Kulemba mankhwala a insulin kapena ayi: kodi ndizotheka kugula mahomoni m'chipatala?

Odwala a shuga a Type 1 amafuna insulin tsiku lililonse. Vuto lopeza mahomoni amakumana ndi odwala matenda ashuga aliyense komanso abale ake.

Ganizirani zopinga zomwe zimayambira motere, momwe mungapezere mankhwalawo komanso zomwe amapindulitsa odwala.

Mitengo ya insulin

Insulin imagulitsidwa muma pharmacies, ngati mankhwala aliwonse. Dokotala amafunika chilolezo kuti azigulitsa. Mu Russian Federation, kuperekedwa kwa insulin yaulere kwa odwala omwe ali ndi matenda ashuga kumaperekedwa ndi malamulo a federal No. 178-FZ ndi Lamulo la Boma No. 890.

Mndandanda wa mankhwala aulere (kuphatikiza insulin) ukhoza kutsitsidwa pano.

Ufulu wa kulandira mankhwala aulere uyenera kutsimikiziridwa mu mankhwala ndi chidziwitso cha zitsanzo zomwe zapezeka kuchokera kwa dokotala kuchipatala chachigawo. Ambiri mwa omwe amafunikira mahomoni amtundu wa tsiku ndi tsiku amapeza motere. Komabe, nthawi zambiri mikhalidwe imakhala yofanana ndi kuti njira yomwe mukufuna ndiyosatheka kapena yovuta kupeza.

Kenako funso limadzuka kuti inshuwaransi imawononga ndalama zingati komanso ngati mungathe kugula ku fodya popanda mankhwala. Inde mutha kutero. Mankhwalawa amapezeka m'njira zosiyanasiyana. Mtengo wake umatengera kampaniyo, ngati ili mu botolo kapena cartridge.

Insulin imatenga nthawi yayitali kapena imakhala yochepa.

Munthu wogula mankhwala ayenera kudziwa zomwe akusowa.

Mtengo wopezeka mu mankhwala opangira mankhwala m'mabotolo umachokera ku ma ruble 400. Kwa mankhwala m'mak cartridge muyenera kulipira kuchokera kuma ruble 900. ndipo pamwambapa, mu ma syringe olembedwa - kuchokera ku ma ruble 2000.

Tiyenera kudziwa kuti odwala matenda ashuga mdziko lonse amagulitsa ndikusinthana ndi mankhwala omwe sawafuna, siabwino kapena osasangalala. Pa intaneti komanso manyuzipepala ali ndi zotsatsa zazinsinsi zodzigulitsa kapena kugula zingwe zamayeso, zolembera za syringe, ndi mitundu yosiyanasiyana ya insulin.

Mtengo wa zinthuzi ndiwotheka kukambirana, nthawi zambiri wotsika kwambiri kuposa mankhwala.

Momwe mungapezere mankhwala kwaulere?

Kulembetsa kwa odwala matenda a shuga ndi mndandanda wa madokotala omwe ali ndi ufulu wolemba malangizo okondera amapangidwa m'zipatala zam'chigawo. Mndandandandawu ulinso m'ndandanda wachidziwitso cha ma pharmacy.

Dokotala wa endocrinologist, katswiri, komanso dokotala ali ndi ufulu wolemba mankhwala a insulin. Mankhwala amaperekedwa atapita kwa dokotala ndikupanga njira yothandizira ndi kumwa. M'tsogolomu, mankhwala a wodwala - makolo, omwe amawasamalira kapena ogwira ntchito zachitukuko atha kuwonjezera mankhwala.

Malinga ndi kuchuluka kwa mankhwala ndi mtundu wa insulin, mankhwalawa atha kupezeka kwaulere ku pharmacy. Odwala ayenera kukaonana ndi dokotala panthawi kuti apatsidwe mankhwala panthawi yake.

Kupereka mankhwala, muyenera kupereka zikalata izi:

1. Pasipoti Chithandizocho chimaperekedwa ndi chipatala chachigawo, munthu ayenera kukhala wolumikizidwa kuchipatala. Ngati musuntha kapena mukungofuna kusamukira kwina, muyenera kusiya kulemba kalata.
2. Ndondomeko ya inshuwaransi yachipatala yokakamiza ndi SNILS ndi akaunti yaumwini.
3. Satifiketi ya wolumala kapena zikalata zina zoyenera kulandira maubwino.
4. Satifiketi kuchokera ku RF PF yoti munthu sanakane kulandira phindu mwa mitundu yaulere.

Ngati munthu wakana phukusi la anthu, sayenera kulemba mankhwala kwaulere, vuto lomwe limapezeka mwa mahomoni limathetsedwa palokha. Kaya munthu amalandira mankhwalawo malinga ndi mankhwala aulere kapena ayi zimatengera iye.

Kusintha insulini yokhazikika ndi mapiritsi kuyenera kuchitika ndi dokotala.

Kanema wokhudza kulandira mankhwala osangalatsa:

Kodi amaperekedwa kuti?

Nthawi zambiri, mankhwala osokoneza bongo omwe amapezeka m'magazi amaperekedwa m'mafakisoni angapo (nthawi zambiri) omwe mgwirizano woyenera umatha. Adilesi ya mfundo iyi idzafotokozeredwa kumalo omwe amalembera.

Mankhwala ndi ofunika kwa mwezi umodzi, ngati mankhwalawo sanagulidwe panthawiyi, muyenera kulemba fomu yatsopano. Aliyense atha kulandira mankhwala omwe amumwa.

Zoyenera kuchita ngati mankhwala akukana kupereka mahomoni:

1. Lowetsani pulogalamuyi mu magazini ya "Zosakhutitsidwa ndi zomwe mukufuna" polumikizana ndi woyang'anira zamankhwala. Siyani foni kuti mudziwe mankhwala akadzaonekera.
2. Uthengawu uyenera kubwera mkati mwa masiku khumi. Ngati ndizosatheka kukwaniritsa ntchito, wodwala ayenera kudziwitsidwa.
3. Mtsogolomo, polyclinic ndi pharmacy amagwira ntchito limodzi kuti athetse vutoli, ndikupereka njira zosiyanasiyana za anthu odwala matenda ashuga - mankhwala ena, kusintha mankhwala, kapena kwina.
4. Ngati wodwala sangapeze insulin, muyenera kulumikizana ndi bungwe la inshuwaransi, Mfuko la MHI, ndi oyang'anira azaumoyo.

Nthawi zambiri, kuperekera insulin kumatha kutha kwa masiku ochepa, wodwalayo ayenera kukonzekera izi ndikukhala ndi chakudya.

Kodi mungatani ngati dokotala sanakupatseni mankhwala?

Mankhwala othandizira mankhwala aulere atha kuperekedwa ndi madokotala malinga ndi luso lawo, kwa odwala omwe ali kuchipatala. Pankhaniyi, adotolo ayenera kukhala m'kaundula wovomerezeka wa madokotala.

Mndandanda wamankhwala omwe amapezeka kuti atulutsidwe kwaulere amathandizidwanso. Nthawi zambiri, kuphatikiza kwa zochitika izi sikulola kuti wodwala apatsidwe mtundu womwe akufuna. Anthu ambiri odwala matenda ashuga amakana mankhwala aulere chifukwa cholephera kupeza bwino mankhwala a insulin.

Izi sizitengera makiliniki am'deralo, omwe angangopereka mankhwala ovomerezeka ndi Unduna wa Zaumoyo.

