Insulin Insuman (Rapid ndi Bazal) - malangizo a momwe angabwezeretsere

Tsambali limapereka mndandanda wa mayendedwe onse a Insuman Rapid mu kapangidwe kake ndi chisonyezo chogwiritsidwa ntchito. Mndandanda wama analogi otsika mtengo, mutha kuyerekezeranso mitengo muma pharmacies.

• Analogue yotsika mtengo kwambiri ya Insuman Rapid:NovoRapid Flexpen
• Analogue yotchuka kwambiri ya Insuman Rapid:Rinsulin P
• Gulu la ATX: Insulin (munthu)
• Zosakaniza / yogwira: insulin yamunthu
  

Mukamawerengera mtengo wake zotchipa zotchipa insuman mwachangu mtengo wocheperako womwe umapezeka mumndandanda wamapulogalamu omwe amaperekedwa ndi ma pharmacies adaganiziridwa

Popeza mndandanda wamankhwala osokoneza bongo kutengera manambala a mankhwala omwe apemphedwa kwambiri

Analogs popanga ndi chisonyezo chogwiritsidwa ntchito

Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa cholowa m'malo mwa Insuman, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito

Analogs mwa chisonyezo ndi njira yogwiritsira ntchito

Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa ndikugwiritsa ntchito njira

Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?

Kuti mupeze chiwonetsero chotsika mtengo cha mankhwala, chofananira kapena chofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezo zomwe zikugwira komanso zomwe zikugwiritsidwa ntchito. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.

Mtengo wa Insuman Rapid

Pamasamba omwe ali pansipa mutha kupeza mitengo pa Insuman Rapid ndikuwona za kupezeka kwa mankhwala apafupi

• Mtengo wa Insuman Rapid ku Russia
• Mtengo wa Insuman Rapid ku Ukraine
• Mtengo wa Insuman Rapid ku Kazakhstan

Kodi mankhwalawa amagwira ntchito bwanji?

Insuman ndi insulin yopangidwa ndi anthu. Pa kukula kwa mafakitale, timadzi timene timapanga timabakiteriya. Poyerekeza ndi ma insulins omwe amagwiritsidwa ntchito kale, kupanga ma genetic kumakhala ndi zotsatira zokhazikika komanso kuyeretsa kwapamwamba.

M'mbuyomu, cholinga cha mankhwala a insulin chinali kulimbana ndi imfa. Ndi kuyamba kwa insulin ya anthu, vutoli lasintha. Tsopano tikulankhula zochepetsera chiopsezo cha zovuta komanso moyo wathunthu wa odwala. Zachidziwikire, kuti izi zitheke pama insulin analogs ndizosavuta, koma pa Insuman yolipira chindapusa cha shuga ndiyotheka. Kuti muchite izi, muyenera kuwerenga mosamala malangizo a mankhwalawo, momwe amagwirira ntchito, kuphunzira momwe angawerengere mlingo wake moyenera komanso kusintha kwake panthawi yake.

Kuphatikizika kwa mahomoni mu kapamba amoyo wathanzi ndikosakhazikika. Kutulutsa kwakukulu kwa insulin kumachitika poyankha glucose omwe amalowa m'mitsempha yamagazi kuchokera ku chakudya. Komabe, ngati munthu ali ndi njala kapena akugona, ndiye kuti pali insulin m'magazi, ngakhale itakhala yochepa kwambiri - pamlingo wotchedwa basal. Kupanga kwa timadzi timene timayamwa ndi matenda ashuga, mankhwala othandizira amayamba. Izi nthawi zambiri zimafuna mitundu iwiri ya insulin. Mulingo woyambira umatsata Insuman Bazal, imalowa m'magazi pang'onopang'ono, kwa nthawi yayitali komanso magawo ang'onoang'ono. Shuga mutatha kudya amapangidwira kuti muchepetse Insuman Rapid, yomwe imafikira zombo mwachangu kwambiri.

Makhalidwe oyerekeza a Insumans:

Malamulo ogwiritsira ntchito

Kufunika kwa insulin ndi munthu aliyense payekha wodwala matenda ashuga. Monga lamulo, odwala omwe ali ndi matenda amtundu 2 komanso kunenepa kwambiri amafunikira mahomoni ambiri. Malinga ndi malangizo ogwiritsira ntchito, pafupifupi patsiku, odwala amapaka jekeseni 1 mpaka 1 kilogalamu ya mankhwala. Chiwerengerochi chikuphatikiza Insuman Bazal komanso Rapid. Insulin yochepa imakhala 40-60% ya zosowa zonse.

Insuman Bazal

Popeza Insuman Bazal GT imagwira ntchito osakwana tsiku limodzi, muyenera kuyikamo kawiri: m'mawa mutatha kuyeza shuga komanso musanagone. Mlingo wa makina aliwonse amawerengedwa mosiyana. Pazomwezi, pali mitundu yapadera yomwe imaganizira kukhudzidwa kwa mphamvu ya ma cell ndi glycemia. Mlingo woyenera uyenera kusunga kuchuluka kwa shuga panthawi yomwe wodwala matenda ashuga ali ndi njala.

