Insuman Ceev Heev GT > Kev khomob thiab kev tiv thaiv

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 tsis kam rau cov tshuaj hypoglycemic hauv qhov ncauj (kev kho ua ke),

mob ntshav qab zib ketoacidosis, ketoacidotic thiab hyperosmolar coma, mob ntshav qab zib mellitus uas tau tshwm sim thaum cev xeeb tub (yog tias kev noj zaub mov tsis muaj txiaj ntsig),

rau kev siv sib quas ntus siv rau cov neeg mob ntshav qab zib mellitus tawm tsam kev kis mob nrog kub taub hau, nrog rau kev phais mob tom ntej, kev raug mob, yug menyuam, teeb meem metabolic, ua ntej hloov mus rau kev kho mob nrog kev npaj tshuaj insulin ntev.

Yuav siv li cas: noj ntau thiab hom tshuaj kho

Qhov koob tshuaj thiab txoj hauv kev ntawm kev tswj hwm tshuaj yog txiav txim siab ntawm txhua tus neeg nyob rau hauv lub hauv paus ntawm cov ntsiab lus qabzib hauv cov ntshav ua ntej noj mov thiab 1-2 teev tom qab noj mov, nrog rau kev txiav txim siab ntawm glucosuria thiab cov yam ntxwv ntawm chav kawm ntawm tus kabmob.

Cov tshuaj yog muab s / c, hauv / m, hauv / hauv, 15-30 feeb ua ntej noj mov. Txoj kev sib txawv ntawm kev tswj hwm yog sc. Nrog cov ketoacidosis uas mob ntshav qab zib, mob ntshav qab zib tsis xeev, thaum phais mob kev cuam tshuam - hauv / thiab / m.

Nrog kev kho mob monotherapy, qhov ntau zaus ntawm kev tswj hwm feem ntau yog 3 zaug hauv ib hnub (yog tias tsim nyog, txog li 5-6 zaug hauv ib hnub), qhov chaw txhaj tshuaj tau hloov pauv txhua txhua lub sijhawm kom tsis txhob muaj kev txhim kho ntawm lipodystrophy (atrophy lossis hypertrophy ntawm subcutaneous rog).

Qhov nruab nrab ntawm cov tshuaj txhua hnub yog 30-40 units, hauv cov menyuam yaus - 8 units, tom qab ntawd qhov nruab nrab cov tshuaj txhua hnub - 0.5-1 units / kg lossis 30-40 units 1-3 zaug hauv ib hnub, yog tias tsim nyog - 5-6 zaug ib hnub. Hauv kev noj tshuaj ib hnub dhau ntawm 0.6 U / kg, tshuaj insulin yuav tsum tau txhaj rau 2 lossis ntau dua kev txhaj tshuaj hauv ntau qhov chaw ntawm lub cev.

Nws yog qhov ua tau los ua ke nrog insulins ntev-coj.

Txoj kev daws teeb meem ntawm cov tshuaj sau los ntawm lub vial los ntawm kev hno nrog rab koob syringe koob lub roj hmab nres, so tom qab hle lub taub hau ntim nrog ethanol.

Pharmacological kev txiav txim

Luv luv ua yeeb yam insulin npaj. Sib cuam tshuam nrog ib qhov tshwj xeeb receptor rau ntawm sab nraud ntawm lub hlwb, tsim cov txheej txheem insulin. Los ntawm nce cov synthesis ntawm cAMP (hauv cov roj ntsha thiab lub siab hlwb) lossis nkag ncaj qha rau hauv lub cell (leeg), insulin receptor complex stimulates intracellular processes, suav nrog synthesis ntawm cov lej ntawm cov enzymes tseem ceeb (hexokinase, pyruvate kinase, glycogen synthetase, thiab lwm yam). Kev txo qis hauv cov concentration ntawm cov piam thaj hauv cov ntshav yog vim muaj kev nce ntxiv hauv nws txoj kev thauj mus los, kev nqus thiab kev pov tseg ntawm cov nqaij mos, qhov kev txhawb nqa ntawm lipogenesis, glycogenogenesis, synthesis protein, txo tus nqi ntawm cov piam thaj los ntawm lub siab (txo qis ntawm kev puas tsuaj ntawm glycogen), thiab lwm yam.

Tom qab sc txhaj tshuaj, cov nyhuv tshwm sim li ntawm 20-30 feeb, nce mus txog qhov siab tshaj plaws tom qab 1-3 teev thiab kav ntev, nyob ntawm qhov koob tshuaj, 5-8 teev. Lub sijhawm ntawm cov tshuaj nyob ntawm qhov ntau npaum li cas, txoj kev, qhov chaw tswj hwm thiab muaj tus yam ntxwv tseem ceeb ntawm tus kheej Cov.

