Ngokuya ngesithombe somtholampilo, umuntu onesifo sikashukela uphuza izidakamizwa ezihlukile.
Ezimweni ezidinga ukwelashwa kwe-insulin, imijovo ye-hypoglycemic inqunyelwe. Umuthi owodwa onjalo yi-Insuman Rapid GT.
Izici ezijwayelekile
I-Insuman Rapid umuthi obekelwe ukwelashwa kwesifo sikashukela. Kutholakala ngefomu loketshezi futhi kusetshenziswe ngendlela yokujova.
Ezimweni zokwelashwa, zingasetshenziswa nezinye izinhlobo ze-insulin. Kunqunyelwe isifo sikashukela sohlobo 1 nohlobo 2 sikashukela ngokungasebenzi kwamathebulethi anciphisa ushukela, ukungabekezeleli noma ukuphambana kwabo.
I-hormone ine-hypoglycemic effect. Ukwakheka kwalesi sidakamizwa insulin yomuntu ne-100% encibilikayo ngesenzo esifushane. Umuthi utholwe elebhu elekhishini lofuzo.
I-soluble insulin - into esebenzayo yesidakamizwa. Izakhi ezilandelayo zazisetshenziselwa ukwengeza: i-m-cresol, glycerol, amanzi ahlanziwe, i-hydrochloric acid, i-sodium hydroxide, i-sodium dihydrogen phosphate dihydrate.
Izici ze-Pharmacological
I-Insuman yehlisa ushukela wegazi. Kubhekiswa kwezidakamizwa nesikhathi esisheshayo nesifushane somsebenzi.
Umphumela ulindelwe uhhafu wehora ngemuva komjovo futhi uthatha amahora angama-7. Ukugxila okuphezulu kubonwa ehoreni le-2 ngemuva kokuphathwa kobuhlakani.
Umuthi osebenzayo ubopha kuma-cell receptors, athola i-insulin receptor tata. Kuthuthukisa ukuhlangana kwama-enzymes abalulekile futhi kuvuse izinqubo ze-intracellular. Ngenxa yalokhu, ukumuncwa nokufakwa kweglue emzimbeni kuyathuthukiswa.
Isenzo se-Insulin:
- ivuselela ukwakheka kwamaprotheni;
- kuvimbela ukubhujiswa kwezinto;
- kuvimbela i-glycolenolysis ne-glyconeogeneis;
- kuthuthukisa ukuthuthwa kanye nokufakwa kwe-potassium;
- kuthuthukisa ukwakheka kwamafutha acid esibindini nezicubu;
- kubambezela ukwehlukana kwamafutha;
- kuthuthukisa ezokuthutha kanye nokumuncwa kwama-amino acid.
Izinkomba kanye ne-contraindication
Umuthi unqunywe emacaleni alandelayo:
- Thayipha isifo sikashukela esingu-1 (ifomu elincike kwe-insulin) nohlobo 2 sikashukela;
- ekwelapheni izinkinga ezinzima;
- ukuqeda isigaxa sikashukela;
- ukuthola isinxephezelo sokushintshwa kulungiselelo nangemva kokuhlinzwa.
I-hormone ayinqunyelwe ezimeni ezinjalo:
- ukuhluleka kwe-renal / kwesibindi;
- ukumelana nento esebenzayo;
- i-stenosis ye-coronary / cerebral artery;
- ukungabekezeleli umuthi;
- abantu abanezifo ezithinta umzimba;
- abantu abane-retinopathy ekhulayo.
Imiyalo yokusebenzisa
Ukukhethwa nokulungiswa komthamo kunikezwa ngamunye. Udokotela uyinquma kwizinkomba ze-glucose, izinga lokusebenza ngokomzimba, isimo se-carbohydrate metabolism. Kunconyelwa isiguli uma kwenzeka kunoshintsho ekugxekeni kwe-glucose.
Umthamo wansuku zonke wezidakamizwa, kucatshangelwa isisindo, ngu-0.5 IU / kg.
I-hormone ihanjiswa ngaphakathi, ngaphakathi, ngokuhlanzeka. Indlela esetshenziswa kakhulu yangaphansi. Umjovo wenziwa imizuzu engu-15 ngaphambi kokudla.
Nge-monotherapy, imvamisa yokulawulwa kwezidakamizwa cishe izikhathi ezi-3, kwezinye izimo ingafinyelela izikhathi ezi-5 ngosuku. Isayithi lomjovo lishintsha ngezikhathi ezithile ngaphakathi kwendawo efanayo. Ukuguqulwa kwendawo (ngokwesibonelo, kusuka isandla kuye kwesinye esiswini) kwenziwa ngemuva kokubonana nodokotela. Ukulawulwa kokusebenzisa umuthi okucashile, kunconywa ukusebenzisa ipeni yesirinji.
