Kapangidwe ka "Humulin NPH", malangizo ake ogwiritsira ntchito, mtengo, malingaliro ndi malingaliro a ndalama

Munkhaniyi, mutha kuwerengera malangizo ogwiritsira ntchito mankhwalawa Humulin. Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogwiritsa ntchito mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Humulin pochita zawo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, zomwe mwina sizinalengezedwe ndi wopanga. Khumulin analogue pali kupezeka kwa mawonekedwe. Gwiritsani ntchito mankhwalawa matenda a shuga ndi insipidus akuluakulu, ana, komanso pa nthawi ya bere.

Humulin - DNA yobwerezanso insulin yaumunthu.

Ndi kukonzekera kwa insulin.

Choyambitsa chachikulu cha mankhwalawa ndi kuyamwa kwa kagayidwe kazakudya. Kuphatikiza apo, ili ndi anabolic zotsatira. Mu minofu ndi minyewa ina (kupatula ubongo), insulin imayendetsa mofulumira intracellular ya glucose ndi amino acid, imathandizira protein anabolism. Insulin imalimbikitsa kutembenuka kwa glucose kukhala glycogen m'chiwindi, imalepheretsa gluconeogeneis ndikuthandizira kusintha kwa glucose owonjezera kukhala mafuta.

Ndikukonzekera mwachidule insulin.

Recopinant ya insulin ya anthu a nthawi yayitali. Ndi kuyimitsidwa kwamagawo awiri (30% Humulin Regular ndi 70% Humulin NPH).

Choyambitsa chachikulu cha mankhwalawa ndi kuyamwa kwa kagayidwe kazakudya. Kuphatikiza apo, ili ndi anabolic zotsatira. Mu minofu ndi minyewa ina (kupatula ubongo), insulin imayendetsa mofulumira intracellular ya glucose ndi amino acid, imathandizira protein anabolism. Insulin imalimbikitsa kutembenuka kwa glucose kukhala glycogen m'chiwindi, imalepheretsa gluconeogeneis ndikuthandizira kusintha kwa glucose owonjezera kukhala mafuta.

Kupanga

Anthu obwera ndi insulin.

Insulin ya magawo awiri (kuyambitsa ma genetic) aanthu (Humulin M3).

Pharmacokinetics

Humulin NPH ndi insulin yomwe ikukonzekera. Kukhazikika kwa mankhwala ndi ola limodzi pambuyo pa kuperekedwa, mphamvu yayitali imakhala pakati pa maola awiri ndi asanu ndi atatu, kutalika kwa zochitika ndi maola 18-20. Kusiyana kwa zochitika za insulin zimadalira zinthu monga mlingo, kusankha jakisoni, malo olimbitsa thupi.

Zizindikiro

• shuga mellitus pamaso pazisonyezo za insulin mankhwala,
• wapezeka ndi matenda a shuga,
• Mimba ndi mtundu 2 shuga mellitus (osadalira insulini).

Kutulutsa Mafomu

Kuyimitsidwa kwa kayendetsedwe ka subcutaneous (Humulin NPH ndi M3).

Njira yothandizira jakisoni mu Mbale ndi ma cartridge a QuickPen (Humulin Regular) (jakisoni m'mapiritsi a jakisoni).

Malangizo ogwiritsira ntchito ndi mlingo

Dokotala amakhazikitsa mlingo payekhapayekha, kutengera mlingo wa glycemia.

Mankhwalawa amayenera kuperekedwa mosavuta, mwina kudzera m'mitsempha. Intravenous makonzedwe a Humulin NPH amatsutsana!

Pang'onopang'ono, mankhwalawa amaperekedwa paphewa, ntchafu, matako kapena pamimba. Tsamba la jakisoni liyenera kusinthidwa kuti malo omwewo asagwiritsidwerenso nthawi 1 mwezi uliwonse.

Mukamayambitsa mawuwo, chisamaliro chikuyenera kuyambidwa kuti musalowe mumtsempha wamagazi. Pambuyo pa jakisoni, tsamba la jakisidwe siliyenera kutenthedwa. Odwala ayenera kuphunzitsidwa bwino kugwiritsa ntchito zida za insulin.

