Mankhwala Pamaneti

Mulingo wokhawo komanso njira yoyendetsera ingovomerezedwa ndi adokotala okha. Mlingo wake udzakhazikitsidwa potsatira kuchuluka kwa shuga ndi magazi patatha maola awiri mutadya. Kuphatikiza apo, digiri ya maphunziro a glucosuria ndi zomwe zimachitika zimawerengedwa.

Gensulin r imatha kuperekedwa m'njira zosiyanasiyana (kudzera m'mitsempha, intramuscularly, subcutaneally) mphindi 15-30 chakudya chisanachitike. Njira yodziwika kwambiri yoyendetsera ndiyopanda njira. Zina ndizoyenera kuchita izi:

• ndi matenda ashuga a ketoacidosis,
• ndi matenda ashuga
• pa opaleshoni.

Pafupipafupi kayendetsedwe kazinthu zamagetsi zimakhazikika katatu patsiku. Ngati ndi kotheka, kuchuluka kwa jakisoni kumatha kuwonjezeka mpaka nthawi 5-6 patsiku.

Kuti musatulutse lipodystrophy (atrophy ndi hypertrophy ya subcutaneous minofu), ndikofunikira kuti musinthe pafupipafupi jekeseni.

Mlingo wamba wa mankhwala Gensulin r udzakhala:

• kwa odwala akuluakulu - kuyambira 30 mpaka 40 mayunitsi (UNITS),
• kwa ana - 8 mayunitsi.

Kupitilira apo, pakuchulukitsa kwa kuchuluka, pafupifupi avareti azikhala 0,5 - 1 PIERESES ya kilogalamu iliyonse ya kulemera kapena kuchokera 30 mpaka 40 PIECES katatu pa tsiku.

Ngati mlingo wa tsiku ndi tsiku uzidutsa 0,6 U / kg, ndiye pamenepa, mankhwalawa amayenera kuperekedwa ngati ma jakisoni awiri m'magawo osiyanasiyana a thupi.

Mankhwala amapereka mwayi wophatikiza mankhwalawa Gensulin r ndi ma insulin omwe amakhala nthawi yayitali.

Njira yothetsera vutoli iyenera kusungidwa kuchokera pamalopo paboola chopopera cha mphira ndi singano yosalala.

Mfundo yodziwonetsera thupi

Mankhwalawa amalumikizana ndi ma membrane achilendo pamtundu wakunja wamaselo. Chifukwa cha kukhudzana kotere, insulin receptor complex imachitika. Kupanga kwa cAMP kumachulukanso m'maselo a mafuta ndi chiwindi kapena ndikalowa molunjika m'maselo am'matumbo, zovuta za insulin receptor zimayamba kulimbikitsa zochitika mkati.

Dontho la shuga m'magazi limayambitsidwa ndi:

1. kukula kwa mayendedwe ake achidwi,
2. kuchuluka mayamwidwe, komanso mayamwidwe ndi minofu,
3. kukondoweza kwa ndondomeko ya lipogenesis,
4. mapuloteni kaphatikizidwe
5. glycogeneis
6. kutsika kwa kuchuluka kwa shuga m'magazi.

Pambuyo pakujambulira subcutaneous, mankhwalawa Gensulin r adzayamba kuchita pakatha mphindi 20-30. Kuchuluka kwa zinthu kumawonedwa pambuyo maola atatu. Nthawi yodziwika ndi insulin iyi imadalira mwachindunji, njira, ndi malo oyambira.

Kuchepetsa kachitidwe kovuta

Pakukonzekera kugwiritsa ntchito Gensulin r zotsatirazi zoyipa za thupi ndizotheka:

• chifuwa (urticaria, kupuma movutikira, malungo, kutsitsa magazi),
• hypoglycemia (pallor, thukuta, kuchuluka thukuta, njala, kunjenjemera, nkhawa kwambiri, kupweteka mutu, kuvutika maganizo, kuchita zachilendo, kusawona bwino ndi mgwirizano),
• hypoglycemic coma,
• matenda ashuga acidosis ndi hyperglycemia (amakula osakwanira pakumwa mankhwalawa, kudumphira jakisoni, kukana kudya): khungu limatulutsa nkhope, kutsekemera kwambiri, chilala, kugona, kumva ludzu kosatha.
• chikumbumtima
• mavuto osakhalitsa,
• immunological zochita za thupi kwa munthu insulin.

