Insulin Humalog: cov yam ntxwv ntawm kev siv thiab cim
Humalog yog cov hluavtaws sib piv ntawm cov neeg ua haujlwm luv insulin. Nws tswj hwm tus metabolism hauv cov piam thaj hauv lub cev, txo nws cov qib hauv cov ntshav. Hauv qhov no, dhau li ntawm cov piam thaj hauv daim ntawv ntawm glycogen accumulates hauv cov leeg thiab nplooj siab. Insulin Humalog ua kom nrawm ntawm cov synthesis protein, kev noj cov amino acids, maj mam zom cov glycogen rau qabzib, thiab ua rau qeeb ntawm kev tsim cov piam thaj los ntawm cov rog thiab cov protein.
Kev siv tshuaj insulin luv luv feem ntau yog sib xyaw nrog basal kom zoo dua tswj ntshav qabzib. Lub sijhawm ntawm cov ua ntawm Humalog sib txawv ntawm cov neeg mob sib txawv thiab nyob ntawm ntau yam.
Xws li hom 2 mob ntshav qab zib mellitus, thaum tus neeg mob tau txais ib txhij hypoglycemic tus neeg sawv cev hauv cov ntsiav tshuaj thiab cov insulin no, cov ntshav qab zib tswj yog ntau txhim khu kev qha. Qhov no yog xav txog qhov txo qis ntawm glycated hemoglobin qhov tseem ceeb thaum tshuaj xyuas kev kho mob. Humalog txo qis ntau zaus ntawm kev txo cov ntshav qab zib thaum hmo ntuj. Qhov mob ntawm daim siab thiab ob lub raum ntawm tus neeg mob tsis cuam tshuam rau cov metabolism hauv cov tshuaj.
Raws li cov lus qhia, Humalog tau nrawm thiab pib ua 15 feeb tom qab kev tswj hwm, yog li nws tuaj yeem siv 15 feeb ua ntej noj mov, tsis zoo li lwm cov yeeb yam luv luv, uas siv 30 mus rau 45 feeb. Lub sijhawm nws lub sijhawm luv dua li cov neeg siv tshuaj insulin, thiab tsuas yog 2 - 5 teev xwb.
Cov lus qhia rau kev siv Humalog
Cov tshuaj yog muab tshuaj subcutaneously los ntawm kev txhaj tshuaj lossis lub tshuaj insulin tam sim ntawd ua ntej noj mov. Qhov chaw txhaj tshuaj yog lub xub pwg, ncej puab, plab lossis pob tw. Koj yuav tsum tau hloov rau lawv thiaj li nyob rau hauv ib qho chaw txhaj tshuaj tsis tas yuav ua dua ob zaug hauv 1 hlis, qhov no yuav tiv thaiv kom tsis txhob ua cov nqaij mos. Peb yuav tsum sim kom tsis txhob nkag rau hauv cov hlab ntshav. Tsis txhob txhuam qhov chaw txhaj tshuaj tom qab txhaj tshuaj kom nqus tau zoo dua ntawm cov tshuaj.
Thaum mob ceev, Humalog insulin tuaj yeem muab tshuaj rau hauv cov kev kho mob physiological (phais, ketoacidosis, thiab lwm yam). Ua ntej txhaj tshuaj, nco ntsoov tias cov tshuaj tov yog sov rau chav sov.
Cov koob tshuaj ntawm Humalog yog tus kheej rau txhua tus neeg mob thiab suav los ntawm tus kws kho mob. Tsis txhob sib xyaw ua ke ntawm cov tshuaj insulins.
Qhov tshuaj tiv thaiv Humalog tsawg dua thaum noj nrog glucocorticoids, tshuaj tiv thaiv qhov ncauj, tshuaj tua cov thyroid, thiab nicotinic acid. Ethanol, salicylates, ACE inhibitors, beta-blockers nce cov nyhuv ntawm cov tshuaj insulin.
Thaum cev xeeb tub thiab lactation, kev tswj hwm ntawm cov tshuaj insulin no siv tau, tab sis kev saib xyuas ntau ntxiv ntawm cov ntshav qab zib yuav tsum muaj. Thaum lub sij hawm pub mis niam, ib qho rov qab siv lub koob tshuaj ntau zaus vim tias xav tau cov tshuaj insulin ntau dua. Cov tshuaj muaj cai siv rau hauv menyuam yaus.
Sab sij huam
Qee lub sij hawm nrog kev noj ntau dhau los yog cov yam ntxwv ntawm lub cev qhov kev tawm tsam, Humalog tuaj yeem ua rau cov ntshav qabzib tsawg zuj zus - hypoglycemia.
Qee zaum, muaj kev fab tshuaj rau cov tshuaj hauv daim ntawv ua pob, ua pob liab liab, khaus ntawm daim tawv nqaij, yog mob hnyav - mob caj dab.
Ntawm qhov chaw txhaj tshuaj, txo cov roj subcutaneous txheej txheej, lipodystrophy, tuaj yeem sau tseg.
Cov yam ntxwv thiab cov lus qhia rau kev siv insulin Humalog
Ntawm cov tshuaj feem ntau siv cov tshuaj insulin tuaj yeem hu ua Humalog. Lawv tau tso tshuaj rau hauv Switzerland.
Nws yog ua raws li insulin Lizpro thiab npaj rau kev kho mob ntshav qab zib.
