Humodar B

Kuyimitsidwa kwa makina oyang'anira.

1 ml ya mankhwala ali:

Insulin yopanga anthu - 100 ME,

Protamine sulfate, m-cresol, phenol, hydrochloric acid, sodium hydroxide, monosubstituted 2-amadzimadzi sodium phosphate, sodium chloride, anhydrous zinc chloride, glycerin, madzi a jekeseni.

Malangizo kwa wodwala

Njira yolowera insulin m'mbale

1. Thirani mankhwala okhala ndi mphira pa vial.

2. Thirani mpweya mu syringe kuchuluka kogwirizana ndi insulin yomwe mukufuna. Lowetsani mpweya mu vala ya 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.

Njira Yogwiritsira Ntchito Cartridge Injection

Makatoni okhala ndi Humodar ® K25-100 amapangidwira kuti azigwiritsa ntchito zolembera zokha. Ndikofunikira kutsatira mosamalitsa malangizo omwe akupezeka kuti mugwiritse ntchito cholembera polemba insulin.

Musanagwiritse ntchito, onetsetsani kuti palibe zowonongeka (mwachitsanzo, ming'alu) pa cartridge ndi Humodar K25-100. Osagwiritsa ntchito cartridge ngati pali zowonongeka. Kathumba katayikidwa mu cholembera, chingwe chautoto chiyenera kuwonekera kudzera pazenera la wonyamulira.

Musanayike cartridge mu syringe cholembera, tembenuzani katoni ndikutsitsa kuti galasi la galasi lisunthe kuchokera kumapeto kupita kumapeto kwa cartridge. Njirayi iyenera kubwerezedwa nthawi 10 mpaka madzi onse atakhala oyera komanso mitambo. Zitachitika izi, jekeseni ndikofunikira .

Ngati cartridge ili kale ndi cholembera, muyenera kuyitembenuza ndi cartridge mkati ndikutentha kasanu. Ndondomeko iyenera kubwerezedwa musanayambe kubayidwa aliyense.

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.

Kukonzekera kwa Cartridge yokhala ndi Humodar K25-100 kumapangidwira kuti azigwiritsa ntchito payekha ndipo sayenera kuzazidwanso.

• 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, ndikuonetsetsa kuti insulin idayikidwa kwathunthu.
• Ngati magazi awonekera pamalo opukusira jakisoni atachotsa singano, pang'onopang'ono malowa jekeseni ndi chala chanu.
• Ndikofunikira kusintha tsamba la jakisoni.

Mankhwala

Humodar ® K25-100 ndi nthawi yayitali yopanga insisita yopanga insulin. Kapangidwe kake ka mankhwalawa kamaphatikizidwa ndi insulin (25%) ndi insulin-isophan (75%). 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 synthetase, 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 nthawi ya kukonzekera kwa insulin kumachitika makamaka chifukwa cha kuchuluka kwa mayamwidwe, zomwe zimatengera zinthu zingapo (mwachitsanzo, pa mlingo, njira ndi malo oyang'anira), chifukwa chake zochitika za insulin zimasinthasintha kwambiri, mwa anthu osiyanasiyana komanso chimodzimodzi munthu. Pafupifupi, kuyambika kwa mankhwala pambuyo poti makonzedwe amachitika pambuyo pa mphindi 30, mphamvu yayikulu imachitika pambuyo pa maola 1-3, kutalika kwa nthawi ndi maola 12-16.

Pharmacokinetics

Kukwanira kwathunthu ndi kuyambika kwa mphamvu ya insulin kumadalira njira ya kasamalidwe (subcutaneally, intramuscularly), malo oyang'anira (m'mimba, ntchafu, matako), mlingo (kuchuluka kwa insulin), ndende ya insulin, mankhwalawa ndi zina zotere. ndi mkaka wa m'mawere. Amawonongedwa ndi insulinase makamaka m'chiwindi ndi impso. Amachotsa impso (30-80%).

Matenda a shuga mwa akulu

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. Komabe, zingakhale zofunikira kuchepetsa mlingo wa insulini, chifukwa chake, kuyang'anira mosamala ndikofunikira mpaka pakufunika kwa insulin kukhazikika.

