Cov xaum xaum rau insulin humulin: nws yog dab tsi, nqi thiab tshuaj xyuas

Qhov tshuaj tiv thaiv kab mob siab Humulin NPH muaj cov tshuaj insulin-isophan, uas muaj qhov nruab nrab ntawm lub sijhawm txiav txim. Nws yog npaj siv tas mus li txhawm rau tswj cov ntshav qabzib kom tsis pub dhau ntawm ib qho.

Muaj li kev ncua rau kev tswj hwm subcutaneous hauv vials hauv Asmeskas los ntawm Eli Lilly thiab Company. Thiab lub tuam txhab Fabkis Lilly Fabkis tsim cov tshuaj insulin Humulin NPH hauv daim ntawv ntawm daim cartridges nrog ib tus xaum qhuav.

Cov yeeb tshuaj muaj qhov pom ntawm kev ncua ntawm ib pos huab lossis milky xim.

Cov nyhuv pharmacological yog qhov txo qis hauv cov ntshav qab zib vim muaj kev cuam tshuam ntau ntxiv nws mus rau hauv cov hlwb thiab cov nqaij siv Humulin NPH. Hauv cov kab mob ntshav qab zib mellitus, kev tsim tawm ntawm pancreatic insulin hormone yog txo, uas yuav tsum muaj kev hloov kho hormone.

Cov tshuaj tsub kom ntxiv cov ntshav qabzib siv los ntawm cov hlwb uas xav tau zaub mov noj. Cov tshuaj Insulin cuam tshuam nrog cov receptors tshwj xeeb rau ntawm lub ntsej muag ntawm tes, uas ua rau muaj ntau cov txheej txheem biochemical, uas suav nrog, tshwj xeeb, kev tsim ntawm hexokinase, pyruvate kinase, glycogen synthetase.

Kev thauj mus los ntawm cov piam thaj mus rau cov ntaub so ntswg los ntawm cov ntshav nce, qhov twg nws yuav tsawg dua.

Cov chaw muag tshuaj

Tus txheej txheem kho pib ib teev tom qab txhaj tshuaj.
Cov suab thaj txo cov nyhuv ntev li 18 teev.
Qhov txiaj ntsig zoo tshaj plaws yog tom qab 2 teev thiab txog 8 teev los ntawm lub sijhawm tswj hwm.

Xws li cov kev hloov hauv lub caij nyoog ntawm cov kev ua yeeb tshuaj yog nyob ntawm qhov chaw tswj hwm ntawm kev ncua thiab lub cev muaj zog ntawm tus neeg mob. Cov khoom no yuav tsum tau coj mus rau hauv qhov kev txiav txim thaum muab cov tshuaj ntau npaum li cas thiab kev tswj hwm ntau zaus.

Muab lub caij nyoog ntev ntawm cov nyhuv, Humulin NPH raug kho ua ke nrog insulin luv thiab ultrashort.

Kev faib khoom thiab tawm ntawm lub cev:

Insulin Humulin NPH tsis nkag rau hauv hematoplacental teeb meem thiab tsis nthuav tawm los ntawm cov qog mammary nrog kua mis.
Inactivated nyob rau hauv daim siab thiab ob lub raum dhau los ntawm enzyme insulinase.
Kev tshem tawm cov tshuaj tsuas yog dhau ntawm ob lub raum.

Cov kev tsis haum lub ntsej muag suav nrog:

Kev mob ntshav qog ntshav yog qhov phom sij txaus ntshai nrog kev noj tshuaj tsis txaus. Qhia los ntawm kev tsis nco qab, uas tuaj yeem tsis meej pem nrog hyperglycemic coma,
kev ua xua rau ntawm qhov chaw txhaj tshuaj (liab liab, khaus, o),
zawm caj pas
txog siav
hypotension
urticaria
tachycardia
lipodystrophy - lub zos atrophy ntawm subcutaneous rog.

Cov kev cai dav dav ntawm kev siv

Cov tshuaj yuav tsum tau txhaj nyob hauv qab ntawm daim tawv nqaij ntawm lub xub pwg, lub duav, pob tw los yog sab hauv plab phab ntsa, thiab qee zaum txhaj tshuaj intramuscular tseem muaj peev xwm.
Tom qab txhaj tshuaj, koj yuav tsum tsis txhob nias thiab zaws thaj tsam ntxeem tau zoo.
Nws yog txwv tsis pub siv cov tshuaj hla dej.
Cov koob tshuaj yog xaiv ib tus zuj zus los ntawm tus kws kho keeb (endocrinologist) thiab raws li kev soj ntsuam ntshav qab zib.

Cov khoom tseem ceeb ntawm cov tshuaj

Cov tshuaj no yog siv nyob rau hauv muaj cov tshuaj insulin-tiv thaiv ntshav qab zib mellitus thiab hauv hom 2 mob ntshav qab zib mellitus thaum lub sijhawm cev xeeb tub.

Muaj ntau ntau yam ntawm yeeb tshuaj Humulin.

Cov tshuaj no sib txawv hauv lub sijhawm ua haujlwm ntawm lub cev.

Txog rau hnub no, cov tshuaj hauv qab no muaj nyob rau ntawm lub khw muag tshuaj:

Humulin R insulin (tus tswj hwm) - yog ib qho yeeb tshuaj luv luv.
Humulin NPH yog tshuaj ntawm qhov nruab nrab, uas pib qhia kev ua si ib teev tom qab kev tswj hwm, thiab cov txiaj ntsig siab tshaj plaws tau tiav tom qab rau mus rau yim teev.
Qhov tshuaj insulin Humulin M3 yog siv tshuaj nruab nrab lub sijhawm kwv yees. Muaj nyob rau hauv daim ntawv ntawm lub ncua ob-ncua kev ncua, uas muaj cov insulin Humulin Tsis Txaus Siab thiab Humulin NPH.

Cov txiaj ntsig tseem ceeb ntawm cov tshuaj yog tswj kev tswj hwm tus txheej txheem ntawm cov metabolism hauv qabzib, nrog rau kev ua kom muaj protein sai.

Humulin Regulator kuj tseem siv los kho hom 2 mob ntshav qab zib mellitus thaum ntsib kev cuam tshuam rau hauv qab no:

Yog hais tias thaum lub sij hawm ua txoj kev kho muaj qhov pom ntawm kev tsis kam rau cov tshuaj muaj suab thaj,
kev txhim kho ntawm ketoacidosis,
yog tias muaj tus mob febrile,
kev cuam tshuam ntawm metabolic tshwm sim
yog tias, yuav tsum hloov mus rau tus neeg mob kom ntev dua cov kev siv tshuaj insulin.

Cov tshuaj insulin Humulin tuaj yeem nthuav tawm ua ob hom loj:

Kev ncua rau kev txhaj tshuaj txhaj rau hauv qab daim tawv nqaij.
Kev daws rau kev txhaj tshuaj.

Txog hnub, muaj ntau ntau cov tshuaj uas tuaj yeem hloov tau Humulin. Cov no yog cov tshuaj analog uas muaj nyob rau hauv lawv cov muaj pes cia tib yam tshuaj - insulin. Hloov chaw no suav nrog:

Actrapid thiab Apidra,
Biosulin thiab Berlsulin,
Gensulin thiab isofan insulin,
Insulong thiab Insuman,
Lantus thiab Pensulin.

Qee qhov xwm txheej, kev siv tshuaj protamine hagedorn yog ua tau. Nws yog txwv tsis pub xaiv lossis hloov cov tshuaj koj tus kheej. Tsuas yog tus kws kho mob uas tuaj yeem tuaj yeem sau tshuaj uas tsim nyog rau tus neeg mob hauv txoj cai siv tshuaj, coj mus rau hauv tus account qhov mob hnyav ntawm cov kab mob pathology thiab cov yam ntxwv ntawm tus kheej.

Cov lus qhia rau kev siv rau cov tshuaj insulin Humulin NPH thiab M3: tus nqi tshuaj thiab tshuaj xyuas

Humulin NPH thiab lwm yam tshuaj ntawm cov pab pawg no yog cov tshuaj uas siv los kho cov neeg mob ntshav qab zib.

Tshuaj muaj tej yam ntuj tso ntshav qab zib kom zoo, vim lawv tau tsim los ntawm tib neeg cov tshuaj lom neeg tsis muaj peev xwm.

Lub hom phiaj tseem ceeb ntawm cov khoom tsim dag zog yog kom txo qis qib ntawm cov piam thaj hauv cov ntshav los ntawm kev qhia nws mus rau hauv cov nqaij thiab sib xyaw ua ke rau cov txheej txheem hauv kev zom zaub mov.

Dab tsi yog Humulin?

Niaj hnub no, lub sij hawm Humulin tuaj yeem pom nyob rau hauv cov npe ntawm ntau cov tshuaj tsim los txo cov ntshav qab zib - Humulin NPH, MoH, Ntu thiab Ultralent.

Qhov sib txawv hauv cov txheej txheem rau kev tsim cov tshuaj no muab txhua cov piam thaj ua kom tsawg nrog nws tus yam ntxwv. Qhov zoo tshaj yuav coj mus rau hauv kev suav tshuaj thaum kho kev kho mob rau cov neeg muaj ntshav qab zib.

Ntxiv rau cov tshuaj insulin (lub ntsiab tseem ceeb, ntsuas hauv IU), cov tshuaj muaj cov neeg tsis paub qab hau, xws li kua tsis huv, protamines, carbolic acid, metacresol, zinc oxide, sodium hydroxide, thiab lwm yam.

Cov tshuaj tua kab mob pancreatic tau ntim rau hauv daim cartridges, vials, thiab koob txhaj tshuaj. Cov lus qhia txuas nrog qhia txog cov yam ntxwv ntawm kev siv tshuaj ntawm tib neeg.

