Rosinsuline P (Rosinsuline P)

Rosinsulin ndi mtundu wina wa mahomoni omwe amatha kupangidwa m'mitundu itatu, awa: C, P, ndi M. Mukuyankhula za zonsezi, ndikofunikira kulabadira kuti C ndi insulin ya nthawi yayitali kuchitira, P, motsutsana, lalifupi, ndipo M ndi chosakanikirana (kuphatikiza insulini yosungunuka ya 30% ndi 70% isulin insulin). Ndikulimbikitsidwa kwambiri kuti mudziwe bwino za mtundu uliwonse wa zomwe zimapangidwa mu mahomoni mwatsatanetsatane.

Zomwe muyenera kudziwa za Rosinsulin R?

Rosinsulin P akuwonetsedwa kuti agwiritse ntchito mtundu 1 ndi mtundu 2 wa shuga. Potsirizira pake, tikulankhula za gawo locheperako lochita pakamwa. Kuphatikiza apo, chidachi chikulimbikitsidwa kuti chizigwiritsidwa ntchito mu matenda ashuga a ketoacidosis, matenda ashuga omwe amachitika panthawi yapakati, komanso zovuta zama metabolic. Zizindikiro zina zomwe zikutsogolera kugwiritsidwa ntchito kwa mankhwala monga Rosinsulin P zitha kukhala zofunikira, chifukwa chake ndikofunika kuonana ndi endocrinologist pakugwiritsa ntchito kwake.

Izi timadzi timene timapangidwa mu mawonekedwe a yankho lapadera la jakisoni, ndipo kuwonjezereka kwamphamvu kwa thupi lonse komanso hypoglycemia kuyenera kuwonedwa ngati contraindication pakugwiritsa ntchito kwake. Kuwona mawonekedwe ogwiritsira ntchito chida ngati Rosinsulin P, ndikulimbikitsidwa kuti mutchere chidwi kuti:

  • zikuchokera imayendetsedwa subcutaneously, mu mnofu mwamitsempha,
  • zizichitidwa pafupifupi theka la ola musanadye chakudya,
  • njira yodziwika kwambiri yogwiritsira ntchito imayenera kuganiziridwa ngati subcutaneous, pomwe ali ndi vuto la ketoacidosis kapena matenda ashuga, komanso mu mawonekedwe a opaleshoni yolowerera, kudzera m'mitsempha kapena intramuscularly.
  • mukumapereka monotherapy, kuchuluka kwa magawo azowonjezereka katatu patsiku (ngati kuli kotheka, chiwerengerochi chitha kuchuluka),
  • malo a jakisoni a Rosinsulin R amasintha nthawi iliyonse kupewa mapangidwe a lipodystrophy (tikulankhula za kusintha kwa kapangidwe ka minofu yamafuta kapena mafuta),
  • avareji ya mankhwala masana kuyambira 30 mpaka 40 mwa akulu, ali mwana - magawo 8.

Kuphatikiza kovomerezeka ndi mahomoni omwe amakhala ndi mawonekedwe a algorithm a nthawi yayitali. Njira yothetsera insulini ifunika kusungidwa kuchokera pambale, kuonetsetsa kuti yapyoledwa ndi singano yosabala ya syringe. Pambuyo pokonza jekeseni wothira, zotsatira zake zimadziwika mkati mwa mphindi 20-30. Kukwaniritsa kuchuluka kumayambira pafupifupi maola awiri. Ngakhale zotsatira zake zipitilira, kutengera mlingo wake, osachepera maola asanu. Kutulutsa nthawi ya mahomoni kumadalira mlingo, njira, dera la kayendetsedwe ndipo limakhala ndi mikhalidwe yayikulu payokha.

Ndikufunanso kuti mudziwe kuti pogwiritsa ntchito Rosinsulin P, mutha kuwona kukula kwa hypoglycemia. Odwala omwe ali ndi matenda ashuga amatha kulimbana ndi zovuta zochepa za hypoglycemia mwa iwo pogwiritsa ntchito shuga kapena zinthu zina zowonjezera chakudya. Hypoglycemia yam'mbuyo imalimbikitsidwa kuti ifotokozeredwe kwa adokotala kuti athetse vuto la kusintha kwa mankhwalawa.

Chofunika kwambiri cha Rosinsulin M

Mtundu wina wa insulin yomwe waperekedwa ndi gawo laling'ono la Rosinsulin M. Monga tanena kale, tikulankhula za chinthu china chomwe chimapangitsa kuti thupi likhale ndi mahomoni ambiri. Ndizofunikira kudziwa kuti nthawi yowonekera imadalira zinthu zosiyanasiyana - osati pa kuchuluka kwa mayamwidwe onse, komanso mlingo, njira ndi dera la kukhazikitsidwa. Rosinsulin M amayamba kuchita pafupifupi mphindi 30 atabaya jekeseni wanjira. Kuchulukitsa kwakukulu kudzakhazikika pakanthawi kochepa kuchokera maola anayi mpaka 12, pomwe nthawi yotenga nthawi singakhale yopitilira maola 24.

Ponena za zikuwonetsa, ndikofunikira kulabadira mtundu 1 ndi mtundu 2 shuga. Pachiwiri, chida chimagwiritsidwa ntchito, makamaka, ndi chitetezo chamthupi cha mayina a hypoglycemic. Komanso, Rosinsulin M adzafunika kugwiritsidwa ntchito pophatikiza mankhwala ndi zomwe zimadziwika kuti zimagwirizanitsidwa (mwanjira yolumikizira mwangozi matenda opezeka ku ma pathologies).

