Insulin Lantus Solostar: tshuaj xyuas thiab nqe, cov lus qhia rau kev siv

Insulin Lantus SoloStar yog ib qho tshuaj tiv thaiv ntawm cov tshuaj hormone nrog lub sijhawm ntev, uas yog rau cov kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog insulin glargine, qhov feem no tau los ntawm Escherichiacoli DNA siv txoj kev tso tawm.

Glargin muaj peev xwm khi rau cov tshuaj insulin zoo li tib neeg cov insulin, yog li cov tshuaj muaj txhua yam keeb kwm roj ntsha tsim nyog hauv cov tshuaj hormone.

Ib zaug nyob rau hauv cov rog subcutaneous, insulin glargine txhawb qhov tsim ntawm microprecipitate, vim tias qee qhov nyiaj ntawm cov tshuaj qoj ib txwm tuaj yeem nkag mus rau cov hlab ntshav ntawm cov ntshav qab zib. Lub tshuab no muab cov ntaub ntawv pov thawj tus kheej.

Cov yam ntxwv ntawm cov tshuaj

Lub chaw tsim tshuaj paus yog cov tuam txhab German Sanofi-Aventis Deutschland GmbH. Cov tshuaj tseem ceeb ntawm cov tshuaj yog cov tshuaj insulin glargine, qhov muaj pes tsawg leeg kuj suav nrog kev pabcuam hauv hom metacresol, zinc chloride, glycerol, sodium hydroxide, hydrochloric acid, dej rau kev txhaj tshuaj.

Lantus yog cov kua ntshiab, tsis muaj xim lossis ze li xim tsis muaj kua. Qhov kev kub siab ntawm kev daws rau kev tswj hwm ntawm subcutaneous yog 100 U / ml.

Txhua lub khob ntim tau muaj 3 ml tshuaj; daim cartridge no tau tsa rau hauv SoloStar cov khoom nruab nruas siv. Tsib insulin cwjmem rau cov koob txhaj tshuaj muaj muag hauv cov thawv ntawv cardboard, lub teeb suav nrog phau ntawv qhia kev qhia rau lub ntaus ntawv.

Cov tshuaj uas muaj cov tshuaj zoo los ntawm cov kws kho mob thiab cov neeg mob yuav tau hauv lub tsev muag tshuaj nkaus xwb nrog cov tshuaj kho mob.
Insulin Lantus yog qhia rau cov kab mob ntshav qab zib insulin-mellitus hauv cov laus thiab cov menyuam yaus hnub nyoog rau xyoo.
Daim foos tshwj xeeb ntawm SoloStar tso cai rau kev kho mob hauv cov menyuam yaus tshaj ob xyoos rov hauv.
Tus nqi ntawm ib pob ntawm tsib syringe cwjmem thiab tshuaj ntawm 100 IU / ml yog 3,500 rubles.

Cov lus qhia rau kev siv tshuaj

Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob, tus kws kho qhov muag endocrinologist yuav pab koj xaiv cov tshuaj kom raug thiab sau lub sijhawm txhaj tshuaj. Cov tshuaj insulin yog ib qho txhaj tshuaj ib zaug ib hnub, thaum txhaj tshuaj yog ua raws li lub sijhawm ntawm lub sijhawm.

Cov tshuaj tau txhaj rau hauv lub cev subcutaneous rog ntawm tus ncej puab, lub xub pwg lossis lub plab. Txhua zaus koj yuav tsum tau hloov chaw mus txhaj tshuaj kom qhov voos tsis ua rau daim tawv. Cov tshuaj yeeb tshuaj no tuaj yeem siv los ua cov tshuaj ywj siab, los yog ua ke nrog lwm cov tshuaj txo suab thaj.

Ua ntej siv Lantus SoloStar cov tshuaj insulin nyob hauv tus cwj mem xaj rau kev kho mob, koj yuav tsum tau paub seb yuav siv cov cuab yeej no li cas rau kev txhaj tshuaj. Yog hais tias yav dhau los siv tshuaj insulin nrog kev pab los ntawm kev ua haujlwm ntev lossis nruab nrab ntawm insulin, kev noj cov tshuaj txhua hnub ntawm cov tshuaj insal hauv qab yuav tsum tau kho.

