Insulin Lizpro thiab nws cov npe lag luam

kev daws rau cov tub ceev xwm thiab subcutaneous cov thawj coj

1.0 ml ntawm kev daws rau cov dej num ntawm cev nqaij daim tawv thiab subcutaneous muaj:
cov tshuaj nquag: Lyspro Insulin 100 ME (3.47 mg),
tus zam: zinc oxide 25 μg, sodium phosphate disubstituted 1.88 mg, glycerol 16 mg, metacresol 3.15 mg, hydrochloric acid rau pH 7.0-7.8, sodium hydroxide rau pH 7.0-7.8, dej rau kev txhaj tshuaj txog li 1.0 ml.

Pob tshab tsis muaj xim.

Cov chaw muag tshuaj

Lyspro insulin yog ib qho DNA sib txuas ntawm tib neeg cov tshuaj insulin. Nws txawv ntawm tib neeg cov insulin hauv kev rov qab hloov zuj zus ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov kab hluav taws xob insulin B.

Cov Tshuaj Hauv Tshuaj
Kev ua tseem ceeb ntawm insulin lyspro yog txoj cai 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 cov ntsiab lus ntawm glycogen, fatty acids, glycerol, kev nce synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis muaj qhov glycogenolysis tsawg dua. gluconeogenesis, ketogenesis. lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.
Nws tau qhia tias lyspro insulin yog qhov sib npaug rau tib neeg cov kua dej, tab sis nws cov kev ua tshwm sim ntau dua thiab kav rau lub sijhawm luv luv.
Lyspro insulin yog tus cwj pwm los ntawm qhov pib sai ntawm kev nqis tes ua (kwv yees li 15 feeb), vim 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), tsis zoo li cov insulin luv luv. Lyspro insulin sai sai rau nws cov txiaj ntsig thiab muaj lub sijhawm ua haujlwm luv luv (txij li 2 txog 5 teev), tab sis muab piv nrog cov tshuaj insulin zoo tib yam.
Hauv cov neeg mob uas muaj hom 1 thiab hom 2 mob ntshav qab zib mellitus, hyperglycemia uas tshwm sim tom qab noj mov nrog lyspro insulin poob ntau dua piv rau soluble tib neeg cov kua dej.
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.
Kev siv lyspro insulin nyob rau hauv cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2 yog nrog los txo qis ntawm cov zaus ntawm cov mob nocturnal hypoglycemia piv nrog kev tiv thaiv tib neeg cov kua dej. Qhov glucodynamic lo lus teb rau lispro insulin yog ywj siab ntawm lub raum lossis mob ntshav siab.

Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm subcutaneous, Lyspro cov tshuaj insulin yog nqus sai thiab nce mus txog qhov siab tshaj plaws ntshav ntshav tom qab 30-70 feeb.
Nrog kev tswj hwm subcutaneous, ib nrab-lub neej ntawm insulin lispro yog li 1 teev.
Hauv cov neeg mob uas lub raum tsis ua haujlwm, muaj tus lej siab ntawm kev nqus ntawm lyspro insulin piv nrog insulin tib neeg lub cev. Hauv cov neeg mob uas muaj ntshav qab zib hom 2, pharmacokinetic sib txawv ntawm lispro insulin thiab soluble tib neeg insulin yog ywj siab ntawm kev ua haujlwm raum.
Cov neeg mob nrog rau daim siab tsis muaj peev xwm ua rau muaj qhov nqus dej dua thiab ua kom sai dua ntawm lispro insulin piv rau soluble tib neeg cov tshuaj insulin.

