• 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.

Pharmacological kev txiav txim

• 1 ml 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 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.

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 kis) tuag. Ua xua: muaj kev fab rau lub zos yog ua tau - hyperemia, o 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.

Humulin insulin rau kev kho mob ntshav qab zib rau cov laus, menyuam yaus thiab cev xeeb tub. Humulin NPH contraindications. Cov kev cai dav dav ntawm kev siv

Qhov tshuaj tiv thaiv kab mob siab Humulin NPH muaj cov tshuaj insulin-isophan, uas muaj qhov nruab nrab ntawm lub sijhawm txiav txim. Nws yog npaj siv tas mus li txhawm rau tswj cov ntshav qabzib kom tsis pub dhau ntawm ib qho. Muaj li kev ncua rau kev tswj hwm subcutaneous hauv vials hauv Asmeskas los ntawm Eli Lilly thiab Company. Thiab lub tuam txhab Fabkis Lilly Fabkis tsim cov tshuaj insulin Humulin NPH hauv daim ntawv ntawm daim cartridges nrog cov xaum xaum xaj. Cov yeeb tshuaj muaj qhov pom ntawm kev ncua ntawm ib pos huab lossis milky xim.

Cov nyhuv pharmacological yog qhov txo qis hauv cov ntshav qab zib vim muaj kev cuam tshuam ntau ntxiv nws mus rau hauv cov hlwb thiab cov nqaij siv Humulin NPH. Hauv cov ntshav qab zib mellitus, kev tsim tawm ntawm pancreatic insulin hormone yog qhov txo qis, uas yuav tsum muaj kev hloov kho tshuaj hormone.Cov tshuaj tsub kom ntxiv cov ntshav qabzib siv los ntawm cov hlwb uas xav tau zaub mov noj. Cov tshuaj Insulin cuam tshuam nrog cov receptors tshwj xeeb nyob rau saum npoo ntawm cov hlwb, uas ua rau ntau tus txheej txheem biochemical, uas suav nrog, tshwj xeeb, kev tsim ntawm hexokinase, pyruvate kinase, glycogen synthetase. Kev thauj mus los ntawm cov piam thaj mus rau cov ntaub so ntswg los ntawm cov ntshav nce, qhov twg nws yuav tsawg dua.

Sab sij huam

Cov kev mob tshwm sim cuam tshuam nrog cov nyhuv ntawm cov metabolism hauv cov pluas noj: hypoglycemic tej yam kev mob (pallor, nce tawm hws, palpitations, pw tsaug zog tsis meej, tshee).

Kev ua xua: tsis tshua muaj - tawm pob ntawm daim tawv nqaij, tsis tshua muaj sia - angioedema.

Cov tshuaj tiv thaiv hauv zos: tsis tshua muaj - hyperemia thiab khaus ntawm qhov chaw txhaj tshuaj ntawm cov tshuaj, nrog kev siv lub sijhawm ntev tsawg - lipodystrophy ntawm qhov chaw txhaj tshuaj.

Kev sib txuam

Cov nyhuv hauv kev ua haujlwm ntawm insulin yog txhim kho los ntawm MAO inhibitors, tsis-xaiv beta-blockers, sulfonamides, anabolic steroids, tetracyclines, clofibrate, cyclophosphamide, fenfluramine, thiab cov kev npaj muaj ethanol.

Cov tshuaj tiv thaiv tsis haum, glucocorticoids, cov thyroid hormones, thiazide diuretics, heparin, lithium npaj, tricyclic antidepressants txo cov nyhuv hypoglycemic ntawm insulin.

Hauv qab ntawm reserpine thiab salicylates, ob qho tib si qaug zog thiab txhim kho kev ua ntawm insulin yog ua tau.

Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

Ethanol, ntau yam tshuaj tua kab mob tuaj yeem txo qhov kev lom neeg lom neeg ntawm insulin.

Yuav ua li cas coj, chav kawm ntawm kev tswj hwm thiab ntau npaum li cas

Tus kws kho mob teeb tsa cov koob tshuaj ib lub zuj zus, nyob ntawm theem ntawm glycemia.

Cov tshuaj yuav tsum tau muab tshuaj subcutaneously, tejzaum nws yog intramuscularly. Kev tswj hwm ntawm Humulin M3 yog contraindicated!

Subcutaneously, cov tshuaj no tau muab rau hauv xub pwg, ncej puab, pob tw los yog plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 sijhawm / hli.

Thaum muab tshuaj subcutaneously, kev saib xyuas yuav tsum tau saib xyuas kom tsis txhob nkag rau hauv 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 raug.

Cov kev cai npaj rau kev npaj thiab tshuaj ntawm cov tshuaj

Cartridges thiab vials ntawm Humulin M3 yuav tsum tau muab sib dhos ntawm lub xib teg 10 zaug ua ntej siv thiab tshee, tig 180 ° kuj 10 zaug los thim cov kua dej 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.

Daim cartridges thiab vials yuav tsum tau kuaj xyuas kom zoo. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub yaig tom qab sib tov, yog tias cov khoom sib xyaw dawb dawb txuam rau hauv qab lossis phab ntsa ntawm lub raj mis, tsim cov nyhuv ntawm ib qho 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 ntsiab lus ntawm lub vial yuav tsum tau sau mus rau hauv ib qho tshuaj insulin raws li lub zog ntawm cov tshuaj insulin muab rau, thiab cov koob tshuaj xav tau ntawm cov tshuaj insulin yuav tsum raug tswj hwm raws li kws kho mob hais.

Thaum siv daim cartridges, ua raws cov khw muag cov lus qhia rau lub thawv ntim thiab muab cov koob tso rau. Cov tshuaj yuav tsum tau muab nyob rau hauv raws li cov chaw tsim tshuaj paus cov lus qhia rau cov xaum qhuav.

Siv cov hau ntawm sab nraud ntawm rab koob, tam sim ntawd tom qab ntxig tawm, unscrew lub koob thiab xyuam xim pov tseg nws. Tshem tawm rab koob tam sim ntawd tom qab txhaj tshuaj tiv thaiv kab mob ua kom tsis muaj menyuam, tiv thaiv kev paim quav, huab cua huab cua thiab kis tau ntawm rab koob. Tom qab ntawv muab lub hau kaw.

Koob yuav tsum tsis txhob siv cov khoom tshiab. Koob thiab rab koob uas yuav tsum tsis txhob siv los ntawm lwm tus neeg. Cartridges thiab vials yog siv kom txog thaum lawv khoob, tom qab uas lawv yuav tsum tau muab pov tseg.

Noj ntau dhau

Cov tsos mob: hypoglycemia, nrog rau lub cev tsis muaj zog, tawm hws, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem.

Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus ntau dua, cov tsos mob ntawm hypoglycemia yuav hloov.

Kev Kho Mob: Feem ntau ntshav qab zib tsawg tuaj yeem nres los ntawm kev noj cov piam thaj (dextrose) lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce.

Kev kho cov ntshav qog ntshav nruab nrab tuaj yeem nqa tawm los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov xa mus rau carbohydrates.

Cov teeb meem mob ntshav qab zib tsawg, nrog los ntawm kev tsis nco qab, ua kom huam mob hlwb lossis mob hlwb, raug tso tseg los ntawm intramuscular lossis subcutaneous kev tswj hwm ntawm glucagon los yog kev tswj hwm ntshav ntawm cov tshuaj muaj zog ntawm cov kua nplaum (dextrose). Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia.

Cov lus qhia tshwj xeeb

Kev hloov pauv ntawm ib hom tshuaj insulin mus rau lwm qhov yuav tsum tau ua nyob ntawm kev tswjhwm ntawm cov ntshav nyob rau qib.

Yog tias muaj cov tshuaj insulin ntau dhau, yog tias tus neeg mob nco qab, nws yog ib qho tsim nyog yuav tsum siv cov piam thaj hauv qhov ncauj, yog tias tsis nco qab txhaj tshuaj qabzib iv lossis glucagon sc, im lossis iv.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Thaum hloov tus neeg mob rau cov tshuaj insulin no, kev txo qis ib ntus hauv kev ceev ntawm psychomotor cov kev xav yog tau.

Humulin M3 yog tib neeg tsim cov kab mob DNA insulin. Nws yog ob-ncua kev ncua rau kev txhaj tshuaj (30% Humulin Tsis tu ncua thiab 70% Humulin NPH). Kev ua haujlwm tseem ceeb ntawm insulin yog kev cai ntawm cov metabolism hauv qabzib. 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 daim siab glycogen, inhibits gluconeogenesis thiab stimulates hloov dua siab tshiab ntawm cov piam thaj rau kev rog.

Humulin M3 yog kev ua haujlwm nruab nrab insulin. Qhov pib ntawm kev ua ntawm cov tshuaj yog 30 feeb tom qab kev tswj hwm, qhov ua haujlwm siab tshaj plaws yog nruab nrab ntawm 1 txog 8,5 teev, sijhawm ua haujlwm yog 14 - 15 teev. Cov tib neeg sib txawv hauv insulin kev ua raws tus yam ntxwv xws li koob tshuaj, xaiv qhov chaw txhaj tshuaj, kev qoj ib ce ntawm tus neeg mob, thiab lwm tus.

Kev kho mob ntawm cov neeg mob ntshav qab zib mellitus, uas qhia cov tshuaj insulin, kev kho mob ntawm cov neeg mob uas nyuam qhuav muaj ntshav qab zib mellitus tshiab, cev xeeb tub hauv cov neeg mob ntshav qab zib hom 2.

Qhov koob tshuaj ntawm Humulin M3 yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib glycemia. Cov tshuaj yuav tsum tau muab tshuaj subcutaneously. Intramuscular thawj coj kuj tseem ua tau. Tso dej siab tswj hwm ntawm Humulin NPH yog contraindicated. Txhaj tshuaj subcutaneous yuav tsum tau muab rau lub xub pwg, lub duav, lub pob tw lossis lub plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li ib hlis ib zaug. 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 M3 yog qhov npaj txhij-sib xyaw nrog qee cov ntsiab lus ntawm Humulin Tsis Txaus thiab Humulin NPH, npaj kom tsis txhob muaj qhov sib xyaw nrog kev npaj tshuaj insulin los ntawm cov neeg mob lawv tus kheej. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

Noj ntau dhau cov tshuaj insulin ua rau lub ntsej muag hypoglycemia, nrog rau cov tsos mob hauv qab no: qaug zog, tawm hws ntau dhau, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem.Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus, cov tsos mob ua ntej ntawm cov ntshav qog ntshav qab zib tuaj yeem hloov pauv. Cov ntshav qab zib me me feem ntau tuaj yeem nres los ntawm kev noj cov piam thaj lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce. Kev kho cov ntshav qog ntshav nruab nrab tuaj yeem nqa tawm los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov xa mus rau carbohydrates. Cov teeb meem mob ntshav qab zib tsawg, nrog los ntawm kev tsis nco qab, ua kom huam mob hlwb lossis mob hlwb, raug tso tseg los ntawm kev siv tshuaj intramuscular / subcutaneous ntawm glucagon lossis kev tswj hwm ntshav ntawm cov tshuaj tov kua nplaum. Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia.

Ua noj koob tshuaj. Tam sim ntawd ua ntej siv, Humulin M3 daim cartridges yuav tsum tau muab nruab nrab ntawm lub xib teg kaum npaug thiab tshee, tig ntawm 180 also, kuj yog kaum lub sij hawm rov kho dua cov tshuaj insulin kom txog thaum nws zoo li kua huab lossis kua mis. 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 tov. Lub cuab yeej ntawm Humulin 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 raws li cov lus qhia ntawm cov khw muag khoom ntxiv rau lub thawv ntim thiab txuas cov koob.

Kev tswj hwm ntau ntau Ntxuav tes, xaiv thaj chaw txhaj tshuaj, so daim tawv nqaij nrog paj rwb pas dej hauv cawv, thiab tshem lub hau sab nraud ntawm rab koob. Kho cov tawv nqaij los ntawm kev ua daim tawv nqaij, ntxig lub koob tso rau hauv cov roj ntsha uas tsis tuaj yeem ua raws li kws kho mob cov lus qhia, txhaj tshuaj insulin raws li cov khw muag cov lus qhia rau tus cwj mem. Tshem tawm rab koob ntawm daim tawv nqaij ncaj qha thiab maj mam nias ntawm qhov chaw txhaj tshuaj rau ob peb, tsis txhob sib dhos ntawm thaj chaw txhaj tshuaj. Siv cov hau ntawm sab nraud ntawm rab koob, tam sim ntawd tom qab ntxig tawm, unscrew lub koob thiab xyuam xim pov tseg nws. Tshem tawm rab koob tam sim ntawd tom qab txhaj tshuaj tiv thaiv kom tsis muaj menyuam, tiv thaiv kev tiv thaiv cov pa thiab huab cua, thiab ua tau txhaws ntawm rab koob. Muab lub hau kaw.

Koob yuav tsum tsis txhob siv cov khoom tshiab. Koob yuav tsum tau muab pov tseg kom zoo. Koob thiab cov xaum yuav tsum tsis txhob siv lwm tus siv. Siv cov cartridges kom txog thaum lawv khoob, tom qab uas lawv yuav tsum tau muab pov tseg.

Lipodystrophy, ua hauj, nce rhiab rau insulin yog cov kev mob tshwm sim cuam tshuam nrog kev siv cov tshuaj insulin ntawm tsiaj keeb kwm. Qhov ntxim nyiam ntawm cov kev mob tshwm sim nrog kev qhia ntawm Humulin M3 yog qhov tsawg heev.

Qhov tshwm sim cuam tshuam nrog qhov cuam tshuam tseem ceeb ntawm cov tshuaj.

Kev mob ntshav qab zib yog qhov tshwm sim feem ntau tshwm sim nrog kev qhia ntawm insulin npaj, suav nrog Humulin M3. Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab, tshwj tsis yog, tuag taus.

Cov neeg mob yuav ntsib hauv zos kev fab tshuaj tsis haum nyob rau hauv daim ntawv ntawm daim tawv liab, o, lossis khaus ntawm qhov chaw txhaj tshuaj. Cov kev mob tshwm sim no feem ntau yuav nres tom qab ob peb hnub mus rau ntau lub lis piam. Qee qhov xwm txheej, cov kev coj ua no tuaj yeem yog los ntawm cov laj thawj tsis cuam tshuam 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 lub cev vim mob los ntawm cov tshuaj insulin tshwm sim tsawg dua, tab sis yuav mob hnyav dua. Lawv tuaj yeem pom tshwm sim los ntawm kev tawm tsam dav dav, ua tsis taus pa, txog siav, txo ntshav siab, ntshav nce siab, thiab tawm hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej.Muaj qee zaus muaj kev fab loj heev rau Humulin M3, yuav tsum kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.

Cov tshuaj tiv thaiv ntshav qab zib, kev tsis txaus siab rau cov tshuaj insulin lossis rau ib qho ntawm cov tshuaj.

