Humulin® NPH (nkwusioru maka nchịkwa subcutaneous, 10 ml) insulin nwere nsogbu (injinị mkpụrụ ndụ mmadụ)
Nkwụsị nke ọchịchị nchịkwa | 1 ml |
ike ọrụ: | |
insulin mmadu | 100 ME |
ndị na-ebu ụzọ: metacresol - 1.6 mg, phenol - 0.65 mg, glycerol (glycerin) - 16 mg, protamine sulfate - 0.348 mg, sodium hydrogen phosphate heptahydrate - 3.78 mg, zinc oxide - q.s. iji nweta zinc ion nke na-erughi 40 μg, 10% hydrochloric acid solution - q.s. ruo pH 6.9-7.8, 10% sodium hydroxide ngwọta - q.s. mmiri ruo pH 6.9-7.8; mmiri igba ntụtụ ruo 1 ml |
Usoro onunu ogwu na nhazi
S / c n'ubu, apata ụkwụ, aka ekpe ma ọ bụ afọ. A na-ahapụ nchịkwa intramuscular.
Ọ bụ dọkịta ga-ekpebi dose Humulin ® NPH n'otu n'otu, dabere na glucose dị n'ọbara. N'ime / na ntinye ọgwụ Humulin ® NPH bụ contraindicated.
Okpomọkụ dị iche iche nke ọgwụ a na-elekọta kwesịrị ịdị na n ụlọ ahụ. Ekwesịrị ịgbanye saịtị ndị injection ahụ ka ejiri otu ebe ahụ karịa ihe dịka otu ọnwa. Site na nchịkwa insulin nke s / c, a ga-akpachara anya ịbanye na arịa ọbara. Mgbe ogwu ogbugba gasịrị, ekwesighi ịhịa aka ntụtụ.
Ekwesịrị ịzụ ndị ọrịa ka esi eji ngwaọrụ nnabata insulin ya mee ihe nke ọma. Usoro nchịkwa insulin dị iche iche.
Nkwadebe maka okwu mmeghe
Maka nkwadebe Humulin ® NPH na vials. Ozugbo ejiri ya, a ga-agbagharị vials Humulin ® NPH ọtụtụ oge n'etiti nkwụ n'ọtụtụ ruo mgbe etinyegharị insulin kpamkpam ruo mgbe ọ ghọrọ mmiri ma ọ bụ mmiri ara na-agakọ. Atụla jijiji n'ike, dị ka nke a nwere ike ibute ụfụfụ, nke nwere ike igbochi ọgwụ kwesịrị ekwesị. Ejila insulin ma ọ bụrụ na o nwere flakes mgbe agwakọtara ma ọ bụ irighiri ihe na-acha ọcha siri ike na-agbado na okpuru ma ọ bụ mgbidi nke vial, na-ekepụta mmetụta nke usoro ikuku. Jiri sirinji insulin nke kwekọrọ na mkpokọta insulin.
Maka nkwadebe Humulin ® NPH na katrized. Ozugbo ejiri, Humulin ® NPH kwesịrị ịkwagide n'etiti n'ọbụ aka ugboro iri wee maa jijiji, na-atụgharị 180 Celsius ugboro 10 ruo mgbe insulin gagharigharịrị ruo mgbe ọ ghọrọ akwa mmiri ma ọ bụ mmiri ara edo edo. Atụla jijiji n'ike, dị ka nke a nwere ike ibute ụfụfụ, nke nwere ike igbochi ọgwụ kwesịrị ekwesị. N'ime katriiki ọ bụla, nwere obere bọl karama nke na-eme ka ịgwakọta insulin. Ejila insulin ma ọ bụrụ na enwere flakes mgbe agwakọta. Ngwaọrụ nke katalọgụ anaghị ekwe ka agwakọta ihe ndị dị n’ime ya na ihe ndị ọzọ dị na katriiki n’onwe ya. Edeghị Cart Cartges. Tupu ntụtụ ahụ, ọ dị mkpa iji aka gị mata ntụziaka nke onye nrụpụta maka iji mkpụrụ edemede sirinji maka inye insulin.
Maka Humulin ® NPH na QuickPen ™ Syringe Pen. Tupu ntụtụ, ị ga-agụ QuickPen ™ Syringe Pen Instructions maka Jiri.
