Ua kuhikuhi ʻia ʻo Gensulin no nā mea maʻi me ka maʻi maʻi maʻi, kūpono no ka hui ʻana me nā ʻano like ʻole o ka insulin. Me ka mālama aka, pono e hoʻohui pū me nā lāʻau lapaʻau e hiki ke hoʻonui ai e hoʻohaʻahaʻa i ka hopena hypoglycemic.
Inoa Kūʻai ʻole honua
E hoʻomau i nā ʻano hana ʻenehana i like me ke kanaka.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu.jpg)
Ua kuhikuhi ʻia ʻo Gensulin no nā mea maʻi me ka maʻi maʻi maʻi, kūpono no ka hui ʻana me nā ʻano like ʻole o ka insulin.
ATX
A10AB01.
E hoʻokuʻu i nā palapala a me ka ʻano
ʻO kahi kūmole hopena hoʻihoʻi, kahi hoʻomaha keʻokeʻo, hoʻokele a subcutaneously. Pahu ʻia paha kahi ulu neʻe e lulu koke. Hoʻopili ʻia ka lāʻau lapaʻau i loko o nā pahu he 10 ml a i ʻole mau pahu he 3 ml.
I ka 1 ml o ka lāʻau lapaʻau, loaʻa i ka mea hana i ke ʻano o ka mea hana manu i kuhi ʻia 100 IU. ʻO nā kumuwaiwai hou he glycerol, sodium hydroxide a hydrochloric acid, metacresol, injection wai.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-2.jpg)
I ka 1 ml o ka lāʻau lapaʻau, loaʻa i ka mea hana i ke ʻano o ka mea hana manu i kuhi ʻia 100 IU.
Ka hana lāʻau lapaʻau
E kuhikuhi i nā insulins hana pōkole. Ma ka pane ʻana me kahi mea i hoʻokaʻawale i ka membrane cell, hoʻolaha ia i ka hoʻokumu ʻana o kahi mea i hoʻopili i kahi insulin-receptor, e hoʻōla ana i nā hana i loko o ke kō a me ka hana ʻana o kekahi pūhui enzyme.
Hoʻolaha ka pae o ka glucose i ke koko ma o ka hoʻonui ʻana i kāna kahe i loko o nā pūpuna, hoʻonui ʻia i ka hoʻowalewale ʻana e nā ʻili o ke kino a pau, hōʻemi i ka hana o ke kō ma ke kō, a me ka hoʻoulu ʻana i ka glycogenogenesis.
ʻO ka lōʻihi o ka hopena therapeutic o ka lāʻau lapaʻau e pili ana i:
- ka helu ʻai ʻana o ka hana ikaika;
- ke ʻano a me ke ʻano o ka hoʻokele ʻana ma ke kino;
- pākē
Lapaʻau lāʻau
Ma hope o ka ʻōlelo ʻae ʻia e hoʻomaka e hana i loko o ka hapalua hola, ʻike ʻia ka hana kiʻekiʻe loa mai 2 a 8 mau hola a lōʻihi no nā hola 10.
Loaʻa ka hoʻoili ʻole ʻia i loko o nā palena, ʻaʻole nā mea o nā mea ikaika i loko o ka waiū umauma, mai hele i ka plenta, i.e. ʻAʻole e pili i ka wī. Lawe ka hapalua ola i 5-10 mau minuke, hoʻopiʻi ʻia e nā keiki ma ka huina o 80%.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-3.jpg)
ʻO nā mea ikaika o ka lāʻau lapaʻau ʻaʻole e hele i ka plasenta, i.e. ʻAʻole e pili i ka wī.
Nā hōʻailona no ka hoʻohana ʻana
Hōʻike ʻia ia ma ka mālama ʻia ʻana o nā maʻi maʻi penei:
- ʻAno maʻi type 1.
- ʻO ka maʻi ʻehiku II (ma ka hihia ke kū i ka lāʻau lapaʻau hypoglycemic).
- Palapala komo.
Nā Hoʻohui
Pau ia no:
- Hoʻoikaika ʻole pilikino i nā ʻāpana pilikino o ka lāʻau.
