PROTAFAN NM PENFILL 100ME
Txo kom txo cov ntshav qabzib hauv cov ntshav siab, siv tshuaj yeeb yaj yeeb, ua haujlwm zoo tshaj plaws ntawm cov tshuaj insulin. Hauv hom 1 mob ntshav qab zib, thaum tus txiav tsis muaj peev xwm muab cov kev xav tau rau cov tshuaj hormone no, insulin yog tib txoj kev los tiv thaiv kev noj qab haus huv thiab lub neej ntawm cov neeg mob.
Kev siv tshuaj insulin yog nruj me ntsis raws li kws kho mob tau sau tseg thiab tswj xyuas ntshav qab zib. Qhov muab xam ntawm qhov koob tshuaj yog nyob ntawm cov ntsiab lus ntawm carbohydrates hauv zaub mov. Kev cai kho yog txiav txim siab ntawm tus kheej rau txhua tus neeg mob thiab nyob ntawm qhov glycemic profile.
Txhawm rau tsim cov tshuaj insulin ze rau ntuj, luv, nruab nrab thiab ntev ua kev siv insulins raug siv. Cov insulins nruab nrab suav nrog npaj ua ntej tsim los ntawm lub tuam txhab Danish Novo Nordisk - Protafan NM.
Daim ntawv tso tawm thiab chaw cia khoom ntawm Protafan
Qhov kev ncua yog muaj cov tshuaj insulin - isophan, uas yog, tib neeg insulin tsim tawm los ntawm kev tsim hluav taws xob.
Hauv 1 ml nws muaj 3.5 mg. Tsis tas li ntawd, muaj tus zam: zinc, glycerin, protamine sulfate, phenol thiab dej rau kev txhaj tshuaj.
Insulin Protafan hm muaj ob hom:
- Ncua rau kev tswj hwm subcutaneous ntawm 100 IU / ml 10 ml hauv vials kaw nrog lub hau roj hmab, coated nrog aluminium khiav-hauv. Lub raj mis yuav tsum muaj hau yas tiv thaiv. Hauv pob, ntxiv rau lub raj mis, muaj kev qhia rau kev siv.
- Protafan NM Penfill - hauv daim iav hydrolytic, uas muaj cov roj hmab sib cais ntawm ib sab thiab cov roj hmab pistons ntawm lwm yam. Txhawm rau kom yooj yim rau kev sib xyaw, qhov kev ncua yog nruab nrog pob iav.
- Txhua tus cartridge raug muab ntim rau hauv qhov cwj mem Flexpen. Cov pob muaj 5 npiv thiab cov lus qhia.
Hauv 10 lub raj mis ntawm Protafan insulin muaj 1000 IU, thiab hauv 3 ml koob txhaj tshuaj - 300 IU. Thaum sawv ntsug, qhov kev ncua ntawv yog stratified mus rau hauv lub nag lossis daus uas tsis muaj kob, yog li cov khoom no yuav tsum sib xyaw ua ntej siv.
Txhawm rau khaws cov tshuaj, nws yuav tsum muab tso rau hauv nruab nrab txee ntawm lub tub yees, qhov ntsuas kub uas yuav tsum tswj los ntawm 2 txog 8 degrees. Cia kom deb ntawm khov. Yog tias lub raj mis lossis daim cartridge Protafan NM Penfill qhib, ces nws yog cia rau hauv chav tsev kub, tab sis tsis siab tshaj 25 ° C. Kev siv cov tshuaj insulin Protafan yuav tsum tau ua hauv 6 lub lis piam.
Flexpen tsis khaws cia rau hauv tub yees, qhov kub kom tswj tau nws cov khoom pharmacological yuav tsum tsis txhob siab tshaj 30 degrees. Txhawm rau tiv thaiv los ntawm lub teeb, ib lub mom yuav tsum hnav ntawm tes. Nqaij yuav tsum tiv thaiv los ntawm kev poob thiab lub tshuab puas.
Nws yog ntxuav ntawm sab nraud nrog lub paj rwb pas rwb mus tub hauv cawv, nws tsis tuaj yeem muab raus dej los yog ntub, vim tias qhov no ua txhaum lub tshuab. Tsis txhob rov siv dua tus cwj mem kom rov siv.
Raug tshem tawm thiab kos duab kos duab hauv daim cartridges lossis cov npiv uas yog xa los ntawm cov chaw muag tshuaj los ntawm cov tshuaj.
Tus nqi rau insulin hauv daim ntawv ntawm tus cwj mem (Flexpen) yog siab dua tus nqi ntawm Protafan NM Penfill. Tus nqi qis tshaj plaws rau kev ncua ntawv hauv hwj.
Yuav siv Protafan li cas?
Cov tshuaj Insulin Protafan NM tsuas yog tswj xyuas subcutaneously xwb. Tsis pom zoo rau cov leeg nqaij thiab intramuscular. Nws tsis yog siv los sau cov twj tso kua mis. Nco ntsoov xyuas lub hau tiv thaiv thaum yuav khoom hauv lub khw muag tshuaj. Yog tias nws tsis tuaj los yog xoob, tsis txhob siv cov tshuaj insulin.
Cov tshuaj pom tau tias tsis tsim nyog yog tias qhov chaw tso khoom raug ua txhaum lossis nws yog khov, thiab yog tias tom qab sib tov nws tsis ua homogeneous - dawb lossis huab.
Kev siv cov tshuaj insulin yog ua tshwj xeeb nrog cov tshuaj insulin los yog cwj mem. Thaum siv koob txhaj tshuaj, koj yuav tsum kawm qhov loj me ntawm kev ntsuas ntawm kev ua. Tom qab ntawd, cov huab cua yog kos rau hauv cov koob txhaj ua ntej kev sib faib ntawm cov koob tshuaj uas tau pom zoo ntawm insulin. Nws raug nquahu kom dov lub vial rau nplawm qhov kev ncua nrog koj lub xib teg. Protafan tau qhia tsuas yog tom qab kev ncua ntawv tau dhau los ua homogeneous.
Flexpen yog qhov muaj cov xaum xim uas muaj peev xwm ntawm 1 mus txog 60 units. Nws yog siv nrog NovoFayn lossis NovoTvist koob. Qhov ntev ntawm rab koob yog 8 hli.
Kev siv tshuaj xaum tes yog ua raws li cov cai hauv qab no:
- Xyuas daim ntawv lo thiab qhov tseeb ntawm tus cwj mem tshiab.
- Ua ntej siv, insulin yuav tsum nyob ntawm chav sov.
- Tshem lub hau thiab txav qhov kov 20 zaug kom lub khob pob tuaj yeem txav raws daim cartridge.
- Nws yog ib qho tsim nyog los sib tov cov tshuaj kom nws thiaj li ua kom huab.
- Ua ntej kev txhaj tshuaj tom ntej, koj yuav tsum txav mus rau tus kov nce thiab nqis tsawg kawg 10 zaug.
Tom qab npaj cov kev ncua, qhov kev txhaj tshuaj yog nqa tawm tam sim. Rau qhov tsim ntawm kev rho tawm tsis tso cai hauv qhov xaum yuav tsum tsis pub tsawg tshaj 12 IU ntawm cov tshuaj insulin. Yog tias cov khoom tiav uas tsis xav tau, ces yuav tsum tau siv ib qho tshiab.
Txhawm rau txhawm rau muab rab koob, cov ntawv nplaum tiv thaiv raug tshem tawm thiab rab koob yog ntsia hlau rau hauv rab koob syringe nruj nreem. Tom qab ntawd koj yuav tsum txiav tawm lub hau sab nraud, thiab tom qab ntawd sab hauv.
Txhawm rau txhawm rau tiv thaiv huab cua los ntawm nkag mus rau hauv qhov chaw txhaj tshuaj, ntaus 2 units los ntawm tig lub koob tshuaj xaiv. Tom qab ntawd taw lub koob nce thiab coj mus rhaub cartridge kom tso npuas. Nias pib pib khawm txhua txoj kev, thaum tus xaiv rov qab mus rau xoom.
Yog tias poob ntawm cov insulin tshwm sim thaum kawg ntawm rab koob, koj tuaj yeem hno. Yog tias tsis muaj poob, hloov rab koob. Tom qab hloov lub koob tau rau zaus, koj yuav tsum tso tseg txoj kev siv tus tuav, raws li nws muaj qhov tsis taus.
Txhawm rau tsim kom tau qhov koob tshuaj ntawm insulin, nws yog qhov tsim nyog yuav tsum ua raws li cov kev coj ua:
Koob xaiv xim teeb tsa ua xoom.
- Tig tus xaiv nyob rau hauv txhua qhov kev taw qhia kom xaiv ib koob los ntawm nws txuas nrog tus pointer. Hauv qhov no, koj tsis tuaj yeem nias lub khawm pib.
- Nqa daim tawv nqaij hauv daim txiag thiab tso cov koob rau hauv nws lub hauv paus ntawm kaum ntawm 45 degrees.
- Nias lub pob "Pib" mus kom txog thaum "0" tshwm sim.
- Tom qab nkag mus, rab koob yuav tsum nyob hauv qab daim tawv nqaij li 6 feeb kom tau txais tag nrho cov tshuaj insulin. Thaum hle lub koob tawm, khawm pib yuav tsum tau tuav tseg.
- Muab lub hau kaw rau ntawm rab koob thiab tom qab ntawd nws tuaj yeem tshem tawm.
Nws tsis raug nquahu kom khaws Flexpen nrog ib rab koob, vim tias cov kua dej tuaj yeem tawm los tau. Cov koob yuav tsum tau muab pov tseg kom zoo, zam kev txhaj tshuaj tiv thaiv kev mob. Txhua lub koob xwj thiab cov xaum yog rau kev siv tus kheej nkaus xwb.
