Tresiba - insulin yokhala nthawi yayitali, mtengo ndi mawonekedwe ogwiritsira ntchito

Limagwirira a zochita za mankhwala zachokera wathunthu agonism wa insulin degludec ndi amkati anthu. Ikamamwa, imamangilira ma insulin receptors mu minofu, makamaka minofu ndi mafuta. Chifukwa cha zomwe, njira ya mayamwidwe a shuga m'magazi imayatsidwa. Palinso kuchepa kwa Reflex pakupanga kwa glucose ndi ma cell a chiwindi kuchokera ku glycogen.

Recombinant insulin degludec imapangidwa pogwiritsa ntchito ma genetic engineering, omwe amathandizira kupatula DNA ya mabakiteriya a Saccharomyces cerevisiae. Mtundu wawo wama genetic ndi wofanana kwambiri ndi insulin yaumunthu, yomwe imathandizira kwambiri komanso imathandizira kupanga mankhwala. Nkhumba ya nkhumba imagwiritsidwa ntchito kale. Koma adayambitsa machitidwe ambiri ochokera mthupi.

Kutalika kwake kwa thupi ndi kukonzanso kwa insulin okwanira maola 24 kumalimbikitsidwa ndi machitidwe ake omwe amachokera ku mafuta osaneneka.

Mothandizidwa ndi subcutaneally, insulin degludec imapanga malo owerengeka omwe amasungunuka ambiri. Mamolekyu amamanga maselo amafuta, omwe amachititsa kuti mankhwalawo amvedwe pang'onopang'ono m'magazi. Komanso, njirayi ili ndi gawo lathyathyathya. Izi zikutanthauza kuti insulin imakomoka chimodzimodzi kwa maola 24 ndipo sikunasinthe.

Kuyanjana kwa mankhwala osokoneza bongo

Machitidwe a mankhwala "Tresiba" amathandizidwa ndi:

• njira yolerera ya pakamwa ya mahomoni,
• mahomoni a chithokomiro,
• thiazide okodzeya,
• somatropin,
• GKS,
• amphanomachul
• danazol.

Zotsatira zamankhwala zimatha kufooka:

• mankhwala akumwa a hypoglycemic,
• osasankha beta-blockers,
• GLP-1 zolandila olandila,
• salicylates,
• Mao ndi ACE zoletsa,
• anabolic steroids
• sulfonamides.

Beta-blockers amatha kuphimba zizindikiro za hypoglycemia. Ethanol, komanso "Octreotide" kapena "Lanreotide" amatha kufooka ndikuwonjezera mphamvu ya mankhwalawa.

Osasakanikirana ndi mayankho ena ndi mankhwala!

Malangizo ogwiritsira ntchito

Mlingo umasankhidwa kwa wodwala aliyense payekhapayekha ndi dokotala wopita. Mavoliyumu amadalira mtundu wa matendawa, kulemera kwa wodwala, moyo wokangalika, komanso zakudya zina zomwe zimatsatidwa ndi odwala.

Pafupipafupi oyang'anira ndi 1 nthawi patsiku, popeza Tresiba ndi insulin yozizira kwambiri. Mlingo woyambirira woperekedwa ndi 10 PIERES kapena 0,1 - 0,2 PIECES / kg. Kupitilira apo, mulingo wake umasankhidwa malinga ndi chakudya chamagulu komanso kulekerera munthu payekha.

Mankhwalawa angagwiritsidwe ntchito ngati monotherapy, komanso gawo la zovuta pakukonzekera koyambira kosasintha kwa insulin. Gwiritsani ntchito nthawi zonse nthawi yomweyo masana kuti muchepetse kukula kwa hypoglycemia.

Insulin yoonjezerapo yowonjezera imagwira ntchito pokhapokha, chifukwa njira zina zoyendetsera zimayambitsa zovuta. Madera abwino kwambiri a jekeseni wa subcutaneous: ntchafu, matako, phewa, minofu yolimba ndi khoma lamkati lakumbuyo. Ndikusintha kwatsiku ndi tsiku m'dera la mankhwalawa.

Musanayambe kugwiritsa ntchito cholembera, muyenera kudziwa malamulo ogwiritsira ntchito chida ichi. Izi nthawi zambiri zimaphunzitsidwa ndi adokotala.

