Humalog - cov lus qhia rau siv

Ntshav qab zib mellitus yog ib qho xwm txheej uas muaj tseeb hauv peb lub sijhawm. Cov ua rau ntawm tus kab mob tuaj yeem sib txawv, tab sis kev ua neej muaj keeb kwm yog qhov tseem ceeb hauv qhov no. 10-15% ntawm tag nrho cov ntshav qab zib yog hom ntshav qab zib hom 1, kev kho mob uas yuav tsum tau nqus cov tshuaj insulin rau hauv hom kev txhaj tshuaj. Nws tsim nyog pom tias tus mob ntshav qab zib hom 1 yog qhov cim los ntawm kev txhim kho ntawm cov tsos mob tseem ceeb hauv menyuam yaus thiab thaum tiav hluas, nrog rau kev txhim kho sai ntawm cov kev mob uas ua rau muaj kev cuam tshuam ntawm kev ua haujlwm ntawm ib tus neeg cov kabmob lossis tag nrho lub cev. Yog li, nws yog qhov tseem ceeb heev uas yuav tsum tau pib kho kom ncav sijhawm.

Yuav kom ua tiav cov tshuaj insulin hloov kho, ib yam tshuaj xws li Humalog yog siv. Cov lus qhia rau kev siv yuav tham txog tom qab, thiab peb tseem yuav tau txais kev paub txog tus neeg mob tshuaj xyuas txog qhov ua tau zoo thiab zoo ntawm cov tshuaj no.

Daim ntawv thiab cov qauv ntawm cov tshuaj

Qhov tseem ceeb tseem ceeb ntawm cov tshuaj yog insulin lispro. Cov khoom siv ntxiv - glycerol, metacresol, zinc oxide, sodium hydrogen phosphate heptahydrate, hydrochloric acid, dej.

Cov tshuaj insulin yog qhov tsim nyog, hloov kho, sib piv ntawm tib neeg cov insulin. Qhov sib txawv yog hauv kab rov qab ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov kab hluav taws xob insulin B.

Cov tshuaj yog dab tsi tsim?

• Kev daws rau kev txhaj tshuaj nyob rau hauv 3 ml cartridges, hauv cov hlwv pob.
• Cov xaum npaws rau insulin.

Kuj tseem muaj ib daim ntawv ntawm cov tshuaj uas qhov sib npaug sib npaug ntawm cov tshuaj insulin luv luv thiab nruab nrab. Qhov no yog Humalog Mix 25 thiab Humalog Mix 50.

Cov tshuaj ua haujlwm li cas?

Cov cuab yeej tseem ceeb ntawm cov tshuaj yog cov kev cai ntawm cov metabolism hauv cov piam thaj. Ntxiv rau, Humalog txhawb cov leeg kev loj hlob los ntawm kev nce glycogen fatty acid cov ntsiab lus, nrog rau kev ua kom muaj protein ntau ntxiv thiab ua kom cov amino acid muaj zog. Thaum siv cov tshuaj Humalog, cov tshuaj insulin lyspro txo ​​cov hyperglycemia uas tshwm sim tom qab noj mov.

Cov tshuaj yog ze li sai tau rau tib neeg insulin thiab yog yeeb tshuaj ntawm ultrashort kev ua. Nws cov txiaj ntsig dua lwm txoj kev yog tias nws sai sai pib ua thiab tsis pub rau qhov khoom nce siab hauv ob peb teev tom qab txhaj tshuaj. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob ua haujlwm uas yooj yim tsis tshua muaj kev txhaj tshuaj ntau zaus.

Yog li, tom qab qhia txog cov tshuaj ntawm Humalog, nws pib ua nyob rau hauv 10-20 feeb. Cov ntsiab lus siab tshaj plaws ntawm cov tshuaj txuam hauv cov ntshav tau pom tom qab 30 feeb - ib teev thiab ib nrab. Humalog muaj nws cov nyhuv rau ob peb teev. Ib nrab-lub neej luv thiab tsuas yog siv txog ib teev.

Nws tseem yuav tsum tau sau tseg tias nrog kev qhia txog cov tshuaj uas muaj cov tshuaj insulin (Humalog, piv txwv), cov naj npawb ntawm kev ua kom tsis muaj zog ntawm nocturnal hypoglycemia yog txo qis hauv cov neeg mob, thiab nws tau sau tseg tias cov tshuaj no ua tau sai dua tib neeg cov insulin.

Cov tshuaj "Humalog" cuam tshuam rau ob tus neeg laus thiab menyuam yaus tib yam nkaus. Qhov chaw ntawm kev tswj hwm yog qhov tseem ceeb, nws tuaj yeem yog lub duav, lub xub pwg, lub plab los sis lub pob tw, nrog rau cov koob tshuaj thiab qhov tob ntawm cov tshuaj insulin.

Humalog Mix 25 yog ib qho piv txwv ntawm tib neeg cov tshuaj insulin, uas muaj 25% ultra-luv-ua yeeb yam insulin thiab 75% ntawm cov tshuaj tiv thaiv. Nws tau pom tias nws ua nrawm nrawm thiab mus txog ib qho kev ua ub no thaum ntxov, thaum lub sijhawm ntev ntawm cov tshuaj no ntev txog 15 teev.

Kev taw qhia thiab contraindications

Leej twg xav kom siv tshuaj Humalog? Cov lus qhia rau kev siv qhia cov pov thawj hauv qab no: mob ntshav qab zib hauv cov neeg laus thiab menyuam yaus, xav tau cov tshuaj insulin los kho cov ntshav qabzib. Tib neeg kuj tseem siv tau yog tias ntshav qab zib mellitus kho tsis tau los ntawm lwm cov insulins. Hauv kev khiav haujlwm thiab hauv cov kabmob sib kis.

Leej twg tsis pom zoo kom siv Humalog? Cov lus qhia rau kev siv txwv tsis pub qhov no rau cov neeg mob uas lub siab ntev rau qhov sib xyaw nrog cov tshuaj, ib yam li yog muaj cov xwm txheej hauv qab no: hypoglycemia thiab insulinoma.

Yuav ua li cas thiaj yuav siv cov tshuaj

Rau txhua tus neeg mob, qhov ntau npaum li cas ntawm cov tshuaj "Humalog" (lub sijhawm luv luv ntawm kev txiav txim yog nws qhov tshwj xeeb) yog txiav txim los ntawm tus kws kho mob nyob ntawm qhov xav tau. Cov tshuaj yog muab tshuaj subcutaneously, ua ntej noj mov lossis tam sim ntawd.

Kev tswj hwm subcutaneously tuaj yeem nqa tawm ntawm txoj kev txhaj tshuaj, Txoj kev lis ntshav, lossis siv lub tshuab nqus dej twj. Yog tias tsim nyog, Humalog tuaj yeem muab cov tshuaj pleev ib leeg.

Cov tshuaj yog txhaj rau subcutaneously rau hauv tus ncej puab, lub xub pwg, lub pob tw lossis lub plab. Cov rooj zaum yuav tsum tau hloov chaw txhua zaus kom tsis txhob siv khoom tib yam. Thaum ua cov tshuaj, yuav tsum tau saib xyuas kom tsis txhob nkag rau cov hlab ntshav. Kev zaws ntawm qhov chaw txhaj tshuaj yog qhov tsis tuaj yeem. Tus kws kho mob yuav tsum qhia tus neeg mob txog tag nrho cov yam ntxwv ntawm qhov kev qhia no.

Cov kev cai ntawm kev tswj hwm ntawm yeeb tshuaj "Humalog"

Ua ntej tshaj plaws, nws yuav tsum tau hais tias kev daws teeb meem ntawm Humalog yuav tsum yog pob tshab thiab tsis muaj xim. Yog tias muaj qhov nrawm lossis qhov cuam tshuam ntawm qhov khoom tawg, xws li cov khoom siv ntawd yuav tsum tsis txhob siv. Cov khoom yuav tsum nyob ntawm chav sov.

Peb piav qhia yuav ua li cas rab koob txhaj tshuaj rau kev siv tshuaj insulin:

1. Ntxuav koj ob txhais tes ua ntej txhaj tshuaj.
2. Tom qab ntawv xaiv ib qho chaw rau kev txhaj tshuaj.
3. Peb kho nws nrog antiseptic.
4. Tshem tawm lub hau ntawm rab koob.
5. Nws yog ib qho tsim nyog yuav tsum ncab lossis ntxaum daim tawv nqaij rau hauv daim quav, kho nws.
6. Ntxig rab koob raws li cov lus qhia.
7. Thauj khawm.
8. Tom qab ntawd peb tshem tawm rab koob, thiab me ntsis nias qhov chaw txhaj tshuaj rau ob peb feeb. Nws yog tsis yooj yim sua kom grind.
9. Siv lub hau tiv thaiv, khi lub koob thiab pov tseg ntawm.

Tso dej siab tswj hwm ntawm cov tshuaj yog nqa tawm raws li kev soj ntsuam ib txwm ua los yog siv txoj kev lis ntshav. Cov txheej txheem zoo li no tau ua tiav raws kev coj los ntawm tus kws kho mob hauv tsev kho mob lossis polyclinic, vim nws yog qhov tsim nyog los tswj qib ntawm cov piam thaj hauv cov ntshav.

Humalog tuaj yeem ua txhaum nrog lub tshuab nqus ntshav dej. Hauv qhov no, koj yuav tsum nruj me ntsis raws cov lus qhia. Nco ntsoov ua raws li cov cai ntawm asepsis. Yog hais tias lub twj tso kua mis ua haujlwm tsis zoo lossis txheej txheem infusion yog txhaws, nce siab ntxiv nyob rau hauv cov piam thaj. Ua zoo saib thaum pib txoj kev. Thaum siv lub twj tso kua mis, tsuas yog ib hom tshuaj siv xwb. Kev sib xyaw tsis pub. Yog tias kev muab cov tshuaj insulin tsis txaus, nws yuav tsum tau ua raws li cov lus qhia thiab qhia tus kws kho mob sai.

Nws yuav tsum raug sau tseg tias qhov npaj ntawm Humalog Mix 25 tau txawv nws txoj kev sib xws thiab xim. Qhov no yog kev daws teebmeem ntawm cov dej ua kua turbid dawb, ua ntej siv uas nws yog qhov tsim nyog kom sov nws zoo rau hauv xib teg, tab sis tsis txhob co nws kom ua npuas dej tsis khov. Kev daws yuav tsum ua homogeneous. Cov khoom siv yuav tsum tsis txhob siv yog tias flakes tau tsim. Rau nws cov kev qhia, koj tuaj yeem siv, ntxiv rau cov tshuaj "Humalog", "QuickPen" - cov koob txhaj tshuaj, yooj yim rau siv. Yuav siv nws li cas, peb tau piav qhia saum toj no.

Qhov peculiarity ntawm kev siv ntawm Humalog Mix 25 yog tias nws tsis tuaj yeem muab cov tshuaj pleev ib ce. Cov ntau npaum ntawm cov tshuaj yog xaiv los ntawm tus kws kho mob ib leeg zuj zus.

Kev phiv los sis tshuaj "Humalog"

Cov lus qhia rau kev siv piav qhia txog qhov tshwm sim tsis zoo ntawm lub cev thaum siv tshuaj:

• Kev ntshav siab.
• Tsis nco qab.
• Ua xua: liab liab, khaus, o, mob urticaria.
• Tachycardia, txo cov ntshav siab.
• Muaj hws ntau.
• Angioneurotic edema.
• Lipodystrophy ntawm thaj chaw txhaj tshuaj.

Cov cim ntawm kev siv ntau tshaj ntawm cov tshuaj

Cov Insulins tsis muaj qhov chaw uas sau tseg rau kev siv ntau tshaj. Txij li txhua tus neeg muaj lawv tus kheej cov theem hauv qab ntuj thiab cov ntshav qabzib ntau, qhov no yog tus neeg ntshiab. Txawm li cas los xij, koj yuav tsum paub tias cov tsos mob ntau tshaj li kev noj tshuaj yog dab tsi, yog tias lub cev tsis tuaj yeem tiv thaiv thiab muaj ntshav qab zib tsawg tshwm sim. Qhov no tuaj yeem tshwm sim thaum tsis muaj teeb meem tsis zoo lossis cov nqi siv zog ntau.

Insulin ntau dhau ntawm kev ua haujlwm tuaj yeem ua rau ntshav qab zib ntshav qab zib. Cov tsos mob muaj raws li nram no:

• Kev tsis muaj zog, kev poob siab.
• Tsis nco qab.
• Muaj hws ntau.
• Malfunctions ntawm cov hlab plawv system.
• Ntuav
• Mob taub hau.

Koj yuav tsum paub txog yuav ua li cas rau cov ntshav qab zib tsawg qog. Ua li no, tsuas yog noj cov piam thaj lossis noj cov khoom uas muaj suab thaj. Tom qab cov kev tawm tsam no, koj yuav xav tau hloov kho koob tshuaj, nrog rau kev hloov qib qoj ib ce.

Tshaj tawm tsam cov ntshav qog ntshav tau ntau cov kev mob tshwm sim hauv qab no:

• Coma
• Cramps.
• Neurological ntshawv siab.

Txhawm rau tshem tawm cov kev ua tau yog ua tau los ntawm kev qhia "Glucagon" intramuscularly lossis subcutaneously. Nco ntsoov hloov kho lub zog. Yog tias qhov tshuaj insulin tsis cuam tshuam txog kev tswj hwm ntawm Glucagon, kev tso ntshav tawm ntawm cov tshuaj pleev ib qho ntshav qab zib yuav ua tau. Yog hais tias tus neeg mob nyob hauv lub cev tsis xeev, nws tseem yog qhov yuav tsum tau coj los ua haujlwm hauv intramuscular lossis subcutaneous ntawm Glucagon. Tom qab ib tus neeg rov qab nco qab, nws yog qhov tsim nyog ua ntej ntawm kev pub nws. Tej zaum koj yuav tsum tau nce cov nyiaj carbohydrates hauv koj cov zaub mov noj. Ib qho kev kuaj mob lub cev thiab tshuaj xyuas kuj tseem yuav tsim nyog, vim hais tias kev tawm tsam ntawm hypoglycemia yuav rov tshwm sim dua.

Cov yam ntxwv ntawm kev siv tshuaj

Siv cov tshuaj xws li Humalog, koj yuav tsum paub qee cov yam ntxwv ntawm kev siv cov tshuaj no:

1. Hloov los ntawm ib hom tshuaj insulin mus rau lwm tus yuav tsum nyob hauv kev saib xyuas ntawm kws kho mob. Txij li cov chaw tsim tshuaj paus, hom tshuaj, ntau yam ntawm cov tshuaj, kuj hom nws cov khoom lag luam lossis hom yog qhov tseem ceeb. Nws yog tsim nyog sau cia tias thaum hloov los ntawm tsiaj cov tshuaj insulin rau tib neeg qhov tsis txaus ntseeg koob tshuaj yuav tsum tau ua tiav.
2. Nws yog ib qho tsim nyog yuav tau ua tib zoo saib xyuas tus neeg mob yog tias nws hloov los ntawm insulin ntawm tsiaj keeb kwm rau tib neeg insulin. Tej zaum thaum nyuam qhuav pib muaj qhov tshwm sim, lossis lawv zoo heev rau cov uas tau pauv mus rau yav dhau los, txawm li cas los xij, koj yuav tsum soj ntsuam kom nruj seb cov piam thaj hauv ntshav tau zoo li cas. Yog tias cov koob tshuaj tsis tau ua kom haum, poob siab ploj, tsis nco qab, lossis tuag tau.
3. Yog tias qhov ntau npaum tsis muaj tshuaj lossis cov kev kho mob dheev nres nrog ntshav qab zib insulin-qhov cuam tshuam, qhov no tuaj yeem ua rau mob hyperglycemia thiab ntshav qab zib ketoacidosis. Nov yog qhov xwm txheej txaus ntshai uas yuav hem tus neeg mob lub neej.
4. Hauv cov neeg mob uas lub raum thiab hepatic tsis txaus, qhov kev xav tau rau insulin yuav txo qis, txij li cov txheej txheem ntawm gluconeogenesis thiab insulin metabolism raug txo qis. Hauv cov neeg mob mob siab tsis ua hauj lwm ntev, muaj peev xwm tiv thaiv insulin ntau dua tuaj yeem xav kom nce ntxiv.

Kev nce ntxiv ntawm cov tshuaj yog qhov tsim nyog nyob rau hauv cov xwm txheej hauv qab no:

• Kev nruj nchav.
• Kis tau tus kab mob.
• Kev nce hauv cov khoom noj carbohydrate.

Tsis tas li, kev tawm dag zog lub cev thiab kev hloov pauv ntawm kev noj zaub mov cuam tshuam rau theem ntawm cov piam thaj hauv cov ntshav. Txoj kev pheej hmoo ntawm kev qog ntshav nce siab yog tias koj ua exercise tam sim ntawd tom qab tawm ntawm lub rooj.

Yog tias koj tsis ua raws li qhov ntau npaum ntawm cov tshuaj insulin npaj, kev pheej hmoo ntawm tsis saib xyuas nce thiab txo qis hauv kev puas siab puas ntsws psychomotor yog qhov ua tau.

Cov neeg mob uas tsis tshua hnov ​​qhov zoo ntawm cov tsos mob ntawm tus mob ntshav qab zib tsawg lossis lawv feem ntau ib txwm rov qab yuav tsum ntsuas qhov tsis zoo ntawm kev tsav tsheb. Ib qho yuav tsum tau ceev faj thaum tsav tsheb tshuab thiab tshuab.

