"Humalog": imiyalelo ukusetyenziswa, ixabiso, ncomo

Isifo seswekile sisifo esiqhelekileyo ngexesha lethu. Izibangela zesifo zingafani kakhulu, kodwa i-heredity idlala indima enkulu kule meko. I-10-15% yazo zonke i-diabetes i-1 i-diabetes, efuna i-injection ye-insulin ngendlela ye-injections. Kubalulekile ukuba uqaphele ukuba uhlobo lwesifo sikashukela 1 lubonakala ngokuphuhliswa kweempawu eziphambili ebuntwaneni nasebuntwaneni, kunye nokuphuhliswa okukhawulezayo kweengxaki ezibangele ukuphazamiseka komsebenzi wezitho zomntu ngamnye okanye yonke inyama. Ngoko ke, kubaluleke kakhulu ukuqala unyango ngexesha.

Ukusebenzisa unyango lwe-insulin endaweni, isilwanyana esinjenge "Humalog" sisetyenziswe. Imiyalelo yokusetyenziswa iya kuxutyushwa ngokuqhubekayo, kwaye siza kuqhelana nezigulane zezigulane malunga nokusebenza kunye nomgangatho walo mziza.

Ifomu kunye nokwakhiwa kokulungiselela

Isisombululo esisisigxina seziyobisi yi-insulin lyspro. Izixhobo ezongezelelweyo zi-glycerol, metacresol, i-oxyx zinc , i-sodium hydrogen phosphate heptahydrate, i- hydrochloric acid, amanzi.

I-insulin "i-Humalog" yi-DNA-recombinant, iyalathintsha i-analog ye-insulin yabantu. Ukwahlukana kulandelelwano olulandelelanayo lwe-amino acids kwizikhundla ezingama-28 no-29 ze-B ye-insulin.

Ngowuphi uhlobo olulungiselelwe?

• Isisombululo seenjini kwii-cartridges 3 ml, kwi-pack blister.
• I-syringe ipeni ye-insulin.

Kukho uhlobo lweziyobisi, apho umlinganiselo olinganayo we-insulin wesikhashana kunye kunye nobude obude. Lo nguHumanalog Mix 25 kunye neHumanalog Mix 50.

Ukusetyenziswa kweziyobisi

Ipropati ephambili yeliyobisi ngumthetho we-glucose metabolism. Ukongeza, i-Humalog ikhuthaza ukukhula kobunzima besisundu ngokunyusa umxholo we-glycogen fatty acids, kunye nokuphucula ukuveliswa kweprotheni kunye nokwandisa ukusetyenziswa kwe-amino acids. Xa usebenzisa izidakamizwa "I-Humalog" i-insulin lizpro iyanciphisa kakhulu i-hyperglycemia, eyenzeka emva kokutya.

Isilwanyana sisondele kakhulu kunokwenzeka kwi-insulin yomntu kwaye isilwanyana esenza i-short-acting short. Inzuzo ngaphezu kwezinye iindlela kukuba iqala ngokukhawuleza ukwenza kwaye ayivumeli ukunyuka okwesibini kwiinkcazo emva kweeyure ezimbalwa emva kokujova. Oku kubaluleke kakhulu kubagulane abasebenzayo abangenakunqweneleka ukuba bajobe njalo.

Ngoko, emva kokuqaliswa kweyeza "Humalog", liqala ukusebenza emva kwemizuzu eyi-10-20. Umxholo ophezulu wenkunkuma esebenzayo egazini igcinwa emva kwemizuzu engama-30 - iyure nesiqingatha. "I-Humalog" inempembelelo yeeyure eziliqela. Ubomi obuncinane bufutshane kunye neyure nje.

Kufuneka kwakhona kuqaphele ukuba xa ukujova iziyobisi zibandakanya i-insulin yokufakelwa (i-Humalog, umzekelo), inani lobusuku be-hypoglycemia liyancitshiswe kakhulu kwizigulane, kwaye kuphawulwe ukuba ezo zithunywa zisebenza ngokukhawuleza kunokuba i-insulin yabantu.