Mlingo ndi makonzedwe

Mankhwala adapangira subcutaneous makonzedwe. Mlingo ndi nthawi ya makonzedwe a mankhwala amatsimikiziridwa ndi dokotala aliyense payekhapayekha malinga ndi kuchuluka kwa shuga. Pafupifupi, tsiku lililonse mlingo wa mankhwalawo umachokera ku 0,5 mpaka 1 IU / kg thupi (kutengera umunthu wa wodwalayo komanso kuchuluka kwa shuga).

Kutentha kwa insulin yoyenera kuyenera kukhala kutentha kwambiri.

Mankhwalawa nthawi zambiri amaperekedwa pachiwuno. Jekeseni amathanso kuchitira khoma lakumbuyo kwam'mimba, matako, kapena dera lamatumbo lamapewa.

Ndikofunikira kusintha malo a jekeseni mkati mwa anatomical dera kuti muchepetse kukula kwa lipodystrophy.

Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga amatha kupatsidwa chithandizo chamankhwala ena ndi Humodar ® K25-100 kukonzekera (kayendetsedwe kanthawi kawiri pa tsiku), kapena kuphatikiza mankhwalawa ndi othandizira pakamwa.

Zotsatira zoyipa

Chifukwa cha kuchuluka kwa kagayidwe kazakudya: michere yamkati (khungu la khungu, kuchuluka thukuta, kugunda, kugwedezeka, njala, kukwiya, paresthesia mkamwa, kupweteka pamutu). Matenda oopsa a hypoglycemia angayambitse kukula kwa chikomokere kwa hypoglycemic.

Thupi lawo siligwirizana kawirikawiri - zotupa pakhungu, edema ya Quincke, osowa kwambiri - mantha anaphylactic.

Zomwe zimachitika m'deralo: hyperemia, kutupa ndi kuyabwa pamalowo jekeseni, ndikugwiritsidwa ntchito kwa nthawi yayitali - lipodystrophy pamalo opaka jekeseni.

Ena - edema, zolakwika zosakhalitsa (nthawi zambiri kumayambiriro kwa mankhwala).

Bongo

Ndi mankhwala osokoneza bongo, hypoglycemia imayamba.

Chithandizo: wodwalayo amatha kuthetsa hypoglycemia wofatsa mwa kudya shuga kapena zakudya zopatsa mphamvu. Chifukwa chake, ndikulimbikitsidwa kwa odwala matenda ashuga kuti azikhala ndi shuga, maswiti, makeke kapena mandimu okoma zipatso.

Woopsa milandu, wodwalayo akapanda kuzindikira, yankho la 40% dextrose (glucose) limayendetsedwa kudzera m'mitsempha, intramuscularly, subcutaneally, mtsempha - glucagon. Pambuyo pakupezanso chikumbumtima, wodwalayo akulimbikitsidwa kudya zakudya zamafuta ambiri kuti aletse kukonzanso kwa hypoglycemia.

Kuchita

Pali mankhwala angapo omwe amakhudza kufunika kwa insulin. kanthu Hypoglycemic Humodar ® K25-100 patsogolo m'kamwa wothandizila hypoglycemic, zoletsa monoamine oxidase, angiotensin-akatembenuka enzyme, carbonic zoletsa anhydrase, kusankha beta-blockers, bromocriptine, octreotide, sulfonamides, anabolic mankhwala, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine, kukonzekera kwa lithiamu, quinidine, quinine, chloroquinine, kukonzekera komwe kumakhala ndi ethanol. Mphamvu ya hypoglycemic ya mankhwalawa imachepetsedwa ndi kulera kwapakamwa, glucocorticosteroids, mahomoni a chithokomiro, kupindika ndi thiazide diuretics, heparin, glucagon, somatotropin, estrogens, sulfin pyrazone, chamba, epinephrine, blockers a N1-histamine antipressants-Triestestantin, anti-antiin. njira za calcium, diazoxide, morphine, phenytoin, nikotini.