Insuman Bazal ndi kuyimitsidwa, panthawi yosungirako imatulutsa: yankho lomveka limatsalira pamtunda, gawo loyera lili pansi. Pamaso pa jekeseni iliyonse, mankhwala osokoneza bongo muyenera kusakaniza bwino. Momwe kuyimitsidwa kumayambira, ndiye kuti mlingo womwe umafunawo udzalembetsedwa. Insuman Bazal ndiyosavuta kukonzekera kuposa makina ena apakati. Kupangitsa kusanganikirana, ma cartridge amakhala ndi mipira itatu, zomwe zimapangitsa kuti zikwaniritse bwino homogeneity wa kuyimitsidwa pamitundu 6 yokha ya cholembera.

Okonzeka kugwiritsa ntchito Insuman Bazal ali ndi utoto woyera. Chizindikiro cha kuwonongeka kwa mankhwalawa ndi mapepala, makristali, ndi mawonekedwe amtundu wina mu cartridge atasakanikirana.

Insuman Rapid

Short Insuman Rapid GT jekeseni musanadye, nthawi zambiri patsiku. Imayamba kugwira ntchito patatha mphindi 30, ndiye kuti jakisoni uyenera kuchitidwa pasadakhale. Kupititsa patsogolo kubwezeretsa shuga, ndikofunikira kukwaniritsa zomwe zimachitika polandila magawo a insulin ndi shuga m'magazi.

Kuti muchite izi, muyenera:

1. Yambitsani chakudya chanu pang'onopang'ono ndi mapuloteni. Zakudya zomanga thupi mwachangu zimasiyidwa kumapeto kwa chakudya.
2. Idyani pang'ono pakati pa zakudya zazikulu. Pazakudya zoziziritsa kukhosi, 12-20 g yamafuta okwanira ndizokwanira.

Mlingo wa Insuman Rapid umatsimikiziridwa ndi kuchuluka kwa chakudya chamagulu m'zakudya ndi zotsatira zakumwa. Mlingo wowerengeredwa moyenera umakupatsani mwayi kuti muchotse shuga onse omwe amabwera ndi chakudya.

Kuthamanga insulini kumakhala kowonekera nthawi zonse, simuyenera kusakaniza, cholembera chitha kugwiritsa ntchito popanda kukonzekera.

Njira yolowetsera

Insuman imapangidwa ndi wopanga mu mawonekedwe a Mbale 5 ml, 3 ml cartridgeges ndi syringe pens. M'magulitsa ogulitsa ku Russia, ndizosavuta kugula mankhwala omwe amaikidwa mu zolembera za SoloStar syringe. Amakhala ndi 3 ml ya insulin ndipo sangathe kugwiritsidwa ntchito mankhwala atatha.

Momwe mungalowere Insuman:

1. Kuchepetsa ululu wa jakisoni ndikuchepetsa chiopsezo cha lipodystrophy, mankhwala omwe ali mu cholembera amayenera kukhala otentha kwambiri.
2. Asanagwiritse ntchito, katiriji amayang'aniridwa mosamala kuti awone zowonongeka. Kuti wodwala asasokoneze mitundu ya insulini, zolembera za syringe zimalembedwa ndi mphete za utoto zofanana ndi utoto wa zolembedwa paphukusili. Insuman Bazal GT - wobiriwira, Rapid GT - chikasu.
3. Insuman Bazal imakulungidwa pakati pa kanjedza kangapo kuti isakanikane.
4. Akutenga singano yatsopano pa jakisoni aliyense. Gwiritsani ntchito ntchito yanu kuwonongeka. Masingano ali konsekonse ali ngati zolembera za SoloStar: MicroFine, Insupen, NovoFine ndi ena. Kutalika kwa singano kumasankhidwa malinga ndi kukula kwa mafuta ochulukirapo.
5. Cholembera cha syringe chimakulolani kuti muzimudula kuyambira 1 mpaka 80 mayunitsi. Insumana, kulondola kwa dosing - 1 unit. Mwa ana ndi odwala omwe amakhala ndi zakudya zochepa zamagulu ochulukirapo, kufunikira kwa mahomoni kungakhale kochepa kwambiri, amafunikira kulondola kwapamwamba pakukhazikitsa. SoloStar siyabwino pamilandu yotere.
6. Insuman Rapid makamaka idalaswa m'mimba, Insuman Bazal - ntchafu kapena matako.
7. Pambuyo pakuyambitsa yankho, singano imasiyidwa m'thupi kwa masekondi 10 ena kuti mankhwalawo asayambe kutulutsa.
8. Mukatha kugwiritsa ntchito, singano imachotsedwa. Insulin imawopa kuwala kwa dzuwa, chifukwa chake muyenera kutseka cartridge mwachangu ndi kapu.

Zotsatira zoyipa

Ngati mankhwalawa akaperekedwa kuposa momwe amafunikira, hypoglycemia imachitika. Ndi omwe ali ndi vuto lotsatira kwambiri la insulin, mosasamala mtundu wa insulin yomwe imagwiritsidwa ntchito. Hypoglycemia imangokulira msanga, chifukwa chake ngakhale madontho pang'ono a shuga omwe amakhala pansi pazoyenera ayenera kuthetsedwa nthawi yomweyo.

