HUMALOG 100ME
Dua li ntawm qhov tseeb hais tias cov kws tshawb fawb tswj tau kom rov ua tiav cov tshuaj insulin molecule, uas tsim tawm hauv tib neeg lub cev, qhov kev ua ntawm cov tshuaj hormones tseem ua rau qeeb qeeb vim lub sijhawm xav kom nqus mus rau hauv cov ntshav. Thawj cov tshuaj ntawm kev ua kom zoo dua yog cov tshuaj insulin Humalog. Nws pib ua haujlwm tau ntev lawm 15 feeb tom qab txhaj tshuaj, yog li ntawd cov suab thaj los ntawm cov ntshav pauv mus rau cov ntaub so ntswg hauv lub sijhawm, thiab txawm tias lub sijhawm luv luv hyperglycemia tsis tshwm sim.
Piv nrog rau cov neeg tsim insulins yav dhau los, Humalog qhia tau zoo dua: hauv cov neeg mob, txhua hnub hloov pauv hauv qab zib yog 22%, glycemic qhov ntsuas tau zoo, tshwj xeeb tshaj yog yav tav su, thiab qhov muaj feem yuav ua rau lub cev txo qis ntshav qab zib tsawg dua. Vim tias qhov nrawm nrawm, tab sis qhov kev txiav txim ruaj khov, qhov insulin no nce hauv kev mob ntshav qab zib.
Qhia me ntsis
Cov lus qhia txog kev siv tshuaj insulin Humalog yog qhov hluav taws xob heev, thiab cov ntu piav qhia txog kev phiv thiab cov lus qhia rau kev siv nyob ntau dua ib kab lus. Cov lus piav qhia ntev ntev uas sib xyaw nrog qee cov tshuaj tau pom los ntawm cov neeg mob yog lus ceeb toom txog kev phom sij ntawm kev coj lawv. Qhov tseeb, txhua yam muaj qhov sib txawv: ib qho loj, cov lus qhia ntxaws ntxaws - cov ntaub ntawv pov thawj ntawm ntau yam kev sim siabtias cov tshuaj no thev taus zoo.
Humalogue tau txais kev pom zoo rau kev siv ntau dua 20 xyoo dhau los, thiab tam sim no nws muaj kev ruaj ntseg hais tias cov tshuaj insulin no muaj kev nyab xeeb ntawm kev siv tshuaj. Nws tau txais kev pom zoo rau kev siv los ntawm ob tus neeg laus thiab menyuam yaus; nws tuaj yeem siv rau hauv txhua kis nrog los ntawm kev tsis muaj tshuaj tiv thaiv hnyav: hom 1 thiab hom 2 mob ntshav qab zib, mob ntshav qab zib hauv lub cev, thiab phais mob phais.
Cov ntaub ntawv dav dav txog qhov Humalogue:
Kev piav qhia | Cov tshuaj daws teeb meem. Nws yuav tsum tau tshwj xeeb cia khoom, yog tias lawv tau ua txhaum, nws tuaj yeem poob nws cov khoom yam tsis muaj kev hloov pauv lub ntsej muag, yog li cov tshuaj muaj peev xwm tsuas yuav hauv khw muag tshuaj. |
Lub hauv paus ntsiab lus ntawm kev khiav haujlwm | Muab cov piam thaj rau hauv cov ntaub so ntswg, txhim kho kev hloov pauv ntawm cov piam thaj hauv daim siab, thiab tiv thaiv kev cuam tshuam ntawm cov rog. Qhov kev txiav ntshav qab zib tau pib ua ntej tshaj li cov tshuaj insulin luv luv, thiab kav ntev dua. |
Daim Ntawv | Kev daws nrog kev saib xyuas ntawm U100, kev tswj hwm - subcutaneous lossis intravenous. Ntim hauv lub thawv ntawv lossis cov ntawv xev xim siv uas siv pov tseg. |
Chaw tsim tshuaj paus | Cov kev daws teeb meem tsuas yog tsim los ntawm Lilly Fabkis, Fab Kis. Ntim yog tsim nyob rau hauv Fabkis, Tebchaws Asmeskas thiab Russia. |
Nqi | Hauv Lavxias, tus nqi ntawm ib pob khoom muaj 5 cartridges ntawm 3 ml txhua yog li 1800 rubles. Hauv Tebchaws Europe, tus nqi rau cov ntim zoo sib xws yog txog tib yam. Hauv Teb Chaws Asmeskas, cov tshuaj insulin no yuav luag kim 10 npaug. |
Cov Khoom Qhia |
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Cov Yuav Tsum Muaj | Cov tib neeg tawm tsam cov tshuaj insulin lyspro lossis cov ntu pabcuam. Ntau zaus qhia nyob rau hauv kev ua xua ntawm qhov chaw txhaj tshuaj. Nrog rau qhov mob qis qis, nws hla dhau ib lub lim tiam tom qab hloov mus rau qhov tshuaj insulin no. Cov mob hnyav yog muaj tsawg, lawv xav hloov Humalog nrog analogues. |
Cov yam ntxwv ntawm kev hloov mus rau Humalog | Thaum xaiv koob tshuaj, kev ntsuas ntau dua ntawm glycemia, yuav tsum tau muaj kev sib tham txog kev kho mob tas li. Raws li txoj cai, cov ntshav qab zib tau xav tau tsawg dua cov Humalog nyob rau ib 1 XE dua li cov neeg insulin luv. Kev xav tau ntau ntxiv rau lub cev yog pom nyob hauv ntau yam kabmob, kev nyuaj siab dhau ntawm lub cev, thiab kev tawm dag zog. |
Noj ntau dhau | Tshaj dhau cov koob tshuaj no ua rau cov ntshav qab zib tsawg. Txhawm rau tshem tawm nws, koj yuav tsum tau noj sai carbohydrates. Cov mob hnyav yuav tsum tau kho mob sai. |
Co-administration nrog lwm cov tshuaj | Humalog tuaj yeem txo qis kev ua haujlwm:
Txhim khu cov nyhuv:
Yog tias cov tshuaj no tsis tuaj yeem hloov los ntawm lwm tus, qhov tshuaj ntawm Humalog yuav tsum tau kho ib ntus. |
Cia | Hauv lub tub yees - 3 xyoos, nyob rau ntawm chav tsev kub - 4 lub lis piam. |
Ntawm cov kev mob tshwm sim, hypoglycemia thiab kev fab tshuaj tsis haum yog feem ntau pom (1-10% ntawm neeg mob ntshav qab zib). Tsawg dua 1% ntawm cov neeg mob tsim muaj lipodystrophy ntawm thaj chaw txhaj tshuaj. Qhov ntau zaus ntawm lwm cov kev tsis sib haum yog tsawg dua 0.1%.
Qhov Tseem Ceeb Tshaj Txog Neeg Yuav Tsum
Hauv tsev, Humalog yog tswj hwm subcutaneously siv rab koob xaum qhuav los yog lub tshuab nqus insulin. Yog tias muaj mob loj heev yuav tsum raug tshem tawm, kev tswj hwm cov tshuaj no kuj tuaj yeem ua rau hauv chaw kho mob. Hauv qhov no, nquag tswj cov piam thaj yog qhov tsim nyog kom tsis txhob noj ntau dhau.
Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog insulin lispro. Nws txawv ntawm tib neeg cov tshuaj hormones hauv kev npaj cov amino acids hauv cov qauv molecule. Xws li kev hloov kho tsis tiv thaiv cov cell receptors los ntawm kev paub txog cov tshuaj hormones, yog li lawv yooj yim dhau suab thaj rau lawv tus kheej. Qhov humalogue tsuas muaj cov tshuaj insulin monomers - ib qho, tsis txuas yam tsis txawv. Vim tias qhov no, nws yog nqus tau nrawm thiab tusyees, pib txo cov piam thaj sai dua li cov tshuaj insulin tsis haum.
Qhov tshuaj Humalog yog qhov tshuaj yeeb-luv dua li piv txwv li, Humulin lossis Actrapid. Raws li kev faib tawm, nws tau xa mus rau cov tshuaj insulin analogues nrog cov kev ua kom raug. Qhov pib ntawm nws cov kev ua tau nrawm dua, li 15 feeb, yog li cov neeg mob ntshav qab zib tsis tas tos kom txog thaum cov tshuaj ua haujlwm, tab sis koj tuaj yeem npaj zaub mov noj tom qab txhaj tshuaj. Ua tsaug rau qhov tsis txaus no, nws yuav yooj yim rau kev npaj zaub mov noj, thiab qhov kev pheej hmoo tsis nco qab cov zaub mov tom qab kev txhaj tshuaj yog txo qis dua.
Rau kev tswj cov glycemic zoo, kev siv tshuaj tua kab mob sai yuav tsum tau ua ke nrog qhov tsim nyog siv ntawm cov insulin ntev. Tib qho kev zam tsuas yog kev siv lub tshuab nqus dej twj tso kua mis rau ntawm lub sijhawm txuas ntxiv.
Xaiv xaiv
Kev noj tshuaj Humalog ntau nyob ntawm ntau yam thiab txiav txim siab ntawm tus kheej rau txhua tus mob ntshav qab zib. Kev siv cov qauv txheem yog tsis pom zoo, vim tias lawv ua rau kev mob ntshav qab zib hnyav dua. Yog tias tus neeg mob ua raws li cov zaub mov tsis zoo, lub cev ntawm Humalog yuav tsawg dua li tus qauv ntawm cov thawj coj tuaj yeem muab tau. Hauv qhov no, nws pom zoo kom siv cov tshuaj insulin uas tsis muaj zog tuaj.
Ultrashort cov tshuaj hormones muab cov nyhuv loj tshaj. Thaum hloov mus rau Humalog, nws qhov kev pib noj tshuaj yog xam raws li 40% ntawm kev siv insulin luv luv. Raws li cov txiaj ntsig ntawm glycemia, ntau npaum li cas tau kho. Qhov xav tau qhov nruab nrab ntawm kev npaj rau ib khob cij yog 1-1.5 units.
Cov qauv kev txhaj tshuaj
Lub humalogue yog pricked ua ntej txhua pluas noj, tsawg kawg peb zaug hauv ib hnubCov. Nyob rau hauv cov ntaub ntawv ntawm cov piam thaj siab, kho cov menyuam hlob nyob nruab nrab ntawm kev txhaj tshuaj tseem ceeb raug tso cai. Cov kev qhia rau kev siv pom zoo xam lub xav tau ntawm cov tshuaj insulin raws li cov khoom noj uas tau npaj rau kev noj haus tom ntej. Txog 15 feeb yuav tsum dhau los ntawm kev txhaj tshuaj mus rau cov zaub mov.
Raws li kev txheeb xyuas, lub sijhawm no feem ntau tsawg dua, tshwj xeeb yog thaum tav su, thaum cov tshuaj tiv thaiv insulin tsawg dua. Qhov nqus tus nqi yog nruj me ntsis rau ib tus neeg, nws tuaj yeem raug suav siv rov ua ntsuas ntsuas cov ntshav qab zib sai sai tom qab txhaj. Yog tias cov ntshav qab zib ua rau pom qhov cuam tshuam sai dua li cov lus qhia, lub sijhawm ua ntej noj mov yuav tsum raug txo kom tsawg.
Humalog yog ib qho ntawm cov tshuaj sai tshaj plaws, yog li ntawd nws yooj yim siv nws ua kev pabcuam thaum muaj xwm ceev rau cov ntshav qab zib yog tias tus neeg mob tau hem nrog hyperglycemic coma.
Lub sijhawm ua haujlwm (luv lossis ntev)
Lub ncov ntawm ultrashort insulin yog pom 60 feeb tom qab nws tswj hwm. Lub sijhawm ua haujlwm nyob ntawm lub koob tshuaj; qhov loj dua nws yog, ntev li ntawm cov suab thaj txo qis dua yog nyob nruab nrab - txog 4 teev.
Neej Neeg tshaj 25
Txhawm rau kom ntsuas qhov tseeb ntawm qhov tshwm sim ntawm Humalog, qabzib yuav tsum tau ntsuas tom qab lub sijhawm no, feem ntau qhov no ua tiav ua ntej noj mov tom ntej. Kev ntsuas ua ntej yog xav tau yog xav tias tsam lub qog ntshav qab zib tsawg.
Lub sijhawm luv luv ntawm lub Humalog tsis yog qhov ua tsis zoo, tab sis qhov zoo ntawm cov tshuaj. Ua tsaug rau nws, cov neeg mob ntshav qab zib mellitus tsis tshua muaj kev tiv thaiv ntshav qab zib, tshwj xeeb tshaj yog thaum tsaus ntuj.
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: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!
Neej Neeg Sib
Ntxiv rau qhov Humalog, lub tuam txhab kev lag luam kws tsim tshuaj Lilly France tsim cov Humalog Mix. Nws yog kev sib xyaw ntawm lyspro insulin thiab protamine sulfate. Ua tsaug rau qhov kev sib txuam no, lub sijhawm pib ntawm cov tshuaj hormone tseem zoo li, thiab lub sijhawm ua haujlwm tau nce ntxiv.
Humalog Mix yog muaj nyob rau hauv 2 ntau qhov:
Tshuaj | Muaj pes tsawg leeg,% | |
Lyspro insulin | Kev ncua ntawm insulin thiab tshuaj tiv thaiv | |
Neej Neeg Qhia 50 | 50 | 50 |
Neej Neeg Sib Xws 25 | 25 | 75 |
Qhov zoo dua ntawm cov tshuaj no yog cov tshuaj txhaj yooj yim dua. Kev tiv thaiv kab mob ntshav qab zib mellitus thaum lawv siv yog qhov phem dua li nrog kev kho mob ntxiv ntawm kev siv tshuaj insulin thiab kev siv Humalog li ib txwm, yog li ntawd, rau cov me nyuam Humalog Mix tsis siv.
Qhov tshuaj insulin no tau sau tseg:
- Cov neeg mob ntshav qab zib uas tsis tuaj yeem xam tus kheej ntawm koob tshuaj lossis ua ib qho kev txhaj tshuaj, piv txwv, vim tsis pom kev tsis zoo, tuag tes tuag taw lossis tshee.
