Ua kūʻai ʻia ka maʻi Injection Insulin Glulisin e nā mea maʻi me ka maʻi mellitus. Pono kēia lāʻau lāʻau e hoʻohaʻahaʻa i ke kō koko koko, me ka mālama pono ʻia o ka maʻi. ʻO kēia ʻaihini pōkole. He mea ia i nā lāʻau ʻē aʻe no nā maʻi maʻi. Ua hōʻike ʻia ʻO Glulisin i ka hopena hypoglycemic hua.
Ka hana kūpono a me ka hana papa o ka hana
He mea like kēia o ka insulin kanaka, aia nā mea like. I ka manawa like, hana wikiwiki ka māka ma ke kino (i loko o 10-20 mau minuke ma hope o ka hoʻokele ʻana), akā he manawa pōkole ka manawa o ka mana.
ʻO ka hana nui o ka lāʻau lapaʻau ka hoʻohaʻahaʻa i ka pae o glucose, e hele ana ma muli o ka hoʻouluʻana o ke kaʻina o ka absorption e kāna mau peripheral tissues.
Hoʻomaʻamaʻa ka ʻōpū o ke kākala a me ke kiko adipose i ka glucose maikaʻi loa o nā mea āpau, me ka hoʻoka ʻole ʻana i kona mau mālama i loko o ke ate. ʻAʻole hilinaʻi ka hopena o ka lāʻau i ka male a i ʻole ka lāhui o ka mea maʻi.
ʻO nā hiʻohiʻona Pharmacokinetic
ʻO ka lawe ʻana o kēia lāʻau i ka kino o ke kanaka he wikiwiki ka wikiwiki (e pili ana i 2 mau manawa). Ma ia ʻano haʻawina ua hana ʻia ma nā maʻi nā maʻi me nā maʻi maʻi type 1 a me ke ʻano 2.
Inā mākou e noʻonoʻo i ka hoʻokele subcutaneous, ʻo ka manawa o ka hālāwai ma ka mea maʻi me ka maʻi 1 aʻi ka 55 mau minuke, akā i ka manawa like, ʻo ka maʻamau o ke ʻano maʻamau o ke kanaka a puni ka systemic circuit ma kahi o 62 mau minuke ka lōʻihi.
Ma hope o nā noiʻi he nui, ua ʻike ʻia ka ʻoi aku ka maikaʻi o ka lāʻau inā hoʻokomo ʻia ka subcutaneously i ka pā o ka ʻōpū o ka ʻōpū, a hiki ke loaʻa ka hopena liʻiliʻi ma ka ʻaoʻao ʻoi loa.
Hoʻomaopopo ka poʻe maʻi me ka ʻōpū o ka renal i ka hoʻoulu ʻia e like me nā ʻaoʻao ʻē aʻe o ka maʻi, akā ʻo kekahi o lākou e hōʻemi i ka pono o ka insulin. ʻO ka lōʻihi loa ke kūleʻa ʻana a me ka lōʻihi o ka lāʻau lapaʻau ke hoʻokele ʻia i kahi keiki a ʻōpio paha i ka kaulike like ia o ka pākeke.
Nā inoa kūʻai
Ke loaʻa aku nei ʻo Insulin Glulisin 2 mau inoa kālepa hou loa: Apidra a me Apidra SoloStar. Hoʻohana ʻia ka mea koho mua e mālama i ka maʻi maʻi i nā keiki mai nā makahiki 6, a ua hoʻohana ʻia ia no nā pākeke e koi ana i ka insulin. ʻO Apidra he 3.49 mg o ka waiwai nui (insulin glulisin). Hiki ke hoʻohālikelike i kēia mea me ka 100 IU o ka hormone kanaka.
Kuhi ʻia kēia lāʻau lāʻau i loko o ka pahu haki 10 ml a i ʻole mau pahu pahu wai nui he 3 ml. Hoʻopili ʻia ka koho mua aʻe ma kahi pahu cathodic, a ʻo ka lua - i loko o kahi kāmele blister me nā sela. Ma ka mana hou loa, aia he 5 o kēia mau kāleka i hoʻohewa ʻia i loko o kahi peni kūikawā (syringe) "OptiPen" a i ʻole "OptiSet" (peni manawaleʻa).
Hana ʻia ka mea hana i kahi ʻōnaehana kūʻokoʻa "OptiKlik". Loaʻa nā waihona āpau i kahi wai kūlohelohe māmā.
ʻO kekahi mea hoʻohālikelike o ka lāʻau lapaʻau ʻo Apidra SoloStar. ʻO ka hana koʻikoʻi i loko o ia mea like i ka manawa like me ka embodiment o mua.