Umuthi ungahlanganiswa ne-insulin esebenza isikhathi eside.
Ngokwezincomo ezishiwo, ama-cartridge kufanele asetshenziswe nepeni yesirinji. Ngaphambi kokukhulisa amandla, umuthi kufanele ufuthulwe ekushiseni okufisayo.
Isifundo sevidiyo yesirinji-ekuphatheni kwe-insulin:
Ukulungiswa komthamo
Umthamo wesidakamizwa ungashintshwa emacaleni alandelayo:
- uma indlela yokuphila iguquka;
- ukuzwela okwandayo kwento esebenzayo;
- ushintsho kwesisindo sesineke;
- lapho usuka komunye umuthi.
Ngesikhathi sokuqala ngemuva kokushintsha kusuka kwenye into (kungakapheli amasonto ama-2), kunconywa ukulawulwa kweglucose.
Ukusuka kumithamo ephezulu yeminye imishanguzo, kuyadingeka ukushintshela kulo muthi ngaphansi kokuqashwa kwezokwelashwa okusondele.
Lapho ushintsha usuka ezilwaneni uye kwi-insulin yomuntu, kwenziwa ukulungiswa komthamo.
Ukuncishiswa kwaso kuyadingeka esigabeni esilandelayo sabantu:
- eyayilungiselelwe ushukela ophansi ngesikhathi sokulashwa;
- ukuthatha imithamo ephezulu yemithi ngaphambili;
- kusengaphambili ekwakhekeni kwesimo se-hypoglycemic.
Imiyalo ekhethekile neziguli
Lapho ukukhulelwa kwenzeka, ukwelashwa kwezidakamizwa akuyeki. Into esebenzayo ayiweli ku-placenta.
Nge-lactation, ayikho imikhawulo yokwamukelwa. Iphuzu eliyinhloko - kukhona ukulungiswa kumthamo we-insulin.
Ukuvimbela ukusabela kwe-hypoglycemic, phatha asebekhulile ngokuqapha.
Abantu abanokulimala kwesibindi / kwezinso ukusebenza ku-Insuman Rapid futhi baguqule umthamo ngaphansi kokuqashwa kukachwepheshe.
Izinga lokushisa lesisombululo elifakiwe kufanele libe ngu-18- 28ºº. I-insulin isetshenziswa ngokuqapha kwezifo ezithathelanayo ezinamandla - ukulungiswa kwamthamo kuyadingeka lapha. Lapho uthatha umuthi, isiguli asibandakanyi utshwala. Kungadala i-hypoglycemia.
Lapho uthatha umuthi, isiguli kudingeka sinake noma yiluphi ushintsho esimweni salo. Lokhu kuyadingeka ekubonakalweni okufika ngesikhathi kwezimpawu ezedlule ze-hypoglycemia.
Ukuqapha okukhulu kwamaglue kashukela kuyanconywa futhi. Izingozi ze-hypoglycemia ezihambisana nokusetshenziswa komuthi ziphezulu kubantu abane-ushukela ongagcineki kahle. Isiguli kufanele ngaso sonke isikhathi siphathe ama-20 g kashukela.
Ngokuqapha ngokweqile, thatha:
- kanye nokwelashwa okuvumelanayo;
- lapho idluliselwa kwenye i-insulin;
- Abantu abakhona isikhathi eside sesifo sikashukela;
- abantu asebekhulile;
- abantu abakhula kancane kancane nge-hypoglycemia;
- ngokugula kwengqondo okuhambisanayo.
Imiphumela emibi kanye ne-overdose
Imiphumela elandelayo emibi ihlukaniswa ngemuva kokuphatha:
- I-hypoglycemia - into evamile engemihle lapho uthatha i-insulin
; - ukungahambi kahle komzimba, i-bronchospasm, i-agnioneurotic edema;
- ukuphazamiseka okubukwayo;
- i-lipodystrophy endaweni yomjovo, futhi redness nokuvuvukala;
- ukungazi kahle;
- esiteji sokuqala sokuphuza umuthi, ukusabela okuthile (ukuphazamiseka okungalungile, ukuvuvukala) kudlula isikhathi;
- ukugcinwa kwe-sodium emzimbeni.
;Uma kwenzeka kweqa ngokweqile, isiguli singase siphonsa ushukela sibe sezingeni eliphansi. Ngefomu emnene, kufanele kuthathwe u-15 g we-glucose.
