ʻO ka insulin kanaka he mea hana maikaʻi i hoʻolālā ʻia e mālama i nā maʻi me nā maʻi a me ka lua o ka maʻi maʻi. He huahana hoʻomehana genetically a me ka mea nui o ka wai i ka wai. Apono ʻia no ka hoʻohana ʻana i ka wā hāpai.
Nā inoa kūʻai
Actrapid, Humulin, Insuran.
ʻO ka insulin kanaka he mea hana maikaʻi i hoʻolālā ʻia e mālama i nā maʻi me nā maʻi a me ka lua o ka maʻi maʻi.
INN: Semi-synthetic kanaka insub soluble.
ATX
A10AD01 /
He aha nā mea a lākou i hana ai
Hiki iā ʻoe ke hele i loko o kēia mau ala:
- ka hoʻohana ʻana i ka hoʻomaʻamaʻa hou ʻana i ka insulin porcine maʻemaʻe;
- i ka wā o ka hopena, e pili ana i nā mana o ka yeast a i ʻole coler o Escherichia coli, e coli bacteria.
He like kēlā me kēia insulin. Ua hoʻomaʻemaʻe mua ʻia, a laila synthesized i ka ʻenehana hope loa. ʻAʻole ʻokoʻa loa ka ʻano o kēia lāʻau lapaʻau mai ka insinny non-synthesized hormone ʻē aʻe. Ua hoʻohui ʻia kekahi mau mea hoʻonā, nā mea hoʻopilikia oxidizing a me ka reactive bacterial i ke ʻano kanaka.
ʻO ke kumu nui o ka hoʻokuʻu ʻana he hopena ʻōiwi. 1 ml aia paha 40 a 100 mau pūʻulu o ka insulin.
ʻO ke kumu nui o ka hoʻokuʻu ʻana o ke kanaka i kahi kū mai ka inikua.
Ka hana lāʻau lapaʻau
Pili kēia hopena i nā insulins pōkole. Ma ka lehelehe o nā membran o nā nui, nā ʻano lāʻau aniani-ʻokoʻa kūikawā, e kū mai ana ma hope o ka launa pū me ka ʻaoʻao o ka membrane cell. Ke hoʻonui nei ka hoʻouluʻana o ka cyclooxygenase i loko o nā pona momona a me nā hoʻolālā momona.
Hiki i ka Insulin ke komo pololei i loko o nā pūpū o ka ʻiʻo. I kēia hihia, ʻo ka hoʻoulu ʻana o nā hana āpau e kū mai ana i nā pūleo ke hele nei. ʻO ke ʻano kahi o nā enzyme hexokinase a me ke glycogen synthetase e hele maikaʻi ana.
Hoʻemi ka ʻike o ka glucose i ka kahe koko no ka lawe wikiwiki ʻana i loko o nā hale. Kuhi ʻia kāna maikaʻi maikaʻi e nā kino kino a pau. Aia kahi hoʻouluʻana i nā kaʻina o ka glycogenogenesis a me nā lipogenesis cellular. Kūkulu hou ʻia nā waiwai ʻoi ʻia. Hoʻemi iki ʻia ka nui o ka hoʻoulu ʻana i nā ʻaina glucose e ka hōʻemi ʻana i ka hoʻoneʻe ʻana o nā fiby glycogen.
Lapaʻau lāʻau
Hōʻike pinepine ʻia ka like o ka inika o ka insulin i ka ʻano o ka hana o ka hana. ʻO ka nui ma muli o ka hopena hope loa, ka huina o ka ʻenekini o ka insulin i ka hoʻonā a hiki i ka pūnaewele injection koke. Ka hoʻomāhelehele ʻia ka ʻili. ʻAʻole hiki i ka Insulin ke komo i ka pale o ka pale o ka plasenta.
ʻAʻole hiki i ka Insulin ke komo i ka pale o ka pale o ka plasenta.
