Insulin Apidra: mtengo, ndemanga, wopanga

Kusiyana pakati pa Tujeo ndi Lantus

Kafukufuku awonetsa kuti Toujeo amawonetsa kuyendetsa bwino glycemic mu mtundu 1 ndi mtundu wa 2 odwala matenda ashuga. Kutsika kwa glycated hemoglobin mu insulin glargine 300 IU sikunasiyana ndi Lantus. Chiwerengero cha anthu omwe adakwanitsa kufika pa HbA1c anali omwewo, kuwongolera kwa ma insulin awiriwo kunali kofanana. Poyerekeza ndi Lantus, Tujeo ali ndi kutulutsidwa pang'onopang'ono kwa insulin kuchokera ku mpweya wotentha, motero mwayi waukulu wa Toujeo SoloStar ndi mwayi wochepetsedwa wokhala ndi hypoglycemia yayikulu (makamaka usiku).

Zambiri mwatsatanetsatane wa Lantushttps: //sdiabetom.ru/insuliny/lantus.html

Ubwino wa Toujeo SoloStar:

• Kutalika kwa maola opitilira maola 24,
• kuchuluka kwa 300 PIECES / ml,
• jakisoni wocheperako (mayunitsi a Tujeo siali ofanana ndi ma insulini ena),
• chiopsezo chochepa cha kukhala ndi hypoglycemia yausiku.

Zoyipa:

• osagwiritsidwa ntchito pochiza matenda ashuga a ketoacidosis,
• chitetezo ndi kuchita bwino mwa ana ndi amayi apakati sizinatsimikizidwe,
• osatchulidwa matenda a impso ndi chiwindi,
• tsankho la munthu payekha.

Malangizo achidule ogwiritsira ntchito Tujeo

Ndikofunikira kupaka insulin mosakakamira kamodzi patsiku nthawi yomweyo. Sicholinga cholowetsa magazi mkati. Mlingo ndi nthawi ya makonzedwe zimasankhidwa payekha ndi dokotala wanu woyang'aniridwa ndi shuga wamagazi pafupipafupi. Ngati moyo kapena kusintha kwa thupi, kusintha kwa mlingo kungafunike. Matenda a diabetes a Type 1 amapatsidwa Toujeo 1 nthawi patsiku limodzi ndi jekeseni wa ultrashort insulin. Mankhwalawa glargin 100ED ndi Tujeo ndi osakhala amwano komanso osasinthika. Kusintha kuchokera ku Lantus kumachitika ndi kuwerengetsa kwa 1 mpaka 1, ena omwe amakhala akuchita insulin - 80% ya tsiku lililonse.

Sizoletsedwa kusakanikirana ndi ma insulini ena!

Malo ochezera a pa Intaneti akambirana mwachangu za zabwino ndi zovuta za Tujeo. Mwambiri, anthu amakhutira ndi zomwe Sanofi adachita. Izi ndi zomwe odwala matenda ashuga amalemba:

Ngati mumagwiritsa kale Tujeo, onetsetsani kuti mukugawana zomwe mwakumana nazo mu ndemanga!

• Insulin Protafan: malangizo, analogi, ndemanga
• Insulin Humulin NPH: malangizo, analogues, ndemanga
• Insulin Lantus Solostar: malangizo ndi kuwunika
• Syringe cholembera insulin: kuwunika kwa mitundu, ndemanga
• Satellite ya Glucometer: kuwunika kwa mitundu ndi kuwunika

Kodi kumwa insulini glulisin?

Imaperekedwa pang'onopang'ono 0-15 mphindi asanadye. Jakisoni amapangidwa m'mimba, ntchafu, phewa. Pambuyo pa jekeseni, simungathe kufinya jakisoni. Simungathe kusakaniza mitundu ingapo ya insulini mu syringe yomweyo, ngakhale kuti wodwalayo akhoza kupatsidwa ma insulin osiyanasiyana. Kubwezeretsanso yankho lisanayambike makonzedwe ake.

Musanagwiritse ntchito, muyenera kuyang'ana botolo. Ndikothekanso kusungitsa yankho mu syringe pokhapokha ngati yankho likuwonekera komanso lilibe tinthu tambiri.

Malangizo ogwiritsa ntchito cholembera

Khola lomweli liyenera kugwiritsidwa ntchito ndi wodwala m'modzi. Ngati yawonongeka, saloledwa kuigwiritsa ntchito. Musanagwiritse ntchito cholembera, fufuzani mosamala cartridge. Itha kugwiritsidwa ntchito pokhapokha yankho likakhala lomveka komanso lopanda zosayera. Cholembera chopanda kanthu ziyenera kutayidwa ngati zinyalala za pabanja.

