28 April, 2024
    Cov tshuaj insulin

    Qhov tshuaj insulin Humulin NPH: kev qhia, analogues, tshuaj xyuas

    Kev npaj koob tshuaj Humulin M3 insulin yog muaj nyob rau hauv daim ntawv ntawm kev ncua rau kev coj ua hauv dej hauv 10 ml fwj, zoo li hauv 1.5 thiab 3 ml cartridges, ntim hauv thawv ntawm 5 daim. Daim cartridges yog tsim los siv hauv cov koob txhaj koob npe Humapen thiab BD-Cwj mem.

    Cov tshuaj muaj cov nyhuv hypoglycemic.

    Humulin M3 hais txog DNA siv tshuaj, cov tshuaj insulin yog ob zaug ua ntu raug ncua nrog lub sijhawm nruab nrab.

    Tom qab tswj hwm ntawm cov tshuaj, ua tau zoo ntawm pharmacological tshwm sim tom qab 30-60 feeb. Qhov siab tshaj tawm tau ntev li ntawm 2 txog 12 teev, tag nrho lub sijhawm ntawm cov nyhuv yog 18-24 teev.

    Humulin insulin kev ua si yuav txawv nyob ntawm qhov chaw tswj hwm tshuaj, qhov tseeb ntawm cov koob tshuaj xaiv, kev ua haujlwm ntawm tus neeg mob, kev noj haus thiab lwm yam.

    Lub txiaj ntsig tseem ceeb ntawm Humulin M3 yog txuam nrog cov kev cai ntawm kev ua haujlwm ntawm kev ua kua nplaum. Cov tshuaj Insulin kuj tseem muaj cov nyhuv anabolic. Yuav luag txhua cov ntaub so ntswg (tshwj tsis yog lub hlwb) thiab cov leeg, insulin ua rau lub zog ntawm cov kua nplaum thiab amino acids, thiab tseem ua rau kev nrawm ntawm protein anabolism.

    Cov tshuaj Insulin pab hloov cov piam thaj rau hauv glycogen, thiab tseem pab hloov cov piam thaj ntau dhau rau cov rog thiab inhibits gluconeogenesis.

    Kev taw qhia rau siv thiab phiv

    1. Mob ntshav qab zib mellitus, nyob rau hauv uas kev kho tshuaj insulin yog kev pom zoo.
    2. (mob ntshav qab zib).

    1. Tsim cov tshuaj hypoglycemia.
    2. Kev ua haujlwm tsis zoo.

    Feem ntau thaum lub sij hawm kho nrog insulin npaj, suav nrog Humulin M3, tau pom kev txhim kho hypoglycemia. Yog tias nws muaj daim ntawv foos hnyav heev, nws tuaj yeem ua rau lub siab tsis nco qab (kev tsim txom thiab tsis nco qab) thiab txawm ua rau tus neeg mob tuag.

    Hauv qee tus neeg mob, kev tawm tsam tuaj yeem tshwm sim, ua kom tawv nqaij ua pob khaus, o thiab ua pob liab liab rau ntawm qhov chaw txhaj tshuaj. Feem ntau, cov tsos mob no ploj ntawm lawv tus kheej hauv ob peb hnub lossis ntau lub lis piam tom qab pib kho.

    Qee lub sij hawm qhov no tsis muaj kev sib txuas nrog kev siv cov tshuaj nws tus kheej, tab sis yog los ntawm tus ntawm lwm yam los yog kev txhaj tshuaj tsis yog.

    Muaj ua xua tshwm sim ntawm ib tug systemic. Nws tshwm sim ntau tsawg dua, tab sis muaj qhov hnyav dua. Nrog rau kev fab tshuaj, cov hauv qab no tshwm sim:

    • ua pa nyuaj
    • dav khaus
    • lub plawv dhia
    • ua ntshav siab
    • txog siav
    • tawm hws ntau dhau.

    Feem ntau, cov ua xua tuaj yeem cuam tshuam tus neeg mob lub neej thiab xav tau kev kho mob xwm txheej ceev. Qee zaum cov insulin los hloov lossis desensitization yuav tsum.

    Thaum siv tsiaj cov tshuaj insulin, kev tawm tsam, txo lub cev tsis zoo rau cov tshuaj, los yog lipodystrophy yuav loj hlob tuaj. Thaum sau ntawv ntawm insulin Humulin M3, qhov tshwm sim ntawm qhov tshwm sim no yuav luag tsis tau siv.

    Cov lus qhia rau kev siv

    Tshuaj insulin Hum3 M3 tsis raug tso cai ua tus thawj coj txhaj tshuaj.

    Thaum sau daim ntawv tshuaj insulin, tsuas yog tus kws kho mob tuaj yeem xaiv qhov ntau thiab cov hom kev tswj hwm. Qhov no tau ua ib tus zuj zus rau txhua tus neeg mob, nyob ntawm qib glycemia hauv nws lub cev. Humulin M3 yog npaj rau kev tswj hwm subcutaneous, tab sis koj tuaj yeem tso nws intramuscularly, insulin tso cai rau qhov no. Nyob rau hauv txhua rooj plaub, cov ntshav qab zib yuav tsum paub.

    Subcutaneously, cov tshuaj raug txhaj rau hauv plab, ncej puab, xub pwg lossis pob tw. Nyob rau tib qho chaw, ib qho kev txhaj tshuaj tuaj yeem muab tsis ntau tshaj ib hlis ib zaug. Lub sijhawm ua cov txheej txheem, nws yog ib qho tsim nyog siv cov khoom siv txhaj tshuaj kom raug, txhawm rau tiv thaiv cov koob txhaj tshuaj kom tsis txhob nkag rau hauv cov hlab ntshav, tsis txhob zaws rau qhov chaw txhaj tshuaj tom qab txhaj.

    Humulin M3 yog ib qho npaj tau tov nrog Humulin NPH thiab Humulin tsis tu ncua. Qhov no ua rau nws tuaj yeem tsis npaj qhov kev daws teeb meem ua ntej coj mus rau tus neeg mob nws tus kheej.

    Txhawm rau npaj cov tshuaj insulin rau kev txhaj tshuaj, lub vial lossis daim cartridge ntawm Humulin M3 NPH yuav tsum tau dov 10 zaug hauv koj txhais tes thiab, tig mus 180 degrees, maj mam co ntawm ib sab. Qhov no yuav tsum tau ua kom txog rau thaum qhov kev ncua ntawv zoo li mis los yog kua huab, yam kua.

    Kev tswj hwm insulin

    Txhawm rau txhawm rau txhaj tshuaj, koj yuav tsum xub ua qee yam txheej txheem ua ntej. Ua ntej koj yuav tsum txiav txim siab qhov chaw txhaj tshuaj, ntxuav koj txhais tes kom zoo thiab so cov chaw no nrog daim ntaub ntub dej hauv cawv.

    Tom qab ntawd koj yuav tsum tshem lub hau tiv thaiv los ntawm koob txhaj tshuaj, kho qhov tawv nqaij (ncab lossis ntxig nws), ntxig rau rab koob thiab ua ib qho kev txhaj tshuaj. Tom qab ntawd lub koob yuav tsum tau muab tshem tawm thiab tom qab ob peb feeb, tsis tas yuav muab txhuam, nias qhov chaw txhaj tshuaj nrog lub tshuab ntswg. Tom qab ntawv, nrog kev pabcuam ntawm lub hau tiv thaiv sab nraud, koj yuav tsum tau hle lub koob, tshem nws tawm thiab muab lub hau rov qab rau ntawm xaum xaum xaum.

    Koj tsis tuaj yeem siv tib rab koob xaum qhuav ob zaug. Lub vial lossis daim cartridge tau siv mus txog thaum nws siv tag, ces muab pov tseg. Cov xaum kua roj tsuas yog siv rau tus neeg nkaus xwb.

    Noj ntau dhau

    Humulin M3 NPH, zoo ib yam li lwm yam tshuaj hauv pawg tshuaj no, tsis muaj lub ntsiab lus tseeb ntawm kev noj tshuaj ntau dhau, txij li theem ntawm cov piam thaj hauv cov ntshav cov ntshav yog nyob ntawm kev sib cuam tshuam ntawm cov ntshav nruab nrab, ntshav hauv insulin thiab lwm yam txheej txheem hauv lub cev. Txawm li cas los xij, nws tuaj yeem muaj qhov ua tsis zoo tshaj plaws.

    Kev mob ntshav qab zib yog nce los ntawm qhov tsis sib haum xeeb ntawm cov tshuaj insulin hauv cov ntshav thiab cov nqi zog thiab zaub mov noj.

    Cov tsos mob hauv qab no yog cov yam ntxwv ntawm tshwm sim hypoglycemia:

    • nkees
    • tachycardia
    • ntuav
    • tawm hws ntau dhau,
    • pallor ntawm daim tawv nqaij
    • tshee
    • mob taub hau
    • tsis meej pem.

    Muaj qee kis, piv txwv, nrog cov keeb kwm mob ntshav qab zib mellitus ntev los yog nws txoj kev saib xyuas ze, cov cim ntawm qhov pib ntawm lub qog ntshav yuav hloov. Kev tiv thaiv ntshav qab zib me me tuaj yeem tiv thaiv los ntawm kev noj ntshav qab zib lossis qab zib. Qee zaum koj yuav tau yoog qhov tshuaj insulin, rov qab xyuas cov zaub mov noj lossis hloov ua kom lub cev ua si.

    Ntsig ntshav qab zib tsawg feem ntau yog kho los ntawm subcutaneous lossis intramuscular thawj coj ntawm glucagon, tom qab los ntawm kev noj zaub mov carbohydrate. Thaum muaj mob hnyav, muaj cov mob puas hlwb, ua kom yauv lossis tsis nco qab, ntxiv rau kev txhaj tshuaj rau glucagon, cov ntshav qabzib yuav tsum tau txhaj tshuaj kom tiav.

    Yav tom ntej, txhawm rau tiv thaiv kom txhob rov mob qog ntshav, tus neeg mob yuav tsum noj cov zaub mov uas muaj carbohydrate. Muaj mob ntshav qog ntshav siab yuav tsum tau mus pw hauv tsev kho mob ceev.

    Kev Sib Tham Yeeb Tshuaj NPH

    Kev ua haujlwm ntawm Humulin M3 yog txhim kho los ntawm kev noj tshuaj hypoglycemic qhov ncauj, ethanol, salicylic acid derivatives, monoamine oxidase inhibitors, sulfonamides, ACE inhibitors, angiotensin II receptor blockers, tsis xaiv-beta-blockers.

    Cov tshuaj Glucocorticoid, cov tshuaj hormones kev loj hlob, qhov ncauj tawm tsam, danazole, cov thyroid hormones, thiazide diuretics, beta2-sympathomimetics ua rau txo qis hauv cov nyhuv hypulinlycemic ntawm insulin.

    Ua kom muaj zog lossis, hloov pauv, tsis muaj zog ntawm kev vam khom ntawm insulin muaj peev xwm ntawm lancreotide thiab lwm yam analogues ntawm somatostatin.

    Cov tsos mob ntawm cov qog ntshav qab zib yog lubricated thaum noj clonidine, reserpine thiab beta-blockers.

    Cov nqe lus ntawm kev muag, khaws cia

    Humulin M3 NPH muaj muag hauv khw muag tshuaj tsuas yog sau ntawv hauv lub hwj tshuaj.

    Cov tshuaj yuav tsum khaws cia ntawm qhov kub txog 2 txog 8 degrees, tsis tuaj yeem ua kom zoo thiab tsis zoo rau tshav ntuj thiab tshav kub.

    Ib qho qhib insulin NPH vial tuaj yeem khaws cia ntawm qhov kub ntawm 15 txog 25 degrees rau 28 hnub.

    Raws li qhov ntsuas kub uas xav tau, qhov npaj NPH raug khaws cia rau 3 xyoos.

    Cov lus qhia tshwj xeeb

    Tsis tso cai rau kev kho mob lossis kev teem sijhawm noj tshuaj tsis yog (tshwj xeeb tshaj yog rau cov neeg mob insulin) tuaj yeem ua rau mob ntshav qab zib ketoacidosis lossis hyperglycemia, uas ua rau muaj kev hem thawj rau tus neeg mob lub neej.

    Hauv qee tus neeg, thaum siv cov tshuaj insulin, cov tsos mob ntawm tus mob hypoglycemia yuav txawv ntawm cov tsos mob ntawm tus tsiaj insulin, lossis yuav muaj qhov tshwm sim me me.

    Tus neeg mob yuav tsum paub tias yog tias cov ntshav qabzib nyob hauv lub cev yog qhov ib txwm muaj (piv txwv li, nrog kev siv tshuaj insulin ntau ntxiv), tom qab ntawd cov tsos mob qhia tias yuav tsum ua rau lub qog ntshav qab zib yuav ploj.

    Cov kev tshwm sim no tuaj yeem ua rau qaug zog lossis txawv dua yog tias ib tus neeg noj beta-blockers lossis muaj mob ntshav qab zib ntev ntev, nrog rau muaj cov ntshav qab zib mob neuropathy.

    Yog tias, zoo li hypoglycemia, tsis raug kho kom raws sijhawm, qhov no tuaj yeem ua rau tsis nco qab, tsis nco qab, thiab txawm tias tus neeg mob tuag.

    Tus neeg mob yuav tsum hloov mus rau lwm cov tshuaj insulin NPH lossis lawv cov hom tsuas yog nyob ntawm kev saib xyuas ntawm kws kho mob. Hloov cov tshuaj insulin rau cov tshuaj uas muaj cov kev ua txawv, cov txheej txheem tsim tawm (DNA recombinant, tsiaj), hom (npua, analog) yuav xav tau kev kub ntxhov lossis, ntawm qhov tsis sib xws, kev kho kom haum ntawm cov koob tshuaj uas tau hais tseg.

    Nrog rau cov kab mob ntawm lub raum lossis mob siab, ua haujlwm tsis txaus ntawm lub plab, ua haujlwm tsis txaus ntawm cov qog adrenal thiab cov thyroid caj pas, tus neeg mob xav tau cov tshuaj insulin yuav poob qis, thiab muaj kev ntxhov siab muaj zog thiab qee yam mob, ntawm qhov tsis sib xws, nce ntxiv.

    Tus neeg mob yuav tsum nco ntsoov txog qhov muaj peev xwm ntawm kev txhim kho hypoglycemia thiab ntsuas tau zoo ntawm lub cev ntawm nws lub cev thaum tsav tsheb lossis xav tau kev ua haujlwm tsis zoo.

    • Monodar (K15, K30, K50),
    • Novomix 30 Flexspen,
    • Ryzodeg Flextach,
    • Humalog sib tov (25, 50).
    • Gensulin M (10, 20, 30, 40, 50),
    • Gensulin N,
    • Tshuaj yaug NPH,
    • Yawg Farmasulin H 30/70,
    • Humodar B,
    • Vosulin 30/70,
    • Vosulin N,
    • Mikstard 30 NM
    • Neeg lim hiam.

    Cev xeeb tub thiab lactation

    Yog tias tus poj niam cev xeeb tub muaj mob ntshav qab zib, yog li nws yog qhov tseem ceeb rau nws los tswj cov mob glycemia. Lub sijhawm no, cov tshuaj insulin feem ntau hloov pauv ntawm cov sijhawm sib txawv. Hauv thawj peb lub hlis, nws poob, thiab hauv zaum ob thiab thib peb nce, yog li tsim nyog kho qhov koob tshuaj yuav tsim nyog.

    Humulin NPH thiab lwm cov qauv tsim ntawm pawg tshuaj no yog cov tshuaj uas siv los kho cov neeg mob ntshav qab zib. Tshuaj muaj tej yam ntuj tso ntshav qab zib kom zoo, vim lawv tau tsim los ntawm tib neeg cov tshuaj lom neeg tsis muaj peev xwm. Lub hom phiaj tseem ceeb ntawm cov khoom tsim dag zog yog kom txo qis qib ntawm cov piam thaj hauv cov ntshav los ntawm kev qhia nws mus rau hauv cov ntaub so ntswg thiab sib xyaw ua ke rau hauv cov txheej txheem hauv lub cev.

    Dab tsi yog Humulin?

    Niaj hnub no, lub sij hawm Humulin tuaj yeem pom nyob rau hauv cov npe ntawm ntau cov tshuaj tsim los txo cov ntshav qab zib - Humulin NPH, MoH, Ntu thiab Ultralent.

    Qhov sib txawv hauv cov txheej txheem rau kev tsim cov tshuaj no muab txhua cov piam thaj ua kom tsawg nrog nws tus yam ntxwv. Qhov zoo tshaj yuav coj mus rau hauv kev suav tshuaj thaum kho kev kho mob rau cov neeg muaj ntshav qab zib. Ntxiv rau cov tshuaj insulin (lub ntsiab tseem ceeb, ntsuas hauv IU), cov tshuaj muaj cov neeg tsis paub qab hau, xws li kua tsis huv, protamines, carbolic acid, metacresol, zinc oxide, sodium hydroxide, thiab lwm yam.

    Cov tshuaj tua kab mob pancreatic tau ntim rau hauv daim cartridges, vials, thiab koob txhaj tshuaj. Cov lus qhia txuas nrog qhia txog cov yam ntxwv ntawm kev siv tshuaj ntawm tib neeg. Ua ntej siv, cartridges thiab vials yuav tsum tsis txhob tshee muaj zog; txhua yam uas tsim nyog rau kev rov ua kom tiav ntawm kev ua kua yog kom yob lawv ntawm lub xib teg ntawm txhais tes.Qhov yooj yim tshaj plaws rau kev siv los ntawm cov kws kho ntshav qab zib yog cov xaum xaum qhuav.

    Kev siv cov tshuaj uas tau hais txog kev tso cai rau kev ua tiav kev kho mob rau cov neeg mob ntshav qab zib, vim lawv pab txhawb qhov hloov ntawm qhov tsis muaj txhij txhua thiab cov txheeb ze tsis txaus ntawm cov tshuaj endogenous ntawm cov txiav. Sau ntawv rau Heulin (noj ntau npaum, tshuaj noj) yuav tsum yog kws tshuaj endocrinologist. Yav tom ntej, yog tias tsim nyog, tus kws kho mob tuaj koom tuaj yeem kho qhov tseeb ntawm kev kho mob.

    Ntawm ntshav qab zib ntawm thawj hom, insulin yog kho rau tus neeg rau lub neej. Nrog cov kev mob tshwm sim ntawm tus mob ntshav qab zib hom 2, uas nrog cov mob hnyav nrog kab mob sib kis, kev kho yog tsim los ntawm cov chav kawm ntawm cov sib txawv. Nws yog ib qho tseem ceeb kom nco ntsoov tias nrog ib tus kab mob uas yuav tsum muaj kev qhia txog khoom neeg tsim tshuaj lom neeg rau hauv lub cev, koj tsis tuaj yeem tsis lees txais cov kev kho mob insulin, txwv tsis pub lub txim hnyav tsis tuaj yeem zam tau.

