Insulin Lizpro - njira yokhazikitsira kuchuluka kwa shuga m'magazi kwa odwala omwe ali ndi matenda amtundu wa 1-2

Anthu odwala matenda ashuga amayenera kuwongolera zakudya zawo nthawi zonse, komanso kumwa mankhwala omwe amachepetsa shuga.

M'magawo oyamba, palibe chifukwa chogwiritsa ntchito mankhwala pafupipafupi, koma nthawi zina ndi omwe sangathe kusintha mkhalidwewo, komanso kupulumutsa moyo wa munthu. Chimodzi mwazida zoterezi ndi Insulin Lizpro, yomwe imagawidwa pansi pa dzina la Humalog.

Kufotokozera kwa mankhwalawa

Insulin Lizpro (Humalog) ndi mankhwala ochepetsa mphamvu yochepa omwe amatha kugwiritsidwa ntchito ngakhale popanga shuga kwa odwala azaka zosiyanasiyana. Chida ichi ndi chidziwitso cha insulin yaumunthu, koma ndikusintha kakang'ono m'mapangidwewo, omwe amakupatsani mwayi wofikitsa mwachangu thupi.

Chipangizocho ndi njira yokhala ndi magawo awiri, yomwe imayambitsidwa m'thupi kudzera mkati, mwamitsempha kapena kudzera m'mitsempha.

Mankhwala, kutengera wopanga, ali ndi izi:

• Sodium heptahydrate hydrogen phosphate;
• Glycerol;
• Hydrochloric acid;
• Glycerol;
• Metacresol;
• Zinc oxide

Pogwiritsa ntchito mfundo zake, Insulin Lizpro amafanana ndi mankhwala ena okhala ndi insulin. Zigawo zomwe zimagwira zimalowa mthupi la munthu ndikuyamba kuchita ziwonetsero zama cell, zomwe zimapangitsa kuti glucose ayambe.

Mphamvu ya mankhwalawa imayamba pakadutsa mphindi 15-20 pambuyo pa kukhazikitsa, zomwe zimakupatsani mwayi wowgwiritsa ntchito mwachindunji pakudya. Chizindikirochi chimatha kusiyanasiyana kutengera malo ndi njira yogwiritsira ntchito mankhwalawa.

Chifukwa chokhala ndi chidwi chambiri, akatswiri amalimbikitsa kuti akhazikitse Humalog mosasamala. Kuchuluka kwa mankhwalawa m'magazi m'njira imeneyi kudzatheka pambuyo pa mphindi 30-70.

Zizindikiro ndi malangizo ogwiritsa ntchito

Insulin Lizpro imagwiritsidwa ntchito pochiza odwala matenda a shuga, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka. Chipangizocho chimakhala ndi zizindikiro zapamwamba kwambiri pothana ndi zovuta pomwe wodwala amakhala ndi moyo wopanda vuto, makamaka kwa ana.

Humalog imayikidwa ndi dokotala wokhazikika ndi:

1. Type 1 and Type 2abetes mellitus - kumapeto kokha mukamamwa mankhwala ena sikubweretsa zotsatira zabwino;
2. Hyperglycemia, yomwe siyimalimbikitsidwa ndi mankhwala ena;
3. Kukonzekera wodwalayo kuchitidwa opaleshoni;
4. Kusalolera kwa mankhwala ena okhala ndi insulin;
5. The kupezeka kwa matenda zinthu zikusokoneza njira ya matenda.

Kuti tikwaniritse zotsatira zabwino, kuchuluka ndi njira yothandizira mankhwalawa iyenera kutsimikiziridwa kutengera mawonekedwe a wodwala. Zomwe mankhwala amapezeka m'magazi ziyenera kukhala pafupi ndi zachilengedwe - 0,26-0.36 l / kg.

Njira yogwiritsira ntchito mankhwalawa yovomerezeka ndi wopanga ndi yopanda tanthauzo, koma malinga ndi momwe wodwalayo alili, wothandiziridwayo amatha kuthandizidwa kudzera mu mnofu komanso m'mitsempha. Ndi njira yodutsa, malo abwino kwambiri ndi m'chiuno, phewa, matako ndi m'mimba.

