Rosinsulin P, S, M

ʻO ka lawehala hypoglycemic, he hana pōkole o ka insulin. Hoʻohālikelike me kekahi mea ʻae aku ma luna o nā membrane waho o nā pūpū, hana i kahi mea ʻona ʻenehana insulin. I ka hoʻonui ʻana i ka synthesis o cAMP (i nā pūlima momona a me nā pūpuna o nā leʻaleʻa) a i ʻole ke komo pololei ʻana i loko o nā pūpuna (nā ʻōpū), ʻo ka mea i hoʻomaka ʻia e ka mea i hoʻopaʻa ʻia e nā mea pili kino, e komo ka synthesis o kekahi o nā kīʻaha koʻikoʻi (me ka hexokinase, pyruvate kinase, glycogen synthetase).

ʻO ka hoʻohaʻahaʻa o ka glucose o ka glucose i ke koko ma muli o ka hoʻonui o kona ala ʻolaka, hoʻonui i ka hoʻoʻi ʻana a me ka assimilation e nā ʻili, hoʻoulu ʻana i ka lipogenesis, glycogenogenesis, synt synthesis, a me ka hoʻohaʻemi ʻana i ka hōʻemi o ka hana glucose i ka ate (hoʻemi i ka wā hoʻomaha glycogen).

ʻO ka hoʻomaka ʻana o ka hana ma hope o 30 mau minuke, ka hopena ma hope o ka holo ʻana o 1-3 mau hola, ʻo 8 mau loa o ka lōʻihi o ka hana.

Ka hoʻoponopono ʻia ʻana

Hoʻoholo ʻia ka hopena a me ke ala o ka lawelawe ʻana i ka lāʻau pākahi i kēlā me kēia hihia e pili ana i ka ʻike o ka glucose i loko o ke koko ma mua o ka ʻai ʻana a me 1-2 mau hola ma hope o ka ʻai, a ke hilinaʻi nei hoʻi i ke ʻano o ka glucosuria a me nā ʻano o ke ʻano o ka maʻi.

Ma ke ʻano he kānāwai, mālama ʻia / s / c mau minuke ma mua o kahi pāʻina. E hoʻololi ʻia nā pūnaewele injection i kēlā me kēia manawa. Inā makemake, IM a IV lawelawe ʻae ʻia.

Hiki ke hoʻohui pū me nā insulins lōʻihi.

Loaʻa ka hopena

Nā ʻano maʻi alerika: urticaria, angioedema, maʻi, hoʻopauʻana o ka hanu, kaomi i ke koko.

Mai ka pūnaehana endocrine: hypoglycemia me nā mea hōʻike e like me ka pallor, hoʻonui nui ʻia, palpitations, kahi hiamoe hiamoe, haʻalulu, pilikia neurological, immunological cross-reaction me ka lā kanaka, he hoʻonui i ka titer o nā anti-insulin antibody me ka hoʻonui aʻe i ka glycemia.

Mai ka ʻaoʻao o ka io o ka hihiʻo: ʻike maka ʻia ka ʻike (ma mua o ka hoʻomaka ʻana o ka pena).

Nā kūloko kūloko: hyperemia, ʻeha a me lipodystrophy (atrophy a i ʻole hypertrophy o ka momona subcutaneous) ma ka wahi o ka maʻi hoʻokolohua.

Nā mea ʻē aʻe: ma ka hoʻomaka ʻana o ka mālama ʻana, hiki nō ke edema (hala me ka mālama hoʻomau ʻia).

ʻŌpū a me ka lactation

I ka wā hapai, pono e noʻonoʻo i ka hoʻemi ʻana o ka pono no ka insulin i ka trimester mua a i ʻole ka hoʻonui ʻana i ka mea hoʻomaʻamaʻa lua a me ke kolu. I ka wā a ma hope o ka hānau ʻana, hāʻule paha nā koi o ka insulin.

I ka wā lactation, pono ka mākaukau i ka nānā ʻana i kēlā me kēia lā i mau mahina (a hiki i ka hoʻokū ʻana o ka pono o ka insulin).

