Moyo sunadziwike: Odwala matenda ashuga aku Russia akuda nkhawa kuti akusamutsidwa kupita ku insulin yaku Russia pansi pa pulogalamu yolowa nawo

Pakadali pano ku Russia kuli anthu pafupifupi mamiliyoni 10 omwe amapezeka ndi matenda a shuga. Matendawa, monga momwe mukudziwira, amakhudzana ndi kuphwanya kwa insulin ndi maselo a kapamba, omwe amachititsa kagayidwe kamunthu m'thupi.

Kuti wodwalayo azikhala bwino, amafunika kubayira jakisoni tsiku lililonse.

Masiku ano zinthu zili choncho kuti oposa 90 peresenti ya mankhwalawa ndi achilendo omwe amapangidwa pamsika wazinthu zamankhwala - izi zimagwiranso ntchito pa insulin.

Pakadali pano, dziko lino likuyang'anizana ndi ntchito yodalitsa kuti apange mankhwala ofunikira. Pachifukwa ichi, masiku ano zoyesayesa zonse zikufuna kuonetsetsa kuti insulin yakunyumba ikhale chiwongola dzanja cha mahomoni odziwika apadziko lonse lapansi.

Kumasulidwa kwa insulin yaku Russia

Bungwe Loona za Umoyo Padziko Lonse lalimbikitsa kuti mayiko omwe ali ndi anthu opitilira 50 miliyoni adzipanga okha kupanga insulini kuti odwala matenda ashuga asamve zovuta chifukwa chabuluku.

Zaka zaposachedwa, mtsogoleri wopanga mankhwala opangidwa ndi majini mdziko muno akhala a Geropharm.

Ndi iye, yekhayo ku Russia, yemwe amapanga ma insulins apakhomo mu mawonekedwe a zinthu ndi mankhwala. Pakadali pano, insulin Rinsulin R yochepa-pang'ono ndi insulin Rinsulin NPH imapangidwa pano.

Komabe, kwakukulu, kupanga sikukhalira pamenepo. Pokhudzana ndi momwe ndale zilili mdziko muno komanso zakayikiridwa pazopanga zakunja, Purezidenti wa Russia Vladimir Putin adalangiza kuti atenge nawo mbali zonse pantchito yopanga insulini ndikuwunikira mabungwe omwe alipo.

Amakonzedwanso kuti apange zovuta zonse mumzinda wa Pushchina, momwe mitundu yonse ya mahomoni idzapangidwe.

Zaumoyo

chisokonezo chomwe ndidasinthira kuchokera ku lantusan tujeo shuga adachepera pa lantus popeza kudumphira kunali kinda kwachilendo tsopano koma tsopano ndidadwala ndi kachilomboka tsopano ndidzawonanso zomwe Mlingo ungafanane 42 kulibe ndipo osapita mumasokonezo palibe mikwingwirima

Tujeo ndi mtundu womwewo wa INN glargine, koma m'mapangidwe opangidwa bwino kuchokera ku MTIMA ndi wopanga yemweyo - Sanofi Aventis. Tujeo ndiwabwino kwa odwala matenda ashuga chifukwa akaperekedwa mosawerengeka, samayambitsa matenda obwera chifukwa cha mankhwalawa chifukwa samapereka kusinthika kwachilengedwe ku Lantus. Lantus amakhala ndi glargine 100ED pa 1 ml, ndipo ku Tujeo 300 IU pa ml, ndiko kuti, glargine imangokhala yokhazikika kuposa ku Lantus. Maphunziro azachipatala ambiri adawonetsa motsimikiza komanso motsimikiza kuti Tujeo ndiwabwino kuposa Lantus. Sangalalani chifukwa chokupatsani tujeo. Zachilendo, koma adokotala amayenera kufotokoza izi ndikufotokozera kusiyana.

Kodi maphunzirowo adachitikira ndi ndani, ndipo

Ndiye chifukwa chake mumanama, hypoglycemia usiku imachitika nthawi zambiri, ndipo m'mawa kwambiri mashuga. Dziwani zaka 22. Izi zisanachitike, zonse zinali bwino pa lantus.

Nkhani yopanda kuwerenga. Lantus ndi Tujeo ndi mmodzi mwa opanga, Sanofi. Zopangira zofunikira zimatsanulidwa kuchokera kwa ife. Kodi Lantus adakhala Russia ndi mantha otani?

Lantus tsopano amadziwika kuti ndi mgwirizano. Wopanga - Sanofi Vostok. Ndipo Tujeo amangopangidwa kunja. Wopangayo ndi Sanofi, ndipo Sanofi Vostok amangonyamula katundu.

Ndikudwala kwa zaka 12 ndi mtundu woyamba, mwina ndinayesera ma insulin onse, kupatula nkhumba, NovoNordisk ndi Humulin ndi ena aku China, sindikukumbukira dzinalo, komanso Rinsulin. Moona mtima, sindikuwona kusiyana kwakukulu. Koma mwina tikonza izi)))

China chake chachilendo chomwe mumalemba. Zimawoneka kuti sukudwala konse. M'magulu onse odwala matenda ashuga, ndimabwereza - ONSE, kupatula apo, kusintha kumapangidwa mutatembenukira ku insulin ina ndipo zonsezi zimachitika moyang'aniridwa ndi endocrinologist. Ndipo kusintha kumachitika, chifukwa thupi silingayankhe ma insulin osiyanasiyana momwemonso (pokhapokha mutakhala cyborg yomwe ulusi wokha). Chifukwa chake, ndemanga yanu ndi yabodza, kuti tikhazikitse chidwi cha anthu odwala matenda ashuga.
Ndipo ndinu odwala matenda ashuga, osaloweza. Lembani ziganizo ku ofesi ya wozenga milandu, khothi, Purezidenti, Unduna wa Zaumoyo, ngati sizikugwira ntchito, ndiye ku khothi ku Europe.
Aliyense wa ife atachita zonsezi komanso kunena ufulu wathu, ndiye kuti palibe amene angatipatse kanthu, koma mukatenga zina, zikutanthauza kuti mukugwirizana ndi chilichonse kenako osakwiya ndi shuga. Pali anthu ambiri odwala matenda ashuga ndipo aliyense ayenera kukhala wotakataka mtsogolo, osangokhala chete povomereza ndikukhometsa mchira wathu, ndiye kuti palibe tsogolo.

Kuwongolera kwachitika, sindikutsutsana. Ndikutanthauza, molingana ndi momwe ndikumvera, sindimva kusiyana kulikonse kotheka pakuwerengera izi kapena mtundu wa insulin. Ndipo munalakwitsa, sindine wabodza. Ndine wodwala matenda ashuga. Ndikugwirizana ndi ndemanga ya Irina pansipa.

Denis, ndiye kuti mumatha kusintha matendawa komanso ngakhale mumakhala wodekha pamatendawa. Izi ndi zabwino, lolani kuti zizikhala choncho. Osangolingalira zabwino zapano zokha monga ulemu, ngati Irina. Maphunzirowa ndi osiyana. Ndipo sizotheka nthawi zonse kupirira. Zinali zosiyana kwa ine. Mwakachetechete, monga muli nako, shuga wosalala kwambiri, ngakhale gg, ndipo ndidatinso kudziletsa - ndipo zonse zili m'gulu. Izi zidachitika kwa zaka khumi. Ndipo bwanji zabwino! Matenda a shuga adangotuluka pa ma coil, insulin imathiridwa ngati madzi, chinthu choyipa sichimachepetsa kwa maola angapo, mumawerengera izi ndikuti, mumakhala kukumbatirana ndi glucometer, ndipo mukusowa mphindi yomwe rashi - ndipo shuga atagwa. Ndipo musakweze chilichonse. Ndipo mumatsanulira mwa inu nokha uchi, kupanikizana, madzi, shuga m'masamba. Ndipo kenako chokweza m'mwamba, chifukwa chiwindi chimalumikizidwa kuti chimalize, ndiponso kandulo. Pamwamba-mmwamba-mmwamba. Ndipo mkati mwapadera, powona aliyense, amayamika aliyense chifukwa chopirira, koma muyenera kungodutsa nthawi yophunzirira. Ndipo kuda nkhawa momwe mungathere. Patatha miyezi ingapo, pamene matenda ashuga adawonekera bwino, ndidakana kunena za momwe ndimakhalira anzeru pakuthana ndi vuto langa la matenda ashuga. Inde, ndimachita zonse zomwe amafuna, koma amandiloleranso. Chifukwa chake simuyenera kutsatira ndi kuvomereza posintha malingaliro ake.

Ndili ndi matenda ashuga, ndimakonda kuchita nawo. Kwa zaka 12, adadzidzimuka kamodzi, ndibwino kuti ali kunyumba osati chimodzi, mchaka chachitatu cha matendawa. Adadwala ali ndi zaka 24. Hypo ndimamva nthawi yomweyo, kupatula pamenepo ndimatha kuyimitsa. Kwa zaka zisanu zoyambirira zidakhala ketoacidosis pachaka. Tsopano zaka 6 pah-pah. Sindinganene kuti ndimatha kuwongolera zakudya ndi jakisoni, zimachitika. Ndimagwira ntchito, ndinakwatirana ndi matenda ashuga, mwana wanga wamkazi ali mgiredi yoyamba chaka chino, wathanzi labwino. (Ndikunena kuti, sindikudziwa ngati sindinatsitse mgwirizano wa matenda ashuga kapena ayi)) Amandilola ufulu, koma sindimadutsa malire ake))

lemberani ofesi yotsutsa kwa purezidenti mu Unduna wa Zaumoyo? zikuwoneka kuti simukhala ku Russia

Pakadali pano, kodi mumalemba kulikonse komwe mumaba?

Ndikudwala matenda ashuga a mtundu woyamba kwa zaka 42, ndikukhulupirira kuti anthu odwala matenda ashuga ayenera kusankha okha mankhwala a insulin, ndikusinthira ku insulin ina paokha, zomwe ndakhala ndikuchita kwa zaka zambiri. Nkhaniyi idawonjezera kuvutika kwa odwala matenda ashuga kusinthana ndi insulin ina, izi zikuwonetsa kusaphunzira kwa odwala matenda ashuga awa kusafuna kuphunzira matenda anu a shuga.

