Rinsulin nph - malamulo ogwiritsira ntchito

Mlingo ndi makonzedwe

Intravenous makonzedwe a Rinsulin ® NPH ndi contraindicated.

Mlingo wa mankhwalawa amadziwitsidwa ndi dokotala aliyense payekhapayekha malinga ndi kuchuluka kwa shuga m'magazi. Pafupifupi, tsiku lililonse mlingo wa mankhwalawa umachokera ku 0,5 mpaka 1 IU / kg (kutengera umunthu wa wodwalayo komanso kuchuluka kwa shuga m'magazi).

Odwala okalamba omwe amagwiritsa ntchito insulin iliyonse, kuphatikiza Rinsulin ® NPH, ali pachiwopsezo cha hypoglycemia chifukwa cha kukhalapo kwa concomitant pathology komanso kulandira nthawi yomweyo mankhwala angapo. Izi zitha kuthandizira kusintha mlingo wa insulin.

Odwala omwe ali ndi vuto la kuwonongeka kwa impso ndi kwa chiwindi ali pachiwopsezo cha hypoglycemia ndipo angafunikire kusintha kawirikawiri kwa insulin komanso kuwunika pafupipafupi magazi a shuga.

Kutentha kwa insulin yoyenera kuyenera kukhala kutentha kwambiri. Mankhwala nthawi zambiri amalowetsedwa mu ntchafu. Jakisoni amathanso kuchitika mu khoma lakunja kwam'mimba, matako kapena paphewa pang'onopang'ono. Ndikofunikira kusintha malo a jekeseni mkati mwa anatomical dera kuti muchepetse kukula kwa lipodystrophy.

Ndi s / c makonzedwe a insulini, chisamaliro chimayenera kutengedwa kuti musalowe mumtsempha wamagazi. Pambuyo pa jakisoni, tsamba la jakisidwe siliyenera kutenthedwa. Odwala ayenera kuphunzitsidwa bwino kugwiritsa ntchito insulin yobereka.

Musanagwiritse ntchito, makatiriji a Rinsulin ® NPH ayenera kugulitsidwa pakati pa manja m'manja mozungulira maulendo 10 ndikugwedezeka kuti ayambitsenso insulini mpaka kukhala yunifolomu yovomerezeka kapena mkaka. Foam sayenera kuloledwa kuchitika, zomwe zingasokoneze mlingo woyenera.

Makatoni amayenera kufufuzidwa mosamala. Osagwiritsa ntchito insulini ngati ili ndi flakes mutasakaniza, tinthu tating'ono tomwe timatirira pansi kapena makhoma a cartridge, ndikuwapatsa mawonekedwe owoneka ngati achisanu.

Chipangizo cha ma cartridge sichimalola kusakanikirana ndi zomwe zili ndi insulini zina mwachindunji mu cartridge lokha. Makatoniwo sanapangidwe kuti adzazitsidwe.

Mukamagwiritsa ntchito makatoni okhala ndi cholembera cholinganiranso, malangizo a wopanga kuti akwaniritse katoni mu syringe cholembera ndikuyika singano akuyenera kutsatiridwa. Mankhwalawa amayenera kuperekedwa molingana ndi malangizo a wopanga a cholembera.

Pambuyo poti muyike, ndikofunikira kuti mutulutse singano pogwiritsa ntchito singano yakunja ndikuwonongeratu nthawi yomweyo. Kuchotsa singano mutangolowa jakisoni kumathandizira kusokonekera, kupewa kutayikira, kutsekeka kwa mpweya ndi kuboweka kwa singano. Kenako ikani chophimba chija.

Mukamagwiritsa ntchito mitundu yambiri ya syringe zolembera, ndikofunikira kusakaniza kuyimitsidwa kwa Rinsulin ® NPH mu cholembera cha syringe nthawi yomweyo musanagwiritse ntchito. Kuyimitsidwa kophatikizidwa bwino kuyenera kukhala kofanana ndi oyera komanso mitambo.