Cov ntshav qab zib me me tuaj yeem nres ntawm nws tus kheej los ntawm kev noj tsawg kawg nees nkaum grams qabzib lossis zaub mov uas muaj cov carbohydrates ntau. Txhua yam kev tawm tsam ntawm kev mob hypoglycemia yuav tsum ceeb toom rau kws kho mob.

Yog tias koj npaj siab yuav siv lwm cov tshuaj, koj yuav tsum sab laj tus kws kho mob tshwj xeeb txog lawv cov kev sib raug zoo nrog cov tshuaj Humalog. Peb yuav qhia koj ntxiv txog qhov no tom qab.

Cov tshuaj Hum Hum Ntsib ua ke nrog lwm cov tshuaj

Cov kev ua tau zoo ntawm cov tshuaj "Humalog" poob qis nrog kev siv tag nrho ntawm cov tshuaj:

• Qhov ncauj txwv tsis pub muaj.
• Glucocorticosteroids.
• Cov thyroid hormones npaj.
• Danazol
• Beta₂-adrenomimetics (suav nrog "Ritodrin", "Salbutamol", "Terbutaline").
• Tricyclic cov tshuaj tiv thaiv kev ntxhov siab.
• Derivatives ntawm phenothiazine.
• Thiazide diuretics.
• Nicotinic acid
• Chlorprothixen.
• "Lithium carbonate."
• Diazoxide.
• Isoniazid.

Cov tshuaj uas txhim kho qhov kev txiav txim ntawm lub Humalog:

• Beta blockers.
• Tshuaj Ethanol-muaj cov tshuaj.
• Tetracyclines.
• Salicylates (tshwj xeeb hauv acetylsalicylic acid).
• Cov tshuaj steroid anabolic.
• Sulfonamides.
• MAO inhibitors.
• ACE inhibitors.
• Angiotensin receptor kev thaiv kev.
• "Octreotide."

Tsis tas li ntawd, kev sib xyaw ntawm Humalog tshuaj nrog tsiaj insulin npaj tsis pub.

Nyob rau hauv kev saib xyuas ntawm tus kws kho mob, kev sib koom tes ntawm kev siv tshuaj ntawm Humalog nrog cov neeg ua haujlwm ntev insulin lossis nrog qhov ncauj tshuaj hypoglycemic - sulfonylurea derivatives - yog ua tau.

Kev siv cov tshuaj nyob hauv cov menyuam yaus

Raws li tau hais ua ntej, Humalog yog cov tshuaj insulin rau luv luv, thiab yuav tsum muaj qee qhov laj thawj ntawm kev xa menyuam mus rau cov tshuaj no. Cov no suav nrog cov hauv qab no:

• Pheej pauv txoj kev qab los noj mov nyob hauv menyuam yaus thiab tsis cuam tshuam dab tsi ntawm kev noj zaub mov.
• Kev nthuav dav ntawm kev noj haus ntawm cov hluas.
• Kev taw qhia txog kev tawm tsam kev mob ntshav qab zib thaum yav tsaus ntuj thiab tsaus ntuj.
• Cov kev hloov pauv hauv cov ntshav ntxiv nyob rau hauv cov ntshav, ntshav lub zog ntawm lub cev.
• Cov tshuaj tiv thaiv luv luv tsis tau muab cov nyiaj raug mob tsim nyog.

Cov me nyuam yaus siv sijhawm ntau los noj mov, yog li cov tshuaj insulin ua yeeb yaj kiab yog muab tom qab noj mov.

Cov tshuaj yuav tau siv rau cov menyuam yaus nruj raws li kws kho mob tau qhia, yog tias yuav tsum tau ua sai sai ntawm cov tshuaj insulin.

Humalog rau cov poj niam cev xeeb tub thiab lactating

Nws tsim nyog pom tias cov poj niam muaj ntshav qab zib uas tau npaj rau cev xeeb tub yuav tsum muaj kev tswj hwm cov ntshav qabzib ntau ntxiv, nrog rau kev tshuaj xyuas dav dav. Tus kws kho mob uas mus kawm yuav tsum ceeb toom ua ntej.

Tsis muaj dab tsi cuam tshuam ntawm cov tshuaj Humalog rau tus poj niam lub cev lossis hauv plab. Cov tshuaj tsis kis mus rau niam mis thiab tsis cuam tshuam rau kev loj hlob ntawm tus me nyuam hauv plab.

Kev kho tshuaj Insulin yog ua rau hauv niam cev xeeb tub lossis lactating txhawm rau tswj cov ntshav qab zib kom qis. Nws paub tias hauv lub hlis thib ib xav tau cov tshuaj insulin yog tsawg dua nyob rau xyoo 2 thiab 3. Thaum lub sijhawm ua haujlwm, ntxiv rau tom qab nws, qhov xav tau rau insulin yuav poob qis. Ib koob txhaj tshuaj yog xav tau.

Cov tshuaj Humalog yog qhov zoo heev rau cov pojniam cev xeeb tub thiab lactating. Nws tsuas yog tsim nyog kom nco ntsoov tias nws yog kws kho los ntawm tus kws kho mob thiab kev hloov pauv ntawm ib hom tsiaj mus rau lwm tus yuav tsum tau nqa tawm nruj raws li kev saib xyuas ntawm tus kws kho mob tuaj koom.

Dab tsi yog qhov nqi ntawm cov tshuaj "Humalog", ntxiv rau dab tsi analogues muaj nyob, peb yuav xav txog ntxiv.

Cov tshuaj ntawm cov tshuaj thiab nws cov nqi

Cov analogues ntawm cov tshuaj Humalog muaj xws li cov tshuaj insulin:

• "Actrapid MS."
• "Berlinsulin N Tus Cwj Pwm Zoo."
• "B-Insulin S. Ts.".
• Qhov Tsaus Insulin C
• Isofan.
• "Insulin C".
• "Iletin."
• "Insuman Comb."
• "Kev Qhuas SPP".
• "Combinsulin C".
• "Monosuinsulin C".
• "Pensulin."
• Rinsulin.
• Ultimard NM.
• "Homolong 40."
• Neeg lim hiam.

Kev npaj ua piv txwv nrog tib yam khoom muaj txiaj ntsig:

• Neej Neeg Sib Xws 25
• Neej Neeg Qhia 50
• "Insulin Lyspro."

Nws yog tsim nyog sau cia tias cov tshuaj Humalog hauv cov khw muag tshuaj tau muab faib nruj me ntsis raws li kws kho mob sau tseg. Tus nqi yog nruab nrab rau cov tshuaj ntawm cov qib no thiab thaj tsam los ntawm 1600-1900 rubles rau 5 daim cartridges.

Yog tias koj txiav txim siab hloov lub Humalog, tsuas yog tus kws kho mob tuaj yeem sau tshuaj analogues rau nws. Tsis txhob ua koj tus kheej, raws li koj lub neej nyob ntawm nws.

Kev tshuaj xyuas txog cov tshuaj "Humalog" thiab nws qhov zoo

Tus neeg mob tshuaj xyuas tsuas yog qhov zoo. Ntau tus neeg siv cov tshuaj rau ntau xyoo. Humalog (cartridges uas tau sib xyaw rau hauv QuickPen cwj mem) yog yooj yim siv. Cov neeg nco ntsoov qhov tsis muaj cov kev mob tshwm sim. Cov tshuaj pib sai sai thiab ua haujlwm tsis pub dhau 1.5 teev. Muab piv rau lwm txoj kev ntawm pab pawg no, ntau nco txog nws cov lus qhia siab dua. Tsis tas li, feem ntau ntawm cov neeg mob tau txaus siab rau tus nqi ntawm cov tshuaj Humalog (tus nqi yog qhia saum toj no). Lawv nco txog nws lub peev xwm zoo uas tiv thaiv kab mob ntshav qab zib.

Tsis tas li ntawd, tsis txhob hnov ​​qab tias kev hloov ntawm ib cov tshuaj mus rau lwm tus yuav tsum tsuas yog nyob hauv kev saib xyuas ntawm kws kho mob.

Humalog (neeg mob tshuaj xyuas tham txog nws) yog hom tshuaj zoo. Nws yuav tsum tau sau tseg qhov zoo ntawm ultrafast kawg insulins, uas yog Humalog:

• Qib ntawm postprandial glycemia poob qis.
• Qeb ntawm HbA1 txo.
• Nyob rau hauv dav dav, qhov zoo ntawm carbohydrate metabolism hauv lub cev nce.
• Lub neej zoo ntawm tus neeg mob nce.
• Tshuaj yuav tau noj ua ntej noj mov lossis tom qab, raws li koj tus kws kho mob pom zoo.
• Tseem ceeb txo cov naj npawb ntawm kev tawm tsam kev mob ntshav qab zib hauv nruab hnub thiab hmo ntuj.
• Nws yog qhov ua tau los siv kev yoo mov noj tau yooj yim dua.
• Kev yooj yim thiab siv tau yooj yim.

Cov tshuaj tsis sawv ntsug, thiab ntau thiab ntau cov tshuaj tau tshwm sim uas pab tib neeg tiv thaiv kev mob xws li ntshav qab zib. Ua tib zoo saib xyuas koj txoj kev noj qab haus huv thiab tsis txhob tso thawj cov tsos mob uas tsis muaj neeg saib, koj lub neej yuav vam txog qhov no.

Humalog: cov lus qhia rau kev siv. Ntev npaum li cas thiab prick nws

Ultrashort insulin Humalog: kawm txhua yam koj xav tau. Hauv qab no koj yuav pom cov lus qhia rau kev siv sau ua lus yooj yim. Nyeem cov lus teb rau cov lus nug:

Nws kuj tseem piav qhia txog txoj hauv kev kho mob uas tau tso cai rau koj kom cov ntshav qab zib 3.9-5.5 mmol / L ruaj khov 24 teev ib hnub, ib yam li hauv cov neeg muaj kev noj qab haus huv. Tus txheej txheem ntawm Dr. Bernstein, nyob nrog kev ua haujlwm ntawm cov metabolism hauv kev ua haujlwm tsis zoo rau ntau tshaj 70 xyoo, tso cai rau koj 100% tiv thaiv koj tus kheej los ntawm cov teeb meem tsis txaus ntseeg. Saib hom Ntsuas Ntshav Qab Zib Hom 1 los yog Theem Ib-Ntxiv-Kauj Kho Kab Mob Ntshav Qab Zib Hom 2 kom paub meej.

Ultrashort Insulin Humalog: Cov Lus Qhia Ntxiv

Lub vev xaib endocrin-patient.com tsis pom zoo kom yuav cov tshuaj insulin thiab ntshav qab zib los ntawm txhais tes, raws li kev tshaj tawm.

Kev yuav los ntawm cov tib neeg, koj muaj feem ntau yuav tau txais qhov tsis muaj txiaj ntsig, tsis muaj yeeb tshuaj. Ib zaug piam, Humalog feem ntau nyob zoo pob tshab. Los ntawm cov tsos ntawm insulin nws tsis yooj yim sua kom txiav txim siab nws zoo.

Yog li, koj yuav tsum tau yuav nws nkaus xwb hauv lub khw muag tshuaj muaj suab npe nrov, uas ua raws li cov cai ntim khoom.

Cov lus qhia rau kev siv

Thaum txhaj cov tshuaj Humalog, zoo ib yam li lwm hom insulin, koj yuav tsum ua raws kev noj haus.

Ntshav Qab Zib Hom 2 Ntshav Qab Zib Hom Ntshav Qab Zib Cov Lus Noj Ntawv 9 Lub Limtiam zaub mov: Qauv

Qhia qhov koj muaj piam thaj lossis xaiv poj niam txiv neej rau cov lus pom zoo

Ntau tus neeg mob ntshav qab zib uas txhaj tshuaj rau lawv tus kheej nrog rau cov insulin ceev pom tias nws ua tsis tau kom tsis txhob muaj ntshav qab zib. Qhov tseeb, qhov no tsis yog li ntawd. Koj tuaj yeem khaws cov suab thaj kom ruaj Txawm hais tias muaj mob hnyav autoimmune. Thiab ntau heev tshaj dua yog li, nrog cov mob hnyav hom 2 mob ntshav qab zib.

Tsis tas yuav ua los ntxiv cov ntshav qabzib hauv koj lub cev txhawm rau kom raug tus kheej tiv thaiv ntshav qabzib ntshav qab zib. Saib ib daim vis dis aus uas Dr. Bernstein tham txog qhov teeb meem no nrog leej txiv ntawm tus menyuam uas muaj ntshav qab zib hom 1. Kawm seb yuav ua li cas sib npaug ntawm cov khoom noj thiab cov tshuaj insulin.

Saib cov video ntawm Dr. Bernstein. Tshawb nrhiav kom meej txhua lub teev muaj pes tsawg teev Humalog Insulin ua, yuav ua li cas nws npog noj carbohydrates. Nkag siab qhov sib txawv ntawm cov tshuaj ntawm cov tshuaj no yog rau cov neeg rog ntshav qab zib hom 2 thiab cov neeg mob ntshav qab zib hom 1, thiab cov me nyuam muaj ntshav qab zib.

Cov hauv qab no yog cov ntaub ntawv ntxiv ntsig txog cov tshuaj uas muaj cov tshuaj insulin lispro.

Humalog yog dab tsi ua insulin? Yog ntev lossis luv?

Qhov no yog qhov hluav taws xob ultrashort, yog qhov nrawm dua. Nws pib ua yuav luag tam sim ntawd - tsis pub dhau 15-20 feeb tom qab txhaj tshuaj. Qhov no yog qhov muaj txiaj ntsig hauv qhov xwm txheej uas koj xav tau kom tua cov ntshav qab zib sai sai.

Txawm li cas los xij, tej zaum yuav muaj teeb meem nyob rau hauv cov neeg mob ntshav qab zib uas ua raws li kev noj zaub mov kom tsawg. Vim tias Humalog, uas tau qhia ua ntej noj mov, pib ua kom sai dua li cov zaub mov qis-carb yog nqus tau.

Vim li ntawd, cov piam thaj hauv ntshav qab zib yuav poob ntau dhau heev.

Tej zaum Humalog yog tus ceev tshaj plaws ntawm txhua hom tshuaj insulin. Txawm hais tias cov neeg tsim cov analogues uas sib tw nrog nws tsis zoo li yuav pom zoo rau cov lus no.

Lawv yuav sib cav hais tias lawv cov tshuaj Apidra thiab NovoRapid pib ua yeeb yam sai sai. Tsis muaj lus qhia meej txog qhov teeb meem no. Rau txhua tus mob ntshav qab zib, ntau hom tshuaj insulin ua haujlwm txawv.

Cov ntaub ntawv tiag tiag tuaj yeem tau los ntawm kev sim siab thiab kev ua yuam kev.

Hom tshuaj insulin: yuav xaiv cov tshuaj ntev li cas insulin ntev rau kev txhaj tshuaj thaum hmo ntuj thiab yav sawv ntxov.

Yuav xaiv cov koob tshuaj ntawm Humalog insulin rau ib chav ua noj (XE) li cas?

Ntau carbohydrates cov ntshav qab zib npaj yuav noj, ntau cov insulin nws yuav tsum tau txhaj ua ntej noj mov. Ib qho kev pabcuam ntawm cov carbohydrates tuaj yeem ntsuas hauv cov khob cij lossis hauv cov grams. Qhov tshwj xeeb ntawm tus naj npawb ntawm cov qhob cij thiab koob xav tau ntawm Humalog tuaj yeem pom ntawm no.

Koj cov piam thaj hauv ntshav yuav zoo dua yog tias koj mus noj zaub mov noj kom tsawg. Nws tsis ntxim rau cov neeg mob ntshav qab zib uas ua raws li cov khoom noj no kom suav cov carbohydrates hauv khob cij. Vim tias kev noj zaub mov zoo txhua hnub tsis pub tshaj 2.5 XE, thiab rau cov menyuam yaus txawm tsawg dua.

Dr. Bernstein pom zoo suav cov khoom noj carbohydrates hauv grams, tsis yog XE. Humalog yog cov tshuaj tiv thaiv kab mob uas ua haujlwm sai dhau thiab sai. Nws tsis zoo rau kev noj qab haus huv uas tsis muaj cov carb qis. Xav txog kev hloov ntawm nws mus rau Actrapid.

Raws li rau menyuam yaus, nws ua rau muaj kev hloov pauv hloov tus menyuam mob ntshav qab zib mus rau kev noj zaub mov kom tsawg, siv Actrapid lossis lwm qhov yeeb tshuaj luv dua li ntawm Humalog insulin, thiab kuj tsis kam siv lub tshuab nqus tshuaj insulin. Nyeem kab lus "Ntshav Qab Zib Muaj Me Nyuam" rau cov lus qhia ntxiv.

Npaum li cas thiab ntau npaum li cas los ntaus nws?

Tej zaum koj yuav nkaug Humalo 3 zaug nyob rau ib hnub ua ntej noj mov. Txawm li cas los xij, cov koob tshuaj thiab cov sijhawm ntawm cov tshuaj insulin rau txhua tus mob ntshav qab zib yuav tsum tau xaiv ib tus zuj zus. Kev siv cov phiaj xwm npaj tau ua tsis tuaj yeem tswj tau qhov ua tau zoo ntawm cov metabolism hauv lub cev puas. Nyeem txhua yam hauv tsab xov xwm "Kev suav ntawm qhov kev txiav txim ntawm luv luv thiab ultrashort insulin ua ntej noj mov."

Cov tshuaj tseem ceeb pom zoo siv Humalog thiab nws cov analogues kom sai li cov tshuaj insulin ua ntej noj mov. Kev txhaj tshuaj yog ua tiav kwv yees li 15 feeb ua ntej noj mov.

