Glulisin ndi jakisoni. Ndi insulin yochepa komanso mphamvu yogwira ya mankhwala ena omwe cholinga chake ndi kuchepetsa shuga. Amagwiritsidwa ntchito pa matenda a shuga, omwe amafunikira chithandizo chokwanira ndi insulin.
Njira yogwiritsira ntchito ndi contraindication
Glulisin ndi insulin yowonjezereka ya anthu, komabe, mphamvu yake ndiyofanana ndi ya insulin wamba ya anthu. Mankhwala amayamba kugwira ntchito mwachangu, koma ndi nthawi yochepa. Pakadutsa mphindi 10 mpaka 20 atabaya jekeseni, wodwala matenda ashuga amva mpumulo.
Kuphatikiza pa jekeseni wa subcutaneous, glulisin ya mankhwala imatha kuperekedwa ndi kulowetsedwa kosalekeza mu mafuta obisika ogwiritsira ntchito pampu ya insulin. Kubaya jekeseni kumachitika pang'onopang'ono kapena mukatha kudya.
Jakisoni wotsekemera ayenera kuchitidwa paphewa, m'chiuno kapena pamimba. Ngati tikulankhula za infusions mosalekeza, ndiye kuti amangochitika m'mimba.
Kugwiritsa ntchito mankhwalawa osavomerezeka pamilandu yotere:
- zaka za ana;
- hypoglycemia;
- kumva kwambiri.
Insulin Glulizin imagwira ntchito pamankhwala othandizira, omwe amapereka insulin ya nthawi yayitali kapena yayitali. Mankhwalawa amagwiritsidwa ntchito limodzi ndi othandizira ena a hypoglycemic mu mawonekedwe a piritsi, ndikuwathandizidwanso pogwiritsa ntchito syringe ya insulin.
Kuwonetsedwa kwa zoyipa
Zotsatira zoyipa pambuyo pogwiritsira ntchito mankhwalawa zimatha kuchitika:
- kumva kwambiri, mwachitsanzo, kutupira, kuyabwa ndi redness pamawebusayiti. Kusintha koteroko, monga lamulo, kumatha kwathunthu ndi chithandizo cha nthawi yayitali. Nthawi zina, chiwonetsero cha lipodystrophy (mavuto amkhungu omwe amayamba chifukwa chophwanya njira zamagulu a jakisoni) ndizotheka;
- thupi lawo siligwirizana (kufupika kwa mpweya, matumbo a ziwindi, urticaria, kuyabwa, kuphipha mu bronchi);
- kutulutsa kofananira (mpaka kufikira anaphylactic).
Milandu yambiri
Pakadali pano, mankhwalawa alibe deta pazovuta za mankhwala osokoneza bongo, komabe, hypoglycemia yamphamvu zosiyanasiyana ndizoganiza.
Magawo a bongo wofatsa amatha kuyimitsidwa pogwiritsa ntchito shuga kapena zakudya zomwe zili ndi shuga. Pazifukwa izi, aliyense wodwala matenda ashuga ayenera kukhala ndi lokoma pang'ono naye.
Ndi kuperewera kwambiri komanso komwe kumayenderana ndi chikumbumtima cha hypoglycemia, n`zotheka kuyimitsa njirayi kapena kulowererapo kwa glucagon ndi dextrose wamitsempha.
Pambuyo pozindikira, wodwalayo ayenera kudya zakudya zopatsa mphamvu. Izi zipangitsa kuti kukhale kotheka kukonzanso kwa hypoglycemia.
Zokhudza kugwiritsa ntchito mankhwalawa
Ngati Glulisin amagwiritsidwa ntchito limodzi ndi othandizira otsatirawa, ndiye kuti insulini ingalimbikitse zotsatira za hypoglycemic ndikukulitsa mwayi wokhala ndi hypoglycemia:
- mankhwala amkamwa hypoglycemic;
- disopyramids;
- ACE zoletsa;
- mafupa;
- Mao zoletsa;
- salicylates;
- sulfonamides;
- propoxyphene.
Mukaphatikiza insulin ndi danazol, salbutamol, isoniazides, diazoxide, phenothiazine zotumphukira, somatropin, diuretics, epinephrine, terbutaline, proteinase inhibitors, antipsychotic mankhwala, Glulizin amachepetsa mphamvu ya hypoglycemic.
Kugwiritsa ntchito beta-blockers, mchere wa lithiamu, ethanol ndi clonidine kungafooketse mphamvu ya mankhwala a insulin Glulizin. Pentamidine imakwiyitsanso onse hypoglycemia ndi hyperglycemia chifukwa cha izo.
Kugwiritsa ntchito kwachifundo kwachifundo kumatha kumasuka kuwonetsa kwa adrenergic Reflex activation. Izi zimaphatikizapo guanethidine, clonidine.
Pokhapokha wodwala akapatsidwa mtundu wina wa insulin (kapena mankhwala kuchokera kwa wopanga watsopano), ayenera kuyang'aniridwa mosamalitsa. Izi ndizofunikira chifukwa chakufunika kusintha kwa mankhwalawa.
Mlingo wolakwika wa insulin Glulisin kapena kuleka chithandizo kumayambitsa kukula kwa hypoglycemia ndi matenda ashuga a ketoacidosis (mikhalidwe yoopsa).
Nthawi ya chitukuko cha boma la hypoglycemic zimatengera kuthamanga kwa mankhwala omwe amagwiritsidwa ntchito ndipo angasinthe ndi kusintha kwa mankhwalawa.
Pali zochitika zina zomwe zimasintha kapena zimapangitsa kuti ma harbinger a hypoglycemia omwe akubwera asatchulidwe, mwachitsanzo:
- matenda a shuga;
- kulimbitsa chithandizo ndi insulin;
- kutalika kwa matenda ashuga;
- kugwiritsa ntchito mankhwala ena;
- kusamutsa kwa wodwala kuchokera ku nyama kupita ku insulin ya anthu.
Kusintha kwa muyezo wa insulini Glulisin ndikofunikira posintha njira yazakudya kapena kusintha katundu wa wodwala. Kuchita masewera olimbitsa thupi mukangotha kudya kumakhala chiopsezo cha hypoglycemia.
Ngati insulin yochita pang'ono ndiyoti yapezeka, kuchepa kwakukulu kwa shuga m'magazi kumachitika posachedwa kuposa kugwiritsa ntchito insulle yamunthu.
Hypoglycemia yosakhudzidwa ndi zochitika za hyperglycemic zimatha kukhala zofunika kuti musataye chikumbumtima, kukhazikika chikomokere, komanso kufa!
Gwiritsani ntchito pa nthawi yoyembekezera
Amayi oyembekezera ayenera kugwiritsira ntchito insulin Glulisin moyang'aniridwa ndi dokotala ndikuwunika kuchuluka kwa shuga m'magazi.
Mukamayamwa, mankhwalawa samatha kulowa mkaka, motero amavomerezedwa kuti agwiritsidwe ntchito. Pa mkaka wa m`mawere, ndikofunikira kusintha Mlingo wa kutumikiridwa. Kuphatikiza apo, kusintha kwa muyezo kungakhale koyenera pamaso pa zovuta zodwala komanso zovuta zokhudzana ndi zovuta.