Ngati mukukana kupereka mankhwala omwe mukufunikira, muyenera:

1. Lumikizanani ndi bungwe la inshuwaransi momwe ndondomeko ya MHI idaperekedwera, MHIF.
2. Lembani madandaulo ku Federal Service for Surveillance in Healthcare of Russian Federation. Adilesi yomwe amalozera ndi iyi: http://www.roszdravnadzor.ru.
3. Mu service service, muthanso kudziwa zonse zomwe zimapezeka kuchipatala komanso mankhwala omwe sangathe kupereka mahomoni, mayina a akuluakulu omwe adakumana nawo. Muyenera kuyikanso zikalata zosemedwa kuti zitsimikizire zoyenera kulandira.

Madandaulo atha kutumizidwa ndi makalata ku adilesi: 109074, Moscow, Slavyanskaya Square, 4, nyumba 1. Mukafotokozeredwa tsatanetsatane wa nkhaniyi, ndipamenenso mwayi wokhala ndi lingaliro loyambirira. Madandaulowa akuyenera kuwonetsa mayina enieni a mabungwe onse, komanso maudindo ndi mayina a anthu omwe adayesetsa nawo kuthetsa vutoli ndipo adakanidwa.

Kodi mungatani ngati mankhwalawa samapereka insulin yaulere?

Malangizo ogwiritsira ntchito mankhwalawa kupezeka kwa mankhwala osafunikira kwa wodwala, kuphatikizapo insulin, amalembedwa mu kalata ya Federal Health Service No. 01I-60/06.

Wodwala amayenera kuwunika ngati woyang'anira ntchitoyo akhazikitsa fomu yofunsira insulini ngati sangapeze mankhwala. Ngati mankhwalawa sanaperekedwe mkati mwa masiku khumi, ngongole zimaperekedwa, mpaka kuchotsedwa kwa chilolezo.

Ngati oyang'anira azachipatala sanathetse vutoli, muyenera kukonzekera kulumikizana ndi wotsutsa. Izi zisanachitike, kukana kolemba ndi malo ogulitsa mankhwala kuyenera kupezedwa, komanso chitsimikizo cha ufulu wolandila maubwino.

Ubwino wa odwala matenda ashuga

Kuphatikiza pa ufulu wa insulini yaulere, anthu odwala matenda ashuga ali ndi mwayi wogwiritsa ntchito thandizo lotsatira la boma:

1. Kupeza kulumala ndi kuperekedwa kwa penshoni kutengera kuopsa kwa matenda ashuga.
2. 50% yochepetsa ndalama zolipirira.
3. Free ufulu mano.
4. Kuphatikiza pa insulin, mankhwala aulere a mankhwala ena, komanso zowonjezera - zida zowongolera insulin, njira yoyezera mulingo wa shuga, mowa, ma bandeji. Ngati ndi kotheka, thandizo limaperekedwa pogula nsapato zamatumbo, insoles, orthose. Mankhwala amathandizanso kuthana ndi zovuta za matenda ashuga - matenda oopsa, matenda a mtima ndi ena.
5. Amayi omwe ali ndi matenda ashuga alipira tchuthi kwa amayi kwa masiku 16, atha kukhala masiku ambiri kuchipatala cha amayi (3 masiku).
6. Kuyesedwa kwaulere kwa mayeso a endocrine m'zigawo za matenda ashuga ndikusintha kwamankhwala. Pakadali pano, omwe akusowa thandizo samasulidwa kuphunzira kapena kugwira ntchito. M'malo ngati amenewa, mutha kufufuza bwino.
7. M'madera ena (makamaka, ku Moscow), mapulogalamu okonzanso amaperekedwa m'malo opatsirana.
8. Madera ali ndi mapulogalamu awo othandizira - kulipira ngongole, ndalama zoyenda, mapulogalamu aubwino ndi ena.

Kanema wokhala ndi mndandanda wazabwino za odwala omwe ali ndi matenda ashuga:

Popanda thandizo lochokera kwa okondedwa, wodwala matenda ashuga amatha kudalira thandizo la ogwira ntchito zandalama. Amuna omwe ali ndi matenda ashuga sawamasuka ku ntchito yankhondo.

Kuti mukhale ndi chilema, muyenera kulumikizana ndi Bureau of Medical and Social Expertise (ITU) ndikukutumizirani kwa dokotala. Wodwala amatha kulandira gulu lolemala kuchokera ku 1 mpaka 3. Kuikidwa kwa gulu la olumala kumamupatsa mwayi wolandirira penshoni kuchuluka komwe kukhazikitsidwa ndi Federal Law No. 166-FZ.

Matenda a shuga ndi matenda omwe amafuna kuti wodwalayo aziwonetsetsa momwe alili, chithandizo chamanthawi zonse, komanso zakudya. Kuthandizidwa ndi boma m'njira yoperekera mankhwala aulere, kuphatikizapo insulin, ndi maubwino ena kumawathandiza odwala matenda ashuga kukhalabe athanzi ndikulimbana ndi matenda oopsa.

Momwe mungapangire insulin

Kugula mankhwala ndikosavuta. Ngati muyezo wa mahomoni mukufunika chithandizo, ndipo wodwala matenda ashuga amatha. Ndikwabwino kuyimbira nthawi yonse yogulitsa pasadakhale kuti mudziwe ngati malonda akugulitsidwa, chifukwa siamitundu yonse omwe amagulitsa zinthu zotere.

Mutha kugula mankhwalawa kwaulere ngati mupita kwa dokotala wanu wa endocrinologist ndikulembera kalata. Mankhwala osangalatsa amaperekedwa ndi lamulo kwa nzika za Russian Federation ndi akunja chilolezo chokhala. Omwe adapezeka ndi matenda osokoneza bongo a insulin. Kupereka kwa maubwino amenewa kumayendetsedwa ndi malamulo aboma pazithandizo zamayiko 178-FZ ndi Chisankho cha Boma Nambala 890.

Dokotala wa endocrinologist kapena katswiri, yemwe ali pamndandanda wa anthu omwe amakonda mankhwala okondera, ali ndi ufulu kupereka mankhwala kuti agule insulin. Kulembetsa kumeneku kumapangidwa ndi oyang'anira mabungwe azaumoyo.

Chinsinsi chotere sichingapezeke pa intaneti, chifukwa chake muyenera kusamala kuti mupeze chikalatacho pasadakhale ngati insulin ikatha. Wodwala matenda ashuga ayenera kupita kwa dokotala, atayeza ndi kuvomereza njira yochiritsira, pamakhala mlingo wina, womwe wodwalayo angalandire kwaulere.

Kupereka mankhwala, wodwala ayenera kukhala ndi zikalata zingapo naye:

• Fomu yolembetsa imaperekedwa pamalo olembetsedwera odwala matenda ashuga, kotero pasipoti ndiyofunikira. Ndikofunikira kulingalira ngati munthu sakhala kumalo olembetsa, muyenera kusankha chisamaliro chachipatala ndikugwirizanitsa ndi bungwe lazachipatala lomwe mwasankha nalo chikalata. Simungasinthe chipatalacho osaposa kamodzi pachaka.
• Mukapita ku chipatala muyenera kukhala ndi mfundo za inshuwaransi ya chipatala ndi pulogalamu ya inshuwaransi (SNILS).
• Kuphatikiza apo, setifiketi ya olumala kapena chikalata china chotsimikizira ufulu wazopereka ziyenera kuperekedwa.
• Tiyeneranso kupereka satifiketi kuchokera ku Pension Fund yotsimikizira kuti palibe kukana kulandira ntchito zothandizira anthu.