- Cov neeg mob mob hlwb.
- Cov neeg laus uas muaj ntau yam mob ntshav qab zib thiab kev paub tsis zoo txog kev kho mob yog tias lawv tsis xav paub txoj cai los laij insulin.
- Tus neeg mob ntshav qab zib nrog hom 2 yog tias nws tus kheej tawm los tsim.
Kev kho mob ntshav qab zib nrog Humalog Mix yuav tsum noj zaub mov kom nruj, yuav tsum noj khoom txom ncauj thaum noj mov. Nws raug tso cai noj 3 XE rau noj tshais, txog 4 XE rau noj su thiab noj hmo, txog 2 XE rau noj hmo, thiab 4 XE ua ntej yuav mus pw.
Cov Kev Tshaj Tawm ntawm Humalog
Lyspro insulin raws li cov tshuaj nquag muaj tsuas yog nyob hauv thawj phau ntawv teev npe. Cov tshuaj uas ze ze yog NovoRapid (raws li aspart) thiab Apidra (glulisin). Cov cuab yeej no tseem yog ultra-luv, yog li nws tsis muaj teeb meem twg uas yuav tsum xaiv. Txhua tus tau txais txiaj ntsig zoo thiab muab cov suab thaj txo ntau. Raws li txoj cai, kev nyiam yog muab rau cov tshuaj, uas tuaj yeem muab pub dawb hauv chaw kho mob.
Qhov kev hloov pauv ntawm Humalog mus rau nws txoj kab ke paum yuav tau tsim nyog muaj kev fab ua txhaum. Yog tias tus mob ntshav qab zib ua raws li cov zaub mov tsis zoo, lossis feem ntau muaj ntshav qab zib hauv lub cev, nws yog qhov muaj kuab siv tib neeg ntau dua li siv cov tshuaj insulin.
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. nyeem ntxiv >>
Dosage daim ntawv
Kev txhaj tshuaj, ntshiab, tsis muaj xim
tshuaj insulin lispro 100 IU
Cov zam: glycerol (glycerin), zinc oxide (zinc oxide), sodium hydrogen phosphate (dibasic sodium phosphate), metacresol, dej d / thiab, hydrochloric acid (10% kev daws) thiab sodium hydroxide (10% kev daws) (los tsim pH) Cov.
Tshuaj muab tshuaj
Qhov ntau npaum li cas ntawm cov tshuaj tau txiav txim siab ib tus zuj zus los ntawm tus kws kho mob tau koom, vim nws ncaj qha nyob ntawm tus neeg mob tus mob.
Nws yog ib txwm pom zoo kom siv cov tshuaj no ua ntej noj mov, txawm li cas los xij, yog tias tsim nyog, nws tuaj yeem noj tom qab noj mov.
Humalog 25 yog tswj feem ntau subcutaneously, tab sis qee qhov kev coj ncaj qha kuj muaj peev xwm ua tau.
Cov lus qhia ntawm kev daws yuav tsum tau ua nrog ceev faj, vim tias koj tuaj yeem nkag mus rau hauv cov hlab ntshav yooj yim. Tom qab cov txheej txheem ua tiav, nws tsis raug tso cai zaws ntawm qhov chaw txhaj tshuaj.
Lub sijhawm tiv thaiv ntawm kev nqis tes ua raws ntau yam. Los ntawm cov koob tshuaj siv, nrog rau thaj chaw txhaj tshuaj, tus neeg mob lub cev kub thiab nws cov dej num txuas ntxiv.
Hom insulin input hom yog tus kheej.
Qhov ntau npaum li cas ntawm kev kho mob Humalog 50 kuj tau txiav txim siab tshwj xeeb rau tus kheej los ntawm tus kws kho mob mus kawm, nyob ntawm seb cov piam thaj hauv ntshav yuav nce li cas.
Qhov kev txhaj tshuaj yog muab rau cov leeg xwb nyob rau ntawm xub pwg, pob tw, ncej puab, lossis plab.
Kev siv cov tshuaj rau txoj kev txhaj tshuaj yog qhov tsis tuaj yeem lees paub.
Tom qab txiav txim siab qhov yuav tsum tau muaj, qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom ib tus thov tsis ntau tshaj ib zaug txhua 30 hnub.
Nqi hauv cov khw muag tshuaj Lavxias:
- Sib tov 25 ncua kev txhaj tshuaj rau 100 IU / ml 5 daim - los ntawm 1734 rubles,
- Sib tov 50 ncua kev txhaj tshuaj rau 100 IU / ml 5 daim - los ntawm 1853 rubles.
Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!
Koj tsuas yog xav tau thov ...
Cov ntaub ntawv tag nrho txog cov tshuaj Humalog hauv video:
Siv tshuaj Humalog los ntawm cov ntshav qab zib ua rau cov ntshav qab zib. Nws yog cov kab xev ncaj qha ntawm tib neeg cov tshuaj insulin. Nws yog tsim nyob rau hauv Fabkis hauv daim ntawv ntawm kev daws thiab ncua kev txhaj tshuaj. Contraindicated rau siv nrog hypoglycemia thiab intolerance mus rau lub Cheebtsam ntawm cov tshuaj.
Cov Tshuaj Hauv Tshuaj
DNA recombinant tib neeg cov tshuaj insulin. Nws txawv ntawm qhov kawg hauv kev rov ua dua ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov kab hluav taws xob insulin B.
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, 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.
Hauv cov neeg mob uas muaj hom 1 thiab hom 2 mob ntshav qab zib mellitus, thaum siv cov tshuaj insulin lyspro, hyperglycemia uas tshwm sim tom qab noj mov tau zoo dua yog muab piv nrog kev tiv thaiv tib neeg cov kua dej. Rau cov neeg mob tau txais cov tshuaj insulins luv luv thiab hauv paus, nws yog ib qho tsim nyog yuav tsum xaiv cov koob tshuaj ntawm ob qho insulins thiaj li ua tiav cov ntshav qabzib kom zoo thoob plaws ib hnub.
Ib yam li txhua qhov kev npaj tshuaj insulin, lub sijhawm lyspro insulin ua haujlwm tuaj yeem sib txawv hauv cov neeg mob lossis sijhawm sib txawv ntawm tib tus neeg mob thiab nyob ntawm lub koob tshuaj, chaw txhaj tshuaj, ntshav ntshav, kub cev thiab kev tawm dag zog.
Cov yam ntxwv ntawm lyspro insulin hauv cov menyuam yaus thiab cov hluas yog cov zoo sib xws ntawm cov neeg laus saib.
Hauv cov neeg mob uas muaj ntshav qab zib hom 2 tau txais cov tshuaj sulfonylurea ntau tshaj plaws, qhov ntxiv ntawm lyspro insulin ua rau txo qis glycated hemoglobin.
Lyspro insulin kho mob rau cov neeg mob uas muaj yam type 1 thiab ntshav qab zib hom 2 tau nrog ib tug neeg tsawg zuj zus lawm ntawm nocturnal hypoglycemia.
