I-Novomix 30 Flekspen Insulin Ukubuyekezwa

Phakathi kwezidakamizwa ezinqunywe ochwepheshe zokwelapha isifo sikashukela, kukhona ithuluzi elinjenge-insulin Novomix. Ukuze iziguli ziqonde ukuthi lo muthi usebenza kanjani, kufanelekile ukubheka izici zawo.

Emakhemisi, ithengiswa ngaphansi kwegama elithi Novomix 30 Flexspen. Elinye igama nguPenfill.

Izici ezijwayelekile nendlela yokusebenza yesenzo

Lesi sidakamizwa singokwenombolo ye-insulin. Ithuluzi ukumiswa okuyinqaba, okunikezwe isiguli ngokuzithoba. Izakhi eziyinhloko zokwakheka yi-insulin Aspart ne-protamine yayo.

Into yokuqala ibhekwa njenge-analogue ye-insulin yomuntu isikhathi esifushane sokwenza. Enye isithako ibonakala ngesenzo sesikhathi esiphakathi futhi i-analogue ye-insulin yabantu. Izici zalezi zingxenye futhi ngenxa yomphumela womuthi emzimbeni weziguli ezinesifo sikashukela.

Isidakamizwa sisetshenziselwa ukulawula ushukela wegazi kwabashukela. Ingasetshenziselwa izifo zohlobo 1 no-2, njengengxenye yokwelapha okuyinkimbinkimbi noma i-monotherapy.

I-Novomix ibonakala ngomphumela we-hypoglycemic. Lokhu kutholakala ngokuxhumana kwezinto ezisebenzayo zesidakamizwa ngama-insulin receptors ezingqamuzaneni zamaseli, okusheshisa ukungena kweglucose kumaseli kanye nenqubo ye-psychellular metabolism. Ngakho-ke, ushukela usatshalaliswa ezicutshini zemisipha, esiza ukunciphisa ukuqina kwe-plasma. Ngaphezu kwalokho, ngaphansi kwethonya leNovomix, isibindi sinciphisa inani lama-glucose akhiqizwayo, ngenxa yalokho ukwehla kokuqukethwe kwalo kuhamba ngezindlela ezimbili.

Lolu hlobo lwe-insulin lunemiphumela esheshayo. Isenzo siqala imizuzu eyi-10 - 20 ngemuva komjovo. Kuvunyelwe ukuphatha umuthi kungekudala ngaphambi kokudla. Umuthi osebenza kakhulu uzibonakalisa ngokwesilinganiso ngemuva kwamahora we-1-4, khona-ke ukusebenza kwawo kuyancipha kancane kancane. Isikhathi esiphezulu somphumela waso emzimbeni ngelinye ilanga. Ukuze uhhafu wezinto ezisebenzayo zigqitshwe, kuthatha cishe amahora angama-9.

Imiyalo yokusebenzisa

Ukusebenza kokwelashwa ngalesi sidakamizwa kuya ngokulandela imiyalo. Kubalulekile ukuthi iNovomix inqunywe ngudokotela. Umthamo kufanele unqunywe nonguchwepheshe. Imvamisa kubalwa kususelwa esigulini (isigamu ngasinye kufanele sibe amayunithi angu-0.5-1). Kepha lokhu kuyidatha ejwayelekile.

Umthamo uthonywe izici zomzimba womuntu ogulayo, iminyaka yakhe, izifo ezihambisanayo, imigomo yomphumela wokwelapha (ukuthatha amanye ama-hypoglycemic agents noma ukungabikho kwayo), njll.

Abantu abanokuzwela okuphansi kwe-insulin badinga ukusebenzisa imithamo ephakeme, futhi labo abaqhubeka nokwakha leli hormone basebenzise umuthi kumthamo oncishisiwe. Lokhu kusho ukuthi ukuzimela komuntu ngomthamo kanye nesheduli akwamukeleki.

Isidakamizwa sisetshenziswa kuphela ngendlela yemijovo engezansi. Ukuphathwa kwe-Intravenous and intramuscular akwenziwa ngenxa yengozi ephezulu ye-hypoglycemia.