Ua ntej siv, cartridges thiab vials yuav tsum tsis txhob tshee muaj zog; txhua yam uas tsim nyog rau kev rov ua kom tiav ntawm cov kua yog yob lawv ntawm lub xib teg ntawm txhais tes.

Qhov yooj yim tshaj plaws rau kev siv los ntawm cov kws kho ntshav qab zib yog cov xaum xaum qhuav.

Kev siv cov tshuaj uas tau hais txog kev tso cai rau kev ua tiav kev kho mob rau cov neeg mob ntshav qab zib, vim lawv pab txhawb qhov hloov ntawm qhov tsis muaj txhij txhua thiab cov txheeb ze tsis txaus ntawm cov tshuaj endogenous ntawm cov txiav. Sau ntawv rau Heulin (noj ntau npaum, tshuaj noj) yuav tsum yog kws tshuaj endocrinologist. Yav tom ntej, yog tias tsim nyog, tus kws kho mob tuaj koom tuaj yeem kho qhov tseeb ntawm kev kho mob.

Ntawm ntshav qab zib ntawm thawj hom, insulin yog kho rau tus neeg rau lub neej. Nrog cov kev mob tshwm sim ntawm tus mob ntshav qab zib hom 2, uas nrog cov mob hnyav nrog kab mob sib kis, kev kho yog tsim los ntawm cov chav kawm ntawm cov sib txawv. Nws yog ib qho tseem ceeb kom nco ntsoov tias nrog ib tus kab mob uas yuav tsum muaj kev qhia txog khoom neeg tsim tshuaj lom neeg rau hauv lub cev, koj tsis tuaj yeem tsis lees txais cov kev kho mob insulin, txwv tsis pub lub txim hnyav tsis tuaj yeem zam tau.

Tus nqi ntawm cov tshuaj ntawm pab pawg no pharmacological nyob ntawm lub sijhawm ntawm kev ua thiab hom ntim.Tus nqi kwv yees nyob rau hauv lub fwj pib los ntawm 500 rubles., Tus nqi nyob rau hauv daim cartridges - los ntawm 1000 rubles., Hauv koob txhaj tshuaj yog tsawg kawg 1500 rubles.

Txhawm rau txiav txim qhov ntau npaum li cas thiab lub sijhawm noj tshuaj, koj yuav tsum hu rau tus kws endocrinologist

Nws tag nrho yog nyob ntawm ntau yam

Cov hom nyiaj thiab cov nyhuv ntawm lub cev tau piav qhia hauv qab no.

Cov tshuaj yog tsim los siv qhov siv DNA thev naus laus zis technology thiab muaj lub sij hawm ua nruab nrab. Lub hom phiaj tseem ceeb ntawm cov tshuaj yog tswj cov metabolism hauv qabzib.

Pab inhibit cov txheej txheem ntawm cov protein piam thiab muaj cov nyhuv anabolic rau lub cev nqaij. Humulin NPH nce kev ua haujlwm ntawm cov enzymes uas txhawb kev tsim cov glycogen hauv cov leeg nqaij.

Nws nce qhov ntim ntawm fatty acids, cuam tshuam rau qib ntawm glycerol, txhim kho cov protein ntau thiab txhawb kev noj cov aminocarboxylic acids los ntawm cov leeg hlwb.

Ib qho piv txwv uas txo cov ntshav qab zib yog:

Actrafan NM.
Diafan ChSP.
Insulidd N.
Protafan NM.
Neej Neeg B.

Tom qab txhaj tshuaj, cov tshuaj pib ua tom qab 1 teev, cov nyhuv tag nrho tiav nyob rau hauv 2-8 teev, cov tshuaj yeeb yam tseem ua haujlwm ntev li 18-20 teev. Lub sijhawm sijhawm rau kev txiav txim siab ntawm cov tshuaj hormones yog nyob ntawm cov koob tshuaj siv, thaj chaw txhaj tshuaj, thiab tib neeg yam haujlwm.

Humulin NPH yog qhia rau kev siv hauv:

Mob ntshav qab zib nrog cov tshuaj insulin pom zoo.
Thawj kuaj pom mob ntshav qab zib.
Cov poj niam cev xeeb tub uas muaj ntshav qab zib tsis muaj tshuaj insulin.

Cov kev qhia tau hais tias cov tshuaj tsis raug sau rau cov neeg muaj ntshav siab qis tam sim no, uas yog tus yam ntxwv ntshav tsawg dua 3,5 mmol / l, nyob rau hauv cov ntshav nruab nrab - 3.3 mmol / l, rau cov neeg mob uas lub cev tsis muaj lub cev tiv thaiv tsis haum rau ib qho tshuaj ntawm cov tshuaj.
Cov kev mob tshwm sim uas yuav tshwm sim tom qab siv cov tshuaj feem ntau manifested:

Kev ntshav siab.
Lub ntsej muag rog.
Kev tsis haum rau cov kab mob thiab hauv zos.

Raws li rau kev haus ntau dhau ntawm cov tshuaj, tsis muaj cov cim qhia tshwj xeeb ntawm kev haus ntau dhau. Cov tsos mob tseem ceeb tau suav hais tias yog qhov pib ntawm lub qog ntshav qab zib. Tus mob yog nrog mob taub hau, tachycardia, hws hws tawm hws thiab ntsej muag tawv nqaij. Txhawm rau zam qhov teeb meem kev noj qab haus huv zoo li no, tus kws kho mob xaiv cov tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog qib glycemia.

Nrog kev noj ntau dhau ntawm cov tshuaj, hypoglycemia yuav tshwm sim.

Humulin M3, zoo li kev kho dhau los, yog ib qho ua ke tau ntev. Nws pom tau hais hauv daim ntawv ntawm ob-ncua kev ncua, iav daim iav muaj insulin humulin tsis tu ncua (30%) thiab humulin-nph (70%). Lub hom phiaj tseem ceeb ntawm Humulin Mz yog los tswj cov metabolism hauv qabzib.

Cov tshuaj pab tsim cov leeg, sai sai muab cov kua nplaum thiab aminocarboxylic acids rau hauv cov leeg ntawm cov leeg thiab lwm cov nqaij mos dua li lub hlwb. Humulin M3 pab nyob rau hauv daim siab hloov ua piam thaj rau glycogen, inhibits gluconeogenesis thiab hloov cov piam thaj ntau dhau mus ua subcutaneous thiab visceral rog.

Cov tshuaj ntawm cov tshuaj yog:

Protafan NM.
Yawg Hlob.
Actrapid Flekspen.
Xaus Optiset.

Tom qab txhaj tshuaj, Humulin M3 pib ua yeeb yam tom qab 30-60 feeb, qhov ua tiav siab tshaj plaws tau tiav hauv 2-12 teev, lub sijhawm ntawm kev ua haujlwm ntawm insulin yog 24 teev. Qhov xwm txheej cuam tshuam txog qib kev ua haujlwm ntawm Humulin m3 yog txuam nrog thaj chaw xaiv ntawm kev txhaj tshuaj thiab tshuaj, nrog kev ua haujlwm ntawm tus neeg thiab nws noj mov.

Cov neeg muaj ntshav qab zib uas xav tau kev kho insulin.
Cov poj niam cev xeeb tub uas muaj ntshav qab zib gestational.

Cov tshuaj nruab nrab cov tshuaj insulin yog qhov cuam tshuam hauv kev kuaj pom kev mob ntshav qab zib thiab kev tiv thaiv tsis haum rau cov khoom xyaw ntawm cov tshuaj muaj pes tsawg leeg. Kev kho tshuaj Insulin yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm kws kho mob, uas yuav tshem tawm txoj kev txhim kho thiab cov kev mob ntawm kev mob ntshav qab zib, uas tuaj yeem dhau los, qhov zoo tshaj plaws, ua rau muaj kev nyuaj siab thiab ploj ntawm qhov tsis nco qab, hauv qhov phem tshaj - qhov pib ntawm kev tuag.

Thaum lub sij hawm kho tshuaj insulin, cov neeg mob yuav muaj kev tsis haum tshuaj hauv zos, uas feem ntau pom tshwm los ntawm khaus, tshem tawm, lossis o ntawm daim tawv nqaij ntawm qhov chaw txhaj tshuaj. Cov tawv nqaij raug mob li qub nyob hauv 1-2 hnub, nyob rau hauv cov teeb meem nyuaj ob peb lub lis piam yuav tsum ua. Qee zaum cov tsos mob no yog qhov qhia pom ntawm kev txhaj tshuaj tsis yog.

Kev tsis haum rau lub cev muaj tshwm sim me ntsis, tab sis nws cov yam ntxwv pom hnyav dua li yav dhau los, xws li khaus khaus, ua tsis taus pa, ntshav siab, tawm hws ntau thiab lub plawv dhia ceev. Hauv qee kis, kev fab tshuaj tuaj yeem ua rau muaj kev phom sij rau ib tus neeg lub neej, qhov xwm txheej raug kho los ntawm kev kho mob xwm txheej ceev, kev siv txoj kev tshem tawm thiab hloov tshuaj.

Cov tshuaj yog sau rau cov neeg xav tau kev pab insulin.

Humulin regula - ua yeeb yam luv luv

Humulin P yog cov DNA sib koom ua ke nrog sib xyaw nrog lub sijhawm luv luv. Lub hom phiaj tseem ceeb yog tswj hwm kev ua kom cov metabolism. Txhua txoj haujlwm tau muab rau cov tshuaj yog zoo li lub hauv paus ntsiab lus ntawm kev cuam tshuam rau lwm cov humulins.

Kev daws yog qhia rau kev siv los ntawm cov neeg muaj kev mob ntshav qab zib mellitus ntawm hom thawj thiab thib ob, nrog lub cev tiv thaiv cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj thiab kho kev sib txuas ua ke.

