Humulin® NPH (raug tshem tawm rau kev tswj hwm subcutaneous, 10 ml) Soluble insulin (tib neeg kev tshawb fawb caj ces)

Tsuas tshuaj thiab tswj hwm

S / c rau xwb pwg, ncej puab, pob tw los sis plab. Kev tso cai intramuscular yog tso cai.

Qhov koob tshuaj Humulin ® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb cov concentration ntawm cov piam thaj hauv cov ntshav. Hauv / hauv kev qhia tawm ntawm cov tshuaj Humulin ® NPH yog contraindicated.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. Nrog s / c tswj hwm cov tshuaj insulin, kev saib xyuas yuav tsum tau ceev faj kom tsis txhob nkag rau cov hlab ntshav. 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 zoo. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

Npaj rau kev qhia

Txog kev npaj Humulin ® NPH hauv vials. Ua ntej yuav siv, Humulin ® NPH vials yuav tsum tau muab ob peb zaug ntawm lub xib teg kom txog thaum cov tshuaj insulin rov qab ua tiav kom txog thaum nws dhau los ua homogeneous turbid kua lossis mis nyuj. Co nquag, li qhov no tuaj yeem ua rau npuas dej, uas tuaj yeem cuam tshuam nrog cov koob tshuaj kom raug. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab sib tov los yog cov khoom sib xyaw dawb dawb txuam rau hauv qab lossis phab ntsa ntawm lub thawb, tsim cov nyhuv ntawm ib qho qauv khov. Siv cov tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

Txog rau kev npaj Humulin ® NPH hauv cov cartridges. Ua ntej yuav siv, Humulin ® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm xib teg 10 npaug thiab tshee, tig rau 180 ° kuj txog 10 zaug kom txog thaum cov tshuaj insulin rov qab ua tiav kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Co nquag, li qhov no tuaj yeem ua rau npuas dej, uas tuaj yeem cuam tshuam nrog cov koob tshuaj kom raug. Sab hauv txhua daim laub ntawv yog lub khob me me uas yooj yim tov cov tshuaj insulin. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov. 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. Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tau paub koj tus kheej nrog cov kws tsim khoom cov lus qhia rau kev siv cov koob txhaj tshuaj rau kev tswj cov tshuaj insulin.

Rau Humulin ® NPH hauv QuickPen-Syringe Cwj mem. Ua ntej kev txhaj tshuaj, koj yuav tsum nyeem QuickPen ™ Syringe Pen Cov Lus Qhia rau Siv.

QuickPen ™ Syringe Cwj Pwm Qhia

QuickPen ™ syringe cwj mem tau yooj yim siv. Nws yog cov cuab yeej siv rau kev tswj cov tshuaj insulin (ib qho xaum insulin syringe) muaj 3 ml (300 PIECES) ntawm kev npaj tshuaj insulin nrog ib qho dej ntawm 100 IU / ml. Koj tuaj yeem nkag los ntawm 1 txog 60 units ntawm cov tshuaj insulin rau ib zaug kev txhaj tshuaj. Koj tuaj yeem tsim koob tshuaj nrog qhov tseeb ntawm ib chav. Yog tias ntau cov koog tau tsim tsa, cov koob tshuaj tuaj yeem hloov kho uas tsis muaj qhov poob ntawm insulin. QuickPen ™ Syringe Cwj mem yog pom zoo siv nrog koob ntau lawm Becton, Dickinson thiab Tuam Txhab (BD) rau koob txhaj tshuaj. Ua ntej siv cov koob txhaj syringe, nco ntsoov tias rab koob tau txuas nrog lub xias nqus.

Yav tom ntej, cov cai hauv qab no yuav tsum tau ua.