Kodi muli ndi matenda ashuga zaka 42? Ndikudziwa izi ndikudumpha kuchokera ku insulin imodzi kupita ku imzake, ndiuzeni kuti muli ndi GG yabwinobwino ndipo palibe zovuta!

+100500. Zochitika kuyambira 2010. Chithandizo chachikulu cha matenda a shuga amtundu woyamba ndi chikhalidwe chokhudzana ndi masewera olimbitsa thupi komanso kudya. Ndilinso ndi zidziwitso pakusintha kuchokera ku Aktrapid kupita ku Humulin, kenako ku NovoRapid, kenako ku Rinsulin, kuchokera ku Lantus kupita ku Tujeo, etc. .. Inde, nthawi iliyonse muyenera kuphunzira za mankhwala a pharmacokinetics a mankhwala enaake, koma izi ndi monga ndinanenera, momwe ndimakhalira ndi matenda ashuga kumatanthauza kumvetsera kwambiri malangizo, kukhala omvera zaumoyo, komanso kuwerenga bwino kuposa madotolo azachipatala.

Kodi mudamvapo za momwe thupi limasilira? Ndibwino kuti mudakhala ndi mwayi wazaka 42! Wodwala matenda ashuga omwe amaganiza ndi mutu wake nthawi zonse amadziwa kusankha ndikusintha Mlingo wa insulini, zomwe angachite ngati mwadzidzidzi (shuga / shuga yayikulu, acetone), koma kusamutsidwa kuchokera ku insulin kumachitika pokhapokha kuyang'aniridwa ndi endocrinologist kuchipatala cha odwala komanso, osawerengeka. Kubwezera zabwino kwa onse!

Inu anyamata mukulondola m'njira yanu.
Chopempha chotsimikizika kwa iwo omwe amasintha mosavuta kuchokera ku insulin kupita ku ina: tisaiwale kuti aliyense ali ndi matenda awo a shuga. Izi ndi zinthu payokha. Ndingakhale wokondwa kokha chifukwa cha iwo omwe ali ndi maphunziro ofatsa. Mulungu atakupatseni mwayi woti mupitirire popanda zovuta zapadera. Osangolemba zomwe thupi limachita komanso kusoweka kosiyanasiyana kwa mankhwalawa chifukwa chosintha mankhwalawo kukhala mutu, kusowa kwa chiphunzitso komanso kusadziwa kulemba kwa wodwalayo. Matenda a shuga ndi matenda oopsa, osati moyo ayi. Njira yamoyo pano ndikusintha zomwe amachita. Chabwino, ngati mungathe kuyang'anira matenda. Ndiye inde, ndi njira iliyonse ya moyo. Ngati sichoncho, musandiimbe mlandu, koma kuwerengetsa masamu sikulinso kuyenda pano. Biochemistry ndi physiology, kuphatikiza mawonekedwe amodzi payekha ndi zomwe zimachitika sizingaletsedwe.

Mashupi onse abwino osalala!

Mtundu woyamba wa matenda ashuga kuyambira 1993. Hypoglycemia idachitikanso, monga hyperglycemia. Kuphatikiza ma insulin ambiri - thupi lawo siligwirizana. Zaka zaposachedwa pa lantus ndi humalogue. Komabe, nthawi yomaliza m'malo mwa lantus idapatsidwa tujeo. Zotsalira za lantus zitha posachedwa, zomwe sindikudziwa ku tujo.

Ndimakhala ku Krasnodar, ndakhala ndikudwala matenda a shuga kwa zaka 18, zaka 5 ndili ndi insulin, m'miyezi itatu yapitayi ndasintha mitundu 5 ya insulin popanda kufunsa, kapena kutenga zomwe sizikupezeka. Pakadali pano, NovoRapid ndi Levemir apatsidwa shuga samachepa nditatha kudya 19-20 pamimba yopanda 10-11, ndimamva bwino. Kuchulukitsa mlingo sikumapereka mphamvu.

Kusintha kwa levemir ndi Novarapid pamitengo ina kumayamba kugwira ntchito sabata limodzi kapena awiri
Kuchokera pa zomwe ndakumana nazo, ndidasokerera zigawo 11; ndinayamba kulipira 22; ndinamva zotsatira zake nditatha milungu 1.5

Moscow Kuyambira Januware 2017, anasinthana ndi Tujeo. Pambuyo pake ndinali pa Lantus. Msuzi sunakhale woipa.
Ndipo izi ndi zomwe ndikuganiza. Musachite mantha konse ngati mlingo wa Tujeo uchulukirapo (wocheperako) kuposa
Mlingo wa Lantus. Chachikulu ndichakuti shuga ndi wabwinobwino. Ndipo mlingo unakhala magawo a 3-5
zambiri (zochepa) kwa ine palibe kusiyana. Nthawi zonse ndimakhala ndi mlingo wochepa ndikusintha insulin
asintha. Ndipo kwa ine, mphindi ngati nthawi ya jakisoni (m'mawa kapena madzulo) inayamba kuonekera.
Yayamba madzulo. Kenako anasamutsa m'mawa.

Mankhwala akuti insulin lantus ndi ya okhawo omwe amapeza phindu - ana, insulin tujeo kwa omwe amapindula ndi madera, mosasamala mtundu wa shuga. Zabwino kwa Ana, zina zonse zidzasokonezedwa. Ndili ndi zaka 25, kunalibe insulin ya ku Danish ku USSR, panali ana, koma sindimayenera kutero, zikuwoneka kuti panali vuto ndi ndalama. Pambuyo pogwiritsira ntchito insulin yathu, minofu yamatumbo inazimiririka kumalo opumira. Chifukwa chake lembani matenda ashuga 1, ngati mutabayidwa, sindikukulimbikitsani kusinthana ndi tujeo. Chifukwa. UTUMIKI WA KUSINTHA, ufulu wosankha mankhwala kwa wodwala uyenera kutsalira. Lamulo lokhudza chitetezo cha ogula limaphwanyidwa, malamulo a Russian Federation amaphwanyidwa - nzika zodwala zimasankhidwa pankhani zamankhwala.

Inu, okondedwa, muli ndi ufulu wosankha insulin. Mumapita ku pharmacy kuti mukagule zomwe mukufuna. Palibe amene ali ndi ngongole iliyonse.

Platin Cat, ndiye kuti mumalipira msonkho kuboma, koma alibe ngongole, ndipo nkhope zawo zimasokonekera pamasoko. kodi si iwe amene uli mwana wa wachiwiri?

Masana abwino
Ndimayang'anira mafakitala ogulitsa ku Moscow kupezeka kwa Lantus insulin, kulibe.

Ndiye ndikuganiza kuti anyamatawo adaganiza kutiwononga kapena chiyani? Ndadwala zaka 25, 15 pa Khumulin, ndipo mwadzidzidzi mwamuna wanga adandipatsa mankhwala a insulin, ndipo zidakhala Rinsulin, osakonzekera popanda chenjezo, ndidayamba kuyang'ana ndemanga, ndikuopa china chake, koma muyenera kuyamba.

Madzulo abwino aliyense, akhala akudwala matenda a shuga kwa zaka 23 kuyambira zaka 16. Adayamba kundichitira ndi nkhumba, shuga adangokulirapo, zitsamba ndimapiritsi ndidathandizanso, ndikutanthauza, ndili ndi matenda ashuga akale))) pomwepo desropid ndi protafan, hypowas yoyipa, kenako adasamutsira ku lantus ndi novrapid, kuyambira 2008 , ndikuthokoza Mulungu, sindingathe kusangalala, shuga imasunga monga ndikufuna, lero ndalandira insulin, mmalo mwa lantus yomwe adapereka tujo, kuwerenga ndemanga, ndidzakhala pa lantus.

Matenda a shuga a Type 1, zaka 34 zokumana nazo + zovuta zonse mochedwa, (vuto la mtima, matenda oopsa, nephropathy, kupitilizabe misala, analandila suinsulin koyamba ndi zoopsa, ndikuganiza zitha bwanji ndi "kugwiritsidwa ntchito" kwake, ndikukumbukira kuti ku Branzal kumachitika)

Chonde bweretsani insulini yomwe ingotengedwe kunja, ma insulin athu ndi oyipa kwambiri

Kwambiri komanso kuvomereza kwathunthu.

Ngati sangachite chilichonse. Ndidakhala ndi shuga ku insulin yaku Russia mpaka 25. Ndinagula Lantus tsopano m'mawa 5-6. Mavuto onse omwe anali kuchitika pomwe insulini yathu imachotsedwa lokha. Koma sindikudziwa momwe ndingachigulire. Mudzachita manyazi ndi dziko lalikulu chotere.

Ndikudwala kwa zaka 23 kuyambira chilimwe chomwe adayamba kusamukira ku Tajo, osadziwa momwe zimakhalira, adatenga chakudya cham'madzi mu dotolo, adotolo adati ngakhale kuposa lantus np zomwe zatha posachedwapa lantus adayamba kusinthira ku tojo, sindiyesera chilichonse malinga ndi malangizo omwe ali ndi shuga pambuyo masiku atatu shuga 15, kwa mwezi tsopano, kumverera kotere kuti cholembera cha Sprats chadzaza ndi madzi osungunuka sichidaponyedwa, ndipo akuyenera kugula lantus mu pharmacy ya 3800 Sinditulutsa zomwe ndingachite sindikudziwa posachedwa chisankho ndichokha cha Putin basi

Mumalemba kuti zimamveka kuti cholembera chadzazidwa ndi madzi. Kodi mwayeserapo kuchuluka kwa insulini ndikuyitulutsa mlengalenga? Mwachitsanzo, tidapeza kuti Rosinsulin sachokera ku syringe - ma droplet ochepa okha ndi omwe amakungidwa, m'malo mwa ndege. Ndiye tangoganizirani zomwe zingakhale, munthu angaganize kuti adziwonetsa yekha momwe akufunira, koma sanalandire. Coma Palibe mavuto ngati awa ndi Humulin!

chifukwa chake adakulamulirani kuti mupeze insulin yaku Russia.

