Insulin Levemir: katundu ndi malamulo ogwiritsira ntchito

Levemir insulin ndi insulin yokhala nthawi yayitali yomwe imatenga maola 17, chifukwa chake nthawi zambiri imapatsidwa 2 r / d. Ikagwiritsidwa ntchito mu Mlingo wopitilira muyeso wa 0,4 pa kilogalamu ya thupi, Levemir imatha kupitilira (mpaka maola 24).
Chifukwa chake, ngati mungasankhe m'malo a Levemir, ndiye kuti mukufunikira insulini yowonjezera, kapena nthawi yayitali yochitapo kanthu.

Tujeo ndi insulin yomwe imagwira ntchito kwa maola 24, ndipo Levemire ndiyabwino kwambiri kusinthira. Chinthu chachikulu chomwe muyenera kukumbukira: chifukwa chachitali (komanso chifukwa cha kuzindikira kwa ma insulin osiyanasiyana), mukasinthira ku insulin yatsopano (makamaka, Tujeo), ndikofunikira kuchepetsa kuchuluka kwa insulin (nthawi zambiri mlingo umachepetsedwa ndi 30%, kenako mlingo) osankhidwa ndi mulingo wa shuga wamagazi).

Biosulin N ndi insulin yochita pakatikati, imatha kusinthidwa kupita ku Levemir popanda kusintha kwa mlingo, koma Biosulin ikhoza kupereka chiwongolero chopanda shuga (chomwe chidzafunika kuchuluka kwa insulin) kuposa Levemir ndi Tujeo, chifukwa ndingasankhe Tujeo.

Njira yabwino, ndipakuti, ndikupanga kunyumba kuti mukhale ndi mtundu wanu wa insulin (makamaka popeza muli ndi insulini yabwino kwambiri, Levemir ndi imodzi mwazinthu zabwino kwambiri pamsika) kuti asasinthe kuma insulin atsopano, chifukwa izi zimaphatikizidwa ndikusintha kwa mankhwala ndipo sizikhala bwino nthawi zonse kwa thupi.

Zizindikiro ndi contraindication

Insulin Levemir Flekspen imagwiritsidwa ntchito kuletsa zizindikiro za matenda ashuga, kusunga shuga wabwinobwino wamagazi ndikuwongolera magwiridwe antchito amthupi. Amawonetsedwa ngati matenda amtundu 1. Kwa odwala omwe ali ndi vutoli, kugwiritsa ntchito mankhwala a insulin m'malo mwake ndi njira yokhayo yosungira thanzi ndi moyo.

Kugwiritsa ntchito insulin kumawonekeranso kwa anthu omwe ali ndi mtundu wa matenda a shuga 2 - pamaso pamavuto kapena ngati kuwonongeka kwakukhalitsa kumakhala bwino. Mankhwalawa amagwiritsidwa ntchito ngati mankhwala obwezeretsa m'malo oyembekezera kapena opareshoni.

Levemir imapereka insulin pang'onopang'ono m'thupi, yomwe imachepetsa shuga, imayendetsa kagayidwe kazinthu, imathandizira kayendedwe ka glucose kumaselo ndikuthandizira kupanga glycogen.

Insulin yomwe imakhala nthawi yayitali imakhala ndi zotsutsana zingapo. Levemir amaletsedwa kudya matenda ashuga omwe ali ndi hypersensitivity kuti awononge kapena zinthu zina zomwe zimapanga mankhwalawo. Silembedwera ana osakwana zaka 6, popeza maphunziro ofunikira sanachitidwe, ndipo palibe chidziwitso chokhudza momwe zimakhalira ndi makanda.

Yambani kutenga Levemir akuyenera kuperekedwa ndi dokotala komanso moyang'aniridwa. Izi zikuthandizani kuti mufufuze momwe thupi limayambira komanso kuzindikira kusintha kwa nthawi.

Mankhwalawa amathandizidwa ndi dokotala ngati akuwonetsedwa. Katswiri amasankha kuchuluka kwa mankhwalawa, poganizira kuchuluka kwa hyperglycemia, kulemera, zochitika zolimbitsa thupi, chikhalidwe chake cha zakudya ndi zina za moyo wa wodwalayo. Kwa wodwala aliyense, kuwerengera kwa mlingo kumachitika mosiyanasiyana.

Levemir Flekspen ndi insulin yokhala nthawi yayitali, chifukwa chake imagwiritsidwa ntchito kamodzi kapena kawiri pa tsiku. Mlingo wa mankhwalawa ndi magawo a 0,2-0.4 pa kilogalamu ya thupi. Mtundu wachiwiri wa matenda a shuga, mankhwalawa ndi 0,0-0.2 U / kg, popeza mankhwalawa amagwiritsidwanso ntchito kuchepetsa magazi.

Nthawi zina, kusintha kwa mlingo wa insulin ndi kuyang'anitsitsa kuchuluka kwa shuga m'magazi kumafunika. Izi zimagwira makamaka kwa okalamba, komanso anthu omwe akuvutika ndi chiwindi kapena impso. Kusintha kwa Mlingo ndikofunikira pamaso pa matenda osachiritsika, kusintha kwa zakudya zomwe mumadya, kuchuluka kwa masewera olimbitsa thupi, kapena kumwa magulu ena a mankhwala.

Malangizo ogwiritsira ntchito

Malamulo ogwiritsira ntchito insulin yokhala ndi nthawi yayitali amakhazikitsidwa ndi adokotala, ndikuwachenjeza za zomwe zingachitike chifukwa chophwanya mlingo wa mankhwala kapena kutsata mosayenera mankhwala.

Levemir insulin imabayidwa mosanjira ndi khoma la m'mimba, ntchafu, kapena phewa. Ndikulimbikitsidwa kuti musinthe gawo la kayendetsedwe ka jekeseni iliyonse.

Kuti mupeze jakisoni wa insulini, sankhani kuchuluka kwa mayunitsi (mlingo), pofinya khungu lanu ndi zala zanu ndikuyika singano. Dinani pa "Start" batani ndikudikirira pang'ono. Chotsani singano ndikutseka chophimba ndi kapu.

Mankhwalawa nthawi zambiri amagwiritsidwa ntchito kamodzi patsiku. Ngati pakufunika njira ziwiri, ndiye kuti mlingo wachiwiri umaperekedwa pa chakudya chamadzulo kapena musanagone. Pakatikati pa jakisoni muyenera kukhala osachepera maola 12.