Kuphatikiza apo, kumayambiriro kwa zamankhwala, pamakhala kutupa ndi kusokonezeka komwe kumachitika. Zizindikiro zake ndizapamwamba ndipo zimatha msanga.

Zolemba ntchito

Musanagwiritse ntchito mankhwala a Gensulin r kuchokera ku vial, muyenera kuyang'ana njira yothetsera vuto. Ngati matupi akunja, phokoso kapena phokoso la chinthu chapezeka, ndikoletsedwa kuti muzigwiritsa ntchito!

Ndikofunika kuti musaiwale za kutentha koyenera kwa jakisoni - kuyenera kukhala kutentha kwa m'chipinda.

Mlingo wa mankhwalawa uyenera kusintha ngati pali matenda ena:

• zopatsirana
• Matenda a Addison
• odwala matenda ashuga okalamba azaka zopitilira 65,
• chithokomiro chithokomiro,
• hypopituitarism.

Njira zofunikira kwambiri pakukonzekera kwa hypoglycemia zimatha kukhala: bongo, mankhwala osokoneza bongo, kusanza, kugaya chakudya, kusintha kwa jekeseni, kupweteka kwa thupi, komanso kulumikizana ndi mankhwala ena.

Kutsika kwa shuga m'magazi kumatha kuonedwa ndikusintha kuchokera ku insulin ya nyama ndikupanga munthu.

Kusintha kulikonse mu mankhwala omwe akuperekedwaku kuyenera kukhala koyenera ndipo kuyenera kuchitika moyang'aniridwa ndi adokotala. Ngati pali chizolowezi chopanga hypoglycemia, ndiye kuti kuthekera kwa odwala kutenga nawo gawo pakuwongolera magalimoto komanso kukonza makina, komanso magalimoto ena, kumatha kukhala kolemala.

Anthu odwala matenda ashuga amatha kuyimitsa pakokha kupititsa patsogolo kwa hypoglycemia. Izi ndizotheka chifukwa chomwa mafuta pang'ono. Ngati hypoglycemia idasamutsidwa, ndiye kuti muyenera kudziwitsa dokotala wanu za izi.

Pochita mankhwala ndi Gensulin r, milandu yotsalira ya kuchepa kapena kuwonjezeka kwa minofu yamafuta ndizotheka. Njira yofananira imawonedwa pafupi ndi malo a jakisoni. Ndikotheka kupewa izi pozisintha malo a jekeseni.

Ngati insulini imagwiritsidwa ntchito pa nthawi yoyembekezera, ndikofunikira kuganizira kuti m'nthawi yake yoyamba, kufunika kwa timadzi timadzi kumachepa, ndipo wachiwiri ndi wachitatu ukuwonjezeka kwambiri. Nthawi yobereka komanso pambuyo pawo, pakhoza kusowa kufunika kwa jakisoni wa jakisoni wa mahomoni.

Ngati mayi akuyamwitsa, ndiye kuti ayenera kukhala woyang'aniridwa ndi dokotala (mpaka pomwe mkhalapakati).

Odwala omwe ali ndi matenda ashuga omwe amalandila magawo opitilira 100 a Gensulin R masana amayenera kupita kuchipatala akasintha mankhwala.

Mlingo wogwirizana ndi mankhwala ena

Kuchokera pamalingaliro azachipatala, mankhwalawa sagwirizana ndi mankhwala ena.

Hypoglycemia ikhoza kukulitsidwa ndi:

• sulfonamides,
• Mao zoletsa
• kaboni anhydrase zoletsa,
• ACE zoletsa, NSAIDs,
• anabolic steroids
• androgens
• Kukonzekera kwa Li +.

