ʻO ka mea pōʻino, ʻoi aku ka nui o nā mea hoʻohana insulins Russia (i kēia lā ua hana pū ʻia ka Russia i nā mea hoʻohana ʻē aʻe a no laila, hiki ke manaʻo ʻia hoʻi ʻo Lūkini - Aventis, Novo Nordisk, Eli Lilly) e hana i kekahi mau insulins me nā waiwai like, akā me nā inoa inoa like ʻole. A no ka ʻokoʻa ʻole lākou i ka hopena, i kekahi mau manawa, i ka wā kūʻai aku, hiki ke kūʻai ʻia i ka ʻenehana no nā ʻenehana ʻokoʻa loa o nā insulins o kekahi o kēia mau hui, ka mea i pili i ka kumukūʻai i hāʻawi ʻia e ka hui. ʻO ka hoʻoneʻe ʻana i nā hihia like mai i ka inamina o ka hui hoʻokahi i ka insulin o kahi ʻē aʻe, ʻaʻole ia e pili i ka hopena o ka mālama.

ʻO ka lua, hoʻokahi i ka hopena hoʻohaʻahaʻa o ka hilo o nā insulins a - ʻo ia hoʻi, hiki iā ʻoe ke koho mau i kahi hui ʻana o ka hoʻomākaukau ʻana i nā insulin e hāʻawi i nā hōʻailona pono o ka glucose koko. ʻAʻole i like nā ʻokoʻa ma waena o kekahi mau insulins ma ko lākou hopena (e hana maikaʻi ana lākou, e like me aʻu i hōʻike ai), akā i ka maʻalahi o ka hoʻokele ʻana. Hiki ke lawelawe ʻia ka lōʻihi o ka insulin i hoʻokahi manawa (i nā insulins o NPH, no ka laʻana) a i ʻole 1 manawa i kēlā me kēia lā (Lantus a Levemir paha, no ka laʻana). Ua ʻike ʻia ka lā hoʻokahi a ʻoi aku ka maʻalahi o ka hoʻokele ma mua o 2 mau lā i ka lā. Akā inā no kekahi kumu ʻaʻohe ʻano lapaʻau like, a laila hiki iā ʻoe ke hele, no ka manawa, i ka lāʻau lapaʻau, ka mea i lawelawe ʻia i ka manawa 2 i ka lā, ʻaʻole hoʻokahi. ʻAʻohe pōʻino mai kēia mea, koe wale nō ka pilikia o ka lawelawe ʻana a me ke hoʻololi ʻana mai ka insulin maʻamau a i kekahi.

Mai ka manawa o ka makahiki e loli ai ka pono o nā insulins i kēlā me kēia pae a i ʻole kekahi, e kū mai paha nā kūlana i kekahi manawa e hala paha ka inika o kekahi. I kēia hihia, ʻaʻole pono ʻoe e kali no ka inanini maʻamau no ʻoe, e hōʻemi ana i kona ʻano momona i kēlā me kēia lā a mālama paha iā ia no kāu kaikamahine - hiki paha i kēia mea hōʻeha i kou olakino. A pono ʻoe e hoʻohana i ka insulin, ka mea, e like me ka endocrinologist, kūpono ke kū i ke ʻano, no ka laʻana, no ka pōkole, a hiki i ka manawa ʻike maʻamau. ʻAʻole maʻamau kēia ma mua o nā hebedoma.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi nīnau like ʻole?

Inā ʻaʻole ʻoe i ʻike i ka ʻike pono ma waena o nā pane i kēia nīnau, a i ʻole ʻokoʻa ka pilikia o ka nīnau ma ka mea i hōʻike ʻia, e ho'āʻo e nīnau i ke kauka i kahi nīnau hou aʻe ma ka ʻaoʻao hoʻokahi inā aia nō ia ma ke kumuhana o ka nīnau nui. Hiki iāʻoe ke nīnau i kahi nīnau hou, a ma hope o kekahi manawa e pane ʻo kā mākou mau kauka. Itaolaa. Hiki iā ʻoe ke ʻimi i nā ʻike pili i nā pilikia like ma kēia ʻaoʻao a i ʻole ka ʻaoʻao o ka ʻaoʻao a ka pūnaewele. E mahalo nui mākou inā makemake ʻoe iā mākou i kou mau hoaaloha ma nā ʻoihana pūnaewele.

