Gensulin: cov lus qhia thiab tshuaj xyuas rau siv

Qhov kev txhaj thiab qhov tshwj xeeb ntawm kev tswj hwm yuav raug pom zoo los ntawm tus kws kho mob nkaus xwb. Qhov ntau npaum li cas yuav raug teem raws li kev xav txog cov ntshav qab zib tam sim no thiab 2 teev tom qab noj mov. Tsis tas li ntawd, qhov kev kawm tiav ntawm chav kawm ntawm glucosuria thiab nws cov yam ntxwv yuav raug coj los siv.

Gensulin r tuaj yeem siv ntau txoj hauv kev (intravenously, intramuscularly, subcutaneously) 15-30 feeb ua ntej kev npaj pluas noj. Txoj kev nrov tshaj plaws ntawm kev tswj hwm yog subcutaneous. Tus so yuav tsim nyog nyob rau hauv cov xwm txheej zoo li no:

nrog cov ketoacidosis uas mob ntshav qab zib,
nrog mob ntshav qab zib coma
thaum phais.

Qhov ntau zaus ntawm kev tswj hwm thaum lub sij hawm siv los kho lub cev muaj zog yuav yog 3 zaug hauv ib hnub. Yog tias tsim nyog, cov lej tuaj yeem nce ntxiv txog 5-6 zaug hauv ib hnub.

Txhawm rau kom tsis txhob txhim kho lipodystrophy (atrophy thiab hypertrophy ntawm subcutaneous cov ntaub so ntswg), nws yog ib qho tsim nyog yuav tsum hloov pauv ntawm thaj chaw txhaj tshuaj.

Qhov nruab nrab txhua hnub ntau npaum li cas ntawm cov tshuaj Gensulin r yuav yog:

rau cov neeg mob laus - los ntawm 30 txog 40 units (UNITS),
rau menyuam yaus - 8 seem.

Ntxiv mus, nrog rau qhov kev thov nce ntxiv, qhov nruab nrab koob yuav yog 0.5 - 1 PIECES rau txhua qhov hnyav ib phaus lossis los ntawm 30 txog 40 PIECES 3 zaug hauv ib hnub.

Yog tias qhov koob tshuaj txhua hnub yuav tshaj 0.6 U / kg, tom qab ntawv no, cov tshuaj yuav tsum ua raws li 2 koob nyob hauv ntau qhov chaw ntawm lub cev.

Cov tshuaj muab tau qhov sib ntxiv ntawm cov tshuaj Gensulin r nrog insulins ntev ntev.

Kev daws yuav tsum tau sau los ntawm vial los ntawm kev tho lub taub roj hmab nrog lub hau huv lub koob txhaj tshuaj.

Lub hauv paus ntsiab lus ntawm kev kov lub cev

Cov tshuaj no cuam tshuam nrog cov receptors tshwj xeeb ntawm sab nraud ntawm cov kab mob ntawm cov hlwb. Raws li qhov tshwm sim ntawm qhov sib tiv tauj ntawd, ib qho insulin receptor complex tshwm sim. Raws li kev tsim cov khoom cAMP nce rau hauv cov rog thiab lub siab lossis thaum nws nkag ncaj qha rau cov leeg nqaij, qhov tawm los ntawm insulin receptor los pib tsim cov txheej txheem intracellular.

Txoj kev poob rau hauv cov ntshav qab zib yog tshwm sim los ntawm:

kev loj hlob ntawm nws txoj kev thauj khoom intracellular,
ntxiv kev nqus, nrog rau nws txoj kev nqus los ntawm cov ntaub so ntswg,
stimulation ntawm tus txheej txheem lipogenesis,
protein ua kom sib haum
glycogenesis
qhov txo qis hauv cov nqi ntawm cov piam thaj tsim tawm los ntawm lub siab.

Tom qab txhaj tshuaj subcutaneous, cov tshuaj Gensulin r yuav pib ua li ntawm 20-30 feeb. Qhov siab tshaj plaws ntawm cov tshuaj yuav pom tau tom qab 1-3 teev. Lub sijhawm tiv thaiv ntawm cov tshuaj insulin no yuav ncaj qha nyob ntawm seb qhov ntau npaum li cas, hom kev thiab qhov chaw tswjhwm.

Qhov ntxim nyiam ntawm kev tshwm sim tsis zoo

Hauv kev ua los ntawm kev thov Gensulin r cov kev tsis zoo hauv qab no ntawm lub cev yog ua tau:

kev ua xua (urticaria, ua pa ceev ceev, ua npaws, txo cov ntshav siab),
ntshav qog ntshav (pallor, tawm hws, nce hws, tshaib plab, tshee tshee, npau taws heev, mob taub hau, nyuaj siab, coj txawv txawv, tsis pom kev thiab ua kom sib haum),
hypoglycemic coma,
diabetic acidosis thiab hyperglycemia (muaj kev txhim kho nrog cov tshuaj tsis haum tshuaj, hla kev txhaj tshuaj, tsis kam noj zaub mov noj): lub ntsej muag tawv nqaij hyperemia, lub ntsej muag ua kom tsis qab los noj mov, tsaug zog, tsis nqhis dej,
tsis nco qab zoo
cov teeb meem tsis pom kev zoo,
cov tshuaj tiv thaiv kab mob ntawm lub cev rau tib neeg cov tshuaj insulin.