Cov tshuaj yuav tsum yog tus kws kho mob sau tseg. Nws kuj yuav tsum piav qhia txoj cai tswj kev noj tshuaj txhawm rau kom zam dhau lub txim tsis zoo. Cov tshuaj yuav muag los ntawm cov tshuaj xaj.
Cov ntaub ntawv dav dav thiab thaj chaw muag tshuaj
Humalog yog nyob rau hauv daim ntawv ntawm ncua kev kawm lossis kev txhaj tshuaj. Kev raug tshem tawm yog txais tos nyob rau hauv cov neeg dawb thiab ib qho nyiam nyiam lub siab. Txoj kev daws teeb meem tsis muaj xim thiab tsis ntxhiab, pob tshab.
Qhov tseem ceeb ntawm cov khoom muaj pes tsawg leeg yog Lizpro insulin.
Ntxiv rau nws, cov khoom xyaw xws li:
- dej
- metacresol
- zinc oxide
- glycerol
- sodium hydrogen phosphate heptahydrate,
- Cov kua sodium hydroxide.
Cov khoom lag luam raug muag hauv 3 ml cartridges. Cov ntawv thawv yog nyob hauv Quickpen syringe mem, 5 daim ib pob.
Tsis tas li ntawd, muaj ntau yam yeeb tshuaj, uas suav nrog kev hais luv luv ntawm cov tshuaj insulin thiab kev txwv tsis pub tshuaj. Lawv hu ua Humalog Mix 25 thiab Humalog Mix 50.
Lizpro insulin yog ib qho tshuaj tiv thaiv ntawm tib neeg cov tshuaj insulin thiab yog tus cwj pwm zoo tib yam. Nws pab txhawm rau ua kom nce tus nqi ntawm cov piam thaj. Cov tshuaj ua haujlwm ua rau ntawm cov xoos ntawm tes, vim tias cov piam thaj hauv cov ntshav nkag mus rau cov ntaub so ntswg thiab muab faib rau hauv lawv. Nws kuj txhawb nqa ua kom cov protein ua haujlwm zoo.
Cov tshuaj no yog tus cwj pwm los ntawm kev ua sai. Cov nyhuv tshwm nyob rau hauv ib lub hlis twg ntawm ib teev tom qab txhaj tshuaj. Tab sis nws mob tsawv rau ib pliag. Ib nrab ntawm lub neej ntawm cov tshuaj xav tau ntev txog 2 teev. Qhov siab tshaj plaws rau lub sijhawm yog 5 teev, uas cuam tshuam los ntawm qee qhov yam ntxwv ntawm tus neeg mob lub cev.
Kev taw qhia thiab contraindications
Qhov taw qhia rau kev siv cov tshuaj insulin-muaj yog:
- yam type 1 insulin-dependant ntshav qab zib (nyob hauv qhov tsis haum rau lwm hom kev insulin),
- ntshav qab zib hom 2 uas tsis muaj tshuaj insulin (yog tias kho nrog lwm cov tshuaj ua tsis muaj txiaj ntsig)
- npaj kev pab rau kev phais mob
- mob ntshav qab zib uas tau tshwm sim thaum lub sijhawm xeeb tub (cev tsis meej xeeb).
Hauv cov xwm txheej no, yuav tsum tau kho cov tshuaj insulin. Tab sis tib lub Humalog yuav tsum tau tsa los ntawm tus kws kho mob tom qab kawm txog daim duab ntawm tus kab mob. Cov tshuaj no muaj qee yam contraindications. Koj yuav tsum xyuas kom meej tias lawv tsis tuaj, txwv tsis pub muaj kev pheej hmoo ntawm cov kev mob tshwm sim.
Cov no suav nrog:
- kev tshwm sim ntawm kev ua qog hypoglycemia (lossis qhov tshwm sim ntawm nws qhov tshwm sim),
- kev tsis haum ntawm qhov muaj pes tsawg leeg.
Nrog rau cov ntsej muag no, tus kws kho mob yuav tsum xaiv lwm yam tshuaj sib txawv. Ceev faj kuj tseem ceeb yog tias tus neeg mob muaj qee cov kab mob ntxiv (kab mob ntawm lub siab thiab lub raum), vim tias vim lawv, lub cev xav tau cov tshuaj insulin tuaj yeem ua kom tsis muaj zog. Raws li, cov neeg mob zoo li no yuav tsum kho cov tshuaj ntau ntxiv.
Cov Neeg Mob Tshwj Xeeb thiab Cov Lus Qhia
Thaum siv Humalog, qee qhov yuav tsum tau ceev faj txog qhov tshwj xeeb ntawm cov neeg mob. Lawv lub cev yuav nkag siab dhau los cuam tshuam txog cov tshuaj insulin, yog li koj yuav tsum tau ua tib zoo saib xyuas.
Ntawm lawv yog:
- Cov poj niam thaum cev xeeb tub. Raws txoj kev xav, kev kho mob ntshav qab zib hauv cov neeg mob no tau tso cai. Raws li kev tshawb pom, cov tshuaj tsis cuam tshuam rau kev txhim kho ntawm tus menyuam thiab tsis ua rau muaj kev rho menyuam hauv plab. Tab sis nws yuav tsum tau yug los hauv lub siab tias lub sijhawm no cov theem ntawm cov piam thaj hauv cov ntshav tuaj yeem sib txawv ntawm cov sijhawm sib txawv. Qhov no yuav tsum raug tswj kom tsis txhob muaj qhov tsis xav ua yam tsis zoo.
