Insulin Insuman Rapid GT - malangizo ogwiritsira ntchito

Mtundu woyamba wa matenda a shuga 1, mellitus wa mtundu 2 shuga: gawo la kukana mankhwala osokoneza bongo a hypoglycemic, kukana pang'ono kwa mankhwala amkamwa a hypoglycemic (mankhwala osakanikirana),

matenda ashuga ketoacidosis, ketoacidotic ndi hyperosmolar coma, matenda osokoneza bongo omwe adachitika panthawi yoyembekezera (ngati chithandizo cha zakudya sichitha),

ntchito kwakanthawi odwala omwe ali ndi matenda osokoneza bongo othana ndi matenda opatsirana chifukwa cha kutentha thupi, kugwiritsa ntchito maopaleshoni, kuvulala, kubala, kusokonezeka kwa metabolic, musanafike pokonzekera chithandizo cha insulin.

Momwe mungagwiritsire ntchito: Mlingo ndi njira ya chithandizo

Mlingo ndi njira yoyendetsera mankhwalawa imatsimikiziridwa payekhapayekha malinga ndi kuchuluka kwa glucose m'magazi musanadye ndi maola 1-2 mukatha kudya, komanso kutengera ndi kuchuluka kwa glucosuria ndi machitidwe a matendawa.

Mankhwala amatumizidwa s / c, mu / m, mu / mkati, mphindi 15-30 musanadye. Njira yodziwika kwambiri yoyendetsera ntchito ndi sc. Ndi matenda ashuga a ketoacidosis, chikomokere cha matenda a shuga, pakachitika opaleshoni - mu / mu ndi / m.

Ndi monotherapy, pafupipafupi makonzedwe nthawi zambiri amakhala 3 katatu patsiku (ngati kuli kotheka, mpaka nthawi 5-6 patsiku), tsamba la jakisoni limasinthidwa nthawi iliyonse kupewa chitukuko cha lipodystrophy (atrophy kapena hypertrophy ya subcutaneous mafuta).

Pafupifupi tsiku lililonse mankhwalawa ali 30-40 magawo, ana - 8 mayunitsi, ndiye muyezo tsiku lililonse - 0,5-1 magawo / kg kapena 30-40 mayunitsi katatu patsiku, ngati n`koyenera - 5-6 pa tsiku. Pa mlingo wa tsiku ndi tsiku wopitilira 0,6 U / kg, insulin iyenera kuperekedwa ngati ma jakisoni a 2 kapena kuposa m'malo osiyanasiyana a thupi.

Ndikotheka kuphatikiza ndi ma insulin omwe amakhala nthawi yayitali.

Njira yothetsera mankhwalawa imatengedwa kuchokera pakanema ndikalaboola ndi singano yosalala yotsekera ndi mpira, ndikupukuta mutachotsa kapu ya aluminiyamu ndi Mowa.

Zotsatira za pharmacological

Kukonzekera kwa insulin kochepa. Kuyanjana ndi cholandirira kumtundu wakunja kwa maselo, ndikupanga insulini yolandirira. Mwa kukulitsa 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.). Kuchepa kwa kuchuluka kwa shuga m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe ka intracellular, kuchuluka kwa zotupa, kukondoweza kwa lipogenesis, glycogenogeneis, kaphatikizidwe ka mapuloteni, kuchepa kwa kuchuluka kwa shuga ndi chiwindi (kuchepa kwa kufalikira kwa glycogen), ndi zina zambiri.

Pambuyo pa jekeseni wa sc, matendawa amapezeka mkati mwa mphindi 20-30, umafika patadutsa maola 1-3 ndipo umatha, kutengera mlingo, maola 5-8. Kutalika kwa mankhwalawa kumatengera mlingo, njira, malo oyendetsera ndipo ali ndi machitidwe amodzi payekha .

