Ndị ọrịa nwere ọrịa mellitus nke ụdị insulin kwesịrị ka etinyere insulin kwa ụbọchị iji nwee ahụ ike. Ọgwụ a bụ ụdị dị iche iche. Humalog na nkpuru sirinji nwere ezigbo nyocha. Ntuziaka maka iji ngwa a ka enyere n'ime edemede ahụ.
Humalog na mkpụrụ edemede sirinji: atụmatụ
Humalog bụ ihe ana - agbanwe agbanwe nke insulin nke mmadụ. Akụkụ bụ isi ya bụ mgbanwe na njikọta nke amino asịd n’agbụ insulin. Ọgwụ na-edozi metabolism metabolism. Ọ nwere mmetụta anabolic.
Hulinlog Insulin Cartridges
Site na ntinye nke Humalog, ntinye uche nke glycogen, glycerol, acid na-abawanye. A na-akwalitekwa protein. Amino acid na-abawanye. Nke a na-ebelata ketogenesis, gluconeogenesis, lipolysis, glycogenolysis, catabolism protein na mwepụta nke amino acid. Humalog bụ insulin na-adị mkpụmkpụ.
Ihe eji arụ ọrụ
Akụkụ kachasị arụ ọrụ nke Humalog bụ insulin lispro.
Otu katriiki nwere 100 IU.
Na mgbakwunye, enwere ihe inyeaka: glycerol, zinc oxide, sodium hydroxide 10% ngwọta, hydrochloric acid 10% ngwọta, sodium hydrogen phosphate heptahydrate, metacresol, mmiri maka injection.
Ndị na-emepụta ihe
Na-ebido insulin n'ụlọ ọrụ French Humalog Lilly France. Tinyekwara aka na mmepụta nke ụlọ ọrụ America bụ Eli Lilly na Companylọ Ọrụ. Na-eme ọgwụ ahụ na Eli Lilly Vostok S.A., mba - Switzerland. Enwere ụlọ ọrụ nnọchite anya na Moscow. Ọ dị na Pranenskaya embankment, 10.
Ngwakọta insulin Humalog: 25, 50, 100
Ngwakọta Humalog 25, 50 na 100 dị iche na Humalog na-emebu site na ọnụnọ nke ihe ọzọ - na-anọpụ iche protamine Hagedorn (NPH).Akụkụ a na - enyere aka belata ọrụ insulin.
Na ngwakọta ọgwụ, ụkpụrụ 25, 50 na 100 na-egosi itinye uche nke NPH. Ọ bụrụ na ihe ndị ọzọ mejupụtara a bụ ihe a na-eme ka ọ dị ogologo. Ihe bara uru bu na ha belata onu ogugu nke ubochi.
Nke a na-eme ka usoro ọgwụgwọ dịkwuo mfe ma na-eme ka ndụ onye nwere ọrịa shuga nwee ntụsara ahụ. Ihe ọghọm nke ngwakọta Humalog bụ na ọ naghị enye njikwa glucose plasma dị mma. NPH na-akpatakarị mmeghachi omume nfụkasị, ọdịdị nke ọtụtụ nsonaazụ.
Typesdị insulin a dị mma naanị maka ndị ọrịa mamịrị n’afọ, onye ndụ ya dị mkpụmkpụ, ọrịa afọ na-amalite. Maka ụdị ndị ọrịa ndị ọzọ, ndị dọkịta na-akwado ike iji Humalog dị ọcha.
Ntụziaka maka ojiji
E gosipụtara Humalog maka ịgwọ ọrịa shuga na ndị okenye na ụmụaka chọrọ insulin kwa ụbọchị iji nọgide na-enwe glucose ọbara nkịtị.
Dabere na usoro onodu ogwu ya na ugboro ole dọkịta ji kpebie. Enwere ike ịnye ọgwụ ahụ intramuscularly, subcutaneously ma ọ bụ intravenously. Latterzọ ikpeazụ eji eme ihe kwesịrị ekwesị naanị maka ọnọdụ ụlọ ọgwụ.
Nlekọta ọgbụgba n’ime ụlọ na-etinye aka na ụfọdụ ihe egwu. A na-agbanye humalogue n'ime katrijiki niile naanị subcutaneously jiri pen sirinji.
Ekwesịrị iji ọgwụ a mee ihe ruo minit 5-15 tupu nchịkwa ma ọ bụ ozugbo nri. A na-eme ntinye agba ugboro isii 4-6 n'ụbọchị. Ọ bụrụ na-ekenye onye ọrịa ahụ ọgwụ insulin ogologo oge, mgbe ahụ, a na-agunye Humalog ugboro atọ n'ụbọchị.
