Moti mupite ngati insulin simupatsidwa

Kugula mankhwala ndikosavuta. Ngati muyezo wa mahomoni mukufunika chithandizo, ndipo wodwalayo watha insulini, pangozi zitha kugulidwa ku pharmacy yomwe imakhudzana ndi kaperekedwe kamankhwala. Ndikwabwino kuyimbira nthawi yonse yogulitsa pasadakhale kuti mudziwe ngati malonda akugulitsidwa, chifukwa siamitundu yonse omwe amagulitsa zinthu zotere.

Mutha kugula mankhwalawa kwaulere ngati mupita kwa dokotala wanu wa endocrinologist ndikulembera kalata. Mankhwala osangalatsa amaperekedwa ndi lamulo kwa nzika za Russian Federation ndi akunja chilolezo chokhala. Omwe adapezeka ndi matenda osokoneza bongo a insulin. Kupereka kwa maubwino amenewa kumayendetsedwa ndi malamulo aboma pazithandizo zamayiko 178-FZ ndi Chisankho cha Boma Nambala 890.

Dokotala wa endocrinologist kapena katswiri, yemwe ali pamndandanda wa anthu omwe amakonda mankhwala okondera, ali ndi ufulu kupereka mankhwala kuti agule insulin. Kulembetsa kumeneku kumapangidwa ndi oyang'anira mabungwe azaumoyo.

Chinsinsi chotere sichingapezeke pa intaneti, chifukwa chake muyenera kusamala kuti mupeze chikalatacho pasadakhale ngati insulin ikatha. Wodwala matenda ashuga ayenera kupita kwa dokotala, atayeza ndi kuvomereza njira yochiritsira, pamakhala mlingo wina, womwe wodwalayo angalandire kwaulere.

Kupereka mankhwala, wodwala ayenera kukhala ndi zikalata zingapo naye:

Fomu yolembetsa imaperekedwa pamalo olembetsedwera odwala matenda ashuga, kotero pasipoti ndiyofunikira. Ndikofunikira kulingalira ngati munthu sakhala kumalo olembetsa, muyenera kusankha chisamaliro chachipatala ndikugwirizanitsa ndi bungwe lazachipatala lomwe mwasankha nalo chikalata. Simungasinthe chipatalacho osaposa kamodzi pachaka.
Mukapita ku chipatala muyenera kukhala ndi mfundo za inshuwaransi ya chipatala ndi pulogalamu ya inshuwaransi (SNILS).
Kuphatikiza apo, setifiketi ya olumala kapena chikalata china chotsimikizira ufulu wazopereka ziyenera kuperekedwa.
Tiyeneranso kupereka satifiketi kuchokera ku Pension Fund yotsimikizira kuti palibe kukana kulandira ntchito zothandizira anthu.

Zolemba izi ndizofunikira kuti mudzaze mabokosi onse azokondweretsa ndikusankha kwa manambala.

Kodi insulin imaperekedwa kwaulele

Chipatala chomwe chipani chachipatala chasainirana mgwirizano chili ndi ufulu kupereka mankhwala kwaulere. Nthawi zambiri, dokotalayo amapereka ma adilesi ochepa pomwe odwala matenda ashuga amatha kuperekedwera zakudya zomwe amakonda.

Fomu yolembetsayi ndi yovomerezeka pakugulidwa kwa mahomoni kwa milungu iwiri kapena inayi, nthawi yeniyeni imatha kupezeka mu Chinsinsi. Osati wodwala yekha yemwe ali ndi ufulu kulandira insulin, komanso abale ake pazomwe akupatsidwazo.

Zitha kuchitika kuti mankhwala osungirako kwakanthawi alibe mankhwala aulere, pankhani iyi, muyenera kugwiritsa ntchito njira zotsatirazi.

Choyamba, muyenera kufunsa woyang'anira malo ogulitsa mankhwalawo kuti alembetse chikalata chamuchipatala chotsimikizira kuti ali ndi ufulu kulandira mankhwala osankhidwa mwatsatanetsatane.
Komanso, malinga ndi dongosolo la Unduna wa Zaumoyo ndi Zachitukuko cha Russia ku Russia, mankhwala a mahomoni amayenera kuperekedwa kwa wodwala osaposa masiku khumi. Ngati izi sizingatheke pachifukwa chabwino, mankhwalawa akufotokozereni momwe mungachitire ndi matenda a shuga.
Ngati mankhwala apezeka kuti apereke insulin ndi mankhwala, muyenera kubweretsa kwa dokotala. Kuphatikiza apo, amalemba madandaulo ndi TFOMS kapena QS - mabungwewa ndi omwe ali ndi udindo wotsatira ufulu wa odwala pantchito ya inshuwaransi yayikulu yazaumoyo.

Mukataya fomu yakulemberani, mukuyeneranso kukaonana ndi dotolo, alembe kalata yatsopano ndikulembera zakusowa kwa apolisi omwe mgwirizano wawo watha.

