Insulin Humalog (Yachizolowezi Ndi Yosakaniza)

Insulin Humalog Yachidule imapangidwa ndi kampani yaku France ya Lilly France, ndipo mawonekedwe ake otulutsidwa ndi njira yosavuta komanso yopanda utoto, yokhazikitsidwa ndi kapisolo kapena cartridge. Zotsalazo zitha kugulitsidwa zonse ngati gawo la syringe yokonzedwa kale, kapena padera magawo asanu pa 3 ml pachimake.

Monga njira ina, makonzedwe angapo a Humalog Mix amapangidwa mwa kuyimitsidwa kwa kayendetsedwe koyenda, pomwe Humalog Remix imatha kutumikiridwa kudzera m'mitsetse.

Njira yamachitidwe

Kupanga kwa mankhwalawa ndikosavuta - insulini imatenga shuga m'maselo ndikuyiyendetsa m'thupi lonse. Kusamutsa ndikotheka:

• m'matumbo am'mimba - ndichifukwa chake jakisoni wa mahomoni nthawi zambiri amagwiritsidwa ntchito ndi osewera (omanga thupi),
• mu adipose minofu - ndi dosing yosayenera, kugwiritsa ntchito ndalama popanda kuyang'aniridwa ndi katswiri kumayambitsa kunenepa kwambiri.

Kukhazikitsidwa kwakanthawi kokhala ndi mahomoni opanga ma cellacological othandizira subcutaneous, intramuscular, nthawi zina, ma intravenous management samatulutsidwa. Jakisoni imachitika ndi syringes yapadera yoika insulin. Ndipo onetsetsani kuti mwadya.

Ku US, asayansi atulutsa chida chatsopano, m'malo mwa jakisoni wa insulin, adayamba kuyamwa ndi mahomoni awa. Pambuyo pakupanga maphunziro azachipatala, asayansi adawona zotsatira zabwino. Pakadali pano, odwala aku US amatha kugula inhalers apadera a insulin yochepa.

Ngati mankhwalawo alowa m'mitsempha kapena pansi pakhungu posachedwa, shuga ya plasma imachepetsedwa kwambiri. Ndipo mutha kuwona mphamvu ya mankhwalawa mkati mwa theka la ola mutatha kutsata.

Mitundu ya insulin

Makampani opanga zamankhwala amapereka odwala omwe samangokhala ndi angapo aafupi, a ultrashort insulin, komanso otenga nthawi yayitali komanso yapakati, nyama, umisiri wa chibadwa cha anthu. Zochizira mtundu woyamba ndi wachiwiri wa matenda a shuga, endocrinologists amalamula odwala, kutengera mtundu, gawo la matenda, mitundu yosiyanasiyana ya mankhwala, yodziwika ndi nthawi yayitali, kuyambika ndi ntchito.

Chochititsa chidwi: Kwa nthawi yoyamba, mu 1921, insulini idzipatula ku zikondamoyo za ng'ombe. Januware wotsatira adadziwika ndi chiyambi cha mayesero azachipatala a mahomoni mwa anthu. Mu 1923, kupambana kwakukulu kwa akatswiri opanga zamankhwala anapatsidwa mphoto ya Nobel.

Ma insulin a Ultrashort amalowetsedwa m'mimba asanadye, chifukwa nthawi yomweyo amayankha kuwonjezeka kwa shuga m'magazi.

Ultrashort insulin imatha kutumikiridwa mukangomaliza kudya

Insulin yochepa

Mofulumira kapena losavuta (lalifupi) insulin. Zikuwoneka ngati yankho lomveka bwino. Kugwiritsa ntchito mphindi 20 mpaka 40 Kuchita insulin nthawi yayitaliLevemir,

Kukonzekera kwa insulin kwakanthawi kokwanira sikumakhala ndi chochitika, chitatha ola limodzi kapena awiri, kutumikiridwa kamodzi pa tsiku. Makina amachitidwe akufanana ndi munthu wachilengedwe Insulin YapakatikatiMuli, Insulong,

Mankhwala apakatikati amathandizira kukula kwa glucose m'magazi. Imafotokozedwa kawiri pa tsiku, pambuyo pa jekeseni - atatha ola limodzi kapena atatu KuphatikizidwaNovolin,

Pa ampoule kapena syringe, cholembera chimawonetsa insulin yomwe ikuphatikizidwa. Imayamba kuchita mphindi 10 mpaka 20, muyenera kubaya kawiri patsiku musanadye

Momwe mungadziwire nthawi yoyenera kuperekera mankhwala, Mlingo, mitundu ya insulin yokonzekera? Ndi endocrinologist yekha yemwe angayankhe funsoli. Osadzilankhulitsa mulimonse.

