Insulin Novorapid: cov yam ntxwv thiab cov yam ntxwv

Insulin Novorapid yog cov tshuaj tshiab tshiab uas tso cai rau koj los ua kom lub cev tsis muaj tshuaj txaus hauv lub cev. Nws muaj ntau qhov zoo: nws yog yooj yim thiab sai zom, normalizes ntshav qab zib, tuaj yeem siv tau tsis hais noj zaub mov li cas. Nws zwm rau qeb ntawm cov tshuaj tiv thaiv ultrashort.

Cov ntshav qab zib Novorapid yog ib qho tsis muaj kob rau kua rau kev txhaj tshuaj. Muaj nyob hauv daim cartable thiab hloov tau 3 ml koob txhaj tshuaj. Cov tshuaj tiv thaiv dhau los ntawm cov tshuaj, insulin aspart, muaj cov nyhuv hypoglycemic zoo thiab yog ib qho tshuaj tiv thaiv ntawm tib neeg lub cev. Cov tshuaj yog rho tawm los ntawm cov kab mob DNA biotechnology thiab suav rau 100 IU, lossis 3.5 g ntawm tag nrho cov tshuaj.

Cov khoom siv ntxiv yog glycerol, phenol, metacresol, zinc chloride, sodium chloride, sodium hydrogen phosphate dihydrate, sodium hydroxide, hydrochloric acid thiab dej.

Kev taw qhia thiab contraindications

Novorapid yog tshuaj rau hom 1 thiab ntshav qab zib hom 2. Hauv cov neeg mob ntshav qab zib tsis yog-insulin, qhov tshuaj yuav tsum raug noj thaum tshuaj xyuas kev tawm tsam rau hypoglycemic formulations npaj rau kev siv qhov ncauj.

Yuav coj mus rau menyuam yaus txij li 2 xyoos. Txawm li cas los xij, qhov kev txuam no tsis dhau qhov kev sim tshuaj, yog li, cov tshuaj muaj peev xwm muab tau tom qab 6 xyoo nkaus xwb. Cov lus qhia rau kev teem caij yog qhov nyuaj rau kev ceev tus menyuam ntawm kev txhaj tshuaj thiab noj mov.

Ntawm qhov tsis sib xws, cov tib neeg rhiab rau cov tshuaj ntawm cov tshuaj yuav tsum tau sau tseg. Nrog rau kev ceev faj, nws yog tshuaj rau cov neeg laus uas muaj lub siab lossis lub raum tsis ua haujlwm.

Tsuas tshuaj thiab tswj hwm

Novorapid yog npaj rau subcutaneous thiab leeg tswj hwm. Cov koob tshuaj ntawm cov tshuaj hormones raug xaiv ib tus zuj zus, suav txog tus yam ntxwv ntawm lub cev thiab qhov mob hnyav ntawm chav kawm ntawm tus kabmob. Cov tshuaj raug pom zoo kom siv rau hauv kev sib xyaw nrog ntev lossis nruab nrab-ua yeeb yam insulins, uas tau txais ib zaug ib hnub ib zaug. Txhawm rau kom tsis txhob muaj cov qe ntshav lo hauv qib, ua ntej siv Novoropid, cov ntshav qab zib yuav tsum kuaj xyuas thiab cov koob tshuaj hloov raws li cov ntsuas.

Qhov pom zoo kom noj cov tshuaj txhua hnub rau cov neeg laus thiab menyuam yaus thaj tsam li ntawm 0.5-1 IU ib 1 kg ntawm lub cev hnyav. Novorapid tuaj yeem muab rau siv tam sim ua ntej noj mov. Hauv qhov no, insulin yuav npog txog 60-70% ntawm qhov xav tau ntawm tus mob ntshav qab zib. Cov so yuav tau los ntawm cov ua haujlwm ntev insulins. Cov qhia ntawm muaj pes tsawg leeg tom qab noj mov kuj siv tau.

Kho cov koob tshuaj uas tsim nyog ntawm cov tshuaj hormones:

thaum hloov koj li kev noj haus ib txwm muaj,
nrog cov kab mob sib,
nrog kev npaj tsis tau lossis siv lub cev ntau dhau,
thaum lub sijhawm kev phais mob.

Qhov ntau npaum li cas ntawm cov tshuaj insulin luv luv feem ntau xaiv tom qab ntsuas cov suab thaj hauv ib lis piam. Raws li cov ntsuas no, tus kws tshaj lij yuav kos cov npe nkag rau ib tus kheej. Piv txwv, yog tias jumps hauv cov ntshav qabzib pom thaum yav tsaus ntuj, Novorapid tau txais tshuaj ib hnub ib zaug ua ntej noj hmo. Yog tias cov piam thaj nce tom qab noj khoom txom ncauj tas, yuav tsum tau txhaj tshuaj ua ntej noj mov.

Rau kev qhia txog insulin yuav tsum xaiv thaj chaw ntawm lub duav, lub xub pwg, pob tw thiab lub xub ntiag ntawm phab ntsa. Txo qhov kev pheej hmoo ntawm lipodystrophy, thaj chaw txhaj tshuaj yuav tsum tau sib hloov.

Lub sijhawm ntawm cov tshuaj hormone yog nyob ntawm ntau yam: kev siv tshuaj, thaj chaw txhaj tshuaj, ntshav ntws los ntawm lub cev, kev ua haujlwm ntawm lub cev, thiab lwm yam Yog tias tsim nyog, cov tshuaj tuaj yeem raug siv siv lub tshuab nqus tshuaj insulin. Txawm li cas los xij, hom no yuav tsum tsuas yog siv yog tias koj muaj cov txuj ci tsim nyog thiab cov cuab yeej muaj (dej khaws dej, raj dej thiab raj). Tso cai tswjfwm yog tso cai nkaus xwb nyob rau hauv kev saib qhov muag ntawm tus kws tshaj lij. Rau kev lis ntshav, ib qho tshuaj insulin nrog sodium chloride lossis dextrose yog siv.

Novorapid Flexpen

Feem ntau, qhov kev siv tshuaj yeeb yaj kiab raug tswj hwm siv ib qho xaum xim. Cov tshuaj Insulin Novorapid Flekspen tau nruab nrog xim coding thiab lub tshuab xa tawm kom zoo. Ib ruam ntawm koob txhaj tshuaj muaj 1 IU tshuaj. Ua ntej siv cov tshuaj hormones, koj yuav tsum ua tib zoo nyeem cov lus qhia rau kev siv. Xyuas hnub ntau lawm thiab hnub tas sij hawm. Tom qab ntawd tshem lub hau ntawm cov koob txhaj tshuaj thiab tshem tawm cov ntawv nplaum ntawm rab koob. Ntsia tus xov mus rau tus kov. Nco ntsoov: koob rab koob yuav tsum siv rau txhua txoj kev txhaj tshuaj.

Cov chaw tsim khoom lag luam ceeb toom tias cov kua xaum xaum yuav muaj cov pa me me nyob sab hauv. Txhawm rau kom tsis txhob cia cov pa oxygen ntau thiab ua kom tswj cov tshuaj kom raug, ua raws qee txoj cai. Hu 2 lub cev ntawm cov tshuaj hormones, tsa cov koob txhaj tshuaj nrog rab koob thiab maj mam coj mus rhaub lub taub hau nrog koj cov ntiv tes. Yog li koj tsiv mus saum huab cua npuas. Tam sim no nias lub khawm pib thiab tos rau tus xaiv dosing rov qab los rau "0" txoj haujlwm. Nrog lub koob txhaj tshuaj ua haujlwm, poob ntawm muaj pes tsawg leeg yuav tshwm sim ntawm rab koob. Yog tias qhov no tsis tshwm sim, sim dua ob peb zaug ntxiv. Yog tias cov tshuaj insulin tsis nkag rau hauv rab koob, cov koob txhaj tshuaj yuav ua haujlwm tsis zoo.

Tom qab paub tseeb tias cov cuab yeej ua haujlwm tau zoo, teeb tsa lub koob tshuaj xaiv cov koob txhaj tshuaj rau txoj haujlwm "0". Hu rau qhov ntau ntawm qhov tshuaj. Ua tib zoo saib thaum saib qhov tshuaj. Kev ntxhov siab ntxhov siab tuaj yeem ua rau lub cev muaj zog tawm ntxov. Tsis txhob teev tus nqi ntau dua li cov khw muag khoom pom. Nkag rau insulin, ua raws cov txheej txheem thiab cov lus qhia ntawm koj tus kws kho mob. Tsis txhob tshem koj tus ntiv tes los ntawm qhov pib khawm rau 6 vib nas this tom qab txhaj tshuaj, zoo li koj yuav ua tiav ib koob.

Hle cov koob tawm thiab taw tes rau hauv lub hau sab nraud. Tom qab nws nkag mus rau ntawd, unscrew thiab muab pov tseg. Kaw cov tshuaj phwj nrog lub hau thiab muab tso rau hauv qhov chaw ntim. Cov ncauj lus kom ntxaws txog kev txhaj tshuaj thiab pov tseg ntawm kev siv rab koob tuaj yeem nrhiav nyob rau hauv cov lus qhia rau kev siv.

Kev siv Novorapid Flekspen yog txwv nyob hauv qee kis.

Ua xua rau insulin aspart lossis lwm yam tshuaj ntawm cov tshuaj.
Kev mob ntshav qab zib nyob rau theem pib (ib txwm ntsuas qab zib ua ntej tswj cov tshuaj hormones).
Lub hau roj pho yog puas ntsoog, tawg, lossis poob rau hauv pem teb.
Cov kua hauv cov phwj yog muaj huab hauv cov xim, txawv teb chaws ntab ntab hauv nws lossis qhov nag lossis daus yog pom.
Cov ntsiab lus khaws cia ntawm cov tshuaj tau txhaum cai los yog cov tshuaj muaj yees khov.

