Iji belata ọkwa glucose ọbara dị elu, a na-eji ọgwụ eme ihe, ndị kachasị rụọ ọrụ bụ insulin. N'ime ụdị shuga 1, mgbe ọrịa a na-enweghị ike inye ọgwụ homonụ a, insulin bụ naanị ụzọ iji chekwaa ahụike na ndụ ndị ọrịa.
A na - enye insulin ike nwayọ dịka dọkịta si kwuo ya ma na - achịkwa shuga ọbara. Ngụkọta nke dose dabere na ọdịnaya nke carbohydrates na nri. A na-ekpebi usoro ọgwụgwọ iche iche maka onye ọrịa ọ bụla ma dabere na profaịlụ glycemic.
Iji mepụta insulin dị nso n'okike, a na - eji insulins eme ihe ogologo. Ihe mkpuchi dị n'etiti gụnyere nhazi nke ụlọ ọrụ Danish Novo Nordisk - Protafan NM mepụtara.
Mwepụta weputara ya na ebe nchekwa Protafan
Nkwụsị ahụ nwere insulin - isophan, ya bụ, insulin mmadụ mepụtara site na inyocha mkpụrụ ndụ ihe nketa.
1 ml nwere ya 3.5 mg. Na mgbakwunye, enwere ihe inyeaka: zinc, glycerin, sulfate protamine, phenol na mmiri maka ịgba ntụtụ.
Ewepụtara insulin Protafan hm n'ụdị abụọ:
- Nkwụsị nke nchịkwa subcutaneous 100 100 IU / ml 10 ml na vials jiri mkpuchi roba kpuchie ya, nke a na-ejikwa aluminom na-agba. Karama ahụ ga-enwerịrị mkpuchi nchebe. Na ngwugwu, na mgbakwunye na karama ahụ, enwere ntụziaka maka ojiji.
- Protafan NM Penfill - na katriki dị na hydrolytic, kpuchie ya na diski roba dị n'otu akụkụ na pistons roba n'akụkụ nke ọzọ. Iji mee ka agwakọta, a na-etinye bọọlụ iko iko ahụ.
- A na-akanye mkpụrụakụ nke ọ bụla n'ime mkpịsị akwụkwọ Flexpen. Ihe ngwugwu a nwere pensụl na ntụziaka 5.
N'ime karama 10 nke protafan insulin nwere 1000 IU, yana mkpịsị mkpụrụ siliọnu 3 ml - 300 IU. Mgbe ọ na-eguzo ọtọ, a na-ekechi nkwusioru ahụ ka ọ bụrụ mmiri na mmiri na-enweghị ụcha, yabụ, a gha agwakọkọta ihe ndị a tupu ijiri ya.
Iji chekwaa ọgwụ ahụ, a ga-etinye ya na shelf nke friji, ihu igwe nke ekwesiri idobe ya site na ogo 2 ruo 8. Zere iwere ọkụ. Ọ bụrụ na emepee igbe ma ọ bụ katrij Protafan NM Penfill, mgbe ahụ, echekwara ya na n ụlọ okpomọkụ, mana ọbụghị ihe dị elu karịa 25 Celsius. Ekwesịrị iji ọgwụ protafan rụchaa n'ime izu isii.
A naghị echekwa Flexpen na friji, okpomọkụ iji nọgide na-enwe ụlọ ọgwụ ya ekwesịghị ịdị elu karịa ogo 30. Iji chebe site na ọkụ, a ga-etinyerịrị okpu n'isi. A ga-echedorịrị ihe ahụ n'aka mmebi yana ihe ndị mebiri emebi.
A na-ehicha ya site na mpụga ya na akwa owu na-egbu egbu na-egbu egbu, a gaghị emikpu ya na mmiri ma ọ bụ tee ya mmiri, n'ihi na nke a na-emebi usoro ahụ. Ejikwala mkpịsị ede edegharịri.
A na-enye ndị mmadụ ọgwụ ka ha kwụsị nkwụchi ma ọ bụ mkpịsị akwụkwọ.
