Insuman Sai Sai

Chaw tsim tshuaj paus - Sanofi-Aventis (Fabkis), Sanofi

Npe: Insuman® Rapid GT, Insuman® Ceev GT

Muaj pes tsawg leeg: 1 ml ntawm cov tshuaj nruab nrab rau kev txhaj tshuaj muaj 100 IU ntawm tib neeg cov tshuaj insulin.
Cov kev zam: m-cresol, sodium dihydrogen phosphate dihydrate, glycerol, sodium hydroxide, hydrochloric acid, dej rau kev txhaj tshuaj.

Pharmacological kev txiav txim: Insuman Rapid GT muaj cov tshuaj insulin, zoo ib yam hauv cov qauv rau tib neeg cov insulin thiab tau los ntawm kev tsim kho caj ces. Cov suab thaj txo qis tshwm sim sai, nyob rau hauv 30 feeb, thiab nce mus txog qhov siab kawg nkaus hauv 1-4 teev tom qab kev saib xyuas ntawm cov tshuaj. Cov nyhuv ntev li 7-9 teev. Insuman Rapid GT tuaj yeem sib xyaw nrog txhua tus neeg insulins los ntawm Hoechst Marion Roussel, tsuas yog muaj kev zam ntawm cov insulins uas tau npaj rau kev tswj hwm lub twj tso kua mis.

Kev taw qhia rau kev siv: Mob ntshav qab zib-insulin raws mellitus. Insuman Rapid GT yog qhia rau kev kho mob ntshav qab zib tsis mob plab thiab ketoacidosis, nrog rau kev ua tiav cov nyiaj metabolic hauv cov neeg mob ntshav qab zib mellitus nyob rau hauv kev npaj ua ntej,, thaj tsam -, thiab tom qab lub sijhawm ntev.

Txoj kev siv: Insuman Rapid GT feem ntau yog tswj xyuas kom tob subcutaneously 15-20 feeb ua ntej noj mov. Intramuscular thawj coj ntawm cov tshuaj yog tso cai. Qhov chaw txhaj tshuaj yuav tsum tau hloov txhua zaus. Insuman Rapid GT tuaj yeem raug tso tshuaj mob siab rau kev kho mob hyperglycemic coma thiab ketoacidosis, ntxiv rau ua tiav cov nyiaj metabolic them ua ntej, ntu-thiab tom qab lub sijhawm nyob hauv cov neeg mob ntshav qab zib mellitus. Insuman Rapid GT tsis yog siv rau hauv ntau hom tshuaj insulin (suav nrog cov uas siv cog), qhov twg ib qho tshuaj pleev silicone.

Phiv los sis: Qee zaum atrophy lossis hypertrophy ntawm daim ntaub adipose tuaj yeem tshwm sim ntawm qhov chaw txhaj tshuaj, uas tuaj yeem zam tau los ntawm qhov hloov tas mus li qhov chaw txhaj tshuaj.

Muaj qee zaus, me liab yuav tshwm sim ntawm qhov chaw txhaj tshuaj, ploj nrog kev kho txuas ntxiv. Yog tias qhov mob erythema tseem ceeb tau tsim, nrog nws khaus thiab o, thiab nws kis tau nrawm dhau ntawm qhov chaw txhaj tshuaj, nrog rau lwm qhov tsis zoo cuam tshuam rau cov tshuaj ntawm cov tshuaj (insulin, m-cresol), nws yog qhov yuav tsum tau qhia tus kws kho mob tam sim ntawd, xws li qee kis cov kev coj ua zoo li no tuaj yeem tsim kev hem thawj rau tus neeg mob lub neej.

Kev tsis haum ntshav siab yog qhov tsawg. Lawv tuaj yeem ua ke nrog kev txhim kho ntawm mob hlwb, mob ntsws, mob ntshav ntws poob thiab tsis tshua muaj kev poob siab. Kev tsis haum lub siab xav tau kev hloov kho tam sim no hauv kev kho mob txuas ntxiv nrog kev siv tshuaj insulin thiab kev saws los ntawm kev ntsuas thaum tsim nyog.

Tej zaum qhov tsim cov tshuaj tiv thaiv rau cov tshuaj insulin, uas tej zaum yuav xav tau kev kho tshuaj ntawm cov tshuaj insulin. Nws tseem muaj peev xwm tso sodium rov qab los ntawm qhov o ntawm cov ntaub so ntswg, tshwj xeeb tshaj yog tom qab kev kawm kho mob ntxiv nrog cov tshuaj insulin.

Cov Tshuaj Tiv Thaiv: Kev rov tiv thaiv kab mob tsis haum rau cov tshuaj insulin lossis rau ib qho twg ntawm cov tshuaj, tshwj tsis yog qee qhov kev kho tshuaj insulin tseem ceeb heev. Hauv cov xwm txheej zoo li no, kev siv Insuman Rapid GT tsuas yog ua tau nrog kev saib xyuas kev kho mob kom zoo thiab, yog tias tsim nyog, ua ke nrog kev siv tshuaj tiv thaiv kev ua xua.

Kev sib txuam tshuaj: Kev qaug zog ntawm qhov kev ua ntawm cov insulin tuaj yeem raug soj ntsuam nrog kev tswj hwm tib lub sijhawm ntawm insulin thiab corticotropin, corticosteroids, diazoxide, heparin, isoniazid, barbiturates, nicotinic acid, phenolphthalein, phenothiazine derivatives, phenytoin, diuretics, danazole, doxazosin, glucrogen thiab estrogen. homons. Hauv cov neeg mob ib txhij txais insulin thiab clonidine, reserpine lossis lithium ntsev, ob qho tib si qaug zog thiab muaj zog ntawm kev ua ntawm insulin tuaj yeem pom. Pentamidine yuav ua rau lub qog ntshav qab zib ua raws li los ntawm hyperglycemia. Haus cawv ntau yuav ua rau lub ntsej muag ntshav qab zib lossis txo qis cov ntshav qab zib kom tsawg mus rau hauv theem txaus ntshai. Cawv kev haus dej haus cawv rau cov neeg mob tau txais cov tshuaj insulin yuav txo. Tso cai rau haus dej haus cawv ntau npaum yuav tsum yog txiav txim los ntawm koj tus kws kho mob. Kev haus cawv ntev ntev, nrog rau mob ntev mus ntev yog siv cov tshuaj tso quav, yuav cuam tshuam rau glycemia. Beta-blockers ua rau muaj kev pheej hmoo ntawm hypoglycemia thiab, nrog rau lwm cov tshuaj sympatholytic (clonidine, guanethidine, reserpine) tuaj yeem ua kom tsis muaj zog lossis tseem npog qhov pom ntawm cov ntshav qog ntshav qab zib.

Cev xeeb tub thiab lactation: Kev kho mob nrog Insuman Rapid GT yuav tsum txuas ntxiv thaum cev xeeb tub. Thaum cev xeeb tub, tshwj xeeb tshaj yog tom qab thawj peb hlis, yuav tsum ua kom muaj cov tshuaj insulin ntau ntxiv. Txawm li cas los xij, tam sim ntawd tom qab yug los, xav tau cov tshuaj insulin feem ntau poob qis, uas ua rau muaj kev pheej hmoo loj ntxiv ntawm lub qog ntshav qab zib. Thaum pub niam mis, tsis muaj kev txwv dab tsi rau kev kho mob insulin. Txawm li cas los xij, yuav tsum tau txhaj tshuaj thiab kho kom haum zaub mov.

Cia rau cov neeg mob: Khaws ntawm qhov kub ntawm + 2 ° C txog + 8 ° C. Tsis txhob cia kom txias, tsis txhob sib chwv lub hwj nrog lub phab ntsa ntawm lub tub yees txias lossis khoom txias txias.

Yeem: Nrog kev ceev faj, qhov ntau dua kev noj tshuaj yog xaiv rau cov neeg mob uas muaj cov kab mob cerebrovascular ua ntej lawm raws li hom ischemic thiab nrog cov ntawv hnyav ntawm ischemic plawv. Qhov xav tau rau insulin tuaj yeem hloov thaum hloov mus rau lwm hom insulin (thaum hloov cov tshuaj insulin ntawm cov tsiaj keeb kwm nrog Insuman Rapid, cov koob tshuaj feem ntau raug txo qis), nrog kev hloov pauv ntawm kev noj zaub mov, raws plab, ntuav, qhov hloov pauv ntawm ib txwm los ntawm kev qoj ib ce, kab mob ntawm lub raum, mob siab, lub caj pas pituitary, cov thyroid caj pas, hloov chaw txhaj tshuaj. Tus neeg mob yuav tsum tau qhia paub txog cov tsos mob ntawm lub xeev hypoglycemic, txog thawj cov tsos mob ntawm tus mob ntshav qab zib tsis nco qab lawm thiab txog qhov yuav tsum tau qhia tus kws kho mob txog txhua yam kev hloov pauv hauv nws tus mob.

Nyob ntawm saib daim duab soj ntsuam, cov mob ntshav qab zib siv tshuaj sib txawv.

Hauv cov xwm txheej uas xav tau kev kho tshuaj insulin, kev txhaj tshuaj hypoglycemic yog tshuaj kho. Ib cov tshuaj no yog Insuman Rapid GT.

Cov yam ntxwv dav dav

Insuman Rapid yog tshuaj kho mob ntshav qab zib. Muaj ua kua thiab siv cov tshuaj siv tau.

Hauv kev kho mob, nws tuaj yeem siv nrog lwm hom insulin. Nws yog tshuaj rau ntshav qab zib hom 1 thiab ntshav qab zib hom 2 nrog rau qhov tsis muaj txiaj ntsig zoo ntawm qab zib-txo cov ntsiav tshuaj, lawv qhov kev tsis txaus siab lossis contraindications.

Qhov tshuaj no muaj cov nyhuv ua kom ntshav qab zib. Cov tshuaj muaj pes tsawg leeg yog tib neeg insulin nrog 100% solubility nrog kev ua luv luv. Cov tshuaj tau txais nyob hauv chav kuaj sim los ntawm kev tsim kho caj ces.

Soluble insulin - cov tshuaj nquag ntawm cov tshuaj. Cov khoom siv hauv qab no tau siv los ua kev sib ntxiv: m-cresol, glycerol, dej huv, hydrochloric acid, sodium hydroxide, sodium dihydrogen phosphate dihydrate.

Cov chaw muag tshuaj

Insuman ua rau cov ntshav qab zib kom tsawg. Nws yog hais txog cov tshuaj nrog ib pliag thiab lub sijhawm luv luv ntawm kev ua haujlwm.

Cov nyhuv yog xav tias yuav zoo li ib nrab teev tom qab txhaj tshuaj thiab kav ntev txog 7 teev. Qhov siab tshaj plaws tau pom nyob rau ntawm 2 teev tom qab subcutaneous tswj hwm.

Cov tshuaj nquag khi rau cov cell receptors los tsim cov insulin receptor complex. Nws provokes synthesis ntawm cov enzymes tseem ceeb thiab txhawb cov txheej txheem intracellular. Yog li ntawd, qhov nqus thiab nqus cov kua nplaum los ntawm lub cev tau zoo tuaj.

• stimulates protein synthesis,
• tiv thaiv kev rhuav tshem cov tshuaj
• inhibits glycolenolysis thiab glyconeogenesis,
• txhim kho kev thauj thiab nqus ntawm cov poov tshuaj,
• txhim kho kev sib txuas ntawm fatty acids nyob rau hauv daim siab thiab cov ntaub so ntswg,
• npleem hauv qhov puas rau ntawm cov rog,
• txhim kho kev thauj mus los thiab kev nqus ntawm cov amino acids.

Kev taw qhia thiab contraindications

Cov tshuaj yog tshuaj rau hauv cov teeb meem nram qab no:

• DM 1 (daim foos-insulin-tiv thaiv tsis pub dhau) thiab DM 2,
• rau kev kho mob ntawm kev mob hnyav,
• kom tshem tawm tus mob ntshav qab zib tsis xeev,
• tau txais cov nyiaj pauv hloov hauv kev npaj thiab tom qab ua haujlwm.