Zotsatira zoyipa

Thupi lawo siligwirizana ndi zigawo zikuluzikulu za mankhwalawa (urticaria, angioedema - malungo, kufupika, kuchepa kwa magazi),

hypoglycemia (pallor of the khungu, thukuta kwambiri, thukuta, pakamwa, kunjenjemera, njala, kusokonezeka, nkhawa, paresthesias mkamwa, kupweteka mutu, kugona, kugona, mantha, kupsinjika, kusakwiya, chikhalidwe chosazolowereka, kusowa kwa kayendedwe, vuto lakulankhula ndi kuyankhula komanso masomphenya), hypoglycemic coma,

hyperglycemia ndi matenda ashuga acidosis (pa Mlingo wochepera, kulumpha jakisoni, kusadya bwino, motsutsana ndi maziko akumatenda ndi matenda): kugona, ludzu, kusowa kudya, kutulutsa nkhope),

kuda nkhawa (mpaka kukula kwa precomatose ndi chikomokere),

kuchepa kwakanthawi kowoneka (nthawi zambiri kumayambiriro kwa zamankhwala),

immunological cross-reaction ndi insulin ya anthu, kuwonjezeka kwa gawo la anti-insulin antibodies, kenako kuwonjezeka kwa glycemia,

Hyperemia, kuyabwa ndi lipodystrophy (atrophy kapena hypertrophy of subcutaneous fat) pamalo a jekeseni.

Kumayambiriro kwa chithandizo cha mankhwalawa - edema ndi kukanika kotsutsa (ndizosakhalitsa ndipo kumatha ndikupitilira chithandizo).

Bongo. Zizindikiro: hypoglycemia (kufooka, thukuta lozizira, khungu la pakhungu, palpitations, kunjenjemera, mantha, njala, paresthesia m'manja, miyendo, milomo, lilime, mutu), hypoglycemic coma, kupweteka.

Chithandizo: wodwalayo atha kuyerekezera yekha pakubweretsa shuga kapena zakudya zopatsa mphamvu zophatikizika m'thupi.

Subcutaneous, i / m kapena iv yolowetsa glucagon kapena iv hypertonic dextrose solution. Ndi chitupa cha hypoglycemic coma, 20-40 ml (mpaka 100 ml) wa 40% dextrose solution amawayamwa kudzera mu mtsempha kulowa kufikira wodwalayo atatuluka.

Malangizo apadera

Musanagwiritse ntchito mankhwala kuchokera pambale, ndikofunikira kuwona kuwonekera kwa yankho. Matupi achilendo akaonekera, kusefukira kapena kutentha kwa zinthu pagalasi la vial, mankhwalawa sangathe kugwiritsidwa ntchito.

Kutentha kwa insulin yoyenera kuyenera kukhala kutentha kwambiri. Mlingo wa mankhwalawa umayenera kusinthidwa ngati pali matenda opatsirana, matenda a chithokomiro, matenda a Addison, hypopituitarism, kulephera kwa aimpso ndi matenda a shuga kwa anthu azaka zopitilira 65.

Zomwe zimayambitsa hypoglycemia zimatha kukhala: kumwa mankhwala osokoneza bongo, kuthana ndi mankhwala, kudumpha chakudya, kusanza, kutsegula m'mimba, kupsinjika kwa thupi, matenda omwe amachepetsa kufunikira kwa insulin (matenda apamwamba a impso ndi chiwindi, komanso hypofunction ya adrenal cortex, pituitary kapena chithokomiro cha chithokomiro), kusintha malo jakisoni (mwachitsanzo, khungu pamimba, phewa, ntchafu), komanso mogwirizana ndi mankhwala ena. Ndikotheka kuchepetsa kuchuluka kwa shuga m'magazi posamutsa wodwala kuchokera ku insulin ya nyama kupita ku insulin ya anthu.

Kusamutsa wodwala kupita ku insulin yaumunthu kuyenera kukhala koyenera nthawi zonse kumayang'aniridwa ndi adokotala. Chizolowezi chokhala ndi hypoglycemia chimatha kuvulaza kuthekera kwa odwala kutenga nawo mbali mokwanira mumsewu, komanso kukonza makina ndi zida zamagetsi.

Odwala omwe ali ndi matenda ashuga amatha kuyimitsa pang'ono hypoglycemia yomwe amamva pakudya shuga kapena zakudya zamagulu owonjezera (tikulimbikitsidwa kuti nthawi zonse muzikhala ndi shuga osachepera 20 g). About hypoglycemia yosamutsidwa, ndikofunikira kudziwitsa dokotala kuti athetse vuto la kufunika kwa chithandizo chamankhwala.