Izi sizimalola anthu osavomerezeka kugwiritsa ntchito mwatsatanetsatane zomwe zalembedwa.

Ngati dokotala sakupereka mankhwala

Musanadandaule kwa olamulira akuluakulu, muyenera kumvetsetsa kuti si dokotala aliyense ali ndi ufulu wopereka mankhwala. Chifukwa chake, ndikofunikira kufotokozera pasadakhale yemwe ali ndi ulamuliro wopereka chikalatacho.

Mndandanda wa madotowa atha kupezeka mwachindunji kuchipatala, uyenera kuperekedwa kwa wodwala pakufunsidwa. Izi ndizopezeka pagulu ndipo zimapezeka ambiri, chifukwa chake zimayikidwa pamapulogalamu achidziwitso.

Ngati, pazifukwa zilizonse, dokotalayo sanalembepo chithandizo chamankhwala okondera aulere kwa odwala matenda ashuga, ngakhale atazindikira, muyenera kutumiza dandaulo kwa dokotala wamkulu wa bungwe lachipatala. Monga lamulo, pa nthawi iyi, mikangano yathetsedwa, wodwala ndi manejala amabwera pama mgwirizano.

Kodi amapangidwa ndi chiyani?

Mutha kukhala munjira izi:

Kugwiritsa ntchito mankhwala enaake a insulin,
Zotsatira zake, momwe majini osinthika a yisiti kapena Escherichia coli amakhudzidwa, mabakiteriya a coli.

Insulin yotere ndi biphasic. Imayeretsedwa koyamba, kenako imapangidwa kupanga mankhwala omaliza. Kapangidwe kamankhwala awa sikosiyana kwambiri ndi insulin yoyera yopanga mankhwala. Ena okhazikika, othandizira opha zamphamvu ndi zotsekemera zomwe zimapangitsa mabakiteriya kuti awonjezeranso munthu.

Mtundu waukulu wamasulidwe ndi yankho la jakisoni. 1 ml ikhoza kukhala ndi ma insulin 40 kapena 100 a insulin.

Kuchita ndi mankhwala ena

Mankhwalawa akukhudzana ndi ma insulin osakhalitsa. Fomu yeniyeni ya insulin-receptor pamwamba pa michere yambiri ya maselo, yomwe imawonekera pambuyo poyanjana mwachindunji ndi mawonekedwe a membrane a cell. Kuphatikizika kwa cycloo oxygenase mkati mwa maselo a chiwindi ndi mawonekedwe a mafuta akuwonjezeka.

Mukagwiritsidwa ntchito, zotsatirazi zotsatirazi zimakonda kukhala:

matupi awo sagwirizana: urticaria, edema ya Quincke,
kupuma movutikira, kugwa kwamwadzidzidzi,
hypoglycemia: kutuluka thukuta kwambiri, khungu lake, kugwedezeka kwambiri, kugona mosalekeza, kukhumudwa, kugona tulo, migraine, kusakwiya kwambiri, kutopa, kuona kwam'maso ndikulankhula, kupindika kwa minofu ya nkhope,
hypoglycemic coma,
hyperglycemia ndi acidosis: pakamwa mokhazikika, kukhumudwa kwambiri, khungu la nkhope,
chikumbumtima
kuchepa kwa masomphenya
kuyamwa ndikutupa pamalo omwe mankhwalawo adathandizidwa.
mawonekedwe a kutupira kwa nkhope ndi miyendo, kuphwanya Refraction.

Yankho la insulin yopanga ndi yoletsedwa kuphatikiza ndi njira zina za jakisoni. Zotsatira zazikulu za hypoglycemic zimangowonjezereka ngati zimagwiritsidwa ntchito limodzi ndi sulfonamides, Mao inhibitors, ndi anabolic steroids. Androgens, tetracyclines, bromocriptine, ethanol, pyridoxine ndi ena a beta-blockers amathandizanso pakugwiritsa ntchito mankhwalawa.

Momwe mungatengere insulin yaumunthu

Mlingo ndi njira yotsogoza mwachindunji imatsimikiziridwa pokhapokha pa shuga ya magazi, komanso maola awiri mutatha kudya. Kuphatikiza apo, phwando limatengera kuuma kwa chitukuko cha glucosuria.

Nthawi zambiri, subcutaneous makonzedwe. Chitani mphindi 15 chakudya chachikulu chisanachitike. Pa matenda a shuga a ketoacidosis kapena chikomokere, inshuwarayo imabayira jekeseni, nthawi zonse kudzera m'mitsempha ya gluteus, opaleshoni iliyonse isanachitike.

Ndikulimbikitsidwa kupereka mankhwalawa katatu pa tsiku. Pofuna kupewa zilonda zam'mimba zambiri, simungathe kumeza mankhwalawo m'malo omwewo. Ndiye dystrophy yama subcutaneous yamafuta siziwona.

