Insulin Insuman Rapid GT - ntuziaka maka ojiji
1dị shuga atọ nke ọrịa mellitus, ụdị shuga mellitus 2: ọkwa nke nguzogide ọgwụ ọgwụ hypoglycemic, nguzogide nke ọgwụ hypoglycemic ọgwụ (ọgwụgwọ njikọ),
ọrịa mamịrị ketoacidosis, ketoacidotic na hyperosmolar coma, ọrịa shuga mellitus nke mere n'oge ịtụrụ ime (ma ọ bụrụ na usoro ọgwụgwọ anaghị eri nri),
maka oge adịghị n'etiti ndị ọrịa na-arịa ọrịa shuga mellitus megide ọrịa na-efe efe, na-enwe ọrụ ịwa ahụ na-abịanụ, mmerụ ahụ, ịmụ nwa, nsogbu nke metabolic, tupu ịgbanwee ọgwụgwọ na usoro insulin ogologo oge.
Etu esi eji: usoro onunu ogwu na usoro ọgwụgwọ
A na-ekpebi ọ̀gwụ na ụzọ nchịkwa nke ọgwụ a n’otu n’otu n’ebumnuche nke ọdịnaya glucose dị n’ọbara tupu nri na 1-2 awa mgbe nri, yana dabere na ogo glucosuria na njiri mara usoro ọrịa ahụ.
A na-elekọta ọgwụ ahụ s / c, na / m, na / n'ime, 15-30 nkeji tupu eri. Routezọ nchịkwa kachasị na-ahụkarị bụ sc. Na ketoacidosis na-arịa ọrịa shuga, coma mamịrị, n’oge usoro ịwa ahụ - in / in na / m.
Site na monotherapy, oge nchịkwa na-abụkarị ugboro 3 kwa ụbọchị (ọ bụrụ na ọ dị mkpa, ruo ugboro 5-6 kwa ụbọchị), a na-agbanwe saịtị injection oge ọ bụla iji zere mmepe nke lipodystrophy (atrophy ma ọ bụ hypertrophy nke subcutaneous fat).
Ogologo ubochi ogwu ahu bu ubochi 30-40, na umu aka - 8 nkeji, mgbe ahu na onodu ubochi kwa ubochi - ubochi 0.5-1 / n'arọ ma obu 30-40 nkeji iri ato, ma odi nkpa - ugboro 5-6. N ’ọgwụ kwa ụbọchị karịrị 0.6 U / n'arọ, a ga-enye insulin ahụ n’ụdị ntụtụ 2 ma ọ bụ karịa na akụkụ dị iche iche nke ahụ.
Ọ ga-ekwe omume ijikọta ya na insulins ndị na-eme ogologo oge.
A na-anakọta ihe ngwọta nke ọgwụ site na vial ahụ site na iji ya na agịga na-egbu egbu na-eji paịpụ roba, hichaa ya mgbe o wepụsịrị okpu aluminom na ethanol.
Omume ọgwụ
Nkwadebe insulin na-adị obere. Withme ka otu onye nnabata nke akpụkpọ ahụ dị na sel na - emekọ ihe, na - eme ka ihe nnabata nke insulin. Site na ịba ụba njikọta nke cAMP (na abụba abụba na akwara akwara) ma ọ bụ banye n’ime sel (akwara), insulin receptor complex na-akpali usoro intracellular, gụnyere njikọ nke ọtụtụ enzymes isi (hexokinase, pyruvate kinase, glycogen synthetase, wdg). Mbelata nke mkpokọta glucose na ọbara bụ n'ihi mmụba na njem ya na intracellular, ịba ụba na nnweta nke anụ ahụ, mkpali nke lipogenesis, glycogenogenesis, protein protein, mbelata ọnụego glucose mepụtara site na imeju (ibelata na mmebi nke glycogen), wdg.
Mgbe agwọchara sc, mmetụta ahụ na-apụta n'ime oge 20-30, rute oke mgbe awa 1-3 na-adịgide, dabere na ọnụọgụ, 5-8 awa. Ogologo oge ọgwụ ahụ dabere na usoro, usoro, ebe nchịkwa ma nwee njiri dị iche iche nke onwe onye. .
