Rinsulin® NPH (Rinsulin NPH)

Thoob ntiaj teb lub npe: Tshuaj yaug r

Kev Sib Sau thiab daim ntawv ntawm tso tawm

Kev daws rau kev txhaj tshuaj yog pob tshab, tsis muaj kob. 1 ml muaj 100 IU ntawm soluble tib neeg cov tshuaj tiv thaiv engineering insulin. Tshwjxeeb: metacresol - 3 mg, glycerol - 16 mg, dej d / i - txog 1 ml.

Qhov ntim ntawm lub raj mis yog 10 ml. Ntim rau hauv ib lub thawv.

Qhov ntim ntawm lub cartridge mounted hauv ntau cov koob txhaj tshuaj uas siv cov cwj mem, cwj mem, 3 ml. Muaj 5 daim cartridge nyob rau ib pob.

Cov chaw soj ntsuam thiab chaw muag tshuaj

Cov neeg ua yeeb yam luv luv

Cov tshuaj pab pawg kho mob

Luv luv insulin

Pharmacological kev txiav txim ntawm cov tshuaj Rinsulin R

Luv cev rau tib neeg cov insulin tau siv siv thev naus laus zis DNA thev naus laus zis. Nws cuam tshuam nrog ib qho kev tshwj xeeb ntawm sab cytoplasmic membrane ntawm cov hlwb thiab tsim cov txheej txheem insulin-receptor complex uas txhawb cov txheej txheem intracellular, suav nrog synthesis ntawm cov naj npawb ntawm cov enzymes tseem ceeb (hexokinase, pyruvate kinase, glycogen synthetase). Qhov qis hauv cov piam thaj hauv ntshav yog vim muaj qhov nce ntxiv hauv nws txoj kev thauj mus los hauv lub cev, qhov ntau ntxiv thiab nqus tau los ntawm cov nqaij mos, ua kom lub ntsej muag lipogenesis, glycogenogenesis, thiab txo tus nqi ntawm cov piam thaj los ntawm lub siab.

Lub sijhawm ntawm cov kev ua ntawm insulin npaj feem ntau vim yog tus nqi ntawm kev nqus, uas nyob ntawm ntau yam (piv txwv li, ntawm koob tshuaj, txoj kev thiab qhov chaw ntawm cov thawj coj), thiab yog li cov ntaub ntawv ntawm kev ua ntawm insulin yog raug rau qhov txawv txav, ob leeg hauv cov neeg sib txawv thiab tib tus neeg.

Qhov nruab nrab, tom qab kev tswj hwm sc, cov tshuaj pib ua tom qab 30 feeb, qhov ua tau zoo tshaj plaws tsim tawm ntawm 1 teev mus rau 3 teev, lub sijhawm ua haujlwm yog 8 teev.

Cov Tshuaj Pharmacokinetics

Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm txoj hauv kev ntawm cov thawj coj (s / c, i / m), thaj chaw txhaj tshuaj (plab, ncej, pob tw), koob tshuaj (ntim ntawm cov tshuaj insulin), thiab cov tshuaj insulin nyob hauv kev npaj.

Nws tau faib qhov tsis sib luag thoob plaws cov ntaub so ntswg, tsis txeem rau hauv qhov chaw nres thiab nkag mus rau niam mis.

Kev ntsuas phoo thiab nthuav tawm

Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab lub raum. T 1/2 yog ob peb feeb. Nws yog tawm los ntawm lub raum (30-80%).

Hom 1 mob ntshav qab zib mellitus, hom 2 mob ntshav qab zib mellitus: theem ntawm kev tawm tsam tshuaj rau qhov ncauj hypoglycemic, ib feem tawm tsam kev kho mob rau qhov ncauj hypoglycemic (kev kho mob sib xyaw), ntshav qab zib ketoacidosis, ketoacidotic thiab hyperosmolar coma, mob ntshav qab zib mellitus uas tau tshwm sim thaum cev xeeb tub (yog tias tsis muaj txiaj ntsig rau kev kho kev noj zaub mov) Kev siv sib quas ntus hauv cov neeg mob ntshav qab zib mellitus tiv thaiv kev kis kab mob nrog kub taub hau, nrog kev phais mob tom ntej, raug mob, yug menyuam, thiab ua txhaum cai txog Ene tshuaj ua ntej tswv yim rau kev kho mob ntev insulin npaj.

Cov Yuav Tsum Muaj Rinsulin P

Cov neeg mob ntshav qab zib tsawg, ua rau ib tug neeg nkag siab zoo rau insulin lossis qee yam ntawm cov tshuaj.

Dosage regimen thiab cov qauv ntawm daim ntawv thov Rinsulin P

Cov tshuaj yog npaj rau SC, hauv / m thiab / hauv cov lus qhia. Qhov koob tshuaj thiab txoj hauv kev ntawm kev tswj hwm tshuaj yog txiav txim los ntawm tus kws kho mob tshwj xeeb hauv txhua kis, raws li kev saib xyuas 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 lub cev qhov hnyav (nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob thiab qhov siab ntawm cov ntshav qab zib).

Qhov kub ntawm cov tshuaj txhaj insulin yuav tsum sib haum rau chav tsev kub.

Cov tshuaj tau muab noj 30 feeb ua ntej noj mov lossis noj khoom txom ncauj uas muaj cov carbohydrates.

Nrog rau cov tshuaj monotherapy nrog rau cov tshuaj, ntau zaus ntawm kev tswj hwm yog 3 zaug / hnub (yog tias tsim nyog, 5-6 zaug / hnub). Ntawm qhov koob tshuaj txhua hnub dhau ntawm 0.6 IU / kg, nws yog qhov tsim nyog yuav tsum nkag mus rau hauv daim ntawv ntawm 2 lossis ntau dua kev txhaj tshuaj nyob rau ntau qhov chaw ntawm lub cev.

