Insulin Humalog yopangidwa ndi French komanso mawonekedwe a kayendetsedwe kake ndi cholembera

Odwala omwe ali ndi matenda osokoneza bongo a mellitus a mtundu omwe amadalira insulin amayenera kuvulaza tsiku ndi tsiku ndi insulin kuti akhale ndi thanzi labwino. Mankhwalawa ndi amitundu yosiyanasiyana. Humalog mu cholembera imakhala ndi ndemanga zabwino. Malangizo ogwiritsa ntchito chida ichi aperekedwa m'nkhaniyi.

Humalog in syringe cholembera: mawonekedwe

Humalog ndi mtundu wosinthika wa DNA wa insulin yaumunthu. Chofunikira chake ndikusintha pakuphatikizidwa kwa ma amino acid mu insulin. Mankhwala amawongolera kagayidwe ka shuga. Imakhala ndi anabolic.

Humalog Insulin Cartridges

Ndi kuyambitsidwa kwa Humalog, kuchuluka kwa glycogen, glycerol, mafuta acids kumawonjezeka. Kuphatikizika kwa mapuloteni kumathandizidwanso. Kudya kwa Amino acid kukuchulukirachulukira. Izi zimachepetsa ketogenesis, gluconeogeneis, lipolysis, glycogenolysis, mapuloteni catabolism ndi kutulutsidwa kwa ma amino acid. Humalog ndi insulin yochepa.

Zogwira ntchito

Gawo lalikulu la Humalog ndi insulin lispro.

Makatoni amodzi ali ndi 100 IU.

Kuphatikiza apo, pali zinthu zothandizira: glycerol, zinc oxide, sodium hydroxide 10% solution, hydrochloric acid 10% solution, sodium hydrogen phosphate heptahydrate, metacresol, madzi a jekeseni.

Opanga

Imakhazikitsa insulin Humalog French kampani yaku Lilly France. Anatenganso nawo kampani yopanga ku America Eli Lilly ndi Company. Amapanga mankhwalawa komanso Eli Lilly Vostok S.A., dziko - Switzerland. Pali ofesi yoimilira ku Moscow. Ili ku Presnenskaya embankment, 10.

Kusakaniza kwa Insulin Humalog: 25, 50, 100

Izi zimathandizira kuti muchepetse kuchita insulin.

Posakaniza mankhwala, 25, 50 ndi 100 zimawonetsa kuchuluka kwa NPH. Izi zikakhala zochulukirapo, kulimbitsa thupi kwa jakisoni ndikutali. Ubwino ndikuti amachepetsa kuchuluka kwa jakisoni tsiku ndi tsiku.

Izi zimathandizira njira yochiritsira ndikupangitsa moyo wa munthu wodwala matenda ashuga kukhala bwino. Choipa chosakanikirana cha Humalog ndikuti sichimapereka kuyendetsa bwino kwa shuga m'magazi. NPH nthawi zambiri imayambitsa kusagwirizana, maonekedwe angapo oyipa.

Mitundu ya insulini iyi ndi yoyenera okhawo omwe ali ndi matenda ashuga omwe ali ndi zaka, omwe moyo wawo ndi waufupi, demilea yayamba. M'magulu ena a odwala, madokotala amalimbikitsa mwamphamvu kugwiritsa ntchito Humalog yoyera.

Malangizo ogwiritsira ntchito

Humalog ikuwonetsedwa kuti athandize odwala matenda ashuga achikulire ndi ana omwe amafunikira insulini tsiku ndi tsiku kuti akhalebe magazi.

Mlingo komanso kuchuluka kwa mankhwalawa zimagwiritsidwa ntchito ndi dokotala. Mankhwala angathe kutumikiridwa intramuscularly, subcutaneous kapena kudzera m'mitsempha. Njira yotsirizirayi yogwiritsira ntchito ndiyoyenera pazipatala zokha.

Intravenous management kunyumba imakhudzana ndi zoopsa zina. The humalogue mu cartridgeges imalowetsedwa mosadukiza pogwiritsa ntchito cholembera.

Mankhwalawa ayenera kugwiritsidwa ntchito mphindi 5-15 musanakhazikitse kapena mutangodya. Jakisoni amachitidwa katatu pa tsiku. Ngati wodwalayo adapangidwira insulin yayitali, ndiye kuti Humalog imabayidwa katatu patsiku.