Qhov glucodynamic lo lus teb rau isulin lispro tsis vam khom rau kev ua haujlwm tsis zoo ntawm lub raum lossis nplooj siab.
Nws tau qhia tias cov tshuaj insulin lyspro yog qhov sib npaug rau tib neeg cov insulin, tab sis nws cov kev ua tshwm sim sai dua thiab kav rau lub sijhawm luv.
Lyspro insulin yog tus cwj pwm los ntawm qhov pib sai ntawm kev coj ua (li 15 feeb), raws li Nws muaj qhov nqus dej siab, thiab qhov no tso cai rau koj nkag mus rau nws tam sim ntawd ua ntej noj mov (0-15 feeb ua ntej noj mov), hauv kev sib piv rau cov pa luv luv ua yeeb yam (30-45 feeb ua ntej noj mov). Lyspro insulin muaj lub sijhawm luv dua (2 mus rau 5 teev) piv rau tib neeg cov tshuaj insulin.
Nosological kev faib tawm (ICD-10)
Kev daws rau kev tso ntshav thiab ntu nqaij ntawm cov thawj coj | 1 ml |
yam tshuaj: | |
tshuaj insulin lispro | 100 IU |
tus zam: glycerol (glycerin) - 16 mg, metacresol - 3.15 mg, zinc oxide - q.s. (rau cov ntsiab lus ntawm Zn 2+ - 0.0197 mg), sodium hydrogen phosphate heptahydrate - 1.88 mg, hydrochloric acid tov 10% thiab / lossis sodium hydroxide tov 10% - q.s. mus txog pH 7-7.8; dej rau kev txhaj - q.s. txog li 1 ml |
Tsuas tshuaj thiab tswj hwm
P / C nyob rau hauv daim ntawv ntawm kev txhaj tshuaj lossis ncua sc infusion nrog lub twj tso kua mis.
Cov koob tshuaj ntawm Humalog ® yog txiav txim los ntawm tus kws kho mob ntawm tus kheej, nyob ntawm seb cov concentration ntawm cov piam thaj hauv cov ntshav. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej. Cov tshuaj Humalog ® tuaj yeem muab sijhawm ua ntej noj mov, yog tias tsim nyog, nws tuaj yeem siv tau tam sim tom qab noj mov. Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.
Yog tias tsim nyog (ketoacidosis, mob hnyav, lub sijhawm ntawm kev ua haujlwm lossis sijhawm hla sijhawm), Humalog ® kev npaj kuj tseem tuaj yeem siv tau iv.
SC yuav tsum muab rau lub xub pwg, ncej puab, pob tw, lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 zaug hauv ib hlis.
Thaum s / qhia txog cov tshuaj Humalog ®, yuav tsum saib xyuas kom tsis txhob txais cov tshuaj rau hauv cov hlab ntsha. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Tus neeg mob yuav tsum tau kawm siv cov txheej txheem kev txhaj tshuaj kom raug.
Npaj rau kev tswj hwm ntawm Humalog ® hauv cartridges
Kev daws ntawm Humalog ® yuav tsum ua kom pom tseeb thiab tsis muaj kob. Tsis txhob siv qhov kev daws teeb meem ntawm Humalog ® kev npaj yog tias nws hloov mus rau qhov huab, tuab, xim tsis muaj zog, lossis cov khoom seem tau pom pom. Thaum txhim kho lub taub ntim hauv cov koob txhaj tshuaj, txuas lub koob thiab txhaj tshuaj insulin, ua raws li cov chaw tsim khoom cov lus qhia uas suav nrog txhua tus xaum xaum xaum.
2. Xaiv lub xaib rau kev txhaj tshuaj.
3. Npaj daim tawv nqaij ntawm qhov chaw txhaj tshuaj raws li kws kho mob pom zoo.
4. Tshem tawm ntawm lub hau sab nraud los ntawm rab koob.
5. Kho cov tawv nqaij.
6. Muab ntxig rau ntawm SC rab koob thiab ua qhov kev txhaj tshuaj raws li cov lus qhia siv kev siv lub xias qhwv.
7. Tshem tawm rab koob thiab maj mam nyem qhov chaw txhaj tshuaj nrog paj rwb pas nrig rau ob peb feeb. Tsis txhob txhuam thaj chaw txhaj tshuaj.
8. Siv lub hau tiv thaiv sab nraud ntawm rab koob, unscrew nws thiab muab pov tseg.
9. Muab lub hau ntim rau ntawm tus cwj mem.
Hauv / hauv kev qhia ntawm insulin. Kev txhaj tshuaj tiv thaiv ntawm Humalog alog kev npaj yuav tsum ua raws li kev siv tshuaj txhaj rau txoj kev txhaj tshuaj, piv txwv, txhaj tshuaj bolus tswj hwm lossis siv cov txheej txheem infusion. Hauv qhov no, feem ntau nws yog ib qho tsim nyog los tswj cov kev xav ntawm cov piam thaj hauv cov ntshav. Cov txheej txheem rau kev lis ntshav nrog kev mob siab los ntawm 0.1 mus rau 1 IU / ml tshuaj insulin lispro hauv 0.9% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau chav sov li 48 teev.
P / c insulin infusion siv lub twj tso kua mis. Rau Txoj kev lis ntshav ntawm Humalog ® kev npaj, twj yuav siv tau - tshuab rau kev nruam kab sc ntawm insulin nrog CE npav. Ua ntej muab cov lyspro tshuaj insulin, nco ntsoov tias lub tshuab nqus tshwj xeeb. Koj yuav tsum nruj me ntsis ua raws cov lus qhia uas tuaj nrog lub twj tso kua mis. Siv nkaus xwb tus pas dej haum thiab txoj raj dej rau lub twj tso kua mis. Txoj kev lis ntshav teeb yuav tsum tau hloov raws li cov lus qhia tau muab nrog kev teeb tsa Txoj kev lis ntshav. Yog tias qhov tshuaj tiv thaiv hypoglycemic tshwm sim, Txoj kev lis ntshav yog nres mus txog thaum rov ua ntu. Yog hais tias muaj qhov ua rau cov piam thaj hauv cov ntshav tsawg dua, ces nws yog qhov tsim nyog yuav tau qhia rau tus kws kho mob txog qhov no thiab muab rau qhov txo qis lossis tso tseg ntawm cov tshuaj insulin. Ib lub twj tso kua mis tsis ua hauj lwm lossis kev txhaws hauv txoj kev lis ntshav tuaj yeem ua rau nce ntxiv hauv cov ntshav ntshav qabzib. Yog tias lub sijhawm ua txhaum cai ntawm kev ua txhaum ntawm kev muab cov tshuaj insulin, koj yuav tsum ua raws li cov lus qhia thiab yog tias tsim nyog, qhia rau tus kws kho mob. Thaum siv lub twj tso kua mis, npaj Humalog ® yuav tsum tsis txhob sib xyaw nrog lwm cov insulins.
Txhawm rau kom npaj ntawm Humalog in hauv QuickPen ring koob txhaj tshuaj, nws yog qhov tsim nyog yuav tau paub koj tus kheej nrog QuickKen-koob txhaj tshuaj ua ntej siv cov tshuaj insulin.