Qhov saum npoo ntawm cov tes tsho xaum tuaj yeem kho nrog daim ntaub cawv. Nws yog txwv tsis pub mus ua Novorapid Flekspen hauv dej, ntxuav thiab ntub. Txwv tsis pub, lub tshuab ntaus ntawv yuav ua tsis tiav.

Novorapid thaum cev xeeb tub

Ib yam li lwm yam insulins, Novorapid tau pom zoo rau kev siv thaum cev xeeb tub thiab lactation. Ntau cov kev tshawb fawb tshwj xeeb tau lees tias cov tshuaj tsis muaj qhov tsis zoo ntawm tus me nyuam hauv plab. Txawm li cas los xij, cov niam uas cia siab yuav tsum ua tib zoo saib xyuas cov ntshav qabzib nyob rau hauv, vim tias hypo- thiab hyperglycemia yog qhov txaus ntshai rau kev noj qab haus huv ntawm ob tus poj niam thiab tus menyuam.

Kev noj tshuaj insulin luv luv yuav tsum tau kho nyob ntawm ncua sijhawm ntawm cev xeeb tub. Thaum pib ntawm lub hlis thib ib, xav tau cov tshuaj insulin yuav muaj tsawg dua li qhov kawg ntawm lub thij thib 2 thiab pib lub hlis thib peb. Tam sim ntawd tom qab yug menyuam, glycemic ntsuas rov qab mus rau qhov qub, tab sis qee zaus, qee zaum yuav tau kho me ntsis.

Phiv thiab haus tshaj

Feem ntau, qhov tsis xav tau tshwm sim ntawm cov tshuaj hormones nws tus kheej thiab tshwm sim hauv daim ntawv ntawm hypoglycemia, uas nrog nrog:

tawm hws ntau dhau
pallor ntawm daim tawv nqaij
kev tshee
tsis tsim nyog ntawm kev ntxhov siab,
tshee ntawm nqua,
qaug zog hauv lub cev
disorientation thiab txo qis ntawm cov xim.

Feem ntau, kev txo qis hauv cov ntshav qab zib tuaj yeem ua rau:

kiv taub hau
kev tshaib kev nqhis
teeb meem tsis pom kev
xeev siab
mob taub hau
tachycardia.

Cov mob glycemia ntau tuaj yeem ua rau tsis nco qab, ua kom mob hlwb, mob cerebrovascular thiab tuag.

Nrog rau kev siv tsis raug cai ntawm cov tshuaj, hauv zos thiab kev tsis haum yog qhov ua tau: urticaria, khaus, liab thiab o. Feem ntau, cov tsos mob no tshwm sim thaum pib siv cov tshuaj hormone thiab tom qab ib ntus dhau ntawm lawv tus kheej. Txawm li cas los xij, qee tus neeg mob ntshav qab zib kuj tau sau tseg rau lwm cov kev phiv tshuaj, nrog rau mob plab zom mov, mob caj dab, ua pa nyuaj, mob plawv thiab mob ntshav siab.

Kev siv tshuaj ntau dhau ntawm Novorapid insulin tuaj yeem ua rau muaj qhov xav kom noj ntau dhau, uas yog nrog tus mob hypoglycemia. Qhov me me tshaj ntawm kev haus ntau dhau yog yooj yim tshem tawm ntawm koj tus kheej. Ua li no, noj zaub mov uas muaj suab thaj. Cov hom mob nruab nrab thiab hnyav ntawm glycemia, nrog rau kev tsis nco qab, yuav tsum tau kho hauv tsev kho mob.

Yog tias vim li cas Novorapid tsis haum rau tus neeg mob, tus endocrinologist tuaj yeem tuaj tos nws cov analogues. Feem ntau ntawm lawv yog Apidra, Novomiks, Aktrapid, Humalog, Gensulin N, Protafan thiab Raizodeg. Txhua yam tshuaj no yog cov tshuaj insulins luv luv, haum rau kev kho mob ntshav qab zib hom 1 thiab ntshav 2, thiab yooj yim siv.

Cov Lus Pom Zoo

Thaum siv yeeb tshuaj, qee qhov nuances yuav tsum ua rau hauv tus lej.

Thaum siv rab koob xaum hluav taws xob, nco ntsoov tias nws tuaj yeem poob lossis puas, yog li ib txwm muaj cov tshuaj tua kab mob nrog koj.
Cov tshuaj yog feem ntau pom zoo thaum pib ntawm kev kuaj mob ntshav qab zib thiab yog tshuaj tawm tsam ntawm keeb kwm ntawm chav kawm ntawm kev ua yeeb yam ntev.
Ib qho piv txwv ntawm tib neeg cov tshuaj hormones tuaj yeem ua rau cov piam thaj hauv cov me nyuam yaus poob qis heev, yog li, Novorapid yuav tsum tau sau tseg thaum muaj hnub nyoog yau nrog kev ceev faj.
Hloov pauv los ntawm lwm cov tshuaj insulin-rau Novorapid yuav tsum tau ua nyob hauv kev saib xyuas mob.
Qhov tshuaj hormones yog siv ncaj qha nrog cov khoom noj. Yog li, nws yog ib qho tseem ceeb uas yuav tau xav txog nws cov txiaj ntsig sai rau kev kho tus mob ntshav qab zib uas raug kev txom nyem los ntawm cov kab mob concomitant los yog siv cov tshuaj uas ua rau cov khoom noj qeeb dua.

Tshuaj Insulin Novorapid yog ib hom tshuaj me thiab zoo heev uas ua rau cov ntshav cov ntshav qabzib tsawg txawm tias muaj ntshav qab zib hom 1. Kev siv cov tshuaj tiv thaiv cov keeb kwm ntawm kev siv tshuaj insulin ntev ntev pab tswj cov suab thaj tom qab noj mov thiab tso cai rau noj khoom txom ncauj tom qab lub sijhawm kawm ntawv. Txawm li cas los xij, kev noj tshuaj tsis raug xaiv tsis zoo feem ntau ua rau lub cev txo qis thiab cuam tshuam rau ib tus kheej. Txhawm rau zam kev phiv tshuaj, cov tshuaj yuav tsum pom zoo nrog kws kho mob.

Cov ntaub ntawv dav dav txog cov tshuaj

Insulin Novorapid yog ib yam tshuaj tshiab tshiab uas tau siv hauv kev kho mob los kho ntshav qab zib. Cov cuab yeej muaj qhov ua kom hypoglycemic los ntawm kev sau qhov tsis muaj peev xwm ntawm tib neeg cov tshuaj insulin. Nws muaj cov nyhuv luv luv.

Cov tshuaj yog tus cwj pwm los ntawm kev ua siab zoo thiab ua sai sai. Nrog rau kev siv raug, hypoglycemia tshwm sim tsawg dua nrog tib neeg cov insulin.

Muaj raws li kev txhaj tshuaj. Cov tshuaj nquag yog cov tshuaj insulin. Aspart muaj kev sib thooj rau cov tshuaj hormones uas tsim los ntawm tib neeg lub cev. Nws yog siv ua ke nrog kev txhaj tshuaj ntev dua.

Muaj nyob rau hauv 2 kev hloov pauv: Novorapid Flexpen thiab Novorapid Penfil. Tus thawj saib yog xaum xaum hluav taws xob, qhov thib ob yog lub taub ntim. Txhua ntawm lawv muaj tib lub qub - insulin aspart. Cov tshuaj yog pob tshab tsis muaj qhov nrawm thiab cov neeg sab nraud. Lub sijhawm ntev cia, lub nplua dej nag lossis daus tuaj yeem tsim.

Cov chaw muag tshuaj thiab tshuaj pharmacokinetics

Cov tshuaj cuam tshuam nrog cov hlwb thiab ua kom cov txheej txheem tshwm sim nyob ntawd. Raws li qhov tshwm sim, ib txoj hauv kev nyuaj tau tsim - nws txhawb kev tawm tswv yim sab hauv intracellular. Qhov kev txiav txim ntawm cov tshuaj tshwm sim nyob rau hauv kev sib raug zoo rau tib neeg cov tshuaj hormones thaum ntxov. Qhov tshwm sim tuaj yeem pom tom qab 15 feeb. Qhov siab tshaj plaws yog 4 teev.

Tom qab cov piam thaj txo qis, nws cov khoom lag luam qis qis los ntawm lub siab. Kev ua haujlwm ntawm glycogenolysis thiab kev nce ntxiv hauv kev thauj mus los hauv intracellular, synthesis ntawm cov enzymes lub ntsiab. Cov kev mob tshwm sim ntawm qhov tseem ceeb txo qis hauv glycemia yog tsawg dua piv rau tib neeg cov insulin.

Los ntawm cov ntaub so ntswg uas raug mob, cov khoom xa tawm sai sai rau hauv cov ntshav. Cov kev tshawb fawb nthuav tawm tias qhov siab tshaj plaws nyob rau hauv cov ntshav qab zib 1 tau mus txog tom qab 40 feeb - nws yog 2 zaug luv dua nrog kev kho mob ntawm tib neeg. Novorapid hauv cov menyuam yaus (txij li 6 xyoo thiab sab saud) thiab cov hluas yog nqus tau sai. Qhov kev nqus loj hauv DM 2 tsis muaj zog qis thiab qhov siab tshaj plaws tau mus txog ntev dua - tsuas yog tom qab ib teev. Tom qab 5 teev, qhov theem ua ntej ntawm insulin xa rov qab.