Siv thaum cev xeeb tub thiab thaum pub mis nyuaj

Cev xeeb tub
Ntau cov ntaub ntawv hais txog kev siv tshuaj insulin lispro thaum cev xeeb tub qhia tias qhov tsis muaj qhov xav tsis zoo ntawm cov tshuaj rau cev xeeb tub lossis cov mob ntawm cov menyuam hauv plab thiab cov menyuam yug tshiab.
Thaum cev xeeb tub, qhov tseem ceeb yog tswj cov glycemic zoo hauv cov neeg mob ntshav qab zib uas tau txais kev kho mob nrog insulin. Qhov kev xav tau rau insulin feem ntau poob qis thaum thawj peb lub hlis thiab nce ntxiv thaum lub sijhawm thib ob thiab thib peb. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Cov neeg mob ntshav qab zib yuav tsum sab laj nrog kws kho mob yog tias cev xeeb tub tshwm sim los yog npaj ua ntej. Tus cev xeeb tub hauv cov neeg mob ntshav qab zib, qhov tseem ceeb tshaj plaws yog ua tib zoo saib xyuas kom cov concentration ntawm cov piam thaj hauv cov ntshav, nrog rau kev noj qab haus huv feem ntau.
Lub sijhawm pub mis niam
Cov neeg mob lub sijhawm pub niam mis rau noj yuav tsum tau hloov kho ntau dua cov tshuaj insulin, zaub mov noj, lossis ob qho tib si.

Tsuas tshuaj thiab tswj hwm

Qhov ntau npaum li cas ntawm cov tshuaj Insulin Lyspro 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. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.
Cov tshuaj Insulin Lyspro tuaj yeem muab tshuaj ua ntej noj mov (0-15 feeb ua ntej noj mov). Yog tias tsim nyog, cov tshuaj Insulin Lyspro tuaj yeem muab tshuaj sai tom qab noj mov.
Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.
Cov tshuaj Insulin Lyspro yuav tsum tau muab tshuaj ua haujlwm subcutaneous txhaj tshuaj lossis tshuaj ncua ntev hauv lub cev nrog lub ntsuas cov tshuaj insulin. Yog tias tsim nyog (ketoacidosis, mob hnyav, lub sijhawm ntawm kev ua haujlwm lossis sijhawm hla sijhawm dhau los), cov tshuaj Insulin Lyspro tuaj yeem muab tshuaj rau hauv cov leeg ntshav.
Subcutaneously yuav tsum txhaj rau hauv lub xub pwg, ncej puab, pob tw los sis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 zaug hauv ib hlis. Nrog kev tswj hwm ntawm cov tshuaj Insulin Lyspro, kev saib xyuas yuav tsum tau saib xyuas kom tsis txhob muaj cov tshuaj nkag rau cov hlab ntshav. 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.