QuickPen ™ Humalog® 100 IU / ml, 3 ml Cwj mem
Txhua zaus koj tau txais pob tshiab nrog QuickPen-syringe cwjmem, koj yuav tsum nyeem cov lus qhia rau kev siv dua, raws li nws yuav muaj cov ntaub ntawv tshiab. Cov ntaub ntawv muaj nyob hauv cov lus qhia tsis hloov pauv kev sib tham nrog koj tus kws kho mob txog kev mob thiab kev kho mob ntawm tus neeg mob.
Lub QuickPen-Syringe Cwj mem yog qhov muab pov tseg, ua ntej xem xaum xaum muaj 300 ntu ntawm insulin. Nrog tib tus cwj mem nkaus xwb, tus neeg mob tuaj yeem siv ntau qhov tshuaj insulin. Siv tus cwj mem no, koj tuaj yeem nkag mus rau koob tshuaj nrog qhov tseeb ntawm 1 chav. Koj tuaj yeem nkag los ntawm 1 txog 60 units ib zaug kev txhaj tshuaj. Yog tias qhov koob tau tshaj 60 units, ntau dua ib koob yuav raug. Nrog txhua qhov kev txhaj tshuaj, lub piston tsuas yog txav me ntsis, thiab tus neeg mob yuav tsis pom tias muaj kev hloov pauv hauv nws txoj haujlwm. Lub piston ncav cuag hauv qab ntawm daim cartridge tsuas yog thaum tus neeg mob tau noj tag nrho 300 tawm ib pawg uas muaj nyob hauv tus cwj mem syringe.
Tus cwj mem tsis tuaj yeem sib koom nrog lwm tus neeg, txawm tias thaum siv rab koob tshiab. Tsis txhob rov siv rab koob. Tsis txhob kis rab koob rau lwm tus neeg - kev kis tau tuaj yeem sib kis nrog rab koob, tuaj yeem ua tus kab mob sib kis tau.
Nws tsis pom zoo rau cov neeg mob uas tsis pom kev lossis tsis pom kev zoo yam tsis muaj kev pom zoo ntawm cov neeg muaj kev pom zoo uas tau kawm los ntawm kev siv lub ntsej muag zoo siv.
Lub QuickPen ™ Humalog® koob txhaj tshuaj muaj xim xiav lub cev xim, khawm burgundy koob thiab daim ntawv lo dawb nrog lub pob burgundy xim.
Txhawm rau txhawm rau txhaj tshuaj, koj xav tau QuickPen ring koob txhaj tshuaj nrog cov tshuaj insulin, ib rab koob sib xws nrog QuickPen ™ koob txhaj tshuaj (nws raug pom zoo kom siv cov kua xaum xaum me Becton, Dickinson thiab Tuam Txhab (BD), thiab ib tug cawv dab tsi hauv cawv.
Kev npaj rau insulin
- ntxuav tes nrog xab npum,
- Tshawb xyuas tus cwj mem syringe kom paub tseeb tias nws muaj qhov tseeb yam tshuaj insulin. Qhov no yog qhov tshwj xeeb tshaj yog tias tus neeg mob siv ntau dua 1 hom tshuaj insulin,
- tsis txhob siv cov xaum qhuav tas sij hawm qhia ntawm daim ntawv lo,
- Thaum txhaj txhua zaus, ib txwm siv rab koob tshiab los tiv thaiv kev kis mob thiab kom tsis txhob txhaws ntawm cov koob.
Theem 1. Tshem lub hau ntawm rab koob txhaj tshuaj (tsis txhob tshem daim ntawv lo ntawm cov phwj hauv lub ntsej muag) thiab so lub roj hmab disc nrog cov pas nrig hauv cawv.
Theem 2. Txheeb xyuas cov tshuaj insulin. Humalog ® yuav tsum pob tshab thiab xim tsis muaj xim. Tsis txhob siv yog tias nws yog huab, muaj qhov xim, lossis qee yam lossis txhaws.
Theem 3. Siv ib rab koob tshiab. Tshem tawm daim ntawv nplaum ntawm lub hau ntxiv ntawm rab koob.
Theem 4. Tso lub hau nrog rab koob ncaj qha rau ntawm tus xaum qhuav thiab tig lub koob thiab lub hau kom txog thaum nws snaps rau hauv qhov chaw.
Theem 5. Tshem tawm sab nraud ntawm rab koob, tab sis tsis txhob muab pov tseg. Tshem lub hau ntawm lub hau thiab muab pov tseg.
Txheeb cov txhaj tshuaj xau rau txoj kev haus tshuaj
Xws li daim tshev yuav tsum tau nqa tawm ua ntej txhua txoj kev txhaj tshuaj.
Kev kuaj xyuas cov kua xaum xaum rau kev haus tshuaj yog nqa tawm kom tshem tawm cov huab cua los ntawm rab koob thiab lub taub ntim, uas tuaj yeem ntxiv thaum lub sijhawm khaws cia ib txwm, thiab ua kom cov kua dej xaum ua haujlwm zoo.
Yog tias koj tsis ua qhov kev kuaj ua ntej txhua qhov kev txhaj tshuaj, koj tuaj yeem nkag rau qhov qis dhau los lossis qis dhau ntawm qhov koob txhaj tshuaj insulin.
Zaum 6. Txhawm rau tshuaj xyuas cov xaum xaum rau kev siv tshuaj, 2 chav nyob yuav tsum tau teeb tsa los ntawm kev sib hloov lub koob tshuaj khawm.
Zaum 7. Tuav tus xaum xaws tes nrog rab koob kom txog. Maj mam coj mus rhaub lub taub hau lub thawv kom cov pa npuas sau rau saum.
Zaum 8. Txuas ntxiv tuav tus tes tuav rab koob nrog rab koob kom txuas ntxiv. Nias lub koob txhaj tshuaj kom txog rau thaum nws nres thiab "0" tshwm nyob rau hauv lub ntsuas qhov ntsuas. Thaum tuav lub koob tshuaj khawm, maj mam suav mus rau 5. Cov tshuaj Insulin yuav tsum tshwm sim rau qhov taub ntawm rab koob.
- Yog tias qhov poob ntawm cov tshuaj insulin tsis tshwm sim rau ntawm lub ntsis ntawm rab koob, rov ua cov kauj ruam ntawm kev kuaj lub koob txhaj tshuaj rau kev siv tshuaj. Daim tshev tuaj yeem nqa tau tsis pub dhau 4 zaug.
- Yog tias qhov tshuaj insulin tsis tshwm sim, hloov rab koob thiab rov ua daim tshev tshuaj ntxuav tes rau qhov tshuaj.
Lub xub ntiag ntawm cov cua npuas me me yog qhov qub thiab tsis cuam tshuam rau qhov koob tshuaj tau muab.
Koj tuaj yeem nkag los ntawm 1 txog 60 units ib zaug kev txhaj tshuaj. Yog tias qhov koob tau tshaj 60 units, ntau dua ib koob yuav raug.
