Hoʻolālā ʻia ka lāʻau antidiabetic Humulin NPH e hoʻomau i ka glucose i loko o ke koko i ka pae maʻamau, he manawa maʻamau o ka hana.
Inoa Kūʻai ʻole honua
ʻO Humulin NPH, ma ke ʻano he lāʻau lapaʻau me ka hana ʻōmole unambiguous, ua hāʻawi ʻia i ka International Nonproprietary Name - Insulin-Isophan (Human Genetic Engineering).
Eia kekahi, pili kēia lāʻau lapaʻau i ka inoa kālepa o Humulin® NPH a me ka inoa Latin Insulinum isophanum (humanum biosyntheticum).
Hoʻolālā ʻia ka Humulin NPH e mālama i ka glucose o ke koko ma ka pae maʻamau a loaʻa ka lōʻihi o ka hana.
ATX
Pili pū ka lāʻau lapaʻau i ke code A10AC01, ka mea e pili ana i ka papa o nā insulins kanaka.
E hoʻokuʻu i nā palapala a me ka ʻano
ʻO ka hoʻonohonohoʻana o ka lāʻau lapaʻau e like me ka mea nui i ka insulin kanaka ma kahi o 100 IU / ml. No ka hōʻoia pono i nā waiwai e pono ai, ua hoʻohui ʻia ke ʻano o ka nui me nā mea kōkua: metacresol, phenol, glycerol, protamine sulfate, sodium hydrogen phosphate heptahydrate, zinc oxide, hydrochloric acid solution, sodium hydroxide solution a me ka wai no ka injection.
Hoʻopaʻa ʻia ka lāʻau lapaʻau i nā kīʻaha (10 ml) a me nā pahu pahu (3 ml) o ka aniani. Nā leo o 1 pc. waiho ʻia i loko o nā pahu pepa, a me nā pahu pahu o 5 pcs. waiho ʻia i loko o nā pila. Hiki i kekahi ʻano ke kūʻai ʻia i nā pahu pahu mua i loko o nā penikala syringe (ma nā pahu pahu 5 pcs.)
Hoʻopau
No ka hoʻokele kūmole. Hiki ke līpī i kēia keʻokeʻo keʻokeʻo i ka waiho ʻana i kahi keʻokeʻo keʻokeʻo a i ʻole ka hoʻokeʻokeʻo a i ʻole nā ʻāpana like ʻole i loko o ka papa luna. Ma mua o ka hoʻohana pono ʻana, e lūlū i ka lāʻau a hiki i ka loaʻa ʻana o ka wai homogeneous.
Hoʻopili ʻia ka lāʻau lapaʻau i loko o nā hue (10 ml) a me nā cartridges (3 ml) o ke aniani o ka paleʻana, nā mea hoʻohui pū i ka insulin o ke kanaka ma kahi ʻano o 100 IU / ml.
Ka hana lāʻau lapaʻau
ʻO kēia lāʻau lapaʻau kahi DNA hoʻolaʻa DNA o nā kānaka like ʻole, e hoʻohana ʻia ia he regulator o nā hana hoʻonaninani o ka glucose. Kuhi ʻia nā waiwai kūlohelohe he mau mea hou ma ka Humulin NPH. Hāʻawi ka Insulin i ka lawe wikiwiki o ka glucose i ka glucose a me nā waʻa amino i loko o nā kino o ke kino (ke ʻole o ka lolo), a me ka wikiwiki o ka anabolism protein. Mahalo i ka insulin, ua hoʻohuli ʻia ka glucose i loko o ke akea i ka glycogen. Ke hana nei ka lāʻau lapaʻau e pale i ka gluconeogenesis a kōkua iā ia e hoʻohuli i ka nui o ka glucose i nā momona.
Lapaʻau lāʻau
Hoʻomaka ka lāʻau lapaʻau e hana i ka hana o 50-60 mau minuke ma hope o ka hoʻokele ʻana, he kūpono loa i ka manawa mai ka lua o ka hola ma hope o ka hoʻokele ʻana, ʻo 18 ka lōʻihi o ka hōʻike.
