Ma ka Russian Federation, ma kahi o 45 pakeneka o nā poʻe i maʻi me ka maʻi diabetes e hoʻohana i ka lāʻau insulin i ko lākou ola āpau. Wahi a ka lahui mālama mālama ʻia, hiki i ke kauka ke kuhikuhi i ka inika pōkole a me ka lōʻihi.
ʻO nā lāʻau maʻalahi i ka mālamaʻana i ka maʻi hika he mau insulins medium-acting. Hoʻoponopono ʻia ia ʻano hana i hoʻokahi manawa a ʻelua paha i ka lā.
Mai ka lōʻihi o ka molo ʻana o ka lāʻau lapaʻau, hoʻomaka ka hopena hypoglycemic hoʻokahi a me ka hapa wale nō ma hope o ka paʻi ʻana.
Nā ʻano o insulin
- Hoʻomaka ka hana wikiwiki pōkole i ka hoʻokaʻawale ʻana i ke kōpaʻa koko koko 15-30 mau minuke ma hope o ke kaʻina ʻana i ke kino. Loaʻa ka pae kiʻekiʻe loa i ke koko ma hope o hoʻokahi a me ka hapa i ʻelua mau hola, ma ka awelika, hiki i ka insulin ke hana mai 5 a 8 mau hola.
- ʻO ka insulin manawa lōʻihi e hoʻohaʻahaʻa i nā haʻahaʻa koko glucose i hoʻokahi a i ka hapa iʻelua mau hola ma hope o kona hoʻoponopono. Ka ʻike mau loa o ka lāʻau i loko o ke koko ma hope o 5-8 mau hola, ua mau ka hopena o ka lāʻau lapaʻau no 10-12 mau hola.
- Hana ka lōʻihi o ka insulin insulin i ka manawa ʻelua a ʻehā mau hola ma hope o ka hoʻokō ʻana. ʻO ka pae kiʻekiʻe loa o ka loaʻa ʻana o kahi mea i loko o ke koko ke nānā ʻia ma hope o 8-12 mau hola. ʻAʻole like me nā ʻano like ole o ka insulin, e kūpono kēia lāʻau no ka lā hoʻokahi. Aia kekahi mau insulins a hopena hypoglycemic no 36 mau hola.
Eia kekahi, insulin, ma muli o ke ala o ka hoʻomaʻemaʻe, hiki ke hana maʻamau, monopoli a monocomponent. Ma ke ʻano maʻamau, lawe ʻia ka hoʻomaʻemaʻe e hoʻohana ana i ka chromatography, ʻike ʻia ka nui o ka insulin monopoli ma ka hoʻomaʻemaʻe ʻana o ka gel chromatography. No ka insulin monocomponent, hoʻohana ʻia ka chromatography ion-hoʻololi i ka wā o ka hoʻomaʻemaʻe.
Kuhi ʻia ka pae o ka hoʻomaʻemaʻe e ka helu o nā māhele proinsulin i hoʻokahi miliona huaʻai i nā ʻāpana. Hiki ke hana i ka lōʻihi o ka insulin ma muli o ka neʻe i ka hormone hana i ka mālama kūikawā a me ka protein a me ka zinc e hoʻohui pū ʻia.
Hoʻohui ʻia, hoʻokaʻawale ʻia nā insulins i kekahi mau pūʻulu, hilinaʻi i ke ʻano o kā lākou hoʻomākaukau. Loaʻa ka insulin i ka kānaka homologous e ka bacterial synthes a me semisynthesis mai ka pancreas puaʻa. Hoʻokomo ʻia ka insulin Heterologous mai ke pancreas o nā pipi a me nā puaʻa.
Loaʻa i ka insulin kanaka Semi-synthetic me ka hoʻopili ʻana i ka alanine amino acid me ka threonine. Hoʻohana pinepine ʻia kēlā me kēia insulin inā ua kū ka pale o ka maʻi diabetes, he alerine no nā lāʻau ʻē aʻe.
Nā Inulin Duration Medium
Hiki ke nānā ʻia ka hopena lōʻihi ma hope o nā hola 6-10. ʻO ka lōʻihi ke hana o ka lāʻau lapaʻau e hilinaʻi ana i ka dosage i koho ʻia.
ʻO ka mea kūikawā, me ka hoʻomaka ʻana o nā pahu 8-12 o ka hormone, e hana ka insulin no nā hola 12-14, inā e hoʻohana ʻoe i kahi kaila o nā lālā 20-25, e hana ka lāʻau lapaʻau i nā hola 16-18.
ʻO ka mea nui ka nui o ka hiki ʻana o ke kāwili ʻana i ka hormone me ka insulin wikiwiki. Wahi a ka mea hana a me ka meaʻala, ʻehā mau inoa like ʻole ka lāʻau. ʻO ka mea i kaulana ʻia, he insulins o ka lōʻihi waena:
- Insuman Bazal,
- Biosulin N,
- Berlulin-N basal,
- Homofan 100,
- Protofan NM,
- Humulin NRH.