Tsuas tshuaj thiab tswj hwm

Rau qhov tshwm sim txaus los ntawm kev kho, cov tshuaj yog ua ke nrog cov insulin ntev dua. Hauv kev kho mob, kev saib xyuas cov piam thaj tas li yog ua kom tswj tau glycemia.

Novorapid tuaj yeem siv tau ob qho tib si subcutaneously thiab intravenously. Feem ntau, cov neeg mob tswj cov tshuaj thawj txoj kev. Kev txhaj tshuaj rau ntshav yog ua los ntawm tus kws kho mob nkaus xwb. Qhov chaw txhaj tshuaj pom zoo yog tus ncej puab, xub pwg, thiab xub ntiag ntawm lub plab.

Lub cuab tam yog txhaj siv ib rab koob xaum qhuav. Nws yog tsim rau kev nyab xeeb thiab raug daws teeb tsa kev sib xyaw. Cov tshuaj muaj peev xwm siv tau yog tias tsim nyog nyob rau hauv infusion twj. Thoob plaws hauv cov txheej txheem, ntsuas ntsuas. Thaum lub kaw lus tsis ua haujlwm, tus neeg mob yuav tsum muaj cov tshuaj insulin ntxiv. Cov lus qhia ntxaws ntxaws muaj nyob rau hauv cov lus qhia rau kev siv txuas nrog rau cov tshuaj.

Cov tshuaj yog siv ua ntej noj mov lossis tom qab. Qhov no yog vim qhov tshuaj tau ceev. Kev noj tshuaj ntawm Novorapid yog txiav txim siab rau txhua tus neeg mob ib tus zuj zus, coj mus rau hauv tus account qhov xav tau tus kheej rau kev kho thiab chav kawm ntawm tus kab mob. Feem ntau kws kho mob txhua hnub muab tshuaj rau cov neeg mob tshwj xeeb thiab cim

Thaum cev xeeb tub, kev siv tshuaj yeeb yog tso cai. Hauv kev ua haujlwm ntawm kev ntsuas cov teeb meem tsis zoo ntawm cov quav rau ntawm tus menyuam thiab tus poj niam tsis raug kuaj pom. Lub sijhawm tag nrho lub sijhawm, kev muab tshuaj yog kho tau. Nrog kev lactation, kuj tseem tsis muaj kev txwv.

Kev nqus cov khoom hauv tus neeg laus yog txo kom tsawg. Thaum txiav txim siab qhov ntau npaum li cas, qhov muaj zog ntawm qab zib cov qib tau raug txiav txim siab.

Thaum Novorapid muab tso ua ke nrog lwm cov tshuaj tiv thaiv kab mob ntshav qab zib, cov piam thaj hauv qab zib yog ib txwm soj qab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau mob qog ntshav. Thaum lub cev tsis ua haujlwm ntawm lub raum, pituitary caj pas, mob siab, lub qog ua haujlwm, nws yuav tsum ua tib zoo xaiv thiab kho qhov ntau ntawm cov tshuaj.

Noj tsis raws caij nyoog tuaj yeem ua rau mob hnyav. Kev siv Novorapid tsis raug, kev tsis ua raws li txoj cai tsis pub nkag tuaj yeem ua rau ketoacidosis lossis hyperglycemia. Thaum hloov lub sijhawm ntawm thaj chaw, tus neeg mob yuav tau hloov lub sijhawm ntawm kev noj tshuaj.

Ua ntej npaj tawm mus ncig, koj yuav tsum sab laj nrog kws kho mob. Hauv kev sib kis, cov kab mob sib kis, tus neeg mob yuav tsum tau hloov tshuaj. Hauv cov rooj plaub no, kev hloov kho koob tshuaj yog ua. Thaum hloov tawm los ntawm lwm cov tshuaj hormones, koj yuav tsum tau kho lub koob tshuaj ntawm txhua cov tshuaj tiv thaiv kab mob.

Nws tsis pom zoo kom siv cov tshuaj yog tias daim cartridges puas ntsoog, thaum khov, lossis thaum cov tshuaj ua tau khov.

Phiv thiab haus tshaj

Ib qho tshwm sim uas tsis xav tau tom qab yog hypoglycemia. Cov kev mob tshwm sim ib ntus tuaj yeem tshwm sim hauv thaj chaw txhaj tshuaj - hnov mob, liab, liab doog, o, o, khaus.

Cov xwm txheej nram qab no kuj yuav tshwm sim thaum tswj hwm:

kev tsis haum,
anaphylaxis,
cuab yeej neuropathies,
urticaria, tawm pob, cuam tshuam,
mob ntawm cov ntshav mus rau lub retina,
lipodystrophy.

Nrog kev zam dhau ntawm qhov koob tshuaj, hypoglycemia ntawm qhov sib txawv tsis zoo tuaj yeem tshwm sim. Ib me ntsis overdose tuaj yeem tshem tawm ntawm nws tus kheej los ntawm kev noj 25 g suab thaj. Txawm hais tias pom zoo ntau npaum ntawm cov tshuaj hauv qee kis tuaj yeem ua rau mob ntshav qab zib tsawg. Cov neeg mob yuav tsum nqa suab thaj nrog lawv tas mus li.

Thaum mob hnyav, tus neeg mob tau txhaj nrog glucagon intramuscularly. Yog hais tias lub cev tsis teb rau cov tshuaj tom qab 10 feeb, tom qab ntawd cov kua nplaum yog muab tshuaj rau cov leeg ntshav. Rau ob peb teev, tus neeg mob tau saib xyuas kom tiv thaiv kom tsis txhob muaj qhov mob thib ob. Yog tias tsim nyog, tus neeg mob pw hauv tsev kho mob.

Kev cuam tshuam nrog lwm cov tshuaj thiab cov tshuaj analogues

Cov nyhuv ntawm Novorapid tuaj yeem txo lossis nce ntxiv nyob rau hauv cov cawv ntawm cov tshuaj sib txawv. Nws tsis pom zoo kom sib xyaw Aspart nrog lwm cov tshuaj. Yog nws tsis tuaj yeem tso tseg lwm txoj kev siv tshuaj tsis raws ntshav qab zib, koj yuav tsum qhia koj tus kws kho mob. Nyob rau hauv cov xwm txheej zoo li no, cov koob tshuaj raug kho dua tshiab thiab txhim kho kev ntsuas ntawm qab zib ntsuas yog nqa tawm.

Kev puas tsuaj ntawm cov kua dej yog los ntawm cov tshuaj uas muaj sulfites thiab thiols. Cov tshuaj tiv thaiv ntshav qab zib, ketoconazole, npaj muaj ethanol, txiv neej cov tshuaj hormones, fibrates, tetracyclines, thiab cov tshuaj lithium txhim kho cov nyhuv ntawm Novorapid. Cov tshuaj tiv thaiv poob qis - nicotine, antidepressants, tshuaj ntxiv, adrenaline, glucocorticosteroids, heparin, glucagon, antipsychotic tshuaj, diuretics, Danazole.

Thaum muab sib xyaw nrog thiazolidinediones, lub siab tsis tuaj yeem tshwm sim. Kev phom sij nce ntxiv yog tias muaj lub siab xav tiv thaiv tus kabmob. Nrog rau kev kho ua ke, tus neeg mob nyob hauv kev saib xyuas mob. Yog tias lub plawv ua haujlwm tsis zoo, cov tshuaj yuav raug muab tso tseg.

Cov cawv yuav hloov cov nyhuv ntawm Novorapid - nce los yog txo cov piam thaj txo qis ntawm Aspart. Nws yog ib qho tsim nyog kom tsis txhob muaj dej cawv hauv kev kho cov tshuaj hormones.

Cov tshuaj zoo ib yam nrog tib cov tshuaj yeeb dej caw thiab cov hauv paus ntsiab lus ntawm kev ua nrog Novomix Penfil.

Qhov kev npaj ua muaj lwm hom insulin suav nrog Actrapid Hm, Vosulin-R, Insuvit N, Gensulin R, Insugen R, Insuman Rapid, Insular Active, Rinsulin R, Humodar R, Farmasulin, Humulin.

Cov tshuaj nrog tsiaj insulin yog Monodar.

Tshuaj ntsuab xuv xim video:

Tus neeg mob lub tswv yim

Los ntawm kev tshuaj xyuas cov neeg mob ntshav qab zib uas siv Novorapid insulin, nws tuaj yeem xaus lus tias cov tshuaj pom tau zoo thiab maj mam txo cov ntshav qab zib, tab sis kuj tseem muaj tus nqi siab rau nws.

Cov tshuaj ua rau kuv lub neej yooj yim dua. Sai sai txo cov piam thaj, tsis ua rau muaj kev phiv, cov khoom noj txom ncauj tsis xyaw nrog nws. Tsuas yog tus nqi yog siab dua li ntawm cov tshuaj uas zoo sib xws.

Antonina, 37 xyoo, Ufa

Tus kws kho mob tau hais kom Novorapid kho nrog “insulin” ntev ntev, uas ua rau cov piam thaj tsis huv rau ib hnub. Qhov tshuaj tau kho yuav pab noj thaum lub sijhawm tsis tau npaj cia noj haus, nws txo qis qab zib tom qab noj mov. Novorapid yog ib qho tshuaj lom neeg lub cev sai ua rau insulin. Yooj yim heev syringe cwjmem, tsis xav tau koob txhaj tshuaj.

Tamara Semenovna, 56 xyoo, Moscow

Cov tshuaj yog ntawv yuav tshuaj.

Tus nqi ntawm Novorapid Flekspen (100 units / ml hauv 3 ml) yog li 2270 rubles.