1. Ua raws li kev cai ntawm asepsis thiab tshuaj tua kab mob uas koj tus kws kho mob pom zoo.

3. Xaiv qhov chaw rau kev txhaj tshuaj.

4. Ua kom tawv nqaij rau ntawm thaj chaw txhaj tshuaj.

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

QuickPen ™ Syringe Cwj Mem Kev Npaj thiab Kev Taw Qhia

1. Rub lub hau tshuaj qhwv kom txav nws. Tsis txhob kiv taub hau. Tsis txhob rub daim ntawv lo los ntawm cov xaum xim. Nco ntsoov tias tshuaj insulin rau hom tshuaj insulin, hnub tas sij hawm, tsos mob. Maj mam muab cov ntaub qhwv lub taub hau 10 npaug ntawm lub xib teg thiab tig lub tes xaum tes 10 zaug.

2. Noj ib rab koob tshiab. Tshem tawm daim ntawv nplaum ntawm lub hau ntxiv ntawm rab koob. Siv cov cawv pas cawv mus so lub roj hmab disc tom kawg ntawm lub taub hau cartridge. Txuas lub rab koob nyob rau hauv lub hau, axially, mus rau syringe cwj mem. Cov ntsia hlau ntawm rab koob kom txog thaum siab txuas.

3. Tshem tawm ntawm sab nraud ntawm rab koob. Tsis txhob muab pov tseg. Tshem lub hau ntawm lub hau thiab muab pov tseg.

4. Kuaj xyuas QuickPen ™ Syringe cwj mem rau tshuaj insulin. Txhua zaus koj yuav tsum xyuas cov tshuaj insulin. Kev kuaj xyuas cov tshuaj insulin xa tawm los ntawm rab koob txhaj tshuaj yuav tsum tau ua ua ntej txhua qhov kev txhaj tshuaj kom txog thaum lub qhov ncauj me me ntawm insulin tshwm sim kom paub tseeb tias cov kua mem yog npaj rau cov koob tshuaj.

Yog tias koj tsis kuaj xyuas cov tshuaj insulin ua ntej qhov trickle tshwm, koj tuaj yeem tau txais insulin ntau dhau lossis ntau dhau.

5. Kho cov tawv nqaij los ntawm rub nws los yog khaws nws hauv qhov loj. Siv rab koob scing siv qhov txheej txheem txhaj tshuaj uas koj tus kws kho mob pom zoo. Tso koj tus ntiv tes xoo rau ntawm lub koob tshuaj thiab nias kom ruaj khov kom txog thaum nws nres kiag li. Txhawm rau nkag mus rau tag nrho cov tshuaj, tuav lub koob tshuaj thiab maj mam suav rau 5.

6. 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. Yog tias cov tshuaj insulin tawm los ntawm rab koob, feem ntau tus neeg mob tsis tuav rab koob nyob hauv qab daim tawv nqaij ntev ntev. Lub xub ntiag ntawm kev poob ntawm insulin ntawm qhov taub ntawm qhov koob yog qhov qub, nws yuav tsis cuam tshuam rau koob tshuaj.

7. Kev siv rab koob rab koob, tshem tawm rab koob thiab pov tseg ntawm nws.

Txawm hais tias cov lej raug luam tawm nyob rau hauv lub koob taw qhia qhov rai ua tus lej, tus lej khib raws li txoj kab ncaj nruab nrab ntawm tus lej.

Yog tias cov koob tshuaj uas yuav tsum tau ua rau kev tswj hwm ntau dua li ntawm cov lej uas tseem tshuav hauv daim cartridge, koj tuaj yeem nkag mus ntxiv cov tshuaj insulin hauv daim ntawv txhaj tshuaj no thiab tom qab ntawd siv tus cwj mem tshiab los ua kom tiav kev tswj hwm ntawm cov koob xav tau, lossis nkag rau tag nrho cov koob tshuaj uas siv tus cwj mem tshiab.

Tsis txhob sim txhaj tshuaj insulin los ntawm kev hloov lub pob tshuaj. Tus neeg mob yuav tsis tau txais tshuaj insulin yog tias nws hloov lub pob tshuaj. Koj yuav tsum nyem rau ntawm lub khawm koob tshuaj hauv txoj kab ncaj ncaj txhawm rau kom tau txais cov koob tshuaj ntawm cov tshuaj insulin.