    Tus nqi ntawm cov tshuaj ntawm pab pawg no pharmacological nyob ntawm lub sijhawm ntawm kev ua thiab hom ntim. Tus nqi kwv yees nyob rau hauv lub fwj pib los ntawm 500 rubles., Tus nqi nyob rau hauv daim cartridges - los ntawm 1000 rubles., Hauv koob txhaj tshuaj yog tsawg kawg 1500 rubles.

    Txhawm rau txiav txim qhov ntau npaum li cas thiab lub sijhawm noj tshuaj, koj yuav tsum hu rau tus kws endocrinologist

    Nws tag nrho yog nyob ntawm ntau yam

    Cov hom nyiaj thiab cov nyhuv ntawm lub cev tau piav qhia hauv qab no.

    Cov tshuaj yog tsim los siv qhov siv DNA thev naus laus zis technology thiab muaj lub sij hawm ua nruab nrab. Lub hom phiaj tseem ceeb ntawm cov tshuaj yog tswj cov metabolism hauv qabzib. Pab inhibit cov txheej txheem ntawm cov protein piam thiab muaj cov nyhuv anabolic rau lub cev nqaij. Humulin NPH nce kev ua haujlwm ntawm cov enzymes uas txhawb kev tsim cov glycogen hauv cov leeg nqaij. Nws nce qhov ntim ntawm fatty acids, cuam tshuam rau qib ntawm glycerol, txhim kho cov protein ntau thiab txhawb kev noj cov aminocarboxylic acids los ntawm cov leeg hlwb.

    Ib qho piv txwv uas txo cov ntshav qab zib yog:

    1. Actrafan NM.
    2. Diafan ChSP.
    3. Insulidd N.
    4. Protafan NM.
    5. Neej Neeg B.

    Tom qab txhaj tshuaj, cov tshuaj pib ua tom qab 1 teev, cov nyhuv tag nrho tiav nyob rau hauv 2-8 teev, cov tshuaj yeeb yam tseem ua haujlwm ntev li 18-20 teev. Lub sijhawm sijhawm rau kev txiav txim siab ntawm cov tshuaj hormones yog nyob ntawm qhov koob tshuaj siv, thaj chaw txhaj tshuaj, thiab tib neeg yam haujlwm.

    Humulin NPH yog qhia rau kev siv hauv:

    1. Mob ntshav qab zib nrog cov tshuaj insulin pom zoo.
    2. Thawj kuaj pom mob ntshav qab zib.
    3. Cov poj niam cev xeeb tub uas muaj ntshav qab zib tsis muaj tshuaj insulin.

    Cov kev qhia tau hais tias cov tshuaj tsis raug tshuaj rau cov neeg muaj ntshav siab qis tam sim no, uas yog tus yam ntxwv ntshav tsawg dua 3.5 mmol / L, nyob rau hauv cov ntshav nruab nrab - 3.3 mmol / L, hauv cov neeg mob uas lub siab tsis haum rau ib leeg ib feem ntawm cov tshuaj.
    Cov kev mob tshwm sim uas yuav tshwm sim tom qab siv cov tshuaj feem ntau manifested:

    1. Kev ntshav siab.
    2. Lub ntsej muag rog.
    3. Kev tsis haum rau cov kab mob thiab hauv zos.

    Raws li rau kev haus ntau dhau ntawm cov tshuaj, tsis muaj cov cim qhia tshwj xeeb ntawm kev haus ntau dhau. Cov tsos mob tseem ceeb tau suav hais tias yog qhov pib ntawm lub qog ntshav qab zib. Tus mob yog nrog mob taub hau, tachycardia, hws tawm hws thiab blanching ntawm daim tawv nqaij. Txhawm rau zam qhov teeb meem kev noj qab haus huv zoo li no, tus kws kho mob xaiv cov tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog qib glycemia.

    Nrog kev noj ntau dhau ntawm cov tshuaj, hypoglycemia yuav tshwm sim.

    Humulin M3, zoo li kev kho dhau los, yog ib qho tshuaj lom neeg ncua ntev. Nws pom tau hais hauv daim ntawv ntawm ob-ncua kev ncua, iav daim iav muaj insulin humulin tsis tu ncua (30%) thiab humulin-nph (70%). Lub hom phiaj tseem ceeb ntawm Humulin Mz yog los tswj cov metabolism hauv qabzib.

    Cov tshuaj pab tsim cov leeg, sai sai muab cov kua nplaum thiab aminocarboxylic acids rau hauv cov leeg ntawm cov leeg thiab lwm cov nqaij mos dua li lub hlwb. Humulin M3 pab nyob rau hauv daim siab hloov ua piam thaj rau glycogen, inhibits gluconeogenesis thiab hloov cov piam thaj ntau dhau mus ua subcutaneous thiab visceral rog.

    Cov tshuaj ntawm cov tshuaj yog:

    1. Protafan NM.
    2. Yawg Hlob.
    3. Actrapid Flekspen.
    4. Xaus Optiset.

    Tom qab txhaj tshuaj, Humulin M3 pib ua tom qab 30-60 feeb, qhov ua tiav siab tshaj plaws tau tiav hauv 2-12 teev, lub sijhawm ntawm kev ua haujlwm ntawm insulin yog 24 teev. Qhov xwm txheej cuam tshuam txog qib kev ua haujlwm ntawm Humulin m3 yog txuam nrog thaj chaw txhaj tshuaj thiab noj ntau npaum li cas, nrog kev ua si ntawm tus neeg thiab nws noj mov.

    1. Cov neeg muaj ntshav qab zib uas xav tau kev kho insulin.
    2. Cov poj niam cev xeeb tub uas muaj ntshav qab zib gestational.

    Cov tshuaj nruab nrab cov tshuaj insulin yog qhov sib cuam tshuam hauv kev kuaj pom kev mob ntshav qab zib thiab kev tiv thaiv tsis haum rau cov khoom xyaw ntawm cov tshuaj muaj pes tsawg leeg. Kev kho tshuaj Insulin yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm kws kho mob, uas yuav tshem tawm txoj kev txhim kho thiab cov kev mob ntawm kev mob ntshav qab zib, uas tuaj yeem dhau los, qhov zoo tshaj plaws, ua rau muaj kev nyuaj siab thiab ploj ntawm qhov tsis nco qab, hauv qhov phem tshaj - qhov pib ntawm kev tuag.

    Thaum lub sij hawm kho tshuaj insulin, cov neeg mob yuav muaj kev tsis haum tshuaj hauv zos, uas feem ntau pom tshwm los ntawm khaus, tshem tawm, lossis o ntawm daim tawv nqaij ntawm qhov chaw ntawm kev txhaj tshuaj. Cov tawv nqaij raug mob li qub nyob hauv 1-2 hnub, nyob rau hauv cov teeb meem nyuaj ob peb lub lis piam yuav tsum ua. Qee zaum cov tsos mob no yog qhov qhia pom ntawm kev txhaj tshuaj tsis yog.

    Kev tsis haum rau lub cev muaj tshwm sim me ntsis, tab sis nws cov yam ntxwv pom hnyav dua li yav dhau los, xws li khaus khaus, ua tsis taus pa, ntshav siab, tawm hws ntau thiab lub plawv dhia ceev. Hauv qee kis, kev fab tshuaj tuaj yeem ua rau muaj kev phom sij rau ib tus neeg lub neej, qhov xwm txheej raug kho los ntawm kev kho mob xwm txheej ceev, kev siv txoj kev tshem tawm thiab hloov tshuaj.

    Cov tshuaj yog sau rau cov neeg xav tau kev pab insulin.

    • Humulin regula - ua yeeb yam luv luv

    Humulin P yog cov DNA sib koom ua ke nrog sib xyaw nrog lub sijhawm luv luv. Lub hom phiaj tseem ceeb yog tswj hwm kev ua kom cov metabolism. Txhua txoj haujlwm tau muab rau cov tshuaj yog zoo li lub hauv paus ntsiab lus ntawm kev cuam tshuam nrog rau lwm cov humulins. Kev daws yog qhia rau kev siv los ntawm cov neeg muaj kev mob ntshav qab zib mellitus ntawm hom thawj thiab thib ob, nrog lub cev tiv thaiv cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj thiab kho kev sib txuas ua ke.
    Humulin regula tshuaj yog:

    1. Nrog cov ketoacidosis uas mob ntshav qab zib.
    2. Ketoacidotic thiab hyperosmolar coma.
    3. Yog tias mob ntshav qab zib tau tshwm sim thaum lub sijhawm nqa tus menyuam (raug rau cov zaub mov tsis qab).
    4. Nrog kev sib quas ntus txoj kev kho mob ntshav qab zib nrog tus mob.
    5. Thaum hloov mus rau cov tshuaj insulin txuas ntxiv.
    6. Ua ntej kev phais mob, nrog cov teeb meem metabolic.

    Humulin P yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity rau ib tug neeg sib txuas ntawm cov tshuaj thiab tshuaj hypoglycemia. Tus kws kho mob ib leeg sau ib daim ntawv rau tus neeg mob ib koob tshuaj thiab koob txhaj tshuaj coj mus rau hauv tus lej ntawm cov piam thaj hauv cov ntshav ua ntej noj thiab tom qab 1-2 teev tom qab. Tsis tas li ntawd, nyob rau hauv chav kawm ntawm ib koob tshuaj, theem ntawm cov piam thaj hauv cov zis thiab cov chav kawm tshwj xeeb ntawm tus kabmob raug coj mus rau hauv tus account.

    Cov tshuaj yeeb yaj kiab uas tsis zoo, tsis zoo li yav dhau los, tuaj yeem muab tshuaj intramuscularly, subcutaneously thiab intravenously. Txoj kev siv ntau tshaj plaws ntawm kev tswj hwm yog subcutaneous. Hauv kev mob ntshav qab zib thiab cov ntshav qab zib tsis hnov ​​qab, IV thiab IM txhaj tshuaj yog qhov xav tau. Nrog rau cov tshuaj monotherapy, cov tshuaj tau muab 3-6 zaug ib hnub. Txhawm rau tshem tawm qhov tshwm sim ntawm lipodystrophy, qhov chaw ntawm kev txhaj tshuaj hloov pauv txhua zaus.

    Humulin P, yog tias tsim nyog, ua ke nrog cov tshuaj hormone ntawm qhov tshwm sim ntev. Cov tshuaj analogues nrov ntawm cov tshuaj:

    1. Actrapid NM.
    2. Biosulin R.
    3. Insuman Ceev Heev GT.
    4. Rosinsulin R.

    Cov tshuaj tau sau tseg thaum hloov mus rau insulin txuas ntxiv

    Tus nqi ntawm cov kev hloov pauv no pib ntawm 185 rubles, Rosinsulin yog suav tias yog cov tshuaj kim tshaj plaws, nws cov nqi hnub no dhau 900 rubles. Hloov cov insulin nrog ib qho tshuaj tiv thaiv kab mob yuav tsum muaj nrog kev koom tes ntawm tus kws kho mob uas tuaj koom.Qhov pheej yig tshaj plaws ntawm Humulin R yog Actrapid, nrov tshaj plaws yog NovoRapid Flekspen.

    • Kev ua yeeb yam ntev ntev Humulinultralente

    Insulin Humulin ultralente yog lwm cov tshuaj qhia rau siv rau cov neeg mob uas muaj ntshav qab zib insulin-tiv thaiv kev mob ntshav qab zib. Cov khoom yog raws cov DNA recombinant thiab yog cov khoom siv tau ua haujlwm ntev. Qhov kev ncua yog qhib kom ua haujlwm tom qab peb teev tom qab txhaj, qhov txiaj ntsig siab tshaj plaws tau tiav hauv 18 teev. Cov lus qhia rau kev siv qhia tias lub sijhawm siab tshaj plaws ntawm Humulinultralente yog 24-28 teev.

    Tus kws kho mob teeb tsa qhov muab tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog tus neeg mob tus mob. Cov tshuaj yog muab tshuaj tsis muaj hwj chim, txhaj tshuaj yog sib sib zog nqus rau hauv daim tawv nqaij 1-2 zaug hauv ib hnub. Thaum Humulin Ultralente muab tso ua ke nrog lwm cov tshuaj lom neeg, qhov kev txhaj tshuaj tam sim ntawd. Kev xav tau cov tshuaj insulin ntau ntxiv yog tias ib tus neeg mob, ntsib kev ntxhov siab, noj tshuaj tiv thaiv qhov ncauj, glucocorticoids lossis thyroid cov tshuaj hormones. Thiab, ntawm qhov tsis sib xws, nws txo qis nrog cov kab mob ntawm daim siab thiab lub raum, thaum noj MAO inhibitors thiab beta-blockers.
    Cov tshuaj ntawm cov tshuaj: Humodar K25, Gensulin M30, Insuman Comb thiab Farmasulin.

    Xav txog contraindications thiab phiv.

    Zoo li txhua yam ntawm humulins, insulin ultralente yog qhov pom tseeb yog qhov ua rau nws lub cev tsis muaj zog thiab ua rau muaj kev cuam tshuam rau cov khoom sib txawv ntawm cov khoom. Raws li cov kws tshaj lij, ib qho kev cuam tshuam tsis tshua muaj tshwm sim nws tus kheej yog kev tawm tsam. Ib qho tshwm sim tau tom qab kev txhaj tshuaj yog ua kom pom los ntawm lipodystrophy, nyob rau hauv uas tus nqi ntawm adipose nqaij hauv cov nqaij mos subcutaneous poob, thiab insulin tsis kam.

    Tsawg tsawg zaus, cov yeeb tshuaj ua rau muaj kev fab tshuaj.

    • Ib qho nrov ntawm cov tshuaj lom ntawm humulin - Protaphane

    Insulin Protafan NM yog qhia rau cov ntshav qab zib mellitus ntawm hom thawj thiab thib ob, rau kev tiv thaiv ntawm sulfonylurea derivatives, rau cov kab mob ua rau mob ntshav qab zib, hauv kev phais mob thiab tom qab hloov kho, rau cov poj niam cev xeeb tub.

    Protafan tau muab tshuaj rau txhua tus neeg mob ntawm tus kheej, suav nrog qhov xav tau ntawm nws lub cev. Raws li cov lus qhia, qhov xav tau rau qhov koob tshuaj qog ntawm qhov tshuaj hormones yog 0.3 - 1 IU / kg / hnub.

    Qhov kev xav tau nce ntxiv hauv cov neeg mob uas muaj insulin tsis kam (tsis hnov ​​qab cov teeb meem ntawm cov cell mus rau insulin), feem ntau qhov no tshwm sim nrog cov neeg mob thaum tiav nkauj tiav nraug thiab cov neeg muaj rog. Kev kho cov koob tshuaj tuaj yeem nqa los ntawm tus kws kho mob yog tias tus neeg mob tau mob concomitant, tshwj xeeb yog hais tias tus kab mob kis tau. Qhov ntau npaum li cas yog kho rau cov kab mob ntawm lub siab, ob lub raum thiab kab mob ntawm cov thyroid caj pas. Protafan NM yog siv los ua kev txhaj tshuaj hauv cov tshuaj tua kab mob thiab hauv kev sib xyaw ua ke nrog cov insulins luv luv lossis ceev.

    Dosage form: & nbsp raug tshem tawm rau subcutaneous thawj coj Sau:

    1 ml muaj:

    yam tshuaj: neeg insulin 100 ME,

    tus zam: metacresol 1.6 mg, phenol 0.65 mg, glycerol (glycerin) 16 mg, protamine sulfate 0.348 mg, sodium hydrogen phosphate heptahydrate 3.78 mg, zinc oxide - qs los tsim zinc ions tsis pub tshaj 40 μg, 10% hydrochloric acid tov - qs rau pH 6.9-7.8, 10% sodium hydroxide tov - qs rau pH 6.9-7.8, dej rau kev txhaj tshuaj - txog li 1 ml.

    Qhov kev ncua yog dawb nyob rau hauv cov xim, uas exfoliates, sib sau ib cov dawb nag lossis daus thiab pob tshab - xim tsis muaj xim lossis yuav luag tsis muaj xim. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

    Pharmacotherapeutic pab pawg: tus neeg sawv cev hypoglycemic - insulin ntawm lub sijhawm nruab nrab ntawm kev nqis tes ua ATX: & nbsp

    A.10.A.C Qhov nruab nrab ntev insulins thiab lawv analogues

    Humulin® NPH yog DNA muab cov tshuaj insulin rau tib neeg.

    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, kev nce ntawm synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis tib lub sijhawm muaj glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.

    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

    Pharmacokinetics: Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (plab, caj pas, pob tw), koob tshuaj (ntim ntawm txhaj tshuaj insulin), cov tshuaj insulin nyob rau hauv cov tshuaj, thiab lwm yam. Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab hauv lub raum. Nws yog tawm los ntawm lub raum (30-80%). Kev Taw Qhia:

    - Mob ntshav qab zib mellitus xav tau kev kho tshuaj insulin,

    - mob ntshav qab zib thaum cev xeeb tub.

    Hypersensitivity rau insulin los yog rau ib qho ntawm cov tshuaj ntawm cov tshuaj,

    Cev xeeb tub thiab lactation:

    Thaum cev xeeb tub, nws yog qhov tseem ceeb heev kom tswj tau zoo glycemic tswj hauv cov neeg mob tau txais kev kho mob insulin. 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.

    Muab thiab kev coj:

    Cov koob tshuaj ntawm Humulin® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus raws li kev saib xyuas ntawm cov piam thaj hauv cov ntshav.

    Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.

    Kev txhaj tshuaj subcutaneous yuav tsum ua rau ntawm xub pwg, ncej puab, pob tw lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. Nrog kev tswj hwm ntawm subulinaneous ntawm insulin, kev saib xyuas yuav tsum tau saib xyuas 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.

    Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

    Npaj rau kev tswj hwm rau Humulin® NPH hauv vials

    Ua ntej yuav siv, Humulin® NPH vials yuav tsum tau muab ob peb zaug ntawm lub xib teg kom txog thaum cov tshuaj insulin rov qab ua kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug.

    Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov. Tsis txhob siv cov tshuaj insulin yog tias cov khoom dawb dawb lo rau hauv qab lossis phab ntsa ntawm lub thawm, tsim cov nyhuv ntawm tus qauv khov.

    Siv cov tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

    Rau Humulin® NPH hauv daim cartridges

    Ua ntej yuav siv, Humulin® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm xib teg kaum npaug thiab tshee, tig mus rau 180 ° kuj kaum zaus kom txog thaum cov tshuaj insulin tawm mus kom txog thaum nws dhau los ua homogeneous turbid kua lossis kua mis.Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug. Sab hauv txhua tus cartridge yog ib qho me me. iav pob uas ua kom muaj kev sib xyaw ntawm cov tshuaj insulin. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov.