Ndipempha aliyense amene akutsutsana ndi kukakamizidwa kuti atumize insulin ndi Tujeo, zomwe zidapangitsa kuti anthu ambiri odwala matenda ashuga asayine:
https://www.change.org/p/president-rf-- kuchira mwachangu- kupereka- odwala- ndi matenda ashuga- insulin-lantus

Mtundu wa shuga wa Type I kuyambira 1990 (kuchuluka kwa glucose panthawi yakuchipatala koyamba ndi 40 mmol / l.). Lero, HbA1c 6.0 ndi 6.9%. Msinkhu 166 cm., Kulemera 54 kg. Mavuto obwera chifukwa cha "Kodi ali ndi zaka zingati za matenda ashuga? Chabwino, ndiye tidzalemba." Ndikugwirizana ndi Alina: nkhaniyo ndiosaphunzira. Magawo ofunikira a insulin, monga mankhwala ena, ndi a pharmacodynamics ndi pharmacokinetics. Ndipo pa insulini zonse zakunja, kuphatikiza ma insulin omwe amakhala nthawi yayitali, ndizosiyana. Kuphatikiza apo, magwero a insulin ya analog nawonso ndi osiyana: ndikudziwa njira ziwiri - Escherechia Coli (E. coli) ndi Saccharomyces cerevisiae (yisiti yophika mkate). Chidziwitso chofunikira cha munthu wodwala matenda ashuga ndi chithunzithunzi cha nthawi yoyendetsedwa. Pali vuto pokhapokha: zithunzi izi mu malangizo sizisindikiza nthawi zonse.
Za kusiyana komwe kulipo pakati pa Lantus ndi Tujeo, ndikuyankhula zopanda pake pazabwino. Ma graph omwe ali nawo ndiwosiyana (amawonetsedwa muzowongolera) ndi ndende (Tujeo amalira pang'onopang'ono!).Chifukwa chake, zonena za madotolo kuti izi ndizofanana komanso zofanana, ndizomveka kunyalanyaza ndikuyandikira kusinthaku mosamala kwambiri (ndikumvetsetsa madotolo: akunena zomwe Unduna wa Zaumoyo ukunena): ngati insulin ndiyabwino kapena ayi, ndi zomwe zimalumikizidwa ndi (receptors, permeability nembanemba, minofu ya adipose, mwina pali ntchito yotsalira ya insulin, etc.) - Mulungu yekha ndi amene amadziwa. Chochitika chovuta kwambiri pa Lantus ndi nocturnal hypoglycemia, pa Tujeo izi zimayima, zomwe zimafanana ndi mfundo zoyambira, mukayang'ana chithunzi cha insulin iyi.
Zomwe ndakumana nazo poyesa zaka ziwiri zapitazi ndizokhudzana ndi insulin Lantus (insulin glargine), yomwe ndakhala ndikupitako zaka zoposa 10, Levemir (insulin detemir) ndi Tujeo (insulin glargine).
Lantus (1 nthawi patsiku, mlingo waukulu wa magawo 15, mlingo umasintha momveka bwino ndi kulemera ndi mawonekedwe akuthupi): mavuto - usiku hypoglycemia (nthawi yomweyo masana zonse zimakhala zosalala, zomveka komanso zokongola). Popita nthawi, ndidaganiza momwe ndingapewere shuga wotsika m'mawa (tsopano ndi 4-5 mmol / l).
Ndikulimbana ndi shuga ochepa usiku, ndinayesa Levemir (2 kawiri pa tsiku, kwa miyezi 4 mlingo unachulukitsa kuchoka ku ma 15 mpaka 20 mayunitsi, popanda kusintha kulemera): mavuto - shuga wambiri (10-12 mmol / l) pamiyeso ya jakisoni, kuwerengetsa kwa insulin ya ultrashort m'mawa, tsiku ndi usiku ndizosiyana, simumagwirizana ndi glucometer ndipo simumvetsa malingaliro a insulin kanthu komanso zomwe zidzachitike pamenepo miniti yotsatira + kukana kwodziwikiratu kwa Levemir. Ndinabwereranso ku Lantus - zonse ndi zangwiro (m'mawa 4-5 mmol / l, masana 6-8, pamachitidwe a cotrinsular mpaka 12-14, GG 6.2).
Ndipo apa aliyense adayamba kulemba Tujeo (nthawi 1 patsiku) - shuga m'mawa 15 mmol / l. (chimodzimodzi ngati wopanda jakisoni wa basal insulin), mumapulumuka pa jash ya ultrashort masana, ndikuwonjezeka kwa madigiri 15. mpaka 32 mayunitsi zinthu sizinasinthe. Ndinabwelela ku Lantus ... zovuta zokhazokha ndikupeza.
Poyamba ndimaganiza kuti izi sizokwanira kuti odwala matenda ashuga azitha kuthana ndi shuga. Tsopano ndikumvetsetsa kuti ngati mulibe kutupa, osanenepa kwambiri, minofu yophunzitsidwa, mumadziwa kuchuluka kwa glycogen omwe angayang'anire poyankha mashupi otsika ndikuchita molondola pamkhalidwe wa hypoglycemia, ngati mungawerengere chilichonse molondola ndikuzindikira mawonekedwe anu nthawi zina, adrenaline, momwe - norepinephrine, momwe - cortisol, ndipo simusokoneza chisimba ndi hypoglycemia, etc.), koma nthawi yomweyo shuga imadumphira, mlingo wa basal ukuwonjezeka, IZI NKHANIYI SIZOGWIRITSA NTCHITO INU. Kukhala ndi insulin yomwe sikukugwirizana ndi gehena, ndipo pali zovuta zokwanira kale.

mu 2015 anavutika ischemic. Ndimadwala mtundu wa s2 wazaka 15. Poyamba, adalandira chithandizo cha mapiritsi, zakudya, ndipo atatha sitiroko adasinthira naprotafan ndi humulin. Mlingo unasankhidwa pamaziko. ZA2year anali pa Protafan, Humulin, Levemire, Nsuman, Basal Rosinsulin Rinsulin, Norapide, Actrapide, Apidra. Tsopano akupereka biosulin, yomwe ndinadwala mwachangu, kuyabwa komanso kutsekula m'mimba. Ndili ndi vuto. zomwe zikufunika

Bweretsani odwala matenda ashuga ku Homulins! Akhala kale owawa munthawi yathu ino !. Sangokhala chete pazinthu zambiri. Gulu lolemala sililoledwa, ndipo ndizosatheka kugwira ntchito ndi mankhwalawa popanda kuthandizidwa ndi okondedwa!

MINZDRAV ndi chigawenga! Kwa nthawi yayitali iwo anditengera kumwa ku dipatimenti ku MONIKI, movuta kwambiri adayima ku LANTUS: Ndabera mayunitsi 30. Kamodzi patsiku. Shuga tsopano wakhala munthu kapena wocheperako. Koma sindinapatsidwe LANTUS kwaulere kwa zaka 2. Kufotokozedwa: mzinda wa Korolev order: ana okha. Izi ndizonyansa. Ndi akulu - ogwada? Ngakhale kuti ndili ndi ufulu kumasula insulin ndi zingwe, ndakhala ndikugula kwa zaka ziwiri. Penshoni ikuphulika pamasoko. Ndipo tsopano sindingatenge LANTUS ngakhale ndalama: ku Korolev sichoncho. TUJERO sugwirizana ndi ine. LANTUS adasiya cholembera chomaliza. Ndidayimba wopanga yemwe adawonetsedwa pabokosi. Adayankha: Timatulutsa monga mwa nthawi zonse. Ndiye ali kuti? Zonyansa, zonyansa! Maofisala ku Unduna wa Zaumoyo amanyoza: kodi amagwiranso ntchito “mobwezera”? Mukutiuza kuti tife ndipo simubisala: ana a LANTUS adapulumutsidwa, chifukwa amayi awo amangokuwombani. Pamaso pa dziko lonselo, nenani dzina la munthu yemwe amachititsa izi! Mwinanso ali ndi mantha kupita panja. Ndikulavulira kumaso anu oyipa! Kwa onse omwe amandinyalanyaza mwayi, ngakhale ndalama, kuti akhale ndi insulin yofunika kwa ine. Ndikunyoza. Sindikufuna kufa chifukwa chakuti ena scum amaganiza za mthumba wake, osati za moyo wa anthu! Ndili ndi chiyembekezo cha PRESIDENT yekha. Koma mwina pachabe.

Re: Kumasulira kwa insulin

Agogo a Valya »Jan 06, 2010 6:40 PM

Re: Kumasulira kwa insulin

ANGEL »Jan 6, 2010 7:29 p.m.

Wokondedwa wakeashina!
Ndinayang'ana mbiri yanu (kapena kani, mwana wanu wamkazi).
Inu (kapena m'malo mwake) muli ndi matenda a shuga kwa zaka pafupifupi 7, izi ndi zochuluka, ndipo inu, mukudziwa,:
-analogue insulins (monga mwana wako wamkazi) ndi ma insulini opangidwa ndi chibadwa cha anthu - onse owonjezera ndi "achidule" - zomwe ndizosiyana kwambiri pa mbiri yawo,
- Russia siyimasula ndipo sipangapange insulin ya analog posachedwa,
- analog ndipo adapangidwa kuti athe kuwonetsetsa kuti achitetezo olimbitsa thupi, kukhala kosavuta komanso kuwongolera kwa SC mu "amoyo" wathanzi kwa odwala matenda a shuga,
- Kusamutsa mwana wazaka 16 kuchokera ku analogue kupita ku majini opangidwa ndi anthu, popanda kukayikira, kukhudzanso kusintha kwa zakudya, kuchepetsa kuyenda, kusankhidwa kwa mankhwala atsopano - ndikofunikira
- ngakhale poyamba.
Madokotala omwe amakupatsani izi ayenera kuthandizira posankha kwawo. Mvetsetsani zomwe amachita komanso chifukwa chake, ndipo khalani ndi udindo pazisankhozi.
Kwenikweni, boma limalipira ndalama zawo.
Ngati "kusinthaku" ndikapatsidwa kwa ine, ndifufuza momveka bwino za zochitika zotere, ndikulemba. Popeza ndizosatheka kuwonetsa ku Unduna wa Zaumoyo, Federal Service for Health Supervision, ndi Office ya Prosecutor (mndandanda wa oyang'anira omwe ali ndi udindo, kuphatikiza pa izi, palokha, ndiwotalikirapo), chifukwa ndizosatheka kujambula malingaliro opanda pake komanso zifukwa zina kulikonse.
P.S sindinamvepo za kusamutsidwa kwa odwala matenda ashuga kupita kwa ma insulins apanyumba. Ndinayang'ana ma tenders omwe adachitidwa kale theka loyamba la chaka - m'chigawo chathu, pafupifupi chilichonse chili mgulu lofanana ndi chaka chatha. Zachidziwikire, ngati pali chilichonse chomwe mungafotokoze pamutuwu, ndikudziwitsani.