Zolemba izi ndizofunikira kuti mudzaze mabokosi onse azokondweretsa ndikusankha kwa manambala.

Kodi insulin imaperekedwa kwaulele

Chipatala chomwe chipani chachipatala chasainirana mgwirizano chili ndi ufulu kupereka mankhwala kwaulere. Nthawi zambiri, dokotalayo amapereka ma adilesi ochepa pomwe odwala matenda ashuga amatha kuperekedwera zakudya zomwe amakonda.

Fomu yolembetsayi ndi yovomerezeka pakugulidwa kwa mahomoni kwa milungu iwiri kapena inayi, nthawi yeniyeni imatha kupezeka mu Chinsinsi. Osati wodwala yekha yemwe ali ndi ufulu kulandira insulin, komanso abale ake pazomwe akupatsidwazo.

Zitha kuchitika kuti mankhwala osungirako kwakanthawi alibe mankhwala aulere, pankhani iyi, muyenera kugwiritsa ntchito njira zotsatirazi.

1. Choyamba, muyenera kufunsa woyang'anira malo ogulitsa mankhwalawo kuti alembetse chikalata chamuchipatala chotsimikizira kuti ali ndi ufulu kulandira mankhwala osankhidwa mwatsatanetsatane.
2. Komanso, malinga ndi dongosolo la Unduna wa Zaumoyo ndi Zachitukuko cha Russia ku Russia, mankhwala a mahomoni amayenera kuperekedwa kwa wodwala osaposa masiku khumi. Ngati izi sizingatheke pachifukwa chabwino, mankhwalawa akufotokozereni momwe mungachitire ndi matenda a shuga.
3. Ngati mankhwala apezeka kuti apereke insulin ndi mankhwala, muyenera kubweretsa kwa dokotala. Kuphatikiza apo, amalemba madandaulo ndi TFOMS kapena QS - mabungwewa ndi omwe ali ndi udindo wotsatira ufulu wa odwala pantchito ya inshuwaransi yayikulu yazaumoyo.

Mukataya fomu yakulemberani, mukuyeneranso kukaonana ndi dokotala, alembe kalata yatsopano ndikulembera zakusowa kwa apolisi omwe mgwirizano wawo watha.

Izi sizimalola anthu osavomerezeka kugwiritsa ntchito mwatsatanetsatane zomwe zalembedwa.

Ngati dokotala sakupereka mankhwala

Musanadandaule kwa olamulira akuluakulu, muyenera kumvetsetsa kuti si dokotala aliyense ali ndi ufulu wopereka mankhwala. Chifukwa chake, ndikofunikira kufotokozera pasadakhale yemwe ali ndi ulamuliro wopereka chikalatacho.

Mndandanda wa madotowa atha kupezeka mwachindunji kuchipatala, uyenera kuperekedwa kwa wodwala pakufunsidwa. Izi ndizopezeka pagulu ndipo zimapezeka ambiri, chifukwa chake zimayikidwa pamapulogalamu achidziwitso.

Ngati, pazifukwa zilizonse, dokotalayo sanalembepo chithandizo chamankhwala okondera aulere, ngakhale atapezeka, muyenera kutumiza dandaulo kwa dokotala wamkulu wakuchipatala. Monga lamulo, pa nthawi iyi, mikangano yathetsedwa, wodwala ndi manejala amabwera pama mgwirizano.

1. Ngati akukana kwa oyang'anira pazifukwa zopanda pake, kudandaula kudalembedwa kwa onse ogwira ntchito omwe adaletsa mwayi kulandira chithandizo chokondweretsedwa ku Federal Service for Supervision of Healthcare. Kuti muchite izi, ndibwino kugwiritsa ntchito tsamba lovomerezeka la Roszdravnadzor, lomwe lili ku http://www.roszdravnadzor.ru.
2. Pogwiritsa ntchito fomu ya mayankho, mutha kufikira gawo la madandaulo a nzika, komwe kuli zidziwitso zokwanira momwe mungatumizire kudandaula, kodi maofesi amchigawo ndi nthawi yanji yomwe amagwira ntchito. Apa mutha kupezanso mndandanda wamabungwe omwe ali ndi kayendetsedwe kamabungwe ena.
3. Musanadzaze zojambulazo, ndikulimbikitsidwa kujambula zolemba zonse zomwe zikupezeka motsimikizira ufulu wogwiritsa ntchito phindu pogwiritsa ntchito foni. Mafayilo onse amatumizidwa kudzera mu fomu yomweyo komwe kudandaula kudzatumizidwa. Ndikofunikira kuti vutoli lifotokozedwe mwatsatanetsatane momwe lingathere, ndi mfundo zenizeni.

Ngati sizingatheke kugwiritsa ntchito kompyuta, kudandaula kumatumizidwa polemba pogwiritsa ntchito fomu yolembetsedwa ndi makalata. Zikalata zimatumizidwa ku adilesi: 109074, Moscow, Slavyanskaya lalikulu, d. 4, p. 1. Motere, zimatenga nthawi yayitali kudikira, chifukwa zimatenga nthawi kuti mutumize, kulandira, ndikuwona zowonjezera. Pofuna kukambirana, mutha kugwiritsa ntchito mafoni ku Moscow:

• 8 (499) 5780226
• 8 (499) 5980224
• 8 (495) 6984538

Ngati mankhwala sapereka insulin yaulere

Ngati simupereka insulin, mungadandaule kuti? Njira yayikulu yochitira pakakhala kukana kutumiza kwa insulin kwa odwala matenda ashuga imaphatikizanso kulumikizana ndi olamulira akuluakulu kuti alandire odwala komanso kulandira chilango kwa omwe amaphwanya lamulo.

Upangiri woyambira ndi thandizo zitha kupezeka kuchokera ku Unduna wa Zaumoyo ku Russia. Kuti muchite izi, muyenera kugwiritsa ntchito mafoni a ulere aulere ndikuyimbira 8 (800) 2000389. Pofunsa mafunso, pali manambala othandizira azidziwitso: 8 (495) 6284453 ndi 8 (495) 6272944.

• Mutha kuyimba mlandu popanda kusiya nyumba yanu pogwiritsa ntchito tsamba lovomerezeka la Ministry of Health ku Russia ku http://www.rosminzdrav.ru/reception/appeals/new. Momwemonso mutha kulembera ku Roszdravnadzor pogwiritsa ntchito mawonekedwe anu.
• Akuluakuluwo akadzalandira chidziwitso chokhudza kuphwanyidwacho, zinthu zidzayendetsedwa pansi. Mutha kupeza yankho pazotsatira za madandaulidwe m'masiku ochepa.

Zikafika ku ofesi ya wozenga mlandu, wodwalayo ayenera kupereka pasipoti, chikalata chotsimikizira ufulu wogwiritsa ntchito mapepalawa, mankhwala a dokotala komanso zikalata zina zotsimikizira kuti wodwalayo ndi wolondola.

Ngati mukufuna, ndikofunikira kupanga makope a zikalata zonse zomwe zaphatikizidwa pasadakhale. Ngati chithandizo chake chinali cholakwika, wodwalayo amavomerezedwa ndipo machitidwe ake adzaperekedwa.

Phindu lanji la shuga

Kuphatikiza pa mankhwala aulere ndi insulin, shuga ili ndi zabwino zingapo zomwe muyenera kuzidziwa. Ndi matenda omwewo, amuna ali ndi ufulu kumasulidwa ku ntchito yankhondo. Zida zopuwala zimathandizidwanso.

