Insulin Apidra: nqe, tshuaj xyuas, chaw tsim tshuaj paus

Qhov txawv ntawm Tujeo thiab Lantus

Cov kev tshawb fawb pom tau tias Toujeo qhia pom tias muaj kev tswj ntshav zoo hauv hom 1 thiab hom 2 ntshav qab zib. Qhov txo qis ntawm glycated hemoglobin qib hauv insulin glargine 300 IU tsis txawv ntawm Lantus. Qhov feem pua ​​ntawm cov neeg uas tau mus txog qib hom ntawm HbA1c yog qhov zoo ib yam, kev tswj glycemic ntawm ob lub insulins piv tau. Piv nrog rau Lantus, Tujeo muaj qhov maj mam tso tawm ntawm cov kua dej los ntawm cov nag lossis daus, yog li qhov tseem ceeb ntawm Toujeo SoloStar yog qhov pheej hmoo txo ​​qis ntawm kev muaj ntshav qab zib tsawg (tshwj xeeb tshaj yog thaum tsaus ntuj).

Cov ncauj lus kom ntxaws txog Lantushttps: //sdiabetom.ru/insuliny/lantus.html

Qhov zoo ntawm Toujeo SoloStar:

• sijhawm li cas tau tshaj 24 teev,
• concentration ntawm 300 PIECES / ml,
• kev txhaj tshuaj tsawg dua (Tujeo units tsis sib npaug nrog rau lwm qhov ntawm insulins),
• tsawg dua kev pheej hmoo ntawm kev tsim mob nocturnal hypoglycemia.

Qhov tsis zoo:

• tsis siv los kho ntshav qab zib ketoacidosis,
• kev nyab xeeb thiab muaj txiaj ntsig hauv menyuam yaus thiab poj niam cev xeeb tub tsis tau lees tias,
• tsis kho mob rau lub raum thiab mob siab,
• tus kheej intolerance rau glargine.

Cov lus qhia luv luv rau kev siv ntawm Tujeo

Nws yog ib qho tsim nyog yuav tau txhaj cov tshuaj insulin subcutaneously ib hnub ib zaug nyob rau tib lub sijhawm. Tsis yog npaj rau kev tswj hwm intravenous. Qhov koob tshuaj thiab lub sijhawm ntawm kev tswj hwm raug xaiv ib tus zuj zus los ntawm koj tus kws kho mob koom hauv kev soj qab ntsuas cov ntshav qabzib tas li. Yog tias kev pauv hloov hauv lub neej lossis lub cev hnyav, yuav tsum tau kho ntau dua rau koob tshuaj. Hom 1 ntshav qab zib tau muab rau Toujeo 1 zaug ib hnub nyob rau hauv kev sib xyaw nrog kev txhaj tshuaj ultrashort insulin nrog zaub mov noj. Cov tshuaj yeeb tshuaj glargin 100ED thiab Tujeo yog non-bioequivalent thiab tsis hloov pauv. Txoj kev hloov ntawm Lantus yog nqa nrog kev suav ntawm 1 mus rau 1, lwm yam ua haujlwm ntev insulins - 80% ntawm kev noj ib hnub.

Nws yog txwv tsis pub sib xyaw nrog lwm cov tshuaj insulins! Tsis npaj rau cov tshuaj insulin!

Cov tes hauj lwm sib tham tau nquag sib tham txog qhov zoo thiab qhov tsis zoo ntawm Tujeo. Nyob rau hauv dav dav, tib neeg txaus siab nrog txoj kev tsim kho tshiab ntawm Sanofi. Ntawm no yog cov neeg mob ntshav qab zib sau:

Yog tias koj twb siv Tujeo, nco ntsoov qhia koj cov kev paub hauv cov lus!

• Cov tshuaj Insulin Protafan: cov lus qhia, cov khoom kuaj xyuas, cov tshuaj xyuas
• Qhov tshuaj insulin Humulin NPH: kev qhia, analogues, tshuaj xyuas
• Insulin Lantus Solostar: kev qhia thiab tshuaj xyuas
• Cov cwj mem syringe rau cov tshuaj insulin: kev txheeb xyuas cov qauv, tshuaj xyuas
• Glucometer satellite: kev txheeb xyuas cov qauv thiab kev kuaj xyuas

Yuav ua li cas noj insulin glulisin?

