Insulin Humalog: fasalin amfani da alamomi

Humalog kwatancen roba ne na insulin ɗan adam da yayi aiki da shi. Yana daidaita metabolism na glucose a cikin jiki, yana rage matakin sa a cikin jini. A wannan yanayin, wuce haddi na glucose a cikin hanyar glycogen ya tara a cikin tsokoki da hanta. Insulin Humalog yana haɓaka haɗarin abubuwan gina jiki, yawan cin amino acid, yana rage jinkirin glycogen zuwa glucose, kuma yana rage jinkirin samar da glucose daga ƙwayoyi da furotin.

Yawancin insulin na ɗan gajeren lokaci ana haɗe shi tare da muhimmi don mafi kyawun sarrafa glucose na jini. Tsawon lokacin aikin Humalog ya bambanta tsakanin masu haƙuri daban-daban kuma ya dogara da dalilai da yawa.

Game da nau'in ciwon sukari na 2 na mellitus, lokacin da mara lafiya ya karɓi wakilin hypoglycemic a lokaci guda a cikin allunan kuma wannan insulin, mafi yawan karfin sukari na jini yafi dacewa. Ana nuna wannan a cikin raguwa a cikin ƙimar haemoglobin glycated a lokacin lura da jiyya. Humalog yana rage yawan rage yawan sukarin jini da daddare. Halin da hanta da ƙodan marasa lafiya ba su tasiri metabolism na miyagun ƙwayoyi.

Dangane da umarnin, Humalog yana cikin hanzari kuma yana farawa a cikin mintina 15 bayan gudanarwa, don haka ana iya gudanar da shi mintina 15 kafin abinci, sabanin sauran abubuwan gajere, waɗanda ake ɗaukar minti 30 zuwa 45. Tsawan lokacinta ya gajarta insulin na ɗan adam, kuma yana awoyi 2 - 5 ne kawai.

Umarnin don amfani da Humalog

Ana sarrafa magungunan a ƙarƙashin ƙasa ta hanyar allura ko kuma famfo na insulin kai tsaye kafin abinci. Wuraren allurar sune kafada, cinya, ciki ko gindi. Ya kamata a musanya su saboda a wuri guda ba a maimaita allura sau biyu a cikin wata 1, wannan zai hana thinning nama da ke ciki. Dole ne muyi ƙoƙarin kada mu shiga cikin hanyoyin jini. Karka shafa wurin allurar bayan allura don mafi kyawun maganin.

A cikin lokuta na gaggawa, ana iya gudanar da insulin na Humalog a cikin jijiya a cikin hanyoyin magance cututtukan fata (tiyata, ketoacidosis, da sauransu). Kafin allura, tabbatar cewa maganin yana warman zuwa zazzabi dakin.

Yawan Humalog dai-dai ne ga kowane mara lafiya kuma likitan ya ƙididdige shi. Kada a haɗu da insulins daban-daban a allon allura.

Humalog ba shi da tasiri idan aka ɗauka tare da glucocorticoids, hana hana haihuwa, magungunan thyroid, da acid nicotinic. Ethanol, salicylates, ACE inhibitors, beta-blockers suna kara tasirin insulin.

A lokacin daukar ciki da lactation, gudanar da wannan insulin ya samu karbuwa, amma ana bukatar kara kulawa sosai game da matakan suga na jini. Yayin shayarwa, yawan haihuwa shine yawanci saboda yawan bukatar insulin. An yarda da miyagun ƙwayoyi don amfani a cikin yara.

Side effects

Wani lokaci tare da yawan abin sama da ya wuce ko yanayin halayen jiki, Humalog na iya haifar da raguwa a cikin glucose jini - hypoglycemia.

Wani lokaci, akwai rashin lafiyan halayen ga miyagun ƙwayoyi a cikin nau'i na rashes, redness, itching na fata, a cikin manyan lokuta - angioedema.

A wurin allurar, za'a iya lura da rage ƙoshin kitse na subcutaneous, lipodystrophy.

Halaye da umarnin don amfani da insulin Humalog

Daga cikin magungunan insulin-da ake yawan amfani dasu ana iya kiransu Humalog. Suna sakin magunguna a Switzerland.

