Actrapid® HM Penfill® (Actrapid® HM Penfill®)

Fomu ya Mlingo - jakisoni: wopanda khungu, wowoneka bwino m'madzi (mu mabotolo agalasi a 10 ml, mu paketi ya 1).

Mu 1 ml yankho lili:

• Chithandizo chogwira ntchito: insulle insulin (maumboni amtundu wa anthu) - 100 IU (mayunitsi apadziko lonse lapansi), omwe amagwirizana ndi 3.5 mg ya insulin yaumunthu,
• Zowonjezera: madzi a jakisoni, metacresol, glycerol, zinc chloride, hydrochloric acid ndi / kapena sodium hydroxide.

Mlingo ndi makonzedwe

Actrapid NM imayendetsedwa kudzera m'mitsempha (iv) kapena mosadukiza (s / c) mphindi 30 musanadye kapena kudya chakudya chopepuka chomwe chili ndi chakudya.

Dokotala amasankha mlingo wa tsiku ndi tsiku wa mankhwalawo payekha, kutengera zosowa za wodwala, nthawi zambiri zimasiyana pakati pa 0.3-1 IU / kg. Chofunikira cha insulin tsiku lililonse chimakhala chotsika kwa odwala omwe ali ndi zotsalira za insulin komanso kupanga kwambiri kwa odwala omwe ali ndi insulin (mwachitsanzo, kunenepa kwambiri kapena kutha msinkhu).

Odwala omwe ali ndi vuto laimpso kapena kwa chiwindi, mlingo wa Actrapid NM umachepetsedwa.

Pambuyo pakulamulira kwamphamvu kwa glycemic, zovuta za matenda a shuga zimachitika pambuyo pake, motero, munthu ayenera kuyesetsa kukhathamiritsa kagayidwe kachakudya, makamaka, mwakuwonetsetsa kuchuluka kwa shuga m'magazi.

Ngati ndi kotheka, Actrapid NM imatha kutumikiridwa limodzi ndi insulin.

Mitsempha, mankhwalawa amayenera kuperekedwa kokha ndi katswiri wazachipatala. Kuti muchite izi, gwiritsani ntchito kulowetsedwa kokhala ndi insulin yaumunthu pamakina a 0,05-1 IU / ml mu kulowetsedwa njira monga sodium chloride 0,9%, dextrose 5% ndi 10%, kuphatikiza potaziyamu mankhwala ena mwa 40 mmol / L. Njira yothandizira mtsempha wa magazi imagwiritsa ntchito matumba a polypropylene. Pa kulowetsedwa, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi.

Wothandizirana ndi subcutaneous nthawi zambiri amabayidwa m'chigawo cha khomo lamkati lakumbuyo; jakisoni amathanso kupangidwa m'chigawo cha gluteal, dera la ntchafu, kapena minofu ya fupa la phewa. Poyambirira, kuyamwa mwachangu kumatheka poyerekeza ndi masamba ena obayira.

Kukhazikitsidwa kwa mankhwalawa pakhungu kumachepetsa chiopsezo cha yankho kulowa minofu.

Popewa kukula kwa lipodystrophy, tikulimbikitsidwa kusinthana malo obayira mkati mwa anatomical dera.

Mankhwalawa amayenera kuperekedwa pokhapokha mothandizidwa ndi ma insulin, omwe muyeso woyezera womwe umagwiritsidwa ntchito. Mabotolo adapangidwa kuti azigwiritsa ntchito payekha.

Pamaso pa Actrapid NM, ndikofunikira kuyang'ana chizindikiro kuti zitsimikizidwe kuti mtundu woyenera wa insulini wasankhidwa, komanso kupha mankhwala oyimitsa pa mphira ndi swab thonje.

Ndi zoletsedwa kugwiritsa ntchito Actrapid NM mu milandu yotsatirayi:

• Kutayika kwawonekere, kusinthika kwa yankho,
• Sungani osayang'anira izi, ndikuzizira yankho,
• Gwiritsani ntchito mapampu a insulin,
• Kupanda chivundikiro choteteza cha botolo kapena kusindikizidwa kwake mwamphamvu.

Njira yolowetsera mukamangogwiritsa ntchito Actrapid NM:

1. Lowetsani mpweya mu syringe muyezo wofanana ndi kuchuluka kwa insulini,
2. Lowetsani mpweya mu botolo ndi mankhwalawa, chifukwa chake, kuboola chotseka ndi mphira ndi singano ndikusindikiza piston,
3. Tsitsani botolo moyang'ana pansi
4. Pezani insulin yoyenera mu syringe,
5. Tulutsani singano m'botolo
6. Chotsani mpweya ku syringe.
7. Onani kulondola kwa mankhwalawa
8. Lowetsani nthawi yomweyo.

Njira yolowetsera jakisoni wa Actrapid NM osakanikirana ndi insulin yayitali:

1. Pindani botolo la insulin (IDD) yayitali pakati pama manja anu mpaka pomwe yankho lake limakhala loyera ndi loyera,
2. Ikani syringe mumlengalenga muyezo wofanana ndi mlingo wa IDD, ikani mu botolo loyenera ndikuchotsa singano,
3. Tengani mpweya mu syringe muyezo wofanana ndi mlingo wa Actrapid NM ndikuyambitsa mpweya mu botolo loyenera,
4. Popanda kuchotsa syringe, tembenuzani botolo mozungulira ndikutenga muyeso wofunika wa Actrapid NM, chotsani ndi singano ndikuchotsa mpweya ku syringe, onetsetsani kuchuluka kwa mlingo womwe wapeza,
5. Ikani singano mu botolo ndi IDD,
6. Tsegulirani botolo mozungulira ndikuyimba muyezo wa IDD,
7. Chotsani singano mu vial ndi mlengalenga pa syringe, onetsetsani kulondola kwa mlingo womwe mwalandira.
8. Nthawi yomweyo jekeseni insulin yosakanizira yaifupi komanso
   kuchitapo kanthu kwa nthawi yayitali.

Ma insulin achidule komanso atali nthawi zonse amayenera kutengedwa motengera momwe tafotokozazi.

Malangizo okhudzana ndi mankhwala:

1. Ndi zala ziwiri kuti mutenge khola,
2. Ikani singano m'munsi mwa khola pakona pafupifupi 45 ° ndikuvulaza insulin pansi pa khungu.
3. Osachotsa singano kwa masekondi 6 kuti muwonetsetse kuti mlingo waperekedwa kwathunthu.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za mankhwalawa ndi hypoglycemia, zomwe zimayamba pomwe mlingo wa insulin umaposa wofunikira wodwala chifukwa chake. Mu kwambiri hypoglycemia, kupsinjika ndi / kapena kusazindikira kungachitike, kusokonekera kwa ntchito ya ubongo ngakhale kufa.

