Phakathi kwezidakamizwa ezisetshenziswa kakhulu ezingena-insulin zingabizwa ngeHumalog. Bakhipha izidakamizwa eSwitzerland.
Kususelwa kwi-insulin Lizpro futhi kuhloselwe ekwelapheni isifo sikashukela.
Umuthi kufanele unqunywe ngudokotela. Kufanele futhi achaze imithetho yokuphuza umuthi ukuze ugweme imiphumela emibi. Umuthi uthengiswa ngumbhalo kuphela.
Imininingwane ejwayelekile nezakhiwo zamakhemikhali
I-humalogue isesimweni sesisombululo sokumiswa noma sokulimala. Izinsolo zemvelo zivela kumhlophe futhi kuthambekele ekubumbeni. Isixazululo asinamabala futhi sinephunga, esobala.
Isakhi esiyinhloko sokuqanjwa yiLizpro insulin.
Ngaphezu kwalokho, izithako ezifana:
- amanzi
- metacresol;
- i-zinc oxide;
- glycerol;
- sodium hydrogen phosphate heptahydrate;
- isodium hydroxide solution.
Umkhiqizo uthengiswa kuma-cartridge we-3 ml. Ama-Cartridges asepeni lesirinji le-Quickpen, izingcezu ezi-5 iphakethe ngalinye.
Futhi, kunezinhlobonhlobo zomuthi, ezibandakanya isisombululo se-insulin esifushane kanye nokumiswa kwe-protamine. Babizwa ngeHumalog Mix 25 neHumalog Mix 50.
I-Lizpro insulin iyi-analogue ye-insulin yabantu futhi ibonakala ngomphumela ofanayo. Kuyasiza ukukhuphula izinga lokuthathwa koshukela. Umuthi osebenzayo usebenza kuma-membranes weseli, ngenxa yokuthi ushukela ovela egazini ungena ezicutshini bese usatshalaliswa kuwo. Kuphinde kukhuthaze ukwenziwa kwamaphrotheni okusebenzayo.
Lesi sidakamizwa sibonisa isenzo esisheshayo. Umphumela ubonakala kungakapheli ihora ngemuva komjovo. Kepha akuhlali isikhathi eside. Ngengxenye yempilo yento, cishe amahora angama-2 ayadingeka. Isikhathi sokuvezwa esiphezulu ngamahora angama-5, okuthonywa izici zomzimba womuntu ogulayo.
Izinkomba kanye ne-contraindication
Isibonakaliso sokusetshenziswa komuthi oqukethe i-insulin yile:
- thayipha isifo sikashukela esincike ku-insulin (lapho kukhona ukungabekezelelani nezinye izinhlobo ze-insulin);
- uhlobo lwe-2 yesifo sikashukela olungathembekile (uma ukwelashwa nezinye izidakamizwa kungasebenzi);
- ukungenelela okuhleliwe;
- isifo sikashukela esivele ngesikhathi sokukhulelwa (gestational).
Kulezi zimo, ukwelashwa kwe-insulin kuyadingeka. Kepha uHumalog kufanele aqokwe ngudokotela ngemuva kokufunda isithombe salesi sifo. Lesi sidakamizwa sinokuphikisana okuthile. Udinga ukuthi uqiniseke ukuthi abekho, uma kungenjalo kukhona ubungozi bezinkinga.
Lokhu kufaka phakathi:
- ukuvela kwe-hypoglycemia (noma amathuba okwenzeka kwayo);
- ukungezwani nokwakheka.
Ngalezi zici, udokotela kufanele akhethe umuthi ohlukile. Ukuqapha kuyadingeka futhi uma isiguli sinezifo ezengeziwe (izifo zesibindi nezinso), ngoba ngenxa yazo, isidingo somzimba se-insulin singaba buthaka. Ngokufanelekile, iziguli ezinjalo zidinga ukulungisa umthamo womuthi.
Imiyalo yokusebenzisa
Sebenzisa umuthi kuphela ngokubheka okuqinile kwemiyalo yochwepheshe. Imithamo yayo ingahluka kakhulu, ngakho-ke kunzima kakhulu ukukhetha ngokwakho.
Kaningi, iziguli zinconywa ukuthi zisebenzise i-0.5-1 IU / kg phakathi nosuku. Kepha ukuba khona kwezimo ezikhethekile kudinga ukulungiswa ngezinga elikhulu noma elincane. Udokotela kuphela ongashintsha umthamo ngemuva kokwenza ukuhlolwa kwegazi.
