Levemir - cov lus qhia rau kev siv

"Levemir" yog cov tshuaj kho mob uas tau siv raws li cov lus qhia rau kev siv los ua kom ib txwm muaj cov tshuaj insulin, tsis hais tus nqi ntawm cov zaub mov noj thiab cov yam ntxwv hauv kev noj haus. Cov kws kho mob feem ntau pom zoo cov tshuaj no rau lawv cov neeg mob kom txo lawv cov ntshav qab zib. Cov tshuaj nquag hauv nws cov tshuaj lom neeg thiab cov yam ntxwv zoo ib yam li insulin, uas yog tsim hauv tib neeg lub cev.

Tso tawm daim ntawv, muaj pes tsawg leeg thiab ntim khoom

Cov tshuaj yog cov kua ntshiab hauv cov phwj hauv siv nrog tus kws faib khoom. Nws zwm rau cov pab pawg neeg hauv cov tshuaj tiv thaiv hypoglycemic. Kev ntim khoom tuaj yeem tso cai rau koj kom yooj yim tswj cov tshuaj insulin hauv ib qho koob tshuaj - los ntawm 1 chav rau 60. Cov koob tshuaj hloov kho yog ua tau txog li ib chav tsev. Ob qhov pauv ntawm lub npe tuaj yeem raug qhia ntawm cov pob ntawm cov tshuaj: LEVEMIR FlexPen lossis LEVEMIR Penfill.

Lub ntsiab tivthaiv yog insulin detemir.

Cov tshuaj ntxiv:

• glycerol
• sodium tshuaj dawb
• metacresol
• phenol
• hydrochloric acid
• zinc acetate
• hydrogen phosphate dihydrate,
• dej.

Ntim yog greenish-dawb. Sab hauv LEVEMIR Penfill yog cov iav cartridges nrog 3 ml ntawm kev daws (300 ED) hauv txhua. Ib chav nyob muaj 0.142 mg ntawm cov tshuaj muaj zog. QIB NKOJ FlexPen tau ntim rau hauv rab koob xaum hluav taws xob.

TSEEM CEEB! Thaum cov tshuaj hauv daim cartridge khiav tawm, tus cwj mem yuav tsum muab pov tseg!

INN cov chaw tsim khoom

Cov chaw tsim khoom yog Novo Nordisk, Denmark. Lub npe thoob ntiaj teb nonproprietary yog "insulin detemir."

Kev npaj yog tsim los ntawm cov txheej txheem biotechnological raws cov qauv tsim DNA tso tawm uas siv ntawm Saccharomyces cerevisiae lim.

Cov nqi muag khoom ntawm cov tshuaj sib txawv ntawm 1300 txog 3000 rubles. "FlexPen" tus nqi ntau dua li "PenFill", vim nws yooj yim dua siv.

Kws Tshuaj

Levemir yog ib qho tshuaj lom neeg cov khoom ntawm cov neeg ua haujlwm ntev insulin. Ntawm cov chaw txhaj tshuaj, muaj kev tshaj tawm tus kheej ntawm cov koom haum ntawm cov tshuaj insulin thiab lawv cov kev sib xyaw nrog albumin, vim tias cov tshuaj nquag maj mam nkag mus rau cov nqaij mos thiab tsis nkag rau hauv cov ntshav. Muaj qhov maj mam faib tawm thiab nqus cov tshuaj.

Kev sib xyaw ntawm cov lwg mees nrog cov nqaijrog tshwm sim hauv thaj chaw ntawm lub sab fatty acids uas yog.

Xws li lub tshuab ua ke muab cov txiaj ntsig ua ke, uas txhim kho qhov zoo ntawm nqus ntawm cov tshuaj kho thiab pab txhawb kev ntws ntawm cov txheej txheem hauv metabolic.

Cov Tshuaj Pharmacokinetics

Qhov ntim ntau tshaj plaws ntawm cov tshuaj muaj nyob rau hauv ntshav 6-8 teev tom qab txhaj. Ib qho siab sib luag rau nws nrog kev txhaj tshuaj ob zaug ua tau tiav thaum 2 lossis 3 hno. Cov tshuaj tau muab faib rau hauv cov ntshav hauv qhov ntim ntawm 0.1 l / kg. Qhov ntsuas no tau ua tiav vim qhov tseeb tias cov tshuaj yeeb dej caw tsis khi rau cov roj ntsha, tab sis nthuav tawm thiab ncig ncig hauv cov ntshav. Tom qab ua tsis tiav, cov khoom lag luam metabolic tau tawm ntawm lub cev tom qab 5-7 teev.

Cov tshuaj yog tawm rau cov ntshav qab zib. Siv los kho cov neeg laus thiab menyuam yaus txij li ob xyoos.

Thaum pib ntawm kev siv tshuaj insulin, Levemir tau txais kev tswj hwm ib zaug, uas yuav pab tswj tau qhov siab zoo glycemia.

Cov tshuaj ua rau txo qis ntshav qis thaum hmo ntuj.

Pom cov tshuaj kom haum rau lub cev kom zoo li qub tsis yog qhov nyuaj. Kev kho nrog Levemir tsis ua rau nce phaus.

Lub sijhawm siv tshuaj yog xaiv tau uantej. Yav tom ntej, nws tsis pom zoo kom hloov pauv.

Cov lus qhia rau kev siv (ntau npaum)

Lub sijhawm tiv thaiv cov tshuaj nyob ntawm ntau npaum li cas. Thaum pib ntawm kev kho mob yuav tsum tau pricked ib zaug ib hnub, nyiam dua nyob rau Hmo ua ntej los yog ua ntej yuav mus pw.Rau cov neeg mob uas tsis tau txais insulin yav dhau los, kev pib noj yog 10 units lossis 0.1-0.2 units ntawm ib kg ntawm lub cev hnyav.

Rau cov neeg mob uas tau siv ntev ntev los ntawm cov tshuaj tiv thaiv hypoglycemic, cov kws kho mob pom zoo kom tsawg dua 0.2 txog 0.4 ib pawg ntawm qhov hnyav ntawm lub cev. Qhov kev txiav txim pib tom qab 3-4 teev, qee zaum txog 14 teev.

Cov tshuaj pib tseem ceeb feem ntau muab rau 1-2 zaug thaum nruab hnub. Koj tuaj yeem nkag rau hauv tag nrho cov tshuaj noj ib zaug lossis faib nws ua ob zaug. Hauv rooj plaub thib ob, cov tshuaj siv thaum sawv ntxov thiab thaum yav tsaus ntuj, lub caij nyoog nruab nrab ntawm kev tswj hwm yuav tsum yog 12 teev. Thaum hloov los ntawm lwm hom tshuaj insulin rau Levemir, cov koob tshuaj ntawm cov tshuaj tsis hloov pauv.

Qhov ntau npaum cas tau suav los ntawm tus endocrinologist raws li kev ntsuas hauv qab no:

• degree ntawm kev ua si
• tus yam ntxwv noj haus
• qab zib theem
• mob hnyav ntawm pathology,
• txoj haujlwm uas niaj hnub ua
• muaj cov concomitant kab mob.

Txoj kev kho tuaj yeem pauv yog tsim nyog yog kev phais mob.

Sab sij huam

Txog li 10% ntawm cov neeg mob qhia txog kev phiv thaum noj cov tshuaj. Hauv ib nrab ntawm tus neeg mob, qhov no nws yog hypoglycemia. Lwm yam kev cuam tshuam tom qab kev tswj hwm tau ua qauv ntawm kev o, liab, mob, khaus, o. Bruising yuav tshwm sim. Cov kev tsis zoo tshwm sim feem ntau ploj tom qab ob peb lub lis piam.

Qee lub sij hawm qhov mob nyhav dua vim yog exacerbation ntawm ntshav qab zib, ib qho kev tawm tsam tshwj xeeb tshwm sim: mob ntshav qab zib retinopathy thiab mob neuropathy mob. Qhov laj thawj rau qhov no yog kom tswj hwm kev noj qabzib zoo thiab tswj tau glycemia. Lub cev yauv rov kho dua tshiab, thiab thaum nws yoog mus rau yeeb tshuaj, cov tsos mob ploj mus ntawm lawv tus kheej.

Ntawm cov kev phiv tshuaj, qhov feem ntau yog:

• malfunctions ntawm lub hauv nruab nrab lub paj hlwb (nce hnov ​​mob mob, loog ntawm qhov kawg, tsis hnov ​​lus zoo thiab pom lub teeb, qhov hnov ​​ntawm tingling lossis hlawv),
• kev cuam tshuam ntawm cov metabolism carbohydrate (hypoglycemia),
• urticaria, khaus, ua xua, anaphylactic ceeb,
• peripheral edema
• pathology ntawm cov ntaub so ntswg adipose, uas ua rau muaj kev hloov pauv ntawm lub cev.

Lawv txhua tus raug txiav txim siab siv tshuaj yeeb. Yog tias qhov no tsis pab, tus kws kho mob hloov cov tshuaj.

TSEEM CEEB! Qhov tshuaj yeeb dej caw tau muab tshwj xeeb tsuas yog subcutaneously, txwv tsis pub muaj teeb meem nyob rau hauv daim ntawv ntawm cov ntshav khov hauv lub cev tuaj yeem ua rau tsis txaus ntseeg.

Noj ntau dhau

Qhov ntau npaum li cas ntawm cov tshuaj uas yuav ua rau muaj cov duab hauv qhov chaw kuaj mob no, cov kws tshaj lij tsis tau tsim. Cov tshuaj txhaj ntau dua hauv lub cev tuaj yeem hloov mus rau hauv ntshav qab zib tsawg. Qhov kev tawm tsam pib tshwm sim feem ntau thaum hmo ntuj lossis lub xeev muaj kev ntxhov siab.

Daim foos me me tuaj yeem raug tshem tawm ntawm nws tus kheej: noj cov qhob noom chocolate, ib qho qab zib lossis cov khoom lag luam uas muaj carbohydrate. Ib daim foos hnyav heev, thaum tus neeg mob poob mus rau hauv kev txiav txim siab, koom nrog kev tswj hwm hauv tsev txog li 1 mg ntawm glucagon / glucose kev daws teeb meem. Cov txheej txheem no tsuas yog ua tau los ntawm tus kws tshwj xeeb. Yog tias nco ntsoov tsis rov qab rau tus neeg, cov kua nplaum ntxiv rau kev ua haujlwm.

TSEEM CEEB! Nws yog txwv tsis pub nws tus kheej nce lossis txo qhov ntau npaum li cas, nrog rau lub sijhawm ploj ntawm kev noj tshuaj txuas ntxiv, vim tias muaj qhov tshwm sim siab heev uas ua rau lub cev tsis nco qab thiab qhov ua kom zoo rau ntawm cov leeg hlwb.

Yeeb tshuaj sib cuam tshuam

Levemir tau zoo siv ua ke nrog lwm cov tshuaj: hypoglycemic agents nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis luv luv insulins. Txawm li cas los xij, nws tsis tsim nyog yuav sib xyaw ntau hom tshuaj insulin nyob rau hauv tib lub koob txhaj.

Kev siv lwm yam tshuaj hloov pauv qhov ntsuas ntawm qhov xav tau ntawm insulin. Yog li, hypoglycemic tus neeg sawv cev, carbonic anhydrase, inhibitors, monoamine oxidases thiab lwm yam txhim kho cov kev ua ntawm cov tshuaj nquag.

Cov tshuaj hormones, tshuaj tiv thaiv, tshuaj uas muaj iodine, tshuaj tua kab mob, danazole tuaj yeem ua rau cov nyhuv tsis muaj zog.

Salicylates, octreotide, thiab reserpine tuaj yeem ob leeg qis dua thiab nce qhov kev xav tau rau insulin, thiab beta-blockers npog cov tsos mob ntawm hypoglycemia, inhibit qhov qub ntawm cov suab thaj.

Lub cev sib xyaw nrog sulfite lossis thiol pawg, nrog rau ntau yam ntawm cov kev ua tiav, muaj qhov cuam tshuam.

Tshuaj Insulin Levemir - cov lus qhia, ntau npaum li cas, tus nqi

Nws yuav tsis muaj qhov exaggeration hais tias nrog kev tawm ntawm insulin analogues lub sijhawm tshiab pib nyob rau hauv lub neej ntawm cov neeg mob ntshav qab zib.

Vim yog lawv cov qauv tshwj xeeb, lawv ua rau nws muaj peev xwm tswj hwm glycemia tau ua tiav ntau dua li yav tas los. Insulin Levemir yog ib tus neeg sawv cev ntawm cov tshuaj niaj hnub, ib qho tshuaj noj ntawm cov tshuaj keeb rog.

Nws tau tshwm sim tsis ntev los no: hauv Tebchaws Europe xyoo 2004, hauv tebchaws Russia ob xyoos tom qab.

Levemir muaj tag nrho cov yam ntxwv ntawm qhov ntev tshaj plaws insulin: nws ua haujlwm zoo ib yam, tsis muaj peaks rau 24 teev, ua rau txo qis thaum tsaus ntuj hypoglycemia, tsis pab txhawb qhov hnyav ntawm cov neeg mob, uas tshwj xeeb tshaj yog rau cov ntshav qab zib hom 2. Nws cov nyhuv ua kom pom tseeb dua thiab tsawg dua nyob ntawm tus yam ntxwv ntawm ib tus neeg dua li ntawm NPH-insulin, yog li cov koob tshuaj tau yooj yim dua los xaiv. Hauv kev hais lus, nws tsim nyog ua tibzoo saib cov tshuaj no.

Qhia me ntsis

Levemir yog lub hlwb ntawm lub tuam txhab Danish Novo Nordisk, paub txog nws cov kev kho mob ntshav qab zib. Cov tshuaj tau dhau los ntawm kev tshawb fawb ntau yam, suav nrog menyuam yaus thiab cov hluas, thaum cev xeeb tub.

Txhua tus ntawm lawv tau lees paub tsis tsuas yog kev nyab xeeb ntawm Levemir, tab sis kuj tseem muaj txiaj ntsig ntau dua li siv insulins yav dhau los.

Kev tswj xyuas piam thaj muaj txiaj ntsig ib yam li cov ntshav qab zib hom 1 thiab hauv cov kev mob xav tau qis dua: hom 2 thaum pib siv tshuaj tua kab mob ntshav qab zib thiab mob ntshav qab zib hauv lub cev.

Cov lus qhia luv luv txog cov tshuaj los ntawm cov lus qhia rau kev siv:

Qhov kev ua ntawm insulin levemir yog dab tsi

Levemir yog insulin ntev ntev. Nws cov nyhuv yog ntev dua li cov tshuaj ib txwm muaj - sib xyaw ntawm tib neeg cov tshuaj insulin thiab tshuaj tiv thaiv. Ntawm ib koob tshuaj ntawm txog 0.3 units. ib kilogram, cov tshuaj ua haujlwm 24 teev. Cov me dua qhov yuav tsum tau muab cov tshuaj, lub sijhawm ua haujlwm luv luv. Hauv cov neeg mob ntshav qab zib, tom qab cov zaub mov tsis muaj carb, qhov kev txiav txim yuav xaus tom qab 14 teev.

Cov tshuaj insulin ntev ntev tsis tuaj yeem siv los kho txhim kho glycemia thaum nruab hnub lossis thaum mus pw. Yog tias pom cov piam thaj kom tsawg nyob rau yav tsaus ntuj, nws yog qhov tsim nyog yuav tau ua kom qhov kev txhaj tshuaj tiv thaiv luv luv ntawm cov tshuaj insulin, thiab tom qab nws los qhia qhov ntev ntawm cov tshuaj hormones hauv tib lub tshuaj. Koj tsis tuaj yeem muab cov tshuaj insulin sib xyaw ntawm cov tshuaj sib txawv hauv tib cov koob txhaj.

Tso Tawm Cov Ntawv

Levemir insulin hauv lub thauv

Levemir Flexpen thiab Penfill sib txawv tsuas yog hauv daim ntawv, cov tshuaj hauv lawv zoo ib yam. Penfill - cov no yog cov cartridges uas tuaj yeem tso rau hauv cov xaum xaum los yog hom insulin los ntawm lawv nrog tus qauv insulin koob txhaj tshuaj.