Nyob rau hauv qhov kev hloov pauv los ntawm kev txhaj tshuaj ob zaug ntawm insulin-isofan mus rau ib qho kev txhaj tshuaj los ntawm Lantus thaum thawj ob lub lis piam, qhov kev noj tshuaj txhua hnub ntawm basal hormone yuav tsum tau txo 20-30 feem pua. Qhov hno txo yuav tsum tau them nyiaj los ntawm kev nce ntxiv ntawm cov tshuaj ntawm luv luv ua yeeb yam insulin.
Qhov no yuav tiv thaiv qhov kev loj hlob ntawm cov hypoglycemia thaum hmo ntuj thiab sawv ntxov. Tsis tas li, thaum hloov mus rau ib cov tshuaj tshiab, ib qho lus teb nce ntxiv rau kev txhaj tshuaj ntawm cov tshuaj hormones yog feem ntau pom. Yog li, thaum xub thawj, koj yuav tsum ua tib zoo saib xyuas cov ntshav qab zib kom tsis txhob siv tshuaj glucometer thiab, yog tias tsim nyog, kho cov tshuaj rau ntawm cov tshuaj insulin.
Nrog kev txhim kho kev cai ntawm cov metabolism, qee zaum kev nkag siab zoo rau cov tshuaj yuav nce ntxiv, hauv qhov no, nws yog qhov tsim nyog los kho cov tshuaj ntau dua. Hloov cov koob tshuaj kuj tseem xav tau thaum hloov lub neej ntawm cov ntshav qab zib, nce lossis txo qhov hnyav, hloov lub sijhawm txhaj tshuaj thiab lwm yam uas ua rau muaj qhov pib ntawm hypo- lossis hyperglycemia.
Cov tshuaj yog nruj me ntsis txwv tsis pub rau kev tswj hwm ntawm qhov quav, qhov no tuaj yeem ua rau muaj kev txhim kho ntawm cov ntshav khov qis. Ua ntej kev txhaj tshuaj, koj yuav tsum paub tseeb tias daim phwj hauv tshuaj ntxuav tawm thiab huv.

Raws li txoj cai, Lantus insulin raug tswj hwm nyob rau yav tsaus ntuj, kev siv tshuaj thawj yuav yog 8 qhov lossis ntau dua. Thaum hloov mus rau ib qho tshuaj tshiab, tam sim ntawd qhia qhov tshuaj loj yog ua rau muaj kev phom sij hauv lub neej, yog li kev txhim kho yuav tsum tshwm sim maj mam ua.

Glargin pib ua haujlwm nquag ib teev tom qab txhaj, ntawm qhov nruab nrab, nws ua rau 24 teev. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum xav txog tias nrog ntau qhov ntau, lub sij hawm ntawm kev txiav txim ntawm cov tshuaj tuaj yeem ncav cuag 29 teev.

Insulin Lantus yuav tsum tsis txhob xyaw nrog lwm cov tshuaj.

Sab sij huam

Nrog cov kev qhia ntawm kev siv tshuaj ntau dhau los ntawm cov tshuaj insulin, tus mob ntshav qab zib tuaj yeem ntsib kev mob ntshav qab zib. Cov tsos mob ntawm tus mob tsis txaus siab feem ntau pib tshwm sim tam sim ntawd thiab ua ke nrog kev paub zoo li qaug zog, qaug zog, qaug zog, poob qis, nkees, pom kev txawv txav, mob taub hau, xeev siab, tsis meej pem, thiab mob plab.