Txawm li cas los xij, rau cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2, uas ua raws li cov zaub mov noj qis, nws zoo dua rau kev txhaj tshuaj insulin luv luv, xws li Actrapid, ntau dua li ultrashort ua ntej noj mov.

Vim hais tias qhov ceev ntawm qhov kev txiav txim ntawm luv luv npaj tau zoo dua qub nrog kev kwv yees ntawm cov khoom muaj kev pom zoo thiab cov khoom pom zoo.Nyeem ntxiv hauv kab lus “Cov Hom Tshuaj insulin thiab Cov Cuam Tshuam”.

Humalog sai dua li lwm cov tshuaj tuaj yeem kho cov ntshav qab zib kom ntshav khov. Yog li ntawd, nws yog qhov zoo tshaj kom muaj nws nrog koj thaum muaj xwm txheej. Txawm li cas los xij, qee tus neeg mob ntshav qab zib tau kam siv cov tshuaj insulin luv luv thiab ultrashort. Yog tias koj tswj hwm koj cov piam thaj hauv cov ntshav qis nrog kev noj zaub mov kom tsawg, koj tuaj yeem yuav los ntawm cov yeeb tshuaj luv luv.

Ntev npaum li cas rau kev txhaj tshuaj?

Txhua qhov txhaj ntawm cov tshuaj Humalog yuav siv li 4 teev. Tus mob ntshav qab zib uas ua raws li cov zaub mov noj qis yuav tsum tau txhaj tshuaj insulin tsawg kawg. Nws feem ntau yuav tsum tau diluted kom raug txhaj ib koob uas tsawg dua 0.5-1 ib pawg.

Tib neeg cov lus qhia tuaj yeem ua tsis tau tsuas yog rau cov menyuam yaus uas muaj ntshav qab zib hom 1, tab sis kuj rau cov neeg mob laus. Vim tias nws yog ib cov tshuaj uas muaj zog heev. Thaum siv cov tshuaj tsawg kawg, insulin nres ua haujlwm sai dua li teev hauv cov lus qhia ntawm nom tswv.

Tej zaum qhov kev txhaj tshuaj yuav tas rau hauv 2.5-3 teev.

Tom qab txhaj txhua yam ntawm kev npaj ultrashort, ntsuas ntshav qab zib kom tsis muaj ntxov dua 3 teev tom qab. Vim tias txog lub sijhawm no, cov koob tshuaj insulin tsis muaj sijhawm tsis txaus los qhia nws cov nyhuv tag nrho.

Raws li txoj cai, cov kabmob ntshav qab zib tau txhaj cov tshuaj insulin sai, noj, thiab tom qab ntawd ntsuas ntsuas qab zib ua ntej noj mov tom ntej. Tsuas yog nyob hauv cov xwm txheej uas tus neeg mob yuav pom cov tsos mob ntawm lub qog ntshav qab zib.

Hauv cov xwm txheej zoo li no, koj yuav tsum tau soj ntsuam tam sim ntawd txog qib piam thaj hauv cov ntshav thiab, yog tias tsim nyog, nqis tes ua.

Dab tsi yog qhov sib txawv ntawm Humalog thiab Humalog Mix?

Qhov nruab nrab tiv thaiv Hagedorn (NPH), uas ua rau qeeb qis qis ntawm kev ua haujlwm ntawm insulin, tau ntxiv rau Humalog Mix 25 thiab 50. Cov insulin no sib txawv hauv cov ntsiab lus ntawm NPH. Cov khoom ntau dua, qhov ntau txuas ntxiv ua ntawm kev txhaj tshuaj.

Cov tshuaj no tseem nrov vim tias lawv tuaj yeem txo cov naj npawb ntawm txhua hnub ntawm kev txhaj tshuaj, ua kom yooj yim rau kev tswj hwm ntawm kev siv tshuaj insulin. Txawm li cas los xij, lawv muab tsis tau kev tswj ntshav qab zib kom zoo. Yog li no, Dr. Bernstein thiab endocrin-neeg mob chaw.

com tsis pom zoo kom siv lawv.

Hagedorn cov tshuaj tiv thaiv nruab nrab feem ntau ua rau ua xua thiab lwm yam teeb meem. Kom paub meej ntxiv, saib kab lus “Cov Insulin thiab Cov nyhuv”. Kev siv cov Humalog Mix 25 thiab 50 yog qhov coj ncaj qha rau cov mob ntshav qab zib tsis txaus thiab mob mus ntev.

Cov insulin zoo li no tuaj yeem tsim nyog rau cov neeg mob ntshav qab zib uas muaj hnub nyoog qis qis lossis tau tsim muaj dementia. Txhua lwm pawg ntawm cov neeg mob yuav tsum siv Tsuas yog Humalog xwb.

Thiab nws zoo dua yog hloov mus rau cov zaub mov tsis muaj carb thiab sim ua kom Actrapid ua ntej noj mov.

Ob lub qhov muag (retinopathy) Mob raum (nephropathy) Mob ko taw mob taw: ceg, pob qij txha, taub hau

Cov tshuaj insulin twg zoo dua: Humalog lossis NovoRapid?

Tej zaum yuav tsis muaj cov ntaub ntawv raug los teb cov lus nug no, uas feem ntau cov neeg mob tau nug. Vim tias ntau hom insulin cuam tshuam rau txhua tus ntshav qab zib ib tus zuj zus. Ob lub Humalog thiab NovoRapid muaj ntau tus kiv cua. Raws li txoj cai, cov neeg mob txhaj tshuaj uas lawv tau pub dawb.

Kev fab tshuaj yuam kom qee leej hloov los ntawm ib hom tshuaj insulin mus rau lwm tus.

Peb rov hais dua tias yog tias koj ua raws li cov zaub mov noj qis, nws zoo dua yog siv cov yeeb tshuaj luv luv, xws li Actrapid, tsis yog siv cov Humalog ultra-luv, NovoRapid lossis Apidra, yog cov tshuaj insulin sai ua ntej noj mov. Yog tias koj xav xaiv qhov zoo tshaj plaws ntawm kev txuas ntxiv thiab ceev insulin, ces koj tsis tuaj yeem ua yam tsis muaj kev sim siab thiab qhov tsis raug.

Cov tshuaj ntawm insulin Humalog (lispro) yog Apidra (glulisin) thiab NovoRapid (aspart). Cov qauv ntawm lawv cov lwg me me nws txawv, tab sis rau kev coj ua nws tsis txawv. Dr. Bernstein sib cav hais tias Humalog yog nrawm dua thiab muaj zog dua li nws cov neeg sibtham. Txawm li cas los xij, tsis yog txhua tus neeg mob lees paub cov ntaub ntawv no.Ntawm cov ntawv sib tham ntawm Lavxias-hais txog tus mob ntshav qab zib, koj tuaj yeem nrhiav cov lus tsis txaus ntseeg.

Cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2 uas ua raws li cov zaub mov uas tsis muaj carb ntau yuav sim hloov cov tshuaj insulin lyspro nrog cov tshuaj uas siv luv luv. Piv txwv, ntawm Actrapid. Saum toj no nws tau sau hauv kev nthuav dav yog vim li cas qhov no tsim nyog ua. Ntxiv mus, luv luv insulin yog pheej yig dua. Vim tias nws tau nkag mus rau tom khw ntau xyoo dhau los.

Insulin Humalog: yuav ua li cas thov, ntau npaum li cas yog qhov siv tau thiab nqi

Dua li ntawm qhov tseeb hais tias cov kws tshawb fawb tswj tau kom rov ua tiav cov tshuaj insulin molecule, uas tsim tawm hauv tib neeg lub cev, qhov kev ua ntawm cov tshuaj hormones tseem ua rau qeeb qeeb vim lub sijhawm xav kom nqus mus rau hauv cov ntshav. Thawj cov tshuaj ntawm kev ua kom zoo dua yog cov tshuaj insulin Humalog. Nws pib ua haujlwm tau ntev lawm 15 feeb tom qab txhaj tshuaj, yog li ntawd cov suab thaj los ntawm cov ntshav pauv mus rau cov ntaub so ntswg hauv lub sijhawm, thiab txawm tias lub sijhawm luv luv hyperglycemia tsis tshwm sim.

Piv nrog cov neeg tsim insulins yav dhau los, Humalog qhia tau zoo dua: hauv cov neeg mob, txhua hnub hloov pauv hauv qab zib yog 22%, glycemic qhov ntsuas tau zoo, tshwj xeeb tshaj yog yav tav su, thiab qhov muaj feem yuav ua rau muaj ntshav siab qeeb tsawg dua. Vim tias qhov nrawm nrawm, tab sis qhov kev txiav txim ruaj khov, cov kua dej no yog siv rau hauv cov ntshav qab zib.

Dosage daim ntawv

Kev daws rau kev tso ntshav thiab ntu nqaij ntawm cov thawj coj.

1 ml muaj:
cov tshuaj nquag: tshuaj insulin lispro 100 IU,
tus zam: glycerol (glycerin) 16 mg, metacresol 3.15 mg, zinc oxide q.s. rau Zn ++ cov ntsiab lus ntawm 0.0197 mg, sodium hydrogen phosphate heptahydrate 1.88 mg, hydrochloric acid daws 10% thiab / lossis sodium hydroxide tov 10% q.s. mus txog pH 7.0 - 8.0. dej rau txhaj q.s. txog li 1 ml.

Cov kua roj ntshiab thiab tsis muaj xim.

Kev ntsuas rau siv

Ua ntej koj yuav tsum nrog nrog muaj pes tsawg leeg. Cov tshuaj tiv thaiv nquag ntawm cov tshuaj yog insulin lispro.

Tab sis ntawm cov khoom xyaw pab koj tuaj yeem nrhiav cov hauv qab no: glycerin, metacresol, zinc oxide, sodium hydrogen phosphate heptahydrate, hydrochloric acid tov, nrog rau cov tshuaj sodium hydroxide.

Kev ncua kev tswj hwm rau kev tso dej khov thiab subcutaneous muaj daim ntawv ntawm cov kua ntshiab uas tsis muaj duab ntxoo. Cov tshuaj muaj nyob hauv daim cartridges, uas tau ntim rau hauv cov thawv ntawv thawv.

Xws li rau kev ntsuas rau kev siv, cov tshuaj kho tau raug kho ntshav qab zib. Nws yog qhov tsim nyog rau tus kab mob no, uas xav tau kev kho mob insulin tshwj xeeb. Ua tsaug rau nws qhov kev siv, nws muaj peev xwm tswj tau theem ntawm cov piam thaj hauv lub cev ntawm qib zoo.

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj ntawm cov tshuaj tau txiav txim siab ntawm tus kheej los ntawm tus kws kho mob tshwj xeeb. Nws nyob ntawm qhov xav tau ntawm tus neeg mob. Cov tshuaj tuaj yeem siv sijhawm kaum tsib feeb ua ntej noj mov. Yog tias muaj mob hnyav, nws raug tso cai muab tshuaj nrog cov tshuaj tam sim ntawd tom qab noj mov.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum sib haum rau chav tsev kub. Qhov tshuaj Humalog yog muab nyob rau hauv daim tawv nqaij hauv daim ntawv ntawm kev txhaj tshuaj lossis ncua ntev subcutaneous infusion siv lub twj tso kua mis tshwj xeeb.

Cov tshuaj insulin Humalog Mix 25

Yog tias muaj mob hnyav (muaj ketoacidosis, mob huam sai, lub sijhawm sib kis los ntawm kev phais mob lossis tom qab ua haujlwm tas), cov tshuaj hauv cov lus nug tseem tuaj yeem siv tshuaj pleev ib ce. Kev txhaj tshuaj subcutaneous yuav tsum nqa tawm ntawm caj npab, ceg, pob tw thiab lub plab.

Yog li, tib seem ntawm lub cev tsis pom zoo kom siv ntau zaus ntau dua ib zaug hauv peb caug hnub. Nrog rau hom kev tswj hwm ntawm cov tshuaj Humalog, kev ceev faj yuav tsum siv. Koj yuav tsum ceev faj ntawm cov tshuaj rau hauv cov hlab ntshav me - capillaries.

Tom qab kev txhaj tshuaj, cov cheeb tsam cuam tshuam yuav tsum raug muab zaws. Tus neeg mob yuav tsum tau kawm nyob rau hauv txoj kev coj ua cov tshuaj insulin.

Raws li rau txoj kev thov, thawj qhov koj yuav tsum npaj rau kev txhaj tshuaj. Kev daws ntawm cov tshuaj Humalog muaj qhov tsis sib xws. Nws tsis muaj xim.

Nws tsis pom zoo kom siv huab, me ntsis thickened lossis txawm tias ib nyuag xim ntawm cov tshuaj. Nws yog qhov tshwj xeeb tshaj yog txwv tsis pub tswj cov tshuaj uas muaj cov khoom zoo li ntawd.

Thaum txhim kho lub taub ntim tshwj xeeb hauv koob txhaj tshuaj (cwj mem-txhaj tshuaj), kom ruaj ntseg koob thiab txhaj koob tshuaj tiv thaiv pancreatic ntawm cov khoom neeg tsim, koj yuav tsum ua raws li cov lus pom zoo teev tseg hauv cov lus qhia rau cov tshuaj.

Raws li rau cov lus qhia, nws yuav tsum nrog ua cov haujlwm nram qab no:

1. Thawj qhov ua yog ntxuav koj txhais tes kom huv nrog xab npum,
2. Tom ntej no, koj yuav tsum txiav txim siab qhov chaw rau kev txhaj tshuaj,
3. koj yuav tsum ua tib zoo kho thaj chaw xaiv nrog tshuaj tua kab mob,
4. tom qab ntawd koj yuav tsum tshem lub hau ntawm rab koob,
5. tom qab ntawd nws yog qhov tsim nyog los kho daim tawv nqaij los ntawm rub nws los yog npog qhov zoo nkauj. Ntxig lub koob txhaj khoom raws li cov lus qhia txuas nrog siv cwj mem syringe,
6. Tam sim no koj yuav tsum tau nyem rau ntawm lub pob,
7. tom qab ntawd, ua tib zoo tshem tawm rab koob thiab nyem qhov chaw txhaj tshuaj rau ob peb,
8. nws tsis raug pom zoo los txhuam qhov chaw txhaj tshuaj,
9. siv lub hau tiv thaiv ntawm rab koob, unscrew nws thiab rhuav tshem nws,
10. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj ib zaug txhua peb caug hnub.

Kev tswj hwm ntawm cov tshuaj Humalog yuav tsum tau nqa tawm raws li kev kho mob yooj yim kho mob ntawm kev txhaj tshuaj rau cov tshuaj tiv thaiv. Piv txwv li, hom kev txhaj tshuaj no yuav tsum tau nqa tawm uas yog siv txoj kev nqus tawm. Nyob rau tib lub sijhawm, nws yog ib qho tsim nyog los tswj lub ntsiab lus ntawm cov piam thaj hauv cov neeg mob ntshav.

Cov txheej txheem tshwj xeeb rau kev lis ntshav nrog ntau cov ntsiab lus los ntawm 0.1 IU / ml txog 1 IU / ml ntawm cov tshuaj nquag ntawm cov tshuaj no hauv 0.8% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau qhov kub zoo rau ob hnub.

MiniMed insulin twj tso kua mis

Kev txhaj tshuaj subcutaneous yog siv nrog Minimed thiab Disetronic twj rau cov tshuaj insulin infusion.Cov. Hauv qhov no, koj yuav tsum nruj ua raws li cov lus qhia nyob nrog. Txoj kev lis ntshav yuav tsum hloov txhua ob hnub.

Thaum kev txuas cov cuab yeej, koj yuav tsum ua raws li cov cai ntawm asepsis. Thaum muaj kev cuam tshuam ntawm cov ntshav qab zib kom tsawg, cov txheej txheem yuav tsum tau txiav mus txog thaum kho qhov teeb meem no tas.

Muaj cov xwm txheej thaum lub qog ntawm lub insulin cwj mem twj tuaj yeem ua rau nce ntxiv hauv cov ntshav qabzib.

Nyob rau hauv qhov xwm txheej ntawm kev ua txhaum ntawm kev tsim cov tshuaj insulin, koj yuav tsum ua raws li cov lus qhia thiab, yog tias tsim nyog, qhia koj tus kws kho mob kom raws sijhawm.

Thaum siv lub twj tso kua mis, cov tshuaj hu ua Humalog tsis tas yuav mus ua ke nrog lwm hom insulin zoo ib yam li tib neeg.

Yog tias muaj ntshav qab zib kom tsawg, nws yog ib qho tseem ceeb uas koj yuav tsum qhia rau koj tus kws kho mob tam sim no. Koj tseem tuaj yeem muab rau qhov pom ntawm qhov xwm txheej zoo li no: nws raug nquahu kom txo qis lossis txiav kom tsis txhob ua haujlwm rau cov tshuaj insulin.

Sab sij huam

Qhov tsis zoo lub cev ua rau cuam tshuam nrog lub txiaj ntsig tseem ceeb ntawm cov tshuaj: cia li poob ntawm qab zib theem.

Kev mob ntshav qab zib siab heev tuaj yeem tom qab ntawd ua rau tsis nco qab (lub npe hu ua hypoglycemic coma), thiab hauv qee kis txawm tias muaj kev tuag.

Raws li rau kev tsis haum tshuaj, cov hauv zos muaj peev xwm heev. Lawv pom qhov txawv ntawm daim tawv nqaij liab, o, khaus, nrog rau lwm cov tsos mob uas ploj tom qab ob peb hnub. Feem ntau muaj cov cim kev ua haujlwm ntawm ib leeg rau kev quav yeeb tshuaj.