Pambuyo pochotsa kapu, tikulimbikitsidwa kuti mulembe mayendedwe ndi yankho. Kenako ikani singano mosamala ndi cholembera. Mu chipangizo chatsopano, chizindikiro cha mankhwalawa chimawonetsa "8". Ntchito zina, ziyenera kuyikidwa pambali pa chizindikiro "2". Kanikizani batani la dispenser njira yonse.

Kugwira chiwongoladzanja, chotsani thovu lamkati podina. Ngati zonse zachitika molondola, dontho laling'ono la insulini limawonekera pamphumi ya singano. Chipangizocho chimakuthandizani kuti muyike mlingo kuchokera pa 2 mpaka 40 mayunitsi. Izi zitha kuchitika ndikutembenuza chotumiza. Kulipiritsa, batani la dispenser likulimbikitsidwa kuti lizikokedwa njira yonse.

Ikani singano m'matumba a subcutaneous. Kenako dinani batani njira yonse. Asanachotsere singano, iyenera kuchitidwa kwa masekondi 10. Pambuyo pa jakisoni, chotsani ndikuchotsa singano. Mulingo wake ukuonetsa kuchuluka kwa insulini yomwe imatsala mu syringe.

Ngati cholembera sichingagwire ntchito molondola, ndiye kuti yankho limatha kutengedwa kuchokera ku cartridge kupita ku syringe.

Zotsatira zoyipa za insulin glulisin

Zotsatira zoyipa kwambiri za insulin ndi hypoglycemia. Itha kuchitika chifukwa chogwiritsa ntchito mlingo waukulu wa mankhwalawa. Zizindikiro zakuchepa kwa shuga m'magazi zimayamba pang'onopang'ono:

• thukuta lozizira
• khungu komanso kuzirala kwa khungu,
• kutopa kwambiri
• chisangalalo
• zosokoneza zowoneka
• kugwedezeka
• nkhawa zazikulu
• chisokonezo, zovuta kuyang'ana,
• kumva kupweteka m'mutu,
• palpitations.

Zotsatira zoyipa za mankhwalawa zimatha kuoneka ngati kunjenjemera.

Zotsatira zoyipa za mankhwalawa zimatha kudziwonetsa ngati mukugalamuka.

Zotsatira zoyipa za mankhwalawa zitha kuonekera ngati mukugunda kwamtima.

Zotsatira zoyipa za mankhwalawa zimatha kudziwonetsa mu mawonekedwe a kutopa kwamphamvu.

Zotsatira zoyipa za mankhwalawa zimatha kuoneka ngati vuto lakumaso.

Zotsatira zoyipa za mankhwalawa zitha kuoneka ngati zosokoneza.

Zotsatira zoyipa za mankhwalawa zimatha kuwoneka ngati thukuta lozizira.

Hypoglycemia ikhoza kuchuluka. Uku ndikuwopseza moyo, chifukwa kumayambitsa kusokonezeka kwa ubongo, ndipo m'malo ovuta kwambiri - imfa.

Pa khungu

Pa malo a jakisoni, kuyabwa ndi kutupa kumachitika. Kuchita koteroko kwa thupi kumakhala kwakanthawi, ndipo simuyenera kumwa mankhwala kuti muchotse. Mwina chitukuko cha lipodystrophy mwa akazi pamalo opangira jakisoni. Izi zimachitika ngati zalembedwa pamalo amodzi. Kuti izi zisachitike, tsamba la jakisalo liyenera kusinthidwa.

Ndizachilendo kwambiri kuti mankhwala amatha kuyambitsa ziwopsezo.

Zokhudza mphamvu pakuwongolera njira

Ndi hypoglycemia, ndizoletsedwa kuyendetsa galimoto kapena kugwiritsa ntchito njira zovuta.

Kusamutsa wodwala ku mtundu watsopano wa insulin kumachitika kokha moyang'aniridwa ndi achipatala. Nthawi zina, chithandizo cha hypoglycemic chingafunikire. Mukamasintha zolimbitsa thupi, muyenera kusintha mlingo wake.

Gwiritsani ntchito mu ukalamba

Mankhwalawa amatha kugwiritsidwa ntchito mukalamba. Mankhwala osokoneza bongo safunikira.

Insulin yamtunduwu imatha kuperekedwa kwa ana azaka zopitilira zisanu ndi chimodzi.

Popereka mankhwala awa kwa amayi apakati, muyenera kusamala kwambiri. Ndikofunikira kuyeza shuga m'magazi.

