Eyona nto iyaziwa ngegama layo lomthi uSylin
I-Pramlintide (igama lophawu lophawu lwe-symlin) yiklasi elitsha yesirhubshukela solawulo lwesifo sikashukela ukulawula zombini uhlobo 1 kunye nohlobo lwesibini lweswekile. Yavunywe yi-FDA ngo-Matshi ka-2005. Yindlela yokwenziwa kwe-amylin, i-hormone esivame ukuveliswa kwi-pancreas. U-Amylin usebenza ne-insulin yomzimba ukulawula ukukhutshwa kweswekile kwigazi emva kokutya.
Kuhlobo lwe-1 lweswekile, i-amylin kunye nokuveliswa kwe-insulini imisiwe ngokupheleleyo.
Kuhlobo lwesi-2 lweswekile, umveliso we-amylin unokukhubazeka, ukwenzela ukuba akwanele. I-Symlin inokunyusa ukusebenza kwe-amylin engayinceda ukulawula iswekile ye- postprandial yegazi xa ihlanganiswe ne-insulin yonyango.
Ngubani Ongasebenzisa iPramlintide?
Kusebenza kubantu abadala abanolu hlobo 1 kunye nohlobo lwesibini lwesifo sikashukela esise-insulin. Kungenxa yabantu abafuna ukulawulwa okungcono kwamazinga e-glucose egazi kunye nabashukela babo begazi basasahla emva kokutya, nangona xa bahlanganiswa yi-insulin.
Ingaba isebenza kanjani
I-Pramlintide iyanciphisa izinga lokugaya oko kuthetha ukuba ukutya okudlayo kuthatha ixesha elide ukuba lichithe kwisisu sakho, okwenza uzive ugcwele ixesha elide. Oku kunciphisa ukukhutshwa kweswekile kwigazi. I-Pramlintide ijoliswe ukuba isetyenziswe nge-insulin ukukunceda ukugcina i-blood glucose level control.
Hypoglycemia
I- hypoglycemia ebonakalayo inokuvela njengempembelelo yecala, ngakumbi kubantu abane-type 1 yeswekile. I-Pramlintide yedwa ayibangele i-hypoglycemia, kodwa xa isetyenziswa nge-insulin, i-hypoglycemia enamandla ingabangela.
Ukuthintela oku kungenzeki, i-insulin yakho yesilinganiso iya kuyancipha ngugqirha wakho xa uqala u-pramlintide. Yaye i-pramlintide doses iya kwandiswa ngokuthe ngcembe kwinqanaba leeveki zokuqala ukwenzela ukunciphisa ithuba lokusabela kwe-hypoglycemic.
Ukunciphisa Ingozi
Ngenxa yokuba i-hypoglycemia iyinkxalabo, i-pramlintide, ihlala ilawulwa ekuqaleni kwesidlo, ngexesha elifanayo njenge-dose insulin yangaphambili.
I-Pramlintide ayifanele isetyenziswe ngaphandle kokuba isidlo sininzi (i-calories engaphezulu kwama-250 okanye ngaphezulu kwama-gram angu-30 e-carbohydrates). Musa ukuthatha i-pramlintide dose yakho ukuba uya kudla ukudla.
- Yintoni i Hypoglycemia?
- Ngexesha lokujonga i-Blood Blood Sugar
Kubalulekile ukukwazi ukubona i-blood glucose yakho iyancipha ngoba i-hypoglycemia ingaphazamisa isigwebo sakho. Ukuqhuba imoto okanye ukusebenzisa umatshini onobungozi akunconywa de uze wazi indlela i-pramlintide echaphazela ngayo.
Ezinye iziphumo eziPhakathi
I-nausea iyakwenzeka kwakhona. I-Pramlintide iqaliswa ngokuthe ngcembe ukunciphisa eli phulo. Xa isisu sakho singasetyenziselwa ukukhupha ngokukhawuleza, isicupunu sinomphumo. Ngokwezifundo ze-pramlintide, i-nausea akufanele ihlale ixesha elide kwaye iyancipha ngokukhawuleza njengoko umzimba wakho ulungelelanisa ne-pramlintide.
I-Pramlintide inokukwenza uzive ugcwele ixesha elide emva kokutya, ngenxa yemiphumo yokulibazisa isisu esiswini. Ngamanye amaxesha kubangela ukulahleka kwesisindo, okungathi kube yiphumelelo elifanelekileyo elifanelekileyo xa uzama ukunciphisa umzimba.
Xa uthatha ukuthatha i-Pramlintide
I-Pramlintide ijojelwe nje ngaphambi kokutya, kunye ne-dose insulin yangaphambi kokudla. Nangona i-pramlintide ingenwa njenge-insulin, ayikwazi ukuxutyaniswa ne-insulin yokujova.
Iisetyring ezahlukeneyo kufuneka zisetyenziswe. Indawo yokujola i-pramlintide kufuneka ibe malunga neeyintshi ezimbini ukusuka kwisiza sokufakelwa kwe-insulin kwaye iyona nto ifanelekileyo kunikwe indawo yesisu okanye isondo.
Xa uqala ukuqala i-pramlintide, kufuneka uhlolisise amazinga e-glucose yegazi rhoqo-ngakumbi ngaphambi kokutya kunye neeyure ezimbini emva kokutya-ukubona indlela i-pramlintide dose isebenza ngayo. Kufuneka uvavanye naluphi na uvakalelwa kukuba igazi lakho liyi-glucose liphantsi.
Ngubani Akufanele Asebenzise I-Pramlintide?
Ukuba unayo u- hypoglycemic unwareness ke u-pramlintide angeke ube ngowakho. Ukungakwazi ukuxelela ukuba ushukela wegazi lakho liye liyingozi ngenxa yokunyuka kwe-hypoglycemia ngepramlintide.
Ukuba ufumene unyango ngegastroparesis, nawe unganokuba ngumviwa we-pramlintide ngenxa yokulibaziseka ukutshatyalaliswa kwesisu esisenzayo. I-Pramlintide ayizange ivunyiwe njengekhuselekile kwiintsana ezingakazalwa okanye ngabahlengikazi, ngoko ke ukuba ukhulelwe okanye unesi, unokuthi unqunyelwe ukuba u-pramlintide.
> Imithombo:
> Marrero, PHD, David G. kunye noJohan Crean, PHD, Bei Zhang, MD, Terrie Kellmeyer, PHD, Maurice Gloster, MD, Kathrin Herrmann PHD, uRichard Rubin, PHD, Naomi Fineberg PHD, Orville Kolterman, MD. "Impembelelo ye-Pramlintide edibeneyo yokwelashwa kwonyango Ukwaneliseka kwizigulane ngohlobo lwe-1 lweswekile." Ukunyamekela ngeSwekile 2007 30: 210-216. 01 Meyi 2007.
> "Symlin" Abantwana abanesifo sikashukela. 28 Januwari 2007. Abantwana abaneSifo seswekile. 1 Meyi 2007.
> "Isikhokelo seMithi - Symlin." Symlin. Juni 2005. Amylin Pharmaceuticals, Inc. 1 Meyi 2007.
> "I-FDA ivuma iMithi emitsha yokuPhatha i-Type 1 ne-Type 2 yeswekile." Iphepha leNtetho ye-FDA. 17 uMatshi 2005. Ulawulo lwe-US nokuLawula iDrug. 2 Meyi 2007.