Cov tshuaj feem ntau yog muab sc rau lub xub ntiag ntawm lub plab phab ntsa. Kev hno tuaj yeem tuaj yeem ua tau hauv tus ncej, pob tw, lossis thaj tsam ntawm deltoid leeg ntawm lub xub pwg. Nws yog ib qho tsim nyog yuav tau hloov chaw txhaj tshuaj nyob rau thaj tsam anatomical kom 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.

IM thiab IV tshuaj tuaj yeem raug tswj hwm tsuas yog nyob hauv kev saib xyuas mob.

Rinsulin ® P yog cov tshuaj insulin luv luv thiab feem ntau yog siv ua ke nrog cov kua dej nruab nrab (Rinsulin ® NPH).

Cov kev cai ntawm kev tswj hwm tshuaj

Koj tuaj yeem siv tsis tau cov tshuaj yog tias muaj qee qhov tshwm sim hauv kev daws teeb meem.

Thaum siv tsuas yog ib hom insulin

1. Sanitize cov roj hmab membrane ntawm lub vial.

2. Kos cua rau hauv cov koob txhaj tshuaj ib zaug npaum li uas yuav tsum tau txhaj tshuaj insulin. Tshaj tawm huab cua rau hauv lub vial ntawm insulin.

3. Tig lub khob nrog lub taub hau ntxeev tiaj thiab kos cov koob xav tau ntawm cov tshuaj insulin rau hauv cov phwj. Tshem tawm cov koob txhaj tshuaj ntawm lub khob thiab tshem tawm cov cua los ntawm kab mob. Tshawb xyuas qhov tseeb ntawm cov koob tshuaj ntawm cov tshuaj insulin.

4. hno tam sim ntawd.

Yog tias koj xav sib xyaw ob hom tshuaj insulin

1. Sanitize cov roj hmab nyias ntawm cov vials.

2. Tam sim ua ntej hu, koj yuav tsum yob ib lub raj mis ntev ntawm cov insulin ("pos huab") nruab nrab ntawm xib teg ntawm koj txhais tes kom txog thaum cov insulin ua tusyees dawb thiab huab.

3. Ncuav cov cua tso rau hauv cov koob txhaj tshuaj ib zaug npaum li uas tau txhaj rau cov tshuaj insulin rau huab. Qhia cov huab cua rau hauv cov vias insulin vial thiab tshem tawm rab koob ntawm lub vial.

4. Txhawm rau nqus cov cua mus rau hauv cov phwj hauv qhov ntim uas sib xyaw nrog cov koob tshuaj ntawm luv-insulin ("pob tshab"). Qhia cov huab cua mus rau hauv lub vial ntawm "pob tshab" insulin. Tig lub raj mis nrog cov koob txhaj tshuaj kauv sab hauv thiab sau cov koob tshuaj uas yuav tsum tau siv cov tshuaj insulin "pob tshab". Tshem tawm cov koob txhaj tshuaj thiab tshem tawm cov cua hauv lub koob txhaj tshuaj. Kuaj qhov tseeb ntawm koob tshuaj.

5. Muab rab koob tso rau hauv lub khob nrog cov insulin "pos huab", tig lub khob nrog lub koob txhaj tshuaj sab saud thiab sau qhov xav tau ntawm cov tshuaj insulin. Tshem tawm cov cua hauv lub koob txhaj tshuaj thiab xyuas seb qhov koob tshuaj muaj tseeb li cas. Txhaj tshuaj txhaj ntawm qhov sau cov tshuaj insulin sib tov tam sim ntawd.

6. Koj yuav tsum sau cov insulins rau hauv qhov sib lawv liag raws li tau piav los saum no.

Nws yog ib qho tsim nyog yuav tsum tau ntxuav lub thaj tsam ntawm daim tawv nqaij uas qhov tshuaj insulin yuav raug.

Nrog rau ob tug ntiv tes, sib sau ib daim ntawm daim tawv nqaij, ntxig rab koob rau hauv lub hauv paus ntawm quav ntawm kaum ntawm kwv yees li 45 ° thiab txhaj tshuaj insulin hauv qab daim tawv nqaij.

Tom qab txhaj tshuaj, koob hno yuav tsum nyob hauv qab daim tawv nqaij tsawg kawg 6 vib nas this txhawm rau kom ntseeg tau tias qhov tshuaj insulin nkag mus.

Yog tias cov ntshav tawm ntawm qhov chaw txhaj tshuaj tom qab tshem tawm rab koob, maj mam nias qhov chaw txhaj tshuaj nrog qhov ntaws dej noo nrog qhov siv tshuaj tua kab mob (piv txwv, cawv).

Nws yog ib qho tsim nyog yuav tsum hloov chaw txhaj tshuaj.

Sab sij huam

Sab sij huamvim muaj cov ntxim rau cov metabolism hauv carbohydrate: kev mob ntshav qog ntshav (pallor ntawm daim tawv nqaij, nce tawm hws, tawm hws, tshee tshee, tshee, tshaib plab, ntxhov siab, teeb tsa ntawm lub qhov ncauj, mob taub hau, kiv taub hau, tsis pom kev zoo nkauj). Kev mob ntshav qog ntshav qis tuaj yeem ua rau txhim kho kev mob hypoglycemic coma.

Kev tsis haum tshuaj: tawv nqaij ua pob, Quincke's edema, anaphylactic poob siab.

