Makhalidwe ndi malangizo ogwiritsira ntchito insulin Humalog

Mwa zina mwa mankhwala omwe amapezeka ndi insulin ambiri amatha kutchedwa Humalog. Akutulutsa mankhwala ku Switzerland.

Zimakhazikitsidwa ndi insulin Lizpro ndipo cholinga chake ndikuchizira matenda ashuga.

Mankhwala ayenera kuikidwa ndi dokotala. Ayeneranso kufotokozera malamulo omwera mankhwalawo kuti mupewe mavuto. Mankhwalawa amagulitsidwa kokha ndi mankhwala.

Zambiri ndi mankhwala a pharmacological

Humalogue ili ngati mawonekedwe a kuyimitsidwa kapena jakisoni. Kuyimitsidwa kumakhala koyera komanso kutengera kupangika. Njira yothetsera vutoli ndi yopanda utoto komanso wopanda fungo, yowonekera.

Chofunikira kwambiri pakuphatikizidwa ndi Lizpro insulin.

Kuphatikiza apo, zosakaniza monga:

• madzi
• metacresol;
• zinc oxide;
• glycerol;
• sodium hydrogen phosphate heptahydrate;
• sodium hydroxide solution.

Chogulitsachi chimagulitsidwa m'mak cartridge atatu. Makatoni ali mu cholembera cha Quickpen, zidutswa 5 pa paketi imodzi.

Komanso pali mitundu ya mankhwalawa, yomwe imaphatikizapo yankho laling'ono la insulin komanso kuyimitsidwa kwa protamine. Amadziwika kuti Humalog Remix 25 ndi Humalog Remix 50.

Lizpro insulin ndi mawonekedwe a insulin yaumunthu ndipo amadziwika ndi zomwezi. Zimathandizira kukulitsa kuchuluka kwa shuga. Chidacho chimagwira ntchito pamankhwala am'magazi, chifukwa choti shuga kuchokera m'magazi amalowa m'matumbo ndipo amawagawa. Zimathandizanso kupanga mapuloteni omwe amagwira ntchito.

Mankhwala amadziwika ndi kuchitapo kanthu mwachangu. Zotsatira zimawonekera mkati mwa kotala la ola mutatha jakisoni. Koma sizikhala nthawi yayitali. Kwa theka la moyo wa chinthu, pafupifupi maola 2 amafunikira. Nthawi yowonetsera kwambiri ndi maola 5, omwe amathandizidwa ndi mawonekedwe a thupi la wodwalayo.

Zizindikiro ndi contraindication

Chizindikiro chogwiritsira ntchito mankhwala omwe ali ndi insulin ndi:

• mtundu 1 wa shuga wodalira insulini (pakakhala tsankho kwa mitundu ina ya insulin);
• matenda ashuga a 2 omwe samadalira insulini (ngati chithandizo ndi mankhwala ena sichothandiza);
• madongosolo opaleshoni;
• matenda ashuga omwe adayamba nthawi ya gestation (gestational).

Muzochitika izi, mankhwala a insulin amafunikira. Koma Humalog iyenera kusankhidwa ndi adotolo atatha kuphunzira chithunzi cha matendawa. Mankhwalawa ali ndi zotsutsana zina. Muyenera kuwonetsetsa kuti kulibe, apo ayi pamakhala zovuta za zovuta.

Izi zikuphatikiza:

• kupezeka kwa hypoglycemia (kapena kupezeka kwake);
• ziwengo kuti zikuchokera.

Ndi izi, adotolo ayenera kusankha mtundu wina wa mankhwala. Kusamala ndikofunikanso ngati wodwala ali ndi matenda ena owonjezereka (matenda a chiwindi ndi impso), chifukwa chifukwa cha iwo, kufunikira kwa insulin kumatha kufooka. Chifukwa chake, odwala otere ayenera kusintha mlingo wa mankhwalawa.

Malangizo ogwiritsira ntchito

Gwiritsani ntchito mankhwalawa pokhapokha kutsatira malamulo a katswiri. Mlingo wake umatha kusiyanasiyana, kotero ndizovuta kwambiri kusankha nokha.