Mankhwalawa a insulin yocheperako pokhapokha, kuchepa kapena kuwonjezeka kwa kuchuluka kwa adipose minofu (lipodystrophy) m'dera la jakisoni ndikotheka. Izi zimapewedwa makamaka ndikusintha malo a jekeseni. Pa nthawi yoyembekezera, ndikofunikira kuganizira kuchepa (I trimester) kapena kuwonjezeka (II-III trimesters) pazofunikira za insulin. Nthawi yobadwa pambuyo pokhapokha ndipo mwayamba kubadwa, zofunika za insulin zimatha kugwa kwambiri. Pa mkaka wa m`mawere, kuwunikira tsiku ndi tsiku kumafunikira kwa miyezi ingapo (mpaka kufunika kwa insulin kukhazikika).

Odwala omwe amalandira insulin yoposa 100 ya insulin patsiku, amasintha mankhwalawa amafunikira kuchipatala.

Kuchita

Mankhwala osagwirizana ndi mayankho a mankhwala ena.

Mphamvu ya hypoglycemic ya mankhwalawa imapangidwira ndi sulfonamides (kuphatikiza mankhwala a hypoglycemic, sulfonamides), Mao inhibitors (kuphatikiza furazolidone, procarbazine, selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs (kuphatikizapo salicylates) ma steroid (kuphatikizapo stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, fenfluramine, Li + kukonzekera, pyridoxine, quinidine, quinidine, quinidine, quinidine.

Mphamvu ya hypoglycemic ya mankhwalawa imafooketsedwa ndi glucagon, somatropin, corticosteroids, njira zakulera zamkati, estrogens, thiazide ndi loop diuretics, BMKK, mahomoni a chithokomiro, heparin, sulfinpyrazone, sympathomimetics, danazole, tricyclic antidine, cacididin, cacididonin, cacididonin. , epinephrine, H1-histamine receptor blockers.

Beta-blockers, reserpine, octreotide, pentamidine amatha kuwonjezera komanso kufooketsa mphamvu ya Hypoglycemic.

Mafunso, mayankho, ndemanga pa mankhwala a Insuman Rapid GT

Zomwe zimaperekedwa zimakonzekera akatswiri azamankhwala komanso zamankhwala. Chidziwitso chokwanira chokhudza mankhwalawa chili m'malangizo omwe amaphatikizidwa ndi zomwe amapanga ndi wopanga. Palibe chidziwitso chomwe chatumizidwa patsamba lino kapena tsamba lililonse la tsamba lathu chomwe chingagwire ntchito ngati cholowa m'malo mwapadera kwa katswiri.

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 Rapid GT ndi madzi opanda mawonekedwe owonekera bwino kwambiri. Ndi m'gulu la othandizirana mwachidule. Insuman siimapanga ngakhale malo osungika nthawi yayitali.

Kukonzekera - analogues

• Matenda a shuga a insulin
• Coma of diabetesic etiology ndi ketoacidosis,
• Nthawi ya opareshoni komanso pambuyo pochita opaleshoni kwa odwala matenda ashuga kuti akwaniritse kagayidwe kabwino.

• Chongani mankhwalawo kuti chiwone bwino ndikuwonetsetsa kuti chikufanana ndi kutentha kwa chipinda,
• Chotsani thumba la pulasitiki, ndiye zomwe zikusonyeza kuti botolo silinatsegulidwe,
• Musanatolere insulini, dinani botolo ndikuyamwa mu mpweya wofanana ndi mlingo.
• Kenako muyenera kulowa mu syringe mu vial, koma osati mu mankhwalawo enieni, ndikutembenuza syringeyo, ndipo chidebe chokhala ndi mankhwalawo, ndikupeza kuchuluka kofunikira,
• Musanayambe jakisoni, muyenera kuchotsa thovu mu syringe,
• Kenako, m'malo mwa jakisoni wamtsogolo, khungu limakulungidwa, ndikuyika singano pansi pa khungu, amasula pang'onopang'ono mankhwalawo.
• Pambuyo pake, amachotsanso singano pang'onopang'ono ndikusintha malowo pakhungu ndi swab ya thonje, kukanikiza ubweya wa thonje kwakanthawi,
• Popewa chisokonezo, lembani m'botolo kuchuluka ndi tsiku lochotsa insulin yoyamba,
• Botolo litatsegulidwa, liyenera kusungidwa pa kutentha kosaposa 25 digiri m'malo amdima. Itha kusungidwa kwa mwezi umodzi,
• Insuman Rapid HT ikhoza kukhala yankho mu gawo la solostar disposable. Chipangizo chopanda kanthu jakisoni itawonongeka, osasamutsira munthu wina. Musanagwiritse ntchito, werengani zomwe zikugwirizana ndi pulogalamuyi.