Mothandizidwa ndi reserpine ndi salicylates, kufooka komanso kuwonjezeka kwa machitidwe a mankhwalawa ndizotheka. Pentamidine imatha kuwonjezera ndikuchepetsa mphamvu ya insulin.

Ngakhale kumwa mowa, kufunika kwa insulin kumachepa, komwe kumafunikira kusintha kwa mlingo.

Malangizo apadera

Poyerekeza ndi maziko a mankhwala a insulin, kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira.

Zomwe zimayambitsa hypoglycemia kuwonjezera pa insulin yochulukirapo imatha kukhala: kuthana ndi mankhwala, kudumpha chakudya, kusanza, kutsegula m'mimba, kuchuluka kwa zochitika zolimbitsa thupi, matenda omwe amachepetsa kufunikira kwa insulin (chiwindi ndi matenda a impso, hypofunction ya adrenal cortex, pituitary kapena chithokomiro cha chithokomiro), kusintha kwa jekeseni wa jekeseni, komanso kuyanjana ndi mankhwala ena.

Dosing yolakwika kapena zosokoneza mu insulin makonzedwe angayambitse hyperglycemia. Nthawi zambiri, zizindikiro zoyambirira za hyperglycemia zimayamba pang'onopang'ono kwa maola angapo kapena masiku. Izi zimaphatikizapo ludzu, kukodza kwambiri, kusanza, kusanza, chizungulire, khungu komanso kuyanika pakhungu, pakamwa pouma, kusowa chilimbikitso.

Mlingo wa insulin uyenera kukonzedwa kuti matenda a chithokomiro asokonekera, matenda a Addison, hypopituitarism, chiwindi ndi impso ntchito ndi anthu odwala azaka zopitilira 65.

Simungathe kugwiritsa ntchito mankhwalawa ngati, mutagwedezeka, kuyimitsidwa sikusintha kukhala koyera kapena koyipa kwambiri.

Kuwongolera mlingo wa insulin kungafunikenso ngati wodwala akuwonjezera kuchuluka kwa zolimbitsa thupi kapena asintha zakudya zomwe amakonda.

Matenda onga, makamaka matenda ndi machitidwe omwe amatsatana ndi malungo, amalimbikitsa kufunika kwa insulini.

Kusintha kuchokera ku mtundu wina wa insulin kupita ku wina kuyenera kuchitika mothandizidwa ndi misempha yamagazi.

Mankhwala amachepetsa kulolera kwa mowa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Pokhudzana ndi cholinga choyambirira cha insulini, kusintha kwa mtundu wake kapena kukhalapo kwa kupanikizika kwakukulu kwakuthupi kapena kwamalingaliro, ndizotheka kuchepetsa kuyendetsa galimoto kapena kuwongolera njira zosiyanasiyana, komanso kuchita zinthu zina zomwe zingakhale zowopsa zomwe zimafuna chidwi chochulukirapo komanso kuthamanga kwa malingaliro ndi magalimoto.

Kutulutsa Fomu

Kuyimitsidwa kwa subcutaneous makonzedwe a 100 IU / ml mu 10 ml miyezo yagalasi. Botolo limodzi, pamodzi ndi malangizo ogwiritsira ntchito, aikidwa mu paketi imodzi ya makatoni. Kuyimitsidwa kwa subcutaneous makonzedwe a 100 IU / ml mu 3 ml momveka bwino ma cartridge. Makatoni atatu kapena asanu limodzi ndi malangizo ogwiritsira ntchito amadzaza paketi yamakhadi.

Malo osungira

Kutentha kwa +2 mpaka + 8 ° C. Osalola kuzizira.

Botolo la insulin lomwe limagwiritsidwa ntchito limatha kusungidwa kwa masabata 6, ndipo bokosi la insulini kwa milungu itatu pa kutentha kwa chipinda (osati kupitirira 25 ° C), bola litatetezedwa kuti lisamawonekere kutentha ndi kuwala.

Pewani patali ndi ana!

