Insuman Bazal GT

Lub npe tshuaj	Lub teb chaws tsim khoom	Tus nquag ua haujlwm (INN)
Soj ntsuam Nph	Lavxias	Neeg insulin, Isofan
Rinsulin Nph	Lavxias	Neeg insulin, Isofan
Rosinsulin C	Lavxias	Neeg insulin, Isofan

Lub npe tshuaj	Lub teb chaws tsim khoom	Tus nquag ua haujlwm (INN)
Biosulin N	Is Nrias teb, Russia	Neeg insulin, Isofan
Vozulim-N	Is Nrias teb	Neeg insulin, Isofan
Gensulin N	Poland, Russia	Neeg insulin, Isofan
Protafan Nm	Denmark	Neeg insulin, Isofan
Protafan Nm Penfill	Denmark	Neeg insulin, Isofan
Humodar B 100 Hav dej	Ukraine	Neeg insulin, Isofan

Nthuav cov lus nyob rau hauv tag nrho »

Lub npe tshuaj	Daim ntawv tso tawm	Nqe (luv nqi)

Yuav cov tshuaj Rinsulin Nph analognpch susp. s / c 100me / ml 3ml n5 (cartridge)1 019,00 rub. Yuav nrog xa Rinsulin Nph analogr rr d / hauv. 100me / ml 3ml n5 (cartridge)1 005,00 rub. Yuav nrog xa

Lub npe tshuaj	Daim ntawv tso tawm	Nqe (luv nqi)

Yuav cov tshuaj Protafan Nm analogueIns. nm cwj mem kua rau kev ncua kev txhaj tshuaj 100me / ml 3ml No. 5891,00 rub Yuav nrog xa Protafan Nm analogueCov tshuaj insulin nm vial 100me / ml 10ml372,00 rub Yuav nrog xa Protafan Nm analoguenm penfill raug tshem tawm rau kev tswj hwm subcutaneous 100 u / ml 3 ml 5 cartridges895,10 rub. Yuav nrog xa Protafan Nm analoguenm tshem tawm rau kev tshem tawm ntawm 100 tswj / ml 10 ml423,00 rub Yuav nrog xa

• Kev Npaj
• Insuman Bazal GT

Cov lus qhia phau ntawv

• Kev tso npe sau npe: Sanofi-Aventis Deutschland, Gmbh (Lub Tebchaws Yelemees)
• Ntim: Sanofi-Aventis Deutschland, Gmbh (Lub Tebchaws Yelemees) Sanofi-Aventis Vostok, ZAO (Russia)

Daim ntawv tso tawm
Ncua rau sc coj ntawm 100 IU / 1 ml: fl. 5 ml 5 pcs.
Kev Rau Txim Rau SC coj 100 IU / 1 ml: cartridges 3 ml 5 pcs., Cartridges hauv cov koob txhaj tshuaj Solostar ® 3 ml 5 pcs.
Raug tshem tawm rau sc tswj 100 IU / ml: 3 ml cartridges 5 pcs., Cartridges hauv cov koob txhaj tshuaj Solostar ® 3 ml 5 pcs.
Ncua rau sc coj ntawm 100 IU / ml: fl. 5 ml 5 pcs.

Kev siv tshuaj hypoglycemic, nruab nrab ua yeeb yam insulin. Insuman ® Basal GT muaj cov tshuaj insulin zoo ib yam hauv cov qauv rau tib neeg insulin, tau los ntawm kev tsim hluav taws xob engineering siv E.coli K12 135 pINT90d.

Cov tshuaj insulin txo cov concentration ntawm cov piam thaj hauv cov ntshav, txhawb cov teebmeem anabolic thiab txo cov teebmeem catabolic. Nws nce cov piam thaj hauv kev thauj mus rau hauv cov hlwb thiab glycogen synthesis hauv cov leeg thiab nplooj siab, txhim kho kev siv pyruvate, thiab inhibits glycogenolysis thiab gluconeogenesis. Cov tshuaj insulin nce lipogenesis nyob rau hauv daim siab thiab adipose ntaub so ntswg thiab inhibits lipolysis. Txhawb nqa qhov khiav ntawm cov amino acids rau hauv cov hlwb thiab kev sib txuas ntawm cov protein, nce cov ndlwg poov tshuaj rau hauv cov hlwb.

Insuman ® Bazal GT yog cov tshuaj insulin ntev ntev nrog kev maj mam pib ntawm kev ua. Tom qab kev tswj hwm sc, cov nyhuv hypoglycemic tshwm sim nyob rau hauv 1 teev, nce mus txog qhov siab kawg tom qab 3-4 teev, tsub kom txog 11-20 teev.

Hauv cov neeg mob noj qab haus huv, T 1/2 ntawm ntshav ntshav insulin yog kwv yees li 4-6 feeb. Hauv raum tsis ua haujlwm, T 1/2 lengthens.

Nws yuav tsum raug sau tseg tias pharmacokinetics ntawm insulin tsis cuam tshuam nws cov nyhuv metabolic.

Lub hom phiaj ntawm cov piam thaj hauv cov ntshav, cov tshuaj insulin uas yuav tsum tau siv, kev noj tshuaj ntawm cov tshuaj insulin (koob tshuaj thiab lub sijhawm ntawm kev tswj hwm) yuav tsum txiav txim siab thiab kho tus kheej kom lawv sib haum rau kev noj haus, theem kev ua si thiab kev ua neej ntawm tus neeg mob.

Tsis muaj cov kev cai hais meej meej rau kev noj cov tshuaj insulin. Txawm li cas los xij, qhov nruab nrab ib hnub twg ntawm cov tshuaj insulin yog 0.5-1 ME / kg lub cev qhov hnyav / hnub, thiab kev qhia tawm ntawm tib neeg cov insulin nrog rau lub sijhawm ua ntev txog 40-60% ntawm qhov xav tau ntawm insulin txhua hnub.

Tus neeg mob yuav tsum tau muab cov lus qhia tseem ceeb rau ntawm kev txiav txim siab ntau zaus ntawm kev txiav txim siab cov ntshav qabzib hauv cov ntshav, nrog rau cov lus pom zoo tsim nyog thaum muaj kev hloov pauv hauv kev noj zaub mov noj lossis txoj kev hloov tshuaj kho mob.

Hloov los ntawm lwm hom insulin rau Insuman ® Bazal GT

Thaum hloov cov neeg mob los ntawm ib hom tshuaj insulin mus rau lwm qhov, yuav tsum tau kho ntawm cov tshuaj insulin pab rau: piv txwv li, thaum hloov los ntawm tsiaj los ntawm insulin rau tib neeg insulin, thaum hloov los ntawm tib neeg cov tshuaj insulin hloov mus rau lwm tus, lossis thaum hloov los ntawm solulin tib neeg txoj kev kho insulin rau ib txoj kev suav nrog ntev tshaj-ua insulin.

Tom qab hloov los ntawm tsiaj los ntawm cov tshuaj insulin rau tib neeg los ntawm insulin, tej zaum yuav tsum tau txo qis cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob uas yav dhau los muaj cov ntshav qabzib tsawg, hauv cov neeg mob uas muaj lub siab mob hypoglycemia, hauv cov neeg mob uas yav tas los xav tau cov tshuaj insulin ntau dua vim tias nrog rau cov tshuaj tiv thaiv kab mob rau insulin.

Qhov xav tau koob tshuaj hloov kho (txo qis) tej zaum yuav tshwm sim tam sim ntawd tom qab hloov mus rau hom tshuaj insulin tshiab lossis pib maj mam dhau ob peb lub lis piam.

Thaum hloov los ntawm ib hom tshuaj insulin mus rau lwm qhov thiab tom qab ntawd hauv thawj lub lis piam, ua tib zoo saib xyuas ntshav ntshav qab zib kom pom zoo. Cov neeg mob uas xav txhaj tshuaj insulin ntau vim tias muaj cov tshuaj tiv thaiv kab mob tau hais qhia kom hloov mus rau lwm hom insulin hauv kev saib xyuas kho mob hauv tsev kho mob.

Hloov kho koob ntxiv

Txhim kho kev tswj kev zom zaub mov tuaj yeem ua rau lub cev tsis txaus siab rau insulin, uas yuav ua rau lub cev xav tau cov insulin tsawg.

Kuj yuav tsum tau hloov cov koob tshuaj yog tias tus neeg mob lub cev qhov hnyav hloov, kev hloov lub neej (nrog rau kev noj zaub mov, qib kev tawm dag zog, thiab lwm yam), lwm qhov xwm txheej uas yuav ua rau muaj kev cuam tshuam rau hypo- lossis hyperglycemia.

Hauv cov neeg mob neeg laus, xav tau cov tshuaj insulin yuav raug txo. Yog li, thaum pib ntawm kev kho mob, qhov nce ntxiv ntawm cov koob tshuaj thiab cov kev xaiv ntawm cov tshuaj txij nkawm nyob rau hauv cov neeg laus cov neeg mob ntshav qab zib mellitus yuav tsum tau ua nrog ceev faj kom tsis txhob hypoglycemic tshua.

Hauv cov neeg mob uas muaj mob hepatic lossis lub raum tsis ua haujlwm, kev xav tau cov tshuaj insulin yuav raug txo.

Kev qhia ntawm cov tshuaj Insuman ® Basal GT

Insuman ® Basal GT feem ntau yog tswj hwm ua kom tob / s 45-60 feeb ua ntej noj mov. Qhov chaw txhaj tshuaj nyob hauv tib thaj chaw ntawm cov thawj coj yuav tsum tau hloov pauv txhua zaus. Hloov thaj chaw ntawm kev tswj hwm insulin (piv txwv li, los ntawm lub plab mus rau thaj chaw hauv ncej puab) yuav tsum tau ua tsuas yog tom qab sab laj tus kws kho mob, vim tias insulin qhov kev nqus thiab, yog li ntawd, cov txiaj ntsig ntawm kev txo qis ntshav qabzib concentration yuav txawv nyob ntawm thaj chaw tswj hwm (piv txwv, lub plab los yog
ncej puab thaj chaw).