Zotsatira zoyipa zokhudzana ndi thanzi la munthu wodwala matenda ashuga (kuchepetsa hypoglycemia) amagwiritsidwa ntchito ndi Gensulin motere:

1. kulera kwamlomo
2. zida zodulira
3. estrogens
4. chamba
5. H1 histamine receptor blockers,
6. chikonga
7. glucagon
8. somatotropin,
9. epinephrine
10. clonidine
11. mankhwala antidepressants,
12. morphine.

Pali mankhwala omwe amasokoneza thupi m'njira ziwiri. Pentamidine, octreotide, reserpine, komanso beta-blockers atha kuwonjezera komanso kufooketsa mphamvu ya hypoglycemic ya mankhwala Gensulin r.

Wamtundu waifupi insulin

ICD: E10 Insulin-wodwala matenda a shuga a mtundu wa cellellus (EF 1 shuga mellitus) E11

Gensulin P - insulin yaumunthu yomwe idagwiritsidwa ntchito pogwiritsa ntchito ukadaulo wa DNA. Ndikukonzekera mwachidule insulin. Imalumikizana ndi cholandirira chapadera pa cytoplasmic membrane wa maselo ndikupanga insulini-receptor zovuta zomwe zimapangitsa njira zamkati, kuphatikiza kapangidwe kazinthu zingapo za enzymes (hexokinase, pyruvate kinase, glycogen synthetase). Kutsika kwa glucose m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe kazinthu zosafunikira, kuchuluka kwa mayamwa komanso kusokonekera kwa minofu, kukondoweza kwa lipogenesis, glycogenogeneis, ndi kuchepa kwa kuchuluka kwa shuga m'magazi.
Kutalika kwa nthawi ya kukonzekera kwa insulin kumachitika makamaka chifukwa cha kuchuluka kwa mayamwidwe, zomwe zimatengera zinthu zingapo (mwachitsanzo, pa mlingo, njira ndi malo oyang'anira), chifukwa chake zochitika za insulin zimasinthasintha kwambiri, mwa anthu osiyanasiyana komanso chimodzimodzi munthu.
Mbiri yakuchitidwa ndi jekeseni wa sc (chiwerengero chofananira): kuyambika kwa chochitika pambuyo pa mphindi 30, mphamvu yayitali imakhala pakatikati pa maola 1 ndi 3, nthawi yayitali ya maola 8.

Kukwanira kwathunthu ndi kuyambika kwa mphamvu ya insulini kumatengera njira yoyendetsera (s / c, i / m), tsamba la jakisoni (m'mimba, ntchafu, matako), mlingo (kuchuluka kwa insulini), komanso kuchuluka kwa insulin pokonzekera. Imagawidwa mosiyanasiyana pamtundu uliwonse: h samalowa.

Kutulutsa Fomu

Sanapeze zomwe mukufuna?
Malangizo ena onse amomwe mankhwala "gensulin r (gensulin r)" angapezeke pano:

Madokotala okondedwa!

Ngati mukumva kuperekera mankhwala kwa odwala anu - gawani zotsatira (kusiya ndemanga)! Kodi mankhwalawa adathandizira wodwala, kodi panali zovuta zina zilizonse zomwe zimachitika pakumwa? Zomwe mukuwona zidzakhala zosangalatsa kwa anzanu komanso odwala.

Okondedwa odwala!

Ngati mankhwalawa adakulangizani inu ndipo mwalandira chithandizo chamankhwala, ndiwuzeni ngati chinali chothandiza (ngakhale chinakuthandizani), ngakhale panali zovuta zina, zomwe mumakonda / simunazikonde. Anthu zikwizikwi akufuna kuyang'ana pa intaneti zamankhwala osiyanasiyana. Koma ochepa okha ndi omwe amawasiya. Ngati inu panokha simusiya ndemanga pamutuwu - ena onse sangakhale ndi zomwe angawerenge.

Kuphatikizidwa kwa GENSULIN N

3 ml - makatoni (5) - ma CD a contour cell.
3 ml - makatoni (625) - mapaketi a makatoni.
10 ml - mabotolo (1) - mapaketi a makatoni.
10 ml - mabotolo (144) - mapaketi a makatoni.

