"Humalog": mirayiridzo kushandiswa, mutengo, wongororo

Chirwere cheshuga mellitus ndiwo hwakanaka chakajairika chirwere munguva yedu. Zvinokonzera chirwere angava akasiyana chaizvo, asi wakakurira chinokosha panyaya iyi nhodzera. 10-15% chirwere cheshuga zvose - zviri cheshuga mhando 1, iyo inodiwa kuti kurapwa insulin yakakodzera hurukuro na jekiseni. Zvinofanira kucherechedzwa kuti chirwere cheshuga mhando 1 kunoratidzwa kukura dzinokosha zviratidzo pauduku uye kuyaruka, uyewo kukurumidza kukura yematambudziko kuti kukonzera nokuvhiringidzirwa nomumwe nadzo kana yose muviri. Saka zvikuru mangwanani kurapwa.

imwe gadziriro yakadaro iri rakashandiswa kuzvitsinhanisa insulin yakakodzera sezvo "Humalog". Mirayiridzo dzokushandisa ichakurukurwa hereinafter, uyewo Kutarira murwere akaongororazve kubudirira uye kunaka zvinodhaka.

The chimiro uye Kuronga zvinodhaka

The chikuru vanoshingaira wemafuta mushonga - jekiseni lispro. Mamwe zvinoriumba - the glycerol, metacresol, zingi oxide, yavaibvisa rehydrogen phosphate heptahydrate, hydrochloric acid, mvura.

Jekiseni "Humalog" - munhu recombinant DNA, munhu dzakachinjwa munhu jekiseni analoginen. Musiyano iri nekwekupedzesera kuti amino acids panzvimbo 28 uye 29 vari B pachiremera jekiseni.

mushonga anogadzirwa ipi?

• Solution nokuti majekiseni muna 3 Rine mamiririta cartridges, mhoni kavha.
• Chinyoreso kuti jekiseni.

Panewo chimiro gadziriro umo akaenzana inorwara pfupi-kuita jekiseni uye neavhareji refu. Izvi "Humalog Mix 25" uye "Humalog Mix 50".

Sezvo mushonga mabasa

The chikuru enzvimbo zvinodhaka ndiko mutemo shuga muviri. Kunze "Humalog" hunoita kuti tsandanyama kukura nokuwedzera zvakakora iine acid zviri glycogen, uyewo kuwedzera mapuroteni usage ikawanda kudyiwa amino acids. Kana kushandisa "Humalog" jekiseni lispro Pfungwa yekudyidzana kunoderedza hyperglycemia kuti kunoitika pashure kudya.

Drug sezvo pedyo sezvinobvira jekiseni dzevanhu uye mushonga-nokuita. Its paanopfuura zvimwe zvishandiso ndechokuti nokukurumidza anotanga kushanda uye haabvumiri kuti kunenge zvinomutsa wevasungwa mumaawa mashomanana pashure jekiseni. Izvi zvinonyanya kukosha kushanda varwere chete kazhinji dzamira majekiseni.

Saka, pashure kwokubatsira mushonga, "Humalog" anotanga kuita mukati maminitsi 10-20. The kunonyanyisa zviri kushingaira fuma muropa vakachengeta pashure maminitsi 30 - uye maawa nehafu. "Humalog" ine zvainoita kwemaawa anoverengeka. The hafu-upenyu hupfupi uye ndiyo chete inenge awa.

Zvinofanira kucherechedzwa kuti pakatanga zvinodhaka, izvo zvinosanganisira chakaita zvokugadzirwa jekiseni ( "Humalog" Somuenzaniso) Varwere ari yekudyidzana kwakaderedza nhamba kuzvirotera yomuropa kuratidzwa, uye akacherechedza kuti vamiririri dzakadaro chiito nokukurumidza kupfuura jekiseni kwevanhu.

Migumisiro yacho zvinodhaka, "Humalog" zvakafanana mune vakuru nevana. Zvikuru ndiyo nzvimbo chourongwa, kungava hudyu, mafudzi, dumbu kana buttock, uye dose uye yevasungwa insulin yakakodzera.

Kugadzirira "Humalog Mix 25" ane analogue insulin yakakodzera yevanhu, izvo unotora 25% of nokukurumidza-kuita jekiseni uye 75% - kubva protaminizirovannogo. It hwakagadzwa kuti anoita nokukurumidza uye mangwanani inosvika yepamusoro basa, ya zviito zvinodhaka - maawa anenge 15.