Qhov tshuaj qog tsis tawm nyob rau hauv cov xwm txheej zoo li no:

• raum / nplooj siab tsis ua haujlwm,
• tsis kam mus rau yam khoom nquag,
• stenosis ntawm mob hlab ntshav / hlwb hlwb,
• intolerance rau yeeb tshuaj,
• cov neeg uas muaj cov kab mob sib kis,
• cov neeg uas muaj kev ua yeeb yam rov qab zoo dua.

Tseem Ceeb! Nrog kev mob siab rau, cov neeg laus ntshav qab zib yuav tsum tau noj.

Cov lus qhia rau kev siv

Kev xaiv thiab kev hloov kho ntau tau muab ua ib tus zuj zus. Tus kws kho mob txiav txim siab nws los ntawm cov ntsuas cov piam thaj, qhov ntau ntawm kev ua haujlwm hauv lub cev, lub xeev ntawm cov metabolism hauv plhaws. Tus neeg mob tau txais cov lus pom zoo yog tias muaj pauv hauv cov piam thaj.

Qhov tshuaj txhua hnub ntawm cov tshuaj, noj mus rau hauv tus account qhov hnyav, yog 0.5 IU / kg.

Cov tshuaj hormones yog muab tso ncaj, intramuscularly, subcutaneously. Qhov feem ntau siv hom subcutaneous. Kev txhaj tshuaj yog nqa tawm 15 feeb ua ntej noj mov.

Nrog cov tshuaj monotherapy, qhov ntau zaus ntawm kev tswj hwm tshuaj yog kwv yees 3 zaug, qee qhov nws tuaj yeem ncav cuag txog 5 zaug hauv ib hnub. Qhov chaw txhaj tshuaj hloov qee zaus hloov hauv tib cheeb tsam. Ib qho chaw pauv chaw (piv txwv, los ntawm txhais tes mus rau hauv plab) yog nqa tawm tom qab sab laj nrog kws kho mob. Txog kev ua haujlwm subcutaneous ntawm cov tshuaj, nws raug nquahu kom siv cov cwj mem xaum qhuav.

Tseem Ceeb! Qhov nqus ntawm cov khoom sib txawv raws li qhov chaw txhaj tshuaj.

Cov tshuaj tuaj yeem ua ke nrog cov insulin ntev ntev.

Cwj mem-yeeb yaj kiab video qhia txog kev tswj hwm cov tshuaj insulin:

Tsuas tshuaj kho kom haum

Qhov ntau ntawm cov tshuaj tuaj yeem hloov kho hauv rooj plaub:

• yog kev ua neej pauv
• muaj kev cuam tshuam ntxiv rau cov tshuaj nquag,
• hloov pauv hauv tus neeg mob lub cev nyhav
• thaum hloov los ntawm lwm cov tshuaj.

Nyob rau thawj lub sijhawm tom qab hloov tawm los ntawm lwm qhov khoom siv (hauv 2 lub lis piam), txhim kho kev tswj xyuas ntshav qabzib tau zoo.

Los ntawm kev txhaj tshuaj ntau dua, nws yog qhov yuav tsum hloov mus rau cov tshuaj no nyob rau hauv kev saib xyuas mob nkeeg.

Thaum hloov tawm ntawm tsiaj los rau tib neeg insulin, kev kho kom haum siab tau ua.

Nws qhov kev txo qis yog xav tau rau cov neeg hauv qab no:

• yav tas tsau qab zib qis thaum kho,
• noj tshuaj kom ntau dua thaum ntxov,
• predisposition rau tsim ntawm ib lub xeev hypoglycemic.

Cov lus qhia tshwj xeeb thiab cov neeg mob

Thaum cev xeeb tub tshwm sim, kev kho tshuaj tsis nres. Cov tshuaj nquag tsis hla tus txiv neej.

Nrog lactation, tsis muaj kev txwv txiav kev nkag mus. Lub ntsiab lus tseem ceeb yog qhov tau txais cov tshuaj insulin hloov kho.

Txhawm rau tiv thaiv hypoglycemic tshua, kev kho mob ntawm cov laus nrog cov tshuaj yog nqa nrog ceev faj.

Cov neeg muaj lub siab raum / lub raum hloov pauv mus rau Insuman Rapid thiab kho cov koob tshuaj nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij.

Qhov ntsuas kub ntawm cov tshuaj txhaj yuav tsum yog 18-28ºС. Kev siv tshuaj insulin yog siv nrog kev ceev faj hauv cov kab mob kis hnyav - yuav tsum tau txhaj tshuaj rau ntawm no. Thaum noj cov tshuaj, tus neeg mob tsis haus cawv. Nws tuaj yeem ua rau ntshav qab zib tsawg.

Tseem Ceeb! Tshwj xeeb saib xyuas yog qhov yuav tsum tau ua lwm yam tshuaj. Qee qhov ntawm lawv tuaj yeem txo lossis nce cov nyhuv ntawm Insuman.

Thaum noj tshuaj, tus neeg mob yuav tsum tau mloog zoo rau txhua yam kev hloov hauv nws tus mob. Qhov no yog qhov tsim nyog rau kev lees paub kom raws sijhawm ua ntej cov phiajcim muaj ntshav qab zib tsawg.

Xav kom kuaj xyuas cov piam thaj ntau ntxiv. Qhov phom sij ntawm cov ntshav qog ua rau cuam tshuam nrog kev siv tshuaj yeeb yog qhov siab hauv cov tib neeg uas muaj kev tswj xyuas tsis muaj zog qab zib. Tus neeg mob yuav tsum ib txwm nqa 20 g suab thaj.

Nrog kev ceev faj, noj:

• nrog rau kev kho kom sib xyaw,
• thaum pauv mus rau lwm cov insulin,
• Cov neeg uas muaj mob ntshav qab zib mus ntev,
• neeg laus neeg laus
• cov neeg uas muaj kev loj hlob maj mam ntawm hypoglycemia,
• nrog concomitant mob hlwb.

Lus Cim! Thaum hloov mus rau Insuman, qhov kev ntsuam xyuas ntawm qhov kam rau ua ntawm cov tshuaj tshwm sim. Ib feem me me ntawm cov tshuaj yog txhaj subcutaneously. Thaum pib ntawm kev tswj hwm, kev tawm tsam hypoglycemia tuaj yeem tshwm sim.

Phiv thiab haus tshaj

Cov kev mob tsis zoo no tshwm sim tom qab kev tswj hwm:

Yog hais tias noj ntau dhau, tus neeg mob tuaj yeem ua suab thaj kom tsawg. Nrog daim foos me, 15 g suab thaj yuav tsum nqa.

Daim foos hnyav nrog rau qaug dab peg, poob ntawm kev nco qab xav tau qhov qhia ntawm glucagon (intramuscularly). Tej zaum qhov qhia ntxiv ntawm dextrose (tso ncaj qha).

Tom qab tswj kho tus neeg mob tus mob, nws yog ib qho tsim nyog yuav tau noj cov tshuaj txij nkawm ntawm carbohydrates. Rau qee lub sijhawm tom qab tshem tawm cov tsos mob ntawm tus mob qog ntshav qab zib, kev saib xyuas tus mob yuav tsum tau ua, txij li ib txoj kev qhia zaum ob yog ua tau. Hauv qee kis tshwj xeeb, tus neeg mob pw hauv tsev kho mob rau kev soj ntsuam ntxiv.

Kev cuam tshuam nrog lwm yam tshuaj

Yog tias tsis muaj lus qhia los ntawm kws kho mob, kev siv txaws lwm yam tshuaj tsis raug pom zoo. Lawv tuaj yeem nce lossis txo cov nyhuv ntawm cov tshuaj insulin los yog ua rau cov kev mob hnyav.

Kev txo qis ntawm cov tshuaj hormones yog pom nrog kev siv tshuaj tiv thaiv, glucocorticosteroids cov tshuaj hormones (progesterone, estrogen), diuretics, ntau cov tshuaj tiv thaiv tshuaj, adrenaline, thyroid hormones, glucagon, barbiturates.

Kev txhim kho ntawm hypoglycemia tuaj yeem tshwm sim nrog kev sib koom tes ntawm lwm yam tshuaj tiv thaiv kab mob ntshav qab zib. Qhov no siv rau cov tshuaj tua kab mob ntawm sulfonamide series, MAO inhibitors, acetylsalicylic acid, fibrates, testosterone.

Cawv nrog cov tshuaj hormones txo qis qab zib rau theem tseem ceeb, ua rau ua rau lub plawv tsis muaj ntshav qab zib. Qhov pom zoo muab rau noj yog txiav txim los ntawm tus kws kho mob. Koj yuav tsum ceev faj txog kev noj tshuaj laxa - lawv cov khoom noj ntau dhau cuam tshuam rau theem ntawm cov piam thaj.

Pentamidine tuaj yeem ua rau mob txawv - hyperglycemia thiab hypoglycemia. Cov tshuaj tuaj yeem ua rau lub plawv tsis ua haujlwm. Tshwj xeeb yog cov tib neeg muaj kev pheej hmoo.

Lus Cim! Lub txee lub neej ntawm kev daws teeb meem nyob hauv tus xaum qhuav tsis yog ntau dua ib hlis. Hnub uas tau haus tshuaj thawj zaug yuav tsum tau sau tseg.

Cov tshuaj tsis raug cai (piv rau daim ntawv tso tawm thiab muaj cov tshuaj tiv thaiv uas muaj txuam nrog) suav nrog: Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. Cov tshuaj teev npe muaj xws li tib neeg insulin.

Ib tus neeg txoj kev xav rau lub neej noj qab nyob zoo, txwv kev siv cov khoom lag luam ua phem, ua si lub cev thiab tsis muaj lub cev tsis zoo yog qhov tseem ceeb rau kev tswj hwm tib neeg kev noj qab haus huv nyob rau hauv Feem ntau. Txawm li cas los xij, qee zaum, tawm tsam ib qho laj thawj, ib tus neeg uas kho nws txoj kev noj qab haus huv thiab ua tib zoo, tau ntsib nrog cov teeb meem ntawm cov metabolism hauv lub cev. Yuav ua li cas qhov no tshwm sim yog tias ib tus neeg tsis haus cawv, tsis ua kom noj ntau dhau hauv zaub mov, zam kev ntxhov siab thiab ua lub cev? Yog vim li cas, hmoov tsis, lus dag hauv cov kab mob hereditary predisposition, uas yog qhov txiav txim siab hauv qhov no, pov thawj ntawm uas tuaj yeem yog tus kab mob ntawm hom 1 ntshav qab zib mellitus. Yuav ua li cas peculiarity ntawm no mob thiab dab tsi yog qhov mechanism ntawm nws txoj kev loj hlob?

Mob ntshav qab zib yog dab tsi?

Hom 1 mob ntshav qab zib mellitus yog ib qho mob uas tshwm sim vim kev tuag ntawm qee cov cell uas tsim cov tshuaj insulin nyob rau hauv lub txiav. Kev tshem tawm ntawm cov hlwb thiab txuas ntxiv cov tshuaj insulin ua rau muaj kev cuam tshuam tsis zoo ntawm cov metabolism hauv kev ua haujlwm thiab hyperglycemia.

Hauv qhov no, tus neeg mob yuav hnov ​​cov tsos mob li nram no:

Tus kab mob no, tsis yog kuaj tau raws sijhawm, tuaj yeem ua rau tus neeg tsis tuaj yeem hloov pauv hauv lub raum, mob plawv, txiav ceg ntawm lub cev thiab tuag taus. Tias yog vim li cas nws thiaj li tseem ceeb kom txeeb tau tus kabmob thaum nws tsuas tshwm sim thiaj li yuav pib kho tau raws sijhawm.

Vim li cas cov tshuaj insulin thiaj li tseem ceeb rau lub cev?

Txij li thaum hom mob no tshwm sim ntawm keeb kwm ntawm insulin tsis txaus, tom qab ntawd kev kho mob yuav tsum tau cuam tshuam nrog kev rov ua qhov tsis txaus ntawm qhov hormone no rau lub cev. Txawm li cas los xij, rau cov pib me me nws yog qhov tseem ceeb kom nkag siab qhov nws lub luag haujlwm hauv cov txheej txheem hauv kev zom zaub mov.

