HUMALOG 100ME

Duk da cewa masana kimiyya sun sami nasarar maimaita kwayar insulin din da ake samarwa a jikin mutum, aikin kwayar halittar har yanzu ya zama an sassauta saboda lokacin da ake buƙata don narkewa cikin jini. Magunguna na farko na inganta aikin shine Humalog insulin. Ya fara aiki tuni mintina 15 bayan allura, don haka sukari daga jini aka canza shi zuwa kyallen takarda a kan kari, har ma hyperglycemia na ɗan gajeren lokaci bai faruwa.

Idan aka kwatanta da insulins na mutum da aka haɓaka a baya, Humalog yana nuna kyakkyawan sakamako: a cikin marasa lafiya, ana rage canzawar yau da kullum a cikin sukari da kashi 22%, glycemic indices sun haɓaka, musamman da rana, kuma da alama tsananin rashin jinkiri na hauhawar jini ya ragu. Sakamakon azumin, amma tsayayyen aiki, ana ƙara amfani da wannan insulin a cikin ciwon sukari.

Bruef umarnin

Umarni game da amfani da insulin Humalog abu ne mai cike da ƙima, kuma sassan da suke bayyana illolin sakamako da kwatance don amfani da sakin layi sama da ɗaya. Bayani mai tsawo da ke rakiyar wasu magunguna ana samun su ta hanyar marasa lafiya a matsayin gargadi game da haɗarin shan su. A zahiri, komai kishi ne daidai: babban umarni ne - shaidar da yawa gwajicewa magani samu nasarar tsayayya.

An amince da Humalogue don amfani da shi sama da shekaru 20 da suka gabata, yanzu ana iya kasancewa da tabbaci a fili cewa wannan insulin ɗin yana da lafiya a gwargwado daidai. An yarda da shi don amfani da tsofaffi da yara; ana iya amfani dashi a duk halaye tare da rashi mai ƙarfi na hormone: nau'in 1 da nau'in 2 na ciwon sukari, cututtukan cututtukan mahaifa, da tiyata.

Janar bayani game da Humalogue:

Daga cikin sakamako masu illa, cututtukan cututtukan zuciya da cututtukan ƙwayar cuta ana lura da su sau da yawa (1-10% na masu ciwon sukari). Kasa da 1% na marasa lafiya suna haɓakar lipodystrophy a wurin allurar. Mitar wasu halayen masu rauni ba su wuce 0.1% ba.

Mafi mahimmanci Game da Humalog

A gida, ana gudanar da Humalog ta hanyar amfani da maɓallin sirinji ko famfo na insulin. Idan za a kawar da cututtukan hawan jini, za a iya samun damar gudanar da magunguna a cikin asibitin. A wannan yanayin, sarrafa sukari akai-akai wajibi ne don kauce wa yawan zubar da ruwa.

Abubuwan da ke aiki na miyagun ƙwayoyi shine insulin lispro. Ya bambanta da hormone mutum a cikin tsari na amino acid a cikin kwayoyin. Irin wannan canjin baya hana masu karɓar tantanin halitta tantance kwayoyin halittar, don haka suna iya sanya sukari cikin kansu cikin sauƙi. Humalogue ta ƙunshi kawai monomers na insulin - guda, kwayoyin da ba a haɗa su ba. Saboda wannan, ana shan shi da sauri kuma a ko'ina, yana fara aiki don rage sukari da sauri fiye da insulin al'ada na al'ada.

Humalog magani ne da ya fi guntu aiki, misali, Humulin ko Actrapid. Dangane da rarrabuwa, ana nufin analogs insulin tare da aikin ultrashort. An fara aikinsa cikin sauri, game da mintina 15, don haka masu ciwon sukari ba dole su jira har sai miyagun ƙwayoyi zasu yi aiki ba, amma zaku iya shirya abinci nan da nan bayan allura. Godiya ga irin wannan ɗan gajeren rashi, yana zama mafi sauƙi don shirya abinci, kuma haɗarin manta abinci bayan allura ya ragu sosai.

Don ingantaccen iko na glycemic, ya kamata a haɗa insulin da sauri tare da yin amfani da insulin na tsawon lokaci. Iyakar abin da ya keɓance shine amfani da famfo na insulin akan aikin mai gudana.

Yankan zaɓi

Maganin Humalog ya dogara da dalilai da yawa kuma an ƙayyade daban-daban ga kowane masu ciwon sukari. Yin amfani da tsarin yau da kullun ba a bada shawarar ba, saboda suna ƙaruwa da raunin ciwon sukari. Idan mara lafiya ya manne da karancin abincin carbohydrate, kashi na Humalog na iya zama kasa da tsarin gudanarwa na yau da kullun. A wannan yanayin, ana bada shawara don amfani da insulin mai rauni mai rauni.

Ultrashort hormone yana ba da tasiri sosai. Lokacin canzawa zuwa Humalog, ana ƙididdige ƙwayar farkonsa azaman 40% na ɗan gajeren insulin da aka yi amfani dashi a baya. Dangane da sakamakon glycemia, an daidaita sashi. Matsakaicin buƙata don shirye-shiryen kowane yanki burodi shine raka'a 1-1.5.