Ngati wodwala matenda ashuga sangathe kudzipereka yekha, amathandizidwa ndi anthu ena. Odwala ali ndi mwayi wopita ku masewera olimbitsa thupi ndi malo ena komwe kuli kotheka kuchita masewera olimbitsa thupi kapena masewera. Ngati mayi yemwe ali ndi mwana ali ndi matenda ashuga, amatha kukhala kuchipatala masiku atatu, pomwe tchuthi cha amayi amatalikirana masiku 16.

1. Anthu omwe ali ndi vuto la matenda ashuga amalandila malipiro pamwezi mma ruble 1700-3100, kutengera mtundu wa matendawa.
2. Kuphatikiza apo, wodwala amayenera kulandira pension ya 8500 rubles.
3. Ngati ndi kotheka, odwala amatha kukhala ndi mano aulere kuchipatala cha anthu. Amapatsidwanso nsapato za orthopedic, orsopedic insoles kapena kuchotsera zinthu izi.
4. Pamaso pa malingaliro azachipatala, wodwala matenda ashuga amatha kulandira njira yothira mowa ndikumanga mabandeji.

M'madera ena, odwala ali ndi ufulu wogwiritsa ntchito mayendedwe onse a anthu kwaulere. Ndipo kanema yemwe ali munkhaniyi afotokozela mwachidule funso loti apereke insulin kwa odwala.

Insulin panthawi yapakati

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Matenda a shuga, omwe amapezeka panthawi yoyembekezera (gestational), nthawi zambiri amachitika malinga ndi mtundu wachiwiri, ndikusintha zakudya zopatsa thanzi komanso kakhalidwe kokwanira kukwaniritsa shuga. Ngati izi sizikubweretsa zotsatira zoyenera ndipo insulin siyipangidwe mokwanira panthawi yoyembekezera, ndiye kuti mupeze insulin. Njira zamankhwala zoterezi zimaperekedwa pambuyo pa mayeso ambiri ndikusanthula, ndizowonjezera pakuthandizira matendawa, koma ndiwothandiza kwambiri ndipo amapewa zovuta kwa mayi ndi mwana wosabadwa.

Insulin yaulere yaulere

Ndi kuchepa kwa mahomoni mwa anthu, matenda a shuga amapezeka. Asayansi aphunzira kupanga mahomoni opanga, omwe adathandizira kuwonjezera moyo wa odwala matenda ashuga. Pankhaniyi, muyenera kuyang'anitsitsa kuwerenga kwa shuga m'magazi, kutsatira zakudya, kuchita masewera olimbitsa thupi ndikuchita jakisoni wa insulin.

Ngati mugwiritsa ntchito mahomoni popanda mankhwala a dokotala, ikhoza kuvulaza thupi.

Malinga ndi Federal Law, munthu amene wapezeka ndi matenda ashuga amatsimikiziridwa kuti ali ndi ufulu wolandiridwa. Izi zimaphatikizapo kupezeka kwa matenda a shuga a insulin, ma syringe, ndi mankhwala ena.

Kuti mugule insulini yaulere, muyenera kupita kuchipatala komwe akukhala (ngati kukanenedweratu kuchipatala chapafupi) kapena kumalo olembetserako, komwe endocrinologist amakupatsirani mankhwala omwe amaperekedwa pamalo opangira mankhwala omwe adauzidwa ndi adotolo.

Insulin yaulere imatha kugwiritsidwa ntchito ndi odwala matenda ashuga omwe amafunikira mankhwala a insulin a mtundu uliwonse wa matenda ashuga. Gululi limaphatikizapo nzika zaku Russia komanso anthu okhala ndi chilolezo chokhala. Kuphatikiza pa insulin, amapeza glucometer ndi zingwe zoyeserera.

Njira zoperekera insulin yosankha

Insulin ingagulidwe m'njira ziwiri: kugula ndalama, ngati anthu odwala matenda ashuga akana mapindu ake, kapena mwaulere malinga ndi fomu yomwe mwalandira.

Chinsinsicho chimatsatiridwa ndi njira zotsatirazi.

• The endocrinologist amayesa wodwala mwezi uliwonse ngati akufuna chithandizo chamankhwala ndipo amamulembera mankhwala othandizira odwala matenda ashuga ndi insulin panthawi ya makonzedwe. Mukamayesedwa, wodwalayo amapatsidwa mwayi kuchokera ku magulu ophunzirira kapena kuntchito. Amadutsa akatswiri ndikumayesa mayeso kwaulere, zotsatira zonse zimaperekedwa kwa adokotala.
• Ndi zoletsedwa kulembera mafomu opitilira mwezi wopitilira kapena kwa abale a wodwala. Chifukwa chake, mankhwalawa, mlingo ndi kuchuluka kwa mankhwalawa zimayendetsedwa.
• Ngakhale kuti ndalama zomwe zimagwiritsidwa ntchito pamwezi zogulira anthu odwala matenda ashuga sizokhazikika, zimalamulidwa ndi QS ndi kampani yovomerezeka yamankhwala. Chifukwa cha akaunti yanuyanu payokha, mankhwala onse omwe amalembedwa amalembedwa kuti aletse kugwiritsa ntchito mankhwala mopanda tanthauzo.

Kuti mulandire mankhwala aulere, muyenera kupereka:

• pasipoti
• mfundo inshuwaransi yazaumoyo
• SNILS,
• satifiketi yakulemala kapena chikalata china chothandizira kulandira chisamaliro,
• satifiketi yochokera ku thumba la penshoni yomwe sikukana ntchito yothandiza anthu.

Kutalika kwa mankhwalawo kuli pa fomu (kuyambira masiku 14 mpaka 1 mwezi). Wodwalayo amalandira chithandizo chokha kudzera mwa iye, abale ake ndi anzawo omwe apereka fomu yofunsayo amatha kulandira insulin.

Pali zochitika zina kuti palibe insulin yaulere mu pharmacy. Poterepa, muyenera kulumikizana ndi woyang'anira zamankhwala kuti alembe chikalata chokhala ndi ufulu wopereka insulini munkhani. Pambuyo pake, mkati mwa masiku 10 ogwirira ntchito, mankhwalawo amaperekedwa. Ngati patatha masiku 10 a insulini kulibe, katswiri wa zamankhwala adzakuwuzani zochita pambuyo pake.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Ngati mankhwala a insulin atayika, muyenera kufunsa dokotala yemwe akupatseni mankhwala atsopano polemba chizindikiro pa khadi lochokera. Zambiri zokhudzana ndi mawonekedwe otaika ziyenera kutumizidwa ku kampani yopanga mankhwala kuti tiletse kugwiritsa ntchito insulin mosaloledwa.

Kodi insulin ikhoza kukanidwa?

Dokotala alibe ufulu wakana kupatsa insulin, chifukwa uwu ndi mankhwala ofunikira. Mankhwalawa amachokera ku ndalama za dziko, osati kuchokera ku ndalama za chipatala. Insulin imaperekedwa kwa odwala matenda ashuga kwaulere.

Ngati dokotala samapereka mankhwala kuti mugule mankhwalawo, poyamba muyenera kuthetsa vutoli ndi kuyang'anira kuchipatala. Ngati mkanganowo sunathetsedwe pamlingo uwu, akulangizidwa kuti alembe zomwe zaleka, zomwe zikuwonetsa chifukwa chokana, deti, siginecha ndi chidindo cha bungweli (ndibwino m'makope awiri - wina ayenera kutumizidwa kwa dokotala wamkulu, wachiwiri ayenera kulembedwa kuti avomereze pempholo).