Isilwanyana "I-Humalog" sichaphazela abantu abadala kunye nabantwana ngokufanayo. Kubaluleke kakhulu yindawo yokulawula, ingaba ngumlenze, igxala, isisu okanye isilwanyana, kunye neqondo kunye nokugxininiswa kwe-insulin.

Isilwanyana "I-Humalog Mix 25" sifana nesalogue yabantu, equkethe i-25% ye-insulin yesenzo se-ultrashort kunye ne-75% yeprojekam. Kucaciswe ukuba ihamba ngokukhawuleza kwaye ifikelele ekufikeleleni kwintsebenzo, kodwa ubude beli liyeza malunga neeyure eziyi-15.

Iinkcazo kunye nokuchasene

Ngubani ocebisa ukuba asebenzise isilwanyana "i-Humalog"? Imiyalelo yokusetyenziswa ibonisa oku kulandelayo: isifo sikashukela kubantu abadala nabantwana, abafuna unyango lwe-insulin ukulungisa i-blood glucose. Kwakhona, "i-Humalog" inqunywe ukuba i-diabetes ayinakukwazi ukulungiswa kwezinye i-insulin. Kwimisebenzi kunye nezifo ze-interkurentnyh.

Ngubani ongacebisi ukuba asebenzise "i-Humalog"? Imiyalelo yokusetyenziswa iyakwenzela oku izigulane ezixhomekeke kwizinto ezixhasayo zezidakamizwa, kwaye ukuba ezi zilandelayo zikhoyo: u-hypoglycemia kunye ne-insulinoma.

Indlela yokuthatha iyeza

Kwisigulane ngasinye, umthamo weyeza "I-Humalog" (ixesha elifutshane lezenzo - ukubonakala kwalo) lugqirha ngugqirha kuxhomekeke kwimfuno. Faka izidakamizwa ngaphantsi, ngaphambi kokutya okanye emva koko.

Ukulawulwa kwezinto ezincinci kungenziwa ngohlobo lwe-injection, ukunyuswa kwamanzi okanye ngoncedo lwepompo ye- insulin. Ukuba kuyimfuneko, ngoko "i-Humalog" inokulawulwa kwangaphakathi.

Ngaphantsi kwe-injini ukufaka isilwanyana emthangeni, emagxeni, ematyeni okanye ngesisu. Ngalinye ixesha kufuneka usebenzise ezinye izihlalo ukuze ungasebenzisi into efanayo. Xa ulawula iyeza, unokunyamekela ukuba ungangeni kwisitya segazi. Isiza sokungena kwi-injection akufanele sihlaselwe. Yonke le migaqo yesingeniso mayixelelwe isigulane ngugqirha.

Imithetho yokulawulwa kweziyobisi "i-Humalog"

Okokuqala, kufuneka kuthiwe isisombululo sokulungiselela "i-Humalog" kufuneka sibe yinto ecacileyo kwaye ingabi nombala. Ukuba kukho ukungcola okanye ubukho beengqungquthela eziqinileyo, le nto ayinakusetyenziswa. Ilungelo kufuneka libe sebushushu bendibini.

Masichaze indlela ipenki yesirinji ye-insulin isetyenziswa ngayo:

1. Geza izandla phambi kweyunisi.
2. Emva koko ukhethe indawo yejoyi.
3. Siyiphatha nge-antiseptic.
4. Susa ikhefu kwi-aldle.
5. Kubalulekile ukukrazula okanye ukuyikhupha isikhumba kwisilwanyana ngokuyilungisa.
6. Faka inaliti ngokwemiyalelo.
7. Sicinezela iqhosha.
8. Emva koko susa inaliti, kwaye cinezela indawo yejoza ngokukhawuleza imizuzwana embalwa. Awukwazi ukutshiza.
9. Ukusebenzisa isikhombisi sokukhusela, cima isaliti uze ulahle.

Ukulawulwa kokusetyenziswa kweziyobisi kwenziwa ngokuhambelana nomsebenzi wesiganeko okanye usebenzise inkqubo yokunyusa. Iinkqubo ezinjalo zenziwa phantsi kolawulo lugqirha esibhedlele okanye kwi-polyclinic, kuba kubalulekile ukugcina i-blood glucose phantsi kolawulo.