Insuman ® Bazal GT yuav tsum tsis txhob siv ntau hom tshuaj insulin (suav nrog cov uas siv los cog).

Hauv / hauv kev qhia txog cov tshuaj tsis muaj cais tawm kiag li!

Tsis txhob sib xyaw Insuman ® Basal GT nrog insulin ntawm kev sib txawv, nrog insulin ntawm tsiaj keeb kwm, insulin analogues lossis lwm yam tshuaj.

Insuman ® Bazal GT tuaj yeem sib xyaw nrog txhua pawg sanofi-aventis pawg tib neeg kev npaj kua dej. Insuman ® Basal GT yuav tsum tsis txhob xyaw nrog cov tshuaj insulin uas tsim tshwj xeeb rau kev siv hauv cov tshuaj insulin.

Nws yuav tsum nco ntsoov tias cov tshuaj insulin yog 100 IU / ml (rau 5 ml vials lossis 3 ml cartridges), yog li nws yuav tsum siv cov yas koob txhaj tshuaj tsim rau qhov no ntawm cov tshuaj insulin thaum siv vials, lossis OptiPen Pro1 lossis ClickSTAR koob txhaj tshuaj thaum siv daim cartridges. Cov koob txhaj tshuaj yas yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov khoom seem.

Cov ntsiab lus ntawm kev siv Insuman ® Basal GT hauv vials

Ua ntej thawj zaug teeb tsa insulin los ntawm vial, tshem lub hau yas (lub xub ntiag ntawm lub hau yog pov thawj ntawm lub vial tsis tau qhib). Tam sim ntawd ua ntej hu, qhov muab ncua yuav tsum sib xyaw kom zoo, tuav lub raj mis ntawm lub kaum ntse ntse nruab nrab ntawm xib teg ntawm txhais tes thiab ua tib zoo tig nws (qhov no yuav tsum tsis ua npuas ncauj). Tom qab sib tov, qhov kev ncua yuav tsum muaj ib qho sib txig sib xws thiab muaj xim ntau heev. Qhov kev ncua yuav tsum tsis txhob siv yog tias nws muaj lwm daim ntawv, i.e. yog tias qhov kev tshem tawm tseem pob tshab, lossis plaub ya ri lossis cov qog tau tsim nyob hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm lub vial. Hauv cov xwm txheej zoo li no, koj yuav tsum siv lwm lub raj mis uas ua tau raws li cov xwm txheej saum toj no, thiab koj yuav tsum qhia koj tus kws kho mob.

Ua ntej sau cov tshuaj insulin los ntawm ib lub khob mus rau hauv cov phwj tshuaj, cov pa ntim sib npaug ntawm cov tshuaj tua kab mob yuav tsum tau sau thiab qhia rau hauv lub thauv (tsis yog kua. Tom qab ntawd lub thauv nrog lub taub hau yuav tsum tau muab ntxeev nrog lub taub hau thiab sau cov tshuaj yuav tsum tau siv cov tshuaj insulin. Ua ntej txhaj tshuaj, tshem cov pa npuas los ntawm lub koob txhaj tshuaj. Ntawm qhov chaw txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum sau ib daim tawv nqaij, ntxig ib rab koob hauv qab ntawm daim tawv nqaij, thiab maj mam txhaj tshuaj insulin. Tom qab txhaj koob, rab koob yuav tsum maj mam muab tshem tawm thiab paj rwb xov paj nchav rau qhov chaw txhaj tshuaj rau ob peb feeb. Hnub tim ntawm thawj cov khoom siv insulin los ntawm lub thauv yuav tsum sau rau ntawm daim ntawv lo ntawm lub vial.

Tom qab qhib, lub vials yuav tsum khaws cia ntawm qhov kub tsis tshaj 25 ° C rau 4 lub lis piam hauv qhov chaw tiv thaiv los ntawm lub teeb thiab cua sov.

Cov ntsiab lus ntawm kev siv Insuman ® Basal GT hauv cartridges

Ua ntej kev txhim kho lub thawv (100 IU / ml) hauv OptiPen Pro1 thiab KlikSTAR koob txhaj tshuaj, nws yuav tsum khaws cia rau 1-2 teev ntawm chav sov (kev txhaj tshuaj ntawm chine insulin yog qhov mob ntau dua). Tom qab ntawd, maj mam tig lub cartridge dhau (txog 10 zaug), nws yog qhov tsim nyog kom tau txais homogeneous kev ncua. Txhua tus cartridge txuas ntxiv muaj peb lub npas hlau rau kev sib xyaw ceev ntawm nws cov ntsiab lus. Tom qab kev txhim kho lub taub ntim hauv daim ntawv syringe, ua ntej txhua qhov kev txhaj tshuaj ntawm cov tshuaj insulin, rov qab nkaug tus cwj mem ob peb zaug kom tau txais qhov kev tshem tawm homogeneous. Tom qab sib tov, qhov kev ncua yuav tsum muaj ib qho sib txig sib xws thiab muaj xim ntau heev. Qhov kev ncua yuav tsum tsis txhob siv yog tias nws muaj lwm daim ntawv, i.e. yog tias nws tseem ua pob tshab, lossis plaub ya ri lossis cov qog tau tsim nyob rau hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm daim cartridge. Hauv cov xwm txheej zoo li no, koj yuav tsum siv lub cartridge sib txawv uas ua tau raws li cov xwm txheej saum toj no, thiab koj yuav tsum qhia koj tus kws kho mob. Cov pa npuas yuav tsum tau muab tshem tawm ntawm daim cartridge ua ntej kev txhaj tshuaj.

Daim cartridge tsis tsim los tov Insuman ® Bazal GT nrog lwm cov insulins. Lub laub ntim tsis tau ntim tsis tau. Thaum muaj tawg ntawm daim ntawv xaum, koj tuaj yeem nkag mus rau qhov yuav tsum tau txhaj tshuaj los ntawm daim cartridge siv cov koob txhaj tshuaj. Nws yuav tsum nco ntsoov tias kev siv lub zog ntawm cov tshuaj insulin hauv daim laub ntawv yog 100 IU / ml, yog li ntawd, tsuas yog cov koob txhaj tshuaj yas tsim rau qhov muab qhov tshuaj tiv thaiv ntawm cov tshuaj insulin yuav tsum tau siv. Cov koob txhaj tshuaj yuav tsum tsis txhob muaj lwm yam tshuaj lossis nws cov seem.

Tom qab kev txhim kho lub laub, nws yuav tsum siv li ntawm 4 lub lis piam. Nws raug nquahu kom khaws cov cartridges ntawm qhov kub tsis tshaj + 25 ° C hauv qhov chaw tiv thaiv los ntawm lub teeb thiab cua sov. Hauv kev siv los ntawm daim cartridge, daim ntawv koob txhaj tshuaj yuav tsum tsis txhob cia rau hauv lub tub yees (vim tias kev txhaj tshuaj nrog chilled insulin yog qhov mob ntau dua). Tom qab kev txhim kho lub thawv ntawv tshiab, koj yuav tsum kuaj xyuas qhov haujlwm kom ua haujlwm ntawm cov kua xaum xaj ua ntej cov tshuaj xub txhaj.

Cov kev cai rau kev siv thiab tuav ntawm cov xaum ua ntej xaum xaum SoloStar ®

Ua ntej siv thawj zaug, rab koob xev yuav tsum ceev cia rau hauv chav tsev li 1-2 teev. Ua ntej siv, tshawb xyuas lub pob hauv sab hauv rab koob txhaj tshuaj tom qab sib tov sib xyaw kev ncua hauv nws los ntawm kev hloov lub kua xaum ncig nws lub axis, tuav nws ntawm lub kaum ntse ntse nruab nrab ntawm xib teg ntawm txhais tes. Daim duab xaum xim yuav tsum tau siv tsuas yog, tom qab sib xyaw, qhov kev ncua ntawv muaj qhov tsis sib xws thiab xim dawb xim. Lub koob txhaj tshuaj yuav tsum tsis txhob siv yog tias qhov kev ncua hauv nws tom qab sib xyaw nws muaj lwm yam tsos, i.e. yog tias nws tseem ua pob tshab, lossis plaub ya ri lossis cov qog tau tsim nyob rau hauv cov kua nws tus kheej, hauv qab lossis phab ntsa ntawm daim cartridge. Thaum zoo li no, siv ib tug cwj mem sib txawv thiab qhia rau tus kws kho mob.

Tsis pub siv cov xaum xim SoloStar ar tso rov qab, lawv yuav tsum muab pov tseg.

Txhawm rau txhawm rau tiv thaiv kev kis mob, tus cwj mem uas muaj menyuam xaum ua ntej yuav tsum siv los ntawm ib tus neeg mob xwb, nws yuav tsum tsis txhob kis rau lwm tus neeg.

Ua ntej siv cov koob txhaj tshuaj, ua tib zoo nyeem cov ntaub ntawv ntawm kev siv.

SoloStar-Cwj mem Cov Ntaub Ntawv

Ua ntej siv txhua qhov, ua tib zoo muab ib rab koob tshiab tso rau ntawm lub tes tsho xaum thiab ua qhov ntsuas kev nyab xeeb.

Tsuas yog siv cov koob uas tau haum nrog SoloStar ®.