Sab sij huam

Kev tsis haum rau cov feem ntawm cov tshuaj (urticaria, angioedema - ua npaws, ua tsis taus pa, ua pa tsis txaus),

hypoglycemia (pallor ntawm daim tawv nqaij, nce tawm hws, tawm hws, palpitations, tshee tshee, tshaib plab, ntxhov siab, ntxhov siab, mob plab hauv lub qhov ncauj, mob taub hau, tsaug zog, pw tsaug zog, ntshai, poob siab, chim siab, coj tus cwj pwm txawv, tsis muaj zog, hais lus thiab hais lus tsis meej thiab qhov pom kev), hypoglycemic coma,

hyperglycemia thiab ntshav qab zib acidosis (thaum qis koob, hla kev txhaj tshuaj, noj zaub mov tsis zoo, tiv thaiv keeb kwm ntawm kub ib ce thiab kis kab mob): tsaug zog, nqhis dej, tsis qab los noj mov, ntsej muag tawm ntsej muag),

hnov tsis nco qab (txog rau kev txhim kho ntawm precomatose thiab coma),

pom kev tsis pom kev tsis zoo (feem ntau thaum pib kho mob),

txhaj tshuaj tiv thaiv kab mob hla nrog tib neeg cov tshuaj insulin, nce ntxiv ntawm lub titer ntawm cov tshuaj tiv thaiv insulin, tom qab los ntawm kev nce glycemia,

hyperemia, khaus thiab lipodystrophy (mob atrophy lossis hypertrophy ntawm subcutaneous rog) ntawm qhov chaw txhaj tshuaj.

Thaum pib ntawm kev kho mob nrog rau cov tshuaj - edema thiab tsis pom zoo (yog ib ntus thiab ploj nrog kev kho mob txuas ntxiv).

Noj ntau dhau. Cov tsos mob: hypoglycemia (tsis muaj zog, tawm hws txias, pallor ntawm daim tawv nqaij, palpitations, tshee tshee, poob siab, kev tshaib plab, nkees nkees hauv tes, ceg, daim di ncauj, nplaig, mob taub hau), hypoglycemic coma, convulsions.

Kev Kho Mob: tus neeg mob tuaj yeem tshem tawm cov ntshav qab zib tsawg ntawm nws tus kheej los ntawm kev noj cov piam thaj lossis zaub mov ntau hauv cov khoom noj uas yooj yim thiab zom tau cov carbohydrates.

Subcutaneous, i / m lossis iv txhaj tshuaj glucagon lossis iv hypertonic dextrose tov. Nrog rau kev txhim kho lub ntsej muag tsis nco qab, 20-40 ml (txog 100 ml) ntawm 40% dextrose kev daws teeb meem yog txhaj tshuaj rau hauv tus kwj dej mus rau hauv tus neeg mob kom txog thaum tus neeg mob tawm ntawm lub cev tsis xeev.

Cov lus qhia tshwj xeeb

Ua ntej noj cov tshuaj los ntawm lub vial, nws yog qhov tsim nyog los xyuas qhov ntsuas ntawm kev daws. Thaum lub cev txawv teb chaws tshwm sim, nyem lossis nag lossis daus ntawm cov tshuaj ntawm lub khob ntawm lub khob ntim, tsis tuaj yeem siv tshuaj yeeb.

Qhov kub ntawm cov tshuaj insulin yuav tsum nyob ntawm chav sov. Cov koob tshuaj ntawm cov tshuaj yuav tsum tau kho nyob rau hauv cov kis mob, thaum tsis muaj peev xwm ua cov thyroid tsis ua haujlwm, Addison's disease, hypopituitarism, mob raum tsis ua haujlwm thiab ntshav qab zib hauv cov neeg muaj hnub nyoog 65 xyoos.

Cov laj thawj ntawm kev mob ntshav qab zib tuaj yeem yog: kev siv tshuaj yaj yeeb ntau dhau, hloov tshuaj, hla zaub mov, ntuav, raws plab, kev ntxhov siab ntawm lub cev, cov kab mob uas txo qis qhov xav tau ntawm insulin (kab mob siab kawg ntawm lub raum thiab mob siab, nrog rau kev ua haujlwm ntawm adrenal cortex, pituitary lossis thyroid caj pas), hloov chaw kev txhaj tshuaj (piv txwv, daim tawv nqaij ntawm lub plab, xub pwg, ncej puab), ntxiv rau kev sib cuam tshuam nrog lwm yam tshuaj. Nws muaj peev xwm ua kom txo qis ntawm cov piam thaj hauv cov ntshav thaum hloov mus rau tus neeg mob los ntawm tsiaj insulin mus rau tib neeg cov insulin.

Qhov hloov ntawm tus neeg mob mus rau tib neeg cov kua dej yuav tsum tau ua kev tu mob ib txwm muaj thiab tsuas yog ua los ntawm kev saib xyuas ntawm kws kho mob. Kev ntsuam xyuas kev txhim kho hypoglycemia tuaj yeem cuam tshuam cov peev xwm ntawm cov neeg mob koom tes hauv kev khiav tsheb, nrog rau kev saib xyuas cov tshuab thiab tshuab.

Cov neeg mob ntshav qab zib tuaj yeem txwv cov ntshav qab zib tsawg uas lawv xav los ntawm kev noj cov piam thaj lossis zaub mov ntau hauv carbohydrates (Nws raug nquahu kom koj ib txwm muaj tsawg kawg 20 g suab thaj nrog koj). Hais txog qhov hloov ntshav qog ntshav qab zib, nws yog qhov yuav tsum tau qhia rau tus kws kho mob uas tuaj koom nrog daws qhov teeb meem ntawm qhov xav tau ntawm kev kho mob kho.