Kutalika kwapakatikati kwa insulin yaumunthu

Gensulin H - insulin yaumunthu yomwe idagwiritsidwa ntchito pogwiritsa ntchito ukadaulo wa DNA. Ndi kukonzekera kwa insulin. Imalumikizana ndi cholandirira chapadera pa cytoplasmic membrane wa maselo ndikupanga insulini-receptor zovuta zomwe zimapangitsa njira zamkati, kuphatikiza kapangidwe kazinthu zingapo za enzymes (hexokinase, pyruvate kinase, glycogen synthetase, etc.). Kutsika kwa glucose m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe kazinthu zosafunikira, kuchuluka kwa mayamwa komanso kusokonekera kwa minofu, kukondoweza kwa lipogenesis, glycogenogeneis, ndi kuchepa kwa kuchuluka kwa shuga m'magazi. Kutalika kwa nthawi ya kukonzekera kwa insulin kumachitika makamaka chifukwa cha kuchuluka kwa mayamwidwe, zomwe zimatengera zinthu zingapo (mwachitsanzo, pa mlingo, njira ndi malo oyang'anira), chifukwa chake zochitika za insulin zimasinthasintha kwambiri, mwa anthu osiyanasiyana komanso chimodzimodzi munthu.

Mbiri yakuchitapo kanthu kwa jekeseni wa sc (pafupifupi chiwerengero): kuyambika kwa maola 1.5, kutalika kokwanira kumakhala pakati pa maola atatu ndi 10, nthawi yochita mpaka maola 24.

Kukwanira kwathunthu ndi kuyambika kwa mphamvu ya insulin kumadalira malo a jakisoni (m'mimba, ntchafu, matako), mlingo (kuchuluka kwa insulin), kuchuluka kwa insulin, mankhwalawa. Amawonongedwa ndi insulinase makamaka m'chiwindi ndi impso. Amachotsa impso (30-80%).

Njira yogwiritsira ntchito ndi Mlingo wa GENSULIN N

Gensulin N adakonza dongosolo lotsogolera sc. Mlingo wa mankhwalawa umatsimikiziridwa ndi dokotala aliyense payekha, malinga ndi kuchuluka kwa shuga m'magazi. Pafupifupi, tsiku lililonse mlingo wa mankhwalawo umachokera ku 0,5 mpaka 1 IU / kg thupi (kutengera umunthu wa wodwalayo komanso kuchuluka kwa shuga). Kutentha kwa insulin yoyenera kuyenera kukhala kutentha kwambiri.

Gensulin H nthawi zambiri amakhala atailowetsa sc pa ntchafu. Jekeseni amathanso kuchitira khoma lakumbuyo kwam'mimba, matako, kapena dera lamatumbo lamapewa.

Ndikofunikira kusintha malo a jekeseni mkati mwa anatomical dera kuti muchepetse kukula kwa lipodystrophy.

Gensulin N imatha kupezeka palokha pakokha komanso mophatikiza ndi insulin yochepa (Gensulin P).

Zotsatira zoyipa za GENSULIN N

Chifukwa cha kuchuluka kwa kagayidwe kazakudya: michere yamkati (khungu la khungu, kuchuluka thukuta, kugunda, kugwedezeka, njala, kukwiya, paresthesia mkamwa, kupweteka pamutu). Matenda oopsa a hypoglycemia angayambitse kukula kwa chikomokere kwa hypoglycemic.

Zotsatira zoyipa: kawirikawiri - zotupa pakhungu, edema ya Quincke, yosowa kwambiri - mantha anaphylactic.

Zomwe zimachitika m'deralo: hyperemia, kutupa ndi kuyabwa pamalowo jekeseni, ndikugwiritsidwa ntchito kwa nthawi yayitali - lipodystrophy pamalo opaka jekeseni.

Zina: edema, zolakwika zopanda kanthawi kochepa (nthawi zambiri kumayambiriro kwa mankhwala).

Zizindikiro: hypoglycemia imayamba.