Tsis txhob sim hloov cov tshuaj ntawm cov tshuaj insulin thaum txhaj tshuaj.

Lus khaws xav Lub taub ntim koob txhaj tshuaj yuav tsis pub tus neeg mob teeb tsa koob tshuaj insulin nyob rau hauv kev dhau ntawm cov chav nyob hauv daim ntawv xaum npias. Yog tias koj tsis paub meej tias koob tshuaj tiv thaiv tag nrho siv tau, koj yuav tsum tsis txhob nkag rau lwm tus. Koj yuav tsum nyeem thiab ua raws li cov lus qhia muaj nyob hauv cov lus qhia rau kev siv tshuaj. Nws yog ib qho tsim nyog yuav tsum kuaj cov ntawv lo rau ntawm rab koob txhaj tshuaj ua ntej txhua qhov kev txhaj tshuaj, kom paub tseeb tias hnub tas sij hawm ntawm cov tshuaj tsis tau tas sij hawm thiab tus neeg mob tau siv hom tshuaj insulin tsis raug, tsis txhob tshem daim ntawv lo los ntawm tus cwj mem syringe.

Cov xim ntawm QuickPick ™ syringe cwj mem koob khawm sib raug rau cov xim ntawm pob txaij ntawm daim duab lo tus xaum xaj thiab nyob ntawm hom insulin. Hauv phau ntawv no, khawm koob tshuaj yog grayed tawm. Beige xim ntawm QuickPen ™ syringe cwj mem lub cev qhia tau tias nws yog tsim rau siv nrog Humulin ® khoom.

Cia thiab pov tseg

Tus cwj mem tsis tuaj yeem siv yog tias nws tau nyob sab nraum lub tub yees rau ntau tshaj li lub sijhawm teev tseg hauv cov lus qhia rau siv.

Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws. Yog tias rab koob raug tso rau hauv qhov txuas, cov insulin tuaj yeem tawm ntawm tus cwj mem, lossis insulin yuav qhuav hauv rab koob, yog li txhaws lub koob, lossis cua npuas tuaj yeem tsim nyob rau hauv lub taub hau.

Cov koob txhaj tshuaj uas siv uas tsis siv yuav tsum muab cia rau hauv tub yees ntawm qhov txias ntawm 2 txog 8 ° C. Tsis txhob siv cov xwj xem hluav taws xob yog tias nws tau khov.

Tus cwj mem kua siv tam sim no yuav tsum khaws cia nyob rau hauv chav kub hauv qhov chaw tiv thaiv los ntawm tshav kub thiab lub teeb, tsis txhob ncav cuag cov menyuam yaus.

Muab cov koob txhaj tshuaj siv rau hauv cov ntaub ntawv pov thawj-pov thawj, cov ntim rov qab (piv txwv li, lub ntim rau cov khoom siv tshuaj lom neeg lossis khib nyiab), lossis raws li kev pom zoo los ntawm koj tus kws kho mob.

Nws yog ib qho tsim nyog yuav tau tshem tawm rab koob tom qab txhua txoj kev txhaj tshuaj.

Muab cov ntawv uas siv cov kua tshuaj phwj uas tsis muaj koob los txuas rau lawv raws li cov lus pom zoo ntawm tus kws kho mob tuaj ua raws li cov khoom pov tseg kho mob hauv nroog.

Tsis txhob ntim cov thawv ntim khoom ntim rau hauv.

Daim ntawv tso tawm

Ncua rau lub subcutaneous thawj coj, 100 IU / ml. 10 ml ntawm cov tshuaj nyob rau hauv nruab nrab iav vials. 1 fl. muab ntim rau hauv cov thawv ntawv los qhia.