Ya dogara da insulin Lizpro kuma an yi niyya don maganin ciwon sukari.

Dole ne likita ya tsara ta. Yakamata kuma yakamata yayi bayanin ka’idojin shan magungunan domin gujewa cutarwa. Ana sayar da maganin ne kawai ta takardar sayen magani.

Babban bayani da kayan aikin magunguna

Humalog yana cikin hanyar dakatarwa ko mafita ta allura. Dakatarwar tana da asali cikin fararen fata da kuma dabi'un lalata. Iya warware matsalar babu launi da kamshi, bayyananne.

Babban abun da ke ciki shine Lizpro insulin.

Baya ga shi, kayan abinci kamar:

  • ruwa
  • metacresol
  • zinc oxide
  • glycerol
  • sodium hydrogen phosphate heptahydrate,
  • maganin sodium hydroxide.

Ana sayar da samfurin a cikin katako 3 ml. Cartridges suna cikin alkalami na syringe na Quickpen, guda 5 a kowane fakitin.

Hakanan, akwai nau'ikan maganin, wanda ya haɗa da maganin insulin gajere da aiki tare da dakatar da protamine. Ana kiran su Humalog Mix 25 da Humalog Mix 50.

Lizpro insulin shine kwatankwacin insulin na mutum sannan kuma yana tasiri iri guda. Yana taimakawa wajen haɓaka ƙimar glucose. Abubuwa masu aiki suna aiki akan membranes cell, saboda wanda sukari daga jini ya shiga kyallen kuma ana rarraba su. Hakanan yana haɓaka samar da furotin mai aiki.

Wannan magani yana halin da ake cikin sauri. Tasirin yana bayyana a cikin kwata na awa daya bayan allura. Amma yana wanzuwa na ɗan wani lokaci. Don rabin rayuwar abu, ana buƙatar kimanin awa 2. Matsakaicin lokacin watsawa shine 5 hours, wanda ke tasiri da halayen mutum na jikin mai haƙuri.

Manuniya da contraindications

Alamar amfani da kwayar insulin da ke dauke da ita ita ce:

  • nau'in ciwon sukari da ke dogaro 1 na insulin (a gaban rashin haƙuri ga sauran nau'in insulin),
  • nau'in ciwon sukari na dogaro guda 2 (idan magani tare da wasu kwayoyi ba shi da amfani)
  • shirye shiryen tiyata
  • ciwon sukari da ya tashi a lokacin haihuwar (gestational).

A cikin waɗannan yanayi, ana buƙatar maganin insulin. Amma Humalog yakamata likita ya nada bayan yayi nazarin hoton cutar. Wannan magani yana da wasu magunguna. Kuna buƙatar tabbatar da cewa basu halarci ba, in ba haka ba akwai barazanar rikitarwa.

Wadannan sun hada da:

  • abin da ya faru na rashin ƙarfi a cikin jini (ko alama ta faru),
  • alerji ga abun da ke ciki.

Tare da waɗannan sifofin, likita ya kamata ya zaɓi wani magani daban. Hakanan yin taka tsantsan shima idan mai haƙuri yana da wasu ƙarin cututtukan (sanadin cutar hanta da ƙodan), saboda su, buƙatun jiki ga insulin na iya yin rauni. Dangane da haka, irin waɗannan marasa lafiya suna buƙatar daidaita sashi na miyagun ƙwayoyi.

Marasa lafiya na musamman da kuma Jagorori

Lokacin amfani da Humalog, ana buƙatar wasu taka tsantsan dangane da nau'ikan rukuni na musamman na marasa lafiya. Jikinsu yana iya zama mai matukar tasiri ga tasirin insulin, saboda haka kuna buƙatar yin hankali.