Zina zomwe zingachitike poyipa:

Kuchokera ku chitetezo chamthupi: mokulira (> 1/1000,

Zithunzi za 3D

Zotsatira za pharmacological

Amalumikizana ndi membrane membrane wa plasma ndikulowa mu cell, momwe imayambitsa phosphorylation ya mapuloteni am'magazi, imalimbikitsa glycogen synthetase, pyruvate dehydrogenase, hexokinase, inhibits minofu ya lipip ndi lipoprotein lipase. Kuphatikiza ndi cholandilira china chake, chimathandizira kulowa kwa glucose m'maselo, kumathandizira kukoka kwake ndi minofu ndikulimbikitsa kutembenuka kukhala glycogen. Kuchulukitsa minofu ya glycogen, kumapangitsa kaphatikizidwe ka peptide.

Mlingo ndi makonzedwe

Mlingo wa mankhwalawa amasankhidwa payekha, poganizira zosowa za wodwala.

Nthawi zambiri, zofunika za insulin zimakhala pakati pa 0.3 ndi 1 IU / kg / tsiku. Kufunika kwa insulini tsiku lililonse kumatha kukhala kwabwino kwambiri kwa odwala omwe ali ndi insulin (mwachitsanzo, nthawi yakutha msinkhu, komanso odwala omwe ali ndi kunenepa kwambiri), komanso otsika mwa odwala omwe ali ndi zotsalira za insulin.

Mankhwalawa umaperekedwa kwa mphindi 30 asanadye kapena chakudya.

Actrapid ® NM ndi insulin yochepa ndipo imatha kugwiritsidwa ntchito limodzi ndi ma insulin.

Actrapid ® NM nthawi zambiri imayendetsedwa mwachisawawa mdera lakhoma lamkati lakumbuyo. Ngati izi ndizotheka, ndiye kuti jakisoni amathanso kuchitika m'tchafu, m'chigawo cha gluteal kapena m'dera la minofu ya m'mapazi. Ndi kuyambitsa kwa mankhwala m'dera lakhomopo lakhomopo, mayamwidwe mwachangu amatheka kuposa momwe angayambitsire madera ena. Ngati jakisoniyo wapangidwira pakhungu lalitali, ngozi ya mankhwalawo mwangozi imachepetsedwa. Singano imayenera kukhalabe pansi pakhungu kwa masekondi 6 osachepera, omwe amatsimikizira mlingo wokwanira. Ndikofunikira nthawi zonse kusintha malo a jekeseni mkati mwa anatomical dera kuti muchepetse chiopsezo cha lipodystrophy.

Jakisoni wa mu mnofu amathanso kuchitika, koma mokhazikika monga adokotala amafotokozera.

Actrapid ® NM ndiyothekanso kulowa mkati / momwemo njirazi zitha kuchitidwa ndi akatswiri azachipatala.

Mothandizidwa ndi intravenous mankhwala a Actrapid ® NM Penfill ® kuchokera pagatalo amaloledwa pokhapokha ngati palibe Mbale. Pankhaniyi, muyenera kumwa mankhwala osokoneza bongo a insulini popanda kudya mpweya kapena kulowerera pogwiritsa ntchito kulowetsedwa. Njirayi iyenera kuchitidwa kokha ndi dokotala. Actrapid ® NM Penfill ® idapangidwa kuti izigwiritsidwa ntchito ndi mabungwe a Novo Nordisk insulin jakisoni ndi singano za NovoFine ® kapena NovoTvist ®. Malangizo atsatanetsatane ogwiritsira ntchito ndi kuyang'anira mankhwalawa amayenera kuonedwa.

Matenda okhala ndi vuto limodzi, makamaka opatsirana komanso kutentha thupi, nthawi zambiri amalimbikitsa kufunika kwa insulin. Kusintha kwa magazi kungafunikenso ngati wodwala ali ndi matenda a impso, chiwindi, mkhutu wa adrenal ntchito, pituitary kapena chithokomiro cha chithokomiro.

Kufunika kosinthidwa kwa mlingo kumatha kuonekanso posintha zolimbitsa thupi kapena zakudya zomwe wodwala amadya. Kusintha kwa Mlingo kungafunike posamutsa wodwala kuchokera ku mtundu wina wa insulin kupita ku ina

Bongo

Zizindikiro Kukula kwa hypoglycemia (thukuta lozizira, palpitations, kugwedezeka, kugona, kukwiya, kusokonekera, pallor, kupweteka mutu, kugona, kusowa poyenda, kuyankhula ndi kuwonongeka kwamaso, kukhumudwa). Hypoglycemia imatha kubweretsa kuwonongeka kwakanthawi kapena kugwira ntchito kwa ubongo, chikomokere, ndi kufa.

Chithandizo: shuga kapena shuga mkati mwake (ngati wodwalayo akudziwa), s / c, i / m kapena iv - glucagon kapena iv - glucose.

Njira zopewera kupewa ngozi

Tiyenera kukumbukira kuti kuthekera kuyendetsa galimoto mutasamutsa odwala kupita ku insulin ya anthu kumatha kuchepa kwakanthawi. Mankhwalawa amatha kugwiritsidwa ntchito ngati chiwonekere komanso chopanda khungu. Mukamagwiritsa ntchito mitundu iwiri ya makulidwe a insulini m'matumbo a Penfill, mufunika cholembera cha mtundu uliwonse wa insulin.

Malangizo apadera

Mlingo wosankhidwa bwino kapena kuchotsedwa kwa mankhwala a Actrapid NM (makamaka kwa odwala omwe ali ndi matenda amtundu wa I) angayambitse kukula kwa hyperglycemia. Nthawi zambiri, zizindikiro zoyambirira za matendawa zimawonekera pang'onopang'ono, kwa maola angapo kapena masiku, izi zimaphatikizapo: ludzu, kutuluka kwamkodzo, mkamwa owuma, kusanza, kununkhira kwa acetone kuchokera mkamwa, kutaya chilimbikitso, nseru, kugona kwambiri, khungu lopepuka komanso khungu. Ngati hyperglycemia sichichiritsidwa odwala omwe ali ndi matenda a shuga a mtundu woyamba, ketoacidosis yoopsa yomwe ingachitike.