Cov tshuaj tiv thaiv hauv zos: hyperemia, o thiab khaus ntawm qhov chaw txhaj tshuaj, nrog rau siv sijhawm ntev - lipodystrophy ntawm thaj chaw txhaj tshuaj.

Lwm yam: o, cov txav zuj zus hauv qhov pom tseeb (feem ntau thaum pib kho).

Tus neeg mob yuav tsum tau qhia paub tias yog nws sau tseg kev txhim kho ntawm lub qog ntshav qab zib lossis muaj kev nco qab sai sai, nws yuav tsum qhia tus kws kho mob sai.

Yog tias muaj lwm cov kev phiv dab tsi tsis tau piav los saum no tau txheeb pom, tus neeg mob yuav tsum tau sab laj nrog kws kho mob.

Cev xeeb tub thiab lactation

Tsis muaj kev txwv rau kev kho mob ntshav qab zib mellitus nrog cov tshuaj insulin thaum cev xeeb tub, vim hais tias cov tshuaj insulin tsis hla qhov chaw tiv thaiv. Thaum npaj kev cev xeeb tub thiab thaum nws, nws yog ib qho tsim nyog yuav tsum tau ua ntu zus ntawm kev kho mob ntshav qab zib. Qhov kev xav tau rau insulin feem ntau poob qis hauv thawj peb lub hlis thaum cev xeeb tub thiab maj mam nce ntxiv hauv qib thib ob thiab thib peb.

Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Tsis ntev tom qab yug los, xav tau cov tshuaj insulin sai sai rau qib uas yog ua ntej cev xeeb tub. Tsis muaj kev txwv rau kev kho mob ntshav qab zib mellitus nrog tshuaj insulin thaum pub niam mis. Txawm li cas los xij, nws yuav tsim nyog los txo cov koob tshuaj insulin, yog li ntawd, kev saib xyuas ceev faj rau ntau lub hlis yog qhov tsim nyog ua ntej tswj kev xav tau kom tau cov tshuaj insulin.

Daim ntawv thov rau lub siab ua haujlwm tsis haum Cov koob tshuaj insulin yuav tsum kho rau daim siab ua haujlwm tsis zoo. Siv rau lub raum ua haujlwm tsis zoo. Cov koob tshuaj insulin yuav tsum kho rau kev ua haujlwm ntawm lub raum.

Siv rau cov neeg mob laus

Cov koob tshuaj insulin yuav tsum raug kho rau cov ntshav qab zib hauv cov neeg mob uas laus dua 65 xyoos.

Cov lus qhia tshwj xeeb rau kev txais neeg kawm Tshuaj yaug R

Tawm tsam tom qab ntawm cov tshuaj insulin, kev tshuaj xyuas cov ntshav qabzib hauv siab yog qhov tsim nyog.

Ntxiv rau kev noj tshuaj insulin ntau dhau, qhov ua rau hypoglycemia tuaj yeem suav nrog kev hloov tshuaj, hla zaub mov, ntuav, raws plab, nce lub cev kev ua haujlwm, cov kab mob uas txo qis qhov xav tau rau insulin (kev mob siab rau lub siab thiab lub raum kev ua haujlwm, kev ua haujlwm ntawm adrenal cortex, pituitary lossis thyroid caj pas), thiab hloov chaw txhaj tshuaj, thiab kuj cuam tshuam nrog lwm cov tshuaj.

Kev noj tshuaj tsis yog lossis cuam tshuam rau hauv cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob ntshav qab zib hom 1, tuaj yeem ua rau mob hyperglycemia. Feem ntau, thawj cov tsos mob ntawm hyperglycemia pib maj mam dhau ob peb teev lossis hnub. Cov no suav nrog kev nqhis dej, ntxiv tso zis, xeev ntuav, ntuav, kiv taub hau, liab thiab ntawm daim tawv nqaij, qhov ncauj qhuav, tsis qab los, tsis hnov ​​tsw ntawm Acetone hauv cov pa ua pa. Yog tias tsis kho, hyperglycemia hauv ntshav qab zib hom 1 tuaj yeem ua rau muaj kev tiv thaiv cov mob ntshav qab zib ketoacidosis.

Cov koob tshuaj insulin yuav tsum raug kho rau qhov ua haujlwm ntawm cov thyroid tsis zoo, Addison's disease, hypopituitarism, ua rau lub siab thiab lub raum tsis ua haujlwm, thiab mob ntshav qab zib mellitus hauv cov neeg mob uas muaj hnub nyoog 65 xyoos.

Yog tias tus neeg mob ua kom lub cev ua hauj lwm ntau ntxiv lossis hloov cov zaub mov ib txwm noj, yuav tsum tau txhaj tshuaj insulin ib koob.

Kev hloov pauv ntawm ib hom tshuaj insulin mus rau lwm qhov yuav tsum tau ua nyob rau hauv kev tswj hwm qhov kev tswj hwm ntawm cov piam thaj hauv cov ntshav.

Cov tshuaj txo cov cawv rau lub txim.

Vim tias muaj qhov ua rau nag lossis daus hauv qee qhov ntsuas, kev siv yeeb tshuaj hauv cov tshuaj insulin tsis pom zoo.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Hauv kev sib txuas nrog lub hom phiaj tseem ceeb ntawm insulin, kev hloov pauv ntawm nws hom lossis nyob ntawm qhov tseem ceeb ntawm lub cev lossis lub hlwb kev ntxhov siab, nws muaj peev xwm txo qis kev muaj peev xwm tsav lub tsheb lossis tswj ntau cov txheej txheem, nrog rau koom nrog rau lwm yam dej num txaus ntshai uas xav tau nce siab thiab ceev ntawm lub hlwb thiab lub cev kev xav.