Medportal 03online.com Hāʻawi i nā kūkākūkā olakino i nā leka me nā kauka ma ka pūnaewele. Eia ʻoe e loaʻa ai nā pane mai nā mea hoʻomaʻamaʻa maoli ma kāu pāna. I kēia manawa, hāʻawi ka pūnaewele i nā ʻōlelo aʻo ma nā wahi he 48: allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, pediatric gynecologist, pediatric neurologist, pediatric urologist, pediatric surgeon, pediatricic surgeon, pediatricic surgeon, pediatricic , ke kaukō maʻi hopohopo, cardiologist, cosmetologist, ke kauka ʻōlelo waha, ʻoihana ENT, mammologist, loio lapaʻau, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma surgeon, ophthalmologist he, ka mea lapaʻau, nā mea lapaʻau plastik, proctologist, psychiatrist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, dentist, urologist, pharmacist, herbalist, phlebologist, lapaʻau, endocrinologist.

Pane mākou i ka 96.27% o nā nīnau..

Koho / koho ana i ka insulin: nā lula, nā koho, hana

ʻO ke ʻano o ka inalula kekahi ʻano o ka hoʻohaʻahaʻa ʻana i ke kiʻekiʻe o ke kōpaʻa koko a me ka hoʻohaʻahaʻa i nā kaʻina metabola ma o ka lawelawe ʻana i nā ʻano like ʻole o ka nui o ka insulin. Hoʻohana nui ʻia kēia ʻano ʻano i ka mālama ʻia ʻana o ka maʻi mellitus (DM), me ke pale ʻia ʻana o kona mau hōʻeha, e pili pono ana i ka lōʻihi a me ke ola o nā maʻi.

I kēia manawa, ʻo ka biosynthetic a me semi-synthetic insulin o nā ʻōnaehana like ʻole e hoʻohana i ka mālama ʻana i ka maʻi diabetes.

Wahi a kēia koi, 4 ʻokoʻa ka ʻano o nā lāʻau lapaʻau.

ʻO ka hana puʻupuʻu ultra (ka hoʻomaka ʻana ma kahi o 15 mau minuke, lōʻihi a hiki i 2 mau hola)
ʻO ka hana pōkole (ka hoʻomaka ʻana o nā hana - 30 mau minuke ma hope o ka hoʻokele ʻana, hana a hiki i 3 hola)
ʻO kahi lōʻihi (hoʻomaka i ka hana ma hope o 45 mau minuke. - 2 mau hola, kūpono a hiki i 24 mau hola)
E hana lōʻihi (e hoʻomaka ma hope o 2-3 mau hola, lōʻihi o ka hana a hiki i 36 mau hola)

ʻO wai e pono e hoʻohana i ka insulin?

Pono kēia ʻano hana kūpono ke ʻike nei i ka maʻi type type or a i ʻole he hopena o ka hopena o nā lāʻau lapaʻau ma ka maʻi ʻ type type o ke ʻano maʻi. Aia kekahi papa inoa o nā kūlana pathological a me ka physiological e koi i ka hoʻokō waʻa ʻole a me ka hoʻomau mau ʻana i ka maʻi o ka insulin no ka maʻi '.. E pili ana kēia:

ʻŌpū a me ka lactation
Nā maʻi maʻi maʻi
Hoʻopilikia nā mea hanu (koe wale nō kahi minusally invasive)
ʻO nā hōʻeha koʻikoʻi
ʻAʻole e uku mai i nā maʻi concomitant
ʻO ka hoʻonāukiuki ʻana o nā maʻi maʻi (precoma, coma, ketoacidosis, nephropathy holomua, etc.)

Pehea e koho ai i ka insulin?