Thaum cev xeeb tub, nws yog qhov tseem ceeb tshwj xeeb kom tswj tau zoo hauv cov neeg mob tau txais kev kho mob insulin (nrog ntshav qab zib insulin-tiv thaiv kab mob ntshav qab zib lossis mob ntshav qab zib). Kev siv tshuaj insulin feem ntau poob qis thaum thawj peb lub hlis thiab nce ntxiv thaum lub sijhawm thib ob thiab thib peb lub hlis. Cov neeg mob ntshav qab zib tau qhia rau lawv tus kws kho mob txog kev npaj cev xeeb tub lossis kev npaj xeeb tub. Hauv cov neeg mob uas mob ntshav qab zib mellitus thaum pub niam mis, nws yuav tsim nyog kho lub koob tshuaj insulin, zaub mov noj, lossis ob qho tib si.

Kev hloov chaw ntawm tus neeg mob mus rau lwm hom lossis kev npaj tshuaj insulin nrog lub npe lag luam sib txawv yuav tsum muaj nyob rau hauv kev saib xyuas kev kho mob. Cov kev hloov pauv hauv insulin kev ua ub no, xws li (piv txwv li, Tsis tu ncua, NPH, L, thiab lwm yam), hom tsiaj (npua, tib neeg insulin, tib neeg insulin analogue) lossis cov qauv tsim tawm (tso zis DNA lossis insulin ntawm cov tsiaj keeb kwm) yuav xav tau hloov kho koob tshuaj. Rau qee tus neeg mob, yuav tau kho kom tau cov koob tshuaj thaum hloov los ntawm tsiaj los ntawm insulin los rau tib neeg insulin. Qhov no tuaj yeem tshwm sim twb tau dhau los ntawm thawj zaug kev tswj hwm ntawm tib neeg li kev npaj tshuaj insulin lossis maj mam li ntawm ob peb lub lis piam lossis hli tom qab hloov chaw. Cov tsos mob - ua ntej ntawm hypoglycemia thaum tswj hwm ntawm tib neeg cov insulin hauv qee cov neeg mob tej zaum yuav tsawg dua los yog txawv ntawm cov uas tau pom thaum tswj hwm tsiaj insulin. Nrog kev ua haujlwm ntawm cov ntshav qabzib hauv lub cev, piv txwv li, los ntawm kev kho mob insulin ntau dua, txhua yam lossis qee qhov tsos mob yuav ploj - sai ntawm cov ntshav qog ntshav, uas cov neeg mob yuav tsum tau qhia txog. Cov tsos mob - cov mob ua ntej ntawm cov ntshav qab zib tsis tuaj yeem hloov lossis tso tsawg dua nrog cov mob ntshav qab zib mellitus ntev, mob ntshav qab zib neuropathy lossis kho nrog tshuaj xws li beta-blockers. Qhov xav tau rau inulin tuaj yeem txo nrog qhov tsis txaus ntawm adrenal caj pas, lub caj pas pituitary lossis lub qog ua haujlwm lub raum, nrog lub raum lossis daim siab ua haujlwm. Nrog rau qee cov kab mob lossis nrog kev ntxhov siab hauv lub siab, qhov xav tau cov tshuaj insulin yuav nce. Kev kho ntawm cov koob tshuaj insulin kuj tseem xav tau nrog kev ua kom lub cev lossis muaj qhov hloov pauv ntawm ib txwm noj zaub mov.

Thaum lub sij hawm hypoglycemia, tus neeg mob tej zaum yuav ua rau lub zog ntawm cov xim tsis mloog thiab txo qhov ceev ntawm lub cev kev xav. Qhov no tuaj yeem txaus ntshai nyob rau lub sijhawm uas cov peev xwm no tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb tsheb lossis siv tshuab ua haujlwm). Cov neeg mob yuav tsum qhia rau lawv kom ceev faj kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj - ua ntej ntawm cov hypoglycemia 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.

Cov nyhuv hypoglycemic ntawm Humulin M3 yog txo qis: qhov ncauj tawm tsam, corticosteroids, thyroid hormone npaj, thiazide diuretics, diazoxide, tricyclic antidepressants. Cov nyhuv hypoglycemic ntawm Humulin M3 yog txhim kho los ntawm: qhov ncauj hypoglycemic tshuaj, salicylates (e.g. aspirin), sulfonamides, MAO inhibitors, beta-blockers, ethanol thiab ethanol-uas muaj tshuaj. Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

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

Muab thiab kev coj:

Cov koob tshuaj tau txiav txim siab ib tus zuj zus nyob ntawm theem ntawm glycemia.

Cov tshuaj yuav tsum tau muab tshuaj sc, tejzaum nws hauv / m kev qhia. Hauv / hauv kev qhia ntawm Humulin M3 yog contraindicated!

Cov tshuaj SC yog muab rau lub caj npab, 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.

Thaum s / mus rau kev taw qhia, yuav tsum tau saib xyuas kom tsis txhob nkag mus rau hauv 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 raug.

Ua ntej siv, Humulin M3 vial yuav tsum tau muab nruab nrab ntawm xib teg 10 npaug thiab tshee, tig ntawm 180 ° kuj ua rau 10 zaug kom rov kho cov kua dej kom txog thaum nws dhau los ua kua dej kua lossis kua mis. 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.

Vials yuav tsum tau kuaj xyuas kom zoo. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub yaig tom qab sib tov, yog tias cov khoom sib xyaw dawb dawb txuam rau hauv qab lossis phab ntsa ntawm lub raj mis, tsim cov nyhuv ntawm ib qho qauv khov.

Cov ntsiab lus ntawm lub vial yuav tsum tau sau mus rau hauv ib qho tshuaj insulin raws li lub zog ntawm cov tshuaj insulin muab rau, thiab cov koob tshuaj xav tau ntawm cov tshuaj insulin yuav tsum raug tswj hwm raws li kws kho mob hais.

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 txoj kev 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.

Cia rau cov neeg mob:

Cov tshuaj yuav tsum muab cia rau hauv lub tub yees ntawm qhov kub txog 2 ° txog 8 ° C, zam kom tsis txhob muaj khoom khov, tiv thaiv los ntawm kev sib kis ncaj qha. Txee lub neej yog 2 xyoos.

Ib qho yeeb tshuaj hauv kev siv hauv lub vial lossis hauv lub taub ntim cov taub ntim yuav tsum khaws cia hauv chav kub (los ntawm 15 ° txog 25 ° C) tsis pub dhau 28 hnub.

Humulin NPH thiab lwm yam tshuaj ntawm cov pab pawg no yog cov tshuaj uas siv los kho cov neeg mob ntshav qab zib. Tshuaj muaj tej yam ntuj tso ntshav qab zib kom zoo, vim lawv tau tsim los ntawm tib neeg cov tshuaj lom neeg tsis muaj peev xwm. Lub hom phiaj tseem ceeb ntawm cov khoom tsim dag zog yog kom txo qis qib ntawm cov piam thaj hauv cov ntshav los ntawm kev qhia nws mus rau hauv cov ntaub so ntswg thiab sib xyaw ua ke rau hauv cov txheej txheem hauv lub cev.

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.Hauv cov tshuaj, ntxiv rau cov tshuaj insulin (lub ntsiab qhov tseem ceeb, ntsuas hauv IU), cov tshuaj tiv thaiv kab mob muaj tam sim no, cov no tuaj yeem ua 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

Nws tag nrho yog nyob ntawm ntau yam

Cov hom nyiaj thiab cov nyhuv ntawm lub cev tau piav qhia hauv qab no.

Cov tshuaj yog tsim los siv qhov siv DNA thev naus laus zis technology thiab muaj lub sij hawm ua nruab nrab. Lub hom phiaj tseem ceeb ntawm cov tshuaj yog tswj cov metabolism hauv qabzib. Pab inhibit cov txheej txheem ntawm cov protein piam thiab muaj cov nyhuv anabolic rau lub cev nqaij. Humulin NPH nce kev ua haujlwm ntawm cov enzymes uas txhawb kev tsim cov glycogen hauv cov leeg nqaij. Nws nce qhov ntim ntawm fatty acids, cuam tshuam rau qib ntawm glycerol, txhim kho cov protein ntau thiab txhawb kev noj cov aminocarboxylic acids los ntawm cov leeg hlwb.

Ib qho piv txwv uas txo cov ntshav qab zib yog:

1. Actrafan NM.
2. Diafan ChSP.
3. Insulidd N.
4. Protafan NM.
5. Neej Neeg B.

Tom qab txhaj tshuaj, cov tshuaj pib ua tom qab 1 teev, cov nyhuv tag nrho tiav nyob rau hauv 2-8 teev, cov tshuaj yeeb yam tseem ua haujlwm ntev li 18-20 teev. Lub sijhawm sijhawm rau kev txiav txim siab ntawm cov tshuaj hormones yog nyob ntawm qhov koob tshuaj siv, thaj chaw txhaj tshuaj, thiab tib neeg yam haujlwm.

Humulin NPH yog qhia rau kev siv hauv:

1. Mob ntshav qab zib nrog cov tshuaj insulin pom zoo.
2. Thawj kuaj pom mob ntshav qab zib.
3. Cov poj niam cev xeeb tub uas muaj ntshav qab zib tsis muaj tshuaj insulin.

Cov kev qhia tau hais tias cov tshuaj tsis raug sau rau cov neeg muaj ntshav siab qis tam sim no, uas yog tus cwj pwm los ntawm cov ntshav qab zib tsawg dua 3.5 mmol / l, hauv cov ntshav nruab nrog - 3.3 mmol / l, rau cov neeg mob uas lub siab tsis haum rau ib leeg ntawm cov tshuaj.
Cov kev mob tshwm sim uas yuav tshwm sim tom qab siv cov tshuaj feem ntau manifested:

1. Kev ntshav siab.
2. Lub ntsej muag rog.
3. Kev tsis haum rau cov kab mob thiab hauv zos.

Raws li rau kev haus ntau dhau ntawm cov tshuaj, tsis muaj cov cim qhia tshwj xeeb ntawm kev haus ntau dhau. Cov tsos mob tseem ceeb tau suav hais tias yog qhov pib ntawm lub qog ntshav qab zib. Tus mob yog nrog mob taub hau, tachycardia, hws tawm hws thiab blanching ntawm daim tawv nqaij. Txhawm rau zam qhov teeb meem kev noj qab haus huv zoo li no, tus kws kho mob xaiv cov tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog qib glycemia.

Nrog kev noj ntau dhau ntawm cov tshuaj, hypoglycemia yuav tshwm sim.

Humulin M3, zoo li kev kho dhau los, yog ib qho tshuaj lom neeg ncua ntev.Nws pom tau hais hauv daim ntawv ntawm ob-ncua kev ncua, iav daim iav muaj insulin humulin tsis tu ncua (30%) thiab humulin-nph (70%). Lub hom phiaj tseem ceeb ntawm Humulin Mz yog los tswj cov metabolism hauv qabzib.

Cov tshuaj pab tsim cov leeg, sai sai muab cov kua nplaum thiab aminocarboxylic acids rau hauv cov leeg ntawm cov leeg thiab lwm cov nqaij mos dua li lub hlwb. Humulin M3 pab nyob rau hauv daim siab hloov ua piam thaj rau glycogen, inhibits gluconeogenesis thiab hloov cov piam thaj ntau dhau mus ua subcutaneous thiab visceral rog.

Cov tshuaj ntawm cov tshuaj yog:

1. Protafan NM.
2. Yawg Hlob.
3. Actrapid Flekspen.
4. Xaus Optiset.

Tom qab txhaj tshuaj, Humulin M3 pib ua yeeb yam tom qab 30-60 feeb, qhov ua tiav siab tshaj plaws tau tiav hauv 2-12 teev, lub sijhawm ntawm kev ua haujlwm ntawm insulin yog 24 teev. Qhov xwm txheej cuam tshuam txog qib kev ua haujlwm ntawm Humulin m3 yog txuam nrog thaj chaw txhaj tshuaj thiab noj ntau npaum li cas, nrog kev ua si ntawm tus neeg thiab nws noj mov.

1. Cov neeg muaj ntshav qab zib uas xav tau kev kho insulin.
2. Cov poj niam cev xeeb tub uas muaj ntshav qab zib gestational.

Cov tshuaj nruab nrab cov tshuaj insulin yog qhov cuam tshuam hauv kev kuaj pom kev mob ntshav qab zib thiab kev tiv thaiv tsis haum rau cov khoom xyaw ntawm cov tshuaj muaj pes tsawg leeg. Kev kho tshuaj Insulin yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm kws kho mob, uas yuav tshem tawm txoj kev txhim kho thiab cov kev mob ntawm kev mob ntshav qab zib, uas tuaj yeem dhau los, ntawm qhov zoo tshaj plaws, ua rau muaj kev nyuaj siab thiab tsis nco qab, ntawm qhov phem tshaj - qhov pib ntawm kev tuag.

Thaum lub sij hawm kho tshuaj insulin, cov neeg mob yuav muaj kev tsis haum tshuaj hauv zos, uas feem ntau pom tshwm los ntawm khaus, tshem tawm, lossis o ntawm daim tawv nqaij ntawm qhov chaw txhaj tshuaj. Cov tawv nqaij raug mob li qub nyob hauv 1-2 hnub, nyob rau hauv cov teeb meem nyuaj ob peb lub lis piam yuav tsum ua. Qee zaum cov tsos mob no yog qhov qhia pom ntawm kev txhaj tshuaj tsis yog.

Kev tsis haum rau lub cev muaj tshwm sim me ntsis, tab sis nws cov yam ntxwv pom hnyav dua li yav dhau los, xws li khaus khaus, ua tsis taus pa, ntshav siab, tawm hws ntau thiab lub plawv dhia ceev. Hauv qee kis, kev fab tshuaj tuaj yeem ua rau muaj kev phom sij rau ib tus neeg lub neej, qhov xwm txheej raug kho los ntawm kev kho mob xwm txheej ceev, kev siv txoj kev tshem tawm thiab hloov tshuaj.

Cov tshuaj yog sau rau cov neeg xav tau kev pab insulin.

• Humulin regula - ua yeeb yam luv luv

Humulin P yog cov DNA sib koom ua ke nrog sib xyaw nrog lub sijhawm luv luv. Lub hom phiaj tseem ceeb yog tswj hwm kev ua kom cov metabolism. Txhua txoj haujlwm tau muab rau cov tshuaj yog zoo li lub hauv paus ntsiab lus ntawm kev cuam tshuam rau lwm cov humulins. Kev daws yog qhia rau kev siv los ntawm cov neeg muaj kev mob ntshav qab zib mellitus ntawm hom thawj thiab thib ob, nrog lub cev tiv thaiv cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj thiab kho kev sib txuas ua ke.
Humulin regula tshuaj yog:

1. Nrog cov ketoacidosis uas mob ntshav qab zib.
2. Ketoacidotic thiab hyperosmolar coma.
3. Yog tias mob ntshav qab zib tau tshwm sim thaum lub sijhawm nqa tus menyuam (raug rau cov zaub mov tsis qab).
4. Nrog kev sib quas ntus txoj kev kho mob ntshav qab zib nrog tus mob.
5. Thaum hloov mus rau cov tshuaj insulin txuas ntxiv.
6. Ua ntej kev phais mob, nrog cov teeb meem metabolic.

