He lāʻau lapaʻau ia e pili ana i ka insulin kanaka. Hoʻohana ʻia e nā mea maʻi me ka maʻi maʻi maʻi.
Inoa Kūʻai ʻole honua
ʻO ka lāʻau Monoinsulin ka kanaka, i ka Latin - Insulin Human.
ʻO ka monoinsulin kahi lāʻau lapaʻau e pili ana i ka insulin kanaka.
ATX
A.10.A.B.01 - Insulin (kanaka).
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa i ke ʻano o ka ʻula pono ʻole, a me ke aniani no ka inikini, i waiho ʻia i loko o nā pahu aniani (10 ml), kahi i waiho ʻia i loko o kahi pahu pepa kāwele (1 pc.)
ʻO ka pahuhopu kekahi hāmeʻa ikaika - neʻe i ka mīkini ʻenehana a me ke ʻano (100 IU / ML). ʻO Glycerol, ka injection wai, metacresol he mau mea hou o ka lāʻau lapaʻau.
Ka hana lāʻau lapaʻau
ʻO ka lāʻau lapaʻau he hana pōkole o ka insulin kanaka lohi. Hoʻouku ia i ka maʻamau o ka metabolism glucose, hōʻike i kahi hopena anabolic. Ke komo nei i ka kiko o ka ʻiʻo, e hoʻolōʻihi i ka lawe ʻana o nā waikawa amino a me ka glucose i ka pae o ka cellul; ulu ka protein anabolism i mea hou aʻe.
Hoʻonui ka lāʻau lapaʻau i ka glycogenogenesis, lipogenesis, e hōʻemi i ka helu o ka hana glucose i ka lime, a hoʻonui i ka hana o ka nui o ka glucose i loko o ka momona.
Hiki i ka monoinsulin ke hoʻomaʻamaʻa i ka hoʻoliʻi glucose.
Lapaʻau lāʻau
Hoʻokomo ʻia ka hoʻoneʻe ʻana me ka hōʻike ʻana o ka hana hana i kekahi o nā mea:
- ke ʻano o kona komo i loko o ke kino - intramuscularly a subcutaneously, intravenously;
- ka nui o nā kuhi;
- nā wahi, nā wahi o ka hoʻolauna ma ke kino - nā puaki, ka ʻūhā, nā poʻohiwi a me ka ʻōpū paha.
I ka p / i ka hana o ka lāʻau lapaʻau e hōʻea i ka nui ma hope o 20-40 mau minuke; mālama ʻia ka hopena nui loa i loko o 1-3 mau hola. ʻO ka lōʻihi ka hana e pili ana i nā hola 8-10. Hoʻololi ʻole ka mahele ʻana i nā ʻāpana.
ʻAʻole komo ka mea ikaika i ka waiū o ka wahine hānai a ʻaʻole i hele i ka plasenta.
ʻO ka luku ʻia o ka lāʻau lapaʻau e kū ʻia ma lalo o ke kaomi o ka insulinase i nā mōʻī, nā ate. He pōkole ka hapalua ola, lawe 5 a 10 minuke; ʻo ka paʻi ʻana e nā keiki he 30-80%.
Nā hōʻailona no ka hoʻohana ʻana
Ua kuhikuhi ʻia no ka maʻi mellitus maʻi maʻi no ka mea maʻi e hoʻomaʻamaʻa i ka insulin, a no ka maʻi maʻi maʻa mua loa. Ke hōʻike nei no ka hoʻohana a me ke non-insulin-depend-diabetes diabetes i ka wā hāpai.
Nā Hoʻohui
ʻO nā contraindications i ka lāʻau lapaʻau, hoʻomaopopo:
- ka molaki ʻana o kekahi kanaka i kekahi o kāna ʻāpana a me ka insulin;
- hypoglycemia.
Pono ka uku kikoʻī e mālama i nā wahine i ka trimester mua, i ka wā e liʻiliʻi ʻia ai ka pono o ka insulin.
Pehea e lawe ai i ka monoinsulin?
