Mitundu ya insulini ndi zotsatira zake. Tchati

Mankhwala apamakono amathandiza odwala matenda a shuga kusankha kwambiri insulini yokonzekera. Ndipo lero tikambirana za insulini yotani.

Insulini: Mitundu

Mavitamini onse omwe alipo akukonzekera amagawidwa m'magulu atatu (malingana ndi nthawi yoyamba ndi kuyambira kwa mankhwala):

• "Wamfupi";
• "Medium";
• "Kutalika".

"Mfupi" insulini

Ndi mankhwala omwe amagwiritsa ntchito insulin yochepa yomwe nthawi zambiri imaperekedwa kwa odwala omwe ali ndi shuga ya magazi.

Pambuyo pa mankhwalawa alowa m'thupi la munthu, limayamba kugwira ntchito patapita mphindi makumi atatu. Izi zikutanthauzira kukhala gulu la mankhwala ogwiritsidwa ntchito kwambiri pochiza matenda a shuga. Kawirikawiri mtundu uwu wa insulini umatchulidwa nthawi yomweyo ndi insulin yanthaŵi yaitali.

Kuti mudziwe kusankha, ndikofunika kulingalira zinthu zotsatirazi:

• Chikhalidwe cha wodwalayo;
• Malo a machitidwe a mankhwala;
• Mlingo.

Chodziwika kwambiri ndizokonzekera kwa insulini, kuyamba kugwira ntchito mkati mwa mphindi 15 zoyambirira mutatha kulamulira. Izi zikutanthauza "Apidra", "Humagol" ndi "Novorapid".

Zida

Mwa insulin ya munthu wotsalira mwakhama ndikukonzekera "Homorap" ndi "Insumad Rapid". Pali kusiyana kulikonse pakati pa ziwirizi. Kusiyana kokha ndiko kuchuluka kwa amino acid omwe akupezeka.

Kuika "insulin" mwamsanga nyama kumayambanso mankhwala "Insulrap SPP", "Iletin II Regular" ndi ena. Nthawi zambiri amagwiritsa ntchito matenda a shuga a mtundu wachiwiri. Ndalama zomwe zili m'gululi zili ndi mapuloteni okhala ndi zosiyana, choncho si oyenera kwa odwala onse. Mwachitsanzo, insulin "yofulumira" ya chirombo silingaperekedwe kwa anthu omwe thupi lawo silingathe kupanga mankhwala lipids.

Kulandila, mlingo, kusungiramo insulini "yayifupi"

Tengani mankhwala nthawi yomweyo musanadye. Pankhaniyi, chakudya chimachepetsa kutengeka kwa insulini, zotsatira zimabwera nthawi yomweyo.

"Mwamsanga" insulini ikhoza kutengedwa mwachindunji, poyamba imayimitsa iwo ku madzi.

Ngati jekeseni ya mankhwala osokoneza bongo imayendetsedwa, jekeseni iyenera kuchitidwa pafupifupi mphindi makumi atatu isanakwane.

Mlingo kwa munthu aliyense yemwe ali ndi matenda a shuga amasankhidwa payekha. Kwa akuluakulu, mlingowo udzakhala ma unit 8-24 pa tsiku, komanso kwa ana - osapitirira maunite 8.

Sungani mankhwala pa kutentha kwa 2 + + madigiri 8. Kuti muchite izi, zitseko za firiji ndizoyenera.

"Avereji" insulini

Odwala matenda a shuga amakakamizidwa kumwa mankhwala omwe amasunga shuga. Koma mitundu yonse ya shuga imafuna mtundu winawake wa insulini. Choncho mankhwala omwe amakhala ndi nthawi yayitali, amagwiritsidwa ntchito pa nthawi yomwe shuga imafuna kupatulidwa pang'ono. Ikhoza kugwiritsidwanso ntchito ngati pakalipano palibe kuthekera kogwiritsa ntchito insulini "yochepa".

Zida za "insulin" yeniyeni

Kukonzekera kuli ndi mbali zingapo:

• Amayamba kuchita maminiti 10 mutatha kulamulira;
• Zimatengera nthawi yambiri kuti mukhale osamalitsa.

Ma insulini amtundu uwu akhoza kukhala ndi zigawo zosiyana, makamaka insulin zinki kapena isophane. Mankhwalawa ndi otsimikiziridwa bwino kwambiri:

• Mwa insulin ya anthu - amatanthauza "Protafan", "Humulin," "Monotard" ndi "Homolong";
• Zina mwa zithandizo zamankhwala kumeneko ndizo "Berlinsulin", "HM Monotard" ndi "Iletin II".

"Long" insulini

Ndilo jekeseni ya panthawi yake ya mankhwala omwe amachititsa kuti anthu ashuga asangalale ndi moyo popanda kuvutika chifukwa cha shuga yambiri m'magazi. Chimene chimasiyanitsa mtundu uwu wa insulini yokonzekera kuchokera kwa ena ndi mtundu wotani wa insulini wokhalapo-wokhudza izi ndi zokambirana.