Daga cikinsu akwai:

  1. Mata yayin daukar ciki. An ba da labarin cewa, ana yarda da cutar da ciwon suga a cikin wadannan marassa lafiya. Dangane da sakamakon bincike, ƙwayar ba ta cutar da ci gaban tayin kuma baya tsokani zubar da ciki. Amma dole ne a ɗauka cikin zuciya cewa a wannan lokacin matakin glucose a cikin jini na iya zama daban a lokuta daban-daban. Dole ne a sarrafa wannan don guje wa sakamakon da ba a so.
  2. Iyayen mata masu shayarwa. Shiga ciki daga cikin insulin zuwa cikin nono ba karamar barazana bace ga jariri. Wannan abu yana da asalin furotin kuma yana mamaye tsarin narkewar yaro. Iya kawai kiyaye shine matan da suke yin ciyarwa na ɗabi'a ya kamata su kasance cikin tsarin abinci.

Ga yara da tsofaffi cikin rashin matsalolin kiwon lafiya, ba a buƙatar kulawa ta musamman. Humalog ya dace da maganin su, kuma likita ya kamata ya zaɓi sigar gwargwadon halayen cutar.

Yin amfani da Humalog yana buƙatar ɗanɗano tunani dangane da wasu cututtukan concomitant.

Wadannan sun hada da:

  1. Take hakkin a cikin hanta. Idan wannan sashin jiki yayi aiki fiye da yadda ake bukata, to sakamakon tasirin kwayar cutar a kai na iya wuce gona da iri, wanda hakan ke haifar da rikice-rikice, har zuwa ci gaban haila. Sabili da haka, a gaban gazawar hanta, ya kamata a rage yawan sashi na Humalog.
  2. Matsaloli da aikin koda. Idan sun kasance, akwai kuma raguwa a cikin buƙatar jikin mutum na insulin. A wannan batun, kuna buƙatar yin lissafi a hankali kuma ku kula da hanya. Kasancewar irin wannan matsalar yana buƙatar bincike na lokaci-lokaci na aikin koda.

Humalog yana da ikon haifar da hypoglycemia, saboda wanda saurin halayen da ikon maida hankali ya rikice.

Dizziness, rauni, rikicewa - duk waɗannan abubuwan zasu iya shafar aikin mai haƙuri. Ayyukan da ke buƙatar saurin hanzari da taro na iya yiwuwa a gare shi. Amma ƙwaƙwalwar kanta ba ta shafar waɗannan abubuwan.

Aikin magunguna

Humalog shine analog wanda yake magana da kwayar halittar mutum.

Babban aikin Humalog yana da nufin daidaita tsarin metabolism. Hakanan, ƙwayar tana da tasirin anabolic, saboda wanda abun ciki na mai mai, glycerol, glycogen a cikin ƙwayar tsoka yana ƙaruwa, kazalika da haɓaka amfani da amino acid da haɓaka aikin furotin. A wannan yanayin, akwai raguwa a cikin gluconeogenesis, glycogenolysis, lipolysis, ketogenesis da kuma sakin amino acid.

A kan asalin nau'ikan cututtukan mellitus na 1 da 2, lokacin amfani da Humalog, idan aka kwatanta da insulin ɗan adam mai narkewa, akwai raguwa mai yawa a cikin hyperglycemia wanda ke faruwa bayan cin abinci. Don cimma ingantaccen matakan glucose na jini, ya kamata a zaɓi allurai masu dacewa na yin gajere da insalin insulin.

Tsawon lokacin Humalogue ya bambanta da lokacin cutar, harma da halaye daban-daban, wurin allurar, fasali na wadatar jini da zafin jiki.

Babu mahimman bambance-bambance a cikin amfani da Humalog a cikin manya da yara.

Amsar glucodynamic ga magani tare da Humalog yana da 'yanci daga hanta ko gazawar koda.

Abunda yake aiki na Humalog yana daidaita da insulin na ɗan adam, amma ana ɗaukar nauyinsa da wuri da sauri (a cikin mintuna 15), da kuma taƙaitaccen lokacin (daga 2 zuwa 5 hours).

Sashi da gudanarwa

Singleari guda na insulin Humalog ya ƙaddara ta likitan daban-daban. Kuna iya shigar da magani jim kadan kafin cin abinci, kuma a wasu lokuta nan da nan bayan shi.

Zazzabi na mafita ya kamata ya zama akalla yawan zafin jiki na ɗakin.