Ntinye Pen Sydee QuickPen.
QuickPen ™ Syringe Pen dị mfe iji. Ọ bụ ngwaọrụ iji duzie insulin (mkpịsị insulin na-eji insulin) nwere 3 ml (300 PIECES) nke nkwadebe insulin nwere ọrụ nke 100 IU / ml. You nwere ike tinye site na nha 1 insulin 60 na ntụtụ. You nwere ike ị dozie dose ahụ na izi ezi nke otu mpaghara. Ọ bụrụ na etinyere ọtụtụ nkeji, enwere ike idozi dose ahụ n’enweghi insulin. A na-atụ aro QuickPen ™ Syringe Pen maka iji agịga mmepụta Becton, Dickinson na Companylọ Ọrụ (BD) maka ogwe eji ogwu Tupu iji mkpịsị sirinji, gbaa mbọ hụ na agịga ahụ dị n’akpa sirinji.
N’ọdịnihu, aga-eso iwu ndị a.
1. Soro iwu asepsis na ọgwụ antiseptics nke dọkịta gị tụrụ aro ya.
3. Họrọ ebe igba ogwu.
4. Ghichaa anụ ahụ na ntụtụ.
5. Ebe saịtị ịgba ọzọ ka ị ga-eji otu ebe ahụ ihe karịa otu ugboro n'ọnwa.
QuickPen ™ Syringe Pen Nkwadebe na Okwu Mmalite
1. Mepụta okpu nke mkpụrụ sirinji ka iwepu ya. Emegharịgharị okpu. Ewepula akara sitere na sirinji pen. Gbaa mbọ hụ na enyocha insulin maka ụdị insulin, ụbọchị ngafe, ọdịdị. Jiri nwayọ tụgharịa sirinji ugboro iri n'etiti ọbụ aka gị ma gbanye mkpịsị mkpụrụ 10 ugboro.
2. Were agịga ọhụrụ. Wepu ihe mmado mpempe akwụkwọ n’elu isi mpụta agịga. Jiri akwa swab hichaa diski roba na njedebe nke ihe nkwakọ ngwaahịa ahụ. Gbakwunye agịga dị na okpu ahụ, na mberede, na pen sirinji. Ghaa agịga ahụ ruo mgbe jikọtara ya nke ọma.
3. Wepu okpu dị na mpụta. Atụfula ya. Wepu okpu nke agịga ma tụfuo ya.
4. Lelee QuickPen ™ Syringe Pen maka insulin. Oge ọ bụla ị ga-elele nnabata nke insulin. Nyochapụta nnyefe insulin site na sirinji mkpirisi ka a ga-eme tupu ntụtụ ọ bụla ruo mgbe nnwale nke insulin pụtara iji jide n'aka na mkpịsị sirinji dị njikere maka dose ahụ.
Ọ bụrụ n ’enyochaghị insulin tupu nsogbu ahụ apụta, ị nwere ike nweta ntakịrị insulin ma ọ bụ nke ukwuu.
5. Mezie anụ ahụ site na ịdọpụta ya ma ọ bụ chịkọta ya na nnukwu ogige. Tinye ntụtụ skị site na iji usoro ntụtụ dọkịta gị gwara gị. Tinye mkpịsị aka gị na bọtịnụ ọgwụ wee pịa sie ike ruo mgbe ọ kwụsịrị kpam kpam. Enterbanye njupụta zuru ezu, jide bọtịnụ dose ma jiri nwayọ gụọ 5.
6. Wepu agịga ahụ ma jiri nwayọọ sụchaa ebe ịgba ọgwụ ntụtụ ahụ ruo ọtụtụ sekọnd. Etekwala ebe a na-agba ntụtụ. Ọ bụrụ na insulin si na agịga dapụta, o yikarịrị ka onye ọrịa ahụ ejideghị agịga ahụ n'okpuru akpụkpọ ahụ ogologo oge. Ọnụnọ nke insulin ins na n'ọnụ nke agịga bụ ihe dị otú o kwesịrị, ọ gaghị emetụta dose ahụ.
7. Iji okpu agịga, wepụpụ agịga ma kpofu ya.
A na-ebipụta ọnụọgụ dị na windo ngosipụta nke ọnụọgụ dịka ọnụọgụ, ọnụọgụ dị iche iche dịka ahịrị kwụ ọtọ n'etiti nọmba.