Akuluakulu tsiku lililonse mlingo 40 ndi ana, ndipo kwa ana ndi magawo 8. Nthawi zambiri oyendetsera kasamalidwe kawiri pa tsiku. Ngati pali chosoweka chotere, ndiye kuti mutha kulandira insulin mpaka kasanu.

Malangizo apadera

Musanakumane yankho mwachindunji kuchokera m'botolo, muyenera kulionadi kuti likuwonekera bwino. Ngati matenda atayamba, mankhwalawa sayenera kumwa.

Mlingo wa insulin umasinthidwa motere:

matenda opatsirana
Kulakwitsa chithokomiro
Matenda a Addison
hypopituitarism,
matenda ashuga okalamba.

Nthawi zambiri, kuwonetsedwa kwa hypoglycemia yamphamvu imayamba. Zonsezi zimayamba chifukwa cha mankhwala osokoneza bongo, kukhazikika kwa insulin komwe kumachokera munthu, kufa ndi njala, kutsegula m'mimba, kusanza komanso zizindikiro zina za kuledzera. Hypoflycemia yofatsa imatha kuyimitsidwa pomwa shuga.

Ngati zizindikiro zazing'ono za hypoglycemia zikuwoneka, muyenera kulankhulana ndi katswiri nthawi yomweyo. Wofatsa, kusintha kwa mankhwalawa kungathandize. M'mavuto akuchulukirapo, mankhwala ogwiritsira ntchito doporization ayenera kugwiritsidwa ntchito. Nthawi zambiri, kuchotsa kwathunthu kwa mankhwala kapena kulandira chithandizo kumafunikira.

Kumbukirani kuti m'dera la kayendetsedwe ka chiwongola dzanja, mitundu ina ya mafuta m'mimba imatha kuwonekera. Koma izi zitha kupewedwa ndikusintha malo a jakisoni.

Gwiritsani ntchito pa nthawi yoyembekezera

Kuwongolera kuchuluka kwa shuga mthupi la mayi wapakati ndikofunikira. Mu trimester yoyamba, kufunika kwa insulin yoyera kumachepera pang'ono, ndipo kumapeto kwa nthawi kumawonjezeka.

Pa yoyamwitsa, mayi angafunike kusintha kwa insulin ndi zakudya zapadera.

Bongo

Zizindikiro zosokoneza bongo zimatha kuchitika pafupipafupi:

hypoglycemia - kufooka, thukuta kwambiri, khungu la pakamwa, kunjenjemera kwa malekezero, lilime lonjenjemera, njala,
hypoglycemic chikomokere ndi chindoko.

Chithandizo chake chimakhala chodziwikiratu. Hypoglycemia yofatsa imatha kudutsa shuga kapena zakudya zamafuta ambiri.

Glucagon woyela amapaka jekeseni kuti aletse zizindikiro za kuchuluka kwa mankhwala osokoneza bongo. Ngati mwayamba kukomoka mwadzidzidzi, mpaka 100 ml ya njira yothetsera ya dextrose imayendetsedwa mpaka wodwalayo atachoka.

Matenda a shuga ndi ana ndi achinyamata. Zaumoyo wa Sukulu

palibe mawu :( adakwera sitima :( tsopano kulibe kugula kunja, pulmikrot, pali athu omwe sagwira ntchito (tikulankhula za mankhwala aulere), koma athu .. timathandizira opanga zapakhomo, ndipo sasamala zaumoyo ndizokwanira anthu, a nebulas apulasitiki omasuka idasanduka mitsuko yamagalasi ndi chidutswa chachitsulo :( ngakhale zimasiyana bwanji nditapezapo ndemanga zabwino: (zaka 11 ndalandira mankhwala abwinobwino.) Mutuwu udachotsedwa pamsonkhano wa "SP: misonkhano"

Zambiri zidachokera kwa azakhali anga - dzulo anali mgulu la mankhwala ophika, atayima pamzere pafupifupi theka la ola. Pali gulu la openshoni omwe ali ndi mindandanda ya kilomita, akusesa chilichonse. Lero ndidali mu pharmacy yomweyo, ndikuyesera kugula. Berodual for inhalation ndi vial yomaliza, intala nt. Pambuyo pake ndidapita ku pharmacy yodula kwambiri, ndikugula mankhwala ena, komanso botolo lomaliza. Tsopano adayimbira amayi ake kuti amuchenjeze, akuti adadabwa dzulo pomwe adawona mzere ku malo osungirako mankhwala, kwa munthu m'modzi kapena awiri kumeneko. Nanga bwanji ngati mungatero.