Rinsulin ® NPH cholembera sichingagwiritsidwe ntchito ngati chawuma. Mukamagwiritsa ntchito mankhwala osokoneza bongo omwe amadzaza kale, muyenera kuchotsa cholembera mufiriji musanagwiritse ntchito ndikulola kuti mankhwala afike. Malangizo enieni ogwiritsira ntchito cholembera chomwe amaperekedwa ndi mankhwalawa ayenera kutsatiridwa.

Rinsulin ® NPH mu cholembera cha syringe ndi singano zimapangidwa kuti azigwiritsa ntchito payekha. Osadzazitsanso katoni katemera.

Singano sayenera kugwiritsidwanso ntchito.

Kuteteza kuchokera ku kuwala, cholembera cha syringe chikuyenera kutsekedwa ndi chipewa.

Osasunga cholembera chogwiritsidwa ntchito mufiriji.

Rinsulin ® NPH imatha kuperekedwa palokha kapena kuphatikiza ndi insulin yochepa (Rinsulin ® P).

Sungani mankhwalawa mu firiji (15 mpaka 25 ° C) osapitilira masiku 28.

Kugwiritsa ntchito makatoni ogwiritsa ntchito zolembera zomwe zingagwiritsenso ntchito

Makatoni okhala ndi Rinsulin ® NPH angagwiritsidwe ntchito ndi zolembera zomwe zingagwiritsenso ntchito:

- syringe cholembera Avtopen Classic (Autopen Classic 3 ml 1 Yunitsi (mayunitsi 1-21) AN3810, Autopen classic 3 ml 2 Yunitsi (mayunitsi 2-42) AN3800) yopangidwa ndi Owen Mumford Ltd, United Kingdom,

- jakisoni wopangira insulin HumaPen ® Ergo II, HumaPen ® Luxura ndi HumaPen ® Savvio yopangidwa ndi "Eli Lilly ndi Company / Eli Lilly ndi Comranu", USA,

- insulin syringe cholembera OptiPen ® Pro 1 yopangidwa ndi Aventis Pharma Deutschland GmbH / Aventis Pharma Deutschland GmbH, Germany,

- syringe cholembera BiomaticPen ® chopangidwa ndi Ipsomed AG / Ypsomed AG, Switzerland,

- cholembera-piritsi la kuyambitsa insulin payekha RinsaPen I kupanga "Ipsomed AG / Ypsomed AG", Switzerland.

Tsatirani mosamala malangizo ogwiritsa ntchito zolembera zomwe amapanga ndi omwe amapanga.

Kutulutsa Fomu

Kuyimitsidwa kwa kayendetsedwe ka subcutaneous, 100 IU / ml.

3 ml ya mankhwalawa kapu yamagalasi yokhala ndi chopukutira cha mphira, wokumbika mu kapu yolumikizidwa yopangidwa ndi aluminiyamu ndi disc ya mphira.

Mpira wamagalasi wokhala ndi malo opukutira umakhazikika pakatoni iliyonse.

1. Makatiriji asanu amayikidwa mu chovala cholumikizira chopangidwa ndi filimu ya PVC ndi zojambulazo za aluminiyamu. Pulogalamu imodzi yazovala zamtunduwu imayikidwa pakatoni.

2. Katoni yomwe idayikidwa mu cholembera pulasitiki yoyeserera patsekeke zingapo za jekeseni wa Rinastra ® kapena Rinastra ® II. Ma syringe asanu osadzazidwa ndi malangizo ogwiritsira ntchito cholembera amaikidwa mu paketi a makatoni.

10 ml ya mankhwalawa mu botolo lagalasi lopanda utoto, losindikizidwa ndi kapu yolumikizidwa kuchokera ku aluminium ndi pulasitiki yokhala ndi disc ya mphira kapena yokhomedwa ndi chopumira cha mphira ndi chipewa cholumikizira kuchokera ku aluminium ndi pulasitiki yokhala ndi pulasitiki yopukutira. Cholemba chodzikometsera chokha chimayikidwa pa botolo lirilonse ndikuyika mu kakhadi.

Wopanga

GEROPHARM-Bio OJSC, Russia. 142279, dera la Moscow, chigawo cha Serpukhov, r.p. Obolensk, nyumba 82, p. 4.

Ma adilesi amalo opanga:

1. 142279, dera la Moscow, chigawo cha Serpukhov, r.p. Obolensk, nyumba 82, p. 4.