Chithandizo: wodwalayo amatha kuchotsa hypoglycemia wofinya pakumeza shuga kapena zakudya zopatsa mphamvu. Chifukwa chake, ndikulimbikitsidwa kwa odwala matenda ashuga kuti azikhala ndi shuga, maswiti, makeke kapena mandimu okoma zipatso.

Woopsa akamadwala matenda, 40% dextrose solution amapaka jekeseni wamkati, mu / m, s / c, mu / glucagon. Pambuyo pakupezanso chikumbumtima, wodwalayo akulimbikitsidwa kudya zakudya zamafuta ambiri kuti aletse kukonzanso kwa hypoglycemia.

Pali mankhwala angapo omwe amakhudza kufunika kwa insulin.

Mphamvu ya insoglycemic ya insulin imatheka chifukwa cha mankhwala amkamwa a hypoglycemic, zoletsa za monoamine oxidase. ACE zoletsa, carbonic anhydrase inhibitors, osagwiritsa ntchito beta-block adrenergic blocking agents, bromocriptine, octreotide, sulfanilamides, anabolic steroids, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine, piclofuramine. Kulera kwapakamwa, glucocorticosteroids, mahomoni a chithokomiro, thiazide diuretics, heparin, tridclic antidepressants, sympathomimetics, danazole, clonidine, calcium blockers blockers, diazokeide, morphine, phenytoin kufooketsa hypoglycemic zotsatira za insulin.

Mothandizidwa ndi reserpine ndi salicylates, kufooka komanso kuwonjezeka kwa machitidwe a mankhwalawa ndizotheka.

Simungagwiritse ntchito Gensulin N, ngati mutagwedeza kuyimitsidwa sikuyera koyera komanso kwamitambo.

Poyerekeza ndi maziko a mankhwala a insulin, kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira. Zomwe zimayambitsa hypoglycemia kuwonjezera pa insulin yochulukirapo imatha kukhala: kuthana ndi mankhwala, kudumpha chakudya, kusanza, kutsegula m'mimba, kuchuluka kwa zochitika zolimbitsa thupi, matenda omwe amachepetsa kufunikira kwa insulin (chiwindi ndi matenda a impso, hypofunction ya adrenal cortex, pituitary kapena chithokomiro cha chithokomiro), kusintha kwa jekeseni wa jekeseni, komanso kuyanjana ndi mankhwala ena.

Dosing yolakwika kapena kusokonezedwa mu kayendetsedwe ka insulin, makamaka kwa odwala omwe ali ndi matenda a shuga 1, angayambitse hyperglycemia. Nthawi zambiri, zizindikiro zoyambirira za hyperglycemia zimayamba pang'onopang'ono kwa maola angapo kapena masiku. Izi zimaphatikizapo ludzu, kukodza kwambiri, kusanza, kusanza, chizungulire, khungu ndi kuwuma pakhungu, pakamwa pouma, kusowa chilimbikitso, kununkhira kwa acetone mu mpweya wotuluka. Ngati sanapatsidwe, hyperglycemia mu mtundu I shuga angayambitse kukula kwa matenda osokoneza bongo a ketoacidosis. Mlingo wa insulin uyenera kukonzedwa kuti matenda a chithokomiro asokonekera, matenda a Addison, hypopituitarism, chiwindi ndi impso ntchito ndi anthu odwala azaka zopitilira 65.

Kuwongolera mlingo wa insulin kungafunikenso ngati wodwala akuwonjezera kuchuluka kwa zolimbitsa thupi kapena asintha zakudya zomwe amakonda.

Matenda onga, makamaka matenda ndi machitidwe omwe amatsatana ndi malungo, amalimbikitsa kufunika kwa insulini.

Kusintha kuchokera ku mtundu wina wa insulin kupita ku wina kuyenera kuchitika mothandizidwa ndi misempha yamagazi.

Mankhwala amachepetsa kulolera kwa mowa.

Chifukwa cha kuthekera kwanyengo m'matumba ena, kugwiritsa ntchito mankhwalawa m'mapampu a insulin sikulimbikitsidwa.