Chonde ndilembereni miyezo ya insulin ya ana. Ndipo kodi kuyezetsa magazi kwa insulini kumavumbula matenda ashuga am'mbuyomu?

oyang'anira samachotsa chonde. Mankhwala, zonse zimangokhala "m'malo mwake", ndipo munthu ndi wathunthu .. Amayi a ana ena nthawi zina amakhala abwinoko kuposa madokotala. Zochitika: mayi anga akudwala, ali ndi zaka 72, kusanza kunayamba mu Novembala. Pazakudya zilizonse. Ndataya kale mapaundi 30. Ndimangodya kamodzi kokha nthawi. Panali shuga wodalira insulin. Tsopano insulin yathetsedwa. kachiwiri ku chipatala mobwerezabwereza palibe yankho lomwe liri komanso momwe mungaletsere kusanza uku. Kodi ena amaganiza chiyani?

Kampani yopanga zamankhwala Lilly yalengeza kukhazikitsidwa kwa polojekiti yatsopano yophunzitsira ana omwe ali ndi matenda a shuga a I - mogwirizana ndi Disney, buku la maphunziro "Coco ndi Goofy's Happy Birthday" lidapangidwa. Bukuli likufotokoza zakuwoneka kwa nyani wa Coco, yemwe ali ndi matenda a shuga a mtundu woyamba. Ana amazindikira bwino chidziwitso munjira yosangalatsa, ndikutenga nawo mbali kwa nthano, mothandizidwa ndi zinthu zopangidwa ndi utoto, bukulo litilola kufotokoza za matenda ovuta kuwapeza.

. Toronto adalandira insulin, yomwe mu galu wokhala ndi matenda osokoneza bongo adathetsa chizindikiro cha matendawa, ndipo mu 1922 wodwala woyamba wodwala matenda a shuga adayamba kulandira jakisoni wa insulin. Mu 1960, dongosolo la insulin yaumunthu lidakhazikitsidwa. Mu 1976, insulin yaumunthu idapangidwa kuchokera ku insulin ya nkhumba, ndipo mu 1979 kupangidwa kwathunthu kwa majini a insulin kwamunthu kunachitika.

Tili ndi matenda osokoneza bongo. Wojambulidwa zaka 6 zapitazo. Madotolo adatiuza kuti matendawa akupitiliza. Mphumu idawonjezeredwa kwa izo. Kenako hemochromatosis (zinthu zachitsulo sizingakhale), tsopano shuga wayuka. Sindikudziwa kale choti ndidyetse - ufa suvomerezeka, Mbewu zonse sizingatheke, nyama siyiloledwa, pali zipatso zambiri, ndipo sizololedwa. Ndili ndi mantha! Atsikana, okondedwa, mumayankha, omwe ali ndi zomwezi. Mwana sakadyetsa zakudya zomwe amapatsa. Koma sindikudziwa kusiyanitsa.

Mndandanda wanu ndiwofunika.

Ndimalangizanso Elina kuti aziwerenga, pali zambiri komanso zinthu zothandiza. Ndipo ndiye nyemba zokha zomwe zimakumbukira - koma sindikutsimikiza zamitundu yonse.

Ngati pali kukayikira kwa matenda ashuga, ndikofunikira kudziwa kuti ndi 1 kapena 2nd. Lachiwiri ndilosavuta ndikudya.

Matenda a shuga ndi pakati. Matenda pa nthawi yoyembekezera

. Insulin isanagwiritsidwe ntchito ngati mankhwala, kubereka ana mwa amayi omwe ali ndi matenda osokoneza bongo kunali kovuta. Mimba inachitika mwa azimayi 5% okha ndikuwopseza miyoyo yawo, kufa kwa mwana wosabadwayo kumafika pa 60%. Chithandizo cha insulin chimalola azimayi ambiri omwe ali ndi matenda ashuga kubereka. Ngakhale intrauterine imfayi imatha kuthandizanso pochiza komanso kuthandizira pakukonzekera, mwayi wake ukhoza kukhala wanzeru kwambiri.

Masiku atatu okha apitawo, ndinazindikira kuti ndili ndi pakati ndipo ndaganiza zowona zokhudzana ndi matenda ashuga komanso pakati pa intaneti, ndidapeza ulalo uwu - chabwino, chinthu chokha chomwe ndikufuna kuti madokotala alimbikitse chiyembekezo komanso chidziwitso choyipa koma chofunikira chomwe chaperekedwa pano. Inemwini, sindili ndi ochepa owerengeka omwe amadziwika ndi matenda a shuga mellitus, theka la iwo adabereka kale, ndipo ndiyenera kunena kuti zonse zidayenda bwino - kuwunikira koyenera, ana abwinobwino, athanzi kwathunthu amawonekera, ngakhale mu nthawi yathu lingaliro la ana athanzi silimveka bwino.

. Cholinga chake ndikuchepa kwa chidwi kwama cell kupita ku insulin yawo (insulin kukana), yomwe imalumikizidwa ndi kuchuluka kwa mahomoni apakati m'magazi. Pambuyo pa kubala, kuchuluka kwa shuga m'magazi nthawi zambiri kumabwereranso kwachilendo. Komabe, mwayi wokhala ndi mtundu woyamba wa 2 ndi matenda ashuga 2 pakakhala pakati sungathe kudziwika. Kuzindikira matendawa kumachitika pambuyo pobadwa. Posanthula zomwe zapezeka chifukwa cha maphunziro angapo, madokotala anazindikira kuti opitilira 5.