Zotsatira zoyipa za Insuman mulinso:

1. Chiwopsezo kwa zigawo za yankho. Nthawi zambiri zimafotokozedwa poyabwa, redness, zotupa m'dera loyang'anira. Nthawi zambiri (malinga ndi malangizo, zosakwana 1%) anaphylactic zimachitika: bronchospasm, edema, dontho dontho, mantha.
2. Kusungidwa kwa sodium. Nthawi zambiri zimawonedwa kumayambiriro kwa chithandizo, pamene shuga kuchokera pamitundu yambiri imatsika kupita kwazonse. Hypernatremia imayendera limodzi ndi edema, kuthamanga kwa magazi, ludzu, kusokonekera.
3. Kapangidwe ka ma antibodies kupita ku insulin mthupi kumadziwika ndi chithandizo chambiri cha insulin. Poterepa, kuchuluka kwa Insuman kumafunikira. Ngati mlingo womwe mukufuna ndi waukulu kwambiri, wodwalayo amamuthandizira mtundu wina wa insulin kapena mankhwala a immunosuppress.
4. Kusintha kwakukulu pakubwezeretsanso shuga kungayambitse kuwonongeka kwakanthawi.

Nthawi zambiri, thupi limazolowera pang'onopang'ono insulin, ndipo matupi awo sagwirizana. Ngati zotsatira zoyipa zikuopseza moyo (anaphylactic shock) kapena sizimatha patatha masabata awiri, ndibwino kuti muthane ndi mankhwalawo. Insuman Bazal GT - Humulin NPH kapena Protafan, Rapid GT - Actrapid, Rinsulin kapena Humulin Regular. Mankhwalawa amasiyana muziperekazi. Mbiri yakuchitachita ndi yomweyo kwa iwo. Akadwala insulin yaumunthu, amasinthira ku insulin analogues.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Mtengo wa Insuman ndi wofanana ndi mtengo wamisonkho yake. Mankhwala omwe amapezeka m'matende a syringe amatenga ruble 1100. pa 15 ml (mayunitsi 1500, ma cholembera asanu). Isofan-insulin imaphatikizidwa pamndandanda wazamankhwala ofunika, momwe odwala matenda ashuga alili kuthekera kolandila kwaulere.

Contraindication

Malinga ndi malangizo, kutsutsana kwathunthu kuti mugwiritse ntchito kumangokhala hypoglycemia komanso zovuta zomwe zimagwidwa. Ngati mankhwala a insulin atayikidwa, amatha kusokonezedwa pokhapokha ngati mukugwirizana ndi adokotala, chifukwa pakakhala kuti palibe mankhwala ena okhudzana ndi mahomoni obwera mofulumira, ndiye kuti ketoacidosis ndi chikomokere. Odwala matendawa nthawi zambiri amatenga insulin kuchipatala.

Zophwanya zotsatirazi sizotsutsana, koma kuphwanya zotsatirazi kumafuna kuwongolera thanzi:

• insuman imachotsedwa pang'ono ndi impso, chifukwa chake, kuperewera kwa ziwalozi, mankhwalawa amatha kulowa mkati mthupi ndikupangitsa hypoglycemia. Mwa anthu odwala matenda ashuga omwe ali ndi nephropathy ndi matenda ena a impso, kuwunika kwawo mosavomerezeka kumayang'aniridwa nthawi zonse. Kufunika kwa insulin kumatha kuchepa pang'onopang'ono ukalamba, pamene ntchito ya impso imachepa pazifukwa zathupi.
• pafupifupi 40% ya insulini imachotsedwa ndi chiwindi. Chiwalo chomwechi chimapanga gawo lina la glucose lomwe limalowa m'magazi.Kukhala kwa hepatatic kumabweretsa kuchuluka kwa Insuman ndi hypoglycemia,
• kufunikira kwa mahomoni kumachulukirachulukira ndimatenda omwe amayenda limodzi, makamaka ndimatenda owopsa omwe amaphatikizidwa ndi kutentha,
• odwala omwe ali ndi zovuta za matenda ashuga, hypoglycemia ndi woopsa kwambiri. Ndi angiopathy komanso kufinya kwamitsempha, kumatha kuyambitsa matenda a mtima ndi sitiroko, ndi retinopathy - kulephera kuwona. Kuti muchepetse chiwopsezo cha zotulukapo zotere, kuchuluka kwa glucose kwa odwala kumachulukitsidwa pang'ono, ndipo Mlingo wa insuman umachepetsedwa.
• zochita za insulin zimatha kusintha mothandizidwa ndi zinthu zingapo zomwe zimalowa m'magazi: Mowa, mahomoni, antihypertensives ndi mankhwala ena. Mankhwala aliwonse ayenera kuvomerezana ndi dokotala. Muyenera kukhala okonzekera kuti chindapusa cha matenda osokoneza bongo chidzaipiraipira, ndikusintha kwa mlingo wa insuman mufunika.

Mlingo wofunikira wa Insuman wokhala ndi matenda amtundu wa 2 ungachepetse pang'onopang'ono ngati kukana insulini kumachepa. Matenda a kunenepa kwambiri, zakudya zamafuta ochepa, komanso kuchita masewera olimbitsa thupi nthawi zonse kumayambitsa kuchepa.

Malangizo apadera

Hypoglycemia ndiye njira yovuta kwambiri ya insulin, chifukwa chake gawo logawika limaperekedwa potsatira malangizo a Insuman. Chiwopsezo cha kutsika koopsa kwa shuga ndizochuluka makamaka kumayambiriro kwa kugwiritsidwa ntchito kwa insulin, pomwe wodwalayo amangophunzira kuwerengetsa kuchuluka kwa mankhwalawo. Pakadali pano, kuwunika kwambiri shuga kumalimbikitsidwa: mita imagwiritsidwa ntchito osati m'mawa komanso asanadye, komanso pang'onopang'ono.