Humulin regula tshuaj yog:

Nrog cov ketoacidosis uas mob ntshav qab zib.
Ketoacidotic thiab hyperosmolar coma.
Yog tias mob ntshav qab zib tau tshwm sim thaum lub sijhawm nqa tus menyuam (raug rau cov zaub mov tsis qab).
Nrog kev sib quas ntus txoj kev kho mob ntshav qab zib nrog tus mob.
Thaum hloov mus rau cov tshuaj insulin txuas ntxiv.
Ua ntej kev phais mob, nrog cov teeb meem metabolic.

Humulin P yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity rau ib tug neeg sib txuas ntawm cov tshuaj thiab tshuaj hypoglycemia. Tus kws kho mob ib leeg sau ib daim ntawv rau tus neeg mob ib koob tshuaj thiab koob txhaj tshuaj coj mus rau hauv tus lej ntawm cov piam thaj hauv cov ntshav ua ntej noj thiab tom qab 1-2 teev tom qab. Tsis tas li ntawd, nyob rau hauv chav kawm ntawm ib koob tshuaj, cov theem ntawm cov piam thaj hauv cov zis thiab cov chav kawm tshwj xeeb ntawm tus kabmob raug coj los siv.

Cov tshuaj yeeb yaj kiab uas tsis zoo, tsis zoo li yav dhau los, tuaj yeem muab tshuaj intramuscularly, subcutaneously thiab intravenously. Txoj kev siv ntau tshaj plaws ntawm kev tswj hwm yog subcutaneous. Hauv kev mob ntshav qab zib thiab cov ntshav qab zib tsis hnov qab, IV thiab IM txhaj tshuaj yog qhov xav tau. Nrog rau cov tshuaj monotherapy, cov tshuaj tau muab 3-6 zaug ib hnub. Txhawm rau tshem tawm qhov tshwm sim ntawm lipodystrophy, qhov chaw ntawm kev txhaj tshuaj hloov pauv txhua zaus.

Humulin P, yog tias tsim nyog, ua ke nrog cov tshuaj hormone ntawm qhov tshwm sim ntev. Cov tshuaj analogues nrov ntawm cov tshuaj:

Actrapid NM.
Biosulin R.
Insuman Ceev Heev GT.
Rosinsulin R.

Cov tshuaj tau sau tseg thaum hloov mus rau insulin txuas ntxiv

Tus nqi ntawm cov kev hloov pauv no pib ntawm 185 rubles, Rosinsulin yog suav tias yog cov tshuaj kim tshaj plaws, nws cov nqi hnub no dhau 900 rubles. Hloov cov insulin nrog ib qho tshuaj tiv thaiv kab mob yuav tsum muaj nrog kev koom tes ntawm tus kws kho mob uas tuaj koom. Qhov pheej yig tshaj plaws ntawm Humulin R yog Actrapid, nrov tshaj plaws yog NovoRapid Flekspen.

Kev ua yeeb yam ntev ntev Humulinultralente

Insulin Humulin ultralente yog lwm cov tshuaj qhia rau siv rau cov neeg mob uas muaj ntshav qab zib insulin-tiv thaiv kev mob ntshav qab zib. Cov khoom yog raws cov DNA recombinant thiab yog cov khoom siv tau ua haujlwm ntev.

Qhov kev ncua yog qhib kom ua haujlwm tom qab peb teev tom qab txhaj, qhov txiaj ntsig siab tshaj plaws tau tiav hauv 18 teev.

Cov lus qhia rau kev siv qhia tias lub sijhawm siab tshaj plaws ntawm Humulinultralente yog 24-28 teev.

Tus kws kho mob teeb tsa qhov muab tshuaj rau txhua tus neeg mob ib tus zuj zus, suav nrog tus neeg mob tus mob. Cov tshuaj yog muab tshuaj tsis muaj hwj chim, txhaj tshuaj yog sib sib zog nqus rau hauv daim tawv nqaij 1-2 zaug hauv ib hnub. Thaum Humulin Ultralente muab tso ua ke nrog lwm cov tshuaj lom neeg, qhov kev txhaj tshuaj tam sim ntawd.

Kev xav tau cov tshuaj insulin ntau ntxiv yog tias ib tus neeg mob, ntsib kev ntxhov siab, noj tshuaj tiv thaiv qhov ncauj, glucocorticoids lossis thyroid cov tshuaj hormones. Thiab, ntawm qhov tsis sib xws, nws txo qis nrog cov kab mob ntawm daim siab thiab lub raum, thaum noj MAO inhibitors thiab beta-blockers.

Cov tshuaj ntawm cov tshuaj: Humodar K25, Gensulin M30, Insuman Comb thiab Farmasulin.

Xav txog contraindications thiab phiv.

Zoo li txhua yam ntawm humulins, insulin ultralente yog qhov pom tseeb yog qhov ua rau nws lub cev tsis muaj zog thiab ua rau muaj kev cuam tshuam rau cov khoom sib txawv ntawm cov khoom.

Raws li cov kws tshaj lij, ib qho kev cuam tshuam tsis tshua muaj tshwm sim nws tus kheej yog kev tawm tsam.

Ib qho tshwm sim tau tom qab kev txhaj tshuaj yog ua kom pom los ntawm lipodystrophy, nyob rau hauv uas tus nqi ntawm adipose nqaij hauv cov nqaij mos subcutaneous poob, thiab insulin tsis kam.

Tsawg tsawg zaus, cov yeeb tshuaj ua rau muaj kev fab tshuaj.

Ib qho nrov ntawm cov tshuaj lom ntawm humulin - Protaphane

Insulin Protafan NM yog qhia rau cov ntshav qab zib mellitus ntawm hom thawj thiab thib ob, rau kev tiv thaiv ntawm sulfonylurea derivatives, rau cov kab mob ua rau mob ntshav qab zib, hauv kev phais mob thiab tom qab hloov kho, rau cov poj niam cev xeeb tub.

Protafan tau muab tshuaj rau txhua tus neeg mob ntawm tus kheej, suav nrog qhov xav tau ntawm nws lub cev. Raws li cov lus qhia, qhov xav tau rau qhov koob tshuaj qog ntawm qhov tshuaj hormones yog 0.3 - 1 IU / kg / hnub.

Qhov kev xav tau nce ntxiv hauv cov neeg mob uas muaj insulin tsis kam (tsis hnov qab cov teeb meem ntawm cov cell mus rau insulin), feem ntau qhov no tshwm sim nrog cov neeg mob thaum tiav nkauj tiav nraug thiab cov neeg muaj rog.

Kev kho cov koob tshuaj tuaj yeem nqa los ntawm tus kws kho mob yog tias tus neeg mob txhim kho cov kab mob concomitant, tshwj xeeb yog hais tias tus kab mob kis tau. Qhov ntau npaum li cas yog kho rau cov kab mob ntawm lub siab, ob lub raum thiab kab mob ntawm cov thyroid caj pas.

Protafan NM yog siv los ua kev txhaj tshuaj hauv cov tshuaj tua kab mob thiab hauv kev sib xyaw ua ke nrog cov insulins luv luv lossis ceev.

Humulin insulin: tshuaj xyuas, nqe, cov lus qhia rau kev siv

Hauv 1 ml. Cov tshuaj Humulin Humulin muaj 100 IU ntawm tib neeg cov tshuaj insulin. Cov khoom xyaw nquag yog 30% solulin insulin thiab 70% insulin isofan.

Raws li cov koom haum pab siv:

distilled metacresol,
phenol
sodium hydrogen phosphate heptahydrate,
hydrochloric acid,
glycerol
zinc oxide
tshuaj sulfate,
sodium hydroxide
dej.

Daim ntawv tso tawm

Kev npaj koob tshuaj Humulin M3 insulin yog muaj nyob rau hauv daim ntawv ntawm kev ncua rau kev coj ua hauv dej hauv 10 ml fwj, zoo li hauv 1.5 thiab 3 ml cartridges, ntim hauv thawv ntawm 5 daim. Daim cartridges yog tsim los siv hauv cov koob txhaj koob npe Humapen thiab BD-Cwj mem.

Cov tshuaj muaj cov nyhuv hypoglycemic.

Humulin M3 hais txog DNA siv tshuaj, cov tshuaj insulin yog ob zaug ua ntu raug ncua nrog lub sijhawm nruab nrab.

Tom qab qhia cov tshuaj, ua haujlwm ntawm pharmacological tshwm sim tom qab 30-60 feeb. Qhov siab tshaj tawm tau ntev li ntawm 2 txog 12 teev, tag nrho lub sijhawm ntawm cov nyhuv yog 18-24 teev.

Humulin insulin kev ua si yuav txawv nyob ntawm qhov chaw tswj hwm tshuaj, qhov tseeb ntawm cov koob tshuaj xaiv, kev ua haujlwm ntawm tus neeg mob, kev noj haus thiab lwm yam.

Lub txiaj ntsig tseem ceeb ntawm Humulin M3 yog txuam nrog cov kev cai ntawm kev ua haujlwm ntawm kev ua kua nplaum. Cov tshuaj Insulin kuj tseem muaj cov nyhuv anabolic. Yuav luag txhua cov ntaub so ntswg (tshwj tsis yog lub hlwb) thiab cov leeg, insulin ua rau lub zog ntawm cov kua nplaum thiab amino acids, thiab tseem ua rau kev nrawm ntawm protein anabolism.

Cov tshuaj Insulin pab hloov cov piam thaj rau hauv glycogen, thiab tseem pab hloov cov piam thaj ntau dhau rau cov rog thiab inhibits gluconeogenesis.

Kev taw qhia rau siv thiab phiv

Mob ntshav qab zib mellitus, nyob rau hauv uas kev kho tshuaj insulin yog kev pom zoo.
Mob ntshav qab zib Gestational (ntshav qab zib ntawm cov poj niam cev xeeb tub).

Tsim cov tshuaj hypoglycemia.
Kev ua haujlwm tsis zoo.