Qhov yuav nqus tau cov kua tshuaj sai tshaj plaws yog nkag mus rau ntawm daim tawv nqaij ntawm tus ncej, thiab txoj kev khiav nrawm tshaj plaws yog nkag mus rau hauv lub plab. Rau kev txhaj tshuaj, koj tuaj yeem xaiv cov gluteus lossis deltoid leeg ntawm lub xub pwg.
Qhov chaw txhaj tshuaj yuav tsum tau hloov pauv kom thiaj li tsis kom rhuav tshem cov roj subcutaneous.
Lub hom phiaj thiab qhov ntau thiab tsawg
Cov tshuaj insulin pib ua 1.5 teev tom qab kev tswj hwm, nce mus rau qhov siab tshaj plaws hauv 4-12 teev, nws tawm hauv ib hnub. Qhov tseem ceeb qhia rau kev siv tshuaj yog ntshav qab zib.
Lub tshuab nruab nrab ntawm qhov kev ua haujlwm ntawm hypoglycemic ntawm Protafan cuam tshuam nrog kev tswj hwm ntawm cov kua nplaum mus rau hauv lub hlwb thiab kev txhawb nqa glycolysis rau lub zog. Cov tshuaj insulin txo cov cuam tshuam ntawm glycogen thiab kev tsim cov piam thaj hauv lub siab. Nyob hauv kev tawm tsam ntawm Protafan, glycogen yog khaws cia hauv cov leeg thiab mob siab.
Protafan NM ua kom muaj protein synthesis thiab kev loj hlob, kev faib tawm hauv tes, txo qis cov protein ntau, vim tias nws cov txiaj ntsig anabolic yog pom. Cov tshuaj insulin cuam tshuam rau cov ntaub so ntswg adipose, maj mam ua kom tawg ntawm cov rog thiab ua kom nws txo qis zuj zus.
Nws tsuas yog siv hauv kev hloov kho rau tshuaj insulin-tiv thaiv ntshav qab zib hom 1. Tsis tshua muaj ntau zaus, nws tau sau tseg rau cov neeg mob ntawm hom thib ob thaum muab kev phais mob, muab cov ntawv sib kis, thaum cev xeeb tub.
Cev xeeb tub, zoo li lactation, tsis yog qhov sib kis rau kev siv cov tshuaj insulin no. Nws hla tsis tau lub cev thiab tsis tuaj yeem ncav cuag menyuam mos nrog niam mis. Tab sis thaum cev xeeb tub thiab lactation, koj yuav tsum ua tib zoo xaiv thiab kho cov tshuaj txhawm kom tswj tau cov ntshav qabzib hauv cov ntshav.
Protafan NM tuaj yeem raug tshuaj ob qho tib si ntawm kev ywj pheej thiab kev sib xyaw nrog cov tshuaj insulin sai lossis luv. Cov koob tshuaj yog nyob ntawm theem ntawm cov piam thaj thiab qhov rhiab ntawm cov tshuaj. Nrog kev rog dhau thiab kev pub pub, ntawm lub cev kub nws siab dua. Tsis tas li ntawd nce qhov xav tau ntawm insulin hauv cov kab mob ntawm cov endocrine system.
Ib koob tshuaj tsis txaus, tshuaj tiv thaiv insulin lossis kev tshem tawm ua rau hyperglycemia nrog cov tsos mob hauv qab no:
- Nqhis dej sawv.
- Ib qho kev qaug zog zuj zus.
- Tso zis yuav ntau dua.
- Qab los noj mov tsawg.
- Muaj qhov muaj ntxhiab tsw ntawm acetone los ntawm lub qhov ncauj.
Cov tsos mob no tuaj yeem nce ntxiv nyob hauv ob peb teev, yog tias tsis muaj piam thaj tsis txaus, ces cov neeg mob tuaj yeem txhim kho ketoacidosis uas mob ntshav qab zib, uas ua rau muaj kev rau txim loj, tshwj xeeb yog cov ntshav qab zib hom 1.
Qhov tshwm sim ntawm Protafan NM
Hypoglycemia, lossis ntshav qab zib hauv cov ntshav qab zib, yog qhov tshwm sim ntau tshaj thiab txaus ntshai kev phiv los ntawm kev siv tshuaj inulin. Nws tshwm sim nrog kev noj ntau, ua kom lub cev tawm dag zog, pluas mov tsis dhau.
Thaum cov qib qab zib tau them nyiaj tsawg, cov tsos mob ntawm kev ua kom lub qog ntshav qab zib yuav hloov pauv. Nrog rau kev kho mob ntshav qab zib ntev, cov neeg mob yuav tsis muaj peev xwm paub txog qhov pib txo qis hauv qab zib. Cov tshuaj siv los txo cov ntshav siab, tshwj xeeb tshaj yog tsis xaiv cov beta-blockers thiab cov ntsuas kev nyab xeeb, tuaj yeem hloov kho cov phiajcim ntxov.
Yog li no, kev ntsuas cov ntshav qab zib ntau zaus yog pom zoo, tshwj xeeb tshaj yog nyob rau thawj lub lim tiam ntawm kev siv Protafan NM lossis thaum hloov mus rau nws los ntawm lwm cov insulin.
Thawj qhov tsos mob ntawm txo cov ntshav qab zib hauv qab ib txwm muaj:
- Cia li kiv taub hau, mob taub hau.
- Mloog zoo li kev ntxhov siab, txob taus.
- Kev tawm tsam ntawm kev tshaib kev nqhis.
- Tawm hws.
- Qhuas yus txhais tes.
- Lub plawv dhia ceev thiab mob siab.
Hauv cov teeb meem loj, nrog lub ntsej muag hypoglycemia vim muaj kev cuam tshuam hauv kev ua ub no ntawm lub hlwb, kev tsis zoo, tsis meej pem muaj kev txhim kho, uas tuaj yeem ua rau tsis nco qab.
Txhawm rau tshem tawm cov neeg mob los ntawm hypoglycemia nyob rau hauv mob me, nws pom zoo kom noj qab zib, zib ntab lossis piam thaj, kua txiv qab zib. Thaum lub cev tsis hnov qab, 40% piam thaj thiab glucagon tau txhaj tshuaj intramuscularly rau hauv cov leeg ntshav. Tom qab ntawd koj xav tau cov zaub mov muaj cov carbohydrates yooj yim.
Nrog rau cov tshuaj insulin tsis haum, kev ua xua nyob rau hauv daim ntawv ntawm pob, dermatitis, urticaria tuaj yeem tshwm sim, qee zaum muaj qee qhov kev poob siab anaphylactic tshwm sim. Cov kev mob tshwm sim thaum pib ntawm kev kho mob tuaj yeem tshwm sim los ntawm kev ua txhaum ntawm kev thim rov qab thiab kev txhim kho ntawm retinopathy, o, puas tsuaj rau cov hlab ntsha hauv daim ntawv ntawm cov mob uas ua rau mob neuropathy.
Hauv thawj lub lim tiam ntawm kev kho tshuaj insulin, o, tawm hws, mob taub hau, pw tsaug zog, xeev siab, thiab lub plawv dhia ntxiv tuaj. Tom qab tau siv tshuaj, cov tsos mob no txo qis.
Tej zaum yuav muaj o, khaus, liab lossis liab doog ntawm qhov chaw ntawm cov tshuaj insulin.
Dosage daim ntawv
Kev ncua rau s / c tswj hwm ntawm cov xim dawb, thaum stratified, tsim cov nag lossis dawb thiab xim tsis muaj xim lossis yuav luag tsis muaj xim zoo nkauj, nrog kev nplawm, cov txo yuav tsum rov qab kho dua
isofan insulin (tib neeg kev tsim kho tshuab engineering) 100 IU *
Cov kev zam: zinc chloride, glycerol, metacresol, phenol, sodium hydrogen phosphate dihydrate, protamine sulfate, hydrochloric acid thiab / lossis sodium hydroxide tov (kom muaj pH), dej d / thiab.
* 1 IU sib raug rau 35 μg ntawm cov tshuaj insulin tsis txaus rau tib neeg.
Cov Tshuaj Hauv Tshuaj
Protafan® NM Penfill® yog ib qho kev ncua nruab nrab ntawm biosynthetic tib neeg insulin, muaj cov isofan-insulin.
Biosynthetic tib neeg insulin yog tsim siv siv DNA thev naus laus zis siv cov poov xab hlwb ua cov kab mob muaj sia. Cov tshuaj yog monocomponent purified insulin zoo tib yam rau tib neeg insulin.
Sab hauv Penfill® lub tes tsho yog lub khob pob uas ua haujlwm kom ncaj ncees faib cov tshuaj insulin dawb. Thaum koj tig Penfill nce thiab nqis ntau zaus, cov kua ua kom npub dawb thiab hnav.
Cov ntaub ntawv ntawm kev txiav txim rau kev txhaj tshuaj subcutaneous (kwv yees cov nuj nqis):
pib ntawm kev ua tom qab 1.5 teev, cov nyhuv siab tshaj plaws: los ntawm 4 txog 12 teev, lub sijhawm ua: 24 teev.
Muag Nta
- mob ntshav qab zib insulin-hom mob ntshav qab zib hom (hom I),
- tsis muaj mob ntshav qab zib-insulin-tiv thaiv cov ntshav qab zib mellitus (hom II): theem ntawm kev tawm tsam cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj, tiv taus ib feem ntawm cov tshuaj no (thaum siv tshuaj kho mob), cov kab mob sib kis, kev khiav haujlwm, cev xeeb tub
Yeeb tshuaj sib cuam tshuam
Muaj ntau tus lej ntawm cov tshuaj uas cuam tshuam rau kev xav tau insulin. Yog li, yog tias koj noj tshuaj, nrog koj tus kws kho mob tham.
