"Humalog": malangizo ntchito, mtengo, ndemanga

Shuga ndi matenda ndi ofanana mu nthawi yathu. The zimayambitsa matenda zingakhale zosiyana kwambiri, koma umagwira zofunika kwambiri izi chibadwa choncho. 10-15% ya shuga onse - ndi shuga mtundu 1 chimene chili chofunika zochizira yobereka insulin jekeseni. Tikumbukenso kuti shuga mtundu 1 amakhala ndi chitukuko cha zizindikiro zazikulu mu ubwana ndi unyamata, komanso kukula mofulumira mavuto amene zimalambira kusokonezeka ziwalo munthu kapena lonse chamoyo. Choncho n'kofunika kwambiri kulandira chithandizo mwamsanga.

kukonzekera otere ntchito m'malo insulin monga "Humalog". Malangizo ntchito ayankhidwa hereinafter, komanso tione mtima amakambirana mphamvu ndi khalidwe la mankhwala.

The mawonekedwe ndi zikuchokera mankhwala

Waukulu yogwira pophika mankhwala - lispro insulin. zigawo zina - ndi glycerol, metacresol, nthaka okusayidi, sodium wa hydrogen mankwala heptahydrate, acid amathiridwa, madzi.

Insulin "Humalog" - ndi DNA zophatikizananso, kusinthidwa anthu insulin analogi. kusiyana lagona mu dongosolo n'zosiyana la amino zidulo udindo 28 ndi 29 wa B unyolo insulin.

mankhwala amapangidwa mu thupi lotani?

• Anakonza anthu jakisoni ku 3 ml ya makatiriji, chithuza ma CD.
• Cholembera kwa insulin.

Palinso mtundu kukonzekera zimene ofanana chiwerengero cha insulin wotenga nthawi yochepa ndi nthawi avareji. Izi "Humalog Mix 25" ndi "Humalog Mix 50".

Monga momwe zochitika mankhwala

Chuma chachikulu cha mankhwala ndi lamulo la shuga kagayidwe. Kuwonjezera "Humalog" kumawathandiza kukula kwa minofu ndi kuwonjezera mafuta asidi zili glycogen, komanso patsogolo mapuloteni kaphatikizidwe ndi kuchuluka kumwa amino zidulo. Pamene ntchito "Humalog" insulin lispro chiphunzitso kwambiri kumachepetsa hyperglycemia kuti zikadzatha chakudya.

Mankhwala pafupi zotheka insulin anthu ndi mankhwala akuchita. limathandiza pa zipangizo zina ndi kuti mwamsanga wayamba ntchito ndi salola kukonzanso zikubweretsa ndende mu maora pang'ono pambuyo jekeseni. Zimenezi n'zofunika kwambiri makamaka kwa odwala ntchito amene chabe jakisoni zambiri wovuta.

Choncho, utsogoleli wa mankhwala, "Humalog" zikuyamba kuchita mkati mphindi 10-20. Okhutira pazipita mankhwala yogwira mu magazi anaona pambuyo Mphindi 30 - ndi theka. "Humalog" lili ndi zotsatira zake kwa maola angapo. Hafu ya moyo waufupi ndi kokha pafupi ora.

Iwo ayenera kukumbukira kuti kumayambiriro mankhwala, monga insulin kupanga ( "Humalog", mwachitsanzo) odwala ali kwambiri yafupika chiwerengero cha mawonetseredwe nocturnal hypoglycemia, ndipo anaona kuti wothandizila ngati mwamsanga kuposa insulin anthu.

Zotsatira za mankhwala, "Humalog" mofanana akuluakulu ndi ana. Chofunika kwambiri ndi malo a boma kungakhale m'chiuno, phewa m'mimba kapena thako, ndi mlingo ndi ndende ya insulin.

Kukonzekera "Humalog Mix 25" ndi analogue a insulin anthu, limene limapangidwa 25% mofulumira wotenga insulin ndi 75% - pa protaminizirovannogo. Pali umboni kuti amachita mofulumira ndi oyambirira ukufika ntchito pachimake, nthawi ya zochita za mankhwala - 15 maola.

