Cov tshuaj pleev insulin (Cov kua dej hauv tsev): cov npe lag luam, cov yam ntxwv, cov lus qhia rau kev siv

Qhov tshuaj insulin yog kho rau cov neeg mob ntshav qab zib kom tswj ntshav qab zib. Ntawm txhua cov ntau yam muaj, kev ua yeeb yam luv luv yog feem ntau kho mob, tsawg zaus - ultra-luv. Cov tshuaj sib txawv hauv lub sijhawm ua haujlwm thiab cov tshuaj uas lawv tau ua. Ob daim ntawv ntawm cov tshuaj siv nquag siv hauv kev kho ua ke.

TSEEM CEEB YUAV TSUM! Txawm tias cov ntshav qab zib siab tshaj plaws tuaj yeem kho tau hauv tsev, tsis tas yuav phais lossis tsev kho mob. Tsuas nyeem dab tsi Marina Vladimirovna hais. nyeem cov lus pom zoo.

Kev siv tshuaj insulin yog siv los ntawm cov kws ncaws pob ua kis las los txhim kho cov leeg mob.

Qab zib yog txo tam sim ntawd! Mob ntshav qab zib ntev mus ntev tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob rau sab hauv, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab kev xav ua kom lawv cov suab thaj theem. nyeem rau.

Tsuas tshuaj thiab tswj hwm

Cov tshuaj no tau siv subcutaneously 15 feeb ua ntej noj mov. Dosage yog xaiv ib tus zuj zus.

Nws yog qhov ua tau los siv kev siv lub twj tso kua mis-nkaus. Txhua hnub tib neeg xav tau cov tshuaj insulin feem ntau yog 0.5 ntsuas. ib kilo ntawm cov huab hwm coj: ntawm no, ob feem peb yog cov tshuaj insulin tam sim ua ntej noj zaub mov. Thiab ib feem peb yog nyob hauv keeb kwm tshuaj insulin (keeb kwm).

Cov tshuaj "Apidra" ("Epidera"): lus piav qhia

Cia peb xav txog cov tshuaj no hauv kev nthuav dav ntxiv.

Apidra insulin yog siv los kho mob ntshav qab zib hauv menyuam yaus txij thaum muaj hnub nyoog 6 xyoo, thiab nws kuj tseem siv rau cov laus. Qhov kev npaj muaj 3.49 milligrams ntawm lub ntsiab. Qhov sib xyaw ua ke no tuaj yeem muab piv nrog 100 IU (Cov Thoob Ntiaj Teb Thoob Ntiaj Teb) ntawm tib neeg cov tshuaj hormones. Ntu cov khoom xyaw suav nrog kev txhaj tshuaj dej nrog rau m-cresol, chloride thiab sodium hydroxide, concentrated hydrochloric acid, trometamol thiab polysorbate.

Apidra insulin yog muag hauv lub raj mis 10-milliliter lossis hauv 3-milliliter cartridges. Qhov kev xaiv thawj yog tau ntim rau hauv lub thawv ntawv thawv, thiab lub thib ob yog muab tso rau hauv contour ntim nrog cov hlwb. Nyob rau hauv rooj plaub tom kawg, muaj tsib daim cartridges uas raug them mus rau hauv cov cwj mem tshwj xeeb (uas yog koob txhaj), uas yog hu ua "OptiPen" (qhov no yog qhov cwj mem pov tseg).

Cov tuam txhab tsim khoom tseem ua cov OptiKlik cartridge sib cais. Kiag li ntawm txhua lub ntim muaj cov kua ntshiab uas tsis muaj xim.

Apidra SoloStar

Cov nquag ua si hauv nws yog tam sim no hauv tib cov nyiaj ib yam li hauv kev xaiv yav dhau los. "Insulin glulisin" nrog lub npe lag luam "Apollo brand SoloStar" muaj cov nram qab no contraindications:

• Lub xub ntiag ntawm cov neeg mob ntawm kev mob ntshav qab zib thiab kev ua haujlwm tsis zoo hauv lub cev mus rau lub hauv paus lossis cov tshuaj tiv thaiv kab mob ntawm cov tshuaj no.
• Lub sijhawm lub sijhawm menyuam yaus yog nce mus txog rau xyoo.

Cov tshuaj Apidra thiab Apidra Solostar tuaj yeem muas tau hauv txhua lub tsev muag tshuaj.

Lub subtleties ntawm kev siv cov tshuaj no

"Insulin glulisin" yuav luag zoo tib yam rau tib neeg. Muaj kev zam tshwj xeeb yog lub sijhawm ua kom ntev, uas luv npaum li cas. Nws yog qhov txaus los muab rau tus neeg mob tsuas yog ib qho kev txhaj tshuaj ntawm cov tshuaj no, xws li tom qab 15 feeb nws yuav muaj lub siab xav pab hauv nws tus mob.

Txoj kev tawm tswv yim kuj sib txawv. Piv txwv li, tus neeg sawv cev no raug txhaj tshuaj subcutaneously rau hauv thaj chaw tshwj xeeb thiab tom qab ntawd, nrog kev siv lub twj tso kua mis, txoj kev ua tiav tas. Txoj kev lis ntshav tuaj yeem ua tau yam tsis muaj kev cuam tshuam, uas yog ua rau hauv cov rog ua kom ncaj ncaj rau hauv daim tawv nqaij.

Cov txheej txheem yuav tsum tau ua txawm tias ua ntej noj mov lossis tom qab, tab sis tsis sai. Kev txhaj tshuaj subcutaneous zoo tshaj plaws nyob hauv thaj chaw mob plab, tab sis kuj tau tso cai rau hauv lub xub pwg, thiab tus ncej puab kuj tseem haum. Tab sis Txoj kev lis ntshav tuaj yeem ua tau tshwj xeeb hauv lub plab. Tsuas yog kws kho mob tuaj yeem sau ntawv kho tus mob. Cov tshuaj no yog siv los tswj cov tshuaj insulin nrog lub sijhawm ntev lossis nruab nrab.

Nws raug tso cai los sib xyaw ua ke ntawm "Insulin glulisin" nrog rau cov ntsiav tshuaj (kev siv tshuaj tiv thaiv hypoglycemic). Qhov ntau thiab tsawg ntawm kev xaiv cov tshuaj yog txiav txim los ntawm tus kws kho mob koom, vim tias tus neeg mob tsis muaj cai xaiv nws tus kheej. Qhov tseeb yog tias qhov no yog fraught nrog tsis pom qhov tsis zoo. Ntawm cov lus qhia tseem ceeb rau kev siv, koj tseem tuaj yeem nrhiav cov lus pom zoo rau thaj tsam ntawm kev tswj hwm tshuaj. Nws yog ib qho tseem ceeb los tiv thaiv kev puas tsuaj rau cov hlab ntsha.

Dab tsi ntxiv yog cov lus qhia rau kev siv nrog Insulin Glulizin?

Cov lus qhia tshwj xeeb rau kev siv tshuaj

Tso dej siab tswj hwm ntawm cov tshuaj yog nqa tawm tsuas yog hauv cov chav haujlwm tshwj xeeb endocrinological. Thaum siv cov tshuaj insulin aspart hauv cov twj tso kua mis rau kev tswj hwm subcutaneous, kev sib xyaw cov tshuaj no nrog lwm cov kev daws teeb meem yog txwv tsis pub.

Daim duab uas siv koob txhaj tshuaj yuav tsum cia tsuas yog nyob ntawm chav sov. Ib rab koob txhaj tshuaj tsis siv yuav tsum tau muab tso rau hauv lub tub yees. Cov tshuaj yuav tsum tau muab rau tsuas yog tom qab kev sib xyaw ua ke ntawm cov ntsiab lus hauv cov koob txhaj kom txog thaum npluav rog, xim muaj xim.

Kev ua lub cev nyhav, nrog rau cov kab sib kis thiab cov kev ua haujlwm sai, yuav xav tau cov tshuaj insulin ntxiv.

Thaum pib ntawm txoj kev kho, lub tsheb tsav tsis pom zoo, thiab tsis tas li ntawd, ua haujlwm nrog kev hloov khoom siv vim muaj qhov tsis pom kev. Tawm tsam keeb kwm ntawm cov thawj coj ntawm cov tshuaj, ceeb toom yuav tsum tau ua kom muaj kev sib txuas nrog kev ua kom tshwm sim ntawm kev mob ntshav qab zib.

Sab sij hawm ntawm daim ntawv thov

Lub hauv nruab nrab hauv lub paj hlwb, zoo ib yam li cov khoom siv hluav taws xob, tuaj yeem teb rau Insulin Glulisine los ntawm kev kho cov ntshav qabzib sai sai thaum pib kho. Qhov pib ntawm mob mob neuropathy yog ua tau, uas yuav txawv hauv qhov hloov chaw. Ntawm cov tshuaj tiv thaiv dermatological, nws tsim nyog hais txog lipodystrophy ntawm qhov chaw txhaj tshuaj ntawm cov tshuaj no.

Cov kev xav hauv nruab nrog cev tuaj yeem teb tau nrog qhov ua yuam kev tsis zoo, thiab ntxiv rau, qhov txo qis ntawm qhov pom ntawm qhov pom, uas tseem yuav cuam tshuam nrog kev ceev nrawm ntawm qhov pom ntawm cov piam thaj hauv cov ntshav thaum pib kho. Tus mob no yuav dhau mus. Ua ib feem ntawm kev siv cov cuab yeej no, kev fab tshuaj tsis raug cais tawm.

Insulin Apidra Solostar: cov lus qhia rau kev siv ntawm kev daws

Apidra Solostar yog cov tshuaj insulin ua luv luv, uas yog npaj rau kev tswj glycemic hauv insulin-tiv thaiv kev mob ntshav qab zib.

Nws yog tshuaj rau cov neeg laus thiab menyuam yaus txij thaum muaj rau xyoo los ntawm kev mob ntshav qab zib, yog tias tsim nyog, kev kho tshuaj insulin.

Hauv 1 milliliter ntawm Apidra Solostar tov tsuas muaj cov tshuaj ua kom nquag plias - insulin glulisin hauv ib koob tshuaj ntawm 100 daim duab PIECES. Tsis tas li, cov tshuaj muaj:

• Hydroskide thiab Sodium Chloride
• Npaj ua dej
• Metacresol
• Polysobat
• Trometamol
• Hydrochloric acid.