- Hypoglycemia.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-4.jpg)
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Pehea e lawe ai iā Gensulin?
Hoʻohanaʻia ka lāʻau lapaʻau i kekahi mau ala - intramuscular, subcutaneous, intravenous. Koho ʻia ka nui o ka hopena a me ke kaha no ka maʻi maʻi e ke kauka komo ʻana no kēlā me kēia maʻi. Hoʻololi ʻia ka mahele maʻamau ke ʻano he 0.5 a 1 IU / kg o ke kaumaha o ke kanaka, e noʻonoʻo ana i ke kiʻekiʻe o ke kō.
Pono e hoʻokomo ʻia ka insulin i ka hapalua hola ma mua o kahi pāʻina a i ʻole kahi mālamalama kukui e hoʻokumu ʻia me ka mea ʻawaʻawa. ʻO ka pono o ka hoʻonā i ka mahana o ka lumi. Hoʻokomo ʻia ʻo Monotherapy i ka injection a hiki i ka 3 mau manawa i ka lā (i nā hihia heʻokoʻa, hoʻonui ka nui i ka 6 mau manawa).
Inā keu ka pākahi lā i kēlā me kēia lā 0.6 IU / kg, ua mahele ʻia i loko o kekahi mau iniha, ua kau ʻia nā inikini ma nā ʻāpana like ʻole o ke kino - ka lei keleawe deltoid, ka pā mua o ka ʻōpū. I mea e hoʻomohala ai i ka lipodystrophy, e loli mau nei nā wahi no nā inikina. Hoʻohana ʻia ka pahuhopu hou no kēlā me kēia inake. ʻOiai ʻo ka hoʻokele IM a me IV, hana ʻia ma kahi kahua hoʻomaha o nā limahana maʻi.
Nā hopena hopena o Gensulin
Me ka uhai ʻole o ka nui a me ka regimen injection, ulu nā hopena ʻaoʻao i ke ʻano o:
- hāpau
- mai;
- pallor o ka ʻili;
- paresthesia o ka waha waha;
- manaʻo o ka pōloli maʻamau;
- huhū hāhā;
- tachycardia.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-10.jpg)
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Me ka hypoglycemia koʻikoʻi, hiki i ka hoʻomakaʻana o ka comog hypoglycemic coma.
No nā hopena kūlike, ka edema o Quincke, rashes ma luna o ka ʻili, kūlohelohe anaphylactic pinepine. Hōʻike ʻia nā hopena kūloko e ka honu a me ka pupuhi, nui loa ka lipodystrophy, hyperemia. I ka hoʻomaka ʻana o ka pena, ʻike kekahi mau maʻi i nā hala refractive i loaʻa me ke kōkua ʻole o ke kaiāulu.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
ʻO ka hoʻomaka ʻana o ka hoʻohana ʻana o ka insulin a i ʻole ka hoʻololi i kekahi ʻano ʻē aʻe e alakaʻi i kahi hiki ʻana i ke olakino maikaʻi, ka hoʻomohala ʻana i nā hopena ʻino. I ka wā o kēia manawa, ʻaʻohe pono ke alakaʻi i nā kaʻa, nā mea paʻakikī. He mea kūpono ʻole e hāʻawi i kahi hana e hikiʻole ai.