    Lub cartridge ntaus ntawv tsis tso cai rau kev sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha rau hauv daim cartridge nws tus kheej: daim cartridges tsis yog npaj rau kom rov ntim khoom.

    Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tau paub koj tus kheej nrog cov kws tsim khoom cov lus qhia rau kev siv cov koob txhaj tshuaj rau kev tswj cov tshuaj insulin.

    Rau cov tshuaj Humulin ®NPH hauv cov hno ceev

    Ua ntej kev txhaj tshuaj, koj yuav tsum nyeem QuickPen ™ Syringe Pen Cov Lus Qhia rau Siv.

    Kev ntshav siab yog qhov tshwm sim zoo tshaj plaws uas tshwm sim nrog kev qhia ntawm insulin npaj, suav nrog Humulin ® NPH. Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab, tshwj tsis yog, tuag taus.

    Kev ua xua tsis haum : Cov neeg mob tuaj yeem ua rau muaj kev tsis haum tshuaj nyob rau hauv thaj chaw ntawm daim ntawv ntawm hyperemia, edema, 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 tshwm sim los ntawm insulin, tshwm sim tsawg dua, tab sis muaj qhov 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 kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.

    Nrog lub caij nyoog siv - kev txhim kho yog ua tau lipodystrophy ntawm qhov chaw txhaj tshuaj.

    Cov kab mob ntawm kev txhim kho ntawm edema tau pom, feem ntau nrog kev ceev nrawm ntawm cov ntshav qabzib concentration tiv thaiv keeb kwm yav dhau los ntawm kev siv tshuaj insulin ntau nrog kev pib tsis txaus siab glycemic tswj (saib ntu "Cov Lus Qhia Tshwj Xeeb").

    Kev noj tshuaj ntau dhau ntawm cov tshuaj insulin ua rau cov ntshav tsis tuaj yeem, nrog cov hauv qab no cov tsos mob : qaug zog, tawm hws ntau dhau, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem. Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus, cov tsos mob, cov xwm txheej ua ntej ntawm hypoglycemia, tuaj yeem hloov pauv.

    Cov ntshav qog ntshav qis feem ntau koj tuaj yeem nres los ntawm kev noj cov piam thaj lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce.

    Kev kho cov ntshav qab zib tsawg tuaj yeem nqa tawm ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov carbohydrates.

    Mob ntshav qab zib tsawg nrog los ntawm coma, convulsions los yog neurological ntshawv siab, nres los ntawm intramuscular / subcutaneous tswj hwm ntawm glucagon los yog tso ntshav kev tswj hwm ntawm ib tug concentrated 40% daws ntawm dextrose (qabzib). Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia.

    Yog tias koj xav siv lwm yam tshuaj, ntxiv rau cov tshuaj insulin, koj yuav tsum sab laj nrog koj tus kws kho mob (saib nqe lus "Cov lus qhia tshwj xeeb").

    Kev nce ntxiv ntawm cov tshuaj insulin tej zaum yuav tsum muaj nyob rau ntawm qhov kev teem caij ntawm cov tshuaj uas ua rau muaj kev nce siab ntxiv ntawm cov piam thaj hauv cov ntshav, xws li : tshuaj noj hauv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, beta 2 -adrenomimetics (e.g. ritodrin, terbutaline), thiazide diuretics, diazoxide, phenothiazine derivatives.

    Txo cov koob tshuaj insulin tej zaum yuav xav tau thaum sau tshuaj uas txo qis cov ntshav qabzib hauv cov ntshav, xws li : beta-blockers, thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv kab mob hypoglycemic, salicylates (piv txwv), tshuaj tua kab mob sulfanilamide, qee cov tshuaj tiv thaiv kab mob (monoamine oxidase inhibitors), angiotensin inhibitors, thiab angiotensin inhibitors. Beta-blockers, clonidine, tuaj yeem npog cov tsos mob ntawm cov kev mob qog ntshav qab zib.

    Qhov cuam tshuam ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog insulin ntawm tsiaj keeb kwm lossis tib neeg cov kua dej los ntawm lwm cov tuam ntxhab tsis tau kawm.

    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. Hloov hauv kev ua, hom (chaw tsim khoom), hom (tsis tu ncua, NPH, thiab lwm yam) ntawm hom (tsiaj, tib neeg, tib neeg cov tshuaj insulin) thiab / lossis txoj kev tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) yuav tsum tau hloov kho koob.

    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 cov normalization ntawm qabzib nyob hauv cov ntshav.

    piv txwv li, qhov txiaj ntsig los ntawm kev kho mob insulin ntau dua, txhua yam lossis qee cov tsos mob ntawm kev tuaj yeem ua ntej ntawm hypoglycemia yuav ploj, uas cov neeg mob yuav tsum tau qhia txog. Cov tsos mob ua ntej ntawm lub ntsej muag hypoglycemia tuaj yeem hloov lossis tsis tau hais tawm nrog lub sijhawm ntev ntawm tus mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy, lossis kho nrog tshuaj xws li beta-blockers.

    Kev noj tshuaj tsis txaus lossis tsis ncua kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib, tuaj yeem ua rau mob hyperglycemia thiab ntshav qab zib ketoacidosis (mob uas yuav ua rau tuag taus rau tus neeg mob).

    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 siv cov tshuaj insulin nyob rau hauv kev sib xyaw nrog cov tshuaj ntawm thiazolidinedione pab pawg, qhov kev pheej hmoo ntawm kev txhim kho edema thiab mob plawv sai dua, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob ntawm cov hlab plawv thiab muaj cov kev pheej hmoo ua rau mob plawv tsis ua haujlwm.

    QUICKPEN ™ SYRINGE TES

    Humulin® Kev Nres QuickPen ™,Humulin® NPH QuickPen ™,Humulin® M3 QuickPen ™

    SYRINGE TES TAW QHIA RAU INSULIN

    THOV NYEEM NYEEM cov lus qhia ua ntej siv

    Cwj mem ceev ceev cwj mem tau yooj yim siv. Nws yog cov cuab yeej siv los tswj cov tshuaj insulin (ib qho "insulin syringe mem") muaj 3 ml (300 units) ntawm kev npaj tshuaj insulin nrog ib qho dej ntawm 100 IU / ml. Koj tuaj yeem hno ntawm 1 txog 60 units ntawm insulin rau ib zaug txhaj. Koj tuaj yeem tsim koob tshuaj nrog qhov tseeb ntawm ib chav. Yog tias koj tau teeb tsa ntau cov koog. Koj tuaj yeem kho qhov koob tshuaj yam tsis poob los ntawm insulin.

    Ua ntej siv QuickPen cwj mem kua muag, nyeem phau ntawv no kiag thiab ua raws nws cov lus qhia kom raug.Yog tias koj tsis ua raws li tag nrho cov lus qhia no, koj yuav tau txais cov tshuaj insulin tsawg dhau los yog siab dhau.

    Lub QuickPen Syringe Cwj mem rau insulin yuav tsum tsuas yog siv los ntawm koj. Tsis txhob kis tus cwj mem los yog rab koob rau lwm tus, vim qhov no yuav ua rau kis tus kab mob. Siv ib rab koob tshiab rau txhua txoj kev txhaj tshuaj.

    TSIS TXHOB SIV cov xaum xaum hluav taws xob yog ib qho ntawm nws qhov chaw raug puas tsuaj lossis tawg. Yuav tsum tau xaum ib qho xaum xoob xoob uas siv thaum siv xaum xaum los yog nws puas ntsoog.

    Cwj mem ceev ceev Kev npaj

    Nyeem thiab ua raws cov lus qhia rau kev siv piav qhia hauv cov lus qhia rau kev siv tshuaj.

    Kuaj daim ntawv lo rau ntawm lub phwj qhwv ua ntej txhua yam kev txhaj tshuaj kom paub tseeb tias hnub tas sij hawm ntawm cov tshuaj tsis tau tas sij hawm thiab koj siv hom insulin tseeb, tsis txhob tshem daim ntawv lo los ntawm tus cwj mem syringe.

    Lus khaws xav : Cov xim ntawm lub khawm tso nrawm dua rau QuickPen syringe cwj mem sib haum xim ntawm cov xim ntawm daim phiaj xim ntawm daim duab lo thiab daim ntawv nyob ntawm hom tshuaj insulin. Hauv phau ntawv no, khawm koob tshuaj yog grayed tawm. Beige xim ntawm QuickPen syringe cwj mem lub cev qhia tau tias nws yog npaj rau siv nrog cov khoom Humulin.

    Koj tus kws kho mob tau sau hom tshuaj insulin uas haum rau koj tshaj plaws. Ib qho kev pauv twg hauv kev kho tshuaj insulin yuav tsum tau ua yog nyob ntawm kev saib xyuas ntawm kws kho mob nkaus xwb.

    Ua ntej siv cov koob txhaj syringe, nco ntsoov tias rab koob tau txuas nrog lub xias nqus.

    Ua raws cov lus qhia tom qab no.

    Cov lus nquag nug txog kev npaj QuickPen Syringe Cwj mem rau kev siv

    - Kuv qhov kev npaj insulin yuav tsum zoo li cas? Qee qhov insulin npaj yog turbid kev ncua, thaum lwm tus yog cov kev daws teeb meem meej, nco ntsoov nyeem cov lus piav qhia ntawm insulin hauv daim ntawv Cov lus qhia rau kev siv.

    - Kuv yuav ua li cas yog tias kuv cov tshuaj noj kom siab dua 60 units? Yog tias qhov koob tshuaj uas tau muab rau koj yog siab dua 60 units, koj yuav tsum tau txhaj koob thib ob, lossis koj tuaj yeem tiv tauj koj tus kws kho mob txog qhov teebmeem no.

    - Vim li cas kuv yuav tsum siv rab koob tshiab rau txhua txoj kev txhaj tshuaj? Yog tias cov koob tau rov qab siv dua, koj tuaj yeem tau txais cov koob tshuaj tsis yog lawm, koob yuav dhau los, lossis koob txhaj tshuaj yuav txhaws, lossis koj yuav raug kis vim tias muaj teeb meem ua kom menyuam yaus.

    - Kuv yuav ua li cas yog tias kuv tsis paub meej tias cov insulin tshuav ntau npaum li cas nyob hauv kuv lub thawv ntawv ? Muab cov tes rub kom lub taub ntawm rab koob taw thiaj poob. Cov nplai ntawm cov neeg lim hle hauv ntshiab qhia pom tias kwv yees li ntawm cov ntsuas ntawm insulin ntxiv. Cov zauv no TSIS TXHOB siv los teem lub koob tshuaj.

    "Kuv yuav ua dab tsi yog tias kuv tsis tuaj yeem hle lub hau tawm ntawm rab koob txhaj tshuaj?" Txhawm rau kom tshem lub hau, rub rau nws. Yog tias koj muaj teeb meem hle lub hau, ua tib zoo tig lub hau moos thiab moos kom nws tso nws, ces rub nws kom hle lub hau.

    Kuaj xyuas QuickPen Syringe Cwj mem rau Insulin

    Kuaj koj cov insulin kom tsawg txhua zaus. Kev kuaj xyuas cov tshuaj insulin xa tawm los ntawm rab koob txhaj tshuaj yuav tsum tau ua ua ntej txhua qhov kev txhaj tshuaj kom txog thaum lub qhov ncauj me me ntawm insulin tshwm sim kom paub tseeb tias cov kua mem yog npaj rau cov koob tshuaj.

    Yog tias koj tsis kuaj koj cov insulin kom tsawg ua ntej qhov trickle tshwm, koj yuav tau txais insulin ntau dhau los yog ntau dhau.

    Cov Lus Nquag Nug Txog Kev Ntsuas Cov Insulin

    - Vim li cas kuv thiaj yuav tsum kuaj xyuas kuv cov tshuaj insulin ua ntej txhua qhov txhaj tshuaj?

    1. Qhov no nco ntsoov tias tus cwj mem tau npaj txhij rau koob tshuaj.

    2. Qhov no ua pov thawj tias qhov ua kom yuam kev ntawm insulin los tawm ntawm rab koob thaum koj nias lub koob tshuaj.

    3. Qhov no tshem tawm cov cua uas tuaj yeem sib sau hauv rab koob lossis insulin daim cartridge thaum siv.

    - Kuv yuav ua li cas yog tias kuv tsis tuaj yeem nias lub pob koob tshuaj thaum lub sijhawm QuickPen's insulin kuaj?

    1. Rhais ib rab koob tshiab.

    2. Txheeb tshuaj insulin los ntawm tus cwj mem.

    "Kuv yuav ua li cas yog tias kuv pom cov pa hauv lub thawv?"

    Koj yuav tsum kuaj xyuas cov tshuaj insulin los ntawm tus cwj mem. Nco ntsoov tias koj tsis tuaj yeem khaws cov xaum xaum xaum nrog lub koob uas txuas rau nws, vim qhov no tuaj yeem ua rau kom muaj huab cua npuas hauv lub thawv ntim tshuaj insulin. Cov pa npuas me me tsis cuam tshuam rau qhov koob tshuaj, thiab koj tuaj yeem nkag rau koj cov tshuaj raws li ib txwm muaj.

    Cov kev qhia ntawm koob tshuaj uas tsim nyog

    Ua raws li kev cai ntawm asepsis thiab tshuaj tua kab mob uas koj tus kws kho mob pom zoo.

    Nco ntsoov nkag mus rau qhov yuav tsum tau txhaj uas yog nias thiab tuav lub koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob. Yog tias cov kua dej tawm los ntawm rab koob, feem ntau koj tsis tau tuav rab koob hauv qab koj daim tawv ntev ntev.

    Txo qhov ntxig ntawm qhov ntxig ntawm lub qhov ntswg yog qhov ib txwm. Qhov no yuav tsis cuam tshuam rau koj cov koob tshuaj.

    Lub taub ntim koob txhaj tshuaj yuav tsis tso cai rau koj los kos ib lub koob tshuaj ntau dua li ntawm cov lej ntawm cov tshuaj insulin nyob hauv daim ntim taub hau.

    Yog tias hauv kev poob siab tias koj tau muab tshuaj tag nrho, tsis txhob muab rau lwm lub tshuaj. Hu rau koj tus sawv cev Lilly lossis mus ntsib kws kho mob kom tau kev pab.

    Yog tias koj cov tshuaj ntau dua cov lej nyob hauv daim cartridge, koj tuaj yeem sau cov tshuaj insulin nyob hauv tus cwj mem no thiab tom qab ntawd siv tus cwj mem tshiab los ua kom tiav kev tswj hwm ntawm cov koob xav tau, LOSSIS nkag rau tag nrho cov koob tshuaj siv tus cwj mem tshiab.

    Tsis txhob sim txhaj tshuaj insulin los ntawm kev hloov lub pob tshuaj. Koj yuav TSIS TAU tshuaj insulin yog tias koj tig lub pob tshuaj. Koj yuav tsum nias lub koob txhaj tshuaj rau hauv txoj kab ncaj ncaj kom tau txais koob tshuaj ntawm cov tshuaj insulin.

    Tsis txhob sim hloov cov tshuaj ntawm cov tshuaj insulin thaum txhaj tshuaj.

    Qhov siv koob yuav tsum tau muab pov tseg kom raws li cov kev pov tseg kho mob hauv zos.

    Tshem tawm rab koob tom qab txhua hno tshuaj.

    Koob Tshuaj Nug Txog

    - Vim li cas nws thiaj li nyuaj nias lub khob tshuaj, thaum kuv sim tau txhaj?

    1. Koj rab koob yuav txhaws tau. Sim txuas cov koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob. Tom qab ntawv xyuas tus cwj mem rau cov tshuaj insulin.

    2. Kev nias ceev ntawm lub koob tshuaj khawm tuaj yeem ua rau lub pob nyem. Kev qeeb qeeb nias lub koob txhaj tshuaj tuaj yeem ua rau nias yooj yim dua.

    3. Kev siv lub taub loj dua yuav ua kom yooj yim nias lub pob koob txhaj thaum lub sijhawm txhaj.

    Nrog koj tus kws kho mob tham txog seb rab koob xev twg thiaj zoo rau koj.

    4. Yog tias nias lub pob thaum tswj hwm qhov koob tshuaj tseem nruj tom qab ua tiav tag nrho cov ntsiab lus saum toj saud, tom qab ntawv cov xaum xias yuav tsum tau hloov.

    - Kuv yuav ua li cas yog tias tus cwj mem Quick syringe lo thaum siv?

    Koj tus cwj mem yuav daig yog tias nws nyuaj rau kev txhaj tshuaj lossis teeb tshuaj. Txhawm rau tiv thaiv tus xaum xim los ntawm kev lo:

    1. Rhais ib rab koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob.

    2. Tshawb xyuas cov tshuaj insulin.

    3. Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

    Tsis txhob sim ntub cov koob txhaj tshuaj, vim tias qhov no yuav ua kev puas tsuaj ntawm koob txhaj tshuaj.

    Nias lub pob koob tshuaj yuav ua tau nruj yog tias muaj teeb meem txawv teb chaws (av, plua plav, zaub mov, insulin lossis lwm yam kua) nkag hauv qab tus cwj mem. Tsis txhob cia impurities nkag mus hauv cov xaum xim.

    - Vim li cas cov tshuaj insulin ntws tawm ntawm rab koob tom qab kuv tau ua tiav kev noj tshuaj rau kuv?

    Tej zaum koj yuav tau tshem rab koob sai dhau ntawm daim tawv.

    1. Nco ntsoov tias koj pom tus naj npawb "0" hauv lub qhov rai qhov ntsuas qhov ntsuas.

    2.Txhawm rau muab tshuaj rau tom ntej, nias thiab tuav lub pob koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob.

    - Kuv yuav ua dab tsi yog tias kuv cov koob tshuaj tau teeb tsa, thiab lub pob koob tshuaj dua tuaj txog sab hauv yog tias tsis muaj rab koob uas txuas nrog lub koob txhaj tshuaj?

    1. Tig lub pob tshuaj rov qab rau xoom.

    2. Rhais ib rab koob tshiab.

    3. Ua ib qho tshuaj insulin.

    4. Teem qhov koob tshuaj thiab hno.

    "Kuv yuav ua li cas yog tias kuv tau tsim cov koob tshuaj tsis yog (qis dhau lossis siab dhau)?" Tig lub khob tshuaj rov qab lossis txuas ntxiv kom kho qhov koob tshuaj.