Tsis tas li ntawd xwb, thaum pib kho mob, yuav muaj o thiab ua kom lub siab tsis zoo. Cov tsos mob no yog qhia dag thiab ploj sai.

Daim ntawv thov nta

Ua ntej koj noj cov tshuaj Gensulin r los ntawm ib lub vial, koj yuav tsum tshawb xyuas qhov kev daws teeb meem rau pob tshab. Yog tias pom lub cev txawv teb chaws, kev poob mus lossis qhov tsis zoo ntawm qhov khoom tshawb pom, nws raug txwv tsis pub siv!

Nws yog ib qho tseem ceeb kom tsis txhob hnov qab txog qhov zoo tshaj plaws kub ntawm cov tshuaj txhaj - nws yuav tsum yog chav sov.

Qhov ntau thiab tsawg ntawm cov tshuaj yuav tsum tau kho nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm tej yam kab mob:

kis tau
Addison's disease
muaj ntshav qab zib rau cov neeg mob laus dua 65 xyoos,
nrog cov teeb meem ua haujlwm cov thyroid,
Kev Ntsuas Ncaj.

Cov ntsiab lus tseem ceeb rau kev txhim kho ntshav qab zib tuaj yeem dhau los: kev noj ntau dhau, hloov tshuaj, ntuav, kho lub plab, hloov qhov chaw txhaj tshuaj, mob lub cev, nrog rau kev sib cuam tshuam nrog qee yam tshuaj.

Yuav pom ib qho kev txo hauv cov ntshav qab zib tuaj yeem pom thaum hloov los ntawm tsiaj cov insulin rau tib neeg.

Txhua yam kev hloov pauv ntawm cov tshuaj tswj xyuas yuav tsum ua rau muaj kev raug mob thiab ua raws kev tswj hwm ntawm tus kws kho mob. Yog tias muaj qhov mob siab rau qhov kev txhim kho hypoglycemia, tom qab no qhov no muaj peev xwm ntawm cov neeg mob koom nrog hauv kev tsheb khiav tsheb thiab kev saib xyuas cov tshuab, thiab hauv cov tsheb tshwj xeeb, tej zaum yuav raug mob.

Tus mob ntshav qab zib tuaj yeem ywj pheej nres kev txhim kho rau cov neeg muaj ntshav qab zib tsawg. Qhov no yog ua tau vim kev noj ntawm ib qho me me ntawm carbohydrates. Yog hais tias hloov ntshav qab zib hauv lub cev lawm, ces nws yog qhov yuav tsum tau qhia rau koj tus kws kho mob uas koom nrog txog qhov no.

Thaum lub sij hawm txoj kev kho nrog Gensulin r, cov neeg mob cais los ntawm kev poob qis lossis nce ntxiv ntawm cov nqaij rog yog qhov ua tau. Cov txheej txheem zoo sib xws tau pom nyob ze ntawm qhov chaw txhaj tshuaj. Nws muaj peev xwm kom tsis txhob muaj qhov tshwm sim no los ntawm kev hloov chaw tas li txhaj tshuaj.

Yog tias cov tshuaj insulin siv thaum cev xeeb tub, nws yog ib qho tseem ceeb uas yuav tau txiav txim siab tias hauv thawj peb lub hlis, kev xav tau cov tshuaj hormones poob qis, thiab nyob rau lub sijhawm thib ob thiab thib peb nce siab. Thaum yug menyuam thiab tam sim ntawd tom qab, tej zaum yuav tsis muaj qhov xav tau ntawm lub cev rau kev txhaj tshuaj hormone.

Yog tias tus poj niam tab tom pub niam mis, tom qab ntawd qhov no nws yuav tsum tau nyob ze kev saib xyuas ntawm tus kws kho mob (txog thaum lub sijhawm uas tus mob yuav khov kho).

Cov neeg mob ntshav qab zib uas tau txais ntau tshaj 100 units ntawm Gensulin R thaum nruab hnub yuav tsum tau mus pw hauv tsev kho mob thaum lawv hloov cov tshuaj.

Cov theem ntawm kev cuam tshuam nrog lwm cov tshuaj

Los ntawm cov kws tshuaj pom, cov tshuaj no tsis sib xws nrog lwm cov tshuaj.