Ma kekahiʻaoʻao o nā lāʻau lapaʻau, kahi lāʻau lapaʻau o kēia wā o ka hōʻuluʻulu ʻana o Rinsulmi-di ChSP, kahi o ke kāpae ʻana i ka insulin a me ka protamine.
Hōʻike ʻia nā insulins lōʻihi no:
- ʻO ka maʻi mellitus type 1;
- ʻAno 2 mellitus mika;
- Ma kahi hihia o nā maʻi maʻi maʻi i ke ʻano o ka ketoacidosis, acidosis;
- Me ka hoʻomohala ʻana o nā maʻi ʻino, nā maʻi ākea, ka nui o ka hana, ka wā postoperative, trauma, ke kaumaha ma ka maʻi maʻi maʻi maʻi.
Noi Hormone
Hana ʻia nā maʻi ma ka ʻōpū, ka ʻōpū. ʻO ke kala, nā kīhaha. Hoʻoholo ka ʻawaʻawa i kēlā me kēia kanaka, ma ke kauoha a ke kauka hele mai. Ke papa ʻia nei ka ʻohi ʻana i ka lāʻau.
He mea nui ia e hahai i nā ʻōlelo a ke kauka a ke kauka no ke koho ʻana i ke ʻano o ka hormone, ka nui a me ka manawa o ka hoʻolaha ʻana. Inā neʻe ka maʻi maʻi mai ka puaʻa a i ʻole like me ka insulin like ʻole i kekahi kanaka like, pono ke hoʻoponopono ʻia.
Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, pono e lūlū mālie ke kīʻaha e hoʻopili like ʻia ke kinipōpō a me kahi ʻano kaila pūpū. Hoʻoholo koke ʻia ka nui o ka inea e makemake ai i ka syringe a ua hoʻopaʻa ʻia.
ʻAʻole hiki iā ʻoe ke hana i ka lūlū ikaika me ka ʻaʻa ʻole i ʻike ʻole ʻia ka ulia, hiki paha i kēia ke hana i ke koho ʻana i ka hewa kūpono. Pono ka ʻāwili insulin e hoʻokūkū i ka ʻike o ka hormone i hoʻohana ʻia.
Ma mua o ka hoʻopuka ʻana o ka insulin, ʻaʻole pono ka pūnaewele i ka lāʻau ʻaina. He mea nui e hoʻololi i nā pūnaewele injection. Pono e mālama pono e mālama i ka pono ma ke komo ʻana i nā moku koko.
- Ke lawe nei ka hana o ka insulin i ka diabetes mellitus e lawe ana i nā 45-60 mau minuke ma mua o ka ʻai ʻana i nā manawa 1-2 i ka lā.
- ʻO nā maʻi maʻi i ka wā e mālama ʻia ai ka lāʻau lapaʻau no ka manawa mua e loaʻa i ke kumu mua o nā paona 8-24 i hoʻokahi lā i ka lā.
- Ma mua o ka ʻike nuiʻana i ka hormone, mālama ʻia nā keiki a me nā pākeke ma mua o 8 mau pūʻulu i kēlā me kēia lā.
- Inā hōʻemi ʻia ka naʻau o ka hormone, hiki iā ia ke hoʻohana i kahi kao o nā mea he 24 mau i kēlā me kēia lā.
- ʻO 40 paha ka nui o ka waihona kau he 40 ʻāpana. Hiki i ka wehe ʻana i kēia kau palena wale nō ma kahi hihia ulia kūikawā.
Hiki i ka insulin medium-lōʻihi ke hoʻohui pū me ka insulin hana pōkole wale. I kēia hihia, hōʻiliʻili mua ʻia ka insulin i loko o ke syringe. Hana koke ʻia ka huikoa ma hope o ke kāwili ʻana i ka lāʻau.
I kēia hihia, pono ia e nānā i ke ʻano o ka insulin, no ka mea ua pāpā ʻia ʻole e hoʻoneʻe i ka hoʻomākaukau ʻana i ka zinc me ka hormone hāhai o ka phosphate.
Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono e nānā pono ʻia ka pahu. Inā hele ʻia nā mea palu a i ʻole nā ʻāpana ʻē aʻe i ka wā i hui ʻia, ʻaʻole ʻae ʻia ka insulin. Hoʻohana ʻia ka lāʻau lapaʻau e like me nā ʻōlelo i hoʻopili ʻia i ka peni syringe. I mea i hemahema, pono ke aʻo e aʻo iā ʻoe pehea e hoʻohana ai i ka polokalamu e komo i ka hormone.
ʻO nā wahine i hōʻike ʻia i ka maʻi diabetes i ka wā gestation e pono e kiaʻi i kā lākou koko koko. I kēlā me kēia punetēlā o ke kōpaʻa, pono ia e hoʻoponopono i ke ʻano, ma muli o nā pono o ke kino.
Eia kekahi, pono ke hoʻololi i ka hopena o ka hormone e koi ʻia ma ka wā o ka ʻōpū.