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

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

Cov cai hais txog siv rab koob xaum hluav taws xob

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

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

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

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

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

Cov kev mob tshwm sim ntawm insulin glulisin

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

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

Kev phiv los ntawm cov tshuaj yuav tshwm sim li tshee tshee.

Kev phiv los ntawm cov tshuaj tuaj yeem tshwm sim nws tus kheej hauv daim ntawv ntawm arousal.

Kev phiv los sis yeeb tshuaj yuav tshwm sim ua lub plawv dhia ceev.

Kev phiv los ntawm cov tshuaj tuaj yeem tshwm sim nws tus kheej hauv daim ntawv ntawm qhov kev xav zoo li lub cev muaj zog dhau los.

Kev phiv los ntawm cov tshuaj yuav tshwm sim raws li qhov muag pom kev pom.

Kev phiv los sis cov tshuaj yuav tshwm uas muaj kev tsis sib haum xeeb.

Kev phiv los sis yeeb tshuaj yuav tshwm tawm hws ua txias.

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

Ntawm ib sab ntawm daim tawv nqaij

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

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

Cuam tshuam rau lub peev xwm los tswj cov tshuab

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

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

Siv rau lub sijhawm qub

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

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

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

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

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

Siv thaum cev xeeb tub thiab lactation

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

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

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

Daim ntawv thov rau lub raum khiav tsis zoo

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

Daim ntawv thov rau lub siab ua haujlwm tsis zoo

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

Glulisin insulin overdose

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

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

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

Kev cuam tshuam nrog lwm yam tshuaj

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

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

Pentoxifylline nce cov nyhuv hypoglycemic ntawm Apidra.

Fluoxetine nce cov txiaj ntsig hypoglycemic ntawm Apidra.

Salicylic acid nce cov nyhuv hypoglycemic ntawm Apidra.

Disopyramide tsub kom cov nyhuv hypoglycemic ntawm Apidra.

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

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

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

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

Cawv tau zoo

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

Glulisin analogues suav nrog:

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

Novorapid (NovoRapid) - ib qho lus piv txwv ntawm tib neeg cov tshuaj insulin

Isofan insulin noj (Isofan insulin)

Ua li cas thiab thaum twg los tswj cov tshuaj insulin? Cov txheej txheem txhaj tshuaj thiab tshuaj insulin

Cia rau cov neeg mob rau cov tshuaj

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

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

ul

Apidra rau cov poj niam cev xeeb tub

Lub sijhawm teem ntawm cov tshuaj nyob rau hauv cov ntaub ntawv ntawm cov poj niam cev xeeb tub yuav tsum tau nqa nrog kev ceev faj heev. Tsis tas li ntawd, nyob rau hauv lub moj khaum ntawm txoj kev kho mob ntawd, tswj cov ntshav qab zib kom sib piv yuav tsum tau ua kom ntau li ntau tau. Nws raug nquahu tias:

• cov neeg mob uas tau kuaj mob ntshav qab zib mellitus tam sim ntawd ua ntej cev xeeb tub lossis tus neeg tau txhim kho cov kev tiv thaiv kab mob ntshav qab zib ntawm cov poj niam cev xeeb tub, nws tau pom zoo muaj txiaj ntsig thoob plaws lub sijhawm kom feem ntau tswj hwm kev sib xyaw nrog glycemic,
• nyob rau thawj lub hlis thib ib ntawm cev xeeb tub, xav tau cov poj niam sawv cev siv tshuaj insulin tuaj yeem txo qis sai,
• raws li txoj cai, nyob hauv lub hlis thib ob thiab thib peb, nws yuav nce ntxiv,
• tom qab xa khoom, qhov xav tau rau kev siv ntawm cov tshuaj tiv thaiv hormonal, suav nrog Apidra, yuav rov qab ua ntau dua.

Nws yuav tsum tau yug hauv siab tias cov poj niam uas npaj siab cev xeeb tub tsuas yog hais qhia rau lawv tus kws kho mob txog qhov no.

Nws tseem yog ib qho tseem ceeb kom nco ntsoov tias nws tseem tsis tau paub meej tias insulin-glulisin tuaj yeem hla ncaj qha mus rau leej niam cov kua mis li cas.