Ndikupereka kuwongolera kwakukulu pakuwongolera glycemic (mwachitsanzo, mothandizidwa ndi insulin Therapy), ndikothekanso kusintha zomwe zimachitika masiku ano za harbingers za hypoglycemia, zomwe odwala ayenera kuchenjezedwa nazo. Muyenera kukumbukiranso kuti zomwe zimayambitsa hypoglycemia zitha kutchulidwa pang'ono kapena kusintha pomwe wodwala wasamutsidwa kuchokera ku mtundu wina wa insulin kupita ku ina.

Ulendo wam'tsogolo usanachitike komanso wodutsa magawo nthawi, wodwalayo ayenera kulandira upangiri, popeza kusintha kwa kayendetsedwe ka Actrapid NM ndikufunika kudya.

Tiyenera kukumbukira kuti kudumphadumpha chakudya kapena kulimbitsa thupi mosakonzekera, hypoglycemia imatha kuchitika.

Kukhalapo kwa matenda olumikizana, makamaka matenda ndi mawonekedwe a thupi, monga lamulo, kumabweretsa kuwonjezeka kwa kufunikira kwa insulin.

Pakusintha kwa zochita zachilengedwe, njira yopanga, mtundu kapena mtundu wa insulin (yaumunthu, ya nyama kapena ya analogue), komanso kusintha kwa wopanga, zingakhale zofunika kusintha mankhwalawo. Ngati kusintha kwa mlingo kuli kofunikira, zitha kuchitika pawiri jakisoni wa yankho, komanso mu masabata kapena miyezi yoyamba yamaphunziro.

Actrapid NM saloledwa kuti agwiritsidwe ntchito kwa nthawi yayitali subcutaneous insulin infusions (PPII), chifukwa sizingatheke kuneneratu kuti ndi insulin iti yomwe imamwa ndi kulowetsedwa.

Metacresol, yomwe ndi gawo la mankhwalawa, imatha kuyambitsa thupi.

Chifukwa chakuti insulin siyidutsa chotchinga, palibe choletsa kugwiritsa ntchito kwake panthawi yomwe ali ndi pakati, kuwonjezera apo, ngati amayi apakati sangachiritse matenda ashuga, pamakhala chiwopsezo kwa mwana wosabadwayo. Chifukwa chake, chithandizo cha matendawa panthawiyi chiyenera kupitilizidwa, kukumbukira kuti hyperglycemia ndi hypoglycemia, zomwe zimayamba ndi insulin yolakwika, zimawonjezera chiopsezo cha kusokonezeka kwa fetal. Odwala omwe ali ndi matenda ashuga panthawi yonse yomwe ali ndi pakati ayenera kuyang'aniridwa ndi achipatala pafupipafupi, kuphatikiza kuwunika kwa shuga m'magazi. Malangizo omwewo amafunikira kutsatiridwa ndi amayi omwe akukonzekera kutenga pakati.

Tiyenera kukumbukira kuti kufunika kwa insulini koyambirira kokhala ndi pakati, monga lamulo, kumachepera, ndipo m'nthawi yachiwiri komanso yachitatu kumayamba kuwonjezeka pang'onopang'ono. Kufunika kwa insulin pambuyo pobadwa mwana nthawi zambiri amabwerera msanga pamlingo womwe umawonedwa asanakhale ndi pakati.

Palibenso zoletsa zolembedwa za Actrapid NM panthawi yoyamwitsa, popeza chithandizo chamankhwala cha mayi sichikhala chowopseza mwana. Komabe, mkazi angafunikire kusintha kwa insulin ndi / kapena zakudya.

Pamaso pa hyperglycemia / hypoglycemia, pakhoza kukhala kuphwanya kuchuluka kwa momwe angachitire komanso kugona, zomwe zitha kuwopsa kwa odwala omwe ali ndi matenda osokoneza bongo nthawi ngati izi zimafunikira, mwachitsanzo, poyendetsa magalimoto kapena makina ogwiritsira ntchito. Odwala ayenera kuchitapo kanthu kuti ateteze kuchitika kwa hyperglycemia / hypoglycemia. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi vuto la hypoglycemia nthawi yayitali, kapena pakalibe kapena kuuma pang'ono kwa zizindikiro, oyambira kukula kwa hypoglycemia. Zikatero, ndikofunikira kuwunika kuthekera koyendetsa galimoto kapena kugwira ntchito zina zamtundu woopsa.

Kuyanjana kwa mankhwala osokoneza bongo

Zotheka zimachitika mogwirizana ndi insulin ndi mankhwala ena:

• monoamine oxidase zoletsa, angiotensin-akatembenuka enzyme, bromocriptine, anabolic mankhwala, cyclophosphamide m'kamwa hypoglycemic wothandizira, mankhwala lifiyamu nonselective beta-blockers, carbonic anhydrase zoletsa, tetracyclines, fenfluramine, pyridoxine, mebendazole, ketoconazole, theophylline, sulfonamides, clofibrate, kukonzekera okhala Mowa - hypoglycemic zotsatira za insulin zimatheka,
• glucocorticosteroids, mahomoni a chithokomiro, mankhwala opatsirana pakamwa, sympathomimetics, mankhwala opatsirana opatsirana mwamphamvu, phenytoin, thiazide diuretics, mahomoni a chithokomiro, calcium calcium blockers, clonidine, danazole, morphine, diazoxide, nikotini - hypoglycemic ofooka, hypoglycemic
• beta-blockers - kumasula zizindikiro za hypoglycemia ndi zovuta kuzipewa ndizotheka
• lanreotide / octreotide, salicylates, reserpine - kugwiritsa ntchito njira ya insulin kungafooketse kapena kuchulukitsa,
• mowa - kukulitsa ndi kukulitsa kwa mphamvu ya hypoglycemic ya mankhwala ndikotheka.

Tiyenera kukumbukira kuti mankhwala ena (kuphatikiza omwe ali ndi ma thiol kapena sulfite) akawonjezeredwa ku Actrapid NM angayambitse kuchepa kwake. Zotsatira zake, yankho la insulini limatha kuphatikizidwa ndi omwe zimakhazikika.

Migwirizano ndi magwiritsidwe akusungidwa

Sungani pabokosi lamakatoni m'malo otetezedwa ndi dzuwa ndi kutentha kwa 2-8 ºC (mufiriji, koma osayandikira kwambiri mufiriji), osazizira. Pewani kufikira ana.

Moyo wa alumali ndi zaka 2,5.