Noj ntau dhau

Nrog rau kev siv tshuaj ntau dhau, ua rau lub ntsej muag ntshav qab zib yuav pib ua.

Kev Kho Mob: tus neeg mob tuaj yeem tshem tawm qhov mob ntshav qab zib me me los ntawm kev noj cov suab thaj lossis cov khoom noj uas muaj carbohydrate. Yog li, nws tau pom zoo rau cov neeg mob ntshav qab zib kom nqa cov piam thaj, qab zib, ncuav qab zib lossis kua txiv qab zib nrog lawv.

Hauv cov xwm txheej loj, thaum tus neeg mob poob siab, qhov 40% dextrose (kua nplaum) tov yog muab tshuaj iv, i / m, s / c, iv glucagon. Tom qab nws rov qab nco qab, tus neeg mob tau pom zoo kom noj cov khoom noj uas muaj cov khoom noj carbohydrate kom tiv thaiv kev rov qab txhim kho hypoglycemia.

Kev sib cuam tshuam nrog Lwm Yam Tshuaj

Cov tshuaj tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj. Cov nyhuv hypoglycemic yog txhim kho los ntawm sulfonamides (suav nrog qhov ncauj tshuaj hypoglycemic, sulfonamides), MAO inhibitors (suav nrog furazolidone, procarbazine, selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs (suav nrog salicylates), anabolic (suav nrog stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, phenfluramine, Li + kev npaj, pyridoxine, quinidine, quinine, chloroquinine. Hypoglycemic los ntawm lus glucagon, kev loj hlob lawm, corticosteroids, qhov ncauj contraceptives, estrogens, thiazide thiab voj diuretics, BCCI, thyroid hormones, heparin, sulfinpyrazone, sympathomimetics, danazol, tricyclics, clonidine, calcium antagonists, diazoxide, morphine, tshuaj maj, nicotine, phenytoin, epinephrine, H1-histamine receptor blockers. Beta-blockers, reserpine, octreotide, pentamidine tuaj yeem txhim kho ob qho tib si thiab ua kom cov nyhuv tsis muaj zog hypoglycemic ntawm insulin.

Cov Cai Siv Tshuaj So

Cov tshuaj yog ntawv yuav tshuaj.

Cov lus thiab cov xwm txheej ntawm kev cia Tshuaj yaug R

Cov tshuaj yuav tsum muab cia rau hauv qhov chaw ncav cuag ntawm cov menyuam yaus, tiv thaiv los ntawm lub teeb, ntawm qhov kub ntawm 2 ° txog 8 ° C, tsis txhob khov. Txee lub neej yog 2 xyoos.

Kev siv cov tshuaj Rinsulin r tsuas yog raws li kws kho mob tau sau tseg, qhov lus qhia tau muab rau siv!

Nosological kev faib tawm (ICD-10)

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.

Kev Sib Sau thiab daim ntawv ntawm tso tawm

Cov tshuaj yog hais txog cov tshuaj uas muag los ntawm cov tshuaj, txij li thaum nws tsis siv nws tuaj yeem tsim kev puas tsuaj rau lub cev.

Nws yog cov tshuaj txhaj, cov kev tivthaiv tseem ceeb uas yog cov tshuaj insulin, tsim tawm siv cov thev naus laus zis DNA thev naus laus zis.

Pab txhawb nqa cov tshuaj yog:

Rinsulin tso tawm yog nqa tawm hauv Russia. Txoj kev daws teeb meem yog pob tshab thiab tsis muaj xim. Nws muab tso rau hauv lub khob fwj 10 ml.

Cov yam ntxwv ntawm Pharmacological

Cov tshuaj yog cim los ntawm cov nyhuv hypoglycemic. Qhov txo qis hauv cov ntshav qab zib yog muab los ntawm tus ntawm lub ntsiab tivthaiv. Cov tshuaj insulin, nkag mus rau hauv tus neeg mob lub cev, ua kom cov txheej txheem qabzib suav thiab muab faib rau hauv lub hlwb. Rinsulin kuj tseem txo qis cov nqi ntawm cov piam thaj ntau ntau los ntawm lub siab.

Cov cuab yeej no muaj lub sijhawm ua haujlwm luv. Nws pib cuam tshuam rau lub cev ib nrab teev tom qab txhaj tshuaj. Nws ua feem ntau sib zog ntawm 1-3 teev tom qab siv. Nws lub zog xaus tom qab 8 teev.

Qhov ua tau thiab qhov ntev ntawm raug Rinsulin yog nyob ntawm qhov ntau thiab cov kev coj. Kev tshem tawm cov khoom no ntawm lub cev yog nqa tawm los ntawm lub raum.

Cov lus qhia rau kev siv

Nws raug nquahu kom siv cov tshuaj rau hom 1 thiab ntshav qab zib hom 2 yog tias nws tsis tuaj yeem ua kom ib txwm muaj theem ntawm cov piam thaj nrog kev siv tshuaj rau kev tswj hwm qhov ncauj. Rinsulin yog kev txhaj tshuaj uas tuaj yeem ua tiav intramuscularly, subcutaneously thiab leeg pob txha. Qhov tsim nyog ntawm cov ntawv thov kev txiav txim siab ntawm tus kheej.

Kev noj tshuaj ntau npaum li cas tau muab xam raws li cov yam ntxwv ntawm cov duab hauv chaw kuaj mob. Feem ntau cov feem ntau, 0.5-1 IU / kg ntawm tus neeg mob lub cev qhov hnyav yuav tsum tau ua rau ib hnub.

Cov tshuaj yog pub siv nrog rau lwm cov tshuaj hauv hypoglycemic, yog tias tsim nyog.