. Amayi oyembekezera akuyenera kulandira insulin - komabe, ndibwino ngati izi zikuchitika moyang'aniridwa ndi dokotala: zimadziwika kuti mitundu yina ya mankhwalawa imafunikira pamagawo osiyanasiyana a pakati. Mwa njira, ndendende pachifukwa ichi, mkazi yemwe ali ndi matenda omwe amafunikira mankhwala okhazikika nthawi zonse ali ndi pakati, akuyenera kukaonana ndi dokotala: mwinanso, pamene mwana akudikirira, dokotala amalangizani kuti mumwe mankhwala ena. Zabwinobwino: ndimamwa piritsi? Koma bwanji ngati mayi woyembekezerayo atadwala ndipo anaganiza zopepukirako.

Marina za West syndrome - Matenda a West alipo ochiritsa

Marina, nditawerenga za “phwando” lanu, ndidayang'ana pa intaneti kuti ndidziwe zambiri zokhudza matenda a West. Ndidapeza ndikuwoneka ngati maubulo abwino ndi zolemba kuchokera kumayiko osiyanasiyana. Zachidziwikire, sindine katswiri, koma lingaliro ndilakuti "matenda" awa amawonetseredwa ofanana ndi osiyanasiyana obadwa nawo kapena otengedwa (mwachitsanzo, chifukwa cha vaccination) matenda okhudzana ndi metabolic, ndiye kuti si boma lokakamiza lomwe likufunika kuthandizidwa bwino, koma chifukwa chake . Tizinena zomveka - ngati khanda limakula msanga mpaka miyezi 9, kenako.

(kusokonezeka kwa ubongo, tubler sclerosis, perinatal encephalopathy, thesaurismosis, ndi zina) ndi mawonekedwe a cryptogenic. Ndi mawonekedwe owonetsa, kukula kwa psychomotor kwa ana nthawi zambiri kumakhala kovuta kubadwa, ndi cryptogenic, kuyambira pomwe iyamba

miyendo, yomwe nthawi zambiri imakhala yamwiri komanso yolingana. Kwambiri

ma sporms a "flexion spasms" ("Salaam inamenyedwa") ndi kusinthasintha kwa khosi, thunthu, mikono, kuwerama, kubweretsa ndi kukweza miyendo. Zowukira zimakhala zazifupi, m'magulu awiriawiri, pafupipafupi

kuwuka msanga pambuyo kudzutsidwa kwa odwala.

chitukuko, nthawi zambiri zizindikiro za tetrapyramidal.

monotherapy kapena kuphatikiza ndi ACTH. Zaka zaposachedwa, malinga ndi olemba ambiri, kugwiritsa ntchito vigabatrin pa mlingo wa 100 mg / kg / tsiku ndikulimbikitsidwa. Vigabatrin ndi mankhwala osankhidwa mwamtheradi pa mankhwala a SV chifukwa cha chifuwa chachikulu. At

kusowa kwa mphamvu ya monotherapy, ma AED oyamba amaphatikizidwa ndi lamotrigine,

carbamazepine kapena benzodiazepines.

wa moyo. Popita nthawi, SV imasinthidwa kukhala SLH (milandu ya 1/3) kapena khunyu wa multifocal.

Msungwana wanga amakula bwino mpaka miyezi 2.5. Kenako panali kuukira koyamba.

Kufufuzaku kunawonetsa kuti sanabadwe opanda matenda a IUI ngati ana ambiri, koma anali kudwala matenda owopsa, adayamba kukhala ndi encephalitis motero kusintha kudakulika .. Zinali zofunika kuchiza IUI, koma popeza mankhwalawa amatenga madola chikwi, sanalandire ana omwe adzalandire zipatala. Pali otchedwa "mndandanda wakuda". Anayamba kulandira chithandizo pokhapokha mwana atayamba kugwira mutu wake. Kenako aliyense adathamangira, ndikugulitsa mankhwalawa, etc.

Sindinadziwe theka la izi, chifukwa madotolo amabisa mayeso, zina zambiri, iwo adasowa mwana.Ndipo mankhwala osokoneza bongo sanalembedwe nthawi yomweyo. Panali zolakwitsa zambiri, ndipo ngakhale sindinali mwana, ndinali wopusa, sindinkadziwa kalikonse za khunyu. Komabe, mwina mayi wopanda mayi wa mwana wathanzi amadziwa za izi .. Apa ndi pomwe amakakamiza aliyense kuti akhale ndi chidwi ndikuphunzira mabuku.

Mwambiri, ndikuthokoza chifukwa chothandizidwa, zinali zabwino kudziwa kuti wina amasamala za tsogolo la mwana wanga. Ngakhale tsopano ndikulira. Zikomo

Mankhwala okhala ndi mkaka wa amayi. Matenda a mayi pa nthawi yoyamwitsa.