Cov kev tshwm sim no feem ntau yog dhau los ntawm cov tsos mob nyob rau hauv daim ntawv ntawm cov kev xav ntawm kev tshaib plab, txob taus, mob siab lossis tshee tshee, ntxhov siab, tawv nqaij daj, qhov tsos ntawm hws txias, tachycardia, palpitations lub plawv. Kev mob ntshav qab zib tsawg tuaj yeem ua rau lub cev puas tsuaj, yog li nws yog ib qho tseem ceeb uas yuav pab tau tus mob ntshav qab zib kom ncav sijhawm.

Muaj qee zaus, tus neeg mob muaj kev fab tshuaj rau cov tshuaj, uas nrog cov kev tawm tsam ntawm daim tawv nqaij dav dav, angioedema, bronchospasm, mob ntshav siab, poob siab, uas kuj yog qhov txaus ntshai rau tib neeg.

Tom qab txhaj tshuaj insulin, cov tshuaj tiv thaiv rau cov tshuaj nquag yuav tsim. Hauv qhov no, nws yog ib qho tsim nyog los kho cov tshuaj ntau npaum li cas ntawm cov tshuaj txhawm rau kom tshem tawm qhov kev pheej hmoo ntawm kev txhim kho hypo- lossis hyperglycemia. Tsis tshua muaj, nyob rau hauv cov ntshav qab zib, saj tuaj yeem hloov pauv tau, qhov tsis tshua pom, qhov muag pom muaj qhov cuam tshuam ib ntus vim muaj kev hloov pauv ntawm qhov ntsuas qhov tsis pom tseeb ntawm lub lens ntawm lub qhov muag.

Ntau zaus, hauv thaj chaw txhaj tshuaj, cov mob ntshav qab zib tsim lipodystrophy, uas ua rau qeeb qis dua qhov nqus tshuaj. Txhawm rau kom tsis txhob ua li no, koj yuav tsum hloov pauv qhov ua haujlwm txhaj tshuaj kom tsis tu ncua. Kuj, liab, khaus, mob yuav tshwm rau ntawm daim tawv nqaij, qhov mob no yog ib ntus thiab feem ntau ploj tom qab ob peb hnub ntawm kev kho.

Cov tshuaj insulin Lantus yuav tsum tsis txhob siv nrog qhov lub cev tsis haum rau cov tshuaj nquag glargine lossis lwm yam kev pabcuam ntawm cov tshuaj. Cov tshuaj no txwv rau kev siv rau cov menyuam yaus hnub nyoog qis dua rau xyoo, tab sis tus kws kho mob tuaj yeem sau ib daim ntawv tshwj xeeb ntawm SoloStar, npaj rau cov menyuam.
Ceev faj yuav tsum tau tawm dag zog thaum kho tshuaj insulin thaum cev xeeb tub thiab pub niam mis. Nws yog ib qho tseem ceeb txhua hnub ntsuas ntsuas ntshav qab zib thiab tswj cov chav kawm ntawm tus kab mob. Tom qab yug menyuam, nws yog ib qho tsim nyog yuav tau kho cov tshuaj ntau npaum li cas, vim tias qhov xav tau cov tshuaj insulin thaum lub sijhawm no txo qis.

Feem ntau, cov kws kho mob pom zoo thaum cev xeeb tub nrog ntshav qab zib hauv lub cev kom siv lwm qhov piv ntawm cov tshuaj insulin ntev - cov tshuaj Levemir.

Thaum noj ntau dhau, muaj ntsis ntshav qab zib tsawg kawg yog nres los ntawm kev noj cov khoom lag luam uas suav nrog sai carbohydrate zom cov zaub mov. Tsis tas li ntawd, txoj kev kho mob pauv hloov, kev noj haus kom haum thiab kev ua kom lub cev.

Hauv cov ntshav qog ntshav qab zib siab heev, glucagon yog muab tshuaj rau cov ntshav lossis tshuaj rau kom ntau, thiab qhov txhaj tshuaj rau cov ntshav qabzib muaj nyob rau hauv.

Nrog rau tus kws kho mob tuaj yeem sau tshuaj lub sijhawm ntev rau kev noj cov carbohydrates.