Monga tawonera kale, Rosinsulin M adapangidwa makamaka kuti aziyendetsa pang'onopang'ono. Ndikulimbikitsidwa kuti:

  • Mlingo wa gawo la mahomoni umatsimikiziridwa ndi katswiri wa matenda ashuga payekhapayekha. Malo oyambira, makamaka, ndi kuchuluka kwa shuga m'magazi,
  • pafupifupi, mlingo wa mankhwalawa masana amayambira ku 0,5 mpaka 1 IU / kg thupi,
  • Zizindikiro zotentha za insulin yomwe imagwiritsidwa ntchito ikuyenera kufanana ndi kutentha kwa chipinda,
  • musanagwiritse ntchito, kuyimitsidwa kumaphatikizidwa ndi kusamala kwambiri mpaka yunifolomu.

Rosinsulin M mu milandu yambiri imayambitsidwa molondola mu gawo la chikazi. Jekeseni amatha kuthandizidwanso kutsogolo kwa khoma lam'mimba, matako kapena, mwachitsanzo, paphewa (pakuwonekera kwa minofu yotchedwa deltoid minofu). Ndikulimbikitsidwa kwambiri kusintha tsamba la jakisoni m'dera linalake la anatomical, chifukwa izi ndi zomwe zingapangitse kuti musamapezeke ndi lipodystrophy. Mkhalidwe wodabwitsa wa pathological, makamaka matenda ndi matenda omwe amatsatiridwa ndi malungo, ukulitsa kwambiri kufunika kwa wogwiritsa ntchito ngati Rosinsulin M.

Zambiri za Rosinsulin C

Wothandizirawa wa hypoglycemic amatha kugwiritsa ntchito mtundu wa 1 ndi mtundu wa 2 matenda a shuga. Pankhaniyi, mawonekedwe osiyanasiyana amatha kukumbukiridwa, mwachitsanzo, pakati, maopaleshoni ndipo ngakhale adalumikizana modzidzimutsa. Rosinsulin C ndi mankhwala omwe amapangidwira kuti azigwira ntchito mosazindikira.

Poona momwe pulogalamuyi ikugwiritsidwira ntchito, ziyenera kukumbukiridwa kuti ndi makina osunthira, izi siziyenera kuchitika kamodzi kapena kawiri masana. Pankhaniyi, nthawi yoyenera iyenera kukhala motere, monga, 30-45 mphindi musanadye. Malo a jakisoni amalimbikitsidwa kuti asinthidwe nthawi iliyonse. Mwapadera, adokotala angakupatseni jakisoni wa mu mnofu wamahomoni.

Kumbukirani kuti kulowetsedwa kwa insulini ndi nthawi yayitali yoletsedwa.

Komanso, polankhula za Rosinsulin C ndi malangizo ogwiritsira ntchito, samalani ndi zinthu monga:

  • Mlingo uyenera kusankhidwa payekhapayekha ndipo zimadalira kuchuluka kwa shuga osati m'magazi okha, komanso mkodzo, komanso pazofunikira zazikulu zamatenda.
  • m'malo ambiri, mankhwalawa amachokera ku 8 mpaka 24 IU kamodzi patsiku,
  • kusamutsa mtundu wina wa insulin kupita ku mtundu wina wa mahomoni ofunikira kuyenera kuchitika moyang'aniridwa ndi achipatala nthawi zonse.

Zotheka kuti mavuto ena amakula, mwachitsanzo, zinthu zina zosagwirizana ndi uritisaria kapenanso kutentha thupi ndi mantha. Munthu wodwala matenda ashuga amathanso kukhala ndi nkhawa, kukwiya kwambiri, kupweteka m'mutu komanso zizindikiro zina zosasangalatsa. Kumayambiriro kwa chithandizo chotere, edema ndi zovuta zina zomwe zimakhudzana ndi Refraction nthawi zambiri zimayamba. Tikulankhula za mavuto amawonedwe, omwe nthawi zonse amakhala osakhalitsa ndipo amapita mwachangu mokwanira.

Kuti ndimvetsetse bwino kugwiritsa ntchito kwa Rosinsulin C, ndikufuna kudziwa zambiri za njirayi chifukwa mfundo yoti mankhwalawa amayenera kuwongoleredwa pakukula kwa matenda opatsirana. Ndizofunikanso kwambiri pakufalitsa matenda a endocrine, matenda a Addison ndi zina za thupi, mwachitsanzo, wazaka 65.

Zomwe zimayambitsa hypoglycemia pakugwiritsa ntchito Rosinsulin C nthawi zambiri zimakhala monga bongo wambiri, kusinthanitsa kwa chinthu chimodzi chamafuta ndi china. Tisaiwale kuti chimodzi mwazinthu zomwe zimayambitsa matenda ndikutha kuthawa kudya, kusanza, kutsegula m'mimba, ndi milandu ina. Zonsezi ndizovomerezeka kuti zizikumbukiridwa kuti kugwiritsa ntchito mitundu yonse ya Rosinsulin ndizothandiza kwambiri.

