Cov lus sib xyaw ntawm "Humulin NPH", nws cov lus qhia rau kev siv, nqe, tshuaj xyuas thiab analogues ntawm cov nyiaj

Hauv tsab xov xwm no, koj tuaj yeem nyeem cov lus qhia rau kev siv tshuaj yaj yeeb Neeg lim hiamCov. Muab cov lus pom zoo los ntawm cov neeg tuaj saib rau ntawm thaj chaw - cov neeg siv khoom ntawm cov tshuaj no, nrog rau kev xav ntawm cov kws kho mob tshwj xeeb txog kev siv Humulin hauv lawv txoj kev coj ua. Qhov kev thov loj yog nquag ntxiv kev tshuaj xyuas koj ntawm cov tshuaj: cov tshuaj tau pab lossis tsis pab ua kom tshem tawm ntawm tus kabmob, muaj dab tsi tshwm sim thiab cov kev mob tshwm sim, tejzaum nws tsis tshaj tawm los ntawm tus tsim khoom hauv cov lus piav qhia. Khumulin analogues nyob rau hauv muaj cov qauv txheej txheem. Siv rau kev kho mob ntshav qab zib thiab ntshav qab zib insipidus hauv cov neeg laus, menyuam yaus, nrog rau thaum lub sijhawm cev xeeb tub thiab lactation.

Neeg lim hiam - DNA recombinant tib neeg cov kua dej.

Nws yog kev ua haujlwm nruab nrab insulin.

Lub txiaj ntsig tseem ceeb ntawm cov tshuaj yog kev tswj hwm ntawm cov metabolism hauv qab ntuj. Tsis tas li ntawd, nws muaj qhov ua kom anabolic. Hauv cov leeg nqaij thiab lwm cov nqaij (tshwj tsis yog lub hlwb), cov roj ntsha insulin ua rau thauj cov ntshav qabzib thiab amino acids nrawm nrawm, ua kom muaj protein ntau anabolism. Insulin txhawb kev hloov pauv ntawm cov piam thaj rau glycogen hauv lub siab, inhibits gluconeogenesis thiab txhawb kev hloov pauv ntawm cov piam thaj rau cov rog.

Nws yog lub sijhawm luv luv-insulin npaj.

Recombinant tib neeg insulin DNA ntawm ncua sijhawm ntev. Nws yog ob-ncua kev ncua (30% Humulin Tsis tu ncua thiab 70% Humulin NPH).

Lub txiaj ntsig tseem ceeb ntawm cov tshuaj yog kev tswj hwm ntawm cov metabolism hauv qab ntuj. Tsis tas li ntawd, nws muaj qhov ua kom anabolic. Hauv cov leeg nqaij thiab lwm cov nqaij (tshwj tsis yog lub hlwb), cov roj ntsha insulin ua rau thauj cov ntshav qabzib thiab amino acids nrawm nrawm, ua kom muaj protein ntau anabolism. Insulin txhawb kev hloov pauv ntawm cov piam thaj rau glycogen hauv lub siab, inhibits gluconeogenesis thiab txhawb kev hloov pauv ntawm cov piam thaj rau cov rog.

Muaj pes tsawg leeg

Tib neeg cov insulin + excipients.

Ob-theem tshuaj insulin (tib neeg kev tsim kho tshuab) + tus neeg rho tawm (Humulin M3).

Cov Tshuaj Pharmacokinetics

Humulin NPH yog kev ua haujlwm nruab nrab insulin. Qhov pib ntawm kev ua ntawm cov tshuaj yog 1 teev tom qab kev tswj hwm, qhov ua tau zoo tshaj plaws yog nruab nrab ntawm 2 txog 8 teev, lub sijhawm ua haujlwm yog 18-20 teev .Txhua cov kev sib txawv ntawm cov tshuaj insulin yog nyob ntawm cov yam ntxwv xws li koob tshuaj, xaiv qhov chaw txhaj tshuaj, kev ua haujlwm ntawm tus neeg mob.

Cov Khoom Qhia

• ntshav qab zib mellitus nyob rau hauv muaj cov qhia rau kev kho mob insulin,
• tshiab khiv kuaj ntshav qab zib mellitus,
• cev xeeb tub nrog hom 2 mob ntshav qab zib mellitus (non-insulin-dependant).