Hypoglycemia imayimitsidwa pazizindikiro zoyambirira kapena zokhala ndi shuga ochepa, ngakhale sizikhudza thanzi. Zizindikiro zowopsa: mantha, ludzu, kunjenjemera, dzanzi kapena kumva kutulutsa lilime ndi milomo, thukuta, matupa, mutu. Kuwonjezeka kwa hypoglycemia kumatha kukayikiridwa ndikukhudzika, kusadziletsa komanso kugwirizanitsa kosuntha. Akatha kuzindikira, vutoli limakulirakulira, chikomokere cha hypoglycemic chimayamba.

Nthawi zambiri matenda obwera chifukwa cha hypoglycemia amayambiranso, pamene odwala matenda ashuga amayamba kuzindikira zizindikiro zake, ndipo kumakhala koopsa kwambiri kutsika kwina kwa shuga. Hypoglycemia pafupipafupi imafuna kusintha kwa mlingo wa Insuman. Thandizo loyamba la shuga ochepa - 20 g shuga. Mlingo uwu ukhoza kupitilira pazochulukirapo, popeza kuchuluka kwa chakudya champhamvu kwambiri kumabweretsa chiwonetsero chazovuta - hyperglycemia.

Vuto lalikulu la hyperglycemia ndi ketoacidotic chikomokere. Nthawi zambiri amakula kwa masiku angapo, choncho wodwala amakhala ndi nthawi yochitapo kanthu. Nthawi zina, kuyambira ketoacidosis kupita ku chikomokere, kumangopita maola ochepa, choncho muyenera kuchepetsa shuga yambiri itapezeka. Zolinga izi gwiritsani ntchito insuman yokha mwachangu. Monga lamulo wamba, 1 unit ikuyenera kuchepetsa glycemia ndi 2 mmol / L. Insuman. Popewa hypoglycemia, shuga mu gawo loyamba amachepetsedwa 8. Kuwongolera zomwe zimachitika kumachitika patatha maola ochepa, pomwe nthawi yovulala kale yatha.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Zotsatira za pharmacological

Insuman Rapid GT - cholembera chomwe chili ndi yankho la kugwiritsa ntchito limodzi. Amatanthauzira ku gulu la mankhwala omwe ali ofanana ndi insulin yaumunthu. Za ndemanga za Insuman Rapid GT ndizambiri. Imatha kupanga kufooka kwa ambulensi amkati, omwe amapangidwa m'thupi ndi matenda ashuga.

Komanso, mankhwalawa amatha kutsitsa shuga m'magazi a anthu. Mankhwalawa amagwiritsidwa ntchito ngati jakisoni wa subcutaneous. Kuchitikaku kumachitika pakadutsa mphindi 30 kuchokera pakulowetsedwa, kumafika pakadutsa ola limodzi kapena awiri ndipo kumatha kupitirira, kutengera mlingo wa jakisoni, pafupifupi maola asanu kapena asanu ndi atatu.

SUSP. Insuman Bazal GT (syringe cholembera)

Insuman Bazal GT ilinso m'gulu la mankhwala omwe ali ofanana ndi insulin yaumunthu, amakhala ndi nthawi yayitali yochitapo kanthu ndipo amatha kupanga chifukwa chosowa insulin ya insulin yomwe imapangika mthupi la munthu.

About insulin Insuman Bazal GT ndemanga za odwala alinso abwino. Mankhwala amatha kutsitsa shuga. Mankhwalawa amathandizidwa mosavuta, zotsatira zake zimawonedwa kwa maola angapo, ndipo mphamvu yakeyo imatheka pambuyo pa maola anayi kapena asanu ndi limodzi. Kutalika kwa zochita zimatengera mlingo wa jakisoni, monga lamulo, zimasiyanasiyana maola 11 mpaka 20.

Zizindikiro zogwiritsidwa ntchito

Insuman Rapid ikulimbikitsidwa kuti izigwiritsidwa ntchito ndi:

• insulin yodalira matenda a shuga
• wodwala matenda ashuga
• acidosis
• shuga mellitus chifukwa cha zinthu zosiyanasiyana: opareshoni, matenda omwe amatsatiridwa ndi malungo, omwe ali ndi vuto la metabolic, atabereka mwana.
• ndi shuga wambiri,
• predkomatoznoe mkhalidwe, womwe ndi chifukwa cha kusakhalitsa kwa chikumbumtima, gawo loyamba la chitukuko cha chikomokere.

Insuman Bazal ikulimbikitsidwa kuti izigwiritsidwa ntchito ndi:

• insulin yodalira matenda a shuga
• shuga yokhazikika yokhala ndi zosowa zochepa za insulin,
• kuchitira ena mwankhanza chithandizo.

Njira yogwiritsira ntchito

Mlingo wa jakisoni ndi mankhwalawa amasankhidwa yekha payekha, potengera kuchuluka kwa shuga mu mkodzo ndi mawonekedwe a matendawa. Mankhwalawa amagwiritsidwa ntchito kamodzi patsiku.

Kwa akulu, mlingo umodzi umasiyanasiyana magawo 8 mpaka 24. Ndikulimbikitsidwa kuti mupeze jakisoni mphindi 15-20 musanadye.

Kwa ana omwe ali ndi chidwi chambiri ndi insulin, tsiku lililonse mankhwalawa ndi ochepera magawo 8. Ndikulimbikitsidwanso kuti muzigwiritsa ntchito musanadye mumphindi 15-20. Mankhwalawa angagwiritsidwe ntchito mosiyanasiyana komanso mwaubongo m'njira zosiyanasiyana.