Mapensulo amakono amasirikali amathandizira kuti jakisoni apangidwe. Asanagwiritse ntchito, cartridge iyenera kugudwa m'manja. Izi zimachitika kuti zomwe zili mkati mwake zikhale zofanana mu utoto ndi kusasinthika. Osagwedeza cartridge mwamphamvu. Kupanda kutero, thovu lingapangire, zomwe zingasokoneze kuyambitsa ndalama.

Otsatirawa akufotokozera za njira yoyambira bwino momwe angawombere:

• Sambani manja bwino ndi sopo;
• sankhani malo a jekeseni ndikupukuta ndi mowa;
• sansani cholembera ndikuyika makatoni omwe adayikidwamo m'njira zosiyanasiyana kapena mutembenukire kangapo ka 10. Njira yothetsera vutoli iyenera kukhala yofanana, yopanda utoto komanso yowonekera. Osagwiritsa ntchito cartridge yokhala ndi mitambo, utoto, kapena wandiweyani. Izi zikusonyeza kuti mankhwalawa afooka chifukwa choti sichinasungidwe bwino, kapena tsiku lotha ntchito latha;
• ikani mlingo;
• chotsani kapu yoteteza ku singano;
• kukonza khungu;
• ikani singano yonse pakhungu. Potere, munthu ayenera kusamala osalowa mumtsempha wamagazi;
• kanikizani batani m'manja mwamphamvu;
• Pamene buzzer ikulira kuti mumalize jakisoni, dikirani masekondi 10 ndikuchotsa singano. Pa chosonyeza, mlingo uyenera kukhala zero;
• Chotsani magazi omwe adawoneka ndi swab thonje. Ndizosatheka kutikita minofu kapena kupukuta malo a jakisoni pambuyo pa jakisoni;
• ikani chophimba pazotengera.

Asanagwiritse ntchito komanso atatha kutsatira, wodwalayo amafunika kuyeza shuga wamagazi ndi glucometer. Kupanda kutero, pamakhala chiopsezo cha hypoglycemia.

Humalog ili ndi zotsutsana zina:

• hypoglycemia;
• tsankho kwa insulin lyspro kapena zinthu zina za mankhwala.

Mukamagwiritsa ntchito Humalog, ziyenera kukumbukiridwa kuti, mothandizidwa ndi mankhwala ena, kufunika kwa jakisoni kumasintha.

Mwachitsanzo, kulera kwapakamwa, corticosteroids ali ndi vuto la hyperglycemic. Chifukwa chake, muyenera kupereka mankhwalawa muyezo waukulu. Mukamamwa mapiritsi a antidiabetesic, antidepressants, salicylates, ACE inhibitors, beta-blockers, kufunika kwa insulin kumachepetsedwa.

Humalog imaloledwa kugwiritsidwa ntchito panthawi yapakati. Palibe zoyipa zomwe zimapezeka mwa amayi omwe amagwiritsa ntchito jakisoni wa mankhwalawa. Chochita sichikhudza thanzi la mwana wosabadwa kapena wakhanda. Koma panthawiyi, muyenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi.

Mu trimester yoyamba, kufunika kwa insulin nthawi zambiri kumachepa, ndipo m'nthawi yachiwiri ndi yachitatu kumawonjezeka. Pa mkaka wa m`mawere, kusintha kwa insulin kungafunikire.

Mulibe malire ofotokoza bongo. Kupatula apo, kuchuluka kwa shuga wa plasma kumachitika chifukwa cha mgwirizano wamphamvu pakati pa insulin, kupezeka kwa shuga, komanso kagayidwe.

Ngati mungalowe kwambiri, hypoglycemia idzachitika. Pankhaniyi, pali zotsatirazi: Hypoglycemia yolimbitsa thupi nthawi zambiri imachotsedwa pakumwa mapiritsi a shuga, zopangidwa ndi shuga.