Cov tshuaj Insulin Novorapid yog cov tshuaj uas muaj cov nyhuv luv luv hypoglycemic. Nws muaj qhov zoo dua lwm txoj kev zoo sib xws. Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia yog qhov tsawg dua thaum siv tib neeg cov tshuaj hormones. Lub taub hau koob txhaj tshuaj raws li ib feem ntawm cov tshuaj muab kev siv yooj yim.

Kev piav qhia ntawm cov tshuaj hormones

Pob tshab tsis muaj xim.

NovoRapid yog qhov khoom sib piv ntawm luv luv insulin tib neeg. Tus nquag ua hauj lwm yog insulin Aspart.

Cov tshuaj yog synthesized los ntawm kev tshuaj ntsuam genetic engineering, hloov proline nrog tshuaj aspartic amino acid. Qhov no tsis tso cai rau kev tsim cov hexamers, cov tshuaj hormones yog nqus ntawm qhov siab dua los ntawm cov rog subcutaneous.

Nws manifests nws cov nyhuv hauv 10-20 feeb, cov nyhuv tsis kav ntev li ntev nrog cov insulin dog dig, tsuas yog 4 teev.

Cov yam ntxwv ntawm Pharmacological

NovoRapid muaj cov tsos ntawm cov xim tsis muaj pob tshab zoo. 1 ml muaj 100 units (3.5 mg) ntawm insulin Aspart. Kev ua rau cov roj ntsha tau zoo raws li kev sib cuam tshuam ntawm kev cuam tshuam ntawm cov tshuaj hormone nrog cell cell receptors. Qhov no txhawb kev tsim cov enzymes loj:

Hexokinase.
Pyruvate kinase.
Glycogen ua ke.

Lawv koom nrog cov metabolism hauv cov piam thaj, pab rau nrawm nws qhov kev siv thiab txo qhov kev kub siab hauv cov ntshav. Nws tseem muab los ntawm cov tswv yim hauv qab no:

Txhim kho lipogenesis.
Cov tshuaj tiv thaiv glycogenogenesis.
Xav tau kev siv ntaub so ntswg.
Kev txwv tsis pub muaj kua nplaum ua ke nyob hauv lub siab.

Siv tsuas yog NovoRapid tsis yooj yim sua, nws yog tswj hwm ntawm Levemir, uas ua kom muaj kev saib xyuas ntawm lub ntuj npaum li cas ntawm cov tshuaj insulin hauv nruab nrab ntawm cov pluas noj.

Cov kev tshawb fawb soj ntsuam ntawm cov nyhuv ntawm flekspennogo tshuaj pom tias cov neeg mob neeg laus tsis tshua muaj ntshav siab thaum hmo ntuj piv rau cov tshuaj insulin. Cov tshuaj tau pov thawj ua tau zoo hauv kev tswj hwm normoglycemia rau cov neeg laus laus uas muaj ntshav qab zib hom 2 thiab thaum raug coj los kho rau menyuam yaus.

Hauv cov poj niam uas mob ntshav qab zib hom 1 kuaj mob ua ntej cev xeeb tub, nws tsis muaj kev cuam tshuam dab tsi rau tus me nyuam hauv plab los yog xeeb tub. Kev siv NovoRapid Flekspen insulin rau kev kho mob ntshav qab zib hauv plab (kuaj mob thawj zaug thaum cev xeeb tub) tuaj yeem txhim kho kev tswj hwm qib theem ntawm glycemia tom qab noj mov.

Nws yuav tsum nco ntsoov tias qhov kev txiav txim ntawm kev siv tshuaj tiv thaiv kab mob (insulin) yog qhov muaj zog ntau dua li qhov ib txwm ua. Piv txwv li, 1 Chav Tsev NovoRapida yog 1.5 zaug muaj zog dua li cov tshuaj insulin luv. Yog li, cov koob tshuaj yuav tsum tau txo rau ib qho kev tswj hwm nkaus xwb.

Nosological kev faib tawm (ICD-10)

Ultra-ceev cov insulins suav nrog Apidra (Glulisin), NovoRapid (Aspart), Humalog (Lizpro). Cov tshuaj no yog tsim los ntawm peb lub tuam txhab sib tw ua lag luam. Ordinary tib neeg cov insulin yog luv, thiab cov luv luv yog cov tshuaj analogues, uas yog, txhim kho hauv kev sib piv nrog insulin tib neeg tiag tiag.

Lub ntsiab lus ntawm kev txhim kho yog tias ultra-ceev tshuaj txo qis cov suab thaj theem nrawm dua li cov luv luv. Cov nyhuv tshwm sim 5-15 feeb tom qab txhaj tshuaj. Ultrashort insulins tau tsim tshwj xeeb los ua kom cov ntshav qab zib txij ua ke mus ua ke rau tsiab peb caug ntawm carbohydrates zom.

Tab sis qhov phiaj xwm no tsis ua hauj lwm hauv kev xyaum. Nyob rau hauv txhua rooj plaub, carbohydrates nce qab zib sai dua txawm tias qhov tseem ceeb tshaj plaws ultra-luv-ua yeeb yam insulin tuaj yeem txo qis.

Txawm hais tias muaj qhov tshiab ntawm cov tshuaj insulin rau ntawm kev lag luam kws tshuaj, qhov kev xav tau ntawm cov zaub mov muaj protein ntau rau cov ntshav qab zib tseem muaj feem. Nov yog tib txoj kev los mus zam kev mob hnyav uas ua rau muaj kabmob tsis nkag siab.

Rau cov neeg mob ntshav qab zib ntawm hom 1 thiab 2, ua raws li cov zaub mov uas tsis muaj carbohydrate, tib neeg cov tshuaj insulin yog qhov tsim nyog tshaj rau kev txhaj tshuaj ua ntej noj mov, dua li ntawm ultrashort analogues. Qhov no yog vim qhov tseeb hais tias lub cev ntawm tus neeg mob ntshav qab zib, noj ob peb carbohydrates, thawj cov zom cov protein, thiab ib feem ntawm lawv tom qab ntawd hloov mus rau hauv cov piam thaj.

Tus txheej txheem no tshwm sim qeeb dhau, thiab qhov kev ua ntawm kev siv tshuaj insulin ultrashort, ntawm qhov tsis sib xws, tshwm sim sai dhau. Hauv qhov no, tsuas yog siv cov tshuaj insulin luv. Kev txhaj tshuaj insulin yuav tsum yog 40-45 feeb ua ntej noj mov.

Dua li ntawm qhov no, ultra-vas nthiv ua yeeb yam insulins kuj tuaj yeem muaj txiaj ntsig zoo rau cov ntshav qab zib uas txwv tsis pub muaj carbohydrate ntau. Yog hais tias tus neeg mob sau ntawv txog qib qab zib siab heev thaum noj glucometer, hauv qhov xwm txheej no ultrafast insulins yog qhov pab tau heev.

Ultrashort insulin tuaj yeem tuaj yeem ua ke thaum ua ntej noj hmo hauv tsev noj mov lossis thaum mus ncig thaum tsis muaj txoj hauv kev tos kom txog 40-45 feeb.

Tseem Ceeb! Insulins ultra-luv luv ua ntau nrawm dua li cov luv luv ib txwm muaj. Hauv qhov no, koob tshuaj ntawm ultrashort analogs ntawm cov tshuaj hormone yuav tsum muaj qis dua qhov sib npaug ntawm cov koob tshuaj tiv thaiv luv ntawm tib neeg insulin.

Ntxiv mus, kev sim tshuaj ntawm cov tshuaj tau pom tias cov nyhuv ntawm Humalog pib 5 feeb ua ntej thaum siv Apidra lossis Novo Rapid.

Kev siv Novorapid thaum cev xeeb tub thiab lactation

Zoo li feem ntau lwm yam tshuaj zoo sib xws, kev siv tshuaj insulin luv luv Novorapid tsis muaj mob kiag li ob qho tib si ntawm ib ntu twg ntawm cev xeeb tub thiab ua ntej nws tshwm sim, uas tau tshawb pom los ntawm kev txheeb xyuas ntau pua qhov kev sim ua hauv chaw soj ntsuam.

Nyob rau tib lub sijhawm, tus poj niam uas ntsib tus mob ntshav qab zib yuav tsum ua tib zoo saib nws cov ntshav qab zib ua ntej muaj menyuam, thiab tshwj xeeb tshaj yog thaum xeeb tub, vim tias hyperglycemia lossis hypoglycemia tuaj yeem ua rau me nyuam hauv plab puas loj hlob lossis, hauv qee qhov xwm txheej tsawg, nws tuag.

Nws yuav tsum raug sau tseg tias qhov xav tau Novorapid hauv cov poj niam cev xeeb tub tau nce me ntsis hauv thawj peb lub hlis, tab sis thaum lub sijhawm thib ob thiab peb feem ntau nws nce zuj zus. Txawm li cas los xij, tam sim ntawd tom qab yug menyuam, qhov ntim ntawm qhov yuav tsum tau siv cov tshuaj insulin rov qab los rau qhov qub, tsuas yog tias hloov kho me me ntawm tus kws kho mob uas tuaj koom yuav yog qhov tsim nyog.

Nws tseem ntxiv ntxiv tias Novorapid yog qhov lees paub tau rau kev nqis tes ua lub sijhawm pub mis, tsis muaj kev hem thawj rau kev noj qab haus huv ntawm tus menyuam.

Cauj thiab ultrafast insulin kho

Ultrashort insulin pib qhov kev nqis tes ua ua ntej ntau dua li tib neeg lub cev tswj kom zom thiab nqus cov protein, qee qhov hloov pauv hauv qabzib. Yog li, yog tias tus neeg mob ua raws li cov zaub mov qis-carb, cov tshuaj insulin luv luv, noj ua ntej noj mov, nws zoo dua:

Yuav tsum tau muab cov tshuaj insulin sai 40-45 feeb ua ntej noj mov. Lub sijhawm no yog qhov ntsuas, thiab rau txhua tus neeg mob nws yog ntau dua tus kheej ib tus kheej. Lub sijhawm nruab nrab ntawm kev ua ntawm luv luv insulins yog li tsib teev. Nws yog lub sijhawm no uas tib neeg lub cev yuav tsum tau zom cov zaub mov tiav kom tiav.