Nws tshwm sim ntau tsawg dua, tab sis muaj qhov hnyav dua.Qhov tshwm sim no yog pom los ntawm khaus, urticaria, tawm pob, angioedema, kub taub hau, ua pa luv, txo qis ntshav siab, tachycardia, thiab kuj hyperhidrosis.

Cov uas muaj kev tsis haum tshuaj loj tuaj yeem ua rau ib tus neeg lub neej. Ntawm cov kev tawm tsam hauv zos, ib tus tuaj yeem paub qhov txawv xws li txo qis roj subcutaneous ntawm qhov chaw txhaj tshuaj.

Cov Yuav Tsum Tau Ua

Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Koj tsuas yog xav tau thov ...

Cov kws tshaj lij txwv tsis pub siv cov tshuaj no rau qhov pom muaj ntshav qab zib thiab ua rau lub siab tsis zoo rau lub ntsiab ntawm cov tshuaj.

Raws li kev xeeb tub thiab kev pub niam mis, lub sijhawm tam sim no tseem tsis tau muaj qhov xav tau yam tsis txaus siab ntawm kev hloov cov tshuaj tua kabmob ua rau lub cev xeeb menyuam thiab lactation.

Nws tseem yuav tsum tau sau tseg tias cov kev tshawb fawb cuam tshuam tsis tau ua tiav. Lub hom phiaj tseem ceeb ntawm kev kho mob nrog insulin thaum cev xeeb tub yog txiav txim siab los tswj cov ntshav piam thaj.

Nws yog ib qho tseem ceeb kom nco ntsoov tias kev xav tau cov tshuaj hormones feem ntau poob qis hauv thawj peb lub hlis thiab nce hauv lub hlis thib ob thiab thib peb. Thaum lub sijhawm yug menyuam thiab tom qab yug menyuam tas, xav tau cov tshuaj insulin cia li poob qis. Cov neeg sawv cev ntawm kev sib deev tsis muaj zog ntawm kev muaj menyuam yaus hnub nyoog muaj ntshav qab zib yuav tsum qhia lawv tus kws khomob txog qhov pib lossis xeeb menyuam hauv plab.

Thaum nqa tus me nyuam hauv plab, cov neeg mob endocrinologist nrog cov kev tsis zoo no yuav tsum tswj hwm cov piam thaj hauv qab.

Nws yog ib qho tseem ceeb kom nco ntsoov tias thaum lub sijhawm pub niam mis, yuav tsum kho me ntsis ntawm cov nyiaj ntawm kev txiav txim siab ua haujlwm ntawm pancreatic.

Tsis tas li, yog tias tsim nyog, koj yuav tsum yoog kom yuag yov kom noj zaub mov tshwj xeeb. Raws li txoj cai, insulin thov yuav poob thaum muaj teeb meem ua haujlwm siab ua haujlwm. Cov neeg muaj tus kabmob no muaj tus nqi ntau ntawm kev nqus ntshav ntawm pancreatic.

Tus nqi nruab nrab ntawm cov tshuaj no txawv ntawm kwv yees li 1800 txog 2200 rubles.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo qhov uas lub raum tsis ua haujlwm. Hauv cov neeg mob uas muaj tus kab mob no, qhov feem pua ​​ntawm cov tshuaj tua kabmob (pancreatic) nqus tau los ntawm lub cev tseem nyob.

Cov chaw muag tshuaj

Humalog® yog DNA tso ua ke ntawm cov tshuaj insulin. Nws txawv ntawm tib neeg cov insulin hauv kev rov qab hloov zuj zus ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov insulin B saw.

Cov Tshuaj Hauv Tshuaj
Kev ua tseem ceeb ntawm insulin lyspro yog txoj cai ntawm cov metabolism hauv qabzib.

Tsis tas li ntawd, nws muaj anabolic thiab anti-catabolic cuam tshuam rau ntau cov ntaub so ntswg lub cev. Hauv cov leeg nqaij, muaj qhov nce ntawm cov ntsiab lus ntawm glycogen, fatty acids, glycerol, kev nce ntawm synthesis protein thiab nce ntxiv ntawm kev noj cov amino acids, tab sis muaj ib qho txo ​​qis glycogenolysis, gluconeogenesis, ketogenesis, thiab lipolysis. protein catabolism thiab amino acid tso tawm.

Lyspro insulin tau pom tias yog ua kom sib npaug rau tib neeg cov tshuaj insulin, tab sis nws cov nyhuv sai dua thiab siv sijhawm tsawg dua. Lyspro insulin yog tus cwj pwm los ntawm qhov pib sai ntawm kev nqis tes ua (kwv yees li 15 feeb), vim nws muaj qhov nqus dej siab, thiab qhov no tso cai rau nws ua sai sai ua ntej noj mov (0-15 feeb ua ntej noj mov), tsis zoo li luv luv ua yeeb yam insulin (30-45 feeb) ua ntej noj mov). Lyspro insulin sai sai rau nws cov txiaj ntsig thiab muaj lub sijhawm ua haujlwm luv luv (ntawm 2 txog 5 teev) piv nrog cov tshuaj insulin rau tib neeg.

Hauv cov neeg mob uas muaj hom 1 thiab hom 2 mob ntshav qab zib mellitus, thaum siv cov tshuaj insulin, lyspro hyperglycemia, uas tshwm sim tom qab noj mov, poob qis dua piv rau soluble tib neeg cov kua dej.

Ib yam li txhua qhov kev npaj tshuaj insulin, lub sijhawm lyspro insulin ua haujlwm tuaj yeem sib txawv hauv cov neeg mob lossis sijhawm sib txawv ntawm tib tus neeg mob thiab nyob ntawm lub koob tshuaj, chaw txhaj tshuaj, ntshav ntshav, kub cev thiab kev tawm dag zog.

Cov yam ntxwv ntawm lyspro insulin hauv cov menyuam yaus thiab cov hluas muaj ntsis zoo ib yam li ntawd. uas pom ntawm cov laus.

Kev siv lyspro insulin nyob rau hauv cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2 yog nrog los txo qis rau thaum kawg ntawm hypoglycemic nocturnal cov tshuaj tiv thaiv hauv qhov sib piv nrog soluble tib neeg cov kua dej.

Glucodynamic teb rau lyspro insulin yog ywj siab ntawm daim siab los yog lub raum ua haujlwm.

Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm subcutaneous, Lyspro cov tshuaj insulin yog nqus sai thiab nce mus txog qhov siab tshaj plaws hauv cov ntshav tom qab 30-70 feeb.

Nrog kev tswj hwm subcutaneous, ib nrab-lub neej ntawm insulin lispro yog li 1 teev.

Nrog kev tswj hwm ntawm lyspro insulin, kev nqus yog sai dua soluble tib neeg insulin hauv cov neeg mob uas lub raum tsis ua haujlwm. Hauv cov neeg mob uas muaj hom 2 mob ntshav qab zib mellitus, qhov sib txawv ntawm pharmacokinetic tau pom ntawm insulin lispro thiab solulin tib neeg cov kua dej, tsis hais txog lub raum. Nrog rau kev tswj hwm ntawm insulin lyspro, muaj kev nqus sai dua thiab kev tshem tawm sai dua piv rau soluble tib neeg cov kua dej hauv cov neeg mob siab.

Siv thaum cev xeeb tub thiab pub niam mis

Ntau cov ntaub ntawv hais txog kev siv tshuaj insulin lyspro thaum cev xeeb tub qhia tias qhov tsis muaj qhov xav tsis zoo ntawm cov tshuaj rau cev xeeb tub lossis cov mob ntawm cov menyuam hauv plab thiab cov menyuam yug tshiab.

Thaum cev xeeb tub, qhov tseem ceeb yog tswj cov glycemic zoo hauv cov neeg mob ntshav qab zib uas tau txais kev kho mob nrog insulin. Qhov kev xav tau rau insulin feem ntau poob qis thaum thawj peb lub hlis thiab nce ntxiv thaum lub sijhawm thib ob thiab thib peb. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Cov neeg mob ntshav qab zib yuav tsum sab laj nrog kws kho mob yog tias cev xeeb tub tshwm sim los yog npaj ua ntej. Kev cev xeeb tub hauv cov neeg mob ntshav qab zib, qhov tseem ceeb yog ua tib zoo saib xyuas cov piam thaj, nrog rau kev noj qab haus huv txhua yam.

Rau cov neeg mob ntshav qab zib thaum lub sijhawm pub niam mis, nws yuav tsum xaiv cov koob tshuaj insulin, kev noj zaub mov noj, lossis ob qho tib si.

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj ntawm Humalog® yog txiav txim los ntawm tus kws kho mob ntawm tus kheej, nyob ntawm seb cov concentration ntawm cov piam thaj hauv cov ntshav. Qhov tseeb ntawm kev muab tshuaj insulin yog tus kheej.

Kev noj tshuaj Humalog® tuaj yeem muab ua ntej noj mov. Yog tias tsim nyog, Humalog® tuaj yeem muab rau siv tam sim ntawd tom qab noj mov.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.

Humalog® yuav tsum tau txhaj tshuaj raws li kev txhaj tshuaj subcutaneous lossis raws li kev ncua subcutaneous infusion siv lub twj tso kua mis. Yog tias tsim nyog (ketoacidosis, mob hnyav, lub sijhawm ntawm kev ua haujlwm lossis sijhawm hla sijhawm), Humalog® kev npaj kuj tseem tuaj yeem siv tshuaj pleev ib ce.

Subcutaneously yuav tsum txhaj rau hauv lub xub pwg, ncej puab, pob tw los sis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj li 1 zaug hauv ib hlis.

Nrog kev tswj hwm subcutaneous ntawm Humalog® kev npaj, kev saib xyuas yuav tsum tau saib xyuas kom tsis txhob txais cov tshuaj rau hauv cov hlab ntshav. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws. Tus neeg mob yuav tsum tau kawm siv cov txheej txheem kev txhaj tshuaj kom raug.

Cov lus qhia rau kev tswj hwm tshuaj yeeb tshuaj Humalog®
Npaj rau kev qhia
Qhov daws ntawm Humalog® npaj yuav tsum yog pob tshab thiab xim tsis muaj xim. Tsis txhob siv cov tshuaj Humalog® yog tias nws hloov tawm ntawm cov huab, thickened, cov xim tsis muaj zog lossis cov khoom seem tau pom pom.

Thaum txhim kho lub taub ntim hauv cov koob txhaj tshuaj, txuas lub koob thiab txhaj tshuaj insulin, ua raws li cov chaw tsim khoom cov lus qhia uas suav nrog txhua tus xaum xaum xaum.

Kev tswj hwm txoj cai
1. Ntxuav koj txhais tes.
2. Xaiv qhov chaw txhaj tshuaj.
3. Npaj daim tawv nqaij ntawm qhov chaw txhaj tshuaj raws li kws kho mob pom zoo.
4. Tshem tawm ntawm lub hau sab nraud los ntawm rab koob.
5. Xauv cov tawv nqaij.
6. Tso lub koob txhaj tshuaj subcutaneously thiab ua qhov kev txhaj tshuaj raws li cov lus qhia siv kev siv tus xaum xim.
7. Tshem tawm rab koob thiab maj mam nyem qhov chaw txhaj tshuaj nrog paj rwb pas nrig rau ob peb feeb. Tsis txhob txhuam thaj chaw txhaj tshuaj.
8. Siv lub hau thaiv sab nraud ntawm rab koob, rho tawm rab koob thiab pov tseg.
9. Muab lub hau ntim rau ntawm tus cwj mem.

Rau qhov npaj ntawm Humalog® hauv QuickPen ™ koob txhaj.
Ua ntej muab cov tshuaj insulin, koj yuav tsum nyeem QuickPen ™ Syringe cwj mem qhia siv.

Tso dej insulin
Kev txhaj tshuaj tiv thaiv ntawm Humalog® kev npaj yuav tsum ua raws li kev siv tshuaj txhaj rau txoj kev txhaj tshuaj, piv txwv, txhaj tshuaj bolus tswj hwm lossis siv cov txheej txheem infusion. Hauv qhov no, feem ntau nws yog ib qho tsim nyog los tswj cov kev xav ntawm cov piam thaj hauv cov ntshav.

Lub tshuab ua ke nrog cov ntsiab lus los ntawm 0.1 IU / ml rau 1.0 IU / ml tshuaj insulin lispro hauv 0.9% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau chav sov li 48 teev.

Subcutaneous insulin Txoj Kev lis ntshav nrog lub tshuab nqus dej insulin
Rau Txoj kev lis ntshav ntawm Humalog® kev npaj, twj yuav siv - tshuab rau kev nruam subcutaneous tswj hwm ntawm insulin nrog CE cim. Ua ntej muab cov lyspro tshuaj insulin, nco ntsoov tias lub tshuab nqus tshwj xeeb. Koj yuav tsum nruj me ntsis ua raws cov lus qhia uas tuaj nrog lub twj tso kua mis. Siv lub taub dej haum thiab kav raj rau lub twj tso kua mis. Txoj kev lis ntshav teeb yuav tsum tau hloov raws li cov lus qhia tau muab nrog kev teeb tsa Txoj kev lis ntshav. Yog tias qhov tshuaj tiv thaiv hypoglycemic tshwm sim, Txoj kev lis ntshav yog nres mus txog thaum rov ua ntu. Yog tias muaj cov ntsiab lus qis ntawm cov piam thaj hauv cov ntshav tau sau tseg, tom qab ntawd nws yog qhov tsim nyog yuav tau qhia rau tus kws kho mob txog qhov no thiab muab rau kom txo qis lossis tso tseg ntawm cov tshuaj insulin. Ib lub twj tso kua mis tsis ua hauj lwm lossis kev txhaws hauv txoj kev lis ntshav tuaj yeem ua rau nce ntshav ntshav ntxiv. Yog tias lub sijhawm ua txhaum cai ntawm kev ua txhaum ntawm kev muab cov tshuaj insulin, koj yuav tsum ua raws li cov lus qhia thiab yog tias tsim nyog qhia rau tus kws kho mob. Thaum siv lub twj tso kua mis, npaj Humalog should yuav tsum tsis txhob sib xyaw nrog lwm cov insulins.

Sab sij huam

Kev mob ntshav siab yog qhov tshwm sim ntau tshaj plaws hauv kev kho mob ntawm cov neeg mob ntshav qab zib nrog cov tshuaj insulin. Kev mob ntshav khov ntau heev tuaj yeem ua rau tsis nco qab (hypoglycemic coma) thiab, tshwj tsis yog rau kev tuag.

Cov neeg mob tuaj yeem yuav pom kev ua xua nyob rau thaj tsam ntawm daim ntawv liab, o, lossis khaus ntawm qhov chaw txhaj tshuaj. Feem ntau, cov tsos mob no ploj mus li ntawm ob peb hnub lossis ob peb lim tiam. Qee qhov xwm txheej, cov kev coj ua no tuaj yeem yog los ntawm cov laj thawj tsis cuam tshuam rau cov tshuaj insulin, piv txwv li, tawv nqaij nrog lub ntsej muag ntxuav los yog siv tshuaj tsis raws cai.

Tsis tshua muaj, muaj kev tsis haum rau lub cev feem ntau tshwm sim uas yog khaus thoob plaws lub cev, khaus khaus, angioedema, kub taub hau, ua pa luv, txo ntshav siab, tachycardia, thiab tawm hws tuaj yeem tshwm sim. Cov teeb meem nyhav ntawm kev tsis haum suav nrog tuaj yeem ua rau tuag taus.

Lipodystrophy tuaj yeem tsim kho ntawm thaj chaw txhaj tshuaj.

Cov lus tshwm sim:
Cov kab mob ntawm kev txhim kho ntawm edema tau txheeb xyuas, feem ntau nrog kev ceev nrawm ntawm cov ntshav qabzib hauv qab los ntawm kev siv tshuaj insulin ntau ntxiv nrog kev pib tsis txaus siab glycemic tswj.

Noj ntau dhau

Kev noj ntau dhau yog nrog los ntawm kev txhim kho cov tsos mob ntawm tus mob ntshav qab zib: tsaug zog, tawm hws, tshee, tshee, tachycardia, mob taub hau, kiv taub hau, plooj tsis pom kev, ntuav, tsis meej pem.

Cov me nyuam uas muaj ntshav qab zib tsawg kawg yog raug tso tseg los ntawm kev noj ntawm cov piam thaj lossis cov khoom uas muaj suab thaj. Kev kho cov ntshav qog ntshav me ntsis tuaj yeem nqa tawm los ntawm kev siv tshuaj intramuscular lossis subcutaneous ntawm glucagon, tom qab los ntawm kev noj zaubmov tom qab ua kom ruaj ntseg ntawm tus neeg mob. Cov neeg mob uas tsis teb rau glucagon yog muab cov kua nplaum nyob rau hauv lub cev.

Yog hais tias tus neeg mob nyob hauv lub cev tsis xeev, ces glucagon yuav tsum muab tshuaj intramuscularly lossis subcutaneously. Thaum tsis muaj glucagon los sis yog tias tsis muaj qhov tshuaj tiv thaiv rau nws qhov kev qhia, nws yog qhov tsim nyog los tswj txoj kev daws teeb meem kom tsis txhob quav tshuaj. Tam sim ntawd tom qab rov qab nco qab, tus neeg mob yuav tsum tau txais cov khoom noj uas muaj carbohydrate-nplua nuj.

Yuav tsum tau txais kev txhawb nqa kom ntau ntxiv ntawm carbohydrates thiab kev saib xyuas ntawm tus neeg mob tej zaum yuav tsum tau, txij li ib qho kev rov qab pib ntawm hypoglycemia yog ua tau.