Ọ bụrụ na usoro achọrọ maka nchịkwa karịrị ọnụọgụ nkeji fọdụrụ na plọg, ị nwere ike tinye insulin nke fọdụrụnụ wee jiri pen ọhụrụ mezue nchịkwa nke ọgwụ achọrọ, ma ọ bụ tinye pensụ ọhụrụ edee.
Agbalịla ịgba ọgwụ insulin site na ịgbagharị bọtịnụ dose. Onye ọrịa ahụ agaghị enweta insulin ma ọ bụrụ na ọ tụgharịa bọtịnụ ọ̀tụ̀tụ̀. Mustkwesịrị pịa bọtịnụ dose ahụ na ahịrị abụọ ka ị nweta insulin.
Agbalịla ịgbanwe ọgwụ insulin n'oge a na-agba ya.
Rịba ama Mkpịsị sirinji agaghị ekwe ka onye ọrịa wepụta ọgwụ insulin karịa ngafe nke mkpụrụ nkeji na-apụ na sirinji. Ọ bụrụ n ’ijide n’aka na a na-enye ọgwụ zuru ezu, ịgaghị abanye na nke ọzọ. Kwesịrị ịgụ ma soro ntuziaka dị na ntuziaka maka ojiji nke ọgwụ. Ọ dị mkpa inyocha akara dị na pen sirinji tupu ntụtụ ọ bụla, iji jide n'aka na ụbọchị ngafe nke ọgwụ ahụ agwụbeghị ma onye ọrịa ahụ ejiri ụdị insulin ahụ ziri ezi, ewepụla aha ahụ na pen sirinji.
Agba nke QuickPick ™ syringe pen pen na-ekwekọ na agba nke warara na sirinji mkpịsị edemede ma dabere n'ụdị insulin. N'ime akwụkwọ ntuziaka a, a na-eji bọtịnụ dose ahụ pụọ. Agba agba aja aja nke QuickPen ™ sirinji ahu na-egosi na achọrọ iji ya jiri ngwaahịa Humulin ®.
Nchekwa na mkpofu
Agaghị enwe ike iji mkpịsị akwụkwọ ahụ ma ọ bụrụ na ọ nọghị na friji karịa oge akọwapụtara na ntuziaka maka ojiji.
Edobela mkpịsị edemede ya na agịga ahụ. Ọ bụrụ na agịga agịga, insulin nwere ike wepụta site na mkpịsị akwụkwọ ya, ma ọ bụ insulin nwere ike kpọnye ya na agịga ahụ, si otú ahụ na-emechi agịga, ma ọ bụ afụ ikuku nwere ike ịmalite n'ime katriiki.
A ga-echekwa mkpịsị mkpụrụ sirinji na-adịghị arụ ọrụ na friji n'oge okpomọkụ 2 ruo 8 Celsius. Ejila pen sirinji ma ọ bụrụ na agbajụọla.
Ekwesịrị ịchekwa mkpụrụ sirinji eji eme ihe ugbu a na ụlọ okpomọkụ ebe echekwara site na ikpo ọkụ na ọkụ, site na ụmụaka agaghị eru.
Tụfuo agịga eji eme ihe na kọmpụta, igbe ndị yiri (dịka ọmụmaatụ maka ihe ndị na-emebi ihe ma ọ bụ ihe mkpofu), ma ọ bụ ndị ọrụ nlekọta ahụike tụrụ aro ya.
Ọ dị mkpa iji wepu agịga mgbe ọ bụla ịgba.
Tụfuo mkpịsị ahụ ejiri sirinji na-enweghị agịga dabere na ndụmọdụ ndị dibịa na-aga dị ka usoro nlekọta mkpofu mpaghara dị.
Ejikwala ihe ndochiri eju.
Mpempe mwepụta
Nkwụsịtụ maka nchịkwa subcutaneous, 100 IU / ml. 10 ml nke ọgwụ na-anọpụ iche iko vials. 1 fl. tinye ya na ngwugwu kaadiboodu.
