Humulin Tsis tu ncua > Kev khomob thiab kev tiv thaiv

Kev piav qhia cuam tshuam rau 29.04.2015

Lub npe Latin: Humulin tsis tu ncua
ATX Code: A10AB01
Yam tshuaj muaj sia: Txhob txwm siv cov tshuaj insulin (Insulin soluble human biosynthetic)
Chaw tsim tshuaj paus: Eli Lilly East S.A. (Switzerland)

1 ml ntawm kev daws teeb meem suav nrog 100 IU recombinant tib neeg cov kua dej - nquag muaj khoom noj.

Cov khoom xyaw me: Metacresol, Hydrochloric Acid, glycerol, dej d / i, sodium hydroxide.

Pharmacodynamics thiab pharmacokinetics

Cov tshuaj Humulin Tsis Txaus (Humulin P) yog luv luv ua yeeb yamCov. Cov txiaj ntsig tseem ceeb tshwm sim los ntawm kev txo qis hauv ntshav piam thaj, los ntawm ntxiv dag zog nws kev thauj mus los sab hauv sab hauvnce ntaub so ntswg nkag thiab assimilationrhais ruam taw kev glycogenogenesis, lipogenesisprotein ntau dua, txo qis tus nqi tsim tawm piam thaj mob siab (txo qis hauv lwj glycogen), thiab lwm yam.

Nrog sc tswj hwm, qhov pib ntawm kev ua haujlwm tshuaj insulin Humulin Qhov ib txwm pom tom qab 20-30 feeb, nce siab tshaj plaws rau 1-3 teev thiab siv tau rau 5-8 teev. Lub sijhawm tiv thaiv yog txiav txim siab los ntawm lub koob tshuaj, qhov chaw thiab txoj kev ntawm nws txoj kev tswj hwm thiab txawv txav sib txawv raws li tus neeg cov yam ntxwv ntawm lub cev.

Kev ua tiav ntawm kev nqus tau kuj zoo heev thiab nyob ntawm qhov ntau npaum li cas, txoj kev txhaj tshuaj coj tus cwj pwm (v / m, s / c), thaj chaw ntawm cov thawj coj (pob tw, ncej puab, plab, xub pwg), cov ntsiab lus tshuaj insulin hauv yeeb tshuaj, thiab lwm yam Cov kua dej yog qhov tsis txaus ntseeg nyob rau hauv cov ntaub so ntswg, tsis nkag mus placental teeb meemthiab tsis txhob sawv nrog leej niam cov mis. Nws yog tawm los ntawm lub raum.

Kev ntsuas rau siv

Kev taw qhia txog kev siv cov tshuaj insulin Humulin Kev pab mob ntshav qab zib mellitus Thib 1 yam, nrog rau hom thib 2 nrog:

ib nrab ntawm tus neeg ua hauj hypoglycemic tshuaj rau lub qhov ncauj tswj hwm (hauv txoj kev kho mob),
tus neeg ua hauj cov tshuaj hypoglycemic rau qhov ncauj tswj hwm,
mob ketoacidosis,
mob ntshav qab zibtsim nyob rau hauv lub sij hawm ntawm cev xeeb tub (Yog tias tsis ua haujlwm kev kho kev noj haus),
hyperosmolar thiab ketoacidotic coma,
kis tau tus mob nrog kub taub hau (nrog mob ntshav qab zib rau kev siv sib quas ntus),
metabolic ntshawv siab
yugkev raug mob haujlwm (hauv kev txiav txim siab los npaj tus neeg mob nrog mob ntshav qab zib),
kev hloov mus rau kev kho ntxiv tshuaj insulin ntau tshaj kev txiav txim siab ntev.

Sab sij huam

hypoglycemic coma, ntshav qog,
kev tsis haum (txog siav, urticaria, npawstej ntshav siab, angioedema),
ntshav qab zib acidosis thiab hyperglycemia (tawm tsam keeb kwm ntawm kev kis kab mob thiab ua npaws, nrog rau kev txhaj tshuaj tsis zoo, tshuaj tsawg, kev ua txhaum ntawm kev noj haus),
pom kev tsis pom kev (tshwm sim thaum pib ntawm txoj kev kho thiab ib ntus),
tsis nco qab zoo (nrog tau precomatous thiab comatose mob)
hla kev cuam tshuam rau tib neeg cov insulinimmunological xwm
lipodystrophykhaus kev hyperemia nyob rau hauv qhov kev taw qhia,
titer nce anti-insulin tshuaj nrog ntxiv tsim txhauv.

Cov lus qhia rau siv (Txujci thiab ntau npaum li cas)

Cov lus qhia rau Humulin Tsis tu ncua koom nrog ib tus neeg xaiv qhov ntau thiab cov kev coj ua raws li ntshav ntshav piam thaj, glucosuria degrees thiab qhov xwm ntawm cov chav kawm ntawm tus kabmob.

Cov tshuaj insulin kev txhaj tshuaj yog pom zoo rau 15-30 feeb ua ntej noj mov lossis 1-2 teev tom qab.

Tso cai tswjfwm ntawm cov tshuaj s / c, i / m thiab txawm tias kuv / v, feem ntau ua rau s / c txhaj tshuaj.

Thaum lub sijhawm phais mob, mob ntshav qab zib coma thiab mob ketoacidosis hloov rau a / m lossis / nyob rau hauv txoj kev ntawm cov thawj coj.

Ntau yam ntawm kev qhia tshuaj insulin Humulin Tsis tu ncua thaum siv tshuaj kho mob, raws li txoj cai - 3 zaug hauv 24 teev (yog tias tsim nyog, 5-6 zaug tswj hwm yog ua tau). Thaj chaw txhaj tshuaj kom tsis txhob tsim lipodystrophyhloov txhua zaus.

Kev noj tshuaj rau ib tug neeg laus txhua hnub feem ntau yog 30-40 units. Cov menyuam yaus, feem ntau, pom zoo kom pib kho nyob rau hauv ib koob ntawm 8 units hauv 24 teev, tom qab ntawd lawv raug hloov mus rau qhov ntsuas qhov nruab nrab txhua hnub ntawm 30-40 units lossis 0.5-1 units / kg. Kev txhaj tshuaj yog nqa nrog lub zaus ntawm 1-3 zaug (tejzaum yog 5-6 zaug).

Yog tias dhau ntawm cov tshuaj txhua hnub ntawm 0.6 PIECES / kg, kev txhaj tshuaj yog qhov tsim nyog tshuaj insulin ob zaug lossis ntau dua ib zaug rau ntau qhov chaw hauv lub cev.

Kev Sib Tham ntawm Humulin Tsis Txaus nrog tshuaj insulin ntau tshajRaug ntev heev.