Yawanci, ana gudanar da magani a ƙarƙashin ƙasa (ta allura ko ta tsawanta jiko ta amfani da famfon insulin) a cinya, kafada, ciki ko gindi. A wannan halin, ya kamata a canza wurin yin allurar domin kada a yi amfani da wurin wuri fiye da sau ɗaya a wata. Lokacin gudanar da maganin Humalog, kuna buƙatar yin hankali don kauce wa shiga cikin tsarin kewaya.

Dangane da alamomi (a kan asalin ketoacidosis, cututtukan m, har ma da na bayan fage ko a lokacin tsakanin ayyukan) ana gudanar da Humalog a cikin jijiya.

Lokacin gudanar da aikin, yakamata a bi da allurai don hana guba, wanda zai iya bayyana azaman hypoglycemia, tare da daskarewa, ƙara yawan zagi, tachycardia, ciwon kai, amai, da rikicewa. A matsayinka na mai mulki, ana amfani da glucose ko wasu magunguna ko kayayyakin da ke ɗauke da sukari don magani.

Don gyara tsoka mai ƙayyadadden matsakaici, an yi amfani da intramuscular ko subcutaneous na glucagon, kuma bayan an daidaita, ana wajabta carbohydrates a ciki. Don hana sake dawowa daga hypoglycemia, ana buƙatar karin karuwar carbohydrates.

Hulɗa da ƙwayoyi

Yayin maganin, yakamata a ɗauka a cikin zuciya cewa tasirin hypoglycemic na Humalog insulin zai iya rage tasirin amfani da maganin hana haihuwa, glucocorticosteroids, magungunan ƙwayar thyroid, danazole, acid nicotinic, beta2-adrenergic agonists (gami da salbutamol, ritodrin da terbutaline antant, anti-antide antide, anti-antide antide) thiazide diuretics, diazoxide, carbon lithium, isoniazid, abubuwan asali.

Karawa Humalog hypoglycemic mataki lura yayin da ake ji da shi tare da beta-blockers, ethanol da ethanol-dauke da magunguna, anabolic steroids, fenfluramine, guanethidine, tetracyclines, na baka hypoglycemic kwayoyi, salicylates, sulfonamides, Mao hanawa da kuma ACE, octreotide, angiotensin II tsoka mai amsa sigina antagonists.

Ba'a ba da shawarar haɗa Humalog tare da magungunan da ke ɗauke da insulin dabbobi ba.

A karkashin kulawar likita, Humalog bisa ga umarnin za'a iya amfani dasu lokaci guda tare da insulin ɗan adam, wanda ke da aiki mafi tsayi, ko tare da maganin ƙwayoyin tsoka na jini (abubuwan da suka samo asali na sulfonylurea).

Haihuwa da lactation

A lokacin binciken, babu wani sakamako da ba'a so na Humalog akan tayi ko lafiyar mahaifar, amma babu nazarin binciken da ya yi daidai.

A lokacin daukar ciki, an wajabta Humalog don kula da isasshen iko na matakan glucose da keɓaɓɓen ciwon sukari da ke fama da ciwon sukari ko kuma ciwon suga na gestational. A matsayinka na mai mulkin, buƙatar insulin ya ragu a cikin farkon farkon kuma yana ƙaruwa a cikin watanni 2-3 na ciki. Bukatar insulin na iya raguwa sosai yayin haihuwa, da kuma bayansu.

Game da ciwon sukari, yana da kyau a sanar da likita cikin lokaci game da farawar ciki, tunda a wannan lokacin ya zama dole a kula da matakin glucose sosai.

Yayin shayarwa, ya zama dole don daidaita adadin maganin Humalog wanda aka tsara.

Menene insulin ultrashort?

A halin yanzu, don cimma sakamako mai ƙoshin lafiya, ana amfani da magunguna daban-daban da haɗuwarsu. Yawancin marasa lafiya a cikin ƙasashe daban-daban sun yaba da madadin zuwa allurar da aka saba da rabin sa'a kafin abinci, suna amfani da ɗayan sabbin magungunan insulin Humalog.

Magungunan ya dace musamman don lura da masu cutar ƙanƙanun yara, tunda ba mai sauƙin lissafin ɗanɗanar ciwar yarinyar ba, kuma ba shi yiwuwa a cire ƙwayar tsohuwar da aka gabatar daga jikin. Amma injections nan da nan bayan cin abinci a wannan yanayin shine yanke shawara da ta dace.