Cov lus qhia rau kev tswj hwm tshuaj yeeb tshuaj insulin lispro
a) Npaj rau kev taw qhia
Kev daws cov tshuaj Insulin Lyspro yuav tsum yog pob tshab thiab tsis muaj kob. Tsis txhob siv cov tshuaj ntawm Insulin Lyspro yog tias nws yog huab, thickened, tsis muaj zog xim, lossis yog tias cov khoom tawg tau 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. Cartridges nrog Insulin Lyspro tuaj yeem siv nrog EndoPen koob txhaj tshuaj tsim los ntawm Beijing Gangan Technology Co., Ltd., Suav. Daim ntawv cartridges tsis tuaj yeem siv nrog lwm cov kua roj pleev roj rau kev siv ntau zaus, vim tias qhov tseeb ntawm kev haus tshuaj tau tsim rau tsuas yog cov phwj sab saud.
b) koob tshuaj
1. Ntxuav koj txhais tes.
2. Xaiv qhov chaw 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. Xauv cov tawv nqaij.
6. Tso lub koob txhaj tshuaj subcutaneously thiab ua qhov kev txhaj tshuaj raws li cov lus qhia siv kev siv tus xaum xim.
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 ntim sab nraud, khi lub koob thiab pov tseg ntawm nws.
9. Muab lub hau ntim rau ntawm tus cwj mem.
c) Tso dej siab tswj hwm cov tshuaj insulin
Kev txhaj tshuaj rau cov tshuaj Insulin Lyspro yuav tsum ua kom raws li kev siv tshuaj txhaj rau txoj kev txhaj tshuaj, piv txwv, siv tshuaj tiv thaiv kab mob 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.
Lub tshuab ua ke nrog cov ntsiab lus los ntawm 0.1 IU / ml rau 1.0 IU / ml ntawm insulin lispro hauv 0.9% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau chav sov li 48 teev.
d) Kev tswj hwm ntawm cov tshuaj insulin uas siv lub tshuab nqus dej insulin
Rau kev qhia ntawm cov tshuaj Insulin Lyspro, koj tuaj yeem siv cov twj tso kua mis - ib qho kev siv rau kev ua haujlwm tsis tu ncua ntawm cov tshuaj insulin nrog cov cim CE. 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 lub taub dej haum thiab kav raj rau lub twj tso kua mis. Cov khoom siv hauv insulin yuav tsum tau hloov pauv raws li cov lus qhia tau muab nrog cov khoom siv no. Cov teeb meem ntawm lub ntsej muag hypoglycemic, kev tswj hwm yog nres kom txog rau thaum qhov rov daws tau. Yog tias muaj cov suab thaj hauv cov ntshav hauv cov ntshav tau sau tseg, tom qab ntawd nws yog qhov yuav tsum tau qhia rau tus kws kho mob txog qhov no thiab muab kom txo qis lossis tso tseg ntawm cov tshuaj insulin. Lub twj tso kua mis tsis ua hauj lwm los yog kev txhaws ntawm lub luag hauj lwm tswj hwm tuaj yeem ua rau cov piam thaj nce siab. 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, cov tshuaj Insulin Lyspro yuav tsum tsis txhob sib xyaw nrog lwm cov tshuaj insulins.

Sab sij huam

Kev ntshav siab yog qhov ua tsis xav tau ntau tshaj nyob hauv kev kho mob insulin ntawm cov neeg mob ntshav qab zib. Kev mob ntshav khov ntau heev tuaj yeem ua rau tsis nco qab (mob ntshav qab zib tsis tsaug zog) thiab. hauv qhov tshwj xeeb, kom tuag.
Cov neeg mob yuav ntsib chaw ua xua nyob rau hauv daim ntawv ntawm daim tawv liab, o, lossis khaus ntawm qhov chaw txhaj tshuaj. Feem ntau, cov tsos mob no ploj mus li ntawm ob peb hnub lossis ob peb lim tiam. Feem ntau tsis tshua muaj tshwm sim kev tsis haum tshuaj dav dav, nyob rau hauv uas khaus yuav tshwm sim thoob plaws lub cev, urticaria, angioedema, kub taub hau, ua tsis taus pa, txo cov ntshav siab, tachycardia. nce hws. Cov teeb meem nyhav ntawm kev tsis haum suav nrog tuaj yeem ua rau tuag taus.
Qhov chaw txhaj tshuaj yuav loj tuaj lipodystrophy.
Cov lus tshwm sim:
Cov kab mob ntawm kev txhim kho ntawm edema tau sau tseg, uas tau tsim tshwj xeeb tom qab kev ceev nrawm ntawm cov ntshav qabzib hauv siab thaum kho mob ntau ntxiv nrog kev pib tsis txaus siab ntawm glycemic tswj (saib ntu "Cov Lus Qhia Tshwj Xeeb").

