Insuman Rapid

Emeputa - Sanofi-Aventis (France), Sanofi

Aha: Insuman® Rapid GT, Insuman® Rapid GT

Ngwakọta: 1 ml nke na-anọpụ iche maka ọgwụ ntụtụ nwere 100 IU nke insulin mmadụ.
Ndị ọkachamara: m-cresol, sodium dihydrogen phosphate dihydrate, glycerol, sodium hydroxide, hydrochloric acid, mmiri maka ịgba ntụtụ.

Ihe ogwu ogwu: Insuman Rapid GT nwere insulin, ihe yiri ya na insulin nke mmadụ ma nweta ya. Mmetụta dị ala nke shuga na-apụta ngwa ngwa, n'ime nkeji 30, wee ruo ogo kacha elu n'ime awa 1-4 mgbe nchịkwa ọgwụ subcutaneous. Mmetụta ahụ dịruru maka awa 7-9. Enwere ike ịgwakọta insuman Rapid GT na ihe niile ụmụ mmadụ si na Hoechst Marion Roussel, ma e wezụga insulins bu n'obi maka nchịkwa mgbapụta.

Ihe ngosi maka ojiji: Mellitus na-arịa ọrịa shuga na-arịa insulin. Ekwuputara insuman Rapid GT maka ọgwụgwọ nke ọrịa shuga na ketoacidosis, yana iji mezuo ụgwọ metabolic na ndị ọrịa nwere ọrịa mellitus tupu oge, intra -, na mgbe akwara.

Usezọ iji: A na-enyekarị insuman Rapid GT nke ọma nkeji iri na ise tupu nri. A na-anabata nchịkwa intramuscular nke ọgwụ ahụ. Ekwesịrị ịgbanwe saịtị ntụtụ ahụ oge ọ bụla. Enwere ike ijikwa Insuman Rapid GT n'ọgwụgwọ ọgwụgwọ hyperglycemic coma na ketoacidosis, yana iji mezuo ụgwọ metabolic na oge, intra- na postoperative mgbe ndị ọrịa nwere ọrịa mellitus. Achọghị insuman Rapid GT n'ọtụtụ ụdị nfuli insulin (gụnyere ndị etinye n'ime ya), ebe a na-eji mkpuchi silicone.

Mmetụta ọghọm: Mgbe ụfọdụ atrophy ma ọ bụ hypertrophy nke adipose anụ ahụ nwere ike ime na saịtị ịgba ntụtụ, nke a ga-ezere site na ịgbanwe saịtị injection mgbe niile.

N'ọnọdụ ndị na-adịghị ahụkebe, obere ncha ọbara ọbara nwere ike ịmalite na saịtị ịgba ahụ, na-apụ n'anya site na iji usoro ọgwụgwọ. Ọ bụrụ na etisoro erythema dị egwu, yana itching na ọria, na ngwa ngwa gbasaa ebe a na-agbanye ya, yana mmeghachi omume ọjọọ ndị ọzọ na mmiri ọgwụ (insulin, m-cresol), ọ dị mkpa ịgwa dọkịta ozugbo. Mmeghachi omume ndị dị otú ahụ nwere ike itinye ndụ ndị ọrịa n'ihe egwu.

Nnukwu mmetọ a na-ahụ anya na-adịkarị obere. Ha nwekwara ike ibute site na mmepe nke ọrịa angioedema, bronchospasm, mbelata ọbara mgbali elu na ujo anacticlactic adịkarịsịrị ike. Ihe mmeghachi omume hypers na-achọ mgbazi ozugbo na ọgwụgwọ na-aga n'ihu na insulin na ntinye nke usoro ihe mberede kwesịrị ekwesị.

Ikekwe iguzogide ọgwụ mgbochi nye insulin, nke nwere ike ịchọ mgbanwe nke insulin na-achịkwa. Ọ ga - ekwe omume, njigide sodium na - esochi anụ ahụ n'ụba, ọkachasị mgbe ọgwụgwọ insulin gbasiri ike.

Contraindications: Mmetụta mmetụta a na-enweta na insulin ma ọ bụ nke akụkụ inyeaka ọ bụla nke ọgwụ ahụ, belụsọ n'ọnọdụ ebe insulin dị mkpa. N'ọnọdụ ndị dị otú a, ojiji nke Insuman Rapid GT ga-ekwe omume naanị site na nlekọta nlekọta ahụike yana, ọ bụrụ na ọ dị mkpa, yana njikọ na ọgwụ na-egbochi ihe nfụkasị.

Njikọ Ọgwụ Ọgwụ: insulin edinam Attenuation nwere ike ime na concomitant ochichi nke insulin na corticotropin, corticosteroids, diazoxide, heparin, isoniazid, barbiturates, nicotinic acid, phenolphthalein, phenothiazine nkwekọrịta, phenytoin, diuretics, danazol, doxazosin, glucagon, estrogens na progestogens, somatotropin, sympathomimetic ọgwụ ọjọọ na thyroid homonụ. N'ime ndị ọrịa n'otu oge na-anata insulin na clonidine, reserpine ma ọ bụ nnu nke lithium, enwere ike ịhụ mmebi na ike nke insulin. Pentamidine nwere ike ibute hypoglycemia nke hyperglycemia sochiri. Alcoholụ mmanya na-egbu egbu nwere ike ime ka hypoglycemia ma ọ bụ belata shuga ọbara dị ala na ọkwa dị ize ndụ. Mbelata mmanya na-egbu egbu n'ime ndị ọrịa na-anata insulin. Dọkịta gị ga-ekpebi ị amountsụ mmanya na-egbu egbu. Hoụbiga mmanya ókè, yana ị ofụ ọgwụ ụfụ na-adịghị ala ala, nwere ike ịmetụta glycemia. Ndị na-egbochi Beta na-egbochi ohere nke hypoglycemia na, yana ndị ọrụ ọmịiko ndị ọzọ (clonidine, guanethidine, reserpine) nwere ike ịkụda ma ọ bụ ọbụna kpuchie ngosipụta nke hypoglycemia.

Ime na lactation: Ọgwụgwọ Insuman Rapid GT kwesịrị ịga n’ihu n’oge afọ ime. N'oge afọ ime, ọkachasị mgbe ọnwa nke mbụ gachara, ekwesịrị ịbawanye ụba na insulin chọrọ. Agbanyeghị, ozugbo a mụsịrị nwa, mkpa ịba insulin na-agbadata, nke gụnyere nnukwu ihe ize ndụ nke hypoglycemia. N'oge ị na-enye nwa ara, enweghị mgbochi ọ bụla na usoro insulin. Agbanyeghị, enwere ike ịchọ dose na mmegharị nri.

Ọnọdụ nchekwa: Chekwaa na okpomọkụ nke + 2 Celsius C ka + 8 Celsius C. Zere kefriza, na-ezere ịkpọtụrụ karama ahụ na mgbidi nke friza ma ọ bụ ebe nchekwa oyi.

Nhọrọ: N'iji nlezianya, a na-ahọrọ usoro onunu ogwu maka ndị ọrịa nwere ọrịa ụbụrụ dị mbụ enwere dịka ụdị ischemic yana ụdị ajọ ọrịa obi na-esite. Mkpa insulin nwere ike ịgbanwe mgbe ị gbanwere ụdị insulin ọzọ (mgbe ị na-eji insuman Rapid nọchie insulin nke anụmanụ, ọ na-agbanwekarị nri), afọ ọsịsa, vomiting, mgbanwe nke mmega ahụ nkịtị, ọrịa nke akụrụ, umeji, pituitary gland, glandia thyroid, mgbanwe ngbanwe ebe. Ekwesịrị ịgwa onye ọrịa banyere ihe mgbaàmà hypoglycemic ala, banyere ihe ịrịba ama mbụ nke ọrịa mamịrị na banyere mkpa ọ ga-agwa dọkịta banyere mgbanwe niile na ọnọdụ ya.

Dabere na onyonyo onyonyo a, ndi oria na - aria ogwu.

N'ọnọdụ ndị chọrọ insulin insulin, a na-enye ọgwụ hypoglycemic injections. Otu ụdị ọgwụ ahụ bụ Insuman Rapid GT.

General njirimara

Insuman Rapid bụ ọgwụ edepụtara maka ọrịa shuga. Ọ dị n'ụdị mmiri ma jiri ya were were were rụọ ọrụ.

N'ime usoro ọgwụgwọ, enwere ike iji ya na ụdị insulin ndị ọzọ. Edere ya maka ụdị shuga 1 na ụdị ọrịa shuga 2 na enweghi ike nke mbadamba shuga, mmachi ha ma ọ bụ contraindications.

Hormone ahụ nwere mmetụta hypoglycemic. Ihe mejupụtara ọgwụ ahụ bụ insulin mmadụ nwere 100% solubility na obere ọrụ. Enwetara ihe ahụ n'ụlọ nyocha ahụ site na injinịa mkpụrụ ndụ ihe nketa.

Insulin siri ike - ihe di ike nke ogwu. Ejiri ihe ndị a dị ka mgbakwunye: m-cresol, glycerol, mmiri dị ọcha, hydrochloric acid, sodium hydroxide, sodium dihydrogen phosphate dihydrate.

Ngwongwo ogwu

Insuman na-ebelata ọbara shuga. Ọ na-ezo aka na ọgwụ ọgwụ nwere oke ọrụ na obere oge.

A na-atụ anya mmetụta ahụ ọkara elekere mgbe ịgba ntụtụ ahụ wee ruo awa 7. A na-ahụta ndọta kacha elekere na elekere nke abụọ site na nchịkwa subcutaneous.

Ihe dị n'ọrụ na-ejikọ ndị nabatara cell iji mepụta ogige nnabata insulin. Ọ na-akpalite njikọ nke enzymes ndị dị mkpa ma na-akpali usoro ntanetị. N'ihi nke a, a na - eme ka mmịkọta na nnabata glucose site na anụ ahụ.

• na-akpali njikọta protein,
• na-egbochi mbibi nke ihe
• na-egbochi glycolenolysis na glyconeogenesis,
• na-akwalite ụgbọ njem na nnabata nke potassium,
• na-eme ka njikọ nke abụba abụba n'imeju na akwara,
• na-eji nwayọ daa abụba,
• na - eme ka ebu amino asịd na - ebuga njem na nnabata.

Ihe ngosi na contraindications

Edere ọgwụ ahụ n'ọnọdụ ndị a:

• DM 1 (ụdị insulin na-adabere na ya) yana DM 2,
• maka ọgwụgwọ nke nnukwu nsogbu,
• iwepu mmiri ara ehi,
• na-anata ụgwọ mgbanwe n'ọnọdụ nkwadebe na mgbe arụchara ya.

Edeghị homonụ ahụ n'ọnọdụ ndị a:

• gbasara akụrụ
• iguzogide ihe eji arụ ọrụ,
• stenosis nke akwara ọbara / akwara akwara,
• anabataghị ọgwụ,
• ndị nwere ọrịa na-efe efe,
• ndị nwere ọgwụ na-emetụta mmadụ.

Dị Mkpa! N'iji nlebara anya dị ukwuu, ekwesịrị ị diụ ndị ọrịa shuga agadi.

Ntụziaka maka ojiji

A na-ekenye ndozi nhọrọ na usoro ị ga-eji mee ihe n'otu n'otu. Dọkịta na-ekpebi ya site na ndị na-egosi glucose, ogo nke mmega ahụ, ala nke metabolism metabolism. A na-enye onye ọrịa ahụ ndụmọdụ ma ọ bụrụ na mgbanwe nke mgbanye glucose.