Malowo a jakisoni sayenera kubwerezedwanso, chifukwa chake ayenera kusinthidwa pambuyo pobayira jekeseni aliyense. Mlingo umayikidwa payekha, kutengera mawonekedwe a matendawa.

Kwa akuluakulu omwe akukumana ndi mankhwalawa kwa nthawi yoyamba, mlingo wa magawo 8 mpaka 24 umayikidwa, umaperekedwa kamodzi patsiku musanadye kwa mphindi 45.

Kwa akulu ndi ana omwe ali ndi chidwi chachikulu ndi insulin, mlingo woyenera umayikidwa, womwe si wopitilira magawo 8 kamodzi patsiku. Kwa odwala omwe amafunikira insulini, mlingo wopitilira mayunitsi 24 akhoza kuloledwa kugwiritsidwa ntchito kamodzi patsiku.

Zotsatira zoyipa

Pogwiritsa ntchito Insuman Rapid, mavuto omwe amawonekerawa amatha kuchitika omwe amawononga thupi:

• Thupi lawo siligwirizana ndi insulin komanso mankhwala osungira
• lipodystrophy,
• kusowa poyankha ku insulin.

Ngati mulibe kuchuluka kwa mankhwalawa, wodwala amatha kusokonezeka m'njira zosiyanasiyana. Izi ndi:

• hyperglycemic zimachitika. Chizindikiro ichi chikuwonetsa kuchuluka kwa shuga m'magazi, kumatha kuchitika pakamodzi moledzera kapena kumwa mkhutu.
• hypoglycemic zimachitika. Chizindikiro ichi chikuwonetsa kuchepa kwa shuga m'magazi.

Nthawi zambiri, zizindikirozi zimachitika chifukwa chophwanya zakudya, osagwirizana ndi gawo lomwe limagwiritsidwa ntchito pakumwa mankhwala osokoneza bongo komanso zakudya, komanso chifukwa chodetsa nkhawa.

• zotupa pakhungu,
• kuyabwa pamalo opaka jekeseni
• urticaria pamalowo jekeseni,
• lipodystrophy,
• Hyperglycemic zimachitika (kumachitika kumwa mowa).

Bongo

Wodwala akawonetsa zisonyezo zoyambirira za bongo za Insuman Rapid, ndiye kuti kunyalanyaza zizindikiritso zomwe zikukuyipa kwambiri kungathe kumuika pangozi.

Wodwalayo akakhala kuti ali ndi vuto, ayenera kudya shuga ndi zina za zakudya zomwe zimakhala ndi chakudya.

Ndipo ngati wodwalayo sakudziwa, ayenera kulowa mu 1 milligram ya glucagon intramuscularly. Ngati mankhwalawa sakupereka zotsatira zilizonse, ndiye kuti mutha kulowa 20-30 mamilimita a 30-50 peresenti ya glucose.

Ngati wodwalayo ali ndi zizindikiro za bongo za Insuman Bazal, zomwe zimawonetsedwa ndi kuwonongeka kwakanthawi, matupi awo sagwirizana komanso kuwonongeka, ayenera kuyamwa msanga ndi zina zomwe zimapezeka mu chakudya.

Komabe, njirayi imagwira ntchito kokha kwa anthu omwe amadziwa.

Yemwe ali mu vuto losazindikira amafunika kulowa 1 milligram ya glucagon intramuscularly.

M'malo pamene jakisoni wa glucagon alibe mphamvu, 20-30 milligram ya 30-50% glucose solution imayendetsedwa kudzera m'mitsempha. Ngati ndi kotheka, njirayi imatha kubwerezedwa.

Makanema okhudzana nawo

About nuances of use of insulin mankhwala Insuman Rapit ndi Basal mu kanema:

Insuman imagwiritsidwa ntchito pochiza odwala matenda a shuga mellitus. Ndizofanana ndi insulin yaumunthu. Amachepetsa shuga ndipo amapangitsa kuchepa kwa insulin. Amapezeka ngati yankho lomveka bwino la jakisoni. Mlingo, monga lamulo, umaperekedwa kwa wodwala aliyense payekhapayekha, wowerengeredwa pamaziko a mawonekedwe a matendawa.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kutulutsa mawonekedwe, kapangidwe kake ndi ma CD

Pali mitundu iwiri - yochepa komanso yapakatikati. Amapezeka mu ma cartridgeges (okhala ndi cholembera kapena opanda syringe) ndi mabotolo.

Insuman Rapid (yachangu) ndi yankho lomveka bwino la jakisoni wofikira.

• 100 ME ya insulin yamunthu
• metacresol
• sodium dihydrogen phosphate dihydrate,
• glycerol
• sodium hydroxide
• hydrochloric acid
• madzi a jakisoni.

"Insuman Bazal" ndikuyimitsidwa kwamkaka kapena mtundu woyera.

• 100 IU ya insulin yamunthu,
• protamine sulfate,
• metacresol
• phenol
• nthaka ya chloride
• sodium phosphate dihydrate,
• glycerin (85%),
• sodium hydroxide
• asidi hydrochloric acid,
• madzi a jakisoni.

Mu katoni ya 3 ml ya isofan, phukusi la makatoni 5. Mu botolo la 5 ml yogwira ntchito, yoyikidwa m'mabokosi a 5 zidutswa.