Tso Tawm Cov Ntawv

Kev ncua rau kev tswj hwm subcutaneous (Humulin NPH thiab M3).

Txhaj tshuaj kho nyob rau hauv QuickPen vials thiab cartridges (Humulin Tsis tu ncua) (txhaj rau hauv ampoules rau kev txhaj tshuaj).

Cov lus qhia rau kev siv thiab ntau npaum li cas

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

Cov tshuaj yuav tsum tau muab tshuaj subcutaneously, tejzaum nws yog intramuscularly. Kev tswj hwm ntawm Humulin NPH yog qhov cuam tshuam!

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

Thaum s / mus rau kev taw qhia, yuav tsum tau saib xyuas kom tsis txhob nkag mus rau hauv cov hlab ntshav. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Cov neeg mob yuav tsum tau kawm paub txog kev siv tshuaj insulin kom raug.

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

Cartridges thiab vials ntawm Humulin NPH ua ntej siv yuav tsum tau muab nruab nrab ntawm xib teg 10 npaug thiab tshee, tig 180 degrees kuj 10 zaug los thim cov kua dej kom txog thaum nws dhau los ua kua dej tsis zoo lossis kua mis. Co nquag, li qhov no tuaj yeem ua rau npuas dej, uas tuaj yeem cuam tshuam nrog cov koob tshuaj kom raug.

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

Cov cuab yeej ntawm cov cartridges tsis pub sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha hauv daim cartridge nws tus kheej. Cartridges tsis yog yuav tsum kom thim rov qab.

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

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

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

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

Humulin NPH tuaj yeem siv nrog Humulin Tsis Pub Sib Tham. Rau qhov no, insulin luv yeeb yam yuav tsum tau kos rau hauv cov koob txhaj ua ntej kom tiv thaiv cov insulin ua yeeb yam ntev dua los ntawm nkag mus rau hauv lub thauv. Nws raug nquahu kom paub qhov kev npaj sib xyaw tom qab sib tov. Txhawm rau tswj hwm tus nqi npaum li cas ntawm txhua hom tshuaj insulin, koj tuaj yeem siv cov koob txhaj tshuaj cais rau Humulin Tsis tu ncua thiab Humulin NPH.

Koj yuav tsum tau siv cov koob tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib glycemia.

Cov tshuaj yuav tsum tau muab tshuaj subcutaneously, intravenously, tejzaum nws yog intramuscularly.

Cov tshuaj SC tau muab rau lub xub pwg, ncej puab, pob tw los yog plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 zaug hauv ib hlis.

Thaum s / mus rau kev taw qhia, yuav tsum tau saib xyuas kom tsis txhob nkag mus rau hauv cov hlab ntshav. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Cov neeg mob yuav tsum tau kawm paub txog kev siv tshuaj insulin kom raug.

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

Cartridges thiab vials ntawm Humulin Tsis tas yuav tsum tau rov ua haujlwm thiab tsuas yog siv tau yog tias lawv cov ntsiab lus yog qhov ntshiab, tsis muaj kob uas tsis muaj qhov pom.

Daim cartridges thiab vials yuav tsum tau kuaj xyuas kom zoo. Koj yuav tsum tsis txhob siv cov tshuaj yog tias nws muaj plaub ya ri, yog tias cov khoom sib xyaw dawb dawb txuam rau hauv qab lossis phab ntsa ntawm lub raj mis, tsim cov nyhuv ntawm ib qho qauv khov.

Cov cuab yeej ntawm cov cartridges tsis pub sib xyaw lawv cov ntsiab lus nrog lwm cov insulins ncaj qha hauv daim cartridge nws tus kheej. Cartridges tsis yog yuav tsum kom thim rov qab.

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

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

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

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

Kev Siv Humulin Muaj peev xwm muab tau ua ke nrog Humulin NPH. Rau qhov no, insulin luv yeeb yam yuav tsum tau kos rau hauv cov koob txhaj ua ntej kom tiv thaiv cov insulin ua yeeb yam ntev dua los ntawm nkag mus rau hauv lub thauv. Nws raug nquahu kom paub qhov kev npaj sib xyaw tom qab sib tov. Txhawm rau tswj hwm tus nqi npaum li cas ntawm txhua hom tshuaj insulin, koj tuaj yeem siv cov koob txhaj tshuaj cais rau Humulin Tsis tu ncua thiab Humulin NPH.