Ụ ọgwụ kwa ụbọchị, na-eburu n'uche ibu ahụ, bụ 0.5 IU / n'arọ.

A na-ahụ homonụ ahụ intravenly, intramuscularly, subcutaneously. Subzọ subcutaneous na-ejikarị eme ihe. A na-eme ọgwụ mgbochi 15 nkeji tupu nri.

Site na monotherapy, oge nchịkwa ọgwụ dị ihe dị ka ugboro 3, n'ọnọdụ ụfọdụ ọ nwere ike iru 5 ugboro n'ụbọchị. Saịtị a na-agbanye ogologo oge na-agbanwe n'ime otu mpaghara ahụ. A na-agbanwe ntụgharị (dịka ọmụmaatụ, site na aka na afọ) mgbe ịchọchara dọkịta. Maka nchịkwa subcutaneous nke ọgwụ ahụ, a na-atụ aro iji mkpịsị sirinji.

Dị Mkpa! Mkpochapu ihe ahu di iche dabere na ebe injection.

Enwere ike ijikọ ọgwụ a na insulin na-arụ ọrụ ogologo oge.

Nkuzi vidio Syringe-pen na nlekọta insulin:

Mmezi onunu ogwu

Enwere ike idozi usoro nke ọgwụ ahụ n'ọnọdụ ndị a:

• ọ bụrụ na ụdị ndụ agbanwee
• mụbaa uche na ihe ike ihe,
• gbanwee na ibu ndidi
• mgbe ị na-agbanye na ọgwụ ọzọ.

Na oge mbụ mgbe ị gbanwere ihe ọzọ (n’ime izu abụọ), a na-atụ aro njikwa glucose na-eme ka ọ dịkwuo mma.

Site na usoro ọgwụ ndị ọzọ dị elu, ọ dị mkpa ka ịgbanweta ọgwụ a n'okpuru nlekọta ahụike dị nso.

Mgbe ị na-agbanwe site na anụ ụlọ gaa na insulin nke mmadụ, a na-eme ndozi usoro onunu ogwu.

Mbelata ya choro maka ndi mmadu a:

• emeburu shuga dị ala n'oge ọgwụgwọ,
• na-a highụ ọgwụ dị elu n'oge,
• ihe ga - eme ka enwee onodu hypoglycemic.

Ntụziaka pụrụ iche na ndị ọrịa

Mgbe ime dị, ọgwụgwọ ọgwụ anaghị akwụsị. Ihe nọ n'ọrụ anaghị agafe Plasenta.

Site na ịwa ahụ, enweghị mgbochi mbanye. Isi okwu bụ na a na-edozi doulin insulin.

Iji gbochie mmeghachi omume hypoglycemic, a na-eji nlezianya na-emeso ndị agadi ọgwụ.

Ndị nwere ọrụ imeju / akụrụ arụrụ ọrụ na-agagharị na Insuman Rapid ma hazie ọgwụ ahụ n'okpuru nlekọta onye ọkachamara.

Okpomoku nke okpomoku okpomoku agha kwesiri ibu 18-28ºС. A na - eji insulin na - akpachapụ anya na ọrịa na - efe efe - a chọrọ ndozi dose ebe a. Mgbe ị na-a theụ ọgwụ, onye ọrịa ahụ anaghị a alcoholụ mmanya. Ọ nwere ike ibute hypoglycemia.

Dị Mkpa! Achọrọ nlebara anya kwesiri iji ọgwụ ndị ọzọ. Offọdụ n'ime ha nwere ike belata ma ọ bụ nwekwuo mmetụta nke Insuman.

Mgbe ị na-a theụ ọgwụ ahụ, onye ọrịa ahụ kwesịrị ilebara mgbanwe ọ bụla anya na ọnọdụ ya. Nke a dị mkpa maka nnabata oge a ga-egosi ihe ịrịba ama dị tupu hypoglycemia.

A na-atụ aro ka ịbanye n'ime mmụọ nke glucose ụkpụrụ. Ihe ize ndụ nke hypoglycemia metụtara ojiji nke ọgwụ a dị elu na ndị nwere adịghị ike maka ịta ụta shuga. Onye ọrịa ahụ kwesịrị iburu glucose 20 g mgbe nile.

Jiri oke ịkpachapụ anya, lee:

• na-eji ọgwụgwọ concomitant,
• mgbe ebugharị ya na insulin ọzọ,
• Ndị mmadụ na ọnụnọ ọrịa shuga ogologo oge.
• ndị agadi
• ndị nwere mmalite nke ọrịa hypoglycemia,
• ya na oria concomitant.

Mara! Mgbe ị na-agbanye na Insuman, nyocha nke nnabata ọgwụ a na-eme. Obere ntakịrị ọgwụ ahụ ka a na-abanye n'ime. Na nmalite nchịkwa, ọgụ hypoglycemia nwere ike ịpụta.

Mmetụta akụkụ na ị andụbiga mmanya ókè

A na-ahụkarị mmetụta ọjọọ ndị a mgbe nchịkwa:

N'ọnọdụ ịdoụbiga mmanya ókè, onye ọrịa ahụ nwere ike imebe shuga na akara dị ala. Site n'ụdị dị nro, a ga-ewere glucose 15 g.

Sedị siri ike yana ọdịdọ, mwepu nke mmụọ chọrọ iwebata glucagon (intramuscularly). Ikekwe mgbakwunye ọzọ nke dextrose (intravenously).

Mgbe emesighachi ọnọdụ onye ọrịa, ọ dị mkpa ka ewere mmezi nke carbohydrates. Ruo oge ụfọdụ mgbe kpochapụrụ ihe mgbaàmà hypoglycemia, a ga-achọ nyochaa ọnọdụ ahụ, ebe ọ bụ na ngosipụta nke abụọ ga-ekwe omume. N'okwu ndị pụrụ iche, a na-aga ụlọ ọgwụ ahụ maka ilele nyocha ọzọ.

Mmekọrịta na ọgwụ ndị ọzọ

Enweghị ndụmọdụ dọkịta, a naghị atụ aro ka ịme ọgwụ ndị ọzọ n'otu oge. Ha nwere ike iwelie ma ọ bụ ibelata mmetụta nke insulin ma ọ bụ kpasu ọnọdụ dị oke egwu.

A na-ahụ mbelata mmetụta nke homonụ na iji ọgwụ mgbochi, glucocorticosteroids homonụ (progesterone, estrogen), diuretics, ọtụtụ ọgwụ antipsychotic, adrenaline, homonụ thyroid, glucagon, barbiturates.

Mmepe nke hypoglycemia nwere ike ime na nkwonkwo nke ọgwụ ndị ọzọ na antidiabetic. Nke a metụtara ọgwụ mgbochi nke usoro sulfonamide, MAO inhibitors, acetylsalicylic acid, fibrates, testosterone.

Mmanya na homonụ na-eme ka shuga dịtụ ala, na-akpata hypoglycemia. Ọ bụ dọkịta ga-ekpebi ọgwụ a ga-anabata ya. You ga-akpachara anya na ị takingụ ọgwụ nri - ị theirụbiga ya ókè oke na-emetụta ọkwa shuga.

Pentamidine nwere ike ibute ọnọdụ dị iche iche - hyperglycemia na hypoglycemia. Ọgwụ nwere ike kpalite nkụda obi. Karịsịa n'ime ndị nọ n'ihe ize ndụ.

Mara! Ndụ nchekwa nke ihe ngwọta na pen sirinji abụghị ihe karịrị otu ọnwa. Kwesịrị ịma ụbọchị mbupu ọgwụ ahụ ka ọ dịịrị.

Ọgwụ ọgwụ (ahaziri ụdị ntọhapụ yana ọnụnọ nke ihe nọ n'ọrụ) gụnyere: Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. ọgwụ ndị edepụtara gụnyere insulin mmadụ.

Ọchịchọ mmadụ maka ibi ndụ dị mma, na-egbochi ojiji nke ngwaahịa ndị na-emerụ ahụ, mmega ahụ na enweghị àgwà ọjọọ dị ezigbo mkpa maka ịnọgide na-enwe ahụike mmadụ n'ọtụtụ ọnọdụ. Agbanyeghị, mgbe ụfọdụ, na-emegide ezi uche ọ bụla, onye na-elebara ahụike ya anya nke ọma ma nwee nlezianya na-eche nsogbu dị iche iche n’ọrụ. Kedụ ka nke a ga-esi mee ma ọ bụrụ na mmadụ a drinkụghị mmanya, ghara ịulụbiga mmanya ókè, zere nrụgide ma na-emega ahụ. Ihe kpatara ya bu ihe nwute, di na onwu ketara eketa, nke bu ihe n’ebido n’okwu a, ihe akaebe nke nwere ike ibute oria oria 1 n’aria mamiri. Kedu ụdị ọgbụgba a yana gịnị bụ usoro nke mmepe ya?

Gịnị bụ ọrịa shuga?

Elldị nke atọ nke ọrịa shuga mellitus bụ ọrịa na-etolite n'ihi ọnwụ nke mkpụrụ ndụ ụfọdụ na-emepụta insulin homonụ na pancreas. Mwepu nke mkpụrụ ndụ ndị a na ụkọ insulin na-esochi na-ebute oke ọrụ nke usoro metabolic na hyperglycemia.

N'okwu a, onye ọrịa ahụ nwere ike inwe mgbaàmà ndị a:

Ọrịa a, a chọpụtaghị ya n'oge, nwere ike ime ka mmadụ nwee mgbanwe ndị a na-apụghị ịgbanwe agbanwe na akụrụ, nkụchi obi, mpụ aka na aka ya. Ọ bụ ya mere o ji dị mkpa ijide ọrịa ahụ naanị mgbe ọ bilitere iji malite ọgwụgwọ n'oge.

Gịnị kpatara insulin ji dị oke mkpa maka ahụ?

Ebe ọ bụ na ụdị oria a na-emegide enweghị ụkọ insulin, mgbe ahụ ọgwụgwọ a ga-ejikọ ya na imejupụta enweghi homonụ a maka ahụ. Ma, maka ndị na - ebido ebido, ọ dị mkpa ịghọta ihe ọrụ ya dị na sistem metabolic.

Ọrụ ndị ọ na - edozi bụ ndị a:

• Iwu nke mmebi glucose, nke bụ isi ihe oriri na - edozi ahụ maka akwara anụ ahụ na akwara ụbụrụ.
• Na-esonye ntoputa nke glucose n'ahụ mgbidi nke akwara nke uru ahụ.
• Adgbanwe oke n’ịmepụta abụba na protein, dabere na anụ ahụ.

Ebe ọ bụ na insulin bụ naanị homonụ nke nwere nnukwu ọrụ na ụdị ọrụ a, ọ bụ ihe dị oke mkpa maka ahụ mmadụ. Ọ bụ ya mere na-arịa ọrịa shuga, a na-amanye onye ọrịa ị aụ ọgwụ nke ihe mejupụtara ya dị nso na homonụ a. Ọgwụ ndị a na - azọpụta onye ọrịa site na mmepe nke ọrịa a na - apụghị ịgbagha agbagha nke akụkụ ahụ na akwara ọbara.