Tsarin allura

Kalmar humalogue ce kafin kowane abinci, akalla sau uku a rana. Game da sukari mai yawa, ana ba da izinin poplings tsakanin manyan injections. Umarnin don amfani yana da shawarar yin lissafin adadin insulin da ake buƙata dangane da carbohydrates da aka shirya don abinci na gaba. Kimanin mintina 15 ya kamata ya wuce daga allura zuwa abinci.

Dangane da sake dubawa, wannan lokacin ba shi da yawa, musamman da rana, lokacin jure insulin yana ƙasa. Yawan shaye shaye ne na mutum, ana iya yin amfani da shi ta amfani da maimaita matakan glucose na jini kai tsaye bayan allura. Idan an lura da yanayin rage sukari da sauri fiye da umarnin, umarnin lokacin da abinci ya kamata ya ragu.

Humalog shine ɗayan magunguna mafi sauri, saboda haka yana da dacewa don amfani dashi azaman taimakon gaggawa don ciwon sukari idan ana barazanar mai haƙuri tare da ƙwayar cutar hauka.

Lokacin aiki (gajere ko tsawo)

An lura da girman insulin ultrashort a cikin mintuna 60 bayan gudanarwarsa. Tsawan lokacin aiki ya dogara da sashi; mafi girma shine, tsawon lokacin da yake haifar da rage sukari shine, a matsakaita, kimanin awa 4.

Humalog mix 25

Don kimantawa daidai da tasirin Humalog, ana buƙatar auna glucose bayan wannan lokacin, yawanci ana yin wannan kafin abinci na gaba. Ana buƙatar ma'aunin farko idan ana zargin hypoglycemia.

Shortarancin gajeren lokacin Humalog ba matsala bane, amma fa'idodin maganin. Godiya gareshi, marasa lafiya da ke dauke da cutar sankarar mellitus ba su da yiwuwar fuskantar hauhawar jini, musamman da daddare.

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Na yi shekaru da yawa ina nazarin ciwon sukari. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

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Humalog Mix

Baya ga Humalog, kamfanin harhada magunguna Lilly Faransa yana samar da Humalog Mix. Cakuda ne na lyspro insulin da kuma sulfate protamine. Godiya ga wannan haɗin, lokacin farawa na hormone yana kasancewa cikin sauri, kuma tsawon lokacin aiki yana ƙaruwa sosai.

Humalog Mix yana samuwa a cikin taro biyu:

Amfanin kawai irin waɗannan kwayoyi shine hanya mafi sauƙi na allurar rigakafi. Sakamakon ciwon sukari mellitus yayin yin amfani da shi ya fi muni tare da tsarin kulawa da insulin na motsa jiki da kuma amfani da Humalog na yau da kullun, sabili da haka, don Yara Humalog Mix ba a amfani da su.

An wajabta wannan insulin:

1. Masu ciwon sukari waɗanda ba sa iya yin lissafin ɗayan kai-tsaye ko kuma yin allura, alal misali, saboda hangen nesa mara kyau, gurguwa ko rawar jiki.
2. Marasa lafiya tare da rashin hankali.
3. Tsofaffi marasa lafiya da ke da yawa rikice-rikice na ciwon sukari da ƙarancin hangen nesa na magani idan ba sa son su koyi ka'idodin lissafin insulin.
4. Masu ciwon sukari masu kamuwa da cuta ta 2, idan har ana samar da nasu hormone.

Kula da ciwon sukari tare da Humalog Mix yana buƙatar tsayayyen tsarin abinci, kayan snack a tsakanin abinci. An ba shi damar cin abinci har zuwa 3 XE don karin kumallo, har zuwa 4 XE don abincin rana da abincin dare, kusan 2 XE don abincin dare, da 4 XE kafin lokacin bacci.

Analogs na Humalog

Lyspro insulin a matsayin abu mai aiki yana ƙunshe ne kawai a cikin Humalog na asali. Magungunan da ke kusa da su sune NovoRapid (dangane da aspart) da Apidra (glulisin). Wadannan kayan aikin suma yanada matattakala, dan haka bashi da mahimmanci wanda zaba. Dukkansu suna da haƙuri da kyau kuma suna ba da haɓaka mai sauri cikin sukari. A matsayinka na mai mulki, ana ba da fifiko ga maganin, wanda za'a iya samun kyauta a asibiti.

Sauyawa daga Humalog zuwa misalinsa ana iya zama dole idan akwai rashin lafiyan halayen. Idan mai ciwon sukari ya manne da tsarin karancin abinci mai karafa, ko kuma yawanci yana dauke da cutar rashin jini, zai fi dacewa mutum yayi amfani da mutum maimakon insulin ultrashort.

Tabbatar koya! Shin kuna tsammanin kulawa da kwayoyin hana daukar ciki da insulin shine hanya daya tilo da za'a kula da sukari? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi. kara karantawa >>

Form sashi

Allura, bayyananniya, mara launi

insulin lispro 100 IU

Mahalarta: glycerol (glycerin), zinc oxide (zinc oxide), sodium hydrogen phosphate (dibasic sodium phosphate), metacresol, ruwa don ruwa, hydrochloric acid (bayani na 10%) da sodium hydroxide (bayani na 10%) (don kafa pH) .

Magungunan ƙwayoyi

Matsakaicin yawan maganin yana ƙaddara daban-daban da likitan halartar, saboda kai tsaye ya dogara da yanayin haƙuri.

Ana ba da shawarar yin amfani da wannan magani kafin abinci, kodayake, idan ya cancanta, ana iya ɗaukar shi bayan abinci.