Feem ntau thaum lub sij hawm kho nrog insulin npaj, suav nrog Humulin M3, tau pom kev txhim kho hypoglycemia. Yog tias nws muaj daim ntawv foos hnyav heev, nws tuaj yeem ua rau mob ntshav tsis qab los (tsis nco qab thiab tsis nco qab) thiab txawm ua rau tus neeg mob tas sim neej.

Hauv qee tus neeg mob, kev tawm tsam tuaj yeem tshwm sim, ua kom tawv nqaij ua pob khaus, o thiab liab rau ntawm thaj chaw txhaj tshuaj. Feem ntau, cov tsos mob no ploj ntawm lawv tus kheej hauv ob peb hnub lossis ntau lub lis piam tom qab pib kho.

Qee zaum qhov no tsis muaj kev sib txuas nrog kev siv cov tshuaj nws tus kheej, tab sis yog los ntawm tus ntawm lwm yam los yog kev txhaj tshuaj tsis yog.

Muaj ua xua tshwm sim ntawm ib tug systemic. Nws tshwm sim ntau tsawg dua, tab sis muaj qhov hnyav dua. Nrog rau kev fab tshuaj, cov hauv qab no tshwm sim:

ua pa nyuaj
dav khaus
lub plawv dhia
ua ntshav siab
txog siav
tawm hws ntau dhau.

Feem ntau, cov ua xua tuaj yeem cuam tshuam tus neeg mob lub neej thiab xav tau kev kho mob xwm txheej ceev. Qee zaum cov insulin los hloov lossis desensitization yuav tsum.

Thaum siv tsiaj cov tshuaj insulin, kev tawm tsam, txo lub cev tsis zoo rau cov tshuaj, los yog lipodystrophy yuav loj hlob tuaj. Thaum sau ntawv ntawm insulin Humulin M3, qhov tshwm sim ntawm qhov tshwm sim no yuav luag tsis tau.

Kev tswj hwm insulin

Txhawm rau txhawm rau txhaj tshuaj, koj yuav tsum xub ua qee yam txheej txheem ua ntej. Ua ntej koj yuav tsum txiav txim siab qhov chaw txhaj tshuaj, ntxuav koj txhais tes kom zoo thiab so cov chaw no nrog daim ntaub ntub dej hauv cawv.

Tom qab ntawd koj yuav tsum tshem lub hau tiv thaiv los ntawm koob txhaj tshuaj, kho qhov tawv nqaij (ncab lossis ntxig nws), ntxig rau rab koob thiab ua ib qho kev txhaj tshuaj. Tom qab ntawd lub koob yuav tsum tau muab tshem tawm thiab tom qab ob peb feeb, tsis tas yuav muab txhuam, nias qhov chaw txhaj tshuaj nrog lub tshuab ntswg. Tom qab ntawv, nrog kev pabcuam ntawm lub hau tiv thaiv sab nraud, koj yuav tsum tau hle lub koob, tshem nws tawm thiab muab lub hau rov qab rau ntawm xaum xaum xaum.

Koj tsis tuaj yeem siv tib rab koob xaum qhuav ob zaug. Lub vial lossis daim cartridge tau siv mus txog thaum nws siv tag, ces muab pov tseg. Cov xaum kua roj tsuas yog siv rau tus neeg nkaus xwb.

Noj ntau dhau

Humulin M3 NPH, zoo ib yam li lwm yam tshuaj hauv pawg tshuaj no, tsis muaj lub ntsiab lus tseeb ntawm kev noj tshuaj ntau dhau, txij li theem ntawm cov piam thaj hauv cov ntshav cov ntshav yog nyob ntawm kev sib cuam tshuam ntawm cov ntshav nruab nrab, ntshav hauv insulin thiab lwm yam txheej txheem hauv lub cev. Txawm li cas los xij, kev tshaj tawm cov insulin tuaj yeem muaj kev cuam tshuam loj heev.

Kev mob ntshav qab zib yog nce los ntawm qhov tsis sib haum xeeb ntawm cov tshuaj insulin hauv cov ntshav thiab cov nqi zog thiab zaub mov noj.

Cov tsos mob hauv qab no yog cov yam ntxwv ntawm tshwm sim hypoglycemia:

nkees
tachycardia
ntuav
tawm hws ntau dhau,
pallor ntawm daim tawv nqaij
tshee
mob taub hau
tsis meej pem.

Muaj qee kis, piv txwv, nrog cov keeb kwm mob ntshav qab zib mellitus ntev los yog nws txoj kev saib xyuas ze, cov cim ntawm qhov pib ntawm lub qog ntshav yuav hloov. Kev tiv thaiv ntshav qab zib me me tuaj yeem tiv thaiv los ntawm kev noj ntshav qab zib lossis qab zib. Qee zaum koj yuav tau yoog qhov tshuaj insulin, rov qab xyuas cov zaub mov noj lossis hloov ua kom lub cev ua si.

Ntsig ntshav qab zib tsawg yog feem ntau kho los ntawm subcutaneous lossis intramuscular cov thawj coj ntawm glucagon, tom qab los ntawm kev noj zaub mov carbohydrates. Thaum muaj mob hnyav, muaj cov mob puas hlwb, ua kom yauv lossis tsis nco qab, ntxiv rau kev txhaj tshuaj rau glucagon, cov ntshav qabzib yuav tsum tau txhaj tshuaj kom tiav.

Yav tom ntej, txhawm rau tiv thaiv kom txhob rov mob qog ntshav, tus neeg mob yuav tsum noj cov zaub mov uas muaj carbohydrate. Muaj mob ntshav qog ntshav siab yuav tsum tau mus pw hauv tsev kho mob ceev.

Kev Sib Tham Yeeb Tshuaj NPH

Kev ua haujlwm ntawm Humulin M3 yog txhim kho los ntawm kev noj tshuaj hypoglycemic qhov ncauj, ethanol, salicylic acid derivatives, monoamine oxidase inhibitors, sulfonamides, ACE inhibitors, angiotensin II receptor blockers, tsis xaiv-beta-blockers.

Cov tshuaj Glucocorticoid, cov tshuaj hormones kev loj hlob, qhov ncauj tawm tsam, danazole, cov thyroid hormones, thiazide diuretics, beta2-sympathomimetics ua rau txo qis hauv cov nyhuv hypulinlycemic ntawm insulin.

Ua kom muaj zog lossis, hloov pauv, tsis muaj zog ntawm kev vam khom ntawm insulin muaj peev xwm ntawm lancreotide thiab lwm yam analogues ntawm somatostatin.

Cov tsos mob ntawm cov qog ntshav qab zib yog lubricated thaum noj clonidine, reserpine thiab beta-blockers.

Cov nqe lus ntawm kev muag, khaws cia

Humulin M3 NPH muaj muag hauv khw muag tshuaj tsuas yog sau ntawv hauv lub hwj tshuaj.

Cov tshuaj yuav tsum khaws cia ntawm qhov kub txog 2 txog 8 degrees, tsis tuaj yeem ua kom zoo thiab tsis zoo rau tshav ntuj thiab tshav kub.

Ib qho qhib insulin NPH vial tuaj yeem khaws cia ntawm qhov kub ntawm 15 txog 25 degrees rau 28 hnub.

Raws li qhov ntsuas kub uas xav tau, qhov npaj NPH raug khaws cia rau 3 xyoos.

Cov lus qhia tshwj xeeb

Tsis tso cai rau kev kho mob lossis kev teem sijhawm noj tshuaj tsis yog (tshwj xeeb tshaj yog rau cov neeg mob insulin) tuaj yeem ua rau mob ntshav qab zib ketoacidosis lossis hyperglycemia, uas ua rau muaj kev hem thawj rau tus neeg mob lub neej.

Hauv qee tus neeg, thaum siv cov tshuaj insulin, cov tsos mob ntawm tus mob hypoglycemia yuav txawv ntawm cov tsos mob ntawm tus tsiaj insulin, lossis yuav muaj qhov tshwm sim me me.

Tus neeg mob yuav tsum paub tias yog tias cov ntshav qabzib nyob hauv lub cev yog qhov ib txwm muaj (piv txwv li, nrog kev siv tshuaj insulin ntau ntxiv), tom qab ntawd cov tsos mob qhia tias yuav tsum ua rau lub qog ntshav qab zib yuav ploj.

Cov kev tshwm sim no tuaj yeem ua rau qaug zog lossis txawv dua yog tias ib tus neeg noj beta-blockers lossis muaj mob ntshav qab zib ntev ntev, nrog rau muaj cov ntshav qab zib mob neuropathy.

Yog tias hyperglycemia, zoo li hypoglycemia tsis raug kho kom raws sijhawm, qhov no tuaj yeem ua rau tsis nco qab, tsis nco qab, thiab txawm tias tus neeg mob tuag.

Txoj kev hloov ntawm tus neeg mob mus rau lwm txoj kev npaj tshuaj insulin NPH los yog lawv cov hom yuav tsum tau ua tsuas yog nyob ntawm kev saib xyuas ntawm kws kho mob. Hloov cov tshuaj insulin rau cov tshuaj uas muaj cov kev ua txawv, cov txheej txheem tsim tawm (DNA recombinant, tsiaj), hom (npua, analog) yuav xav tau kev kub ntxhov lossis, ntawm qhov tsis sib xws, kev kho kom haum ntawm cov koob tshuaj uas tau hais tseg.

Nrog rau cov kab mob ntawm lub raum lossis mob siab, ua haujlwm tsis txaus ntawm lub plab, ua haujlwm tsis txaus ntawm cov qog adrenal thiab cov thyroid caj pas, tus neeg mob xav tau cov tshuaj insulin yuav poob qis, thiab muaj kev ntxhov siab muaj zog thiab qee yam mob, ntawm qhov tsis sib xws, nce ntxiv.