Kapenanso wodwalayo amalowa m'makalasi a gulu kukonzekera moyo wokhala ndi matenda ashuga. M'magawo awa, amalankhula za magawo a mkate mu zakudya, mfundo zoyambirira zamankhwala zomwe zimadalira wodwala, komanso malamulo ogwiritsira ntchito mapampu, zolembera ndi zida zina pothandizira insulin.

Musanayambe njirayi, muyenera kuonetsetsa kuti cholembera sichitha. Pankhaniyi, muyenera kulabadira katiriji, mtundu wa yankho, moyo wa alumali ndi serviceability yamavalo. Kapangidwe ka syringe-cholembera Tresib ndi motere.

Kenako yambitseni ntchitoyi.

Ndikofunika kulabadira kuti kugwiritsa ntchito moyenera ndikofunikira pakugwiritsa ntchito palokha. Wodwala ayenera kuwona bwino manambala omwe amawonetsedwa pa osankhayo posankha mlingo. Ngati izi sizingatheke, ndi bwino kutenga thandizo lina la munthu wina yemwe ali ndi masomphenya abwinobwino.

Nthawi yomweyo konzekerani cholembera kuti mugwiritse ntchito. Kuti tichite izi, tiyenera kuchotsa kapu mu cholembera ndikuonetsetsa kuti pali yankho lomveka bwino lopanda mtundu pazenera la cartridge. Kenako tengani singano yotayika ndikuchotsera chizindikiro. Kenako ikani pang'onopang'ono singano ku dzanja ndipo, pang'onopang'ono.

Pambuyo poti takhutira kuti singanoyo imangika mwamphamvu mu cholembera, chotsani kacheni wakunja ndi kuyika pambali. Nthawi zonse pamakhala chophimba chachiwiri chaching'ono pa singano chomwe chimayenera kutayidwa.

Zida zonse za jekeseni zikakhala zokonzeka, timayang'ana kuchuluka kwa insulini komanso thanzi la dongosolo. Pazomwezi, mlingo wa mayunitsi awiri umayikidwa pa osankhidwa. chogwirizira chimakwera ndi singano ndipo chagwedezeka. Ndi chala chanu, onetsetsani pang'onopang'ono kuti thupi lonse lapansi lizikhala m'manja mwa singano.

Kukanikiza piston njira yonse, kuyimba kuyenera kuwonetsa 0. Izi zikutanthauza kuti mlingo wofunikira watuluka. Ndipo kumapeto kwa kunja kwa singano dontho la yankho liyenera kuwoneka. Ngati izi sizingachitike, bwerezani zomwe zikuwonetsetse kuti dongosololi likugwira ntchito. Izi zimaperekedwa poyesa 6.

Macheke atatha, timapitiriza kugwiritsa ntchito mankhwalawa mu mafuta obisika. Kuti muchite izi, onetsetsani kuti osankhidwa akuwonetsa "0". Kenako sankhani ufa wofunikira.

Ndipo kumbukirani kuti mutha kuyika kwambiri insulin 80 kapena 160 IU nthawi imodzi, zimatengera kuchuluka kwa mayunitsi mu 1 ml yankho.

Tresib imayendetsedwa kokha pakhungu. Mtsempha wamkati wamitsempha umapangidwa chifukwa cha kukula kwa hypoglycemia. Sizikulimbikitsidwa kuti ziperekedwe intramuscularly komanso mapampu a insulin.

Malo omwe insulin amayendetsedwera ndi kutsogolo kwa ntchafu, phewa, kapena khoma lamkati lakumbuyo. Mutha kugwiritsa ntchito gawo limodzi labwino kwambiri, koma nthawi iliyonse kumayambitsa malo atsopano kupewa lipodystrophy.

Kupereka insulin pogwiritsa ntchito cholembera cha FlexTouch, muyenera kutsatira njira zotsatirazi:

1. Onani cholembera
2. Onetsetsani kuwonekera kwa yankho la insulin
3. Ikani singano mwamphamvu pachikuto
4. Yembekezani mpaka dontho la insulini lithe kuyika pa singano
5. Khazikitsani mlingo potembenitsira mtundu wosankha
6. Ikani singano pansi pa khungu kuti mankhwala otsutsana nawo awoneke.
7. Dinani batani loyambira.
8. Lowetsani insulin.