Ke lawe ʻia nei ka koho o ka insulin e ka kauka ma muli o nā mea he nui. Hoʻohana nui ʻia ka regimen mālama. ʻO kēia ka mea maʻamau ma kahi kuʻuna bolus maʻamau, ka manaʻo o ka hoʻohana ʻana i kekahi mau lāʻau me nā durations o ka ʻano like. No ka hōʻoia ʻana i ka paeʻu (baseline) pae kiʻekiʻe o ka insulin, ua hoʻohana ʻia nā puka lōʻihi (Monodar B, Humodar B, Lantus) a i ʻole e hoʻopau iā hyperglycemia ma hope o ka ʻai ʻana, ka isulins pōkole (Farmasulin N, Humodar R, Novorapid) i hoʻohana ʻia. Hāʻawi kēia hana iā ʻoe i ka hoʻonui ʻana i nā haʻalulu like a kokoke i ka pae o kēia hormone i ke koko i ka physiological, a hāʻawi pū i ka hana kūpono ʻoi loa.
ʻO ka hemahema o kēia hoʻolālā, ʻo ka mea maʻi e koi ai e kūkulu i kahi ʻanoʻai a me ka hana kino. ʻAʻole kūpono ka poʻe a pau e hoʻonohonoho i kā lākou hana ma muli o kā lākou kūlana olakino, a he mea paʻakikī paha iā lākou ke hana i kēia ma muli o ka hana paʻa. No laila, aia nā hoʻoponopono maʻamau no ka lawelawe ʻana i nā insulin, a ʻo kekahi o nā hana a ke kauka ke koho pono ʻia i kēlā me kēia maʻi.

No nā kumu ke noi aku nei i nā maʻi e hoʻololi i ka lāʻau lapaʻau?

ʻAʻole hilinaʻi pinepine nā mea maʻi i nā lāʻau kūloko a koi ke hoʻololi iā lākou me nā mea i hoʻopuka ʻia. Akā ʻaʻole kūlohelohe pinepine ʻia.
Ma ka papa inoa mua o nā insulin, e koho maʻamau ke kauka i nā mea i hiki ke loaʻa ma lalo o ka papahana o ka mokuʻāina, ʻoiai i kēia manawa ke hāʻawi ʻia nei kekahi insulin me ka manuahi, akā no nā ʻano hana hou e pono ai. Inā mālama ke kauka i ka mea maʻi, hiki ke koi i ka hoʻokau ʻana i kona kūlana, a laila ʻaʻohe pono e hoʻololi i ka lāʻau lapaʻau, ʻoiai me ka mea e hoʻopuka ʻia ana a i ʻole ia. ʻO ka uku o nā maʻi ke ʻano nui no ka hopena o ka mālama ʻana. Inā hiki ʻole i ke kauka ke hoʻokō i ka hopena i makemake ʻia ma ka hoʻoponopono ʻana i ka ʻeha a i ʻole ke lōʻihi o ka lawelawe ʻana o ka insulin, pono naʻe ia e hāpai i ka lāʻau o ka hoʻololi i ka lāʻau lapaʻau. Nā ʻōmaiwa e like me: ua hōʻike ʻia nā hopena ʻokoʻa, kūloko o ke ʻano, lipodystrophy, ketoacidosis, coma a me ka precoma kekahi mau hōʻailona no ke koho ʻana i ka maikaʻi o ka insulin.

Pehea e hoʻololi ai i ka lāʻau?

ʻO ka hoʻoholo e hoʻololi ai e hana ʻia e ke kauka hele ʻana o ka haukapila endocrinology me ke kōmike. Ma hope o kēlā, ke hoʻouna ʻia ka hopena me ka noiʻi like ʻia o ka loiloi ʻohana a i ʻole ka endocrinologist ma kahi o kahi e noho ai, kahi e hiki ai i ka mea maʻi ke loaʻa i ka hoʻomākaukau no ka insulin hou. I kekahi hihia, loaʻa i ka mea maʻi ke kuleana a koho a hiki iā ia ke hoʻohana i kekahi o nā ʻano o ka inehina i hāʻawi ʻia i loko o nā hale kūʻai, ma muli o kona kūlana kālā. ʻO kaʻoiaʻiʻo, ma hope o ka nīnau ʻana me kāu kauka. Akā me kahi kūlana hōʻoluʻolu o ka mea maʻi a me ka lawa o ka hana i kuhikuhi ʻia, ʻaʻole pono kēia.
He mea ʻole ke koho ʻana i ke kauka lapaʻau e koho ai ke kauka, he mea nui no ka poʻe me ka maʻi maʻi e hoʻomanaʻo no ka noho ʻole ʻana i nā lāʻau lapaʻau i ka manawa mua. ʻO ka hoʻolilo kaupaona ʻana, ʻo ka hoʻokaʻawale ʻana o nā meaʻai, mālama pono ka mālama ʻili o nā lima a me nā wāwae i kahi hana ma mua o nā mea maʻi. ʻAʻole wale kā lākou hoʻokō e hoʻonui i ka pono o nā lāʻau lapaʻau, akā e hoʻomaikaʻi nō hoʻi i ka maikaʻi o ke ola a me kona lōʻihi.

