Qhov twg mus yog hais tias tshuaj insulin tsis muab

Kev yuav ib cov tshuaj yog qhov yooj yim heev. Yog tias qhov koob tshuaj ntawm lub cev yog qhov xav tau sai, thiab cov ntshav qab zib tau khiav tawm ntawm cov tshuaj insulin, thaum muaj xwm txheej ceev nws tuaj yeem yuav tom lub tsev muag tshuaj uas muaj feem cuam tshuam nrog txoj kev xa khoom tshwj xeeb. Nws yog qhov zoo dua yog hu rau txhua qhov chaw ze tshaj plaws ntawm kev muag khoom ua ntej thiab paub yog tias cov khoom no muaj muag, vim tsis yog txhua lub tsev muag tshuaj muaj cov khoom zoo li no.

Koj tuaj yeem yuav cov tshuaj dawb yog tias koj mus ntsib koj tus kws kho mob endocrinologist thiab sau ntawv yuav tshuaj. Muaj cov tshuaj tshwj xeeb yog npaj los ntawm txoj cai lij choj rau cov pej xeem ntawm Lavxias thiab neeg txawv teb chaws nrog daim ntawv tso cai nyob hauv. Uas tau raug txheeb xyuas tias muaj cov kab mob ntshav qab zib insulin feem ntau. Kev muab cov txiaj ntsig no raug tswj hwm los ntawm tsoomfwv txoj cai lij choj rau kev pabcuam pej xeem 178-FZ thiab Tsoomfwv Kev Txiav Txim Siab No. 890.

Tus kws kho mob endocrinologist lossis tus kws tshaj lij, uas nyob rau hauv cov npe ntawm cov neeg uas muab cov tshuaj muaj feem tshwj xeeb, muaj txoj cai muab tshuaj rau kom yuav tshuaj insulin dawb. Cov kev tso npe no yog tsim los ntawm cov kws tswj kev noj qab haus huv cheeb tsam.

Xws li daim ntawv qhia tsis tuaj yeem nrhiav tau hauv Is Taws Nem, yog li koj yuav tsum tau saib xyuas kom tau txais daim ntawv ua ntej yog tias cov tshuaj insulin xaus. Tus kws kho mob ntshav qab zib yuav tsum mus ntsib kws kho mob, tom qab tshuaj xyuas thiab kev pom zoo rau kev kho mob, qee qhov tshuaj tau raug tshuaj, uas tus neeg mob tuaj yeem tau txais dawb.

Txhawm rau sau daim ntawv yuav tshuaj, tus neeg mob yuav tsum muaj cov ntaub ntawv nrog nws:

Daim ntawv yuav tshuaj xa tawm ntawm qhov chaw rau npe ntawm tus mob ntshav qab zib, yog li ntawv hla tebchaws yuav tsum tau ua. Nws yog ib qho tseem ceeb uas yuav tau txiav txim siab yog tias ib tus neeg tsis nyob ntawm qhov chaw sau npe, koj yuav tsum tau xaiv ua ntej lub tsev kho mob thiab xa mus rau lub koom haum kho mob uas xaiv nrog daim ntawv. Koj tuaj yeem hloov kho chaw kho mob tsis pub ntau tshaj ib xyoos ib zaug.
Thaum mus ntsib kws kho mob yuav tsum yog nyob hauv tes ntawm kev tuav pov hwm kho mob txoj cai thiab ib daim ntawv pov hwm kev tswj hwm tus kheej (SNILS).
Ib qho ntxiv, ntawv pov thawj kev tsis taus lossis lwm daim ntawv lees paub txog txoj cai rau cov txiaj ntsig yuav tsum tau muab.
Nws tseem yuav tsum tau muab daim ntawv pov thawj los ntawm Cov Nyiaj Laus muaj qhov tseeb tsis muaj kev tsis lees txais kev pabcuam pej xeem.

Cov ntaub ntawv no yog qhov tsim nyog txhawm rau txhawm rau txhawm rau sau txhua lub thawv ntawm daim ntawv nyiam nrog qhov qhia tseeb ntawm tus lej.

Qhov twg yog cov tshuaj insulin pab dawb

Ib lub tsev muag tshuaj uas cov chaw kho mob tau kos npe pom zoo muaj txoj cai muab tshuaj dawb. Feem ntau, tus kws kho mob muab qee qhov chaw nyob uas cov kws kho mob ntshav qab zib tau txais kev pab nyob ntawm qhov ua zaub mov txawv.

Daim ntawv tshuaj yuav siv tau rau kev yuav khoom ntawm lub cev dawb ntawm ob mus rau plaub lub lis piam, lub sijhawm tau tuaj yeem pom hauv daim ntawv qhia. Tsis yog tus neeg mob nkaus xwb muaj cai tau txais insulin, tab sis kuj yog nws cov neeg txheeb ze ntawm kev muab ntawm daim ntawv tshuaj.

Nws yuav tshwm sim tau tias lub tsev muag tshuaj tsis muaj tshuaj pub dawb, nyob rau qhov no, koj yuav tsum siv cov txheej txheem hauv qab no.

Ua ntej tshaj plaws, koj yuav tsum hu rau tus thawj tswj hwm lub tsev muag tshuaj mus rau npe rau cov ntaub ntawv kho mob uas lees tias txoj cai kom tau txais cov tshuaj tshwj xeeb hauv phau ntawv tshwj xeeb.
Ntxiv mus, raws li kev txiav txim ntawm Ministry of Health thiab Social Development ntawm Lavxias, ib cov tshuaj hormonal yuav tsum tau muab rau tus neeg mob tsis ntev dua kaum hnub. Yog tias qhov no ua tsis tau vim li cas, lub tsev muag tshuaj yuav tsum qhia koj seb yuav ua li cas kom muaj ntshav qab zib.
Yog tias lub tsev muag tshuaj pom tseeb tias yuav muab cov tshuaj insulin los ntawm cov tshuaj, koj yuav tsum coj cov teeb meem no mus rau tus kws kho mob. Ib qho ntxiv, lawv sau ntawv tsis txaus siab nrog TFOMS lossis QS - cov koom haum no muaj lub luag haujlwm saib xyuas cov cai ntawm cov neeg mob hauv kev pov hwm kev noj qab haus huv txhua yam.