- Koj tuaj yeem yuav Protafan nm mem pleev roj 100me / ml 3ml n5 daim cartridge hauv Moscow hauv khw muag tshuaj yooj yim rau koj los ntawm kev tso ib qho kev txiav txim ntawm Apteka.RU.
- Tus nqi ntawm Protafan nm penfill 100me / ml 3ml n5 cartridges hauv Moscow yog 800.00 rubles.
- Cov lus qhia rau siv rau Protafan nm penfill 100me / ml 3ml n5 thawv.
Koj tuaj yeem pom cov khoom xa khoom ze tshaj plaws hauv Moscow ntawm no.
Cov nqi rau Protafan Nm hauv lwm lub nroog
Cov koob tshuaj ntawm lub tshuaj yog teem los ntawm tus kws kho mob tshwj xeeb hauv txhua kis. Cov tshuaj yog siv tsuas yog rau kev txhaj tshuaj subcutaneous. Tom qab txhaj koob, rab koob yuav tsum nyob twj ywm hauv qab daim tawv nqaij li ob peb feeb, uas ua kom muaj kev tiv thaiv puv.
Thaum hais txog tshuaj insulin-mob ntshav qab zib mellitus (hom I), cov tshuaj no yog siv hauv cov roj ntsha insulin hauv kev sib xyaw nrog qhov kev npaj tshuaj insulin ceev.
Nrog rau cov ntshav qab zib tsis yog-insulin-hom mob ntshav qab zib hom (hom II), cov tshuaj yuav siv tau ob qho tib si li monotherapy thiab hauv kev sib xyaw nrog cov tshuaj insulins ceev.
Thaum hloov mus rau tus neeg mob los ntawm cov roj ntshiab heev los yog tib neeg cov kua dej mus rau Protafan NM Penfill, cov koob tshuaj ntawm cov tshuaj tseem zoo li qub.
Thaum hloov pauv los ntawm nqaij nyug lossis cov tshuaj insulin sib xyaw rau Protafan NM Penfill, cov koob tshuaj yuav tsum raug txo los ntawm 10%, tshwj tsis yog thawj koob tshuaj qis dua 0.6 U / kg lub cev hnyav.
Hauv kev noj tshuaj ib hnub dhau ntawm 0.6 U / kg, insulin yuav tsum tau txhaj rau hauv daim ntawv ntawm 2 lossis ntau dua kev txhaj tshuaj hauv qhov chaw sib txawv
Kev sib cuam tshuam txog yeeb tshuaj
Kev tswj hwm tib lub sij hawm ntawm cov tshuaj tuaj yeem txhim kho cov nyhuv ntawm insulin. Cov no suav nrog cov tshuaj monoamine oxidase inhibitors (Pyrazidol, Moclobemide, Silegilin), cov tshuaj tiv thaiv kabmob: Enap, Kapoten, Lisinopril, Ramipril.
Tsis tas li, kev siv tshuaj bromocriptine, anabolic steroids, Colfibrate, Ketoconazole thiab Vitamin B6 ua rau muaj kev pheej hmoo ntawm hypoglycemia nrog kev kho mob insulin.
Cov tshuaj hormones muaj cov kev pab cuam rov qab: glucocorticosteroids, cov thyroid hormones, qhov kev tiv thaiv qhov ncauj, tricyclic antidepressants thiab thiazide diuretics.
Kev nce ntxiv ntawm cov tshuaj insulin tej zaum yuav xav tau thaum sau ntawv rau Heparin, calcium channel blockers, Danazole thiab Clonidine Cov yeeb yaj kiab hauv tsab xov xwm no tseem yuav muab cov ncauj lus ntawm Protofan insulin.
Protafan insulin: lus piav qhia, tshuaj xyuas, tus nqi
Insulin Protafan hais txog tib neeg nruab nrab lub cev insulin.
Qhov yuav tsum tau siv cov tshuaj Insulin Protafan HM Penfill yuav tshwm sim nrog ntau yam kab mob thiab mob. Ua ntej tshaj plaws, nrog hom 1 thiab hom 2 mob ntshav qab zib. Tsis tas li ntawd, cov tshuaj tau qhia nyob rau theem ntawm kev tsis kam mus rau qhov pib tshuaj hypoglycemic.
Cov tshuaj no kuj tseem siv nrog kev sib txuas ua ke (ib nrab kev tiv thaiv kab mob rau qhov ncauj hypoglycemic), yog tias mob ntshav qab zib raug kuaj tau hauv cov poj niam cev xeeb tub thiab yog tias kev noj zaub mov tsis pab,
Cov kab mob sib kis thiab kev phais mob (kev sib xyaw ua ke lossis kho mob monotherapy) kuj tseem yog lub laj thawj rau kev teem caij.
Cov yam ntxwv ntawm cov tshuaj
Cov tshuaj yog ncua kev qhia hauv qab daim tawv nqaij.
Pawg, cov khoom uas nquag:
Isulin insulin-tib neeg semisynthetis (tib neeg semisynthetic). Nws muaj lub sijhawm ua haujlwm nruab nrab.Protafan NM yog contraindicated nyob rau hauv: insulinoma, hypoglycemia thiab hypersensitivity rau yam tshuaj nquag.
Yuav noj li cas thiab haus li cas?
Cov tshuaj insulin raug txhaj ib zaug lossis ob zaug ib hnub, ib nrab teev ua ntej noj tshais. Hauv qhov no, qhov twg yuav tau txhaj tshuaj, nws yuav tsum tau hloov tas li.
Cov koob tshuaj yuav tsum tau xaiv rau txhua tus neeg mob ib tus zuj zus. Nws qhov ntim nyob ntawm seb cov piam thaj hauv cov zis thiab ntshav txaus, ntxiv rau qhov yam ntxwv ntawm chav kawm ntawm tus kab mob. Yeej, qhov tshuaj yog muab 1 lub sijhawm toj ib hnub thiab yog 8-24 IU.
Hauv cov menyuam yaus thiab cov neeg laus uas muaj lub siab tsis txaus siab rau insulin, qhov koob tshuaj tau raug txo mus rau 8 IU ib hnub. Thiab rau cov neeg mob uas tsis tshua muaj siab zoo, tus kws kho mob koom nrog yuav muab tshuaj ntau dua 24 IU nyob rau ib hnub. Yog tias qhov koob tshuaj txhua hnub ntau dua li 0.6 IU rau ib kg, tom qab ntawd cov tshuaj raug muab los ntawm ob qhov kev txhaj tshuaj, uas tau ua nyob hauv ntau qhov chaw.
Cov neeg mob uas tau txais 100 IU lossis ntau dua toj ib hnub, thaum hloov cov tshuaj insulin, yuav tsum tau saib xyuas tas li los ntawm cov kws kho mob. Hloov cov tshuaj nrog rau lwm qhov yuav tsum tau ua nrog kev soj ntsuam tsis tu ncua ntawm cov piam thaj hauv ntshav.
Cov chaw muag tshuaj
Cov khoom ntawm Insulin Protafan:
- lowers ntshav qabzib theem,
- txhim kho kev txhim kho cov piam thaj hauv cov ntaub so ntswg,
- pab txhawb kev txhim kho protein synthesis,
- lowers tus nqi ntawm cov piam thaj ntau lawm los ntawm lub siab,
- txhim kho glycogenogenesis,
- txhim kho lipogenesis.
Microinteraction nrog receptors nyob rau sab nraud cell daim phiaj txhawb kev tsim ntawm insulin receptor complex. Los ntawm kev tsim kho hauv lub siab ua haujlwm thiab cov roj ntsha rog, qhov sib txuas ntawm cov rog lossis kev nkag mus rau hauv cov leeg nqaij lossis cell, insulin receptor complex ua rau cov txheej txheem uas tshwm sim hauv cov hlwb.
Nws kuj tseem pib ua ke ntawm qee cov enzymes tseem ceeb (glycogen synthetase, hexokinase, pyruvate kinase, thiab lwm yam).
Qhov txo qis hauv cov piam thaj hauv ntshav yog tshwm sim los ntawm:
- muaj piam thaj ntau nyob hauv lub hlwb,
- stimulation ntawm glycogenogenesis thiab lipogenesis,
- ntxiv kev nqus thiab nqus ntawm cov piam thaj los ntawm cov ntaub so ntswg,
- protein ua kom sib haum
- txo qis rau hauv tus nqi ntawm cov piam thaj ntau lawm los ntawm daim siab, i.e. kev txo qis hauv kev puas tsuaj ntawm glycogen thiab li ntawd.
Sab sij huam
Kev mob ntshav siab (qhov muag tsis pom kev thiab hais lus, pallor ntawm daim tawv nqaij, tsis meej pem tsiv, tawm hws ntau ntau, muaj tus cwj pwm txawv, palpitations, voos, tshee, kev nyuaj siab, nce ntxiv, ntshai, ntxhov siab, insomnia, ntxhov siab, nkees nkees, hauv plab lub qhov ncauj, mob taub hau ,
Kev tsis haum tshuaj (kev ua kom tsis muaj ntshav txaus, tso zis, mob ua tsis taus pa, ua npaws, mob hlwb),
Ib qho kev nce ntxiv ntawm lub titer ntawm cov tshuaj tiv thaiv kev tiv thaiv insulin nrog kev nce ntxiv hauv glycemia,
Mob ntshav qab zib acidosis thiab hyperglycemia (tawm tsam keeb kwm ntawm kev kis kab mob thiab kub taub hau, tsis muaj zaub mov noj, plhaw txhaj tshuaj, tsis tshua muaj kev txhaj tshuaj): lub ntsej muag yaug, tsaug zog, tsis qab los noj mov, nqhis dej tas li),
Ntawm cov theem pib ntawm txoj kev kho - kho tsis raug thiab edema (qhov tshwm sim ib ntus uas tshwm sim nrog kev kho ntxiv),
Kev tsis hnov qab (qee zaum tsis nco qab thiab precomatose lub xeev kev loj hlob),
Ntawm qhov chaw txhaj tshuaj, khaus, hyperemia, lipodystrophy (hypertrophy lossis atrophy ntawm subcutaneous rog),
Thaum pib ntawm kev kho mob yog qhov ua paug tsis pom kev,
Hla kev tiv thaiv kab mob nrog tib neeg cov tshuaj insulin.