Pokana cholembedwa amalemba ku QMS ndi TFOMS - mabungwe omwe amawongolera kutsimikiza ndi kudalirika kwa maphikidwe omwe adakhazikitsidwa.

Ngati vutoli silithetsa pakadali pano, apilo atumiza kalata ku Unduna wa Zaumoyo, mabungwe azaumoyo kapena kuofesi ya Prosecutor kuti akane ogwira ntchito kuchipatala. Chikalata chilichonse cholembedwa chikuyenera kukhala chofanana. Pamakopi omwe atsala, chilembo chimapangidwa pakuvomera ndi kulembetsa kwa makalata a bungwe.

Ngati insulini ikana kupereka mankhwala, pempholi limaperekedwa ku Mandatory Health Insurance Fund. Nthawi yomweyo, ogwira ntchito m'mafakisoni amayeneranso kupereka zolembedwa, kukana, chifukwa, tsiku, kuyika siginecha ndi chidindo cha bungweli.

Mankhwala ena aulere

Wodwala akapezeka ndi matenda a shuga, dokotalayo amatumiza ndalama zaulere zochizira matendawa potengera mapindu ake. Izi zisanachitike, wodwalayo amapimidwa mayeso onse, amayesedwa kwathunthu. Malinga ndi zotsatira zake, ndondomeko ya makonzedwe ndi kuchuluka kwa mankhwalawa amasankhidwa.

Mankhwala aulere amaperekedwa m'mafakitala a boma potengera mankhwala. Ikuwonetsa kuchuluka kwa mankhwalawo kuti athe kumakhala kwa mwezi umodzi (mankhwala amawerengedwa ndi dokotala kamodzi pamwezi).

Kuti muwonjezere zopindulitsa ndikupitiliza kulandira mankhwala aulere, muyenera kuunikanso. Potsimikizira kuti ali ndi vutoli, dokotalayo amalemba mankhwala ena. Mndandanda wa mankhwala a shuga akuphatikizapo:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• Gliclazide
• Glibenclamide,
• Repaglinide,
• Metformin
• mizere yoyesa (1 pc patsiku).

Popeza kulumala kumatha kuchitika ndi shuga wodalira insulin, odwala omwe ali ndi mtundu woyamba amalandira zabwino zonse nzika. Anthu omwe amadalira odwala matenda ashuga osapatsa insulin, omwe amadziwika kuti ndi opuwala, ali ndi ufulu wokhala ndi glucometer ndi Mzere umodzi. Dokotala wanu amatha kukupatsani mankhwala othandizira chiwindi ndi kapamba.

Gulu lapadera limaphatikizapo ana omwe ali ndi matenda a shuga. Kutengera ndi insulin, mwana amapatsidwa kulemala ndipo amapatsidwa penshoni yoyenera. Kuphatikiza apo, makolo a mwana wolumala yemwe ali ndi zaka 14 amalandila ndalama zofanana ndi malipiro apakati; amatha kufupikitsidwa maola ogwirira ntchito ndikupatsidwa masiku owonjezera pantchito ndikupereka penshoni yoyambirira.

Kuphatikiza apo, aliyense wodwala matenda ashuga amatha kutenga mwayi wakupita ku sanatorium kukalandira chithandizo, komanso anthu olumala omwe ali ndi penshoni ya boma. Amuna odwala matenda ashuga sawachotsa usilikali. Wodwala ngati akulephera kupirira yekha ndipo palibe amene angamuthandize, wogwira ntchito yothandizira anthu adzaikidwa kuti amuthandize kunyumba.

Ngati odwala safuna kwathunthu kugwiritsa ntchito maubwino omwe boma limapereka, amalandila ndalama. Monga lamulo, kuchuluka kwa ndalama sikogwirizana ndi maubwino omwe amaperekedwa kwa odwala matenda ashuga.

Chifukwa chake, matenda ashuga amapatsidwa kufunikira kwakukulu ku Russian Federation. Njira zothandizira boma ndizotakata, chimodzi mwazofunikira kwambiri ndikupereka insulin kwa odwala matenda ashuga. Munthu wodwala matenda ashuga amayenera kukapimidwa pafupipafupi ndi akatswiri kuti awonetsetse momwe matendawo asinthira ndikulandila mankhwala aulere.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Matenda a shuga panthawi yoyembekezera

Insulin ndi mahomoni opangidwa ndi kapamba ndipo amathandizira kutsika kwa shuga m'magazi, omwe amayamba kukwera ndi gawo lotsatira la chakudya. Poyankha izi, kapamba amayamba kupanga mahomoni ena apadera kuti athetse shuga. Kuti muchite izi, imawonetsera momwe imatulutsira maselo ndi minyewa yonse yathupi, ndikuimitsa momwe amapangira chiwindi. Pancreas wathanzi amayankha kuchepa kwa glycemia poletsa kupanga kwa insulin.

Ngati vuto la insulin limalephera, limayamba kupangidwa mopitirira muyeso, zomwe zimapangitsa kuti zikhale zovuta kupereka glucose m'maselo. Insulin m'magazi ndi nthawi yayitali, potero imachepetsa kagayidwe.

Ntchito ina ya insulin ndikulimbikitsa kuphatikiza kwa protein protein. Zimalimbikitsanso kutembenuka kwa glucose kukhala mafuta, kuletsa kuchepa kwake ndikuthandizira kudziunjikira, zomwe zingapangitse kunenepa kwambiri.

Kuyang'anira amayi apakati omwe ali ndi matenda ashuga kumayenera kuwunikidwa mwapadera ndi madotolo ndi amayi omwe.

Nthawi zambiri, kuti asunge shuga mkati mwawamba, ndikokwanira kuti amayi apakati azitsatira boma linalake, malamulo oyambira omwe ndi:

• Kuchepetsa (kapena bwino, kukana kwathunthu) zakudya zamafuta am'mimba ophatikizika,
• zakudya zopatsa chidwi (zakudya zitatu zazikulu ndi zazing'ono ziwiri),
• kuchita masewera olimbitsa thupi, monga kuyenda, kusambira padziwe.

Kuti muwone zotheka panthawi ya mwana wosabadwa, amayi apakati ayenera kutsatira dongosolo la ultrasound.

• Masabata 15-20. Panthawi imeneyi, nthawi yophunzirira, zolakwika zazikulu za mwana wosabadwa siziyenera kuphatikizidwa,
• Masabata 20-23. Pakadali pano, mtima wa fetal umayang'aniridwa mosamala kuti usatulutse matenda alionse,
• Masabata 28-32. Pakadali pano, kafukufukuyu amachitika kuti awone kukula kwa intrauterine.

Zisonyezo za mankhwala a insulin

Zizindikiro za izi zimathandizanso ngati chizindikiro cha fetopathy cha mwana wosabadwa, yemwe akupezeka pa ultrasound. Zotsatira za matendawa zimatha kukhala zoopsa kwambiri, chifukwa chake ndikofunikira kuzindikira zoyipa mukadayamba.

Chiwembu cha jakisoni chimasankhidwa ndi endocrinologist, kutengera zotsatira za kuwunika kwa glycemia ndi mikhalidwe ya munthu payekha. Ndikulimbikitsidwa kuyeza shuga ndikujambulira katatu pa tsiku: pamimba yopanda kanthu, musanadye chakudya, ola limodzi mutatha kudya, posakhalitsa pogona, nthawi ya 03:00 komanso ngati thanzi silili bwino. Makhalidwe abwinobwino a glycemia kwa amayi apakati amachokera ku 3,3-6.6 mmol / L.