ʻO ka hana a me ka hoʻopiha piha ʻana o ka lāʻau i ka maʻi e pili ʻia ana e ka pūnaewele injection, dosage a me ke kūpaʻa. Hōʻike ʻia ia e kahi kahele hūnā ma luna o nā ʻili kino. Ua hōʻoia ka noiʻi ʻana i ka haʻalele ʻana o Humulin NPH i ka waiū umauma a me kona hiki ʻole ke komo i ka pāʻai placental. Ua hoʻopau ʻia nā 30-80% e nā keiki.
Nā hōʻailona no ka hoʻohana ʻana
Ua kuhikuhi ʻia ka lāʻau lapaʻau no ka maʻi mellitus type 1 a me ke ʻano 2, me ka wā hāpai ʻana, e kū ana me ka maʻi mellitus type 2.
Ua hōʻike ʻia ka lāʻau lapaʻau Humulin NPH no nā maʻi maʻi type 1 a me ke ʻano 2.
Nā Hoʻohui
Ua hoʻohana ʻia ka hoʻohana ʻana o Humulin NPH ma ka hihia o ka hypoglycemia a me ka piʻi ʻana o ka naʻau i ka insulin a me kekahi o nā mea hoʻonani i loko o ka haku o ka lāʻau.
Me ka mālama pono
I ka wā hapai a me ka umauma, hiki ke loli ka pono o nā kiʻekiʻe o ka insulin, no laila, pono e mālama pono i ka lāʻau lapaʻau me ka mālama akahele, e nānā i ke ʻano a hoʻoponopono i ka ʻōhua inā pono.
Pehea e lawe ai iā Humulin NPH
Hoʻoholo ʻia ka nui o ka lāʻau i ke ʻano e ke kauka a hilinaʻi i ka ʻike o ka glucose i loko o ke koko. Ke ʻae ʻia nei ka hoʻokele Intramuscular o ka lāʻau lapaʻau, eia naʻe ka ʻōnaehana nui ma ke ʻano ma lalo o ka ʻili i ka pupu, ka poʻohiwi, ka ʻūhā, a me ka ʻōpū paha. Lāia ʻia ke komo komo ma ka intravenously.
Ma mua o ka hoʻokele ʻana, lawe ʻia ka mahana o ke kali ʻana i ka mahana i loko o ke keʻena, e hoʻololi ʻia nā wahi i ʻōlelo ʻia me ka ʻole o ka hoʻohana ʻana i ka wahi like me ka 1 manawa i hoʻokahi mahina. Me ka hoʻokele subutaneus, pono ia e hōʻoia i ka hopena ʻole o nā kīʻaha koko. ʻO ka pūnaewele injection ma hope o ke kūlohelohe ʻana ʻaʻole i hoʻonā ʻia ʻia.
Me ka maʻi diabetes
Ma mua o ka pau ʻana, pono ke hoʻokuʻi ʻia ka insulin, no ka mea ua hoʻopili ʻia nā hue wai i nā manawa he nui i nā lima, a hoʻopaʻa ʻia nā pahu pahu i nā manawa he 10 i ka palapa o ko lākou mau lima, a laila huli i kekahi 10 mau manawa e 180 °. ʻO ka hiʻohiʻona pono e ʻike i kahi kahe turbid ka lole. ʻAʻole hiki iā ʻoe ke lūlū me ka hua ikaika e ʻike ʻole ʻole ʻia ka mea ʻino, e hoʻopili ana i ka pae kūpono. Ma mua o kahi maʻi i ka maʻi, pono e ʻike ʻia ka mea maʻi i nā ʻōlelo aʻo no ka lawelawe ʻana i ka insulin ma o ka peni syringe.
Hoʻohana kōkua ʻo Syringe Pen
He maʻalahi a maʻalahi ke hoʻohana ʻia ʻana o ka Pen Pen. Hoʻololi ʻia ka hoʻokomo ʻana o ka insulin i nā hana he nui.
