"Insulin isophane": malangizo ntchito, analogs

Shuga - matenda aakulu, zomwe, mwatsoka, sangathe kuchotsedwa kwathunthu. Monga mukudziwa, pa maziko a matenda pali kuphwanya m'thupi katulutsidwe mu zimakhala pancreatic. Ndipo odwala amakonda kulemba kupanga insulin "Isophane". Nkhanizi asaaonerera pa mlingo wa shuga m'magazi, kuonetsetsa ntchito wabwinobwino wa chamoyo wonse.

Ndithudi, odwala ndi chidwi mfundo zoonjezera za mankhwala. Monga amakhudza thupi theka-kupanga insulin "Isophane"? Malangizo, contraindications, zosokonezeka zotheka pa mankhwala - mfundo yofunika kwambiri, amene ayankhidwa m'nkhaniyi.

Fomu kumasulidwa

Ndi palibe chinsinsi chimene shuga ndi wamba ndi oopsa matenda amene amafuna kugwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo insulin. "Isophane" - malonda dzina la mankhwala, zomwe ndi osakaniza theka lokonzedwa mahomoni. Mukhozanso mankhwala mawonekedwe a njira yothetsera makonzedwe subcutaneous. mankhwala chogulitsidwa Mbale galasi pa 10 ml mlingo 40ME / ml. Kuti akonze njira pogwiritsa ntchito madzi oyera a jekeseni.

Ngati mankhwala ena ndi zikuchokera chomwecho ndi katundu monga insulin "Isophane". Mau ofanana izo - 'Insuman', 'Protafan "ndi" Himulin ". Iwo ayenera yomweyo kuti mankhwala choperekedwa ndi mankhwala okha kapena limawapatsa m'thupi yemwenso.

Kodi katundu wa mankhwala?

Insulin "Isophane" ndi theka-kupanga timadzi amene ali ndi katundu yemweyo monga chinthu opangidwa ndi kapamba anthu. Mankhwala kuchepetsa kuchuluka kwa shuga m'magazi polimbikitsa njira ya lipogenesis ndi gluconeogenesis.

Kupanga timadzi interacts ndi insulin maselo a nembanemba selo, mphamvu zako kagayidwe kachakudya mwa selo. Pambuyo ingestion kaphatikizidwe anati kutsegula kwa michere ena, kuphatikizapo glycogen, pyruvate kinase ndi hexokinase.

zotsatira zingaoneke pambuyo maola 1-1.5 pokhapokha ka njira. Malinga ndi mlingo ndi thupi la wodwalayo ndi yayikulu ntchito za insulin kupanga anati pambuyo maola 4-12 pambuyo utsogoleli. Zotsatira kumatenga maola 11 kuti 24.

The zizindikiro zazikulu ntchito

Kukonzekera "insulin Isophane" ntchito mtundu wachiwiri wa shuga (insulin amadalira mawonekedwe). Amagwiritsidwanso ntchito insulin zosakhalitsa. Nthawi zina zimenezi chofunika ndi shuga yoyamba. Mwachitsanzo, kumayambiriro njira amalangiza odwala pamene nthumwi hypoglycemic musataye zotsatira ankafuna.

Mawu oyamba a insulin anthu afunika pambuyo popanga munthu opaleshoni. Mankhwala amagwiritsidwa gestational shuga (fomu iyi matendawa amapezeka akazi pa mimba). Insulin Moms amalangiza kuti ngati zakudya mankhwala alibe zotsatira ankafuna.

Theka-kupanga insulin "Isophane": malangizo ntchito

Mu mtundu wachiwiri odwala matenda a shuga amafuna chithandizo ai. Mlingowu tsiku kuchuluka, ndandanda wa utsogoleli - izi zonse anatsimikiza mtima m'thupi yemwenso wanu. Nkofunika kuti mosamalitsa kutsatira malamulo onse akatswiri. Pali malamulo ambiri ntchito mankhwala "insulin Isophane".

• njira lakonzedwa pongofuna makonzedwe subcutaneous. Nthawi zina, dokotala angakuuzeni mankhwala kutumikiridwa intramuscularly. jakisoni mtsempha akuletsedwa.
• mankhwala sayenera kuperekedwa mu malo omwewo.
• Choyamba tiyenera sansani vial angapo, kenako imbani kuchuluka Napempha kwa njira syringe (mlingo kusintha payekha).
• jekeseni ayenera kuchitidwa mwamsanga pambuyo nadzaza syringe.

Mbale ndi njira kusungidwa mu firiji pa 2-8 madigiri Celsius. Pamaso kumayambiriro mankhwala n'kofunika kuyeza misinkhu shuga magazi. Palibe kugwiritsa ntchito mankhwala ngati inu munazindikira turbidity wa njira, mapangidwe madipoziti pa makoma a botolo.

Kodi pali contraindications iliyonse?