Malangizo kwa wodwala

Njira yolowera insulin m'mbale

(yatsekedwa m'matumba ndi mabotolo a 5 ndi 10 ml)

Ngati wodwala agwiritsa mtundu umodzi wa insulini yokha:

1. Thirani mankhwala okhala ndi mphira.

2. Thirani mpweya mu syringe kuchuluka kogwirizana ndi insulin yomwe mukufuna. Ikani mpweya mu vial of insulin.

3. Tembenuza vial ndi syringe mozondoka ndikujambula gawo la insulini mu syringe. Chotsani singano mu vial ndikuchotsa mpweya ku syringe. Onani ngati mlingo wa insulin ulondola.

4. Lowani nthawi yomweyo.

Ngati wodwala ayenera kusakaniza mitundu iwiri ya insulin:

1. Tulutsani mankhwala amtundu wa mphira pambale.

2. Nthawi yomweyo musanayimbe, ikulirani botolo la insulin yayitali ("yamtambo") pakati pama manja anu mpaka insuliniyo ikhale yoyera komanso yamitambo.

3. Thirani mpweya mu syringe muyezo wofanana ndi mlingo wa insulin yamitambo. Lowetsani mpweya mu vidiyo ya insulin yamitambo ndikuchotsa singano mu vial.

4. Jambulani mpweya mu syringe mu chiwerengero chofanana ndi mlingo wa insulin yochepa ("mandala"). Lowetsani mpweya mu botolo la insulin yabwino. Tembenuzani botolo ndi syringe mozondoka ndikuyimba muyezo wa insulin "yoyenera". Tulutsani singano ndikuchotsa mpweya ku syringe. Chongani mlingo woyenera.

5. Ikani singano mu vial ndi insulin ya "mitambo" yambiri, tembenuzani vinolo ndi syringe pansi ndikuyimba insulini yomwe mukufuna. Chotsani mpweya mu syringe ndikuwonetsetsa ngati mulondola. Ikani mankhwala osakanikirana a insulin nthawi yomweyo.

6. Nthawi zonse lembani insulin mosiyanasiyana monga tafotokozera pamwambapa.

Njira Yogwiritsira Ntchito Cartridge Injection

(yotsekedwa mu phukusi ndi makatoni 3 ml)

Makatoni okhala ndi mankhwala a Rosinsulin R adapangidwa kuti agwiritsidwe ntchito ndi Autopen Classic 1-Unit, Autopen Classic 2-Unit syringe cholembera yopangidwa ndi Owen Mumford Ltd., United Kingdom kapena ROSINSULIN ComfortPen reusable syringe cholembera chopangidwa ndi LLC Chomera cha Medsintez, Russia.

Wodwalayo ayenera kuchenjezedwa za kufunika kotsatira malangizo mosamala mu malangizo ogwiritsira ntchito cholembera cha syringe popereka insulin.

Musanagwiritse ntchito, onetsetsani kuti palibe zowonongeka (mwachitsanzo, ming'alu) pa cartridge ndi Rosinsulin P. Osagwiritsa ntchito cartridge ngati pali zowonongeka. Kathumba katayikidwa mu cholembera, chingwe chautoto chiyenera kuwonekera kudzera pazenera la wonyamulira.

Pambuyo pa jekeseni, singano imayenera kukhalabe pansi pakhungu kwa masekondi 6 osachepera. Sungani batani kuti lipanikizidwe mpaka singano itachotsedwa kwathunthu pakhungu, ndikuwonetsetsa kuti mayendedwe olondola a mankhwalawo komanso kuthekera kwa magazi kapena zamitsempha kulowa mu singano kapena katemera wa insulin ndizochepa.

Katemera ndi Rosinsulin P adapangidwira kuti azigwiritsa ntchito payekhapayekha ndipo sakukwaniritsidwa.

Ndi zala ziwiri, tengani khola, ikani singano m'munsi mwa khola pakona pafupifupi 45 ° ndikuvulaza insulin pansi pa khungu. Pambuyo pa jekeseni, singano imayenera kukhalabe pansi pakhungu kwa masekondi osachepera 6 kuti muwonetsetse kuti insulini idayikidwa kwathunthu. Ngati magazi abwera pamalo opukusira jakisoni atachotsa singano, pang'onopang'ono dinani jakisoniyo ndi swab wothira ndi yankho la mankhwala ophera tizilombo. Ndikofunikira kusintha tsamba la jakisoni.

Maupangiri akugwiritsira ntchito cholembera chazaza chokha cha Autopen Classic 1-Unit

Autopen Classic Syringe pen ndi cholembera chosavuta kugwiritsa ntchito njira imodzi yosiyanasiyana ya jakisoni yambiri, yopangidwira makina a insulin Rosinsulin ndi zochitika za 100 IU / ml mu ma cartridge atatu a 3.0 ml. Yogwirizana ndi singano iliyonse ya zolembera za syringe. Chonde onani malangizo oyambira pang'onopang'ono ogwiritsira ntchito zolembera.

Kulephera kutsatira malangizo kungachititse kuti mupeze Mlingo wa insulin yolondola.

Kuphatikizidwa kwa cholembera chodzaza ndi zotayira

3. Tulutsani batani

4. Mlingo Wosankha

6. Wogulitsa Cartridge

8. Kutulutsa batani chosinthira

9. Mlingo Wosankha Dose

Kukonzekera kuti mugwiritse ntchito

Kokani chipewa cha cholembera chodzaza ndi syringe kuti muchichotse. Osachotsa cholembera ku cholembera chodzaza ndi zotayira.