Kev mob ntshav siab ntshav qab zib tuaj yeem tsim txom:

sulfonamides,
MAO inhibitors
carbonic anhydrase inhibitors,
ACE inhibitors, NSAIDs,
anabolic tshuaj yuam
androgens
Li + npaj.

Qhov cuam tshuam rau kev noj qab haus huv ntawm tus mob ntshav qab zib (txo qis ntshav qab zib) yuav muaj kev siv Gensulin nrog cov txhais tau tias:

tshuaj tiv thaiv qhov ncauj
voj diuretics
estrogens
tshuaj maj
blockers ntawm H1-histamine receptors,
nicotine
glucagon
somatotropin,
epinephrine
clonidine
tricyclic cov tshuaj tiv thaiv kab mob,
morphine.

Muaj cov tshuaj uas tuaj yeem cuam tshuam lub cev hauv ob txoj kev. Pentamidine, octreotide, reserpine, ntxiv rau beta-blockers tuaj yeem ob leeg txhim kho thiab ua kom cov nyhuv tsis muaj zog hypoglycemic ntawm cov tshuaj Gensulin r.

Cov neeg ua yeeb yam luv luv

ICD: E10 Insulin-tiv thaiv ntshav qab zib mellitus (hom 1 mob ntshav qab zib mellitus) E11 Tsis-insulin-tiv thaiv ntshav qab zib mellitus (hom 2 mob ntshav qab zib mellitus)

Gensulin P - tib neeg cov insulin tau siv thev naus laus zis DNA thev naus laus zis. Nws yog lub sijhawm luv luv-insulin npaj. Nws cuam tshuam nrog cov receptor tshwj xeeb ntawm sab cytoplasmic membrane ntawm cov hlwb thiab tsim cov txheej txheem insulin-receptor complex uas txhawb cov txheej txheem intracellular, suav nrog cov synthesis ntawm cov lej tseem ceeb (hexokinase, pyruvate kinase, glycogen synthetase). Cov thawj coj hauv cov ntshav nyob rau hauv lub cev vim qhov nce ntawm nws txoj kev thauj mus los rau hauv lub cev ntau dua ntxiv, ntau dua qhov kev nqus thiab kev ua haujlwm ntawm cov nqaij mos, ua kom lub ntsej muag lipogenesis, glycogenogenesis, thiab txo tus nqi ntawm cov piam thaj los ntawm lub siab.
Lub sijhawm ntawm cov kev ua ntawm insulin npaj feem ntau vim yog tus nqi ntawm kev nqus, uas nyob ntawm ntau yam (piv txwv li, ntawm koob tshuaj, txoj kev thiab qhov chaw ntawm cov thawj coj), thiab yog li cov ntaub ntawv ntawm kev ua ntawm insulin yog raug rau qhov txawv txav, ob leeg hauv cov neeg sib txawv thiab tib tus neeg.
Cov ntaub ntawv ntawm kev ua nrog sc txhaj tshuaj (kwv yees cov nuj nqis): qhov pib ntawm kev ua tom qab 30 feeb, qhov ua tau zoo tshaj plaws yog nyob hauv qhov sib nrug ntawm 1 mus rau 3 teev, lub sijhawm ua haujlwm tau ntev txog 8 teev.

Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm txoj hauv kev ntawm cov thawj coj (s / c, i / m), thaj chaw txhaj tshuaj (plab, ncej, pob tw), koob tshuaj (ntim ntawm cov tshuaj insulin), thiab cov tshuaj insulin nyob hauv kev npaj. Nws faib tau tsis ncaj thoob plaws cov ntaub so ntswg: h tsis txeem.

Daim ntawv tso tawm

Tsis pom cov ntaub ntawv koj xav tau?
Cov lus qhia tseem ceeb dua ntxiv rau cov tshuaj "gensulin r (gensulin r)" tuaj yeem pom ntawm no:

Nyob zoo cov kws kho mob!

Yog tias koj muaj kev paub txog tshuaj no rau koj cov neeg mob - qhia qhov tshwm sim (tawm ib saib)! Cov tshuaj no puas pab tau tus neeg mob, puas tau muaj tshwm sim thaum lub sijhawm kho? Koj cov kev paub yuav txaus siab rau ob qho tib si koj cov npoj yaig thiab cov neeg mob.

Nyob zoo cov neeg mob!

Yog tias cov tshuaj no tau raug kho rau koj thiab koj tau mus ntsib ib txoj kev kho, qhia kuv yog tias nws ua haujlwm zoo (txawm nws pab tau), seb puas muaj kev phiv, koj nyiam / tsis nyiam li cas. Ntau txhiab leej neeg tab tom nrhiav tshuaj xyuas online ntawm ntau yam tshuaj. Tab sis tsuas yog qee leej tawm lawv. Yog tias koj tus kheej tsis tawm cov lus taw qhia ntawm cov ncauj lus no - tas yuav tsis muaj dab tsi nyeem.