- Saib xyuas niam cov txiv. Kev nkag mus ntawm cov tshuaj insulin rau hauv niam mis tsis yog qhov kev phom sij rau tus menyuam mos. Qhov khoom siv no muaj cov keeb kwm protein thiab nqus tau ntawm txoj hnyuv zom zaub mov. Qhov ceeb toom tsuas yog tias cov poj niam uas ua raws li kev noj zaub mov zoo yuav tsum yog nyob ntawm zaub mov noj.
Rau cov menyuam yaus thiab cov laus hauv qhov tsis muaj teeb meem kev noj qab haus huv, tsis muaj kev saib xyuas tshwj xeeb. Cov tshuaj Humalog yog qhov haum rau lawv txoj kev kho mob, thiab tus kws kho mob yuav tsum xaiv qhov ntau npaum li cas los ntawm cov yam ntxwv ntawm chav kawm ntawm tus kabmob.
Kev siv ntawm Humalog yuav tsum muaj qee qhov kev xav hauv kev sib raug rau qee yam kabmob sib kis.
Cov no suav nrog:
- Kev ua txhaum nyob rau hauv daim siab. Yog tias qhov kev ua haujlwm ntawm lub cev ua haujlwm tsis zoo tshaj li qhov tsim nyog, tom qab ntawd cov nyhuv ntawm cov tshuaj rau nws yuav dhau mus, uas ua rau muaj kev nyuaj siab, nrog rau kev txhim kho hypoglycemia. Yog li ntawd, nyob rau hauv qhov muaj kab mob siab, qhov kev noj tshuaj ntawm Humalog yuav tsum raug txo kom tsawg.
- Teeb meem lub raum ua haujlwm. Yog tias lawv nyob hauv, nws tseem muaj qhov txo qis hauv lub cev xav tau cov tshuaj insulin. Hauv kev hais txog qhov no, koj yuav tsum ua tib zoo suav seb puas noj ntau npaum li cas thiab saib xyuas txoj kev kho. Lub xub ntiag ntawm cov teeb meem zoo li no yuav tsum muaj kev tshuaj xyuas lub raum ib qho zuj zus.
Humalog muaj peev xwm ua rau cov ntshav qis, vim tias qhov ceev ntawm qhov tshwm sim thiab lub peev xwm mloog zoo yog cuam tshuam.
Kiv taub hau, tsis muaj zog, tsis meej pem - tag nrho cov yam ntxwv no tuaj yeem cuam tshuam kev ua haujlwm ntawm tus neeg mob. Kev ua ub no uas xav tau kev nrawm thiab kev xav yuav ua tsis tau rau nws. Tab sis cov tshuaj nws tus kheej tsis cuam tshuam rau cov ntsej muag no.
Pharmacological kev txiav txim
Tib neeg yog cov DNA muab tso tawm ua ke ntawm cov tshuaj insulin.
Kev ua haujlwm tseem ceeb ntawm Humalog yog tsom tawm ntawm kev tswj cov metabolism hauv qabzib. Tsis tas li, cov tshuaj muaj cov nyhuv anabolic, vim tias cov ntsiab lus ntawm cov roj ntsha, glycerol, glycogen hauv cov leeg nqaij nce ntxiv, nrog rau kev nce ntxiv ntawm kev noj cov amino acids thiab nce protein synthesis. Hauv qhov no, muaj qhov txo qis hauv gluconeogenesis, glycogenolysis, lipolysis, ketogenesis thiab kev tso tawm ntawm cov amino acids.
Tawm tsam keeb kwm ntawm cov ntshav qab zib mellitus hom 1 thiab 2, thaum siv Humalog, hauv kev sib piv nrog soluble tib neeg cov tshuaj insulin, muaj qhov txo qis tseem ceeb hauv hyperglycemia uas tshwm sim tom qab noj mov. Txhawm rau kom ua tiav cov ntshav qabzib hauv cov ntshav, yuav tsum xaiv cov koob tshuaj tiv thaiv luv luv thiab ua haujlwm ntawm cov insulin.
Lub sijhawm ntawm Humalogue sib txawv raws li cov chav kawm ntawm tus kabmob, nrog rau tus kheej cov yam ntxwv, qhov chaw txhaj tshuaj, cov yam ntxwv ntawm cov ntshav thiab lub cev kub.
Tsis muaj qhov sib txawv hauv kev siv ntawm Humalog rau cov laus thiab cov menyuam yaus.
Glucodynamic teb rau kev kho mob nrog Humalog yog ywj siab ntawm daim siab lossis lub raum tsis ua haujlwm.
Cov tshuaj ua kom nquag plias ntawm Humalog yog sib npaug rau tib neeg cov tshuaj insulin, tab sis nws pom los ntawm kev pib sai dua (hauv 15 feeb), nrog rau lub sijhawm luv (ntawm 2 txog 5 teev).
Tsuas tshuaj thiab tswj hwm
Noj ib zaug tshuaj ntawm cov tshuaj insulin Humalog txiav txim los ntawm tus kws kho mob ib leeg zuj zus. Koj tuaj yeem nkag mus rau cov tshuaj sai ua ntej noj mov, thiab qee kis sai tom qab nws.