Pambuyo kutsegula, vial ikhoza kusungidwa kwa masabata 6 mu bokosi lamatoni (pofuna kuteteza kuchokera ku kuwala) pamtunda wosaposa 25 ° C. Sitikulimbikitsidwa kusunga botolo lotseguka mufiriji.

The zikuchokera mankhwala

Malangizo a insulin Actrapid NM alemba zonse zomwe zimapezeka.

Choyamba, kupangika kwa mankhwalawa kumaphatikizapo insulin. 1 ml ili ndi 100 IU ya mahomoni. Kwa mankhwalawa, insulin imapezeka pogwiritsa ntchito maumboni opangira ma genetic. Mahomoni omwe amapezeka mwanjira iyi samasiyana kwenikweni ndi omwe amapangidwa m'thupi, zomwe ndizofunikira kwa odwala omwe nthawi zambiri samamva.

Njira yothetsera vutoli ilinso ndi zinthu zothandizira, monga zinc chloride, glycerin, sodium hydroxide, hydrochloric acid ndi madzi a jakisoni. Ndikofunikira pakuwongolera acid-base state yankho, komanso kukulitsa moyo wa alumali.

Actrapid NM insulin yotulutsa mawonekedwe ndi njira yopanda utoto yankho la jakisoni mu 10 ml vial. Botolo limagulitsidwa ndikuyika makatoni.

Kodi mankhwalawa amagwira ntchito bwanji?

Actrapid NM ndi insulin yochepa, chifukwa chake imayendetsedwa chakudya chisanachitike. Izi zimathandiza kupewa kulumpha m'magazi a glucose mukatha kudya. Mankhwalawa amayamba kuchita mwachangu, ndiye kuti jakisoni imachitika mphindi 30 asanadye.

Timadzi timadzi timene timatulutsa minyewa komanso mafuta, motero zimapangitsa kuti shuga ayambe kugwira ntchito yake m'selo. Chifukwa chake, minofuyo imapatsidwa mphamvu yofunikira, ndipo shuga wamagazi amachepetsedwa.

Kusankha kwa mlingo Actrapid NM

Mlingo wa insulin womwe umayendetsedwa amawerengeredwa payekha ndi adokotala ndipo zimatengera zinthu zambiri. Choyamba, zimatengera nthawi yamatendawa, ndikakhazikika mofatsa, pomwe insulini ikadapangidwira kwinakwake m'thupi, kuchuluka komwe kumayendetsedwa ndizochepa. Milandu yayikulu kapena chitukuko cha insulin (chitetezo chokwanira cha insulin receptors), mlingo wa mankhwalawo ndiokulirapo.

Komanso kuchuluka kwa mankhwalawa omwe amaperekedwa ndi mankhwalawa kumatengera matenda omwe amachitika ndi chiwindi ndi matenda a impso, mlingo umakhala wochepa) komanso mankhwala omwe amatengedwa nthawi yomweyo. Mwachitsanzo, ma antibacterial othandizira amathandizira pakuchitika kwa insulin, ndi glucocorticosteroids, kulera kwapakamwa, thiazide diuretics kumafooketsa.

Pakakhala bongo, pamafunika kuchitapo kanthu mwachangu. Muzocheperako, mutha kudya china chake chokoma, mwachitsanzo, chidutswa cha shuga (aliyense yemwe ali ndi matenda a shuga pamankhwala amtundu wa insulin ayenera kukhala ndi chilichonse chokoma nawo). Mivuto yayikulu kwambiri (mpaka pakutha mphamvu za chikumbumtima ndi chikomokere), thandizo lachipatala limafunikira, kuphatikiza kuyambitsa 40% shuga.

Nthawi zina kusintha kwakanthawi kochepa komwe kumapangitsa insulini yoyendetsedwa kumafunika. Izi ndizofunikira panthawi yapakati, matenda opumira kwambiri, kuvulala, kulowererapo, kuchita masewera olimbitsa thupi komanso kupsinjika. Dokotala wopezekapo angakuuzeni zambiri za izi.

Njira yoperekera mankhwala

Monga lamulo, Actrapid NM imalowetsedwa m'matumbo a mafuta am'mapewa, pamimba, matako kapena kutsogolo kwa ntchafu. Nthawi zambiri, odwala amatenga jakisoni m'mimba, chifukwa nchotheka kupezeka palokha ndipo mankhwalawo amalowa m'magazi mosavuta.

Dongosolo la jakisoni:

1. Sambani manja.
2. Chitani jakisoni ndi antiseptic.
3. Tengani syringe yotaya ndikutulutsa mpweya kuti ukhale ndi chizindikiro cha insulin.
4. Pierce nkhumba ndikutulutsa mpweya wambiri mu insulin vial.
5. Kokani pistoni ndikuyimbira kuchuluka kwa mankhwalawo, chifukwa botolo liyenera kutembenukira mozungulira.
6. Chotsani singano ndikuonetsetsa kuti mlingo wayikidwa bwino.
7. Onetsetsani kuti antiseptic pamalo omwe jekeseni la mtsogolo lakhala louma, chifukwa insulin imawonongeka chifukwa cholumikizana ndi mankhwala ophera tizilombo.
8. Tengani khungu kukhala khola lakumaso ndi chala cham'maso (chokhala ndi izi, mafupa okhaokha am'madzi, opanda minofu, amalowa m'khola).
9. Ikani singano ya insulini kuti mupeze kuya kokwanira pafupifupi madigiri 45 ndipo kanikizani piston pang'onopang'ono.
10. Pambuyo pa kukhazikitsa kwa mankhwalawa, simukuyenera kuchotsa singano kwa masekondi ena 6, izi zikuthandizira kuperekera mankhwalawo kwathunthu.

Ndikofunikira kutsatira malamulo osungira insulin ndikugwiritsa ntchito kukonzekera kwapokhapokha. Muyenera kuti muzisunga mufiriji, koma simungathe kuzimitsa. Mutha kugula mankhwalawo ku pharmacy, osati ndi manja anu, apo ayi mutha kugula zinthu zowonongeka ndipo mwina osazizindikira. Musanagwiritse ntchito, onetsetsani kuti tsiku lake latha bwanji komanso umphumphu wake. Insulin yomwe idatha ntchito sikuyenera kugwiritsidwa ntchito.

Syringe jakisoni ngodya

Tsamba la jakisoni liyenera kusankhidwa molondola.