Pambuyo pa jakisoni, singano iyenera kukhala pansi pa khungu kwa masekondi 6 ena okwanira a insulin. Kenako chogwiriziracho chimayenera kukwezedwa. Ngati magazi awoneka pakhungu, ndiye kuti amayimitsidwa ndi thonje. Musamasewetse malo a jakisoni.

Zingwe ziyenera kuchitika pokha kugwiritsa ntchito zolembera pazokha. Kuti muchite izi, khungu ndi manja asana jekeseni ayenera kuthandizidwa ndimayendedwe a antiseptics.

Mankhwalawa amaperekedwa nthawi yomweyo. Kulandila kumachitika kamodzi patsiku. Odwala omwe ali ndi matenda amtundu wa 1 amagwiritsa ntchito Degludek kuphatikiza ndi insulin yochepa kuti isafunike pakudya.

Odwala omwe ali ndi matenda ashuga amatenga mankhwalawo mosatengera chithandizo chowonjezera. Tresiba imayendetsedwa padera komanso mosakanikirana ndi mankhwala oikidwa pompopompo kapena insulini ina. Ngakhale kusinthasintha posankha nthawi yoyang'anira, nthawi yocheperako iyenera kukhala osachepera maola 8.

Mlingo wa insulin umakhazikitsidwa ndi adokotala. Amawerengeredwa potengera zosowa za wodwala mu timadzi tating'onoting'ono pakayankhe glycemic. Mlingo woyenera ndi magawo 10. Ndi kusintha kwa zakudya, katundu, kukonza kwake kumachitika. Ngati wodwala wodwala matenda a shuga 1 amatenga insulin kawiri pa tsiku, kuchuluka kwa insulini komwe kumayendetsedwa kumatsimikiziridwa payekhapayekha.

Mukasinthira ku Tresib insulin, kuchuluka kwa shuga kumayendetsedwa kwambiri. Chidwi chachikulu chimaperekedwa kuzizindikiro mu sabata yoyamba kumasulira. Chiwerengero chimodzi kapena chimodzi kuchokera pa mulingo woyamba wa mankhwalawa umayikidwa.

Tresiba imabayidwa pang'onopang'ono m'malo otsatirawa: ntchafu, phewa, khoma lakutsogolo kwam'mimba. Pofuna kupewa kukwiya komanso kuperewera, malowa amasintha mosamala m'deralo.

Sizoletsedwa kugwiritsira ntchito timadzi mwamkati. Izi zimakwiyitsa kwambiri hypoglycemia. Mankhwalawa sagwiritsidwa ntchito popukutira mapiritsi ndi kulowetsedwa. Kupusitsa komaliza kumatha kusintha kuchuluka kwa mayamwidwe.

Kubaya kumachitika kamodzi patsiku. Mlingo wake umasankhidwa ndi adotolo pamlingo wowunikira komanso zosowa za thupi. Yambirani chithandizo ndi muyezo wa mayunitsi 10 kapena mayunitsi 0,0-0.2 / kg. Pambuyo pake, mutha kuwonjezera kuchuluka kwa magawo 1-2 panthawi imodzi. Itha kugwiritsidwa ntchito ponseponse ngati kuphatikiza matenda a monotherapy komanso kuphatikiza njira ina yochizira matenda ashuga.

Amaloledwa kulowa kokha. Masamba obayira ndi am'mimba, m'chiuno, mapewa, matako. Ndikulimbikitsidwa kuti nthawi zonse musinthe jakisoni.

Kutalika kokwanira nthawi imodzi kumaloledwa kulowa osaposa 80 kapena 160 mayunitsi.

Contraindication

Chizindikiro chokhacho komanso chokhacho chogwiritsira ntchito insulin yayitali ndi mtundu 1 kapena mtundu 2 wa shuga. Degludec insulin imagwiritsidwa ntchito kusunga kuchuluka kwa mahomoni m'magazi kuti matenda akhale ndi metabolism.

Milandu yayikulu ndi:

1. Kusalolera payekhapayekha pazigawo za mankhwala,
2. Mimba komanso nthawi yobereka;
3. Ana osakwana chaka chimodzi.

Chizindikiro chachikulu cha mankhwala a Treshib insulin, omwe amatha kukhalabe ndi gawo la glycemia, ndi matenda a shuga.