2.1422279, Dera la Moscow, Chigawo cha Serpukhov, pos. Obolensk, nyumba 83, lit. AAN.

Milandu yolandira bungwe: GEROPHARM LLC. 191144, Russian Federation, St. Petersburg, Degtyarny pa., 11, lit. B.

Foni: (812) 703-79-75 (makatani ambiri), fakisi: (812) 703-79-76.

Tele hotline: 8-800-333-4376 (kuyimbira mkati mwa Russia ndi kwaulere).

Tumizani zambiri zokhudzana ndi kusafuna kwanu ku imelo adilesi [email protected] kapena ndi omwe mumalumikizana ndi GEROFARM LLC akuwonetsa pamwambapa

Mitengo mumaofesi a mankhwala ku Moscow

Zomwe zimaperekedwa pamitengo yamankhwala si kupatsa kapena kugulitsa zinthu.
Chidziwitsochi cholinga chake ndi kuyerekezera mitengo yamafesi apamtunda yomwe ikuyenda molingana ndi Article 55 ya Federal Law "On the Circulation of Medicines" ya 12.04.2010 N 61-ФЗ.

Mankhwala

Ndikofunika kunena nthawi yomweyo kuti rinsulin NPH ndi insulin yaumunthu, yomwe idatengedwa ndi asayansi omwe amagwiritsa ntchito matekinolo amakono okhudzana ndi kupanga ma DNA aubongo. Insulin iyi imakonda kutchedwa njira, yomwe imadziwika ndi nthawi yayitali yochita.

Mukamamwa, zinthu zomwe zimayamba kugwira ntchito zimayamba kulumikizana ndi ma receptor omwe amapezeka kunja kwa maselo. Chifukwa chake, kupangidwa kwa insulin-receptor tata kumachitika, komwe kumakupatsani mwayi wopangitsa njira zosiyanasiyana mkati mwa maselo.

Mphamvu ya rinsulin NPH imagwirizanitsidwa ndi kuwonjezeka kwa kutengeka kwa glucose, komanso kusintha kwa kutsekeka kwa minofu yake. Zomwe zimakupatsaninso zimakupatsani mwayi wothandizira glycogenogeneis ndi lipogeneis. Pankhani yopanga shuga ndi chiwindi, kuthamanga kwake kumachepa.

Kutchulidwa koyamba kwa ntchito ya rinsulin NPH ndi chifukwa chodalira kuchuluka kwa mayeso a malo a jakisoni ndi Mlingo wovomerezeka.

Akatswiri amati mphamvu ya mankhwalawa imayamba kuwonekera pafupifupi maola 1.5-2 pambuyo pobweretsa khungu. Ponena za kuchuluka kwake, zidzakwaniritsidwa pafupifupi maola 4, ndipo zotsatira zake zidzayamba kufooka patatha masiku 0.5 mutangoyendetsa. Kutalika kwa vutoli kuli mpaka maola 24.

Momwe mayamwidwe ndi kukwanira kwathunthu kwathunthu zimadalira komwe rinsulin NPH idzayambitsidwire, komanso mlingo ndi kuchuluka kwa mankhwala omwe. Zizindikiro zonsezi ziyenera kutsimikiziridwa ndi dokotala wanu, palibe chifukwa chomwe mungadzifotokozere nokha za matenda awa, izi zitha kukupatsani.

Izi sizimafalikira mwachisawawa mthupi lonse, ndipo kudzera mu zotchinga, komanso mkaka wa m'mawere, sizilowa konse. Kuwonongeka kwa zinthu kumachitika impso ndi chiwindi, koma kwakukulu, impso zimadzisamalira.

Izi ndizowonetsa zazikuluzikulu zokhudzana ndi rinsulin NPH, yomwe wopanga:

1. Mtundu woyamba wa matenda ashuga
2. Mtundu wachiwiri wa matenda ashuga, womwe umakhalapo panthawi yomwe kukana kwa mankhwala amkamwa kumayang'aniridwa ndikusagwirizana ngakhale ndi mankhwalawa, ngati chithandizo chovuta chikuchitika.
3. Mtundu wachiwiri wa matenda a shuga omwe umayamba mwa amayi apakati.