Malamulo okonzekera ndi kuyendetsa mankhwalawa

Makatoni ndi mbale za Humulin NPH musanagwiritse ntchito ayenera kukunkhunika pakati pa manja 10 mpaka ndikugwedezeka, kutembenuza madigiri a 180 komanso maulendo 10 kuti muthetsenso insulin mpaka itakhala yunifolomu yamadzi kapena mkaka. Gwedezani mwamphamvu, monga izi zimatha kuyambitsa foam, zomwe zingasokoneze mlingo woyenera.

Makatoni ndi mbale ziyenera kufufuzidwa mosamala. Osagwiritsa ntchito insulini ngati ili ndi flakes mutasakaniza, ngati ma cell oyera olimba amatsatira pansi kapena makoma a vial, ndikupanga mawonekedwe a frosty.

Chipangizo cha ma cartridge sichimalola kusakanikirana ndi zomwe zili ndi insulini zina mwachindunji mu cartridge lokha. Makatoniwo sanapangidwe kuti adzazitsidwe.

Zomwe zili mu vial ziyenera kudzazidwa ndi syringe ya insulin yolingana ndi kuchuluka kwa insulini yoyendetsedwa, ndipo mlingo woyenera wa insulin uyenera kuperekedwa monga adalangizidwa ndi adokotala.

Mukamagwiritsa ntchito makatoni, tsatirani malangizo opanga opangira makatoni komanso kupaka singano. Mankhwalawa amayenera kuperekedwa molingana ndi malangizo a wopanga a cholembera.

Kugwiritsa ntchito kachulukidwe kakunja ka singano, mutangoyikapo, vula singano ndikuwononga mosavomerezeka. Kuchotsa singano mutangolowa jakisoni kumathandizira kusokonekera, kupewa kutayikira, kutsekeka kwa mpweya ndi kuboweka kwa singano. Kenako ikani chophimba chija.

Singano sayenera kugwiritsidwanso ntchito. Ma singano ndi ma cholembera a syringe sayenera kugwiritsidwa ntchito ndi ena. Makatoni ndi mbale zimagwiritsidwa ntchito mpaka zitakhala zopanda kanthu, pambuyo pake zimatayidwa.

Humulin NPH imatha kuperekedwa limodzi ndi Humulin Regular. Pachifukwa ichi, insulini yotsalira pang'ono iyenera kukokedwa mu syringe yoyamba kuti insulin isatenge nthawi kulowa kulowa. Ndikofunika kukhazikitsa osakaniza okonzeka mukangosakaniza. Kuti muwongolere kuchuluka kwa mtundu uliwonse wa insulin, mutha kugwiritsa ntchito syringe yapadera ya Humulin Regular ndi Humulin NPH.

Nthawi zonse muzigwiritsa ntchito syringe yolingana ndi insulin.

Mlingowo umatsimikiziridwa ndi dokotala aliyense payekha, kutengera mlingo wa glycemia.

Mankhwalawa amayenera kuperekedwa mosavuta, kudzera m'mitsempha, mwina kudzera m'mitsempha.

Mankhwala a SC amaperekedwa paphewa, ntchafu, matako kapena pamimba. Tsamba la jakisoni liyenera kusinthidwa kuti malo omwewo asagwiritsidwerenso nthawi 1 mwezi uliwonse.

Mukamayambitsa mawuwo, chisamaliro chikuyenera kuyambidwa kuti musalowe mumtsempha wamagazi. Pambuyo pa jakisoni, tsamba la jakisidwe siliyenera kutenthedwa. Odwala ayenera kuphunzitsidwa bwino kugwiritsa ntchito zida za insulin.

Malamulo okonzekera ndi kuyendetsa mankhwalawa

Makatoni ndi mbale za Humulin Regular sizimafunikira kuti muthe kugwiranso ntchito ndipo zitha kugwiritsidwa ntchito pokhapokha ngati zomwe zili bwino ndizopanda mafuta zopanda ma cell.