Feem ntau, yaug tshuaj yog muab tshuaj subcutaneously. Txhaj tshuaj yuav tsum tau txhaj rau sab ncej puab, xub pwg, lossis sab xub ntiag ntawm phab ntsa. Nws yog ib qho tseem ceeb rau lwm qhov chaw txhaj tshuaj, txwv tsis pub lipodystrophy yuav tsim kho.

Kev tswj hwm intramuscular yog nqa tawm tsuas yog kev pom zoo los ntawm kws kho mob. Intravenously, cov tshuaj no tsuas yog muab los ntawm cov neeg kho mob. Qhov no yog xyaum hauv cov xwm txheej nyuaj.

Yees duab qhia txog kev qhia ntawm cov insulin siv koob txhaj tshuaj syringe:

Kev phiv tshuaj

Noj ib qho tshuaj twg tuaj yeem ua rau muaj kev phiv tshuaj. Txhawm rau kom paub dab tsi nyuaj Rinsulin tuaj yeem ua rau, koj yuav tsum kawm cov lus qhia thiab tshuaj xyuas cov chaw sib tham los ntawm cov neeg mob.

Feem ntau feem ntau nrog nws siv, cov kev ua txhaum cai hauv qab no tshwm sim:

• hypoglycemic xeev (nws yog nrog los ntawm ntau cov tsos mob tshwm sim, uas muaj xws li kiv taub hau, tsis muaj zog, xeev siab, tachycardia, tsis meej pem, thiab lwm yam),
• kev ua xua (tawm pob ntawm daim tawv nqaij, ua pob khaus ntsej muag, Quincke's edema),
• pom kev pom
• daim tawv nqaij liab
• khaus

Feem ntau, cov kev mob tshwm sim thaum siv cov tshuaj txawm tias tsis kam mus rau nws cov lus. Txhawm rau tshem tawm qhov tsis zoo, koj yuav tsum hu rau tus kws tshaj lij. Qee yam kev mob tshwm sim yuav ploj mus tom qab koj tsum tsis noj; lwm cov kev kho mob raws cim.

Qee lub sij hawm cov kab mob pathological ua rau muaj kev cuam tshuam loj heev hauv tus neeg mob txoj kev noj qab haus huv, thiab tom qab ntawd nws xav tau kev kho mob hnyav hauv tsev kho mob.

Yeeb tshuaj sib cuam tshuam

Rinsulin qee zaum siv hauv kev kho nyuaj, tab sis nws yuav tsum teeb tsa kev sib tw. Muaj cov pab pawg ntawm cov tshuaj vim tias lub cev lub cev nkag mus rau insulin yog kho kom zoo lossis ua kom tsis muaj zog. Hauv qhov xwm txheej no, nws yog ib qho tsim nyog yuav tau kho qhov ntau ntawm cov tshuaj.

Nws yuav tsum txo qee feem ntawm Rinsulin thaum siv nws nrog cov txhais tau tias hauv qab no:

• cov tshuaj hypoglycemic,
• muaj ntsev,
• beta blockers,
• MAO thiab ACE inhibitors,
• tetracyclines
• antifungal tus neeg sawv cev.

Qhov ua tau zoo ntawm Rinsulin txo qis yog tias nws siv nrog cov tshuaj xws li:

• tshuaj kho mob
• tshuaj tiv thaiv kab mob
• tshuaj hormonal.

Yog tias muaj kev xav tau rau kev siv Rinsulin thiab cov tshuaj siv no ib txhij, koj yuav tsum nce lub koob tshuaj.

Tsis txhob maj hloov kho lub sijhawm kho. Yog hais tias loj dhau ib feem ntawm cov tshuaj insulin nkag mus rau hauv lub cev, kev siv ntau dhau lawm yuav tshwm sim, qhov tseem ceeb tshaj plaws uas yog hypoglycemia. Yog tias koj siv ntau qhov siv tshuaj me me, cov kev kho yuav ua rau tsis muaj txiaj ntsig.

Cov lus qhia tshwj xeeb

Kev ntsuas tshwj xeeb thaum noj tshuaj feem ntau yog npaj rau menyuam yaus, poj niam cev xeeb tub thiab cov laus.

Kev kho mob nrog Rinsulin cuam tshuam kev ua raws li cov cai hauv qab no:

1. Cov poj niam cev xeeb tub. Tsis tas yuav tsum hloov kho qhov ntau ntawm cov tshuaj, vim nws txoj hauv kev hloov pauv tsis cuam tshuam rau lub sijhawm cev xeeb tub. Tab sis tib lub sijhawm, nws yog ib qhov tsim nyog los tswj cov ntshav qab zib ntawm cov poj niam, txij li thaum coj tus menyuam, qhov ntsuas no tuaj yeem hloov tau.
2. Saib xyuas niam cov txiv. Cov tshuaj Insulin tsis kis mus rau niam mis thiab, yog li ntawd tsis cuam tshuam rau tus menyuam. Yog li, koj tsis tas yuav hloov cov tshuaj ntau npaum li cas. Tab sis tus poj niam yuav tsum los saib xyuas nws cov kev noj haus, raws li cov lus pom zoo.
3. Qub neeg. Vim tias muaj hnub nyoog hloov pauv, lawv lub cev yuav muaj kev cuam tshuam ntau los ntawm cov tshuaj. Qhov no yuav tsum muaj kev tshuaj xyuas nruj ntawm tus neeg mob thiab kev xam ntawm cov tshuaj noj ua ntej muab tshuaj rau nws Rinsulin.
4. Cov menyuam. Lawv tseem raug tso cai kho nrog cov tshuaj no, tab sis nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij. Cov tshuaj yog tawm ntawm tus kheej.

