Insulin Humulin NPH: nkuzi, analogues, nyocha

Usoro nke insulin Humulin NPH nwere

Mmetụta ọgwụ ọgwụ bụ mbelata nke glucose ọbara n'ihi mmụba nke nkwalite ya site na mkpụrụ ndụ na anụ ahụ na-eji Humulin NPH. Na mellitus na-arịa ọrịa shuga, a na-ebelata mmepụta homonụ a na-eme ka ọ bụrụ nke na - achọ ọgwụ iji dochie hormone. Ọgwụ na-abawanye uru glucose site na mkpụrụ ndụ chọrọ nri nri. Insulin na-anabata ndị na-anabata ya pụrụ iche n’elu sel, nke na-akpali ọtụtụ usoro mmiri ọgwụ, nke gụnyere, nke ka nke, nhazi nke hexokinase, pyruvate kinase, na glycogen synthetase. Thega n’arụ glucose na anụ ahụ n’ọbara na-abawanye, ebe ọ na-ebelata.

Ngwongwo ogwu

• Mmetụta ọgwụgwọ ahụ na-amalite otu awa mgbe ogwu ogbugba ahụ gasịrị.
• Mmetụta na-ebelata shuga na-ewe ihe dị ka awa 18.
• Mmetụta kasịnụ bụ ka elekere abụọ gachara ruo awa 8 ruo oge nchịkwa.

Ngbanwe a na etiti ọgwụ ọgwụ na-adabere na ebe nchịkwa nke nkwusioru yana ọrụ moto nke onye ọrịa. Ekwesiri iburu n'uche akụrụngwa ndị a mgbe ị na-enye usoro nhazi usoro yana usoro nchịkwa. N'iburu n'uche mmalite nke mmetụta ahụ, Edere Humulin NPH yana insulin mkpụmkpụ na nke ultrashort.

Nkesa na mwepu sitere na aru:

• Insulin Humulin NPH abanyeghị n'ihe mgbochi ọbara hematoplacental, mmiri ara ehi ewepụtabeghịkwa ya.
• Emejuputara na imeju na akụrụ site na insulinase enzyme.
• Mkpocha ọgwụ a tumadi site na akụrụ.

Ihe na-egosi, contraindications na nsonaazụ ya

Ezubere Humulin NPH iji chịkwaa shuga ọbara n'ahụ ndị ọrịa nwere ọrịa shuga na-akpata insulin na-akpata ọrịa, yana ihe mbụ emere hyperglycemia na ụmụ nwanyị n’oge afọ ime.

Contraindications:

• ọgwụ mgbochi na ọgwụ ya;
• mbelata nke glucose n'okpuru 3.3 - 5.5 mmol / l n’ime ọbara.

Mmeghachi omume ndị a na-achọghị na akụkụ ndị a gụnyere:

• hypoglycemia bụ nsogbu dị egwu na iji ọgwụ ezughi oke. Ọ na-egosipụta onwe ya dị ka mwepu nke nsụhọ, nke enwere ike gbagwojuru ya anya na hyperglycemic coma;
• Ngosiputa nfụkasị na saịtị ịgba nrị (redness, itching, swelling);
• gbua;
• mkpụkpu ume
• hypotension;
• urticaria;
• tachycardia;
• lipodystrophy - mpaghara atrophy nke abụba subcutaneous.

Iwu iwu izugbe

1. Ekwesịrị ịnye ọgwụ ahụ n'okpuru anụ ubu, hips, isi ma ọ bụ mgbidi afọ, yana mgbe ịgba ọgwụ intramuscular nwekwara ike.
2. Mgbe ogwu ogbugba ahụ, ịkwesighi ịkpanye aka na ịhịa aka na mpaghara mwakpo ahụ.
3. Amachibidoro iji ọgwụ eme ihe.
4. A na - ahọrọ ọgwụ dum n'otu n'otu site na endocrinologist ma dabere na nsonaazụ nyocha ọbara maka shuga.