    - Kuv yuav ua li cas yog tias kuv pom cov insulin tawm hauv lub tes tsho hauv lub tes tsho thaum xaiv los yog hloov kho dua? Tsis txhob noj ib qho tshuaj, zoo li koj yuav tsis tau txais koj cov tshuaj tag nrho. Teeb tus xaum xaum rau tus naj npawb xoom thiab rov tshawb xyuas cov tshuaj insulin los ntawm cov xaum xaum (saib ntu "Tshawb xyuas QuickPen syringe cwj mem rau Insulin Xa"). Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

    - Kuv yuav ua dab tsi yog tias tsim tsis tau kuv cov tshuaj tag nrho? Tus xaum xaum yuav tsis tso cai rau koj los tsim cov koob tshuaj ntau dhau ntawm cov lej ntawm cov insulin nyob hauv daim ntim taub hau. Piv txwv li, yog tias koj xav tau 31 units, thiab tsuas yog 25 units nyob hauv daim cartridge, ces koj yuav tsis tuaj yeem hla tus lej 25 thaum lub sijhawm nruab. Tsis txhob sim teeb tsa qhov koob los ntawm kev mus ntawm tus lej no. Yog tias cov koob tshuaj ib nrab tawm hauv tus cwj mem, ces koj tuaj yeem:

    1. Nkag mus rau ib nrab ntawm cov koob tshuaj no, thiab tom qab ntawd nkag mus rau lub koob tshuaj ntxiv uas yog siv tus cwj mem tshiab, lossis

    2. Tshaj tawm cov tshuaj tag nrho los ntawm cov kua mem tshiab.

    - Vim li cas kuv tsis tuaj yeem tsim koob tshuaj kom siv cov tshuaj insulin uas tsawg nyob hauv kuv lub taub hau? Lub koob txhaj tshuaj yog tsim los tso cai rau kev tswj hwm ntawm tsawg kawg 300 units ntawm insulin. Lub cuab yeej ntawm rab koob xaum hluav taws xob tiv thaiv lub pob txha taub los ntawm kev ua kom tiav, vim tias qhov tshuaj me me uas tseem nyob hauv daim cartridge tsis tuaj yeem raug txhaj nrog qhov tseeb uas tsim nyog.

    Cia thiab pov tseg

    Rab koob txhaj tshuaj tsis tuaj yeem siv yog tias nws tau nyob sab nraum lub tub yees rau ntau tshaj li lub sijhawm teev nyob hauv Cov Lus Qhia rau Siv.

    Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws. Yog tias rab koob raug tso rau hauv qhov txuas, cov insulin tuaj yeem tawm ntawm tus cwj mem, lossis insulin yuav qhuav hauv rab koob, ua rau rab koob txhaws, lossis cua npuas tuaj yeem tsim nyob rau hauv lub taub hau.

    Cov koob txhaj tshuaj uas siv uas tsis siv yuav tsum muab cia rau hauv tub yees ntawm qhov kub li 2 ° C txog 8 ° C. Tsis txhob siv cov xwj xem hluav taws xob yog tias nws tau khov.

    Daim ntaub qhwv uas koj siv tam sim no yuav tsum khaws cia rau qhov kub tshaj li 30 ° C thiab hauv qhov chaw tiv thaiv los ntawm kub thiab lub teeb.

    Xa mus rau cov lus qhia rau kev siv rau kev paub tiav nrog kev khaws cia cov qauv ntawm cov xaum xaum.

    Khaws cov xaum xaum kom deb ntawm qhov chaw ncav cuag ntawm cov menyuam.

    Muab cov koob txhaj tshuaj siv rau hauv cov ntaub ntawv pov thawj-pov thawj, cov thoob ntim rov qab (piv txwv, cov khoom ntim rau cov khoom siv tshuaj lom neeg lossis khib nyiab), lossis raws li kev pom zoo los ntawm koj tus kws kho mob.

    Cuam tshuam ntawm cov phwj uas siv tsis muaj koob uas txuas nrog lawv thiab ua raws li cov lus pom zoo ntawm koj tus kws kho mob.

    Tsis txhob ntim cov thawv ntim ntim rau hauv cov ntse ntim.

    Nug koj tus kws kho mob seb yuav ua li cas thiaj li muaj cov thoob ntim hauv cov thoob koj thaj tsam.

    Humulin® thiab Humulin® nyob hauv QuickPen-Syringe Pen yog cov cim lag luam ntawm Eli Lilly & Company.

    QuickPen ™ Syringe Cwjfwm raws li qhov muaj pes tsawg koob tshuaj thiab kev ua haujlwm zoo ntawm ISO 11608-1: 2000

    Nco ntsoov tias koj muaj cov feem hauv qab no:

    Pen Cwj mem ceev ceev

    Tshiab rab koob rau cov hlaws tes

    Swab ntub dej nrog cawv

    QuickPen Koob txhaj tshuaj thiab Cheeb Tsam Koob * (* Muag Cais), Caj mem Syringe - saib pic 3 .

    Xim Coding ntawm Koob Yees Duab - saib pic 2 .

    Kev siv tus cwj mem ib txwm siv

    Ua raws li cov lus qhia no kom ua tiav txhua kev txhaj tshuaj.

    1. Npaj ceev mem hluav taws xob

    Rub lub hau tawm ntawm rab tes xaum qhwv kom tshem nws. Tsis txhob kiv taub hau. Tsis txhob rub daim ntawv lo los ntawm cov xaum xim.

    Nco ntsoov xyuas koj cov insulin rau:

    Hnub tas sij hawm

    Saib xyuas: Nco ntsoov nyeem daim ntawv xaj txhua lub sijhawm kom paub tseeb tias koj siv hom tshuaj insulin.

    Txog kev tsim tawm cov kua dej tsuas yog:

    Maj mam muab cov koob txhaj tshuaj npuag 10 npaug ntawm koj xib teg

    tig lub cwj mem dhau 10 zaug.

    Kev sib xyaw xim tseem ceeb heev txhawm rau kom ntseeg tseeb tias tau txais qhov tshuaj yog. Cov tshuaj insulin yuav tsum saib zoo kom sib xyaw.

    Siv ib rab koob tshiab.

    Tshem daim ntawv nplaum tawm ntawm lub hau ntawm rab koob.

    Siv cov paj ntaws ntub dej cawv nrog cawv los so lub roj hmab disc ntawm qhov kawg ntawm lub thawv ntim.

    Muab rab koob tso rau hauv lub hau txoj cai ntawm txoj kab ntawm kev txhaj tshuaj tus cwj mem.

    Ntsia ntawm tus kab kom txog thaum siab txuas.

    2. Txheeb xyuas QuickPen Syringe Cwj mem rau Insulin

    Ceev faj: Yog tias koj tsis kuaj cov tshuaj insulin ua ntej txhua qhov kev txhaj tshuaj, koj tuaj yeem txais cov tshuaj insulin qis dhau los yog qis dhau.

    Tshem lub hau hau sab nraud. Tsis txhob muab pov tseg.

    Tshem lub hau ntawm lub hau thiab muab pov tseg.

    Teeb 2 chav nyob los ntawm kev hloov cov koob tshuaj khawm.

    Taw tes cwj mem.

    Coj mus rhaub rau ntawm lub laub cartridge kom tso pa tawm rau hauv

    Nrog rab koob taw qhov taw, nias lub khawm koob tshuaj kom txog thaum nws nres thiab tus lej "0" tshwm nyob rau hauv lub ntsuas qhov ntsuas.

    Tuav lub khawm koob tshuaj nyob rau hauv txoj haujlwm recessed thiab suav maj mam mus txog 5.

    Kev txheeb xyuas cov tshuaj insulin yog ua tiav thaum ua tiav cov tshuaj insulin thaum kawg ntawm rab koob.

    Yog tias qhov ua kom yuam kev ntawm insulin tsis tshwm sim thaum kawg ntawm rab koob, tom qab ntawv rov qab ua cov kauj ruam ntawm tshuaj insulin kom tsawg plaub zaug, pib txij li ntu 2B thiab xaus nrog point 2G.

    Nco tseg: Yog tias koj tsis pom kev tawm ntawm insulin tshwm sim los ntawm rab koob, thiab teeb tsa cov koob tshuaj yuav nyuaj, tom qab ntawd hloov lub koob thiab rov ua qhov ntsuas xyuas qhov insulin kom tsawg los ntawm cov xaum xaum.

    Tig lub pob tshuaj rau qhov ntau qhov koj xav tau kev txhaj tshuaj.

    Yog tias koj tau poob ntau chav nyob, koj tuaj yeem kho qhov koob tshuaj los ntawm kev hloov cov koob tshuaj khawm rau qhov tsis sib xws.

    Siv rab koob tso rau hauv qab ntawm daim tawv nqaij uas siv cov txheej txheem txhaj tshuaj uas koj tus kws kho mob pom zoo.

    Muab koj tus ntiv tes xoo tso rau ntawm lub koob tshuaj khawm thiab khov kho nias lub koob tshuaj kom txog thaum nws nres kiag li.

    Txhawm rau nkag mus rau tag nrho cov tshuaj, tuav lub koob tshuaj thiab maj mam suav rau 5.

    Tshem rab koob tawm hauv qab daim tawv nqaij.

    Lus khaws xav : Txheeb xyuas thiab xyuas kom tseeb tias koj pom tus lej "0" hauv lub qhov ntsuas qhov ntsuas tshuaj, kom paub meej tias koj tau nkag mus rau tag nrho cov tshuaj.

    Ua tib zoo muab lub hau ntim rau ntawm rab koob.

    Nco tseg: Tshem tawm rab koob tom qab txhua qhov kev txhaj tshuaj tiv thaiv kom tsis txhob muaj cua npuas los nkag rau hauv lub taub hau.

    Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws.

    Tshem tawm rab koob nrog lub hau sab nraud ntawm nws thiab pov tseg nws raws li cov lus qhia ntawm koj tus kws kho mob.

    Muab lub hau tso rau ntawm tus cwj mem syringe, sib txuas lub hau txiav nrog lub koob taw qhia los ntawm kev thawb lub hau ntawm txoj kab ncaj nraim rau ntawm tus cwj mem syringe.

    Nthuav qhia 10 units (saib pic 4) 4) .

    Txawm hais tias cov lej raug luam tawm nyob rau hauv lub qhov ntsuas qhov ntsuas tshuaj yog cov lej, tus lej tsis raug luam tawm raws li txoj kab ncaj nruab nrab ntawm cov lej.

    Nco tseg: Lub tes tsho syringe yuav tsis tso cai rau koj los teev tus lej ntawm qhov muaj ntau tshaj li qhov muaj pes tsawg nyob rau hauv xaum xaum.

    Yog tias koj tsis paub tseeb tias koj tau txhaj tshuaj tag nrho, tsis txhob noj tshuaj ntxiv.

    Cawv rau lub peev xwm tsav transp. Wed thiab pluab.:

    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 hauv qhov xwm txheej uas qhov peev xwm tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb lossis kev siv tshuab).

    Cov neeg mob yuav tsum tau qhia rau 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, tus kws kho mob yuav tsum ntsuas qhov ua tau ntawm tus neeg mob tsav tsheb.

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

    10 ml ntawm cov tshuaj nyob rau hauv nruab nrab iav vials. 1 lub raj mis ua ke nrog cov lus qhia rau kev siv tshuaj raug muab tso rau hauv lub thawv ntawv thawv.

    3 ml rau hauv nruab nrab lub taub ntim iav. Tsib lub laub muab tso rau hauv lub hlwv. Ib qho blister nrog rau cov lus qhia rau kev siv yog muab tso rau hauv lub thawv ntawv thawv.

    Los yog daim thij daim muab ntim rau hauv QuickPen tm syringe mem. Tsib tus syringe cwjmem ua ke nrog cov lus qhia rau kev siv thiab cov lus qhia rau kev siv cov phwj syringe yog muab tso rau hauv cov thawv ntawv thawv.

    Nyob rau qhov kub ntawm 2 txog 8 ° C. Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov.

    Thib ob cov tshuaj Khaws nyob rau hauv chav tsev kub - los ntawm 15 txog 25 ° C rau tsis pub tshaj 28 hnub.

    Khaws tsis ncav cuag ntawm cov menyuam yaus.

    Tsis txhob siv tom qab hnub tas sij hawm.

    Cov nqe lus ntawm kev faib tawm los ntawm lub tsev muag tshuaj: Daim ntawv sau npe yuav tshuaj: 0 N013711 / 01 Hnub sau npe: 06.24.2011 Tus tswv ntawm daim ntawv pov thawj rau npe: Cov Lus Qhia П No. 013711/01

    Pauv lub npe ntawm qhov kev npaj:
    HUMULIN ® NPH

    Lub Npe Tsis Muaj Feem Uas Npe (INN):
    Isulin Insulin (Tib neeg Kev Tshawb Fawb Hauv Tshuab)

    Dosage daim ntawv
    Ncua rau lub subcutaneous thawj coj

    Kev piav qhia:
    Qhov kev tshem tawm dawb uas exfoliates, sib sau ua ib cov nag lossis daus dawb thiab ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

    Cov tshuaj pab pawg kho mob
    Tus neeg sawv cev hypoglycemic - nruab nrab-insulin.

    ATX code A10AC01.

    Cov chaw muag tshuaj
    Cov Tshuaj Hauv Tshuaj
    Humulin ® NPH yog tib neeg lub cev siv tshuaj tua kab mob 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 ntawm lub cev. Hauv cov leeg nqaij, muaj qhov nce ntawm cov ntsiab lus ntawm glycogen, fatty acids, glycerol, kev nce ntawm synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis tib lub sijhawm muaj glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.
    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

    Cov Tshuaj Pharmacokinetics
    Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (lub plab, ncej puab, pob tw), qhov koob tshuaj (ntim ntawm cov tshuaj insulin), qhov tshuaj ntawm cov tshuaj insulin hauv cov tshuaj, thiab lwm yam Nws tau faib tsis ncaj ntawm cov ntaub so ntswg, tsis hla qhov chaw tiv thaiv thiab nkag 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%).

    Kev ntsuas rau siv

  • Ntshav qab zib mellitus xav tau kev kho mob insulin.
  • Cev xeeb tub hauv cov neeg mob ntshav qab zib. Cov Yuav Tsum Tau Ua
  • Hypersensitivity rau insulin lossis rau ib qho ntawm cov tshuaj ntawm cov tshuaj.
  • Kev ntshav siab. Siv thaum 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. Tsuas tshuaj thiab tswj hwm
    Qhov koob tshuaj Humulin ® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib glycemia. Cov tshuaj yuav tsum tau muab tshuaj subcutaneously. Intramuscular thawj coj kuj tseem ua tau. Kev tswj hwm ntawm cov tshuaj Humulin ® NPH yog contraindicated.
    Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov. Txhaj tshuaj subcutaneous yuav tsum tau muab rau lub xub pwg, ncej puab, pob tw lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. Nrog kev tswj hwm ntawm subulinaneous ntawm insulin, kev saib xyuas yuav tsum tau saib xyuas 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. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej. Npaj rau kev qhia
    Ua ntej yuav siv, Humulin ® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm lub xib teg kaum npaug thiab tshee, tig 180 ° kuj kaum zaus kom txog thaum cov tshuaj insulin rov qab ua tiav kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug. Sab hauv txhua daim laub ntawv yog lub khob me me uas yooj yim tov cov tshuaj insulin. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov.
    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.
    Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tau paub koj tus kheej nrog cov kws tsim khoom cov lus qhia rau kev siv tus cwj mem-txhaj rau kev tswj hwm insulin. Sab sij huam
    Kev ntshav siab yog qhov tshwm sim zoo tshaj plaws uas tshwm sim nrog kev qhia ntawm insulin npaj, suav nrog Humulin ® NPH. Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab, tshwj tsis yog, tuag taus.
    Kev tsis haum tshuaj: cov neeg mob yuav tuaj yeem ua xua nyob rau hauv thaj chaw xws li daim tawv 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 tshuaj cev, tshwm sim los ntawm insulin, tshwm sim tsawg dua, tab sis muaj qhov 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 kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.
    Nrog lub caij nyoog siv - kev txhim kho yog ua tau lipodystrophy ntawm qhov chaw txhaj tshuaj. Noj ntau dhau
    Kev noj tshuaj ntau dhau ntawm cov tshuaj insulin ua rau ua rau lub ntsej muag ntshav qis, nrog rau cov tsos mob hauv qab no: qaug zog, tawm hws ntau dhau, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem.Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus ntau dua, cov tsos mob ntawm tus neeg mob qog ntshav ntawm lub qog ntshav qab zib tuaj yeem hloov pauv.
    Cov ntshav qab zib me me feem ntau tuaj yeem nres los ntawm kev noj cov piam thaj lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce. Kev kho cov ntshav qog ntshav nruab nrab tuaj yeem nqa tawm los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov xa mus rau carbohydrates. Cov teeb meem mob ntshav qab zib tsawg, nrog los ntawm kev tsis nco qab, ua kom huam mob hlwb lossis mob hlwb, raug tso tseg los ntawm kev siv tshuaj intramuscular / subcutaneous ntawm glucagon lossis kev tswj hwm ntshav ntawm cov tshuaj tov kua nplaum. Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia. Kev cuam tshuam nrog lwm yam tshuaj
    Kev nce ntxiv ntawm cov tshuaj insulin kuj yuav tsum tau yog cov tshuaj uas ua rau cov ntshav ntxiv nyob rau hauv ntshav, xws li tshuaj tiv thaiv qhov ncauj, glucocorticosteroids, thyroid hormones, danazol, beta 2 -adrenomimetics (piv txwv, ritodrin, salbutamol, terbutaline), thiazide diuretics, chlorprotixen, diazide isoniazid, lithium carbonate, nicotinic acid, phenothiazine derivatives. Txo cov tshuaj ntawm cov tshuaj insulin kuj yuav tsum tau yog tias cov ntshav qabzib-txo cov tshuaj tau tawm, xws li beta-blockers, ethanol thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv ntshav qab zib, salicylates (e.g., acetylsalicylic acid) , qee cov tshuaj tiv thaiv kab mob (monoamine oxidase inhibitors), angiotensin hloov mus rau enzyme inhibitors (captopril, enapril), octreotide, angiotensin receptor antagonists Nzina II.
    Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.
    Incompatibility Cov. Qhov cuam tshuam ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog tsiaj insulin lossis tib neeg insulin tsim los ntawm lwm cov tuam ntxhab tsis tau kawm. Cov lus qhia tshwj xeeb
    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. Kev hloov pauv ntawm cov kev ua ntawm lub hom (tus tsim khoom lag luam), hom (Tsis tu ncua, MOH, insulin ntawm keeb kwm tsiaj) tuaj yeem ua rau xav tau qhov kev xav tau 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 - cov mob ua ntej ntawm hypoglycemia thaum tswj hwm ntawm tib neeg cov insulin hauv qee cov neeg mob tej zaum yuav tsis tshua pom los yog txawv ntawm qhov pom thaum lub sijhawm saib xyuas tsiaj cov tsiaj. - Cov neeg siv tshuaj tiv thaiv ntawm cov ntshav qog ntshav qab zib, uas cov neeg mob yuav tsum paub txog. Cov tsos mob - cov mob ua ntej ntawm lub qog ntshav qog tuaj yeem hloov lossis tsawg dua nrog tus mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy lossis kev kho mob nrog cov tshuaj xws li beta-blockers txhaj tshuaj tsis txaus los sis tsis kam kho, tshwj xeeb tshaj yog rau cov neeg mob uas muaj ntshav qab zib ntshav qab zib mellitus, tuaj yeem ua rau mob ntshav qab zib thiab ketoacidosis tus neeg mob lub neej).
    Qhov xav tau rau insulin tuaj yeem txo nrog qhov tsis txaus ntawm adrenal caj pas ntawm lub caj pas pituitary lossis thyroid caj pas, nrog lub raum lossis hepatic insufficiency Hauv qee cov kab mob lossis nrog kev xav dhau los, qhov xav tau rau insulin yuav nce ntxiv.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. 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 hypoglycemia lossis nrog kev txhim kho hypoglycemia ntau zaus. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav tsum soj ntsuam qhov ua tau ntawm tus neeg mob tsav tsheb. Rau cov tshuaj hauv cartridges:
    Daim ntawv tso tawm
    Ncua rau lub subcutaneous tswj ntawm 100 IU / ml hauv 3 ml cartridges. 5 cartridges ib lub hlwv ntawm PVC / txhuas ntawv ci. Ib qho blister nrog rau cov lus qhia rau kev siv yog muab tso rau hauv lub thawv ntawv thawv.
    Cia rau cov neeg mob
    Khaws ntawm 2 ° -8 ° C hauv cov chaw me nyuam ncav tsis cuag. Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov. Ib qho yeeb tshuaj hauv kev siv hauv daim cartridge 3 ml yuav tsum khaws cia hauv chav kub li 15 ° -25 ° C rau tsis pub dhau 28 hnub.
    Sau B. Rau cov tshuaj nyob hauv rab koob txhaj tshuaj:
    Daim ntawv tso tawm
    Ncua rau kev rho tawm ntawm 100 IU / ml hauv ib 3 ml koob txhaj. 5 cov phwj ntim hauv ib lub tais yas nrog rau cov lus qhia txog kev siv tshuaj thiab cov lus qhia rau kev siv cov phwj syringe raug tso rau hauv lub thawv ntawv thawv.
    Cia rau cov neeg mob
    Khaws ntawm qhov kub ntawm 2-8 ° C nyob rau hauv cov chaw me me ncav cuag. Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov. Ib qho yeeb tshuaj hauv kev siv hauv ib rab koob 3 ml koob yuav tsum khaws cia nyob rau chav sov li 15-25 ° C rau tsis pub dhau 28 hnub.
    Sau B. Hnub tas sij hawm
    3 xyoos
    Tsis txhob siv tom qab hnub tas sij hawm. Cov Cai Siv Tshuaj So
    Los ntawm tshuaj. Lub npe thiab chaw nyob ntawm cov chaw tsim khoom
    "Lilly Fabkis S.A.S.", Fabkis
    "Lilly Fabkis S.A.S." Rue du Colonel Lilly, 67640 Fegersheim, Fab Kis
    "Lilly Fabkis S.A.S." Py ua Colonel Lilly, 67640 Fegersheim, Fab Kis Sawv cev nyob Xos Viav:
    Eli Lilly Vostok S.A., 123317, Moscow
    Krasnopresnenskaya embankment, 18