Kuchuluka kwa mankhwalawa kumatheka patatha maola 3-4 pambuyo pa kupangika kwake ndipo kumatenga mpaka maola 14. Levemir Flekspen sikuti zimapangitsa kuti insulini iwonjezeke kwambiri, motero chiopsezo cha hypoglycemia ndi chotsika kuposa mankhwala ena.

Zotsatira zoyipa

Zotsatira zoyipa za Levemir zimachitika chifukwa cha mankhwalawa a insulin komanso osagwirizana ndi mlingo woyenera. Chochitika chodziwika kwambiri ndi hypoglycemia, kutsika kowopsa komanso kwakukulu kwa shuga m'magazi. Mkhalidwe wa pathological umachitika chifukwa chakuchulukitsa kuchuluka kwa mankhwalawa, pamene mlingo wa insulin ndiwokwera kuposa momwe thupi limafunikira ndi mahomoni.

Zizindikiro zotsatirazi ndizodziwika bwino za hypoglycemia:

• kufooka, kutopa ndi nkhawa zambiri,
• khungu komanso mawonekedwe a thukuta lozizira,
• kugwedezeka miyendo,
• kuchuluka kwa mantha
• kumva kwamphamvu njala
• mutu, kuchepa kwa masanjidwe, kusokonezeka kwa mawonekedwe ndi kuyang'ana m'malo,
• zokonda mtima.

Pakapanda kuthandizidwa munthawi yake, mutha kukhala ndi vuto la hypoglycemic, lomwe nthawi zina limabweretsa imfa kapena kusintha kosasintha kwa thupi (kusokonezeka kwa ubongo kapena dongosolo lamkati lamanjenje).

Nthawi zambiri zimachitika kuti sayanjana ndi jakisoni wa insulin. Izi zimawonetsedwa ndi redness ndi kutupa kwa pakhungu, kuyabwa, kukula kwa kutupa ndi mawonekedwe akuvulaza. Monga lamulo, izi zimachitika zokha mwa masiku ochepa, koma kusanachitike kumapangitsa wodwalayo kupweteka komanso kusasangalala. Ngati jakisoni zingapo zimaperekedwa m'dera limodzi, kukulitsa lipodystrophy ndikotheka.

Nthawi zina, kugwiritsa ntchito inshuwaransi ya Levemir kumapangitsa kusintha kwa chitetezo chathupi. Izi zimatha kuyambitsa ming'oma, totupa, komanso zinthu zina zosagwirizana. Nthawi zina angioedema, thukuta kwambiri, kusokonezeka kwa magazi, kuchepetsa magazi, kuchuluka kwa mtima kumawonedwa.

Bongo

Kuchuluka kwa mankhwalawa, komwe kumayambitsa kuchuluka kwa levemir insulin, sikumakhazikika. Kwa wodwala aliyense, Zizindikiro zimatha kukhala zosiyana, koma zotsatira zake ndizofanana - kukulira kwa hypoglycemia.

Munthu wodwala matenda ashuga amatha kuyimitsa pang'ono shuga. Wodwalayo amalimbikitsidwa kudya china chilichonse chomwe chili ndi chakudya chambiri. Pofuna kuchitapo kanthu moyenera, wodwala matenda ashuga azikhala ndi ma cookie, maswiti kapena msuzi wokoma wa zipatso omwe ali pafupi.

Mitundu ikuluikulu ya hypoglycemia imafuna kupita kuchipatala moyenera. Wodwalayo amapaka jakisoni kapena jekeseni ndi yankho la glucose. Pambuyo podzikanso, ndikofunikira kudya zakudya zamatumbo ambiri kuti musayambenso kuukira.

Choopsa chachikulu ndicho kuchepa kwa vuto la hypoglycemic, komwe kumachitika popanda thandizo la panthawi yake. Izi zimawopseza thanzi komanso moyo wa wodwalayo.

Levemir pa mimba

Amayi omwe ali ndi matenda a shuga ayenera kuyang'aniridwa mosamala ndi dokotala pamakonzedwe, mimbayo, ndi bere. Mu trimester yoyamba ya mimba, kufunika kwa insulin kumachepa, ndikuwonjezeka pambuyo pake. Pa mkaka wa m`mawere, mankhwala a mankhwala ikuchitika isanachitike.

Levemir imagwiritsidwa ntchito panthawi yoyembekezera komanso yoyamwitsa. Dokotala aliyense payekha ndi amene amawerengera kuti awerenge mulingo wa mankhwala ndikuwasintha ngati pakufunika. Amayi oyembekezera amafunika kuwunika pafupipafupi kuchuluka kwa shuga, ndikofunikanso kutsatira malangizo a jekeseni.

Kuyanjana kwa mankhwala

Odwala omwe akusintha kuchokera ku mankhwala ena apakatikati kapena nthawi yayitali amafuna kusintha kwa levemir ndi kusintha kwa nthawi ya makonzedwe. Pakusintha, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuwayang'anira kwa masiku angapo atayamba kumwa mankhwala atsopano.

Ndikofunikira kulingalira kuti kuphatikiza kwa Levemir ndi mankhwala antidiabetesic monga clofibrate, tetracycline, pyridoxine, ketoconazole, cyclophosphamide kumawonjezera katundu wa hypoglycemic. Kuchulukitsa mphamvu kwa mankhwala osokoneza bongo ndi anabolic steroid, antihypertensive mankhwala osokoneza bongo omwe ali ndi mowa. Ngati ndi kotheka, kuphatikiza koteroko ndikofunikira kusintha mlingo wa mankhwalawa.

Mankhwala oletsa kubereka komanso okodzetsa, antidepressants, corticosteroids, diuretics, morphine, heparin, nikotini, kukula kwa mahomoni ndi calcium blockers kungachepetse chidwi cha mankhwala.

Zambiri

Nthawi zambiri, ogula amakonda Levemir Flekspen ndi fanizo la mankhwalawa. Wopanga mankhwala opangira mankhwala amapatsa makasitomala omwe amagwiritsa ntchito mankhwala ena, Levemir Penfill. "Levemir Flekspen" cholembera chodziyimira chokha chomwe chili ndi cartridge ndi singano. Levemira Penfill ikugulitsidwa ndikuyimiriridwa ndi cartridge yomwe ikhoza kubwezeretsedwa yomwe imatha kuyikidwa mu cholembera. Kapangidwe ka ndalama zonse ndi zofanana, mulingo womwewo ndi wofanana, palibe kusiyana mu njira zogwiritsira ntchito.

