ʻO ka maʻi diabetes mellitus o nā ʻano mua a me ka lua he maʻi weliweli loa e hoʻololi nui i ke ala maʻamau o ke ola maʻamau.
Inā loaʻa, pono kekahi mau lāʻau lapaʻau e ola no ka ola, ʻoi aku hoʻi i nā lāʻau lapaʻau e pili ana i ka insulin.
ʻO kekahi o kēia mau lāʻau lapaʻau ʻo Humulin, nā ʻōlelo a ka mea i loko o kēia ʻatikala. No laila ua hoʻohana ʻia no ia?
Ke ʻano o ka noi
Hoʻomaopopo ʻia ka lāʻau lapaʻau i ka nīnau no ka hōʻino o ka hoʻowalewale ʻana o nā pauku o nā ʻano mua a me nā ʻano ʻelua.
Ma ke ʻano he kānāwai, ʻoi aku ka maikaʻi o ka hoʻohana ʻana o Humulin i ka pae o ke kū'ē o nā lāʻau hypoglycemic i manaʻo ʻia no ka hoʻokolokolo waha.
Hoʻolaha ʻia ka Humulin no ka ketoacidosis, ketoacidotic a me ka hyperosmolar coma, kahi hopena endocrine e hōʻailona ana i ka hoʻemi ʻole ʻana o nā hāmeʻe, i puka mai i ka wā hāpai (me ka pololei ʻole o ka ʻai kūikawā). He mea pono hoʻi i nā maʻi maʻi me nā maʻi maʻi, i kū mai ma muli o nā maʻi lēʻeha koʻikoʻi.
ʻO ke ʻano o ka noi ʻana o Humulin, ua hoʻoholo like ʻia ke kū a me ke ʻano o ka hoʻohana ʻana no kekahi maʻi. I kēlā me kēia kūlana, e kau ana i ke kaona o ke kō i loko o ke koko ma mua o ka ʻai ʻana a me kanaono mau minuke ma hope o kēia, ua koho ʻia ka pono o ka lāʻau. ʻO nā manawa nui hoʻi nā kiʻekiʻe o ka glucosuria a me nā hiʻohiʻona o ka papa o ka maʻi.
Hoʻohana pinepine ʻia ka lāʻau ma lalo o ka ʻili a i ʻole ka intramuscularly. Pono e hana ʻia kahi ʻōlelo hapalua hola ma mua o kahi kīʻaha pololei.
Basically, makemake nā poʻe he nui i ka huakaʻi subcutaneous o ka hoʻokele.
Ma ke alo o ka ketoacidosis maʻi maʻi a i kahi coma maʻi maʻi, hiki ke lawelawe ʻia a Humulin ma intravenously a i intramuscularly. Hoʻopili ʻia kēia mea i ka manawa o ka launa ʻana i ka maʻi hana.
ʻĀnō
Ma ke ʻano he kānāwai, ua koho ke kauka i ka mahele o Humulin. Hoʻomaʻamaʻa pinepine, nā loea i kuhikuhi i nā lāʻau insulin, i kau ʻia i ka hoʻohana pono ʻana i ka lāʻau hoʻokahi. Pono e hoʻomaopopo ʻia e ʻae ʻia ʻo Humulin ka lawelawe ʻana me nā ʻano like ʻole o ka insulin. Hiki iā ʻoe ke hoʻohana i nā inikini lehulehu i kēlā me kēia lā.
Humulin NPH
ʻO Humulin NPH, Humulin L, Humulin Ultralente hiki ke hoʻohana i ka injections me nā ʻano ʻē aʻe o ka hormone pancreatic kūlohelohe. ʻElua manawa i ka lā.
ʻO ka mālama ʻia me nā lāʻau lapaʻau e pili ana i ka insulin, inā pono, ʻo ka hui pū ʻana o ka lāʻau lapaʻau i ka nīnau me nā lāʻau like ʻole e hiki nō. Ke hoʻohui nei i nā ʻāpana, he mea nui e hoʻomanaʻo e lawe pono ka līkika hana pōkole i loko o ka syringe i mua o ka hoʻāʻo ʻia.
Akā ʻo ke kālā mai ka pūʻulu Humulin M i manaʻo ʻia e hoʻoweliweli mau ʻia. ʻElua lawa i ka inane no kēia lāʻau.
Ma ke ʻano he kānāwai, no ka hoʻokele ʻana, ʻaʻole pono nā ohe ʻoi aku ma mua o nā ʻāpana 40.
Ke hoʻololi nei mai nā huahana ʻē aʻe i loaʻa i ka huahana e pono ke kaʻina mālama akahele.