Zizindikiro ndi contraindications

Kulengeza ntchito mankhwala "Humalog"? Malangizo ntchito kusonyeza umboni zotsatirazi: shuga akuluakulu ndi ana amene amafuna insulin kuti tikonzedwe shuga magazi. Komanso, "Humalog" zotchulidwa ngati shuga sizingasinthe ndi insulins ena. Mu ntchito ndi matenda intercurrent.

Amene alibe kulengeza ntchito "Humalog"? Malangizo ntchito amaletsa kuchita kwa odwala amene ali ndi hypersensitivity kuti popanga mankhwala, komanso ngati pali zinthu zotsatirazi: hypoglycaemia ndi insulinoma.

Kodi kutenga mankhwala

Kwa wodwala aliyense, mlingo wa mankhwala, "Humalog" (yochepa - Mbali kanukanu) anatsimikiza ndi dokotala malingana kufunika. Mankhwala kutumikiridwa subcutaneously musanadye kapena atangotha.

Administration akhoza kutenga maonekedwe a subcutaneous jekeseni, kulowetsedwa kapena kudzera ndi mpope insulin. Ngati ndi kotheka, ndi "Humalog" angathe kuperekedwa kudzera m'mitsempha.

Mankhwala kutumikiridwa subcutaneously mu ntchafu, mapewa matako ndi pamimba. Places ayenera alternated nthawi iliyonse kuti ntchito chimodzimodzi. Chiyambi cha mankhwala, muyenera kusamala kuti kugwera mu magazi chotengera. Kutikita jekeseni malo sikuloledwa. mbali zonsezi oyamba a mtima kuvomerezedwa ayenera kudziwitsa dokotala.

Malamulo a Dongosolo "Humalog"

Choyamba, tiyenera kunena kuti "Humalog" njira ya mankhwala kukhala mandala kwathunthu ndi alibe mtundu. Ngati pali clouding kapena pamaso pa nkhani particulate, chinthu chotero sangathe ntchito. Njira ayenera kukhala firiji.

Ife kufotokoza momwe ntchito cholembera kwa insulin:

1. Muyenera muzisamba m'manja pamaso pa jekeseni.
2. Kenako sankhani malo a jekeseni.
3. Timachitira izo ndi antiseptic.
4. Chotsani singano kapu.
5. M'pofunika kukokera kapena khungu zaschepit mu crease ndi kukutetezani izo.
6. Amaika singano monga anandiuzira.
7. Kabatani.
8. Ndiye kuchotsa singano ndi malo jekeseni pang'ono mbamuikha masekondi angapo. Opaka zosatheka.
9. Ntchito kapu zoteteza unscrew singano ndi yowongoka a.

Mtsempha mankhwala anachita malinga ochiritsira mchitidwe matenda kapena pogwiritsa ntchito dongosolo kulowetsedwa. njira zimenezi akutsatiridwa motsogoleredwa ndi dokotala kuchipatala kapena chipatala, ngati pangafunike kutero kulamulira misinkhu shuga magazi.

Kulowetsedwa kukonzekera "Humalog" idzachitika ntchito kulowetsedwa mpope kwa insulin. M'pofunika mosamalitsa malangizo. Onetsetsani kusunga malamulo a asepsis. Ngati mpope ndi olakwika kapena dongosolo kulowetsedwa yatsekera, n'zotheka kuwuka mofulumira misinkhu shuga. Samalani, kuyambira ndondomeko. Ndi mpope ntchito mtundu umodzi wokha wa mankhwala. Kusanganikirana zosavomerezeka. Ngati yobereka insulin wasweka, m'pofunika kuti njira mogwirizana ndi malangizo a mwachangu kuika dokotala mu kutchuka.

Dziwani kuti mankhwala "Humalog Mix 25" amakhala ndi kapangidwe ake ndi mtundu. njira anali turbid woyera madzi, zimene ziyenera usavutike bwino pamaso kuwagwiritsa ntchito manja, koma kugwedezeka kuti apange thovu. Njira yothetsera ayenera kukhala homogeneous. Sipangakhale ntchito ya thunthu, ngati flakes ndi kupangidwa. Pakuti yoyang'anira angagwiritsidwe ntchito, komanso "Humalog" mankhwala "KvikPen" - cholembera ndi yabwino kwa ntchito. Kodi ntchito, ife tafotokozazi.

Mbali ntchito amatanthauza "Humalog Mix 25" chifukwa choti si kuperekedwa kudzera m'mitsempha. Mlingo wa mankhwala payekha amasankha dokotala.