Zvairatidza uye contraindications

Kuti urumbidze kushandiswa zvinodhaka "Humalog"? Mirayiridzo kushandiswa anoratidza zvinotevera chiratidzo: chirwere cheshuga mellitus mune vakuru vana zvinoda jekiseni pakururamisa ropa shuga. Uyewo, "Humalog" ushandiswe kana chirwere cheshuga hazvigoni kugadziriswa nedzimwe insulins. Pakuvhiya uye zvirwere intercurrent.

Ndiani hariudzi kushandiswa "Humalog"? Mirayiridzo dzokushandisa richizvirambidza kuita kuti varwere vane hypersensitivity kuti zvokubikisa zvinodhaka, uyewo kana pane zvinotevera ezvinhu: hypoglycaemia uye insulinoma.

Sei kutora mushonga

Nokuti mumwe murwere, ari dose kurapwa, "Humalog" (pfupi - wayo nevamwe chinhu) pakutsvaga chiremba zvichienderana kudiwa. Drug raitongwa subcutaneously pamberi kudya kana pakarepo pashure.

Administration anogona kutora chimiro subcutaneous jekiseni, aizomupa kana vachishandisa imwe jekiseni pombi. Kana zvakakodzera, "Humalog" anogona kupiwa nomutsinga.

Drug raitongwa subcutaneously ari pachiuno, mapfudzi, magaro uye dumbu. Places vanofanira alternated nguva dzose kwete kushandisa chete. Kusuma mushonga, unofanira kungwarira kuti vasawira mudziyo ropa. Kukwiza kuti jekiseni nzvimbo haabvumirwi. All idzi pakatanga fanira murwere anofanira kuudza chiremba.

Mitemo chourongwa "Humalog"

Chokutanga, zvinofanira kutaurwa kuti "Humalog" mhinduro yacho zvinodhaka zvachose yakajeka uye haana kuva ruvara. Kana paine dzisavhiringidza kana kuvapo particulate nyaya yakadaro fuma haagoni kushandiswa. Means kunge ari nzvimbo tembiricha.

We tsanangura sei kushandisa mudanga kuti jekiseni:

1. Unofanira kugeza maoko enyu pamberi ose jekiseni.
2. Zvadaro kusarudza nzvimbo jekiseni.
3. Tinobata nazvo akambozvishandisa kuuraya utachiona.
4. Bvisa tsono chivharo.
5. Zvakakodzera kudhonza kana zaschepit ganda iri crease uye murichengete.
6. Dzinoisa tsono sezvatinorayirwa.
7. Kuvaparadzanisa bhatani.
8. Zvadaro dzokubvisa tsono uye jekiseni nzvimbo zvishoma chakatsindirwa kwenguva masekonzi mashoma. Varikwizire hazviiti.
9. Kushandisa unodzivirira chivharo kuti sunungura tsono uye kuraswa.

Intravenous mushonga akaita maererano kwakajairika kunotoda tsika kana achishandisa aizomupa hurongwa. Maitiro akadaro kunze achitungamirirwa mumwe chiremba muchipatara kana kiriniki, sezvo izvi zvinokosha kudzora ropa shuga yomuropa.

gadziriro aizomupa "Humalog" anogona kuitwa kushandisa aizomupa pombi kuti jekiseni. Zvakakodzera zvikuru kutevedzera mirayiridzo. Iva nechokwadi kuti vachengete mitemo asepsis. Kana pombi kutadza kana aizomupa gadziriro iri tsinga, zvinokwanisika kufambira kuwedzera shuga yomuropa. Ngwarira, sezvo nzira. Tiine pombi rinoshandiswa mumwe chete mhando zvinodhaka. Vaiitawo nezvisingabvumwi. Kana jekiseni pakukurukura yaputswa, zvinokosha kuti matanho maererano nemirayiridzo uye nokukurumidza kuisa chiremba kukurumbira.

Zvinokosha kucherechedza kuti zvinodhaka "Humalog Mix 25" kunoratidzwa kwayo unaku uye ruvara. Izvi mhinduro yakanga turbid chena mvura, izvo zvinofanira neshungu kwazvo vasati vachiishandisa mumaoko, asi havazunguzuke kuti kwete kuumba furo. The Kugadzirisa inofanira kuva homogeneous. Hapangavi kushandiswa fuma, kana flakes vari aumba. Nokuti kutarisirwa kwaro zvinogona kushandiswa, uyewo "Humalog" zvinodhaka "KvikPen" - mudanga iri nyore chaizvo kushandisa. Kuishandisa, hatina zvinorondedzerwa pamusoro.