Nsonaazụ
Ihe nfụkasị ahụ na-emetụta akụkụ ọgwụ ahụ (urticaria, angioedema - ọkụ, mkpụmkpụ ume, mbelata ọbara).
hypoglycemia (pallor nke anụ ahụ, ịba ụba ọsụsọ, ọsụsọ, palpitations, ịma jijiji, agụụ, agụụ, nchekasị, paresthesias n'ọnụ, isi ọwụwa, ụra, ehighị ụra nke ọma, ụjọ, ọnọdụ ịda mbà n'obi, mgbakasị ahụ, omume na-enweghị atụ, enweghị mmeghari, ikwu okwu na nsogbu okwu na ọhụụ), hypoglycemic coma,
hyperglycemia na ọrịa shuga acidosis (na obere doses, injections ski, nri na-adịghị mma, megide ọrịa azụ na ọrịa): iro ụra, akpịrị ịkpọ nkụ, agụụ nri, ọdịdị ihu, belata.
isi mmụọ (ruo na mmepe nke precoatose na coma),
nsogbu adịghị ahụ anya (yana oge mmalite ọgwụ),
mmeghachi omume immunological na insulin nke mmadụ, mmụba na ụzọ nke ọgwụ mgbochi insulin, mmụba nke glycemia,
hyperemia, itching na lipodystrophy (atrophy ma ọ bụ ọbara mgbali nke abụba subcutaneous) na ntụtụ.
Na mbido ọgwụgwọ ya na ọgwụ - edema na ntụgharị uche (na-adị nwa oge ma na - apụ na ọgwụgwọ na - aga n'ihu).
Dodoụbiga ya ókè. Mgbaàmà: hypoglycemia (adịghị ike, ọsụsọ oyi, pallor nke anụ ahụ, palpitations, ịma jijiji, ụjọ, agụụ, paresthesia na aka, ụkwụ, egbugbere ọnụ, ire, isi ọwụwa), hypoglycemic coma, convulsions.
Ọgwụgwọ: onye ọrịa ahụ nwere ike iwepụ hypoglycemia dị nwayọ site na ị sugarụ shuga ma ọ bụ nri nwere nnukwu carbohydrates na-adị ngwa ngwa.
Subcutaneous, m / m ma ọ bụ iv gbara glucagon ma ọ bụ iv hypertonic dextrose solution. Site na ntinye nke hypoglycemic coma, 20-40 ml (ihe ruru 100 ml) nke mmiri 40% dextrose na-abanye n'ime iyi ruo mgbe onye ọrịa ahụ si na Coma pụta.
Ntụziaka pụrụ iche
Tupu iwere ọgwụ ahụ na vial ahụ, ọ dị mkpa iji nyochaa nghọta nke ngwọta. Mgbe ozu ndi ala ọzọ putara, igwe ojii ma obu buru uda nke enyo nke vial a, enweghi ike iji ogwu a.
Okpomoku nke mmanu insulin kwesiri ino na okpomoku. Must doseụ ọgwụ ga-agbazi n'ọnọdụ nke ọrịa na-efe efe, ọ bụrụ na ọnụnọ nke gland thyroid, ọrịa Addison, hypopituitarism, ọdịda akụrụ na-adịghị ala ala na ọrịa shuga na ndị mmadụ karịa afọ 65.
Ihe ndị na - akpata hypoglycemia nwere ike ịbụ: ị drugụ ọgwụ oke, ọgwụ ị replacementụ ọgwụ, imebi nri, vomiting, afọ ọsịsa, nchekasị anụ ahụ, ọrịa na-ebelata mkpa insulin (ọrịa ndị akụrụ akụrụ na imeju, yana hypofunction nke adrenal cortex, pituitary ma ọ bụ thyroid gland), mgbanwe nke ebe inje (dịka ọmụmaatụ, anụ dị n’afọ, ubu, apata ụkwụ), yana ịmekọrịta ọgwụ ndị ọzọ. O kwere omume belata mkpụkọ glucose dị n'ọbara mgbe ị na-ebufe onye ọrịa site na insulin anụmanụ n'ime insulin nke mmadụ.
