Rinsulin nph - txoj cai siv

Tsuas tshuaj thiab tswj hwm

Kev tswj hwm ntawm cov tshuaj Rinsulin ® NPH yog contraindicated.

Cov koob tshuaj ntawm cov tshuaj yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus hauv txhua kis raws li cov concentration ntawm cov piam thaj hauv cov ntshav. Qhov nruab nrab, cov tshuaj txhua hnub ntawm cov tshuaj yog li 0.5 mus rau 1 IU / kg (nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob thiab cov ntsiab lus ntawm cov piam thaj hauv cov ntshav).

Cov neeg laus uas siv cov insulin, suav nrog Rinsulin ® NPH, muaj feem yuav muaj ntshav qab zib tsawg vim tias muaj cov kab mob sib xyaw ua ke thiab kev tau txais ntau cov tshuaj ib zaug. Qhov no yuav ua rau nws tsim nyog kho qhov tshuaj ntawm cov tshuaj insulin.

Cov neeg mob uas lub raum lub raum thiab lub cev tsis ua haujlwm zoo yog muaj kev pheej hmoo ntawm lub qog ntshav qab zib thiab tej zaum yuav tsum tau kho cov tshuaj insulin ntau dua thiab soj ntsuam cov ntshav qabzib ntau dua.

Qhov kub ntawm cov tshuaj insulin yuav tsum nyob ntawm chav sov. Cov tshuaj feem ntau yog txhaj rau hauv tus ncej puab. Kev hno tuaj yeem ua tau nyob hauv sab xub ntiag lub plab phab ntsa, lub pob tw lossis lub xub pwg hauv qhov chaw ua haujlwm ntawm qhov deltoid leeg. Nws yog ib qho tsim nyog yuav tsum hloov chaw txhaj tshuaj nyob rau thaj tsam anatomical thiaj li tiv thaiv kev txhim kho ntawm lipodystrophy.

Nrog s / c tswj hwm cov tshuaj insulin, kev saib xyuas yuav tsum tau ceev faj kom tsis txhob nkag rau cov hlab ntshav thaum txhaj tshuaj. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Cov neeg mob yuav tsum tau kawm paub txog kev siv tshuaj insulin kom zoo.

Ua ntej siv, Rinsulin ® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm lub xib teg nyob rau hauv kab rov tav 10 lub sij hawm thiab muab tsuj kom rov ua dua cov tshuaj insulin kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Kev ua npuas ncauj yuav tsum tsis pub ua kom tshwm sim, uas yuav cuam tshuam nrog kev muab tshuaj kom raug.

Lub pob muag yuav tsum tau kuaj xyuas kom zoo. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab sib tov, cov khoom dawb dawb lo rau hauv qab lossis phab ntsa ntawm daim cartridge, muab nws qhov zoo li khov rau ib qho.

Cov cuab yeej ntawm cov cartridges tsis pub sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha hauv daim cartridge nws tus kheej. Cartridges tsis yog yuav tsum kom thim rov qab.

Thaum siv cov kua cartridges nrog daim ntawv nqus ntawm cov kua roj ua kom qhuav, cov khw muag cov lus qhia rau kev ntim cov taub ntim hauv cov kua xaum thiab txuas cov koob yuav tsum ua raws. Cov tshuaj yuav tsum tau muab nyob rau hauv raws li cov chaw tsim tshuaj paus cov lus qhia rau cov xaum qhuav.

Tom qab nkag mus, nws yog qhov yuav tsum tau txiav tawm lub koob siv lub hau sab nraud ntawm rab koob thiab tam sim ntawd rhuav tshem nws kom nyab xeeb. Tshem tawm rab koob tam sim ntawd tom qab txhaj tshuaj tiv thaiv kab mob ua kom tsis muaj menyuam, tiv thaiv kev paim quav, huab cua huab cua thiab kis tau ntawm rab koob. Tom qab ntawv muab lub hau kaw.

Thaum siv cov koob txhaj ntau cov koob txhaj tshuaj, nws yog qhov yuav tsum tau sib tov ntawm kev ncua ntawm Rinsulin ® NPH rau hauv cov kua dej syringe tam sim ntawd ua ntej siv. Qhov kev ncua zoo muab tshem tawm yuav tsum hnav uniformly dawb thiab pos huab.

Rinsulin ® NPH hauv qhov cwj mem tsis tuaj yeem siv yog tias nws tau khov. Thaum siv cov tshuaj muaj ntau lub koob txhaj tshuaj uas tau muab pov tseg rov ua dua kom tau rov qab, nws yog qhov yuav tsum tau muab cov kua xaum xoos pov tseg rau hauv lub tub yees ua ntej siv thiab cia cov tshuaj mus txog chav sov. Cov lus qhia meej rau kev siv rab koob txhaj tshuaj ntawm cov tshuaj yuav tsum tau ua raws.

Rinsulin ® NPH hauv koob txhaj tshuaj thiab rab koob yog xav kom siv rau ib leeg xwb. Tsis txhob ntim daim ntawv xaum xim.