Kuyeza kwa PP.S. ya SC "kamodzi patsiku" - sizikupanga nzeru, IMHO. Sizotheka kutulutsa chilichonse chidziwitso kuchokera kwa ife - izi ndi zomwe takumana nazo zachisoni.

Zabwino zonse pankhondo!

Re: Kumasulira kwa insulin

Amayi ambiri »Jan 07, 2010 11:59 AM

Ndikudziwa zinthu zambiri.

Apa, mwachitsanzo, mutha kuwerenga (kuphatikizapo ndemanga):

Sindikudziwa mtundu wake. Nditha kuyerekezera ndi fanizo. Ndikuganiza kuti ngati ma insulin ochokera kunja azisowa m'dziko lathu, ndiye kuti "mwana ayenera kusamuka".

Ndidagwira ntchito pamankhwala opanga mankhwala, ndipo pambuyo pake tidalankhula. Ndingonena chabe kuti ogwira ntchito m'masitolo a soseji samadya soseji, ndipo mwana wamkazi wa bwenzi langa, atagwira ntchito pa UPK pa fakitauni ya confectionery, wakhala akuthawa patebulopo zaka 10 pakuwona keke "ya mbatata" - kotero "ndikuthawa patebulo" polankhula za insulin yapakhomo.

Koma vuto lalikulu silikhala mu mkhalidwe! Insulin iyi ASIKUFUNIKIRE!

Njira zamakono zothandizira kulipirira T1DM zikusonyeza kuphatikiza kwa insulin yayitali (lantus, levemir) ndi ultrashort (novorapid, apidra, humalog).
Insulin yakunyumba, monga momwe ndikumvera, sizomwezi kapena ayi. Rinsulin yakhala ikuwonetsedwa kuti iyenda maola 6-8 "ndikuyenda." Biosulin P, ngakhale "wosunga", ali (malinga ndi pasipoti) maola 12 "ndi slide", ndipo Biosulin H amawonedwa ngati wamfupi, koma ali ndi maola omwewo a 6-8.

Kulipira kuphatikiza uku ndi ma aerobatics omwe amapezeka kokha kwa akatswiri ashuga a shuga monga Connie. Koma mukuyenera kuchitabe kukhala ndi luso loterolo.
Ine panokha sindinamvetsetse jakisoni 2 kawiri insulin. Awa ndi mitundu iwiri “yaphiri” ndipo iwiri “pakati” yopusitsa!
Kufewetsa awa "odzigudubuza", IMHO, mlingo uyenera kugawidwa m'magawo anayi. Ndipo njira, ndi maziko!

Kodi Russian insulin idzalowe m'malo mwamankhwala achilendo?

Malinga ndi kuwunika kwa akatswiri, pakadali pano dziko la Russia silikupikisana nawo kumsika wapadziko lonse wopanga insulin. Opanga zazikulu ndi makampani atatu akuluakulu - Eli-Lilly, Sanofi ndi Novo Nordisk. Komabe, zaka zopitilira 15, insulin yakunyumba itha kubwezeretsa pafupi 30-30 peresenti ya kuchuluka kwa mahomoni onse omwe amagulitsidwa mdziko muno.

Chowonadi ndi chakuti mbali yaku Russia idakhazikitsa kale ntchito yopereka dzikolo ndi insulin yake, pang'onopang'ono m'malo mwa mankhwala opangidwa ndi mayiko ena.

Kupanga kwa mahomoni kunayambitsidwa nthawi ya Soviet, koma kenako insulin yoyambira nyama inapangidwa, yomwe sinali yoyeretsa kwambiri.

Mu 90s, kuyesayesa kunapangidwa kuti apange kupanga mapuloteni a genetic engineering insulin, koma dzikolo linali kukumana ndi mavuto azachuma, ndipo lingaliro lidayimitsidwa.

Zaka zonsezi, makampani aku Russia adayesera kupanga mitundu yambiri ya insulin, koma zinthu zakunja zidagwiritsidwa ntchito ngati chinthu. Masiku ano, mabungwe omwe ali okonzeka kumasula malonda apakhomo ayamba kuonekera. Chimodzi mwa izo ndi kampani ya Geropharm yomwe tafotokozazi.

• Kukhazikitsidwa kuti akamanga chomera m'chigawo cha Moscow, dzikolo lipanga mitundu yamakono yamankhwala odwala matenda ashuga, omwe pamlingo wawo amatha kupikisana ndi tekinoloje yaku Western. Mphamvu zamakono za chomera chatsopanochi ndi zomwe zilipo zimalola kutulutsa zinthu 650 kg pachaka chimodzi.
• Kupanga kwatsopano kukhazikitsidwa mu 2017. Poterepa, mtengo wa insulini udzatsika kuposa anzawo akunja. Pulogalamu yotere imathetsa mavuto ambiri pantchito ya matenda ashuga a dziko lino, kuphatikizapo zachuma.
• Choyamba, opanga azithandizira kupanga mahomoni opanga ndi kuchitapo kanthu kwa nthawi yayitali. Pakupita kwa zaka zinayi, mzere wathunthu wa maudindo onse anayi udzamasulidwa. Insulin idzapangidwa m'mabotolo, makatiriji, matayala otayika komanso osinthika.

Kaya izi zilidi choncho zidzadziwika pambuyo poti pulogalamuyi ikhazikitsidwe ndikuwunika koyambirira kwa mankhwala atsopano kuwonekera.

Komabe, iyi ndi ntchito yayitali kwambiri, kotero kuti anthu aku Russia sayembekeza kuti angolowa mwachangu.

Kodi mahomoni opanga zoweta amakhala ndiubwino wanji?

Zotsatira zoyenera komanso zosavulaza za anthu odwala matenda ashuga zimawerengedwa kuti zimapangidwa ndi majini amtundu wa insulin, omwe amafanana ndi thupi ndi mahomoni oyambira.

Poyesa magwiridwe antchito komanso abwino a insulin Rinsulin N yaifupi komanso sing'anga wamba wa Rinsulin NPH, kafukufuku wasayansi adachitika omwe adawonetsa kutsika kwa shuga wamagazi mwa odwala ndi kusapezeka kwa zotsatira zoyipa nthawi yayitali ndi mankhwala opangidwa ndi Russia.

Kuphatikiza apo, zitha kudziwika kuti ndizothandiza kwa odwala kudziwa momwe angatulutsire inshuwaransi ya insulin yaulere, lero izi ndizofunikira kwambiri.

Phunziroli lidakhudza anthu 25 odwala matenda ashuga azaka 25-58, omwe adapezeka ndi matenda a shuga 1. Mwa odwala 21, mawonekedwe owopsa a matendawa adawonedwa. Aliyense wa iwo tsiku lililonse amalandira mlingo woyenera wa Russian ndi insulin yakunja.

1. Mlingo wa glycemia ndi glycated hemoglobin m'magazi a odwala akamagwiritsa ntchito analogue yapakhomo amakhalabe wofanana monga momwe amagwiritsira ntchito mahomoni opanga achilendo.
2. Masautso a antibodies nawonso sanasinthe.
3. Makamaka, ketoacidosis, thupi lawo siligwirizana, kuukira kwa hypoglycemia sikunachitike.
4. Mlingo wa tsiku ndi tsiku wa mahomoni panthawi yopenyerera anali kuperekedwa m'njira imodzi ngati panthawi yovomerezeka.

Kuphatikiza apo, kafukufuku adachitika kuti awonetsetsetsetsetsetsetsetsetsiso wamagazi pogwiritsa ntchito mankhwala a Rinsulin R ndi Rinsulin NPH. Panalibe kusiyana kwakukulu pogwiritsa ntchito insulin yopanga zoweta ndi zakunja.

Chifukwa chake, asayansi adazindikira kuti odwala matenda ashuga amatha kusinthidwa kukhala mitundu yatsopano ya insulin popanda zotsatirapo zake. Poterepa, mulingo komanso mtundu wa makonzedwe amakuluwo amakhazikika.

M'tsogolomu, kusintha kwa mankhwalawa malinga ndi kudziwona komwe thupi limayang'ana ndikotheka.

Kugwiritsa ntchito Rinsulin NPH

Hormone iyi imakhala ndi nthawi yayitali kuchitira. Amatengedwa mwachangu kulowa m'magazi, ndipo mlingo wake umatengera mlingo, njira komanso madera oyang'anira mahomoni. Mankhwala akaperekedwa, amayamba kugwira ntchito yake mu ola limodzi ndi theka.

Mphamvu yayikulu imawonedwa pakatha maola 4 ndi 12 italowa thupi. Kutalika kwa thupi ndi maola 24. Kuyimitsidwa ndi koyera, amadzimadzi pawokha alibe khungu.

Mankhwala amathandizidwa ndi matenda a shuga a mtundu woyamba ndi wachiwiri, komanso amavomerezedwa kwa azimayi omwe ali ndi matenda nthawi yapakati.

Contraindations akuphatikiza:

• Kusalolera kwa aliyense payekha kwa chinthu chilichonse chomwe chiri gawo la insulin,
• Kukhalapo kwa hypoglycemia.