Cov kev tiv thaiv tshwj xeeb yuav tsum tau ceev faj kom tsis txhob muaj kev sib tsoo nrog kev siv rab koob thiab qhov ua tau ntawm kis kev sib kis.

Tsis txhob siv SoloStar-syringe cwj mem yog tias nws puas lawm lossis yog koj tsis paub meej tias nws yuav ua haujlwm tau haujlwm zoo.

Nws yog ib txwm tsim nyog yuav tsum muaj SoloStar ® syringe cwj mem thaum poob lossis puas rau daim ntawv tseem ceeb ntawm SoloStar ® syringe cwj mem.

Yog tias SoloStar ring syringe cwj mem muab cia rau hauv tub yees, nws yuav tsum tau muab tshem tawm 1-2 teev ua ntej qhov kev npaj txhaj tshuaj kom qhov kev ncua ntawd mus txog chav sov. Kev tswj hwm cov tshuaj chine chilled yog qhov mob ntau dua. Tus cwj mem SoloStar ring koob txhaj tshuaj yuav tsum raug rhuav tshem.

SoloStar-syringe mem yuav tsum muaj kev tiv thaiv los ntawm cov plua plav thiab av. Sab nraud ntawm SoloStar ® Syringe Pen tuaj yeem ntxuav los ntawm kev so nws nrog daim ntaub ntub dej los tau. Tsis txhob pleev dej rau hauv dej, yaug thiab roj SoloStar ® syringe cwj mem, vim tias qhov no tuaj yeem ua rau nws puas.

SoloStar ® Syringe Pen siv cov tshuaj insulin kom raug thiab nyab xeeb siv.

Daim iav xaum xaum yuav tsum siv kev ceev faj. Zam cov xwm txheej uas ua puas rau SoloStar-koob txhaj tshuaj yuav tshwm sim. Yog tias SoloStar ring syringe cwj mem xav tias yuav raug puas, siv tus cwj mem tshiab.

1. Kev tswj cov tshuaj Insulin

Koj yuav tsum kos daim ntawv lo rau ntawm SoloStar ring Syringe Pen kom paub tseeb tias nws muaj cov insulin tseeb. Rau cov tshuaj Insuman ® Basal GT koob txhaj tshuaj SoloStar ® dawb nrog lub khawm ntsuab rau kev txhaj tshuaj. Tom qab hle lub hau ntawm rab koob txhaj tshuaj, nws yog qhov yuav tsum tau kuaj xyuas cov ntsej muag ntawm cov tshuaj insulin uas nyob hauv nws: cov kev ncua tom qab sib tov yuav tsum muaj cov kev sib txig sib txawv thiab cov xim dawb milky.

2. Txuas lub rab koob

Tsuas yog siv cov koob uas tau haum nrog SoloStar ® syringe cwj mem. Kev siv rab koob tshiab yuav tsum siv rau txhua txoj kev txhaj tshuaj tom ntej. Tom qab hle lub hau tawm, rab koob yuav tsum tau muab ntsia kom zoo ntawm daim duab syringe.

3. Ua qhov ntsuas kev nyab xeeb

Ua ntej kev txhaj tshuaj, yuav tsum tau ua qhov kev ntsuas kev nyab xeeb kom ntseeg tau tias rab koob xaum xaum thiab rab koob ua haujlwm tau zoo thiab cov pa npuas tau tawm.

Ib koob txhaj sib npaug nrog 2 ntsuas yuav tsum tau ntsuas. Cov kaus mom sab nraud thiab sab hauv yuav tsum tau muab tshem tawm.

Nrog tus xaum xaum xaum nrog rab koob kom txog, maj mam coj mus rhaub lub insulin cartridge nrog koj tus ntiv tes kom txhua npuas pa mus rau rab koob.

Nias lub pob txhaj tshuaj kiag li.

Yog tias muaj cov tshuaj insulin rau ntawm qhov kawg ntawm rab koob, qhov no txhais tau tias rab koob xaum thiab rab koob ua hauj lwm zoo.

Yog tias cov tshuaj insulin tsis tshwm sim rau ntawm lub ntsis ntawm rab koob, tom qab ntawd cov kauj ruam 3 yuav tsum rov ua dua kom txog thaum insulin tshwm ntawm lub taub ntawm rab koob.

Cov koob tshuaj tuaj yeem tsim nrog qhov tseeb ntawm 1 unit los ntawm koob tshuaj yam tsawg kawg nkaus (1 units) txog qhov siab tshaj plaws (80 units). Yog tias ib qho koob tshuaj ntau dua 80 units yog qhov tsim nyog, yuav tsum txhaj 2 lossis ntau dua kev txhaj tshuaj.

Lub khob ntim tshuaj yuav tsum qhia "0" tom qab kev ntsuas kev nyab xeeb tiav. Tom qab ntawd, cov koob tshuaj tsim nyog tau tsim muaj.

5. Ua kev tswj hwm

Yuav tsum qhia rau tus neeg mob txog cov txheej txheem kev txhaj tshuaj.

Lub koob yuav tsum tau muab tso rau hauv qab daim tawv nqaij. Cov txhaj tshuaj khawm yuav tsum nias tag nrho. Txog thaum rab koob tshem tawm, lub khawm yuav tsum tuav hauv txoj haujlwm no rau 10 vib nas this. Qhov no ua kom paub tseeb ntawm qhov kev xaiv ntawm xaiv koob tshuaj insulin kiag li.

6. Tshem tawm thiab rhuav tshem rab koob

Hauv txhua qhov xwm txheej, rab koob tom qab txhua txoj kev txhaj tshuaj yuav tsum tau muab tshem tawm thiab muab pov tseg. Qhov no ua kom muaj kev tiv thaiv ntawm kev sib kis thiab / lossis kis tau tus mob, cua nkag mus rau hauv lub thawv rau tshuaj insulin thiab paim ntshav ntawm insulin.

Thaum hle thiab rhuav tshem rab koob, yuav tsum muaj kev ceev faj tshwj xeeb (piv txwv, cov txheej txheem ntawm muab tso rau saum lub hau nrog ib txhais tes) txhawm rau txo kev pheej hmoo ntawm kev xwm txheej cuam tshuam nrog kev siv rab koob, thiab tseem tuaj yeem tiv thaiv kev kis mob.

Tom qab tshem rab koob, kaw SoloStar ring syringe cwj mem nrog lub hau.

Kev mob ntshav qab zib, feem ntau cov kev phiv los ntawm kev kho mob insulin, tuaj yeem txhim kho yog tias cov koob tshuaj insulin tau tshaj li qhov xav tau rau nws. Kev rov qab mob hnyav dua ntawm cov ntshav qog ntshav qab zib tuaj yeem ua rau kev loj hlob ntawm cov tsos mob ntawm lub paj hlwb, nrog rau tsis nco qab, mob ntswj. Lub caij nyoog ntev los sis mob ceev heev ntawm cov ntshav qab zib hauv lub siab tuaj yeem tsim kev hem thawj rau neeg txoj sia.

Hauv ntau tus neeg mob, cov tsos mob thiab cov tsos mob ntawm tus mob neuroglycopenia ua ntej los ntawm cov tsos mob ntawm tus mob reflex (hauv kev teb rau kev txhim kho hypoglycemia) kev ua haujlwm ntawm lub siab xav ntawm lub hlwb. Feem ntau, nrog hais tawm ntau dua los yog nrawm dua qub nyob rau hauv kev mloog zoo ntawm cov piam thaj hauv cov ntshav, qhov tshwm sim ntawm kev rov ua dua ntawm lub siab xav ntawm lub cev thiab nws cov tsos mob tshwm sim ntau dua.

Nrog lub ntsej muag txo qis hauv cov concentration ntawm cov piam thaj hauv cov ntshav, kev txhim kho ntawm hypokalemia (mob tshwm sim los ntawm cov hlab plawv) lossis kev txhim kho ntawm cerebral edema tau.

Cov hauv qab no yog cov kev tshwm sim tsis zoo uas tau pom nyob hauv cov chaw kho mob uas tau txheeb xyuas los ntawm cov chav kawm hauv lub cev thiab hauv kev ua kom tsawg zuj zus: feem ntau (/1 / 10), feem ntau (≥1 / 100 thiab Kev tsis haum tshuaj: ua tsis tau - anaphylactic ceeb, zaus tsis paub - kev tawm tsam ntawm daim tawv nqaij dav dav, angioedema, bronchospasm, kev tsim cov tshuaj tiv thaiv rau cov tshuaj insulin (hauv qee qhov mob, muaj cov tshuaj tiv thaiv rau insulin tuaj yeem xav hloov pauv ntawm cov tshuaj insulin los kho qhov nyiam mus rau hyper- lossis hypoglycemia). RP G tam sim ntawd tshua rau insulin los yog mus rau lub cam ntawm cov tshuaj tej zaum yuav phomsij rau tus neeg mob lub neej thiab yuav tsum tau tam sim ntawd tus me nyuam uas tsim nyog thaum muaj xwm ceev cov kev pab ntsuas.

Ntawm ib feem ntawm cov hlab plawv: cov zaus tsis paub - txo cov ntshav siab.

Los ntawm ib sab ntawm cov metabolism thiab khoom noj khoom haus: feem ntau - o, qhov zaus tsis paub - sodium tuav cia. Cov teebmeem zoo sib xws yog muaj peev xwm ua tau nrog kev txhim kho ntawm kev tswj kab mob metabolic yav dhau los tsis txaus vim kev siv tshuaj ntau ntxiv kev siv tshuaj insulin.