Hauv kev kho cov tshuaj insulin luv luv hauv qhov mob cais tawm, qhov tsawg dua lossis nce qhov ntim ntawm cov nqaij adipose (lipodystrophy) hauv thaj chaw txhaj tshuaj yog ua tau. Cov tshwm sim no tau lom zem ntau los ntawm qhov hloov tas mus li qhov chaw txhaj tshuaj. Thaum cev xeeb tub, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus lej txo qis (kuv plaub hlis) lossis nce ntxiv (II-III trimesters) ntawm cov tshuaj insulin. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Thaum lub sijhawm lactation, kev soj ntsuam txhua hnub yog xav tau rau ntau lub hlis (txog thaum qhov xav tau cov tshuaj insulin yuav ruaj khov).

Cov neeg mob tau txais ntau dua 100 IU ntawm cov tshuaj insulin ib hnub, thaum hloov cov tshuaj yuav tsum tau mus pw hauv tsev kho mob.

Kev sib txuam

Cov tshuaj tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj.

Cov nyhuv hypoglycemic ntawm cov tshuaj yog txhim kho los ntawm sulfonamides (suav nrog qhov ncauj tshuaj hypoglycemic, sulfonamides), MAO inhibitors (suav nrog furazolidone, procarbazine, selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs (suav nrog salicylates) cov tshuaj steroids (suav nrog stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, fenfluramine, Li + kev npaj, pyridoxine, quinine, chininine.

Cov nyhuv hypoglycemic ntawm cov tshuaj yog tsis muaj zog los ntawm glucagon, somatropin, corticosteroids, tshuaj tiv thaiv qhov ncauj, estrogens, thiazide thiab voj diuretics, BMKK, cov thyroid hormones, heparin, sulfinpyrazone, sympathomimetics, danazole, tricyclic antidepressants, clonidinotin, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine, calconidine , epinephrine, H1-histamine receptor blockers.

Beta-blockers, reserpine, octreotide, pentamidine tuaj yeem txhim kho ob qho tib si thiab ua kom cov nyhuv tsis muaj zog hypoglycemic ntawm cov tshuaj.

Cov lus nug, lus teb, tshuaj xyuas ntawm cov tshuaj Insuman Rapid GT

Cov ntaub ntawv muab yog npaj rau kev kho mob thiab kws tshaj lij. Cov ntaub ntawv muaj tseeb tshaj plaws txog cov tshuaj muaj nyob hauv cov lus qhia uas txuas nrog lub ntim los ntawm cov kws tsim khoom lag luam. Tsis muaj cov ntaub ntawv tso tawm rau ntawm no lossis lwm nplooj ntawv ntawm peb lub xaib tuaj yeem hloov chaw rau qhov tsis txaus siab tus kheej rau tus kws tshaj lij.

Hauj lwm lawm

Cov tshuaj hormones insulin 3,571 mg (100 IU 100% tib neeg soluble hormone).
Metacresol (txog 2.7 mg).
Glycerol (kwv yees li 84% = 18.824 mg).
Dej rau kev txhaj tshuaj.
Sodium dihydrogen phosphate dihydrate (li ntawm 2.1 mg).

Insuman insuman Rapid GT yog xim tsis muaj kua ntawm tsis muaj pob tshab. Nws yog rau cov pab pawg ntawm cov neeg sawv cev luv luv hypoglycemic. Insuman tsis tsim cov kev ua kom yuag txawm nyob rau lub sijhawm ntev cia.

Npaj - analogues

Mob ntshav qab zib insulin
Coma ntawm cov mob ntshav qab zib etiology thiab ketoacidosis,
Lub sijhawm ua haujlwm thiab tom qab kev phais mob ntshav qab zib kom ua tiav cov metabolism.

Kuaj cov tshuaj kom pom tseeb thiab ua kom nws ntog chav sov,
Tshem lub hau yas, nws yog nws qhia tias lub raj mis tsis qhib,
Ua ntej koj sau cov tshuaj insulin, nyem rau ntawm lub raj mis thiab nqus hauv qhov ntau ntawm huab cua sib npaug ntawm qhov koob tshuaj,
Tom qab ntawd koj yuav tsum nkag mus rau hauv lub hauv tshuaj kom lub khob, tab sis tsis nkag rau hauv cov tshuaj nws tus kheej, tig lub koob txhaj tshuaj, thiab lub khob ntim nrog cov tshuaj kom nce, nce qhov yuav tsum tau,
Ua ntej koj pib txhaj tshuaj, koj yuav tsum tau tshem ntawm cov npuas hauv cov koob txhaj tshuaj,
Tom qab ntawd, nyob rau hauv qhov chaw txhaj tshuaj ntxiv rau yav tom ntej, daim tawv nqaij yog daim ntau quav tso thiab, los ntawm qhov ntxig ntawm rab koob nyob hauv qab ntawm daim tawv nqaij, lawv maj mam tso tawm cov tshuaj,
Tom qab ntawd, lawv tseem muab rab koob rho tawm maj mam thiab nias qhov chaw ntawm daim tawv nqaij nrog cov ntaub nplaum los txhuam, nias lub paj rwb ntaub plaub rau ib ntus,
Txhawm rau kom tsis txhob muaj kev kub ntxhov, sau rau ntawm tus naj npawb thiab hnub tim ntawm thawj zaug tshuaj insulin tshem tawm,
Tom qab lub raj mis tau qhib, nws yuav tsum khaws cia ntawm qhov kub tsis tshaj 25 degrees hauv qhov chaw tsaus. Nws tuaj yeem muab khaws cia rau ib hlis,
Insuman Rapid HT tuaj yeem yog cov tshuaj nyob hauv Solostar cov koob txhaj tshuaj. Cov cuab yeej khoob tom qab txhaj tshuaj yog muab rhuav tshem, tsis pauv mus rau lwm tus. Ua ntej siv nws, nyeem cov ntaub ntawv xa nrog.