He aha nā ʻokoʻa ma waena o ka hoʻomākaukau ʻana o ka insulin

ʻO ka hoʻohana ʻana i nā analogues o insulin no ka mālama ʻana i ka maʻi maʻi maʻamau he hana lapaʻau maʻamau. Hoʻopau i nā lāʻau hōʻala i ka hoʻoliʻi o ka glucose i ke koko a alakaʻi i ka heluhelu heluhelu maʻamau.

pili hoʻi
nā hopena palekana i ke kino o ka mea maʻi,
hiki iā ʻoe ke hoʻohui i nā inikini a me ka hana kūlohelohe o ka hormone e ka pancreas,
Loaʻa ka hopena wikiwiki.

ʻO ka mea maʻi e nānā ʻia ana me nā maʻi diabetes mellitus type 2 i nā hana mua i ka hoʻomaʻamaʻa. Akā me ka hoʻomohala ʻana o ka maʻi, a he pono iā lākou no ka hoʻokō hou ʻana o ka insulin hana pilikino.

I ke ʻano maʻi diabetes type 1, pono pū kekahi i kahi pono i ka hou ʻana i kekahi lāʻau lapaʻau me ka mea ʻē aʻe. Hiki ke ʻike ʻia kēia pono e nā hōʻailona:

ka wikiwiki wikiwiki o ka emi ʻana i ke aniani ʻike,
maikaʻi ʻole ka olakino a me ka hōʻino ʻana o nā ʻōnaehana,
ua hoʻohiki ka mea maʻi i ka paʻa o ka glucose i ke koko.

Eia kekahi, pono nā mea pena e hana ai i ka insulin synthetic e pale aku i ka hopena o ka hoʻohana ʻana i ka hormone kūlohelohe.

Loaʻa i nā hemahema o ka lawelawe ʻana i nā insulin kūlohelohe:

ke lōʻihi e kali ai no ka hopena,
lōʻihi ka hana.

I waena o nā mea kikoʻī o ka insulin i mea kaulana:

ʻO ka hoʻohanohano ma ka maʻi maʻi - e inu wale i kēlā me kēia lā.

Humalog
Kau Aspart
Glusilin,
Lākusa
Detemir
Humalog hui 25.

ʻO ke ʻano ikaika o ka lāʻau Humalog ka insulin lispro. Hoʻemi ia i ka pae o ka kūmole free i loko o ke koko a hoʻomaʻamaʻa i nā hōʻailona.

Nā ala e hoʻohana ai iā Humalog:

ʻO ka nui o ka lāʻau lapaʻau, ʻo ka lōʻihi o ka mālama ʻana a me ka regimen injection i hoʻoholo ʻia e ke kauka. ʻAʻole hiki iā ʻoe ke koho i kahi hoʻoponopono lapaʻau nona iho.

Loaʻa nā pono o ka lāʻau Humalog:

hiki iā ʻoe ke komo i ka lāʻau lapaʻau ma mua o ka ʻai ʻana a i ʻole ma hope iho o ia lā.
Hiki ke lawelawe ʻia i ka humalog (ma hope o nā hana, me nā hana ʻoi a me

Loaʻa nā pono o ka lāʻau Humalog:

hiki iā ʻoe ke komo i ka lāʻau lapaʻau ma mua o ka ʻai ʻana a i ʻole ma hope iho o ia lā.
Hiki ke lawelawe ʻia i ka humalog (ma hope o nā hana, me nā ʻōnao a me nā ketoacidosis).