Los ntawm ib sab ntawm cov khoom hauv lub zeem muag: qhov zaus tsis paub txog - kev kho qhov muag tsis pom kev sab nraud (vim kev hloov pauv ib ntus ntawm lub pob zeb ntawm lub teeb ntawm lub qhov muag thiab lawv qhov ntsuas qhov ntsuas tsis tau), ib qho kev cuam tshuam ib ntus hauv cov mob ntshav qab zib retinopathy (vim yog muaj kev cuam tshuam ntau dua cov insulin kho nrog kev txhim kho ntse hauv glycemic tswj), kev hloov mus rau hauv lub cev tshwj xeeb yog tias lawv tsis tau txais kev kho mob nrog photocoagulation (kev kho laser).

Ntawm ib feem ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous: qhov zaus tsis tau paub - kev txhim kho ntawm lipodystrophy ntawm qhov chaw txhaj tshuaj thiab ib qho kev poob qis hauv kev nqus hauv zos ntawm insulin. Hloov cov chaw txhaj tshuaj tsis tu ncua hauv thaj chaw tswj kev pom zoo tuaj yeem pab txo lossis tso tseg cov kev cuam tshuam no.

Kev mob siab tsis meej thiab tsis zoo ntawm qhov chaw txhaj tshuaj: ntau zaus tsis paub - liab liab, mob, khaus, urticaria, o lossis mob rau ntawm thaj chaw txhaj tshuaj. Cov kev tsis haum siab hais txog cov tshuaj insulin ntawm qhov chaw txhaj tshuaj feem ntau ploj tom qab ob peb hnub lossis ntau lub lis piam.

- Kev ua haujlwm tsis haum rau insulin lossis rau ib qho twg ntawm cov tshuaj, tshwj tsis yog thaum kho insulin.

Nrog rau kev ceev faj, cov tshuaj yuav tsum tau sau tawm ntawm lub raum tsis ua haujlwm (kev txo qis hauv insulin vim qhov txo qis hauv insulin metabolism yog qhov ua tau), hauv cov neeg mob neeg laus (kev txo qis hauv lub raum ua haujlwm tuaj yeem ua rau txo qis hauv insulin qhov xav tau), hauv cov neeg mob hepatic insufficiency (insulin yuav tsum tau txo vim muaj kev txo qis hauv lub peev xwm ntawm gluconeogenesis thiab txo qis hauv cov tshuaj insulin metabolism), hauv cov neeg mob uas mob stenosis ntawm hlab ntshav siab thiab txoj hlab ntshav (hauv Hauv cov neeg mob x, hypoglycemic lub sijhawm tuaj yeem muaj qee qhov tseem ceeb hauv tsev kho mob, vim tias muaj kev pheej hmoo ntawm lub plawv lossis mob hlwb ntau dua ntawm cov ntshav qog ntshav qab zib, hauv cov neeg mob uas muaj kev mob hlwb, tshwj xeeb tshaj yog cov uas tsis tau txais kev kho mob nrog photocoagulation (kho laser), vim tias nrog hypoglycemia, muaj kev pheej hmoo ntawm amaurosis hloov - ua tiav qhov muag tsis pom kev, hauv cov neeg mob uas muaj cov kabmob sib kis (vim tias xav tau cov tshuaj insulin ntau ntxiv).

Kev kho mob nrog Insuman ® Bazal GT yuav tsum txuas ntxiv thaum cev xeeb tub. Cov tshuaj Insulin tsis hla qhov chaw tiv thaiv.

Kev tswj kom zoo ntawm kev tswj lub cev zom zaub mov thoob plaws lub cev xeeb tub yuav tsum muaj rau cov poj niam uas muaj ntshav qab zib ua ntej cev xeeb tub, lossis rau cov poj niam uas tau muaj tus mob ntshav qab zib tsis tsaug zog.

Qhov kev xav tau rau insulin thaum cev xeeb tub tuaj yeem txo qis hauv thawj peb lub hlis thaum cev xeeb tub thiab feem ntau nce hauv qib thib ob thiab thib peb ntawm cev xeeb tub. Tam sim ntawd tom qab yug los, xav tau insulin tsawg dua (muaj kev pheej hmoo ntawm cov ntshav qog ntshav qab zib tsawg dua). Thaum cev xeeb tub thiab tshwj xeeb tshaj yog tom qab yug menyuam, yuav tsum ua tib zoo saib xyuas ntawm cov ntshav qabzib hauv cov ntshav.

Yog tias koj cev xeeb tub los yog npaj lub cev xeeb tub, nco ntsoov qhia koj tus kws kho mob.

Thaum lub sijhawm pub niam mis, tsis muaj kev txwv dab tsi rau kev kho tshuaj insulin, txawm li cas los xij, kev siv tshuaj insulin thiab kev noj haus yuav raug tsim nyog.

Cov tsos mob: ib qho kev noj ntau dhau ntawm insulin, piv txwv li, kev qhia ntawm cov insulin ntau dua li piv nrog kev noj zaub mov noj lossis kev siv lub zog, tuaj yeem ua rau muaj ntshav nce siab ntau thiab qee zaum muaj kev mob ntshav qab zib ntau.

Kev Kho Mob: Cov mob ntshav qab zib me me (tus neeg mob nco qab zoo li qub) tuaj yeem nres los ntawm kev noj tshuaj carbohydrates hauv. Yuav tsum tau txhaj koob tshuaj insulin, kev noj zaub mov, thiab kev tawm dag zog. Ntau dua ntu kev kub ntxhov ntawm lub ntsej muag nrog lub cev tsis meej pem, mob nriaj, lossis mob puas hlwb puas tuaj yeem nres nrog a / m lossis s / c tswj hwm ntawm glucagon lossis iv nrog kev siv tshuaj dextrose. Hauv cov menyuam yaus, qhov ntau npaum li cas ntawm dextrose raug tswj hwm tau tsim raws li qhov ntsuas lub cev ntawm tus menyuam. Tom qab nce lub siab ntawm cov piam thaj nyob rau hauv cov ntshav, txhawb kev noj haus ntawm cov carbohydrates thiab kev soj ntsuam yuav tsum tau ua, raws li tom qab pom tseeb hauv kev kho mob kom tshem tawm cov tsos mob ntawm kev mob ntshav qab zib, nws txoj kev rov txhim kho yog tau. Yog tias muaj teeb meem mob ntshav qab zib ntau lossis ntev heev tom qab qhov kev txhaj tshuaj glucagon los yog dextrose, nws pom zoo tias cov tshuaj dextrose tsawg dua yuav tsum ua rau tiv thaiv qhov rov qab txhim kho hypoglycemia. Hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tsum ua tib zoo saib xyuas qhov kev mloog ntawm cov piam thaj hauv cov ntshav, nyob rau hauv kev sib txuas nrog kev loj hlob tau ntawm kev muaj ntshav ntau dhau.

Qee qhov xwm txheej, nws raug nquahu kom tus neeg mob yuav tsum tau mus pw hauv tsev kho mob kom tau txais kev saib xyuas lawv tus mob kom zoo thiab saib xyuas kev kho kom zoo.

Siv cov tshuaj tsis haum nrog lub qhov ncauj hypoglycemic, ACE inhibitors, disopyramide, fibrates, fluoxetine, MAO inhibitors, pentoxifylline, propoxyphene, salicylates, amphetamine, anabolic steroids thiab txiv neej cov tshuaj hormones, cybenzoline, phenophosphamine, phenophosphamine thiab phenophosphamine nws cov analogues, sulfonamides, tetracyclines, tritocqualin lossis trophosphamide tuaj yeem txhim kho hypoglycemic nyhuv ntawm insulin thiab nce redraspolozhennost hypoglycemia.

Lub simultaneous siv corticotropin, corticosteroids, danazol, diazoxide, diuretics, glucagon, Isoniazid, oestrogens thiab gestagens (e.g., tam sim no nyob rau hauv PDA), phenothiazine derivatives, kev loj hlob lawm, sympathomimetic tshuaj (e.g., epinephrine, salbutamol, terbutaline), cov thyroid hormones, barbiturates, nicotinic acid, phenolphthalein, phenytoin derivatives, doxazosin tuaj yeem txo cov nyhuv hypoglycemic ntawm insulin.

Beta-blockers, clonidine, lithium ntsev tuaj yeem yog potentiate lossis ua kom cov ntshav tsis muaj zog ntawm insulin.

Ethanol tuaj yeem yog potentiate lossis ua rau cov ntshav tsis muaj zog ntawm insulin. Kev noj tshuaj Ethanol tuaj yeem ua rau cov ntshav qabzib lossis txo qis cov ntshav qabzib dhau mus rau qib txaus ntshai. Kev noj tshuaj Ethanol hauv cov neeg mob uas tau txais insulin yog txo. Tus kws kho mob yuav tsum txiav txim siab noj ntau npaum li cas ntawm ethanol noj.

Nrog rau kev siv ua ke nrog pentamidine, kev txhim kho hypoglycemia yog ua tau, uas qee zaum tuaj yeem tig mus rau hauv hyperglycemia.

Nrog rau kev siv tib lub sijhawm nrog sympatholytic cov neeg sawv cev, xws li beta-blockers, clonidine, guanethidine thiab reserpine, ua kom tsis muaj zog lossis ua kom tiav ntawm cov tsos mob ntawm tus mob reflex (nyob rau hauv teb rau hypoglycemia) kev ua haujlwm ntawm lub siab xav tau yog qhov ua tau.

Cov tshuaj yog ntawv yuav tshuaj.

Cov tshuaj yuav tsum khaws cia tsis ncav cuag cov menyuam yaus, tiv thaiv los ntawm lub teeb ntawm qhov kub ntawm 2 ° txog 8 ° C. Tsis txhob pub kom khov! Txee lub neej yog 2 xyoos.