Insulin yamtunduwu imatha kuperekedwa kwa ana azaka zopitilira zisanu ndi chimodzi.

Osasintha kuchuluka kwa mankhwalawa omwe amaperekedwa ndi mankhwalawo othandizira kuwonongeka kwa impso.

Gwiritsani ntchito pa nthawi yoyembekezera

Pali umboni wochepa wokhudza kugwiritsa ntchito mankhwalawa panthawi ya bere komanso poyamwitsa. Kafukufuku wazinyama wa mankhwalawa sanawonetse zotsatira zam'mimba.

Popereka mankhwala awa kwa amayi apakati, muyenera kusamala kwambiri. Ndikofunikira kuyeza shuga m'magazi.

Odwala omwe ali ndi vuto la matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi. Pa trimester yoyamba, zofunika za insulin zimatha kuchepera pang'ono. Kaya insulin idutsa mkaka wa m'mawere sichikudziwika.

The ntchito aimpso kuwonongeka

Osasintha kuchuluka kwa mankhwalawa omwe amaperekedwa ndi mankhwalawo othandizira kuwonongeka kwa impso.

Kugwiritsa ntchito kwa vuto la chiwindi

Maphunziro azachipatala kwa odwala omwe ali ndi vuto la chiwindi ntchito sanachitepo.

Glulisin insulin kwambiri

Pogwiritsa ntchito mlingo wambiri, hypoglycemia imakula msanga, ndipo digiri yake imatha kukhala yosiyana - kuyambira yofatsa mpaka yamphamvu.

Magawo a hypoglycemia ofatsa amaletsedwa kugwiritsa ntchito shuga kapena shuga. Ndikulimbikitsidwa kuti odwala nthawi zonse azikhala ndi maswiti, makeke, msuzi wokoma, kapena zidutswa za shuga woyengedwa nawo limodzi.

Ndi kuchuluka kwambiri kwa hypoglycemia, munthu amasiya kuzindikira. Glucagon kapena dextrose amaperekedwa ngati thandizo loyamba. Ngati palibe chochitika pakayendetsedwe ka glucagon, ndiye kuti jakisoni yemweyo imabwerezedwa. Pambuyo podzikanso, muyenera kupatsa wodwalayo tiyi wokoma.

Kuchita ndi mankhwala ena

Mankhwala ena amatha kuthana ndi shuga kagayidwe. Izi zimafunikira kusintha kwa insulin. Mankhwala otsatirawa amalimbikitsa hypoglycemic zotsatira za Apidra:

• othandizira otsegula pakamwa,
• ACE zoletsa
• Ma Disopyramides,
• mafupa
• Fluoxetine,
• monoamine oxidase zoletsa zinthu
• Pentoxifylline
• Propoxyphene,
• salicylic acid ndi zotumphukira zake,
• sulfonamides.

Pentoxifylline imachulukitsa mphamvu ya Apogra.

Fluoxetine imawonjezera mphamvu ya Apogra.

Salicylic acid imawonjezera mphamvu ya Apogra.

Disopyramide imawonjezera mphamvu ya Apogra.

Mankhwala oterewa amachepetsa ntchito ya insulin:

• GKS,
• Danazole
• Diazoxide
• okodzetsa
• Isoniazid,
• Phenothiazine zotumphukira
• Kukula kwamafuta,
• chithokomiro cha chithokomiro,
• mahomoni ogonana achikazi omwe amapezeka mu mankhwala oletsa kubereka,
• zinthu zomwe zimalepheretsa mapuloteni.

Beta-blockers, clonidine hydrochloride, kukonzekera kwa lifiyamu kungakulitse, kapena,, kufooketsa ntchito ya insulin. Kugwiritsidwa ntchito kwa pentamidine kumayambitsa hypoglycemia, kenako kuwonjezeka kwakuchuluka kwa glucose wamagazi.

Insulin sikuyenera kusakanikirana ndi mitundu ina ya mahomoni awa mu syringe yomweyo. Zomwezo zimagwiranso ntchito ndi mapampu a kulowetsedwa.

Kuyenderana ndi mowa

Kumwa mowa kumatha kuyambitsa hypoglycemia.

Ma fanizo a Glulisin ndi awa:

• Apidra
• Novorapid Flekspen,
• Epidera
• insulin isophane.

Novorapid (NovoRapid) - analogue ya insulin ya anthu

Kukonzekera kwa Isofan insulin (Isofan insulin)

Momwe muyenera kuperekera insulin? Njira yolowa ndi insulin

Zosungidwa zamankhwala

Makatoni ndi mbale osatsegulidwa ziyenera kusungidwa mufiriji yokha. Kuzizira kwa insulin sikuloledwa. Mbale ndi ma cartridge otseguka amasungidwa pa kutentha osaposa + 25ºC.