Nqe Insuman Rapid GT kuj yuav txawv raws li thaj av ntawd. Qhov nruab nrab, nws nruab nrab ntawm 1,400 txog 1,600 rubles rau ib pob. Yog lawm, qhov no tsis yog tus nqi qis heev, muab hais tias cov neeg raug yuam kom "zaum" ntawm cov kua dej txhua lub sijhawm.

Kev daws rau kev txhaj tshuaj.

Insuman yog tsim los ntawm tus tsim nyob rau hauv daim ntawv ntawm 5 ml vials, 3 ml cartridges thiab syringe cwjmem. Hauv cov chaw muag tshuaj Lavxias, nws yooj yim mus yuav ib cov tshuaj tso rau hauv SoloStar koob txhaj tshuaj. Lawv muaj 3 ml ntawm insulin thiab tsis tuaj yeem siv tom qab cov tshuaj dhau lawm.

Yuav ua li cas sau Insuman:

Txhawm rau kom txo qhov mob ntawm kev txhaj tshuaj thiab txo qhov kev pheej hmoo ntawm lipodystrophy, cov tshuaj nyob rau hauv cov xaum xaum yuav tsum nyob ntawm chav tsev kub.
Ua ntej siv, daim cartridge tau ua tib zoo tshuaj xyuas cov cim ntawm kev puas tsuaj. Yog li kom tus neeg mob tsis yuam kev lub hom insulin, koob txhaj tshuaj yog cov cim xim nrog cov xim sib dhos sib haum xim ntawm cov ntawv sau rau ntawm pob. Insuman Bazal GT - ntsuab, ceev ceev GT - daj.
Insuman Bazal yog dov ntawm cov xib teg ob peb zaug los sib tov.
Ib rab koob tshiab raug muab rau txhua txoj kev txhaj tshuaj. Siv rov qab ua rau lub cev puas tsuaj tuaj. Txhua koob xav tau zoo li SoloStar koob txhaj tshuaj: MicroFine, Insupen, NovoFine thiab lwm yam. Qhov ntev ntawm lub koob yog xaiv nyob ntawm qhov tuab ntawm cov subcutaneous rog.
Cov xwj syringe tso cai rau koj ntaus ntawm 1 txog 80 chav. Ntsuas tshuaj, ntsuas qhov tseeb - 1 ntsuas. Hauv cov menyuam yaus thiab cov neeg mob ntawm cov zaub mov uas tsis muaj carbohydrate tsawg, qhov kev xav tau cov tshuaj hormones tuaj yeem yog qhov tsawg heev, lawv yuav tsum muaj qhov tseeb ntau dua nyob rau hauv cov chaw noj tshuaj. SoloStar tsis haum rau cov teeb meem zoo li no.
Insuman Rho nrawm dua li qhov kev xaiv hauv plab, Insuman Bazal - hauv tus ncej lossis pob tw.
Tom qab qhia cov tshuaj, rab koob tau tso rau hauv lub cev rau 10 feeb ntxiv kom cov tshuaj tsis pib xau.
Tom qab siv txhua lub sijhawm, rab koob tau tawm. Cov tshuaj insulin ntshai tsam tshav ntuj, yog li koj yuav tsum tau kaw tus cartridge nrog lub hau.

Kev thov cov cai

Nws tsim nyog hais tias qhov muab tshuaj yog txuam nrog ntau yam ntxwv ntawm tus neeg mob nws tus kheej.

Tus kws kho mob hauv ib tus neeg nqa tawm ib qho kev teem sij hawm uas siv cov hauv qab no:

Ua si lossis dhau ntawm tus neeg mob lub neej,
Kev noj haus, lub cev yam ntxwv thiab kev loj hlob ntawm lub cev,
Cov piam thaj hauv ntshav thiab carbohydrate metabolism hauv qhov tseeb,
Hom mob.

Qhov yuav tsum tau yog tus neeg mob lub peev xwm los kho cov tshuaj insulin, uas suav nrog tsis tsuas yog lub peev xwm los ntsuas cov ntshav qabzib hauv cov zis thiab ntshav, tabsis tseem tuaj yeem siv los txhaj tshuaj.