Contraindication yogwiritsira ntchito mankhwalawa ndikumvetsetsa kwamunthu payekha pazigawo za yankho kapena chinthu chogwira ntchito. Komanso, chifukwa cha kusadziwa za mankhwalawa, samalembera ana ochepera zaka 18, amayi oyamwitsa ndi amayi apakati.

Ngakhale kuti nthawi ya insulin excretion ndi yayitali kuposa masiku 1.5, tikulimbikitsidwa kuti mulowetsedwe kamodzi patsiku, makamaka nthawi imodzi. Wodwala matenda a shuga amtundu wachiwiri amatha kulandira Tresib kapena kuphatikiza ndi mankhwala ochepetsa shuga m'mapiritsi. Malinga ndi zomwe zikuwonetsa mtundu wachiwiri wa matenda ashuga, ma insulin omwe amagwira ntchito mwachidule amalembedwa limodzi ndi mankhwalawo.

Mtundu woyamba wa matenda ashuga, Trecib FlexTouch nthawi zonse umakhazikitsidwa ndi insulin yochepa kapena yochepa kwambiri kuti athe kufunikira kwa kumumizira kwa chakudya.

Mlingo wa insulini umatsimikiziridwa ndi chithunzi cha matenda osokoneza bongo ndipo umasinthidwa kutengera mphamvu ya shuga m'magazi.

Monga mankhwala ena aliwonse, insulin ili ndi zotsutsana zomveka. Chifukwa chake, chida ichi sichingagwiritsidwe ntchito muzochitika zotere:

• Wodwala wosakwana zaka 18
• mimba
• mkaka wa m'mawere (yoyamwitsa),
• kusalolera kwa chimodzi mwazinthu zothandizira za mankhwala kapena chinthu chake chachikulu chogwira ntchito.

Kuphatikiza apo, insulin singagwiritsidwe ntchito jakisoni wovomerezeka. Njira yokhayo yoperekera inshuwaransi ya Tresib ndiyosazungulira!

Matenda a shuga m'magulu azaka zonse (kupatula ana osakwana chaka chimodzi).

• Hypersensitivity pamagawo ake,
• Mimba komanso kuyamwa
• Ana a zaka mpaka 1 chaka.

Irina, wazaka 23. Tidapezeka kuti tili ndi matenda a mtundu woyamba 1 mellitus tili ndi zaka 15 zakubadwa.

Ndakhala nthawi yayitali nditagona pa insulin kwa nthawi yayitali ndipo ndayesera makampani osiyanasiyana ndi mafomu oyang'anira. Zosavuta kwambiri zinali mapampu a insulini ndi zolembera.

Osati kale kwambiri, Tresiba Flextach adayamba kugwiritsa ntchito. Chida chosavuta kwambiri posungira, chitetezo ndi kugwiritsa ntchito.

Mosavuta, ma cartridge omwe ali ndi mankhwala osiyanasiyana amagulitsidwa, kotero kwa anthu omwe ali ndi mankhwala omwe ali ndi insulin yayikulu ndizothandiza kwambiri. Ndipo mtengo wake ndi wabwino.

Konstantin, wazaka 54. Mtundu wodwala matenda a shuga a mellitus insulin.

Posachedwa asinthana ndi insulin. Ankakonda kumwa mapiritsi, motero zimatenga nthawi yayitali kuti apangilenso mthupi komanso mwakuthupi jakisoni yatsiku ndi tsiku.

Cholembera cha Treshiba chinandithandiza kuzolowera. Ma singano ake ndi owonda kwambiri, motero, jakisoni amatha kudutsa imperceptibly.

Panalinso vuto ndi muyeso wa mlingo. Wosankha wosavuta.

Mukumva pa dinani kuti mlingo womwe mwakhazikitsa wafika kale pamalo oyenera ndikugwiranso ntchitoyo mopepuka. Chinthu chosavuta chomwe ndi choyenera ndalama.

Ruslan, wazaka 45. Amayi ali ndi matenda ashuga a 2.

Posachedwa, adotolo adatumiza chithandizo chatsopano, chifukwa mapiritsi ochepetsa shuga adasiya kuthandiza, ndipo shuga adayamba kukula. Adalangiza Tresiba Flekstach kuti akagulire amayi chifukwa cha zaka zawo.

