Cov lus qhia rau kev siv tshuaj insulin: muaj pes tsawg leeg, tshuaj yeeb yaj kiab, tshuaj xyuas, tus nqi hauv cov chaw muag tshuaj
Muaj ob hom ntawv - Rinsulin R thiab Rinsulin NPH. Daim foos tso tawm - 3 ml cartridges (nrog thiab tsis muaj daim ntawv sau lub koob xaj) los yog lub raj mis 10 ml. Yog tias cov no yog daim cartridges, ces muaj 5 daim hauv pob. Lub raj mis no tseem tau ntim rau hauv lub thawv ntawv thawv.
Qhov muaj pes tsawg leeg nyob ntawm hom "Rinsulin."
- P: 100 IU ntawm tib neeg cov tshuaj insulin, 3 mg ntawm metacresol, 16 mg ntawm glycerol, txog 1 ml ntawm dej rau txhaj.
- NPH: 100 IU ntawm tib neeg cov tshuaj insulin, 0.34 mg ntawm protamine sulfate, 16 mg ntawm glycerol, 0.65 mg ntawm crystalline phenol, 1.6 mg ntawm metacresol, 2.25 mg ntawm sodium hydrogen phosphate dihydrate, txog li 1 ml ntawm dej rau kev txhaj tshuaj.
Qhov sib txawv ntawm Rinsulin P thiab NPH
Rinsulin R yog cov tshuaj txhaj, thiab Rinsulin NPH yog kev ncua rau kev tswj hwm subcutaneous. Thawj qhov tuaj yeem raug tswj hwm subcutaneously, plhaw thiab intramuscularly (koob tshuaj txhua hnub los ntawm 0.3 IU / kg). Qhov thib ob yog tsuas yog subcutaneous (los ntawm 0.5 IU / kg).
Lub ntsiab sib txawv ntawm cov hom "Rinsulin" yog lub sijhawm lawv ua. "P" - luv luv insulin, pib ua haujlwm 30 feeb tom qab kev tswj hwm, lub sijhawm ntev ntawm cov nyhuv yog li 8 teev. "Rinsulin NPH" pib ua tom qab 1.5 - 2 teev, siv tau txog ib hnub.
Tus nqi ntawm cov tshuaj sib txawv me ntsis.
Pharmacological kev txiav txim
Nws muaj cov nyhuv hypoglycemic. Tau los ntawm kev rov ua rog ntawm DNA. Nws cuam tshuam nrog cov receptors, uas ua rau muaj cov insulin-receptor complex. Nws nce kev tso cai ntawm thauj mus ntev li ntawm cov piam thaj, tso cai rau nws kom zoo dua tuaj ntawm lub hlwb thiab cov ntaub so ntswg, thiab txhawb kev lipogenesis thiab glycogenesis. Qhov no thiaj li txo cov zus tau los ntawm cov piam thaj los ntawm lub siab.
Lub sijhawm sijhawm ntawm qhov kev txiav txim yog nyob ntawm hom Rinsulin. Ob hom no tuaj yeem siv los ua ke nrog kev kho mob.
Cov Tshuaj Pharmacokinetics
Qhov pib ntawm kev nqis tes ua, kev nrawm thiab ua kom tiav ntawm kev txau ntawm cov tshuaj yog nyob ntawm qhov chaw txhaj tshuaj, ntau npaum thiab lwm yam. Txoj kev faib khoom tsis sib xws, cov khoom hauv tshuaj tsis dhau qhov chaw thau khoom. Ib nrab-lub neej yog luv luv, cov tshuaj siv tawm ntawm nws ob lub raum.
- Mob ntshav qab zib Hom 1 thiab hom 2.
- Mob ntshav qab zib thaum cev xeeb tub.
- Cov mob uas decompensation ntawm carbohydrate metabolism hauv cov neeg muaj ntshav qab zib.
Cov lus qhia rau siv (qauv thiab ntau npaum li cas)
Qhov ntau npaum no yog xaiv los ntawm tus kws kho mob tshwj xeeb raws li ntsuas ntawm kev txheeb xyuas thiab cov kev xav tau ntawm lub cev rau insulin.