Ultrashort insulin yog siv nyob rau hauv qhov xwm txheej tsis pom zoo thaum qib qab zib yuav tsum raug txo qis sai heev. Cov teeb meem mob ntshav qab zib muaj ntau zuj zus nyob rau lub sijhawm thaum cov ntshav qabzib hauv cov ntshav ntau ntxiv, yog li nws yuav tsum tau nqig kom nws qis dua li qub tau. Thiab hauv qhov no, qhov tshuaj tiv thaiv ntawm kev txiav txim siab ultrashort haum zoo kawg nkaus.

Yog hais tias tus neeg mob mob ntshav qab zib "mob hnyav" (qab zib normalizes los ntawm nws tus kheej thiab nws tshwm sim sai sai), kev txhaj tshuaj ntxiv ntawm insulin hauv qhov xwm txheej no tsis tas yuav ua. Qhov no tsuas yog ua tau nrog tus mob ntshav qab zib hom 2.

Yeeb tshuaj sib cuam tshuam

Qhov ua rau lub ntsej muag hypoglycemic tsim los ntawm insulin aspart yuav ua kom tsis muaj zog lossis ua kom hnyav ntxiv nyob ntawm cov tshuaj uas Novorapid koom ua ke. Yog li, ntev glucose txos nyob rau hauv ntshav qab zib yuav tshwm sim thaum uas siv cov neeg mob Mao inhibitors thiab ACE inhibitors ntawm carbonic anhydrase, beta-blockers, bromocriptine, sulfonamides, anabolic steroids, tetracycline, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine.

Muaj ntau tus yeeb tshuaj uas cuam tshuam rau kev xav tau cov tshuaj insulin.

Hypoglycemic nyhuv ntawm insulin txhim khu qhov ncauj hypoglycemic agents, monoamine oxidase inhibitors, ACE inhibitors, carbonic anhydrase inhibitors, xim beta-blockers, bromocriptine, sulfonamides, anabolic steroids, tetracyclines, klofiorat, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine, lithium, tshuaj, muaj ethanol.

Cov lus qhia rau tus neeg mob

Txhawm rau txiav txim siab qhov zoo tshaj plaws tshuaj insulin rau ib tus neeg mob, nws yog ib qho tsim nyog yuav tau xaiv cov tshuaj hauv paus. Txhawm rau simulate tsim hauv paus, lawv feem ntau siv cov tshuaj insulin ntev. Tam sim no txoj kev lag luam kws tsim tawm ob hom tshuaj insulin:

nruab nrab lub sijhawm, ua haujlwm ntev txog 17 teev. Cov tshuaj no suav nrog Biosulin, Insuman, Gensulin, Protafan, Humulin.
ultra-ntev ntev, lawv cov nyhuv yog txog li 30 teev. Cov no yog: Levemir, Tresiba, Lantus.

Cov tshuaj Insulin Lantus thiab Levemir muaj qhov sib txawv hauv plawv los ntawm lwm cov insulins. Qhov sib txawv yog tias cov tshuaj yog kom pom tseeb thiab muaj lub sijhawm sib txawv ntawm kev ua rau tus neeg mob ntshav qab zib. Thawj hom tshuaj insulin muaj ib qho tint dawb thiab qee qhov tsis zoo, yog li cov tshuaj yuav tsum muab co ua ntej siv.

Thaum siv cov tshuaj hormones ntawm lub sijhawm nruab nrab, lub sijhawm siab kawg tuaj yeem pom hauv lawv qhov kev xav. Cov tshuaj ntawm hom thib ob tsis muaj qhov no.

Cov koob tshuaj ntawm cov tshuaj insulin ntev ntev yuav tsum tau xaiv yog li ntawd cov tshuaj tuaj yeem tswj qhov cov kua qab zib hauv lub sijhawm ua ke ntawm cov pluas noj nyob rau hauv qhov txwv ua tau.

Vim tias qhov xav tau kom nqus tau qeeb dua, cov tshuaj insulin ntev yog siv nyob rau hauv daim tawv nqaij ntawm tus ncej puab lossis pob tw. Luv luv - hauv plab lossis caj npab.

Thawj cov kev txhaj tshuaj ntev ntawm cov tshuaj insulin yog nqa thaum hmo ntuj nrog kev ntsuas suab thaj noj txhua 3 teev. Thaum muaj kev pauv hloov tseem ceeb nyob hauv kev ntsuas cov piam thaj, kev hloov tshuaj yog tsim. Txhawm rau txheeb xyuas qhov ua rau muaj kev nce ntxiv hauv cov qabzib, nws yog qhov yuav tsum tau kawm txog lub sijhawm nruab nrab ntawm 00.00 thiab 03.00. Nrog rau qhov txo qis hauv kev ua haujlwm, qhov koob tshuaj ntawm cov tshuaj insulin thaum hmo ntuj yuav tsum tau txo qis.

Feem ntau meej, qhov tsim nyog ntim ntawm insulin basal tuaj yeem txiav txim siab nrog kev ua tiav ntawm cov piam thaj thiab luv luv insulin hauv cov ntshav. Yog li no, thaum ntsuas qhov tsaus ntuj insulin, koj yuav tsum tsis kam noj hmo.

Txhawm rau kom pom cov duab paub ntau dua, koj yuav tsum tsis txhob siv cov tshuaj insulin luv luv, koj yuav tsum tsis txhob noj protein lossis zaub mov muaj roj

Txhawm rau txiav txim siab cov leeg hlav thaum nruab hnub, koj yuav tsum tshem tawm ib pluag mov lossis tshaib plab ib hnub. Kev ntsuas tau ua txhua txhua teev.

Yuav luag txhua daim insulins ntev raug muab ib zaug nyob rau txhua 12 teev. Tsuas yog Lantus tsis plam nws cov cawv thoob plaws ib hnub.

Tsis txhob hnov qab tias txhua hom tshuaj insulin, ntxiv rau Lantus thiab Levemir, muaj kev zais siab zais cia. Lub sijhawm siab tshaj plaws ntawm cov tshuaj no tshwm sim tom qab 6-8 teev txij li lub sijhawm tswjhwm. Thaum lub sijhawm ua haujlwm no, kev poob qab zib yuav muaj tshwm sim, uas raug kho los ntawm kev noj mov.

Cov tshev tshuaj rau cov kws tshuaj yuav tsum tau ua txhua zaus lawv hloov pauv. Yuav kom nkag siab hais tias qab zib coj li cas hauv kev ua zog, tsuas yog kev sim peb hnub nkaus xwb txaus. Thiab tsuas yog nyob rau lub hauv paus ntawm cov txiaj ntsig tau, tus kws kho mob muaj peev xwm sau ntawv qhia meej kev noj tshuaj.

Txhawm rau ntsuas cov tshuaj hormones hauv nruab hnub thaum nruab hnub thiab txheeb xyuas cov tshuaj zoo tshaj plaws, koj yuav tsum tos tsib teev txij hnub koj nqus cov pluas noj dhau los. Tus kws kho mob ntshav qab zib uas siv tshuaj insulin luv luv yuav tsum tiv thaiv ib ntus txij li 6 teev.

Ib pawg ntawm cov insulins luv luv yog sawv cev los ntawm Gensulin, Humulin, Actrapid. Cov tshuaj insulins xws li: Novorapid, Apidra, Humalog.

Ultrashort cov tshuaj hormone ua raws li tau luv, tab sis nws tshem tawm feem ntau ntawm kev luv. Tib lub sijhawm, cov cuab yeej no tsis muaj peev xwm txaus siab rau lub cev kev xav tau rau cov kua dej.

Nws tsis tuaj yeem muab lus teb meej rau cov lus nug ntawm cov tshuaj insulin twg yog qhov zoo tshaj plaws. Tab sis ntawm kev pom zoo los ntawm tus kws kho mob, koj tuaj yeem xaiv txoj kev noj tshuaj uas yog lub hauv paus thiab luv insulin.

Rau qhov tshwm sim txaus los ntawm kev kho, cov tshuaj yog ua ke nrog cov insulin ntev dua. Hauv kev kho mob, kev saib xyuas cov piam thaj tas li yog ua kom tswj tau glycemia.

Novorapid tuaj yeem muab qhia tsis yog nyob rau hauv daim ntawv ntawm txhaj tshuaj subcutaneous, tab sis kuj tseem nyob rau hauv daim ntawv ntawm cov kev daws teeb meem. Txij li cov tshuaj no yog cov tshuaj tiv thaiv sai, qhov koob tshuaj rau txhua tus neeg mob yog xam los ntawm nws tus kws kho mob tshwj xeeb nyob ntawm lub xeev ntawm cov ntshav qab zib thiab nws cov kev xav tau.

Feem ntau, cov tshuaj no tau nrog cov tshuaj zoo sib xws ntawm kev ncua ntev lossis ua ntev ntev, qhia lawv rau tus neeg mob tsawg kawg ib zaug hauv 24 teev. Txhawm rau kom mus tas li ua kom qhov kev sib piv ntawm glycemia tswj tau, nws pom zoo kom ntsuas cov piam thaj hauv cov ntshav ntawm cov ntshav qab zib thiab, yog tias tsim nyog, kho cov koob tshuaj insulin uas nws tau txais.