Kukhazikitsidwa kwa insulin ndi kotetezeka kwa amayi ndi mwana, sikungosokoneza, ndipo nthawi yomweyo kumathetsedwa pakubadwa kwa mwana, komwe sikungapweteke.

Mfundo zotsatirazi za glucose zingalimbikitse insulin mankhwala:

Odwala otere ayenera kuphunzira kuwongolera zofunikira zonse:

• mulingo wa glycemia
• Mlingo wa mankhwala omwe amaperekedwa
• kupezeka kwa acetone mu mkodzo,
• kuthamanga kwa magazi
• magawo a hypoglycemia.

Ndikofunikira kukhala ndi diary yapadera yodzipenda, pomwe izi zidzajambulidwa. Kabuku kameneka kakuyenera kuwonetsa kwa dokotala pamaphunziro amtsogolo kuti athe kuwunika momwe alili komanso kusintha kwa mankhwalawo.

Ngati mayi sangathe kuyeserera pawokha, ndiye kuti atha kuchita izi mu labotale. Kusanthula kumafunika nthawi 6-12 pa sabata kapena kawiri.

Mankhwala a insulin

Mpaka pano, ambiri mwa mankhwalawa amadziwika, ndipo amadziwika mwanjira zotsatirazi:

• pakuyamba kachitidweko, "nsonga" ndi nthawi: (ultrashort, medium, yaitali, yochepa),
• ndi mitundu (yaumunthu, chinsomba, nkhumba, ng'ombe),
• ndi digiri yakuyeretsa: (chikhalidwe, monopic, monocomponent).

Pali mitundu iwiri ya chithandizo: chikhalidwe ndi basal bolus.

Mwa munthu wathanzi, kuchuluka kwa insulini kumangosungidwa nthawi zonse pamalo osasunthika, omwe ndizofunikira zake (basal). Amapangidwa ngati ntchito ya gland singasokonezedwe, pamimba yopanda kanthu, idadyedwa pang'ono kuti ikhalebe yolimba, koma gawo lake lalikulu limadziunjikira "mtsogolo." Ichi ndi chakudya.

Ndikofunika pakudya kuti muzitha kuyamwa zinthu zomwe zimapatsa thupi chakudya:

1. Mukapereka mankhwala a basal-bolus regimen, imapangidwira kuti ipangitse gulu lozunguliridwa ndi jakisoni wa mankhwala omwe akhala akuchita kwa nthawi yayitali, pakati pa usiku ndi / kapena m'mawa.
2. Kupanga ndende ya bolus, yomwe thupi lidzafunika mukatha kudya, jakisoni wochepa kapena wowonjezera wa ultrashort amapatsidwa chakudya chofunikira chisanachitike. Chifukwa chake, pamakhala kuyeserera kwa kugwira ntchito kwa kapamba m'thupi m'njira wamba.

Pulogalamu yachikhalidwe ndi yosiyana chifukwa nthawi ndi muyezo zimafanana. Kenako miyeso siipangidwe kawirikawiri. Pamodzi ndi mtundu uwu wa mankhwala, wodwalayo ayenera kutsatira zakudya zinazake komanso tsiku lililonse kuti awonetsetse kuti kuchuluka kwa zoperewera kuchokera ku chakudya kumakhala kosasinthika.

Izi zimadziwika ndi kusinthasintha pang'ono, chifukwa kutsatira izi, wodwalayo amakakamizidwa kudalira kwambiri zakudya komanso dongosolo. Ndi njira iyi, jakisoni nthawi zambiri amaperekedwa kawiri pa tsiku, pawiri: Mankhwala ocheperako komanso apakati. Kapena m'mawa ndi madzulo, jakisoni limodzi la mitundu yosiyanasiyana ya mitundu.

Mimba insulin mankhwala regimens:

• ndi DM1 - pulogalamu "maziko oyambira",
• ndi T2DM, ndibwino kugwiritsa ntchito chiwembu.

Zochizira amayi apakati, mankhwala ogwiritsira ntchito mankhwala osakhalitsa nthawi zambiri amaloledwa. Izi zimakuthandizani kuti mupange zizindikiritso zovomerezeka za glycemia mutatha kudya ndikuchepetsa kuchuluka kwa hypoglycemia (zomwe shuga zimatsika pansi 3.3 mmol / l).

Mankhwala ambiri amalowetsedwa mu mafuta a subcutaneous (m'mimba, phewa, ntchafu ya kumtunda). Majakisoni oterewa amachitika pogwiritsa ntchito ma syringes kapena zolembera zazingwe.

Palinso kugwiritsa ntchito pampu ya insulin. Ichi ndi chipangizo chaching'ono chomwe chimagwira pamawu a kulowetsedwa. Ndi chithandizo chake, mankhwala omwe amagwira ntchito mwachangu amaperekedwa kuzungulira nthawi yonseyo. Njirayi imagwiritsidwa ntchito ngati matenda a shuga 1, pomwe wodwala sayendetsa bwino matenda a hypoglycemia kapena kufunika kwa timadzi totere kumawonjezeka m'mawa (maola 4-8).

Kutsatira pambuyo pokwaniritsa komanso kukonzekera mtsogolo

Odwala onse omwe ali ndi matenda ashuga pambuyo pobadwa amasiya, zomwe zimakhala zotetezeka kwathunthu kwa mayi ndi mwana. Pakupita masiku atatu atabadwa, odwala oterowo amayesa magazi a shuga.

Izi zimachitika kuti athe kuwunika momwe zinthu ziliri komanso osaphonya zomwe zingachitike.

Mimba zakutsogolo za amayi otere ziyenera kukonzedwa mosamala ndi kuyang'aniridwa ndi obstetrician-gynecologist ndi endocrinologist, popeza odwalawa ali pachiwopsezo cha matenda a shuga a 2 m'moyo wam'tsogolo. Ayenera kuyang'anitsitsa thanzi lawo ndikuyendera endocrinologist ndi grenecologist.

Pambuyo pamiyezi iwiri kuyambira tsiku lobadwa, odwala oterewa amalimbikitsidwa:

• ngati msanga wa glycemia wosala kudya upambana 7.0 mmol / l - kuyesedwa kwapadera kwa glucose,
• kuchuluka pang'onopang'ono zolimbitsa thupi,
• kudya kwambiri.

Momwe mungatenge Glucophage 500, 750, 850 ndi 1000 ndi shuga

Odwala omwe ali ndi mtundu wofanana ndi matenda a shuga 2 amayamba kufunsa kuti atenge bwanji Glucophage kuti akwaniritse achire kwambiri? Chimodzi mwazida zotchuka zomwe zimakhala ndi metformin hydrochloride, Glucofage imagwiritsidwa ntchito osati "matenda okoma". Ndemanga za odwala ambiri zimawonetsa kuti mankhwalawo amathandizira kuchepetsa thupi.

Mitengo yamakono yamoyo ndiyotali kwambiri ndi yomwe madokotala amavomereza. Anthu anasiya kuyenda, mmalo mochita ntchito zapanja amakonda TV kapena kompyuta, ndikusintha chakudya chopatsa thanzi ndi zakudya zopanda pake. Khalidwe lotere limayamba kumawoneka ngati mapaundi owonjezera, kenako kunenepa kwambiri, komwe kumapangitsa kuti azikhala ndi matenda ashuga.

Ngati magawo oyamba wodwalayo atha kuletsa kuchuluka kwa glucose pogwiritsa ntchito zakudya zama carb zotsika komanso kuchita masewera olimbitsa thupi, ndiye kuti m'kupita kwanthawi zimakhala zovuta kwambiri kuzilamulira. Poterepa, Glucophage mu shuga imathandizira kuchepetsa shuga ndikuyipangitsa kukhala yofanana.