Pricegwọ maka insulin n'ụdị mkpịsị akwụkwọ (Flexpen) dị elu karịa nke Protafan NM Penfill. Ọnụ ego kachasị maka nkwụsị na karama.
Etu esi eji Protafan?
A na - eji insulin Protafan NM eme ihe naanị. Agaghị atụ aro maka nchịkwa intram Ejighi ya mee ka ihe jupụta n’ime insulin. Gbalịsie ike lelee okpu nchebe mgbe ị na-azụ ụlọ ahịa ọgwụ. Ọ bụrụ na ọ nọghị ma ọ bụ tọghee, ejila insulin.
A na-ewere ọgwụ a dị ka nke na-adịghị mma ma ọ bụrụ na emebi emebi ọnọdụ nchekwa ma ọ bụ kpoo ya, ma ọ bụrụ na mgbe agwakọchara ya, ọ gaghi abụ otu - ọcha ma ọ bụ igwe ojii.
A na - ejikwa insulin ma ọ bụ mkpịsị insulin na - eme insulin. Mgbe ị na-eji sirinji, ịkwesịrị ịmụ banyere ogo ọrụ ihe. Mgbe ahụ, a na-adọta ikuku n'ime sirinji tupu nkewa nke insulin na-atụ aro. A na-atụ aro ka iji aka gị kwugharị vial ahụ. A na-ewebata Protafan naanị mgbe nkwusiri ahụ ghọrọ usoro ime mmụọ.
Flexpen bụ mkpịsị sirinji juputara na ikike ịza site na nkeji 1 ruo 60. Ejiri ya na agịga NovoFayn ma ọ bụ NovoTvist. Ogologo agịga bụ 8 mm.
Ojiji nke mkpịsị sirinji a ga-eme dị ka iwu ndị a si dị:
- Lelee akara na iguzosi ike n'ihe nke pen ọhụrụ.
- Tupu ojiji insulin kwesịrị ịdị n ’ụlọ okpomọkụ.
- Wepu okpu ma bugharia aka ya ugboro iri abụọ ka bọọlụ iko ahụ wee nwee ike ịga ije na katriiki.
- Ọ dị mkpa ịgwakọta ọgwụ ahụ ka o wee nwee urukpuru.
- Tupu inje ọzọ, ịkwesịrị ịkwaga aka ahụ elu ma dịkarịa ala ugboro iri.
Mgbe ịkwesịrị nkwusioru ahụ, a na-ebu ntụtụ ahụ ozugbo. Maka nguzobe ihe eji edobe ya n’otu mkpirisi ekwesighi erughi 12 IU nke insulin. Ọ bụrụ na ọnweghị ego achọrọ, ọ ga-eji nke ọhụrụ.
Iji kegide agịga, a na-ewepụ ihe mmado na-echebe ya, na-agbanyekwa agịga ahụ n'akwụkwọ mkpịsị siri ike. Mgbe ahụ ịkwesịrị ịkwụpu okpu dị na mpụta, yana nke ime.
Iji gbochie ikuku ikuku ịbanye na saịtị ịgba ahụ, pịa nkeji 2 site na ịpị onye na-ahọrọ ya. Mgbe ahụ tụọ agịga elu ma pịa katriji ka ịhapụ ụfụfụ. Pịa bọtịnụ mmalite oge niile, mgbe onye ahọpụtara na-alaghachi efu.
Ọ bụrụ na dobe insulin apụta na njedebe nke agịga, ị nwere ike ịgbanye. Ọ bụrụ na enweghị dobe, gbanwee agịga. Mgbe ịgbanwere agịga ahụ ugboro isii, ị ga-akagbu iji mkpịsị akwụkwọ ahụ, ebe ọ nwere nkwarụ.
Iji gosipụta insulin, ọ dị mkpa ịgbaso omume ndị a:
Dose selector ga-efu.
- Tụgharịa onye na-ahọrọ ihe n'akụkụ ọ bụla iji họrọ otu dose site na ijikọ ya na pointer. N'okwu a, ịnweghị ike pịa bọtịnụ mmalite.
- Were anụ ahụ na mmanye ma tinye agịga ahụ n'ime ntọala ya na ogo 45.
