Cov tshuaj insulin > Cov tshuaj insulin

"Insulin-isophan" yog tib neeg kev tsim kho tshuab (Latin Insulinum isophanum humanum biosyntheticum) yam tshuaj lom uas nws ua rau lub cev yog qhov zoo ib yam rau lub ntuj thiab yog rau nruab nrab-ntev.

Cov tshuaj muaj pes tsawg leeg muaj 1 ml ntawm 100 units hauv cov tshuaj uas muaj txiaj ntsig, nrog rau cov tshuaj ntxiv, nrog rau cov dej rau cov tshuaj txhaj, protamine sulfate, sodium dihydrogen phosphate, crystalline phenol, metacresol thiab glycerol. Muaj cov qauv hauv kev ncua. Nws muaj cov yeeb yam nram qab no:

txhim kho lipogenesis thiab gluconeogenesis, li txo cov ntshav qab zib,
nce qabzib los ntawm cov ntaub so ntswg,
activates intracellular metabolic kev,
lowers glycogen lawm
tom qab kev tswj hwm, nws pib ua haujlwm hauv 1-1.5 teev,
ua hauj lwm mob tsawv rau 11-24 teev

Rov qab rau cov lus txheej txheem

Thaum twg nws yog tshuaj?

Kev taw qhia rau kev siv:

Cov tshuaj yog tawm rau cov ntshav qab zib hauv cov poj niam cev xeeb tub.

ntshav qab zib hom 1 thiab hom 2
theem thaum lub cev tawm tsam cov tshuaj tiv thaiv kab mob uas hais ntawm ncauj,
ntshav qab zib hom 2 rau cov poj niam cev xeeb tub (hauv qhov uas tsis muaj cov nyhuv ntawm cov pluas noj),
ib nrab tsis kam rau kev txo cov tshuaj muaj suab thaj raws li ib feem ntawm txoj kev kho mob,
cov nyom ntawm tus kab mob
kev pab cuam phais mob (ua ib feem ntawm txoj nyuaj lossis ib txoj kev kho).

Rov qab rau cov lus txheej txheem

Cov lus qhia rau kev siv "Insulin-Isophan"

Cov tshuaj yog muab tshuaj subcutaneously, qee zaum lawv tuaj yeem raug txhaj tshuaj intramuscularly. Qhov nruab nrab qhov ntau npaum li cas hauv ib hnub yog 0.5-1 IU / kg. Thaum nqa tawm kev tswj hwm, cov tshuaj yuav tsum nyob ntawm chav sov. Qhov kev txhaj tshuaj yog ua 1-2 zaug ib hnub twg rau 30-45 feeb ua ntej noj tshais 8-24 units ib zaug. Qhov chaw ntawm cov txheej txheem tau hloov pauv txhua lub sijhawm (ncej, pob tw, anterior plab phab ntsa). Cov koob tshuaj yog xaiv ib qho zuj zus, raws li ntsuas ntawm cov piam thaj hauv ntshav thiab zis, ntxiv rau chav kawm ntawm tus kab mob.

Cov lus qhia pom zoo tias cov menyuam yaus thiab cov neeg laus uas muaj lub siab tsis tshua zoo siv qhov kev siv tshuaj txhua hnub txog li 8 IU, thiab nrog rau tus lej qis, nws yuav siab dua 24 IU. Cov neeg mob uas tau txais kev tswj hwm 100 lossis ntau dua IU nrog kev hloov pauv tshuaj yuav tsum tau mus pw hauv tsev kho mob. Yog tias tus neeg mob siv cov tshuaj hloov kho, cov ntshav qab zib yuav tsum kuaj xyuas. Raws li cov lus qhia rau kev siv, tso ntshav insulin txhaj tshuaj ntawm kev ncua ntev-txwv tsis pub ntev.