Izindawo ezisebenzayo zemijovo yilezi:

• ithanga
• ehlombe
• izinqe;
• udonga lwesisu lwangaphakathi.

Umqondo obalulekile wokusebenzisa iPenfill yisidingo sokushintsha amasayithi womjovo. Uma uhlala wenza imijovo endaweni efanayo, ukumuncwa kwezinto ezisebenzayo kuyaphazamiseka futhi ukusebenza kwawo kunciphile. Kubalulekile futhi ukuphatha imijovo ngehora.

Umuthi uvame ukusetshenziswa ngokwahlukile kwabanye noma ngokuhlanganiswa ne-metformin. Kulokhu, umthamo we-insulin uncishiswa kakhulu.

Kungakhathalekile ukuthi yiziphi izimiso zokwelashwa, kwesinye isikhathi kuyadingeka ukubheka inani leglucose egazini lesiguli, bese ulungisa umthamo ngokwemiphumela yocwaningo.

Imiyalo yevidiyo yokusebenzisa ipeni lesirinji:

Contraindication kanye nemiphumela emibi

Imiphumela emibi yesidakamizwa ingagwenywa ngokunaka i-contraindication kanye nemikhawulo. Lokhu kwenziwa kangcono nguchwepheshe.

Ukuphambana okuyinhloko kweNovomix kufaka phakathi i-hypersensitivity ekwakhiweni kanye nokuthambekela kwe-hypoglycemia. Kulezi zimo, ukuthatha umuthi akuvunyelwe.

Kukhona nemikhawulo mayelana namaqembu eziguli eziningana:

1. Abantu abadala. Ukuvinjelwa kungenxa yokuwohloka kwezitho zangaphakathi ezigulini zalolu hlobo. Eminyakeni yobudala engaphezu kwengama-65, umzimba uyaqina, okuthikameza ukusebenza okujwayelekile kwesibindi nezinso. Futhi ngenxa yalokhu, inqubo yokumbula i-insulin iyaphazamiseka.
2. Izingane. Umzimba wezingane ungazwela kakhulu umuthi. Ngakho-ke, kungenzeka ukuthi unqume ukuthi usebenzisa i-Novomix ekwelapheni ingane enesifo sikashukela kuphela ngemuva kokuhlolwa ngokuphelele.
3. Iziguli ezinesifo sesibindi. Into esebenzayo yesidakamizwa ithinta ukukhiqizwa kwe-glucose ngesibindi. Uma kwenzeka ukwephulwa emsebenzini womzimba, isenzo sawo sihlala singalindelekile, ngakho-ke kudingeka uhlole ngokucophelela ubungozi.
4. Iziguli ezine-pathologies yezinso. Izinso zibandakanyeka ekumbeni kwe-insulin. Uma umsebenzi wabo uphazamiseka, le nqubo inganciphisa, okuholela ekuqokelelekeni kwezinto emzimbeni nasekwakheni i-hypoglycemia.

Ukusebenza kwe-insulin maqondana nala maqembu eziguli akuzange kufundwe, ngakho-ke, uma kunesidingo, odokotela kufanele baqaphele inqubo.

Lapho usebenzisa umuthi, imiphumela engemihle ingavela. Ezinye zazo azinangozi futhi zidlula isikhashana ngemuva kokuqala kokwelashwa. Ezinye ziyisizathu sokwenqaba ukwelashwa okunjalo.