Mtengo Insuman Rapid GT ukhoza kukhala wosiyana kutengera dera. Pafupipafupi, amachokera ku ruble 1,400 mpaka 1,600 pa paketi iliyonse. Zachidziwikire, izi si mtengo wotsika kwambiri, chifukwa anthu amakakamizidwa "kukhala" pa insulin nthawi zonse.

Yankho la jakisoni.

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.

Malamulo ogwiritsira ntchito

M'pofunika kunena kuti mulingo womwewo umagwirizana ndi zambiri za wodwalayo.

Dokotala yemwe ali ndi inu amakwaniritsa nthawi yomwe magawo otsatirawa amagwiritsidwa ntchito:

1. Zochita kapena mawonekedwe a wodwala,
2. Zakudya, mawonekedwe a thupi komanso kukula kwa thupi,
3. Zambiri za shuga wamagazi ndi chakudya cha carbohydrate,
4. Mtundu wa matenda.

Chofunika ndichakuti wodwalayo azitha kuchitira insulin mankhwala, zomwe sizimangotanthauza kuyesa kuchuluka kwa shuga mumkodzo ndi magazi, komanso kuperekera jakisoni.

Mankhwala akamapita, adotolo amawerengera zakudya zomwe amapeza pafupipafupi komanso amadyanso masinthidwe ena. M'mawu ena, chithandizo chamankhwala chodalirika ichi chimafuna kuti munthu azikhala ndi chidwi ndi chidwi ndi zomwe ali nazo.

Pali mlingo womwe ukutuluka, umadziwika ndi kuchuluka kwa insulin pa kilogalamu ya thupi la wodwalayo ndipo umachokera ku 0.5 mpaka 1.0 IU. Pankhaniyi, pafupifupi 60% ya mankhwalawa ndi insulin yayitali ya anthu.

Ngati Insuman Rapid HT isanachitike, odwala matenda ashuga omwe amagwiritsa ntchito mankhwala omwe amapezeka, ndiye kuti kuchuluka kwa insulin yaumunthu kuyenera kuchepetsedwa poyamba.

Polankhula pazomwe zingagwiritse ntchito insulin Rapid, amatanthauza mtundu wa matenda a shuga. Kuphatikiza apo, tisaiwale za matenda obwera ndi matenda ashuga, omwe amalumikizidwa ndi kusazindikira, kusowa kwathunthu kwa zochitika zathupi zakunja chifukwa cha kuchuluka kwa shuga m'magazi.

Komanso, ma endocrinologists ndi akatswiri a matenda ashuga amalabadira za precomatose state, ndiko kuti, gawo loyamba la kukhazikika kwa misozi kapena kufa kwathunthu kwa chikumbumtima. Mndandanda wazidziwitso zina ndi cholinga chogwiritsira ntchito ndi:

• acidosis - kuchuluka kwa acidity a thupi,
• ntchito pang'onopang'ono (nthawi ndi nthawi) odwala omwe ali ndi matenda osokoneza bongo chifukwa cha matenda omwe amayenda ndi zizindikiro zotentha kwambiri. Amathandizanso pambuyo pakuchita opaleshoni, kuvulala kosiyanasiyana kapenanso kubereka mwana,
• kuyanʻanila kagayidwe kachakudya njira isanachitike mankhwala ndi insulin iliyonse ndi nthawi yayitali
• kuwonjezeredwa kwa nthawi yayitali pakukonzekera insulin (mwachitsanzo, Insuman Bazal) ndi hyperglycemia yodziwikiratu.

Chifukwa chake, zikuwonetsa kugwiritsa ntchito mtundu wa mahomoni omwe aperekedwa ndi kutsimikiza. Kuti muwonjezere phindu la Insuman Rapid, palibe chifukwa chomwe muyenera kuyiwalako za malamulo onse ogwiritsira ntchito - Mlingo, nthawi ndi zina zambiri.