ʻO ke ʻano o ka lāʻau lapaʻau ka hopena no ka ʻaina (me ke kala ʻole, me ka ʻole o ka wili a i ʻole nā kīnā ʻole).

Nā maʻi hoʻohālikelike i ka hoʻohana ʻia ʻana o ka lāʻau lapaʻau:

kaohi koko haʻahaʻa
kahi maʻi kūlohelohe o kēlā me nā mea i kahi o ka Humalog.

I ka wā o ka mālamaʻana me kēia mea e hoʻohana ai i ka insulin, hiki i nā hopena hopena:

huahuʻi,
leo koma
make me kahi koma,
urticaria
kāohi walo
hoʻohaʻahaʻa i ke koko
pauna aho hanu
ʻO ka edema ʻo Quincke.

Kūlike ke kumukūʻai o ke Humalogue mai 1800 a 2000 rubles.

ʻO ka hana koʻikoʻi o ka lāʻau lapaʻau ka aspart insulin. Hoʻohālike ʻia ka hana a kēia lāʻau lapaʻau i nā ʻaee i ka insulin. A ʻo ke kumu, ʻo ka halihali ʻana o nā molikiko glucose ma o nā memb membes me ka wikiwiki. Hoemi ka pae koko koko a hoʻi hou ka kūlana a ke kanaka. He kūpono ʻo Aspart no nā maʻi e loaʻa ana i 1 ʻano maʻi maʻi.

Hāʻawi mākou i kahi haʻawina i ka poʻe heluhelu o kā mākou pūnaewele!

haʻahaʻa mau haʻahaʻa koko
maʻi kūʻai i nā mea o ka lāʻau,
keiki malalo o 6 makahiki
hapai ma nā wahine
lactation wā.

E kūʻē i ke kāʻei o ke lawe ʻana i Aspart, hiki i nā hopena hopena ke hana i ka hana o ke ʻano hiʻohiʻona a me nā nūnaehana, a ma ka ʻili.

Hōʻea o ka hoʻokele ʻana o Aspart:

ka wai pū me ka syringe i loko o ka momona subcutaneous,
nā welo a he kani
me ke kōkua o nā pākaʻi
intravenously (wale nō ma nā ʻoihana lapaʻau).

ʻAʻole hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau e hui pū me ka Aspartum i ka wa i paʻi ʻia ma o ka pulu.

I nā papa mua o ka maʻi Aspart, ua hōʻike ʻia e haʻalele i ka kaʻa a mai nā hana e koi ai i ke koikoi o ka makaʻala. I nā wiki mua o kona hoʻohana ʻana, ua ʻoki nā ʻano ʻike.

ʻO ke kumu kūʻai mai 1500 a 1800 mau rubles.

ʻO ka mea ikaika o ka lāʻau lapaʻau ka insulin glulisin. Hoʻomaka ʻo Glulisin e hana i nā minuke 10-15 ma hope o ka hoʻokele ʻana. Hoʻokumu ʻia ka hana o ka lāʻau lapaʻau:

ka hoʻonui ʻana o ka hāpai aʻe o ka glucose e nā cell,
ʻO ka hoʻoheheʻe ʻana o ka hoʻohuihui gula i nā loko.

Ua kuhikuhi ia i nā mea maʻi me nā maʻi maʻi type 1 a me ke ʻano 2. E like me nā analog analog, Glulisin aia nā contraindications. ʻAʻole hiki ke hoʻohana ʻia no nā maʻi kūlohelohe i nā ʻāpana a me kahi kōlā koko haʻahaʻa.

Hoʻohui ʻaoʻao iā Glulisin:

hiamoe a hiamoe ʻole
lēʻo ke kauā,
ulia pōpilikia a urticaria,
psycho-alo naʻau,
limu lima
ninaki a me ka luaʻi
nā kuʻeha koʻikoʻi
ka emi ʻana o ke ʻano ʻike,
nalowale o ka ike ana
hopena hopena.

ʻO kēia analogi insulin he 2 mau manawa e hoʻoulu a e nā ʻoli ma mua o ka hormone kūlohelohe. ʻO ke hopena, ua kiʻi wikiwiki ʻia ka hopena i makemake ʻia.