Kwazaka zambiri tsopano, ndakhala ndikudwala matenda a shuga a mellitus omwe ndimadzibaya insulin. Njira iyi yokha siyabwino komanso yopweteka. Kodi ndingathe kulowetsa insulin ndimapiritsi?

. Zinthu zomwe zimalowa mkatikati mwa chotchinga cha magazi, zimalowa bwino kudzera mu magazi. Mwachidziwikire, mankhwala osokoneza bongo amayenera kuyikidwa pamalo oyamba: phenobarbital, barbital sodium, etaminal sodium ndi zina zotumphukira za barbituric acid. Zokha zimagulitsidwa pokhapokha malinga ndi zomwe dokotala wakupatsani, koma ndi gawo limodzi lokonzekera momwe zinthu zomwe zili ndi barbiturates ndizochepa, chifukwa chake zikuwoneka kuti sizowopsa, koma osati kwa mwana.

. Maantibayotiki a oleandomycin phosphate ndi lincomycin hydrochloride sizowopsa kwa mwana. Matumbo a mwana Pomaliza, chotchinga chomaliza ndicho matumbo a mwana yemwe. Zinthu zina zomwe zimapezedwa ndi mkaka wa amayi zimangolembedwa ndi ana. Ndiwo chiyembekezo cha mahomoni ambiri pokonzekera chilengedwe. Mu matenda a shuga, mayi akupitilizabe kulandira insulin, ngakhale kuti amamuchotsa mkaka.

Swinsulin ndi yankho lamadzimadzi lamatumbo a insulin omwe amapezeka kuchokera ku kapamba ka nkhumba. Mankhwalawa amagwiritsidwa ntchito kwa odwala omwe amakana mankhwala omwe amapezeka kuchokera ku kapamba ka ng'ombe.

Monosuinsulin ndi njira yocheperako yomwe imakhala ndi mafuta amkati a protein, omwe amakhala ndi mphamvu yochepa komanso yochepa yochepetsera shuga. Amagwiritsidwa ntchito kukana insulini, lipodystrophy, zochitika wamba komanso zamkati chifukwa cha jakisoni wa kukonzekera kwina kwa insulin. Monosuinsulin imayang'aniridwa subcutaneous kapena mu mnofu 15-16 mphindi asanadye, imodzi kangapo patsiku.

Zochitikazo zimachitika pambuyo pa mphindi 15 mpaka 20, kuchuluka kwake kumachitika pambuyo pa maola 2, nthawi ya mankhwalawa si yopitilira maola 6. Pankhani ya thupi lawo siligwirizana, kuyeserera kwa intradermal (0.02-0.04 U) kumachitika musanayambe kugwiritsa ntchito monosuinsulin. Ndi lipodystrophy, yankho limayendetsedwa mosavuta pamalire a thanzi komanso malo omwe akukhudzidwa ndi mafuta osunthika: ana, magulu a 2-5, akuluakulu, magulu a 4-8 kwa masiku 30 mpaka 40.

Kuyimitsidwa kwa zinc insulin ndi kuyimitsidwa kokhala ndi kuyimitsidwa kwa amorphous ndi crystalline zinc insulin.

Amorphous zinc insulin kuyimitsidwa ndi kuyimitsidwa mu mawonekedwe a amorphous ufa mu asetate buffer ndi Kutalika kwa maola 12 mpaka 12 ndi pazotheka kwambiri panthawi yoyamba ya maola 7.

Kuyimitsidwa kwa crystalline zinc insulin ndi kuyimitsidwa kwapadera kwa crystalline insulin mu acetate buffer, mankhwala omwe amakhala ndi nthawi yayitali mpaka maola 36, kupezeka kumachitika maola 16-20 pambuyo pa kuperekedwa.

Kuyimitsidwa kwa protamine-insulin ndi kuyimitsidwa kovuta kwa makhristulo a insulin movuta ndi protamine mu phosphate buffer.

Triprotamine-zinc-insulin - 10 ml mabotolo, kupanga: insulin - 40 magawo, nthaka mankhwala enaake - 0,88 mg, triprotamine - 0,8 ml, shuga - 40 mg, disubstituted sodium phosphate - pafupifupi 4 mg, tricresol - 3 mg

Globin-zinc-insulin ndi mankhwala omwe amakhala nthawi yayitali, malinga ndi nthawi yotalikirana zimatenga malo pakati pakati pa mankhwala omwe amapezeka nthawi zonse ndi Triprotamine-zinc-insulin.

Protamine-zinc-insulin ndi kuyimitsidwa kochepa kwa mitundu yoyera. A mawonekedwe a kuyimitsidwa, poyerekeza ndi mankhwala ochiritsira, ndizoyenda pang'onopang'ono komanso nthawi yayitali.