Levemir Flexpen - ua ntej ntim los ntawm cov chaw tsim tshuaj paus koob txhaj tshuaj uas siv kom txog thaum kev daws teeb meem tag. Koj tsis tuaj yeem rov nruab lawv dua. Cwjmem tso cai rau koj kom nkag mus rau cov tshuaj insulin hauv qhov nce ntxiv ntawm 1 pawg. Lawv yuav tsum tau yuav nyias NovoFayn koob.

Ua raws li cov tuab ntawm subcutaneous ntaub so ntswg, tshwj xeeb tshaj yog nyias (0.25 mm inch) 6 hli ntev lossis nyias (0.3 hli) 8 hli yog xaiv. Tus nqi ntawm ib pob ntawm 100 koob yog li 700 rubles.

Levemir Flexpen yog qhov tsim nyog rau cov neeg mob ua lub neej nquag thiab tsis muaj sijhawm. Yog tias qhov xav tau rau cov tshuaj insulin yog ib qho me me, ib theem ntawm 1 chav tsev yuav tsis tso cai rau koj hu rau qhov koob uas xav tau. Rau cov neeg zoo li no, Levemir Penfill raug pom zoo kom ua ke nrog cov xaum xaum uas raug dua, piv txwv li NovoPen Echo.

Cov tshuaj kom raug

Qhov koob tshuaj ntawm Levemir yog suav tias yog yog tias tsis tsuas yoo suab thaj, tab sis kuj glycated hemoglobin nyob rau hauv ib txwm muaj. Yog tias them nyiaj rau ntshav qab zib tsis txaus, koj tuaj yeem hloov cov tshuaj insulin ntev ntev txhua 3 hnub. Txhawm rau txiav txim siab kho qhov tsim nyog, cov neeg tsim khoom pom zoo kom noj qab zib nruab nrab ntawm lub plab khoob, 3 hnub tas los yog koom nrog hauv qhov muab xam

Cov ntawv nyeem uas cuam tshuam: cov cai rau xam cov koob tshuaj insulin rau kev txhaj tshuaj

Cov qauv kev txhaj tshuaj

1. Nrog ntshav qab zib hom 1 cov kev qhia tau pom zoo kom tswj hwm cov tshuaj insulin ob zaug: tom qab sawv thiab ua ntej yuav mus pw. Cov txheej txheem zoo li no muab cov nyiaj zoo dua los kho cov ntshav qab zib ntau dua li ib qho. Koob tshuaj yog suav nyias. Txog rau cov tshuaj insulin thaum sawv ntxov - raws li kev siv yoo qab zib txhua hnub, rau yav tsaus ntuj - raws nws cov nuj nqis txhua hmo.

Nrog ntshav qab zib hom 2 ob leeg thiab ob chav thawj coj yog ua tau. Cov kev tshawb fawb qhia pom tias thaum pib cov tshuaj insulin, ib qho kev txhaj tshuaj ib hnub twg yog qhov txaus kom ua tiav cov phiaj yam suab thaj. Kev noj tshuaj ib zaug ib leeg tsis tas yuav nce ntxiv hauv cov koob tshuaj suav. Nrog rau tus mob ntshav qab zib ntev mellitus, cov tshuaj insulin ntev dua yog qhov xav paub ntau tshaj los tswj ob zaug ib hnub.

Siv rau menyuam yaus

Txhawm rau tso cai rau kev siv Levemir hauv ntau pab pawg neeg, yuav tsum muaj kev tshawb fawb loj nrog cov neeg ua haujlwm pab dawb.

Rau cov menyuam yaus hnub nyoog qis dua 2 xyoos, qhov no cuam tshuam nrog ntau yam nyuaj, yog li ntawd, hauv cov lus qhia rau kev siv, muaj hnub nyoog txwv. Ib qho xwm txheej zoo sib xws nrog lwm cov insulins niaj hnub. Dua li ntawm qhov no, Levemir tau ua tiav zoo hauv cov menyuam yaus txog li ib xyoos.

Txoj kev kho nrog lawv yog qhov ua tau zoo ib yam li cov me nyuam hlob. Raws li cov niam txiv, tsis muaj dab tsi zoo.

Hloov mus rau Levemir nrog NPH insulin yog qhov tsim nyog yog tias:

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

• yoo suab thaj tsis ruaj khov,
• Kev mob ntshav qog ntshav yog pom thaum hmo ntuj lossis yav tsaus ntuj,
• tus me nyuam yog thawj.

Sib piv ntawm Levemir thiab NPH-insulin

Tsis zoo li Levemir, tag nrho cov insulin nrog protamine (Protafan, Humulin NPH thiab lawv cov lus piv txwv) muaj cov txiaj ntsig tshaj plaws, uas ua rau muaj kev pheej hmoo ntawm hypoglycemia, ntshav qab zib jumps tshwm sim thawm hnub.

Pov Thawj Cov txiaj ntsig Levemir:

1. Nws muaj qhov ua kom paub tseeb dua.
2. Txo qhov tshwm sim ntawm kev txo tus kabmob ntshav qab zib: mob hnyav 69%, hmo ntuj tau 46%.
3. Nws ua rau cov rog hnyav tsawg dua nrog cov ntshav qab zib hom 2: hauv 26 lub lis piam, qhov hnyav hauv cov neeg mob ntawm Levemir nce ntxiv ntawm 1.2 phaus, thiab hauv cov neeg mob ntshav qab zib ntawm NPH-insulin los ntawm 2.8 kg.
4. Nws tswj kev tshaib kev nqhis, uas ua rau kev poob qab los noj mov hauv cov neeg mob rog rog. Tus mob ntshav qab zib hauv Levemir noj thaj tsam li 160 kcal / hnub tsawg dua.
5. Nce zais ntawm GLP-1. Nrog ntshav qab zib hom 2, qhov no ua rau muaj kev sib txuas ntxiv ntawm lawv tus kheej insulin.
6. Nws muaj cov txiaj ntsig zoo ntawm dej-ntsev dej metabolism, uas txo cov kev pheej hmoo ntawm tawg.

Tib qho kev tsis zoo ntawm Levemir hauv kev sib piv nrog NPH npaj tau yog nws tus nqi siab. Xyoo tsis ntev los no, nws tau muaj nyob rau hauv cov npe ntawm cov tshuaj tseem ceeb, yog li cov neeg mob ntshav qab zib tuaj yeem tau txais nws dawb.

Levemir yog cov tshuaj insulin tshiab, yog li nws tsis muaj qhov pheej yig generics. Qhov ze tshaj plaws hauv cov khoom thiab lub sijhawm ntawm kev nqis tes yog cov tshuaj los ntawm cov pab pawg ntawm ntev insulin analogues - Lantus thiab Tujeo.

Hloov mus rau lwm lub tshuaj insulin yuav tsum tau noj tshuaj kom rov zoo dua thiab ua qee yam ua rau muaj kev cuam tshuam me ntsis hauv kev them nyiaj rau cov ntshav qab zib mellitus, yog li, cov tshuaj yuav tsum hloov pauv rau kev kho mob nkaus xwb, piv txwv li, nrog tus neeg tsis kam txais.

Yog xav kawm: daim ntawv teev cov npe nrov ntev ua yeeb yam tshuaj insulin

Cov lus qhia tshwj xeeb

Kev kho nrog Levemir txo qhov kev pheej hmoo ntawm kev mob ntshav qab zib tawm tsam thaum hmo ntuj thiab tib lub sijhawm tsis ua rau nce hnyav. Qhov no, nyeg, tso cai rau koj hloov qhov ntim ntawm qhov kev daws teeb meem, xaiv qhov tsim nyog koob tshuaj, ua ke nrog cov ntsiav tshuaj los ntawm tib lub koob rau kev tswj hwm zoo dua.

Thaum npaj kev taug kev ntev nrog kev hloov sijhawm hauv lub sijhawm, sab laj nrog koj tus kws kho mob.

Tsis txhob noj thiab txo qhov koob tshuaj yog nruj me ntsis txwv kom tsis txhob muaj ntshav qab zib hauv lub cev.

Cov tsos mob ntawm qhov pib ntawm kev tawm tsam yog:

• kev xav ntawm kev nqhis dej
• ntxhoo
• xeev siab
• tsaug zog mob
• daim tawv nqaij qhuav
• nquag tso zis
• tsis qab los noj mov
• thaum koj tso pa, koj hnov ​​ntxhiab tsw ntxhiab.

Nrog rau qhov nce ntxiv hauv koob tshuaj, hla lub zog noj mov uas yuav tsum tau ua, qhov kev nce tsis paub zoo nyob rau hauv lub nra, hypoglycemia tseem tuaj yeem tsim kho. Txoj kev tu hnyav yog qhov tseem ceeb.

Kev kis mob ntawm lub cev ua rau muaj kev nce ntxiv hauv qhov ntau ntxiv ntawm cov tshuaj insulin. Hauv cov kab mob ntawm cov thyroid caj pas, lub raum lossis mob siab, ib qho kev hloov kho koob tshuaj kuj tau ua.

3D duab

Levemir lossis Lantus - uas zoo dua

Cov chaw tsim khoom tau nthuav tawm qhov zoo ntawm Levemir hauv kev sib piv nrog nws cov neeg sib tw loj - Lantus, uas nws zoo siab tau qhia hauv cov lus qhia:

• qhov kev txiav txim ntawm cov kua dej yog qhov ntxiv tas mus li
• cov tshuaj muab kom hnyav ntxiv.

Raws li kev txheeb xyuas, cov kev sib txawv no yuav luag pom tsis tau, yog li cov neeg mob nyiam siv tshuaj, cov tshuaj uas yooj yim rau hauv thaj av no.

Qhov txawv tsuas yog qhov tseem ceeb rau cov neeg mob uas ntxuav cov kua dej: Levemir sib xyaw zoo nrog kua ntsev, thiab Lantus qee qhov poob nws cov khoom thaum diluted.

Cev xeeb tub thiab Levemir

Levemir tsis cuam tshuam rau txoj kev loj hlob ntawm tus menyuamYog li, nws tuaj yeem siv los ntawm cov poj niam cev xeeb tub, nrog rau cov neeg muaj ntshav qab zib hauv lub cev. Cov koob tshuaj ntawm cov tshuaj thaum cev xeeb tub xav tau kho ntau zaus, thiab yuav tsum tau xaiv ua ke nrog kws kho mob.

Muaj tus mob ntshav qab zib hom 1, cov neeg mob thaum lub sijhawm nqa tus menyuam nyob twj ywm ntawm cov tshuaj insulin uas lawv tau txais dhau los, tsuas yog nws qhov ntau npaum hloov. Hloov ntawm NPH tshuaj rau Levemir lossis Lantus tsis tsim nyog yog tias qab zib yog qhov qub.

Nrog cov ntshav qab zib hauv lub cev hauv plab, qee qhov nws muaj peev xwm ua tiav cov glycemia li qub tsis muaj insulin, tsuas yog noj zaub mov noj thiab kawm siv lub cev. Yog tias cov piam thaj ntau zaus nce siab, kev kho mob insulin yog qhov tsim nyog los tiv thaiv kev mob plab hauv plab me nyuam thiab ketoacidosis hauv niam.

Feem coob ntawm cov neeg mob tshuaj xyuas txog Levemir yog qhov zoo. Ntxiv nrog rau kev txhim kho glycemic tswj, cov neeg mob nco tau yooj yim ntawm kev siv, kev tiv thaiv zoo, kev ua tau zoo ntawm lub fwj thiab cov npiv, cov koob ib txwm uas tso cai rau koj los ua kom tsis muaj tshuaj tsis haum. Feem ntau cov neeg mob ntshav qab zib tau thov tias qhov hypoglycemia ntawm cov insulin no tsawg dua thiab ua rau tsis muaj zog.

Cov kev xav tsis zoo muaj qhov tsawg. Lawv feem ntau yog tuaj ntawm niam thiab txiv ntawm cov menyuam muaj ntshav qab zib thiab cov poj niam uas muaj ntshav qab zib gestational.

Cov neeg mob no xav kom txo qis cov tshuaj insulin, yog li Levemir Flexpen tsis xis nyob rau lawv.

Yog tias tsis muaj lwm txoj hauv kev, thiab tsuas yog siv cov tshuaj zoo li no, cov neeg mob ntshav qab zib tau txhawm rau txhav tawm los ntawm cov xaum xoob pov tseg thiab rov ua dua lwm qhov los yog ua ib qho kev txhaj tshuaj nrog cov koob txhaj tshuaj.

Levemir qhov kev ua yog qhov txaus ntshai worsens 6 lub lis piam tom qab qhibCov. Cov neeg mob uas tsis tshua xav siv tshuaj insulin ntev ntev tsis muaj sijhawm siv 300 units ntawm cov tshuaj, yog li cov khoom seem yuav tsum muab pov tseg.

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

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

"Levemir" yog cov tshuaj kho mob uas tau siv raws li cov lus qhia rau kev siv los ua kom ib txwm muaj cov tshuaj insulin, tsis hais tus nqi ntawm cov zaub mov noj thiab cov yam ntxwv hauv kev noj haus.

Cov kws kho mob feem ntau pom zoo cov tshuaj no rau lawv cov neeg mob kom txo lawv cov ntshav qab zib.

Cov tshuaj nquag hauv nws cov tshuaj lom neeg thiab cov yam ntxwv zoo ib yam li insulin, uas yog tsim hauv tib neeg lub cev.

Cev xeeb tub thiab lactation

Nws muaj kev nyab xeeb coj Levemir thaum nqa tus menyuam, qhov no tau lees paub los ntawm kev tshawb fawb. Cov tshuaj insulin tsis ua mob rau tus me nyuam hauv plab thiab leej niam nws tus kheej nrog noj cov tshuaj yog. Nws tsis muaj yees. Yog tias tsis kho cov ntshav qab zib rau lub sijhawm no, qhov no ua rau muaj teeb meem loj. Thaum pub mis, qhov tshuaj tau muab kho dua.

Hauv thawj peb lub hlis, xav tau cov tshuaj insulin yuav txo qis, thiab nyob rau lub sijhawm thib ob thiab thib peb feem ntau nce me ntsis. Tom qab yug menyuam, theem ntawm qhov xav tau ua tau zoo ib yam li ua ntej cev xeeb tub.

Siv rau lub sijhawm menyuam yaus thiab hnub nyoog laus

Rau cov menyuam yaus, kev noj tshuaj ntawm cov tshuaj insulin yog xam raws cov khoom noj uas lawv ua raws. Yog tias muaj cov zaub mov ntau nrog cov ntsiab lus carbohydrate tsawg hauv cov zaub mov noj, ces cov koob tshuaj yuav tsawg dua. Nrog mob khaub thuas thiab mob aws, ntau npaum li qhov yuav tsum tau ntxiv li 1.5-2 zaug.

Hauv cov neeg laus, cov piam thaj hauv ntshav tau saib xyuas zoo. Cov koob tshuaj yog suav ncaj qha ntawm tus kheej, tshwj xeeb tshaj yog rau cov neeg uas muaj kev mob raum thiab kab mob siab. Cov chaw muag tshuaj hauv cov neeg mob hluas thiab cov neeg laus tsis sib txawv.

Cov lus thiab cov xwm txheej ntawm kev cia

Khaws cov tshuaj hauv tub yees rau 2-8 ° C. Lub hau kua txau nws tus kheej tsis tas yuav tsum txias. Ua ke nrog cov ntsiab lus ntawm daim cartridge, nws tuaj yeem khaws cia rau ib hlis thiab ib nrab ntawm chav tsev qhov kub. Lub hau ua haujlwm pab tiv thaiv cov ntsiab lus ntawm cov txhaj tshuaj los ntawm cov duab ci ntawm lub teeb. Cov tshuaj yeeb yaj kiab no tsim nyog siv nyob rau hauv 30 lub hlis txij li hnub tso tawm. Nws yog tso tawm los ntawm cov tshuaj noj.

Koj tuaj yeem ntxuav tus xaum xaum xaum nrog ib qho paj rwb so hauv lub khob dej cawv. Kev txhaj tshuaj rau hauv cov kua thiab kua tee yog txwv tsis pub. Yog hais tias poob, tus kov yuav raug puas ntsoog thiab nws cov ntsiab lus yuav xau.