Feature kushanda rinoreva "Humalog Mix 25" mukuti haagoni kupiwa nomutsinga. The chipimo chemushonga zvinodhaka nomumwe anosarudza chiremba.

Side Migumisiro zvinodhaka, "Humalog"

Mirayiridzo kushandiswa kurondedzera zvaibvira divi maitiro nhengo kana kushandisa mushonga:

• Yomuropa.
• Kurasikirwa pfungwa.
• Sema maitiro: akatsvuka, kuvaviwa, kuzvimba, mikoko.
• Tachycardia, BP.
• Vangadikitira.
• Angioedema.
• Lipodystrophy panguva jekiseni nzvimbo.

Kana nguva asingadi kubatsira, pangava migumisiro kutyisidzira upenyu murwere.

Zviratidzo ovhadhozi

Insulins vane ovhadhozi hapana zvakananga miganhu. Sezvo munhu wose ane mwero metabolic uye shuga yomuropa, zviri evasingatombonamati nomumwe. Zvisinei, unofanira kuziva kuti muri zviratidzo zvakawandisa mishonga, kana muviri haagoni kurarama uye pakanga yomuropa. Izvi zvinogona kuitika kana kwekwashi kana yakawanda simba.

Kunwisa jekiseni basa kunogona kukonzera yomuropa. Zviratidzo ndeinotevera:

• Kuneta, nokusakendenga.
• Kurasikirwa pfungwa.
• Kunwisa vangadikitira.
• Atadze kushanda zvakanaka pakati kumwoyo.
• Kurutsa.
• Headache.

Unofanira kuziva kuti kubata zvine mwero zvikuru yomuropa. Zviri zvakakwana kutora shuga kana kudya zvokudya zvine shuga. Mushure kurwiswa zvakadaro, ungada kuva dose kugadziridzwa zvichava, uyewo kuchinja zvakadini kurovedza muviri.

More zvakakomba yomuropa Zvikamu vane zviratidzo izvi:

• Pakoma.
• Nokugwinha.
• Chetsinga zvirwere.

Kubvisa Matafura yakadaro ivepo intramuscular kana subcutaneous kutarisira "Glucagon." Iva nechokwadi kuti kuchinja simba. Kana jekiseni asingadi sei pakatanga "Glucagon", zvinogona kuitwa intravenous aizomupa kuramba shuga mhinduro. Kana murwere comatose, yaifanira pamwe, uye intramuscular kana subcutaneous kutarisira "Glucagon." Mushure munhu otorazve kuziva, zvakakodzera kutanga zvokudya naye. Ungafanira kuwedzera muviri uwandu makabhohaidhiretsi. Unofanira kuva wezvokurapa kuongororwa uye pakuongorora, sezvo imwe kurwisa yomuropa anogona recur.

Zvakakurukurwa kushandiswa kwezvinodhaka

Kushandisa mushonga akadai "Humalog", iwe unofanira kuziva zvimwe zviri kushandiswa kwezvinodhaka ichi:

1. Chinja kubva muchiso insulin yakakodzera kune umwe zvinofanira kuva pasi zvokurapa achitarisirwa. Saka sei kukosha ari kutamba mugadziri, hachizi, mufananidzo chinodhaka, mhando kugadzirwa kana mhuka. Zvinokosha kucherechedza kuti munguva kuchinja kubva mhuka jekiseni vanhu duku dose kuchinja kunodiwa.
2. Zvakakodzera kuongorora murwere nokungwarira, kana chinofamba kubva mhuka jekiseni kuti jekiseni kwevanhu. Zvichida mangwanani pamusoro kusavapo chero zviratidzo, kana vari kwazvo zvakafanana avo kare akatakurwa pamusoro, asi tinofanira kunyatsoteerera kuongorora padanho shuga muropa. Kana dose haina, pangava kurasikirwa pfungwa, pakoma kana rufu.
3. Kana chipimo chemushonga hainei kana pakarepo kumisa kurapwa pamwe jekiseni zvaanoda cheshuga mellitus, izvi zvinogona kunetsa hyperglycaemia uye shuga ketoacidosis. Ichi chirwere ngozi chaizvo kuti kuparadza upenyu murwere.
4. In varwere renal uye hepatic vanotaura, jekiseni zvinodiwa anogona kuderedzwa, sokutadza gluconeogenesis uye jekiseni muviri. Varwere chisingaperi chiropa chirwere yakawedzera nemishonga kuti jekiseni kungada kuwedzera dose.

