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

Ncua rau kev txhaj tshuaj 100 IU / ml

Ib ml ntawm kev ncua kev kawm muaj

cov tshuaj heev - tib neeg cov insulin (DNA recombinant) 100 IU,

zam txim : distilled metacresol, glycerin, phenol, protamine sulfate, sodium hydrogen phosphate heptahydrate, zinc oxide (hais txog zinc Zn ++), hydrochloric acid 10% txhawm rau kho pH, sodium hydroxide 10% kev kho kom hloov pH, dej rau kev txhaj tshuaj.

Ib qho kev tshem tawm dawb, uas, thaum sawv ntsug, exfoliates rau hauv cov ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim zoo nkauj thiab muaj cov nag lossis dawb. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

Cov chaw muag tshuaj

Humulin® NPH yog kev ua haujlwm nruab nrab insulin.

Qhov pib ntawm kev ua ntawm cov tshuaj yog 1 mus rau 2 teev tom qab kev tswj hwm, qhov ua haujlwm siab tshaj plaws yog nyob ntawm 4 thiab 10 teev, lub sijhawm ua haujlwm yog 18 txog 24 teev. Daim ntawv qhia txog cov haujlwm (cov piam thaj saum-kev nkhaus) tom qab kev tswj hwm ntawm txoj haujlwm yog qhia ua kab loj hauv daim duab hauv qab no. Cov tib neeg sib txawv hauv cov dej num hauv insulin yog nyob ntawm qee yam xws li koob tshuaj, xaiv chaw txhaj tshuaj, kev qoj ib ce ntawm tus neeg mob, thiab lwm yam.

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

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

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj ntawm Humulin® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus raws li qib glycemia. Cov tshuaj yuav tsum tau muab tshuaj subcutaneously. Intramuscular thawj coj yog ua tau, tab sis tsis pom zoo.

Txhaj tshuaj subcutaneous yuav tsum tau muab rau lub xub pwg, lub duav, lub pob tw lossis lub plab. Cov cheeb tsam txhaj tshuaj yuav tsum raug hloov chaw kom thaj chaw ib zaug siv tsis ntau tshaj li ib zaug ib hlis. Nrog kev tswj hwm ntawm cov ntshav dej, yuav tsum tau saib xyuas kom tsis txhob nkag rau cov ntshav thaum lub sijhawm txhaj. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Cov neeg mob yuav tsum tau kawm paub txog kev siv tshuaj insulin kom raug.

Humulin® NPH tuaj yeem siv nrog Humulin® Tsis tu ncua (saib cov lus qhia rau kev sib xyaw cov tshuaj insulin).

Qhov tseeb ntawm txoj kev tswj tshuaj insulin yog tus kheej!

Cov lus qhia rau kev siv

Humulin® NPH daim cartridges yuav tsum tau muab cov ntaub qhwv ntawm cov xib teg ob peb zaug kom txog thaum cov tshuaj insulin tau rov pab dua. Tam sim ntawd ua ntej siv, Humulin® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm lub xib teg kaum npaug thiab tshee, tig mus rau 180 kuj kaum zaus, kom txog thaum cov insulin dhau los ua kua turbid kua lossis kua dawb milky. Tsis txhob co ua kom muaj zog, vim tias qhov no tuaj yeem ua rau pom kev ua npuas, uas tuaj yeem cuam tshuam nrog koob tshuaj kom raug.

Lub pob muag yuav tsum tau kuaj xyuas kom zoo. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab sib tov lossis yog tias cov tshuaj dawb nyob hauv qab ntawm lub raj mis. Tsis txhob siv cov tshuaj insulin yog tias cov khoom dawb dawb lo rau hauv qab lossis phab ntsa ntawm lub thawm, tsim cov nyhuv ntawm tus qauv khov.

Cov cuab yeej ntawm cov cartridges tsis pub sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha hauv daim cartridge nws tus kheej. Cartridges tsis yog yuav tsum kom thim rov qab.

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

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

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

Ntxuav tes. Txhawm rau rho tawm cov roj hmab nres ntawm pob txha taub ntawv nyob rau hauv qhov chaw ntawm kev sib txuas ntawm rab koob.

Npaj cwj mem syringe, ua raws cov lus qhia rau nws siv. Ntxig daim cartridge rau hauv tus xaum qhuav.

Txuas lub koob tom qab tshem tawm zaj duab xis tiv thaiv.

Tshem lub hau tawm ntawm rab koob.

Tshem tawm cov cua ntawm daim lev insulin. Ntsuas 1-2 units ntawm koob tshuaj. Nqa tus xaum xaum xaum nrog rab koob kom raug thiab coj mus rhaub qhov taub ntawm rab koob txhaj tshuaj me ntsis kom cov npuas nyob sab hauv tuaj rau saum npoo av. Thaum tuav cov koob txhaj tshuaj nrog rab koob kom dhau, nias lub tshuab txhaj tshuaj. Ua mus kom txog thaum poob Humulin® NPH tshwm ntawm qhov kawg ntawm rab koob. Ob peb lub tshuab ua pa yuav nyob hauv rab koob txhaj tshuaj, lawv tsis muaj mob. Txawm li cas los xij, yog hais tias qhov loj ntawm npuas qhov loj heev, qhov ntau npaum ntawm koj qhov kev txhaj tshuaj yuav tsis tshua muaj tseeb. Kev kuaj yuav tsum tau ua ua ntej txhua yam kev txhaj tshuaj.

Xaiv ib qho chaw rau kev txhaj tshuaj.

So daim tawv nqaij nrog lub paj rwb nrog pas cawv hauv cawv. Tos kom daim tawv nqaij kom qhuav.

Kho cov tawv nqaij los ntawm kev ua daim tawv nqaij tawv. Nco ntsoov tias qhov chaw txhaj tshuaj tsawg kawg yog 1 cm ntawm qhov chaw txhaj tshuaj yav dhau los, thiab koj pom tias lwm qhov chaw hloov chaw txhaj tshuaj raws li kev pom zoo.

Qhia cov tshuaj uas yuav tsum tau txhaj tshuaj insulin subcutaneously raws li koj tus kws kho mob cov lus qhia thiab ua raws li cov kws tsim cov lus qhia ua tus cwj mem. Tuav rab koob nyob rau hauv daim tawv nqaij li 5 feeb kom paub tseeb tias koj tau nkag mus rau tag nrho cov koob tshuaj.

Tshem tawm rab koob ntawm daim tawv nqaij ncaj qha thiab maj mam nias ntawm qhov chaw txhaj tshuaj rau ob peb feeb. Tsis txhob txhuam qhov chaw txhaj tshuaj.

Siv cov peev ntawm sab nraud ntawm rab koob, tam sim ntawd tom qab nkag mus, txiav tawm rab koob thiab rhuav tshem nws kom zoo. Tshem tawm ntawm rab koob tam sim ntawd tom qab kev txhaj tshuaj kom ntseeg tau tias muaj kev tsis taus, tiv thaiv cov dej ntawm insulin thiab cua, thiab ua tau txhaws ntawm rab koob.

Tso lub hau rau ntawm tus cwj mem xaum qhuav.

Kev rhuav tshem ntawm daim cartridges thiab rab koob.

Tsis txhob rov qab siv lub rab koob. Muab cov koob uas siv tas pov tseg yam tsim nyog. Tsis txhob qhia koj daim cartridge lossis rab koob nrog lwm tus neeg. Yog li, koj khiav txoj kev pheej hmoo kis tus kab mob tsis zoo los yog kis tus mob hnyav los ntawm lawv. Koob thiab xwj yog siv rau yus tus kheej nkaus xwb. Siv daim cartridges kom txog thaum lawv khoob tas, tom qab ntawd lawv yuav tsum muab pov tseg yam tsis tsim nyog. Cov khoom siv tsis raug lossis cov khoom siv yuav tsum tau muab pov tseg raws li cov cai hauv zos.

Sab sij huam

Phiv phiv los cuam tshuam nrog lub ntsiab nyhuv ntawm cov tshuaj:

ntshav qog yog qhov tshwm sim zoo tshaj plaws uas tshwm sim nrog kev tswj hwm ntawm cov tshuaj insulin npaj, suav nrog Humulin® NPH.

Cov paib ntshav me mus rau pes nrab ntshav qab zib tsawg : kev ua kom tsis muaj zog, mob tsis meej, ua rau lub siab, nyob tsis tus, zoo li tsis pom kev ntawm tes, taw, daim di ncauj lossis tus nplaig, tshee tshee, mob taub hau, tawm hws txias, kiv taub hau, pw tsaug zog, tsaug zog, pw tsaug zog, ntxhov siab, nyob tsis tswm, tsis pom kev, hais tsis tau lus, tsis pom kev, kev npau taws, tsis tuaj yeem xav txog, tus cwj pwm pathological, tus cwj pwm hloov pauv, tsaj ib ce, tshaib plab.