- cramps
- hws
- hypoglycemic coma,
- lub plawv dhia
- insomnia
- tsis pom kev thiab tsis hais lus,
- tshee hnyo
- tangled tsiv
- tsaug zog
- nce qab los noj mov
- cwj pwm coj txawv txawv
- ntxhov siab
- txob taus
- paresthesia nyob rau hauv lub qhov ncauj kab noj hniav,
- kev nyuaj siab
- pallor
- ntshai
- mob taub hau.
Yuav kho tus overdose li cas?
Yog hais tias tus neeg mob nyob rau hauv lub xeev meej pem, ces tus kws kho mob tau sau ntawv dextrose, uas tau muab tshuaj los ntawm lub cev nqus dej, mob intramuscularly lossis leeg ntshav. Glucagon lossis hypertonic dextrose kev daws teeb meem tseem tau muab tshuaj ntxiv ib leeg.
Thaum raug ntawm kev txhim kho lub qog ua pa tsis tsaug zog, 20 txog 40 ml, i.e. 40% dextrose kev daws teeb meem kom txog rau thaum tus neeg mob tawm ntawm qhov tsis nco qab.
- Ua ntej koj siv cov tshuaj insulin los ntawm pob, koj yuav tsum xyuas tias cov tshuaj hauv lub raj mis muaj cov xim pob tshab. Yog tias clouding, nag lossis daus los yog lub cev txawv teb chaws pom, kev daws teeb meem raug txwv.
- Qhov kub ntawm cov tshuaj ua ntej kev tswj hwm yuav tsum yog chav kub.
- Thaum muaj kev kis mob, ua haujlwm ntawm lub qog ua haujlwm tsis zoo, Addiosn tus kab mob, mob raum tsis ua haujlwm, hypopituitarization, nrog rau cov ntshav qab zib ntawm lub hnub nyoog laus, cov koob tshuaj insulin yuav tsum tau kho tus kheej.
Cov laj thawj ntawm kev ua ntshav siab tuaj yeem yog:
- noj ntau dhau
- ntuav
- tshuaj hloov
- cov kab mob uas txo qis qhov xav tau ntawm insulin (mob siab thiab mob raum, hypofunction ntawm cov thyroid caj pas, lub caj pas pituitary, adrenal cortex),
- tsis-saib ntawm kev noj zaub mov,
- cuam tshuam nrog lwm yam tshuaj
- zawv plab
- lub cev overvoltage,
- hloov chaw txhaj tshuaj.
Thaum hloov ib tus neeg mob los ntawm tsiaj cov tshuaj insulin rau tib neeg cov insulin, ib qho kev txo qis hauv cov ntshav qab zib yuav tshwm sim. Kev hloov mus rau tib neeg cov kua dej yuav tsum tau ua raws li kev kho mob, thiab nws yuav tsum tau ua raws li kev saib xyuas nruj ntawm kws kho mob.
Thaum lub sijhawm thiab tom qab yug menyuam, xav tau cov tshuaj insulin tuaj yeem txo qis. Thaum lub sijhawm lactation, koj yuav tsum saib xyuas koj niam ntau lub hlis, kom txog thaum xav tau cov tshuaj insulin.
Ib qho kev xav ua ntej rau kev nce qib ntawm cov ntshav qog tuaj yeem ua rau tsis zoo rau lub peev xwm ntawm tus neeg mob tsav tsheb thiab tswj kev txhim kho thiab cov tshuab thiab tshuab.
Nrog kev pab ntawm qab zib lossis zaub mov nrog cov ntsiab lus siab ntawm carbohydrates, cov neeg mob ntshav qab zib tuaj yeem nres ib daim ntawv me me ntawm hypoglycemia. Nws raug nquahu tias tus neeg mob ib txwm muaj tsawg kawg 20 g suab thaj nrog nws.
Yog tias txo lub qog ntshav qab zib tau raug ncua, nws yog qhov yuav tsum tau ceeb toom rau tus kws kho mob uas yuav kho qhov hloov kho.
Thaum cev xeeb tub, qhov yuav tsum tau tsawg dua (1 hlis) lossis nce ntxiv (2-3 trimesters) ntawm lub cev xav tau cov tshuaj insulin yuav tsum raug txiav txim siab.
Kev cuam tshuam nrog lwm yam tshuaj
- MAO inhibitors (selegiline, furazolidone, procarbazine),
- sulfonamides (sulfonamides, hypoglycemic qhov ncauj tshuaj),
- NSAIDs, ACE inhibitors thiab tshuaj salicylates,
- anabolic steroids thiab methandrostenolone, stanozolol, oxandrolone,
- carbonic anhydrase inhibitors,
- ethanol
- androgens
- chloroquine
- bromocriptine
- quinine
- tetracyclines
- quinidine
- clofribate
- pyridoxine
- ketoconazole
- Li + npaj,
- mebendazole,
- theophylline
- fenfluramine,
- cyclophosphamide.
- H1 blockers - vitamin txais,
- glucagon,
- epinephrine
- somatropin,
- phenytoin
- GKS,
- nicotine
- tshuaj tiv thaiv qhov ncauj
- tshuaj maj
- estrogens
- morphine
- voj thiab thiazide diuretics,
- diazoxide
- BMKK,
- calcium antagonists
- cov thyroid hormones
- clonidine
- heparin
- tricyclic cov tshuaj tiv thaiv kab mob,
- sulfinpyrazone,
- danazol
- sympathomimetics.
Tseem muaj cov tshuaj uas tuaj yeem ua rau ob qho ua kom tsis muaj zog thiab txhim kho cov nyhuv glycemic ntawm insulin. Cov no suav nrog:
- pentamidine
- beta blockers,
- octreotide
- reserpine.
Protafan nm penfill - cov lus qhia rau kev siv, nqe, tshuaj xyuas thiab analogues
Protafan NM Penfill yog ib tus neeg sawv cev nrog kev kho mob uas nws ua yog tsom rau kev kho mob ntshav qab zib mellitus. Cov tshuaj, thaum siv kom raug, tso cai rau koj ua raws li qhov yuav tsum tau muaj cov piam thaj hauv cov ntshav, tsis ua rau muaj mob rau tus neeg mob.
Lub Npe Tsis Muaj Npe International
A.10.A.C - insulins thiab lawv cov analogues nrog qhov nruab nrab ntawm kev txiav txim.
Raug tshem tawm rau kev tswj hwm ntawm 100 IU ml muaj nyob rau hauv daim ntawv ntawm: lub raj mis (10 ml), cartridge (3 ml).
Cov tshuaj muaj pes tsawg leeg 1 ml ntawm cov tshuaj muaj:
- Cov khoom xyaw nquag: insulin-isophan 100 IU (3.5 mg).
- Cov khoom siv pabcuam: glycerol (16 mg), zinc chloride (33 μg), phenol (0.65 mg), sodium hydrogen phosphate dihydrate (2.4 mg), protamine sulfate (0.35 mg), sodium hydroxide (0.4 mg) ), metacresol (1.5 mg), dej rau kev txhaj tshuaj (1 ml).
Raug tshem tawm rau kev tswj hwm ntawm 100 IU ml muaj nyob rau hauv daim ntawv ntawm: lub raj mis (10 ml), cartridge (3 ml).
Pharmacological kev txiav txim
Hais txog cov kab mob hypoglycemic uas muaj lub sijhawm ua haujlwm nruab nrab. Nws yog tsim los ntawm recombinant DNA technology siv Saccharomyces cerevisiae. Nws cuam tshuam nrog cov membrane receptors, tsim cov insulin-receptor complex uas txhim kho cov synthesis ntawm enzymes koom rau hauv lub neej (hexokinases, glycogen synthetases).
Cov tshuaj yog txhawb kev thauj mus los ntawm cov protein los ntawm lub cev ntawm lub cev. Raws li qhov tshwm sim, cov piam thaj tau txhim kho, lipo- thiab glycogenesis yog qhov ua kom zoo, thiab cov piam thaj ntau ntxiv los ntawm daim siab yog txo qis. Tsis tas li ntawd, cov khoom cua protein ua kom rov ua haujlwm.
Cov Tshuaj Pharmacokinetics
Qhov ua tau zoo ntawm cov tshuaj thiab qhov nrawm ntawm nws qhov kev txiav txim siab yog txiav txim siab los ntawm qhov ntau npaum, thaj chaw ntawm kev tswj hwm, txoj kev txhaj tshuaj (subcutaneous, intramuscular), cov tshuaj insulin hauv cov tshuaj. Cov ntsiab lus siab tshaj plaws ntawm cov khoom hauv cov ntshav tau mus txog tom qab 3-16 teev tom qab txhaj tshuaj subcutaneously.
Yuav ua li cas noj Protafan NM Penfill?
Ua intramuscular lossis subcutaneous txhaj tshuaj. Cov koob tshuaj yog xaiv noj rau hauv tus account qhov tshwj xeeb thiab yam ntxwv ntawm tus kab mob. Kev tso cai ntawm cov tshuaj insulin txawv ntawm 0.3-1 IU / kg / hnub.