Cov tshuaj dej hauv cov kua dej yog cov dej ntshiab, tsis muaj kua, muaj nyob hauv 3 ml vials. Cov ntim muaj nrog 1 lossis 5 lub raj nrog ib xaum xaum xaum.

Cov tshuaj insulin glulisin muaj nyob hauv Apidra yog qhov tso tawm ua ntej ntawm cov tshuaj insulin ntuj tsim hauv tib neeg lub cev. Glulisin ua ntau nrawm dua thiab yog tus tsim lub sijhawm luv luv piv nrog cov tshuaj insulin.

Raws li kev ua haujlwm ntawm insulin glulisin, pom maj mam hloov ntawm cov metabolism hauv qabzib. Nrog rau qhov txo qis hauv cov piam thaj, qhov kev txhawb nqa ntawm nws txoj kev nqus ncaj qha los ntawm cov ntaub so ntswg peripheral, inhibition of glucose synthesis hauv daim siab hlwb raug kaw.

Cov tshuaj insulin inhibits cov txheej txheem lipolysis tshwm sim hauv adipocytes, nrog rau cov proteolysis. Nyob rau tib lub sijhawm, protein synthesis yog qhov nce.

Raws li kev tshawb fawb ntau nrog kev koom tes ntawm cov neeg mob ntshav qab zib, nrog rau cov neeg mob noj qab haus huv, cov txiaj ntsig hauv qab no tau txais: nrog subcutaneous kev tswj hwm ntawm Apidra, sai li sai tau ntawm insulin raug pom nrog lub sijhawm luv dua li cov kua dej ntuj.

Tom qab qhia txog ntawm glulisin hauv qab daim tawv nqaij, nws cov nyhuv tshwm sim tom qab 10-20 feeb. Tab sis thaum txhaj mus rau hauv cov hlab ntsha, cov ntshav qabzib qes yuav poob qis ib yam nkaus li tom qab kev qhia tawm ntawm insulin ntuj. 1 ntu ntawm insulin glulisin yog yam ntxwv yuav luag zoo li qub hauv qab zib-txo cov yam ntxwv raws li 1 chav ntawm ntuj insulin.

Hauv cov neeg mob nrog pathologies ntawm lub raum, qhov kev xav tau rau cov kua dej yog feem ntau txo qis.

Kev tswj hwm ntawm Apidra yuav tsum tau nqa tawm ua ntej noj mov lossis tam sim ntawd.

Cov tshuaj insulin yuav tsum siv raws li cov tshuaj noj uas tiv thaiv kab mob ua ke nrog cov tshuaj insulin, uas pom los ntawm qhov nruab nrab lub sijhawm ntev los yog siv cov insulin ntev. Tej zaum muaj kev siv tshuaj nrog hypoglycemic rau kev tswj hwm qhov ncauj.

Kev xaiv ntawm cov tshuaj ntau npaum li cas yog nqa los ntawm endocrinologist.

Apidra Taw qhia

Cov lus qhia ntawm cov kua dej muaj cov kua tshuaj yog nqa tawm los ntawm kev txhaj tshuaj los yog infusion siv lub twj tso kua mis tshwj xeeb.

Kev txhaj tshuaj subcutaneous yog nqa tawm hauv plab phab ntsa (ncaj qha nws sab pem hauv ntej), hauv cheeb tsam femoral lossis xub pwg. Txoj kev lis ntshav ntawm cov tshuaj yog nqa tawm hauv plab phab ntsa. Cov chaw ntawm Txoj kev lis ntshav thiab txhaj tshuaj yuav tsum tau hloov tas li.

Kev siv tus cwj mem uas qhwv siv

Ua ntej kev qhia paub ntawm Apidra, koob txhaj tshuaj yuav tsum tau sov me ntsis ntawm chav sov (kwv yees li 1-2 teev).

Txoj kev hno koob tshiab txuas rau cov tshuaj insulin syringe cwj mem, tom qab ntawd koj yuav tsum ua qhov ntsuas kev nyab xeeb yooj yim. Tom qab ntawd, qhov ntsuas pom “0” yuav pom ntawm lub qhov rai ntim tshuaj ntawm lub ntsej muag xaum xim. Tom qab ntawd qhov tsim nyog koob tshuaj tau tsim muaj. Qhov tsawg kawg nkaus tus nqi ntawm cov tshuaj tso cai yog 1 chav tsev, thiab qhov siab tshaj plaws yog 80 units. Yog tias xav tias yuav tsum tau noj ntau dua, ntau txoj kev txhaj tshuaj.

Thaum lub sijhawm txhaj, rab koob, uas ntsia rau ntawm rab koob txhaj tshuaj, yuav xav tau maj mam nkag hauv qab daim tawv nqaij. Lub khawm rau ntawm rab koob xaum yuav raug nias, nws yuav tsum nyob twj ywm rau hauv txoj haujlwm no tam sim ntawd kom txog thaum lub sijhawm ntawm rho tawm. Qhov no ua kom qhov kev taw qhia ntawm qhov xav tau ntau npaum li cas ntawm ib qho tshuaj insulin-muaj.

Tom qab txhaj koob, rab koob raug tshem tawm thiab pov tseg. Yog li, nws yuav muaj peev xwm tiv thaiv tus kab mob ntawm cov insulin koob txhaj. Yav tom ntej, kua cwj mem yuav tsum tau kaw nrog lub hau.

Cov tshuaj tuaj yeem raug teem tseg rau cov poj niam cev xeeb tub thiab lactating.

Nqe: txij li 421 txog 2532 rub.

Cov tshuaj insulin-muaj cov tshuaj Apidra Solostar tsis yog siv rau qhov tshwm sim ntawm kev mob ntshav qab zib thiab ua rau muaj kev cuam tshuam ntau ntxiv rau cov tshuaj ntawm cov tshuaj.

Thaum siv cov tshuaj insulin-tshuaj los ntawm lwm lub chaw tsim khoom, yuav tsum ua tib zoo tswj kev siv tshuaj tiv thaiv kab mob kev nkeeg los ntawm cov kws kho mob koom nrog, vim tias yuav tsum tau kho qhov kev noj tshuaj tsis tuaj yeem txiav tawm. Koj yuav tsum tau pauv pauv cov phiaj xwm ntawm kev kho hypoglycemic ntawm cov tshuaj rau kev tswj hwm qhov ncauj.

Kev ua tiav ntawm kev siv tshuaj tiv thaiv kab mob siab lossis siv cov tshuaj insulin ntau kawg, tshwj xeeb yog cov neeg mob ntshav qab zib, tuaj yeem ua rau ketoacidosis mob ntshav qab zib, ua rau mob ntshav qab zib tsawg, uas ua rau muaj kev phom sij rau lub neej.

Lub sijhawm nyob ntawm lub sijhawm rau qhov tshwm sim ntawm hypoglycemia yog ncaj qha ntsig txog tus nqi ntawm kev txhim kho ntawm cov tshuaj tiv thaiv hypoglycemic los ntawm cov tshuaj siv, nws tuaj yeem hloov nrog kev kho cov tshuaj tiv thaiv kab mob siab.

Qee yam ua tau tuaj yeem txo qhov hnyav ntawm cov ntshav qog ntshav qis, lawv suav nrog:

• Mob ntshav qab zib ntev
• Kev kho mob insulin ntau
• Kev txhim kho rau cov ntshav qab zib mob neuropathy
• Kev siv ntau ntawm cov tshuaj (piv txwv li, β-blockers).

Kev hloov pauv ntawm koob tshuaj insulin Apidra Solostar yog ua tiav nrog kev nce hauv lub cev lossis kev hloov pauv ntawm cov zaub mov noj txhua hnub.

Cov kev tawm dag zog lub cev tam sim ntawd tom qab noj mov, qhov yuav ua rau muaj ntshav qab zib tsawg zuj zus. Cov tshuaj tua kab mob luv luv ua haujlwm tuaj yeem ua rau qhov pib ntawm lub qog ntshav qab zib.

Qhov tsis pom txog hypo- thiab hypoglycemic cov tsos mob tshwm sim ua rau muaj qhov tshwm sim ntawm tus neeg mob ntshav qab zib ua pa, coma, lossis ua rau tuag.

Nrog rau kev hloov pauv ntawm lub siab lub ntsws, kev txhim kho ntawm qee yam kab mob, nws yuav tsim nyog kho qhov tshuaj noj ib koob tshuaj insulin.

Thaum ua haujlwm nrog cov txheej txheem meej, tsav tsheb, qhov kev pheej hmoo ntawm kev txhim kho hypo- thiab hyperglycemia nce, yog li kev saib xyuas tshwj xeeb yuav tsum tau ua.

Thaum noj qee cov tshuaj, ib qho cuam tshuam ntawm cov metabolism hauv qabzib yuav raug sau cia, nyob rau hauv kev sib txuas nrog qhov no, yuav tsum kho qhov ntau npaum li cas ntawm glulisin thiab tswj nruj kev coj ua ntawm cov tshuaj tiv thaiv kab mob siab.

Ntawm cov tshuaj uas ua rau cov hypoglycemic nyhuv ntawm glulisin suav nrog:

• Cov tshuaj tiv thaiv ntawm ib qho tshwj xeeb angiotensin-hloov pauv enzyme, monoamine oxidase
• Pentoxifylline
• Cib tshuaj
• Txhais tau tias raws li cov tshuaj sulfonamide antimicrobial tus sawv cev
• Disopyramides
• Kev siv tshuaj hypoglycemic rau kev siv lub qhov ncauj
• Fluoxetine
• Cov ntsev
• Propoxyphene.

Tus nab npawb ntawm cov tshuaj raug faib uas txo qis hypoglycemic ua haujlwm ntawm cov tshuaj insulin-muaj:

• Isoniazid
• Somatropin
• Danazole
• Qee qhov sympathomimetics
• Estrogen-progestin tshuaj
• COC
• Diazoxide
• Protease inhibitors
• Cov thyroid hormones
• Cov tshuaj tiv thaiv kev puas hlwb
• GKS
• Phenothiazine Derivatives
• Cov tshuaj diuretic.

Nws yog tsim nyog sau cia tias β-adrenergic blockers, ethanol-muaj thiab lithium-muaj cov tshuaj, clonidine muaj peev xwm ua rau ob leeg nce thiab txo cov nyhuv hypoglycemic ntawm Apidra.

Thaum siv cov reserpine, β-adrenoblockers, clonidine, thiab guanethidine, cov cim ntawm hypoglycemia yuav tsis muaj zog lossis tsis tuaj.