Raws li kev kho mob zuj zus mus, tus kws kho mob tswj xyuas kev noj haus ntau npaum li cas thiab kho kom haum rau cov khoom noj thiab kho qhov hloov ntawd lossis lwm yam kev hloov pauv ntawm koob tshuaj. Nyob rau hauv ib lo lus, qhov kev lav paub kho tau zoo heev yuav tsum tau ua rau ib tus neeg muaj kev xav ntau thiab mloog nws tus kheej.

Muaj qhov tawm ntawm cov tshuaj, nws yog cim los ntawm qhov nruab nrab ntawm cov tshuaj insulin nyob rau ib phaus ntawm tus neeg mob lub cev qhov hnyav thiab thaj tsam li 0.5 txog 1.0 IU. Hauv qhov no, yuav luag 60% ntawm tsuas tshuaj yog cov neeg siv tshuaj insulin ntev.

Yog tias ua ntej Insuman Rapid HT, ntshav qab zib siv tshuaj yeeb nrog cov tshuaj ua kom muaj zog los ntawm cov tsiaj keeb kwm, ces tus nqi ntawm tib neeg insulin yuav tsum tau pib txo.

Kev hais txog cov cim qhia rau kev siv cov tshuaj insulin sai, lawv feem ntau txhais tau hais tias yog ib hom kabmob ntshav qab zib insulin. Tsis tas li ntawd, peb yuav tsum tsis txhob hnov qab txog kev mob ntshav qab zib tsis nco qab, uas cuam tshuam nrog poob ntawm kev nco qab, qhov tsis muaj lub zog ntawm lub zog tshwm sim rau qhov kev xav sab nraud vim tias muaj ntshav qabzib ntau dhau.

Ntxiv mus, endocrinologist thiab kws kho mob ntshav qab zib tau them sai sai rau lub xeev precomatose, uas yog, thawj theem ntawm qhov tsis nco qab txoj kev txhim kho lossis tsis tiav tsis nco qab. Cov npe ntawm lwm cov cim thiab cov laj thawj ntawm kev siv suav nrog:

acidosis - kev nce ntxiv hauv acidity ntawm lub cev,
rau sib quas ntus (ib ntus) siv rau hauv cov neeg mob uas mob ntshav qab zib mellitus vim muaj kab mob kis tau nrog los ntawm qhov ntsuas kub ntawm qhov taw qhia. Nws tseem raug nquahu tom qab kev phais mob, ntau yam kev raug mob lossis menyuam yug menyuam,
Ua txhaum ntawm cov txheej txheem metabolic ua ntej hloov mus rau kev kho nrog kev siv cov tshuaj insulin nrog cov sijhawm ua haujlwm ntev,
qhov sib ntxiv ntawm kev kis tau ntev mus rau kev npaj tshuaj insulin (piv txwv, Insuman Bazal) nrog pom tseeb tias hyperglycemia.

Yog li, kev qhia rau kev siv ntawm hom kev nthuav qhia ntawm hormonal feem tau txiav txim siab. Txhawm rau ua kom tau txais txiaj ntsig zoo ntawm Insuman Rapid, tsis muaj qhov xwm txheej yuav tsum koj tsis nco qab txog txhua txoj cai rau nws siv - noj ntau npaum li cas, sijhawm sib nrug thiab ntau ntxiv.

Qhov ntau npaum thiab qhov nta ntawm cov lus qhia ntawm cov tshuaj tiv thaiv hormonal yog tsim los ntawm tus kheej hauv txhua kis. Qhov no tau txiav txim siab ntawm lub hauv paus ntawm cov piam thaj hauv ntshav ua ntej noj zaub mov, nrog rau ob peb teev tom qab noj mov. Lwm qhov kev soj ntsuam tej zaum yuav yog kev vam khom rau cov teeb meem ntawm glucosuria thiab lwm yam ntxwv ntawm cov kab mob pathological.

Cov ntshav qab zib uas xav tau, kev npaj cov tshuaj insulin uas yuav ua haujlwm, nrog rau cov tshuaj insulin (koob tshuaj thiab lub sijhawm siv) yuav tsum tau txiav txim siab ib leeg thiab hloov kho rau hauv tus neeg mob noj zaub mov, ua si lub cev thiab ua lub neej.

Cov koob tshuaj txhua hnub thiab lub sijhawm ntawm thawj coj

Nws tsis muaj txoj cai nruj txog kev noj tshuaj insulin. Txawm li cas los xij, qhov nruab nrab koob ntawm insulin yog los ntawm 0.5 txog 1 IU ntawm insulin / kg lub cev hnyav ib hnub. Qhov yuav tsum tau siv tshuaj insulin yog li ntawm 40 txog 60% ntawm qhov yuav tsum tau ua txhua hnub. Insuman Rapid ® yog tswj hwm los ntawm subcutaneous txhaj tshuaj li 15-20 feeb ua ntej noj mov.

Hloov mus rau Insuman Rapid ®

Hloov chaw ntawm tus neeg mob mus rau lwm hom lossis hom tshuaj insulin yuav tsum tau ua nyob rau hauv kev saib xyuas zoo. Kev hloov pauv ntawm lub zog ntawm kev nqis tes ua, hom (chaw tsim khoom), hom (tsis tu ncua, NPH, kab xev, ua haujlwm ntev), keeb kwm (tsiaj, tib neeg, analogue ntawm tib neeg insulin) thiab / lossis cov txheej txheem ntau lawm tuaj yeem ua rau xav tau hloov cov koob tshuaj.