Wopezeka, ndikukhuta kwambiri ndi kugula. Mosiyana ndi ma ampoules osatha okhala ndi ma syringe, cholembera ndichabwino kwambiri pakugwiritsa ntchito.

Palibenso chifukwa chosambira ndi momwe mungapezere mankhwala ndi kugwira ntchito bwino. Fomuyi ndi yoyenera kwambiri kwa okalamba.

Zambiri: insulin

Maki: Tresiba Flekstach, maola 24, d p

Kwenikweni, malingaliro a odwala matenda ashuga omwe akudziwa za mankhwalawa ndi zabwino. Kutalika kwa ntchitoyo, kusakhalapo kwa zotsatira zoyipa kapena kakulidwe kake kodziwika. Mankhwalawa ndi oyenera kwa odwala ambiri. Pakati pa mphindi pali mtengo wokwera.

Oksana: “Ndakhala ndili pa insulin kuyambira ndili ndi zaka 15. Ndayesa mankhwala ambiri, tsopano ndayimitsidwa ku Tresib. Yosavuta kugwiritsa ntchito, ngakhale okwera mtengo. Ndimakonda kutalika kotero, palibe magawo a usiku a hypo, ndipo izi zisanachitike. Ndakhuta. "

Sergey: "Posachedwa ndinasinthira kulandira mankhwala a insulin - mapiritsiwo anasiya kuthandiza. Dotolo adalangiza kuyesa cholembera cha Tresiba.

Ndinganene kuti ndikosavuta kudzipatsa jakisoni, ngakhale ndiyatsopano pamenepa. Mlingo wawonetsedwa pachiwonetsero ndi chizindikiro, chifukwa chake simulakwitsa kudziwa kuchuluka komwe muyenera kulowa.

Shuga limakhala losalala komanso lalitali. Palibe zotsatira zoyipa zomwe zimakondweretsa mapiritsi ena ake.

Mankhwalawa amandigwira ndipo ndimaukonda. ”

Diana: “Agogo amadwala matenda a shuga omwe amadalira insulin. Ndinkakonda kubaya jakisoni, chifukwa iyenso amawopa. Dotolo adandiwuza kuti ndiyesere Tresibu. Tsopano agogo omwewo amatha kupanga jakisoni. Ndizotheka kuti kamodzi patsiku muyenera kuchita, ndipo zotsatira zake zimakhala kwa nthawi yayitali. Ndipo thanzi langa tsopano lakhala bwino. "

Denis: "Ndili ndi matenda a shuga a 2, ndiyenera kugwiritsa ntchito insulin kale. Adakhala nthawi yayitali pa "Levemire", adasiya kugwira shuga. Adotolo adasamukira ku Tresibu, ndipo ndidalandira. Njira yothandiza kwambiri, shuga sangakhale yovomerezeka, palibe chomwe chimapweteka. Ndinafunika kusintha zakudya zochepa, koma ndibwinonso - kulemera sikumakukula. Ndimakondwera ndi mankhwalawa. ”

Alina: “Mwana atabadwa, anapeza matenda a shuga a 2. Ndibaya insulin, ndidaganiza zoyesera ndi chilolezo cha dokotala wa Treshibu. Zilandira pazabwino, ndiye kuti palinso. Ndimakonda kuti zotsatira zake ndizitali komanso ndizokhalitsa. Kumayambiriro kwa mankhwalawa, retinopathy adapezeka, koma mlingo udasinthidwa, zakudya zidasinthidwa pang'ono, ndipo zonse zidali mu dongosolo. Kuchiritsa kwabwino. ”

Mawonekedwe

Uku ndikukonzekera kwamasiku ano kokonzedwa ndi NovoNordisk. Mankhwalawa mikhalidwe yake anapitilira Levemir, Tujeo ndi ena. Kutalika kwa jakisoni ndi maola 42. Mankhwalawa amathandizira kuti shuga azikhala ndi shuga pafupipafupi musanadye. M'zaka zaposachedwa, Tresiba imalimbikitsa ana azaka zopitilira 1.

Madokotala akuchenjeza kuti mankhwala osokoneza bongo amakhalabe owonekera, motero sangadziwike bwinobwino. Sizovomerezeka kugula mankhwalawa ndi dzanja kapena kutsatsa. Pali mwayi wochepa wokhala ndi mankhwala apamwamba kwambiri, ndizosatheka kuthana ndi matenda a shuga.