Insdị insulin

Isi ihe dị iche n'etiti analogues nke insulin taa bụ ihe ndị a:

• Ihe eji ogwu eme.
• Ọgwụ nke ọgwụ ahụ.
• Ọkwa dị ọcha nke ọgwụ.

Site n'ichepụta nrụpụta, enwere ike kee nkwadebe n'ime ego ndị a na - enweta ehi, nke na - ebutekarị nsonaazụ na nfụkasị, site na ezì na enwetara site na injin mkpụrụ ndụ ihe nketa. Medicinesdị ọgwụ ndị ahụ gụnyere, dịka ọmụmaatụ, German Insulin Rapid GT.

Dabere na oge mkpughe, ọgwụ a kewara gaa n'ụdị ndị a:

• Short insulin, nke a na-ahụ maka otu ụzọ n'ụzọ anọ nke otu awa tupu nri, iji kwekọọ uto nke homonụ na ahụ ike mgbe ị risịrị nri. Ego ndị a gụnyere Insulin Insuman Rapid.
• Ogologo oge, nke achọrọ ka a ga-elekọta ya otu ugboro ma ọ bụ ugboro abụọ n'ụbọchị, iji mee ka homonụ ahụ rụọ ọrụ n'otu oge.

N'ọtụtụ oge, a na-enye onye ọrịa ahụ ụdị ọgwụ hormone abụọ iji mezuo ihe a chọrọ kwa ụbọchị. Agbanyeghị, maka ndị na-enweghị ike ịchịkwa ọnọdụ ha n'ihi afọ ma ọ bụ nsogbu uche, a na-achịkwa ihe dị ka ọgwụ ahụ. Dị njikere ma Responaa ntị na mgbanwe n'ọnọdụ ọnọdụ ya, mmadụ nwere ike gbakọọ izu nke insulin Rapid dị mkpụmkpụ.

Njirimara nke ị theụ ọgwụ

Drugsakingụ ọgwụ na-eme obere oge na-enye onye ọrịa ohere ịhazi nri ya n'adabereghị na nri ya, na-adabereghị na nri ahụ yana usoro ya kwa ụbọchị. Iji mee nke a, ọ dị mkpa ịgbakọ n'ụzọ ziri ezi oriri nke carbohydrates na ọkwa nke glucose dị n'ọbara tupu iri nri.

Mata insulin Insuman Rapid GT nwere ike mee ka ndụ onye ọrịa dịkwuo mma, n'ihi na ọ na-eme ka mmadụ nwee ike ibute echiche nke ndụ mmadụ, na nri ya.

Mustzọ eji ọgwụ ahụ na usoro onunu ogwu, yana njiri mara nke nnabata na contraindications, ga-enyocha ya nke ọma dịka ntuziaka maka Insulin Rapid siri soro gị kwurita na dọkịta gị. Ihe ozo di nkpa bu ikike onye ichoputa ogwu nke oma.

Insuman Rapid GT bụ ọgwụ nwere insulin mmadụ na-eme mkpụmkpụ eji eji gwọọ ọrịa mellitus ma ọ bụ nsogbu ya.

Kedu ihe mejupụtara Insuman Rapid GT ma mepụta ya?

A na-eme ọgwụ ọgwụ Insuman Rapid GT n'ụdị nke ngwọta doro anya. A na-enye ya na katriji, pensụl sirinji ma ọ bụ na karama. Re ahịa dị n'okpuru ọgwụ dọkịta.

Gini bu oru Insuman Rapid GT?

Insuman Rapid GT bụ insulin na-adị mkpụmkpụ. Ihe dị n ’ọgwụ a na-arụ ọrụ bụ otu ihe si eme ka hormone nke mmadụ mejupụtara site na ngwa islet nke pancreas. N'ọnọdụ ụlọ ọrụ mmepụta ihe, a na-emepụta ihe na-arụ ọrụ nke ọgwụ ahụ site na iwebata mkpụrụ ndụ ihe pụrụ iche nke udiri BK12 nke nje a na-ahụkarị - Escherichia coli.

Nlekọta insulin na ahụ mmadụ, yana inyocha mkpụrụ ndụ, nwere ike ịkwalite mmeghachi nke anabolic, yana igbochi usoro catabolic. N'okpuru mmetụta nke ihe a, ebugharị ebugharị nke glucose na anụ ahụ, nke na-eduga n'ịmepụta glycogen na eriri akwara ma ọ bụ sel imeju. Na mgbakwunye, usoro ndị na-akpata mmepụta nke adipose anụ ahụ (lipogenesis) na-arụ ọrụ.

Nke abuo, insulin na-egbochi mmeghachi omume na-agbanwe usoro glucose site na ihe ndị ọzọ, ọkachasị site na adipose anụ ahụ (gluconeogenesis), nke na-ebelata ọbara shuga.

Can gaghị eleghara nsonaazụ protein metabolism. N'okpuru insulin, usoro amino acid na sel na-abawanye, nke na - akpali usoro anabolic na - akpata protein protein.

Mgbe nchịkwa subcutaneous gasịrị, mmetụta hypoglycemic na-amalite mgbe nkeji 30 gachara. Mmetụta ọgwụgwọ kachasị kacha arụpụtara ka elekere 1 ruo 4 mgbe ejiri ya. Mmetụta nke ọgwụ ahụ na-adịgide ruo awa 7 ruo 9.

Kedu ihe ndị na-egosi maka ojiji nke Insuman Rapid GT?

Nhọpụta Insuman Rapid GT ga-ekwe omume na ọnụnọ ọrịa ndị a:

Ofdị ọrịa shuga ọ bụla chọrọ insulin
Na-emeso nsogbu ọrịa shuga n'ụdị ketoacidosis ma ọ bụ coma,
Nkwụghachi nke ndị ọrịa na-arịa ọrịa shuga mgbe agwara ha.

Ana m echetara gị na ọgwụgwọ ọrịa shuga agaghị ekwe omume ma ọ bụrụ na onye ọkachamara nwere ahụmahụ na-achọpụta ya mgbe niile. Naanị onye endocrinologist kwesịrị ịkọpụta ọgwụ ndị dị otú ahụ ma nyochaa ịdị irè nke ọgwụgwọ.

Kedu ihe bụ contraindications nke Insuman Rapid GT?

Ihe anabataghi iji ogwu a eme ihe n ’ihu onodu ndi a:

Ọnọdụ hypoglycemic ọ bụla,
Onweghi nnwekorita nke ihe obula banyere ngwaahịa a.

Contraindications nke dịtere aka: ịka nká, ọrịa imeju na akụrụ, ọnya akwara akwara, nnukwu ọrịa ụbụrụ, ọrịa retinopathy.

Kedu ihe bụ ojiji na ọnụọgụ nke Insuman Rapid GT?

Ofzọ nchịkwa, yana oke ọgwụ ọgwụ ahụ ka ọ dị n’aka onye ọkaibe kpebisiri ike, ọ dabere n’ọtụtụ ihe: ọkwa glucose ọbara, nri na mmega ahụ, ụdị ọrụ, afọ, ogo ahụ na ihe ndị ọzọ.

Ọgwụ a ga-eme nke ọma subcutaneously 10 ka 15 nkeji tupu nri. Ekwesịrị ịgbanwe saịtị injection ahụ mgbe niile, ma ọ bụghị ya, ịmalite nke infiltrates (akàrà) ma ọ bụ ihe ịtụnanya dystrophic ga - ekwe omume.

Maka ntinye nke ọgwụ a, a na-ahọrọ ihu elu nke mgbidi akụkụ ma ọ bụ mpaghara etiti apata ụkwụ. Ekwesịrị ịgakwuru onye ọkachamara ọgwụ ahụ ka onye ọkachamara kwenye, ebe ọ bụ na nsonye ntụtụ ahụ nwere ike ịgbanwe ọnụego mmalite nke mmetụta ọgwụgwọ ahụ.

Njuputa nke Insuman Rapid GT

N'ihe banyere ịdoụbiga mmanya ókè, iku ume ngwa ngwa na palpitations, adịghị ike, tinnitus, "ijiji" n'anya anya, ọgbụgbọ, ọgbụgbọ, oke nchegbu, ikekwe mmetụta agụụ, oge ụfọdụ ihe ọdịdọ, njide akụkụ iku ume, yana ụkwara akwara obi, coma na ọbụna ọnwụ. .

Ọgwụgwọ dabere n'ọnọdụ onye ọrịa. Site na ịdị nwayọọ dị nro, enwere ike idozi glucose na-eji nri dị elu n'ime obere shuga dị mfe.

N'ọnọdụ ndị siri ike, a chọrọ ọgwụgwọ ọgwụ n'ụdị ntinye nke ngwọta glucose na usoro Symptomatic ndị ọzọ.

Kedu ihe mmetụta dị na Insuman Rapid GT?

Ọtụtụ mgbe, ngosipụta nfụkasị na-eme n'ụdị ihe omume bronchospastic, angioedema, mmeghachi omume anaphylactic, na ngosipụta anụ ahụ bụ ihe e ji mara ya.

Mmetụta ndị ọzọ: edema, ọbara mgbada agbada, ọgba aghara dị iche iche a na-ahụ anya, ngosipụta dystrophic na mpaghara nchịkwa.

Etu esi edochi Insuman Rapid GT, gini analogues?

Ọgwụ Actrapid HM, Rinsulin R, Biosulin R, insulin mmadụ, Ryzodeg, Rosinsulin R, Humulin Regular, Gensulin R, Gansulin R, na mgbakwunye, insulin mmadụ, Actrapid, Vozulim-R, yana Insuran R bụ analogues.

Anyị nyochara ọgwụ Insuman Rapid GT, ntuziaka maka iji ọgwụ ahụ. Ruo ókè, ọrịa shuga mellitus bụ ụzọ ndụ pụrụ iche, na mgbakwunye na ị ofụ ọgwụ ọjọọ, a na-ahụta ya na ọ ga-amachi oriri nke carbohydrates na nri, imega ahụ, oge nleta onye ọkachamara na ileba anya na ọkwa glucose ọbara.

Usoro onunu ogwu na nhazi

Nhọrọ nke insulin n'ime onye ọrịa ka dọkịta na-ebu n’otu n’otu, dabere na nri, ọkwa nke mmega ahụ yana etu esi ebi ndụ. A na-ekpebi ogo insulin na-adabere n'ọkwa shuga dị n'ọbara, yana dabere na ọkwa ahụ a na-eme atụmatụ maka mmega ahụ yana steeti carbohydrate metabolism. Ọgwụ insulin chọrọ ọzụzụ onwe onye dị mma. Dọkịta ga-enye ndụmọdụ dị mkpa ugboro ole iji chọpụta ọkwa shuga dị n'ọbara na, ikekwe, na mmamịrị, ma na-enyekwa ndụmọdụ kwesịrị ekwesị n'agbanyeghị mgbanwe ọ bụla na nri ma ọ bụ usoro ọgwụgwọ insulin. Nkezi ọgwụ insulin kwa ụbọchị sitere na 0,5 ruo 1.0 ME kwa kilogram nke ịdị arọ nke onye ọrịa, na ogo 40-60 nke ọgwụ ahụ na-adaba na insulin mmadụ nwere ogologo oge. Mgbe ị na-agbanwe site na insulin ụmụ anụmanụ na insulin nke mmadụ, enwere ike ịchọ mbelata insulin. Mgbanwe sitere na ụdị insulin ndị ọzọ na ọgwụ a nwere ike ịme naanị n'okpuru nlekọta ahụike. Nleba anya nke steeti carbohydrate metabolism dị mkpa na izu mbụ mgbe ntụgharị dị otú ahụ.