Kukhudzidwa ndi kuthekera koyendetsa magalimoto ndi machitidwe oongolera. Chifukwa cha cholinga chachikulu cha insulini, kusintha mtundu wake kapena kukhalapo kwa kupanikizika kwakukulu kwakuthupi kapena kwamisala, ndizotheka kuchepetsa kuyendetsa galimoto kapena kusamalira machitidwe osiyanasiyana, komanso kuchita zochitika zina zowopsa zomwe zimafuna kuchuluka chidwi ndi kuthamanga kwa zamaganizidwe ndi ma mota.

Sungani mankhwalawo pa kutentha kwa 2 mpaka 8 ° C. Osamawuma. Mutatsegula phukusi, sungani mankhwalawo pamtunda osapitirira 25 ° C kwa masiku 28, m'malo amdima. Pewani kufikira ana.

Alumali moyo wa mankhwala 2 zaka. Osagwiritsa ntchito tsiku lanu litatha.

Zizindikiro zogwiritsidwa ntchito

Gensulin N akulimbikitsidwa kuti agwiritse ntchito mtundu woyamba wa matenda ashuga, komanso mtundu wachiwiri wa matenda ashuga mu gawo la kukana othandizira a hypoglycemic pakugwiritsa ntchito pakamwa, kukana pang'ono kwa mankhwalawa (munthawi ya chithandizo chophatikizidwa) komanso matenda wamba.

Kugwiritsa ntchito kuyimitsidwa m'mbale

Kugwiritsa ntchito mtundu umodzi wa insulin:

1. Chotsani kapu yotetezera ya aluminium kuchokera ku vial.
2. Patulani khungu pa mphira.
3. Sungani mpweya mu syringe mu voliyumu yolingana ndi kuchuluka kwa insulini ndikuyambitsa mpweya mu vial.
4. Sinthani pansi pa vial ndi syringe yovutikayo ndikusonkhetsa mlingo wa insulin mwa iwo.
5. Chotsani singano mu vial, chotsani mpweya ku syringe, ndikuwonetsetsa kuti insulin ndiyofunikira.
6. Pangani jakisoni.

Kugwiritsa ntchito mitundu iwiri ya insulin:

1. Chotsani zoteteza za aluminium kuchokera kumbale.
2. Siyanitsani michere ya mphira pambale.
3. Nthawi yomweyo musanayimbe, ikani kanyumba ka insulin ya nthawi yayitali (nthawi yayitali) ngati mukuyimitsidwa pakati pama manja mpaka matopewo agawireko mofatsa komanso mitundu yoyimitsa yoyera.
4. Sungani mpweya mu syringe mu voliyumu yolingana ndi kuchuluka kwa insulini yomwe ikugwira ntchito kwa nthawi yayitali, ikani mpweya mu vial ndi kuyimitsidwa, kenako ndikuchotsa singano.
5. Kuti mutulutsire mpweya mu syringe mu voliyumu yofanana ndi insulin yofulumira, tengani mpweya mu vial ya insulin m'njira yankho lomveka bwino, tembenuzirani pansi ndi voko ndi syringe ndi kudzaza muyezo wofunikira.
6. Chotsani singano mu vial, chotsani mpweya ku syringe, ndikuwonetsetsa kuti insulin ndiyofunikira.
7. Ikani singano mu vial ndi kuyimitsidwa, tembenuzani pansi ndi vokosi ndikusonkhanitsa kuchuluka kwa insulin.
8. Chotsani singano mu vial, chotsani mpweya mu syringe, ndikuwonetsetsa ngati mlingo wonse wa insulin ndi woyenera.
9. Pangani jakisoni.

Ndikofunikira kuti nthawi zonse mulembe insulini munthawi yomwe tafotokozazi.

Kugwiritsa ntchito kuyimitsidwa pama cartridge

Cartridges omwe ali ndi mankhwalawa Gensulin N adapangidwa kuti azigwiritsidwa ntchito ndi zolembera za kampani "Owen Mumford". Zofunikira zomwe zalembedwa mu malangizo ogwiritsira ntchito cholembera pokhudzana ndi insulin ziyenera kuonedwa.

