I-INSUMAN RAPID GT NE-BAZAL GT: UKUBUYEKEZWA KWEZIGULI, IMIYALO YOKUSEBENZISA

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Isifo sikashukela yisifo esibi esithinta abantu abaningi nsuku zonke. Umphumela wayo ubangelwa ukwephulwa kokushintshaniswa kwamanzi nama-carbohydrate emzimbeni womuntu.

Ngenxa yalokhu, umsebenzi wamanyikwe, okhiqiza i-insulin, uyaphazamiseka. Le hormone ibandakanyeka ekucutshungweni kashukela ibe ushukela, futhi uma ungekho lapho umzimba ungakwazi ukwenza lokhu.

Ngakho-ke, ushukela luqongelela egazini lesiguli, bese lwadedelwa ngevolumu enkulu nomchamo. Kanye nalokhu, ukushintshaniswa kwamanzi kuyaphazamiseka, okuholele ekuhoxisweni kwenani elikhulu lamanzi ezinso.

Namuhla, umuthi unganikeza izikhala eziningi ze-insulin ezitholakalayo ngendlela yomjovo. Umuthi owodwa onjalo yi-Insuman, okuzoxoxwa ngawo kulesi sihloko.

Isenzo se-Pharmacological

I-Insuman Rapid GT - ipeni lesirinji elinesixazululo sokusetshenziswa okukodwa. Kubhekiswa eqenjini lezidakamizwa elifana ne-insulin yomuntu. Mayelana nokubuyekezwa kwe-Insuman Rapid GT kuphakeme kakhulu. Inamandla okwenzela ukuntuleka kwe-insulin endulin, eyakheka emzimbeni onesifo sikashukela.

Futhi, umuthi uyakwazi ukwehlisa izinga le-glucose egazini lomuntu. Lesi sidakamizwa sisetshenziswa ngendlela yomjovo ongaphansi. Isenzo senzeka kungakapheli nemizuzu engama-30 ngemuva kokungena, sifinyelela esilinganisweni saso ngemuva kwehora elilodwa noma amabili futhi ingaqhubeka, kuya ngomthamo womjovo, cishe amahora amahlanu kuya kwayisishiyagalombili.

I-SUSP. I-Insuman Bazal GT (ipeni lesirinji)

I-Insuman Bazal GT nayo ingeyeqembu lezidakamizwa elifana ne-insulin yomuntu, inesikhathi esilinganiswayo sokwenza okuthile futhi inamandla okwenza lokhu kungabikho kwe-insulin ye-insulin eyakha emzimbeni womuntu.

Mayelana nokuhlolwa kwe-insulin Insuman Bazal GT kweziguli nazo ziba kakhulu. Umuthi uyakwazi ukwehlisa ushukela wegazi. Umuthi uphathwa ngokungahambi kahle, umphumela ubonwa amahora amaningi, futhi umphumela omkhulu utholakala ngemuva kwamahora amane kuya kwayisithupha. Isikhathi sokusebenza sincike kumthamo womjovo, njengomthetho, uhluka kusuka emahoreni ayi-11 kuye kwangama-20.

Izinkomba zokusetshenziswa

Kunconywa i-Insuman Rapid ukuthi isetshenziswe ne:

i-mellitus;
isifo sikashukela;
i-acidosis;
isifo sikashukela i-mellitus ngenxa yezici ezahlukahlukene: ukuhlinzwa kokuhlinzwa; izifo ezihambisana nomkhuhlane; nezinkinga ze-metabolic; emva kokubeletha;
noshukela wegazi ophakeme;
Isimo sokuthanda, esibangelwa ukulahleka kwengqondo okuyingxenye, isigaba sokuqala sokuthuthuka komqondo.

Kunconywa i-Insuman Bazal ukuthi isetshenziswe ne:

i-mellitus;
ushukela ozinzile onesidingo esiphansi se-insulin;
ukuphatha ukwelashwa okujwayelekile kwendabuko.

Indlela yokusebenzisa

Kuyashesha

Umthamo wokujova nalesi sidakamizwa uqokwa kuphela ngokuhlukile, ngokuya ngolwazi mayelana nezinga loshukela kumchamo kanye nezimpawu zesifo. Umuthi usetshenziswa kanye ngosuku.

Kwabadala, umthamo owodwa uhluka kusuka kumayunithi angama-8 kuye kwangama-24. Kunconywa ukujova imizuzu engu-15-20 ngaphambi kokudla.

Ezinganeni ezinokuzwela okwengeziwe kwe-insulin, umthamo wansuku zonke walo muthi ungaphansi kweziyunithi ezingama-8. Kunconywa futhi ukuyisebenzisa ngaphambi kokudla imizuzu engu-15-20. Umuthi ungasetjenziswa zombili ngaphandle kokuthinteka nangendlela eqondile ezimeni ezihlukeneko.

Kufanele wazi ukuthi ukusetshenziswa okufanayo kwe-corticosteroids, inzalo yokuvimbela inzalo, ama-MAO inhibitors, ama-hormone e-thyroid, kanye nokuphuza utshwala kungaholela ekwandisweni kwezidingo ze-insulin.

Isisekelo

Lesi sidakamizwa sisetshenziselwa kuphela ngaphandle kokuzenzela. Kunconywa ukuthi kufakwe umjovo imizuzu engu-45 ngaphambi kokudla, noma ihora.

Indawo yomjovo akumele iphindwe, ngakho-ke kufanele iguqulwe ngemuva komjovo ngamunye onqenqemeni. Umthamo usethwe ngokwahlukileyo, kususelwa ezicini zenkambo yesifo.