Nazi zifukwa zazikulu:

• Kupezeka kwa hypoglycemia,
• Kuzindikira kwambiri kwa chilichonse pazinthu zomwe zimafunsidwa ndi mankhwala omwe amafunsidwa kapena ngakhale insulin.

Tcherani khutu! Palibe chifukwa chomwe muyenera kuyamba kumwa mankhwalawa osafunsira kwa katswiri, chifukwa rinsulin NPH imatha kuvulaza thanzi lanu ngati siligwiritsidwa ntchito ngati sikofunikira. Ndipo zowonadi, matenda onse ayenera kuthandizidwa mozama kwambiri, makamaka matenda ashuga!

Kodi ndizotheka kugwiritsa ntchito mukamayamwa?

Kuganizira momwe mungagwiritsire ntchito izi kapena mankhwalawa panthawi yomwe muli ndi pakati ndikofunikira kwambiri.

Ingodziwa kuti rinsulin NPH imaloledwa kutengedwa panthawiyi, chifukwa, monga tanena kale, zinthu zomwe zingagwire ntchito sizingadutse pazotchinga. Akatswiri amati ngati mukufuna kukhala ndi pakati pamaso pa matenda a shuga, ndikofunikira kuti mankhwalawa akhale othandiza kwambiri panthawiyi (fotokozani izi ndi katswiri).

Ndikofunikira kudziwa kuti nthawi yoyambirira ya kubereka, zofunika za insulin za mkazi zimachepetsedwa kwambiri, ndipo pakupita nthawi, amabwerera m'migawo yake yapitayi.

Zokhudza kubadwa pakokha komanso nthawi yoyamba pambuyo pake, ndiye panthawiyi, kufunikira kwa insulin kuyendetsedwanso, koma kubwerera pazomwe zimachitika mwachangu. Zolepheretsa zomwe zimakhudzana ndi njira yochizira pakumwa poyamwitsa sizipezekanso, chifukwa zigawo za rinsulin NPH sizingalowe mkaka wa m'mawere.

Malamulo ogwiritsira ntchito

Mankhwalawa amatha kuperekedwa pang'onopang'ono, ndipo mlingo uyenera kusankhidwa payekha wodwalayo atakumana ndi maphunziro angapo omwe akuwonetsedwa ndi katswiri.

Ponena za zinthu zomwe zingakhudze kutsimikiza kwa kukula kwa mlingo, makamaka izi ndizowonjezera shuga. masamba azomwe zimachitika, wodwalayo amaperekedwa tsiku lililonse pa 0,5-1 IU pa kilogalamu ya thupi. Mlingo umadaliranso pazinthu zambiri, choncho musayesere kuzisankha nokha.

Momwe mungagwiritsire ntchito rinsulin NPH ndi okalamba, izi nthawi zonse zimayendetsedwa ndi chiwopsezo china, chifukwa pali mwayi waukulu wopanga hypoglycemia. Kuti mupewe izi, ndikofunikira kusankha bwino mlingo, kuwusintha kuti ukhale wofunikira.

Odwala omwe akukumana ndi vuto la chiwindi ndi impso ayenera kukonzekera kuti chiwopsezo cha hypoglycemia pankhaniyi chidzakhalanso chofunikira. Kuti mupewe zovuta, ndikofunikira kuyang'anitsitsa shuga wamagazi anu pafupipafupi, komanso kusinthanso mlingo wa mankhwalawo molingana ndi zomwe dokotala wakupatsani.

1. Kutentha kwa rinsulin NPH kuyenera kukhala kofanana ndendende ndi chipangizocho,
2. Nthawi zambiri, mankhwalawa amapakidwa m'ntchafu, pokhapokha atalangizidwa ndi dokotala (njira zina ndizomwe zingayambitse matako, khoma lam'mimba, ndi mapewa),
3. Ndikofunika kusamala kwambiri, chifukwa ngati mutalowa mumtsempha wamagazi ambiri, zotsatira zake sizinachitike.
4. Jekeseni litamaliza, musamagwiritse ntchito malo omwe munalowetsapo,
5. Muyenera kuphunzitsidwa malamulo a momwe ma rinsulin NPH amayenera kuperekedwera.