3 ml nyob rau hauv nruab nrab daim iav cartridges. 5 daim laub muab tso rau hauv lub hlwv. 1 bl. lawv muab tso rau hauv cov thawv ntawv thawv los yog daim cartridge tau tso rau hauv QuickPen-syringe mem. 5 Cov phwj ntim taub hau yog muab tso rau hauv cov thawv ntawv thawv.

Chaw tsim tshuaj paus

Tsim los ntawm: Eli Lilly thiab Tuam Txhab, USA. Lilly Lub Chaw Muag Khoom, Indianapolis, Indiana 46285, Asmeskas.

Pob: ZAO "ORTAT", 157092, Russia, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, s. Qaum Qaum teb, microdistrict. Kharitonovo.

Cartridges, QuickPen ™ syringe Cwjmem , tsim los ntawm Lilly Fabkis, Fabkis. Cheeb Tsam Industrialiel, 2 ru Colonel Lilly, 67640 Fegersheim, Fab Kis.

Pob: ZAO "ORTAT", 157092, Russia, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, s. Qaum Qaum teb, microdistrict. Kharitonovo.

Lilly Pharma LLC yog tus tshwj xeeb tshaj yog cov neeg Humulin ® NPH hauv Lavxias.

Dosage daim ntawv

Ncua rau lub subcutaneous tswj ntawm 100 IU / ml

1 ml ntawm kev tshem tawm muaj

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

zam txim: sodium hydrogen phosphate, glycerin (glycerol), phenol kua, methacresol, protamine sulfate, zinc oxide, 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

Cov Tshuaj Pharmacokinetics

Humulin® NPH yog kev ua haujlwm nruab nrab insulin.

Ib qho kev ua haujlwm ntawm insulin li ib txwm muaj daim phiaj (cov piam thaj kev siv nkhaus) tom qab txhaj tshuaj subcutaneous yog qhia hauv daim duab hauv qab no yog kab tsaus. Kev hloov pauv uas tus neeg mob yuav ntsib txog lub sijhawm thiab / lossis kev siv lub zog ntawm cov tshuaj insulin hauv daim duab yog qhia tias thaj chaw muaj duab ntxoo. Cov kev sib txawv ntawm cov tib neeg hauv kev ua thiab lub sijhawm ntawm insulin kev ua raws li yam tseem ceeb xws li koob tshuaj, xaiv qhov chaw txhaj tshuaj, ntshav ntshav, ntsuas kub, kev ua si lub cev ntawm tus neeg mob, thiab lwm yam.

Kev siv tshuaj insulin

Sijhawm (teev)

Cov Tshuaj Hauv Tshuaj

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

Kev ua haujlwm tseem ceeb ntawm Humulin® NPH 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 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.

Sab sij huam

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: mob taub hau, kiv taub hau, pw tsaug zog, tsis tsaug zog, nkees, hais lus zoo nkauj hauv tes, taw, daim di ncauj los sis tus nplaig, tshee tshee, ntxhov siab, ntxhov siab, plooj tsis pom kev, hais lus tsis meej, muaj kev ntxhov siab, chim siab, tsis tuaj yeem xav, tus cwj pwm hauv txoj hauv kev, hloov tus kheej , tshee hnyo, tawm hws, 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

Tsuas tshuaj thiab tswj hwm

Qhov ntau npaum ntawm cov tshuaj thiab cov hom kev tswj hwm yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus rau txhua tus neeg mob, noj mus rau hauv tus account qhov concentration ntawm cov piam thaj hauv cov ntshav.

Ib qho kev ncua ntawm chav kub yog muab sc lossis intramuscularly (tso cai), kev tswj hwm qhov quav yog contraindicated.

Kev txhaj tshuaj hauv qab yog tsim nyob rau hauv plab, pob tw, ncej puab lossis xub pwg, tsis txhob tso cov tshuaj insulin rau hauv cov ntshav. Tib qho chaw txhaj tshuaj yuav tsum tsis txhob siv ntau tshaj 1 zaug hauv ib hlis (kwv yees). Tom qab tswj hwm tshuaj, lub chaw txhaj tshuaj tsis tuaj yeem raug muab tua pov tseg.