Cov paib Kev mob ntshav siab ntau: kev ploj kev tuag, tsis nco qab, ua rau pom dab. Qee qhov tshwj xeeb, mob ntshav khov ntau heev tuaj yeem ua rau tuag taus.

chaw ua xua (zaus ntawm 1/100 txog 1/10) nyob rau hauv daim ntawv ntawm liab, o, lossis khaus ntawm qhov chaw txhaj tshuaj feem ntau nres li ntawm ob peb hnub mus rau ntau lub lis piam. Qee qhov xwm txheej, cov kev coj tus cwj pwm no tuaj yeem yog vim li cas tsis muaj feem xyuam rau cov tshuaj insulin, piv txwv li, tawv nqaij nrog lub ntsej muag ntxuav los yog siv tshuaj tsis raws cai.

kev tsis haum rau cov tshuaj tiv thaiv (zaus tso tshuaj

Tus txheej txheem kho pib ib teev tom qab txhaj tshuaj.
Cov suab thaj txo cov nyhuv ntev li 18 teev.
Qhov txiaj ntsig zoo tshaj plaws yog tom qab 2 teev thiab txog 8 teev los ntawm lub sijhawm tswj hwm.

Xws li cov kev hloov hauv lub caij nyoog ntawm cov kev ua yeeb tshuaj yog nyob ntawm qhov chaw tswj hwm ntawm kev ncua thiab lub cev muaj zog ntawm tus neeg mob. Cov khoom no yuav tsum tau coj mus rau hauv qhov kev txiav txim thaum muab cov tshuaj ntau npaum li cas thiab kev tswj hwm ntau zaus. Muab lub caij nyoog ntev ntawm cov nyhuv, Humulin NPH raug kho ua ke nrog insulin luv thiab ultrashort.

Kev faib khoom thiab tawm ntawm lub cev:

Insulin Humulin NPH tsis nkag rau hauv hematoplacental teeb meem thiab tsis nthuav tawm los ntawm cov qog mammary nrog kua mis.
Inactivated nyob rau hauv daim siab thiab ob lub raum dhau los ntawm enzyme insulinase.
Kev tshem tawm cov tshuaj tsuas yog dhau ntawm ob lub raum.

Kev piav qhia ntawm daim ntawv tshuaj

Kev ncua rau s / c tswj hwm ntawm cov xim dawb, uas exfoliates, sib sau ib cov dawb nag lossis daus thiab ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim zoo nkauj, cov nag lossis daus tau yooj yim resuspended nrog maj mam tshee. Kev ncua rau s / c tswj hwm ntawm cov xim dawb, uas exfoliates, sib sau ib cov dawb nag lossis daus thiab ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim zoo nkauj, cov nag lossis daus tau yooj yim resuspended nrog maj mam tshee. Kev ncua rau s / c tswj hwm ntawm cov xim dawb, uas exfoliates, sib sau ib cov dawb nag lossis daus thiab ntshiab, tsis muaj xim lossis yuav luag tsis muaj xim zoo nkauj, cov nag lossis daus tau yooj yim resuspended nrog maj mam tshee.

Cov kev tsis haum lub ntsej muag suav nrog:

Kev mob ntshav qog ntshav yog qhov phom sij txaus ntshai nrog kev noj tshuaj tsis txaus. Qhia los ntawm kev tsis nco qab, uas tuaj yeem tsis meej pem nrog hyperglycemic coma,
kev ua xua rau ntawm qhov chaw txhaj tshuaj (liab liab, khaus, o),
zawm caj pas
txog siav
hypotension
urticaria
tachycardia
lipodystrophy - lub zos atrophy ntawm subcutaneous rog.

Pharmacological kev txiav txim

1 ml tib neeg insulin 100 IU yog ob-theem raug ncua lossis ib qho sib xyaw: soluble tib neeg insulin 30% kev ncua ntawm tib neeg isophan insulin 70% Cov neeg tsis txaus siab: distilled m-cresol (1.6 mg / ml), glycerol, phenol (0.65 mg / ml), protamine sulfate , sodium phosphate dibasic, zinc oxide, dej d / thiab, hydrochloric acid, sodium hydroxide. 1 ml tib neeg insulin 100 IU yog ob-theem raug ncua lossis ib qho sib xyaw ntawm: kev daws teeb meem tib neeg cov kua dej 30% isofan tib neeg insulin raug tshem tawm 70% Cov neeg tsis txaus siab: metacresol, glycerol (glycerin), phenol, tiv thaiv sulfate, sodium hydrogen phosphate, zinc oxide, dej d / thiab , hydrochloric acid (10% kev daws) thiab / lossis sodium hydroxide (10% kev daws) los tsim cov qib pH tsim nyog. tib neeg insulin 100 IU yog ob ntu kev raug ncua lossis kev sib xyaw: soluble tib neeg cov kua dej 30% kev ncua ntawm tib neeg isophane insulin 70% Cov neeg tsis txaus siab: distilled m-cresol (1.6 mg / ml), glycerol, phenol (0.65 mg / ml), protamine sulfate, sodium dibasic phosphate, zinc oxide, dej d / thiab, hydrochloric acid, sodium hydroxide.

Cov kev cai dav dav ntawm kev siv

Cov tshuaj yuav tsum tau muab nyob rau hauv qab ntawm daim tawv nqaij ntawm lub xub pwg, lub duav, pob tw los yog sab hauv plab phab ntsa, thiab qee zaum txhaj tshuaj intramuscular kuj tseem muaj peev xwm.
Tom qab txhaj tshuaj, koj yuav tsum tsis txhob nias thiab zaws thaj tsam ntxeem tau zoo.
Nws yog txwv tsis pub siv cov tshuaj hla dej.
Cov koob tshuaj tau xaiv ib tus zuj zus los ntawm tus kws kho keeb (endocrinologist) thiab raws li kev soj ntsuam ntshav qab zib.

Algorithm rau cov tshuaj insulin Humulin NPH

Humulin hauv vials ua ntej siv yuav tsum tau muab sib xyaw los ntawm dov lub vial ntawm xib teg kom txog thaum cov xim ntawm mis tuaj. Tsis txhob co, ua npuas dej, lossis siv cov tshuaj insulin nrog cov pob zeb ci ci rau ntawm daim nplaim taws.
Humulin NPH hauv daim cartridges tsis tsuas yog txav nruab nrab ntawm xib teg, rov ua dua 10 zaug txav, tab sis kuj sib xyaw, maj mam tig lub taub hau. Nco ntsoov tias insulin npaj txhij rau kev tswj hwm los ntawm kev ntsuam xyuas kom xwm yeem thiab xim. Yuav tsum muaj cov ntsiab lus tsis sib xws hauv cov xim mis. Tsis tas li tsis txhob tshee lossis ua npuas dej siv tshuaj. Tsis txhob siv cov tshuaj nrog cereal lossis cov av poob. Lwm cov tshuaj insulins tsis tuaj yeem raug txhaj rau hauv daim cartridge thiab tsis tuaj yeem muab tshuaj ntxiv.
Cov xaum xaum muaj 3 ml ntawm insulin-isophan ntawm koob tshuaj 100 IU / ml. Rau 1 txhaj tshuaj, nkag mus tsis tshaj 60 IU. Cov cuab yeej tso cai noj kom haum nrog qhov tseeb txog li 1 IU. Nco ntsoov tias rab koob tau nruj nreem txuas rau hauv lub cuab yeej.

Ntxuav tes siv xab npum thiab tom qab ntawd kho lawv nrog tshuaj tua kab mob.

Txiav txim siab rau ntawm thaj chaw txhaj tshuaj thiab kho cov tawv nqaij nrog cov tshuaj tua kab mob.

Lwm qhov chaw txhaj tshuaj kom qhov chaw qub siv tsis ntau tshaj li ib zaug ib hlis.