Hauv feem ntau ntawm cov neeg mob, cov neeg laus thiab menyuam yaus xav tau qhov tshuaj ntau npaum li ib nrab rau ib IU ib hnub, raws li ib phaus ntawm lawv lub cev qhov hnyav. Yog tias Novorapid tau nkag mus rau hauv lub cev ua ntej noj mov, tom qab ntawd nws npog txog 60 - 70% ntawm cov kev xav tau ntawm tus mob ntshav qab zib, thaum tus so yog them los ntawm kev ua yeeb yam ntev dua.

Cov laj thawj rau kev hloov tshuaj ntau ntxiv tuaj yeem yog qee yam xws li:

hloov pauv noj li qub,
intercurrent kab mob
kev ua si tsis npaj nrog lub cev, tshwj xeeb tshaj yog dhau ntawm,
kev pab cuam phais mob.

Rendering nws cov txiaj ntsig ntawm lub cev sai dua thiab kev coj ua tsawg dua ntawm nws (nyob rau hauv kev sib piv nrog tib neeg cov insulin), Novorapid feem ntau pom zoo kom noj ua ntej noj zaub mov, txawm hais tias qee zaum nws raug tso cai ua qhov no txawm tias tom qab noj mov. Ib zaug ntxiv, vim lub sijhawm luv luv ntawm kev sib kis, Novorapid tsis tshua muaj peev xwm ua rau lub npe hu ua "nocturnal" hypoglycemia hauv cov ntshav qab zib.

Nws yuav tsum nco ntsoov tias cov tshuaj no (nrog rau nws lwm yam analogues) yuav tsum tau siv nrog kev ceev faj ntxiv yog tias peb tab tom tham txog cov laus neeg muaj kev mob siab los yog mob raum. Hauv cov xwm txheej no, nws yog ib qho tsim nyog yuav tsum tau ntxiv tswj cov glycemia thiab hloov cov tshuaj ntawm aspartum ib tus zuj zus.

Raws li rau cov menyuam yaus, Novorapid yog qhov zoo rau lawv thaum tus neeg mob hluas xav tau kev pib sai ntawm kev cuam tshuam ntawm cov tshuaj insulin, tshwj xeeb, yog tias nws nyuaj rau tus menyuam los tswj qhov kev tsim nyog ncua ntawm kev txhaj tshuaj thiab zaub mov.

Ib qho ntxiv, qhov xav tau koob tshuaj ntawm Novorapid tuaj yeem tsim nyob rau hauv qhov xwm txheej yog tias muaj lwm cov tshuaj zoo sib xws nrog cov tshuaj no.

NovoRapid® Penfill® / FlexPen® yog cov tshuaj tua kab mob sai sai. Cov koob tshuaj NovoRapid® Penfill® / FlexPen® yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, ua raws li tus neeg mob xav tau.

Feem ntau, cov tshuaj no yog siv ua ke nrog nruab nrab ntev lossis ntev ntev los npaj cov tshuaj insulin, uas tau noj tsawg kawg 1 zaug hauv ib hnub. Yuav kom ua tiav cov tshuaj glycemic zoo, nws raug nquahu kom ntsuas tsis tu ncua cov kev ntsuas ntawm cov piam thaj hauv cov ntshav thiab kho qhov tshuaj ntawm insulin.

Feem ntau, txhua tus neeg yuav tsum tau txhaj tshuaj insulin txhua hnub rau cov neeg laus thiab menyuam yog li 0.5 txog 1 U / kg. Thaum cov tshuaj noj ua ntej noj mov, xav tau cov tshuaj insulin tuaj yeem muab los ntawm NovoRapid® Penfill® / FlexPen® los ntawm 50–70%, qhov xav tau insulin ntxiv yog muab los ntawm lub cev ntev insulin.

Kev nce ntxiv ntawm tus neeg mob lub cev kev ua si, kev hloov pauv ntawm kev noj zaub mov kom zoo, lossis mob tsis nco qab yuav ua rau tuaj yeem hloov kho koob tshuaj.

NovoRapid® Penfill® / FlexPen ® muaj qhov pib sai dua thiab lub sijhawm luv dua ntawm kev txiav txim siab tshaj li cov tshuaj lom neeg kho mob. Vim tias kev pib ua sai dua, NovoRapid® Penfill® / FlexPen® yuav tsum ua raws li txoj cai, tam sim ntawd ua ntej noj mov, thiab yog tias tsim nyog, tuaj yeem ua haujlwm tau sai tom qab noj mov.

Vim tias lub sijhawm luv dua ntawm kev nqis tes ua piv rau tib neeg cov tshuaj insulin, qhov pheej hmoo ntawm kev tsim cov nocturnal hypoglycemia hauv cov neeg mob uas tau txais NovoRapid® Penfill® / FlexPen® qis dua.

Cov pab pawg neeg tshwj xeeb. Ib yam li kev siv lwm txoj kev npaj tshuaj insulin, hauv cov neeg laus thiab cov neeg mob lub raum lossis hepatic tsis txaus, cov ntshav qabzib hauv siab yuav tsum tswj xyuas kom zoo thiab cov tshuaj aspart aspart kho kom haum.

Menyuam yaus thiab tub ntxhais hluas. Siv NovoRapid® Penfill® / FlexPen® es tsis txhob muaj kev tiv thaiv tib neeg cov kua dej hauv cov menyuam yog qhov zoo dua thaum yuav tsum tau pib sai sai ntawm cov tshuaj, piv txwv li, thaum nws nyuaj rau tus menyuam los soj ntsuam lub sijhawm tsim nyog ntawm kev txhaj tshuaj thiab kev noj zaub mov.

Hloov tsheb los ntawm lwm yam tshuaj insulin. Thaum hloov mus rau ib tus neeg mob los ntawm lwm txoj kev npaj tshuaj insulin rau NovoRapid® Penfill® / FlexPen®, kev kho kom haum ntawm NovoRapid® Penfill® / FlexPen® thiab basal insulin yuav tsum.

NovoRapid® Penfill® / FlexPen® tau muab cov subcutaneously nyob hauv thaj av ntawm sab xub ntiag ntawm phab ntsa, ncej puab, xub pwg, deltoid lossis thaj chaw gluteal. Qhov chaw txhaj tshuaj hauv tib thaj chaw hauv lub cev yuav tsum tau hloov ua ntu zus kom txo tau kev phom sij ntawm lipodystrophy.

Ib yam li tag nrho cov tshuaj insulin npaj, subcutaneous thawj coj mus rau sab xub ntiag lub plab phab ntsa muab kev nqus sai dua piv rau kev tswj hwm mus rau lwm qhov chaw. Lub sijhawm ua haujlwm yog nyob ntawm koob tshuaj, qhov chaw tswjhwm, ntshav khiav ceev, lub cev kub thiab theem ntawm kev qoj ib ce.

Txawm li cas los xij, kev pib sai dua ntawm kev nqis tes ua piv rau soluble tib neeg cov kua dej yog tswj kev tsis hais qhov chaw ntawm qhov chaw txhaj tshuaj.

NovoRapid® tuaj yeem siv rau kev nqus dej subulinaneous insulin infusions (PPII) hauv cov tshuaj insulin uas tsim los rau insulin infusions. FDI yuav tsum tsim nyob sab xub ntiag phab ntsa. Qhov chaw ntawm Txoj kev lis ntshav yuav tsum tau hloov pauv tsis tseg.

Thaum siv cov insulin infusion twj, NovoRapid® yuav tsum tsis txhob sib xyaw nrog lwm hom insulin.

Cov neeg mob uas siv FDI yuav tsum kawm kom tiav siv lub twj tso kua mis, lub taub dej kom tsim nyog, thiab lub twj tso kua dej. Txoj kev lis ntshav teeb (lub raj thiab txoj raj txuas) yuav tsum tau hloov raws li tus neeg siv phau ntawv txuas nrog txoj kev lis ntshav teeb.

Cov neeg mob uas tau txais NovoRapid® nrog FDI yuav tsum muaj cov tshuaj insulin ntxiv nyob rau hauv tsam ho tawg ntawm txoj kev mob hla.

Hauv / hauv cov lus qhia. Yog tias tsim nyog, NovoRapid® tuaj yeem raug tswj hwm iv, tab sis tsuas yog cov kws kho mob muaj peev xwm.

Rau kev tswj hwm kev mob siab, infusion systems nrog NovoRapid® 100 IU / ml yog siv nrog kev siv ntau ntawm 0.05 txog 1 IU / ml tshuaj insulin aspart hauv 0.9% sodium chloride tov, 5 lossis 10% dextrose tov muaj 40 mmol / l potassium chloride siv polypropylene Txoj kev lis ntshav ntim.

Cov kev daws teeb meem no yog ruaj khov nyob rau hauv chav tsev nyob rau 24 teev.

Thaum lub sij hawm insulin infusions, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam tas li cov kev ntsuas ntawm cov ntshav piam thaj.

Tsis txhob siv NovoRapid® Penfill® / NovoRapid® FlexPen®

- Yog tias muaj qhov tsis haum (qhov ua kom tsis haum) rau cov tshuaj insulin aspart lossis lwm yam ntawm NovoRapid® Penfill® / NovoRapid® FlexPen®,

- Yog tias tus neeg mob pib ua lub qog ntshav qab zib (ntshav qab zib hauv qab zib tsawg),

- Yog tias daim cartridge lossis cov txheej txheem insulin tswj hwm nrog lub taub laub / FlexPen installed tau poob los yog lub laub / FlexPen® puas tsuaj los yog tsoo,

- Yog tias qhov chaw cia khoom ntawm cov tshuaj tau txhaum cai lossis nws khov,

- yog insulin tsis ce yuav pob tshab thiab tsis muaj xim.