Cov haujlwm uas nws daws yog muaj raws li hauv qab no:

• Kev cai ntawm kev tawg ntawm cov piam thaj, uas yog lub hauv paus tseem ceeb ntawm kev noj haus rau cov leeg nqaij thiab cov hlwb paj hlwb.
• Ua ke nrog kev nkag mus ntawm cov suab thaj hauv cov phab ntsa ntawm cov hlwb ntawm cov leeg.
• Kho qhov siv ntawm qhov tsim ntawm cov rog thiab cov protein, nyob ntawm qhov xav tau ntawm lub cev.

Txij li thaum cov tshuaj insulin tsuas yog tib qho hormone uas muaj qhov ntau thiab ntau cov haujlwm, nws yog qhov tseem ceeb rau lub cev tib neeg. Yog vim li cas thiaj muaj ntshav qab zib, tus neeg mob tau yuam kom nqa cov tshuaj uas nws muaj nyob ze rau hauv lub cev no. Cov tshuaj no cawm tus neeg mob los ntawm kev txhim kho hauv kev tsis tuaj yeem ntawm lub hauv nruab nrog cev thiab cov hlab ntsha.

Hom mob insulin

Lub ntsiab sib txawv ntawm analogues ntawm tib neeg cov insulin hnub no yog cov yam xws li:

• Cov tshuaj yog dab tsi.
• Lub sijhawm tiv thaiv ntawm cov tshuaj.
• Cov qib ntawm kev coj dawb huv ntawm cov tshuaj.

Los ntawm cov kev tshwj xeeb ntawm kev tsim khoom, kev npaj tuaj yeem muab faib ua cov nyiaj tau los ntawm nyuj, uas feem ntau ua rau muaj kev phiv thiab ua xua, los ntawm npua thiab tau los ntawm kev tsim caj ces. Xws li cov tshuaj suav nrog, piv txwv li, German Insulin Rapid GT.

Raws li lub sijhawm sib xyaw nrog, cov tshuaj tau muab faib ua hom:

• Cov tshuaj insulin luv luv, uas tau siv sijhawm rau ib hlis twg ntawm ib teev ua ntej noj mov, txhawm rau kom phim qhov kev loj hlob ntawm cov tshuaj hormone hauv tus neeg noj qab haus huv tom qab noj mov. Cov peev nyiaj no suav nrog Insulin Insuman Rapid.
• Lub caij nyoog ntev, uas yuav tsum muaj kev tswj hwm ib zaug lossis ob zaug hauv ib hnub, txhawm rau txhawm rau ua qhov tsis zoo no feem ntau lawm ntawm yam tshuaj no.

Feem ntau, ob hom tshuaj hormones yog muab rau tus neeg mob kom txaus siab qhov xav tau ntawm lub cev txhua hnub. Txawm li cas los xij, rau cov neeg uas tsis tuaj yeem tswj hwm lawv tus mob vim muaj hnub nyoog lossis lub hlwb tsis zoo, suav cov tshuaj kwv yees raws li tau siv. Muaj lub luag haujlwm thiab ua tib zoo saib xyuas kev hloov pauv hauv nws tus mob, ib tug neeg muaj peev xwm suav nws tus kheej qhov koob tshuaj ntawm Insulin Rapid sai.

Nta ntawm kev noj tshuaj

Kev noj tshuaj luv luv tso cai rau tus neeg mob nws tus kheej npaj nws txoj kev noj haus, tsis hais ncaj qha rau kev noj zaub mov kom zoo thiab nyob rau ntawm tus niaj hnub ua. Txhawm rau ua qhov no, nws yog ib qho tseem ceeb kom ntsuas cov khoom noj ntawm carbohydrates thiab theem ntawm cov piam thaj hauv cov ntshav ua ntej noj mov.

Txais tos ntawm Insulin Insuman Rapid GT tuaj yeem txhim kho lub neej kev mob ntawm tus neeg mob, vim nws ua rau nws muaj peev xwm coj mus rau hauv tus kheej lub suab nrov ntawm tus neeg lub neej, nws kev noj haus.

Cov txheej txheem ntawm kev siv tshuaj thiab ntau npaum li cas, nrog rau cov yam ntxwv ntawm kev pub nkag thiab contraindications, yuav tsum tau ua tib zoo kawm raws li cov lus qhia rau Insulin Rapid, thiab tseem tham nrog koj tus kws kho mob. Tsis tas li ntawm qhov tseem ceeb yog tus neeg mob lub peev xwm los kho qhov tseeb ntawm koob tshuaj.

Insuman Rapid GT yog ib hom tshuaj uas muaj cov tshuaj insulin rau tib neeg siv los kho tus mob ntshav qab zib mellitus lossis nws cov kev mob tshwm sim.

Dab tsi yog Insuman Rapid GT muaj pes tsawg leeg thiab tso tawm daim ntawv?

Cov tshuaj Insuman Rapid GT tau ua nyob rau hauv daim ntawv ntawm ib qho kev pom tseeb. Nws xa hauv cartridges, syringe cwjmem lossis hauv lub hwj. Kev muag yog raug los ntawm kws kho mob sau ntawv yuav.

Qhov kev txiav txim ntawm Insuman Rapid GT yog dab tsi?

Insuman Rapid GT yog cov tshuaj insulin luv luv. Cov tshuaj nquag ntawm cov tshuaj yog zoo tib yam rau tib neeg cov tshuaj hormones tsim los ntawm islet apparatus ntawm lub txiav. Hauv cov kev mob ntawm kev lag luam, cov tshuaj tiv thaiv tseem ceeb yog tsim los ntawm kev qhia txog cov caj ces tshwj xeeb ntawm BK12 lim ntawm cov kab mob tshwm sim heev - Escherichia coli.

Insulin synthesized hauv tib neeg lub cev, zoo li kev tsim kho caj ces, muaj peev xwm txhawb kev anabolic tshua, nrog rau cov txheej txheem kev cuam tshuam catabolic. Nyob rau hauv kev cuam tshuam ntawm cov tshuaj no, cov thauj ntawm cov piam thaj mus rau cov ntaub so ntswg yog kho kom zoo, uas ua rau kev tsim cov glycogen hauv cov leeg nqaij los yog lub siab. Ntxiv rau, cov txheej txheem hauv qab tsim cov kua ntswg adipose (lipogenesis) yog tshuab txais.

Thib ob, cov tshuaj insulin ua rau cov tshuaj tiv thaiv nyob hauv qhov sib txuas ntawm cov piam thaj los ntawm lwm cov tshuaj, tshwj xeeb los ntawm adipose nqaij (gluconeogenesis), uas txo cov ntshav qab zib.

Koj tuaj yeem tsis quav ntsej cov nyhuv ntawm cov metabolism hauv protein. Raws li kev ua haujlwm ntawm cov tshuaj insulin, cov ndlwg ntawm cov amino acids rau hauv lub cell nce, uas ua rau cov txheej txheem anabolic ua raws cov protein synthesis.

Tom qab tswj hwm subcutaneous, cov nyhuv hypoglycemic tsim kho tom qab 30 feeb. Qhov siab tshaj plaws kho tau ua rau 1 txog 4 teev tom qab siv. Cov nyhuv ntawm cov tshuaj no kav rau 7 txog 9 teev.

Dab tsi yog qhov ntsuas rau siv ntawm Insuman Rapid GT?

Lub sijhawm teem ntawm Insuman Rapid GT yog ua tau nyob rau hauv muaj cov kab mob hauv qab no:

Ib hom ntshav qab zib twg uas yuav tsum muaj insulin
Kho cov teeb meem ntshav qab zib hauv daim ntawv ntawm ketoacidosis lossis coma,
Kev ua kom ruaj khov ntawm cov neeg mob ntshav qab zib tom qab kev phais mob.

Kuv qhia koj tias kev kho mob ntshav qab zib yeej ua tsis tau yog tias tsis muaj kev saib xyuas tas li los ntawm cov kws paub tshwj xeeb. Tsuas yog tus kws endocrinologist yuav tsum tau sau ntawv siv tshuaj thiab ntsuas qhov ua tau zoo ntawm kev kho.

Dab tsi yog cov contraindications ntawm Insuman Rapid GT?

Kev siv cov tshuaj tsis tsim nyog nyob ntawm qhov muaj cov xwm txheej hauv qab no:

Tej yam kev mob hypoglycemic,
Ib leeg toog rau ib qho twg ntawm cov khoom.

Tus neeg txheeb ze contraindications: qib siab hnub nyoog, kab mob siab thiab mob raum, mob hlab ntsha hlwb, mob hlab ntsha hlwb tsis txaus, muaj mob loj heev.

Qhov kev siv thiab ua li cas ntawm Insuman Rapid GT?

Cov hom kev tswj hwm, nrog rau kev txhaj tshuaj ntau npaum li cas tau txiav txim siab los ntawm tus kws kho mob tshwj xeeb, thiab nyob ntawm ntau yam: ntshav qabzib nce qib, kev noj haus thiab kev tawm dag zog, hom kev ua si, hnub nyoog, lub cev nyhav thiab lwm yam.

Cov tshuaj yuav tsum tau muab cov tshuaj tsaug zog subcutaneously 10 rau 15 feeb ua ntej noj mov. Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li, tsis li ntawd qhov tsim ntawm qhov mob infiltrates (ntsaws ruaj ruaj) lossis dystrophic tshwm sim yog ua tau.

Rau kev qhia txog cov tshuaj, sab xub ntiag ntawm phab ntsa plab lossis thaj tsam tom qab ntawm tus ncej puab feem ntau xaiv tau. Lub ntsiab lus ntawm kev tswj hwm ntawm cov tshuaj yuav tsum tau pom zoo nrog tus kws tshaj lij, txij li ib cheeb tsam ntawm txoj kev txhaj tshuaj tuaj yeem hloov qhov feem ntawm qhov pib ntawm cov nyhuv kho.

Noj ntau tshaj ntawm Insuman Ceev ceev GT

Thaum muaj kev noj haus ntau dhau, ua pa sai thiab mob tawm hauv lub cev, tsis muaj zog, tinnitus, "ua yoov" nyob rau hauv lub qhov muag, xeev siab, ntuav, mob siab heev, tej zaum yuav muaj kev tshaib kev nqhis, qee zaum kev qaug dab peg, ua tsis taus pa, thiab tseem ua rau lub plawv dhia, rov qab thiab txawm tias tuag Cov.

Txoj kev kho yog nyob ntawm tus neeg mob lub sijhawm. Nrog rau qhov mob me, cov kua nplaum tuaj yeem hloov kho uas siv cov zaub mov muaj suab thaj yooj yim.

Thaum muaj mob hnyav, yuav tsum tau siv tshuaj kho kom tus mob uas hais txog cov piam thaj thiab lwm yam kev mob tshwm sim.

Cov kev mob tshwm sim ntawm Insuman Rapid GT yog dab tsi?

Feem ntau, kev ua xua tshwm sim nyob rau hauv daim ntawv ntawm bronchospastic phenomena, angioedema, anaphylactic kev ua xua, kev tshwm sim ntawm tawv nqaij yog tus yam ntxwv.

Lwm qhov kev cuam tshuam: edema, txo ntshav siab, ntau yam kev cuam tshuam pom, cuam tshuam ntawm qhov ntshav ntawm thaj chaw tswj hwm.

Yuav hloov hloov Insuman Rapid GT, dab tsi analogues?

Cov tshuaj Actrapid HM, Rinsulin R, Biosulin R, Human insulin, Ryzodeg, Rosinsulin R, Humulin tsis tu ncua, Gensulin R, Gansulin R, ntxiv rau, Human insulin, Actrapid, Vozulim-R, ntxiv rau Insuran R yog cov tshuaj analogues.

Peb tau soj ntsuam cov tshuaj Insuman Rapid GT, cov lus qhia rau kev siv tshuaj. Txog rau ntau yam, cov ntshav qab zib mellitus yog qhov tshwj xeeb ntawm lub neej, ntxiv rau kev siv tshuaj, nws tau raug txiav txim siab kom tsis txhob noj cov zaub mov carbohydrates los ntawm cov zaub mov, dosed kev ua haujlwm ntawm lub cev, kev mus saib ib zaug rau tus kws kho mob tshwj xeeb thiab soj ntsuam cov ntshav qabzib kom ntau.