Kusiyanitsa kwakukulu pakati pa insulini panopa ndiko kuti zotsatira za mankhwala akupitirira nthawi zina maola oposa 24.

Kuonjezerapo, mitundu yonse ya insulini yaitali yomwe imakhala ndi mankhwalawa imakhala ndi mankhwala othandiza kuti nthawi yayitali ntchitoyi ikhale yogwira ntchito. Amakhalanso kuchepetsa kuyamwa kwa shuga. Matendawa amapezeka pafupifupi maola 4-6, ndipo nthawi yachitidwe imatha kukhala maola 36.

Ma insulini otenga nthawi yaitali: ndi mitundu yanji yomwe ilipo

Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi "Determit" ndi "Glargin". Kusiyana kwawo kwakukulu ndi yunifolomu imachepa m'magazi a shuga.

Ma insulini okhala ndi nthawi yayitali ndi mankhwala "Ultradard", "Ultralente-Iletin-1", "Khumininsulin", "Ultralong", ndi zina zotero.

Mankhwala amaperekedwa ndi dokotala yemwe akupezekapo, zomwe zimathandizanso kupeŵa mavuto osiyanasiyana mwa zotsatira za zotsatirapo.

Gwiritsani ntchito ndi kusunga mankhwala

Insulini ya mtundu umenewu ingadayidwe kokha ndi jekeseni. Kungowalowa mu thupi motere, kumayamba kugwira ntchito. Jekeseniyo imayikidwa m'dera la nsonga, mtolo kapena ntchafu.

Musanagwiritse ntchito, chiwindichi chiyenera kugwedezeka kuti zitsimikizidwe mkati mwake zikhale zofanana. Pambuyo pake ndi okonzeka kugwiritsidwa ntchito.

Mankhwalawa amasungidwa pansi pa zofanana ndi insulin yaifupi. Ulamuliro wotenthawu umalepheretsa mapangidwe ndi mavitamini a kusakaniza.

Insulini imayikidwa yokha, nthawi zina kawiri mkati mwa maola 24.

Chiyambi cha insulini

Kusiyanasiyana kwa insulini - osati kokha pa nthawi yogwira ntchito, komanso pachiyambi. Kusakaniza nyama ndi insulini, zofanana ndi munthu.

Kukonzekera kwa mankhwala kuchokera ku gulu loyambirira, nkhumba za nkhumba, komanso ng'ombe. Mitundu ya insulini yomwe imachokera ku ziwalo za nkhumba ndi yabwino kwambiri kwa anthu. Kusiyanitsa pa nkhaniyi sikofunikira kwenikweni - amino imodzi yokha.

Koma mankhwala abwino kwambiri ndiwo, insulin, omwe amagwiritsidwa ntchito nthawi zambiri. Kupanga kumatanthauza njira ziwiri:

1. Njira yoyamba ndiyo kuchotsa amino acid osayenera. Pachifukwa ichi, mankhwala osaphatikizapo mankhwalawa amapangidwa.
2. Mu njira yachiwiri yopangira kukonzekera, E. coli amagwiritsidwa ntchito yomwe ikhoza kupanga mapuloteni. Izi zidzakhala kale wothandizira biosynthetic.

Kukonzekera kofanana ndi insulini ya munthu kuli ndi ubwino wambiri:

• Kuti mupeze mankhwala oyenera, mankhwala ochepa amafunika;
• Kukula kwa lipodystrophy n'kosavuta;
• Zovuta zowonongeka mwakuya sizikuwonedwa.

Dongosolo la kuyeretsa

Malinga ndi mlingo wa kuyeretsa mankhwalawa akugawanika:

• Chikhalidwe;
• Mandala;
• Monocomponent.

Traditional insulin imatanthawuza oyamba insulini kukonzekera. Zina mwazinthu zawo zinali ndi zowonjezereka zowonjezera mapuloteni, zomwe zinayambitsa zowonongeka mobwerezabwereza. Pakalipano, kupanga mankhwala oterewa kwachepetsedwa kwambiri.

Mankhwala a insulin a monopic ali ndi zochepa zochepa (m'mizere yovomerezeka). Koma mankhwala osaphatikizana kwambiri a insulin amakhala oyeretsa bwino, chifukwa kuchuluka kwa zinthu zosafunika kwenikweni kumakhala kochepa kwambiri kusiyana ndi malire.

Kusiyana kwakukulu pakati pa insulin "yayitali" ndi "yaitali"

Monga mukuonera, mitundu ya insulini (tebulo ikuwonetsa izi) imasiyana ndi zizindikiro zawo zazikulu. Ndipo izi ziyenera kuwerengedwa.

Tinafufuza mitundu yonse ya insulini yomwe ilipo komanso zotsatira zake pa thupi la munthu. Tikukhulupirira kuti zowonjezerazo zakhala zothandiza. Khalani wathanzi!