Zotsatira zoyipa za mankhwala, "Humalog"

Malangizo ntchito limafotokoza zotheka mbali zimene lake pamene ntchito mankhwala:

• Hypoglycemia.
• Imfa ya chikumbumtima.
• Matupi awo sagwirizana anachita: redness, kuyabwa, kutupa, ming'oma.
• Tachycardia, kutsitsa magazi.
• Thukuta.
• Angioedema.
• Lipodystrophy pa malo jekeseni.

Ngati nthawi si kuthandiza, pangakhale mavuto aakulu kuopseza moyo wodwalayo.

Zizindikiro cha mankhwala osokoneza bongo

Insulins alibe yeniyeni malire ambiri osokoneza. Aliyense ali ndi mlingo kagayidwe kachakudya ndi milingo shuga, ndi mwangwiro payekha. Komabe, muyenera kudziwa zomwe ndi zizindikiro za Mlingo muyeso, ngati thupi sangathe kulimbana ndi panali hypoglycemia. Izi zingachitike ngati kuperewera kwa zakudya m'thupi kapena mphamvu zambiri.

Kugwiritsa insulin ntchito zingachititse hypoglycemia. zizindikiro ziri motere:

• Mantha, mphwayi.
• Imfa ya chikumbumtima.
• Kugwiritsa thukuta.
• Wonongeka a dongosolo mtima.
• Kusanza.
• Mutu.

Muyenera kudziwa mmene angachitire ndi hypoglycemia aakulu mwapang'ono. Ndi zokwanira kutenga shuga kapena kudya zakudya zokhala ndi shuga. Matenda amenewa, mungafunike banjali mlingo adzakhala, komanso kusintha mlingo wa masewera olimbitsa thupi.

Makanema More aakulu hypoglycemia ndi zizindikiro zimenezi:

• Chikomokere.
• Zopweteka.
• matenda a ubongo.

Kuthetsa zosonyezera n'zotheka ndi mu mnofu kapena makonzedwe subcutaneous "Glucagon." Onetsetsani kusintha mphamvu. Ngati insulin si anatani kumayambiriro "Glucagon", akhoza kuchitika mwa mtsempha kulowetsedwa wa moyikirapo shuga njira. Ngati wodwala comatose, ayenera kuchitidwa pamodzi ndi mu mnofu kapena makonzedwe subcutaneous "Glucagon." Munthuyo ungatengeso kutsitsimuka, m'pofunika woyamba wa zonse kudyetsa iye. Mungafunike kuwonjezera kuchuluka zakudya chakudya. Inunso muyenera kufufuza mankhwala ndi kuonerera, popeza kuukira kwa hypoglycemia mwina anawathetsa akuyambiranso.

Features ntchito mankhwala

Kugwiritsa ntchito mankhwala monga "Humalog", muyenera kudziwa zina mwa mbali ya ntchito mankhwala:

1. Pitani ku mtundu wina wa insulin kuti wina akhale moyang'aniridwa ndi achipatala. Choncho n'kofunika akusewera ndi wokonza, chikuni, mtundu wa mankhwala, mtundu kupanga kapena mitundu. Dziwani kuti pa kusintha kwa insulin nyama kusintha anthu ang'ono mlingo chofunika.
2. M'pofunika kuyan'ana mtima mosamala, ngati iye apita insulin nyama insulin anthu. Mwina oyambirira pakalibe zizindikiro zilizonse, kapena mofanana kwambiri anthu kale kutengedwera kwinako, koma ayenera mosamalitsa kuyan'ana mlingo wa shuga m'magazi. Ngati mlingo n'zopanda, pangakhale imfa ya chikumbumtima, chikomokere kapena imfa.
3. Ngati mlingo sumalamulidwa kapena mwadzidzidzi kusiya mankhwala ndi insulin amadalira shuga, izi imfayo hyperglycaemia ndi matenda ashuga ketoacidosis. Ichi ndi chikhalidwe oopsa kwambiri amene agonjetsa moyo wa wodwalayo.
4. Odwala ndi kuwonongeka aimpso ndi kwa chiwindi, amafuna insulin mwina kuchepetsedwa, monga yafupika gluconeogenesis ndipo thupi insulin. Odwala matenda aakulu chiwindi kuchuluka kukana kuti insulin kungafune kuwonjezeka mlingo.