Hiki iā ia ke hoʻokaʻawale ia e nā insulinase pilikino i ka ate. Hoʻokuʻu ʻia ia ma ka kānalua filtration. ʻO ka hoʻopauʻana hapa-hapalua ke ola ma mua o 10 mau minuke. ʻO ka nui o ka insulin i loko o ke koko e nānā ʻia i loko o hoʻokahi hola ma hope o kona alakaʻi pololei ʻana. Hiki i ka hopena i ka lōʻihi o 5 hola.
Nā ʻōmai no ka hoʻohana ʻana o ka inika no ke kanaka
Nui nā ala āpau i hōʻike ʻia ka lāʻau lapaʻau:
- momo a me ke ʻano type type 2;
- maʻi waikika maʻi;
- koma ketoacidotic;
- maʻi hānai i ka wā hāpai.
Ma ka hanana o kahi precomatous i loko o kahi mea maʻi, pono ʻo ia i ka haukapila. Inā ʻaʻole e hoʻomaikaʻi pono ke olakino, mālama ʻia ka hemodialysis. I nā hihia āpau a pau, inā ʻaʻohe manaʻo maikaʻi concomitant e hoʻohālikelike i ka lāʻau lapaʻau ikaika. Hoʻoholo ʻia ka nui o ka maʻi a me ka lōʻihi o ka mālama ʻana e ke kauka komo e pili ana i ka paʻakikī o nā hōʻailona o ka maʻi ma ka maʻi.
Nā Hoʻohui
ʻAʻole ʻōlelo ʻia ka insulin kanaka e:
- hypoglycemia;
- intolerance pilikino a hypersensitivity paha i nā ʻāpana o ka lāʻau.
Pono e noʻonoʻo ʻia kēia mau contraindications ma mua o ka hoʻomaka ʻana o ka mālama ʻana.
Pehea e lawe ai i ka insulin kanaka
Hoʻoholo ʻia ka dosage a me ke ala o ka hoʻokele pololei ma ke kumu o ke kōʻai koko wikiwiki, a laila 2 mau hola ma hope o ka pāʻina. Eia kekahi, kau ʻia ka hoʻokipa i ka paʻakikī o ka hoʻomohala ʻana o ka glucosuria.
ʻO ka manawa pinepine, ka hoʻokele subcutaneous. Hana ia 15 mau minuke ma mua o ka pāʻina nui. I ka maʻi ketoacidosis maʻi diabetes a i ʻole coma, injectable insulin e kiʻi ʻia e injectively, intravenously intravenously or into the gluteus muscle, ma mua o kahi o nā hoʻomaʻamaʻa ʻia.
Manea ʻia e hoʻokele i ka lāʻau lapaʻau ma kahi o nā manawa 3 i ka lā. I mea e hōʻalo ai i ka lipodystrophy akuhi, ʻaʻole hiki iā ʻoe ke kāohi i ka lāʻau lapaʻau mau i ka wahi hoʻokahi. A laila ʻaʻole ʻike ʻia ka dystrophy o ka momona subcutaneous.
ʻO ka awelika pākeke o nā lā he 40 he mau ʻāpana, a no nā keiki he 8 mau ʻāpana. ʻO ke kumu o ka hoʻokele mau manawa 3 i ka lā. Inā makemake ʻia kēlā, a laila hiki iā ʻoe ke kiʻi i ka insulin a hiki i ka 5 mau manawa.
ʻO ka awelika o ka makua pākahi o nā lā he Insulin he 40 mau ʻāpana.