Kev yuav txhaj tshuaj insulin li cas

Ua ntej ua kev txhaj tshuaj, koj yuav tsum kuaj xyuas lub zwj ceeb ntawm daim ntawv muab tso rau hauv daim ntawv xaum. Txoj kev daws teeb meem yuav tsum yog pob tshab, xim tsis muaj av, tsis muaj cov pov thawj lossis pom qhov txawv teb chaws, hais txog cov dej nyob hauv lub tiaj.

Daim ntaub qhwv xim yog qhov khoom siv pov tseg, yog li, tom qab txhaj tshuaj, nws yuav tsum muab pov tseg, rov siv dua tuaj yeem ua rau kis tus kab mob. Txhua txoj kev txhaj tshuaj yuav tsum tau ua nrog cov kab mob rab koob tshiab, rau lub hom phiaj no siv cov koob tshwj xeeb, tsim rau koob txhaj tshuaj pleev los ntawm lub chaw tsim khoom no.

Cov khoom siv tsis zoo yuav tsum tau muab pov tseg; nrog kev ua txhaum me me ntawm kev ua haujlwm tsis zoo, kev txhaj tshuaj tsis tuaj yeem tsim nrog tus cwj mem no. Hauv no hais txog, cov neeg mob ntshav qab zib yuav tsum tau muaj ib qho xaum ntxiv los hloov lawv.

Lub hau tiv thaiv tau muab tshem tawm los ntawm lub cuab yeej, tom qab ntawd tus cim rau ntawm lub pas dej insulin yog paub tseeb tias yuav tsum tau kuaj xyuas kom paub tseeb tias qhov kev npaj raug yog. Cov tsos ntawm kev daws teeb meem no tseem tau tshuaj xyuas, nyob rau hauv qhov muaj cov neeg yoog, cov khoom txawv teb chaws tuaj yeem lossis turbid sib xws, insulin yuav tsum tau hloov nrog lwm.
Tom qab lub hau tiv thaiv raug tshem tawm, ib rab koob muaj menyuam tsis taus yog ua tib zoo thiab muab khi nrog cov ntawv xaum. Txhua zaus koj yuav tsum kuaj xyuas lub cuab yeej ua ntej ua kev txhaj tshuaj. Nws yog ib qho tseem ceeb kom ntseeg tau tias lub pointer tau pib thaum 8, uas qhia tias lub koob txhaj tshuaj tsis tau siv ua ntej.
Txhawm rau txhawm rau qhov xav tau yam xav tau, lub pob pib pib tau rub tawm, tom qab uas xaiv lub koob tsis tuaj yeem hloov pauv. Lub hau sab nraud thiab sab hauv yuav tsum tau muab tshem tawm, lawv yuav tsum khaws cia kom txog thaum ua tiav cov txheej txheem, kom tom qab txhaj tshuaj, tshem tawm cov koob siv uas tau siv lawm.
Cov xaum xaum yog tuav los ntawm rab koob, tom qab ntawd koj yuav tsum maj mam chwv koj cov ntiv tes rau ntawm lub pas dej insulin kom huab cua nyob hauv tus npuas yuav sawv los ntawm rab koob. Tom ntej no, lub pob pib pib tau nias txhua txoj kev. Yog tias cov cuab yeej npaj tau los siv, ib qho poob me me yuav tsum tshwm ntawm qhov taub ntawm rab koob. Thaum tsis muaj qhov poob, koob xwj ntawm kev tshuaj xyuas yog rov ua dua.

Tus mob ntshav qab zib tuaj yeem xaiv qhov ntau thiab tsawg ntawm 2 txog 40 units, ib theem yog qhov no yog 2 ntu. Yog tias tsim nyog, kev qhia txog cov tshuaj insulin ntau zog, ua ob koob.

Ntawm qhov seem ntawm cov tshuaj insulin, koj tuaj yeem tshawb xyuas qhov tshuaj ntau npaum li cas hauv lub cuab yeej. Thaum cov piston dub yog nyob rau hauv thawj ntu ntawm qhov tso tawm xim dawb, qhov nyiaj ntawm cov tshuaj yog 40 PIECES, yog tias lub piston tso rau tom kawg, qhov koob tshuaj yog 20 PIECES. Lub koob xaiv xaiv raug muab kom txog thaum lub xib xub tso ntawm tus taw ntawm koob tshuaj yam xav tau.