Nthawi zambiri, odwala amalimbikitsidwa kugwiritsa ntchito 0.5-1 IU / kg masana. Koma kukhalapo kwa zochitika zapadera kumafuna kukonzanso kwakukulu kapena pang'ono. Ndi dokotala yekhayo amene angasinthe Mlingo wakuyezetsa magazi.

Kunyumba, Humalog imayendetsedwa popanda kugonjera. Kuyambira minofu yaying'ono, chipangizocho chimakhala choloweza bwino. Jekeseni amayenera kuchitidwa phewa, ntchafu kapena khomo lam'mimba lakunja.

Masamba a jakisoni ayenera kusinthidwa kuti asayambitse kusokonezeka kwa mankhwala komanso zovuta. Nthawi yoyenera yothandizira mankhwalawa yatsala pang'ono kudya.

Mutha kuperekanso mankhwala mosokoneza bongo, koma amachitidwa kuchipatala.

Phunziro la kanema pogwiritsa ntchito cholembera:

Odwala Apadera ndi Mayendedwe

Mukamagwiritsa ntchito Humalog, kusamala kwina kumafunikira pokhudzana ndi magulu apadera a odwala. Matupi awo amatha kukhala osamala kwambiri ndi zovuta za insulin, motero muyenera kukhala anzeru.

Zina mwa izo ndi:

1. Amayi pa nthawi yoyembekezera. Mwachidziwitso, chithandizo cha matenda ashuga mwa odwala amaloledwa. Malinga ndi zotsatira za kafukufuku, mankhwalawa samavulaza kukula kwa mwana wosabadwayo ndipo samayambitsa mimbayo. Koma ziyenera kukumbukiridwa kuti munthawi imeneyi kuchuluka kwa shuga m'magazi kumatha kukhala kosiyana panthawi zosiyanasiyana. Izi ziyenera kuyang'aniridwa kuti mupewe zotsatira zoyipa.
2. Amayi oyamwitsa. Kulowetsedwa kwa insulin mkaka wa m'mawere sikowopsa kwa akhanda. Izi zimachokera kumapuloteni ndipo zimatengedwa m'matumbo a mwana. Chenjezo lokha ndiloti azimayi omwe amadyetsa mwachilengedwe azikhala pachakudya.

Kwa ana ndi okalamba posakhala ndi mavuto azaumoyo, chisamaliro chapadera sichofunikira. Humalog ndi yoyenera kulandira chithandizo chawo, ndipo adotolo ayenera kusankha mlingo wotsatira mawonekedwe a matendawa.

Kugwiritsa ntchito Humalog kumafunikira kukonzekereratu poyerekeza ndi matenda ena oyenda.

Izi zikuphatikiza:

1. Kusokonezeka kwa chiwindi. Ngati chiwalochi chikugwira ntchito moipa kuposa momwe chikufunikira, ndiye kuti mankhwalawo atha kukhala ochuluka, zomwe zimabweretsa zovuta, komanso kukula kwa hypoglycemia. Chifukwa chake, pakakhala kulephera kwa chiwindi, mlingo wa Humalog uyenera kuchepetsedwa.
2. Mavuto a impso. Ngati lipezeka, palinso kuchepa kwa kufunika kwa insulin. Pankhaniyi, muyenera kuwerengera mosamala ndi kuyang'anira njira yochiritsira. Kukhalapo kwa vuto lotere kumafuna kupenda kwakanthawi.

Humalog imatha kuyambitsa hypoglycemia, chifukwa chomwe kuthamanga kwazomwe zimachitika komanso kuthekera kwazomwe zimasokonezedwa.

Chizungulire, kufooka, kusokonezeka - zinthu zonsezi zimatha kugwira ntchito kwa wodwala. Zochita zomwe zimafunikira kuthamanga ndi kusamalika sizingatheke kwa iye. Koma mankhwalawo pawokha samakhudza izi.

Zotsatira zoyipa ndi bongo

Kupezeka kwa zotsatira zoyipa kumatha kukhala koopsa. Wodwalayo ayenera kudziwitsa dokotala za kusintha komwe amapeza.