Nā hopena ʻona o ka insulin o ke kanaka
I ka manawa e hoʻohana ʻia, ua pinepine pinepine ʻia nā hopena olakino hou:
- nā hanana kūlohelohe: urticaria, edema Quincke;
- paʻakikī loa o ka hanu, kahi puʻu koʻikoʻi;
- ʻO ka hypoglycemia: hoʻonui nui loa, ka pailima o ka ʻili, nā nui a me ka overexcitation, hoʻomaloli ka nui, hoʻonui i ka palpitations, insomnia, migraines, nui nā huhū a me ka luhi, nāʻike a me ka haʻiʻike, nā kuʻuna o ka maka;
- haʻi leo hypoglycemic;
- ka hyperglycemia a me ka acidosis: ka waha maloʻo mau, ke koʻo o ka momona, nā ʻulaʻula o ka ʻili o ka maka;
- ʻike ʻole;
- ua hōʻemi ʻo ia i ka ʻike;
- hikala a ka ʻu ʻana ma kahi o ka lāʻau lapaʻau e mālama ʻia ai;
- ke ʻano o ka ʻūhā o ka maka a me nā ʻōpū, he hōʻino o ka hoʻohālikelike ʻana.
Kahi ʻano kūwaho o ia mau mea ʻaʻole pono ia e mālama i ka lāʻau lapaʻau kūikawā. Holo iki lākou ma hope o ka hoʻopau ʻana o nā kālā.
ʻO kekahi hopena hopena o ka insulin kanaka e like me ka edema o Quincke.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Me ka lāʻau lapaʻau ʻana, hiki i ka māhele ʻāpana o kekahi mau hopena psychomotor a ʻike hiki ʻole i kahi hilahila. No laila, ʻoi aku ka maikaʻi o ka haʻalele ʻana i ka mīkini a me ka mīkini kaumaha.
Nā ʻōlelo kikoʻī
Ma mua o ka hōʻiliʻili ʻana i ka hoʻonā pololei mai ka pahu hūnā, pono ʻoe e nānā iā ia no ka ʻoli. Inā loaʻa kahi ulu kūleʻa, ʻaʻole pono e lawe ʻia ia lāʻau lapaʻau.
Hoʻoponopono ʻia ka make o ka insulin no ia mau ʻano.
- maʻi lēpela;
- kuhi hewa ʻole o ka lau thyroid;
- ʻO ka maʻi Addison;
- hypopituitarism;
- maʻi hānai i nā poʻe kahiko.
Hoʻohou pinepine, hōʻike nā ʻano hoʻonaninani o ka hypoglycemia. Hiki ke hoʻowalewale ʻia lākou a pau e kahi overdose, kahi hoʻololi hou o ka insulin o ka ʻano like me ke kanaka, ka pōloli, a me ka maʻi ʻōpū, huʻu a me nā hōʻailona ʻē aʻe o ka make hau. Hiki ke hoʻopau ʻia ka hypoglycemia me ke kō.
Hoʻoponopono ʻia ka hopena o ka insulin no ka maʻi diabetes i ka pākeke.
Inā kū ʻia nā hōʻailona liʻiliʻi o hypoglycemia, pono e hoʻopili koke i ka loea. I nā hihia maʻalahi, hiki ke kōkua ʻia ka hoʻoponopono ʻana. I nā pilikia nui aʻe, pono e hoʻohana ʻia ke ʻano he maʻi detoxification. ʻO ka hemahema, ke koi piha ʻana i kahi lāʻau lapaʻau a i ʻole ka hoʻololi hou.
Pono e hoʻomanaʻo ʻia ma ka māhele o ka hoʻokele pololei, hiki i ka dystrophy o ka momona subcutaneous. Akā hiki ke pale kēia i ka hoʻololi ʻana i ka wahi no nā injections.
Hoʻohana i ka wā hāpai a me ka lactation
ʻO ka kāohi ʻana i ke kiʻekiʻe o ka kō i loko o ke kino o ka wahine hāpai. I ka trimester mua, liʻiliʻi ka pono o ka insulin maʻemaʻe i ka liʻiliʻi, a ma ka hopena o ka hua e hoʻonui ai.
I ka wā o ka hānai, pono paha i kahi wahine kekahi hoʻoponopono hoʻoponopono o ka insulin a me ka meaʻai kūikawā.
ʻAʻole loaʻa nā MP i nā hopena mutagenic a me nā genetically i nā hopena a me ke kino.