Humalog 25 ana gudanar dashi galibi a ƙarƙashin, amma a wasu lokuta hanya mai yuwuwa kuma ana iya yiwuwa.

Dole ne a aiwatar da gabatarwar maganin tare da taka tsantsan, saboda zaka iya shiga cikin hanyoyin jini. Bayan aiwatar da nasara, ba a ba shi izinin tausa a wurin allurar ba.

Tsawan lokacin da aikin ya dogara da dalilai da yawa. Daga kashi-kashi da aka yi amfani da shi, kazalika da wurin allura, zazzabi jikin mai haƙuri da ƙarin aikinsa na jiki.

Yanayin shigar insulin shine mutum daya.

Hakanan ana iya tantance sashi na likitan Humalog 50 ta musamman ta mahangar likitan, gwargwadon matakin glucose a cikin jini.

Ana amfani da allurar ne kawai a cikin kafaɗa, gindi, cinya, ko ciki.

Amfani da miyagun ƙwayoyi don allurar ciki

Bayan kayyade adadin da ake buƙata, ya kamata a sauya wurin allurar ta yadda za'a yi amfani da guda ɗaya sama da sau ɗaya a cikin kwanaki 30.

Kudin a cikin Pharmacy na Rasha:

• Haɗa 25 dakatarwa don yin allura 100 IU / ml 5 guda - daga 1734 rubles,
• Haɗa dakatarwa 50 don yin allura 100 IU / ml 5 guda - daga 1853 rubles.

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

Cikakken bayani game da miyagun ƙwayoyi Humalog a cikin bidiyon:

Ana amfani da Humalog daga masu ciwon sukari don daidaita sukarin jini. Misali ne kai tsaye na insulin mutum. An samar da shi a Faransa a cikin nau'i na mafita da dakatarwa don yin allura. Contraindicated don amfani tare da hypoglycemia da rashin haƙuri ga abubuwan da ke cikin miyagun ƙwayoyi.

Pharmacodynamics

Kwayar halittar cikin jikin ɗan adam ta kasance cikin kwayar halitta. Ya bambanta da na ƙarshen gaba a cikin jerin amino acid a cikin matsayi na 28 da 29 na sarkar insulin B.

Babban tasirin maganin shine ƙayyadadden tsarin glucose metabolism. Bugu da kari, yana da tasirin anabolic. A cikin ƙwayar tsoka, akwai karuwa a cikin abun da ke ciki na glycogen, kitse mai narkewa, glycerol, haɓakar haɓakar furotin da karuwa a cikin yawan amino acid, amma a lokaci guda akwai raguwa a cikin glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, catabolism na furotin da kuma sakin amino acid.

A cikin marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2, lokacin amfani da insulin lyspro, ƙwaƙwalwar ƙwayar cuta wanda ke faruwa bayan cin abincin ya fi raguwa idan aka kwatanta da insulin ɗan adam mai narkewa. Ga marasa lafiya da ke karbar gajeriyar motsa jiki da na basal, ya zama dole a zabi kashi biyu na insulins don samun ingantaccen matakan glucose na jini a duk tsawon rana.

Kamar yadda yake tare da duk shirye-shiryen insulin, tsawon lokacin aikin lyspro insulin na iya bambanta a cikin marassa lafiya daban-daban ko a lokuta daban-daban a cikin mai haƙuri ɗaya kuma ya dogara da kashi, wurin allura, samarda jini, zazzabi jiki da aikin jiki.

Halayen magunguna na insulin lyspro a cikin yara da matasa sunyi kama da waɗanda aka lura da su a cikin manya.

A cikin marasa lafiya da masu ciwon sukari na nau'in 2 ke karɓar iyakar abubuwan da suka samo asali na maganin sulfonylurea, additionarin insulin lyspro yana haifar da raguwa mai yawa a cikin glycated haemoglobin.

Lyspro insulin na marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2 yana haɗuwa tare da raguwa a cikin adadin abubuwan da ke haifar da cutar rashin ƙwaƙwalwar ƙwaƙwalwa ta nocturnal.

Amsar glucodynamic ga isulin lispro bai dogara da aikin kodan ko hanta ba.

An nuna insulin Lyspro yayi daidai da insulin na mutum, amma aikinta yana faruwa da sauri kuma yana tsawan lokaci.

Lyspro insulin yana nunawa ta hanyar farawa da sauri (game da mintina 15), kamar yadda Yana da ƙima sosai, kuma wannan yana ba ka damar shigar da shi nan da nan gabanin abinci (minti 0-15 kafin abinci), ya bambanta da insulin ɗan gajeren lokaci (minti 30-45 kafin abinci). Lyspro insulin yana da ɗan gajeren lokacin aiki (2 zuwa 5 hours) idan aka kwatanta da insulin ɗan adam na al'ada.

Tsarin ilimin rayuwa (ICD-10)

Sashi da gudanarwa

P / C a cikin hanyar injections ko mika Sc jiko tare da famfo na insulin.

Yawan Humalog ® likita ne ya ƙaddara shi daban-daban, gwargwadon yawan glucose a cikin jini. Tsarin sarrafa insulin shine mutum ɗaya. Ana iya gudanar da Humalog shortly jim kaɗan kafin cin abinci, idan ya cancanta, ana iya ba da shi nan da nan bayan cin abinci. Zazzabi na miyagun ƙwayoyi da aka sarrafa ya kamata ya zama zazzabi a ɗakin.