Qhov xav tau tshuaj insulin yog ib leeg rau ib qho mob ntshav qab zib. Raws li txoj cai, cov neeg mob uas muaj hom 2 thiab kev rog yog xav tau ntau yam tshuaj hormones. Raws li cov lus qhia rau kev siv, nruab nrab ib hnub, cov neeg mob tau txhaj li 1 pawg ntawm cov tshuaj ib kilogram ntawm qhov hnyav. Daim duab no suav nrog Insuman Bazal thiab nrawm. Cov tshuaj insulin luv luv rau 40-60% ntawm qhov xav tau tag nrho.

Insuman Bazal

Txij thaum Insuman Bazal GT ua haujlwm tsawg dua ib hnub, koj yuav tsum nkag rau nws ob zaug: thaum sawv ntxov tom qab ntsuas cov suab thaj thiab ua ntej yuav mus pw. Koob tshuaj rau txhua cov tswj hwm tau muab cais cais. Rau qhov no, muaj cov txheej txheem tshwj xeeb uas coj mus rau hauv tus account rhiab rau cov ntaub ntawv hormone thiab glycemia. Txoj kev tsim nyog yuav tsum nce siab txog qib qab zib nyob rau lub sijhawm thaum tus neeg mob ntshav qab zib tau tshaib plab.

Insuman Bazal yog qhov raug tshem tawm, thaum lub sijhawm khaws nws exfoliates: cov kua ntshiab tseem nyob rau saum toj, dawb nag lossis daus nyob hauv qab. Ua ntej txhua txoj kev txhaj tshuaj, cov tshuaj hauv koob txhaj tshuaj yuav tsum tov kom zoo.

Qhov niaj hnub zoo ib yam li qhov raug ncua kev kawm ntawv zuj zus mus, yuav siv cov tshuaj ntau dua kom tiav. Insuman Bazal yooj yim dua los npaj rau kev tswj hwm dua li lwm cov insulins nruab nrab.

Txhawm rau kom yooj yim sib xyaw, lub pob laub yog nruab nrog peb lub pob, uas ua rau nws ua tiav qhov homogeneity zoo ntawm kev ncua nyob rau hauv tsuas yog 6 lem ntawm koob txhaj tshuaj.

Npaj yuav siv Insuman Bazal muaj xim dawb xim. Ib qho cim ntawm kev puas tsuaj rau tshuaj yog flakes, muaju, thiab blotches ntawm cov xim sib txawv hauv lub taub ntim tom qab sib tov.

Cov Yuav Tsum Muaj

Thawj qhov kev txwv yog qhov txo qis rau cov ntshav qab zib, thiab peb yuav tsum tsis txhob hnov qab txog qhov kev sib raug zoo ntawm qee feem ntawm cov tshuaj tiv thaiv hormonal.

Mob ntshav qab zib mellitus xav tau kev kho tshuaj insulin, hyperglycemic coma thiab ketoacidosis, kev nyob ruaj khov ntawm kev mob ntawm tus neeg mob ntshav qab zib mellitus ua ntej, thaum thiab tom qab phais mob.

Hypersensitivity rau cov tshuaj nquag los yog ib qho ntawm excipients uas ua cov tshuaj.

Insuman Rapid ® tsis tuaj yeem siv los siv sab nrauv lossis cog cov tshuaj insulin lossis cov twj tso kua dej uas muaj cov twj silicone. Kev ntshav siab.

Tshuaj insulin yog raws li ntawv sau tseg:

Rau cov kab mob ntawm lub cev ntshav qab zib, tshwj xeeb tshaj yog thaum siv cov tshuaj hormones yog yuav tsum tau ua,
Thaum ib tus neeg mob mus rau hauv txoj kev tsis nco qab muaj ntshav qab zib thiab ketoacidosis,
Thaum lub sijhawm phais mob (hauv chav ua haujlwm thiab tom qab lub sijhawm no).

Cov tshuaj yog contraindicated yuav siv - thaum pib ntawm hypoglycemia, zoo li ntau raug rau cov tshuaj hormones los yog cov khoom siv ntxiv uas yog ib feem ntawm cov tshuaj tau piav qhia.

Kev ceev faj yuav tsum tau muab rau cov neeg muaj lub raum, mob siab, cov neeg laus laus, cov neeg tsis muaj zog ntawm cov hlab ntsha ntawm lub paj hlwb thiab cov qhov txhab ntawm cov retina ntawm lub hauv ob sab phlu ntawm lub pob muag ntawm lub qhov muag, vim kev txhim kho ntxiv ntawm qhov muag tsis pom kev tawm tsam cov keeb kwm yav dhau los ntawm hypoglycemia.

Insuman Rapid tsis pom zoo rau kev siv nrog cov piam thaj hauv ntshav tsawg, nrog rau cov kev cuam tshuam ntxiv rau cov tshuaj lossis nws cov khoom sib txuas.