"Levemir Flekspen" ndi cholembera chapadera chokhala ndi dispenser yomangidwa. Zochita zaukadaulo zimakhala kuti m'njira imodzi munthu amalandila gawo limodzi mpaka 60 la mankhwalawo. Mlingo womwe ungatheke kusintha mu umodzi. Mankhwalawa ndikofunikira kuti pakhale kuchuluka kwa insulin magazi. Zimathandizira kuyendetsa zinthu popanda kumangirizidwa ndi zakudya.

Zomwe zili mkati?

Kuti mumvetse zomwe Levemir analogues ali, muyenera kudziwa zomwe mankhwalawo amapangidwa, chifukwa choyambirira komanso chosankhidwa kwambiri ndi mitundu ya zinthu zomwe ndi zinthu zomwe zimagwira ndi zofanana.

Levemir ili ndi insulin. Ichi ndi chinthu chopangidwa ndi anthu, chophatikizanso mahomoni ena, omwe amapangidwa pogwiritsa ntchito chibadwa cha mtundu wina wa bakiteriya. Mililita imodzi ya mankhwala ili ndi mayunitsi zana limodzi, omwe amafanana ndi 14.2 mg. Chigawo chimodzi cha mankhwalawa chimafanana ndi gawo limodzi la insulini yopangidwa m'thupi la munthu.

Kodi pali china chilichonse?

Ngati mungafotokozere za momwe mungagwiritsire ntchito mavenda a Levemir kapena mankhwalawo palokha, mutha kudziwa kuti opanga nthawi zambiri amagwiritsa ntchito insulini komanso zinthu zina zowonjezera. Ndizofunikira kusintha mphamvu ya kinetic ya mankhwala, mawonekedwe osinthika. Mwa kuphatikiza zowonjezera, kuphatikiza kwa bioavailability kumatheka, kupangika kwa minofu kumakhala bwino, ndipo kuthekera kwa chinthu chachikulu chomangira kumapuloteni a plasma kumachepetsedwa.

Zosakaniza zina zimafunikira ngati zothandiza. Chilichonse chopangidwa ndi mankhwalawa chimayang'anira mtundu wina. Zosakaniza zina zimafunika kuti nthawi yayitali ikhale nthawi yayitali, ena amapereka chida chofunikira mthupi ndi mankhwala. Musanagwiritse ntchito, muyenera kuwonetsetsa kuti wodwalayo samadwala chilichonse chogwiritsidwa ntchito ndi wopangayo ngati chachikulu kapena chothandizira.

Zokhudza njira ndi mayina ena

Monga analog to Levemir, ndikofunikira kuganizira mankhwala Lantus SoloStar. Mankhwalawa amaphatikizidwanso m'makatoni. Pafupifupi, phukusi limodzi lokhazikika la mankhwalawa lomwe limafunsidwa limafunikira ma ruble chikwi chimodzi. Ma cartridges a Lantus SoloStar adayikidwa mu ma syringes momwe cholembera. Wopanga analogue ya Levemira ndi kampani yaku Germany ya Sanofi.

Makonda osagulitsika, mutha kuwona mankhwalawa "Lantus". Ndi madzi obayira omwe ali ndi insulin glargine. Mankhwalawa amadzaza m'makalata - phukusi limodzi pali zidutswa zisanu. Gawo - 3 ml. Mililita imodzi imakhala ndi ma insulin 100. Pafupifupi, mtengo wamatayala umaposa mtengo wa "Levemire" womwe wakumbidwa ndi ma ruble chikwi chimodzi.

M'mbuyomu, malo ogulitsa mankhwala adapereka mankhwala "Ultratard XM." Lero siligulitsa kapena lovuta kulipeza. Mankhwalawa anali ngati mawonekedwe a ufa wokonzekera kubaya jekeseni wambiri. Analogue ya Levemir iyi idapangidwa ndi kampani yomweyo ya Danish Novo Nordisk. Mmililita imodzi inali ndi IU 400, ndipo voliyumuyo inali 10 ml.

Zina zofunika kuziganizira?

Ngati mukufuna kusankha analogi ya Levemir insulin, muyenera kufunsa dokotala. M'mafakitala, mumapezeka mankhwala angapo a anthu omwe akudwala matenda ashuga, koma si onse omwe amagwiritsidwa ntchito mwanjira inayake. Pafupifupi, mtengo wa mankhwalawa m'masitolo amakono ndi pafupifupi ma ruble 5,000, koma pali malo omwe mungagule mankhwala otsika mtengo, pali ma pharmacies okhala ndi mitengo yokwera. Mukamasankha analogue, munthu sayenera kudalira kuthekera kochotsa mankhwalawo ndi njira zotsika mtengo kwambiri. Ngakhale mafakitale ali ndi ma analogi angapo, mtengo wawo umafanana ndi mankhwalawo kapena amafunsa kwambiri.

Kuphatikiza pa zomwe zidawonetsedwa kale, mankhwala otsatirawa akhoza kuganiziridwa ngati fanizo la Levemir insulin:

• Aylar.
• Tresiba Flextach.
• Novorapid Flekspen.
• Novomix Flekspen.
• "Monodar ultralong."

Nthawi zina, adokotala angakulangizeni kuti muthane ndi mankhwalawa "Tozheo SoloStar." Kudzilowetsa chithandizo chamankhwala osagwiritsa ntchito njira ina ndikosavomerezeka. Izi zitha kupangitsa kuti pakhale zovuta, mphamvu ndi zomwe sizinachitike.

Levemir. Pharmacokinetics

Zinthu zonse zofunikira ndi chida chazida zitha kupezeka pazomwe zikugwirizana. Iyenera kuganiziridwa kotero kuti zimveke bwino momwe zimasiyanirana ndi maziko a Levemir analogues. Kuphatikizika kwa chida ichi, monga tafotokozera pamwambapa, ndizovuta kwambiri, ndipo chophatikizira chachikulu ndi insulin. Mitu yake ya mankhwalawa imakhala ndi insulin, koma mwa mitundu ina. Detemir insulin ndi chithunzi cha mahomoni amunthu. Ili ndi mawonekedwe owoneka bwino. Mankhwalawa amagwira ntchito kwa nthawi yayitali. Zochedwetsa zoyendetsedwa ndi makonzedwe akufotokozedwa ndi mgwirizano wa maselo odziyimira pawokha.