Idan ya cancanta (ketoacidosis, ciwo mai laushi, lokacin tsakanin aiki ko bayan aikin), ana iya gudanar da maganin Humalog ® iv.

Ya kamata a gudanar da SC zuwa kafada, cinya, gindi ko ciki. Yakamata a sauya wuraren allurar don kada a yi amfani da wurin guda fiye da kusan sau 1 a kowane wata.

Lokacin da s / ga gabatarwar miyagun ƙwayoyi Humalog ®, dole ne a kula don hana shigar da miyagun ƙwayoyi cikin jini. Bayan allurar, bai kamata a sanyaya wurin da allura ba. Yakamata a horar da mai haƙuri cikin madaidaiciyar dabarar.

Shirya don gudanar da Humalog ® a cikin katukan katako

Maganin Humalog ® yakamata ya zama bayyananne kuma mara launi. Kada kayi amfani da maganin humalog ® idan ya zama yanɗari, lokacin farin ciki, launuka mai rauni, ko kayan daskararru. Lokacin shigar da katun a cikin alkairin sirinji, yana ɗaukar allura da allurar insulin, bi umarnin mai ƙira da aka haɗa tare da kowane alkalami mai sikirin.

2. Zaɓi wani wuri don allura.

3. Shirya fata a allurar kamar yadda likitan ya ba da shawarar.

4. Cire kwalfar kariya ta waje daga allura.

5. Gyara fata.

6. Saka allurar SC kuma yi allura daidai da umarnin don amfani da alkairin sirinji.

7. Cire allura kuma a hankali matsi wurin allurar tare da swam auduga tsawon sakanni. Kar a shafa wurin allurar.

8. Yin amfani da matattarar m garkuwar allura, kwance shi kuma ka watsar.

9. Saka hula a allon syringe.

A / a cikin gabatarwar insulin. Dole ne a aiwatar da allurar rigakafin Humalog ® daidai da yadda ake yin allurar asibiti ta allura ta yau da kullun, alal misali, gudanarwar gatan shiga ko kuma yin amfani da tsarin jiko. A wannan yanayin, sau da yawa wajibi ne don sarrafa taro na glucose a cikin jini. Tsarin don jiko tare da tarawa daga 0.1 zuwa 1 IU / ml insulin lispro a cikin 0.9% sodium chloride bayani ko 5% dextrose bayani shine tsayayye a zazzabi a daki na awanni 48.

P / c insulin jiko ta amfani da famfon insulin. Don jiko na shirye-shiryen Humalog ®, ana iya amfani da pumps - tsarin don ci gaba da sc sculin na insulin tare da alamar CE. Kafin gudanar da insulin lyspro, tabbatar cewa wani famfo ya dace. Dole ne a bi umarnin mai zuwa tare da famfo. Yi amfani da kawai tafki da catheter don famfon. Ya kamata a canza saiti jiko daidai da umarnin da aka bayar tare da saita jiko. Idan tsokaci ya samo asali, yawan jiko zai tsaya har sai abin da ya faru ya warware. Idan an lura da raguwar yawan glucose a cikin jini, to lallai ya zama dole a sanar da likita game da wannan kuma a samar da raguwa ko dakatar da jiko na insulin. Rashin ƙwayar famfo ko tarko a cikin tsarin jiko na iya haifar da hawan jini a cikin sauri. Idan ana zargin cin zarafin insulin, dole ne a bi umarnin kuma, idan ya cancanta, sanar da likita. Lokacin amfani da famfo, shirye-shiryen Humalog should Kada a hade shi da wasu abubuwan insulins.

Don shirye-shiryen Humalog ® a cikin alƙalami na syringe na syringe, ya wajaba don sanin kanku da alkalami na QuickKen ™ kafin gudanar da insulin.

QuickPen ™ Humalog® 100 IU / ml, 3 ml Syringe Pen

Duk lokacin da ka karɓi sabon kunshin tare da allon rubutu na QuickPen ™, dole ne ka karanta umarnin don sake amfani da shi, azaman yana iya updatedunshi ingantaccen bayani. Bayanin da ke cikin umarnin ba ya maye gurbin tattaunawa da likitanka game da cutar da kuma maganin mara lafiya ba.

A QuickPen ™ Syringe Pen shine za'a iya rabawa, allurar da aka cika kafin ta ƙunshi raka'a 300 na insulin. Tare da alkalami guda ɗaya, mai haƙuri na iya sarrafa allurai na insulin. Yin amfani da wannan alkalami, zaku iya shigar da kashi tare da daidaito na 1 naúrar. Kuna iya shiga daga raka'a 1 zuwa 60 a allura. Idan kashi ya wuce raka'a 60, za a buƙaci allura fiye da ɗaya. Tare da kowane allurar, piston kawai yana motsa dan kadan, kuma mai haƙuri bazai lura da canji a matsayinsa ba. Kirjin ya isa kasan kicin kawai lokacin da mai haƙuri ya cinye dukkanin raka'a 300 da ke cikin alkalami na sirinji.

Ba za a iya raba alkalami tare da sauran mutane ba, koda lokacin amfani da sabon allura. Kar a sake amfani da allura. Kar a ba da allura ga wasu mutane - ana iya yada kwayar cutar tare da allura, wanda zai haifar da kamuwa da cuta.

