Pono ka maʻi diabetes mellitus i ka neʻe ʻana i ka insulin, a me ke ʻano type diabetes 2 mau manawa pono i ka insulin. No laila, aia ke koi no ka hoʻonui ʻana o ka hormone. Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono kekahi e aʻo i kāna mau lāʻau lapaʻau, contraindications, hiki paha ke hōʻeha, ke kumukūʻai, nā loiloi a me nā analogue, e nīnau aku i ke kauka a hoʻoholo i ke ʻano.
ʻO Humalog kahi analogue o ka human sugar-lowing hormone. Loaʻa ia ia he hopena ma kahi pōkole pōkole, ke kāohi i ke kaʻina o ke kuhi glucose i loko o ke kino a me kona pae. Pono e hoʻomanaʻo ka hōʻiliʻili o ka glucose i ka palani a me nā mākala me ka glycogen.
ʻO ka lōʻihi o ka lāʻau lapaʻau e hilinaʻi i nā helu he nui, me nā ʻano kūʻokoʻa o ka mea maʻi. No ka laʻana, i ka mea maʻi me ka diabetes type 2, i ka wā e hoʻohana ai i ka lāʻau hypoglycemic a me ka maʻi lā o ka insulin, ua ʻike ʻia ka mana o ka nui o ke kō. Mālama ka lāʻau i ka emi ʻana o ka glucose i ka wā hoʻomaha o ka pō i nā maʻi maʻi. I kēia hihia, ʻaʻole i hoʻopilikia ka palu o ke aʻalā a i nā pōpoki me ka metabolism o ka lāʻau.
Hoʻomaka ka lāʻau Humalog i kahi hopena hypoglycemic ma hope o ke komo ʻana i ke kino ma hope o 15 mau minuke, no laila hana pinepine nā maʻi maʻi i nā injections ma mua o ka ʻai ʻana. ʻAʻole like me ka hormone kanaka kūlohelohe, hoʻomau wale ʻia kēia lāʻau lapaʻau mai 2 a hiki i 5 mau hola, a laila 80% o ka lāʻau lapaʻau e hoʻopā ʻia e nā ʻōpū, ʻo ke koena 20% - ma ke kō.
Mahalo i ka lāʻau lapaʻau, hiki ke hoʻololi ʻia kēlā mau loli maikaʻi:
- ka wikiwiki o ka protein synthesis;
- hoʻonui i ka hoʻokomo o nā waikawa amino;
- e hoʻolohi ana i ka wā e hemo ai ka glycogen e hoʻohuli i ka glucose;
- ka hoʻokaʻawale ʻana o ka hoʻololi o ka glucose mai nā mea huna protein a me nā momona.
Aia i ka hoʻoneʻe ʻana o ka waiwai ikaika, ua hoʻokuʻu ʻia nā ʻano lāʻau ʻelua ma lalo o ka inoa Humalog Mix 25 a me ka Humalog Mix 50. I ka hihia mua, he 25% ka hopena o ka hormone synthetic a me ka 75% o ka hoʻokō ʻana i ka protamine ka waiho ʻana, ma ka lua o kā lākou manaʻo, he 50% a 50%. Loaʻa i nā lāʻau lapaʻau ka hapa liʻiliʻi o nā mea hoʻohui'ē aʻe: glycerol, fenol, metacresol, zinc oxide, dibasic sodium phosphate, kahe waiʻu, sodium hydroxide 10% a i ʻole hydrochloric acid (solution 10%). Hoʻohana ʻia nā lāʻau ʻelua no ka diabetes a me ka non-insulin a ʻelua-hilinaʻi ʻole.
Kuhi ʻia nā insulins i kēlā me ke ʻano o ka pohō ʻana, ʻo ia ke keʻokeʻo. Pahu ka paʻakai keʻokeʻo a me ka wai hoʻopuka ma luna o ia mea, he ʻano me ka heʻe, ua lilo hou ka ʻano i ka homogeneous.
Loaʻa kahi humalog mix 25 a me Humalog Mix 50 suspension i loko o nā pahu loina 3 ml a me nā peni syringe.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
No nā lāʻau lapaʻau, loaʻa i kahi peni syringe penikala kūikawā hou no ka hoʻokō maʻalahi ʻana. Ma mua o ka hoʻohana ʻana iā ia, pono ʻoe e heluhelu i ke alakaʻi Hoʻonaʻi pili. Pono ke lōlō ʻia ka pahu insulin ma waena o nā pālima o ka lima no ka ʻaʻa ʻana i lilo ai i homogeneous. I ka ʻike ʻana o nā ʻāpana ʻāina i loko o laila, ʻoi aku ka maikaʻi o ka hoʻohana ʻole ʻana i ka lāʻau lapaʻau. E hoʻokomo pololei i ka hāmeʻa, pono ʻole kekahi mau lula.