Kev sib xyaw ntawm GENSULIN N

Kev Rau Txim Rau SC cov thawj coj	1 ml
insulin isophane (tib neeg kev tshawb fawb caj)	100 units

3 ml - cartridges (5) - contour cell ntim.
3 ml - cartridges (625) - pob khoom ntawm cardboard.
10 ml - fwj (1) - pob khoom los ntawm cardboard.
10 ml - fwj (144) - pob ntawm cardboard.

Nruab nrab ntev tib neeg lub insulin

Gensulin H - insulin cov tib neeg tau siv cov thev naus laus zis DNA sib luag. Nws yog kev ua haujlwm nruab nrab insulin. Nws cuam tshuam nrog kev lees paub tshwj xeeb rau sab nraud cytoplasmic membrane ntawm cov hlwb thiab tsim cov txheej txheem insulin-receptor complex uas txhawb cov txheej txheem intracellular, suav nrog cov synthesis ntawm ntau cov enzymes (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 rau hauv lub cev ntau dua ntxiv, ntau dua qhov kev nqus thiab kev ua haujlwm ntawm cov nqaij mos, ua kom lub ntsej muag lipogenesis, glycogenogenesis, thiab txo tus nqi ntawm cov piam thaj los ntawm lub siab. Lub sijhawm ntawm cov kev ua ntawm insulin npaj feem ntau vim yog tus nqi ntawm kev nqus, uas nyob ntawm ntau yam (piv txwv li, ntawm koob tshuaj, txoj kev thiab qhov chaw ntawm cov thawj coj), thiab yog li cov ntaub ntawv ntawm kev ua ntawm insulin yog raug rau qhov txawv txav, ob leeg hauv cov neeg sib txawv thiab tib tus neeg.

Daim ntawv qhia txog qhov kev txiav txim ntawm kev txhaj tshuaj sc (kwv yees kwv yees): qhov pib ntawm kev ua tom qab 1.5 teev, cov nyhuv siab tshaj plaws yog nyob ntawm 3 txog 10 teev, lub sijhawm ua haujlwm tau ntev txog 24 teev.

Kev ua tiav ntawm kev nqus thiab pib ntawm cov nyhuv ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj (plab, ncej, pob tw), qhov koob tshuaj (ntim ntawm cov tshuaj insulin), cov tshuaj insulin nyob rau hauv cov tshuaj, thiab lwm yam Nws muab faib tsis ncaj ntawm cov ntaub so ntswg, thiab tsis nkag rau hauv qhov chaw tiv thaiv thiab nkag mus rau niam mis. Nws yog rhuav tshem los ntawm insulinase feem ntau hauv daim siab thiab lub raum. Nws yog tawm los ntawm lub raum (30-80%).

Muab koob tshuaj thiab cov thawj coj ntawm GENSULIN N

Gensulin N yog npaj rau kev tswj hwm sc. Cov koob tshuaj ntawm cov tshuaj tau txiav txim siab los ntawm tus kws kho mob tshwj xeeb hauv txhua kis, raws li theem ntawm cov piam thaj hauv cov ntshav. Qhov nruab nrab, cov tshuaj txhua hnub ntawm cov tshuaj yog li 0.5 mus rau 1 IU / kg lub cev qhov hnyav (nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob thiab theem ntawm cov ntshav qab zib). Qhov kub ntawm cov tshuaj insulin yuav tsum nyob ntawm chav sov.

Gensulin H ib txwm txhaj tshuaj sc rau hauv tus ncej puab. Kev hno tuaj yeem tuaj yeem ua rau hauv pem hauv ntej lub plab phab ntsa, pob tw, lossis thaj tsam ntawm deltoid leeg ntawm lub xub pwg.

Nws yog ib qho tsim nyog yuav tsum hloov chaw txhaj tshuaj nyob rau hauv thaj chaw anatomical thiaj li tiv thaiv kev txhim kho ntawm lipodystrophy.

Gensulin N tuaj yeem pom ob qho tib si thiab nyob rau hauv kev sib xyaw nrog luv luv ua yeeb yam insulin (Gensulin P).

Sab sij huam ntawm GENSULIN N

Vim muaj qhov cuam tshuam rau cov metabolism hauv kev ua kom yuag: hypoglycemic tej yam kev mob (pallor ntawm daim tawv nqaij, nce tawm hws, palpitations, tshee tshee, tshaib plab, ntxhov siab, teeb meem hauv lub qhov ncauj, mob taub hau). Kev mob ntshav qog ntshav qis tuaj yeem ua rau txhim kho kev mob hypoglycemic coma.

Kev ua xua: tsis tshua muaj - pob khaus rau ntawm daim tawv nqaij, Quincke's edema, tsis tshua muaj tshwm sim - ceeb thawj anaphylactic.

