Tsoka ilo, ambiri omwe amapanga insulin yayikulu ku Russia (masiku ano opanga onse akunja nawonso akonza zakunyumba ku Russia motero angatengedwe kuti Russia - Aventis, Novo Nordisk, Eli Lilly) amatulutsa ma insulin angapo omwe ali ndi katundu yemweyo, koma ndi mayina osiyanasiyana. Ndipo popeza sizimasiyana pamenepa, nthawi zina, pogula, zitha kugulidwa mwaulere makamaka ma insulin a imodzi mwa makampani awa, omwe amakhudzidwa ndi mtengo womwe kampaniyo imapereka. Kusamutsidwa kumeneku kuchokera ku insulin ya kampani imodzi kupita ku insulin ya wina sikukhudza zotsatira za mankhwalawo.

Kachiwiri, kutsitsa kwa shuga kwa ma insulin onse ndi ofanana - ndiye kuti, nthawi zonse mumatha kusankha kuphatikiza kwa insulin komwe kumapereka zofunikira za shuga m'magazi. Kusiyana pakati pa ma insulin ena sikugwira ntchito kwawo (zonse ndi zothandiza, monga momwe ndasonyezera), koma utsogoleri. Insulin yayitali imatha kutumikiridwa kawiri pa tsiku (mwachitsanzo, NUL insulins) kapena kamodzi pa tsiku (mwachitsanzo Lantus kapena Levemir). Ndizachidziwikire kuti kamodzi patsiku ndizosavuta kupereka kuposa kawiri pa tsiku. Koma ngati pazifukwa zina palibe mankhwalawa, ndiye kuti mutha kupita, kwakanthawi, kwa mankhwalawa, omwe amaperekedwa kawiri patsiku, osati limodzi. Palibe vuto lililonse pokhapokha ngati zikuwavuta kuyendetsa ntchito ndikusintha kuchokera ku insulin ina kupita kwina.

Popeza mkati mwa chaka kufunika kwa ma insulin osiyanasiyana kumasintha pamlingo wina kapena wina, zikhalidwe zimatha kubuka ngati kwakanthawi inshuwaransi ya wopanga wina kapena ina ipangika. Pankhaniyi, simukuyenera kudikirira insulini yokhazikika kwa inu, kuchepetsa mlingo wake wa tsiku ndi tsiku kapena kusungitsa mwanjira inayake kwa bwenzi lanu - izi zitha kukhala zovulaza thanzi lanu. Ndipo muyenera kugwiritsa ntchito insulin, yomwe, malinga ndi endocrinologist, ndiyoyenera kuyibwezera mwachitsanzo, kwakanthawi, kufikira pali zambiri. Izi nthawi zambiri sizitenga milungu ingapo.

Ndichite chiyani ngati ndili ndi funso lofananalo koma losiyana?

Ngati simunapeze zofunikira pakati pa mayankho a funso ili, kapena ngati vuto lanu ndi losiyana pang'ono ndi lomwe laperekedwa, yesani kufunsa dotolo funso lina patsamba lomwelo ngati ali pamutu wa funso lalikulu. Mutha kufunsanso funso latsopano, ndipo patapita kanthawi madotolo athu ayankha. Ndi ufulu. Mutha kusanthula zidziwitso zofananira pankhaniyi patsamba lino kapena patsamba losaka. Tidzakhala othokoza kwambiri mutatipangira kwa anzanu pamasamba ochezera.

Medportal 03online.com imapereka zokambirana zachipatala mu kulumikizana ndi madokotala pamalowa. Apa mukupeza mayankho kuchokera kwa akatswiri enieni m'munda wanu. Pakadali pano malowa akupereka malangizo mmalo 48: a allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, Dokotala wazachipatala, dokotala wazachipatala, dokotala wothandiza , katswiri wa matenda opatsirana, katswiri wamtima, katswiri wazodzikongoletsa, katswiri wazamalankhulidwe, katswiri wa zamankhwala, wazamalamulo wamankhwala, wamisala, wamisala, wamisala, wazachipatala, wazachipatala a, dotolo, opaleshoni ya pulasitiki, proctologist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, mano, urologist, pharmacist, herbalist, phlebologist, opaleshoni, endocrinologist.