E holoi pololei i kou mau lima a e hoʻoholo i kahi e hana ai ka maʻi. A laila, e mālama i ka wahi me kahi antiseptic. Hoʻokuʻu i ka pāpale pale mai ka pono. Ma hope o kēia, pono e hoʻoponopono i ka ʻili. ʻO ka hana aʻe e hoʻokomo ai i ka pono o ka subcutaneously e like me ke kuhikuhi ʻana. Ma hope o ka wehe ʻana i ka pono, pono e paʻi ʻia i kahi a i ʻole e wāwahi. I ka hana hope o ke kaʻina hana, ua pani ʻia ka pūliki hoʻohana me kahi pāpale, a ua pani ʻia ka peni ʻo ka syringe me kahi pāpale kūikawā.
Aia nā ʻōlelo i hoʻopuni ʻia ʻia e ka ʻike e hiki i ke kauka wale ke kuhikuhi i ka hewa kūpono o ka lāʻau lapaʻau a me ka hoʻoponopono ʻana o ka ʻina o ka insulin, i loaʻa ka ʻike o ka glucose i ke koko o ka mea maʻi. Ma hope o ke kūʻai ʻana iā Humalog, e ʻike pono nā ʻōkuhi no ka hoʻohana ʻana. Hiki iā ʻoe ke ʻike i nā kānāwai no ka hoʻoponopono ʻana i ka lāʻau lapaʻau ma loko:
- mālama ʻia ka hana synthetic wale nō i ka subcutaneously, ʻāpono ʻia i ke komo ʻana i loko o ka intravenously;
- ʻaʻole pono ka nui o ka wela o ka lāʻau i ka manawa o ka hoʻokele ʻana ma mua o ke ana o ka lumi;
- nā ʻōkēkē e hana i nā ʻūhā, pōpoki, poʻohiwi a me ka ʻōpū;
- pono e hoʻololi ʻia nā wahi no ka maʻi ʻaila;
- i ka lawelawe ʻana i ka lāʻau lapaʻau, pono ia e hōʻoia i ka nānā ʻole ʻana mai o ka pono ma ka lumen o nā moku;
- ma hope o ka hoʻomehana ʻana o ka insulin, ʻaʻole hiki ke ʻae ʻia ka pūnaewele injection.
Ma mua o ka hoʻohana ʻana, pono e lulu ʻia ke ʻano.
ʻOʻekolu mau makahiki i ke ola papaola. Ke pau nei kēia huaʻōlelo, pāpā ʻia ka hoʻohana ʻana. Mālama ʻia ka lāʻau lapaʻau i ka laulā mai 2 a 8 kiʻekiʻe me ka ʻole o ka ʻike i ka lā.
Mālama ʻia ka lāʻau lapaʻau i loko o kahi mahana ʻaʻole he 30 kiʻekiʻe no kahi 28 mau lā.
ʻO nā maʻi, nā hopena ʻaoʻao a me nā overdose
ʻO ka Humalog Mix 25 a me ka Humalog Mix 50 mau lāʻau he ʻelua wale nō contraindications - he kūlana kēia o ka hypoglycemia a me ka ʻike pilikino i nā mea i ʻike ʻia i loko o ka hoʻomākaukau.
Eia nō naʻe, inā hoʻohana pono ʻia ka lāʻau lapaʻau a i ʻole nā kumu ʻē aʻe, hiki paha i ka mea maʻi ke hōʻeha i nā hopena ʻino e like me hypoglycemia, allergies, lipid dystrophy ma ka pūnaewele injection (jarang loa).
I nā kūlana paʻakikī, pono ke kauka e hoʻoponopono i ka mālama ʻia ma ka koho ʻana i kekahi insulin synthetic a i ʻole desensitization.
Pono e mālama pono i nā kūloko i nā hopena kūlohelohe o nā ʻano ʻano like ʻole:
- ʻO ka puffiness e pili ana i nā maʻi huakaʻi, ʻulaʻula, a me kahi ʻeha e hala ma hope o kekahi mau lā a i ʻole hebedoma.
- Hoʻohui ʻia me ka ʻāpana antiseptic a i ʻole i hoʻoponopono ʻia i ka insulin.
- Nā maʻi kūloko o ka ʻōnaehana - ka lohi o ka hanu, ka hoʻokaʻahaʻa o ke koko, ka hōʻeha maʻamau, hoʻonui nui ʻia a me ka tachycardia.
ʻO ka manawa o ka hōʻeha a me ka umauma, hiki i nā wahine ke lawe i kēia mau lāʻau, e kau ʻia i ka kūkā me ka mea mālama loea.
Ke ʻae ʻia nā keiki e hoʻohana i kēia lāʻau lapaʻau, akā no kekahi kumu wale nō. No ka manawa, hoʻololi pinepine ka makemake a me kahi meaʻai o ke keiki, ua pā pinepine ʻo ia i nā hōʻeha o ka hypoglycemia a i ʻole ka ʻike mau ʻana i ka nui o nā kō. Eia naʻe, hiki i ke kauka ke hoʻoholo i kahi kūpono o ka hoʻohana ʻana i ka lāʻau Humalog.