"Rinsulin P" muab rau noj subcutaneously, tso ntshav los yog leeg nqaij ua ntej 30 feeb ua ntej noj mov. Nrog rau cov tshuaj monotherapy, kev txhaj tshuaj muaj qhia 3 zaug hauv ib hnub, raws li qhov xav tau tshwj xeeb, tus kws kho mob tuaj yeem nce qhov kev txhaj tshuaj ntxiv mus rau rau.
Cov tshuaj qeb "NPH" tau tshuaj yog tsuas yog subcutaneously.
Qhov chaw txhaj tshuaj tuaj yeem muaj peev xwm hauv cheeb tsam hauv qab no:
- lub duav
- pob tw
- lub plab (anterior plab phab ntsa),
- xub pwg.
Nws yog ib qho tsim nyog yuav tsum tsis tu ncua hloov cov ntsiab lus txhaj tshuaj kom tsis txhob lipodystrophy. Nws yog ib qho tsim nyog yuav tau qhia tus neeg mob kom ua tiav cov tshuaj, kom tsis txhob muaj kab mob rau hauv cov hlab ntshav.
Cov tshuaj raug muab tshuaj yuav tsum nyob ntawm chav sov.
Sab sij huam
- Tej yam kev mob hypoglycemic.
- Kev tsis haum tshuaj, Quincke's edema.
- O o thiab khaus ntawm thaj chaw txhaj tshuaj.
- Lipodystrophy.
- Txo tsis pom kev pom tseeb (tshwj xeeb thaum pib kho).
- O o.
Tag nrho cov teebmeem no raug tshem tawm los ntawm kev hloov cov tshuaj lossis nws txoj kev tshem tawm txoj haujlwm.
Noj ntau dhau
Kev tsim cov ntshav qog ntshav qab zib. Nws cov tsos mob: pallor, ua kom tsis muaj zog, ua rau tsis nco qab txog nws qhov ploj thiab coma, tshaib plab, kiv taub hau.
Daim ntawv foos yog tshem tawm los ntawm kev noj cov khoom noj uas muaj cov khoom noj carbohydrate. Ntshav thiab mob hnyav - nrog rau kev txhaj tshuaj glucagon lossis dextrose kev daws teeb meem, coj tus neeg mus rau hauv kev nco qab, noj zaub mov nrog carbohydrates, thiab ua raws li tus kws kho mob tau thov hloov cov tshuaj ntau npaum li cas.
Yeeb tshuaj sib cuam tshuam
Tsis txhob siv nrog lwm cov insulins.
Cov tshuaj uas tuaj yeem txhim kho cov nyhuv ntawm cov tshuaj:
- cov tshuaj tiv thaiv hypoglycemic qhov ncauj,
- bromocriptine
- MAO, ATP thiab carbonic anhydrase inhibitors,
- sulfonamides,
- tsis-xaiv beta-blockers,
- anabolic tshuaj yuam
- octreotide
- ketoconazole
- pyridoxine
- cyclophosphamide,
- tetracyclines
- clofibrate
- lithium npaj
- mebendazole,
- fenfluramine,
- theophylline
- npaj muaj ethanol.
Cov tshuaj uas qaug zog qhov kev txiav txim:
- glucagon,
- tshuaj tiv thaiv qhov ncauj
- somatropin,
- glucocorticosteroids,
- estrogens
- thiazide diuretics, lub voj kho,
- sympathomimetics
- iodine-muaj cov thyroid hormones,
- heparin
- clonidine
- tricyclic cov tshuaj tiv thaiv kab mob,
- blockers ntawm "qeeb" calcium channel,
- danazol
- phenytoin
- epinephrine
- diazoxide
- H1 histamine receptor blockers,
- morphine
- nicotine.
Reserpine thiab salicylates tuaj yeem muaj ob qho tib si ua kom tsis muaj zog thiab ua kom muaj zog.
TSEEM CEEB! Cov tshuaj sib koom tes tau pom zoo nrog tus kws kho mob mus kawm yam tsis swb!
Cov lus qhia tshwj xeeb
Yuav tsum tau saib xyuas tas li ntawm cov piam thaj hauv cov ntshav thaum kho mob.