Mankhwalawa ndi oyenera kwa zaka ziwiri. Moyo wa alumali mu botolo lotseguka kapena makatoni ndi milungu inayi, pambuyo pake uyenera kutayidwa.

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Apidra ya amayi apakati

Kukhazikitsidwa kwa mankhwalawa kwa amayi apakati kuyenera kuchitika mosamala kwambiri. Kuphatikiza apo, mkati mwa chithandizo chotere, kuyang'anira kuchuluka kwa shuga wamagazi kuyenera kuchitika pafupipafupi. Ndikulimbikitsidwa kuti:

• odwala omwe adapezeka kuti ali ndi matenda a shuga nthawi yomweyo asanabadwe kapena omwe adapanga matenda omwe amadziwika kuti ndi azimayi oyembekezera, ndikulimbikitsidwa nthawi yonseyo kuti azitha kuyang'anira mayendedwe a glycemic,
• munthawi yoyamba kubereka, kufunikira kwa oyimira akazi kugwiritsa ntchito insulin kumatha kuchepa msanga,
• monga chilamulo, chachiwiri ndi chachitatu, chidzachuluka,
• pambuyo pakupereka, kufunika kogwiritsa ntchito gawo la mahomoni, kuphatikiza Apidra, kudzacheperanso.

Tiyeneranso kukumbukira kuti azimayi omwe akukonzekera kukhala ndi pakati amakakamizidwa kudziwitsa dokotala wawo za izi.

Ndikofunikanso kukumbukira kuti sizikudziwika kwathunthu ngati insulin-glulisin imatha kudutsa mwachindunji mkaka wa m'mawere.

Kuthilira uku kwa insulin yaumunthu kungatengedwe panthawi yapakati, koma chitani zinthu mosamala, kuwunika kuchuluka kwa shuga ndipo, kutengera ndi iwo, sinthani mlingo wa mahomoni. Monga lamulo, munthawi yoyamba kubereka, mlingo wa mankhwalawa umachepa, ndipo wachiwiri ndi wachitatu, umayamba kuwonjezeka. Pambuyo pobala, kufunika kwa mlingo waukulu wa Apidra kutha, ndiye kuti mankhwalawa amayambiranso.

Palibe maphunziro azachipatala pakugwiritsa ntchito Apidra pa nthawi yapakati. Zambiri zomwe zimagwiritsidwa ntchito pakugwiritsa ntchito insulayi ndi amayi apakati sizikusonyeza kuyipa kwake pakubadwa kwa mwana wosabadwa, njira yoyembekezera, kapena mwana wakhanda.

Kuyesedwa kwa kubereka nyama sikunawonetse kusiyana kulikonse pakati pa insulin ya munthu ndi insulin glulisin pokhudzana ndi kakulidwe ka embryonic / fetal, pakati, ntchito ndi kubereka.

Amayi oyembekezera akuyenera kupatsidwa Apidra mosamala ndi kuyang'anira kuwunika kwa plasma glucose komanso kayendedwe ka glycemic.

Amayi oyembekezera omwe ali ndi vuto la matenda ashuga amayenera kudziwa kuchepetsedwa kwa kufunikira kwa insulin panthawi yoyamba ya kubereka, kuwonjezeka kwa trimester yachiwiri ndi yachitatu, ndi kuchepa msanga pambuyo pobala.

Mimba Zambiri zomwe sizipezeka pakugwiritsa ntchito insulin glulisin mwa amayi apakati.

Kafukufuku wolera nyama sanawonetse kusiyana kulikonse pakati pa insulin glulisin ndi insulin yaumunthu pokhudzana ndi kutenga pakati, fetal / fetal, kubereka mwana ndi chitukuko cha pambuyo pake.

Popereka mankhwala kwa amayi apakati, chisamaliro chikuyenera kuthandizidwa. Kuwunikira mosamala kuchuluka kwa shuga m'magazi kumafunika.

Odwala omwe ali ndi pakati asanabadwe kapena matenda ashuga ayenera kusamalira kagayidwe koyenera panthawi yonse yomwe ali ndi pakati. Munthawi yoyamba kubereka, kufunika kwa insulini kumatha kuchepa, ndipo panthawi yachiwiri komanso yachitatu, imatha kuchuluka. Pambuyo pobadwa, insulini imafuna kuchepa mwachangu.

