Mtundu woyamba wa matenda a shuga umafunikira chithandizo cha insulin, ndipo matenda a shuga a 2 nthawi zina amafunikira insulini. Chifukwa chake, pakufunika kuwongolera kwina kwa mahomoni. Musanagwiritse ntchito mankhwalawa, munthu ayenera kuphunzira za mankhwala ake, contraindication, kuvulaza, mtengo, ndemanga ndi analogues, funsani dokotala ndi kudziwa mtundu wake.
Humalog ndi ma analogue opanga a timadzi totsitsa shuga. Imakhudza kanthawi kochepa, kuwongolera kayendedwe ka glucose metabolism m'thupi ndi msinkhu wake. Tiyenera kudziwa kuti glucose imadziunjikira m'chiwindi ndi minofu ngati glycogen.
Kutalika kwa mankhwalawa kumatengera zinthu zambiri, kuphatikizapo zomwe wodwalayo ali nazo. Mwachitsanzo, mwa wodwala yemwe ali ndi matenda a shuga a 2, mukamagwiritsa ntchito mankhwala a hypoglycemic ndi insulin, amawongolera kwambiri shuga. Mankhwalawa amathandizanso kuchepa kwambiri kwa glucose pakugona usiku wonse odwala matenda ashuga. Pankhaniyi, matenda a chiwindi kapena impso sasokoneza kagayidwe ka mankhwala.
Mankhwala Humalog amayamba zotsatira za hypoglycemic atalowa thupi pambuyo pa mphindi 15, choncho odwala matenda ashuga nthawi zambiri amapanga jakisoni asanadye. Mosiyana ndi mahomoni achibadwa achilengedwe, mankhwalawa amakhala kwa maola 2 mpaka 5 okha, kenako 80% ya mankhwalawa imatsitsidwa ndi impso, 20% yotsalayi - chiwindi.
Chifukwa cha mankhwalawa, kusintha koteroko kumachitika:
- kukhathamiritsa kwa kaphatikizidwe wa mapuloteni;
- kuchuluka kwa amino acid;
- Kuchepetsa kuwonongeka kwa glycogen kutembenukira ku glucose;
- zoletsa kutembenuka kwa glucose kuchokera mapuloteni zinthu ndi mafuta.
Kutengera ndi kuchuluka kwa zinthu zomwe zimagwira, Lispro insulin, mitundu iwiri ya mankhwala imatulutsidwa pansi pa dzina la Humalog Remix 25 ndi Humalog Remix 50. Poyambirira, yankho la 25% ya mahomoni opanga ndi 75% kuyimitsidwa kwa protamine kupezeka, mwanjira yachiwiri, zomwe zili zawo ndi 50% mpaka 50%. Mankhwala amakhalanso ndizinthu zochepa zowonjezera: glycerol, phenol, metacresol, zinc oxide, dibasic sodium phosphate, madzi osungunuka, sodium hydroxide 10% kapena hydrochloric acid (yankho la 10%). Mankhwalawa onse amagwiritsidwa ntchito pa matenda a shuga omwe amadalira insulin komanso osadalira insulin.
Ma insulini opanga oterewa amapangidwa mwa mawonekedwe a kuyimitsidwa, omwe ndi oyera. Thonje loyera komanso madzi ochulukirapo pamwamba amatha kuphatikizika, ndikusintha, kusakaniza kumakhalanso kopanda paliponse.
Kuyimitsidwa kwa Humalog 25 25 ndi Humalog Mix 50 kumayimitsidwa kumapezeka m'mabotolo atatu a 3 ml ndi zolembera.
Malangizo ogwiritsira ntchito mankhwalawa
Kwa mankhwala osokoneza bongo, cholembera cha syringe chapadera cha QuickPen chimapezeka kuti chikuyendetsedwera mosavuta. Musanagwiritse ntchito, muyenera kuwerengera Maupangiri Omwe Akugwiritsa Ntchito. Kathumba ka insulin kakufunika kuti kakulidwe pakati pa manja m'manja kuti kuyimitsidwa kukhale kopanda pake. Ngati mukupezeka tinthu tachilendo mkati mwake, ndibwino osagwiritsa ntchito mankhwalawo. Kuti mulowetse chida molondola, malamulo ena ayenera kutsatiridwa.