Imiphumela emiphumela emqoka ifaka phakathi:

1. I-Hypoglycemia. Ukusabela okuyingozi kakhulu komzimba entweni esebenzayo. Ngokubonakaliswa kwayo okuncane, isiguli sidinga nje ukudla ushukela omncane ukuze senze impilo yaso ibe ejwayelekile. Esimweni esinzima, ukungenelela okuphuthumayo kwezokwelapha kuyadingeka, ngoba isiguli singafa.
2. Allergy. Le mphumela emibi ingenzeka ngokubekezelela komuntu ngamunye umuthi. Imiphumela yokungezwani komzimba iyahluka kobukhulu. Ezinye zazo azinangozi - ubomvu, ukulunywa, i-urticaria. Kepha kwezinye iziguli, i-allergies ingaba nzima kakhulu (ngokwesibonelo, ukushaqeka kwe-anaphylactic).
3. Ukulimazeka kokubonakalayo. Lokhu kufaka phakathi i-retinopathy kanye nokuphazamiseka okungalungile. Ukuphambuka kokugcina kuvame ukwenzeka ekuqaleni kokwelashwa bese kunyamalala ngemuva kokuba umzimba usujwayele umuthi.
4. I-Lipodystrophy. Isibonakaliso esinjalo sivele uma imijovo ifakwa endaweni efanayo. Lokhu kubangela ukwephula ukumunyiswa kwento. Ngakho-ke, odokotela batusa amasayithi womjovo oguqula njalo.
5. Ukuphendula kwendawo. Akhula ezindaweni lapho umuthi uphathwa khona. Phakathi kwazo kunezimpawu ezinjengokulunywa, ubomvu, ukuvuvukala kwesikhumba, njll.

Ukutholwa kwemiphumela emibi yisikhathi sokubonana nodokotela. Kwesinye isikhathi zingakwazi ukungathathi hlangothi ngokushintsha uhlelo lokuphatha kanye nomthamo wezidakamizwa, kepha kwesinye isikhathi kuyadingeka ukufaka u-Novomix insulin ngesinye isidakamizwa.

Enye yezimpawu zomuthi umphumela wayo ukunakwa nezinga lokuphendula. Ngokubekezelela okujwayelekile kwePenfill, la makhono awahlupheki. Kepha uma kwenzeka i-hypoglycemia, isiguli singalahlekelwa amandla okugxilisa ingqondo.

Lokhu kusho ukuthi iziguli ezisengozini yokuthola lokhu kuphambuka kufanele zigweme imisebenzi edinga ukunakwa okwandisiwe nesivinini sokuphendula (ukushayela imoto). Ngenxa yakhe, usongo olwengeziwe empilweni yakhe lwenziwa.

Ukweqisa

Umthamo wemithi kumele ukhethwe ngudokotela. Isiguli kufanele silandele ngqo ukuqokwa kwayo, ngoba ukweqisa kwe-insulin kungadala imiphumela emibi kakhulu.

Imvamisa, amacala anjengalawa avela lapho kusetshenziswa umuthi ngamanani amakhulu, kepha izinguquko ezithile eziphilayo ziyenzeka, ezinganciphisa kakhulu isidingo sesiguli somuthi.

Umphumela we-overdose uphumela ku-hypoglycemia. Kungaba buthakathaka futhi kube namandla. Kepha noma ngabe ubucayi, lesi simo ngeke sibizwe njengesijwayelekile.

Ezimweni ezinzima, isiguli sinezimpawu zokuqaqamba, isicanucanu, ukwethuka, ubuthakathaka, umuntu angaquleka futhi aze awe ngisho nasenkingeni. Ngokuphikisana nesizinda se-hypoglycemia, ukuphazamiseka kwezinzwa kukhula, ngakho-ke kubaluleke kakhulu ukuthi ungavimbeli ukwenzeka kwayo.

I-hypoglycemia emnene imiswa ngosizo lwama-carbohydrate asheshayo. Kungakho kunconyelwa ukuthi kwabanesifo sikashukela babe noshukela noma amaswidi amnandi nabo.

Uma isimo sesiguli sibi kakhulu, ngeke ukwazi ukwenza ngaphandle kosizo lukadokotela, ngoba udinga ukusebenzisa umuthi ukuvala ukuhlaselwa.

Ukukhulelwa nokukhulelwa

Kuze kube manje, akukwazanga ukutadisha ngokuningiliziwe umphumela weNovomix kwabesifazane abakhulelwe nabomama abancelayo. Ngokwemiphumela yocwaningo maqondana nezilwane, idatha engcupheni yento ayitholakalanga.