Hauv cov neeg mob uas muaj daim siab tsis txaus, kev xav tau cov tshuaj insulin yuav raug txo.

Hauv cov neeg mob uas lub raum tsis ua haujlwm, kev xav tau cov tshuaj insulin yuav raug txo.

Hauv cov neeg mob neeg laus, xav tau cov tshuaj insulin yuav raug txo. Yog li, thaum pib ntawm kev kho mob, qhov nce ntxiv ntawm cov koob tshuaj thiab cov kev xaiv ntawm cov tshuaj txij nkawm nyob rau hauv cov neeg laus cov neeg mob ntshav qab zib mellitus yuav tsum tau ua nrog ceev faj kom tsis txhob hypoglycemic tshua.

Thaum tsis muaj cov glycemic tswj tsis txaus lossis ib qho zoo rau lub sijhawm ntawm hyper- lossis hypoglycemia, ua ntej kev txiav txim siab ntawm kev kho lub koob tshuaj, nws yog qhov yuav tsum tau kuaj xyuas qhov kev siv ntawm cov tshuaj tua kab mob ntawm insulin tswjfwm, nco ntsoov tias insulin raug qhia rau hauv thaj chaw pom zoo, tshawb xyuas qhov tseeb ntawm cov txheej txheem kev txhaj tshuaj thiab lwm yam, uas tuaj yeem cuam tshuam cov nyhuv ntawm insulin.

Vim hais tias kev siv tshuaj ntau ib txhij tuaj yeem ua kom tsis muaj zog lossis txhim kho hypoglycemic cov tshuaj Insuman ® Basal GT, thaum siv nws, koj yuav tsum tsis txhob siv lwm yam tshuaj yam tsis muaj kev tso cai tshwj xeeb los ntawm kws kho mob.

Kev mob hypoglycemia tshwm sim yog tias cov koob tshuaj insulin ntau dua qhov xav tau.

Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia yog qhov siab thaum pib ntawm kev kho tshuaj insulin, thaum hloov mus rau lwm txoj kev npaj tshuaj insulin, hauv cov neeg mob uas tsis muaj kev saib xyuas qis ntawm cov piam thaj hauv cov ntshav.

Ib yam li lwm cov insulins, yuav tsum tau saib xyuas tshwj xeeb thiab kev saib xyuas ntshav qabzib ntau ntxiv yuav tsum tau ua rau cov neeg mob uas muaj ntshav qab zib tsawg yuav muaj cov kev kho mob tshwj xeeb, xws li cov neeg mob uas mob hnyav ntawm txoj hlab ntshav lossis hlab ntshav ntawm lub plawv (muaj kev pheej hmoo ntawm lub plawv lossis mob hlwb ntawm hypoglycemia) , zoo ib yam nkaus li hauv cov neeg mob uas muaj kev tu ncua sai, tshwj xeeb tshaj yog tias lawv tsis tau yauv mus ua photocoagulation (kho laser), vim tias lawv muaj kev pheej hmoo ntawm amaurosis (hloov ua qhov muag tsis pom kev) nrog kev txhim kho hypoglycemia.

Muaj qee yam kev mob tshwm sim thiab cov tsos mob uas yuav qhia tau rau tus neeg mob lossis lwm tus txog kev txhim kho hypoglycemia. Cov no suav nrog: kev tawm hws ntau dhau, noo noo hauv daim tawv nqaij, tachycardia, lub siab tsis sib xws, ntshav nce siab, mob hauv siab, tshee tshee, ntxhov siab, tshaib plab, tsaug zog, pw tsaug zog, pw tsaug zog, ntshai, kev nyuaj siab, txob taus, coj txawv txawv, ntxhov siab, mob khaub thuas thaum lub sijhawm lub qhov ncauj thiab ncig lub qhov ncauj, pallor ntawm daim tawv nqaij, mob taub hau, ua kom tsis muaj kev sib koom tes ntawm kev txav, nrog rau kev hloov chaw ntawm cov leeg mob (tsis hnov ​​lus thiab tsis pom kev, cov kab mob tuag tes tuag taw) thiab qhov txawv txawv. Nrog rau qhov ua kom cov piam thaj ntau zuj zus, tus neeg mob yuav plam nws tus kheej thiab txawm tias nws tsis nco qab. Hauv cov xwm txheej zoo li no, kev saib xyuas txias thiab av noo ntawm daim tawv nqaij, thiab kev huam yuaj kuj tuaj yeem pom.

Txhua tus neeg mob uas muaj ntshav qab zib tau txais insulin yuav tsum kawm paub txog cov tsos mob txawv txawv uas yog qhov qhia tias muaj tus mob hypoglycemia. Cov neeg mob uas soj ntsuam ntshav cov ntshav qabzib tsawg dua yuav tsis muaj ntshav qab zib tsawg. Tus neeg mob tuaj yeem kho qhov txo qis hauv cov ntshav qabzib nws tau pom los ntawm kev noj suab thaj lossis zaub mov ntau hauv carbohydrates. Rau lub hom phiaj no, tus neeg mob yuav tsum ib txwm muaj 20 g suab thaj nrog nws. Hauv cov xwm txheej hnyav dua ntawm cov ntshav qab zib tsawg, kev txhaj tshuaj ntshav qab zib ntawm glucagon tau qhia, uas tuaj yeem ua los ntawm tus kws kho mob lossis cov neeg ua haujlwm tu mob. Tom qab txhim kho kom zoo txaus, tus neeg mob yuav tsum noj. Yog tias tsis tuaj yeem kho tus mob ntshav qab zib tsawg, tam sim ntawd yuav tsum tau hu kws kho mob sai. Nws yog ib qho tsim nyog yuav tsum tau qhia rau tus kws kho mob tam sim ntawd txog kev txhim kho hypoglycemia txhawm rau kom nws txiav txim siab ntawm qhov xav tau los kho qhov tshuaj ntawm cov tshuaj insulin.

Tsis ua raws li kev noj zaub mov zoo, hla kev txhaj tshuaj insulin, kev xav tau insulin ntau ntxiv los ntawm kev kis tus kabmob lossis lwm yam kabmob, thiab kev ua haujlwm ntawm lub cev tsawg dua tuaj yeem ua rau muaj ntshav qabzib ntau ntxiv (hyperglycemia), tejzaum nws nrog kev nce ntxiv ntawm ketone lub cev hauv cov ntshav (ketoacidosis). Ketoacidosis tuaj yeem tshwm sim hauv ob peb teev lossis ob peb hnub. Ntawm thawj cov tsos mob ntawm tus kab mob metabolic acidosis (nqhis dej, tso zis heev, tsis qab los noj mov, nkees, tawv nqaij qhuav, ua pa ceev thiab ua pa sai, muaj ntau ntawm acetone thiab qabzib hauv cov zis), yuav tsum tau muaj kev kho mob maj nrawm.

Thaum hloov tus kws kho mob (piv txwv li, thaum mus pw hauv tsev kho mob vim muaj kev sib tsoo, mob thaum so haujlwm), tus neeg mob yuav tsum tshaj tawm tias nws muaj ntshav qab zib.

Cov neeg mob yuav tsum tau ceeb toom txog cov xwm txheej uas lawv yuav hloov, tsis tshua hais lus lossis tsis muaj cov tsos mob ceeb toom ntawm kev txhim kho hypoglycemia, piv txwv li:

- nrog kev txhim kho tseem ceeb hauv kev tswj glycemic,

- nrog kev paub zuj zus kev txhim kho hypoglycemia,

- hauv cov neeg laus laus,

- hauv cov neeg mob lub cev tsis hlwb,

- hauv cov neeg mob uas muaj keeb kwm mob ntshav qab zib ntev,

- hauv cov neeg mob uas tau txais kev kho mob nrog rau qee yam tshuaj.

Cov xwm txheej zoo li no tuaj yeem ua rau muaj ntshav qab zib tsawg (ua rau tsis nco qab zoo) ua ntej tus neeg mob paub tseeb tias nws muaj kev mob ntshav qab zib tsawg.

Yog tias ib txwm los yog qis dua glycosylated hemoglobin qhov tseem ceeb tau pom, qhov tseem ceeb ntawm kev tsim rov ua dua, tsis paub txog (tshwj xeeb tshaj tawm nocturnal) lub sijhawm ntawm hypoglycemia yuav tsum tau txiav txim siab.

Txhawm kom txo cov ntshav qog ntshav qab zib, tus neeg mob yuav tsum ua raws nraim li cov tshuaj noj thiab cov khoom noj khoom haus zoo, tswj cov tshuaj insulin kom raug, thiab ceeb toom cov tsos mob ntawm kev txhim kho hypoglycemia.

Qhov tseeb uas ua rau kom cov kev xav hauv lub plawv yuav tsum muaj kev saib xyuas sai thiab tej zaum yuav tsum tau kho kom haum. Tej yam no suav nrog:

- hloov thaj tsam ntawm cov thawj coj ntawm insulin,

- muaj kev rhiab ntxiv rau cov tshuaj insulin (piv txwv, tshem tawm cov kev ntxhov siab),

- txawv txav (nce lossis ntev ntev) kev siv lub cev,

- intercurrent pathology (ntuav, raws plab),

- kev noj zaub mov tsis txaus,

- yauv noj mov,

- qee qhov mob tsis muaj txiaj ntsig ntawm endocrine (xws li hypothyroidism thiab anterior pituitary tsis txaus lossis adrenal cortex tsis txaus),

- kev siv qee cov tshuaj ib txhij.