Timayankha mafunso 96.27%..

Kusankha / kubwezeretsa insulin: malamulo, zosankha, ndondomeko

Mankhwala a insulin ndi njira yochepetsera misempha ya magazi ndi kusintha njira zama metabolic mwa kuperekera mitundu yosiyanasiyana ya insulin. Njirayi imagwiritsidwa ntchito makamaka pochiza matenda a shuga mellitus (DM), komanso kupewa zovuta zake, zomwe zimakhudza nthawi yayitali komanso moyo wa odwala.

Pakadali pano, biosynt synthet ndi semi-syntulin insulin yamaudindo osiyanasiyana ogwiritsidwa ntchito pochiza matenda ashuga.

Malinga ndi izi, mitundu inayi ya mankhwala ndiosiyanitsidwa:

Zochita zazifupi (kuyamba kwa mphindi 15, kutalika mpaka maola 2)
Zochita zazifupi (kuyamba kwa ntchito - mphindi 30 pambuyo pa kayendetsedwe ka ntchito, mpaka maola atatu)
Kutalika kwapakati (Yambani kuchita pambuyo pa mphindi 45. - 2 maola, ogwira mpaka maola 24)
Kuchita motalika (kuyambira maola 2-3, nthawi yayitali mpaka maola 36)

Ndani ayenera kugwiritsa ntchito insulin?

Njira yakuchiritsirayi ndiyofunika kwambiri pozindikira mtundu wa matenda a shuga a mtundu wa or kapena ngati vuto la mankhwala amkamwa la mtundu wa matenda a shuga. Palinso mndandanda wazikhalidwe ndi zamagulu zomwe zimafuna chithandizo chakanthawi kapena chokhazikika cha insulin. Izi zikuphatikiza:

Mimba komanso kuyamwa
Matenda opatsirana
Zithandizo zamankhwala othandizira
Kuvulala kodziwika
Osati kulipidwa matenda ophatikizika
Kukhalapo kwa zovuta za matenda ashuga (precoma, chikomokere, ketoacidosis, nephropathy, etc.)

Kodi mungasankhe bwanji insulin?

Kusankhidwa kwa insulin kumachitika ndi adokotala potengera zinthu zambiri. Njira zochizira matendawa zimaganiziridwa makamaka. Tsopano chodziwika kwambiri ndi njira yoyambira, yomwe tanthauzo lake ndi kugwiritsa ntchito mankhwala angapo osiyanasiyana. Kuti muwonetsetse mulingo wa insulin (maziko) a insulin, mitundu yayitali imagwiritsidwa ntchito (Monodar B, Humodar B, Lantus), komanso kupewa hyperglycemia mutatha kudya, isulins (Farmasulin N, Humodar R, Novorapid) amagwiritsidwa ntchito. Izi zimakuthandizani kuti muwonjezere kusinthasintha koyenera kwa kuchuluka kwa timadzi timeneti m'magazi kupita ku thupi, komanso kumapereka chithandizo chokwanira kwambiri.
Zoyipa za njirayi ndikuti wodwalayo amafunika kukhazikitsa zakudya zoyenera komanso zolimbitsa thupi. Sianthu onse omwe ali ndi mwayi wolinganiza ntchito zawo malinga ndi thanzi lawo, kapena zimawavuta kuchita izi chifukwa cha zizolowezi zolimba. Chifukwa chake, pali mitundu yochepetsetsa yoyendetsera insulin, ndipo imodzi mwazomwe adokotala akuchita ndikusankha payekhapayekha wodwala aliyense.

Kodi odwala amafunsa kuti alowe m'malo mankhwalawo?