Tus neeg mob yuav tsum nco ntsoov txog qhov zoo li ntawm kev txhim kho hypoglycemia thiab ntsuam xyuas tau zoo ntawm lub cev ntawm nws lub cev thaum tsav tsheb lossis xav tau haujlwm txaus ntshai.

Monodar (K15, K30, K50),
Novomix 30 Flexspen,
Ryzodeg Flextach,
Humalog sib tov (25, 50).
Gensulin M (10, 20, 30, 40, 50),
Gensulin N,
Tshuaj yaug NPH,
Yawg Farmasulin H 30/70,
Humodar B,
Vosulin 30/70,
Vosulin N,
Mikstard 30 NM
Protafan NM,
Neeg lim hiam.

Cev xeeb tub thiab lactation

Yog tias tus poj niam cev xeeb tub muaj mob ntshav qab zib, yog li nws yog qhov tseem ceeb rau nws los tswj cov mob glycemia. Lub sijhawm no, cov tshuaj insulin feem ntau hloov pauv ntawm ntau lub sijhawm. Hauv thawj peb lub hlis, nws poob, thiab hauv zaum ob thiab thib peb nce, yog li tsim nyog kho qhov koob tshuaj yuav tsim nyog.

Tsis tas li, kev hloov pauv ntawm kev noj tshuaj, kev noj haus thiab kev tawm dag zog lub cev thaum lub sijhawm lactation.

Yog tias qhov kev npaj tshuaj insulin no tsim nyog rau tus neeg mob ntshav qab zib mellitus, tom qab ntawd tshuaj xyuas txog Humulin M3, raws li txoj cai, yog qhov zoo. Raws li cov neeg mob, cov tshuaj no zoo heev thiab ua tau siv tsis muaj kev phiv.

Nws yog ib qho tseem ceeb heev uas yuav tsum nco ntsoov tias nws yog txwv tsis pub sau ntawv rau cov tshuaj insulin rau koj tus kheej, nrog rau hloov mus rau lwm tus.

Ib lub raj mis ntawm Humulin M3 nrog ib qhov ntim ntawm 10 ml nqi ntawm 500 txog 600 rubles, ib pob khoom ntawm tsib 3 ml cartridges nyob rau hauv thaj tsam ntawm 1000-1200 rubles.

Dab tsi yog syringe mem

Lawv tau tsim rov qab rau xyoo 1983, tab sis niaj hnub no muaj ntau ntau yam ntawm cov khoom siv ntawd. Feem ntau, txhua tus cwj mem yog koob txhaj rau humulin los yog rab koob xaum rau biosulin yog zoo li tus cwj mem ciav (lub npe los ntawm nws) thiab muaj kev tsim kho hauv qab no:

Lub thawv - ib rooj plaub zoo li lub thawv los ntawm tug ciav,
Lub tsev uas qhib ntawm ib qho kawg thiab hollow ntawm lwm qhov. Lub tes tsho muaj cov tshuaj insulin tau ntxig rau hauv cov kab noj hniav no, ntawm qhov tod tes nws muaj qhov khawm kaw, nrog rau lub tshuab uas muaj peev xwm teeb tsa cov koob tshuaj nrog nias: nyem ib - ib chav.
Lub koob. Lawv muab tso rau ntawm qhov taub ntawm lub tes tsho ua ntej kev txhaj tshuaj nws tus kheej. Lub tes tsho txhaws tawm los ntawm cov kab noj hniav ntawm cov koob txhaj tshuaj, thiab thaum txhaj tshuaj, rab koob raug tshem tawm.
Qhov muab hau uas hnav rau ntawm tus dais thaum nws tsis siv. Cov xaum xaum xaum sib txawv ntawm kev xaum insulin hauv qhov nws yuav siv tau ntau zaus thiab txog rau ntau xyoo. Tab sis nws yooj yim siv:

Rooj plaub qhib, lub cuab yeej tshem tawm, lub hau tawm ntawm nws,
Lub koob tso rau, ntawm lub hau kuj tawm ntawm nws,
Tus cwj mem tau yob tes hauv tes txhawm rau kom sib xyaw ua ke nyob rau hauv lub tes tsho. Koj tuaj yeem ntxeev nws ntau zaus,
Ua ntej, txhaj koob tshuaj ntawm ob chav raug teeb tsa, khawm lub khawm kaw. Txhawm rau kom tag nrho cov huab cua tawm, pov tawm ib tee ntawm insulin,
Tam sim no lub koob tshuaj uas tus neeg mob yuav tsum tau teeb tsa, ib qho kev txhaj tshuaj yog tsim (nws tuaj yeem ua rau hauv plab, xub pwg, caj npab lossis ceg). Yog tias tsim nyog, kev txhaj tshuaj yog tsim txawm tias dhau los ntawm khaub ncaws, qhov tseem ceeb tshaj plaws yog daim tawv nqaij,
Nias lub khawm kaw thiab tos ob peb feeb. Peb tsis txhob cia tawm ntawm lub khawm kom txog thaum txhua tus insulin raug txhaj,
Lub koob tawm tuaj yeem muab tshem tawm, muab lub hau ntawm lub ntsuas thiab nkaum txhua yam hauv qhov xwm txheej.

Kev xaum xaum muaj ob qho zoo thiab qhov tsis zoo.

Yog li, cov qauv no yooj yim heev: tom qab tag nrho, koj tuaj yeem tso tshuaj insulin yam tsis muaj qhov hleb, thiab hauv cov tsev kawm ntawv lossis chaw ua haujlwm, nws rab koob yog nyias dua li lwm qhov thiab daim tawv tsis raug mob txhua.

Haum rau cov neeg tsis pom kev zoo thiab cov neeg xiam oob khab.

Ntawm qhov tsis txaus ntseeg yog tias cov phwj hauv lub tes hluav taws xob feem ntau tawg, thiab nws yog qhov tsis tsim nyog los kho nws, vim hais tias cov mechanism ntawm kev tso tshuaj txhaj tshuaj kom raug cai raug yuam.

Tsis tas li ntawd, cov cuab yeej no tsis pheej yig, thiab tus neeg mob xav tau ntau li peb ntawm lawv, suav nrog rau ib qho hloov thiab ob qho rau cov neeg ua haujlwm. Qhov no yog 150 rau tag nrho cov teeb. Cov koob txhaj tshuaj yog qhov pheej yig dua. Tau, thiab koj tsis tuaj yeem yuav yuav tus cwj mem zoo li no nyob txhua qhov chaw.

Thiab tseem, insulin hauv vials tseem muaj ntau dua li insulin rau cwjmem. Ntxiv rau, ntau cov tuam ntxhab tsim cov cwj mem tshwj xeeb rau lawv cov tshuaj insulin, yog li xaiv nws yuav nyuaj.

Thiab tseem muaj phwj tshuaj rau kom ceev tau txhaj tshuaj sai. Feem ntau lawv siv rau hauv cov tshuaj kho mob thaum muaj xwm ceev. Qee zaum cov cwj mem zoo li hauv cov khoom siv thaum muaj xwm txheej ceev. Lawv zoo nyob rau hauv uas lawv tau yooj yim los siv, thiab tshuaj tau txais kev ncaj ncees. Lawv txoj kev tsis zoo yog kev cia siab tsawg dua li siv cov tshuaj syringe thiab tus nqe zoo dua.

Nrov npe ntawm cov cwj mem cwj mem

Qhov tseeb, muaj ntau ntawm cov phwj syringe, ntawm lawv, piv txwv li, muaj cov uas tsuas yog rau cov insulins los ntawm qee cov tuam ntxhab, tab sis muaj cov uas tau ua nrov hauv peb cov latitudes.

Koob txhaj tshuaj biomatikpen. Tsim los ntawm lub tuam txhab Swiss Ipsomed. Muaj qhov hluav taws xob tso hluav taws xob kawg. Cov zaub thiab tsim yog yooj yim rau kev xaiv koob tshuaj. Haum rau kev siv tshuaj biosulin (P lossis H). Qhov siab tshaj plaws yog 60 ntsuas. Nqe - 2.5 txhiab rubles,
Tshuaj ntsuab xaum autofoam classic. Nruab nrog dispenser adapter, ntxiv rau txuas ntxiv rau lub pob pib. Siv tau ntau ntawm ib rab koob siv ib qho, haum rau cov tshuaj insulin xws li biosulin, rosinsulin, gensulin thiab Eli Lilly.Qhov loj tshaj plaws yog qhov ntim hauv daim cartridge yog 3 hli. Kuj tseem muaj qhov sib txawv ntawm cov cwj mem xws li qhov muaj qhov muab ntxiv ntau ntxiv rau hauv ob pawg thiab qhov siab tshaj plaws ntawm 42 units.
Huma Pen Ergo. Cov cwj mem zoo zoo rau humusulin los ntawm Eli Lilly. Nws cov kauj ruam yog sib npaug rau ib chav tsev, nruab nrog tus kws kho tshuab,
Kev xuas xaum Novo cwj mem 3. Cov cuab yeej siv hlau los ntawm Danish tuam txhab Novo Nordisk. Nws muaj lub tshuab xa khoom tsis zoo thiab tsim nyog rau cov insulins xws li Novomikst3, Protofan, Actrapid, Novorapid,
Opti Cwj Mem Pro 1. Fabkis txoj cwj mem nrog lub tshuab xa khoom hauv daim ntawv ntawm cov khoom siv hluav taws xob. Qhov peculiarity yog tias nws lub roj teeb ua tsis tau, yog li ntawd nws tau pab ob xyoos xwb,
Novo Caum Echo. Cov koob txhaj tshuaj niaj hnub los ntawm tib lub seev cev ntawm Novo Nordisk. Nws txawv hauv theem me me: 0.5. Tsim nyog rau cov insulins nrog kev saib xyuas ntawm U100 ntawm cov hauv qab no: Protofan, Novoparid, Actapride, zoo li Novomikst3.