Txij li tsis muaj cov ntaub ntawv hais txog kev siv tshuaj ntawm gluzilin, tsis txhob sib xyaw nws nrog lwm yam tshuaj, lub ntuj insulin isofan yog kev zam.

Kev siv lub tshuab nqus ntshav los tswj Apidra, sib xyaw cov kua dej muaj tshuaj nrog lwm cov tshuaj yuav tsum tsis txhob.

Feem ntau, cov neeg mob ntshav qab zib yuav pib mob txaus ntshai xws li hypoglycemia.

Muaj qee kis, pom tawm pob ntawm daim tawv thiab qhov pom ntawm lub ntsej muag o tuaj.

Kev tshwm sim ntawm lipodystrophy yog tias tsis ua raws li cov kev cai ntawm kev kho mob tshuaj tiv thaiv kab mob tsis zoo.

Lwm cov kev qhia ua xua:

• Dermatitis ntawm kev tsis haum genesis, tawm pob los ntawm hom urticaria, ua tsis taus pa
• Zoo nkaus ntawm cov hauv siab hauv siab (zoo li tsawg).

Nws tsim nyog sau cia tias cov tshuaj tiv thaiv los ntawm cov tshuaj tiv thaiv kab mob (kev tiv thaiv ua kom tsis haum) tuaj yeem theem nyob rau hnub tom qab txhaj tshuaj. Qee qhov xwm txheej, qhov tshwm sim tsis zoo yog los ntawm kev tsis raug insulin, tab sis los ntawm kev ua kom tawv nqaij ua ntej los ntawm kev kho mob ua ntej nrog cov tshuaj tiv thaiv kab mob lossis vim tias kev txhaj tshuaj tsis haum.

Thaum kuaj pom ib qho kev phiv tshuaj dav dav, qhov kev pheej hmoo yuav tuag yog qhov siab. Yog li, ntawm qhov tshwm sim me ntsis ntawm cov kev mob tshwm sim, koj yuav tsum tau sab laj ib tus kws kho mob.

Nrog kev qhia txog kev siv tshuaj ntau tshaj ntawm Apidra, kev mob ntshav qab zib tsawg tuaj yeem tsim ua ob hom me thiab hnyav. Hauv qhov no, nws yog qhov yuav tsum tau ua kev kho mob:

• Me - Cov zaub mov lossis dej qab zib uas muaj suab thaj
• Daim foos hnyav heev (tsis nco qab lawm lub xeev) - rau kev tso tseg, 1 ml ntawm cov tshuaj Glucagon tau txais kev tso cai hauv qab daim tawv nqaij los yog cov leeg nqaij, thaum tsis muaj kev tawm tsam rau Glucagon, cov tshuaj pleev ntshav qabzib yog ua tau.

Tom qab tus neeg mob rov qab nco qab, nws yuav tsim nyog los muab nws nrog cov pluas mov noj hauv carbohydrates. Tom qab, kev saib xyuas tus neeg mob kom zoo los ntawm tus kws kho mob tau pom zoo.

Ely Lilly thiab Tuam Txhab, Fab Kis

Nqi los ntawm 1602 txog 2195 rub.

Humalogue yog ib tus neeg sawv cev uas nthuav tawm lub suab hypoglycemic nyhuv. Cov tshuaj Humalog muaj cov tshuaj insulin lyspro. Raws li lub zog ntawm cov tshuaj, nws yuav muaj peev xwm los tswj cov metabolism hauv cov piam thaj thiab txhim kho cov protein ua ke. Cov tshuaj yeeb yaj kiab tau tsim tawm hauv kev sib tov thiab ncua kev kawm.

Pros:

• Kev Siv Tau
• Qhov pib ntawm kev cuam tshuam hypoglycemic sai
• Qhov tshwm sim ntawm kev tsim cov kev mob tshwm sim hnyav yog tsawg.

Cons:

• Tsis txhob siv yog tias xav tias hypoglycemia.
• Muaj nqi
• Ua rau muaj kev tawm hws ntau dhau.

Eli Lilly East S.A., Switzerland

Nqi los ntawm 148 txog 1305 rub.

Humulin NPH - ib yam tshuaj nrog cov tshuaj insulin-isophan nquag, yog siv hauv cov ntshav qab zib kom tswj tau glycemia. Humulin NPH yog tsim nyob rau hauv daim ntawv ntawm kev daws hauv cov roj cartridges uas siv rau cov kua roj ntsha syringe.

Pros:

• Yuav tau raug muab rau xeeb tub
• Siv rau thawj kuaj mob ntshav qab zib
• Kev siv tshuaj tua kab mob ntev ntev yuav raug tso cai.

Cons:

• Tej zaum yuav ua rau khaus.
• Ntawm keeb kwm ntawm kev kho mob, lub plawv dhia tuaj yeem kuaj mob
• Nws yog tso tawm los ntawm cov tshuaj noj.

Novo Nordic, Denmark

Nqi los ntawm 344 txog 1116 rubles.

LS muaj cov tshuaj insulin luv luv. Nws yog tshuaj rau ntshav qab zib thaum tsis muaj glycemic tswj los ntawm lwm cov tshuaj. Hauv qab ntawm Actrapid, chav kawm ntawm txheej txheem txheej txheem yog qhib vim tias tshwj xeeb kev txhawb ntawm cAMP biosynthesis thiab kev nkag mus sai rau cov leeg nqaij. Cov tshuaj nquag yog solulin insulin. Cov tshuaj yeeb yaj kiab tau tsim tawm los ntawm kev sib tov.

Pros:

• Tus nqi qis
• Ceev ceev hauv cov ntshav qab zib
• Nws tuaj yeem siv nrog cov insulin ntev.

Cons:

• Qhov pom ntawm cov cim ntawm lipodystrophy tsis kav
• Quincke edema tuaj yeem tsim kho
• Nrog rau kev ua kom lub cev ntau ntxiv, yuav tsum muaj kev hloov kho koob tshuaj.

Ultrashort insulin Glulizin - cov yam ntxwv thiab cov yam ntxwv ntawm kev thov

Ntawm hom ntshav qab zib hom 1, tus neeg mob tuaj yeem siv cov kev siv tshuaj sai (sai), luv luv, nruab nrab, ua kom ntev thiab muaj cov tshuaj tiv thaiv ua ntej.

Qhov twg yog qhov tau sau tshuaj rau kev noj tshuaj kom zoo txaus nyob ntawm tus neeg yam ntxwv ntawm lub cev. Thaum ultra-luv luv insulin xav tau, Glulisin siv.

Insulin Glulisine yog ib qho piv txwv ntawm tib neeg cov kua dej, uas zoo sib xws hauv txoj ntsiab cai rau cov tshuaj no. Tab sis los ntawm xwm, nws ua tau nrawm dua thiab muaj cov qauv luv luv.

Glulisin tau nthuav tawm raws li kev daws teeb meem rau kev tswj hwm ntawm subcutaneous. Nws zoo li kua dej pob tshab tsis muaj impurities.

Cov npe lag luam rau cov tshuaj uas nws muaj: Apidra, Epidera, Apidra Solostar. Lub hom phiaj tseem ceeb ntawm cov tshuaj yog mus tswj cov metabolism hauv qabzib.

Raws li kev paub dhau los, qhov zoo thiab tsis zoo hauv qab no tuaj yeem sib txawv:

• ua nrawm dua li tib neeg hormone (+),
• zoo txaus siab qhov xav tau khoom noj hauv cov kua dej (+),
• peev xwm tsis muaj kev cuam tshuam ntawm cov nyhuv ntawm cov tshuaj ntawm cov piam thaj (-),
• siab zog - chav tsev txo cov suab thaj ntau dua li lwm cov insulins (+).

Tom qab kev tswj hwm subcutaneous, muaj ib qho txo ​​qis hauv qabzib vim qhov kev txhawb nqa ntawm nws txoj kev siv ntu hauv cov ntaub so ntswg thiab kev tawm tsam ntawm cov txheej txheem no hauv lub siab. Qhov kev txiav txim pib 10 feeb tom qab txhaj tshuaj.

Nrog kev qhia txog Glulisin thiab cov insulin tsis tu ncua ob peb feeb ua ntej noj mov, yav tas los ua kom zoo dua glycemic tswj tom qab noj mov. Lub bioavailability ntawm yam khoom yog li 70%.

Kev sib txuas lus nrog cov protein ntshav yog negligible. Nws yog tawm me ntsis sai dua li niaj zaus kev txhaj tshuaj tib neeg. Ib nrab-lub neej ntawm 13,5 feeb.

Cov tshuaj tau muab rau noj tam sim ntawd ua ntej noj mov (rau 10-15 feeb) lossis tam sim ntawd tom qab noj mov, noj rau hauv cov txheej txheem kev kho mob dav dav nrog lwm cov insulins (los ntawm lub sijhawm ntawm kev nqis tes lossis los ntawm keeb kwm). Txoj kev tswj hwm: subcutaneously hauv tus ncej puab, lub xub pwg. Txhawm rau kom tsis txhob raug mob, qhov chaw txhaj tshuaj yog zaws. Cov tshuaj raug muab tshuaj rau ntau qhov chaw, tab sis nyob hauv tib thaj chaw.

Glulisin koom ua ke nrog cov insulins thiab kab mob hauv qab no:

• nrog ib qho analog ntawm basal hormone,
• nrog nruab nrab
• nrog ntev
• nrog rau cov tshuaj hypoglycemic.

Lub zog ntawm glycemia nrog ntxiv ntawm insulin Glulizin rau kev kho nrog basal insulin

Yog tias txoj kev daws teeb meem yog xav siv cov koob txhaj koob txhaj tshuaj, kev txhaj tshuaj yog ua raws li cov lus qhia rau lub tshuab no. Cov ntau npaum ntawm cov tshuaj yog xaiv ib tus zuj zus, suav txog tus neeg mob tus mob thiab theem ntawm kev them nyiaj.

Ua ntej siv Glulizin, refilled hauv daim cartridge, kev tshuaj xyuas yog nqa tawm - cov av nkos nrog kev suav nrog tsis tsim nyog siv.

Video qhia siv kev xaum xim:

Ib yam tshuaj raug xaj nyob rau qee yam hauv qab no:

Cov tshuaj tiv thaiv kom tsis txhob xaiv lub sijhawm tshuaj yog li nram qab no:

• ntshav qab zib,
• hypersensitivity rau glulisin,
• hypersensitivity rau ntu ntu ntawm cov tshuaj.