Ke hoʻoneʻe nei i kekahi o nā maʻi maʻi maʻi maʻi mai ka maʻi o nā holoholona mai Humulin, he hōʻemi nui ia i ka hopena mua a i ʻole ka loli i ka pae o nā lāʻau lapaʻau o nā ʻano ʻē aʻe o ka hōʻike.
ʻO ka hoʻemi ʻana i ka nui o ka insulin e hiki ke hoʻokō koke a hoʻoponopono ʻia paha. ʻO ka maʻamau ka hopena o ka lua o kekahi mau hebedoma. ʻO ka hopena o ka emi ʻana o ke kōpaʻa serum koko i ka wā o ka hoʻololi mai kahi ʻano o ka insulin a i kekahi, he haʻahaʻa loa ia. He kūpono kēia i inā inā ʻo nā lā i kēlā lā o kēia lā ma lalo o 40 mau papa.
ʻO ka hoʻololi ʻana mai kekahi ʻano o ka lāʻau lapaʻau i kekahi me nā mea maʻi o ka endocrinologists e loaʻa kūʻokoʻa i ka insulin i loko o kahi lā nui i kēlā me kēia lā he nui aʻe o nā mahele o 100, e hana wale nō ma loko o kahi haukapila.
Hiki ke hoʻonui i ka insulin i ka wā o kahi maʻi hopohopo a i ʻole ke kaumaha o ke ʻano kino.
Eia kekahi, loaʻa hou kahi laʻi hou loa i ka wā e hoʻohana ai i nā lāʻau lapaʻau ʻē aʻe. No ka laʻana, ke lawe nei ke kanaka i nā contraceptives waha, corticosteroids, a me nā hormone thyroid.
Pono ka hopena o ka hoʻololi ʻana no ka hormone pancreatic ma mua o nā maʻi o ka ʻōnaehana excretory a me ka puʻuwai, a me ka hoʻopiʻi ʻana i nā lāʻau lapaʻau me kahi hopena hypoglycemic. E like me ke kānāwai, ka mea hope e pili ana i ka pale o MAO a me nā mea ʻole koho BAB.
I ka wā e lawe ai i ka pēpē, emi iki ka pono no ka insulin. ʻIke maopopo ʻia kēia i ka wā o ka trimester o ka hāpai ʻana. Akā pono hou kekahi lāʻau hou no ka papa pancreatic i loko o ka lua a me ke kolu o ka trimesters.
Ke keu
Inā hoʻonui ʻia ka lāʻau ʻae ʻia o ka lāʻau lapaʻau, ʻānō ʻia nā hōʻailona o kahi overdose.
Nā hōʻailona o ka overdose e pili ana i ka hypoglycemia, ka mea e hōʻike ana iā ia iho i ke ʻano o ka lethargy, nāwaliwali, ka maʻi palaualelo, ke kaumaha nei, ke poʻo ʻole o ka puʻuwai, palpitations puʻuwai, hoʻonui nui, hoʻoulu ʻia, e koi ana i ka luaʻi a me ka nalowale o ka ʻike.
I mea e hoʻopau ai i kēia mau hōʻailona malaise, pono koke ʻoe e hoʻomaka i ka mālama kūpono. ʻAʻole koʻikoʻi nā hopena hypoglycemic hiki ke hoʻopau i ka hāʻawiʻana i ka glucose a me ke kō i loko o ka wai wai.
Akā ʻo ka hoʻoponopono ʻana i ke kūlana koʻikoʻi o kēia ʻano, pono e hoʻohana ana i ka lawelawe intramuscular a i ʻole subcutaneous o kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo glucagon. Pono ka mea maʻi hou e hāʻawi i kahi mea momona. ʻO kahi mea i kahi koma, a me kaʻole o ka haki ʻana i ka ʻōlelo Glucagon injection, pono e hāʻawi ʻia i ka glucose intravenous.
Nā hopena hopena
Hiki i ka mea maʻi ke loaʻa nā hopena ʻino e like me:
- urticaria;
- angioedema;
- fiva;
- ʻaʻano pōkole
- ke kahe ʻana o ke kaomi ma kahi koʻikoʻi;
- hypoglycemia;
- palapiki o ka ʻili o ke alo, kino, nā lima a me nā wāwae;
- hoʻonui ʻohe;
- haehae;
- e haʻalulu ana ma nā ʻoi loa a me nā haʻahaʻa haʻahaʻa;
- aūlū
- hoʻomau hopohopo mau;
- paresthesia i ka waha;
- mai;
- hiamoe
- nā pilikia hiamoe nui;
- makaʻu
- nā kūlana kaumaha;
- huhū;
- ke ʻano kūpono o ke ʻano;
- maopopo ʻole o kahi neʻe;
- pono nā ʻōlelo a me ka hiki ke ʻike;
- haʻi leo hypoglycemic;
- hūpehu;
- maʻi waikene maʻi.