3 ml na katriiki iko na-anọpụ iche. A na-etinye katriiki 5 na chaplet. 1 bl. etinye ha n’ime igbe kaadiodu ma obu itinye kaadiboodu n’ime mkpirisi IMPo ring syringe. A na-etinye mkpịsị mkpụrụ sirinji n'ime kaadiboodu.
Emeputa
Mepụtara: Eli Lilly na Companylọ Ọrụ, USA. Lilly Corporate Center, Indianapolis, Indiana 46285, USA.
Ihe ngwugwu: ZAO "ORTAT", 157092, Russia, Kostroma mpaghara, mpaghara Susaninsky, s. Northern, microdistrict. Kharitonovo.
Cartridges, QuickPen ens Syringe pen , nke Lilly France, France mepụtara. Mpaghara Industrialiel, 2 ru Colonel Lilly, 67640 Fegersheim, France.
Ihe ngwugwu: ZAO "ORTAT", 157092, Russia, Kostroma mpaghara, mpaghara Susaninsky, s. Northern, microdistrict. Kharitonovo.
Lilly Pharma LLC bụ onye mbubata naanị nke Humulin ® NPH na Russian Federation.
Mpempe usoro onunu ogwu
Nkwụsịtụ maka nchịkwa okpuru ala nke 100 IU / ml
1 ml nke nkwusioru nwere
ike ihe - insulin mmadụ (ihe nyocha DNA) 100 IU,
ndị mgbe ochie: sodium hydrogen phosphate, glycerin (glycerol), phenol mmiri, methacresol, protamine sulfate, zinc oxide, hydrochloric acid 10% iji dozie pH, sodium hydroxide 10% iji dozie pH, mmiri maka injection.
Nkwụsị na-acha ọcha, nke, mgbe ọ na-eguzo ọtọ, na-ekpughere ya n'ụzọ doro anya, enweghị agba ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ nke na-enweghị ọ andụ na mkpachapụ ọcha. A na - eji nwayọ nwayọ were weghachite ihe omume.
Ngwongwo ogwu
Mlọ ọgwụ
Humulin® NPH bụ nkwadebe insulin na-arụ ọrụ.
A na - egosipụta profaịlụ ọrụ insulin na-arụ ọrụ (usoro iji glucose) mgbe a gbasịrị iruu subcutaneous na foto dị n'okpuru dị ka akara gbara ọchịchịrị. A na - egosikwa mgbanwe dị iche iche onye ọrịa nwere banyere oge na / ma ọ bụ ike ọrụ insulin na ọnụ ọgụgụ ahụ ka mpaghara ahụ gbara agba. Ọdịiche dị iche iche na ọrụ insulin insulin na-adabere n'ihe ndị dị ka dose, nhọrọ nke saịtị ịgba, ọkọnọ ọbara, okpomọkụ, ọrụ ahụ nke onye ọrịa, wdg.
Ọrụ insulin
Oge (awa)
Mlọ ọgwụ
Humulin® NPH bụ insulin ọgwụ mmadụ na-arụkọ ọrụ.
Ọrụ bụ isi nke Humulin® NPH bụ iwu nke glucose metabolism. Na mgbakwunye, ọ nwere anabolic na mgbochi catabolic na anụ ahụ dị iche iche. Na akwara anụ ahụ, enwere mmụba nke ọdịnaya glycogen, abụba abụba, glycerol, mmụba nke njikọ protein na mmụba nke amino acid, mana n'otu oge ahụ enwere mbelata nke glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, catabolism protein na ntọhapụ nke amino acid.
Nsonaazụ
hypoglycemia bụ nsonaazụ kachasị emetụta na-esite na nchịkwa nke ịkwadebe insulin, gụnyere Humulin® NPH.
Ihe ịrịba ama dị ala hypoglycemia dị nwayọọ: isi ọwụwa, ọgbụgba, nsogbu ịrahụ ụra, ụra, ụbụ, palpitations, mkpakọ uche, aka gị, egbugbere ọnụ ya ma ọ bụ ire ya, oke ụjọ, nchekasị, ọhụhụ ọhụụ, ikwu okwu adịghị mma, ọnọdụ ịda mba, oke iwe, enweghị ike itinye uche, akparamaagwa, akparamaagwa, omume na agbanwe , mmeghari ihu, iyi, agu.