Ua ntej pib txoj kev kho mob, tus neeg mob yuav tsum tau kawm txog kev siv cov cuab yeej tseeb los ntawm kev siv tshuaj insulin.

Npaj rau kev tswj hwm tshuaj

Ua ntej siv, lub vial nrog cov tshuaj tau dov ntau zaus nyob nruab nrab ntawm xib teg ntawm txhais tes, lub pob txha taub hau yob 10 zaug ntawm tus xib teg ntawm tes thiab shaken, 10 zaug tig mus rau 180 ° kom txog thaum cov tshuaj tua dej tiav thiab hloov mus ua qhov tsis zoo los yog kua dej. Lub vial / cartridge tsis tuaj yeem raug tshee ua kom khov kho, vim tias qhov no tuaj yeem ua rau tsim kom muaj npuas, uas tuaj yeem cuam tshuam nrog kev noj tshuaj kom raug.

Cov tshuaj insulin, nyob rau hauv uas flakes raug pom tom qab tshee, lossis ntawm phab ntsa / hauv qab ntawm lub thauv uas cov khoom sib xyaw dawb tsim, tsim cov nyhuv ntawm tus qauv khov, tsis siv.

Txhawm rau tswj hwm cov tshuaj los ntawm cov vial, siv cov koob txhaj tshuaj coj los txuam nrog cov tshuaj insulin.

Cov khoom siv cartridges tsis tso cai rau lawv kom sib xyaw cov tshuaj nrog lwm cov tshuaj insulins. Cartridges tsis yog yuav tsum kom thim rov qab.

Cov cwj mem ceev ceev (txhaj tshuaj) tso cai rau koj nkag mus 1-60 units ntawm cov tshuaj insulin rau ib zaug txhaj. Qhov koob tshuaj tuaj yeem tsim nrog qhov raug ntawm ib chav, yog tias cov koob tshuaj tau xaiv tsis raug, nws tuaj yeem kho tau uas tsis tas yuav poob cov tshuaj.

Qhov hno tshuaj yuav tsum tsuas yog siv los ntawm ib tus neeg mob xwb; Ib rab koob tshiab siv rau txhua txoj kev txhaj tshuaj.

Cov koob txhaj tshuaj tsis raug siv yog tias ib feem ntawm nws qhov piam sij lossis tawg. Tus neeg mob yuav tsum nco ntsoov nqa xaum xaum xaum nrog nws nyob ntawm qhov pom ntawm qhov tuaj yeem ploj lossis puas tsuaj rau ib qho uas tau siv.

Cov neeg mob uas tsis pom kev lossis tsis pom kev zoo yuav tsum siv cov koob tshuaj nyob rau hauv kev qhia ntawm cov neeg tau pom zoo uas paub siv nws.

Ua ntej txhua txoj kev txhaj tshuaj, kos daim ntawv lo rau ntawm rab koob xaum, uas muaj cov ntaub ntawv hais txog hnub tas sij hawm thiab hom tshuaj insulin. Cov koob txhaj tshuaj muaj cov khawm koob txho, nws cov xim phim rau cov hlua ntawm daim ntawv lo thiab hom ntawm cov tshuaj insulin siv.

Kev tswj hwm tshuaj

Koob yog siv los hno cov tshuaj insulin los ntawm lub koob txhaj tshuaj.Ua ntej siv, nws yog ib qho tseem ceeb kom ntseeg tau tias rab koob tau txuas nrog lub koob tshuaj.

Thaum sau tshuaj ntawm cov tshuaj insulin hauv ib qho koob tshuaj ntau tshaj 60 units, ob qhov kev txhaj tshuaj.

Hauv qhov xwm txheej uas tus neeg mob tsis paub meej ntau npaum li cas tshuaj nyob rau hauv daim cartridge, nws tig lub pob tes xaum nrog qhov taub ntawm rab koob qis thiab saib cov nplai ntawm lub pob tshab yas dhos, uas qhia kwv yees li ntawm insulin ntxiv. Cov lej no tsis yog siv los teeb tsa qhov koob.