Zosindikizidwa zomwe zalembedwazo zimawoneka ngati zomangamanga pamtundu wa anthu, kupatula Monodar, womwe umatchedwa nkhumba. Amapezeka mu mawonekedwe a njira yosungunuka mumbale. Zonse zimapangidwa kuti athandize odwala matenda amtundu wa 1 komanso a 2 matenda ashuga. Nthawi zambiri zotchulidwa musanayambe mankhwala.

Malinga ndi nthawi ya insulin yocheperako ndi:

• Pofupikitsa (sungunuka, kuwongolera) insulin - chitani pambuyo pakagwirira ntchito kwa theka la ola, kotero iwo amalimbikitsidwa kuti agwiritsidwe ntchito mphindi 40-50 musanadye. Tizilombo tambiri tomwe timagwira mu mtsempha wamagazi timafika patatha maola awiri, ndipo titatha maola 6 okha mankhwalawa amatsalira m'thupi. Zovala zazifupi zimaphatikizira mafuta osungunuka amtundu wa anthu, mafuta osungunuka a semisynthetic ndi nkhumba zosungunulira zina zosungunulira.
• Ultrashort (lolingana ndi anthu, analog) amaika - amayamba kukhudza thupi pambuyo pakukonzekera pambuyo pa mphindi 15. Zochita zapamwamba zimapezekanso patatha maola angapo. Kuchotsa kwathunthu kwa thupi kumachitika pambuyo pa maola anayi. Chifukwa chakuti ultrashort insulini imakhudzanso zolimbitsa thupi, kukonzekera komwe amapezeka kumatha kugwiritsidwa ntchito mphindi 5-10 musanadye kapena mukangodya. Mankhwala amtunduwu amatha kuphatikizira insulin ndi insulin yopanga anthu.

Kuphatikiza pa chiyambi, mankhwala a insulin amawerengedwa ndi kuthamanga kwa nthawi yawo yoyambira komanso nthawi yayitali. Zomwe zikutanthauza kupereka chisankho mu vuto linalake, zimatengera momwe wodwalayo alili. Mitundu ya insulin iyi ilipo:

• kukonzekera kwa ultrashort (Humalog, NovoRapid, Apidra),
• insulin yochepa (Actrapid, Humudar R),
• mankhwala a nthawi yayitali (Insuman Bazan GT, Humudar B, Protafan MS),
• mankhwala owonjezera
• mankhwala oledzera.

Mankhwala a insulin amaperekedwa makamaka mosagwirizana komanso kudzera m'mitsempha. Jekeseni wovomerezeka ndi zotheka kudzera ndimankhwala osakhalitsa ndipo muzovuta kwambiri odwala matenda a shuga komanso chikomokere. Musanalowe mankhwalawa, muyenera kutentha ndi manja anu: yankho lozizira limayamwa pang'onopang'ono ndipo ndi jakisoni yopweteka.

Kuthamanga kwa insulin kumadalira mlingo wa malo, malo oyendetsera, gawo la nthendayi. Mankhwalawa amalowa m'magazi pambuyo poti jekeseni wamkati wam'mimba, pang'onopang'ono kuchokera kutsogolo kwa ntchafu ndi dera lamapewa, komanso kutalika kwambiri kuchokera pakabowo ndi pachiwopsezo.

Musanayambe jakisoni m'malo amodzi, muyenera kufunsa dokotala yemwe adzakuwonetseni tsambalo. Kuonana ndi dokotala ndikofunikanso ngati pakufunika kusintha tsamba la jakisoni.