Akatswiri amati makatiriji okhala ndi rinsulin NPH ayenera kuligwira pakati pama manja musanagwiritse ntchito mpaka itasintha mtundu (chinthucho chimayenera kukhala chamtambo komanso chofanana, koma osati chithovu).

Onetsetsani kuti mwayang'ana makatiriji musanagwiritse ntchito! Chizindikiro choyamba cha chovunda ndi zinthu zina zomwe zimachitika mutasakaniza, kupezeka kwa tinthu tating'ono ndi kolimba mu rinsulin NPH kumatanthauzanso kusagwiritsa ntchito.

Ndikofunikira kumvetsetsa kuti ma cartridge ali ndi chida chapadera chomwe sichimalola mwayi wosakanikirana ndi zomwe zili ndi insulin ina, ndipo chidebe chokha chimatha kudzazidwa kamodzi.

Ngati mungaganize zogwiritsa ntchito makatoni okhala ndi cholembera ndipo mutha kugwiritsanso ntchito, ndiye kuti muyenera kuwerenga mosamala malangizo omwe analemba opanga chipangizochi, komanso osapatuka nacho.

Mukamaliza kuyambitsa koyenera, ndikofunikira kuti mutulutse singano ndi kapu yakunja, kuti muwononge ndikuwonetsetsa kuti ikhale yotsika kwambiri (zoona zake ndi zakuti mutha kupewa kutayikiratu, kupundula kapena kugwetsa mpweya). Tsopano zimangoyika chophimba pachokha pakumenyedwa.

Palibe vuto kuti musagwiritse ntchito insulini mu cholembera, ngati kale idayesedwa, simungathe kuyisunganso mufiriji. Zokhudza mankhwalawa, zomwe zikugwiritsidwa ntchito, zitha kusungidwa milungu 4 yokha komanso kutentha kwa firiji.

Zotsatira zoyipa

Nazi zotsatira zoyipa zomwe zimachitika nthawi zambiri:

• Zotsatira zomwe zimakhudzana ndi mavuto okhudzana ndi carbohydrate metabolism (tikulankhula za zochitika za hypoglycemic, zomwe, pakakhala kuti palibe chisamaliro chokwanira komanso chithandizo, zitha kutha ngakhale ndi vuto la hypoglycemic):
  thukuta kwambiri
• Zofooka
• Chizungulire cholimba,
• Kutsika kwakukulu kwamawonedwe owoneka.

1. Edincke's edema,
2. Wotupa pakhungu
3. Kugwedezeka kwa anaphylactic.

Zosiyanasiyana zakumudzi:

• Kuyabwa m'malo omwe mumabaya
• Hyperemia,
• Kudzisunga m'malo momwe mumabaya
• Lipodystrophy (mukanyalanyaza malangizo omwe akuphatikizidwa ndi kusintha kwina mu malo a jekeseni).

Zotsatira zina zoyipa:

• Edema wamitundu yosiyanasiyana,
• Kutsika kwamaso kwakubisika kwa mankhwala,
• Hypoglycemia chifukwa cha bongo.

Tcherani khutu! Pazifukwa zoyipa, ndikofunikira kufunsa katswiri posachedwa, chifukwa kuchepetsedwa pang'ono kungakulitse mwayi kuti simungathe kuthetsa vutoli mwachangu!

Nazi malangizo oyambira omwe muyenera kutsatira:

1. Osamapereka mankhwalawa ngati, pamapeto pa kusokonezeka, kuyimitsidwa sikungokhala mitambo komanso yoyera, zomwe zikuwonetsa kukonzekera kugwiritsa ntchito.
2. Njira imodzi yothetsera Mlingo wokhazikitsidwa ndi katswiri sikokwanira, chifukwa imayenera kusinthidwa nthawi zonse kutengera kuwerengera kwa glucose, chifukwa cha izi ndikofunikira kuchititsa miyeso yosalekeza.
3. Pali zifukwa zambiri zoyambitsa hypoglycemia, zitha kupewedwa ngati mutsatira malingaliro onse a akatswiri, popanda kudzipatula ngakhale pang'ono.
4. Ngati mankhwalawa adasankhidwa molakwika kapena ngati pali zosokoneza pakuwongolera mankhwalawa (izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda a shuga 1), chiopsezo chokhala ndi hyperglycemia chimakulanso. Ndikofunika kudziwa kuti zizindikiro zoyambirira za matendawa zimatha kuwonekera m'maola ochepa, koma nthawi zina nthawi imeneyi imachulukanso mpaka masiku angapo. Nthawi zambiri, hyperglycemia imadziwika ndi ludzu lalikulu, komanso kukodzanso kukoka, mseru komanso kusanza, chizungulire, komanso mawonetsedwe akumudzi pakhungu, makamaka redness ndi kuyanika. Akatswiri amazindikiranso kuti chilakolako cha wodwalayo chatayika ndipo kununkhira kwa acetone, komwe kumatha kumveka m'mlengalenga. Chilichonse chitha kumapeto kwa matenda ashuga a ketoacidosis ngati njira zoyenera sizitengedwa.
5. Ngati mukukumana ndi zovuta zokhudzana ndi chithokomiro cha chithokomiro, komanso impso ndi chiwindi, ndiye kuti mlingo wa insulin uyenera kusinthidwa kwambiri.
6. Pali magulu a anthu omwe amayenera kugwiritsa ntchito mankhwalawa mosamala, funsani dokotala kuti mumve zambiri.
7. Matenda ena ophatikizika amatha kukulitsa kufunikira kwa insulin, makamaka makamaka yomwe imatha kutsatiridwa ndi kutentha.
8. Ngati mukufuna kusintha mtundu wina wa insulini kapena mankhwala okhala nawo, ndiye kuti muyenera kuchita izi molangizidwa ndi katswiri mosamalitsa! Zabwino ngati mupita kuchipatala kwakanthawi kochepa.

Rinsulin NPH Syringe cholembera

Pali mankhwala ambiri a shuga, oyenera magawo osiyanasiyana a chitukuko cha matendawa. Rinsulin NPH ndi imodzi mwazofala kwambiri. Ndi insulin yamunthu mwa mawonekedwe a kuyimitsidwa, omwe amayenera kuperekedwa mwachangu. Mtundu wodziwika kwambiri komanso wosavuta kumasula ndi cholembera cha rinsulin npx, womwe wakhala mtsogoleri wamsika kuyambira 1983. Ubwino wake ndi kuphweka kwakukulu kogwiritsa ntchito mosamala kwa mankhwala.

Ubwino wa cholembera sichitha. Njira iyi ya insulin makonzedwe amathandizira kuwerengera molondola jakisoni, kuchuluka kwa shuga, kumapangitsa kuti jakisoni asakhale opweteka, ndikuyambitsa mankhwalawa bwino komanso mwachangu. Ngakhale ana amatha kugwiritsa ntchito cholembera. Chipangizocho chikugwiritsidwanso ntchito, chomwe chili ndi zopindulitsa zambiri poyerekeza ndi zosankha zam'mbuyomu kukhazikitsa rinsulin.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwala pawokha amawoneka ngati kuyimitsidwa koyera. Ndi kugwedeza, mpweya umasakanizidwa ndimadzimadzi, ndipo kuyimitsidwa nthawi yomweyo kumakhala kukonzekera kayendedwe ka subcutaneous. Musanagwiritse ntchito, muyenera kuyang'ana kutentha kwa malonda ake - sayenera kukhala otentha kwambiri kapena ozizira kwambiri. The rinsulin mu 1 millilita:

Zogwira ntchito: insulin yaumunthu

Othandizira: Protamine Sulfate

Sodium Dihydrogen Phosphate

Madzi a jakisoni

Pharmacodynamics ndi pharmacokinetics

Rinsulin NPH ndi insulin yapakatikati ya anthu, yomwe imapezeka mu labotale pogwiritsa ntchito ukadaulo wa DNA. Kuchita ndi gawo linalake lapadera la maselo a cytoplasmic, mankhwalawa amathandizira njira zomwe zimapangitsa kuti shuga ya magazi ikwere. Mankhwala omwe kutumikiridwa sachita odwala chimodzimodzi, omwe amalumikizidwa ndi kuchuluka kwa mayamwidwe ndi mlingo. Nthawi zambiri, pambuyo pa utsogoleri, mankhwalawa amatha pambuyo theka kapena maola awiri.

