I-Novomix - imithetho yokusebenzisa, imithamo nokulungiswa

Ku-mellitus yesifo sikashukela, ukukhiqizwa kwe-insulin kukhubazeka kakhulu, okuholela ekushintshashintsheni okubukhali emazingeni kashukela wegazi. Ukuhambisana nokudla akuhlinzeki njalo imiphumela elindelekile, ngakho-ke odokotela banquma imishanguzo yeziguli ukuze yenze i-hormone ijwayelekile.

INovomix umuthi osuselwa ku-insulin okuyisimangalo esimhlophe ngaphandle kweziqalo. Kunqunyelwe i-mellitus encike ku-insulin futhi enganciki i-insulin.

Umgomo wesidakamizwa uNovomix

Umuthi ungena emashalofini ekhemisi emakholishi noma emapeni akhethekile wesirinji. Umthamo wazo zombili izinhlobo zama-dosage yi-3 ml. Ukumiswa kuqukethe izingxenye ezi-2.

Uma udakwe, umuthi:

1. Ithinta ama-insulin receptors;
2. Inqanda ukukhiqizwa okunoshukela okuningi;
3. Yehlisa ushukela wegazi;
4. Ijwayele izinga leshukela, elikhuphuka kakhulu ngemuva kokudla.

Umuthi awuthinti amandla okuba nezingane futhi awuholeli ekwakhiweni kwezinguquko kanye neziqubu ezinomdlavuza. INovomix isidakamizwa esiphephile esivame ukuba nemiphumela emibi lapho isetshenziswa kahle.

I-hormone eyingxenye yesidakamizwa iyafana ne-insulin yemvelo ngakho-ke ayibeki engcupheni emzimbeni.

Contraindication, sebenzisa lapho uthwala futhi wondla ingane

Umuthi uphambaniswa uma kwenzeka kuba ne-hypersensitivity to aspart insulin noma izingxenye ezisizayo. Umuthi awunconywa ezinganeni ezingaphansi kweminyaka engu-6. Lapho uthwala ingane, iNovomix inqunywa kuphela ezimeni zenzuzo ezingaba ngaphezulu kwengozi yengane engakazalwa.

Lapho uthwala ingane, qapha ngokucophelela izinga le-glucose egazini futhi uliqaphe njalo. Kwi-trimester yokuqala yokukhulelwa, ukufunwa kwe-insulin akunakwa, ku-2nd ne-3rd trimester iyanda. Ngemuva kokubeletha, umthamo ungancishiswa, ngoba isidingo somzimba se-insulin sehla kakhulu.

Imiphumela emibi engaba khona

Ngokusetshenziswa okungafanele noma okuhlala isikhathi eside, i-Novomix iyakwazi ukuthinta kabi umzimba wesiguli. Iziguli zinemiphumela engathandeki:

1. I-Hypoglycemia Lesi yisimo lapho izinga kashukela wegazi lehla kakhulu kwizinkomba ze-pathological (ngaphansi kwe-3.3 mmol nge-1 litre). I-Hypoglycemia iba khona kulezi ziguli ezinikezwe umuthi omkhulu kakhulu womuthi. Izimpawu ushukela ophansi zenzeka ngokuzumayo. Isikhumba siba mnyama, umuntu uhlala ejuluka, asheshe akhathale futhi ahlushwa ukukhathazeka okukhulayo. Iziguli ezinoshukela osehlisiwe zixhawula izandla, ziphelelwa amandla bese zidideka. Ukugxilisa ukunakwa kukhubazekile, ukushaya kwenhliziyo kuyashesha futhi kulele njalo. Imvamisa, iziguli ezine-hypoglycemia zithola indlala engalawulwa. Umbono uya ngokuba mncane futhi kuqhamuke nenhliziyo. Ekuhlaselweni okukhulu kwe-hypoglycemia, isiguli siqala ukufikelwa amandla okukhwabanisa kanye nokusebenza kwengqondo okungasebenzi kahle. Uma usizo lunganikezwa ngesikhathi, i-hypoglycemia iholela ekufeni kwesiguli;
2. I-Lipodystrophy. Lokhu kungukubhujiswa kwengqimba yamafutha kuze kuphele ukunyamalala kwayo ngokuphelele. Kuvela ezindaweni lapho injekishini yenziwa khona kaninginingi. Ukumunca kanye nokumunca kwezakhi ezisebenzayo kuvame ukungabi namandla. Ukuvimbela i-lipodystrophy, kunconywa ukuthi kuguqulwe ezinye izindawo zokujova kanye nokujova i-insulin ezindaweni ezintsha;
3. Ukungezwani komzimba. I-Novomix ezimweni ezingamanani ibangela ukuqubuka okujwayelekile - isimo lapho ukuqubuka kumboza umzimba wonke. Isiguli siyajuluka, sihlushwa ukuphazamiseka kwephephabhuku lesisu kanye ne-angioedema. Ezimweni ezinzima, umfutho wegazi wehla kakhulu, ukushaya kwenhliziyo kuyashesha, kuba nzima ukuthi isiguli siphefumule. Lokhu kusabela kubeka engcupheni impilo yesiguli futhi kudinga ukunakekelwa ngokushesha kwezokwelapha.