Ke noi no ka hana renal haukapole
Inā loaʻa i ka mea maʻi ka maʻi palaka, pono paha ia e hoʻoponopono i ke ʻano o ka insulin.
Hoʻohana no ka hana lawelawe lēwa
Me ka mālama aka, pono nā poʻe me nā papa palekala i ka lāʻau lapaʻau. I ka hoʻololi iki ʻana i nā ʻōkohu paleʻai, manaʻo ʻia e hoʻoponopono i ka dosage.
Me ka mālama aka, pono e lawe i ka insulin no nā poʻe me nā maʻi paleka.
Ke keu
Hiki i nā ʻōmaʻomaʻo ke kau pinepine:
- hypoglycemia - nāwaliwali, kahe nui, ka paila o ka ʻili, ke kuʻekuʻe ʻana o nā ʻoihana, haʻalulu ʻōlelo, ka ʻōpū o ka pōloli;
- ʻO ka comog hypoglycemic me ka maʻi hoʻomālamalama.
Hoʻohāmanino ʻia ka hoʻomaʻamaʻa. Ke pae haʻahaʻa o ka hypoglycemia hiki ke hala ma hope o ka ʻai ʻana i ka honu a me nā meaʻai momona paha.
I mea e pani ai i nā hōʻailona o ka overdose koʻikoʻi, ua mālama ʻia ka glucagon mā. I ka hoʻomaka ʻana o kahi hōʻea wikiwiki, hiki i ka 100 ml o kahi hopena dextrose diluted ua hōʻiliʻili ʻia i ka dropwise a hiki i ka mea maʻi ma waho o kahi uha.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻowā paʻa ʻia kahi hoʻonā ʻana o ka insulin synthesized e hui pū me nā ʻano lāʻau ʻē aʻe. Hoʻonui wale ka hopena hypoglycemic nui i ka wā i hoʻohana pū ʻia me kekahi sulfonamides, nā inhibitor MAO, a me nā steroid anabolic. Hoʻonui hou ʻo Androgens, tetracyclines, bromocriptine, ethanol, pyridoxine a me kekahi mau beta-blockers i ka hopena o ka lāʻau.
Ua palupalu ka hopena hypoglycemic inā i lawe ʻia me ka nui o nā hormone thyroid, contraceptives, glucagon, estrogens, heparin, he nui nā sympathomimetics, kekahi antidepressants, calcium, morphine a me nā antagonist nicotine.
Ua loaʻa i ka insulin ka hopena i hoʻopili ʻia o ka glucose e beta-blocker, reserpine a me ka pentamidine.
Hoʻolaha ka waipuna
ʻO ka lawe ʻana i ka insulin, ʻaʻole kūpono me ka inu ʻawa. Ke hoʻonui nei nā hōʻailona o ka ulana, a ke hoʻemi nui nei ka hopena o ka lāʻau.
ʻO ka lawe ʻana i ka insulin, ʻaʻole kūpono me ka inu ʻawa.
Nā kuʻina
Nui kekahi mau kikoʻī kumu maʻamau:
- Berlinsulin N Kūleʻa;
- Diarapid CR;
- Insulidd;
- Insulin Actrapid;
- Insuman Rapid;
- Intral;
- Penikala;
- Humodar
Ma mua o ke koho ʻana i kahi lāʻau lapaʻau e kahuli ai i ka lāʻau lapaʻau, pono ʻoe e nīnau i kahi loea. ʻOiai kekahi o ka MSs he maʻalahi, he hopena paha lākou. ʻO nā lāʻau lapaʻau e hana ʻokoʻa i nā ʻokoʻa receptors. No laila, ʻaʻole ka waihona glucose i hilinaʻi wale ʻia ma ka mea ikaika, akā hiki pū nō hoʻi i kona hiki ke hoʻopaʻa ʻia i ka paʻakikī mea pohihihi. Eia kekahi, loaʻa i kēlā me kēia kumuwaiwai kona mau hiʻohiʻona a me nā contraindications, no laila ke koho ʻia nei lākou e ke kauka hoʻokahi.