Hauv chav kawm ntawm kev kho nrog tshuaj, phiv tshuaj tuaj yeem tshwm sim.

Qhov nquag ntawm cov xwm txheej tsis zoo hauv cov lej, qhov twg 4 yog qhov muaj ntau, 3 feem ntau, 2 yog tsawg, 1 tsawg tsawg:

Thaum lub caij noj tshuaj ntau dhau hwv lawm, kev soj ntsuam ntshav lub qog ntshav qis. Nws tuaj yeem tshwm sim yuav luag tam sim ntawd lossis txhim kho maj mam.

Ua raws li kev siv cov tshuaj insulin ntau npaum li cas, lub sijhawm thiab qhov mob hnyav tshaj plaws, tus mob hypoglycemia yuav plooj ntau dua. Tus neeg mob yuav tsum txiav txim siab cov ntaub ntawv no txhawm rau txhawm rau tiv thaiv tus mob kom raws sijhawm. Txhawm rau ua qhov no, koj yuav tsum muaj qab zib (khaub noom, chocolate, ncuav qab zib ntshiab) nrog koj.

Nrog cov ntshav qog ua kom qis thiab ntshav qab zib kom qis, cov khoom qab zib uas muaj suab thaj yog noj. Hauv cov mob hnyav, uas nrog nrog tsis nco qab, yuav tau txhaj tshuaj.

Kev nyem ntawm hypoglycemia tshwm sim nrog kev pab ntawm glucagon (s / c lossis i / m), kua nplaum tov (i / v). Hauv 3 hnub, tus neeg mob raug saib xyuas. Txhawm rau tiv thaiv kev txhim kho ntawm kev rov ua qog ntshav, nws yog ib qho tsim nyog yuav tsum tau noj cov carbohydrates tom qab ib ntus.

Thaum pib ntawm kev kho mob nrog ultrashort insulin, nws txoj kev cuam tshuam nrog lwm cov tshuaj noj tau coj los ua.

Ntau yam tshuaj yuav cuam tshuam rau cov metabolism hauv qabzib, txhim kho lossis txo qis cov teebmeem ntawm kev tsim cov tshuaj insulin. Ua ntej kev kho mob, tus neeg mob yuav tsum tau qhia rau hauv kev tiv thaiv kom tsis txhob muaj qhov ua rau tsis pom zoo.

Cov tshuaj hauv qab no txhim kho cov nyhuv ntawm Glulisin: Fluoxetine, hypoglycemic agents hauv cov ntsiav tshuaj, tshwj xeeb, sulfonylureas, sulfonamides, salicylates, fibrates, ACE inhibitors, Disopyramide, MAO inhibitors, Pentoxifylline, Propoxifen.

Cov tshuaj hauv qab no txo ​​cov nyhuv ntawm kev kho mob insulin: atypical antipsychotics, sympathomimetics, tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, glucagon, poj niam txiv neej cov tshuaj hormones, thiodiphenylamine, somatropin, diuretics, glucocorticosteroid tshuaj (GCS), proteinase inhibitors,

Pentamidine, beta-blockers, thiab clonidine raug xa mus rau cov tshuaj uas tsis muaj kev cia siab tuaj yeem cuam tshuam lub zog ntawm Glulisin raug ntau thiab cov piam thaj (txo qis thiab nce ntxiv). Cawv muaj tib lub zog.

Kev xyuam xim tshwj xeeb yog pom thaum sau ntawv Pioglitazone rau cov neeg mob plawv. Thaum ua ke, cov xwm txheej ntawm kev loj hlob ntawm lub plawv nres tau qhia hauv cov neeg mob uas muaj lub siab xav ua tus mob no.

Yog tias kev kho mob nrog Pioglitazone tsis tuaj yeem raug tshem tawm, nws yog ib qhov tsim nyog los soj ntsuam tus mob. Yog tias ib qho kev mob plawv (qhov hnyav nce, o) tshwm sim, qhov kev siv ntawm cov tshuaj tau raug muab tso tseg.

Tus neeg mob yuav tsum xav txog cov hauv qab no:

1. Nrog lub raum ua haujlwm lossis ua txhaum hauv lawv txoj haujlwm, xav tau cov tshuaj insulin yuav tsawg dua.
2. Nrog lub siab ua haujlwm ntawm lub siab, qhov xav tau kuj poob qis.
3. Vim tias tsis muaj cov ntaub ntawv, cov tshuaj tsis raug txwv rau cov menyuam yaus hnub nyoog qis dua 6 xyoo.
4. Siv nrog ceev faj nyob rau hauv cov poj niam cev xeeb tub nrog nquag saib xyuas ntawm ntsuas.
5. Thaum lub sijhawm lactation, koob tshuaj thiab kev noj haus kev kho mob yuav tsum muaj.
6. Thaum hloov mus rau Glulisin los ntawm lwm qhov tshuaj tiv thaiv vim muaj qhov tsis haum lub cev, kev ntsuas tshuaj tiv thaiv ua xua yuav tsum tau ua kom tsis txhob sib xyaw khaub thuas.

Koob tshuaj hloov kho yog tau ua tiav thaum hloov pauv los ntawm lwm hom kev txhaj tshuaj hormone. Thaum hloov tsheb los ntawm cov tsiaj insulin rau Glulisin, cov koob tshuaj feem ntau kho nyob rau hauv cov kev coj ua kom txo qis tom kawg. Qhov xav tau ntawm cov tshuaj tuaj yeem hloov nrog kev xav ntau dhau / kev tiv thaiv kev xav, thaum lub sijhawm sib kis tus kab mob.

Cov txheej txheem yog tswj hwm nrog kev pab ntawm ntsiav tshuaj hypoglycemic tshuaj. Yog tias koj hloov ib qho twg hauv cov phiaj xwm, koj yuav tau kho qhov tshuaj ntawm Glulisin.

Feem ntau ntawm hyperglycemia / hypoglycemia, cov tshuaj tiv thaiv kab mob hauv qab no yog qhov tau teev ua ntej hloov pauv kev noj tshuaj:

• cov txheej txheem thiab qhov chaw siv tshuaj yaj yeeb,
• nruj kev ua raws li txoj kev kho,
• kev noj lwm yam tshuaj rau hauv parallel
• psycho-txoj kev xav lub xeev.

Txee lub neej tom qab qhib - lub hli

Cia - ntawm t ntawm +2 txog + 8ºC. Tsis khov!

Lub sijhawm so haujlwm yog mus tshuaj.

Glulisin yog qhov piv rau tib neeg cov tshuaj insulin:

Glulisin yog yam tshuaj ultrashort rau kev tswj cov metabolism hauv qabzib. Nws yog tawm hauv kev sib xyaw nrog lwm cov insulins, coj mus rau hauv tus account lub phiaj xwm uas raug xaiv. Ua ntej siv, nws yog ib qho tseem ceeb kom kawm cov lus qhia tshwj xeeb thiab sib cuam tshuam nrog lwm yam tshuaj.

Cov tshuaj insulin glulisin: cov lus qhia rau kev siv

Insulin glulisin yog tshuaj noj rau kev kho mob los ntawm cov ntshav qab zib uas tsis yog insulin los yog tsis-insulin-raws li. Nws yog qhia rau hauv lub cev tsuas yog nrog kev pabcuam ntawm kev txhaj tshuaj. Zoo tswj tau glycemia ntsuas.

Insulin glulisin yog tshuaj noj rau kev kho mob los ntawm cov ntshav qab zib uas tsis yog insulin los yog tsis-insulin-raws li.

ATX encoding - A10AV06.

Muaj nyob hauv cov npe kev lag luam Apidra thiab Apidra SoloStar.

Cov tshuaj yog siv tshuaj yaj yeeb ntawm tib neeg cov tshuaj insulin. Lub zog ntawm kev nqis tes ua zoo ib yam li cov tshuaj hormones uas tsim los ntawm kev noj qab haus huv txiav zoo. Glulisin ua tau nrawm dua thiab muaj lub sijhawm ntev.

Tom qab kev tswj hwm rau lub cev (subcutaneously), qhov tshuaj hormones pib tswj cov metabolism metabolism.

Cov tshuaj txo cov concentration ntawm cov ntshav qab zib, txhawb nws txoj kev nqus los ntawm cov ntaub so ntswg, tshwj xeeb tshaj yog cov nqaij pob txha thiab cov nqaij mos adipose. Nws inhibits qhov tsim los ntawm cov piam thaj hauv cov nqaij hauv lub siab. Tsub kom muaj protein ntau sib txuas.

Cov kev tshawb fawb soj ntsuam pom tias glulisin, siv 2 feeb ua ntej noj mov, muab tib qho kev tswj cov piam thaj hauv ntshav li tib neeg cov tshuaj insulin, muab ib nrab ib teev ua ntej noj mov.

Kev ua haujlwm ntawm insulin tsis hloov pauv ntawm cov neeg sib txawv ntawm ntau haiv neeg.

Tom qab subcutaneous tswj hwm ntawm cov tshuaj, qhov siab tshaj plaws nyob rau hauv cov ntshav tau mus txog tom qab 55 feeb. Qhov nruab nrab lub sijhawm nyob ntawm qhov tshuaj nyob hauv cov hlab ntshav yog 161 feeb. Nrog kev coj ua subcutaneous ntawm cov tshuaj mus rau thaj av ntawm thaj chaw ntawm sab xub ntiag phab ntsa lossis xub pwg, kev nqus sai dua nrog kev qhia ntawm cov tshuaj rau hauv tus ncej puab. Bioavailability yog li ntawm 70%. Qhov kev tshem tawm ib nrab-lub neej yog kwv yees li 18 feeb.

Tom qab kev tswj hwm subcutaneous, glulisin yog tawm sai sai dua li cov tib neeg muaj insulin. Nrog rau lub raum puas, qhov pib ntawm cov nyhuv xav tau yog tswj. Cov ntaub ntawv hais txog kev hloov pauv ntawm cov teeb meem pharmacological ntawm insulin hauv cov neeg laus tsis tau ua haujlwm txaus.

Glulisin tau qhia rau cov ntshav qab zib xav tau insulin thiab ntshav qab zib hom 2.

Glulisin tau qhia rau cov ntshav qab zib xav tau insulin thiab ntshav qab zib hom 2.

Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypoglycemia thiab hypersensitivity rau Apidra.

Nws yog noj subcutaneously 0-15 feeb ua ntej noj mov. Qhov kev txhaj tshuaj yog tsim nyob rau hauv plab, ncej, xub pwg. Tom qab txhaj tshuaj, koj tuaj yeem tsis zaws thaj chaw txhaj tshuaj. Koj tsis tuaj yeem sib xyaw ntau hom tshuaj insulin nyob rau hauv tib lub koob txhaj, txawm hais tias tus neeg mob yuav tau txais cov tshuaj insulins sib txawv. Kev thim rov qab ntawm cov tshuaj ua ntej nws cov kev tswj hwm tsis pom zoo.

Ua ntej siv, koj yuav tsum kuaj xyuas lub raj mis. Nws yog qhov tsim nyog kom sau cov tshuaj rau hauv cov koob txhaj tshuaj tsuas yog tias qhov kev daws teeb meem yog pob tshab thiab tsis muaj cov khoom tawg.

Tib tus cwj mem yuav tsum tsuas yog siv los ntawm ib tus neeg mob. Yog tias nws raug puas, nws tsis raug tso cai siv nws. Ua ntej siv tus cwj mem, ua tib zoo saib xyuas daim cartridge. Nws tuaj yeem siv nkaus xwb thaum daws tau qhov tseeb thiab tsis muaj kev cuam tshuam. Tus cwj mem khoob yuav tsum tau muab pov tseg raws li tsev neeg pov tseg.

Cov tshuaj tau muab tshuaj subcutaneously 0-15 feeb ua ntej noj mov. Qhov kev txhaj tshuaj yog tsim nyob rau hauv lub plab, ncej puab, xub pwg. Tom qab txhaj tshuaj, koj tuaj yeem tsis zaws thaj chaw txhaj tshuaj.

Tom qab hle lub hau tawm, nws pom zoo kom kuaj xyuas daim paib thiab daws. Tom qab ntawd ua tib zoo muab lub taub hau tso rau hauv cov xias. Hauv cov khoom siv tshiab, ntsuas qhov ntsuas pom tias "8". Hauv lwm cov ntawv thov, nws yuav tsum tau teeb rov qab rau qhov ntsuas "2". Nias lub khawm dispenser txhua txoj kev.

Tuav lub kov kom sawv, tshem tawm cov cua npuas los ntawm npuaj. Yog tias txhua yam ua tiav zoo, qhov poob me me yuav tso tawm ntawm lub taub hau. Cov cuab yeej tso cai rau koj teeb tsa qhov ntau npaum li ntawm 2 txog 40 ib pawg. Qhov no tuaj yeem ua tiav los ntawm kev hloov cov dispenser. Rau kev them nqi, lub khawm dispenser tau pom zoo kom rub txhua txoj kev.

Ntxig lub koob txhaj rau hauv daim ntaub subcutaneous. Tom qab ntawd nias lub pob txhua txoj kev. Ua ntej tshem tawm rab koob, nws yuav tsum tuav li 10 vib nas this. Tom qab txhaj tshuaj, tshem tawm thiab pov tseg cov koob. Cov teev qhia pom ntau npaum li cas kwv yees li ntawm insulin nyob rau hauv cov koob txhaj tshuaj.

Yog tias tus nqus dej tsis ua hauj lwm zoo, tom qab kev daws teeb meem tuaj yeem kos los ntawm daim cartridge mus rau hauv cov phwj.

Feem ntau cov kev mob tshwm sim ntawm cov tshuaj insulin yog cov ntshav qog ntshav qab zib. Nws tuaj yeem tshwm sim vim kev siv cov koob tshuaj ntau ntawm cov tshuaj. Cov tsos mob ntawm kev poob qis hauv cov ntshav qab zib pib maj mam tshwm sim:

• hws no
• pallor thiab txias ntawm daim tawv nqaij,
• mloog zoo li nkees heev
• kev zoo siab
• pom kev tsis sib to taub
• tshee hnyo
• zoo kawg li ntxhov siab vim
• tsis meej pem, nyuaj mloog,
• lub zog hnov ​​mob hauv cov mob taub hau,
• palpitations.

Kev muaj ntshav qab zib ntau ntau yuav nce ntxiv. Qhov no yog lub neej hem, vim nws ua rau muaj kev cuam tshuam loj heev ntawm lub hlwb, thiab nyob rau hauv cov mob hnyav - tuag.

Ntawm qhov chaw txhaj tshuaj, nws khaus thiab o tuaj yeem tshwm sim. Xws li kev tawm tsam ntawm lub cev yog hloov dhau mus, thiab koj tsis tas yuav tsum noj tshuaj kom tshem tawm. Tej zaum muaj kev txhim kho lipodystrophy hauv cov poj niam ntawm qhov chaw txhaj tshuaj. Qhov no tshwm sim yog tias nws tau nkag mus rau hauv tib qho chaw. Txhawm rau tiv thaiv qhov no los ntawm tshwm sim, thaj chaw txhaj tshuaj yuav tsum tau sib hloov.

Muaj tsawg kawg uas qhov tshuaj muaj peev xwm ua rau muaj kev tsis haum tshuaj.

Nrog hypoglycemia, nws yog txwv tsis pub tsav tsheb los yog tsav txoj haujlwm nyuaj.

Hloov chaw ntawm tus neeg mob rau ib hom tshuaj insulin tshiab yog ua tiav los ntawm kev saib xyuas mob nkeeg nkaus xwb. Qee qhov xwm txheej, kev kho mob ntshav qab zib tej zaum yuav tsum tau ua. Thaum hloov lub cev kev qoj ib ce, koj yuav tsum kho lub koob tshuaj kom haum.

Cov tshuaj yuav siv tau thaum muaj hnub nyoog laus. Koob tshuaj yuav tsis haum yog li ntawd.

Hom insulin no tuaj yeem kho rau cov menyuam yaus txij thaum muaj hnub nyoog rau xyoo.

Tsuas muaj pov thawj tsawg txog kev siv cov tshuaj no thaum xeeb tub thiab pub niam mis. Kev tshawb nrhiav tsiaj ntawm cov tshuaj tsis tau qhia txog txhua tus neeg hauv lub cev xeeb tub.

Thaum muab tshuaj rau cov tshuaj no rau cov poj niam cev xeeb tub, yuav tsum ceev faj lub cev. Nws yog ib qho tsim nyog yuav tsum ua tib zoo ntsuas ntsuas ntshav qabzib.

Cov neeg mob ntshav qab zib muaj mob ntshav qab zib yuav tsum tau soj ntsuam cov ntshav qab zib kom qis.Hauv thawj peb lub hlis, cov kab mob yuav tsum tau poob qis dua me ntsis. Seb cov insulin kis mus rau leej niam mis yog tsis paub.

Tsis txhob hloov cov tshuaj thiab cov tshuaj kho rau lub raum puas.

Cov kev tshawb fawb soj ntsuam hauv cov neeg mob uas muaj lub cev tsis ua haujlwm tsis muaj teeb meem.

Nrog kev tshaj li ntawm kev noj tshuaj ntau dhau, hypoglycemia txhim kho sai sai, thiab nws cov degree yuav txawv - ntawm me me mus rau mob hnyav.

Kev mob ntshav qog ntshav me me yog tso tseg tsis siv hom piam thaj lossis zaub mov qab zib. Nws raug nquahu kom cov neeg mob ib txwm nqa khoom qab zib, ncuav qab zib, kua txiv qab zib lossis tsuas yog ua cov piam thaj ua kom huv nrog lawv.

Nrog kev tshaj li ntawm kev noj tshuaj ntau dhau, hypoglycemia txhim kho sai sai, thiab nws cov degree yuav txawv - ntawm me me mus rau mob hnyav.

Nrog ib tus neeg mob ntshav nce siab ntau ntau, ib tug neeg poob qab lawm. Glucagon lossis dextrose raug muab rau hauv kev pabcuam ua ntej. Yog tias tsis muaj qhov tshuaj tiv thaiv rau kev tswj hwm ntawm glucagon, tom qab ntawd tib qho kev txhaj tshuaj dua. Tom qab nws rov qab nco qab, koj yuav tsum muab tshuaj rau tus neeg mob qab zib.

Qee yam tshuaj yuav cuam tshuam rau cov metabolism hauv qabzib. Qhov no yuav tsum tau hloov cov tshuaj insulin. Cov tshuaj yeeb tshuaj hauv qab no ua rau kom qhov teebmeem hypoglycemic ntawm Apidra:

• cov tshuaj hypoglycemic qhov ncauj,
• ACE inhibitors
• Disopyramides,
• fibrates
• Fluoxetine,
• monoamine oxidase inhibiting tshuaj lom neeg
• Pentoxifylline
• Propoxifene
• salicylic acid thiab nws cov derivatives,
• sulfonamides.

Cov tshuaj no txo ​​cov hypoglycemic kev ua si ntawm hom insulin no:

• GKS,
• Danazole
• Diazoxide
• tshuaj kho mob
• Isoniazid,
• Phenothiazine derivatives
• Kev loj hlob lawm,
• cov thyroid hormones analogues,
• poj niam deev cov tshuaj hormones muaj nyob hauv cov tshuaj tiv thaiv
• tshuaj uas inhibit tus protease.

Beta-blockers, clonidine hydrochloride, lithium npaj tuaj yeem txhim kho, los sis, hloov, tsis muaj zog cov kev ua ub no ntawm insulin. Kev siv pentamidine ua ntej ua rau lub qog ntshav qab zib, thiab tom qab ntawd ua rau nce siab ntawm cov ntshav qabzib.

Cov tshuaj insulin tsis tas yuav muab sib xyaw nrog lwm hom ntawm cov tshuaj no hauv tib lub koob txhaj. Tib yam siv rau infusion twj.

Haus cawv ntau yuav ua rau lub ntsej muag ntshav qab zib.

Glulisin analogues suav nrog:

• Apidra
• Novorapid Flekspen,
• Epidera
• tshuaj insulin isophane.

Apidra muaj qhov muag tshuaj. Tus mob ntshav qab zib tau txais cov tshuaj dawb.

Tus nqi ntawm rab koob xev hluav taws xob yog kwv yees li 2 txhiab rubles.

Tsis tau qhib lub laub thiab cov vials yuav tsum cia hauv tub yees. Txwv tsis pub tshuaj insulin. Qhib cov vials thiab daim cartridges yog khaws cia hauv qhov kub tsis dhau + 25ºC.