Nta ntawm daim ntawv thov cov koob txhaj tshuaj ntaus

Tshem lub hau los ntawm rub nws tawm dua li tig nws.
Tshawb tshuaj insulin, txee lub neej, ntxhib los mos thiab xim.
Npaj ib rab koob txhaj koob raws li tau piav los saum no.
Ntsia tus pas kom txog rau thaum nws nruj.
Tshem ob lub hau tawm ntawm rab koob. Sab nraud - tsis txhob muab pov tseg.
Kuaj cov tshuaj insulin.
Quav ntawm daim tawv nqaij thiab txhaj rab koob hauv qab daim tawv nqaij ntawm kaum ntawm 45 degrees.
Qhia cov tshuaj insulin los ntawm kev tuav lub pob nrog lub ntiv tes kom txog thaum nws nres, suav qeeb qeeb rau 5.
Tom qab tshem tawm rab koob, tso lub pob cawv ntawm qhov chaw txhaj tshuaj tsis tas txhuam los yog tawv nqaij. Feem ntau, poob ntawm cov tshuaj insulin tuaj yeem nyob rau ntawm qhov kawg ntawm rab koob, tab sis tsis xau los ntawm nws, uas txhais tau tias yog koob tshuaj tsis tiav.
Kaw lub koob nrog lub hau sab nraud thiab pov tseg ntawm nws.

Muaj peev xwm cuam tshuam nrog lwm cov tshuaj

Cov tshuaj uas txhim kho cov nyhuv ntawm Humulin:

qab zib-txo cov ntsiav tshuaj,
tshuaj tiv thaiv kev nyuaj siab - monoamine oxidase inhibitors,
hypotonic tshuaj los ntawm cov pab pawg ntawm ACE inhibitors thiab beta blockers,
carbonic anhydrase inhibitors,
imidazoles
tetracycline tshuaj tua kab mob,
lithium npaj
Cov vitamins B,
theophylline
haus cawv muaj tshuaj.

Cov tshuaj uas inhibit qhov kev txiav txim ntawm insulin Humulin NPH:

tshuaj noj tiv thaiv tsis pub muaj menyuam
glucocorticosteroids,
cov thyroid hormones,
tshuaj kho mob
tricyclic cov tshuaj tiv thaiv kab mob,
cov neeg sawv cev uas qhib txoj kev kho mob hlwb,
calcium channel blockers,
tshuaj yeeb qaug cawv.

Cov lus qhia tshwj xeeb rau kev siv

Cov tshuaj yuav tsum tsuas yog kws kho mob sau tseg. Tseg tawm hauv cov chaw muag tshuaj los ntawm cov tshuaj noj. Thaum lub sij hawm kho nrog Humulin NPH, yuav tsum tau saib xyuas cov piam thaj tas li. Nyob rau hauv muaj cov kab mob concomitant - sab laj tus kws kho mob rau kev hloov kho koob tshuaj.

Pauv lub npe ntawm qhov kev npaj:
HUMULIN ® NPH

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

Dosage daim ntawv
Ncua rau lub subcutaneous thawj coj

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

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

ATX Cov Cai A10AC01.

Cov chaw muag tshuaj
Cov Tshuaj Hauv Tshuaj
Humulin ® NPH yog tib neeg lub cev siv tshuaj tua kab mob DNA insulin. Kev ua haujlwm tseem ceeb ntawm cov kua dej yog kev tswj ntawm cov metabolism hauv qabzib. Tsis tas li ntawd, nws muaj anabolic thiab anti-catabolic cuam tshuam rau ntau cov ntaub so ntswg ntawm lub cev.Hauv cov leeg nqaij, muaj qhov nce ntawm cov ntsiab lus ntawm glycogen, fatty acids, glycerol, kev nce ntawm synthesis protein thiab kev nce ntawm kev noj cov amino acids, tab sis tib lub sijhawm muaj glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.
Humulin NPH yog kev ua haujlwm nruab nrab insulin. Qhov pib ntawm kev ua ntawm cov tshuaj yog 1 teev tom qab kev tswj hwm, qhov ua haujlwm siab tshaj plaws yog nruab nrab ntawm 2 txog 8 teev, lub sijhawm ua haujlwm yog 18-20 teev. Cov tib neeg sib txawv hauv cov dej num hauv insulin yog nyob ntawm qee yam xws li koob tshuaj, xaiv chaw txhaj tshuaj, kev qoj ib ce ntawm tus neeg mob, thiab lwm yam.

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

Cov yam ntxwv sib txawv

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

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

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

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

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

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

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

Chaw tsim tshuaj paus

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

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

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

Humulin M3 phiv

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

Cia rau cov neeg mob

Khaws rau hauv qhov txias (t 2 - 5)
txav deb ntawm menyuam yaus
muab cia rau hauv qhov chaw tsaus

Cov ntaub ntawv muab los ntawm Xeev Lub Xeev Cov Tshuaj Kho Mob.

Berlinsulin N, Insuman Comb, Humalog Mix, Humulin M1, Humulin M2.

Kev piav qhia
Cov yam ntxwv
Cov lus qhia rau kev siv
Cov ntawv pov thawj
Nug ib lo lus nug
Xyuas
Tus me nyuam
Hais txog peb
Cov qauv ntsuas rau cov tshuaj nquag

Cov Yuav Tsum Muaj

Hypersensitivity rau insulin lossis rau ib qho ntawm cov tshuaj ntawm cov tshuaj.

Yuav ua li cas paub txog qhov pathological tsis muaj qabzib thiab muab kev pabcuam ua ntej rau cov neeg raug mob

Lawv tau cawm ntau txhiab lub neej thiab tau hloov txoj kev rov ua keeb kwm

Koj tuaj yeem nug cov lus nug uas koj muaj txog cov khoom lag luam lossis khw.

Peb cov kws tshaj lij yuav pab koj.

Qhia tawm tus me nyuam

Nws yog nqa hauv 3 teev txij li lub sijhawm ntawm kev txiav txim thiab tus nqi 300 rubles.

Koj tuaj yeem xaiv koj daim ntawv xaj koj tus kheej thiab pub dawb, hauv cov khw muag tshuaj ntawm qhov chaw nyob: 41 Mitinskaya Street, Moscow.

Lub sijhawm tuaj tos-qhib muaj qhib txhua hnub txij thaum 10:00 txog 21:00. Nco ntsoov ua kom haum rau koj lub sijhawm tuaj txog nrog tus neeg teb xov tooj!

Cov xaj tau txais tom qab 20:00 tau xa mus rau hnub tom qab,
Peb kos koj cov xim rau qhov tseeb tias yog tias koj qhov kev txiav txim tau txais los ntawm 21:00 txog 9:00, nws yuav raug ua tiav los ntawm peb cov neeg ua haujlwm tsuas yog tom qab 9:00,
“Tus me nyuam” - tsis txhais tau tias yog kev pab los ntawm txoj cai. Cov khoom lag luam tsis nqa los ntawm cov neeg ua haujlwm hauv tsev muag tshuaj. Lub khw muag online no tsis yog lub luag haujlwm rau lawv cov kev coj ua. Tus nqi xa khoom tsis yog them nyiaj rau cov kev pabcuam, tabsis yog ib daim qauv ntawm kev ua tsaug rau tus pab uas nqa tuaj yuav khoom,
Los ntawm kev pom zoo tias kev xa khoom raug tso cai rau koj los ntawm txoj cai lij choj ntawm Lavxias Kev Tshawb Fawb, koj paub tseeb tias koj tau paub koj tus kheej nrog cov ntawv ntawm kev nyiam ua ntej ntawm cov pej xeem thiab paub meej tias koj cov xwm txheej muaj raws li cov lus teev tseg hauv Tshooj 2 ntawm Tsoomfwv Txoj Cai ntawm Lav Xias 09.01.1997 No. 5-FZ thiab mus rau tag nrho cov cavaliers ntawm Kev Txiav Txim ntawm Kev Ua Haujlwm ntawm Zog "(raws li tau hloov kho thaum Lub Xya Hli 2, 2013) thiab Tshooj 1.1 ntawm txoj cai lij choj ntawm Lavxias Lavxias hnub tim 01.15.1993 No. 4301-1" Nyob rau Txheej Txheem ntawm Heroes ntawm lub Soviet Union, Heroes ntawm Lavxias Lavxias thiab tag nrho Knights ntawm Order of Glory ".

Peb tau tsim PillkaRu rau koj kom yooj yim.

Kev xaiv thiab yuav cov tshuaj yog txoj hauv kev tam sim no yooj yim. Xaj cov tshuaj thiab peb yuav xa nws rau koj. Peb muaj cov kev ntsuas khoom loj thiab cov kev pabcuam zoo, uas peb paub tseeb tias koj yuav txaus siab rau. Peb lav zoo cov khoom lag luam zoo los ntawm cov chaw muag tshuaj loj tshaj plaws ntawm tus nqi qis tshaj.

Ua tsaug rau tau nrog peb!

Txog li cas, TabletRu

1 ml ntawm kev ncua kev kawm muaj cov tshuaj insulin biphasic tib neeg kev tsim kho tshuab 100 IU.