Pofulumira kuwonekera, ma insulins amagawidwa m'magulu angapo:

• Ultra yochepa-insulin
• Mankhwala osokoneza bongo mwachidule
• Insulin yochita pakati
• Mankhwala okhalitsa
• Kuphatikiza kapena kusakaniza ndi insulin.

Pali magulu osavuta, omwe mankhwalawa amagawidwa pocheperapo pang'ono ndikukonzekera insulin.

Kutengera ndi mtundu wa mankhwalawa, mitundu iyi ya insulin imasiyanitsidwa ndikuchita kwawo:

• Ultrashort insulin - mankhwala a gululi amayamba kugwira ntchito mkati mwa mphindi 5 mpaka 10 pambuyo pa kuperekedwa. Yogwira ntchito kwambiri masiku angapo ndi theka pambuyo pa dongosolo. Kutalika kwa mankhwalawa ndi maola 2-5.
• Insulin yochepa - zotsatira za gululi la mankhwalawa zimayamba mphindi 15-20 pambuyo pa kuperekedwa. Kupendekera kwakukulu m'magazi kumachitika pambuyo pa maola awiri pambuyo pobayira. Mphamvu ya mankhwalawa imatha kwa maola 5-6.

• Yaitali kanthu kapena sing'anga insulini - kanthu akuyamba pambuyo maola 2-3 mankhwala kukonzekera, kukonzekera kwa maola 16. Gulu la mankhwalawa liyenera kugwiritsidwa ntchito kangapo patsiku pafupipafupi.
• Pakatikati - kugwiritsa ntchito mankhwalawa ndikofunikira nthawi 1-2 patsiku. Kuchitikaku kumayamba pambuyo pa maola 4-6, pambuyo pa utsogoleri ndi kumeza. Mankhwalawa amakhudza thupi kwa nthawi yoposa tsiku limodzi.

Mtundu wa othandizira omwe amapanga mankhwala amalembedwa ndi katswiri, kutengera mbiri yaumoyo, komanso thanzi la wodwalayo. Kuchita kwa insulin yochepa kumakhala kothandiza, koma kwakanthawi.

Insulin yochepa ya shuga

Matenda a shuga amathandizira kupewa kukula kwa zovuta, kutalikitsa moyo wa anthu odwala matenda ashuga ndikuwongolera. Komanso, jakisoni wa mankhwalawa amachepetsa katundu pa kapamba, zomwe zimapangitsa kubwezeretsa pang'ono kwa maselo a beta.

Zoterezi zimatheka ndi mtundu wachiwiri wa matenda ashuga ndikukhazikitsa pulogalamu yoyenera ndikutsatira dongosolo lomwe dokotala walimbikitsa. Kubwezeretsa maselo a Beta ndikothekanso ndi matenda amtundu wa 1 pokhapokha mutapezeka kuti ali ndi vuto komanso njira zamankhwala zimatengedwa mwachangu.

Kodi odwala matenda ashuga azikhala ndi chiyani? Onani mndandanda wathu wazabwino sabata iliyonse pano!

Kugwiritsa ntchito ndalama pamasewera

Ma insulin omwe amagwira ntchito mwachidule samasungunuka ndipo amatha kukhazikika pang'onopang'ono machitidwe osiyanasiyana mthupi la munthu. Izi zimagwiranso ntchito kwa omwe amagwirizana ndi kuyamwa kwa shuga.

Nthawi yomweyo, insulini imayambitsidwa pakupanga mankhwala, omwe samaphatikizapo zodetsa zilizonse, koma amakhala okhazikika bwino. Chifukwa chake, zochita zake ndizothandiza kwambiri, chifukwa chake dzinalo limatchedwa insulin, chifukwa limayamba kuchita mwachangu kwambiri.

Kuchuluka kwa zochitika zomwe zimatsimikizira mitundu yomwe yaperekedwa ya insulin imadziwika mkati mwa maola ochepa kuchokera nthawi yomwe imayambitsidwa.

Nthawi zambiri zimatenga ola limodzi ndi theka mpaka maola awiri, koma kutengera kutengera kwazinthuzo komanso mitundu yawo, zosiyananso nthawi yayitali zimadziwika. Komabe, mankhwalawa amadziwika ndi kutsika msanga pambuyo pake. Pakatha maola asanu ndi limodzi, zinthu zochepa chabe za insulin yayifupi zomwe zimatsala m'magazi.