Yog tias koj poob daim ntawv yuav tshuaj, koj yuav tsum tau sab laj nrog kws kho mob, nws yuav sau daim ntawv yuav tshuaj tshiab thiab qhia qhov poob rau lub tsev muag tshuaj uas daim ntawv cog lus tau xaus.

Qhov no yuav tsis tso cai cov neeg tsis muaj cai tau txais txiaj ntsig ntawm cov ntawv nyiam.

Yog kws kho mob tsis muab tshuaj

Ua ntej koj ua daim ntawv tsis txaus siab mus rau cov thawj coj siab dua, koj yuav tsum nkag siab tias tsis yog txhua tus kws kho mob muaj cai sau ntawv yuav tshuaj. Yog li, nws yog qhov tsim nyog los hais meej ua ntej leej twg muaj txoj cai muab ntawv tso cai.

Cov npe ntawm cov kws kho mob no tuaj yeem tau ncaj qha rau hauv chaw kho mob, nws yuav tsum tau muab rau tus neeg mob thaum thov txog. Cov ntaub ntawv no yog pej xeem thiab feem ntau muaj, yog li ntawd nws tau feem ntau tso rau ntawm cov laug cam lus.

Yog tias, vim li cas los xij, tus kws kho mob tsis tau sau ntawv sau tshuaj rau cov tshuaj pub dawb rau cov neeg mob ntshav qab zib, txawm hais tias kev kuaj mob, koj yuav tsum xa cov lus tsis txaus siab rau tus kws kho mob taub hau ntawm lub chaw kho mob. Raws li txoj cai, ntawm theem no, kev tsis sib haum xeeb daws teeb meem, tus neeg mob thiab tus tswj hwm tau tuaj yeem pom zoo.

Dab tsi yog lawv ua los ntawm

Koj tuaj yeem tau txais hauv cov hauv kev hauv qab no:

siv cov tshuaj tua kabmob tshwj xeeb kom paub meej cov ntshiab ntshiab porcine insulin,
thaum lub caij cov tshuaj tiv thaiv, nyob rau hauv kev hloov pauv hloov pauv ntawm cov poov xab lossis Escherichia coli tau koom tes nrog, e cov kab mob coli.

Xws li cov insulin yog biphasic. Nws yog thawj zaug purified, tom qab ntawd synthesized rau hauv cov qauv tshuaj kawg. Cov tshuaj sib xyaw ua ke ntawm cov tshuaj no tsis txawv ntau ntawm cov ntshiab lub cev tsis muaj tshuaj lom insulin. Qee qhov stabilizers, oxidizing tus neeg sawv cev thiab cov kab mob txav txav ntawm cov kab mob tau ntxiv rau tib neeg daim ntawv.

Daim ntawv loj ntawm tso tawm yog txhaj tshuaj tov. 1 ml tuaj yeem muaj 40 lossis 100 units ntawm insulin.

Kev cuam tshuam nrog lwm yam tshuaj

Cov kev kho mob no cuam tshuam rau insulins luv luv-yeeb yam. Ib qho meej insulin-receptor complex cov ntaub ntawv nyob rau saum npoo ntawm daim nyias nyias ntawm ntau lub hlwb, uas tshwm tom qab cuam tshuam ncaj qha nrog lub ntsej muag ntawm lub cell membrane. Kev sib txuas ntawm cyclooxygenase sab hauv lub siab cov ntshav thiab cov roj ua haujlwm yog nce zuj zus.

Thaum siv, cov kev mob tshwm sim hauv qab no feem ntau txhim kho:

kev tsis haum tshuaj: urticaria, Quincke's edema,
txog siav siav ceev ceev, cia li poob siab hauv lub siab,
Kev mob ntshav qab zib: nce tawm hws, pallor ntawm daim tawv nqaij, tshee tshee thiab kev siv lub zog ntau dhau, kev tshaib kev nqhis, nce siab ntawm lub cev, pw tsaug zog, mob taub hau, ntau dhau kev npau taws thiab nkees, tsis pom kev thiab hais lus, mob pob txha ntsej muag,
hypoglycemic coma,
hyperglycemia thiab acidosis: lub qhov ncauj qhuav tas li, qhov ploj ploj ntawm qhov qab los, liab ntawm daim tawv nqaij ntawm lub ntsej muag,
tsis nco qab zoo
tsis pom kev
khaus thiab o nyob rau hauv qhov chaw uas muab tshuaj rau,
cov tsos ntawm o ntawm lub ntsej muag thiab nqua, qhov kev ua txhaum ntawm qhov tsis kam.

Ib qho kev daws teeb meem ntawm cov tshuaj insulin yog nruj me ntsis txwv tsis pub coj los ua ke nrog lwm cov kev daws kev txhaj tshuaj. Lub ntsiab hypoglycemic tsuas yog nce thaum siv ua ke nrog qee yam sulfonamides, MAO inhibitors, thiab anabolic steroids. Androgens, tetracyclines, bromocriptine, ethanol, pyridoxine thiab qee qhov beta-blockers kuj tseem txhim kho cov nyhuv ntawm kev siv tshuaj.

Yuav ua li cas noj tib neeg cov tshuaj insulin

Qhov ntau npaum li cas thiab cov kev coj noj coj ua ntawm kev tswj hwm yog txiav txim siab tsuas yog txiav txim siab ntawm cov ntshav qab zib hauv nruab nrab, thiab tom qab ntawd 2 teev tom qab noj mov Ntxiv rau, qhov kev txais tos nyob ntawm qhov mob hnyav ntawm kev txhim kho glucosuria.