Cov lus qhia tshwj xeeb:

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

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

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov txheej txheem: thaum lub qog ntshav qab zib, tus neeg mob yuav ua rau lub zog tsis muaj zog ntawm kev saib xyuas thiab txo qhov nrawm ntawm psychomotor tshua. Qhov no tuaj yeem txaus ntshai nyob rau lub sijhawm uas cov peev xwm no tshwj xeeb tshaj yog.

Cov neeg mob yuav tsum qhia rau lawv kom ceev faj kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no tseem ceeb tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj-ua ntej-ntawm cov ntshav lub qog lossis nrog kev loj hlob ntawm hypoglycemia nquag. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav tsum soj ntsuam qhov ua tau ntawm tus neeg mob tsav tsheb.

Hom thiab cov qauv ntawm kev tso tawm ntawm Humulin

Insulin Humulin yog ib yam tshuaj uas ua kom cov insulin ua tiav rau hauv tib neeg lub cev hauv cov qauv, qhov chaw ntawm cov amino acids thiab lub cev hnyav. Nws yog recombinant, uas yog, ua raws li txoj kev ntawm kev tshuaj ntsuam genetic engineering. Kev suav cov tshuaj ntawm cov tshuaj no tuaj yeem rov qab tau cov roj metabolism hauv cov neeg muaj ntshav qab zib thiab zam kom tsis txhob muaj teeb meem.

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

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

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

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

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

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

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

Humulin Tsis tu ncua - Qhov no yog kev daws teeb meem ntawm cov tshuaj insulin, hais txog kev siv yeeb yaj kiab luv luv. Nws lub hom phiaj yog pab cov suab thaj los ntawm cov ntshav kom nkag mus rau hauv cov cell, qhov chaw nws siv los ntawm lub cev rau lub zog. Nws feem ntau yog siv ua ke nrog insulin hauv nruab nrab lossis ntev ntev. Ib leeg yuav siv tau yog tias tus neeg mob muaj ntshav qab zib.
Humulin NPH - raug tshem tawm ua los ntawm tib neeg cov kua dej thiab cov tshuaj sulfate. Ua tsaug rau cov tshuaj no, lub suab thaj txo cov nyhuv pib qeeb dua li cov insulin luv luv, thiab siv sijhawm ntev dua. Ob qho kev tswj hwm ib hnub txaus txaus rau kev noj haus glycemia thaum noj mov. Ntau zaus, Humulin NPH raug kho nrog rau insulin luv luv, tab sis nrog ntshav qab zib hom 2 nws tuaj yeem siv tau ntawm nws tus kheej.
Yog ob-theem npaj muaj 30% insulin Tsis tu ncua thiab 70% - NPH. Tsawg feem ntau pom ntawm muag Humulin M2, nws muaj qhov sib piv ntawm 20:80. Vim tias qhov tseeb tias qhov kev faib ua feem ntawm cov tshuaj hormones yog tsim los ntawm cov chaw tsim khoom thiab tsis coj los ua tus neeg xav tau ntawm tus neeg mob, ntshav qab zib nrog nws cov kev pab tsis tuaj yeem tswj tau zoo li thaum siv luv thiab nruab nrab insulin cais. Humulin M3 tuaj yeem siv los ntawm cov neeg mob ntshav qab zib, rau tus neeg ib txwm pom zoo.

Cov lus qhia kom ntev:

Tag nrho cov tshuaj humulin tam sim no tsim los ntawm Humulin muaj qhov ua kom siab ntawm U100, yog li nws tsim nyog rau niaj hnub insulin koob txhaj tshuaj thiab koob txhaj tshuaj.

10 ml iav vials
cartridges rau syringe cwjmem, muaj 3 ml, hauv ib pob ntawm 5 daim.

Humulin insulin yog muab tshuaj subcutaneously, hauv qhov xwm txheej hnyav - intramuscularly. Kev tswj hwm kev tso cai tsuas yog tso cai rau Humulin Tsis tu ncua, nws yog siv los tshem tawm thiab yuav tsum tau nqa tawm tsuas yog nyob hauv kev saib xyuas neeg mob .

Kev taw qhia thiab contraindications

Raws li cov lus qhia, Humulin tuaj yeem kho rau txhua tus neeg mob uas muaj cov tshuaj insulin tsis txaus. Feem ntau pom nyob hauv cov neeg muaj tus mob hom 1 lossis ntau dua 2 xyoos mob ntshav qab zib. Kev siv tshuaj insulin ib ntus yog ua tau thaum coj menyuam, txij li cov tshuaj txo qis qab zib raug txwv nyob rau lub sijhawm no.

Humulin M3 tsuas yog kho rau cov neeg mob neeg laus xwb, rau leej twg siv cov tshuaj insulin tswj hwm kev nyuaj yog qhov nyuaj. Vim tias qhov kev pheej hmoo ntawm kev mob ntshav qab zib ntau dua mus txog 18 xyoo, Humulin M3 tsis pom zoo.

Cov tshuaj phiv:

vim tias muaj ntau dhau ntawm cov tshuaj insulin, tsis muaj kev tiv thaiv rau kev qoj ib ce, tsis muaj carbohydrates hauv zaub mov.
Cov tsos mob ntawm kev ua xua, xws li ua pob xoo, khaus, khaus thiab liab ib ncig ntawm qhov chaw txhaj tshuaj. Lawv tuaj yeem tshwm sim los ntawm tib neeg cov tshuaj insulin thiab ntu sib txuam ntawm cov tshuaj. Yog tias kev ua xua nyob rau hauv ib lub lis piam, Humulin yuav tau hloov nrog cov tshuaj insulin nrog cov sib txawv.
Cov leeg mob los yog mob plab, ua kom lub plawv muaj zog tuaj yeem tshwm sim thaum tus neeg mob tsis txaus cov poov tshuaj. Cov tsos mob ploj tom qab tshem tawm qhov tsis txaus ntawm cov macronutrient no.
Hloov pauv qhov tuab ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous ntawm qhov chaw txhaj tshuaj ntau dhau.

Tsum cov kev siv tshuaj insulin tsis tu ncua yog qhov txaus ntshai, yog li, txawm tias qhov tsis xis nyob, kev kho tshuaj insulin yuav tsum txuas ntxiv mus kom txog thaum tham nrog koj tus kws kho mob.

Feem ntau cov neeg mob uas tau qhia Humulin tsis ntsib kev mob tshwm sim dua li kev mob ntshav qab zib tsawg.

Humulin - cov lus qhia rau kev siv

Kev suav qhov ntsuas, kev npaj rau kev txhaj tshuaj thiab kev tswj hwm ntawm Humulin yog qhov zoo ib yam li lwm cov tshuaj insulin ntawm cov sijhawm ua haujlwm zoo sib xws. Qhov txawv tsuas yog nyob rau lub sijhawm ua ntej noj mov Cov. Nyob rau hauv Humulin Li Ntev nws yog 30 feeb. Nws yog qhov tsim nyog los npaj rau kev tswj hwm tus kheej ntawm cov tshuaj hormones ua ntej, ua tib zoo nyeem cov lus qhia rau kev siv.

Kev npaj

Cov tshuaj insulin yuav tsum tau muab tshem tawm hauv lub tub txias ua ntej kom ntsuas kub ntawm qhov kev daws teeb meem ntes tau nrog chav Cov. Lub taub hau los yog lub raj mis uas sib xyaw ntawm cov tshuaj hormones nrog cov tshuaj tiv thaiv (Humulin NPH, Humulin M3 thiab M2) yuav tsum tau muab nruab nrab ntawm cov xib teg ob peb zaug thiab tig mus thiab nqis kom lub txim nyob hauv qab yog yaj tag thiab qhov kev ncua ntawv tau txais cov xim tsis sib thooj yam tsis muaj kev cuam tshuam. Muab nws sib zog ua kom tsis txhob muaj qhov tsau ntau ntawm qhov kev ncua ntawv nrog cua. Humulin Qhov tsis tu ncua tsis xav tau kev npaj zoo li no, nws yog ib txwm pob tshab.

Qhov ntev ntawm rab koob yog xaiv nyob rau hauv xws li txoj hauv kev kom paub meej subcutaneous txhaj tshuaj thiab tsis nkag mus rau hauv cov leeg. Cov koob txhaj tshuaj haum rau insulin Humulin - Humapen, BD-Cwj mem thiab lawv cov duab sib piv.

Cov tshuaj insulin raug txhaj rau hauv cov chaw uas muaj cov roj ntsha ua haujlwm: lub plab, tus ncej, pob tw thiab sab caj npab. Kev nqus nrawm tshaj plaws thiab teeb tsa rau hauv cov ntshav yog pom nrog kev txhaj tshuaj mus rau hauv lub plab, yog li Humulin Tsis tu ncua yog pricked muaj. Txhawm rau kom ua yeeb yam ntawm cov tshuaj kom ua raws li cov lus qhia, nws tsis tuaj yeem tso dag kom nce ntshav ncig ntawm qhov chaw txhaj tshuaj: txhuam, muab khuam, thiab ntxig rau hauv dej kub.

Thaum qhia txog Humulin, nws yog ib qho tseem ceeb kom tsis txhob maj: maj mam sau ib daim ntawm daim tawv nqaij uas tsis muaj cov leeg nqaij, maj mam txhaj cov tshuaj, thiab tom qab ntawd tuav rab koob ntawm daim tawv nqaij rau ob peb feeb kom cov tshuaj tsis pib xau. Txhawm rau txo txoj kev pheej hmoo ntawm lipodystrophy thiab o, cov koob tau hloov tom qab siv txhua zaus.

Lus ceebtoom

Thawj koob tshuaj Humulin yuav tsum tau xaiv nrog cov kws kho mob koom nrog. Yog noj ntau dhau lawm yuav ua rau koj cov piam thaj poob thiab. Qhov tsis txaus ntseeg ntawm lub cev yog yog fraught nrog ntau yam angiopathies thiab neuropathy.

Ntau hom tshuaj insulin txawv nyob rau hauv cov hauj lwm zoo, yog li koj yuav tsum hloov ntawm Humulin mus rau lwm cov tshuaj tsuas yog muaj kev phiv los sis tsis them nyiaj txaus rau ntshav qab zib. Hloov chaw yuav tsum tau hloov dua siab tshiab koob tshuaj thiab ntxiv, ntau dua glycemic tswj.

Qhov xav tau rau insulin tuaj yeem nce ntxiv thaum lub cev hloov hauv hormonal hauv lub cev, thaum noj qee yam tshuaj, kis kab mob, kev ntxhov siab. Tsawg cov tshuaj hormones yog qhov tsim nyog rau cov neeg mob uas muaj kab mob siab thiab, tshwj xeeb, lub raum tsis ua haujlwm.

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

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

Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Ministry of Health tau ua ib qho kev saws me nyuam uas them rau cov nqi tshuaj ntau heev. Hauv Lavxias, neeg mob ntshav qab zib kom txog lub Peb Hlis 2 tuaj yeem tau txais nws - Tsuas yog 147 rubles!

Noj ntau dhau

Yog tias muaj cov insulin ntau dua li kev txhaj tshuaj dua li qhov tsim nyog yuav tau nqus cov khoom noj carbohydrates, tus neeg mob ntshav qab zib yuav kov yeej kev mob hypoglycemia. Feem ntau nws yog nrog los ntawm kev co, tshee, tsis muaj zog, tshaib plab, tawm tsam, thiab tawm hws. Qee tus neeg mob ntshav qab zib, cov tsos mob tau lwv, xws li qhov txo qis hauv qab zib yog qhov txaus ntshai tshaj plaws, vim tias nws tsis tuaj yeem tiv thaiv sijhawm. Nquag muaj ntshav qab zib tsawg kawg thiab tuaj yeem ua rau kom tsis muaj qhov txawv txav ntawm cov tsos mob.

Tam sim ntawd tom qab qhov pib ntawm hypoglycemia, nws yog yooj yim nres los ntawm ceev carbohydrates - qab zib, kua txiv hmab txiv ntoo, kua txiv qab zib cov ntsiav tshuaj Cov. Kev siv tshuaj ntau dhau heev tuaj yeem ua rau mob ntshav qab zib heev, mus txog qhov pib. Hauv tsev, nws tuaj yeem tshem tawm sai sai los ntawm kev qhia txog glucagon, muaj cov khoom siv tshwj xeeb rau kev kho mob xwm txheej ceev rau cov neeg muaj ntshav qab zib, piv txwv li, GlucaGen HypoKit. Yog tias cov piam thaj hauv cov khw muag khoom noj hauv lub siab yog qhov me me, cov tshuaj no yuav tsis pab. Txoj kev kho kom zoo tshaj plaws hauv qhov no yog kev saib xyuas cov ntshav qabzib hauv ib lub tsev kho mob. Nws yog ib qho tsim nyog kom xa tus neeg mob nyob ntawd sai li sai tau, txij li ntawm qhov tsis xeev yog sai dua ntxiv thiab ua rau muaj kev puas tsuaj rau lub cev.

Cov kev cai humulin cia txoj cai

Txhua hom insulin xav tau qhov tshwj xeeb cia khoom. Cov yam ntxwv ntawm cov tshuaj hormones hloov pauv ntau thaum khov, kis los ntawm hluav taws xob ultraviolet thiab kub siab dua 35 ° C. Khoom seem yog muab tso rau hauv tub yees, hauv qhov rooj lossis ntawm txee ua kom deb ntawm lub qab phab ntsa. Txee lub neej raws li cov lus qhia rau kev siv: 3 xyoos rau Humulin NPH thiab M3, 2 xyoos rau Kev Nquag Hloov. Lub raj mis qhib yuav tuaj yeem nyob rau ntawm 15-25 ° C rau 28 hnub.

Cov nyhuv ntawm cov tshuaj ntawm humulin

Cov tshuaj noj tuaj yeem hloov qhov kev hloov pauv ntawm insulin thiab nce qhov kev pheej hmoo ntawm kev phiv. Yog li, thaum sau daim ntawv noj tshuaj rau lub cev, tus kws kho mob yuav tsum sau tag nrho cov tshuaj noj, suav nrog tshuaj ntsuab, vitamins, zaub mov noj, tshuaj kis las thiab tshuaj ntxiv.

Ua rau lub cev	Sau cov tshuaj
Kev nce qab zib, nce ntxiv ntawm cov koob tshuaj insulin yog qhov yuav tsum tau ua.	Qhov ncauj tawm tsam, glucocorticoids, hluavtaws androgens, cov thyroid hormones, xaiv select2-adrenergic agonists, suav nrog cov tshuaj feem ntau terbutaline thiab salbutamol. Kev kho rau kab mob ntsws, nicotinic acid, lithium npaj. Thiazide diuretics siv los kho ntshav siab.
Qab zib txo. Txhawm rau kom tsis txhob mob hypoglycemia, cov koob tshuaj ntawm Humulin yuav tsum raug txo kom tsawg.	Tetracyclines, salicylates, sulfonamides, anabolics, beta-blockers, hypoglycemic cov neeg sawv cev rau kev kho mob ntshav qab zib hom 2. ACE inhibitors (xws li enalapril) thiab AT1 receptor blockers (losartan) feem ntau siv los kho ntshav siab.
Kev tsis tuaj yeem xav txog ntawm cov ntshav qab zib.	Cawv, pentacarinate, clonidine.
Txo cov tsos mob ntawm hypoglycemia, uas yog vim li cas nws nyuaj rau tshem tawm nws hauv sijhawm.	Beta blockers, piv txwv li, metoprolol, propranolol, qee qhov muag tee rau kev kho kab mob glaucoma.

Cov yam ntxwv ntawm kev siv thaum cev xeeb tub

Yuav kom zam nyob rau thaum cev xeeb tub, nws yog ib qho tseem ceeb uas yuav tsum tau tswj tas li ntawm glycemia. Hypoglycemic tshuaj tsis zoo rau lub sijhawm no, txij li lawv cuam tshuam cov khoom noj rau tus menyuam. Qhov tsuas pub kho rau lub sijhawm no yog qhov ntev thiab luv insulin, suav nrog Humulin NPH thiab Ntu. Kev qhia ntawm Humulin M3 tsis tsim nyog, vim nws tsis muaj peev xwm them taus rau ntshav qab zib mellitus zoo.

Thaum cev xeeb tub, qhov xav tau kev hloov pauv ntau ntau zaug: nws txo qis hauv thawj peb hlis, nce ntau hauv 2 thiab 3, thiab poob qis heev tom qab yug menyuam. Yog li, txhua tus kws kho mob ua tus cev xeeb tub thiab yug menyuam yuav tsum ceeb toom txog qhov muaj ntshav qab zib hauv cov poj niam.

Siv tshuaj Insulin Humulin tuaj yeem siv tsis pub txwv thaum pub niam mis, vim nws tsis nkag rau hauv mis thiab tsis cuam tshuam rau cov ntshav qab zib ntawm tus menyuam.

Dab tsi tuaj yeem hloov Humulin insulin yog tias muaj kev cuam tshuam tshwm sim:

Tshuaj	Nqi rau 1 ml, tshiav.		Kev Tshaj Tawm	Nqi rau 1 ml, tshiav.
	lub raj mis	cwj mem cartridge		lub raj mis	daim cartridge
Humulin NPH	17	23	Biosulin N	53	73
			Insuman Bazal GT	66	—
			Tshuaj yaug NPH	44	103
			Protafan NM	41	60
Humulin Tsis tu ncua	17	24	Actrapid NM	39	53
			Rinsulin P	44	89
			Insuman Ceev Heev GT	63	—
			Biosulin P	49	71
17	23	Mikstard 30 nm	Tam sim no tsis muaj
		Gensulin M30

Cov lus no tsuas yog ua tiav cov analogues - kev tsim kho ua kom muaj cov tib neeg cov insulins nrog rau kev ua haujlwm ntev.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws.

1 ml ntawm cov tshuaj muaj 100 IU ntawm tib neeg cov tshuaj insulin.

Pharmacological kev txiav txim

: DNA recombinant tib neeg cov kua dej. Nws yog lub sijhawm luv luv-insulin npaj.

Lub txiaj ntsig tseem ceeb ntawm cov tshuaj yog kev tswj hwm ntawm cov metabolism hauv qab ntuj. Tsis tas li ntawd, nws muaj qhov ua kom anabolic. Hauv cov leeg nqaij thiab lwm cov nqaij (tshwj tsis yog lub hlwb), cov roj ntsha insulin ua rau thauj cov ntshav qabzib thiab amino acids nrawm nrawm, ua kom muaj protein ntau anabolism. Insulin txhawb kev hloov pauv ntawm cov piam thaj rau glycogen hauv lub siab, inhibits gluconeogenesis thiab txhawb kev hloov pauv ntawm cov piam thaj rau cov rog.

Kev Sau thiab tso cov foos

Hauv 1 ml ntawm cov tshuaj muaj 100 units ntawm cov tshuaj nquag nquag - insulin ntawm tib neeg keeb kwm. Txuas ntxiv, qhov muaj pes tsawg leeg suav nrog: phenol, glycerol, zinc oxide, sodium hydrogen phosphate, dej tsis haum.

Humulin npc yog muaj raws li kev ncua, uas yog tswj ua subcutaneously. Hauv ib pob, 4 lossis 10 ml muag, thiab 1.5 ml thiab 3 ml cartridges tseem muaj nyob rau hauv cov khoom siv, uas yog siv hauv cov phwj hauv syringe.

Kho thaj chaw

NPH humulin muaj hypoglycemic thaj chaw ntawm nruab nrab ncua hauv lub sijhawm. Cov khoom yog recombinant thiab synthesized los ntawm tib neeg DNA. Kev kho mob ua kom haum yog txoj cai ntawm cov metabolism hauv qab ntuj. Cov tshuaj tau tshaj tawm cov lus qhia anabolic. Nws muaj cov khoom thauj hauv kev sib raug zoo nrog cov amino acids hauv cov qauv ntaub so ntswg, thiab tseem muaj kev cuam tshuam anabolism protein. Hauv lub siab, cov tshuaj insulin yog khaws cia thiab glycogen los ntawm cov piam thaj yog khaws cia. Dhau li ntawm cov piam thaj hla mus rau hauv lub cev rog, thiab qhov tsis pom kev ntawm gluconeogenesis kuj tshwm sim.

Tom qab txhaj ntawm humulin, qhov ua haujlwm nquag ntawm cov tshuaj tshwm sim tom qab ib teev thiab lub ncov ntawm kev nqis tes ua rau lub sijhawm sib nrug ntawm 2-8 teev. Tas nrho lub sijhawm ntawm cov tshuaj yog hauv 20 teev. Qhov ua tau zoo ntawm cov tshuaj insulin yog nyob ntawm tus neeg mob tshwj xeeb, nws cov ntaub ntawv ntawm lub cev, ib qho koob tshuaj thiab ib qho chaw txhaj tshuaj.

Phiv thiab haus tshaj

Cov no suav nrog:

Kev ua xua rau tawv nqaij ua pob khaus (scabies, o, liab ntawm daim tawv nqaij ntawm lub cev)
Kev ntshav siab
Lipodystrophy
Khaus lub cev tag nrho
Ua pa txog siav
Tachycardia
Hyperhidrosis
Tsawg ntshav siab
Hnyav ntawm kev ua pa.

Cov tsos mob ntawm kev noj ntau dhau yog suav nrog qhov txo qis hauv cov ntshav qab zib: pallor ntawm daim tawv nqaij, qhov kev hnov meej ntawm kev tshaib kev nqhis, tsis muaj zog hauv lub cev, tshee tshee, tsis meej pem, ntuav, nce siab hauv lub plawv, nkees, thiab hyperhidrosis. Qhov yooj yim kawm ntawv tsuas nres xwb - koj yuav tsum noj tej yam qab zib lossis hno ib qho kev daws teeb meem qabzib / dextrose. Cov Nruab Nrab - glucagon hno subcutaneously lossis intramuscularly + carbohydrate kom tsawg. Mob hnyav - tus neeg mob nyob rau hauv kev mob hnyav, nws yuav poob mus rau hauv lub ntuav dej qab zib, tom qab ntawd koj yuav tsum hu rau pawg neeg mob ua haujlwm.

Pharmstandard-Ufavita, Russia

Tus nqi nruab nrab - 392 rubles rau ib pob.

Biosulin - ib qho ua tiav ntawm cov khoom ntawm humulin npx, muaj lub sij hawm nruab nrab ntawm kev txiav txim. Tseem muaj ntawm qhov muag biosulin P - luv luv ntawm cov tshuaj.

Tus nqi pheej yig
Yooj yim siv.

Sab sij huam
Muaj cov analogues ntawm txawv teb chaws cov khoom pheej yig dua.

Eli Lilly East, Switzerland

Tus nqi nruab nrab nyob rau hauv Russia - 170 rubles rau ib pob.

Humulin M3 - yog hais txog ob-ntu analogues, muaj lub sijhawm nruab nrab ntawm kev txiav txim, uas ua rau nws muaj kev nyab xeeb dua li cov luv luv.

Pheej yig
Yooj yim ntawm kev siv.

Xav tau kev siv ceev faj
Tsis haum rau txhua tus.

Lub xeem hloov tshiab los ntawm chaw tsim tshuaj paus 14.09.2016

Kev sib cuam tshuam nrog lwm yam tshuaj thiab lwm yam kev sib cuam tshuam

Qee cov tshuaj ua rau cov metabolism hauv qabzib. Tus kws kho mob yuav tsum paub txog txhua yam kev kho mob nrog rau kev siv tshuaj insulin rau tib neeg.

Yog tias koj xav siv lwm cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob.

Kev xav tau tshuaj insulin tuaj yeem nce ntxiv nrog kev siv tshuaj nrog rau kev ua haujlwm hyperglycemic, xws li tshuaj tiv thaiv qhov ncauj, glucocorticoids, cov thyroid hormones thiab kev loj hlob hormone, danazole, β2-sympathomimetics (e.g. ritodrin, salbutamol, terbutaline), thiazides.

Qhov xav tau rau insulin tuaj yeem txo qis nrog kev siv cov tshuaj nrog hypoglycemic kev ua si, xws li tshuaj tiv thaiv hypoglycemic, salicylates (e.g. acetylsalicylic acid), sulfaantibiotics, qee cov tshuaj tiv thaiv kab mob (MAO inhibitors), qee ACE inhibitors (captopril, enalaprilin receptors), blockers , tsis xaiv-β-thaiv lossis dej cawv.

Somatostatin analogues (octreotide, lanreotide) tuaj yeem txhim kho thiab ua rau cov qaug zog tsis txaus siab rau kev xav tau.

Tso tawm daim ntawv, muaj pes tsawg leeg thiab ntim khoom

Nws muaj ob qho tib si los ntawm kev ncua rau kev tswj hwm subcutaneous hauv vials ("Humulin" NPH thiab MZ), thiab hauv daim ntawv ntawm cov lub thawv ntawv nrog tus cwj mem syringe ("Humulin Tsis tu ncua"). Kev ncua rau sc tswj hwm yog tso rau hauv ib lub ntim ntawm 10 ml. Cov xim ntawm cov ncua kev kawm ntawv yog huab lossis milky, ntim ntawm 100 IU / ml hauv ib rab koob xaum ntawm 1.5 lossis 3 ml. Hauv plawv ntawv thawv ntawm 5 koob txhaj tshuaj nyob ntawm daim yas pallet.

Cov nkauj muaj xws li cov tshuaj insulin (tib neeg lossis biphasic, 100 IU / ml), kev zam: metacresol, glycerol, protamine sulfate, phenol, zinc oxide, sodium hydrogen phosphate, dej rau kev txhaj tshuaj.