Piv nrog analogues

Raws li cov kws tshaj lij, yog hais tias tom qab tswj hwm ntawm ib koob nkaus xwb ntawm cov tshuaj insulin tsis muaj kev txhim kho hauv kev tswj qab zib, nws yuav raug nquahu kom kho ib qho analog ntawm kev ua luv luv.

Levemir zoo heev rau kev kho mob rau cov neeg mob ntshav qab zib. Cov cuab yeej tshiab niaj hnub no thiab cov cuab yeej ua pov thawj yuav pab ua kom cov ntshav qabzib nyob zoo.

Irina, 27 xyoo, Moscow.

“Thaum xub thawj, Kuv txwv tsis pub ntaus Levemir. Leej twg xav tau cov tshuaj insulin ntxiv lossis nce phaus ntxiv? Tus kws kho mob tau lees paub kuv tias nws tsis tuaj yeem ua kom rov qab los ntawm nws thiab nws tsis ua rau kom tos. Kuv raug xaj 6 lub tshuaj tua kab mob ib zaug ib hnub.

Tab sis kev txhawj xeeb tsis yaj.Kuv puas tuaj yeem ua taus menyuam zoo, puas yuav muaj teeb meem nrog nws txoj kev loj hlob? Cov tshuaj no kim heev. Kuv tsis tau pom muaj kev mob tshwm sim hauv tsev; tus menyuam tau yug los nyab xeeb. Tom qab yug menyuam, Kuv tau tso tseg tsis txhaj tshuaj Levemir;

Yog li kuv pom zoo nws. ”

Eugene, hnub nyoog 43 xyoo, Moscow.

“Kuv muaj ntshav qab zib hom 1 txij thaum tiav hluas. Yav dhau los, nws yog qhov tsim nyog yuav tsum sau tshuaj insulin rau hauv cov koob txhaj tshuaj los ntawm ampoules, ntsuas cov ntsuas thiab txhaj rau koj tus kheej. Cov koob txhaj tshuaj niaj hnub nrog lub ntsej muag insulin yog qhov yooj yim dua, lawv muaj lub pob qhov rooj los teeb tsa cov naj npawb. Cov yeeb tshuaj ua yeeb yam nruj raws li cov lus qhia, Kuv coj nws nrog kuv ntawm kev mus ncig ua lag luam, txhua yam yog super. Kuv qhia koj. ”

Huseyn, hnub nyoog 40 xyoo, Moscow.

“Tau ntev heev kuv tsis tuaj yeem daws cov teebmeem qab zib thaum sawv ntxov. Nws hloov mus rau Levemir. Muab faib ua 4 qhov kev txhaj tshuaj, uas kuv ua hauv 24 teev. Kuv ua raws kev noj zaub mov kom tsawg-carb. Ib hlis tom qab hloov mus rau txoj kev tswj hwm tshiab, qab zib tsis tau nce dua. Ua tsaug rau cov chaw tsim khoom. "

Levemir Flexpen thiab Penfil - cov lus qhia rau kev siv, analogues, tshuaj xyuas

Levemir yog cov tshuaj hypoglycemic uas zoo tib yam hauv nws cov qauv hauv tshuaj lom neeg thiab kev ua haujlwm rau tib neeg cov insulin. Cov tshuaj no zwm rau pab pawg ntawm tib neeg cov tshuaj lom neeg lub cev ntev insulin.

Levemir Flexpen yog lub cim kev tsim cov tshuaj insulin nrog cov dispenser. Ua tsaug rau nws, cov tshuaj insulin tuaj yeem raug tswj hwm los ntawm 1 pawg txog 60 units. Koob tshuaj yog muaj nyob rau hauv ib chav tsev.

Hauv txee ntawm cov chaw muag tshuaj koj tuaj yeem nrhiav Levemir Penfill thiab Levemir Flekspen. Lawv ib leeg yuav ua li cas sib txawv? Tag nrho cov kev sib xyaw thiab cov koob tshuaj, cov txheej txheem ntawm kev tswj hwm yog ua tau zoo ib yam. Qhov sib txawv ntawm cov neeg sawv cev yog nyob rau hauv daim ntawv ntawm kev tso tawm. Levemir Penfill yog lub pob txha los hloov rau hauv tuaj yeem siv tau cwj mem. Thiab Levemir Flekspen yog rab koob pov tseg uas muaj lub plhaws nyob sab hauv.

Levemir yog siv los tswj cov ntshav hauv cov ntshav insulin, tsis hais zaub mov noj li cas.

Qhov tseem ceeb tseem ceeb ntawm cov tshuaj yog insulin detemir. Nws yog qhov ua rau tib neeg xav tau cov tshuaj insulin uas siv los ua ke siv cov caj ces ntawm cov kab mob ntawm cov kab mob ntawm Saccharomyces cerevisiae. Qhov koob tshuaj ntawm cov tshuaj nquag hauv 1 ml ntawm kev daws yog 100 IU lossis 14,2 mg. Ntxiv mus, 1 lub zog ntawm cov tshuaj tua kab mob insulin Levemir sib npaug rau 1 chav tsev ntawm tib neeg insulin.

Cov khoom siv ntxiv muaj cov txiaj ntsig kev pab. Txhua ntu ua lub luag haujlwm rau qee yam haujlwm. Lawv tswj cov txheej txheem ntawm txoj kev daws teeb meem, muab cov cim qhia tshwj xeeb zoo rau cov tshuaj, thiab txuas ntxiv lub sijhawm cia thiab txee lub neej.

Tsis tas li, cov tshuaj no pab ua kom ib txwm muaj thiab txhim kho cov chaw muag tshuaj thiab cov chaw muag tshuaj ntawm cov khoom tseem ceeb: lawv txhim kho bioavailability, cov nqaij mos ua kom zoo, txo kev khi rau cov ntshav protein, tswj cov metabolism thiab lwm txoj kev tshem tawm.

Cov tshuaj txuas ntxiv hauv qab no suav nrog cov tshuaj hauv:

• Glycerol - 16 mg,
• Metacresol - 2.06 mg,
• Zinc acetate - 65.4 mcg,
• Phenol - 1.8 mg
• Sodium Chloride - 1.17 mg
• Hydrochloric acid - q.s.,
• Hydrophosphate dihydrate - 0.89 mg,
• Dej rau kev txhaj tshuaj - txog li 1 ml.

Txhua tus cwj mem los yog daim cartridge muaj 3 ml ntawm cov tshuaj lossis 300 IU ntawm cov tshuaj insulin.

Cov Tshuaj Hauv Tshuaj

Levemir insulin yog qhov tshuaj nyob ntawm tib neeg cov insulin nrog rau kev ua haujlwm ntev, tiaj tus tawm. Qhov kev ua ntawm lub hom qeeb yog vim muaj lub siab ywj pheej ua ke ntawm cov tshuaj lwg me me.

Lawv tseem khi ntxiv rau cov protein nyob hauv ib sab cheeb tsam ua ke. Txhua yam no tshwm sim ntawm qhov chaw txhaj tshuaj, yog li cov insulin detemir nkag mus rau hauv cov hlab ntshav qeeb dua.

Thiab cov phiaj nqaij sib kis tau txais qhov tsim nyog tau txhaj tom qab txuas nrog lwm cov neeg sawv cev ntawm cov kua dej.

Cov txheej txheem ntawm kev ua no muaj kev sib koom ua ke hauv kev faib tawm ntawm cov tshuaj, uas muab txoj kev pom zoo dua rau kev nqus thiab cov metabolism.

Qhov nruab nrab qhov pom zoo koob ntawm 0.2-0.4 U / kg nce mus txog ib nrab qhov siab tshaj plaws tom qab 3 teev.Hauv qee kis, lub sijhawm no tuaj yeem ncua ntev txog 14 teev.

Kev taw qhia thiab contraindications

Qhov tsuas yog qhia txog kev siv ntawm Levemir yog kev kuaj mob ntawm tus mob ntshav qab zib insulin-mellitus rau cov neeg laus thiab cov menyuam hnub nyoog dhau 2 xyoos.

Txoj kev tiv thaiv tsis zoo rau kev siv tshuaj yog qhov tshwm sim ntawm tus neeg tsis kam txais mus rau cov tshuaj nquag thiab cov khoom siv pabcuam.

Tsis tas li, qhov kev nkag mus yog contraindicated rau cov menyuam yaus hnub nyoog qis dua 2 xyoos vim tsis muaj kev tshawb fawb hauv pawg neeg mob no.

Levemir: cov lus qhia rau kev siv. Yuav xaiv cov tshuaj li cas. Xyuas

Insulin Levemir (detemir): kawm txhua yam koj xav tau. Hauv qab no koj yuav pom cov lus qhia ntxaws ntxiv rau kev siv sau ua hom lus nkag tau. Saib Xyuas:

Levemir yog cov tshuaj insulin txuas ntxiv (hauv qab), uas yog tsim los ntawm lub tuam txhab nto moo thiab hawm thoob ntiaj teb Novo Nordisk. Cov tshuaj no tau siv txij li ib nrab xyoo 2000. Nws tau tswj hwm kom muaj koob meej ntawm cov neeg mob ntshav qab zib, txawm hais tias insulin Lantus muaj kev lag luam ntau dua. Nyeem kev tshuaj xyuas tseeb ntawm cov neeg mob hom 2 thiab ntshav qab zib hom 2, nrog rau cov yam ntxwv ntawm kev siv rau menyuam yaus.

Kuj kawm txog kev kho mob ua tau zoo uas ua rau koj cov ntshav qab zib 3.9-5.5 mmol / L ruaj khov 24 teev hauv ib hnub, ib yam li cov neeg noj qab haus huv. Tus txheej txheem ntawm Dr. Bernstein, uas tau nyob nrog ntshav qab zib ntau dua 70 xyoo, tso cai rau cov neeg laus thiab cov menyuam muaj ntshav qab zib tuaj yeem tiv thaiv lawv tus kheej los ntawm cov teeb meem hnyav.

Ntev insulin levemir: cov ncauj lus kom ntxaws

Kev saib xyuas tshwj xeeb yog them rau kev tswj hwm cov ntshav qab zib hauv lub cev. Levemir yog cov tshuaj uas xaiv rau cov poj niam cev xeeb tub uas muaj ntshav siab. Cov kev tshawb fawb loj tau ua pov thawj tias nws muaj kev nyab xeeb thiab ua tau zoo rau cov poj niam cev xeeb tub, ntxiv rau menyuam yaus txij li 2 xyoos.

Nco ntsoov tias cov piam thaj ntawm cov kua dej tseem ntshiab li qhov tshiab. Qhov zoo ntawm cov tshuaj tsis tuaj yeem txiav txim siab los ntawm nws qhov tsos. Yog li ntawd, nws tsis tsim nyog yuav Levemir kev tuav tes, los ntawm kev tshaj tawm tus kheej. Yuav nws hauv cov chaw muag tshuaj muaj npe loj uas nws cov neeg ua haujlwm paub txog txoj cai khaws cia thiab tsis tub nkeeg kom ua raws li lawv.

Puas yog levemir insulin ntawm qhov kev txiav txim twg? Yog ntev lossis luv?

Levemir yog cov tshuaj insulin ntev ntev. Txhua koob tshuaj tau txo qis cov ntshav qab zib hauv 18-24 teev. Txawm li cas los xij, cov neeg mob ntshav qab zib uas ua raws li cov zaub mov noj muaj carb qis yuav tsum tau noj tsawg kawg, 2-8 zaug qis dua li cov qauv.

Thaum siv cov tshuaj zoo li no, cov nyhuv ntawm cov tshuaj xaus sai dua, hauv 10-16 teev. Tsis zoo li cov tshuaj insulin nruab nrab, Levemir tsis muaj lub suab nrov tshaj plaws.

Ua tib zoo saib xyuas cov tshuaj tshiab Tresib, uas kav ntev dua, ntev txog li 42 teev, thiab zoo nkauj dua.

Levemir tsis yog cov tshuaj insulin luv luv. Nws tsis haum rau tej qhov xwm txheej uas koj xav tau kom sai qab zib qab zib. Thiab, nws yuav tsum tsis txhob ua ntej ua ntej noj mov kom paub txog cov khoom noj uas muaj ntshav qab zib kom noj. Rau cov laj thawj no, kev npaj kom luv lossis ultrashort tau siv. Nyeem cov lus “Cov hom Insulin thiab Cov Txiaj Ntsim Rau Lawv” piav kom ntxaws dua.

Saib cov video ntawm Dr. Bernstein. Tshawb nrhiav yog vim li cas Levemir zoo dua li Lantus. Nkag siab pes tsawg zaus ib hnub koj xav tau prick nws thiab lub sijhawm. Kuaj xyuas tias koj khaws koj cov tshuaj insulin kom raug nws thiaj tsis puas.

Yuav xaiv cov koob li cas?

Cov koob tshuaj ntawm Levemir thiab txhua lwm hom insulin yuav tsum tau xaiv ib tus zuj zus. Rau cov neeg muaj ntshav qab zib ntshav qab zib, muaj cov qauv kev pom zoo yuav pib nrog 10 units lossis 0.1-0.2 units / kg.

Txawm li cas los xij, rau cov neeg mob uas ua raws li cov zaub mov noj muaj carb qis, qhov tshuaj no yuav siab dhau. Saib xyuas koj cov piam thaj hauv ntshav tau ob peb hnub. Xaiv qhov zoo tshaj plaws hauv cov tshuaj insulin uas siv cov ntaub ntawv tau txais.

Nyeem ntxiv hauv kab lus "Kev xam ntawm cov koob tshuaj ntev ntawm cov insulin rau kev txhaj tshuaj thaum hmo ntuj thiab yav sawv ntxov."

Ntau npaum li cas cov tshuaj no yuav tsum raug txhaj tshuaj rau hauv menyuam yaus hnub nyoog 3 xyoos?

Nws nyob ntawm seb hom khoom noj dab tsi uas cov menyuam muaj ntshav qab zib ua raws.Yog tias nws tau pauv mus rau cov khoom noj uas tsis muaj cov kab mob hauv lub cev, tom qab ntawd cov koob tshuaj qis heev, txhais tau hais tias homeopathic, yuav tsum muaj.

Tej zaum, koj yuav tsum tau nkag rau Levemir thaum sawv ntxov thiab yav tsaus ntuj hauv cov koob tshuaj uas tsis pub ntau tshaj 1 chav nyob. Koj tuaj yeem pib nrog 0.25 units. Txhawm rau txhawm rau txhawm rau txhaj koob tshuaj tiv thaiv qis, nws yog qhov tsim nyog yuav tsum tov lub Hoobkas kev txhaj tshuaj.

Nyeem ntxiv txog nws ntawm no.

Thaum mob khaub thuas, noj tshuaj lom thiab lwm yam kab mob kis, cov tshuaj insulin yuav tsum nce ntxiv li thaj tsam 1.5 zaug. Thov nco ntsoov tias kev npaj ua Lantus, Tujeo thiab Tresiba tsis tuaj yeem raug daws.

Yog li no, rau cov menyuam yaus ntawm hom tshuaj insulin ntev ntev, tsuas yog Levemir thiab Protafan thiaj nyob ntev. Kawm cov lus "Ntshav Qab Zib Rau Cov Me Nyuam."

Kawm yuav ua li cas txuas koj lub sijhawm honeymoon thiab tsim kom muaj cov ntshav qabzib tswj txhua hnub.

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

Yuav ua li cas nkaug Levemir? Pes tsawg zaus nyob rau ib hnub?

Levemir yuav tsis txaus prick ib hnub ib zaug. Nws yuav tsum raug tswj hwm ob zaug ib hnub - thaum sawv ntxov thiab tsaus ntuj. Ntxiv mus, kev ua ntawm qhov kev noj tshuaj yav tsaus ntuj feem ntau tsis txaus rau tag nrho hmo ntuj. Vim tias qhov no, tus neeg mob ntshav qab zib yuav muaj teeb meem qabzib thaum sawv ntxov nyob ntawm lub plab khoob. Nyeem kab lus “Qab zib rau ntawm ib plab khoob thaum sawv ntxov: yuav ua li cas coj nws rov mus nyob qhov qub”. Thiab kawm cov ntaub ntawv "Insulin tswj hwm: qhov twg thiab yuav ua li cas txhaj".

Cov tshuaj no puas sib piv nrog Protafan?