Cov tshuaj insulin yog txhaj nrog rab koob xoo hluav taws xob. Cov neeg muaj insulin tsis kam ua qhov xav tau ntawm insulin ntau ntxiv (thaum lub sijhawm kev sib deev, muaj lub cev nyhav dhau los), yog li lawv tau raug muab tshuaj ntau tshaj plaws.
Txhawm rau txo qis kev pheej hmoo ntawm lipodystrophy, nws yog ib qhov tsim nyog yuav tau hloov chaw ntawm cov thawj coj ntawm cov tshuaj. Kev ncua kev kawm, raws li cov lus qhia, raug txwv nruj kom tsis txhob nkag rau hauv qhov ncauj.
Nrog ntshav qab zib
Protafan yog siv rau txhua yam ntshav qab zib. Txoj kev kho kom zoo pib nrog hom ntshav qab zib 1. Hom tshuaj 2 yog raug tshuaj yog tias tsis muaj tshwm sim los ntawm sulfonylurea derivatives, thaum lub sijhawm cev xeeb tub, thaum sijhawm thiab tom qab phais mob, nrog cov kab mob sib xyaw ua rau muaj qhov tsis zoo ntawm kev mob ntshav qab zib.
Qhov tshwm sim ntawm Protafan NI Penfill
Cov kev tshwm sim tsis zoo tshwm sim hauv cov neeg mob thaum lub sijhawm kho mob tshwm sim los ntawm kev quav thiab cuam tshuam nrog pharmacological kev txiav txim ntawm cov tshuaj. Ntawm cov kev mob tshwm sim tsis xwm yeem, hypoglycemia tau sau tseg. Tshwm sim yog qhov txiaj ntsig ntawm qhov tsis ua raws li qhov tau muab tshuaj rau ntawm cov tshuaj insulin.
Hauv cov ntshav qog ntshav hnyav, tsis nco qab, ua kom qaug dab peg, ua tsis tau haujlwm ntawm lub hlwb, thiab qee zaum kev tuag, muaj peev xwm ua tau. Hauv qee kis, muaj kev ua txhaum ntawm cov metabolism hauv cov metabolism.
Ntawm ib feem ntawm cov kab mob tiv thaiv kab mob ua tau: ua pob ua paug, urticaria, tawm hws, khaus, ua tsis taus pa, mob plawv dhia ceev ceev, txo ntshav siab, tsis nco qab.
Ntawm ib feem ntawm lub cev tiv thaiv kab mob, qhov tshwm sim tsis zoo yog ua tau: tawm pob, urticaria, khaus.
Lub leeg poob siab tseem nyob rau qhov txaus ntshai. Muaj qee zaus, mob puas hlwb neipia.
Cov lus qhia tshwj xeeb
Kev xaiv tshuaj tsis raug cai los sis kev txiav tawm ntawm kev kho mob ua rau hyperglycemia. Cov tsos mob thawj zaug pib tshwm li ntawm ob peb teev lossis hnub. Yog tias tsis tau txais kev pabcuam raws sijhawm, kev pheej hmoo ntawm kev loj hlob ketoacidosis, uas cuam tshuam loj heev rau ib tus neeg lub neej, nce.
Nrog concomitant pathologies uas tau nthuav qhia los ntawm kub taub hau lossis kis tus kab mob, qhov xav tau ntawm insulin hauv cov neeg mob nce ntxiv. Yog tias tsim nyog, hloov cov tshuaj nws tuaj yeem hloov kho thaum lub sijhawm txhaj thawj lossis nrog rau kev kho mob ntxiv.
Siv rau lub sijhawm qub
Cov neeg mob uas muaj hnub nyoog txog 65 xyoos tsis muaj kev txwv rau kev noj cov tshuaj. Tau mus txog lub hnub nyoog no, cov neeg mob yuav tsum yog kev saib xyuas ntawm tus kws kho mob thiab txiav txim siab txog lwm yam cuam tshuam.
Nws tuaj yeem siv rau cov menyuam yaus hnub nyoog qis dua 18 xyoo. Qhov ntau npaum li cas cov tshuaj tau tsim ib lub zuj zus raws kev nug. Feem ntau siv nyob rau hauv daim ntawv diluted.
Siv thaum cev xeeb tub thiab lactation
Siv thaum cev xeeb tub, raws li tsis txhob tso cov txiaj ntsig. Yog hais tias cov ntshav qab zib tsis tau kho thaum tus me nyuam hauv plab, qhov kev pheej hmoo rau tus menyuam hauv plab.
Teeb meem hypoglycemia tshwm sim nrog kev xaiv tsis raug xaiv ntawm txoj kev kho mob, uas ua rau muaj kev pheej hmoo ntawm tsis xws luag hauv menyuam yaus thiab ua rau nws nrog kev ploj tuag ntawm intrauterine. Hauv thawj peb lub hlis, xav tau cov tshuaj insulin tsawg dua, thiab hauv 2 thiab 3 nws nce. Tom qab yug menyuam, qhov xav tau rau cov insulin yuav zoo li qub.
Cov tshuaj tsis txaus ntshai thaum pub niam mis. Nyob rau qee qhov xwm txheej, yuav tau kho kom haum rau kev txhaj tshuaj lossis noj zaub mov noj.
Noj ntau tshaj ntawm Protafan NI Penfill
Cov koob tshuaj uas ua rau noj ntau dhau tsis muaj qhia. Rau txhua tus neeg mob, coj mus rau hauv tus account qhov tshwj xeeb ntawm chav kawm ntawm tus kab mob, muaj koob tshuaj siab, uas ua rau pom qhov tshwm sim ntawm hyperglycemia.
Nrog rau lub xeev tsis muaj ntshav qab zib, tus neeg mob tuaj yeem tiv nws ntawm nws tus kheej los ntawm kev noj zaub mov qab zib thiab zaub mov uas muaj cov carbohydrates ntau.
Nws tsis ua mob rau ib txwm muaj ntawm tes qab zib, ncuav qab zib, kua txiv hmab txiv ntoo lossis tsuas yog ib qho qab zib.
Hauv cov ntawv hnyav (tsis nco qab lawm), cov kua dej qabzib (40%) yog txhaj rau txoj leeg ntshav, 0.5-1 mg ntawm glucagon nyob rau hauv daim tawv nqaij lossis cov leeg. Thaum ib tug neeg coj mus rau kev nco qab, txhawm rau kom zam kev pheej hmoo ntawm rov ua dua, lawv muab cov zaub mov muaj cov zaub mov ntau rau cov noj.
Cia rau cov mob rau cov tshuaj
Cov tshuaj yuav tsum muab cia rau hauv qhov chaw txias thiab tsaus ntawm qhov kub ntawm + 2 ... + 8 ° C (tuaj yeem tso rau hauv tub yees, tab sis tsis yog lub tub yees). Nws tsis yog raug rau khov. Lub cartridge yuav tsum tau ceev cia rau hauv nws lub ntim los tiv thaiv nws los ntawm tshav ntuj.
Lub pob qhib qhib tau muab khaws cia li 30 ° C rau tsis pub dhau 7 hnub. Tsis txhob muab cia rau hauv tub yees. Txwv tsis pub siv cov menyuam yaus nkag.
Chaw tsim tshuaj paus
NOVO NORDISK, A / S, Denmark
Protafan insulin: lus piav qhia, tshuaj xyuas, tus nqi
Tib neeg cov tshuaj insulin analog Protafan
Svetlana, 32 xyoo, Nizhny Novgorod: “Lub sijhawm cev xeeb tub Kuv tau siv Levemir, tab sis cov ntshav qog ua kom tsis tu ncua. Tus kws kho mob tau pom zoo hloov mus rau kev txhaj tshuaj tiv thaiv Protafan NM Penfill. Tus mob no tau ruaj khov, phiv thoob plaws lub sijhawm xeeb tub thiab tom qab nws tsis pom. "
Konstantin, 47 xyoo, Voronezh: “Tau 10 xyoo tam sim no kuv tau tsim cov ntshav qab zib mellitus. Thoob plaws txhua lub sijhawm Kuv tsis tuaj yeem xaiv kuv tus kheej ib qho tshuaj uas tsim nyog rau kev tswj cov piam thaj hauv cov ntshav. Tsuas yog rau lub hlis dhau los Kuv tau yuav Cov Tshuaj Protafan NM Penfill kev txhaj tshuaj thiab kuv txaus siab rau qhov tshwm sim. Txhua yam kev nyuaj thiab kev nyuaj uas tshwm sim dhau los ua rau lawv tus kheej tsis muaj kev xav ntxiv lawm. Tus nqi pheej yig. "
Valeria, 25 xyoo, St. Petersburg: “Kuv tau muaj mob ntshav qab zib txij thaum yau los. Kuv sim ntau dua 7 yam tshuaj, thiab ib qho tsis txaus siab kiag li. Cov tshuaj kawg uas kuv tau yuav khoom raws li kws kho mob tau hais tseg yog raug tshem tawm ntawm Protafan NM Penfill.
Txog thaum tsis ntev los no, kuv ua xyem xyav nws cov txiaj ntsig thiab tsis tau cia siab tshwj xeeb tias qhov xwm txheej yuav hloov pauv. Tab sis nws pom tias qhov pom ntawm hypoglycemia tsis ua rau nws tab kaum, qhov xwm txheej ntawm kev noj qab haus huv yog ib txwm. Kuv yuav hauv lub raj mis.