Feem ntau cov feem ntau, subcutaneous tswj hwm. Ua nws 15 feeb ua ntej noj mov loj. Yog hais tias muaj ntshav qab zib mob ketoacidosis lossis ua rau nws rov qab zoo li qub, txhaj tshuaj insulin yog txhaj rau cov dav hlau, ib txwm tso leeg lossis mus rau hauv cov nqaij gluteus, ua ntej kev phais mob.

Nws raug nquahu kom siv tshuaj tsawg kawg 3 zaug hauv ib hnub. Txhawm rau kom tsis txhob muaj cov pleev lipodystrophy, koj tsis tuaj yeem quav yeeb tshuaj rau ntawm qhov qub chaw. Tom qab ntawd tsis pom dab tsi ntawm cov rog subcutaneous rog.

Qhov nruab nrab ntawm cov neeg laus ib hnub tau txhaj yog 40 units, thiab rau cov menyuam yaus nws yog 8 units. Cov cai ntawm cov thawj coj yog 3 zaug hauv ib hnub. Yog tias muaj qhov xav tau ntawd, koj tuaj yeem tso cov tshuaj insulin txog 5 zaug.

Cov lus qhia tshwj xeeb

Ua ntej koj sau cov tshuaj los ntawm lub raj mis, koj yuav tsum twv xyuas nws kom pom tseeb. Yog tias muaj qhov pom sai sai, cov tshuaj no yuav tsum tsis txhob noj.

Cov koob tshuaj cov kua dej yuav hloov kho rau cov kev pathologies:

kis kab mob
malfunctioning ntawm lub qog gland,
Addison's disease
Kev Ua Siab Ncaj
mob ntshav qab zib rau cov neeg laus.

Feem ntau, kev tshwm sim ntawm kev mob ntshav qab zib tsawg. Txhua tus tuaj yeem ua rau los ntawm kev noj ntau dhau, hloov pauv qhov tseeb ntawm cov kua dej los ntawm tib neeg keeb kwm nrog tib neeg, kev tshaib plab, nrog rau mob raws plab, ntuav thiab lwm cov tsos mob ntawm intoxication. Kev mob ntshav qab zib me me tuaj yeem nres los ntawm kev noj suab thaj.

Yog tias cov phiaj xwm me ntsis uas qhia hauv lub qog ntshav qab zib tsawg dua, koj yuav tsum hu rau tus kws kho mob tshwj xeeb. Muaj qee qhov mob me, kev hloov kho ntau dua tuaj yeem pab tau. Hauv cov xwm txheej hnyav dua, kev siv tshuaj tua kab mob ua kom tshem tawm. Tau zuaj ib zaug, yuav tsum ua tag nrho kev noj tshuaj lossis tshuaj kho mob hloov.

Nws yuav tsum nco ntsoov tias nyob rau thaj tsam ntawm kev tswj hwm ncaj qha, kev ua haujlwm ntawm subcutaneous rog tuaj yeem tshwm sim. Tab sis qhov no tuaj yeem zam kom dhau los hloov chaw rau kev txhaj tshuaj.

Siv thaum cev xeeb tub thiab lactation

Kev tswj cov qib qab zib hauv lub cev ntawm tus poj niam cev xeeb tub yog qhov tseem ceeb. Hauv thawj peb lub hlis, xav tau cov ntshiab insulin tsawg dua, thiab thaum kawg ntawm lub sijhawm nws nce.

Thaum lub sijhawm pub mis niam, tus pojniam yuav xav tau qee yam kev kho ntawm cov tshuaj insulin thiab kev noj zaub mov tshwj xeeb.

Noj ntau dhau

Overdose cov tsos mob yuav tshwm sim ntau:

mob ntshav qab zib - tsis muaj zog, tawm hws ntau dhau, pallor ntawm daim tawv nqaij, tshee tshee ntawm qhov kawg, tshee tshee, tshaib plab,
hypoglycemic coma nrog mob syndrome.

Cov kev kho mob yog feem ntau cov tsos mob. Cov ntshav qog ntshav qis yuav dhau mus tom qab siv cov zaub mov muaj piam thaj lossis carbohydrate.

Cov ntshiab glucagon tau txhaj tshuaj kom nres cov tsos mob ntawm kev haus luam yeeb heev. Thaum lub sijhawm tsis nco qab sai zuj zus, txog li 100 ml ntawm qhov kev daws teeb meem uas tau txhaj tshuaj txo qis kom txog thaum tus neeg mob hnyav tawm hauv lub cev tsis xeev.

Mob ntshav qab zib mellitus hauv cov menyuam yaus thiab cov hluas. Kev Noj Qab Haus Huv Tsev Kawm Ntawv

tsis muaj lus hais :( sailed :( tam sim no tsis muaj cov khoom coj txawv teb, pulmikrot, muaj peb tus kheej tsis ua haujlwm (peb tab tom tham txog cov tshuaj pub dawb), tab sis peb li .. peb txhawb cov chaw tsim khoom hauv tsev, thiab tsis saib xyuas kev noj qab haus huv uas yog txhua tus neeg, xis yas nebulas tig mus rau hauv lub khob ntawv uas muaj ib daim hlau :( txawm hais tias qhov sib txawv nws ua li cas thaum kuv tsis pom pom muaj kev txhim kho zoo :( 11 xyoo lawv tau txais cov tshuaj zoo. *** Lub ntsiab lus tau hloov los ntawm lub rooj sib tham "SP: kev sib sau"

Cov ntaub ntawv tuaj ntawm kuv tus phauj - nag hmo nws tau nyob hauv lub tsev muag tshuaj pheej yig, sawv hauv kab li ntawm ib nrab ib teev. Muaj ib pawg ntawm cov pensioners nrog cov npe caij tsheb, cheb txhua yam. Niaj hnub no kuv nyob hauv tib lub tsev muag tshuaj, sim yuav. Berodual for inhalation yog lub vial kawg, intala nt. Tom qab ntawd kuv mus rau lub tsev muag tshuaj kim dua, yuav lwm yam tshuaj, kuj ua lub raj mis kawg. Tam sim no nws tau hu nws niam mus ceeb toom nws, nws hais tias nws tau ceeb heev nag hmo thaum nws pom txoj kab ntawm lub tsev muag tshuaj kiosk, rau ib lossis ob tus neeg nyob ntawd. Yog li yog tias koj muaj.