Qhov ntsuas ntawm no ntawm tib neeg cov tshuaj insulin tuaj yeem siv thaum cev xeeb tub, tab sis ua tib zoo, ua tib zoo saib xyuas qib qab zib thiab, nyob ntawm nws, kho qhov koob tshuaj ntawm lub cev. Raws li txoj cai, hauv thawj lub hlis ntawm cev xeeb tub, cov koob tshuaj tsawg zuj zus, thiab hauv zaum ob thiab thib peb, nws maj mam nce ntxiv. Tom qab yug menyuam tas, qhov xav tau ntawm koob tshuaj ntau dua ntawm Apidra ploj, yog li ntawd qhov koob tshuaj tau raug txo dua.

Tsis muaj kev tshawb nrhiav qhov tseeb txog kev siv tshuaj Apidra thaum cev xeeb tub. Tsuas siv cov ntaub ntawv qhia txog kev siv cov tshuaj insulin no los ntawm cov poj niam cev xeeb tub tsis qhia nws cov txiaj ntsig tsis zoo rau kev tsim ntawm tus me nyuam hauv plab, chav kawm ntawm cev xeeb tub, lossis ntawm tus menyuam yug tshiab.

Kev ntsuam xyuas tsiaj yug menyuam tsis pom muaj qhov txawv ntawm tib neeg cov tshuaj insulin thiab insulin glulisin nrog kev sib raug zoo ntawm embryonic / menyuam kev loj hlob, cev xeeb tub, mob plab thiab yug menyuam tom qab.

Cov poj niam cev xeeb tub yuav tsum yog cov tshuaj Apidra nrog ceev faj nrog qhov yuav tsum tau saib xyuas tas li ntawm cov ntshav nyob hauv lub ntsej muag thiab kev tswj ntshav.

Cov poj niam cev xeeb tub uas muaj ntshav qab zib gestational yuav tsum paub txog kev txo qis hauv insulin thaum thawj peb lub hlis ntawm cev xeeb tub, nce ntxiv nyob rau lub hlis thib ob thiab thib peb, thiab sai dua tom qab yug menyuam.

Cev xeeb tub Tsis muaj cov ntaub ntawv txaus qhia txog kev siv insulin glulisin hauv cov poj niam cev xeeb tub.

Cov kev tshawb fawb tsiaj yug me nyuam tseem tsis tau qhia txog qhov sib txawv ntawm insulin glulisin thiab tib neeg insulin nrog rau kev xeeb tub, kev loj hlob ntawm tus menyuam / tus menyuam hauv plab, kev yug menyuam thiab kev loj hlob tom qab.

Thaum muab tshuaj rau cov poj niam cev xeeb tub, yuav tsum saib xyuas kom zoo. Yuav tsum tau ua tib zoo soj ntsuam ntawm cov ntshav qabzib feem ntau.

Cov neeg mob ua ntej cev xeeb tub los yog mob ntshav qab zib hauv lub cev yuav tsum tau tswj hwm kev noj qab haus huv tshaj plaws hauv lawv cev xeeb tub. Nyob rau thawj peb lub hlis thaum cev xeeb tub, qhov xav tau rau cov tshuaj insulin yuav tsawg dua, thiab nyob rau zaum ob thiab thib peb feem ntau, feem ntau nws tuaj yeem nce ntxiv. Tam sim ntawd tom qab yug los, xav tau insulin tsawg dua.

Cov ntaub ntawv hais txog kev siv insulin-glulisin los ntawm cov poj niam cev xeeb tub tsis muaj. Cov kev sim me nyuam hauv tsiaj tsis tau qhia txog qhov sib txawv ntawm tib neeg cov tshuaj lom neeg insulin thiab insulin-glulisin cuam tshuam nrog kev xeeb tub, kev loj hlob ntawm tus menyuam hauv plab, yug menyuam thiab tom qab yug menyuam.

Txawm li cas los xij, cov poj niam cev xeeb tub yuav tsum sau cov tshuaj kom zoo zoo. Lub sijhawm kho mob, kev saib xyuas cov ntshav qab zib yuav tsum tau saib xyuas tsis tu ncua.