Hauv cov kabmob sib cuam tshuam, kev tswj kev zom zaubmov kom zoo yuav tsum muaj. Feem ntau, tso zis rau kuaj pom ntawm ketone lub cev raug qhia, thiab kev hloov kho tshuaj insulin feem ntau tsim nyog. Qhov kev xav tau rau insulin feem ntau nce. Cov neeg mob ntshav qab zib hom 1 yuav tsum txuas ntxiv haus tsawg kawg ib qho me me ntawm carbohydrates tsis tu ncua, txawm tias lawv tsuas tuaj yeem noj me me ntawm cov khoom noj lossis yog tias lawv ntuav. Cov neeg mob yuav tsum tsis txhob tag nrho cov tshuaj insulin.

Cov tshuaj tiv thaiv kab mob hla

Hauv qhov ncaj ncees ntawm cov neeg mob uas muaj lub siab ntev mus rau insulin ntawm tsiaj keeb kwm, nws yog qhov nyuaj rau hloov mus rau tib neeg insulin vim tus ntoo khaub lig-tiv thaiv kab mob rau tib neeg cov insulin thiab insulin ntawm tsiaj keeb kwm. Yog hais tias tus neeg mob hypersensitive rau insulin ntawm tsiaj keeb kwm, nrog rau m-cresol, kev kam rau ntawm cov tshuaj Insuman ® Basal GT yuav tsum raug soj ntsuam hauv tsev kho mob siv cov kev kuaj mob intradermal. Yog tias qhov kev sim tshuaj intradermal qhia pom kev ua kom lub siab tsis haum rau tib neeg cov tshuaj insulin (cov tshuaj tiv thaiv tam sim ntawd, xws li Arthus), tom qab ntawd yuav tsum tau kho ntxiv nyob rau hauv kev saib xyuas mob.

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

Tus neeg mob lub peev xwm mloog tau ceev thiab qhov ceev ntawm psychomotor cov tshuaj tiv thaiv tuaj yeem ua rau tsis muaj txiaj ntsig vim yog qhov mob ntshav qab zib lossis hyperglycemia, nrog rau qhov tshwm sim tsis pom kev hauv lub siab. Qhov no tuaj yeem ua rau muaj kev pheej hmoo nyob hauv cov xwm txheej uas cov peev xwm no tseem ceeb (tsav tsheb lossis lwm yam).

Cov neeg mob yuav tsum xyuam xim thiab zam kom tsis txhob mob ntshav qab zib thaum tsav tsheb. Qhov no yog qhov tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas tau txo qis lossis tsis paub txog cov tsos mob ntawm tus mob hypoglycemia, lossis muaj kev pheej hmoo sai ntawm cov ntshav qog ntshav qab zib. Cov neeg mob zoo li no yuav tsum txiav txim siab ntawm kev tsav tsheb lossis lwm yam txheej txheem.

Pharmacological kev txiav txim

Nruab nrab-insulin. Txo cov concentration ntawm cov piam thaj hauv cov ntshav, ua rau nws nqus tau los ntawm cov ntaub so ntswg, txhim kho lipogenesis thiab glycogenogenesis, ua kom muaj protein ntau, txo tus nqi ntawm cov piam thaj los ntawm daim siab.

Nws cuam tshuam nrog ib qho kev tshwj xeeb ntawm sab nraud daim nyias nyias ntawm cov hlwb thiab ua ib qho insulin receptor complex. Los ntawm kev ua kom coj los ua ke ntawm CAMP (hauv cov roj ntsha thiab lub siab hlwb) lossis nkag ncaj qha rau hauv lub cell (leeg), insulin receptor complex stimulates intracellular processes, suav nrog synthesis ntawm cov lej ntawm cov enzymes tseem ceeb (hexokinase, pyruvate kinase, glycogen synthetase, thiab lwm yam). Cov thawj coj hauv cov ntshav nyob rau hauv lub cev vim qhov nce ntawm nws txoj kev thauj mus los ntau dua, kev nqus thiab kev pov tseg ntau ntawm cov nqaij mos, ua kom cov lipogenesis, glycogenogenesis, synthesis protein, txo tus nqi ntawm cov piam thaj los ntawm lub siab (txo qis ntawm cov khoom ntawm glycogen), thiab lwm yam.

Tom qab s / c txhaj tshuaj, cov nyhuv tshwm sim hauv 1-2 teev. Qhov ua tau zoo tshaj plaws yog nyob rau hauv qhov sib xyaw nruab nrab ntawm 2-12 teev, lub sijhawm ua haujlwm yog 18-24 teev, nyob ntawm qhov muaj pes tsawg leeg ntawm insulin thiab koob tshuaj, cuam tshuam qhov cuam tshuam tseem ceeb - thiab kev mob siab ntawm tus kheej.

Yam 1 ntshav qab zib.

Hom 2 mob ntshav qab zib mellitus, theem ntawm kev tawm tsam ntawm qhov ncauj hypoglycemic, ib feem tawm tsam cov tshuaj tiv thaiv ntshav qab zib hauv qhov ncauj (kev kho ua ke), cov kab mob sib kis, kev phais mob (mono- lossis kev sib txuas ua ke), mob ntshav qab zib mellitus thaum cev xeeb tub (nrog kev kho mob tsis muaj txiaj ntsig).

Sab sij huam

Kev tsis haum tshuaj (urticaria, angioedema - ua npaws, ua tsis taus pa, ua pa tsis txaus),

hypoglycemia (pallor ntawm daim tawv nqaij, nce tawm hws, tawm hws, palpitations, tshee tshee, tshaib plab, ntxhov siab, ntxhov siab, mob plab hauv lub qhov ncauj, mob taub hau, tsaug zog, pw tsaug zog, ntshai, poob siab, chim siab, coj tus cwj pwm txawv, tsis muaj zog, hais lus thiab hais lus tsis meej thiab qhov pom kev), hypoglycemic coma,

hyperglycemia thiab ntshav qab zib acidosis (ntawm kev txhaj tshuaj qis, hla kev txhaj tshuaj, kev noj zaub mov tsis zoo, nrog kub cev thiab mob kis): tsaug zog, nqhis dej, tsis qab los noj mov, ntsej muag tawm ntsej muag),

hnov tsis nco qab (txog rau kev txhim kho ntawm precomatose thiab coma),

pom kev tsis pom kev tsis zoo (feem ntau thaum pib kho mob),

txhaj tshuaj tiv thaiv kab mob hla nrog tib neeg cov tshuaj insulin, nce ntxiv ntawm lub titer ntawm cov tshuaj tiv thaiv cov tshuaj insulin, tom qab ntawd nce glycemia,

hyperemia, khaus thiab lipodystrophy (mob atrophy lossis hypertrophy ntawm subcutaneous rog) ntawm qhov chaw txhaj tshuaj.

Thaum pib ntawm kev kho mob - o thiab tsis hnov ​​mob zoo (yog ib ntus thiab ploj nrog kev kho txuas ntxiv).

Cov lus qhia tshwj xeeb

Ua ntej yuav siv tshuaj insulin los ntawm vial, nws yog qhov tsim nyog los xyuas qhov ntsuas ntawm kev daws. Thaum lub cev txawv teb chaws tshwm sim, tuav los yog nag lossis daus ntawm cov tshuaj rau ntawm lub khob ntawm lub raj mis, tsis tuaj yeem siv tshuaj daws teeb meem.

Qhov kub ntawm cov tshuaj insulin yuav tsum nyob ntawm chav sov.

Qhov koob tshuaj insulin yuav tsum tau kho nyob rau hauv cov kis mob kis, thaum tsis ua haujlwm ntawm cov thyroid caj pas, Addison's disease, hypopituitarism, mob raum tsis ua haujlwm thiab ntshav qab zib mellitus hauv cov neeg muaj hnub nyoog 65 xyoos.

Cov laj thawj ntawm kev ua ntshav siab tuaj yeem yog: kev noj tshuaj insulin ntau dhau, hloov tshuaj, hla zaub mov, ntuav, raws plab, kev ntxhov siab ntawm lub cev, cov kab mob uas txo qis qhov xav tau ntawm insulin (kab mob siab ntawm lub raum thiab mob siab, nrog rau kev ua haujlwm ntawm adrenal cortex, pituitary lossis thyroid caj pas), hloov chaw kev txhaj tshuaj (piv txwv, daim tawv nqaij ntawm lub plab, xub pwg, ncej puab), ntxiv rau kev sib cuam tshuam nrog lwm yam tshuaj. Nws muaj peev xwm ua kom txo qis ntawm cov piam thaj hauv cov ntshav thaum hloov mus rau tus neeg mob los ntawm tsiaj insulin mus rau tib neeg cov insulin. Qhov hloov ntawm tus neeg mob mus rau tib neeg cov kua dej yuav tsum tau ua kev tu mob ib txwm muaj thiab tsuas yog ua los ntawm kev saib xyuas ntawm kws kho mob.

Kev ntsuam xyuas kev txhim kho hypoglycemia tuaj yeem cuam tshuam cov peev xwm ntawm cov neeg mob koom tes hauv kev khiav tsheb, nrog rau kev saib xyuas cov tshuab thiab tshuab.

Cov neeg mob ntshav qab zib tuaj yeem txwv cov ntshav qab zib tsawg uas lawv xav los ntawm kev noj cov piam thaj lossis zaub mov ntau hauv carbohydrates (Nws raug nquahu kom koj ib txwm muaj tsawg kawg 20 g suab thaj nrog koj). Hais txog qhov hloov ntshav qog ntshav qab zib, nws yog qhov yuav tsum tau qhia rau tus kws kho mob uas tuaj koom nrog txiav txim siab txog qhov xav tau ntawm kev kho kho. Thaum cev xeeb tub, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus lej txo qis (kuv plaub hlis) lossis nce ntxiv (II-III trimesters) ntawm cov tshuaj insulin. Thaum lub sijhawm thiab yug tom qab yug, insulin yuav tsum poob ntau. Thaum lub sijhawm lactation, kev soj ntsuam txhua hnub yog xav tau rau ntau lub hlis (txog thaum qhov xav tau cov tshuaj insulin yuav ruaj khov).