Kuchitapo kwanthawi yayitali kumachitika chifukwa chodziyimira pawokha wa maselo a insulir omwe amapezeka pamalo a jakisoni ndikumanga kwa mamolekyulu a mankhwalawo kuti akhale ndi albin pogwiritsa ntchito chingwe cham'mbali. Chifukwa cha izi, mankhwalawa a Levemir, omwe ali ndi mapangidwe angapo, amadziwika kuti ndi abwino kwambiri motsutsana ndi maziko a omwe asinthidwe, chifukwa kuchuluka kwa gawo lalikulu m'magazi kumachepera. Zida zachivomerezo pamapeto pake zimalandira kuchuluka kwa insulini yomwe amafunikira, koma izi sizichitika nthawi yomweyo, zomwe zimapangitsa Levemir kukhala mankhwala othandiza komanso othandiza kuposa momwe ambiri amapangira insulin. Kuphatikiza kophatikiza kwenikweni, kukonza, mayamwidwe ndi zizindikiro zabwino.

Zambiri kapena zochepa

Kuti mukwaniritse kwambiri, muyenera kugwiritsa ntchito mankhwalawa muyezo woyenera.Mndandanda wa "Levemire" sufuna kulondola pang'ono pankhaniyi kuposa mankhwala omwe amafunsidwa. Mavoliyumu oyenera, pafupipafupi a makonzedwe amatsimikiziridwa ndi adokotala.

Pafupifupi, patsiku, mankhwalawa amagwiritsidwa ntchito poyerekeza ndi 0,3 PIECES pa kilogalamu iliyonse ya kulemera ndikupatuka gawo limodzi mwa magawo khumi mbali yayikulu ndi yaying'ono. Kuchita kwapamwamba kumatheka kale maola atatu atalandira ndalama, koma nthawi zina, nthawi yodikirira imafika mpaka maola 14. Mankhwalawa amaperekedwa kwa wodwala kamodzi kapena kawiri pa tsiku.

Levemir ikufunika liti?

Monga fanizo la mankhwalawa, "Levemir" amawonetsedwa ngati matenda ashuga. Mankhwalawa akuwonetsedwa ngati matenda akudalira insulin. Amagwiritsidwa ntchito pochiza anthu azaka zopitilira ziwiri. Njira yothetsera vutoli ilibe zizindikiro zina.

Ndi zoletsedwa kupereka mankhwalawa ngati munthu payekha sangalekerere chinthu chilichonse. Izi zimagwira ntchito pazofunikira - insulin, ndi zina zothandizira. Anthu osakwanitsa zaka ziwiri sanasankhidwe Levemir, chifukwa palibe chidziwitso chazomwe chikuchitika pakugwiritsa ntchito gulu la odwala.

Kodi nkoyenera kugwiritsa ntchito?

Pali ndemanga zochepa pofotokoza za fanizo la Levemire, ndipo anthu samapereka ndemanga zambiri za chida ichi. M'mayankho ambiri, chidwi chapadera chimayang'ana pamtengo wokwera wa mankhwalawo. Ngakhale adotolo atha kuwalangiza mankhwalawo kwa anthu ambiri, sikuti wodwala aliyense amakhala ndi bajeti ya banja yomwe imawalola kugula mankhwalawa. Zofanizira pamwambazi ndizodula kwambiri. Ambiri aiwo ndi okwera mtengo kwambiri kuposa omwe amadziwika kuti "Levemire", chifukwa chake kupezeka kwa anthu wamba kumakhala kotsika.

Kuwerenga ndemanga, analogues, malangizo a Levemir musanagwiritse ntchito, mutha kusankha kugula kapena ayi. Odwala ambiri omwe amamwa mankhwalawa anali okhutira ndi momwe amathandizira. Matenda a matenda ashuga ndi amodzi mwa osachiritsika, chifukwa chake dotolo akupanga chithandizo chamankhwala chifukwa chotenga nthawi yayitali. Chifukwa chake, munthu sayenera kuyembekezera kuti Levemir achiritsa munthu. Anthu omwe amamvetsetsa ntchito yayikulu ya mankhwalawa (kukhalabe yokhazikika m'thupi la wodwalayo) nthawi zambiri amakhutira ndikugwiritsa ntchito mankhwalawa.

Kugwiritsa ntchito moyenera

Ndipo ma analove onse a Levemir (olowa m'malo) omwe afotokozedwa pamwambapa, ndipo mankhwalawa pawokha amafunika kuti wodwalayo akhale ndi chidwi monga momwe angagwiritsire ntchito njira yoyendetsera. Mankhwalawa amagwiritsidwa ntchito katatu patsiku. Kuti muchepetse zoopsa za nocturnal hypoglycemia, gawo lachiwiri limaperekedwa pakudya komaliza kapena kochepa asanagone.

Mlingo watsimikiza ndi dokotala. Choyamba, kuchuluka kwake kwa mankhwalawo kumapangidwira, momwe thupi limayang'aniridwa, ndiye kuti mavidiyo ake amasinthidwa. Kusankha mlingo woyenera poyesera koyamba ndi kovuta. Ngati matenda ashuga amavuta ndi matenda ena, pulogalamu yamankhwala imasinthidwa. Ndi zoletsedwa kuti musinthe mosamala mlingo, kudumpha mlingo. Pali chiopsezo cha chikomokere, retinopathy, neuropathy.

Zambiri zamavuto amathandizo

Nthawi zina dokotala amalembera Levemir yekha, nthawi zina mankhwala ochepa ophatikizira pamodzi. Pazochita zamankhwala ambiri, Levemir amagwiritsidwa ntchito kamodzi patsiku. Nthawi ya makonzedwe a mankhwalawa amaperekedwa kuti asankhe wodwala. Muyenera kuperekera mankhwalawa tsiku lililonse nthawi yomweyo. Mankhwalawa amapaka pakhungu. Ntchito zina zimatha kubweretsa mavuto. Msempha, mu minofu minofu, mankhwalawo ndi oletsedwa. Mankhwalawa amagwiritsidwa ntchito pompo la insulin basi. Wopangayo amapaka mankhwalawa m'matumba apadera ndi singano, zopangidwa kuti zitheke kuperekera mankhwalawo. Kutalika kwa singano kumasankhidwa poganizira zomwe zikugwiritsidwa ntchito.

Jakisoni watsopano aliyense amachitika m'malo atsopano, apo ayi pamakhala ngozi ya mafuta. Kulowetsa chida chimodzi, nthawi iliyonse posankha mfundo yatsopano. Ndikofunikira kwambiri kuyambitsa "Levemir" mapewa, matako, patsogolo pa khoma lamimba, ntchafu. Mutha kuchita jakisoni pafupi ndi minofu yotentha.