Nruab nrog rau cov zaub uas qhia txog koob tshuaj kawg txhaj tshuaj insulin thiab thaum nws txhaj tshuaj. Thaum tag nrho cov koob tau nkag mus, cov cuab yeej ua kom nrov nrov. Cov piston muaj lub ntsej muag yooj yim heev, yog li txawm tias tus menyuam yaus siv tau cov cuab yeej zoo li no ...

HumaPen Luxura HD. Lwm cov cuab yeej tsim los rau humulin. Nws muaj lub kauj ruam me me ntawm ib nrab ib chav, muaj nyob rau hauv cov xim sib txawv, thiab peculiarity yog tias thaum cov koob tau hu, tus cwj mem tawm ib qho kev paub nyem.

Cov xaum xaum rau insulin Humulin: nws yog dab tsi, nqi thiab tshuaj xyuas

Insulin Humulin NPH siv los kho tus neeg mob ntshav qab zib hom 1. Cov neeg mob txom nyem los ntawm qhov tseeb hais tias cov txiav tsis muaj peev xwm ntawm nws tus kheej tsim cov tshuaj insulin.

Humulin yog hloov pauv rau tib neeg cov kua dej. Kev txheeb xyuas ntau yam qhia tau hais tias lub txiaj ntsig ntawm cov tshuaj no thiab nws yooj yim kam rau ua.

Tus nqi ntawm cov tshuaj txawv nyob rau hauv 1,500 rubles. Niaj hnub no, koj tseem tuaj yeem pom ntau cov analogues ntawm cov tshuaj, nrog rau cov tshuaj muaj pes tsawg tus.

Cov lus qhia rau kev siv tshuaj

Txhua qhov tshuaj ntawm cov tshuaj yog kws kho mob los ntawm tus kws kho mob tuaj koom, nyob ntawm tus yam ntxwv ntawm tus neeg mob thiab theem ntawm cov piam thaj hauv cov ntshav.

Humulin Humulin Cov neeg tswj hwm raug pom zoo kom txhaj tshuaj li ib nrab ib teev ua ntej noj mov tseem ceeb, thaum qhov ntau tshaj plaws ntawm kev txhaj tshuaj txhua hnub yuav tsum tsis pub tshaj rau.

Hauv qee kis, kev txhaj tshuaj tsis yog ua ntej noj mov, tab sis tom qab ib teev lossis ob teev tom qab nws.

Txhua qhov kev txhaj tshuaj tshiab yuav tsum tau tshaj tawm rau hauv qhov chaw tshiab kom tsis txhob muaj cov lipodystrophy. Xws li tus Regulator tuaj yeem muab tshuaj subcutaneously, intramuscularly thiab txawm tias intravenously. Cov txheej txheem tom kawg tshwj xeeb tshaj yog cov kws kho mob siv thaum lub sijhawm phais lossis nrog mob ntshav qab zib tsis zoo rau hauv tus neeg mob.

Ntxiv rau, cov tshuaj hauv qee kis muaj kev sib txuas nrog lwm cov tshuaj tiv thaiv kev ua yeeb yaj kiab ntev dua.

Qhov tsim nyog yuav tau noj tshuaj yog txiav txim los ntawm tus kws kho mob tshwj xeeb, thiab feem ntau nyob ntawm 30 txog 40 units hauv ib hnub.

Raws li rau cov tshuaj Insulin Humulin NPH, nws yog txwv tsis pub tswj hwm txoj leeg. Ib qho kev ncua lossis emulsion raug tswj hwm hauv qab daim tawv nqaij lossis qee kis, intramuscularly.

Txhawm rau txhaj tshuaj kom raug, koj yuav xav tau qee yam txuj ci.

Algorithm rau cov tshuaj insulin Humulin NPH

Humulin hauv vials ua ntej siv yuav tsum tau muab sib xyaw los ntawm dov lub vial ntawm xib teg kom txog thaum cov xim ntawm mis tuaj. Tsis txhob co, ua npuas dej, lossis siv cov tshuaj insulin nrog cov pob zeb uas ci rau ntawm lub khob ntsa.
Humulin NPH hauv daim cartridges tsis tsuas yog txav nruab nrab ntawm xib teg, rov ua dua 10 zaug txav, tab sis kuj sib xyaw, maj mam tig lub taub hau. Nco ntsoov tias insulin npaj txhij rau kev tswj hwm los ntawm kev ntsuam xyuas kom xwm yeem thiab xim. Yuav tsum muaj cov ntsiab lus tsis sib xws hauv cov xim mis. Tsis tas li tsis txhob tshee lossis ua npuas dej siv tshuaj. Tsis txhob siv cov tshuaj nrog cereal lossis sediment.Lwm cov tshuaj insulins tsis tuaj yeem raug txhaj rau hauv daim cartridge thiab tsis tuaj yeem muab tshuaj ntxiv.
Cov xaum xaum muaj 3 ml ntawm insulin-isophan ntawm koob tshuaj 100 IU / ml. Rau 1 txhaj tshuaj, nkag mus tsis tshaj 60 IU. Cov cuab yeej tso cai noj kom haum nrog qhov tseeb txog li 1 IU. Nco ntsoov tias rab koob tau nruj nreem txuas rau hauv lub cuab yeej.

- Ntxuav tes siv xab npum ntxuav, thiab tom qab ntawd kho lawv nrog tshuaj tua kab mob.

- Txiav txim siab rau ntawm thaj chaw txhaj tshuaj thiab kho cov tawv nqaij nrog cov tshuaj antiseptic.

- Lwm qhov chaw txhaj tshuaj kom qhov chaw qub siv tsis ntau tshaj li ib zaug ib hlis.

Yuav txhaj tshuaj li cas?

Thaum muab cov tshuaj insulin tso rau hauv qab daim tawv nqaij, nws yuav tsum xyuas kom meej tias lub koob tsis nkag rau hauv cov hlab ntshav, thiab kuj tsis ua kev tawm dag zog tam sim ntawd ua ntej kev txhaj tshuaj.

Niaj hnub no, muaj ntau yam khoom siv tshwj xeeb rau kev txhaj tshuaj, rau cov tshuaj insulin. Cov no suav nrog daim cartridges, cwj mem kua, thiab cov koob txhaj tshuaj insulin.

Ua ntej siv kev ncua, nws yuav tsum muab dov hauv lub xib teg kom cov kua hauv ampoule ua homogeneous. Tib lub sijhawm, koj yuav tsum zam kom tsis txhob co, uas ua rau pom kev ua npuas.

Yog tias ib qho tshuaj insulin yog siv rau kev txhaj tshuaj, qhov koob tshuaj pom zoo los ntawm tus kws kho mob tau tsim ntawm tus nqi ntawm 100 units rau 1 milliliter. Cov thawv tshwj xeeb muaj lawv cov lus qhia rau kev siv, uas koj yuav tsum xub paub koj tus kheej. Hauv nws, raws li txoj cai, muaj cov ntaub ntawv qhia yuav ua li cas kom xov thiab khi lub nra. Ntxiv mus, cov cuab yeej zoo li no yog npaj rau kev siv ib zaug nkaus xwb, rov ua kom tiav yog txwv tsis pub ua.

NPH tuaj yeem siv nrog txuas nrog Regulator. Hauv qhov no, cov tshuaj insulin luv luv yuav tsum tau sau thawj zaug, thiab tom qab ntawd ua kom ntev. Ua lub kaum ntse ntse kom zoo zoo kom ob lub tshuaj tsis sib tov.

Nws tseem yuav tsum tau sau tseg tias cov tshuaj ntawm cov tshuaj txuas ntxiv no tuaj yeem txo qhov kev txhaj tshuaj zoo:

Qhov ncauj txwv tsis pub muaj.
Corticosteroids.
Cov tshuaj hormones rau kev kho mob ntawm cov thyroid.
Qee hom diuretics thiab tshuaj tiv thaiv kab mob.

Txhawm rau kom cov suab thaj txo qis dua, xws li txhais tau tias:

cov ntsiav tshuaj hypoglycemic,
acetylsalicylic acid
cawv thiab npaj muaj nws.

Tsis tas li ntawd, sulfonamides muaj peev xwm nce cov piam thaj txo qis dua.

Qhov ceeb toom rau kev siv tshuaj

Qhov nruab nrab zoo li cas ntawm cov tshuaj thiab nws cov txiaj ntsig ntawm lub cev yog muab tsuas yog tias tag nrho cov lus pom zoo thiab cov lus qhia ntawm tus kws kho mob tau ua raws li nruj me ntsis.

Muaj qee zaum uas cov kev mob tshwm sim yuav tshwm sim.

Qhov tshwm sim ntawm kev mob tshwm sim mas feem ntau cuam tshuam nrog kev ua txhaum kev txhaj tshuaj lossis thaum tshaj qhov tau hais tseg kev noj tshuaj.

Cov kev ceev faj muaj xws li cov hauv qab no:

Kev mob ntshav qab zib ntshav nce siab tuaj yeem tsim muaj, ib hom mob hnyav uas feem ntau ua rau qhov pib ntawm hypoglycemic coma Tus neeg mob yuav muaj kev nyuaj siab thiab tsis nco qab.
Kev txhim kho ntawm kev ua xua, uas pom nyob rau hauv daim ntawv ntawm khaus ntawm daim tawv nqaij, liab, o ntawm cov nqaij. Xws li cov tsos mob tsuas yog ib ntus, thiab, raws li txoj cai, dhau ntawm nws tus kheej hauv ob peb hnub.
Cov tsos mob ntawm cov tsis haum ntawm lub cev. Cov kev tawm tsam no tsim tawm hauv cov qauv uas muaj teeb meem nrog kev ua pa, lub plawv dhia, thiab txo qis ntshav siab qis dua li qhov txiaj ntsig tseem ceeb. Ua tsis taus pa thiab tawm hws tshwm sim tuaj.