Ibugharị onye ọrịa na insulin mmadụ kwesịrị ịbụ ihe ziri ezi mgbe nile ọfụma ma mee ya naanị ka onye dọkịta lelee ya. Omume nke ịmalite hypoglycemia nwere ike imebi ikike nke ndị ọrịa ikere òkè zuru oke na okporo ụzọ, yana idozi igwe na usoro.
Ndị ọrịa nwere ọrịa shuga nwere ike ịkwụsị ntakịrị hypoglycemia nke ha na-enwe site na ị sugarụ shuga ma ọ bụ nri nwere oke carbohydrates (a na-atụ aro ka gị na shuga dịkarịa ala 20 g). Banyere hypoglycemia a na-ebugharị, ọ dị mkpa ịgwa ndị dibịa bekee ka ọ kpebie mkpa ọgwụgwọ mgbazi dị.
Na ọgwụgwọ insulin na-eme obere ihe n'ọnọdụ ndị dịpụrụ adịpụ, ọ ga-ekwe omume belata ma ọ bụ welite olu nke adipose anụ ahụ (lipodystrophy) na mpaghara ịgba ọgwụ. A na - egbochi ihe ịtụnanya ndị a site na - agbanwe agbanwe mgbe niile. N'oge afọ ime, ọ dị mkpa iburu n'uche mbelata (M trimester) ma ọ bụ mmụba (II-III trimesters) nke insulin chọrọ. N'oge na mgbe amuchara nwa, ihe insulin chọrọ nwere ike ịda nke ọma. N'oge a na-enye nwa ara, a na-achọ nlele kwa ụbọchị ruo ọtụtụ ọnwa (ruo mgbe a gbanwere mkpa insulin).
Ndị ọrịa na-enweta ihe karịrị 100 IU nke insulin kwa ụbọchị, mgbe ị na-agbanwe ọgwụ chọrọ ọgwụ.
Mmekorita
N ’ogwu ọgwụ ekwekọghị na ọgwụ nke ọgwụ ndị ọzọ.
Mmetụta hypoglycemic nke ọgwụ ahụ na-eme ka sulfonamides dịkwuo mma (gụnyere ọgwụ hypoglycemic nke nwoke, sulfonamides), MAO inhibitors (gụnyere furazolidone, procarbazine, selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs (gụnyere salicylates) steroid (gụnyere stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, fenfluramine, njikere Li +, pyridoxine, quinidine, quinine, chinein.
Mmetụta hypoglycemic nke ọgwụ ahụ gwụrụ site na glucagon, somatropin, corticosteroids, ọgwụ mgbochi, estrogens, thiazide na loop diuretics, BMKK, homonụ thyroid, heparin, sulfinpyrazone, sympzohomimetics, danazole, tricyclic antidepressants calin, akon, cineine , epinephrine, H1-histamine na-anabata ihe mgbochi.
Ndị na-egbochi ọgwụ Beta-adrenergic, reserpine, octreotide, pentamidine nwere ike ịkwalite ma mebie mmetụta hypoglycemic nke ọgwụ.
Ajuju, azịza, nyocha banyere ọgwụ Insuman Rapid GT
Ihe omuma a enyere ndi okacha amara n’ulo ogwu. Ihe omuma nke kachasi banyere ogwu ahu di na ntuziaka nke ndi emeputaworo. Enweghị ozi edeputara na ibe a ma ọ bụ na saịtị ọ bụla ọzọ nwere ike ịnọchite anya arịrịọ nke onye ọkachamara.
Nkọwapụta homonụ
- Homonụ nke insulin 3,571 mg (100 IU 100% hormone soluble).
- Metacresol (ihe ruru 2.7 mg).
- Glycerol (ihe dịka 84% = 18.824 mg).
- Mmiri maka ịgba ntụtụ.
- Sodium dihydrogen phosphate dihydrate (ihe dị ka 2.1 mg).