Levemir tau zoo dua li Protafan. Cov tshuaj Protafan insulin tsis dhau mus ntev, tshwj xeeb yog tias cov koob tshuaj no muaj tsawg. Cov tshuaj no muaj cov tsiaj protein protein, uas feem ntau ua rau ua xua.

Nws yog qhov zoo dua kom tsis txhob siv cov tshuaj tiv thaiv protafan. Txawm hais tias cov tshuaj no tau muab pub dawb los, thiab lwm hom kev ncua sij hawm ntxiv yuav tsum tau yuav nyiaj. Mus rau Levemir, Lantus lossis Tresiba.

Nyeem ntxiv hauv kab lus “Cov Hom Tshuaj insulin thiab Cov Cuam Tshuam”.

Levemir Penfill thiab Flekspen: Dab tsi yog qhov txawv?

Flekspen yog cov khoom lag luam uas tus cwjmem cwjmem hauv cov ntawv sau npe uas Levemir insulin daim cartridges.

Penfill yog ib qho tshuaj Levemir uas tau muag uas tsis muaj cov xaum xaum es koj tuaj yeem siv cov tshuaj insulin tsis tu ncua. Flexspen cwjmem muaj ib daim ntawv qhia ntau npaum 1 daim.

Qhov no tuaj yeem tsis yooj yim rau kev kho mob ntshav qab zib hauv cov menyuam yaus uas xav tau txhaj tshuaj qis. Hauv cov xwm txheej zoo li no, nws raug nquahu kom nrhiav thiab siv Penfill.

Levemir tsis muaj qhov pheej yig. Vim tias nws cov mis muaj kev tiv thaiv los ntawm daim ntawv sau txog patent uas nws qhov kev siv tau tseem tsis tau tas sij hawm. Muaj ntau ntau hom zoo xws li cov insulin ntev los ntawm lwm cov tuam ntxhab. Cov no yog cov tshuaj Lantus, Tujeo thiab Tresiba.

Koj tuaj yeem kawm cov ncauj lus kom ntxaws txog lawv. Txawm li cas los xij, tag nrho cov tshuaj no tsis pheej yig. Cov tshuaj insulin rau nruab nrab, xws li Protafan, pheej yig dua. Txawm li cas los xij, nws muaj qhov tsis txaus ntseeg tseem ceeb vim tias Dr. Bernstein thiab endocrin-neeg mob chaw.

com tsis pom zoo kom siv nws.

Levemir lossis Lantus: uas cov insulin zoo dua?

Cov lus teb ntxaws ntxaws rau cov lus nug no tau muab nyob hauv tsab xov xwm ntawm insulin Lantus. Yog tias Levemir lossis Lantus haum rau koj, tom qab ntawd siv nws txuas ntxiv. Tsis txhob hloov ib qho tshuaj mus rau lwm tus tsuas yog tsim nyog kiag li.

Yog tias koj tab tom npaj yuav pib txhaj cov tshuaj insulin ntev, tom qab ntawd sim Levemir ua ntej. Treshiba's insulin tshiab zoo dua li Levemir thiab Lantus, vim tias nws siv sijhawm ntev thiab ntseeg nkaws.

Txawm li cas los xij, nws tus nqi yuav luag 3 lub sijhawm kim dua.

Levemir thaum cev xeeb tub

Cov kev tshawb fawb loj hauv kev tshawb nrhiav tau ua tiav uas tau pom tseeb qhov kev nyab xeeb thiab muaj txiaj ntsig ntawm kev tswj hwm Levemir thaum cev xeeb tub.

Kev sib tw insulin hom Lantus, Tujeo thiab Tresiba tsis tuaj yeem khav tau cov pov thawj zoo li no ntawm lawv txoj kev nyab xeeb.

Nws raug nquahu tias tus poj niam cev xeeb tub uas muaj ntshav qab zib kom nkag siab yuav ua li cas thiaj li suav cov koob tshuaj uas haum.

Cov tshuaj insulin tsis txaus ntshai rau tus niam lossis tus menyuam hauv plab, qhia tias tsuas muab cov tshuaj ntau npaum li cas. Mob ntshav qab zib thaum cev xeeb tub, yog tias tsis kho, nws tuaj yeem ua teeb meem loj. Yog li no, txhaj tshuaj khov rau Levemir yog tias tus kws kho mob tau hais kom koj ua qhov no. Sim ua yam tsis muaj kev kho mob insulin, ua raws li kev noj haus zoo rau lub cev. Nyeem kab lus "Ntshav Qab Zib Cev Rau Mob Ntshav Qab Zib" thiab "Ntshav Qab Zib Zib Zes" rau cov lus qhia ntxiv.

Levemir tau siv los tswj hom 2 thiab ntshav qab zib hom 1 txij li ib nrab ntawm 2000s. Txawm hais tias cov tshuaj no muaj tus kiv cua tsawg dua li Lantus, kev tshuaj xyuas tau txaus tsim muaj ntau xyoo dhau los. Feem coob ntawm lawv yog cov zoo. Cov neeg mob nco ntsoov tias cov tshuaj insulin zoo txo ​​cov ntshav qab zib. Nyob rau tib lub sijhawm, qhov kev pheej hmoo yuav mob ntshav qab zib siab tsawg heev.

Ib feem tseem ceeb ntawm kev tshuaj xyuas yog sau los ntawm cov poj niam uas tau siv Levemir thaum cev xeeb tub los tswj cov ntshav qab zib hauv poj niam. Yeej, cov neeg mob no tau txaus siab rau cov tshuaj. Nws tsis muaj yees, tom qab yug menyuam tas los tuaj yeem raug muab tso tseg yam tsis muaj teebmeem. Qhov tseeb yog qhov yuav tsum tau ua kom thiaj tsis ua yuam kev ntawm qhov tsuas tshuaj, tab sis nrog lwm cov tshuaj insulin los nws yog tib yam.

Raws li cov neeg mob, lub ntsiab tsis zoo yog tias lub laub pib yuav tsum siv hauv 30 hnub. Lub sijhawm no tsis ntev heev. Feem ntau koj yuav tsum pov tawm cov nqi tsis siv loj, thiab tom qab tag nrho, tau them nyiaj rau lawv. Tab sis txhua cov tshuaj sib tw muaj tib qho teeb meem. Kev kuaj xyuas ntshav qab zib paub meej tias Levemir yog zoo dua li ntawm qhov nruab nrab insulin Protafan hauv txhua qhov tseem ceeb.

Tshuaj Insulin LEVEMIR: tshuaj xyuas, cov lus qhia, tus nqi

Levemir Flexpen yog ib qho tshuaj noj ntawm tib neeg cov tshuaj insulin thiab muaj cov nyhuv hypoglycemic. Levemir yog tsim tawm los ntawm kev tso tawm cov DNA tso nrog kev siv Saccharomyces cerevisiae.

Nws yog soluble basal analogue ntawm tib neeg cov insulin nrog cov ua kom ntev thiab muaj ib qho tiaj tiaj ntawm kev ua, ntau yam tsawg dua hauv kev sib piv nrog insulin glargine thiab isofan-insulin.

Lub sijhawm ua haujlwm ntev ntawm cov tshuaj no yog vim qhov tseeb tias cov tshuaj tua kab mob insulin muaj lub peev xwm tus kheej ntawm qhov chaw txhaj tshuaj, thiab tseem khi rau albumin los ntawm kev sib txuas nrog cov hlua sab hauv ntawm cov roj ntsha.

Detemir insulin ncav cuag lub hom phiaj peripheral qeeb dua isofan-insulin. Qhov kev sib xyaw ntawm kev ncua rov ua dua tshiab cov txheej txheem tso cai rau muaj kev hloov pauv ntau dua qub profile thiab ua haujlwm ntawm Levemir Penfill dua li isofan-insulin.

Thaum khi rau cov receptors tshwj xeeb rau ntawm cytoplasmic membrane ntawm insulin, insulin tsim cov txheej txheem tshwj xeeb uas txhawb cov synthesis ntawm ntau cov enzymes tsim nyog sab hauv cov hlwb, xws li hexokinase, glycogen synthetase, pyruvate kinase thiab lwm yam.

Qhov tseem ceeb tseem ceeb rau kev siv Levemir Flexpen yog ntshav qab zib.

Cov Yuav Tsum Tau Ua

1. Kev tsis haum siab rau cov ntsiab lus thiab ntxiv ntawm cov khoom muaj sia.
2. Lub hnub nyoog mus rau ob xyoos.

Cov lus qhia rau kev siv (ntau npaum)

Lub sijhawm tiv thaiv cov tshuaj nyob ntawm ntau npaum li cas. Thaum pib ntawm kev kho mob yuav tsum tau pricked ib zaug ib hnub, nyiam dua nyob rau Hmo ua ntej los yog ua ntej yuav mus pw. Rau cov neeg mob uas tsis tau txais insulin yav dhau los, kev pib noj yog 10 units lossis 0.1-0.2 units ntawm ib kg ntawm lub cev hnyav.

Rau cov neeg mob uas tau siv ntev ntev los ntawm cov tshuaj tiv thaiv hypoglycemic, cov kws kho mob pom zoo kom tsawg dua 0.2 txog 0.4 ib pawg ntawm qhov hnyav ntawm lub cev. Qhov kev txiav txim pib tom qab 3-4 teev, qee zaum txog 14 teev.

Cov tshuaj pib tseem ceeb feem ntau muab rau 1-2 zaug thaum nruab hnub. Koj tuaj yeem nkag rau hauv tag nrho cov tshuaj noj ib zaug lossis faib nws ua ob zaug. Hauv rooj plaub thib ob, cov tshuaj siv thaum sawv ntxov thiab thaum yav tsaus ntuj, lub caij nyoog nruab nrab ntawm kev tswj hwm yuav tsum yog 12 teev. Thaum hloov los ntawm lwm hom tshuaj insulin rau Levemir, cov koob tshuaj ntawm cov tshuaj tsis hloov pauv.

Qhov ntau npaum cas tau suav los ntawm tus endocrinologist raws li kev ntsuas hauv qab no:

• degree ntawm kev ua si
• tus yam ntxwv noj haus
• qab zib theem
• mob hnyav ntawm pathology,
• txoj haujlwm uas niaj hnub ua
• muaj cov concomitant kab mob.

Txoj kev kho tuaj yeem pauv yog tsim nyog yog kev phais mob.

Sab sij huam

Txog li 10% ntawm cov neeg mob qhia txog kev phiv thaum noj cov tshuaj. Hauv ib nrab ntawm tus neeg mob, qhov no nws yog hypoglycemia. Lwm yam kev cuam tshuam tom qab kev tswj hwm tau ua qauv ntawm kev o, liab, mob, khaus, o. Bruising yuav tshwm sim. Cov kev tsis zoo tshwm sim feem ntau ploj tom qab ob peb lub lis piam.

Qee lub sij hawm qhov mob nyhav dua vim yog exacerbation ntawm ntshav qab zib, ib qho kev tawm tsam tshwj xeeb tshwm sim: mob ntshav qab zib retinopathy thiab mob neuropathy mob. Qhov laj thawj rau qhov no yog kom tswj hwm kev noj qabzib zoo thiab tswj tau glycemia. Lub cev yauv rov kho dua tshiab, thiab thaum nws yoog mus rau yeeb tshuaj, cov tsos mob ploj mus ntawm lawv tus kheej.

Ntawm cov kev phiv tshuaj, qhov feem ntau yog:

• malfunctions ntawm lub hauv nruab nrab lub paj hlwb (nce hnov ​​mob mob, loog ntawm qhov kawg, tsis hnov ​​lus zoo thiab pom lub teeb, qhov hnov ​​ntawm tingling lossis hlawv),
• kev cuam tshuam ntawm cov metabolism carbohydrate (hypoglycemia),
• urticaria, khaus, ua xua, anaphylactic ceeb,
• peripheral edema
• pathology ntawm cov ntaub so ntswg adipose, uas ua rau muaj kev hloov pauv ntawm lub cev.

Lawv txhua tus raug txiav txim siab siv tshuaj yeeb. Yog tias qhov no tsis pab, tus kws kho mob hloov cov tshuaj.

Noj ntau dhau

Qhov ntau npaum li cas ntawm cov tshuaj uas yuav ua rau muaj cov duab hauv qhov chaw kuaj mob no, cov kws tshaj lij tsis tau tsim. Cov tshuaj txhaj ntau dua hauv lub cev tuaj yeem hloov mus rau hauv ntshav qab zib tsawg. Qhov kev tawm tsam pib tshwm sim feem ntau thaum hmo ntuj lossis lub xeev muaj kev ntxhov siab.

Daim foos me me tuaj yeem raug tshem tawm ntawm nws tus kheej: noj cov qhob noom chocolate, ib qho qab zib lossis cov khoom lag luam uas muaj carbohydrate. Ib daim foos hnyav heev, thaum tus neeg mob poob mus rau hauv kev txiav txim siab, koom nrog kev tswj hwm hauv tsev txog li 1 mg ntawm glucagon / glucose kev daws teeb meem. Cov txheej txheem no tsuas yog ua tau los ntawm tus kws tshwj xeeb. Yog tias nco ntsoov tsis rov qab rau tus neeg, cov kua nplaum ntxiv rau kev ua haujlwm.

Yeeb tshuaj sib cuam tshuam

Levemir tau zoo siv ua ke nrog lwm cov tshuaj: hypoglycemic agents nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis luv luv insulins. Txawm li cas los xij, nws tsis tsim nyog yuav sib xyaw ntau hom tshuaj insulin nyob rau hauv tib lub koob txhaj.

Kev siv lwm yam tshuaj hloov pauv qhov ntsuas ntawm qhov xav tau ntawm insulin. Yog li, hypoglycemic tus neeg sawv cev, carbonic anhydrase, inhibitors, monoamine oxidases thiab lwm yam txhim kho cov kev ua ntawm cov tshuaj nquag.

Cov tshuaj hormones, tshuaj tiv thaiv, tshuaj uas muaj iodine, tshuaj tua kab mob, danazole tuaj yeem ua rau cov nyhuv tsis muaj zog.

Salicylates, octreotide, thiab reserpine tuaj yeem ob leeg qis dua thiab nce qhov kev xav tau rau insulin, thiab beta-blockers npog cov tsos mob ntawm hypoglycemia, inhibit qhov qub ntawm cov suab thaj.

Lub cev sib xyaw nrog sulfite lossis thiol pawg, nrog rau ntau yam ntawm cov kev ua tiav, muaj qhov cuam tshuam.

Cawv tau zoo

Cov dej cawv muaj cawv tuaj yeem ua kom ntev lossis txhim kho qhov hypoglycemic ntawm kev siv tshuaj insulin, tab sis kev haus cawv yuav tsum noj nrog cov neeg mob ntshav qab zib nrog kev ceev faj, vim nws cuam tshuam rau cov metabolism hauv lub cev.

Cov lus qhia tshwj xeeb

Kev kho nrog Levemir txo qhov kev pheej hmoo ntawm kev mob ntshav qab zib tawm tsam thaum hmo ntuj thiab tib lub sijhawm tsis ua rau nce hnyav. Qhov no, nyeg, tso cai rau koj hloov qhov ntim ntawm qhov kev daws teeb meem, xaiv qhov tsim nyog koob tshuaj, ua ke nrog cov ntsiav tshuaj los ntawm tib lub koob rau kev tswj hwm zoo dua.

Thaum npaj kev taug kev ntev nrog kev hloov sijhawm hauv lub sijhawm, sab laj nrog koj tus kws kho mob.

Cov tsos mob ntawm qhov pib ntawm kev tawm tsam yog:

• kev xav ntawm kev nqhis dej
• ntxhoo
• xeev siab
• tsaug zog mob
• daim tawv nqaij qhuav
• nquag tso zis
• tsis qab los noj mov
• thaum koj tso pa, koj hnov ​​ntxhiab tsw ntxhiab.

Nrog rau qhov nce ntxiv hauv koob tshuaj, hla lub zog noj mov uas yuav tsum tau ua, qhov kev nce tsis paub zoo nyob rau hauv lub nra, hypoglycemia tseem tuaj yeem tsim kho. Txoj kev tu hnyav yog qhov tseem ceeb.

Kev kis mob ntawm lub cev ua rau muaj kev nce ntxiv hauv qhov ntau ntxiv ntawm cov tshuaj insulin. Hauv cov kab mob ntawm cov thyroid caj pas, lub raum lossis mob siab, ib qho kev hloov kho koob tshuaj kuj tau ua.