Yuav kom rho tawm cov tshuaj tshuaj insulin tshem tawm cov aluminium cap ntawm lub vial, so lub roj hmab stopper nrog tus cawv cawv thiab, siv cov koob tsis muaj zog txuas rau ntawm cov phwj, txho tus nres thiab kos cov koob tshuaj uas tau pom zoo. tshuaj insulin.

Thaum siv cov kua cartridges, rau kev txhaj tshuaj kom yog, nws yog ib qho tsim nyog yuav tsum ua raws li cov lus qhia ntawm cov chaw tsim tshuaj paus ntawm cov kua txob.

Noj ntau dhau

Cov tsos mob ntawm kev noj ntau dua yog suav tias yog qhov tsos mob ntshav qograws li tsis muaj zogpallor ntawm daim tawv nqaij hws noplawv dhia kev tshee, tshee, tshaib plab, mob taub hau, paresthesia hauv cov txwv, cov nplaig, daim di ncauj. Kuj muaj peev xwm cramps thiab hypoglycemic coma.

Tus ntawm ntshav me ntsis, tus neeg mob, rau nws txoj kev tshem tawm tus kheej, yuav tsum ua qhov ncauj qab zib lossis cov zaub mov muaj nplua nuj nyob hauv kev zom tau yooj yim carbohydrates.

Yog tias muaj ntau cov tsos mob hnyav, i / m lossis i / v tswj hwm tau qhia glucagon lossis iv txhaj tshuaj ntawm ib qho kev daws teeb meem dextroseCov. Ntawm hypoglycemic coma pom zoo iv kev txhaj tshuaj ntawm 20-100 ml 40% dextrosekom txog thaum tus neeg mob mus coma.

Kev sib txuam

Cov tshuaj tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj.

Somatropinglucagon tshuaj tiv thaiv qhov ncaujglucocorticoids, estrogens, BMKK, voj thiab thiazide tshuaj kho mob, Heparincov thyroid hormones Sulfinpyrazone, sympathomimetics, tricyclic antidepressants, Danazole, Clonidine, Diazoxidecalcium antagonists Morphinenicotine tshuaj maj, phenytoinblockers ntawm H1-histamine receptors, Epinephrine txo cov tshuaj hypoglycemic tshuaj insulin.

Pentamidine, Reserpinebeta blockers, Octreotide tuaj yeem ua kom tsis muaj zog lossis txhim kho hypoglycemic los ntawm cov tshuaj.

Cov lus qhia tshwj xeeb

Nyob rau hauv kev clouding ntawm kev daws, qhov pom ntawm sediment lossis txawv teb chaws lub cev, kev siv cov tshuaj tsis tso cai.

Qhia Tawm tshuaj insulin muaj peev xwm thaum cov tshuaj ncav cuag chav sov.

Qhov xav tau kom haum ntau npaum lub sijhawm thaum kis tau kab mob Addison's diseasepathologies lub qog ua haujlwm, Kev Ntsuas Ncaj, tsis ua hauj lwmraum thiab hnub nyoog tshaj 65 xyoos (nrog mob ntshav qab zib).

Kev loj hlob yam ntshav qog tus pab tswv yim: kev tshaj tawm ntawm insulin, rho tawm hauv kev kho kev noj haus, hloov tshuaj, ntuavkev ntxhov siab lub cev zawv plabpathologies poob qis tshuaj insulin xav tau (khiav daim siab mob thiab raumhypofunction pituitary caj pasxyoob ntoo cov qog adrenal, cov thyroid caj pas), sib cuam tshuam nrog tshuaj, hloov thaj chaw txhaj tshuaj.

Ib qho kev txo qis raug sau tseg ntshav piam thaj thaum hloov tsiaj cov insulin rau tib neeg tshuaj insulin Qhov kev hloov no ib txwm yuav tsum yog kev kho mob kom zoo thiab tshwm sim tsuas yog kev saib xyuas ntawm tus kws kho mob.

Tus neeg mob predisposition rau ntshav qog yuav muaj kev cuam tshuam tsis zoo rau nws lub peev xwm los tsav lub tsheb thiab ua haujlwm uas muaj kev phom sij lossis meej ua haujlwm.

Kev ntshav siab mob me tuaj yeem nres ntawm lawv tus kheej, uas cov neeg mob pom zoo kom nqa ib txwm qab zib (tsawg kawg 20 g) thiab nyob rau ntawm thawj daim phiajcim uas yuav ua rau lub qog ntshav qab zib, noj nws qhov ncauj. Hais txog dab tsi tshwm sim ntshav qog Nco ntsoov qhia koj tus kws kho mob txhawm kom tuaj yeem hloov kho raws li xav tau.

Thaum kho tshuaj insulin nrog rau qhov kev txiav txim luv ntawm qee qhov teeb meem tau sau tseg lipodystrophy (nce lossis txo qis rau cov nqaij mos adipose) hauv thaj chaw uas txhaj tshuaj. Qhov no tuaj yeem zam kom tsis txhob hloov chaw hloov pauv.

Cov neeg mob siv ntau dua 100 IU ntawm cov tshuaj hauv 24 teev, thaum hloov pauv tshuaj insulin yuav tsum tau pw tsev kho mob.

Actrapid MS,
Tshuaj insulin MK,
Apidra,
Monosuinsulin (MK, MP),
Pensulin (SR, Czech koom pheej),
NovoRapid,
Neej Neeg,
Neej Neeg R.

Actrapid NM,
Vozulim R,
Biosulin P,
Gansulin r,
Rinsulin P,
Tso Cai P,
Rosinsulin P,
Humodar R 100 Hav dej,
Monoinsulin CR.

Humulin Kev tsis tu ncua yog tsim rau cov menyuam yaus, coj mus rau hauv tus lej kev noj tshuaj pom zoo.

Hauv cev xeeb tub (thiab lactation)

Ntawm ntawm cev xeeb tub nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus lej txo qis (kuv plaub hlis) lossis nce (II-III trimesters) hauv tshuaj insulinCov. Yog tom qab xeeb menyuamraws li thaum lawv, muaj kev txo qis hauv cov tshuaj insulin txoj cai.

Thaum pib pub niam mis, rau ntau lub hlis, kev soj ntsuam txhua hnub ntawm kev mob ntawm tus nais maum yog qhov tsim nyog, txog kev ruaj khov ntawm qhov xav tau ntawm insulin.

Xyuas txog tshuaj insulin Humulin Tsis tu ncua tsis ntau, tab sis feem ntau zoo. Cov tshuaj kov tau zoo nrog cov kev mob uas mob hnyav (raws li kev qhia) rau kev kho mob uas, qhov tseeb, nws tau tsim. Nws tsis ua rau muaj kev mob tshwm sim hnyav lossis txaus ntshai, tshwj tsis yog muaj kis kev tiv thaiv tsis haum rau nws cov khoom xyaw thiab overdose.