Thov sau kuv qauv insulin rau me nyuam. Thiab puas yog tso ntshav rau cov insulin qhia pom cov ntshav qab zib latent?

txwv tsis rho tawm thov. hauv cov tshuaj, txhua yam tsuas yog "hauv nws feem", thiab tus neeg yog tus kheej .. niam ntawm lwm tus menyuam qee zaum zoo dua li kws kho mob. Qhov xwm txheej: Kuv niam mob, hnub nyoog 72, ntuav pib lub Kaum Ib Hlis. Rau tej pluas noj. Kuv tau poob 30 phaus. Kuv tsuas tau noj ib qho pog nyob rau ib zaug. Muaj ntshav qab zib insulin-nyob rau. Tam sim no insulin twb raug muab tso tseg. ib zaug ntxiv hauv tsev kho mob thiab ib zaug tsis muaj lus teb nws yog dab tsi thiab yuav ua li cas kom txhob ntuav no. Cov kev xav yog dabtsi?

Lub tuam txhab kws kho mob Lilly tshaj tawm tshaj tawm cov phiaj xwm kev kawm tshiab rau cov menyuam yaus muaj ntshav qab zib hom I - koom tes nrog Disney, phau ntawv qhia "Coco thiab Goofy's Zoo Siab Yug" tau tsim. Phau ntawv qhia txog cov kev lom zem ntawm Coco liab, uas muaj hom ntshav qab zib kuv. Cov menyuam yaus pom tau cov ntaub ntawv zoo dua, nrog rau kev koom nrog ntawm cov dab neeg hais dab neeg, nrog kev pab los ntawm cov khoom muaj xim zoo nkauj, phau ntawv yuav cia peb los tham txog cov kab mob nyuaj ntawm kev nkag tau rau lawv.

Cov. Toronto tau txais insulin, uas nyob hauv dev uas muaj ntshav qab zib tshem tawm cov tsos mob ntawm tus kab mob, thiab twb tau nyob rau xyoo 1922 thawj tus neeg mob ntshav qab zib tau pib txhaj tshuaj insulin. Xyoo 1960, cov qauv chemical ntawm tib neeg cov kua dej tau tsim los. Xyoo 1976, tib neeg cov tshuaj insulin tau ua los ntawm npua insulin, thiab xyoo 1979 ua tiav kev tsim hluav taws xob engineering ntawm tib neeg cov tshuaj insulin tau ua tiav.

Peb muaj kab mob celiac. Nws yog tsau twb tau 6 xyoo dhau los. Cov kws kho mob tau hais qhia peb tias tus kabmob txuas ntxiv mus. Hawb pob tau ntxiv rau nws. Tom qab ntawd hemochromatosis (cov khoom siv hlau tsis tuaj yeem), tam sim no qab zib tau nce lawm. Kuv tsis tau paub dab tsi los muab nws nrog - hmoov tsis pub, TXHUA tam sim no tsis tau, nqaij tsis pub, muaj hlau ntau hauv cov txiv hmab txiv ntoo, thiab lawv kuj tsis raug tso cai. Kuv muaj lub ceeb! Cov ntxhais, cov nyob ze, cov lus teb, cov uas muaj tej yam zoo sib xws. Tus menyuam yuav tsis xav noj dab tsi uas lawv muab. Tab sis kuv tsis paub yuav ua li cas sib txawv.

Koj daim ntawv teev yog loj, ntawm chav kawm.

Kuv kuj qhia Elina nyeem, muaj ntau yam ntaub ntawv thiab cov khoom muaj txiaj ntsig. Thiab yog li tsuas yog taum los xav txog - tab sis kuv tsis paub meej ntawm txhua hom hlau.

Yog tias muaj kev ua xyem xyav ntawm ntshav qab zib, tom qab ntawd nws yog qhov tseem ceeb kom paub seb hom twg yog tus thib 1 lossis 2. Qhov thib ob yog yooj yim dua nrog kev noj haus.

Mob ntshav qab zib mellitus thiab cev xeeb tub. Cov kab mob thaum cev xeeb tub

Cov. Ua ntej cov tshuaj insulin tau siv ua cov tshuaj, kev yug menyuam hauv cov poj niam uas muaj ntshav qab zib tsawg tsawg. Cev xeeb tub tshwm sim tsuas yog hauv 5% ntawm cov poj niam thiab hem lawv lub neej, kev tuag ntawm tus me nyuam hauv plab mus txog 60%. Kev kho mob Insulin pub rau feem coob ntawm cov poj niam uas mob ntshav qab zib tau muaj menyuam. Txawm hais tias kev mob plab rau menyuam hauv plab tuag los kuj muaj peev xwm ua tau nrog kev kho kom zoo thiab tswj kev xeeb tub, nws yuav muaj peev xwm muaj txiaj ntsig zoo.