Nthawi zambiri odwala sakhulupirira mankhwala apakhomo ndipo amafuna kuti asinthidwe ndi omwe atumizidwa kunja. Koma sizotheka nthawi zonse.
Pamankhwala oyamba a insulin, madokotala nthawi zambiri amasankha zomwe zimatha kupezeka pansi pa pulogalamu ya boma, ngakhale pakadali pano, insulini iliyonse imaperekedwa kwaulere, koma pamafomu ena zikalata zina zimafunikira. Ngati dotolo, akumuyang'ana wodwalayo, anganene kuti ali ndi vuto lakelo, ndiye kuti palibe chifukwa chobwezeretsanso mankhwalawo, ngakhale atengedwe kuti ndi ochokera kunja kapena kunyumba. Kubwezera matendawa ndiye njira yayikulu yogwiritsira ntchito mankhwalawa. Ngati dokotala alephera kukwaniritsa zotsatira zomwe akufunazo mwa kusintha kwa mankhwalawo kapena kuchuluka kwa mankhwala a insulin, komabe ndikofunikira kuti abweretse vuto losintha mankhwalawo. Mavuto monga: Zotsatira zoyipa zamankhwala, matupi awo sagwirizana, lipodystrophy, ketoacidosis, chikomokere ndi chikhazikitso ndizodziwikanso posankha bwino insulin.

Momwe mungasinthire mankhwalawo?

Lingaliro lakusintha limapangidwa ndi adotolo wachipatala cha endocrinology pamodzi ndi komisheni. Pambuyo pake, mawu omaliza ndi malingaliro omwe asinthidwa amaperekedwa kwa dokotala wabanja kapena endocrinologist kumalo komwe amakhala, komwe wodwalayo angalandire kukonzekera kwatsopano kwa insulin. Mulimonsemo, wodwalayo nthawi zonse amakhala ndi ufulu wosankha ndipo amatha kugwiritsa ntchito mitundu ina ya insulini yomwe imaperekedwa m'mafakisi, kutengera momwe alili ndalama. Inde, mutakambirana ndi dokotala. Koma ndiwokhutiritsa wodwalayo komanso kugwiritsa ntchito bwino mankhwala omwe adalandira kale, izi sizofunikira.
Ngakhale madokotala asankhe chithandizo chiti, ndikofunikira kuti anthu odwala matenda ashuga azikumbukira kuti njira zosagwiritsa ntchito mankhwala nthawi zonse zimakhala pamalo oyamba. Kuchepetsa thupi, kunenepa kwambiri, kusamala khungu ndi manja ndi mapazi kuyenera kukhala ntchito zofunika kwambiri kwa wodwala aliyense. Kukhazikitsa kwawo sikungokulitsa mphamvu ya mankhwala, komanso kukonza moyo ndi nthawi yayitali.

Kodi pali kusiyana kotani pakukonzekera insulin

Kugwiritsa ntchito ma insulin analogue pochiza matenda ashuga ndi njira yodziwika bwino kuchipatala. Mankhwala osokoneza bongo amachepetsa kuchuluka kwa shuga m'magazi ndipo zimapangitsa kuti shuga azikhala wowerengeka.

• kugwiritsa ntchito
• zoteteza thupi lanu
• mutha kuphatikiza jakisoni ndi kupanga kwachilengedwe kwa mahomoni ndi kapamba,
• kukwaniritsa zotsatira zake mwachangu.

Odwala omwe apezeka ndi mtundu wachiwiri wa matenda a shuga amawagwiritsa ntchito mapiritsi oyambira. Koma ndi chitukuko cha matendawa, ndipo akufunika kowonjezera makina a insulin.

Mtundu woyamba wa matenda ashuga, nthawi zina zimakhala zofunika kusintha wina ndikumupanga wina. Izi zitha kuzindikirika ndi zizindikiro:

• kuthamanga kwa kuchepa kwa zowoneka bwino,
• thanzi losavomerezeka ndi kusokonezeka kwa ziwalo,
• Wodwalayo asintha kwambiri m'ndondomeko ya shuga m'magazi.