Yog tias tus neeg mob tsis tuaj yeem tshem lub hau ntawm rab koob, nws yuav tsum ua tib zoo tig nws ntawm lub moos (counterclockwise), thiab rub nws.

Txhua zaus ua ntej txhaj tshuaj, khij tus cwj mem rau cov tshuaj insulin. Txhawm rau ua qhov no, tshem lub hau sab nraud ntawm rab koob (nws tsis pov tseg), tom qab ntawd lub hau sab hauv (nws muab pov tseg), tig lub pob koob tshuaj kom txog thaum 2 chav teeb, taw tes rau qhov ntsuas cov tuaj thiab coj mus rhaub rau lub thawv ntim khoom kom sau cov pa npuas hauv seem. Tuav tus cwj mem syringe nrog rab koob nce, nias lub koob tshuaj kom txog thaum nws nres thiab tus lej 0 tshwm nyob rau hauv lub qhov taw qhia qhov rais. Txuas ntxiv los tuav lub khawm koob tshuaj nyob rau hauv txoj haujlwm recessed, maj mam suav mus rau 5. Yog tias muaj kev ntxig ntxig ntawm insulin rau ntawm lub hau koob, qhov kev ntsuas tau pom tias ua tiav thiab ua tiav. Hauv qhov xwm txheej uas tsis muaj tseeb ntawm cov tshuaj insulin tsis tshwm sim thaum kawg ntawm rab koob, theem ntawm kev kuaj xyuas cov ntawv txais yuav rov ua 4 zaug.

Cov lus qhia rau kev tswj hwm cov tshuaj uas siv cov koob tshuaj:

• rab koob xwj yog tso tawm ntawm lub hau,
• kuaj xyuas cov tshuaj insulin
• muab ib rab koob tshiab, tshem cov ntawv nplaum ntawm nws sab nraud,
• lub roj hmab disc ntawm qhov kawg ntawm tus cartridge nrog yog so nrog ib tug pas dej hauv cawv,
• rab koob yog ntsia ncaj ncaj raws ntawm lub axis ntawm lub koob kom txog thaum nws txuas kiag li,
• kuaj cov tshuaj insulin,
• siv lub koob tshuaj khawm teem qhov xav tau ntau ntawm cov ntsuas tshuaj,
• ib rab koob tau ntxig rau hauv qab daim tawv nqaij, nrog tus ntiv tes xoo nruj nias lub koob tshuaj kom txog thaum nws nres kiag li. Yog tias nws tsim nyog los qhia txog kev noj tshuaj kom puv - khawm yuav txuas ntxiv thiab maj mam suav mus rau 5,
• lub koob raug tshem tawm hauv qab ntawm daim tawv nqaij, ib lub hau sab nraud raug muab tso rau nws, nws yog unscrewed los ntawm cov koob tshuaj thiab pov tseg raws li cov lus qhia ntawm tus kws kho mob tuaj koom,
• muab lub hau kaw rau ntawm tus cwj mem xaum qhuav.

Cov cav yuav tsum tsis txhob tso nrog cov koob uas txuas nrog lawv.

Yog tias tus neeg mob tsis paub tseeb tias nws tau txhaj tshuaj tag nrho, nws tsis muab ib qho tshuaj ntxiv rau.

Cov lus qhia tshwj xeeb

Kev tswj xyuas mob nruj me ntsis yog yuav tsum muaj thaum hloov pauv hom lossis chaw tsim tshuaj paus ntawm cov kua dej. Qhov xav tau ntawm kev hloov koob tshuaj yuav tshwm sim thaum hloov hom, hom, kev ua ub no, hom thiab (lossis) txoj hauv kev ntawm kev tsim cov tshuaj insulin.