Popeza mahomoni sangalowe pazotchinga, palibe zoletsa kugwiritsa ntchito mankhwalawa panthawi yapakati.

Panthawi yoyamwitsa, imaloledwanso kugwiritsa ntchito mahomoni, komabe, pambuyo pobadwa mwana ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi ndipo, ngati pakufunika, muchepetseni.

Insulin imayendetsedwa mosavuta. Mlingo wa mankhwala ndi dokotala, kutengera mtundu wa nthendayo. Wapakati tsiku ndi tsiku ndi 0,5-1 IU pa kilogalamu ya kulemera.

Mankhwalawa amatha kugwiritsidwa ntchito pawokha komanso molumikizana ndi ma Rinsulin R.

Musanalowe mu insulin, muyenera kupukutira cartridge kangapo pakati pa kanjedza, kuti misa ikhale yopanda pake. Ngati thovu lakhazikika, ndikosatheka kugwiritsa ntchito mankhwalawa kwakanthawi, chifukwa izi zingayambitse Mlingo wosalondola. Komanso, simungagwiritse ntchito timadzi tokhala ngati muli ndi tinthu tating'onoting'ono komanso ma flakes ochokera kumayiko ena.

Kukonzekera kotseguka kumaloledwa kuti kusungidwe kutentha kwa madigiri 15-25 kwa masiku 28 kuyambira tsiku lotseguka. Ndikofunikira kuti insulin isungidwe kutali ndi dzuwa ndi kutentha kwina.

Ndi mankhwala osokoneza bongo, hypoglycemia imayamba. Ngati kuchepa kwa shuga m'magazi ndi kofowoka, vuto losafunikira lingathetsedwe mwa kumeza zakudya zotsekemera zomwe zimakhala ndi chakudya chamagulu ambiri. Ngati vuto la hypoglycemia ndi lalikulu, njira ya 40% ya shuga imaperekedwa kwa wodwala.

Popewa izi, mutatha izi muyenera kudya zakudya zamafuta kwambiri.

Kugwiritsa ntchito Rinsulin P

Mankhwalawa amagwira insulin pang'ono. M'mawonekedwe, ndizofanana ndi Rinsulin NPH. Itha kuthandizidwa mosasamala, komanso mu intramuscularly komanso kudzera m'mitsempha moyang'aniridwa ndi dokotala. Mlingo wake umafunikanso kuvomerezana ndi adokotala.

Homoni italowa thupi, kachitidwe kake kamayamba mu theka la ola. Kuchita bwino kwambiri kumawonedwa munthawi ya maola 1-3. Kutalika kwa thupi ndi maola 8.

Insulin imathandizidwa hafu ya ola lisanadye kapena kuwala pang'ono ndi chakudya china. Ngati mankhwala amodzi okha amagwiritsidwa ntchito pa matenda a shuga, Rinsulin P amathandizidwa katatu patsiku, ngati kuli koyenera, mlingowo ungathe kuwonjezeka mpaka katatu pa tsiku.

Mankhwala amathandizidwa ndi matenda a shuga a mtundu woyamba ndi wachiwiri, pa nthawi yomwe ali ndi pakati, komanso kuwonongeka kwa kagayidwe kazinthu monga mankhwala mwadzidzidzi. Contraindations imaphatikizapo kusalolera kwa mankhwalawo, komanso kukhalapo kwa hypoglycemia.

Mukamagwiritsa ntchito insulin, thupi lawo siligwirizana, kuyabwa khungu, kutupa, kumachitika kawirikawiri - kawirikawiri - anaphylactic shock.

Ndikufuna kudziwa chilichonse

Kupanga ma insulin kozungulira kumapangidwa ku Russia. Bizinesi yama ruble 3,3 biliyoni. ipereka 100% ya zofunikira zadziko lino pokonzekera insulin.

Sizikumveka chimodzi chokha, bwanji izi zikuchitika pokhapokha ndipo chifukwa chiyani manja sanafikire izi kale? Chifukwa tidagulitsidwa popanda mavuto kuchokera kuseli kwawoko? Ndiye, "Ulemelero! kapena monga akunena kuti "kulibe siliva."

Ministry of Viwanda ndi Trade, St. Petersburg ndi kampani ya zamankhwala ku Geropharm idasainirana mgwirizano wapadera wa kugulitsa mbewu (SPIC) pazolengedwa mdera la Russian Federation la kupanga kwathunthu mankhwala azofunikira, kuphatikizapo insulin ndi analogues.

Polojekitiyi, kampaniyo imabowola ma ruble oposa 3.3 biliyoni, kuphatikiza ma ruble 1.5 biliyoni. kwa nthawi yomaliza SPIC pomanga makina amakono opanga zida ku Pushkin (St. Petersburg), malinga ndi Unduna wa Zachuma ndi Zamalonda.

Pansi pa mgwirizano, kampaniyo ipanga ntchito zapamwamba 100.

"Kukhazikitsa kwa projekiti ya Geropharm ndi gawo lofunika kwambiri kuti chitetezo cha mankhwala chikhale ku Russia," atero Unduna wa Zachuma ndi malonda a Denis Manturov. "Kukula kwa chomera chatsopanochi - zoposa kilogalamu chikwi cha insulin pachaka - kuonetsetsa kuti 100% ya anthu adziko lino akufunika ndi mankhwala insulin, komanso kukulitsa luso lakampani yotumiza kunja. "

Chomera chatsopanochi chidzakhala malo oyamba ku Russian Federation pomwe insulin analogues idzapangidwe mokhazikika - kuyambira pazomwe zimapangidwira mpaka kumasulidwa kwa mitundu yotsiriza.

Kupititsa patsogolo ntchito zam'nyumba komanso kuwonetsetsa kuti mayiko azikulandirana ndi makampani akunja kumapereka mwayi kwa odwala aku Russia kuti alandire mankhwala osafunikira.

Masiku ano, mbiri ya Geropharm imaphatikizira ma insulin amtundu wa anthu, omwe, malinga ndi zotsatira za gawo lachitatu la chaka cha 2017, amakhala pamalo oyamba kumsika wa insulin. Pazaka zingapo zotsatira, Geropharm akufuna kukhazikitsa ma insulin ankhani pamsika, motero, zinthu zonse zomwe zimadziwika bwino za insulin padziko lapansi zidzapangidwa ku Russia mokwanira.

Geropharm ndiwopanga dziko lonse wazinthu zachilengedwe zomwe zimatsimikizira chitetezo cha mankhwala ku Russia. Kampaniyo imatulutsa mankhwala ozungulira mokwanira, amaika pachitukuko chaukadaulo ndikupanga maziko amakono azachipatala.

Gulu la makampaniwa limaphatikizapo kampani ya kholo - LLC Geropharm, kupanga kukonzekera kwathunthu kwazinthu zofunikira m'dera la Moscow komanso malo ochita kafukufuku mu SEZ Neudorf (St. Petersburg) - Farm Holding CJSC.

Madera a akatswiri "Geropharm": psychoneurology, ophthalmology, endocrinology ndi gynecology. Mbiri ya kampaniyo imaphatikizapo mankhwala opitilira 10: Mankhwala oyamba - Cortexin®, retinalamin® ndi Pineamin®, anthu omwe amapanga insulin - Rinsulin® R ndi Rinsulin® NPH m'malo osiyanasiyana amasulidwe, ma genetic osinthika - Levetinol®, Memantinol®, Rekognan®, Pregabalin .

Kampani yofufuzira yomwe kampaniyo ikupanga mankhwala othandizira matenda a shuga, kuphatikizapo analog insulin, mitsempha, ophthalmic, urological mankhwala - kwathunthu, mapulojekiti oposa 15 akugwira ntchito.

Rosinsulin - ndemanga ya Rosinsulin

Rosinsulin ndi mankhwala a insulin omwe amagwiritsidwa ntchito m'njira zina za matenda ashuga. Iyenera kutsimikizika nthawi yomweyo kuti pali mitundu ingapo ya mankhwalawa:

• Rosinsulin P – Insulin yochepa ndi kuyamba kwa zotsatira, pambuyo theka la ola kuyambira mphindi yolamulira ndikukula kwakukulu mkati mwa maola 1-3. Kutalika konse kokwanira mpaka maola 8,
• Kusakaniza kwa Rosinsulin M – “Pakati” insulinPokhala magawo awiri (chinthu chopezeka ndi mankhwala komanso chinthu chopanga ma genetic, chofanana ndendende ndi mahomoni amunthu). Zizindikiro zoyambirira za mankhwalawa zimawonekera theka la ola pambuyo pa kuperekedwa, mphamvu yayitali imawonekera kuyambira maola anayi mpaka khumi ndi awiri, ndipo kutalika konse kwa zotulukazo kumachitika pafupifupi tsiku limodzi,
• Rosinsulin C – “Pakati” insulinwopangidwa kwathunthu wa insulin-isophan wopezedwa ndi ma genetic engineering. Mosiyana ndi kusakaniza kwa Rosinsulin M, zotsatira za mankhwalawa zimachitika mkati mwa ola limodzi ndi theka, ndikufika pazokwanira komanso zimakhala - bola ngati mankhwala am'mbuyomu,

Mankhwala ofananawa amafunikira kwa anthu omwe zochita zawo za insulin ndizosakwanira.

Izi zimabweretsa kukulira kwa kuchuluka kwa shuga m'magazi, kuphwanya mayamwidwe ake ndi minofu, yomwe imakhala yoopsa kwambiri ndipo imatha kufooketsa thanzi lathu.

Odwala omwe ali ndi matenda ashuga, atazindikira njira zovuta za kagayidwe kazakudwala, amaphunzira kuwunika moyenera (kusintha pafupipafupi ndi glucometer) ndikugwiritsanso ntchito "yayitali", "yapakatikati" kapena "yochepa" kuti athetse.