Hoʻokomo ʻia i loko o ke kino i ka hinu, s / c, i loko / / i loko; hilinaʻi ka hopena ma ke kūlohelohe i ke koko. ʻO ka helu ʻai maʻamau i kēlā me kēia lā he 0.5-1 IU / kg o ke kaumaha o ke kanaka, ʻoiai e noʻonoʻo ana i nā ʻano o ke ʻano o ke kino.
Hoʻokomo ʻia ma mua o nā papaʻaina (kālala) no ka hapalua hola. Hōʻike i ka hoʻonā o ka hoʻonāʻau ma ka mahana wela. He ʻano maʻamau no ka lawelawe ʻana i kēia lāʻau i ka subcutaneous, ma ka wahi o ka pā anterior abdominal. Mālama kēia i ka wikiwiki o ka komo ʻana o ka lāʻau lapaʻau.
Inā hoʻokomo ʻia ka hoʻonāʻau ʻia ma loko o ka ʻili o ka ʻili, e hōʻemi ʻia ka hopena o ka hōʻeha o ka ʻōpū.
Me ka hoʻohana mau ʻana i ka lāʻau lapaʻau, pono nā wahi o kona keʻena e hoʻololi ai e pale i ka lipodystrophy. Hāʻawi ʻia e nā inikua olakino kahi ʻanaki a me ka intramuscular injections me ka insulin.
Nā hopena hopena o ka monoinsulin
ʻO ka hypoglycemia kekahi o nā mea iʻikeʻole ʻia e kū mai ana i ka wā o ka hoʻomehanaʻana o insulin. Hōʻike nā hōʻailona a hoʻomohala koke
- ka ʻohi ʻana, i kekahi manawa cyanosis o ka ʻili;
- hoʻonui ʻohe;
- Kuhi kaumaha
- haehae, loko o loko, haalulu;
- luhi;
- ka manaʻo o ka pōloli koʻikoʻi;
- hilahila pinepine;
- mokaela;
- ka hoʻonohonoho paʻa ʻana, ʻekahi i ka lewa;
- tachycardia.
Hōʻalo ʻia ka hypoglycemia koʻikoʻi me ka nalowale o ka ʻike, ma kekahi mau hanana aʻaʻole hoʻi i hiki i nā hanana ke hele i loko o ka lolo, hiki mai ka make.
Hiki i ka monoinsulin ke hoʻonāukiuki i kahi allergy kūloko i ke ʻano o ka kau a me ka ʻū.
Hiki i ka lāʻau lapaʻau ke hoʻonāukiuki i kahi allergy kūloko i ke ʻano o ka huhū o ke kamaʻilio, ʻulaʻula, hōʻeha i ka wahi o kahi hōʻomaʻomaʻomaʻo maikaʻi, e hele kūʻokoʻa ʻole ʻana.
ʻOi aku ka paʻakikī i ka poʻe maʻi e hoʻomanawanui i ka hopena o ka maʻi maʻamau me ka ʻae o ka hōʻeha o ka ʻeha gastrointestinal, pōkole o ka hanu, nā wīwī nui, maʻi maʻi i ka pūnaewele injection, arterial hypotension, tachycardia, angioedema. I kēia hihia, ua hōʻike ʻia ke ʻano loiloi, hoʻoponopono ʻia ka hoʻoponopono ʻana i ka mea ikaika.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
ʻO ka hypoglycemia, hyperglycemia hiki ke alakaʻi i ka nānā ʻana i nā mea hoʻonaninani, ʻo ia hoʻi, e pōʻino ana i ka mea e hoʻolalelale ana i ka kaʻa, nā hana paʻakikī a me nā hōʻuluʻulu.
ʻO ka poʻe e lawe nei i ka lāʻau lapaʻau e pale aku i ka hoʻokele inā hiki.
Nā ʻōlelo kikoʻī
Me ka hoʻohana mau ʻana o ka hopena lā o ka insulin, e nānā ʻia ana ka pā koko. I kekahi mau hihia, me kahi ʻoi loa o ka nāwaliwali i ke kūlana a me ka haʻalele ʻole o ke kōkua, hiki i ka ketoacidosis maʻi ma ka hopena me kahi hopena o ka make.