Insulin insuman Rapid GT bụ mmiri nwere agba enweghị agba nke enweghị nghọta ọ bụla. Ọ bụ nke otu nke ndị na - arụ ọrụ hypoglycemic dị mkpụmkpụ. Insuman anaghị emepụta agbụ ọbụlagodi n'oge nchekwa ogologo oge.
Nkwadebe - analogues
- Ọgwụ shuga insulin na-arịa
- Coma nke ọrịa shuga etiology na ketoacidosis,
- N'oge arụmọrụ na mgbe a wachara ya ahụ maka ndị ọrịa mamịrị iji mepụta metabolism ka mma.
- Lelee ọgwụ iji gosipụta ya ma hụ na ọ dakọtara temprechọ ime ụlọ,
- Wepu okpu plastic, ọ bụ ya na-egosi na emepeghị karama ahụ,
- Tupu ịnakọta insulin, pịa na karama ahụ ma kuo n'ime ikuku nke hà nhata,
- Ikwesiri ịbanye sirinji ahụ na vial, mana ọ bụghị na ọgwụ ahụ n’onwe ya, na-atụgharị sirinji elu, yana arịa ahụ ọgwụ ahụ rụtara, na-enweta ego a chọrọ.
- Tupu ịmalite ntụtụ, ị ga-ewepụsị ụfụ na sirinji,
- Mgbe ahụ, ebe ịgba ọgwụ na-eme n'ọdịnihu, akpụkpọ ahụ na-apịaji yana, site na itinye agịga n'okpuru akpụkpọ ahụ, ha na-eji nwayọ hapụ ọgwụ ahụ,
- Mgbe nke ahụ gasịrị, ha na-eji nwayọ wepụ mkpanaka ahụ wee pịa ajị anụ ahụ, na-eji ajị anụ ahụ mee nwa oge,
- Iji gbochie ọgba aghara, dee na ọnụ ọgụgụ na ụbọchị ịwepu insulin mbụ,
- Mgbe emepechara karama ahụ, ekwesịrị ịchekwa ya n ’ọnọdụ okpomọkụ na-erughị ogo 25 n’ebe gbara ọchịchịrị. Enwere ike idobe ya otu ọnwa,
- Insuman Rapid HT nwere ike ịbụ ihe ngwọta dị na sirinji Solostar disposable. Agaghị emebi ngwaọrụ ọzọ mgbe ọ gbasasịrị, ewereghị ya onye ọzọ. Tupu iji ya, gụọ ozi ngwa na-eso.
Ọnụahịa Insuman Rapid GT nwere ike ịdị iche dabere na mpaghara. Ná nkezi, ọ sitere na 1,400 ruo 1,600 rubles kwa mkpọ. N'ezie, nke a abụghị ọnụ ala dị oke ala, maka na a na-amanye ndị mmadụ 'ịnọdụ' na insulin oge niile.
Ngwọta maka ntụtụ.
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:
- Iji belata ihe mgbu nke ntụtụ ma belata ihe ize ndụ nke lipodystrophy, ọgwụ dị na pen sirinji kwesịrị ịdị na nrị okpomọkụ.
- 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.
- A na-akpọgharị Insuman Bazal n'agbata n'ọbụ aka ọtụtụ oge ịgwakọta.
- A na-ewere agịga ọhụrụ maka ntụtụ ọ bụla. Jiri ihe mebiri emebi nke anụ ahụ dị n’okpuru. Ọ bụ agịga ọ bụla dị n'ụwa niile dị ka pensụl nke SoloStar: MicroFine, Insupen, NovoFine na ndị ọzọ. A họrọ ogologo nke agịga dabere na ọkpụrụkpụ nke subcutaneous abụba.
- 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.
- Ọ kacha mma ka a na-enyocha insuman Rapid na afọ, Insuman Bazal - na apata ụkwụ ma ọ bụ n'akụkụ ikpere.
- Mgbe iwebata usoro ahụ, agịga ahụ dị n'ahụ ahụ maka sekọnd iri ọzọ ka ọgwụ ahụ amalite ịpụ.
- Mgbe ọ bụla ị gachara, a na-ewepụ agịga. Insulin na-atụ egwu anwụ, yabụ ịkwesịrị iji okpu mechie katriel ozugbo.