Samalani tsatanetsatane

Pamaso pa jekeseni, ndikofunikira kuti muwone ngati cartridge ndi yolondola, ngati piston ndiyabwino. Chipingacho chowoneka sichikuyenera kupitilira gawo loyera la code. Ngati kupatuka kwa mtundu wanthawi kumawonedwa, ndikofunikira kulumikizana ndi apolisi kuti mulandire kopi yosadziwika.

Nthawi yonse ya chithandizo iyenera kuwunika kuchuluka kwa shuga m'magazi.

Nthawi yomweyo isanayambitsidwe, kugwira ntchito kwa chogwirira kumayendera. Yang'anani pistoni ndi cartridge, yang'anani dzina la malonda. Kubayira kulikonse kumachitika ndi singano yatsopano, apo ayi pamakhala chiopsezo chotenga kachilomboka. Simungagwiritse ntchito mankhwalawa ngati nthawi yake yatha, chinthu chilichonse chawonongeka, yankho lake ndi mitambo, kuchuluka kwa shuga m'magazi kumakhala kosavuta. Osabwezanso cartridge. Ndikulimbikitsidwa kuti nthawi zonse mumakhala ndi muyeso wopopera pokhapokha cholembera chikagwiritsidwa chosakhala bwino panthawi ya oyang'anira - izi zithetsa kuchotsera.

Tsatane-tsatane malangizo

Ndikofunikira kugwiritsa ntchito mankhwalawa mosamala kuti musamayanjane ndikugwedeza singano. Kugwiritsa ntchito kumayambira ndikutulutsa singano kuchokera phukusi. Amaphatikizika ndi syringe. Ngati pali kapu yachitetezo, chimachotsedwa. Mkati, chotsani kapu yoteteza ndikuyang'ana kutuluka kwa insulin. Wosankha akhale 2 mayunitsi. Chingwecho chimayendetsedwa ndi singano ndipo makatoni amatayidwa, kuti mpweya ubwerere mu bulumiki imodzi, kanikizani chogwirizira mpaka chosankha chitasunthira gawo lina ndikuthothoka kwa wothandizirayo. Mutha kubwereza njirayi mopitilira kasanu ndi kamodzi. Ngati sizinatheke kukonza mankhwalawo kuti akwaniritse, mankhwalawo amatayidwa.

Pambuyo pakuyerekezera, ikani mlingo womwe umafunikira pogwiritsa ntchito chosankhacho, ndi kubaya mankhwala pakhungu. Popeza kuti mwalowa ndi singano, kanikizani batani loyambira kumapeto ndikugwira mpaka chizindikiritso cha mankhwalawo chasunthira pamalo pomwe pali zero. Mukapanda kukanikiza wosankhayo munthawi yake kapena kuisintha, izi zisokoneza kuyambitsa. Chisamaliro chiyenera kutengedwa. Mukamaliza mawu oyamba, chotsani singano mosamala mukadunga kiyi yoyambira. Pogwiritsa ntchito chipewa, dulani ndikutaya singano yomwe idagwiritsidwa ntchito. Sizoletsedwa kusunga chogwirizira ndi singano yovulala, chifukwa mankhwalawo amatha kuwonongeka ndikuthothoka pamalowo. Syringe iyenera kutsukidwa mosamala kwambiri. Kugwa kwa chinthu, kumenyedwa kumapangitsa kuti chinthucho chikhale chosawoneka bwino.

Malangizo apadera

Levemir Flekspen ndi insulin yochita zinthu kwa nthawi yayitali yomwe siyimayambitsa kuchuluka kwa thupi ndipo imakhala yochepa kwambiri yomwe imapangitsa mkwiyo wa hypoglycemia. Mankhwala amakulolani kuwongolera kuchuluka kwa shuga m'magazi ndikuwasunga pamlingo woyenera kwambiri.

Zosakwanira insulin zowonjezera zimawonjezera chiopsezo cha hyperglycemia kapena ketoacidosis. Zizindikiro zamatenda am'mimba zimakhazikika patatha masiku angapo ndipo zimawonetsedwa ndi ludzu lochulukirapo, kukoka pafupipafupi (makamaka usiku), kugona, kusanza, chizungulire, pakamwa pouma komanso kuchepa kwamtima. Ndi ketoacidosis, pali fungo losasangalatsa la acetone kuchokera mkamwa. Popanda thandizo loyenera, chiopsezo chaimfa chimakhala chachikulu.

Dokotala wodziwitsa Levemir ayenera kudziwitsa wodwalayo za zomwe zingachitike komanso zizindikiro za hypo- ndi hyperglycemia.

Ndikofunika kukumbukira: panthawi ya matenda opatsirana, kufunika kwa insulin kumawonjezeka, komwe kumafunikira kusintha kwa mankhwalawa.

Ndi zoletsedwa kupaka mankhwalawa chifukwa cha chiwopsezo cha hypoglycemia. Ndi makonzedwe a mu mnofu, insulin imayamwa ndikuyamba kugwira ntchito mwachangu, choncho onetsetsani kuti mwalingalira izi musanabayidwa.

Malamulo osungira

Kusunga ma cell a mankhwalawa a mankhwalawa, ndikofunikira kuonetsetsa malo osungika bwino. Sungani insulini mufiriji pamtunda wa +2 ... +8 ⁰С. Musayike malonda pafupi ndi zinthu zotentha, magwero amoto (mabatire, masitovu, zotenthetsera moto) ndipo osazizira.

Tsekani cholembera pambuyo pa ntchito iliyonse ndikusungira patali ndi kuwala kosaposa +30 ⁰С. Osasiya insulin ndi syringe kuchokera kwa ana.

Insulin Levemir Flekspen adapangidwa kuti azithandizira moyo komanso thanzi la odwala matenda ashuga. Dotolo amasankha payekha payekha pazinthu zonse, ndikufotokozeranso zomwe zimachitika chifukwa cha kusintha kwa kumwa mosayenera kapena kugwiritsa ntchito mosayenera mankhwalawo.

Analogs popanga ndi chisonyezo chogwiritsidwa ntchito

Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa m'malo mwa Levemir Penfill, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito

Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa komanso momwe mungagwiritsire ntchito

Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?

Kuti mupeze chiwonetsero chotsika mtengo cha mankhwala, chofananira kapena chofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezo zomwe zikugwira komanso zomwe zikugwiritsidwa ntchito. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.