Musanagwiritse ntchito Gensulin H, cartridge iyenera kuyang'aniridwa ndikuwonetsetsa kuti palibe zowonongeka (tchipisi, ming'alu); ngati zilipo, katoni sigwiritsidwe. Pambuyo kukhazikitsa cartridge mu syringe cholembera, Mzere wachikuda uyenera kuwonekera pazenera la wogwirizira.

Asanakhazikitse cartridge mu syringe cholembera, iyenera kukanuliridwa pansi kotero kuti galasi yaying'ono yaying'ono mkati ikusakaniza kuyimitsidwa. Njira yosinthira imabwerezedwa kangapo ka 10, mpaka kuyimitsidwa koyera ndi kwamtambo kukapangidwa. Pangani jakisoni pambuyo pake.

Ngati cartridge idayikidwa cholembera kale, kusakaniza kuyimitsidwa kumachitika dongosolo lonse (osachepera 10) ndikubwereza jekeseni iliyonse isanachitike.

Mukamaliza jakisoni, singano iyenera kusiyidwa pansi pakhungu kwa masekondi ena 6, ndipo batani liyenera kusungidwa mpaka singano itachotsedwa kwathunthu pakhungu. Izi zikuwonetsetsa kuti muyezo wa mankhwalawo umaperekedwa molondola ndikuchepetsa mwayi wa magazi / zamitsempha kulowa mu singano kapena katemera wa insulin.

Katoni yomwe ili ndi mankhwala Gensulin N amangopangidwira kuti azigwiritsa ntchito payekhapayekha ndipo sangathe kudzazidwanso.

Zotsatira zoyipa

• Zotsatira za kukhudzana kwa kagayidwe kazakudya kachulukidwe kazakudya: kuperewera kwa khungu, khungu, pakhungu, kuchuluka kwa thukuta, kugwedezeka, kuphwanya, njala, kupweteka pakamwa, chifukwa cha hypoglycemia, hypoglycemic coma imatha,
• Hypersensitivity reaction: kawirikawiri - totupa pakhungu, edema la Quincke, losowa kwambiri - mantha anaphylactic,
• Zomwe zimachitika jekeseni: kutupa ndi kuyabwa, Hyperemia, ngati mungagwiritse ntchito nthawi yayitali - lipodystrophy pamalo opangira jakisoni,
• Zina: edema, zolakwika zopanda kanthawi kochepa (nthawi zambiri kumayambiriro kwa maphunziro).

Zizindikiro za bongo akhoza kukhala kukula kwa hypoglycemia. Mankhwalawa mofatsa, tikulimbikitsidwa kumeza shuga kapena zakudya zamafuta ambiri. Odwala omwe ali ndi matenda ashuga ayenera kunyamula shuga, maswiti, makeke, kapena zakumwa za shuga.

Pankhani ya kuchepa kwakukulu kwa ndende ya glucose, pakutha kwa chikumbumtima, yankho la dextrose 40% limayendetsedwa kudzera m'mitsempha, glucagon imayang'aniridwa intramuscularly, kudzera m'mitsempha kapena mozungulira. Pambuyo podziwikanso, ndikofunikira kuti muzidya zakudya zokhala ndi mchere wambiri kuti muchepetse kukonzanso kwa hypoglycemia.

Malangizo apadera

Gensulin N saloledwa kugwiritsa ntchito ngati kuyimitsidwa sikusintha kukhala koyera komanso koyipa mutagwedezeka.

Mukamapangira mankhwala a insulin, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi. Kuwunikira koteroko ndikofunikira chifukwa, kuwonjezera pa insulin yochuluka, zomwe zimayambitsa hypoglycemia zimatha kukhala: kulumpha chakudya, kuchotsa mankhwala, kutsegula m'mimba, kusanza, kuchuluka kwa zinthu zolimbitsa thupi zomwe zimachepetsa kufunika kwa matenda a insulin (aimpso / chiwindi kulephera, hypofunction ya adrenal cortex, chithokomiro cha chithokomiro kapena gland planditary). Masamba a jakisoni, kugwiritsa ntchito mankhwala ndi mankhwala ena.