Ua ntej siv NovoRapid® Penfill® / NovoRapid® FlexPen®

- Txheeb xyuas daim ntawv lo kom paub tseeb tias hom tshuaj insulin raug xaiv.

- Nco ntsoov kuaj xyuas lub hau ntawv, suav nrog cov roj hmab piston. Tsis txhob siv lub cartridge yog tias nws pom kev puas tsuaj lossis qhov sib txawv pom ntawm lub piston thiab daim tawv dawb ntawm daim cartridge. Rau cov kev taw qhia ntxiv, saib mus rau cov lus qhia kom siv cov txheej txheem rau txheej txheem insulin.

- Nco ntsoov siv ib rab koob tshiab rau txhua txoj kev txhaj tshuaj tiv thaiv tus kabmob.

- NovoRapid® Penfill® / NovoRapid® FlexPen® thiab koob yog rau kev siv tus kheej nkaus xwb.

Txoj kev ntawm daim ntawv thov

Yuav ua li cas muaj ntau cov koog ntawm fleksponny hormone yog qhov tsim nyog, tus kws kho mob txiav txim siab ib tus zuj zus. Yuav siv cov insulin ntau npaum li cas yog xam los ntawm qhov tseeb tias ib tus neeg xav tau ib nrab ntawm ib nrab lossis ib ntu ib kilogram ntawm qhov hnyav ib hnub. Kev kho yog xwm yeem nrog cov zaub mov noj. Nyob rau tib lub sijhawm, ultrashort cov tshuaj hormones npog tau txog 70% ntawm qhov kev xav tau cov tshuaj hormones, tshuav 30% yog them nrog cov insulin ntev.

Penofill insulin NovoRapid yog muab sijhawm li 10-15 feeb ua ntej noj mov. Yog tias kev txhaj tshuaj tsis tiav, ces nws tuaj yeem nkag mus yam tsis tuaj yeem ncua sijhawm tom qab noj mov. Ntev pes tsawg teev qhov kev txiav txim nyob ntawm qhov chaw txhaj tshuaj, cov naj npawb ntawm cov tshuaj hormones hauv qhov koob tshuaj, kev tawm dag zog lub cev thiab cov carbohydrates.

Raws li qhov ntsuas, qhov tshuaj no tuaj yeem siv rau hauv qhov dej khov. Lub tshuab insulin (twj tso kua mis) kuj tseem siv rau kev tswj hwm. Nrog nws cov kev pab, ib hom tshuaj hormone rau lub sijhawm ntev nyob hauv qab daim tawv nqaij ntawm sab xub ntiag phab ntsa, ib ntus hloov pauv cov ntsiab lus txhaj tshuaj. Nws yog tsis yooj yim sua kom yaj nyob rau hauv lwm qhov kev npaj ntawm cov tshuaj hormones ntawm lub txiav.

Txog kev siv tshuaj, qhov kev daws teeb meem uas tau coj uas muaj cov tshuaj insulin txog 100 U / ml, diluted hauv 0.9% sodium chloride, 5% lossis 10% dextrose. Thaum lub sijhawm Txoj kev lis ntshav, lawv tswj hwm cov ntshav ntshav.

NovoRapid muaj nyob rau hauv daim ntawv ntawm Flekspen syringe cwj mem thiab hloov lub pob mem kua rau nws. Ib tus cwj mem muaj 300 pawg ntawm cov tshuaj hormones hauv 3 ml. Lub koob txhaj tshuaj tsuas yog siv tus kheej xwb.

mob ntshav qab zib mellitus
cov xwm txheej ceev hauv cov neeg mob ntshav qab zib mellitus, nrog los ntawm kev ua txhaum ntawm glycemic tswj.

Txog rau kev tswj hwm iv, kev ua haujlwm infusion tshuab uas muaj Actrapid NM 100 IU / ml tau siv nyob rau hauv cov ntsiab lus ntau los ntawm 0.05 IU / ml txog 1 IU / ml ntawm tib neeg insulin hauv kev daws teeb meem, xws li 0. 9% sodium chloride tov, 5% thiab 10 % daws ntawm dextrose, suav nrog cov tshuaj potassium chloride ntawm qhov siab ntawm 40 mmol / l, hauv qhov system rau iv kev tswj hwm tau siv infusion hnab ua los ntawm polypropylene, cov kev daws teeb meem no nyob ruaj khov rau 24 teev ntawm chav sov.

Txawm hais tias cov kev daws teeb meem no ruaj khov rau qee lub sijhawm, thaum pib theem, kev nqus ntawm ib qhov nqi ntawm insulin yog sau tseg los ntawm cov khoom siv los ntawm lub hnab ntim infusion. Thaum lub sijhawm infusion, nws yog ib qhov tsim nyog los soj ntsuam cov qib ntawm cov piam thaj hauv cov ntshav.

Cov lus qhia rau kev siv Actrapid NM, uas yuav tsum tau muab rau tus neeg mob.

Vials nrog cov tshuaj Actrapid NM tuaj yeem siv tsuas yog ua ke nrog cov tshuaj insulin, ntawm qhov ntsuas qhov ntsuas, uas tso cai rau koj ntsuas qhov ntsuas cov tshuaj hauv cov kev txiav txim. Cov Vials nrog Actrapid NM yog rau cov tib neeg siv nkaus xwb.

Ua ntej siv Actrapid ® NM, nws yog ib qho tsim nyog: Tshawb daim ntawv cim kom paub tseeb tias hom roj ntsha insulin raug xaiv, tua cov roj hmab nres nrog cov paj rwb.

Cov Tshuaj Actrapid ® NM tsis tuaj yeem siv rau hauv cov teebmeem hauv qab no:

hauv cov tshuaj insulin,
nws yog qhov tsim nyog rau cov neeg mob piav qhia tias yog tias ntawm lub raj mis tshiab, uas nyuam qhuav tau txais los ntawm lub tsev muag tshuaj, tsis muaj lub hau tiv thaiv lossis nws tsis haum rau nruj - xws li cov tshuaj insulin yuav tsum rov qab mus rau lub tsev muag tshuaj,
yog tias cov tshuaj insulin tsis khaws cia kom raug, lossis yog nws khov.
yog tias insulin tsis muaj pob tshab thiab tsis muaj xim.

ntshav qab zib,
ua kom lub cev tsis haum rau tib neeg insulin lossis rau ib qho twg ntawm cov tshuaj no.

Nrog rau daim siab puas, xav tau cov tshuaj insulin tsawg dua.

Nrog rau lub raum ua puas, qhov xav tau cov tshuaj insulin yog txo.

Cov tshuaj insulin feem ntau siv Actrapid hauv kev kho mob ntshav qab zib hom 1. Cov tib neeg uas yuav tsum tau txhaj cov tshuaj no ntau zaus hauv ib hnub ib zaug tuaj yeem sib xyaw tshuaj nrog lwm tus.

Xws li cov tshuaj insulin luv luv tau muab rau ua ntej noj mov, tab sis qhov no tsis yog kev kho mob nkaus xwb. Nws yog ib qho tsim nyog yuav tau siv cov tshuaj insulin ntev ntev 1-2 zaug hauv ib hnub, uas yuav tswj cov suab thaj kom thawm hnub, tsis hais noj mov dab tsi.

Cov tshuaj no qee zaum siv los kho tus mob ntshav qab zib hom 2, tab sis tsuas yog qhia los ntawm kws kho mob. Qhov no ua tau yog tias tus neeg mob lub cev tsis kam txais qhov kho ntshav qab zib hauv cov ntsiav tshuaj. Tsis tas li ntawd, rau qee cov pab pawg ntawm cov neeg mob, txoj kev siv tshuaj insulin no muaj kev nyab xeeb dua, piv txwv, thaum cev xeeb tub thiab lactation.

Actrapid pib ua haujlwm yuav luag tam sim ntawd, yog li nws tau siv thaum muaj xwm txheej ceev thaum nws tsim nyog yuav tsum txo qis qab zib. Qhov no yog qhov tsim nyog, piv txwv, nrog ketoacidosis lossis ua ntej kev phais mob.

Tsuas yog tus kws kho mob tuaj yeem txiav txim qhov xav tau ntau npaum li cas thiab kev siv ntau npaum li cas ntawm cov tshuaj. Nws nyob ntawm tus neeg mob cov zaub mov carbohydrate tus nqi, kev ua neej, kev noj zaub mov zoo thiab tshuaj insulin.

Hauv nruab nrab, tsis pub ntau tshaj 3 ml yuav tsum tau nyob rau ib hnub, tab sis qhov ntsuas no yuav loj dua rau cov neeg rog, thaum cev xeeb tub lossis nrog kev tiv thaiv cov nqaij mos. Yog tias tus txiav ua tiav qhov tsawg kawg ntawm kev siv tshuaj insulin, nws yuav tsum tau muab rau hauv cov koob tshuaj kom tsawg dua.

Qhov xav tau ntawm cov kua dej yog tseem txo hauv cov kab mob ntawm daim siab thiab lub raum.

Kev txhaj tshuaj ntawm "Actrapid" tau ua tiav 2-3 zaug hauv ib hnub. Yog tias tsim nyog, koj tuaj yeem nce ntau zaus ntawm kev siv txog li 5-6 zaug. Ib nrab ib teev tom qab kev txhaj tshuaj, koj yuav tsum noj lossis tsawg kawg muaj ib pluas noj nrog carbohydrates.

Nws yog qhov ua tau kom muab cov tshuaj no nrog cov tshuaj ntev. Piv txwv, kev sib xyaw ua ke feem ntau yog siv: insulin "Actrapid" - "Protafan". Tab sis tsuas yog tus kws kho mob tuaj yeem xaiv ib tus kheej glycemic tswj kev ua haujlwm. Yog tias tsim nyog, nkag rau ob lub insulin tib lub sijhawm lawv sau rau hauv ib lub koob txhaj: thawj - "Actrapid", thiab tom qab ntawd - cov tshuaj insulin ntev ntev.