Zambiri pazakugwiritsira ntchito insulin-glulisin ndi amayi apakati sizipezeka. Kuyesa kwachilengedwe kwa zinyama sikunawonetse kusiyana kulikonse pakati pa insulle ya insulle ya munthu ndi insulin-glulisin pokhudzana ndi pakati, kukula kwa fetal, kubereka mwana ndi chitukuko cha pambuyo pake.

Komabe, amayi apakati amayenera kupereka mankhwalawa mosamala kwambiri. Munthawi ya chithandizo, kuwunika shuga kumayang'aniridwa pafupipafupi.

Odwala omwe anali ndi matenda ashuga asanabadwe kapena omwe adayambitsa matenda a shuga kwa amayi apakati ayenera kukhalabe ndi vuto la glycemic nthawi yonseyi.

Munthawi yoyamba kubereka, kufunikira kwa wodwala ka insulin kumatha kuchepa. Koma, monga lamulo, mu trimesters wotsatira, zimawonjezeka.

Pambuyo pobereka, kufunikira kwa insulin kumacheperanso. Amayi omwe akukonzekera kutenga pakati ayenera kudziwitsa woyang'anira wawo zaumoyo za izi.

Pochiza azimayi panthawi yoyembekezera komanso mkaka wa m'mawere, gwiritsani ntchito mosamala - ndibwino kugwiritsa ntchito mitundu ya insulin.

Achire zotsatira za mankhwala

Chochita chofunikira kwambiri cha Apidra ndiko kuyamwa kwa kagayidwe kazigazi m'magazi, insulin imatha kutsitsa shuga, potero imapangitsa kuyamwa kwake ndi zotumphukira:

Insulin imalepheretsa kupanga shuga mu chiwindi cha wodwala, adipocyte lipolysis, proteinol, ndikuwonjezera kupanga mapuloteni.

M'maphunziro omwe amachitika pa anthu athanzi komanso odwala matenda a shuga, zidapezeka kuti kupindika kwa glulisin kumathandizira msanga, koma kwakanthawi kochepa, poyerekeza ndi insulin yaumunthu.

Ndi subcutaneous makonzedwe a mankhwala, mphamvu ya hypoglycemic idzachitika pakangodutsa mphindi 10 mpaka 20, ndi jekeseni wothandizirana ndi mankhwalawa ndi wolingana ndi mphamvu ya insulin ya anthu. Chipinda cha Apidra chimadziwika ndi ntchito ya hypoglycemic, yomwe imafanana ndi gawo la insulin ya anthu osungunuka.

Apidra insulin imayendetsedwa kwa mphindi 2 chakudya chisanachitike, chomwe chimapangitsa kuti pakhale vuto la postprandial glycemic, lofanana ndi insulin yaumunthu, yomwe imaperekedwa kwa mphindi 30 asanadye. Tiyenera kudziwa kuti kuwongolera kotereku ndiko kwabwino koposa.

Ngati glulisin imayikidwa pakatha mphindi 15 itatha kudya, imatha kukhala ndi kayendetsedwe ka magazi a shuga, omwe amafanana ndi insulin ya anthu omwe amapatsidwa mphindi ziwiri asanadye.

Insulin imakhala m'magazi kwa mphindi 98.

Kufotokozera za mtundu wa kipimo

Mankhwala ayenera kuperekedwa ndi subcutaneous jakisoni, komanso kulowetsedwa mosalekeza. Ndikulimbikitsidwa kuti muchite izi mwapadera minofu yamafuta ochepa komanso mafuta pogwiritsa ntchito pulogalamu yapadera yopopera.

Jakisoni wotsekemera uyenera kuchitika mu:

Kubweretsa Apidra insulin pogwiritsa ntchito kulowetsedwa kosalekeza kapena minofu yamafuta kuyenera kuchitika m'mimba. Madera omwe samaba jakisoni wokha, komanso ma infusions omwe adapangidwa kale, akatswiri amalimbikitsa kusinthana wina ndi mnzake pakukhazikitsa kwatsopano kwa chinthucho.

Zinthu monga dera lodzala, zochitika zolimbitsa thupi, ndi zina “zoyandama” zimatha kukhala ndi chiyambukiro pakukula kwa mayamwidwe ndipo, monga chotulukapo chake, pakubweretsa komanso kuchuluka kwake.

Kukhomeredwa pansi kwa khoma lam'mimba kumakhala chotsimikizika cha mayamwidwe ambiri kuposa kumizidwa m'malo ena a thupi. Onetsetsani kuti mwatsata malamulo osamala kuti musatenge mankhwala oikidwa m'mitsempha yamagazi.