Cov tshuaj yooj yim rau siv thiab tsis pheej yig. "
Protafan - cov lus qhia ntxaws ntxiv rau kev siv
Mob Ntshav Qab Zib mellitus yog hais txog cov kev muaj kab mob mus rau txhua lub cev. Cov txheej txheem yooj yim ntawm txoj kev loj hlob yog txuam nrog qhov tsis txaus ntawm cov tshuaj hormone insulin, uas yog lub luag haujlwm rau kev siv cov piam thaj los ntawm hlwb. Raws li qhov tshwm sim, kev tsis txaus ntseeg ntawm cov metabolism yog pom, cov qib ntawm cov piam thaj hauv cov ntshav nce siab. Kev kho mob ntshav qab zib mellitus rwj qis rau lub cev hloov cov tshuaj hormones ntev mus.
Ib kab tag nrho ntawm cov khoom cua insulins tau raug tsim kho. Ib ntawm lawv yog Protafan. Cov lus qhia rau kev siv muaj cov ntaub ntawv tiav tsim nyog rau kev ywj pheej siv cov tshuaj tseem ceeb no.
Kev Sib Sau thiab daim ntawv ntawm kev tso tawm
Cov tshuaj nquag yog tib neeg cov tshuaj insulin, tsim tawm los ntawm kev tsim hluav taws xob engineering technologies. Muaj ntau hom tshuaj:
- "Protafan NM": qhov no yog tshem tawm hauv vials, txhua 10 ml, insulin concentration ntawm 100 IU / ml. Cov pob muaj 1 lub raj mis.
- Protafan NM Penfill: daim cartridges uas muaj 3 ml (100 IU / ml) txhua. Hauv ib lub hlwv - 5 daim duab sib dhos, hauv pob - 1 blister.
Cov zam: dej rau txhaj tshuaj, glycerin (glycerol), phenol, sodium hydrogen phosphate dihydrate, protamine sulfate, metacresol, sodium hydroxide thiab / lossis hydrochloric acid (los kho pH), zinc chloride.
Cov hauv paus ntsiab lus ntawm kev siv Protafan
Cov tshuaj yog siv rau txhua yam ntshav qab zibCov. Nyob rau hauv hom I, kev kho mob yog pib tam sim ntawd nrog nws, hauv hom II, Protafan yog qhia nyob rau hauv cov neeg tsis muaj peev xwm ntawm sulfonylurea derivatives, thaum cev xeeb tub, thaum lub sijhawm thiab tom qab ua haujlwm, nyob rau hauv muaj cov kab mob concomitant complicating chav kawm mob ntshav qab zib mellitus.
Cov Chaw Tshuaj Kho Mob
Qhov pib ntawm kev nqis tes ua tau sau cia 1.5 teev tom qab subcutaneous thawj coj. Kev ua siab tshaj plaws - tom qab 4-12 teev. Lub sijhawm tag nrho ntawm 24 teev.
Xws li pharmacokinetics txiav txim siab cov ntsiab cai dav dav ntawm kev siv "Protafan":
- Mob ntshav qab zib-insulin tiv thaiv ntshav qab zib - yog cov cuab yeej yooj yim hauv kev sib xyaw ua ke nrog insulins luv luv-ua yeeb yam.
- Cov ntshav qab zib tsis-insulin-mellitus - kev kho kab mob ntshav nrog tus neeg sawv cev no tau tso cai, nrog rau kev sib xyaw nrog kev siv tshuaj sai.
Yog tias cov tshuaj siv los ua kev kho mob mono, nws yog pricked ua ntej noj mov. Hauv kev siv yooj yim, tswj xyuas ib hnub ib zaug (sawv ntxov lossis yav tsaus ntuj).
Cov lus nug ntawm seb Protafan tuaj yeem xa nrog feem ntau muaj cov lus teb tsis zoo; qhov no yog lub hauv paus rau kev kho mob uas tsis tuaj yeem siv nrog.
Txoj kev ntawm daim ntawv thov
Cov tshuaj yog txhaj rau hauv qab daim tawv nqaij. Lub chaw ib txwm yog thaj chaw ntawm lub ntsag. Cov kev txhaj tshuaj tau tso cai nyob hauv thaj av ntawm thaj tsam ntawm sab xub ntiag phab ntsa, pob tw, thiab cov leeg nqaij ntawm caj npab. Qhov chaw txhaj tshuaj yuav tsum tau sib hloov kom tiv thaiv kev txhim kho ntawm lipodystrophy. Nws yog qhov tsim nyog yuav tsum rub tawm ntawm daim tawv nqaij kom tsis txhob raug mob txhawm rau tshuaj insulin.
TSEEM CEEB! Kev tswj hwm ntawm insulin thiab nws cov kev npaj rau kev ua haujlwm yog txwv tsis pub siv thaum muaj xwm txheej twg.
Cov txheej txheem ntawm kev siv cov kua xaum xaum rau kev siv tshuaj insulin "Protafan"
Kev tswj hwm tus kheej ntev ntawm cov ntawv txhaj tshuaj yuav tsum ua kom yooj yim cov txheej txheem no ntau li ntau tau. Rau qhov no, syringe cwj mem tau tsim, uas tau ntxiv cov roj nrog Protafana cartridges.
Txhua tus neeg mob ntshav qab zib yuav tsum paub cov lus qhia rau kev siv los ntawm lub siab:
- Ua ntej yuav ntim daim cartridge, tshawb xyuas cov ntawv ntim kom paub tseeb tias ntau npaum cov tshuaj kom raug.
- Nco ntsoov soj ntsuam lub cartridge nws tus kheej: yog tias muaj kev puas tsuaj rau nws lossis qhov sib txawv pom ntawm daim kab xev dawb thiab cov roj hmab piston, ces cov ntim no tsis siv.
- Cov roj hmab nyias siv los kho nrog ib qho tshuaj tua kab mob siv cov paj rwb ntaws.
- Ua ntej kev txhim kho daim cartridge, lub kaw lus tso tawm. Txhawm rau ua qhov no, hloov txoj haujlwm kom lub khob pob hauv sab hauv txav ntawm ib kawg mus rau lwm qhov tsawg kawg 20 zaug. Tom qab qhov no, cov kua yuav tsum ua huab.
- Tsuas yog cov cartridges uas tsawg kawg 12 units ntawm insulin yuav tsum tau muab sib xyaw ua ke raws li cov qauv uas tau piav los saum no. Qhov no yog qhov tsawg kawg nkaus tshuaj rau txhawm rau txhawm rau nkaug tus cwj mem.
- Tom qab tso ntxig rau ntawm daim tawv nqaij, rab koob yuav tsum nyob ntawd ntev li 6 feeb. Tsuas yog hauv qhov no qhov kev txhaj tshuaj yuav raug nkag ua tiav.
- Tom qab txhua qhov txhaj koob, rab koob raug tshem tawm ntawm daim ntaub qhwv. Qhov no txwv tsis pub cov kua dej tsis raws siab, ua rau muaj qhov hloov pauv ntawm cov tshuaj ntxiv.
Protafan: cov lus qhia rau kev siv, nqi, xyuas thiab analogues
Muaj ntau cov tshuaj ntawm cov tshuaj lag luam uas tsim los ntawm cov tuam txhab muaj koob npe nrov, tab sis kev nrhiav cov tshuaj zoo rau txhua tus neeg mob ntshav qab zib yog qhov nyuaj heev. Raws li cov lus qhia rau kev siv, "Protafan NM" muaj cov khoom zoo thiab pheej yig heev. Xav txog cov tshuaj no hauv kev nthuav dav ntxiv.
Tso tawm daim ntawv, muaj pes tsawg leeg thiab ntim khoom
Cov tshuaj yog kev tshem tawm dawb. Thaum khaws cia, nws hloov mus rau hauv cov kua tsis muaj kob uas muaj ib qho dawb nag lossis daus. Qhov no tsis txhais tau hais tias cov tshuaj tau ua tsis tau - nrog kev tshee, qhov kev ncua ntxiv rov qab mus rau nws lub xeev yav dhau los.
- tshuaj insulin-isophan ntawm qhov kub siab ntawm 100 IU ib 1 ml,
- zinc tshuaj dawb
- glycerin (glycerol),
- metacresol
- phenol
- sodium hydrogen phosphate dihydrate,
- tshuaj sulfate,
- sodium hydroxide thiab / lossis hydrochloric acid,
- dej rau kev txhaj tshuaj.
Muaj nyob hauv hom ntawv cartridge (5 daim ib pob) lossis hauv 10 ml vials.
INN cov chaw tsim khoom
Lub npe txawv teb chaws uas tsis yog tus tswv yog insulin-isophan (tib neeg kev tshawb fawb caj).
Tsim los ntawm Novo Nordisk, Bugswerd, Denmark. Muaj tus sawv cev chaw haujlwm sawv cev hauv tebchaws Russia.
Cov sib txawv los ntawm 400 rubles (rau ib lub raj mis 10 ml) txog 900 rubles (rau daim cartridges). Cov chaw muag tshuaj online tuaj yeem pom ntawm tus nqi qis.
- ntshav qab zib hom 1 thiab hom 2
- ntshav qab zib hom 2 hauv cov poj niam cev xeeb tub.
Cov lus qhia rau kev siv (ntau npaum)
Nws yog txiav txim siab ntawm tus kheej nyob ntawm lub cev xav tau cov tshuaj insulin. Nws yog daim ntawv sau tseg los ntawm tus kws khomob koom nrog raws li kev soj ntsuam. Qhov nruab nrab koob yog los ntawm 0.5 txog 1 IU / kg ib hnub.
Nws yog tsuas yog siv rau kev tswj hwm subcutaneous. Nws tuaj yeem siv ob qho tib si li monotherapy, thiab hauv kev sib xyaw nrog lwm cov tshuaj. Feem ntau, ib qho kev txhaj tshuaj yog tsim nyob hauv tus ncej puab, lub xub pwg, lub pob tw lossis hauv plab. Nws yog ib qho tsim nyog kom hloov chaw txhaj tshuaj kom tsis txhob muaj kev txhim kho ntawm lipodystrophy. Yog li, nyob hauv ib hlis, koj tsis tuaj yeem quav yeeb tshuaj ob zaug rau hauv tib qho chaw.