Sambani manja anu mosamala ndikuwona malo omwe adzapange jekeseniyo. Kenako, kuchitira malowa ndi antiseptic. Chotsani kapu yoteteza ku singano. Pambuyo pa izi, muyenera kukonza khungu. Gawo lotsatira ndikuyika singano mobisalira molingana ndi malangizo. Pambuyo pochotsa singano, malowa ayenera kukanikizidwa osasenda. Pa gawo lomaliza la njirayi, singano yomwe imagwiritsidwa ntchito imatsekedwa ndi chipewa, ndipo cholembera cha syringe chimatsekedwa ndi chipewa chapadera.
Malangizo omwe ali pompopompo ali ndi chidziwitso chokhacho chomwe dokotala yekha ndi amene angatchule mlingo woyenera wa mankhwalawa komanso kaimidwe ka insulin, poperekera shuga m'magazi a wodwalayo. Pambuyo pogula Humalog, malangizo ogwiritsira ntchito ayenera kuphunziridwa mosamala. Muthanso kudziwa zamalamulo opereka mankhwalawo momwemo:
- mahomoni opanga amaperekedwa pokhapokha, amakanizidwa kulowa mkati mwake;
- kutentha kwa mankhwalawa panthawi ya makonzedwe sayenera kukhala wotsika kuposa kutentha kwa chipinda;
- jakisoni amapangidwa ntchafu, matako, phewa kapena pamimba;
- malo a jakisoni ayenera kusinthidwa;
- popereka mankhwalawa, ndikofunikira kuwonetsetsa kuti singano sikuwonekera mu lumen ya ziwiya;
- pambuyo insulin, malo jakisoni sangathe kuzunzika.
Musanagwiritse ntchito, kusakaniza kuyenera kugwedezeka.
Alumali moyo wa mankhwala ndi zaka zitatu. Nthawi iyi ikatha, kugwiritsa ntchito kake kumaletsedwa. Mankhwalawa amasungidwa pamtunda kuchokera 2 mpaka 8 madigiri popanda mwayi wowunika.
Mankhwala omwe amagwiritsidwa ntchito amasungidwa pa kutentha osaposa madigiri 30 kwa masiku 28.
Contraindication, mavuto komanso bongo
Mankhwala a Humalog Remix 25 ndi Humalog Remix 50 ali ndi zotsutsana ziwiri zokha - uwu ndi mkhalidwe wa hypoglycemia komanso chidwi chamunthu pazinthu zomwe zili pakukonzekera.
Komabe, ngati mankhwalawo agwiritsidwa ntchito molakwika kapena pazifukwa zina, wodwalayo amatha kukumana ndi zovuta monga hypoglycemia, ziwengo, ndi lipid dystrophy pamalo opangira jakisoni (kawirikawiri).
M'mikhalidwe yovuta kwambiri, dokotala amayenera kusintha mankhwalawa popereka insulin ina kapena kupatsa chidwi.
Makamaka chisamaliro chiyenera kuperekedwa ku zovuta zosiyanasiyana zomwe zimachitika mwatsatanetsatane:
- Kudzimbidwa kokhudzana ndi jekeseni, kufiyanso, komanso kuyabwa komwe kumatha patapita masiku kapena milungu ingapo.
- Amayanjana ndi antiseptic kapena makonzedwe osayenera a insulin.
- Zokhudza zonse matupi awo - kufupika, kuthamanga magazi, kuyamwa kwambiri, kutuluka thukuta ndi tachycardia.
Ponena za nthawi ya bere ndi kuyamwitsa, azimayi amatha kumwa mankhwalawa, mothandizidwa ndi katswiri wowachiritsa.
Ana amaloledwa kugwiritsa ntchito mankhwalawa, koma pazifukwa zina. Mwachitsanzo, chakudya chamwana ndi zakudya zomwe zimasinthidwa nthawi zambiri, nthawi zambiri amakhala ndi vuto la hypoglycemia kapena kusinthasintha kosaletseka kwamas shuga. Komabe, adokotala okha ndi omwe angadziwe zoyenera kugwiritsa ntchito mankhwalawa a Humalog.