INN cov chaw tsim khoom

Lub npe thoob ntiaj teb yog insulin-isophan (tib neeg kev tshawb fawb caj).

Nws yog tsuas yog tsim los ntawm Lilly France SAAS, Fabkis.

Sawv cev hauv Lavxias: "Eli Lilly Vostok S.A."

"Humulin" nws txawv nyob rau hauv nqe nyob ntawm daim ntawv tso tawm: lam fwj los ntawm 300-500 rubles, daim cartridges ntawm 800-1000 rubles. Tus nqi yuav txawv nyob hauv ntau lub nroog thiab chaw muag tshuaj.

Cov Tshuaj Pharmacokinetics

Tus nqi ntawm kev nthuav tawm ntawm cov nyhuv yog ncaj qha nyob ntawm qhov chaw txhaj tshuaj, qhov tshuaj tau muab thiab cov tshuaj xaiv. Nws tau faib qhov tsis xwm yeem thoob plaws cov ntaub so ntswg, tsis nkag mus rau hauv niam mis thiab cov placenta. Nws raug rhuav tshem feem ntau hauv lub raum thiab mob siab los ntawm enzyme insulinase, tawm hauv cov raum.

Hom mob ntshav qab zib insulin.
Cev xeeb tub hauv cov neeg mob uas muaj ntshav qab zib mellitus siab heev (nrog rau kev noj haus tsis zoo).

Cov lus qhia rau kev siv (ntau npaum)

Tus kws kho mob teeb tsa cov koob tshuaj, nyob ntawm theem ntawm glycemia raws li kev soj ntsuam. Nws muab tshuaj subcutaneously lossis intramuscularly 1-2 zaug hauv ib hnub. Qhov chaw txhaj tshuaj yog lub plab, pob tw, xub pwg, lossis ntawm lub duav. Txhawm rau kom tsis txhob lipodystrophy, koj yuav tsum hloov tas li qhov chaw kom nws tsis rov ua ntau dua li ib hlis ib zaug.

Nws yog txwv tsis pub tswj hwm Humulin intravenously!

Tom qab txhaj tshuaj, daim tawv nqaij yuav tsis tuaj yeem zaws. Txav mus rau hauv cov hlab ntshav kom thiaj li hematoma tsis ua. Txhua tus neeg mob yuav tsum tau kawm los ntawm kws kho mob lossis kws saib xyuas mob hauv kev tswj hwm txoj cai tshuaj thiab kev nyab xeeb txog kev nyab xeeb.

Dab tsi yog Humulin?

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

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

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

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

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

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

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

Yeeb tshuaj sib cuam tshuam

Kev ua yeeb yam rau Humulin:

qab zib-txo cov ntsiav tshuaj,
inhibitors ntawm MAO, ACE, carbonic anhydrase,
imidazoles
anabolic tshuaj yuam
tshuaj tiv thaiv kev nyuaj siab - monoamine oxidase inhibitors,
tetracycline tshuaj tua kab mob,
Cov vitamins B,
lithium npaj
hypotonic tshuaj los ntawm cov pab pawg ntawm ACE inhibitors thiab beta blockers,
theophylline.

Cov tshuaj uas sib koom tes tswj hwm yog tsis xav ua:

tshuaj noj tiv thaiv tsis pub muaj menyuam
yeeb tshuaj loog,
calcium channel blockers,
cov thyroid hormones,
glucocorticosteroids,
tshuaj kho mob
tricyclic cov tshuaj tiv thaiv kab mob,
ua kom muaj kev cuam tshuam ntawm cov tshuaj tiv thaiv mob hlwb.

Tag nrho ntawm lawv inhibit cov nyhuv ntawm "Humulin", ua rau nws cov nyhuv tsis muaj zog. Nws tseem raug txwv tsis pub siv nrog lwm cov kev daws teeb meem ntawm cov tshuaj.

Cev xeeb tub thiab lactation

Nws yog ib qho tsim nyog yuav tsum tau qhia rau tus kws kho mob uas koom tes txog kev npaj cev xeeb tub los yog nws qhov pib. Qhov no yuav tsum muaj los kho qhov kev kho mob. Qhov kev xav tau rau insulin hauv cov neeg mob cev xeeb tub uas muaj ntshav qab zib feem ntau txo nyob hauv thawj peb hlis, tab sis nce ntxiv hauv zaum ob thiab thib peb. Thaum lub sijhawm lactation, kho mob thiab kho kom haum zaub mov kuj tseem xav tau. Feem ntau, Humulin tsis tau muaj qhov tshwm sim mutagenic rau txhua qhov kev sim, yog li kev kho leej niam muaj kev nyab xeeb rau tus menyuam.

Biosulin lossis nrawm: qhov twg zoo dua?

Cov no yog cov tshuaj uas tau txais los ntawm biosynthetic (DNA recombinant) txoj kev los ntawm kev hloov pauv ntawm enzymatic ntawm cov kab mob ntshav qab zib. Lawv muaj ze li sai tau rau tib neeg cov insulin. Ob qho tib si muaj cov kev cuam tshuam luv, yog li nws nyuaj rau hais tias qhov twg yog qhov zoo dua. Kev txiav txim siab ntawm kev teem caij yog txiav txim los ntawm tus kws tshwj xeeb.

Piv nrog analogues

Txhawm rau kom nkag siab txog cov tshuaj twg uas haum rau kev siv, xav txog analogues.

Ntau Lawm: Novo Nordisk A / S Novo-Alle, DK-2880 Baggswerd, Denmark.

Tus nqi: daws los ntawm 370 rubles, daim cartridges los ntawm 800 rubles.

Kev Ua: hypoglycemic tus neeg sawv cev ntawm lub sijhawm nruab nrab.

Pros: ob peb contraindications thiab phiv, haum rau cov poj niam cev xeeb tub thiab lactating.

Cons: tsis tuaj yeem siv nrog kev sib txuas nrog thiazolidinediones, vim tias muaj kev pheej hmoo ntawm lub plawv tsis ua haujlwm, thiab tseem ua cov thawj coj intramuscularly, tsuas yog subcutaneously.

Cov. Cov tshuaj nquag: tib neeg cov insulin.

Chaw tsim tshuaj paus: "Novo Nordisk A / S Novo-Alle, DK-2880" Baggswerd, Denmark.

Tus nqi: daws los ntawm 390 rubles, cartridges - los ntawm 800 rubles.

Kev Ua: hypoglycemic tshuaj ntawm lub sijhawm luv.

Pros: haum rau cov menyuam yaus thiab cov tub ntxhais hluas, cev xeeb tub thiab lactating poj niam, tuaj yeem siv ua ob qho tib si rau hauv subcutaneously thiab intravenously, yooj yim siv rau sab nraud.

Cons: tsuas yog siv nrog cov sib txuas sib xyaw, tsis tuaj yeem siv ua ke nrog thiazolidinediones.

Txhua lub hom phiaj ntawm cov analogue yuav tsum muaj kev pom zoo nrog tus kws tshaj lij. Tsuas yog tus kws kho mob koom nrog, ua raws cov txiaj ntsig ntawm kev ntsuam xyuas, txiav txim siab seb puas yuav hloov cov tshuaj mus rau tus neeg mob. Kev siv ywj siab ntawm lwm cov tshuaj insulin yog txwv!

Cov mob tshwj xeeb

1 ml tib neeg insulin 100 IU Cov Khoom Siv: metacresol, glycerol (glycerin), kua phenol, protamine sulfate, sodium hydrogen phosphate, zinc oxide, dej d / a, hydrochloric acid (10% kev daws) thiab / lossis sodium hydroxide (10% kev daws) los tsim qhov tsim nyog qib pH. tib neeg insulin 100 IU Cov Tshaj Tawm: metacresol, glycerol (glycerin), kua phenol, protamine sulfate, sodium hydrogen phosphate, zinc oxide, dej d / i, hydrochloric acid (10% kev daws) thiab / lossis sodium hydroxide (10% kev daws) los tsim yuav tsum tau pH qib. tshuaj insulin-isophan (tib neeg kev tsim kho tshuab) 100 IU Cov Khoom Plig: metacresol - 1.6 mg, glycerol - 16 mg, phenol - 0.65 mg, protamine sulfate - 0.348 mg, sodium hydrogen phosphate heptahydrate - 3.78 mg, zinc oxide - q.s. kom tau txais Zn2 + tsis pub ntau tshaj 0.04 mg, dej d / i - txog 1 ml, hydrochloric acid daws 10% - q.s. rau pH 6.9-7.8, kev daws sodium hydroxide 10% - q.s. rau pH 6.9-7.8.