Imawonjezera mphamvu ya insulin:

• m`kamwa hypoglycemic wothandizira
• disopyramids
• ACE zoletsa ndi Mao,
• fluoxetine
• sulfonamide antimicrobial agents,
• propoxyphene
• mafupa
• pentoxifylline
• salicylates.

Tasiya mphamvu zake:

• GKS,
• mitundu yosiyanasiyana ya okodzetsa
• danazol
• isoniazid
• diazoxide
• amphanomachul
• salbutamol,
• phenothiazine zotumphukira,
• somatropin,
• estrogens, progestin,
• epinephrine
• antipsychotic mankhwala
• terbutaline
• mahomoni a chithokomiro,
• proteinase zoletsa.

Mankhwala monga beta-blockers, salt salt, ethanol, clonidine amatha kukhala ndi zochita zambiri. Zizindikiro za chigoba cha hypoglycemia: beta-blockers, reserpine, clonidine, guanethidine.

Mukamapereka mankhwala, dokotala yemwe akuyenera kulandira chithandizo ayenera kudziwa za ndalama zomwe zatchulidwa.

Kugwirizana ndi insulin isophane yamunthu. Zosagwirizana ndi njira zina zamankhwala.

Ndemanga za Apidra ya mankhwalawa, komanso ma insulini ena onse, zimabwera ku chinthu chimodzi, ngati mankhwalawa adabwera ndi izi kapena munthu ameneyo. Panthawi yomwe mankhwala a Apidra ali oyenera kwa wodwalayo, palibe zodandaula zilizonse pakuyenda kwake komanso chitetezo. Kusavuta kogwiritsa ntchito zolembera za SoloStar syringe ndi kulondola kwa insulin dosing mwa izo zimadziwikanso.

Ndemanga zabwino kwambiri. Kuchita bwino, kuchitapo kanthu mwachangu kumadziwika. Zotsatira zoyipa ndizosowa kwambiri, mankhwalawa amagwiritsidwa ntchito kuphatikiza pamodzi.

Maria: “Kwa nthawi yayitali ndakhala ndikuchiza matenda ashuga a 2. Posachedwa, sizotheka nthawi zonse kuchepetsa kulumpha kwa shuga mukudya. Dotolo adandiwuza kuti ndiyesere Apidra kuphatikiza ndimankhwala anga ena. Ndakhala ndikugwiritsa ntchito kwa miyezi ingapo tsopano, osadandaula. Chachikulu ndichakudya cholondola. Zakudya zamafuta kwambiri siziyenera kudyedwa mulimonse. Koma zotsatira zake ndizomwe mukufuna. Ndimakondwera ndi mankhwalawa. ”

Alina: “Nthawi zambiri ndimakumana ndi zoti insulini yanga yokhala nthawi yayitali siyikwanira tsiku lonse. Pambuyo pa hypoglycemia wodekha kamodzi, adapita kwa dokotala kuti akamwe mankhwala ena. Adayikira Apidra. Zotsatira zake zimakhala zachangu, zokhazikika. Ndikokwanira muzochitika izi pamene mukufunikira kusintha msanga msanga. Tsopano sindingadandaule ndikudya kunja kwa nyumbayo. Ndimakonda kwambiri mankhwalawa. ”

1. Mtengo wa Apidra SoloStar, mugule kuti Apidra SoloStar ku Moscow?
2. Syringe cholembera insulin - momwe mungagwiritsire ntchito ndikusankha zabwino kwambiri
3. Lantus - malangizo, ntchito, malangizo
4. Ma antibodies kupita ku insulin - mitengo ku Moscow

Malangizo ogwiritsira ntchito mankhwalawa

Chizindikiro chogwiritsira ntchito insulin Apidra SoloStar ndimatenda a shuga a mtundu woyamba ndi wachiwiri, mankhwalawa amatha kuperekedwa kwa akulu ndi ana opitilira zaka 6. Contraindication imakhala hypoglycemia ndi tsankho la munthu pazinthu zilizonse za mankhwalawa.

Panthawi yapakati komanso yoyamwitsa, Apidra imagwiritsidwa ntchito mosamala kwambiri.

Insulin imayendetsedwa musanadye kapena mphindi 15 isanachitike. Amaloledwanso kugwiritsa ntchito insulin mukatha kudya. Nthawi zambiri, Apidra SoloStar amalimbikitsidwa pakatikati insulin chithandizo regimens, wokhala ndi insulin analogues. Kwa odwala ena, amatha kutumizidwa limodzi ndi mapiritsi a hypoglycemic.