Cov lus qhia tshwj xeeb kuj tseem muaj rau cov neeg mob uas tau mob los ntawm kev ua kab mob ntawm lub siab thiab lub raum. Cov tshuaj cuam tshuam rau daim siab, thiab ob lub raum tau koom nrog hauv kev tshem tawm cov tshuaj ntawm lub cev. Yog tias muaj teeb meem nrog cov nruab nrog cev no, cov koob tshuaj Rinsulin yuav tsum raug txo kom thiaj li tsis ua rau kev puas hlwb.

Yog tias koj tsis nkag siab rau tus neeg sawv cev no hauv tus neeg mob, koj yuav tsum hloov nws nrog lwm tus. Tus kws kho mob yuav pab koj xaiv nws.

Feem ntau, ib qho hloov pauv tau hais tseg:

1. ActrapidCov. Cov tshuaj yog raws li tib neeg cov tshuaj insulin thiab zoo li kev ncua. Kev hno tawm nrog cov tshuaj no pab ua kom cov ntshav qabzib nce siab. Nws yog txwv tsis pub siv nws nrog hypoglycemia thiab intolerance mus rau lub Cheebtsam.
2. RosinsulinCov. Cov cuab yeej no yog muag raws li kev txhaj tshuaj. Nws muab tso rau hauv 3 ml cartridges. Nws lub ntsiab muaj yog tib neeg cov insulin.
3. Soj ntsuamCov. Cov tshuaj yog qhov ncua kev kawm uas siv rau kev siv subcutaneous. Nws txawv hauv qhov nruab nrab ntawm lub sijhawm ua. Tsim los ntawm Insuran raws li isophan insulin.

Cov tshuaj no yog cov cwj pwm zoo ib yam, tab sis muaj qee qhov sib txawv uas yuav tsum tau txiav txim siab. Koj kuj yuav tsum paub txog yuav hloov pauv ntawm ib qho tshuaj mus rau ib qho licas.

Tshuaj yaug NPH

Cov tshuaj no zoo heev rau Rinsulin R. Nws muaj cov tshuaj insulin isophan. Cov tshuaj muaj lub sijhawm nruab nrab ntawm kev txiav txim thiab yog ncua kev txhaj tshuaj.

Nws tsuas yog siv tsuas yog subcutaneously, uas pab txhawm rau txhawm rau xaum xim rau Rinsulin NPH.

Nws yog ib qho tsim nyog yuav tsum qhia cov tshuaj mus rau hauv plab phab ntsa, ncej puab lossis xub pwg. Txhawm rau kom cov tshuaj kho mob sai sai, kev txhaj tshuaj yuav tsum tau tsim nyob rau ntau qhov chaw ntawm lub cev hauv thaj chaw tau teev tseg.

Cov pabcuam hauv qab no kuj tseem yog ib feem ntawm Rinsulin NPH:

• phenol
• tshuaj glycerin
• tshuaj sulfate,
• sodium hydrogen phosphate,
• metacresol
• dej.

Cov tshuaj no tso tawm hauv 10 ml khob fwj. Qhov kev tshem tawm yog dawb; thaum poob los, cov dej nag nyob hauv nws.

Cov tshuaj no ua haujlwm yuav luag zoo ib yam li Rinsulin R. Nws txhawb nqa kom sai ntawm cov piam thaj los ntawm cov hlwb thiab qeeb nws cov ntau lawm los ntawm daim siab. Qhov sib txawv lus dag hauv lub sijhawm ntev ntawm tus yam ntxwv - nws tuaj yeem ncav cuag 24 teev.

Tus nqi ntawm Rinsulin NPH fluctuates ncig 1100 rubles.

Koj tuaj yeem pom cov tshuaj siv tau zoo npaum li cas los ntawm kev kuaj xyuas tus neeg mob tshuaj xyuas Rinsulin P thiab NPH. Lawv yog ntau haiv neeg. Feem ntau ntawm cov neeg mob teb tau zoo rau cov tshuaj no, tab sis muaj cov uas rau kev kho mob ntawd tsis haum. Kev tsis txaus siab yog tshwm sim los ntawm cov kev mob tshwm sim uas tuaj yeem ua rau cov tshuaj insulin.

Feem ntau, cov teeb meem tshwm sim hauv cov neeg mob ntshav qab zib uas tsis ua raws li cov lus qhia lossis hauv cov neeg uas lub cev tau nkag siab rau cov khoom siv. Qhov no txhais tau hais tias qhov ua tau zoo ntawm cov tshuaj nyob ntawm ntau yam xwm txheej.

Rinsulin R - kev piav qhia thiab cov foos tso tawm

Hauv qab no yog qee cov ntaub ntawv hais txog cov tshuaj uas yuav muab cov duab ntawm cov tshuaj insulin.

Rinsulin P yog nqus sai rau hauv cov ntshav los ntawm cov nqaij mos subcutaneous, cov nyhuv hypoglycemic pib tom qab ib nrab ib teev. Cov tshuaj hormones khi rau cov cell receptors, uas tso cai thauj cov piam thaj ntawm cov ntshav mus rau cov ntaub so ntswg. Rinsulin lub peev xwm los ua kom muaj glycogen thiab txo qis ntawm cov piam thaj ua ke hauv lub siab tseem cuam tshuam rau kev txo qis glycemia.