Kuyimitsidwa kwa protamine-zinc-insulin ndi kuyimitsidwa kokhazikika kwa crystalline insulin, protamine, zinc chloride ndi sodium phosphate, mankhwala omwe amapezeka nthawi yayitali.

Insulin B - insulin yemwe amakhala nthawi yayitali ndi kuwonjezera kwa aminoquinocarbamide hydrochloride.

Kuyimitsidwa kwa insulin yayitali - inshuwaransi ya nkhumba ya amorphous yosakanikirana ndi zinc ndi ma crystalline ng'ombe insulin yovuta ndi nthaka (mwa chiyerekezo cha 3: 7). Mankhwalawa ndiwothandizika kwa nthawi yayitali, amathandizidwa mosavuta komanso m'njira zina za shuga. Kutsitsa kwa shuga kumachitika mu maola 2-5, kumafika pazinthu zambiri mu maola 8-10 ndipo kumatenga maola 20- 24.

Mlingo ndi kuchuluka kwa jakisoni patsiku amakhazikitsidwa payekhapayekha, poganizira kuchuluka kwa shuga amene amatuluka mumkodzo nthawi zosiyanasiyana za tsiku, kuchuluka kwa shuga. Mankhwalawa sagwiritsidwa ntchito chifukwa cha matenda osokoneza bongo. Ngati mankhwala osokoneza bongo, hypoglycemic state ndi thupi lawo siligwirizana (urticaria, zidzolo, kuyabwa kwa khungu, edema ya Quincke) imayamba.

Insulin-semilong kuyimitsidwa - ili ndi amorphous porcine insulin movuta ndi zinc. Mankhwalawa ndiwotalikilapo. Wothandizidwa ndi matenda osokoneza bongo a shuga oledzera komanso mawonekedwe owopsa, masana hyperglycemia ndi glucosuria, kutumikiridwa mosakakamiza kapena m'mitsempha. Zotsatira zake zimawonedwa pambuyo maola 1-1.5, ntchito yayitali - pambuyo maola 5-8. Kutalika kwa mankhwalawa ndi maola 10-12.

Kuyimitsidwa kwa insulin-ultralong - imakhala ndi mafuta a ng'ombe a insulin. Ikani mankhwalawa subcutaneally komanso intramuscularly ndi matenda osokoneza bongo a shuga oopsa komanso owopsa mawonekedwe, theka lachiwiri lausiku komanso m'mawa kwambiri. Kuchepetsa mphamvu ya shuga kumawonedwa pakatha maola 6-8. Kutalika kwa maola 30-36.

Insulin - Malangizo ogwiritsira ntchito

Pali ma pathologies angapo omwe chithandizo chimasonyezedwa:

lembani 1 ndi matenda ashuga 2
matenda ashuga acidosis,
ketoacidotic chikomokere,
matenda a shuga pa nthawi yomwe ali ndi pakati.

Pakakhala mkhalidwe wokondweretsa wodwala, ayenera kuchipatala. Ngati thanzi silikuyenda bwino, hemodialysis imachitidwa. Nthawi zina, pakakhala zovuta zina, chitani mankhwala mosamala. Mlingo ndi nthawi yayitali ya mankhwala amatsimikiziridwa ndi kupezeka dokotala potengera zovuta zamatenda zomwe matendawa ali nawo.

Mlingo wocheperako (5-10 mayunitsi), insulin imagwiritsidwa ntchito ngati matenda a chiwindi (hepatitis, magawo oyamba a matenda enaake), acidosis, kutopa, kutsika kwa zakudya, furunculosis, ndi chithokomiro.

Mu ntchito ya neuropsychiatric, insulin imagwiritsidwa ntchito kuledzera, komanso chifukwa cha kutsekeka kwa manjenje (mu Mlingo womwe umayambitsa matenda a hypoglycemic).

Mu psychiatry, ya insulinocomatosis mankhwala (mankhwalawa amtundu wina wa schizophrenia, njira ya insulin imayendetsedwa pazambiri, zomwe, ndi kuwonjezeka kwapang'onopang'ono kwa Mlingo, chifukwa cha hypoglycemic).

Mu dermatology, insulin imagwiritsidwa ntchito mu matenda osokoneza bongo a diabetes, monga mankhwala osokoneza bongo a eczema, ziphuphu, urticaria, psoriasis, matenda a pyoderma aakulu ndi yisiti.

Nthawi zambiri, insulin imayendetsedwa mosavuta kapena m'mitsempha, mkati mwamitsempha - makamaka pokhapokha ngati muli ndi vuto la matenda ashuga, kukonzekera komwe kumayendetsedwa kumachitika pokhapokha.

Jekeseni wa tsiku ndi tsiku mlingo amapangidwa mu 2-3 Mlingo theka la ola - ola pamaso chakudya, mphamvu imodzi ya mankhwala amayamba pambuyo 30-60 mphindi ndipo kumatenga maola 4-8.