Kuwonjezera mlingo chofunika pansi zinthu zotsatirazi:

• Mantha mavuto.
• Nthenda.
• Kuwonjezera chiwerengero cha zakudya zimam'patsa.

Komanso, masewera olimbitsa thupi ndiponso kusintha zakudya bwanji misinkhu shuga magazi. Chiopsezo hypoglycemia kumawonjezera pamene tikugwira ntchito thupi mwamsanga kumasulidwa ku gome.

Ngati mulibe kutsatira mlingo wa mankhwala insulin, ngozi za imfa chidwi ndi mwina ndichepe liwiro zochita psychomotor.

Odwala amene yafupika kumverera kumva zizindikiro za hypoglycemia , kapena zimachitika kawirikawiri, awunike moyenera kulamulira galimoto. Tiyenera kusamala kwambiri pa kayendetsedwe ka makina ndipo makinawa.

Wofatsa hypoglycemia akhoza mosadalira kukamanga, ndi magalamu osachepera makumi awiri a shuga kapena zakudya zokhala ndi wambirimbiri chakudya. zochitika zonse hypoglycemic ayenera kunenedwa dokotala.

Ngati mukupita ntchito mankhwala ena, mungafunike malangizo katswiri za ngakhale awo ndi mankhwala "Humalog". Izi ndi zimene ndikuuzani inu pansipa.

Pamene ankachita mankhwala "Humalog" ndi mankhwala ena

Efficacy wa mankhwala "Humalog" amachepetsa pokambirana zinthuzi:

• Oral kulera.
• Glucocorticosteroids.
• mankhwala chithokomiro timadzi.
• "Danazol."
• Beta ₂ -adrenomimetiki (kuphatikizapo "ritodrine," "salbutamol" "Terbutaline").
• Tricyclic antidepressants.
• Phenothiazines.
• Thiazide okodzetsa.
• Niacin.
• "Chlorprothixenum".
• "Lifiyamu carbonate".
• "Diazoxide".
• "INH".

Mankhwala kuonjezera kanthu "Humalog":

• Beta-blockers.
• Etanolsoderzhaschie mankhwala.
• Tetracyclines.
• Salicylates (makamaka asidi, acetylsalicylic).
• Anabolic mankhwala.
• Sulfonamides.
• Mao zoletsa.
• Ace zoletsa.
• angiotensin cholandilira muzikangana.
• "Octreotide".

Komanso, sizimayenderana mankhwala "Humalog" kukonzekera insulin nyama.

Mu mankhwala kuyang'aniridwa tigwiritse ntchito anzake a mankhwala "Humalog" ndi insulin aumunthu kuleza akuchita kapena ndi mankhwala m'kamwa hypoglycemic - sulfonylurea.

Ntchito mankhwala ana

Monga tanena kale, "Humalog" ndi mofulumira wotenga insulin, ndi kuti amunamizire mwana zimenezo mankhwala, payenera kukhala zifukwa zina. Zikuphatikizapo zotsatirazi:

• Zikusintha chilakolako cha mwana ndi sanali kugwilizana boma la chakudya.
• Kukula kwa zakudya mu achinyamata.
• Predisposed kuti chifundo cha hypoglycemia madzulo ndi usiku.
• kusinthasintha kwambiri mfundo shuga magazi, discontinuous Inde matendawa.
• Short-akuchita insulin si anapereka malipiro kutero.

Ana kuwononga nthawi kudya, waufupi wotenga insulin chikuyendetsedwera pambuyo chakudya.

"Humalog" ayenera kugwiritsidwa ntchito pa ana mosamalitsa pansi malamulo dokotala, ngati n'koyenera kopitilira muyeso-kudya kanthu za insulin.

"Humalog" kwa pakati ndi lactating

Tikumbukenso kuti akazi ndi matenda a shuga amene akuganizira mimba, amafuna ziyang'aniridwe a misinkhu shuga magazi, ndi akukhudzidwira kuonerera matenda. The dokotala amachitira ayenera analidziwitsa pasadakhale.