Nā ʻōmole a me ka Hoʻohana
Hoʻohālikelike ka lāʻau lapaʻau me ke kanaka inā ʻaʻole no ka lōʻihi o ke kau ʻana i nā mea pōkole. He lawa ke hāʻawi i ka mea maʻi i kahi lāʻau o ka lāʻau lapaʻau, a ma hope o 15 mau minuke e loaʻa iā ia ka hōʻoluʻolu koʻikoʻi.
He ʻokoʻa paha nā ʻano o nā ʻoihana: subcutaneously ma kahi ʻāpana o ke kino a me ke kōkua o kahi pū i kahi insulin. Ke lawe ʻia nei ka hana hope loa ma ke ʻano o ka infusion (me ka ʻole o ka wawahi) i loko o ka ʻili o ke kino ma lalo o ka ʻili.
E lawe ʻia kēia kaʻina ma mua o ka ʻai ʻana o ka ʻai, a ma hope iho, i ka manawa koke. ʻO ka injection subcutaneous ka maikaʻi loa i loko o ka ʻōpū o ka ʻōpū, akā hiki nō iā ia i loko o ka ʻāʻī, nā ʻōpū. Akā ʻae ʻia ka infusion i loko o ka ʻōpū.
Hiki i ke kauka hele wale nō ke kuhikuhi i kahi regimen lāʻau. No laila, hoʻohana ʻia kēia lāʻau lapaʻau i ka wā e pono ai e lawelawe i ka insulin i ka mea maʻi me kahi lōʻihi lōʻihi a i ʻole paha.
Hoʻomaopopo ʻia ka hoʻohui ʻana i ka hoʻopuka ʻana o nā lāʻau lapaʻau me nā papa (hypoglycemic drug). Hoʻoholo ʻia ka nui a me ke koho ʻana o ka lāʻau lapaʻau e ke kauka hele mai, no ka mea ʻaʻohe kuleana o ka mea maʻi e koho i kāna iho. Hoʻopunipuni kēia i nā hopena maikaʻi ʻole.
Ma waena o nā ʻōnaehana kūikawā no ka hoʻohana, hiki iā ʻoe ke loaʻa kahi hōʻailona ma kahi o ka noho luna o ka lāʻau lapaʻau. No laila, ponoʻo ia e pale i nā hōʻino i nā moku koko.
Eia kekahi, pāpā ia i ka hoʻouka ʻana i kahi kahi i hana ʻia ai ka maʻi.
Hiki paha nā hopena maikaʻi ʻole
Inā koho ʻia ʻo Insulin Glulizin, pono e hōʻike i nā ʻōlelo aʻo e hoʻohana ai i ka mea hoʻohana e pili ana i ka nui o nā hopena hopena. Inā ua kuhikuhi ʻia kekahi kanaka i kahi overdose o ka lāʻau lapaʻau, ʻaʻole pono ia i kēia, hiki i ka mea maʻi ke hoʻomohala i ka hypoglycemia. ʻO kēia ka hopena maʻamau loa e hoʻohana ai i kēia lāʻau lapaʻau.
I loko o kahi hopena maikaʻiʻole o ka hoʻomakaʻana o ka lāʻau lapaʻau, loaʻa pinepine ka mea maʻi i nā hōʻailona o ka maʻi koke. Ua hoʻolei ʻia ʻo ia i kahi hoʻohena anu, keens ʻole kekahi, ʻūlū, a hoʻohālikelike. I ka manawa like, loaʻa iā ia nā haʻalulu a me kahi makemake ikaika.
Nā hōʻailona hou: nausea, palpitations, a me ka hoʻopalike. E ulu ʻoe nā hōʻailona o kēia alahele, inā ʻaʻole kū ʻole ʻia, e nalowale kekahi kanaka. Hoʻomaopopo ka mea maʻi i nā mea hoʻomau, ke hana nei ka ʻole o ka lolo i ka ʻino, a ma ka hihia ʻino loa, e alakaʻi ʻia i ka make.
Hoʻololi pinepine pinepine i nā mea maʻi i nā hōʻeha ākea i ka hana o ko lākou kino. No ka laʻana, i kekahi manawa hiki i kahi maʻi ke hoʻomohala i ka heching, hives, a i ʻole dermatitis alia. Hiki i kēia mau hōʻailona ke kūlike me ka manaʻo o ka paʻa ma ka umauma a i ʻole ka asphyxiation. Inā ulu koʻikoʻi nā hopena ʻaoʻao i kēia ʻano, ma muli o kahi maʻi āpau i hoʻonui ʻia, ʻano kahaha ʻo ka anaphylactic, like me ke ʻano e hiki i ka make.
I kekahi manawa ma ka wahi i ʻōlelo ʻia ma nā ʻili, ʻike ʻia kahi pane hypersensitivity. Hiki ke hōʻike ʻia e like me kahi wahi edematous e kū pono ai. Ke lōʻihi o ka manawa, ua like kēia ʻano me ia iho, a ma hope o nā kaʻina hana he pau loa. Hiki i kekahi mau maʻi ke hoʻomohala i ka lipodystrophy.