Hais txog qhov hloov ntshav qab zib kom tsawg nws yuav tsum tau qhia rau tus kws kho mob uas koom nrog.

Kev cuam tshuam nrog lwm yam tshuaj

Qhov mob ntawm cov nyhuv ntshav tsawg yog txo thaum siv ua ke nrog cov tshuaj hauv qab no: tshuaj tiv thaiv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, danazol, beta2-adrenergic agonists (piv txwv li, ribodrin. Salbutamol, terbutaline), thiazide diuretics, ua yeeb yam, isoprotic, isoprotic phenothiazine.

Qhov mob hnyav ntawm cov nyhuv ntshav hypoglycemic nce nrog rau cov tshuaj sib xyaw nrog cov tshuaj hauv qab no: beta-blockers, ethanol thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine. guanethidine, tetracyclines, tshuaj tiv thaiv qhov ncauj hypoglycemic, salicylates (e.g. acetylsalicylic acid), tshuaj tua kab mob sulfonamide. qee cov tshuaj tiv thaiv kab mob (monoamine oxidase inhibitors, serotonin reuptake inhibitors), angiotensin hloov mus rau enzyme inhibitors (captopril, enapril), octreotide, angiotensin II receptor antagonists.

Yog tias koj yuav tsum siv lwm cov tshuaj, ntxiv rau insulin, sab laj koj tus kws kho mob.

Cov lus qhia tshwj xeeb

Hloov chaw ntawm tus neeg mob rau lwm hom lossis kev npaj tshuaj insulin yuav tsum tau ua nyob rau hauv kev saib xyuas mob nkeeg nruj me ntsis. Cov kev hloov hauv kev ua, hom (tus tsim khoom), hom (Tsis tu ncua, NPH, thiab lwm yam), hom (tsiaj, tib neeg, analog ntawm tib neeg insulin) thiab / lossis txoj kev tsim tawm (DNA recombinant insulin lossis insulin ntawm tsiaj keeb kwm) tuaj yeem ua rau qhov xav tau rau qhov hloov kho koob tshuaj.

Hauv cov neeg mob uas muaj lub ntsej muag hypoglycemic tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg insulin, cov tsos mob thaum ntxov ntawm hypoglycemia yuav tsis tshua pom los yog txawv ntawm cov kev paub dhau los ntawm lawv cov insulin yav dhau los. Kev tiv thaiv tsis zoo hypo- thiab hyperglycemic tej yam kev mob tuaj yeem ua rau tsis nco qab, tsis nco qab, lossis tuag.

Nws yuav tsum tau yug hauv siab tias lub chaw muag tshuaj ntawm analogues ntawm tib neeg lub cev sai insulin yog tias yog tias hypoglycemia tsim, nws tuaj yeem tsim tom qab kev txhaj tshuaj ntawm qhov ua haujlwm sai ntawm tib neeg cov tshuaj insulin ua ntej tshaj nyob rau hauv rooj plaub ntawm soluble tib neeg cov kua dej.

Rau cov neeg mob tau txais cov tshuaj insulins luv luv thiab hauv paus, nws yog qhov tsim nyog los xaiv cov koob tshuaj ntawm ob lub insulins thiaj li ua tiav qhov zoo tshaj plaws ntawm cov piam thaj hauv cov ntshav thaum nruab hnub, tshwj xeeb tshaj yog thaum tsaus ntuj lossis hauv plab.

Cov tsos mob ua ntej ntawm lub ntsej muag hypoglycemia tuaj yeem hloov pauv thiab tsis tshua tau hais nrog lub sijhawm ntev ntawm mob ntshav qab zib mellitus, mob ntshav qab zib neuropathy lossis kev kho mob nrog tshuaj xws li beta-blockers.

Kev noj tshuaj tsis txaus lossis tsis ncua kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib, tuaj yeem ua rau tus mob hyperetcemia thiab ntshav qab zib ketoacidosis - cov mob uas muaj peev xwm tuag taus rau tus neeg mob.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo qis dua thaum lub raum tsis ua haujlwm, nrog rau cov neeg mob hepatic tsis txaus ua rau muaj kev txo qis hauv cov txheej txheem ntawm gluconeogenesis thiab insulin metabolism. Txawm li cas los xij, nyob rau hauv cov neeg mob mob siab tsis ua haujlwm ntev, muaj peev xwm tiv thaiv insulin ntau dua tuaj yeem ua rau muaj kev nce ntxiv hauv insulin.

Txoj kev xav tau cov tshuaj insulin tuaj yeem nce ntxiv nrog qee qhov mob lossis kev ntxhov siab.

Kev hloov kho ntawm cov koob tshuaj insulin tej zaum yuav tsum tau ua thaum cov neeg mob nce kev tawm dag zog lossis thaum hloov kev noj zaub mov zoo. Kev tawm dag zog tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav qab zib tsawg dua.

Thaum siv cov tshuaj insulin nyob rau hauv kev sib xyaw nrog cov tshuaj ntawm thiazolidinedione pab pawg, qhov kev pheej hmoo ntawm kev txhim kho edema thiab mob plawv sai dua, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob ntawm cov hlab plawv thiab muaj cov kev pheej hmoo ua rau mob plawv tsis ua haujlwm.

Kev siv cov Humalog® nyob rau hauv cov menyuam yaus es tsis txhob tiv thaiv tib neeg cov tshuaj insulin yog qhov zoo dua rau cov teeb meem no thaum tsim nyog yuav tsum pib ua sai sai ntawm insulin (piv txwv li, kev qhia ntawm insulin tam sim ntawd ua ntej noj mov).

Txhawm rau zam kom kis tau tus mob kis tau, txhua daim cartridge / koob txhaj tshuaj yuav tsum tau siv los ntawm tsuas yog ib tus neeg mob, txawm tias yuav raug hloov rab koob.

Humalog® cartridges yuav tsum siv nrog cov koob txhaj nrog CE kos raws li cov lus qhia ntawm lub chaw tsim khoom ntaus khoom.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Thaum tus neeg lub qog ntshav qab zib, qhov kev mloog zoo thiab ceev ntawm lub hlwb kev xav yuav txo qis. Qhov no tuaj yeem txaus ntshai nyob rau hauv qhov xwm txheej uas qhov peev xwm no tshwj xeeb tshaj yog tsim nyog (piv txwv, tsav tsheb lossis kev siv tshuab).

Cov neeg mob yuav tsum tau qhia rau kev ceev faj kom tiv thaiv kev mob ntshav qab zib thaum tsav tsheb thiab tswj cov tshuab. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas cov tsos mob me lossis tsis tuaj, ua ntej ntawm cov ntshav ntog ntshav qab zib lossis nrog rau kev txhim kho ntshav nce siab ntau ntau. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav tsum ntsuas qhov ua tau ntawm tus neeg mob tsav tsheb thiab tswj cov twj.

Daim ntawv tso tawm

Kev daws rau kev ua dej num thiab subcutaneous ntawm 100 IU / ml hauv 3 ml cartridges.

Cartridges:
3 ml ntawm cov tshuaj rau ib lub cartridge. Tsib cartridges ib lub hlwv. Ib qho blister ua ke nrog cov lus qhia rau kev siv rau hauv thawv ntawv thawv.
Tsis tas li ntawd, nyob rau hauv cov ntaub ntawv ntawm ntim cov tshuaj ntawm Lavxias lub tuam txhab OPTAT, JSC, daim ntawv nplaum ntawm thawj qhib tswj tau thov.

QuickPen ™ cov xaum xim:
3 ml ntawm cov tshuaj hauv daim cartridge sib xyaw rau hauv QuickPen ™ koob txhaj tshuaj. Tsib QuickPen ™ syringe cwjmem txhua, nrog rau cov lus qhia rau kev siv thiab QuickPEN ™ Syringe cwj mem cov lus qhia siv rau hauv cov thawv thawv ntawv.
Tsis tas li ntawd, nyob rau hauv cov ntaub ntawv ntawm ntim cov tshuaj ntawm Lavxias lub tuam txhab OPTAT, JSC, daim ntawv nplaum ntawm thawj qhib tswj tau thov.

Qhia me ntsis

Cov lus qhia txog kev siv tshuaj insulin Humalog yog qhov hluav taws xob heev, thiab cov ntu piav qhia txog kev phiv thiab cov lus qhia rau kev siv nyob ntau dua ib kab lus.

Cov lus piav qhia ntev ntev uas sib xyaw nrog qee cov tshuaj tau pom los ntawm cov neeg mob yog lus ceeb toom txog kev phom sij ntawm kev coj lawv.

Qhov tseeb, txhua yam muaj qhov sib txawv: ib qho loj, cov lus qhia ntxaws ntxaws - cov ntaub ntawv pov thawj ntawm ntau yam kev sim siabtias cov tshuaj no thev taus zoo.

Humalogue tau txais kev pom zoo rau kev siv ntau dua 20 xyoo dhau los, tam sim no nws tuaj yeem ntseeg tau hais tias qhov tshuaj insulin no muaj kev nyab xeeb ntawm kev siv tshuaj.Nws tau txais kev pom zoo rau kev siv los ntawm ob tus neeg laus thiab menyuam yaus; nws tuaj yeem siv rau hauv txhua kis nrog los ntawm kev tsis muaj tshuaj tiv thaiv hnyav: hom 1 thiab hom 2 mob ntshav qab zib, mob ntshav qab zib hauv lub cev, thiab phais mob phais.

Cov ntaub ntawv dav dav txog qhov Humalogue:

Ntawm cov kev mob tshwm sim, hypoglycemia thiab kev fab tshuaj tsis haum yog feem ntau pom (1-10% ntawm neeg mob ntshav qab zib). Tsawg dua 1% ntawm cov neeg mob tsim muaj lipodystrophy ntawm thaj chaw txhaj tshuaj. Qhov ntau zaus ntawm lwm cov kev tsis sib haum yog tsawg dua 0.1%.

Qhov Tseem Ceeb Tshaj Txog Neeg Yuav Tsum

Hauv tsev, Humalog yog tswj hwm subcutaneously siv rab koob xaum qhuav los yog lub tshuab nqus insulin. Yog tias muaj mob loj heev yuav tsum raug tshem tawm, kev tswj hwm cov tshuaj no kuj tuaj yeem ua rau hauv chaw kho mob. Hauv qhov no, nquag tswj cov piam thaj yog qhov tsim nyog kom tsis txhob noj ntau dhau.

Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog insulin lispro. Nws txawv ntawm tib neeg cov tshuaj hormones hauv kev npaj cov amino acids hauv cov qauv molecule. Xws li kev hloov kho tsis tiv thaiv cov cell receptors los ntawm kev paub txog cov tshuaj hormones, yog li lawv yooj yim dhau suab thaj rau lawv tus kheej.

Qhov humalogue tsuas muaj cov tshuaj insulin monomers - ib qho, tsis txuas yam tsis txawv. Vim tias qhov no, nws yog nqus tau nrawm thiab tusyees, pib ua haujlwm kom txo cov piam thaj sai dua li cov tshuaj insulin tsis haum.

Qhov tshuaj Humalog yog qhov tshuaj yeeb-luv dua li piv txwv li, Humulin lossis Actrapid. Raws li kev faib tawm, nws tau xa mus rau cov tshuaj insulin sib piv nrog cov kev ua kom haum.

Pib ntawm nws txoj haujlwm tau nrawm dua, li 15 feeb, yog li cov neeg mob ntshav qab zib tsis tas yuav tos kom txog thaum cov tshuaj ua haujlwm, tab sis koj tuaj yeem npaj zaub mov noj tom qab txhaj tshuaj.

Ua tsaug rau qhov tsis txaus no, nws yuav yooj yim rau kev npaj zaub mov noj, thiab qhov kev pheej hmoo tsis nco qab cov zaub mov tom qab kev txhaj tshuaj yog txo qis dua.

Rau kev tswj zoo glycemic, kev siv tshuaj tua kab mob sai yuav tsum tau ua ke nrog qhov tsim nyog siv ntawm cov insulin ntev. Tib qho kev zam tsuas yog kev siv lub tshuab nqus dej twj tso kua mis rau ntawm lub sijhawm txuas ntxiv.

Cia rau cov neeg mob

Khaws rau hauv tub yees ntawm qhov kub ntawm 2-8 ° C.
Cov tshuaj uas siv hauv daim cartridge / koob txhaj tshuaj yuav tsum tau muab cia rau hauv chav tsev tsis kub tshaj 30 ° C rau tsis pub ntau tshaj 28 hnub.
Tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Tsis txhob pub kom khov.
Khaws tsis ncav cuag ntawm cov menyuam yaus.

Xaiv xaiv

Kev noj tshuaj Humalog ntau nyob ntawm ntau yam thiab txiav txim siab ntawm tus kheej rau txhua tus mob ntshav qab zib. Kev siv cov qauv txheem yog tsis pom zoo, vim tias lawv ua rau kev mob ntshav qab zib hnyav dua.

Yog tias tus neeg mob ua raws li cov zaub mov tsis zoo, lub cev ntawm Humalog yuav tsawg dua li tus qauv ntawm cov thawj coj tuaj yeem muab tau. Hauv qhov no, nws pom zoo kom siv cov tshuaj insulin uas tsis muaj zog tuaj.

Nws yog ib qho tseem ceeb heev: Tsis txhob niaj hnub noj cov tshuaj mafia. Endocrinologist ua rau peb tsis muaj nyiaj txaus siv tshuaj noj thaum muaj ntshav qab zib tuaj yeem li qub tau tsuas yog 147 rubles ... >> nyeem zaj dab neeg ntawm Alla Viktorovna

Ultrashort cov tshuaj hormones muab cov nyhuv loj tshaj. Thaum hloov mus rau Humalog, nws qhov kev pib noj tshuaj yog xam raws li 40% ntawm kev siv insulin luv luv. Raws li cov txiaj ntsig ntawm glycemia, ntau npaum li cas tau kho. Qhov xav tau qhov nruab nrab ntawm kev npaj rau ib khob cij yog 1-1.5 units.

Npe thiab chaw nyob ntawm cov xaib ntau lawm

Kev tsim cov ntawv tshuaj tiav thiab cov ntim thawj:
"Lilly Fabkis." Fabkis (cartridges, QuickPen ™ syringe cwjmem)
2 Ru du Colonel Lilly, 67640 Fegersheim, Fab Kis

Kev lag luam theem ob thiab kev tshaj tawm zoo:
Lilly Fabkis, Fab Kis
2 Ru du Colonel Lilly, 67640 Fegersheim
lossis
Eli Lilly thiab Tuam Txhab, Tebchaws Asmeskas
Indianapolis, Indiana. 46285 (QuickPen ™ syringe Cwjmem)
lossis
JSC OPTAT, Russia
157092, Kostroma cheeb tsam, Susaninsky koog tsev kawm ntawv, nrog. Qaum Qaum teb, microdistrict. Kharitonovo

Cov qauv kev txhaj tshuaj

Lub humalogue yog pricked ua ntej txhua pluas noj, tsawg kawg peb zaug hauv ib hnubCov. Nyob rau hauv cov ntaub ntawv ntawm cov piam thaj siab, kho cov menyuam hlob nyob nruab nrab ntawm kev txhaj tshuaj tseem ceeb tau tso cai. Cov lus qhia rau kev siv pom zoo xam xyuas qhov xav tau ntawm cov tshuaj insulin raws li carbohydrates npaj rau pluas noj tom ntej. Txog 15 feeb yuav tsum dhau los ntawm kev txhaj tshuaj mus rau cov zaub mov.

Raws li kev txheeb xyuas, lub sijhawm no feem ntau tsawg dua, tshwj xeeb yog thaum tav su, thaum cov tshuaj tiv thaiv insulin tsawg dua. Qhov nqus tus nqi yog nruj me ntsis rau ib tus neeg, nws tuaj yeem raug suav siv rov ua ntsuas ntsuas cov ntshav qab zib sai sai tom qab txhaj. Yog tias cov ntshav qab zib ua rau pom qhov cuam tshuam sai dua li cov lus qhia, lub sijhawm ua ntej noj mov yuav tsum raug txo kom tsawg.

Humalog yog ib qho tshuaj sai tshaj plaws, yog li nws yooj yim siv nws ua kev pabcuam thaum muaj xwm txheej ceev rau cov ntshav qab zib yog tias tus neeg mob tau hem nrog lub cev kub ntxhov.

Thov nyeem Daim Ntawv Qhia QuickPen ™ Syringe Cwj mem rau Siv ua ntej Siv

Nyeem phau ntawv no ua ntej siv insulin thawj zaug. Txhua txhua lub sijhawm koj tau txais pob tshiab nrog QuickPen-syringe cwjmem, koj yuav tsum nyeem cov lus qhia rau kev siv dua, raws li nws yuav muaj cov ntaub ntawv tshiab. Cov ntaub ntawv muaj nyob hauv cov lus qhia tsis hloov pauv kev sib tham nrog koj tus kws kho mob txog tus kab mob thiab kev kho koj.

Lub QuickPen-Syringe Cwj mem ("Cwj mem kua") yog cov khoom siv pov tseg, cov xaum xaum xoos ntim uas muaj 300 tawm ntawm insulin. Nrog ib tus cwj mem nkaus xwb, koj tuaj yeem siv ntau lub koob tshuaj insulin. Siv tus cwj mem no, koj tuaj yeem nkag mus rau koob tshuaj nrog qhov tseeb ntawm 1 chav. Koj tuaj yeem nkag los ntawm 1 txog 60 units ib zaug kev txhaj tshuaj. Yog tias koj cov tshuaj ntau dua 60 units, koj yuav tsum tau txhaj ntau dua li ib koob. Nrog txhua qhov kev txhaj tshuaj, lub piston tsuas yog txav me ntsis, thiab koj tuaj yeem tsis pom ib qho kev hloov pauv ntawm nws txoj haujlwm. Lub piston ncav cuag hauv qab ntawm daim cartridge tsuas yog thaum koj siv tag nrho 300 units uas muaj nyob hauv tus cwj mem syringe.