Ba'a ba da shawarar ga marasa lafiya da hangen nesa mai rauni ko ɓataccen hangen nesa ba tare da taimakon mutanen da suke gani sosai waɗanda aka horar da su ta yadda yakamata a yi amfani da naɗa sira.

Alkalamiin QuickPen ™ Humalog® sirinji yana da launin shuɗi, launin maɓallin burgundy da farin alama tare da sandar launi na burgundy.

Don yin allura, kuna buƙatar takaddun sirinji na QuickPen with tare da insulin, allura mai dacewa da alƙalami na sikanin QuickPen ((Ana bada shawarar amfani da alkalami na syringe) Becton, Dickinson da Kamfanin (BD), kuma swab tsoma a cikin barasa.

Shiri don insulin

- wanke hannu da sabulu,

- Duba alkairin sirinji don tabbatar da cewa ya ƙunshi nau'in insulin da ya dace. Wannan yana da mahimmanci musamman idan mai haƙuri yayi amfani da nau'in insulin fiye da 1,

- kada kayi amfani da alkalannin sirinji da aka ƙare akan alamar,

- A kowane allura, koyaushe yi amfani da sabon allura don hana kamuwa da cuta kuma ku guji rufe allurar.

Mataki na 1. Cire kwallar alkairin sirinji (kar a cire alamar siren syringe) ka goge diskin roba da swab cikin ruwan giya.

Mataki na 2. Duba bayyanar insulin. Humalog ® yakamata a kasance amintacce kuma mara launi. Kar a yi amfani da shi idan yana da gajimare, mai launi, ko barbashi ko ƙwanƙwasa suna nan a ciki.

Mataki na 3. Newauki sabon allura. Cire kwalin takarda daga saman kwalbar allura.

Mataki na 4. Saka hula tare da allura kai tsaye a kan alkairin sirinji ka kuma sa allura da hula har sai ta kama wuri.

Mataki na 5. Cire maɓallin kyallen da ke cikin allura, amma kada a jefar da shi. Cire kwalban ciki na allura kuma ka watsar da shi.

Ana bincika alkairin sirinji don shan maganin

Yakamata ayi irin wannan rajista kafin kowane allura.

Ana bincika ƙwayar sirinji don ɗaukar ƙwayar cuta don cire iska daga allura da kuma kundin, wanda zai iya tarawa yayin ajiyar al'ada, kuma don tabbatar da cewa alkairin sirinji yana aiki yadda yakamata.

Idan bakayi irin wannan binciken ba kafin kowane allura, zaku iya shigar da ko ya yi ƙasa sosai ko ya yi yawa a insulin.

Mataki na 6. Don duba sirinji na ƙwayar magunguna, ya kamata a saita raka'a 2 ta juyawa maɓallin kashi.

Mataki na 7. Riƙe alkalami mai allura tare da allura sama. Lyauka sauƙaƙe mariƙin akicin don kumfa mai iska ya tattara a saman.

Mataki na 8. Ci gaba da riƙe alkalami sirinji tare da allura sama. Latsa maɓallin allura har sai ya tsaya kuma “0” ya bayyana a cikin taga alamar kashi. Yayin riƙe maɓallin kashi, sannu a hankali ƙidaya zuwa 5. Insulin ya kamata ya bayyana a kan ƙarshen allura.

- Idan digon insulin bai bayyana ba a saman allura, sake maimaita matakan duba alkairin sirinji don shan maganin. Za'a iya yin rajista ba sau 4 ba.

- Idan insulin bai bayyana ba, canza allura kuma sake maimaita rajistar alkairin sirinji don magani.

Kasancewar ƙananan kumfa iska abu ne na al'ada kuma baya shafar matakin da aka sarrafa.

Kuna iya shiga daga raka'a 1 zuwa 60 a allura. Idan kashi ya wuce raka'a 60, za a buƙaci allura fiye da ɗaya.

Idan kuna buƙatar taimako game da yadda za ku raba kashi daidai, ya kamata ku tuntuɓi likitanka.

Don kowane allura, ya kamata a yi amfani da sabon allura kuma hanya don bincika alkairin sirinji don shan ƙwayoyi ya kamata a sake maimaita.

Mataki na 9. Don buga lambar insulin da ake so, juya maɓallin kashi. Alamar sashi ya kamata ya kasance akan layi ɗaya da adadin raka'a daidai da adadin da ake buƙata.

Tare da juyawa guda, maɓallin kashi yana motsa guda ɗaya.

Kowane juyi na maɓallin kashi yana dannawa.

Bai kamata a zaɓi sashi ba ta hanyar kirkiri maballin, saboda ana iya samun kashi ba daidai ba ta wannan hanyar.

Za'a iya yin gyaran gwargwadon ta hanyar juya maɓallin kashi a cikin hanyar da ake so har sai adon da ya dace da kashi ɗin da ake buƙata ya bayyana a cikin taga sigar nuna alama akan layin gwargwadon sigin ɗin.

Koda lambobi suna nuna akan sikelin. Lambobin Odd, bayan lambar 1, ana nuna su ta hanyar layi mai tsauri.

Kullum sai ka duba lambarta a cikin taga alama don tabbatar cewa kashi ɗin da ka shigar daidai ne.