Qhov kub ntawm cov tshuaj yuav tsum yog yam tsawg kawg chav tsev.
Feem ntau, kev noj tshuaj yog muab tshuaj subcutaneously (los ntawm txhaj tshuaj lossis los ntawm kev ua kom ntev ntev uas siv lub tshuab nqus insulin) hauv tus ncej puab, xub pwg, plab lossis pob tw. Hauv qhov no, qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom ib qho chaw tsis siv ntau zaus ntau dua ib hlis ib zaug. Thaum tswj hwm kev daws teeb meem ntawm Humalog, koj yuav tsum ua tib zoo kom tsis txhob nkag mus rau hauv cov kab ke ntsig.
Raws li kev taw qhia (tawm tsam keeb kwm ntawm ketoacidosis, mob hnyav, zoo li nyob rau lub sijhawm tom qab lossis nyob rau lub sijhawm nruab nrab ntawm kev ua haujlwm) Humalog yog tswj hwm dej.
Thaum muab txoj kev noj tshuaj, cov tshuaj muab rau noj yuav tsum muab yoog kom ua kom tsis txhob noj ntau dhau, uas tuaj yeem pom qhov ua kom tsis muaj ntshav qab zib, nrog lub cev tsis muaj zog, tawm hws, tachycardia, mob taub hau, ntuav, thiab tsis meej pem. Raws li txoj cai, piam thaj lossis lwm yam tshuaj lossis khoom noj muaj suab thaj yog siv los kho.
Yuav kom kho qhov kub ntxov ntawm kev mob ntshav siab, kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon siv, thiab tom qab hloov kho, cov khoom noj carbohydrates yog kho sab hauv. Txhawm rau tiv thaiv kom rov ua dua ntawm hypoglycemia, yuav tsum tau muaj sijhawm ntev los ntawm carbohydrates.
Yeeb tshuaj sib cuam tshuam
Thaum kho, nws yuav tsum tau yug los rau hauv lub siab tias qhov kev tiv thaiv hypoglycemic ntawm Humalog insulin tuaj yeem txo cov txiaj ntsig ntawm kev siv ntawm qhov ncauj tiv thaiv kab mob, glucocorticosteroids, thyroid hormone tshuaj, danazole, nicotinic acid, beta2-adrenergic agonists (suav nrog salbutamol, ritodrin thiab terbutaline), tricyclic antideists thiazide diuretics, diazoxide, lithium carbonate, isoniazid, phenothiazine derivatives.
Amplification Humalog hypoglycemic txiav txim cai thaum ua ntawv thov nws nrog beta-blockers, ethanol thiab ethanol-muaj tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, qhov ncauj hypoglycemic tshuaj, salicylates, sulfonamides, Mao inhibitors thiab ACE, octreotide, angiotensin receptor II antagonists.
Nws tsis pom zoo kom sib xyaw nrog Humalog nrog cov tshuaj uas muaj cov tsiaj insulin.
Nyob rau hauv kev saib xyuas ntawm tus kws kho mob, Humalog raws li cov lus qhia tuaj yeem siv ib txhij nrog tib neeg cov tshuaj insulin, uas tau ua haujlwm ntev dua, lossis nrog tshuaj qhov ncauj hypoglycemic (sulfonylurea derivatives).
Cev xeeb tub thiab lactation
Thaum lub sij hawm kawm, muaj tsis muaj yam tsis xav tau ntawm Humalog rau tus me nyuam los yog niam noj qab haus huv, tab sis tsis muaj kev sib kis ntawm kev tshawb fawb tau tshawb xyuas.
Thaum cev xeeb tub, Humalog yog cov kws kho mob txhawm rau tswj hwm cov ntshav qabzib txaus tiv thaiv cov keeb kwm ntawm ntshav qab zib insulin-mob ntshav qab zib lossis mob ntshav qab zib hauv poj niam. Raws li txoj cai, xav tau cov tshuaj insulin poob qis hauv thawj peb lub hlis thiab nce hauv 2-3 trimesters ntawm cev xeeb tub. Qhov xav tau rau insulin tuaj yeem txo qis heev thaum yug menyuam, thiab tseem sai tom qab lawv.
Yog hais tias muaj ntshav qab zib, nws raug nquahu kom qhia tus kws kho mob kom raws sijhawm txog kev pib ntawm cev xeeb tub, txij li lub sijhawm no nws yog ib qhov tsim nyog yuav tsum tau ua tib zoo saib xyuas qib ntshav qabzib.
Thaum lub sij hawm pub mis niam, nws yog ib qho tsim nyog yuav tau kho qhov koob tshuaj raws li teev ntawm Humalog.
Cov tshuaj insulin ultrashort yog dab tsi?
Tam sim no, txhawm rau kom tau txais kev them nyiaj ruaj khov, ntau yam tshuaj thiab lawv cov kev sib txuas yog siv. Ntau tus neeg mob hauv ntau lub teb chaws txaus siab pom cov tshuaj hloov pauv ib txwm ib nrab ib teev ua ntej noj mov, nquag siv ib qho kev tsim tshuaj tshiab ntawm insulin Humalog.