Txhawm rau sau cov insulin cwj mem, qhov txhaj tshuaj pib khawm yog rub mus rau qhov txwv. Koj yuav tsum paub tseeb tias cov tshuaj raug xaiv nyob rau hauv cov tshuaj yuav tsum tau muaj. Lub khawm pib hloov pauv mus rau qhov tsim nyog ntawm cov tshuaj hormones tshuav hauv lub tank.

Siv lub pob pib, cov ntshav qab zib tuaj yeem kuaj xyuas seb cov insulin sau ntau npaum li cas. Thaum lub sijhawm pov thawj, lub pob yog khaws cia kom muaj zog. Tus nqi ntawm kev quav tshuaj yuav raug txiav txim los ntawm kab kawg pom dav.

Tus neeg mob yuav tsum tau kawm siv cov koob tshuaj insulin ua ntej, cov txheej txheem insulin yuav tsum tau kawm los ntawm cov neeg ua haujlwm hauv chaw kho mob. Lub koob nkag tau ib txwm tso subcutaneously, tom qab ntawd lub pob pib pib nias rau qhov txwv. Yog hais tias lub pob yog nias txhua txoj kev, ib lub suab nrov ntawm lub suab yuav hnov.
Lub pob pib pib tau tuav tseg li 10 feeb, tom qab uas rab koob tuaj yeem rub tawm. Cov txheej txheem txhaj tshuaj no tso cai rau koj nkag mus rau qhov kev txhaj tshuaj tag nrho. Tom qab txhaj tshuaj tas lawm, rab koob raug rho tawm ntawm rab koob txhaj tshuaj thiab muab pov tseg; koj siv tsis tau nws rov qab los siv. Lub hau npog tiv thaiv yog muab tso rau ntawm tus cwj mem syringe.
Txhua lub ntsej muag insulin yog nrog daim ntawv qhia, uas koj tuaj yeem paub txog yuav ua li cas txhawm rau txhawm rau txhawm rau txuas, txuas rab koob thiab txhaj tshuaj. Ua ntej muab cov tshuaj insulin, daim cartridge yuav tsum yog tsawg kawg ob teev ntawm chav sov. Nyob rau hauv tsis muaj cov ntaub ntawv yuav khoob cartridges yuav rov siv dua.

Nws yog ib qho ua tau kom cia Lantus insulin hauv qhov kub ntawm 2 txog 8 degrees hauv qhov chaw tsaus tsaus, kom deb ntawm kev tshav ntuj ncaj qha. Cov tshuaj yuav tsum muab tso rau qhov chaw ncav cuag ntawm cov menyuam yaus.

Lub txee lub neej ntawm cov tshuaj insulin yog peb xyoos, tom qab kev daws teeb meem yuav tsum tau muab pov tseg, nws tsis tuaj yeem siv rau nws qhov laj thawj.

Analogues ntawm cov tshuaj

Cov tshuaj zoo ib yam li lub ntsej muag hypoglycemic xws li Levemir insulin, uas muaj kev txheeb xyuas zoo heev. Cov tshuaj no yog cov tshuaj basal soluble analogue ntawm tib neeg lub cev ntev insulin.

Qhov tshuaj hormones no yog tsim los ntawm kev siv cov kabmob DNA biotechnology siv ib hom kab mob ntawm Saccharomyces cerevisiae. Levemir nkag tau rau hauv lub cev ntawm cov mob ntshav qab zib tsuas yog subcutaneously. Qhov ntau thiab tsawg zaus ntawm kev txhaj tshuaj yog kho los ntawm tus kws kho mob mus kawm, nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob.

Lantus yuav tham txog insulin hauv kev nthuav dav hauv video hauv kab lus no.