Yog li yog tias koj tus kws kho mob pom tias nws tsim nyog siv qhov no tshuaj insulinHumulin Tsis tu ncua zoo li yuav pom cov txiaj ntsig kho tau zoo.

Txoj kev ntawm daim ntawv thov

Cov tshuaj hauv cov lus nug tau sau tseg rau qhov ua txhaum ntawm kev zom zom ntawm carbohydrates ntawm hom thawj thiab thib ob.

Raws li txoj cai, kev siv cov tshuaj Humulin yog qhov zoo dua nyob rau theem ntawm kev tawm tsam rau cov tshuaj hypoglycemic npaj rau kev tswj hwm qhov ncauj.

Humulin tseem tseem pom zoo rau ketoacidosis, ketoacidotic thiab hyperosmolar coma, qhov mob ntawm endocrine muaj cov cim tsis zoo ntawm cov zaub mov carbohydrates, uas tau tshwm sim thaum cev xeeb tub (nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov tshwj xeeb). Nws kuj yog ib qho tsim nyog rau cov neeg mob ntshav qab zib, uas tau sawv ntawm kev kis mob hnyav.

Nws yog ib qho tseem ceeb kom nco ntsoov tias kev tswj hwm subcutaneous yog nqa tawm hauv thaj av ntawm caj npab, sab ceg, pob tw lossis lub plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li.

Raws li rau txoj kev ntawm daim ntawv thov ntawm Humulin, cov koob tshuaj thiab cov qauv ntawm kev siv tau txiav txim siab rau txhua tus neeg mob. Hauv txhua kis, raws li muaj cov suab thaj hauv cov ntshav ua ntej noj mov thiab rau caum feeb tom qab ntawd, cov tshuaj yuav tsum raug xaiv. Tseem tseem ceeb lub sijhawm yog qib ntawm glucosuria thiab cov yam ntxwv ntawm chav kawm ntawm tus kabmob.

Cov tshuaj feem ntau yog tswj hwm hauv qab daim tawv nqaij lossis intramuscularly. Kev txhaj tshuaj yuav tsum tau ua tiav ib nrab teev ua ntej noj mov ncaj qha.

Yeej, ntau tus neeg nyiam lub subcutaneous txoj kev ntawm cov thawj coj.

Hauv qhov muaj cov mob ntshav qab zib ketoacidosis lossis ua rau mob ntshav qab zib tsis nco qab lawm, Humulin tuaj yeem muab tshuaj rau hauv qhov quav lossis ib leeg. Qhov no tseem siv rau lub sijhawm ntawm kev phais mob.

Raws li txoj cai, tus kws kho mob xaiv koob tshuaj Humulin. Feem ntau, cov kws tshaj lij sau ntawv tawm kev kho mob insulin, uas yog raws li kev siv ntawm ib cov tshuaj. Nws yuav tsum raug sau tseg hais tias Humulin Tsis tu ncua raug tso cai muab siv txawm tias tsis muaj lwm hom tshuaj insulin. Koj tseem tuaj yeem siv ntau yam kev txhaj tshuaj txhua txhua hnub.

Humulin NPH, Humulin L, Humulin Ultralente tuaj yeem siv los ua kev hno tsis muaj lwm yam ntawm cov tshuaj tua kabmob ua ke. Txaus ob zaug ib hnub.

Kev kho mob nrog ntau cov tshuaj insulin yog tias, yog tias tsim nyog, kev sib txuam ntawm cov tshuaj hauv cov lus nug nrog cov tshuaj zoo sib xws yog muaj peev xwm ua tau. Thaum muab cov khoom sib txuas ua ke, nws yog ib qho tseem ceeb kom nco ntsoov tias kev tsim cov tshuaj insulin luv luv yuav tsum tau kos rau hauv cov koob txhaj ua ntej.

Tab sis cov nyiaj los ntawm Humulin M pawg yog suav tias yog kev npaj tau-siv-sib tov. Ob hno tshuaj no yog ib hnub txaus.

Raws li txoj cai, rau ib qho kev tswj hwm twg, cov koob tshuaj yuav tsum tsis pub ntau tshaj 40 units.

Hloov tawm ntawm lwm cov khoom ntim tshuaj insulin yuav tsum ua kom zoo.

Thaum hloov qee cov neeg mob ntshav qab zib los ntawm insulin ntawm tsiaj keeb kwm rau Humulin, qhov yuav txo qis hauv thawj cov tshuaj lossis txawm tias muaj kev hloov pauv ntawm cov tshuaj ntawm qhov sib txawv ntawm kev sib txawv yuav raug xav tau.

Txo cov tshuaj insulin ntau tuaj yeem nqa tawm tam sim lossis ua ntu zus. Feem ntau hom txheej txheem thib ob yuav siv sijhawm ntau lub lim tiam. Qhov ntxim nyiam ntawm qhov txo qis hauv ntshav cov ntshav qab zib thaum lub sij hawm hloov los ntawm ib hom tshuaj insulin mus rau lwm tus yog qhov tsawg heev. Qhov no yog cuam tshuam tsuas yog tias qhov tshuaj txhua hnub tsawg dua 40 units.

Kev hloov ntawm ib hom tshuaj mus rau lwm tus hauv cov neeg mob ntawm endocrinologist tau txais insulin tshwj xeeb hauv kev txhaj tshuaj txhua hnub uas ntau dua 100 units, yuav tsum tau ua hauv tsev kho mob nkaus xwb.

Qhov kev xav tau rau cov tshuaj insulin tuaj yeem nce ntxiv thaum lub sijhawm muaj mob kis lossis muaj kev ntxhov siab ntau ntawm cov kev xav.

Tsis tas li, ib qho tshuaj ntxiv yuav tsum muaj thaum siv lwm yam tshuaj. Piv txwv li, thaum ib tug neeg noj qhov ncauj tsis pub noj, corticosteroids, thiab raws li cov thyroid hormones.

Txoj kev xav tau sai sai rau kev hloov pauv ntawm pancreatic hormone tuaj yeem txo qis muaj cov kab mob ntawm cov plab hnyuv siab raum ntawm lub cev thiab mob siab, nrog rau kev qhia cov tshuaj nrog cov nyhuv hypoglycemic. Raws li txoj cai, tom kawg suav nrog MAO inhibitors thiab tsis xaiv BAB.

Feem ntau, yuav tau kho cov tshuaj insulin txhua hnub yuav tsum tau ua yog tias tus neeg mob koom nrog kev ua ub no tsis zoo lossis hloov pauv nws kev noj zaub mov.