A na-enyekarị insuman Rapid GT nke ọma nkeji iri na ise tupu nri. A na-anabata nchịkwa intramuscular nke ọgwụ ahụ. Ekwesịrị ịgbanwe saịtị ntụtụ ahụ oge ọ bụla. Shouldgbanwe mpaghara nsị (dịka ọmụmaatụ, site na afọ ruo na apata ụkwụ) ga-eme naanị mgbe ịgachara dọkịta. Enwere ike ijikwa Insuman Rapid GT n'ọgwụgwọ ọgwụgwọ hyperglycemic coma na ketoacidosis, yana iji mezuo ụgwọ metabolic na oge, intra- na postoperative mgbe ndị ọrịa nwere ọrịa mellitus. Achọghị insuman Rapid GT n'ọtụtụ ụdị nfuli insulin (gụnyere ndị etinye n'ime ya), ebe a na-eji mkpuchi silicone. Ejikọla Insuman Rapid GT na insulin nke itinye uche dị iche (dịka ọmụmaatụ, 40 IU / ml na 100 IU / ml), yana insulin nke sitere anụmanụ ma ọ bụ ọgwụ ndị ọzọ. Jiri naanị ihe mkpuchi Insuman Rapid GT na-enweghị olile anya na enweghị adịghị arụzi arụ ọrụ. Ekwesịrị icheta na itinye uche nke insulin na vial ahụ bụ 100 IU / ml, yabụ naanị ịchọrọ iji sirinji rọba emepụtara maka itinye insulin nke ntinye. Sirinji ahụ ekwesịghị ịnwe ọgwụ ọ bụla ọzọ. Tupu usoro insulin nke mbụ na vial ahụ, wepu okpu plastik (ọnụnọ nke okpu bụ ihe akaebe nke vial a na-emechighi). Ngwọta ogwu ogbugba kwesịrị ịbụ ihe na-enweghị atụ na enweghị agba.

Tupu ịnakọta insulin na vial ahụ, olu ikuku nke kwekọrọ na insulin nke a chọrọ ka a na-arara ga-abanye na sirinji ma gbanye ya n'ime vial (ọ bụghị n'ime mmiri mmiri). A ga-atụzi vial na sirinji jiri sirinji kpoo ma jiri insulin achọrọ ya. Tupu ntụtụ, wepụ afụ ikuku n'ime sirinji. A na-ewere otu akpụkpọ ebe a na-agba ntụtụ, na-etinye agịga n'okpuru anụ ahụ, a na-ejikwa insulin nwayọọ nwayọọ. Mgbe agwesịrị, a na-eji nwayọ wepụrụ agịga ahụ ma jiri ajị owu na-agbanye ya ruo ọtụtụ sekọnd. E kwesịrị idekọ ụbọchị nke akpa insulin site na vial ahụ na akara nke vial ahụ. Mgbe imepechara karama ahụ nwere ike ịchekwa ya na ọnọdụ okpomọkụ agaghị akarị + 25 Celsius C maka izu 4 n’ebe a na-echebe ọkụ na ọkụ.

Njirimara ngwa

N'ọnọdụ nchịkwa glycemic ezughị ezu ma ọ bụ echiche nke akụkụ nke hyper- ma ọ bụ hypoglycemia, tupu ị kpebie ịgbanwe insulin, jide n'aka na ị ga-elele usoro insulin na-achịkwa, jide n'aka na a na-abanye insulin n'ime mpaghara ahụ a tụrụ aro, lelee izizi nke usoro ịgba ọgwụ na ihe ndị ọzọ niile. nke ahụ nwere ike imetụta nsonaazụ insulin. Ebe ọ bụ na n'otu oge nchịkwa nke ọtụtụ ọgwụ (lee “Mmekọrịta na Ngwọta Ndị Ọzọ”) nwere ike ibelata ma ọ bụ welie mmetụta hypoglycemic nke ọgwụ Insuman® Rapid GT, enweghị ọgwụ ndị ọzọ a ga-a duringụ n'oge eji ya na-enweghị ikikere pụrụ iche nke dọkịta.

Hypoglycemia. Hypoglycemia na-eme ma ọ bụrụ na insulin nke insulin karịrị mkpa ọ dị. Ihe ọghọm nke ịrịa hypoglycemia dị elu na mmalite nke ọgwụgwọ insulin, mgbe ị na-agbanye na nhazi insulin ọzọ, na ndị ọrịa na-enwe oke ntinye glucose n'ọbara. Dị ka ọ dị na insulins niile, a ga-elebara anya pụrụ iche ma nyochaa nlebara anya nke glucose ọbara n'ọbara maka ndị ọrịa hypoglycemic nke nwere ike ịnwe ọfụma pụrụ iche, dị ka ndị ọrịa nwere nnukwu stenosis nke akwara ọbara ma ọ bụ akwara akwara (ihe egwu nke akwara obi ma ọ bụ nsogbu nke hypoglycemia), ka akwadoro. , yana ndị ọrịa nwere ọrịa retinopathy na-abawanye uru, ọkachasị ma ọ bụrụ na ha enwetaghị photocoagulation (usoro ọgwụgwọ laser), ebe ha nwere ihe ize ndụ nke trensient amaurosis (n'ụzọ zuru ezu) ìsì) na mmepe nke hypoglycemia.

Enwere ụfọdụ mgbaàmà na akara nke kwesịrị igosi onye ọrịa ma ọ bụ ndị ọzọ gbasara ịmalite hypoglycemia. Ndị a gụnyere mmụba ọsụsọ, udu mmiri n’akpụkpọ ahụ, tachycardia, ọgba aghara nke obi, ịba ụba ọbara mgbali, mgbu obi, ịma jijiji, ụjọ, agụụ ụra, ọgba aghara ụra, ụjọ, ịda mba, mgbakasị ahụ, omume pụrụ iche, nchekasị, paresthesia ọnụ na gburugburu ọnụ, pallor nke anụ ahụ, isi ọwụwa, nkwonkwo nkwonkwo akwara, yana nkwarụ akwara na-adị n’ofe (na-ekwu okwu n’abụ ọhụụ, na-arịa mkpọnwụ) na mmetụta pụrụ iche. Site n'ibelata mgbanye glucose, onye ọrịa nwere ike ịkwụsị njide onwe onye na ọbụna nsụhọ. N'ụdị ndị dị otú ahụ, enwere ike ịmịchaa ma ọ bụ iru mmiri nke akpụkpọ ahụ, ihe ọdịdọ nwekwara ike ịpụta. Ya mere, onye ọrịa ọ bụla nwere ọrịa shuga na-anata insulin ga-amụta ịmata akara ndị na-egosi na ịbawanye hypoglycemia. Ndị ọrịa na-enyocha mkpokọta glucose n'ọbara, o yikarịrị ka ịmalite ịmalite hypoglycemia. Onye ọrịa ahụ n'onwe ya nwere ike idozi mbelata mgbanye glucose ọbara ọ chọpụtara site na iri shuga ma ọ bụ nri nwere nnukwu Ntụziaka maka iji: m carbohydrates. Maka ebumnuche a, onye ọrịa ahụ kwesịrị ịnwe glucose 20 g mgbe niile. Na ọnọdụ siri ike karị nke hypoglycemia, a na-egosipụta ntụtụ glucagon (nke dọkịta ma ọ bụ ndị ọrụ nọọsụ nwere ike ịme ya). Mgbe mmezi zuru oke, onye ọrịa ahụ kwesịrị iri nri. Ọ bụrụ na enweghị ike iwepụ hypoglycemia ozugbo, mgbe ahụ, ekwesịrị ịkpọ dọkịta ozugbo. Ọ dị mkpa ịgwa dọkịta ozugbo maka mmepe nke hypoglycemia ka o wee mee mkpebi banyere mkpa ịhazigharị ọgwụ insulin.Ọ bụrụ na emeghị ihe oriri, ịpụ insulin insulin, ịba ụba insulin n'ihi ọrịa na-efe efe ma ọ bụ ọrịa ndị ọzọ, na mbelata ọrụ mmega ahụ nwere ike ibute mmụba nke glucose ọbara (hyperglycemia), ikekwe na-abawanye na ọkwa nke anụ ahụ ketone na ọbara (ketoacidosis). Ketoacidosis nwere ike itolite n’ime awa ole na ole ma ọ bụ ụbọchị ole na ole. Na mgbaàmà mbụ nke metabolic acidosis (akpịrị ịkpọ nkụ, urination ugboro ugboro, ụkọ nri, ike ọgwụgwụ, anụ ahụ akpọnwụ, iku ume na ngwa ngwa, oke acetone na glucose na mmamịrị), itinye ọgwụ ngwa ngwa dị mkpa.

Mgbe ị na-agbanwe dọkịta (dịka ọmụmaatụ, n’oge ụlọ ọgwụ n’ihi ihe ọghọm, ọrịa n’oge ezumike), onye ọrịa ahụ ga-agwa dọkịta na o nwere ọrịa shuga. E kwesiri ịdọ ndị ọrịa aka na ntị gbasara ọnọdụ mgbe ịdọ aka na ntị banyere mmepe nke hypoglycemia nwere ike gbanwee, belata ịkpọ ma ọ bụ na-anọghị ya, dịka ọmụmaatụ: site na mmụba dị ukwuu na njikwa glycemic, yana mmepe nke hypoglycemia, na ndị ọrịa agadi, na ndị ọrịa nwere ọrịa autonomic neuropathy, na ndị ọrịa nwere ogologo akụkọ ọrịa shuga, na ndị ọrịa n’otu oge na-anata ọgwụgwọ na ọgwụ ụfọdụ (lee mpaghara “Mmekọrịta na ọgwụ ndị ọzọ wdg. Ọnọdụ ndị dị otú a nwere ike iduga mmepe nke hypoglycemia siri ike (yana enwere ike na enweghị uche) tupu onye ọrịa achọpụta na ọ na-etolite hypoglycemia. Ọ bụrụ na achọpụtara na haemoglobin kwesịrị ọ dị otu ọ bụla ma ọ bụ belata ahụ, ekwesiri ịchebara ohere nke ịmalite ụdị hypoglycemia ugboro ugboro, nke a na-amabeghị.

Iji belata ihe ize ndụ nke hypoglycemia, onye ọrịa ahụ ga-agbasochi usoro ọgwụ edenye ya na usoro nri, na-achịkwa injections insulin nke ọma ma dọọ ya aka ná ntị banyere ihe mgbaàmà nke ịmalite ịmalite hypoglycemia. Ihe ndị na - eme ka ịbawanye ụba nke mmepe hypoglycemia chọrọ nlezianya nlebara anya ma nwee ike ịchọ mmezi dose. Ihe ndị a gụnyere: mgbanwe na mpaghara nchịkwa insulin, mmụba nke mmetụta insulin (dịka ọmụmaatụ, iwepụ ihe ndị na-akpata nchekasị), ihe ọhụrụ (ịba ụba ma ọ bụ ogologo oge ị na-emega ahụ), pathology intercurrent (vomiting, afọ ọsịsa), nri ezughi oke, nri nri, ị alcoholụ mmanya, ụfọdụ ọrịa ọrịa endocrine na - agbasaghị (dịka hypothyroidism na ụkọ nke isi akụkụ ma ọ bụ ezughi oke ihu), iji ọgwụ ụfọdụ eme ihe (lee. ngalaba “Nmekọrịta ya na ọgwụ ndị ọzọ”). Ọrịa na-arịa ọrịa intercurrent, a chọrọ nchịkwa metabolic siri ike. N'ọtụtụ oge, a na-egosi nnwale mmamịrị maka ọnụnọ nke ozu ketone, na nhazi nke insulin na-adịkarị mkpa. Mkpa insulin na-abawanye. Ndị ọrịa nwere ọrịa shuga nke 1 kwesịrị ịnọgide na-a consumeụ ntakịrị obere carbohydrates kwa ụbọchị, ọbụlagodi na ha nwere ike iri obere nri ma ọ bụ ọ bụrụ na ha nwere ọfọ, ha agatụghị akwụsị ịkwụsị insulin.