Chotsani filimu yoteteza ku singano yatsopano (singano yophatikizidwa). Konzani singano mwachindunji pa chosungira. Chotsani chophimba chakunja ndi kapu ya singano.

Tsatirani masitepe a 2-3 musanadwe jekeseni iliyonse. Ndikofunika kukonzekera cholembera chodzaza ndi zotayira kuti muchotsemo mpweya wonse womwe ungakhale mkati mwa singano. Musanagwiritse ntchito, ikani magawo 8 pa chosankha cha mankhwala (mkuyu. 2A / 2B).

Sungani cholembera chodzaza ndi singano. Press ndikusunga batani loyambira mpaka chithunzi cha muvi pa cholembera cholembera chibwereranso pamzere woyambira pa cholembera cha mankhwala.

Sonkhanitsani ndikuchepetsa ziwalo ziwiri chilichonse mpaka dontho la insulin lithe kumapeto kwa singano (mkuyu. 3A / 3B). Tsopano cholembera chodzaza ndi syringe chokha chatsala kuti chigwiritsike ntchito.

Ngati mukuchita gawo lachitatu, wosankhidwayo wa mankhwalawa sabwerera pamzere woyambira ndipo insulin siyikupezeka kumapeto kwa singano, ndiye kuti mwina singano yomwe imagwiritsidwa ntchito ya cholembera yodzazidwa isanathe. Poterepa, chotsani singano yakale ndikuisintha ndi yatsopano. Bwerezaninso masitepe a 2-3.

Onetsetsani kuti muvi ► pa thupi la syringe yomwe yadzazidwa kale mpaka mzere woyamba wa cholembera. Imbani manambala ofunikira amayunitsi. Osatembenuza wokonza mlingo panjira ina, zomwe zingayambitse kuwonongeka kwa cholembera chadzadzacho ndipo, chifukwa chake, mu gawo lolakwika la mankhwala.

Ngati mwangolipira kuchuluka kwa insulin yofunika kwambiri, tikulimbikitsani kuti muthetse muyeso yolakwika ndikudzazanso kuchuluka kofunikira.

Musanabaye jekeseni, onetsetsani kuti muvi wa ► ukuonetsa kuchuluka kwa mayunitsi pazomwe mungayankhe. Mwachitsanzo, Chithunzi 4A ndi 4B chikuwonetsa mawonekedwe olondola a insulin 20.

Ikani singano pogwiritsa ntchito jakisoni yemwe dokotala wanu wakupatsani.

Kanikizani batani lomasulira kuti mulowe ndi singano ndikuyika mpaka mzere woyamba wa cholembera wosankha ubwereranso ku cholembera ► pa thupi la syringe yomwe idadzazidwa. Werengani mpaka 10 ndikutulutsa singano kuchokera pakhungu lanu.

Ngati kusankha kosankhidwa kwa mankhwalawo kuyimitsidwa mzere woyamba usanayanjane ndi muvi wa ►, zikutanthauza kuti simunalandire mlingo wa insulin. Dongosolo chosankha chikuwonetsa kuchuluka kwa magawo omwe amayenera kuperekedwa kwa insulin yonse.

Chotsani singano yakunja ndikuchotsa singano kuchokera ku syringe yomwe yadzaza kale. Nthawi zonse onetsetsani kuti singanoyo yasokonekera.Ikani kapu ya cholembera chodzaza ndi syringe m'malo ake (mkuyu. 6). Kutaya singano zogwiritsidwa ntchito kuyenera kuchitika molingana ndi malingaliro a ogwira ntchito yazaumoyo komanso zaukhondo komanso zodwala.

· Cholembera chodzaza chisanadze chitha kugwiritsidwa ntchito mukakambirana ndi othandizira azaumoyo.

Musanapange jekeseni iliyonse, onetsetsani kuti cholembera chodzaza ndi cholembera chili ndi mtundu woyenera wa insulini womwe amapereka kwa omwe amakuthandizani pazaumoyo.

· Werengani ndikutsatira malangizo a mankhwalawa. Nthawi zonse onetsetsani kuti cholembera chadzaza chomwe sichinadzazidwe nchakonzedwa kuti chigwiritsidwe ntchito molingana ndi buku ndi ndima 2-3.

Kuphwanya njira pokonzekera cholembera chodzaza chimbudzi kuti mugwiritse ntchito kungayambitse kuti mupeze insulin yolondola.

Pakani jakisoni aliyense, gwiritsani ntchito singano yatsopano. Jakisoni itangotha, singano imayenera kuchotsedwa ndikuitaya mosamala. Ngati singano ikatsalabe pa cholembera, izi zimatha kubweretsa kutsukidwa ndikusokoneza kulondola kwa mlingo.

Ngati mutachotsa singano ku cholembera, mutha kupeza inshuwaransi, mwina simunakhale ndi insulin yonse. Osayesa kudzipangira mlingo wa insulin womwe watayika ndi jakisoni wachiwiri (muyika chiopsezo chochepetsa kwambiri magazi anu). Monga kusamala, tikukulangizani kuti mupange shuga lanu la magazi pafupipafupi, werengani malangizo ogwiritsira ntchito insulin, kapena peanani ndi katswiri wazachipatala.