Cev xeeb tub thiab lactation

Nws muaj kev nyab xeeb coj Levemir thaum nqa tus menyuam, qhov no tau lees paub los ntawm kev tshawb fawb. Cov tshuaj insulin tsis ua mob rau tus me nyuam hauv plab thiab leej niam nws tus kheej nrog noj cov tshuaj yog. Nws tsis muaj yees. Yog tias tsis kho cov ntshav qab zib rau lub sijhawm no, qhov no ua rau muaj teeb meem loj. Thaum pub mis, qhov tshuaj tau muab kho dua.

Hauv thawj peb lub hlis, xav tau cov tshuaj insulin yuav txo qis, thiab nyob rau lub sijhawm thib ob thiab thib peb feem ntau nce me ntsis. Tom qab yug menyuam, theem ntawm qhov xav tau ua tau zoo ib yam li ua ntej cev xeeb tub.

Siv rau lub sijhawm menyuam yaus thiab hnub nyoog laus

Rau cov menyuam yaus, kev noj tshuaj ntawm cov tshuaj insulin yog xam raws cov khoom noj uas lawv ua raws. Yog tias muaj cov zaub mov ntau nrog cov ntsiab lus carbohydrate tsawg hauv cov zaub mov noj, ces cov koob tshuaj yuav tsawg dua. Nrog mob khaub thuas thiab mob aws, ntau npaum li qhov yuav tsum tau ntxiv li 1.5-2 zaug.

Hauv cov neeg laus, cov piam thaj hauv ntshav tau saib xyuas zoo. Cov koob tshuaj yog suav ncaj qha ntawm tus kheej, tshwj xeeb tshaj yog rau cov neeg uas muaj kev mob raum thiab kab mob siab. Cov chaw muag tshuaj hauv cov neeg mob hluas thiab cov neeg laus tsis sib txawv.

Cov lus thiab cov xwm txheej ntawm kev cia

Khaws cov tshuaj hauv tub yees rau 2-8 ° C. Lub hau kua txau nws tus kheej tsis tas yuav tsum txias. Ua ke nrog cov ntsiab lus ntawm daim cartridge, nws tuaj yeem khaws cia rau ib hlis thiab ib nrab ntawm chav tsev qhov kub. Lub hau ua haujlwm pab tiv thaiv cov ntsiab lus ntawm cov txhaj tshuaj los ntawm cov duab ci ntawm lub teeb. Cov tshuaj yeeb yaj kiab no tsim nyog siv nyob rau hauv 30 lub hlis txij li hnub tso tawm. Nws yog tso tawm los ntawm cov tshuaj noj.

Koj tuaj yeem ntxuav tus xaum xaum xaum nrog ib qho paj rwb so hauv lub khob dej cawv. Kev txhaj tshuaj rau hauv cov kua thiab kua tee yog txwv tsis pub. Yog hais tias poob, tus kov yuav raug puas ntsoog thiab nws cov ntsiab lus yuav xau.

Piv nrog analogues

Raws li cov kws tshaj lij, yog hais tias tom qab tswj hwm ntawm ib koob nkaus xwb ntawm cov tshuaj insulin tsis muaj kev txhim kho hauv kev tswj qab zib, nws yuav raug nquahu kom kho ib qho analog ntawm kev ua luv luv.

Levemir zoo heev rau kev kho mob rau cov neeg mob ntshav qab zib. Cov cuab yeej tshiab niaj hnub no thiab cov cuab yeej ua pov thawj yuav pab ua kom cov ntshav qabzib nyob zoo.

Irina, 27 xyoo, Moscow.

“Thaum xub thawj, Kuv txwv tsis pub ntaus Levemir.Leej twg xav tau cov tshuaj insulin ntxiv lossis nce phaus ntxiv? Tus kws kho mob tau lees paub kuv tias nws tsis tuaj yeem ua kom rov qab los ntawm nws thiab nws tsis ua rau kom tos. Kuv raug xaj 6 lub tshuaj tua kab mob ib zaug ib hnub.

Tab sis kev txhawj xeeb tsis yaj. Kuv puas tuaj yeem ua taus menyuam zoo, puas yuav muaj teeb meem nrog nws txoj kev loj hlob? Cov tshuaj no kim heev. Kuv tsis tau pom muaj kev mob tshwm sim hauv tsev; tus menyuam tau yug los nyab xeeb. Tom qab yug menyuam, Kuv tau tso tseg tsis txhaj tshuaj Levemir;

Yog li kuv pom zoo nws. ”

Eugene, hnub nyoog 43 xyoo, Moscow.

“Kuv muaj ntshav qab zib hom 1 txij thaum tiav hluas. Yav dhau los, nws yog qhov tsim nyog yuav tsum sau tshuaj insulin rau hauv cov koob txhaj tshuaj los ntawm ampoules, ntsuas cov ntsuas thiab txhaj rau koj tus kheej. Cov koob txhaj tshuaj niaj hnub nrog lub ntsej muag insulin yog qhov yooj yim dua, lawv muaj lub pob qhov rooj los teeb tsa cov naj npawb. Cov yeeb tshuaj ua yeeb yam nruj raws li cov lus qhia, Kuv coj nws nrog kuv ntawm kev mus ncig ua lag luam, txhua yam yog super. Kuv qhia koj. ”

Huseyn, hnub nyoog 40 xyoo, Moscow.

“Tau ntev heev kuv tsis tuaj yeem daws cov teebmeem qab zib thaum sawv ntxov. Nws hloov mus rau Levemir. Muab faib ua 4 qhov kev txhaj tshuaj, uas kuv ua hauv 24 teev. Kuv ua raws kev noj zaub mov kom tsawg-carb. Ib hlis tom qab hloov mus rau txoj kev tswj hwm tshiab, qab zib tsis tau nce dua. Ua tsaug rau cov chaw tsim khoom. "

Levemir Flexpen thiab Penfil - cov lus qhia rau kev siv, analogues, tshuaj xyuas

Levemir yog cov tshuaj hypoglycemic uas zoo tib yam hauv nws cov qauv hauv tshuaj lom neeg thiab kev ua haujlwm rau tib neeg cov insulin. Cov tshuaj no zwm rau pab pawg ntawm tib neeg cov tshuaj lom neeg lub cev ntev insulin.

Levemir Flexpen yog lub cim kev tsim cov tshuaj insulin nrog cov dispenser. Ua tsaug rau nws, cov tshuaj insulin tuaj yeem raug tswj hwm los ntawm 1 pawg txog 60 units. Koob tshuaj yog muaj nyob rau hauv ib chav tsev.

Hauv txee ntawm cov chaw muag tshuaj koj tuaj yeem nrhiav Levemir Penfill thiab Levemir Flekspen. Lawv ib leeg yuav ua li cas sib txawv? Tag nrho cov kev sib xyaw thiab cov koob tshuaj, cov txheej txheem ntawm kev tswj hwm yog ua tau zoo ib yam. Qhov sib txawv ntawm cov neeg sawv cev yog nyob rau hauv daim ntawv ntawm kev tso tawm. Levemir Penfill yog lub pob txha los hloov rau hauv tuaj yeem siv tau cwj mem. Thiab Levemir Flekspen yog rab koob pov tseg uas muaj lub plhaws nyob sab hauv.

Levemir yog siv los tswj cov ntshav hauv cov ntshav insulin, tsis hais zaub mov noj li cas.

Qhov tseem ceeb tseem ceeb ntawm cov tshuaj yog insulin detemir. Nws yog qhov ua rau tib neeg xav tau cov tshuaj insulin uas siv los ua ke siv cov caj ces ntawm cov kab mob ntawm cov kab mob ntawm Saccharomyces cerevisiae. Qhov koob tshuaj ntawm cov tshuaj nquag hauv 1 ml ntawm kev daws yog 100 IU lossis 14,2 mg. Ntxiv mus, 1 lub zog ntawm cov tshuaj tua kab mob insulin Levemir sib npaug rau 1 chav tsev ntawm tib neeg insulin.

Cov khoom siv ntxiv muaj cov txiaj ntsig kev pab. Txhua ntu ua lub luag haujlwm rau qee yam haujlwm. Lawv tswj cov txheej txheem ntawm txoj kev daws teeb meem, muab cov cim qhia tshwj xeeb zoo rau cov tshuaj, thiab txuas ntxiv lub sijhawm cia thiab txee lub neej.

Tsis tas li, cov tshuaj no pab ua kom ib txwm muaj thiab txhim kho cov chaw muag tshuaj thiab cov chaw muag tshuaj ntawm cov khoom tseem ceeb: lawv txhim kho bioavailability, cov nqaij mos ua kom zoo, txo kev khi rau cov ntshav protein, tswj cov metabolism thiab lwm txoj kev tshem tawm.

Cov tshuaj txuas ntxiv hauv qab no suav nrog cov tshuaj hauv:

• Glycerol - 16 mg,
• Metacresol - 2.06 mg,
• Zinc acetate - 65.4 mcg,
• Phenol - 1.8 mg
• Sodium Chloride - 1.17 mg
• Hydrochloric acid - q.s.,
• Hydrophosphate dihydrate - 0.89 mg,
• Dej rau kev txhaj tshuaj - txog li 1 ml.

Txhua tus cwj mem los yog daim cartridge muaj 3 ml ntawm cov tshuaj lossis 300 IU ntawm cov tshuaj insulin.

Cov Tshuaj Hauv Tshuaj

Levemir insulin yog qhov tshuaj nyob ntawm tib neeg cov insulin nrog rau kev ua haujlwm ntev, tiaj tus tawm. Qhov kev ua ntawm lub hom qeeb yog vim muaj lub siab ywj pheej ua ke ntawm cov tshuaj lwg me me.

Lawv tseem khi ntxiv rau cov protein nyob hauv ib sab cheeb tsam ua ke. Txhua yam no tshwm sim ntawm qhov chaw txhaj tshuaj, yog li cov insulin detemir nkag mus rau hauv cov hlab ntshav qeeb dua.

Thiab cov phiaj nqaij sib kis tau txais qhov tsim nyog tau txhaj tom qab txuas nrog lwm cov neeg sawv cev ntawm cov kua dej.

Cov txheej txheem ntawm kev ua no muaj kev sib koom ua ke hauv kev faib tawm ntawm cov tshuaj, uas muab txoj kev pom zoo dua rau kev nqus thiab cov metabolism.

Qhov nruab nrab qhov pom zoo koob ntawm 0.2-0.4 U / kg nce mus txog ib nrab qhov siab tshaj plaws tom qab 3 teev. Hauv qee kis, lub sijhawm no tuaj yeem ncua ntev txog 14 teev.

Cov Tshuaj Pharmacokinetics

Cov tshuaj nce mus txog nws qhov kev xav ntau hauv cov ntshav tom qab 6-8 teev tom qab kev tswj hwm.

Qhov kev sib zog siab ntawm cov tshuaj yog ua tiav los ntawm kev tswj hwm ob zaug hauv ib hnub thiab muaj kev ruaj khov tom qab 3 hno.

Tsis zoo li lwm yam insal hauv paus, qhov kev hloov pauv ntawm kev nqus thiab kev faib tawm tsis muaj zog yog nyob ntawm tus neeg tus yam ntxwv. Tsis tas li, tsis muaj kev vam khom rau cov cim neeg thiab poj niam txiv neej.

Cov kev tshawb fawb qhia pom tias Levemir insulin tsis ua txoj hlua khi rau cov protein, thiab feem tseem ceeb ntawm cov tshuaj ntws mus rau hauv cov ntshav ntshav (kev xav nyob hauv nruab nrab cov tshuaj kho mus txog 0.1 l / kg). Kev txiav txim siab insulin hauv daim siab nrog rau kev tshem tawm ntawm cov metabolites tsis muaj zog.

Ib nrab-lub neej yog txiav txim siab los ntawm kev tos ntawm lub sijhawm ntawm nqus mus rau hauv cov hlab ntshav tom qab kev coj ua subcutaneous. Kwv yees kwv yees ib nrab-lub neej ntawm koob tshuaj vam khom yog 6-7 teev.

Kev taw qhia thiab contraindications

Qhov tsuas yog qhia txog kev siv ntawm Levemir yog kev kuaj mob ntawm tus mob ntshav qab zib insulin-mellitus rau cov neeg laus thiab cov menyuam hnub nyoog dhau 2 xyoos.

Txoj kev tiv thaiv tsis zoo rau kev siv tshuaj yog qhov tshwm sim ntawm tus neeg tsis kam txais mus rau cov tshuaj nquag thiab cov khoom siv pabcuam.

Tsis tas li, qhov kev nkag mus yog contraindicated rau cov menyuam yaus hnub nyoog qis dua 2 xyoos vim tsis muaj kev tshawb fawb hauv pawg neeg mob no.

Cov lus qhia rau kev siv

Kev ua haujlwm ntev insulin Levemir noj 1 lossis 2 zaug ib hnub ua kev kho mob bolus. Ntxiv mus, ib qho ntawm cov koob tshuaj yog zoo tshaj plaws noj nyob rau yav tsaus ntuj ua ntej yuav mus pw lossis thaum noj hmo. Qhov no ib zaug ntxiv tiv thaiv qhov ntxim nyiam ntawm hmo ntuj hypoglycemia.

Cov koob tshuaj yog xaiv los ntawm tus kws kho mob tshwj xeeb rau txhua tus neeg mob. Kev noj tshuaj thiab lub sijhawm tswj hwm yog nyob ntawm tus neeg lub cev ua ub ua no, cov ntsiab lus ntawm khoom noj khoom haus, ntshav qabzib, kab mob hnyav thiab tus neeg mob lub cev txhua hnub. Ntxiv mus, kev kho yooj yim tsis tuaj yeem xaiv ib zaug. Ib qho kev hloov pauv hauv cov ntsiab lus saum toj no yuav tsum tshaj tawm rau tus kws kho mob, thiab tag nrho cov koob tshuaj txhua hnub yuav tsum rov ua dua tshiab.

Tsis tas li, txoj kev kho tshuaj hloov pauv nrog kev txhim kho cov kab mob concomitant lossis xav tau kev phais mob.

Nws tsis pom zoo kom hloov nws tus kheej koob tshuaj, hla nws, kho qhov zaus ntawm kev tswj hwm, yog li muaj qhov tshwm sim siab ntawm kev txhim kho hypoglycemic lossis hyperglycemic coma thiab exacerbations ntawm neuropathy thiab retinopathy.

Levemir tuaj yeem siv ua kev kho mob monotherapy, nrog rau ua ke nrog kev qhia ntawm luv luv insulins los yog qhov ncauj ntsiav tshuaj hypoglycemic tshuaj. Muaj ib qho kev kho mob dav dav, qhov muaj ntau zaus ntawm kev nkag mus yog 1 lub sijhawm.

Cov tshuaj pib yog 10 units lossis 0.1 - 0.2 units / kg.

Lub sijhawm ntawm kev coj ua thaum nruab hnub yog txiav txim los ntawm tus neeg mob nws tus kheej, uas nws haum rau nws. Tab sis txhua txhua hnub koj yuav tsum tau txhaj tshuaj kom nruj tib lub sijhawm.

Levemir: cov lus qhia rau kev siv. Yuav xaiv cov tshuaj li cas. Xyuas

Insulin Levemir (detemir): kawm txhua yam koj xav tau. Hauv qab no koj yuav pom cov lus qhia ntxaws ntxiv rau kev siv sau ua hom lus nkag tau. Saib Xyuas:

Levemir yog cov tshuaj insulin txuas ntxiv (hauv qab), uas yog tsim los ntawm lub tuam txhab nto moo thiab hawm thoob ntiaj teb Novo Nordisk. Cov tshuaj no tau siv txij li ib nrab xyoo 2000. Nws tau tswj hwm kom muaj koob meej ntawm cov neeg mob ntshav qab zib, txawm hais tias insulin Lantus muaj kev lag luam ntau dua. Nyeem kev tshuaj xyuas tseeb ntawm cov neeg mob hom 2 thiab ntshav qab zib hom 2, nrog rau cov yam ntxwv ntawm kev siv rau menyuam yaus.