ʻO nā maʻi ākea a me ke kauā
Me nā hewa hewa, ʻike paha ka mea maʻi i nā hōʻailona o ka hypoglycemia ma ke ʻano o ka palu maloʻo, nāwaliwali nui, ke kīleʻopa o ka ʻili, palpitations puʻuwai, haʻalulu, nāhelehele, ka nausea, ʻālepili i nā ʻāpana like ʻole o ke kino, ʻeha. Hiki i ke kanaka ke hoʻomohala i ka precoma a me ka coma.
Inā mālama ʻia ka hypoglycemia maʻalahi a maʻalahi paha, pono e loaʻa ka mea maʻi i ka nui o ka glucose i loko o ke ʻano o nā papa, nā hua wai, ka meli, ke kō a me nā huahana ʻē aʻe e loaʻa ai ke kō.
Inā hōʻike ʻia ka hypoglycemia ikaika, hele aku ka naʻau a i ʻole ke hōʻola, 50 ml o kahi kūmoli 50% e hopu koke ʻia i ka mea maʻi. ʻO ka mea hou aku kahi infusion hoʻomau o 5% a i ʻole 10% hopena waiū. I ka manawa like, na nā mākaʻi o ke kō, nā mea hana a me nā urea i ke koko ka nānā ʻia.
Ke ʻike ka lolo maʻi i ka ʻike, ua hāʻawi ʻia ia i mea ʻai i nā mea momona a kālai ʻole ʻia ka hopena o ka hypoglycemia.
Contulinicated ka lōʻihi o ka insulin i:
- hypoglycemia;
- insuloma;
- hypersensitivity a i ka insulin hormone a i kekahi mau ʻāpana o ka lāʻau.
He mea nui e noʻonoʻo e hiki i ka lāʻau lapaʻau ke hōʻeha i nā hopena ʻaoʻao i ka hapanui e loaʻa pinepine ana me ka overdose, ʻoki ʻole a i ʻole nā meaʻai ʻaina, ke kaumaha kino, a me ka ulu ʻana o kahi maʻi ʻeha. I kēia hihia, hoʻohui pū ʻia nā hōʻailona me ka hypoglycemia, nā kuʻuna o ka neurological, nā kuʻuna, nā maʻi hiamoe.
Hoʻomaʻamaʻa pinepine ʻia kahi maʻi kūloko inā he maʻi nui ka mea maʻi i ka insulin o ka hoʻomaka ʻana o nā holoholona. ʻO ka mea maʻi ua kau ka pōkole o ka hanu, ka pīhoihoi anaphylactic, kahi wikiwiki i ka ʻāʻī, ʻāla larynx, paʻakikī ka hanu. ʻO kahi hihia koʻikoʻi nā pilikia kūlike e hiki ke hoʻoweliweli i ke ola o kekahi kanaka.
Inā hoʻohana ʻia ka lāʻau lapaʻau no ka manawa lōʻihi, ʻike ʻia ka lipodystrophy ma ka wahi o ka injection o ka insulin.
Me ka hypoglycemia, ke piʻi pinepine nei ke koʻikoʻi o ka nānā ʻana a me ka wikiwiki o ka hopena psychomotor, no laila, i ka wā hoʻihoʻi, ʻaʻole pono ʻoe e holo i kahi kaʻa a hoʻokuke paha i nā hana koʻikoʻi.
Hoʻopili me nā lāʻau lapaʻau ʻē aʻe
ʻO nā mea hoʻomaha, ʻo ia hoʻi ka zinc, ʻaʻole pono e kāwili ʻia me ka insulin-piha i ka samihine, me ka hoʻohui ʻole ʻia me nā hoʻomākaukau ʻē aʻe o ka zinc-insulin.
Ke hoʻohana nei i nā lāʻau lapaʻau hou, pono ʻoe e kamaʻilio i kāu kauka, no ka mea he nui nā lāʻau e hiki ke hoʻopilikia i ka hana glucose.
Hoʻoulu i ka hopena hypoglycemic o ka hormone hormone a hoʻonui i ka pilikia o ka hypoglycemia e like me kēia:
- pākalepono
- monoamine oxidase inhibitors
- waha e kūlohelohe koi
- ifosfamides, alpha-blockers,
- sulfonamides,
- ka huki ana o kaiotiotin
- HIKOLOLINO,
- disopyramids
- nā huaʻai
- pili
- huʻihuʻu.
Eia kekahi, ʻo ka pentoxifyllines, propoxyphenes, salicylates, amphetamines, anabolic steroids, a me nā triphosphamides kahi hopena like.
Hoʻonui a hoʻonāwaliwali i ka hopena hypoglycemic o ka salicylates hormon, nā paʻakai lithium, beta-blockers, reserpine, clonidine. Pēlā e pili pū ana i ke kino a me ka inu ʻawa.
Diuretics, glucocorticosteroids, sympathomimetics, oral contraceptives, tricyclic antidepressants hiki ke hoʻonāwaliwali i ka hana o ka insulin.
I ke wikiō ma kēia ʻatikala, hāʻawi ʻia ka ʻike e pili ana i ka insulin Protafan.