Levemir Penfill malangizo

MALANGIZO
pa kugwiritsa ntchito mankhwalawa
Levemir Penfill

Kutulutsa Fomu
Subcutaneous Solution

Kupanga
1 ml muli:
yogwira mankhwala: insulin detemir - 100 PIECES (katoni imodzi (3 ml) - 300 PIECES),
zotuluka: glycerol, phenol, metacresol, zinc acetate, sodium hydrogen phosphate dihydrate, sodium chloride, hydrochloric acid kapena sodium hydroxide, madzi a jekeseni. Gawo limodzi la insulin detemir lili ndi 0,142 mg ya insulini yopanda mchere. Gawo limodzi la insulin detemir (ED) limafanana ndi gawo limodzi la insulin ya anthu (ME).

Kulongedza
Ma cartridge 5 (3 ml) pa paketi iliyonse.

Zotsatira za pharmacological
Levemir Penfill ndi wothandizira wa hypoglycemic, analogue ya anthu omwe akhala akuchita insulin nthawi yayitali. Mankhwala a Levemir Penfill amapangidwa ndi njira yomwe imagwiritsidwanso ntchito pa DNA biotechnology pogwiritsa ntchito Saccharomyces cerevisiae. Ndi sungunuka woyambira wa insulin wa munthu wautali wokhala ndi mawonekedwe achitetezo akuchitapo kanthu. Mawonekedwe a mankhwala Levemir Penfill amasiyana kwambiri poyerekeza ndi isofan-insulin ndi insulin glargine. Kuchita kwa nthawi yayitali kwa mankhwala a Levemir Penfill ndi chifukwa chodziyimira pawokha wa maselo a insulir kumalo operekera jakisoni ndikumanga kwa mamolekyulu a mankhwalawo kuti akhale a albumin pogwiritsa ntchito phula lomwe limakhala ndi unyolo wamafuta acid. Poyerekeza ndi isofan-insulin, insulini ya detemir imaperekedwa kwa zotumphukira za minofu pang'onopang'ono. Njira zophatikizidwazo zomwe zimaperekedwako zimapereka mayendedwe odziwikanso komanso mawonekedwe a Levemir Penfill poyerekeza ndi isofan-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 shuga m'magazi kumachitika chifukwa cha kuchuluka kwa kayendedwe kabisikulidwe, kuchuluka kwa minofu, kukondoweza kwa lipoxandis, glycogenogeneis, kuchepa kwa kuchuluka kwa shuga ndi chiwindi, etc. Pazotsatira za 0,2 - 0,4 U / kg 50%, kuchuluka kwake kwa mankhwalawa kumachitika m'mitundu itatu. - Maola 4 - 14 mpaka 14 makonzedwe. Kutalika kwa nthawi mpaka maola 24, kutengera mlingo, womwe umapereka mwayi wokhala wosakwatira komanso wowerengeka tsiku lililonse. Pambuyo subcutaneous makonzedwe, pharmacodynamic mayankho anali olingana ndi mlingo kutumikiridwa (pazipita mphamvu, nthawi ya zochita, ambiri zotsatira). Kafukufuku wa nthawi yayitali adawonetsa kusinthasintha kwa kuchepa kwa shuga m'magazi a plasma mu odwala omwe amathandizidwa ndi Levemir Penfill, motsutsana ndi isofan-insulin.

Zizindikiro
Matenda a shuga.

Contraindication
Kuchulukitsa chidwi cha munthu payekha pakumayambitsa insulin kapena chilichonse mwa zinthu zomwe zimapangidwira. Sindikulimbikitsidwa kugwiritsa ntchito mankhwala a Levemir Penfill mwa ana ochepera zaka 6, chifukwa mayesero azachipatala mwa ana ochepera zaka 6 sanachitidwe.

Mlingo ndi makonzedwe
Levemir Penfill adapangira makina osunthira. Mlingo ndi pafupipafupi makonzedwe a mankhwala Levemir Penfill amatsimikiza aliyense payekha. Kuchiza ndi Levemir Penfill osakanikirana ndi mankhwala am'mlomo a hypoglycemic tikulimbikitsidwa kuti ayambitse kamodzi patsiku pa mlingo wa 10 PIECES kapena 0,1-0.2 PIECES / kg. Mlingo wa Levemir Penfill uyenera kusankhidwa payekha kutengera mphamvu ya glucose wa plasma. Ngati Levemir Penfill amagwiritsidwa ntchito ngati gawo la regimen yofunikira, iyenera kuyikidwa 1 kapena 2 pa tsiku malinga ndi zosowa za wodwala. Odwala omwe amafunikira kugwiritsa ntchito mankhwalawa kawiri patsiku kuti azitha kuyendetsa bwino glycemia amatha kupereka chithandizo chamadzulo kapena pogona, kapena pogona, kapena maola 12 atatha kumwa kwa mankhwalawa. Levemir Penfill amalowa jekeseni pang'ono, ntchafu, khomo lamkati kapena phewa.Masamba a jakisoni ayenera kusinthidwa ngakhale atalowetsedwa mu malo omwewo.
Kusintha kwa Mlingo
Monga ndi ma insulini ena, odwala okalamba komanso odwala aimpso kapena a hepatic insuffidence ayenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikusintha mlingo wa insulir insulin payekha. Kusintha kwa magazi kungakhale kofunikira pakulimbitsa thupi la wodwalayo, kusintha zakudya zake wamba, kapena matenda ena.
Chotsani kuchokera kukonzekera kwina kwa insulin
Kusamutsa ma insulin omwe amagwira ntchito kwa nthawi yayitali ndi insulin ya nthawi yayitali kupita ku Levemir Penfill kungafune kusintha kwa mlingo ndi nthawi. Monga momwe amakonzera insulin ina, kuwunika mozama magazi a glucose pakasamutsidwa komanso mu masabata oyamba a mankhwala atsopano amalimbikitsidwa. Malangizo a concomitant hypoglycemic therapy (mlingo ndi nthawi ya makonzedwe osakhalitsa a insulin kukonzekera kapena mlingo wa pakamwa hypoglycemic mankhwala angafunike.

Mimba komanso kuyamwa
Zochitika zamankhwala ndi Levemir Penfill panthawi yoyembekezera komanso yoyamwitsa ndizochepa. Kuwerenga kwa ntchito yolereka mu nyama sikunawululire kusiyana pakati pa insulin komanso insulin ya munthu molingana ndi embryotoxicity ndi teratogenicity. Mwambiri, kuwunika mosamala amayi apakati omwe ali ndi matenda ashuga panthawi yonse yomwe ali ndi pakati, komanso pokonzekera kutenga pakati, ndikofunikira. Kufunika kwa insulini mu nthawi yoyambirira ya mimba nthawi zambiri kumachepa, ndiye kuti mu trimesters yachiwiri ndi yachitatu imachulukirachulukira. Pambuyo pobadwa, kufunikira kwa insulin kumabwereranso msanga momwe kunaliri asanakhale ndi pakati. Mwa kuyamwa azimayi, mlingo wa insulini komanso kusintha kwa zakudya kungafunike.