Ekhaya, iHumalog iphathwe ngokungaziphathi. Ukusuka ezicutshini ezingaphansi, umkhiqizo uthakwa kangcono. Ukufakwa kufanele kwenziwe ehlombe, ethangeni noma odongeni lwesisu sangaphakathi.
Izindawo zokujova kumele ziguqulwe ukuze zingabangeli ukuphazamiseka ekutholweni kwomuthi kanye nezinkinga. Isikhathi esifanele sokusebenzisa umuthi sisondele ngaphambi kokudla.
Ungaphatha futhi umuthi umuthi, kepha lokhu kwenziwa esikhungweni sezokwelapha.
Isifundo sevidiyo sokusebenzisa ipeni lesirinji:
Iziguli Ezikhethekile Nezinkomba
Uma usebenzisa i-Humalog, okunye ukuqaphela kuyadingeka maqondana nezigaba ezikhethekile zeziguli. Imizimba yabo ingaba nobucayi kakhulu emiphumeleni ye-insulin, ngakho-ke udinga ukuhlakanipha.
Phakathi kwazo kukhona:
- Abesifazane ngesikhathi sokukhulelwa. Ngokucatshangelwa, ukwelashwa kwesifo sikashukela kulezi ziguli kuvunyelwe. Ngokwemiphumela yocwaningo, lesi sidakamizwa asilimazi ukukhula kwesibeletho futhi asikukhiphi isisu. Kepha kufanele kukhunjulwe ukuthi ngalesi sikhathi izinga le-glucose esegazini lingahluka ngezikhathi ezahlukene. Lokhu kufanele kulawulwe ukugwema imiphumela engathandeki.
- Omama abahlengikazi. Ukungena kwe-insulin ubisi lwebele akuyona ingozi enganeni esanda kuzalwa. Le nto inemvelaphi yamaprotheni futhi igxilwa emgodini wokugaya ukudla wengane. Okuwukuphela kokuqapha ukuthi abesifazane abaziphatha ngokudla ngokwemvelo kumele babe ekudleni.
Ezinganeni nasebegugile lapho kunezinkinga zempilo, ukunakekelwa okukhethekile akudingeki. I-Humalog ilungele ukwelashwa kwabo, futhi udokotela kufanele akhethe umthamo ngokuya ngezimpawu zenkathi yesifo.
Ukusetshenziswa kweHumalog kudinga ukucatshangelwa kusengaphambili maqondana nezifo ezithile ezikhona.
Lokhu kufaka phakathi:
- Ukuphazamiseka kwesibindi. Uma lesi sitho sisebenza sibi kakhulu kunesidingo, khona-ke umphumela wesidakamizwa kuso singaba ngokweqile, okuholela ezinkingeni, kanye nasekuthuthukisweni kwe-hypoglycemia. Ngakho-ke, phambi kokuhluleka kwesibindi, umthamo weHumalog kufanele uncishiswe.
- Izinkinga ngomsebenzi wezinso. Uma kutholakala, kukhona futhi ukwehla kwesidingo somzimba se-insulin. Kulokhu, udinga ukubala ngokucophelela umthamo futhi ubheke inkambo yokwelashwa. Ukuba khona kwenkinga enjalo kudinga ukuhlolwa ngezikhathi ezithile zomsebenzi wezinso.
I-Humalog iyakwazi ukudala i-hypoglycemia, ngenxa yokuthi ijubane lokuphendula kanye namandla okugxila kuyaphazamiseka.
Isiyezi, ubuthakathaka, ukudideka - zonke lezi zici zingathinta ukusebenza kwesiguli. Imisebenzi edinga isivinini nokugxila kungenzeka ingabi nokwenzeka kuye. Kepha umuthi uqobo awuzithinti lezi zici.
Imiphumela emibi kanye ne-overdose
Ukuvela kwemiphumela emibi kungaba yingozi kakhulu. Isiguli kufanele sazise udokotela ngoshintsho olwatholwa nguye.
Ubunzima obuvame kakhulu yile:
- i-hypoglycemia;
- ubomvu besikhumba;
- ukudumba;
- ukulunywa
- umkhuhlane
- i-tachycardia;
- ingcindezi ephansi
- ukukhuphuka kokujuluka;
- lipodystrophy.
