Zolemba zamtundu wa insulin yomwe zolembera za Novopen 4 zimapangidwira, mtengo, zovuta, zabwino ndi mfundo za kagwiritsidwe ntchito ndi kuwunika

Insulin ndi mahomoni omwe amaphatikizidwa ndi chakudya chamafuta, mapuloteni komanso mafuta a metabolism, ndipo amagwiritsidwanso ntchito pochotsa matenda a shuga. M'nkhaniyi, tiwona kuti cholembera cha Novopen 4 - ndi mtundu wanji wa insulini womwe umagwiritsidwa ntchito.

Yang'anani! Mu gulu la anatomical-therapeutic-kemikali (ATX), chinthu chamafuta chimasonyezedwa ndi code A10AB01.

Momwe syringe imapangidwira: mawonekedwe

Phata la syringe limagwiritsidwa ntchito kuperekera limodzi mlingo wa mankhwalawo. Makamaka, idapangidwa kuti jakisoni apangidwe ndi wodwalayo. Kapangidwe ka cholembera kasupe ndifanana ndi syringe wamba, koma singano ya jakisoni ndiyowonda.

Ngati wodwala akufunika insulini mwachangu, ayenera kuwongolera cholembera kupita kumalo abwino ndikudina batani lapadera. Makina am'madzi amapyoza singano m'malo oyenera a thupi ndikuvulaza mankhwalawo.

Mwachidule za Novopen 4

"Novopen 4" ndi cholembera cha kasupe wama makina omwe ali ndi chiwonetsero chakuwonetsa pambuyo pa kuperekedwa kwa insulin mlingo ndi nthawi yomwe idadutsa kuyambira jekeseni womaliza (mpaka maola 12). Mulingo waukulu wa zida zonse nthawi ndi 60 magawo. Mlingo wocheperako wa mahomoni a insulin ndi 1 unit.

Chipangizocho chimakhala chosavuta kuwerenga komanso chofunikira chachikulu cha mankhwala, kuthekera kusintha mlingo wolakwika komanso kulimba. Mutha kungolembera insulin kuchokera ku kampani yopanga mankhwala Novo Nordisk.

Zotsatira zoyipa zikagwiritsidwa ntchito

Kugwiritsa ntchito cholembera cha kasupe wokhala ndi cholembera zowonongeka kungayambitse kuchuluka kwa insulini kuposa momwe amayembekezera. Izi, zimatha kudwala kwambiri hyperglycemia. Chiwopsezo cha hyperglycemia chifukwa chogwiritsa ntchito cholembera chowonongeka sichili chochepera 0,1%. Izi zikutanthauza kuti m'modzi mwa odwala 1000 ali ndi vuto la hyperglycemia.

Novopen 4 - malangizo a boma

Malangizo ogwiritsira ntchito:

Ngati mukufuna cartridge yatsopano, ichotseni mufiriji pa nthawi kuti insulini ifike kutentha kwa chipinda,
Chotsani kanema wokutetezani kuchikuto chakunja cha singano. Ndiye kuchotsa chophimba chakunja ndi singano yamkati. Mukachotsa katoni, gwiritsitsani cholembera. Tembenuzani mfundo mpaka dontho la insulini lituluke kunsonga ya singano.
Gwiritsani ntchito singano yatsopano pa jekeseni iliyonse, izi zimateteza khungu komanso kupewa hematomas zomwe zimachedwetsa kuyamwa kwa insulini kuchokera ku minofu yolowerera m'magazi,
Ngati mukuyendetsa NPH kapena insulin yosakanikirana, zungulirani cholembedwacho kangapo mpaka 20 mpaka zomwe zili m'makatoreti zisakanikiridwe,
Osagwedeza cholembera, chifukwa izi zitha kuwononga insulin ndikupangitsa thovu.
Chongani momwe cholembera chikuyambira kasupe tsiku ndi tsiku musanalowe. Onetsetsani kuti mulibe zotumphukira mpweya mu chipangizocho. Kenako ikani chimodzi mwa magawo awiri a insulin ndikusindikiza batani. Ngati insulini ifika kumapeto kwa singano: zonse zili m'dongosolo. Ngati sichoncho: bwerezani njirayi mpaka insulin iwonekere,
Gwiritsani ntchito batani la dosing kukhazikitsa kuchuluka kwa insulin. Ngati mlingo wambiri umasankhidwa, tikulimbikitsidwa kusintha.
Jekeseni wosadutsa aliyense, kuonana ndi dokotala kumafunika. Kupumira kwake kuyenera kukhala kokulirapo pakhungu lanu. Ndikulimbikitsidwanso kuti mukambirane ndi dokotala tchati cha momwe mungasinthire jakisoni. Nthawi zonse gwiritsani ntchito tsamba lina jakisoni. Mukamaliza kuchotsera, pitani kaye pang'ono batani. Yembekezani masekondi 10 musanatulutse singano. Kupanda kutero, insulin ikhoza kubwerera,
Pambuyo pa mankhwala. Ngati palibe kudina, tikulimbikitsidwa kuti tionenso thanzi laukadaulo ndi kulumikizana ndi wopanga ndi madandaulo.