Thaum lub sijhawm nqa tus menyuam, qhov xav tau ntawm insulin maj mam poob qis. Qhov no tau pom meej meej nyob rau thawj lub hlis thawj zaug ntawm cev xeeb tub. Tab sis ib qho koob tshuaj ntxiv ntawm pancreatic hormone yog qhov xav tau nyob rau hauv qib thib ob thiab thib peb.

Sab sij huam

Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Koj tsuas yog xav tau thov ...

Tus neeg mob yuav muaj kev phiv phiv xws li:

urticaria
angioedema,
npaws
txog siav
siab poob rau ib qho tseemceeb,
ntshav qab zib,
pallor ntawm daim tawv nqaij ntawm lub ntsej muag, lub cev, caj npab thiab ceg,
tawm hws zoo,
hws
trembling ntawm lub Upper thiab qis extremities,
kev zoo siab
ntxhov siab vim pheej
paresthesia nyob rau hauv lub qhov ncauj,
mob taub hau
tsaug zog
pw tsaug zog txawv
ntshai
kev nyuaj siab mob
txob taus
atypical tus cwj pwm
tsis meej kev tsiv
tsis hnov lus thiab muaj peev xwm pom
hypoglycemic coma,
hyperglycemia
ntshav qab zib acidosis.

Cov tsos mob kawg feem ntau tau pom nrog kev qhia txog kev noj tshuaj tsawg kawg ntawm cov lus nug. Nws tseem tuaj yeem tshwm sim thaum koj ncua kev txhaj tshuaj ntxiv.

Nws yog ib qho tseem ceeb heev rau kev soj ntsuam kev noj haus uas koj tus kws kho mob tau teev tseg. Txij li, yog tias kev noj zaub mov tsis ua raws li, tsis txaus siab, tsis qab los noj mov, thiab hyperemia ntawm lub ntsej muag thaj chaw tuaj yeem raug sau tseg.

Ntxiv nrog rau cov kev mob tshwm sim, ib qho kev ua txhaum ntawm kev nco qab tuaj yeem xav txog, uas ua tau nws tus kheej hauv daim ntawv ntawm kev txhim kho ntawm lub xeev ua ntej thiab xeev tsis nco qab. Txawm tias tus neeg mob thaum pib kho tau sau ntau yam ntawm tus kab mob thiab tsis hnov mob. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov tsos mob no tsis sib thooj thiab ploj tag nrog kev txuas ntxiv ntawm kev kho tshwj xeeb.

Yeeb tshuaj sib cuam tshuam

Nws tam sim ntawd tsim nyog sau cia tias nws tsis tuaj yeem siv hom kev hloov pauv rau tib neeg pancreatic hormone nrog hypoglycemia thiab muaj qhov tsis txaus siab rau insulin lossis rau ib qho ntawm cov tshuaj tiv thaiv ntawm cov tshuaj hauv nqe lus nug. Humulin kuj tseem tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj.

Nws cov nyhuv hypoglycemic muaj zog yog txhim kho los ntawm sulfonamides (suav nrog rau cov tshuaj hypoglycemic npaj rau lub qhov ncauj tswj hwm).

Tsis tas li ntawd, qhov tseem ceeb ntawm cov tshuaj no yog txhim kho los ntawm cov tshuaj xws li MAO inhibitors (Furazolidone, Procarbazine thiab Selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs, anabolic steroids, tetracyclines, Clofibrate, Ketoconazole, Pyridoxine, Chloroquinine.

Cov tshuaj tseem ceeb yog txo los ntawm Glucagon, Somatropin, GCS, tshuaj tiv thaiv qhov ncauj, thiazide thiab lub voj diuretics, BMCC, cov thyroid hormones, Sulfinpyrazone, sympathomimetics, tricyclic antidepressants, Clonidine, calcium antagonists, H1 thaiv cov tshuaj tiv thaiv.

Tab sis rau cov beta-blockers, xws li Reserpine, Octreotide, Pentamidine tuaj yeem ob leeg nce thiab txo qis cov ntsiab lus hypoglycemic ntawm kev txiav txim siab pancreatic hormone hloov chaw rau ib tus neeg.

Siv thaum cev xeeb tub thiab lactation

Ntawm qhov tseem ceeb thaum yug menyuam yog tswj cov ntshav qab zib kom ntshav qab.

Qhov no tsuas yog siv rau cov neeg uas raug kho mob nrog insulin.

Nws yog ib qho tseem ceeb kom nco ntsoov tias cov poj niam uas muaj tus mob endocrine no yuav tsum qhia lawv tus kws kho mob txog lawv lub hom phiaj xav muaj menyuam. Kev saib xyuas qis ntawm cov ntshav qabzib yog qhov tseem ceeb rau txhua tus poj niam cev xeeb tub.

Hauv cov poj niam uas muaj kev cuam tshuam endocrine lub sijhawm pub mis, nws yuav tsim nyog los tswj cov tshuaj insulin lossis zaub mov kom ntau.

Nosological kev faib tawm (ICD-10)

Ncua rau lub subcutaneous thawj coj	1 ml
yam tshuaj:
tib neeg cov insulin	100 KUV
tus zam: metacresol - 1,6 mg, glycerol - 16 mg, kua phenol - 0,65 mg, protamine sulfate - 0.244 mg, sodium hydrogen phosphate - 3.78 mg, zinc oxide - 0.011 mg, dej rau kev txhaj tshuaj - txog 1 ml, 10% hydrochloric acid daws - qs txog pH 6.9-7,8, 10% kev daws sodium hydroxide - q.s. mus txog pH 6.9-7.8

Daim ntawv tso tawm

Ncua rau lub subcutaneous thawj coj, 100 IU / ml. 10 ml ntawm cov tshuaj nyob rau hauv nruab nrab iav vials. 1 fl. muab ntim rau hauv cov thawv ntawv los qhia.

3 ml txhua nyob rau hauv lub nruab nrab iav cartridge. 5 daim laub muab tso rau hauv lub hlwv. 1 bl. lawv muab tso rau hauv cov thawv ntawv thawv los yog daim cartridge tau tso rau hauv QuickPen-syringe mem. 5 Cov phwj ntim taub hau yog muab tso rau hauv cov thawv ntawv thawv.

Chaw tsim tshuaj paus

Tsim los ntawm: Eli Lilly thiab Tuam Txhab, USA. Lilly Lub Chaw Muag Khoom, Indianapolis, Indiana 46285, Asmeskas.

Pob: ZAO "ORTAT", 157092, Russia, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, s. Qaum Qaum teb, microdistrict. Kharitonovo.

Cartridges, QuickPen ™ syringe Cwjmem , tsim los ntawm Lilly Fabkis, Fabkis. Cheeb Tsam Industrialiel, 2 ru Colonel Lilly, 67640 Fegersheim, Fab Kis.

Pob: ZAO "ORTAT", 157092, Russia, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, s. Qaum Qaum teb, microdistrict. Kharitonovo.