Cev xeeb tub thiab lactation
Nws tuaj yeem siv tau thaum lub sijhawm puv sijhawm thiab thaum lactation, vim tias nws tsis ua kev hem thawj rau kev txhim kho ntawm tus menyuam thiab tsis kis mus rau niam mis.
Leej niam xav tau kev hloov kho ntau dua, vim tias thaum lub sijhawm sib txawv thaum cev xeeb tub, xav tau cov tshuaj insulin tuaj yeem hloov pauv. Yog li, feem ntau nws txo qis hauv thawj peb lub hlis thiab nce ntxiv tom qab.
Yog li, koj yuav tsum tau saib xyuas koj tus mob tas mus li thiab tiv thaiv kom tsis txhob mob ntshav qab zib uas cuam tshuam tshwj xeeb rau tus menyuam.
Cov lus thiab cov xwm txheej ntawm kev cia
Txee lub neej - 2.5 xyoo, tom qab hnub tas sij hawm nws tau muab pov tseg.
Nws muab khaws cia rau hauv qhov chaw qhuav, tsaus, nyob rau hauv tub yees ntawm qhov kub ntawm 2 txog 8 ° C. Tsis khov! Tom qab qhib lub pob, lub txee lub neej yog 6 lub lis piam ntawm qhov kub tsis tshaj 30 degrees.
Yuav tsum muaj kev tiv thaiv los ntawm menyuam yaus.
Piv nrog analogues
Muaj ntau qhov sib piv ntawm cov tshuaj no.
| Lub npe, cov tshuaj yeeb dej caw | Chaw tsim tshuaj paus | Pros thiab cons | Nqe, tshiav. |
| Humulin, isophane insulin. | "Eli Lilly", USA, "BIOTON S.A.", Poland. | Pros: tuaj yeem siv tau thaum cev xeeb tub thiab hauv cov menyuam yaus hnub nyoog qis dua 18 xyoo. |
Cons: tus nqi siab dua, siv nrog ceev faj hauv cov neeg muaj hnub nyoog 65 xyoos.
Cons: tus kws kho mob yuav tsum tau saib xyuas thaum siv rau cov neeg laus, nws kuj siv sijhawm ntev los tos rau qhov pib ntawm kev ua.
Cons: kim heev, tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 6 xyoo.
Hloov ib cov tshuaj nrog lwm qhov yog ua tau los ntawm tus kws kho mob nkaus xwb. Kev siv tus kheej yog txwv!
Insulin Protafan: cov lus qhia rau hloov thiab ntau npaum li cas
Kev kho ntshav qab zib niaj hnub koom nrog kev siv ob hom tshuaj insulin: los npog cov kev xav tau yooj yim thiab them nyiaj rau cov qab zib tom qab noj mov. Ntawm cov tshuaj ntawm nruab nrab lossis nruab nrab kev ua, thawj kab hauv cov qeb duas yog los ntawm Protafan insulin, nws txoj kev lag luam yog kwv yees li 30%.
Cov chaw tsim khoom, lub tuam txhab Novo Nordisk, yog lub npe nrov hauv ntiaj teb los tawm tsam cov ntshav qab zib. Ua tsaug rau lawv cov kev tshawb fawb, cov tshuaj insulin tau tshwm sim nyob rau hauv qhov deb xyoo 1950 nrog kev ua ntev dua, uas ua rau nws muaj peev xwm ua kom yooj yim rau kev ua neej ntawm cov neeg mob. Protafan muaj qhov ua haujlwm ntawm kev ua kom huv si, ruaj khov thiab cov teebmeem ua ntej.
Qhia me ntsis
Protafan yog tsim nyob rau hauv lub cev biosynthetic. Cov DNA tsim nyog rau kev tsim hluav taws xob ntawm cov kua dej yog qhia rau cov kab mob poov xab, tom qab ntawd lawv pib tsim cov tshuaj proinsulin. Cov insulin tau tom qab kho cov kab mob enzymatic yog zoo tib yam rau tib neeg.
Txhawm rau ntev nws cov kev txiav txim, qhov tshuaj tiv thaiv tau tov nrog tshuaj tiv thaiv kab mob, thiab lawv tau quaj los ntawm kev siv tshuab tshwj xeeb. Cov tshuaj tsim tawm hauv txoj hauv kev no yog tus cwj pwm tsis tu ncua, koj tuaj yeem paub tseeb tias cov kev hloov pauv hauv lub raj mis yuav tsis cuam tshuam rau cov ntshav qab zib.
Rau cov neeg mob, qhov no yog qhov tseem ceeb: qhov tsawg dua qhov cuam tshuam cuam tshuam rau kev ua haujlwm ntawm cov tshuaj insulin, kev them nyiaj zoo dua rau ntshav qab zib yuav yog.
| Kev piav qhia | Protafan, zoo li txhua yam NPH insulins, exfoliates hauv lub vial. Hauv qab no muaj ib qho dawb nag lossis daus, saum toj no - cov kua translucent. Tom qab sib tov, tag nrho kev daws ua tiav xim dawb. Qhov kub siab ntawm cov tshuaj nquag muaj ntawm 100 units hauv ib milliliter. |
| Tso Tawm Cov Ntawv | |
| Muaj pes tsawg leeg | Cov tshuaj ua kom nquag plias yog insulin-isophan, pabcuam: dej, tshuaj tiv thaiv sulfate kom ntev lub sijhawm ntawm kev nqis tes ua, phenol, metacresol thiab zinc ions ua tshuaj, cov tshuaj rau kho cov acidity ntawm kev daws. |
| Nkaus | |
| Cov Khoom Qhia | Mob ntshav qab zib mellitus hauv cov neeg mob xav tau kev kho mob insulin, tsis hais hnub nyoog li cas. Nrog rau hom kab mob 1 - txij li chiv keeb los ntawm cov zaub mov tsis txaus siab, nrog hom 2 - thaum noj tshuaj muaj ntshav qab zib thiab zaub mov tsis zoo txaus, thiab glycated hemoglobin ntau tshaj 9%. Mob ntshav qab zib muaj mob ntshav qab zib hauv poj niam cev xeeb tub. |
| Xaiv xaiv | Cov lus qhia tsis muaj qhov tshuaj pom zoo, vim tias yuav tsum tau txhaj tshuaj insulin rau cov ntshav qab zib sib txawv yog qhov sib txawv. Nws suav raws qhov teeb meem ceev ntawm cov ntaub ntawv glycemia. Cov koob tshuaj ntawm cov tshuaj insulin rau yav sawv ntxov thiab yav tsaus ntuj tswj hwm yog xaiv cais - kev suav ntawm cov koob tshuaj insulin rau ob hom. |
| Koob tshuaj hloov kho | Qhov xav tau ntawm insulin ntau ntxiv nrog kev mob siab rau cov nqaij ntshiv, mob lub cev thiab hlwb, mob o, thiab kis kab mob. Kev siv dej cawv hauv ntshav qab zib yog qhov tsis txaus siab, vim nws txhim kho lub cev tsis ua haujlwm thiab tuaj yeem ua rau tus mob ntshav qab zib tsawg.|
| Sab sij huam | |
| Cov Yuav Tsum Muaj | |
| Cia | Xav tau kev tiv thaiv los ntawm lub teeb, txias txias thiab kub siab (> 30 ° C). Vials yuav tsum khaws cia rau hauv ib lub thawv, tshuaj insulin hauv koob txhaj tshuaj yuav tsum tiv thaiv nrog lub hau. Hauv cov huab cua kub, cov cuab yeej siv txias txias yog siv los thauj Protafan. Cov kev mob zoo rau lub sijhawm ntev (txog 30 lub lis piam) kev khaws cia yog chaw txee lossis lub qhov rooj tub yees. Ntawm chav sov, Protafan hauv pib lub vial kav rau 6 lub lis piam. |
Lub sijhawm ua
Tus nqi ntawm kev nkag ntawm Protafan los ntawm cov nqaij subcutaneous mus rau hauv cov ntshav hauv cov neeg mob ntshav qab zib yog qhov sib txawv, yog li nws tsis tuaj yeem kwv yees tau meej meej thaum insulin pib ua haujlwm. Cov ntaub ntawv khaws tseg:
- Los ntawm kev txhaj tshuaj rau cov tsos ntawm cov keeb tshuaj hauv ntshav, ntev li 1.5 teev.
- Protafan muaj qhov ua siab tshaj, nyob hauv cov neeg mob ntshav qab zib feem ntau nws tshwm sim thaum 4 teev txij li lub sijhawm saib xyuas.
- Lub sijhawm tag nrho ntawm qhov kev txiav txim ncav 24 teev. Hauv qhov no, kev vam khom lub sijhawm ntawm kev ua haujlwm ntawm cov koob tshuaj tau ua tiav. Nrog kev qhia txog 10 chav nyob ntawm Protafan insulin, cov txiaj ntsig ntawm cov piam thaj yuav pom nyob rau ntawm 14 teev, 20 units txog li 18 teev.
Kev txhaj tshuaj thim rov qab
Feem ntau rau cov mob ntshav qab zib, txoj kev tswj hwm ob zaug ntawm Protafan tau txaus: thaum sawv ntxov thiab ua ntej yuav mus pw. Kev txhaj tshuaj rau yav tsaus ntuj yuav tsum txaus tswj kom muaj glycemia thawm hmo.