Ana yin sauyawa zuwa lispro saboda dalilai da yawa. Yawanci, ana zaɓin maganin ne ta hanyar mutanen da ba sa neman su daidaita ingantaccen tsarin yau da kullun.

Hakanan, an sanya maganin don marasa lafiya da ke da rikice-rikice na ciwon sukari, shirya don aikin tiyata, matasa da yara na farkon shekarun rayuwa. Tare da taimakon wannan magani, DM 2, wanda ba ya amsa magungunan rage sukari na gargajiya, ana iya gyara shi cikin sauƙin.

Yawancin lokaci ana haɗuwa da hormone tare da waɗanda aka kara kamar Lantus ko Levemir.

Yin amfani da miyagun ƙwayoyi yayin daukar ciki yana ba da kyakkyawan sakamako na kulawa na glycemic bayar da cewa an zaɓi sashi daidai kuma an kula da tsarin allura.

Siffofin gabatarwar yayin daukar ciki

Mata masu juna biyu ya kamata su mai da hankali musamman lokacin allurar kowane nau'in insulin. Sakamakon bincike na asibiti na zamani ya nuna cewa babu wani sakamako mara amfani tare da madaidaiciyar amfani da irin wannan magani.

A lokacin daukar ciki, marassa lafiya yakamata su lura da matakin glucose a cikin jini. Wannan kuma ya shafi halayen ciwon sukari. Wajibi ne a bi duk shawarwarin likitan, saboda zaku iya canza sashi gwargwadon lokacin haihuwa.

Idan mace tana da ciwon sukari, tana shirin daukar ciki kuma ta dauki Humalog, dole ne ta sanar da likita game da hakan. A wannan yanayin, dole ne ku canza tsarin insulin jiyya.

Mu'amala tsakanin kwayoyi da giya

Wajibi ne a yi taka tsantsan sosai ga waɗannan marasa lafiya waɗanda suke amfani da wasu magunguna waɗanda ke shafar matakan sukari na jini. Wadannan kwayoyi kuma bugu da reduceari suna rage sukarin jini:

  • MAO masu hanawa
  • ckers-masu hanawa
  • shirye-shiryen sulfonamide.

Magunguna kamar Clonidine, reserpine, β-blockers suna magance alamun rage yawan sukarin jini. Magunguna masu zuwa, akasin haka, suna rage tasirin cutar Humalog:

  • maganin hana haihuwa
  • glucocorticosteroid kwayoyi,
  • shirye-shiryen hodar iblis,
  • diuretics na jerin thiazide,
  • maganin tricyclic maganin alada.

Shan barasa tare da maganin insulin yana haifar da tasirin tasirin cutar hypoglycemic.

Kudin, sake dubawa da kuma alamun maganin

Ana sayar da maganin ne kawai ta hanyar takardar sayan magani. Ana iya siyanta a kantin magani na yau da kullun ko kantin kan layi. Farashin magunguna daga jerin Humalog ba su da girma sosai, duk wanda ke da matsakaicin kudin shiga zai iya siyan sa. Kudin shirye-shiryen shine don Humalog Mix 25 (3 ml, 5 inji) - daga 1790 zuwa 2050 rubles, kuma don Humalog Mix 50 (3 ml, 5 inji) - daga 1890 zuwa 2100 rubles.

Nazarin yawancin masu ciwon sukari game da insulin Humalog tabbatacce. Akwai maganganu da yawa akan yanar gizo game da amfani da maganin, waɗanda suka ce yana da sauƙin amfani, kuma yana aiki da sauri.

Yadda ake amfani da Humalog?

Don magunguna, ana samun takaddun sirinji na gaggawa wanda ake so don ƙarin dacewa da gudanarwa. Kafin amfani dashi, kuna buƙatar karanta Jagorar Mai Amfani da aka haɗe.

Akwatin insulin bukatar ayi birgima tsakanin tafin hannayen don dakatarwar tayi kama da juna. Idan aka gano barbashi na kasashen waje a ciki, magani ya fi kyau kada ayi amfani da shi kwata-kwata.