Lilly Pharma LLC yog tus tsim tshwj xeeb rau Humulin ® M3 hauv Lavxias Federation

Pharmacological kev txiav txim

Humulin NPH yog tib neeg cov tshuaj insulin DNA insulin.

Kev ua haujlwm tseem ceeb ntawm insulin yog kev cai ntawm cov metabolism hauv qabzib. Tsis tas li ntawd, nws muaj anabolic thiab anti-catabolic cuam tshuam rau ntau cov ntaub so ntswg lub cev. Hauv cov leeg nqaij, muaj qhov nce ntawm cov ntsiab lus ntawm glycogen, fatty acids, glycerol, qhov nce ntawm synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis muaj kev txo qis glycogenolysis ntawm gluconeogenesis, ketogenesis, lipolysis, protein catabolism, thiab kev tso tawm ntawm cov amino acids.

Cov Tshuaj Pharmacokinetics

Humulin NPH yog kev ua haujlwm nruab nrab insulin. Qhov pib ntawm kev ua ntawm cov tshuaj yog 1 teev tom qab kev tswj hwm, qhov ua haujlwm siab tshaj plaws yog nruab nrab ntawm 2 txog 8 teev, lub sijhawm ua haujlwm yog 18-20 teev. Cov kev sib txawv hauv cov tshuaj insulin sib txawv raws li yam tseem ceeb xws li koob tshuaj, xaiv chaw txhaj tshuaj, kev qoj ib ce ntawm tus neeg mob, thiab lwm yam

Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (plab, ncej, pob tw), qhov koob tshuaj (ntim ntawm cov tshuaj insulin), qhov tshuaj ntawm cov tshuaj insulin nyob rau hauv cov tshuaj, thiab lwm yam Nws tau faib tsis ncaj thoob plaws cov ntaub so ntswg, thiab tsis hla qhov chaw tiv thaiv kab mob thiab mus rau niam mis. Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab lub raum. Nws yog tawm los ntawm lub raum (30-80%).

Cev xeeb tub thiab lactation

Thaum cev xeeb tub, nws yog qhov tseem ceeb tshwj xeeb kom tswj tau zoo hauv cov neeg mob tau txais kev kho mob insulin (nrog ntshav qab zib insulin-tiv thaiv kab mob ntshav qab zib lossis mob ntshav qab zib). Qhov kev xav tau rau insulin feem ntau poob qis thaum thawj peb lub hlis thiab nce ntxiv thaum lub sijhawm thib ob thiab thib peb. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Cov neeg mob ntshav qab zib yuav tsum tau qhia rau lawv tus kws kho mob txog kev npaj cev xeeb tub lossis kev npaj xeeb tub.

Cov neeg mob uas mob ntshav qab zib mellitus thaum pub mis niam tej zaum yuav tau kho lub koob tshuaj insulin, zaub mov noj, lossis ob qho tib si.

Sab sij huam

Ua xua: cov neeg mob yuav muaj kev tsis haum hauv zos xws li ua pob liab liab, o, lossis khaus ntawm qhov chaw txhaj tshuaj. Cov kev mob tshwm sim no feem ntau yuav nres tom qab ob peb hnub mus rau ntau lub lis piam. Qee qhov xwm txheej, cov kev coj tus cwj pwm no tuaj yeem yog vim li cas tsis muaj feem xyuam rau cov tshuaj insulin, piv txwv li, tawv nqaij nrog lub ntsej muag ntxuav los yog siv tshuaj tsis raws cai. Kev tsis haum rau lub cev vim mob los ntawm cov tshuaj insulin tshwm sim tsawg dua, tab sis yuav mob hnyav dua. Lawv tuaj yeem pom tshwm sim los ntawm kev tawm tsam dav dav, ua tsis taus pa, txog siav, txo ntshav siab, ntshav nce siab, thiab tawm hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej. Muaj qee zaus muaj kev fab loj heev rau Humulin NPH, yuav tsum tau mus kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.

Lipodystrophy tuaj yeem tsim kho ntawm thaj chaw txhaj tshuaj.

Daim ntawv thov nta

Hloov chaw ntawm tus neeg mob mus rau lwm hom lossis kev npaj tshuaj insulin nrog cov lag luam sib txawv yuav tsum tshwm sim nyob rau hauv kev saib xyuas mob nkeeg nruj. Cov kev hloov hauv kev ua, hom (tus tsim khoom lag luam), hom (tsis tu ncua, M3, tsiaj cov tshuaj tua kab mob) yuav ua rau kev hloov kho koob tshuaj.

Rau qee tus neeg mob, yuav tau kho kom tau cov koob tshuaj thaum hloov los ntawm tsiaj los ntawm insulin los rau tib neeg insulin. Qhov no tuaj yeem tshwm sim twb tau dhau los ntawm thawj zaug kev tswj hwm ntawm tib neeg li kev npaj tshuaj insulin lossis maj mam li ntawm ob peb lub lis piam lossis hli tom qab hloov mus. Cov tsos mob ua ntej ntawm hypoglycemia thaum tswj hwm ntawm tib neeg cov tshuaj insulin hauv qee cov neeg mob tej zaum yuav tsawg dua los yog txawv ntawm cov uas tau pom thaum tswj hwm tsiaj insulin. Nrog kev ua haujlwm ntawm cov ntshav qabzib hauv lub cev, piv txwv li, los ntawm kev kho mob insulin ntau dua, txhua yam lossis qee tus tsos mob ntawm cov xwm txheej ua ntej ntawm hypoglycemia yuav ploj, txog qhov uas cov neeg mob yuav tsum tau ceeb toom. Cov tsos mob ua ntej ntawm lub ntsej muag hypoglycemia tuaj yeem hloov lossis tsawg dua li hais lus mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy lossis kev kho mob nrog tshuaj xws li beta-blockers. Cov lus teb tsis raug ntawm hypoglycemia lossis hyperglycemia tuaj yeem ua rau tsis nco qab, tsis nco qab, lossis tuag. Kev noj tshuaj tsis txaus lossis tsis ua haujlwm ntawm kev kho mob, tshwj xeeb tshaj yog nyob rau cov neeg mob insulin-mob ntshav qab zib mellitus, tuaj yeem ua rau hyperglycemia thiab ntshav qab zib ketoacidosis (mob uas yuav ua rau tuag taus rau tus neeg mob).

Kev kho mob nrog tib neeg cov tshuaj insulin tuaj yeem ua rau tsim cov tshuaj tiv thaiv, tab sis cov tshuaj tiv thaiv tiv thaiv kab mob tsawg dua li tiv thaiv cov tsiaj ua kom huv.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo qis nrog qhov tsis txaus ntawm adrenal caj pas, pituitary lossis thyroid caj pas, nrog lub raum lossis hepatic tsis txaus.