Koob yuav tsum tsis txhob siv cov khoom tshiab.

Txhawm rau tiv thaiv los ntawm teeb pom kev, cov xaum xaum yuav tsum raug kaw nrog lub hau.

Tsis txhob muab cov xaum xoos uas siv xeb hauv lub tub yees.

Rinsulin ® NPH tuaj yeem muab rau tus kheej los yog ua ke nrog cov yeeb yaj kiab luv luv (Rinsulin ® P).

Khaws cov tshuaj no rau hauv qhov chaw sov (txog 15 txog 25 ° C) tsis pub dhau 28 hnub.

Kev siv cov cartridges siv cov koob ntim rov qab siv dua

Cov Cartridges nrog Rinsulin ® NPH tuaj yeem siv nrog rov qab siv syringe cwjmem:

- Tus cwj mem syringe Avtopen Classic (Autopen Classic 3 ml 1 Chav (1–21 units) AN3810, Autopen classic 3 ml 2 Chav (2-42 units) AN3800) tsim los ntawm Owen Mumford Ltd, United Kingdom,

- cwj mem txhaj rau kev tswj hwm ntawm insulin HumaPen ® Ergo II, HumaPen ® Luxura thiab HumaPen ® Savvio uas tsim los ntawm "Eli Lilly thiab tuam txhab / Eli Lilly thiab Comranu", Tebchaws Asmeskas,

- Tshuaj insulin syringe cwj mem OptiPen manufactured Pro 1 ua los ntawm Aventis Pharma Deutschland GmbH / Aventis Pharma Deutschland GmbH, Lub Tebchaws Yelemees,

- rab koob tshuaj txhaj BiomaticPen ® tsim los ntawm Ipsomed AG / Ypsomed AG, Switzerland,

- cwj mem-txhaj rau kev qhia txog cov tshuaj insulin cov neeg RinsaPen Kuv ntau lawm "Ipsomed AG / Ypsomed AG", Switzerland.

Ua tib zoo ua raws li cov lus qhia kom siv cov koob txhaj tshuaj syringe muab los ntawm lawv cov tuam ntxhab.

Daim ntawv tso tawm

Ncua rau lub subcutaneous thawj coj, 100 IU / ml.

3 ml ntawm cov tshuaj nyob rau hauv lub khob ntim nrog cov roj hmab plunger ua los ntawm roj hmab, dov hauv lub hau ntim ua ke ntawm txhuas nrog cov roj hmab disc.

Lub khob pob nrog ib sab polished tau kos rau hauv txhua lub thawv.

1. Tsib daim cartridges tau muab tso rau hauv blister sawb ntim ua los ntawm PVC zaj duab xis thiab cov kua roj vanish ntawv ci. 1 blister sawb qhwv lub hnab yog muab tso rau hauv pob ntawv los qhia.

2. Lub laub ntim hauv lub hnab yas ntim ntau cov tshuaj tiv thaiv kev siv cov kua xaum pov tseg rau kev txhaj tshuaj ntxiv ntawm Rinastra ® lossis Rinastra ® II. 5 pre-filled syringe cwjmem nrog cov lus qhia rau kev siv syringe cwj mem tau muab tso rau hauv lub thawv ntim khoom.

10 ml ntawm cov tshuaj hauv lub raj mis tsis muaj xim, iav hermetically kaw nrog lub hau ua ke los ntawm txhuas thiab yas nrog cov roj hmab disc lossis corked nrog cov roj hmab nres nrog lub hau khiav ua ke los ntawm txhuas thiab yas nrog kua muag ntawm cov yas sib tshooj. Daim ntawv pleev xim tus kheej daim ntawv nplaum siv rau txhua lub raj mis thiab muab ntim rau hauv pob ntawv los qhia.

Chaw tsim tshuaj paus

GEROPHARM-Bio OJSC, Russia. 142279, cheeb tsam Moscow, Serpukhov koog tsev kawm ntawv, r.p. Obolensk, lub tsev 82, p. 4.

Chaw nyob ntawm cov chaw ntau lawm:

1. 142279, cheeb tsam Moscow, Serpukhov koog tsev kawm ntawv, r.p. Obolensk, lub tsev 82, p. 4.

2.1422279, Cheeb Tsam Moscow, Cheeb Tsam Serpukhov, pos. Obolensk, lub tsev 83, lit. AAN.

Cov neeg ua haujlwm tau txais lub koom haum: GEROPHARM LLC. 191144, Lavxias Federation, St. Petersburg, Degtyarny per., 11, lit. Kwv.

Xov tooj: (812) 703-79-75 (multi-channel), fev: (812) 703-79-76.

Xov Tooj tus xov tooj: 8-800-333-4376 (hu xov tooj tsis pub dhau Russia yog dawb).

Xa cov ntaub ntawv hais txog qhov tsis xav tawm rau qhov chaw nyob email [email protected] lossis los ntawm cov neeg ntawm GEROFARM LLC qhia saum toj no.