Cov tshuaj no haum rau 2 xyoos. Txee lub neej nyob rau hauv lub raj mis qhib lossis lub taub ntawv thawv yog 4 lub lis piam, tom qab uas nws yuav tsum tau muab pov tseg.

Cov tshuaj no haum rau 2 xyoos. Txee lub neej nyob rau hauv lub raj mis qhib lossis lub taub ntawv thawv yog 4 lub lis piam, tom qab uas nws yuav tsum tau muab pov tseg.

Nws yog tsim ntawm lub chaw lag luam Sanofi-Aventis Deutschland GmbH, Lub Tebchaws Yelemees.

Ivan, 50 xyoo, endocrinologist, Moscow: “Nrog kev pab los ntawm Apidra, nws muaj peev xwm tswj kev mob glycemia hauv cov neeg mob uas muaj ntshav qab zib hom 1. Kuv pom zoo kom muab cov insulin tam sim ua ntej noj mov. Nws zoo kawg nkaus extinguishes tau surges hauv qab zib ntsuas. ”

Svetlana, 49, kws kho mob ntshav qab zib, Izhevsk: “Glulizin yog ib qho zoo tshaj plaws ntawm insulin. Cov neeg mob zam nws zoo, tab sis raug rau cov khoom tsim thiab ntau dua. Kev mob ntshav siab yog ib qho tsis tshua muaj heev. "

Andrei, 45 xyoo, St. Petersburg: “Glulizin tsis ua rau lub suab thaj txo qis, uas yog qhov tseem ceeb rau kuv ua neeg mob ntshav qab zib nrog“ kev paub ”. Qhov chaw tom qab kev txhaj tshuaj tsis mob lossis nrawm. Tom qab noj mov, cov kua nplaum nyeem cov lus zoo li qub. ”

Olga, 50 xyoo, Tula: “Cov insulins qub ua rau kuv kiv taub hau, thiab thaj tsam txhaj tshuaj mob siab tas li. Glulisin tsis ua rau cov tsos mob no. Nws yog qhov yooj yim los siv cov ntawv txhaj tshuaj thiab qhov tseem ceeb dua, siv tau. "

Lydia, 58 xyoo, Rostov-on-Don: “Ua tsaug rau Glulizin, Kuv khaws ib theem ntxiv suab thaj tom qab noj mov. Kuv nruj me ntsis raws kev noj haus thiab ua tib zoo laij lub koob tshuaj. Tsis muaj qee qhov cuam tshuam txog kev mob ntshav qab zib tsawg. ”

1. 
   Korkach V. I. Lub luag haujlwm ntawm ACTH thiab glucocorticoids nyob rau hauv cov kev cai ntawm lub zog metabolism, Zdorov'ya - M., 2014. - 152 p.
2. 
   Okorokov A.N. Kev kho mob ntawm cov kab mob ntawm nruab nrog plab hnyuv siab raum. Volume 2. Kho mob rheumatic. Kev kho mob ntawm cov kab mob endocrine. Kev kho mob ntawm lub raum, Cov ntaub ntawv kho mob - M., 2015. - 608 c.
3. 
   Kab mob ntawm cov metabolism: monograph. Cov. - Moscow: Lavxias Lub Xeev Lub Neej Hauv Lub Neej, 1987 .-- 382 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.

Cov tshuaj insulin ultrasonic. Dab tsi yog qhov no

Ntau tus neeg mob ntshav qab zib thiab xav tau cov tshuaj hormone feem ntau nug cov lus nug txog kev siv tshuaj tua kab mob (insulin ultrashort, insulin), nws cov xwm ntawm nws cov txiaj ntsig ntawm kev ua haujlwm, thiab lwm yam, uas yog qhov tseem ceeb rau txhua tus mob ntshav qab zib. Cov kws kho mob ntseeg tias nws yog qhov tshwj xeeb ntawm cov tshuaj hormones thiab sawv cev rau ib qho kev ua tiav ntawm kev lag luam kws tshuaj hauv xyoo tas los no.

Nws txawv ntawm lwm hom thiab hom tshuaj hormones, ua ntej txhua yam, los ntawm kev nrawm ntawm nws qhov kev cuam tshuam. Suffice nws tau hais tias chav kawm ntawm lub sij hawm tuaj yeem pib los ntawm xoom, mus txog 15 feeb qhov siab tshaj plaws tom qab kev txhaj tshuaj. Ntawd yog, cov tshuaj muaj peev xwm pib ua tam sim ntawd tom qab nws qhia rau tus neeg mob. Xws li cov ultrashort analogues ntawm cov kua dej yog cov tshuaj uas nthuav tawm:

• novorapidom, Los yog lwm yam insulin aspart. Nws tau ua hauv Denmark. Nws yog ib qho piv txwv ntawm cov tib neeg, uas yog hom ntawm cov tshuaj tiv thaiv luv luv. Rau nws ntau lawm, txoj kev siv tshuaj biotechnology yog siv. Vim li no, cov tshuaj muaj qhov siab nqus ntawm qhov chaw sawv cev los ntawm cov rog subcutaneous, qhov kev txiav txim siab sai dua soluble tib neeg. Hauv kev sib piv nrog tom kawg, nws muaj peev xwm txo cov piam thaj ntau ntau hauv thawj plaub teev tom qab noj mov. Cov neeg mob ntshav qab zib hom 1 muaj kev ua tau zoo tom qab kev tswj hwm piv rau tib neeg cov tshuaj insulin. Npaj rau subcutaneous thawj coj. Nws kuj tseem tuaj yeem siv cov tshuaj pleev cev, tab sis kev tswj hwm kev kho mob nruj me ntsis yuav tsum tau tsim nyob ntawm no. Nws yog ib qho tsim nyog yuav tsum hloov chaw txhaj tshuaj. Thaj tsam ntawm lub plab phab ntsa yog qhov yooj yim tshaj plaws rau kev qhia ntawm cov kua dej, vim tias qhov no yuav ua kom nrawm nrawm.
• humalogue, los yog lwm yam insulin lyspro. Asmeskas chaw tsim tshuaj paus. Nws yog ib qho keeb kwm rov qab los ntawm tib neeg. Nws sib txawv ntawm nws nyob rau hauv uas nws pib ua sai dua thiab nws muaj lub ncov ntawm kis ntxov dua thiab lub sijhawm luv dua (txog li tsib teev) thaum kev ua haujlwm hypoglycemic tshwm sim. Qhov ceev ntawm cov tshuaj (nws yuav siv sijhawm kaum tsib feeb tom qab nws qhia) tau piav qhia los ntawm qhov tseeb tias humalog yog nqus sai dua. Qhov xwm txheej no ua rau nws muaj peev xwm siv nws yuav luag tam sim ntawd ua ntej noj mov, thaum ib txwm ua tau muab rau hauv ib nrab ib teev. Ib qho tseem ceeb dua ntxiv yuav tsum raug suav nrog - qhov chaw txhaj tshuaj tuaj yeem cuam tshuam rau qhov kev txiav txim siab ceev.
• apidroy. Los yog lwm yam insulin glulisin. Cov chaw tsim khoom ntawm cov tshuaj no yog Fabkis. Nws yog qhov sib cav sib ceg ntawm tib neeg cov kua dej, hauv hwj chim - tib yam li tib neeg dog dig. Nws yog tus yam ntxwv los ntawm kev ua ceev tshaj plaws thiab lub sijhawm luv luv ntawm kev coj ua hauv qhov sib piv nrog soluble tib neeg cov kua dej.

Yog tias cov tshuaj tau muab tshuaj ua haujlwm subcutaneously, tom qab ntawd cov piam thaj pib poob tom qab kaum feeb.

Tag nrho ntawm lawv yog hom kev hloov kho hloov tshiab ntawm tib neeg cov tshuaj insulin, hloov kho hloov mus rau hauv tus account qee cov lus ceeb toom muaj nyob hauv lwm cov tshuaj hormones. Thiab, raws li twb tau hais los saum no, lawv muaj cov txiaj ntsig kho sai dua li lwm cov ntsiab lus zoo sib xws.

Thaum pib, kev tsim tawm ntawm cov kab mob ultrashort insulin npaj tias nws yuav npaj rau cov neeg mob ntshav qab zib uas, txawm li cas los xij, yuav tawg xoob thiab cia qee lub teeb carbohydrates hauv lawv cov zaub mov noj. Txawm hais tias lawv "pom kev zoo", hauv ib txoj kev los sis lwm qhov, lawv yuav ua rau muaj pob txha taub nyob hauv qab ntawm cov piam thaj. Tab sis tawm tsam kev kwv yees ntawm cov neeg mob uas pheej hmoo, nws yog qhov tseeb tias ntawm cov neeg mob ntshav qab zib, tsis muaj ntau.

Raws li qhov tshwm sim, kev ua lag luam tau hloov pauv nrog cov niaj hnub, txhim kho cov tshuaj muaj txiaj ntsig nrog kev ua kom luv luv. Thiab tam sim no lawv yog cov pab cuam tau tawm tsam hauv kev tawm tsam kom txo cov piam thaj thiab coj nws rov qab los. Tam sim no tus neeg mob muaj txoj kev noj qab haus huv thiab muaj txiaj ntsig zoo nyob rau hauv rooj plaub thaum lub ntsej muag dhia siab dhau los yog qee qhov nws tsis muaj cai tos ntau dua li ib nrab teev ua ntej nws tuaj yeem pib noj mov.

Koj yuav tsum paub: kev siv tshuaj ultrashort insulin yog qhov pom zoo rau kev kho mob ntawm cov neeg mob uas muaj ob hom ntshav qab zib, nrog rau kev nce ntxiv hauv lawv cov piam thaj tom qab noj mov.

Dab tsi yog daim ntawv ntawm cov tshuaj hormones txhais tau?

Cov tshuaj insulin luv thiab ultrashort yog cov tshuaj hormones tam sim uas siv los kho cov ntshav ntshav qabzib sai sai. Lub sijhawm luv luv pib ua haujlwm tsis dhau ib nrab teev tom qab nws qhia, thiab lub siab tshaj plaws ntawm kev tshwm sim tshwm sim tom qab 2 teev. Kev ua haujlwm ntawm cov tshuaj tua kab mob ultrashort yog pom tau tom qab 15-20 feeb. Kev txhaj tshuaj yog muab ua ntej noj mov hauv plab, vim qhov no yuav ua kom txoj kev nqus sai rau hauv cov ntshav. Lub sijhawm luv luv yog qhia txog ib nrab ib teev ua ntej noj mov, ultra-luv luv - 5-10 feeb ua ntej noj mov lossis tam sim ntawd tom qab noj mov.