Mlingo wa payekha payekha uyenera kusankhidwa kwa aliyense wodwala matenda ashuga, poganizira kuti ngati kulephera kwaimpso, kufunika kwa timadzi totere kumachepetsedwa kwambiri.

Mankhwala amaloledwa kuperekedwa mosavuta, kulowetsedwa m'dera la mafuta onunkhira. Malo osavuta kwambiri oyendetsera insulin:

Pakufunika kulowetsedwa kosalekeza, mawu oyambawo amachitika kokha m'mimba. Madokotala amalimbikitsa kwambiri kusinthitsa malo owonetsera jakisoni, onetsetsani kuti mukusunga chitetezo. Izi zimalepheretsa kulowa kwa insulin kulowa m'mitsempha yamagazi. Dongosolo la subcutaneous makoma a m'mimba ndi chitsimikizo cha kuyamwa kwa mankhwalawo kuposa momwe amapangira mbali zina za thupi.

Pambuyo jakisoni, koletsedwa kutikita minofu jakisoni, adotolo afotokozere izi pamwambowo mwachidule pa njira yolondola yothandizira mankhwalawo.

Ndikofunikira kudziwa kuti mankhwalawa sayenera kukhala osakanikirana ndi ma insulin ena, kusiyanitsa ndi lamulo ili ndi insulin Isofan. Ngati musakaniza Apidra ndi Isofan, muyenera kuyiyimbira kaye ndipo nthawi yomweyo kumata.

Cartridges iyenera kugwiritsidwa ntchito ndi cholembera cha sytinge ya OptiPen Pro1 kapena ndi chipangizo chofananira, onetsetsani kuti mwatsata zomwe wopangitsayo akupanga:

1. kudzaza katoni
2. kulowa ndi singano
3. kuyambitsa kwa mankhwala.

Nthawi iliyonse musanagwiritse ntchito chipangizocho, ndikofunikira kuti mufufuze; yankho la jekeseni liyenera kukhala lowonekera kwambiri, lopanda mtundu, lopanda mawonekedwe olimba.

Asanaikidwe, cartridge iyenera kusungidwa kutentha kwa maola osachepera 1-2 maola, isanayambike insulin, mpweya umachotsedwa mu cartridge. Makatoni ogwiritsidwanso ntchito sayenera kudzazidwanso; cholembera chija sichitha. Mukamagwiritsa ntchito pampu yopopa pampu kuti mupange insulin yopitilira, kusakaniza ndizoletsedwa!

Kuti mumve zambiri, chonde werengani malangizo oti mugwiritse ntchito. Otsatirawa amadwala mosamalitsa:

• ndi mkhutu waimpso ntchito (pakufunika kuwunikanso mlingo wa insulin),
• ndi vuto la chiwindi (kusowa kwa mahomoni kungachepe).

Palibe chidziwitso pa maphunziro a pharmacokinetic a mankhwalawa odwala okalamba, komabe, ziyenera kukumbukiridwa kuti gulu ili la odwala lingachepetse kufunikira kwa insulin chifukwa cha kuwonongeka kwa aimpso.

Mbale za Apidra insulin zitha kugwiritsidwa ntchito ndi insulin yokhala ndi insulin, syringe ya insulini yokhala ndi muyeso woyenera. Pakapita jakisoni aliyense, singano imachotsedwa mu cholembera ndikuchotsa. Njirayi ikuthandizira kupewa matenda, kutayikira kwa mankhwala osokoneza bongo, kulowa kwa mpweya komanso kutsekeka kwa singano. Simungayesere thanzi lanu ndikugwiritsanso ntchito singano.

Popewa matenda, cholembera chodzazidwa chimangogwiritsidwa ntchito ndi wodwala m'modzi yekha, sichitha kusamutsidwa kwa anthu ena.

Milandu yama bongo osokoneza bongo ndi zovuta zina

Nthawi zambiri, wodwala yemwe ali ndi matenda ashuga amatha kukhala osafunikira monga hypoglycemia.

Nthawi zina, mankhwalawa amachititsa kuti pakhale zotupa pakhungu ndipo amatupa pamalo a jekeseni.

Nthawi zina ndimafunso a lipodystrophy mu shuga mellitus, ngati wodwalayo sanatsate malangizowo pakusinthana kwa malo a jakisoni a insulin.

Zina zomwe zimayambitsa matendawa ndi monga:

1. chokoletsa, urticaria, matupa a chifuwa chachikulu (pafupipafupi),
2. chifuwa cholimba (chosowa).

Ndi chiwonetsero chazomwe zimachitika mthupi mwake, pamakhala ngozi pa moyo wa wodwalayo. Pachifukwa ichi, ndikofunikira kuti mukhale ndi chidwi ndi thanzi lanu ndikumvera zosokoneza zake zazing'ono.