Mpempe sirinji nke oge a na-eme ka usoro ntụtụ ahụ dị mfe. Tupu ojiji, a ga-akpọrịrị ọkpọ ahụ n'ọbụ aka. A na-eme nke a ka ọdịnaya wee bụrụ otu na agba na agbanwe agbanwe. Emegharịnala kadi nke ọma. Ma ọ bụghị ya, ụfụfụ nwere ike etolite, nke ga-egbochi ntinye ego.
Ihe ndị a na-akọwa usoro algorithm maka otu esi enweta ogbugba ziri ezi:
- sachaa aka ncha;
- họrọ ebe ịgba ọgwụ ma hichaa ya na mmanya;
- Wụsa mkpịsị edemede mgbokwasị na katrij etinyere n’ime ya n’ime ụzọ dị iche iche ma ọ bụ tụgharịa ugboro 10 Ihe ngwọta kwesịrị ịdị edo, enweghị agba na transperent. Ejila kadi nke nwere urukpu, nke nwere acha ma obu nke gbara agba. Nke a na-egosi na ọgwụ ahụ arịala njọ n'ihi eziokwu na edobeghị ya nke ọma, ma ọ bụ ụbọchị ọ gwụla;
- tụọ usoro onunu ogwu;
- wepu okpu nchebe na agịga;
- dozie akpụkpọ ahụ;
- tinye agịga ahụ n'ime akpụkpọ ahụ kpamkpam. N'okwu a, mmadụ ga-akpachara anya wee ghara ịbanye n'ụgbọ ọbara;
- pịa bọtịnụ ahụ n'aka ahụ ma jide ya;
- Mgbe nkụpu ụda wee mezue ntụtụ ahụ, chere sekọnd iri wee wepụ agịga ahụ. Na ngosipụta ahụ, ọgwụ kwesịrị ịbụ efu;
- wepụ akwa ahụ pụtara ya na swab. Ọ gaghị ekwe omume ịhịa aka ma ọ bụ tee ebe ntụtụ mgbe ọgwụ ntụtụ;
- tinye mkpuchi nchebe na ngwaọrụ.
Tupu ịmalite yana mgbe usoro ahụ gasịrị, onye ọrịa ahụ kwesịrị iji glucometer tụọ ọbara ọbara. Ma ọ bụghị ya, enwere ihe ize ndụ nke hypoglycemia.
Humalog nwere ụfọdụ contraindications:
- hypoglycemia;
- Anabataghị insulin lyspro ma ọ bụ ihe ndị ọzọ dị n'ọgwụ ahụ.
Mgbe ị na-eji Humalog, ekwesịrị iburu n'uche na, n'okpuru mmetụta nke ọgwụ ụfọdụ, mkpa nke inje nwere ike gbanwee.
Dịka ọmụmaatụ, mgbochi ụbụrụ, corticosteroids nwere mmetụta hyperglycemic. Ya mere, ịkwesịrị ịnye ọgwụ ahụ na nnukwu usoro ị ga-eji. Mgbe ị na-a tabletsụ mbadamba ọgwụ antidiabetic, ọgwụ antidepressants, salicylates, ACE inhibitors, beta-blockers, mkpa insulin na-ebelata.
Anabatara iji Humalog n'oge afọ ime. O nweghi nsogbu a hụrụ na ụmụ nwanyị nọ n'ọnọdụ iji ọgwụ ịgba ọgwụ a. Ngwaahịa ahụ anaghị emetụta ahụike nke nwa ebu n'afọ ma ọ bụ nke amụrụ ọhụrụ. Ma n'oge a, ịkwesịrị iji nlezianya nyochaa oke shuga dị n'ọbara.
N’ime oge nke atọ, mkpa insulin na-ebelatakarị, n’ime oge nke abụọ na nke atọ ọ na-abawanye. N'oge a na-enye nwa ara, enwere ike ichota insulin nke insulin.
O nwebeghi oke ókè maka ịdoụbiga mmanya ókè. A sị ka e kwuwe, ịta ụbara plasma bụ nsonaazụ nke mmekọrịta dị n'etiti insulin, nnweta glucose, na metabolism.
Ọ bụrụ n’itinye ọtụtụ, hypoglycemia ga-eme. N'okwu a, a na-ahụ ihe mgbaàmà ndị a: enweghị mmasị, enweghị nsogbu, ọsụsọ, mmụọ adịghị mma, tachycardia, isi ọwụwa, vomiting, na-ama jijiji nke njedebe. A na-ewepụ hypoglycemia dị ala site n'iwere mbadamba glucose, ngwaahịa nwere shuga.