Muaj kev pheej hmoo ntawm lub qog ntshav qab zib. Nws tuaj yeem ua rau kev ntxhov siab, hla zaub mov noj, nce lub cev, qee yam kabmob. Hyperglycemia thiab ntshav qab zib ketoacidosis yuav pib tom qab yog tias qhov koob tshuaj tsis raug xaiv tsis zoo.
Hauv cov neeg mob uas mob stenosis ntawm lub plawv thiab mob hlab ntsha hauv lub cev, siv nrog ceev faj. Raws li cov neeg mob retinopathy, kev cuam tshuam ntawm cov thyroid caj pas, mob siab, mob raum, muaj keeb kwm ntawm Addison tus kab mob, nrog rau cov neeg laus laus dua 65 vim qhov kev pheej hmoo ntawm hypoglycemia.
Nws cuam tshuam rau kev muaj peev xwm ntawm kev tsav tsheb, yog li koj yuav tsum tso tseg kev tsav tsheb rau lub sijhawm kho.
Nws tsis pom zoo kom los ua ke nrog cov kua dej hauv cov twj tso kua mis thiab cov roj av.
Nws yog tso tawm los ntawm cov tshuaj noj.
Cev xeeb tub thiab lactation
Nws raug tso cai siv thaum cev xeeb tub thiab tom qab yug menyuam, vim tias cov khoom lag luam muaj kev nyab xeeb rau tus menyuam lub cev. Hauv niam hauv thawj peb hlis, kev xav tau cov tshuaj insulin yuav tsawg dua, thaum nyob rau ob peb hlis tom qab, feem ntau nws nce siab. Txoj kev kho yuav tsum tau ua nyob rau hauv kev saib xyuas nruj ntawm tus kws kho mob koom nrog. Ntshav siab ntshav niam yau yog qhov txaus ntshai rau tus menyuam.
Piv nrog analogues
Cov tshuaj insulin no muaj ntau cov qauv ntawm qhov tsis tseem ceeb uas yuav pab tau zoo los xav.
Levemir. Tus nquag ua hauj lwm yog insulin-detemir. Nruab nrab-ntev hypoglycemic tus neeg saib xyuas Raug tuam txhab - Novo Nordisk, Denmark. Tus nqi rau kev ntim cov cartridges thiab cov kua roj pleev ib ce yuav yog txog 1800 rubles. Zoo. Tsis tshua muaj neeg ua rau muaj kev tsis haum tshuaj. Txawm li cas los xij, ntawm tus nqi siab nws muaj cov npe txaus ntawm kev phiv thiab tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 6 xyoo.
"Insuman Sai Sai." Muaj cov tshuaj soluble, tshuab ua kom zoo, ua yeeb yam insulin. Nws yog tsim los ntawm lub tuam txhab Sanofi-Aventis hauv Fabkis. Tus nqi rau tsib cartridges yog 1100 rubles. Cov khoom yog ze rau cov khoom ntawm Rinsulin. Nws tuaj yeem siv rau hauv menyuam yaus, tab sis nrog kev xaiv ceevfaj ntau npaum ntawm. Tus poob qis yog tus nqi siab.
"Actrapid." Cov tshuaj nquag yog tib neeg cov kua dej los kho. Cov neeg tsim khoom - "Novo Nordisk", Denmark. Tus nqi ntawm 370 rubles, yog muab rau hauv fwj 10 ml. Luv luv, tsim nyog rau kev sib txuas ua ke. Nws tuaj yeem raug tswj hwm ib leeg, intramuscularly, subcutaneously.
"Biosulin." Qhov kev tshem tawm no muaj isophan cov tshuaj insulin. Ua cov tuam txhab Pharmstandard-Ufavita, Russia. Tus nqi yog nyob ntawm daim ntawv ntawm kev tso tawm: lub raj mis 10 ml - 370 rubles, daim cartridges thiab cov koob txhaj tshuaj - ntawm 1000 rubles. Feem ntau, cov khoom no zoo sib xws. Rho tawm yog tus nqi. Tab sis cov ntaub ntawv tshuaj feem ntau them rau qhov no.