- Ma hope o ka holoi maikaʻi ʻana i kou mau lima, koho i ka pūnaewele inikini a holoi.
- Hoʻopili i ka pāpale o ka peni syringe ma o ka huki ʻana iā ia, akā ʻaʻole ke pala. Mai haʻalele i ka lepili. Hoʻomaopopo i ke kū ʻana o ka insulin i nā mea pono āpau (ʻano, ka lā, ka helehelena). Resuspend i ka hopena.
- E hoʻomākaukau i ka huʻu hou ma ke kāpae ʻana i ka hōʻailona pepa mai ka pāpale waho. E holoi i ka pākīkī i ka pihi o ka pahu pahu a me ka waiʻona, a laila kau i ka kui, aia i ke kapa, e kū pono ai i ka koʻi ma ka peni ʻo nā syringe. E pākuʻihi i ka pono a hiki i ke komo pū ʻana.
- Hoʻopau i ka pāpale ma waho mai ka hope o ka pūkaʻi, mai hoʻokuʻu ʻole, a wehe i ka pāpale i loko a hoʻolei aku.
- E nānā i ka komo ʻana o ka insulin mai ka syringe wikiwiki.
- E hoʻokomo i ka lāʻau pono ma lalo o ka ʻili, ma hope o ke ʻano loea i hōʻike ʻia e ke kauka. E paʻa paʻa i ka pihi injection o ka lāʻau lapaʻau me ka manamana lima. E hoʻokomo i ka momona piha, paʻa ka pihi i lalo i ka helu hoʻolima o 5.
- Ma hope o ka wehe ʻana i ka pūkaʻi, e ʻohi pono i ka wahi i ʻōlelo ʻia me ka swab o ka hulu hipa, me ka ʻū ʻole o ka huki.
- E wehe i ka pūpū me ka pale pale a kī ʻole.
Hoʻokomo ʻia ka Humulin NPH ma lalo o ka ʻili, ma hope o ke ʻano i hōʻike ʻia e ke kauka hele, e paʻa i ke kī ʻoi i ke kani me ka lima.
Nā hopena hopena o ka Humulin NPH
ʻŌnaehana Endocrine
ʻO kahi hopena e hiki ke hele mai ma muli o ka hopena nui o ka lāʻau no ka hypoglycemia. I nā hihia koʻikoʻi, hiki i kēia kūlana ke alakaʻi i ka comog hypoglycemic a me ka nalowale o ka ʻike, a ma kahi kūlana koʻikoʻi, i ka make.
Allergies
ʻO ka hōʻike ʻana o nā kūloko kūloko o ke kūloko, i hōʻike ʻia e ka ʻulaʻula, ke kīleʻe a me ka hana ʻana i ka maʻa wahi. I kēia hihia, pono ʻoe e ʻike i ka hopena o ka hopena ma muli o ka lāʻau lapaʻau, ʻaʻole ma ka alerine i kahi hoʻomaʻemaʻe a i kekahi mau mea ʻē aʻe.
I nā hanana rarer, kahi hōʻike o ka maʻi pākaʻi e ʻoi aku ana i ke ʻano o ka hana ʻōiwi, pōkole o ka hanu, ka pōkole o ka hanu, hōʻemi i ke koko, piʻi ka nui o ka puʻuwai a me ka hoʻonui ʻana aku. Hiki i ke ʻano ke hoʻoweliweli a koi ʻia e mālama koke. Pono ʻoe e hoʻololi i ka lāʻau a mālama i ka desensitization.
Kuhi loa (me ka loaʻa ʻana o 0.001-0.01%) lipodystrophy i ulu.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
ʻO ka lawe ʻana i ka lāʻau lapaʻau ʻaʻole ia e hoʻopilikia i ka hoʻokele o ka halihali a me nā mea ʻē aʻe. Eia naʻe, he hopena maikaʻi ke hopena ʻokoʻa - hypoglycemia, ka mea i hōʻike ʻia e ka nānā ʻole, a hiki i ka nalowale o ka ʻike.