Chizindikiro chodziwika bwino cha mankhwala osokoneza bongo ndi hypoglycemia.Vutoli limayamba chifukwa cha kutsika kwa kuchuluka kwa glucose m'thupi motsutsana ndi maziko ambiri a insulini. Hypoglycemia imawonetsedwa ndi zizindikiro zingapo, chifukwa cha kuopsa kwa mkhalidwe wa wodwalayo.

Tilembera zizindikiro zazikulu:

• chizungulire
• ludzu
• njala
• kamwa yowuma
• thukuta lamphamvu
• kukokana
• manja akunjenjemera
• kugunda kwamtima kumamveka
• nkhawa
• mavuto ndi ntchito yolankhula ndi masomphenya,
• kukomoka kapena kusuntha kwa malingaliro.

Thandizo loyamba la hypoglycemia ofatsa ndi anthu apafupi, wodwala nthawi zina amatha kudzithandiza okha. Pachifukwa ichi, kuchuluka kwa shuga m'magazi ndi kwamtundu woyenera. Kutengera zakumbuyo za zizindikiro za hyperglycemia, mutha kugwiritsa ntchito china chilichonse chokoma, zakudya zilizonse zomwe zili ndi chakudya chamafuta othamanga. Siphutsi ya shuga imagwiritsidwa ntchito nthawi zotere.

Dokotala amatchedwa ngati wodwala sazindikira. Ndi kukula kwa hypoglycemia, glucagon ikhoza kutumikiridwa mu kuchuluka kwa 0,5-1 mg. Ngati mankhwalawa sangapezeke, njira zina zitha kugwiritsira ntchito insulin.

Mutha kugwiritsa ntchito kumasulira ndi mahomoni, catecholamines, adrenaline, kuchipatala, wodwalayo amapaka jekeseni wamagazi mkati, amawunika kuchuluka kwa shuga m'magazi panthawi yomwe akutsikira. Kuphatikiza apo, ma elekitirodi a pakompyuta ndi mchere wamchere amawunika.

Kutulutsa Fomu

Mankhwala amapangidwa m'mitundu itatu:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• Tresiba Penfill ndi katoni ndi mankhwala, kuchuluka kwa insulin mwa iwo ndikwabwinobwino, madzi amadzazidwa ndi syringe, cartridge imadzazidwa ndi pensulo ya syringe.
• Tresiba Flekstach - insulin u100 yokhazikika, cholembera chimakhala ndi 3 ml ya chinthu, katiriji watsopano sanayikidwe, izi ndi zida zotayira.
• Tresiba Flextach u200 imapangidwa kwa odwala matenda ashuga omwe amafunikira kuchuluka kwama mahomoni okhala ndi mawonekedwe a insulin. Kuchuluka kwa zinthu kumachulukitsa kawiri, motero kuchuluka kwa jakisoni kumakhala kochepa. Makatoni okhala ndi mapikidwe apamwamba a Degludek sangathe kuchotsedwa pamipanda yonse ya syringe; ena amatha kugwiritsidwa ntchito; izi ndizodzaza ndi mankhwala osokoneza bongo komanso ovuta kwambiri.

Ku Russia, mitundu itatu ya mankhwala imagwiritsidwa ntchito, m'mafakitala amangogulitsa Tresiba Flextach yokhazikika. Mtengo wa mankhwalawa ndiwokwera kuposa mitundu ina ya insulin yokumba. Phukusi la zolembera 5 za syringe, mtengo wake umachokera ku 7300 mpaka 8400 rubles. Mankhwalawa mulinso glycerol, zinc acetate, metacresol, phenol. Acidity ya chinthu ili pafupi ndi ndale.

Zotsatira zoyipa

Tikulemba mndandanda wazotsatira zoyipa zomwe zimawonedwa mwa odwala mutatha Tresib:

Ndi mankhwala osokoneza bongo, hypoglycemia imawonekera, zizindikiro zazikulu:

• Khungu limasandulika, kufooka kumamveka,
• kukomoka, kusokonezeka kwa chikumbumtima,
• chikomokere
• njala
• mantha.