Cov Yuav Tsum Muaj

Ntxiv nrog rau qhov muaj txiaj ntsig zoo, cov tshuaj muaj xws li contraindications:

kev tiv thaiv kom haum rau cov tshuaj tiv thaiv kab mob,
txo hauv cov ntshav qab zib thiab thaum cev xeeb tub,
muaj cov qog nqaij hlav ua rau txiav ua rau ntau dhau ntawm cov tshuaj hormone insulin (insulinoma),
ua tib zoo siv rau cov neeg mob hnub nyoog 65 xyoos thiab muaj teeb meem rau daim siab thiab lub raum.

Rov qab rau cov lus txheej txheem

Sab sij huam

Txawm hais tias Insulin yog ib qho tseem ceeb tshuaj rau cov ntshav qab zib, nws muaj cov kev mob tshwm sim hauv qab no:

ua pob ua xua nyob rau hauv daim ntawv ntawm urticaria,
siab txo
kub nce
Quincke's edema thiab anaphylactic poob siab,
kev xav ntawm txias thiab txog siav ua pa,
hyperglycemia
o thiab khaus ntawm qhov chaw txhaj tshuaj
kev pom,
zoo nkaus li ntshai thiab tshaib plab, tsis muaj pw tsaug zog, kev nyuaj siab thiab lwm tus.

Rov qab rau cov lus txheej txheem

Kev nplua

Muaj cov tshuaj uas ua rau lub zog ntawm "Insulin-isophan" thaum noj ua ke, cov no suav nrog:

cov tshuaj hypoglycemic nyob rau hauv cov ntsiav tshuaj,
monoamine oxidase inhibitors, angiotensin hloov ua enzyme, NSAIDs,
leej faj,
cov tshuaj tua kab mob ib leeg
assimilation steroids,
tshuaj kho tus kab mob fungal,
Theophylline thiab Clofibrate
tshuaj siv nrog lithium.

Txo cov nyhuv ntawm cov tshuaj nicotine, haus dej cawv ua rau cov nyhuv hypoglycemic.Thiab tseem muaj cov tshuaj uas cuam tshuam rau kev txhim kho thiab txo qis hauv qhov ua tau zoo ntawm "Insulin-isofan" - cov no yog β-blockers, "Reserpine", "Pentamidine". Cov tshuaj uas txo cov nyhuv muaj xws li:

cov thyroid hormones thiab adrenal cortex,
Heparin
tshuaj kho mob
tshuaj tiv thaiv kab mob
Danazol thiab Morphine
tshuaj tiv thaiv qhov ncauj.

Rov qab rau cov lus txheej txheem

Tshaj tsos mob

Yog tias kev noj tshuaj ntau dhau ntawm tus neeg saib xyuas mob tshwm sim, kev hloov pauv ntawm lub hlwb hauv lub hlwb tuaj yeem tshwm sim, uas tau tshwm sim los ntawm kev ntshai, kev nyuaj siab, chim siab, tus cwj pwm txawv. Thiab tseem tshwm sim ntawm cov ntshav qog ntshav qab zib - txo cov ntshav qab zib. Nws raug kho los ntawm kev tswj hwm cov tshuaj dextrose lossis glucagon. Tus mob hypoglycemic coma, dextrose tau muab rau tus neeg mob mus txog thaum tus mob tso. Tom qab ntawd cov zaub mov carb siab yog qhov pom zoo.

Kev tiv thaiv kev nyab xeeb

Ua ntej txhaj tshuaj, koj yuav tsum xyuas kom meej tias cov tshuaj yog qhov tseeb, tsis muaj turbidity. Thaum tus plaub ya ri tshwm, pos huab, qaug tshuaj, cov tshuaj txwv tsis pub siv. Yog tias tus neeg mob tau mob khaub thuas lossis lwm yam kev kis mob, nws raug nquahu kom kws kho mob tham txog kev noj tshuaj. Qhov ntsuas kub ntawm cov tshuaj ua ntej txhaj tshuaj yuav tsum nqa mus rau chav kub. Nws yog ib qho tsim nyog yuav tsum hloov tas li thaj chaw txhaj tshuaj.