Yog tias koj xav tau kev pabcuam yuav ua li cas faib cov koob tshuaj kom raug, koj yuav tsum hu rau koj tus kws kho mob.
Rau txhua qhov kev txhaj tshuaj, ib rab koob tshiab yuav tsum tau siv thiab cov txheej txheem los kuaj cov koob txhaj tshuaj rau kev nqus tshuaj yuav tsum rov ua dua.
Theem 9. Txhawm rau hu rau qhov xav tau ntawm lub tshuaj insulin, tig lub pob koob tshuaj. Qhov ntsuas qhov muab yuav tsum yog nyob rau tib txoj kab nrog cov naj npawb ntawm cov ntsuas sib haum raws li qhov xav tau.
Nrog rau ib zaug ntxiv, lub koob tshuaj hloov mus rau 1 chav nyob.
Txhua qhov tig ntawm lub koob tshuaj khawm tau nyem.
Cov koob tshuaj yuav tsum tsis txhob raug xaiv los ntawm suav cov lej nias, vim tias cov koob tshuaj tsis yog tuaj yeem raug nce nyob rau hauv txoj kev no.
Cov koob tshuaj tuaj yeem hloov kho los ntawm tig khawm koob tshuaj nyob rau hauv qhov kev xav xav kom txog thaum muaj ib daim duab uas muaj raws li qhov xav tau txhaj tshuaj tshwm nyob rau hauv lub qhov taw qhia qhov tshuaj nyob ntawm kab ib kab uas yog qhov ntsuas qhov ntsuas
Txawm hais tias muaj tus naj npawb qhia hauv kev ntsuas. Cov lej khib, tom qab tus lej 1, qhia los ntawm kab kab.
Koj yuav tsum nco ntsoov xyuas tus lej hauv lub qhov ntsuas qhov ntsuas tshuaj kom paub tseeb tias qhov tshuaj koj tau txhaj yog qhov tseeb.
Yog tias muaj cov tshuaj insulin tsawg dua hauv cov koob txhaj tshuaj dua li qhov tsim nyog, tus neeg mob yuav tsis tuaj yeem tswj hwm qhov xav kom tau nrog lub xaum xaum no.
Yog tias xav tau ntau qhov kev xav tau ntau dua li hauv tus cwj mem, tus neeg mob tuaj yeem:
- nkag mus rau lub ntim uas tseem tshuav nyob hauv rab koob txhaj tshuaj, thiab tom qab ntawd siv tus cwj mem tshiab los qhia cov tshuaj uas tseem tshuav,
- noj tus cwj mem tshiab thiab nkag rau tag nrho cov tshuaj.
Qhov tshuaj insulin me me yuav nyob hauv tus cwj mem, uas tus neeg mob tsis tuaj yeem tswj hwm.
Nws yog ib qho tsim nyog yuav tau txhaj tshuaj insulin nruj me ntsis raws li kws kho mob saib xyuas tau pom.
Ntawm txhua qhov kev txhaj tshuaj, hloov pauv (hloov pauv) qhov chaw txhaj tshuaj.
Tsis txhob sim hloov cov koob tshuaj thaum lub sijhawm txhaj tshuaj.
Zaum 10. Xaiv qhov chaw txhaj tshuaj - insulin yog txhaj sc rau hauv phab ntsa plab xub ntiag, pob tw, duav lossis xub pwg. Npaj cov tawv nqaij raws li koj tus kws kho mob pom zoo.
Theem 11. Ntxig lub koob tso rau hauv qab daim tawv nqaij. Nias lub koob tshuaj kom txog thaum nws nres. Thaum tuav lub koob tshuaj khawm, maj mam suav mus rau 5, thiab tom qab ntawd tshem lub koob los ntawm daim tawv nqaij. Tsis txhob sim muab cov tshuaj insulin los ntawm tig lub koob tshuaj. Thaum koj tig lub koob tshuaj khawm, cov tshuaj insulin tsis raug xa tawm.
Zaum 12. Tshem tawm rab koob ntawm daim tawv nqaij. Nws yog qhov tso cai yog tias poob ntawm cov tshuaj insulin rau ntawm lub taub hau, qhov no tsis cuam tshuam qhov tseeb ntawm qhov koob tshuaj.
Kos tus lej hauv lub ntsuas qhov rai:
- Yog tias qhov ntsuas qhov ntsuas ntsuas yog "0" rau hauv lub qhov rais, ces tus neeg mob tau nkag mus rau hauv lub koob tshuaj,
- Yog tias tus neeg mob tsis pom “0” hauv lub qhov ntsuas qhov ntsuas, qhov tshuaj yuav tsum tsis zoo. Ntxig lub koob tso rau hauv qab tawv nqaij dua thiab ua tiav kev txhaj tshuaj,
- yog tias tus neeg mob tseem ntseeg tias qhov koob tshuaj tseem tsis tau ua kom tiav, tsis txhob rov txhaj dua. Kuaj ntshav ntshav hauv lub ntsej muag thiab ua raws li cov lus qhia ntawm koj tus kws kho mob,
- yog tias yuav tsum tau txhaj 2 koob los tswj xyuas qhov tshuaj kom puv, tsis txhob hnov qab muab qhov tshuaj thib ob.
Nrog txhua qhov kev txhaj tshuaj, lub piston tsuas yog txav me ntsis, thiab tus neeg mob yuav tsis pom tias muaj kev hloov pauv hauv nws txoj haujlwm.
Yog tias, tom qab tshem rab koob tawm ntawm daim tawv nqaij, tus neeg mob pom ib tee ntshav, ua tib zoo nias ib daim ntaub huv huv los yog cawv cawv rau qhov chaw txhaj tshuaj. Tsis txhob txhuam thaj chaw no.
Tom qab txhaj tshuaj
Theem 13. Ua tib zoo muab tso rau sab nraud ntawm rab koob.
Kauj ruam 14 Tshem lub koob tawm nrog lub hau thiab pov tseg ntawm nws raws li tau piav qhia hauv qab no (saib Pov tseg ntawm koob txhaj tshuaj thiab koob) Tsis txhob tso cov xaum xaum nrog cov koob txuas ua ke kom tiv thaiv cov tshuaj insulin, txhaws ntawm rab koob, thiab cua nkag mus hauv cov xaum xaum.
Zaum 15. Muab lub hau tso rau ntawm tus cwj mem syringe, kho lub hau txiav nrog lub qhov koob tshuaj thiab nias nws.
Pov tseg ntawm koob txhaj tshuaj thiab koob
Tso cov koob uas siv rau hauv cov thawv ntim khoom pov tseg lossis lub thawv yas tawv nrog lub hau kaw ntom ntom. Tsis txhob muab rab koob tso rau hauv qhov chaw uas tau npaj tseg rau hauv tsev neeg pov tseg.
Tus cwj mem uas siv siv tau tuaj yeem muab pov tseg nrog cov khoom pov tseg hauv tsev tom qab tshem tawm rab koob.
Nrog koj tus kws kho mob tham txog yuav ua li cas koj lub ntim ntim rau ntawm cov ntse ntse.