Zotsatira chokhwima kwa mankhwala, "Humalog" pa thupi la mkazi kapena mwana wosabadwayo sakunena. Mankhwala samalowa mkaka wa m'mawere ndipo alibe mphamvu pa chitukuko yoopsa.

mankhwala insulin amachitika amayi apakati kapena lactating kuti asunge ndende ya shuga m'magazi. Amadziwika kuti trimester 1 amafuna insulin kwenikweni poyerekeza mu 2 na- ndi 3 Rd. Pa ntchito ndi yobereka, komanso pambuyo, amafuna insulin mwina kuchepetsedwa. Muyenera kusintha mlingo.

Mankhwala "Humalog" ndi abwino pakati ndi unamwino. Munthu akhoza kungowauzira kumbukirani kuti zotchulidwa dokotala ndi kusintha kwa mtundu wina ndi mzake ziyenera kuperekedwa mosamalitsa kuyang'aniridwa ndi dokotala nawo.

Kodi mankhwala "Humalog" mtengo, komanso zimene ndi analogues zambiri zokhudza nkhani.

Analogs cha mankhwala ndi mtengo wake

Mafotokozedwe okonzekera "Humalog" akuphatikizapo insulini:

• «Actrapid MS».
• "Berensulin N Normal Pen".
• "B-Insulin S. Ts.".
• Depo Insulin C.
• Isofan.
• Insulin C.
• "Iletin".
• Kusakaniza Combe.
• SPP inutral.
• "Combinzinin C".
• "Monosuinsulin S".
• Pensulin.
• Rinsulin.
• "NM-Tartar NM".
• "Homolong 40".
• "Humulin."

Kukonzekera-kufanana ndi chinthu chomwecho chogwira ntchito:

• "Kusakanikirana kwa Humalog 25".
• "Mix Mix 50".
• «Insulin lispro».

Tiyenera kukumbukira kuti mankhwala "Humalog" mu mankhwala amamasulidwa mosamalitsa malinga ndi lamulo la adotolo. Mtengo ndi wamamwayi wa mankhwala a msinkhuwu ndi mapaundi a pakati pa 1600-1900 rubles kwa zidutswa zisanu za cartridges.

Ngati mutasintha kusintha "Humalog", mungaperekedwe kwa dokotala mwa kufanana. Musati muzichita izo nokha, momwe moyo wanu umadalira pa izo.

Ndemanga za mankhwalawa "Humalog" ndi ubwino wake

Mayankho a wodwalayo ndi abwino basi. Anthu ambiri amagwiritsa ntchito mankhwalawa kwa zaka zambiri. "Mafilimu" (makhadi omwe amamangidwira "QuickKen") ndi osavuta kugwiritsa ntchito. Anthu amadziwa kuti palibe zotsatirapo. Mankhwalawa amayamba kuchita mofulumira ndikugwira ntchito maola 1.5. Poyerekeza ndi njira zina za gulu lino, anthu ambiri amaona khalidwe lake lapamwamba. Komanso, odwala ambiri amakhutira ndi mtengo wa mankhwala "Humalog" (mtengo uli pamwambapa). Amadziwa kuti amatha kupirira shuga yapamwamba ya magazi.

Komanso musaiwale kuti kusintha kwa mankhwala kuchokera ku mankhwala ena kumangokhala pansi pa dokotala.

"Manambala" (ndemanga za odwala amanena izi) - kukonzekera kwambiri. Tiyenera kuzindikira ubwino wa insulini yofulumira, yomwe ndi "Manambala":

• Mlingo wa shuga wa postprandial umachepa.
• Mlingo wa HbA1 umachepa.
• Kawirikawiri, khalidwe lakumaga thupi m'thupi limakula.
• Zimapangitsa kukhala ndi moyo wathanzi.
• Mankhwala amatha kutengedwa musanadye chakudya kapena pambuyo, monga adokotala angakulimbikitsireni.
• Anachepetsa kwambiri chiwerengero cha zigawenga za hypoglycemia masana ndi usiku.
• N'zotheka kugwiritsa ntchito zakudya zowonjezereka.
• Zosangalatsa komanso zosavuta kugwiritsa ntchito.

Mankhwala samayimilira, ndipo mankhwala ambiri akuwoneka omwe amathandiza munthu kuthana ndi matenda monga matenda a shuga. Samalirani thanzi lanu ndipo musasiye zizindikiro zoyamba popanda kusamala, moyo wanu ukhoza kudalira pa izo.