Glulisin yog kev txhaj tshuaj. Nws yog cov tshuaj insulin luv luv thiab cov tshuaj muaj txiaj ntsig ntawm qee cov tshuaj tsom rau txo cov ntshav qab zib kom tsawg. Nws yog siv rau cov ntshav qab zib, uas yuav tsum muaj kev kho kom rov qab ua haujlwm nrog cov tshuaj insulin.
Txoj kev ntawm kev siv thiab contraindications
Glulisin yog insulin tib neeg qhov kev xav, txawm li cas los xij, nws lub zog yog qhov sib npaug ntawm cov insulin tib neeg. Cov tshuaj pib ua haujlwm sai dua, tab sis nrog kev ncua sijhawm luv. Twb tau 10-20 feeb tom qab txhaj tshuaj subcutaneous, cov ntshav qab zib yuav hnov mob ntau dua.
Ntxiv rau kev txhaj tshuaj subcutaneous, cov tshuaj glulisin tuaj yeem raug tswj hwm los ntawm kev txuas ntxiv mus rau hauv cov rog subcutaneous uas siv lub twj tso kua mis. Kev txhaj tshuaj yog qhov zoo tshaj plaws sai sai lossis sai sai tom qab noj mov.
Kev txhaj tshuaj subcutaneous yuav tsum tau ua rau ntawm lub xub pwg, lub duav lossis lub plab. Yog tias peb tab tom tham txog kev txuas ntxiv infusions, tom qab ntawd lawv tau ua rau hauv lub plab nkaus xwb.
Kev siv cov tshuaj tsis pom zoo nyob rau hauv cov teeb meem zoo li no:
- cov menyuam hnub nyoog;
- ntshav tshuaj qis;
- ntev rhiab heev.
Insulin Glulizin muaj feem xyuam siv rau hauv kev kho mob, uas muab rau tshuaj insulin hauv nruab nrab lossis ntev ntev. Cov tshuaj no yog siv ua ke nrog lwm cov neeg muaj kabmob hypoglycemic hauv ntsiav tshuaj hom, thiab tseem raug tswj siv siv cov tshuaj insulin.
Cov cim ntawm cov kev phiv tshuaj
Cov kev xav tsis zoo tom qab siv cov tshuaj yuav tshwm sim:
- ntau dhau rhiab, piv txwv li, o, khaus thiab liab ntawm lub chaw ntawm kev tswj hwm. Cov kev xav zoo li no, raws li txoj cai, tag nrho ploj nrog kev kho ntev. Qee qhov xwm txheej, kev nthuav tawm ntawm lipodystrophy (teeb meem ntawm daim tawv nqaij los ntawm kev ua txhaum ntawm kev hloov chaw ntawm kev tswj hwm ntawm cov tshuaj) yog qhov ua tau;
- kev ua xua (ua pa luv, ua xua dermatitis, urticaria, khaus, nti nyob ntawm thaj chaw ntsws);
- kev tsis haum tshuaj (txog kev poob siab anaphylactic).
Ntau tus neeg mob
Tam sim no, cov tshuaj tsis muaj cov ntaub ntawv ntawm kev siv tshuaj ntau dhau los, txawm li cas los xij, hypoglycemia ntawm ntau qhov kev xav tau yog theoretically tau.
Kev ncua sij hawm ntawm kev haus ntau dhau me ntsis tuaj yeem nres siv cov zaub mov muaj piam thaj lossis piam thaj. Vim li no, txhua tus neeg mob ntshav qab zib yuav tsum muaj ib qho me me ntawm qab zib nrog nws.
Nrog rau mob hnyav thiab cuam tshuam ntawm kev nco qab hypoglycemia, nws muaj peev xwm kom nres tus txheej txheem los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon thiab tso leeg ntshav dextrose.
Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau haus cov zaub mov carbohydrates. Qhov no yuav ua rau nws muaj peev xwm tiv thaiv qhov rov qab txhim kho ntawm hypoglycemia.
Cov yam ntxwv ntawm kev siv tshuaj
Yog hais tias Glulisin raug siv los ua ke nrog cov tshuaj hauv qab no, ces cov tshuaj insulin tuaj yeem txhim kho cov nyhuv hypoglycemic thiab ua rau muaj kev pheej hmoo ntawm kev txhim kho hypoglycemia:
- cov tshuaj hypoglycemic qhov ncauj;
- disopyramids;
- ACE inhibitors;
- fibrates;
- MAO inhibitors;
- salicylates;
- sulfonamides;
- propoxyphene.