Ngakho-ke, uma kunesidingo sokusetshenziswa kwalo muthi ngeziguli ezikhulelwe, udokotela angacabanga ngaleli thuba. Kepha ngasikhathi sinye, kubalulekile ukubheka izindlela zokuqapha, uhlola njalo izinga likashukela likamama olindele. Ngesikhathi sokukhulelwa, ushukela wegazi ungahluka kuye ngesikhathi, futhi lokhu kufanele kubhekwe.

Ngesikhathi sokuqunjelwa, i-insulin nayo ingasetshenziswa - ngokukhethwa komthamo ofanele, kanye nokudla. Isithako esisebenzayo asingene ebisini, ngakho-ke ngeke kulimaze ingane.

Ukuxhumana neminye imithi

Njengoba ukubuyekezwa mayelana nomuthi kusho, ukusetshenziswa kwayo kuletha imiphumela edingekayo. Iziguli okungathathwanga zizo zonke izimo zinakwa kabi.

Enye into ebalulekile yokwelashwa ukuhambisana kwalolu hlobo lwe-insulin nezinye izidakamizwa. Ukuyidla ngokuhlangana kwayo nezidakamizwa ezithile kuthinta umphumela wayo emzimbeni.

Ukuqinisa isenzo sokulungiswa kwe-insulin kungadala izindlela ezinjengokuthi:

• imithi yethebhulethi ye-hypoglycemic;
• I-ACE ne-mao inhibitors;
• ama-sulfonamides;
• ama-salicylates;
• ama-beta-blockers angakhethi;
• ama-anabolics;
• imithi equkethe utshwala.

Kukhona nemithi eyenza buthaka ukusebenza kweNovomix.

Lokhu kufaka phakathi:

• ukulawulwa kokubeletha;
• ezinye izinhlobo zezidakamizwa ze-hormonal;
• okokugcobisa;
• utshwala

Ukuhlanganisa imali engenhla ne-insulin kuvunyelwe, kepha kuyadingeka ukubala kahle umthamo wento esebenzayo - phezulu noma phansi.

Izidakamizwa ezifanayo

Kwezinye izimo, izici zomzimba womuntu ogulayo azivumeli ukusetshenziswa kwalesi sidakamizwa ekwelapheni isifo sikashukela. Kulokhu, kuyadingeka ukusebenzisa izikhala zalo.

Azikho izimali ezinokwakheka okufanayo. Ngakho-ke, kuyadingeka ukusebenzisa izidakamizwa ngomphumela ofanayo, kodwa ngezinye izinto ezisebenzayo.

Okusemqoka yile:

1. Isi-Humalogue. Umuthi lo, osisekelo sawo yi-insulin Lizpro. Inomphumela wesikhashana. Futhi bayakubona ngesimo sokumiswa kokuphathwa kobuhlakani. Indlela yethonya kanye neye-contraindication ifana naleyo efakwe kulo muthi okukhulunywa ngawo.
2. I-Himulin. Isikhathi sokuchayeka engxenyeni yaso eyinhloko, i-insulin yomuntu, mude kakhulu kunaleso seNovomix. Yenzelwe futhi nokujova isitho sangasese. Ithuluzi libhekene nemikhawulo efanayo kanye ne-contraindication.

Isiguli kufanele sidlulise isiguli sisuka ePenfill siye kunoma iyiphi i-analogs yaso. Ukuzenza ngokwakho kuyingozi kakhulu. Ukuqedwa okungazelelwe kokwelashwa kwe-insulin kungadala izinkinga ezinkulu, kanye nokuguqukela ekwelashweni nezinye izidakamizwa.

Lesi sidakamizwa sinezindleko eziphakeme, ngoba sikhiqizwa phesheya. Ithuluzi elibizwa ngeNovomix 30 Flekspen lingathengwa ngentengo yama-ruble ayi-1600 kuya kwangama-2000. ukupakisha. I-Novomiks 30 Penfill ishibhile ngandlela-thile - cishe ama-ruble ayi-1500-1800. Amanani angahluka emadolobheni nasezifundeni ezihlukile.