Odwala sayenera kusokoneza chithandizo cha insulin popanda kufunsa kaye dokotala. Odwala amafunsidwa kuti azipempha cartridge yatsopano patsamba. Mwinanso, amatha kuyitanitsa Chithandizo cha Makasitomala a Novo Nordisk. Odwala ayenera kuwunika mosamala milingo yawo ya glycemia. Odwala omwe amakhala ndi vuto lalikulu la hyperglycemia chifukwa chosagwiritsa ntchito bwino cholembera ayenera kulankhulana ndi dokotala. Odwala afotokozere zoyipa zilizonse kwa iwo omwe amupatsa chithandizo chamankhwala.

Zoyipa za Novopen 4

Ngati zolembera zimayendetsedwa m'njira zosalamulirika kwakanthawi, izi zimatha kudzetsa maliro. Ngati mukukayika, insulansi siyikulimbikitsidwa.

Mtengo wapakati pamsika wa Novopen ndi ma ruble 2,000 aku Russia. Jakisoni amabwera ndi makilogalamu atatu a 3 ml ndi singano zapadera. Ndikofunikira kumvetsetsa kuti singano zokha kuchokera ku kampani ya Novofine ndizomwe zingayikidwe mu cholembera cha kasupe. Masingano ena siabwino pantchito ya insulin ndi cholembera ichi.

Malinga ndi kafukufuku waposachedwa, cholembera cha kasupe wa Novopen sichimabweretsa chisokonezo chachikulu kwanuko ndipo chimadziwika ndi zolakwika zochepa poyerekeza ndi zida zina. Asanayambitsidwe mahormone, ndikofunikira kuti muphunzitsidwe mwapadera zomwe zingathandize kupewa mavuto obwera chifukwa chowononga moyo. Odziimira popanda kufunsa dokotala, makolo ake amaletsa chilichonse chovomerezeka.

Maganizo a dokotala wodziwa bwino komanso wodwala.

Valery Alexandrovich, katswiri wa matenda ashuga

Ndakhala ndikugwiritsa ntchito cholembera cha kasupe kwa zaka zitatu tsopano: Sindinawone zovuta kapena zovuta zilizonse. Zovuta mu seti ya zinthu za insulin zimakonzedwa mosavuta, chifukwa chake simuyenera kugwiritsa ntchito syringe yatsopano. Ndipitiliza kuigwiritsa ntchito.

Uphungu! Musanagwiritse ntchito mankhwala aliwonse a insulin, muyenera kufunsa katswiri woyenera. Asanayambe kudzisankhira mankhwala mosadukiza, wodwalayo ayenera kuphunzitsidwa mosamalitsa m'chipatala chapadera cha matenda ashuga. Mankhwala odzipatsa okha ndi oletsedwa, chifukwa izi zimabweretsa zotsatira zosatsimikizika.

Mitundu yayikulu ya ma insulin ma syringes

Zolembera za syringe zimabwera m'mitundu itatu:

Ndi cartridge yomwe ingasinthidwe - njira yothandiza kwambiri komanso yosavuta kugwiritsa ntchito. Katoni imayikidwa mu cholembera, ikaigwiritsa ntchito imasinthidwa ndi yatsopano.
Ndi katoni woyika - njira yotsika mtengo yazida za jakisoni. Nthawi zambiri amagulitsidwa ndi insulin. Amagwiritsidwa ntchito mpaka kumapeto kwa mankhwalawo, ndiye kutayidwa.
Sungulo yeniyeni yosinthika - chipangizo chopangidwira mankhwala chodzikwanitsira. M'mitundu yamakono, pali chizindikiro cha mlingo - imakupatsani mwayi wambiri wa insulin.