ʻO ke kumu he 2300 mau rubles.

ʻO ka mea ikaika o ka lāʻau lapaʻau ka glargine insulin. Ma ka lōʻihi o ka hana, ʻO Lantus kahi mea hoʻohālike o kahi hana lōʻihi. Loaʻa i ke ʻano o nā hoʻonā injectable. I loko o ka ampoule kahi hopena maikaʻi me kaʻole kala.

ʻAʻole hiki ke hoʻohana ʻia kēia ʻāpana:

ulia i nā mea ikaika a me nā mea kōkua o ka lāʻau lapaʻau,
hapai ma nā wahine
keiki malalo o na makahiki 6 o.

Hiki i ka Lantus ke hōʻeha i nā hopena ʻaoʻao i ka wā o ka mālama ʻana. Kēia maʻamau lākou o nā inakē insulin āpau - ka ʻike maka ʻole, kahi wiwo ma luna o ka ʻili a i ʻole nā ʻūhū, kahi hōʻemi o ke kaila gula.

Hoʻoholo ʻia ka nui o ka lāʻau a me ka hoʻoponopono hou ʻana o ka lāʻau ma ke kauka. Inā hoʻololi ka mea maʻi iā Lantus me kahi hoʻomākaukau hoʻomākaukau ʻana i ka insulin, pono ia e ʻōlelo i kahi loea e hoʻoponopono hou aku i ka hopena o ka maʻi.

ʻAʻole e hoʻololi i ka dosis i ʻōlelo ʻia i ka lāʻau. Hiki i kēia ke hōʻeha i nā hopena pili ola. ʻAʻole pono e hui pū ʻia ʻo Lantus me nā mea hoʻohui i ka insulin a me nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka wai.

ʻO ke kumukūʻai o ka lāʻau lapaʻau he 4500 rubles.

No nā lālā o ka insulins lōʻihi. ʻO ka hana ikaika ka insulin detemir. Kuhi ʻia nā lāʻau lapaʻau e lawe i 1 a 2 mau manawa paha ka lā. Hoʻoholo ka piʻi o ka hoʻokele e ka mahele o ka maʻi.

Ma ke ʻano o ka lawe ʻana i ka lāʻau lapaʻau, hiki mai nā hopena like ʻole:

ka hoemi ʻana o ka hōʻemi o ka glucose i ke koko,
leo koma
make ma kahi koma
psycho-naʻau kaumaha (ka hopohopo, hopohopo, ke ʻano hopohopo),
nā wahi hiamoe hiamoe
lēʻo ke kauā,
ʻike ala
nā ʻili a me nā ʻili,
huehue ma ka wahi i ʻōlelo ʻia.

Hoʻopili ia, i nā mea maʻi e hoʻohana i kēia analogue, he piʻi nui o ke kaumaha o ke kino i ka wā mālama.

E hoʻokuʻu i kahi puka - kahi hopena no ka inikua.

ʻO ke kumukūʻai o ka lāʻau Detemir ka 2800 rubles.

Humalog hui 25

Ma keʻano he ʻāpana o kēia kuʻikahi, ʻo ka mea hoʻoikaika i ka bappasic insulin lispro.E like me nā insulin like ʻole, ua hoʻokomo ʻia ʻo Humalog Mix 25 i ka momona subcutaneous ma ka ʻūhā, ʻōpū a i ʻole nā ʻokiʻoki. Hoʻonohonoho ʻia ka nui o ka lāʻau i kēlā me kēia maʻi pākahi.

Ua papa ʻia ia e kiʻi i ka lāʻau i loko o nā moku koko. Hoʻokumu ka hoʻokō hewa ʻana i ka hypoglycemia a me ka coma. I nā pilikia koʻikoʻi, hiki mai ka make.