Mawonekedwe ofatsa amawachotsa okha, pogwiritsa ntchito zakudya zomwe zimapatsa mphamvu yamafuta. Hypoglycemia yokhazikika komanso yovuta kwambiri imathandizidwa ndi jakisoni wa glucagon kapena dextrose wokhazikika, ndiye kuti odwala amadzindikira, omwe amapatsidwa chakudya chomwe chili ndi chakudya chamagulu. Ndikofunikira kulumikizana ndi katswiri kuti asinthe mlingo.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Malangizo apadera

Kupsinjika kumakhudza zosowa za thupi za insulin, matenda amafunikiranso kuchuluka kwa osokoneza, omanga thupi, zomwe zimachitika. Jakisoni amaphatikizidwa ndi metformin ndi mtundu wa 2 shuga.

Zochita za mankhwala zimakhudzidwa ndi mankhwalawa:

• mankhwala oletsa kubereka,
• okodzetsa
• danazol
• zangolinsin.

Zovuta za mankhwalawa zakula:

• othandizira a hypoglycemic
• beta-blockers,
• GLP-1 zolandila olandila,
• ma steroid.

Beta-blockers amatha kuphimba zizindikiro za hypoglycemia.

Degludec sayenera kudya mowa ndi zinthu zina zomwe zili ndi mowa. Munthawi yonse ya chithandizo, odwala matenda ashuga samalangizidwa kuti amwe zakumwa ndi mankhwala osokoneza bongo.

Kuchepa kwa hypoglycemia kumawonjezera ndi kulimbitsa thupi, kupsinjika, mavuto azakudya, ndi njira zamatenda. Wodwala amafunika kuti aphunzire zizindikiro zake, kuti athe kudziwa bwino malamulo oyambira.

Mlingo wosakwanira umakwiyitsa hypoglycemia kapena ketoacidosis. Ndikofunikira kudziwa zizindikiro zawo ndikupewa kuwoneka ngati amenewa. Kusinthira ku mtundu wina wa insulin kumachitika moyang'aniridwa ndi dokotala. Nthawi zina muyenera kusintha mlingo.

Treshiba imatha kuthamangitsa kuyendetsa galimoto chifukwa cha hypoglycemia. Osayendetsa jakisoni pambuyo poti muwononge thanzi la wodwalayo komanso anthu ena. Wochiritsira kapena endocrinologist amatsimikizira mwayi wogwiritsa ntchito magalimoto panthawi ya chithandizo ndi insulin.

Madokotala amalimbikitsa kusunga mankhwala m'malo osatheka ndi ana aang'ono, kutentha kosungirako 2-8 madigiri. Mutha kuyika insulin mufiriji kutali ndi mufiriji, simungathe kumasula mankhwalawo. Dzuwa mwachindunji kapena kutentha kwa mankhwalawa kuyenera kupewedwa.

Makatoni amakhala ndi zojambulazo zapadera zomwe zimateteza madzi kuzinthu zakunja. Ma CD otseguka amasungidwa mu bulangeti kapena malo ena omwe dzuwa silipeza. Kutentha kovomerezeka kosavomerezeka sikoposa madigiri 30, cartridge nthawi zonse imakhala yotsekedwa ndi chipewa.

Mankhwalawa adakwaniritsidwa kwazaka zopitilira 2, simungathe kugwiritsa ntchito insulin pambuyo pake kutha, cartridge yotseguka ndiyoyenera jakisoni kwa masabata 8.

Kusintha kuchokera ku insulin ina

Kusintha kulikonse kwa mankhwalawa kumayendetsedwa ndi endocrinologist. Ngakhale zogulitsa zosiyana ndi zomwe zimapangidwa zimasiyana mumapangidwe, chifukwa chake kusintha kwakofunikira kumafunika.

Zida zingapo za analog zalembedwa:

Anthu odwala matenda ashuga amalabadira mankhwala ngati amenewo. Kutalika kwakukulu kwa kuchitapo kanthu komanso kugwira ntchito bwino popanda zotsatirapo kapena ndikukula pang'ono. Mankhwalawa ndi oyenera kwa odwala ambiri, koma si aliyense amene angakwanitse.

Tresiba ndi mankhwala abwino ochizira matenda osiyanasiyana a shuga. Zoyenera kwa odwala ambiri, ogulidwa pamaphindu. Panthawi yamankhwala, odwala amatha kukhala ndi moyo wokangalika, osawopa thanzi lawo. Mankhwalawa ndi oyenera kukhala ndi mbiri yabwino.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu