Novorapid yog cov khoom lag luam hloov pauv, qhov kev nqus ntawm qhov tsis xav tau cov khoom noj ntxiv, thiab kev txhaj tshuaj tuaj yeem ua tau ob qho tib si tom qab noj mov thiab ua ntej noj mov. Kev kho mob nyhuv ntev li 4 teev. Insuman Rapid yog ib qho piv txwv ntawm tib neeg cov tshuaj hormones, kev noj uas cuam tshuam nrog kev noj zaub mov los yog khoom noj txom ncauj, nrog rau kev qhia yuav tsum tau txhaj tshuaj subcutaneous 40 feeb ua ntej noj mov. Lub sijhawm siv ntawm cov nyhuv yog li 6 teev. Ob txoj kev daws no tsis luv, thiab kws kho mob feem ntau nyiam hloov chaw ib tus tsis muaj teeb meem rau tus neeg mob lub noj qab haus huv.

Ntshav qab zib tshuaj saib ib muag

Novorapid belongs rau cov tsim kho tshuaj tshiab kawg. Cov tshuaj pabcuam pab ua rau kom tsis muaj tshuaj txaus rau tib neeg, muaj ntau tus yam ntxwv thiab zoo dua lwm cov tshuaj ntawm tib pab pawg:

• Kev zom zom ceev ceev.
• Kev poob sai hauv cov piam thaj.
• Tsis muaj kev vam khom rau cov khoom noj txom ncauj tas mus li.
• Ultrashort raug.
• Cov ntaub ntawv tso tawm yooj yim.

Novorapid tiv thaiv endocrine pathology muaj nyob hauv daim iav hloov chaw (Penfill) thiab hauv cov qauv ntawm cov npiv npauj (FlexPen). Cov tshuaj lom neeg hauv ob hom kev tso tawm yog zoo tib yam. Cov tshuaj tau ruaj khov ntim, thiab qhov tshuaj hormones nws tus kheej yooj yim siv rau hauv ib hom tshuaj pharmacological.

Cheebtsam thiab muaj pes tsawg leeg

Cov ntsiab lus tseem ceeb ntawm Novorapid yog xam raws li tag nrho cov ntsiab lus ntawm cov khoom siv rau ib 1 ml ntawm cov tshuaj. Cov tshuaj phiv yog cov tshuaj insulin aspar 100 units (kwv yees li 3.5 mg). Ntawm ntu ntu, muaj:

• Glycerol (txog 16 mg).
• Metacresol (li 1.72 mg).
• Zinc chloride (txog 19.7 mcg).
• Sodium chloride (nce txog 0.57 mg).
• Sodium hydroxide (txog 2.2 mg).
• Hydrochloric acid (txog 1.7 mg).
• Phenol (txog li 1.5 mg).
• Cov dej lim (1 ml).

Cov twj yog qhov tseeb daws tsis muaj xim hais, nyob hauv av.

Sib haum

Novorapid muaj lub suab hypoglycemic zoo vim yog lub ntsiab tshuaj insulin aspart. Qhov insulin zoo li no yog kev pev ntawm qhov tsis ntev ntawm tib neeg lub cev. Cov khoom siv tau tau los ntawm ntau cov txheej txheem thev naus laus zis nyob rau theem ntawm cov DNA tso tseg. Cov tshuaj Insulin Novorapid nkag mus rau hauv kev sib raug zoo lom neeg nrog cov cell receptors, tsim ib qho kev nyuaj ntawm cov leeg kawg.

Cov tshuaj no tuaj yeem siv rau txhua hom ntshav qab zib hauv cov neeg laus thiab menyuam yaus txij li 2 xyoos!

Tawm tsam keeb kwm yav dhau los ntawm qhov txo qis hauv glycemic index, ib qho kev nce ntxiv ntawm kev coj ua hauv intracellular, kev ua kom cov txheej txheem ntawm lipogenesis thiab glycogenogenesis, nrog rau kev nce ntxiv ntawm qhov nqus ntawm ntau cov nqaij mos, coj qhov chaw. Nyob rau tib lub sijhawm, kev tsim cov piam thaj los ntawm daim siab ua haujlwm raug txo qis. Novorapid zoo dua nqus los ntawm lub cev, muaj kev ua kom zoo dua nrawm dua li cov tshuaj insulin. Thawj 3-4 teev tom qab noj mov, insulin aspart txo plasma ntau dua cov piam thaj sai dua li tib neeg cov insulin, tab sis Novorapid muaj luv dua nrog kev txhaj tshuaj subcutaneous ntau dua li cov insulin tsim tawm los ntawm tib neeg lub cev.

Kev taw qhia thiab contraindications

Cov tshuaj muaj qhov cim tseem ceeb - ntshav qab zib ntawm ib yam rau cov menyuam yaus txij li 2 xyoo, cov hluas thiab cov neeg laus.

Kev siv cov tshuaj tiv thaiv hypoglycemic yuav tsum tau kho nrog ceev faj vim muaj kev phiv. Novorapid tsis pom zoo rau kev siv nrog tus kheej tsis kam ua rau cov khoom siv, kev tsis haum rau txhua yam ntawm Novorapid.Cov kev kho mob hauv cov menyuam yaus uas muaj hnub nyoog 2 xyoos tsis paub vim tsis muaj kev tshawb fawb hauv cov neeg mob ntawm cov pab pawg hnub nyoog no.

Cov lus qhia tshwj xeeb

Ib qho ntawm cov teeb meem uas nquag muaj nrog cov kev tswj hwm ntawm kev tswj hwm yog hypoglycemia. Feem ntau cov teeb meem yog tshwm sim los ntawm kev siv lub tshuaj tsis yog, ua txhaum txoj cai ntawm kev coj ua haujlwm. Novorapid muaj lub sijhawm ua haujlwm luv, tab sis muaj qhov pib sai. Qhov no yuav txo qhov kev pheej hmoo ntawm nocturnal hypoglycemia. Qhov ntau npaum li cas yog xaiv tau nruj me ntsis ntawm tus kheej, uas yog vim qhov kev tshawb nrhiav keeb kwm ntawm tus neeg mob, qhov muaj feem yuav ua rau exacerbations ntawm concomitant kab mob, hnub nyoog thiab xwm ntawm cov chav kawm mob ntshav qab zib. Nrog rau cov xwm txheej muaj keeb kwm mob hnyav, nws raug pom zoo kom saib xyuas cov lej glycemic ntau ntxiv hauv txhua pawg ntawm cov neeg mob. Novorapid tuaj yeem ua rau muaj kev tsis haum tshuaj nyob rau hauv cov menyuam yaus.

Analogs thiab generics

Cov tshuaj hormone Novorapid tuaj yeem hloov nrog lwm cov tshuaj ntawm tib pab pawg. Cov duab qhia yuav raug xaiv tsuas yog tom qab kuaj mob meej. Cov analogues loj muaj xws li Humalog, Actrapid, Protafan, Gensulin N, Apidra, Novomiks thiab lwm tus. Tus nqi ntawm Novorapid hormone hauv cheeb tsam sib txawv nws txawv ntawm 1800 txog 2200 rau ib pob.

Novomix tuaj yeem dhau los ua qhov hloov pauv rau Novorapid.

Hauj lwm lawm

• Cov tshuaj hormone insulin 3,571 mg (100 IU 100% tib neeg soluble hormone).
• Metacresol (txog 2.7 mg).
• Glycerol (kwv yees li 84% = 18.824 mg).
• Dej rau kev txhaj tshuaj.
• Sodium dihydrogen phosphate dihydrate (li ntawm 2.1 mg).

Kev ua neeg insuman sai gt sawv cev los ntawm cov kua tsis muaj kob uas tsis muaj dab tsi. Nws yog rau cov pab pawg ntawm cov neeg sawv cev luv luv hypoglycemic. Insuman tsis tsim cov kev ua kom yuag txawm nyob rau lub sijhawm ntev cia.

Cov chaw muag tshuaj

Insuman Ceev Heev GT muaj cov tshuaj hormones uas yog cov yam ntxwv zoo ib yam li tib neeg cov keeb. Cov tshuaj tau los ntawm kev tsim hluav taws xob. Cov kev ua haujlwm tseem ceeb ntawm kev ua ntawm Insuman suav nrog:

• Txo cov ntshav muaj ntshav qabzib.
• Kev txo qis ntawm cov txheej txheem catabolic.
• Ntxiv dag zog rau qhov hloov chaw ntawm cov piam thaj tob hauv cov hlwb.
• Txhim kho lipogenesis nyob rau hauv nplooj siab qauv.
• Ntxiv dag zog rau kev nkag mus ntawm cov poov tshuaj.
• Kev ua kom muaj protein thiab amino ua kom sib txuas.

Insuman Ceev Heev GT Nws muaj kev pib sai ntawm kev txiav txim, tab sis muaj lub sijhawm luv luv. Qhov ua rau lub ntsej muag hypoglycemic tau tiav twb ib nrab ntawm ib teev tom qab kev tso tshuaj subcutaneous ntawm cov tshuaj. Cov nyhuv kav ntev txog 9 teev.

Cov xwm txheej hauv qab no yuav tsum tau muab ntaus nqi rau cov cim tseem ceeb:

• Ntshav qab zib kab mob (hom insulin-raws hom).
• Coma nyob rau keeb kwm ntawm ntshav qab zib.
• Kev nce qib ketoacidosis.
• Qhov xav tau ntawm kev them nyiaj metabolic (piv txwv, ua ntej lossis tom qab phais mob).

Lub ntsiab contraindications suav nrog hypoglycemia lossis kev pheej hmoo siab ntawm kev txo qis hauv cov ntshav qab zib, kev fab tshuaj rau ib qho twg hauv cov tshuaj tsis haum, tshuaj tiv thaiv ntau dhau.

Thaum muab tshuaj rau ib tug noj tshuaj Insuman Ceev Heev GT tus kws kho mob yuav siv sij hawm mus rau hauv tus account ntau lub ntsiab lus: hnub nyoog, keeb kwm kho mob, feem ntau cov mob ntshav qab zib, muaj cov kab mob mus ntev ntawm cov nruab nrog cev thiab muaj kab mob sib cuam tshuam. Qee zaum siv tshuaj kho mob ntshav qab zib txwv tsis pub tsav tsheb lossis ua haujlwm hauv cov chaw muaj kev phom sij.

Tus nqi nruab nrab ntawm cov tshuaj hauv thaj tsam sib txawv nws txawv ntawm 700 txog 1300 rubles rau ib pob.

Nqi Nyob ntawm ntau yam sib txawv.

Ob qhov tshuaj yog cov tshuaj tiv thaiv hypoglycemic luv luv. Ib qho kev hloov pauv ntawm cov tshuaj tiv thaiv ntshav qab zib yog nqa tawm tsuas yog tom qab sab laj tus kws tshaj lij. Insuman Ceev Heev GT tso cai rau koj tswj lub neej li qub ntawm tus neeg mob nyob rau hauv ntau yam mob ntawm cov ntshav qab zib. Novorapid muaj cov yam ntxwv zoo ib yam Insuman Ceev Heev GT, tab sis yuav luag tag ua rau tib neeg cov insulin.

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 kev thaiv tsis zoo thiab muaj kev pheej hmoo

Lub sijhawm lactation thiab kev pib ntawm cev xeeb tub tsis yog qhov sib kis kom siv, yog li koj tsis tas yuav cuam tshuam kev siv tshuaj insulin. Txawm li cas los xij, vim muaj kev hloov hauv lub cev qhov hnyav, tus kws kho mob koom nrog yuav tsum kho cov tshuaj kho. Txoj kev pheej hmoo ntawm kev siv tshuaj insulin sai yog cuam tshuam nrog kev siv tshuaj loog tsis tsim nyog, uas tuaj yeem ua rau ntshav qab zib tsis txaus. Cov cim ntawm hypoglycemia tshwm sim.

Insuman Rapid GT - cov lus qhia ntawm kev siv

Insuman Ceev Heev GT 100 I.U./ml

Kev sau npe : P No. 011995/01 Lub Xya Hli 26, 2004.

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.

Cov Ntawv Pov Thawj Tsis Txaus Ntseeg Insuman Sai Sai GT

• qog ntshav,
• muaj tshuaj tiv thaiv qhov tsis haum rau insulin lossis rau ib qho twg ntawm cov tshuaj tiv thaiv.

Nrog saib xyuas cov tshuaj yuav tsum tau siv thaum muaj teeb meem lub raum (qhov xav tau ntawm insulin vim tias qhov ua kom cov insulin tsawg dua tuaj yeem ua tau), hauv cov neeg mob laus (maj mam ua haujlwm hauv lub raum ua haujlwm tuaj yeem ua rau muaj kev cuam tshuam mus tas li ntawm kev xav tau cov tshuaj insulin), hauv cov neeg mob uas muaj lub siab tsis ua hauj lwm (xav tau cov tshuaj insulin tuaj yeem txo vim yog rau ib qho kev txo qis hauv kev muaj peev xwm gluconeogenesis thiab kev txo qis hauv cov tshuaj insulin metabolism), hauv cov neeg mob uas mob hnyav ntawm lub plawv thiab cov hlab ntsha hauv lub cev (hypoglycemic episodes yuav ntawm cov ntsiab lus tseem ceeb hauv tsev kho mob, vim tias muaj kev pheej hmoo ntawm lub plawv lossis mob hlwb ntau dua ntawm cov ntshav qab zib (hypoglycemia), 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 hypoglycemia tiav - ua tiav qhov muag tsis pom ), hauv cov neeg mob uas muaj cov kabmob sib kis (qhov xav tau ntawm insulin feem ntau nce).

Cov tshuaj yog xaiv ntawm tus kheej, nyob rau hauv kev saib xyuas ntawm kws kho mob. Nkag mus sau txhua txhua 4-6 teev

Kev siv tshuaj hypoglycemic, luv luv ua yeeb yam insulin. Insuman Rapid muaj cov insulin, zoo ib yam hauv cov qauv rau tib neeg insulin thiab tau los ntawm kev tsim kho caj ces siv K12 limtiam E. coli.

Cov tshuaj insulin txo cov concentration ntawm cov piam thaj hauv cov ntshav, txhawb cov teebmeem anabolic thiab txo cov teebmeem catabolic. Nws nce cov piam thaj hauv kev thauj mus rau hauv cov hlwb thiab kev tsim cov glycogen hauv cov leeg thiab daim siab, txhim kho kev siv pyruvate, thiab inhibits glycogenolysis thiab glyconeogenesis. Cov tshuaj insulin nce lipogenesis nyob rau hauv daim siab thiab adipose ntaub so ntswg thiab inhibits lipolysis. Txhawb nqa qhov khiav ntawm cov amino acids rau hauv cov hlwb thiab kev sib sau ntawm cov protein, ua kom cov pa roj ntau ntau ntxiv rau hauv lub cell.

Insuman Rapid yog insulin nrog kev pib sai thiab lub sijhawm luv luv ntawm kev ua. Tom qab cov thawj coj sc, cov nyhuv hypoglycemic tshwm sim li ntawm 30 feeb, nce mus txog qhov siab kawg hauv 1-4 teev, tseem mob siab rau 7-9 teev.

Tso cov ntaub ntawv tawm, kwv yees tus nqi

Cov tshuaj Insulin hauv paus yog muaj raws li qhov rho tawm hauv qhov tshuaj hauv 100 IU / ml. Thawj daim ntawv tso tawm yog lub fwj pob tshab los yog cov xim tsis muaj iav. Sab qaum ntawm lub raj mis kaw nrog lub nres, uas ib lub taub hau txhuas tso rau. Txog kev nruj dua, lub taub hau yas muab tso rau saum taub hau. Lub peev xwm ntawm lub raj mis yog 5 ml. Ntawm cov txee ntawm cov khw muag tshuaj, insulin Bazal tuaj yeem pom hauv pob ntawm 5 ampoules nrog cov lus qhia rau kev siv.

Daim ntawv tso tawm tom ntej no yog daim cartridges ua los ntawm cov iav ntshiab nrog lub peev xwm ntawm 3 ml. Sab saum toj ntawm daim cartridge yog nrog lub nres, thiab ib lub taub hau txhuas hnav dua nws. Qhov qis dua xaus nrog tus nqus dej. Ntxiv rau, muaj peb lub npas hlau nyob rau hauv daim cartridge. Txhua pob ntawv muaj 5 daim cartridges. Lawv tseem yuav tsum tau xaum-xaim hluav taws xob.

Daim foos thib peb ntawm kev tso tawm yog cov roj cartridges hauv SoloStar pov tseg syringe cwjmem. Lawv tau ua cov ntshiab iav nrog lub peev xwm ntawm 3 ml. Sab nraud, tus cartridge zoo nkaus li zoo li hauv rooj plaub dhau los. Nyob rau sab saum toj ntawm lub cork nrog ib lub taub hau txhuas saum. Qhov qis qis ntawm daim cartridge xaus nrog tus nqus dej. Txhua lub cartridge muaj 3 lub pob hlau. Hauv qhov no, pob muaj 5 xaum npiv thiab cov lus qhia rau kev siv.

Tus nqi nruab nrab ntawm cov tshuaj txawv nyob ib ncig ntawm 1000 rubles. Tus nqi nyob ntawm tus qauv xaiv ntawm kev tso tawm.

Kho thaj chaw

Cov nyhuv hypoglycemic ntawm Insuman Bazal tau tiav vim yog nws cov khoom xyaw - insulin-isophan. Cov tshuaj hauv nws cov qauv thiab cov yam ntxwv zoo ib yam li cov tshuaj hormones tsim hauv tib neeg lub cev. Nws tau txais los ntawm kev tsim hluav taws xob.

Cov tshuaj muaj nyob rau hauv pab pawg ntawm cov tshuaj ntawm nruab nrab lub sijhawm ntawm kev txiav txim. Tom qab kev tswj hwm, subcutaneously khi rau qee cov receptors ntawm lub cell membrane ntawm lub cell, sib sau ib qho kev ua ub no uas ua rau cov txheej txheem txuas ntxiv mus. Nws txo cov piam thaj los ntawm kev nrawm rau nws txoj kev thauj mus los, txhim kho kev nqus, inhibiting qhov nruab nrab ntawm lub siab, ua kom cov txheej txheem metabolic nrog nws koom nrog.

Lub sijhawm ntawm cov nyhuv exerted los ntawm cov tshuaj yog nyob ntawm qhov ceev uas cov tshuaj insulin tau nqus rau hauv lub cev, qhov koob tshuaj, thaj chaw txhaj tshuaj, thiab cov kab ke ntawm kev tswj hwm. Yog li, cov insulin ua tshwj xeeb tsis yog hauv cov neeg mob ntshav qab zib sib txawv, tab sis txawm nyob hauv ib tus neeg mob.

Cov nqi isofan nruab nrab: qhov pib ntawm kev ua - ib thiab ib nrab xuaj moos tom qab txhaj tshuaj, cov nyhuv siab tshaj plaws ua rau pom lub sijhawm 4-12 teev, lub sijhawm ntawm hypoglycemic kev ua - txog li 1 hnub.

Cov tshuaj tau muab faib thoob cov nqaij hauv ntau qhov sib txawv, tsis tuaj yeem hla mus rau hauv cov mis thiab dhau ntawm qhov tso me nyuam. Nws siv nyob rau hauv ib qho tseem ceeb hauv daim siab thiab lub raum. Nws tawm hauv cov zis.

Txoj kev ntawm daim ntawv thov

Tag nrho cov yam ntxwv ntawm kev siv ntawm Insuman Bazal GT (noj ntau npaum li cas, lub sijhawm ntawm kev tswj hwm, lub hom phiaj ntawm cov piam thaj) yuav tsum txiav txim siab thiab kho tus kheej tshwj xeeb, suav txog tus neeg mob noj zaub mov zoo thiab ua haujlwm lub cev. Kev pom zoo ib qho kev xav ntawm cov tshuaj insulin, thoob plaws txhua tus neeg mob, tsis muaj nyob. Qhov nruab nrab, cov lus pom zoo txhua hnub ntawm Insuman Bazal yog 1-2-1 IU rau txhua 1 kg ntawm qhov hnyav.

Tom qab lub sijhawm teem mus ntsib, tus kws kho mob endocrinologist yuav tsum qhia cov lus pom zoo kom nkag mus, lub sijhawm twg thiab yuav teb li cas rau glycemic surges.

Yog tias ntshav qab zib ua ntej Insuman Bazal siv dua lwm yam tshuaj insulin

Tus nqi nruab nrab: fl. (5 pcs.) - 1492 rub., Sp.-r. "SoloStar" nrog daim cartridge. (5 pcs.) - 1294 rub.

Hloov pauv los ntawm lwm hom kev tiv thaiv hypoglycemic yuav tsum nyob rau hauv kev saib xyuas ntawm kws kho mob. Ib qho kev pauv pauv ntawm cov tshuaj ntxiv yuav tsum tau muaj. Yog tias ua ntej cov ntshav qab zib tau txhaj tshuaj insulin ntawm cov tsiaj keeb kwm, qhov tshuaj txhua hnub ntawm Insuman Bazal tuaj yeem txo qis, tshwj xeeb tshaj yog rau cov neeg tau txais tshuaj tsawg, zoo li nyob rau hauv cov neeg mob uas muaj kev pheej hmoo mob ntshav qab zib tsawg. Qhov xav tau hloov qhov ntau npaum li cas tuaj yeem tshwm sim sai li sai tau thaum hloov pauv lossis tsim dua ntau lub lim tiam ntawm kev siv.

Tom qab pib txoj kev kawm tshiab, koj yuav tsum ua tib zoo saib xyuas cov nplaim taws hauv glycemia. Cov neeg mob ntshav qab zib uas yav dhau los siv tshuaj loj los ntawm cov tshuaj insulin vim muaj cov tshuaj tiv thaiv kab mob yuav tsum tau nyob hauv kev saib xyuas kev noj qab haus huv rau qee lub sijhawm hauv tsev kho mob.

Lwm yam rau kev kho cov tshuaj insulin

Nrog kev tswjhwm zoo dua ntawm glycemia, kev nkag siab ntau ntxiv rau cov tshuaj yuav tshwm sim, uas yuav ua rau muaj kev poob qis hauv qhov kev thov rau insulin hauv lub cev. Ib qho ntxiv, qhov kho yuav tsum tau ua nrog:

• Kev hnyav hloov
• Kev ua neej tshiab (suav nrog kev noj zaub mov zoo, kev tawm dag zog, thiab lwm yam)
• Lwm yam mob lossis lwm yam hauv qhov uas ua rau qhov tshwm sim ntawm hypo- lossis hyperglycemia nce.

Cov yam ntxwv ntawm kev siv tshuaj nyob hauv qee pawg neeg mob ntshav qab zib:

• Cov neeg laus: qhov xav tau ntawm lub cev yuav poob qis, yog li pib ntawm qhov pib, qhov hloov pauv txhua hnub ntawm cov tshuaj yuav tsum tau ua nrog kev saib xyuas zoo kom tsis txhob ua rau cov ntshav qabzib thiab cov mob tom qab tau mob ntxiv.
• Cov mob ntshav qab zib nrog lub raum thiab / lossis daim siab ua haujlwm: muaj qhov ua kom poob ntawm cov tshuaj insulin.

Thaum cev xeeb tub thiab pub niam mis

Nws paub tias cov tshuaj insulin tsis tuaj yeem hla ntawm qhov chaw tiv thaiv kab mob. Kev siv ntawm Insuman Bazal GT thaum muaj cev xeeb tub tuaj yeem txuas ntxiv.

Thoob plaws hauv lub ntsej muag, nws yog qhov tseem ceeb heev rau kev tswj hwm glycemic tswj tau. Yog tias cov ntshav qab zib tau kuaj pom ua ntej cev xeeb tub lossis txhim kho lub sijhawm xeeb tub, endocrinologist tuaj yeem sau cov tshuaj tom qab kawm txog yam cuam tshuam thiab ntsuas cov piam thaj.

Lub cev xav tau cov tshuaj insulin tuaj yeem txo qis thaum pib cev xeeb tub thiab tom qab ntawd nce hauv ntu zaum 2 thiab 3. Thaum lub sijhawm thiab tom qab yug menyuam tas, xav tau cov tshuaj insulin tsawg zuj zus, uas tuaj yeem ua rau ntshav muaj ntshav qab zib tsawg. Yog li no, rau kev tswj hwm ntawm glycemia ib txwm, kev soj ntsuam tas li ntawm cov piam thaj concentration ntsuas yog qhov tsim nyog.

Yog tias tus poj niam tab tom npaj rau kev ua leej niam, ces nws yuav tsum qhia nws tus kws kho mob txog nws.

Thaum lub sijhawm lactation, tsis muaj ib qho kev thaiv rau kev sau tshuaj rau cov tshuaj insulin. Ntawm kev txiav txim siab ntawm cov kws kho mob, kev txhim kho tshuaj insulin thiab kev noj haus niaj hnub tuaj yeem muab rau tus poj niam tu neeg mob.

Cov Kev Tsis Txaus Ntseeg thiab Kev Ceev Faj

Insuman Bazal yuav tsum tsis txhob siv yog tias tus neeg mob muaj:

• Ib theem ntawm cov neeg mob rhiab los yog ua tsis tiav rau cov tshuaj tiv thaiv
• Kev ntshav siab.

Cov tshuaj tsis yog npaj rau siv nrog cov khoom siv infusion, insulin twj.

Tus txheeb ze contraindications, nyob rau hauv qhov kev teem caij yuav tsum tau nqa nrog ceev faj, thiab chav kawm ntawm txoj kev kho yog tas li saib xyuas los ntawm cov kws kho mob, yog:

• Mob raum tsis txaus thiab / lossis lub siab ua haujlwm rau cov neeg laus ntshav qab zib
• CCC cuam tshuam
• Coob tshaj plaws li koob hmoov.

Insulin Bazal: cov yam ntxwv tseem ceeb

Qhov no yog ib qho tshuaj hypoglycemic siv rau ib qho tshuaj insulin-tiv thaiv ntshav qab zib. Qhov nquag ua haujlwm ntawm cov tshuaj yog tib neeg insulin.

Cov tshuaj yog qhov ncua kev kawm ntawv dawb rau kev coj ua subcutaneous. Nws yog nyob ntawm pab pawg ntawm insulins thiab lawv cov analogues, uas muaj cov nyhuv nruab nrab.

Cov tshuaj Insulin Insuman Bazal GT ua haujlwm qeeb, tab sis cov nyhuv tom qab kev tswj hwm tau kav ntev txaus. Qhov siab tshaj plaws siab tshaj plaws tau tiav 3-4 teev tom qab txhaj tshuaj thiab kav ntev txog 20 teev.

Lub hauv paus ntsiab lus ntawm cov tshuaj yog raws li nram no:

1. ua rau qis glycogenolysis thiab glyconeogenesis,
2. txo qis rau cov ntsiab lus ntawm cov piam thaj hauv cov ntshav, ua kom lub ntsej muag tshwm sim hauv cov kab mob catabolic, ua rau muaj kev cuam tshuam anabolic,
3. inhibits lipolysis,
4. txhawb kev tsim cov glycogen hauv cov leeg, mob siab thiab hloov piam thaj mus rau nruab nrab ntawm cov kab mob,
5. txhawb kev khiav ntawm cov poov tshuaj rau lub hlwb,
6. ua kom muaj protein ntau ua ke thiab cov txheej txheem xa cov amino acids rau lub hlwb,
7. txhim kho lipogenesis nyob rau hauv daim siab thiab daim siab adipose,
8. txhawb kev siv pyruvate.

Hauv cov neeg muaj kev noj qab haus huv, ib nrab-lub neej ntawm cov tshuaj los ntawm cov ntshav siv los ntawm 4 mus rau 6 feeb. Tab sis nrog mob raum, lub sijhawm nce, tab sis qhov no tsis cuam tshuam rau cov nyhuv hauv lub cev ntawm cov tshuaj.

Cov lus qhia rau kev siv tshuaj

Tsuas yog tus kws kho mob uas tuaj koom yuav tsum xaiv txoj kev noj tshuaj insulin raws tus neeg mob txoj kev ua neej, kev ua si thiab kev noj haus. Tsis tas li, qhov nyiaj tau los xam rau ntawm lub hauv paus ntawm glycemia thiab carbohydrate metabolism.

Qhov nruab nrab cov tshuaj txhua hnub nyob ntawm 0.5 txog 1.0 IU / ib 1 kg ntawm qhov hnyav. Hauv qhov no, 40-60% ntawm koob tau muab rau cov tshuaj insulin ntev.

Nws yog tsim nyog sau cia tias thaum hloov los ntawm tsiaj cov tshuaj insulin rau tib neeg, yuav tsum txo tshuaj ntau npaum li cas. Thiab yog tias kev tshais hloov los ntawm lwm hom tshuaj, ces yuav tsum tau muaj kev saib xyuas mob. Kev saib xyuas tshwj xeeb yuav tsum tau saib xyuas los soj ntsuam cov metabolism hauv carbohydrate hauv thawj 14 hnub tom qab kev hloov chaw.

Tshuaj Insulin Bazal muab tshuaj rau hauv qab tawv nqaij hauv 45-60 feeb. ua ntej noj mov, tab sis qee zaus tus neeg mob tau txais koob tshuaj intramuscular. Nws tsim nyog sau cia tias txhua zaus ntawm qhov chaw txhaj tshuaj yuav tsum tau hloov pauv.

Txhua tus mob ntshav qab zib yuav tsum paub tias insulin hauv qab tsis yog siv rau cov tshuaj insulin, suav nrog cov uas cog rau hauv. Hauv qhov no, iv tswj hwm ntawm cov tshuaj yog contraindicated.

Tsis tas li, cov tshuaj yuav tsum tsis txhob xyaw nrog cov tshuaj insulins muaj qhov sib txawv (piv txwv li 100 IU / ml thiab 40 IU / ml), lwm yam tshuaj thiab tsiaj insulins. Qhov kev nkag siab ntawm Basal Insulin nyob rau hauv lub vial yog 40 IU / ml, yog li koj yuav tsum siv cov yas koob txhaj tshuaj uas tsim tshwj xeeb rau kev mloog ntawm cov tshuaj no. Ntxiv mus, cov koob txhaj tshuaj yuav tsum tsis txhob muaj cov seem ntawm cov insulin yav dhau los lossis lwm yam tshuaj.

Ua ntej thawj zaug pib ntawm cov tshuaj los ntawm lub vial, qhib lub ntim los ntawm kev tshem lub hau yas los ntawm nws. Tab sis ua ntej, qhov kev ncua yuav tsum tau muab co me ntsis kom nws dhau los ua daj ntseg dawb nrog lub teeb xwm yeem.

Yog tias tom qab co cov tshuaj tseem pob tshab lossis qog lossis cov av poob hauv cov kua, tom qab ntawd cov tshuaj tsis pom zoo. Hauv qhov no, nws yog qhov yuav tsum tau qhib lwm lub raj mis, uas yuav ua tau raws li txhua yam yuav tsum tau hais los saud.

Ua ntej muab cov tshuaj insulin los ntawm lub pob, muaj huab cua me me nkag mus rau hauv cov phwj, thiab tom qab ntawd nws tau ntxig rau hauv lub thauv. Tom ntej no, lub pob yog muab ntxeev nrog lub taub hau thiab cov ntim ntawm qhov kev daws tau sau rau hauv nws.

Ua ntej ua kev txhaj tshuaj, huab cua yuav tsum tso tawm ntawm cov phwj. Sau cov quav los ntawm daim tawv nqaij, ib rab koob tau tso rau hauv nws, thiab tom qab ntawd kev daws maj mam nkag mus. Tom qab ntawd, lub koob tau ua tib zoo txiav tawm ntawm daim tawv nqaij thiab daim ntaub qhwv paj rwb raug nias rau qhov chaw txhaj tshuaj rau ob peb feeb.

Kev txheeb xyuas ntawm ntau tus neeg mob ntshav qab zib rhaub kom qhov tseeb tias insulin koob txhaj tshuaj yog ib qho kev xaiv pheej yig, tab sis nws yog theej tsis yooj yim siv lawv. Niaj hnub no, txhawm rau txhim kho cov txheej txheem no, ib qho xaum xaum tshwj xeeb yog siv. Qhov no yog cov tshuaj insulin xa tawm tuaj yeem ntev txog 3 xyoos.

Cwj mem GT syringe mem yog siv raws li hauv qab no:

• Koj yuav tsum qhib lub cuab yeej, tuav mus rau nws cov khoom siv tshuab thiab rub lub hau rau ib sab.
• Daim cartridge nrog tsis tau tawm ntawm chav ntsuas tshuab.
• Lub thawv ntim tau tso rau hauv tus tuav, uas tau ntswj nrog rov qab (txhua txoj kev) mus rau qhov chaw tshuab.
• Ua ntej qhia cov tshuaj hauv qab daim tawv nqaij, koob txhaj tshuaj yuav tsum tau sov me ntsis hauv xib teg ntawm txhais tes.
• Cov kaus mom sab nraud thiab sab hauv yog ua tib zoo tshem tawm ntawm rab koob.
• Rau lub laub ntawv tshiab, ib lub koob txhaj tshuaj yog 4 chav nyob; txhawm rau txhim kho nws, koj yuav tsum rub lub khawm pib thiab tig nws.
• Ib rab koob (4-8 ml) ntawm rab koob txhaj tshuaj yog ntxig rau hauv daim tawv nqaij, yog tias nws qhov ntev yog 10-12 hli, tom qab ntawd lub koob tau ntxig rau ntawm kaum ntawm 45 degrees.
• Tom ntej no, maj mam nias lub ntaus ntawv pib lub khawm thiab nkag mus rau qhov raug ncua kom txog rau thaum nias tawm, qhia tias qhov ntsuas qhov ntsuas tau poob qis rau xoom.
• Tom qab ntawd, tos 10 vib nas this thiab rub tawm rab koob tawm ntawm cov tawv nqaij.

Hnub pib ntawm thawj txheej kev ncua yuav tsum tau sau rau ntawm lub hnab ntim ntawv. Nws yog tsim nyog sau cia tias tom qab qhib kev ncua ntawv tuaj yeem khaws cia hauv qhov kub tshaj 25 degrees rau 21 hnub nyob hauv qhov chaw tsaus thiab txias.

Qhov tshwm sim, contraindications, noj ntau dhau

Insuman Bazal GT tsis muaj cov lus sib kis thiab cov kev tiv thaiv tsis zoo. Feem ntau nws los rau ntawm ib tug neeg intolerance. Hauv qhov no, Quincke's edema, ua pa luv yuav tshwm sim, thiab pob pob tshwm rau ntawm daim tawv nqaij thiab qee zaum khaus.

Lwm cov kev mob tshwm sim feem ntau nrog kev kho mob tsis raug, tsis ua raws li cov lus pom zoo rau kev kho mob lossis qhov ua tsis tiav cov tshuaj insulin. Hauv cov xwm txheej zoo li no, tus neeg mob feem ntau ntsib kev mob ntshav qab zib, uas tej zaum yuav muaj kev ua haujlwm tsis zoo ntawm NS, yastes yastaw, thiab hais lus tsis zoo, tsis pom kev, tsis nco qab thiab ua rau tsis nco qab lawm.

Tseem, kev tshuaj xyuas cov neeg mob ntshav qab zib tau hais tias nrog koob tshuaj tsawg, kev noj zaub mov tsis zoo thiab hla kev txhaj tshuaj, hyperglycemia thiab ntshav qab zib acidosis tuaj yeem tshwm sim. Cov xwm txheej no ua ke nrog coma, tsaug zog, tsaus muag, nqhis dej, thiab tsis qab los noj mov.

Tsis tas li ntawd, daim tawv nqaij ntawm qhov chaw txhaj tshuaj yuav khaus, thiab bruises qee zaum tsim rau nws. Tsis tas li ntawd, ib qho kev nce ntxiv ntawm titer ntawm cov tshuaj tiv thaiv insulin yog qhov ua tau, vim tias qhov twg hyperglycemia tuaj yeem tsim kho.Qee tus neeg mob ntsib kev tiv thaiv kab mob sib kis nrog cov tshuaj hormones tsim los ntawm lub cev.

Yog hais tias muaj ntau zog ntawm insulin, hypoglycemia ntawm ua mob sib txawv yuav loj tuaj. Nrog rau daim ntawv me me, thaum tus neeg mob nco qab, nws yuav tsum haus cov dej qab zib sai sai lossis noj cov khoom uas muaj cov carbohydrate. Yog tias tsis nco qab, 1 mg ntawm glucagon tau txhaj tshuaj intramuscularly, nrog nws qhov kev ua haujlwm tsis muaj txiaj ntsig cov kua nplaum (30-50%) yog siv.

Nrog rau lub sijhawm ntev lossis mob ntshav qab zib heev, tom qab tswj hwm ntawm glucagon lossis qabzib, Txoj kev lis ntshav nrog cov kua qab zib tsis muaj kev pom zoo, uas yuav tiv thaiv kom rov ua dua.

Cov neeg mob hnyav tau pw hauv tsev kho mob hnyav los saib xyuas lawv tus mob.

Txog daim ntawv ntawm tso tawm thiab muaj pes tsawg leeg

Cov tshuaj no yog tib neeg hom tshuaj insulin ntawm lub sijhawm kwv yees nruab nrab. Hauv nws qhov muaj pes tsawg leeg, nws yog qhov ncua kev kawm ntawv uas tau tsim tshwj rau kev tswj hwm subcutaneous. Nws cov xim yog xim dawb lossis yuav luag dawb, thaum Bazal, nthuav tawm li insulin, yog yooj yim thiab ceev nrooj dispersed.

Yog tias peb tham txog cov tshuaj muaj pes tsawg leeg, cov khoom tseem ceeb yog cov tshuaj insulin-isophan. Qhov no yog tib neeg hom tshuaj hormones uas tau los ntawm kev tsim kho tshuab. Tseem muaj cov pabcuam ntu, uas suav nrog:

• tshuaj sulfate,
• metacresol (lossis m-cresol),
• phenol
• zinc chloride thiab lwm yam.

Txog daim ntawv ntawm qhov teeb meem "Basal"

Cov tshuaj insulin yog muaj nyob rau hauv daim ntawv ntawm cartridges lossis ua vials. Vim tias nws muaj pes tsawg leeg, hu ua cov khoom siv tsis tu ncua, Bazal tuaj yeem suav qhov kev nyab xeeb zoo tshaj plaws ntawm ib qho zoo tshaj plaws ntawm cov tshuaj insulin ntawm cov kab nruab nrab ntev uas muaj niaj hnub no.

Txog ntawm qhov cuam tshuam pharmacological

Qhov cov tshuaj no muaj qhov tshwj xeeb tshaj plaws rau txo cov ntshav qab zib, thiab tseem muaj cov txiaj ntsig zoo rau anabolic teebmeem thiab txo cov teebmeem catabolic. Ntxiv rau, nws yog Bazal uas tuaj yeem nce qhov kev sib kis ntawm cov piam thaj sab hauv ib qho ntawm cov hlwb thiab kev sib txuas ntawm glycogen hauv cov leeg thiab mob siab.

Lwm qhov tshwj xeeb txog kev txawv tshuaj suav nrog kev txhim kho kev siv pyruvate, inhibition of glycogenolysis thiab gluconeogenesis.

Tsis tas li ntawd, cov tshuaj hormones nthuav tawm lipogenesis nyob rau hauv daim siab thiab adipose cov ntaub so ntswg, thiab tseem inhibits lipolysis. Nws pab txhawb kev nrawm ntawm ntau cov amino acids nyob rau hauv cheeb tsam lub cell, nrog rau kev tsim cov protein, uas, cia li, ua rau muaj kev nce ntxiv hauv cov ndlwg poov tshuaj rau hauv txhua lub hlwb.

Raws li koj paub, "Bazal" yog ib qho insulin ntawm kev ncua sij hawm nruab nrab ntawm kev sib kis nrog kev ua haujlwm ntawm lub cev. Tom qab txhaj tshuaj subcutaneous, cov nyhuv ntawm hypoglycemic hom manifests nws tus kheej tsis pub dhau ib teev, nce mus txog qhov kawg ntawm peb lossis plaub teev, thiab mob siab rau tsawg kawg 11 thiab siab kawg ntawm 20 teev.

Txog ntau npaum

Yuav teem caij li cas lub koob "Basal"?

Hauv Bazal cov tshuaj insulin, kev siv ntau, ntawm chav kawm, kuj tseem yuav tsum tau saib xyuas tshwj xeeb. Yog li, qhov tseem ceeb tshaj tawm ntawm cov concentration ntawm cov piam thaj hauv cov ntshav, nrog rau qhov tseeb ntawm cov khoom muaj cov tshuaj insulin uas yuav tsum tau siv thiab, tau kawg, cov tshuaj hormones dosing algorithm, tshwj xeeb:

1. tsuas tshuaj
2. lub sijhawm siv yuav tsum tau txheeb xyuas thiab kho tus kheej.

Qhov no tau ua nyob rau hauv txoj kev uas lawv tau ua raws li kev noj haus, qhov sib piv thiab qib ntawm kev ua si lub cev thiab kev ua neej ntawm tus mob ntshav qab zib nws tus kheej, uas tsis muaj ib qho tseem ceeb dua.

Nws yuav tsum tau yug los hauv lub siab tias qhov kev cai tswjfwm ruaj khov rau kev txhim kho ntawm cov tshuaj insulin tsis tuaj kawm ntawv. Tib lub sijhawm, qhov ntau thiab tsawg ntawm cov tshuaj hormones ib hnub twg yog los ntawm 0.5 txog 1 ME ib kg ntawm qhov hnyav ntawm lub cev, thaum tib neeg hom insulin nrog rau ntev ntawm cov tshuaj tiv thaiv nyob rau 40 txog 60% ntawm cov tshuaj insulin uas xav tau ib hnub.

Tus kws kho mob ntshav qab zib tau qhia kom muab txhua yam lus qhia thiab cov ntaub ntawv hais txog kev txiav txim siab ntsuas ntshav qab zib, nrog rau lwm cov lus qhia ntsig txog kev hloov pauv ib qho twg ntawm kev noj zaub mov noj lossis hauv lub algorithm ntawm kev siv tshuaj insulin. Tag nrho cov ntawm no yog qhov tseem ceeb heev rau kev tswj hwm kev noj qab haus huv rau txhua yam mob ntshav qab zib.

Txog kev hloov pauv ntawm lwm hom insulin

Hauv txoj kev hloov cov ntshav qab zib los ntawm ib hom tshuaj insulin mus rau lwm tus, nws yuav zoo los kho lub algorithm rau kev muab tshuaj rau cov tshuaj no.

Piv txwv li, hauv kev hloov pauv los ntawm insulin ntawm keeb kwm tib neeg mus rau tib neeg keeb kwm thiab hauv ntau lwm yam xwm txheej zoo sib xws.

Tom qab kev hloov pauv los ntawm cov tshuaj hormones ntawm cov tsis yog tib neeg keeb kwm rau lwm cov insulin, nws yuav tsim nyog los txo qhov ntau npaum ntawm Bazal. Tshwj xeeb, qhov no cuam tshuam rau cov neeg mob uas yav tas los tau txais kev kho mob los ntawm kev tso ntshav qog ntshav qis. Nws kuj tseem yuav cuam tshuam rau cov neeg mob ntshav qab zib uas tau nquag tsim cov ntshav qog ntshav qab zib thiab cov uas yav tas los xav tau cov tshuaj qog ntshav ntau ntxiv vim yog cov kev sib txuas nrog qhov muaj cov tshuaj tiv thaiv rau cov tshuaj insulin.

Vim li cas kuv thiaj yuav tsum tau txhaj txo?

Tsis tas li ntawd, qhov kev xav tau hloov kho, lossis theej, qhov txo qis ntawm cov tshuaj noj, tuaj yeem tsim tau tam sim tom qab pib siv cov yam tshiab ntawm insulin lossis tsim kev ua haujlwm rau ntau lub lis piam.

Hais Txog Kev Taw Qhia

Bazal insulin yog ib txwm tob txhaj rau hauv qab daim tawv nqaij 45-60 feeb ua ntej noj mov. Qhov duav ntawm qhov kev txhaj tshuaj nyob hauv thaj tsam ntawm ib qho chaw txhaj tshuaj yuav tsum tau hloov txhua zaus.

Ib qho kev hloov pauv hauv thaj chaw ntawm kev qhia txog tshuaj hormones (piv txwv li, los ntawm qee ntu ntawm lub hauv plab mus rau lub duav) yuav tsum tau nqa tawm tshwj xeeb tom qab sab laj nrog kws tshaj lij. Qhov no yog vim tias insulin nqus thiab, vim li ntawd, cov txiaj ntsig ntawm kev txo qis cov ntsiab lus ntawm cov piam thaj hauv cov ntshav tuaj yeem sib txawv. Nws tseem nyob ntawm qhov chaw siv, raws li tau hais ua ntej.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias Bazal tsis pom zoo siv rau hauv kev siv ntau yam tshuaj insulin, suav nrog kev cog hniav cog. Tseem ceeb tshaj, tsis txhob hnov ​​qab tias kev tso dej khov ntawm cov tshuaj yog cais tawm tag nrho. Txog kev siv kom zoo, kev siv tshuaj tsis huv uas tsis siv tshuaj tua kab mob thiab cov tshuaj insulin, yuav khoom tshwj xeeb los ntawm cov khw tshwj xeeb lossis chaw muag tshuaj, tsis muaj qhov tsim nyog.

Txog kev phiv

Bazal insulin yog txiav txim siab los ntawm qee yam tsawg ntawm cov kev mob tshwm sim, txawm li cas los xij, lawv tseem muaj nyob. Peb tab tom tham txog hypoglycemia, uas cov ntawv, ua lub neej txhua yam uas muaj txiaj ntsig ntau dhau los ntawm kev ntau npaum.

Raws li qhov tseeb ntawm qhov no, cov tsos mob neuropathic, piv txwv li, nrhav lossis tsis nco qab, tuaj yeem ua zoo.

Nrog kev poob sai sai rau cov ntshav qab zib kom tsawg, kev tsim lub siab ntawm hypokalemia, uas yog ib qho kev cuam tshuam ntawm cov hlab plawv thiab leeg ntshav, nrog rau qhov tshwm sim ntawm cerebral edema, muaj ntau dua li yuav muaj. Txawm li cas los xij, qhov kawg tshwm sim tsis tshua muaj.

Qhov pom tshwm sim?

Kev ua xua uas kis tau sai heev tsis muaj tsawg. Qhov muaj peev xwm ib yam yuav hais tau txog kev nce ntshav sai sai. Nws yog qhov ua tau kom nres nws los ntawm kev noj cov tshuaj uas yuav tuaj yeem ua ke nrog cov tshuaj insulin.

Hla kev sib txuam yeeb tshuaj

Thaum lub caij cov tshuaj insulin, Insuman Bazal GT yuav tsum tau yug los rau hauv lub siab tias thaum ua ke nrog qee cov tshuaj, kev hloov pauv hauv hypoglycemic effect lossis cuam tshuam ntawm cov kev kho mob ntawm lwm yam tshuaj muaj peev xwm ua tau:

• Insuman's hypoglycemic effect tau txhim kho thiab ua kom ntev dua thaum ua ke nrog cov tshuaj qab zib qhov ncauj, ACE inhibitors, iMAO, Disoprimide, salicylates, anabolics, tshuaj nrog txiv neej cov tshuaj hormones, Fluoxetine, Fenfluramine, Ifosfamide, sulfonamides, Amphetamine thiab tetetamine.
• Kev sib xyaw nrog GCS, tshuaj diuretic, corticotropin, Danazole, glucagon, cov tshuaj hormones (estrogens, gestagens), sympathomimetics, cov thyroid tshuaj, phenothiazine derivatives, barbiturates thiab qee yam tshuaj txo cov nyhuv hypoglycemic ntawm insulin.
• Thaum muab tso ua ke nrog BAB, Clonidine, ntsev ntsev lithium, qhov kev txiav txim ntawm Insuman Bazal tsis tuaj yeem kwv yees tau: ib qho hypo- lossis hyperglycemic effect yuav tshwm sim.
• Ethanol ua raws li kev npaj insulin kuj tsis tau ceeb toom: qhov tshwm sim ntawm Insuman yuav nce ntxiv lossis poob qis. Nws yuav tsum tau yug los hauv lub siab tias yog tias tus neeg mob lub ntsej muag glycemia poob qis, tom qab kev haus cawv haus cawv lossis tshuaj, nws qib yuav poob qis mus rau qhov tseem ceeb, uas tuaj yeem ua kev hem thawj rau kev noj qab haus huv thiab lub neej muaj ntshav qab zib.

Txog cia thiab contraindications

Cov xwm txheej cuam tshuam nrog kev cia ntawm Bazal insulin yog li hauv qab no:

• qhov chaw muab tsis cuag rau me nyuam yaus
• muaj kev tiv thaiv tag nrho los ntawm lub teeb thiab hnub ci,
• nyob rau hauv cov ntaub ntawv no, lub tsoom fwv kub yuav tsum yog los ntawm ob txog yim degrees.

Nws kuj tseem ceeb kom tiv thaiv kom txhob khov, vim tias qhov no yuav cuam tshuam rau qhov tsis zoo lossis qhov hloov pauv ntawm qhov zoo ntawm cov tshuaj. Txee lub neej yog ob xyoos txij li hnub tsim cov tshuaj no. Tom qab qhib, ampoule nrog kev ncua yuav muab khaws cia rau tsis pub dhau plaub lub hlis hauv qhov chaw txias thiab tsaus ntuj.

Kev hais lus ntawm contraindications, nws yuav tsum raug sau tseg xws li cov neeg mob qog ntshav qab zib ntau dua thiab muaj qhov tsis sib xws ntau ntxiv rau cov tshuaj hormones lossis rau txhua lwm cov tshuaj pabcuam uas muaj nyob hauv cov npe ntawm cheebtsam. Koj yuav tsum xav txog kev txo cov tshuaj rau cov neeg uas muaj lub raum thiab lub siab tsis ua haujlwm thiab cov neeg laus.

Cov xwm txheej no yuav tsum tsis txhob txiav txim siab contraindications, txawm li cas los xij, kev siv Bazal insulin yuav tsum raug tswj hwm nruj. Txwv tsis pub, nws txoj kev siv yuav tuaj yeem tsim kev puas tsuaj rau txhua tus mob ntshav qab zib. Txawm li cas los xij, nyob ntawm tag nrho cov kev cai, hais txog hom tshuaj insulin yuav yog ib qho zoo tshaj plaws hauv ntshav qab zib.

Insuman Bazal GT belongs rau cov koob tshuaj tiv thaiv cov noob ua kom zoo ntawm cov pa nruab nrab. Nws tau los ntawm E. coli lim K12 135 pINT90d. Cov tshuaj phiv yog cov tshuaj insulin-isophan. Muaj nyob rau hauv daim ntawv ntawm kev ncua rau kev txhaj tshuaj hauv qab daim tawv.

Noj ntau dhau

Kev qhia ntau dhau ntawm Insuman Bazal tsis ncaj ncees noj cov zaub mov lossis lub zog siv ntau yam ua rau kev txhim kho hypoglycemia ntawm qhov sib txawv heev.

Nrog cov kab mob hais tawm me ntsis, tus kab mob ntshav qab zib tuaj yeem tshem tawm ntshav qog ntshav los ntawm kev noj zaub mov carbohydrate.

Hauv kev siv ntau tshaj ntawm kev noj tshuaj ntau dhau, thaum lub ntsej muag hypoglycemia ua rau tsis nco qab, rau leej twg, mob hlwb lossis mob hlwb, tus neeg mob xav tau kev kho mob. Hauv cov xwm txheej no, kev pom zoo tso ntshav ntawm cov tshuaj dextrose yog qhov pom zoo, ib qho kev txhaj tshuaj rau hauv intramuscularly lossis sc glucagon. Yog tias hypoglycemia tshwm sim hauv tus menyuam, tom qab ntawd qhov nyiaj ntawm cov kev daws teeb meem no suav raws li qhov hnyav hauv lub cev.

Tom qab nce glycemia, qhov pheej rov qab ua rau cov ntsiab lus nyob hauv qabzib yog qhov ua tau, yog li ntawd, tus neeg mob tau txais kev saib xyuas ntawm cov khoom noj carbohydrate.

Yog hais tias ib qho mob hnyav tom qab siv ntau tshaj kav ntev dhau lossis ua rau nws tus kheej hnyav heev, ces tus neeg mob yuav rov qab ua tshuaj dextrose txoj kev tswj xyuas ntawm qhov qis qis kom tiv thaiv tau qhov mob uas yuav ua tau.Nws yog qhov tshwj xeeb tshaj yog yuav tsum tau ua tib zoo saib xyuas kom txog qib ntshav qabzib hauv cov menyuam yaus, vim tias lawv muaj kev cuam tshuam rau cov mob ntshav qab zib tsawg kawg.

Hauv qee kis, tus neeg mob pw hauv tsev kho mob rau kev soj ntsuam ntxiv thiab tswj hwm.

Cov lus nug txog kev hloov cov tshuaj nrog lwm hom tshuaj insulin tuaj yeem tsuas yog txiav txim siab los ntawm kev kho tus mob endocrinologist.

Marvel L.S. (Is Nrias teb)

Tus nqi nruab nrab: 1 fl. 40 IU (10 ml) - 535 rub., 1 vial. 100 IU (10 ml) - 536 rub., Cartr. 100 IU (5 pcs.) - 1,080 rubles.

Tshuaj rau hom 1 thiab ntshav qab zib hom 2. Nws yog tsim ntawm lub hauv paus ntawm tib neeg bioengineered insulin ntawm kev txiav txim nruab nrab. Muaj nyob hauv 40 lossis 100 IU insulin.

Txoj kev ntawm cov thawj coj thiab pes tsawg ntawm kev txhaj tshuaj yog txiav txim siab los ntawm hom thiab mob hnyav ntawm cov ntshav qab zib, concomitant pathologies thiab lwm yam ntxwv ntawm tus neeg mob.

• Nws yog qhov nyuaj kom nrhiav tau txoj kev noj tshuaj.
• Tsis yog ib txwm pab txo cov piam thaj.

Lub hom phiaj ntawm cov piam thaj hauv cov ntshav, cov tshuaj insulin uas yuav tsum tau siv, kev siv tshuaj insulin ntau ntxiv (koob tshuaj thiab lub sijhawm ntawm kev tswj hwm) yuav tsum txiav txim siab thiab kho tus kheej kom phim rau kev noj haus, theem ntawm kev siv dag zog thiab kev ua neej ntawm tus neeg mob.

Tsis muaj cov kev cai hais meej meej rau kev noj cov tshuaj insulin. Txawm li cas los xij, qhov nruab nrab ib hnub twg ntawm cov tshuaj insulin yog 0.5-1 IU / kg / hnub, thiab tib neeg lub cev ntev insulin ua rau 40-60% ntawm qhov xav tau ntawm insulin txhua hnub.

Tus kws kho mob yuav tsum tau muab cov lus qhia tseem ceeb rau kev txiav txim siab seb yuav ua li cas thiaj li txiav txim tau cov ntshav qabzib hauv cov ntshav, nrog rau cov lus pom zoo tsim nyog thaum muaj kev hloov pauv hauv kev noj zaub mov noj lossis hauv kev kho mob ntawm insulin.

Hloov los ntawm lwm hom insulin rau Insuman ® Bazal GT

Thaum hloov cov neeg mob los ntawm ib hom tshuaj insulin mus rau lwm qhov, yuav tsum tau kho ntawm cov tshuaj insulin pab rau: piv txwv li, thaum hloov los ntawm tsiaj los ntawm insulin rau tib neeg, los yog thaum hloov los ntawm tib neeg cov tshuaj insulin hloov mus rau lwm tus, lossis thaum hloov los ntawm kev kho cov tshuaj insulin rau ib txoj cai, suav txog cov insulin ntev dua.

Tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg los ntawm insulin, tej zaum yuav tsum tau txo qis cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob uas yav dhau los muaj cov ntshav qabzib tsawg, hauv cov neeg mob uas muaj lub siab mob ntshav qab zib, nyob rau cov neeg mob uas yav tas los xav tau cov tshuaj insulin ntau dua vim tias nrog rau cov tshuaj tiv thaiv kab mob rau insulin. Qhov xav tau koob tshuaj hloov kho (txo qis) tej zaum yuav tshwm sim tam sim ntawd tom qab hloov mus rau hom tshuaj insulin tshiab lossis pib maj mam dhau ob peb lub lis piam.

Thaum hloov los ntawm ib hom tshuaj insulin mus rau lwm qhov thiab tom qab ntawd nyob rau thawj lub lim tiam tom ntej, kev saib xyuas zoo ntawm cov ntshav qabzib concentration yog pom zoo. Hauv cov neeg mob uas xav tau cov tshuaj insulin ntau heev vim tias muaj cov tshuaj tiv thaiv, nws pom zoo kom hloov mus rau lwm hom insulin hauv kev saib xyuas kho mob hauv tsev kho mob.

Hloov pauv ntxiv hauv cov tshuaj insulin

Txhim kho kev tswj kev zom zaub mov tuaj yeem ua rau lub cev nkag siab ntau ntxiv rau insulin, uas yuav ua rau lub cev xav tau cov insulin tsawg.

Kuj yuav tsum muaj qhov hloov tshuaj ntxiv thaum:

Hloov pauv hauv tus neeg mob lub cev qhov hnyav,

Kev pauv hloov hauv lub neej (suav nrog kev noj zaub mov, qib kev tawm dag zog, thiab lwm yam),

Lwm qhov xwm txheej uas yuav ua rau muaj kev cia siab ntxiv rau hypo- lossis hyperglycemia.

Dosage regimen hauv cov pab pawg neeg mob tshwj xeeb

Cov neeg laus. Hauv cov neeg laus, xav tau cov tshuaj insulin yuav tsawg zuj zus. Nws raug nquahu tias kev pib kho, ntxiv rau koob tshuaj thiab tswj kev xaiv koob tshuaj rau cov neeg laus uas muaj ntshav qab zib mellitus yuav tsum tau ua nrog ceev faj kom tsis txhob muaj cov tshuaj tiv thaiv ntshav qab zib.

Cov neeg mob uas muaj mob rau daim siab mob hepatic lossis lub raum khiav tsis zoo. Hauv cov neeg mob uas muaj mob hepatic lossis lub raum tsis ua haujlwm, kev xav tau cov tshuaj insulin yuav raug txo.

Kev qhia ntawm cov tshuaj Insuman ® Basal GT

Insuman ® Basal GT feem ntau yog tswj hwm ua kom tob / s 45-60 feeb ua ntej noj mov. Qhov chaw txhaj tshuaj hauv tib thaj chaw txhaj tshuaj yuav tsum tau hloov pauv txhua zaus. Hloov thaj chaw ntawm cov tshuaj insulin (piv txwv li, los ntawm lub plab mus rau ncej puab) yuav tsum tau ua tsuas yog tom qab sab laj tus kws kho mob, vim tias kev nqus ntawm cov tshuaj insulin thiab, raws li, cov txiaj ntsig ntawm kev txo qis cov concentration ntawm cov piam thaj hauv cov ntshav yuav txawv nyob ntawm thaj chaw tswj hwm (piv txwv, lub plab los yog ncej puab).

Insuman ® Basal GT tsis yog siv rau hauv ntau hom tshuaj insulin (suav nrog cov uas rho tawm).

Hauv / hauv kev qhia txog cov tshuaj tsis muaj cais tawm kiag li!

Tsis txhob sib xyaw Insuman ® Basal GT nrog insulin ntawm kev sib txawv, nrog insulin ntawm tsiaj keeb kwm, insulin analogs lossis lwm yam tshuaj.

Insuman ® Bazal GT tuaj yeem sib xyaw nrog txhua pawg sanofi-aventis pawg tib neeg kev npaj kua dej. Insuman ® Basal GT yuav tsum tsis txhob xyaw nrog cov tshuaj insulin uas tsim tshwj xeeb rau kev siv hauv cov tshuaj insulin.

Nws yuav tsum nco ntsoov tias cov tshuaj insulin yog 100 IU / ml (rau 5 ml vials lossis 3 ml cartridges), yog li nws tsuas yog siv cov yas koob txhaj tsim rau qhov no ntawm cov tshuaj insulin thaum siv vials, lossis OptiPen Pro1 lossis ClickSTAR koob txhaj tshuaj. cov ntaub ntawv ntawm kev siv cartridges. Cov koob txhaj tshuaj yas yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov khoom 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). Qhov muab tshem tawm yuav tsum muab sib xyaw kom zoo tam sim ntawd ua ntej teeb tsa, thiab tsis pub ua npuas dej ua. Qhov no yog qhov zoo tshaj plaws los ntawm tig lub raj mis, tuav nws ntawm lub kaum ntsees ntawm nruab nrab ntawm xib teg ntawm txhais tes. Tom qab sib tov, qhov kev ncua yuav tsum muaj ib qho sib txig sib xws thiab muaj xim ntau heev. Cov kev txwv tsis pub siv yog tias nws muaj lwm daim ntawv, i.e. yog tias nws tseem pob tshab lossis plaub ya ri lossis cov qog tau tsim nyob rau hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm lub vial. Hauv cov xwm txheej zoo li no, koj yuav tsum siv lwm lub raj mis uas ua tau raws li cov xwm txheej saum toj no, thiab koj yuav tsum qhia koj tus kws kho mob.

Ua ntej yuav sau cov insulin los ntawm cov vial, ib qho ntim ntawm huab cua sib npaug ntawm cov tshuaj uas tau txhaj 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 tshaj 25 ° C rau 4 lub lis piam rau hauv qhov chaw tiv thaiv los ntawm lub teeb thiab cua sov.

Ua ntej kev txhim kho lub thawv (100 IU / ml) hauv OptiPen Pro1 thiab ClickSTAR koob txhaj tshuaj, nws yog qhov yuav tsum tau tiv nws li 1-2 teev ntawm chav tsev kub (kev txhaj tshuaj ntawm chine insulin mob siab dua). Tom qab ntawd, maj mam tig lub taub hau (txog li 10 zaus) kom tau txais qhov kev ncua ntawv homogeneous. Txhua tus cartridge txuas ntxiv muaj 3 lub npas hlau kom nrawm dua nws cov ntsiab lus. Tom qab kev txhim kho lub taub ntim hauv daim ntawv syringe, ua ntej txhua qhov kev txhaj tshuaj ntawm cov tshuaj insulin, daim ntawv xaum yuav tsum tau muab ob peb zaug kom tau txais qhov kev tshem tawm homogeneous. Tom qab sib tov, qhov kev ncua yuav tsum muaj ib qho sib txig sib xws thiab muaj xim ntau heev. Cov kev txwv tsis pub siv yog tias nws muaj lwm daim ntawv, i.e. yog tias nws tseem pob tshab lossis flakes lossis cov qog tau tsim nyob rau hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm daim cartridge.Hauv cov xwm txheej zoo li no, koj yuav tsum siv lub cartridge sib txawv uas ua tau raws li cov xwm txheej saum toj no, thiab koj yuav tsum qhia koj tus kws kho mob. Tshem tawm cov pa npuas tawm ntawm daim cartridge ua ntej txhaj tshuaj (saib Cov Lus Qhia rau kev siv OptiPen Pro1 lossis ClickSTAR syringe pens).

Daim cartridge tsis tsim los tov Insuman ® Bazal GT nrog lwm cov insulins. Lub laub ntim tsis tau ntim tsis tau. Thaum muaj tawg ntawm daim ntawv xaum, koj tuaj yeem nkag mus rau qhov yuav tsum tau txhaj tshuaj los ntawm daim cartridge siv cov koob txhaj tshuaj. Nws yuav tsum nco ntsoov tias qhov kev xav ntawm cov tshuaj insulin hauv daim laub ntawv yog 100 IU / ml, yog li koj tsuas yog xav siv yas koob txhaj tshuaj tsim rau qhov no ntawm cov tshuaj insulin. Cov koob txhaj tshuaj yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov seem.

Tom qab kev txhim kho lub thawv ntawv, nws tuaj yeem siv rau 4 lub lis piam. Nws raug nquahu kom khaws cia hauv qhov kub tsis tshaj 25 ° C nyob rau hauv qhov chaw tiv thaiv los ntawm lub teeb thiab cua sov. Hauv kev siv los ntawm daim cartridge, daim ntawv koob txhaj tshuaj yuav tsum tsis txhob cia rau hauv lub tub yees (vim tias kev txhaj tshuaj nrog chill chill muaj mob ntau dua). Tom qab kev txhim kho lub thawv ntawv tshiab, nws yog qhov yuav tsum tau kuaj xyuas lub lag luam kom raug ntawm cov xaum xaj ua ntej txhaj thawj koob (saib Cov Lus Qhia rau Kev Siv OptiPenPro 1 lossis ClickSTAR Syringe Cwjpwm).

Cov lus qhia rau kev siv thiab tuav ntawm cov xaum ua ntej xaum xaum SoloStar ®

Ua ntej siv thawj zaug, rab koob xaum xaum yuav tsum khaws cia ntawm chav tsev li 1-2 teev.

Ua ntej siv, koj yuav tsum tshuaj xyuas daim cartridge sab hauv lub taub hau dab tsi tom qab txaws qhov kev ncua hauv nws los ntawm kev sib hloov daim duab syringe nyob ib ncig ntawm nws lub axis, tuav nws ntawm lub kaum ntse ntse nruab nrab ntawm xib teg ntawm txhais tes. Nws yuav tsum tau siv tsuas yog, tom qab sib tov, qhov kev ncua ntawv muaj qhov tsis sib thooj thiab xim dawb. Lub hau roj pleev tsis tuaj yeem siv yog tias qhov raug ncua hauv nws tom qab sib xyaw muaj lwm daim ntawv, i.e. yog tias nws tseem pob tshab lossis flakes lossis cov qog tau tsim nyob rau hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm daim cartridge. Thaum zoo li no, siv ib tug cwj mem sib txawv thiab qhia koj tus kws kho mob.

SoloStar ring Daim iav uas tsis muaj lawm yuav tsum tsis tau rov siv dua thiab yuav tsum tau muab pov tseg.

Txhawm rau tiv thaiv kev kis mob, tus cwj mem uas muaj menyuam qhwv ua ntej tsuas yog siv los ntawm ib tus neeg mob thiab yuav tsum tsis txhob hloov mus rau lwm tus.

Kev Siv SoloStar ® Syringe Cwj mem

Ua ntej siv SoloStar ring syringe cwj mem, ua tib zoo nyeem cov ntaub ntawv ntawm kev siv.

Cov ntaub ntawv tseem ceeb ntawm kev siv SoloStar ring Syringe Cwj mem

Ua ntej siv txhua qhov, ua tib zoo txuas lub koob tshiab rau daim duab xaum xaum thiab kev sim kev nyab xeeb. Tsuas siv cov koob uas txuam nrog SoloStar ® yuav tsum tau siv.

Cov kev tiv thaiv tshwj xeeb yuav tsum tau ceev faj kom tsis txhob muaj kev sib tsoo nrog kev siv koob thiab qhov kis tau ntawm kev kis tus kab mob.

Tsis txhob siv SoloStar ring cov xaum xim yog tias nws puas ntsoog lossis yog tias tus neeg mob tsis paub meej tias nws yuav ua haujlwm tau zoo.

Nws yog ib txwm tsim nyog yuav tsum muaj SoloStar ® syringe cwj mem thaum poob lossis puas rau daim ntawv ua hauj lwm ntawm SoloStar ring koob txhaj tshuaj.

Kev qhia cia

Nws yog ib qho tsim nyog yuav tsum tau kawm ntu "Txiaj Ntsim Cov Mob" txog cov cai khaws cia ntawm SoloStar ® syringe mem.

Yog tias SoloStar ring syringe cwj mem muab cia rau hauv tub yees, nws yuav tsum tau muab tshem tawm los ntawm 1-2 teev ua ntej txoj kev txhaj tshuaj kom qhov kev ncua ntawv yuav tsum nyob hauv chav. Kev tswj hwm cov tshuaj chine chilled yog qhov mob ntau dua.

Tus cwj mem SoloStar ring koob txhaj tshuaj yuav tsum raug rhuav tshem.

SoloStar-koob txhaj tshuaj yuav tsum tau tiv thaiv los ntawm plua plav thiab av.

Sab nraud ntawm SoloStar ® Syringe Pen tuaj yeem ntxuav los ntawm kev so nws nrog daim ntaub ntub dej los tau.

Tsis txhob raus dej hauv cov kua, tsis txhob yaug lossis ntub dej SoloStar ® syringe cwj mem, vim tias qhov no tuaj yeem ua rau nws puas.

SoloStar ® Syringe Pen siv cov tshuaj insulin kom raug thiab nyab xeeb siv. Nws tseem yuav tsum tau ua tib zoo saib xyuas. Zam cov xwm txheej uas ua puas rau SoloStar-koob txhaj tshuaj yuav tshwm sim. Yog tias tus neeg mob xav tias daim ntawv SoloStar ® syringe ua tsis zoo, siv tus cwj mem tshiab.

Theem 1. Tshuaj Insulin

Nws yog qhov tsim nyog los kuaj cov ntawv lo rau ntawm SoloStar ring cov koob txhaj tshuaj kom paub tseeb tias nws muaj cov insulin tsim nyog. Rau Insuman ® Bazal GT, SoloStar ® koob txhaj tshuaj yog xim dawb nrog lub pob ntsuab rau kev txhaj tshuaj. Tom qab hle lub hau ntawm rab koob txhaj tshuaj, qhov pom ntawm cov tshuaj insulin hauv nws yog tswj: kev tshem tawm cov tshuaj insulin tom qab sib tov yuav tsum muaj cov kev sib txig sib txawv thiab xim dawb.

Theem 2. Txuas rab koob

Tsuas siv cov koob uas siv nrog SoloStar ® koob txhaj tshuaj.

Txog kev txhaj txhua zaus, yuav tsum siv rab koob tshiab tshiab uas tsis huv. Tom qab hle lub hau tawm, rab koob yuav tsum tau muab ntsia kom zoo ntawm daim duab syringe.

Theem 3. Ua qhov ntsuas kev nyab xeeb (ib txwm nqa tawm tom qab sib xyaw kev ncua, saib sab saud).

Ua ntej txhua txoj kev txhaj tshuaj, nws yog qhov yuav tsum tau ua qhov kev ntsuas kev nyab xeeb thiab ua kom cov koob txhaj tshuaj ua haujlwm zoo thiab cua tshuab tau tshem tawm.

Ntsuas cov koob tshuaj sib npaug rau 2 PIECES.

Cov kaus mom uas siv sab nraud thiab sab hauv yuav tsum tau muab tshem tawm.

Muab tus cwj mem ntim nrog rab koob tso tawm, maj mam coj mus rhaub cov insulin lub taub hau nrog koj tus ntiv tes kom txhua npuas pa mus rau rab koob.

Tag nrho nias lub pob txhaj.

Yog tias muaj cov tshuaj insulin rau ntawm qhov kawg ntawm rab koob, qhov no txhais tau tias rab koob xaum thiab rab koob ua hauj lwm zoo.

Yog tias cov tshuaj insulin tsis tshwm sim rau ntawm lub ntsis ntawm rab koob, tom qab ntawd cov kauj ruam 3 tuaj yeem rov ua dua kom txog thaum cov insulin tshwm ntawm lub taub ntawm rab koob.

Lub Ntu 4. Xaiv ntau txoj kev xaiv (ib txwm nqa tawm tom qab sib xyaw kev ncua, saib sab saud)

Qhov koob tshuaj tuaj yeem tsim nrog qhov tseeb ntawm 1 UNIT: los ntawm koob tshuaj tsawg kawg nkaus - 1 UNIT mus txog qhov siab tshaj plaws - 80 UNITS. Yog tias nws yuav tsum los qhia qhov tshuaj tshaj li ntawm 80 tus PIECES, yuav tsum txhaj 2 koob los yog ntau dua.

Lub koob tshuaj yuav tsum kos npe "0" tom qab kev ntsuas kev nyab xeeb tiav. Tom qab ntawd, cov koob tshuaj tsim nyog tau tsim muaj.

Theem 5. Ceeb Toom

Tus neeg mob yuav tsum tau qhia rau cov txheej txheem txhaj tshuaj los ntawm tus kws kho mob paub.

Lub koob yuav tsum tau muab tso rau hauv qab daim tawv nqaij. Lub pob txhaj tshuaj yuav tsum nias tag nrho. Nws tau tuav hauv txoj haujlwm no rau lwm 10 s kom txog thaum lub koob tau muab tshem tawm. Qhov no ua kom paub tseeb ntawm qhov kev xaiv ntawm xaiv koob tshuaj insulin kiag li.

Theem 6. Tshem thiab tshem tawm ntawm rab koob

Hauv txhua qhov xwm txheej, rab koob tom qab txhua txoj kev txhaj tshuaj yuav tsum tau muab tshem tawm thiab muab pov tseg. Qhov no ua kom muaj kev tiv thaiv ntawm kev sib kis thiab / lossis kis tau tus mob, cua nkag mus rau hauv lub thawv rau tshuaj insulin thiab paim ntshav ntawm insulin.

Thaum hle thiab pov tseg lub koob, yuav tsum muaj kev tiv thaiv tshwj xeeb. Cov lus qhia txog kev nyab xeeb kev nyab xeeb rau kev tshem tawm thiab pov tawm cov koob (piv txwv, cov txheej txheem ntawm muab tso rau ntawm lub hau nrog ib txhais tes) yuav tsum ua raws li qhov txo qis kev pheej hmoo ntawm kev raug xwm txheej nrog kev siv rab koob thiab tseem tuaj yeem tiv thaiv kev kis mob.

Tom qab hle rab koob tawm, kaw SoloStar ® syringe cwj mem nrog lub hau.

Cov yam ntxwv ntawm Pharmacological

Qhov ntau npaum li cas ntawm Insuman Bazal GT yog 100 IU / ml. Tom qab tswj hwm nyob rau hauv daim tawv nqaij, nws pib ua maj mam ua tiav, ua tiav cov nyhuv hypoglycemic hauv ib teev. Qhov siab tshaj plaws hauv kev txo cov piam thaj muaj li 3-4 teev tom qab txhaj, cov nyhuv no kav rau 11-20 teev. Lub mechanism ntawm kev txiav txim muaj nws tus kheej cov yam ntxwv:

• Nws muaj cov txiaj ntsig anabolic, inhibits catabolic cov txheej txheem, txo cov piam thaj hauv cov ntshav ntshav.
• Nws pab hloov cov piam thaj rau hauv lub cell thiab coj los ua ke nrog glycogen nplej los ntawm nws hauv hepatocytes thiab cov leeg, txwv qhov tshwm sim ntawm glycogenolysis thiab gluconeogenesis, optimizes siv ntawm cov khoom kawg - pyruvate.
• Txo cov tshuaj lom biochemical ntawm lipolysis, tab sis stimulates synthesis ntawm cov rog hauv lub siab.
• Txhim kho qhov kev thauj ntawm cov amino acid sib txuas mus rau hauv cov qauv hauv cell thiab cov synthesis protein.
• Pab hloov cov poov tshuaj thoob plaws hauv daim nyias nyias mus rau cov cell.

Tag nrho cov kev cuam tshuam lom neeg ntawm cov tshuaj insulin basal GT qis dua glycemia.

Pab pawg kws tshuaj:

Kev ntsuas rau 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 pab metabolic hauv cov neeg mob ntshav qab zib mellitus ua ntej, ua ntej, thiab tom qab lub sijhawm tsis ua haujlwm.

• qog ntshav,
• Cov tshuaj tiv thaiv tsis haum rau insulin lossis rau qee yam ntawm cov tshuaj tiv thaiv kab mob, tsuas yog muaj qee zaum ntawm 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.

Qhov ceev faj thiab cov lus qhia tshwj xeeb

Muaj peev xwm hla-tiv thaiv kab mob ntawm tib neeg cov insulin nrog 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 Insuman Rapid GT yuav tsum raug soj ntsuam hauv qhov chaw kuaj mob siv cov kev kuaj mob intradermal. Yog tias thaum lub sijhawm kuaj ntshav tsis haum rau tib neeg cov tshuaj insulin (kuaj tam sim ntawd, xws li Arthus), tom qab ntawd yuav tsum tau kho ntxiv nyob rau hauv kev saib xyuas mob. Hauv qhov ncaj ncees ntawm cov neeg mob uas muaj lub siab ntev mus rau insulin ntawm tsiaj keeb kwm, nws nyuaj rau hloov mus rau tib neeg cov insulins vim hla kev tiv thaiv kab mob ntawm tib neeg insulin thiab insulin ntawm tsiaj keeb kwm.
Kev mob ntshav qab zib tsawg tuaj yeem tsim kho yog tias cov tshuaj insulin txhaj dhau qhov xav tau ntawm nws.
Muaj qee qhov tsos mob kuaj mob thiab cov phiajcim yuav tsum qhia rau tus neeg mob lossis lwm tus txog kev tso ntshav qab zib kom tsawg. Cov no suav nrog: kev tawm hws sai, tshee tshee, tshee, tshaib plab, nkees nkees, pw tsaug zog, ntshai, ntxhov siab, chim siab, coj tus cwj pwm txawv, ntxhov siab, mob hauv lub qhov ncauj thiab ncig lub qhov ncauj, pallor, mob taub hau, tsis muaj kev sib koom tes ntawm kev txav mus los, thiab ntxiv mus. cov mob puas hlwb (hais lus thiab pom kev tsis pom kev zoo, ib ce tuag tes tuag taw) thiab qhov hnov ​​zoo txawv txawv. Nrog rau kev nce qib hauv cov piam thaj hauv siab, tus neeg mob yuav plam nws tus kheej thiab txawm ua rau 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.
Ntau tus neeg mob, vim tias adrenergic cov lus tawm tswv yim, tuaj yeem tsim cov tsos mob hauv qab no, qhia txog kev txo cov ntshav qab zib: tawm hws, tawv nqaij noo, ntxhov siab, tachycardia (mob hauv siab), ntshav siab, tshee tshee, mob hauv siab, mob plawv tsis txaus.
Yog li, txhua tus neeg mob uas muaj mob ntshav qab zib thiab txais cov tshuaj insulin yuav tsum kawm paub txog cov tsos mob txawv txawv uas yog qhov qhia pom ntawm kev muaj ntshav qab zib. Cov neeg mob uas niaj hnub soj ntsuam cov ntshav qab zib thiab zis yuav tsis muaj ntshav qab zib ntau. Kev coj ua rau lub qog ntshav nce siab yuav cuam tshuam tus neeg mob lub peev xwm tsav lub tsheb thiab tsav khoom siv. Tus neeg mob tuaj yeem kho qhov txo qis hauv cov piam thaj uas nws pom los ntawm kev noj cov piam thaj lossis zaub mov ntau hauv 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.
Nyob rau qee kis, cov tsos mob ntawm tus mob hypoglycemia yuav mob me lossis tsis tuaj kawm ntawv. Cov xwm txheej zoo li no tshwm sim rau cov neeg laus laus, muaj qhov txhab ntawm cov hlab ntsha hlwb (neuropathy), nrog kev puas siab puas ntsws, nrog rau kev kho mob nrog lwm cov tshuaj (saib "Kev cuam tshuam nrog lwm yam tshuaj"), nrog kev tswj cov ntshav qab zib kom tsawg, thaum hloov pauv tshuaj insulin.
Cov laj thawj hauv qab no tuaj yeem ua rau cov ntshav qab zib tsis txaus: kev noj tshuaj insulin ntau dhau, kev txhaj tshuaj insulin tsis raug (hauv cov neeg laus), hloov mus rau lwm hom insulin, tsis noj mov, ntuav, raws plab, qoj ib ce, tshem tawm cov xwm txheej ntxhov siab, haus dej cawv, thiab kab mob uas txo qis qhov kev xav tau nyob rau hauv insulin (mob siab lossis mob raum, txo qis kev ua haujlwm ntawm adrenal cortex, pituitary lossis thyroid caj pas), hloov chaw txhaj tshuaj (piv txwv, tawv nqaij ntawm lub plab, xub pwg lossis ncej puab), ntxiv rau kev sib cuam tshuam nrog lwm yam tshuaj txhais tau tias (saib "Kev cuam tshuam nrog lwm cov tshuaj")
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 ntshav qab zib ntau ntau.
Cov pab pawg neeg pheej hmoo tshwj xeeb muaj cov neeg mob qog ntshav qog ntshav siab thiab ua rau cov hlab ntshav hlab ntshav lossis hlab hlwb tsis zoo (tsis muaj zog ntawm cov leeg ntshav lossis mob hlab hlwb), nrog rau cov neeg mob uas muaj hlwb ua kom muaj hlwb.
Tsis ua raws li kev noj zaub mov zoo, hla kev txhaj tshuaj insulin, kev xav tau insulin ntau ntxiv los ntawm kev kis lossis lwm yam kabmob, thiab kev ua haujlwm ntawm lub cev tsawg dua tuaj yeem ua rau muaj ntshav qab zib ntau ntxiv (hyperglycemia), tej zaum muaj qhov nce ntawm 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.

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. Yog tias koj cev xeeb tub los yog npaj lub cev xeeb tub, nco ntsoov qhia koj tus kws kho mob.
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.

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 yuav sau cov insulin los ntawm cov vial, ib qho ntim ntawm huab cua sib npaug ntawm cov tshuaj uas tau txhaj 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.

Kev cuam tshuam nrog lwm yam tshuaj

Kev siv tshuaj ntau ib txhij tuaj yeem ua kom tsis muaj zog lossis txhim kho suab thaj txo qis ntawm Insuman Rapida GT. Yog li no, thaum siv cov tshuaj insulin, koj tsis tuaj yeem siv lwm yam tshuaj yam tsis tau kev tso cai tshwj xeeb ntawm tus kws kho mob.
Hypoglycemia tuaj yeem tshwm sim yog tias cov neeg mob ua ke nrog insulin tau txais ACE inhibitors, acetylsalicylic acid thiab lwm yam salicylates, amphetamine, anabolic steroids thiab txiv neej poj niam txiv neej cov tshuaj hormones, cybenzoline, fibrates, disopyramide, cyclophosphamide, phenoxyfin amine, qabzib, piam thaj, , pentoxifylline, phenoxybenzamine, phentolamine, propoxyphene, somatostatin thiab nws cov analogues, sulfonamides, tetracyclines, tritocqualin lossis trophosphamide.
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.

Kev mob ntshav qab zib, feem ntau cov kev mob tshwm sim, tuaj yeem tsim kho yog tias cov koob tshuaj insulin tau tshaj li qhov xav tau ntawm nws (saib "Kev Ceeb Toom thiab cov lus qhia tshwj xeeb").
Kev hloov pauv hauv cov ntshav qab zib tuaj yeem ua rau lub ntsej muag luv-cuam tshuam. Tsis tas li, tshwj xeeb tshaj yog siv cov tshuaj insulin kho sai dua, ua rau lub sij hawm luv luv zuj zus ntawm qhov mob ntshav qab zib rov qab muaj peev xwm ua tau. Hauv cov neeg mob uas muaj kev tu ncua sai, tsis tas siv cov kev kho mob laser, kev mob ntshav qab zib tsawg tuaj yeem ua rau dig muag.
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.
Nrog kev txo qis hauv cov ntshav qab zib hauv lub cev, nws muaj peev xwm txhim kho hypokalemia (mob los ntawm cov hlab plawv) lossis kev txhim kho ntawm cov hlab ntsha hauv lub hlwb.
Vim tias muaj qee yam kev mob tshwm sim tuaj yeem ua rau muaj kev phom sij txog lub neej, nws yog qhov yuav tsum tau qhia rau tus kws kho mob uas tuaj koom thaum lawv tshwm sim.
Yog tias koj pom cov kev mob tshwm sim, thov sab laj nrog koj tus kws kho mob!

Kev noj tshuaj ntau dhau ntawm insulin tuaj yeem ua rau mob ntshav qab zib qis thiab txaus ntshai kawg. Yog hais tias tus neeg mob nco qab, tom qab ntawd nws yuav tsum noj qabzib tam sim ntawd, ua raws li kev nkag mus ntawm cov khoom uas muaj cov carbohydrates (saib "Kev ceev faj thiab cov lus qhia tshwj xeeb"). Yog tias tus neeg mob nyob hauv lub xeev tsis nco qab lawm, 1 mg ntawm glucagon / m yuav tsum tau muab tshuaj. Raws li lwm txoj hauv kev, los sis yog tias kev txhaj tshuaj glucagon tsis ua hauj lwm zoo, 20-30 ml ntawm 30% -50% iv kua qabzoo muab tshuaj. Yog tias tsim nyog, kev rov ua dua li ntawm cov qaj qab zib saum toj no yog ua tau. Hauv cov menyuam yaus, cov ntshav qabzib tau muab tso ua feem rau qhov hnyav ntawm lub cev.
Thaum muaj mob ntshav qab zib ntau lossis ntev heev tom qab cov tshuaj glucagon txhaj tshuaj lossis cov kua nplaum tsis zoo, nws raug nquahu kom tsis txhob muaj cov kua qabzib tsawg dhau los txhawm rau txhawm rau tiv thaiv kev rov qab txhim kho hypoglycemia. Hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas theem ntawm cov piam thaj hauv ntshav, hauv kev sib txuas nrog kev loj hlob tau ntawm kev muaj ntshav ntau dhau.
Qee qhov xwm txheej, nws raug pom zoo tias cov neeg mob yuav tsum tau pw hauv tsev kho mob ntau dua kom ua tib zoo saib xyuas thiab tswj cov kev kho.

Txhaj tshuaj tov 100 IU / ml hauv 5 ml vials ..
Hauv ib pob ntawm 5 lub raj mis ua ke nrog daim ntawv thov kev qhia.

Khaws ntawm qhov kub ntawm + 2 ° C rau + 8 ° C (seem zaub ntawm lub tsev hauv tub yees). Txav tsis txhob txias, tsis txhob sib tsoo ncaj qha ntawm lub thauv nrog rau phab ntsa ntawm lub thawv txias lossis khoom txias.
Khaws tsis ncav cuag ntawm cov menyuam yaus!

Txee lub neej yog 2 xyoos.
Cov tshuaj tsis tuaj yeem siv tom qab hnub tas sij hawm qhia ntawm pob.

Hnub so los ntawm cov tsev muag tshuaj : tshuaj

Tsim los ntawm Aventis Pharma Deutschland GmbH, Lub Tebchaws Yelemees .
Bruningstrasse 50, D-65926, Frankfurt, Lub Tebchaws Yelemees.

Kev thov cov neeg tau txais kev pabcuam yuav tsum raug xa mus rau qhov chaw nyob ntawm tus neeg sawv cev chaw haujlwm hauv tebchaws Russia :
101000, Moscow, Ulansky Lane, 5

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.

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.

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.

Txoj kev ntawm kev tswj hwm thiab kev tsuas tshuaj

Cov lus qhia rau kev siv Insuman Bazal GT muab cov tshuaj xaiv rau cov tib neeg, raws li tus neeg mob tus mob thiab nws xav tau cov tshuaj hormones. Qhov koob tshuaj yog tau txiav txim siab los ntawm theem ntawm cov piam thaj hauv cov ntshav, kev tawm dag zog, lub xeev ntawm cov metabolism ntawm carbohydrates.

Qhov nruab nrab, 0.5-1.0 Insuman Bazal GT yuav tsum nyob rau ib hnub rau qhov nruab nrab 1 kg ntawm tus neeg mob lub cev qhov hnyav. Nws yog ua ke nrog cov insulin ntev ntev, zoo dua los ntawm ib qho chaw tsim khoom. Dosage kev kho kom haum yog nqa tawm hauv cov xwm txheej hauv qab no:

• Hloov los ntawm cov tsiaj insulin.
• Hloov kev thov ntawm tib neeg cov ntaub ntawv kho tshuab ua kua dej rau lwm tus.
• Hloov cov soluble tib neeg cov insulin nrog ntev dua hauv kev nqis tes ua.
• Ntxiv lossis txo qis hauv tus neeg mob lub cev nyhav thiab kev siv lub cev.
• Cov mob uas qhov kev loj hlob ntawm hyper- lossis hypoglycemia yog ua tau.

Qhov ntau npaum li cas hauv cov neeg laus neeg tau hloov kho. Hauv cov neeg laus, xav tau cov tshuaj insulin qis dua, yog li cov koob tshuaj tau xaiv thiab ua tib zoo saib xyuas kom thiaj li tsis ua rau lub xeev ntawm cov ntshav qab zib tsawg. Hauv cov neeg mob uas muaj kab mob hauv lub siab thiab lub raum uas tau dhau mus rau theem ntawm kev ua haujlwm tsis txaus, yuav tsum tau txo tshuaj.

Bazal GT hauv ib pob muaj 5 lub tshuaj me me hauv 5 ml.Nws kuj tseem muaj nyob hauv 3 ml cartridges. Rau kev txhaj tshuaj, 45-60 feeb ua ntej noj mov, qhov xav tau ntawm kev ncua raug sau nyob rau hauv ib qho roj ntsha insulin. Nkag mus rau hauv qhov tsis yooj yim hauv plab, hips. Qhov chaw txhaj tshuaj yog hloov tsis tseg thiab hloov rau kev pom zoo ntawm kws kho mob. Tus nqi ntawm kev nqus mus rau hauv cov ntshav thiab kev txhim kho ntawm cov nyhuv nyob ntawm qhov no. Nws yog txwv tsis pub ua cov hauv qab no:

• Qhia cov tshuaj rau hauv intravenously.
• Siv rau hauv cov twj tso kua mis.
• Sib tov rau hauv ib qho kev txhaj nrog lwm hom kev npaj tshuaj insulin, suav nrog tsiaj keeb kwm, thiab nyob rau hauv kev sib txawv.

Ua ntej koj ntim cov tshuaj rau hauv cov phwj, koj yuav tsum tau muab lub raj mis hla thiab co nws los ua qhov kev ncua. Nws yuav tsum tsis ua npuas ncauj thiab muaj cov xim sib txawv uas tau qhia hauv cov lus qhia. Yog tias tom qab co plaub ya ri thiab lumps tsim rau ntawm lub khob, tom qab ntawd cov tshuaj no tsis tuaj yeem siv.

Tom qab siv thawj zaug, lub raj mis tuaj yeem khaws cia rau 4 lub lis piam ntawm qhov kub uas tsis muaj siab tshaj 25 degrees, tiv thaiv los ntawm lub teeb. Txhawm rau tsis hnov ​​qab, hnub qhib kev qhia yog sau rau ntawm daim ntawv lo. Nws tsis pom zoo kom muab cov raj mis qhib rau hauv lub tub yees: kev txhaj tshuaj nrog txias insulin ua rau mob hnyav.

Analogs thiab nqi

Tus nqi ntawm Insuman Bazal, nyob ntawm seb qhov ntim ntawm lub hwj, rang li 268 txog 1695 rubles. Tus nqi sib txawv nyob rau ntau thaj tsam ntawm Russia thiab hauv cov khw muag tshuaj online.

Rinsulin NPH (tus nqi los ntawm 420 rubles), Biosulin (los ntawm 500 rubles), Protamine Insulin ChS (310 rubles), Rosinsulin (los ntawm 1000 rubles) tuaj yeem dhau los ua tus qauv ntawm Insuman Bazal.

Kev hloov chaw txaus rau cov tshuaj tsuas yog xaiv cov kws kho mob zoo nkaus xwb. Yog li, nyob rau hauv cov ntaub ntawv ntawm insulin txoj kev kho mob ntshav qab zib mellitus, kev siv tus kheej yog qhov txaus ntshai.

Dosage daim ntawv

Ncua rau lub subcutaneous tswj ntawm 100 IU / ml

1 ml ntawm kev tshem tawm muaj

cov tshuaj nquag yog tib neeg insulin (HR 1799) equimolar rau 100 IU ntawm insulin 100 IU (3.571 mg),

kev zam: glycerol 85%, protamine sulfate, metacresol, phenol, zinc chloride, sodium dihydrogen phosphate dihydrate, sodium hydroxide, concentrated hydrochloric acid, dej rau kev txhaj tshuaj.

Sai dispersing kev ncua ntawm dawb los yog yuav luag dawb. Lub supernatant yog cov tshuaj ntshiab lossis yuav luag txhua yam.

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 tswj kev pom zoo 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

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.

Tso cov ntaub ntawv thiab cov nyob ua ke

Kev daws yog muaj nyob rau hauv vials lossis cartridges. Ntim nrog Solostar pov tseg injector yog tau ua tiav.

Cov nquag ua yeeb yam hauv cov kua yog tib neeg lub cev. Qhov concentration ntawm kev daws yog 3.571 mg, lossis 100 IU / 1 ml.

Pharmacological kev txiav txim

Cov nyhuv pharmacological tau tshaj tawm los ntawm kev txo qis hauv qabzib. Muaj ib qho tshwm sim qeeb ntawm cov txheej txheem rhuav tshem, nrawm nrawm ntawm anabolic teebmeem. Cov tshuaj txhawb nqa kev thauj mus los ntawm cov piam thaj mus rau hauv qhov chaw tso siab, tsub zuj zuj ntawm cov glycogen carbohydrate nyob rau hauv cov leeg nqaij thiab lub siab. Kev tsim tawm ntawm pyruvic acid los ntawm lub cev txhim kho. Tawm tsam cov keeb kwm yav dhau los no, kev tsim cov piam thaj los ntawm glycogen, ntxiv rau los ntawm cov lwg me me ntawm lwm cov organic sib txuas, maj mam poob.

Lub tshuab ntawm kev txiav txim yog tus cwj pwm los ntawm kev nce ntxiv hauv cov metabolism hauv cov piam thaj rau cov roj fatty acids thiab qhov txo qis hauv lipolysis.

Kev faib tawm ntawm cov amino acids thiab potassium nyob rau hauv lub hlwb, cov protein metabolism zoo dua.

Yuav ua li cas coj Insuman Rapid GT

Txoj kev daws teeb meem yog npaj rau kev ua dej num thiab ntu hauv av. Tsis muaj ib yam kev cai tswj hwm kev haus tshuaj. Txoj kev kho yuav tsum yog kho los ntawm tus kws kho mob. Cov neeg mob sib txawv muaj ntau qib sib txawv ntawm cov piam thaj uas tsim nyog los tswj, yog li ntawd, cov tshuaj thiab cov txheej txheem kev kho mob tau muab xam rau tus kheej. Tus kws kho mob uas tuaj koom yuav siv sij hawm mus ua tus neeg mob lub cev ua ub no thiab tus yam ntxwv noj haus.

Qhov yuav tsum tau hloov qhov tshuaj ntau npaum li cas yuav tshwm sim hauv qee kis:

1. Thaum hloov cov tshuaj nrog lwm hom insulin.
2. Nrog rau kev nkag siab zoo ntxiv rau cov tshuaj vim tias txhim kho metabolic tswj.
3. Thaum poob lossis nce phaus ntxiv los ntawm tus neeg mob.
4. Thaum kho cov khoom noj khoom haus, hloov qhov sib zog ntawm lub nra.

Subcutaneous kev tswj hwm yog qhov tob. Nws raug nquahu kom ua qhov txheej txheem 15 lossis 20 feeb ua ntej noj mov. Nws yog ib qho tsim nyog yuav tau hloov qhov chaw txhaj tshuaj nrog txhua qhov kev txhaj tshuaj. Txawm li cas los xij, nyob ntawm thaj tsam ntawm kev tswj hwm kev daws teeb meem, pharmacokinetics ntawm cov tshuaj yuav hloov pauv, yog li kev hloov thaj tsam ntawm kev tswj hwm yuav tsum pom zoo nrog tus kws kho mob.

Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov muaj lub hau. Qhov no qhia tau hais tias kev ncaj ncees ntawm lub thawm. Tsis muaj cov xaim yuav tsum muaj nyob hauv cov tshuaj, cov kua yuav tsum yog pob tshab.

Cov hauv qab no yuav tsum tau txiav txim siab:

1. Thaum siv txoj hauv kev daws teeb meem, siv cov kua yas uas haum.
2. Ua ntej, huab cua yog sau hauv cov koob txhaj, qhov ntau npaum li cas ntawm qhov sib npaug ntawm cov tshuaj. Nkag mus rau hauv qhov chaw khoob hauv lub raj mis. Peev xwm yog muab pauv. Txheej txheej ntawm kev daws teeb meem yog nqa tawm. Yuav tsum tsis muaj cua npuas ntxiv rau hauv cov koob txhaj tshuaj. Maj mam nkag mus rau kev daws rau hauv daim tawv nqaij quav tsim los ntawm cov ntiv tes.
3. Ntawm daim ntawv lo koj yuav tsum muaj hnub tim thaum thawj qhov kev xav tau tshuaj.
4. Thaum siv daim cartridges, yuav tsum siv cov tshuaj txhaj (koob txhaj tshuaj).
5. Daim cartridge raug pom zoo kom muab sab laug ntawm chav sov li 1 lossis 2 teev, raws li qhia txog muab cov khoom ua kom chilled mob. Ua ntej kev txhaj tshuaj, tshem cov huab cua seem.
6. Lub ntim roj ntim tsis tau ntxiv.
7. Nrog tus cwj mem tsis ua hauj lwm-xem, cov koob txhaj tshuaj haum yog tso cai.

Kev tso tawm qhov seem ntawm lwm cov tshuaj hauv koob txhaj tshuaj tsis pub.

Ntawm ib feem ntawm cov plab hnyuv siab raum ntawm lub zeem muag

Tshaj tawm ntawm kev hloov pauv hauv glycemic tswj tuaj yeem ua rau muaj kev ntxhov siab ib ntus ntawm cov xovtooj ntawm lub ntsej muag ntawm lub lens ntawm lub qhov muag, qhov hloov pauv ntawm qhov ntsuas qhov ntsuas rov qab. Qhov kev hloov pauv ntawm qhov ntsuas tau vim tias siv zog ntau ntawm kev kho mob yuav nrog rau kev cuam tshuam ib ntus hauv cov xwm txheej ntawm retinopathy.

Hauv cov ntshav qog ntshav qab zib nrog kev loj hlob ntawm lub hlwb retinopathy, kev puas tsuaj rau retina lossis cov hlab qhov muag ntawm lub qhov muag pauv tau.

Contraindicated kev sib txuas ua ke

Kev sib xyaw ua ke ntawm cov tshuaj nrog tsiaj insulin thiab analogues tsis suav nrog.

Kev sib koom tes ntawm Pentamidine ua rau txoj kev txhim kho ntawm cov teeb meem.

Cov tshuaj yeeb dej hauv qab no thiab kev npaj ua kom tsis txhob muaj cov nyhuv zoo li qab zib:

• corticosteroids
• adrenocorticotropic lawm,
• derivatives ntawm phenothiazine thiab phenytoin,
• glucagon,
• poj niam txiv neej cov tshuaj hormones,
• kev loj hlob lawm,
• nicotinic acid
• phenolphthalein,
• tshuaj kho mob
• tshuaj uas cuam tshuam rau lub paj hlwb,
• hluavtaws androgen Danazole,
• tshuaj tiv thaiv TB yog Isoniazid,
• adrenoblocker Doxazosin.

Sympathomimetics thiab iodinated tyrosine derivatives tsis muaj zog ua yeeb yam ntawm kev daws.

Tej kev sib txuam uas xav tau ceev faj

Cov tshuaj hauv qab no ua rau kev pheej hmoo txaus ntshai:

• endrogens thiab anabolics,
• ib tug xov tooj ntawm cov tshuaj rau kev kho mob ntawm lub plawv thiab leeg ntshav tsis zoo,
• CNS stimulants,
• tshuaj tiv thaiv cybenzoline,
• propoxyphene analgesic,
• Pentoxifylline angioprotector,
• cytostatic tshuaj trophosphamide,
• tus lej ntawm cov tshuaj tiv thaiv kab mob
• sulfonamides,
• ib tug xov tooj ntawm cov tshuaj tswj rau txos roj,
• tetracycline tshuaj tua kab mob,
• npaj raws li somatostatin thiab nws cov analogues,
• cov kab mob hypoglycemic
• qab los noj mov fenfluramine,
• antitumor tshuaj ifosfamide.

Kev ceev faj yuav tsum tau noj tshuaj raws li esters ntawm salicylic acid, tritokvalin, cyclophosphamide, guanethidine thiab phentolamine.

Lithium ntsev yuav ua tau attenuate lossis txhim kho cov nyhuv ntawm cov tshuaj. Reserpine thiab clonidine sib txawv hauv tib qho kev ua.

Kev siv cov beta-blockers nce qhov kev pheej hmoo ntawm cov teeb meem.

Cov tshuaj sib cuam tshuam

Ib cov tshuaj ntau tuaj yeem cuam tshuam cov metabolism hauv qabzib thiab tsim nyog koob tshuaj kho tib neeg cov tshuaj insulin.

Kev npaj uas tuaj yeem txhim kho hypoglycemic ua haujlwm ntawm insulin thiab ua rau muaj kev cuam tshuam rau kev txhim kho hypoglycemia suav nrog cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj, angiotensin-hloov enzyme (ACE) inhibitors, disopyramides, fibrates, fluoxetine, monoamine oxidase inhibitors (MAOs), pentoxifylyl amines, pentoxifylyl amines, pentoxifylyl amines, pentoxifylyl amines.

Cov tshuaj uas tuaj yeem ua rau cov ntshav tsis txaus ntawm cov tshuaj insulin muaj xws li corticosteroid hormones, danazole, diazoxide, diuretics, glucagon, isoniazid, estrogens thiab progestogens (piv txwv li, hauv kev txwv tsis pub siv rau qhov ncauj), phenothiazine derivatives, somatropin, sympathomimetics (piv txwv, epinephrine, epaline) salbutamol, terbutaline, cov thyroid hormones, protease inhibitors thiab tshuaj atypical antipsychotic (piv txwv li, olanzapine thiab clozapine).

Beta blockers, clonidine, lithium ntsev thiab dej cawv tuaj yeem ob leeg txhim kho thiab ua kom cov nyhuv tsis muaj zog ntawm insulin.

Pentamidine tuaj yeem ua rau hypoglycemia, uas qee zaum hloov los ntawm hyperglycemia.

Tsis tas li ntawd, nyob rau hauv kev cuam tshuam ntawm cov tshuaj sympatholytic xws li β-blockers, clonidine, guanethidine thiab reserpine, cov cim ntawm adrenergic antiregulation tej zaum yuav mob me lossis tsis tuaj.

Cov Tshuaj Pharmacokinetics

Hauv cov neeg muaj kev noj qab haus huv, T ½ ntshav insulin yog li 4-6 feeb. Hauv cov neeg mob uas lub raum tsis ua haujlwm, nws ntev npaum li cas.

Txawm hais tias nws yuav tsum raug sau tseg tias pharmacokinetics ntawm insulin tsis muaj me tub nws cov nyhuv metabolic. Insulin yog qhov kev pom zoo rau kev kho mob insulin uas yuav tsum muaj ntshav qab zib mellitus.

Contraindications rau cov tshuaj Bazal

• Cov tshuaj tiv thaiv tsis haum ntshav yog qhov tsis txaus siab lossis lwm yam kev pabcuam ntawm Insuman Bazal GT. Cov kev zam yog cov kis thaum nws tsis tuaj yeem ua yam uas tsis muaj tshuaj insulin.

Nrog kev ceev faj, koj yuav tsum noj cov tshuaj:

1. cov neeg laus laus, txij li lub hnub nyoog ntsig txog kev qog ua haujlwm hauv lub raum ua rau txo qis qhov xav tau los ntawm cov tshuaj insulin, thiab cov yam ntxwv no tau zoo zuj zus,
2. lub raum tsis ua haujlwm (vim yog txo qis hauv insulin metabolism hauv cov neeg mob, xav tau cov insulin tsawg dua),
3. daim siab ua haujlwm (vim tias txo qis hauv insulin metabolism thiab ua rau lub cev txo qis hauv lub cev mus rau gluconeogenesis, kev xav tau rau cov insulin yuav txo qis),
4. mob hnyav ntawm lub hlwb thiab cov hlab ntsha txhaws (hauv cov neeg mob nrog tus kab mob pathology, hypoglycemic lub sijhawm mob kis tau tshwj xeeb tseem ceeb, qhov no yog vim tias muaj kev pheej hmoo ntawm lub hlwb lossis lub plawv ntawm cov ntshav qab zib hauv lub siab),,
5. cov neeg mob uas muaj kev tu ncua sai, tshwj xeeb tshaj yog cov uas tsis tau txais kev kho mob nrog laser kho (photocoagulation). Cov neeg mob hypoglycemia no muaj qhov pheej hmoo ua kom tsis txaus (tsis pom kev tag),
6. cov neeg mob sib cuam tshuam pathologies, nyob rau hauv cov rooj plaub no, cov neeg mob feem ntau nce insulin xav tau.

Rau txhua yam kab mob ntawm cov tau teev tseg saum toj no, ua ntej koj pib siv cov tshuaj, koj yuav tsum nrhiav kev pab ntawm kws kho mob.

Lub hauv paus thaum lub cev xeeb tub thiab lactation

Txawm tias thaum cev xeeb tub los, kev kho mob nrog Insuman ® Bazal GT yuav tsum tsis txhob muaj kev cuam tshuam. Qhov no muaj kev nyab xeeb kiag li, vim tias cov tshuaj insulin tsis tuaj yeem nkag mus rau hauv qhov chaw nres.

Thiab rau tus poj niam uas muaj ntshav qab zib ua ntej cev xeeb tub lossis tus neeg tau txais, kev tswjhwm zoo ntawm metabolism hauv lub sijhawm ntawm kev xeeb tub yog qhov tseem ceeb heev.

Nyob rau thawj peb lub hlis thaum cev xeeb tub, xav tau cov tshuaj insulin yuav txo qis, thiab nyob rau zaum thib ob thiab thib peb ntawm cev xeeb tub, nws feem ntau nce. Qhov xav tau ntawm cov tshuaj insulin poob qis thiab tam sim ntawd tom qab yug menyuam, ib tus poj niam muaj qhov pheej hmoo ntawm kev mob hypoglycemia.

Thoob plaws hauv lub cev xeeb tub thiab tom qab yug menyuam, cov ntshav qab zib cov ntshav yuav tsum tau ua tib zoo saib. Thaum npaj kev cev xeeb tub thiab nws pib, tus poj niam yuav tsum qhia tus kws kho mob uas koom nrog txog qhov no.

Thaum lub sijhawm pub mis niam, tsis muaj kev txwv rau qhov kev kho tshuaj insulin, txawm hais tias yuav tau kho kom haum cov koob tshuaj.

Sab sij huam tshuaj

Feem ntau cov kev phiv los ntawm kev kho tshuaj insulin yog hypoglycemia. Nws tuaj yeem tsim kho yog tias cov koob tshuaj insulin ntau dua li qhov xav tau nws. Rov ua mob hnyav dua ntawm cov ntshav qog ua rau ua rau kev loj hlob ntawm cov tsos mob ntawm lub paj hlwb: tsis nco qab, ntog.

Cov neeg mob ntshav qog ntshav siab thiab lub caij nyoog ntev heev tuaj yeem tsim kev hem thawj rau lub neej ntawm cov neeg mob. Ua ntej tus neeg mob pib txhim kho cov tsos mob ntawm tus mob neuroglycemia, nws muaj qhov tshwm sim ntawm kev ua kom rov qab los ntawm lub siab xav ntawm lub cev. Nov yog cov lus teb rau kev txhim kho hypoglycemia.

Feem ntau, nrog ntau dua nrawm dua thiab tshaj tawm txog cov ntshav qab zib kom tsawg, cov tsos mob ntawm tus mob reflex ua kom muaj zog ntawm cov leeg hlwb thiab nws qhov tshwm sim tau tshwm sim rau ntau dua.

Nrog rau kev txo cov ntshav qab zib kom tsawg, cov ntshav qog ntshav qab zib lossis lub hlwb txha caj qaum yuav tshwm sim. Teev hauv no yog cov xwm txheej tsis zoo uas yuav tshwm sim hauv cov neeg mob. Lawv raug cais raws cov kab ke hauv nruab nrog cev:

1. qhov zaus tsis paub meej (raws li cov ntaub ntawv uas twb muaj lawm, nws tsis tuaj yeem txiav txim siab qhov ntau zaus ntawm kev tshwm sim ntawm kev mob tshwm sim),
2. tsis tshua muaj tshwm sim (los ntawm lub cev tiv thaiv kab mob)

• Kev ua xua uas ua rau muaj kev cuam tshuam tam sim ntawd ncaj qha rau cov tshuaj insulin lossis cov neeg tau tshaj tawm nyob rau hauv cov tshuaj - ntau zaus tsis paub txog.
• Bronchospasms - tsis paub ntau zaus.
• Cov kev tawm tsam ntawm cov tawv nqaij dav dav - yam tsis paub zoo.
• Kev txo qis ntshav siab - ncua tsis paub.
• Angioneurotic edema - qhov ntau zaus tsis paub.
• Anaphylactic shock yog qhov tshwm sim tsis tau.
• Kev txhaj tshuaj insulin tuaj yeem ua rau cov tshuaj tiv thaiv mus rau cov tshuaj insulin - qhov tsis paub ntau npaum li cas.

Txhua qhov xwm txheej no tuaj yeem tsim kev hem thawj rau tus neeg mob lub neej, yog li ntawd, lawv xav tau kev pab cuam sai. Lub xub ntiag ntawm cov tshuaj tiv thaiv no hauv cov teeb meem tsis tshua muaj rau kev txhim kho yuav xav tau hloov cov koob tshuaj ntawm cov tshuaj insulin.

Ntawm feem ntawm cov khoom siv pom

1. Kev cuam tshuam txog kev hloov pauv tau tshwm sim vim cov kev hloov hauv glycemic tswj - qhov zaus tsis paub meej. Qhov teeb meem tshwm sim vim yog ib ntus deformation ntawm lub ntsiab muag ntawm lub qhov muag thiab lawv cov cim refractive.
2. Kev noj tshuaj insulin ntau dhau nrog kev txhim kho glycemic tswj tau tuaj yeem raug suav tias yog kev cuam tshuam ib ntus ntawm tus mob ntshav qab zib retinopathy - qhov zaus tsis paub txog.
3. Hauv cov neeg mob uas muaj kev tu ncua sai (tshwj xeeb tshaj yog rau cov neeg uas tsis tau txais kev kho kom zoo los ntawm kev kho laser), kev mob ntshav qab zib ntau heev tuaj yeem ua rau tsis pom kev zoo (hloov mus rau amaurosis) - qhov zaus tsis paub txog.

Kev tsis sib haum ntawm qhov chaw txhaj tshuaj thiab cov teeb meem dav dav

Cov kev hnyav me me feem ntau tshwm sim ntawm cov chaw txhaj tshuaj. Lawv suav nrog:

• mob hauv thaj tsam ntawm kev tswj hwm - qhov tsis tau paub ntau npaum li cas,
• liab ntawm kev txhaj tshuaj - zaus tsis paub
• urticaria hauv thaj chaw ntawm kev tswj hwm - ntau zaus tsis paub,
• khaus khaus hauv thaj tsam ntawm thawj coj - qhov zaus tsis paub,
• o ntawm qhov chaw txhaj tshuaj - qhov tsis paub ntau npaum li cas,
• o ntawm qhov chaw txhaj tshuaj - qhov tsis tau muaj ntau zaus.

Txawm tias muaj zog heev dhau los rau cov tshuaj insulin ntawm qhov chaw txhaj tshuaj feem ntau ploj tom qab ob peb hnub lossis ntau lis piam.

Cov lus qhia rau kev siv

Kev npaj tshuaj insulin uas yuav tsum tau siv, tag nrho cov ntsiab lus ntawm cov piam thaj hauv ntshav, kev noj tshuaj ntawm cov tshuaj insulin (lub sijhawm ntawm kev txhaj tshuaj thiab koob tshuaj) yuav tsum tau tsim thiab kho ib tus zuj zus. Qhov no yog qhov tsim nyog yuav tau ua raws li:

• tus neeg mob txoj kev ua neej
• theem ntawm kev siv lub cev
• kev noj haus.

Tsis muaj cov kev cai tswjfwm zoo rau kev tsim cov tshuaj insulin. Txawm li cas los xij, muaj qhov nruab nrab qhov tshuaj insulin uas yog 0.5-1 IU / kg / s. Cov yam ntxwv ntawm tus kheej, qhov koob tshuaj ntawm lub cev ntev insulin ua haujlwm los ntawm 40% mus rau 60% ntawm qhov kev noj tshuaj insulin txhua hnub los ntawm tus neeg.

• hais txog cov kev hloov pauv ntawm kev hloov kho tshuaj insulin,
• hais txog kev noj haus hloov,
• los ntawm kev ntsuas zaus txiav txim siab qhov concentration ntawm cov piam thaj hauv cov ntshav.

Hloov los ntawm Bazal

Thaum hloov cov neeg mob los ntawm ib qho tshuaj insulin mus rau lwm tus insulin, kev kho ntawm cov tshuaj ntau npaum li cas ntawm cov tshuaj hormones yuav tsim nyog. Nws yuav yog:

• hloov mus rau tib neeg cov kua dej los ntawm insulin ntawm tsiaj keeb kwm,
• hloov ntawm ib qho kev npaj ntawm tib neeg cov insulin mus rau lwm tus,
• lossis thaum hloov los ntawm kev kho mob nrog soluble tib neeg cov insulin mus rau kev hloov tshiab uas cuam tshuam txog kev siv cov insulin ntev dua.

Thaum hloov insulin ntawm tsiaj keeb kwm rau tib neeg los ntawm insulin, nws yuav tsim nyog los txo nws cov koob tshuaj.

Nov yog qhov tseeb tshwj xeeb rau cov neeg mob uas:

• Yav tas los ntawm cov ntshav qab zib ntau tsawg
• Hauv kev pom ntawm qhov muaj cov tshuaj tiv thaiv rau cov tshuaj insulin, nws cov koob tshuaj tau siv yav tas los,
• muaj cov txheej txheem txhawb rau kev txhim kho hypoglycemia.

Qhov xav tau kom txo qhov koob tshuaj tuaj yeem tshwm sim tam sim ntawd tom qab hloov mus rau lwm hom tshuaj insulin, thiab yuav tshwm sim maj mam (ntau lub lis piam). Nyob rau lub sijhawm ntawm kev hloov pauv los ntawm ib qho tshuaj insulin mus rau lwm tus, tseem nyob rau ob peb lub lis piam tom ntej, kev tswj ntshav qab zib cov ntshav yuav tsum tswj hwm.

Cov neeg mob uas, vim tias muaj cov tshuaj tiv thaiv tiv thaiv kab mob, tau siv cov tshuaj insulin ntau dua, yuav tsum hloov mus rau lwm hom tshuaj insulin nkaus xwb hauv tsev kho mob raws li kev saib xyuas mob nkeeg nruj.

Hmoov hloov

Txhawb cov tshuaj insulin ntau ntxiv tuaj yeem los ntawm kev paub tswj kev zom zaub mov kom tsis muaj mob. Vim li ntawd, lub cev xav tau cov tshuaj insulin yuav tsawg dua.

Ib qho hloov pauv ntawm kev txhaj tshuaj yuav tsim nyog raws li lwm yam:

• hloov lub cev qhov hnyav ntawm tus neeg mob,
• kev ua neej pauv, nrog rau qeb ntawm lub cev ua si thiab kev noj haus,
• xwm txheej ua rau muaj kev loj hlob ntawm hyper- thiab hypoglycemia.

Kev noj tshuaj ntxiv rau cov pab pawg neeg mob tshwj xeeb

1. Cov neeg laus - hauv pab pawg no, dhau sijhawm, qhov xav tau cov tshuaj insulin yuav tsawg dua. Yog li, pib siv cov tshuaj insulin, xaiv cov tshuaj txij nkawm lossis nce qhov ntau ntxiv ntawm cov neeg laus uas mob ntshav qab zib yuav tsum tau ceev faj heev. Txwv tsis pub, ib qho tshuaj tiv thaiv hypoglycemic tuaj yeem ua rau pom tseeb.
2. Cov neeg mob raum lossis mob rau daim siab.Cov neeg no, kuj yuav xav tau insulin tsawg.

Kev siv tshuaj yaj yeeb

Basal feem ntau tau muab kev tswj hwm kom tob, 45-60 feeb ua ntej noj mov. Txhua zaus nws raug nquahu kom hloov chaw txhaj tshuaj hauv thaj chaw. Piv txwv, lub plab mog hloov mus rau thaj chaw hip. Tab sis qhov kev pauv no ua tau tsuas yog tom qab sab laj nrog kws kho mob ua ntej.

Qhov no yog qhov tsim nyog vim tias cov adsorption ntawm insulin, thiab yog li ntawd cov txiaj ntsig ntawm cov ntshav qab zib kom qis, tuaj yeem hloov pauv raws li (piv txwv, tus ncej puab lossis lub plab).

Bazal tsis yog siv rau hauv ntau hom tshuaj insulin twj (suav nrog kev cog hniav twj). Tso cov tshuaj ntawm lub tshuaj yog qhov tsis lees paub kiag li! Nws tsis yooj yim sua kom tso cai sib xyaw ntawm Bazal nrog insulin analogues, insulin ntawm tsiaj keeb kwm, insulin ntawm kev sib txawv thiab lwm yam tshuaj.

Basal tuaj yeem sib xyaw nrog txhua daim ntawv ntawm tib neeg cov tshuaj insulin uas Sanofi-aventis Group ua. Tab sis nrog cov tshuaj insulin, tsim tshwj xeeb rau cov kua dej insulin, Bazal yuav tsum tsis txhob xyaw.

Koj yuav tsum nco ntsoov tias qhov kev xav ntawm cov tshuaj insulin yog nyob hauv qhov sib piv ntawm 100 IU / ml (rau 3 ml cartridges lossis 5 ml vials. Vim li ntawd koj yuav tsum siv tshwj xeeb KlikSTAR lossis OptiPen Pro1 koob txhaj tshuaj (yog tias siv cov cartridges), lossis cov yas koob txhaj uas tsim los rau no concentration.

Hauv cov yas koob txhaj tshuaj tsis tuaj yeem yog lwm yam tshuaj los yog nws cov seem. Thaum muab cov insulin los ntawm lub thauv thawj zaug, lub hau yas yuav tsum muab tshem tawm los ntawm zaum kawg. Nws lub xub ntiag qhia tias lub raj mis tsis tau qhib ua ntej.

Cov tsos mob ntawm kev siv tshuaj ntau dhau hwv lawm

Cov lus qhia ntawm cov tshuaj insulin ntau dhau, uas yog, kev noj ntau dhau ntawm nws piv nrog kev siv hluav taws xob nqi lossis zaub mov noj, tuaj yeem ua rau lub sijhawm ntev, mob nyhav thiab tuag taus.

Lub npe Latin: Insuman basal gt
ATX Code: A10A C01
Yam tshuaj muaj sia: Isofan
Chaw tsim tshuaj paus: Sanofi-Aventis (Yelemees)
Hnub so los ntawm cov tsev muag tshuaj: Los ntawm tshuaj
Cia rau cov neeg mob: ntawm t ° 2-8 ° C
Hnub tas sij hawm: 24 Hlis

Insuman Bazal-GT yog lub tshuaj insulin ntawm lub sijhawm ua haujlwm ntev. Nws yog tshuaj txhawm rau tswj glycemia hauv cov neeg mob ntshav qab zib.

Cov tshuaj muaj pes tsawg leeg thiab daim ntawv tshuaj ntawm cov tshuaj

Hauv 1 ml - 100 mg ntawm insulin bioengineered.

Cov khoom xyaw ntxiv: protamine sulfate, m-cresol, phenol, zinc chloride, glycerol, caustic soda, hydrochloric acid, dej, thiab lwm yam.

Tshuaj nyob rau hauv daim ntawv ntawm daim tawv dawb lossis dawb, tawg yooj yim tawg, raug tshem tawm npaj rau sc txhaj tshuaj. Nws yog ntim rau hauv daim iav daim ntawv muab tso rau hauv cov ntawv tais dej uas siv pov tseg lossis lub raj mis ntim hauv ib daim hlab. Hauv ib pob ntawm tuab duab los qhia: 5 pp. (3 ml txhua) lossis 5 vials (5 ml txhua), tsis paub daws teeb.

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.

Cawv tau zoo

Hauv cov cawv quav cawv ntev, qhov kev hloov pauv ntawm glycemia. Mob ntshav qab zib, kev haus cawv haus tsawg, thiab kws kho mob sab laj yog ib qho tseem ceeb txog kev haus dej haus cawv muaj kev nyab xeeb. Glucose concentration tuaj yeem ua rau poob rau ib qib tseem ceeb.

Tom qab siv thawj zaug, lub raj mis muaj peev xwm muab khaws cia rau 4 teev, daim cartridge - rau 28 hnub tom qab kev teeb tsa. Thaum lub sijhawm khaws cia, kev kov lub teeb yuav tsum raug zam thiab qhov kub thiab txias yuav tsum tsis pub nce siab tshaj + 25 ° C.

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.

Cov khoom siv nquag: 1 ml ntawm kev ncua kev kawm muaj 100 ME (3.571 g) ntawm tib neeg cov kua dej. Cov kev zam: cov tshuaj protamine sulfate, m-cresol, phenol, zinc chloride, sodium dihydrogen phosphate dihydrate (E339), glycerol 85% (E422), sodium hydroxide (E524), muaj zog hydrochloric acid (E507), dej rau kev txhaj tshuaj.

Cev xeeb tub thiab lactation

Tsis muaj kev tshawb nrhiav qhov tseeb txog kev siv cov tshuaj insulin rau tib neeg thaum cev xeeb tub. Cov tshuaj Insulin tsis hla qhov chaw tiv thaiv. Thaum muab tshuaj rau cov poj niam cev xeeb tub, kev ceev faj yuav tsum tau siv.

Nyob rau hauv cov ntaub ntawv ntawm cov neeg mob preexisting los yog mob ntshav qab zib hauv lub cev mellitus, nws yog ib qho tseem ceeb kom tswj tau tus nqi metabolic kom tsim nyog thoob plaws thaum cev xeeb tub. Qhov kev xav tau rau insulin hauv thawj lub hlis ntawm cev xeeb tub yuav txo qis, tab sis nyob rau zaum ob thiab thib peb feem ntau nws nce ntxiv. Tam sim ntawd tom qab yug los, insulin xav kom poob sai (muaj kev pheej hmoo ntawm cov ntshav qog ntshav qab zib tsawg dua). Yuav tsum tau ua tib zoo soj ntsuam ntawm cov ntshav qabzib feem ntau.

Thaum pub niam mis, tsis muaj kev txwv dab tsi rau kev kho mob insulin. Txawm li cas los xij, cov tshuaj insulin thiab kev noj haus yuav tau ua kom haum.

Sab sij huam

Kev mob ntshav qab zib, feem ntau cov kev mob tshwm sim, tuaj yeem tsim kho yog tias cov koob tshuaj insulin tswj tau tshaj qhov xav tau ntawm nws. Nws tsis tuaj yeem qhia qhov tshwj xeeb tshwm sim ntawm kev mob ntshav qab zib, vim tias tus nqi no hauv kev sim tshuaj thiab nrog kev siv tshuaj lag luam yuav txawv nyob ntawm seb cov pej xeem thiab noj tshuaj ntau npaum li cas. Kev mob ntshav khov ntau heev, tshwj xeeb yog tias lawv rov qab ua dua, tuaj yeem ua rau kev loj hlob ntawm cov tsos mob ntawm lub paj hlwb, nrog rau tsis nco qab, mob plab. Muaj qee kis, qee ntu mob xws li no yuav ua rau neeg tuag taus.

Hauv ntau tus neeg mob, cov cim ntawm hypoglycemic kev puas tsuaj rau lub hauv nruab nrab lub paj hlwb yog ua ntej los ntawm cov cim ntawm adrenergic counterregulation. Raws li txoj cai, ntau dua thiab nrawm dua ntawm cov piam thaj hauv cov ntshav txo, qhov ntau tshaj tawm yog qhov tshwm sim ntawm kev ua haujlwm ntawm kev tawm tsam thiab nws cov tsos mob.

Cov kev mob tshwm sim hauv qab no cuam tshuam nrog kev siv yeeb tshuaj thiab pom hauv kev sim tshuaj kho mob tau muaj npe los ntawm cov chav kawm ntawm cov kab mob hauv lub cev thiab hauv kev ua kom tsawg zuj zus: qhov tshwm sim heev (> 1/10), nquag (> 1/100, 1 / 1.000, 1/10000 ,

Chaw tsim tshuaj paus

Cov tshuaj yog lub tsev tsim los ntawm Sanofi-Aventis. Lub teb chaws ntawm kev tsim khoom siv yog lub teb chaws Yelemees lossis Russia.

Insulin npaj Insuman sai thiab Insuman Bazal

Daim ntawv noj tshuaj: Txhaj tshuaj Muaj pes tsawg leeg:

1 ml ntawm cov tshuaj muaj:

cov tshuaj heev : tib neeg cov kua dej (100% kev tiv thaiv tib neeg cov insulin) 3,571 mg (100 ME),

tus zam: metacresol (m-cresol) 2.700 mg, sodium dihydrogen phosphate dihydrate 2.100 mg, glycerol (85%) 18.824 mg, sodium hydroxide (siv los kho pH) 0.576 mg, hydrochloric acid (siv los kho pH) 0.232 mg, dej rau txhaj rau 1 , 0 ml.

Cov lus piav qhia: Cov kua ntshiab, tsis muaj xim. Pharmacotherapeutic pab pawg: tus neeg sawv cev hypoglycemic - insulin luv luv ATX: & nbsp

A.10.A.B.01 Insulin (tib neeg)

Insuman® Rapid GT muaj cov tshuaj insulin zoo ib yam hauv cov qauv rau tib neeg insulin thiab tau los ntawm kev tsim kho caj ces siv hom K12 E. Coli .

Tus txheej txheem ntawm kev ua ntawm insulin:

Txo cov concentration ntawm cov piam thaj hauv cov ntshav, txhawb cov teebmeem anabolic thiab txo cov teebmeem catabolic,

Nws nce cov piam thaj hauv kev kho hauv cov hlwb thiab kev tsim cov glycogen hauv cov leeg thiab daim siab thiab txhim kho kev siv pyruvate, inhibits glycogenolysis thiab glyconeogenesis,

Muaj lipogenesis ntau nyob rau hauv daim siab thiab adipose nqaij thiab inhibits lipolysis,

Txhawb nqa qhov khiav ntawm cov amino acids rau hauv cov hlwb thiab cov synthesis ntawm protein,

Nce potassium ntxiv rau hauv lub hlwb.

Insuman® Rapid GT yog ib qho tshuaj insulin nrog kev pib ua haujlwm thiab lub sijhawm luv luv. Tom qab tswj hwm subcutaneous, cov nyhuv hypoglycemic tshwm sim hauv 30 feeb thiab nce mus txog qhov siab tshaj plaws hauv 1-4 teev. Cov nyhuv ntev li 7-9 teev.

Mob ntshav qab zib mellitus xav tau kev kho mob insulin

Kho cov mob ntshav qab zib tsis xeev thiab ketoacidosis,

Tau txais cov nyiaj metabolic them rau cov neeg mob ntshav qab zib mellitus thaum phais mob (ua ntej kev phais mob, phais mob thiab tom qab lub sijhawm ua haujlwm tom qab).

Hypersensitivity cov tshuaj tiv thaiv rau cov tshuaj insulin lossis rau qee yam ntawm cov tshuaj tiv thaiv cov tshuaj.

Hauv raum tsis ua haujlwm (muaj peev xwm txo qis ntawm insulin vim qhov txo qis hauv cov tshuaj insulin metabolism),

Hauv cov neeg mob neeg laus (qhov ua kom lub raum txo qis dua tuaj yeem ua rau txo qis hauv cov tshuaj insulin),

Hauv cov neeg mob uas lub siab tsis ua haujlwm (xav tau cov tshuaj insulin tuaj yeem txo vim qhov txo qis ntawm lub peev xwm gluconeogenesis thiab txo qis hauv cov tshuaj insulin metabolism),

Hauv cov neeg mob uas mob stenosis ntawm lub plawv thiab mob ntshav hlab ntshav ntawm lub cev (hypoglycemic lub sijhawm tuaj yeem 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 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), vim tias lawv muaj kev pheej hmoo ntawm amaurosis hloov nrog kev ua tiav hypoglycemia - ua tiav qhov muag tsis pom kev,

Hauv cov neeg mob uas muaj cov kabmob sib kis (txij li cov kabmob sib kis feem ntau xav tau cov tshuaj insulin).

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, yuav tsum ua tib zoo saib xyuas ntawm 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.

Nyob rau lub sijhawm pub niam mis, tsis muaj kev txwv dab tsi rau kev kho tshuaj insulin, txawm li cas los xij, kev hloov kho tshuaj, cov tshuaj insulin thiab zaub mov xav tau.

Muab thiab kev coj:

Lub hom phiaj ntawm cov piam thaj hauv cov ntshav, cov tshuaj insulin uas yuav tsum tau siv, kev siv tshuaj insulin ntau ntxiv (koob tshuaj thiab lub sijhawm ntawm kev tswj hwm) yuav tsum txiav txim siab thiab kho tus kheej kom phim rau kev noj haus, theem ntawm kev siv dag zog thiab kev ua neej ntawm tus neeg mob.

Tsis muaj cov kev cai hais meej meej rau kev noj cov tshuaj insulin. Txawm li cas los xij, qhov nruab nrab ib hnub twg ntawm cov tshuaj insulin yog 0.5-1.0 ME rau ib kg ntawm lub cev qhov hnyav hauv ib hnub, thiab tib neeg cov insulin ntawm lub sijhawm ntev ua rau 40-60% ntawm qhov xav tau ntawm insulin txhua hnub.

Tus kws kho mob yuav tsum tau muab cov lus qhia tseem ceeb rau kev txiav txim siab seb yuav ua li cas thiaj li txiav txim tau cov ntshav qabzib hauv cov ntshav, nrog rau cov lus pom zoo tsim nyog thaum muaj kev hloov pauv hauv kev noj zaub mov noj lossis hauv kev kho mob ntawm insulin.

Hauv kev kho mob ntawm tus mob hyperglycemia lossis tshwj xeeb, ketoacidosis, insulin cov thawj coj yog ib feem ntawm cov kev kho mob tseem ceeb uas suav nrog kev ntsuas los tiv thaiv cov neeg mob los ntawm qhov teeb meem loj vim qhov txo qis hauv ntshav cov ntshav siab. Cov txheej txheem kev kho mob no yuav tsum tau ua tib zoo saib xyuas hauv chav saib xyuas mob hnyav (kev txiav txim siab txog qhov teeb meem metabolic, lub xeev cov kua qaub thiab lub cev tiv thaiv hluav taws xob, kev soj ntsuam cov ntsuas tseem ceeb ntawm lub cev).

Hloov los ntawm lwm hom insulin rau Insuman® Rapid GT

Thaum hloov cov neeg mob los ntawm ib hom tshuaj insulin mus rau lwm qhov, yuav tsum tau kho ntawm cov tshuaj insulin pab rau: piv txwv li, thaum hloov los ntawm tsiaj los ntawm insulin rau tib neeg, los yog thaum hloov los ntawm tib neeg cov tshuaj insulin hloov mus rau lwm tus, lossis thaum hloov los ntawm solulin tib neeg txoj kev kho insulin hloov mus rau ib qho kev tswj hwm. , suav txog cov insulin ntev dua.

Tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg los ntawm insulin, tej zaum yuav tsum tau txo qis cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob uas yav dhau los muaj cov ntshav qabzib tsawg, hauv cov neeg mob uas muaj lub siab mob ntshav qab zib, nyob rau cov neeg mob uas yav tas los xav tau cov tshuaj insulin ntau dua vim tias nrog rau cov tshuaj tiv thaiv kab mob rau insulin.

Qhov xav tau koob tshuaj hloov kho (txo qis) tej zaum yuav tshwm sim tam sim ntawd tom qab hloov mus rau hom tshuaj insulin tshiab lossis pib maj mam dhau ob peb lub lis piam.

Thaum hloov los ntawm ib hom tshuaj insulin mus rau lwm qhov thiab tom qab ntawd nyob rau thawj lub lim tiam tom ntej, kev saib xyuas zoo ntawm cov ntshav qabzib concentration yog pom zoo. Hauv cov neeg mob uas xav tau cov tshuaj insulin ntau heev vim tias muaj cov tshuaj tiv thaiv, nws pom zoo kom hloov mus rau lwm hom insulin hauv kev saib xyuas kho mob hauv tsev kho mob.

Hloov pauv ntxiv hauv cov tshuaj insulin

Txhim kho kev tswj kev zom zaub mov tuaj yeem ua rau lub cev nkag siab ntau ntxiv rau insulin, uas yuav ua rau lub cev xav tau cov insulin tsawg.

Kuj yuav tsum muaj qhov hloov tshuaj ntxiv thaum:

Hloov pauv hauv tus neeg mob lub cev qhov hnyav,

Kev pauv hloov hauv lub neej (suav nrog kev noj zaub mov, qib kev tawm dag zog, thiab lwm yam),

Lwm qhov xwm txheej uas yuav ua rau muaj kev cuam tshuam ntau dua rau cov ntshav siab (hypo- or hyperglycemia) (saib “Cov Lus Qhia Tshwj Xeeb”).

Dosage regimen hauv cov pab pawg neeg mob tshwj xeeb

Neeg laus

Hauv cov neeg laus, xav tau cov tshuaj insulin yuav txo qis (saib ntu "Nrog ceev faj", "Cov lus qhia tshwj xeeb"). Nws raug nquahu tias kev pib kho, ntxiv rau koob tshuaj thiab tswj kev xaiv koob tshuaj rau cov neeg laus uas muaj ntshav qab zib mellitus yuav tsum tau ua nrog ceev faj kom tsis txhob muaj cov tshuaj tiv thaiv hypoglycemic.

Cov neeg mob uas muaj mob rau daim siab mob hepatic lossis lub raum khiav tsis zoo

Hauv cov neeg mob uas muaj mob hepatic lossis lub raum tsis ua haujlwm, kev xav tau cov tshuaj insulin yuav raug txo.

Kev tswj hwm ntawm Insuman® Rapid GT

Insuman® Rapid GT feem ntau yog tswj hwm ua subcutaneously 15-20 feeb ua ntej noj mov. Qhov chaw txhaj tshuaj hauv tib thaj chaw txhaj tshuaj yuav tsum tau hloov txhua zaus. Hloov thaj chaw ntawm kev tswj hwm insulin (piv txwv li, los ntawm lub plab mus rau thaj chaw hauv ncej puab) yuav tsum tau ua tsuas yog tom qab sab laj tus kws kho mob, txij li qhov nqus ntawm insulin thiab, raws li, cov txiaj ntsig ntawm kev txo qis cov kua nplaum hauv cov ntshav tuaj yeem sib txawv raws thaj chaw ntawm kev tswj hwm.

Insuman® Rapid GT tuaj yeem muab cov tshuaj pleev ib ce. Kev tso tshuaj insulin rau hauv tsev kho mob yuav tsum tau nqa tawm hauv tsev kho mob lossis chaw mob uas yuav tau saib xyuas thiab kho mob zoo ib yam.

Insuman® Rapid G "T tsis yog siv rau hauv ntau yam tshuaj insulin (suav nrog kev cog hniav uas tau cog) qhov twg silicone leeg siv.

Tsis txhob sib xyaw Insuman® Rapid GT nrog insulin ntawm kev sib txawv, nrog insulin ntawm tsiaj keeb kwm, insulin analogs lossis lwm yam tshuaj.

Insuman® Rapid GT tuaj yeem sib xyaw nrog txhua qhov sanofi-aventis pawg tib neeg cov kua dej. Insuman® Rapid GT yuav tsum tsis txhob xyaw nrog cov tshuaj insulin uas tsim tshwj xeeb rau kev siv hauv cov tshuaj insulin.

Nws yuav tsum nco ntsoov tias cov tshuaj insulin hauv Insuman® Rapid GT npaj yog 100 MG / ml (rau 5 ml vials lossis 3 ml cartridges), yog li nws tsuas yog tsim nyog siv cov yas koob txhaj tsim rau qhov no insulin concentration thaum siv vials, lossis OptiPen syringe pens. Pro1 lossis ClickSTAR thaum siv cartridges. Cov koob txhaj tshuaj yas yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov khoom 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).

Cov tshuaj txhaj tshuaj yuav tsum ua kom pom tseeb thiab tsis muaj kob uas tsis muaj pom muaj txawv teb chaws.

Ua ntej yuav sau cov insulin los ntawm cov vial, ib qho ntim ntawm huab cua sib npaug ntawm cov tshuaj uas tau txhaj 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.

Ua ntej kev teeb tsa lub taub (100 MN / ml) hauv OptiPen Pro1 thiab KlikSTAR koob txhaj tshuaj, tuav nws li 1-2 teev ntawm chav sov (qhov txhaj tshuaj chilled insulin yog qhov mob ntau dua). Tshem tawm cov pa npuas tawm ntawm daim cartridge ua ntej txhaj tshuaj (saib Cov Lus Qhia rau kev siv OptiPen Pro1 lossis ClickSTAR syringe pens).

Daim cartridge tsis tsim los tov Insuman® Rapid GT nrog lwm cov insulins. Lub laub ntim tsis tau ntim tsis tau.

Thaum muaj tawg ntawm daim ntawv xaum, koj tuaj yeem nkag mus rau qhov yuav tsum tau txhaj tshuaj los ntawm daim cartridge siv cov koob txhaj tshuaj. Nws yuav tsum nco ntsoov tias qhov kev xav ntawm cov tshuaj insulin hauv daim laub ntawv yog 100 IU / ml, yog li koj tsuas yog xav siv yas koob txhaj tshuaj tsim rau qhov no ntawm cov tshuaj insulin. Cov koob txhaj tshuaj yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov seem.

Tom qab kev txhim kho lub thawv ntawv, nws tuaj yeem siv rau 4 lub lis piam.

Nws raug nquahu kom khaws cov xaum xaum xaum nrog daim cartridge ntsia ntawm qhov ntsuas kub tsis dhau + 25 ° C hauv qhov chaw tiv thaiv los ntawm lub teeb thiab kub, tab sis tsis tso rau hauv tub yees (vim tias kev txhaj tshuaj nrog chill insulin yuav mob ntau dua).

Tom qab kev txhim kho lub thawv ntawv tshiab, xyuas txoj haujlwm kom ua haujlwm ntawm cov xaum xaum ua ntej cov tshuaj txhaj thawj zaug (saib Cov Lus Qhia rau Kev Siv OptiPen Pro1 Syringe Cwj mem lossis ClickSTAR). Insuman® Rapid GT, kev daws teeb meem rau kev txhaj tshuaj hauv cov tshuaj xau pov tseg SoloStar® tsuas yog npaj rau cov thawj coj hauv subcutaneous.

Kev mob ntshav qab zib, feem ntau cov kev mob tshwm sim ntawm kev siv tshuaj insulin, tuaj yeem txhim kho yog tias cov koob tshuaj insulin tau tshaj li qhov xav tau ntawm nws (saib "Cov Lus Qhia Tshwj Xeeb"). Cov mob ntshav khov ntau ntawm cov ntshav qog ua rau lub siab tsis zoo tuaj yeem ua rau kev loj hlob ntawm cov tsos mob ntawm lub paj hlwb, nrog rau tsis nco qab, tu cev (saib sab "Overdose"). 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 nyob hauv cov chaw kho mob uas tau faib los ntawm cov chav kawm hauv lub cev thiab hauv kev txiav txim siab tshwm sim: muaj ntau heev (/1 / 10), ntau zaus (≥1 / 100, thiab tsawg tshaj tawm cov lus tawm rau insulin ntawm qhov chaw txhaj tshuaj feem ntau ploj. hauv ob peb hnub lossis ob peb lub lis piam.

Kev noj tshuaj insulin ntau dhau, xws li tswj cov tshuaj insulin ntau dhau piv rau cov zaub mov lossis lub zog noj, tuaj yeem ua rau muaj ntshav siab thiab txaus ntshai ntev thiab tuag taus.

Cov teeb meem me me ntawm hypoglycemia (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.

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 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.

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 qhov kev tiv thaiv hypoglycemic ntawm insulin thiab nce qhov kev txhawb zog rau kev txhim kho ntawm lub qog ntshav qab zib.

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 tej zaum yuav ua rau cov nyhuv tsis muaj zog ntawm insulin.

Beta-blockers, lithium ntsev tuaj yeem siv tau los yog muaj zog lossis ua kom lub zog tsis muaj zog hypoglycemic 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 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. 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 siv ua ke nrog cov neeg muaj mob sympatholytic, xws li beta-blockers, guanethidine thiab, tej zaum ua rau tsis muaj zog lossis ua kom tiav ntawm cov tsos mob ntawm tus mob reflex (hauv kev teb rau hypoglycemia) kev ua haujlwm ntawm lub siab ntsws sympathetic.

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 coj kev coj ua ib txhij ntawm ntau cov tshuaj (saib hauv seem "Kev sib cuam tshuam nrog lwm yam tshuaj") tej zaum yuav ua kom tsis muaj zog lossis txhim kho qhov tsis zoo ntawm cov tshuaj Insuman® Rapid GT, tsis muaj lwm yam tshuaj yuav tsum tau noj nrog nws yam tsis muaj kev tso cai tshwj xeeb ntawm tus kws kho mob.

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 tsawg zuj zus: cov piam thaj hauv siab, 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 qabzib nws tau pom los ntawm kev noj cov piam thaj lossis zaub mov ntau hauv cov 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 raug ceeb toom txog kev mob thaum lawv yuav hloov, tsis tshua hais lus lossis tsis muaj tsos mob ceeb toom txog kev txhim kho hypoglycemia, piv txwv:

Nrog txoj kev txhim kho tseem ceeb hauv kev tswj glycemic,

Nrog rau kev kawm tiav ntawm kev mob ntshav qab zib,

Hauv cov neeg laus laus,

Hauv cov neeg mob uas muaj lub hlwb tsis xis nyob,

Hauv cov neeg mob uas muaj keeb kwm mob ntshav qab zib ntev,

Hauv cov neeg mob tib lub sijhawm tau txais kev kho mob nrog qee yam tshuaj (saib ntu "Kev cuam tshuam nrog lwm cov tshuaj).

Cov xwm txheej zoo li no tuaj yeem ua rau muaj kev mob ntshav qab zib ntau (thiab poob nrog tsis nco qab lawm) ua ntej tus neeg mob paub tseeb tias nws tab tom xyaum kho tus 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 lub siab xav txog qhov kev txhim kho hypoglycemia xav tau kev saib xyuas kom zoo thiab tej zaum yuav tsum muaj kev kho kom haum.

Tej yam no suav nrog:

Hloov thaj chaw ntawm cov tshuaj insulin,

Txhawb cov tshuaj insulin ntau ntxiv (xws li tshem tawm cov kev ntxhov siab),

Kev siv tsis raws cai (nce lossis ntev lub cev kev ua si),

Intercurrent pathology (ntuav, raws plab),

Khoom noj tsis txaus

Tsis noj mov

Qee qhov mob ua tsis tiav cov kab mob endocrine (xws li hypothyroidism thiab anterior pituitary tsis txaus lossis adrenal cortex tsis txaus),

Kev siv qee cov tshuaj (saib hauv seem "Kev cuam tshuam nrog lwm cov tshuaj").

Hauv cov kabmob sib cuam tshuam, kev tswj kev zom zaubmov kom zoo yuav tsum muaj. 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.

Cov lus qhia rau kev siv thiab tuav ntawm cov xoos sau ua ntej SoloStar® koob txhaj tshuaj

Ua ntej siv thawj zaug, rab koob xaum xaum yuav tsum khaws cia ntawm chav tsev li 1-2 teev.

Ua ntej siv, tshawb xyuas daim cartridge sab hauv daim ntawv xaum. Nws yuav tsum siv tsuas yog hais tias cov tshuaj kua dej ua kua ntxig tsis meej kiag li, tsis muaj xim, tsis muaj pom txawv txawv txawv.

Lub cev tsis siv SoloStar ® cov koob txhaj tshuaj yuav tsum tsis tau siv thiab muab pov tseg.

Txhawm rau tiv thaiv kev kis mob, tus cwj mem uas muaj menyuam qhwv ua ntej tsuas yog siv los ntawm ib tus neeg mob thiab yuav tsum tsis txhob hloov mus rau lwm tus.

Kev Siv SoloStar® Syringe Cwj mem

Ua ntej siv SoloStar® Syringe Cwj mem, ua tib zoo nyeem cov lus qhia siv.

Cov ntaub ntawv tseem ceeb ntawm kev siv SoloStar® Syringe Cwj mem

Ua ntej siv txhua qhov, ua tib zoo txuas lub koob tshiab rau daim duab xaum xaum thiab kev sim kev nyab xeeb.

Tsuas siv cov koob uas txuam nrog SoloStar ® yuav tsum siv.

Cov kev tiv thaiv tshwj xeeb yuav tsum tau ceev faj kom tsis txhob muaj kev sib tsoo nrog kev siv koob thiab qhov kis tau ntawm kev kis tus kab mob.

Tsis txhob siv lub SoloStar® koob txhaj tshuaj yog tias nws puas ntsoog lossis yog koj tsis paub meej tias nws yuav ua haujlwm tau zoo.

Txhua lub sijhawm muaj SoloStar® koob txhaj tshuaj nyob rau hauv thaum koj poob lossis ua puas koj daim ntawv SoloStar® koob txhaj tshuaj.

Kev qhia cia

Thov nyeem seem Kev Txwv Cia rau kev khaws cia cov cai rau SoloStarSt Syringe Cwj mem.

Yog tias SoloStar® koob txhaj tshuaj yuav tsum tau muab cia rau hauv tub yees, tshem nws tawm ntawm qhov ntawd 1-2 teev ua ntej qhov kev txhaj tshuaj kom cov tshuaj ua kom sov hauv chav. Kev tswj hwm cov tshuaj chine chilled yog qhov mob ntau dua.

Kev siv SoloStar® Syringe Pen yuav tsum tau muab rhuav pov tseg.

SoloStar® koob txhaj tshuaj yuav tsum tiv thaiv cov plua tshauv thiab av.

Sab nraud ntawm SoloStar® Syringe Pen tuaj yeem ntxuav los ntawm kev so nws nrog daim ntaub noo.

Tsis txhob raus dej hauv cov kua, tsis txhob yaug lossis ntub dej SoloStar ® syringe mem, vim tias qhov no tuaj yeem ua rau nws puas.

SoloStar ® Syringe Pen xa cov tshuaj insulin kom raug thiab nyab xeeb siv. Nws tseem yuav tsum tau ua tib zoo saib xyuas. Zam zam cov xwm txheej uas ua rau SoloStar ® koob txhaj tshuaj yuav tshwm sim. Yog tias koj xav tias koj lub SoloStar® koob txhaj tshuaj yuav puas ntsoog, siv tus cwj mem tshiab.

Theem 1. Tshuaj Insulin

Koj yuav tsum kos cov ntawv lo rau ntawm SoloStar® Syringe Cwj mem kom paub tseeb tias nws muaj cov insulin tseeb. Rau Insuman® Rapid GT, SoloStar® koob txhaj tshuaj yog dawb nrog lub khawm daj rau txhaj nrog lub nplhaib nyem rau ntawm nws. Tom qab hle lub hau ntawm tus cwj mem syringe, cov tsos ntawm cov tshuaj insulin nyob hauv nws yog tswj: cov tshuaj insulin yuav tsum muaj qhov pom tseeb, tsis muaj xim, tsis muaj pom txawv txawv.

Theem 2. Txuas rab koob

Tsuas yog siv cov koob uas txuam nrog SoloStar® koob txhaj tshuaj xwb yuav tsum tau siv.

Txog kev txhaj txhua zaus, yuav tsum siv rab koob tshiab tshiab uas tsis huv. Tom qab hle lub hau tawm, rab koob yuav tsum tau muab ntsia kom zoo ntawm daim duab syringe.

Theem 3. Ua qhov ntsuas kev nyab xeeb

Ua ntej txhua txoj kev txhaj tshuaj, nws yog qhov yuav tsum tau ua qhov kev ntsuas kev nyab xeeb thiab ua kom cov koob txhaj tshuaj ua haujlwm zoo thiab cua tshuab tau tshem tawm.

Ntsuas ib koob tshuaj sib npaug rau 2 ntsuas.

Cov kaus mom uas siv sab nraud thiab sab hauv yuav tsum tau muab tshem tawm.

Muab tus cwj mem ntim nrog rab koob tso tawm, maj mam coj mus rhaub cov insulin lub taub hau nrog koj tus ntiv tes kom txhua npuas pa mus rau rab koob.

Tag nrho nias lub pob txhaj.

Yog tias muaj cov tshuaj insulin rau ntawm qhov kawg ntawm rab koob, qhov no txhais tau tias rab koob xaum thiab rab koob ua hauj lwm zoo.

Yog tias cov tshuaj insulin tsis tshwm sim rau ntawm lub ntsis ntawm rab koob, tom qab ntawd cov kauj ruam 3 tuaj yeem rov ua dua kom txog thaum cov insulin tshwm ntawm lub taub ntawm rab koob.

Theem 4. Xaiv Xaiv

Cov koob tshuaj tuaj yeem tsim nrog qhov tseeb ntawm 1 ntsuas los ntawm cov koob tshuaj tsawg kawg ntawm 1 ntsuas txog rau qhov siab tshaj plaws ntawm 80 units. Yog tias nws yog qhov yuav tsum tau qhia qhov tshuaj tshaj li ntawm 80 units, yuav tsum txhaj 2 lossis ntau dua kev txhaj tshuaj.

Lub koob tshuaj yuav tsum kos npe "O" tom qab ua tiav qhov kev ntsuas kev nyab xeeb. Tom qab ntawd, cov koob tshuaj tsim nyog tau tsim muaj.

Theem 5. Ceeb Toom

Tus neeg mob yuav tsum tau qhia rau cov txheej txheem txhaj tshuaj los ntawm tus kws kho mob paub.

Lub koob yuav tsum tau muab tso rau hauv qab daim tawv nqaij.

Lub pob txhaj tshuaj yuav tsum nias tag nrho. Nws tau tuav hauv txoj haujlwm no rau 10 feeb ntxiv kom txog thaum muab rab koob tshem tawm. Qhov no ua kom paub tseeb ntawm qhov kev xaiv ntawm xaiv koob tshuaj insulin kiag li.

Theem 6. Tshem thiab tshem tawm ntawm rab koob

Hauv txhua qhov xwm txheej, rab koob tom qab txhua txoj kev txhaj tshuaj yuav tsum tau muab tshem tawm thiab muab pov tseg. Qhov no ua kom muaj kev tiv thaiv ntawm kev sib kis thiab / lossis kis tau tus mob, cua nkag mus rau hauv lub thawv rau tshuaj insulin thiab paim ntshav ntawm insulin.

Thaum hle thiab pov tseg lub koob, yuav tsum muaj kev tiv thaiv tshwj xeeb. Ua raws li kev tiv thaiv kev nyab xeeb pom zoo kom tshem tawm thiab ntuav tawm rab koob (piv txwv, cov txheej txheem tes ib leeg) txhawm rau txo kev pheej hmoo ntawm kev phom sij ntsig txog rab koob thiab tiv thaiv ua mob.

Tom qab tshem rab koob, kaw SoloStar® koob txhaj tshuaj nrog lub hau.

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

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.

Daim ntawv tso tawm / muab ntau: Cov tshuaj rau cov kev txhaj tshuaj, 100 ME / ml. Cov:

5 ml ntawm cov tshuaj hauv lub raj mis pob tshab thiab tsis muaj kob (hom 1). Lub raj mis corked, nyem nrog lub hau txhuas thiab them nrog lub hau taub hau yas. 5 vials nrog cov lus qhia rau kev siv rau hauv lub thawv ntawv thawv.

3 ml ntawm cov tshuaj hauv daim cartridge ntawm cov iav tsis muaj tseeb thiab tsis muaj kob (hom I). Daim cartridge yog corked ntawm ib sab nrog cork thiab nyem nrog ib lub hau txhuas, ntawm qhov tod tes - nrog lub plunger. 5 daim cartridges rau qhov hlwv pob ntawm PVC zaj duab xis thiab txhuas ntawv ci. 1 blister sawb ntim ua ke nrog cov lus qhia siv rau hauv thawv ntawv thawv.

3 ml ntawm cov tshuaj hauv daim cartridge ntawm cov iav tsis muaj tseeb thiab tsis muaj kob (hom I). Daim cartridge yog corked ntawm ib sab nrog cork thiab nyem nrog ib lub hau txhuas, ntawm qhov tod tes - nrog lub plunger. Daim cartridge tau nruab rau hauv SoloStar ® tus cwj mem kua siv pov tseg.

Ntawm 5 SoloStar ® syringe cwjmem ua ke nrog daim ntawv thov kev qhia hauv cov thawv ntawv cardboard.

Khaws rau hauv qhov chaw tsaus ntawm qhov kub ntawm 2 txog 8 ° C. Tsis khov.

Khaws tsis ncav cuag ntawm cov menyuam yaus.

Tsis txhob siv tom qab hnub tas sij hawm qhia ntawm pob.

Cov nqe lus ntawm kev faib tawm los ntawm cov chaw muag tshuaj: Los ntawm cov tshuaj sau npe: P N011995 / 01 Hnub sau npe: 03.03.2011 Tus tswv ntawm daim ntawv pov thawj npe: Sanofi-Aventis Deutschland GmbH Chaw tsim tshuaj paus: & nbsp Cov sawv cev: & nbsp Sanofi AventisGrupp AO Cov ntaub ntawv hloov kho hnub: & nbsp 10.28.2015

Insuman Ceev Heev GT muaj cov tshuaj insulin zoo tib yam hauv cov qauv rau tib neeg cov insulin thiab tau los ntawm kev tsim kho caj ces siv K12 limtiam E. Coli.

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 ua hauj lwm ib txhij ntawm ib tug xov tooj ntawm cov tshuaj (saibntu "Kev cuam tshuam nrog lwm yam tshuaj") tuaj yeem ua rau lub zog tsis muaj zog lossis txhim kho qhov hypoglycemic ntawm cov tshuaj Insuman® Rapid GT, thiab thaum siv nws, koj yuav tsum tsis txhob noj lwm yam tshuaj 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 kev mob ntshav qab zib ntau (thiab poob nrog tsis nco qab lawm) ua ntej tus neeg mob paub tseeb tias nws tab tom xyaum kho tus 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 lub siab xav txog qhov kev txhim kho hypoglycemia xav tau kev saib xyuas kom zoo thiab tej zaum yuav tsum muaj kev 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.