Mothandizidwa ndi insulin, inshuwaransi yapamwamba imatheka pambuyo pa mphindi 20-30, shugayo imabweleranso muyeso pambuyo pa maola 1-2.

Asanadzaze syringe ya insulin yokonzekera nthawi yayitali, zomwe zili mkati ziyenera kugwedezeka mpaka kuyimitsidwa koyenera mu botolo.

Pankhani ya matenda a shuga, chithandizo chimachitika pang'onopang'ono pakudya panthawi yomweyo, mulingo umakhazikitsidwa malinga ndi kuuma kwa matendawa, mkhalidwe wa wodwalayo komanso zomwe zili mumkodzo (kutengera 1 gawo lililonse la magalamu asanu a shuga omwe amapezeka mumkodzo). Nthawi zambiri, Mlingo wa insulin umachokera ku magawo 10 mpaka 40 patsiku.

Ndikudwala matenda ashuga, tsiku lililonse mankhwalawa omwe amathandizidwa mosavuta atha kubweretsedwa mpaka 100 PIECES, komanso mowonjezera pakhungu - mpaka 50 PIECES patsiku.

Mu matenda a shuga a chifuwa chachikulu, insulin imayikidwa muyezo waukulu, womwe umadalira kukula kwa matenda.

Pazowonetsa zina, milingo yaying'ono ya insulin imakonda kutumikiridwa (mayunitsi 6-10 patsiku), kawirikawiri (kutopa kwambiri, matenda a chiwindi) limodzi ndi kuchuluka kwa shuga.

Maphikidwe a House House ndi malingaliro.

Ngati akukana kwa oyang'anira pazifukwa zopanda pake, chidandaulo chimalembedwa kwa onse ogwira ntchito omwe adaletsa mwayi kulandira chithandizo chokondera ku Federal Service for Supervision in the Health of Health. Kuti muchite izi, ndibwino kugwiritsa ntchito tsamba lovomerezeka la Roszdravnadzor, lomwe lili ku http://www.roszdravnadzor.ru.
Pogwiritsa ntchito fomu yofunsira, mutha kufika pagawo la madandaulo a nzika, komwe kuli zidziwitso zokwanira momwe mungatumizire kudandaula, kodi maofesi amchigawo ndi nthawi yanji yomwe amagwira ntchito. Apa mutha kupezanso mndandanda wamabungwe omwe ali ndi kayendetsedwe kamabungwe ena.
Musanadzaze zojambulazo, ndikulimbikitsidwa kujambula zolemba zonse zomwe zikupezeka motsimikizira ufulu wogwiritsa ntchito phindu pogwiritsa ntchito foni. Mafayilo onse amatumizidwa kudzera mu fomu yomweyo komwe kudandaula kudzatumizidwa. Ndikofunikira kuti vutoli lifotokozedwe mwatsatanetsatane momwe lingathere, ndi mfundo zenizeni.

Ngati sizotheka kugwiritsa ntchito kompyuta, kudandaula kumatumizidwa polemba pogwiritsa ntchito fomu yolembetsedwa ndi makalata. Zikalata zimatumizidwa ku adilesi: 109074, Moscow, Slavyanskaya Square, 4, p 1. Chifukwa chake, zidzatenga nthawi yayitali kuti mudikire, chifukwa zimatenga nthawi kuti mutumize, kulandira, ndikuganizira zowonjezera. Pofuna kukambirana, mutha kugwiritsa ntchito mafoni ku Moscow:

8 (499) 5780226
8 (499) 5980224
8 (495) 6984538

Insulin ndi mahomoni ofunikira m'thupi la munthu omwe amawongolera shuga. Kasitomalayu ndiye amachititsa kuti timadzi timeneti titulutsidwe, ngati titha kuphwanya chiwalochi, insulin imayamba kupanga bwino. Izi zimabweretsa zovuta za metabolic komanso kukula kwa matenda ashuga.

Anthu odwala matenda ashuga amakakamizika m'miyoyo yawo yonse kuti azizindikira kuchuluka kwa shuga m'magazi, kutsatira zakudya zochizira, kuchita masewera olimbitsa thupi, ndikuwongolera insulin tsiku lililonse ngati adokotala adauza. Ngati malamulo osavuta awa samatsatiridwa, zovuta zingapo zimayamba, zomwe zimakhala zovuta kwambiri kuzitsatira.

Odwala ambiri komanso achibale a odwala matenda ashuga amafuna kudziwa kuti mankhwala omwe amapezeka mu insulin ndi omwe amapezeka kapena ayi. Mutha kupeza chindapusa cha ndalama popanda chikalata, komanso kwaulere, mutapereka mankhwala osonyeza kuchuluka kwa mankhwalawo. Komabe, ndikofunikira kumvetsetsa kuti pogula mankhwala a mahomoni popanda mankhwala, munthu amadziika pachiwopsezo cha mankhwala osokoneza bongo omwe angayambitse zotsatira zowopsa komanso zosasinthika.