Zizindikiro zogwiritsidwa ntchito

Type 2 shuga mellitus, gawo la kukana mankhwalawa a hypoglycemic, kutsutsana kwapakamwa kwa mankhwala a hypoglycemic (kuphatikiza mankhwala), matenda oyanjana, chithandizo cha opaleshoni (mono- kapena chithandizo chamankhwala), matenda a shuga nthawi yayitali.

Momwe mungagwiritsire ntchito: Mlingo ndi njira ya chithandizo

P / C, katatu patsiku, mphindi 30-45 musanadye kadzutsa (sinthani malo a jekeseni nthawi iliyonse). Mwapadera, adokotala amatha kukupatsani jakisoni wa / m mankhwala. Mu / pakubweretsa insulin ya sing'anga nthawi yoletsedwa! Mlingo amasankhidwa payekha ndipo zimatengera zomwe zili ndi shuga m'magazi ndi mkodzo, mawonekedwe a matendawa. Nthawi zambiri, Mlingo ndi 8-24 IU 1 nthawi patsiku. Akuluakulu ndi ana omwe ali ndi chidwi chachikulu ndi insulin, mlingo wochepera 8 IU / tsiku ukhoza kukhala wokwanira, mwa odwala omwe ali ndi chidwi chokwanira - oposa 24 IU / tsiku. Pa mlingo wa tsiku lililonse wopitilira 0,6 IU / kg, - wofanana ndi jakisoni 2 m'malo osiyanasiyana. Odwala omwe amalandila 100 IU kapena kuposerapo patsiku, akachotsa insulin, ndikofunika kuchipatala. Kusamutsa kuchokera ku mankhwala kupita ku wina kuyenera kuchitika mothandizidwa ndi shuga wamagazi.

Zotsatira za pharmacological

Insulin yochita pakati. Kuchepetsa kuchuluka kwa shuga m'magazi, kuonjezera mayamwidwe ndi minofu, kumapangitsanso lipogenis ndi glycogenogeneis, kaphatikizidwe ka mapuloteni, kumachepetsa kuchuluka kwa shuga ndi chiwindi.

Imalumikizana ndi cholandirira china kumtundu wakunja wamaselo ndikupanga insulini yolandirira. Mwa kuyambitsa kaphatikizidwe ka cAMP (m'maselo amafuta ndi maselo a chiwindi) kapena kulowa mwachindunji mu cell (minofu), insulini yolandirira insulin imapangitsa njira zina, kuphatikizira kaphatikizidwe angapo ofunikira a michere (hexokinase, pyruvate kinase, glycogen synthetase, etc.). Kutsika kwa glucose m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe kabisikulidwe, kuchuluka kwa zotupa, kukondoweza kwa maujeniis, glycogenogeneis, kaphatikizidwe ka mapuloteni, kuchepa kwa kuchuluka kwa kupanga kwa shuga ndi chiwindi (kuchepa kwa kuwonongeka kwa glycogen), ndi zina zambiri.

Pambuyo pa jekeseni wa sc, matendawa amapezeka maola 1-1.5. Kuchuluka kwake kumachitika pakatikati pa maola 4-12, kutalika kwa nthawi ndi maola 11-24, kutengera kapangidwe ka insulin ndi mlingo, kumawonetsa kupatuka kwakapakati komanso mkati mwa munthu.

Pharmacology

Humodar K25-100 ndikukonzekera kwa kupangika kwapakati kwa insulin yaumunthu yopanga nthawi yayitali.

Mankhwala amakhala ndi insulin - isophan ndi sungunuka wa insulin. Mankhwalawa amalimbikitsa kapangidwe kazinthu zingapo za michere.

• pyruvate kinase
• hexokinase
• glycogen synthetase ndi ena.

Kutalika kwa zotsatira za kukonzekera kwa insulin nthawi zambiri kumadziwika ndi kuchuluka kwa mayamwidwe. Zimatengera gawo la jakisoni ndi Mlingo, kotero mawonekedwe a insulin amatha kusiyanasiyana, komanso mwa anthu osiyanasiyana, komanso mwa wodwala m'modzi.

Zochita za mankhwalawa zimayamba pambuyo pakukonzekera kwachilendo, izi zimachitika pafupifupi theka la ola. Kuchuluka kwake kumachitika, nthawi zambiri pambuyo maola ochepa. Kuchitikaku kumatenga maola 12 mpaka 17.