Makatoni ndi mbale ziyenera kufufuzidwa mosamala. Simuyenera kugwiritsa ntchito mankhwalawa ngati muli ndi ma flakes, ngati ma cell oyera olimba amatsatira pansi kapena makhoma a botolo, ndikupanga mawonekedwe a frosty.

Chipangizo cha ma cartridge sichimalola kusakanikirana ndi zomwe zili ndi insulini zina mwachindunji mu cartridge lokha. Makatoniwo sanapangidwe kuti adzazitsidwe.

Zomwe zili mu vial ziyenera kudzazidwa ndi syringe ya insulin yolingana ndi kuchuluka kwa insulini yoyendetsedwa, ndipo mlingo woyenera wa insulin uyenera kuperekedwa monga adalangizidwa ndi adokotala.

Mukamagwiritsa ntchito makatoni, tsatirani malangizo opanga opangira makatoni komanso kupaka singano. Mankhwalawa amayenera kuperekedwa molingana ndi malangizo a wopanga a cholembera.

Kugwiritsa ntchito kachulukidwe kakunja ka singano, mutangoyikapo, tengani singano ndikuwononga mosamala. Kuchotsa singano mutangolowa jakisoni kumathandizira kusokonekera, kupewa kutayikira, kutsekeka kwa mpweya ndi kuboweka kwa singano. Kenako ikani chophimba chija.

Singano sayenera kugwiritsidwanso ntchito. Ma singano ndi ma cholembera a syringe sayenera kugwiritsidwa ntchito ndi ena. Makatoni ndi mbale zimagwiritsidwa ntchito mpaka zitakhala zopanda kanthu, pambuyo pake zimatayidwa.

Humulin Regular imatha kuperekedwa limodzi ndi Humulin NPH. Pachifukwa ichi, insulini yotsalira pang'ono iyenera kukokedwa mu syringe yoyamba kuti insulin isatenge nthawi kulowa kulowa. Ndikofunika kukhazikitsa osakaniza okonzeka mukangosakaniza. Kuti muwongolere kuchuluka kwa mtundu uliwonse wa insulin, mutha kugwiritsa ntchito syringe yapadera ya Humulin Regular ndi Humulin NPH.

Nthawi zonse muzigwiritsa ntchito syringe yolingana ndi insulin.

Mankhwalawa amayenera kuperekedwa mosavuta, mwina kudzera m'mitsempha. Intravenous makonzedwe a Humulin M3 amatsutsana!

Zotsatira zoyipa

• achina,
• kulephera kudziwa
• kutuluka, kutupa, kapena kuyunkhira pamalo a jekeseni (nthawi zambiri amayima patatha masiku angapo mpaka milungu ingapo),
• zamomwe thupi lawo siligwirizana (zimachitika kawirikawiri, koma zowawa kwambiri) - kuyabwa kwambiri, kufupika, kupuma, kuchepa kwa magazi, kuchuluka kwa mtima, kuchuluka kwa thukuta,
• mwayi wokhala ndi lipodystrophy ndi wocheperako.

Contraindication

• achina,
• Hypersensitivity kupita ku insulin kapena chimodzi mwazinthu za mankhwala.

Mimba komanso kuyamwa

Pakati pa nthawi yayitali, ndikofunikira kuti pakhale chitetezo chabwino cha glycemic mwa odwala matenda ashuga. Pa nthawi yapakati, insulini amafuna nthawi zambiri amachepetsa mu trimester yoyamba ndikuwuka mu trimesters yachiwiri ndi yachitatu.

Ndikulimbikitsidwa kuti odwala omwe ali ndi matenda a shuga adziwitse adokotala za kutha kapena kukonza pakati.

Odwala omwe ali ndi matenda a shuga mellitus pa mkaka wa m`mawere, kusintha kwa insulin, zakudya, kapena zonse ziwiri zingafunike.

Pophunzira za kuyamwa kwa ma genetic, insulin yaumunthu inalibe mutagenic.

Malangizo apadera

Kusamutsa wodwala kupita ku mtundu wina wa insulin kapena kukonzekera kwa insulin ndi dzina lina lamalonda kuyenera kuchitika moyang'aniridwa ndi achipatala. Zosintha mu zochitika za insulin, mtundu wake (mwachitsanzo, M3, NPH, Wokhazikika), mitundu (porcine, insulin yaumunthu, analogue of insulin ya anthu) kapena njira yopangira (DNA recombinant insulin kapena insulin yachikhalidwe) ingayambitse kusintha kwa mlingo.