Cov tshuaj yog yooj yim tshwj xeeb tshaj yog rau kev kho mob rau cov tub ntxhais hluas mob ntshav qab zib, vim nws tsis yooj yim los laij kwv yees lub plab ntawm tus menyuam, thiab nws tsis yooj yim sua kom tshem tawm qhov twb qhia lawm los ntawm lub cev. Tab sis kev txhaj tshuaj tam sim ntawd tom qab noj mov hauv qhov no yog qhov kev txiav txim siab raug.
Kev hloov mus rau lispro yog nqa tawm los ntawm ntau yam. Feem ntau, cov tshuaj yog xaiv los ntawm cov neeg uas tsis nrhiav tus cwj pwm ntawm kev ua txhua hnub.
Tsis tas li, cov tshuaj tau tawm rau cov neeg mob uas twb muaj teeb meem qab zib, npaj rau kev phais mob, cov hluas thiab menyuam yaus ntawm thawj xyoo ntawm lub neej. Nrog kev pab los ntawm cov tshuaj no, DM 2, uas tsis teb rau cov tshuaj tso ntshav qab zib kom tsawg, tuaj yeem kho tau yooj yim.
Feem ntau cov tshuaj qog ua ke nrog txuas ntxiv xws li Lantus lossis Levemir.
Kev siv cov tshuaj thaum cev xeeb tub muab cov tshuaj zoo glycemic tswj tau muab tias qhov ntau npaum cov raug xaiv yog lawm thiab kev txhaj tshuaj yog pom.
Cov yam ntxwv ntawm kev taw qhia thaum cev xeeb tub
Cov poj niam cev xeeb tub yuav tsum tau xyuam xim tshwj xeeb thaum txhaj ib hom tshuaj insulin. Cov txiaj ntsig ntawm kev tshawb nrhiav niaj hnub pom tias tsis muaj qhov cuam tshuam nrog kev siv qhov tseeb ntawm cov tshuaj no.
Thaum cev xeeb tub, cov neeg mob yuav tsum ua tib zoo saib xyuas kom muaj cov piam thaj hauv cov ntshav. Qhov no tseem siv rau cov mob muaj ntshav qab zib hauv lub tes taw. Nws yog ib qho tsim nyog yuav tsum tau ua tib zoo ua raws li txhua qhov kev pom zoo ntawm tus kws kho mob, vim koj yuav tau hloov pauv ntau npaum li cas nyob ntawm peb lub hlis ntawm cev xeeb tub.
Yog tias tus poj niam muaj ntshav qab zib, npaj yuav cev xeeb tub thiab noj tshuaj Humalog, nws yuav tsum qhia tus kws kho mob txog nws. Hauv qhov no, koj yuav tsum hloov pauv cov phiaj xwm ntawm kev kho mob insulin.
Yeeb tshuaj thiab dej cawv sib cuam tshuam
Nws yog ib qho tsim nyog yuav tsum tau ceev faj tshwj xeeb rau cov neeg mob uas siv lwm cov tshuaj uas cuam tshuam rau cov ntshav qab zib. Cov tshuaj txuas ntxiv no ntxiv txo cov ntshav qab zib:
- MAO inhibitors
- β-blockers
- sulfonamide npaj.
Cov tshuaj noj xws li clonidine, reserpine, β-blockers npog ntsej muag cov tsos mob ntawm cov ntshav qab zib tsawg. Cov tshuaj hauv qab no, ntawm qhov tsis sib xws, txo cov tshuaj hypoglycemic ntawm Humalog:
- tshuaj tiv thaiv qhov ncauj
- glucocorticosteroid tshuaj,
- cov thyroid hormones txaus,
- diuretics ntawm thiazide series,
- tricyclic cov tshuaj tiv thaiv kev ntxhov siab.
Cawv kev haus dej haus nrog kev kho tshuaj insulin ua rau muaj kev cuam tshuam txog lub cev qhov kev tiv thaiv hypoglycemic.
Tus nqi, tshuaj xyuas thiab analogues tshuaj
Cov tshuaj yuav muag los ntawm cov tshuaj nkaus xwb. Nws tuaj yeem muas ntawm chaw muag tshuaj lossis chaw muag tshuaj online. Tus nqi ntawm cov tshuaj los ntawm Humalog series tsis yog ntau heev, txhua tus neeg nrog cov nyiaj tau los nruab nrab tuaj yeem yuav nws. Tus nqi ntawm kev npaj tau yog rau Humalog Mix 25 (3 ml, 5 pcs) - los ntawm 1790 txog 2050 rubles, thiab rau Humalog Mix 50 (3 ml, 5 pcs) - los ntawm 1890 txog 2100 rubles.
Kev txheeb xyuas ntawm cov neeg mob ntshav qab zib feem ntau txog insulin Humalog zoo. Muaj ntau cov lus pom nyob hauv Is Taws Nem txog kev siv tshuaj, uas tau hais tias nws yooj yim siv, thiab nws ua sai sai.
Yuav ua li cas thiaj li thov Humalog?
Rau cov tshuaj, ib qho tshwj xeeb Quick Pen syringe cwj mem yog muaj rau kev tswj hwm yooj yim dua. Ua ntej ua ntawv thov nws, koj yuav tsum nyeem phau Ntawv Qhia Cov Lus Qhia Txuas nrog.
Qhov insulin daim cartridge yuav tsum tau muab sib dhos ntawm lub xib teg ntawm txhais tes rau qhov kev ncua ntawv kom dhau los ua homogeneous. Thaum kuaj pom qhov txawv ntawm cov khoom txawv txawv hauv nws, cov tshuaj zoo dua tsis siv txhua.