Iwu ntinye
Ọ bara uru ikwu na usoro ọgwụgwọ ahụ nwere ọtụtụ njiri mara onye ọrịa ahụ n'onwe ya.
Dọkịta n’onwe ya na-emezu oge eji eme ihe ndị a.
- Omume ma ọ bụ banyere ụdị ndụ onye ọrịa nwere,
- Nri, udiri akuko na uto nke aru
- Ọbara shuga na carbohydrate metabolism eziokwu,
- Ofdị ọrịa.
Iwu bụ ike onye ọrịa ịwulite insulin, nke gụnyere ọ bụghị naanị ike tụọ ọkwa glucose na mmamịrị na ọbara, kamakwa iji nye injections.
Ka usoro ọgwụgwọ na-aga n’ihu, dọkịta na-ahazi usoro na oge nri ga-adị ma na-eme mgbanwe ndị ahụ ma ọ bụ mgbanwe ndị ọzọ dị mkpa na dose ahụ. N'ikwu ya, ọgwụgwọ a nwere ọrụ dị mkpa mmadụ chọrọ itinye uche ya niile na onye ya.
Onwere ihe na-apụ apụ, enwere insulin kwa kilogram nke ịdị arọ nke onye ọrịa ahụ site na 0,5 ruo 1.0 IU. N'okwu a, ihe fọrọ nke nta ka ọ bụrụ 60% nke usoro ọgwụgwọ ahụ bụ insulin ogologo oge nke mmadụ.
Ọ bụrụ na tupu Insuman Rapid HT, onye ọrịa mamịrị jiri ọgwụ nwere ihe dị n'ọrụ sitere na anụmanụ, mgbe ahụ, ekwesịrị ibelata ego nke insulin mmadụ.
N'ikwu banyere ihe na-egosi iji insulin mee ihe, ha pụtara n'ụzọ dị mkpa ụdị ọrịa shuga na-adabere. Na mgbakwunye, anyị ekwesịghị ichefu gbasara akpịrị shuga, nke a na-ejikọta ya na mwepụ nke mmụọ, enweghị nnabata nke mmeghachi omume physiological na mkpali mpụga n'ihi mmụba dị elu nke glucose ọbara.
Ọzọkwa, endocrinologists na diabetologists na-elebara ọnọdụ precomatose anya, ya bụ, mmalite mbụ nke mmepe coma ma ọ bụ ọnwụ na-ezughị ezu. Ndepụta nke ihe ndị ọzọ na ebumnuche nke iji gụnyere:
- acidosis - mmụba na acidity nke ahụ,
- maka oge (oge) ojiji na ndị ọrịa na-arịa ọrịa shuga mellitus n'ihi ọrịa na-esonyere n'ihe ngosipụta okpomọkụ dị elu. Ọ dịkwa mma mgbe ịwa ahụ, mmerụ ahụ dị iche iche ma ọ bụ ọbụna ịmụ nwa,
- imebi usoro metabolic tupu ịgbanye ọgwụ na iji insulin ọ bụla na nkezi oge ihe,
- mgbakwunye nke mkpughe ogologo oge na nhazi insulin (dịka ọmụmaatụ, Insuman Bazal) nwere ịba ọcha n'anya.
Ya mere, a na-ekpebi ihe ngosipụta maka ojiji nke ụdị akụkụ ọkpụrụkpụ nke akụkụ homonụ ahụ. Iji bulie uru nke Insuman Rapid, n'ọnọdụ ọ bụla ị kwesịrị ichefu iwu niile maka ojiji - dosages, etiti oge na ọtụtụ ihe ndị ọzọ.
Usoro onunu ogwu ya na njiri mara mmeghe nke homonụ a na-ehibe n'otu n'otu. A na-ekpebi nke a na-adabere n'ihe ngosipụta nke glucose ọbara tupu iri nri, yana awa ole na ole mgbe ị risịrị nri. Nchoputa ozo nwere ike ibu ntukwasi obi na ogo glucosuria na akuko ndi ozo banyere onodu aria.