Mankhwalawa amagwiritsidwa ntchito:

• Insulin yodalira matenda a shuga
• Matenda a shuga osagwirizana ndi insulin (mtundu II), thupi likagonjera mitundu ya mankhwala a hypoglycemic,
• Matenda ashuga ketoacidosis ndi chikomokere,
• Matenda oyambitsidwa ndi pakati,
• Ulamuliro wa shuga kwa odwala omwe akufuna kuchitidwa opaleshoni, kuvulala, kuvutika kwambiri pachimake cha matenda opatsirana - ngati kugwiritsidwa ntchito kwa othandizira ena a hypoglycemic,

Kutulutsa mafomu a Rosinsulin - mayankho ndi kuyimitsidwa kwa jakisoni. Mankhwalawa amathandizidwa ndi mankhwalawa (nthawi zina, kudzera m'mitsempha kapena intramuscularly).

Kuchulukitsidwa kwa mankhwalawa kumatithandizanso kudziwa malo omwe jakisoni - Odziwa odziwa bwino amadziwa komwe kuli bwino kubaya insulin m'malo osiyanasiyana.

Ndikofunikira nthawi zonse kusintha malo a jakisoni kuti mupewe kuwononga zotsatira za minofu (lipodystrophy, etc.).

Nthawi ya kukhazikitsidwa kwa mankhwala osiyanasiyana ndi yosiyana komanso yolumikizidwa ndi zakudya. Mwachitsanzo, Rosinsulin P "yayifupi" imayikidwa mphindi khumi ndi zisanu mpaka makumi awiri asanadye.

Ndipo "pafupifupi" Rosinsulin C, yomwe imagwiritsidwa ntchito kamodzi patsiku, imaperekedwa kwa theka la ola musanadye chakudya cham'mawa.

Wodwala aliyense amapanga pulani yake yogwiritsira ntchito ma insulin osiyanasiyana, potengera kuchuluka kwa glucometer pamagazi a magazi, mikhalidwe ya matenda ake ndi moyo wake.

Mankhwala ndi contraindised mu:

• Kusagwirizana ndi chilichonse
• Hypoglycemia,

Amayi oyembekezera komanso oyembekezera amatha ndipo ayenera kutero, ngati pangafunike kugwiritsa ntchito insulin. Ndiotetezeka kwa mwana wosabadwa komanso wakhanda. Koma wodwalayo amayenera kuwonetsetsa kuchuluka kwa shuga, popeza kagayidwe ka shuga kamasiyana kwambiri pakakhala pakati komanso pobereka.

Zotsatira zoyipa ndi bongo

Kusagwirizana ndi mitundu ina ya insulini kumatha kuyambitsa zovuta: kuyambira urticaria, kutentha thupi, kufupika, mpaka angioedema.

Komanso, kukula kwa hypoglycemia ndikotheka, zizindikilo zoyambirira zomwe zimakhala pallor, kugwedezeka, nkhawa, palpitations, ndi zina (werengani zambiri mu nkhani yapadera yokhudza mkhalidwewu). Kuchulukitsa izi, kuchuluka kwa ma anti-insulin omwe ali m'magazi kungakulitse.

Poyamba, chithandizo chimatha kutsagana ndi edema komanso kuwonongeka kwa mawonekedwe. Patsamba la jakisoni, redness, kutupa, kuyabwa, ndi chiwonongeko cha minofu ya adipose ndizotheka (ndi jakisoni pafupipafupi m'dera lomweli).

Mankhwala osokoneza bongo a Rosinsulin amatsogolera ku hypoglycemia ndipo amafuna njira zadzidzidzi - kuchokera pakuwonjezera shuga ndi wodwalayo, kufikitsa mayankho a shuga ndi glucagon (kutayika kwa chikumbumtima).

Analogs ndiotsika mtengo kuposa Rosinsulin

Popeza Rosinsulin pakadali pano palibe amene angagulitsidwe, ndipo amangoperekedwa chifukwa cha mankhwala aulere, mufakisoni muyenera kusankha mayendedwe ake, makamaka, ndiotsika mtengo. Mwachitsanzo, "insulin yayifupi" ndi:

Mwa awa, Actrapid wachuma kwambiri.

Analogs a "medium" insulin Rosinsulin S ndi M osakaniza adzakhala:

• Biosulin N,
• Humulin NPH,
• Protafan NM,
• Insuran NPH,
• Ndi ena

Biosulin ndiye malo otsika mtengo kwambiri pano.

Ndemanga za Rosinsulin

Mankhwalawa ndi opanga mkati - chifukwa chake, amalowetsedwa mwachangu mu njira yosamalira matenda a shuga. Kuphatikiza, ndi mankhwalawa omwe tsopano, nthawi zambiri amakhala m'malo osagwiritsa ntchito njira zina, omwe amapatsidwa malangizo aulere m'zipatala. Inde, izi zimayambitsa nkhawa kwambiri kwa odwala komanso kuwunika kwawo kwa Rosinsulin kumawonetsa bwino izi:

- Adokotala anga adayamba kundiuza za Rosinsulin, ndikumtamanda. Koma ine ndinakana. Pakadali pano, tsiku lina adandiuza mwachindunji kuti tsopano ndi mankhwala okhawo omwe adzalembetsedwe. Ndipo akunja onse akhoza kugulidwa ndi ndalama zawo. Sanandisiyiretu chosankha. Tithokoze Mulungu, ndadutsa moyenera. Koma tsopano kulibe mtendere - ndikudikirira mavuto.

- Miyezi isanu ndi umodzi kale ku Rosinsulin (yotanthauziridwa ndi mphamvu). Shuga adayamba kulumpha. Ndikusintha mlingo, koma nthawi zina kumangokhala nkhawa.

Odwala ena adazolowera insulin imeneyi ndipo amachitamandanso:

- Ndazindikira kuti ambiri mwa mavuto amabwera chifukwa cha mantha komanso kusakhulupirirana. Pafupifupi pafupifupi chaka tsopano ndakhala ndikulowetsa Rosinsulin ndipo ndikuwona kuti amagwira ntchito bwino kwambiri.

- Nthawi yomweyo ndidayamba jakisoni ku Rosinsulin. Shuga amagwira momwe ayenera. Chifukwa chake musachite mantha.

Chifukwa chachikulu chosakhutira kwa odwala matenda ashuga ndikuti kwa iwo kugwiritsa ntchito insulin imodzi kapena ina ndiye chinsinsi chokhala ndi moyo wabwino. Kwa zaka, odwala akhala akusankha mankhwala osokoneza bongo, kusintha chithandizo, kusintha moyo wawo ... Panthawi imeneyi, kusinthana (ndipo nthawi zambiri mwalamulo) kupita ku mankhwala ena aliwonse kumatsimikizirika kukhala tsoka. Ngakhale chida ichi chitha kukhala chothandiza.

Chifukwa chachiwiri ndikusakhulupirira chidaliro cha inshuwaransi. Mankhwala omwe amapangidwa mdziko lathu m'mbuyomu anali operewera ndipo sakanatha kupikisana, komanso kuposa pamenepo, amabwezeretsa mankhwala ochokera kunja.

Zachidziwikire, ndibwino kuti wodwala aliyense azilandira insulini yake "- yoyenera bwino. Koma, tsoka, momwe zinthu ziliri pakali pano sizotheka.

Komabe, chiyembekezo ndi malingaliro wamba zimayenera kupitilizidwa. Odwala ambiri asintha mankhwala awo kopitilira kamodzi - kudziwongolera payekha shuga komanso upangiri wa nthawi yake wazachipatala ndizofunikira pano.

Ndipo zikuwoneka kuti Rosinsulin akuwonetsa kugwira ntchito kwake.

Kukala kokwanira: 1.2 mwa 5

Kutanthauzira kuchokera ku insulin kuchokera kumayiko ena

Pankhani ya mahomoni, wokondedwa Nataliya, amalankhula za kulowetsedwa kokha ndi mahomoni ofanana achire, pali gawo la iwo - biosimilars. Zofanana ndi NOVORAPID - malinga ndi mbiri ya m m. HUMALOG. Ku Russia, palibe kapena wina amapangidwa.

Kuphatikiza apo, pali kusiyana mumtundu wa chinthu, mwa mawonekedwe osunga. Ngati mukukhutira ndi NOVORAPID, musavomereze kusintha pamfundo zakusayang'ana zabwino. Ndipo ngati uyu si Humalog - mwatsatanetsatane sakugwirizana, onani kuyankhulana kwa A. Suvorov.

patsamba lino kapena werengani:

«AiF": - Alexander Yuryevich, mu 2013, nthawi zovomerezeka za ma insulin analogues (mankhwala amakono ndi othandiza omwe amagwiritsidwa ntchito masiku ano). Zikuyembekezeka kuti mankhwala otsika mtengo a India ndi China azaza msika. Kodi izi zidzabweretsa chiyani?

A.M: - Kwa makampani opanga mankhwala, kupanga insulin ndi analogues ake (onse amalipiridwa ndi makampani a inshuwaransi) ndi tidbit. Chifukwa chake, makampani nthawi zambiri samakonda kulowa mumsika osatukuka, kuchititsa maphunziro odziyimira pawokha otsimikizira mtundu wa mankhwalawo, koma "oyang'anira", Kupereka mtengo wotsika. Kwa olamulira athu azaumoyo, kusankha zochita posankha mankhwala si moyo wabwino, koma mtengo. Zotsatira zake, odwala amatha kusamutsidwa kumankhwala atsopano, osagwira ntchito kwambiri.

«AiF": - Koma, mwina, kupulumutsa kuli koyenera?

A.M. Anthu odwala matenda a shuga amamwa mankhwala amoyo. Mkhalidwe wawo mwachindunji umadalira mtundu wa mankhwalawo, omwe amatsimikiziridwa osati kokha pakutsatira mankhwalawo, koma ngakhale ndi chitsulo chosungira momwe mabakiteriya omwe amapanga insulin amapezeka.

Padziko lonse lapansi, kuti atsimikizire kugwiritsidwa ntchito kwa mankhwala atsopano, wopanga amayenera kuyesanso magawo onse a mayesero azachipatala. Ku Russia, kuyesa kwa miyezi itatu kwa odwala omwe ali ndi matenda ashuga ndikokwanira, pambuyo pake kulembetsa kumachitika. Ngati panthawiyi wodwalayo samva kuwawa, mankhwalawo amawonedwa kuti ndioyenera. Zowonjezera sizitsata.