Cov neeg mob uas muaj ntshav qab zib ua ntej cev xeeb tub lossis tus neeg uas muaj tus mob ntshav qab zib hauv kev xeeb tub hauv cov poj niam cev xeeb tub yuav tsum tswj kev tiv thaiv glycemic thoob plaws lub sijhawm.

Hauv thawj peb lub hlis thaum cev xeeb tub, tus neeg mob xav tau cov tshuaj insulin yuav poob qis. Tab sis, raws li txoj cai, hauv kev txiav txim siab tom qab, nws nce.

Tom qab yug menyuam tas, xav tau cov tshuaj insulin tsawg dua. Cov poj niam npaj ua cev xeeb tub yuav tsum qhia lawv tus kws kho mob txog qhov no.

Thaum kho cov poj niam thaum cev xeeb tub thiab lactation, siv nrog ceev faj - nws yog qhov zoo dua los siv hom tshuaj insulin.

Kho kev nyhuv ntawm cov tshuaj

Qhov kev txiav txim siab tseem ceeb tshaj plaws ntawm Apidra yog qhov kev tsim nyog ntawm kev ua haujlwm ntawm cov ntshav qabzib hauv cov ntshav, insulin tuaj yeem txo qis cov concentration ntawm cov piam thaj, thiaj li txhawb nws txoj kev nqus los ntawm cov ntaub so ntswg:

Cov tshuaj insulin txwv kev tsim cov piam thaj hauv tus neeg mob lub siab, adipocyte lipolysis, proteolysis, thiab nce protein ntau.

Hauv kev tshawb fawb qhia txog cov neeg muaj kev noj qab haus huv thiab cov neeg mob ntshav qab zib mellitus, nws tau pom tias subcutaneous tswj hwm ntawm glulisin muab cov nyhuv sai dua, tab sis nrog lub sijhawm luv dua, thaum piv nrog soluble tib neeg cov kua dej.

Nrog kev siv tshuaj subcutaneous ntawm cov tshuaj, cov nyhuv hypoglycemic yuav tshwm sim tsis pub dhau 10-20 feeb, nrog kev txhaj tshuaj rau cov nyhuv no yog sib npaug hauv lub zog rau qhov kev ua ntawm tib neeg insulin. Chav Apidra yog tus cwj pwm los ntawm kev ua haujlwm hauv lub qog ntshav, uas yog qhov sib npaug ntawm cov ntsuas ntawm tib neeg lub cev insulin.

Apidra insulin muab rau 2 feeb ua ntej noj mov, uas tso cai rau kev tswj tus mob glycemic tom qab noj mov, zoo ib yam li tib neeg cov insulin, uas tau siv 30 feeb ua ntej noj mov. Nws yuav tsum tau sau tseg tias xws li kev tswj hwm yog qhov zoo tshaj plaws.

Yog hais tias glulisin noj 15 feeb tom qab noj mov, nws muaj peev xwm tswj tau los ntawm cov ntshav qab zib concentration, uas sib npaug rau tib neeg cov insulin muab 2 feeb ua ntej noj mov.

Cov tshuaj insulin yuav nyob hauv cov ntshav li 98 feeb.

Kev piav qhia ntawm daim ntawv tshuaj

Cov tshuaj yuav tsum tau muab tshuaj los ntawm txhaj tshuaj subcutaneous, nrog rau los ntawm kev ua kom tsis tu ncua. Nws raug nquahu kom ua qhov no tshwj xeeb tshaj tawm nyob rau hauv subcutaneous thiab rog cov ntaub so ntswg uas siv cov txheej txheem tshwj xeeb-lub zog.

Kev txhaj tshuaj subcutaneous yuav tsum tau nqa tawm hauv:

Cov lus qhia ntawm Apidra insulin siv qhov kev txuas ntxiv mus rau hauv subcutaneous lossis cov nqaij rog yuav tsum tau nqa tawm ntawm lub plab. Cov cheeb tsam ntawm tsis yog tsuas yog txhaj tshuaj, tab sis kuj tseem infusions hauv thaj chaw dhau los, cov kws tshaj lij pom zoo sib hloov rau ib leeg rau ib qho kev siv tshiab ntawm kev tivthaiv.

Cov yam ua rau thaj chaw cog, lub cev qoj ib ce, thiab lwm yam "ntab dej" tuaj yeem muaj qhov cuam tshuam ntawm qhov ntsuas ntawm kev nrawm ntawm kev nqus thiab, vim li ntawd, ntawm lub community launch thiab qhov cuam tshuam.