Nā ʻōlelo kikoʻī

Me ka akahele, ka lawe ʻia ʻana o ka palena o ka lāʻau lapaʻau i nā mea maʻi me nā maʻi cerebrovascular i loaʻa mua e like me ke ʻano ischemic a me nā ʻano koʻikoʻi o ka maʻi naʻau coronary.
Hiki ke loli i ka insulin i kēia mau helu aʻe: ke hoʻololi nei i kekahi ʻano o ka insulin, i ka wā e hoʻololi nei i ka ʻai, ke nānā ʻana, ka huʻi ʻana, ke hoʻololi ʻana i ka maʻamau o ka hana kino, i nā maʻi o nā palupalu, ʻāʻī, pituitary, gland thyroid, i ka wā e hoʻololi ana i ka pae huina.
Pono ka hoʻoponopono ʻia ʻana o ka insulin no nā maʻi ʻeha, ʻo ka thyroid dysfunction, Addison's disease, hypopituitarism, kidney renal failed, a me ka diabetes mellitus i nā mea maʻi ma mua o 65 mau makahiki o kona mau makahiki.

Pono ka hoʻokaʻawale ʻana i ka maʻi i ka insulin kanaka e ʻāpono ʻia a paʻa wale ma lalo o ka mākaʻi ʻana o kahi kauka.

ʻO nā kumu o ka hypoglycemia hiki i: ka overdose insulin, ka hoʻihoʻi ʻana i ka lāʻau, kaʻai ʻana i ka ʻai, ka luaʻi ʻana, ka ʻōpū, ke kaumaha ʻana o ke kino, nā maʻi e hōʻemi ai i ka pono o ka insulin (ʻeha a me nā maʻi puʻuwai, a me nā hypofunction o ka adrenal cortex, pituitary a i ʻole glid thyroid), loli o ka wahi injection (no ka laʻana, ʻoi aku ka ʻūhā ma ka ʻāʻī, ke poʻohiwi, nā ʻōpū), a me ka launa pū me nā lāʻau ʻē aʻe. Hiki iā ia ke hōʻemi i ka hoʻoliʻi o ka glucose i ke koko i ka wā e hoʻoneʻe ana i ka mea maʻi mai ka insulin holoholona i ka insulin kanaka.

Pono e ʻike ʻia ka mea maʻi e pili ana i nā hōʻailona o kahi kūlana hypoglycemic, e pili ana i nā hōʻailona mua o kahi coma maʻi maʻi a me ka pono e hoʻomaopopo i ke kauka e pili ana i nā loli āpau o kona kūlana.

Ma kahi o ka hypoglycemia, inā ʻike ka mea maʻi, ua hoʻokaʻawale ia ʻo ia ma dextrose i loko, s / c, i / m a i ʻole i kuhikuhi ʻia i ka glucagon a i ʻole ʻo ia nā hopena hypertonic dextrose iv. Me ka hoʻomohalaʻana o kahi comog hypoglycemic, 20-40 ml (a hiki i 100 ml) o kahi hopena o 40% dextrose ua hōʻeha ʻia i loko o ka kahawai a hiki i ka mea maʻi ke puka mai i kahi coma.

Hiki i nā mea maʻi me ka maʻi maʻi ʻaʻa ke pani i ka hypoglycemia iki iʻike ʻia e lākou ma ka ʻai ʻana i ke kō a i ʻole nā ​​meaʻai momona i nā kākeka (e ʻōlelo ʻia ana nā mea maʻi e loaʻa ka liʻiliʻi loa 20 g o ke kō me ko lākou).

Hoʻemi ka hoʻohaʻahaʻa alakoma i nā maʻi e loaʻa ana i ka insulin.

Hoʻokomo i ka hiki ke lawe i nā kaʻa a kāohi i nā mīkini

Hiki i ka luhi ke hoʻomohala i ka hypoglycemia e hoʻohaumia i ka hiki ke maʻi o nā mea maʻi e hoʻokau i nā kaʻa a hana me nā mīkini hana.