• Simungapereke jakisoni kumalo komwe kuli mabala kapena khungu lowonongeka.
• Kuchokera moles (nevuses), zipsera ndi mawonekedwe ena muyenera kubwereza masentimita atatu, kuchokera ku navel 5 sentimita.

Kuti mupewe zovuta monga lipodystrophy (atrophy yama subcutaneous mafuta), muyenera kusintha malo a jekeseni pafupipafupi. Ndikofunikira kusunthira kuchokera kachiwalo kuchokera kumalo ena kupita kwina. Mwachitsanzo, motere, dzanja lamanzere, phazi lamanzere, phazi lamanja, dzanja lamanja, m'mimba. Ena amakhala ndi ndandanda ya jakisoni komwe amalemba nthawi ndi malo a insulin. Iliyonse imatha kukhala ndi njira yakeyake, pokonzekera komwe adokotala angathandize. Ndikofunikira kupatuka pamalo omwe jekeseni wam'mbuyo osachepera 2 cm.

Nthawi zina, kuyamwa kwa mankhwalawa kumafunika. Kudzinyenga kotereku kumachitika ndi katswiri wazachipatala. Nthawi zambiri, izi ndizofunikira ngati thandizo ladzidzidzi ndi hyperglycemia komanso ketoacidosis.

Actrapid NM sioyenera kugwiritsidwa ntchito pamapampu a insulin.

Gwiritsani ntchito pakati komanso pakati

Actrapid NM wavomerezedwa kuti agwiritsidwe ntchito mwa amayi apakati, samadutsa placenta ndipo sasokoneza mwana. Zochitika monga hyperglycemia ndi hypoglycemia zimathandizira kwambiri pakukula kwa mwana wosabadwayo, zimatha kuyambitsa kuchepa kwakula ngakhale kufa kwa mwana, kotero ndikofunikira kwambiri kuyang'anira kuchuluka kwa shuga ndi glucometer.

Nthawi zambiri, mu trimester yoyamba, muyenera kuchepetsa mlingo woyambirira wa mankhwalawa, ndipo chachiwiri ndi chachitatu chimayamba kuchuluka. Pambuyo pobadwa mwana, kusintha kosavuta kwa mtundu woyamba wa insulin kumachitika.

Mukamayamwitsa, amaloledwanso kugwiritsa ntchito Actrapid NM, ilibe vuto lililonse pakukula kwa thupi. Mlingo wa mankhwalawa amasankhidwa payekha.

Contraindication Actrapid NM

Pali milandu iwiri yokha yomwe mankhwalawo sangagwiritsidwe ntchito:

• Hypoglycemia. Mukapanga jakisoni wokhala ndi shuga wochepetsedwa, amachepetsa kwambiri ndipo munthu amatha kugwa.
• Aliyense tsankho kwa zigawo zikuluzikulu za mankhwala. Izi zikugwira ntchito pazinthu zonse za insulin za anthu komanso zothandizira.

Zotsatira zoyipa za mankhwalawa

Zotsatira zina zoyipa zimachitika chifukwa cha Mlingo wosankhidwa bwino.

Ndi osakwanira Actrapid NM, hyperglycemia yokhala ndi ketoacidosis imayamba. Pachizindikiro choyamba cha kuchuluka kwa glucose (ludzu, kuchuluka kwa diresis, pakamwa kowuma, kununkhira kwa acetone), muyenera kuyeza msanga msanga ndi glucometer ndikuyang'ana dokotala.

Ngati mulingo wambiri, hypoglycemia imayamba.

Zotsatira zina zoyipa zimakhudzana mwachindunji ndi mankhwala, monga:

• Thupi lawo siligwirizana (urticaria, anaphylactic mantha, Quincke edema). Zitha kuchitika pazinthu zilizonse za mankhwalawa.
• Peripheral neuropathy.
• Mavuto ndi gawo lamasomphenya. Nthawi zambiri izi ndi kuphwanya kwa Refraction ndi matenda ashuga retinopathy.
• Zokhudza kwanuko. Amapezeka pamalo a jakisoni ndipo nthawi zambiri amakhala pachiwopsezo cha insulin. Izi zimaphatikizapo kutupa, kuwonda, kuyabwa, kuyamwa, ndi zina. Ndi makonzedwe pafupipafupi a mankhwalawa pamalo omwewo, lipodystrophy imatha kuyamba.

Zotsatira zonse zomwe zili pamwambazi zimachitika kawirikawiri, komanso ndi mlingo woyenera ndi kuyamwa kwa mankhwalawa - osowa kwambiri.

Zotsatira zoyipa zikachitika, insulin Actrapid NM ikhoza kusinthidwa ndi analogue. Izi ndi monga: Biosulin R, Insuman Rapid GT, Humulin Regular, Vozulim R ndi ena.

Kumbukirani kuti ndi madokotala okha omwe angasinthe mankhwalawo, ngakhale ku analogi, kapena mlingo. Kudzichitira nokha mankhwala kuli ndi zovuta zambiri.

Actrapid NM: malangizo ogwiritsira ntchito

Mukabayidwa jakisoni wa Actrapid, monga mtundu wina uliwonse wa insulin, muyenera kutsatira zakudya.

Anthu ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin sawona kuti ndizotheka kupewa kukhala ndi vuto la hypoglycemia. M'malo mwake, izi siziri choncho. Mutha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune. Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti mudzilimbitse nokha motsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1.

Zotsatirazi ndizowonjezera pazamankhwala a Actrapid.

Kodi insulin nchiyani?

Actrapid ndi insulin yochepa. Osasokoneza ndi Apidra, omwe ndi ultrashort. Ultrashort mitundu ya insulin pambuyo makonzedwe amayamba kuchita zinthu mwachangu kuposa zazifupi. Komanso zochita zawo zimatha posachedwa. Actrapid si insulin wothamanga kwambiri. Koma kwa odwala omwe ali ndi matenda a shuga amtundu woyamba 1, omwe amatsata zakudya zama carb otsika, mankhwalawa ndi abwino kuposa mitundu yochepa kwambiri ya insulin Humalog, NovoRapid ndi Apidra.

Chowonadi ndi chakuti thupi la munthu limayamba kudya zakudya zamafuta ochepa. Choyamba muyenera kugaya mapuloteni omwe adadyawo. Pambuyo pake, gawo lina limasandulika kukhala glucose, yomwe imalowa m'magazi. Pokhapokha mafuta abwino mu zakudya, kukonzekera kwa insulini kumachitika mwachangu. Amatha kuyambitsa hypoglycemia ndi spikes shuga. Actrapid ali bwino pankhaniyi.