Malangizo ogwiritsira ntchito (njira ndi Mlingo)

Njira yayikulu yoyendetsera ndi jekeseni wanjira. Malo - m'chiuno, matako, mapewa ndi pamimba. Tsamba la jakisoni liyenera kusinthidwa pafupipafupi.

Mlingo amasankhidwa payekha kutengera umboni ndi zosowa za thupi. Pafupifupi, chizolowezi ndi 0.5-1 IU / kg / tsiku.

Mukasintha kuchokera ku mtundu wina wa insulin kupita ku wina, kusintha kwa mlingo kungakhale kofunikira. Munthawi imeneyi, ndikofunikira kuyang'anitsitsa thanzi lanu komanso shuga wa magazi.

Insuman Bazal siliperekedwa kudzera m'mitsempha.

Ikani 40-60 mphindi musanadye.

Musagwiritse ntchito mapampu a insulin.

Itha kugwiritsidwa ntchito ndi mankhwala ena osakhalitsa. Nthawi zambiri kutumikiridwa maola 8-12 aliwonse.

"Insuman Rapid" imagwiritsidwa ntchito kamodzi pa maola 4-6.

Kuyanjana kwa mankhwala osokoneza bongo

• othandizira pakamwa
• mafupa
• ACE zoletsa ndi Mao,
• fluoxetine
• disopyramids
• propoxyphene
• ma anabolic steroid, mahomoni ogonana amuna,
• pentoxifylline
• cybenzoline,
• salicylates,
• amphetamine
• fenfluramine,
• ifosfamide,
• cyclophosphamide,
• phentolamine,
• ganethidine,
• sulfonamides,
• phenoxybenzamine,
• tritocqualine,
• somatostatin ndi chifanizo chake,
• manzeru
• trophosphamide.

• corticotropin,
• diazoxide
• GKS,
• danazol
• glucagon,
• okodzetsa
• estrogens ndi progestogens,
• isoniazid
• mahomoni a chithokomiro,
• phenothiazine zotumphukira,
• barbiturates
• kukula kwamafuta,
• nicotinic acid
• othandizira achifundo
• zotengera phenytoin
• phenolphthalein,
• doxazosin.

Zitha kuthandizira komanso kufooketsa zotsatirazi:

• beta blockers,
• ganethidine,
• clonidine
• mchere wa lithiamu
• yotsalira.

Kuphatikizana kwa mankhwalawa kumayenderana ndi adokotala.

Mimba komanso kuyamwa

Chithandizo cha "Insuman" chololedwa panthawi yoyamwitsa poyamwitsa, popeza mankhwalawa ndi otetezeka thupi la mwana. Pa trimester yoyamba, kufunika kwa insulini kumatha kuchepa, pambuyo pake kumawonjezeka. Ndikofunikira kuyendetsa vuto lanu kuti muchepetse kukula kwa hypoglycemia, koopsa kwa mwana wosabadwayo.

Fananizani ndi fanizo

Mankhwalawa ali ndi mitundu yambiri. Ndikofunika kulingalira katundu wawo kuti ayerekezere zomwe zimachitika.

Insulin yamunthu. Wopanga - "Novo Nordisk", Denmark. Mtengo wake ndi pafupifupi ma ruble 400 pa yankho lililonse ndi ma ruble 800 pa cartridge. Ndiwothandiza mwachidule, amachepetsa shuga, yoyenera ana ndi amayi oyembekezera. Itha kugwiritsidwa ntchito ngati mankhwala osokoneza bongo.

Isofan insulin, njira ziwiri zowonetsera kuchuluka. Opangawo ndi a Pharmstandard, Russia. Mtengo - kuchokera ku ma ruble 450 (mabotolo) ndi 1000 (makatoni). Itha kugwiritsidwa ntchito pochiza ana, okalamba ndi amayi apakati.

Insulin yomanga yaumunthu imapezekanso munthawi yochepa komanso yapakatikati. Itha kugwiritsidwa ntchito kuphatikiza mankhwala a shuga. Mtengo - kuchokera ku ma ruble 500 (mabotolo) ndi 1000 (makatoni). Amapanga "Geropharm-Bio", Russia. Ndi analogue yothandiza ya Insuman, yomwe imapezeka m'masitolo ogulitsa mankhwala. Imasinthanso malo a Actrapid m'malo.

Glulisin, yemwe akuchita insulin pang'ono. Kampaniyi ndi Sanofi Aventis, France. Mtengo wake ndi pafupifupi ma ruble 2000. Amapezeka makamaka mu ma syringe pens. Zotsatira za hypoglycemic ndizofanana ndi insulin ya anthu. Amagwiritsidwa ntchito palimodzi. Minus - amagwiritsidwa ntchito mwa akulu ndi ana opitilira zaka 6. Ndizotheka kwa anthu oyembekezera komanso okalamba, koma mosamala.

Mitundu yochepa komanso yapakatikati ikupezeka. Amapanga kampani "Bioton", Poland. Price - 450 ma ruble pa yankho mu botolo. Analogue yothandiza, koma siipezeka nthawi zonse pamankhwala.

Kusinthira ku mtundu wina wa insulin kumayesedwa ndi adokotala okha. Kudzipatsa nokha koletsedwa!

Poyerekeza ndi ndemanga, insulin yamtunduwu sioyenera odwala onse, koma pali malingaliro abwino kuposa olakwika.