Nā ʻōlelo kikoʻī
Hiki i ke hoʻoponopono ʻana i nā hemahema i ke kuhikuhi o ka hoʻonui e pono ai ka loli ʻana i ka meaʻai, hoʻonui a e hōʻemi ana paha i ka hana kino, ke kaumaha ʻana i ka manaʻo naʻau. Hiki i ke hoʻoponopono ʻia ke nānā ʻana i ke koina o ka hōʻemi ʻana inā pono i ka hoʻopulepule ʻana o ke aʻa thyroid, nā puhaka pituitary a me nā koikoi adrenal.
Hoʻohana i ka wā hāpai a me ka lactation
Hoʻomaʻamaʻa pinepine ka emi ʻana o ka insulin i ka wā o ka trimester mua a hoʻonui i ka wā o ka lua a me ke kolu, no laila he mea nui e nānā i nā hōʻailona. E kūkākūkā i kāu kauka no nā loli a pau i ka maʻi maʻi. ʻO ke kōpaʻa a me kona hoʻolālā e kūkākūkā me kahi mea loea ma ka hiki ke hiki.
I ka wā lactation, hiki paha i kahi loli hoʻololi ke pono.
Ke noi no ka hana renal haukapole
Pono ke emi ʻana o ka insulin; e hoʻoponopono ʻia ka hoʻoponopono ʻana.
Hoʻohana no ka hana lawelawe lēwa
Pono ke emi ʻana o ka insulin; e hoʻoponopono ʻia ka hoʻoponopono ʻana.
Kaʻu o ka Humulin NPH
Inā ʻaʻole i kū ka insulin i ke koko i ka ʻaʻai a me ka lilo o ke kumukūʻai, hiki ke hypoglycemia, i hōʻike ʻia e ka lethargy, hoʻonui nui ʻia, ka tachycardia, palapa o ka ʻili, ka ʻeha, ka haʻalulu, ka luaʻi a me ka hilahila. Pono ka hōʻeha a me ka hoʻonohonoho ʻana o nā hōʻailona ma mua o ka hypoglycemia e hoʻohālikelike paha i nā kūlana.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hypoglycemic hopena o ka insulina ua hoʻokāʻoi 'ku una ha hypoglycemic ai', Mao nā mea kūpale, ACE nā mea kūpale, carbonic anhydrase nā mea kūpale, ole-e wae Hoʻokolohua-blockers, bromocriptine, octreotide, sulfonamides, anabolic steroid, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine, ai 'likiuma a nā lāʻau lapaʻau e loaʻa ana.
ʻO ka hopena hypoglycemic o ka insulin e palupalu e ka contraceptives waha, glucocorticoids, thyroid hormones, thiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, danazole, clonidine, BKK, diazoxide, morphine, phenytoin a me nikotine.
Hiki i ke Reserpine a me salicylates ke hoʻonāwaliwali a hoʻoikaika i ka hana o Humulin NPH.
Hoʻolaha ka waipuna
ʻO ka inu ʻona he mea ia e hoʻonui ai i ka hoʻohālikelike i ka hypoglycemia, no laila, ka mālama pono ʻana, nānā aku i ka ʻōlelo loea, a, inā paha, e pono ai ka hoʻoponopono ʻana i nā dute i pili.
I kekahi mau hihia, ke inu ʻana i ka waiʻona me ka hoʻomākaukau ʻana i ka insulin e hiki ai i ka lactic acidosis, ketoacidosis, a me nā mea paʻakikī o disulfimira e like me ke kino.
ʻO ka inu ʻawaʻawa me nā wai nīnī i ka wai lālau e hiki ai i ka lactic acidosis a me nā hopena disulfimira e like me ke kino.
Nā kuʻina
Hiki ke hoʻololi ʻia ka lāʻau lapaʻau ma hope o ka nīnau ʻana i kahi loea. Hiki ke hāʻawi ʻia nā analogues i kēia mau mea hana:
- Insuman Bazal GT;
- Biosulin N;
- Protafan HM;
- Protafan HM Penfill.