Mungamayike bwanji?

Actrapid nthawi zambiri amabayidwa katatu patsiku musanadye, mphindi 30 asanadye. Komabe, kuti mupeze chiwongolero chabwino cha matenda a shuga, sizingatheke popanda kusankha mtundu wa mankhwala a insulin. Simungadalire ulangizi wokhazikika pazakudya ndi kusankha kwa mankhwala a insulin.

Sinthani ku chakudya chamafuta ochepa, kenako yang'anani mphamvu ya shuga masiku angapo. Simungafunike jakisoni wa insulin mwachangu musanadye. Actrapid sifunikira kuvulazidwa ngati, popanda iyo, kuchuluka kwa shuga m'masiku 3-5 pambuyo chakudya kumasungidwa pamlingo wa anthu athanzi - 4.0-5.5 mmol / l.

Phunzirani nkhani yakuti “Inulin ndi Inulin: Kuti Mungatole Bwanji.” Imakuwuzani momwe mungapereke jakisoni popanda kupweteka. Pewani kuyendetsa miyeso yambiri ya Actrapid kapena insulin ina mwachangu pakanthawi kochepera maola 4-5. Kuphatikiza pa zochitika zothamanga pamene shuga odwala matenda ashuga ali kwambiri, zovuta zimakhalapo zomwe zimafunikira chisamaliro chadzidzidzi.

Kodi jakisoni aliyense amatalika bwanji?

Jekeseni aliyense wa mankhwala Actrapid ndiwothandiza kwa maola pafupifupi asanu. Zotsalira zotsalira zimatha mpaka maola 6-8, koma sizofunikira. Sikoyenera kuti milingo iwiri ya insulin yochepa ichite munthawi yomweyo mthupi. Odwala odwala matenda ashuga kwambiri amatha kudya katatu patsiku ndi kubaya insulin mwachangu musanadye ndi nthawi yayitali ya maola-5-5. Chakudya chomwe mumagawana pafupipafupi sichingawathandize, koma kuwapweteketsa. Shuga sayenera kukumbukiridwanso koyambirira kuposa maola 4 mutatha jakisoni wa Actrapid. Chifukwa kufikira nthawi ino, mlingo womwe umayendetsedwa sudzakhala ndi nthawi yochitapo kanthu.

Kodi chitha kusintha chani ndi mankhwalawa?

Chonde dziwani kuti kusinthana ndi zakudya zamafuta ochepa kumatsitsa muyeso wofunika wa insulin nthawi 2-8. Mukamagwiritsa ntchito Mlingo wocheperako, palibe zotsatira zoyipa zomwe zimayambitsa. Simungafunikenso kufunafuna m'malo mwa Actrapid. Uwu ndi mtundu wabwino kwambiri, wotsimikiziridwa komanso wotsika mtengo wa insulin. Ndikofunika kuti mupitirizebe kukhala pamenepo.

Komabe, mankhwala ena amagulitsidwa ku malo ogulitsa mankhwala, omwe ali ndi chidwi ndi omwe ndi insulin yochepa ya anthu. Mwachitsanzo, Humulin Regular, Insuman Rapid kapena Biosulin R. Tikubwerezanso kuti kwa anthu odwala matenda ashuga omwe amatsata zakudya zama carb otsika pang'ono, insulin yochepa ya munthu ndiyabwino kuposa ma analoge-yochepa. Komabe, odwala omwe safuna kusiya mafuta owononga, ndibwino kusinthana ndi amodzi mwa mankhwala a ultrashort - Humalog, NovoRapid kapena Apidra. Mitundu ya insulin imeneyi imatha kuthetsa shuga m'magazi itatha kudya mwachangu kuposa Actrapid.

Kodi ndingasakanize Actrapid ndi Protafan?

Actrapid ndi Protafan sangasakanikidwe, monga mtundu wina wa insulin. Amatha kudulidwa nthawi yomweyo, koma ndi ma syringe osiyanasiyana komanso m'malo osiyanasiyana.

Osayesa kupulumutsa pama syringes posakaniza mitundu yosiyanasiyana ya insulini. Muyenera kuwononga botolo lonse la mankhwala okwera mtengo. Anthu odwala matenda ashuga omwe amatsata zakudya zama carb ochepa ndikuyesetsa kuti azikhala ndi shuga wabwinobwino salimbikitsidwa kuti azigwiritsa ntchito mankhwala aliwonse okonzekera insulin.

Werengani apa chifukwa chake simuyenera kumenya Protafan, koma muyenera kuyisintha ndi Lantus, Levemir kapena Tresiba. Nthawi yomweyo, odwala matenda ashuga omwe amadya ochepa-carb amalangizidwa kuti azigwiritsa ntchito Actrapid osayesa kusintha pomwepo kuti akhale chithunzi cha Humalog, Apidra kapena Novorapid.

Analogues a Actrapid ndi mitundu ina ya insulin yomwe imakhala ndi maselo omwe amapanga komanso nthawi yayitali ya jakisoni. M'mayiko olankhula Chirasha mutha kupeza Humulin Regular, Insuman Rapid, Biosulin R, Rosinsulin R komanso, mwina, mankhwala enanso a shuga. Ena mwa iwo amalowetsedwa, ena ndi akwawo.

Mu malingaliro, kusintha kuchokera ku Actrapid insulin kupita ku imodzi ya analogues kuyenera kuyenda bwino, osasintha mlingo. Pochita izi, kusintha kotereku kumakhala kovuta. Muyenera kukhala masiku angapo kapena masabata kuti musankhe mlingo woyenera, kusiya kudumpha kwa shuga. Kusintha mankhwala ogwiritsira ntchito insulin yofulumira komanso yayitali ndikofunikira pangozi zokha.

Ndemanga 14 pa "Actrapid"

Masana abwino Thandizo lanu ndilofunika kwambiri! Mwamuna wanga ali ndi matenda ashuga a 2 kwa zaka 5. Zaka 53 zaka. Ankakonda kutenga Galvus Met; kuchuluka kwa shuga sikunakwera pamwamba pa 8 mmol / L. Koma miyezi iwiri yapitayo adachitidwapo opaleshoni, ndipo pambuyo pake shuga yathu sizikhala mwanjira iliyonse. Poyamba, adotolo adatumiza mayunitsi a Lantus 8 usiku, koma shuga m'mawa sanagwe pansi 12. Tsopano ali wamkulu kwambiri. Kutumizidwa Actrapid 3 pa tsiku kwa 6 mayunitsi ndi lantus usiku 6 mayunitsi, m'mawa shuga kachiwiri 14.8. Chonde thandizirani, zachilendo zikuchitika!