Dosing yolakwika kapena kuphwanya pakati pa jakisoni wa insulin, makamaka kwa odwala omwe ali ndi matenda amtundu 1, angayambitse matenda a hyperglycemia. Nthawi zambiri, zizindikiro zoyambirira za hyperglycemia zimayamba pang'onopang'ono, kwa maola angapo kapena masiku. Pakamwa pakamwa, ludzu, nseru, kusanza, chizungulire, khungu ndi kuyanika pakhungu, kuchepa chilimbikitso, kununkhira kwa acetone mu mpweya wotuluka, kuchuluka kukodza kumawonekera. Ngati chithandizo sichikuchitika, ndiye kuti ndi mtundu woyamba wa matenda a shuga, hyperglycemia ingayambitse vuto lomwe lingakhale lowopsa - matenda ashuga ketoacidosis.

Kuwongolera mlingo wa insulini ndikofunikira kwa hypopituitarism, kukanika kwa chithokomiro, matenda a Addison, chiwindi / impso, komanso kwa odwala okalamba azaka zopitilira 65.

Kufunika kwa kusintha kwa insulin kungafunikenso ndi kuwonjezeka kwa kulimbitsa thupi kapena kusintha kwa zakudya zomwe mumakonda.

Kufunika kwa insulini kumachulukitsidwa ndimatenda ophatikizika, makamaka a matenda opatsirana, komanso mikhalidwe yoyendetsedwa ndi malungo.

Kusintha kuchokera ku mtundu wina wa insulini kupita ku wina kumafunikanso kuchitika, kuwongolera kuchuluka kwa shuga m'magazi.

Ndikofunikira kulingalira kuti kugwiritsa ntchito insulin kumachepetsa kulekerera kwa wodwala ku mowa.

Kugwiritsa ntchito kwa Gensulin N pamapampu a insulini sikulimbikitsidwa chifukwa chakuwunika kwa kuyimitsidwa kwina mu ma catheters.

Hypoglycemia imatha kulepheretsa wodwala chidwi komanso kuchepetsa kuthamanga kwa zomwe zimachitika m'maganizo, zomwe zimawonjezera chiwopsezo poyendetsa magalimoto ndi / kapena kugwira ntchito ndi njila zina zovuta.

Kuyanjana kwa mankhwala

• hypoglycemic wothandizira kwa makonzedwe m'kamwa, zoletsa wa monoamine oxidase (Mao) zoletsa, angiotensin akatembenuka enzyme (Ace) zoletsa, si kusankha β-blockers, carbonic anhydrase zoletsa, bromocriptine, sulfonamides, tetracyclines, octreotide, anabolic mankhwala, clofibrate, mebendazole, ketoconazole, theophylline, pyridoxine, cyclophosphamide, Kukonzekera kwa lifiyamu, fenfluramine, kukonzekera kwa ethanol: kumapangitsanso kuchuluka kwa insulin,
• thiazide diuretics, glucocorticosteroids (GCS), pakamwa kulera, mahomoni a chithokomiro, sympathomimetics, heparin, tridclic antidepressants, clonidine, danazole, diazoxide, calcium blockers, phenytoin, morphine, chikonga: kufooketsa hypoglycemic
• reserpine ndi salicylate: zimatha kufooketsa ndikuthandizira insulin.

Zofanizira za Gensulin N ndi: Biosulin N, Vozulim N, Insuman Bazal GT, Insuran NPH, Protamine-insulin Emergency, Protafan NM, Protafan NM Penfill, Rinsulin NPH, Rosinsulin S, Humodar B 100 Rec.

GENSULIN N - ndemanga

Uthenga wanu
Lowani kapena kusiya uthenga wosalembetsa

Mafomu amaloledwa: jpg, gif, png, bmp, zip, doc / docx, pdf .lembetsani zolemba. Tumizani.
Palibe ndemanga ndi ndemanga
Mtundu wa uthenga: Madandaulo aCooperationQuestions patsambaliLembani zopezeka paEE: Kufotokozera: Tumizani