Tsuas tshuaj thiab tswj hwm

Kev xaiv cov koob tshuaj insulin hauv ib tus neeg mob yog nqa los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj zaub mov noj npaum li cas, theem kev ua si thiab kev ua neej. Qhov kev txhaj tshuaj ntawm cov tshuaj insulin yog txiav txim siab los ntawm cov piam thaj hauv ntshav, nrog rau qhov kev npaj ua ntej ntawm kev qoj ib ce thiab lub xeev ntawm cov metabolism hauv plhaushaum. Kev kho tshuaj Insulin yuav tsum muaj kev paub tus kheej rau tus neeg mob. Tus kws kho mob yuav tsum tau muab cov lus qhia uas yuav tsum tau txiav txim siab npaum li cas los txiav txim siab txog qib qab zib hauv cov ntshav thiab, tejzaum nws, hauv cov zis, thiab tseem yuav muab cov lus qhia uas tsim nyog rau thaum muaj kev hloov pauv hauv kev noj zaub mov noj lossis hauv kev kho mob ntawm insulin. Qhov nruab nrab koob tshuaj txhua hnub ntawm insulin yog los ntawm 0.5 txog 1.0 ME ib kg ntawm tus neeg mob lub cev qhov hnyav, thiab 40-60% ntawm qhov koob tshuaj poob rau tib neeg cov insulin nrog kev ua ntev. Thaum hloov los ntawm tsiaj cov tshuaj insulin rau tib neeg cov tshuaj insulin, yuav tsum tau txhaj tshuaj insulin tsawg dua. Kev hloov pauv ntawm lwm yam tshuaj insulin rau cov tshuaj no tsuas yog ua los ntawm kev saib xyuas kev noj qab haus huv. Tshwj xeeb tshaj yog saib xyuas tas li ntawm lub xeev ntawm carbohydrate metabolism yog qhov tsim nyog hauv thawj lub lis piam tom qab xws li kev hloov pauv.

Insuman Rapid GT feem ntau yog tswj xyuas kom tob subcutaneously 15-20 feeb ua ntej noj mov. Intramuscular thawj coj ntawm cov tshuaj yog tso cai. Qhov chaw txhaj tshuaj yuav tsum tau hloov txhua zaus. Hloov thaj chaw txhaj tshuaj (piv txwv li, los ntawm lub plab mus rau ncej puab) yuav tsum tau ua tsuas yog tom qab sab laj nrog kws kho mob. Insuman Rapid GT tuaj yeem raug tso tshuaj mob siab rau kev kho mob hyperglycemic coma thiab ketoacidosis, ntxiv rau ua tiav cov nyiaj metabolic them ua ntej, ntu-thiab tom qab lub sijhawm nyob hauv cov neeg mob ntshav qab zib mellitus. Insuman Rapid GT tsis yog siv rau hauv ntau hom tshuaj insulin (suav nrog cov uas siv cog), qhov twg ib qho tshuaj pleev silicone. Tsis txhob sib xyaw Insuman Rapid GT nrog cov kua dej ntawm cov tshuaj sib txawv (piv txwv li 40 IU / ml thiab 100 IU / ml), nrog insulin ntawm tsiaj keeb kwm lossis lwm yam tshuaj. Tsuas yog siv cov ntshiab, tsis muaj kob ntawm Insuman Rapid GT cov kev daws teeb meem uas tsis muaj qhov pom ntawm lub tshuab tsis haum. Nws yuav tsum nco ntsoov hais tias kev saib xyuas cov tshuaj insulin hauv lub vial yog 100 IU / ml, yog li koj tsuas yog yuav tsum tau siv cov yas koob txhaj tshuaj tsim rau kev muab cov tshuaj insulin. Cov koob txhaj tshuaj yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov seem. Ua ntej thawj zaug teeb tsa insulin los ntawm vial, tshem lub hau yas (lub xub ntiag ntawm lub hau yog pov thawj ntawm lub vial tsis tau qhib). Txoj kev txhaj tshuaj yuav tsum tsis muaj qhov pom tseeb thiab tsis muaj kob.

Ua ntej sau cov tshuaj insulin los ntawm cov vial, ib qho ntim ntawm huab cua sib npaug ntawm cov tshuaj tua kab mob ntawm insulin yog nqus rau hauv cov koob txhaj tshuaj thiab txhaj rau hauv lub thauv (tsis yog kua. Tom qab cov thauv nrog lub koob txhaj tshuaj yog ntxeev tiaj nrog lub koob txhaj tshuaj thiab qhov yuav tsum tau siv cov tshuaj insulin. Ua ntej txhaj tshuaj, tshem cov pa npuas los ntawm lub koob txhaj tshuaj. Ib daim ntawm daim tawv nqaij yog coj ntawm qhov chaw txhaj tshuaj, ib rab koob raug tso rau hauv qab daim tawv nqaij, thiab cov tshuaj insulin yog maj mam txhaj. Tom qab txhaj koob, rab koob yog maj mam tawm thiab qhov chaw txhaj tshuaj yog nias nrog paj rwb pas rwb mus ntev li ob peb feeb. Hnub tim ntawm thawj cov khoom siv insulin los ntawm lub thauv yuav tsum sau rau ntawm daim ntawv lo ntawm lub vial. Tom qab qhib lub hwj tuaj yeem khaws cia ntawm qhov kub tsis dhau + 25 ° C rau 4 lub lis piam rau hauv qhov chaw tiv thaiv los ntawm lub teeb thiab cua sov.

Daim ntawv thov nta

Yog tias tsis muaj cov tshuaj glycemic tswj lossis lub siab nyiam rau lub sijhawm ntau dhau ntawm hyper- lossis hypoglycemia, ua ntej txiav txim siab yuav kho cov tshuaj insulin, nco ntsoov soj ntsuam cov tshuaj noj ntawm insulin thawj coj, nco ntsoov tias insulin raug txhaj rau hauv thaj chaw pom zoo, xyuas qhov tseeb ntawm cov txheej txheem kev txhaj tshuaj thiab tag nrho lwm yam uas yuav cuam tshuam rau cov nyhuv ntawm insulin. Txij li thaum tswj hwm kev sib txig ntawm ntau cov tshuaj (saib ntu "Kev Sib Tham Nrog Lwm Cov Tshuaj") tuaj yeem ua kom tsis muaj zog lossis txhim kho qhov tsis zoo ntawm cov tshuaj Insumanly Rapid GT, tsis muaj lwm yam tshuaj yuav tsum tau noj thaum lub sijhawm nws siv yam tsis muaj kev tso cai tshwj xeeb ntawm tus kws kho mob.

Kev ntshav siab. Kev mob hypoglycemia tshwm sim yog tias cov koob tshuaj insulin ntau dua qhov xav tau. Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia yog qhov siab thaum pib ntawm kev kho tshuaj insulin, thaum hloov mus rau lwm txoj kev npaj tshuaj insulin, hauv cov neeg mob uas tsis muaj kev saib xyuas qis ntawm cov piam thaj hauv cov ntshav. Ib yam li txhua tus insulins, tshwj xeeb yuav tsum tau saib xyuas thiab soj ntsuam ntshav qabzib ntau hauv cov neeg mob uas tus mob ntshav qab zib tsawg yuav muaj qhov tshwj xeeb hauv kev kho mob, xws li cov neeg mob uas mob hnyav ntawm lub plawv lossis mob hlab ntsha hlwb (kev pheej hmoo ntawm lub plawv lossis mob hlwb ntawm hypoglycemia), pom zoo. , zoo ib yam nkaus li hauv cov neeg mob uas muaj kev tu ncua sai, tshwj xeeb tshaj yog tias lawv tsis tau yauv mus ua photocoagulation (kho laser), vim tias lawv muaj kev pheej hmoo ntawm amaurosis (hloov tag nrho) qhov muag tsis pom) nrog kev txhim kho hypoglycemia.

Muaj qee yam kev mob tshwm sim thiab cov tsos mob uas yuav tsum qhia rau tus neeg mob lossis lwm tus txog kev txhim kho hypoglycemia. Cov no suav nrog kev tawm hws, noo noo hauv daim tawv nqaij, tachycardia, lub plawv tsis sib xws, nce ntshav siab, mob hauv siab, tshee tshee, ntxhov siab, tshaib plab, tsaug zog, pw tsaug zog, ntshai, ntxhov siab, chim siab, coj tus cwj pwm txawv, ntxhov siab, kab mob khaub thuas nyob rau hauv lub qhov ncauj thiab ib ncig ntawm lub qhov ncauj, pallor ntawm daim tawv nqaij, mob taub hau, ua kom tsis muaj kev sib koom tes ntawm kev txav, nrog rau kev hloov mus rau cov leeg mob (tsis hnov ​​lus thiab tsis pom kev, cov kab mob tuag tes tuag taw) thiab qhov txawv txawv. Nrog rau qhov ua kom cov piam thaj ntau zuj zus, tus neeg mob yuav plam nws tus kheej thiab txawm tias nws tsis nco qab. Hauv cov xwm txheej zoo li no, kev saib xyuas txias thiab av noo ntawm daim tawv nqaij, thiab kev huam yuaj kuj tuaj yeem pom. Yog li, txhua tus neeg mob ntshav qab zib uas tau txais insulin yuav tsum kawm kom paub txog cov tsos mob uas yog tus yam ntxwv mob qog ntshav qab zib. Cov neeg mob uas niaj zaus saib xyuas kom cov ntshav qabzib hauv cov ntshav yuav tsis muaj ntshav qab zib tsawg. Tus neeg mob nws tus kheej tuaj yeem kho qhov txo qis hauv cov ntshav qab zib nws tau pom los ntawm kev noj qab zib lossis zaub mov nrog cov lus qhia siab rau kev siv: m carbohydrates. Rau lub hom phiaj no, tus neeg mob yuav tsum ib txwm muaj 20 g suab thaj nrog nws. Nyob rau hauv cov mob hnyav dua ntawm cov ntshav qog ntshav qab zib, kev txhaj tshuaj ntshav qab zib ntawm glucagon yog qhia (uas tuaj yeem ua los ntawm tus kws kho mob lossis cov neeg ua haujlwm tu mob). Tom qab txhim kho kom zoo txaus, tus neeg mob yuav tsum noj. Yog tias tsis tuaj yeem kho tus mob ntshav qab zib tsawg, tam sim ntawd yuav tsum tau hu kws kho mob sai. Nws yog ib qho tsim nyog yuav tsum tau qhia rau tus kws kho mob tam sim ntawd txog kev txhim kho hypoglycemia txhawm rau kom nws txiav txim siab ntawm qhov xav tau los kho qhov tshuaj ntawm cov tshuaj insulin.Ua tsis tiav raws li kev noj haus, hla kev txhaj tshuaj insulin, kev xav tau insulin ntau ntxiv los ntawm kev kis tus kabmob lossis lwm yam kabmob, thiab kev qoj ib ce txo qis yuav ua rau muaj ntshav qabzib ntau ntxiv (hyperglycemia), tej zaum muaj kev nce qib hauv ketone lub cev hauv cov ntshav (ketoacidosis). Ketoacidosis tuaj yeem tshwm sim hauv ob peb teev lossis ob peb hnub. Ntawm thawj cov tsos mob ntawm tus kab mob metabolic acidosis (nqhis dej, tso zis heev, tsis qab los noj mov, nkees, tawv nqaij qhuav, ua pa ceev thiab ua pa sai, muaj ntau ntawm acetone thiab qabzib hauv cov zis), yuav tsum tau muaj kev kho mob maj nrawm.