Koj yuav tsum tau siv cov koob tshuaj insulin uas phim cov tshuaj insulin txhaj tshuaj.

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

Sab sij huam

• ntshav qab zib,
• tsis nco qab
• tso dej tawm, tawm pob, lossis khaus ntawm qhov chaw txhaj tshuaj (feem ntau nres li ntawm ob peb hnub mus rau ntau lub lis piam),
• kev tsis haum rau lub cev (tshwm sim tsawg dua, tab sis muaj qhov hnyav dua) - ua kom khaus, ua tsis taus pa, ua tsis taus pa, tsis muaj ntshav siab, muaj ntshav siab, nce tawm hws,
• qhov ntxim nyiam ntawm kev txhim kho lipodystrophy tsawg heev.

Cov Yuav Tsum Muaj

• ntshav qab zib,
• muaj tshuaj tiv thaiv tsis haum rau insulin lossis rau ib qho ntawm cov tshuaj ntawm cov tshuaj.

Cev xeeb tub thiab lactation

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

Nws raug nquahu kom cov neeg mob ntshav qab zib mellitus qhia tus kws khomob txog qhov pib lossis npaj lossis cev xeeb tub.

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

Hauv kev tshawb fawb txog kev mob caj ces, tib neeg cov kua dej tsis muaj kev hloov mutagenic.

Cov lus qhia tshwj xeeb

Hloov chaw ntawm tus neeg mob mus rau lwm hom insulin lossis kev npaj tshuaj insulin nrog cov npe lag luam txawv yuav tsum tshwm sim nyob rau hauv kev saib xyuas mob nkeeg nruj. Kev hloov pauv ntawm kev ua ub no ntawm insulin, nws hom (piv txwv li M3, NPH, Ntu), hom (porcine, tib neeg insulin, tib neeg insulin analogue) lossis cov txheej txheem tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) yuav xav tau kev kho kom haum.

Qhov xav tau koob tshuaj yuav tau siv nyob rau ntawm thawj coj thawj coj ntawm tib neeg cov tshuaj insulin tom qab npaj cov tshuaj insulin ntawm cov tsiaj keeb kwm los yog maj mam dhau ob peb lub lis piam lossis ntau lub hlis tom qab hloov.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo nrog adrenal tsis txaus ua haujlwm, pituitary lossis thyroid caj pas, nrog lub raum lossis lub siab ua haujlwm.

Nrog rau qee qhov mob lossis kev ntxhov siab hauv lub siab, qhov xav tau rau insulin yuav nce.

Koob tshuaj yuav tau siv thaum nce ua si lossis thaum pauv noj zaub mov zoo.

Cov tsos mob ua ntej ntawm hypoglycemia thaum tswj hwm ntawm tib neeg cov tshuaj insulin hauv qee cov neeg mob tej zaum yuav tsawg dua los yog txawv ntawm cov uas tau pom thaum tswj hwm tsiaj insulin. Nrog kev ua haujlwm ntawm cov ntshav qabzib hauv lub cev, piv txwv li, los ntawm kev kho mob insulin ntau ntxiv, txhua yam lossis qee qhov tsos mob ntawm cov tsos mob ntawm lub qog ntshav yuav ploj, hais txog qhov twg cov neeg mob yuav tsum tau ceeb toom.

Cov tsos mob ua ntej ntawm lub qog ntshav qab zib tuaj yeem hloov lossis tsis tau hais tawm nrog lub sijhawm ntev ntawm mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy, lossis siv cov beta-blockers.

Muaj qee kis, kev tsis haum tshuaj nyob hauv zos tuaj yeem yog los ntawm cov laj thawj tsis cuam tshuam nrog kev txiav txim ntawm cov tshuaj, piv txwv li, voos tawv nqaij nrog cov tshuaj ntxuav kom huv lossis siv tshuaj tsis raug.