Nrog rau qee cov kab mob lossis nrog kev ntxhov siab hauv lub siab, qhov xav tau cov tshuaj insulin yuav nce.

Kev kho ntawm cov koob tshuaj insulin kuj tseem xav tau nrog kev ua kom lub cev lossis muaj qhov hloov pauv ntawm ib txwm noj zaub mov.

Thaum thiazolidinediones siv nrog kev siv tshuaj insulin, kev pheej hmoo ntawm kev txhim kho edema thiab lub plawv tsis ua haujlwm tau nce ntau, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob hauv lub plawv.

Kev tiv thaiv kev nyab xeeb

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

Thaum lub sij hawm hypoglycemia, tus neeg mob tuaj yeem txo qis thiab qhov ceev ntawm cov teeb meem psychomotor. Qhov no tuaj yeem txaus ntshai nyob rau lub sijhawm uas cov peev xwm no tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb tsheb lossis siv tshuab ua haujlwm).

Cov neeg mob yuav tsum qhia rau lawv kom ceev faj kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj, ua ntej ntawm cov ntshav ntog ntshav qab zib lossis nrog rau kev txhim kho ntshav nce siab ntau ntau. Hauv cov xwm txheej zoo li no, nws yog qhov yuav tsum tau soj ntsuam qhov ua tau ntawm tus neeg mob tsav tsheb.

Humalog yog dab tsi ua insulin? Yog ntev lossis luv?

Qhov no yog qhov hluav taws xob ultrashort, yog qhov nrawm dua. Nws pib ua yuav luag tam sim ntawd - tsis pub dhau 15-20 feeb tom qab txhaj tshuaj. Qhov no yog qhov muaj txiaj ntsig hauv qhov xwm txheej uas koj xav tau kom tua cov ntshav qab zib sai sai. Txawm li cas los xij, tej zaum yuav muaj teeb meem nyob rau hauv cov neeg mob ntshav qab zib uas ua raws li kev noj zaub mov kom tsawg. Vim tias Humalog, uas tau qhia ua ntej noj mov, pib ua kom sai dua li cov zaub mov qis-carb yog nqus tau. Vim li ntawd, cov piam thaj hauv ntshav qab zib yuav poob ntau dhau heev.

Tej zaum Humalog yog tus ceev tshaj plaws ntawm txhua hom tshuaj insulin. Txawm hais tias cov neeg tsim cov analogues uas sib tw nrog nws tsis zoo li yuav pom zoo rau cov lus no. Lawv yuav sib cav hais tias lawv cov tshuaj Apidra thiab NovoRapid pib ua yeeb yam sai sai. Tsis muaj lus qhia meej txog qhov teeb meem no. Rau txhua tus mob ntshav qab zib, ntau hom tshuaj insulin ua haujlwm txawv. Cov ntaub ntawv tiag tiag tuaj yeem tau los ntawm kev sim siab thiab kev ua yuam kev.

Yuav xaiv cov koob tshuaj ntawm Humalog insulin rau ib chav ua noj (XE) li cas?

Ntau carbohydrates cov ntshav qab zib npaj yuav noj, ntau cov insulin nws yuav tsum tau txhaj ua ntej noj mov. Ib qho kev pabcuam ntawm cov carbohydrates tuaj yeem ntsuas hauv cov khob cij lossis hauv cov grams. Qhov tshwj xeeb ntawm tus naj npawb ntawm cov qhob cij thiab koob xav tau ntawm Humalog tuaj yeem pom ntawm no.

Koj cov piam thaj hauv ntshav yuav zoo dua yog tias koj mus noj zaub mov noj kom tsawg. Nws tsis ntxim rau cov neeg mob ntshav qab zib uas ua raws li cov khoom noj no kom suav cov carbohydrates hauv khob cij. Vim tias kev noj zaub mov zoo txhua hnub tsis pub tshaj 2.5 XE, thiab rau cov menyuam yaus txawm tsawg dua.

Dr. Bernstein pom zoo suav cov khoom noj carbohydrates hauv grams, tsis yog XE. Humalog yog cov tshuaj tiv thaiv kab mob uas ua haujlwm sai dhau thiab sai. Nws tsis zoo rau kev noj qab haus huv uas tsis muaj cov carb qis. Xav txog kev hloov ntawm nws mus rau Actrapid.

Raws li rau menyuam yaus, nws ua rau muaj kev hloov pauv hloov tus menyuam mob ntshav qab zib mus rau kev noj zaub mov kom tsawg, siv Actrapid lossis lwm qhov yeeb tshuaj luv dua li ntawm Humalog insulin, thiab kuj tsis kam siv lub tshuab nqus tshuaj insulin. Nyeem kab lus txog ntshav qab zib hauv cov menyuam yaus rau cov lus qhia ntxiv.

Npaum li cas thiab ntau npaum li cas los ntaus nws?

Tej zaum koj yuav nkaug Humalo 3 zaug nyob rau ib hnub ua ntej noj mov. Txawm li cas los xij, cov koob tshuaj thiab cov sijhawm ntawm cov tshuaj insulin rau txhua tus mob ntshav qab zib yuav tsum tau xaiv ib tus zuj zus. Kev siv cov phiaj xwm npaj tau ua tsis tuaj yeem tswj tau qhov ua tau zoo ntawm cov metabolism hauv lub cev puas. Nyeem txhua yam hauv tsab xov xwm "Kev suav ntawm qhov kev txiav txim ntawm luv luv thiab ultrashort insulin ua ntej noj mov."

Cov tshuaj tseem ceeb pom zoo siv Humalog thiab nws cov analogues li cov tshuaj insulin ua ntej noj mov. Kev txhaj tshuaj yog ua tiav kwv yees li 15 feeb ua ntej noj mov. Txawm li cas los xij, rau cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2 uas ua raws li cov zaub mov noj qis, nws zoo dua rau kev txhaj tshuaj insulin luv luv, piv txwv li, Actrapid, tsis yog ultra-luv ua ntej noj mov. Vim hais tias qhov ceev ntawm qhov kev txiav txim ntawm luv luv npaj tau zoo dua qub nrog kev kwv yees ntawm kev tso cai thiab cov khoom pom zoo. Nyeem ntxiv hauv kab lus “Cov Hom Tshuaj insulin thiab Cov Cuam Tshuam”.

Humalog sai dua li lwm cov tshuaj tuaj yeem kho cov ntshav qab zib kom ntshav khov. Yog li ntawd, nws yog qhov zoo tshaj kom muaj nws nrog koj thaum muaj xwm txheej. Txawm li cas los xij, qee tus neeg mob ntshav qab zib tau kam siv cov tshuaj insulin luv luv thiab ultrashort. Yog tias koj tswj hwm koj cov piam thaj hauv cov ntshav qis nrog kev noj zaub mov kom tsawg, koj tuaj yeem yuav los ntawm cov yeeb tshuaj luv luv.