Hloov mus rau lwm hom tshuaj muaj peev xwm ua tau tsuas yog tso cai los ntawm kws kho mob! Kev siv tshuaj rau tus kheej yog txwv!
Kev Ntsuas Xyuas Mob Ntshav Qab Zib
Feem ntau, cov tshuaj no muaj tshuaj zoo. Tus neeg mob ntshav qab zib qhia txog kev siv, tus nqi tsim nyog thiab siv tau zoo. Tab sis qee tus neeg hais tias cov tshuaj insulin no tsis haum lawv.
Ekaterina: “Kuv tau kuaj mob ntshav qab zib mellitus ntev los lawm. Tsis ntev dhau los kuv siv Rinsulin NPH. Kuv xav tias nws yooj yim rau siv, muaj phwj syringe. Kuv ua raws kev noj haus, yog li kuv tsis muaj teeb meem dab tsi los ntawm kev phiv. Kuv nyiam cov tshuaj heev. "
Eugene: “Tus kws kho mob hloov mus rau Rinsulin NPH, Kuv hno tshuaj ib hnub ob zaug. Kuv siv rov qab siv tshuaj dua, nws yooj yim heev thiab tsim nyog cov nyiaj siv. Kuv ib txwm nco ntsoov xyuas kom cov zaub mov tsis cuam tshuam, thiab thaum kuv tsis noj mov tom tsev, Kuv tseem thov "P" ntxiv. Nws muaj cov nyhuv luv, mus zoo nrog "NPH". Cov tshuaj yog qhov tsim nyog, qab zib yog khaws cia ntawm ib qho chaw txaus. "
Igor: “Rinsulin tsis haum rau kuv. Qab zib txuas ntxiv mus. Tus kws kho mob hloov mus rau lwm yam tshuaj. Tab sis kuv hnov tias ib tug neeg tsim tau zoo heev. Thaj, nws tsis yog kuv cov tshuaj. "
Olga: “Kuv tau raug coj los kho nrog Actrapid. Tom qab ntawd lawv nres nres xa mus rau lub tsev muag tshuaj - qee qhov teeb meem nrog cov neeg muab khoom noj. Tus kws kho mob qhia kom kuv sim Rinsulin NPH. Kuv los. Qib hauv qab zib yog qhov qub, Kuv tsis pom muaj kev phiv. Kuv zoo siab nrog txhua yam, feem ntau. ”
Daim ntawv tso tawm
Cov tshuaj Insulin yog tso tawm hauv kev ncua rau kev txhaj tshuaj, ntim hauv hwj nrog nres roj hmab, ntim nrog lub hau txhuas ntawm sab saud. Nws kuj tseem muaj nyob hauv ampoules ntawm 5 lossis 10 ml. Cov kua dej yog huv, pob tshab, tsis muaj kev cuam tshuam. Cov kev ntim khoom no yog npaj kom sau thiab prick daws nrog ib cov tshuaj insulin tshwj xeeb. 5 pcs iav fwj ntim hauv thawv thawv ntawv nrog rau cov lus piav qhia. Cov tshuaj insulin feem ntau muaj nyob hauv cov xaum qhwv. Qhov no yog daim foos yooj yim rau ntau lawm rau cov mob ntshav qab zib, vim hais tias cov pob muag tshuaj hauv qab muaj ob peb koob tshuaj, yog li koj tuaj yeem nkag nws tsis tsuas yog nyob hauv tsev, tab sis kuj nqa nws nrog koj ua haujlwm. Nws yog qhov yooj yim siv, tsis tas yuav muaj kev paub tshwj xeeb thiab kev txawj ntse. Cov tshuaj insulin tsis raug tso tawm hauv cov ntsiav tshuaj; daim ntawv no tseem nyob hauv qab kev txhim kho.