Mlingo ndi mawonekedwe amomwe amayambitsa gawo la mahomoni amakhazikitsidwa payekhapayekha. Izi zimatsimikizika pamaziko amawu am'magazi musanadye chakudya, komanso maola ochepa mutatha kudya. Chitsutso china chitha kukhala kudalira kwa kuchuluka kwa glucosuria ndi machitidwe ena a momwe amapangira matenda.

Mulingo wofunikira wa shuga, kukonzekera kwa insulin komwe kudzaperekedwe, komanso mlingo wa insulin (mlingo ndi nthawi ya makonzedwe) ziyenera kutsimikiziridwa payekhapayekha komanso kusintha momwe amaganizira zakudya zomwe wodwalayo amadya, zolimbitsa thupi ndi momwe amakhalira.

Mlingo watsiku ndi tsiku ndi nthawi yoyendetsera

Palibe malamulo okhwima okhudzana ndi insulin dosing. Komabe, pafupifupi avareji ya insulin imachokera ku 0,5 mpaka 1 IU ya insulin / kg thupi patsiku. Chofunikira cha insulin insulin chili pakati pa 40 ndi 60% pazofunikira za tsiku ndi tsiku. Insuman Rapid ® imayendetsedwa ndi jekeseni wa subcutaneous mphindi 15-20 musanadye chakudya.

Kusintha kwa Insuman Rapid ®

Kusamutsa wodwala kupita ku mtundu wina kapena mtundu wa insulin kuyenera kuchitika moyang'aniridwa kwambiri. Zosintha mu mphamvu yakuchitikira, mtundu (wopanga), mtundu (wokhazikika, NPH, tepi, wotalikirapo), chiyambi (chinyama, munthu, analogi ya insulin ya anthu) ndi / kapena njira yopangira zitha kubweretsa kusowa kwa kusintha kwa mlingo.

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 omwe amapezeka mu cholembera ayenera 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.

Contraindication

Kuchepetsa koyamba ndi kuchepa kwa shuga m'magazi, ndipo musaiwale za kuchuluka kwa chiwopsezo cha zinthu zina zahomoni.

Matenda a shuga odwala matenda a insulin, hyperglycemic coma ndi ketoacidosis, kukhazikika kwa mkhalidwe wa wodwala yemwe ali ndi matenda osokoneza bongo asanafike, panthawi komanso pambuyo pa opaleshoni.

Hypersensitivity to the yogwira ntchito kapena chilichonse chopeza chomwe chimapanga mankhwala.

Insuman Rapid ® sichitha kutumikiridwa pogwiritsa ntchito mapampu akunja kapena obayira insulin kapena mapampu a peristaltic okhala ndi machubu a silicone. Hypoglycemia.

Insulin insuman zotchulidwa:

• Matenda a matenda ashuga, makamaka pakagwiritsidwe ntchito ka timadzi timene timafunika.
• Munthu akayamba kudwala matenda ashuga ndi ketoacidosis,
• Munthawi ya opaleshoni (mu chipinda chogwiritsira ntchito ndipo itatha nthawi iyi).

Mankhwalawa aphatikizidwa kuti agwiritse ntchito - kumayambiriro kwa hypoglycemia, komanso kuthana ndi vuto la mahomoni kapena chinthu china chomwe ndi gawo la mankhwala omwe afotokozedwawo.

Chenjezo liyenera kuperekedwa kwa anthu omwe ali ndi impso, chiwindi, odwala okalamba, anthu omwe ali ndi vuto la m'mitsempha yamaubongo ndi zotupa za kumbuyo kwa lingaliro la diso, chifukwa cha kupititsa patsogolo kwa khungu kwathunthu motsutsana ndi maziko a hypoglycemia.

Insuman Rapid silivomerezedwa kuti ligwiritsidwe ntchito ndi shuga wochepa wamagazi, komanso ndi chidwi cha mankhwalawo kapenanso zigawo zake.

Insuman Bazal imaphatikizidwa kwa anthu:

• ndi chidwi chomwa mankhwalawo kapena pazinthu zake;
• ndi chikomokere matenda a shuga, komwe ndi kusokonezeka kwa chikumbumtima, kusakhalapo kwathunthu kwa machitidwe aliwonse amthupi kumayendedwe akunja chifukwa cha kuchuluka kwa shuga m'magazi.