Zambiri pazamankhwala

Gawo la ma biguanides, glucophage ndi mankhwala osokoneza bongo a hypoglycemic. Kuphatikiza pa gawo lalikulu, mankhwalawo amakhala ndi povidone yaying'ono komanso magnesium stearate.

Wopanga amatulutsa mankhwalawa mwanjira imodzi - pamapiritsi okhala ndi mitundu yosiyanasiyana: 500 mg, 850 mg ndi 1000 mg. Kuphatikiza apo, palinso Glucophage Long, yomwe ndi hypoglycemic yomwe imatenga nthawi yayitali. Amapangidwa mumapiritsi monga 500 mg ndi 750 mg.

Malangizowo akuti mankhwalawa amatha kugwiritsidwa ntchito ndi mankhwala ena a hypoglycemic komanso kuphatikiza jakisoni wa insulin. Kuphatikiza apo, Glucofage imaloledwa kwa ana opitirira zaka 10. Pankhaniyi, imagwiritsidwa ntchito padera komanso m'njira zina.

Ubwino wawukulu wa mankhwalawa ndikuti amachepetsa hyperglycemia ndipo sizitsogolera pakupanga hypoglycemia. Glucophage ikalowa m'matumbo am'mimba, zinthu zomwe zimapezeka zimalowa mkati mwake, ndikulowa m'magazi. Zotsatira zazikulu pakugwiritsa ntchito mankhwalawa ndi:

• kuchuluka insulin receptor chiwopsezo,
• kugwiritsa ntchito shuga
• Kuchedwa kuyamwa kwa shuga m'matumbo,
• kukopa kwa kapangidwe ka glycogen,
• kutsika kwa cholesterol yamagazi, komanso TG ndi LDL,
• kutsika kwa shuga m'magazi,
• kukhazikika kapena kuwonda kwa wodwalayo.

Sikulimbikitsidwa kumwa mankhwalawa nthawi ya chakudya. Kugwiritsidwa ntchito kwa metformin ndi chakudya kumabweretsa kuchepa kwa mphamvu ya chinthu. Glucophage kwenikweni sikugwirizana ndi mapuloteni a plasma. Dziwani kuti zigawo zikuluzikulu za mankhwalawo sizingagwiritsidwe ntchito kuti zimapangidwe, zimatsitsidwa m'thupi ndi impso mwanjira yosasintha.

Pofuna kupewa zovuta zoyipa, akuluakulu ayenera kusunga mankhwalawo kutali ndi ana ang'ono. Kutentha sikuyenera kupitirira 25 digiri.

Pogula chinthu chomwe chikugulitsidwa kokha ndi mankhwala, muyenera kuyang'anira tsiku lomwe linapangidwa.

Malangizo ogwiritsira ntchito mankhwalawa

Ndiye, momwe mungagwiritsire ntchito glucophage? Musanamwe mankhwalawa, ndibwino kufunsa katswiri yemwe angadziwe mitundu yoyenera ya mankhwala. Pankhaniyi, kuchuluka kwa shuga, zomwe zimachitika wodwalayo komanso kupezeka kwa ma concomitant pathologies amatengedwa.

Poyamba, odwala amaloledwa kutenga 500 mg patsiku kapena Glucofage 850 mg 2-3 kawiri. Patatha milungu iwiri, mlingo wa mankhwalawa ukhoza kuwonjezereka pambuyo povomerezeka ndi dokotala. Dziwani kuti poyamba kugwiritsa ntchito metformin, wodwala matenda ashuga amatha kudandaula za zovuta zam'mimba. Zotsatira zoyipa zotere zimachitika chifukwa cha kusinthasintha kwa thupi ndi zomwe zimachitika. Pambuyo pa masiku 10 mpaka 14, kupukusa mgawo kumakhala kwabwinobwino. Chifukwa chake, kuti muchepetse zotsatira zoyipa, tikulimbikitsidwa kugawa Mlingo wa tsiku ndi tsiku wa mankhwala osiyanasiyana.

Mlingo wokonza ndi 1500-2000 mg. Kwa tsiku, wodwala amatha kutenga 3000 mg kwambiri momwe angathere. Kugwiritsa ntchito milingo yayikulu, ndikofunikira kuti anthu ashuga asinthe kupita ku Glucofage 1000 mg. Pakakhala kuti anaganiza zosintha kuchokera ku wothandizira wina wa hypoglycemic kupita ku Glucofage, choyamba ayenera kusiya kumwa mankhwalawa, kenako ayambe kulandira mankhwalawa. Pali zinthu zina zogwiritsa ntchito Glucofage.

Mwa ana ndi achinyamata. Ngati mwana ndi wamkulu kuposa zaka 10, amatha kumwa mankhwalawo mosiyana kapena kuphatikiza jakisoni wa insulin. Mlingo woyambirira ndi 500-850 mg, ndipo kuchuluka kwake ndi mpaka 2000 mg, womwe umayenera kugawidwa mu Mlingo wa 2-3.

Pa odwala matenda ashuga okalamba. Mlingo amasankhidwa ndi dokotala payekhapayekha, chifukwa mankhwalawa amatha kusokoneza mawonekedwe a impso pazaka izi. Akamaliza kumwa mankhwala, wodwalayo ayenera kudziwitsa dokotala.

Kuphatikiza ndi insulin. Ponena za Glucofage, Mlingo woyambirira umakhalabe womwewo - kuchokera 500 mpaka 850 mg kawiri kapena katatu patsiku, koma mlingo wa insulin umatsimikiziridwa molingana ndi kuchuluka kwa shuga.

Glucophage Long: mawonekedwe a ntchito

Taphunzira kale za kuchuluka kwa mankhwala Glucofage. Tsopano muyenera kuthana ndi mankhwala Glucophage Long - mapiritsi a nthawi yayitali.

Glucophage Kutalika 500 mg. Monga lamulo, mapiritsi amaledzera pakudya. The endocrinologist imatsimikiza muyezo wofunikira, poganizira kuchuluka kwa shuga. Kumayambiriro kwa mankhwalawa, imwani 500 mg patsiku (bwino kwambiri madzulo). Kutengera ndi zomwe zikuwonetsa magazi, milingo ya mankhwalawa imatha kuwonjezeka pang'onopang'ono sabata iliyonse, koma pokhapokha kuyang'aniridwa ndi dokotala. Mlingo wapamwamba tsiku lililonse ndi 2000 mg.

Mukaphatikiza mankhwalawa ndi insulin, Mlingo wa timadzi timadzi timadzi timatulu ta shuga. Ngati wodwalayo adayiwala kumwa mapilitsi, kuonjezera Mlingo woletsedwa.

Glucophage 750 mg. Mlingo woyambirira wa mankhwalawa ndi 750 mg. Kusintha kwa mankhwalawa ndikotheka pakatha masabata awiri atamwa mankhwalawa. Mlingo wokonzanso tsiku lililonse umawonedwa kuti ndi 1500 mg, ndipo pazokwanira - mpaka 2250 mg. Wodwalayo akatha kufikira kuchuluka kwa shuga mothandizidwa ndi mankhwalawa, amatha kusinthana ndi chithandizo cha Glucophage.

Muyenera kudziwa kuti odwala matenda ashuga samalimbikitsidwa kuti asinthane ndi mankhwalawa ndi Glucofage Long ngati agwiritsa ntchito Glucofage nthawi zonse ndi 2000 mg.