Inā hoʻohālikelike ʻia ka nui o ke pala thyroid, hoʻomaʻemaʻe a i ʻole nā ʻili o ka maʻi, ua hoʻololi ʻia ka maʻi o Addison. Me nā maʻi infectant concomitant, kūlana febrile, pono ke hoʻonui i ke kino i ka nui o ka insulin e lawelawe ʻia. Hoʻololi i ka maʻi lapaʻau me ke hoʻoponopono hou ʻana i ka meaʻai, nui ka hoʻoikaika kino.
Hoʻohana i ka wā kahiko
No ka poʻe maʻi ma hope o 65 mau makahiki o ka hoʻonaninani ʻia, ke hoʻemi ʻia nei ka nui o ka hopena o ka insulin - e hilinaʻi nui ʻia ia ma nā ʻōkuhi glucose, pono e mālama mau ʻia.
ʻAe ʻia ka Monoinsulin i ka wā hapai, ʻaʻole ia e hoʻonāukiuki i ke ola a me ke olakino o ka maʻi hānau.
Koha i na keiki
ʻO nā hihia o ka lawe ʻana i ka lāʻau lapaʻau i nā keiki, ʻaʻole i aʻo ʻia nā ʻōpio.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole hiki i ka lāʻau lapaʻau ke keʻa i ka paʻa placental. No laila, ʻae ʻia kona komo ʻana i ka wā hapai, ʻaʻole ia he hoʻonāukiuki i ke ola a me ke olakino o ka maʻi hānau.
Aohe ole pilikia o ke keiki, e like me ʻaʻole ka mea ikaika e komo i ka waiū umauma. I ka manawa o kēia manawa, ua hōʻike ʻia ka mālama mau ʻana o ka hoʻoliʻi glucose. Ma hope o ka hānau keiki ʻana, ke lawe ʻia ke ʻano maʻi mellitus type 1 e like me ke kumumanaʻo maʻamau, inā ʻaʻole ʻino ka moku o ke olakino a me ka hoʻoponopono ʻia ʻana o ka paukū.
Ke noi no ka hana renal haukapole
Inā ʻike ʻia ka pilikia ʻole, e emi nui ka pono o ka lāʻau lapaʻau, ma muli, e hōʻemi ʻia kona ʻano maʻamau.
ʻO ka hāʻule ʻole o ka ate pinepine e alakaʻi i ka emi ʻana o ka make o Monoinsulin.
Hoʻohana no ka hana lawelawe lēwa
ʻO ka hāʻuleʻole i ka ate ka pinepine e alakaʻi i ka emi ʻana o ka lāʻau o ka lāʻau.
Moeinsulin Overdose
Inā nui aʻe nā wai i ʻae ʻia o ka insulin, e ulu nui ka hypoglycemia. Me kahi ʻano maʻi o nā patula, ke hoʻopili nei kahi kanaka iā ia iho, e hoʻopau ana i ka meaʻai i momona me ka ʻai, nā kō. No kēia kumu, mau ka maʻi maʻi me lākou nā mea momona, nā ʻono.
Inā hypoglycemia koʻikoʻi, hāʻawi koke ka mea maʻi i ka iv solution o ka glucose (40%) a i ʻole glucagon ma kekahi wahi kūpono - iv, s / c, v / m. Ke hoʻi hou ka kūlana o ke olakino, pono kekahi kanaka e ʻai i ka ʻai i ka ʻai momona, e pale aku ai i kahi lua.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻonui ʻia ka hopena hypoglycemic i ka wā i hui pū me ka corticosteroids, oral contraceptives, tricyclic antidepressants, thyroid hormone, and thiazolidinediones.
Hoʻohui ʻia ka hopena hypoglycemic e ka sulfanilamides, salicylates (salicylic acid, no ka laʻana), ka mea paʻa MAO, a me nā ʻaihue hypoglycemic no ka hoʻohana waha.