Hōʻike pinepine ʻia ka hōʻailona hope me ka hoʻomaka ʻana o nā papa haʻahaʻa o ka lāʻau lapaʻau i ka nīnau ʻana. Hiki nō ia ke lawelawe i ka wa e pau ai i ka maʻi hou.
ʻO kekahi mahele ʻaoʻao ʻē aʻe hiki ke hoʻokaʻawale ʻia me ka ʻike naʻau, ka mea i hōʻike iā ia iho i ke ʻano o ka hoʻomohala ʻana o ka precomatous a me ka coma. ʻO ka mea maʻi i ka wā mua o ka mālama ʻana i hoʻomaopopo ʻia i ka edema a me ka hoʻopaʻi ʻana. He mea nui ia e hoʻomaopopo he mau like ʻole kēia mau hōʻailona a me ke neʻe ʻana me ka hoʻomau ʻia o ka lāʻau lapaʻau kūikawā.
Hoʻohui nūhou
Ua hoʻomaopopo koke ʻia ua hiki ke hoʻohana ʻia kēia ʻano o ka pono no ka hormone pancreatic kanaka me ka hypoglycemia a me ka hele ʻana o ke ʻano o ka hypersensitivity i ka insulin a i ʻole kekahi o nā mea hana o ka lāʻau lapaʻau e nīnau ʻia ana. Huli pū kekahi ʻo Humulin i nā hoʻonā o nā lāʻau lapaʻau ʻē aʻe.
Hoʻonui ʻia kona hopena hypoglycemic ikaika e ka sulfonamides (me ka nui o ka lāʻau hypoglycemic i manaʻo ʻia no ka hoʻoponopono waha).
Eia kekahi, ʻo ka hopena nui o kēia lāʻau lapaʻau ka hoʻonui ʻia e nā mea like ʻole e like me ka MAO inhibitors (Furazolidone, Procarbazine a me Selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs, anabolic steroids, tetracyclines, Clofibrate, Ketoconazole, Pyridoxine, Chloroquinine.
ʻO ka mana nui o ka lāʻau lapaʻau e hōʻemi ʻia e Glucagon, Somatropin, GCS, contraceptives oral, thiazide a me ka diuretics loop, BMCC, hormon thyroid, Sulfinpyrazone, sympathomimetics, anticyepresants tricyclic, Clonidine, calcium antagonists, H1 blocking agents.
Akā no ka beta-blockers, e like me Reserpine, Octreotide, Pentamidine hiki i ka nui a hoʻonui a hoʻēmi i nā hana hypoglycemic nui o ka mea hou i manaʻo ʻia ke pancreatic hormone no kahi kanaka.
E hoʻokuʻu i ke ʻano
Hāʻawi pinepine ʻia ʻo Humulin ma kahi ohi iho o ka hoʻopiʻi kūikawā no ka hoʻokele intramuscular, subcutaneous a intravenous. ʻO kekahi pahu he 10 ml o kēia mau mea.
Hoʻohana i ka wā hāpai a me ka lactation
ʻO ka mea nui loa i ka wā o ka hānau ʻana o ka mālama ʻana i ka pae kūpono o ke kō i loko o ka serum koko.
Hoʻopili kēia i nā mea i mālama ʻia me ka insulin.
He mea nui e hoʻomanaʻo ka wahine me kēia hopena endocrine e pono e hoʻomaopopo i kā lākou kauka i kā lākou manaʻo e loaʻa ka pēpē. ʻO kā ka nānā ʻana i nā pae kiʻekiʻe o ke koko no ka nui o nā wahine hāpai.
Nā wikiō pili
Nā ʻōkuhi no ka hoʻohana a me ka loiloi o ka lāʻau Humulin i ke wikiō.
He mea nui e hoʻomanaʻo i kēlā me kēia hoʻololi o ka ʻano a i ʻole paha a me ke ʻano o ka hormone pancreatic kūlohelohe, kūlike loa i ke kanaka, pono e hana ma lalo o ka mākaʻi paʻa ʻana o ke kauka. I kahi hihia e pono ai ʻoe e koho i nā lāʻau lapaʻau ponoʻī iā ʻoe iho, no ka mea, ʻaʻole kūpono ia no kahi ʻano o ke ala o ka maʻi. ʻO ke ala kūpono i ka mālama ʻana e pale maikaʻi iā ʻoe mai ka maʻi diabetes.