Nā ʻōlelo kikoʻī
ʻAʻole ʻae ʻia ka nānā ʻana o ka lāʻau lapaʻau i ka wā e ao ai ka pōpō, ka hoʻokumu ʻana o nā pōpoki mākeke, ka hūnā i kahi kala like. I ka manawa o ka papa holoʻokoʻa o ka mālama ʻana, pono ka mea maʻi e kiaʻi mau i nā hōʻailona glucose. ʻO ka hypoglycemia e kū i ka wā:
- overdose;
- hoʻonui hoʻonui kino kino;
- ka hoʻololi ʻana o ka insulin hoʻohana;
- paipai i ka maʻi ʻaʻa;
- ʻeke;
- nā hana haʻahaʻa o ka pūpū a me nā palaupaʻa, nā momona thyroid, adrenal cortex;
- kahi wahi hou no ka inikini;
- hui me nā lāʻau ʻē aʻe.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-22.jpg)
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ʻO ka hala kūpono o ke kolohe, ka nele o ka lāʻau lapaʻau, ʻoiai inā i ka wā e pili ana i ka maʻi pākahi 1, e hoʻohālikelike i ka hyperglycemia. Hoʻonui pinepine nā ʻōmole a hōʻike pū me ka nui o ka urination, ka makewai mau, hoʻomaloʻo a hōʻoli a i ka ʻili o ka ʻili, nā manawa maʻamau, ka manawa o ka acetone i ka ea hanu. Inā ʻaʻohe mālama kūpono a kūpono, maʻi ketoacidosis diabetes, ulu ʻana ka hypoglycemic coma.
Ke hoʻoponopono ʻia nei ka lāʻau e lawe ʻia ana me ka hypopituitarism, kahi maʻi o Addison, kahi kīʻaha i ke kelepona thyroid, ʻeha a i ʻole nā ate, i ka wā kahiko (mai ka 65 mau makahiki). ʻO ka pinepine, ʻo ka nui o ka lāʻau i nā maʻi i loaʻa i ka hoʻoikaika nui o ke kino, ke hoʻololi nui i kā lākou papaʻai. Inā hoʻomaka ke kanaka e lawe i kahi ʻano lāʻau ʻē aʻe, e ʻike ʻia ka mana o ka glucose.
He mea pākahi ka Insulin i ka crystallization, no laila, ʻaʻole pono nā hoʻohana ʻana o nā pulu insulin.
Hoʻohana i ka wā kahiko
Ma hope o 65 mau makahiki, e koi ʻia ka hoʻoponopono ʻana a me ka hoʻoponopono ʻana pinepine i ke kō.
Koha i na keiki
ʻAʻoheʻike e hoʻohana ana iā Gensulin i nā keiki.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-28.jpg)
ʻAʻoheʻike e hoʻohana ana iā Gensulin i nā keiki.
Hoʻohana i ka wā hāpai a me ka lactation
ʻO ka poʻe maʻi e hoʻomanawanui i ka maʻi mellitus i ka wā o ka hoʻolālā ʻana i ka hapai, pono ka mākaʻikaʻi ʻana i ka nui o ke kō i loko o ke koko, no ka mea pono ʻoe e hoʻololi i ka hewa o ka lāʻau.
ʻAe ʻia ka male ʻana me ka hoʻohana ʻana i ka insulin, inā he ʻoluʻolu ke kūlana o ke keiki, ʻaʻohe ʻeha o ka ʻōpū. Hoʻoponopono ʻia hoʻi ke ʻano ma muli o nā heluhelu heluhelu.
Ke noi no ka hana renal haukapole
ʻO ka hana hana lūlū lāʻau hōʻailona ke hōʻike kumu no ka hoʻololi o ka nui o ka lāʻau lapaʻau e mālama ai.
Hoʻohana no ka hana lawelawe lēwa
Pono i kahi lāʻau lapaʻau hoʻoponopono hoʻoponopono.
ʻO ka makeha Gensulin
ʻO ka hoʻohanaʻana i ka insulin i ka nui nui e alakaʻi i ka hypoglycemia. Hoʻokuʻu ʻia ka puʻuwai haʻahaʻa o ka patology ma ka lawe ʻana i ke kō, kaʻai ʻana i nā meaʻai momona mau. Hoʻonohonoho ʻia e loaʻa mau i nā meaʻai maikaʻi nā kānaka a me nā mea inu me lākou.
Ma kahi degere koʻikoʻi e hiki ai i ka nalowale o ka noʻonoʻo. I kēia hihia, ua hoʻopili koke ʻia kahi hopena dextrose iv i kahi kanaka. Eia kekahi, e lawelawe ʻia ana ka glucagon iv a i ʻole / c. I ka hōʻea ʻana mai o kahi kanaka, pono ia e ʻai i nā meaʻai kālaiʻu pono ʻole e pale ai i kahi lua.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-29.jpg)
Ma kahi degere koʻikoʻi e hiki ai i ka nalowale o ka noʻonoʻo.