Hoʻohui nūhou

Hoʻonui ʻia ka hopena hypoglycemic e nā sulfonamides (me nā huaʻōlelo hypoglycemic waha, sulfonamides), ʻae ʻo MAO (e pili ana i ka furazolidone, procarbazine, selegiline), nā mākaʻi anhydrase carbonic, nā mea paʻa o ACE, nā NSAIDs (me ka salicylides), ka anabolic (me nā stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, fenfluramine, lithium hoʻomākaukau, pyridoxine, quinidine, quinine, chloroquine,

ʻO Glucagon, GCS, histamine H 1 nā mea hōʻemi i ka palena, nā mea hoʻohālikelike o ka waha, estrogens, thiazide a me ka "diikini" diuretics, nā mākeke palepae lohi, nā sympathomimetics, nā hormone thyroid, antidepresi tricyclic, heparin, moramine diazropin hoʻemi i ka hopena hypoglycemic , mika, nikotine, phenytoin, epinephrine.

Nā beta-blockers, reserpine, octreotide, pentamidine hiki i ka mea hou ke hoʻonui a hōʻemi i ka hopena hypoglycemic o ka insulin.

ʻO ka hoʻohana like ʻana o nā beta-blockers, clonidine, guanethidine a i ʻole reserpine hiki ke uhi aku i nā hōʻailona o ka hypoglycemia.

Kūleʻa ʻole ka laila me ka hoʻonā o nā lāʻau ʻē aʻe.

E hoʻokuʻu i ke ʻano, ka hoʻonohonoho ʻana a me ka pōpoki

Loaʻa i nā kiʻi ʻekolu.

1. P - kao pōkole, hana ʻulaʻula a me ke kūlohelohe.
2. C - wa lōʻihi, kahi hoʻomaha a ke keʻokeʻo a i ʻole ka waiū.
3. M - hoʻohui 30/70, ʻae ʻelua. Kahi me ka hoʻomaka ʻana o ka hopena, pohō.

Aia i ka pūhui kekahi:

• 100 IU o ka ulu ʻana i ka like me ka ʻenehana manuahi,
• protato sulfate,
• sodium hydrogen phosphate dihydrate,
• Mai Ke Aniani
• metacresol
• kelekalapa (glycerin),
• wai no ka uliaa.

ʻOkoʻa iki nā mea hoihoi i ka hoʻokūkū no kēlā me kēia ʻano. ʻO Rosinsulin M aia ka insulin biphasic - soluble + isophane.

Loaʻa i loko o nā pahu (5 mau ʻāpana o 5 ml) a me nā pahu pahu (5 mau ʻāpana o 3 ml).

Lapaʻau lāʻau

Hoʻomaka ka P P i ka hana i ka hapalua hola ma hope o ka maʻi ʻana, ke kiʻekiʻe - 2-4 mau hola. Lōlā a hiki i 8 hola.

Hoʻohālikelike ʻia ke ʻano C ma hope o 1-2 mau hola, aia ka piʻi ma waena o 6 a 12. ʻO ka hopena e hoʻopau i kahi lā.

M e hoʻomaka i ka hana i ka hapalua hola, ʻo 4 ke kiʻekiʻe, ua hoʻopau ka hana i 24 mau hola.

Ua luku ʻia ia e ka insulinase i ka aʻalā a me nā pēpē. Ke hoʻopio ʻia nei e nā ʻōpū. Hoʻonohonoho wale nā ​​inikini subcutaneous ma luna o kā lākou iho.

• ʻO nā ʻano maʻi maʻi ʻelua
• Hoʻopiʻi i nā wahine hāpai
• Nā maʻi ʻino loa
• Hoʻohui ma nā lāʻau lapaʻau hypoglycemic waha.

Nā ʻōkuhi no ka hoʻohana (ʻano a me ke ʻano)

ʻO ke ala nui o ka hoʻokele waiwai ʻo ia ka ʻike subcutaneous. Koho ʻia ka hewa ma luna o ka hōʻike a me nā pono o ke kino. ʻO ka pūnaewele huakaʻi ka nui, hips, ʻōpū, nā poʻohiwi. Pono ʻoe e hoʻololi pinepine i ka pūnaewele injection.

ʻO ka awelika o kēlā me kēia lā he 0.5-1 IU / kg.