Cov nqi hauv cov khw muag tshuaj hauv Moscow

Cov ntaub ntawv muab ntawm cov nqi tshuaj tsis yog qhov muag rau muag lossis yuav khoom.
Cov ntaub ntawv yog npaj tsuas yog los sib piv cov nqi hauv cov chaw muag tshuaj hauv kev ua haujlwm raws li Nqe Lus 55 ntawm Tsoomfwv Txoj Cai "ntawm Kev Tswj Xyuas Tshuaj" hnub tim 12.04.2010 N 61-ФЗ.

Cov chaw muag tshuaj

Nws yog tsim nyog teev tam sim ntawd hais tias rinsulin NPH yog tib neeg cov insulin, uas tau muab los ntawm cov kws tshawb fawb siv cov thev naus laus zis niaj hnub ntsig txog cov DNA tso tawm tshiab. Cov insulin no feem ntau xa mus rau cov txhais tau tias, uas yog tus cwj pwm ntawm lub sijhawm ua haujlwm nruab nrab.

Thaum noj, cov tshuaj nquag pib sib cuam tshuam nrog receptors nyob ntawm daim nyias nyias ntawm lub hlwb. Yog li, kev tsim cov insulin-receptor complex tshwm sim, uas tso cai rau koj ua kom muaj kev cuam tshuam ntau cov txheej txheem hauv cov hlwb.

Cov nyhuv ntawm yaug NPH cuam tshuam nrog kev nce ntxiv hauv kev thauj mus ntxiv hauv qabzib, nrog rau kev txhim kho lub zog ntawm nws cov ntaub so ntswg. Cov tshuaj kuj tseem tso cai rau koj los txhawb cov glycogenogenesis thiab lipogenesis. Raws li rau kev tsim cov kua nplaum los ntawm lub siab, nws txoj kev poob qis.

Lub sijhawm hais txog lub sijhawm dhau los ntawm kev txiav txim siab ntawm yaug tshuaj NPH yog li ntawd vim tias kev nce siab ntawm tus nqi ntawm kev nqus ntawm thaj chaw txhaj tshuaj thiab cov koob tshuaj pom zoo.

Cov kws tshaj lij sau tseg tias cov nyhuv ntawm cov tshuaj no pib tshwm sim li ntawm 1.5-2 teev tom qab nws qhia hauv qab daim tawv nqaij. Raws li rau lub siab tshaj plaws, nws yuav tiav nyob rau hauv kwv yees li 4 teev, thiab cov nyhuv yuav pib ua kom tsis muaj zog hauv 0.5 hnub tom qab kev tswj hwm. Lub sijhawm tshaj tawm ntawm cov nyhuv yog txog li 24 teev.

Cov nyhuv thiab ua tiav ntawm kev nqus tau kiag li nyob ntawm qhov twg rinsulin NPH yuav raug qhia, ntxiv rau ntawm qhov koob tshuaj thiab kev xav hauv tshuaj. Tag nrho cov ntsuas no yuav tsum txiav txim siab los ntawm koj tus kws kho mob mus koom, tsis muaj ib qho yuav tsum yog koj tus kheej noj tshuaj nrog qhov kev kuaj mob no, qhov no tuaj yeem ua rau tuag taus.

Qhov khoom no tsis tusyees kis thoob plaws cov ntaub so ntswg, thiab dhau ntawm qhov tsis pub tus menyuam tso rau hauv lub mis, nws nkag mus tsis tau rau txhua qhov. Kev puas tsuaj ntawm cov tshuaj tshwm sim nyob rau hauv lub raum thiab hauv lub siab, tab sis rau feem ntau, lub raum saib xyuas lawv tus kheej.

Ntawm no yog cov cim tseem ceeb rau kev siv yaug dej NPH, tau teev los ntawm cov chaw tsim khoom:

1. Thawj hom ntshav qab zib
2. Qhov thib ob ntawm ntshav qab zib, uas yog nyob rau theem ntawm kev tawm tsam thaum tshuaj tiv thaiv qhov ncauj pom thiab ib nrab tsis kam txawm tias cov tshuaj no yog ua tau, yog tias txoj kev kho mob ua txoj haujlwm,
3. Qhov thib ob ntawm ntshav qab zib uas tshwm sim hauv cov poj niam cev xeeb tub.

Thiab ntawm no yog lub ntsiab contraindications:

• Lub xub ntiag ntawm hypoglycemia,
• Ntev dhau ib tug neeg rhiab rau ib qho ntawm cov tshuaj ntawm cov lus nug lossis txawm tias cov tshuaj insulin.

Ua tib zoo mloog! Txawm li cas los xij koj yuav tsum pib noj cov tshuaj yeeb yaj kiab no yam tsis tau sab laj nrog tus kws tshaj lij, vim hais tias yaug dej NPH tuaj yeem ua mob tsis zoo rau koj kev noj qab haus huv yog tias nws siv nyob rau qhov xwm txheej tsis tas yuav tsum muaj. Thiab qhov tseeb, txhua yam kab mob yuav tsum tau kho nrog qhov loj tshaj, tshwj xeeb tshaj yog mob ntshav qab zib mellitus!