E hoʻokuʻu i ke ʻano - hoʻohemo no nā injections. Pono ke mālama ʻia ka lāʻau lapaʻau i loko o ka friji, akā e maopopo iā ia e hoʻomoʻa i kou mau lima ma mua o ka hoʻohana.

kaohi koko haʻahaʻa
maʻi kūʻai i nā mea o ka lāʻau,
he kani ʻa of-cell of islets of Langerhans.

kūloko a i ʻole hives,
ʻO ka makeʻe o Quincke,
pauna aho hanu
āhāhuʻe
ka hoʻohaʻahaʻa i ka acuity ʻike.

ʻAʻole hiki ke hoʻohana ʻia kēia analogue e nā wahine hāpai a me nā keiki nona nā makahiki ma lalo o 6 mau makahiki. ʻO ke kumukūʻai o ka lāʻau Humalog mix 25 ma ka waena o 1700-1900 rubles.

Hoʻohana pinepine ʻia ka analogiao Insulin i ka mālama ʻana i ka maʻi maʻamau a i ʻole type 2. Manaʻo nā hoʻololi he nui i nā inikina wale nō 1 manawa i kēlā me kēia lā. He kūpono ia no nā maʻi. Hiki ke ʻike ʻia kahi lāʻau lapaʻau o kekahi ʻano e kekahi, akā ma mua o kēlā, pono ʻoe e nīnau aku i kāu

kūloko a i ʻole hives,
ʻO ka makeʻe o Quincke,
pauna aho hanu
āhāhuʻe
ka hoʻohaʻahaʻa i ka acuity ʻike.

ʻAʻole hiki ke hoʻohana ʻia kēia analogue e nā wahine hāpai a me nā keiki nona nā makahiki ma lalo o 6 mau makahiki. ʻO ke kumukūʻai o ka lāʻau Humalog mix 25 ma ka waena o 1700-1900 rubles.

E like me kekahi lāʻau lapaʻau, ʻaʻole hiki ke kāohi ʻia nā analogues. Hoʻokahi wale nō mea hiki i ke koho i ka hewa a me ke regimen o ka hormone.

Hoʻopau mau nā maʻi maʻi i nā hoʻopiʻi kaumaha. Ka pilikia nui o ke kōkō koko.

Aronova S.M. hāʻawi i nā wehewehe e pili ana i ka mālama ʻana i ka maʻi maʻi. Heluhelu piha

Ua kākau aku ʻo Olga Chernykh i 09 09, 2015: 113

ʻO Apidra Solostar ka insulin, e hana ʻia ma kahi mākia Lūkini ma lalo o ka mana o kahi mea hana (ʻo kahi ʻoihana Kelemānia), ʻoi aku ka kiʻekiʻe o ke kumukūʻai ma mua o nā actrapid, no laila ʻaʻohe mea hopohopo, ʻoiai ke kumukūʻai ʻaʻole ke kuhikuhi. Akā ʻo Apidra kahi mea hoʻohālike o insulin, actrapid-insulin, heʻokoʻa iki lākou, e komo ana i ka manawa. ʻO wau iho makemake e hoʻohuli mai ka analogue i ka insulin, ua ʻōlelo maikaʻi kekahi loea maikaʻi, ʻoiai ua kūʻai wale au, e hoʻāʻo au ma lalo o ka nānā ʻana.

Ua kākau aku ʻo Olga Chernykh i 09 09, 2015: 116

Aia wau ma ka analogue insulin, i ka wā i loaʻa ai ka maʻi, i kēia makahiki ua hele au i ka haukapila ʻoiai ma kahi huakaʻi huakaʻi, ʻaʻole i loaʻa ka haukapila iā Novorapid lāua ʻo Levemir, aia wale nō ʻo Actropid, Protafan, ʻōlelo ʻo ke kauka e hoʻāʻo iā lākou. He aha ka mea nui iaʻu, a hōʻemi i ka nui mai nā papa 14. Levemira a hiki i 10 mau pūʻulu. ʻO Protofan a hiki i nā ʻāpana 6. no kēlā me kēia pāʻina - Actropida, hiki iā ʻoe ke heluhelu i nā loiloi ma Apidra, akā ke manaʻo nei wau e hoʻoponopono i nā mea āpau, ʻokoʻa ka mea āpau.