Kev sib txuam

Cov tshuaj tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj.

Cov nyhuv hypoglycemic yog txhim kho los ntawm sulfonamides (suav nrog qhov ncauj tshuaj hypoglycemic, sulfonamides), MAO inhibitors (suav nrog furazolidone, procarbazine, selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs (suav nrog salicylates), anabolic (suav nrog stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, phenfluramine, Li + kev npaj, pyridoxine, quinidine, quinine, chloroquinine.

Glucagon, somatropin, corticosteroids, tshuaj tiv thaiv qhov ncauj, estrogens, thiazide thiab voj diuretics, BMKK, cov thyroid hormones, heparin, sulfinpyrazone, sympathomimetics, danazole, tricyclic antidepressants, clonidinin, calcitonin, antonidinotin, antagonists, ankylrogen, antagonists, cov tshuaj tiv thaiv kab mob, antonium epinephrine, H1-histamine receptor blockers.

Beta-blockers, reserpine, octreotide, pentamidine tuaj yeem txhim kho ob qho tib si thiab ua kom cov nyhuv tsis muaj zog hypoglycemic ntawm insulin.

Tus kws kho mob ntshav qab zib: "Txhawm rau tswj cov ntshav muaj piam thaj kom zoo."

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

Qhov tshuaj insulin muaj nyob hauv peb hom:

1. Ntim ntawm tsib lub raj mis, txhua ntawm tsib millilitiv,
2. Ib lub raj mis rau kaum milliliters,
3. Cartridges rau peb milliliters, rau koob txhaj tshuaj sau. Txhua lub cartridge muaj tshuaj ntsiav nrog 1 ml ntawm cov tshuaj nquag.

Cartridges yog qhov nrov tshaj plaws, vim tias lawv hloov pauv tsis nyuaj, thiab kev siv rab koob xaum xim yog qhov yooj yim thiab yuav luag tsis mob.

Hauv txhua lub raj mis los yog daim cartridge, hauv 1 milliliter ntawm cov tshuaj yog li 100 IU ntawm cov tshuaj insulin.

Cov tshuaj muaj suab thaj no muaj:

• Tib neeg cov kua dej - yog cov khoom siv tseem ceeb, nws yuav tsum tau ua tib zoo saib xyuas qhov ntau npaum li cas, thiaj li yuav zam kev noj tshuaj ntau dhau lossis tsis txaus siv cov tshuaj insulin, uas yuav ua rau muaj kev rau txim,
• M-cresol - nyob rau hauv qhov kev npaj no muaj nyob hauv tus nqi tsis txaus, ua lub luag haujlwm ntawm cov kuab tshuaj rau cov tshuaj ntxiv, thiab tseem ua cov tshuaj tua kab mob zoo, tshuaj thiab cov chaw muag tshuaj

Cov tshuaj no yog ib qho kev sib txuas ntawm tib neeg cov tshuaj insulin, tsuas yog nrog kev sib ntxiv ntawm cov tshuaj uas cuam tshuam rau kev nqus thiab lub sijhawm ua.

Cov khoom muaj suab thaj txo qis ntawm Insuman Bazal tau tiav ua tsaug rau:

1. Txhawm rau nrawm rau qhov tsis pom qab zib ntawm lub cev - thaum tib lub sij hawm muaj cov nyhuv ua kom tsis muaj zog tiv thaiv qhov nqus ntawm cov khoom noj carbohydrates nyob rau hauv lub plab zom mov, nrog rau kev ua kom tsis muaj qab zib ntawm qab zib los ntawm ob lub raum,
2. Qhov nqus ntawm cov piam thaj los ntawm cov ntaub so ntswg ntawm lub cev nce - vim tias, feem ntau ntawm cov piam thaj nkag mus rau cov ntaub so ntswg thiab cov hlwb ntawm lub cev, vim tias nws cov ntsiab lus hauv cov ntshav txo qis,
3. Kev nrawm nrawm ntawm liponeogenesis - cov cuab yeej no ua rau lub cev muaj roj hauv lub cev, txij li cov carbohydrates hauv cov hlab ntsha tau hloov pauv hauv cov khoom nruab nrog sab hauv. Thiab qhov ua kom tau cov metabolite tau muab tso rau hauv cov nqaij subcutaneous, omentum, cov leeg nqaij thiab lwm cov nqaij yog cov rog,
4. Kev loj hlob ntawm glyconeogenesis - qhov no, ib qho tshwj xeeb rau cov piam thaj tau tsim, uas yog cov tshuaj polysaccharide nyuaj. Nrog rau qhov tsis muaj cov piam thaj hauv cov ntshav, cov polysaccharide no yuav tawg kom nws qib hauv cov ntshav,
5. Kev txo qis hauv cov synthesis ntawm cov piam thaj los ntawm lub siab - hauv lub siab muaj cov metabolism ntawm ntau cov carbohydrates, cov rog thiab txawm tias cov protein, uas nyob hauv qab ntawm cov enzymes tshwj xeeb tuaj yeem tsim cov piam thaj,
6. Kev tsim cov tshuaj insulin - qhov nyuaj no yog nyob ntawm daim nyias nyias ntawm lub cev ntawm lub cev, thiab nce ntawm kev tso cov piam thaj hauv sab hauv, uas txo nws cov concentration hauv cov ntshav thiab ua rau muaj kev cuam tshuam ntau dua ntawm cov cell. Cov nyhuv no tau ua tiav tau zoo los ntawm cov neeg ncaws pob uas xav ua kom tau txais txiaj ntsig zoo dua yog siv insulin.

Ua raws li cov lus qhia rau kev siv, Insuman Bazal, nws yuav tsum raug tswj hwm subcutaneouslyCov. Qhov no yog qhov tsim nyog kom tsis txhob muaj qhov nce ntxiv hauv kev tsim nyog ntawm cov tshuaj insulin hauv cov ntshav. Yog li, koj yuav tsum tswj hwm lub sijhawm ntawm kev tswj hwm thiab xam lub sijhawm ntawm kev txhaj tshuaj ntxiv, vim hais tias cov nyhuv ntawm cov tshuaj tau tiav 1-2 teev tom qab kev tswj hwm, thiab cov txiaj ntsig zoo tshaj plaws pom yog 20-24 teev.

Cov tshuaj no yog siv hauv kev txhim kho cov tshuaj insulin-tiv thaiv ntshav qab zib mellitus ntawm thawj hom. Tseeb, nrog rau qhov sib txawv ntawm tus kab mob, ib qho kev txo qis hauv kev tsim ntawm cov tshuaj insulin los ntawm Langerhans hlwb hauv cov txiav yog pom, uas yuav tsum tau siv ntawm kev hloov kho.

Cov tshuaj no yog siv los ua kev kho mob ntev ntev, nws tuaj yeem txuas nrog cov tshuaj insulin sai sai Insuman Rapid.

Siv Insuman Bazal GT hauv cov koob txhaj tshuaj lossis nrog kev pabcuam ntawm insulin koob txhaj tshuaj, nws yog qhov tsim nyog los ua haujlwm nrog koj tus kws kho mob. Hauv qhov no, thawj qhov kev lees txais yuav tsum tau nyob hauv tsev kho mob los ntawm kev saib xyuas ntawm tus kws tshaj lij. Nws yuav pab tswj cov tshuaj uas yuav tsum tau ntawm insulin, tswj kev qhia ntawm kev siv tshuaj txhua hnub, zoo li soj ntsuam lub cev lub cev rau cov kev kho no.

Tsis muaj ntau qhov koob tshuaj rau kev siv cov tshuaj no, txij li ib qho tshuaj twg raug xaiv rau txhua tus neeg mob. Qhov koob tshuaj txhua hnub yog xam raws qhov hnyav ntawm lub cev thiab yog 0.4-1.0 U / kg.

Thaum xam xyuas qhov ntau npaum li cas, nws yog qhov yuav tsum tau txiav txim siab seb tus neeg mob ua raws li cov kev cai noj haus, uas ua rau lub neej muaj sia, nws cov haujlwm ib hnub. Cov tshuaj no yuav tsum raug tswj hwm nruj me ntsis subcutaneously. Qhov yuav tsum tau ua ntej yog hloov chaw txhaj tshuaj. Qhov no yog qhov tsim nyog vim qhov tshwj xeeb hauv ib cheeb tsam ntawm cov tshuaj, thiab kev tiv thaiv ntawm kev txhim kho cov ntaub so ntswg kev puas tsuaj thiab necrosis nrog rau kev tswj hwm tshuaj.

Qhov kev ua no yuav tsum muaj kev sib koom tes nrog tus kws kho mob uas koom nrog. Txij li thaum qhov sib txawv ntawm lub cev muaj qib sib txawv ntawm txoj kev loj hlob ntawm lub network ntawm cov ntshav thiab cov hlab ntsha, vim qhov no, feem ntawm cov tshuaj insulin nkag mus rau hauv cov hlab ntshav tuaj yeem hloov pauv.

Tus kws kho mob yuav tsum xav txog seb cov piam thaj puas hloov pauv thaum Insuman siv los ntawm ntau qhov chaw txhaj tshuaj.