Noj ntau dhau

Cov tsos mob kev noj ntau dhau yog nrog los ntawm kev txhim kho cov tsos mob ntawm kev mob ntshav qab zib: tsaug zog, tawm hws, tshee, tshee, tachycardia, mob taub hau, kiv taub hau, ntuav, tsis meej pem.
Kev Kho Mob: cov ntshav qog ua kom ntshav qab zib tsawg kawg yog nres los ntawm kev noj cov piam thaj lossis lwm yam qab zib, lossis cov khoom muaj suab thaj (nws pom zoo kom ib txwm muaj tsawg kawg 20 g piam thaj nrog koj).
Kev kho cov ntshav qog ntshav me ntsis tuaj yeem nqa tawm los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj zaubmov tom qab ua kom ruaj ntseg ntawm tus neeg mob. Cov neeg mob uas tsis teb rau glucagon raug txhaj nrog dextrose (glucose) tov nrog txoj leeg.
Yog hais tias tus neeg mob nyob hauv lub cev tsis xeev, ces glucagon yuav tsum muab tshuaj intramuscularly lossis subcutaneously. Thaum tsis muaj glucagon lossis yog tias tsis muaj tshuaj tiv thaiv rau nws qhov kev qhia, nws yog qhov tsim nyog los tswj txoj haujlwm dextrose daws teeb meem. Tam sim ntawd tom qab rov qab nco qab, tus neeg mob yuav tsum tau txais cov khoom noj uas muaj carbohydrate-nplua nuj.
Yuav tsum tau txais kev txhawb nqa kom ntau ntxiv los ntawm carbohydrates thiab kev saib xyuas ntawm tus neeg mob tej zaum yuav tsum tau, txij li ib qho kev rov qab ntawm hypoglycemia yog ua tau.
Hais txog qhov hloov ntshav qab zib kom tsawg nws yuav tsum tau qhia rau tus kws kho mob uas koom nrog.

Kev cuam tshuam nrog lwm yam tshuaj

Qhov mob hnyav ntawm cov qog ntshav qab zib tsawg dua yog txo thaum sib xyaw nrog cov tshuaj hauv qab no: tshuaj tiv thaiv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, danazol, β₂-adrenomimetics (e.g., ritodrin, salbutamol, terbutaline), tricyclic antidepressants, thiazide diuretics, chlorprotixen, diazoxide, isoniazid, lithium carbonate, nicotinic acid, phenothiazine derivatives.
Qhov hnyav ntawm hypoglycemic kev ua si nce thaum siv ua ke nrog cov tshuaj hauv qab no: beta-blockers, ethanol thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, qhov ncauj tshuaj hypoglycemic, salicylates (e.g., acetylsalicylic acid antioxidants, sulfonamides, sulfonides) ), angiotensin hloov mus rau enzyme inhibitors (captopril, enalapril), octreotide, angio receptor antagonists Tenzin II.
Yog tias koj xav siv lwm yam tshuaj, ntxiv rau cov tshuaj insulin, koj yuav tsum sab laj nrog koj tus kws kho mob (saib nqe lus "Cov lus qhia tshwj xeeb").