Cov nyhuv ntawm cov tshuaj nyob ntawm tus nqi ntawm nqus, thiab hais tias, nyob rau hauv, nyob rau lub tuab thiab ntshav ntawm subcutaneous ntaub ntawm qhov chaw txhaj tshuaj. Hauv nruab nrab, cov chaw muag tshuaj ntawm Rinsulin P zoo ib yam li lwm cov insulins luv luv:

• lub sijhawm pib yog 30 feeb
• ncov - txog 2 teev
• cov yeeb yam tseem ceeb yog 5 teev,
• tag nrho lub sijhawm ua haujlwm - txog 8 teev.

Koj tuaj yeem kho qhov kev txiav txim siab ntawm insulin los ntawm kev txhaj tshuaj rau hauv plab lossis sab caj npab, thiab maj mam txo los ntawm kev txhaj nws rau hauv pem hauv ntej ncej puab.

Txhawm rau them nyiaj rau cov ntshav qab zib mellitus ntawm Rinsulin, tus neeg mob yuav tsum ua raws li 6 pluas noj hauv ib hnub, kev ncua sij hawm nruab nrab ntawm 3 pluas noj yuav tsum yog 5 teev, nyob nruab nrab ntawm lawv cov khoom noj txom ncauj ntawm 10-20 g ntawm qeeb carbohydrates yog qhov yuav tsum tau.

Rinsulin P tsuas muaj tib qho kev ua haujlwm zoo - tib neeg lub cev insulin. Nws yog tsim los ntawm cov qauv tso tseg, uas yog, siv cov kab mob hloov pauv txhob kaw. Feem ntau E. coli lossis poov xab yog siv rau cov laj thawj no. Hauv cov qauv thiab cov qauv, cov insulin no tsis txawv ntawm cov tshuaj hormones uas cov txiav ua kua hluavtaws.

Muaj tsawg pab nyob hauv Rinsulin P dua li hauv cov analogues txawv teb. Ntxiv nrog rau cov tshuaj insulin, nws tsuas muaj dej, cov tshuaj tiv thaiv metacresol thiab stabilizer glycerol. Ntawm ib sab, vim qhov no, qhov yuav ua rau muaj kev tsis haum ntawm qhov chaw txhaj tshuaj yog tsawg dua. Ntawm qhov tod tes, kev nqus hauv cov ntshav thiab cov ntshav qab zib-txo cov txiaj ntsig ntawm Rinsulin tej zaum yuav txawv dua. Yog li ntawd, hloov mus rau lwm cov tshuaj nrog tib cov tshuaj muaj zog yuav siv ntau hnub, thaum lub sijhawm them nyiaj ntawm ntshav qab zib mellitus zuj zus.

Tso Tawm Cov Ntawv

Rinsulin P yog cov xim tsis muaj kob, ua kom pom pob tshab, hauv ib milliliter ntawm 100 units ntawm cov tshuaj hormones.

Cov Ntawv Tso Tawm:

1. Vials nrog tov ntawm 10 ml, ib cov tshuaj los ntawm lawv yuav tsum tau muab nrog cov tshuaj insulin.
2. 3 ml cartridges. Lawv tuaj yeem tso rau hauv txhua lub koob txhaj tshuaj uas tsim los rau tus qauv cartridge: HumaPen, BiomaticPen, Autopen Classic. Txhawm rau kom muaj peev xwm nkag tau qhov tseeb ntau npaum li cas ntawm cov tshuaj insulin, kev nyiam yuav tsum tau muab rau cov xaum xaum xaum nrog qhov kom tsawg dua. Piv txwv li, HumaPen Luxura pub koj kom tau 0,5 units.
3. Cov tshuaj phwj uas siv tag pov tseg Rinastra 3 ml. Hloov daim laub rau hauv lawv tsis tuaj yeem ua, kauj ruam 1 chav.

Muaj peev xwm tsis pom tshwm sim ntau

Ntau zaus cov kev mob tshwm sim ntawm Rinsulin yog qhov tsawg, feem ntau cov neeg mob tsuas yog ntsib tus mob hypoglycemia me me xwb.

Cov npe ntawm cov tsis tuaj yeem tsis nyiam raws li cov lus qhia:

1. Kev mob ntshav qab zib tsawg yog ua tau yog tias qhov ntau ntawm cov tshuaj tau muab xam tsis raug thiab dhau ntawm qhov kev xav ntawm lub zog xav tau. Kev tsis ua raws li cov lus qhia rau kev siv kuj tuaj yeem ua rau poob qab zib: cov txheej txheem kev txhaj tshuaj tsis raug cai (insulin nkag mus rau hauv cov leeg), cua sov ntawm qhov chaw txhaj tshuaj (huab cua sov, nrawm, kev sib txhuam), ua haujlwm tsis raug lub ntsej muag, thiab tsis ua haujlwm lub cev. Kev mob ntshav siab ntshav qis yuav tsum raug tshem tawm thaum nws thawj cov tsos mob tshwm sim: malaise, tshee, tshaib plab, mob taub hau. Feem ntau, 10-15 g ntawm carbohydrates ceev tau txaus rau qhov no: qab zib, kua qab zib, qab zib ntsiav tshuaj. Kev mob ntshav khov ntau heev tuaj yeem ua rau tsis muaj kev cuam tshuam rau cov leeg hlwb, ua rau tsis nco qab lawm.
2. Qhov thib ob feem ntau cov kev mob tshwm sim yog kev fab tshuaj tsis haum. Feem ntau cov feem ntau, lawv tau hais tawm rau pob khaus lossis liab ntawm lub chaw txhaj tshuaj thiab ploj mus li ob peb lub lis piam tom qab kev teem sijhawm kho tshuaj insulin. Yog tias khaus khaus, tuaj yeem siv cov tshuaj antihistamines. Yog tias kev ua xua tau hloov mus rau hauv ib qho qauv dav dav, urticaria lossis Quincke's edema tau tshwm sim, Rinsulin R yuav tsum tau hloov.
3. Yog tias cov ntshav qab zib tau muaj hyperglycemia ntev ntev, kev txhaj tshuaj insulin thawj zaug yog xam kom cov piam thaj hauv ntshav txo qis kom zoo, dhau ib hlis. Nrog lub ntsej muag poob hauv qabzib mus rau ib txwm, qhov tsis zoo ib ntus hauv kev nyob zoo yog tau: qhov muag plooj, o, hnov ​​mob ntawm nqaj - yuav ua li cas los suav cov koob tshuaj insulin.