Esigabeni sabantu abadala abathola imiphumela yalesi sidakamizwa okokuqala, kunqunywa umthamo wama-unit angama-8 kuya kwangama-24, unikezwa kanye ngosuku ngaphambi kokudla imizuzu engama-45.

Kwabadala nezingane ezinokuzwela okuphezulu kwe-insulin, kusetshenziswa umthamo omncane, ongekho ngaphezu kwama-8 amayunithi kanye ngosuku. Ezigulini ezinesidingo esincishisiwe se-insulin, idosi elingaphezu kwamayunithi angama-24 lingavunyelwa ukusetshenziswa kanye ngosuku.

Umthamo omkhulu ovunyelwe we-Insuman Bazal uvunyelwe ukusetshenziswa kuphela kwezinye izimo futhi awukwazi ukudlula amayunithi angama-40. Futhi lapho kungena ezinye izinhlobo ze-insulin zemvelaphi yezilwane nalesi sidakamizwa, kungafunwa ukuncipha komthamo.

Imiphumela emibi

Ngesikhathi sokusebenzisa i-Insuman Rapid, imiphumela emibi ingaqapheleka ibe nomthelela ongemuhle emzimbeni womuntu:

ukungahambisani kahle ne-insulin nesibhedlela;
lipodystrophy;
ukuntuleka kokuphendula i-insulin.

Ngomthamo onganele wesidakamizwa, isiguli singathola ukuphazamiseka ezinhlelweni ezihlukile. Lokhu:

ukusabela kwe-hyperglycemic. Lesi sibonakaliso sikhombisa ukwanda koshukela wegazi, kungenzeka ngokusetshenziswa kanyekanye kotshwala noma ngomsebenzi we-renal ongasebenzi kahle;
ukusabela kwe-hypoglycemic. Lesi sibonakaliso sikhombisa ukuncipha koshukela wegazi.

Imvamisa, lezi zimpawu zenzeka ngenxa yokwephulwa kokudla, ukungahambisani nesikhathi phakathi kokusetshenziswa kwezidakamizwa nokudla, kanye nokucindezelwa komzimba okungajwayelekile.Uma usebenzisa umuthi i-Insuman Bazal, kungaba nemiphumela emibi ehlukahlukene ebangelwa yilesi sidakamizwa emzimbeni:

imivimbo yesikhumba;
ukuluma endaweni yomjovo;
i-urticaria endaweni yokujova;
lipodystrophy;
ukusabela kwe-hyperglycemic (kungavela ngenkathi uphuza utshwala).

Contraindication

I-Insuman Rapid ayigunyazwanga ukuthi isetshenziswe ngoshukela omncane wegazi, kanye nokuzwela okwengeziwe komuthi noma izingxenye zawo ngamunye.

I-Insuman Rapid GT (isipetu sepeni)

I-Insuman Bazal i-contraindised kubantu:

nokuzwela okwengeziwe ngomuthi noma ezingxenyeni zawo ngazinye;
ngesifo sikashukela esidalwa isifo sikashukela, okuwukulahlekelwa ukwazi, ngokungabikho ngokuphelele kokushiwo ngumzimba ekuvuseleleni kwangaphandle ngenxa yokwanda okunamandla kashukela wegazi.

Ukweqisa

Lapho isiguli sinezimpawu zokuqala zokweqisa kwe-Insuman Rapid, khona-ke ukungazinaki izimpawu ezenza isimo sakhe esibi kungaba yingozi empilweni.

Uma isiguli sisesimweni sokuqonda, kudingeka siphuze ushukela ngokudla okunye ukudla okuqukethe ama-carbohydrate.

Futhi uma isiguli singazi lutho, kudingeka singene 1 milligram ye-glucagon intramuscularly. Uma lokhu kwelashwa kunganiki noma yimiphi imiphumela, ungafaka ama-milligram angama-20-30 wesisombululo se-glucose samaphesenti angama-30-50.

Uma isiguli sinezimpawu zokweqisa kwe-Insuman Bazal, okukhombisa ukuwohloka ngokushesha kwenhlala-kahle, ukungahambi kahle komzimba kanye nokulahlekelwa ukwazi, udinga ukuthatha ngokushesha i-glucose ngokudla okuqhubekayo kwemikhiqizo equkethe ama-carbohydrate ekwakhekeni kwawo.

Kodwa-ke, le ndlela izosebenza kuphela kubantu abazi.

Umuntu osesimweni sokungazi kufanele afake i-1 milligram ye-glucagon intramuscularly.

Esimweni lapho umjovo we-glucagon ungenawo umphumela, izigidi ezingama-20- 30 zesisombululo se-glucose esingamaphesenti sinikezwa ngaphakathi. Uma kunesidingo, inqubo ingaphindwa.

Ngezikhathi ezithile nezimo ezithile, kunconyelwa ukufakelwa esibhedlela isiguli emnyangweni ukuze uthole ukwelashwa okuningana, lapho isiguli sizoba khona ngaphansi kokubhekwa kwezokwelapha ngaso sonke isikhathi ukuze silawuleke ngokuphelele futhi siphelele ngokwelashwa.

Amavidiyo ahlobene

Mayelana nama-nuances wokusetshenziswa kwezidakamizwa ze-insulin i-Insuman Rapit neBasal kule vidiyo:

I-Insuman isetshenziselwa ukwelapha iziguli ezinesifo sikashukela i-mellitus. Kuyafana ne-insulin yabantu. Yehlisa ushukela bese yenza ukuntuleka kwe-insulin endulin. Kutholakala njengesixazululo esicacile somjovo. Umthamo, njengomthetho, unqunyelwa isiguli ngasinye ngamunye, sibalwa ngesisekelo sezici zenkambo yesifo.

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