Txhawm rau nkag mus rau cov cuab yeej kom raug, koj yuav tsum ua raws qee txoj cai.
Ntxuav koj ob txhais tes kom huv thiab txiav txim siab qhov chaw txhaj tshuaj. Tom ntej, kho qhov chaw nrog tshuaj tua kab mob.
Tshem tawm ntawm txoj hlua tiv thaiv los ntawm rab koob. Tom qab qhov no, koj yuav tsum kho qhov tawv nqaij.
Cov kauj ruam tom ntej yog los ntxig cov koob subcutaneously raws li cov lus qhia. Tom qab tshem rab koob, qhov chaw yuav tsum muab nias thiab tsis zaws.
Nyob rau theem kawg ntawm cov txheej txheem, cov koob siv tau raug kaw nrog lub hau, thiab tus cwj mem syringe yog kaw nrog lub hau tshwj xeeb.
Cov lus qhia txuas nrog muaj cov ntaub ntawv tsuas yog kws kho mob tuaj yeem sau ntawv muab tshuaj kom ntau thiab cov tshuaj tua kab mob insulin kom zoo, muab cov tshuaj qabzib hauv cov ntshav rau tus neeg mob. Tom qab kev yuav khoom ntawm Humalog, cov lus qhia rau kev siv yuav tsum tau ua tib zoo kawm. Koj tseem tuaj yeem pom cov cai tswjfwm rau kev tswjfwm hauv cov tshuaj hauv nws:
- hluavtaws cov tshuaj tua kab mob tsuas yog tswj ua subcutaneously, nws yog txwv tsis pub nkag rau hauv nws cov leeg,
- qhov kub ntawm cov tshuaj ntawm lub sijhawm ntawm kev tswj hwm yuav tsum tsis txhob qis dua chav sov,
- kev txhaj tshuaj yog tsim nyob hauv tus ncej, pob tw, xub pwg lossis lub plab,
- lwm qhov chaw txhaj tshuaj
- thaum tswj hwm cov tshuaj, koj yuav tsum xyuas kom meej tias lub koob tsis tshwm hauv qhov lumen ntawm cov hlab ntsha,
- tom qab kev ua haujlwm ntawm cov tshuaj insulin, qhov chaw txhaj tshuaj tsis tuaj yeem raug muab tua pov tseg.
Ua ntej siv, sib tov yuav tsum muab chais.
Lub txee lub neej ntawm cov tshuaj yog peb xyoos. Thaum cov lus no xaus, nws siv tau txwv. Cov tshuaj yuav cia nyob hauv qhov ntau ntawm 2 txog 8 degrees tsis muaj hnub ci.
Cov tshuaj uas siv tau yog khaws cia ntawm qhov kub uas tsis pub tshaj 30 degrees txog li 28 hnub.
Phau ntawv qhia tawm tswv yim los xam qhov ntau npaum ntawm cov tshuaj humalog ib tus zuj zus rau kev sab laj nrog tus koom nrog endocrinologist. Nws nyob ntawm tus mob ntawm tus neeg mob, nws qhov hnyav thiab qee yam tseem ceeb. Cov tshuaj no tuaj yeem muab rau ob leeg ua ntej thiab tam sim ntawd tom qab noj mov (yog tias tsim nyog). Vim tias qhov no yog qhov kev tiv thaiv luv-luv tus neeg sawv cev, nws cov hauj lwm zoo nthuav qhia nws tus kheej sai sai.
Txhawm rau nkag mus rau cov tshuaj no, koj xav tau cwj mem tshwj xeeb rau cov tshuaj insulin. Qee lub sijhawm dhau los, muaj cov koob txhaj tshuaj ntawm qhov muag - cwj mem rau insulin hauv qab tib lub npe ntawm cov tshuaj. Tab sis tam sim no nws tau txiav tseg. Txhawm rau hloov nws, cwjmem rau kev tswj hwm ntawm 3 ml ntawm Humapen Savvio insulin Humapen tau muag.
Siv cov khoom siv zoo li no, koj tuaj yeem hno txhais tau tias yog Humulin, Humalog Mikst, Humalog, thiab lwm yam. Nws tau nruab nrog txoj haujlwm ntawm kev nyeem cov neeg siv khoom ntawm ntau npaum, uas yooj yim heev rau kev siv thiab kev siv tshuaj. Qhov ntim ntawm lub cartridge yog 3 ml.
Tib neeg cov tshuaj qhia txog cov tshuaj npaum li cas xwb. Cov txheej txheem ntawm kev qhia cov tshuaj rau hauv lub cev yog subcutaneous, intramuscular, thiab qee qhov mob leeg. Kev tswj hwm ntawm Humalog tsuas yog ua tau nyob hauv tsev kho mob, txij li thaum nyob hauv tsev xws li kev txhaj tshuaj yog cuam tshuam nrog qee yam kev pheej hmoo. Yog tias Humalog muaj nyob rau hauv daim cartridges, ces nws yuav tsum raug tswj tsuas yog subcutaneously.