Lub hauv paus ntsiab lus ntawm kev khiav haujlwm

Ultrashort insulin tuaj yeem ua nrawm dua li tus neeg mob yuav pib nqus cov protein uas tuaj nrog zaub mov noj thiab hloov mus rau cov piam thaj. Tus neeg mob uas muaj kev txwv noj haus tsis tas yuav tsum tau siv ultrashort analogues.

Ultra-luv-ua yeeb yam insulin yog siv, raws li txoj cai, los ntawm cov neeg mob uas yuav tsum coj cov piam thaj sai sai kom tiv thaiv qhov pib ntawm kev phom sij vim nws cov txiaj ntsig siab. Vim li no, nws tseem nrov nrog cov neeg uas xav tau kev pab xws li siv hluav taws xob zoo. Thiab nyob rau hauv cov xwm txheej zoo li no, thaum luv insulin tsis muaj txiaj ntsig txaus, ultrashort ua lub cev tsis yooj yim.

Nws tseem nyob rau hauv kev thov nyob rau hauv cov xwm txheej uas cov neeg mob ntshav qab zib ua raws li txhua qhov kev pom zoo ntawm tus kws tshaj lij thiab ua lub neej tsim nyog, uas yog, thaum muaj kev cuam tshuam sai sai hauv cov piam thaj.

Koj yuav tsum paub: niaj hnub no cov tshuaj insulin uas muaj zog tshaj plaws yog ultrashort - nws muaj peev xwm ua tau ntau dua li luv luv hom insulin ob zaug, thiab qee zaum ntau zaus.

Muab cov xwm txheej no, tus neeg mob yuav tsum ua tib zoo xav txog cov koob tshuaj ntawm cov insulin no ua ntej noj cov tshuaj hormone.

Qhov zoo thiab qhov tsis zoo

Txhua yam tshuaj lossis qee cov tshuaj lag luam muaj peev xwm muaj ob qho zoo dua ntawm cov tshuaj analogues thiab qis dua lawv nyob hauv qee yam. Cov tshuaj insulin ultrasonic tsis muaj kev zam. Piv txwv, yog tias peb sib piv nws cov txiaj ntsig nrog ib tus neeg sawv cev luv luv ntawm pab pawg no, peb tuaj yeem saib:

• Cov yam ntxwv ntawm qhov tshwj xeeb yog hais tias lub ncov ntawm kev ua tau tshwm sim nws tus kheej nrawm dua, tib lub sijhawm, thiab kev poob qis ntawm cov tshuaj insulin tshwm sim nyob rau tus nqi sib xws - uas yog, ntau dua sai dua thaum tus neeg mob siv sijhawm luv luv ntawm insulin.
• Nws kuj tseem yuav tsum tau coj mus rau hauv tus account tias thaum siv cov tshuaj insulin ultrashort, uas, raws li koj paub, muaj lub ntsej muag siab tshaj plaws hauv kev ua si, nws tsis yog ib txwm ua tau los ntsuas qhov tseeb ntawm cov nyiaj hauv carbohydrates hauv tus neeg mob cov zaub mov.
• Tib lub sijhawm, cov kua dej no yuav tsum tau siv sijhawm li ob peb feeb ua ntej noj mov, thiab qhov no yog qhov zoo dua li cov tshuaj insulin luv, rau lub sijhawm no ntev dua ib nrab teev, uas nws ua haujlwm hauv kev zom cov suab thaj uas muaj suab thaj. Thiab nws zoo heev rau cov neeg mob uas tseem tsis tau paub lub sijhawm noj mov.
• Hauv kev xyaum kho mob, nws yog qhov tseeb-paub qhov tseeb tias ultrashort insulin tsis cuam tshuam rau kev txo cov piam thaj hauv qab qis dua li luv dua, tab sis ntau zog. Qee cov tshuaj ntawm hom no, piv txwv li, humalogue, muaj peev xwm qis qis qhov taw qhia yuav luag ob thiab ib nrab hnub ntau dua li qhov luv luv. Raws li, nyob rau hauv cov xwm txheej zoo li no, yuav tsum tau txhaj tshuaj.

Nws yog qhov tseeb tias txhua qhov kev kho kom haum los txiav txim lub koob tshuaj nws yog qhov yuav tsum tau ua qhov kev ntsuam xyuas tas li rau tus neeg mob, muab nws tus kheej los xam cov qauv. Thiab qhov no tseem ceeb heev.

Ntawm cov kev phiv los ntawm cov tshuaj no, feem ntau tshwm sim, piv txwv li, hauv Novorapid yog qhov kev txhim kho ntawm hypoglycemia. Muaj lwm tus. Koj yuav tsum ua tib zoo paub koj tus kheej nrog lawv ua ntej siv qhov no thiab lwm yam kev sib txuas lus.

Thiab cov caij so thiab cev xeeb tub

Cov neeg mob feem ntau tsis tshua muaj cov xwm txheej, thaum xav tau cov tshuaj sai. Muaj ntau ntawm lawv, piv txwv li, qhov kev xav tau no tuaj yeem tshwm sim thaum mus ncig ntawm lub tsev noj mov lossis ua ib qho kev taug kev hauv lub dav hlau, thaum noj mov txawv hauv lub sijhawm ntawm lub sijhawm uas tus neeg mob siv los noj. Nws yog rau cov xwm txheej zoo li no cov tshuaj ultrashort yog qhov cuab yeej siv tsis tau.

Cov kev tshawb fawb pom tau tias cov neeg mob uas, siv txoj cai noj haus thiab noj haus zoo, siv cov tshuaj insulin ultrashort, kev ua kom lub zog ntawm lawv cov suab thaj nce mus txog ib puas feem pua.

Qhov tshwj xeeb tshaj yog kev siv cov tshuaj insulin no rau hauv cov neeg mob ntshav qab zib mellitus thaum cev xeeb tub. Dab tsi yog nws txoj kev pab tshwj xeeb hauv qhov xwm txheej no, raws li tau piav qhia hauv qab no:

• muaj cov nyhuv tseem ceeb ntawm nocturnal hypoglycemia, txo qis ntau zaus ntawm nws qhov tshwm sim. Cov nyhuv no cuam tshuam tshwj xeeb rau thawj peb lub hlis,
• thaum tab tom phais plab phais, nws pab tus poj niam kom tsis txhob muaj teeb meem, vim tias nrawm nrawm,
• kev pheej hmoo ntawm tau txais hypoglycemia tom qab noj tsawg,
• txawm hais tias muaj tshuaj lom toxicosis thaum pib cev xeeb tub los ntawm cov khoom uas muaj los ntawm cov tshuaj, tus neeg mob tsis pub siv nws.

Hauv kev xaus

Tam sim no peb paub nyob rau lub sijhawm twg thiab qhov twg ntawm hom insulin no muaj txiaj ntsig, peb tuaj yeem txais cov khoom dav dav uas nws muaj. Lawv tuaj yeem raug qhia raws li hauv qab no:

• txo qhov loj ntawm koob,
• nce qhov tseem ceeb ntawm tus neeg mob, pab txhawm rau txhim kho tus mob kom dav,
• tsum tsis tu ncua qib hauv qabzib hauv qabzib,
• tswj hwm lub chav kawm ntawm tus kab mob.

Vim li cas nws thiaj li tsim nyog los soj ntsuam thiab tswj kom cov ntshav qabzib ntshav siab? Vim tias yog tias nws poob rau 3.2, qhov no yuav ua rau kev txhim kho hauv lub qog ntshav qab zib. Thiab qhov no, nyeg, yuav ua rau muaj kev ntxhov siab hauv kev ua haujlwm ntawm txhua lub cev thiab cov kab mob ntawm tus neeg mob, lub hlwb yuav cuam tshuam ua ntej. Cov tsos mob yuav tshwm sim, qhia nyob rau hauv lub cev uas muaj zog ntawm lub cev, ib qho kev xav tas li, kiv taub hau. Qhov ua rau pom kev tshee hnyo thiab ua kom tsis meej pem yog ua tau. Nws paub tseeb tias qhov xwm txheej no, tus neeg mob yuav tsis tuaj yeem ua haujlwm. Ntxiv mus, yog hais tias tus kab mob pathology zuj zus, tom qab ntawd qhov no yog fraught nrog kev txhim kho hypoglycemic coma.

Thaum cov piam thaj nce mus txog rau theem ntawm 5,6 lossis siab dua, feem ntau nws ua rau kev txhim kho ntawm hyperglycemia. Kev nce qib luv luv tsis cuam tshuam rau tus neeg mob nrog rau qhov kev phom sij txaus ntshai, vim qhov no yog lub ntuj tsim thiab nkag siab los ntawm cov txheej txheem mob tshwm sim tom qab noj, tshwj xeeb tshaj yog thaum cov zaub mov uas muaj cov carbohydrates. Tab sis yog tias qhov tshwm sim mus tas li, nws tsuas yog tuaj yeem pom muaj ntshav qab zib.

Soj ntsuam koj txoj kev noj qab haus huv tas li. Muaj chaw so ntau.Mus ntsib kws kho mob ntau dua, sab laj txog txhua qhov xwm txheej tshiab thaum kho. Thiab tom qab ntawd cov txheej txheem kho yuav mus nrawm dua.

Fiasp, Fiasp

Chaw tsim tshuaj paus: Novo Nordisk (Denmark), Novo Nordisk (Denmark)

Lub Npe: Fiasp ®, Fiasp ® (insulin aspart)

Pharmacological kev txiav txim:
Fiasp® muaj qhov pib sai dua thiab lub sijhawm ua haujlwm ntev dua ntawm Novorapid. Yuav muab tau tam sim ua ntej noj mov. Yog tias tsim nyog, Fiasp ® tuaj yeem muab tshuaj tam sim tom qab noj mov.

Kev taw qhia rau kev siv:
Yam 1 ntshav qab zib.
Mob ntshav qab zib Hom 2.