Ukuxutywa kweziyobisi "I-Humalog" inokuqhutywa ngoncedo lompompo wokunyuswa kwe-insulin. Kufuneka ukuba ulandele ngqo imiyalelo. Njalo ulandele imithetho ye-asepsis. Ukuba ipompo iphosakele okanye inkqubo yokunyusa ivalwe, ukunyuka ngokukhawuleza kwinqanaba le-glucose kunokwenzeka. Qaphela xa uqala inkqubo. Xa usebenzisa ipompo, uhlobo olulodwa lokulungiselela lusetyenziswa. Ukuxuba akuvumelekanga. Ukuba ukuhanjiswa kwe-insulini kukuphazamiseka, kuyimfuneko ukulandela imiyalelo kwaye kwangoko ugqirha ugqirha.

Kufuneka kuqatshelwe ukuba imveliso "i-Humalog Mix 25" ihluke ekuhambeni kwayo kunye nombala. Yisisombululo sesilwanyana esimhlophe, ngaphambi kokuba sisebenzise kuyimfuneko ukuyifudumala kakuhle kwiintendelezo, kodwa ungagxininisi ukukhusela ukubunjwa kwe-foam. Isisombululo simele sibe sisisombululo. Ungayisebenzisi loo nto xa iiflethi zenziwa. Ngenxa yesingeniso sayo, ungasebenzisa, kunye nesilwanyana "I-Humalog", "QuickPen" - ipeni yerinjiza, efanelekileyo kakhulu ukuyisebenzisa. Indlela yokuyisebenzisa, sichazwe ngasentla.

Ubunqweneleka bokusebenzisa iindlela ze "Humalog Mix 25" kukuba awukwazi ukulawulwa kwangaphakathi. I-dosing yemveliso yonyango ikhethwe ngugqirha ngamnye.

Imiphumo emibi yeliza "I-Humalog"

Imiyalelo yokusetyenziswa ichaza indlela enokwenzeka ngayo imizimba yomzimba xa usebenzisa iyeza:

• Hypoglycemia.
• Ukulahleka kwengqondo.
• Ukusabela okuvakalayo: ubomvu, ukubetha, ukuvuvukala, ukuvuthwa.
• ITachycardia, ukunciphisa uxinzelelo lwegazi.
• Ukujuluka okukhulu.
• Angioedema.
• Lipodystrophy kwisiza sokungena.

Ukuba uncedo olungxamisekileyo aluhambiswanga, imiphumo emibi ingabonwa ngosongo kubomi besigulane.

Iimpawu zokugqithisa iziyobisi

I-insulins ayinayo imida engaphezulu yokugqithisa. Ekubeni ngalinye linomgangatho walo we-metabolism ne-level ye-glucose, yinto yodwa. Nangona kunjalo, kuyimfuneko ukwazi ukuba ziphi iimpawu zokudlula idosi, ukuba umzimba awukwazi ukuhlangabezana kunye ne-hypoglycemia yenzeka. Oku kunokwenzeka xa kuthengiswa okungafanelekanga okanye ukusetyenziswa kwamandla aphezulu.

Ukusetyenziswa ngokweqile kwe-insulin kunokudala u-hypoglycemia. Iimpawu zilandelayo:

• Ubuthathaka, ukunganakwa.
• Ukulahleka kwengqondo.
• Ukwandisa ukujuluka.
• Ukungaphumeleli emsebenzini we-cardiovascular system.
• Ukuvutha.
• Intloko.

Kubalulekile ukwazi indlela onokulwa ngayo ne-hypoglycemia yesisindo esilingeneyo. Ukwenza oku, kwanele ukuthatha i-glucose okanye udle umkhiqizo oneshukela. Emva kokuhlaselwa okunjalo, kunokufuneka ukuba ulungelelanise umthamo, kunye nokutshintsha izinga lomsebenzi.

Ukuhlaselwa ngakumbi kwe-hypoglycemia kunempawu ezinjalo:

• Coma.
• Ukuxhalabisa.
• Izifo zengqondo.