Anthu odwala matenda ashuga amafunika ma cholembera angapo kuti apereke mahomoni azinthu zosiyanasiyana. Opanga ambiri mosavuta kuti apange zida zamitundu mitundu za jakisoni. Mtundu uliwonse umakhala ndi gawo lopangira mpaka 1 unit. Kwa ana, tikulimbikitsidwa kugwiritsa ntchito zolembera mu kuwonjezeka kwa 0,5 PIECES.

Chisamaliro chapadera chimaperekedwa ku singano za chipangizocho. Mainchesi awo ndi 0,3, 0,3, 0,36 ndi 0,4 mm, ndipo kutalika ndi 4-8 mm. Ma singano ofupikitsidwa amagwiritsidwa ntchito popangira ana.

Ndi thandizo lawo, jakisoni amapitilira kupweteka pang'ono komanso kuwopsa kwake. Mukadzinyenga chilichonse, masingano amasinthidwa kuti asawononge minofu yaying'ono.

Mitundu ya ma syringes ilipo:

Ma syringe ndi singano yochotsa, yomwe imatha kusinthidwa mukamamwa mankhwalawo ndikuwapatsa wodwala.
Ma syringe wokhala ndi singano yomanga yomwe imachepetsa kukhalapo kwa malo "akufa", omwe amachepetsa mwayi wa kutayika kwa insulin.

Kugwiritsa ntchito mankhwalawa pa mimba komanso mkaka wa m`mawere

Mpaka pano, palibe zotsatira zosasangalatsa za Lyspro insulin pa mimba kapena thanzi la mwana wosabadwayo / wakhanda. Palibe kafukufuku wokhudzana ndi mliri omwe adachitika.

Cholinga cha mankhwala a insulin panthawi yapakati ndikusunga chiwonetsero chokwanira cha kuchuluka kwa shuga mwa odwala omwe ali ndi matenda a shuga a shuga komanso omwe ali ndi matenda a shuga. Kufunika kwa insulin nthawi zambiri kumachepera mu trimester yoyamba ndikuwonjezeka muyezo wachiwiri ndi wachitatu wama trimesters apakati. Nthawi yobadwa pambuyo pokhapokha ndipo mwayamba kubadwa, zofunika za insulin zimatha kugwa kwambiri.

Amayi amisinkhu yokhala ndi matenda ashuga ayenera kudziwitsa adotolo za kuyambika kapena kukhala ndi pakati. Pa nthawi yoyembekezera, odwala matenda a shuga amafunika kuwunika mosamala kuchuluka kwa shuga m'magazi, komanso kuwunika kachipatala kawirikawiri.

Odwala omwe ali ndi matenda a shuga mellitus nthawi yoyamwitsa, kusintha kwa insulin ndi / kapena zakudya kungafunike.

Malangizo posankha jakisoni wa jakisoni

Kuti muchepetse kupweteka, muyenera kudziwa malamulo osankha singano ya syringe ya insulin - zolembera:

ana, achinyamata ndi odwala poyambira mankhwalawa insulin amafunikira zitsulo zazitali kutalika kwa 4 mpaka 5 mm,
Ma singano aitali a 4-6 mm ndi abwino kwa akulu omwe ali ndi kulemera kwakanthawi: pambuyo pa makonzedwe, insulin imalowa mosamala, osalowa mu minofu kapena zigawo zakuya za epermermis,
ndi index yayikulu ya thupi, kutalika kwa singano kuyenera kukhala lalitali - kuchokera 8 mpaka 10 mm.