Don shigar da kayan aiki daidai, dole ne ku bi wasu ƙa'idodi.

Wanke hannuwanka sosai sannan ka yanke wurin da allurar da za'a yi. Abu na gaba, bi da wuri tare da maganin maganin kashe kwari.

Cire kwalban kariya daga allura. Bayan wannan, kuna buƙatar gyara fata.

Mataki na gaba shine saka allura a ƙarƙashin abu bisa ga umarnin. Bayan cire allura, dole ne a matse wurin kuma ba a tausa.

A mataki na ƙarshe na hanyar, an rufe allurar da aka yi amfani da shi tare da hula, kuma an rufe alkairin sirinji tare da hula na musamman.

Jagorar da aka lullube ta ƙunshi bayanin da kawai likita ne zai iya ba da daidai gwargwado na yawan ƙwayoyi da kuma tsarin kula da insulin, idan aka ba da hankali da glucose a cikin jinin mai haƙuri. Bayan sayan Humalog, ya kamata a bincika umarnin yin amfani da hankali. Hakanan zaka iya gano game da ka'idodin sarrafa magani a ciki:

  • Ana gudanar da hormone na roba kawai subcutaneously, an haramta shigar dashi ciki,
  • da zazzabi da miyagun ƙwayoyi a lokacin gudanarwa kada ta kasance ƙasa da zazzabi ɗakin,
  • ana yin allura a cinya, gindi, kafada ko ciki,
  • madadin wuraren allura
  • lokacin kulawa da miyagun ƙwayoyi, kuna buƙatar tabbatar da cewa allura bai bayyana a cikin lumen tasoshin ba
  • bayan gudanar da insulin, ba za a iya shayar da allurar wurin ba.

Kafin amfani, Mix dole ne a girgiza su.

Rayuwar rayuwar shiryayye shine shekaru uku. Lokacin da kalmar ta ƙare, an haramta amfani da ita. An adana maganin a cikin kewayon daga digiri 2 zuwa 8 ba tare da samun damar yin amfani da hasken rana ba.

An adana maganin da aka yi amfani dashi a zazzabi wanda bai wuce digiri 30 ba na kimanin kwanaki 28.

Jagorar ta ba da shawarar yin lissafin sashi na maganin humalog daban-daban don tattaunawa tare da halartar endocrinologist. Ya dogara da yanayin mai haƙuri, nauyinsa da wasu dalilai. Ana iya sarrafa wannan magani duka kafin kuma nan da nan bayan abinci (idan ya cancanta). Tunda wannan wakili ne gajere, ingancinsa yana bayyana kansa da sauri.

Don shigar da wannan magani, kuna buƙatar alkalami na musamman don insulin. Wani lokaci da suka wuce, akwai sirinji akan siyarwa - alkalami don insulin a ƙarƙashin sunan ɗaya da magani. Amma a halin yanzu an daina shi. Don maye gurbin shi, alkalami na aikin 3 ml na Humapen Savvio insulin Humapen suna kan siyarwa.

Amfani da irin wannan na'urar, zaku iya allura yana nufin Humulin, Humalog Mikst, Humalog, da dai sauransu An sanye shi da aikin aikin karatun aikin inzali, wanda ya sauƙaƙa amfani da magani. Volumearar da katako shine 3 ml.

An gabatar da Humalog ne kawai a cikin takaddara da aka wajabta daban-daban. Hanyar shigar da miyagun ƙwayoyi a cikin jiki shine subcutaneous, intramuscular, kuma a wasu lokuta intravenously. Gudun cikin ciki na Humalog yana yiwuwa ne kawai a cikin asibiti, tunda a gida irin wannan hanyar allura tana da alaƙa da wasu haɗari. Idan Humalog yana cikin katako, to dole ne a gudanar dashi kawai.

Aiwatar da Humalog kafin abinci. Yana da mahimmanci a lura da lokacin gabatarwar: mintuna 5-15 kafin cin abinci. Mitar allura tana daga sau 4 zuwa 6 a rana. Idan mai haƙuri yana ba da tsawon lokacin insulin na tsawon lokaci, to ana amfani da Humalog sau 3 a rana.