    Ya hauv lub cev.

    Tsis tas li ntawd, cov tshuaj yeeb tshuaj no yog tus cwj pwm los ntawm anabolic thiab anti-catabolic cuam tshuam rau qee cov ntaub so ntswg cov qauv ntawm tib neeg lub cev. Hauv cov leeg nqaij, muaj qhov nce ntawm glycogen, fatty acids, glycerol, nrog rau cov protein ua kom muaj zog ntau ntxiv thiab muaj ntau ntawm cov amino acids.

    Txawm li cas los xij, txo qis ntawm glycogenolysis, gluconeogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids tuaj yeem raug taug. Tsab ntawv xov xwm no piav qhia txhua yam txog cov tshuaj uas hloov rau cov tshuaj tua kabmob pancreatic hu ua Humulin, cov tshuaj tiv thaiv kab mob kuj tuaj yeem pom nyob ntawm no.

    Humulin yog insulin npaj zoo ib yam li tib neeg, uas yog pom los ntawm nruab nrab lub sijhawm ua haujlwm ntev.

    Raws li txoj cai, qhov pib ntawm nws cov nyhuv tau sau tseg 60 feeb tom qab kev tswj hwm ncaj qha. Qhov siab tshaj plaws ua tiav tau kwv yees li peb teev tom qab txhaj tshuaj. Lub sijhawm tiv thaiv yog ntawm 17 txog 19 teev.

    Cov tshuaj tseem ceeb ntawm cov tshuaj Humulin NPH yog isophan protamininsulin, uas yog kiag li tib neeg. Nws muaj lub sijhawm ua haujlwm nruab nrab. Nws yog ntawv ntawm.

    Raws li rau qhov ntau npaum ntawm cov tshuaj no, hauv txhua kis nws tau xaiv los ntawm tus kws kho mob tus kheej. Ntxiv mus, raws li txoj cai, qhov ntau ntawm Humulin NPH nyob ntawm kev noj qab haus huv ntawm tus neeg mob.

    Nws kuj yuav tsum tau muab tshuaj rau hauv kom muaj nuj nqis ntau thaum siv tshuaj tiv thaiv qhov ncauj, nrog rau cov thyroid hormones.

    Tab sis kom txo tau qhov ntau npaum li cas ntawm cov insulin analogue, qhov no yuav tsum tau ua nyob rau hauv rooj plaub uas tus neeg mob mob raum lossis.

    Tsis tas li, qhov kev xav tau rau kev ua kom zoo li qub lawm pancreatic hormone tsawg dua thaum noj nrog MAO inhibitors, thiab beta-blockers.

    Ntawm cov kev mob tshwm sim, feem ntau cov cim qhia yog qhov tseem ceeb txo qis hauv cov roj hauv cov nqaij mos. Qhov tshwm sim no hu ua lipodystrophy. Tsis tas li, feem ntau, cov neeg mob nco ntsoov cov tshuaj insulin (qhov tsis tiav ntawm kev cuam tshuam rau kev tswj hwm insulin) thaum siv cov tshuaj no.

    Tab sis kev siv tshuaj tiv thaiv tsis haum rau qhov muaj tshuaj ntawm kev ua haujlwm tsis xyaum. Qee zaum cov neeg mob tshaj tawm qhia txog muaj kev fab phiv ntau dhau los ntawm daim tawv nqaij khaus.

    Humulin Tsis tu ncua muaj cov cim suab hypoglycemic. Tus nquag ua hauj lwm yog insulin. Nws yuav tsum nkag mus rau hauv lub xub pwg, ncej puab, pob tw los sis plab. Ob leeg ua intramuscular thiab leeg coj yog ua tau.

    Raws li rau qhov tsim nyog koob tshuaj ntawm cov tshuaj, nws yog txiav txim siab tsuas yog tus kheej los ntawm tus kheej mus koom kws kho mob. Qhov ntau ntawm Humulin yog xaiv nyob ntawm cov piam thaj hauv cov ntshav hauv cov ntshav.

    Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov ntsuas kub ntawm cov khoom siv tswj hwm yuav tsum muaj kev xis nyob. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib thaj chaw siv tsis ntau tshaj ib zaug txhua 30 hnub.

    Raws li koj paub, cov tshuaj hauv nqe lus nug raug tso cai muab tshuaj ua ke nrog Humulin NPH. Tab sis ua ntej ntawd, koj yuav tsum tau kawm hauv cov lus qhia kom ntxaws rau ob lub insulins no.
    Cov tshuaj no tau qhia rau kev siv nrog cov tshuaj insulin, (tsis nco qab, uas yog tus yam ntxwv ntawm lub cev tsis muaj qhov tshwm sim rau qee yam kev xav, uas tshwm sim vim qhov siab tshaj plaws), zoo li hauv kev npaj ntawm tus neeg mob kev txom nyem los ntawm qhov kev cuam tshuam endocrine rau kev phais mob.

    Nws kuj tseem raug kho rau kev raug mob thiab kis kab mob kis tau zoo hauv cov neeg mob ntshav qab zib.

    Raws li rau qhov kev txiav txim pharmacological, cov tshuaj yog cov tshuaj insulin, uas yog zoo tib yam rau tib neeg. Nws yog tsim ntawm qhov siv tau cov ntawv tso tseg DNA.

    Nws muaj qhov tseeb amino acid series ntawm tib neeg pancreatic hormone. Raws li txoj cai, cov tshuaj yog tus yam ntxwv luv luv. Thaum pib ntawm nws cov txiaj ntsig zoo raug pom tau kwv yees li ib nrab ib teev tom qab kev tswj hwm ncaj qha.

    Humulin M3 yog ib qho muaj zog thiab muaj txiaj ntsig hypoglycemic tus neeg sawv cev, uas yog kev sib txuas ntawm cov insulins luv thiab nruab nrab.

    Lub hauv paus tseem ceeb ntawm cov tshuaj yog kev sib xyaw ntawm tib neeg cov tshuaj insulin thiab kev ncua ntawm isofan insulin. Humulin M3 yog DNA tso tawm tib neeg cov kua dej ntawm cov tshuaj nruab nrab ntev. Nws yog qhov kev tshem tawm biphasic.

    Lub txiaj ntsig tseem ceeb ntawm cov tshuaj yog kev cai ntawm kev ua pa metabolism. Tsis tas li ntawd, cov tshuaj no muaj cov nyhuv anabolic zoo heev. Hauv cov leeg nqaij thiab lwm cov nqaij ntawm cov nqaij (tshwj tsis yog lub hlwb), cov tshuaj insulin provokes thauj cov ntshav qabzib thiab cov amino acids nrawm nrawm, nce mus rau protein anabolism.

    Pancreatic hormone pab hloov cov piam thaj rau daim siab glycogen, inhibits gluconeogenesis, thiab txhawb kev hloov pauv ntawm cov piam thaj ntau dhau mus ua lipids.

    Humulin M3 yog qhia rau kev siv kab mob thiab kev mob ntawm lub cev, xws li:

    • ntshav qab zib mellitus nyob rau hauv lub xub ntiag ntawm qee yam qhia rau sai,
    • thawj kuaj mob ntshav qab zib mellitus,
    • nrog cov kab mob endocrine no ntawm hom ob (uas tsis yog-insulin-tiv thaiv).

    Cov yam ntxwv sib txawv

    Cov yam ntxwv sib txawv ntawm cov ntawv sib txawv ntawm cov tshuaj:

    • Humulin NPH Cov. Nws yog rau qeb ntawm nruab nrab-ua yeeb yam insulins.Ntawm cov tshuaj ntev heev uas ua los hloov chaw rau tib neeg tus kabmob pancreatic, cov tshuaj hauv nqe lus nug yog tshuaj rau cov neeg mob ntshav qab zib. Raws li txoj cai, nws qhov kev txiav txim pib 60 feeb tom qab tswj hwm ncaj qha. Thiab cov txiaj ntsig siab tshaj plaws yog pom tom qab 6 teev. Ntxiv rau, nws kav ntev txog 20 teev nyob rau hauv ib kab. Feem ntau, cov neeg mob siv ntau qhov kev txhaj tshuaj ib zaug vim yog kev ncua ntev hauv kev ua ntawm cov tshuaj no,
    • Humulin M3 Cov. Nws yog tshwj xeeb sib xyaw ntawm cov yeeb yam luv luv. Cov peev nyiaj no muaj cov txheej txheem ntawm lub sijhawm ntev NPH-insulin thiab pancreatic hormone ntawm ultrashort thiab kev txiav txim luv,
    • Humulin Tsis tu ncua Cov. Nws yog siv thaum nyuam qhuav pib paub qhov mob. Raws li koj paub, nws tuaj yeem siv siv txawm tias cov poj niam cev xeeb tub. Cov tshuaj no zwm rau qeb ntawm cov tshuaj hormones ultrashort. Nws yog cov pab pawg no uas ua kom muaj kev cuam tshuam sai thiab txo cov ntshav qab zib kom sai. Siv cov khoom ua ntej noj mov. Qhov no tau ua tiav kom txoj kev zom zaub mov pab kom nrawm rau qhov nqus ntawm cov tshuaj sai li sai tau. Cov tshuaj hormones ntawm kev ua sai npaum li cas tuaj yeem coj ntawm qhov ncauj. Tau kawg, lawv yuav tsum xub raug coj mus rau lub xeev ua kua.

    Nws yog ib qho tseem ceeb kom nco ntsoov tias lub ntsej muag luv luv-ua yeeb yam insulin muaj qhov txawv txav hauv qab no:

    • nws yuav tsum tau noj sijhawm li 35 feeb ua ntej noj mov,
    • rau qhov pib ntawm cov nyhuv, koj yuav tsum nkag mus rau cov tshuaj los ntawm kev txhaj tshuaj,
    • nws yog feem ntau tau muab tshuaj subcutaneously hauv plab,
    • Kev siv tshuaj yaj yeeb yuav tsum ua tom qab noj mov tom qab txhawm rau txhawm rau kom txo tau qhov feem ntau ntawm kev tshwm sim

    Dab tsi yog qhov txawv ntawm Humulin NPH insulin thiab Rinsulin NPH sib txawv?

    Humulin NPH yog ib qho piv txwv ntawm tib neeg cov tshuaj insulin. Rinsulin NPH kuj zoo ib yam rau tib neeg pancreatic hormone. Dab tsi yog qhov txawv ntawm ob?

    Nws yog tsim nyog sau cia tias lawv tseem ob leeg nyob rau hauv qeb ntawm cov tshuaj ntawm nruab nrab lub sijhawm ntawm kev ua. Qhov sib txawv ntawm ob hom tshuaj no yog tias Humulin NPH yog cov tshuaj txawv teb chaws, thiab Rinsulin NPH yog tsim nyob rau hauv Russia, yog li nws tus nqi yog qis dua.

    Chaw tsim tshuaj paus

    Humulin NPH tsim tawm hauv tebchaws Czech, Fab Kis, thiab UK. Humulin Tau Los Nyob Hauv Tebchaws Asmeskas. Humulin M3 tsim tawm hauv Fabkis.

    Raws li tau sau tseg ua ntej, Humulin NPH yog hais txog cov tshuaj ntawm lub sijhawm nruab nrab. Humulin Qhov tsis tu ncua tau muab cais ua ultra-luv-ua yeeb yam. Tab sis Humulin M3 tau faib ua cov tshuaj insulin nrog cov nyhuv luv luv.

    Txhawm rau xaiv cov duab xoo tsim nyog ntawm pancreatic hormone yuav tsum tsuas yog tus kheej endocrinologist. Tsis txhob muab tshuaj rau tus kheej.

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    Txog hom insulin siv los kho ntshav qab zib hauv kev yees duab:

    Los ntawm tag nrho cov lus qhia hauv tsab xov xwm no, peb tuaj yeem xaus tias qhov kev xaiv ntawm qhov hloov uas tsim nyog tshaj rau cov tshuaj insulin, nws ntau npaum li cas thiab txoj kev noj haus yog nyob ntawm qhov muaj nqis ntawm ntau yam. Txhawm rau txiav txim siab qhov ua tau zoo tshaj plaws thiab nyab xeeb kev kho mob, koj yuav tsum hu rau tus kws kho mob tshwj xeeb txog tus mob endocrinologist.

    Qhov tshuaj insulin Humulin NPH: kev qhia, analogues, tshuaj xyuas

    1 ml muaj:

    yam tshuaj: neeg insulin 100 ME,

    tus zam: metacresol 1.6 mg, phenol 0.65 mg, glycerol (glycerin) 16 mg, protamine sulfate 0.348 mg, sodium hydrogen phosphate heptahydrate 3.78 mg, zinc oxide - qs los tsim zinc ions tsis pub tshaj 40 μg, 10% hydrochloric acid tov - qs rau pH 6.9-7.8, 10% sodium hydroxide tov - qs rau pH 6.9-7.8, dej rau kev txhaj tshuaj - txog li 1 ml.

    Qhov kev ncua yog dawb nyob rau hauv cov xim, uas exfoliates, sib sau ib cov dawb nag lossis daus thiab pob tshab - xim tsis muaj xim lossis yuav luag tsis muaj xim. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

    Pharmacotherapeutic pab pawg: tus neeg sawv cev hypoglycemic - insulin ntawm lub sijhawm nruab nrab ntawm kev nqis tes ua ATX: & nbsp

    A.10.A.C Qhov nruab nrab ntev insulins thiab lawv analogues

    Humulin® NPH yog DNA muab cov tshuaj insulin rau tib neeg.

    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, kev nce ntawm synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis tib lub sijhawm muaj glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.

    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

    Pharmacokinetics: Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (plab, caj pas, pob tw), koob tshuaj (ntim ntawm txhaj tshuaj insulin), cov tshuaj insulin nyob rau hauv cov tshuaj, thiab lwm yam. Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab hauv lub raum. Nws yog tawm los ntawm lub raum (30-80%). Kev Taw Qhia:

    - Mob ntshav qab zib mellitus xav tau kev kho tshuaj insulin,

    - mob ntshav qab zib thaum cev xeeb tub.

    Hypersensitivity rau insulin los yog rau ib qho ntawm cov tshuaj ntawm cov tshuaj,

    Cev xeeb tub thiab lactation:

    Thaum cev xeeb tub, nws yog qhov tseem ceeb heev kom tswj tau zoo glycemic tswj hauv cov neeg mob tau txais kev kho mob insulin. 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.

    Muab thiab kev coj:

    Cov koob tshuaj ntawm Humulin® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus raws li kev saib xyuas ntawm cov piam thaj hauv cov ntshav.

    Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.

    Kev txhaj tshuaj subcutaneous yuav tsum ua rau ntawm xub pwg, ncej puab, pob tw lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. Nrog kev tswj hwm ntawm subulinaneous ntawm insulin, kev saib xyuas yuav tsum tau saib xyuas 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.

    Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

    Npaj rau kev tswj hwm rau Humulin® NPH hauv vials

    Ua ntej yuav siv, Humulin® NPH vials yuav tsum tau muab ob peb zaug ntawm lub xib teg kom txog thaum cov tshuaj insulin rov qab ua kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug.

    Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov. Tsis txhob siv cov tshuaj insulin yog tias cov khoom dawb dawb lo rau hauv qab lossis phab ntsa ntawm lub thawm, tsim cov nyhuv ntawm tus qauv khov.