Kufunika kwa kusintha kwa mankhwalawa kungafunike kale pokhazikitsidwa ndi insulin yokonzekera pambuyo pokonzekera insulin ya nyama kapena pang'onopang'ono milungu ingapo kapena miyezi ingapo atasamutsidwa.

Kufunika kwa insulini kumatha kuchepa ndi kusakwanira kwa adrenal ntchito, pituitary kapena chithokomiro, ndi kufooka kwaimpso kapena chiwindi.

Ndi matenda ena kapena kupsinjika kwamalingaliro, kufunikira kwa insulin kungakulitse.

Kusintha kwa Mlingo kumafunikanso ndi zochitika zolimbitsa thupi kapena kusintha kwa zakudya zanu.

Zizindikiro zakutsogolo kwa hypoglycemia pa nthawi ya insulin yaumwini mwa odwala ena akhoza kutchulidwa kochepa kapena zosiyana ndi zomwe zimawonedwa panthawi ya insulin ya nyama. Ndi kusintha kwa matenda a shuga m'magazi, mwachitsanzo, chifukwa cha insulin yokwanira, zonse kapena zizindikiro zina za hypoglycemia zimatha, zomwe odwala ayenera kudziwitsidwa.

Zizindikiro zakutsogolo kwa hypoglycemia zimatha kusintha kapena kusalankhula pang'ono ndi njira yayitali ya matenda a shuga, matenda a shuga, kapena kugwiritsa ntchito beta-blockers.

Nthawi zina, thupi lanu siligwirizana chifukwa cha zochita za mankhwalawa, mwachitsanzo, kuyambitsa khungu ndi wothanduka kapena jakisoni wosayenera.

Nthawi zina chitukuko cha zonse matupi awo sagwirizana, chithandizo chofunikira chimafunika. Nthawi zina, kusintha kwa insulin kapena kukakamira kungafunike.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Panthawi ya hypoglycemia, kuthekera kwa wodala kuyang'anitsitsa kumatha kuchepa mphamvu ndipo kuchuluka kwa ma psychomotor zimatha kuchepa. Izi zitha kukhala zowopsa nthawi zomwe maluso amenewa amafunikira makamaka (kuyendetsa galimoto kapena makina ogwiritsa ntchito). Odwala ayenera kulangizidwa kuti azisamala kuti asamayendetse hypoglycemia poyendetsa. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi zofatsa kapena zosapezekapo zizindikiro za hypoglycemia kapena kukula pafupipafupi kwa hypoglycemia. Zikatero, adotolo amayenera kuwunika momwe wodwala angayendetsere galimoto.

Kuyanjana kwa mankhwala osokoneza bongo

Mphamvu ya Humulin ya hypoglycemic imachepetsedwa ndi kulera kwapakamwa, corticosteroids, kukonzekera kwa mahomoni a chithokomiro, thiazide diuretics, diazoxide, antidepressants tricyclic.

Mphamvu ya hypoglycemic ya Humulin imapangidwira ndi mankhwala amkamwa a hypoglycemic, salicylates (mwachitsanzo acetylsalicylic acid), sulfonamides, Mao inhibitors, beta-blockers, ethanol (mowa) ndi mankhwala okhala ndi ethanol.

Beta-blockers, clonidine, reserpine amatha kuphimba mawonetseredwe a zizindikiro za hypoglycemia.

Zotsatira zakusakanikirana kwa insulin ya anthu ndi insulin ya nyama kapena insulin ya anthu yopangidwa ndi opanga ena sizinaphunzire.