Muaj qee zaus, txaws kev tsis haum tshuaj, yuav tsum kho tamsid. Qee zaum, yuav tsum tau hloov cov insulin lossis desensitization.

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

Thaum lub sij hawm hypoglycemia, tus neeg mob lub peev xwm los mloog zoo yuav txo qis thiab tus lej ntawm psychomotor cov tshuaj tiv thaiv yuav tsawg. Qhov no tuaj yeem txaus ntshai nyob rau hauv qhov xwm txheej uas qhov peev xwm no tshwj xeeb tshaj yog (tsim nyog tsav tsheb los yog siv tshuab ua haujlwm). Cov neeg mob yuav tsum qhia rau lawv kom ceev faj kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no tseem ceeb tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj-ua ntej-ntawm cov ntshav lub qog lossis nrog kev loj hlob ntawm hypoglycemia nquag. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav tsum soj ntsuam qhov ua tau ntawm tus neeg mob tsav tsheb.

Yeeb tshuaj sib cuam tshuam

Humulin cov nyhuv hypoglycemic yog txo los ntawm kev tiv thaiv qhov ncauj, corticosteroids, thyroid hormones npaj, thiazide diuretics, diazoxide, tricyclic antidepressants.

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

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

Qhov tshwm sim ntawm kev sib xyaw ntawm tib neeg cov tshuaj insulin nrog tsiaj insulin lossis tib neeg insulin tsim los ntawm lwm cov tuam ntxhab tsis tau kawm.

Cov tshuaj ntawm cov tshuaj Humulin

Txheej txheem cov qauv ntawm cov tshuaj nquag (insulins):

• Actrapid
• Apidra
• Apidra SoloStar,
• B-Insulin S.Ts. Berlin Chemie,
• Berlinsulin,
• Biosulin
• Brinsulmidi
• Brinsulrapi
• Gensulin
• Qov tshuaj insulin C,
• Isofan Insulin,
• Iletin
• Insulin aspart,
• Tshuaj insulin glargine,
• Insulin glulisin,
• Cov tshuaj insulin,
• Cov ntaub thaiv insulin,
• Tshuaj insulin maxirapid,
• Insulin soluble nruab nrab
• Nqaij npuas ua kua txig tawm ntau heev
• Insulin semilent,
• Cov tshuaj Insulin Ultralente,
• Tib neeg cov tshuaj insulin,
• Cov roj ntsha ib nrab hluavtaws
• Tib neeg cov tshuaj insulin
• Insulin Ntev QMS,
• Tshuaj insulin Ultralong SMK,
• Insulong
• Neeg tsis ntseeg xav
• Soj ntsuam
• Mob siab
• Zuag Insulin S,
• Lauj Teeb
• Levemir,
• Mikstard
• Monoinsulin
• Monotard
• NovoMiks,
• NovoRapid Penfill,
• NovoRapid Flexpen,
• Pensulin,
• Protamine Insulin,
• Protafan
• Ryzodeg
• Rinsulin
• Rosinsulin,
• Tresiba Penfill,
• Tresiba FlexTouch,
• Ntshaw Txiv Neej
• Homolong
• Qhov Homorap
• Neej Neeg,
• Neej Neeg Dab
• Humulin L,
• Humulin Tsis tu ncua,
• Humulin M3,
• Humulin NPH.

Daim ntawv tso tawm

Khumulin muaj 2 daim ntawv tso tawm:

• iav fwj nrog kev npaj ntawm 10 ml,
• cartridges rau reusable syringe cwjmem nrog lub ntim ntawm 3 ml, 5 daim hauv ib pob.

Cov tshuaj insulin yog muab tshuaj subcutaneously, tsis tshua muaj neeg intramuscularly. Kev tswj hwm qhov quav yog ua tau rau lwm hom - insulin "Humulin" Tsis tu ncua, rau tus so yog txwv tsis pub. Cov tshuaj ultrashort no tau txhaj rau hauv cov hlab ntsha ntawm qhov xwm txheej loj ntawm kev kho ntshav qab zib thiab tsuas yog tus kws kho mob hais kom ua. "Humulin M3" - cov kev qhia ua qhia luv luv ntawm kev daws.