Yuav tau txhaj tshuaj kho thaum hloov qee tus neeg mob los ntawm insulin ntawm tsiaj keeb kwm rau tib neeg insulin - ob qho tib si nyob rau thawj thawj tswj xyuas tom kawg, thiab maj mam dhau ob peb lub lis piam lossis ntau lub hlis tom qab pib siv. Nws yuav tsum tau yug los rau hauv lub siab tias hauv qee cov neeg mob, cov tsos mob ntawm lub caij nyoog ntawm kev mob ntshav qab zib nrog kev siv ntawm tib neeg cov tshuaj insulin yuav tsis tshua tau hais lossis txawv ntawm cov uas tau tsim nrog kev qhia ntawm insulin ntawm tsiaj keeb kwm.

Qee lossis tag nrho cov kev tshwm sim ntawm kev txo qis ntshav qab zib yuav ploj mus nrog kev ua haujlwm ntawm cov ntshav qabzib, piv txwv li, los ntawm kev kho mob ntau ntxiv nrog insulin. Cov neeg mob yuav tsum tau qhia txog qhov no ua ntej.

Thaum muaj kev kho mob nrog beta-blockers, ntshav qab zib neuropathy, ntev ntev cov ntshav qab zib mellitus, hloov pauv lossis tsawg dua cov tsos mob tshwm sim ua ntej ntawm hypoglycemia yog ua tau.

Ntshav qab zib ketoacidosis thiab hyperglycemia tuaj yeem txhim kho thaum siv cov tshuaj tsis raug ntawm cov tshuaj lossis tsis kho.

Kab mob siab lossis lub raum tsis ua haujlwm, qhov tsis txaus ntawm cov thyroid caj pas, pituitary caj pas lossis qog ua qog tuaj yeem txo qhov xav tau ntawm insulin. Kev xav dhau ntawm qhov tsis txaus siab thiab qee yam kab mob, ntawm qhov tsis sib xws, tuaj yeem nce ntxiv qhov xav tau ntawm insulin. Thaum hloov kev noj haus tsis tu ncua lossis nce kev tawm dag zog, yuav tsum tau txhaj koob tshuaj.

Kev siv ntawm kev sib xyaw ua ke nrog cov tshuaj insulin nrog thiazolidinedione pab pawg tshuaj yuav ua rau muaj kev pheej hmoo ntawm kev mob plawv tsis ua hauj lwm ntev thiab mob edema, tshwj xeeb tshaj yog nrog cov kab mob ntawm cov hlab plawv thiab muaj cov kev pheej hmoo ua rau mob plawv tsis ua haujlwm.

Vim tias txoj kev loj hlob ntawm kev txo qis, cov neeg mob yuav tsum ceev faj thaum lub sijhawm kho mob thaum siv tshuab lossis tsav tsheb.

Yeeb tshuaj sib cuam tshuam

• thiazide diuretics, iodine-muaj cov thyroid hormones, phenothiazine derivatives, tshuaj uas ua rau muaj kev nce siab ntau hauv cov ntshav, nicotinic acid, glucocorticosteroids, tshuaj tiv thaiv hauv qhov ncauj, chlorprotixen, lithium carbonate, beta-2-adrenergic agonists, danazol, isoniazid, tuaj yeem siv:
• qhov ncauj hypoglycemic tshuaj, guanethidine, anabolic steroids, antagonists ntawm angiotensin II receptors, angiotensin converting enzyme inhibitors, octreotide, sulfa tshuaj tua kab mob, fenfluramine, tej antidepressants (monoamine oxidase inhibitors), tetracyclines, ethanol thiab etanolsoderzhaschie tshuaj, beta-blockers, salicylates (acetyl salicylic acid thiab cov zoo li. p.): tuaj yeem txo qhov xav tau tshuaj insulin,
• reserpine, clonidine, beta-blockers: tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

Cov yeeb yaj kiab ntawm Humulin NPH yog Rosinsulin S, Rinsulin NPH, Protafan HM, Protamine-Insulin ChS, Insuman Bazal GT, Gensulin N, Vozulim-N, Biosulin.