Kuphatikiza apo, ma insulin omwe amapangidwa amathandizira kupewa mavuto omwe amabwera chifukwa chogwiritsa ntchito mahomoni achilengedwe.

Zoyipa zovuta kuperekera insulin:

• nthawi yayitali kuyembekezera zotsatira,
• Kutalika kwa ntchito.

Zina mwa zofananira za insulin ndizodziwika bwino:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• Humalog,
• Aspart
• Glusilin,
• Lantus
• Kudzifufuza
• Kusakaniza kwa Humalog 25.

Chithandizo chophatikizika cha mankhwala a Humalog ndi insulin lispro. Amachepetsa kuchuluka kwa shuga wamagazi m'magazi ndikuwonetsa matendawa.

Njira zogwiritsira ntchito Humalog:

Mlingo wa mankhwalawa, kutalika kwa mankhwalawa komanso mtundu wa jakisoni ndi mankhwala. Simungathe kudzisankhira nokha mankhwala.

Ubwino wa mankhwala a Humalog:

• mutha kulowa mankhwalawa musanadye kapena pambuyo pake,
• Humalog imatha kutumikiridwa kudzera m'mitsempha (pambuyo pa ntchito, ndi njira zotupa ndi

Ubwino wa mankhwala a Humalog:

• mutha kulowa mankhwalawa musanadye kapena pambuyo pake,
• Humalog imatha kutumikiridwa kudzera m'mitsempha (pambuyo pa ntchito, ndi zotupa ndi ketoacidosis).

Mawonekedwe a mankhwalawa ndi njira yothetsera jakisoni (wopanda utoto, wopanda matope kapena zosayera).

Zotsatira zosagwiritsidwa ntchito ndi mankhwalawa:

• shuga wamagazi ochepa
• zovuta zomwe zimachitika pamagawo a Humalog.

Mankhwalawa ndi insulin yolowa m'malo, zotsatira zoyipa zimatha kuchitika:

• achina,
• hypoglycemic coma,
• kufa ndi chikomokere,
• urticaria
• zotupa zoyipa
• kutsitsa magazi
• kulephera kupuma
• Edema wa Quincke.

Mtengo wa Humalogue umasiyana kuchokera ku 1800 mpaka 2000 rubles.

Gawo lomwe limagwiritsa ntchito mankhwalawa ndi insulin. Zochita za mankhwala izi zimaperekedwa kwa insulin receptors. Zotsatira zake, kayendedwe ka mamolekyu a glucose kudzera m'mimba yam'mimba amapitilira patsogolo. Kuchuluka kwa shuga m'magazi kumachepa ndipo mkhalidwe wa munthu ubwerera mwakale. Aspart ndi yoyenera kwa odwala omwe ali ndi mtundu umodzi wa matenda ashuga.

Timapereka kuchotsera kwa owerenga tsamba lathu!

• shuga wamagazi ochepa
• matupi awo sagwirizana ndi mankhwala
• ana osakwana zaka 6
• pakati mwa akazi
• Nthawi yonyamula mkaka.

Potengera maziko a kutenga Aspart, zoyipa zimatha kuchitika pantchito yamawonedwe ndi zamanjenje, komanso pakhungu.

Njira zoyendetsera Aspart:

• jekeseni ndi syringe m'mafuta amkati,
• syringe jakisoni
• mothandizidwa ndi mapampu
• kudzera m'mitsempha yamagazi (kokha m'mabungwe azachipatala).

Simungagwiritse ntchito mankhwala angapo kuphatikiza ndi Aspartum mukabayidwa kudzera pampu.

M'magawo oyamba a Aspart chithandizo, ndikofunikira kuti muchepetse kuyendetsa galimoto komanso pazinthu zomwe zimafunikira chidwi chachikulu. M'masabata oyamba akugwiritsidwa ntchito, zithunzi zowoneka zimachepa.