Cov tshuaj "Humulin Lente" yog txhaj tshuaj subcutaneously nrog cov koob txhaj tshuaj. Qhov kev ncua raug tus nqi tsawg dua, tab sis siv cov ntawv txuas me me yooj yim dua.

Pharmacodynamics thiab pharmacokinetics

"Humulin" raws li zaj lus tseem ceeb yog hais txog cov tshuaj insulin ntawm lub sijhawm nruab nrab. Cov nyhuv loj - cov tshuaj yog ib regulator ntawm cov metabolism hauv qabzib. Tsis tas li ntawd xwb, nws yog tus cwj pwm ntawm anabolic.Hauv cov leeg nqaij thiab lwm cov nqaij, tab sis tsis nyob hauv lub hlwb, insulin txhawb nqa kev thauj sai ntawm cov piam thaj thiab amino acids nyob rau hauv hlwb, thiab nce tus nqi ntawm protein anabolism. Kuj tseem muaj kev hloov pauv ntawm cov piam thaj rau glycogen hauv lub siab, thiab ntau dhau cov piam thaj hloov mus rau cov rog.

Cov tshuaj pib ua ib teev tom qab kev tswj hwm, qhov siab tshaj plaws ua tiav tau tiav tom qab 2-8 teev, thiab lub sijhawm tso tawm tag nrho yog txog 20 teev. Lub sijhawm sib txawv yog nyob ntawm tus neeg tus yam ntxwv ntawm cov kab mob ntshav qab zib, nyob ntawm koob tshuaj, thaj chaw txhaj tshuaj.

Kev taw qhia thiab contraindications

Nyob rau hauv qhov muaj cov cim no, "Humulin" tej zaum yuav yog tus kws kho mob:

• ntshav qab zib mellitus - insulin-dependant thiab non-insulin-tiv thaiv,
• Mob ntshav qab zib hauv kev xeeb tub hauv cov poj niam cev xeeb tub.

Ua ntej noj, contraindications tseem coj mus rau hauv tus account:

• hypersensitivity rau txhua yam ntawm cov muaj pes tsawg leeg,
• ntshav qog.

Thaum coj tus menyuam, nws yog qhov tseem ceeb rau cov pojniam muaj ntshav qab zib kom soj ntsuam cov ntshav qab zib hauv cov ntshav. Qhov xav tau, raws li txoj cai, txo qis hauv thawj peb lub hlis, tom qab ntawd thib ob thiab thib peb - ​​nce ntxiv. Thaum lub sijhawm thiab tom qab yug menyuam, kev thov yuav plam. Cov poj niam yuav tsum qhia tus kws kho mob txog kev hloov me ntsis hauv lawv txoj kev noj qab haus huv. Nrog rau lactation, kev noj tshuaj ntau dua yuav tsim nyog tau.

Sab sij huam

Feem ntau cov kev mob tshwm sim ntawm tag nrho cov tshuaj insulin npaj yog hypoglycemia. Daim foos hnyav tuaj yeem ua rau tsis nco qab thiab txawm tuag thaum lub sijhawm tsis saib xyuas mob.

Tsis tas li, thaum pib ntawm kev txhaj tshuaj, cov kev tawm tsam hauv zos yuav tshwm sim:

Hauv ob peb hnub, txhua yam ploj mus yam tsis muaj kev cuam tshuam.

Cov kev mob tshwm sim hnyav heev suav nrog:

• dav khaus
• txog siav
• ua pa nyuaj
• ua ntshav siab
• lub plawv dhia
• tawm hws zoo heev.

Kev ua xua tsis zoo yuav ua rau lub neej taus.

Tsuas tshuaj thiab tshaj

Cov koob tshuaj yog xaiv los ntawm cov kws kho mob koom nrog ib tus zuj zus, ib txwm coj mus rau hauv tus neeg mob glycemia qib. "Humulin" tau muab tshuaj subcutaneously, tsawg dua hauv cov leeg thaum sawv ntxov thiab yav tsaus ntuj ua ntej noj mov lossis tam sim ntawd. Muab cov tshuaj subcutaneous tuaj yeem muab rau ntau qhov chaw: pob tw, ncej puab, xub pwg, plab. Qhov chaw txhaj tshuaj ib txwm hloov ua rau tib qho chaw tsis ntog ntau tshaj li ib hlis ib zaug.