Cov tshuaj phiv Humulin NPH

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

Kev taw qhia rau siv thiab phiv

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

Tsim cov tshuaj hypoglycemia.
Kev ua haujlwm tsis zoo.

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

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

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

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

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

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

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

Kev tswj hwm insulin

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

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

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

Cov nqe lus ntawm kev muag, khaws cia

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

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

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

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

Cev xeeb tub thiab lactation

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

Rau ntau tus neeg mob ntshav qab zib, cov tshuaj insulin-cov tshuaj yog lub hauv paus ntawm kev kho mob thiab kev lees paub ntawm kev noj qab haus huv ib txwm muaj.

Cov tshuaj no suav nrog Humulin NPH. Koj yuav tsum paub lub ntsiab tseem ceeb ntawm cov cuab yeej no txhawm rau tiv thaiv kev ua yuam kev hauv nws daim ntawv thov. Lub chaw tsim khoom ntawm cov khoom no muaj nyob hauv Switzerland.

Cov Neeg Mob Tshwj Xeeb thiab Cov Lus Qhia

Thaum sau ntawv ntawm Humulin, tus kws kho mob yuav tsum xav txog tias qee tus neeg mob xav tau kev kho mob tshwj xeeb. Ntawm lawv lub cev, cov tshuaj no tuaj yeem cuam tshuam rau qhov tsis zoo yog tias koj tsis qhia qhov kev txiav txim siab tsim nyog.

Qhov no siv rau cov neeg mob xws li:

Cov poj niam cev xeeb tub. Lawv txoj kev kho nrog tshuaj yog tso cai, vim hais tias cov tshuaj insulin tsis cuam tshuam rau kev loj hlob ntawm tus me nyuam hauv plab thiab tsis ua txhaum txoj cai ntawm cev xeeb tub. Tab sis lub sijhawm no, cov poj niam yog tus cwj pwm los ntawm cov kev hloov pauv hauv qab zib qhia, uas yog vim li cas qhov kev hloov txawv txav nyob rau theem ntawm lub cev xav tau cov tshuaj insulin yog ua tau. Kev tswj tsis tau zoo tuaj yeem ua rau muaj kev noj ntau dua thiab, uas yog qhov txaus ntshai rau leej niam thiab tus menyuam. Yog li, nws yog ib qho tsim nyog yuav tau kuaj xyuas qhov concentration ntawm cov piam thaj thoob plaws thaum cev xeeb tub.
Cov niam ua pub niam mis. Lawv tseem raug tso cai siv Humulin. Nws cov khoom ua si tsis cuam tshuam rau qhov zoo ntawm lub mis thiab tsis ua rau muaj kev hem thawj rau tus menyuam. Tab sis koj yuav tsum paub tseeb tias tus poj niam ua raws kev noj haus.
Cov menyuam. Yog tias koj muaj ntshav qab zib thaum me nyuam yaus, koj tuaj yeem siv cov tshuaj insulin. Tab sis koj yuav tsum coj mus rau hauv tus account lub hnub nyoog ntsig txog cov yam ntxwv ntawm lub cev, yog li koj yuav tsum ua tib zoo xaiv cov tshuaj ntau npaum li cas.
Qub neeg. Lawv kuj muaj qhov sib xws hauv cov hnub nyoog ntsig txog cov yam ntxwv uas raug saib xyuas kom them sai sai thaum sau ntawv Humulin thiab xaiv lub sijhawm kho. Tab sis nrog txoj hauv kev, cov tshuaj no tsis ua mob rau cov neeg mob zoo li no.

Qhov no txhais tau hais tias rau kev kho mob nrog insulin koj yuav tsum tau soj ntsuam tas li los ntawm tus kws kho mob thiab suav txog txhua yam cuam tshuam uas yuav cuam tshuam kev noj qab haus huv.

Yuav tsum tau ua thaum kws kho mob muab tshuaj rua lub ntsab lug yog hom mob kws muaj mob rua tug tuab neeg mob ntxiv txug ntshaav qaab zib. Vim tias ntawm lawv, ib qho kev hloov pauv ntawm cov sijhawm kho thiab kho raws li yuav tsum tau ua.

Qhov no siv rau cov xwm txheej nram no:

Lub xub ntiag tsis ua haujlwm. Vim tias nws, lub cev xav tau cov tshuaj insulin tsawg dua qhov tsis muaj cov teeb meem no. Qhov no txhais tau hais tias cov neeg mob ntshav qab zib nrog lub raum tsis ua hauj lwm muaj txo qis koob tshuaj.
Daim siab ua haujlwm. Nrog rau kev txheeb xyuas no, qhov yuav tshwm sim ntawm Humulin rau lub cev yog qhov ntxim nyiam. Hauv qhov no, cov kws kho mob xyaum txo cov tshuaj ntau npaum li cas.

Vim hais tias ntawm Humulin, tsis muaj teeb meem nrog kev tawm tsam thiab kev saib xyuas, yog li txhua yam haujlwm tau tso cai thaum kho nrog cov tshuaj no. Ceev faj yuav tsum tau ua thaum muaj cov ntshav qab zib tsawg tshwm sim, vim tias nws muaj teeb meem nyuaj hauv thaj chaw no. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev raug mob thaum ua cov haujlwm phom sij thiab tsim kev kub ntxhov ntawm kev tsav tsheb.

Sau cov analogues

Ua tib zoo mloog! Cov lus teev cia muaj cov lus zoo sib xws Humulin Tsis tu ncua, uas muaj qhov sib thooj sib thooj, yog li koj tuaj yeem xaiv qhov hloov pauv koj tus kheej, noj mus rau hauv daim ntawv thiab ntau npaum li cas ntawm cov tshuaj uas kws kho mob tau sau tseg. Muab kev nyiam rau cov tuam ntxhab los ntawm Asmeskas, Nyiv, Western Europe, thiab cov tuam txhab lag luam zoo los ntawm Eastern Europe: Krka, Gideon Richter, Actavis, Aegis, Lek, Hexal, Teva, Zentiva.

Daim ntawv tso tawm (los ntawm qhov nrov)	Nqe, tshiav.
Humulin Tsis tu ncua
Vials ntawm 100 IU / ml, 10 ml (Eli Lilly, USA)	157
Cov thawv ntawv 100 IU / ml, 3 ml, 5 pcs. (Eli Lilly, Tebchaws Asmeskas)	345
Actrapid
Actrapid NM, vials ntawm 100 IU / ml, 10 ml	405
NM mem pleev roj, cartridges 100 IU / ml, 3 ml, 5 pcs.	823
Actrapid HM
Tus kws kho mob HM Penfill
Biosulin P
Raug tshem tawm rau cov tawv ib nrab. 100 IU / ml lub raj mis 10 ml 1 pc., Ntim. (Pharmstandard - Ufavita, Russia)	442
Ncua kev kawm rau cov tawv ib nrab. 100 IU / ml cartridge 3 ml 5 pcs., Pob. (Pharmstandard - Ufavita, Russia)	958
Raug tshem tawm rau semi-tawv int. 100 IU / ml cartridge + koob txhaj - mem Biomatic Pen2 3 ml 5 pcs., Pob (Pharmstandard - Ufavita, Russia)	1276
Vozulim-R
Gansulin r
Gensulin r
Txhob kaw cov tib neeg lub cev tib neeg cov insulin * (Insulin soluble *)
Neeg insulin
Neeg insulin
Tib neeg cov ntaub ntawv lub cev ua kua dej insulin
Recombinant tib neeg cov insulin
Insuman Ceev Heev GT
100ME / ml 3ml No. 1 koob txhaj tshuaj - SoloStar cwj mem (Sanofi - Aventis Vostok ZAO (Russia)	1343.30
Tso Cai P
Monoinsulin CR
Recombinant Tib Neeg Cov Insulin
Rinsulin P
Kev daws rau kev txhaj tshuaj 100 IU / ml 10 ml - lub raj mis (ntim cov duab los qhia) (GEROPHARM - Bio LLC (Russia)	420
Kev daws rau kev txhaj tshuaj 100 IU / ml (cartridge) 3 ml No. 5 (ntim cov duab los qhia) (GEROPHARM - Bio LLC (Russia)	980
KOOS LOOS
Rosinsulin P
Humodar R 100 Hav dej
Humulin ™ Li niaj zaus

Cuaj tus qhua tau qhia txog cov nqi noj haus txhua hnub

Kuv yuav tsum tau noj Humulin npaum li cas ntau zaus?
Cov neeg teb feem ntau yuav tau haus cov tshuaj no ib hnub 3 zaug. Daim ntawv tshaj tawm qhia tias pes tsawg tus neeg teb ntxiv siv cov tshuaj no.