Humulin P yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity rau ib tug neeg sib txuas ntawm cov tshuaj thiab tshuaj hypoglycemia. Tus kws kho mob ib leeg sau ntawv rau tus neeg mob ib koob tshuaj thiab koob txhaj tshuaj coj mus rau hauv tus lej theem ntawm cov piam thaj hauv cov ntshav ua ntej noj thiab tom qab 1-2 teev tom qab. Tsis tas li ntawd, nyob rau hauv chav kawm ntawm lub koob tshuaj, theem ntawm cov piam thaj hauv cov zis thiab cov yam ntxwv ntawm cov chav kawm ntawm tus kabmob raug coj mus rau hauv tus account.

Tus neeg sawv cev suav tias, tsis zoo li yav dhau los, tuaj yeem ua haujlwm intramuscularly, subcutaneously thiab intravenously. Txoj kev siv ntau tshaj plaws ntawm kev tswj hwm yog subcutaneous. Nrog rau cov ntshav qab zib tsis yooj yim thiab cov ntshav qab zib tsis nco qab lawm, IV thiab IM txhaj tshuaj yog xav tau. Nrog rau cov tshuaj monotherapy, cov tshuaj tau muab 3-6 zaug ib hnub.Txhawm rau tshem tawm qhov tshwm sim ntawm lipodystrophy, qhov chaw ntawm kev txhaj tshuaj hloov pauv txhua zaus.

Humulin P, yog tias tsim nyog, ua ke nrog cov tshuaj hormone ntawm qhov tshwm sim ntev. Cov tshuaj analogues nrov ntawm cov tshuaj:

1. Actrapid NM.
2. Biosulin R.
3. Insuman Ceev Heev GT.
4. Rosinsulin R.

Cov tshuaj tau sau tseg thaum hloov mus rau insulin txuas ntxiv

Tus nqi ntawm cov kev hloov pauv no pib los ntawm 185 rubles, Rosinsulin yog suav tias yog cov tshuaj kim tshaj plaws, nws cov nqi hnub no dhau 900 rubles. Hloov cov insulin nrog ib qho tshuaj tiv thaiv kab mob yuav tsum muaj nrog kev koom tes ntawm tus kws kho mob uas tuaj koom. Qhov pheej yig tshaj plaws ntawm Humulin R yog Actrapid, nrov tshaj plaws yog NovoRapid Flekspen.

• Kev ua yeeb yam ntev ntev Humulinultralente

Insulin Humulin ultralente yog lwm yam tshuaj qhia rau kev siv rau cov neeg mob uas muaj ntshav qab zib insulin-tiv thaiv kev mob ntshav qab zib. Cov khoom yog raws cov DNA recombinant thiab yog cov khoom siv tau ua haujlwm ntev. Qhov kev ncua yog qhib kom ua haujlwm tom qab peb teev tom qab txhaj, qhov txiaj ntsig siab tshaj plaws tau tiav hauv 18 teev. Cov lus qhia rau kev siv qhia tias lub sijhawm siab tshaj plaws ntawm Humulinultralente yog 24-28 teev.

Tus kws kho mob teeb tsa qhov muab tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog tus neeg mob tus mob. Cov tshuaj yog muab tshuaj tsis muaj hwj chim, txhaj tshuaj yog sib sib zog nqus rau hauv daim tawv nqaij 1-2 zaug hauv ib hnub. Thaum Humulin Ultralente muab tso ua ke nrog lwm cov tshuaj lom neeg, qhov kev txhaj tshuaj tam sim ntawd. Kev xav tau cov tshuaj insulin ntau ntxiv yog tias ib tus neeg mob, ntsib kev ntxhov siab, noj tshuaj tiv thaiv qhov ncauj, glucocorticoids lossis thyroid cov tshuaj hormones. Thiab, ntawm qhov tsis sib xws, nws txo qis nrog cov kab mob ntawm daim siab thiab lub raum, thaum noj MAO inhibitors thiab beta-blockers.
Cov tshuaj ntawm cov tshuaj: Humodar K25, Gensulin M30, Insuman Comb thiab Farmasulin.

Xav txog contraindications thiab phiv.

Zoo li txhua yam ntawm humulins, insulin ultralente yog qhov pom tseeb yog qhov ua rau nws lub cev tsis muaj zog thiab ua rau muaj kev cuam tshuam rau cov khoom sib txawv ntawm cov khoom. Raws li cov kws tshaj lij, ib qho kev cuam tshuam tsis tshua muaj tshwm sim nws tus kheej yog kev tawm tsam. Ib qho tshwm sim tau tom qab kev txhaj tshuaj yog ua kom pom los ntawm lipodystrophy, nyob rau hauv uas tus nqi ntawm adipose nqaij hauv cov nqaij mos subcutaneous poob, thiab insulin tsis kam.

Tsawg tsawg zaus, cov yeeb tshuaj ua rau muaj kev fab tshuaj.

• Ib qho nrov ntawm cov tshuaj lom ntawm humulin - Protaphane

Insulin Protafan NM yog qhia rau cov ntshav qab zib mellitus ntawm hom thawj thiab thib ob, rau kev tiv thaiv ntawm sulfonylurea derivatives, rau cov kab mob ua rau mob ntshav qab zib, hauv kev phais mob thiab tom qab hloov kho, rau cov poj niam cev xeeb tub.

Protafan tau muab tshuaj rau txhua tus neeg mob ntawm tus kheej, suav nrog qhov xav tau ntawm nws lub cev. Raws li cov lus qhia, qhov xav tau rau qhov koob tshuaj qog ntawm qhov tshuaj hormones yog 0.3 - 1 IU / kg / hnub.

Qhov kev xav tau nce ntxiv hauv cov neeg mob uas muaj insulin tsis kam (tsis hnov ​​qab cov teeb meem ntawm cov cell mus rau insulin), feem ntau qhov no tshwm sim nrog cov neeg mob thaum tiav nkauj tiav nraug thiab cov neeg muaj rog. Kev kho cov koob tshuaj tuaj yeem nqa los ntawm tus kws kho mob yog tias tus neeg mob tau mob concomitant, tshwj xeeb yog hais tias tus kab mob kis tau. Qhov ntau npaum li cas yog kho rau cov kab mob ntawm lub siab, ob lub raum thiab kab mob ntawm cov thyroid caj pas. Protafan NM yog siv los ua kev txhaj tshuaj hauv cov tshuaj tua kab mob thiab hauv kev sib xyaw ua ke nrog cov insulins luv luv lossis ceev.

Cov chaw muag 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.

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.

Daim ntawv tso tawm

Kev npaj koob tshuaj Humulin M3 insulin yog muaj nyob rau hauv daim ntawv ntawm kev ncua rau kev coj ua hauv dej hauv 10 ml fwj, zoo li hauv 1.5 thiab 3 ml cartridges, ntim hauv thawv ntawm 5 daim. Daim cartridges yog tsim los siv hauv cov koob txhaj koob npe Humapen thiab BD-Cwj mem.

Cov tshuaj muaj cov nyhuv hypoglycemic.

Humulin M3 hais txog DNA siv tshuaj, cov tshuaj insulin yog ob zaug ua ntu raug ncua nrog lub sijhawm nruab nrab.

Tom qab tswj hwm ntawm cov tshuaj, ua tau zoo ntawm pharmacological tshwm sim tom qab 30-60 feeb. Qhov siab tshaj tawm tau ntev li ntawm 2 txog 12 teev, tag nrho lub sijhawm ntawm cov nyhuv yog 18-24 teev.

Humulin insulin kev ua si yuav txawv nyob ntawm qhov chaw tswj hwm tshuaj, qhov tseeb ntawm cov koob tshuaj xaiv, kev ua haujlwm ntawm tus neeg mob, kev noj haus thiab lwm yam.

Lub txiaj ntsig tseem ceeb ntawm Humulin M3 yog txuam nrog cov kev cai ntawm kev ua haujlwm ntawm kev ua kua nplaum. Cov tshuaj Insulin kuj tseem muaj cov nyhuv anabolic. Yuav luag txhua cov ntaub so ntswg (tshwj tsis yog lub hlwb) thiab cov leeg, insulin ua rau lub zog ntawm cov kua nplaum thiab amino acids, thiab tseem ua rau kev nrawm ntawm protein anabolism.

Cov tshuaj Insulin pab hloov cov piam thaj rau hauv glycogen, thiab tseem pab hloov cov piam thaj ntau dhau rau cov rog thiab inhibits gluconeogenesis.

Kev taw qhia rau siv thiab phiv

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

1. Tsim cov tshuaj hypoglycemia.
2. 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 cuam tshuam, cov hauv qab no coj qhov chaw:

• 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.

Cov lus qhia rau kev siv

Tshuaj insulin Hum3 M3 tsis raug tso cai ua tus thawj coj txhaj tshuaj.

Thaum sau daim ntawv tshuaj insulin, koob tshuaj thiab hom kev tswj hwm tsuas yog xaiv tau los ntawm kws kho mob. Qhov no tau ua ib tus zuj zus rau txhua tus neeg mob, nyob ntawm qib glycemia hauv nws lub cev.Humulin M3 yog npaj rau kev tswj hwm subcutaneous, tab sis nws kuj tseem tuaj yeem raug tswj hwm intramuscularly, insulin tso cai qhov no. Nyob rau hauv txhua rooj plaub, cov ntshav qab zib yuav tsum paub.

Subcutaneously, cov tshuaj raug txhaj rau hauv plab, ncej puab, xub pwg lossis pob tw. Nyob rau tib qho chaw txhaj tshuaj tuaj yeem tsis pub tshaj ib hlis ib zaug. Thaum ua cov txheej txheem, nws yog ib qho tsim nyog siv cov khoom siv txhaj tshuaj kom raug, txhawm rau tiv thaiv rab koob kom tsis txhob nkag rau hauv cov hlab ntshav, tsis txhob zaws rau qhov chaw txhaj tshuaj tom qab txhaj.

Humulin M3 yog ib qho npaj tau tov nrog Humulin NPH thiab Humulin tsis tu ncua. Qhov no ua rau nws tuaj yeem tsis npaj qhov kev daws teeb meem ua ntej coj mus rau tus neeg mob nws tus kheej.

Txhawm rau npaj cov tshuaj insulin rau kev txhaj tshuaj, lub vial lossis daim cartridge ntawm Humulin M3 NPH yuav tsum tau dov 10 zaug hauv koj txhais tes thiab, tig mus 180 degrees, maj mam co ntawm ib sab. Qhov no yuav tsum tau ua kom txog rau thaum qhov kev ncua ntawv zoo li mis los yog kua huab, yam kua.

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.

Kev Sib Tham Yeeb Tshuaj NPH

Kev ua haujlwm ntawm Humulin M3 yog txhim kho los ntawm kev noj tshuaj hypoglycemic qhov ncauj, ethanol, salicylic acid derivatives, monoamine oxidase inhibitors, sulfonamides, ACE inhibitors, angiotensin II receptor blockers, tsis xaiv-beta-blockers.

Cov tshuaj Glucocorticoid, cov tshuaj hormones kev loj hlob, qhov ncauj tawm tsam, danazole, cov thyroid hormones, thiazide diuretics, beta2-sympathomimetics ua rau txo qis hauv cov nyhuv hypulinlycemic ntawm insulin.

Ua kom muaj zog lossis, hloov pauv, tsis muaj zog ntawm kev vam khom ntawm insulin muaj peev xwm ntawm lancreotide thiab lwm yam analogues ntawm somatostatin.

Cov tsos mob ntawm cov qog ntshav qab zib yog lubricated thaum noj clonidine, reserpine thiab beta-blockers.

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.

Hauv tebchaws Lavxias, kwv yees li 3 lab tus tib neeg los ntawm tag nrho cov pejxeem hauv lub tebchaws raug mob kis thoob ntiaj teb - mob ntshav qab zib. Rau feem ntau, cov neeg mob ntshav qab zib nquag mus ntsib cov kws kho mob endocrinologist thiab kev kuaj ntshav qab zib tsis tu ncua. Muaj pes tsawg tus neeg mob zuj zus ib hnub dhau ib hnub, thiab txhua txhua hnub tus kabmob muaj npe rau 200 tus neeg, thiab hauv 90% ntawm tus neeg ntawd yog hom mob ntshav qab zib hom 2.

Hauv thawj theem, kev siv tshuaj kho qhov ncauj yog siv los txo qis dua cov piam thaj, thiab kev kho tshuaj insulin yuav ploj mus rau tom qab. Los ntawm txoj kev, feem ntau siv tshuaj insulin yog pib lig dhau lawm, txawm hais tias muaj ntau cov tshuaj nrog xws li cov nyhuv pharmacological.Feem ntau, hauv kev siv tshuaj, tuaj yeem muab faib ua peb pawg.

1. Tib neeg cov insulins:

• ultra luv tes hauj lwm
• kev txiav txim luv
• nruab nrab ncua sijhawm ua.

1. Cov tshuaj ntawm cov tshuaj insulin:

• ntev ua yeeb yam.

1. Sib xyaw:

• kev txiav txim sib xyaw (analogue + tib neeg),
• sib xyaw ntawm nruab nrab thiab luv ua yeeb yam insulins.

Kev npaj tau npaj los ntawm ntau lub tuam txhab, thiab tsuas yog tus kws kho mob yuav tsum xaiv qhov tsim nyog. Txawm li cas los xij tsis txhob hloov cov tshuaj ntawm koj tus kheej, vim tias qhov no tuaj yeem ua rau kev tsis txaus ntseeg ntawm lub cev, vim tias qhov koob tshuaj tsis tsim nyog. Txawm tias cov pabcuam kev pabcuam me me tuaj yeem ua rau muaj kev tsis haum. Tus naj npawb ntawm cov tshuaj nruab nrab cov tshuaj tiv thaiv Hagedorn muaj npe hauv cov lus sawv cev rau cov tshuaj uas siv ntau tshaj plaws hauv tebchaws Russia.

NPH insulin thiab lwm yam insulin txawv li cas?

Cov tshuaj insulin thiab tshuaj yaj yeeb yog cov tshuaj nruab nrab. Cov ntawv luv hais txawv txawv los ntawm Latin lub npe Neutral Protamine Hagedorn. Hauv tebchaws Russia, koj tuaj yeem nrhiav lwm cov npe uas tsis yog lag luam ntawm cov tshuaj (PTsI lossis isofan).

Cov tshuaj no muaj nyob rau hauv kev raug ncua rau sc tswj hwm nrog cov tshuaj insulin muaju. Yog li, qhov kev xav crystallized tseem nyob hauv qab daim tawv nqaij kom ntev, nkag mus rau hauv cov ntshav maj mam. Hauv qhov no, cov tshuaj insulin, hu ua npx, ua rau 12-16 teev, uas ntev dua 2-3 zaug ntev dua li lwm tus neeg insulins.

Txhawm rau kom ua tiav qhov txiaj ntsig zoo ntawm NPH insulin, nws yog qhov tsim nyog ua raws li txheej txheem ntawm kev ua haujlwm ntawm kev txhaj tshuaj sc. Cov kev tshawb fawb pom tias tsuas yog 9% ntawm tag nrho cov neeg mob siv isofan kom nkag mus rau qhov koob tshuaj uas xav tau, thaum tus so tsis quav ntsej cov txheej txheem raug.

Ntau lub NPH yog tsim los ntawm ntau lub tuam txhab kws kho mob hauv daim ntawv lag luam rau tom qab, txawm li cas los xij, tsis yog txhua lub tuam txhab pom qhov tseeb ntawm qhov koob tshuaj thaum tso cov tshuaj.