Malangizo ogwiritsira ntchito mankhwalawa

Nthawi ya jakisoni ndi Mlingo wakhazikitsidwa ndi dokotala munthawi iliyonse, kutengera zomwe zimachitika ndi metabolic process. Mukamasankha kuchuluka kwa insulin kwa akuluakulu, muyenera kuyamba ndi gawo limodzi la magawo 8-24.

Ndi chidwi chachikulu ndi mahomoni komanso muubwana, Mlingo wochepera 8 amagwiritsidwa ntchito. Ngati kukhudzika kumachepetsedwa, ndiye kuti mlingo wogwira ntchito ukhoza kukhala wapamwamba kuposa mayunitsi 24. Mlingo umodzi sayenera kupitirira 40 mayunitsi.

Katoni yomwe ili ndi chinthucho ikuyenera kukugudika nthawi khumi pakati pama manja musanayigwiritse ntchito ndikukutembenuza maulendo angapo. Musanayike katiriji mu cholembera, muyenera kuwonetsetsa kuti kuyimitsaku sikutha, ndipo ngati sizili choncho, bwerezaninso njirayi. Mankhwalawa ayenera kukhala wogawana kapena wamtambo utasakaniza.

Humodar P K25 100 iyenera kuperekedwa pafupifupi mphindi 35-45 musanadye intramuscularly kapena subcutaneally. Malo a jakisoni amasintha jekeseni iliyonse.

Kusintha kwa mankhwala ena aliwonse a insulin kumachitika kokha moyang'aniridwa ndi achipatala. Wodwala ayenera kutsatira:

1. Zakudya
2. Mlingo wa insulin tsiku lililonse,
3. kuchuluka kwa zolimbitsa thupi.

Njira y kukhazikitsa jakisoni mukamagwiritsa ntchito insulin m'mbale

Cartridge yokhala ndi Humodar K25-100 imagwiritsidwa ntchito pama syringe pens. Musanagwiritse ntchito, onetsetsani kuti katiriji sikuwonongeka. Katunduyu akadzalowetsedwa cholembera, mzere wachikuda uyenera kuonekera.

Musanayike katiriji m'manja, muyenera kuyitembenuza ndikutulutsa kuti galasi lagalasi liyambe kulowa mkati. Chifukwa chake, kusakanikirana kwa chinthu. Njirayi imabwerezedwa mpaka madzi atapeza yunifolomu yoyera. Kenako jakisoni amapangidwa nthawi yomweyo.

Pambuyo pa jekeseni, singano imayenera kukhalabe pakhungu kwa masekondi asanu. Sungani batani kuti lipanikizidwe mpaka singano itachotsedwa kwathunthu pakhungu. Katirijiyo ndi wogwiritsa ntchito payekha ndipo sangayikidwenso.

Pali algorithm yeniyeni yopanga jakisoni wa insulin:

• kupezeka kwa utoto wa mphira pa botolo,
• khalani mu syringe ya mpweya mu voliyumu yomwe ikufanana ndi insulin yomwe mukufuna. Mpweya umalowetsedwa mu botolo ndi chinthucho.
• Kutembenuza botolo ndi syringe mozondoka ndikukhazikitsa mlingo wa insulin mu syringe. Chotsani singano mu vial ndikuchotsa mpweya ku syringe. Onani kulondola kwa insulin,
• mankhwala a jakisoni.

Zophatikizira za mankhwala ndi mawonekedwe omasulidwa

Humodar amagulitsidwa ndi mankhwala okha. Mu 1 ml ya yankho muli 100 MO ya anthu omwe akupangulanso insulin. Wopezeka mu mawonekedwe a majekiti omwe angathe kubayidwa - 3 ml m'makatoni No. 3, No. 5, komanso 5 ml m'mabotolo - No. 1, No. 5 ndi 10 ml - No. 1. Zowonjezera zina:

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

• sodium dihydrogen phosphate,
• m-cresol,
• hydrogen chloride
• sodium kolorayidi
• glycerol
• sodium hydroxide
• madzi a jakisoni.