Tsuas yog peb hnub dhau los, kuv pom tias kuv tau xeeb tub lawm thiab txiav txim siab pom cov ntaub ntawv hais txog mob ntshav qab zib thiab cev xeeb tub hauv Is Taws Nem, Kuv pom qhov txuas no - zoo, tsuas yog ib qho uas kuv xav kom kws kho mob txhawb kev xav kom zoo nrog rau cov lus tsis zoo tab sis tsim nyog uas tau muab rau ntawm no. Tus kheej, Kuv tsis muaj tsawg tus neeg paub txog kev kuaj mob ntshav qab zib mellitus, ib nrab ntawm lawv twb tau yug menyuam, thiab kuv yuav tsum hais tias txhua yam mus zoo - nrog kev saib xyuas kom zoo, ib txwm muaj, cov menyuam yaus noj qab nyob zoo tshwm sim, txawm hais tias nyob hauv peb lub sijhawm lub tswvyim ntawm cov menyuam muaj kev noj qab haus huv yog vague heev.

Cov. Nws qhov laj thawj yog qhov txo qis ntawm lub hlwb rau lawv tus kheej insulin (insulin tsis kam), uas cuam tshuam nrog cov ntsiab lus ntawm cov poj niam cev xeeb tub hauv cov ntshav. Tom qab yug menyuam tas, cov ntshav qab zib cov ntshav feem ntau rov qab zoo li qub. Txawm li cas los xij, qhov tshwm sim ntawm kev tsim hom 1 thiab type 2 mob ntshav qab zib thaum cev xeeb tub tsis tuaj yeem txiav txim siab. Kev kuaj mob ntawm cov kabmob no yog nqa tawm tom qab yug. Thaum kev txheeb xyuas cov ntaub ntawv tau txais los ntawm ntau cov kev tshawb fawb, cov kws kho mob tau los xaus tias ntau dua 5.

Cov. Cov leej niam yav tom ntej yuav tsum tau txais tshuaj insulin - txawm li cas los xij, nws zoo dua yog tias qhov no tshwm sim los ntawm kev saib xyuas ntawm tus kws kho mob: nws paub tias qee cov koob tshuaj uas xav tau nyob rau ntau theem ntawm cev xeeb tub. Los ntawm txoj kev, meej rau qhov laj thawj no, sai li sai tau tus poj niam uas muaj tus kab mob uas yuav tsum tau noj tshuaj tas li yog cev xeeb tub, nws yuav tsum tau mus ntsib kws kho mob: tej zaum, thaum tus menyuam tseem tos, tus kws kho mob yuav qhia rau noj lwm yam tshuaj. Tej xwm txheej no: Kuv puas haus ib ntsiav tshuaj? Tab sis yuav ua li cas yog tias cov neeg tos leej niam mob thiab nws txiav txim siab yooj yim.

Marina txog West mob - Cov mob sab hnub poob muaj ib txoj kev kho tau

Marina, Kuv tau nyeem txog koj qhov “pob paj”, Kuv tau tshawb nrhiav Is Taws Nem txog cov lus qhia txog mob West. Kuv pom thiab saib zoo rau kev sib tham thiab cov lus los ntawm ntau lub teb chaws. Yog lawm, kuv tsis yog tus kws tshaj lij, tab sis qhov kev xav paub tias qhov "mob" no tsuas yog qhov zoo sib xws ntawm ntau qhov kev yug los lossis tau txais (piv txwv, los ntawm kev txhaj tshuaj) cov teeb meem metabolic, uas yog, nws tsis yog lub xeev uas yuav tsum tau kho zoo, tab sis nws ua Cov. Cia peb tsim cov laj thawj - yog tias tus menyuam loj hlob ib txwm muaj txog li 9 hlis, thiab tom qab ntawd.

(lub hlwb ua haujlwm tsis xws luag, hnoos mob sclerosis, perinatal encephalopathy, thesaurismosis, thiab lwm yam) thiab cov ntaub ntawv cryptogenic. Nrog rau cov qauv mob tshwm sim, lub hlwb txoj kev loj hlob ntawm cov menyuam yaus feem ntau txom nyem txij thaum yug los, nrog cryptogenic, los ntawm lub sijhawm nws pib

nqua, uas feem ntau yog ob tog thiab zoo. Feem ntau raug

Cov pob qij txha caj dab ("Salaam tawm tsam") nrog txoj kev ywj pheej ntawm caj dab, pob tw, caj npab, khoov, nqa thiab tsa ceg ceg. Kev tawm tsam yog luv, faib ua pawg, ntau zaus ntau

tshwm sim sai sai tom qab kev paub ntawm cov neeg mob.

kev loj hlob, feem ntau tetrapyramidal cov tsos mob.

monotherapy lossis hauv kev sib xyaw nrog ACTH. Xyoo tsis ntev los no, raws li muaj ntau tus kws sau ntawv, kev siv cov vigabatrin ntawm koob tshuaj 100 mg / kg / hnub yog qhov pom zoo. Vigabatrin yog yeeb tshuaj ntawm qhov kev xaiv kiag ib qho hauv kev kho ntawm SV vim muaj tus mob hlab ntsha sclerosis. Ntawm

qhov tsis muaj txiaj ntsig ntawm kev ua haujlwm ntawm monotherapy, theem pib AEDs yog ua ke nrog lamotrigine,

carbamazepine lossis benzodiazepines.

ntawm lub neej. Sijhawm dhau sijhawm, SV tau hloov pauv mus rau hauv SLH (1/3 tus mob) lossis multifocal epilepsy.

Kuv tus ntxhais tau tsim ib txwm txog li 2.5 hli. Tom qab ntawd muaj thawj zaug tsim txom.

Kev kuaj pom tias nws yug los tsis yog kev txom nyem los ntawm IUI zoo li cov menyuam yaus feem ntau, tab sis muaj mob tsis zoo, nws tau pib mob rau daim tawv nqaij thiab yog li ntawd qhov hloov pauv tau nce ntxiv. Muaj yog tus thiaj li hu ua “dub teev”. Lawv pib kho tsuas yog thaum tus menyuam pib tuav nws lub taub hau. Tom qab ntawd txhua tus tau khiav hauv, khob qhov tshuaj no, thiab lwm yam.