Cov lus qhia rau pov tseg cov koob rau hauv qhov kev piav qhia no tsis hloov cov cai, cov cai tswjfwm lossis txoj cai siv los ntawm txhua lub tsev haujlwm.
Kev Siv Tsis Caum Cwjmem. Khaws cov xaum xaum tsis siv rau hauv lub tub yees ntawm qhov kub ntawm 2 txog 8 ° C. Tsis txhob khov siv cov tshuaj insulin yog tias nws tau khov, tsis txhob siv nws. Cov cwj mem tsis siv lawm tuaj yeem muab khaws cia kom txog thaum hnub tas sij hawm uas tau sau rau ntawm daim ntawv lo, qhia tias lawv muab cia rau hauv tub yees.
Tus xaum qhuav siv tam sim no siv. Khaws cov xaum xaum xoos uas tam sim no siv nyob rau hauv chav sov txog li 30 ° C hauv qhov chaw tiv thaiv los ntawm tshav kub thiab lub teeb. Thaum hnub tas sij hawm uas tau sau tseg rau ntawm pob ntawv tas sij hawm, cwj mem siv yuav tsum tau muab pov tseg, txawm hais tias insulin nyob hauv nws.
Cov ntaub ntawv dav dav ntawm kev siv tus cwj mem kom nyab xeeb thiab siv tau
Khaws cov xaum xaum xaum thiab ib rab koob kom txhob ncav cuag cov me nyuam.
Tsis txhob siv cov xaum xaum yog tias ib qho ntawm nws zoo li tawg lossis puas.
Nco ntsoov nqa ib rab cwj mem tsis yog nyob rau hauv rooj plaub thaum lub ntsiab syringe cwj mem ploj lossis tawg.
Kev daws teeb meem
Yog tias tus neeg mob tsis tuaj yeem tshem lub hau los ntawm rab koob txhaj tshuaj, maj mam ntswj nws, thiab rub lub hau.
Yog hais tias lub koob tshuaj khawm tau nias nyuaj:
- Nias lub koob txhaj tshuaj khawm qeeb dua. Maj mam nias lub koob txhaj tshuaj khawm ua rau kev txhaj tshuaj yooj yim dua
- Lub koob yuav txhaws tau. Ntxig rab koob tshiab thiab kos mem ntawm xaum xaum rau kev siv tshuaj,
- Nws yog tau hais tias hmoov av lossis lwm qhov nkag tau nkag mus hauv xaum xaum hluav taws xob. Muab cov kua xaum xaum pov tseg thiab coj dua lub tshiab.
Yog tias tus neeg mob muaj lus nug lossis teeb meem cuam tshuam nrog kev siv QuickPen-Syringe Pen, hu rau Eli Lilly lossis koj tus kws kho mob.
Daim ntawv tso tawm
Kev daws rau kev tswj hwm ntawm txoj leeg thiab subcutaneous, 100 IU / ml.
Pob Cartridges 3 ml ntawm cov tshuaj nyob hauv ib daim cartridge. 5 cartridges ib lub hlwv. 1 bl. nyob rau hauv ib pob ntawv ntawm cardboard. Tsis tas li ntawd, nyob rau hauv cov ntaub ntawv ntawm ntim cov tshuaj ntawm ib lub tuam txhab Lavxias teb sab JSC "ORTAT", daim ntawv nplaum yog siv los tswj thawj qhib.
QuickPen ™ Syringe Cwjmem. 3 ml ntawm cov tshuaj hauv daim cartridge ua rau hauv QuickPen-syringe mem. 5 QuickPen ™ cov xaum xaum rau hauv pob ntawv cardboard. Tsis tas li ntawd, nyob rau hauv cov ntaub ntawv ntawm ntim cov tshuaj ntawm ib lub tuam txhab Lavxias teb sab JSC "ORTAT", daim ntawv nplaum yog thov los tswj thawj qhib.
Chaw tsim tshuaj paus
Kev tsim cov ntawv tiav cov khoom noj ua tiav thiab cov khoom ntim thawj: Lilly Fabkis, Fabkis (daim ntawv lag luam, QuickPen-syringe cwjmem). 2 Ru du Colonel Lilly, 67640 Fegersheim, Fab Kis.
Kev ntim khoom zaum ob thiab kev tswj kom zoo: Lilly Fabkis, Fabkis. 2 Ru du Colonel Lilly, 67640 Fegersheim, Fab Kis.
Los yog Eli Lilly thiab Tuam Txhab, USA. Indianapolis, Indiana, 46285 (QuickPen-Syringe Cwjmem).
Los yog JSC "ORTAT", Russia. 157092, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, nrog. Qaum Qaum teb, microdistrict. Kharitonovo.
Tus Neeg Sawv Cev Chaw Haujlwm hauv Tebchaws Russia / Chaw Nyob Hauv Chaw Nyob: Chaw Tso Cai Hauv Tebchaws Moscow ntawm Eli Lilly Vostok S.A. JSC, Switzerland. 123112, Moscow, Presnenskaya nab., 10.
TEL.: (495) 258-50-01, fax: (495) 258-50-05.
Lilly Pharma LLC yog tus tsim tshwj xeeb los ntawm Humalog ® nyob rau hauv Lavxias Federation.
Cov Tshuaj Pharmacokinetics
Xuas thiab faib khoom
Tom qab cov tswj hwm sc, insulin Lyspro nrawm nrawm thiab mus txog Cmax hauv ntshav ntshav tom qab 30-70 feeb. Vd ntawm insulin lyspro thiab insulin tib neeg zoo ib yam thiab muaj nyob ntawm thaj tsam ntawm 0.26-0.36 l / kg.
Nrog rau kev tswj hwm ntawm T1 / 2 ntawm insulin, lyspro yog li 1 teev. Cov neeg mob raum thiab mob hepatic tsis txaus tswj tau muaj tus lej siab ntawm kev nqus ntawm lyspro insulin piv rau tib neeg cov tshuaj insulin.
Sab sij huam
Kev phiv cuam tshuam nrog cov nyhuv tseem ceeb ntawm cov tshuaj: hypoglycemia. Kev mob ntshav khov ntau heev tuaj yeem ua rau tsis nco qab (hypoglycemic coma) thiab, tshwj tsis yog rau kev tuag.
Kev tsis haum tshuaj: kev tawm tsam ntawm lub cev muaj peev xwm ua tau - liab liab, o lossis khaus ntawm qhov chaw txhaj tshuaj (feem ntau ploj hauv ob peb hnub lossis ob peb asthiv), kev tiv thaiv kev tsis haum tshuaj (feem ntau tsis tshua muaj, tab sis muaj dua loj dua) - ua kom khaus, ua pob khaus, mob hlwb, mob taub hau, ua npaws, txog siav ua tsis taus pa, txo cov ntshav siab, tachycardia, tawm hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej.
Cov tshuaj tiv thaiv hauv zos: lipodystrophy ntawm qhov chaw txhaj tshuaj.