Kuj kawm txog kev kho mob ua tau zoo uas ua rau koj cov ntshav qab zib 3.9-5.5 mmol / L ruaj khov 24 teev hauv ib hnub, ib yam li cov neeg noj qab haus huv.Tus txheej txheem ntawm Dr. Bernstein, uas tau nyob nrog ntshav qab zib ntau dua 70 xyoo, tso cai rau cov neeg laus thiab cov menyuam muaj ntshav qab zib tuaj yeem tiv thaiv lawv tus kheej los ntawm cov teeb meem hnyav.

Ntev insulin levemir: cov ncauj lus kom ntxaws

Kev saib xyuas tshwj xeeb yog them rau kev tswj hwm cov ntshav qab zib hauv lub cev. Levemir yog cov tshuaj uas xaiv rau cov poj niam cev xeeb tub uas muaj ntshav siab. Cov kev tshawb fawb loj tau ua pov thawj tias nws muaj kev nyab xeeb thiab ua tau zoo rau cov poj niam cev xeeb tub, ntxiv rau menyuam yaus txij li 2 xyoos.

Nco ntsoov tias cov piam thaj ntawm cov kua dej tseem ntshiab li qhov tshiab. Qhov zoo ntawm cov tshuaj tsis tuaj yeem txiav txim siab los ntawm nws qhov tsos. Yog li ntawd, nws tsis tsim nyog yuav Levemir kev tuav tes, los ntawm kev tshaj tawm tus kheej. Yuav nws hauv cov chaw muag tshuaj muaj npe loj uas nws cov neeg ua haujlwm paub txog txoj cai khaws cia thiab tsis tub nkeeg kom ua raws li lawv.

Cov lus qhia rau kev siv

Thaum txhaj cov tshuaj Levemir, zoo li lwm hom insulin, koj yuav tsum ua raws li kev noj zaub mov noj.

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 kho tau cov tshuaj insulin pom tias nws tsis tuaj yeem ua kom tsis txhob muaj ntshav qab zib hauv lub cev. 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 cov vis dis aus uas Dr. Bernstein tham txog qhov teebmeem no.

Saib hauv qab no rau cov lus qhia ntxiv.

Puas yog levemir insulin ntawm qhov kev txiav txim twg? Yog ntev lossis luv?

Levemir yog cov tshuaj insulin ntev ntev. Txhua koob tshuaj tau txo qis cov ntshav qab zib hauv 18-24 teev. Txawm li cas los xij, cov neeg mob ntshav qab zib uas ua raws li cov zaub mov noj muaj carb qis yuav tsum tau noj tsawg kawg, 2-8 zaug qis dua li cov qauv.

Thaum siv cov tshuaj zoo li no, cov nyhuv ntawm cov tshuaj xaus sai dua, hauv 10-16 teev. Tsis zoo li cov tshuaj insulin nruab nrab, Levemir tsis muaj lub suab nrov tshaj plaws.

Ua tib zoo saib xyuas cov tshuaj tshiab Tresib, uas kav ntev dua, ntev txog li 42 teev, thiab zoo nkauj dua.

Levemir tsis yog cov tshuaj insulin luv luv. Nws tsis haum rau tej qhov xwm txheej uas koj xav tau kom sai qab zib qab zib. Thiab, nws yuav tsum tsis txhob ua ntej ua ntej noj mov kom paub txog cov khoom noj uas muaj ntshav qab zib kom noj. Rau cov laj thawj no, kev npaj kom luv lossis ultrashort tau siv. Nyeem cov lus “Cov hom Insulin thiab Cov Txiaj Ntsim Rau Lawv” piav kom ntxaws dua.

Saib cov video ntawm Dr. Bernstein. Tshawb nrhiav yog vim li cas Levemir zoo dua li Lantus. Nkag siab pes tsawg zaus ib hnub koj xav tau prick nws thiab lub sijhawm. Kuaj xyuas tias koj khaws koj cov tshuaj insulin kom raug nws thiaj tsis puas.

Yuav xaiv cov koob li cas?

Cov koob tshuaj ntawm Levemir thiab txhua lwm hom insulin yuav tsum tau xaiv ib tus zuj zus.Rau cov neeg muaj ntshav qab zib ntshav qab zib, muaj cov qauv kev pom zoo yuav pib nrog 10 units lossis 0.1-0.2 units / kg.

Txawm li cas los xij, rau cov neeg mob uas ua raws li cov zaub mov noj muaj carb qis, qhov tshuaj no yuav siab dhau. Saib xyuas koj cov piam thaj hauv ntshav tau ob peb hnub. Xaiv qhov zoo tshaj plaws hauv cov tshuaj insulin uas siv cov ntaub ntawv tau txais.

Nyeem ntxiv hauv kab lus "Kev xam ntawm cov koob tshuaj ntev ntawm cov insulin rau kev txhaj tshuaj thaum hmo ntuj thiab yav sawv ntxov."

Ntau npaum li cas cov tshuaj no yuav tsum raug txhaj tshuaj rau hauv menyuam yaus hnub nyoog 3 xyoos?

Nws nyob ntawm seb hom khoom noj dab tsi uas cov menyuam muaj ntshav qab zib ua raws. Yog tias nws tau pauv mus rau cov khoom noj uas tsis muaj cov kab mob hauv lub cev, tom qab ntawd cov koob tshuaj qis heev, txhais tau hais tias homeopathic, yuav tsum muaj.

Tej zaum, koj yuav tsum tau nkag rau Levemir thaum sawv ntxov thiab yav tsaus ntuj hauv cov koob tshuaj uas tsis pub ntau tshaj 1 chav nyob. Koj tuaj yeem pib nrog 0.25 units. Txhawm rau txhawm rau txhawm rau txhaj koob tshuaj tiv thaiv qis, nws yog qhov tsim nyog yuav tsum tov lub Hoobkas kev txhaj tshuaj.

Nyeem ntxiv txog nws ntawm no.

Thaum mob khaub thuas, noj tshuaj lom thiab lwm yam kab mob kis, cov tshuaj insulin yuav tsum nce ntxiv li thaj tsam 1.5 zaug. Thov nco ntsoov tias kev npaj ua Lantus, Tujeo thiab Tresiba tsis tuaj yeem raug daws.

Yog li no, rau cov menyuam yaus ntawm hom tshuaj insulin ntev ntev, tsuas yog Levemir thiab Protafan thiaj nyob ntev. Kawm cov lus "Ntshav Qab Zib Rau Cov Me Nyuam."

Kawm yuav ua li cas txuas koj lub sijhawm honeymoon thiab tsim kom muaj cov ntshav qabzib tswj txhua hnub.

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

Yuav ua li cas nkaug Levemir? Pes tsawg zaus nyob rau ib hnub?

Levemir yuav tsis txaus prick ib hnub ib zaug. Nws yuav tsum raug tswj hwm ob zaug ib hnub - thaum sawv ntxov thiab tsaus ntuj. Ntxiv mus, kev ua ntawm qhov kev noj tshuaj yav tsaus ntuj feem ntau tsis txaus rau tag nrho hmo ntuj. Vim tias qhov no, tus neeg mob ntshav qab zib yuav muaj teeb meem qabzib thaum sawv ntxov nyob ntawm lub plab khoob. Nyeem kab lus “Qab zib rau ntawm ib plab khoob thaum sawv ntxov: yuav ua li cas coj nws rov mus nyob qhov qub”. Thiab kawm cov ntaub ntawv "Insulin tswj hwm: qhov twg thiab yuav ua li cas txhaj".

Cov tshuaj no puas sib piv nrog Protafan?

Levemir tau zoo dua li Protafan. Cov tshuaj Protafan insulin tsis dhau mus ntev, tshwj xeeb yog tias cov koob tshuaj no muaj tsawg. Cov tshuaj no muaj cov tsiaj protein protein, uas feem ntau ua rau ua xua.

Nws yog qhov zoo dua kom tsis txhob siv cov tshuaj tiv thaiv protafan. Txawm hais tias cov tshuaj no tau muab pub dawb los, thiab lwm hom kev ncua sij hawm ntxiv yuav tsum tau yuav nyiaj. Mus rau Levemir, Lantus lossis Tresiba.

Nyeem ntxiv hauv kab lus “Cov Hom Tshuaj insulin thiab Cov Cuam Tshuam”.

Qhov twg yog qhov zoo dua: Levemir lossis Humulin NPH?

Humulin NPH yog ib qho insulin nruab nrab, zoo li Protafan. NPH yog cov tshuaj nruab nrab nruab nrab ntawm Hagedorn, tib yam protein tib yam uas feem ntau ua rau ua xua. kev tawm tsam. Humulin NPH yuav tsum tsis txhob siv rau tib qho teeb meem li Protafan.

Levemir Penfill thiab Flekspen: Dab tsi yog qhov txawv?

Flekspen yog cov khoom lag luam uas tus cwjmem cwjmem hauv cov ntawv sau npe uas Levemir insulin daim cartridges.

Penfill yog ib qho tshuaj Levemir uas tau muag uas tsis muaj cov xaum xaum es koj tuaj yeem siv cov tshuaj insulin tsis tu ncua. Flexspen cwjmem muaj ib daim ntawv qhia ntau npaum 1 daim.

Qhov no tuaj yeem tsis yooj yim rau kev kho mob ntshav qab zib hauv cov menyuam yaus uas xav tau txhaj tshuaj qis. Hauv cov xwm txheej zoo li no, nws raug nquahu kom nrhiav thiab siv Penfill.

Levemir tsis muaj qhov pheej yig. Vim tias nws cov mis muaj kev tiv thaiv los ntawm daim ntawv sau txog patent uas nws qhov kev siv tau tseem tsis tau tas sij hawm. Muaj ntau ntau hom zoo xws li cov insulin ntev los ntawm lwm cov tuam ntxhab. Cov no yog cov tshuaj Lantus, Tujeo thiab Tresiba.

Koj tuaj yeem kawm cov ncauj lus kom ntxaws txog lawv. Txawm li cas los xij, tag nrho cov tshuaj no tsis pheej yig. Cov tshuaj insulin rau nruab nrab, xws li Protafan, pheej yig dua. Txawm li cas los xij, nws muaj qhov tsis txaus ntseeg tseem ceeb vim tias Dr. Bernstein thiab endocrin-neeg mob chaw.

com tsis pom zoo kom siv nws.

Levemir lossis Lantus: uas cov insulin zoo dua?

Cov lus teb ntxaws ntxaws rau cov lus nug no tau muab nyob hauv tsab xov xwm ntawm insulin Lantus.Yog tias Levemir lossis Lantus haum rau koj, tom qab ntawd siv nws txuas ntxiv. Tsis txhob hloov ib qho tshuaj mus rau lwm tus tsuas yog tsim nyog kiag li.

Yog tias koj tab tom npaj yuav pib txhaj cov tshuaj insulin ntev, tom qab ntawd sim Levemir ua ntej. Treshiba's insulin tshiab zoo dua li Levemir thiab Lantus, vim tias nws siv sijhawm ntev thiab ntseeg nkaws.

Txawm li cas los xij, nws tus nqi yuav luag 3 lub sijhawm kim dua.

Levemir thaum cev xeeb tub

Cov kev tshawb fawb loj hauv kev tshawb nrhiav tau ua tiav uas tau pom tseeb qhov kev nyab xeeb thiab muaj txiaj ntsig ntawm kev tswj hwm Levemir thaum cev xeeb tub.

Kev sib tw insulin hom Lantus, Tujeo thiab Tresiba tsis tuaj yeem khav tau cov pov thawj zoo li no ntawm lawv txoj kev nyab xeeb.

Nws raug nquahu tias tus poj niam cev xeeb tub uas muaj ntshav qab zib kom nkag siab yuav ua li cas thiaj li suav cov koob tshuaj uas haum.

Cov tshuaj insulin tsis txaus ntshai rau tus niam lossis tus menyuam hauv plab, qhia tias tsuas muab cov tshuaj ntau npaum li cas. Mob ntshav qab zib thaum cev xeeb tub, yog tias tsis kho, nws tuaj yeem ua teeb meem loj. Yog li no, txhaj tshuaj khov rau Levemir yog tias tus kws kho mob tau hais kom koj ua qhov no. Sim ua yam tsis muaj kev kho mob insulin, ua raws li kev noj haus zoo rau lub cev. Nyeem kab lus "Ntshav Qab Zib Cev Rau Mob Ntshav Qab Zib" thiab "Ntshav Qab Zib Zib Zes" rau cov lus qhia ntxiv.

Levemir tau siv los tswj hom 2 thiab ntshav qab zib hom 1 txij li ib nrab ntawm 2000s. Txawm hais tias cov tshuaj no muaj tus kiv cua tsawg dua li Lantus, kev tshuaj xyuas tau txaus tsim muaj ntau xyoo dhau los. Feem coob ntawm lawv yog cov zoo. Cov neeg mob nco ntsoov tias cov tshuaj insulin zoo txo ​​cov ntshav qab zib. Nyob rau tib lub sijhawm, qhov kev pheej hmoo yuav mob ntshav qab zib siab tsawg heev.

Ib feem tseem ceeb ntawm kev tshuaj xyuas yog sau los ntawm cov poj niam uas tau siv Levemir thaum cev xeeb tub los tswj cov ntshav qab zib hauv poj niam. Yeej, cov neeg mob no tau txaus siab rau cov tshuaj. Nws tsis muaj yees, tom qab yug menyuam tas los tuaj yeem raug muab tso tseg yam tsis muaj teebmeem. Qhov tseeb yog qhov yuav tsum tau ua kom thiaj tsis ua yuam kev ntawm qhov tsuas tshuaj, tab sis nrog lwm cov tshuaj insulin los nws yog tib yam.

Raws li cov neeg mob, lub ntsiab tsis zoo yog tias lub laub pib yuav tsum siv hauv 30 hnub. Lub sijhawm no tsis ntev heev. Feem ntau koj yuav tsum pov tawm cov nqi tsis siv loj, thiab tom qab tag nrho, tau them nyiaj rau lawv. Tab sis txhua cov tshuaj sib tw muaj tib qho teeb meem. Kev kuaj xyuas ntshav qab zib paub meej tias Levemir yog zoo dua li ntawm qhov nruab nrab insulin Protafan hauv txhua qhov tseem ceeb.

Tshuaj Insulin LEVEMIR: tshuaj xyuas, cov lus qhia, tus nqi

Levemir Flexpen yog ib qho tshuaj noj ntawm tib neeg cov tshuaj insulin thiab muaj cov nyhuv hypoglycemic. Levemir yog tsim tawm los ntawm kev tso tawm cov DNA tso nrog kev siv Saccharomyces cerevisiae.

Nws yog soluble basal analogue ntawm tib neeg cov insulin nrog cov ua kom ntev thiab muaj ib qho tiaj tiaj ntawm kev ua, ntau yam tsawg dua hauv kev sib piv nrog insulin glargine thiab isofan-insulin.

Lub sijhawm ua haujlwm ntev ntawm cov tshuaj no yog vim qhov tseeb tias cov tshuaj tua kab mob insulin muaj lub peev xwm tus kheej ntawm qhov chaw txhaj tshuaj, thiab tseem khi rau albumin los ntawm kev sib txuas nrog cov hlua sab hauv ntawm cov roj ntsha.

Detemir insulin ncav cuag lub hom phiaj peripheral qeeb dua isofan-insulin. Qhov kev sib xyaw ntawm kev ncua rov ua dua tshiab cov txheej txheem tso cai rau muaj kev hloov pauv ntau dua qub profile thiab ua haujlwm ntawm Levemir Penfill dua li isofan-insulin.

Thaum khi rau cov receptors tshwj xeeb rau ntawm cytoplasmic membrane ntawm insulin, insulin tsim cov txheej txheem tshwj xeeb uas txhawb cov synthesis ntawm ntau cov enzymes tsim nyog sab hauv cov hlwb, xws li hexokinase, glycogen synthetase, pyruvate kinase thiab lwm yam.

Qhov tseem ceeb tseem ceeb rau kev siv Levemir Flexpen yog ntshav qab zib.

Cov Yuav Tsum Tau Ua

Cov tshuaj insulin tsis tuaj yeem tsim kev tiv thaiv nrog cov tib neeg muaj kev cuam tshuam rau detemir insulin lossis rau ib qho ntxiv ntawm ib feem twg uas yog ib feem ntawm cov lus sib xyaw.