Ukuphelisa ukubonakalisa okunjalo ngokuqaliswa kwe-intramuscularly or subcutaneously, "Glucagon." Qiniseka ukuba ulungelelanise amandla. Ukuba ixhomekeke kwi-insulin ayiphenduli ngokusungulwa kweGlucagon, ukufakelwa kwe- glucose okugxininisekile kungenziwa . Xa imeko isigulane sise-coma, kuyimfuneko ukufezekisa i-intramuscular okanye ingxube ye-Glucagon ndawonye. Emva kokuba umntu abuyele kwakhona, kuyimfuneko kokuqala ukumondla. Kungadingeka ukwandisa inani le-carbohydrates ekudleni. Kuya kufuneka kwakhona ukuba uviwo lwezokwelapha kunye nokuqwalasela, ekubeni ukuqala kwe-hypoglycemia kubuyeka.

Izixhobo zokusetyenziswa kweziyobisi

Ukusebenzisa eso sichaza, njenge "Hologialog", kufuneka ufunde ezinye iimpawu zokusetyenziswa kwezi zibisi:

1. Ukutshintshwa kwelinye iqela le-insulin kwelinye kufuneka libe phantsi kweliso logqirha. Ekubeni umvelisi, uphawu, iintlobo zeendlela zokulungiselela, uhlobo loveliso lwazo okanye iintlobo zezinto ezibaluleke kakhulu. Kubalulekile ukuba uqaphele ukuba xa usuka kwi-insulin yezilwanyana kumntu, kufuneka ulungelelaniso lwe dose olungabalulekanga.
2. Kubalulekile ukubeka esweni isigulane ukuba uyadlula kwi-insulin yezilwanyana ezivela kwimvelaphi ye-insulin yabantu. Kungase kubekho impawu kwinqanaba elide, okanye zifana nezo zangaphambili, kodwa kufuneka uqaphele ngokukhawuleza izinga le-glucose yegazi. Ukuba idosi ayilungiswanga, ukulahleka kwengqondo, i-coma, okanye ukufa kungenzeka.
3. Ukuba i-dosage ayilawulwa okanye ingavulwanga unyango nge-insulin exhomekeke kwisifo sikashukela, le nto ingabangela i-hyperglycemia kunye ne-ketoacidosis yesifo sikashukela. Le yimeko eyingozi kakhulu esongela ubomi bomguli.
4. Kwizigulane ezine-renal ne-hepatic insufficiency, isidingo sokuba insulin sinciphise, njengoko iinkqubo ze-gluconeogenesis kunye ne-insulin metabolism yehla. Kwizigulane ezingenasigxina esingapheliyo, ukunganyangeki kwe-insulin kunokufuna ukwanda kwidaysi.

Ukwandiswa kwimiqathango kuyimfuneko phantsi kwezi meko zilandelayo:

• Uxinzelelo olunomdla.
• Izifo ezithintekayo.
• Ukwandisa inani le-carbohydrate yokutya.

Kwakhona, ukwenza umsebenzi kunye nokutshintsha ekudleni kuthintela izinga le-glucose egazini. Umngcipheko we-hypoglycemia ukwandisa ukuba umsebenzi wokusebenza uphathwa ngokukhawuleza emva kokuba ushiye itafile.

Ukuba awuhambisani nemilinganiselo yokulungiswa kwe-insulin, umngcipheko wokulahlekelwa kwengqalelo kwanda kwaye isantya sempendulo ye-psychomotor sinciphisa.

Izigulane ezineqondo elinciphile le- hypoglycaemia okanye zihlala ziphindaphinda zifanele zihlole ukufaneleka kokuqhuba isithuthi. Kufuneka uqaphele xa ulawula iicomputer kunye neendlela.

I-hypoglycemia ekukhanyeni inokukhutshwa ngokuzimeleyo, kuthatha ubuncinane igramu ezingama-glucose okanye ukutya okuqulethe i-carbohydrate enkulu. Zonke izihlaselo ze-hypoglycemia mazixelelwe kugqirha.