Cov tshuaj tiv thaiv hauv zos: hyperemia, o thiab khaus ntawm qhov chaw txhaj tshuaj, nrog rau siv sijhawm ntev - lipodystrophy ntawm thaj chaw txhaj tshuaj.

Lwm yam: kab mob edema, qhov hloov pauv sai sai (feem ntau thaum pib kho).

Cov tsos mob: hypoglycemia yuav tshwm sim.

Kev Kho Mob: tus neeg mob tuaj yeem tshem tawm qhov tsis muaj ntshav qab zib tsawg los ntawm kev noj cov piam thaj lossis zaub mov carbohydrate. Yog li, nws pom zoo rau cov neeg mob ntshav qab zib kom noj qab zib tas li, cov khoom qab zib, ncuav qab zib lossis kua txiv qab zib.

Thaum muaj mob hnyav, thaum tus neeg mob tsis nco qab lawm, 40% kev daws teeb meem yog hno tshuaj, hauv / m, s / c, hauv / hauv glucagon. Tom qab nws rov qab nco qab, tus neeg mob tau pom zoo kom noj cov khoom noj uas muaj cov khoom noj carbohydrate kom tiv thaiv kev rov qab txhim kho hypoglycemia.

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

Cov nyhuv hypoglycemic ntawm insulin yog kho los ntawm qhov ncauj hypoglycemic tshuaj, monoamine oxidase inhibitors. ACE inhibitors, carbonic anhydrase inhibitors, tsis xaiv-beta-block adrenergic thaiv cov kab mob, bromocriptine, octreotide, sulfanilamides, anabolic steroids, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, piclofuramine, et. Cov tshuaj tiv thaiv kab mob hauv lub cev, glucocorticosteroids, cov thyroid hormones, thiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, danazole, clonidine, calcium channel blockers, diazokeide, morphine, phenytoin ua rau cov ntshav tsis haum rau insulin.

Nyob rau hauv kev cuam tshuam ntawm reserpine thiab salicylates, ob qho tib si ua kom tsis muaj zog thiab nce ntxiv hauv kev ua ntawm cov tshuaj muaj peev xwm ua tau.

Koj tsis tuaj yeem siv Gensulin N, yog tias tom qab co ncua kev ncua tsis tig mus dawb thiab tauv huab.

Tawm tsam keeb kwm yav dhau los ntawm kev kho mob insulin, kev tshuaj xyuas cov ntshav qabzib ntau yog tsim nyog. Cov laj thawj ntawm cov ntshav qog ntshav ntshav ntxiv rau kev noj tshuaj insulin ntau tshaj tuaj yeem yog: hloov tshuaj, hla zaub mov, ntuav, raws plab, ua kom lub cev muaj zog ntau ntxiv, cov kab mob uas txo qis qhov xav tau rau insulin (kev mob siab rau lub siab thiab lub raum kev ua haujlwm, kev ua haujlwm ntawm adrenal cortex, pituitary lossis thyroid caj pas), hloov chaw txhaj tshuaj, ntxiv rau kev cuam tshuam nrog rau lwm cov tshuaj.

Kev noj tshuaj tsis yog lossis cuam tshuam rau hauv cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob ntshav qab zib hom 1, tuaj yeem ua rau mob hyperglycemia. Feem ntau, thawj cov tsos mob ntawm hyperglycemia pib maj mam dhau ob peb teev lossis hnub. Cov no suav nrog kev nqhis dej, ntxiv tso zis, xeev ntuav, ntuav, kiv taub hau, liab thiab ntawm daim tawv nqaij, qhov ncauj qhuav, tsis qab los, tsis hnov ntxhiab ntawm cov acetone hauv cov pa tawm. Yog tias tsis kho, hyperglycemia hauv hom I mob ntshav qab zib tuaj yeem ua tus kab mob ntshav qab zib ketoacidosis muaj sia. Cov koob tshuaj insulin yuav tsum raug kho rau kev ua haujlwm ntawm cov thyroid tsis zoo, Addison's disease, hypopituitarism, ua rau lub siab thiab lub raum tsis ua haujlwm thiab mob ntshav qab zib hauv cov neeg muaj hnub nyoog 65 xyoos.

Kev kho tshuaj ntawm cov tshuaj insulin kuj tseem xav tau yog tias tus neeg mob nce ntxiv ntawm kev ua haujlwm lub cev lossis hloov cov zaub mov li qub.

Cov kab mob sib xyaw tshwj xeeb, tshwj xeeb tshaj yog kis mob thiab cov kab mob nrog kub taub hau, nce ntxiv qhov xav tau ntawm insulin.

Kev hloov pauv ntawm ib hom tshuaj insulin mus rau lwm qhov yuav tsum tau ua nyob ntawm kev tswjhwm ntawm cov ntshav nyob rau qib.

Cov tshuaj txo qis cawv rau cov neeg haus cawv.