Ihe ịrịba ama nnukwu hypoglycemia: nchegharị, amaghị ihe ọ bụla, obi abụọ. N'ọnọdụ ndị pụrụ iche, nnukwu hypoglycemia nwere ike ibute ọnwụ.
mmeghachi omume nfụkasị obodo (ugboro ugboro site na 1/100 ruo 1/10) n'ụdị nke ọbara ọbara, ọzịza, ma ọ bụ itching na ntụtụ ebe a na-akwụsịkarị n’etiti ọtụtụ ụbọchị ruo ọtụtụ izu. N'ọnọdụ ụfọdụ, enwere ike ibute mmeghachi omume ndị a site n'ihe ndị metụtara insulin, dịka ọmụmaatụ, mgbakasị anụ ahụ na onye na-asacha ma ọ bụ ọgwụ na-adịghị mma.
systemic allergies (ugboro
Usoro onunu ogwu na nhazi
Dika ị ofụ ọgwụ na ụzọ nchịkwa si n’aka ndị dọkịta kpebisiri ike n’otu n’otu maka ndị ọrịa ọ bụla, na-eburu n’obara glucose n’ọbara.
A na-achịkwa nkwụsịtụ nke okpomoku ụlọ ma ọ bụ intramuscularly (kwere), a na-egbochi nchịkwa intravenous.
A na-eme irighiri mmiri nke dị n’ime afọ, n’akụkụ isi, apata ụkwụ ma ọ bụ ubu, ekwekwala insulin banye n’ime ọbara. Ekwesighi iji otu ebe injection ihe karịrị otu oge kwa ọnwa (ihe dị ka). Mgbe ọgwụ nchịkwa gasịrị, saịtị ịgba ọgwụ mmadụ enweghị ike ịhịa aka.
Tupu ịmalite ọgwụgwọ, a ga-azụ onye ọrịa ahụ n'ụzọ ziri ezi ejiri ngwaọrụ a ga-enye insulin.
Nkwadebe maka nchịkwa ọgwụ
Tupu ojiji, vial ya na ọgwụ na-akpọrepu ọtụtụ oge n'etiti ọbụ aka aka, a na-akpọgharị kọọdụ ugboro iri n'etiti ọbụ aka aka wee maa jijiji, ugboro 10 tụgharịrị 180 Celsius ruo mgbe a gbanwere insulin kpamkpam wee gbanwee ma bụrụ mmiri mmiri agbụrụ ma ọ bụ milky mmiri. Enweghi ike imegharị vial / katriiki ike ọfụma, ebe nke a nwere ike iduga ịmepụta ụfụfụ, nke ga - emesịa igbochi oke ahụ kwesịrị ekwesị.
Insulin, nke eji achọpụta flakes mgbe ọ ghachara jijiji, ma ọ bụ na mgbidi / ala nke vial nke etolite ụmụ irighiri ihe na-acha ọcha, na-ekepụta mmetụta nke usoro ikuku.
Iji duzie ọgwụ a na vial, jiri sirinji kwekọrọ na ịba ụba nke insulin na-elekọta.
Carter dị iche iche anaghị ekwe ka ha gwakọta ọgwụ ahụ na insulins ndị ọzọ. Edeghị Cart Cartges.
Ndenye Pen Syringe (injector) na-enye gị ohere ịhazi 1-60 nkeji insulin kwa mudia. Enwere ike ịtọ dose ahụ na izizi nke otu, ma ọ bụrụ na ahọrọ ọgwụ ahụ na-ezighi ezi, enwere ike idozi ya n’enweghi ọgwụ ahụ.
Otu injection ga-eji naanị otu onye ọrịa mee ihe; nnyefe ya na ndị ọzọ nwere ike ịbụ mgbasa nke ọrịa. A na-eji agịga ọhụụ mee ihe maka ntụtụ ọ bụla.
Ejila injector ahụ ma ọ bụrụ na akụkụ ya ọ bụla mebiri ma ọ bụ mebie ya. Onye ọrịa ahụ kwesịrị iburu mkpịsị sirinji mapụtara ya oge niile ka enwere ike ịnwụ ma ọ bụ mebie nke ọ ga-eji.