Mtengo wake umachokera ku 1500 mpaka 1800 rubles.

Chithandizo chogwira ntchito cha mankhwala ndi insulin glulisin. Glulisin akuyamba kugwira ntchito mpaka mphindi 10-15 atatha kutsata. Zochita zamankhwala zimapangidwa kuti:

• kuchuluka kwa glucose komwe kumachitika ndi maselo,
• kuchepa kwa kaphatikizidwe ka shuga m'chiwindi.

Amalembedwa kwa odwala omwe ali ndi matenda a shuga amtundu woyamba 1. Monga ma analogen ena a insulin, Glulisin ali ndi zotsutsana. Sitha kugwiritsidwa ntchito ngati ziwengo pazinthu zina ndi shuga wamagazi oyamba.

Zotsatira zoyipa za Glulisin:

• kugona kusokonezedwa
• kusokonezeka ndende,
• matupi awo sagwirizana ndi urticaria,
• kupsinjika m'maganizo,
• kugwedezeka miyendo,
• kusanza ndi kusanza
• kupweteka kwambiri m'mutu
• kutsika kwamawonedwe owoneka,
• kulephera kudziwa
• zotsatira zakupha.

Anulopu ya insulin iyi imapangidwa kawiri kawiri ndi maselo kuposa mahomoni achilengedwe. Zotsatira zake, zomwe zimafunidwa zimakwaniritsidwa mwachangu.

Mtengo wake ndi ma ruble 2300.

Yogwira ntchito ya mankhwala ndi insulin glargine. Pakutha kwa ntchito, Lantus ndi analogue of a mrefu action. Amapezeka mu mawonekedwe a njira zovomerezeka. Mkati mwa ampoule ndi yankho lomveka bwino lopanda mtundu.

Analogue iyi singagwiritsidwe ntchito pamene:

• ziwengo zamankhwala othandizira komanso othandiza
• pakati mwa akazi
• ana osakwana zaka 6.

Lantus imatha kuyambitsa mavuto. Ndizofanana ndi ma insulin onse - mawonekedwe opuwala, chotupa pakhungu kapena ming'oma, kutsika kwakukulu kwa ndende.

Mlingo wa mankhwalawa komanso mtundu wa mankhwala amatsimikiziridwa ndi dokotala. Ngati wodwalayo alowa m'malo mwa Lantus ndikukonzekera insulin ina, ndikofunikira kukaonana ndi katswiri kuti asinthe jakisoni.

Osasintha mlingo woyenera wa mankhwalawa. Izi zitha kuyambitsa ngozi. Lantus sayenera kusakanikirana ndi mitundu ina ya insulin ndi mankhwala ochepetsa shuga.

Mtengo wa mankhwalawa ndi ma ruble 4,500.

Ndi gawo la gulu lanyumba yayitali. Chosakaniza chophatikizacho ndi insulin. Jakisoni wa mankhwala amachitika 1 kapena 2 pa tsiku. Pafupipafupi makonzedwe amatsimikiza ndi kuwopsa kwa matendawa.

Pazithunzi za kumwa mankhwalawa, mavuto oyenerawa amabwera:

• kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi,
• hypoglycemic coma,
• kumwalira mu chikomokere
• kupsinjika m'maganizo (mantha, nkhawa, kumva mantha),
• zosokoneza tulo
• kusokonezeka ndende,
• mawonekedwe am'maso
• zotupa pakhungu ndi ming'oma,
• Kutupa pa malo a jekeseni.

Kuphatikiza apo, mwa odwala omwe amagwiritsa ntchito analogue iyi, kuwonjezeka kwa thupi panthawi ya chithandizo kumadziwika.

Kutulutsa Fomu - yankho lomveka bwino la jakisoni.

Mtengo wa mankhwala Detemir ndi ma ruble 2800.