Cov mob tshwj xeeb
Hloov chaw ntawm tus neeg mob mus rau lwm hom lossis hom tshuaj insulin yuav tsum tau ua raws li kev saib xyuas mob nkeeg nruj me ntsis. Cov kev hloov hauv kev ua, hom (tsim tawm), hom (piv txwv, tsis tu ncua, NPH, Daim kab xev), hom (tsiaj, tib neeg, tib neeg insulin analogue) thiab / lossis cov qauv kev tsim tawm (DNA recombinant insulin lossis insulin ntawm keeb kwm tsiaj) yuav xav tau hloov pauv cov koob tshuaj.
Kev mob uas cov cim qhia ntxov ntawm hypoglycemia yog qhov tsis tseem ceeb thiab tsis tshua hais tawm muaj xws li txuas ntxiv cov ntshav qab zib mellitus, kev kho mob insulin ntau ntxiv, kab mob hauv cov kab mob ntshav qab zib mellitus, lossis tshuaj noj, xws li beta-blockers.
Hauv cov neeg mob hypoglycemic tshua tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg insulin, cov tsos mob thaum ntxov ntawm hypoglycemia yuav tsis tshua pom los yog txawv ntawm cov kev paub dhau los ntawm lawv cov insulin yav dhau los. Kev tswj tsis tau tus mob hypoglycemic lossis hyperglycemic tshua tuaj yeem ua rau tsis nco qab, tsis nco qab, lossis tuag.
Kev noj tshuaj tsis txaus lossis tsis ua haujlwm ntawm kev kho mob, tshwj xeeb tshaj yog muaj cov kab mob ntshav qab zib insulin-tuaj yeem ua rau hyperglycemia thiab ntshav qab zib ketoacidosis, cov xwm txheej uas yuav tsim kev phom sij rau tus neeg mob.
Txoj kev xav tau cov tshuaj insulin tuaj yeem txo cov neeg mob lub raum tsis ua haujlwm, zoo ib yam li cov neeg mob lub siab ua haujlwm vim qhov ua haujlwm tsawg kawg ntawm gluconeogenesis thiab insulin metabolism. Txawm li cas los xij, nyob rau hauv cov neeg mob mob siab tsis ua haujlwm ntev, muaj peev xwm tiv thaiv insulin ntau dua tuaj yeem ua rau muaj kev nce ntxiv hauv insulin.
Qhov xav tau ntawm cov tshuaj insulin tuaj yeem nce nrog cov kis kab mob, kev ntxhov siab hauv lub siab, nrog qhov nce ntawm cov carbohydrates hauv cov zaub mov noj.
Yog hais tias tus neeg mob lub cev qoj ib ce ntau zog los yog pauv noj zaub mov zoo ces kuj tseem yuav tsum tau txhaj koob tshuaj. Kev tawm dag zog tam sim ntawd tom qab noj mov tas yuav ua rau muaj ntshav qab zib tsawg dua. Ib qhov tshwm sim ntawm lub pharmacodynamics ntawm kev ua yeeb yam sai sai ntawm insulin analogues yog tias yog tias cov ntshav qog ntshav qab zib, tom qab ntawd nws tuaj yeem txhim kho tom qab txhaj tshuaj dua li thaum txhaj cov tshuaj tiv thaiv tib neeg cov tshuaj insulin.
Tus neeg mob yuav tsum tau ceeb toom tias yog tias tus kws kho mob tau sau ib qho tshuaj insulin nrog rau 40 IU / ml hauv ib lub vial, ces cov tshuaj insulin yuav tsum tsis txhob los ntawm ib daim cartridge nrog cov tshuaj insulin ntawm 100 IU / ml nrog koob txhaj rau kev qhia ntawm insulin nrog rau 40 IU / ml.
Yog tias nws yuav tsum tau noj lwm yam tshuaj tib lub sijhawm uas Humalog®, tus neeg mob yuav tsum sab laj nrog kws kho mob.
Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab
- mob ntshav qab zib mellitus hauv cov neeg laus thiab menyuam yaus, yuav tsum tau siv cov tshuaj insulin los pab tswj cov ntshav qabzib kom ntau.
Yeeb tshuaj sib cuam tshuam
Cov nyhuv hypoglycemic yog txo los ntawm kev tiv thaiv qhov ncauj, corticosteroids, thyroid hormone npaj, danazol, beta2-adrenergic agonists (suav nrog rhytodrin, salbutamol, terbutaline), tricyclic antidepressants, thiazide diuretics, chlorprotixen, diazitinium derivatives ntawm phenothiazine.
Cov nyhuv hypoglycemic ntawm Humalog yog txhim kho los ntawm beta-blockers, ethanol thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv hypoglycemic, salicylates (piv txwv li, acetylsalicylic acid, aniloprilactyl antagonists, MAP inhibitors, Ml. angiotensin II cov neeg txais.
Humalog® yuav tsum tsis txhob sib xyaw nrog tsiaj cov tshuaj insulin.
Humalog® tuaj yeem siv (nyob rau hauv kev saib xyuas ntawm tus kws kho mob) hauv kev sib xyaw nrog cov insulin ntev dua, lossis siv nrog cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj, sulfonylurea derivatives.
- Koj tuaj yeem yuav Humalog 100me / ml 3ml n5 cartridges rr d / hauv St. Petersburg hauv lub tsev muag tshuaj yooj yim rau koj los ntawm kev tso ib qho kev txiav txim ntawm Apteka.RU.
- Tus nqi ntawm Humalog 100me / ml 3ml n5 cartridges rr d / hauv hauv St. Petersburg - 1777.10 rubles.
Koj tuaj yeem nrhiav cov chaw xa khoom ze tshaj plaws hauv St. Petersburg ntawm no.
Tus nqi hluav taws xob hauv lwm lub nroog
Tus kws kho mob txiav txim siab muab koob tshuaj ib leeg zuj zus, nyob ntawm qhov xav tau ntawm tus neeg mob. Cov tshuaj Humalog® tuaj yeem muab sai ua ntej noj mov, yog tias tsim nyog tam sim tom qab noj mov.
Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.
Humalog® muab tshuaj s / c raws li kev txhaj tshuaj lossis ntxiv rau s / c txuas ntxiv siv ib lub twj tso kua mis. Yog tias tsim nyog (ketoacidosis, mob hnyav, lub sijhawm ntawm kev ua haujlwm lossis sijhawm hla sijhawm) Humalog) tuaj yeem siv tau iv.
SC yuav tsum muab rau lub xub pwg, ncej puab, pob tw, lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj 1 zaug hauv ib hlis. Thaum s / qhia txog cov tshuaj Humalog®, kev saib xyuas yuav tsum tau saib xyuas kom tsis txhob txais cov tshuaj rau hauv cov hlab ntsha. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Tus neeg mob yuav tsum tau kawm siv cov txheej txheem kev txhaj tshuaj kom raug.
Noj ntau dhau
Cov tsos mob: hypoglycemia, nrog rau cov tsos mob hauv qab no: qaug zog, tawm hws ntau, mob tachycardia, mob taub hau, ntuav, tsis meej pem.
Kev Kho Mob: Cov mob ntshav qab zib tsawg kawg feem ntau yuav nres los ntawm kev noj cov piam thaj lossis lwm yam piam thaj, lossis cov khoom muaj suab thaj.