Tsis tshua muaj, lipodystrophy tuaj yeem pom. Raws li kev txheeb xyuas, xws li qhov tsis zoo tsuas yog tuaj yeem npaj hauv tsiaj keeb kwm.

Cov tshuaj yog nruj me ntsis contraindicated:

nyob rau hauv qhov pom ntawm hypoglycemia, raws li nws muaj peev xwm ua kom ntshav qab zib tsawg,
yog tias muaj lub siab txias mus rau ib lossis ntau qhov sib xyaw ntawm cov tshuaj.

Cov koob tshuaj xaiv tsis raug cai los yog noj tshuaj ntau dhau yuav tshwm sim nws tus kheej hauv daim ntawv ntawm cov tsos mob hauv qab no:

Ib qho tseem ceeb ua rau cov piam thaj hauv ntshav qis dua li ib txwm.
Ib qib nce ntawm kev poob siab.
Mob taub Hau.
Kev qoj ib ce thiab kev ua kom tsis muaj zog ntawm lub cev.
Cov tsos ntawm qaug dab peg.
Pallor ntawm daim tawv nqaij.
Cov tsos ntawm hws txias.

Txhawm rau tshem tawm cov tsos mob saum toj no, koj tuaj yeem noj cov zaub mov uas muaj qib siab ntawm kev zom cov zaub mov kom yooj yim. Yog tias kev noj loj dua yog qhov hnyav, koj yuav tsum tau hu rau tus kws khomob tshwj xeeb.

Cov tshuaj yuav siv tau thaum cev xeeb tub lossis pub niam mis. Nws yuav tsum raug sau tseg tias hauv thawj peb lub hlis qhov kev xav tau rau cov tshuaj hormones hauv poj niam poob qis, tom qab ntawd (hauv lub sijhawm thib ob thiab peb lub hlis) nws nce.

Cov kev tshawb fawb kho mob tau qhia tias kev txhaj tshuaj insulin tsis muaj qhov tshwm sim mutagenic.

Nta ntawm daim ntawv thov cov koob txhaj tshuaj ntaus

Tshem lub hau los ntawm rub nws tawm dua li tig nws.
Kuaj cov tshuaj insulin, txee lub neej, qauv thiab xim.
Npaj ib rab koob txhaj koob raws li tau piav los saum no.
Ntsia tus pas kom txog rau thaum nws nruj.
Tshem ob lub hau pov tseg ntawm rab koob.
Kuaj cov tshuaj insulin.
Quav ntawm daim tawv nqaij thiab txhaj rab koob hauv qab daim tawv nqaij ntawm kaum ntawm 45 degrees.
Qhia cov tshuaj insulin los ntawm kev tuav lub pob nrog lub ntiv tes kom txog thaum nws nres, suav qeeb qeeb rau 5.
Tom qab tshem tawm rab koob, tso lub pob cawv ntawm qhov chaw txhaj tshuaj tsis tas txhuam los yog tawv nqaij. Feem ntau, poob qis ntawm cov tshuaj insulin tuaj yeem nyob ntawm lub taub hau ntawm rab koob, tab sis tsis xau los ntawm nws, uas txhais tau tias yog koob tshuaj tsis tiav.
Kaw lub koob nrog lub hau sab nraud thiab pov tseg ntawm nws.

Muaj peev xwm cuam tshuam nrog lwm cov tshuaj

Cov tshuaj uas txhim kho cov nyhuv ntawm Humulin:

qab zib-txo cov ntsiav tshuaj,
tshuaj tiv thaiv kev nyuaj siab - monoamine oxidase inhibitors,
hypotonic tshuaj los ntawm cov pab pawg ntawm ACE inhibitors thiab beta blockers,
carbonic anhydrase inhibitors,
imidazoles
tetracycline tshuaj tua kab mob,
lithium npaj
Cov vitamins B,
theophylline
haus cawv muaj tshuaj.

Cov tshuaj uas inhibit qhov kev txiav txim ntawm insulin Humulin NPH:

tshuaj noj tiv thaiv tsis pub muaj menyuam
glucocorticosteroids,
cov thyroid hormones,
tshuaj kho mob
tricyclic cov tshuaj tiv thaiv kab mob,
cov neeg sawv cev uas qhib txoj kev kho mob hlwb,
calcium channel blockers,
tshuaj yeeb qaug cawv.

Cov cim ntawm Humulin

Lub npe Kev Lag Luam	Chaw tsim tshuaj paus
Insuman Bazal	Sanofi-Aventis Deutschland GmbH, (Lub Teb Chaws Yelemees)
Protafan	Novo Nordisk A / S, (Tebchaws Denmark)
Berlinsulin N Basal U-40 thiab Berlisulin N Basal Cwj mem	Berlin-Chemie AG, (Lub Tebchaws Yelemees)
Actrafan HM	Novo Nordisk A / O, (Denmark)
Br-Insulmidi ChSP	Bryntsalov-A, (Russia)
Neej Neeg B	Indar Insulin CJSC, (Tebchaws Ukraine)
Isofan Insulin Ntiaj Teb Khob	AI CN Galenika, (Yugoslavia)
Homofan	Pliva, (Croatia)
Biogulin NPH	Bioroba SA, (Brazil)

Tshuaj xyuas cov tshuaj insulin-isophan tshuaj tiv thaiv kab mob:

Kuv xav ua qhov kev txhim kho - nws yog txwv tsis pub tswj cov tshuaj insulin ntev ntev!

Pharmacodynamics thiab pharmacokinetics

Humulin NPH yog DNA recombinant tib neeg cov kua dej nrog lub sijhawm nruab nrab ntev ntawm kev sib kis, cov nyhuv tseem ceeb ntawm uas yog kev tswj hwm piam thaj metabolismCov. Cov tshuaj tseem qhia tau anabolic ua hauj lwm zoo.

Hauv cov ntaub so ntswg ntawm tib neeg lub cev (tshwj tsis yog lub cev ntawm lub hlwb), insulin Humulin NPH ua rau kev thauj khoom amino acids thiab piam thaj, thiab kuj ceev nrooj cov txheej txheem protein anabolism.

Nyob rau hauv parallel nyob rau hauv daim siab, cov tshuaj txhawb txoj kev tsim ntawm glycogen los ntawm piam thajtxhawb nqa qhov hloov pauv ntawm kev ua kom tshaj piam thaj hauv roginhibits gluconeogenesis.

Qhov pib ntawm insulin kev ua yeeb yam Humulin NPH raug pom 60 feeb tom qab kev tswj hwm, nrog kev ua haujlwm zoo tshaj plaws hauv lub sijhawm txij li 2 mus rau 8 teev thiab ntev li ntawm kev ua hauv 18-20 teev.

Saib xyuas ib tug neeg sib txawv hauv qhov ua tau zoo tshuaj insulin nyob ntawm seb qhov kev xaiv ntawm koob tshuaj, chaw txhaj tshuaj, nrog rau qhov ua si lub cev ntawm tus neeg mob.

Sab sij huam

Cov kev mob tshwm sim loj yog ntshav qog, uas qhov xwm txheej mob hnyav yuav ua rau tsis nco qab thiab txawm tuag (tsis tshua muaj).

Muaj kuj yog qhov tsawg tsawg ntawm kev tsim lipodystrophy.

Kev ua xua uas ua rau muaj txiaj ntsig:

Ua xua tshwm sim ntawm ib qhov chaw nyob:

o tuaj lossis khaus hauv thaj tsam ntawm kev txhaj tshuaj (feem ntau tso tseg li ntawm ob peb lub lis piam),
kev hyperemia.

Cov lus qhia rau kev siv Humulin NPH

Qhov ntau npaum ntawm Humulin NPH raug xaiv ib tus zuj zus, raws li theem ntawm txhauv tus neeg mob.

Kev txhaj tshuaj rau ntshav ntawm Humulin NPH raug txwv!

Lub emulsion yuav tsum tau ua haujlwm sc, qee kis, IM kev tso cai raug tso cai. Kev tswj hwm tus neeg mob yog nqa hauv plab plab, xub pwg, pob tw lossis ncej puab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom thiaj li 30 hnub tsis pub ntau tshaj ib qho kev txhaj tshuaj rau hauv ib qho chaw.

SC kev txhaj tshuaj yuav tsum muaj kev txawj ntse ntawm kev tswj hwm thiab kev ceev faj. Nws yog ib qho tsim nyog kom tsis txhob tau txais cov koob txhaj tshuaj rau hauv cov hlab ntshav, tsis txhob zaws mus rau qhov chaw txhaj tshuaj, thiab tseem tuaj yeem ua rau cov cuab yeej coj los tswj cov tshuaj kom raug.

Npaj thiab tswj hwm ntawm Humulin NPH

Nrog tus aim cov tshuaj insulin, ua ntej siv, lub vials thiab daim cartridges ntawm kev npaj Humulin NPH raug pom zoo kom muab cov ntawv no 10 npaug rau hauv koj xib teg ntawm koj txhais tes thiab co tib lub sijhawm qub (tig mus txog 180 °) kom txog rau thaum qhov kev npaj kis tau tus mob ntawm cov xim tsis huv uas nyob ze rau mis lossis kua homogeneous. Tuav cov tshuaj kom nruj yuav tsum tsis yog, vim tias ua npuas dej ua txoj hauv kev no tuaj yeem cuam tshuam txoj kev xaiv qhov tseeb.

Vials thiab cartridges yuav tsum tau kuaj nrog kev saib xyuas tshwj xeeb. Zam kev siv tshuaj insulin nrog txo cov nplaim ya los yog dawb hais kom haum rau cov phab ntsa lossis hauv qab ntawm lub hwj, ua rau pom kev xav ntawm tus qauv khov.

Qhov tsim ntawm daim cartridge tsis pub nws cov ntsiab lus sib xyaw nrog lwm tus tshuaj insulin, as Well as refilling cartridge nws tus kheej.