Waihue huaʻōlelo waiho nā huaʻōlelo
Hiki iaʻu ke kūʻai me ke kī ʻole
ʻO kahi lāʻau lapaʻau mai ka papa inoa B B ʻaʻole hiki ke kūʻai ʻia me ka ʻole ke kauka a ke kauka.
Kumukuai no Humulin NPH
Kūpaʻa ke kumukūʻai ma ke ʻano o ka hoʻokuʻu ʻana, ka nui o nā hue a me nā pahu pahu i ka peke. ʻO nā kumukūʻai kūpono loa o ka Humulin NPH 100 IU / ml:
- 3 ml mau kāleka, 5 pcs. i kahi pūlō kāleka (me QuickPen) - mai 1107 mau rubles .;
- pahu o 10 ml, 1 pc. i kahi pūlō kāleka - mai 555 mau rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
E mālama i ka huahana āu e makemake ai i kahi mahana o + 2 ... + 8 ° C a me kahi kahi e pale ʻia mai ka ʻike maka o ka lā. Aohe mea e hoʻohana kokoke ai i nā mea hoʻohana wela. Lā ʻia ke kiʻahi.
ʻO kahi hoʻohālikelike paha ia ka lāʻau Insuman Bazal GT.
E mālama i nā keiki.
ʻO ka lā kau
ʻO ka paʻa ʻana i kahi palapala i wehe ʻole ʻia e mālama i kona mau waiwai no 3 mau makahiki. Ma hope o ka hoʻomaka ʻana o ke hoʻohana - 28 mau lā (ma + 15 ... + 25 ° C).
Mea hana
ʻO ka mea nāna i hoʻopaʻa inoa i ka hoʻopaʻa inoa no ka lāʻau lapaʻau ka hui Swiss "Eli Lilly Vostok S.A."
ʻO nā hua Bottles e hana ʻia i USA (Indianopolis), ʻo Eli Lilly a me Kamupani, a me nā cartridges me nā penikala syringe - ma Farani, ʻo Lilly Farani.
Nā Hōʻikeʻike e pili ana iā Humulin NPH
Kauka
Anna, 45 makahiki, Saratov
Ua hana wau ma ka endocrinology ma mua o 20 mau makahiki. Manaʻo wau he maikaʻi ʻo Humulin i nā kūlana he nui, ʻokoʻa ʻole ka hāʻawi ʻana i kahi ʻano maʻi alerine.
Andrey, 38, Kaliningrad
ʻOi aku ka ikaika o ka lāʻau lapaʻau. Ua koho wau iā ia inā he lula pilikino lākou.
ʻO nā maʻi maʻi
Alexandra, 32, Moscow
He keiki ʻōpiopio mai Humulin i ka ʻōpū o nā ʻōkuhi, ʻoiai iaʻu e hoʻāʻo mālie e hoʻoluhi lohi. Pau nā kiko, ʻike ʻia nā sila, a laila e hoʻoholo ma loko o kekahi mau lā wale nō. Pono mākou e hoʻāʻo e hoʻololi i kahi analogue, ʻoiai ʻaʻole i nā hoʻopiʻi.
Mikhail, 42, Kazan
Ua hoʻāʻo wau e haʻalele iā Humulin NPH i mua o Biosulin, akā ua maopopo iaʻu ʻaʻole pono ia, no ka mea ua hoʻomaka nā pilikia kīloi, ua hana pono ʻoe, a ʻaʻole hāʻawi i ke kōkō i ka hopena i makemake ʻia. ʻAʻole naʻe kēia i hana me ka NPH.
Alexander, 52, Khanty-Mansiysk
Ua maʻi wau i ka maʻi maʻi ma mua o 10 mau makahiki. Ua hoʻohana ʻia ʻo Humulin NPH i ka hoʻomaka ʻana o ka maʻi. He hana maʻamau ke koli, ke manaʻo nei wau wale nō ka kiʻekiʻe o kāna hana e lilo i kahi drawback, ua loaʻa iaʻu kahi koho ʻē aʻe noʻu.