Kupitiliza kosalekeza kwa Insulin Lizpro nthawi yomweyo kumatsutsana, chifukwa izi zingapangitse kuwonongeka kwa khungu pakhungu.

Gawo lomweli silingagwiritsidwe ntchito kuperekera mankhwala oposa 1 mwezi pamwezi. Ndi subcutaneous makonzedwe, mankhwalawa angagwiritsidwe ntchito popanda kupezeka kwa akatswiri azachipatala, koma pokhapokha ngati dokotalayo adasankhidwa ndi katswiri.

Nthawi ya kukhazikitsidwa kwa mankhwalawa imapangidwanso ndi dokotala, ndipo iyenera kuonedwa mosamala - izi zimalola thupi kuti lizolowerana ndi boma, komanso liperekenso mphamvu yautali wa mankhwala.

Kusintha kwa Mlingo kufunikira pa:

• Kusintha zakudya ndikusinthira ku chakudya chochepa kapena chamtundu wazakudya zambiri;
• Kupsinjika kwa malingaliro;
• Matenda opatsirana;
• Kugwiritsa ntchito mankhwala ena;
• Kusintha kuchokera ku mankhwala ena othamanga omwe amakhudza kuchuluka kwa glucose;
• Kuwonetsedwa kwa kulephera kwa impso;
• Mimba - kutengera ndi trimester, kufunikira kwa thupi pakusintha kwa insulin, motero ndikofunikira
• Pitani kwa omwe amakupatsani chithandizo chazaumoyo pafupipafupi ndikuyeza kuchuluka kwa shuga.

Kusintha pamalingaliro kungafunikenso pakusintha wopanga Insulin Lizpro ndikusintha pakati pa makampani osiyanasiyana, popeza aliyense wa iwo amasintha momwe amapangidwira, zomwe zingakhudze kuyesedwa kwa chithandizo.

Zotsatira zoyipa ndi contraindication

Popereka mankhwala, dokotala amafunika kuganizira zonse zomwe zimachitika m'thupi la wodwalayo.

Insulin Lizpro imaphatikizidwa mwa anthu:

1. Ndi chidwi chochulukirapo pazinthu zazikulu kapena zowonjezera zogwira ntchito;
2. Ndi kuchuluka kwambiri kwa hypoglycemia;
3. Momwe mumakhala insulinoma.

Pogwiritsa ntchito mankhwalawa odwala matenda ashuga, zotsatira zotsatirazi zingachitike:

1. Hypoglycemia - ndiyoopsa kwambiri, imachitika chifukwa cha mlingo wosankhidwa mosamala, komanso ndimankhwala omwe amadzipangira nokha, imatha kubweretsa imfa kapena kusokonezeka kwakukulu kwa zochitika zaubongo;
2. Lipodystrophy - imachitika chifukwa cha jakisoni m'dera lomwelo, kupewa kupewa ndikofunikira kusintha malo omwe pakulimbikitsidwa khungu;
3. Chiwopsezo - chimawonekera kutengera mawonekedwe a thupi la wodwalayo, kuyambira pakuwonjezeranso kuperewera kwa jakisoni, ndikutha ndi kuwonongeka kwa anaphylactic;
4. Zovuta za zida zowonera - ndi cholakwika cholakwika kapena kusalolera payekhapayekha ziwalo zina, retinopathy (kuwonongeka kwa kufinya kwa diso chifukwa cha kusokonezeka kwa mtima.
5. Zomwe zimachitika mdera lanu - m'malo a jakisoni, redness, kuyabwa, redness ndi kutupa zimatha, zomwe zimadutsa thupi litazolowera.

Zizindikiro zina zimatha kuonekera patapita nthawi yayitali. Pankhani ya zovuta, ndikofunikira kusiya kumwa insulin ndikuwonana ndi dokotala. Mavuto ambiri nthawi zambiri amathetsedwa ndikusintha kwa mlingo.