Zotsatira zoyipa
Zotsatira zoyipa zomwe zimawoneka mwa odwala omwe amagwiritsidwa ntchito ndi mankhwala a Levemir Penfill amadalira kwenikweni mlingo ndipo amakula chifukwa cha kuphatikizika kwa mankhwalawa. Hypoglycemia nthawi zambiri zimakhala zotsatira zoyipa kwambiri. Hypoglycemia imayamba ngati mankhwalawa ataperekedwa mothandizidwa ndi kufunika kwa insulin. Kuchokera kuzipatala zamankhwala zimadziwika kuti hypoglycemia yolimba yofuna kulowerera yachitatu imayamba pafupifupi 6% ya odwala omwe amalandila Levemir Penfill. Zomwe zimachitika jekeseni malo amatha kuwonedwa pafupipafupi ndi chithandizo cha Levemir Penfill kuposa kumayambitsa insulin ya anthu. Izi zimaphatikizaponso redness, kutupa, kufinya, kutupa, ndi kuyunkhira pamalo a jekeseni. Zambiri zomwe zimachitika pamalo opangira jakisoni ndizochepa komanso zakanthawi, i.e. Kutha kwa mankhwala kwa masiku angapo mpaka milungu ingapo. Gawo la odwala omwe amalandila chithandizo ndipo omwe akuyembekezeka kukulitsa zovuta zake akuyembekezeredwa ngati 12%. Zomwe zimayambitsa zovuta, zomwe zimayesedwa kuti zimakhudzana ndi Levemir Penfill panthawi ya mayeso azachipatala, zafotokozedwa pansipa.
Matenda a Metabolic ndi zakudya: pafupipafupi - Hypoglycemia. Zizindikiro za hypoglycemia nthawi zambiri zimachitika mwadzidzidzi. Izi zimaphatikizira "thukuta lozizira", kukhuthala kwa khungu, kutopa kwambiri, mantha kapena kunjenjemera, nkhawa, kutopa kapena zachilendo, kufooka, kuchepa kwa chidwi, kugona, kugona kwambiri, kusawona bwino, mutu, nseru, palpitations. Hypoglycemia yambiri imatha kuyambitsa chikumbumtima ndi / kapena kukhumudwa, kusokonezeka kwakanthawi kapena kosasintha kwa ntchito yaubongo, ngakhale imfa.
Zovuta zamtundu uliwonse ndi zomwe zimachitika pamalo a jakisoni: pafupipafupi - kufupika, kutupa ndi kuyunkhira pamalo a jekeseni. Izi zimachitika nthawi zambiri ndipo zimatha mosakhalitsa.
Zosavomerezeka - Lipodystrophy. Imatha kuchitika pamalo a jakisoni chifukwa chosagwirizana ndi lamulo losintha jakisoni m'deralo.
Edema imatha kuchitika koyambirira kwa insulin. Zizindikirozi nthawi zambiri zimakhala zakanthawi.
Kusokonezeka kwa dongosolo lamagetsi: osowa - Thupi lawo siligwirizana, urticaria, zotupa pakhungu. Zizindikiro zoterezi zimatha kuchitika chifukwa cha kufooka kwa Hypersensitivity. Zizindikiro zina za hypersensitivity yotchuka imaphatikizaponso kuyabwa, kutuluka thukuta, kukhumudwa m'mimba, angioedema, kupuma movutikira, palpitations, komanso kuthamanga kwa magazi. Mitundu yambiri ya hypersensitivity reaction (anaphylactic reaction) ikhoza kuwononga moyo.
Zowonongeka: mawonekedwe osowa - kuphwanya Reflexion, matenda ashuga retinopathy.
Zovuta zamanjenje: zosowa kwambiri - zotumphukira neuropathy.

Malangizo apadera
Levemir Penfill ndi chosungunuka basal insulin analogue yokhazikika komanso yowonekeratu yojambula yokhala ndi zotsatira zazitali.
Mosiyana ndi ma insulin ena, kugwiritsa ntchito kwambiri mankhwala ndi Levemir Penfill sikuti kumawonjezera kuchuluka kwa thupi. Chiwopsezo chocheperako cha nocturnal hypoglycemia poyerekeza ndi ma insulin ena amaloleza kusankha kwa kuchuluka kwa mankhwalawa kuti akwaniritse shuga. Levemir Penfill imapereka chiwongolero chabwinoko cha glycemic (kutengera miyeso ya glucose yofulumira) poyerekeza ndi isofan-insulin. Mlingo wosakwanira wa mankhwalawa kapena kusiya kulandira chithandizo, makamaka mtundu wa matenda a shuga 1, angayambitse kukula kwa hyperglycemia kapena matenda ashuga a ketoacidosis. Monga lamulo, zizindikiro zoyambirira za hyperglycemia zimawonekera pang'onopang'ono, kwa maola angapo kapena masiku. Zizindikiro zake zimaphatikizaponso ludzu, kukodza mwachangu, kusanza, kusanza, kugona komanso kuyanika pakhungu, pakamwa pouma, kusowa chilimbikitso, kununkhira kwa acetone mumlengalenga wotuluka. Mtundu woyamba wa matenda a shuga 1 mellitus, popanda chithandizo choyenera, hyperglycemia imatsogolera pakupanga matenda ashuga a ketoacidosis ndipo amatha kupha. Hypoglycemia imatha kukhazikika ngati mlingo wa insulin ndiwokwera kwambiri poyerekeza ndi kufunika kwa insulin, ndikulumpha zakudya kapena osachita masewera olimbitsa thupi mosakonzekera. Pambuyo kulipirira kagayidwe kazakudya, mwachitsanzo, ndi mankhwala olimbitsa kwambiri a insulin, odwala amatha kukumana ndi zisonyezo zam'mbuyomu za hypoglycemia, zomwe odwala ayenera kudziwitsidwa. Zizindikiro zachilendo zimatha kutha ndi matenda a shuga. Matenda okhala ndi vuto limodzi, makamaka opatsirana komanso kutentha thupi, nthawi zambiri amalimbikitsa kufunika kwa insulin. Kusamutsa wodwala kupita ku mtundu wina kapena kukonzekera kwa insulin kwa wopanga wina kuyenera kuchitika moyang'aniridwa ndi achipatala. Mukasintha ndende, wopanga, mtundu, mitundu (nyama, munthu, fanizo la insulin ya anthu) ndi / kapena njira yopangidwira (genetically engineered or insulin of organis) Chinyama chitha kusintha. Odwala omwe amathandizidwa ndi Levemir Penfill angafunike kusintha mlingo poyerekeza ndi Mlingo wa omwe kale anali ndi insulin. Kufunika kosinthira kwa mlingo kumatha kuchitika mutakhazikitsa mlingo woyamba kapena mkati mwa milungu ingapo kapena miyezi ingapo. Monga mankhwala ena a insulin, zimachitika mu jakisoni jakisoni, yemwe akuwoneka ndi ululu, kuyabwa, ming'oma, kutupa, ndi kutupa. Kusintha tsamba la jakisoni m'dera lomwelo kumatha kuchepetsa mphamvu kapena kulepheretsa kuchitapo kanthu. Kuchitidwa nthawi zambiri kumatha patatha masiku angapo mpaka milungu ingapo. Nthawi zina, zimachitika jakisoni amafunika kuleka kulandira chithandizo. Levemir Penfill sayenera kutumikiridwa kudzera m'mitsempha, chifukwa izi zimatha kuyambitsa kwambiri hypoglycemia. Kutengeka kwa mnofu kumachitika mwachangu komanso kwakukulu poyerekeza ndi makina amtundu wa subcutaneous. Ngati Levemir Penfill adasakanikirana ndi kukonzekera kwina kwa insulin, mbiri ya chimodzi kapena zonse ziwiri zidzasintha. Kuphatikiza Levemir Penfill ndi analogue othamanga a insulini, monga insulin, kumabweretsa chithunzithunzi chochepetsedwa komanso kuchepetsedwa kwakukulu poyerekeza ndi kayendetsedwe kake kosiyana. Levemir Penfill sanapangidwe kuti azigwiritsa ntchito mapampu a insulin.