Kev phais pob zeb me me rau hauv cov phab ntsa ntawm thaj tsam mob plab dhau los ua ib qho kev lees paub ntawm ntau yam nrawm nrawm dua li rho tawm mus rau lwm thaj chaw ntawm tib neeg lub cev. Nco ntsoov ua raws li cov kev cai txwv tsis pub cais tawm ntawm cov tshuaj mus rau cov ntshav ntawm cov ntshav.

Txhim kho cov nyhuv ntawm insulin:

• cov tshuaj hypoglycemic qhov ncauj,
• disopyramids
• ACE inhibitors thiab MAO,
• fluoxetine
• sulfonamide antimicrobial tus neeg sawv cev,
• propoxyphene
• fibrates
• pentoxifylline
• salicylates.

Weaken nws cov nyhuv:

• GKS,
• ntau hom diuretics
• danazol
• isoniazid
• diazoxide
• sympathomimetics
• salbutamol,
• phenothiazine derivatives,
• somatropin,
• estrogens, progestins,
• epinephrine
• tshuaj tiv thaiv kev puas tsuaj
• terbutaline
• cov thyroid hormones
• protease inhibitors.

Cov tshuaj xws li beta-blockers, lithium ntsev, ethanol, clonidine tuaj yeem muaj cov nyhuv multidirectional. Cov tsos mob ntawm cov npog ntsej muag hypoglycemia: beta-blockers, reserpine, clonidine, guanethidine.

Thaum sau ntawv kho mob, tus kws kho mob koom yuav tsum paub txog kev noj cov nyiaj uas tau teev tseg.

Tau tshaj cov tib neeg insulin isophane. Tsis sib haum nrog lwm cov tshuaj kev daws teeb meem.

Kev tshuaj xyuas txog cov tshuaj Apidra, nrog rau tag nrho lwm cov tshuaj insulins, nqis los rau ib qho, txawm tias cov tshuaj no yuav los nrog tus neeg no lossis tus neeg zoo li cas no. Hauv rooj plaub thaum Apidra tshuaj yuav haum rau tus neeg mob, tsis muaj kev yws txog nws txoj kev ua tau zoo thiab kev nyab xeeb. Cov kev yooj yim ntawm kev siv SoloStar koob txhaj tshuaj thiab qhov tseeb ntawm cov tshuaj insulin rau hauv lawv kuj tau sau tseg.

Feem ntau zoo xyuas. Kev ua tau zoo, qhov kev txiav txim siab ceev tau sau tseg. Cov kev mob tshwm sim muaj tsawg kawg, cov tshuaj siv feem ntau hauv kev kho mob ua ke.

Maria: “Kuv twb tau kho tus mob ntshav qab zib hom 2 tau qee lub sijhawm. Tsis ntev los no, nws tsis yog ib qho ua tau kom tswj tau jumps hauv qab zib thaum noj mov. Tus kws kho mob tau qhia kuv kom sim tshuaj Apidra ua ke nrog kuv lwm yam tshuaj. Kuv tau siv nws ob lub hlis tam sim no, tsis muaj kev tsis txaus siab. Qhov loj tshaj plaws yog qhov kev noj haus tau zoo. Cov zaub mov uas muaj cov carbohydrates ntau yuav tsum tsis txhob noj ib qho twg thaum twg los xij. Tab sis cov nyhuv yog qhov koj xav tau. Kuv txaus siab nrog cov tshuaj no. "

Alina: “Feem ntau kuv tau ntsib qhov tseeb tias kuv cov insulin ntawm nruab nrab ntev tsis txaus rau tag nrho ib hnub. Tom qab cov ntshav qog ntshav tau tshwm sim ib zaug, nws tau mus ntsib kws kho mob rau tshuaj ntxiv. Nws sau Apidra. Cov nyhuv yog ceev, ruaj khov. Nws tsuas zoo txaus rau cov xwm txheej no thaum koj xav tau kho cov ntshav qab zib kom sai. Tam sim no kuv tsis tuaj yeem txhawj thiab noj sab nraum zoov. Kuv nyiam cov tshuaj heev. "