Kuv tsis tau paub ib nrab ntawm qhov no, vim hais tias cov kws kho mob tau zais cov kev sim, thiab lwm yam, Qhov tseeb, lawv tau ploj tus menyuam. Txawm li cas los xij, tej zaum tsis yog ib leeg niam ntawm tus menyuam muaj kev noj qab haus huv paub txog nws. Qhov no yog thaum lawv nias txhua tus pib nyiam thiab kawm cov ntaub ntawv.

Feem ntau, ua tsaug rau txoj kev txhawb nqa, nws tau zoo uas tau paub tias ib tus neeg hlub txog kuv tus menyuam txoj hmoo. Ua tsaug rau koj

Cov tshuaj noj nrog niam cov kua mis. Kab mob ntawm leej niam thaum lub sijhawm pub mis.

Tau ntau xyoo tam sim no, Kuv tau raug kev mob ntshav qab zib mellitus hom Kuv txhaj tshuaj insulin rau kuv tus kheej. Hom no ib leeg tsis yooj yim thiab mob. Kuv puas tuaj yeem hloov pauv tshuaj insulin nrog tshuaj?

Cov. Cov tshuaj uas nqus tau zoo los ntawm cov ntshav-lub hlwb thaiv, txeem zoo los ntawm cov ntshav-hlwb teeb meem. Pom tseeb, hypnotic tshuaj yuav tsum tau muab tso rau hauv thawj qhov chaw: phenobarbital, barbital sodium, etaminal sodium thiab lwm yam kev sib txuas ntawm barbituric acid. Lawv lawv tus kheej raug muag tsuas yog raws li kws kho mob tshwj xeeb cov tshuaj, tab sis yog ib feem ntawm kev sib koom ua ke ntau qhov chaw uas cov ntsiab lus ntawm barbiturates tsawg, thiab yog li ntawd nws zoo li tsis txaus ntshai, tab sis tsis yog rau tus menyuam.

Cov. Cov tshuaj tua kab mob oleandomycin phosphate thiab lincomycin hydrochloride tsis ua mob rau tus me nyuam. Txoj hnyuv ntawm tus menyuam Thaum kawg, txoj hnyuv kawg yog txoj hnyuv ntawm tus menyuam nws tus kheej. Qee yam tshuaj tau nrog niam cov kua mis tau muab me nyuam zom tau yooj yim. Xws li yog txoj hmoo los ntawm ntau cov tshuaj hormones npaj ntawm peptide xwm. Ntawm cov ntshav qab zib, leej niam tseem yuav tau txais cov tshuaj insulin ntxiv, txawm tias nws tau tawm hauv cov kua mis.

Swinsulin yog ib qho kua dej zoo ntawm crystalline insulin tau los ntawm npua npua. Cov tshuaj yeeb yaj kiab yog siv rau hauv cov neeg mob nrog kev tawm tsam ntawm cov tshuaj uas tau los ntawm kev mob siab ntawm nyuj.

Monosuinsulin yog kev npaj ua luv luv uas muaj cov kab mob crystalline porcine insulin, uas muaj qhov nrawm nrawm thiab txo qis qab zib. Nws yog siv rau cov tshuaj insulin tsis kam, lipodystrophy, hauv zos thiab dav dav kev tsis haum tshuaj tshwm sim los ntawm kev hno ntawm lwm yam tshuaj insulin npaj. Monosuinsulin yog muab tshuaj subcutaneously lossis intramuscularly 15-20 feeb ua ntej noj mov, ib qho rau ob peb zaug hauv ib hnub.

Qhov kev txiav txim tshwm sim tom qab 15-20 feeb, cov txiaj ntsig siab tshaj plaws tau tiav tom qab 2 teev, lub sijhawm siv tshuaj ntau dua tsis pub dhau 6 teev. Thaum muaj kev fab tshuaj tsis haum, kev sim tshuaj rau tus kabmob (0.02-0.04 U) yog ua tiav ua ntej thov monosuinsulin. Nrog lipodystrophy, txoj kev daws teeb meem yog tswj hwm subcutaneously ntawm tus ciam teb ntawm thaj chaw muaj kev noj qab haus huv thiab cov phom sij ntawm cov roj ntsha subcutaneous: hauv cov menyuam yaus, 2-4 pawg, rau cov laus, 4-8 units rau 30-40 hnub.

Kev ncua ntawm zinc insulin yog kev ncua uas muaj kev ncua ntawm amorphous thiab crystalline zinc insulin.

Amorphous zinc insulin raug ncua yog kev ncua hauv daim ntawv ntawm amorphous hmoov hauv acetate tsis nrog lub sijhawm 10-12 teev thiab cov nyhuv siab tshaj plaws hauv thawj 7 teev.

Kev ncua ntawm crystalline zinc insulin yog qhov tsis raug rho tawm ntawm crystalline insulin hauv acetate tsis, yeeb tshuaj nrog ntev txog 36 teev, qhov siab tshaj plaws tshwm sim 16-20 teev tom qab kev tswj hwm.

Kev ncua ntawm cov tshuaj tiv thaiv-insulin yog ib qho kev txwv tsis pub muaj zog ntawm cov tshuaj insulin nyob rau hauv cov nyom nrog cov tshuaj tiv thaiv hauv phosphate tsis.

Triprotamine-zinc-insulin - 10 ml fwj, muaj pes tsawg leeg: insulin - 40 units, zinc chloride - 0.08 mg, triprotamine - 0.8 ml, piam thaj - 40 mg, disubstituted sodium phosphate - txog 4 mg, tricresol - 3 mg

Globin-zinc-insulin yog lub tshuaj ncua ntev, hauv lub sijhawm ua haujlwm ntev nws siv qhov chaw nruab nrab ntawm cov tshuaj ib txwm thiab Triprotamine-zinc-insulin.

Cov tshuaj tiv thaiv-zinc-insulin yog qhov raug tshem tawm xim dawb. Ib qho tshwj xeeb ntawm kev ncua, piv nrog cov tshuaj uas muaj kev tawm tsam, yog qhov pib qeeb thiab pib ntev.