· Funsani dokotala ngati mupeza shuga wambiri.

Kusunga ndi kutaya

· Chingwe chodzaza ndi syringe cholembera chizisungidwa nthawi zonse ndi singano kuchotsedwa ndi chipewa.

· Cholembera chodzaza ndi zotayira sichitha kugwiritsidwa ntchito ngati chakhala kunja kwa firiji kwa nthawi yopitilira nthawi yodziwika mu malangizo ogwiritsira ntchito mankhwala.

· Cholembera chimbudzi chomwe simuchigwiritsa ntchito chomwe mukugwiritsa ntchito pano chiyenera kusungidwa kutentha 15-25 ° C osaposa masiku 28, otetezedwa ku dzuwa ndi kutentha mwachindunji.

Lambulani cholembera ndi nsalu yonyowa. Osamiza cholembera m'madzi.

· Zola zomwe zisagwiridwe ntchito zomwe sizigwiritsidwa ntchito ziyenera kusungidwa mufiriji kutentha kwa 2 mpaka 8 ° C.

· Sungani zotayira zanthawi zonse kuchokera kwa ana.

· Tayetsani masingano omwe agwiritsidwa ntchito m'makina awo olemba, kapena malinga ndi zomwe akatswiri azaumoyo akuthandizani.

Chotsani ma cholembera ogwiritsira ntchito syringe popanda singano zophatikizidwa kwa iwo komanso mogwirizana ndi upangiri wa dokotala.

Cholembera cha syopinge ya Autopen Classic chidayesedwa bwino ndipo chimakwaniritsa zofunikira za ISO 11608-1 kuti mudziwe kulondola kwa mlingo.

Bukuli limaphatikizidwa ndikuyika ndi zolembera za 3 ml zitha kutayika.

Wopanga cholembera: "Owen Mumford Ltd.", UK.

Maupangiri akugwiritsira ntchito cholembera chodzaza ndi ROSINSULIN ComfortPen chopangidwa ndi LLC Plant Medsintez

Cholembera cha syringe chidapangidwa kuti chithandizire Rosinsulin insulin ndi zochitika za 100 IU / ml mu ma cartridge a 3.0 ml. Yogwirizana ndi singano iliyonse ya zolembera za syringe.

Chonde onani malangizo oyambira pang'onopang'ono ogwiritsira ntchito zolembera.

Kulephera kutsatira malangizo kungachititse kuti mupeze Mlingo wa insulin yolondola.

Kuphatikizidwa kwa cholembera chodzaza ndi zotayira ROSINSULIN ComfortPen chopangidwa ndi Plant Medsintez LLC

1. Kukonzekera kugwiritsa ntchito

A. Kokani chipewa cha cholembera chodzaza ndi zotayira kuti muchotse. Osachotsa cholembera ku cholembera chodzaza ndi zotayira.

B. Chotsani filimu yoteteza ku singano yatsopano (singano yophatikizidwa).

Mkuyu. 2. Magawo a singano

Konzani singano mwachindunji pa chosungira.

Chotsani zakunja, ndiye zingano zamkati za singano. Osataya kapu yakunja.

B. Ndikofunikira kukonza cholembera chodzaza chisanachitike musanagwiritse ntchito koyamba kuti muchotse mpweya wonse womwe ungakhale mkati mwa katiriji ndi singano.

Khazikitsani magawo 8 pa chosankha cha mankhwala.

Sungani cholembera chodzaza ndi singano. Kanikizani batani lomasulira ndi kupitiriza kulikakanikiza mpaka zero zero mu cholembera chosankha cha machesi ikugwirizana ndi cholembera pa cholembera cholembera. Ngati insulin pambuyo pake sichikuwoneka kumapeto kwa singano, ndiye kuti tsatirani gawo 1G.

D. Sungani ndikuchepetsa ziwalo ziwiri chilichonse mpaka insulin ikawonekera kumapeto kwa singano (mkuyu. 5, 6).

Tsopano cholembera chodzaza ndi syringe chokha chatsala kuti chigwiritsike ntchito.

Ngati cholembera chosankha sichibwerera ku zero ndipo insulini siyikupezeka kumapeto kwa singano, ndiye kuti zotheka kuti singano yomwe imagwiritsidwa ntchito ya cholembera yodzaza ndi syringe siyingatheke. Poterepa, chotsani singano yakale ndikuisintha ndi yatsopano. Kenako bwerezani gawo 1G.

2. Dose management

A. Onetsetsani kuti cholembera pa cholembera chodzaza ndi zotayira chimaloza kumaso kwa ziro mu zenera la chosankha. Imbani manambala ofunikira amayunitsi.

Mlingo wolakwika wa insulin mu cholembera cha ROSINSULIN Comfort cholembera chopangidwa ndi Zavod Medsintez LLC chitha kusinthidwa ndikutembenukira kwa chosankha cha mtundu uliwonse.

Pamaso jakisoni, onetsetsani kuti cholembera pa thupi chimaloza nambala yofunikira ya mawunidwe muwindo la chosankha cha mlingo.

B. Ikani singano pogwiritsa ntchito jakisoni yemwe dokotala wanu wakupatsani.

Kanikizani batani lomasulira ndi kupitiriza kulikakanikiza mpaka zero zero mu cholembera chosankha cha machesi ikugwirizana ndi cholembera pa cholembera cholembera. Werengani mpaka 10 ndikutulutsa singano kuchokera pakhungu lanu.