A ga-ekpebi n’otu n’otu ma dozie ọnọdụ onye ọrịa ahụ, mmega ahụ yana etu o si ebi ndụ, a ga-eme ya, a ga-ahazi ya, a ga-ahazi ya.
Usoro onunu ogwu ubochi na oge ochichi
Enweghị iwu siri ike gbasara ị doụ ọgwụ insulin. Agbanyeghị, nkezi insulin si na 0,5 ruo 1 IU nke insulin / n'arọ ibu kwa ụbọchị. Ihe ndị chọrọ insulin kwa ụbọchị chọrọ bụ ihe dị ka 40 na 60% nke ihe a chọrọ kwa ụbọchị. A na-eduzi insuman Rapid ® site na ntụtụ subcutaneous injection minit 15-20 tupu nri.
Ntughari na Insuman Rapid ®
Ekwesịrị ịbufe onye ọrịa na ụdị ọzọ ma ọ bụ ụdị insulin dị n'okpuru nlegide anya. Mgbanwe nke ike nke ime ihe, ika (emeputa), ụdị (oge niile, NPH, teepu, ogologo oge), mbido (anụmanụ, mmadụ, analog nke insulin mmadụ) na / ma ọ bụ usoro mmepụta nwere ike iduga na achọrọ mgbanwe mgbanwe.
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 mkpa.
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 a ga - agwakọta nke 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.
Ihe ngbanwe
Ihe mgbochi izizi bụ mbelata ọbara shuga, anyị ekwesịghị ichefu maka mmụba nke ike mmadụ n’ihe ụfọdụ nke akụkụ homonụ.
Ọrịa shuga mellitus chọrọ ọgwụgwọ insulin, mmiri ọgwụ hyperglycemic na ketoacidosis, mmezi ọnọdụ nke onye ọrịa na-arịa ọrịa mellitus tupu, n'oge na mgbe ịwa ahụ.
Ejikọtara ọgwụ na-arụ ọrụ ma ọ bụ ihe ọ bụla nke mejupụtara ọgwụ ahụ.
Enweghi ike iji insulin Rapid ® site na iji nfuli insulin nke mpụga ma ọ bụ nke etinyere ma ọ bụ nfuli a na-agakarị nwere silicone. Hypoglycemia.
Ejiri insulin insuman mee ya:
- Maka ọrịa nke ọrịa mamịrị, ọkachasị mgbe achọrọ homonụ,
- Mgbe mmadụ bara n’arịa ọrịa shuga na ketoacidosis,
- N'oge usoro ịwa ahụ (n'ime ụlọ ọrụ na mgbe oge a gasịrị).
A machibidoro ọgwụ a iji mee ihe - na mmalite nke hypoglycemia, yana ịba ụba na homonụ ma ọ bụ akụkụ ọzọ nke bụ ọgwụ a kọwara.
Ekwesịrị ịkpachara anya maka ndị nwere akụrụ, imeju, ndị ọrịa agadi, ndị nwere arịa akwara ozi ụbụrụ na nkwarụ nke azụ anya, n'ihi mmụba ọzọ nke ìsì zuru oke megide mmalite nke hypoglycemia.
Anaghị anabata Insuman Rapid maka iji shuga dị ala, yana mmụba banyere ọgwụ ma ọ bụ ihe ndị ọzọ n'otu n'otu.
Insuman Bazal na ndi mmadu:
- na-ejiwanye uche ziri ezi na ọgwụ ahụ ma ọ bụ ihe ndị mebere ya,
- ya na akpịrị na-arịa ọrịa shuga, nke bụ nsụhọ nke mmụọ, yana enweghị ozu ọ bụla na mmeghachi omume nke anụ ahụ n'ihi mmụba dị ike na shuga ọbara.
Usoro onunu ogwu na uzo eji aru oru
A na-ahọrọ usoro usoro usoro onunu ogwu na-eburu n'uche otu mkpa onye ọrịa nwere ọrịa shuga. Na enweghị iwu zuru oke guzobere maka nhọrọ nke usoro onunu ogwu, ihe omimi kwa ubochi nke 0-1-1.0 IU / n'arọ na-eduzi ha, ebe ogo insulin gbadara kwesịrị ịbụ 60% nke nkezi kwa ụbọchị.