Puas yuav siv tau thaum cev xeeb tub lossis lactation?

Kev xav txog qhov ua tau los siv qhov no lossis cov tshuaj no thaum cev xeeb tub yog qhov tseem ceeb heev.

Tsuas nco ntsoov tias yaug dej NPH raug tso cai siv nyob rau lub sijhawm no, vim tias, raws li twb tau hais los, cov khoom xyaw tsis tuaj yeem tsis tuaj yeem hla mus rau qhov chaw tiv thaiv kab mob. Cov kws tshaj lij pom tias yog tias koj npaj siab yuav cev xeeb tub thaum mob ntshav qab zib mellitus, nws yog ib qho tseem ceeb uas yuav tsum ua cov kev kho mob hnyav tshaj plaws rau lub sijhawm no (qhia qhov no nrog tus kws tshaj lij).

Nws yog ib qho tseem ceeb kom paub tias thaum thawj peb lub hlis ntawm cev xeeb tub, tus poj niam xav tau insulin yog qhov txo qis, thiab thaum lub sijhawm so, nws rov qab mus rau nws qib dhau los.

Raws li rau kev yug nws tus kheej thiab thawj zaug tom qab nws, tom qab lub sijhawm no, qhov kev xav tau rau cov tshuaj insulin kuj raug txo, tab sis qhov rov qab los rau hauv ib txwm tau zoo li sai heev. Qhov kev txwv tsis pub cuam tshuam nrog cov txheej txheem kev kho mob lub sijhawm pub mis niam kuj tseem tsis tuaj, vim tias cov dej cawv ntxig NPH nkag tsis tau mus rau niam mis.

Kev thov cov cai

Cov tshuaj no tuaj yeem siv tshuaj subcutaneously xwb, thiab cov koob tshuaj yuav tsum tau xaiv ib tus zuj zus tom qab tus neeg mob tau hla cov kev tshawb fawb los ntawm tus kws kho mob tshwj xeeb.

Raws li rau yam yam ntxwv uas tuaj yeem cuam tshuam kev txiav txim siab qhov loj me, qhov no feem ntau yog cov concentration ntawm cov piam thaj. hauv cov ntoo ntawm qhov xwm txheej, tus neeg mob tau siv tshuaj txhua txhua hnub ntawm 0.5-1 IU ib kilogram ntawm lub cev hnyav. Koob tshuaj kuj yog nyob ntawm ntau yam ntawm tus neeg, yog li tsis muaj qhov xwm txheej koj yuav tsum sim xaiv lawv koj tus kheej.

Raws li kev siv cov tshuaj yaug NPH los ntawm tus neeg laus, qhov kev ua no yeej ib txwm nrog qee qhov kev pheej hmoo, vim tias muaj qhov muaj feem yuav los txhim kho hypoglycemia. Txhawm rau kom zam dhau qhov no, nws yog ib qho tseem ceeb kom xaiv cov koob tshuaj, kho kom haum rau qee yam teeb meem.

Cov neeg mob tau ntsib nrog lub siab thiab lub raum tsis ua haujlwm yuav tsum npaj rau qhov tseeb tias kev pheej hmoo ntawm ntshav qog ntshav hauv qhov no tseem yuav tseem ceeb. Txhawm rau zam kom tsis txhob raug mob hnyav, nws yog ib qho tseem ceeb los saib xyuas koj cov ntshav qab zib kom ntau ntau, nrog tas li kho cov tshuaj raws li cov lus pom zoo ntawm koj tus kws kho mob.

1. Qhov ntsuas kub ntawm yaug NPH yuav tsum ua raws nraim rau chav ntsuas,
2. Feem ntau, cov tshuaj tau txhaj tshuaj subcutaneously mus rau hauv tus ncej puab, tshwj tsis yog muaj lwm txoj kev qhia los ntawm koj tus kws kho mob (kev hloov pauv yog qhov qhia ntawm lub pob tw, lub plab phab ntsa, thiab lub xub pwg),
3. Nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas qhov siab tshaj plaws, vim tias yog tias koj nkag rau hauv cov hlab ntshav loj, cov kev xav tsis pom yuav tshwm sim,
4. Tom qab kev txhaj tshuaj tiav lawm, tsis muaj ib qhov yuav tsum tau koj zaws rau qhov chaw uas nws tau nkag rau,
5. Koj yuav tsum tau qhia cov cai hais txog yuav ua li cas muab cov tshuaj yaug NPHF NPH.

Cov kws tshaj lij sau cia hais tias daim cartridges uas muaj cov tshuaj yaug NPH yuav tsum muab sib dhos ntawm cov xib teg ua ntej siv kom txog thaum nws hloov xim (cov khoom yuav tsum muaj huab thiab tsis sib xws, tab sis tsis ua npuas dej).