Mankhwala ali contraindications - deta ndi malangizo ntchito. "Insulin Isophane" sanagwiritse ntchito odwala hypoglycemia. Contraindications anafotokoza insulinoma ndi hypersensitivity kuti zosakaniza mankhwala. Tikumbukenso kuti nthawi zina kusintha jekeseni malo kungachititse sayanjana ndi maonekedwe a zotsatira zina zoyipa.

chingachitike mbali

Zinthu zimenezi n'zofunika odwala insulin amadalira shuga. Komabe mankhwala amagwirizana ndi mavuto angapo. Amene kuyan'anila kungachititse ntchito mankhwala "insulin Isophane"? Guide lili mfundo izi:

• Kuti mndandanda wa matenda ambiri monga thupi lawo siligwirizana, amene anatsagana ndi maonekedwe a zotupa, ndipo urticaria, dontho lakuthwa magazi, kuchuluka kutentha thupi ndi maonekedwe a edema.
• Oopsa chifukwa cha mankhwala kapamba hypoglycemia - chikhalidwe yodziwika ndi kuchepa shuga. Zizindikiro monga khungu wotumbululuka, kugunda mofulumira, nkhawa, tulo, kumverera zonse njala. Chotero kuphwanya ndi zambiri chifukwa mlingo wolakwika, kapena kulephera kutsatira malangizo dokotala. Mu Zikavuta kwambiri, akufotokozera hypoglycemic chikomokere.
• Chinamwali cha mankhwala odwala ena amagwirizana ndi matenda zithunzi. Kudandawula kwambiri kuti sikuthandiza, chifukwa nthawi zambiri zotsatira mbali chokani paokha.
• Kuti mndandanda wa mavuto zotheka monga zochita immunological, omwenso amagwiritsidwa ayesedwe kaye ngati atengere chosemedwa thupi la insulin lapansi.
• Pa chiyambi cha mankhwala kotheka zochita khungu, kuphatikizapo redness ndi kuyabwa. Iwo amakhala paokha.
• Mawu oyamba a Mlingo waukulu kwambiri ana amakumana ndi mavuto a m'maganizo. Pali chodziwa irritability, nkhawa, kusintha khalidwe, chitukuko maganizo.

Iwo ankadziwa kuti kumayambiriro insulin "Isophane" ayenera kukhala molingana ndi dongosolo wasenza ndi dokotala. Pitani jekeseni limodzi ndi chitukuko cha matenda ashuga acidosis.

Insulin "Isophane": Anzawo

Mu mankhwala amakono, kupanga anthu insulin (short- ndi sing'anga yaitali kukhudzana) amagwiritsidwa ntchito kuchepetsa shuga mlingo wa analogs timadzi anthu, ndi zosakaniza zace. Kumene, msika mankhwala amapereka zambiri mankhwala kuthandiza mongoyembekezera kuthetsa zizindikiro za matenda a shuga.

Kuti mndandanda wa analogues monga mankhwala monga "Aktrafan", "Biogulin", "Diafan". Nthawi zina, odwala akumwa mankhwala osavomerezeka "Protafan", "Humodar", "Pensulin". Osati zoipa Komanso ankaona insulins "m'munsi" ndi "Verein". Iwo anazindikira kuti mahomoni - mankhwala kwambiri ndi ntchito iwo paokha kapena Mulimonsemo zosatheka. Only dokotala akhoza kusankha analogue, ndi kudziwa mlingo. Mwachitsanzo, kukhalapo mu njira ya zowonjezera chimodzi odwala ena angachititse chachikulu Poyankha matupi awo sagwirizana mpaka mantha anaphylactic.

Information za mogwirizana ndi mankhwala ena

Pamaso mankhwala kwenikweni ayenera kudziwitsa dokotala wanu za kumwa mankhwala. Kupanga insulin kanthu kumatheka ndi makonzedwe munthawi yomweyo ndi sulfonamides, adrogenami ndi anabolic mankhwala, Mao zoletsa, nonsteroidal antiinflammatory mankhwala. Zotsatira hypoglycemic ndi kutchulidwa zambiri pa maziko a ntchito munthawi yomweyo "Isophane" mankhwala ketoconazole, cyclophosphamide, kwinini, ndi chloroquine, quinidine mankhwala okhala lifiyamu. Mwa njira, chithandizocho ali osavomerezeka kumwa mowa, monga Mowa timapitiriza zotsatira za insulin kupanga.

Estrogens m'kamwa kontsratseptivy, glucagon, heparin, chithokomiro mahomoni kufooketsa zotsatira za mankhwala. N'chimodzimodzinso chikonga, chamba, morphine, ena okodzetsa (mwachitsanzo, thiazide ndi kuzungulira), tricyclic antidepressants.

Mulimonsemo m'pofunika kumvetsa kuti popanda chilolezo dokotala sangasinthe mlingo kapena ndandanda wa utsogoleli wa insulin. Maonekedwe a impairments ndi zochita chowawa ayenera lipoti ku m'thupi yemwenso nawo.