Likita ne kawai ke saita matsakaicin aikin don gudanar da irin wannan magani. Yawansa ya halatta a cikin lokuta daban.

An ba shi izinin haɗaka tare da wasu analogues na insulin na mutum, idan wannan haɗuwa yana cikin sirinji. Misali, ana iya gauraye shi da insulin yaduwa.

Koyaya, ya kamata mutum ya tuna cewa yakamata a ɗauki Humalog da farko. Nan da nan bayan haɗa waɗannan kayan haɗin, ya kamata a yi allura.

Idan mai haƙuri ya yi amfani da katun, to, ba lallai ba ne ya ƙara wani nau'in insulin. Humalog mix 25 yana da umarnin guda ɗaya kamar sauran bambance-bambancen wannan hormone.

Contraindications

Humalog Mix 25 da magunguna 50 na Humalog Mix suna da contraindications biyu kawai - wannan yanayi ne na hypoglycemia da hankalin mutum ga abubuwan da ke cikin shirye-shiryen.

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

Lokacin da kake kulawa da Humalog, wasu sakamako masu illa na iya faruwa. Wajibi ne a bincika su a hankali kuma ku kula da yanayin lafiyar ku cikin lokaci. Don haka, Humalog na iya haifar da waɗannan abubuwan da ba a so a jikin mutum:

  1. Haɗaɗɗa.
  2. Fatar fata.
  3. Rateara yawan zuciya.
  4. Girma.
  5. Wasu matakai na tashin hankalin bacci mai yiwuwa ne.
  6. Rashin ƙwaƙwalwar ƙwaƙwalwa, da kuma wani lokacin asararta cikakke, hade da mummunan digiri na hypoglycemia.
  7. Rashin ingancin nakasassu, wanda yake samuwa a cikin rauni na gani.
  8. Allergic halayen (da wuya sosai).
  9. Rage cikin adadin mai a cikin subcutaneous mai.

Yawan overdose yana faruwa lokacin da mara lafiya ya ƙididdige yawan maganin. Babban alamun yawan yawan wuce gona da iri shine rauni, tashin zuciya, ciwon kai, hauhawar zuciya, hazaka. Jiyya na wannan yanayin daidai yake da cutar hypoglycemia. Ana iya tsayar da shi da sauri ta hanyar ɗaukar carbohydrates mai sauri-sauri ko ta hanyar gudanarwa na ciki na maganin glucose (a cikin cibiyar likita).

Mai rikicewar lokuta na hypoglycemia an dakatar da su ta hanyar intramuscular ko subcutaneous management na glucagon. Idan babu amsa ga glucagon, to an gabatar da dextrose ta wannan hanyar. Lokacin da hankalin mai haƙuri ya dawo, yana buƙatar a ba shi abincin carbohydrate. Idan alamun cututtukan ƙwayar cuta sama da yawa ana maimaita su akai-akai, to, gyaran abinci tare da karuwa da adadin carbohydrates yana yiwuwa.

Humalog insulin a cikin sirinji na alkalami

Humalog wani magani ne wanda yake kwatankwacin insulin na halitta wanda jikin mutum yayi. DNA ingantaccen wakili ne. Matsakaicin shi ne cewa Humalog yana canza yanayin da amino acid a cikin sarkar insulin. Magungunan yana sarrafa metabolism na sukari a cikin jiki. Yana nufin magunguna tare da tasirin anabolic.

Yin allurar miyagun ƙwayoyi yana taimakawa wajen haɓaka adadin ƙwayar glycerol, mai mai kitse da glocogen a cikin jiki. Yana taimakawa haɓaka aikin furotin. Ana haɓaka yawan amfani da amino acid, wanda ke haifar da ƙarancin ketogenesis, glucogenogenesis, lipolysis, glycogenolysis, catabolism na furotin. Wannan maganin yana da tasirin gajere.

Babban bangaren Humalog shine insulin lispro. Hakanan, ana haɓaka abun da ke ciki tare da magabata na cikin gida. Hakanan akwai bambancin magani daban-daban - Humalogmix 25, 50 da 100. Babban bambancinsa shine kasancewar Hagedorn a cikin tsaka tsaki na provitamin, wanda ke rage jinkirin insulin.

