika kukhala ndi chidwi ndi kusintha kwina kulikonse. Izi ndizofunikira kuti chizindikiritso cha nthawi yake chizindikiritso cha hypoglycemia chichitike.

Kuwunikiranso kwambiri zamagulu a glucose kumalimbikitsidwanso. Chiwopsezo cha hypoglycemia chogwiritsidwa ntchito ndi mankhwalawa chimakhala chachikulu mwa anthu omwe ali ndi shuga yochepa. Wodwala nthawi zonse azikhala ndi glucose 20 g.

Mosamala kwambiri, tengani:

• ndi concomitant mankhwala;
• akaperekedwa ku insulin ina;
• Anthu omwe amakhala ndi shuga wambiri;
• anthu okalamba;
• anthu omwe pang'onopang'ono amapanga hypoglycemia;
• ndi matenda amisala.

Zotsatira zoyipa ndi bongo

Izi zotsatirazi zoyipa zimasiyanitsidwa ndi makonzedwe:

• hypoglycemia - chochitika chovuta china mukamamwa mankhwala a insulin;
• thupi lawo siligwirizana, bronchospasm, agnioneurotic edema;
• zosokoneza zowoneka;
• lipodystrophy mu jakisoni wa jekeseni, komanso redness ndi kutupa;
• chikumbumtima;
• Poyamba kumwa mankhwalawa, zimachitika zina (kukanika kuyimitsidwa, kutupika) zimadutsa nthawi;
• kusungidwa kwa sodium mthupi.

Pakakhala mankhwala osokoneza bongo, wodwalayo amatha kutsitsa shuga mpaka otsika. Ndi mawonekedwe ofatsa, 15 g shuga ayenera kumwedwa.

Fomu yayikulu ya kukomoka, kutuluka kwa chikumbumtima kumafuna kuyambitsidwa kwa glucagon (intramuscularly). Mwinanso kuyambitsa kwa dextrose (kudzera m'mitsempha).

Pambuyo kukhazikika kwa mkhalidwe wa wodwalayo, ndikofunikira kumwa mankhwala osungirako okwanira. Kwa nthawi yayitali atachotsa zizindikiro za hypoglycemia, kuwunikira zomwe zofunikira pakufunika, popeza kuwonetseredwa kwachiwiri ndikotheka. Mwapadera, wodwalayo amagonekedwa m'chipatala kuti apenye.

Kuchita ndi mankhwala ena

Popanda kukaonana ndi dokotala, kugwiritsa ntchito mitundu inanso ya mankhwala sikulimbikitsidwa. Amatha kuchulukitsa kapena kuchepetsa mphamvu ya insulin kapena kuyambitsa zovuta.

Kutsika kwa mphamvu ya mahomoni kumawonedwa ndikugwiritsira ntchito njira zakulera, ma glucocorticosteroids mahomoni (progesterone, estrogen), diuretics, mankhwala angapo a antipsychotic, adrenaline, mahomoni a chithokomiro, glucagon, barbiturates.

Kukula kwa hypoglycemia kumatha kuchitika limodzi ndi mankhwala ena othandizira odwala matenda ashuga. Izi zikugwira ntchito pa maantibayotiki a sulfonamide, Mao inhibitors, acetylsalicylic acid, fibrate, testosterone.

Mowa ndi mahomoni amachepetsa shuga mpaka pamavuto, amachititsa hypoglycemia. Mlingo wovomerezeka ndi dokotala. Muyeneranso kusamala pakumwa mankhwala oletsa - - kudya kwawo mopitirira muyeso kumakhudza kwambiri shuga.

Pentamidine imatha kuyambitsa zochitika zosiyanasiyana - hyperglycemia ndi hypoglycemia. Mankhwala amatha kupweteketsa mtima. Makamaka mwa anthu omwe ali pachiwopsezo.

Mankhwala ozindikiritsa (ofananitsa mafomu otulutsira ndi kupezeka kwa chigawo chogwira ntchito) akuphatikiza: Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. Mankhwalawa amaphatikizapo insulin ya anthu.

Ndemanga za odwala ndi malingaliro a akatswiri

Odwala omwe amatenga Insuman Rapid amasiya ndemanga zabwino za mankhwalawo. Pakati pa ndemanga zabwino: kuchitapo kanthu mwachangu, kutsitsa shuga kukhala wabwinobwino. Zina mwa zoyipa: pamasamba a jakisoni, anthu ambiri odwala matenda ashuga amawona kukwiya ndi kuyabwa.

Anandipatsa mankhwala a insulin chifukwa mankhwalawa sanathandize. Insuman Rapid adawonetsa zotsatira zake mwachangu, adatha kuphatikiza shuga. Tsopano nthawi zambiri ndimagwiritsa ntchito glucometer kuti muchepetse kutsika kwa glucose mpaka otsika.

Nina, wazaka 45, Moscow

Insuman ali ndi mbiri yabwino mu zamankhwala. Mankhwala ali ndi hypoglycemic wabwino. M'maphunziro, ntchito yapamwamba ya hypoglycemic idakhazikitsidwa. Zotsatira zoyipa zambiri ndi hypoglycemia, yomwe imayimitsidwa pakudya. Kusunthika ndi chitetezo chogwiritsira ntchito zimafotokozedwanso. Kutengera izi, ndikupereka mankhwala mosamala kwa odwala anga.

Svetlichnaya N.V., endocrinologist

Mtengo wa mankhwalawa ndi ma ruble 1200.

Amamasulidwa ku mankhwala ndi mankhwala.

Mankhwalawa amasungidwa pa t kuchokera ku +2 mpaka +7 C. Kuzizira sikuloledwa.

Insuman Rapid GT ndi mankhwala okhala ndi insulin omwe amalembedwa mwachangu kwa odwala matenda ashuga. Mankhwalawa amadziwika ndi kuchitapo kanthu mwachangu komanso nthawi yochepa yochita. Kafukufukuyu adatsimikiza kulolerana kwake komanso chitetezo. Zotsatira zoyipa kwambiri ndizo hypoglycemia.