Zizindikiro ndi limagwirira ake kuchitapo

Humodar amachepetsa shuga m'magazi pambuyo pa ola limodzi. Ndalama zapamwamba kwambiri mthupi zimatheka pambuyo pa maola 1-2. Zotsatira zake zimatha kwa maola 5 mpaka 7. Itha kugwiritsidwa ntchito limodzi ndi mankhwala ena othandizira odwala matenda ashuga, kuphatikiza kuchita nthawi yayitali ("Humodar B 100P", "Humodar K 25100P"), pokhapokha mwa mgwirizano ndi adotolo. Chizindikiro chogwiritsira ntchito - shuga.

Kugwiritsa ntchito insulin "Humodar"

Chofunikira cha tsiku ndi tsiku kuti munthu akhale ndi insulin yayikulu kwa 0,5 mpaka 1.0 IU / kg thupi. Mankhwalawa amaperekedwa kwa mphindi 15-20 asanadye chilichonse. Tsamba la jakisoni liyenera kusinthidwa nthawi zonse. Wodwalayo ayenera kutsatira malangizo onse a dokotala pokhudzana ndi kadyedwe, mulingo wa mankhwalawa komanso kuopsa kwa zolimbitsa thupi. Kusintha ndi kuphatikiza kwa mankhwalawa kumachitika pokhapokha povomerezana ndi adokotala.

Zina

Poyerekeza ndi maziko a chithandizo cha insulini, kuyang'anira kuchuluka kwa shuga m'magazi kumafunika. Hypoglycemia, kuphatikiza pa mankhwala osokoneza bongo a insulin, imatha kuchitika m'malo mwa mankhwala osayenera.

Hypoglycemia ndi chiopsezo, zomwe zimayeneranso kuganiziridwa:

1. kudumpha chakudya
2. kuchita zolimbitsa thupi kwambiri
3. matenda omwe amachepetsa kufunika kwa insulin,
4. kusintha kwa jekeseni.

Mlingo wolakwika kapena zosokoneza mu jakisoni wa insulin zingayambitse hyperglycemia. Nthawi zambiri, mawonetseredwe a hyperglycemia amapangidwa pang'onopang'ono, zimafunikira maola angapo kapena masiku.

• ludzu
• kukodza kwambiri,
• kusanza ndi mseru
• chizungulire
• khungu lowuma
• kusowa kwa chakudya.

Mlingo wa insulin uyenera kusinthidwa ngati chithokomiro chikulephera, komanso:

1. Matenda a Addison
2. hypopituitarism,
3. matenda a impso ndi chiwindi.
4. matenda ashuga mwa anthu opitilira 65.

Kusintha kwa mankhwalawa ndikofunikanso ngati wodwalayo akuwonjezera zochita zake zolimbitsa thupi, kapena asintha zakudya zina zomwe amakhala nazo.

Mukamagwiritsa ntchito, kuyendetsa galimoto kapena kuwongolera zinthu zina kumatha kuchepa.

Kuika chidwi kumachepa, chifukwa chake sikulimbikitsidwa kuchita zochitika zomwe zimayenderana ndi kufunikira kuyankha mwachangu ndikupanga zisankho zofunika.

Ndi ma analogi amatanthauza mankhwala omwe amatha kukhala olowa m'malo mwa Humodar k25 100r.

Zowoneka za chida ichi ndizofanana zomwe zimapangidwira ndipo zimafanana ndi momwe zimagwiritsidwira ntchito, komanso malangizo ndi zisonyezo.

Mwa ena odziwika bwino ndi awa:

• Humulin M3,
• Ryzodeg Flextach,
• Kusakaniza kwa Humalog,
• Insulin Gensulin N ndi M30,
• Novomax Flekspen,
• Farmasulin H 30/70.

Mtengo wa mankhwalawa Humodar K25 100r umasiyana malinga ndi dera komanso malo omwe amapezeka mankhwalawo. Mtengo wapakati wa mankhwalawa ndi 3ml 5 ma PC. kuyambira 1890 mpaka 2100 rubles. Mankhwala ali ndi ndemanga zabwino.