Thaum hloov tus kws kho mob (piv txwv li, thaum mus pw hauv tsev kho mob vim muaj kev sib tsoo, mob thaum so haujlwm), tus neeg mob yuav tsum qhia tus kws kho mob tias nws muaj ntshav qab zib. Cov neeg mob yuav tsum tau ceeb toom txog cov xwm txheej uas cov tsos mob ceeb toom txog kev txhim kho hypoglycemia tuaj yeem hloov, tsis tau hais tawm lossis tsis tuaj kiag li, piv txwv li: muaj kev txhim kho tseem ceeb hauv kev tswj glycemic, nrog kev txhim kho maj mam hypoglycemia, hauv cov neeg laus, hauv cov neeg mob uas muaj lub hlwb tsis nco qab neuropathy, hauv cov neeg mob nrog muaj keeb kwm ntev los ntawm ntshav qab zib, hauv cov neeg mob ib txhij tau txais kev kho mob nrog qee yam tshuaj (saib ntu "Kev cuam tshuam nrog lwm cov tshuaj." s). Cov xwm txheej zoo li no tuaj yeem ua rau muaj ntshav qab zib tsawg (thiab tej zaum yuav tsis nco qab) ua ntej tus neeg mob paub tseeb tias nws muaj kev mob ntshav qab zib tsawg. Yog tias ib txwm los yog qis dua glycosylated hemoglobin qhov tseem ceeb tau pom, yuav tsum xav txog qhov kev tsim kho dua, tsis nco qab (tshwj xeeb tshaj yog nocturnal) lub sijhawm ntawm hypoglycemia.

Txo txo ​​qhov kev pheej hmoo ntawm hypoglycemia, tus neeg mob yuav tsum nruj ua raws li cov kev noj tshuaj thiab cov khoom noj khoom haus zoo, tswj cov tshuaj insulin kom raug, thiab ceeb toom cov tsos mob ntawm kev txhim kho hypoglycemia. Qhov tseeb uas ua rau kom cov kev xav hauv lub plawv yuav tsum muaj kev saib xyuas sai thiab tej zaum yuav tsum tau kho kom haum. Cov xwm txheej no suav nrog: kev hloov thaj chaw ntawm cov tshuaj insulin, kev nce hauv insulin rhiab heev (piv txwv, tshem tawm cov kev ntxhov siab), txawv txav (nce lossis ntev lub cev kev ua haujlwm), cuam tshuam pathology (ntuav, raws plab), kev noj zaub mov tsis txaus, tsis noj mov, haus cawv, qee cov kab mob endocrine tsis pom kev zoo (xws li hypothyroidism thiab tsis txaus ntawm anterior pituitary lossis adrenal cortex tsis txaus), concomitant siv qee yam tshuaj (saib ntu “Kev cuam tshuam nrog rau lwm cov tshuaj”). Cov kab mob Intercurrent Nrog rau cov kab mob sib kis, kev tswj kev zom zaubmov kom ntau. Feem ntau, tso zis rau kuaj pom ntawm ketone lub cev raug qhia, thiab kev kho cov tshuaj insulin feem ntau tsim nyog. Qhov kev xav tau rau insulin feem ntau nce. Cov neeg mob ntshav qab zib hom 1 yuav tsum txuas ntxiv noj tsawg kawg ib qho me me ntawm carbohydrates tsis tu ncua, txawm tias lawv tsuas tuaj yeem noj me ntsis ntawm cov zaub mov lossis yog tias lawv ntuav, thiab lawv yuav tsum tsis txhob tso cov tshuaj insulin kiag li.

Cov tshuaj tiv thaiv kab mob hla. Hauv qhov ncaj ncees ntawm cov neeg mob uas muaj lub siab ntev mus rau insulin ntawm tsiaj keeb kwm, nws yog qhov nyuaj rau hloov mus rau tib neeg insulin vim tus ntoo khaub lig-tiv thaiv kab mob ntawm tib neeg insulin thiab insulin ntawm tsiaj keeb kwm. Nrog rau kev nkag siab ntau ntxiv ntawm tus neeg mob rau insulin ntawm tsiaj keeb kwm, nrog rau m-cresol, kev kam rau ntawm cov tshuaj Insuman® Rapid GT yuav tsum raug soj ntsuam hauv qhov chaw kho mob siv cov kev kuaj mob intradermal. Yog tias thaum lub sijhawm kuaj ntshav tsis haum rau tib neeg cov tshuaj insulin (kuaj cov tshuaj tiv thaiv tam sim ntawd, xws li Arthus), tom qab ntawv kho ntxiv yuav tsum tau ua hauv kev saib xyuas mob.

Cuam tshuam rau lub peev xwm tsav tsheb lossis lwm yam txheej txheem. Tus neeg mob lub peev xwm mloog tau ceev thiab qhov ceev ntawm psychomotor cov tshuaj tiv thaiv tuaj yeem ua rau tsis muaj txiaj ntsig vim yog qhov mob ntshav qab zib lossis hyperglycemia, nrog rau qhov tshwm sim tsis pom kev hauv lub siab. Qhov no tuaj yeem ua rau muaj kev pheej hmoo nyob hauv cov xwm txheej uas cov peev xwm no tseem ceeb (tsav tsheb lossis lwm yam). Cov neeg mob yuav tsum tau qhia rau kom ceev faj thiab zam kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas tau txo qis lossis tsis paub txog cov tsos mob tshwm sim uas qhia kev txhim kho ntawm lub qog ntshav qab zib, lossis muaj kev pheej hmoo sai ntawm cov ntshav qog ntshav qab zib. Hauv cov neeg mob zoo li no, lo lus nug ntawm kev muaj peev xwm tsav lawv nrog tsheb lossis lwm cov txheej txheem yuav tsum tau txiav txim siab ib leeg.

Kev cuam tshuam nrog lwm yam tshuaj

Siv cov tshuaj tsis haum nrog lub qhov ncauj hypoglycemic, angiotensin hloov enzyme inhibitors, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, propoxyphene, salicylates, amphetamine, anabolic steroids thiab txiv neej phenylphosphamines, cyclophosphamines, hydrochchines , somatostatin thiab nws cov analogues, sulfonamides, tetracyclines, tritocqualin lossis trophosphamide tuaj yeem txhim kho hypoglycemic cov nyhuv ntawm cov tshuaj insulin thiab nce cov kab mob siab rau txoj kev txhim kho hypoglycemia.

Lub neej coj siv corticotropin, corticosteroids, danazol, diazoxide, diuretics, glucagon, Isoniazid, estrogens thiab progestogens (xws li tam sim no nyob rau hauv ib tug neej coj contraceptive), phenothiazine derivatives, kev loj hlob lawm, sympathomimetic tshuaj (e.g., epinephrine, salbutamol, terbutaline), cov thyroid hormones, barbiturates, nicotinic acid, phenolphthalein, phenytoin derivatives, doxazosin tuaj yeem qaug zog cov nyhuv hypoglycemic ntawm insulin. Beta-blockers, clonidine, lithium ntsev tuaj yeem yog potentiate lossis ua kom cov ntshav tsis muaj zog ntawm insulin.

Ethanol tuaj yeem yog potentiate lossis ua rau cov ntshav tsis muaj zog ntawm insulin. Kev noj tshuaj Ethanol tuaj yeem ua rau cov ntshav qis lossis txo qis Cov Lus Qhia rau kev siv: ntshav qabzib nyob rau theem txaus ntshai. Kev noj tshuaj Ethanol hauv cov neeg mob uas tau txais insulin yog txo. Tso cai rau haus dej haus cawv ntau npaum yuav tsum yog txiav txim los ntawm koj tus kws kho mob. Nrog rau kev tswj hwm tib lub sijhawm, kev txhim kho hypoglycemia yog qhov ua tau, uas tuaj yeem qee zaum tig mus rau hauv hyperglycemia. Thaum ua ke nrog cov neeg muaj mob sympatholytic, xws li beta-blockers, clonidine, guanethidine thiab reserpine, qhov ua kom tsis muaj zog lossis ua kom tiav ntawm cov tsos mob ntawm tus mob reflex (nyob rau hauv teb rau hypoglycemia) kev ua haujlwm ntawm lub siab xav yog ua tau.

Cov Yuav Tsum Tau Ua

Kev ntshav siab. Hypersensitivity cov tshuaj tiv thaiv rau cov tshuaj insulin lossis rau qee yam ntawm cov tshuaj tiv thaiv cov tshuaj. Yog tias koj muaj ib qho ntawm cov kabmob lossis cov xwm txheej no, nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv cov tshuaj. Nrog ceev faj: Yog tias lub raum tsis ua haujlwm (tej zaum yuav txo qis ntawm cov tshuaj insulin vim qhov ua kom txo qis hauv cov tshuaj insulin). Hauv cov neeg laus neeg mob (qhov ua kom lub raum tsawg zuj zus tuaj yeem ua rau cov tshuaj insulin puas tsawg zuj zus). Hauv cov neeg mob uas lub siab tsis ua haujlwm (xav tau cov tshuaj insulin tuaj yeem txo vim muaj kev txo qis hauv lub peev xwm gluconeogenesis thiab txo qis hauv insulin metabolism). Hauv cov neeg mob uas mob stenosis ntawm lub plawv thiab mob hlab ntsha hauv lub cev (hypoglycemic lub sijhawm yuav muaj kev tshwj xeeb hauv kev kho mob, vim tias muaj kev pheej hmoo ntawm lub plawv lossis mob hlwb ntau dua ntawm cov ntshav qab zib). Cov neeg mob uas muaj kev tu ncua sai, tshwj xeeb tshaj yog cov uas tsis tau txais kev kho mob nrog photocoagulation (kho laser), txij li thaum lawv muaj kev pheej hmoo ntawm kev hloov mus rau amaurosis nrog hypoglycemia tiav - ua tiav dig muag. Hauv cov neeg mob uas muaj cov kabmob sib kis (txij li cov kabmob sib kis feem ntau xav tau cov tshuaj insulin).

Yog tias koj muaj ib qho ntawm cov kabmob lossis cov xwm txheej no, nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv cov tshuaj. Cev xeeb tub thiab lactation - Kev kho mob nrog Insuman® Rapid GT thaum cev xeeb tub yuav tsum txuas ntxiv. Cov tshuaj Insulin tsis hla qhov chaw tiv thaiv. Kev tswj kom zoo ntawm kev tswj lub cev zom zaub mov thoob plaws lub cev xeeb tub yuav tsum muaj rau cov poj niam uas muaj ntshav qab zib ua ntej cev xeeb tub, lossis rau cov poj niam uas tau muaj tus mob ntshav qab zib tsis tsaug zog. Qhov kev xav tau rau insulin thaum cev xeeb tub tuaj yeem txo qis hauv thawj peb lub hlis thaum cev xeeb tub thiab feem ntau nce nyob rau lub sijhawm thib ob thiab peb lub hlis thaum cev xeeb tub. Tam sim ntawd tom qab yug los, xav tau insulin tsawg dua (muaj kev pheej hmoo ntawm cov ntshav qog ntshav qab zib tsawg dua). Thaum cev xeeb tub thiab tshwj xeeb tshaj yog tom qab yug menyuam tas, yuav tsum ua tib zoo saib xyuas cov ntshav qabzib hauv cov ntshav. Yog tias koj cev xeeb tub los yog npaj lub cev xeeb tub, nco ntsoov qhia koj tus kws kho mob. Thaum lub sijhawm pub niam mis, tsis muaj kev txwv dab tsi rau kev kho tshuaj insulin, txawm li cas los xij, kev siv tshuaj insulin thiab kev noj haus yuav raug tsim nyog.

Noj ntau dhau

Cov tsos mob: Kev noj tshuaj insulin ntau dhau, xws li muab cov insulin ntau heev piv rau cov zaub mov lossis lub zog noj, tuaj yeem ua rau lub cev ntshav lossis ntshav ntws qis thiab tuag taus. Kev Kho Mob: Cov kev mob ntshav ntswg me me (tus neeg mob nco qab zoo li qub) tuaj yeem nres los ntawm kev noj zaub mov carbohydrates. Yuav tsum tau txhaj koob tshuaj insulin, kev noj zaub mov, thiab kev tawm dag zog. Ntau lub sijhawm mob ntshav qab zib tsawg nrog kev hnov ​​qab, txiav tawm los yog mob hlab ntsha hlwb tuaj yeem nres los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon los yog kev tswj hwm tshuaj ntawm cov tshuaj dextrose tov. Hauv cov menyuam yaus, qhov ntau npaum li cas ntawm dextrose raug tswj hwm tau tsim raws li qhov ntsuas lub cev ntawm tus menyuam. Tom qab nce qhov kev txiav txim siab ntawm cov piam thaj hauv cov ntshav, yuav tsum tau txais kev txhawb nqa ntawm cov carbohydrates thiab kev soj ntsuam, vim tias tom qab pom meej tshem tawm cov tsos mob ntawm cov ntshav qab zib, nws tuaj yeem rov tsim kho. Thaum muaj mob ntshav qab zib ntau lossis ntev heev tom qab qhov kev txhaj tshuaj glucagon los yog dextrose, nws raug pom zoo tias qhov kev ua ntshav yuav ua nrog cov tshuaj tsis muaj zog ntau dhau los txhawm rau txhawm rau tiv thaiv qhov rov txhim kho ntawm hypoglycemia. Hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tsum ua tib zoo saib xyuas qhov kev mloog ntawm cov piam thaj hauv cov ntshav, nyob rau hauv kev sib txuas nrog kev loj hlob tau ntawm kev muaj ntshav ntau dhau. Qee qhov xwm txheej, nws raug nquahu kom cov neeg mob mus pw hauv tsev kho mob ntau dua kom tau txais kev saib xyuas lawv tus mob kom zoo thiab saib xyuas cov kev kho mob.