1. Tus nqi Apidra SoloStar, qhov twg yuav Apidra SoloStar hauv Moscow?
2. Cwj mem kos rau insulin - yuav siv li cas thiab xaiv qhov zoo tshaj plaws
3. Lantus - cov lus qhia rau siv, koob tshuaj, cim
4. Tshuaj tua kab mob rau cov tshuaj insulin - cov nqi hauv Moscow

Cov lus qhia rau kev siv tshuaj

Kev qhia txog kev siv tshuaj insulin Apidra SoloStar yog insulin-tiv thaiv ntshav qab zib mellitus ntawm hom thawj thiab hom thib ob, cov tshuaj no tuaj yeem kho rau cov laus thiab menyuam yaus hnub nyoog 6 xyoo. Cov tshuaj tiv thaiv yuav yog hypoglycemia thiab ib tug neeg tsis kam txais rau ib feem twg ntawm cov tshuaj.

Thaum cev xeeb tub thiab pub niam mis, Apidra yog siv nrog kev ceev faj heev.

Kev siv tshuaj insulin tam sim ntawd ua ntej noj mov lossis 15 feeb ua ntej. Nws tseem raug tso cai siv cov tshuaj insulin tom qab noj mov. Feem ntau, Apidra SoloStar pom zoo kom siv cov tshuaj insulin rau ib nrab-sijhawm ntev, nrog rau kev ua haujlwm ntev ntev ntawm insulin. Rau qee cov neeg mob, nws yuav raug suav nrog cov ntsiav tshuaj hypoglycemic.

Kev noj tshuaj ib leeg rau ib leeg yuav tsum tau xaiv rau txhua tus mob ntshav qab zib, noj rau hauv uas nrog lub raum tsis ua haujlwm, qhov kev xav tau rau cov tshuaj hormone no tseem tsawg heev.

Cov tshuaj muaj peev xwm tso cai rau noj tshuaj subcutaneously, infusion rau hauv thaj chaw ntawm cov rog subcutaneous. Cov chaw yooj yim tshaj plaws rau kev siv tshuaj insulin:

Thaum muaj qhov xav tau txuas ntxiv Txoj kev lis ntshav, txoj kev qhia yog nqa tawm ntawm lub plab. Cov kws kho mob xav pom zoo hloov chaw txhaj tshuaj, nco ntsoov ntsuas kev ntsuas kev nyab xeeb. Qhov no yuav tiv thaiv kev nkag ntawm insulin mus rau hauv cov hlab ntshav. Kev tswj hwm hauv qab ntu ntawm phab ntsa hauv thaj chaw ntawm lub plab yog qhov kev lees paub txog kev nqus ntawm cov tshuaj ntau tshaj li nws qhov kev qhia mus rau lwm qhov ntawm lub cev.

Tom qab txhaj tshuaj, nws yog txwv tsis pub zaws qhov chaw txhaj tshuaj, tus kws kho mob yuav tsum qhia txog qhov no thaum lub sijhawm piav qhia txog cov txheej txheem kom raug rau kev tswj hwm cov tshuaj.

Nws yog ib qho tseem ceeb kom paub tias cov tshuaj no yuav tsum tsis txhob xyaw nrog lwm cov tshuaj insulins, tsuas yog kev zam rau txoj cai no nkaus xwb yog cov tshuaj insulin Isofan. Yog tias koj sib xyaw Apidra nrog Isofan, koj yuav tsum hu nws ua ntej thiab prick tam sim ntawd.

Daim cartridges yuav tsum siv nrog OptiPen Pro1 koob txhaj tshuaj lossis nrog cov khoom siv zoo sib xws, nco ntsoov ua raws li cov kws tsim cov lus pom zoo:

1. cartridge sau,
2. koom ib rab koob
3. kev qhia ntawm cov tshuaj.

Txhua lub sijhawm ua ntej siv cov cuab yeej, nws yog ib qho tseem ceeb kom ua qhov kev soj ntsuam ntawm nws; kev daws teeb meem txhaj tshuaj yuav tsum muaj qhov tsis pom tseeb, tsis muaj xim, tsis muaj cov khoom pom.