Mmeghari ahụ mgbochi mgbochi. N'ime ọnụ ọgụgụ dị ukwuu nke ndị ọrịa nwere insulin na-emetụta insulin nke anụmanụ, ọ na-esiri ike ịgbanwere insulin nke mmadụ n'ihi mmeghachi omume mgbochi insulin nke insulin mmadụ na insulin nke sitere anụmanụ. Site na mmụba dị ukwuu nke onye ọrịa ka insulin sitere na anụmanụ, yana m-cresol, ekwesịrị inyocha nnabata ọgwụ Insuman® Rapid GT n'ụlọ ọgwụ iji nyocha intradermal. Ọ bụrụ na mgbe a na - achọpụta insulin na - enyocha insulin mmadụ (mmeghachi omume ozugbo, dị ka Arthus), mgbe ahụ, a ga - eme ọgwụgwọ ọzọ n'okpuru nlekọta ahụike.

Mmetụta ikike ịkwọ ụgbọala ma ọ bụ usoro ndị ọzọ. Ike nke onye ọrịa itinye uche na ọsọ nke psychomotor mmeghachi omume nwere ike imebi n'ihi hypoglycemia ma ọ bụ hyperglycemia, yana nsonaazụ ọgba. Nke a nwere ike ibute otu nsogbu n'ọnọdụ ikike ndị a dị mkpa (ịnya ụgbọ ma ọ bụ usoro ndị ọzọ). Ekwesịrị ịgwa ndị ọrịa ka ha kpachara anya ma zere hypoglycemia mgbe ha na-anya ụgbọala. Nke a dị oke mkpa na ndị ọrịa belatara ma ọ bụ amaghị banyere mgbaàmà ndị na-egosi mmepe nke hypoglycemia, ma ọ bụ nwee nsogbu nke hypoglycemia ugboro ugboro. N'ime ndị ọrịa dị otu a, a ga-ekpebi ajụjụ gbasara ikwe ike iji ụgbọ ala ma ọ bụ usoro ndị ọzọ were ha.

Mmekọrịta na ọgwụ ndị ọzọ

Iji ọgwụ eme ihe na-emetụta ọnụ, ndị na-ahụ maka anglogens, na-emegharị enzyme inhibitors, na-enupụ isi, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, propoxyphene, salicylates, amphetamine, anabolic steroids and male phenylphosphamines, cyclophoromhamos , somatostatin na analogues, sulfonamides, tetracyclines, tritocqualin ma ọ bụ trophosphamide nwere ike ịkwalite Mmetụta hypoglycemic nke insulin ma bulie atụmanya na mmepe nke hypoglycemia.

The jikọrọ ojiji nke corticotropin, corticosteroids, danazol, diazoxide, diuretics, glucagon, isoniazid, estrogens na progestogens (dị ka ugbu a na a jikọrọ ogwu), phenothiazine nkwekọrịta, ibu hormone, sympathomimetic ọgwụ (e.g., epinephrine, salbutamol, terbutaline), thyroid hormone, barbiturates, nicotinic acid, phenolphthalein, ihe ndị sitere na phenytoin, doxazosin nwere ike ibelata mmetụta hypoglycemic nke insulin. Beta-blockers, clonidine, nnu nke lithium nwere ike belata ma ọ bụ mee ka ike insulinglycemic nwee mmetụta insulin.

Ethanol nwere ike itinye ike ma obu wedaa uto hypoglycemic nke insulin. Oriri Ethanol nwere ike ime ka hypoglycemia ma ọ bụ belata ntuziaka dị ala ugbua maka ojiji: glukos ọbara ruo ọkwa dị egwu. Ntinye Ethanol na ndị ọrịa na-anata insulin na-ebelata. Dọkịta gị ga-ekpebi ị amountsụ mmanya na-egbu egbu. Site na nchịkwa nke oge, mmepe nke hypoglycemia ga-ekwe omume, nke nwere ike gbanwee hyperglycemia mgbe ụfọdụ. Mgbe ejikọtara ya na ndị na-eme ọmịiko, dịka beta-igbochi, clonidine, guanethidine na reserpine, enweghị ike mgbazinye ma ọ bụ izu ezu nke mgbanwe mgbanwe (na nzaghachi hypoglycemia) ịgbalite sistemụ ọmịiko ọmịiko.

Ihe ngbanwe

Hypoglycemia. Mmetụta mmetụta uche na insulin ma ọ bụ akụkụ ọ bụla nke inyeaka ọgwụ ahụ. Ọ bụrụ n’inwe otu n’ime ọrịa ndị a ma ọ bụ ọnọdụ ha, jide n’aka ịkpọ dọkịta gị tupu ị theụọ ọgwụ ahụ. Iji nlezianya: N'ọnọdụ ọdịda akụrụngwa (ikekwe mbelata insulin chọrọ n'ihi mbelata metabolism metabolism). N'ime ndị ọrịa agadi (mbelata nke ọrụ akụrụ nwere ike ime ka mbelata insulin na-arịwanye elu). N'ime ndị ọrịa nwere ọrịa imeju (mkpa insulin nwere ike ibelata n'ihi mbelata ikike gluconeogenesis yana mbelata metabolism metabolism). N'ime ndị ọrịa nwere nnukwu akarị akwara na akwara akwara (akụkụ nke hypoglycemic nwere ike ịnwe ọfụma pụrụ iche, ebe ọ bụ na enwere ihe ọghọm nke ọrịa obi ma ọ bụ nsogbu ụbụrụ nke hypoglycemia). Ndị ọrịa nwere ọrịa retinopathy na-abawanye uru, ọkachasị ndị na-enwetabeghị ọgwụgwọ na photocoagulation (ọgwụgwọ laser), ebe ha nwere ihe ize ndụ nke trensient amaurosis na hypoglycemia zuru oke - kpuru ìsì zuru oke. N'ime ndị ọrịa nwere ọrịa intercurrent (ebe ọ bụ na ọrịa intercurrent na-abawanye mkpa insulin).

Ọ bụrụ n’inwe otu n’ime ọrịa ndị a ma ọ bụ ọnọdụ ha, jide n’aka ịkpọ dọkịta gị tupu ị theụọ ọgwụ ahụ. Ime ime na ịbọchi - withdewe Insuman® Rapid GT n'oge afọ ime ga-aga n'ihu. Insulin anaghị agafe ihe mgbochi placental. Maintenancenwe ọgwụ mgbochi ọrịa n'ụzọ dị mma n'oge afọ ime bụ ihe dịịrị ndị inyom nwere ọrịa shuga tupu ime ime, ma ọ bụ maka ndị inyom nweela ọrịa shuga. Mkpa insulin n'oge ime nwere ike ibelata n’oge ọnwa atọ mbụ dị n’afọ nke afọ ime, ọ na - etokarị n’oge ọnwa nke abụọ na nke atọ. Ozugbo amụrụ nwa, ọgwụ insulin na-agbada ngwa ngwa (ohere dị ukwuu nke hypoglycemia). N’ime afọ ime, ọkachasị mgbe amụchara nwa, a chọrọ iji nlezianya leba anya n’obara glucose na ọbara. Ọ bụrụ na ị dị ime ma ọ bụ na-eme atụmatụ ịtụrụ ime, jide n’aka gwa dọkịta gị. N'oge a na-enye nwa ara, enweghị mgbochi ọ bụla na usoro ọgwụgwọ insulin, agbanyeghị, enwere ike ịchọrọ insulin ọgwụ na ịmegharị nri.

Dodoụbiga ya ókè

Mgbaàmà: ins Anụbiga insulin ókè, dị ka ịtọ insulin gabigara ókè ma e jiri ya tụnyere nri ma ọ bụ ike a na-eri, nwere ike ibute ọrịa hypoglycemia dị egwu ma na-adị ogologo oge. Ọgwụ: Enwere ike kwụsịtụ ọtụtụ ọrịa hypoglycemia (onye ọrịa maara) site na ị inụ carbohydrates. May nwere ike ịhazigharị ọgwụ insulin, ị foodụ nri, na mmega ahụ. Ọnọdụ hypoglycemia dị njọ na coma, nkwarụ ma ọ bụ nkwarụ akwara nwere ike ịkwụsị site na nchịkwa intramuscular ma ọ bụ subcutaneous nke glucagon ma ọ bụ nchịkwa intravenous nke ihe ndozi dextrose. N’aka umuaka, egoro dextrose nke emegoro ka edobere ya n’iha nwata ahu. Mgbe ịbawanye mkpocha glucose na ọbara, enwere ike ịnweta oriri na-egbu carbohydrates na ilele anya, ebe ọ bụ na mgbe mwepu ahụike pụtara ìhè nke ọrịa hypoglycemia, ọ nwere ike ịmalite ọzọ. N'ihe banyere hypoglycemia siri ike ma ọ bụ ogologo oge na-esochi ntụtụ glucagon ma ọ bụ dextrose, a na-atụ aro ka emeghachi ya na iji dextrose na-enweghị ike iji gbochie ịmaliteghachi hypoglycemia. N'ime ụmụaka, ọ dị mkpa iji nlezianya nyochaa oke nke glucose n'ọbara, n'ihe metụtara mmepe nke hyperglycemia siri ike. N'okpuru ọnọdụ ụfọdụ, a na-atụ aro ka enye ndị ọrịa ụlọ ọgwụ na ngalaba nlekọta ahụ ike maka nlezianya nyochaa ọnọdụ ha na nleba anya nke usoro ọgwụgwọ ahụ.

Arụ Ọrụ: insulin soluble (ihe gbasara mkpụrụ ndụ ihe nketa) 3.571 mg (100 IU),Ndị e mere: metacresol (m-cresol) - 2.7 mg, sodium dihydrogen phosphate dihydrate - 2.1 mg, glycerol 85% - 18.824 mg, sodium hydroxide (iji dozie pH) - 0.576 mg, hydrochloric acid (iji dozie pH) - 0.232 mg, mmiri d / na - ihe ruru 1 ml

Nsonaazụ Insuman Rapid GT

Si usoro obi: ugboro amaghi - mbelata n’ọbara.

Site n'akụkụ nke metabolism na nri oriri: ọtụtụ mgbe - edema, ugboro amaghi - njigide sodium. Mmetụta mmetụta ndị a ga-ekwe omume na nkwalite nchịkwa metabolic na-ezughị ezu n'ihi ị ofụ ọgwụ insulin na-agbasi ike.