Site na usoro insulin, a ga-enyocha ọkwa nke glucose oge niile, karịchaa mgbe onye ọrịa nwere ọrịa shuga si n'otu insulin kwaga na nke ọzọ, mgbe ọ ga-adị mkpa ịgbanwe mgbanwe usoro onunu ogwu. N'ọnọdụ ụfọdụ, a na-eme mgbanwe ọgwụ ọgwụ n'okpuru nlekọta nke dọkịta n'ụlọ ọgwụ.
Ihe ndị chọrọ mmezi usoro onunu ogwu:
mgbanwe mgbanwe insulin
mgbanwe ahu
gbanwee ụdị ndụ, nri, mmega ahụ.
N'ime ndị ọrịa gbaruru afọ 60, na ndị ọrịa nwere ọrịa ezigharị ma ọ bụ akwara, mkpa insulin nwere ike ibelata, yabụ, ekwesịrị iji nlezianya wee dozie usoro onyunyo elu.
Ọgwụ a na-abanye n'ime anụ ahụ tupu nkeji iri tupu nri. Ekwesịrị ịgbanwe dọkịta ọgwụ injection n'otu mpaghara ahụ, mana mgbanwe a na mpaghara ịgba ọgwụ (afọ, apata, ubu) ka dọkịta ahụ kwenye, n'ihi na ebe ntụtụ insulin na-emetụta adsorption ya na, yabụ, itinye uche na ọbara.
Enwere ike iji Insuman Rapid mee ihe maka nlekọta iv, mana naanị na ọnọdụ ụlọ ọgwụ.
Enweghi ike iji ọgwụ ahụ na pọmpụ insulin nwere nnukwu silicone. Egwakọtala na insulins ndị ọzọ, belụsọ maka insulin nke mmadụ Sanofi-Aventis Group.
A ga-enyocha ihe edozi tupu ojiji, ọ ga-enwerịrị nghọta, okpomọkụ ụlọ
Insuman na usoro ya si arụ ọrụ
Ọgwụ bụ ihe ngwọta maka nchịkwa subcutaneous. Anabatara inje intraven n'okpuru ọnọdụ nlekota kwesịrị ekwesị (ụlọ ọgwụ). Ihe mejupụtara ya bụ insulin homonụ n’onwe ya, nke ya na mmadụ, yana ndị ọzọ. Enwetara homonụ a site na inyocha mkpụrụ ndụ ihe nketa. A na-eji Metacresol eme ihe dị ka ihe mgbaze na ọgwụ mgbochi. Sodium dihydrogen phosphate na glycerol na-egosipụta ihe ngosi nri. Ngwakọta ahụ nwekwara hydrochloric acid. Niile data dị mkpa banyere ọgwụ dị na ntuziaka maka ojiji.
Insuman Rapid ji insulin-based diabetes mellitus, mmanya na-arịa ọrịa shuga. Na-akwalite ụgwọ mmezi na metabolic na ndị nọ na mmemme tupu oge ọmụmụ. Omume insulin Rapid GT na-amalite n'ime ọkara otu elekere. Mmetụta nke ọgwụ ahụ na-adịgide ruo ọtụtụ awa. A na -emepụta n'ụdị katridges, vials na pensụl sirinji pụrụ iche. N’ime akpukpo akpukpo akpukpo eji etinye ha. N'ime ụlọ ahịa ọgwụ, a na-enye ya ọgwụ site na iji ọgwụ ya wee nwee ndụ nchekwa afọ abụọ.
Rụtụ aka na ntuziaka. Ndi okenye kwesiri iji nlezianya mee ya. Na mgbakwunye na ọgwụ ahụ, ekwesịrị iji ya kpachara anya maka ndị nwere:
- Odida ntaramahụhụ.
- Imeju imeju.
- Stenosis nke akwara ọbara na akwara.
- Mmegharị nke protinerative.
- Ọrịa.
- Njide sodium n’ahụ.