«AiF": - Kodi dokotala angakuyitanitseni kuti musakhale mankhwala otsika mtengo a India, koma okwera mtengo ku Europe?

A.M. - Mwakutero, atha, koma pazifukwa izi adzafunika. Ndipo ndani asonkhanitse umboniwu?

Wofunika insulini kapena woweta? Iyi ndi nkhani yopezeka.

Kukonzekera kwa ku Ukraine sikukuyipiranso, koma mtengo wotsika mtengo.

Ponena za matenda ashuga, madokotala nthawi zambiri amadzitcha kuti mliri wopanda matenda m'zaka za zana la 21 lino.

Inde, matenda oopsa a endocrine ali m'malo achitatu padziko lapansi kuchuluka kwa anthu omwe akudwala - pambuyo pamatenda amtima komanso a oncological.

Zaka 15 zilizonse, kuchuluka kwa odwala matenda a shuga padziko lapansi kumawirikiza. Masiku ano, malinga ndi University ya Harvard, pali anthu pafupifupi 350 miliyoni, omwe ndi pafupifupi 6% yaanthu onse padziko lapansi.

KULIMA NDIPONSO KULIMBIKITSA

Shuga mellitus amagawidwa m'mitundu yodalira insulin komanso yosadalira insulini.

Poyamba, wodwalayo amafunika jakisoni wambiri wa insulin kuti achepetse kuchuluka kwa shuga m'magazi abwinobwino, wachiwiri, vuto lowonjezera shuga limatha kuthetsedwa ndi chakudya chamafuta ochepa, chifukwa mawonekedwe osagwirizana ndi insulin nthawi zambiri amakula mwa anthu achikulire chifukwa cha kunenepa kwambiri. M'mitundu yodalira insulini, insulin ndiye mankhwala okhawo omwe angalowe m'malo mwa "zisamba" zapancreatic. Kuyesera kupewa majekeseni, m'malo mwa insulin ndi zakudya zowonjezera kapena kungokhala ndi carb yochepa kwambiri kungayambitse kuperewera kwa hyperglycemic, ndipo nthawi zina kumwalira. Izi ziyenera kukumbukiridwa ndi odwala komanso abale awo omwe akuganiza kuti kukana matenda, kuwanyalanyaza, mutha kuwachotsa.

ZOMWE ZINENERETSA

Masiku ano, kukonzekera kwa insulin kumapangidwa kuchokera ku zinthu zachilengedwe zachilengedwe (makamaka, kuchokera ku zikondamoyo za nkhumba), ndi mitundu yopanga ndi kupanga (mitundu yopanga majini). Ma insulin opangidwa ndi chibadwa cha anthu amafanana pakupanga mankhwala ku insulin yaumunthu.

Kuphatikiza apo, insulin ndi yochepa kwambiri, yochepa, yapakati komanso yayitali (yowonjezera). Pakadali pano, madokotala amakonda kupereka insulin yochepa komanso yapakatikati mwa kuphatikiza.

Komabe, wodwalayo ayenera kuyang'anira kuchuluka kwa shuga ndi glucometer ndikuphunzira momwe angadzire payekha kuchuluka kwa insulin kwa 1 XE (mkate ndi gawo lazomwe limagwiritsidwa ntchito kuwerengera kuchuluka kwa chakudya mu chakudya), popeza mulibe kuchuluka konse, kamodzi komanso kwa mawerengeredwe onse, mwa wodwala aliyense, amatha kusintha.

Tiyeneranso kukumbukira kuti odwala omwe amadalira insulin ayenera kukhala ndi ndandanda yovomerezeka yolumikizidwa ndi ndondomeko ya jakisoni.

Kupatula apo, jekeseni osachitika nthawi ingayambitse hyperglycemia (kuchuluka kwa shuga m'magazi), osati chakudya chotengedwa nthawi, m'malo mwake, kumatha kudzetsa hypoglycemia (kuchepa kwa shuga).

Onse hyper- ndi hypoglycemia ali ndi minyewa, pomwe wodwala amatha kumangotengera kuchipatala.

ZOFUNA ZATHU ZILI ZOFUNIKIRA KWA ZOFUNA PAMODZI PAKATI PA PRICE

Kuyambira 1999, pulogalamu ya matenda a shuga yakhala ikugwira ntchito ku Ukraine, chifukwa chake odwala omwe ali ndi fomu yodalira insulin amapatsidwa mankhwala 100%.Koma sizinganene kuti pulogalamuyi imathetsa mavuto onse a anthu odwala matenda ashuga.

Asanakhazikitsidwe kwa makampani opanga mankhwala ku Ukraine omwe amapanga insulin kukonzekera (ndipo pali awiri a iwo lero, Indar ndi Farmak), panali zovuta nthawi ndi nthawi kugula kwa mankhwala ochokera kunja. Ndipo matenda ashuga, monga mukudziwa, sakonda kudikira ndipo satha.

Chifukwa chake, odwala adakakamizidwa kugula mankhwala ochokera kunja pamsika wakuda, mtengo wake womwe uli kutali ndi bajeti. Ukraine itayamba kukonzekera insulin, zinthu sizinakhale bwino.

Inde, sikuti anthu onse aku Ukraine nthawi yomweyo amayamba kugwiritsa ntchito mankhwala opangidwa ndi anthu opanga zoweta. Udindo womwe udaseweredwa pano ndi zonse zamaganizidwe amunthu - chinthu chomwe chimatengera kudera lonselo pambuyo pa Soviet chakhala chodalirika nthawi zonse, komanso chosintha cha mankhwala.

Monga mukudziwa, kusintha kwa insulin pafupipafupi kumakhala kupsinjika kwambiri kwa thupi. Ndipo kusamutsidwa kuchokera ku mankhwala kupita ku nthawi zina kumayenera kuchitika pachipatala. Chifukwa chake, odwala amayesa kugwiritsa ntchito mankhwalawa kampani imodzi.

Komabe, iwo omwe adayamba kugwiritsa ntchito insulin ya ku Ukraine nawonso samadandaula - insulin yathu siyili yosiyana ndi mitundu ina yomwe amaitanitsa. Zimangotsika mtengo.

Komabe, madokotala akuti, odwala matenda ashuga nthawi zambiri amakhala ndi nkhawa ndi zomwe zimaperekedwa pa insulin, komanso mitengo. Kuperewera pang'ono kapena kukwera mitengo nthawi zonse kumayambitsa chisokonezo.

"Kusintha kuchokera ku mankhwala kupita kwina, ndikothekera, ndizotheka, koma ndizovuta kwambiri, chifukwa kuyenera kuchitika pang'onopang'ono," akutero Yuriy Karachentsev, director of the Institute of Endocrine Pathology Problems of the Academy of Medical Science of Ukraine.

Sikovuta kuwerengetsa kuti ku Ukraine kulibe mabedi ndi ma wodi ambiri nthawi imodzi kuti athandize anthu ambiri.

Koma chomwe ndi mankhwala oti musankhe, izi, monga malingaliro a anthu ambiri amachitira umboni, ndi nkhani yamtengo wapatali komanso kutchuka. Mankhwala onse omwe amagulitsidwa ku Ukraine nthawi zambiri amakhala othandiza.

CHITHUNZI CHA MOYO WA RAIDER WA UKRAINI

Komabe, insulin yomwe imapangidwa ndi chomera cha Indar ku Kiev posachedwa imatha kapena ikwera pamtengo mpaka pamalowo.

Tsiku lina, wamkulu wa komiti ya Indar CJSC, Alexey Lazarev, adauza Purezidenti wa Ukraine ndi kalata yotseguka yonena kuti kampaniyo idalamula bizinesiyo ndipo boma lidalephera kuyang'anira chinthu chamtunduwu chomwe sichili m'manja mwa malamulo.

Pempho lake, a Lazarev adawona kuti "70.7% yazogawana zomwe bizinesiyo yabedwa m'boma." Malinga ndi iye, izi zidachitika mchaka cha 2008, ndipo milandu yazaka zitatu sizinasinthe zomwe zinachitika. Zogawana kudzera mu ziwembu zovuta zinali zamakampani angapo akunja.

70.7% ya magawo a bizinesiyi anali a boma, omwe anali nawo kudzera mwa SJSC "Ukrmedprom", kapangidwe ka Unduna wa Zaumoyo.

Komabe, malinga ndi ziwerengero zaboma, eni ake ndi kampani yakampani yaku Stroke Holdings Limited, yolembetsedwa ku Belize.

21% ya Indara ndi ya Bioton wa ku Poland, yemwe ali ndi phukusili kudzera ku Kupro offshore Mindar Holdings Limited. Zina 8% zamagawo nazonso ndi zosadziwika ndi Mapa, zomwe adagula mu 2006.

Lazarev akutsimikiza kuti cholinga cha Raiders ndi kutseka kupanga mokomera olembetsa ndi omwe amapanga dziko lonse lapansi.

Akukhulupirira kuti eni eni tsopano alibe chidwi ndikupanga insulin, akufuna kugulitsa mtengowo.

Kuphatikiza apo, eni eni akewo, omwe adasankha director wawo m'malo mwa Lazarev, ndi makampani akunja, ndiye kuti sizikudziwika kuti ndi ndani ndipo akuimira ndani.

A Vladislav Tsarev, loya komanso wothandizira ku Yurexpert Law Firm, akukhulupirira kuti pochita zamalamulo, anthu ndi makampani amabisa umwini wawo m'malo ambiri.

"Woyamba ndi wofala kwambiri ngati mwininyumba ali ndi udindo wapamwamba kapena wachibale wawo," akufotokoza motero. - Ndipo chachiwiri, munthu akalumikizana ndi dziko laupandu. M'magawo onse awiri, kufalitsa mayina eni eni eni kungachititse kuti pakhale mlandu komanso kukonzanso mapangano onse osagwirizana ndi eni akewo.

Chifukwa chake, ndizotheka kuti anthu aku Ukraine omwe amadalira insulin posachedwa amasintha mankhwala ndikuyamba kutuluka. Komabe, Purezidenti sanalowererepo.