Idan ƙarancin insulin ya rage cikin alkairin sirinji fiye da yadda ake buƙata, mai haƙuri ba zai iya gudanar da aikin da ake so tare da wannan alkairin sirinji.

Idan ana buƙatar ƙarin raka'a fiye da waɗanda aka bar a alƙalami, mai haƙuri na iya:

- shigar da karar da ya rage a alkairin sirinji, sannan yi amfani da sabon alƙalin syringe don gabatar da ragowar kashi,

- aauki sabon sirinji na sirinji kuma shigar da cikakken kashi.

Amountarancin insulin na iya kasancewa a cikin alkalami, wanda mai haƙuri ba zai sami damar gudanar da shi ba.

Wajibi ne a yi allurar insulin sosai gwargwadon abin da likitan halartar ya nuna.

A kowane allurar, canza (madadin) wurin allurar.

Kada ayi yunƙurin canja kashi yayin allurar.

Mataki na 10. Zaɓi wurin yin allura - insulin allurar sc kenan a bangon ciki na ciki, gindi, kwatangwalo ko kafadu. Shirya fata kamar yadda likitanku ya ba ku shawarar.

Mataki na 11. Saka allura a ƙarƙashin fata. Latsa maɓallin kashi har sai ya daina. Yayin riƙe maɓallin kashi, sannu a hankali ƙidaya zuwa 5, sannan cire cire allura daga fata. Kayi ƙoƙarin sarrafa insulin ta hanyar juya maɓallin kashi. Lokacin da kuka juya maɓallin kashi, ba a isar da insulin.

Mataki na 12. Cire allura daga fata. Yana halatta idan digo na insulin ya zauna a saman allura, wannan ba zai tasiri daidai da ƙwayar ba.

Duba lamba a cikin taga alamar kashi:

- Idan mai nuna alamar ““ 0 ”a jikin taga, to, mara lafiyar ya shiga cikin kashi gabaɗaya,

- idan mara lafiya bai ga “0” a cikin taga alamar kashi ba, bai kamata a dawo da maganin ba. Saka allurar karkashin fata kuma sake cika allura,

- idan mai haƙuri har yanzu ya yi imanin cewa ba a shigar da maganin a cikakke ba, to, kada a sake yin allurar. Bincika matakan glucose na jini kuma yi aiki daidai da umarnin likitanka,

- idan don gabatarwar cikakken kashi wajibi ne don yin allura 2, kar a manta gabatar da allura ta biyu.

Tare da kowane allurar, piston kawai yana motsa dan kadan, kuma mai haƙuri bazai lura da canji a matsayinsa ba.

Idan, bayan cire allurar daga fata, mai haƙuri ya lura da digo na jini, a hankali sai a tsabtace tsabtataccen zane ko kuma giya mai tsabta zuwa wurin allurar. Karku shafa wannan yankin.

Bayan allura

Mataki na 13. Yi a hankali saka maɗaurin murfin na ta.

Mataki na 14 Cire allura tare da hula kuma jefa shi kamar yadda aka bayyana a kasa (duba.) Zubar da allunan sirinji da allura) Karku ajiye allurar sirinji tare da allura a haɗe don hana yaduwar insulin, clogging na allura, da iska ta shigar da alkairin syringe.

Mataki na 15. Saka hula a aljihun syringe, daidaita da kullin murfin tare da mai nuna sigar ka latsa shi.

Zubar da allunan sirinji da allura

Sanya allurai da aka yi amfani da su a cikin kwandon sharps ko akwataccen filastik mai riƙe da murfi mai dacewa. Kada a jefa allura a wuri da aka tsara don sharar gida.

Ana iya jefa alkalami da aka yi amfani dashi tare da sharar gida bayan cire allurar.

Bincika tare da likitanka game da yadda zaka zubar da akwati na sharps.

Jagororin don zubar da allura a cikin wannan bayanin ba su maye gurbin dokoki, ƙa'idodi ko manufofin kowace ƙungiya ba.

Alkalamilar Maganganu marasa amfani. Ajiye alƙaluman sirinji marasa amfani a cikin firiji a zazzabi na 2 zuwa 8 ° C. Kar a daskare insulin da aka yi amfani dashi idan ya daskare, kar ayi amfani dashi. Allon da ba a amfani dashi ana iya ajiye shi har sai ranar karewa ta bayyana akan lakabin, muddin ana ajiye su a cikin firiji.

A halin yanzu ana amfani da alkalami Syringe Adana alkalami na syringe wanda a halin yanzu ake amfani dashi a zazzabi na daki har zuwa 30 ° C a wani wuri da aka kiyaye shi daga zafi da haske. Lokacin da ranar karewa da aka nuna akan kunshin ya ƙare, alkalami da aka yi amfani da shi dole ne a watsar da shi, koda kuwa insulin ɗin yana ciki.

Babban bayani game da aminci da fa'idar amfani da alkalami

Kiyaye alkalami mai sirinji da allura su isa ga yara.

Kada kayi amfani da alkalami mai sirinji idan wani ɓangaren duhun shi yayi kama ko ya lalace.

Koyaushe riƙe alƙawarin sirinji na sauran ko dai idan babban sirinji ya ɓace ko ya karye.

Shirya matsala

Idan mai haƙuri ba zai iya cire hula daga maɓallin sirinji ba, a hankali murɗa shi, sannan ya ja hula.