Kuzunza kwambiri kwa hypoglycemia, komwe kumayendetsedwa ndi minyewa yamitsempha, chikomokere, kumafunikira minyewa kapena kugwiriratu ntchito kwa glucagon. Ngati izi sizikuchitika pompopompo, ndiye kuti 40% ya glucose yokhazikika yoyenera ikuyenera kuperekedwa kudzera m'mitsempha. Wodwala akayambanso kuzindikira, amafunika kudyetsedwa chakudya chamafuta, popeza pamakhala chiopsezo cha hypoglycemia.

Mukamagwiritsa ntchito Humalog, zotsatira zoyipa zimatha kuchitika:

• matupi awo sagwirizana. Amawonedwa kawirikawiri, koma ndizovuta kwambiri. Wodwala amatha kupuma pang'ono, kuyabwa mthupi lonse, thukuta, kuthamanga kwa mtima, kutsika kwa magazi, kuvutika kupuma. Mkhalidwe wowopsa ukuwopseza moyo;
• hypoglycemia. Zotsatira zoyipa kwambiri za hypoglycemic therapy;
• komwe jakisoni wachitika (zotupa, redness, kuyabwa, lipodystrophy). Amadutsa patapita masiku angapo, masabata.

Humalog iyenera kusungidwa m'malo owuma komanso amdima pamtunda wa +15 mpaka +25 degrees. Mankhwalawa sayenera kutenthetsedwa pafupi ndi chowotcha mafuta kapena pa betri musanagwiritse ntchito. Katiriji amafunika kugwiridwa m'manja.

Ndemanga

Pali malingaliro ambiri a Humalog mu syringe cholembera. Ndipo ambiri mwaiwo ndi abwino:

• Natalya. Ndili ndi matenda ashuga. Ndimagwiritsa ntchito Humalog mu cholembera. Zabwino kwambiri. Shuga amatsika msanga. M'mbuyomu, adalowetsa Actrapid ndi Protafan. Ku Humalog ndikumva bwino komanso ndikulimba mtima. Hypoglycemia sizichitika;
• Olga. Ndili ndi matenda ashuga chaka chachiwiri. Munthawi imeneyi ndinayesa ma insulini osiyanasiyana. Wogwira ntchito kwa nthawi yayitali adatola pomwepo. Koma ndimankhwala osakhalitsa kwa nthawi yayitali sindinathe kusankha. Mwa onse odziwika, Humalog mu syringe ya Quick Pen ndiyo inali yoyenera kwambiri kwa ine. Iwo mwachangu komanso moyenera amachepetsa shuga. Chifukwa cha chogwiririra ndikosavuta kugwiritsa ntchito. Lisanayambike, ndimawerengera magawo a mkate ndikusankha muyeso. Pafupifupi theka la chaka pa Humalog ndipo pakadali pano sindikusintha;
• Andrey. Chaka chachisanu odwala matenda ashuga. Amazunzidwa pafupipafupi ndi shuga m'magazi. Posachedwa ndidasamutsidwira ku Humalog. Ndikumva bwino tsopano, mankhwalawa amapereka chipepeso chabwino. Chowabwezera chake chokha ndi mtengo wokwera;
• Marina Ndakhala ndikudwala matenda ashuga kuyambira zaka 10. Mpakafika zaka 12, adamwa mapiritsi ochepetsa shuga. Koma kenako adasiya kundithandiza. Chifukwa cha izi, endocrinologist adalimbikitsa kusintha insulin Humalog. Sindinkafuna izi ndipo ndinakana. Koma vuto langa lamaso litayamba kuwonongeka ndipo mavuto anga a impso ayamba, ndidavomera. Sindinadandaule ndi lingaliro langa. Kupanga jakisoni sikowopsa. Shuga tsopano sakukwera pamwamba pa 10. Ndimakhutira ndi mankhwalawa.

Makanema okhudzana nawo

Malangizo ogwiritsira ntchito insulin Humalog mu kanema:

Chifukwa chake, Humalog mu cholembera ndi syringe ndi mankhwala abwino kwambiri kwa anthu omwe ali ndi matenda a shuga. Imakhala ndi zotsutsana zingapo komanso zoyipa zake. Chifukwa cha cholembera, syringe yokhazikika ndi kayendetsedwe ka mankhwala zimapangidwa mosavuta. Odwala ali ndi lingaliro labwino pankhani yamtunduwu wa insulin.