N'ọnọdụ ọ bụla, iji insuman Rapid GT dị mkpa mgbe ịgachara dọkịta. Tụlee mmeghachi omume na akụkụ mmiri nke ọ bụla. Usoro ahụ adịghị enye maka iwu dosing, yabụ, a na-agbakọ oge nchịkwa na dose ka ọ bụla. Isi ihe a na-ekwu bụ ụdị ndụ ọ na-ebi, ụdị mmadụ na-emega ahụ, ụdị nri ọ na-agbaso. Ọ na - esite na nke a na mgbe ị na - agbanwe site na insulin ọzọ, gụnyere anụmanụ sitere, enwere ike ịchọ nlele n'ụlọ ọgwụ. Ntinye Insuman GT na-emetụta ntinye uche nke uche na ọsọ nke motility. Yabụ, ịnabata ịnya ụgbọ ala bụ naanị ndị dibia bekee lebara anya.
N'oge omume nke ọgwụ ahụ, ọkwa glucose na-ebelata. Ọ kwadoro mmetụta anabolic, na-abawanye mbugharị nke shuga na mkpụrụ ndụ. Na-akwalite mkpokọta nke glycogen, na-akwụsịlata glycogenolysis. Na-eme ka usoro nke ịtụgharị glucose na ihe ndị ọzọ abuba ghara ibu. Amino acid na-abanye n’ime sel ngwa ngwa. Ọgwụ ahụ na-eme ka njikọta protein na protein dị n'ime anụ ahụ.
Etu esi eji ogwu
Ntụziaka ahụ nwere iwu maka iji ụdị ọgwụ ahụ naanị maka ụdị ịzụrụ. Maka iji aka gị, ọ dịghị mkpa ịzụta ụdị ọgwụ ọ bụla iji họrọ nke ịchọrọ. Insuman GTpid GT dị n'ụdị atọ:
- Kalama eji eme iko. Nwere olu nke 5 ml. Mgbe ị na-eji karama ahụ, wepu okpu ahụ. Na-esote, sere n'ime sirinji olu ikuku nke kwekọrọ na insulin. Tinye sirinji ahụ na vial (na-enweghị ibitụ mmiri mmiri ahụ) ma gbanye ya. Kpoo onunu ogwu nke achoro. Wepụta ikuku sipịnye tupu ojiji. Kpọkọtara otu anụahụ na saịtị ịgba agba ma jiri nwayọ gbanye ọgwụ. Mgbe ịmechara, jiri nwayọ wepu sirinji.
- Ihe eji eme otu ihe ahu bu iko nke enweghi agba ma nwe olu nke 3ml. Iji insuman Rapid GT na katrized agaghị eweta ihe isi ike. Tupu nke a, jide ya maka awa ole na ole n'ime ụlọ okpomọkụ. Anabataghị ikuku ikuku na kadi; ọ bụrụ na ọ dị, wepu ya ozugbo. Mgbe ịtọsịrị ya na pen sirinji ma gbaa ntụtụ
- Thedị kachasị adaba bụ mkpịsịsị sirinji enwere ike iwepu. Ọ bụ katalọgụ 3 milki doro anya nke etinyebere na penịjia. Disdị mpempe akwụkwọ a nwere ike ịtụfu. Jiri nlezianya mee ihe iji gbochie ịbanye nke ọrịa, nke egosipụtara na ntuziaka. Iji mee, kegide agịga ma banye.
Nyochaa vials na katriji nke ọma. Liquid ahụ kwesịrị ịta oke, enweghị mmerụ ahụ. Ekwesighi iji sirinji nwere ihe mebiri emebi. Oge ịgba ọgwụ insuman ghaa dị mkpa nkeji iri abụọ tupu nri. Anabatara iji intramuscular Echefula ịgbanwe saịtị nsị. A nabatara mgbanwe nke mpaghara (site na hip ruo afo) mgbe nnabata dọkịta gachara. Otu a ka o siri jiri ọgwụ ndị ọzọ, yana mmanya. Ihe omuma zuru oke banyere ojiji insulin Rapid, ị nwere ike ịchọta na ntuziaka ahụ.