Cov lus qhia tshwj xeeb

Hloov chaw ntawm tus neeg mob rau lwm hom lossis kev npaj tshuaj insulin yuav tsum tau ua nyob rau hauv kev saib xyuas mob nkeeg nruj me ntsis. Cov kev hloov hauv kev ua, hom (tus tsim khoom), hom (Tsis tu ncua, NPH, thiab lwm yam), hom (tsiaj, tib neeg, analog ntawm tib neeg insulin) thiab / lossis txoj kev tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) tuaj yeem ua rau qhov xav kom hloov cov koob tshuaj.
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. Nws yuav tsum tau yug los rau hauv lub siab tias qhov kev rau txim ntawm pharmacodynamics ntawm cov qauv ntawm cov tshuaj tiv thaiv sai ntawm tib neeg insulin yog tias nws tuaj yeem txhim kho tom qab kev txhaj tshuaj ntawm tib neeg lub cev insulin analogue ua ntej tshaj thaum soluble tib neeg insulin siv.
Rau cov neeg mob tau txais cov tshuaj insulins luv luv thiab hauv paus, nws yog qhov tsim nyog los xaiv cov koob tshuaj ntawm ob lub insulins thiaj li ua tiav qhov zoo tshaj plaws ntawm cov piam thaj hauv cov ntshav thaum nruab hnub, tshwj xeeb tshaj yog thaum tsaus ntuj lossis hauv plab.
Kev tswj tsis tau tus mob hypoglycemic lossis hyperglycemic tshua tuaj yeem ua rau tsis nco qab, tsis nco qab, lossis tuag.
Cov tsos mob ua ntej ntawm lub ntsej muag hypoglycemia tuaj yeem hloov lossis tsis tau hais tawm nrog lub sijhawm ntev ntawm mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy lossis siv cov tshuaj xws li beta-blockers.
Noj tshuaj tsis txaus los sis tsis txiav kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib, tuaj yeem ua rau tus mob hyperetcemia thiab ntshav qab zib ketoacidosis, cov mob uas yuav ua rau tuag taus 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, hauv cov neeg mob mob siab tsis ua haujlwm ntev, muaj peev xwm tiv thaiv insulin ntau dua tuaj yeem ua rau muaj kev xav tau ntau ntxiv rau insulin.
Txoj kev xav tau cov tshuaj insulin tuaj yeem nce ntxiv nrog qee yam kab mob, lossis kev ntxhov siab ntxhov siab.
Koob tshuaj kuj tseem yuav tsum tau ua thaum cov neeg mob nce cev lossis thaum hloov ib txwm noj. Kev tawm dag zog tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav qab zib tsawg dua.
Thaum siv cov tshuaj insulin nyob rau hauv kev sib xyaw nrog cov tshuaj ntawm thiazolidinedione pab pawg, qhov kev pheej hmoo ntawm kev txhim kho edema thiab mob plawv sai dua, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob ntawm cov hlab plawv thiab muaj cov kev pheej hmoo ua rau mob plawv tsis ua haujlwm.
Kev siv ntawm cov tshuaj Insulin lispro nyob rau hauv cov menyuam yaus es tsis txhob soluble tib neeg cov tshuaj insulin yog qhov zoo dua rau cov teeb meem no thaum tsim nyog yuav tsum pib ua sai sai ntawm insulin (piv txwv li, kev qhia ntawm insulin tam sim ntawd ua ntej noj mov).
Txhawm rau zam kom kis tau tus mob kis tau, txhua daim cartridge / cwj mem yuav tsum siv los ntawm ib tus neeg mob nkaus xwb, txawm tias yuav raug hloov rab koob tshiab.

Cov ntaub ntawv dav dav

Lyspro insulin yog muag nyob hauv cov npe lag luam hu ua Humalog. Cov tshuaj no tuaj yeem muas hauv hypodermic cartridges lossis hauv cov vials txhaj tshuaj. Nws, tsis zoo li cov tshuaj hauv cartridges, tuaj yeem muab tsis tau tsuas yog subcutaneously, tab sis kuj tseem mob siab thiab kuj intramuscularly. Txawm hais tias qhov tseeb hais tias raws li kev kho mob cov tshuaj no tuaj yeem sib xyaw rau hauv ib qho syringe nrog cov insulin ntev ntev, nws zoo dua tsis txhob ua qhov no thiab siv cov cuab yeej ib leeg rau txhua qhov kev ntxias. Qhov tseeb yog tias cov tshuaj tiv thaiv cov tshuaj tuaj yeem nkag rau qhov kev tsis haum xeeb thiab ua rau muaj kev phiv tshuaj, phiv tshuaj, lossis txo qis ntawm cov tshuaj ntawm cov tshuaj nquag.

Yog tias tus neeg mob nws muaj mob uas koj yuav tsum tau noj lwm yam tshuaj tsis tu ncua, koj yuav tsum qhia rau tus kws kho qhov muag endocrinologist txog qhov no. Lyspro insulin tsis sib xws nrog qee yam tshuaj ntshav siab thiab ntau ntawm ethanol. Nws cov nyhuv hypoglycemic tuaj yeem txo qis los ntawm kev noj tshuaj hormonal rau kev kho mob ntawm lub qog, cov tshuaj psychotropic thiab qee cov tshuaj diuretics (diuretics).