Insuman Bazal yog contraindicated hauv tib neeg:

nrog rau kev nkag siab zoo rau cov tshuaj los yog rau nws cov neeg sib txuas,
nrog rau mob ntshav qab zib tsis nco qab, uas yog ib qho kev ploj ntawm txoj kev nco qab, nrog qhov ua tiav ntawm qhov tsis haum lub cev rau qhov kev xav sab nraud vim tias muaj ntshav qab zib ntau ntxiv.

Tsuas tshuaj thiab cov qauv ntawm kev siv

Kev noj tshuaj yog xaiv rau noj raws li qhov xav tau ntawm tus neeg mob ntshav qab zib. Thaum tsis muaj txoj cai tsim tshwj xeeb rau xaiv cov koob tshuaj, lawv tau coj los ntawm cov tshuaj nruab nrab txhua hnub ntawm 0.5-1.0 IU / kg ntawm qhov hnyav, thaum cov feem ntawm cov tshuaj tiv thaiv ntev yuav tsum txog li 60% ntawm qhov nruab nrab txhua hnub.

Nrog rau kev siv tshuaj insulin, yuav tsum tau soj qab xyuas cov piam thaj tsis tu ncua, tshwj xeeb tshaj yog thaum tus neeg mob ntshav qab zib tau txav los ntawm ib qho tshuaj insulin mus rau lwm tus, thaum kev noj tshuaj ntau yuav tsim nyog. Hauv qee kis, kev hloov pauv tshuaj yog ua raws kev saib xyuas ntawm tus kws kho mob hauv tsev kho mob.

Qhov uas yuav tsum tau hloov kho ntau npaum li cas:

hloov cov tshuaj insulin tau yooj yim

lub cev hnyav hloov

hloov txoj hauv kev ua neej, kev noj zaub mov zoo, kev tawm dag zog.

Hauv cov neeg mob uas laus dua 60 xyoo, hauv cov neeg mob lub raum lossis lub siab ua haujlwm, qhov xav tau cov tshuaj insulin yuav tsawg dua, yog li, kev hloov tshuaj ntau dua yuav tsum tau ua nrog ceev faj.

Cov tshuaj tau txhaj ntxaum tob hauv daim tawv nqaij 20 feeb ua ntej noj mov. Qhov chaw txhaj tshuaj hauv thaj chaw ib leeg yuav tsum tau pauv, tab sis qhov hloov ntawm thaj chaw txhaj tshuaj (lub plab, ncej puab, xub pwg) yuav tsum pom zoo nrog tus kws kho mob, vim tias qhov chaw txhaj tshuaj ntawm cov tshuaj insulin cuam tshuam nws cov adsorption thiab, yog li ntawd, cov concentration hauv cov ntshav.

Insuman Rapid tuaj yeem siv rau kev tswj hwm iv, tab sis tsuas yog nyob hauv tsev kho mob chaw.

Cov tshuaj tsis tuaj yeem siv hauv cov tshuaj insulin nrog cov hlab silicone. Tsis txhob sib xyaw nrog lwm cov insulins, tshwj tsis yog rau tib neeg cov insulin Sanofi-Aventis Group.

Kev daws yuav tsum tau kuaj xyuas ua ntej siv, nws yuav tsum yog qhov pob tshab, chav sov

Insuman thiab nws cov haujlwm ntawm kev ua

Cov tshuaj yog kev daws rau kev tswj hwm ntawm subcutaneous. Tso ntshav txhaj tau nyob rau hauv kev saib xyuas tsim nyog (tsev kho mob). Nws muaj feem ntau ntawm cov tshuaj hormone insulin nws tus kheej, uas yog zoo tib yam rau tib neeg, nrog rau cov neeg tshaj lij. Qhov tshuaj hormones no tau txais ua tsaug rau kev tsim hluav taws xob. Metacresol yog siv los ua cov kuab tshuaj thiab tshuaj tua kab mob. Sodium dihydrogen phosphate thiab glycerol muaj cov ua rau laxative. Cov lus muaj nyob nrog hydrochloric acid. Txhua cov ntaub ntawv tsim nyog ntawm cov tshuaj muaj nyob hauv cov lus qhia rau kev siv.

Siv los ntawm Insuman Rapid rau insulin-dependant ntshav qab zib mellitus, mob ntshav qab zib tsis nco qab. Txhawb kev them nyiaj metabolic nyob rau hauv cov neeg uas nyob rau hauv lub sijhawm preoperative li postoperative sijhawm. Kev ua ntawm insulin Insuman Rapid GT pib li ntawm ib nrab ib teev. Cov nyhuv ntawm cov tshuaj no kav ob peb teev. Cov khoom lag luam tsim nyob rau hauv daim ntawv ntawm cartridges, vials thiab cov ntawv xaum tshwj xeeb uas siv cov khoom siv. Hauv cov cartridges kawg tau mounted. Hauv cov khw muag tshuaj, nws yog muab los ntawm cov tshuaj thiab muaj lub neej txee ntawm ob xyoos.

Saib raws li cov lus qhia. Cov neeg laus yuav tsum siv cov tshuaj nrog ceev faj thiab kev saib xyuas. Ntxiv nrog rau cov tshuaj, nws yuav tsum tau siv nrog ceev faj rau cov neeg uas muaj:

Tsis hlauv.
Daim siab ua haujlwm.
Stenosis ntawm lub cev thiab cov hlab ntsha txhaws.
Coob tshaj plaws li koob hmoov.
Cov kab mob sib kis.
Khaws cov tshuaj sodium hauv lub cev.