Ama-Novomiks: ukufundiswa kwesicelo

Ngaphambi kokusebenzisa umkhiqizo, bamba ikhareji noma ipeni elilahlekayo bese unyakazisa. Naka umbala wesitsha - umthunzi kufanele ube munye futhi umhlophe. Iziphunga ezinamathele ezindongeni zegobolondo akufanele. Ukusetshenziswa kwenaliti eyodwa kuphela okuvunyelwe - uma ungawunaki lo mthetho, lapho-ke usengozini yokungenwa yileli gciwane.

Ngaphambi kokusebenzisa, kubalulekile ukubheka imigomo yokuqala nokuqapha:

• Ungasisebenzisi isidakamizwa uma ngaphambi kwalokho sasilele efrijini;
• Uma isiguli sinomuzwa wokuthi ushukela uphansi, kwenqatshelwe ngokuphelele ukuphatha umuthi. Ukwandisa ushukela, kwanele
• Yidla ama-carbohydrate alula (njengoswidi)
• Uma i-cartridge lehliwe phansi noma lonakaliswe nganoma iyiphi enye indlela, akunakuvumeleka ukuyisebenzisa ngokuzayo. Ngaphambi kokusebenzisa, hlola njalo isitsha sokumiswa bese uhlola i-piston. Uma kukhona igebe phakathi kwabo, shintsha insimbi yomjovo we-insulin ngomunye umshini;
• Bheka imiyalo kanye nelebula - qiniseka ukuthi unhlobo olufanele lwe-insulin ezandleni zakho;
• Hlala njalo uguquguqula izindawo lapho inaliti ifakwa khona emafutheni angaphansi kwenhliziyo. Lokhu kuzosiza ukugwema i-lipodystrophy kanye nezimpawu endaweni yomjovo;
• Indlela esheshayo i-insulin ingena emzimbeni lapho ihanjiswa esifundeni sesisu.

Ungakhohlwa ukuqapha njalo amazinga kashukela. Landela imiyalo ukuvikela izimo ezinzima kanye nokwehla okubukhali kweglucose.

Ukuhambisana nezinye izidakamizwa

Lapho ubala umthamo, cabanga ukuthi ezinye izidakamizwa zingathinta i-carbohydrate metabolism. Le mishanguzo ifaka:

izidakamizwa eziholela ekwehlekeni okukhulu kwamazinga kashukela;

• I-Okreotide;
• Mao inhibitors;
• Ama-salicylates;
• Ama-Anabolics
• Ama-Sulfonamides;
• Imikhiqizo equkethe utshwala.

Ngaphezu kwalokho, iqembu lezidakamizwa livela lapho isidingo seNovomix 30 Flexpen sikhuphuka. Lesi sigaba sifaka: ama-hormone egilo le-thyroid, amaphilisi okulawula ukuzala, i-danazole, i-thiazides, ama-HSC.