Idan an danna maɓallin lambar sauri:

- Latsa maɓallin bugu na sauri a hankali. Sannu a hankali danna maɓallin buga lambar ya sa allurar tayi sauƙi

- Za a iya toshe allura. Saka sabon allura ka duba alkairin sirinji don shan maganin,

- Yana yiwuwa ƙurar ƙura ko wasu ƙananan abubuwa sun shiga alkalami na syringe. Jefa irin wannan alkairin sirinji da ɗaukar sabon.

Idan mai haƙuri yana da tambayoyi ko matsalolin da suka danganci amfani da QuickPen ™ Syringe Pen, tuntuɓi Eli Lilly ko mai kula da lafiyar ku.

Fom ɗin saki

Magani don gudanarwar ciki da karkara, 100 IU / ml.

Kayan katako 3 ml na miyagun ƙwayoyi a cikin kabad. Cartan katako guda 5 a cikin sikelin. 1 bl. a cikin fakitin kwali. Ari ga haka, dangane da shirya magungunan a wani kamfanin Rasha JSC "ORTAT", ana amfani da dutsen don sarrafa buɗewar farko.

Maɓallan Sirri na QuickPen.. 3 ml na miyagun ƙwayoyi a cikin wani akwati da aka gina a cikin alƙalin QuickPen ™ syringe. 5 Allon siyenn QuickPen in a cikin kwali mai kwali. Ari ga haka, dangane da shirya magungunan a wani kamfanin Rasha JSC "ORTAT", ana amfani da dutsen don sarrafa buɗewar farko.

Mai masana'anta

Ctionirƙirar tsari na gamawa da kunshin farko: Lilly Faransa, Faransa (katako, ,annun alli na QuickPen)). 2 Ru du Colonel Lilly, 67640 Fegersheim, Faransa.

Shirya sakandare da sarrafa inganci: Lilly Faransa, Faransa. 2 Ru du Colonel Lilly, 67640 Fegersheim, Faransa.

Ko Eli Lilly da Kamfanin, Amurka. Indianapolis, Indiana, 46285 (QuickPen ens Syringe alkalami).

Ko JSC "ORTAT", Rasha. 157092, yankin Kostroma, gundumar Susaninsky, tare da. Arewa, microdistrict. Kharitonovo.

Ofishin Wakilci a Rasha / Jawabi Adireshin: Ofishin Wakilin Moscow na Eli Lilly Vostok S.A. JSC, Switzerland. 123112, Moscow, Presnenskaya nab., 10.

Waya: (495) 258-50-01, fax: (495) 258-50-05.

Lilly Pharma LLC shine ke shigo da Humalog ® a cikin Federationungiyar Rasha.

Pharmacokinetics

Tsotsa da rarrabawa

Bayan sc አስተዳደር, insulin Lyspro yana ɗaukar cikin sauri kuma ya isa Cmax a cikin jini na jini bayan minti 30-70. Vd na insulin lyspro da na ɗan adam insulin iri ɗaya ne kuma suna cikin kewayon 0.26-0.36 l / kg.

Tare da gudanarwar ins na T1 / 2 na insulin, lyspro yana kusan awa 1. Marasa lafiya tare da rashin haihuwa da kuma hepatic insufficiency suna riƙe da babban adadin yawan ƙwayar lyspro idan aka kwatanta da insulin ɗan adam na al'ada.

Side effects

Sakamakon sakamako wanda ya danganta da babban sakamakon maganin: hypoglycemia. Mai tsananin rashin ƙarfi na iya haifar da asarar hankali (ƙin jinin haila) kuma, a lokuta na musamman, ga mutuwa.

Allergic halayen: halayen rashin lafiyan gida na yiwuwa - redness, kumburi ko itching a wurin allurar (yawanci yakan ɓace cikin fewan kwanaki ko makonni), halayen rashin lafiyan ƙabilanci (na faruwa ba sau da yawa, amma sun fi tsanani) - naƙasa ta kai, rashin lafiya, amarticaria, angioedema, zazzabi, gajere na numfashi, rage karfin jini, tachycardia, haɓaka mai ɗaci. Mummunan lokuta na halayen rashin lafiyan halayen na iya zama barazanar rayuwa.

Abubuwan da suka shafi gida: lipodystrophy a wurin allurar.

Yanayi na musamman

Canja wurin mara lafiya zuwa wani nau'in ko samfurin insulin yakamata a gudanar dashi karkashin kulawar likita. Canje-canje a cikin aiki, alama (masana'anta), nau'in (misali, Na yau da kullun, NPH, Tape), nau'in (dabba, ɗan adam, analog na insulin mutum) da / ko hanyar samarwa (insulin maimaita insulin ko insulin asalin dabbobi) yana iya buƙatar kashi canje-canje.

Yanayin da alamun farkon faɗakarwar cututtukan cututtukan jini na iya zama marasa ma'ana kuma ƙasa da ƙima sun haɗa da ci gaba da wanzuwar ciwon sukari, maganin insulin mai narkewa, cututtukan ƙwayar cuta a cikin cututtukan sukari, ko magunguna, kamar beta-blockers.

A cikin marasa lafiya waɗanda ke fama da hypoglycemic bayan canjawa daga insulin dabbobi da aka samo zuwa insulin na mutum, alamun farko na hypoglycemia na iya zama ƙarancin bayyanawa ko bambanta da waɗanda suka ɗanɗana da insulin da suka gabata. Rashin daidaituwa na hypoglycemic ko hyperglycemic halayen na iya haifar da asarar sani, ko na ciki, ko mutuwa.