Nco ntsoov xyuas cov cartridges ua ntej siv! Thawj qhov cim ntawm cov khoom ploj yog ib co ya uas tshwm sim tom qab sib tov, muaj cov khoom dawb thiab cov khoom tawg rau hauv rinsulin NPH kuj txhais tau tias tsis zoo siv.

Nws yog ib qho tseem ceeb kom nkag siab tias daim cartridges muaj cov cuab yeej tshwj xeeb uas tsis pub siv tau cov khoom sib xyaw nrog lwm cov tshuaj insulin, thiab lub thawv ntim nws tus kheej tuaj yeem tau sau ib zaug xwb.

Yog tias koj txiav txim siab siv cov ntawv cartridges nrog ib tus cwj mem syringe thiab muaj qhov siv tau rov siv dua, koj yuav tsum ua tib zoo nyeem cov lus qhia sau los ntawm tus tsim cov khoom lag luam, thiab kuj tsis hloov siab los ntawm nws.

Tom qab ua tiav cov lus qhia ntawm nws tus kheej, nws yog ib qho tseem ceeb kom tshem tawm cov koob siv ib lub kaus mom sab nraud, yog li koj rhuav tshem nws thiab xyuas kom muaj kev ua kom tsis taus ntau tshaj plaws (qhov tseeb yog tias koj tuaj yeem tiv thaiv xau, txhaws lossis cua ingress). Tam sim no nws tshua tsuas yog tso lub hau nws tus kheej ntawm tus kov hauv nug.

Txawm li cas los xij tsis txhob siv cov tshuaj insulin rau hauv daim duab syringe, yog tias yav tas los khov, koj tuaj yeem tsis tuaj yeem khaws cia rau hauv tub yees. Raws li rau cov tshuaj, uas yog siv, nws tuaj yeem khaws tsuas yog 4 lub lis piam, thiab nyob rau hauv chav tsev kub.

Muaj kev phiv ntau

Nov yog cov kev mob tshwm sim loj uas tshwm sim feem ntau:

• Qhov tshwm sim cuam tshuam nrog cov teeb meem cuam tshuam nrog cov metabolism hauv kev ua kom rog (peb tab tom tham txog kev mob hypoglycemic, uas, yog tias tsis muab kom zoo thiab kho, tuaj yeem mus txawm tias muaj kev mob ntshav qab zib tsis nco qab):
  tawm hws ntau dhau
• Neeg tsis muaj zog
• Mob taub hau pheej nyob tsis tswm,
• Ib qho tseem ceeb txo nyob rau hauv kev pom tseeb tseeb.

1. Quincke's edema,
2. Cov pob khaus ua pob rau ntawm daim tawv nqaij
3. Anaphylactic poob siab.

Ntau qhov chaw hauv zos:

• Khaus qhov chaw koj txhaj
• Hyperemia,
• Puffiness hauv qhov chaw uas koj txhaj
• Lipodystrophy (yog tias koj tsis saib xyuas cov lus ntuas cuam tshuam nrog qee qhov hloov chaw txhaj tshuaj).

Lwm cov kev phiv:

• Edema ntawm ntau yam,
• Tsis pom qhov pom tseeb los ntawm cov tshuaj,
• Cov neeg muaj ntshav qab zib tsawg dhau los ntawm kev siv dhau.

Ua tib zoo mloog! Thaum muaj kev mob tshwm sim, nws yog ib qho tseem ceeb kom sab laj tus kws tshaj lij sai li sai tau, vim hais tias txawm tias qeeb me me tuaj yeem ua rau muaj ntau qhov xwm txheej uas koj yuav tsis muaj peev xwm daws tau qhov teeb meem!

Nov yog cov lus qhia yooj yim uas koj yuav tsum ua raws:

1. Tsis txhob tswj cov tshuaj yog tias, thaum xaus kev ntxhov siab, qhov kev ncua no tsis dhau los ua huab thiab dawb, uas qhia tias npaj txhij rau kev siv.
2. Ib txoj kev kho rau cov koob tshuaj uas txiav txim los ntawm tus kws kho mob tshwj xeeb tsis txaus, vim tias lawv yuav tsum tau kho tas li nyob ntawm kev nyeem cov kua nplaum hauv lub siab, thiab rau qhov no nws yog qhov yuav tsum tau ua kev ntsuas tas mus li.
3. Muaj ntau tus naj npawb ntawm cov ua rau cov neeg mob ntshav qab zib, nws tsuas yog zam tau yog tias koj ua raws txhua qhov kev pom zoo ntawm cov kws tshaj lij, tsis muaj qhov cuam tshuam los ntawm lawv txawm tias me ntsis.
4. Yog tias koj xaiv cov koob tshuaj tsis yog lossis thaum muaj kev sib tawg hauv kev tswj hwm tshuaj (tshwj xeeb yog qhov tseem ceeb rau cov neeg mob ntshav qab zib hom 1), kev pheej hmoo ntawm kev muaj mob hyperglycemia tseem nce ntxiv. Nws yog tsim nyog sau cia tias thawj cov tsos mob ntawm tus mob no tuaj yeem tshwm sim hauv ob peb teev, tab sis qee lub sijhawm no nce mus txog ntau hnub. Feem ntau, hyperglycemia yog tsiag ntawv los ntawm kev nqhis dej heev, nrog rau cov tso zis ntau ntxiv, xeev ntuav thiab ntuav, tsis meej pem, zoo li lub zos qhov pom ntawm daim tawv nqaij, feem ntau liab thiab dryness. Cov kws tshaj lij kuj sau tseg tias tus neeg mob lub qab los noj mov ploj thiab muaj qhov tsis hnov ​​tsw ntawm acetone, uas tuaj yeem hnov ​​nws hauv cua. Txhua yam tuaj yeem ua tiav nrog ketoacidosis uas mob ntshav qab zib yog tias kev ntsuas tsim nyog tsis tau coj los ua.
5. Yog tias koj tab tom muaj kev cuam tshuam nrog kev cuam tshuam cov thyroid caj pas, nrog rau lub raum thiab mob siab, ces cov koob tshuaj insulin yuav tsum tau hloov kho ntau.
6. Muaj ntau pab pawg ntawm cov neeg uas yuav tsum tau mus rau txoj kev siv cov tshuaj no nrog kev ceev faj, nug koj tus kws kho mob kom paub meej.
7. Qee qhov mob hnyav uas muaj peev xwm ua tau nce ntxiv qhov kev xav tau ntawm insulin, thiab tshwj xeeb yog cov uas yuav nrog tus kub ua ke.
8. Yog tias koj npaj yuav ua qhov kev hloov mus rau lwm hom tshuaj insulin lossis tshuaj uas muaj nws, ces koj yuav tsum tau ua qhov no raws li kev saib xyuas thiab kev saib xyuas ntawm tus kws tshaj lij! Zoo tshaj yog tias koj mus rau hauv tsev kho mob rau lub sijhawm luv luv.

Rinsulin NPH Syringe Cwj mem

Muaj ntau cov tshuaj rau ntshav qab zib, haum rau cov qib sib txawv ntawm txoj kev loj hlob ntawm tus kab mob. Rinsulin NPH yog ib qho ntau tshaj. Nws yog tib neeg cov kua dej hauv kev ua rau kev ncua, uas yuav tsum tau muab tshuaj subcutaneously. Daim ntawv uas nrov tshaj plaws thiab yooj yim ntawm kev tso tawm yog phwj syringe rau rinsulin npx, uas tau ua tus thawj coj ua lag luam txij li xyoo 1983. Lub ntsiab zoo yog qhov sib txawv ntawm kev siv lub zog ywj pheej.

Qhov zoo ntawm syringe cwj mem yog qhov muaj nqis. Txoj kev siv tshuaj insulin no pab qhia qhov tseeb ntawm kev txhaj tshuaj, qhov xav tau ntawm cov suab thaj ntev ntev, ua rau kev txhaj tshuaj tsawg dua, thiab qhia cov tshuaj kom yooj yim thiab sai sai. Txawm tias menyuam yaus tuaj yeem siv tus cwj mem. Cov cuab yeej siv tau rov ua dua tshiab, uas muaj qhov zoo heev piv rau cov kev xaiv yav dhau los rau kev siv rinsulin.

Kev Sib Sau thiab daim ntawv ntawm tso tawm

Cov tshuaj nws tus kheej zoo li yog kev tshem tawm dawb. Nrog kev co, qhov nag lossis daus yog sib xyaw nrog kua, thiab qhov kev ncua ntawv tam sim ntawd npaj rau subcutaneous tswj hwm. Ua ntej siv, koj yuav tsum xyuas seb qhov kub ntawm cov khoom zoo li cas - nws yuav tsum yog qhov tsis dhau los tsis dhau txias. Cov tshuaj muaj pes tsawg leeg yaug hauv 1 milliliter:

Cov tshuaj nquag: tib neeg cov insulin

Cov Muaj Peev Xwm: Protamine Sulfate

Cov Sodium Dihydrogen Phosphate

Dej rau kev txhaj tshuaj

Pharmacodynamics thiab pharmacokinetics

Rinsulin NPH yog cov tshuaj insulin rau tib neeg nruab nrab, uas tau txais hauv chav kuaj siv cov thev naus laus zis DNA thev naus laus zis. Kev sib cuam tshuam nrog tus tau txais tshwj xeeb ntawm cov cytoplasmic membrane ntawm cov hlwb, cov tshuaj ua rau cov leeg ua haujlwm, uas ua rau cov ntshav qabzib nce siab. Cov tshuaj tsis raug cai tsis ua nyob rau hauv cov neeg mob tib txoj kev, uas cuam tshuam nrog tus nqi ntawm kev nqus thiab muab ntau npaum li cas. Qhov nruab nrab, tom qab kev tswj hwm, cov tshuaj ua tom qab ib nrab rau ob teev.