Ndị ọrịa nwere ọhụhụ ụzọ ma ọ bụ na-enweghị ọhụhụ ụzọ kwesịrị iji ọnụọgụ ahụ n'okpuru nduzi nke ndị hụrụ ọhụụ mara etu esi eji ya.
Tupu ntụtụ ọ bụla, lelee akara dị na pen sirinji, nke nwere ozi gbasara ụbọchị ngafe na ụdị insulin. Ọkpụkpụ nwere bọtịnụ nke isi awọ, agba ya dabara na warara ahụ na akara ahụ na ụdị insulin eji.
Nchịkwa ọgwụ
A na-eji agịga bute insulin site na injector.Tupu ojiji, ọ dị mkpa ijide n'aka na agịga ahụ na-abanye na injector ahụ.
Mgbe ị na-edepụta insulin na dose karịrị 60 nkeji, a na-eme ọgwụ abụọ.
N'ọnọdụ ebe onye ọrịa ejighi n'aka ọgwụ ole dị n'ụgbọ ahụ, ọ na-atụgharị mkpịsị aka ya na ọnụ ọnụ agịga ahụ ma na-ele ọnụ ọgụgụ nke onye na-ejide insulin ahụ, na-egosi ọnụego insulin fọdụrụ. Ejighị nọmba ndị a tọọ dose ahụ.
Ọ bụrụ na onye ọrịa enweghị ike iwepu okpu ahụ na agịga, ọ kwesịrị iji nlezianya dọgharịa ya elekere (n'akụkụ elekere), wee dọpụta ya.
Oge ọ bụla tupu ịgba ntụtụ, lelee pen maka insulin. Iji mee nke a, wepu okpu nke agịga ahụ (ọ tụfughị ya), mgbe ahụ okpu ahụ dị n'ime (tụfuo ya), tụgharịa bọtịnụ dose ahụ ruo mgbe edobere nkeji abụọ, tụọ injector ahụ wee pịa aka njigide ahụ iji kpoo ikuku ikuku na akụkụ elu. Jide mkpịsị ahụ were mkpịsị ahụ na-agbago, pịa bọtịnụ dose ruo mgbe ọ kwụsịrị na ọnụọgụ 0 pụtara na windo egosi. Ga n’ihu ijide bọtịnụ ọ̀zọ a chọrọ ka ọ dị, jiri nwayọ gụta ruo 5. Ọ bụrụ na enwere insulin na ntu nke agịga ahụ, a na-atụle ule ahụ zuru oke ma na-aga nke ọma. N'ọnọdụ ebe ntule insulin apụtaghị na njedebe agịga, a na-emeghachi nzọụkwụ nke inyocha nnata ugboro anọ.
Ntuziaka maka iji ogwu eji ogwu eme ihe:
- a na-ahapụ mkpịsị sirinji n’aka okpu,
- na-achọpụta insulin
- were agịga ọhụrụ, wepu akwụkwọ mmado akwụkwọ n’elu isi ya,
- A na-ehichapụ diski rọba na njedebe nke ihe nkwakọ ngwaahịa ahụ na swab a alcoholụrụ mmanya.
- A na-agagharị agịga ahụ ogologo na anyụike nke injector ruo mgbe a na-ejikọ ya kpamkpam,
- na-enyocha insulin oriri,
- iji bọtịnụ dose setịpụrụ ọnụ ọgụgụ mkpụrụ ọgwụ achọrọ,
- A na-etinye agịga n'okpuru anụ ahụ, isi mkpịsị aka ukwu pịa bọtịnụ dose ruo mgbe ọ kwụsịrị kpam kpam. Ọ bụrụ na ọ dị mkpa iwebata ọgwụ zuru oke - a na-aga n'ihu wee pịa bọtịnụ ahụ wee jiri nwayọ gụta ruo ise
- A na-ewepụ agịga ahụ n'okpuru akpụkpọ ahụ, a na-etinye ya mpụga, ọ na-abataghị na injector ma kpochapụ ya na ntuziaka nke dibịa gaa,
- tinye okpu na pen sirinji.
A gaghị echekwa ndị na-eme ihe ọ bụla na agịga ha.
Ọ bụrụ na onye ọrịa ejighị n'aka na ọ nyerela ọgwụ ahụ zuru ezu, ọ naghị enye ọgwụ ọzọ.