Alla: "Ndikugwiritsa ntchito Insuman Rapid." Mankhwala abwino amathandiza kuti shuga asayang'anitsidwe. Dokotala akulangizani kuti mugwiritse ntchito Bazal ngati insulin yapakatikati, koma sindinasinthebe. Mwambiri, ili ndi katundu wabwino, imathandizira odwala matenda ashuga, monga momwe ndinamvera kwa anzanga ena omwe ali ndi vuto lomweli. Ndipo kuphatikiza, ayenera kugwira ntchito bwino. Tsopano ndiyang'ana kwa iye kwathunthu, zikuwoneka. ”

Gennady: “Banjali limakhala ndi anthu awiri odwala matenda ashuga nthawi imodzi, ndipo mwana wawo wamkazi amakhala ndi mtundu wodalira insulin. "Insuman", mitundu yonse iwiri, imalandira zabwino. Amagwira ntchito bwino, palibe hypoglycemia. Amasunga diary ya jakisoni, amatsata zakudya, palibe kuphwanya. Dotolo adatinso mayeso ake amakhala bwino kuposa momwe amathandizidwira ndi mankhwala ena. Ndiye ngakhale atasiya kupereka kwaulere, tidzagula ndalama, makamaka siokwera mtengo kwambiri. ”

Anastasia: “Ndidagwiritsa ntchito Humalog, koma adasiya kuyipeza. Dokotala adandiwuza kuti ndiyese Insuman. Insulin iyi sinandigwirizire konse, chifuwa chinayamba, ndipo shuga sanachepe. Ndikupitiliza kusankha mankhwala anga. ”

Veronika: “Insuman adalandira chithandizo kwa miyezi isanu ndi umodzi. Poyamba, zizindikirazo zidakhala bwino, ndikutsatira zakudya. Pambuyo pa miyezi ingapo, kuwonongeka kumayambira, shuga adayamba kukula, ngakhale adasintha zakudya. Ndinafunika ndifufuze mankhwala ena. Ndimamvera chisoni, chifukwa poyamba ndimakhuta. ”

Olga: “Mwana wanga wamwamuna ali ndi zaka eyiti, wapezeka ndi matenda a shuga. Tidali ndi nkhawa kwambiri kuti tikufunika kulandira chithandizo. Dokotala adalangiza "Insuman", ndizomwe amalandila kwaulere. Ndikothekanso kuti pali zolembera za syringe, ndiye kuti, musavutike ndi dilution. Mlingo umasintha nthawi zonse, koma zonse zili bwino.Shuga ndiwabwinonso. Ndimaphunzitsa mwana kuti adzivulaze yekha, monga adokotala adalangizira. Kukonzekera bwino kwambiri, kumathandiza ndipo sikubweretsa zosokoneza. "

Chidule cha Mankhwala Osokoneza bongo

Novorapid ndi m'gulu la mankhwala aposachedwa kwambiri. Mankhwalawa amathandizira kupanga kuperewera kwa mahomoni amunthu, ali ndi mawonekedwe komanso zabwino zingapo pazamankhwala ena amtundu womwewo:

• Mwachangu digestibility.
• Kuponya shuga msanga.
• Kuperewera kwa kudalira zakudya zazosalekeza.
• Chiwonetsero cha Ultrashort.
• Mafomu otulutsidwa.

Novorapid motsutsana ndi endocrine matenda amapezeka m'malo obweretsera magalasi (Penfill) ndi ma pensulo okonzeka (FlexPen). Gawo la mankhwala omwe ali mumitundu yonseyi kumasulidwa ndi zofanana. Mankhwalawa amaikidwa bwino, ndipo mahomoni enieniwo ndi osavuta kugwiritsa ntchito mu mtundu uliwonse wa mankhwala.

Zophatikizira ndi kapangidwe

Kupanga kwakukulu kwa Novorapid kumawerengeredwa potengera zonse zomwe zimapangidwa ndi 1 ml ya mankhwalawa. The yogwira ndi insulin aspar 100 magawo (pafupifupi 3.5 mg). Pazinthu zothandizira, pali:

• Glycerol (mpaka 16 mg).
• Metacresol (pafupifupi 1.72 mg).
• Zink chloride (mpaka 19.7 mcg).
• Sodium chloride (mpaka 0,57 mg).
• Sodium hydroxide (mpaka 2.2 mg).
• Hydrochloric acid (mpaka 1,7 mg).
• Phenol (mpaka 1.5 mg).
• Madzi oyeretsedwa (1 ml).

Chida chake ndi yankho lomveka popanda mtundu wotchulidwa, phokoso.

Magazi

Novorapid ali ndi tanthauzo la hypoglycemic chifukwa chachikulu cha insulin. Mtundu wa insulin uwu ndi chithunzi cha mahomoni amfupi aanthu. Thupi limapezeka chifukwa cha njira zosiyanasiyana zaumisiri pamlingo wa DNA yomwe ikubwezeretsanso. Insulin Novorapid amalowa muubwenzi wachilengedwe ndi ma cell receptors, ndikupanga zovuta zingapo zamathero amitsempha.

Mankhwalawa amatha kugwiritsidwa ntchito ngati mtundu uliwonse wa matenda ashuga mwa akulu ndi ana kuyambira zaka 2!