Malangizo ogwiritsa ntchito cholembera

Timapereka malangizo a pang'onopang'ono pokonzekera gawo la Novopen 4 cholembera insulin:

Sambani m'manja musanalowe jakisoni, ndiye kuti chotsani kapu yotetezera komanso chosasunga katoni kuti tisasunge.
Kanikizani batani mpaka pansi kuti tsinde likhale mkati mwa syringe. Kuchotsa katoni kumapangitsa kuti tsinde lisunthe mosavuta komanso popanda kukakamizidwa ndi pistoni.
Onani kukhulupirika kwa cartridge ndi kuyenerera kwa mtundu wa insulin. Ngati mankhwalawo ndi mitambo, ayenera kusakanikirana.
Ikani katiriji muchogoba kotero kuti kapu imayang'ana kutsogolo. Sungani katiriji pachifuwa mpaka chidachepa.
Chotsani kanema woteteza ku singano yotaya. Kenako ikani singano kumutu wa syringe, pomwe pali mtundu wamitundu.
Tsekani chingwe cholumikizira mu singano ndikukweza magazi kuchokera pagulupo. Ndikofunikira kusankha singano yotaya ndikuyang'ana momwe mulifupi ndi kutalika kwa wodwala aliyense. Kwa ana, muyenera kutenga singano zoonda kwambiri. Pambuyo pake, cholembera sichingakonzeka kubayidwa.
Zilembozozo zimasungidwa kutentha nthawi yayitali, kutali ndi ana ndi nyama (makamaka mu nduna yotsekedwa).

Ngakhale pali kuchuluka kwakukulu kwa ma syringe omwe angagwiritsidwe ntchito ndi anthu odwala matenda ashuga, omwe angagulidwe kuzipatala, onse ali ndi zida zofanana.

Mapangidwe ake akuphatikizapo:

Makatoni ogwiritsa ntchito insulini yokha (dzina lake lachiwiri ndi chikwama kapena cartridge),
Nyumba
Makina oyambitsa omwe pisitoni imagwira ntchito,
Chipewa chomwe chimatseka mbali yoopsa ndikuisunga ndikusungirako ngati chida chatha.
Singano
Limagwirira lomwe limathandiza kudziwa kuchuluka kwa mahomoni omwe amaperekedwa
Batani la jakisoni.

- shuga mellitus mwa akulu ndi ana, omwe amafunikira chithandizo cha insulin kuti akhalebe ndi shuga.

- Hypersensitivity ku zigawo za mankhwala.

Kufunika kwa insulin kumatha kuchepa ndi vuto la chiwindi.

Odwala omwe ali ndi hepatic insufficiency, kuchuluka kwa mayamwidwe a lyspro insulin kumakhalabe kuyerekezera ndi wamba insulin.

Kufunika kwa insulin kumatha kuchepa ndi kulephera kwa aimpso.

Odwala omwe amalephera kupweteka kwa impso, chiwopsezo chambiri cha lyspro insulin chimasungidwa poyerekeza ndi insulin yaumunthu.

Zotsogola ndi mitengo

Mitundu yotchuka kwambiri ya zosintha ndi:

NovoPen ndi chipangizo chotchuka chomwe chakhala chikugwiritsidwa ntchito ndi anthu odwala matenda ashuga pafupifupi zaka 5. Chuma chachikulu ndi magawo 60, gawo ndi gawo limodzi.
HumaPenEgro - ili ndi makina operekera komanso gawo limodzi la 1 unit, pakhomo ndi 60 mayunitsi.
NovoPen Echo ndi makina amakono azida zomwe zili ndi chikumbukiro chomanga, gawo limodzi la mayunitsi 0,5, ndi malire apamwamba a mayunitsi 30.
AvtoPen - chida chopangidwira makatoni okhala ndi voliyumu ya 3 mm. Chogwirira chimagwirizana ndi singano zingapo zotaya.
HumaPenLeksura - chida chamakono pakukula kwa mayunitsi 0,5. Mtunduwu uli ndi mawonekedwe akejambulidwe, operekedwa mu mitundu ingapo.

Mtengo wa zolembera za syringe zimatengera mtundu, zosankha zowonjezera, wopanga. Mtengo wapakati wa chipangizocho ndi ma ruble 2500.

Cholembera cha syringe ndi chida chosavuta cha mtundu wina watsopano wama insulin. Amapereka kulondola komanso kupweteka kwa njirayi, zoopsa zochepa. Ogwiritsa ntchito ambiri amadziwa kuti zopindulitsa zimaposa zovuta za chipangizocho.