Cov tshuaj no tuaj yeem siv los kho cov neeg mob nrog ntau yam kabmob ntawm tus kabmob. Raws li txoj cai, nws tau zoo zam thiab tsis tshua muaj kev phiv tshuaj. Cov cim tseem ceeb rau nws siv:

• ntshav qab zib hom 1 (tshwj xeeb yog cov neeg mob uas tsis ua siab ntev rau lwm yam tshuaj insulin),
• qab zib nce ntxiv tom qab noj mov uas tsis tuaj yeem kho los ntawm lwm qhov kev kho mob,
• mob ntshav qab zib hom 2 loj tshaj plaws
• ntshav qab zib hom 2 ntawm kev mob nyhav ib nrab, muab rau muaj qhov tsis muaj txiaj ntsig ntawm kev txiav ntshav qab zib thiab zaub mov noj,
• kev tiv thaiv ntawm cov teeb meem hauv cov neeg mob ntshav qab zib ntawm txhua yam nrog kev phais mob hnyav.

Ua tsaug rau qhov hloov cov noob caj noob ces hauv cov tshuaj molecules hauv cov tshuaj no, Humalog nthuav qhia cov tshuaj muaj txiaj ntsig zoo txawm nyob hauv pawg ntawm cov ntshav qab zib no.

Daim ntawv thov nta

Qhov yuav tsum tau txhaj ntawm lyspro insulin yuav tsum tau xaiv los ntawm tus kws kho mob, vim nws yog tus kheej rau txhua tus neeg mob. Qhov tsuas yog txwv tsuas yog tias ntau tshaj 40 units ntawm cov tshuaj tsis tuaj yeem siv nyob rau ib zaug. Tshaj li cov kev cai uas tau hais tseg tuaj yeem ua rau txo cov ntshav qis, ua xua lossis qaug cawv ntawm lub cev.

Cov tshuaj yuav tsum tau muab tshuaj tam sim ua ntej noj mov 4-6 zaug hauv ib hnub. Yog tias tus neeg mob tau txais kev kho ntxiv nrog kev ua yeeb yam ntev ntev, qhov ntau zaus ntawm kev tswj hwm ntawm cov tshuaj Humalog tuaj yeem txo mus rau 1-3 zaug, nyob ntawm seb cov ntshav qab zib nyob rau ntau lub sijhawm txawv hnub thiab lwm cov yam ntxwv ntawm cov ntshav qab zib.

Cov kev thaiv tsis zoo thiab cov tshwm sim

Tsuas yog cov ncaj qha contraindication ntawm lyspro insulin yog hypoglycemia. Thaum cev xeeb tub thiab lactation, cov tshuaj no tau hais tawm tsuas yog tom qab sab laj nrog kev saib xyuas kws kho mob kev laus. Vim yog lub cev muaj nuj nqi ntawm tus poj niam lub cev, tus neeg mob xav tau cov tshuaj insulin tuaj yeem hloov lub sijhawm kev cia siab ntawm ib tus menyuam, yog li kev hloov kho koob tshuaj lossis tshem tawm tshuaj ib ntus qee zaum xav tau. Nws tsis paub meej tias cov tshuaj puas dhau mus rau leej niam cov kua mis, txij li thaum tsis muaj kev tswj hwm lub luag haujlwm ntawm cov ncauj lus no.

Cov kev mob tshwm sim rau kev kho cov tshuaj no tshwm sim tsis xws luag. Tab sis qee zaus cov neeg mob yuav ntsib:

• qis dua qib qab zib hauv qab ntawm theem hom phiaj,
• o thiab tsis xis nyob ntawm qhov chaw txhaj tshuaj,
• ua yeeb yaj kiab
• ua pob.