Umthelela kwekhono lokushayela

Umphumela omubi ovame kakhulu obonwa ngesikhathi sokwelashwa ukwehla okubukhali koshukela kumanani ayingozi. Enye yezimpawu ze-hypoglycemia ukwephula okuhlushwa, ngenxa yokuthi isiguli ngeke sikwazi ukushayela umshini onzima noma ukushayela imoto ngaphandle kwengozi.

Ngemuva kokuphatha, qiniseka ukuthi akukho bungozi bokwanda okubukhali kwamazinga kashukela. Uma izimpawu ze-hypoglycemia zingabonakali ngempela, akunconywa ukushayela imoto, njengoba ushukela ungawa nganoma yisiphi isikhathi.

Imithamo nokulungiswa

I-Novomix ichazwe njenge-monotherapy noma ngokuhlangana neminye imithi. Imithamo incike ezimeni eziqondene nohlobo lwesifo:

• Esikhathini sikashukela sohlobo lwesibili, umthamo wokuqala ungamayunithi ama-6 ngaphambi kokudla kokuqala neyunithi elifanayo ngaphambi kokudla. Ngokwesidingo esandayo se-insulin, umthamo uguqulwa ube amayunithi ayi-12;
• Uma isiguli siguqula ukwelashwa nge-biphasic insulin ibe yiNovomix, umthamo wokuqala uhlala usufana nhlobo. Ngaphezu kwalokho, umthamo uguqulwa uma kunesidingo. Lapho udlulisela isiguli umuthi omusha, ukuqapha okuqinile ngudokotela ohambelayo kuyadingeka;
• Uma ukwelashwa kudinga ukuqiniswa, isiguli sinqunywa umthamo ophindwe kabili womuthi;
• Ukushintsha umthamo, ukukala ushukela wakho osheshayo wezinsuku ezi-3 zokugcina. Uma phakathi nalesi sikhathi kube nokuncipha okukhulu kwezinga likashukela, umthamo awulungiswa.

Ungayisebenzisa kanjani i-insulin

Inhlanganisela yedosi elikhethwe kahle nokungeniswa kwalo okuyilo emzimbeni ngumthetho oyinhloko wokulashwa ngempumelelo kwesifo sikashukela i-mellitus:

1. Ngaphambi kokusebenzisa ikhambi, libambe amahora angama-1-2 ekushiseni kwama-degree angama-15-20. Ngemuva kwalokho bamba ibhokisi lokugcoba bese ulikhonkotha. Faka i-cartridge phakathi kwezandla zakho, bese uhlanganisa izandla zakho sengathi udonsa induku noma enye into yesilinda. Phinda izikhathi ezi-15.
2. Jikisa ibhokisi eliqonde phezulu bese ulihlikihla ukuze ibhola elingaphakathi esitsheni ligingqe lisuka komunye umkhawulo kuya kolunye.
3. Phinda izinyathelo 1 no-2 kuze kube yilapho okuqukethwe okuqukethe kunamafu kube mhlophe ngokulinganayo.
4. Faka ngenkani emafutheni angama-subcutaneous. Ungakufaki okuqukethwe yi-cartridge ungene emithanjeni - lokhu kuzodala ukwanda okubukhali koshukela wegazi.
5. Uma ama-PIECES angaphansi kwayi-12 womuthi asele esitsheni, sebenzisa umthamo omusha ukuxuba ngokulinganayo.

Gcina inkinobho yokuqalisa icindezelwe kuze kube yilapho wonke umuthi womuthi ufakwe ngaphansi kwesikhumba. Uma usebenzisa imikhiqizo e-2 ehlukene, ungaze uyixube ebhokisini elilodwa.