Kev npaj NPH raug cais tshwj xeeb ntawm lawv tus kheej, faib ua npua insulin thiab tib neeg. Thaum hloov cov tshuaj ib qho nrog lwm tus, cov qauv ntawm cov tshuaj nkag mus rau cov ntshav pauv hloov, vim tias cov amino acids hauv tib neeg thiab pliav hmoov rau cov txiv neej txawv.

Kev taw qhia rau kev siv Humulin

Humulin yog qhov tsim nyog rau kev siv los ntawm cov poj niam cev xeeb tub insulin uas muaj keeb kwm muaj ntshav qab zib hom 2. Tus kws kuaj mob endocrinologist tuaj yeem sau ntawv kho cov tshuaj humulin rau thawj zaug uas kuaj pom tus mob ntshav qab zib mellitus hauv tus neeg mob, lossis thaum hloov lwm yam tshuaj (yog tias qhia), kom txuas ntxiv cov tshuaj insulin.

Cov txheej txheem rau Qhov Qhia Tawm Yog

1. Cov lus qhia ntawm ib hom insulin yuav tsum ua kom raws sijhawm, los yog raws cov ntaub ntawv glucometer.
2. Qhov chaw txhaj tshuaj yuav tsum tau hloov txhua zaus.
3. Lub vial nrog ib qho tshuaj NPH lossis tus cwj mem nrog lub ntsej muag humulin yuav tsum muab rov qab dhau 20 zaug ua ntej siv, tab sis tsis txhob tshee hnyo.
4. Yog tias koj siv cov tshuaj humulin nyob hauv ib lub vial, tom qab ntawd koj siv tsis tau ib qho koob txhaj koob (koob) rau kev tswj xyuas dua, txoj cai no kuj tseem siv rau cov koob txhaj tshuaj.
5. Tsis txhob siv cov xaum nqus ntawm lwm tus neeg mob.
6. Lub koob tawm ntawm rab koob txhaj tshuaj yuav tsum tau muab tshem tawm tam sim ntawd tom qab txhaj.
7. Yog tias ib feem ntawm cov insulin ntws rov qab los hauv qab daim tawv tsis txhob txhaj koob tshuaj ntawm humulin dua.
8. Yog tias koj nyiam siv dej cawv, los yog cawv cov ntaub so rau kev txhaj tshuaj, ces tos kom txog thaum cov cawv tau qhuav ntawm daim tawv nqaij.
9. Yog tias muaju dawb uas zoo li ib tus qauv khov rau ntawm phab ntsa ntawm lub raj mis, koj siv tsis tau nws.
10. Humulin tsis tu ncua thiab NPH tuaj yeem sib xyaw nrog ib qho syringe, thaum Humulin tsis tu ncua yuav tsum tau ua ntej. Txoj cai no tau sau tsuas yog hais txog kev siv tshuaj lom neeg, nws yog tsis yooj yim sua kom sib xyaw cov tshuaj ntawm lwm pab pawg hauv ib qho tshuaj insulin.

Ib yam li lwm yam isofan, Humulin tuaj yeem ua rau hypoglycemic manifestations.Kev siv tshuaj NPH, thiab humulin tshwj xeeb, hypoglycemia hauv cov neeg mob feem ntau tshwm sim thaum pw tsaug zog, thiab sawv ntxov ntxov. Hauv qee kis mob hnyav tshwj xeeb tshaj plaws, hypoglycemia thaum noj cov tshuaj tuaj yeem tuaj yeem ua rau tsis nco qab lossis tuag. Yog tias vim li cas los xij koj tsis tuaj yeem tswj hwm koj qib qab zib qee lub sijhawm tom qab siv tshuaj, nco ntsoov tias ib tus neeg tuaj yeem muab kev pabcuam ua ntej lossis hu rau lub tsheb tos neeg mob paub txog nws.

Cov kev tsis haum rau lub cev nrog kev siv tshuaj lom ntshav ntau yog tsis tshua muaj NPH, tab sis tuaj yeem tsim kev phom sij txog lub neej, piv txwv li: ua pa nyuaj thiab seb puas muaj ntshav siab.

Cov kev mob tshwm sim txuas ntxiv yog tus qauv rau txhua tus NPH, vim tias ib tus neeg tuaj yeem ua rau muaj kev tsis haum ntawm thaj chaw txhaj tshuaj.

Lactation thiab cev xeeb tub

Qee tus poj niam uas mob ntshav qab zib yuav maj mam los txog tom qab xav txog menyuam. Ntau qhov tseeb, txog rau qhov ua tau, yog tias cov insulin siv los kho cov ntshav qabzib, tshwj xeeb, humulin sau npe nrog NPH.

Ntau tus poj niam tsis quav ntsej lawv lub xeev ntawm kev noj qab haus huv, kev saib xyuas tias qhov siv tshuaj lom tsis ua rau muaj kev hloov pauv hauv tus menyuam. Txawm li cas los xij, nws tsis tuaj yeem tsis quav ntsej txog kev noj tshuaj rau kev puas tsuaj ntawm tus kheej, vim qhov no yuav cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam.

Nws yog ib qho tseem ceeb los npaj lub cev xeeb tub ua ntej, thiab qhia tus kws kho mob tsis yog tsuas yog tshwm sim, tab sis kuj thaum npaj. Hauv txhua lub hlis twg, kev mus ntsib tus kws kho qhov muag endocrinologist yog yuav tsum ua, vim nws yog nws leej twg yuav tsum tau nrog qhov kev hloov kho tshuaj. Ib tug poj niam yuav tsum tau npaj kom txhij rau qhov tseeb tias nyob hauv thawj peb lub hlis qhov koob tshuaj yuav txo qis dua li ib txwm, thiab hauv zaum ob thiab peb yuav nce ntxiv.

Tom qab yug los, ib tus niam laus kuj yuav tsum tau saib xyuas tus kws kho mob endocrinologist thiab hloov kho tshuaj, lossis noj zaub mov.

Xaus

Cov tshuaj nruab nrab ntawm lub sijhawm nruab nrab ntawm kev nqis tes ua yog qhov kev txhim kho tshiab, thiab nws siv thawj hnub los txog rau xyoo 1946. Tau 70 xyoo, ntau tus neeg mob tau ntsib cov tshuaj insulin, thiab txuas ntxiv siv cov tshuaj humulin thiab tshuaj tiv thaiv kab mob, vim tias NPH raug tshuaj los ntawm kws kho mob, thiab yog tias xav tau kev qhia, isofan tsuas yog tsim nyog.

Yog lawm, ib qho tsis tuaj yeem ntsiag to txog qhov tseeb tias, zoo li txhua yam tshuaj, cov tshuaj pab pawg no tseem muaj nws qhov tsis zoo. Rau cov hluas, piv txwv li, qhov kev kho mob no tsis zoo li yuav tsim nyog, vim tias koj yuav tau hnov ​​qab txog cov khoom noj txom ncauj thiab ua raws cov zaub mov noj, thiab tsis yog nws nkaus xwb. Txoj kev pheej hmoo ntawm ntshav qog ntshav nyob rau hauv kev ua txhaum ntawm txheej txheem ntawm kev tswj hwm, thiab kev saib xyuas tas li ntawm cov ntshav qab zib.

Cov neeg mob ntshav qab zib sim kom tsis txhob siv tshuaj kho mob, nws tsis yog ib qho tseeb, vim tias qhov tshwm sim ntawm tus kabmob no yuav zam tsis dhau, thiab kev teem sijhawm kho yam mob no tsuas yog lub sijhawm. Ntshai tias kev txhaj tshuaj nrog cov tshuaj insulin yuav ua rau koj tsis tuaj yeem paub lub neej sai sai.

Dosage form: & nbsp raug tshem tawm rau subcutaneous thawj coj Sau:

1 ml muaj:

yam tshuaj: neeg insulin 100 ME,

tus zam: metacresol 1.6 mg, phenol 0.65 mg, glycerol (glycerin) 16 mg, protamine sulfate 0.348 mg, sodium hydrogen phosphate heptahydrate 3.78 mg, zinc oxide - qs los tsim zinc ions tsis pub tshaj 40 μg, 10% hydrochloric acid tov - qs rau pH 6.9-7.8, 10% sodium hydroxide tov - qs rau pH 6.9-7.8, dej rau kev txhaj tshuaj - txog li 1 ml.

Qhov kev ncua yog dawb, uas exfoliates, tsim ib qho dawb nag lossis daus thiab pob tshab - xim tsis muaj xim lossis yuav luag tsis muaj xim. Cov nag lossis daus tau yooj yim resuspended nrog maj mam co.

Pharmacotherapeutic pab pawg: tus neeg sawv cev hypoglycemic - insulin ntawm lub sijhawm nruab nrab ntawm kev nqis tes ua ATX: & nbsp

A.10.A.C Qhov nruab nrab ntev insulins thiab lawv cov analogues

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

Kev ua haujlwm tseem ceeb ntawm insulin yog kev 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 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 thiab 8 teev, lub sijhawm ua haujlwm yog 18-20 teev.

Cov kev sib txawv hauv cov tshuaj 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.

Pharmacokinetics: Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (plab, caj pas, pob tw), koob tshuaj (ntim ntawm txhaj tshuaj insulin), cov tshuaj insulin nyob rau hauv cov tshuaj, thiab lwm yam. Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab hauv lub raum. Nws yog tawm los ntawm lub raum (30-80%). Kev Taw Qhia:

- Mob ntshav qab zib mellitus xav tau kev kho tshuaj insulin,

- mob ntshav qab zib thaum cev xeeb tub.

Hypersensitivity rau insulin los yog rau ib qho ntawm cov tshuaj ntawm cov tshuaj,

Cev xeeb tub thiab lactation:

Thaum cev xeeb tub, nws yog qhov tseem ceeb heev kom tswj tau zoo glycemic tswj hauv cov neeg mob tau txais kev kho mob 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 qhia rau lawv tus kws kho mob txog kev npaj cev xeeb tub lossis kev npaj xeeb tub.

Cov neeg mob uas mob ntshav qab zib mellitus thaum pub mis niam tej zaum yuav tsum tau txhaj tshuaj insulin, noj zaub mov noj, lossis ob qho tib si.

Muab thiab kev coj:

Cov koob tshuaj ntawm Humulin® NPH yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus raws li kev saib xyuas ntawm cov piam thaj hauv cov ntshav.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.

Kev txhaj tshuaj subcutaneous yuav tsum ua rau ntawm 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 ib hlis ib zaug. 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 zoo.

Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

Npaj rau kev tswj hwm rau 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 kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. 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.

Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov. 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.

Siv cov tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

Rau Humulin® NPH hauv daim cartridges

Ua ntej yuav siv, Humulin® NPH daim cartridges yuav tsum tau muab nruab nrab ntawm xib teg kaum npaug thiab tshee, tig mus rau 180 ° kuj kaum zaus kom txog thaum cov tshuaj insulin tawm mus kom txog thaum nws dhau los ua homogeneous turbid kua lossis kua mis. 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.Sab hauv txhua tus cartridge yog ib qho me me. iav pob uas ua kom muaj kev sib xyaw ntawm cov tshuaj insulin. Tsis txhob siv tshuaj insulin yog tias nws muaj plaub ya ri tom qab tov.

Lub cartridge ntaus ntawv tsis tso cai rau kev sib xyaw lawv cov ntsiab lus nrog rau lwm cov insulins ncaj qha rau hauv daim cartridge nws tus kheej: daim cartridges tsis yog npaj rau kom rov ntim khoom.

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 cov tshuaj Humulin ®NPH hauv cov hno ceev

Ua ntej kev txhaj tshuaj, koj yuav tsum nyeem QuickPen ™ Syringe Pen Cov Lus Qhia rau Siv.

Kev ntshav siab yog qhov tshwm sim zoo tshaj plaws uas tshwm sim nrog kev qhia ntawm insulin npaj, suav nrog Humulin ® NPH. Kev mob ntshav qis heev tuaj yeem ua rau tsis nco qab thiab, tshwj tsis yog, tuag taus.

Kev ua xua tsis haum : Cov neeg mob tuaj yeem ua rau muaj kev tsis haum hauv lub zos nyob rau hauv daim ntawv ntawm hyperemia, edema, lossis khaus ntawm qhov chaw txhaj tshuaj. Cov kev mob tshwm sim no feem ntau yuav nres tom qab ob peb hnub mus rau ntau lub lis piam. Qee qhov xwm txheej, cov kev coj ua no tuaj yeem yog los ntawm cov laj thawj tsis cuam tshuam 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 lub cev tshwm sim los ntawm insulin, tshwm sim tsawg dua, tab sis muaj qhov hnyav dua. Lawv tuaj yeem pom tshwm sim los ntawm kev tawm tsam dav dav, ua tsis taus pa, txog siav, txo ntshav siab, ntshav nce siab, thiab tawm hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej. Muaj qee zaus muaj kev fab loj heev rau Humulin® NPH, yuav tsum tau kho tamsid. Tej zaum koj yuav xav tau pauv hloov insulin, lossis desensitization.

Nrog lub caij nyoog siv - kev txhim kho yog ua tau lipodystrophy ntawm qhov chaw txhaj tshuaj.

Cov kab mob ntawm kev txhim kho ntawm edema tau pom, feem ntau nrog kev ceev nrawm ntawm cov ntshav qabzib concentration tiv thaiv keeb kwm yav dhau los ntawm kev siv tshuaj insulin ntau nrog kev pib tsis txaus siab glycemic tswj (saib ntu "Cov Lus Qhia Tshwj Xeeb").

Kev noj tshuaj ntau dhau ntawm cov tshuaj insulin ua rau cov ntshav tsis tuaj yeem, nrog cov hauv qab no cov tsos mob : qaug zog, tawm hws ntau dhau, tachycardia, pallor ntawm daim tawv nqaij, mob taub hau, tshee tshee, ntuav, tsis meej pem. Hauv qee qhov xwm txheej, piv txwv li, nrog lub sijhawm ntev lossis nrog kev soj ntsuam mob ntshav qab zib mellitus, cov tsos mob, cov xwm txheej ua ntej ntawm hypoglycemia, tuaj yeem hloov pauv.

Cov ntshav qog ntshav qis feem ntau koj tuaj yeem nres los ntawm kev noj cov piam thaj lossis qab zib. Yuav tsum tau txhaj koob tshuaj insulin, noj zaub mov, lossis ua kom lub cev qoj ib ce.

Kev kho cov ntshav qab zib tsawg tuaj yeem nqa tawm ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj cov zaub mov carbohydrates.

Mob ntshav qab zib tsawg nrog los ntawm coma, convulsions los yog neurological ntshawv siab, nres los ntawm intramuscular / subcutaneous tswj hwm ntawm glucagon los yog tso ntshav kev tswj hwm ntawm ib tug concentrated 40% daws ntawm dextrose (qabzib). Tom qab nws rov qab nco qab, tus neeg mob yuav tsum tau muab cov zaub mov nplua nuj nyob hauv cov khoom noj kom hnyav kom tsis txhob muaj kev rov qab txhim kho ntawm hypoglycemia.

Yog tias koj xav siv lwm cov 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").

Kev nce ntxiv ntawm cov tshuaj insulin tej zaum yuav tsum muaj nyob rau ntawm qhov kev teem caij ntawm cov tshuaj uas ua rau muaj kev nce siab ntxiv ntawm cov piam thaj hauv cov ntshav, xws li : tshuaj noj hauv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, beta 2 -adrenomimetics (e.g. ritodrin, terbutaline), thiazide diuretics, diazoxide, phenothiazine derivatives.

Txo cov koob tshuaj insulin tej zaum yuav xav tau thaum sau tshuaj uas txo qis cov ntshav qabzib hauv cov ntshav, xws li : beta-blockers, thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv kab mob hypoglycemic, salicylates (piv txwv), tshuaj tua kab mob sulfanilamide, qee cov tshuaj tiv thaiv kab mob (monoamine oxidase inhibitors), angiotensin inhibitors, thiab angiotensin inhibitors. Beta-blockers, clonidine, tuaj yeem npog cov tsos mob ntawm cov kev mob qog ntshav qab zib.

Qhov cuam tshuam ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog insulin ntawm tsiaj keeb kwm lossis tib neeg cov kua dej los ntawm lwm cov tuam ntxhab tsis tau kawm.

Hloov chaw ntawm tus neeg mob mus rau lwm hom lossis kev npaj tshuaj insulin nrog cov lag luam sib txawv yuav tsum tshwm sim nyob rau hauv kev saib xyuas mob nkeeg nruj. Hloov hauv kev ua, hom (chaw tsim khoom), hom (tsis tu ncua, NPH, thiab lwm yam) ntawm hom (tsiaj, tib neeg, tib neeg cov tshuaj insulin) thiab / lossis txoj kev tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) yuav tsum tau hloov kho koob.

Rau qee tus neeg mob, yuav tau kho kom tau cov koob tshuaj thaum hloov los ntawm tsiaj los ntawm insulin los rau tib neeg insulin. Qhov no tuaj yeem tshwm sim twb tau dhau los ntawm thawj zaug kev tswj hwm ntawm tib neeg li kev npaj tshuaj insulin lossis maj mam li ntawm ob peb lub lis piam lossis hli tom qab hloov mus. Cov tsos mob ua ntej ntawm hypoglycemia thaum tswj hwm ntawm tib neeg cov tshuaj insulin hauv qee cov neeg mob yuav tsis tshua pom zoo lossis txawv dua li cov uas tau pom thaum tswj hwm tsiaj insulin. Nrog normalization ntawm ntshav qabzib.

piv txwv li, qhov txiaj ntsig los ntawm kev kho mob insulin ntau dua, txhua yam lossis qee cov tsos mob ntawm kev tuaj yeem ua ntej ntawm hypoglycemia yuav ploj, uas cov neeg mob yuav tsum tau qhia txog. 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 kho nrog tshuaj xws li beta-blockers.

Kev noj tshuaj tsis txaus lossis tsis ncua kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib, tuaj yeem ua rau mob hyperglycemia thiab ntshav qab zib ketoacidosis (mob uas yuav ua rau tuag taus rau tus neeg mob).

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo nrog qhov tsis txaus ntawm adrenal caj pas, pituitary caj pas lossis cov thyroid caj pas, nrog lub raum lossis hepatic tsis txaus. Nrog rau qee cov kab mob lossis nrog kev ntxhov siab hauv lub siab, qhov xav tau cov tshuaj insulin yuav nce. Kev kho ntawm cov koob tshuaj insulin kuj tseem xav tau nrog kev ua kom lub cev lossis muaj qhov hloov pauv ntawm ib txwm noj zaub mov.

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.

QUICKPEN ™ SYRINGE TES

Humulin® Kev Nres QuickPen ™,Humulin® NPH QuickPen ™,Humulin® M3 QuickPen ™

SYRINGE TES TAW QHIA RAU INSULIN

THOV NYEEM NYEEM cov lus qhia ua ntej siv

Cwj mem ceev ceev mem yog yooj yim siv. Nws yog cov cuab yeej siv los tswj cov tshuaj insulin (ib qho "insulin syringe mem") muaj 3 ml (300 units) ntawm kev npaj tshuaj insulin nrog ib qho dej ntawm 100 IU / ml. Koj tuaj yeem hno ntawm 1 txog 60 units ntawm insulin rau ib zaug txhaj. Koj tuaj yeem tsim koob tshuaj nrog qhov tseeb ntawm ib chav. Yog tias koj tau teeb tsa ntau cov koog. Koj tuaj yeem kho qhov koob tshuaj yam tsis poob los ntawm insulin.

Ua ntej siv cov cwj mem QuickPen cwj mem, nyeem phau ntawv no kiag thiab ua raws nws cov lus qhia. Yog tias koj tsis ua raws li tag nrho cov lus qhia no, koj yuav tau txais cov tshuaj insulin tsawg dhau los yog siab dhau.

Lub QuickPen Syringe Cwj mem rau insulin yuav tsum tsuas yog siv los ntawm koj.Tsis txhob kis tus cwj mem los yog rab koob rau lwm tus, vim qhov no yuav ua rau kis tus kab mob. Siv ib rab koob tshiab rau txhua txoj kev txhaj tshuaj.

TSIS TXHOB SIV cov xaum xaum hluav taws xob yog ib qho ntawm nws qhov chaw raug puas tsuaj lossis tawg. Yuav tsum tau xaum ib qho xaum xoob xoob uas siv thaum siv xaum xaum los yog nws puas lawm.

Cwj mem ceev ceev Kev npaj

Nyeem thiab ua raws cov lus qhia rau kev siv piav qhia hauv cov lus qhia rau kev siv tshuaj.

Kuaj daim ntawv lo rau ntawm lub phwj qhwv ua ntej txhua yam kev txhaj tshuaj kom paub tseeb tias hnub tas sij hawm ntawm cov tshuaj tsis tau tas sij hawm thiab koj siv hom insulin tseeb, tsis txhob tshem daim ntawv lo los ntawm tus cwj mem syringe.

Lus khaws xav : Cov xim ntawm lub khawm tso nrawm dua rau QuickPen syringe cwj mem sib haum xim ntawm cov xim ntawm daim phiaj xim ntawm daim duab lo thiab daim ntawv nyob ntawm hom tshuaj 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 npaj rau siv nrog cov khoom Humulin.

Koj tus kws kho mob tau sau hom tshuaj insulin uas haum rau koj tshaj plaws. Ib qho kev pauv twg hauv kev kho tshuaj insulin yuav tsum tau ua yog nyob ntawm kev saib xyuas ntawm kws kho mob nkaus xwb.

Ua ntej siv cov koob txhaj syringe, nco ntsoov tias rab koob tau txuas nrog lub xias nqus.

Ua raws cov lus qhia tom qab no.

Cov lus nquag nug txog kev npaj QuickPen Syringe Cwj mem rau kev siv

- Kuv qhov kev npaj insulin yuav tsum zoo li cas? Qee qhov insulin npaj yog turbid kev ncua, thaum lwm tus yog cov kev daws teeb meem meej, nco ntsoov nyeem cov lus piav qhia ntawm insulin hauv daim ntawv qhia kev txuas rau kev siv.

- Kuv yuav ua li cas yog tias kuv cov tshuaj noj kom siab dua 60 units? Yog tias qhov koob tshuaj uas tau muab rau koj yog siab dua 60 units, koj yuav tsum tau txhaj koob thib ob, lossis koj tuaj yeem tiv tauj koj tus kws kho mob txog qhov teebmeem no.

- Vim li cas kuv yuav tsum siv rab koob tshiab rau txhua txoj kev txhaj tshuaj? Yog tias cov koob tau rov qab siv dua, koj tuaj yeem tau txais cov koob tshuaj tsis yog lawm, koob yuav dhau los, lossis koob txhaj tshuaj yuav txhaws, lossis koj yuav raug kis vim tias muaj teeb meem ua kom menyuam yaus.

- Kuv yuav ua li cas yog tias kuv tsis paub meej tias muaj cov insulin ntau npaum li cas nyob hauv kuv lub thawv ntawv ? Muab cov tes rub kom lub taub ntawm rab koob taw thiaj poob. Cov nplai ntawm cov neeg lim hle hauv lub hnab qhia meej pom cov kwv yees ntawm cov koog ntawm insulin tshuav kwv yees. Cov zauv no TSIS TXHOB siv los teem lub koob tshuaj.

"Kuv yuav ua dab tsi yog tias kuv tsis tuaj yeem hle lub hau tawm ntawm rab koob txhaj tshuaj?" Txhawm rau kom tshem lub hau, rub rau nws. Yog tias koj muaj teeb meem nyuaj hle lub hau, ua tib zoo tig lub hau moos thiab moos kom nws tso nws, ces rub nws kom hle lub hau.

Kuaj xyuas QuickPen Syringe Cwj mem rau Insulin

Kuaj koj cov insulin kom tsawg txhua zaus. 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 koj cov insulin kom tsawg ua ntej lub trickle tshwm, koj yuav tau txais insulin ntau dhau los yog ntau dhau.

Cov Lus Nquag Nug Txog Kev Ntsuas Cov Insulin

- Vim li cas kuv thiaj yuav tsum kuaj xyuas kuv cov tshuaj insulin ua ntej txhua qhov txhaj tshuaj?

1. Qhov no nco ntsoov tias tus cwj mem tau npaj txhij rau koob tshuaj.

2. Qhov no ua pov thawj tias qhov ua kom yuam kev ntawm insulin los tawm ntawm rab koob thaum koj nias lub koob tshuaj.

3. Qhov no tshem tawm cov huab cua uas tuaj yeem sib sau hauv rab koob lossis insulin daim cartridge thaum siv.

- Kuv yuav ua li cas yog tias kuv tsis tuaj yeem nias lub pob koob tshuaj thaum lub sijhawm QuickPen's insulin kuaj?

1. Rhais ib rab koob tshiab.

2. Txheeb tshuaj insulin los ntawm tus cwj mem.

"Kuv yuav ua li cas yog tias kuv pom cov pa hauv lub thawv?"

Koj yuav tsum kuaj xyuas cov tshuaj insulin los ntawm tus cwj mem. Nco ntsoov tias koj tsis tuaj yeem khaws cov xaum xaum xaum nrog lub koob uas txuas rau nws, vim qhov no tuaj yeem ua rau kom muaj huab cua npuas hauv lub thawv ntim tshuaj insulin. Cov pa npuas me me tsis cuam tshuam rau qhov koob tshuaj, thiab koj tuaj yeem nkag rau koj cov tshuaj raws li ib txwm muaj.

Cov kev qhia ntawm koob tshuaj uas tsim nyog

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

Nco ntsoov nkag mus rau qhov koob tshuaj uas xav tau los ntawm nias thiab tuav lub koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob. Yog tias cov kua dej tawm los ntawm rab koob, feem ntau koj tsis tau tuav rab koob hauv qab koj daim tawv ntev ntev.

Txo qhov ntxig ntawm qhov ntxig ntawm lub qhov ntswg yog qhov ib txwm. Qhov no yuav tsis cuam tshuam rau koj cov koob tshuaj.

Lub taub ntim koob txhaj tshuaj yuav tsis tso cai rau koj los kos ib lub koob tshuaj uas ntau tshaj ntawm cov lej ntawm insulin nyob hauv lub taub hau.

Yog tias hauv kev poob siab tias koj tau muab tshuaj tag nrho, tsis txhob muab rau lwm lub tshuaj. Hu rau koj tus sawv cev Lilly lossis mus ntsib kws kho mob kom tau kev pab.

Yog tias koj cov tshuaj ntau dua cov lej nyob hauv daim cartridge, koj tuaj yeem sau cov tshuaj insulin nyob hauv tus cwj mem 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 siv tus cwj mem tshiab.

Tsis txhob sim txhaj tshuaj insulin los ntawm kev hloov lub pob tshuaj. Koj yuav TSIS TAU tshuaj insulin yog tias koj tig lub pob tshuaj. Koj yuav tsum nias lub koob txhaj tshuaj rau hauv txoj kab ncaj ncaj kom tau txais koob tshuaj ntawm cov tshuaj insulin.

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

Qhov siv koob yuav tsum tau muab pov tseg kom raws li cov kev pov tseg kho mob hauv zos.

Tshem tawm rab koob tom qab txhua hno tshuaj.

Koob Tshuaj Nug Txog

- Vim li cas nws thiaj li nyuaj nias lub khob tshuaj, thaum kuv sim tau txhaj?

1. Koj rab koob yuav txhaws tau. Sim txuas cov koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob. Tom qab ntawv xyuas tus cwj mem rau cov tshuaj insulin.

2. Kev nias ceev ntawm lub koob tshuaj khawm tuaj yeem ua rau lub pob nyem. Kev qeeb qeeb nias lub koob txhaj tshuaj tuaj yeem ua rau nias yooj yim dua.

3. Kev siv lub taub loj dua yuav ua kom yooj yim nias lub pob koob txhaj thaum lub sijhawm txhaj.

Nrog koj tus kws kho mob tham txog seb rab koob xev twg thiaj zoo rau koj.

4. Yog tias nias lub pob thaum lub sijhawm tswj hwm kev tuav pov hwm yuav tsum nruj tom qab txhua cov ntsiab lus saum no tau ua tiav, tom qab ntawv txhaj tshuaj yuav tsum tau hloov.

- Kuv yuav ua li cas yog tias tus cwj mem Quick syringe lo thaum siv?

Koj tus cwj mem yuav daig yog tias nws nyuaj rau kev txhaj tshuaj lossis teeb tshuaj. Txhawm rau tiv thaiv tus xaum xim los ntawm kev lo:

1. Rhais ib rab koob tshiab. Thaum koj ua qhov no, koj tuaj yeem pom li cas cov insulin tawm ntawm rab koob.

2. Tshawb xyuas cov tshuaj insulin.

3. Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

Tsis txhob sim ntub cov koob txhaj tshuaj, vim tias qhov no yuav ua kev puas tsuaj ntawm koob txhaj tshuaj.

Nias lub pob koob tshuaj yuav ua tau nruj yog tias muaj teeb meem txawv teb chaws (av, plua plav, zaub mov, insulin lossis lwm yam kua) nkag hauv qab tus cwj mem. Tsis txhob cia impurities nkag mus hauv cov xaum xim.

- Vim li cas cov tshuaj insulin ntws tawm ntawm rab koob tom qab kuv tau ua tiav kev noj tshuaj rau kuv?

Tej zaum koj yuav tau tshem rab koob sai dhau ntawm daim tawv.

1. Nco ntsoov tias koj pom tus naj npawb "0" hauv lub qhov rai qhov ntsuas qhov ntsuas.

2. Txhawm rau tswj hwm qhov koob tshuaj tom ntej, nias thiab tuav lub pob koob tshuaj thiab maj mam suav rau 5 ua ntej tshem rab koob.

- Kuv yuav ua dab tsi yog tias kuv cov koob tshuaj tau teeb tsa, thiab lub pob koob tshuaj dua tuaj txog sab hauv yog tias tsis muaj rab koob uas txuas nrog lub koob txhaj tshuaj?

1. Tig lub pob tshuaj rov qab rau xoom.

2. Txuas ib rab koob tshiab.

3.Kuaj koj cov insulin kom tsawg.