Kutengera ndi makonzedwe a mankhwalawa komanso pa mankhwalawa, kuyamwa kwathunthu kumasiyana, kuyambika kwa rinsulin. Kugawa minofu kumachitika mosalingana, pafupifupi kupukusidwa ndi impso. Mankhwalawa samadutsa chopinga komanso kulowa mkaka wa m'mawere, amayi apakati kapena oyembekezera amatha kugwiritsa ntchito mankhwalawa.

Zizindikiro zogwiritsidwa ntchito

Kugwiritsa ntchito rinsulin kumawonetsedwa mtundu woyamba komanso wachiwiri wa matenda ashuga. Pankhani ya gawo loyamba, mankhwalawa amathandizira kuti matendawo ayambe kuchepa komanso kuchedwa koyambirira. Mu gawo lachiwiri, mankhwalawa amalembedwa ngati wodwala amakana mankhwala apakamwa ndipo kuchitidwa zovuta kumachitika. Kuphatikiza apo, kugwiritsa ntchito rinsulin ndikotheka mu gawo lachiwiri mwa amayi apakati.

Rinsulin NPH - malangizo ntchito

Kuti mudziwe mlingo woyenera wa insulin, kufunsa kwa dokotala payekha ndikofunikira, jekeseniyo imatsimikiziridwa malinga ndi kuchuluka kwa shuga m'magazi. Akuluakulu tsiku lililonse mlingo nthawi zambiri kuyambira 0,5 mpaka 1 IU / kg. Chisamaliro chofunikira chikuyenera kulipidwa kwa okalamba. Izi ndichifukwa choti kwa munthu wokalamba, pamakhala chiopsezo chachikulu cha hypoglycemia, motero, kuchuluka kwa mankhwala omwe amathandizidwa amawerengedwa poganizira mawonekedwe awa okalamba. Zomwezo zimapita kwa odwala omwe ali ndi mavuto a chiwindi ndi impso.

Palibe chifukwa choti insulini ikhale yozizira, kukonzekera kutentha kwa chipinda kuyenera kuyendetsedwa mosaneneka mu ntchafu, khoma lakunja kwam'mimba, phewa kapena matako. Malowo a jekeseni pambuyo pa jakisoni sangathetsedwe. Musanagwiritse ntchito mankhwalawa, ma cartridge a rinsulin amafunika kuti akhazikike m'manja kuti agawanitse pamodzi kuyimitsidwa kwa rinsulin komanso kupewa kuterera. Sakanizani kuyimitsidwa motere nthawi 10.

Malangizo apadera

Musanagwiritse ntchito malonda, onetsetsani kuti kukhulupirika ndi kukhulupirika kwa cartridge. Kuyimitsidwa kuyenera kukhetsa m'mphepete mwa makatoni. Mukamagwiritsa ntchito cholembera, muyenera kuwerenga kaye zomwe wopanga amafunikira. Pamapeto pa kuyamwa kwa mankhwalawo, ndikuvula singano ndi kapu, potero kuwonetsetsa kuti cholembera sichitha, chikhazikitsani cholembera.

Mankhwalawa sayenera kuperekedwa ngati, mutagwedezeka, kuyimitsidwa kumakhalabe kwamtendere, sikukhala koyera komanso kwamitambo. Mlingo ndi nthawi yakumwa mankhwalawa ziyenera kuchitika moyenera - zosokoneza pakukhazikitsa insulin nthawi zambiri zimayambitsa hyperglycemia. Yang'anirani mosamala chakudya chamagulu azakudya, sinthani pafupipafupi kwa dokotala, ngati musintha kuchuluka kwake ndikuchita zolimbitsa thupi, yang'anani zovuta.

Kuyanjana kwa mankhwala osokoneza bongo

Kupanga ndi syringe imodzi yokha osati rinsulin, komanso mankhwala ena osavomerezeka. Mankhwala ena amalimbikitsa kugwera kwa hypoglycemic: bromocriptine, octreotide, ketocanazole, theophylline, ena, m'malo mwake, amachepetsa: glucagon, danazole, phenytoin, epinephrine. Insulin imawonjezera kukana zakumwa zakumwa zoledzeretsa.