    Siv cov tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

    Rau Humulin® NPH hauv daim cartridges

    Ua ntej yuav siv, Humulin® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm xib teg kaum npaug thiab tshee, tig mus rau 180 ° kuj kaum zaus kom txog thaum cov tshuaj insulin tawm mus kom txog thaum nws dhau los ua homogeneous turbid kua lossis kua mis. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug. Sab hauv txhua tus cartridge yog ib qho me me. iav pob uas ua kom muaj kev sib xyaw ntawm cov tshuaj insulin. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov.

    Lub cartridge ntaus ntawv tsis tso cai rau kev sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha rau hauv daim cartridge nws tus kheej: daim cartridges tsis yog npaj rau kom rov ntim khoom.

    Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tau paub koj tus kheej nrog cov kws tsim khoom cov lus qhia rau kev siv cov koob txhaj tshuaj rau kev tswj cov tshuaj insulin.

    Rau cov tshuaj Humulin ®NPH hauv cov hno ceev

    Ua ntej kev txhaj tshuaj, koj yuav tsum nyeem QuickPen ™ Syringe Pen Cov Lus Qhia rau Siv.

    Kev ntshav siab yog qhov tshwm sim zoo tshaj plaws uas tshwm sim nrog kev qhia ntawm insulin npaj, suav nrog Humulin ® NPH. Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab, tshwj tsis yog, tuag taus.

    Kev ua xua tsis haum : Cov neeg mob tuaj yeem ua rau muaj kev tsis haum tshuaj nyob rau hauv thaj chaw ntawm daim ntawv ntawm hyperemia, edema, 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 tshwm sim los ntawm insulin, tshwm sim tsawg dua, tab sis muaj qhov 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 kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.

    Nrog lub caij nyoog siv - kev txhim kho yog ua tau lipodystrophy ntawm qhov chaw txhaj tshuaj.

    Cov kab mob ntawm kev txhim kho ntawm edema tau pom, feem ntau nrog kev ceev nrawm ntawm cov ntshav qabzib concentration tiv thaiv keeb kwm yav dhau los ntawm kev siv tshuaj insulin ntau nrog kev pib tsis txaus siab glycemic tswj (saib ntu "Cov Lus Qhia Tshwj Xeeb").

    Kev noj tshuaj ntau dhau ntawm cov tshuaj insulin ua rau cov ntshav tsis tuaj yeem, nrog cov hauv qab no cov tsos mob : qaug zog, tawm hws ntau dhau, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem. Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus, cov tsos mob, cov xwm txheej ua ntej ntawm hypoglycemia, tuaj yeem hloov pauv.

    Cov ntshav qog ntshav qis feem ntau koj tuaj yeem nres los ntawm kev noj cov piam thaj lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce.

    Kev kho cov ntshav qab zib tsawg tuaj yeem nqa tawm ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov carbohydrates.

    Mob ntshav qab zib tsawg nrog los ntawm coma, convulsions los yog neurological ntshawv siab, nres los ntawm intramuscular / subcutaneous tswj hwm ntawm glucagon los yog tso ntshav kev tswj hwm ntawm ib tug concentrated 40% daws ntawm dextrose (qabzib). Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia.

    Yog tias koj xav siv lwm yam tshuaj, ntxiv rau cov tshuaj insulin, koj yuav tsum sab laj nrog koj tus kws kho mob (saib nqe lus "Cov lus qhia tshwj xeeb").

    Kev nce ntxiv ntawm cov tshuaj insulin tej zaum yuav tsum muaj nyob rau ntawm qhov kev teem caij ntawm cov tshuaj uas ua rau muaj kev nce siab ntxiv ntawm cov piam thaj hauv cov ntshav, xws li : tshuaj noj hauv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, beta 2 -adrenomimetics (e.g. ritodrin, terbutaline), thiazide diuretics, diazoxide, phenothiazine derivatives.

    Txo cov koob tshuaj insulin tej zaum yuav xav tau thaum sau tshuaj uas txo qis cov ntshav qabzib hauv cov ntshav, xws li : beta-blockers, thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv kab mob hypoglycemic, salicylates (piv txwv), tshuaj tua kab mob sulfanilamide, qee cov tshuaj tiv thaiv kab mob (monoamine oxidase inhibitors), angiotensin inhibitors, thiab angiotensin inhibitors. Beta-blockers, clonidine, tuaj yeem npog cov tsos mob ntawm cov kev mob qog ntshav qab zib.

    Qhov cuam tshuam ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog insulin ntawm tsiaj keeb kwm lossis tib neeg cov kua dej los ntawm lwm cov tuam ntxhab tsis tau kawm.

    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. Hloov hauv kev ua, hom (chaw tsim khoom), hom (tsis tu ncua, NPH, thiab lwm yam) ntawm hom (tsiaj, tib neeg, tib neeg cov tshuaj insulin) thiab / lossis txoj kev tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) yuav tsum tau hloov kho koob.

    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 cov normalization ntawm qabzib nyob hauv cov ntshav.

    piv txwv li, qhov txiaj ntsig los ntawm kev kho mob insulin ntau dua, txhua yam lossis qee cov tsos mob ntawm kev tuaj yeem ua ntej ntawm hypoglycemia yuav ploj, uas cov neeg mob yuav tsum tau qhia txog. Cov tsos mob ua ntej ntawm lub ntsej muag hypoglycemia tuaj yeem hloov lossis tsis tau hais tawm nrog lub sijhawm ntev ntawm tus mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy, lossis kho nrog tshuaj xws li beta-blockers.

    Kev noj tshuaj tsis txaus lossis tsis ncua kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib, tuaj yeem ua rau mob hyperglycemia thiab ntshav qab zib ketoacidosis (mob uas yuav ua rau tuag taus rau tus neeg mob).

    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 siv cov tshuaj insulin nyob rau hauv kev sib xyaw nrog cov tshuaj ntawm thiazolidinedione pab pawg, qhov kev pheej hmoo ntawm kev txhim kho edema thiab mob plawv sai dua, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob ntawm cov hlab plawv thiab muaj cov kev pheej hmoo ua rau mob plawv tsis ua haujlwm.

    QUICKPEN ™ SYRINGE TES

    Humulin® Kev Nres QuickPen ™,Humulin® NPH QuickPen ™,Humulin® M3 QuickPen ™

    SYRINGE TES TAW QHIA RAU INSULIN

    THOV NYEEM NYEEM cov lus qhia ua ntej siv

    Cwj mem ceev ceev cwj mem tau yooj yim siv. Nws yog cov cuab yeej siv los tswj cov tshuaj insulin (ib qho "insulin syringe mem") muaj 3 ml (300 units) ntawm kev npaj tshuaj insulin nrog ib qho dej ntawm 100 IU / ml. Koj tuaj yeem hno ntawm 1 txog 60 units ntawm insulin rau ib zaug txhaj. Koj tuaj yeem tsim koob tshuaj nrog qhov tseeb ntawm ib chav. Yog tias koj tau teeb tsa ntau cov koog. Koj tuaj yeem kho qhov koob tshuaj yam tsis poob los ntawm insulin.

    Ua ntej siv QuickPen cwj mem kua muag, nyeem phau ntawv no kiag thiab ua raws nws cov lus qhia kom raug. Yog tias koj tsis ua raws li tag nrho cov lus qhia no, koj yuav tau txais cov tshuaj insulin tsawg dhau los yog siab dhau.

    Lub QuickPen Syringe Cwj mem rau insulin yuav tsum tsuas yog siv los ntawm koj. Tsis txhob kis tus cwj mem los yog rab koob rau lwm tus, vim qhov no yuav ua rau kis tus kab mob. Siv ib rab koob tshiab rau txhua txoj kev txhaj tshuaj.

    TSIS TXHOB SIV cov xaum xaum hluav taws xob yog ib qho ntawm nws qhov chaw raug puas tsuaj lossis tawg. Yuav tsum tau xaum ib qho xaum xoob xoob uas siv thaum siv xaum xaum los yog nws puas ntsoog.

    Cwj mem ceev ceev Kev npaj

    Nyeem thiab ua raws cov lus qhia rau kev siv piav qhia hauv cov lus qhia rau kev siv tshuaj.

    Kuaj daim ntawv lo rau ntawm lub phwj qhwv ua ntej txhua yam kev txhaj tshuaj kom paub tseeb tias hnub tas sij hawm ntawm cov tshuaj tsis tau tas sij hawm thiab koj siv hom insulin tseeb, tsis txhob tshem daim ntawv lo los ntawm tus cwj mem syringe.

    Lus khaws xav : Cov xim ntawm lub khawm tso nrawm dua rau QuickPen syringe cwj mem sib haum xim ntawm cov xim ntawm daim phiaj xim ntawm daim duab lo thiab daim ntawv nyob ntawm hom tshuaj insulin. Hauv phau ntawv no, khawm koob tshuaj yog grayed tawm. Beige xim ntawm QuickPen syringe cwj mem lub cev qhia tau tias nws yog npaj rau siv nrog cov khoom Humulin.

    Koj tus kws kho mob tau sau hom tshuaj insulin uas haum rau koj tshaj plaws. Ib qho kev pauv twg hauv kev kho tshuaj insulin yuav tsum tau ua yog nyob ntawm kev saib xyuas ntawm kws kho mob nkaus xwb.

    Ua ntej siv cov koob txhaj syringe, nco ntsoov tias rab koob tau txuas nrog lub xias nqus.

    Ua raws cov lus qhia tom qab no.

    Cov lus nquag nug txog kev npaj QuickPen Syringe Cwj mem rau kev siv

    - Kuv qhov kev npaj insulin yuav tsum zoo li cas? Qee qhov insulin npaj yog turbid kev ncua, thaum lwm tus yog cov kev daws teeb meem meej, nco ntsoov nyeem cov lus piav qhia ntawm insulin hauv daim ntawv Cov lus qhia rau kev siv.

    - Kuv yuav ua li cas yog tias kuv cov tshuaj noj kom siab dua 60 units? Yog tias qhov koob tshuaj uas tau muab rau koj yog siab dua 60 units, koj yuav tsum tau txhaj koob thib ob, lossis koj tuaj yeem tiv tauj koj tus kws kho mob txog qhov teebmeem no.

    - Vim li cas kuv yuav tsum siv rab koob tshiab rau txhua txoj kev txhaj tshuaj? Yog tias cov koob tau rov qab siv dua, koj tuaj yeem tau txais cov koob tshuaj tsis yog lawm, koob yuav dhau los, lossis koob txhaj tshuaj yuav txhaws, lossis koj yuav raug kis vim tias muaj teeb meem ua kom menyuam yaus.

    - Kuv yuav ua li cas yog tias kuv tsis paub meej tias cov insulin tshuav ntau npaum li cas nyob hauv kuv lub thawv ntawv ? Muab cov tes rub kom lub taub ntawm rab koob taw thiaj poob. Cov nplai ntawm cov neeg lim hle hauv ntshiab qhia pom tias kwv yees li ntawm cov ntsuas ntawm insulin ntxiv. Cov zauv no TSIS TXHOB siv los teem lub koob tshuaj.

    "Kuv yuav ua dab tsi yog tias kuv tsis tuaj yeem hle lub hau tawm ntawm rab koob txhaj tshuaj?" Txhawm rau kom tshem lub hau, rub rau nws. Yog tias koj muaj teeb meem hle lub hau, ua tib zoo tig lub hau moos thiab moos kom nws tso nws, ces rub nws kom hle lub hau.

    Kuaj xyuas QuickPen Syringe Cwj mem rau Insulin

    Kuaj koj cov insulin kom tsawg txhua zaus. Kev kuaj xyuas cov tshuaj insulin xa tawm los ntawm rab koob txhaj tshuaj yuav tsum tau ua ua ntej txhua qhov kev txhaj tshuaj kom txog thaum lub qhov ncauj me me ntawm insulin tshwm sim kom paub tseeb tias cov kua mem yog npaj rau cov koob tshuaj.

    Yog tias koj tsis kuaj koj cov insulin kom tsawg ua ntej qhov trickle tshwm, koj yuav tau txais insulin ntau dhau los yog ntau dhau.

    Cov Lus Nquag Nug Txog Kev Ntsuas Cov Insulin

    - Vim li cas kuv thiaj yuav tsum kuaj xyuas kuv cov tshuaj insulin ua ntej txhua qhov txhaj tshuaj?

    1. Qhov no nco ntsoov tias tus cwj mem tau npaj txhij rau koob tshuaj.

    2. Qhov no ua pov thawj tias qhov ua kom yuam kev ntawm insulin los tawm ntawm rab koob thaum koj nias lub koob tshuaj.

    3.Qhov no tshem tawm cov cua uas tuaj yeem sau hauv rab koob lossis insulin daim cartridge thaum siv.

    - Kuv yuav ua li cas yog tias kuv tsis tuaj yeem nias lub pob koob tshuaj thaum lub sijhawm QuickPen's insulin kuaj?

    1. Rhais ib rab koob tshiab.

    2. Txheeb tshuaj insulin los ntawm tus cwj mem.

    "Kuv yuav ua li cas yog tias kuv pom cov pa hauv lub thawv?"

    Koj yuav tsum kuaj xyuas cov tshuaj insulin los ntawm tus cwj mem. Nco ntsoov tias koj tsis tuaj yeem khaws cov xaum xaum xaum nrog lub koob uas txuas rau nws, vim qhov no tuaj yeem ua rau kom muaj huab cua npuas hauv lub thawv ntim tshuaj insulin. Cov pa npuas me me tsis cuam tshuam rau qhov koob tshuaj, thiab koj tuaj yeem nkag rau koj cov tshuaj raws li ib txwm muaj.

    Cov kev qhia ntawm koob tshuaj uas tsim nyog

    Ua raws li kev cai ntawm asepsis thiab tshuaj tua kab mob uas koj tus kws kho mob pom zoo.

    Nco ntsoov nkag mus rau qhov yuav tsum tau txhaj uas yog nias thiab tuav lub koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob. Yog tias cov kua dej tawm los ntawm rab koob, feem ntau koj tsis tau tuav rab koob hauv qab koj daim tawv ntev ntev.

    Txo qhov ntxig ntawm qhov ntxig ntawm lub qhov ntswg yog qhov ib txwm. Qhov no yuav tsis cuam tshuam rau koj cov koob tshuaj.

    Lub taub ntim koob txhaj tshuaj yuav tsis tso cai rau koj los kos ib lub koob tshuaj ntau dua li ntawm cov lej ntawm cov tshuaj insulin nyob hauv daim ntim taub hau.

    Yog tias hauv kev poob siab tias koj tau muab tshuaj tag nrho, tsis txhob muab rau lwm lub tshuaj. Hu rau koj tus sawv cev Lilly lossis mus ntsib kws kho mob kom tau kev pab.

    Yog tias koj cov tshuaj ntau dua cov lej nyob hauv daim cartridge, koj tuaj yeem sau cov tshuaj insulin nyob hauv tus cwj mem no thiab tom qab ntawd siv tus cwj mem tshiab los ua kom tiav kev tswj hwm ntawm cov koob xav tau, LOSSIS nkag rau tag nrho cov koob tshuaj siv tus cwj mem tshiab.

    Tsis txhob sim txhaj tshuaj insulin los ntawm kev hloov lub pob tshuaj. Koj yuav TSIS TAU tshuaj insulin yog tias koj tig lub pob tshuaj. Koj yuav tsum nias lub koob txhaj tshuaj rau hauv txoj kab ncaj ncaj kom tau txais koob tshuaj ntawm cov tshuaj insulin.

    Tsis txhob sim hloov cov tshuaj ntawm cov tshuaj insulin thaum txhaj tshuaj.

    Qhov siv koob yuav tsum tau muab pov tseg kom raws li cov kev pov tseg kho mob hauv zos.

    Tshem tawm rab koob tom qab txhua hno tshuaj.

    Koob Tshuaj Nug Txog

    - Vim li cas nws thiaj li nyuaj nias lub khob tshuaj, thaum kuv sim tau txhaj?

    1. Koj rab koob yuav txhaws tau. Sim txuas cov koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob. Tom qab ntawv xyuas tus cwj mem rau cov tshuaj insulin.

    2. Kev nias ceev ntawm lub koob tshuaj khawm tuaj yeem ua rau lub pob nyem. Kev qeeb qeeb nias lub koob txhaj tshuaj tuaj yeem ua rau nias yooj yim dua.

    3. Kev siv lub taub loj dua yuav ua kom yooj yim nias lub pob koob txhaj thaum lub sijhawm txhaj.

    Nrog koj tus kws kho mob tham txog seb rab koob xev twg thiaj zoo rau koj.

    4. Yog tias nias lub pob thaum tswj hwm qhov koob tshuaj tseem nruj tom qab ua tiav tag nrho cov ntsiab lus saum toj saud, tom qab ntawv cov xaum xias yuav tsum tau hloov.

    - Kuv yuav ua li cas yog tias tus cwj mem Quick syringe lo thaum siv?

    Koj tus cwj mem yuav daig yog tias nws nyuaj rau kev txhaj tshuaj lossis teeb tshuaj. Txhawm rau tiv thaiv tus xaum xim los ntawm kev lo:

    1. Rhais ib rab koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob.

    2. Tshawb xyuas cov tshuaj insulin.

    3. Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

    Tsis txhob sim ntub cov koob txhaj tshuaj, vim tias qhov no yuav ua kev puas tsuaj ntawm koob txhaj tshuaj.

    Nias lub pob koob tshuaj yuav ua tau nruj yog tias muaj teeb meem txawv teb chaws (av, plua plav, zaub mov, insulin lossis lwm yam kua) nkag hauv qab tus cwj mem. Tsis txhob cia impurities nkag mus hauv cov xaum xim.

    - Vim li cas cov tshuaj insulin ntws tawm ntawm rab koob tom qab kuv tau ua tiav kev noj tshuaj rau kuv?

    Tej zaum koj yuav tau tshem rab koob sai dhau ntawm daim tawv.

    1.Nco ntsoov tias koj pom tus naj npawb "0" hauv lub qhov rai qhov ntsuas qhov ntsuas.

    2. Txhawm rau tswj hwm qhov koob tshuaj tom ntej, nias thiab tuav lub pob koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob.

    - Kuv yuav ua dab tsi yog tias kuv cov koob tshuaj tau teeb tsa, thiab lub pob koob tshuaj dua tuaj txog sab hauv yog tias tsis muaj rab koob uas txuas nrog lub koob txhaj tshuaj?

    1. Tig lub pob tshuaj rov qab rau xoom.

    2. Rhais ib rab koob tshiab.

    3. Ua ib qho tshuaj insulin.

    4. Teem qhov koob tshuaj thiab hno.

    "Kuv yuav ua li cas yog tias kuv tau tsim cov koob tshuaj tsis yog (qis dhau lossis siab dhau)?" Tig lub khob tshuaj rov qab lossis txuas ntxiv kom kho qhov koob tshuaj.