Ukuba uya kusebenzisa amanye amayeza, kufuneka uqhagamshelane neengcali malunga nokuhambelana kwazo kunye neziyobisi "I-Humalog". Siza kukuxelela ngale nto kamva.

Isilwanyana "i-Humalog" sisebenzisana njani nezinye iziyobisi

Ukusebenza kwechiza elithi "Humalog" linciphisa ngokusetyenziswa ngokubambene kwezi ziyobisi:

• Zokukhulelwa komlomo.
• Glucocorticosteroids.
• Ukulungiselela amahomoni e-thyroid.
• "Danazol."
• I-Beta ₂ -adrenomimetics (kuquka "iRitodrin", "iSalbutamol", "Terbutaline").
• I-Tricyclic antidepressants.
• Iziphumo ze-phenothiazine.
• Thiazide diuretics.
• Nicotinic acid.
• "Chlorprotixen".
• "I-lithium carbonate."
• "Diazoxide".
• Isoniazid.

Ukulungiselela ukuphucula umphumo we "Humalog":

• Beta-blockers.
• Amalungiselelo e-Ethanol.
• Tetracyclines.
• I-Salicylates (ngokukodwa, i-acetylsalicylic acid).
• Anabolic steroids.
• Sulfonamides.
• MAO inhibitors.
• ACE inhibitors.
• I-Angiotensin i-receptor antagonists.
• Octreotide.

Akwavunyelwe ukudibanisa "i-Humalog" kunye nokulungiselela izilwanyana ze-insulin.

Ngaphantsi kweso sigqeba soogqirha, kunokwenzeka ukwabelana ngesilwanyana I-Humalog kunye ne-insulin yomntu ohlala ixesha elide okanye neziyobisi zomlomo we-hypoglycemic-derivatives ze-sulfonylureas.

Ukusetyenziswa kweziyobisi kubantwana

Njengoko kuthethwe ngaphambili, i-Humalog iyisistimin insulin insulin, kwaye ukuze uthumele umntwana kwisilwanyana esinjalo, kukho izizathu ezithile. Ezi ziquka:

• Ukutshintsha rhoqo ukutya komntwana kunye nokungahambisani nokutya.
• Ukwandiswa kokutya kwintsholongwane.
• Ukubonakalisa ukuhlaselwa kwe-hypoglycemia ngokuhlwa nakusihlwa.
• Ukuguquguquka okukhulu kwi-glucose yegazi, i-spasmodic course yesi sifo.
• I-insulin ekwi-short-acting did not provide the compensation.

Abantwana abaselula bayichitha ixesha elininzi badla, ngoko-ke i-insulin emfutshane ifakelwa emva kokutya.

"I-Humalog" kufuneka isetyenziswe kubantwana ngokuchanekileyo ngokulandelelana komgulana, ukuba isenzo se-insulin siyimfuneko ngokukhawuleza.

"I-Humalog" yabasetyhini abakhulelweyo nabaqeshisayo

Kufuneka kuqatshelwe ukuba abasetyhini abanesifo sikashukela abaceba ukukhulelwa kufuneka balawulwe ngokuthe ngqo kumanqanaba e-glucose yegazi, kunye nokubonwa kliniki jikelele. Ukuya kugqirha kufuneka kuxelelwe kwangaphambili.

Impembelelo engalunganga yeso sidakamizwa "I-Humalog" kumzimba wesifazane okanye kumntwana ongabonakaliyo. Isilwayo asifaki ubisi lwebele kwaye asichaphazeli ukuphuhliswa komntwana.

Unyango lwe-insulin lwenziwa kubamama abakhulelweyo okanye abakhohlakeleyo ukuze bahlale bexininisekile kwigazi. Kuyaziwa ukuba kwi-trimester yesi-1 isidingo sokuba i-insulin iphantsi kwe-2 ne-3 r. Ngethuba lexesha labasebenzi, kwaye emva koko, isidingo sokuba insulin sinciphise. Ulungelelwaniso lomthamo luyimfuneko.