Thaum tswj hwm cov tshuaj, koj yuav tsum tau saib xyuas kom zoo tias nws tsis nkag rau hauv lub nkoj. Tom qab txhaj tshuaj, nws tsis pom zoo kom zaws rau qhov chaw no. Tus neeg mob yuav tsum tau qhia cov txheej txheem ntawm kev txhaj tshuaj tas li, cov cai rau kev npaj ntawm txoj kev daws teeb meem, kev siv cov taub hau rau cov koob txhaj tshuaj.

Cov kev cai tseem ceeb tshaj plaws rau kev siv cartridges thiab syringe cwjmem suav nrog:

• ua tib zoo xyuas ntawm lub meej mom ntawm cov qauv ua ntej insulin thawj coj,
• nws yog txwv tsis pub siv txoj kev daws teeb meem thaum plaub ya ri nyob hauv nws tom qab sib tov, thiab cov khoom dawb dawb lo rau hauv qab thiab phab ntsa,
• daim cartridges yog tsim los kom lawv tsis tuaj yeem sib xyaw lawv cov ntsiab lus nrog lwm hom insulin,
• txwv tsis pub ntim daim cartridge,
• cov ntsiab lus ntawm lub vial tau sau rau hauv cov phwj cawv raws nraim hauv kev siv tshuaj qhia los ntawm tus kws kho mob tuaj koom,
• nws yog ib qho tseem ceeb kom meej meej ua raws cov khw muag cov lus qhia ntawm kev siv cov khoom lag luam los ntawm cov khoom ntim los ntawm ntim rau hauv cov phwj thiab txuas rab koob uas tsis huv,
• lub koob siv ib zaug, tam sim ntawd tom qab txhaj ntawm qhov kev daws teeb meem uas siv lub kaus mom sab nraud, nws raug tshem tawm thiab rhuav tshem hauv txoj hauv kev nyab xeeb.
• tom qab siv, lub hau yuav tsum muab tso rau ntawm tus kov,
• cartridges lossis vials yog siv kom txog thaum khoob kiag, ces muab pov tseg,
• Cov tshuaj insulin yuav tsum sib haum nrog cov tshuaj ntawm kev daws.

Nrog kev qhia txog kev siv tshuaj ntau dhau, tus neeg mob yuav pib ua kom muaj ntshav qab zib. Raws li txoj cai, nws yog ntxiv los ntawm ntawj txias, tshee, tachycardia, tawm hws ntau. Qee zaum cov tsos mob tshem tawm, uas yog qhov txaus ntshai tshwj xeeb vim tias kev poob qab zib hauv qab cov txiaj ntsig tsis tuaj yeem nres nyob rau lub sijhawm. Kev ua kom tsis muaj zog ntawm cov tsos mob ntawm tus kab mob pathological ua rau qaug dab peg los yog pib mob ntshav qab zib.

Ntawm thawj lub cim ntawm kev poob qis hauv cov ntshav qabzib, cov teeb meem tom qab tuaj yeem tiv thaiv los ntawm kev noj cov piam thaj, kua txiv qab zib, thiab cov kua nplaum qabzib.

Yog tias cov koob tshuaj ntau dua qhov tsim nyog, muaj kev pheej hmoo ntawm qhov hnyav nres thiab txawm tias mob ntshav qab zib tsis nco qab. Tus neeg mob yuav xav tau kev qhia ntawm glucagon. Cov khoom siv tshwj xeeb rau cov neeg mob ntshav qab zib thaum lub sij hawm nres ntawm hypoglycemia raug muag hauv cov khw muag tshuaj - cov no suav nrog HypoKit, GlukaGen. Thaum cov piam thaj hauv khw muag khoom hauv lub siab tsis txaus, cov nyiaj no yuav tsis pab. Tib txoj kev tawm yog kev txhaj tshuaj rau cov ntshav qabzib hauv qhov chaw mob. Nws yog qhov yuav tsum tau xa tus neeg raug mob ntawd sai li sai tau, vim tias qhov mob sai sai ua rau muaj kev kub ntxhov thiab cuam tshuam nrog kev cuam tshuam tsis zoo.