Kuwedzera uwandu husingakuvadzi inodiwa pasi zvinotevera ezvinhu:

• Huta makakatanwa.
• Zvirwere zvinotapukira.
• Kuwedzera kwenhamba carbohydrate zvokudya.

Uyewo, kurovedza muviri uye kuchinja zvokudya sei ropa shuga yomuropa. Ngozi yomuropa kunowedzera apo vaiita kurovedza muviri pakarepo pashure nokubudiswa patafura.

Kana musingadi zvinoenderana chipimo chemushonga insulin yakakodzera zvigadzirwa, pangozi nokurasikirwa hanya uye anogona kuderera kumhanya psychomotor siyana.

Varwere vanenge kwakaderedza kunzwa tsitsi zviratidzo yomuropa , kana zvaitika kakawanda, vanofanira kuongorora yakakodzera motokari kuzvidzora. Tinofanira kungwarira zvikuru kurapa michina uye zvigadziriswe.

Munyoro yomuropa anogona vakazvimiririra kusunga, une magiramu anenge makumi maviri shuga kana zvokudya zvine yakawanda makabhohaidhiretsi. hypoglycemic Zviitiko zvose zvinofanira vakaudza chiremba wako.

Kana uchizopa kushandisa dzimwe mishonga, unofanira zano nyanzvi pamusoro kugarisana kwavo chigadzirwa "Humalog". Izvi ndizvo zvatichaita kukuudza pazasi.

Sezvo mushonga kwavatori "Humalog" nevamwe zvinodhaka

Efficacy zvinodhaka "Humalog" zvinoderedza kana kuudzawo gadziriro yakadaro:

• Oral pamuviri.
• Glucocorticosteroids.
• Thyroid kemikari zvinodhaka.
• "Danazol."
• Beta ₂ -adrenomimetiki (kusanganisira "ritodrine," "salbutamol" "Terbutaline").
• Tricyclic antidepressants.
• Phenothiazines.
• Thiazide diuretics.
• Niacin.
• "Chlorprothixenum".
• "Lithium carbonate".
• "Diazoxide".
• "INH".

Zvinodhaka kuti kuwedzera kuita "Humalog":

• Beta-blockers.
• Etanolsoderzhaschie zvinodhaka.
• Tetracyclines.
• Salicylates (zvikurukuru, acetylsalicylic acid).
• Anabolic steroids.
• Sulfonamides.
• Mao FIs.
• ACE FIs.
• angiotensin Kanotokonya mhandu.
• "Octreotide".

Uyewo, hazvipindiri mushonga "Humalog" ne mhuka jekiseni kugadzirira.

Under zvokurapa cherechedzo zvinobvira kwemajoini kushandiswa zvinodhaka "Humalog" pamwe jekiseni dzevanhu pamusoro refu-kuita kana mukanwa hypoglycemic zvinodhaka - sulfonylurea.

Kushandisa zvinodhaka muvana

Sezvambotaurwa, "Humalog" chinhu nokukurumidza-kuita jekiseni, uye kuti akaisa mwana ane mushonga zvakadaro, panofanira kuva chikonzero. Izvi zvinosanganisira zvinotevera:

• Dzichichinja Nzara mwana uye asiri zvaidiwa hurumende noupfu.
• Pakuwedzera kudya mu kuyaruka.
• Mavari tichibatwa yomuropa mukupera manheru uye usiku.
• Rinokosha nokufamba muropa shuga tsika, discontinuous weboka chirwere.
• Short-nokuita jekiseni haina akapa zvakakodzera muripo.

Vana vaduku kupedza nguva vachidya, saka pfupi-kuita jekiseni chinotarisirwa pashure zvokudya.

"Humalog" rinofanira kushandiswa vana zvakasimba pasi yachiremba kurayira, kana zvakafanira Ultra-zvakasimba kuita kuti insulin iyi.

"Humalog" nokuti pamuviri uye lactating

Zvinofanira kucherechedzwa kuti vakadzi vane chirwere cheshuga vari kufunga pamuviri, zvinoda yakaoma kudzora ropa shuga yomuropa, uye uchitikurudzira yezvokurapwa rucherechedzo. The kubata chiremba anofanira nezvokudzokera pachine.