Waihue huaʻōlelo waiho nā huaʻōlelo
Hiki ke kūʻai wale ʻia ka insulin kanaka ma nā lāʻau lapaʻau kūikawā.
Hiki iaʻu ke kūʻai me ke kī ʻole
I kūʻai ʻia e ka pāʻina kūikawā.
Kūʻai
Kuhi ʻia ke kumukūʻai ma ka palena o ka laʻai lapaʻau a me ka nui o nā hue i loko o ka pā. ʻO ka awelika kumukūʻai mai 500 a 1700 rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Mālama ʻia ia ma kahi pālahalaha ʻaʻole kiʻekiʻe aʻe ma mua o + 25 ° C ma kahi palekana i mālama ʻia mai nā keiki liʻiliʻi. Manea ʻia e ʻalo i ka kū pono o ka lā.
Mālama ʻia ke kanaka Insulin i kahi mahana ʻaʻole kiʻekiʻe + 25 ° C.
Pono ia e hōʻoia i ka pau ʻole o ka hoʻonā ʻana, a i ʻole nā palapala sediment i ka lalo. Inā i pili kēia, a laila hiki ʻole ke hoʻohana i ka lāʻau lapaʻau.
ʻO ka lā kau
E mālama ka wehe wale i ka hue wale nō 30 lā. Ma hope o kēia manawa, hoʻokuʻu ʻia ka lāʻau lapaʻau.
Mea hana
Nui nā hui e hana ana i ka insulin kanaka:
- Sanofi (Palani);
- NovoNordisk (Denemaka);
- EliLilly (USA);
- Lapaʻau OJSC (Rūsia);
- OJSC "National Biotechnologies" (Lūkia).
Hoike Mai
Oksana, 48 makahiki, ʻo Rostov-on-Don: "Ua hōʻike ʻia au i ka maʻi maʻamau i ka maʻi ʻānō. Ua ʻōlelo ʻia iaʻu no ka lapaʻau ʻia. I kūʻai ʻia i loko o nā hue, kū hoʻokahi no kekahi manawa. Ma hope o kekahi mau lā, aneane ka maʻamau o ke kō koko koko ʻO ka mea nui wale nō ke koho ʻia e like me nā loli i ka pae glucose. A pono wale nō e hana kekahi kauka, no ka mea he nui nā maʻi overdose.
Ke hana nei wau i nā injections i ka manawa āpau, akā ma ka liʻiliʻi loa 3 manawa i ka lā, no ka mea ʻaʻole lōʻihi ka hopena o ka lāʻau lapaʻau, ʻaʻole lawa no ka lā holoʻokoʻa. "
Alexander, 39 makahiki, Saratov: "Ua maʻi nui wau i ka maʻi diabetes. Ua mālama ʻia au me ke kōkua o nā syringe pen, he mea kūpono loa ia e hoʻohana ai. I ka hoʻomaka ʻana, aia kekahi mau ʻano kūloko i nā ʻano hematomas ma kahi o ka lawelawe ʻana i ka lāʻau. Injections ma nā wahi like ʻole e kāohi ai i ka infiltration tissue infiltration. I ka hoʻomaka ʻana e hana i kēia, ʻaʻole hana hou ka hematomas. Manaʻo wau i ka hopena pōkole o nā lāʻau lapaʻau wale nō ia wale nō. He lōʻihi loa 5 mau hola. A no laila, maikaʻi loa ka hopena. "
ʻO Anna, 37 makahiki, ʻo St. Petersburg: "ʻAʻole kūpono ka lāʻau lapaʻau. Mai ka lā mua o ka hoʻohana ʻana, ua hele kahi hematoma nui ma ke kahua o ka maʻi maʻi, ua kū mai kahi ʻano huhū. Ma muli o nā hoʻokolohua, ʻike ʻia nā loli o ke koko. Ua nānā ʻia nā hōʻailona āpau o ka hypoglycemia. Ua lilo loa ia i mea huhū, ʻike ʻia.