- Pịa bọtịnụ “mbido” ruo mgbe “0” pụtara.
- Mgbe etinyere ya, agịga ahụ kwesịrị ịnọ n'okpuru akpụkpọ ahụ maka sekọnd isii iji nweta insulin niile. Mgbe ị na-ewepụ agịga ahụ, a ghaghị ijide bọtịnụ mmalite.
- Tinye okpu na agịga na mgbe nke ahụ gasịrị, enwere ike iwepu ya.
A naghị akwado ya iji agịde dochie Flexpen, ebe insulin nwere ike ipu. E kwesịrị iji nke ọma kpochapụ agịga, na-ezere ịgba inje mberede. Isi sirinji na mkpị akwụkwọ niile bụ maka onwe ya.
A na-ewebata insulin ji nwayọ nwayọ banye na akpụkpọ apata ụkwụ, ụzọ njikwa ngwa ngwa nke nchịkwa abanyekwa n'ime afọ. Maka ntụtụ, ị nwere ike ịhọrọ gluteus ma ọ bụ deltoid muscle nke ubu.
Ekwesịrị ịgbanwe saịtị ntụtụ ka ọ ghara ibibi abụba dị n'okpuru ala.
Nzube na usoro onunu ogwu
Insulin na-amalite ime ihe dị ka awa 1.5 ka ọrụ nlekọta gasịrị, rutekarị ihe ruru n'ime elekere anọ na iri na anọ ka awa iri na anọ na-apụ n'anya. Ihe kachasị egosi maka iji ọgwụ ahụ bụ ọrịa shuga.
Usoro nke usoro hypoglycemic nke Protafan nwere njikọ na nchịkwa nke glucose n'ime mkpụrụ ndụ na mkpali nke glycolysis maka ike. Insulin na-ebelata mmebi nke glycogen na inwe glucose n’imeju. Site n'okpuru nduzi nke Protafan, a na-echekwa glycogen na mpaghara n'ime akwara na umeji.
Protafan NM na-eme ka njikọ protein na uto, nkewa nke sel, na-ebelata mmebi protein, n'ihi nke gosipụtara mmetụta anabolic ya. Insulin na-emetụta akwara adi adi, na -ebelata ogwe abụba ma na-abawanye nkwụnye ya.
A na-ejikarị ya na ọgwụgwọ ọgwụgwọ maka ụdị shuga 1 na-arịa ọrịa shuga. Obere oge, a na-enye ya ndị ọrịa ụdị nke abụọ n’oge ịwa ahụ, njikọta nke ọrịa na-efe efe, n’oge ime.
Ime ime dị ka lactation, abụghị contraindication maka iji insulin a. Ọgaghị agafe Plasenta ma ọ nweghị ike ịmụrụ nwa nwere ara ara. Ma n’oge ime na inye nri, ịkwesịrị iji nlezianya họrọ ma dozigharị oge niile iji mee ka ọkwa glucose dị n’ọbara.
Enwere ike ịkọwa Protafan NM ma onweghị ya yana yana insulin ma ọ bụ mkpụmkpụ mkpụmkpụ. Ọgwụ a dabere na ọkwa shuga yana mmetụta nke ọgwụ. Site na oke na oke uto, mgbe ọ nwere nnukwu ahụ elu. Na-emekwa ka mkpa insulin dị na ọrịa nke usoro endocrine.
Ọgwụ ezughi oke, nguzogide insulin ma ọ bụ ihie ụzọ na-ebute hyperglycemia site na mgbaàmà ndị a:
- Obi mgbawa bilitere.
- Ike na-arịwanye elu.
- Ringha ugboro ugboro.
- Agụụ na-ebelata.
- Enwere isi acetone site n'ọnụ ya.
Ihe mgbaàmà ndị a nwere ike ịbawanye n'ime awa ole na ole, ọ bụrụ na shuga adịghị ala, mgbe ahụ ndị ọrịa nwere ike ịmalite ketoacidosis na-arịa ọrịa shuga, na-eduga na nsonaazụ dị egwu, karịsịa na ụdị shuga 1.