Mbiri Yake YOPHUNZITSA

Kiev Gennady Bogolyubchenko ali ndi zaka 26, anapezeka ndi matenda a shuga zaka 9 zapitazo. Amayesa kugwiritsa ntchito insulini yokha yomwe ingatenge: "Ndibaya French Insuman Rapid molumikizana ndi Germany Lantus. Mankhwalawa ndi othandizadi, chifukwa ndimakhala bwino.

Sindikusinthira ku mankhwala osokoneza bongo, anzanga mwatsoka adandiuza zinthu zambiri zoyipa. Ngakhale nthawi zonse pamakhala zovuta ndi kutulutsidwa kwa mankhwala ochokera kunja. Chifukwa chake, muyenera kugula nokha, izi, zachidziwikire, sizotsika mtengo.

Wogwirizana wanga wa endocrinologist nthawi zonse amandinyengerera kuti ndisinthe "Humodar" wathu, akuti kuyankhula konse kuti iye ndi woyipa ndi andale. Kuphatikiza apo, pali cholembera, ndilosavuta, koma ndikuopa zovuta. "

Anna Grigoryevna Samsonova, wazaka 60, ali ndi matenda ashuga kwa zaka 30, amagwiritsa ntchito insulin: "Ndimakondwera kwambiri ndi mankhwala anga, ndakhala ndikugwiritsa ntchito Humodar kwa zaka 10.

Mukumvetsetsa kuti ndizosatheka kugula mankhwala akunja pension yanga, bwanji? Dokotala amamuwonetsa "Humodar" popanda mavuto, palibe zosokoneza naye. Sindinakhalepo ndi zovuta zina nthawi yonseyi, shuga ndiwabwinobwino.

Zachidziwikire, ndimatsatira chakudya. Tsoka ilo, palibenso matenda athu popanda izi. ”

Wophunzira Lilia Gmara amakhala ku Zhitomir, wazaka 19, adapezeka miyezi isanu ndi umodzi yapitayo, akugwiritsa ntchito mankhwala a insulin: “Atandiuza kuti ndili ndi matenda ashuga, ndinali ndi nkhawa kwambiri, ndinangodandaula. Adalira, adaganiza kuti sindingavomererenso kubaya insulin.

Koma kenako ndidazindikira kuti palibenso njira ina, ngakhale makolo anga ankayesa kundipanga pa zamatsenga. Mukudziwa, palibe amene akuwoneka kuti akukhulupirira izi, koma amayembekeza. Adotowo adatikalipira kwambiri chifukwa cha izi. Posakhalitsa ndidatha kuzindikira za matenda anga.

Ndikumvetsetsa kuti awa si khansa komanso kuti mutha kuthana nayo. Koma ndizovuta kuganiza za izi nthawi zonse, kumbukirani kuti muyenera kupeza jakisoni panthawi, idyani nthawi. Ndine wophunzira, kukhala mogwirizana ndi boma nthawi zambiri kumakhala vuto. Dotolo adandiuza kuti ndi Humodar, ndikusangalala nazo. Ndikumva bwino.

Sindigula zakunja, ndizokwera mtengo kwambiri, ndipo sizothandiza. Zathu siziyipa. ”

Kupanga kwamakono zamankhwala. Russian insulin

Matenda a shuga omwe amadalira insulin ndi matenda omwe amafunikira chithandizo cha moyo wonse. M'lingaliro lenileni la mawu, moyo wa wodwala umadalira kupezeka kapena kusapezeka kwa insulin. Matendawa amadziwika kuti ndi matenda osachiritsika ndipo malinga ndi WHO, amakhala m'gawo lachitatu malinga ndi kuchuluka kwa matenda obwera ndi matenda a mtima komanso a oncological.

Pali anthu 200 miliyoni omwe ali ndi matenda ashuga padziko lapansi, omwe ali kale 6% yaanthu akuluakulu padziko lapansi. Opitilira 2.7 miliyoni aiwo amakhala mdziko lathu. Munjira zambiri, moyo wawo umadalira zomwe zikupangidwa mkati mwa mpanda izi.
Chomera cha Medsintez chakhala chikugwira ntchito ku Sverdlovsk Novouralsk kuyambira 2003.

Lero likukwaniritsa 70% ya zosowa za msika wonse wa insulin waku Russia. Chifukwa cha chisangalalo komanso chidwi ndidatenga mwayi wofikira bizinesi iyi .. Ndipo chinthu choyamba chomwe chidandidabwitsa ndi nyumbayi - "zidole zokhala ndi mabedi". Mkati mwakapangidwe ka "non-styryl" pali ina ina - "yoyera".

Zachidziwikire, mu makonde wamba paliponse pamagalasi pansi ndi ukhondo. Koma chochita chachikulu chimachitika kumeneko, kumbuyo kwa mazenera agalasi. Zavod Medsintez LLC, yomwe idakhazikitsidwa mu 2003, ndi gawo la NP Uralsky Pharmaceutical Cluster. Masiku ano, tsambalo limalumikiza makampani 29 ophatikizidwa osiyanasiyana okhala ndi anthu opitilira 1,000.

Fakitaleyi imagwiritsa ntchito anthu opitilira 300. Alendo akulamulidwa kuti alowe, ngakhale tinali odzala ndi maovololo. Ndinkayang'ananso pawindo. Mkati, ntchito zamanja zimakhala m'manja. China chake chimayikidwa ndikuikidwa. Ndipo ngakhale inu mumazindikira kuti zonse mkati mwake ndizotetezeka ndipo mankhwala amapangidwa, sizingakhale bwino.

Ndiye kodi maso okongola awa akuchita chiyani pantchito, ngati mwachidule, kapena m'malo ena, kenako apa:

CHINSINSI CHA KUTENGA KWA INSULIN

Ndipo mpaka tsopano. Mu 2008, pa chomera cha Medsintez limodzi ndi Bwanamkubwa wa Sverdlovsk Region E.E. Rossel adatsegula koyamba ku Russia kupanga mafakitale omaliza a mitundu ya majini opanga ma genulin mwakuthupi malinga ndi zofunikira za GMP EC (TUV NORD satifiketi Nambala 04100 050254/01).

Kukula kwa malo opangira mpaka 10 biliyoni IU pachaka, komwe kungakwaniritse 70% ya zosowa za msika wa insulin ku Russia.

Kupangidwako kumapezeka m'nyumba yatsopano yomwe ili ndi malo opitilira 4000 m². Mulinso chipinda chotsukira ndi malo 386 m², kuphatikizira zipinda zamakalasi aukhondo A, B, C ndi D.

Zipangizo zamatekinoloje za opanga dziko lapansi otsogola adazipanga pa kupanga: BOSCH (Germany), SUDMO (Germany), GF (Italy), EISAI (Japan).

Komabe, chinthu chomwe chimafunika popanga mankhwalawo chinali chitagulidwa kale ku France. Kuti amasule zinthuzo okha, anafunika kupanga mabakiteriya awo.

Zinatengera asayansi aku Ural zaka zinayi kuti achite izi - adalemba zigawo zawo mu Meyi 2012. Tsopano nkhani ndiyoti mupereke kupanga.

Pakadali pano, tinawonetsedwa kukhala malo opatulikitsa - apa ndipomwe unyolo wopanga umayambira .. Ural plenipotentiary Igor Kholmansky ndi anthu omwe amatsagana nawo amamvetsera kufotokozera kwatsatanetsatane momwe ntchito ikuyendera. Mbali inayo yagalasi ndi bioreactors. Chilichonse chimakhala chokhacho komanso anthu ali kumbali ino.

Ogwira ntchito "Pompopompo" akhoza kuwonekera pang'onopang'ono pamakina ogwirira. Malo okonzekera madzi .akonzekereratu amachoka pamsonkhanowu kupita ku msonkhano wokha kwa owongolera: Apa asungwana amatenga mapaketi ndikuwayika pa lamba wonyamula katundu.

Mphepo yamphamvu yamphamvu imagwetsedwa mumsitimayo pamodzi ndi phukusi. Bacteria ndi zinthu zina "zotsutsana ndi ubweya." Sizingadutse. Kenako amayenera kuyendetsa malo owerengeka "osasalala" mpaka "chosawilitsa" chotsatira. Amayikidwa pallet ndikukutumizira kuchotserezaku.

Katundu amayenda pa njanji zokha Tsopano gawo lomaliza lanyamula zonyamula. Insulin ndi wokonzeka kupita kwa ogula. Anthu'wo si ambiri, ngakhale galimoto yokwera pa servos imayendetsa mabokosi.

Nyumba yatsopano ikumangidwa ku Novouralsk, yomwe iyenera kuphimba kwathunthu kufunika kwa chinthu cha insulin m'dziko lonselo.

Komanso, zina mwazogulitsidwa zidzaperekedwa kunja - mapangano pazakale adasaina kale.

Nyumbayi idzayamba kugwira ntchito pakatha miyezi ingapo. Gulu loyamba la insulin yaku Russia kwathunthu ku Medsintez ikuyembekezeka kulandiridwa mu theka loyambirira la 2013.

Mtengo wa polojekiti yatsopanoyi ndi ma ruble 2.6 biliyoni. Dera la msonkhanowu ndi ma mraba 15,000. m, momwe 2,000 - labotale. Zida zambiri zidzagulidwa ku Germany. Kukula kwa mbewuyo kumayenera kukhala makilogalamu 400 a zinthu pachaka. Izi, malinga ndi akatswiri, ndi 75 kg kuposa zosowa za Russian Federation.

Masiku ano, anthu pafupifupi 2 miliyoni a ku Russia amafunikira insulin tsiku lililonse. Kupaka mankhwala achilendo kumawononga pafupifupi ma ruble 600, a ku nyumba amtundu pafupifupi ma ruble 450-500. Pambuyo pokhazikitsa polojekiti, mtengo wake uyenera kutsikira mpaka ma ruble 300. Nthawi yomweyo, bajeti yaku Russia ikhoza kupulumutsa ma ruble 4 biliyoni.