Tus cwj mem tsis tuaj yeem sib koom nrog lwm tus neeg, txawm tias thaum siv rab koob tshiab. Tsis txhob rov siv rab koob. Tsis txhob hla rab koob rau lwm tus neeg. Ib qho mob tuaj yeem sib kis tau nrog rab koob, uas tuaj yeem ua rau kis tau.

Nws tsis pom zoo rau cov neeg mob uas tsis pom kev lossis tsis pom kev kiag li yam tsis muaj kev pom zoo ntawm cov neeg muaj kev pom zoo uas tau kawm los ntawm kev siv lub ntsej muag zoo.

Lub sijhawm ua haujlwm (luv lossis ntev)

Lub ncov ntawm ultrashort insulin yog pom 60 feeb tom qab nws tswj hwm. Lub sijhawm ua haujlwm nyob ntawm lub koob tshuaj; qhov loj dua nws yog, ntev li ntawm cov suab thaj txo qis dua yog nyob hauv nruab nrab - kwv yees li 4 teev.

Neej Neeg tshaj 25

Txhawm rau kom ntsuas qhov tseeb ntawm qhov tshwm sim ntawm Humalog, qabzib yuav tsum tau ntsuas tom qab lub sijhawm no, feem ntau qhov no ua tiav ua ntej noj mov tom ntej. Kev ntsuas ua ntej yog xav tau yog xav tias tsam lub qog ntshav qab zib tsawg.

Lub sijhawm luv luv ntawm lub Humalog tsis yog qhov ua tsis zoo, tab sis qhov zoo ntawm cov tshuaj. Ua tsaug rau nws, cov neeg mob ntshav qab zib mellitus tsis tshua muaj kev tiv thaiv qog ntshav qab zib, tshwj xeeb tshaj yog thaum tsaus ntuj.

Neej Neeg Sib

Ntxiv rau qhov Humalog, lub tuam txhab kev lag luam kws tsim tshuaj Lilly France tsim cov Humalog Mix. Nws yog kev sib xyaw ntawm lyspro insulin thiab protamine sulfate. Ua tsaug rau qhov kev sib txuam no, lub sijhawm pib ntawm cov tshuaj hormone tseem zoo li, thiab lub sijhawm ua haujlwm tau nce ntxiv.

Humalog Mix yog muaj nyob rau hauv 2 ntau qhov:

Qhov zoo dua ntawm cov tshuaj no yog cov tshuaj txhaj yooj yim dua. Them cov ntshav qab zib mellitus thaum lawv siv yog qhov phem dua li nrog kev kho mob ntxiv ntawm kev kho mob insulin thiab kev siv Humalog li ib txwm, yog li ntawd, rau cov me nyuam Humalog Mix tsis siv.

Qhov tshuaj insulin no tau sau tseg:

1. Cov neeg mob ntshav qab zib uas tsis tuaj yeem xam tus kheej ntawm koob tshuaj lossis ua ib qho kev txhaj tshuaj, piv txwv, vim tsis pom kev tsis zoo, tuag tes tuag taw lossis tshee.
2. Cov neeg mob mob hlwb.
3. Cov neeg laus uas muaj ntau yam mob ntshav qab zib thiab kev paub tsis zoo txog kev kho mob yog tias lawv tsis xav paub txoj cai los laij insulin.
4. Tus neeg mob ntshav qab zib nrog hom 2 yog tias nws tus kheej ua cov tshuaj hormones tseem tab tom ua.

Cov Kev Tshaj Tawm ntawm Humalog

Lyspro insulin raws li cov tshuaj nquag muaj tsuas yog nyob hauv thawj phau ntawv teev npe. Cov tshuaj uas ze ze yog NovoRapid (raws li aspart) thiab Apidra (glulisin).

Cov cuab yeej no tseem yog ultra-luv, yog li nws tsis muaj teeb meem twg uas yuav tsum xaiv. Txhua tus tau txais txiaj ntsig zoo thiab muab cov suab thaj txo ntau.

Raws li txoj cai, kev nyiam yog muab rau cov tshuaj, uas tuaj yeem muab pub dawb hauv chaw kho mob.

Qhov kev hloov pauv ntawm Humalog mus rau nws txoj kab ke paum yuav tau tsim nyog muaj kev fab ua txhaum. Yog tias tus mob ntshav qab zib ua raws li cov zaub mov uas tsis muaj carb ntau, lossis feem ntau muaj ntshav qab zib hauv lub cev, nws yog qhov muaj kuab siv tib neeg ntau dua li siv cov tshuaj insulin.

Thov nco tseg: Koj puas npau suav kom tshem tawm cov ntshav qab zib ib zaug thiab rau txhua? Kawm yuav ua li cas kom kov yeej cov kabmob, tsis tas siv cov tshuaj uas kim kim, siv xwb ... >> nyeem ntxiv ntawm no

Nthuav kev sab laj hauv Yandex.Health. Hauv 5 feeb tus kws kho mob yuav pab koj xam
nrog rau cov tib neeg contraindications, noj tshuaj thiab cov phiv.

Kev daws rau iv thiab sc coj pob tshab, tsis muaj xim.

Cov zam: glycerol (glycerin) - 16 mg, metacresol - 3.15 mg, zinc oxide - q.s. rau cov ntsiab lus ntawm Zn2 + 0.0197 mg, sodium hydrogen phosphate heptahydrate - 1.88 mg, hydrochloric acid, tov 10% thiab / lossis sodium hydroxide tov 10% - q.s. mus txog pH 7.0-8.0, dej d / i - q.s. txog li 1 ml.

3 ml - cartridges (5) - hlwv (1) - ib pob khoom ntawm cardboard.
3 ml - cartridge ua rau QuickPen syringe cwj mem (5) - pob duab los qhia.

DNA recombinant tib neeg cov tshuaj insulin. Nws txawv ntawm qhov kawg hauv kev rov ua dua ntawm cov amino acids ntawm txoj haujlwm 28 thiab 29 ntawm cov kab hluav taws xob insulin B.

Lub txiaj ntsig tseem ceeb ntawm cov tshuaj yog kev tswj hwm ntawm cov metabolism hauv qab ntuj. Tsis tas li ntawd, nws muaj qhov ua kom anabolic.

Hauv cov leeg nqaij, muaj qhov nce ntawm cov ntsiab lus ntawm glycogen, fatty acids, glycerol, kev nce ntawm synthesis protein thiab kev nce ntawm kev noj cov amino acids, tab sis tib lub sijhawm muaj glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids.

Hauv cov neeg mob uas muaj hom 1 thiab hom 2 mob ntshav qab zib mellitus, thaum siv cov tshuaj insulin lyspro, hyperglycemia uas tshwm sim tom qab noj mov tau zoo dua yog muab piv nrog kev tiv thaiv tib neeg cov kua dej. Rau cov neeg mob tau txais cov tshuaj insulins luv luv thiab hauv paus, nws yog ib qho tsim nyog yuav tsum xaiv cov koob tshuaj ntawm ob qho insulins thiaj li ua tiav cov ntshav qabzib kom zoo thoob plaws ib hnub.

Ib yam li txhua qhov kev npaj tshuaj insulin, lub sijhawm lyspro insulin ua haujlwm tuaj yeem sib txawv hauv cov neeg mob lossis sijhawm sib txawv ntawm tib tus neeg mob thiab nyob ntawm lub koob tshuaj, chaw txhaj tshuaj, ntshav ntshav, kub cev thiab kev tawm dag zog.

Cov yam ntxwv ntawm lyspro insulin hauv cov menyuam yaus thiab cov hluas yog cov zoo sib xws ntawm cov neeg laus saib.

Hauv cov neeg mob uas muaj ntshav qab zib hom 2 tau txais cov tshuaj sulfonylurea ntau tshaj plaws, qhov ntxiv ntawm lyspro insulin ua rau muaj qhov txo qis hauv glycated hemoglobin.

Lyspro insulin kho mob rau cov neeg mob uas muaj yam type 1 thiab ntshav qab zib hom 2 tau nrog ib tug neeg tsawg zuj zus lawm ntawm nocturnal hypoglycemia.

Qhov glucodynamic lo lus teb rau isulin lispro tsis vam khom rau kev ua haujlwm tsis zoo ntawm lub raum lossis nplooj siab.

Lyspro insulin tau pom tias yog ua kom sib luag rau tib neeg cov tshuaj insulin, tab sis nws cov kev ua tshwm sim sai dua thiab kav rau lub sijhawm luv.

Lyspro insulin yog tus cwj pwm los ntawm qhov pib sai ntawm kev coj ua (li 15 feeb), raws li

Nws muaj qhov nqus dej siab, thiab qhov no tso cai rau koj nkag mus rau nws tam sim ntawd ua ntej noj mov (0-15 feeb ua ntej noj mov), hauv kev sib piv rau cov pa luv luv ua yeeb yam (30-45 feeb ua ntej noj mov).

Lyspro insulin muaj lub sijhawm luv dua (2 mus rau 5 teev) piv rau tib neeg cov tshuaj insulin.

Xuas thiab faib khoom

Tom qab cov tswj hwm sc, insulin Lyspro nrawm nrawm thiab mus txog Cmax hauv ntshav ntshav tom qab 30-70 feeb. Vd ntawm insulin lyspro thiab insulin tib neeg zoo ib yam thiab muaj nyob ntawm thaj tsam ntawm 0.26-0.36 l / kg.

Nrog sc tswj kev tswj hwm ntawm T1 / 2 ntawm insulin, lyspro yog li 1 teev. Cov neeg mob raum thiab mob hepatic tsis txaus muaj qhov feem ntau ntawm kev nqus ntawm lyspro insulin piv rau cov tshuaj insulin rau tib neeg.

- mob ntshav qab zib mellitus hauv cov neeg laus thiab menyuam yaus, yuav tsum tau siv cov tshuaj insulin los pab tswj cov ntshav qabzib kom ntau.

Tus kws kho mob txiav txim siab muab koob tshuaj ib leeg zuj zus, nyob ntawm qhov xav tau ntawm tus neeg mob. Cov tshuaj Humalog® tuaj yeem muab sai ua ntej noj mov, yog tias tsim nyog tam sim tom qab noj mov.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum nyob ntawm chav sov.

Humalog® muab tshuaj s / c raws li kev txhaj tshuaj lossis ntxiv rau s / c txuas ntxiv siv ib lub twj tso kua mis.Yog tias tsim nyog (ketoacidosis, mob hnyav, lub sijhawm ntawm kev ua haujlwm lossis sijhawm hla sijhawm) Humalog) tuaj yeem siv tau iv.

SC yuav tsum muab rau lub xub pwg, ncej puab, pob tw, lossis plab. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj 1 zaug hauv ib hlis.

Thaum s / qhia txog cov tshuaj Humalog®, kev saib xyuas yuav tsum tau saib xyuas kom tsis txhob txais cov tshuaj rau hauv cov hlab ntsha. Tom qab txhaj tshuaj, qhov chaw txhaj tshuaj yuav tsum tsis txhob zaws.

Tus neeg mob yuav tsum tau kawm siv cov txheej txheem kev txhaj tshuaj kom raug.

Cov kev cai ntawm kev tswj hwm ntawm cov tshuaj Humalog®

Npaj rau kev qhia

Kev daws tshuaj Humalog® yuav tsum yog pob tshab thiab xim tsis muaj xim. Ib qho huab, tuab lossis xim me ntsis ntawm cov tshuaj, lossis yog tias cov khoom tawg tau pom los rau hauv nws, yuav tsum tsis txhob siv.

Thaum txhim kho lub taub ntim hauv cov koob txhaj tshuaj (tus cwj mem-txhaj), txuas lub koob thiab coj kev txhaj tshuaj insulin, nws yog qhov yuav tsum tau ua raws li cov khw muag cov lus qhia uas txuas nrog txhua tus xaum xim.

2. Xaiv lub xaib rau kev txhaj tshuaj.

3. Antiseptic tawv nqaij ntawm qhov chaw txhaj tshuaj.

4. Tshem tawm lub hau ntawm rab koob.

5. Kho cov tawv nqaij los ntawm kev ncab nws lossis los ntawm kev ruaj ntseg ntawm cov quav loj. Ntxig lub koob txhaj tshuaj raws li cov lus qhia siv kev xaum xim.

6. Nias lub pob ntawd.

7. Tshem tawm rab koob thiab maj mam nyem qhov chaw txhaj tshuaj rau ob peb feeb. Tsis txhob txhuam thaj chaw txhaj tshuaj.

8. Kev siv rab koob rab koob, tshem tawm rab koob thiab rhuav tshem nws.

9. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom qhov chaw qub siv tsis ntau tshaj li 1 zaug hauv ib hlis.

Kev tswj hwm ntawm insulin

Kev txhaj tshuaj tiv thaiv ntawm Humalog® kev npaj yuav tsum tau ua raws li kev siv tshuaj txhaj rau txoj kev txhaj tshuaj, piv txwv, txhaj tshuaj bolus tswj lossis siv cov txheej txheem infusion. Hauv qhov no, nws yog ib qho tsim nyog feem ntau los tswj cov qib ntawm cov piam thaj hauv cov ntshav.

Lub tshuab ua ke nrog cov ntsiab lus los ntawm 0.1 IU / ml rau 1.0 IU / ml ntawm insulin lispro hauv 0.9% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau chav sov li 48 teev.

P / C insulin infusion siv lub twj tso kua mis

Rau Txoj kev lis ntshav ntawm Humalog®, Minimed thiab Disetronic twj yuav siv tau rau cov tshuaj insulin. Koj yuav tsum nruj me ntsis ua raws cov lus qhia uas tuaj nrog lub twj tso kua mis. Txoj kev lis ntshav yog hloov pauv txhua 48 teev .Thaum txuas lub infusion system, kev cai aseptic tau pom.

Thaum muaj qhov qog ntawm hypoglycemic, Txoj kev lis ntshav yog nres kom txog rau thaum rov zoo. Yog tias pheej rov qab ua lossis txo qis dua cov piam thaj hauv cov ntshav, tom qab ntawd koj yuav tsum qhia koj tus kws kho mob txog qhov no thiab txiav txim siab yuav txo qis lossis tso tseg cov tshuaj insulin.

Lub twj tso kua mis tsis ua hauj lwm lossis kev txhaws hauv txoj kev lis ntshav tuaj yeem ua rau nce ntxiv hauv cov piam thaj. Yog tias lub sijhawm ua txhaum cai ntawm kev ua txhaum ntawm kev muab cov tshuaj insulin, koj yuav tsum ua raws li cov lus qhia thiab yog tias tsim nyog, qhia rau tus kws kho mob.

Thaum siv lub twj tso kua mis, npaj Humalog should yuav tsum tsis txhob sib xyaw nrog lwm cov insulins.

Sab nyhuv cuam tshuam nrog cov nyhuv tseem ceeb ntawm cov tshuaj: ntshav qog. Kev mob ntshav khov ntau heev tuaj yeem ua rau tsis nco qab (hypoglycemic coma) thiab, tshwj tsis yog rau kev tuag.

Kev tsis haum tshuaj: kev ua xua nyob hauv zos muaj peev xwm ua tau - liab, o lossis khaus ntawm qhov chaw txhaj tshuaj (feem ntau yuav ploj mus li ob peb hnub lossis ob peb asthiv), kev tsis haum tshuaj (feem ntau tsis tshua muaj, tab sis muaj mob loj dua) - ua kom khaus, ua pob khaus, mob txha caj qaum, ua npaws, ua tsis taus pa, tsawg HELL, tachycardia, nce hws. Cov uas muaj mob hnyav raug neeg lub cev tuaj yeem tas sim neej.

Cov tshuaj tiv thaiv hauv zos: lipodystrophy ntawm thaj chaw txhaj tshuaj.

- Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj.

Txog rau hnub no, tsis muaj qhov xav tau ntawm Lyspro insulin rau kev xeeb tub lossis kev noj qab haus huv ntawm tus menyuam / tus menyuam tshiab tau pom. Tsis muaj cov kev tshawb fawb nthuav txog kab mob sib kis.

Lub hom phiaj ntawm insulin txoj kev kho mob thaum cev xeeb tub yog tswj hwm cov ntshav qabzib kom txaus rau cov neeg mob ntshav qab zib insulin-los yog mob ntshav qab zib hauv lub ntsej muag. Qhov xav tau rau insulin feem ntau poob qis hauv thawj peb lub hlis thiab nce hauv qib thib ob thiab thib peb thaum cev xeeb tub. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau.

Cov poj niam muaj hnub nyoog yug menyuamCov neeg mob ntshav qab zib yuav tsum qhia lawv tus kws kho mob txog kev xeeb tub uas tab tom npaj lossis npaj ua ntej. Thaum cev xeeb tub, cov neeg mob ntshav qab zib yuav tsum ua tib zoo saib xyuas cov ntshav qabzib, nrog rau kev saib xyuas neeg mob txhua yam.

Hauv cov neeg mob uas mob ntshav qab zib mellitus thaum pub niam mis, yuav tsum tau txhaj tshuaj insulin thiab / lossis noj zaub mov kom haum.

Qhov kev xav tau rau insulin tuaj yeem txo qis nrog lub siab ua haujlwm.

