Glulisin ke ente. Ke insulin e khuts'oane le sehlahisoa se sebetsang sa lithethefatsi tse ling tse reretsoeng ho fokotsa maemo a tsoekere ea mali. E sebelisoa bakeng sa lefu la tsoekere, le hlokang phekolo e tlamang le "insulin" ea hormone.
Mokhoa oa tšebeliso le li-contraindication
Glulisin ke insulin e kopantsoeng ea motho, leha ho le joalo, matla a eona a lekanang le a insulin e tloaelehileng ea motho. Setlhare se qala ho sebetsa ka potlako, empa ka nako e khuts'oane. Kamora 'metsotso e 10-20 kamora ho ente e kenelletseng, lefu la tsoekere le tla imoloha haholo.
Ntle le liente tsa subcutaneous, glulisin ea lithethefatsi e ka tsamaisoa ka ho kenella ka mokhoa o sa tsitsang mafura a subcutaneous o sebelisa pompo ea insulin. Ente e etsoa hantle haufinyane kapa hang ka mor'a lijo.
Liente tsa subcutaneous li tlameha ho etsoa lehetleng, thekeng kapa mpeng. Haeba re bua ka infusions e tsoelang pele, joale e etsoa feela ka mpeng.
Tšebeliso ea lithethefatsi ha e khothalletsoe maemong a joalo:
- lilemo tsa bana;
- hypoglycemia;
- maikutlo a feteletseng.
Insulin Glulizin e sebetsa ho regimens ea kalafo, e fanang ka insulin ea nako e telele kapa e telele. Setlhare sena se sebelisoa hammoho le mahlahana a mang a hypoglycemic ka sebopeho sa litafole, hape se tšeloa ka ho sebelisa ente ea insulin.
Ponahatso ea liphetoho tse mpe
Litlamorao tse mpe ka mor'a ts'ebeliso ea lithethefatsi li ka hlaha:
- maikutlo a feteletseng, ho etsa mohlala, ho ruruha, ho hlohlona le botšo libakeng tsa phetoho. Boitšoaro bo joalo, e le molao, bo nyamela ka botlalo ka kalafo ea nako e telele. Maemong a mang, lipontšo tsa lipodystrophy (mathata a letlalo a bakoang ke tlolo ea mefuta ea tsamaiso ea moriana) li ka khonahala;
- ho tsilatsila (ho haelloa ke phefumoloho, dermatitis ea ho kulisa, ho ruruha, ho hlohlona, spasm ho bronchi);
- maikutlo a akaretsang (ho fihlela ho tsitsipano ea anaphylactic).
Maemo a overdose
Hona joale, meriana ha e na datha ea linyeoe tsa ho sebelisa lithethefatsi ho feta tekano, leha ho le joalo, hypoglycemia ea matla a fapa-fapaneng e ka etsahala.
Likarolo tsa overdose e bonolo li ka emisoa ho sebelisa tsoekere kapa lijo tse nang le tsoekere. Ka lebaka lena, motho e mong le e mong ea nang le lefu la tsoekere o lokela ho lula a e-na le tsoekere le eena.
Ka tahlehelo e matla e amanang le "hypoglycemia" e tebileng, ho ka etsahala ho emisa ts'ebetso eo ka tsamaiso ea methapo kapa tsamaiso e poteletseng ea glucagon le intravenous dextrose.
Kamora ho hlaphoheloa kelellong, mokuli o lokela ho ja lik'habohaedreite. Sena se tla etsa hore ho khonehe ho thibela nts'etsopele ea hypoglycemia.
Likarolo tsa ts'ebeliso ea lithethefatsi
Haeba Glulisin e sebelisoa hammoho le li-agents tse latelang, joale insulin e ka ntlafatsa phello ea hypoglycemic mme ea eketsa kotsi ea ho ba le hypoglycemia:
- lithethefatsi tsa hypoglycemic tsa molomo;
- disopyramids;
- Li-inhibitors tsa ACE;
- fibrate;
- MAO inhibitors;
- salicylates;
- sulfonamides;
- propoxyphene.
Ha o kopanya insulin le danazol, salbutamol, isoniazides, diazoxide, phenothiazine derivatives, somatropin, diuretics, epinephrine, terbutaline, protease inhibitors, lithethefatsi tsa antipsychotic, Glulizin e tla fokotsa phello ea hypoglycemic.
Ts'ebeliso ea beta-blockers, letsoai la lithium, ethanol le clonidine e ka fokolisa phello ea insulin Glulizin ea lithethefatsi. Pentamidine e boetse e qholotsa hypoglycemia le hyperglycemia ka lebaka la eona.
Ts'ebeliso ea litokisetso tsa ts'ebetso ea kutloelo-bohloko e khona ho pata lipontšo tsa ts'ebetso ea adrenergic Reflex. Tsena li kenyelletsa guanethidine, clonidine.
Hafeela mokuli a fetisetsoa ho mofuta o mong oa insulin (kapa lithethefatsi tse tsoang ho moetsi e mocha), o lokela ho fuoa tlhokomelo e matla ea bongaka. Sena ke sa bohlokoa ka lebaka la tlhokahalo ea phetoho ea kalafo.
Litekanyetso tse sa nepahalang tsa insulin Glulisin kapa ho khaotsa ho kalafo ho baka nts'etsopele ea hypoglycemia le lefu la tsoekere (maemo a ka bang kotsi bophelong).
Nako ea nts'etsopele ea boemo ba hypoglycemic e tla itšetleha ka lebelo la ts'ebetso ea litlhare tse sebelisitsoeng mme li ka fetoha ka tokiso ea mofuta oa kalafo.
Ho na le maemo a itseng a fetohang kapa a etsang hore li-harbinger tsa hypoglycemia tse seng li sa buisoe haholo, mohlala:
- lefu la tsoekere;
- ho matlafatsa kalafo ka insulin;
- nako ea lefu la tsoekere;
- tšebeliso ea meriana e meng;
- phetisetso ea mokuli ho tloha phoofolo ho ea ho insulin ea motho.
Phetoho ea litekanyetso tsa insulin Glulisin ea hlokahala ha ho fetoloa mokhoa oa ho ja lijo kapa ho fetola mojaro oa mmele oa mokuli. Ho ikoetlisa hang ka mor'a ho ja ho ba kotsi ea ho ba le hypoglycemia.
Haeba insulin e nkang nako e khuts'oane e entoe, phokotseho e kholo ea tsoekere ea mali e tla hlaha kapele haholo ho feta ka ts'ebeliso ea insulin ea metsi.
Litlamorao tse sa sebetseng tsa hypoglycemia le hyperglycemic e ka fetoha litabatabelo tsa ho lahleheloa ke letsoalo, nts'etsopele ea komisi le lefu!
Sebelisa nakong ea bokhachane le pelehi
Basali ba baimana ba lokela ho sebelisa insulin Glulisin tlasa tataiso ea ngaka le ho beha leihlo tekanyo ea tsoekere ea mali.
Nakong ea kanyeso, sethethefatsi ha se khone ho kena ka lebese, ka hona se ngolisitsoe hore se sebelisoe. Nakong ea ho nyekeloa, ho hlokahala hore o fetole tekanyetso e sebelisitsoeng ea ntho e laetsoeng. Ntle le moo, phetoho ea litekanyetso e ka ba ea bohlokoa ha ho e-na le bokuli bo bongata ba maikutlo le bokuli bo kopanang.