Hoʻopili pū me nā lāʻau ʻē aʻe
Aia kahi papa inoa o nā lāʻau lapaʻau e hiki ke hoʻololi i ka koi pono o ke kino o ka insulin. Hoʻohui ʻia ka hopena hypoglycemic i ka wā i hoʻohana pū ʻia ai:
- hypoglycemia waha;
- carbonates anhydrase inhibitors, monoamine oxidase inhibitors, angiotensin e hoʻohuli ana i ka enzyme inhibitors;
- sulfonamides;
- Bromocriptine;
- beta-blocker beta-koho ʻole;
- Hoʻohui;
- theophylline;
- ka lāʻau-lithium e loaʻa ana;
- ʻoiʻuki;
- mea i loaʻa i ka ethanol.
Hoʻemi ʻia ka hopena hypoglycemic i ka wā i lawe ʻia ai:
- diuretics thiazide;
- o nā hormone thyroid
- glucocorticosteroids;
- paeʻāina
- Danazole;
- nā pākale ʻokoʻa kaleka;
- morphine;
- Phenytoin.
Me nā salicylates, hoʻonui ʻia ka hopena o kēia lāʻau lapaʻau.
Hoʻolaha ka waipuna
ʻAe ʻia ka hoʻohana ʻana i ka insulin me ka wai inu wai inu ʻole.
Nā kuʻina
ʻO nā mea kikoʻī aʻe e pili ana i ka lāʻau lapaʻau ke ola nei: Insuman, Monodar, Farmasulin, Rinsulin, Humulin NPH, Protafan.
Waihue huaʻōlelo waiho nā huaʻōlelo
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
He hiki ole. Hoʻohālike e like me ke kāʻei.
Kūʻai
Mai 450 rub.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Ma ke ʻano mahana mai ka + 2 ° С a + 8 ° С.
ʻO ka lā kau
2 makahiki
Mea hana
BIOTON S.A. (BIOTON S.A.), Polani.
![](http://img.diabetesentity.com/img/sayd-2020/1078/preparat-gensulin-instrukciya-po-primeneniyu-30.jpg)
ʻO Insuman kahi kikoʻī o ka lāʻau lapaʻau.
Hoike Mai
Ekaterina 46 makahiki, Kaluga
Ua hoʻohana wau i ka Gensulin R i kekahi mau makahiki. Ma mua ona ua hoʻāʻo wau i nā lāʻau lapaʻau ʻaʻole kūpono. A kūpono kēia i ka lawehala. Makemake wau i kaʻoiaʻiʻo ʻo ka hāmama i wehe ʻia ke mālama piha loa, ʻaʻole ka nalo i ka hopena. Ke hoʻomau nei ka hopena o ia mea i kekahi wā lōʻihi.
32 makahiki ʻo Sergey, Moscow
I kuhikuhi ʻia ka lāʻau lapaʻau, makaʻu nui wau i nā hopena ʻaoʻao, akā lapuwale. Hoʻokomo wau iā ia, e like me ka mea i kuhikuhi ʻia i nā ʻōlelo aʻoaʻo e hoʻohana ana i ka peni syringe. ʻO Gensulin M30 ma ka hoʻomaka ʻana o ka mālama ʻana i hōʻeha ai i ka manawa maʻamau, akā ua hala nā mea a pau ma hope o hoʻokahi pule. Maikaʻi wau he maikaʻi, mālama ka mālama ʻana.
Inga 52 makahiki, Saratov
Manaʻo wau i ka hopena maikaʻi loa mai ka lāʻau lapaʻau, akā ua huli ka mea maikaʻi loa. Maikaʻi no ka hoʻohana pālua ʻana, therapy hui. ʻAʻole i hōʻike ʻia kahi hopena kūlohelohe iā ia iho, ʻoiai he nui nā rashes ma ka ʻili ma ka hoʻomaka ʻana o ke noi a Gensulin N.