Hoʻohana i ka wā keiki a me ka hānai
Inā i kuhikuhi ʻia ʻo Glulisin i kahi wahine i kēia wā hauʻoli, akā paʻakikī, ua wehewehe ke aʻo i nā hiʻohiʻona o ka hoʻohana ʻana i kēia lāʻau lapaʻau he mea ʻokoʻa. ʻAʻole aʻoi ʻia kēia wahi, no laila ʻaʻole nui ka ʻike.
Ua ho'āʻo ʻia ka lāʻau lapaʻau ma nā holoholona. Ua hōʻike ʻia ka noiʻi ʻana i kaʻokoʻa ʻole ma hope o ka hoʻopuka ʻana o kēia pono hana a me ke ʻano kanaka i ka wā hāpai. Ma hope o ka hoʻopuka ʻana, ʻaʻohe loli i ka hoʻomohala ʻana o ka pūpū i ka wā o ka hana a i ka manawa ma hope o ia.
Akā i ka manawa like, pono nā mea maʻi e makaʻala loa i ka lawelawe ʻana i kahi lāʻau lapaʻau. Pono e hana ʻia kēia kaʻina ma lalo o ka nānā o ka glucose koko. I ka hihia o ke maʻi maʻi gestational, pono nā wahine e kiaʻi mau i kāna metabolism.
ʻO ka maʻamau, hoʻolaha ka poʻe kauka i ka poʻe maʻi e pili ana i ka hoʻololi ʻana i nā dosages i nā manawa like ʻole o ka maʻi. No laila, hiki iā lākou ke hōʻemi i ka hopena i loko o kahi hoʻomaʻama mua, a hoʻonui i ka wā i nā mea hana ʻelua ʻelua. Ma hope o ka hānau ʻana o ka wahine, e ʻike ʻo ia i ka emi ʻana o nā koi o ka insulin.
ʻAʻole komo ka mea i loko o ka waiū waiū a ʻaʻole i hoʻomoʻa ʻia i ka wā o ka lactation. Akā hiki i ke kauka hele ke hoʻoponopono i ka dosis o ka lāʻau lapaʻau i kēia manawa a kuhikuhi i kahi meaʻai kūikawā no ka wahine.
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻO Insulin Glulisin i ka wā i hui pū me ka guanethidine hiki ke hoʻonāukiuki i ka hoʻomohala ʻana o ka hypoglycemia, nā ʻōmaʻomaʻo o nā mea e ʻaʻole e nani iki.
ʻO nā hui o nā lāʻau lapaʻau e hiki ke hoʻonāukiuki i ka hiki ʻana o nā hopena maikaʻi ʻole.
- Nā Disopyramids;
- MAO a i ʻole PAF pale;
- Sulfonamides;
- Pākuʻi;
- Salicylates;
- Propoxyphene.
ʻO ka emi ʻana o nā hōʻailona hypoglycemic i nānā ʻia me ka hoʻohana pū ʻana o ka lāʻau me nā mea like ʻole:
- Diuretics;
- Danazole;
- Nā mea hoʻohui i ka protein;
- Diazoxide;
- Nā lāʻau kūlohelohe;
- Epinephrine et al.
ʻO ka huaʻōlelo o nā lāʻau lapaʻau e hoʻonāwaliwali i nā waiwai o Insulin:
- Clonidine;
- Paʻi litium;
- Etanaol;
- Nā māka hua Beta.
ʻAʻole hiki iā ʻoe ke ʻae hōʻemi, e hōʻemi a hoʻonui paha i ke ʻano o ka lāʻau lapaʻau, e hui pū ai me nā lāʻau ʻē aʻe. Ke lawe ʻia nei ka hoʻololi i kekahi ʻano like o ka insulin e ka neʻe ʻana i kauka, a hana ʻia kēia hana ma lalo o ka mākaʻi loea koʻikoʻi.
I kēia manawa, pono ia kahi hoʻoponopono hoʻoponopono i ka manawa e pono ai. Inā ʻaʻole ʻoe e pili i kēia mau loiloi a pololei ʻole i ke komo ʻana i ka lāʻau lapaʻau e pono ai, hiki iā ʻoe ke hoʻonāukiuki i ka wikiwiki o ka ulu ʻana o ka hypoglycemia, me kekahi mea e hiki aʻe ai.
Eia kekahi, hiki i ke kauka ke hoʻololi i ka dosage inā ua maʻa ke kanaka i nā loli i ka papa ʻai, me nā hoʻololi i ka hana kino. Ma hope koke o ka ʻai ʻana, pāpā ʻia ka mea maʻi mai ka neʻe ʻana aku, no ka mea hiki i kēia ke kaha i ka hoʻomaka ʻana o ka hypoglycemia.