Kukopa pa kuyendetsa galimoto ndikugwira ntchito ndi zinthu
Kuthekera kwa odwala kulolera komanso kuchuluka kwa momwe angachitire amatha kusokonezeka panthawi ya hypoglycemia ndi hyperglycemia, zomwe zimakhala zowopsa nthawi zomwe maluso amenewa amafunikira makamaka (mwachitsanzo, poyendetsa galimoto kapena kugwira ntchito ndi makina ndi makina). Odwala ayenera kulangizidwa kuti achitepo kanthu popewa kukulitsa kwa hypoglycemia ndi hyperglycemia poyendetsa galimoto ndikugwiritsa ntchito njira. Izi ndizofunikira kwambiri kwa odwala omwe alibe kapena kuchepetsedwa Zizindikiro zakutsogolo kwa hypoglycemia kapena akuvutika ndi zochitika zapafupipafupi za hypoglycemia. Muzochitika izi, kuyenera koyendetsa kapena kugwira ntchito yotere kuyenera kuganiziridwa.

Kuyanjana kwa mankhwala
Pali mankhwala angapo omwe amakhudza kufunika kwa insulin. Hypoglycemic zotsatira za insulin patsogolo m'kamwa wothandizila hypoglycemic, monoamine oxidase zoletsa, angiotensin akatembenuka zoletsa enzyme, carbonic zoletsa anhydrase, kusankha beta-blockers, bromocriptine, sulfonamides, anabolic mankhwala, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine, lifiyamu, mankhwala yokhala ndi Mowa. Hypoglycemic zotsatira za insulin zimafooketsedwa ndi kulera kwapakamwa, glucocorticosteroids, mahomoni okhala ndi chithokomiro, somatropin, thiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, danazole, clonidine, blockers of "slowly" calcium channacine, diacine diidine, diacacid diidacid, diacine diacine, diacine diidine, diacine diacine. onse kufooketsa ndi kuwonjezera zochita za mankhwala. Octreotide / lanreotide imatha kuwonjezeka ndikuchepetsa kufunikira kwa insulin. Beta-blockers amatha kufinya zizindikiro za hypoglycemia ndikuchedwa kuchira pambuyo pa hypoglycemia. Mowa umatha kukulitsa mphamvu ya hypoglycemic ya insulin. Mankhwala ena, mwachitsanzo, okhala ndi magulu a thiol kapena sulfite, akaphatikizidwa ku mankhwala a Levemir Penfill, amatha kubweretsa kuwonongeka kwa insulin. Levemir Penfill sayenera kuwonjezeka kulowetsedwa.

Bongo
Mlingo wofunikira wa mtundu wa insulin yochulukirapo sunakhazikitsidwe, koma hypoglycemia imatha kukula pang'onopang'ono ngati wodwala wapeza mlingo waukulu kwambiri.
Chithandizo: wodwalayo atha kuthetsa shuga wofatsa pogwiritsa ntchito shuga, shuga, kapena zakudya zamafuta ambiri. Chifukwa chake, ndikulimbikitsidwa kwa odwala matenda ashuga kuti azikhala ndi shuga, maswiti, makeke kapena mandimu okoma zipatso.
Ngati hypoglycemia yayikulu, wodwalayo atakomoka, 0,5 mpaka 1 mg ya glucagon amayenera kuthandizidwa kudzera mu intramuscularly kapena subcutaneously (imatha kuperekedwa ndi munthu wophunzitsidwa bwino) kapena kudzera mu intravenly yankho la dextrose (glucose) (katswiri wazachipatala yekha ndi amene angalowe). M'pofunikanso kuperekera dextrose m'mitsempha ngati wodwalayo asadzayambenso chikumbumtima mpaka mphindi 10-15 atatha kugwirira ntchito kwa glucagon. Pambuyo pozindikira, wodwalayo amalangizidwa kuti azidya zakudya zopatsa thanzi kuti alepheretse kubwereranso kwa hypoglycemia.

Malo osungira
Sungani pa kutentha kwa 2 ° C mpaka 8 ° C (mufiriji), koma osati pafupi ndi mufiriji. Osamawuma.
Sungani pabokosi lama katoni kuti muteteze ku kuwala, kwa ana.
Kwa makatiriji otseguka: osavomerezeka kuti asungidwe mufiriji. Sungani milungu isanu ndi umodzi pa kutentha osaposa 30 ° C.

Tsiku lotha ntchito
Miyezi 30