Thov cov Khoom Siv Humalog ua ntej noj mov. Nws yog ib qho tseem ceeb kom soj ntsuam lub sijhawm ntawm nws kev qhia: 5-15 feeb ua ntej noj mov. Qhov ntau zaus ntawm kev txhaj tshuaj yog los ntawm 4 txog 6 zaug hauv ib hnub. Yog hais tias tus neeg mob tswj xyuas ntxiv lub sijhawm ntev ntawm cov tshuaj insulin, tom qab ntawd Humalog siv tau 3 zaug hauv ib hnub.
Tsuas yog tus kws kho mob tau teev ntau qhov ntau kawg rau kev tswj hwm ntawm cov tshuaj no. Nws tshaj yog tso cai nyob rau hauv tus neeg mob cais.
Nws raug tso cai kom sib xyaw nrog lwm cov kab mob sib piv ntawm tib neeg cov kua dej, yog tias qhov kev sib xyaw no yog hauv cov koob txhaj tshuaj. Piv txwv li, nws tuaj yeem xyaw nrog cov tshuaj inslinated.
Txawm li cas los xij, ib qho yuav tsum nco ntsoov tias Humalog yuav tsum tau nrhiav ua ntej. Tam sim ntawd tom qab sib tov nrog cov khoom siv no, yuav tsum tau txhaj tshuaj.
Yog tias tus neeg mob siv lub pob laum, ces nws tsis tas yuav ntxiv lwm hom tshuaj insulin. Humalog sib tov 25 muaj cov lus qhia zoo ib yam li lwm yam txawv ntawm cov khoom no.
Cov Yuav Tsum Muaj
Cov tshuaj tiv thaiv Humalog 25 thiab Humalog Mix 50 tshuaj muaj tsuas yog ob qho kev sib tiv thaiv - qhov no yog lub xeev ntawm kev txo lub cev thiab ib leeg rhiab rau cov tshuaj uas muaj nyob hauv qhov npaj.
- mob ntshav qab zib mellitus hauv cov neeg laus thiab menyuam yaus, yuav tsum tau siv cov tshuaj insulin los pab tswj cov ntshav qabzib kom ntau.
Thaum kho nrog Humalog, qee qhov kev mob tshwm sim yuav tshwm sim. Nws yog ib qho tsim nyog yuav tsum ua tib zoo kawm lawv thiab xyuam xim rau lub xeev ntawm koj kev noj qab haus huv hauv sijhawm. Yog li, Humalog tuaj yeem ua rau cov kev tsis xav raug hauv tib neeg lub cev:
- Tawm hws.
- Blanching ntawm daim tawv nqaij.
- Txhawb lub plawv dhia.
- Qhuas.
- Qee theem ntawm kev ntxhov siab txog kev pw tsaug zog yog ua tau.
- Kev tsis zoo ntawm kev nco qab, thiab qee zaum nws qhov kev poob ua tiav, cuam tshuam nrog qhov hnyav ntawm cov ntshav qog ntshav qab zib.
- Refractive impairment, uas pom muaj nyob hauv qhov muag pom.
- Kev ua xua rau (tsis tshua muaj).
- Txo cov roj ntau hauv cov roj ntsha subcutaneous.
Kev noj ntau tshaj tshwm sim thaum tus neeg mob tau ntsuas tsis raug. Cov cim tseem ceeb ntawm kev noj ntau dua yog qhov tsis muaj zog, xeev siab, mob taub hau, nce lub plawv dhia, plooj plooj nco qab. Kev kho mob ntawm qhov mob no yog tib yam li nrog hypoglycemia. Nws tuaj yeem nres tau sai sai los ntawm kev noj cov zaub mov carbohydrates nrawm los yog los ntawm kev tswj hwm cov dej qabzib (hauv lub tsev kho mob).
Feem ntau ntawm cov ntshav qog ntshav siab nres ntawm intramuscular lossis subcutaneous tswj hwm ntawm glucagon. Yog tias tsis muaj qhov tshuaj tiv thaiv rau glucagon, ces dextrose yog qhia tib txoj kev. Thaum tus neeg mob nco qab rov qab, nws yuav tsum tau txais cov khoom noj carbohydrate. Yog hais tias cov tsos mob ntawm kev siv ntau dhau yog pheej rov qab ua tas li, tom qab ntawv hloov kev noj zaub mov nrog kev nce ntxiv ntawm cov carbohydrates yog ua tau.
Humulin insulin hauv qhov xaum qhuav
Humalog yog tshuaj uas yog ib qho tshuaj noj ntawm lub cev insulin tsim los ntawm tib neeg lub cev. DNA yog hloov kho tus neeg sawv cev. Qhov peculiarity yog tias Humalog hloov cov lus sib xyaw ntawm cov amino acid hauv cov kab txuas insulin. Cov tshuaj tswj cov metabolism hauv cov piam thaj hauv lub cev. Nws yog hais txog cov tshuaj uas muaj cov teebmeem anabolic.
Kev txhaj tshuaj ntawm cov tshuaj pab txhawm rau txhawm rau ntxiv glycerol, fatty acids thiab glocogen hauv lub cev. Pab ua kom muaj protein ntau sib txuas. Cov txheej txheem kev noj cov amino acids yog nrawm, uas ua rau kom txo qis ketogenesis, glucogenogenesis, lipolysis, glycogenolysis, protein catabolism. Cov tshuaj no muaj cov nyhuv luv luv.