Kusakaniza kwa Humalog 25

Monga gawo la analogue, chigawochicho ndi biphasic insulin lispro.Monga mitundu ina ya insulini, Humalog Remix 25 imalowetsedwa m'mafuta akununkhira, ntchafu kapena matako. Mlingo wa mankhwalawa amaperekedwa kwa wodwala aliyense payekhapayekha.

Ndi zoletsedwa kulowa mankhwalawo m'mitsempha yamagazi. Makonzedwe osayenera amakhumudwitsa hypoglycemia ndi chikomokere. Mivuto yayikulu, imatha kufa.

Kutulutsa Fomu - kuyimitsidwa kwa majekiseni. Mankhwalawa ayenera kusungidwa mufiriji, koma onetsetsani kuti mwawotha m'manja mwanu musanagwiritse ntchito.

• shuga wamagazi ochepa
• matupi awo sagwirizana ndi mankhwala
• chotupa cha β-cell of islets of Langerhans.

• zotupa kapena ming'oma,
• Edincke's edema,
• kulephera kupuma
• chizungulire
• kuchepa kwa zowoneka bwino.

Analogueyi singagwiritsidwe ntchito ndi amayi apakati ndi ana omwe zaka zawo sizochepera 6. Mtengo wa mankhwala osakanikirana a Humalog 25 ali mndandanda wa ma ruble 1700-1900.

Ma analogi a insulin nthawi zambiri amagwiritsidwa ntchito pochiza matenda a shuga 1 kapena a 2. M'malo ambiri amalola kubayidwa kamodzi kokha patsiku. Ndi yabwino kwa odwala. Mankhwala amtundu wina amatha kuzindikiridwa ndi ena, koma izi zisanachitike, muyenera kufunsa anu

• zotupa kapena ming'oma,
• Edincke's edema,
• kulephera kupuma
• chizungulire
• kuchepa kwa zowoneka bwino.

Analogueyi singagwiritsidwe ntchito ndi amayi apakati ndi ana omwe zaka zawo sizochepera 6. Mtengo wa mankhwala osakanikirana a Humalog 25 ali mndandanda wa ma ruble 1700-1900.

Ma analogi a insulin nthawi zambiri amagwiritsidwa ntchito pochiza matenda a shuga 1 kapena a 2. M'malo ambiri amalola kubayidwa kamodzi kokha patsiku. Ndi yabwino kwa odwala. Mankhwala amtundu wina amatha kuonedwa ndi ena, koma zisanachitike muyenera kufunsa dokotala.

Monga mankhwala aliwonse, ma insulin analogues sangathe kumwa mosalamulirika. Katswiri yekha ndi amene angadziwe kuchuluka kwa kuchuluka kwa mankhwalawo komanso mtundu wa mahomoni.

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

Olga Chernykh adalemba 09 Oct, 2015: 113

Apidra Solostar ndi insulin, yomwe imapangidwa ku chomera cha Russia motsogozedwa ndi wopanga (kampani yaku Germany), mtengo wake ndiwokwera kuposa wa actrapid, chifukwa chake palibe chodandaula, ngakhale kuti mtengo wake siwowonetsa. Koma Apidra ndi analogue of insulin, actrapid-insulin, ali ndi zosiyana pang'ono, kuphatikiza nthawi. Ine ndekha ndikufuna kusintha kuchokera ku analogue kupita ku insulin, katswiri wabwino yemwe walangizidwa, pomwe ndangoigula, ndiyesera kuyang'aniridwa.

Olga Chernykh adalemba 09 Oct, 2015: 116

Ndili ndi matenda a insulin, nditangodwala, chaka chino nditafika kuchipatala ndili paulendo wopita ku bizinesi, chipatala chinalibe Novorapid ndi Levemir, panali a Actropid okha, Protafan, adotolo adalimbikitsa kuyesera. Zofunika kwa ine, zidachepetsa mlingo kuchokera kumagawo 14. Levemira mpaka magawo 10. Protofan ndi mpaka 6 mayunitsi. pachakudya chilichonse - Actropida, mutha kuwerengera ndemanga pa Apidra, koma ndikuganiza kuti ndani amene angafanane ndi chiyani, zonse ndizofanana.