Hoʻohana ʻia ka "Rosinsulin R" i ka hapalua hola ma mua o ka papaʻaina. Hoʻolaha ʻia ka helu o ke kauka ʻana e ka kauka.

Nā hopena hopena

• Nā kūloko o ke kūloko a me ke ʻano.
• Hypoglycemia,
• Hoʻoikaika i kahi coma,
• ʻO ka hōʻemi ʻana o ka BP
• ʻO ka Hyperglycemia a me ka maʻi maʻi o ka maʻi maʻi,
• I ka hoʻonui ʻia o ka titer o nā anti-insulin antiodies, e ukali ʻia ana e ka nui o ka glycemia,
• Loaʻa ʻia nā ʻike
• ʻO ke ʻano maʻi me ka insulin a ke kanaka,
• Hiliauemia,
• Lipodystrophy,
• Ka mālamalama.

Ke keu

ʻOi paha ka hoʻomohala ʻana o ka hypoglycemia. Nā hōʻailonaʻeha: ka pōloli, ka pōpoki, ka ʻike ʻole ʻana i kahi coma, nausea, ka luaʻi a me nā mea'ē aʻe. Hiki ke hoʻopau i ka puka mālamalama me ka ʻai ʻana i ka meaʻai momona (nāʻaila, kahi ʻāpana o ke kō, ka meli). I nā loli hōʻona a me nā maʻi paʻakikī, e koi ʻia kahi puna o glucagon a i ʻole ka dextrose e hoʻoponopono ʻia, ma hope o kahi - ʻaina me ka mea laʻa. E noʻonoʻo e noʻonoʻo i ke kauka no ka hoʻoponopono o ka inikua.

Hoʻohālikelike me nā kikowaena

Loaʻa i nā Rosinsulin nā lāʻau like like, pono ia e hoʻomaʻamaʻa iā ʻoe iho no ka hoʻohālikelikeʻana i nā waiwai.

Novomiks. Insart aspart, ʻelua papa ʻelua. Hana ʻia e Novo Nordisk i Denemaka. Kūleʻa - a hiki i 1500 rubles. no ka pahee. ʻO ka hopena o ka lōʻihi, he wikiwiki a me ka maikaʻi. ʻAʻole ʻae ʻia ka lāʻau lapaʻau no nā keiki ma lalo o 6 mau makahiki he nui, a ʻōlelo ʻia me ka makaʻala i ka wā hāpai a ʻo ka makahiki ʻōpio. Hōʻike pinepine ʻia nā ʻano ka maʻi allergic ma ka wahi i ka maʻi maʻi.

"Insuman." Kūʻai kanaka, ʻekolu ʻano hana. Uawe ia mai 1100 rubles. Ka mea hana - "Sanofi Aventis", Farani. Hoʻohana ʻia ia no ka mālama ʻana o nā pākeke a me nā keiki. Loaʻa i nā hopena hopena. Kāleʻa maikaʻi.

"Protafan." Pēlā ka ʻenehana a kānaka i ka ʻano hana ʻano ʻenehana. ʻOpe - 800 rubles. no nā pahu liʻiliʻi, hoʻonā - 400 rubles. Hana ʻia e Novo Nordisk, Denemaka. Hoʻohana ʻia ia ma subcutaneously wale nō, hoʻohana ʻia ia e mālama i nā mea maʻi o kekahi makahiki. Hiki i nā wahine hāpai a me ka lactating. ʻO ke kāpena kūpono a me ka pono.

"Biosulin." Insulin Isulin. Mea hana - Pharmstandard, Rusia. ʻO ke kumukūʻai he 900 mau rubles. (nā pahu uila). He hana waena-lōʻihi ia. Hiki ke hoʻohana e mālama i nā maʻi maʻi o nā makahiki āpau.

Humulin. He soluble genetically engine engine. Kumukūʻai - mai 500 rubles. no nā kīʻaha, ʻelua papalua ke kumukūʻai. Hoʻopuka koke ʻelua mau huahana i kēia lāʻau lapaʻau - Eli Lilly, USA a me Bioton, Polani. Hoʻohana no nā hui āpau, i nā wahine hāpai me ka maʻi diabetes. E pono e hoʻohana ʻia ʻo ia me ka makaʻala. Loaʻa i loko o nā lāʻau lapaʻau a ma nā pono.