Ntụziaka pụrụ iche
Achọrọ nlekọta ahụike siri ike mgbe ị na-agbanwe ụdị ma ọ bụ mepụta insulin. Mkpa maka ịhazigharị ọgwụ nwere ike ibili mgbe ị na-agbanwe ụdị, ụdị, ọrụ, ụdị na (ma ọ bụ) usoro mmepụta insulin.
Enwere ike ịmeghari dose mgbe ị na-ebufe ụfọdụ ndị ọrịa site na insulin nke anụmanụ sitere na insulin nke mmadụ - ma n'oge nchịkwa nke ikpeazụ, wee jiri nwayọọ nwayọọ na-eme ọtụtụ izu ma ọ bụ ọnwa mgbe ịmalitere ya. Ekwesiri iburu n’uche na n’ime ụfọdụ ndị ọrịa, a ga-ekwuputa na mgbanwe nke hypoglycemia site n’iji insulin mmadụ ma ọ bụ ịdị iche na mbido insulin nke anụmanụ sitere.
Orfọdụ ma ọ bụ ebido usoro nke hypoglycemia nwere ike kwụsịchaa dịka ịkpụkọ glucose ọbara, dịka ọmụmaatụ, n'ihi ọgwụgwọ siri ike na insulin. Ekwesịrị ịgwa ndị ọrịa banyere nke a tupu oge eruo.
N'ihe banyere ọgwụgwọ na beta-igbochi, neuropathy na-arịa ọrịa shuga, ogologo oge nke ọrịa mellitus, mgbanwe ma ọ bụ obere okwu mkpali nke ịchekwa hypoglycemia ga-ekwe omume.
Ketoacidosis na-arịa ọrịa shuga na hyperglycemia nwere ike ịmalite mgbe ị na-eji ọgwụ ezughị ezu ma ọ bụ ịkwụsị ọgwụgwọ.
Ọrịa ịba ọcha n'anya ma ọ bụ akụrụ, enweghị afọ nke thyroid gland, pituitary gland ma ọ bụ adrenal gland nwere ike belata mkpa nke insulin. Nnukwu mmetụta uche na ọrịa ụfọdụ, n'ụzọ megidere, nwere ike ịbawanye mkpa nke insulin. Mgbe ị na-agbanwe nri ị na-eri ma ọ bụ na-emekwu ahụ ike, enwere ike ịchọ ndozi dose.
Ojiji nke ngwakọta ọgwụ insulin na ọgwụ ìgwè thiazolidinedione na-eme ka ohere nke ịmalite ịda mba n'obi na edema, karịsịa na ọrịa nke usoro obi na ọnụnọ nke ihe ndị dị ize ndụ maka ọdịda obi na-adịghị ala ala.
N'ihi mmepe hypoglycemia nwere ike ịmalite, ndị ọrịa kwesịrị ịkpachara anya n'oge ọgwụgwọ mgbe igwe na-arụ ọrụ ma ọ bụ na-anya ụgbọala.
Mkparịta ụka ọgwụ ọjọọ
- thiazide diuretics, homonụ thyroid nwere thyroid, ọgwụ phenothiazine, ọgwụ na-eme ka ịbawanye ụba nke glucose n'ọbara, nicotinic acid, glucocorticosteroids, ọgwụ mgbochi, chlorprotixen, carbon lithium, beta-2-adrenergic agonists, danazol, beoniazid, nwere:
- onu hypoglycemic ọgwụ ọjọọ, guanethidine, anabolic Steroid, akụ ọkpọ nke angiotensin II anabata, angiotensin n'ịtụgharị enzyme inhibitors, octreotide, sulfa ọgwụ nje, fenfluramine, ụfọdụ antidepressants (monoamine oxidase inhibitors), tetracyclines, ethanol na etanolsoderzhaschie ọgwụ ọjọọ, beta-blockers, salicylates (acetyl salicylic acid na dị ka. p.): nwere ike ibelata mkpa insulin,
- reserpine, clonidine, beta-egbochi: nwere ike kpuchie ngosipụta nke ọrịa hypoglycemia.
Ihe analogues nke Humulin NPH bu Rosinsulin S, Rinsulin NPH, Protafan HM, Protamine-Insulin ChS, Insuman Bazal GT, Gensulin N, Vozulim-N, Biosulin.