Nyob ntawm qhov chaw ntawm kev tswj hwm ntawm cov tshuaj thiab ntawm koob tshuaj, qhov ua tiav ntawm kev nqus tau txawv, qhov pib ntawm kev ua haujlwm yaug dej. Kev faib tawm cov ntaub so ntswg tshwm sim tsis txaus ntseeg, yuav luag txhua qhov muaj nyob ntawm ob lub raum. Cov tshuaj tsis hla dhau ntawm qhov tsis pub nyob hauv cov menyuam thiab mus rau niam mis, yog li cov poj niam cev xeeb tub lossis cov mis muaj peev xwm siv nws.

Kev ntsuas rau siv

Kev siv cov tshuaj yaug koob qhia yog thawj thiab hom thib ob ntawm ntshav qab zib. Nyob rau hauv cov ntaub ntawv ntawm thawj theem, cov tshuaj no pab txhawb kev loj hlob qeeb ntawm tus kab mob thiab pib lig ntawm qhov tshwm sim loj. Hauv theem ob, cov tshuaj yog raug tshuaj yog tias tus neeg mob muaj tshuaj tiv thaiv cov tshuaj noj qhov ncauj thiab kev kho ntau yam yog nqa tawm. Tsis tas li ntawd, kev siv tshuaj yaug yog ua tau nyob rau theem ob hauv tus poj niam cev xeeb tub.

Rinsulin NPH - cov lus qhia rau kev siv

Txhawm rau txiav txim siab qhov tseeb txhaj tshuaj ntawm cov tshuaj insulin, ib tus kws kho mob qhov kev sib tham yog qhov tsim nyog, kev txhaj tshuaj yog txiav txim siab nyob ntawm seb tag nrho cov piam thaj hauv ntshav. Qhov nruab nrab cov tshuaj txhua hnub feem ntau yog li ntawm 0.5 txog 1 IU / kg. Kev saib xyuas zoo yuav tsum tau them rau cov neeg mob laus. Qhov no yog vim qhov tseeb tias rau tus neeg laus, muaj qhov pheej hmoo ntawm lub qog ntshav qab zib, yog li ntawd, cov tshuaj tau muab tshuaj yog xam los xav txog tus yam ntxwv no ntawm cov laus muaj sia. Tib yam mus rau cov neeg mob uas muaj teeb meem daim siab thiab lub raum.

Tsis muaj ib qho dab tsi yuav tsum muaj cov tshuaj insulin khov, qhov npaj rau hauv chav sov yuav tsum tau ua haujlwm subcutaneously hauv tus ncej puab, sab hauv plab phab ntsa, xub pwg lossis pob tw. Qhov chaw txhaj tshuaj tom qab qhov kev txhaj tshuaj tsis tuaj yeem raug muab tua. Ua ntej siv cov tshuaj, rinsulin cartridges xav tau kom yob hauv lub xib teg kom sib txig sib faib cov rinsulin ncua thiab kom tsis txhob poob mus. Sib tov cov kev ncua nyob hauv txoj kev no tsawg kawg 10 zaug.

Cov lus qhia tshwj xeeb

Ua ntej siv cov khoom lag luam, nco ntsoov xyuas qhov ncaj thiab kev ncaj ncees ntawm daim cartridge. Qhov kev muab tshem tawm yuav tsum ntws raws phab ntsa ntawm daim cartridge. Thaum siv tus cwj mem sau ntawv ncaj qha, koj yuav tsum xub nyeem cov chaw tsim khoom cov lus qhia rau cov khoom siv. Thaum kawg ntawm cov thawj coj tshuaj, unscrew lub koob nrog lub hau, yog li kom ntseeg tau qhov ntau tshaj plaws muaj peev xwm ntawm tus cwj mem, muab lub hau ntawm rab koob syringe rau ntawm lub fixture.

Cov tshuaj yuav tsum tsis txhob siv yog tias, tom qab tshee, qhov kev ncua ntxiv tsuas yog stratified, tsis ua xim dawb thiab huab. Cov koob tshuaj thiab lub sijhawm ntawm kev noj tshuaj yuav tsum raug pom zoo - kev cuam tshuam hauv kev tswj hwm ntawm insulin feem ntau ua rau hyperglycemia. Ua tib zoo saib xyuas cov carbohydrate cov ntsiab lus nyob hauv cov zaub mov, hloov kho qhov tsis haum tshuaj ntawm tus kws kho mob uas tuaj koom, yog tias koj hloov qhov ntau thiab qhov ua tau zoo ntawm lub cev, saib xyuas cov kev mob tshwm sim.

Yeeb tshuaj sib cuam tshuam

Kev tswj hwm nrog ib qho tshuaj txhaj ntawm tsis tsuas yog yaug tshuaj, tab sis kuj tseem siv lwm yam tshuaj tsis raug cai. Qee yam tshuaj ua kom cov ntshav qog zoo: bromocriptine, octreotide, ketocanazole, theophylline, lwm tus, ntawm qhov tsis tooj, ua rau nws tsis muaj zog: glucagon, danazole, phenytoin, epinephrine. Qhov tshuaj insulin nce tsis kam nrog cov cawv uas muaj cawv.