Usizo lokuqala lwe-overdose

Isibonakaliso esiyinhloko sokweqisa kweNovomix yi-hypoglycemia enzima. Isiguli esikulesi simo singasizwa ngezindlela eziningana:

• Ngokwenyuka ushukela okuncane, nikeza isiguli noma yimuphi umkhiqizo onama-carbohydrate alula. Lokhu kufaka phakathi i-confectionery: uswidi, ushokoledi, njll. Imikhiqizo Carry enokuqukethwe ushukela njalo - isidingo sokwandisa ukugxilwa kashukela kungenzeka nganoma yisiphi isikhathi;
• I-hypoglycemia enkulu iphathwa ngesisombululo se-glucagon. Lesi sidakamizwa sisilinganiso esingu-0.5-1 mg. ukulimala ngama-intramuscularly noma i-subcutaneous fat;
• Enye indlela ye-glucagon yisisombululo se-dextrose. Kwethulwa ezimweni ezimbi kakhulu, lapho isiguli sesivele singenwe yi-glucagon, kepha asibuyi ukuqaphela isikhathi esingaphezu kwemizuzu eyi-10. I-Dextrose ilawulwa ngokuqondile. Umuntu noma udokotela oqeqeshiwe ngokukhethekile ongakwenza lokhu.

Ukuvimbela ushukela ukuthi ungaphinde uwe, yidla ukudla okune-carbohydrate elula futhi eyinkimbinkimbi. Ungakhohlwa ngokuqapha - yidla ngezingxenye ezincane ukuze ungabangeli ukubuyela emuva.

Amagama okuhweba, izindleko, izimo zokugcina

Umuthi ungena emashalofini ekhemisi ngaphansi kwamagama okuhweba amaningana. Ngamunye wabo ukhiqizwa ngevolumu ethile kanye nokuhlushwa kwento esebenzayo.

Izindleko ziyehluka kancane:

1. I-Novomix FlexPen - ruble le-1500-1700;
2. Ama-Novomiks ama-30 Penfill - ama-ruble ayi-1590;
3. I-Insulin Aspart - ama-ruble angama-600 (nge-syringe).

Umuthi unconyelwa ukuba ugcinwe emazingeni okushisa angadluli kuma-25 degrees endaweni emnyama engafinyeleleki ezinganeni..

Ama-Novomiks: ama-analogues

Uma umkhiqizo ungahambisani nawe noma ungabekezelelwa ngumzimba ngenxa yezakhi ezisizayo, siphakamisa ukuthi uzijwayeze nezijobelelo ezifakazelwe:

• I-Novomix 30 Penfill. Lesi sidakamizwa esinezingxenye ezimbili ze-insulin. Kuhlanganisa ama-hormone asebenza okwesikhashana nesikhathi eside. Ivuselela ukukhiqizwa kwezakhi ezibalulekile, yenyusa ukuhamba kwe-glucose ezingeni lamaselula nekhono layo lokudonswa amanye izicubu. Kuyathinta isibindi, kwehlise ukukhiqizwa kwe-glucose futhi kuvumele ukuqina kwayo egazini. Ngokungafani neNovomix yakudala, isebenza amahora okungenani angama-24. Isakhiwo sento esebenzayo siguqulwa ne-insulin yemvelo, ngakho-ke ithuluzi liphephile emzimbeni. Ngokusetshenziswa okufanele, umuthi empeleni awubangeli imiphumela engathandeki. Contraindicated ngaphambi kweminyaka engu-18, nge-hypoklycemia ne-hypersensitivity;
• I-Novomix 30 FlexPen. Kuyathinta ukukhiqizwa kwe-insulin futhi kuvuse izinqubo ezenzeka ngaphakathi kwamangqamuzana. Isikhathi sokusebenza sincike endaweni yomjovo, ukusebenza komzimba, umthamo nezinye izinto. Umuthi ubekelwe ukwelashwa kwesifo sikashukela sohlobo 1 nohlobo 2;
• I-Novomix 50 FlexPen. Leli thuluzi licishe lifane ngokuphelele nezidakamizwa ezimbili ezichazwe ngenhla. Umehluko kuphela ekugxilweni kwento esebenzayo. Ngalesi sizathu, kufanele ngaso sonke isikhathi ubonane nodokotela ngaphambi kokuqala ukwelashwa.

Lapho ukhetha umuthi ofanele, ungabheki izindleko kuphela, kodwa namanye amaphuzu abalulekile. Lokhu kufaka phakathi uhlobo lwe-insulin, izici zomzimba wakho ngamunye, ukubekezelelwa kwezinto nezifo ezihambisana nakho.