Site n'akụkụ akụkụ ahụ nke ọhụụ: a na-amabeghị ugboro ugboro - n'ọgba aghara na - adịte aka (n'ihi mgbanwe nwa oge na turgor nke anya anya na ntụgharị uche ha), nkwụsịtụ nwa oge na - arịa ọrịa mamịrị (site na ọgwụgwọ insulin na-agbasi ike na njikwa dị mma na njikwa glycemic), nrịanrịa dị ịtụnanya (na ndị ọrịa nwere ọrịa retinopathy adịghị, ọkachasị ma ọ bụrụ na ha abụghị, nweta ọgwụgwọ na photocoagulation (ọgwụgwọ laser).

Na akpụkpọ anụ ahụ a maghị ugboro ole - mmepe nke lipodystrophy na saịtị ịgba ahụ yana mbelata insulin nke mpaghara. Sitesgbanwe saịtị ntụtụ oge niile na mpaghara nchịkwa akwadoro nwere ike inye aka belata ma ọ bụ ịkwụsị mmeghachi ndị a.

Ọrịa na nkwarụ izugbe na saịtị ịgba ahụ: a maghị ugboro ole - nchapu, ihe mgbu, itching, urticaria, ọzịza ma ọ bụ mmeghachi omume na ebe a na-agba agba. A na - ahụkarị mmeghachi omume insulin na saịtị ịgbapụta na - apụkarị mgbe ụbọchị ole na ole ma ọ bụ ọtụtụ izu.

Ọrịa ịdoụ insulin gabigara ókè, dịka ọmụmaatụ, iwebata insulin karịrị akarị ma e jiri ya tụnyere nri riri nri ma ọ bụ ume ike, nwere ike ibute ọrịa hypoglycemia nke ukwuu.

Ọgwụgwọ: enwere ike ịkwụsị hypoglycemia (onye ọrịa maara) site na iwere carbohydrates n'ime. May nwere ike ịhazigharị ọgwụ insulin, ị foodụ nri, na mmega ahụ. Ọnọdụ hypoglycemia kachasị njọ na coma, nkwarụ ma ọ bụ nkwarụ akwara nwere ike ịkwụsị site na nchịkwa / m ma ọ bụ s / c nke glucagon ma ọ bụ iv nwere usoro dextrose siri ike. N’aka umuaka, egoro dextrose nke emegoro ka edobere ya n’iha nwata ahu. Mgbe ịbawanye mkpocha glucose na ọbara, enwere ike ịnweta oriri na ume nke carbohydrates na ilere anya, dịka mgbe ọpụsịrị ahụike njiri mara nke ọrịa hypoglycemia, ịmaliteghachi mmepe ya ga-ekwe omume. N'ihe banyere hypoglycemia siri ike ma ọ bụ ogologo oge na-esochi ntụtụ glucagon ma ọ bụ nchịkwa dextrose, a na-atụ aro ka etinye mmiri mgbakwunye dextrose dị obere iji gbochie ịmaliteghachi hypoglycemia. N'ime ụmụaka, ọ dị mkpa iji nlezianya nyochaa oke nke glucose n'ọbara, n'ihe metụtara mmepe nke hyperglycemia siri ike. N'okpuru ọnọdụ ụfọdụ, a na-atụ aro ka enye onye ọrịa n'ụlọ ọgwụ na ngalaba nlekọta ahụ ike maka nlezianya nyochaa ọnọdụ ha na nleba anya nke usoro ọgwụgwọ na-aga n'ihu.

Iji ọgwụ ọnụ na-eme ihe, ọgwụ ndị na-egbochi ACE, ndị na-egbochi mmadụ, ndị na-erube isi, ọgwụ ndị na-akpata ọgwụ, ọgwụ ndị na-akpali akpali, ọgwụ ndị na-akpali akpali, ọgwụ ndị na-akpali akpali, ọgwụ ndị na-eme ka mmadụ na-enwe mmekọahụ, cybenzoline, phenophosphamine, phenophosphamine na phenophosphamine na phenophosphamine ya analogues, sulfonamides, tetracyclines, tritokvalin ma ọ bụ trophosphamide nwere ike ịkwalite mmetụta hypoglycemic nke insulin na-abawanye draspolozhennost hypoglycemia.

The imekotaotuugbo ojiji nke corticotropin, corticosteroids, danazol, diazoxide, diuretics, glucagon, isoniazid, oestrogens na gestagens (e.g., ugbu a na PDA), phenothiazine nkwekọrịta, ibu hormone, sympathomimetic ọgwụ (e.g., epinephrine, salbutamol, terbutaline), thyroid homonụ, barbiturates, nicotinic acid, phenolphthalein, ihe ndị sitere na phenytoin, doxazosin nwere ike belata ike hypoglycemic mmetụta nke insulin.

Beta-blockers, clonidine, nnu nke lithium nwere ike belata ma ọ bụ mee ka ike insulinglycemic nwee mmetụta insulin.

Ethanol nwere ike belata ma ọ bụ mebie mmetụta hypoglycemic nke insulin. Ikike Ethanol nwere ike ime ka hypoglycemia ma ọ bụ belata ọkwa glucose ọbara dị ala nwute na ọkwa dị oke njọ.Ntinye Ethanol na ndị ọrịa na-anata insulin belatara. Dọkịta kwesịrị ikpebi ịnabata ego ethanol riri.

N'iji pentamidine mee ihe n'otu oge, mmepe nke hypoglycemia ga-ekwe omume, nke nwere ike gbanwee hyperglycemia mgbe ụfọdụ.

Iji otu oge na ndị na-ahụ maka ọmịiko, dịka beta-blockers, clonidine, guanethidine na reserpine, enweghị adịghị ike ma ọ bụ izu oke nke mgbaàmà mgbanwe (na nzaghachi hypoglycemia) ịgbalite sistemụ ọmịiko ọmịiko enwere ike.

Ekwesịrị ịchekwa ọgwụ a ebe gbara ọchịchịrị, ebe ụmụaka agaghị enweta ya na okpomọkụ nke 2 Celsius C ruo 8 Celsius. Ndụ shelf: afọ 2.

Ọgwụ E Nwere

HOECHST MARION ROUSSEL Aventis Pharma Deutschland GmbH Aventis Pharma Deutschland GmbH / Sanofi-Aventis Vostok, Sanofi-Aventis Deutschland GmbH / Sanofi-Aventis Vosto Sanofi-Aventis Vostok, ZAO

Ọnọdụ pụrụ iche

• 1 ml insluble insulin (injinia mkpụrụ ndụ mmadụ) 3.571 mg (100 IU) Ndị pụrụ iche: metacresol (m-cresol) - 2.7 mg, sodium dihydrogen phosphate dihydrate - 2.1 mg, glycerol 85% - 18.824 mg, sodium hydroxide (iji dozie pH) - 0,576 mg, hydrochloric acid (iji dozie pH) - 0.232 mg, mmiri d / i - ruo 1 ml. insulin soluble (injinia mkpụrụ ndụ mmadụ) 3.571 mg (100 IU) Ndị pụrụ iche: metacresol (m-cresol), sodium dihydrogen phosphate dihydrate, glycerol 85%, sodium hydroxide (iji dozie pH), hydrochloric acid (iji dozie pH), mmiri / na. insulin soluble (injinia mkpụrụ ndụ mmadụ) 3.571 mg (100 IU) Ndị pụrụ iche: metacresol (m-cresol), sodium dihydrogen phosphate dihydrate, glycerol 85%, sodium hydroxide (iji dozie pH), hydrochloric acid (iji dozie pH), mmiri / na.

Ngosiputa insuman Rapid GT

• - na usoro ọgwụgwọ dị mgbagwoju anya nke ọdịdọ ọdịdọ, yana ma ọ bụ na - enweghị nchịkọta nke abụọ, na ndị ọrịa nwere ọrịa afọ site na afọ 16 na karịa. Edere Wimpat® n'ụdị infusus n'ụdị mgbe ọgwụ enweghị ike iwere ya nwa oge

Ntinye ọgwụ mgbochi insuman

• - hypoglycemia, - hypersensitivity mmeghachi omume na insulin ma ọ bụ ihe ọ bụla nke inye ọgwụ ahụ. N'iji nlezianya mee, a ga-eji ọgwụ ahụ mee ihe banyere akụrụ nke akwara (mbelata insulin chọrọ n'ihi mbelata nke insulin metabolism), na ndị ọrịa nwere agadi (mbelata nke ọrụ mkpo ya nwere ike ibute mgbali insulin), na ndị ọrịa nwere oke ịba ọcha n'anya (insulin chọrọ nwere ike mbelata n'ihi mbelata ikike nke gluconeogenesis na mbelata metabolism metabolism), n’ime ndị ọrịa nwere nnukwu akarị akwara na akwara mkpụrụ (hypog) Ihe omume ice dị iche iche nwere ike ịnwe ọfụma pụrụ iche, ebe ọ bụ na enwere nnukwu nsogbu nke ọrịa obi ma ọ bụ ọrịa ụbụrụ nke hypoglycemia) na ndị ọrịa nwere protinerative retinopathy (ọkachasị ndị enwetabeghị ọgwụgwọ na photocoagulation (ọgwụgwọ laser), ebe ọ bụ na ha nwere ihe ize ndụ nke anwansi ahụ ma ọ bụ ọrịa hypoglycemia zuru oke). ,

Nsonaazụ insuman Rapid GT

• Hypoglycemia Hypoglycemia, ihe na-esokarị mmetụta insulin na-arụ, nwere ike ịmalite ma ọ bụrụ na ị doseụ insulin na-achịkwa karịa ọ dị ya mkpa. Ọnọdụ siri ike ugboro ugboro nke hypoglycemia nwere ike ibute mmepe nke mgbaàmà akwara, gụnyere coma, cramps. Ogologo oge ma ọ bụ nnukwu nsogbu nke hypoglycemia nwere ike ịnwe ndụ. N'ọtụtụ ndị ọrịa, mgbaàmà na ngosipụta nke neuroglycopenia nwere ike ibute akara nke mgbanwe mgbanwe (na nzaghachi na ịmalite hypoglycemia) nke sistemụ ọmịiko ọmịiko. Ọtụtụ mgbe, iji nkwupụta dị mkpịsị ma ọ bụ belata ngwa ngwa n'ọbara glucose n'ọbara, ihe nrịba ama nke ịgbanyụ sistemụ ọmịiko na ihe mgbaàmà ya na-ekwupụta karịa. Site na mbelata nke ukwuu na glucose n'ọbara, mmepe nke hypokalemia (nsogbu site na sistem ụbụrụ) ma ọ bụ mmepe nke ọrịa ụbụrụ ga-ekwe omume. Ihe ndị a bụ ihe omume ọjọọ na-achọpụta na ọnwụnwa nke ụlọọgwụ nke na-ahazi usoro ọmụmụ na sistemụ na-ebelata ugboro ole: ọtụtụ mgbe (? 1/10), ọtụtụ mgbe (? 1/100 na

Ọnọdụ nchekwa

• debe ebe nkụ
• Chekwaa na oyi na-atụ (t 2 - 5)
• zere ụmụaka
• chekwaa n’ebe gbara ọchịchịrị

Ozi nke State Register of Medicines nyere.

• Brinsulrapi MK, Brinsulrapi Ch, Insulin Actrapid, Levulin

Ọrịa shuga mellitus bụ nnukwu ọrịa na-emetụta ọtụtụ ndị kwa ụbọchị. Ihe ọ rụpụtara bụ n’ihi mmiri na carbohydrates n’ahụ mmadụ.