Lub txee lub neej ntawm cov tshuaj yog 15 lub hlis, tab sis txawm tias nyob hauv lub thawv kaw ntom ntom, cov tshuaj tuaj yeem ua kom tsis zoo yog tias khaws cia tsis raug. Kev ncua hauv cov tshuaj yog qhia los ntawm cov txo, flakes lossis lwm yam impurities muaj nyob hauv vial. Ampoules yuav tsum muab cia rau hauv tub yees thiab khaws cia hauv qhov kub uas tsis muaj tshaj 2-8 * C. Feem ntau siv tshuaj kho mob tuaj yeem khaws cia hauv chav, tab sis nyob hauv qhov chaw tsaus muag kom tsis txhob poob rau lub hnub. Xws li lub raj mis tau siv rau tsis pub dhau ib hlis. Tom qab ntawd nws yuav tsum tau muab pov tseg, txawm tias hnub tas sij hawm tseem tsis tau tas sij hawm.
Tseem Ceeb! Koj tsis tas yuav mus nqa tshuaj rau koj tus kheej. Ib qho piv txwv ntawm kev muab tshuaj rau kev siv tshuaj yuav raug muab los ntawm kws kho mob txog kev sim tshuaj. Yav tom ntej, raws li kws kho mob pom zoo, cov kev xaiv xav tau raug xaiv, lub koob tshuaj tau kho.
Pharmacodynamics thiab pharmacokinetics
Cov tshuaj insulin tuaj yeem txo qis cov ntshav qab zib thiab zis, kho cov ntshav qabzib ntau dua los ntawm cov ntaub so ntswg. Cov tshuaj hormones txhawb txoj kev hloov ntawm cov piam thaj rau glycogen, nws cov khoom ntau ntxiv hauv cov leeg thiab lub siab. Tsis tas li ntawd, insulin txo qis ntawm cov piam thaj, txwv kev txhim kho lipemia (cov rog ntshav) ntawm cov ntshav qab zib. Cov txheej txheem ntawm kev ua ntawm txhua qhov insulins yog qhov qub - kev tsim ntawm ib qho tshuaj insulin txoj haujlwm, thiab lub sijhawm ua haujlwm nyob ntawm hom tshuaj insulin, nws hom. Tsis tas li ntawd, qhov chaw txhaj tshuaj, qhov kub, qhov ntau thiab cov ntsiab lus ntawm kev daws cuam tshuam rau qhov ceev ntawm cov tshuaj. Cov ntshav dej nkag mus rau hauv cov ntshav, nkag mus rau hauv lub raum thiab mob siab, thiab nws tawm sai heev hauv cov zis thiab kua tsib. Cov insulins sai thiab ceev ceev pib ua tom qab 3-10 feeb, thiab lub sijhawm ntev tom qab 25-30 feeb.
Kev taw qhia thiab contraindications
Cov neeg tiam no rog rau qib sib txawv. Qhov no ua rau cov khoom noj tsis sib xyaw, roj ntsha, tsis muaj kev ntxhov siab thiab lwm yam. Yog li, tom qab tus kws kho mob tau lees paub txog kev kuaj mob ntshav qab zib mellitus, lawv raug yuam kom siv cov tshuaj qab zib kom tsawg. Insulin txoj kev kho yog qhia rau ntau hom mob.
- Insulin-dependent yog thawj hom kab mob uas ntshav qab zib yuav nce vim insulin tsis muaj txaus. Qhov no yog vim qhov tsis txaus cov leeg nqaij hlav los ntawm cov mob plab hnyuv txhaws kab mob rau ntau qhov laj thawj.
- Ib hom kab mob insulin-ywj siab (hom 2) muaj kev txhim kho vim ploj ntawm kev sib txuas ntawm cov hlwb ntawm lub cev thiab cov tshuaj hormones.
- Mob ntshav qab zib Gestational yog kab mob ntawm cov poj niam cev xeeb tub. Qab zib ntau ntxiv thaum cev xeeb tub. Tom qab yug menyuam tas, feem ntau tau zoo li qub.
- Congenital mob ntshav qab zib Raws li kev hloov pauv, cov insulin-zoo li protein hloov nws tus yam ntxwv, uas dhau los ua qhov tshwm sim ntawm kev txhim kho pathology, vim nws koom nrog cov qauv hauv lub cev, kev tsim cov endocrine thiab lwm qhov kev ntsuas menyuam hauv plab.