Zotsatira za mankhwala Humulin

Zofanizira zosanja zomwe zimagwira ntchito (ma insulins):

• Khalid
• Apidra
• Apidra SoloStar,
• B-Insulin S.Ts. Berlin Chemie,
• Berlinsulin,
• Biosulin
• Brinsulmidi
• Brinsulrapi
• Gensulin
• Depot insulin C,
• Isofan Insulin,
• Iletin
• Insulin aspart,
• Insulin glargine,
• Insulin glulisin,
• Insulin
• Tepi ya insulin,
• Insulin maxirapid,
• Insulin sungunuka
• Nkhumba insulin yoyeretsedwa kwambiri
• Insulinnt
• Insulin Ultralente,
• Insulin ya chibadwa cha anthu,
• Insulin yopanga anthu insulin
• Insulin yobwerezabwereza ya anthu
• Insulin Long QMS,
• Insulin Ultralong SMK,
• Insulong
• Insuman
• Insuran
• Pakati
• Comb Insulin S,
• Lantus
• Levemir,
• Mikstard
• Monoinsulin
• Monotard
• NovoMiks,
• NovoRapid Penfill,
• NovoRapid Flexpen,
• Pensulin,
• Protamine Insulin,
• Protafan
• Ryzodeg
• Rinsulin
• Rosinsulin,
• Tresiba Penfill,
• Tresiba FlexTouch,
• Ultratard
• Kunyumba
• Homorap
• Humalog,
• Humodar
• Humulin L,
• Humulin Wokhazikika,
• Humulin M3,
• Humulin NPH.

Kutulutsa Fomu

Khumulin ali ndi mitundu iwiri yotulutsidwa:

• mabotolo agalasi okonzekera 10 ml,
• makatoni olowetsera ma syringe ndi buku la 3 ml, zidutswa 5 papaketi.

Insulin imayendetsedwa mosavuta, osagwirizana. Kuwongolera kwa intravenous ndikotheka kwa mitundu ina - insulin "Humulin" Yokhazikika, chifukwa zina zonse ndizoletsedwa. Mankhwala a ultrashort amalowetsedwa m'mitsempha ngati pali vuto lalikulu la hypoglycemia, ndipo mokhazikika monga adokotala akuwunenera. "Humulin M3" - malangizowo akuwonetsa kuyankha kwakanthawi kothanirana.

Mankhwala "Humulin Lente" amapaka jekeseni ndi syringe wamba. Kuyimitsidwa kumawononga ndalama zochepa, koma kugwiritsa ntchito makatiriji kumakhala kosavuta kwambiri.

Pharmacodynamics ndi pharmacokinetics

Malinga ndi kufotokozedwa kwa boma, Humulin amatanthauza insulin. Zotsatira zazikulu ndikuti mankhwalawa amawongolera kagayidwe ka glucose. Kuphatikiza apo, imadziwika ndi anabolic action.Mu minofu ndi minyewa ina, koma osati muubongo, insulini imalimbikitsa kuyendetsa mofulumira kwa glucose ndi amino acid m'maselo, ndikuwonjezera kuchuluka kwa mapuloteni a anabolism. Palinso kutembenuka kwa glucose kukhala glycogen m'chiwindi, ndipo glucose owonjezera amasinthidwa kukhala mafuta.

Mankhwalawa amayamba kugwira ntchito ola limodzi pambuyo pa kukonzekera, kuchuluka kwake kumachitika pambuyo pa maola 2-8, ndipo nthawi yonse yowonekera kwake imafika mpaka maola 20. Nthawi yeniyeni zimadalira umunthu wa chida cha matenda ashuga, pa mankhwalawa, mankhwala.

Zizindikiro ndi contraindication

Pamaso pazisonyezo zotere, "Humulin" ingalembedwe:

• shuga mellitus - wodalira insulin komanso osadalira insulini,
• matenda amishuga azimayi apakati.

Musanatenge, ma contraindental amakumbukidwanso:

• Hypersensitivity ku gawo lililonse la kapangidwe kake,
• hypoglycemia.

Mukakhala ndi mwana, ndikofunikira kuti azimayi omwe ali ndi matenda ashuga aziona kuchuluka kwa shuga m'magazi. Kufunika, monga lamulo, kumachepera mu trimester yoyamba, kenako kwachiwiri ndi kwachitatu - kumawonjezeka. Mukamabereka komanso pambuyo pobadwa, vuto limatha kugwa kwambiri. Amayi ayenera kudziwitsa dokotala za kusintha kwakung'ono mu thanzi lawo. Ndi mkaka wa m'mawere, kusintha kwa muyezo wa mankhwala kungakhale kofunikira.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za insulin yokonzekera zonse ndi hypoglycemia. Fomu yolimba imatha kuchititsa kuti musamaiwale ngakhale kufa kumene osalandira chithandizo chamankhwala.