N'ihi ya, ọrụ pancreas, nke na - emepụta insulin, anaghị arụ ọrụ. Homonụ a na - etinye aka na nhazi shuga n'ime glucose, ma ọ bụrụ na ahụ ya enweghị ike ịme nke a.

Yabụ, shuga na-agbakọta n'ọbara onye ọrịa, wee wepụta ya na nnukwu olu yana mmamịrị. Na nke a, a na - agbanye metabolism mmiri, nke a na - ebute nsonaazụ nke nnukwu mmiri site na akụrụ.

Rue oge ugbu a, ọgwụ nwere ike inye ọtụtụ ihe nnọchianya, dị n'ụdị usoro nke ntụtụ. Otu ọgwụ dị otú ahụ bụ Insuman, nke a ga-atụle n'isiokwu a.

Insuman Rapid GT - mkpịsị sirinji nke nwere otu esi eji ya mee ihe. Na-ezo aka na otu ọgwụ ọgwụ nke nwere insulin mmadụ. Ihe nyocha insuman Rapid GT dị elu. O nwere ikike imeju maka ụkọ insulin nke na-eme ahụ, nke edobere n'ọbara na -eme ahụ.

Ọzọkwa, ọgwụ nwere ike iwetulata glucose n'ọbara mmadụ. A na-eji ọgwụ a n’ụdị nke injection subcutaneous. Ihe a na-eme n’ime nkeji iri atọ mgbe mm ụb ụla, rutere n’ogologo mgbe otu elekere abụọ ma ọ nwere ike gaa n’ihu, dabere n ’ịgba ntụtụ, ihe dị ka awa ise ruo asatọ.

SUSP. Insuman Bazal GT (sirinji mkpịsị)

Insuman Bazal GT sokwa n’otu ọgwụ ọgwụ nke ya na insulin na-arụ ọrụ mmadụ, nwere oge ihe ha ji arụ ọrụ ma nwee ikike imeju maka enweghi insulin na-agwụ ike n’ahụ mmadụ.

Banyere insulin Bazal GT nyocha nke ndị ọrịa na-adịkarị mma. Ọgwụ nwere ike belata glucose ọbara. A na-edozi ọgwụ ahụ n'okpuru ala, a na-ahụ nsonaazụ ahụ ruo ọtụtụ awa, na-enweta nsonaazụ kachasị mgbe awa anọ ma ọ bụ isii gachara. Ogologo oge a na-eme ihe dabere na ntụtụ ọnya ahụ, dịka iwu, ọ dị iche na awa iri na otu ruo iri abụọ.

Ihe ngosi maka ojiji

• ọrịa mamịrị
• acidosis
• ọrịa shuga mellitus n'ihi ihe dị iche iche: arụ ọrụ ịwa ahụ, ọrịa na-esonyere ọkụ, yana ọrịa metabolic, mgbe amuchara nwa.
• Ọnọdụ predkomatoznoe, nke bụ n'ihi na mpụga akụkụ nke nsụhọ, mbụ mmalite nke mmepe nke coma.

• insulin na-arịa ọrịa shuga mellitus,
• ọrịa shuga na-arịa ọrịa shuga dị ala,
• na-eme ọgwụgwọ ọgwụgwọ ọdịnala.

Vidiyo ndị metụtara

Banyere nuances nke iji insulin ọgwụ Insuman Rapit na Basal na vidiyo:

A na-eji insuman agwọ ndị ọrịa nwere ọrịa mellitus. Ọ bụ insulin mmadụ. Lowers glucose na-eme maka ụkọ insulin. Enwe dị ka ihe ngwọta doro anya maka ịgba ntụtụ. Usoro ọgwụgwọ ahụ, ka a na-achịkwa, maka onye ọrịa ọ bụla iche iche, gbakọọ dabere na njiri mara usoro ọrịa ahụ.

Insulin "Insuman Rapid GT" ga - enyere aka ịnye nsonye nbelata shuga n'ụdị ọnọdụ nkeji ọbụla. E kwuwerị, ọrịa shuga bụ ọrịa siri ike nke na-ebutekarị ọnwụ ma ọ bụ nkwarụ. Maka nzaghachi n'oge, ndị na-enweghị enyemaka bụ inje insulin ngwa ngwa.

Ngwakọta na ụkpụrụ nke ekpughere anụ ahụ

N'ime 1 ml nke ihe nwere:

• 100 IU nke insulin soluble na mmadụ, nke kwekọrọ na 3,571 mg nke homonụ mmadụ.
• Agbakwunye:
  • glycerol 85%,
  • metacresol
  • sodium hydroxide
  • hydrochloric acid
  • sodium dihydrogen phosphate dihydrate,
  • mmiri anya mmiri.

Ọgwụ hypoglycemic "Insuman Rapid GT" na-ezo aka insulins adịghị adị mkpụmkpụ. International Nonproprietary Aha (INN) -. Ndị injinia Gene jisiri ike nweta mmiri, insulin. O nwere ọria ọgwụgwọ ngwa ngwa, na oge o ruru awa 9. Mmetụta ịdalata shuga na-egosipụta onwe ya mgbe nkeji 30 gachara, na-eru ogo ya, na nkezi, mgbe awa 2-3 gachara, dabere na metabolism na ọrụ nke akụrụ.

Ọgwụ na-emetụta ahụ dị ka ndị a:

Ọgwụ a na-enye aka na mmepụta nke glycogen.

• na-enyere aka belata shuga ọbara
• na-eme ka protein ahọpụta,
• Ọ na - enyere mkpụrụ ndụ ọbara saturate aka na ya
• na-egbochi ndabichi nke lipid,
• Na-eme ka usoro glucose na carbohydrate gharazie abụba ngwa ngwa.
• Mkpụrụ ndụ amino acid na-emejupụta mkpụrụ ndụ.
• na-abawanye glycogen guzobere,
• ọ na - eme ka uru sitena glucose metabolism kwụsị,
• na-ebelata ọsọ nke usoro catabolic.

Mkpịsị sirinji “Solostar” maka otu ihe nwere ike belata usoro eji edozi insulin. Ọ naghị ewe ogologo oge ma jiri nlezianya dọta ọgwụ ahụ na sirinji insulin: ọgwụ ịgba ahụ adịlarị ntụtụ.

Ihe ngosi na ntuziaka maka ojiji

Ekwuputara insulin ngwa-ngwa maka iji:

• ndị nwere ọrịa shuga na-arịa ọrịa shuga mellitus,
• maka iwepu hyperglycemic coma na ịgwọ ketoacidosis,
• dịka ntinye aka na ntanetị maka ndị ọrịa mamịrị.

Iji dozie ọgwụ ahụ n'ụzọ ziri ezi, ọ ka mma ịgụ ntuziaka ahụ tupu iji ya.

Iji belata ihe egwu dị n ’ụzọ ọjọọ ọgwụ were were tupu ị were ya, ezughị agụ ntuziaka maka iji ya. Ọ dị mkpa ịgakwuru dọkịta gị ma gụkọta usoro ị nwere, nke dabere n'ọtụtụ ihe. Kacha nkịtị n’ime ha bụ:

• larịị nke onye ọrịa,
• ndu ndu
• nri
• okike, afọ na ibu
• na-a medicationsụ ọgwụ ndị ọzọ
• ọnụnọ nke ọrịa na-adịghị ala ala.

Okwesiri iburu n’uche na oburu na agbanwee otu ihe edepụtara edere, ị ga-aguta dọkịta ozo iji nwetaghachi usoro ogwu a. Ọbụna obere mgbanwe n’arụ ahụ nwere ike ibute nsonaazụ ndị na-adịghị mma ma ọ bụrụ na i meghachighị ọgwụ insulin n'oge.

Ntụziaka ahụ nwekwara ntuziaka maka ndị ọrịa niile:

• A na-enye ọgwụ ahụ n’okpuru anụ ahụ tupu i rie nri ruo minit 15-20.
• Iji gbochie mmeghachi omume anụ ahụ, ọ bara uru itinye ntụtụ gaa ebe dị iche iche oge niile.
• Ọnụ ego metabolism bụ ihe dịka 50% nke insulin kwa ụbọchị.
• Kwa ụbọchị, ihe dị mkpa anụ ahụ insulin bụ 0,5-1.0 IU kwa 1 n'arọ nke ịdị ahịrị ya.
• Enwere ike ịgwọ ọgwụ ahụ intraven naanị naanị n'okpuru nlekọta nke ndị dọkịta n'otu ọnọdụ ụlọ ọgwụ.

Kedu ka ọgwụ ahụ si arụ ọrụ?

Insuman bụ insulin sitere na mkpụrụ ndụ mmadụ. N'usoro nke ụlọ ọrụ mmepụta ihe, a na-emepụta hormone ahụ site na iji nje bacteria. E jiri ya tụnyere insulins ndị a na-emebu, injin sitere na mkpụrụ ndụ ihe nketa nwere mmetụta kwụsiri ike na nhicha mma.

Na mbụ, ebumnuche nke ọgwụ insulin bụ ịlụ ọgụ ọnwụ. Site na mbata insulin nke mmadụ, ihe ịma aka a agbanwewo. Ugbu a anyị na-ekwu maka iwelata ihe ize ndụ nke nsogbu na ndụ zuru oke nke ndị ọrịa. N'ezie, imezu nke a na analogs insulin dị mfe, mana na insuman kwụsiri ike maka ọrịa shuga enwere ike. Iji mee nke a, ịkwesịrị iji nlezianya gụọ ntuziaka maka ọgwụ, profaịlụ nke omume ya, mụta ma dozie ya n'oge.

Ọrịa shuga na oke nrụgide ga-abụ ihe mgbe ochie

Ọrịa shuga bụ ihe na-akpata ihe fọrọ nke nta ka ọ bụrụ 80% nke ọrịa strok na mgbatị niile. 7 n’ime mmadụ 10 n’ime mmadụ na-anwụ n’ihi akwara mkpụrụobi ma ọ bụ ụbụrụ nwere oghere. N'ihe fọrọ nke nta ka ọ bụrụ okwu niile, ihe kpatara njedebe a dị oke egwu bụ otu - shuga dị n'ọbara.

Enwere ike ịkwatu shuga, ma ọ bụghị. Mana nke a anaghị agwọ ọrịa ahụ n'onwe ya, kama ọ na - enyere aka ịlụ ọgụ nyocha, ọ bụghị ihe kpatara ọrịa ahụ.

Naanị ọgwụ a na-atụ aro maka ọrịa shuga na ndị endocrinologists jiri rụọ ọrụ ha bụ patch Ji Dao patch.

Ofgwọ ọgwụ ọfụma, gbakọrọ dịka usoro ọkọlọtọ (ọnụọgụ ndị ọrịa nwetụtara ọnụọgụ ndị ọrịa nọ n’otu narị mmadụ 100 e si nweta ọgwụgwọ) bụ:

• Normalization shuga - 95%
• Mwepu nke akwara mbufụt - 70%
• Mwepu nke obi di obia - 90%
• Bibie ọbara mgbali elu - 92%
• Ime ka ubochi di elu, meghari ura n'abali - 97%

Ndị na-emepụta Ji Dao abụghị nzukọ azụmahịa, steeti na-akwụkwa ya ụgwọ. Ya mere, ugbu a onye obibi ọ bụla nwere ohere ịnweta ọgwụ ahụ na mbelata 50%.