Mukasintha kuchoka ku mankhwala kupita ku lina, ndikofunikira kuti mupeze Mlingo wofanana.

Contraindication ndi zoyipa zimachitika

Amayi omwe akukonzekera kukhala ndi pakati, kapena amene ali ndi mwana kale, amalephera kugwiritsa ntchito mankhwalawa. Kafukufuku ambiri akuwonetsa kuti mankhwalawa angakhudze kukula kwa mwana wosabadwayo. Komabe, zotsatira za kuyesa kwina kumati kutenga metformin sikunakulitse mwayi wokhala ndi vuto la mwana.

Popeza mankhwalawa amachotseredwa mkaka wa m'mawere, sayenera kumwedwa panthawi ya mkaka wa m'mawere. Mpaka pano, opanga Glucofage alibe chidziwitso chokwanira pokhudzana ndi metformin pa mwana wakhanda.

Kuphatikiza pa zotsutsana izi, malangizo omwe aphatikizidwa amapereka mndandanda wazomwe mungathe kuwaletsa Glucophage:

1. Kulephera kwamkati ndi mikhalidwe komwe kumapangitsa kuti impso zizigwira bwino. Izi zimaphatikizira matenda osiyanasiyana, kukhumudwa, kusowa kwamadzi chifukwa cha kutsegula m'mimba kapena kusanza.
2. Kulandila kwa mankhwala okhala ndi ayodini pamayeso a X-ray kapena radioisotope. Munthawi yomwe amatha kapena atatha maola 48 ogwiritsa ntchito, ndizoletsedwa kumwa Glucofage.
3. Hepatic kulephera kapena chiwindi kukanika.
4. Kukula kwa matenda ashuga a ketoacidosis, chikomokere ndi chidziwitso.
5. Hypersensitivity pamagawo a mankhwala.
6. Kutsatira zakudya zamafuta ochepa (ochepera kcal),
7. Zakumwa zoledzeretsa kapena uchidakwa wambiri.
8. Lactic acidosis.

Monga tanena kale, kumwa Glucophage kumayambiriro kwa zamankhwala kumayambitsa mavuto omwe amabwera chifukwa cha kugaya chakudya m'mimba. Wodwala amatha kudandaula za nseru, kupweteka kwam'mimba, kusintha kwa kulawa, kutsegula m'mimba, komanso kusowa kudya. Komabe, pali zovuta zina zomwe zimachitika kawirikawiri, zomwe ndi:

• hepatitis ndi chiwindi kukomoka,
• chitukuko cha erythema
• Vitamini B12 akusowa
• kukulitsa kwa lactic acidosis mu mtundu wachiwiri wa matenda ashuga,
• zotupa pakhungu, kuyabwa.

Glucophage yokhayo siyitsogolera kutsika msanga, chifukwa chake, sizikhudza chidwi cha chidwi komanso kuthekera koyendetsa magalimoto ndi zida zosiyanasiyana.

Koma akagwiritsidwa ntchito limodzi ndi insulin kapena othandizira ena a hypoglycemic, odwala ayenera kuganizira za kuchuluka kwa hypoglycemia.

Glucophage mogwirizana ndi njira zina

Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kudziwitsa dokotala za matenda onse ophatikizika. Zochitika zoterezi zimatha kuteteza kumayambiriro kwa zotsatira zoyipa chifukwa ch kumwa mankhwala awiri osagwirizana.

Malangizo omwe aphatikizidwa ali ndi mndandanda wachindunji wa mankhwala omwe aletsedwa kapena osavomerezeka mukamagwiritsa ntchito Glucofage. Izi zimaphatikizira ndi mankhwala okhala ndi ayodini, omwe amaletsedwa kumwa mankhwala a metformin.

Zina mwazinthu zosaphatikizidwa ndi zakumwa zoledzeretsa ndi kukonzekera komwe kumakhala ndi ethanol. The munthawi yomweyo a iwo ndi Glucophage kungachititse kuti lactic acidosis.

Palinso mitundu ingapo ya mankhwala omwe amakhudza zotsatira za hypoglycemic Glucofage mosiyanasiyana. Chifukwa chake, ena a iwo amatsitsa kuchepa kwakukulu kwa shuga, pomwe ena, m'malo mwake, amachititsa hyperglycemia.

Njira zomwe zimathandizira kutsika kwa hypoglycemic:

1. ACE zoletsa.
2. Salicylates.
3. Insulin
4. Acarbose.
5. Zothandiza kuchokera ku sulfonylureas.

Zinthu zomwe zimachepetsa katundu wa hypoglycemic - danazol, chlorpromazine, beta2-adrenergic agonists, corticosteroids.

Mtengo, lingaliro la ogula ndi fanizo

Pogula mankhwala ena, wodwalayo samangoganizira zochizira zake zokha, komanso mtengo wake. Glucophage itha kugulidwa ku pharmacy yokhazikika kapena kuyika oda patsamba laopanga. Mitengo ya mankhwala imasiyana malinga ndi mtundu wa kumasulidwa:

• Glucofage 500 mg (mapiritsi 30) - kuchokera ku ruble 102 mpaka 122,
• Glucophage 850 mg (mapiritsi 30) - kuchokera ku ruble 109 mpaka 190,
• Glucophage 1000 mg (mapiritsi 30) - kuchokera 178 mpaka 393 rubles,
• Glucophage Long 500 mg (mapiritsi 30) - kuchokera 238 mpaka 300 rubles,
• Glucophage Long 750 mg (mapiritsi 30) - kuchokera 315 mpaka 356 rubles.

Kutengera ndi zomwe tafotokozazi, titha kunena kuti mtengo wa chida ichi siwokwera kwambiri. Ndemanga za odwala ambiri zimatsimikizira izi: Glucophage imatha kupereka aliyense wodwala matenda ashuga ndi ndalama zochepa. Zina mwazinthu zabwino pakugwiritsa ntchito mankhwalawa ndi:

1. Kuthandiza kuchepetsa shuga.
2. Kukhazikika kwa glycemia.
3. Kuthetsa zizindikiro za matenda ashuga.
4. Kuchepetsa thupi.
5. Kugwiritsa ntchito mosavuta.

Nayi ndemanga zabwino kuchokera kwa wodwala. Polina (wazaka 51): "Dokotala adandiwuza kuti ndilandire zaka 2 zapitazo, pomwe matenda ashuga adayamba kupita patsogolo. Pamenepo, ndinalibe nthawi yochita masewera, ngakhale panali mapaundi owonjezera. Ndinaona Glucofage yayitali mokwanira ndikuwona kuti kulemera kwanga kukuchepa. Ndinganene chimodzi - mankhwalawo ndi imodzi mwazida zabwino kwambiri zopangira shuga komanso kuchepetsa kunenepa. "

Metformin imapezeka mu mankhwala ambiri a hypoglycemic, motero Glucophage ili ndi mitundu yambiri ya analogues. Mwa iwo, mankhwala monga Metfogamma, Metformin, Glformin, Siofor, Formmetin, Metformin Canon ndi ena amadziwika.

Wokondedwa wodwala, nenani za matenda ashuga! Mukachedwa kupita kwa dokotala, matendawo amakula msanga. Mukamamwa Glucophage, tsatirani mlingo woyenera. Kuphatikiza apo, musaiwale za zakudya zopatsa thanzi, zolimbitsa thupi ndi kayendedwe ka glycemic. Umu ndi momwe magazi abwinobwino amapezeka.

Kanemayo munkhaniyi akupereka zambiri za Glucofage ndi mankhwala ena ochepetsa shuga.