Ua ntej kev teeb tsa, lub cartridge yuav tsum ceev cia nyob rau hauv chav tsev qhov tsawg kawg yog 1-2 teev, tam sim ntawd ua ntej kev qhia ntawm insulin, huab cua yog tshem tawm ntawm daim cartridge. Kev siv daim laub rov qab yuav tsum tsis txhob rov ntim tshuaj dua; Thaum siv lub tshuab nqus tsev twj tso kua mis los tsim cov tshuaj insulin tas mus li, sib xyaw nws yog qhov txwv!

Xav paub ntau ntxiv, thov nyeem cov lus qhia rau kev siv. Cov neeg mob hauv qab no yog kev kho tshwj xeeb:

• nrog lub raum khiav tsis zoo (yuav tsum tau los saib xyuas qhov koob tshuaj ntawm insulin),
• nrog lub siab ua haujlwm tsis zoo (qhov xav tau rau ib yam tshuaj hormones tuaj yeem txo qis).

Tsis muaj cov ntaub ntawv hais txog kev tshawb fawb pharmacokinetic tshuaj ntawm cov neeg laus hauv cov neeg laus, txawm li cas los xij, nws yuav tsum tau yug los rau hauv lub siab tias pawg neeg ntawm cov neeg mob no yuav txo qis qhov xav tau ntawm insulin vim yog lub raum tsis ua haujlwm.

Apidra insulin vials tuaj yeem siv nrog lub twj tso kua mis ua haujlwm ntawm lub cev, cov tshuaj insulin nrog cov ntsuas qhov tsim nyog. Tom qab txhua qhov kev txhaj tshuaj, rab koob raug tshem tawm ntawm rab koob txhaj tshuaj thiab muab pov tseg. Txoj hau kev no yuav pab tiv thaiv kev kis mob, khoo tshuaj, cua nkag mus, thiab txhaws ntawm rab koob. Koj sim tsis tau nrog koj kev noj qab haus huv thiab rov siv rab koob.

Txhawm rau tiv thaiv kev kis mob, tus cwj mem ntim puv siv tsuas yog siv los ntawm ib qho mob ntshav qab zib, nws tsis tuaj yeem hloov mus rau lwm tus neeg.

Cov kab mob ntawm kev noj haus ntau tshaj thiab muaj kev cuam tshuam tsis zoo

Feem ntau, tus neeg mob ntshav qab zib muaj peev xwm tsim muaj qhov tsis zoo yam li ua rau lub qog ntshav qab zib.

Hauv qee kis, cov tshuaj ua rau cov tawv nqaij ua paug thiab o ntawm qhov chaw txhaj tshuaj.

Qee lub sij hawm nws yog cov lus nug ntawm lipodystrophy hauv ntshav qab zib mellitus, yog tias tus neeg mob tsis ua raws li kev pom zoo ntawm kev hloov chaw ntawm kev txhaj tshuaj insulin.

Lwm cov kev tsis haum tshuaj suav nrog:

1. zawm caj pas, urticaria, tshuaj tiv thaiv kab mob dermatitis (feem ntau),
2. hauv siab nruj (tsis tshua muaj).

Nrog cov kev tshwm sim ntawm cov kev tawm tsam tsis haum, muaj kev phom sij rau tus neeg mob lub neej. Vim li no, nws tseem ceeb uas yuav tau ua tib zoo saib xyuas koj kev noj qab haus huv thiab mloog nws cov kev ntxhov siab me ntsis.

Thaum kev siv ntau tshaj ntawd tshwm sim, tus neeg mob nthuav dav hypoglycemia ntawm kev ua txhaum sib txawv. Hauv qhov no, kev kho mob yog qhia:

• mob ntshav qab zib tsawg - siv cov zaub mov uas muaj suab thaj (hauv cov ntshav qab zib lawv yuav tsum nrog lawv nyob ib txwm)
• Kev mob ntshav qab zib ntau nrog rau qhov tsis nco qab - nres tau ua los ntawm kev tswj hwm 1 ml ntawm glucagon subcutaneously lossis intramuscularly, qabzib tuaj yeem muab tshuaj rau hauv ntshav (yog tias tus neeg mob tsis teb rau glucagon).

Sai li tus neeg mob rov qab nco ntsoov, nws yuav tsum tau noj me me ntawm carbohydrates.