Chifukwa chiyani syringe pen novopen odwala 4 a shuga

Tiyeni tiwone chifukwa chake syringe pen novopen 4 ndiyabwino kuposa syringe yotayika yokhazikika.

Kuchokera pamawonekedwe a odwala ndi madotolo, cholembera chilinganizo chomwechi chimakhala ndi zotsatirazi kuposa mitundu ina yofananira:

Kupanga kolimba ndi kufanana kwakukulu ndi chida cha pisitoni.
Mulingo wokulirapo komanso wowonekera bwino ungagwiritsidwe ntchito ndi okalamba kapena olumala.
Pambuyo pa jakisoni wa kuchuluka kwa insulini, cholembera cha syringe chija chimangowonetsa izi ndikudina.
Ngati mlingo wa insulin sunasankhidwe molondola, mutha kuwonjezera kapena kupatula gawo lina lake.
Mutatha kuwonetsa kuti jakisoni wapanga, mutha kuchotsa singano pokhapokha masekondi 6.
Pa mtundu uwu, zolembera za syringe ndizoyenera kokha ma cartridge apadera opangidwa (opangidwa ndi Novo Nordisk) ndi singano zapadera zotayika (kampani ya Novo Fine).

Ndi anthu okhawo omwe amakakamizidwa kupirira mavuto kuchokera ku jakisoni omwe angayamikire zabwino zonse za mtunduwu.

Insulin yoyenera ya syringe cholembera 4

Syringe pen novopen 4 ndi "yaubwenzi" ndi mitundu ya insulin yopangidwa kokha ndi Danish kampani Novo Nordisk:

Kampani yaku Danish ya Novo Nordisk idakhazikitsidwa kale mu 1923. Ndizachikulu kwambiri pamakampani opanga mankhwala ndipo amagwira ntchito popanga mankhwala othandizira odwala matenda oopsa (hemophilia, shuga mellitus, etc.) Kampaniyi ili ndi mabizinesi m'mayiko ambiri, kuphatikiza ndi ku Russia.

Mawu ochepa onena za insulini za kampaniyi omwe ali oyenera ndi injopen 4:

Ryzodeg ndi kuphatikiza kwa insulin yayifupi komanso yayitali. Zotsatira zake zimatha kupitilira tsiku limodzi. Gwiritsani ntchito kamodzi patsiku musanadye.
Tresiba ali ndi chochita china chowonjezera: maola opitilira 42.
Novorapid (monga ambiri a insulin ya kampaniyi) ndi analogue ya insulin ya anthu yochepa. Amayambitsidwa musanadye, nthawi zambiri pamimba. Zololedwa kuti azigwiritsidwa ntchito ndi amayi apakati komanso oyembekezera. Nthawi zambiri zovuta ndi hypoglycemia.
Levomir ali ndi mphamvu yayitali. Ntchito kwa ana azaka 6.
Protafan amatanthauza mankhwala omwe amakhala ndi nthawi yayitali. Ndizovomerezeka kwa amayi apakati.

Kodi zolembera za insulin ndi ziti

Mu chipangizocho chogwiritsira ntchito insulin pali mkati mwomwe mumayikamo cartridge yamahomoni. Komanso, kutengera mtunduwo, penfill ikhoza kuikidwa momwe 3 ml ya mankhwalawa amaikidwapo.

Chipangizocho chili ndi mawonekedwe osavuta, omwe amaganizira zolakwika zonse za ma insulin syringes.Mapensulo a penfill amapanga chimodzimodzi ndi ma syringe, koma mphamvu ya chipangizocho imakupatsani mwayi kuti mupeze insulin masiku angapo. Pezani gawo loyipereka, muthanso kuchuluka kwa mankhwalawo ngati mukubayidwa kamodzi, ngati muyeso, magwiritsidwe ntchito a matenda ashuga amagwiritsidwa ntchito.

Ndi makonzedwe olakwika a mlingo, chizindikirocho chimasinthidwa mosavuta popanda kutaya mankhwala. Cartridge ingagwiritsidwenso ntchito; imakhala ndi insulin yambiri ya 100 PIECES mu 1 ml. Ndi cartridge kapena penfill yathunthu, voliyumu ya mankhwalawa ikhale magawo 300. Muyenera kusankha cholembera cha insulin makamaka ku kampani yomweyi yomwe imatulutsa insulini.