Kev ntsuas rau siv

Cov tshuaj yog tshuaj rau:

SD 1 rau cov neeg laus thiab menyuam yaus hnub nyoog 2 xyoos,
DM 2 nrog kev tawm tsam rau kev npaj ntsiav tshuaj,
intercurrent kab mob.

Contraindications rau siv:

cov me nyuam qis dua 2 xyoos
kev fab tshuaj rau cov tshuaj,
intolerance mus rau Cheebtsam ntawm cov tshuaj.

Tus qauv tshuaj rau kev siv Novorapid yog, ua ntej, insulin-tiv thaiv ntshav qab zib mellitus (hom 1), thiab qhov thib ob, cov ntshav qab zib tsis yog insulin-tiv thaiv ntshav qab zib mellitus (hom thib ob) yog tias cov ntshav qab zib tau kuaj pom tias muaj peev xwm tiv thaiv hypoglycemic formulations npaj rau kev siv qhov ncauj.

Nyeg, cov qeb ntawm cov neeg uas tsis sib haum nrog cov tshuaj no suav nrog cov menyuam yaus hnub nyoog qis dua ob xyoos, thiab cov neeg uas muaj kev cuam tshuam ntau dhau rau ib yam khoom tseem ceeb - aspart, lossis rau lwm cov khoom xyaw nkag rau Novorapid.

Ntshav qab zib mellitus rau cov laus, cov hluas thiab cov menyuam yaus hnub nyoog ntau dua 2 xyoos.

nce ib tug neeg mob nkag siab rau insulin aspart lossis ib yam ntawm cov tshuaj.

Nws tsis pom zoo kom siv cov tshuaj NovoRapid® Penfill® / FlexPen® hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos, vim tias kev tshawb fawb soj ntsuam hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos tsis tau ua.

Txhawm rau sau ntawv NovoRapid, tus neeg mob yuav tsum kuaj:

Yam 1 ntshav qab zib.
Hom 2 mob ntshav qab zib mellitus uas yuav tsum muaj kev sib xyaw ua ke ntawm insulin thiab ntsiav tshuaj.
Mob ntshav qab zib Gestational.

Cov tshuaj no muaj kev nyab xeeb txo cov suab thaj hauv cov poj niam cev xeeb tub, raws li paub tseeb los ntawm kev kuaj mob hauv tsev kho mob.

Kev kho yog contraindicated nyob rau hauv cov ntaub ntawv ntawm ib tug neeg hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, raws li tau zoo nyob rau hauv cov me nyuam muaj hnub nyoog 2 xyoos: soj ntsuam kuaj mob rau cov menyuam me tsis tau ua Thaum lub sijhawm pub niam mis, nws tsis tuaj yeem ua rau muaj kev phom sij rau tus menyuam, tabsis yuav tsum tau kho qee ntu.

Qee tus neeg mob muaj qee tus neeg tsis kam txais insulin rau tib neeg. Qee zaum qee qhov kev tsis haum tshuaj rau lwm cov tshuaj ntawm cov tshuaj kuj tseem yuav pom.

Hauv cov rooj plaub no, lwm hom tshuaj insulin yog tus kho. Kev siv cov tshuaj yog tseem contraindicated nyob rau hauv cov ntaub ntawv ntawm hypoglycemia.

Yog li, ua ntej kev qhia, nws yog ib qho tsim nyog yuav tau kuaj xyuas cov ntshav qab zib kom qis. Koj tuaj yeem siv tsis tau "Actrapid" rau mob qog nqaij hlav cancer - insuloma.

Kev siv cov tshuaj no tsis yog sib kis rau cov menyuam yaus, thiab rau cov poj niam cev xeeb tub.

Ultrashort insulin analogues thiab nqi

NovoRapid muaj cov analogues niaj hnub uas zoo ib yam li nws hauv kev nqis tes ua thiab txhim kho cov nyhuv. Cov no yog Apidra thiab Humalog tshuaj. Qhov ntsuas ntawm lub cev sai dua: 1 chav haujlwm ua 2.5 zaug sai dua li qhov qub ntawm cov tshuaj hormones luv. Cov nyhuv Apidra muaj kev loj hlob ntawm qhov ceev ib yam li NovoRapida.

Tus nqi ntawm 5 Flexpen syringe cwjmem yog txog 1930 rubles. Ib daim tuaj hloov Penfill tus nqi mus txog 1800 rubles. Tus nqi ntawm analogues, uas tseem muaj nyob hauv cov phwj syringe, yog kwv yees zoo tib yam thiab thaj tsam li ntawm 1700 txog 1900 rubles hauv ntau lub tsev muag tshuaj.

Kuv puas tuaj yeem siv insulin hauv cov menyuam yaus thiab cov pojniam xeeb tub?

Thaum lub sijhawm tshwm sim ntawm kev tshwm sim cev xeeb tub thiab thoob plaws nws lub sijhawm, nws raug nquahu los soj ntsuam cov neeg mob uas muaj ntshav qab zib mellitus thiab saib xyuas cov ntshav qabzib. Tsis muaj cov ntaub ntawv qhia tshwj xeeb txog kev siv cov tshuaj nyob rau txhua txhua peb lub hlis, txawm li cas los xij, nws yuav tsum tau yug hauv siab tias thaum yug menyuam thiab tam sim ntawd tom qab lawv, qhov xav tau rau qhov tshuaj tiv thaiv hormonal yuav poob qis. Tom qab yug menyuam, xav tau cov tshuaj insulin rov qab los rau theem uas tau ua ntej ua ntej cev xeeb tub. Nws yuav tsum nco ntsoov tias:

Tshuaj insulin Novorapid Flekspen thiab Novorapid Penfill tuaj yeem siv lub sijhawm lactation (pub mis niam),
Yuav tsum muaj kev hloov kho insulin,
tsis pom zoo siv rau cov menyuam yaus hnub nyoog qis dua rau xyoo.

Cia rau cov neeg mob rau cov tshuaj

Nws raug nquahu kom kaw cov pob khoom hauv lub tub yees ntawm qhov kub ntawm ob txog yim degrees. Nws yog qhov tsis tsim nyog khaws cia cov tshuaj insulin nyob ze rau lub tub yees khov thiab, Ntxiv mus, kom khov cov tshuaj sib xyaw. Nws yog ib qho tseem ceeb uas yuav tsum tau siv lub hau tshwj xeeb los tiv thaiv Novorapid insulin los ntawm kev sib kis duab lub teeb. Lub txee lub neej ntawm cov tshuaj tiv thaiv hormonal yog ob xyoos.

Nws tsis raug pom zoo kom khaws cov xoos xoos qhib hauv lub tub yees. Lawv tsim nyog rau siv nyob rau hauv ib hlis txij thaum pib qhib thiab muab cia lawv khaws cia ntawm qhov kub tsis dhau 30 degrees.

Kev cuam tshuam nrog lwm yam tshuaj

Kev txo lub plawv hypoglycemic ntawm cov tshuaj tiv thaiv hormonal yog kho kom zoo los ntawm ntau cov tshuaj. Hais txog ntawm qhov no, lawv txhais tau qhov ncauj qhov ncauj lus tsis zoo, thiab MAO, ACE thiab carbonic anhydrase inhibitors. Cov tsis xaiv-beta-blockers, bromocriptine, sulfonamides thiab anabolic steroids nyob lawv qhov chaw hauv cov npe no. Peb yuav tsum tsis txhob hnov qab txog qhov cuam tshuam ntau ntxiv vim yog siv Tetracycline, Ketoconazole, lithium npaj thiab cov khoom muaj ethanol. Ua raws li cov yam ntxwv ntawm lub cev, muaj kev cuam tshuam zoo ib yam li lwm cov tshuaj muaj peev xwm paub tau.

Cov nyhuv ntshav qog ntshav ntawm Novorapid insulin tsis muaj zog txaus los ntawm kev tiv thaiv kab mob hauv qhov ncauj, corticosteroids, thiab cov thyroid hormones. Tseem nyob hauv cov npe yog:

thiazide diuretics,
heparin
tricyclic cov tshuaj tiv thaiv kab mob,
sympathomimetics
danazol thiab clonidine.

Cov npe zoo sib xws yuav tsum tau txiav txim siab calcium channel blockers, diazoxide, nicotine thiab lwm tus.

Hauv qab ntawm Reserpine thiab salicylates, tsis tsuas yog qhov ua kom tsis muaj zog, tab sis kuj nce ntxiv ntawm cov cawv ntawm cov tshuaj tiv thaiv hormonal yog qhov yuav tshwm sim tau. Kws tshuaj tsis sib xws yog txiav txim siab nrog cov tshuaj uas muaj thiol lossis sulfite. Qhov no yog vim tias thaum ntxiv rau hauv kev tiv thaiv hormonal, lawv provoke nws rhuav tshem.

Cov tshuaj ntawm cov tshuaj insulin Novorapid

Novorapid muaj ntau tus lej ua ke uas feem ntau siv yog tias cov tshuaj tiv thaiv hormonal rau qee qhov tsis haum rau tus neeg mob. Cov neeg nyiam tshaj plaws yog cov txhais tau tias yog Apidra, Gensulin N, Humalog, zoo li Novomiks thiab Rizodeg. Tag nrho lawv suav muaj kwv yees li tus nqi ib yam nkaus.

Ua ntej siv ib qho los yog lwm cov tshuaj insulin, nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho mob ntshav qab zib thiab tau txais tshuaj los ntawm nws.