Mlingo ndi njira yogwiritsira ntchito

Mlingo wambiri amasankhidwa poganizira zosowa za wodwala yemwe ali ndi matenda ashuga. Pokhapokha malamulo okhazikitsidwa bwino osankha Mlingo, amatsogozedwa ndi muyezo wa tsiku ndi tsiku wa 0,5-1.0 IU / kg, pomwe gawo la insulin yowonjezera liyenera kukhala 60% ya pafupifupi tsiku lililonse.

Ndi mankhwala a insulin, kuwunika pafupipafupi kuchuluka kwa shuga kuyenera kuchitika, makamaka ngati wodwala yemwe ali ndi matenda ashuga amachoka ku insulin imodzi kupita ku imzake, ngati kusintha kwakufunika. Nthawi zina, kusintha kwa mankhwala kumachitika moyang'aniridwa ndi dokotala kuchipatala.

Zinthu zofunika kusintha kwa mlingo:

kusintha kwa insulin chiwopsezo

kusintha kwa thupi

Kusintha kwamoyo, kadyedwe, masewera olimbitsa thupi.

Kwa odwala omwe ali ndi zaka zopitilira 60, odwala omwe ali ndi vuto la impso kapena chiwindi, kufunika kwa insulini kumatha kuchepa, motero, kusinthasintha kwa mankwala pamtunda kuyenera kuchitika mosamala.

Mankhwalawa amapaka pakhungu pakhungu pakatsala mphindi 20 kuti adye. Malowo a jekeseni omwe ali m'dera lomwelo amayenera kusinthidwa, koma kusintha kwa jekeseni (m'mimba, ntchafu, phewa) kuyenera kuvomerezana ndi dokotala, chifukwa tsamba la jakisoni la insulin limakhudzanso adsorption yake, chifukwa chake, kuchuluka kwa magazi.

Insuman Rapid itha kugwiritsidwa ntchito ngati iv, koma kuchipatala.

Mankhwalawa sangathe kugwiritsidwa ntchito pamapampu a insulin okhala ndi machubu a silicone. Osasakanikirana ndi ma insulin ena, kupatula gulu la insulin la anthu la Sanofi-Aventis.

Njira yothetsera vutoli iyenera kuyang'aniridwa musanagwiritse ntchito, iyenera kukhala yowonekera, kutentha kwa chipinda

Insuman ndi makina ake ochitira

Mankhwala ndi yankho la subcutaneous makonzedwe. Jakisoni wamkati amaloledwa m'malo oyang'anira bwino (chipatala). Amakhala ndi insulin yeniyeni, yomwe ndi yofanana ndi anthu, komanso othandizira. Hormone iyi idalandiridwa chifukwa cha mainjinier. Metacresol imagwiritsidwa ntchito ngati solvent ndi antiseptic. Sodium dihydrogen phosphate ndi glycerol imawonetsa zinthu zamadzimadzi. Kuphatikizikako kumaphatikizanso hydrochloric acid. Zonse zofunikira pa mankhwalawa zimapezeka muzomwe mungagwiritse ntchito.

Kugwiritsidwa ntchito ndi Insuman Rapid kwa odwala matenda a shuga a shuga. Imalimbikitsa kulipira kwa metabolic mwa anthu omwe ali mu preoperative komanso nthawi yotsatirira. Kuchita kwa insulin Insuman Rapid GT kumayamba mkati mwa theka la ola. Zotsatira za mankhwalawa zimatha maola angapo. Amapanga mu mawonekedwe a makatiriji, Mbale ndi zolembera zapadera za syringe. Mu makatiriji omalizira akhazikitsidwa. M'mafakitala, amaperekedwa ndi mankhwala ndipo ali ndi moyo wa alumali wazaka ziwiri.

Fotokozerani malangizo. Akuluakulu ayenera kugwiritsa ntchito mankhwalawa mosamala komanso moyang'aniridwa. Kuphatikiza pa mankhwalawa, ayenera kugwiritsidwa ntchito mosamala kwa anthu omwe:

• Kulephera kwina.
• Kulephera kwa chiwindi.
• Stenosis yamitsempha yamagazi ndi chithokomiro.
• Proliferative retinopathy.
• Matenda apakati.
• Kusungidwa kwa sodium mthupi.