Yam tshuaj muaj sia: solulin insulin (tib neeg cov tshuaj lom neeg tshuab) 3.571 mg (100 IU),Cov muaj tswv yim: metacresol (m-cresol) - 2.7 mg, sodium dihydrogen phosphate dihydrate - 2.1 mg, glycerol 85% - 18.824 mg, sodium hydroxide (los kho pH) - 0.576 mg, hydrochloric acid (kom kho pH) - 0.232 mg, dej d / thiab - txog li 1 ml

Kev Phiv Phom Kab Mob Insuman Rapid GT

Los ntawm cov kab mob plawv: zaus tsis paub - txo ntshav siab.

Los ntawm sab ntawm cov metabolism thiab khoom noj khoom haus: feem ntau - edema, tsis paub ntau zaus - sodium tuav tseg. Cov teebmeem zoo sib xws yog muaj peev xwm ua tau nrog kev txhim kho ntawm kev paub txog kev tiv thaiv metabolic yav dhau los vim yog siv cov tshuaj tiv thaiv insulin ntau dua.

Los ntawm sab ntawm cov khoom ntawm lub zeem muag: qhov zaus tsis paub txog - kev cuam tshuam txog kev hloov pauv tsis tu ncua (vim kev hloov pauv hloov chaw nyob ib ntus ntawm lub qhov muag ntawm lub qhov muag thiab lawv qhov ntsuas qhov ntsuas tsis tau), kev cuam tshuam ib ntus hauv cov mob ntshav qab zib retinopathy (vim yog muaj kev kho mob insulin ntau dua nrog kev txhim kho glycemic tswj), hloov chaw ntawm amaurosis (hauv cov neeg mob uas muaj kev tiv thaiv kev mob hlwb, tshwj xeeb tshaj yog tias lawv tsis tau txais kev kho mob nrog photocoagulation (kho laser).

Ntawm ib feem ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous: qhov zaus tsis paub meej - kev txhim kho ntawm lipodystrophy ntawm qhov chaw txhaj tshuaj thiab qhov qeeb hauv kev nqus hauv zos ntawm insulin. Hloov cov chaw txhaj tshuaj tsis tu ncua hauv thaj chaw pom zoo ntawm kev tswj hwm tuaj yeem pab txo lossis tso tseg cov kev cuam tshuam no.

Kev cuam tshuam dav dav thiab cuam tshuam ntawm qhov chaw txhaj tshuaj: qhov zaus tsis paub meej - liab, mob, khaus, urticaria, o lossis mob tshwm sim ntawm qhov chaw txhaj tshuaj. Cov kev tsis haum siab hais txog cov tshuaj insulin ntawm qhov chaw txhaj tshuaj feem ntau ploj tom qab ob peb hnub lossis ntau lub lis piam.

Cov tsos mob kev noj tshuaj insulin ntau dhau, piv txwv li, kev qhia ntawm cov insulin ntau dhau piv nrog kev noj zaub mov lossis lub zog, tuaj yeem ua rau lub cev ntshav qis thiab ua rau lub neej muaj ntshav siab ntau.

Kev Kho Mob: kev mob ntshav qog ua si (hypoglycemia) me me (tus neeg mob nco qab) tuaj yeem nres los ntawm kev noj cov tshuaj carbohydrates hauv. Yuav tsum tau txhaj koob tshuaj insulin, kev noj zaub mov, thiab kev tawm dag zog. Yuav muaj ntau qhov teeb meem mob ntshav qab zib ntau ntau nrog kev tsis nco qab, ua kom mob hlwb lossis mob hlwb puas tuaj yeem nres nrog a / m lossis s / c tswj hwm ntawm glucagon lossis i / v nrog cov tshuaj dextrose. Hauv cov menyuam yaus, qhov ntau npaum li cas ntawm dextrose raug tswj hwm tau tsim raws li qhov ntsuas lub cev ntawm tus menyuam. Tom qab nce lub concentration ntawm cov piam thaj nyob rau hauv cov ntshav, kev txhawb nqa kom tsawg ntawm carbohydrates thiab kev soj ntsuam yuav tsum tau ua, raws li tom qab pom tseeb hauv kev kho mob kom tshem tawm cov tsos mob ntawm kev mob ntshav qab zib, nws txoj kev rov txhim kho yog tau. Yog tias muaj teeb meem mob ntshav qab zib ntau lossis ntev heev tom qab qhov kev txhaj tshuaj glucagon los yog dextrose, nws pom zoo tias qhov kev daws teeb meem dextrose tsawg dua yuav ua rau muaj kev tiv thaiv kom rov qab txhim kho hypoglycemia. Hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas qhov kev mloog ntawm cov piam thaj hauv cov ntshav, nyob rau hauv kev sib txuas nrog kev txhim kho ntawm kev mob ntshav siab ceev. Qee qhov xwm txheej, nws raug nquahu kom tus neeg mob yuav tsum tau mus pw hauv tsev kho mob kom tau txais kev saib xyuas lawv tus mob kom zoo thiab saib xyuas kev kho kom zoo.

Siv cov tshuaj tsis haum nrog lub qhov ncauj hypoglycemic, ACE inhibitors, disopyramide, fibrates, fluoxetine, MAO inhibitors, pentoxifylline, propoxyphene, salicylates, amphetamine, anabolic steroids thiab txiv neej cov tshuaj hormones, cybenzoline, phenophosphamine, phenophosphamine thiab phenophosphamine nws cov analogues, sulfonamides, tetracyclines, tritokvalin lossis trophosphamide tuaj yeem txhim kho hypoglycemic nyhuv ntawm insulin thiab nce draspolozhennost hypoglycemia.

Lub simultaneous siv corticotropin, corticosteroids, danazol, diazoxide, diuretics, glucagon, Isoniazid, oestrogens thiab gestagens (e.g., tam sim no nyob rau hauv PDA), phenothiazine derivatives, kev loj hlob lawm, sympathomimetic tshuaj (e.g., epinephrine, salbutamol, terbutaline), cov thyroid hormones, barbiturates, nicotinic acid, phenolphthalein, phenytoin derivatives, doxazosin tuaj yeem txo cov nyhuv hypoglycemic ntawm insulin.

Beta-blockers, clonidine, lithium ntsev tuaj yeem yog potentiate lossis ua kom cov ntshav tsis muaj zog ntawm insulin.

Ethanol tuaj yeem ua rau muaj zog lossis ua kom cov nyhuv tsis muaj zog ntawm insulin. Kev noj tshuaj Ethanol tuaj yeem ua rau cov ntshav qabzib lossis txo qis cov ntshav qabzib dhau mus rau qib txaus ntshai.Kev noj tshuaj Ethanol hauv cov neeg mob uas tau txais insulin yog txo. Tus kws kho mob yuav tsum txiav txim siab noj ntau npaum li cas ntawm kev noj tshuaj ethanol.

Nrog rau kev siv ua ke nrog pentamidine, kev txhim kho hypoglycemia yog ua tau, uas qee zaum tuaj yeem tig mus rau hauv hyperglycemia.

Nrog rau kev siv tib lub sijhawm nrog cov neeg mob sympatholytic, xws li beta-blockers, clonidine, guanethidine thiab reserpine, qhov ua kom tsis muaj zog lossis ua kom tiav ntawm cov tsos mob ntawm tus mob reflex (nyob rau hauv teb rau hypoglycemia) kev ua kom zoo ntawm cov leeg hlwb muaj peev xwm ua tau.

Cov tshuaj yuav tsum muab cia rau hauv qhov chaw tsaus, tawm ntawm cov menyuam yaus ntawm qhov kub ntawm 2 ° C txog 8 ° C. Txee lub neej: 2 xyoos.

Muaj daim ntawv yuav tshuaj

HOECHST MARION ROUSSEL Aventis Pharma Deutschland GmbH Aventis Pharma Deutschland GmbH / Sanofi-Aventis Vostok, Sanofi-Aventis Deutschland GmbH / Sanofi-Aventis Vosto Sanofi-Aventis Vostok, ZAO

Tej yam kev mob tshwj xeeb

• 1 ml soluble insulin (tib neeg kev tsim tshuaj lom neeg) 3.571 mg (100 IU) Cov Khoom Siv: metacresol (m-cresol) - 2.7 mg, sodium dihydrogen phosphate dihydrate - 2.1 mg, glycerol 85% - 18.824 mg, sodium hydroxide (kom kho pH) - 0.576 mg, hydrochloric acid (los kho pH) - 0.232 mg, dej d / i - txog 1 ml. solulin insulin (tib neeg lub tshuab tsim hluav taws xob) 3.571 mg (100 IU) Cov tsis muaj zog: metacresol (m-cresol), sodium dihydrogen phosphate dihydrate, glycerol 85%, sodium hydroxide (los kho pH), hydrochloric acid (los kho pH), dej / thiab. solulin insulin (tib neeg lub tshuab tsim hluav taws xob) 3.571 mg (100 IU) Cov tsis muaj zog: metacresol (m-cresol), sodium dihydrogen phosphate dihydrate, glycerol 85%, sodium hydroxide (los kho pH), hydrochloric acid (los kho pH), dej / thiab.

Kev Ua Phem Rau Neeg Mob sai

• - raws li ib feem ntawm cov kev kho mob nyuaj ntawm qee yam mob nriaj chua leeg, nrog lossis tsis muaj theem nrab dav dav, hauv cov neeg mob vwm uas muaj hnub nyoog 16 xyoo thiab laus dua Wimpat® nyob rau hauv daim ntawv ntawm infusions yog tus kws kho mob thaum cov tshuaj ib ntus tsis tuaj yeem nqa mus rau sab hauv

Insuman sai heev GT contraindications

• - Cov ntshav qog ntshav qab zib, - kev tsis haum lub cev tsis haum rau cov tshuaj insulin lossis rau ib qho twg ntawm cov tshuaj tiv thaiv cov tshuaj. Nrog kev ceev faj, cov tshuaj yuav tsum tau siv thaum lub raum tsis ua haujlwm (kev txo qis hauv insulin vim qhov txo qis hauv insulin metabolism yog qhov ua tau), hauv cov neeg mob laus (kev txo qis ntawm lub raum ua haujlwm tuaj yeem ua rau txo qis hauv insulin qhov xav tau), hauv cov neeg mob uas tsis muaj kabmob hepatic (insulin yuav tsum tau txo vim muaj kev txo qis hauv lub peev xwm ntawm gluconeogenesis thiab kev txo qis hauv cov tshuaj insulin metabolism), hauv cov neeg mob uas mob hnyav ntawm txoj hlab ntshav ntawm lub cev thiab cov hlab ntsha hauv lub cev (hypog kev muaj mob hauv lub siab yuav muaj qhov tshwj xeeb hauv kev kho mob, vim tias muaj kev pheej hmoo ntawm lub plawv lossis mob hlwb ntau dua ntawm cov ntshav qog ntshav qab zib tsawg hauv cov neeg mob uas muaj kev mob hlwb (tshwj xeeb tshaj yog cov uas tsis tau txais kev kho mob nrog photocoagulation (kho laser), vim tias lawv muaj kev pheej hmoo ntawm amaurosis nrog ua kom tiav hypoglycemia - ua tiav qhov muag tsis pom kev) ,