Mwakpo siri ike nke hypoglycemia, nke nkwonkwo akwara, coma, chọrọ nchịkwa intramuscular ma ọ bụ subcutaneous glucagon. Ọ bụrụ na enweghị mmeghachi omume maka ihe a, mgbe ahụ, ekwesịrị ịgwọta glucose 40% nke uche gwọọ intravenịal. Mgbe onye ọrịa nwetaghachiri onwe ya, ọ kwesịrị inye nri nri carbohydrate, ebe ọ bụ na enwere ihe ize ndụ nke hypoglycemia ugboro ugboro.
Mgbe ị na-eji Humalog, nsonaazụ ya nwere ike ime:
- Ngosipụta nfụkasị. A na-ahụ ha nke ukwuu, mana ha dị oke njọ. Onye ọrịa ahụ nwere ike ịnwe ume mkpụmkpụ, itching ahụ niile, sweating, obi obi ugboro ugboro, wedata ọbara mgbali, iku ume. Ọnọdụ dị egwu na-etinye ndụ egwu;
- hypoglycemia. Nsonaazụ kachasị emetụta hypoglycemic therapy;
- mmeghachi omume ntụtụ (ọnya, nācha ọbara-ọbara, itching, lipodystrophy). Ọ gafere ụbọchị ole na ole, izu.
A ga-echekwa Humalog n'ebe kpọrọ nkụ na ebe gbara ọchịchịrị na okpomoku +15 ruo +25. Ọgwụ agaghị adị nke dị n’ọkụ na-agba ọkụ ma ọ bụ na batrị tupu ojiji. Ekwesịrị ka ejide igbe ahụ n'ọbụ aka.
Nyocha
Enwere ọtụtụ nyocha nke Humalog na sirinji pensụl. Imirikiti n'ime ha bụ ezigbo:
- Natalya. Enwere m ọrịa shuga. Ana m eji Humalog ede ya na sirinji. Nnọọ. Nri shuga na-adaba ngwa ngwa. Na mbụ, ọ gbara Actrapid na Protafan. Na Humalog enwere m obi iru ala ma nwekwuo obi ike. Hypoglycemia anaghị eme;
- Olga. Enwere m ọrịa shuga n'afọ nke abụọ. N'oge a, m nwara iyi iyi dị iche iche. Ọgwụ ogologo oge tụtụtara ozugbo. Mana eji ọgwụ na - eme obere oge ruo ogologo oge enweghị m ike ikpebi. N'ime ndị niile amaara, Humalog na Ndenye Pen Pen bụ nke kacha dịrị m mma. Ọ na - eme ka shuga dị ngwa, rụọ ọrụ nke ọma. N'ihi aka ahụ ọ dị mfe iji. Tupu okwu mmeghe, m na-agụta nkeji achịcha ma họrọ otu. Ugbua ọkara afọ na Humalog wee ruo ugbu a agaghị m agbanwe ya;
- Andrey. Afọ nke ise na-arịa ọrịa shuga. Mgbe a na-emekpa ya ahụ, ọ na-agbari glucose n'ọbara. N’oge na-adịbeghị anya, a kpọfere m na Humalog. Enwere m obi ụtọ ugbu a, ọgwụ na-enye ezigbo ụgwọ. Naanị ihe ndọghachi azụ ya bụ nnukwu ọnụahịa;
- Marina Anọ m ọrịa shuga kemgbe afọ iri. Ruo mgbe ọ dị afọ 12, o weere mbadamba shuga dị ala. Ma, ha kwụsịrị inyere m aka. N'ihi nke a, endocrinologist tụbara ịgbanye insulin Humalog. Achọghị m nke a n'ezie wee guzogide. Ma mgbe anya m bidoro ịka njọ na nsogbu akụrụ m bidoro, ekwetara m. Emeghị m akwa ụta maka mkpebi m. Inchọ inje abụghị ihe egwu. Ugbu a, shuga adịghị elu karịa 10. Enwere m afọ ojuju na ọgwụ ọjọọ.
Vidiyo ndị metụtara
Ntuziaka maka ojiji insulin Humalog na vidiyo ahụ:
Ya mere, Humalog na mkpịsị sirinji bụ ọgwụ kachasị mma maka ndị nwere ọrịa shuga. O nwere obere contraindications na nsonaazụ ya. Site na mkpịsị mkpụrụ sirinji, a na-eme ka nhazi ngwa ngwa na nchịkwa ọgwụ dị mfe. Ndị ọrịa nwere echiche dị mma banyere ụdị insulin a.