Ukwelashwa sikashukela kuyinqubo ende nethembekile. Lesi sifo siyingozi ngezinkinga, ngaphezu kwalokho, isiguli singafa uma singatholi ukwesekelwa okufanele kwemithi.
Ngakho-ke, odokotela batusa ukusetshenziswa kwezidakamizwa ezahlukahlukene, enye yazo i-Actrapid insulin.
Imininingwane ejwayelekile mayelana nomuthi
Kunconywa i-Actrapid ekulweni nesifo sikashukela. Igama lakwamanye amazwe (i-MHH) yi-insulin encibilikayo.
Lesi sidakamizwa esidumile se-hypoglycemic sinomphumela omfushane. Iyatholakala ngesimo sesixazululo esisetshenziselwa umjovo. Isimo sokuhlanganiswa kwesidakamizwa siwuketshezi olungenamibala. Ukufaneleka kwekhambi kunqunywa ngokusobala kwayo.
Umuthi usetshenziswa ekwelapheni isifo sikashukela sohlobo 1 nohlobo 2. Kusebenza futhi nge-hyperglycemia, ngakho-ke kuvame ukusetshenziselwa ukunikeza ukunakekelwa okuphuthumayo kwiziguli lapho kubanjwa.
Iziguli ezinesifo sikashukela esincike ku-insulin zidinga ukulawula ushukela wazo wegazi kukho konke impilo yazo. Lokhu kudinga imijovo ye-insulin. Ukwenza ngcono imiphumela yokwelashwa, ochwepheshe bahlanganisa izinhlobo zomuthi ngokuya ngezimpawu zesiguli nesithombe somtholampilo walesi sifo.
Isenzo se-Pharmacological
I-Insulin Actrapid HM umuthi obambela amafushane. Ngenxa yomphumela wayo, amazinga kashukela wegazi ayancishiswa. Lokhu kungenzeka ngenxa yokwenza kusebenze ukuthuthwa kwayo kwangaphakathi.
Ngasikhathi sinye, umuthi wehlisela izinga lokukhiqizwa koshukela ngesibindi, nakho okunomthelela ekuvumeni kwamazinga kashukela.
Umuthi uqala ukusebenza ngemuva kwengxenye yehora ngemuva komjovo futhi uqhubeke nokusebenza kwawo amahora angama-8. Umphumela omkhulu ubonwa ekuphumeni kwamahora ayi-1.5-3,5 emva komjovo.
Khipha amafomu nokwakheka
Kuthengiswa kukhona i-Actrapid ngendlela yesisombululo somjovo. Ezinye izindlela zokukhishwa azikho. Into yayo esebenzayo i-insulin encibilikisiwe ngesilinganiso esingu-3.5 mg.
Ngaphezu kwalokho, ukwakheka komuthi kuqukethe lezo zinto ezinezinto eziziwayo njenge:
- glycerin - 16 mg;
- i-zinc chloride - 7 mcg;
- i-sodium hydroxide - 2.6 mg - noma i-hydrochloric acid - 1.7 mg - (ziyadingeka emthethweni we-pH);
- metacresol - 3 mg;
- amanzi - 1 ml.
Umuthi uwuketshezi olucacile, olungenamibala. Kutholakala ezitsheni zengilazi (ivolumu 10 ml). Iphakethe liqukethe 1 ibhodlela.
Izinkomba zokusetshenziswa
Lesi sidakamizwa senzelwe ukulawula ushukela wegazi.
Kufanele isetshenziselwe lezi zifo kanye nokuphazamiseka okulandelayo:
- thayipha i-1 isifo sikashukela;
- thayipha i-2 mellitus yesifo sikashukela ngokunganaki okuphelele noma okuyingqayizivele kuma-ejenti we-hypoglycemic ukuphathwa komlomo;
- isifo sikashukela sokukhulelwa, esivele ngesikhathi sokuzala kwengane (uma kungekho miphumela evela ekwelashweni kokudla);
- isifo sikashukela sikashukela;
- ukushisa okuphezulu kwezifo ezithathelwanayo ezigulini ezinesifo sikashukela;
- ukuhlinzwa okuzayo noma ukuzalwa kwengane.
Futhi, umuthi unconywa ukuthi usetshenziswe ngaphambi kokuqala ukwelashwa ngamalungiselelo we-insulin asebenza isikhathi eside.