    - Kuv yuav ua li cas yog tias kuv pom cov insulin tawm hauv lub tes tsho hauv lub tes tsho thaum xaiv los yog hloov kho dua? Tsis txhob noj ib qho tshuaj, zoo li koj yuav tsis tau txais koj cov tshuaj tag nrho. Teeb tus xaum xaum rau tus naj npawb xoom thiab rov tshawb xyuas cov tshuaj insulin los ntawm cov xaum xaum (saib ntu "Tshawb xyuas QuickPen syringe cwj mem rau Insulin Xa"). Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

    - Kuv yuav ua dab tsi yog tias tsim tsis tau kuv cov tshuaj tag nrho? Tus xaum xaum yuav tsis tso cai rau koj los tsim cov koob tshuaj ntau dhau ntawm cov lej ntawm cov insulin nyob hauv daim ntim taub hau. Piv txwv li, yog tias koj xav tau 31 units, thiab tsuas yog 25 units nyob hauv daim cartridge, ces koj yuav tsis tuaj yeem hla tus lej 25 thaum lub sijhawm nruab. Tsis txhob sim teeb tsa qhov koob los ntawm kev mus ntawm tus lej no. Yog tias cov koob tshuaj ib nrab tawm hauv tus cwj mem, ces koj tuaj yeem:

    1. Nkag mus rau ib nrab ntawm cov koob tshuaj no, thiab tom qab ntawd nkag mus rau lub koob tshuaj ntxiv uas yog siv tus cwj mem tshiab, lossis

    2. Tshaj tawm cov tshuaj tag nrho los ntawm cov kua mem tshiab.

    - Vim li cas kuv tsis tuaj yeem tsim koob tshuaj kom siv cov tshuaj insulin uas tsawg nyob hauv kuv lub taub hau? Lub koob txhaj tshuaj yog tsim los tso cai rau kev tswj hwm ntawm tsawg kawg 300 units ntawm insulin. Lub cuab yeej ntawm rab koob xaum hluav taws xob tiv thaiv lub pob txha taub los ntawm kev ua kom tiav, vim tias qhov tshuaj me me uas tseem nyob hauv daim cartridge tsis tuaj yeem raug txhaj nrog qhov tseeb uas tsim nyog.

    Cia thiab pov tseg

    Rab koob txhaj tshuaj tsis tuaj yeem siv yog tias nws tau nyob sab nraum lub tub yees rau ntau tshaj li lub sijhawm teev nyob hauv Cov Lus Qhia rau Siv.

    Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws. Yog tias rab koob raug tso rau hauv qhov txuas, cov insulin tuaj yeem tawm ntawm tus cwj mem, lossis insulin yuav qhuav hauv rab koob, ua rau rab koob txhaws, lossis cua npuas tuaj yeem tsim nyob rau hauv lub taub hau.

    Cov koob txhaj tshuaj uas siv uas tsis siv yuav tsum muab cia rau hauv tub yees ntawm qhov kub li 2 ° C txog 8 ° C. Tsis txhob siv cov xwj xem hluav taws xob yog tias nws tau khov.

    Daim ntaub qhwv uas koj siv tam sim no yuav tsum khaws cia rau qhov kub tshaj li 30 ° C thiab hauv qhov chaw tiv thaiv los ntawm kub thiab lub teeb.

    Xa mus rau cov lus qhia rau kev siv rau kev paub tiav nrog kev khaws cia cov qauv ntawm cov xaum xaum.

    Khaws cov xaum xaum kom deb ntawm qhov chaw ncav cuag ntawm cov menyuam.

    Muab cov koob txhaj tshuaj siv rau hauv cov ntaub ntawv pov thawj-pov thawj, cov thoob ntim rov qab (piv txwv, cov khoom ntim rau cov khoom siv tshuaj lom neeg lossis khib nyiab), lossis raws li kev pom zoo los ntawm koj tus kws kho mob.

    Cuam tshuam ntawm cov phwj uas siv tsis muaj koob uas txuas nrog lawv thiab ua raws li cov lus pom zoo ntawm koj tus kws kho mob.

    Tsis txhob ntim cov thawv ntim ntim rau hauv cov ntse ntim.

    Nug koj tus kws kho mob seb yuav ua li cas thiaj li muaj cov thoob ntim hauv cov thoob koj thaj tsam.

    Humulin® thiab Humulin® nyob hauv QuickPen-Syringe Pen yog cov cim lag luam ntawm Eli Lilly & Company.

    QuickPen ™ Syringe Cwjfwm raws li qhov muaj pes tsawg koob tshuaj thiab kev ua haujlwm zoo ntawm ISO 11608-1: 2000

    Nco ntsoov tias koj muaj cov feem hauv qab no:

    Pen Cwj mem ceev ceev

    Tshiab rab koob rau cov hlaws tes

    Swab ntub dej nrog cawv

    QuickPen Koob txhaj tshuaj thiab Cheeb Tsam Koob * (* Muag Cais), Caj mem Syringe - saib pic 3 .

    Xim Coding ntawm Koob Yees Duab - saib pic 2 .

    Kev siv tus cwj mem ib txwm siv

    Ua raws li cov lus qhia no kom ua tiav txhua kev txhaj tshuaj.

    1. Npaj ceev mem hluav taws xob

    Rub lub hau tawm ntawm rab tes xaum qhwv kom tshem nws. Tsis txhob kiv taub hau. Tsis txhob rub daim ntawv lo los ntawm cov xaum xim.

    Nco ntsoov xyuas koj cov insulin rau:

    Hnub tas sij hawm

    Saib xyuas: Nco ntsoov nyeem daim ntawv xaj txhua lub sijhawm kom paub tseeb tias koj siv hom tshuaj insulin.

    Txog kev tsim tawm cov kua dej tsuas yog:

    Maj mam muab cov koob txhaj tshuaj npuag 10 npaug ntawm koj xib teg

    tig lub cwj mem dhau 10 zaug.

    Kev sib xyaw xim tseem ceeb heev txhawm rau kom ntseeg tseeb tias tau txais qhov tshuaj yog. Cov tshuaj insulin yuav tsum saib zoo kom sib xyaw.

    Siv ib rab koob tshiab.

    Tshem daim ntawv nplaum tawm ntawm lub hau ntawm rab koob.

    Siv cov paj ntaws ntub dej cawv nrog cawv los so lub roj hmab disc ntawm qhov kawg ntawm lub thawv ntim.

    Muab rab koob tso rau hauv lub hau txoj cai ntawm txoj kab ntawm kev txhaj tshuaj tus cwj mem.

    Ntsia ntawm tus kab kom txog thaum siab txuas.

    2. Txheeb xyuas QuickPen Syringe Cwj mem rau Insulin

    Ceev faj: Yog tias koj tsis kuaj cov tshuaj insulin ua ntej txhua qhov kev txhaj tshuaj, koj tuaj yeem txais cov tshuaj insulin qis dhau los yog qis dhau.

    Tshem lub hau hau sab nraud. Tsis txhob muab pov tseg.

    Tshem lub hau ntawm lub hau thiab muab pov tseg.

    Teeb 2 chav nyob los ntawm kev hloov cov koob tshuaj khawm.

    Taw tes cwj mem.

    Coj mus rhaub rau ntawm lub laub cartridge kom tso pa tawm rau hauv

    Nrog rab koob taw qhov taw, nias lub khawm koob tshuaj kom txog thaum nws nres thiab tus lej "0" tshwm nyob rau hauv lub ntsuas qhov ntsuas.

    Tuav lub khawm koob tshuaj nyob rau hauv txoj haujlwm recessed thiab suav maj mam mus txog 5.

    Kev txheeb xyuas cov tshuaj insulin yog ua tiav thaum ua tiav cov tshuaj insulin thaum kawg ntawm rab koob.

    Yog tias qhov ua kom yuam kev ntawm insulin tsis tshwm sim thaum kawg ntawm rab koob, tom qab ntawv rov qab ua cov kauj ruam ntawm tshuaj insulin kom tsawg plaub zaug, pib txij li ntu 2B thiab xaus nrog point 2G.

    Nco tseg: Yog tias koj tsis pom kev tawm ntawm insulin tshwm sim los ntawm rab koob, thiab teeb tsa cov koob tshuaj yuav nyuaj, tom qab ntawd hloov lub koob thiab rov ua qhov ntsuas xyuas qhov insulin kom tsawg los ntawm cov xaum xaum.

    Tig lub pob tshuaj rau qhov ntau qhov koj xav tau kev txhaj tshuaj.

    Yog tias koj tau poob ntau chav nyob, koj tuaj yeem kho qhov koob tshuaj los ntawm kev hloov cov koob tshuaj khawm rau qhov tsis sib xws.

    Siv rab koob tso rau hauv qab ntawm daim tawv nqaij uas siv cov txheej txheem txhaj tshuaj uas koj tus kws kho mob pom zoo.

    Muab koj tus ntiv tes xoo tso rau ntawm lub koob tshuaj khawm thiab khov kho nias lub koob tshuaj kom txog thaum nws nres kiag li.

    Txhawm rau nkag mus rau tag nrho cov tshuaj, tuav lub koob tshuaj thiab maj mam suav rau 5.

    Tshem rab koob tawm hauv qab daim tawv nqaij.

    Lus khaws xav : Txheeb xyuas thiab xyuas kom tseeb tias koj pom tus lej "0" hauv lub qhov ntsuas qhov ntsuas tshuaj, kom paub meej tias koj tau nkag mus rau tag nrho cov tshuaj.

    Ua tib zoo muab lub hau ntim rau ntawm rab koob.

    Nco tseg: Tshem tawm rab koob tom qab txhua qhov kev txhaj tshuaj tiv thaiv kom tsis txhob muaj cua npuas los nkag rau hauv lub taub hau.

    Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws.

    Tshem tawm rab koob nrog lub hau sab nraud ntawm nws thiab pov tseg nws raws li cov lus qhia ntawm koj tus kws kho mob.

    Muab lub hau tso rau ntawm tus cwj mem syringe, sib txuas lub hau txiav nrog lub koob taw qhia los ntawm kev thawb lub hau ntawm txoj kab ncaj nraim rau ntawm tus cwj mem syringe.

    Nthuav qhia 10 units (saib pic 4) 4) .

    Txawm hais tias cov lej raug luam tawm nyob rau hauv lub qhov ntsuas qhov ntsuas tshuaj yog cov lej, tus lej tsis raug luam tawm raws li txoj kab ncaj nruab nrab ntawm cov lej.

    Nco tseg: Lub tes tsho syringe yuav tsis tso cai rau koj los teev tus lej ntawm qhov muaj ntau tshaj li qhov muaj pes tsawg nyob rau hauv xaum xaum.

    Yog tias koj tsis paub tseeb tias koj tau txhaj tshuaj tag nrho, tsis txhob noj tshuaj ntxiv.

    Cawv rau lub peev xwm tsav transp. Wed thiab pluab.:

    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 hauv qhov xwm txheej uas qhov peev xwm tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb lossis kev siv tshuab).

    Cov neeg mob yuav tsum tau qhia rau 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, tus kws kho mob yuav tsum ntsuas qhov ua tau ntawm tus neeg mob tsav tsheb.

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

    10 ml ntawm cov tshuaj nyob rau hauv nruab nrab iav vials. 1 lub raj mis ua ke nrog cov lus qhia rau kev siv tshuaj raug muab tso rau hauv lub thawv ntawv thawv.

    3 ml rau hauv nruab nrab lub taub ntim iav. Tsib lub laub muab tso rau hauv lub hlwv. Ib qho blister nrog rau cov lus qhia rau kev siv yog muab tso rau hauv lub thawv ntawv thawv.

    Los yog daim thij daim muab ntim rau hauv QuickPen tm syringe mem. Tsib tus syringe cwjmem ua ke nrog cov lus qhia rau kev siv thiab cov lus qhia rau kev siv cov phwj syringe yog muab tso rau hauv cov thawv ntawv thawv.

    Nyob rau qhov kub ntawm 2 txog 8 ° C. Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov.

    Thib ob cov tshuaj Khaws nyob rau hauv chav tsev kub - los ntawm 15 txog 25 ° C rau tsis pub tshaj 28 hnub.

    Khaws tsis ncav cuag ntawm cov menyuam yaus.

    Tsis txhob siv tom qab hnub tas sij hawm.

    Cov nqe lus ntawm kev faib tawm los ntawm lub tsev muag tshuaj: Tus lej sau npe: П N013711 / 01 Hnub sau npe: 06.24.2011 Tus tswv tsev daim ntawv pov thawj: Cov lus qhia

    Chaw tsim tshuaj paus: Eli Lilly, Eli Lilly

    Npe: Humulin NPH ®, Humulin NPH ®

    Muaj pes tsawg leeg: 1 ml muaj cov tshuaj nquag insulin 100 IU. Cov kev zam: m-Cresol distilled 1.6 mg / ml, glycerol, phenol 0.65 mg / ml, protamine sulfate, dibasic sodium phosphate, zinc oxide, dej rau txhaj, hydrochloric acid, sodium hydroxide.

    Pharmacological kev txiav txim: 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 tau zoo tshaj plaws yog nruab nrab ntawm 2 txog 8 teev, lub sijhawm ua haujlwm yog 18-20 teev .Txhua cov kev sib txawv ntawm cov tshuaj insulin yog nyob ntawm cov yam ntxwv xws li koob tshuaj, xaiv qhov chaw txhaj tshuaj, kev ua haujlwm ntawm tus neeg mob.

    Kev taw qhia rau kev siv: 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 noj tshuaj hauv lub qhov ncauj (kev kho mob sib xyaw), cov kab mob sib kis, kev phais mob (kev kho mob mono- lossis kev sib txuas ua ke), mob ntshav qab zib mellitus thaum cev xeeb tub (nrog kev kho mob tsis muaj txiaj ntsig )

    Txoj kev siv: Cov tshuaj yuav tsum tau muab tshuaj sc, tejzaum nws hauv / m kev qhia. Hauv / hauv kev qhia ntawm Humulin NPH yog contraindicated! Cov tshuaj SC tau muab rau lub xub pwg, ncej puab, pob tw los yog plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 hlis. Thaum s / mus rau kev taw qhia, yuav tsum tau saib xyuas kom tsis txhob nkag mus rau hauv cov hlab ntshav. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws.

    • Kev phiv cuam tshuam nrog cov nyhuv tseem ceeb ntawm cov tshuaj: hypoglycemia.
    • Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab (tshwj tsis yog qee tus neeg tuag).
    • Ua xua: muaj kev fab rau lub cev yog ua tau - hyperemia, tawm pob lossis khaus ntawm qhov chaw txhaj tshuaj (feem ntau tso tseg li ntawm ob peb hnub mus rau ntau lub lis piam), kev tiv thaiv kab mob tsis haum (tshwm sim tsawg dua, tab sis muaj dua) - ua pob khaus, ua tsis taus pa, ua pa luv , txo cov ntshav siab, ntshav nce siab, nce hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej.
    • Lwm yam: qhov ntxim nyiam ntawm kev txhim kho lipodystrophy yog qhov tsawg heev.

    Cov Tshuaj Tiv Thaiv: Kev ntshav siab. Hypersensitivity rau insulin lossis rau ib qho ntawm cov tshuaj ntawm cov tshuaj.

    Kev sib txuam tshuaj: Cov nyhuv hypoglycemic ntawm Humulin NPH txo qis los ntawm kev tiv thaiv qhov ncauj, corticosteroids, thyroid hormone npaj, thiazide diuretics, diazoxide, tricyclic antidepressants.

    Cov nyhuv hypoglycemic ntawm Humulin NPH yog txhim kho los ntawm qhov ncauj hypoglycemic tshuaj, salicylates (e.g. acetylsalicylic acid), sulfonamides, MAO inhibitors, beta-blockers, ethanol thiab ethanol uas muaj cov tshuaj.

    Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

    Cev xeeb tub thiab lactation: Thaum cev xeeb tub, nws yog ib qho tseem ceeb kom tswj tau glycemic zoo hauv cov neeg mob ntshav qab zib. Thaum cev xeeb tub, qhov xav tau rau cov tshuaj insulin feem ntau txo qis hauv thawj peb hlis thiab nce hauv qib thib ob thiab thib peb.

    Hauv cov neeg mob uas mob ntshav qab zib mellitus thaum lactation (pub niam mis), yuav tsum tau txhaj tshuaj kho cov tshuaj insulin, zaub mov noj, lossis ob qho tib si yuav tsum tau ua.

    Hauv kev tshawb fawb ntawm kev tshuaj lom neeg caj ces hauv cov tshuaj lom hauv vitro thiab hauv vivo, tib neeg cov tshuaj insulin tsis muaj qhov tshwm sim mutagenic.

    Cia rau cov neeg mob: Cov tshuaj yuav tsum muab cia rau hauv lub tub yees ntawm qhov kub txog 2 ° txog 8 ° C, zam kom tsis txhob muaj khoom khov, tiv thaiv los ntawm kev sib kis ncaj qha. Txee lub neej yog 2 xyoos.

    Ib qho yeeb tshuaj uas siv hauv lub vial lossis lub taub ntim cov taub yuav tsum cia nyob hauv chav sov (txog 15 ° txog 25 ° C) tsis pub dhau 28 hnub.

    Yeem: Hloov chaw ntawm tus neeg mob mus rau lwm hom insulin lossis kev npaj tshuaj insulin nrog cov npe lag luam txawv yuav tsum tshwm sim nyob rau hauv kev saib xyuas mob nkeeg nruj. Kev hloov pauv ntawm kev ua ub no ntawm insulin, nws hom (piv txwv li niaj zaus, M3), hom (kab mob, tib neeg insulin, tib neeg insulin, los yog cov qauv tsim tawm (DNA recombinant insulin lossis insulin ntawm keeb kwm tsiaj) yuav xav tau kev hloov kho koob tshuaj.

    Qhov xav tau koob tshuaj yuav tau siv nyob rau ntawm thawj coj thawj coj ntawm tib neeg cov tshuaj insulin tom qab npaj cov tshuaj insulin ntawm cov tsiaj keeb kwm los yog maj mam dhau ob peb lub lis piam lossis ntau lub hlis tom qab hloov.

    Kev noj tshuaj rau tus kheej tuaj yeem tsim kev phom sij rau koj kev noj qab haus huv.
    Nws yog ib qho tsim nyog yuav tsum sab laj tus kws kho mob, nrog rau nyeem cov lus qhia ua ntej siv.

    Humulin nph: cov lus qhia rau kev siv

    Hauv 1 ml ntawm kev ncua kev kawm muaj:

    cov tshuaj nquag - tib neeg cov insulin 100 IU / ml,

    kev zam: metacresol, glycerol (glycerin), phenol, protamine sulfate, sodium hydrogen phosphate, zinc oxide, dej rau kev txhaj tshuaj, hydrochloric acid daws 10% thiab / lossis sodium hydroxide tov 10% tuaj yeem siv hauv kev tsim khoom los tsim pH.