Kapangidwe ka kachipangizako ndikotetezedwa kuti singakhudzane mwangozi ndi singano mu mawonekedwe a chigoba chambiri. Chifukwa cha izi, wodwalayo sangadandaule za kuwuma kwa chipangizocho.
Kuphatikiza apo, cholembera cha syringe chimatha kukhala m'thumba lako osavulaza wogwiritsa ntchito. Singano imawululidwa pokhapokha jekeseni likufunika.
Pakadali pano, pali ma cholembera a syringe okhala ndi mitundu yosiyanasiyana yowonjezera pamalonda; kwa ana, njira yokhala ndi gawo la mayunitsi 0,5 ndiyabwino.

Zomwe zimaphatikizira cholembera NovoPen 4

Musanagule chida, ndikulimbikitsidwa kuti mukaonane ndi dokotala. Cholembera cha insulin chimapangidwa mwaluso kwambiri chomwe chimakweza nkhope ya ogwiritsa ntchito. Chifukwa chazitsulo zazitsulo, chipangizocho chili ndi mphamvu zambiri komanso chodalirika.

Poyerekeza ndi zitsanzo zam'mbuyomu, ndi makina atsopano otukuka, kukanikiza komwe kumayambitsa jakisoni wa insulin kumafuna kulimbikira katatu. Kanemayo amagwira ntchito mofewa komanso mosavuta.

Chowonetsera cha mankhwalawa chimakhala ndi zochulukirapo, zomwe ndizofunikira kwa okalamba komanso odwala ovulala. Chizindikirocho chimakwanira bwino pakapangidwe kake.

Mtundu wosinthidwa ukuphatikiza mawonekedwe onse a mitundu yoyambirira ndipo ulinso ndi zina zowonjezera. Kuchuluka kwa mankhwalawa kumakupatsani mwayi kuti muimbire molondola mlingo womwe umafunikira. Mukamaliza jakisoni, cholembera amatulutsa chododometsa chosadziwika, chomwe chimadziwitsa za kutha kwa njirayi.
Anthu omwe ali ndi matenda ashuga amatha, ngati pakufunika, angasinthe mwachangu Mlingo wosankhidwa molakwika, pomwe mankhwalawo amakhalabe athanzi. Chipangizochi ndichabwino kwa anthu onse omwe ali ndi matenda a shuga 1 kapena 2. Mlingo wokhazikitsidwa ndi gawo limodzi, mutha kuyimba kuyambira 1 mpaka 60 mayunitsi.
Wopangayo akutsimikizira kuti chipangizochi chidzagwira ntchito kwa zaka zisanu. Odwala ali ndi mwayi woyesa zomanga zachitsulo zapamwamba komanso ukadaulo wapamwamba.
Ndikotheka kunyamula ma cholembera ngati syringe mu chikwama chanu ndikupita paulendo. Anthu odwala matenda ashuga amatha kuyang'anira insulin kulikonse komanso nthawi iliyonse. Popeza chipangizocho sichofanana ndi chida chachipatala, chida ichi ndichosangalatsa makamaka kwa achinyamata omwe amachita manyazi ndi matenda awo.

Ndikofunikira kugwiritsira ntchito mapiritsi a NovoPen 4 syringe pokhapokha ndi insulin monga adokotala akuvomerezerani. 3 ml penfill insulin cartridge ndi NovoFine zotaya singano ndizoyenera chipangizocho.

Ngati mukufuna kugwiritsa ntchito mitundu yambiri ya insulini nthawi imodzi, muyenera kukhala ndi zolembera zingapo nthawi imodzi. Kuti musiyanitse mtundu wa cholembera wa insulin NovoPen 4, wopanga amapereka mitundu yambiri ya majekiti.

Ngakhale munthu atagwiritsa ntchito cholembera chimodzi, muyenera kukhala ndi zowonjezera nthawi zonse ngati zingaphwanyike kapena kutayika. Payeneranso kukhala ndi cartridge yopuma ndi mtundu womwewo wa insulin. Makatoni onse ndi singano zotayika zitha kugwiritsidwa ntchito ndi munthu m'modzi.

Sitikulimbikitsidwa kugwiritsa ntchito jakisoni wa anthu omwe ali ndi vuto lowonera popanda thandizo lakunja.