Ntev npaum li cas txhaj tshuaj?

Txhua qhov txhaj ntawm cov tshuaj Humalog yuav siv li 4 teev. Tus mob ntshav qab zib uas ua raws li cov zaub mov noj qis yuav tsum tau txhaj tshuaj insulin tsawg kawg. Nws feem ntau yuav tsum tau diluted kom raug txhaj ib koob uas tsawg dua 0.5-1 ib pawg. Tib neeg cov lus qhia tuaj yeem ua tsis tau tsuas yog rau cov menyuam yaus uas muaj ntshav qab zib hom 1, tab sis kuj yog rau cov neeg mob laus. Vim tias nws yog ib cov tshuaj uas muaj zog heev. Thaum siv cov tshuaj tsawg kawg, insulin nres ua haujlwm sai dua li teev hauv cov lus qhia ntawm nom tswv. Tej zaum qhov kev txhaj tshuaj yuav tas rau hauv 2.5-3 teev.

Tom qab txhaj txhua yam ntawm kev npaj ultrashort, ntsuas ntshav qab zib kom tsis muaj ntxov dua 3 teev tom qab. Vim tias txog lub sijhawm no, cov koob tshuaj insulin tsis muaj sijhawm tsis txaus los qhia nws cov nyhuv tag nrho. Raws li txoj cai, cov kabmob ntshav qab zib tau txhaj cov tshuaj insulin sai, noj, thiab tom qab ntawd ntsuas ntsuas qab zib ua ntej noj mov tom ntej. Tsuas yog nyob hauv cov xwm txheej uas tus neeg mob yuav pom cov tsos mob ntawm lub qog ntshav qab zib. Hauv cov xwm txheej zoo li no, koj yuav tsum tau soj ntsuam tam sim ntawd txog qib piam thaj hauv cov ntshav thiab, yog tias tsim nyog, nqis tes ua.

Dab tsi yog qhov sib txawv ntawm Humalog thiab Humalog Mix?

Qhov nruab nrab tshuaj tiv thaiv Hagedorn (NPH), uas ua rau qeeb qis qis ntawm kev ua haujlwm ntawm insulin, tau ntxiv rau Humalog Mix 25 thiab 50. Cov insulin no sib txawv hauv cov ntsiab lus ntawm NPH. Cov khoom ntau dua, qhov ntau txuas ntxiv ua ntawm kev txhaj tshuaj. Cov tshuaj no tseem nrov vim tias lawv tuaj yeem txo cov naj npawb ntawm txhua hnub ntawm kev txhaj tshuaj, ua kom yooj yim rau kev tswj hwm ntawm kev siv tshuaj insulin. Txawm li cas los xij, lawv muab tsis tau kev tswj ntshav qab zib kom zoo. Yog li no, Dr. Bernstein thiab endocrin-patient.com tsis pom zoo siv lawv.

Hagedorn cov tshuaj tiv thaiv nruab nrab feem ntau ua rau ua xua thiab lwm yam teeb meem. Kom paub meej ntxiv, saib kab lus “Cov Insulin thiab Cov nyhuv”. Kev siv cov Humalog Mix 25 thiab 50 yog txoj kev ncaj qha rau cov mob ntshav qab zib tsis txaus thiab mob mus ntev. Cov hom tshuaj insulin no tuaj yeem tsim nyog rau cov neeg mob ntshav qab zib uas muaj hnub nyoog qis qis lossis tau tsim muaj cov dementia senile. Txhua lwm pawg ntawm cov neeg mob yuav tsum siv Tsuas yog Humalog xwb. Thiab nws zoo dua yog hloov mus rau cov zaub mov tsis muaj carb thiab sim ua kom Actrapid ua ntej noj mov.

Cov tshuaj insulin twg zoo dua: Humalog lossis NovoRapid?

Tej zaum yuav tsis muaj cov ntaub ntawv raug los teb cov lus nug no, uas feem ntau tau nug los ntawm cov neeg mob. Vim tias ntau hom insulin cuam tshuam rau txhua tus ntshav qab zib ib tus zuj zus. Ob lub Humalog thiab NovoRapid muaj ntau tus kiv cua. Raws li txoj cai, cov neeg mob txhaj tshuaj uas lawv tau pub dawb.

Kev fab tshuaj yuam kom qee leej hloov los ntawm ib hom tshuaj insulin mus rau lwm tus. Peb rov hais dua tias yog tias koj ua raws li cov zaub mov noj qis, nws zoo dua yog siv cov yeeb tshuaj luv luv, xws li Actrapid, tsis yog siv cov Humalog ultra-luv, NovoRapid lossis Apidra, yog cov tshuaj insulin sai ua ntej noj mov. Yog tias koj xav xaiv qhov zoo tshaj plaws ntawm kev txuas ntxiv thiab ceev insulin, ces koj tsis tuaj yeem ua yam tsis muaj kev sim siab thiab qhov tsis raug.

Cov tshuaj ntawm insulin Humalog (lispro) yog Apidra (glulisin) thiab NovoRapid (aspart). Cov qauv ntawm lawv cov lwg me me nws txawv, tab sis rau kev coj ua nws tsis txawv. Dr. Bernstein sib cav hais tias Humalog yog nrawm dua thiab muaj zog dua li nws cov neeg sibtham. Txawm li cas los xij, tsis yog txhua tus neeg mob lees paub cov ntaub ntawv no. Ntawm cov ntawv sib tham ntawm Lavxias-hais txog tus mob ntshav qab zib, koj tuaj yeem nrhiav cov lus tsis txaus ntseeg.

Cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2 uas ua raws li cov zaub mov uas tsis muaj carb ntau yuav sim hloov cov tshuaj insulin lyspro nrog cov tshuaj uas siv luv luv. Piv txwv, ntawm Actrapid. Saum toj no nws tau sau hauv kev nthuav dav yog vim li cas qhov no tsim nyog ua. Ntxiv mus, luv luv insulin yog pheej yig dua. Vim tias nws tau nkag mus rau tom khw ntau xyoo dhau los.

10 lus ntawm Humalog

Peb 7 tus menyuam hnub nyoog nyuam qhuav pib tsim hom ntshav qab zib 1. Tau txais tshuaj insulin Humalog, npaj siab yuav pib txhaj nws. Thov piav qhia txog yuav suav cov koob tshuaj nyob hauv kev xyaum li cas? Tus me nyuam mob ntshav qab zib puas yuav noj ntau npaum li cas nyob rau ib ntu ntawm insulin? Kuv nkag siab tias qhov no yog txhua tus neeg, tab sis tsawg kawg kwv yees li. Nws puas yog qhov tseeb tias Humalog pib ua li 10 feeb tom qab txhaj tshuaj, thiab nws lub siab tshwm sim hauv 1 teev? Nws puas zoo dua los nws txhaj ua ntej lossis tom qab noj mov? Nws ua li cas kiag thaum pib?