Kuchita ndi mankhwala ena

Popereka mankhwala a Humalog, dokotala wopezekapo ayenera kuganizira zomwe mukumwa kumwa kale. Zina mwa izo zimatha kuwonjezera ndi kuchepetsa zochita za insulin.

Zotsatira za Insulin Lizpro zimatheka ngati wodwala atenga mankhwala ndi magulu otsatirawa:

• Mao zoletsa;
• Sulfonamides;
• Ketoconazole;
• Sulfonamides.

Ndi kudya komweku kwa mankhwalawa, ndikofunikira kuti muchepetse insulin, ndipo wodwala ayenera, ngati nkotheka, akane kumwa nawo.

Zinthu zotsatirazi zimachepetsa mphamvu ya Insulin Lizpro:

• Njira zakulera za mahomoni;
• Estrogens;
• Glucagon
• Nikotini.

Mlingo wa insulin pamenepa uyenera kuchuluka, koma ngati wodwalayo akana kugwiritsa ntchito zinthu izi, mpofunika kusintha kwachiwiri.

M'pofunikanso kuganizira zina mwazakudya ndi Insulin Lizpro:

1. Mukamawerenga kuchuluka kwake, dokotala ayenera kuganizira kuchuluka kwa zakudya zomwe odwala amadya;
2. Mu matenda osachiritsika a chiwindi ndi impso, mlingo umayenera kuchepetsedwa;
3. Humalog imatha kuchepetsa ntchito yakuyenda kwa mitsempha, zomwe zimakhudza kuchuluka kwa zomwe zimachitika, ndipo izi zimabweretsa ngozi, mwachitsanzo, kwa eni magalimoto.

Mndandanda wa mankhwala Insulin Lizpro

Insulin Lizpro (Humalog) imakhala ndi mtengo wokwera kwambiri, chifukwa chomwe odwala nthawi zambiri amapita kukafuna ma analogues.

Mankhwala otsatirawa akhoza kupezeka pamsika omwe ali ndi mfundo zomwezi:

• Monotard;
• Protafan;
• Rinsulin;
• Pakati;
• Khalid.

Ndi zoletsedwa kuti asankhe mankhwalawo mosavomerezeka. Choyamba muyenera kulandira upangiri kuchokera kwa dokotala, chifukwa kudzipanga nokha kungayambitse imfa.

Ngati mukukayikira luso lanu lazinthu, chenjezo katswiri za izi. Kapangidwe kamankhwala aliwonse kumasiyanasiyana malinga ndi omwe akupanga, chifukwa cha momwe mphamvu yamomwe mankhwalawo amachitikira m'thupi la wodwalayo imasintha.

Mankhwalawa amagwiritsidwa ntchito nthawi zambiri pamitundu yosiyanasiyana ya shuga ndi 1 (2 ndi 2), komanso mankhwala a ana ndi amayi apakati. Kuwerengera kolondola kwa mankhwalawa, Humalog sikubweretsa mavuto komanso amakhudza thupi pang'ono.

Mankhwalawa amatha kutumikiridwa m'njira zingapo, koma zofala kwambiri ndizopanda tanthauzo, ndipo opanga ena amapereka chida chija ndi jakisoni wapadera yemwe munthu angagwiritse ntchito osakhazikika.

Ngati ndi kotheka, wodwala yemwe ali ndi matenda ashuga amatha kupeza maupikisano mu malo ogulitsa mankhwala, koma popanda kufunsana ndi katswiri, kugwiritsa ntchito kwawo koletsedwa. Insulin Lizpro imagwiritsidwa ntchito ndi mankhwala ena, koma nthawi zina kusintha kwakofunikira kwa mankhwalawa kumafunikira.

Kugwiritsa ntchito mankhwalawa pafupipafupi sikungosokoneza, koma wodwalayo ayenera kutsatira njira yapadera yomwe ingathandize thupi kuti lizolowera zinthu zina.