Vim tias muaj qhov ua rau nag lossis daus hauv qee qhov ntsuas, kev siv yeeb tshuaj hauv cov tshuaj insulin tsis pom zoo.

Cuam Tshuam rau lub peev xwm tsav tsheb thiab tswj cov tswv yim. Vim muaj lub hom phiaj tseem ceeb ntawm insulin, hloov nws hom lossis nyob rau ntawm qhov muaj teeb meem lub cev lossis lub hlwb tseem ceeb, nws muaj peev xwm los txo lub peev xwm tsav lub tsheb lossis tswj ntau cov txheej txheem, nrog rau koom nrog rau lwm yam kev phom sij uas xav tau nce kev saib xyuas thiab ceev ntawm kev puas siab puas ntsws thiab lub cev.

Khaws cov tshuaj ntawm qhov kub ntawm 2 txog 8 ° C. Tsis khov. Tom qab qhib lub pob, khaws cov tshuaj ntawm qhov kub tsis dhau 25 ° C rau 28 hnub, hauv qhov chaw tsaus. Txhob nyob ze cov me nyuam.

Lub txee lub neej ntawm cov tshuaj yog 2 xyoos. Tsis txhob siv tom qab hnub tas sij hawm.

Kev ntsuas rau siv

Gensulin N raug pom zoo rau siv nyob rau hauv hom 1 mob ntshav qab zib mellitus, nrog rau hom 2 mob ntshav qab zib mellitus nyob rau theem ntawm kev tsis kam rau hypoglycemic tus neeg sawv cev rau kev siv lub qhov ncauj, ib feem tawm tsam cov tshuaj no (nyob rau hauv kev kho mob sib xyaw ua ke) thiab cov kab mob sib kis.

Kev siv ntawm kev ncua nyob hauv vials

Siv ib hom tshuaj insulin:

Tshem tawm cov txhuas tiv thaiv lub hau ntawm lub vial.
Txheeb rau lub hnab roj hmab rau ntawm lub thauv.
Sau cov cua mus rau hauv cov phwj hauv qhov ntim coj los ntsuas qhov yuav tsum tau siv ntawm cov tshuaj insulin thiab qhia cov huab cua mus rau hauv lub vial.
Tig hauv qab ntawm lub thauv nrog lub tshuaj txhaj tshuaj thiab sau cov koob tshuaj tsim nyog ntawm cov tshuaj insulin rau hauv nws.
Tshem tawm cov koob txhaj tshuaj ntawm lub khob, tshem tawm cov cua ntawm lub koob txhaj tshuaj, thiab paub tseeb tias qhov yuav tsum tau siv cov tshuaj insulin.
Ua ib qho kev txhaj tshuaj.

Kev siv ob hom tshuaj insulin:

Tshem tawm cov txhuas tiv thaiv kaus mom los ntawm vials.
Txheem kua roj hmab kom zoo ntawm daim ntaub.
Tam sim ntawd ua ntej hu, yob ib lub vias ntawm cov kua dej ntawm lub sij hawm nruab nrab (ntev) kev txiav txim siab hauv qhov kev ncua ntawm lub xib teg ntawm txhais tes kom txog thaum cov txo mus rau tusyees faib thiab cov ntawv dawb huab ncua kev.
Sau cov pa mus rau hauv cov phwj hauv qhov ntim uas sib xyaw rau qhov yuav tsum tau siv ntawm cov insulin ntev, qhia huab cua rau hauv lub thauv nrog rau kev ncua, thiab tom qab ntawd tshem cov koob.
Txhawm rau kom nqus huab cua mus rau hauv cov koob txhaj tshuaj hauv lub ntim sib xyaw nrog qhov yuav tsum tau txhaj ntawm luv luv insulin, qhia huab cua rau hauv lub vias ntawm cov tshuaj insulin nyob rau hauv daim ntawv ntawm cov tshuaj ntshiab, tig hauv qab ntawm lub vial nrog cov koob txhaj thiab sau koob tshuaj uas yuav tsum tau.
Tshem tawm cov koob txhaj tshuaj ntawm lub khob, tshem tawm cov cua ntawm lub koob txhaj tshuaj, thiab paub tseeb tias qhov yuav tsum tau siv cov tshuaj insulin.
Ntxig lub koob txhaj tshuaj rau hauv lub thauv nrog lub ncua kev kawm, tig sab hauv qab ntawm lub thauv nrog lub taub hau thiab sau cov koob xav tau ntawm cov tshuaj insulin mus ntev.
Tshem tawm rab koob ntawm lub vial, tshem tawm cov cua ntawm lub koob txhaj tshuaj, thiab xyuas yog tias tag nrho cov tshuaj insulin tsim nyog.
Ua ib qho kev txhaj tshuaj.

Nws yog ib qho tseem ceeb uas yuav tsum tau ntaus cov insulin hauv kab uas hais los saud.