Thaum siv vials, lub emulsion sau rau hauv uas cov tshuaj insulin, uas nyob rau hauv ntim sib raug rau lub tswv yim tshuaj insulin (piv txwv li 100 IU / 1 ml tshuaj insulin = 1 ml syringe) thiab muab rau hauv raws li cov lus pom zoo ntawm tus kws kho mob.

Thaum siv daim cartridges, nws yog qhov yuav tsum tau ua raws li cov lus qhia ntawm cov chaw tsim tshuaj tiv thaiv rau kev txhim kho lawv, txuas lub koob, thiab tseem yuav siv cov tshuaj insulin, piv txwv li cov lus qhia rau Humulin NPH hauv cwj mem ceev txhaj tshuaj.

Tam sim tom qab txhaj tshuaj, siv lub hau sab nraud ntawm rab koob, tshem tawm rab koob nws tus kheej thiab rhuav nws kom zoo, tom qab ntawd kaw qhov kov nrog lub hau. Cov txheej txheem no muab cov tshuaj tiv thaiv kab mob ntxiv, tiv thaiv huab cua nkag, tiv thaiv cov tshuaj ntawm cov tshuaj thiab nws qhov txhaws.

Koob thiab rab koob yuav tsum tsis txhob rov siv los yog siv lwm tus neeg. Vials thiab cartridges siv ib zaug kom txog thaum cov tshuaj tiav, thiab tom qab ntawd muab pov tseg.

Tej zaum qhov qhia txog Humulin NPH hauv kev sib xyaw nrog Humulin Tsis tu ncua.

Vim li cas, txhawm rau tiv thaiv kev nkag mus rau hauv lub raj mis tshuaj insulin ntev dua kev txiav txim, thawj tus hu mus rau hauv cov phwj tshuaj insulin kev txiav txim luv.

Txoj kev sib xyaw no yog pom zoo kom hais qhia tam sim tom qab tov. Rau qhov tseeb qhov ntau npaum ntawm ob tshuaj insulin tuaj yeem siv cov koob txhaj sib txawv.

Kev sib txuam

Hypoglycemic hauj lwm zoo ntawm Humulin NPH txo qis dua nrog kev siv sib xyaw tshuaj tiv thaiv qhov ncaujcov thyroid hormones glucocorticoids, thiazide diureticstricyclic tshuaj tiv thaiv kab mob, Diazoxide.

Daim Ntawv Thov Ua Ke ethanolcov tshuaj hypoglycemic (qhov ncauj), salicylatesMAO inhibitors sulfonamides, beta blockers txhim kho cov teebmeem hypoglycemic ntawm Humulin NPH.

Reserpine, Clonidine thiab beta blockers tuaj yeem ntub cov tsos mob ntawm cov ntshav qog.

Hauv cev xeeb tub (thiab lactation)

Cov neeg mob nrog mob ntshav qab zib qhia koj tus kws kho mob txog kev npaj lossis tshwm sim cev xeeb tub, raws li ib txwm muaj, qhov xav tau tshuaj insulin txo qis hauv thawj peb lub hlis thiab nce ntxiv hauv qib thib ob thiab thib peb (kev teem sijhawm tuaj yeem tsim nyog tshuaj insulin nrog kev sib txuas ntxiv koob).

Tsis tas li, kev noj haus kev noj haus thiab / lossis kev muab tshuaj rau noj nyob rau lub sijhawm kev pub mis.

Thaum xaiv tshuaj insulin tus kws kho mob yuav tsum ntsuas tus neeg mob lub mob ntawm txhua sab ntawv thiab xaiv cov tshuaj uas haum rau tus neeg mob tshwj xeeb no.

Hauv qhov no, cov tshuaj Humulin NPH qhia pom cov txiaj ntsig kho tau zoo thiab tuaj yeem siv rau lub sijhawm ntev.

Nqe Humulin NPH, qhov twg yuav

Koj tuaj yeem yuav Humulin NPH ntawm qhov nruab nrab: ib lub raj mis 10 ml No. 1 - 550 rubles, 3 ml cartridges No. 5 - 1500 rubles.

Humulin NPH raug tshem tawm 100 IU / ml 10 ml Lilly Eli Lilly & Tuam Txhab
Humulin NPH raug tshem tawm 100 IU / ml 3 ml 5 pcs.

Humulin NPH ncua kev kawm 100ME / ml 3ml Tsis yog. 5 cartridges + QuickPenEli Lilly & Tuam txhab koob txhaj tshuaj
Humulin NPH raug tshem tawm 100ME / ml 3ml No. 5 cartridgesEli Lilly & Tuam Txhab
Humulin NPH ncua kev kawm 100MU / ml 10ml No. 1 lub raj misEli Lilly & Tuam Txhab

THEM SAIB! Cov ntaub ntawv hais txog cov tshuaj ntawm lub xaib yog kev saib xyuas-dav dav, sau los ntawm pej xeem cov chaw thiab tsis tuaj yeem ua lub hauv paus rau kev txiav txim siab txog kev siv tshuaj thaum lub sijhawm kho mob. Ua ntej siv cov tshuaj Humulin NPH, nco ntsoov sab laj nrog koj tus kws kho mob.

Yuav hauv peb lub khw muag khoom xuas xaum HumaPen Luxura - DiaMarka

Yooj yim thiab ua haujlwm syringe cwj mem HumaPen Luxura nrog cov theem ntawm 1 ntu. Lub cwj mem Eli Lilly cwj mem (Eli Lilly) muaj lub taub hau me 3 ml. Tus kov tau zoo raws li qhov muaj kuab zoo nkauj, muaj chrome inserts.

Nws tuaj yeem dhau los ua tsis yog txhais tau tias kom them nyiaj mob ntshav qab zib, tab sis kuj yog qhov kho kom zoo nkauj tiag tiag yog tias koj muab nws tso rau hauv lub hnab tshos ntawm koj lub tsho lossis lub tsho. Lub qhov ruaj khov thiab tiv thaiv lub ntsej muag tiv thaiv tus xaum xaum ntawm kev puas tsuaj, txawm tias koj poob nws rau hauv pem teb.

Qhov tshuaj txhaj ntxiv yog 1 chav.

Cov xaum xaum yog tsim los ntawm Eli Lilly thiab haum rau txhua qhov insulins ntawm qhov chaw tsim tshuaj paus:

Saib xyuas! Lub HumaPen Luxura Syringe Cwj mem kuj yog qhov tsim nyog rau cov insulin biosulin. Tus nqi ntawm cov phwj daj ntseg rau Biosulin yog qhov tsim nyog heev.

Tsis tas li, ntawm koj tus kheej txoj kev pheej hmoo thiab kev pheej hmoo, koj tuaj yeem siv tus cwj mem no rau insulin "ntawm Apidra.
Cov lus qhia tshwj xeeb Syringe cwjmem HumaPen Luxura

Tsim rau 3 ml penphiles (300 units).
Cov kauj ruam yam tsawg kawg yog teeb ntim tshuaj insulin ntawm 1 koog.
Qhov ntau tshaj plaws hauv ib pawg yog 60 ib pawg.
Qhov ntev: 165x25x23 hli
Qhov hnyav: 30g.

Cov nta ntawm koob txhaj tshuaj HumaPen Luxura:

Pom kom pom thiab lub suab thaum tswj hwm ib chav ntawm insulin
Muaj peev xwm tso tseg qhov koob
Zoo heev zoo "hauv kev sib dhos
Elegant thiab stylish tsos
Cov kab mob yooj yim, zoo-hnyav ua tiav qhov kov nws tus kheej.

Humapen Luxura Syringe Cwj mem
Rooj plaub (muaj ib qho chaw hauv rooj plaub rau pluaj koob thiab muaj cov tshuaj insulin)
Cov lus qhia hauv Lavxias

HumaPen Luxura Syringe Cwj mem Cov ntawv pov thawj rau muag hauv Lavxias. Cov duab cov khoom, suav nrog cov xim, yuav txawv ntawm qhov tsos kom pom tseeb. Cov ntsiab lus pob tseem yuav hloov pauv yam tsis ceeb toom. Qhov kev piav qhia no tsis yog pej xeem kev pom.

HumaPen Luxura Syringe Cwj mem - nqe 2150.00 rub., Yees duab, cov cuab yeej hluav taws xob, cov lus qhia kev xa khoom hauv tebchaws Russia. Yuav HumaPen Luxura Syringe Cwj mem hauv khw online https: diamarka.com, tsuas yog ua daim foos online kom yog lossis hu rau: +7 (3452) 542-147, +7 (922) 483-55-85.

Humulin: cov lus qhia rau kev siv, nqe, xyuas thiab analogues

Kev npaj tshuaj insulin zoo yuav tsum muaj qhov tsawg kawg nkaus ntawm kev sib kis thiab cov kev mob tshwm sim, vim hais tias cov neeg mob ntshav qab zib twb tau ua nrog ntau yam kab mob concomitant. Thiab cov tshuaj no nws txawv ntawm analogues nyob rau ntau txoj hau kev, suav nrog nws cov yam ntxwv. Xav txog vim li cas Humulin NPH ua li cas thiaj li zoo rau cov ntshav qab zib ua raws li cov lus qhia rau kev siv.

INN cov chaw tsim khoom

Lub npe thoob ntiaj teb yog insulin-isophan (tib neeg kev tshawb fawb caj).

Nws yog tsuas yog tsim los ntawm Lilly France SAAS, Fabkis.

Sawv cev hauv Lavxias: "Eli Lilly Vostok S.A."

"Humulin" nws txawv nyob rau hauv nqe nyob ntawm daim ntawv tso tawm: lam fwj los ntawm 300-500 rubles, daim cartridges ntawm 800-1000 rubles. Tus nqi yuav txawv nyob hauv ntau lub nroog thiab chaw muag tshuaj.

Pharmacological kev txiav txim