Ua kākau ʻo Elena Antonets i 10 10, 2015: 115

E nā hoaaloha, e makaʻāa iā ia, inā ʻaʻole ʻoe pīhoihoi ma aneʻi.
Ma kēia hana i ka hoʻomohala ʻana i ka lāʻau, ua loaʻa nā insulins HUMAN GENE-ENGINEERING e ka ʻenehana genetic a ua hana ʻia no mākou e E. coli E. coli (a i ʻole Saccharomyces cerevisiae), kahi i loli ai kahi "ʻāpana" o ka DNA i ke kanaka. Ke wehewehe nui nei au iā ʻoe iā ʻoe. ʻO wai ka mea mālama, heluhelu i ka pūnaewele. ʻO ka huaʻōlelo "analogue" ma Lūkini "like like me kekahi o nā ʻano." No laila, e pili ana i nā insulins, ANALOGUES kanaka insulins i hoʻololi i ke ʻano o ka molekō. E pili ana kēia:

1. ʻO nā insulins ULTRA-SHORT, ʻokoʻa i ka wikiwiki a ʻoi aku ka lōʻihi o ka hana. I kēia:
HUMALOG- i ka molekule o ka inulin o ke kanaka, ua hoʻohuli ʻia nā waikela amino i nā kūlana 28 a me 29 o ka B-chain o ka insulin.
ʻO NOVORAPID i ka moleka o ka insulin o ke kanaka, ke kumu kūʻai o ka waikawa amino ma ke kūlana B28 i hoʻololi ʻia e ka aspartic acid.
APIDRA - i loko o ka molekiola insulin kanaka, a ka asparagine amino amino i ke kūlana B3 i hoʻololi ʻia e ka lysine, a ua hoʻololi ʻia ka lysine i ka acid glutamic i ke kūlana B29, ka mea e alakaʻi wikiwiki ai i ka lāʻau.

Ke kākau nei au i kēia, mana mau wau e ʻike paha ʻoe i ke ʻano o ka pae kiʻekiʻe o kā mākou lāʻau lapaʻau i hōʻea?)))

2. He mau insulins lōʻihi (kiʻekiʻe o nā analogues o ka insulin o ke kanaka). I kēia:
LANTUS
LEVEMIR

3. ʻO ka lāʻau lapaʻau Tresiba FlexTouch - kahi analoge o ka insulin kanaka MANUIA ma ke ʻano (a hiki i 40 mau hola)

Hoʻohana ʻia nā insulins pōkole e hana i ka hoʻomehana kūlohelohe o ka insulin, kahi e mālama mau ai ka ʻai kai, a ma ka papa o ka hana o nā pōkole a i ʻole ka pae ʻana i ka insulin, pono e hana i nā kīmaha kuleana e pale i ka hypoglycemia hiki.

ʻO ke koho ʻana i ka analogash ultrashort o ke kanaka e hiki ai iā ʻoe ke hoʻolala i ka momona, hoʻomaʻamaʻa i ka noho hou ʻana o ka maʻi maʻi maʻi pili a me ka hoʻoulu ʻia ʻana o ka maʻi insulin. ʻO ke kumu a me ka hana pono o ka insulin ultrashort ʻaʻole ia e manaʻo he mea hoʻohana pū kekahi insulin. ʻAʻohe mea i ʻole me ka empiricism: ke hoʻāʻo mākou i nā mea āpau iā mākou iho i ka emilibila.

Ke hoʻololi nei mai ka hana mai ka hana pōkole i ka analogash ultrashort OR mai ka lōʻihi o ka lōʻihi o ka insulin a me nā analogie puncless, pono ʻia kahi hōʻemi. I.e. hōʻemi mākou i nā koina kalaiwa no ka meaʻai a me ka lā i kēlā me kēia lā i ka insulin basal. E hoʻomaka me, 30%, a laila - nānā i ke SK a hoʻoponopono i ka ʻōpū.

ʻO kahi mea hoihoi))): 1 kg o ka insulin e hiki ke loaʻa ma kahi 25 cubic fermenter (bioreactor) e hoʻohana ana i ka Escherichia coli, a i ʻole. mai 35 35 mau poʻo o nā holoholona mahiai, e like me ka hana ʻana ma mua o ka hoʻomohala ʻana o ka ʻenehana genetic. Horror!)))