4. Teem qhov koob tshuaj thiab hno.

"Kuv yuav ua li cas yog tias kuv tau tsim cov koob tshuaj tsis yog (qis dhau lossis siab dhau)?" Tig lub khob tshuaj rov qab lossis txuas ntxiv kom kho qhov koob tshuaj.

- Kuv yuav ua li cas yog tias kuv pom tias cov insulin ntws tawm ntawm rab koob txhaj tshuaj thaum lub caij xaiv koob lossis hloov kho? Tsis txhob noj ib qho tshuaj, zoo li koj yuav tsis tau txais koj cov tshuaj tag nrho. Teeb tus xaum xaum rau tus naj npawb xoom thiab rov tshawb xyuas cov tshuaj insulin los ntawm cov xaum xaum (saib ntu "Tshawb xyuas QuickPen syringe cwj mem rau Insulin Xa"). Teem qhov tsim nyog yuav tau thiab txhaj tshuaj.

- Kuv yuav ua li cas yog hais tias tsim tsis tau kuv cov tshuaj tag nrho? Tus xaum xaum yuav tsis tso cai rau koj los tsim cov koob tshuaj ntau dhau ntawm cov lej ntawm cov insulin nyob hauv daim ntim taub hau. Piv txwv li, yog tias koj xav tau 31 units, thiab tsuas yog 25 units nyob hauv daim cartridge, tom qab ntawd koj yuav tsis tuaj yeem hla tus lej 25 thaum lub sijhawm nruab. Tsis txhob sim teeb tsa qhov koob los ntawm kev mus ntawm tus lej no. Yog tias cov koob tshuaj ib nrab tawm hauv tus cwj mem, ces koj tuaj yeem:

1. Nkag mus rau ib nrab ntawm cov koob tshuaj no, thiab tom qab ntawd nkag mus rau qhov seem uas yog siv tus cwj mem tshiab, lossis

2. Tshaj tawm cov tshuaj tag nrho los ntawm cov kua mem tshiab.

- Vim li cas kuv tsis tuaj yeem tsim koob tshuaj kom siv cov tshuaj insulin uas tsawg nyob hauv kuv lub taub hau? Lub koob txhaj tshuaj yog tsim los tso cai rau kev tswj hwm ntawm tsawg kawg 300 units ntawm insulin. Lub cuab yeej ntawm rab koob xaum hluav taws xob tiv thaiv lub pob txha taub los ntawm kev ua kom tiav, vim tias qhov tshuaj me me uas tseem nyob hauv daim cartridge tsis tuaj yeem raug txhaj nrog qhov tseeb uas tsim nyog.

Cia thiab pov tseg

Rab koob txhaj tshuaj tsis tuaj yeem siv yog tias nws tau nyob sab nraum lub tub yees rau ntau tshaj li lub sijhawm teev nyob 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 tso rau hauv tub yees rau ntawm qhov kub li 2 ° C txog 8 ° C. Tsis txhob siv cov xwj xem hluav taws xob yog tias nws tau khov.

Daim ntaub qhwv uas koj siv tam sim no yuav tsum khaws cia rau qhov kub tshaj li 30 ° C thiab hauv qhov chaw tiv thaiv los ntawm kub thiab lub teeb.

Xa mus rau cov lus qhia rau kev siv rau kev paub tiav nrog kev khaws cia cov qauv ntawm cov xaum xaum.

Khaws cov xaum xaum kom deb ntawm qhov chaw ncav cuag ntawm cov menyuam.

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

Cuam tshuam ntawm cov phwj uas siv tsis muaj koob uas txuas nrog lawv thiab ua raws li cov lus pom zoo ntawm koj tus kws kho mob.

Tsis txhob ntim cov thawv ntim ntim rau hauv cov ntse ntim.

Nug koj tus kws kho mob seb yuav ua li cas thiaj li muaj cov thoob ntim hauv cov thoob koj thaj tsam.

Humulin® thiab Humulin® nyob hauv QuickPen-Syringe Pen yog cov cim lag luam ntawm Eli Lilly & Company.

QuickPen ™ Syringe Cwjfwm raws li qhov muaj pes tsawg koob tshuaj thiab kev ua haujlwm zoo ntawm ISO 11608-1: 2000

Nco ntsoov tias koj muaj cov yam hauv qab no:

Pen Cwj mem ceev ceev

Tshiab rab koob rau cov hlaws tes

Swab ntub dej nrog cawv

QuickPen Koob txhaj tshuaj thiab Cheebtsam Koob * (* Muag Cais), Caj mem phis tog - saib pic 3 .

Xim Coding ntawm Koob Yees Duab - saib pic 2 .

Kev siv tus cwj mem ib txwm siv

Ua raws li cov lus qhia no kom ua tiav txhua kev txhaj tshuaj.

1. Npaj ceev mem hluav taws xob

Rub lub hau tawm ntawm rab tes xaum qhwv kom tshem nws. Tsis txhob kiv taub hau. Tsis txhob rub daim ntawv lo los ntawm cov xaum xim.

Nco ntsoov xyuas koj cov insulin rau:

Hnub tas sij hawm

Saib xyuas: Nco ntsoov nyeem daim ntawv xaj txhua lub sijhawm kom paub tseeb tias koj siv hom tshuaj insulin.

Rau kev ua yeeb yam rau insulin nkaus xwb:

Maj mam muab cov koob txhaj tshuaj npuag 10 npaug ntawm koj xib teg

tig lub cwj mem dhau 10 zaug.

Kev sib xyaw xim tseem ceeb heev txhawm rau kom ntseeg tseeb tias tau txais qhov tshuaj yog. Cov tshuaj insulin yuav tsum saib zoo kom sib xyaw.

Siv ib rab koob tshiab.

Tshem daim ntawv nplaum tawm ntawm lub hau ntawm rab koob.

Siv cov paj ntaws ntub dej cawv nrog cawv los so lub roj hmab disc ntawm qhov kawg ntawm lub thawv ntim.

Muab rab koob tso rau hauv lub hau txoj cai ntawm txoj kab ntawm kev txhaj tshuaj tus cwj mem.

Ntsia ntawm tus kab kom txog thaum siab txuas.

2. Txheeb xyuas QuickPen Syringe Cwj mem rau Insulin

Ceev faj: Yog tias koj tsis kuaj cov tshuaj insulin ua ntej txhua qhov kev txhaj tshuaj, koj tuaj yeem txais cov tshuaj insulin qis dhau los yog qis dhau.

Tshem lub hau hau sab nraud. Tsis txhob muab pov tseg.

Tshem lub hau ntawm lub hau thiab muab pov tseg.

Teeb 2 chav nyob los ntawm kev hloov cov koob tshuaj khawm.

Taw tes cwj mem.

Coj mus rhaub rau ntawm lub laub cartridge kom tso pa tawm rau hauv

Nrog rab koob taw qhov taw, nias lub khawm koob tshuaj kom txog thaum nws nres thiab tus lej "0" tshwm nyob rau hauv lub ntsuas qhov ntsuas.

Tuav lub khawm koob tshuaj nyob rau hauv txoj haujlwm recessed thiab suav maj mam mus txog 5.

Kev txheeb xyuas cov tshuaj insulin yog ua tiav thaum ua tiav cov tshuaj insulin thaum kawg ntawm rab koob.

Yog tias qhov ua kom yuam kev ntawm insulin tsis tshwm sim thaum kawg ntawm rab koob, tom qab ntawv rov qab ua cov kauj ruam ntawm tshuaj insulin kom tsawg plaub zaug, pib txij li ntu 2B thiab xaus nrog point 2G.

Nco tseg: Yog tias koj tsis pom kev tawm ntawm insulin tshwm sim los ntawm rab koob, thiab teeb tsa cov koob tshuaj yuav nyuaj, tom qab ntawd hloov lub koob thiab rov ua qhov ntsuas xyuas qhov insulin kom tsawg los ntawm cov xaum xaum.

Tig lub pob tshuaj rau qhov ntau qhov koj xav tau kev txhaj tshuaj.

Yog tias koj tau poob ntau chav nyob, koj tuaj yeem kho qhov koob tshuaj los ntawm kev hloov cov koob tshuaj khawm rau qhov tsis sib xws.

Siv rab koob tso rau hauv qab ntawm daim tawv nqaij uas siv cov txheej txheem txhaj tshuaj uas koj tus kws kho mob pom zoo.

Muab koj tus ntiv tes xoo tso rau ntawm lub koob tshuaj khawm thiab khov kho nias lub koob tshuaj 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.

Tshem rab koob tawm hauv qab daim tawv nqaij.

Lus khaws xav : Txheeb xyuas thiab xyuas kom tseeb tias koj pom tus lej "0" hauv lub qhov ntsuas qhov ntsuas tshuaj, kom paub meej tias koj tau nkag mus rau tag nrho cov tshuaj.

Ua tib zoo muab lub hau ntim rau ntawm rab koob.

Nco tseg: Tshem tawm rab koob tom qab txhua qhov kev txhaj tshuaj tiv thaiv kom tsis txhob muaj cua npuas los nkag rau hauv lub taub hau.

Tsis txhob muab xaum xaum hluav taws xob nrog rab koob txuas rau nws.

Tshem tawm rab koob nrog lub hau sab nraud ntawm nws thiab pov tseg nws raws li cov lus qhia ntawm koj tus kws kho mob.

Tso lub hau rau ntawm tus tes qhuav lub koob, haum lub hau txiav nrog lub koob taw qhia los ntawm kev thawb lub hau ntawm txoj kab ncaj nraim rau ntawm tus cwj mem syringe.

Nthuav qhia 10 units (saib pic 4) 4) .

Txawm hais tias cov lej raug luam tawm nyob rau hauv lub qhov ntsuas qhov ntsuas tshuaj yog cov lej, tus lej tsis raug luam tawm raws li txoj kab ncaj nruab nrab ntawm cov lej.

Nco tseg: Lub tes tsho syringe yuav tsis tso cai rau koj los teev tus lej ntawm qhov muaj ntau tshaj li qhov muaj pes tsawg nyob rau hauv xaum xaum.

Yog tias koj tsis paub tseeb tias koj tau txhaj tshuaj tag nrho, tsis txhob noj tshuaj ntxiv.

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

Thaum lub sij hawm hypoglycemia, tus neeg mob tuaj yeem txo qis thiab qhov ceev ntawm cov teeb meem psychomotor. Qhov no tuaj yeem txaus ntshai nyob rau hauv qhov xwm txheej uas qhov peev xwm no tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb lossis kev siv tshuab).

Cov neeg mob yuav tsum tau qhia rau kom ceev faj kom tsis txhob mob ntshav qab zib thaum tsav tsheb.Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj, ua ntej ntawm cov ntshav ntog ntshav qab zib lossis nrog rau kev txhim kho ntshav nce siab ntau ntau. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav tsum ntsuas qhov ua tau ntawm tus neeg mob tsav tsheb.

Ncua rau lub subcutaneous thawj coj, 100 IU / ml.

10 ml ntawm cov tshuaj nyob rau hauv nruab nrab iav vials. 1 lub raj mis ua ke nrog cov lus qhia rau kev siv tshuaj raug muab tso rau hauv lub thawv ntawv thawv.

3 ml ib cartridge ntawm nruab nrab iav. Tsib lub laub muab tso rau hauv lub hlwv. Ib qho blister nrog rau cov lus qhia rau kev siv yog muab tso rau hauv lub thawv ntawv thawv.

Los yog daim thij daim muab ntim rau hauv QuickPen tm syringe mem. Tsib tus syringe cwjmem ua ke nrog cov lus qhia rau kev siv thiab cov lus qhia rau kev siv cov phwj syringe yog muab tso rau hauv cov thawv ntawv thawv.

Nyob rau qhov kub ntawm 2 txog 8 ° C. Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov.

Thib ob cov tshuaj Khaws nyob rau hauv chav tsev kub - los ntawm 15 txog 25 ° C rau tsis pub tshaj 28 hnub.

Khaws tsis ncav cuag ntawm cov menyuam yaus.

Tsis txhob siv tom qab hnub tas sij hawm.

Cov nqe lus ntawm kev faib tawm los ntawm lub tsev muag tshuaj: Tus lej sau npe: П N013711 / 01 Hnub sau npe: 06.24.2011 Tus tswv ntawm daim ntawv pov thawj rau npe: Cov lus qhia

Lub xeem hloov tshiab los ntawm chaw tsim tshuaj paus 14.09.2016

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 sediment. 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

1. Tshem lub hau los ntawm rub nws tawm dua li tig nws.
2. Tshawb tshuaj insulin, txee lub neej, ntxhib los mos thiab xim.
3. Npaj ib rab koob txhaj koob raws li tau piav los saum no.
4. Ntsia tus pas kom txog rau thaum nws nruj.
5. Tshem ob lub hau tawm ntawm rab koob. Sab nraud - tsis txhob muab pov tseg.
6. Kuaj cov tshuaj insulin.
7. Quav ntawm daim tawv nqaij thiab txhaj rab koob hauv qab daim tawv nqaij ntawm kaum ntawm 45 degrees.
8. Qhia cov tshuaj insulin los ntawm kev tuav lub pob nrog lub ntiv tes kom txog thaum nws nres, suav qeeb qeeb rau 5.
9. 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 qis ntawm cov tshuaj insulin tuaj yeem nyob ntawm lub taub hau ntawm rab koob, tab sis tsis xau los ntawm nws, uas txhais tau tias yog koob tshuaj tsis tiav.
10. 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
• B vitamins,
• 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.

Humulin Tsis tu ncua

Yog hais txog luv luv insulins. Nws pib ua haujlwm li ib nrab teev tom qab kev tswj hwm (ib qho kev txhaj tshuaj tau muab 15-30 feeb ua ntej noj mov), nce mus txog qhov siab kawg ntawm kev ua haujlwm tom qab 1.5-3 teev, muaj cov seem ua haujlwm ntawm glycemia rau 5-7 teev.

Cov tshuaj yog zoo meej rau kev them nyiaj rau cov neeg mob uas coj kev ntsuas kev ua neej, kev soj ntsuam kev kwv yees zoo txhua hnub. Nws raug pom zoo rau kev siv tes taw tiv thaiv tus keeb kwm ntawm kev mob ntshav qab zib uas twb muaj lawm. Nws muaj peev xwm zam tau zoo los ntawm cov neeg laus, zoo li los ntawm txhua tus neeg mob uas cov kab mob kev kawm yog qhov nyuaj los ntawm cov kab mob concomitant.

Feem ntau, insulin kho Humulin Tsis tu ncua pib thaum lub sijhawm npaj ntawm cov neeg mob rau kev phais mob hnyav lossis thaum mob hnyav. Raws li txoj cai, txoj kev kho kom zoo tuaj yeem dhau los ua lub hauv paus tseem ceeb rau kev tswj hwm qhov kev kho mob no txawm tias tom qab tau hais los kho tus mob.