Thaum muab cov tshuaj insulin nrog danazol, salbutamol, isoniazides, diazoxide, phenothiazine derivatives, somatropin, diuretics, epinephrine, terbutaline, protease inhibitors, tshuaj tiv thaiv tshuaj tiv thaiv, Glulizin yuav txo cov nyhuv hypoglycemic.
Kev siv cov beta-blockers, lithium ntsev, ethanol thiab clonidine tuaj yeem txo cov nyhuv ntawm cov tshuaj insulin Glulizin. Pentamidine tseem ua rau ob leeg cov hypoglycemia thiab hyperglycemia uas tshwm sim los ntawm nws.
Kev siv cov sympatholytic kev npaj ua haujlwm muaj peev xwm los ua ntsej muag cov tsos ntawm adrenergic reflex activation. Cov no suav nrog guanethidine, clonidine.
Muab tus neeg mob hloov mus rau lwm hom tshuaj insulin (lossis rau cov tshuaj los ntawm cov chaw tsim khoom tshiab), nws yuav tsum tau txais kev saib xyuas mob nruj me ntsis. Qhov no tseem ceeb nyob rau hauv kev xav ntawm qhov yuav xav tau kev hloov kho ntawm txoj kev kho.
Kev noj tshuaj tsis raug ntawm cov tshuaj insulin Glulisin lossis kev txiav tu ncua ntawm kev kho mob ua rau muaj kev txhim kho sai ntawm hypoglycemia thiab ntshav qab zib ketoacidosis (muaj feem phom sij rau lub neej).
Lub sijhawm ntawm kev txhim kho ntawm lub xeev hypoglycemic yuav nyob ntawm qhov ceev ntawm qhov pib ntawm kev ua ntawm cov tshuaj siv thiab tej zaum yuav hloov nrog kev kho ntawm kev kho mob kiag li.
Muaj qee yam kev mob uas hloov lossis ua rau cov nyom ntawm cov ntshav qis uas yuav los ntshav tsawg dua, piv txwv li:
- ntshav qab zib mob neuropathy;
- kev sib zog ntawm kev kho mob nrog cov tshuaj insulin;
- lub sijhawm muaj ntshav qab zib;
- kev siv qee yam tshuaj;
- hloov chaw ntawm tus neeg mob los ntawm tsiaj mus rau tib neeg cov tshuaj insulin.
Hloov pauv ntawm txoj kev noj tshuaj ntawm cov tshuaj insulin Glulisin yog qhov tsim nyog thaum hloov pauv kev noj mov lossis hloov lub cev lub cev. Kev tawm dag zog lub cev tam sim ntawd tom qab noj mov tag yuav muaj kev phom sij ntawm lub qog ntshav qab zib.
Yog hais tias luv luv insulin txhaj, qhov kev cuam tshuam tseem ceeb hauv cov ntshav qabzib concentration yuav tshwm sim ntau dua sai sai dua nrog kev siv soluble tib neeg cov tshuaj insulin.
Kev tsis pom qhov ua rau ntshav qab zib thiab hyperglycemic tshua tuaj yeem dhau los ua qhov tsis nco qab ntawm kev nco qab, kev loj hlob ntawm lub cev ntaj ntsug, thiab kev tuag!
Siv thaum cev xeeb tub thiab lactation
Cov poj niam cev xeeb tub yuav tsum siv cov tshuaj insulin Glulisin nyob rau hauv kev saib xyuas ntawm kws kho mob thiab raug soj ntsuam cov ntshav qab zib.
Thaum lub sijhawm pub niam mis, cov tshuaj tsis tuaj yeem nkag rau hauv cov mis, thiab yog li ntawd raug pom zoo rau kev siv. Nrog rau kev pub mis, nws yog ib qho tsim nyog los kho qhov thov kev noj tshuaj ntawm cov tshuaj muab tshuaj. Tsis tas li, kev hloov pauv ntawm cov tshuaj yuav ua rau muaj qhov tsis txaus siab thiab ua rau mob hnyav.