Kev siv kev tshem tawm hauv cov cartridges

Daim cartridges nrog cov tshuaj Gensulin N yog npaj rau siv tsuas yog siv cov phwj leeg ntawm lub tuam txhab "Owen Mumford". Yuav tsum ua raws li cov lus teev tseg hauv cov lus qhia rau kev siv cov phwj syringe rau kev siv tshuaj insulin.

Ua ntej siv Gensulin H, lub cartridge yuav tsum raug kuaj xyuas thiab paub tseeb tias tsis muaj kev puas tsuaj (tej daim, tawg); yog tias lawv nyob, yuav siv tsis tau daim cartridge. Tom qab kev txhim kho lub taub ntim hauv daim ntawv syringe, ib txoj hlua xim yuav tsum pom ntawm lub qhov rai ntawm tus tuav.

Ua ntej kev txhim kho lub taub ntim hauv daim ntawv syringe, nws yuav tsum tau tig mus kom lub pob iav me me sab hauv sib tov. Cov txheej txheem tig rov qab ua dua tsawg kawg 10 zaug, kom txog rau thaum huab cua dawb thiab zoo li qub huab ncua kev kawm. Ua ib txoj kev txhaj tshuaj tom qab ntawd.

Yog tias daim cartridge raug teeb tsa hauv lub npiv ua ntej, kev sib xyaw cov kev ncua ntawv yog nqa tawm rau tag nrho cov kab ke (tsawg kawg 10 zaug) thiab rov ua dua ua ntej txhua qhov kev txhaj tshuaj.

Tom qab ua tiav ntawm kev txhaj, koob yuav tsum tau sab laug hauv qab daim tawv nqaij tsawg kawg yog 6 feeb, thiab yuav tsum tuav lub pob nyem kom txog thaum rab koob tawm ntawm daim tawv nqaij tag. Qhov no yuav xyuas kom meej tias lub koob tshuaj tau muab rau kev tswj kho kom raug thiab txwv qhov muaj feem ntshav / lymph nkag mus rau hauv rab koob lossis insulin cartridge.

Daim cartridge nrog cov tshuaj Gensulin N tsuas yog npaj rau tus kheej nkaus xwb thiab tsis tuaj yeem sau kom tau.

Sab sij huam

cov txiaj ntsig ntawm kev cuam tshuam ntawm cov metabolism hauv kev noj haus: kev mob ntshav qab zib ntau - mob taub hau, blanching ntawm daim tawv nqaij, palpitations, nce tawm hws, tshee, ntxhov siab, kev tshaib kev nqhis, kab mob plab hauv lub qhov ncauj, vim qhov mob ntshav qab zib tsawg, ntshav qab zib tsis tuaj yeem yuav tshwm sim,
kev tsis haum lub cev: tsis tshua pom tshwm - ua pob rau ntawm daim tawv nqaij, Quincke's edema, tsis tshua muaj tshwm sim - anaphylactic ceeb,
kev hloov pauv ntawm thaj chaw txhaj tshuaj: o thiab khaus, hyperemia, thaum siv sijhawm ntev - lipodystrophy ntawm thaj chaw txhaj tshuaj,
Lwm yam: kab mob edema, qhov hloov pauv sai sai (feem ntau thaum pib ntawm chav kawm ntawm txoj kev kho).

Cov tsos mob ntawm kev noj haus ntau dhau yuav yog qhov kev txhim kho ntawm tus mob ntshav qab zib tsawg. Txog kev kho mob ntawm qhov mob me, nws raug nquahu kom noj qab zib lossis zaub mov ntau nyob rau hauv carbohydrates. Cov neeg mob ntshav qab zib yuav tsum nqa suab thaj, qab zib, ncuav qab zib, lossis haus dej qab zib txhua hnub.

Thaum muaj teeb meem loj hauv cov piam thaj hauv qab siab, thaum tsis nco qab lawm, 40% kev daws teeb meem yog muab tshuaj pleev, glucagon yog muab cov tshuaj intramuscularly, plob leeg lossis subcutaneously. Tom qab rov qab nco qab, nws raug nquahu kom noj cov khoom noj uas muaj cov khoom noj carbohydrate kom tiv thaiv kev rov qab ua kom muaj ntshav qab zib.

Cov lus qhia tshwj xeeb

Gensulin N raug txwv tsis pub siv yog tias qhov kev ncua txim tsis tig dawb thiab tusyees turbid tom qab co.

Thaum ua kev kho cov tshuaj insulin, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom tsis tu ncua qib ntawm cov piam thaj hauv cov ntshav. Cov kev tshuaj xyuas zoo li no yog qhov tsim nyog vim tias, ntxiv rau kev noj tshuaj insulin ntau dhau, qhov ua rau cov ntshav qog ntshav ntshav tuaj yeem yog: hla kev noj mov, hloov cov tshuaj, raws plab, ntuav, ua kom lub cev muaj zog ntau ntxiv uas txo qhov xav tau cov kab mob insulin (lub raum / nplooj siab tsis ua haujlwm, hypofunction ntawm adrenal cortex, lub qog ua haujlwm lossis lub caj pas pituitary), hloov pauv chaw txhaj tshuaj, cuam tshuam nrog tshuaj nrog lwm cov tshuaj.