The rwakashata mugumisiro zvinodhaka, "Humalog" riri mumuviri mukadzi kana mudumbu hazvitaurwi. The mushonga hazvirevi kupinda mukaka uye hakuna kumbochinja fetus.

Kubaya jekiseni chiri kuitwa vakadzi pamuviri kana lactating kuti tirambe wevasungwa kweshuga muropa. Zvinozivikanwa kuti 1st trimester jekiseni zvinodiwa kudzika kupfuura 2 nd it uye 3 Rd. Panguva basa uye delivery, uyewo pashure pacho, jekiseni zvinodiwa anogona kuderedzwa. Kuva dose kuchinja.

Drug "Humalog" rakanakira mimba uye ukoti. Mumwe chete kuyeuka kuti ushandiswe nachiremba uye kuchinja kubva mhando mumwe kunofanira kuitwa zvachose pasi kutarisira kupinda chiremba.

Chii chinodhaka "Humalog" mutengo, uyewo chii vari analogues inokurukurwa mberi.

Analogs zvinodhaka uye ayo mutengo

By analogues zvinodhaka "Humalog" insulins zvinosanganisira:

• "Actrapid MC".
• "Normal Berlinsulin H furo."
• "B-jekiseni S. TS."
• "Dhepoti jekiseni C".
• "Isophane".
• "Jekiseni".
• "Iletin".
• "Insuman Comb".
• "Inutral CPR."
• "Kombinsulin C".
• "Monosuinsulin C".
• "Pensulin".
• "Rinsulin".
• "Ultratard HM".
• "Homolong 40".
• "Humulin".

Formulations analogues pamwe chete vanovapo fuma:

• "Humalog Mix 25".
• "Humalog Mix 50".
• "Jekiseni lispro".

Zvinokosha kucherechedza kuti zvinodhaka "Humalog" chemishonga asunungurwa kunoparirwa mushonga. Price avhareji ichi Hazvizivikanwi mushonga uye yemakomo 1600-1900 rubles por 5 nezvidimbu cartridges.

Kana ukasarudza kuchinja "Humalog", ayo analogues, unogona kurongera chiremba. Rega kudaro iwe, nokuti zvinokanganisa upenyu hwako.

Reviews kugadzirira "Humalog" uye ayo zvakanaka

Anodzokorora varwere chete akanaka. Vanhu vakawanda vanoshandisa zvinodhaka kwemakore akawanda. "Humalog" (cartridges kuti Makavakwa kupinda mubato "KvikPen") riri nyore fomu. Vanhu vanopemberera kusavapo rwakashata zviitiko. The mushonga anotanga kuita nokukurumidza uye kumhanya kwemaawa 1.5. Ichienzaniswa nedzimwe vamiririri veboka iri zhinji cherechedza yepamusoro unhu kwayo. Uyewo, vazhinji varwere zvinogutswa uye mari zvinodhaka, "Humalog" (mutengo kwakakwirira). Vanoti unyanzvi yayo yakanaka kukunda mukuru shuga yakawandisa muropa.

Uyewo usakanganwa kuti chinja kubva mushonga mumwe zvinofanira chete kuva pasi zvokurapa achitarisirwa.

"Humalog" (murefu uchapupu nezvazvo) - High-unhu zvinodhaka. Zvinofanira kuzivikanwa kubatsira Ultra-zvakasimba kuita insulin yakakodzera, inova "Humalog":

• It akazoita pachiyero shuga postpranidalnoy.
• HbA1 neb chechetere.
• Kazhinji anowedzera kunaka carbohydrate muviri mumuviri.
• Zvakaita upenyu murwere.
• Mishonga inogona kutorwa pamberi kudya kana pashure, sezvo vachanzi ndakarumbidzwa nachiremba wako.
• Sezvineiwo kwakaderedza nhamba Zvikamu zviri yomuropa masikati uye usiku.
• Zvichida kupfuura tefa kudya.
• Kurerukirwa uye nyore.

Medicine hazvirevi mirai, uye kuwedzera pane mishonga kuti ubatsire munhu kurarama nezvirwere zvakadai sechirwere cheshuga. Rangarirai utano hwako uye regai kusiya zviratidzo okutanga kuteerera, kungaenderana hwako.