Xws li cov khoom ua tau zoo analogue tsis tshua muaj kev phiv loj, yog zam tau yooj yim. Qhov tshwm sim ntawm lipodystrophy feem ntau yog txuam nrog kev ua txhaum theem pib ntawm tus txheej txheem, thiab qhov mob ntshav qab zib tsawg tshwm sim tsuas yog vim kev siv tshuaj ntau dhau. Kev hloov mus rau Humulin Tsis tu ncua yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob tsim nyog xwb, vim hais tias muaj kev kho kom haum rau kev kho cov tshuaj insulin li ib txwm yuav tsim nyog. Qhov kev xaiv zoo tshaj plaws yog kev xaiv ntawm cov tshuaj txhaj rau hauv tsev kho mob tshwj xeeb.

Kev nce / txo nyob rau hauv cov naj npawb ntawm cov kev txhaj tshuaj thiab lawv cov ntim tuaj yeem tshwm sim rau tom qab ntawm kev ntxhov siab, kab mob, kev ua haujlwm. Tsis tas li ntawm qhov tseem ceeb yog qhov chaw xaiv rau kev txhaj tshuaj, tus neeg mob rhiab rau cov tshuaj nquag.

Kuj tseem siv tau rau cov pab pawg ntawm cov analogues ntawm nruab nrab lub sijhawm. Nws txawv los ntawm kev pib ua haujlwm sai, txij li hauv ib teev (qee lub sijhawm 30 feeb) tom qab nkag hauv qab daim tawv nqaij, nws muaj kev ua haujlwm zoo, qhov siab tshaj plaws tshwm sim tom qab 1.5-8 teev, nyob hauv lub cev kom txog 15 teev. Nws yog tswj tsuas yog subcutaneously / intramuscularly!

Qhov kev ncua yog 30% Humulin Tsis tu ncua, tus so poob rau ntawm Humulin NPH Cov. Txhawm rau hloov cov yeeb yaj kiab ntawm cov tshuaj, nws raug nquahu kom taug qab ib tus neeg cov tshuaj tiv thaiv kev hloov pauv ntawm thaj chaw txhaj tshuaj, kom nce / txo lub sijhawm nruab nrab ntawm kev txhaj tshuaj thiab kev noj zaub mov.

Kev siv cov tshuaj xav kom tus neeg mob ua tib zoo sau cov cai rau kev khaws cia thiab tswj hwm cov tshuaj insulin no. Ua ntej siv, lub raj mis yuav tsum muab los ntawm cov xib teg (li 10 npaug) rau kev sib tov sib xyaw. Cov khoom ua tiav lawm yuav tsum tau txais cov xim tsis muaj xim (xim daj), muaj qhov tsis sib thooj.

Yuav kom tau txais cov nyiaj them ncaj ncees, feem ntau xaiv tau 3-hnub, kev noj haus txhua hnub yog xaiv, kev noj tshuaj txhua hnub yog kho kom haum rau qhov profile ntawm qhov kev txiav txim ntawm cov khoom neeg tsim.

Txhua yam kev npaj ntawm cov neeg tsim khoom no yog khaws cia rau hauv tub yees kom txog thaum qhib. Tom qab pib siv, lub vial yuav tsum ceev cia ntawm chav sov. Khov khov ua rau cov tshuaj tsis tuaj yeem. Lub txee lub neej ntawm qhib analog yog tsuas yog 4 lub lis piam.

Cov xwj syringe yog siv tib yam li rau (Humapen, Humapen Luxura) Cov. Kev siv cov koob txhaj tshuaj pov tseg yog tso cai.

Nco ntsoov, txhua txoj hauv kev ntawm txoj kev kho rau endocrine pathologies tsuas yog siv tau tom qab sab laj nrog koj tus kws kho mob! Kev noj tshuaj rau tus kheej tuaj yeem yog qhov txaus ntshai.

Chaw tsim tshuaj paus: Eli Lilly, Eli Lilly

Npe: Humulin NPH ®, Humulin NPH ®

Muaj pes tsawg leeg: 1 ml muaj cov tshuaj nquag insulin 100 IU. Cov kev zam: m-Cresol distilled 1.6 mg / ml, glycerol, phenol 0.65 mg / ml, protamine sulfate, dibasic sodium phosphate, zinc oxide, dej rau txhaj, hydrochloric acid, sodium hydroxide.

Pharmacological kev txiav txim: 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 tau zoo tshaj plaws yog nruab nrab ntawm 2 txog 8 teev, lub sijhawm ua haujlwm yog 18-20 teev .Txhua cov kev sib txawv ntawm cov tshuaj insulin yog nyob ntawm cov yam ntxwv xws li koob tshuaj, xaiv qhov chaw txhaj tshuaj, kev ua haujlwm ntawm tus neeg mob.

Kev taw qhia rau kev siv: Hom 1 mob ntshav qab zib mellitus Hom 2 mob ntshav qab zib mellitus, theem ntawm kev tawm tsam tshuaj rau qhov ncauj hypoglycemic, ib feem tawm tsam kev noj tshuaj hauv lub qhov ncauj (kev kho mob sib xyaw), cov kab mob sib kis, kev phais mob (kev kho mob mono- lossis kev sib txuas ua ke), mob ntshav qab zib mellitus thaum cev xeeb tub (nrog kev kho mob tsis muaj txiaj ntsig )

Txoj kev siv: Cov tshuaj yuav tsum tau muab tshuaj sc, tejzaum nws hauv / m kev qhia. Hauv / hauv kev qhia ntawm Humulin NPH yog contraindicated! Cov tshuaj SC tau muab rau lub xub pwg, ncej puab, pob tw los yog plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 hlis. Thaum s / mus rau kev taw qhia, yuav tsum tau saib xyuas kom tsis txhob nkag mus rau hauv cov hlab ntshav. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws.

• 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 kis) tuag.
• Ua xua: muaj kev fab rau lub zos yog ua tau - hyperemia, o 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.

Cov Tshuaj Tiv Thaiv: Kev ntshav siab. Hypersensitivity rau insulin lossis rau ib qho ntawm cov tshuaj ntawm cov tshuaj.

Kev sib txuam tshuaj: Cov nyhuv hypoglycemic ntawm Humulin NPH txo qis los ntawm kev tiv thaiv qhov ncauj, corticosteroids, thyroid hormone npaj, thiazide diuretics, diazoxide, tricyclic antidepressants.

Cov nyhuv hypoglycemic ntawm Humulin NPH yog txhim kho los ntawm qhov ncauj hypoglycemic tshuaj, salicylates (e.g. acetylsalicylic acid), sulfonamides, MAO inhibitors, beta-blockers, ethanol thiab ethanol uas muaj tshuaj.

Beta-blockers, clonidine, reserpine tuaj yeem npog qhov tsos ntawm cov tsos mob ntawm qog ntshav qab zib.

Cev xeeb tub thiab lactation: Thaum cev xeeb tub, nws yog qhov tseem ceeb tshwj xeeb kom tswj tau glycemic zoo hauv cov neeg mob ntshav qab zib. Thaum cev xeeb tub, qhov xav tau rau cov tshuaj insulin feem ntau poob qis hauv thawj peb lub hlis thiab nce hauv qib thib ob thiab thib peb.

Hauv cov neeg mob uas mob ntshav qab zib mellitus thaum lactation (pub niam mis), yuav tsum tau txhaj tshuaj kho cov tshuaj insulin, zaub mov noj, lossis ob qho tib si ob leeg tuaj yeem xav tau.

Hauv kev tshawb fawb ntawm kev tshuaj lom neeg caj ces hauv cov tshuaj lom hauv vitro thiab hauv vivo, tib neeg cov tshuaj insulin tsis muaj qhov tshwm sim mutagenic.

Cia rau cov neeg mob: Cov tshuaj yuav tsum muab cia rau hauv lub tub yees ntawm qhov kub txog 2 ° txog 8 ° C, zam kom tsis txhob muaj khoom khov, tiv thaiv los ntawm kev sib kis ncaj qha. Txee lub neej yog 2 xyoos.

Ib qho yeeb tshuaj hauv kev siv hauv lub vial lossis hauv lub taub ntim cov taub ntim yuav tsum khaws cia hauv chav kub (los ntawm 15 ° txog 25 ° C) tsis pub dhau 28 hnub.

Yeem: 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, M3), 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.

Hauv tebchaws Lavxias, kwv yees li 3 lab tus tib neeg los ntawm tag nrho cov pejxeem hauv lub tebchaws raug mob kis thoob ntiaj teb - mob ntshav qab zib. Rau feem ntau, cov neeg mob ntshav qab zib nquag mus ntsib cov kws kho mob endocrinologist thiab kev kuaj ntshav qab zib tsis tu ncua. Muaj pes tsawg tus neeg mob zuj zus ib hnub dhau ib hnub, thiab txhua txhua hnub tus kabmob muaj npe rau 200 tus neeg, thiab hauv 90% ntawm tus neeg ntawd yog hom mob ntshav qab zib hom 2.

Hauv thawj theem, kev siv tshuaj kho qhov ncauj yog siv los txo qis dua cov piam thaj, thiab kev kho tshuaj insulin yuav ploj mus rau tom qab. Los ntawm txoj kev, feem ntau siv tshuaj insulin yog pib lig dhau lawm, txawm hais tias muaj ntau cov tshuaj nrog xws li cov nyhuv pharmacological. Feem ntau, hauv kev siv tshuaj, tuaj yeem muab faib ua peb pawg.

1. Tib neeg cov insulins:

• ultra luv tes hauj lwm
• kev txiav txim luv
• nruab nrab ncua sijhawm ua.

1. Cov tshuaj ntawm cov tshuaj insulin:

• ntev ua yeeb yam.

1. Sib xyaw:

• kev txiav txim sib xyaw (analogue + tib neeg),
• sib xyaw ntawm nruab nrab thiab luv ua yeeb yam insulins.

Kev npaj tau npaj los ntawm ntau lub tuam txhab, thiab tsuas yog tus kws kho mob yuav tsum xaiv qhov tsim nyog. Txawm li cas los xij tsis txhob hloov cov tshuaj ntawm koj tus kheej, vim tias qhov no tuaj yeem ua rau kev tsis txaus ntseeg ntawm lub cev, vim tias qhov koob tshuaj tsis tsim nyog. Txawm tias cov pabcuam kev pabcuam me me tuaj yeem ua rau muaj kev tsis haum. Tus naj npawb ntawm cov tshuaj nruab nrab cov tshuaj tiv thaiv Hagedorn muaj npe hauv cov lus sawv cev rau cov tshuaj uas siv ntau tshaj plaws hauv tebchaws Russia.

Humulin insulin rau kev kho mob ntshav qab zib rau cov laus, menyuam yaus thiab cev xeeb tub. Humulin Nph: cov lus qhia rau kev siv

Hauv tebchaws Lavxias, kwv yees li 3 lab tus tib neeg los ntawm tag nrho cov pejxeem hauv lub tebchaws raug mob kis thoob ntiaj teb - mob ntshav qab zib. Rau feem ntau, cov neeg mob ntshav qab zib nquag mus ntsib cov kws kho mob endocrinologist thiab kev kuaj ntshav qab zib tsis tu ncua. Muaj pes tsawg tus neeg mob zuj zus ib hnub dhau ib hnub, thiab txhua txhua hnub tus kabmob muaj npe rau 200 tus neeg, thiab hauv 90% ntawm tus neeg ntawd yog hom mob ntshav qab zib hom 2.

Hauv thawj theem, kev siv tshuaj kho qhov ncauj yog siv los txo qis dua cov piam thaj, thiab kev kho tshuaj insulin yuav ploj mus rau tom qab. Los ntawm txoj kev, feem ntau siv tshuaj insulin yog pib lig dhau lawm, txawm hais tias muaj ntau cov tshuaj nrog xws li cov nyhuv pharmacological. Feem ntau, hauv kev siv tshuaj, tuaj yeem muab faib ua peb pawg.

1. Tib neeg cov insulins:

• ultra luv tes hauj lwm
• kev txiav txim luv
• nruab nrab ncua sijhawm ua.

1. Cov tshuaj ntawm cov tshuaj insulin:

• ntev ua yeeb yam.

1. Sib xyaw:

• kev txiav txim sib xyaw (analogue + tib neeg),
• sib xyaw ntawm nruab nrab thiab luv ua yeeb yam insulins.

Kev npaj tau npaj los ntawm ntau lub tuam txhab, thiab tsuas yog tus kws kho mob yuav tsum xaiv qhov tsim nyog. Txawm li cas los xij tsis txhob hloov cov tshuaj ntawm koj tus kheej, vim tias qhov no tuaj yeem ua rau kev tsis txaus ntseeg ntawm lub cev, vim tias qhov koob tshuaj tsis tsim nyog. Txawm tias cov pabcuam kev pabcuam me me tuaj yeem ua rau muaj kev tsis haum. Tus naj npawb ntawm cov tshuaj nruab nrab cov tshuaj tiv thaiv Hagedorn muaj npe hauv cov lus sawv cev rau cov tshuaj uas siv ntau tshaj plaws hauv tebchaws Russia.

Chaw tsim tshuaj paus

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

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.

Cov tshuaj Humulin NPH piav qhia cov lus qhia kom siv ua tshuaj rau ntshav qab zib.Nws ua raws li kev hloov pauv rau insulin hauv cov neeg muaj kab mob pancreatic. Humulin yog kws kho mob sau tseg los ntawm kws kho mob nrog ib tug tsis muaj cov tshuaj no hauv ib tug neeg mob. Yuav noj li cas?

Thaum twg tsis tuaj yeem siv?

Muaj ob peb qhov kev tiv thaiv tsis zoo rau kev siv ntawm Humulin. Cov no suav nrog: hypoglycemia, uas tau tsau ua ntej noj tshuaj, thiab cov tib neeg rhiab rau cov khoom siv. Lub ntsiab tsis zoo yog hypoglycemia, uas tuaj yeem ua rau tsaus muag thiab txawm ua rau tuag, tab sis cov kev mob tshwm sim no tsis tshua muaj tshwm sim.

Cov kev txhaum fab hnyav dua:

Qee zaum cov kev qhia ua xeb hauv zos tuaj yeem tshwm sim, xws li hyperemia, edema. Nyob rau hauv cov ntaub ntawv ntawm overdose, lub cev kev coj ua hauv qab no tshwm sim:

Yuav tsum tau soj ntsuam ntshav qab zib kom tsawg, ib yam li qee kis muaj cov tsos mob yuav hloov. Txhawm rau tshem tawm cov mob pathology me me, koj tuaj yeem coj me me ntawm qabzib. Tom ntej no, koj yuav tsum tau hloov kho kev noj haus thiab kev noj haus kom zoo, nrog rau kev ua si lub cev. Nrog tus neeg kawm ntawv ntawm cov ntshav qab zib nruab nrab, glucagon yog muab tshuaj txhaj rau qhov txhab thiab qhov ncauj ntawm cov carbohydrates ua. Daim ntawv foos hnyav tau pom tus mob tsis hnov ​​qab, nrhav tsis tau, cuam tshuam ntawm cov leeg hlwb.

Yuav siv li cas?