Ifomu elinzima lokuxhuga, ukulahleka kwengqondo kudinga ukwethulwa kwe-glucagon (intramuscularly). Mhlawumbe ukwethulwa okungeziwe kwe-dextrose (ngaphakathi kwangaphakathi).
Ngemuva kokuzinza kwesimo sesiguli, kuyadingeka ukuthatha umthamo wokulungisa ama-carbohydrate. Isikhathi esithile ngemuva kokuqedwa kwezimpawu ze-hypoglycemia, ukuqapha isimo kuzodingeka, ngoba ukubonakaliswa kwesibili kungenzeka. Ezimweni ezikhethekile, isiguli silaliswa esibhedlela ukuze siqhubeke nokubhekwa.
Ukuxhumana neminye imithi
Ngaphandle kokubonisana nodokotela, ukusebenzisa kanyekanye ezinye izidakamizwa akunconywa. Zingakhulisa noma zinciphise umphumela we-insulin noma zivuse izimo ezibucayi.
Ukwehla komphumela we-hormone kubhekwa nokusetshenziswa kwezindlela zokuvimbela inzalo, ama-glucocorticosteroids mahormone (progesterone, estrogen), ama-diuretics, inqwaba yezidakamizwa ze-antipsychotic, i-adrenaline, ama-hormone e-thyroid, i-glucagon, i-barbiturates.
Ukuthuthukiswa kwe-hypoglycemia kungenzeka ngokusetshenziswa ngokuhlanganyela kwezinye izidakamizwa ze-antidiabetes. Lokhu kusebenza kuma-sulfonamide antibiotics, ama-inhibitors we-MAO, i-acetylsalicylic acid, i-fibrate, i-testosterone.
I-Alcohol ene-hormone yehlisa ushukela iye ezingeni elibucayi, ibangele i-hypoglycemia. Umthamo ovumelekile unqunywa udokotela. Kufanele futhi uqaphele ngokuthatha i-laxatives - ukuphuza kwabo ngokweqile kuthinta kakhulu ushukela.
IPentamidine ingadala izimo ezihlukile - i-hyperglycemia ne-hypoglycemia. Umuthi ungavusa ukwehluleka kwenhliziyo. Ikakhulu kubantu abasengozini.
Imithi yokwazisa (efanisa ifomu lokukhipha kanye nokuba khona kwengxenye esebenzayo) ifaka: i-Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. Imithi efakwe kuhlu ifaka i-insulin yomuntu.
Ukubuyekezwa kweziguli kanye nombono wochwepheshe
Iziguli ezithatha i-Insuman Rapid zishiya ukubuyekezwa okuhle mayelana nomuthi. Phakathi kokuphawula okuhle: isenzo esisheshayo, ukwehlisa ushukela ube okwejwayelekile. Phakathi kokubi: kumasayithi omjovo, abanesifo sikashukela abaningi babona ukuthukuthela nokulunywa.
Nganqunyelwa ukwelashwa nge-insulin ngoba umuthi wephilisi awusizanga. I-Insuman Rapid ikhombise imiphumela esheshayo, kuphela ekwazile ukujwayeza amazinga kashukela. Manje ngivame ukusebenzisa i-glucometer ukuvimbela ukwehla okungenzeka kwe-glucose kube izinga eliphansi.
UNina, oneminyaka engama-45, eMoscow
I-Insuman inedumela elihle kwezokwelapha. Umuthi unomphumela omuhle we-hypoglycemic. Ngokuqhubeka kwezifundo, kwasungulwa umsebenzi we-hypoglycemic ephezulu. Umphumela ojwayelekile we-hypoglycemia, omiswa ngempumelelo ngokudla. Ukuthwala nokuphepha kokusetshenziswa nakho kuyachazwa. Ngokusekelwa kulokhu, nginquma ngokuphepha imithi ezigulini zami.
Svetlichnaya N.V., endocrinologist
Intengo yesidakamizwa yisilinganiso sama-ruble ayi-1200.
Ikhishwa ekhemisi ngomuthi.
Umuthi ugcinwa ku-t kusuka ku-+2 kuya ku- +7 C. Ukuqandeka akuvunyelwe.
I-Insuman Rapid GT yisidakamizwa esiqukethe i-insulin esinqunyelwe abanesifo sikashukela. Umuthi ubonakala ngesenzo esisheshayo kanye nesikhathi esifushane somsebenzi. Ucwaningo lunqume ukubekezelela nokuphepha kwalo. Umphumela wecala ovame kakhulu yi-hypoglycemia.