Nws puas yog qhov tseeb tias Humalog pib ua li 10 feeb tom qab txhaj tshuaj, thiab nws lub siab tshwm sim hauv 1 teev?

Tus xaib no txhawb nqa kev noj zaub mov kom tsawg rau cov neeg mob ntshav qab zib hom 1. Nws yog qhov haum thiab pom zoo tsis yog rau cov laus xwb, tabsis rau cov menyuam yaus. Tus mob ntshav qab zib uas tau hloov mus rau qhov kev noj haus no yuav tsum muaj cov tshuaj insulin tsawg. Thiab rau cov menyuam yaus - yog li feem ntau "homeopathic", tej zaum 0.25-0.5 ib lub sijhawm. Muaj tseeb koj yuav tsum tau kawm paub yuav ua li cas txhawm rau cov tshuaj insulin.

Ntawm cov koob tshuaj qis no, nws pib ua tom qab thiab xaus nrawm dua li ib txwm muaj. Cov ntaub ntawv muaj tseeb koj tuaj yeem tau txais kev ntsuas ntshav qab zib ntau zaus hauv ib tus menyuam tom qab txhaj tshuaj, nrog sijhawm tshawb. Piv txwv li, koj tuaj yeem ua ntej txhaj 0.25 units thiab kos cov piam thaj tom qab 15, 30, 45 thiab 60 feeb. Nws tsis zoo li tias 0.25 units yuav pib siv ntxov dua li tom qab 15 feeb.

Tus me nyuam mob ntshav qab zib puas yuav noj ntau npaum li cas nyob rau ib ntu ntawm insulin?

Tus kab mob ntshav qab zib rau kev noj zaub mov kom tsawg carb suav lawv qhov khoom noj tsis yog rau hauv chav ua mov ci, tab sis ua grams

Kuv nkag siab tias qhov no yog txhua tus neeg, tab sis tsawg kawg kwv yees li.

Rau cov menyuam yaus 7 xyoo uas noj zaub mov tsis zoo, kuv yuav pib txhaj tshuaj nrog 0.25 units thiab tom qab ntawd maj mam nce cov koob tshuaj raws li qhov xav tau. Siab dhau
kev pib noj rau lub cev yuav ua rau lub qog ua kom ntshav qab zib. Nws raug nquahu los tiv thaiv qhov no.

Yog tias ua tau, nws zoo dua los siv tsis yog ultrashort Humalog, tab sis luv insulin, piv txwv li, Actrapid.

Nws puas zoo dua rau kev tswj hwm nws ua ntej lossis tom qab noj mov?

Saib http://endocrin-patient.com/raschet-insulin-eda/. Saib xyuas kom zoo. Dab tsi yog yam tsis meej - nug.

Nws ua li cas kiag thaum pib?

Yooj yim heev, vim tias Kuv pom zoo pib nrog 0.25 units. Nws tuaj yeem yog 2.5 UNITS ntawm cov tshuaj insulin 10 zaug. Los yog txawm tias 5 chav nyob yog tias diluted 20 zaus.

Kuv muaj CD1 rau 11 xyoos, hnub nyoog 22 xyoo, qhov siab 177 cm, qhov hnyav 69 kg. Nws yog ib qho tsim nyog yuav tsum hloov ntawm NovoRapid insulin rau Humalog, vim NovoRapid tsis tau muab pub dawb. Cov tshuaj feem ntau hloov pauv li cas thaum lub sijhawm hloov no?

Cov tshuaj feem ntau hloov pauv li cas thaum lub sijhawm hloov no?

Qhov no yog tus kheej rau txhua tus neeg mob. Rau feem ntau, qhov tshuaj tsis hloov. Koj tuaj yeem xub txhaj cov insulin tshiab 10-20% tsawg dua, nce ntau dua kev noj tshuaj raws li xav tau. Lossis tam sim ntawd muab tib lub tshuaj.

Ib tug menyuam yaus hnub nyoog 10 xyoo, mob ntshav qab zib 7 lub hlis, tau siv los tso Humalog, vim tias nws tau pub dawb, hnub no lawv muab NovoRapid tawm. Nws puas phom sij los hloov insulin, cov tshuaj siv los laij dab tsi?

yav dhau los muab Humalog, vim nws tau muab pub dawb, hnub no lawv tau muab NovoRapid tawm. Nws puas phom sij los hloov insulin, cov tshuaj siv los laij dab tsi?

Raws li txoj cai, cov koob tshuaj tsis hloov, tab sis txhua yam no yog tus neeg. Koj tuaj yeem pib txhaj cov tshuaj insulin tshiab nrog qhov tshaj li ntawm 15-20% qis dua, thiab tom qab ntawd nce nws raws li qhov xav tau.

72 xyoo. Mob ntshav qab zib Hom 2. Humalog Mix 25 ib txwm yog kws kho niaj hnub no. Niaj hnub no, Humalog Mix 50 tau sau tseg los ntawm qhov ua txhaum.

Thov qhia kuv yog tias hloov cov tshuaj ntau npaum li cas

Dr. Bernstein tsis pom zoo kom npaj cov tshuaj insulin sib xyaw, suav nrog Humalog Mix.

Kuv muaj 70 xyoo, mob ntshav qab zib hom 2 txij xyoo 2010 los. Kuv haus cov tshuaj sib txawv: mob ntshav qab zib, glucovans, gluconorm, etc. Yam qab zib maj mam pib. Cov ntsiav tshuaj kawg ntawm cov pab pawg Trazhenta, onglisa. Thaum tsaus ntuj, Kuv txhaj Lantus 16-18 ntu. Qab zib khaws cia nyob rau hauv thaj tsam ntawm 8-10. Hmoov tsis, teeb meem loj tau tshwm sim nrog cov pob qij txha, tom qab ntawd nrog cov hnyuv. Raws li cov kev qhia paub no, tus kws kho mob tau hloov pauv kuv mus rau ntawm qhov chaw sib tov ntawm 25 ntawm 20 units thaum sawv ntxov thiab yav tsaus ntuj. Txawm li cas los xij, qab zib sawv - 14 ntawm lub plab khoob, tom qab ob teev 15. Tej zaum qhov no yog qhov tshuaj me me, Kuv sim noj cov zaub mov muaj calorie tsawg. Lantus tau txais lawm. Tswv yim, Kuv vam tias, yuav ua rau kev txheeb xyuas txuas ntxiv. Ua tsaug rau koj