Akatswiri amayang'ana chidwi chakuti insulin yayifupi imakhala ndi gulu la intraclass, mwachitsanzo, amasiyanitsa zotsatira zazifupi komanso za ultrashort. Ma insulini, omwe ndi amtundu woyamba, amayamba kuchita ngati theka la ola kuchokera nthawi yoyang'anira. Mankhwala sayenera kugwiritsidwa ntchito pasanathe mphindi 30 asanadye chakudya - motero mitundu ya insulin ingakhale yogwira mtima kwambiri.

Ultrashort insulin ndi kapangidwe kamene kamayamba kugwira ntchito pambuyo pa mphindi 15. Mankhwala omwe aperekedwa ndi othandiziridwa kuti agwiritsidwe ntchito pafupifupi mphindi 5-10 musanadye kapena mutangodya. Dzinalo lililonse liyenera kuvomerezedwa ndi katswiri yemwe angakuthandizeni kusankha mitundu yoyenera pankhani iyi.

Humalog, Novorapid ndi Apidra ndi amtundu wa ma impashins a ultrashort - pali tebulo lapadera. Mayina omwe amaphatikizidwa ndi insulin yochepa ndi Actrapid NM, Insuman, Rapid ndi ena ambiri. Kuphatikiza pa mitundu yomwe yaperekedwa, akatswiri amadziwa mtundu wa mahomoni a nthawi yayitali komanso nthawi yayitali, yomaliza yomwe imagwira ntchito kwa maola osachepera 20.

Mankhwala okhala ndi nthawi yochepa ayenera kupatsidwa mankhwala makumi atatu, makamaka mphindi makumi anayi ndi zisanu asanadye. Pamene chiwopsezo cha zochita za mankhwalawa chikuyandikira, muyenera kusowa. Mankhwalawa amakhudza thupi pakatha mphindi makumi atatu mpaka makumi atatu ndipo amatha kufikira pakatha maola awiri kapena atatu atabayidwa. Kuchita kwa insulin kumatenga maola asanu mpaka asanu ndi limodzi.

Mankhwala osokoneza bongo amagwiritsidwa ntchito pakukhazikitsa mlingo wa insulin, komanso ngati mukufunikira mwachangu ndipo palibe mankhwala omwe ali ndi yochepa kwambiri. Gawo lina logwiritsira ntchito ndi monga othandizira ma anabolic omwe amalimbikitsa mapangidwe ndi kukonzanso magawo a maselo, minofu, minyewa (yoyendetsedwa mu waukulu).

Chimodzi mwazinthu zovuta zomwe zimapangitsa kuti ma insulin azigwiritsa ntchito mwachidule ndikuti kugwiritsa ntchito kwawo kumafuna jakisoni pafupipafupi. Chifukwa chake, asayansi apanga mankhwala a nthawi yayitali, omwe amawaganizira kuti ndi njira yabwino kwambiri yodwala matenda ashuga: nthawi yawo imayamba kuchokera maola 16 tsiku lililonse (kutengera matenda, machitidwe a thupi, njira yoyendetsera).

Pachifukwa ichi, thupi silifunanso jekeseni awiri kapena atatu patsiku.

Kutalika kwa nthawi ya mankhwalawa kumachitika chifukwa cha zinki kapena protamine (isofan, basal, protafan) pokonzekera, chifukwa sizimasungunuka komanso ma insulin amafupikitsidwe, zimatengedwa pang'ono ndi pang'ono m'magazi kuchokera kuzinthu zowoneka bwino, zomwe zimapangitsa kuti ikhale yayitali.

Pazifukwa zomwezo, mankhwala osokoneza bongo omwe sanapangidwe kuti asapangidwe ndi glucose surts: amayamba kuchita pakatha ola limodzi kapena awiri atabaya.

Kuchuluka kwa mankhwala omwe ali ndi nthawi yayitali kumatenga nthawi yayitali kuposa ya mankhwala omwe amakhala ndi kanthawi kochepa - zimayamba maola anayi pambuyo poti jakisoni wadzibaya ndipo amachepa patatha maola khumi ndi awiri.