Ntau yam tshuaj cuam tshuam rau kev ua haujlwm ntawm cov tshuaj insulin, yog li cov neeg mob ntshav qab zib ntawm kev siv tshuaj insulin yuav tsum koom tes nrog kws kho mob txhua yam tshuaj, tshuaj ntsuab thiab kev noj haus uas lawv npaj yuav siv.

Cov kev qhia tswv yim kom them nyiaj tshwj xeeb rau cov pab pawg tshuaj hauv qab no:

• cov tshuaj hormones: tiv thaiv qog, cov thyroid hormones, glucocorticosteroids,
• tshuaj rau qhov kub siab: tshuaj kho tus mob thiazide pawg, txhua yam tshuaj xaus ntawm –pril thiab –sartan, lazartan,
• Vitamin B3
• lithium npaj
• tetracyclines
• tej cov neeg sawv cev hypoglycemic
• acetylsalicylic acid
• qee cov tshuaj tiv thaiv kev nyuaj siab.

Kev tiv thaiv kab mob ntshav qab zib mellitus zuj zus thiab txhua yam tshuaj thiab dej haus uas muaj cawv yuav ua rau muaj ntshav nce siab tsawg kawg - saib dab tsi ua rau ntshav qab zib ua rau. Cov tshuaj beta-blocker siv hauv cov kab mob hauv lub plawv ua kom cov tsos mob ntawm cov ntshav qab zib hauv lub cev thiab tiv thaiv nws los ntawm kev kuaj pom ntawm lub sijhawm.

Daim ntawv thov nta

Tom qab qhov kev txiav txim, insulin yog rhuav tshem hauv daim siab thiab lub raum. Yog tias tus mob ntshav qab zib muaj kab mob ntawm ib qho ntawm cov plab hnyuv siab raum no, kev noj cov tshuaj Rinsulin tuaj yeem xav kho. Kev xav tau ntxiv rau cov insulin yog pom nyob rau lub sijhawm cov kev hloov hauv hormonal, nrog rau cov kabmob sib kis, ua npaws, kev poob siab, ntxhov siab, nkees nkees. Cov koob tshuaj ntawm cov tshuaj yuav tsis muaj tseeb yog tias tus neeg mob ntshav qab zib muaj mob ntuav, raws plab, thiab mob hauv cov zom zaub mov.

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm los qhia txoj xov zoo - Endocrinology Qhov Chaw Tshawb Xyuas Kev Tshawb Fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib mus txog lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

Cov tshuaj yeeb yaj kiab uas nrov tshaj plaws ntawm Rinsulin R yog Danish Actrapid thiab American Humulin Tsis tu ncua. Cov ntaub ntawv tshawb fawb qhia tias Rinsulin cov cim ntsuas tau zoo yog nyob rau theem ntawm European cov qauv.

Kev xyuas ntshav qab zib tsis yog qhov zooCov. Ntau yam, thaum hloov los ntawm cov tshuaj yeeb yaj kiab mus rau ib qho kev siv hauv tsev, nco ntsoov qhov xav tau ntau npaum li cas hloov pauv, dhia hauv qab zib thiab qhov siab kawg ntawm kev ua. Muaj ntau cov kev txheeb xyuas zoo dua ntawm cov tshuaj yaug yaug ntawm cov neeg mob uas siv tshuaj insulin thawj zaug. Lawv tswj kom tau txais txiaj ntsig zoo rau cov ntshav qab zib thiab zam kom tsis txhob mob ntshav qab zib siab ntau.

Yog tias muaj qhov ua xua dua tshwm sim, Rinsulin yuav tsum raug muab pov tseg. Feem ntau, lwm tus neeg cov insulins ua rau tib cov tshuaj tiv thaiv, yog li lawv siv ultrashort txhais tau tias - Humalog lossis NovoRapid.

Tus nqi ntawm Rinsulin P - los ntawm 400 rubles. ib lam fwj kom txog 1150 rau 5 xaum xaum.

Qhov sib txawv ntawm Rinsulin P thiab NPH

Rinsulin NPH yog cov tshuaj nruab nrab los ntawm tib lub chaw tsim khoom. Raws li cov lus qhia, nws yog siv los ua kom muaj kev ceev ceev ntawm qab zib. Rinsulin NPH muaj tib lub hauv paus ntsiab lus ntawm kev nqis tes ua, tso tawm daim ntawv, cov cim zoo sib xws, contraindications thiab phiv li Rinsulin R. Raws li txoj cai, nrog kev kho tshuaj insulin ob hom tshuaj insulin ua ke - luv thiab nruab nrab. Yog tias qhov zais ntshis ntawm koj tus kheej cov tshuaj hormones yog qee khaws cia (hom 2 thiab cov ntshav qab zib hauv poj niam), koj tsuas siv tau ib cov tshuaj.

Cov Nta ntawm Rinsulin NPH:

Rinsulin NPH Fwj Nqe

400 rub., Pob tsib cartridges

1000 rub., Cwj mem tsib koob

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>