Hauv cov neeg mob uas muaj daim siab tsis txaus, tus nqi ntau dua ntawm kev nqus ntawm lyspro insulin tseem piv rau cov neeg muaj peev xwm insulin.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo nrog lub raum tsis ua haujlwm.

Hauv cov neeg mob uas lub raum tsis ua haujlwm, ntau dua qhov feem ntau ntawm kev nqus ntawm lyspro insulin yog tswj piv rau cov neeg siv tshuaj insulin.

Hloov chaw ntawm tus neeg mob mus rau lwm hom lossis hom tshuaj insulin yuav tsum tau ua raws li kev saib xyuas mob nkeeg nruj me ntsis.

Cov kev hloov hauv kev ua, hom (tsim tawm), hom (piv txwv, tsis tu ncua, NPH, Daim kab xev), hom (tsiaj, tib neeg, tib neeg insulin analogue) thiab / lossis cov qauv kev tsim tawm (DNA recombinant insulin lossis insulin ntawm keeb kwm tsiaj) yuav xav tau hloov pauv cov koob tshuaj.

Kev mob uas cov cim qhia ntxov ntawm hypoglycemia yog qhov tsis tseem ceeb thiab tsis tshua hais tawm muaj xws li txuas ntxiv cov ntshav qab zib mellitus, kev kho mob insulin ntau ntxiv, kab mob hauv cov kab mob ntshav qab zib mellitus, lossis tshuaj noj, xws li beta-blockers.

Hauv cov neeg mob uas muaj lub ntsej muag hypoglycemic tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg insulin, cov tsos mob thaum ntxov ntawm hypoglycemia yuav tsis tshua pom los yog txawv ntawm cov kev paub dhau los ntawm lawv cov insulin yav dhau los. Kev tswj tsis tau tus mob hypoglycemic lossis hyperglycemic tshua tuaj yeem ua rau tsis nco qab, tsis nco qab, lossis tuag.

Kev noj tshuaj tsis txaus lossis tsis ua haujlwm ntawm kev kho mob, tshwj xeeb tshaj yog cov tshuaj insulin-mob ntshav qab zib mellitus, tuaj yeem ua rau hyperglycemia thiab ntshav qab zib ketoacidosis, cov xwm txheej uas yuav tsim kev phom sij rau lub neej ntawm tus neeg mob.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo cov neeg mob lub raum tsis ua haujlwm, zoo ib yam li cov neeg mob lub siab ua haujlwm vim qhov ua haujlwm tsawg kawg ntawm gluconeogenesis thiab insulin metabolism. Txawm li cas los xij, nyob rau hauv cov neeg mob mob siab tsis ua haujlwm ntev, muaj peev xwm tiv thaiv insulin ntau dua tuaj yeem ua rau muaj kev nce ntxiv hauv insulin.

Qhov xav tau ntawm cov tshuaj insulin tuaj yeem nce nrog cov kis kab mob, kev ntxhov siab hauv lub siab, nrog qhov nce ntawm cov carbohydrates hauv cov zaub mov noj.

Yog hais tias tus neeg mob lub cev qoj ib ce ntau zog los yog pauv noj zaub mov zoo ces kuj tseem yuav tsum tau txhaj koob tshuaj.

Kev tawm dag zog tam sim ntawd tom qab noj mov tas yuav ua rau muaj ntshav qab zib tsawg dua.

Ib qhov tshwm sim ntawm lub pharmacodynamics ntawm kev ua yeeb yam sai sai ntawm insulin analogues yog tias yog tias cov ntshav qog ntshav qab zib, tom qab ntawd nws tuaj yeem txhim kho tom qab txhaj tshuaj dua li thaum txhaj cov tshuaj tiv thaiv tib neeg cov tshuaj insulin.

Tus neeg mob yuav tsum tau ceeb toom tias yog tias tus kws kho mob tau sau ib qho tshuaj insulin nrog kev sib xyaw ntawm 40 IU / ml hauv ib lub vial, ces cov tshuaj insulin yuav tsum tsis txhob noj cov tshuaj cartridge nrog cov tshuaj insulin ntawm 100 IU / ml siv koob txhaj rau insulin nrog rau 40 IU / ml.

Yog tias nws yuav tsum tau noj lwm yam tshuaj tib lub sijhawm uas Humalog®, tus neeg mob yuav tsum sab laj nrog kws kho mob.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Nrog hypoglycemia lossis hyperglycemia cuam tshuam nrog kev noj tshuaj tsis zoo, kev ua txhaum ntawm kev muaj peev xwm mloog zoo thiab qhov ceev ntawm psychomotor cov tshuaj tiv thaiv tuaj yeem tau. Qhov no tuaj yeem dhau los ua kev pheej hmoo rau cov haujlwm muaj kev phom sij (suav nrog kev tsav tsheb lossis kev ua haujlwm nrog tshuab).

Cov neeg mob yuav tsum tau ceev faj kom tsis txhob muaj hypolycemia thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas muaj qhov txo qis lossis tsis hnov ​​qhov mob ntawm cov tsos mob kwv yees hypoglycemia, lossis hauv leej twg cuam tshuam ntawm hypoglycemia tshwm sim.

Hauv cov xwm txheej no, nws yog qhov yuav tsum tau los ntsuas qhov ua tau ntawm kev tsav tsheb. Cov neeg mob ntshav qab zib muaj peev xwm tiv thaiv nws tus kheej los ntawm kev muaj ntshav qabzib tsawg tsawg los ntawm kev noj ntshav qabzib lossis zaub mov ntau hauv carbohydrates (Nws raug nquahu kom koj ib txwm muaj tsawg kawg 20 g piam thaj nrog koj).

Tus neeg mob yuav tsum qhia tus kws kho mob uas koom nrog paub txog qhov hloov pauv hypoglycemia.

Cov tsos mob hypoglycemia, nrog rau cov tsos mob hauv qab no: qaug zog, tawm hws ntau, mob tachycardia, mob taub hau, ntuav, tsis meej pem.

Kev Kho Mob: ntshav qab zib tsawg feem ntau nres ntawm kev noj cov piam thaj lossis lwm yam piam thaj, lossis los ntawm cov khoom uas muaj suab thaj.

Kev kho cov ntshav qog ntshav me ntsis tuaj yeem nqa nrog kev pab los ntawm a / m lossis s / c tswj hwm ntawm glucagon, tom qab ntawd kev noj cov zaub mov carbohydrates tom qab ua kom tus neeg mob lub cev ruaj khov. Cov neeg mob uas tsis teb rau glucagon raug muab iv dextrose (glucose) tov.

Yog tias tus neeg mob tsis nco qab, tom qab ntawd glucagon yuav tsum tau txhaj rau hauv / m lossis s / c. Thaum tsis muaj glucagon los sis yog tias tsis muaj tshuaj tiv thaiv rau nws txoj kev tswj hwm, nws yog qhov tsim nyog los qhia qhov kev daws teeb meem ntawm dextrose (piam thaj). Tam sim ntawd tom qab rov qab nco qab, tus neeg mob yuav tsum tau txais cov khoom noj uas muaj carbohydrate-nplua nuj.

Ntxiv rau kev txhawb nqa cov carbohydrate kom tsawg thiab kev saib xyuas tus neeg mob yuav tsum tau ua, raws li Ib qho kev rov qab los ntawm hypoglycemia yog ua tau.

Cov nyhuv hypoglycemic yog txo los ntawm kev tiv thaiv qhov ncauj, corticosteroids, thyroid hormone npaj, danazol, beta2-adrenergic agonists (suav nrog rhytodrin, salbutamol, terbutaline), tricyclic antidepressants, thiazide diuretics, chlorprotixen, diazitinium derivatives ntawm phenothiazine.

Cov nyhuv hypoglycemic ntawm Humalog yog txhim kho los ntawm beta-blockers, ethanol thiab ethanol-muaj cov tshuaj, anabolic steroids, fenfluramine, guanethidine, tetracyclines, tshuaj tiv thaiv hypoglycemic, salicylates (piv txwv li, acetylsalicylic acid, aniloprilactyl antagonists, MAP inhibitors, Ml. angiotensin II cov neeg txais.

Humalog® yuav tsum tsis txhob sib xyaw nrog tsiaj cov tshuaj insulin.

Humalog® tuaj yeem siv (nyob rau hauv kev saib xyuas ntawm tus kws kho mob) hauv kev sib xyaw nrog cov insulin ntev dua, lossis siv nrog cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj, sulfonylurea derivatives.

Sau npe B. Cov tshuaj yuav tsum muab cia kom ncav tsis cuag ntawm cov menyuam yaus, hauv lub tub yees, ntawm qhov txias li 2 ° txog 8 ° C, tsis txhob cia kom khov. Txee lub neej yog 2 xyoos.

Cov tshuaj yeeb hauv kev siv yuav tsum khaws cia hauv chav sov li ntawm 15 ° txog 25 ° C, tiv thaiv los ntawm tshav ntuj ncaj qha thiab kub. Txee lub neej - tsis pub dhau 28 hnub.

Cov tshuaj yog ntawv yuav tshuaj.

Cov ntaub ntawv tshawb fawb muab nthuav dav dav dav thiab tsis tuaj yeem siv los txiav txim siab txog kev siv tshuaj tshwj xeeb.

Muaj contraindications, sab laj koj tus kws kho mob.

Cov yam ntxwv thiab cov lus qhia rau kev siv insulin Humalog

Ntawm cov tshuaj feem ntau siv cov tshuaj insulin tuaj yeem hu ua Humalog. Cov tshuaj kho tau raug tsim tawm hauv Switzerland.

Nws yog ua raws li insulin Lizpro thiab npaj rau kev kho mob ntshav qab zib.

Cov tshuaj yuav tsum yog tus kws kho mob sau tseg. Nws kuj yuav tsum piav qhia txoj cai tswj kev noj tshuaj txhawm rau kom zam dhau lub txim tsis zoo. Cov tshuaj yuav muag los ntawm cov tshuaj xaj.

Cov ntaub ntawv dav dav thiab thaj chaw muag tshuaj

Humalog yog nyob rau hauv daim ntawv ntawm ncua kev kawm lossis kev txhaj tshuaj. Kev raug tshem tawm yog txais tos nyob rau hauv cov neeg dawb thiab ib qho nyiam nyiam lub siab. Txoj kev daws teeb meem tsis muaj xim thiab tsis ntxhiab, pob tshab.

Qhov tseem ceeb ntawm cov khoom muaj pes tsawg leeg yog Lizpro insulin.

Ntxiv rau nws, cov khoom xyaw xws li:

• dej
• metacresol
• zinc oxide
• glycerol
• sodium hydrogen phosphate heptahydrate,
• Cov kua sodium hydroxide.

Cov khoom lag luam raug muag hauv 3 ml cartridges. Cov ntawv thawv yog nyob hauv Quickpen syringe mem, 5 daim ib pob.

Tseem muaj ntau yam yeeb tshuaj, uas suav nrog kev kho luv luv ntawm cov tshuaj insulin thiab kev txwv tsis pub tshuaj. Lawv hu ua Humalog Mix 25 thiab Humalog Mix 50.

Lizpro insulin yog ib qho tshuaj tiv thaiv ntawm tib neeg cov tshuaj insulin thiab yog tus cwj pwm zoo tib yam. Nws pab txhawm rau ua kom nce tus nqi ntawm cov piam thaj. Cov tshuaj ua yeeb yaj kiab ua haujlwm ntawm lub cell cell, vim tias cov piam thaj hauv cov ntshav nkag mus rau cov ntaub so ntswg thiab muab faib rau hauv lawv. Nws kuj txhawb nqa ua kom cov protein ua haujlwm zoo.

Cov tshuaj no yog tus cwj pwm los ntawm kev ua sai. Cov nyhuv tshwm nyob rau hauv ib lub hlis twg ntawm ib teev tom qab txhaj tshuaj. Tab sis nws mob tsawv rau ib pliag. Ib nrab ntawm lub neej ntawm cov tshuaj xav tau ntev txog 2 teev. Qhov siab tshaj plaws rau lub sijhawm yog 5 teev, uas cuam tshuam los ntawm qee qhov yam ntxwv ntawm tus neeg mob lub cev.

Cov Neeg Mob Tshwj Xeeb thiab Cov Lus Qhia

Thaum siv Humalog, qee qhov yuav tsum tau ceev faj txog qhov tshwj xeeb ntawm cov neeg mob. Lawv lub cev yuav nkag siab dhau los cuam tshuam txog cov tshuaj insulin, yog li koj yuav tsum tau ua tib zoo saib xyuas.

Ntawm lawv yog:

1. Cov poj niam thaum cev xeeb tub. Raws txoj kev xav, kev kho mob ntshav qab zib hauv cov neeg mob no tau tso cai. Raws li kev tshawb pom, cov tshuaj tsis cuam tshuam rau kev txhim kho ntawm tus menyuam thiab tsis ua rau muaj kev rho menyuam hauv plab. Tab sis nws yuav tsum tau yug los hauv lub siab tias lub sijhawm no cov theem ntawm cov piam thaj hauv cov ntshav tuaj yeem sib txawv ntawm cov sijhawm sib txawv. Qhov no yuav tsum raug tswj kom tsis txhob muaj qhov tsis xav ua yam tsis zoo.
2. Saib xyuas niam cov txiv. Kev nkag mus ntawm cov tshuaj insulin rau hauv niam mis tsis yog qhov kev phom sij rau tus menyuam mos. Qhov khoom siv no muaj cov keeb kwm protein thiab nqus tau ntawm txoj hnyuv zom zaub mov. Qhov ceeb toom tsuas yog tias cov poj niam uas ua raws li kev noj zaub mov zoo yuav tsum yog nyob ntawm zaub mov noj.

Rau cov menyuam yaus thiab cov laus hauv qhov tsis muaj teeb meem kev noj qab haus huv, tsis muaj kev saib xyuas tshwj xeeb. Cov tshuaj Humalog yog qhov haum rau lawv txoj kev kho mob, thiab tus kws kho mob yuav tsum xaiv qhov ntau npaum li cas los ntawm cov yam ntxwv ntawm chav kawm ntawm tus kabmob.

Kev siv ntawm Humalog yuav tsum muaj qee qhov kev xav hauv kev sib raug rau qee yam kabmob sib kis.

Cov no suav nrog:

1. Kev ua txhaum nyob rau hauv daim siab. Yog tias qhov kev ua haujlwm ntawm lub cev ua haujlwm tsis zoo tshaj li qhov tsim nyog, tom qab ntawd cov nyhuv ntawm cov tshuaj rau nws yuav dhau mus, uas ua rau muaj teeb meem, nrog rau kev txhim kho ntshav qab zib. Yog li ntawd, nyob rau hauv qhov muaj kab mob siab, qhov kev noj tshuaj ntawm Humalog yuav tsum raug txo kom tsawg.
2. Teeb meem lub raum ua haujlwm. Yog tias lawv nyob hauv, nws tseem muaj qhov txo qis hauv lub cev xav tau cov tshuaj insulin. Hauv kev hais txog qhov no, koj yuav tsum ua tib zoo suav seb puas noj ntau npaum li cas thiab saib xyuas txoj kev kho. Lub xub ntiag ntawm cov teeb meem zoo li no yuav tsum muaj kev tshuaj xyuas lub raum ib qho zuj zus.

Humalog muaj peev xwm ua rau cov ntshav qab zib tsawg, vim qhov ceev ntawm qhov tshwm sim thiab lub peev xwm mloog zoo yog cuam tshuam.

Kiv taub hau, tsis muaj zog, tsis meej pem - tag nrho cov yam ntxwv no tuaj yeem cuam tshuam kev ua haujlwm ntawm tus neeg mob. Kev ua ub no uas xav tau kev nrawm thiab kev xav yuav ua tsis tau rau nws. Tab sis cov tshuaj nws tus kheej tsis cuam tshuam rau cov ntsej muag no.

Phiv thiab haus tshaj

Qhov tshwm sim ntawm kev phiv tuaj yeem yog qhov txaus ntshai heev. Tus neeg mob yuav tsum qhia rau tus kws kho mob txog cov kev hloov pauv uas tau pom los ntawm nws.

Feem ntau cov teeb meem yog:

• ntshav qab zib,
• daim tawv nqaij liab
• o tuaj
• khaus
• npaws
• tachycardia
• tsawg siab
• nce tawm hws,
• lipodystrophy.

Qee qhov kev cuam tshuam saum toj no tsis txaus ntshai, vim tias lawv tshwm sim me ntsis thiab dhau sijhawm.

Lwm tus tuaj yeem tsim teeb meem loj. Yog li, yog tias muaj kev mob tshwm sim, koj yuav tsum tau sab laj nrog koj tus kws kho mob txog kev muaj peev xwm kho tus mob Humalog.

Nws yuav ntsuas cov kev pheej hmoo txaus ntshai, txheeb xyuas qhov ua rau lawv (qee zaus lawv dag hauv tus neeg mob tsis raug) thiab sau ntawv yuav kho kom tsim nyog los kho cov tsos mob tsis zoo.

Kev siv tshuaj ntau dhau ntawm cov tshuaj no feem ntau ua rau lub ntsej muag hypoglycemic. Nws tuaj yeem ua tau txaus ntshai heev, qee zaum tseem ua rau muaj kev tuag.

Nws yog tus yam ntxwv xws li:

• kiv taub hau
• tab kaum ntawm kev nco qab
• lub plawv dhia,
• mob taub hau
• tsis muaj zog
• txo hauv cov ntshav siab,
• tsis hnov ​​lus,
• tsaug zog
• cramps
• tshee hnyo.