Elena Antonets adalemba 10 Oct, 2015: 115

Achibale, tiyeni tilingalire, apo ayi muli ndi chisokonezo apa.
Pakadali pano pakupanga mankhwala, ma insulin onse a HUMAN GENE-ENGINEERING amapezeka ndi mainjiniya ndipo amatipanga ndi E. colli (kapena Saccharomyces cerevisiae) E. coli, momwe "chidutswa" cha DNA chasinthidwa kukhala munthu. Ndikufotokozera izi pafupifupi. Ndani amasamala, werengani pa intaneti. Mawu akuti "analogue" mu Chirasha "ndi ofanana m'njira zina." Chifukwa chake, zokhudzana ndi ma insulins, ANALOGUES ndi insulini zaumunthu zomwe zasintha kapangidwe ka molekyulu. Izi zikuphatikiza:

1. ULTRA-SHORT insulins, imasiyana mosiyanasiyana mwachangu komanso nthawi yayifupi. Izi ndi:
HUMALOG- mu molekyulu ya inulin ya anthu, ma amino acid amasinthidwa m'malo 28 ndi 29 a B-chain of insulin.
NOVORAPID mu molekyu ya insulin ya anthu, amino acid proline yomwe ili pamalo B28 imasinthidwa ndi aspartic acid.
APIDRA - mu molekyulu ya insulin ya anthu, ma amparagine amino acid omwe ali pamalo a B3 amasinthidwa ndi lysine, ndipo lysine imasinthidwa ndi glutamic acid m'malo a B29, omwe amatsogolera kuthira kwa mankhwalawa mwachangu.

Ndikalemba izi, ndimaganiza nthawi zonse ngati mumvetsetsa zomwe mankhwala athu apeza?))

2. Ma insulin okhala ndi nthawi yayitali (mapangidwe osagwirizana ndi insulin ya anthu). Izi ndi:
LANTUS
LEVEMIR

3. Mankhwala Tresiba FlexTouch - analogue a insulin ya anthu SUPERLONGLY akuchita (mpaka maola 40)

Ma insulin aanthu omwe amagwiritsidwa ntchito mwachidule amagwiritsidwa ntchito pachikhalidwe cha insulin mankhwala, momwe mumadyedwa nthawi zonse ndipo, pakukonzekera ntchito kwakanthawi kochepa kapena ka insulini yakumbuyo, ndikofunikira kutenga zokhwasula kuti musatseke hypoglycemia.

Kukhazikitsidwa kwa ma phenulin a ultrashort a insulin kumakupatsani mwayi wowonjezera zakudya, kumathandizira njira ya odwala matenda ashuga komanso zimaphatikizapo kusinthasintha kwa insulin. Cholinga komanso kugwira bwino ntchito kwa insulin imodzi ya ultrashort sizitanthauza kuti analogue ina ya insulini ingagwire ntchito. Palibe paliponse popanda chinyengo: timadziyesa tokha modzilimbitsa.

Mukasintha kuchokera ku insulin yochepa ndikukhala ndi mawonekedwe a ultrashort AU kuchokera pa insulin yopanga nthawi yayitali mpaka kukhala wopanda analogues, kuchepetsa kwa mankhwala kumafunika! Ine.e. timachepetsa chakudya chophatikiza ndi chakudya komanso tsiku ndi tsiku monga basal insulin. Poyamba, 30%, ndiye - yang'anani pa SK ndikusintha mlingo.

Chosangalatsa))): 1 kg ya insulin ikhoza kupezeka mu 25 cubic Fermenter (bioreactor) pogwiritsa ntchito Escherichia coli, kapena. mwa mitu 35 ya nyama zaulimi, monga zinachitidwira usanayambike umisiri. Zovuta!)))