Ntxiv rau, insulin yog txhaj rau cov neeg mob ntshav qab zib rau kev kis kab mob sib kis nrog kub taub hau. Qhia cov tshuaj rau cov neeg mob uas muaj kev cuam tshuam txog lub cev thaum hloov mus rau kev kho tshuaj insulin ntev. Siv cov tshuaj rau qhov ntsuas cov tshuaj insulin.
Cov tshuaj insulin uas txuam nrog rau hauv cov neeg mob nrog:
- ua xua rau cov tshuaj insulin thiab cov tshuaj hauv cov tshuaj,
- cov piam thaj hauv qab ntshav qis dua li ib txwm.
Kev mob ntshav siab ntshav qis tshwm sim nrog:
- pancreatitis
- nephropathy,
- mob siab
- cirrhosis ntawm daim siab,
- amyloidosis ntawm lub raum,
- ICD
- lub plab zom mov
- decompensated kab mob plawv.
Nrog faj seeb, nws yog tshuaj rau cov neeg mob uas paub nrog:
- xiam hlwb tsis txaus
- mob raum khiav tsis zoo,
- kev cuam tshuam ntawm cov thyroid caj pas,
- Addison's disease.
Kev kho cov poj niam cev xeeb tub nrog cov tshuaj insulin yog ua tiav los ntawm kev saib xyuas ntawm tus kws kho mob poj niam thoob plaws lub cev xeeb tub. Nyob rau lub sijhawm no, kev hloov kho tshuaj yog nqa tawm ob peb zaug.
Tsuas tshuaj thiab tshaj
Lub hom phiaj ntawm kev siv tshuaj yog txo qis ntshav qab zib. Kev siv tshuaj insulin ntev ntev yog tswj hwm s / c lossis m. Txhawm rau kom muaj lub ntsej muag ultra-ceev (mob ceev), insulin siv nrog cov nyhuv luv luv, cov npe ntawm cov tshuaj yuav tshaj tawm los ntawm tus kws kho mob. Nws yog txwv tsis pub qhia tawm lub sijhawm ntev thiab nruab nrab insulin mus rau txoj hlab ntshav lossis siv hauv nqus ntshav los. Ua ntej kev tswj hwm, koj yuav tsum ua kom sov tov rau chav sov. Kev daws txias txias maj mam pib ntawm qhov kev txiav txim thiab muaj peev xwm ua kom ntev ntev ntawm cov tshuaj.
Cov koob tshuaj ntawm cov tshuaj tau xaiv qee tus kheej rau txhua tus neeg mob. Ua ntej ntsuas cov kua nplaum ua ntej noj mov thiab 2 teev tom qab noj mov. Hauv nruab nrab, xav txog qhov zoo tshaj koob ntawm 30-40 PIECES 1-3 zaug hauv ib hnub lossis 0.5-1 PIECES / kg ntawm qhov hnyav. Yog tias muaj cov tshuaj kho qhov nruab nrab lossis cov koob tshuaj no tsis haum rau tus neeg mob, ces insulin nrog ultrashort kev txiav txim siab tuaj yeem ua ke nrog cov tshuaj uas muaj cov txiaj ntsig ntev.
Tseem Ceeb! Cov kws kho mob ntshav qab zib yuav tsum tau saib xyuas qhov noj tshuaj kom nruj me ntsis thaum tswj cov tshuaj kom tsis txhob noj ntau dua li cov koob tshuaj pom zoo. Qhov no yuav ua rau muaj ntau dhau ntawm cov tshuaj insulin thiab kev txhim kho cov tsos mob ntawm cov ntshav qog ntshav qab zib.
Kev sib txuam
Cov tshuaj Insulins tau sib haum rau ib leeg, tab sis yuav tsum tau txhaj tshuaj ntau thaum hloov ntawm ib hom mus rau lwm hom. Thaum muab tshuaj, kws kho mob thim mus rau qhov tshuaj uas tus neeg mob tseem noj, vim tias ntau cov tshuaj txo lossis txhim kho cov nyhuv ntawm cov tshuaj insulin. Txhawm rau ntev lub txiaj ntsig ntawm kev noj tau:
- cov thyroid hormones,
- nicotinic acid thiab nws cov derivatives,
- tshuaj tiv thaiv kab mob.