M'masiku amakono azachipatala, mankhwala amapangidwa m'njira ziwiri:

• kutengera ndi porulin insulin
• kugwiritsa ntchito matekinoloje opanga ma genetic - kusintha kwachilengedwe kwa mahomoni a anthu.

Muzochita zawo, onse mankhwalawa amagwirizana kwathunthu ndi timadzi ta munthu. Ndipo zotsatira zake zonse ndi zabwino - kutsitsa-shuga.

Mosiyana ndi mankhwala omwe amagwiritsidwa ntchito kwa nthawi yayitali, zinthuzi sizikhala ndi zowonjezera, chifukwa chake zovuta zoyipa zimasowa kwambiri.

Masiku ano, kugwiritsa ntchito insulin pamasewera kumagwiritsidwa ntchito kwambiri. Omanga a thupi amadzipaka okha ndi mankhwalawa kuti achulukitse minofu yomanga ndikusintha thupi kuti likhale ndi nkhawa.

Chowonadi ndi chakuti timadzi tating'onoting'ono ndimankhwala abwino a anabolic, ndipo tikayang'aniridwa kuti ataye, sangathe kuwazindikira. Kuphatikiza apo, wogulitsa zamankhwala ali ndi mtengo wotsika mtengo, poyerekeza ndi mitundu ina ya anabolics.

Komabe, wothamanga aliyense ayenera kumvetsetsa kuti ndikaphunzitsidwa mosayenera ndi kumwa, monosaccharides sangasamutsidwe minofu ya minofu, koma kuti minofu ya adipose. Ndipo m'malo moyembekezeredwa komanga minofu, womanga thupi amangolandira mafuta amthupi okha.

Zizindikiro zogwiritsidwa ntchito

Insulin Humalog imapangidwira odwala onse omwe ali ndi vuto la hyperglycemia ndipo amafuna insulin. Itha kukhala funso la mitundu iwiri ya matenda ashuga a mellitus, omwe ndi matenda omwe amadalira insulin, ndi matenda amtundu wa 2, omwe shuga ya magazi amawonjezeka pafupipafupi pambuyo chakudya chomwe chimakhala ndi chakudya.

Insulin Humalog-yofikira mwachidule imakhala othandiza nthawi iliyonse yamatendawa, komanso kwa odwala onse azaka ndi azaka zonse. Monga mankhwala othandiza, kuphatikiza kwake ndi ma insulin apakati komanso a nthawi yayitali, omwe amavomerezedwa ndi adokotala, amawaganiziridwa.

Kugwiritsa ntchito Humalog kumayambira powerengera mlingo, womwe umatsimikiziridwa payekha ndi adotolo, kutengera ndi kusowa kwa shuga kwa insulin. Mankhwalawa atha kuperekedwa musanadye komanso pambuyo poti mudye, ngakhale njira yoyamba ndiyabwino.

Onetsetsani kuti mukukumbukira kuti yankho siliyenera kuzizira, koma likufanizira kutentha kwa chipinda.Nthawi zambiri, syringe yodziwika, phula la syringe kapena pampu ya insulini imagwiritsidwa ntchito kuyiyendetsa, kubayidwa mosakakamira, komabe, pazinthu zina, kulowetsedwa kwa intravenous kumaloledwa.

Jakisoni wotsekemera amachitika makamaka m'tchafu, phewa, pamimba kapena matako, kusinthana malo a jekeseni kuti chinthu chomwecho sichikugwiranso ntchito kamodzi pamwezi. Kusamalidwa kuyenera kuthandizidwa kuti musalowe m'mitsempha, komanso sikulimbikitsidwa kutikita pakhungu pambuyo poti mwabayidwa.

Ma humalog omwe adagulidwa ngati mawonekedwe a cartridge a syringe cholembera agwiritsidwa ntchito motere:

1. muyenera kusamba m'manja ndi madzi ofunda ndikusankha malo a jekeseni,
2. khungu m'malo jakisoni ndi opha tizilombo toyambitsa matenda,
3. chophimba chimachotsedwa pa singano.
4. Khungu limakonzedwa pamanja pokoka kapena kukanikiza kuti khola lipezeke,
5. singano imayilidwa pakhungu, batani la syringe limakanikizidwa,
6. singano imachotsedwa, tsamba la jakisalo limakanikizidwa modekha kwa masekondi angapo (popanda kutsitsa ndi kutikisa),
7. mothandizidwa ndi kapu yoteteza, singanoyo imatembenuzidwa ndikuchotsedwa.