Kev mob tshwm sim ntawm Insuman Rapid GT

• Kev mob ntshav qab zib ntshav siab heev Hypoglycemia, feem ntau cov kev phiv los ntawm kev kho mob insulin, tuaj yeem tsim kho yog tias cov koob tshuaj insulin tau tshaj li qhov xav tau rau nws. Kev rov qab mob hnyav dua ntawm cov ntshav qog ntshav qab zib tuaj yeem ua rau kev loj hlob ntawm cov tsos mob ntawm lub paj hlwb, nrog rau tsis nco qab, mob ntswj. Lub caij nyoog ntev los sis mob ceev heev ntawm cov ntshav qab zib siab tuaj yeem tsim kev phom sij tau. Hauv ntau tus neeg mob, cov tsos mob thiab cov tsos mob ntawm tus mob neuroglycopenia ua ntej los ntawm cov tsos mob ntawm tus mob reflex (hauv kev teb rau kev txhim kho hypoglycemia) kev ua haujlwm ntawm lub siab xav ntawm lub hlwb. Feem ntau, nrog hais tawm ntau dua los yog nrawm dua qub nyob rau hauv kev mloog zoo ntawm cov piam thaj hauv cov ntshav, qhov tshwm sim ntawm kev rov ua dua ntawm lub siab xav ntawm lub cev thiab nws cov tsos mob tshwm sim ntau dua. Nrog lub ntsej muag txo qis hauv cov concentration ntawm cov piam thaj hauv cov ntshav, kev txhim kho ntawm hypokalemia (mob tshwm sim los ntawm cov hlab plawv) lossis kev txhim kho ntawm cerebral edema tau. Cov hauv qab no yog cov kev tshwm sim tsis zoo uas tau pom hauv qhov kev sim kho mob uas tau faib los ntawm cov chav hauv nruab nrog cev thiab hauv kev ua kom tsawg zuj zus: feem ntau (? 1/10), feem ntau (? 1/100 thiab

Cia rau cov neeg mob

• cia rau hauv qhov chaw qhuav
• Khaws rau hauv qhov txias (t 2 - 5)
• ceev kom deb ntawm cov menyuam yaus
• muab cia rau hauv qhov chaw tsaus

• Brinsulrapi MK, Brinsulrapi Ch, Insulin Actrapid, Levulin

Ntshav qab zib mellitus yog ib tus mob hnyav heev uas cuam tshuam ntau thiab ntau tus neeg txhua hnub. Nws cov nyhuv yog vim dej thiab carbohydrates hauv tib neeg lub cev.

Vim li ntawd, cov txiav txim siab ua haujlwm, uas tsim cov tshuaj insulin, muaj kev tsis taus. Cov tshuaj no muaj feem nrog kev ua suab thaj rau hauv cov piam thaj, thiab hauv nws lub cev tsis tuaj yeem ua lub cev no.

Yog li, qab zib ntxiv rau hauv tus neeg mob cov ntshav, thiab tom qab ntawd yuav tawm hauv qhov ntau nrog tso zis. Nrog rau qhov no, cov dej metabolism hauv lub cev tau cuam tshuam, uas ua rau kev tshem tawm cov dej ntau hauv lub raum.

Txog hnub tim, tshuaj tuaj yeem muab ntau yam kev hloov pauv, muaj nyob hauv daim ntawv ntawm txoj kev daws rau kev txhaj tshuaj. Ib qho yeeb tshuaj zoo li no yog Insuman, uas yuav tau tham hauv tsab xov xwm no.

Insuman Rapid GT - rab koob txhaj tshuaj nrog cov kev daws rau kev siv ib zaug. Hais txog ib pawg tshuaj uas zoo ib yam li tib neeg cov insulin. Hais txog Insuman Rapid GT tshuaj xyuas yog ntau heev. Nws muaj peev xwm los ua kom muaj qhov tsis txaus ntawm cov tshuaj insulin endogenous, uas tau tsim nyob rau hauv lub cev muaj ntshav qab zib.

Tsis tas li, cov tshuaj muaj peev xwm txo qis dua ntawm cov piam thaj hauv tib neeg cov ntshav. Cov tshuaj no yog siv hauv qhov tsim ntawm txoj kev txhaj tshuaj. Qhov kev txiav txim tshwm sim nyob rau hauv 30 feeb tom qab noj, nce nws qhov siab tshaj plaws tom qab ib mus rau ob teev thiab tuaj yeem txuas ntxiv, nyob ntawm seb qhov koob tshuaj, ntev txog tsib txog yim teev.

SUSP. Insuman Bazal GT (koob txhaj tshuaj)

Insuman Bazal GT kuj nyob rau hauv pab pawg ntawm cov tshuaj uas zoo ib yam rau tib neeg cov tshuaj insulin, muaj lub sijhawm nruab nrab ntawm kev ua thiab muaj peev xwm ua kom muaj qhov tsis txaus rau cov tshuaj insulin endogenous uas ua rau hauv tib neeg lub cev.

Txog insulin Insuman Bazal GT tshuaj xyuas ntawm cov neeg mob feem ntau kuj yog qhov zoo. Cov tshuaj muaj peev xwm txo qis ntshav qabzib. Cov tshuaj yog muab tshuaj subcutaneously, cov nyhuv raug pom rau ntau teev, thiab cov txiaj ntsig siab tshaj plaws tau tiav tom qab plaub mus rau rau teev. Lub sijhawm tiv thaiv yog nyob ntawm lub koob txhaj tshuaj, raws li txoj cai, nws txawv ntawm 11 txog 20 teev.

Kev ntsuas rau siv

• mob ntshav qab zib coma
• tshuaj mob ntsws
• mob ntshav qab zib mellitus vim muaj ntau yam: kev phais mob, kev kis mob uas nrog kub cev, nrog cov teeb meem metabolic, tom qab yug menyuam,
• predkomatoznoe mob, uas yog vim ib nrab poob ntawm tsis nco qab, thaum pib theem ntawm kev loj hlob ntawm coma.

• insulin-yeeb yam mob ntshav qab zib mellitus,
• ntshav qab zib ruaj khov nrog cov ntshav qis yuav tsum muaj,
• ua cov kev kho mob kho kom zoo.

Related videos

Hais txog nuances ntawm kev siv cov tshuaj insulin Insuman Rapit thiab Basal hauv video:

Insuman yog siv los kho cov neeg mob ntshav qab zib mellitus. Nws zoo ib yam li tib neeg cov insulin. Cov qabzib txo qis thiab ua rau ua rau qhov tsis muaj cov tshuaj tua kab mob endogenous. Muaj cov tshuaj ntshiab rau kev txhaj tshuaj. Qhov ntau npaum li cas, raws li txoj cai, yog tawm rau txhua tus neeg mob ib tus zuj zus, suav raws ntawm cov yam ntxwv ntawm cov chav kawm ntawm tus kab mob.

Insulin "Insuman Rapid GT" yuav pab kom muaj kev cuam tshuam sai sai ntawm cov piam thaj hauv ib qho xwm txheej uas txhua feeb suav. Tom qab txhua tus, ntshav qab zib yog ib qho mob hnyav uas feem ntau ua rau tuag lossis xiam oob qhab. Txhawm rau cov lus teb tau sai, cov neeg pab cuam uas tsis hloov pauv yog kev txhaj tshuaj sai ntawm insulin.

Kev sib xyaw thiab cov qauv ntawm raug lub cev

Hauv 1 ml ntawm cov tshuaj muaj:

• 100 IU ntawm cov tshuaj insulin zoo ib yam rau tib neeg, uas sib raug rau 3,571 mg ntawm tib neeg lub cev.
• Ntxiv:
  • glycerol 85%,
  • metacresol
  • sodium hydroxide
  • hydrochloric acid
  • sodium dihydrogen phosphate dihydrate,
  • distilled dej.

Cov tshuaj ntshav tsis txaus "Insuman Rapid GT" yog hais txog cov yeeb yam luv luv. International Lub Npe Tsis Muaj Npe (INN) -. Noob engineers tswj kom tau soluble tag, zoo tib yam rau tib neeg, insulin. Nws muaj cov nyhuv kho sai, nrog sijhawm ntev txog 9 teev. Cov suab thaj txo qis ua tau zoo nws tus kheej tom qab 30 feeb, ncav nws lub ncov, qhov nruab nrab, tom qab 2-3 teev, nyob ntawm cov metabolism thiab kev ua haujlwm ntawm lub raum.

Cov tshuaj cuam tshuam rau lub cev raws li nram no:

Cov tshuaj yeej ua rau ntxiv rau cov glycogen.

• pab txo cov ntshav qab zib
• activates synthesis protein,
• Pab saturate cov qe ntshav nrog poov tshuaj
• inhibits lipid tawg,
• ceev cov txheej txheem ntawm kev hloov pauv cov piam thaj los ntawm carbohydrates rau cov rog rog,
• saturates hlwb nrog cov amino acids,
• nce glycogen tsim,
• txhim kho kev siv ntawm cov khoom lag luam kawg ntawm cov metabolism hauv qabzib,
• txo tus nqi ntawm cov txheej txheem catabolic.

Cov koob txhaj tshuaj "Solostar" rau kev siv ib zaug tuaj yeem hloov tus txheej txheem ntawm kev siv tshuaj insulin. Nws tsis siv sij hawm ntev thiab ua tib zoo kos cov tshuaj mus rau hauv cov tshuaj insulin: cov kev txhaj tshuaj twb tau npaj tiav lawm.

Kev taw qhia thiab cov lus qhia rau siv

Kev siv tshuaj insulin sai yog qhia rau kev siv:

• insulin-cov neeg mob cov mob ntshav qab zib mellitus,
• rau kev tshem tawm ntawm hyperglycemic coma thiab kho ketoacidosis,
• raws li kev sib koom tes hauv kev phais mob rau cov ntshav qab zib.

Txo cov kev pheej hmoo ntawm qhov teev tsis raug ntawm cov tshuaj ua ntej siv, nws tsis txaus ntseeg tsuas yog nyeem cov lus qhia rau kev siv. Nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob thiab suav txhua tus ntau npaum li cas suav tshuaj, uas nyob ntawm ntau yam. Feem ntau ntawm lawv yog:

• theem ntawm kev siv lub cev ua si ntawm tus neeg mob,
• kev ua neej
• kev noj haus
• poj niam txiv neej, hnub nyoog thiab hnyav
• noj lwm yam tshuaj
• muaj muaj cov kab mob mus ntev.

Nws yuav tsum tau yug hauv siab tias yog tias tsawg kawg ib qho ntawm cov ntsuas ntsuas tau raug hloov pauv, koj yuav tsum tau sab laj ib tus kws kho mob ntxiv txhawm rau rov qab txiav txim qhov ntau npaum li cas ntawm cov tshuaj. Txawm hais tias qhov hloov me me hauv lub cev qhov hnyav tuaj yeem ua rau cov kev tsis txaus siab tau zoo yog tias koj tsis kho qhov tshuaj ntawm cov tshuaj insulin hauv lub sijhawm.

Cov lus qhia tseem muaj cov lus qhia dav dav rau txhua tus neeg mob:

• Cov tshuaj yog muab rau hauv qab ntawm daim tawv nqaij ua ntej noj rau 15-20 feeb.
• Txhawm rau tiv thaiv kev hnov ​​mob ntawm daim tawv nqaij, nws tsim nyog mus txhaj rau hauv qhov chaw sib txawv txhua lub sijhawm.
• Tus nqi ntawm cov metabolism yog kwv yees li 50% ntawm ib hnub twg ntawm cov tshuaj insulin.
• Ib hnub, lub cev xav tau cov tshuaj insulin yog 0.5-1.0 IU rau 1 kg ntawm lub cev qhov hnyav.
• Cov tshuaj tuaj yeem raug tswj hwm tsuas yog nyob hauv kev saib xyuas ntawm tus kws kho mob hauv tsev kho mob chaw teeb tsa.

Cov tshuaj ua haujlwm li cas?

Insuman yog lub noob caj noob ces ua haujlwm insulin tib neeg. Ntawm kev ntsuas kev lag luam, qhov tshuaj tiv thaiv yog tsim los siv cov kab mob. Piv nrog insulins siv yav tas los, kev tshuaj ntsuam genetic engineering muaj ntau qhov ua haujlwm ruaj khov thiab zoo tu.