Choyamba, ndikofunikira kufotokozera ngati wodwalayo asintha zakudya zamafuta ochepa.

Ngati sichoncho, sangakuthandizireni patsamba lino. Moona, osati kwa ena.

Moni Ndili ndi zaka 23, kutalika 159 cm, kulemera kukukula chifukwa cha mimba, mtundu 1 wa shuga, ndadwala zaka 13. Tsopano ali ndi pakati, milungu 20. Mlingo watsiku ndi tsiku wa insulin: Actrapid - 32 mayunitsi, Protafan - 28 mayunitsi. Mpaka posachedwa, shuga wanga anali m'gulu la 5.5-7.5. Koma m'masiku aposachedwa iwo adayamba kukwera - zimachitika mpaka 13.0! Ndimayesetsa kuwonjezera mlingo wa insulin. Zachidziwikire, nkhawa kwambiri. Ngakhale ndikuopa kudya kale chakudya! Monga momwe zingakhalire ndi mwayi wabwino, sing'anga wokonzekera tchuthi samatembenukira kwa aliyense. Wochiritsira akuti Actrapid ndiyabwino ndipo nditha kuwononga mwana wanga nayo. Inu, mmalo mwake, mukulimbikitsani kuti aliyense asinthire ku iyo ndi ultrashort insulin. Ndiuzeni chonde, ndiyenera kukhala bwanji? Kuopsa kwa mwana! Zikomo patsogolo!

Tsopano ali ndi pakati, milungu 20. Mpaka posachedwa, shuga wanga anali m'gulu la 5.5-7.5. Koma m'masiku aposachedwa adayamba kukwera

Kuyambira kuyambira theka lachiwiri la kubereka, kufunika kwa insulini pang'onopang'ono kumawonjezeka, pafupifupi mpaka kubadwa. Umu ndi momwe aliyense amafunira aliyense. Ngati simukuwonjezera kuchuluka kwa insulin mu jakisoni, ndiye kuti shugayo iwonjezeka. Osangotengeka chabe, onjezerani ndi mayunitsi a 0,5-2, osatekeseka.

Wochiritsa akuti Actrapid ndiyabwino

Ngati insulini itayamba kutha, wochita zolondola akuyenera

Ndiuzeni chonde, ndiyenera kukhala bwanji?

Muyenera kuphunzira malamulo osungira insulin - http://endocrin-patient.com/hranenie-insulina/ - ndikuwonetsetsa kuti mankhwalawa sanawonongeke.

Ponena za chakudya chamafuta ochepa, sindingathe kuvomereza kuti musinthe momwe mulili pano. Simudzadziwa chiyani. Asanabadwe, sindikadatenga ntchito yanu.

Ndili ndi zaka 26, kutalika 162 cm, kulemera kwa makilogalamu 72. Ndakhala ndikuvutika ndi matenda ashuga amtundu 1 kwa zaka 11. Tsopano ndimalandira Actrapid 7 + 7 + 7 IU patsiku, wina Latnus wa 35 IU pa usiku. Kulemera kwa thupi kwayamba kuchuluka m'miyezi yaposachedwa. Ndipo shuga umagwira 9-12. Kodi ndizowona kuti Actrapid amalimbikitsa kunenepa kwambiri kuposa mitundu inanso ya insulin?

Kodi ndizowona kuti Actrapid amalimbikitsa kunenepa kwambiri kuposa mitundu inanso ya insulin?

Insulin iliyonse imathandizira kuti thupi lizikula ngati lakwiriridwa kwambiri.

Ndikadakhala kuti muli inu, ndikadasintha ndikudya zakudya zama carb otsika - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - bwino pambuyo pake. Izi zipangitsa kuti achepetse mlingo wake. Mwayi wonenepa kwambiri uwonjezeka. Kudumphira m'magazi a magazi kumachepa kapena kusiya.

Moni. Chonde ndithandizeni kudziwa. Mwanayo ali ndi zaka 2, amadwala matenda a shuga miyezi 5 yapitayo. Timamuyika insulin Protafan ndi Actrapid. Poyamba, tinakwanitsa kusankha bwino miyala. Mitengo ya glucose inali yabwino kwambiri. Koma sabata yatha mavuto adayamba - shuga kwambiri usiku 11-12, timadzuka m'mawa. Timachita zonse monga kale, koma zotulukapo zake zidakulirakulira. Nthawi zambiri pa 18.00 timakhazikitsa Actrapid pa mlingo wa mayunitsi 1.5 tisanadye. Pa 22.00 ena Protafan 1,5 PIECES. Nthawi yomweyo ya shuga 6.0 ndi kutsika timapereka kefir, zimapezeka ngati chakudya chachiwiri. Kefir mwana ankakonda kumwa 1 XE, ndipo tsopano watopa ndi izi, ndipo nthawi zambiri safuna kumwa theka kapu ya 0.5 XE. Ngakhale izi, usiku ndi m'mawa shuga akukulira. Mukupangira chiyani?

Poyamba, tinakwanitsa kusankha bwino miyala. Mitengo ya glucose inali yabwino kwambiri.

Izi ndichifukwa choti mabowo omwe amapanganso insulin yawo, yomwe imatchedwa chisomo, adasungidwa. Tsopano zatha chifukwa cha kuperewera kwa zakudya m'thupi ndi jakisoni wa Mlingo wa insulin wosasintha (wosasinthika).

mavuto adayamba - shuga kwambiri usiku 11-12, timadzuka ndi m'mawa. Timachita zonse monga kale, koma zotsatira zake zidakulirakulira. Usiku ndi m'mawa shuga akukulira.

Munayamba kuwona zotsatira zonse za chisamaliro chokwanira cha matenda ashuga. Kupitilira apo zimatha kukhala zoyipa kwambiri ngati simusintha kupita ku boma la Dr. Bernstein - http://endocrin-patient.com/lechenie-diabeta-1-tipa/.

Lowani gulu lathu. m'lingaliro, kusamutsa banja lonse kukhala chakudya chochepa cha carb - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - ndikuwonetsetsa.

Ndikofunikanso kuwerengera mosamala mlingo wa insulin, komanso osaba jakisoni nthawi zonse. Muyenera kuphunzira momwe mungapangire insulin.

musanadye chakudya chamadzulo, ikani Actrapid muyezo wa 1.5 PESCES. Pa 22.00 ena Protafan 1,5 PIECES.