Malamulo onsewa amagwira ntchito pamitundu yotere ya mankhwalawa monga Humalog Remix 25 ndi Humalog Remix 50, yopangidwa mwanjira yoyimitsidwa. Kusiyanako kuli pakuwoneka ndi kukonzekera kwa mitundu yosiyanasiyana ya mankhwala: yankho lake liyenera kukhala lopanda utoto komanso wowonekera, pomwe limakhala lokonzeka kugwiritsidwa ntchito, pomwe kuyimitsidwa kwake kuyenera kugwedezeka kangapo kuti katoni ikhale ndi yunifolomu, yamitambo, yofanana ndi mkaka.

Kuwongolera kwapakati pa Humalog kumachitika pang'onopang'ono pogwiritsa ntchito njira yolumikizira momwe yankho limaphatikizidwa ndi yankho la 0.9% sodium chloride kapena 5% dextrose solution. Kugwiritsa ntchito mapampu a insulin poyambitsa Humalog amakonzedwa molingana ndi malangizo omwe aphatikizidwa ndi chipangizocho.

Mukamagwira jakisoni wamtundu uliwonse, muyenera kukumbukira kuchuluka kwa shuga 1 gawo la insulin kumachepetsa shuga kuti mupeze bwino kuchuluka kwa thupi ndi momwe thupi limagwirira. Pa avareji, chizindikirochi ndi 2.0 mmol / L pokonzekera ma insulin ambiri, zomwe zimachitikiranso Humalog.

Monga mankhwala aliwonse, insulin yothamanga imakhala ndi contraindication ndi zoyipa.

• hepatitis, zilonda zam'mimba ndi m'mimba,
• nephrolithiasis, yade,
• zolakwika zamtima zina.

Zotsatira zoyipa zimawonetsedwa ndikuphwanya mlingo: kufooka kwambiri, thukuta lochuluka, malovu, mapindikidwe, pali kupweteka kwakomoka.

Poona kuti ma insulin omwe ali amtundu waifupi komanso wa ultrashort ndi mankhwala apamwamba (nawonso pafupi ndi insulin ya anthu), nthawi zambiri samayambitsa zovuta.

Komabe, nthawi zina, vuto linalake losasangalatsa limatha kuzindikira, kuyimitsa kapena kukwiya m'malo a jekeseni - izi zimatha kukhala nthawi yayitali.

Mbali ya mahomoni imalimbikitsidwa kuti iyambitsidwe mu peritoneum pansi pa khungu mukangolimbitsa thupi. Ndikofunikira kuyamba ndi yaying'ono ndipo nthawi yomweyo ndikofunikira kuyang'anira zonse zomwe zimachitika mthupi. Pafupifupi mphindi 15 jekeseni, ndikofunika kugwiritsa ntchito zina mwa zotsekemera.

Chiŵerengero cha chakudya chamagulu omwe adyedwa ku gawo la mankhwala oyambitsidwa liyenera kukhala khumi mpaka limodzi.

Zitatha izi, mutatha mphindi 60, mudzafunika muzidya zakudya zabwino, ndikofunikira kuti chakudyacho chizikhala ndi zakudya zomwe zimakhala ndi mapuloteni. Mankhwala osokoneza bongo a insulin kapena osagwiritsidwa ntchito molakwika amatha kupweteketsa kwambiri hypoglycemic syndrome. Nthawi zambiri zimagwirizanitsidwa ndi kuchepa kwapadera kwa shuga m'magazi.

Ngati zakudya zapadera ndi mapiritsi sizimapereka zotsatira zabwino zochepetsera shuga. Pankhaniyi, jakisoni wa mahoni amagwiritsidwa ntchito. Gwiritsani ntchito zofunika pa matenda otsatirawa:

• matenda ashuga ketoacidosis,
• ngati wodwala matenda a shuga wachitidwa opaleshoni,
• coma hyperosmolar,
• kuwonongeka kwa kagayidwe kachakudya matenda osiyanasiyana etiologies.