Raws li qhov tshwm sim ntawm hypoglycemia lossis hyperglycemia, muaj kev pheej hmoo ntawm tus neeg mob lub cev tsis muaj peev xwm mloog, hloov qhov ceev ntawm cov teeb meem psychomotor. Qhov no ua rau muaj kev hem thawj thaum tsav tsheb lossis lwm yam txheej txheem.

Kev saib xyuas tshwj xeeb yuav tsum tau muab rau cov neeg mob ntshav qab zib uas muaj qhov txo qis lossis tsis tuaj yeem muaj peev xwm paub txog cov cim ntawm qhov yuav tsum ua kom muaj ntshav qab zib tsawg. Nws tseem yog qhov tseem ceeb rau kev mob ncua ntev ntawm skyrocketing qab zib.

Cov neeg mob zoo li no yuav tsum txiav txim siab txog qhov ua tau ntawm kev tswj hwm cov tsheb thiab cov txheej txheem ntawm tus kheej.

Lwm yam lus pom zoo

Nrog rau cov tib neeg siv cov tshuaj insulin Apidra SoloStar nrog rau qee yam tshuaj, ib qho nce lossis tsawg dua hauv kev txhawb nqa rau kev txhim kho hypoglycemia tuaj yeem pom, nws yog kev coj los suav nrog cov txhais tau tias:

1. qhov ncauj hypoglycemic,
2. ACE inhibitors
3. fibrates
4. Disopyramides,
5. MAO inhibitors
6. Fluoxetine,
7. Pentoxifylline
8. salicylates,
9. Propoxifene
10. sulfonamide antimicrobials.

Qhov ua rau lub ntsej muag ntshav siab tuaj yeem txo qis ntau zaus yog tias cov tshuaj insulin glulisin muab ua ke nrog cov tshuaj: diuretics, phenothiazine derivatives, thyroid hormones, protease inhibitors, antipsychotropic, glucocorticosteroids, Isoniazid, Phenothiazine, Somatropin, sympathomimetics.

Cov tshuaj Pentamidine yuav luag ib txwm muaj hypoglycemia thiab hyperglycemia. Ethanol, kua ntsev lithium, beta-blockers, cov tshuaj Clonidine tuaj yeem muaj peev xwm thiab muaj zog me ntsis cov nyhuv hypoglycemic.

Yog tias nws yuav tsum hloov ntshav qab zib rau lwm hom tshuaj insulin lossis lwm hom tshuaj tshiab, kev saib xyuas nruj los ntawm tus kws kho mob koom yog qhov tseem ceeb. Thaum kev siv tshuaj tsis txaus ntawm cov tshuaj insulin siv los yog tus neeg mob txiav txim siab txiav txim siab txog kev kho, qhov no yuav ua rau kev txhim kho:

• hyperglycemia loj heev,
• mob plab ketoacidosis.

Ob qho xwm txheej no ua rau muaj kev hem thawj rau lub neej ntawm tus neeg mob.

Yog tias muaj kev hloov pauv ntawm cov yam ntxwv lub cev, qhov ntau thiab cov zaub mov noj, kev hloov kho ntawm Apidra insulin kuj yuav tsum tau ua. Cov kev tawm dag zog lub cev uas tshwm sim tam sim ntawd tom qab noj mov tuaj yeem ua rau muaj qhov txo qis ntawm cov ntshav qab zib tsawg.

Tus neeg mob ntshav qab zib hloov pauv qhov xav tau ntawm insulin yog tias nws muaj kev xav ntau dhau lossis mob tsis sib haum. Cov qauv no yog lees paub los ntawm kev txheeb xyuas, ob tus kws kho mob thiab cov neeg mob.

Apidra insulin yog qhov tsim nyog yuav tsum tau muab cia rau hauv qhov chaw tsaus, uas yuav tsum muaj kev tiv thaiv los ntawm menyuam yaus rau 2 xyoos. Qhov zoo tshaj plaws kub rau khaws cov tshuaj yog los ntawm 2 txog 8 degrees, nws yog txwv tsis pub kom khov cov tshuaj insulin!

Tom qab pib siv, cov laub yuav khaws cia ntawm qhov ntsuas kub tsis tshaj 25 degrees, lawv tsim nyog siv rau ib hlis.

Apidra insulin cov lus qhia yog muab tso rau hauv cov yeeb yaj kiab hauv tsab xov xwm no.