Ngwakọta nke homonụ ahụ n’akpa ike nwere adịghị agbanwe agbanwe. Ntọhapụ kachasị nke insulin na-eme na nzaghachi na glucose na-abanye na arịa ọbara site na nri. Agbanyeghị, ọ bụrụ na agụụ na-agụ mmadụ ma ọ bụ hie ụra, a ka nwere insulin n'ọbara, n'agbanyeghị nke pere mpe - n'ogo a na-akpọ basal. Mgbe mmepụta nke homonụ na-akwụsị site na ọrịa shuga, a na-amalite ọgwụgwọ mkpụrụ ọgwụ. Nke a na - achọkarị insulin 2. Ọkwa basal na-e Insomi Insuman Bazal, ọ na-abanye n'ọbara nwayọ nwayọ, ogologo oge yana obere akụkụ. Ejiri shuga mgbe o risịrị nri iji belata Insuman Rapid, nke na-erute arịa ndị ahụ ọsọsọ.

Atụmatụ iche nke Insumans:

Ihe ngosiputa		GT ọsọ	Bazal GT
Ngwakọta		Insulin nke mmadụ, ihe ndị na-ebelata nsogbu ịgwọ ọrịa, ihe ndị na-agbazi acidity. Ndị na - arịa ọrịa Allergy kwesịrị ịmata onwe ha na ndepụta nke ndị ọbịa akọwapụtara na ntuziaka ahụ.	Iji mee ka homonụ nke nwayọ nwayọ site na anụ ahụ dị n'okpuru ala, a na-etinye sọlfọ protamine na ya. A na-akpọ njikọ a insulin-isophan.
Otu a		Short	Ọkara (ewere ogologo oge ruo mgbe insulin analogues pụtara)
Profaịlụ nke omume, awa	mbido	0,5	1
	elu	1-4	3–4, ọnụ ọgụgụ kasị elu adịghị ike.
	oge	7-9	11-20, ka ị theụ ọgwụ dị elu, ogologo oge ị na-eme ya.
Ihe na-egosi		Usoro ọgwụgwọ insulin maka ụdị 1 na ụdị ọrịa ogologo oge ogologo 2. Imezi nnukwu nsogbu ọrịa shuga, gụnyere ọgwụ na-abụghị insulin. Nwa oge maka oge ịba ụba hormone chọrọ. Nwa oge banyere contraindications maka iwere mbadamba shuga dị ala.	Ọ bụ naanị ọrịa shuga na-akpata insulin. Enwere ike iji ya na-enweghị Rapid HT ma ọ bụrụ na insulin chọrọ ala. Iji maa atụ, na mmalite insulin ọgwụ, ụdị shuga 2.
Ofzọ nlekọta		N'ụlọ - subcutaneously, na ụlọ ọgwụ - intravenously.	Naanị subcutaneously na mkpịsị mkpụrụ osisi ma ọ bụ U100 insulin.

Iwu ntinye

Mkpa insulin bụ otu onye maka ndị ọrịa mamịrị ọ bụla. Dịka iwu, ndị ọrịa nwere ụdị 2 na oke ibu chọrọ hormone ọzọ. Dabere na ntuziaka maka ojiji, ná nkezi kwa ụbọchị, ndị ọrịa na-abanyekwa otu 1 ọgwụ ọgwụ kwa kilogram nke ịdị arọ. Onu ogugu a gụnyere Insuman Bazal na Rapid. Short insulin nwere 40-60% nke ngụkọta.

Insuman Bazal

Ebe Insuman Bazal GT na-arụ ọrụ na-erughị otu ụbọchị, ị ga-abanye ya ugboro abụọ: n'ụtụtụ mgbe ị nwesịrị shuga na tupu ịlakpu ụra. A na-agbakọ doses maka nchịkwa ọ bụla iche. Maka nke a, enwere usoro pụrụ iche nke na-eburu n'uche mmetụta nke homonụ na glycemia. Dose kwesịrị ekwesị kwesịrị idobe ọkwa shuga n’oge agụụ na-agụ onye na-arịa ọrịa shuga.

Insuman Bazal bụ nkwusioru, mgbe a na-echekwa ya: a ga-edozigharị usoro a kachasị elu, ntụpọ ọcha dị na ala. Tupu ntụtụ ọ bụla, ọgwụ ahụ na pen mkpa mix ọma . Ọ bụrụ na nkwụghachi ahụ na-eyiwanye otu, ka a ga-eweghachi ọgwụ ole achọrọ. Insuman Bazal dị mfe ịkwadebe maka nchịkwa karịa insulins ndị ọzọ. Iji mee ka agwakọta, a na-eji bọọdụ atọ kwoo cartridges, nke na-eme ka o kwe omume ịnweta ụdị nke nkwusioru ahụ zuru oke na 6 pensụl syringe.

Njikere iji Insuman Bazal nwere otu ocha di otu. Ihe ịrịba ama nke mmebi nke ọgwụ ahụ bụ flakes, kristal, na blot nke agba dị iche na kadi ahụ mgbe agwakọchara.

Usoro ogwu

Emepụtara insuman site na ụdị nke mepụtara 5 ml vials, cartilges 3 ml na mkpịsị mkpụrụ sili. N'ime ụlọ ahịa ọgwụ Russia, ọ kachasị mfe ịzụta ọgwụ etinyere na pensụl syringe SoloStar. Ha nwere insulin 3 nke insulin na enweghi ike iji ya mgbe ọgwụchara ya mechara.

Uzo esi abanye insuman:

1. Iji belata ihe mgbu nke ntụtụ ma belata ihe ize ndụ nke lipodystrophy, ọgwụ dị na pen sirinji kwesịrị ịdị na nrị okpomọkụ.
2. Tupu iji ya, a na-enyocha Cartridge ahụ nke ọma maka ihe ịrịba ama nke mmebi. Ka onye ọrịa wee ghara iduhie ụdị insulin, a na-eji mkpịsị agba nwere akara agba nke kwekọrọ na agba nke ihe edetu na ngwugwu ahụ. Insuman Bazal GT - akwụkwọ ndụ akwụkwọ ndụ, Rapid GT - edo edo.
3. A na-akpọgharị Insuman Bazal n'agbata n'ọbụ aka ọtụtụ oge ịgwakọta.
4. A na-ewere agịga ọhụrụ maka ntụtụ ọ bụla. Jiri ihe mebiri emebi nke anụ ahụ dị n’okpuru. Ihe agịga ọ bụla dị n'ụwa yiri pensụl SoloStar: MicroFine, Insupen, NovoFine na ndị ọzọ. A họrọ ogologo nke agịga dabere na ọkpụrụkpụ nke subcutaneous abụba.
5. Mkpịsị sirinji na-enye gị ohere ịgụnye ọnụego 1 ruo 80. Insumana, izi ezi dosing - 1 unit. N’aka umuaka na ndi oria n’aricha nri carbohydrate, mkpa homonu nwere ike di obere, ha choro izizi di elu karie onodu ogwu. SoloStar adabara ụdị ikpe a.
6. Ọ kacha mma ka a na-enyocha insuman Rapid na afọ, Insuman Bazal - na apata ụkwụ ma ọ bụ n'akụkụ ikpere.
7. Mgbe iwebata usoro ahụ, agịga ahụ dị n'ahụ ahụ maka sekọnd iri ọzọ ka ọgwụ ahụ wee ghara ịwụ.
8. Mgbe ọ bụla ị gachara, a na-ewepụ agịga. Insulin na-atụ egwu anwụ, yabụ ịkwesịrị iji okpu mechie katriel ozugbo.

Mmetụta akụkụ

Ọ bụrụ na a na-enye ọgwụ ahụ karịa ka achọrọ, ọ na-apụta. Ọ bụ ya bụ mmetụta na-esokarị ọgwụ insulin, n'agbanyeghị ụdị insulin eji. Hypoglycemia nwere ike ịka njọ ngwa ngwa, yabụ na ntakịrị ntakịrị shuga dị n'okpuru ala kwesịrị iwepụ ya ozugbo.

Ihe mmetụta Insuman gụnyekwara:

Dọkịta nke Sciences Medical, Isi nke Institute of Diabetology - Tatyana Yakovleva

M na-amụ ọrịa shuga kemgbe ọtụtụ afọ. Ọ na-atụ ụjọ mgbe ọtụtụ mmadụ nwụrụ, nweekwa nkwarụ karịa n'ihi ọrịa shuga.

Emere m ngwa ngwa izisa ozi ọma - thelọ Ọrụ Nnyocha Ọgwụ Endocrinology nke Mahadum Ọgwụ nke Russia jisiri ike mepụta ọgwụ na-agwọ ọrịa shuga kpamkpam. N'oge a, ịdị irè nke ọgwụ a na-eru nso 98%.

Ozi ọma ọzọ: Ministri Ahụike echekwaala maka mmemme pụrụ iche nke na-akwụ ụgwọ ọgwụ dị elu. Na Russia, ndị ọrịa mamịrị ruo Eprel 23 (nke gụnyere) nwere ike inweta ya - Naanị 147 rubles!

1. Allergy na akụkụ nke ihe ngwọta. A na-egosikarị ya na itching, redness, friza na mpaghara nchịkwa. Ọtụtụ mgbe, (dịka ntuziaka ahụ si dị, ihe na-erughị 1%) mmeghachi omume anaphylactic na-eme: bronchospasm, edema, mbelata mgbali, ujo.
2. Njide sodium. A na-ahụkarị ya na mbido ọgwụgwọ, mgbe shuga sitere na ọnụọgụ dị elu na-adalata na nkịtị. Hypernatremia na-esoro edema, ọbara mgbali elu, akpịrị ịkpọ nkụ, oke iwe.
3. Formationmepụta ọgwụ mgbochi ọrịa na-egbochi insulin n'ime ahụ bụ ihe e ji mara insulin ọgwụ ogologo oge. N'okwu a, mmụba na ọgwụ insuman chọrọ. Ọ bụrụ na ọgwụ achọrọ buru oke ibu, a na-enyefe onye ọrịa ahụ n'ụdị insulin ọzọ ma ọ bụ ọgwụ ọgwụ immunosuppressive ka edepụtara ya.
4. Ọganiihu n’ụzọ dị ịtụnanya na-akwụ ụgwọ ọrịa shuga nwere ike ibute nkwarụ anya nke nwa oge.

Ọtụtụ mgbe, ahụ na-eji nwayọ arụ ọrụ insulin, ọnya ahụ akwụsị. Ọ bụrụ na nsonaazụ n'akụkụ ọ bụla na-eyi ndụ egwu (nsogbu anaphylactic) ma ọ bụ na-apụ n'anya mgbe izu abụọ gachara, ọ ga-adị mma iji dochie ọgwụ ahụ na analog. Insuman Bazal GT - ma ọ bụ, Rapid GT -, ma ọ bụ Regular Humgular. Ọgwụ ndị a dị iche naanị Profaịlụ a na-eme ihe bụ otu maka ha. Mgbe ha nwere insulin nke mmadụ, ọ na-agbanwe insulin analogues.

Ọnụ ego insuman dị ka ọnụ ahịa ụtụ isi ya. Ọgwụ a na-eji sirinji eji ihe dị ka 1100 rubles. kwa 15 milimita (nkeji 1500, mkpụrụedemede 5). Isofan-insulin bu ihe edere na listi ogwu di nkpa, ya mere ndi oke oria ji eme ya ikike ịnata ya n'efu .