Cov tsos mob ntawm cov tsos mob ntawm lub qog ntshav qab zib yuav tsum tau hu rau tus kws tshaj lij. Qee qhov xwm txheej, qhov teeb meem no tuaj yeem nruab nrab nrog cov khoom lag luam nyob rau hauv carbohydrates, tab sis nws kuj tseem tshwm sim tias yog tias tsis muaj tshuaj nws tsis tuaj yeem ua rau tus neeg mob li qub. Nws xav tau kev kho mob sai, yog li koj yuav tsum tsis txhob sim kho qhov teeb meem ntawm koj tus kheej.

Kev txheeb xyuas txog cov tshuaj no muaj kev sib cav. Qee zaum cov neeg mob tsis nyiam qhov cuab yeej no, thiab lawv tsis kam nws. Feem ntau cov teeb meem tshwm sim nrog kev siv tsis tsim nyog ntawm Humalog, tab sis qee zaum qhov no tshwm sim vim kev tsis haum ntawm qhov muaj pes tsawg leeg. Tom qab ntawd tus kws kho mob uas koom nrog yuav tsum xaiv ib qho tshuaj ntawm cov tshuaj no txhawm rau txuas ntxiv kev kho mob ntawm tus neeg mob, tab sis kom nws nyob nyab xeeb dua thiab xis dua.

Raws li kev hloov chaw tuaj yeem siv:

1. Cov tshuaj yog ib qho isofan insulin-based ua ke kev ncua. Nws yog tus cwj pwm los ntawm contraindications zoo ib yam li Humalog thiab kev mob tshwm sim. Cov tshuaj yog tseem siv subcutaneously.
2. Nyob Nruab Nrab. Cov twj yog sawv cev los ntawm kev daws teeb meem. Lub hauv paus yog tib neeg cov kua dej.
3. Yawg Hlob. Qhov no yog tib neeg cov kua dej tshuaj txhaj.
4. Protafan. Qhov tseem ceeb ntawm cov tshuaj yog cov tshuaj insulin Isofan. Nws yog siv nyob rau hauv tib qho xwm txheej ntawm Humalog, nrog kev ceev faj tib yam. Siv nyob rau hauv daim ntawv ntawm cov raug muab tshem tawm.

Txawm hais tias zoo sib xws hauv txoj cai ntawm kev nqis tes, cov tshuaj no txawv ntawm Humalog.

Yog li, qhov muab tshuaj rau lawv yog xam dua, thiab thaum hloov mus rau qhov cuab yeej tshiab, tus kws kho mob yuav tsum tswj cov txheej txheem. Kev xaiv ntawm cov tshuaj uas tsim nyog kuj yog nws, vim tsuas yog nws tuaj yeem ntsuas qhov kev pheej hmoo thiab ua kom paub tseeb tias tsis muaj kev tiv thaiv kabmob.

Mus yuav tshuaj hauv tib lub khw muag tshuaj, yog tias muaj tshuaj los ntawm kws khomob. Rau qee tus neeg mob, nws tus nqi yuav zoo li siab, thaum lwm tus ntseeg tias cov tshuaj muaj nqis vim tias nws ua haujlwm tau zoo. Kev kis tau ntawm tsib daim cartridges nrog qhov muaj peev xwm txhaws 3 ml yuav tsum muaj 1700-2100 rubles.

Yuav ua li cas QuickPen ™ syringe Cwj Pwm Sib Txawv:

Npaj cov ntawv xwj xim rau kev tswj hwm insulin:

• Ntxuav koj ob txhais tes nrog xab npum.
• Kuaj tshuaj hauv xaim hluav taws xob kom paub tseeb tias nws muaj hom insulin uas koj xav tau. Qhov no tseem ceeb heev yog tias koj siv ntau tshaj 1 hom tshuaj insulin.
• Tsis txhob siv cov xaum uas tas sij hawm raws li qhia ntawm daim ntawv lo.
• Txhua zaus yuav tsum tau siv cov koob tshiab nrog txhua txoj kev txhaj tshuaj tiv thaiv kev kis mob thiab tiv thaiv qhov txhaws ntawm koob.

Theem 1:

• Tshem lub hau ntawm cov cwj mem syringe.
  - Tsis txhob hle daim phus rho tes tawm.
• Siv roj hmab (discab) ntsaws nrog tus pas cawv hauv cawv.

Theem 2 (tsuas yog npaj rau Humalog Mix 25 thiab Humalog Mix 50):

• Maj mam muab cov kua xaum xaum nqus ntawm koj xib teg 10 npaug.
• Thiab
• Tig lub tshuaj txhuam dua 10 zaug.

Kev lo yog qhov tseem ceeb rau kev kuaj qhov tseeb. Cov tshuaj insulin yuav tsum saib zoo ib yam.

Theem 3:

• Txheeb xyuas cov tshuaj insulin.

Humalog® yuav tsum pob tshab thiab xim tsis muaj xim. Tsis txhob siv yog tias nws yog huab, muaj qhov xim, lossis qee yam lossis txhaws.

Humalog® Mix 25 yuav tsum dawb thiab khov tom qab sib tov. Tsis txhob siv yog tias nws yog pob tshab, lossis yog tias muaj qee qhov txhaws lossis tawm muaj nyob hauv nws.

Humalog® Sib tov 50 yuav tsum yog xim dawb thiab huab tom qab sib tov. Tsis txhob siv yog tias nws yog pob tshab, lossis yog tias muaj qee qhov txhaws lossis tawm muaj nyob hauv nws.

Theem 4:

• Siv ib rab koob tshiab.
• Tshem tawm daim ntawv nplaum ntawm lub hau ntxiv ntawm rab koob.

Theem 5:

• Tso lub hau nrog rab koob ncaj qha rau ntawm tus xaum qhuav thiab tig lub koob thiab lub hau kom txog thaum nws snaps rau hauv qhov chaw

Theem 6:

• Tshem tawm ntawm sab nraud ntawm rab koob. Tsis txhob muab pov tseg.
• Tshem lub hau ntawm lub hau thiab muab pov tseg.

Txheeb cov txhaj tshuaj xau rau txoj kev haus tshuaj

Xws li daim tshev yuav tsum tau nqa tawm ua ntej txhua txoj kev txhaj tshuaj.

• Kev kuaj xyuas cov kua xaum xaum rau kev haus tshuaj yog nqa tawm kom tshem tawm cov huab cua los ntawm rab koob thiab lub taub ntim, uas tuaj yeem ntxiv thaum lub sijhawm khaws cia ib txwm, thiab ua kom cov kua dej xaum ua haujlwm zoo.
• Yog tias koj tsis ua qhov kev kuaj ua ntej txhua qhov kev txhaj tshuaj, koj tuaj yeem nkag rau qhov qis dhau los lossis qis dhau ntawm qhov koob txhaj tshuaj insulin.

Theem 7:

• Txhawm rau kuaj cov xaum xaum xaum rau kev noj tshuaj, teeb tsa 2 pawg los ntawm kev hloov lub pob koob tshuaj.

Theem 8:

• Tuav tus xaum xaws tes nrog rab koob kom txog. Maj mam coj mus rhaub lub taub hau lub thawv kom cov pa npuas sau rau saum.

Theem 9:

• Txuas ntxiv tuav tus tes tuav rab koob nrog rab koob kom txuas ntxiv. Nias lub khawm koob tshuaj kom txog thaum nws nres thiab "0" tshwm rau ntawm lub qhov ntsuas qhov ntsuas tshuaj. Thaum tuav lub koob tshuaj khawm, maj mam suav nrog 5.

Koj yuav tsum pom cov insulin ntawm qhov kawg ntawm rab koob.

- Yog tias qhov poob ntawm cov tshuaj insulin tsis tshwm sim rau ntawm lub ntsis ntawm rab koob, rov ua cov kauj ruam ntawm kev kuaj lub koob txhaj tshuaj rau kev siv tshuaj. Daim tshev tuaj yeem nqa tau tsis pub dhau 4 zaug.
- Yog tias qhov tshuaj insulin tseem tsis tshwm sim, hloov lub koob thiab rov ua daim tshev tshuaj ntsuam rau kev tswj hwm tshuaj.

Lub xub ntiag ntawm cov cua npuas me me yog qhov qub thiab tsis cuam tshuam rau qhov koob tshuaj tau muab.

Xaiv xaiv

• Koj tuaj yeem nkag los ntawm 1 txog 60 units ib zaug kev txhaj tshuaj.
• Yog tias koj cov tshuaj ntau dua 60 units. Koj yuav tsum tau ua ntau dua li kev txhaj tshuaj ib zaug.

- Yog tias koj xav tau kev pab yuav faib cov koob tshuaj li cas, hu rau koj tus kws kho mob.
- Rau txhua txoj kev txhaj tshuaj, siv ib rab koob tshiab thiab rov ua qhov txheej txheem los kuaj xyuas lub koob txhaj tshuaj rau kev siv tshuaj.

Theem 10:

• Tig lub pob tshuaj txhaj kom tau txais qhov koob tshuaj insulin uas koj xav tau. Qhov ntsuas qhov ntsuas yuav tsum nyob tib txoj kab nrog cov naj npawb ntawm qhov sib thooj rau koj cov koob tshuaj.

- Nrog tig ib zaug, cov kev tswj hwm koob tshuaj hloov chaw 1 chav nyob.
- Txhua zaus koj tig lub khawm koob tshuaj, ib qho nias tau tsim.
- Koj yuav tsum TSIS TXHOB xaiv ib koob tshuaj los ntawm kev suav nyem, vim tias cov koob tshuaj tsis yog yuav raug ntaus txoj hauv kev no.
- Lub koob tshuaj tuaj yeem hloov kho los ntawm tig khawm koob tshuaj nyob rau hauv qhov kev xav xav kom txog rau thaum ntawd. kom txog thaum pom ib daim duab sib thooj rau koj li kev tso tshuaj tshwm nyob rau hauv lub qhov taw qhia qhov ntsuas tshuaj nyob ntawm ib txoj kab nrog qhov ntsuas ntsuas.
- Txawm hais tias cov lej raug qhia ntawm lub nplai.
- Cov lej khib, tom qab tus lej 1, qhia los ntawm cov kab khoom.

• Txhua zaus yuav tsum xyuas tus lej hauv lub qhov ntsuas qhov ntsuas tshuaj kom paub tseeb tias qhov tshuaj koj tau txhaj tshuaj kom raug.
• Yog tias muaj cov tshuaj insulin tsawg dua hauv cov xias syringe dua li qhov koj xav tau, koj siv tsis tau lub koob txhaj tshuaj kom tso cov tshuaj uas koj xav tau.
• Yog tias koj yuav tsum nkag mus rau hauv ntau qhov ntau dua li nyob sab hauv lub hauv syringe. Koj tuaj yeem:

- nkag mus rau hauv lub ntim uas tseem tshuav nyob hauv koj lub xias syringe, thiab tom qab ntawd siv tus cwj mem tshiab los qhia cov tshuaj uas tseem tshuav, lossis
- noj tus cwj mem tshiab thiab nkag rau tag nrho cov tshuaj.

• Qhov tshuaj insulin me me yuav nyob hauv tus cwj mem, uas koj tsis tuaj yeem txhaj tshuaj.

Kev Txhaj Tshuaj

• Txhaj tshuaj insulin raws nraim li koj tus kws kho mob tau qhia.
• Ntawm txhua qhov kev txhaj tshuaj, hloov pauv (hloov pauv) qhov chaw txhaj tshuaj.
• Tsis txhob sim hloov cov tshuaj thaum lub sijhawm txhaj tshuaj.

Theem 11:

Cov tshuaj insulin yog txhaj rau hauv qhov tawv nqaij (sib luag) rau hauv lub xub ntiag ua ntej phab ntsa, pob tw, lub duav, lossis xub pwg.

• Npaj koj cov tawv nqaij raws li kws kho mob pom zoo.

Theem 12:

• Ntxig lub koob tso rau hauv qab daim tawv nqaij.
• Nias lub koob tshuaj txuas ntxiv mus.

- Tuav lub khawm khawm. suav maj mam mus txog 5, thiab tom qab ntawd tshem cov koob tawm ntawm daim tawv nqaij.

Tsis txhob sim muab cov tshuaj insulin los ntawm tig lub koob tshuaj. Thaum koj tig lub koob tshuaj khawm, cov tshuaj insulin tsis ntws.

Theem 13:

• Tshem tawm rab koob ntawm daim tawv nqaij.
  "Qhov no tsis muaj dab tsi yog poob ntawm cov tshuaj insulin rau hauv lub taub hau." Qhov no tsis cuam tshuam qhov tseeb ntawm koj qhov kev noj tshuaj.
• Kos tus lej hauv lub ntsuas qhov rai.
  - Yog tias lub qhov rai ntsuas qhov ntsuas tshuaj yog "0", tom qab ntawd. Koj tau nkag siab qhov koob tshuaj koj tau noj tag nrho.
  - Yog tias koj tsis pom “0” rau hauv lub qhov ntsuas qhia tshuaj, tsis txhob rov ntaus dua. Ntxig lub koob tso rau hauv qab tawv nqaij dua thiab ua tiav kev txhaj tshuaj.
  - Yog tias koj tseem xav tias qhov tshuaj uas koj tau hu yuav tsis tau nkag rau hauv, tsis txhob rov ua qhov kev txhaj tshuaj. Kuaj koj cov piam thaj hauv ntshav thiab ua raws li koj tus kws kho mob qhia.
  - Yog tias koj yuav tsum tau txhaj 2 koob rau qhov tshuaj kom txhij, tsis txhob hnov ​​qab hno qhov koob thib ob.

Nrog txhua qhov kev txhaj tshuaj, lub piston tsuas yog txav me ntsis, thiab koj tuaj yeem tsis pom ib qho kev hloov pauv ntawm nws txoj haujlwm.

Yog tias koj pom tias muaj ntshav tawm tom qab tshem rab koob tawm ntawm daim tawv nqaij, maj mam nias ib daim ntaub huv huv los yog cawv cawv rau qhov chaw txhaj tshuaj. Tsis txhob txhuam thaj chaw no.

Tom qab txhaj tshuaj

Theem 14:

• Ua tib zoo muab tso rau sab nraud ntawm rab koob.

Theem 15:

• Tshem tawm rab koob nrog lub hau thiab pov tseg ntawm nws raws li tau piav qhia hauv qab no (saib Ntu “Kev Puas Tsuaj ntawm Kev Xa Yeeb Siv thiab koob”).
• Tsis txhob tso cov xaum xaum nrog cov koob tso ua ke kom tiv thaiv cov tshuaj insulin, txhaws ntawm rab koob, thiab cua nkag mus hauv cov xaum xaum.

Theem 16:

• Muab lub hau tso rau ntawm tus cwj mem syringe, kho lub hau txiav nrog lub qhov koob tshuaj thiab nias nws.

Pov tseg ntawm koob txhaj tshuaj thiab koob

• Siv cov koob uas siv los tso rau hauv cov thawv ntim txag lossis lub thawv ntim khoom yas uas muaj lub hau kaw kom nruj. Tsis txhob muab rab koob tso rau hauv qhov chaw uas tau npaj tseg rau hauv tsev neeg pov tseg.
• Tus cwj mem uas siv siv tau tuaj yeem muab pov tseg nrog cov khoom pov tseg hauv tsev tom qab tshem tawm rab koob.
• Tham nrog koj tus kws kho mob txog kev yuav pov tseg koj lub thawv ntim cov ntse ntse.
• Cov lus qhia rau pov tseg cov koob uas nyob hauv phau ntawv no tsis hloov pauv cov cai, cov cai tswjfwm lossis cov cai tswjfwm siv los ntawm ib lub tsev haujlwm.

Cwj mem cia

Cwj mem tsis siv

• Khaws cov xaum xaum tsis siv rau hauv lub tub yees ntawm qhov kub ntawm 2 ° C rau 8 ° C.
• Tsis txhob ua kom koj cov insulin. Yog tias nws khov lawm, tsis txhob siv nws.
• Cov pawm uas tsis siv lawm tuaj yeem khaws cia kom txog thaum hnub tas sij hawm uas tau sau rau ntawm daim ntawv lo, qhia tias lawv muab cia rau hauv tub yees.

Tus xaum qhuav siv tam sim no siv

• Khaws cov xaum xaum uas koj tab tom siv hauv chav sov txog 30 ° C hauv qhov chaw tiv thaiv los ntawm tshav kub thiab lub teeb.
• Thaum hnub tas sij hawm uas tau sau tseg rau ntawm pob ntawv tas sij hawm, cwj mem siv yuav tsum tau muab pov tseg, txawm hais tias insulin nyob hauv nws.

Kev daws teeb meem

• Yog tias koj tsis tuaj yeem tshem lub hau los ntawm tus xaum xaum, maj mam ntswj nws, thiab rub lub hau.
• Yog hais tias lub koob tshuaj khawm tau nias nyuaj:
  - Nias lub koob txhaj tshuaj khawm qeeb dua. Maj mam nias lub koob txhaj tshuaj khawm ua rau kev txhaj tshuaj yooj yim dua.
  "Tej zaum yuav txhaws tau." Ntxig rab koob tshiab thiab tshawb xyuas cov ntawv xaum xaum rau kev siv tshuaj.
  - Nws muaj tau tias hmoov av lossis lwm yam khoom muaj nyob rau hauv xaum xaum xaum. Muab tej daim hlaws tes coj los tso rau hauv thiab muab dua lub tshiab.

Yog tias koj muaj lus nug lossis teeb meem siv QuickPen Syringe Pen, tiv tauj Eli Lilly lossis koj tus kws kho mob.