Kev sib txuam

Qhov ua tau zoo ntawm Humulin poob qis nrog rau cov tshuaj hauv qab no:

• tshuaj tiv thaiv hauv cov ntsiav tshuaj rau lub qhov ncauj kev tswj hwm,
• corticosteroids
• kev loj hlob cov tshuaj hormones
• cov thyroid hormones,
• beta2-sympathomimetics
• diuretics ntawm thiazide pawg.

Tab sis kuj qee cov tshuaj tuaj yeem txhim kho qhov kev ua ntawm cov insulin, uas yog:

• salicylates - tshuaj aspirin, thiab lwm yam.
• ntshav qab zib cov tshuaj txo qis
• sulfonamides,
• MAO inhibitors, ACE,
• npaj nrog ethanol nyob rau hauv muaj pes tsawg leeg.

Reserpine thiab beta-blockers tuaj yeem npog cov tsos mob ntawm kev tawm tsam ntawm hypoglycemia.

Rau qee qhov laj thawj, tus kws kho mob yuav pom zoo kom hloov Humulin nrog analogues. Qhov nrov tshaj plaws yog nthuav tawm hauv lub rooj. Tab sis qhov no yuav tsum tau ua los ntawm cov kws tshaj lij xwb, nws yog txwv tsis pub hloov nws tus kheej cov tshuaj lossis cov koob tshuaj.

Niaj hnub nimno pharmacological kev kawm muaj kev xaiv loj loj rau kev hloov tshuaj insulin. Tab sis tsuas yog tus kws kho mob tuaj koom tuaj yeem sau ib qho tshwj xeeb, vim lawv txhua tus muaj qhov sib txawv hauv kev muaj pes tsawg leeg thiab siv tau ntev npaum li cas ntawm cov nyhuv.

Kuv tau mob ntshav qab zib tau 12 xyoos.Humulin yog thawj qhov tshuaj heev. Kuv tseem siv nws, qab zib yog khaws cia zoo, tsis muaj qhov ua tau zoo, thiab kuv xav zoo heev.

Cov duab ntawm daim cartridges thiab koob txhaj tshuaj yog qhov yooj yim heev, Kuv siv cov tshuaj thaum cev xeeb tub, Kuv tau txhaj tshuaj Humulin insulin txhaj tshuaj rau kuv tus kheej, raws li kws kho mob hais. Cov tshuaj pab tswj cov ntshav qab zib ib txwm nyob thiab zoo rau.

Tus kws kho mob sau Humulin rau kuv thaum cev xeeb tub. Thaum xub thawj, Kuv tau ntshai siv yeeb tshuaj, raws li kuv ua xyem xyav nws cov txiaj ntsig ntawm tus mob ntawm tus menyuam. Tus kws kho mob tau piav qhia tias qhov insulin no nyab xeeb rau tus menyuam hauv plab. Qab zib sai sai rov zoo li qub, cev xeeb tub mus tau zoo, thiab tsis muaj tshwm sim tshwm sim.

Cov tshuaj no raug faib tawm los ntawm cov khw muag tshuaj tsuas yog sau ntawv los ntawm kws kho mob. Nws muab cia rau hauv tub yees ntawm qhov kub ntawm 2 - 8 degrees, nws yog txwv tsis pub khov. Thaum kaw, lub txee lub neej yog 24 lub hlis. Tom qab qhib lub taub ntawv, nws yuav tsum siv nyob rau hauv 28 hnub tom ntej, khaws cia lub sijhawm no nyob rau hauv chav tsev kub.

Lub raj mis nrog kev daws teeb meem ntawm cov tshuaj los ntawm 500 rubles. Cartridges nyob rau hauv ib pob ntawm 5 daim - txog 1000 rubles. Cov thawv cartridges nrog rab koob xaum qhuav - txog 1400 rubles. Tsoom Fwv Pabcuam Txoj Haujlwm Kev Noj Qab Haus Huv suav nrog cov tshuaj hauv cov ntawv sau qhia pub dawb rau cov ntshav qab zib.