Enwere ntuziaka akaebe maka ojiji nke ọgwụ insulin Actrapid MK. Ndị a gụnyere:

• ụdị 1 ọrịa shuga mellitus (insulin dependant);
• ụdị shuga mellitus 2 (insulin na-eguzogide).

Ọ bụrụ na anyị tụlere nke abụọ, mgbe ahụ anyị na-ekwu maka nguzogide zuru oke na nke elekere ị thoseụ ọgwụ mgbochi glycemic ndị a ga-ewererịrị ọnụ. Na mgbakwunye, enwere ike ịkwado Actrapid n'oge afọ ime yana ọrịa ndị metụtara ọrịa shuga.

Enwere ụfọdụ dochie anya insulin Actrapid MK, mana aghaghi ikwenye ojiji ha na dọkịta na-aga. Analogues ndị a gụnyere: Actrapid MS, Maxirapid BO-S, Iletin II Regular, yana Betasint na-anọpụ iche na-E 40.

Ngwakọta dị n'ọrụ dị na ọgwụ ahụ bụ insulin anụ ahụ na-eme obere mkpụmkpụ, a na-eme Actrapid n'ụdị ihe eji egbu egbu.

A na-egbochi ọgwụ ahụ maka ọgwụ hypergrita ya, yana hypoglycemia.

Etu esi etinye na dose?

Ekwesịrị ijikwa Actrapid:

• okirikiri;
• intramuscularly;
• intravenia.

Enwere ike ịrụ ọchịchị subcutaneous na mpaghara fem sin. Ọ bụ ebe a ka a na-anabata ọgwụ ahụ nwayọ nwayọ nwayọ. Enwere ike ịme usoro nchịkwa ọgwụ a na mmado, olu akwara nke ubu ma ọ bụ mgbidi afọ.

Ekwesịrị ịnwe usoro onodu ogwu nke Actrapid site na dibia bekee ga –eche. Nke a na-eme dabere n'otu n'otu dabere n'ihe gbasara ọrịa ahụ na ọkwa ọbara nke onye ọrịa. Ọ bụrụ na anyị na-ekwu maka nkezi kwa ụbọchị, mgbe ahụ ọ ga-abụ site na 0,5 ruo 1 IU kwa kilogram nke ịdị arọ nke onye ọrịa.

A na-ahụ insulin ọkara ọkara tupu nri achọrọ, nke nwere carbohydrates. Okpomoku nke ogwu bu okpomoku ulo.

A na-eme ntụtụ ahụ n’ogiri nke anụ ahụ, nke na-aghọ nkwa siri ike na agịga ahụ abanyeghị n’olu ahụ. Oge nke ọ bụla, saịtị mgbanwe m ga-agbanwe. Nke a ga - enyere aka wepu ohere nke tolite lipodystrophy.

Mmeghe nke Actrapid intramuscularly na intravenfully na-enye nkwado maka iwu nke dọkịta. A na-ejikarị insulin mkpụmkpụ mee ihe yana njikọ insulin nke mmetụta na-ajụ ma ọ bụ ogologo oge n'ahụ ahụ onye ọrịa mamịrị.

Isi mmetụta nke ọgwụ

Actrapid MK na-ezo aka ọgwụ ọgwụ hypoglycemic. Nke a bụ insulin na-adị mkpụmkpụ. Ọ batara na onye nnabata pụrụ iche nke akpụkpọ ahụ dị na sel ahụ wee si otú a mepụta ogige insulin-receptor dum.

Enwere ike ibelata shuga ọbara

1. uto nke ụgbọ njem intrasystem ya;
2. ịba ụba na nnabata ihe site na anụ ahụ;
3. mkpali nke lipogenesis, glycogenesis;
4. njikọta protin;
5. mbelata na ọnụego glucose na-emepụta site na imeju.

Oge a ga-ekpughe Actrapid n’anụ ahụ ga-ekpebisi ike na ọ ga-amịkọrọ mmiri. Nke ikpeazu ga-adabere n’ọtụtụ ihe n’otu oge:

• usoro onunu ogwu
• uzo ochichi;
• ebe ntinye.

Mgbe nchịkwa subcutaneous gasịrị, nsonaazụ ahụ na-apụta mgbe nkeji 30 gasịrị, mkpụmkpụ nke mkpụmkpụ insulin na-apụta mgbe awa 1-3 gachara, oge mkpughe bụ awa 8.

Nsonaazụ mgbe ị tinyechara Actrapid

N'oge mmalite ọgwụ, ọ nwere ike ịchọpụta ọzịza nke elu na ala, yana ọhụụ na-ebelata. Mmeghachi omume ọjọọ ndị ọzọ nwere ike ịpụta ma ọ bụrụ:

• nchịkwa ngwa ngwa nke nnukwu insulin;
• ekweghị na nri (dịka ọmụmaatụ, isi nri ụtụtụ);
• mgbali elu nke anụ ahụ.

A ga-egosipụta ha site na ngosipụta nke hypoglycemia: ọsụsọ oyi, pallor nke anụ ahụ, oke ụjọ, oke ụjọ, ike ọgwụgwụ nke ukwuu, adịghị ike, na nsogbu nghazi.

Na mgbakwunye, enwere ike igosipụta nsonaazụ site na isi ọwụwa, akpịrị, ọgbụgbọ, tachycardia, nsogbu ọhụụ nwa oge, yana mmetụta agụụ.

N'ọnọdụ ndị siri ike karị, enweghị mmerụ ma ọ bụ ọbụna Coma nwere ike ime.