Ua hōʻike ʻia ka hōʻailonaatology o ka hypoglycemia a ʻike liʻiliʻi i ka hihia o ka lawelawe ʻana o clonidine, beta-blockers, reserpine.
Hoʻolaha ka waipuna
ʻO ka hoʻohanaʻana i ka ethanol (ʻo nā huaʻai e hua ana me ka ethanol) me ka insulin e hoʻonui ai i ka hopena hypoglycemic.
Nā kuʻina
Insuman Rapid GT, Actrapid, Humulin maʻamau, Gensulin R.
Waihue huaʻōlelo waiho nā huaʻōlelo
Kūʻai aku ʻia ka lāʻau lapaʻau e ka lāʻau lapaʻau.
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
ʻAʻohe manawaʻoi aʻe ma waho ke kūʻai aku i kahi lāʻau lapaʻau antidiabetic.
Kūʻai
ʻO ke kumukūʻai o ka lāʻau lapaʻau i hana ʻia ma Belarus ma Lūkini mai ka 250 rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Pono ka mālama i ka lāʻau ma kahi wahiʻeleʻele i kahi hōʻailona mahana o + 2 ... + 8 ° C; ʻaʻole hiki ʻole ke kāhea ʻia ʻana o ka hoʻonā.
ʻO ka lā kau
2,5 mau makahiki.
Mea hana
RUE Belmedpreparaty (Repubalika o Belarus).
ʻO Actrapid kahi mea hoʻohālikelike o Monoinsulin.
Nā loiloi o nā loea lapaʻau
Elena, endocrinologist, 41 makahiki, Moscow
ʻO kēia lāʻau lapaʻau kahi mea hoʻohālike o ka insulin kanaka. Hōʻalo i ka hypoglycemia wale nō e kōkua i ka hoʻokomo ʻana pono i ka lāʻau, paʻa ka paʻa i ka ʻaʻai a me ka meaʻai.
Victoria, gynecologist, 32 makahiki, Ilyinka
ʻO ka type diabetes diabetes mellitus a me ka hoʻohana pinepine ʻana o kēia insulin e loaʻa ka hopena pilikino i ka hānai ʻana o nā kāne. Inā makemake ʻoe e hapai i ka maʻi maʻamau, pono ʻoe e ʻōlelo aku i ka gynecologist e kōkua i ka hoʻoponopono ʻana i ka pilikia.
Nā Hōʻike Hoʻomaʻi
Ekaterina, 38 makahiki, Perm
ʻO koʻu makuakāne he maʻi maʻi me ka ʻike. I kēia manawa ua hoʻomaka wau e lawe i ka insulin Belarusian. ʻOiai ma muli o nā loli o ke ʻano o ka makahiki, a ma muli o nā ʻano o ka lāʻau lapaʻau, akā hoʻemi ka lāʻau i ka dosage iā ia, noho mau kona olakino maʻamau.
Natalia, 42 makahiki, Rostov-on-Don
Ua loaʻa iaʻu kahi maʻi diabetes ma ka ulia i ka manawa ma muli o kahi malaise, ua hoʻomaʻamaʻa wau i ka hoʻomaʻamaʻa maʻamau i loko o ka haukapila. Nā ʻōkuhi Monoinsulin ma kahi liʻiliʻi liʻiliʻi i kuhikuhi koke ʻia. Ua hoʻohana wau iā ia iʻoi aku ma mua o hoʻokahi makahiki. ʻOiai ua makaʻu wau i nā hopena ʻaoʻao, akā maʻamau nā mea āpau, ʻike maikaʻi.
Irina, 34 makahiki, Ivanovsk
Noʻu iho, ʻo ka pilikia nui ʻo ia ke kūʻai mau ʻana i kēia lāʻau lapaʻau i ko mākou kūlanakauhale liʻiliʻi. Ua hoʻāʻo wau i nā analogues o nā hana hale, ʻaʻole naʻe i kūpono, ua palupalu koʻu olakino.