Lub ntsiab lus tseem ceeb ntawm Humalog yog insulin lispro. Kuj, qhov muaj pes tsawg leeg yog ntxiv nrog kev ua si ntawm kev ua hauv cheeb tsam. Tseem muaj qhov sib txawv ntawm cov tshuaj - Humalogmix 25, 50 thiab 100. Nws lub ntsiab sib txawv yog muaj Hagedorn nyob rau hauv nruab nrab provitamin, uas ua rau qeeb qeeb ntawm cov tshuaj insulin.
Tus xov tooj 25, 50 thiab 100 qhia tus naj npawb ntawm NPH hauv tshuaj. Ntau Humalogmix muaj qhov ua kom nruab nrab tsis txaus ntseeg Hagedorn, ntau dua cov tshuaj noj yuav ua. Yog li, koj tuaj yeem txo qhov xav tau ntau los ntawm kev txhaj tshuaj, tsim rau ib hnub. Kev siv cov tshuaj no pab tswj kev kho mob kom qab zib thiab ua lub neej yooj yim.
Zoo li txhua yam tshuaj Humalogmix 25, 50 thiab 100 muaj qhov tsis zoo.
Cov tshuaj tsis tso cai rau kev tswj hwm kom ua tiav cov ntshav qab zib.
Tseem muaj kev paub txog kev ua xua ntawm kev phiv tshuaj thiab lwm cov kev mob tshwm sim. Cov kws kho mob feem ntau hais txog tshuaj insulin Humalog nyob rau hauv daim ntawv ntshiab tsis yog kev sib tov, vim tias ntau npaum li cas ntawm NPH 25, 50 thiab 100 tuaj yeem ua rau cov ntshav qab zib tsis txaus, feem ntau lawv dhau los ua neeg mob. Nws yog qhov siv tau los siv ntau hom thiab ntau txoj kev kho mob rau cov neeg laus laus uas nyob nrog ntshav qab zib.
Feem ntau, cov kev xaiv ntawm cov tshuaj no yog vim muaj lub sijhawm luv luv ntawm cov neeg mob thiab kev loj hlob ntawm cov senile dementia. Rau cov seem ntawm cov neeg mob, Humalog hauv nws daim ntawv dawb huv yog kev pom zoo.
Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.
Daim ntawv tso tawm
Cov tshuaj yog muaj raws li kev ncua rau kev txhaj tshuaj hauv qab daim tawv. Cov tshuaj nquag yog insulin lispro 100 IU.
Cov tshuaj ntxiv hauv qhov muaj pes tsawg leeg:
- 1.76 mg metacresol,
- 0.80 mg ntawm phenol kua,
- 16 mg ntawm glycerol (glycerol),
- 0.28 mg provitamin sulfate,
- 3.78 mg ntawm sodium hydrogen phosphate,
- 25 mcg ntawm zinc oxide,
- 10% hydrochloric acid daws,
- Txog li 1 ml ntawm dej rau kev txhaj tshuaj.
Cov tshuaj yog dawb hauv cov xim, muaj peev xwm ua kom zoo nkauj. Qhov tshwm sim yog lub caij ntuj nag dawb thiab cov kua ntshiab ntshiab uas ntxiv rau hauv qhov nag lossis daus. Rau kev txhaj tshuaj, nws yog ib qhov tsim nyog los sib tov cov kua tsim nrog kev ua kom yoog los ntawm maj mam tuav cov ampoules. Humalog cuam tshuam txog txhais tau tias sib txuas cov analogues ntawm ntuj insulin nrog nruab nrab thiab luv ncua ntev ntawm kev nqis tes ua.
Sib tov 50 quicpen yog ib qho kev sib xyaw ntawm ntuj sai los ua insulin (insulin solution lispro 50%) thiab nruab nrab txiav txim (provitamin raug tshem tawm insulin lispro 50%).
Qhov kev tsom xam ntawm cov tshuaj no yog tswj cov kev zom zaub mov kom muaj suab thaj hauv lub cev. Cov ncauj lus anabolic thiab tiv thaiv catabolic hauv ntau lub hlwb ntawm lub cev puav leej raug sau tseg.
Lizpro yog cov tshuaj insulin, uas zoo sib xws rau cov tshuaj hormones tsim hauv tib neeg lub cev, txawm hais tias tag nrho cov ntshav qab zib cov ntshav tshwm sim sai dua, tab sis cov nyhuv kav ntev dua. Kev nqus ntawm cov ntshav thiab qhov pib ntawm qhov kev nqis tes ua ncaj qha nyob ntawm ntau yam:
- qhov chaw txhaj tshuaj (nkag mus rau hauv plab, hips, pob tw),
- ntau npaum (yuav tsum tau siv tshuaj insulin),
- cov ntshav ncig ua haujlwm
- lub cev kub ntawm tus neeg mob
- kev tawm dag zog lub cev.
Ua rau kev txhaj tshuaj, cov nyhuv ntawm cov tshuaj pib hauv 15 feeb tom ntej. Feem ntau, qhov kev ncua yog muab txhaj rau hauv qab daim tawv nqaij ob peb feeb ua ntej noj mov, uas yuav pab kom tsis txhob muaj cov kua nplaum ntxiv tom qab. Rau kev sib piv, qhov ua tau zoo ntawm lyspro insulin tuaj yeem sib piv los ntawm nws cov kev ua nrog tib neeg cov insulin - isophan, uas nws qhov kev txiav txim siab tuaj yeem ntev txog 15 teev.