Phiv thiab haus tshaj

Cov tsos mob xam pom qhov ua rau ntshav qab zib - pallor, tawm hws, tshee tshee, ntxhov siab, tshaib plab, tawv nqaij ua pob khaus, anaphylactic ceeb - feem ntau yog kev phiv los ntawm cov tshuaj. Qee qhov xwm txheej, muaj o thiab khaus ntawm qhov chaw txhaj tshuaj lossis kev txhim kho ntawm lipodystrophy. Thaum pib ntawm daim ntawv thov, qhov muag pom tsis zoo. Yog tias hypoglycemia tshwm sim, tus neeg mob yuav tsum qhia tus kws kho mob txog nws.

Cov Yuav Tsum Tau Ua

Kev mob ntshav siab ntau thiab kev tsis haum xeeb rau qee yam ntawm cov tshuaj lossis cov tshuaj insulin nws tus kheej yog qhov tseem ceeb rau kev noj tshuaj. Thaum cev xeeb tub thiab lactation, cov tshuaj tsis muaj contraindications - cov tshuaj tsis cuam tshuam rau tus menyuam lossis mis niam. Hauv tag nrho lwm yam, kev siv cov tshuaj yuav tsis ua rau muaj kev cuam tshuam tsis zoo.

Cov Lus Cim Rinsulin NPH

Rinsulin muaj ntau qhov sib txig sib luag hauv cov khw muag tshuaj. Tag nrho ntawm lawv, thaum lawv thawj zaug pom kev sib pauv hloov, muaj tus lej ntawm cov yam ntxwv ntawm kev siv, kev phiv, contraindications rau kev siv, uas yuav tsum tau coj mus rau hauv tus account thaum xaiv cov tshuaj. Raws li lwm txoj kev siv rau cov tshuaj, tus kws kho mob tuaj yeem muab tshuaj rau cov neeg hauv qab no rau tus neeg mob:

• Biosulin N,
• Vozulim-N,
• Gensulin-N,
• tshuaj insulin isophane
• Insulin Bazal GT,
• Humulin NPH,
• Rosinsulin S.

Rinsulin NPH Nqe

Kev sib kis ntawm cov nqi tshuaj hauv cov khw muag tshuaj hauv Moscow yog qhov me me thiab feem ntau yog txiav txim siab los ntawm qhov loj me ntawm cov lag luam npoo hauv cov khw muag tshuaj tshwj xeeb.

"On-duty chaw muag tshuaj ntawm Ryazan Avenue"

Victor, 56 Cov lus qhia txog insulin - qhov tseem ceeb ntawm kuv lub neej tau ntau xyoo. Cov lus qhia yooj yooj yim thiab to taub, yooj yim siv - kev xaiv kho mob zoo, haum rau ntau yam. Cov kev mob tshwm sim tshwm sim ib zaug xwb - kiv taub hau. Qhia tus kws kho mob sai, tsis muaj tsos mob tshwm sim ntxiv.

Anna, 36 Thaum cev xeeb tub, nws hloov mus rau rab koob txhaj tshuaj - qhov kev txhaj tshuaj tau yooj yim dua. Nws yog qhov yooj yim dua thiab yooj yim dua los ua haujlwm nrog cov luav ntawv li no - qhov teeb meem ntawm kev tsis muaj menyuam yog daws tau los ntawm nws tus kheej. Tus menyuam tau yug los rau lub cev noj qab nyob zoo, raws li kws khomob tau cog lus. Kuv txuas ntxiv siv cov tshuaj, uas kuv tsis tu siab.

Svetlana, 44 Thaum kuv tus ntxhais raug kuaj mob ntshav qab zib, muaj kev poob siab. Nws muab tawm tias hauv thawj theem txhua yam yog qhov yooj yim daws nrog rinsulin thiab kev txhaj tshuaj tas li. Thaum xub thawj lawv tau ntshai ntawm cov phwj hauv hnab tes, ces lawv tau siv rau nws. Cov tshuaj tsis ua rau muaj kev nyuaj rau kev siv, tus menyuam tuaj yeem tiv thaiv ntawm nws tus kheej txawm nyob hauv tsev kawm ntawv.

Ekaterina, 32 Kuv nyeem cov ntawv txheeb xyuas, nug cov phooj ywg, Kuv tau mus ntsib kws kho mob - lawv txhua tus hais lus nrog ib lub suab hais txog tshuaj yaug yog qhov cuab yeej zoo tshaj plaws ntawm kev ua lag luam rau thawj theem ntawm ntshav qab zib. Nws muab tawm tias cov tshuaj yeej ua haujlwm zoo, rau kev siv ntau lub hlis, Kuv tsis pom tias muaj qhov tsis yooj yim hauv kev siv.