Sij hawm dhau los, lub hom phiaj ntawm kev kho tshuaj insulin yog los tawm tsam kev tuag. Nrog kev tshwm sim ntawm tib neeg insulin, qhov kev sib tw tau hloov pauv. Tam sim no peb tab tom hais txog kev txo cov kev pheej hmoo ntawm cov kev mob nyhav thiab tag nrho lub neej ntawm cov neeg mob. Tau kawg, kom ua tiav qhov no ntawm cov tshuaj insulin tau yooj yim dua, tab sis ntawm Insuman ruaj khov nyiaj mob ntshav qab zib yog tau. Txhawm rau ua qhov no, koj yuav tsum ua tib zoo nyeem cov lus qhia rau qhov tshuaj, nws qhov profile ntawm kev ua, kawm thiab kho nws kom raws sijhawm.

Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los

Mob ntshav qab zib yog qhov ua rau ze li ntawm 80% ntawm tag nrho cov cwj nrag thiab txiav taws. 7 ntawm 10 leej neeg tuag vim txhaws ntawm cov hlab ntsha hauv plawv lossis paj hlwb. Yuav luag txhua qhov teeb meem, qhov laj thawj rau qhov txaus ntshai kawg no yog qhov qub - ntshav qab zib siab.

Cov piam thaj tuaj yeem thiab yuav tsum tau sib khob, tsis muaj dab tsi. Tab sis qhov no tsis kho tus kab mob nws tus kheej, tab sis tsuas yog pab txhawm rau txhawm rau tshawb xyuas, thiab tsis yog qhov ua kom muaj tus kab mob.

Cov tshuaj nkaus xwb uas raug pom zoo rau mob ntshav qab zib thiab siv los ntawm endocrinologist nyob rau hauv lawv kev ua haujlwm yog thaj npog ntshav qab zib Ji Dao.

Qhov ua tau zoo ntawm cov tshuaj, suav raws li tus qauv txheej txheem (tus naj npawb ntawm cov neeg mob uas tau zoo mus rau tag nrho cov neeg mob hauv pawg 100 ntawm cov neeg tau txais kev kho mob) yog:

• Li qub ntawm qab zib - 95%
• Kev tshem tawm ntawm cov hlab ntshav thrombosis - 70%
• Ntaus tau ntawm lub plawv dhia muaj zog - 90%
• Kev tshem tawm ntshav siab - 92%
• Ntxiv dag zog rau nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj - 97%

Ji Dao cov neeg tsim khoom tsis yog lub koom haum ua lag luam thiab tau nyiaj los ntawm lub xeev. Yog li ntawd, tam sim no txhua tus neeg nyob hauv nroog muaj txoj cai yuav tau txais cov tshuaj ntawm tus nqi luv 50%.

Qhov kev sib txuas ntawm cov tshuaj hormone hauv txoj hlab ntshav zoo tsis ruaj khov. Qhov tso tawm insulin tseem ceeb tshwm sim hauv kev teb rau cov piam thaj mus rau hauv cov hlab ntshav los ntawm cov khoom noj. Txawm li cas los xij, yog tias ib tus neeg tau tshaib plab lossis pw tsaug zog, tseem muaj cov tshuaj insulin nyob rau hauv cov ntshav, txawm hais tias muaj ntau qhov ntau me me - ntawm qhov thiaj li hu ua theem pib. Thaum cov khoom lag luam lawm nres nrog cov ntshav qab zib, kev hloov pauv kho tau pib. Qhov no feem ntau xav tau 2 hom insulin. Theem qib pib ua raws li Insuman Bazal, nws nkag rau hauv cov ntshav maj mam, ntev ntev thiab hauv qhov me me. Cov piam thaj tom qab noj mov tau tsim los txo Insuman Rapid, uas ncav cuag cov hlab ntsha ntau dua.

Cov yam ntxwv sib piv ntawm Insumans:

Kev thov cov cai

Qhov xav tau tshuaj insulin yog ib leeg rau ib qho mob ntshav qab zib. Raws li txoj cai, cov neeg mob uas muaj hom 2 thiab kev rog yog xav tau ntau yam tshuaj hormones. Raws li cov lus qhia rau kev siv, nruab nrab ib hnub, cov neeg mob tau txhaj li 1 pawg ntawm cov tshuaj ib kilogram ntawm qhov hnyav. Daim duab no suav nrog Insuman Bazal thiab nrawm. Cov tshuaj insulin luv luv rau 40-60% ntawm qhov xav tau tag nrho.

Insuman Bazal

Txij thaum Insuman Bazal GT ua haujlwm tsawg dua ib hnub, koj yuav tsum nkag rau nws ob zaug: thaum sawv ntxov tom qab ntsuas cov suab thaj thiab ua ntej yuav mus pw. Koob tshuaj rau txhua cov tswj hwm tau muab cais cais. Rau qhov no, muaj cov txheej txheem tshwj xeeb uas coj mus rau hauv tus account rhiab rau cov ntaub ntawv hormone thiab glycemia. Txoj kev noj tshuaj kom yog yog yuav tsum nce qib qab zib nyob rau lub sijhawm thaum tus neeg mob ntshav qab zib tau tshaib plab.

Insuman Bazal yog qhov raug tshem tawm, thaum lub sijhawm khaws nws exfoliates: cov kua ntshiab tseem nyob rau saum toj, dawb nag lossis daus nyob hauv qab. Ua ntej txhua txoj kev txhaj tshuaj, cov tshuaj hauv koob txhaj tshuaj yuav tsum sib xyaw kom zoo Cov. Qhov niaj hnub zoo ib yam li qhov raug ncua kev kawm ntawv zuj zus mus, yuav siv cov tshuaj ntau dua kom tiav. Insuman Bazal yooj yim dua los npaj rau kev tswj hwm dua li lwm cov insulins nruab nrab. Txhawm rau kom yooj yim sib xyaw, lub pob laub yog nruab nrog peb lub pob, uas ua rau nws ua tiav qhov homogeneity zoo ntawm kev ncua nyob rau hauv tsuas yog 6 lem ntawm koob txhaj tshuaj.

Npaj yuav siv Insuman Bazal muaj xim dawb xim. Ib qho cim ntawm kev puas tsuaj rau tshuaj yog flakes, muaju, thiab blotches ntawm cov xim sib txawv hauv lub taub ntim tom qab sib tov.

Cov txheej txheem txhaj tshuaj

Insuman yog tsim los ntawm tus tsim nyob rau hauv daim ntawv ntawm 5 ml vials, 3 ml cartridges thiab syringe cwjmem. Hauv cov chaw muag tshuaj Lavxias, nws yooj yim mus yuav ib cov tshuaj tso rau hauv SoloStar koob txhaj tshuaj. Lawv muaj 3 ml ntawm insulin thiab tsis tuaj yeem siv tom qab cov tshuaj dhau lawm.

Yuav ua li cas sau Insuman:

1. Txhawm rau kom txo qhov mob ntawm kev txhaj tshuaj thiab txo qhov kev pheej hmoo ntawm lipodystrophy, cov tshuaj nyob rau hauv cov xaum xaum yuav tsum nyob ntawm chav tsev kub.
2. Ua ntej siv, daim cartridge tau ua tib zoo tshuaj xyuas cov cim ntawm kev puas tsuaj. Yog li kom tus neeg mob tsis yuam kev lub hom insulin, koob txhaj tshuaj yog cov cim xim nrog cov xim sib dhos sib haum xim ntawm cov ntawv sau rau ntawm pob. Insuman Bazal GT - ntsuab, ceev ceev GT - daj.
3. Insuman Bazal yog dov ntawm cov xib teg ob peb zaug los sib tov.
4. Ib rab koob tshiab raug muab rau txhua txoj kev txhaj tshuaj. Siv rov qab ua rau lub cev puas tsuaj tuaj. Txhua koob koob uas zoo tib yam li SoloStar koob txhaj tshuaj: MicroFine, Insupen, NovoFine thiab lwm yam. Qhov ntev ntawm lub koob yog xaiv nyob ntawm qhov tuab ntawm cov subcutaneous rog.
5. Cov xwj syringe tso cai rau koj ntaus ntawm 1 txog 80 chav. Ntsuas tshuaj, ntsuas qhov tseeb - 1 ntsuas. Hauv cov menyuam yaus thiab cov neeg mob ntawm cov zaub mov uas tsis muaj carbohydrate tsawg, qhov kev xav tau cov tshuaj hormones tuaj yeem yog qhov tsawg heev, lawv xav tau qhov tseeb dua nyob rau hauv cov chaw noj tshuaj. SoloStar tsis haum rau cov teeb meem zoo li no.
6. Insuman Rho nrawm dua li qhov kev xaiv hauv plab, Insuman Bazal - hauv tus ncej lossis pob tw.
7. Tom qab qhia cov tshuaj, rab koob tau tso rau hauv lub cev rau 10 feeb ntxiv kom cov tshuaj tsis pib xau.
8. Tom qab siv txhua lub sijhawm, rab koob tau tawm. Cov tshuaj insulin ntshai tsam tshav ntuj, yog li koj yuav tsum tau kaw tus cartridge nrog lub hau.

Sab sij huam

Yog tias cov tshuaj siv tau ntau dua li qhov xav tau, nws tshwm sim. Nws yog nws yog qhov tshwm sim uas feem ntau tshwm sim los ntawm kev siv tshuaj insulin, tsis hais qhov twg ntawm kev siv tshuaj insulin. Kev mob ntshav qab zib tsawg tuaj yeem ua rau mob sai sai, yog li txawm tias cov kua qab zib tsawg dua li qub yuav tsum tau muab tshem tawm sai sai.

Qhov tshwm sim ntawm Insuman kuj suav nrog:

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

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

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

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog rau thaum lub Plaub Hlis 23 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

1. Kev tsis haum rau cov feem ntawm kev daws. Feem ntau nws qhia nyob rau hauv khaus, liab, tawm pob xoo hauv thaj chaw ntawm thawj coj. Ntau heev tsawg dua (raws li cov lus qhia, tsawg dua 1%) kev ntsuas tus mob tshwm sim: bronchospasm, edema, siab poob, poob siab.
2. Kev tuav cia Sodium. Feem ntau nws pom thaum pib kho, thaum qab zib los ntawm tus lej siab poob rau qhov qub. Hypernatremia yog nrog los ntawm edema, ntshav siab, nqhis dej, txob taus.
3. Kev tsim cov tshuaj tiv thaiv rau insulin hauv lub cev yog cov yam ntxwv ntawm kev kho insulin mus ntev. Hauv qhov xwm txheej no, ib qho kev nce ntxiv hauv koob tshuaj Insuman yog qhov yuav tsum tau ua. Yog tias cov koob xav tau ntau dhau lawm, tus neeg mob hloov mus rau lwm hom tshuaj insulin lossis immunosuppressive tshuaj yog kws kho.
4. Cov kev txhim kho hauv ntshav qab zib txaus ntshai tuaj yeem ua rau tsis pom kev ib ntus.

Feem ntau, lub cev maj mam dhau los siv cov insulin, thiab cov tshuaj tiv thaiv ua xua. Yog tias ib qho tshwm sim dhau los yog kev phom sij txog lub neej (anaphylactic shock) lossis tsis ploj tom qab 2 lub lis piam, nws raug nquahu kom hloov cov tshuaj nrog tshuaj analog. Insuman Bazal GT - lossis, Sai GT -, lossis Humulin Tsis Txaus. Cov tshuaj no sib txawv tsuas yog nyob rau hauv excipients. Qhov txiav txim profile yog tib yam rau lawv. Thaum ua xua rau tib neeg cov kua dej, lawv hloov mus rau insulin analogues.

Insuman tus nqi yog kwv yees li qhov sib npaug ntawm tus nqi ntawm nws cov se. Cov tshuaj rau hauv lub phwj pwj xwb raug nqi li 1100 rubles. rau ib 15 ml (1500 units, 5 xee kua roj). Isofan-insulin muaj nyob rau hauv cov npe tseem ceeb tshuaj, yog li cov neeg mob ntshav qab zib muaj lub peev xwm los txais nws dawb .