Komanso, kumayambiriro kwa jakisoni, zotulukapo zakomwe zingachitike:

M'masiku ochepa, chilichonse chimachoka popanda kusokonezedwa.

Zotsatira zoyipazi zimaphatikizapo:

• kuyamwa kofananira
• kupuma movutikira
• kuvutika kupuma
• dontho mu kuthamanga kwa magazi
• kugunda kwa mtima
• thukuta kwambiri.

Matenda oopsa amatha kukhala pachiwopsezo cha moyo.

Mlingo ndi bongo

Mlingo amasankhidwa ndi dokotala aliyense payekhapayekha, nthawi zonse poganizira kuchuluka kwa odwala glycemia. "Humulin" imayang'aniridwa pang'onopang'ono, nthawi zambiri musanadye m'mawa ndi madzulo musanadye kapena mutangomaliza kudya. Subcutaneous solution imatha kuperekedwa m'malo angapo: matako, ntchafu, phewa, pamimba. Masamba a jakisoni nthawi zonse amasinthidwa kuti malo omwewo asagwere pafupipafupi kamodzi pamwezi.

Mukamaperekera mankhwalawa, muyenera kuwunika mosamala kuti asalowe mchombo. Pambuyo pa jakisoni, sikulimbikitsidwa kuti tichite mankhwalawa. Wodwala ayenera kuphunzitsidwa njira ya jakisoni wokhazikika, malamulo pakukonzekera njira yothetsera vutoli, kugwiritsa ntchito makatiriji a ma syringe.

Malamulo ofunikira kwambiri ogwiritsa ntchito ma cartridge ndi ma syringe phukusi ndi awa:

• kuunikanso kukhulupirika kwa kapangidwe kake isanayambike insulin,
• Sizoletsedwa kugwiritsa ntchito yankho pokhapokha ngati mafunde akakhalabe mkati mwake mutasakanikirana, ndipo tinthu tating'ono timatsamira pansi ndi makhoma,
• makatoni amapangidwira kuti sangathe kusakanikirana ndi insulin,
• kuyambiranso katoni ndi koletsedwa,
• Zomwe zili mu bokosi ladzaza mu syringe ndendende molingana ndi kuchuluka kwa dokotala yemwe akupezekapo,
• ndikofunikira kutsatira bwino malangizo a opanga pakugwiritsa ntchito makatiriji kuchokera mukuyambiranso kulowa mu syringe ndikulowa ndi singano yosabala,
• singano imagwiritsidwa ntchito kamodzi, atangobayira jekeseni pogwiritsa ntchito kapu yakunja, imachotsedwa ndikuwonongeka m'njira yotetezeka.
• ukatha ntchito, chophimba chija chimayenera kuyikidwira
• makatoni kapena mbale amagwiritsidwa ntchito mpaka opanda kanthu, kenako,
• Syringe ya insulin iyenera kufanana ndi ndende yankho.

Ndi kukhazikitsa mlingo waukulu kwambiri wa mankhwala, wodwalayo akuyenera kuyamba kukhala ndi hypoglycemia. Monga lamulo, limathandizidwa ndi kuzizira, kugwedezeka, tachycardia, thukuta lalikulu. Nthawi zina zizindikiro zimachotsedwa, zomwe zimakhala zowopsa kwambiri chifukwa kutsika kwa shuga m'munsi mwa chizolowezi sikungalepheretse nthawi. Kuchepa mphamvu kwa chizindikiro cha matenda am'mimba kumayambitsa kukoka pafupipafupi kapena kukulitsa matenda a shuga.

Pachizindikiro choyamba cha kuchepa kwamphamvu kwa shuga, zovuta zina zomwe zimadza pambuyo pake zimatha kupewedwa ndikudya shuga, msuzi wa zipatso zotsekemera, ndi piritsi la shuga.