Kuchotsa kuchuluka kwa mankhwala pansi pakhungu kungayambitse zomwe zimachitika ndi mankhwala osokoneza bongo:
- kuchuluka kwa kutopa ndi kulekanitsa kwa thukuta;
- mutu
- kusanza ndi kusanza
- tachycardia;
- kusokonezeka kwa chikumbumtima.
Wofatsa mankhwala osokoneza bongo, wodwalayo ayenera kudya zakudya zokhala ndi shuga wambiri. Dokotala wopezekapo amatha kusintha mtundu wa mankhwalawa, zakudya kapena zochita zolimbitsa thupi. Ndi kuwonda kwambiri, glucagon amathandizidwa mosavuta kapena m'njira zamitsempha, ndipo michere yamagetsi imapangidwanso mosavuta. Pakakhala mavuto akulu, mukakhala chikomokere, matenda amitsempha kapena kukomoka, shuga ndi njira yokhazikika ya shuga imatumizidwanso. Wodwala akachira, ayenera kudya zakudya zamafuta ambiri.
Komanso, ayenera kuyang'aniridwa ndi dokotala.
Mtengo, ndemanga ndi fanizo la mankhwala
Mankhwalawa amagulitsidwa kokha ndi mankhwala. Itha kugulidwa ku pharmacy wamba kapena pa intaneti. Mtengo wa mankhwala ochokera ku mtundu wa Humalog siwokwera kwambiri, aliyense amene ali ndi ndalama zambiri amatha kugula. Mtengo wazokonzekera ndi wa Humalog Remix 25 (3 ml, 5 pcs) - kuyambira 1790 mpaka 2050 rubles, ndi Humalog Remix 50 (3 ml, 5 pcs) - kuyambira 1890 mpaka 2100 rubles.
Ndemanga ya anthu ambiri odwala matenda ashuga okhudza insulin Humalog yabwino. Pali ndemanga zambiri pa intaneti ponena za kugwiritsa ntchito mankhwalawa, omwe amati ndizosavuta kugwiritsa ntchito, ndipo amachita mwachangu mokwanira.
Zotsatira zoyipa ndizosowa kwambiri. Mtengo wa mankhwalawa si "kuluma" kwambiri, monga ananenera ndemanga za anthu odwala matenda ashuga. Insulin Humalog imagwira bwino ntchito ndi shuga wambiri.
Kuphatikiza apo, maubwino otsatirawa a mankhwala ochokera munthawiyi amatha kusiyanitsidwa:
- kusintha kagayidwe kazakudya;
- kuchepa kwa HbA1;
- Kuchepetsa glycemic kuukira usana ndi usiku;
- luso logwiritsa ntchito zakudya zosinthika;
- kugwiritsa ntchito mankhwala mosavuta.
Ngati wodwala aletsedwa kugwiritsa ntchito mankhwalawo kuchokera ku mtundu wa Humalog, adotolo atha kupereka mankhwala ena mwachitsanzo:
- Isophane;
- Iletin;
- Pensulin;
- Depot insulin C;
- Insulin Humulin;
- Rinsulin;
- Actrapid MS ndi ena.
Mankhwala achikhalidwe amasinthasintha, kupanga ndi kukonza mankhwala omwe amathandiza anthu ambiri kukhala ndi moyo komanso thanzi. Pogwiritsa ntchito moyenera mankhwala a insulin kuchokera ku mankhwalawa a Humalog, mutha kuchotseratu zovuta za hypoglycemia ndi zizindikiro za "matenda okoma". Muyenera kutsatira malangizo a dokotala anu ndipo musamayeserere. Pokhapokha ngati munthu wodwala matenda ashuga amatha kutha kuwongolera matendawa ndikukhala mokwanira limodzi ndi anthu athanzi.
Kanemayo m'nkhaniyi afotokoza za mankhwala omwe amapezeka mu insulin Humalog.