Mukamayambitsa mankhwalawa, gwiritsani ntchito kukanikizira batani kuti mutulutse dzanja ndi chala chamanja mosatalikirana ndi cholowera kutalika kwa syringe, osakhudza gawo lozungulira la cholembera, kuphatikizapo chosankhira mlingo.

Ngati chosankha cha dokotalayo chitayima chizindikiro cha zero chisanalumikizane ndi chojambulira, zikutanthauza kuti simunalandire mlingo wa insulin. Pankhaniyi, chosankha cha mankhwalawa chikuwonetsa kuchuluka kwa mayunitsi omwe ayenera kulowetsedwa insulin isanayambike.

3. Kuchotsa singano

Ikani chotsekera chakunja pa singano ndikumasulira singano kuchokera ku cholembera chodzaza.

Nthawi zonse onetsetsani kuti singanoyo yasokonekera. Sinthani kapu ya syringe yomwe yadzazidwa kale. Kutaya singano zogwiritsidwa ntchito kuyenera kuchitika molingana ndi malingaliro a ogwira ntchito yazaumoyo komanso zaukhondo komanso zodwala.

Nthawi iliyonse singano ikasinthidwa, tsatirani masitepe 1B ndi 1D.

· Cholembera chodzaza chisanadze chitha kugwiritsidwa ntchito mukakambirana ndi othandizira azaumoyo.

Popewa matenda, cholembera chodzaza, chokhachokha chokha chizigwiritsa ntchito wodwala m'modzi ndipo sayenera kupita kwa wina.

· Ngati mukuipitsidwa ndi zinyalala za mphira, ndikuthira mankhwala ndi ma antiseptic, dikirani mpaka diskiyo itayimikiratu isanakhazikitse singano.

· Ngati mukukayikira kuti cholembera chida chodzaza ndi syringe chawonongeka, gwiritsani ntchito cholembera chatsopano chodzaza.

Musanapange jekeseni iliyonse, onetsetsani kuti cholembera chodzaza ndi cholembera chili ndi mtundu woyenera wa insulini womwe amapereka kwa omwe amakuthandizani pazaumoyo.

· Werengani ndikutsatira malangizo a mankhwalawa. Nthawi zonse onetsetsani kuti cholembera chomwe sichinadzazidwepo ndi choti chitha kukonzedwa kuti chigwiritsidwe ntchito molingana ndi bukuli. Kuphwanya njira pokonzekera cholembera chodzaza chimbudzi kuti mugwiritse ntchito kungayambitse kuti mupeze insulin yolondola.

Pakani jakisoni aliyense, gwiritsani ntchito singano yatsopano. Atangobayira jekeseni, singano imayenera kuchotsedwa ndikuitaya mosamala. Ngati singano ikatsalabe pa cholembera, izi zimatha kubweretsa kutsukidwa ndikusokoneza kulondola kwa mlingo.

Ngati mutachotsa singano ku cholembera, mutha kupeza inshuwaransi, mwina simunakhale ndi insulin yonse. Osayesa kudzipangira mlingo wa insulin womwe watayika ndi jakisoni wachiwiri (muyika chiopsezo chochepetsa kwambiri magazi anu). Monga kusamala, tikukulangizani kuti mupange shuga lanu la magazi pafupipafupi, werengani malangizo ogwiritsira ntchito insulin, kapena pezani akatswiri azaumoyo.

· Funsani dokotala ngati mupeza shuga wambiri.

Kusunga ndi kutaya

· Chingwe chodzaza ndi syringe cholembera chizisungidwa nthawi zonse ndi singano kuchotsedwa ndi chipewa.

· Cholembera chodzaza ndi zotayira sichitha kugwiritsidwa ntchito ngati chakhala kunja kwa firiji kwa nthawi yopitilira nthawi yodziwika mu malangizo ogwiritsira ntchito mankhwala.

· Cholembera chimbudzi chomwe simuchigwiritsa ntchito chomwe mukugwiritsa ntchito pano chiyenera kusungidwa kutentha 15-25 ° C osaposa masiku 28, otetezedwa ku dzuwa ndi kutentha mwachindunji.

Lambulani cholembera ndi nsalu yonyowa. Osamiza cholembera m'madzi.

· Zola zomwe zisagwiridwe ntchito zomwe sizigwiritsidwa ntchito ziyenera kusungidwa mufiriji kutentha kwa 2 mpaka 8 ° C.

· Sungani zotayira zanthawi zonse kuchokera kwa ana.

· Tayetsani masingano omwe agwiritsidwa ntchito m'makina awo olemba, kapena malinga ndi zomwe akatswiri azaumoyo akuthandizani.

Ma cholembera opanda kanthu sayenera kugwiritsidwanso ntchito. Taya zolembera zomwe mugwiritse ntchito singano popanda singano zophatikizidwa kwa iwo komanso mogwirizana ndi malingaliro a dokotala.

Bukuli limaphatikizidwa ndikuyika ndi zolembera za 3 ml zitha kutayika.

Wopanga cholembera wa Syringe: Medsintez Plant LLC, Russia.