    Qhov kev tshem tawm dawb uas exfoliates, sib sau ua ib cov nag lossis daus dawb thiab ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

    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, kev nce ntawm synthesis protein thiab kev nce ntawm kev noj cov amino acids, tab sis muaj ib qho 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.

    Tsuas tshuaj thiab tswj hwm

    Cov koob tshuaj ntawm Humulin NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib glycemia. Cov tshuaj yuav tsum tau muab tshuaj subcutaneously. Intramuscular thawj coj kuj tseem ua tau.

    Kev tswj hwm ntawm cov tshuaj Humulin NPH yog contraindicated.

    Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov. Txhaj tshuaj subcutaneous yuav tsum tau muab rau lub xub pwg, ncej puab, pob tw lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. Nrog kev tswj hwm ntawm subulinaneous ntawm insulin, kev saib xyuas yuav tsum tau saib xyuas 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. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej. Npaj rau kev qhia

    Ua ntej yuav siv, Humulin NPH daim cartridges yuav tsum tau muab nruab nrab ntawm lub xib teg kaum npaug thiab tshee, tig mus rau 180 ° kuj kaum zaus kom txog thaum cov tshuaj insulin rov qab ua tiav kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug. Sab hauv txhua daim laub ntawv yog lub khob me me uas yooj yim tov cov tshuaj insulin. Tsis txhob siv cov tshuaj insulin yog tias nws muaj cereal tom qab nplawm.

    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. Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tau paub koj tus kheej nrog cov kws tsim khoom cov lus qhia rau kev siv tus cwj mem-txhaj rau kev tswj hwm insulin.

    Cov tshuaj insulin luv luv yuav tsum tau kos rau hauv cov koob txhaj ua ntej kom tsis txhob muaj cov insulin ua yeeb yam ntev ntev los ntawm kev ua paug cov ntsiab lus ntawm lub vial. Nws raug nquahu kom paub qhov kev npaj sib xyaw tom qab sib tov. Txhawm rau tswj hwm tus nqi tseeb ntawm txhua hom tshuaj insulin, koj tuaj yeem siv cov koob txhaj tshuaj cais rau Humulin® Cov Hnub Nyoog thiab Humulin® NPH.

    Txhua zaus yuav tsum siv cov koob tshuaj insulin uas phim cov tshuaj insulin uas koj raug txhaj.

    Ua raws li cov khw muag cov lus qhia rau txhawm rau ntim lub taub ntim thiab txuas cov koob.

    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.

    Kev cuam tshuam nrog lwm yam tshuaj

    Cov nyhuv hypoglycemic ntawm Humulin® NPH raug txo los ntawm: qhov ncauj tiv thaiv kab mob, corticosteroids, thyroid hormone npaj, kev loj hlob hormone, danazole, beta 2 sympathomimetics (ritodrin, salbutamol, terbutaline), thiazide diuretics.

    Cov nyhuv hypoglycemic ntawm Humulin® NPH yog txhim kho los ntawm: qhov ncauj tshuaj hypoglycemic, salicylates (piv txwv li, acetylsalicylic acid), sulfonamides, MAO inhibitors, ACE inhibitors (captopril, enalapril), angiotensin II receptor blockers, tshuaj uas tsis xaiv, beta-ethanol-thaiv cov tshuaj.

    Somatostatin analogues (octreotide, lancreotide) tuaj yeem txo los yog nce ntxiv qhov xav tau rau insulin. Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

    Incompatibility. Qhov cuam tshuam ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog tsiaj insulin lossis tib neeg insulin tsim los ntawm lwm cov tuam ntxhab tsis tau kawm.

    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. Nws yog ib qho tsim nyog yuav tsum sab laj tus kws kho mob, nrog rau nyeem cov lus qhia ua ntej siv.

    Humulin, yog ib hom tshuaj insulin uas raug siv los txo qis ntshav ntshav qab zib, yog cov tshuaj tseem ceeb rau cov neeg muaj ntshav qab zib. Muaj cov tib neeg cov tshuaj insulin uas yog cov khoom siv txuam - 1000 IU ib 1 ml. Nws yog ntawv xaj rau cov neeg mob insulin uas yuav tsum tau txhaj tshuaj tas li.

    Ua ntej tshaj plaws, cov tshuaj insulin no yog siv los ntawm cov neeg mob ntshav qab zib nrog hom 1, thaum cov neeg mob ntshav qab zib hom 2 uas kho nrog cov tshuaj (dhau sijhawm cov tshuaj tsis kho nrog txo cov ntshav qab zib), hloov mus rau Humulin M3 txhaj tshuaj ntawm kev pom zoo ntawm tus kws kho endocrinologist.

    Yuav ua li cas yog nws tsim

    Humulin M3 rau kev txhaj tshuaj subcutaneously lossis intramuscularly yog tsim nyob rau hauv daim ntawv ntawm tov ntawm 10 ml. rau kev tswj hwm nrog cov tshuaj insulin los yog hauv cov thawv hauv daim ntawv siv rau koob txhaj tshuaj, 1.5 lossis 3 millilit, 5 tsiav tshuaj nyob hauv ib pob. Cartridges tuaj yeem siv nrog cov phwj syringe los ntawm Humapen, BD-Cwj mem.

    Cov tshuaj pab txhim kho cov ntshav qab zib nyob rau hauv lub cev ntawm tus neeg mob ntshav qab zib, muaj lub sijhawm nruab nrab, thiab yog kev sib xyaw ntawm cov tshuaj insulin luv thiab ntev. Tom qab siv Humulin thiab qhia nws mus rau hauv lub cev, nws pib ua yeeb yam ib nrab teev tom qab txhaj, cov nyhuv ntev li 18-24 teev, lub sijhawm ntev ntawm cov nyhuv yog nyob ntawm cov yam ntxwv ntawm tus kab mob ntshav qab zib.

    Cov kev ua ntawm cov tshuaj thiab lub sijhawm nws txawv ntawm qhov chaw txhaj tshuaj, cov koob tshuaj uas tau xaiv los ntawm tus kws kho mob koom nrog, tus neeg mob lub cev qoj ib ce tom qab saib xyuas yeeb tshuaj, noj zaub mov noj, thiab ntau yam ntxiv.

    Qhov kev txiav txim ntawm cov tshuaj yog ua raws li cov kev cai ntawm cov piam thaj hauv lub cev. Humulin kuj muaj cov nyhuv anabolic, vim tias nws yog feem ntau siv hauv kev tsim kho lub cev.

    Txhim kho txoj kev txav ntawm cov piam thaj thiab amino acids nyob hauv tib neeg lub hlwb, txhawb kev ua haujlwm ntawm cov metabolism hauv anabolic protein. Txhawb txoj kev hloov ntawm cov piam thaj rau glycogen, inhibits glucogenesis, pab cov txheej txheem ntawm kev hloov pauv ntawm cov piam thaj ntau hauv lub cev mus rau hauv cov ntaub so ntswg adipose.

    Cov yam ntxwv ntawm kev siv thiab qhov tshwm sim ntawm qhov tsis zoo

    Humulin M3 yog siv los kho mob ntshav qab zib mellitus, hauv kev kho kab mob ntshav siab.

    Ntawm cov kev tsis zoo ntawm cov tshuaj tau sau tseg:

    1. Cov teeb meem ntawm lub ntsej muag dhia hauv qab zib hauv qab cov cai tsim - hypoglycemia,
    2. Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj.

    Feem ntau sau tseg cov kev txo qis hauv cov ntshav qab zib tom qab siv cov tshuaj insulin, suav nrog Humulin M3. Yog hais tias tus neeg mob tau tus mob hnyav, dhia hauv qab zib coj mus rau kev loj hlob ntawm lub cev tsis xeev, kev tuag thiab kev tuag ntawm tus neeg mob yog ua tau.

    Hais txog qhov mob hypersensitivity, cov neeg mob yuav muaj kev ua xua, ua pob liab liab, khaus thiab tawv nqaij ntawm qhov chaw txhaj tshuaj.

    Cov kev mob tshwm sim feem ntau yuav ploj mus ntawm lawv tus kheej, nrog kev siv Humulin tas mus li cov tshuaj tiv thaiv tuaj yeem ploj mus ob peb hnub tom qab txhaj tshuaj thawj zaug hauv qab daim tawv nqaij, qee zaum kev quav yuav qeeb mus txog ntau lub lis piam.

    Hauv qee cov neeg mob, kev ua xua yog cov xwm txheej hauv qhov xwm txheej, nyob rau hauv rooj plaub no nws ua rau muaj kev txhaum loj dua:

    Muaj qee kis, kev tsis haum tshuaj ua rau muaj kev hem thawj rau tib neeg lub neej thiab kev noj qab haus huv, yog li, yog tias cov tsos mob piav qhia saum toj no tshwm sim, nws raug nquahu kom nrhiav kev pab sai sai. Cov teeb meem yog daws tau los ntawm kev hloov ib qho tshuaj insulin nrog lwm.

    Tsis zoo li npaj nrog tsiaj insulin hauv cov tshuaj muaj pes tsawg leeg, thaum siv Humulin M3, lub cev tsis txhim kho hypersensitivity rau cov tshuaj.

    Cov nqe lus ntawm kev muag khoom thiab kev cia khoom

    Koj tuaj yeem yuav cov tshuaj insulin hauv cov chaw muag tshuaj yog tias koj muaj ntawv sau tshuaj los ntawm koj tus kws kho mob.

    Nws tsim nyog khaws cov tshuaj hauv lub tub yees rau qhov kub ntawm 2 txog 8 degrees Celsius, tsis txhob nthuav tawm cov tshuaj kom khov, ntxiv rau kis tus mob hauv tshav kub lossis hnub ci. Cov tshuaj insulin qhib tuaj yeem khaws cia ntawm qhov kub ntawm 15 txog 25 degrees rau tsis pub dhau 28 hnub.

    Yog tias txhua qhov chaw khaws khoom tau ua tiav, lub txee ua lub neej yog 3 xyoos txij li hnub ntawm ntau lawm. Nws yog txwv tsis pub siv cov tshuaj uas tas sijhawm, hauv qhov zoo tshaj plaws nws yuav tsis cuam tshuam rau lub cev, hauv qhov phem tshaj nws yuav ua rau muaj mob insulin lom heev.

    Ua ntej siv, nws raug nquahu kom tshem tawm Humulin M3 ntawm lub tub yees rau hauv 20-30 feeb. Kev hno cov tshuaj ntawm chav sov yuav txo qhov mob.

    Nco ntsoov xyuas hnub tas sij hawm ua ntej siv.

    Tus nqi ntawm cov tshuaj insulin npaj txawv ntawm 500 txog 600 rubles rau kev ncua hauv cov hwj, thiab txij li ntawm 1000 txog 1200 rau kev ntim khoom ntawm cov khoom muag rau 3 ml syringe cwjmem.

    Kev siv ntawm Humulin M3 thaum cev xeeb tub thiab kev pub niam mis

    Thaum cev xeeb tub, cov poj niam muaj ntshav qab zib yuav tsum ua tib zoo saib lawv cov ntshav qab zib. Qhov xav tau ntawm insulin hloov pauv nyob ntawm lub sijhawm ntawm cev xeeb tub, yog li, nyob rau thawj peb hlis, nws poob, lub sijhawm thib ob thiab thib peb - ​​nws nce. Vim li no thiaj yuav tsum muaj kev ntsuas ua ntej txhaj txhua koob. Thaum cev xeeb tub, cov tshuaj yuav tuaj yeem hloov kho ntau zaus.

    Ib qho hloov pauv ntawm cov tshuaj ntxiv tuaj yeem xav tau thaum pub niam mis. Tus kws kho mob uas koom yuav tsum xav txog tus cwj pwm noj haus ntawm leej niam thiab theem ntawm kev siv dag zog.
    tawm ntawm 5)

    Txhua yam kab mob ua rau tsis xis nyob. Ntshav qab zib yog tsis muaj kev zam. Cov tshuaj insulin tuaj yeem pab daws nws. Rau qhov yooj yim ntawm cov neeg mob, nws tuaj yeem nkag nrog tus cwj mem tshwj xeeb.

    Tso cov ntaub ntawv tawm, kwv yees tus nqi

    Txhua lub sijhawm, insulin yog txoj kev cawmdim rau cov neeg mob ntshav qab zib. Ntev mus, qhov xwm txheej tsis hloov. Tsuas yog tus naj npawb ntawm cov neeg siv yeeb tshuaj thiab cov tshuaj hauv ampoules nce.

    Yog tias peb tham txog insulin "Humulin", ces qhov no yog qhov kev txwv tsis pub muaj rau kev txhaj tshuaj. Nws muaj xim dawb nrog lub pH ntawm 6.9-7.5. Thaum lub sijhawm khaws cia, qhov kev ncua cia pauv nws qhov tsos. Nws muab cais rau hauv cov nag lossis daus dawb. Yog li no, ua ntej siv, ampoule yuav tsum tau shaken. Yog tias peb xav txog qhov muaj pes tsawg feem ua ke, tom qab ntawd qhov kev ncua hauv daim ntawv ntawm qhov kev raug tshem tawm tuav 70% ntawm cov khoom sib txuam, thiab kua pob tshab tsuas yog 30%. Kev ncua yog tib neeg isophane insulin, kua pob tshab yog soluble tib neeg cov kua dej. Tab sis cov tshuaj nws tus kheej tsis yog ntshiab insulin. Nws muaj ntau yam tsis txaus - cov tshuaj tiv thaiv kab mob. Muaj nyob rau hauv ib cov tshuaj ntawm 3 ml.

    Lub rho tawm muaj nyob rau hauv peb qhov sib txawv. Cov koob tshuaj nws txawv thiab cov muaj pes tsawg leeg ntawm excipients yog txawv me ntsis. Feem ntau, nyob ntawm txee ntawm cov khw muag tshuaj koj tuaj yeem nrhiav Humulin insulin hauv cov kev hloov hauv qab no.

    1. Insulin NPH yog ib hom tshuaj nruab nrab. Nws yog npaj los tswj cov txheej txheem ntawm cov metabolism hauv qabzib.Nws kuj muaj qhov cuam tshuam loj rau cov txheej txheem ntawm cov khoom cua protein. Insulin Humulin NPH pab rau kev thauj cov amino acids thiab piam thaj. Nws kuj tseem cuam tshuam rau kev ua nrawm ntawm cov protein metabolism hauv txhua lub cev nqaij, tshwj tsis yog lub hlwb. Hauv daim siab, insulin pab kom tau glycogen los ntawm cov piam thaj. Txo tus nqi ntawm gluconeogenesis thiab suppresses nws kiag li. Dhau li ntawm cov piam thaj hloov mus ua rog.
    2. Humulin Tsis tu ncua yog cov tshuaj yeeb-tshuaj luv luv.
    3. Humulin m3 feem ntau yog siv los ua cov tshuaj nruab nrab.

    Ib qho ntxiv, koj tuaj yeem pom Humulin ua ib tus cwj mem ceev. Hauv cwj mem no, cov tshuaj insulin yog qhov yooj yim rau kev siv, vim tias kev txhaj tshuaj tuaj yeem ua tiav tam sim ntawd yam uas tsis luam tawm ampoule. Qhov no pab siv nws txhua lub sijhawm yooj yim.

    Tus nqi rau cov tshuaj ntau li ntawm 490 rubles. txog 2000 rub. Txhua yam yog khi nrog qhov ntau thiab cov lej ntawm ampoules hauv pob. Tus nqi nws txawv nyob hauv txhua lub tsev muag tshuaj muab cov tshuaj.

    Kev taw qhia thiab contraindications

    Ib yam li lwm yam tshuaj, insulin npc muaj kev qhia ntau heev rau kev siv. nws qhia tias contraindications thiab ntsuas. Cov tshuaj no yuav tsum tau siv nrog:

    • mob ntshav qab zib, yog tias tus kws kho mob tau hais txog kev siv tshuaj insulin,
    • ntshav qab zib kuaj thawj zaug,
    • cev xeeb tub hauv ntshav qab zib insulin-raws li mob ntshav qab zib.

    Thaum siv cov tshuaj thaum cev xeeb tub, nws tsim nyog nco tias hauv thawj peb lub hlis qhov xav tau rau insulin feem ntau poob qis. Raws li kev so ntawm lub cev xeeb tub, qhov teeb meem no tau rov qab muaj. Thaum npaj kev xeeb tub thiab thaum nws tshwm sim, nws yog qhov yuav tsum tau qhia rau tus kws kho mob uas koom nrog. Qhov no yuav pab hloov kho qhov tshuaj. Nyob rau lub sijhawm pub mis niam siv, kev txhaj tshuaj yog qhov tsim nyog thiab tsis txhob hnov ​​qab txog kev noj zaub mov noj.

    Raws li rau cov ntshav qab zib muaj qhov tsis txaus siab hauv kev ua haujlwm ntawm lub raum thiab mob siab, hauv qhov xwm txheej no qhov kev xav tau rau insulin kuj tuaj yeem txo. Yog li, tsis txhob hnov ​​qab hais txog qhov tseeb ntawm lub sijhawm teem sijhawm tus kws kho mob.

    Raws li rau contraindications, cov tshuaj no muaj ntau ntawm lawv. Lawv yog hypoglycemia lossis hypersensitivity rau cov tshuaj hauv cov tshuaj.

    Raws li rau qhov ntau npaum li cas thaum noj cov tshuaj, tom qab ntawd hauv txhua qhov teeb meem tshwj xeeb nws txawv thiab nws tsim nyog ua haujlwm nrog nws tus kws kho mob. Tom qab tag nrho, nws txhua tus nyob ntawm qib glycemia hauv txhua tus neeg mob.

    Tab sis muaj cov kev cai dav dav rau kev tswj hwm tshuaj, uas yog tib yam rau txhua tus neeg. Humulin insulin yog muab tshuaj subcutaneously lossis intramuscularly. Kev qhia ntawm cov tshuaj mus rau txoj leeg yog nruj contraindicated.

    Nrog kev tswj hwm subcutaneous, aav siv:

    Qhov chaw txhaj tshuaj yuav tsum tau hloov pauv ntau npaum li sai tau. Kev txhaj tshuaj hauv ib qho chaw tuaj yeem ua ib hlis ib zaug.

    Yog tias, rau kev txhaj tshuaj, txoj haujlwm subcutaneous ntawm kev tswj hwm raug xaiv, ces nws yog qhov yuav tsum tau ua qhov no raws li qhov ua tau. Kev nkag mus rau hauv cov hlab ntshav yuav tsum raug cais tawm tag nrho. Qhov chaw txhaj tshuaj tom qab hno tsis tuaj yeem muab tshuaj tua.

    Txhua yam hais txog kev siv cov tshuaj tsis tuaj yeem nco qab. Cov lus qhia rau kev siv yuav pab kom tsis txhob hnov ​​qab txhua qhov tsim nyog ntawm kev kho mob.

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