Actrapid akhoza kutsalira. Ngakhale kuti mankhwalawa akuwoneka kuti ndi ochulukirapo kwa mwana wazaka 2, makamaka atasinthira kumakudya ochepa a carb. Protafan Yapakatikati ikulimbikitsidwa kuti isinthidwe ndi insulin yayitali, kuti mumve zambiri onani http://endocrin-patient.com/dlinny-insulin/

perekani kefir, zimakhala ngati chakudya chachiwiri

Chonde ndiuzeni, kodi ndingasinthe kuchokera ku insulin Insuman Rapid kubwerera ku Actrapid NM? Ngati ndi choncho, mungachite bwanji? Zoyenera kuganizira? Zinthu zili motere. Mwana wanga wamwamuna wakhala ndi matenda ashuga a 1 kwa zaka 16. Mwa izi, kwa zaka 13 zoyambirira, Actrapid wakhala akukokomeza. Kenako, Insuman Rapid inayamba kukhazikitsidwa mu pharmacy m'malo mwake. Tsopano, kuyambira Januware 2018, adayamba kulemba insulin Biosulin yatsopano m'chipatalacho. Koma, popeza Actrapid adadziwonetsa bwino kale, mwana akuganiza zobwerera kwa iye osasinthanso. Mudayesera kale kusinthana ndi Ultvo-Short NovoRapid, koma osapeza mtundu woyenera, panali kubwezeretsa mwamphamvu.

Kodi ndizotheka kusintha kuchokera ku insulin Insuman Rapid kubwerera ku Actrapid NM?

Ngati ndi choncho, mungachite bwanji? Zoyenera kuganizira?

Mlingo mulimonsemo umasankhidwa ndikuwusintha payekhapayekha. Mutha kupita mwachindunji ku mlingo womwewo. Kapena, poyambira, kumangoyambira 10-25% pang'ono, kenako ndikuwonjezereka ngati pakufunika.

Mwana wanga wamwamuna wakhala ndi matenda ashuga a 1 kwa zaka 16.

Maziko olamulira bwino ndi zakudya zamagulu ochepa. Werengani zambiri apa - http://endocrin-patient.com/lechenie-diabeta-1-tipa/. Popanda kusinthana ndi zakudyazi, sizigwiritsidwa ntchito kwenikweni, ngakhale mutakhala ndi insulini iti.

Kuyambira Januware 2018, adayamba kulemba insulin Biosulin yatsopano m'chipatalamo.

Masiku ano, insulin ya m'nyumba iyenera kupewedwa nthawi iliyonse yomwe ingatheke. Ndizotheka kuti mtundu wa mankhwalawa umayenda bwino ndipo malingaliro awo asintha. Koma akadali.

Moni
kulemera makilogalamu 58, anakula 164 cm.
Mtundu woyamba wa matenda ashuga kuyambira 2012.
Kwa chaka chimodzi tsopano ndakhala ndikutsatira malingaliro anu pazakudya zama carb ochepa, ndipo ndikutsatira mosamalitsa.
Malo a Kolya Tresiba 8.0 nthawi ya 2 a.m. ndi Actrapid musanadye
Glycated hemoglobin 4.7-4.9%, mayeso onse ndi abwino, ndimakhalanso ndi mavitamini.
Ndikuganiza kuti ndilibe nthawi yokwanira yogwiritsira ntchito mankhwala a Actrapid, chifukwa chakudya chotsatira, shuga, nthawi zina, chimafika pa 6.0 ngakhale m'malo opanda phokoso.
Ndidayesa kugawa mlingo, pang'ono pang'onopang'ono musanadye, ndipo pambuyo pake - zidayamba zoyipa.
Malangizo othandizira. Insulin yayitali yofufuzidwa - imagwira bwino.

Mtundu woyamba wa matenda ashuga kuyambira 2012.
Kwa chaka chimodzi tsopano ndakhala ndikutsatira malingaliro anu pazakudya zama carb ochepa, ndipo ndikutsatira mosamalitsa.
Malo a Kolya Tresiba 8.0 nthawi ya 2 a.m. ndi Actrapid musanadye
Glycated hemoglobin 4.7-4.9%, mayeso onse ndi abwino

Wachita bwino! Zowonjezera kwa odwala matenda ashuga!

Ndikuganiza kuti ndilibe nthawi yokwanira yogwiritsira ntchito mankhwala a Actrapid, chifukwa chakudya chotsatira chisanachitike, shuga amapezeka atafika pa 6.0

Muyenera kudya katatu pa tsiku, ndikudya kwam'mawa kwambiri. Anthu omwe amadya chakudya cham'mawa amadzuka ndi chakudya chabwino ndipo amayesetsa kudya chakudya cham'mawa mwachangu. Munjira imeneyi, kupuma pakati pa chakudya ndi jakisoni wa Actrapid insulin sikungakhale kopitilira maola 5, koma, maola 3.5-4. Yesetsani kupewa kuzemba. Mukudziwa kale izi, mwina.

Yesani kuwonjezera kuchuluka kwake pang'ono, mukukula kwa mayunitsi 0,25-0,5, pakapita masiku atatu aliwonse. Ngati ndi kotheka, phatikizani mankhwalawa ndi saline kuti mupeze jekeseni wa mavitamini ambiri a 0,25. Pa intaneti mupeza momwe mungachitire.

Moni, Sergey. Chonde ndiuzeni, mukuti muyenera kupewa insulin. Kodi nchifukwa ninji chiri choyipa?
Mwamuna ali ndi zaka 14 za matenda ashuga 1. Adasinthira kudya zakudya zama carb ochepa, chaka pa icho. Amaperekedwa kwaulere insulin Farmasulin N ndi Farmasulin NNP. Chifukwa chiyani ndikofunikira kusinthira ku Lantus ndi Actrapid? Ndimafuna kudziwa malingaliro anu. Zikomo

mukuti insulin ya m'banja iyenera kupewa. Kodi nchifukwa ninji chiri choyipa?

Monga lamulo, mitundu ina ya insulini yomwe imagulitsidwa imakhala bwino komanso yosakhazikika kuposa ya kunyumba. Kupanga kwa insulini ndikofunikira kwambiri. Akatswiri ochokera kumayiko a CIS achoka kale kupita Kumadzulo.

Ndikukayikira kuti insulin yanyumba siyitsukidwa bwino.

Insulin yapakatikati nthawi zambiri imakhala nyimbo yosiyana, onani nkhani pa Protafan, sinthani mwachangu kwautali.