Pazokhudza mitundu ya insulin ndi mawonekedwe ake adzakuwuzani kanema munkhaniyi.

"Humodar" m'makalata

Mankhwala amaperekedwa pogwiritsa ntchito cholembera chapadera. Musanagwiritse ntchito, nembanemba yake iyenera kuyeretsedwa. Ngati muli mpweya mkati mwa syringe, ndiye kuti umayikidwa molunjika, ndipo, ndikakuta mopepuka, magawo awiri a mankhwalawo amasulidwa. Bwerezani izi mpaka madzi atafika kumapeto kwa singano. Mphepo yambiri mkati mwake imatha kuwerengetsa kuchuluka kwa mankhwalawo.

"Humodar" m'botolo

Musanagwiritse ntchito, chivundikiro chapadera chimachotsedwa. Khola limayikidwa mu vial. Kenako imatembenuka ndipo chiwerengero choyimira choyimitsidwa chimasonkhanitsidwa. Mpweya wochokera ku syringe uyeneranso kumasulidwa. Njira yothetsera vutoli imalowetsedwa pang'onopang'ono m'dera lomwe musanatulutsidwe mankhwala. Kenako muyenera kukanikiza thonje la thonje kumalowo la jekeseni kwa masekondi angapo.

Contraindication ndi zoyipa

Ndi koletsedwa kugwiritsa ntchito mankhwalawa zotsatirazi: insulin tsankho, matupi awo a mankhwalawa, ndi hypoglycemia.

Zotsatira zoyipa zimawonetsedwa motere:

• Kuperewera kwa shuga. Hypoglycemia yayikulu imatha kutsagana ndi kukomoka, kuiwala, komanso ubongo. Amatha kukwiya chifukwa cha kuchuluka kwa mankhwalawa osaphunzitsidwa, pakudya pakati, pakudya, kuchita masewera olimbitsa thupi, kumwa mowa kwambiri.
• Kuchokera kumbali yakusatetezeka. Local ziwengo kuti insulin mu mawonekedwe a redness ndi kuyabwa pa jekeseni malo. Pafupipafupi, pamakhala zotsutsana zambiri zomwe zimawonekera chifukwa cha kukokoloka kwa mucosal, kuzizira, komanso mseru.
• Pa khungu. Paphwando woyamba, edema ndi kufiira pang'ono kwa khungu kumatha kukhalapo. Ndi chithandizo chowonjezereka, amachoka okha.
• Masomphenya Kumayambiriro kwa chithandizo, kukonzanso kwa maso kumatha kusokonekera, komwe kumatha patatha milungu iwiri yokha.
• Matenda a mitsempha. Nthawi zina, polyneuropathy imatha kuchitika.

Kugwirizana

Kulandila ndalama zowonjezera kungalimbikitse kapena kufewetsa mphamvu ya insulini pamsempha:

• Kuchuluka kwa insulin kumakwiyitsa fenfluramine, clofibrate, sodium, sulfonamides, tetracyclines, mankhwala okhala ndi ethanol.
• Zofooka zofooka zimatha kupsinjika ndi mankhwala kuti muchepetse kutenga pakati, okodzetsa, phenolphthalein, nicotinic acid, zotumphukira za phenothiazine, lithiamu carbonate, corticosteroids.

Momwemonso

Zofananira za mankhwala a Humodar P 100P zimaphatikizapo Protafan, Insuman Bazal, Insuman Rapid, Homolong 40, Farmasulin N, Rinsulin-R, Insulin Active. Komabe, ngakhale pali mitundu ingapo ya mankhwala othandizira odwala matenda ashuga komanso kupezeka kwa zambiri zokhudza iwo, sizingatheke kuti musankhe nokha. Kudzilamulira nokha kuti muchepetse magazi kuti muchepetse shuga kumatha kubweretsa zotsatirapo zosiyanasiyana zosasangalatsa, mwachitsanzo, sayanjana, kukomoka kapena kuperewera kwa magazi.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda a shuga omwe alipo masiku ano. Werengani nkhani >>