Lambobi 25, 50 da 100 suna nuna adadin NPH a cikin maganin. Morearin da yawancin Humalogmix ya ƙunshi tsaka tsaki na provitamin Hagedorn, da ƙarin maganin da ake sarrafawa zaiyi. Don haka, zaku iya rage buƙatar adadin alluran injections, waɗanda aka tsara don kwana ɗaya. Amfani da irin waɗannan magunguna yana sauƙaƙe lura da cutar mai daɗi da sauƙaƙa rayuwa.

Kamar kowane magani Humalogmix 25, 50 da 100 suna da rashin amfani.

Magungunan ba ya bada izinin shirya cikakken iko akan sukari na jini.

Haka kuma akwai sanannun lokuta na rashin lafiyan ƙwayoyi da sauran sakamako masu illa. Sau da yawa likitoci suna rubuta insulin Humalog a cikin tsari tsarkakakke maimakon hadawa, tunda magunguna na NPH 25, 50 da 100 na iya haifar da rikicewar ciwon sukari, sau da yawa sukan zama na kullum. Zai fi dacewa don amfani da irin waɗannan nau'ikan da magunguna don maganin tsofaffi marasa lafiya da ke fama da ciwon sukari.

Mafi sau da yawa, zaɓin irin wannan magani yana faruwa ne saboda ɗan gajeren rayuwar marasa lafiya da haɓakar ƙwayar cuta na senile. Ga ragowar nau'ikan marasa lafiya, ana bada shawarar Humalog a cikin tsattsauran ra'ayi.

Innovation a cikin ciwon sukari - kawai sha kowace rana.

Fom ɗin saki

Ana samun maganin kamar dakatarwa don allura a karkashin fata. Abunda yake aiki shine insulin lispro 100 IU.

Substancesarin abubuwa a cikin abun da ke ciki:

  • 1.76 mg metacresol,
  • 0.80 MG na ƙwayar phenol,
  • 16 MG na glycerol (glycerol),
  • 0.28 MG provitamin sulfate,
  • 3.78 mg sodium hydrogen phosphate,
  • 25 mcg zinc oxide,
  • 10% hydrochloric acid bayani,
  • Har zuwa 1 ml na ruwa don yin allura.

Abubuwan suna da fararen launi, mai iya bayyanawa. Sakamakon shi ne farin hazo da wani ruwa bayyananne wanda ya tara sama sama da hazo. Don allura, ya zama dole a haxa ruwan da aka kirkira da laka ta hanyar girgiza ampoules da sauƙi. Humalog yana da alaƙa da ma'anar haɗuwa da analogues na insulin na halitta tare da matsakaici da gajeren lokacin aiki.

Mix 50 quicpen shine cakuda insulin-abu mai saurin motsa jiki (insulin bayani lispro 50%) da matsakaici (provitamin dakatar insulin lispro 50%).

Babban abin da ya fi maida hankali a kai shi ne don sarrafa hanyoyin tafiyar matakai na sukari a cikin jiki. Hakanan an lura da matakan aikin anabolic da anti-catabolic a cikin sel daban-daban na jiki.

Lizpro shine insulin, wanda yake iri daya ne a tsarin da yake samar da kwayar halittar jikin mutum, dukda cewa raguwar sukarin jini yana faruwa da sauri, amma tasirin yana raguwa. Cikakke shiga cikin jini da kuma fara aikin kai tsaye ya dogara da dalilai da yawa:

  • Wuraren allura (shigar a cikin ciki, kwatangwalo, buttock),
  • sashi (yawan insulin da ake buƙata),
  • tsarin tafiyar jini
  • jikin zafin jiki na mai haƙuri
  • dacewa ta jiki.

Bayan yin allura, sakamakon maganin yana farawa tsakanin mintuna 15 masu zuwa. Sau da yawa, dakatarwar ana allura a cikin fata 'yan mintoci kaɗan kafin cin abinci, wanda ke taimakawa don kwantar da kwatsam a cikin glucose. Don kwatantawa, za a iya kwatanta ingancin insulin lyspro ta hanyar aikinta tare da insulin ɗan adam - isophan, wanda aikinsa zai iya zuwa awa 15.

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