Ngati mulingo wambiri ndi wokwera kwambiri kuposa momwe angafunikire, pali chiopsezo chakuwopsezedwa kwambiri komanso ngakhale wodwala matenda a shuga. Wodwalayo adzafunika kuyambitsidwa kwa glucagon. Zinthu zodziwika mwadzidzidzi za anthu odwala matenda ashuga nthawi ya hypoglycemia amagulitsidwa ku malo ogulitsira - awa akuphatikizapo HypoKit, GlukaGen. Malo ogulitsa glucose m'chiwindi sakwanira, ndalama izi sizithandiza. Njira yokhayo yotulukamo ndi jekeseni wamagazi m'magazi. Zimafunikira kupulumutsa wozunzidwayo posachedwa, chifukwa vutolo limakulirakulira ndikuvutitsa zovuta zomwe sizingasinthe.

Kuchita

Kuchita kwa Humulin kumachepa ndi mankhwala otsatirawa:

• njira zakulera zopangira pakamwa,
• corticosteroids
• kukula kwamafuta
• mahomoni a chithokomiro,
• beta2-sympathomimetics
• diuretics a gulu la thiazide.

Mankhwala ena amatithandizanso kukhala ndi insulin, monga:

• ma salicylates - - aspirin, etc.,
• magazi kutsitsa mapiritsi
• sulfonamides,
• Mao zoletsa, ACE,
• kukonzekera ndi Mowa mu zikuchokera.

Reserpine ndi beta-blockers amatha kubisa mawonetsedwe akuukira kwa hypoglycemia.

Pazifukwa zina, adokotala angalimbikitse m'malo mwa Humulin ndi analogies. Odziwika kwambiri amaperekedwa pagome. Koma izi ziyenera kuchitidwa kokha ndi katswiri, ndizoletsedwa kusintha pawokha mankhwala kapena mlingo.

Sayansi yamakono yamapulogalamu imapereka chisankho chambiri m'malo mwa kukonzekera kwa insulin. Koma ndi dokotala wokhawo amene angapereke mankhwala ena, chifukwa onse amasiyana pakapangidwe kake komanso kutalika kwa vutoli.

Ndadwala matenda ashuga kwa zaka 12.Humulin ndiye mankhwala oyamba. Ndimagwiritsabe ntchito, shuga amasungidwa bwino, palibe kulumpha mwamphamvu, ndipo ndikumva bwino.

Kapangidwe ka ma cartridge ndi ma syringe pensulo ndikosavuta kwambiri, ndimagwiritsa ntchito mankhwalawa ndili ndi pakati, ndinabaya jakisoni wa Humulin insulin ndekha, monga adanenera dokotala. Mankhwalawa amathandizira kukhala ndi shuga wabwinobwino komanso kumva bwino.

Dotolo adandiuza Humulin kwa ine panthawi yoyembekezera. Poyamba, ndimawopa kugwiritsa ntchito mankhwalawa, chifukwa ndimakayikira momwe zimakhalira ndi khandalo. Dokotalayo adafotokozera kuti insulini iyi ndiyotetezeka konse kwa mwana wosabadwa. Shuga adabweranso mwachangu, mimba idayenda bwino, ndipo palibe zotsatirapo zake zoyipa.

Mankhwala amaperekedwa kuchokera ku pharmacies pokhapokha ngati akuchokera kwa dokotala. Amasungidwa mufiriji kutentha kwa madigiri 2 - 8, amaletsedwa kuzizira. Mukatsekedwa, moyo wa alumali ndi miyezi 24. Mutatsegula cartridge, iyenera kugwiritsidwa ntchito masiku 28 otsatira, osungidwa panthawiyi kutentha.

Botolo lokhala ndi yankho la mankhwalawa limatenga ma ruble 500. Makatoni mu phukusi la zidutswa 5 - ma ruble pafupifupi 1000. Makatoni okhala ndi cholembera - pafupifupi 1400 ma ruble. Federal Health Service imaphatikizira mankhwalawa pamndandanda waulere wa odwala matenda a shuga.