Ukuzelapha ngemithi nge-Actrapid kuyenqatshelwe, le khambi kufanele linikezwe udokotela ngemuva kokufunda isithombe salesi sifo.
Imithamo nokuphatha
Imiyalo yokusebenzisa umuthi iyadingeka ukuze ukwelashwa kusebenze, nomuthi ungalimazi isiguli. Ngaphambi kokusebenzisa i-Actrapid, kufanele uyifundisise, kanye nezincomo zochwepheshe.
Umuthi uphathwa ngokuhlinzwa noma ngokubandakanyeka. Udokotela kumele akhethe umthamo ngamunye wosuku ngamunye. Ngokwesilinganiso, ngu-0.3-1 IU / kg (1 IU ngu-0,035 mg we-insulin engenamsoco). Ezigabeni ezithile zeziguli, kungandiswa noma kuncishiswe.
Umuthi kufanele uphathwe cishe isigamu sehora ngaphambi kokudla, okumele ube nama-carbohydrate. Kungcono ukufaka injamo odongeni lwangaphakathi lwesisu ngaphandle - ngakho-ke ukumunyiswa kushesha. Kepha kuvunyelwe ukuphatha umuthi emathangeni nasezinkalweni noma emsipheni we-brachial deltoid. Ukugwema i-lipodystrophy, udinga ukushintsha isayithi lomjovo (ukuhlala ngaphakathi kwendawo enconyiwe). Ukuze ulawule ngokugcwele umthamo, inaliti kufanele igcinwe ngaphansi kwesikhumba okungenani imizuzwana eyi-6.
Kukhona ukusetshenziswa kwe-Actrapid okungena ngaphakathi, kepha uchwepheshe kufanele aphathe umuthi ngale ndlela.
Uma isiguli sinezifo ezihambisanayo, umthamo kuzodingeka ushintshwe. Ngenxa yezifo ezithathelwanayo ezinokubonakaliswa kokuqina kwezinsikazi, isidingo sesiguli se-insulin siyanda.
Imiyalo yevidiyo yokulawulwa kwe-insulin:
Udinga futhi ukukhetha umthamo ofanele wokuphambuka onjengokuthi:
- isifo sezinso
- ukwephulwa emsebenzini wezindlala ze-adrenal;
- i-pathology yesibindi;
- isifo se-yegilo.
Izinguquko ekudleni kwesiguli noma izinga lokuzivocavoca kwesiguli kungathinta isidingo somzimba se-insulin, ngenxa yalokho kuzodingeka ukulungisa umthamo obekiwe.
Iziguli ezikhethekile
Ukwelashwa nge-Actrapid ngesikhathi sokukhulelwa akuvunyelwe. I-insulin ayidluleli kwi-placenta futhi ayilimazi umbungu.
Kepha maqondana nabomama abakhulelwe, kuyadingeka ukuba ukhethe ngokucophelela leli dosi, ngoba uma lingaphathwanga kahle, kunengozi yokuthola i-hyper- noma i-hypoglycemia.
Zombili lezi zinkinga zingathinta impilo yengane engakazalwa, futhi kwesinye isikhathi zivusa isisu esibi. Ngakho-ke, odokotela kufanele bahlole izinga likashukela kwabesifazane abakhulelwe kuze kuzalwe.
Ezinganeni, lesi sidakamizwa asiyona ingozi, ngakho-ke ukusetshenziswa kwaso ngesikhathi sokuqunjelwa nakho kuvunyelwe. Kepha ngasikhathi sinye, udinga ukunaka indlela odla ngayo owesifazane okhanyayo bese ukhetha umthamo ofanele.
Izingane nentsha ayinqunyelwe i-Actrapid, yize izifundo zingatholanga ubungozi obuthile empilweni yabo. Ngokucatshangelwa, ukwelashwa kwesifo sikashukela nalesi sidakamizwa kule group yobudala kuvunyelwe, kepha umthamo kufanele ukhethwe ngamunye.
Contraindication kanye nemiphumela emibi
I-Actrapid ine-contraindication ezimbalwa. Lokhu kufaka phakathi i-hypersensitivity kuzakhi zomuthi kanye nokuba khona kwe-hypoglycemia.
Amathuba emiphumela emibi nokusetshenziswa kahle kwesidakamizwa aphansi. Imvamisa, i-hypoglycemia ivela, okuwumphumela wokukhetha umthamo ongafanele isiguli.