Poyerekeza ndi kuchepa kwa mndandanda wa glycemic, kuwonjezereka kwazowonjezera kwamitsempha yama cell, kuyambitsa kwa mapikidwe a lipogenesis ndi glycogenogeneis, komanso kuwonjezeka kwa mayamwidwe osiyanasiyana a minofu yofewa. Nthawi yomweyo, kupanga shuga ndi ziwindi kumachepetsa. Novorapid imalumikizidwa bwino ndi thupi, imakhala ndi machiritso othamanga kwambiri kuposa insulin yachilengedwe. Maola atatu oyambirira atatha kudya, insulin aspart imachepetsa shuga ya plasma mwachangu kwambiri kuposa insulin yomweyo yaumunthu, koma zotsatira za Novorapid ndizofupikitsa ndi jakisoni wa subcutaneous kuposa kuchokera ku insulin yachilengedwe yopangidwa ndi thupi la munthu.

Zizindikiro ndi contraindication

Mankhwalawa ali ndi chidziwitso chachikulu - matenda a shuga amtundu uliwonse mwa ana kuyambira zaka 2, achinyamata ndi odwala akuluakulu.

Kugwiritsa ntchito othandizira a hypoglycemic ayenera kuthandizidwa mosamala chifukwa cha zovuta zina. Novorapid ali osavomerezeka kuti agwiritsidwe ntchito ndi tsankho la munthu pazigawo zina, zimayambitsa matupi amtundu uliwonse wa Novorapid. Zowonjezera zothandizira ana osaposa zaka 2 sizikudziwika chifukwa cha kuchepa kwa maphunziro azachipatala kwa odwala a m'badwo uno.

Analogi ndi ma genetic

Hororapid ya mahomoni ingathe kusinthidwa ndi mankhwala ena a gulu lomweli. Analogs amasankhidwa pokhapokha atamuwunika mozama kuchipatala. Zofananira zazikulu zimaphatikizapo Humalog, Actrapid, Protafan, Gensulin N, Apidra, Novomiks ndi ena. Mtengo wa mahomoni a Novorapid m'malo osiyanasiyana umasiyana 1800 mpaka 2200 phukusi lililonse.

Novomix itha kukhala m'malo mwa Novorapid.

Kufotokozera kwa mahormone

• Hormone insulin 3,571 mg (100 IU 100% ya anthu sungunuka).
• Metacresol (mpaka 2.7 mg).
• Glycerol (pafupifupi 84% = 18.824 mg).
• Madzi a jakisoni.
• Sodium dihydrogen phosphate dihydrate (pafupifupi 2.1 mg).

Insuman insuman mwachangu gt choyimiriridwa ndi madzi opanda khungu owonekera bwino kwambiri. Ndi m'gulu la othandizirana mwachidule. Insuman siimapanga ngakhale malo osungika nthawi yayitali.

Mankhwala a Pharmacodynamic

Insuman Rapid GT ili ndi mahomoni ofanana mwanjira yofanana ndi mahomoni amunthu. Mankhwalawa amapezeka ndi mainjiniya. Njira zazikuluzikulu za zochita za Insuman ndi monga:

• Kutsika kwa m'magazi a m'magazi.
• Kuchepetsa njira za catabolic.
• Kulimbikitsa kusunthira kwa shuga mkati mwamaselo.
• Kuwongolera akuti lepogisis m'magazi a chiwindi.
• Kulimbikitsa kulowa kwa potaziyamu.
• Kukhazikitsa kwa mapuloteni ndi amino acid.

Insuman Rapid GT Imayamba mwachangu, koma ili ndi nthawi yochepa. Hypoglycemic kwenikweni zimatheka kale theka la ola pambuyo subcutaneous makonzedwe a mankhwala. Zotsatira zimatha mpaka maola 9.

Zotsatira zotsatirazi ziyenera kudziwitsidwa ndikuwonetsa zazikulu:

• Matenda a shuga (mtundu wodalira insulin).
• Coma pa maziko a matenda ashuga.
• Kupita patsogolo ketoacidosis.
• Kufunika kokulipitsidwa kwa metabolic (mwachitsanzo, musanachitike kapena pambuyo pa opaleshoni).

Milandu yayikulu ikuphatikiza hypoglycemia kapena chiwopsezo chachikulu cha kuchepa kwambiri kwa shuga m'magazi, matupi awo sagwirizana ndi magawo aliwonse omwe amapangidwa ndi mankhwala, kumva kwambiri.

Ndikulimbikitsidwa kuti mufunsane ndi katswiri kuti akuuzeni malangizo! Kudzichitira nokha mankhwala kungakulitse vutolo.

Popereka mankhwala Insuman Rapid GT adokotala amatenga zifukwa zingapo: zaka, mbiri yakale yachipatala, njira zambiri za matenda ashuga, kupezeka kwa matenda opweteka a ziwalo zamkati ndi ziwonetsero zina za pathologies. Nthawi zina kumwa mankhwala a shuga kumalepheretsa kuyendetsa galimoto kapena kugwira ntchito m'mafakitori owopsa.

Mtengo wapakati wa mankhwalawa m'magawo osiyanasiyana umasiyana 700 mpaka 1300 rubles pa phukusi lililonse.

Mtengo Zimatengera zinthu zambiri zosiyanasiyana.

Mankhwalawa onse ndi omugwiritsa ntchito mwachidule. Kusintha kulikonse kwa mankhwala motsutsana ndi matenda a shuga kumachitika pokhapokha mukaonana ndi katswiri. Insuman Rapid GT imakupatsani mwayi wokhala ndi moyo wabwino wodwalayo pazinthu zosiyanasiyana za matenda ashuga. Novorapid ali ndi katundu wofanana ndi Insuman Rapid GT, koma pafupifupi chimabwereza kwathunthu insulin ya anthu.