Txoj kev siv:
Fiasp raug tswj hwm subcutaneously nyob hauv thaj av ntawm lub xub ntiag ntawm phab ntsa plab, hauv tus ncej, sab xub pwg, pob tw.
Cov tshuaj yog tau muab tshuaj tam sim ua ntej noj mov, nrog zaub mov noj lossis tam sim ntawd tom qab noj mov.
(ntau tshaj ...)

Rosinsulin P

Npe - Rosinsulin P
Chaw tsim tshuaj paus - zib ntab ua ke (Russia)

Pharmacological kev txiav txim:
Cov tshuaj yeeb yog luv-yeeb yam.

Kev taw qhia rau kev siv:
Insulin-cov foos ntawm cov ntshav qab zib. Kev tsis zoo rau cov ncauj lus hypoglycemic. Kev sib xyaw ua ke nrog cov tshuaj tiv thaiv qhov ncauj hypoglycemic. Cev xeeb tub uas muaj ntshav qab zib tsis yog insulin-tiv thaiv kev mob ntshav qab zib mellitus. (ntau tshaj ...)

Chaw tsim tshuaj paus - Sanofi-Aventis (Fabkis), Sanofi

Npe: Apidra ®, Apidra ®

Npe: Insulin Glulisin

Muaj pes tsawg leeg:
1 ml ntawm cov tshuaj muaj insulin glulisin 3.49 mg thiab xa tawm: m-cresol, sodium chloride, trometamol, polysorbate 20, concentrated hydrochloric acid, sodium hydroxide (txog pH 7.3), dej d / thiab.

Pharmacological kev txiav txim:
Apidra (insulin glulisin) yog qhov sib ntxiv ntawm cov tshuaj insulin ntawm tib neeg, uas yog sib npaug hauv lub zog rau insulin tib neeg. Cov tshuaj insulin glulisin pib ua haujlwm sai dua thiab muaj lub sijhawm luv luv ntawm kev ua ntau dua li cov neeg ua kom tau cov tshuaj insulin.
Nrog kev tswj hwm subcutaneous, qhov kev txiav txim ntawm Apidra, uas txo qis dua ntawm cov piam thaj hauv ntshav, pib hauv 10-20 feeb.
Apidra raug tswj los ntawm kev txhaj tshuaj subcutaneous lossis los ntawm kev nqus ua ntu zus mus rau hauv cov roj ntsha subcutaneous siv cov twj tso kua mis, sai ua ntej (0-15 feeb) lossis sai sai tom qab noj mov.

Kev taw qhia rau kev siv:
Mob ntshav qab zib mellitus xav tau kev kho mob insulin rau cov neeg laus.
(ntau tshaj ...)

Neej Neeg, Humalog

Chaw tsim tshuaj paus: Eli Lilly, Eli Lilly (USA)

Npe: Humalog ®, Humalog ®

Lub Npe: Lyspro insulin

Muaj pes tsawg leeg: 1 ml ntawm cov tshuaj muaj - 40 PIECES lossis 100 PIECES. Cov tshuaj nquag yog tov ntawm kev ua haujlwm ntawm Lieproinsulin, uas yog ib qho piv txwv ntawm tib neeg cov kua dej.

Pharmacological kev txiav txim: DNA recombinant tib neeg cov tshuaj insulin. Nws txawv ntawm qhov kawg hauv kev rov ua dua ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov kab hluav taws xob insulin B.

Qhov ntsuas ntawm Humalog yog qhov tshwm sim los ntawm qhov pib sai dua ntawm kev nqis tes ua, qhov pib ua tiav ntawm qhov siab kawg thiab lub sijhawm luv luv ntawm hypoglycemic kev ua haujlwm (txog 5 teev) piv nrog tib neeg cov tshuaj insulin. Qhov pib ua ntej ntawm cov tshuaj, kwv yees li 15 feeb tom qab kev tswj hwm, cuam tshuam nrog qib siab ntawm kev nqus. Qhov no tso cai rau koj kom nkag mus rau cov tshuaj tam sim ntawd ua ntej noj mov (15 feeb), hauv qhov tsis sib xws nrog tib neeg cov tshuaj insulin, uas tau siv 30 feeb ua ntej noj mov. Tus nqi ntawm kev nqus ntawm insulin lispro thiab, yog li ntawd, qhov pib ntawm nws cov kev ua yuav raug cuam tshuam los ntawm kev xaiv ntawm chaw txhaj tshuaj.
(ntau tshaj ...)

Novorapid, NovoRap>

Chaw tsim tshuaj paus: Novo Nordisk (Denmark), Novo Nordisk

Npe: Novorapid ® (insulin aspart), NovoRapid ®

Muaj pes tsawg leeg: 1 ml ntawm Novorapid ® muaj: cov tshuaj nquag: insulin aspart 100 U, tsim los ntawm txoj kev tso tawm DNA biotechnology txoj hauv kev Saccharomyces cerevisiae lim.

Pharmacological kev txiav txim: NovoRapid yog ib qho piv txwv ntawm kev ua yeeb yam luv luv rau tib neeg cov kua dej los ua los ntawm recombinant DNA biotechnology siv hom tshuaj Saccharomyces cerevisiae txoj hauv kev uas cov amino acid proline ntawm txoj haujlwm B28 yog hloov los ntawm aspartic acid.

Nws cuam tshuam nrog kev lees paub tshwj xeeb rau sab nraud cytoplasmic membrane ntawm cov hlwb thiab tsim cov txheej txheem insulin-receptor complex uas txhawb cov txheej txheem intracellular, suav nrog cov synthesis ntawm ntau cov enzymes (hexokinase, pyruvate kinase, glycogen synthetase, thiab lwm yam). Qhov ua kom cov ntshav qabzib tsawg dua yog los ntawm kev nce ntxiv hauv nws txoj kev thauj mus los, kev ua kom cov nqaij mos ntau dua, kev txhawb nqa lipogenesis, glycogenogenesis, qhov txo qis ntawm cov piam thaj los ntawm lub siab, thiab lwm yam. nyob rau hauv kev daws ntawm tshuaj insulin tsis tu ncua. Hauv qhov no, NovoRapid tau nrawm ntau dua los ntawm cov roj ntsha subcutaneous thiab pib ua ntau nrawm dua li soluble tib neeg cov kua dej. NovoRapid ® txo cov ntshav qabzib ntau hauv thawj 4 teev tom qab noj mov dua solulin neeg insulin. Hauv cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus, qib qis dua ntshav qabzib nyob hauv qib siab tau kuaj pom nrog kev tswj hwm ntawm NovoRapid, piv nrog soluble tib neeg cov kua dej.
(ntau tshaj ...)

Cov yam ntxwv ntawm luv luv thiab ultrashort insulin

Cov tshuaj hormones ncua luv yog tsim nyob rau hauv lub hauv paus ntawm cov yam ntxwv zoo ib yam ntawm cov tsiaj, feem ntau nws yog npua, lossis los ntawm biosynthesis. Qhov no tso cai rau koj coj nws los ze zog rau hauv daim ntawv ntawm lub ntuj, tib neeg cov tshuaj hormones thiab ua kom nrawm kho kom zoo dua. Cov tshuaj insulin luv luv tsuas yog siv nrog cov koob txhaj tshuaj tshwj xeeb, txhua zaus nyob hauv qhov chaw sib txawv, tab sis tib lub sijhawm. Ultrashort - kev tsim kho tshiab hauv kev siv tshuab kho mob thiab chaw muag tshuaj. Cov kev npaj kho Ultrashort yog tsim nyob rau hauv cov hauv paus ntawm tib neeg cov tshuaj hormones nrog kev hloov kho. Thaum pib, cov tshuaj tau tsim los rau kev saib xyuas xwm txheej ceev rau tus neeg mob ntshav qab zib uas noj zaubmov lossis lwm yam zaub mov uas ua rau muaj ntshav nce ntxiv hauv cov ntshav qabzib. Tab sis lawv tau pib siv hom tshuaj no hauv txoj kev kho mob nyuaj.

Pros thiab cons

Txhua daim ntawv ntawm cov tshuaj muaj qhov zoo thiab qhov tsis zoo. Ntsuas cov tshuaj insulin luv luv, cov yam ntxwv uas pom hauv lub rooj yog cov tseem ceeb:

Ntawm cov tshuaj insulin luv luv, "Insuman Rapid", "Humulin", "Actrapid" thiab "Homoral" yog qhov txawv. Lawv qhov kev ua zoo ib yam li tib neeg cov insulin. "Humulin" txawv ntawm lwm tus hauv nws lub peev xwm siv nrog hom 1 thiab ntshav qab zib hom 2, nws tau pom zoo rau siv thaum cev xeeb tub. Ib qho ntxiv, lawv raug kho rau cov neeg mob ketoocytosis thiab thaum ua haujlwm.

Cov tshuaj insulin nrov tshaj plaws yog Humalog, ua raws li cov tshuaj nrov, nws lub npe yog Apidra thiab Novorapid. Humalog yog raws li kev daws ntawm lieproinsulin, Apidra insulin glulisin, thiab Novorapida insulin aspart. Txhua ntawm lawv ua tib txoj hauv kev uas tib neeg lub cev ntus ntev. Kev siv cov tshuaj tsis raug cai tsis ua txhaum kev noj haus yog ua kom cov ntshav qabzib nyob rau hauv cov ntshav. Cov ntawv foos Ultrashort yog qhov kev xaiv zoo rau cov poj niam hauv txoj hauj lwm txaus nyiam, vim tias lawv tuaj yeem siv tau ob qho tib si thaum yug menyuam thiab thoob plaws lub cev xeeb tub, yam tsis muaj teeb meem.

Nws puas tseem zoo li tsis tuaj yeem kho ntshav qab zib?

Kev txiav txim los ntawm qhov tseeb tias koj tab tom nyeem cov kab no tam sim no, ib qho kev yeej ntawm kev tawm tsam cov ntshav qab zib hauv ntshav tsis nyob ntawm koj sab.

Thiab koj puas tau xav txog tsev kho mob? Nws yog kev nkag siab, vim tias ntshav qab zib yog ib qho txaus ntshai heev, uas, yog tias tsis kho, yuav ua rau muaj kev tuag. Kev nqhis dej ib txwm, tso zis ceev ceev, qhov muag plooj. Tag nrho cov tsos mob no yog paub txog koj tus kheej.

Tab sis nws puas tuaj yeem kho qhov laj thawj ntau dua li cov nyhuv? Peb pom zoo kom nyeem ib tsab xov xwm txog kev kho mob ntshav qab zib tam sim no. Nyeem kab lus >>