A nwekwara ike ịhụ ihe ngosipụta nfụkasị systemic:

1. ịatingụbiga mmanya ókè;
2. vomiting
3. mgbagwoju anya iku ume;
4. obi palp;
5. anya ntughari.

Enwere omume mmeghachi omume mpaghara:

• acha ọbara ọbara
• akpụkpọ ahụ;
• ọzịza.

Ọ bụrụ na inje ugboro ugboro n'otu ebe, lipodystrophy nwere ike itolite.

Doụbiga nrịba ama

Site na oke onunu ogwu nke Actrapid dị ukwuu, hypoglycemia nwere ike ịmalite. Enwere ike iwepu ya ma ọ bụrụ na edee ya na mọbụ carbohydrates.

N'ọnọdụ ndị siri ike nke mfu nke mmụọ, a na-ewepụta nchịkwa nke usoro dextrose pasent 40, yana ụzọ nchịkwa glucagon. Mgbe emesichara ya ike, a na-atụ aro nri nwere carbohydrates.

Ntụziaka bụ isi maka iji Actrapid

N'oge ọgwụgwọ a, ọ dị mkpa iji nyochaa ọkwa shuga dị n'ọbara mgbe niile. Nke a bụ eziokwu bụ eziokwu mgbe a na-etinye Actrapid na nchịkọta infusion.

Na mgbakwunye na ịdoụbiga mmanya ókè, ihe kpatara mmalite nke hypoglycemia nwere ike ịbụ:

1. mgbanwe ọgwụ;
2. mẹ nri nri;
3. vomiting
4. kari nke anumanu nke aru;
5. mgbanwe nbanye saịtị.

Ọ bụrụ na emechara insulin ahụ n'ụzọ ezighi ezi ma ọ bụ nwee izu iji, nke a nwere ike ịkpalite hyperglycemia ma ọ bụ ketoacidosis mamịrị.

Na ngosipụta mbụ nke hyperglycemia, mwakpo akpịrị ịkpọ nkụ, ọgbụgbọ, mmamịrị na-aba ụba, na-acha ọbara ọbara na agụụ. Mgbe ị kpochapụrụ ume, a ga-enwe nghọta doro anya isi nke acetone, na mgbakwunye, acetone nwere ike ịpụta na mmamịrị, nke a abụrụlarị ihe ịrịba ama nke ọrịa shuga.

Ọ bụrụ n’atụmatụ ịtụrụ ime, mgbe ahụ ọ ka dị mkpa ịgwọta ngosipụta na ihe kpatara ọrịa shuga. N'oge a dị mkpa maka ahụ nwanyị, mkpa insulin na-ebelata, ọkachasị n'oge ọnwa atọ ya. Ọzọkwa, ka oge ahụ na-abawanye, ahụ ga-achọ insulin ọzọ, ọkachasị na njedebe nke afọ ime.

N'oge ịmụ nwa ma ọ bụ tupu ụbọchị a, ịchọrọ insulin ọzọ nwere ike ọ nweghị uru ma ọ bụ belata nke ukwuu. Ozugbo amụrụ nwa, nwanyị ahụ ga-enwerịrị onwe ya ị amountụ mmiri homonụ ahụ tupu oge ịtụrụ ime.

N'oge a na-enye nwa ara, enwere ike belata mkpa ị ofụ insulin na n'ihi nke a ọ dị mkpa iji nlezianya nyochaa ọnọdụ ahụ gị ma hapụ oge ọ bụla iji kwado insulin chọrọ.

Etu esi echekwa?

Ekwesịrị iji nlezianya chekwaa Actrapid MK ka anwụ ghara ịdị, zere ikpo oke ọkụ, ikpughe ọkụ, yana hypothermia.

Can nweghị ike iji ọgwụ ahụ ma ọ bụrụ na ọ kpọnwụrụ ma ọ bụ ghara inwe ụcha na nghọta.

N'oge ọgwụgwọ, ekwesịrị ịkpachara anya mgbe ị na-anya ụgbọ ala na ihe omume ndị ọzọ nwere ike ibute ihe egwu. A naghị anabata ọrụ nke na-etinye uche gabiga ókè, yana ọsọ nke psychomotor na-anabata, mgbe ị na-ewere Actrapid. Nke a bụ n'ihi eziokwu ahụ bụ na n'oge hypoglycemia ọnụego mmeghachi omume nwere ike belata nke ukwuu.

Mmekọrịta na ọgwụ ndị ọzọ

Enwere ụfọdụ ihe hypoglycemic na-agaghị ekwekọrịta ọgwụ na ọgwụ ndị ọzọ. Hypoglycemic mmetụta nwere ike ịkwalite site na sulfonamides, MAO inhibitors, carbonic anhydrase inhibitors, ACE inhibitors, anabolic steroid, androgens, bromocreptin, tetracycline, clofibrates, ketonazole, pyridoxine, quinine, chitin, theophylline phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom, phenomlom.

Enwere ike ịda mba na hypoglycemic mmetụta dị otú ahụ:

• glucagon;
• mẹ ụnwunna iya;
• octreotide;
• reserpine;
• thiazide ma ọ bụ loop diuretics;
• ndị na-emegide calcium;
• nikotin;
• wii wii
• Ihe mgbochi H1-histamine na-egbochi ihe mgbochi;
• morphine;
• diazoxide;
• ọgwụ mgbochi tricyclic;
• clonidine.

Iji bulie ma ọ bụ melata ike hypoglycemic mmetụta nke insulin nwere ike ịbụ pentademin, yana ndị na-egbochi beta.

Ihe omuma nke oma banyere udiri ihe eji eme ihe, uzo eji ya na ebe nchekwa nwere ike igwa ndi dibia.