Nyob zoo Kuv lub npe yog Alla Viktorovna thiab kuv tsis muaj ntshav qab zib ntxiv lawm! Nws coj kuv tsuas yog 30 hnub thiab 147 rubles.coj qab zib rov qab mus rau qhov qub thiab tsis vam khom rau cov tshuaj tsis raug mob nrog ib pawg ntawm cov kev mob tshwm sim.
>>Koj tuaj yeem nyeem kuv zaj dab neeg ntawm kev nthuav dav ntawm no.
Cov kev xav rau qhov yog:
- qab zib thaum sawv ntxov yog tib yam li thaum yuav mus pw
- Tsis muaj hypoglycemia thaum hmo ntuj.
Feem ntau, cov piam thaj hauv ntshav nce siab tom qab 3 teev sawv ntxov, thaum ntau lawm ntawm cov tshuaj tiv thaiv contrainsular feem ntau nquag, thiab cov nyhuv ntawm cov tshuaj insulin tsis muaj zog.
Yog tias Protafan lub ncov xaus xaus, ua rau muaj kev phom sij txog kev noj qab haus huv muaj peev xwm ua tau: tsis nco qab txog qhov muaj ntshav siab thaum hmo ntuj thiab muaj suab thaj ntau thaum sawv ntxov. Txhawm rau zam nws, koj yuav tsum tau saib xyuas cov ntshav qab zib kom tsawg thaum 12 thiab 3 teev.
Lub sijhawm ntawm kev txhaj tshuaj rau yav tsaus ntuj tuaj yeem hloov pauv, hloov mus rau cov yam ntxwv ntawm cov tshuaj.
Cov yam ntxwv ntawm kev nqis tes ntawm kev txhaj tshuaj me
Nrog tus mob ntshav qab zib hom 2, mob ntshav qab zib hauv poj niam cev xeeb tub, hauv menyuam yaus, rau cov neeg laus noj zaub mov noj tsis txaus, xav tau NPH insulin kuj yuav tsawg. Nrog rau ib qho tshuaj me me (txog 7 chav nyob), lub sijhawm ua haujlwm ntawm Protafan tuaj yeem raug txwv tsis pub dhau 8 teev. Qhov no txhais tau hais tias ob txoj kev txhaj tshuaj uas muab los ntawm kev qhia yuav tsis txaus, thiab nyob nruab nrab ntawm cov ntshav qab zib yuav nce siab.
Qhov no tuaj yeem zam dhau los ntawm kev txhaj tshuaj Protafan insulin 3 zaug txhua 8 teev: thawj koob tau muab tam sim ntawd tom qab sawv los, thib ob thaum noj su nrog luv insulin, qhov thib peb, qhov loj tshaj plaws, tsuas yog ua ntej yuav mus pw.
Kev kuaj ntshav qab zib, tsis yog txhua tus ua tiav ua tiav cov txiaj ntsig zoo rau kev mob ntshav qab zib li no. Qee lub sij hawm hmo ntuj nres ua ntej yuav sawv, thiab qab zib thaum sawv ntxov. Ua kom cov koob tshuaj ntau dua ua rau muaj kev noj ntau dua ntawm insulin thiab hypoglycemia. Tib txoj kev tawm ntawm qhov xwm txheej no yog hloov mus rau insulin analogues nrog lub sijhawm ua haujlwm ntev.
Kev quav zaub mov
Tus mob ntshav qab zib rau kev kho mob insulin feem ntau yog hais txog cov tshuaj insulin nruab nrab thiab luv.Lub sijhawm luv luv yog qhov xav tau kom qis cov piam thaj hauv cov ntshav uas nkag los ntawm cov zaub mov. Nws kuj tseem siv los kho glycemia. Ua ke nrog Protafan nws yog qhov zoo dua los siv luv luv npaj ntawm tib lub chaw tsim khoom - Actrapid, uas tseem muaj nyob hauv lub raj mis thiab daim cartridges rau koob txhaj tshuaj.
Lub sijhawm ntawm kev tswj hwm ntawm insulin Protafan tsis yog nyob ntawm kev noj mov ntawm ib txoj kev twg, kwv yees li ntawm kev sib xyaw ntawm kev txhaj tshuaj yog qhov txaus. Thaum koj tau xaiv lub sijhawm yooj yim, koj yuav tsum ua raws li nws tas li.
Yog tias nws txuam nrog cov zaub mov, Protafan tuaj yeem muab luv nrog insulin luv.
Nyob rau tib lub sijhawm nws nyob hauv tib lub koob txhaj tshuaj yog qhov tsis zoo, vim tias nws zoo li yuav ua txhaum nrog koob tshuaj thiab maj mam nqis tes ua ntawm qhov luv luv.
Qhov siab tshaj plaws
Ntawm ntshav qab zib mellitus, koj yuav tsum tau txhaj tshuaj insulin ntau npaum li qhov yuav tsum tau ua kom qab ntxiv ntawm cov piam thaj. Cov lus qhia rau kev siv tsis tau teeb tsa qhov ntau tshaj plaws. Yog tias cov nyiaj ntawm Protafan insulin raug ntau lawm, qhov no yuav qhia tau cov tshuaj insulin tsis kam. Nrog rau cov teeb meem no, koj yuav tsum sab laj nrog koj tus kws kho mob. Yog tias tsim nyog, nws yuav muab tshuaj rau noj uas txhim kho kev ua ntawm cov tshuaj hormones.
Cev xeeb tub Siv
Yog tias mob ntshav qab zib gestational nws tsis tuaj yeem ua tiav glycemia ib leeg los ntawm kev noj haus, cov neeg mob tau kho cov tshuaj insulin. Cov tshuaj thiab nws cov koob tshuaj tau xaiv tshwj xeeb, vim tias ob qho tib si hypo- thiab hyperglycemia nce qhov kev pheej hmoo ntawm kev ua tsis tiav hauv tus menyuam. Cov tshuaj Insulin Protafan raug tso cai siv thaum cev xeeb tub, tab sis feem ntau, cov tshuaj ntev yuav zoo dua.
Koj puas mob siab los ntshav siab? Koj puas paub tias kub siab ua rau lub plawv nres thiab mob nkees? Li qub koj siab nrog ... Lub tswv yim thiab cov lus qhia hais txog tus qauv nyeem ntawm no >>
Yog tias cev xeeb tub tshwm sim nrog tus mob ntshav qab zib hom 1, thiab tus poj niam ua tiav tau txiaj ntsig ntawm tus kab mob Protafan, kev hloov pauv ntawm cov tshuaj tsis tas yuav tsum tau.
Kev pub mis niam tau zoo nrog kev kho mob insulin. Protafan yuav tsis ua mob rau tus menyuam txoj kev noj qab haus huv. Cov tshuaj Insulin nkag mus rau hauv cov mis hauv qhov ntau thiab tsawg, tom qab ntawd nws tau tawg hauv cov hnyuv ntawm tus menyuam, ib yam li lwm cov protein.
Protafan analogues, hloov mus rau lwm lub insulin
Ua tiav cov tshuaj tiv thaiv ntawm Protafan NM nrog rau cov kev ua tib zoo thiab cov sijhawm ua haujlwm kaw yog:
- Humulin NPH, Tebchaws Asmeskas - cov neeg sib tw tseem ceeb, muaj feem ua lag luam ntau dua 27%,
- Insuman Bazal, Fabkis,
- Biosulin N, RF,
- Rinsulin NPH, RF.
Los ntawm qhov pom ntawm cov tshuaj, kev hloov ntawm Protafan mus rau lwm cov tshuaj NPH tsis yog hloov mus rau lwm lub tshuaj insulin, thiab txawm tias nyob rau hauv cov zaub mov noj tsuas yog cov tshuaj nquag tau qhia, thiab tsis yog ib hom tshuaj tshwj xeeb.
Hauv kev coj ua, xws li kev hloov pauv tsis tuaj yeem tsuas tswj kev tiv thaiv glycemic ib ntus thiab xav tau kev hloov kho koob tshuaj, tab sis kuj tseem ua rau ua xua.
Yog tias glycated hemoglobin yog ib txwm muaj thiab hypoglycemia yog qhov tsis tshua muaj, nws tsis pom zoo kom tsis kam tso tshuaj insulin Protafan.
Qhov sib txawv ntawm cov tshuaj insulin
Cov tshuaj insulin ntev ntev xws li Lantus thiab Tujeo tsis muaj lub ncov siab, zoo dua lub siab thiab feem ntau yuav ua rau ua xua. Yog tias tus mob ntshav qab zib tsis muaj qhov ntshav qab zib qis los yog ntshav qab zib vim tsis muaj qhov pom tseeb, Protafan yuav tsum tau hloov nrog cov tshuaj insulins ntev niaj hnub no.
Lawv qhov kev tsis txaus ntseeg tseem ceeb yog lawv tus nqi siab. Tus nqi ntawm Protafan yog li 400 rubles. rau ib lub raj mis thiab 950 rau packing cartridges rau syringe cwjmem. Insulin analogues yuav luag 3 zaug kim kim.
Nco ntsoov kawm! Koj puas xav hais tias cov ntsiav tshuaj thiab cov insulin yog tib txoj kev ua kom tswj qab zib? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv ... nyeem ntxiv >>
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Yuav ua li cas rau cov ntshav qab zib kom tsawg dua: kev noj haus, qoj ib ce thiab tshuaj xyuas cov tshuaj zoo
Yuav ua li cas rau cov ntshav qab zib kom tsawg: noj zaub mov zoo, tawm dag zog thiab tshuaj xyuas cov kev kho mob nrov Cov neeg uas muaj ntshav qab zib yuav tsis xis nyob thiab muaj ntau qhov tsis txaus ntseeg. Feem ntau txoj haujlwm ntawm lub paj hlwb tau ntxhov, ua xua tshwm sim. ... -
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