Ncua kev tiv thaiv cov tshuaj tiv thaiv-zinc-insulin yog cov raug tshem tawm tsis pub dhau ntawm cov kab mob crystalline insulin, protamine, zinc chloride thiab sodium phosphate, ib qho tshuaj ntawm kev ncua ntev.

Cov tshuaj insulin B - ntev insulin nrog kev ntxiv ntawm aminoquinocarbamide hydrochloride.

Cov tshuaj insulin-ntev kev ncua - cov nqaij npuas amorphous nqaij npuas insulin sib xyaw nrog zinc thiab crystalline nyuj insulin hauv kev sib xyaw ua ke nrog zinc (hauv qhov sib piv ntawm 3: 7). Cov tshuaj yog qhov kev txiav txim siab ntev, yog tswj hwm subcutaneously thiab intramuscularly nrog cov mob ntshav qab zib rau mob hnyav thiab hnyav. Cov suab thaj txo qis tshwm sim hauv 2-4 teev, mus txog qhov siab kawg ntawm kev ua hauv 8-10 teev thiab kav ntev li 20-24 teev.

Koob tshuaj thiab cov naj npawb ntawm cov hno ib hnub tau teeb tsa ua ib leeg zuj zus, suav txog qhov ntsuas cov piam thaj hauv cov zis nyob ntawm ntau lub sijhawm ntawm hnub, ntshav qab zib theem. Cov tshuaj tsis siv rau kev mob ntshav qab zib tsis xeev thiab precomatous lub xeev. Yog tias dhau ntawm kev noj tshuaj ntau dhau, lub xeev hypoglycemic thiab kev ua xua (urticaria, tawm pob, ua pob khaus, Quincke's edema) yuav tshwm sim.

Insulin-semilong ncua kev kawm - muaj cov amorphous porcine insulin nyob rau hauv cov nyom nrog zinc. Cov tshuaj yog qhov tshwm sim ntev. Siv cov ntshav qab zib mellitus ntawm mob hnyav thiab daim ntawv hnyav, nrog rau nruab hnub hyperglycemia thiab glucosuria, tswj subcutaneously lossis intramuscularly. Cov nyhuv yog pom tom qab 1-1.5 teev, qhov haujlwm siab tshaj plaws - tom qab 5-8 teev. Lub sijhawm tiv thaiv ntawm cov tshuaj yog 10-12 teev.

Cov tshuaj insulin-ultralong ncua - muaj crystalline nyuj insulin hauv cov nyom nrog zinc. Ua ntawv thov subcutaneously thiab intramuscularly mob ntshav qab zib mellitus ntawm mob hnyav thiab daim ntawv hnyav, nyob hauv ib nrab thib ob ntawm hmo ntuj thiab thaum sawv ntxov ntxov. Kev txo qis qab zib cov txiaj ntsig yog pom tom qab 6-8 teev. Ntev 30-36 teev.

Insulin - Cov lus qhia rau kev siv

Muaj ntau ntau pathologies nyob rau hauv uas kev kho mob yog qhia:

ntshav qab zib hom 1 thiab hom 2
ntshav qab zib acidosis,
ketoacidotic coma,
mob ntshav qab zib thaum cev xeeb tub.

Thaum muaj teeb meem tshwm sim rau lub xeev nyob hauv tus neeg mob, nws yuav tsum tau mus pw hauv tsev kho mob. Yog tias kev noj qab haus huv tsis zoo, kev kho mob hemodialysis tau ua tiav. Hauv txhua lwm yam mob, thaum tsis muaj qhov tshwm sim tsis zoo rau lub cev, ua txoj kev kho tshuaj. Qhov ntau npaum li cas thiab lub sijhawm rau kev kho mob yog txiav txim los ntawm tus kws kho mob mus kawm raws qhov kev mob hnyav hauv chaw kuaj mob.

Hauv kev txhaj tshuaj me me (5-10 units), tshuaj insulin yog siv rau kab mob siab (mob siab, pib theem qog), rau acidosis, qaug zog, poob qis hauv kev noj zaub mov, furunculosis, thiab thyrotoxicosis.

Hauv kev xyaum neuropsychiatric, insulin yog siv rau kev haus cawv, thiab rau kev ua kom lub cev tsis muaj zog (hauv cov koob tshuaj uas ua rau lub xeev tsis muaj ntshav).

Hauv kev kho mob hlwb, rau kev kho mob insulinocomatosis (hauv kev kho mob ntawm qee hom schizophrenia, cov tshuaj insulin raug muab rau hauv cov khoom tseem ceeb, uas, nrog kev maj mam nce ntxiv ntawm cov koob tshuaj, ua rau muaj kev poob siab hypoglycemic).

Hauv kev hais txog mob ntshav qab zib, tshuaj insulin yog siv rau hauv kev kho mob ntshav qab zib ua rau cov neeg mob ntshav qab zib, ua cov tshuaj tsis muaj mob rau qhov mob eczema, pob txuv, urticaria, psoriasis, mob pyoderma thiab mob ua rau tawv nqaij mob.

Feem ntau, cov tshuaj insulin yog muab tshuaj subcutaneously lossis intramuscularly, mob leeg - tsuas yog tshwj xeeb tshaj yog mob hnyav nrog mob ntshav qab zib tsis nco qab, cov kev npaj rau lub txim tau raug tswj tsuas yog ua subcutaneously.

Kev txhaj tshuaj ntawm cov tshuaj ib hnub twg yog ua hauv 2-3 koob ib nrab ib teev - ib teev ua ntej noj mov, cov nyhuv ntawm ib qho tshuaj ntawm cov tshuaj pib tom qab 30-60 feeb thiab kav ntev li 4-8 teev.