Kuhambisana nezinto ezifana:
- uvalo
- ukukhathala
- Ukukhathazeka
- ukukhathala;
- pallor
- ukwehla kokusebenza;
- ukugxila enkingeni;
- ikhanda
- ukozela
- isicanucanu
- tachycardia.
Ezimweni ezimbi kakhulu, i-hypoglycemia ingadala ukukhubazeka noma ukuqunjelwa. Ezinye iziguli zingafa ngenxa yazo.
Eminye imiphumela emibi ye-Actrapid ifaka:
- ukuqhuma kwesikhumba;
- i-urticaria;
- umfutho wegazi ophansi;
- ukuvuvukala
- ukulunywa
- ukuphazamiseka kwamapheshana emathunjini;
- ukukhuphuka kokujuluka;
- ubunzima bokuphefumula
- ukulahleka kwengqondo;
- i-retinopathy yesifo sikashukela;
- lipodystrophy.
Lezi zici azivamile futhi zimpawu zesigaba sokuqala sokwelashwa. Uma zigcinwa isikhathi eside, futhi namandla azo anda, kuyadingeka ukubonisana nodokotela wakho mayelana nokwelashwa okunjalo.
Ukuxhumana neminye imithi
I-Actrapid kumele ihlanganiswe ngokufanele nezinye izidakamizwa, inikezwe ukuthi izinhlobo ezithile zezidakamizwa nezinto ezithile zingaqhakambisa noma zenze buthaka isidingo somzimba se-insulin. Kukhona nezidakamizwa ezinokusetshenziswa kwazo okubhubhisa isenzo se-Actrapid.
Ithebula lokuxhumana nezinye izidakamizwa:
Kwenyusa umphumela wesidakamizwa | Silele umphumela wezidakamizwa | Ukucekela phansi umphumela wesidakamizwa |
|---|---|---|
| Ama-blocker e-Beta Ukulungiselela kwe-Hypoglycemic ukuphathwa komlomo I-Tetracyclines Ama-salicylates I-Ketoconazole I-Pyridoxine I-Fenfluramine, njll. | Ama-hormone egilo Ukuvimbela inzalo ngomlomo I-Glucocorticosteroids I-Thiazide diuretics Morphine ISomatropin UDanazole I-Nikotine, njll. | Imithi equkethe ama-sulfites nama-thiols |
Lapho usebenzisa i-beta-blockers, kuba nzima ngokwengeziwe ukuthola i-hypoglycemia, ngoba le mishanguzo ifaka izimpawu zayo.
Lapho isiguli sisebenzisa utshwala, isidingo somzimba wakhe we-insulin singakhuphuka futhi sinciphe. Ngakho-ke, kungakuhle ukuthi abanesifo sikashukela bayeke utshwala.
Izidakamizwa ezinomphumela ofanayo
Umkhiqizo unama-analogues angasetshenziswa ngokungabi bikho kwekhono lokusebenzisa i-Actrapid.
Okusemqoka yile:
- IGensulin P;
- Asibuse P;
- IMonoinsulin CR;
- I-Humulin ejwayelekile;
- I-Biosulin R.
Kufanele futhi banconywe udokotela ngemuva kokuhlolwa.
Imigomo nemibandela yesitoreji, intengo
Ithuluzi kufanele ligcinwe kude nezingane. Ukugcina izakhiwo zomuthi, kubalulekile ukuwuvikela ekuchayweni yilanga. Amazinga okugcina okulungile angama-2-8 degrees. Ngakho-ke, i-Actrapid ingagcinwa esiqandisini, kepha akufanele ifakwe efrijini. Ngemuva kweqhwa, isixazululo siba ngengabonakali. Impilo yeshelf iyiminyaka engama-2,5.
I-vial akufanele ibekwe esiqandisini ngemuva kokuvula; idinga izinga lokushisa elingama-degree angama-25 ukuyigcina. Kufanele ivikelwe emisebeni yelanga. Impilo yeshelufu lokufakwa okuvulekile komuthi kungamaviki ayi-6.
Izindleko ezilinganiselwe zesidakamizwa i-Actrapid ngama-ruble angama-450. I-Insulin Actrapid HM Penefill ibiza kakhulu (cishe ama-ruble angama-950). Amanani angahluka ngesifunda nohlobo lukhemisi.
I-Actrapid ayilungele umuthi wokuzelapha, ngakho-ke, ungathenga umuthi kuphela ngokuyalelwa.