Algorithm maka nchịkwa insulin Humulin NPH

Nkwadebe:

• A ga-agwakọta humulin na vials tupu iji ya mee mpịja n'etiti nkwụ ruo mgbe mmiri ara ehi pụtara. Emegharịla, ụfụfụ, ma ọ bụ jiri insulin nwere nsị na-acha uhie uhie na mgbidi nke vial ahụ.
• Humulin NPH na katriiki abụghị naanị mpịakọta n'etiti nkwụ, na-emegharị mmegharị ahụ ugboro iri, kamakwa agwakọta, jiri nwayọ na-atụgharị katrij ahụ. Gbaa mbọ hụ na insulin dị njikere maka nchịkwa site na ịtụle agbanwe agbanwe na ụcha. A ga-edo edo edo na agba nke mmiri ara ehi. Ọzọkwa atụpụkwala ma ọ bụ fụọ ọgwụ ọgwụ. Ejila ihe ngwọta ahụ na ọka ma ọ bụ sedimenti. Enweghi ike inyocha insulins ndị ọzọ na katriiki na enweghị ike jupụta.
• Mkpịsị sirinji nwere milimita 3 nke insulin-isophan n ’ọgwụ nke 100 IU / ml. Maka ntụtụ 1, abanye karịa 60 IU. Ngwaọrụ a na-enye ohere iji ike ahụ ihe ruru ogo 1 IU. Gbaa mbọ hụ na agịga ahụ dịgidesiri ike na ngwaọrụ ahụ.

- Jiri ncha sachaa aka gi, wee jiri ọgwụ na - agwọ ọrịa.

- Kpebie ebe a na-agba agba ma jiri akpụkpọ ahụ gwọọ ntutu.

- Ebe saịtị ịgba agba ọzọ ka agaghị eji otu ebe ahụ ihe karịa otu ugboro n'ọnwa.

Njirimara nke ngwa nke pen sirinji ngwaọrụ

1. Wepu okpu site na ị dọpụta ya kama ịtụgharị ya.
2. Lelee insulin, ndụ nchekwa, udidi na agba.
3. Jikere agịga dị ka akọwara n’elu.
4. Ghaa agịga ahụ ruo mgbe o siri ike.
5. Wepu akwa abụọ site na agịị. Mpụga - atụfuo.
6. Lelee oriri insulin.
7. Idochi akpụkpọ ahụ ma gbanye agịga n'okpuru anụ ahụ na akụkụ 45.
8. Iwebata insulin site na ijide mkpịsị aka gị na mkpịsị aka gị ruo mgbe ọ kwụsịrị, na-eji nwayọ gụọ 5.
9. Mgbe i wepụsịrị agịga ahụ, tinye bọl mmanya na-egbu egbu na ebe ntụtụ ahụ na-enweghị nhichapụ ma ọ bụ na-egwepịa anụ ahụ. Dị ka ọ na-adịkarị, dobe insulin nwere ike ịnọrọ n'ọnụ ọnụ agịga ahụ, mana ọ bụghị isi na ya wụpụta, nke pụtara oke ezughị ezu.
10. Jiri okpu dị na mpụta agịga ma wepụ ya.

O nwere ike imekorita ya na ọgwụ ndi ozo

Ọgwụ ndị na-akwalite nsonaazụ Humulin:

• ndị nnọchianya ọgwụ hypoglycemic;
• antidepressants - monoamine oxidase inhibitors;
• ọgwụ hypotonic sitere na otu ACE inhibitors na beta-blockers;
• carbonic anhydrase inhibitors;
• imidazoles;
• ọgwụ mgbochi tetracycline;
• nkwadebe lithium;
• B vitamin;
• theophylline;
• ọgwụ ọjọọ nwere mmanya.

Ọgwụ na-egbochi imepụta insulin Humulin NPH:

• ọgwụ mgbochi ịmụ nwa;
• glucocorticosteroids;
• homonụ thyroid;
• diureta;
• ọgwụ mgbochi tricyclic;
• ndị ọrụ na-eme ka akwara ọmịiko na-arụ ọrụ;
• ndị na-egbochi calcium ọwa;
• ọgwụ ọjọọ.

Analogs nke Humulin

Nyochaa ọgwụ mgbochi ọgwụ insulin-isophan:

Achọrọ m ịme mgbazi - amachibidoro ịnye insulin ogologo oge ọ bụla!

Ntụziaka pụrụ iche maka ojiji

Ọ bụ naanị dọkịta ka ọ ga-eji ọgwụ ahụ. Hapụ n'ụlọ ahịa ọgwụ site na ndenye ọgwụ. N'oge usoro ọgwụgwọ na Humulin NPH, ọ dị mkpa ka ị nyochaa ọkwa glucose oge niile. Na ọnụnọ nke oria concomitant - gakwuru dibia bekee maka idozi ya.