Mankhwala

Mankhwala Rosinsulin P - insulin yaumunthu yomwe imapezedwa ndi kuyambiranso biotechnology ya DNA pogwiritsa ntchito kupsyinjika E. coli. Ndikukonzekera mwachidule insulin. Imalumikizana ndi cholandirira chapadera pa cell ya cytoplasmic maselo ndikupanga insulini-receptor zovuta zomwe zimapangitsanso njira zina, kuphatikizapo kaphatikizidwe angapo ofunikira a michere (hexokinase, pyruvate kinase, glycogen synthase, etc.). Kutsika kwa shuga m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe ka intracellular, kuchuluka kwa minofu, kukondoweza kwa lipogenesis, glycogenogeneis, kuchepa kwa kuchuluka kwa shuga ndi chiwindi, etc.

Kutalika kwa zochita za insulin kukonzekera kumatsimikiziridwa makamaka ndi kuchuluka kwa mayamwidwe, zomwe zimatengera zinthu zingapo (mwachitsanzo, pa mlingo, njira ndi malo oyendetsera, makulidwe a subcutaneous mafuta wosanjikiza, monga matenda a shuga), chifukwa chake zochitika za insulin zimasinthasintha kwambiri, monga anthu osiyanasiyana, ndi munthu yemweyo.

Mbiri yakuchitapo kanthu kwa jakisoni wocheperachepera (ziwerengero): kuyambika kwa mphindi 30, kuchuluka kwake kumakhala pakati pa maola 2 ndi 4, nthawi yayitali ndi maola 6-8.

Pharmacokinetics

Hafu ya moyo wa insulini kuchokera m'magazi ndi mphindi zochepa chabe.

Kutalika kwa nthawi ya kukonzekera kwa insulin kumachitika makamaka chifukwa cha kuchuluka kwa mayamwidwe, zomwe zimatengera zinthu zingapo (mwachitsanzo, pa mlingo wa insulin, njira ndi malo oyendetsera, makulidwe a subcutaneous mafuta wosanjikiza ndi mtundu wa matenda osokoneza bongo). Chifukwa chake, magawo a pharmacokinetic a insulin ali ndi kusinthasintha kwakukulu kwapakati pa intaneti ndi munthu payekha.

Kuzindikira kwakukulu (Cmax) plulin ya insulin imatheka mkati mwa maola 1.5-2,5 pambuyo povomerezeka.

Palibe zomangamanga zomanga mapuloteni a plasma zimadziwika, kupatulapo ma antibodies ozungulira a insulin (ngati alipo).

Insulin yaumunthu imapangidwa ndi ma insulinase kapena ma enzyme osokoneza bongo a insulin, komanso mwina ndi protein disulfide isomerase.

Amaganiziridwa kuti mu molekyulu ya insulin ya anthu pali malo angapo a cleavage (hydrolysis), komabe, palibe amodzi a metabolites omwe amapangidwa chifukwa cha cleavage akugwira ntchito.

Hafu ya moyo (T1/2) chimadziwika ndi kuchuluka kwa mayamwidwe subcutaneous minofu. Chifukwa chake, T1/2 m'malo mwake, ndi gawo la mayamwidwe, ndipo osati makamaka muyeso wochotsa insulini kuchokera ku plasma (T1/2 insulin yochokera m'magazi ndi mphindi zochepa chabe).

Kafukufuku wasonyeza kuti T1/2 ili pafupifupi 2-5 maola.

Ana ndi achinyamata

Mbiri ya pharmacokinetic ya mankhwala a Rosinsulin P mwa ana ndi achinyamata ndi chimodzimodzi ndi akulu. Komabe, pali kusiyana pakati pa magulu amisinkhu yosiyanasiyana malinga ndi chizindikiro monga Cmax, yomwe ikugogomezeranso kufunika kwa kusankha kwa munthu payekha.

  • Matenda a shuga.
  • Zinthu zadzidzidzi kwa odwala matenda a shuga, komanso limodzi ndi kuwonongeka kwa kagayidwe kazakudya.

Mimba komanso kuyamwa

Palibe choletsa kuchiza matenda osokoneza bongo a shuga ndi insulin pa nthawi yomwe ali ndi pakati, popeza insulin siyidutsa chotchinga. Mukakonzekera kukhala ndi pakati komanso panthawi imeneyi, ndikofunikira kulimbikitsa chithandizo cha matenda ashuga. Kufunika kwa insulin nthawi zambiri kumachepera mu trimester yoyamba ya kutenga pakati ndipo kumawonjezeka pang'onopang'ono kwachiwiri komanso kachitatu. Nthawi yobadwa pambuyo pokhapokha ndipo mwayamba kubadwa, zofunika za insulin zimatha kugwa kwambiri. Pambuyo pobadwa, kufunikira kwa insulin kumabwereranso msanga momwe kunaliri asanakhale ndi pakati. Palibe choletsa pa chithandizo cha matenda osokoneza bongo a shuga ndi insulin panthawi yoyamwitsa, popeza chithandizo cha mayi ndi insulin ndi chabwino kwa mwana. Komabe, kusintha kwa insulin ndi / kapena zakudya kungakhale kofunikira, chifukwa chake kuyang'anira mosamala ndikofunikira kuti bata likhale ndi insulin.