Mavuto ambiri ndi awa:

• hypoglycemia;
• redness la pakhungu;
• kutupa;
• kuyabwa
• malungo
• tachycardia;
• kupsinjika
• thukuta;
• lipodystrophy.

Zina mwazomwe zili pamwambazi sizowopsa, chifukwa zimawonekera pang'ono ndikupita nthawi.

Ena amathanso kuyambitsa mavuto. Chifukwa chake, ngati zotsatira zoyipa zikuchitika, muyenera kufunsa dokotala wanu za malangizidwe othandizira Humalog.

Afufuze zoopsa zomwe zingachitike, adziwe zomwe zimayambitsa (nthawi zina amanama pazolakwika za wodwalayo) ndikupereka chithandizo chofunikira chothandiza kuti matendawa asamayende bwino.

Mankhwala osokoneza bongo a mankhwalawa nthawi zambiri amakhala ndi vuto la hypoglycemic. Zitha kukhala zowopsa, nthawi zina mpaka kupha.

Amadziwika ndi zizindikiro monga:

• Chizungulire
• kusokoneza chikumbumtima;
• kukoka kwamtima;
• mutu
• kufooka
• kutsika kwa kuthamanga kwa magazi;
• kusokoneza chidwi;
• kugona
• kukokana
• kugwedezeka.

Kukhazikika kwa zizindikiro za hypoglycemia kumafuna kulumikizana ndi katswiri. Nthawi zina, vutoli limatha kulowererapo mothandizidwa ndi zopatsa mphamvu zaopatsa mafuta, komanso zimachitika kuti sizingatheke kusintha momwe wodwalayo alili popanda mankhwala. Afunika kulowererapo kuchipatala mwachangu, chifukwa chake simuyenera kuyesetsa kuthana ndi vuto lanu.

Analogi

Ndemanga za mankhwalawa ndizopikisana. Nthawi zina odwala sakonda chida ichi, ndipo amakana. Nthawi zambiri, mavuto amabwera chifukwa chosagwiritsidwa ntchito molakwika pa Humalog, koma nthawi zina izi zimachitika chifukwa cha kusagwirizana pakapangidwe. Kenako dokotala yemwe akupezekapo ayenera kusankha mtundu wa mankhwalawo kuti apitirize chithandizo cha wodwalayo, koma kuti akhale otetezeka komanso bwino.

Monga cholowa chitha kugwiritsidwa ntchito:

1. Iletin. Mankhwala ndi isofan insulin yochokera kuphatikiza kuyimitsidwa. Imadziwika ndi ma contraindication ofanana ndi Humalog ndi zotsatira zoyipa. Mankhwalawa amagwiritsidwanso ntchito mosazindikira.
2. Osatinso. Chida chikuyimiriridwa ndi yankho. Maziko ake ndi insulin yaumunthu.
3. Farmasulin. Iyi ndi yankho la insulin yaumunthu.
4. Protafan. Gawo lalikulu la mankhwalawo ndi insulin Isofan. Amagwiritsidwanso ntchito pazochitika zofananira ndi Humalog, mosamala chimodzimodzi. Kukhazikika mu mawonekedwe a kuyimitsidwa.

Ngakhale kufanana kwazomwe amachita, mankhwalawa ndi osiyana ndi Humalog.

Chifukwa chake, mulingo wa iwo amawerengedwa, ndipo mukasinthira ku chida chatsopano, dokotala amayenera kuwongolera ndondomekoyi. Kusankhidwa kwa mankhwala oyeneranso ndi ake, chifukwa ndi iye yekha amene angawonetsetse kuopsa ndikuwonetsetsa kuti palibe zotsutsana.

Humalog ikhoza kugulidwa ku pharmacy iliyonse, ngati pali mankhwala kuchokera kwa dokotala. Kwa odwala ena, mtengo wake ungawoneke kukhala wokwera, pomwe ena amakhulupirira kuti mankhwalawo ndi ofunika ndalamayo chifukwa chogwira ntchito. Kupeza kwa makatoni asanu okhala ndi mphamvu ya kudzaza kwa 3 ml kudzafuna ma ruble 1700-2100.