Nrog kev tswj hwm ntawm cov tshuaj insulin, qhov siab tshaj plaws ntawm hypoglycemic yog ua tiav tom qab 20-30 feeb, cov piam thaj rov qab mus rau theem qub tom qab 1-2 teev.

Ua ntej sau cov koob txhaj tshuaj ntawm kev ncua ntawm insulin npaj ntawm kev ua lub sijhawm ntev, cov ntsiab lus yuav tsum muab co kom txog thaum uas muab ncua kev tsis sib haum rau hauv lub raj mis.

Thaum muaj ntshav qab zib mellitus, kev kho mob yog nqa tawm rau kev noj zaub mov nyob rau tib lub sijhawm, qhov ntau npaum li cas yog txiav txim siab nyob ntawm qhov mob hnyav, tus neeg mob thiab cov ntshav qab zib (raws li 1 koog rau txhua 5 g suab thaj ua rau hauv cov zis). Feem ntau, cov tshuaj insulin yog li 10-40 units ib hnub.

Nrog lub dag zog tsis nco qab, qhov kev noj tshuaj txhua hnub ntawm cov tshuaj uas muab tshuaj subcutaneously tuaj yeem nqa mus txog 100 PIECES thiab siab dua, nrog kev tswj hwm ntshav - txog 50 PIECES ib hnub.

Hauv cov kab mob ntshav qab zib ua rau toxidermia, cov tshuaj insulin raug sau rau hauv cov tshuaj loj, tus nqi ntawm uas nyob ntawm qhov mob hnyav ntawm cov kab mob hauv qab.

Txog rau lwm cov kev taw qhia, txhaj tshuaj insulin me me feem ntau yog (6-10 ntu ib hnub), feem ntau (nrog rau kev tso pa tawm, kab mob siab) ua ke nrog lub ntsej muag hnyav.

Poj niam lub tsev zaub mov txawv thiab cov lus pom zoo.

Nyob rau hauv kev tsis kam lees los ntawm kev tswj hwm rau qhov tsis muaj laj thawj, muaj kev tsis txaus siab sau ntawv tawm tsam txhua tus neeg ua haujlwm uas tiv thaiv kev muaj peev xwm tau txais cov tshuaj muaj feem tshwj xeeb rau Tsoomfwv Saib Xyuas Kev Nyab Xeeb Saib Xyuas hauv Kev Noj Qab Haus Huv. Txhawm rau ua qhov no, nws yog qhov zoo tshaj plaws los siv kev ua haujlwm lub website ntawm Roszdravnadzor, uas nyob rau ntawm http://www.roszdravnadzor.ru.
Siv daim foos tawm tswv yim, koj tuaj yeem tau mus rau seem ntawm pej xeem cov lus thov, uas muaj cov ntaub ntawv tiav ntawm yuav xa cov lus tsis txaus siab, qhov chaw ua haujlwm hauv cheeb tsam thiab lub sijhawm ua haujlwm. Ntawm no koj tseem tuaj yeem nrhiav cov npe npe tso cai uas tswj hwm cov haujlwm ntawm lwm lub koom haum.
Ua ntej sau daim ntawv thov, nws raug nquahu kom thaij txhua daim ntawv muaj pov thawj pom tias muaj cai siv cov txiaj ntsig siv hauv xov tooj. Txhua cov ntaub ntawv tau xa los ntawm tib daim ntawv uas qhov kev tsis txaus siab yuav raug xa mus. Nws yog ib qho tseem ceeb heev uas qhov xwm txheej tau piav qhia ntxaws raws li qhov ua tau, nrog cov lus tseeb.

Yog tias siv tsis tau lub koos pij tawj, daim ntawv sau cov lus tsis txaus siab xa nrog daim ntawv sau npe xa hauv tsev xa ntawv tuaj. Cov ntaub ntawv raug xa mus rau qhov chaw nyob: 109074, Moscow, Slavyanskaya square, d. 4, p. 1. Raws li, nws yuav siv sijhawm ntev tos, vim nws siv sijhawm los xa, tau txais, thiab xav txog tus neeg siv. Rau kev sab laj, koj tuaj yeem siv cov xov tooj hauv Moscow:

8 (499) 5780226
8 (499) 5980224
8 (495) 6984538

Qhov tshuaj insulin yog ib yam tseem ceeb hauv tib neeg lub cev uas tswj ntshav qab zib. Tus txiav yog lub luag haujlwm rau kev tsim cov tshuaj no, yog tias muaj kev ua txhaum ntawm cov khoom nruab nrog cev, insulin pib tsis zoo. Qhov no ua rau cov metabolism hauv kev ua haujlwm tsis zoo thiab ua rau mob ntshav qab zib.

Tus mob ntshav qab zib tau raug yuam thoob plaws hauv lawv lub neej tswj hwm cov ntshav qabzib hauv ntshav, soj ntsuam kev noj zaub mov zoo, koom nrog kev tawm dag zog lub cev, nrog rau tswj cov tshuaj insulin txhua hnub thaum kws kho mob tau sau tseg. Yog tias cov cai yooj yim no tsis tau ua raws li, ntau yam kev mob tshwm sim, uas nyuaj rau kho tau.

Ntau tus neeg mob thiab cov neeg txheeb ze ntawm tus mob ntshav qab zib tau txaus siab xav seb cov tshuaj insulin xav tau los tsis yog. Koj tuaj yeem tau txais cov tshuaj hormone rau ib tus nqi yam tsis muaj daim ntawv sau, nrog rau cov ntawv sau qhia pub dawb, tom qab muab daim ntawv yuav tshuaj qhia tseeb pes tsawg ntawm cov tshuaj. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab tias thaum mus yuav cov tshuaj hormonal tsis muaj tshuaj, ib tug neeg tso nws tus kheej muaj kev pheej hmoo ntawm kev noj tshuaj ntau dhau, uas tuaj yeem ua rau muaj kev phom sij thiab tsis tuaj yeem.