Mulimonsemo, kugwiritsa ntchito Insuman Rapid GT ndikofunikira pambuyo pakuonana ndi dokotala. Ganizirani momwe munthu payekhapayekha amachitira zinthu zosiyanasiyana. Malamulowa samapereka malamulo a dosing, kotero nthawi yoyendetsera ndi kuwerengera imawerengeredwa payekhapayekha. Choyimira chachikulu ndi moyo, momwe munthu alili wathanzi, komanso mtundu wa zakudya zomwe amatsatira. Izi zikuchokera apa kuti posintha kuchokera ku insulin ina, kuphatikiza chiyambi cha nyama, kuyang'anira wodwala kungafunike. Kuvomerezedwa Insuman GT kumakhudza chidwi ndi kuthamanga kwa magwiridwe antchito. Chifukwa chake, kuvomereza kuyendetsa galimoto kumangosankhidwa ndi adokotala okha.

Panthawi ya mankhwalawa, kuchuluka kwa shuga kumachepa. Zimakonda zotsatira za anabolic, zimawonjezera kayendedwe ka shuga m'maselo. Zimalimbikitsa kudziunjikira kwa glycogen, kumachepetsa glycogenolysis. Imathandizira njira yosinthira shuga ndi zinthu zina kukhala mafuta acids. Ma amino acid amalowa m'maselo mwachangu. Mankhwalawa amateteza kuphatikizika kwa mapuloteni komanso potaziyamu kulowa m'thupi lathu.

Momwe mungagwiritsire ntchito mankhwalawa

Malangizowo ali ndi malamulo ogwiritsa ntchito mtundu wa mankhwalawo mtundu wokhawo womwe mumagula. Pazomwe mukugwiritsa ntchito, palibe chifukwa chogulira mtundu uliwonse wa mankhwala kuti musankhe yoyenera. Insuman Rapid GT imapezeka m'mitundu itatu:

• Botolo lomwe limapangidwa ndi galasi yowonekera. Ali ndi voliyumu ya 5 ml. Mukamagwiritsa ntchito botolo, chotsani kapu. Kenako, kokerani syringe voliyumu ya mpweya wofanana ndi mlingo wa insulin. Kenako ikani syringe mu vial (osakhudza madziwo) ndikusintha. Imbani mlingo woyenera wa insulin. Tulutsani mpweya ku syringe musanagwiritse ntchito. Sonkhanitsani khola pakhungu la jakisoni ndikuwubayira pang'onopang'ono mankhwalawo. Mukamaliza, chotsani syringe pang'onopang'ono.
• Cartridge imapangidwa ndi galasi lopanda utoto ndipo imakhala ndi voliyumu ya 3ml. Kugwiritsa ntchito Insuman Rapid GT m'matayala sikudzabweretsa zovuta. Izi zisanachitike, gwiritsitsani kwa maola angapo kutentha kwa chipinda. Mafuta amaloleza m'mbale, ngati alipo, chotsani nthawi yomweyo. Pambuyo poikika mu cholembera ndikupangira jakisoni
• Fomu yosavuta kwambiri ndi cholembera cha syringe. Ndi makilogalamu atatu owonekera bwino a galasi lomwe limayikidwa mu cholembera. Fomuyi ndiyothandiza. Onetsetsani mosamala njira zopewa kulowetsedwa, zomwe zikuwonetsedwa mu malangizo. Kuti mugwiritse ntchito, ikani singano ndi jakisoni.

Yang'anani mbale ndi ma cartridge mosamala. Madziwo ayenera kukhala owonekera, opanda zodetsa. Kugwiritsa ntchito ma syringe okhala ndi zinthu zowonongeka sikuloledwa. Jekeseni wa Insuman GT ndikofunikira mphindi 20 musanadye. Kugwiritsa ntchito mu mnofu kumaloledwa. Musaiwale kusintha tsamba la jakisoni. Kusintha kwa madera (kuchokera m'chiuno kupita kumimba) ndikololedwa pambuyo povomerezeka ndi dokotala. Zomwezi zimagwiranso ntchito pakugwiritsa ntchito mankhwalawa ndi mankhwala ena, komanso ndi mowa. Nthawi zonse mungapeze zidziwitso zokhudzana ndi insulin Insuman Rapid m'malamulo.