Kev sib xyaw ua ke los ntawm kev haus cawv thiab tshuaj insulin ua rau lub zog hypoglycemic ntawm cov tshuaj. Muaj cov pab pawg tshuaj uas txo cov kev kho mob ntawm cov tshuaj. Nov yog:
- inhibitors ntawm MAO, NPF, NSAIDs,
- tshuaj muaj salicylic acid,
- zinc npaj
- tshuaj steroid.
Cov tshuaj insulin tsis cuam tshuam rau tus neeg lub cev qhov tshuaj tiv thaiv, yog li cov neeg mob ntshav qab zib tuaj yeem ua haujlwm nrog thev naus laus zis thev naus laus zis.
Kev faib tawm cov tshuaj yog nqa tawm txheeb ze rau lub sijhawm ntawm kev nqis tes, muaj pes tsawg leeg, keeb kwm ntawm cov ntaub ntawv raw.
Insulin kev faib tawm cov lus
lub npe | Yam khoom muaj sia | Ntev li cas ntawm kev nqis tes ua kawg | Tus nqi ntawm ntim, rub | Tus nqi xauj tsev, rub. |
Insuman Bazal | Tshuaj Isofan | qhov nruab nrab | 11200,00 | 630,00 |
Humulin NPH | Isofan insulin rDNA | qhov nruab nrab | ||
Protafan NM | Crystalline isophane | qhov nruab nrab | 873,00 | 180,00 |
Novo Sai Sai | Aspart | Luv luv luv 4-5 h | 1160,00 | 380,00 |
Rinsulin | Neeg insulin | Luv luv 5-8 teev | 980,00 | 390,00 |
Tuzheo | Glargin | Ntev 36 h | 3200,00 | 237,00 |
Tshuav Daim Duab Solostar | glargine | Ntev ntev 24-29h | 4030,00 | 980,00 |
Yog hais tias tus neeg mob xav tau hloov ntawm ib hom tshuaj insulin mus rau lwm tus, ces tsuas yog tus kws kho mob ua qhov hloov kho no. Muab qhov sib txawv hauv lub sijhawm ua, qhov kev xaiv tau xaiv.
Tus neeg mob lub tswv yim
Kev txheeb xyuas cov ntshav qab zib hais txog kev siv tshuaj kho mob.
Svetlana, 54 xyoos, Samara. Kuv tau mob ntshav qab zib txij li 46 xyoo. Kuv siv "Insulin Glargin", Kuv siv cov tshuaj tsis tu ncua, yog li kuv xav zoo. Qhov loj tshaj plaws tsis yog ncua lub sijhawm tos txais thiab prick qhov koob tshuaj pom zoo.
Daria, 32 xyoo, Rostov. Txom nyem los ntawm cov suab thaj spikes. Tam sim no kuv ua raws li kev noj zaub mov noj thiab nyob rau lub sijhawm nkaug "Insuman Bazal." Nws pab kom kuv nyob thiab ua haujlwm puv ntoob.
Marina Pavlovna, tus kws kho mob endocrinologist. Cov tshuaj insulins tsis raug lees paub los ntawm cov neeg mob yog tias cov khoom noj khoom haus zoo thiab tsim nyog tshuaj tau pom. Cov teeb meem ntawm cov khoom noj tsis zoo ua rau muaj qhov tshwm sim ntawm "phiv".
Tus nqi ntawm cov tshuaj insulin sib txawv nyob ntawm tus tsim khoom lag luam thiab ntim khoom. Nws txawv ntawm 400 rubles. mus txog 2800 rub. rau kev ntim khoom.
Me xaus
Muaj ib cov ntawv nyeem tshwj xeeb uas qhov hypoglycemia tau piav qhia nyob rau hauv kom meej. Cov ntaub ntawv no tsis yog tsuas yog rau cov neeg mob ntshav qab zib, txij li cov laj thawj uas ua rau muaj kev txhim kho pathology muaj qhia nyob rau ntawd. Kuj tseem muaj npe teev cov tshuaj siv rau kev kho mob insulin. Nws yog ib qho tseem ceeb kom tsis txhob pib kho tus kheej. Nco ntsoov mus ntsib kws kho mob endocrinologist kom tsis txhob ua mob rau koj tus kheej.