Levemir Flexpen tsis siv rau hauv cov menyuam yaus hnub nyoog qis dua rau xyoo, txij li tsis muaj kev tshawb fawb soj ntsuam rau cov menyuam yaus.

Tsuas tshuaj thiab tswj hwm

Rau Levemir Flexpen, txoj kev subcutaneous ntawm kev tswj hwm yog siv. Cov koob tshuaj thiab cov naj npawb ntawm cov kev txhaj tshuaj yog txiav txim rau tus kheej rau txhua tus neeg.

Thaum muaj daim ntawv sau cov tshuaj ua ke nrog cov tshuaj ua kom muaj suab thaj rau kev tswj hwm qhov ncauj, nws raug nquahu kom siv nws ib zaug ib hnub noj ntawm 0.1-0.2 U / kg lossis 10 U.

Yog tias cov tshuaj no siv los ua ib qho tseem ceeb ntawm cov hauv paus-bolus regimen, tom qab ntawd nws yog tshuaj nyob ntawm qhov xav tau ntawm tus neeg mob 1 lossis 2 zaug hauv ib hnub. Yog tias ib tus neeg xav tau cov tshuaj insulin ob zaug los tswj kev noj qab haus huv rau qib siab, tom qab ntawd cov tshuaj noj yav tsaus ntuj tuaj yeem siv thaum noj hmo lossis thaum mus pw, lossis tom qab 12 teev tom qab kev noj qab haus huv.

Kev hno ntawm Levemir Penfill tau txhaj tshuaj rau hauv lub xub pwg, sab xub ntiag phab ntsa lossis ncej puab thaj tsam, ntau cov ntsiab lus hais txog yuav ua li cas txhaj tshuaj insulin hauv ntshav qab zib tuaj yeem nrhiav tau ntawm peb lub vev xaib. Txawm hais tias kev txhaj tshuaj yog ua tiav ntawm tib seem ntawm lub cev, qhov chaw txhaj tshuaj xav kom hloov.

Koob tshuaj hloov kho

Hauv cov neeg mob hauv lub hnub nyoog laus lossis hauv qhov chaw lub raum lossis hepatic tsis txaus, kev hloov kho tshuaj ntawm cov tshuaj no yuav tsum tau nqa tawm, ib yam li lwm yam tshuaj insulin. Tus nqi tsis hloov pauv ntawm qhov no.

Cov koob tshuaj detemir insulin yuav tsum tau xaiv ib tus zuj zus nrog ceev faj xyuas cov piam thaj hauv cov ntshav.

Tsis tas li, kev rov tshuaj dua yog tsim nyog nrog kev ua kom lub cev muaj zog ntawm tus neeg mob, muaj cov kab mob concomitant lossis hloov nws li kev noj zaub mov zoo.

Hloov los ntawm lwm txoj kev npaj insulin

Yog tias xav hloov tus neeg mob los ntawm kev siv tshuaj ntev los ntawm cov tshuaj insulin lossis cov tshuaj ntawm lub sijhawm nruab nrab ntawm kev ua haujlwm ntawm Levemir Flexpen, tom qab ntawd qhov kev hloov pauv ntawm kev tswj hwm ib ntus, nrog rau kev hloov tshuaj, yuav tsum tau ua.

Raws li kev siv lwm yam tshuaj zoo sib xws, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas cov ntshav qab zib cov ntsiab lus thaum lub sijhawm hloov nws tus kheej thiab thawj ob peb lub lis piam ntawm kev siv cov tshuaj tshiab.

Hauv qee kis, kev kho qhov mob hypoglycemic kho yuav tsum tau kuaj xyuas, piv txwv li, cov tshuaj ntawm cov tshuaj rau qhov ncauj tswj hwm lossis qhov ntau thiab lub sijhawm ntawm cov thawj coj ntawm luv luv ua yeeb yam insulin npaj.

Siv thaum cev xeeb tub thiab lactation

Tsis muaj kev sim ntau nrog kev siv Levemir Flexpen lub sijhawm muaj menyuam thiab pub niam mis. Hauv kev kawm txog kev ua haujlwm ntawm kev ua me nyuam hauv tsiaj, tsis muaj qhov sib txawv ntawm embryotoxicity thiab teratogenicity ntawm tib neeg insulin thiab detemir insulin tau tshwm sim.

Yog tias tus poj niam muaj tus kab mob ntshav qab zib mellitus, kev saib xyuas yog qhov yuav tsum tau ua ob qho tib si nyob rau theem npaj thiab thoob plaws lub sijhawm xeeb tub.

Hauv thawj peb lub hlis, feem ntau xav tau cov tshuaj insulin tsawg dua, thiab nyob rau lub sijhawm tom qab tau nce. Tom qab yug menyuam tas, feem ntau xav tau cov tshuaj hormones no los sai sai rau nws theem pib, uas yog ua ntej xeeb tub.

Thaum lub sijhawm pub mis niam, tus pojniam yuav xav yoo kho nws cov zaub mov kom ntau thiab noj ntau npaum li cas ntawm cov kua dej.

Sab sij huam

Raws li txoj cai, cov kev mob tshwm sim hauv cov neeg uas siv Levemir Flexpen yog qhov ncaj qha koob tshuaj thiab yog qhov muaj txiaj ntsig ntawm qhov kev txiav txim ntawm pharmacological ntawm cov tshuaj insulin.

Qhov tshwm sim feem ntau cov nyom cuam tshuam yog hypoglycemia. Nws tshwm sim thaum noj ntau dhau lawm ntawm cov tshuaj tau txais tshuaj uas dhau lub cev qhov xav tau ntawm insulin.

Cov kev tshawb fawb soj ntsuam pom tau tias kwv yees li 6% ntawm cov neeg mob kho Levemir Flexpen kev kho mob ntshav qab zib ntau uas yuav tsum tau kev pab ntawm lwm tus neeg.

Cov tshuaj tiv thaiv kev tswj hwm ntawm cov tshuaj ntawm qhov chaw txhaj tshuaj thaum siv Levemir Flexpen muaj ntau dua li thaum kho nrog tib neeg cov tshuaj insulin. Qhov no yog ua kom pom los ntawm liab, o, o thiab khaus, ua pob nyob rau ntawm qhov chaw txhaj tshuaj.

Feem ntau, kev tawm tsam li no tsis tau hais tawm thiab muaj kev nyob ib ntus (ploj mus nrog kev kho mob txuas ntxiv mus ob peb hnub lossis vas thiv).

Kev txhim kho cov kev mob tshwm sim hauv cov neeg mob tau txais kev kho nrog cov tshuaj no tshwm sim kwv yees li 12% ntawm cov neeg mob. Txhua qhov kev phiv tshuaj los ntawm cov tshuaj Levemir Flexpen tau muab faib ua cov pawg hauv qab no:

1. Kev ntshaib plab thiab zaub mov kev ntshawv siab.

Feem ntau, hypoglycemia tshwm sim, muaj cov tsos mob li nram no:

• hws no
• qaug zog, nkees, qaug zog,
• pallor ntawm daim tawv nqaij
• kev xav ntawm kev ntxhov siab
• kev ntshai lossis tshee hnyo,
• tsawg mloog ncua thiab disorientation,
• zoo nkaus kev tshaib kev nqhis
• mob taub hau
• pom kev pom
• lub plawv dhia rau lub siab.

Hauv cov ntshav qog ntshav hnyav, tus neeg mob tuaj yeem tsis nco qab, nws yuav muaj kev mob plab, ib ntus lossis tsis tuaj yeem cuam tshuam hauv lub hlwb yuav tshwm sim, thiab yuav ua rau muaj neeg tuag taus.

1. Cov tshuaj tiv thaiv ntawm qhov chaw txhaj tshuaj:

• liab, khaus thiab o feem ntau tshwm sim ntawm qhov chaw txhaj tshuaj. Feem ntau lawv yog ib ntus thiab dhau nrog kev kho mob txuas ntxiv.
• lipodystrophy - tsis tshua muaj tshwm sim, nws yuav pib vim qhov tseeb tias txoj cai ntawm kev hloov chaw txhaj tshuaj nyob hauv tib thaj chaw tsis raug hwm.
• edema tuaj yeem tshwm sim thaum ntxov ntawm kev kho tshuaj insulin.

Tag nrho cov kev tawm ntawm no feem ntau yog ib ntus xwb.

1. Cov kev hloov hauv lub nruab nrog cev - ua pob ua pob rau ntawm tawv nqaij, ua xua thiab lwm yam kev ua xua tuaj yeem qee zaum tshwm sim.

Qhov no yog qhov txiaj ntsig ntawm qhov dav dav hypersensitivity. Lwm yam tshwm sim tuaj yeem suav tawm hws, mob taub hau, khaus khaus, cuam tshuam ntawm txoj hnyuv, ua pa nyuaj, ntshav nce siab, thiab lub plawv dhia ceev.

Kev tshwm sim ntawm cov tshuaj tiv thaiv tsis haum (qhov tsis nco qab) yog qhov txaus ntshai rau tus neeg mob lub neej.

1. Pom kev tsis pom kev - tsis tshua muaj tshwm sim, mob ntshav qab zib retinopathy lossis hnov ​​mob tsis zoo yuav tshwm sim.

Cev xeeb tub thiab lactation

Thaum siv Levemir ® FlexPen ® thaum cev xeeb tub, nws yog ib qho tsim nyog yuav tsum xav txog ntau npaum li cas cov txiaj ntsig ntawm nws qhov kev siv tshaj qhov muaj feem yuav phom sij.

Ib qho kev soj ntsuam mob sib xyaw nrog cov poj niam cev xeeb tub nrog hom 1 mob ntshav qab zib mellitus, qhov ua tau zoo thiab kev nyab xeeb ntawm kev sib xyaw ua ke nrog Levemir ® FlexPen ® nrog insulin aspart (152 tus poj niam cev xeeb tub) piv nrog insulin-isofan ua ke nrog insulin aspart ( 158 tus poj niam cev xeeb tub), tsis tau qhia tawm qhov sib txawv ntawm daim dav dav muaj kev nyab xeeb thaum cev xeeb tub, hauv kev tshwm sim cev xeeb tub los yog qhov cuam tshuam rau kev noj qab haus huv ntawm tus menyuam hauv plab thiab cov menyuam yug tshiab (saib "Pharmacodynamics", "Pharmacokinetics" )

Cov ntaub ntawv ntxiv hais txog kev ua tau zoo thiab kev nyab xeeb ntawm kev kho mob nrog Levemir ® FlexPen ® tau txais nyob hauv kwv yees li 300 tus poj niam cev xeeb tub thaum tom qab kev siv khoom muag qhia txog qhov tsis muaj kev cuam tshuam tsis zoo ntawm detemir insulin, uas ua rau muaj kev ua haujlwm tsis zoo ntawm lub cev thiab malformative lossis feto / neonatal toxicity.

Kev tshawb fawb ntawm kev ua haujlwm ntawm kev ua me nyuam hauv cov tsiaj tsis tau qhia txog kev cuam tshuam cov tshuaj lom neeg rau lub cev tsiaj txhu (saib. Pharmacodynamics, Pharmacokinetics).

Feem ntau, ua tib zoo saib xyuas cov poj niam cev xeeb tub uas muaj ntshav qab zib lub sijhawm tag nrho lub sijhawm cev xeeb tub, nrog rau kev npaj thaum cev xeeb tub, yog qhov tsim nyog. Qhov kev xav tau rau insulin hauv thawj peb lub hlis thaum cev xeeb tub feem ntau poob qis, tom qab ntawd zaum ob thiab peb feem plaub nws nce ntxiv. Tsis ntev tom qab yug los, xav tau cov tshuaj insulin sai sai rau qib uas yog ua ntej cev xeeb tub.

Kuj tsis paub meej tias insulin nkag mus hauv Detemir rau tib neeg cov kua mis.Nws xav tias detemir insulin tsis cuam tshuam rau cov teeb meem tshwm sim hauv lub cev ntawm cov menyuam mos / menyuam mos thaum lub sijhawm pub niam mis, vim nws yog pawg ntawm peptides uas yooj yim tawg rau hauv cov amino acids hauv cov hnyuv thiab nqus tau los ntawm lub cev.

Rau cov poj niam thaum lub sij hawm pub niam mis, yuav tsum tau txhaj tshuaj insulin ntau dua.

Kev sib txuam

Muaj ntau tus yeeb tshuaj uas cuam tshuam rau cov metabolism hauv qabzib.

Yuav tsum muaj cov insulin tsawg dua qhov ncauj hypoglycemic tshuaj, glucagon-zoo li peptide-1 receptor agonists (GLP-1), MAO inhibitors, tsis xaiv-beta-blockers, ACE inhibitors, salicylates, anabolic steroids thiab sulfonamides.

Insulin yuav tsum nce ntxiv qhov ncauj tshuaj hormonal contraceptives, thiazide diuretics, corticosteroids, cov thyroid hormones, sympathomimetics, somatropin thiab danazole.

Beta blockers tej zaum yuav npog cov tsos mob ntawm kev mob hypoglycemia.

Octreotide / Lanreotide tuaj yeem ob qho tib si nce thiab txo qis lub cev xav tau cov tshuaj insulin.

Ethanol (cawv) tuaj yeem ob leeg txhim kho thiab txo qhov txo qis qhov kev ua haujlwm ntawm insulin.

Incompatibility. Qee cov tshuaj, piv txwv li muaj cov thiol lossis sulfite pawg, thaum ntxiv rau cov tshuaj Levemir ® FlexPen ® tuaj yeem ua rau kev puas tsuaj ntawm insulin detemir. Levemir ® FlexPen ® yuav tsum tsis txhob ntxiv rau kev daws teeb meem. Cov tshuaj no yuav tsum tsis txhob xyaw nrog lwm cov tshuaj.

Tsuas tshuaj thiab tswj hwm

Cov tshuaj Levemir ® FlexPen ® tuaj yeem siv ob qho tib si li monotherapy raws li cov kab mob basal insulin, thiab kev sib xyaw nrog bolus insulin. Nws kuj tseem tuaj yeem siv ua ke nrog tshuaj qhov ncauj hypoglycemic thiab / lossis GLP-1 receptor agonists.

Ua ke nrog tshuaj rau qhov ncauj hypoglycemic los yog ntxiv rau agonists ntawm GLP-1 receptors hauv cov neeg laus, nws raug nquahu kom siv Levemir ® FlexPen ® ib hnub ib zaug, pib siv ntawm 0.1-0.2 U / kg lossis 10 UNITS.

Levemir ® FlexPen ® tuaj yeem tswj hwm txhua lub sijhawm thaum nruab hnub, tab sis txhua hnub nyob rau tib lub sijhawm. Cov koob tshuaj ntawm Levemir ® FlexPen ® yuav tsum tau xaiv ib tus zuj zus hauv txhua kis, raws li qhov xav tau ntawm tus neeg mob.

Thaum ntxiv qhov GLP-1 receptor agonist rau Levemir ®, nws raug nquahu kom txo qhov koob tshuaj ntawm Levemir ® los ntawm 20% kom txo qis kev pheej hmoo ntawm kev mob ntshav qab zib. Tom qab, cov koob tshuaj yuav tsum tau xaiv ib tus zuj zus.

Txog kev kho ib tus zuj zus hauv cov neeg mob cov neeg mob ntshav qab zib hom 2 mob ntshav qab zib, cov lus qhia pom zoo raws li kev pom zoo hauv qab no (saib Cov Lus 1).

Cov neeg mob uas xav tau siv cov tshuaj ob zaug ib hnub rau kev tswj hwm glycemic zoo, tuaj yeem nkag mus rau thaum yav tsaus ntuj thaum noj hmo lossis ua ntej mus pw. Kev hloov koob tshuaj yuav tsim nyog thaum ua kom tus neeg mob lub cev ua si, hloov nws li kev noj zaub mov ua kom tsis haum lossis mob tsis zoo.

Hloov tsheb los ntawm lwm yam tshuaj insulin. Hloov los ntawm nruab nrab-ncua ntev lossis ua yeeb yam ntev ntev rau kev npaj rau Levemir ® FlexPen ® yuav xav tau koob tshuaj thiab lub sijhawm hloov kho (saib "Cov Lus Qhia Tshwj Xeeb").