Okunye ukusabela okungenhla akuyona ingozi, ngoba kubonakala kancane futhi kudlula isikhathi.
Abanye bangadala izinkinga ezinkulu. Ngakho-ke, uma kuvela imiphumela emibi, udinga ukubonana nodokotela wakho mayelana nokwelulekwa kweHumalog.
Uzohlola ubungozi obukhona, akhombe izimbangela zabo (kwesinye isikhathi baqamba amanga ngezenzo ezingalungile zesiguli) futhi anikeze umuthi ofanele owedingekayo ukuze kuhlukaniswe nezimpawu ezingezinhle.
I-overdose yalesi sidakamizwa ihlala iholela esimweni se-hypoglycemic. Kungaba yingozi enkulu, kwesinye isikhathi kuze kuholele ekufeni.
Ubonakala ngezimpawu ezinjengokuthi:
- Isiyezi
- ukuphazamiseka kokuzwa;
- ukuzindla kwenhliziyo;
- ikhanda
- ubuthakathaka
- ukuncipha kwengcindezi yegazi;
- ukunaka kokuphazamiseka kwengqondo;
- ukozela
- iminyakazo
- ukuthuthumela.
Ukuqala kwezimpawu ze-hypoglycemia kudinga ukuxhumana nochwepheshe. Kwezinye izimo, le nkinga ingatatanyiswa ngosizo lwemikhiqizo ene-carbohydrate eningi, kepha futhi kuyenzeka ukuthi kungenzeka ukuthi isimo sesiguli sibe singejwayelekile ngaphandle kwezidakamizwa. Udinga ukungenelela okuphuthumayo kwezokwelapha, ngakho-ke akufanele uzame ukubhekana nale nkinga ngokwakho.
Ama-Analog
Ukubuyekezwa mayelana nalo muthi kuyimpikiswano. Kwesinye isikhathi iziguli azilithandi leli thuluzi, futhi ziyenqaba. Imvamisa, izinkinga ziphakama ngokusetshenziswa ngendlela engeyiyo kweHumalog, kepha kwesinye isikhathi lokhu kwenzeka ngenxa yokungakwazi ukubekezelela ukwakheka. Ngemuva kwalokho udokotela ohambelayo kufanele akhethe i-analog yalomuthi ukuze aqhubeke nokwelashwa kwesiguli, kodwa asenze siphephe futhi siphumule ngokwengeziwe.
Njengoba esikhundleni singasetshenziswa:
- Iletin.
Isidakamizwa ukumiswa kokuhlanganiswa okwenziwe nge-insulin. Kubonakaliswa yi-contraindication efana ne-Humalog nemiphumela emibi. Umuthi ubuye usetshenziswe ngokweqile. - Okwezwe. Ithuluzi limelelwa yisisombululo. Isisekelo insulin yomuntu.
- I-Farmasulin. Lesi yisixazululo somjovo we-insulin womuntu.
- I-Protafan. Isakhi esiyinhloko salo muthi yi-insulin Isofan. Kusetshenziswa emacaleni afanayo neHumalog, ngezindlela zokuqapha ezifanayo. Kwenziwe ngesimo sokumiswa.
Isidakamizwa ukumiswa kokuhlanganiswa okwenziwe nge-insulin. Kubonakaliswa yi-contraindication efana ne-Humalog nemiphumela emibi. Umuthi ubuye usetshenziswe ngokweqile.Ngaphandle kokufana emthethweni wokusebenza, le mishanguzo yehlukile kuHumalog.
Ngakho-ke, umthamo kubo ubalwa futhi, futhi lapho ushintshela kuthuluzi elisha, udokotela kufanele alawule inqubo. Ukukhetha isidakamizwa esifanele nakho kungokwakhe, ngoba nguyena kuphela ongabheka ubungozi futhi aqiniseke ukuthi akukho yini ukwephulwa.
I-Humalog ingathengwa kunoma iyiphi ikhemisi, uma kunikezwa incwadi kadokotela evela kudokotela. Kwezinye iziguli, intengo yayo ingahle ibonakale iphakeme, kanti abanye bakholelwa ukuthi umuthi ufanele leyo mali ngenxa yokusebenza kwawo. Ukutholwa kwama-cartridge amahlanu anomthamo wokugcwalisa we-3 ml kuzodinga ama-ruble ayi-1700-2100.