ʻO ka hoʻokaʻawale ʻana i kahi nui o ka lāʻau ma lalo o ka ʻili e hiki ke hōʻeha i nā hōʻailona like i pili me ka overdose:
- hoʻonui nui kaʻeha a me ka ʻōpū;
- lie kanikela
- ninaki a me ka luaʻi
- tachycardia;
- pupule ʻike.
I nā hiʻohiʻona maʻalahi o kahi overdose, pono ke kīpē e ʻai i ka meaʻai me ke kō. Hiki i ke kauka hele ke hoʻololi i ka ʻano o ka lāʻau lapaʻau, nā mea kanu a i ʻole ka hoʻoikaika kino. Me ka hoʻohālike maʻalahi, e mālama ʻia ana ʻo glucagon i ka subcutaneously a i ʻole intramuscularly, a me ka maʻalahi o ka digestible carbonates. I nā kūlana koʻikoʻi, inā he coma, ke ʻano neurological a me nā mea hoʻokūkū, e mālama pū ʻia hoʻi ka glucoseagon a i ʻole ʻo ia hoʻi nā mea hoʻonaninani. Ke hele nei ka mea maʻi, pono ia e ʻai i nā meaʻai momona.
Eia kekahi, pono ʻo ia i lalo o ka mālama paʻa ʻana o kahi kauka.
ʻO ke kumukūʻai, nā loiloi a me nā analogues o ka lāʻau lapaʻau
Ke kūʻai aku nei ka lāʻau lapaʻau ma o ka lāʻau kūʻai wale nō. Hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau maʻamau a i ʻole nā lāʻau lapaʻau pūnaewele. ʻAʻole kiʻekiʻe loa ke kumu kūʻai o nā lāʻau lapaʻau mai ka Humalog series, hiki i nā mea āpau me ke kumukūʻai haʻahaʻa ke kūʻai aku ia. ʻO ke kumu o nā mākaukau no ka Humalog Mix 25 (3 ml, 5 pcs) - mai 1790 a 2050 mau rubles, a me kahi Humalog Mix 50 (3 ml, 5 mau pcs) - mai 1890 a 2100 rubles.
Hōʻikeʻike i ka hapa nui o nā maʻi maʻi e pili ana i ka maikaʻi o ka Humalog. Nui nā ʻōlelo ma ka Pūnaewele e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau, ka mea e ʻōlelo maʻalahi he mea maʻalahi ke hoʻohana, a wikiwiki koke.
Loaʻa nā hopena ʻaoʻao. ʻAʻole "biting" ke kumu o ka lāʻau lapaʻau, e like me ka hōʻike ʻana o nā loiloi maʻi maʻi maʻi. He hana maikaʻi loa ka Insulin Humalog me ke kō koko kiʻekiʻe.
Eia kekahi, ʻo nā pōmaikaʻi o kēia mau lāʻau mai kēia ʻano kuʻuna e hiki ke hoʻākāka ʻia:
- hōʻano maikaʻi o ka hoʻoliʻi hana;
- oki ana i ka HbA1;
- ka hōʻemi ʻana i ka hoʻouka ʻana i ka glycemic i ke ao a me ka pō;
- ka hiki ke hoʻohana i ka ʻai ʻai mau ʻana;
- hōʻoluʻolu o ka hoʻohanaʻana i ka lāʻau.
Ma nā hihia ʻaʻole i pāpā ʻia ka mea maʻi e hoʻohana i ka lāʻau mai ka papa Humalog, hiki i ke kauka ke kuhikuhi i kekahi o nā lāʻau like ʻole, no ka laʻana:
- Isophane;
- Iletin;
- Penikala;
- Hoʻokomo i ka insulin C;
- Insulin Humulin;
- Rinsulin;
- Actrapid MS a me nā mea ʻē aʻe.
Ke ulu mau nei ka lāʻau lapaʻau maʻamau, hoʻomohala a hoʻomaikaʻi i nā lāʻau lapaʻau e kōkua ana i nā poʻe he nui i ka mālama i ke ola a me ke olakino. Me ka hoʻohana pono ʻana o ka inika synthet mai ka ʻanā Humalog o nā lāʻau lapaʻau, hiki iā ʻoe ke noho mau i ka hōʻeha nui ʻana o nā hōʻeha o ka hypoglycemia a me nā hōʻailona o kahi "maʻi ʻoluʻolu". Pono ʻoe e hoʻopili mau i nā ʻōlelo a kou kauka a mai hōʻino ponoʻī. Ma kēia ala hiki i kahi mea me ka maʻi maʻi lā e hiki ke hoʻomalu i ka maʻi a noho ola ma luna o kahi pā me nā kānaka olakino.
ʻO ka wikiō i kēia moʻolelo e haʻi e pili ana i nā hiʻohiʻona lāʻau o ka Humalog insulin.