Kev noj tshuaj yuam kev ntau dhau los yog tawg ntawm cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg mob ntshav qab zib hom 1, tuaj yeem ua rau hyperglycemia. Feem ntau, cov tsos mob tshwm sim ntawm hyperglycemia pib maj mam, dhau ob peb teev lossis hnub. Lub qhov ncauj qhuav, nqhis dej, xeev siab, ntuav, kiv taub hau, liab thiab qhuav ntawm daim tawv nqaij, tsis qab los, tsis hnov tsw, tsis hnov ntxhiab tsw ntxhiab ntawm acetone hauv kev ua pa, ua kom tso zis tawm. Yog hais tias kev kho mob tsis nqa tawm, tom qab ntawd nrog hom 1 ntshav qab zib mellitus, hyperglycemia tuaj yeem ua rau kev loj hlob ntawm lub neej muaj sia - mob ntshav qab zib ketoacidosis.

Kho cov koob tshuaj insulin yog qhov yuav tsum tau ua rau hypopituitarism, kev ua haujlwm ntawm lub qog ua haujlwm lub qog, Addison tus kab mob, mob siab / mob raum, nrog rau cov neeg laus laus dua 65 xyoos.

Qhov xav tau koob tshuaj insulin kuj tseem yuav tsum tau ua kom tau nrog kev siv dag zog ntawm lub cev lossis kev hloov pauv ntawm lub cev ib txwm muaj.

Qhov xav tau ntawm insulin yog nce los ntawm cov kab mob sib kis, tshwj xeeb ntawm kev kis, thiab cov mob uas muaj nrog kub taub hau.

Txoj kev hloov ntawm ib hom tshuaj insulin mus rau lwm tus kuj yuav tsum tau ua, tswj cov theem ntawm cov piam thaj hauv cov ntshav.

Nws yog ib qho tseem ceeb uas yuav tsum xav txog tias kev siv cov tshuaj insulin txo cov neeg mob lub siab ntev rau cawv.

Kev siv Gensulin N hauv kev tsim cov tshuaj insulin tsis pom zoo vim yog qhov tseem los nag lossis daus ntawm qhov raug tshem tawm hauv qee qhov kev cuam tshuam.

Kev mob ntshav nce siab yuav ua rau tus neeg mob lub zog tsis tuaj yeem mloog thiab txo qhov ceev ntawm lub hlwb kev xav, uas yuav ua rau muaj kev pheej hmoo ntxiv thaum tsav tsheb thiab / lossis ua haujlwm nrog lwm cov txheej txheem sib xyaw.

Yeeb tshuaj sib cuam tshuam

hypoglycemic agents rau qhov ncauj cov thawj coj, inhibitors ntawm monoamine oxidase (Mao) inhibitors, angiotensin converting enzyme (ACE) inhibitors, uas tsis yog-xim β-blockers, carbonic anhydrase inhibitors, bromocriptine, sulfonamides, tetracyclines, octreotide, anabolic steroids, clofibrate, mebendazole, ketoconazole, theophylline, pyridoxine, cyclophosphamide, kev npaj lithium, fenfluramine, kev npaj muaj ethanol: txhim kho cov nyhuv hypoglycemic ntawm insulin,
thiazide diuretics, glucocorticosteroids (GCS), tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, sympathomimetics, heparin, tricyclic antidepressants, clonidine, danazole, diazoxide, calcium channel blockers, phenytoin, morphine, nicotine: cov nyhuv hypoglycemic tsis muaj zog.
reserpine thiab salicylate: tuaj yeem ua rau ob qho kev ua kom tsis muaj zog thiab txhim kho kev ua ntawm insulin.

Cov qauv ntawm Gensulin N yog: Biosulin N, Vozulim N, Insuman Bazal GT, Insuran NPH, Protamine-insulin Xwm Ceev, Protafan NM, Protafan NM Penfill, Rinsulin NPH, Rosinsulin S, Humodar B 100 Rec.

GENSULIN N - kev txheeb xyuas

Koj cov lus
Nkag mus lossis tawm xov tsis muaj ntawv sau npe

Cov ntawv foos tau tso cai: jpg, gif, png, bmp, zip, doc / docx, pdf. Sau npe yuav tshuaj xyuas. Xa.
Tsis muaj kev tshaj tawm thiab cov lus tshaj tawm.
Hom lus: Kev tsis txaus siabCooperationQuestions ntawm lub xaib Kev lees paub ntawm kev nkag nkagEmail: Nqe lus piav qhia: Xa