Mlingo ndi makonzedwe

Mankhwala Rosinsulin P adapangidwira kuti azigwiritsa ntchito, kumitsempha, mtsempha wamitsempha. Mlingo ndi njira makonzedwe a mankhwala mtima ndi dokotala aliyense payekha malinga ndi kuchuluka kwa shuga m'magazi. Pafupifupi, tsiku lililonse mlingo wa mankhwalawo umachokera ku 0,3 IU / kg mpaka 1 IU / kg kulemera kwa thupi (kutengera umunthu wa wodwalayo komanso kuchuluka kwa shuga m'magazi). Kufunika kwa insulin tsiku lililonse kumatha kukhala kwabwino kwambiri kwa odwala omwe ali ndi insulin kukaniza (mwachitsanzo, nthawi yakutha msinkhu, komanso odwala omwe ali ndi kunenepa kwambiri), komanso kutsika mwa odwala omwe ali ndi zotsalira za insulin.

Mankhwalawa umaperekedwa kwa mphindi 30 asanadye kapena chakudya. Kutentha kwa insulin yoyenera kuyenera kukhala kutentha kwambiri.

Ndi monotherapy ndi mankhwala, pafupipafupi makonzedwe ndi 3 pa tsiku (ngati ndi kotheka, 5-6 pa tsiku). Pa mlingo wa tsiku ndi tsiku wopitilira 0.6 IU / kg, ndikofunikira kulowa mu mawonekedwe a jekeseni a 2 kapena kuposa m'malo osiyanasiyana a thupi.

Mankhwala Rosinsulin P nthawi zambiri amathandizidwa mosachepera zigawo za khoma lachiberekero lakumbuyo. Jekeseni amathanso kuchitika m'tchafu, matako kapena dera lonyowa la phewa. Ndi kuyambitsa kwa mankhwala m'dera lakhomopo la khomo lachiberekero, kuyamwa mwachangu kumatheka bwino kuposa kumayambitsa madera ena.Ndikofunikira nthawi zonse kusintha malo a jekeseni mkati mwa anatomical dera kuti muchepetse kukula kwa lipodystrophy.

Intramuscularly, mankhwala a Rosinsulin P amatha kuperekedwa kokha ngati akuwongoleredwa ndi dokotala. Mitsempha yoyeserera ya mankhwala ikhoza kuchitika kokha ndi akatswiri azachipatala.

Rosinsulin R ndi insulin yochepa ndipo amagwiritsidwa ntchito limodzi ndi insulin (Rosinsulin C).

Mukamagwiritsira ntchito zolembera zama syringe zosadzaza kale, muyenera kuchotsa cholembera mufiriji musanagwiritse ntchito ndikulola kuti mankhwalawo afikire kutentha kwa chipinda. Mankhwala a Rosinsulin P mu cholembera chimbale sangathe kugwiritsa ntchito ngati atapanga mazira. Ndikofunikira kuti mutsatire malangizo ogwiritsira ntchito cholembera chomwe amaperekedwa ndi mankhwalawo.

Matenda okhala ndi vuto limodzi, makamaka opatsirana komanso kutentha thupi, nthawi zambiri amalimbikitsa kufunika kwa insulin. Kusintha kwa magazi kungafunikenso ngati wodwala ali ndi matenda a impso, chiwindi, mkhutu wa adrenal ntchito, pituitary gland kapena chithokomiro cha chithokomiro.

Kufunika kosinthidwa kwa mlingo kumatha kuonekanso posintha zolimbitsa thupi kapena zakudya zomwe wodwala amadya. Kusintha kwa Mlingo kungafunike posamutsa wodwala kuchokera ku mtundu wina wa insulin kupita ku ina.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za insulin ndi hypoglycemia. Pa maphunziro azachipatala, komanso munthawi yogwiritsira ntchito mankhwalawa atamasulidwa pamsika waogula, zidapezeka kuti zochitika za hypoglycemia zimasiyanasiyana malinga ndi kuchuluka kwa odwala, kuchuluka kwa mankhwalawa, komanso kayendedwe ka glycemic (onani. "Kufotokozera kwamomwe munthu amakumana ndi zovuta").

Pa gawo loyambirira la insulin, zolakwika zotupa, zotumphukira ndi zomwe zimachitika pamalo opangira jakisoni (kuphatikizapo kupweteka, redness, urticaria, kutupa, hematoma, kutupa ndi kuyunkhira pamalo a jekeseni. Zizindikirozi nthawi zambiri zimakhala zakanthawi. Kusintha kwapang'onopang'ono pakuwongolera glycemic kumatha kubweretsa mkhalidwe wa "ululu wammbuyo wamitsempha," womwe umatha kusintha. Kulimbitsa kwa insulin mankhwala ndikusintha kolimba kwa mphamvu ya kagayidwe kazakudya kungayambitse kuwonongeka kwakanthawi mu matenda a shuga, pomwe kusintha kwakanthawi kwakanthawi ka glycemic kumachepetsa chiopsezo cha kupitirira kwa matenda ashuga retinopathy.

Mndandanda wazotsatira zoyipa zimaperekedwa pagome.

Zotsatira zonse zoyipa zomwe zaperekedwa pansipa, kutengera za mayeso azachipatala, zimayikidwa m'magulu molingana ndi kukula kwa chitukuko malinga ndi MedDRA ndi kachitidwe ka ziwalo. Zotsatira zoyipa zimafotokozedwa ngati: pafupipafupi (≥ 1/10), nthawi zambiri (≥ 1/100 to

Kusiya Ndemanga Yanu