ʻO ka hoʻoholo e hoʻoneʻe i ka mea maʻi mai kahi ʻano lāʻau lapaʻau ʻē aʻe i kahi ʻē aʻe i hana ʻia e ke kauka hele mai. Ua papa ʻia ka lāʻau lapaʻau pilikino!

ʻO ka kumu, nā maʻi maʻi me ka ʻike ma kēia lāʻau lapaʻau i nā manaʻo kūpono. Hoʻohana ʻia ka hoʻohana ʻana, ka hiki ke hoʻohui i kekahi mau ʻano. Akā aia kekahi poʻe i kūpono ʻole kēia hoʻomehana.

ʻO Galina: “Noho wau ma Yekaterinburg, ua mālama ʻia au no ka maʻi maʻi. ʻO ka manawa koke, loaʻa wau iā Rosinsulin no nā pono pōmaikaʻi. Makemake wau i ka lāʻau lapaʻau, hana maikaʻi. Ke noi nei au i ka pōkole a me ka lahilahi, e kūpono nā mea a pau. I koʻu ʻike ʻana he lāʻau lapaʻau kēia mea, ua haohao wau. ʻAʻole ʻike ʻia ke ʻano maikaʻi mai nā haole.

ʻO Victor: “Ua mālama ʻia wau e Protafan. Hoʻomaopopo ke kauka i kahi lāʻau lapaʻau Lūkini loa i ʻoi aku ka nani, ʻo Rosinsulin. Ua hoʻohana wau iā ia no kekahi mau mahina, hauʻoli wau me nā mea āpau. Mālama ka Sugar, ʻaʻohe hopena hopena, ʻaʻole kumu i ka hypoglycemia. ʻO kēia manawa, ua hoʻomaka wau e loaʻa nā pono, he mea ʻoluʻolu loa ia.

Vladimir: "Ua hoʻohana ʻia" Humalog "a me" Humulin NPH. " I kekahi manawa, ua hoʻololi ʻia lākou e Rosinsulin no nā pono pono. Hoʻohana au i ka pōkole a me ka waena. E haʻi aku iā ʻoe i ka ʻoiaʻiʻo, ʻaʻole wau i ʻike i kekahi mau ʻokoʻa kūikawā mai nā lāʻau lapaʻau ma mua. Aia maʻa ka Sugar, ʻaʻohe hypoglycemia. ʻOi aku ka maikaʻi o nā metric loiloi. No laila ke kuhikuhi nei wau i kēia lāʻau lapaʻau, mai hopohopo iā Lūkini - nā mea ukana a me nā lako kiko, e like me ka ʻōlelo a kuʻu kauka, he haole, ʻo nā mea āpau ma nā kūlana kūlike. A ʻoi aku ka maikaʻi o ka hopena. "

Larisa: "Ua hele ke kauka i Rosinsulin. Ua mālama ʻia no kekahi mau mahina, akā ʻoi aku ka maikaʻi o nā hoʻokolohua. ʻAʻole naʻe i kōkua i kaʻai. Pono wau e huli i kekahi ala ʻē aʻe, ʻaʻole no ka pono, akā no kaʻu kālā. He mea hilahila, no ka mea ua kūpono ka lāʻau a kiʻekiʻe loa i ka kiʻekiʻe. "

Anastasia: "Hoʻokipa ʻia me ka maʻi maʻi maʻi. Hāʻawi lākou i Rosinsulin i ka hopena hopena e like me ka mālama ʻana. ʻO ka pōkole e hoʻohana ai i ka Actrapid. Ua lohe au mai nā mea ʻē aʻe e kōkua maikaʻi ʻo ia, akā ma ka home ʻaʻole au i ʻike i kahi loli hou ma ka mokuʻāina. Makemake wau e noi i ke kauka e hoʻoneʻe i kekahi lāʻau lapaʻau, no ka mea ʻoi aku nei kekahi manawa i kahi hōʻoki ʻia o ka hypoglycemia. ʻAʻole paha ia i kūpono iaʻu, ʻaʻole wau i ʻike. "