Wodwala amatha kukwanitsa zotsatira zabwino ndi chithandizo chovuta, chomwe chimalamulidwa ndi katswiri:

• jakisoni wa mahomoni
• kudya moyenera
• masewera olimbitsa thupi apadera.

Nthawi zambiri, odwala amamuika insulin yaifupi kapena ya ultrashort. Gwiritsani ntchito mankhwala pafupifupi mphindi 25 musanadye. Dokotala amakakamizika kuwerengetsa kuchuluka kwake. Kuwerengera kwa mankhwalawa kumatengera chithunzi cha matenda, kulemera kwa wodwala komanso kuchuluka kwa chakudya chomwe chimamwa.

Chimalimbikitsa kugwiritsa ntchito jakisoni wa insulin pang'ono:

• tsamba la jakisoni limachiritsidwa ndi yankho la mowa,
• kuti mupeze jakisoni, muyenera kugwiritsa ntchito ma syringe ambiri omwe amagulitsidwa mu mankhwala a insulin,
• ndikofunikira kupatsa mankhwala pang'onopang'ono,

• tsamba la jakisoni likusintha mosalekeza
• insulin yochepa imayendetsedwa kutsogolo kwa khoma lamimba,
• Pambuyo pa makonzedwe, ndikofunikira kuyika mankhwala a thonje osungunuka ndi malo opangira jakisoni, koma sangathe kuwonongeka. The kuyamwa kwa timadzi mu magazi ayenera pang'onopang'ono.

Ultrashort insulin ndi analogue yosinthidwa ya munthu. Mankhwalawa amagwiritsidwa ntchito ngati kulumpha lakuthwa m'magulu a shuga pazifukwa zosiyanasiyana. Mtunduwu umagwiritsidwa ntchito, chifukwa nthawi yake imawonekera kwambiri.

Ngati wodwalayo sangathe kupirira nthawi yofunikira asanadye, dokotala akuwonetsa kugwiritsa ntchito insulin yochepa kwambiri. Ndizovuta kwambiri kuwerengera kuchuluka kwake, chifukwa kuchuluka kwa gawo komwe kumagwira, kutsika kwakuthwa kwambiri kumachitika.

Contraindication

Pali magawo awiri okhazikitsidwa omwe amachititsa kuti munthu agwiritse ntchito Humalog: kusalolerana kwa chinthu chimodzi kapena chinzake cha mankhwala ndi hypoglycemia, momwe mankhwala a hypoglycemic amangokulitsira njira zoyipa mthupi. Komabe, mawonekedwe ndi zizindikiro zingapo ziyenera kukumbukiridwa mukamagwiritsa ntchito insulin iyi:

• Kafukufuku sanawonetse mavuto aliwonse a Humalog paumoyo komanso thanzi la mwana wosabadwa (komanso mwana wakhanda),
• chithandizo cha insulin chimawonetsedwa kwa amayi apakati omwe ali ndi matenda a insulin omwe amadalira shuga kapena gestational, ndipo potengera izi, tiyenera kukumbukira kuti kufunika kwa insulini kumayamba kuchepa mu trimester yoyamba, kenako ndikuwonjezeka ndi trimesters yachiwiri ndi yachitatu. Pambuyo pobadwa mwana, kufunikira kumeneku kumatha kuchepa kwambiri, komwe kuyenera kukumbukiridwa
• pokonzekera kukhala ndi pakati, mayi yemwe ali ndi matenda ashuga azikambirana ndi dokotala, ndipo mtsogolomo, kuwunika mosamala za momwe aliri kungafunike,
• mwina kufunika kokonza kuchuluka kwa Humalog panthawi yoyamwitsa, komanso kukonza zakudya,
• odwala matenda ashuga omwe ali ndi aimpso kapena a hepatic insuffuffing amakhala ndi mayamwa mofulumira a Humalog poyerekeza ndi ma insulin ena.
• Kusintha kwina kwa mankhwala a insulin kumafunikira dokotala: kusintha mtundu wina wa insulin, kusintha mtundu wa mankhwalawo, kusintha zolimbitsa thupi.