Ib yam li lwm txoj kev npaj tshuaj insulin, ua tib zoo saib xyuas cov ntshav qabzib hauv siab thaum hloov pauv thiab hauv thawj lub lis piam ntawm cov tshuaj tshiab raug pom zoo.

Yuav tsum kho cov tshuaj hypoglycemic los kho (koob thiab lub sij hawm ntawm cov thawj coj ntawm cov tshuaj insulin luv luv los yog cov tshuaj ntawm qhov ncauj hypoglycemic) yuav tsum tau ua.

Txoj kev ntawm daim ntawv thovCov. Levemir ® FlexPen ® yog npaj rau kev tswj hwm sc nkaus xwb. Levemir ® FlexPen ® tsis tuaj yeem tswj hwm iv. qhov no tuaj yeem ua rau ua rau ntshav muaj ntshav qab zib siab heev. Nws kuj tseem ceeb kom tsis txhob IM txhaj tshuaj ntawm cov tshuaj. Levemir ® FlexPen ® tsis tuaj yeem siv hauv cov tshuaj insulin.

Levemir ® FlexPen ® yog txhaj sc mus rau thaj tsam ntawm thaj chaw ntawm sab xub ntiag lub plab phab ntsa, hauv tus ncej, pob tw, xub pwg, deltoid lossis thaj chaw gluteal. Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li nyob rau tib thaj av ntawd kom txo tau txoj kev pheej hmoo ntawm lipodystrophy. Ib yam li lwm cov tshuaj insulin, lub sijhawm ua haujlwm yog nyob ntawm qhov koob tshuaj, qhov chaw tswjhwm, ntshav txaus, qhov kub thiab theem ntawm kev siv lub cev.

Cov pab pawg neeg tshwj xeeb

Ib yam li lwm txoj kev npaj tshuaj insulin, hauv cov neeg laus thiab cov neeg mob lub raum lossis hepatic tsis txaus, cov ntshav qabzib yuav tsum tau saib xyuas ntau ntxiv thiab cov tshuaj txhaj pom ib qho zuj zus.

Menyuam yaus thiab tub ntxhais hluas. Cov tshuaj Levemir ® tuaj yeem siv los kho cov hluas thiab menyuam yaus hnub nyoog qis dua 1 xyoos (saib "Pharmacodynamics", "Pharmacokinetics"). Thaum hloov los ntawm cov tshuaj insulin basal rau Levemir ®, nws yog qhov tsim nyog nyob rau hauv txhua kis los xav txog qhov xav kom txo cov koob tshuaj basal thiab bolus insulin kom tsawg dua qhov kev pheej hmoo ntawm hypoglycemia (saib. "Cov lus qhia tshwj xeeb").

Cov kev nyab xeeb thiab ua tau zoo ntawm Levemir ® hauv cov menyuam hnub nyoog qis dua 1 xyoos tsis tau kawm. Tsis muaj ntaub ntawv muaj.

Cov lus qhia rau tus neeg mob

Tsis txhob siv Levemir ® FlexPen ®

- Hauv kev siv tshuaj tiv thaiv kev ua xua (lub cev tsis haum lub cev) rau insulin, detemir lossis ib feem ntawm cov tshuaj,

- Yog tias tus neeg mob pib ua lub qog ntshav qab zib (ntshav qab zib hauv qab zib tsawg),

- hauv cov tshuaj insulin twj,

- yog tias FlexPen ® syringe cwj mem poob, nws puas ntsoog lossis tawg,

- Yog tias qhov chaw cia khoom ntawm cov tshuaj tau txhaum cai lossis nws khov,

- yog insulin tsis ce yuav pob tshab thiab tsis muaj xim.

Ua ntej siv Levemir ®, FlexPen ® yog qhov tsim nyog

- kuaj daim ntawv lo txhawm rau kom tus neeg mob siv hom tshuaj insulin,

- ib txwm siv rab koob tshiab rau txhua txoj kev txhaj tshuaj tiv thaiv kev kis mob,

- Nco ntsoov tias Levemir ® FlexPen ® thiab koob yog npaj rau cov tib neeg siv xwb.

Levemir ® FlexPen ® yog npaj rau kev tswj hwm sc nkaus xwb. Tsis txhob sau nws rau hauv / hauv lossis hauv / m. Txhua lub sijhawm, hloov qhov chaw txhaj tshuaj nyob hauv thaj av anatomical. Qhov no txo ​​txoj kev pheej hmoo ntawm ntsaws ruaj ruaj thiab mob rau ntawm qhov chaw txhaj tshuaj. Nws yog qhov zoo tshaj plaws los txhaj tshuaj rau hauv pem hauv ntej ntawm tus ncej puab, pob tw, pem hauv ntej phab ntsa plab, thiab xub pwg. Ntsuas ntsuas koj cov piam thaj hauv ntshav.

Koj yuav tsum ua tib zoo nyeem cov lus qhia no ua ntej siv Levemir ® FlexPen ®. Yog tias tus neeg mob tsis ua raws li cov lus qhia, nws yuav siv tshuaj insulin tsis txaus lossis ntau dhau, qhov no tuaj yeem ua rau muaj qhov ntsuas ntshav ntau dhau lossis qis dhau.

Flexpen® yog qhov sau ua ntej cov tshuaj insulin syringe cwjmem nrog cov tshuaj dispenser. Muab koob tshuaj rau cov tshuaj insulin, nyob rau hauv thaj tsam li 1 txog 60 units, tuaj yeem sib txawv hauv nce ntxiv ntawm 1 seem. FlexPen ® yog tsim los siv nrog NovoFine ® thiab NovoTvist ® rab koob ntev txog 8 hli. Raws li kev ceev faj, nws yog ib qho tsim nyog yuav tsum nqa cov khoom qub nrog koj kom tswj hwm cov tshuaj insulin thaum koj poob lossis ua kom puas qhov siv Levemir ® FlexPen ® koob txhaj tshuaj.

Cia khoom thiab kev saib xyuas

FlexPen ® Syringe Cwj mem yuav tsum saib xyuas kom zoo. Thaum lub caij nplooj zeeg los yog qhov kev ua kom muaj zog ntxhov siab, tus cwj mem tuaj yeem ua kom puas thiab insulin tuaj yeem xau.Qhov no tuaj yeem ua rau cov tshuaj tsis haum, uas tuaj yeem ua rau ntau dhau los yog dhau ntawm cov piam thaj.

Lub ntsej muag ntawm FlexPen ® koob txhaj tshuaj ntxuav tau muab ntxuav nrog ua paj rwb pas ntaws nrog cawv. Tsis txhob tso dej tawm phwj hauv cov kua, tsis txhob ntxuav los yog ntub nws, li qhov no tuaj yeem tsim kev puas tsuaj rau lub tshuab. Txwv tsis pub coj nkoog rau FlexPen ring koob txhaj tshuaj.

Npaj Levemir ® FlexPen ®

Ua ntej pib ua haujlwm, nws yog qhov yuav tsum tau kuaj xyuas cov ntawv sau txhawm rau paub tseeb tias Levemir ® FlexPen ® muaj hom insulin uas yuav tsum tau muaj. Qhov no yog qhov tshwj xeeb tshaj yog tias tus neeg mob siv ntau hom tshuaj insulins. Yog tias nws mus txhaj tshuaj lwm yam insulin tsis raug, cov ntshav piam thaj yuav ua rau siab dhau lossis qis dua.

ACov. Tshem lub hau tawm ntawm cwj mem syringe.

BCov. Tshem daim nplaum thaiv tawm ntawm rab koob pov tseg. Ntsia cov koob kom nruj mus rau daim ntawv xaum npuav.

CCov. Tshem lub hau loj ntawm rab koob, tab sis tsis txhob muab pov tseg.

DCov. Tshem tawm thiab pov tseg lub hau ntawm lub hauv rab koob. Txhawm rau kom tsis txhob lam tau lam txhaj, tsis txhob tso lub hau sab hauv rau ntawm rab koob.

Cov ntaub ntawv tseem ceeb. Siv ib rab koob tshiab rau txhua txoj kev txhaj tshuaj. Qhov no txo ​​cov kev pheej hmoo ntawm kev sib kis, kev kis mob, kev ntxig ntxig ntawm insulin, kev thaiv ntawm cov koob thiab kev qhia ntawm kev siv tshuaj tsis raug.

Muab rab koob tso nrog saib xyuas kom tsis txhob khoov lossis ua kom nws tawg ua ntej siv.

Kev Kuaj Tshuaj

Txawm hais tias siv tus cwj mem zoo, los ntawm cov huab cua nyob hauv huab cua yuav tuaj yeem sau rau hauv daim cartridge ua ntej txhaj txhua. Txhawm rau tiv thaiv kev nkag ntawm huab cua npuas thiab ua kom paub meej ntawm kev tsim nyog ntawm cov tshuaj:

ECov. Hu 2 chav ntawm cov tshuaj los ntawm tig lub koob xaiv.

FCov. Thaum tuav lub FlexPen ® tus cwj mem nrog rab koob nce, coj lub taub ntim ob peb zaug nrog koj lub ntsis ntiv tes kom cov cua npuas txav mus rau sab saum toj ntawm daim cartridge.

GCov. Tuav cov xaum xaum xaum hluav taws xob nrog rab koob kom dhau, nias lub khawm pib txhua txoj kev. Cov xaiv koob tshuaj yuav rov qab mus rau xoom. Ib qho poob ntawm cov insulin yuav tsum tshwm sim thaum kawg ntawm rab koob. Yog tias qhov no tsis tshwm sim, hloov rab koob thiab rov ua qhov txheej txheem, tab sis tsis tshaj 6 zaug.

Yog tias cov tshuaj insulin tsis tuaj los ntawm rab koob, qhov no qhia tau tias tus cwj mem tsis haum lawm thiab yuav tsum tsis txhob siv ntxiv. Siv tus cwj mem tshiab.

Cov ntaub ntawv tseem ceeb. Ua ntej txhua txoj kev txhaj tshuaj, nco ntsoov tias ib qho poob ntawm insulin tshwm sim tom kawg ntawm rab koob. Qhov no ua rau kom muaj cov tshuaj insulin. Yog tias ib qho poob ntawm cov tshuaj insulin tsis tshwm sim, qhov koob tshuaj yuav tsis raug siv, txawm tias cov koob tshuaj xaiv txav mus los. Qhov no tuaj yeem qhia tias rab koob tau txhaws lossis puas.

Kuaj cov tshuaj insulin ua ntej txhua txoj kev txhaj tshuaj. Yog tias tus neeg mob tsis kuaj xyuas cov tshuaj insulin, nws yuav tsis tuaj yeem tswj hwm qhov tsis txaus ntawm insulin lossis tsis txhua, uas tuaj yeem ua rau muaj ntshav qabzib ntau dhau.

Nco ntsoov tias txoj kev xaiv ntau npaum li tau teem rau "0".

HCov. Sau cov naj npawb ntawm qhov xav tau ntawm kev txhaj tshuaj. Cov koob tshuaj tuaj yeem hloov kho los ntawm kev hloov txoj kev xaiv tshuaj rau hauv cov kev taw qhia kom txog rau thaum cov koob tshuaj raug tsim nyob rau hauv pem hauv ntej ntawm qhov ntsuas cov koob tshuaj. Thaum tig qhov ntsuas ntau npaum li cas, kev saib xyuas yuav tsum ua kom tsis txhob yuam kev nias lub khawm pib kom tiv thaiv txoj kev tso tawm ntawm koob tshuaj insulin. Nws tsis yog tuaj yeem tsim lub koob tshuaj uas tsis dhau tus naj npawb ntawm cov khoom uas tseem tshuav nyob hauv daim cartridge.

Cov ntaub ntawv tseem ceeb. Ua ntej txhaj tshuaj, yuav tsum xyuas seb muaj pes tsawg lub zog ntawm cov tshuaj insulin uas tus neeg mob tau ntsuas los ntawm lub koob tshuaj xaiv thiab ntsuas qhov ntsuas.

Tsis suav nrog luag xaum tes los ua kua. Yog tias tus neeg mob tau teeb tsa thiab siv cov tshuaj kom tsis haum, cov ntshav piam thaj yuav ua rau siab dhau lossis qis dua. Cov tshuaj insulin sib npaug qhia cov kwv yees li ntawm cov tshuaj insulin nyob hauv tus cwj mem syringe, yog li nws tsis tuaj yeem siv los ntsuas cov tshuaj insulin.

Ntxig lub koob tso rau hauv qab daim tawv nqaij. Siv cov txheej txheem txhaj tshuaj uas koj tus kws kho mob lossis tus neeg saib mob tau pom zoo.

KuvCov. Txhawm rau txhawm rau txhaj tshuaj, nias lub khawm pib txhua txoj kev kom txog rau thaum "0" tshwm nyob rau hauv pem hauv ntej ntawm qhov ntsuas cov koob tshuaj. Kev ceev faj yuav tsum ua kom zoo, thaum tswj kev siv tshuaj, tsuas yog pib khawm yuav tsum nias.

Cov ntaub ntawv tseem ceeb. Thaum tig lub koob xaiv, koob tshuaj yuav tsis raug qhia.

JCov. Thaum hle lub koob tawm hauv qab daim tawv nqaij, tuav lub pob pib khawm nkaus rau kev ntxhov siab.

Tom qab txhaj koob, tawm ntawm rab koob nyob hauv qab ntawm daim tawv nqaij tsawg kawg 6 vib nas this - qhov no yuav ua kom paub meej ntawm kev qhia ntawm cov tshuaj insulin.

Cov ntaub ntawv tseem ceeb. Tshem rab koob tawm hauv qab ntawm daim tawv nqaij thiab tso khawm pib. Xyuas kom meej tias lub koob tshuaj xaiv rov qab rau xoom tom qab txhaj tshuaj. Yog tias cov koob tshuaj xaiv tau tso tseg ua ntej pom "0", tag nrho cov tshuaj insulin tsis tau muab rau noj, uas tuaj yeem ua rau muaj cov ntshav qabzib ntau dhau.

KCov. Coj cov koob ntawm lub taub hau sab nraud ntawm rab koob yam tsis kov lub hau. Thaum lub koob nkag, muab tso rau ntawm lub hau kom tag thiab hle lub koob.

Pov tseg ntawm rab koob, kev saib xyuas kev tiv thaiv kev nyab xeeb, thiab muab lub hau ntim rau ntawm xaum xaum xaum.

Cov ntaub ntawv tseem ceeb. Tshem tawm cov koob txhaj tshuaj tom qab txhua qhov kev txhaj tshuaj thiab khaws cia Levemir ® FlexPen ® nrog rab koob txiav tawm. Qhov no txo ​​cov kev pheej hmoo ntawm kev sib kis, kev kis mob, kev ntxig ntxig ntawm insulin, kev thaiv ntawm cov koob thiab kev qhia ntawm kev siv tshuaj tsis raug.

Cov ntaub ntawv tseem ceeb. Cov neeg mob saib xyuas cov neeg mob yuav tsum siv koob uas siv nrog kev saib xyuas zoo heev txhawm rau txo kev phom sij ntawm kev txhaj tshuaj thiab kis kev sib kis.

Pov tseg siv FlexPen ® nrog rab koob cuam tshuam.

Tsis txhob sib qiv koj tus cwj mem thiab koob txhaj tshuaj nrog nws rau lwm tus. Qhov no tuaj yeem ua rau hla-kis thiab cuam tshuam rau kev noj qab haus huv.

Khaws cov xaum xaum thiab ib rab koob kom ncav cuag txhua qhov, tshwj xeeb yog menyuam yaus.

Chaw tsim tshuaj paus

Tus tswv ntawm daim ntawv pov thawj rau npe: Novo Nordisk A / S, Novo Alle DK-2880 Baggswerd, Denmark.

Cov khoom lag luam tsim los ntawm: Novo Nordisk LLC 248009, Tebchaws Russia, Kaluga Thaj Chaw, Kaluga, 2nd Automotive Ave, 1.

Kev thov cov neeg tau txais kev pab yuav tsum tau xa mus rau: Novo Nordisk LLC. 121614, Moscow, st. Krylatskaya, 15, ntawm. 41.

Xov tooj: (495) 956-11-32, fev: (495) 956-50-13.

Levemir ® FlexPen ®, NovoFine ® thiab NovoTvist ® tau sau npe rau lub cim lag luam uas yog Novo Nordisk A / C, Tebchaws Denmark.