Nsonaazụ nke Protafan NM
Hypoglycemia, ma ọ bụ iwetu shuga dị n'ọbara, bụ ihe ndị dịkarịsịrị njọ ma dị ize ndụ nke ị effectụ ọgwụ inulin. Ọ na - ebilite na nnukwu onyonyo, mgbali anụ ahụ, nri echefuru.
Mgbe akwụghachi ọkwa shuga, akara nke hypoglycemia nwere ike gbanwee. Site n'ịgwọ ọrịa shuga ogologo oge, ndị ọrịa na-efunahụ ikike ha ịghọta mmalite shuga. Ọgwụ ndị a na-eji wedata ọbara mgbali elu, ọkachasị ndị na-abụghị ndị na - akpọ beta-mgbochi na ọgwụ mgbochi, nwere ike ịgbanwe ihe ịrịba ama mbụ.
Ya mere, a na-atụ aro ka ị na-atụle ọkwa shuga ugboro ugboro, karịchaa n'izu mbụ nke iji Protafan NM ma ọ bụ mgbe ị na-agbanye ya na insulin ọzọ.
Ihe ịrịba ama izizi nke iwetulata shuga dị n'okpuru ala nwere ike ịbụ:
- Anya ntughari na mberede, isi ọwụwa.
- Mmetụta ụjọ, iwe.
- Mmegide nke agụụ.
- Ọcha.
- Nnukwu aka.
- Ọkpụkpụ obi na-aba ụba.
N'ọnọdụ siri ike, yana ọrịa hypoglycemia n'ihi nsogbu nke ụbụrụ, ọgba aghara, ọgba aghara na-etolite, nke nwere ike ibute coma.
Iji wepu ndị ọrịa hypoglycemia n'ọnọdụ ndị dị nro, a na-atụ aro ị sugarụ shuga, mmanụ a orụ ma ọ bụ glucose, ihe ọ juiceụ sweetụ ụtọ. N'ọnọdụ ịma mmụọ, 40% glucose na glucagon bụ ọgwụ a warabara n'ime akwara. Mgbe ahụ ịchọrọ nri nwere carbohydrates dị mfe.
Site na ntinye insulin, mmeghachi omume nfụkasị ahụ nwere ike ime n'ụdị ihe ọkụ ọkụ, dermatitis, urticaria, n'ọnọdụ ndị dị ụkọ, ujo anaphylactic. Enwere ike igosipụta nsonaazụ n'akụkụ mmalite nke ọgwụgwọ site na mmebi nke ntụgharị uche na mmepe nke retinopathy, ọzịza, mmebi nke akwara ozi n'ụdị ụdị neuropathy na-egbu mgbu.
N’ime izu izizi nke ọgwụgwọ insulin, ọzịza, ọsụsọ, isi ọwụwa, ehighị ụra, ọgbụgbọ, na ịbawanye obara nwere ike ịba ụba. Mgbe ọ usedụchara ọgwụ ahụ, mgbaàmà ndị a na-ebelata.
Enwere ike ịza, itching, redness, ma ọ bụ ọnya na ebe insulin insulin.
Njikọ Ọgwụ
Oge nchịkwa ọgwụ nwere ike ịkwalite mmetụta nke insulin. Ndị a gụnyere monoamine oxidase inhibitors (Pyrazidol, Moclobemide, Silegilin), ọgwụ antihypertensive: Enap, Kapoten, Lisinopril, Ramipril.
Ọzọkwa, ojiji nke bromocriptine, steroid anabolic, Colfibrate, Ketoconazole na Vitamin B6 na-abawanye ohere nke hypoglycemia na ọgwụgwọ insulin.
Ọgwụ Hormonal nwere mmetụta nke otu: glucocorticosteroids, homonụ thyroid, mgbochi nke a na-ede ede, antidepressanma tricyclic na thiazide.
Enwere ike ịbawanye elu na insulin insulin mgbe ị na-ede akwụkwọ Heparin, ndị na-egbochi calcium, Danazole na Clonidine, vidiyo dị n'isiokwu a ga-ewepụta ozi na insulin instofan.