Txawm li cas los xij, kev siv Insuman Rapid GT yog qhov tsim nyog tom qab sab laj nrog kws kho mob. Txiav txim siab cov kev tawm tsam rau qee tus neeg. Txoj cai lij choj tsis muab rau cov kev cai noj tshuaj, yog li lub sijhawm ntawm kev tswj hwm thiab koob tshuaj tau suav nyias. Cov qauv tseem ceeb yog kev ua neej nyob, tus neeg lub cev muaj zog npaum li cas, thiab nws tseem noj yam zaub mov zoo li cas. Nws ua raws los ntawm qhov no tias thaum hloov los ntawm lwm cov insulin, suav nrog tsiaj keeb kwm, kev tshuaj xyuas hauv tsev kho mob yuav tsum tau. Kev Nkag Nkag Siab Insuman GT cuam tshuam rau kev saib xyuas thiab nrawm ntawm lub zog. Yog li, kev nkag mus rau kev tsav tsheb yog txiav txim siab los ntawm tus kws kho mob nkaus xwb.

Thaum lub sijhawm txiav txim ntawm cov tshuaj, cov piam thaj txo qis dua. Nws pom zoo cov teebmeem anabolic, nce kev thauj cov suab thaj hauv lub hlwb. Txhawb nqa kev tsub zuj zuj ntawm glycogen, qeeb qeeb glycogenolysis. Ua cov txheej txheem ua tiav ntawm kev hloov ua cov kua nplaum thiab lwm yam tshuaj rau hauv cov roj ntsha. Cov amino acids nkag rau cov qe sai dua. Cov tshuaj normalizes protein synthesis thiab poov tshuaj kom tsawg mus rau hauv lub cev cov ntaub so ntswg.

Yuav siv cov tshuaj li cas

Cov lus qhia muaj cov cai tswj rau kev siv tshuaj ntawm hom tshuaj nkaus xwb ntawm hom koj yuav. Rau koj tus kheej siv, tsis tas yuav tsum yuav txhua hom tshuaj txhawm rau txhawm rau xaiv qhov raug. Insuman Rapid GT muaj nyob hauv peb daim ntawv:

Lub raj mis uas yog ua los ntawm cov iav pob tshab. Muaj ib tug ntim ntawm 5 ml. Thaum siv lub raj mis, tshem lub hau. Tom ntej no, kos rau hauv lub koob txhaj tshuaj yuav tsum tau muaj cov cua uas sib npaug nrog cov koob tshuaj insulin. Tom qab ntawv ntxig cov kua tshuaj ntsuab rau hauv lub vial (tsis kov cov kua) thiab tig mus. Hu rau qhov yuav tsum tau npaum li cas ntawm cov tshuaj insulin. Tso cua ntawm cov phwj hauv ua ntej siv. Sau cov tawv nqaij ntawm qhov chaw txhaj tshuaj thiab maj mam txhaj cov tshuaj. Thaum ua tiav, maj mam tshem tawm cov koob txhaj tshuaj.
Lub pob tawb ua los ntawm cov iav tsis muaj kob thiab muaj ntim ntawm 3ml. Kev siv ntawm Insuman Rapid GT hauv daim cartridges yuav tsis ua rau muaj teeb meem. Ua ntej no, tuav nws rau ob peb xuab moos ntawm chav tsev kub. Tsis pub cua npuas hauv lub taub hau taub; yog tias muaj, tshem tawm tam sim ntawd. Tom qab kev txhim kho nws hauv cov xaum xaum thiab ua ib qho kev txhaj tshuaj
Daim foos yooj yim tshaj plaws yog cov xee hluav taws xob uas siv tas pov tseg. Nws yog 3 ml ntshiab iav daim cartridge uas tau teeb tsa hauv lub pob kws xaum hluav taws xob. Daim foos no yog pov tseg. Ua tib zoo siv cov kev ntsuas los tiv thaiv kev nkag los ntawm kev kis tus kab mob, uas tau qhia hauv cov lus qhia. Txhawm rau siv, muab rab koob thiab txhaj.

Ua tib zoo saib cov vials thiab cov cartridges. Cov kua yuav tsum yog pob tshab, dawb los ntawm qias. Kev siv cov koob txhaj tshuaj uas muaj cov khoom tsis zoo tsis raug tso cai. Kev txhaj tshuaj ntawm Insuman GT yog qhov tsim nyog 20 feeb ua ntej noj mov. Kev siv hauv intramuscular yog tso cai. Tsis txhob hnov qab hloov qhov chaw txhaj tshuaj. Hloov chaw (ntawm lub duav mus rau hauv plab) tuaj yeem tau txais tom qab tus kws kho mob pom zoo. Tib yam siv rau kev siv tshuaj nrog lwm cov tshuaj, nrog rau kev haus cawv. Koj tuaj yeem ib txwm pom cov ntaub ntawv tiav hais txog kev siv insulin Insuman Rapid hauv cov lus qhia.