Isilwanyana "i-Humalog" sihle kakhulu kubantu abakhulelweyo nabaqeshisayo. Kubalulekile ukuba ukhumbule ukuba utyunjelwe ngugqirha kwaye utshintsho oluvela kolunye uhlobo ukuya kwelinye lufanele lwenziwe ngokucokisekileyo phantsi kolawulo logqirha.

Yiyiphi intlawulo yesilwanyana "i-Humalog", kunye neziphi izifaniso, siya kuqwalasela.

Iziganeko zesilwanyana kunye neendleko zayo

Iingxoxo zokulungiselela "i-Humalog" ziquka i-insulin:

• «Actrapid MS».
• "I-Berensulin N Ipen eqhelekileyo".
• "B-Insulin S. Ts.".
• I-Depo Insulin C.
• Isofan.
• Insulin C.
• "Iletin".
• I-Insuman Combe.
• SPP ye-Inutral.
• "Combinsulin C".
• "Monosuinsulin S".
• Pensulin.
• Rinsulin.
• "I-NT Ultra-Tartar".
• "Homolong 40".
• "Humulin."

Ukulungelelanisa-izifaniso kunye nenkunkuma efanayo:

• "I-Humalog Mix 25".
• "I-Humalog Mix 50".
• «Insulin lispro».

Kufuneka kuqatshelwe ukuba izidakamizwa "i-Humalog" kwikhemistri ikhutshwe ngokungqongqo ngokwemiqathango yesigqirha. Ixabiso lilinganiselwe imishishini yale nqanaba kunye nemigangatho ephakathi kwama-ruble ka-1600-1900 ngamacandelo ama-cartridges ama-5.

Ukuba unquma ukutshintsha "i-Humalog", unokunikezelwa ugqirha ngokufana. Musa ukwenza ngokwakho, njengoko ubomi bakho buxhomekeke kuyo.

Ukuphonononga malunga nomkhiqizo "I-Humalog" kunye neenzuzo zayo

Impendulo yesigulane yinto enhle kuphela. Abantu abaninzi basebenzisa le mveliso iminyaka emininzi. "I-Humalog" (i-cartridges ezakhiwe kwi-handle "QuickKen") kulula ukuyisebenzisa. Abantu baqaphela ukungabikho kwemiphumo emibi. Isiza siqala ukusebenza ngokukhawuleza kwaye sisebenzela iiyure eziyi-1.5. Xa kuthelekiswa nezinye iindlela zeli qela, abaninzi abantu bayayiqonda umgangatho wayo ophezulu. Kwakhona, ezininzi izigulane ziyaneliseka ngexabiso leziyobisi "i-Humalog" (ixabiso liboniswe ngasentla). Bayiqaphela amandla akhe okukwazi ukujamelana nezinga eliphezulu lokushukela kwegazi.

Kwakhona, ungakhohlwa ukuba ukutshintshwa kwesinye isilwanyana ukuya kwelinye kufuneka kube phantsi kweliso logqirha.

"I-Humalog" (ukuphononongwa kwezigulane zithetha oku) - ukulungiswa okuphezulu. Kufuneka kuqatshelwe ukuba inzuzo ye-insulin yenyathelo elikhawulezayo, elingu-"Humalog":

• Umgangatho we-glucose postpandial wehla.
• Iqondo leHbA1 liyancipha.
• Ngokubanzi, umgangatho we-carbohydrates metabolism emzimbeni ukwanda.
• Uphucula umgangatho wobomi besigulane.
• Iziyobisi zingathathwa ngaphambi kokutya okanye emva, njengoko ugqirha uya kuncomela.
• Ukunciphisa kakhulu inani lokuhlaselwa kwe-hypoglycemia emini nasemini.
• Kuyakwazi ukusebenzisa ukutya okuguquguqukayo.
• Ukuthotywa kunye nokukhululeka kokusetyenziswa.

Amachiza awayekanga, kwaye ukubonakala kwezidakamizwa kubonakala kunceda umntu ukuba ahlangabezane nesifo esifana nesifo sikashukela. Ukunyamekela impilo yakho kwaye ungashiyi iimpawu zokuqala ngaphandle kwengqalelo, ubomi bakho buya kuxhomekeka kuyo.