Cov tshuaj insipipide

Muaj cov tshuaj sib xyaw ua ke uas muaj cov tshuaj insulin ntshiab si (ib qho tshuaj tiv thaiv kab mob) thiab kev tiv thaiv ncua ntawm cov tshuaj no, uas muaj lub sijhawm nruab nrab ntawm kev ua. Lub npe lag luam rau cov tshuaj no yog Humalog Mix.

Txij li cov khoom no muaj nyob rau hauv daim ntawv ntawm kev ncua (uas yog, kua nrog tsawg tshaj plaws hais txog insoluble hauv nws), daim cartridge yuav tsum muab dov rau hauv nws txhais tes ua ntej nws tau qhia rau tusyees faib insulin hauv kev daws. Tsis txhob ua kom lub zog ntim cov thawv, vim tias qhov no tuaj yeem ua rau tsim cov npuas dej thiab ua rau cov nyom ntawm kev suav nrog kev siv tshuaj.

Zoo li ib yam tshuaj twg rau cov ntshav qab zib, ib-theem thiab ob-qib Humalog yuav tsum yog kws kho mob sau tseg. Raws li kev tswj xyuas ntsuas ntshav, koj tuaj yeem xaiv qhov zoo tshaj plaws ntawm cov tshuaj, uas yuav ua rau koj ua kom tus neeg mob muaj kev noj qab haus huv thiab txo qhov kev pheej hmoo ntawm kev tsim cov kev mob tshwm sim ntawm tus kab mob. Koj tsis tuaj yeem sim ua kom ywj pheej hloov mus rau ib hom tshuaj insulin tshiab, vim tias qhov no tuaj yeem tsim kev ntxhov siab rau lub cev thiab ua rau lub cev tsis zoo.

Cuam tshuam rau kev muaj peev xwm tsav tsheb, tshuab

Nrog hypoglycemia lossis hyperglycemia cuam tshuam nrog kev noj tshuaj tsis zoo, kev ua txhaum ntawm kev muaj peev xwm mloog zoo thiab qhov ceev ntawm psychomotor cov tshuaj tiv thaiv tuaj yeem tau. Qhov no tuaj yeem dhau los ua kev pheej hmoo rau cov haujlwm muaj kev phom sij (suav nrog tsav tsheb lossis tshuab).
Cov neeg mob yuav tsum tau ceev faj kom tsis txhob mob hypoglycemia thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas muaj qhov txo qis lossis tsis hnov ​​qhov mob ntawm cov tsos mob kwv yees hypoglycemia, lossis hauv leej twg cuam tshuam ntawm hypoglycemia yog tshwm sim. Hauv cov xwm txheej no, nws yog qhov yuav tsum tau los ntsuas qhov ua tau ntawm kev tsav tsheb thiab cov twj.

Daim ntawv tso tawm

Kev daws rau kev tswj hwm ntawm tus tub ceev xwm thiab subcutaneous ntawm 100 IU / ml.
3 ml ntawm cov tshuaj hauv daim cartridge ntawm cov ntshiab iav, tsis muaj kob (hom I). Lub pob txha taub tau ntim rau ntawm ib sab nrog lub bromobutyl nres thiab crimped nrog txhuas hau, ntawm qhov tod tes nrog bromobutyl plunger. 1 lossis 5 daim cartridges tau muab tso rau hauv cov hlwv qhwv cov hlua ntawm PVC zaj duab xis thiab txhuas ntawv ci. 1 blister sawb ntim ua ke nrog cov lus qhia rau siv yog muab tso rau hauv lub thawv ntawv thawv. 10 ml ntawm cov tshuaj hauv lub khob ntim pob tshab ntawm cov pob tshab iav, tsis muaj kob (hom I) nrog lub taub hau bromobutyl nres thiab nyem nrog lub hau txhuas.
1 lub raj mis ua ke nrog cov lus qhia rau siv nyob rau hauv lub thawv ntawv thawv.