Cov tshuaj Humulin yuav tsum tau xaiv tus kheej nruj me ntsis. Cov tshuaj tsis tuaj yeem muab tshuaj hla dej. Qhov feem ntau txoj kev ntawm txoj kev lis ntshav yog nyob rau hauv daim tawv nqaij, qee zaum intramuscularly. Rau kev tswj hwm subcutaneous, thaj chaw ntawm lub duav, pob tw, xub pwg, thiab lub plab yog qhov tsim nyog. Hauv ib hlis, hauv ib qho chaw koj tsis tuaj yeem ua ntau dua 1 qhov kev txhaj tshuaj. Txij li qee cov txuj ci tsim nyog rau kev txhaj tshuaj subcutaneous ntawm cov tshuaj, nws yog qhov zoo dua los tso qhov txheej txheem no rau cov neeg kho mob thaum xub thawj. Thaum muab tshuaj rau, nws yog ib qho tseem ceeb kom tsis txhob nkag mus rau txoj leeg thiab tsis txhob txhuam qhov chaw txhaj tshuaj.

Ua ntej siv, daim cartridges thiab lub raj mis yuav tsum tau muab dov 10 zaug hauv xib teg ntawm koj txhais tes thiab muab ua kom tawg kom qhov kev tshem tawm no yog matte lossis xim ze rau mis. Nws yog tsis yooj yim sua kom co cov ntsiab lus ntawm lub vials meej, txij li cov ua npuas dej tawm los yuav ua rau nws nyuaj rau kev txiav txim siab qhov ntau npaum. Thaum npaj cov tshuaj insulin rau kev txhaj tshuaj, koj yuav tsum ua tib zoo ntsuas cov ncauj lus ntawm ampoule. Yog tias lumps, ib qho dej nag dawb, cov qauv ntawm phab ntsa zoo li frosty yog pom nyob hauv nws, cov tshuaj no tsis tuaj yeem siv.

Rau kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum noj cov koob txhaj tshuaj ntawm lub ntim uas sib haum rau cov tshuaj yuav tsum tau. Tom qab cov txheej txheem, nws raug nquahu kom rhuav tshem rab koob thiab kaw qhov kov siv lub hau. Qhov no yog qhov tsim nyog txhawm rau kom tswj tau qhov tsis haum tshuaj, kom tiv thaiv tsis tau cov khoom ntawm cov khoom txawv teb chaws thiab huab cua mus rau hauv lub vial. Tsis txhob siv rab koob los yog koob txhaj tshuaj dua zaum ob. Khaws cov tshuaj no rau hauv qhov chaw txias tsaus. Tom qab pib siv, lub raj mis yuav khaws cia tsis pub ntev tshaj ib hlis.

Nrog rau kev qhia ntawm Humulin NPH, qee cov yam ntxwv ntawm nws txoj kev siv yuav tsum raug xam tias:

• dependence on insulin hauv tus neeg mob txo qis yog lub raum, qog adrenal, lub plab, lub qog, mob siab, kev ua haujlwm
• hauv kev ntxhov siab, tus neeg mob xav tau cov tshuaj insulin ntxiv,
• kev hloov tshuaj yog tsim nyog thaum hloov kev noj zaub mov noj lossis ua si qoj ib ce,
• kev fab tshuaj uas tshwm sim hauv tus neeg mob tsis tuaj yeem cuam tshuam nrog kev siv tshuaj insulin,
• qee zaum kev qhia ntawm cov tshuaj yuav xav tau kev kho mob ceev ceev.

Vim tias muaj kev pheej hmoo ntawm kev txhim kho hypoglycemia tom qab txhaj tshuaj, ib qho yuav tsum tsis kam tsav tsheb thiab tsav lub tshuab ua haujlwm.

Kev ua haujlwm ntawm cov tshuaj tsawg dua yog tias koj noj qhov ncauj tawm tsam, cov thyroid cov tshuaj hormones, tshuaj tua kab mob, tshuaj tua kab mob, glucocorticoids nyob rau hauv mus tib seem. Cov nyhuv ntawm cov tshuaj yog kho kom zoo dua yog tias koj haus ib txhij nrog nws:

• ethanol
• cov tshuaj hypoglycemic,
• muaj ntsev,
• beta adenoblockers,
• sulfonamides,
• MAO inhibitors.

Clonidine thiab reserpine tuaj yeem ua rau cov tsos mob ntawm tus mob ntshav qab zib tsawg.

Kev ntsuas thiab tus nqi

Tus nqi nruab nrab ntawm ib pob ntawm Humulin NPH sib txawv ntawm 1000 rubles.Thaum tsis muaj cov tshuaj hauv cov khw muag tshuaj, koj tuaj yeem siv ib qho ntawm nws cov analogues. Nov yog:

1. Insulin-Ferein xwm ceev. Nyob rau hauv nws cov muaj pes tsawg leeg muaj ib nrab hluavtaws tib neeg cov insulin. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj subcutaneous.
2. Monotard NM. Cov tshuaj yog rau cov pab pawg ntawm cov tshuaj insulin nrog lub sijhawm ua haujlwm ntev, muaj nyob rau hauv daim ntawv ntawm kev ncua ntawm 10 ml hauv lub raj mis.
3. Humodar B. Muaj tib neeg cov tshuaj insulin, kuj tseem muaj nyob hauv 100 IU hauv 1 ml.
4. Pensulin SS yog lwm txoj hauv kev tiv thaiv ntawm lub sijhawm nruab nrab.

Ntawm qhov hloov pauv rau Humulin NPH muaj:

Cov chaw muag tshuaj niaj hnub npaj los muab ntau txoj kev xaiv hauv insulin npaj rau cov ntshav qab zib. Txawm li cas los xij, vim muaj qhov sib txawv hauv cov muaj pes tsawg leeg thiab sijhawm ntawm kev nqis tes, tsuas yog tus kws tshaj lij tsim nyog yuav tsum xaiv cov analogue ntawm cov tshuaj muab tshuaj, txiav txim qhov ntau npaum li cas.

Kev Ntsuam Xyuas Rau Neeg Mob

Ntau tus neeg mob teb tau zoo rau ntau yam tshuaj insulin. Hauv tshwj xeeb, Humulin NPH tsis ua rau muaj kev tsis zoo, txawm hais tias cov lus qhia rau kev siv ceeb toom txog lawv. Cov tshuaj insulin los ntawm cov tshuaj yog zoo nqus yog tias cov tshuaj kom raug yog suav thiab kev txhaj tshuaj yog ua kom raug. Qhov tsuas yog pab txhawb rau qhov tsis zoo tshwm sim tuaj yeem yog qhov tsis raug saib xyuas los ntawm tus kws kho mob ntawm qhov tshuaj ntau npaum li cas los yog kev txhaj tshuaj tsis yog los ntawm tus kws kho mob lossis tus neeg mob nws tus kheej. Txhawm rau zam qhov no, koj yuav tsum ua tib zoo ua txoj kev coj los tswj cov tshuaj. Tib txoj kev kom tsis txhob noj tshuaj ntau dhau thiab muaj phiv.

Humulin NPH yog kev npaj insulin los ntawm cov pab pawg ntawm cov tshuaj ntawm lub caij nyoog nruab nrab. Tsuas yog tus kws kho mob uas kho cov neeg mob ntshav qab zib yuav tsum tau muab tshuaj kho. Qhov kev ntsuas no yuav pab kom tsis txhob noj ntau dhau, qhov xaiv tsis raug ntawm cov tshuaj analogue thiab cov kev suav ntawm lub ntim uas xav tau los ntawm tus neeg mob. Tus kws kho mob tseem tuaj yeem coj mus rau hauv cov xwm txheej tshwj xeeb rau kev siv thiab contraindications hauv tus neeg mob, uas yuav zam kev tsis zoo rau cov tshuaj.

Ua tsaug rau koj lub tswv yim.

Cov lus

Megan92 () 2 lub lis piam dhau los

Puas muaj ib tug neeg tswj kom kho tus mob ntshav qab zib kom meej? Lawv hais tias nws tsis muaj peev xwm kho tau txhua tus.

Daria () 2 lub lis piam dhau los

Kuv tseem xav tias nws tsis yooj yim sua, tab sis tom qab nyeem cov ntawv no, Kuv tau hnov ​​qab ntev txog tus kab mob "tsis tuaj yeem" no.

Megan92 () 13 hnub dhau los

Daria () 12 hnub dhau los

Megan92, yog li kuv tau sau rau hauv kuv thawj qhov kev xav) Qhov tsis zoo nyob rau hauv rooj plaub - qhov txuas rau ib tsab xov xwm.

Sonya 10 hnub dhau los

Tab sis qhov no tsis yog sib nrauj? Vim li cas lawv muag hauv online?

Yulek26 (Tver) 10 hnub dhau los

Sonya, koj nyob lub tebchaws twg? Lawv muag nws hauv Is Taws Nem, vim tias cov khw thiab chaw muag tshuaj tau tso lawv lub cim kev ua siab phem. Ntxiv rau, kev them nyiaj tsuas yog tom qab tau txais, uas yog, thawj saib, tshawb xyuas thiab tsuas yog tom qab them nyiaj. Yog lawm, thiab tam sim no lawv muag txhua yam hauv Is Taws Nem - los ntawm cov khaub ncaws rau TV thiab rooj tog zaum.

Editorial Teb 10 hnub dhau los

Sonya, nyob zoo. Cov tshuaj no rau kev kho mob ntshav qab zib mellitus yog tiag tiag tsis muag los ntawm lub khw muag tshuaj lub network kom tsis txhob muaj cov tshuaj ntau dhau. Txog hnub, koj tuaj yeem xaj tau tsuas yog ntawm lub vev xaib raug cai. Noj qab nyob zoo!

Sonya 10 hnub dhau los

Thov txim, Kuv tsis tau ceeb toom thaum xub thawj cov ntaub ntawv ntsig txog nyiaj xa tuaj. Tom qab ntawd txhua yam zoo rau kev paub meej, yog tias them nyiaj thaum tau txais.

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.

Cov tshuaj tiv thaiv kab mob ua rau nws ua tiav kom ua tiav cov txiaj ntsig tseem ceeb hauv kev tswj ntshav qab zib hauv cov neeg mob ntshav qab zib hom 1, cov poj niam cev xeeb tub thiab cov niam laus, cov neeg mob kuaj mob ntshav qab zib hom 2, txawm tias tiv thaiv keeb kwm ntawm insulin tsis kam lossis qhov tsis cuam tshuam ntawm kev kho tus mob hypoglycemic.

Qhov kev txiav txim ntawm cov analogue pib ib teev tom qab tswj hwm subcutaneous, kav ntev txog 16-20 teev thiab nce mus txog qhov siab kawg hauv thaj tsam ntawm 4-8 teev.Lub xub ntiag ntawm lub ncov ntawm kev nqis tes ua rau kev kho mob nyuaj, tab sis qhov kev tsis zoo no tau yooj yim theem nrog kev pab ntawm kev noj zaub mov kom raug zoo, ua raws li cov kev cai niaj hnub, thiab kev npaj lub cev kom tsim nyog.

Feem ntau, cov tshuaj hormones yog siv 1-2 zaug hauv ib hnub, nyob ntawm seb muaj qib glycemia, cov tib neeg mob siab rau cov tshuaj. Nws raug tso cai muab cov tshuaj sib xyaw (txawm hauv kev txhaj ib zaug) nrog cov tshuaj tiv thaiv luv luv ntawm tib lub chaw tsim khoom, yog li txo cov naj npawb ntawm cov hno ib hnub.

Dosage daim ntawv

Nws yog ob ntu kev raug ncua lossis kev sib xyaw:

Tib neeg Soluble Insulin 30%

Ncua ntawm Isofan Tib Neeg Cov Insulin 70%

Cov zam: distilled m-cresol (1.6 mg / ml), glycerol, phenol (0.65 mg / ml), protamine sulfate, dibasic sodium phosphate, zinc oxide, dej d / u, hydrochloric acid, sodium hydroxide.

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:

1. 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 nyob rau hauv qab zib taw 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.
2. 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.
3. 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.
4. Qub neeg. Lawv kuj muaj qhov sib xws hauv cov hnub nyoog ntsig txog cov cwj pwm uas muaj kev cia siab rau kev saib xyuas thaum coj tshuaj 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:

1. 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.
2. 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.

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 ib lub tsev 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 qhov kev pabcuam, tabsis yog ib daim ntawv 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

Cov yeeb yaj kiab ntawm cov tshuaj humulin m3 tau nthuav tawm, raws li cov lus kho mob, hu ua "txhais ua" - cov tshuaj sib hloov tau uas muaj ib lossis ntau ntawm tib cov tshuaj yeeb dej caw nyob rau hauv cov nqe lus ntawm lawv cov cuam tshuam rau lub cev. Thaum xaiv cov lus txhais, xav txog tsis yog lawv cov nqi nkaus xwb, tab sis kuj yog lub teb chaws ntawm kev tsim khoom thiab lub koob npe ntawm cov neeg tsim khoom.

Sau cov analogues

Ua tib zoo mloog! Daim ntawv teev npe muaj cov lus zoo sib xws ntawm Humulin M3, uas muaj cov sib xyaw zoo sib xws, yog li koj tuaj yeem xaiv qhov hloov pauv koj tus kheej, noj mus rau hauv daim ntawv sau 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.

Nees nkaum cov neeg tuaj saib tau tshaj tawm tus nqi noj haus txhua hnub

Kuv yuav tsum tau noj Humulin M3 ntau npaum li cas?
Cov neeg teb feem ntau yuav tau haus cov tshuaj no 2 zaug ib hnub. Daim ntawv tshaj tawm qhia tias pes tsawg tus neeg teb ntxiv siv cov tshuaj no.

Thib kaum peb cov qhua qhia txog kev noj tshuaj

Ob tus neeg qhua tshaj tawm txog hnub tas sij hawm

Ntev npaum li cas Humulin M3 yuav tsum tau coj mus rau qhov kev txhim kho hauv tus neeg mob lub sijhawm?
Cov neeg tuaj koom kev soj ntsuam feem ntau tom qab 1 hnub hnov ​​qhov kev txhim kho. Tab sis qhov no yuav tsis raug rau lub sijhawm uas koj yuav txhim kho. Nrog koj tus kws kho mob xav ntev li cas koj yuav tsum tau noj cov tshuaj no. Cov lus hauv qab no qhia cov kev tshwm sim ntawm kev tshawb fawb txog kev pib ua haujlwm zoo.

Peb tus neeg qhua tshaj tawm txog sijhawm txais tos

Dab tsi yog lub sijhawm zoo tshaj plaws los noj tshuaj Humulin M3: ntawm lub plab khoob, ua ntej, tom qab, lossis nrog zaub mov noj?
Cov neeg siv ntawm thaj chaw feem ntau tau tshaj tawm tias lawv noj cov tshuaj no ua ntej noj mov. Txawm li cas los xij, tus kws kho mob yuav qhia lwm lub sijhawm. Daim ntawv tshaj tawm qhia tias thaum tus neeg mob xam phaj tas cov tshuaj noj.

Cev xeeb tub thiab lactation

Cov ntaub ntawv ntawm nplooj ntawv tau txheeb xyuas qhov tseeb los ntawm kws kho mob Vasilieva E.I.

Tib neeg siv tshuaj insulin DNA insulin.

Npaj: HUMULIN ® M3
Cov tshuaj nquag: insulin tib neeg
ATX Code: A10AD01
KFG: Nruab Nrab Sij Hawm Rau Tib Neeg Qhov Insulin
Reg. tooj: P No. 013713/01
Hnub tso npe: 01/19/06
Tswv reg reg. Qib Kawm: ELI LILLY VOSTOK S.A.

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