Zotsatira zoyipa ndi bongo

Zizindikiro zokhala mu hypoglycemia - pallor, thukuta, kugwedezeka, kukalamba, njala, zotupa pakhungu, kugundana kwa anaphylactic - nthawi zambiri zimakhala zovuta za mankhwalawa. Nthawi zina, pamakhala kutupa ndi kuyabwa pamalo a jakisoni kapena kukula kwa lipodystrophy. Kumayambiriro kwa ntchito, kuwonongeka kowonekera kumawonedwa. Ngati hypoglycemia ikachitika, wodwalayo ayenera kudziwitsa dokotala za matendawo.

Contraindication

Hypoglycemia yayikulu komanso kusalolera kwa ziwalo zina za mankhwalawo kapena insulini palokha ndizotsutsana kwambiri pakumwa mankhwalawo. Pa nthawi yoyembekezera komanso mkaka wa m'mawere, mankhwalawa alibe contraindication - mankhwalawa samakhudza mwana kapena mkaka wa m'mawere. Nthawi zina, kugwiritsa ntchito mankhwalawa sikungadzetse mavuto.

Analogs Rinsulin NPH

Rinsulin ali ndi ma fanizo ambiri pamsika wamankhwala. Onsewa, poyang'ana kusinthana koyamba, ali ndi magawo angapo ogwiritsira ntchito, mavuto, contraindication kuti agwiritse ntchito, omwe ayenera kukumbukiridwa posankha mankhwala. Monga njira ina yothandizira mankhwalawa, adokotala amatha kupatsa wodwalayo mankhwala awa:

• Biosulin N,
• Vozulim-N,
• Gensulin-N,
• insulin isophane
• Insulin Bazal GT,
• Humulin NPH,
• Rosinsulin S.

Mtengo wa Rinsulin NPH

Kuchulukitsidwa kwamitengo ya mankhwala osungirako mankhwala ku Moscow ndizochepa ndipo nthawi zambiri kumatsimikiziridwa ndi kukula kwa msewu wamalonda munthawi ina.

"Mankhwala ogulitsa pa Ryazan Avenue"

Victor, 56 Kuyamba kwa insulin - gawo lofunika kwambiri kwa moyo wanga kwazaka zambiri. Malangizo osavuta komanso omveka, osavuta kugwiritsa ntchito - njira yabwino kwambiri yothandizira, yoyenera ambiri. Zotsatira zoyipa zimawonekera kamodzi - chizungulire. Nthawi yomweyo adadziwitsa adotowo, palibenso zizindikiro zomwe zidawonekera.

Anna, 36 Pa nthawi yoyembekezera, anasinthana ndi cholembera - jekeseni lidasinthidwa. Ndiosavuta komanso yosavuta kugwira ntchito ndi ma cartridge ena - nkhani ya kusabala imathetsedwa yokha. Mwanayo adabadwa wathanzi, monga adokotala analonjeza. Ndinapitiliza kugwiritsa ntchito mankhwalawa, omwe sindimadandaula.

Svetlana, 44 Mwana wanga wamkazi atapezeka ndi matenda ashuga, panali zadzidzidzi. Zinapezeka kuti gawo loyamba zonse ndizosavuta kuthetsa ndi rinsulin ndi jekeseni wokhazikika. Poyamba amawopa ma syringe cholembera, kenako anazolowera. Mankhwalawa samayambitsa zovuta pakugwiritsa ntchito, mwana amatha kupirira payekha ngakhale kusukulu.

Ekaterina, 32 ndinawerenga ndemanga, anafunsa abwenzi, ndinapita kwa adotolo - onse amalankhula ndi liwu limodzi za rinsulin monga chida chabwino kwambiri pamsika gawo loyamba la matenda ashuga. Zinapezeka kuti mankhwalawa amagwiradi ntchito, kwa miyezi ingapo yogwiritsidwa ntchito, sindinamve kusokoneza kogwiritsa ntchito.