Thaum siv Insuman Bazal, cov yam ntxwv hauv qab no yuav tsum raug xam tias:

• Qhov chaw ntawm kev taw qhia
• Cov kev hloov hauv lub cev qhov hnyav - nrog rau kev nce ntxiv, qhov ntau ntxiv nce ntxiv, qhov no, cov ntaub so ntswg tiv thaiv cov tshuaj insulin kuj yuav tshwm sim, nce siab tseem ceeb ntawm cov piam thaj thiab kev tsim cov davhlau ya nyob twg,
• Kev hloov pauv ntawm kev noj haus thiab kev ua neej - kev noj haus rau ntshav qab zib yog tswj xyuas cov ntshav qab zib kom tsis tu ncua, nyob rau hauv kev pauv hloov ntawm cov khoom noj khoom haus lossis hloov cov zaub mov li ib txwm, cov tshuaj tsim nyog yuav tsum tau rov ua dua. Cov kev coj ua no yuav tsum tau nqa tawm tom qab hloov lawv txoj kev ua neej, qee kis, cov neeg mob xav tau cov tshuaj insulin qis dua (cov duab ua haujlwm), thiab qee qhov, koob tshuaj loj (mob, txo qis kev ua haujlwm),
• Hloov mus rau tib neeg cov kua dej los ntawm tsiaj - xws li qhov kev tshwm sim tsuas yog nyob hauv kev saib xyuas ntawm tus kws kho mob koom, tsuas yog nws yuav tsum kho cov koob tshuaj. Hauv cov neeg mob ntshav qab zib, muaj qhov nce siab ntxiv rau tib neeg cov insulin, yog li feem ntau cov tshuaj ntawm cov tshuaj txo qis.

Nrog rau txoj kev loj hlob ntawm cov kab mob nrog daim siab ua kom tsis ua hauj lwm los yog ua rau nws, kev tswj ntshav qabzib yuav tsum tau nqa tawm thiab qhov ntau ntawm cov piam thaj ntawm cov tshuaj noj kom tsawg. Txij thaum cov tshuaj insulin txo qis, ntxiv rau cov kua nplaum ua ke nyob rau hauv lub siab.

Kev tiv thaiv kev nyab xeeb

Ua ntej hu rau cov tshuaj tsis raug cai, koj yuav tsum xyuas kom meej nws zoo.Txhawm rau ua qhov no, koj yuav tsum tau nqa lub raj mis, thiab nco ntsoov tias muaj lub hau yas uas hais tias nws tsis tau qhib. Tom qab ntawd ntsuas xyuas qhov xwm txheej ntawm cov tshuaj tiv thaiv nws tus kheej.

Nws yuav tsum yog xim dawb, opaque, xwm yeem. Yog tias nag lossis daus, muaj cov flakes, qhov pom tseeb ntawm kev ncua nws tus kheej tau pom, qhov no qhia tau tias qhov tsis zoo ntawm cov tshuaj.

Ua ntej hu, kev ncua yuav tsum tau muab sib xyaw kom zoo. Hauv cov koob txhaj tshuaj, kos cua kom raws li qhov xav tau thiab nkag rau hauv lub thauv yam tsis thawm kov lub plhu tawm nws tus kheej. Tom qab ntawv, tsis tas yuav tawm ntawm rab koob, tig lub raj mis thiab sau cov koob tshuaj uas yuav tsum tau ntawm Insuman.

Kev siv syringe cwjmem thiab cov cartridges, nws tseem yog qhov yuav tsum tau ntsuas lub xeev ntawm kev ncua nws tus kheej thiab kev ua yeeb yam ntawm cov koob txhaj tshuaj.Cov. Ua ntej kev tswj hwm, koj yuav tsum maj mam tig los yog co lub cuab yeej ob peb zaug kom tau txais kev ncua ntawm homogeneous.

Yog daim duab syringe tawg, thiab tsis muaj lub sijhawm xaj los yuav ib qho tshiab tam sim no, koj tuaj yeem siv cov koob txhaj tshuaj. Insuman Bazal muaj 100 IU / ml, cov tshuaj tseem ceeb, yog li koj yuav tsum siv cov koob txhaj tshuaj tshwj xeeb tsim rau qhov ntau npaum li cas ntawm cov tshuaj.

Sab sij huam

Tawm tsam keeb kwm yav dhau los ntawm kev siv tas li ntawm Insuman, kev txhim kho ntawm

1. Kev mob ntshav qab zib tsawg - nyob rau qhov xwm txheej ntawm cov tshuaj insulin ntau dua li ib txwm, lossis yog tias lub cev tsis xav tau ib qho,
2. Hyperglycemia - muaj kev txhim kho ntau zaus, qhia qhov tsis txaus ntawm cov tshuaj insulin lossis txo qis hauv lub cev rhiab rau cov tshuaj.

Cov xwm txheej zoo li no yog nrog tus kiv taub hau heev, muaj peev xwm ploj ntawm qhov tsis nco qab, tshee poob siab, hnov ​​qab txog kev tshaib plab. Kuj tseem muaj mob taub hau hnyav, ntxhov siab, chim siab, ua txhaum kev cai hauv kev koom tes ntawm kev txav mus los.

Nrog kev poob qis hauv cov piam thaj hauv siab, cov neeg mob tsim muaj tachycardia, txo qis ntshav siab, thiab tawv nqaij daj.

Kev txo qis thiab nce ntxiv nyob rau hauv cov piam thaj kuj tseem tuaj yeem ua qhov tsis xav ua rau tib neeg kev noj qab haus huv. Hauv cov xwm txheej zoo li no, angiopathy ntawm cov hlab ntsha me ntawm ntau cov chaw ua haujlwm loj hlob. Feem ntau, pom kev tsis hnov ​​lus, tsaus muag hauv qhov muag tshwm sim. Lub xeev no ntawm cov roj ntsha hauv lub cev ua rau txoj kev txhim kho kev dig muag.

Nrog cov kev qhia tas li ntawm cov kua dej hauv ib qhov chaw, atrophy ntawm cov nqaij mos subcutaneous tsim muaj, caws pliav tshwm sim. Tsis tas li, cov kev coj ua no tuaj yeem ua rau qhov tshwm sim ntawm voos lossis daim ntaub necrosis.

Cov tshuaj tiv thaiv tsis haum lub siab yuav tshwm sim ntawm cov khoom ntawm Insuman, uas yog nrog los ntawm khaus heev, tawm pob ntawm daim tawv nqaij, nrog rau qhov mob ua paug lossis cov tawv nqaij dub, qhia tias cov nqaij mos necrosis (Arthus phenomenon). Tej zaum qhov tshwm sim ntawm cov teeb meem ua pa, qhia txog kev txhim kho ntawm bronchospasm, angioedema, liab ntawm txhua daim tawv nqaij.

Noj ntau dhau

Nrog kev qhia ntawm kev txhaj tshuaj ntau ntawm cov tshuaj insulin, ib qho kev tiv thaiv qog ntshav hnyav hauv lub cev loj hlob tuaj. Thaum thawj cov tsos mob tshwm sim, nws yog ib qho tsim nyog yuav tsum tau ua kev ntsuas kom nres qhov mob no. Ua ntej tshaj, koj yuav tsum tau ua qhov kev ntsuas maj tawm rau cov ntshav qab zib kom qis. Yog tias qhov ntsuas qis qis, koj yuav tsum nqa me me ntawm qab zib sab hauv.

Thaum poob ntawm kev nco qab, qhov kev sib kis zoo ntawm cov piam thaj tau muab rau tus neeg raug tsim txom, mob qhov quav, thiab tom qab ntawd ib qho dej ntws txuas nrog cov kua dej qabzib dhau los. Tom qab uas tus neeg mob tau tso rau hauv kev soj ntsuam thiab cov ntshav qab zib cov ntshav tau ntsuas tas li.

Kev cuam tshuam nrog lwm yam tshuaj

Kev siv tib lub sij hawm ntau yam ntawm cov tshuaj muaj suab thaj txo qis yuav ua rau kev txhim kho hypoglycemic coma, nws yog qhov tsim nyog los tswj kev ua kom tsawg ntawm cov tshuaj nrog koj tus kws kho mob.

Nws tseem raug txwv tsis pub noj Insuman nrog cov tshuaj uas tuaj yeem txo cov txiaj ntsig ntawm cov tshuaj tiv thaiv kab mob, lawv suav nrog: emtrogens, sympathomimetics, thyroid hormones, diuretics, somatotropin thiab nws cov tshuaj analogues, tshuaj tiv thaiv kev puas hlwb.

Yog tias tus neeg mob xav tau cov tshuaj no, lub sijhawm zoo li no yuav tsum pom zoo nrog tus kws kho mob mus kawm.

Analogs thiab kwv yees tus nqi

Tus nqi ntawm Insuman lub hauv paus ntawm thaj chaw ntawm Lavxias yog los ntawm 765.00 rubles rau 1,585 rubles.

Yog tias tsim nyog, peb tuaj yeem koom tes nrog kev siv yav tom ntej ntawm lwm yam Insuman Bazal analogues. Lawv yuav luag zoo ib yam hauv kev sib xyaw thiab sijhawm ua. Lawv kuj muaj ib qho kev sib txuas ntawm tib neeg cov tshuaj insulin, nrog rau qhov sib ntxiv ntawm lwm yam kev zam.

Cov keeb kwm ntawm Insuman Bazal yog:

1. Protafan TM, ntau lawm - Denmark. Qhov hypoglycemic no tuaj yeem muas ntawm tus nqi ntawm 850 rubles rau 985 rubles.
2. Rinsulin NPH, ntau lawm - Russia. Cov cuab yeej no muaj nyob rau hauv lub raj mis thiab daim cartridges, koj tuaj yeem yuav tus nqi ntawm 400 rubles rau 990 rubles.
3. Humulin NPH, Ntau Lawm - USA. Hauv cov khw muag tshuaj tuaj yeem pom ntawm tus nqi ntawm 150-400 rubles.