Pakakhala vuto losokoneza bongo, wodwalayo amakhala ndi vuto loti azisinthasintha. Pankhaniyi, chithandizo chikusonyezedwa:

• hypoglycemia - kugwiritsa ntchito zakudya zomwe zimakhala ndi shuga (odwala matenda ashuga ayenera kukhala nawo nthawi zonse)
• kwambiri hypoglycemia ndi kutaya chikumbumtima - kuyimitsidwa kumachitika ndi kuperekera 1 ml ya glucagon subcutaneily kapena mu mnofu, glucose amatha kutumikiridwa kudzera mu minyewa (ngati wodwalayo sayankha glucagon).

Wodwala akangobwerera kumene, ayenera kudya zakudya zochepa.

Chifukwa cha hypoglycemia kapena hyperglycemia, pamakhala mwayi woti wodwalayo azikhala wokhazikika, asinthe kuthamanga kwa zochitika zama psychomotor. Izi zimadzetsa chiwopsezo poyendetsa magalimoto kapena machitidwe ena.

Chidwi chachikulu chiyenera kuperekedwa kwa odwala matenda ashuga omwe ali ndi vuto lochepa kapena osazindikira kwenikweni zomwe zingayambitse vuto la hypoglycemia. Ndikofunikanso pakanthawi kambiri ka shuga kakang'ono kwambiri.

Odwala otere ayenera kusankha pazomwe angayendetsere magalimoto ndi machitidwe ake pawokha.

Malangizo ena

Ndi kugwiritsidwa ntchito komweko kwa insulin Apidra SoloStar ndi mankhwala ena, kuwonjezeka kapena kuchepa kwa chiyembekezo cha chitukuko cha hypoglycemia kumatha kuchitika, ndichizolowezi chathu kuphatikiza njira izi:

1. matenda amkamwa,
2. ACE zoletsa
3. mafupa
4. Ma Disopyramides,
5. Mao zoletsa
6. Fluoxetine,
7. Pentoxifylline
8. salicylates,
9. Propoxyphene,
10. sulfonamide antimicrobials.

Zotsatira za hypoglycemic zimatha kuchepa kangapo ngati insulin glulisin imayikidwa limodzi ndi mankhwala: diuretics, phenothiazine, mahomoni a chithokomiro, proteinase inhibitors, antipsychotropic, glucocorticosteroids, Isoniazid, Phenothiazine, Somatropin, sympathomimetics.

Pentamidine wa mankhwala pafupifupi amakhala ndi hypoglycemia ndi hyperglycemia. Ethanol, mchere wa lithiamu, beta-blockers, mankhwala a Clonidine amatha kukhala ndi mphamvu ndikuchepetsa mphamvu ya hypoglycemic.

Ngati kuli kofunikira kusamutsa munthu wodwala matenda ashuga kupita ku mtundu wina wa insulin kapena mtundu wina wa mankhwala, kuyang'aniridwa ndi dokotala ndikofunikira. Ngati mulingo wambiri wa insulin wagwiritsidwa ntchito kapena wodwala akangosankha zochita kuti asankhe kusiya kumwa, izi zipangitsa kuti:

• kwambiri hyperglycemia,
• matenda ashuga ketoacidosis.

Zinthu zonsezi zimawopseza wodwalayo.

Ngati kusinthika kwazomwe zikuchitika panjira yamagalimoto, kuchuluka ndi kuchuluka kwa chakudya chamagwiritsidwe, kusintha kwa Apidra insulin kungafunike. Zochita zolimbitsa thupi zomwe zimachitika mukangodya chakudya zimatha kuwonjezera mwayi wa hypoglycemia.

Wodwala yemwe ali ndi matenda ashuga amasintha kufunika kwa insulini ngati ali ndi matenda ochulukirapo kapena odwala. Mtunduwu umatsimikiziridwa ndikuwunika, madokotala komanso odwala.

Apidra insulin imayenera kusungidwa m'malo amdima, omwe ayenera kutetezedwa kwa ana kwa zaka ziwiri. Kutentha kwabasi kosungira mankhwalawa kumachokera ku madigiri 2 mpaka 8, ndizoletsedwa kuti amasule insulin!

Pambuyo pakuyamba kugwiritsa ntchito, makatiriji amasungidwa pamtunda wosaposa 25 digiri, ali oyenera kugwiritsidwa ntchito kwa mwezi umodzi.

Zambiri za Apidra insulin zimaperekedwa mu kanema munkhaniyi.