Inarancin allurai ko dakatarwar magani, musamman tare da insulin-insulin-da ke fama da cutar sankara, na iya haifar da hyperglycemia da ketoacidosis mai ciwon sukari, yanayin da ke haifar da barazanar rayuwa ga mai haƙuri.

Bukatar insulin na iya raguwa a cikin marasa lafiya tare da gazawar koda, haka kuma a cikin marasa lafiya da gazawar hanta a sakamakon raguwa cikin ayyukan gluconeogenesis da metabolism metabolism. Koyaya, a cikin marasa lafiya tare da gazawar hanta na rashin ƙarfi, ƙarancin juriya na insulin na iya haifar da ƙaruwa cikin buƙatar insulin.

Bukatar insulin na iya ƙaruwa tare da cututtuka masu raɗaɗi, damuwa na damuwa, tare da karuwa da adadin carbohydrates a cikin abincin.

Hakanan ana iya buƙatar daidaita sikelin idan aikin mai haƙuri ya karu ko kuma abincin da yake ci yana canzawa. Yi motsa jiki nan da nan bayan cin abinci yana kara haɗarin hawan jini. Sakamakon magunguna na insulin analogues mai aiki da sauri shine idan hypoglycemia ya haɓaka, to zai iya haɓaka bayan allura a baya fiye da lokacin allurar ɗan adam mai narkewa.

Yakamata a gargadi mara lafiya cewa idan likita ya tsara shirin insulin tare da maida hankali 40 IU / ml a cikin murfin, to kada a dauki insulin daga kicin din tare da yawan insulin na 100 IU / ml tare da sirinji don allurar insulin tare da tattara 40 IU / ml.

Idan ya zama dole a dauki wasu magunguna a lokaci guda kamar Humalog®, mara lafiyar ya kamata ya nemi likita.

Tasiri kan ikon tuka motoci da hanyoyin sarrafa abubuwa

- ciwon sukari mellitus a cikin manya da yara, suna buƙatar insulin far don kula da matakan glucose na yau da kullun.

Hulɗa da ƙwayoyi

Humalog's hypoglycemic sakamako an rage shi ta hanyar hana haihuwa, corticosteroids, shirye-shiryen hodar iblis, danazol, beta2-adrenergic agonists (gami da rhytodrin, salbutamol, terbutaline), tricyclic antidepressants, thiazide diuretics, chlorprotixen, abubuwan da aka samo asali na phenothiazine.

Hypoglycemic mataki Humalog karuwa beta-blockers, ethanol da etanolsoderzhaschie kwayoyi, anabolic steroids, fenfluramine, guanethidine, tetracyclines, na baka hypoglycemic jamiái, salicylates (msl, acetylsalicylic acid), sulfonamides, Mao hanawa, ACE hanawa (captopril, enalapril), octreotide, antagonists masu karɓar angioensensin II.

Kada a haɗa Humalog® tare da shirye-shiryen insulin dabbobi.

Ana iya amfani da Humalog® (a ƙarƙashin kulawa na likita) a hade tare da insulin ɗan adam mai aiki, ko kuma a hade tare da wakilai na bakin jini, abubuwan asali na sulfonylurea.

• Zaku iya siyan Humalog 100me / ml 3ml n5 harsashi rr d / a cikin St. Petersburg a cikin kantin magani mafi dacewa a gareku ta sanya oda akan Apteka.RU.
• Farashin Humalog 100me / ml 3ml n5 harsashi rr d / in a cikin St. Petersburg - 1777.10 rubles.

Kuna iya samun wuraren bayarwa mafi kusa a St. Petersburg anan.

Farashin Humalog a wasu biranen

Likita ya kayyade maganin daban-daban, gwargwadon bukatun mai haƙuri. Ana iya gudanar da Humalog® jim kaɗan kafin cin abinci, idan ya cancanta nan da nan bayan cin abinci.

Zazzabi na miyagun ƙwayoyi da aka sarrafa ya kamata ya zama zazzabi a ɗakin.

Ana gudanar da Humalog® s / c azaman allura ko kuma karuwar s / c jiko ta amfani da famfon. Idan ya cancanta (ketoacidosis, rashin lafiya mai wahala, lokacin tsakanin ayyukan ko bayan aikin) ana iya gudanar da Humalog® iv.

Ya kamata a gudanar da SC zuwa kafada, cinya, gindi ko ciki. Yakamata a sauya wuraren allurar don kada a yi amfani da wurin guda fiye da lokaci 1 a kowane wata. Lokacin da s / zuwa gabatarwar miyagun ƙwayoyi Humalog®, dole ne a kula don hana shigar da miyagun ƙwayoyi a cikin jini. Bayan allurar, bai kamata a sanyaya wurin da allura ba. Yakamata a horar da mai haƙuri cikin madaidaiciyar dabarar.

Yawan abin sama da ya kamata

Bayyanar cututtuka: hawan jini, tare da waɗannan alamomi masu zuwa: ƙarancin jiki, ƙara yawan zagi, tachycardia, ciwon kai, amai, rikicewa.

Jiyya: sauƙin yanayin hypoglycemia yawanci ana tsayar da shi ta hanyar shigar glucose ko wasu sukari, ko samfuran da ke ɗauke da sukari.