Analogues ntawm cov tshuaj

Kev siv cov khoom hloov pauv rau cov tshuaj yuav tsum pom zoo nrog kws kho mob, vim tias cov tshuaj hormones yog cov tshuaj hnyav uas tuaj yeem ua rau cov kev tsis haum xeeb. Cov analogues ntawm "Insulin-Isophan" tau tsim, uas muaj lub npe lag luam "Insumal", "Humulin", "Biogulin", "Pensulin", "Insulidd", "Gensulin", "Aktrafan", "Vozulim" thiab lwm yam. Tshuaj rau tus neeg mob tuaj yeem tsuas yog kws kho mob raws li cov lus muaj pes tsawg leeg, nrog rau cov koob tshuaj, uas tau xaiv ib tus zuj zus.

Cov ntaub ntawv tsuas yog muab rau cov xov xwm dav dav xwb thiab tsis tuaj yeem siv rau kev kho tus kheej. Tsis txhob muab tshuaj rau nws tus kheej, nws tuaj yeem yog qhov txaus ntshai. Nco ntsoov tham nrog kws kho mob. Nyob rau hauv cov ntaub ntawv ntawm ib nrab lossis tag nrho cov ntaub ntawv luam tawm los ntawm lub xaib, ib qho kev sib txuas mus rau nws yog qhov yuav tsum tau ua.

Isofan insulin: cov lus qhia rau kev siv thiab tus nqi ntawm cov tshuaj

Kev kho tshuaj Insulin muaj lub cim hloov, vim hais tias lub luag haujlwm tseem ceeb ntawm kev kho yog txhawm rau them nyiaj rau qhov ua tsis zoo ntawm cov khoom noj metabolism hauv carbohydrate los ntawm kev qhia cov tshuaj tshwj xeeb hauv qab tawv nqaij. Xws li cov tshuaj muaj feem cuam tshuam rau lub cev ib yam nkaus li lub cev insulin tsim tawm los ntawm lub txiav. Hauv qhov no, kev kho yog tag nrho lossis ib nrab.

Ntawm cov tshuaj siv rau ntshav qab zib, ib qho zoo tshaj plaws yog insulin Isofan. Cov tshuaj muaj cov tib neeg lub cev ua cov tshuaj insulin ntawm lub sijhawm ntev.

Cov cuab yeej muaj nyob hauv ntau hom. Nws raug tswj nyob rau hauv peb txoj kev - subcutaneously, intramuscularly thiab leeg. Qhov no tso cai rau tus neeg mob xaiv qhov kev xaiv zoo tshaj plaws rau kev tswj hwm theem ntawm glycemia.

Kev qhia rau kev siv thiab cov npe lag luam ntawm cov tshuaj

Kev siv cov tshuaj yog qhia rau cov tshuaj insulin-tiv thaiv mob ntshav qab zib. Ntxiv mus, txoj kev kho yuav tsum kav tag lub neej.

Cov tshuaj insulin li Isofan yog tib neeg cov tshuaj tiv thaiv ua tsis taus pa hauv cov tshuaj xws li:

ntshav qab zib hom 2 (insulin-dependant),
kev phais mob
tsis kam tiv thaiv cov kab mob ntshav qab zib ua qhov ncauj ntawm txoj kev kho mob,
mob ntshav qab zib hauv plab (tsis muaj kev ua tau zoo ntawm kev noj zaub mov),
intercurrent pathology.

Cov tuam txhab kws tsim khoom lag luam tsim cov tib neeg cov tshuab hluav taws xob ua kom insulin nyob rau hauv ntau lub npe. Cov neeg nyiam tshaj plaws yog Vozulim-N, Biosulin-N, Protafan-NM, Insuran-NPH, Gensulin-N.

Lwm hom isofan insulin kuj tseem siv nrog cov npe lag luam nram qab no:

Ntsuas Yuam Kev
Humulin (NPH),
Pensulin,
Isofan insulin NM (Protafan),
Actrafan
Saib tsis muaj N,
Biogulin N,
Protafan-NM Penifill.

Nws yog tsim nyog sau cia tias kev siv ib qho lus siv rau Insulin Isofan yuav tsum pom zoo nrog kws kho mob.

Pharmacological kev txiav txim

Tib neeg cov insulin muaj cov nyhuv hypoglycemic. Cov tshuaj cuam tshuam nrog cov receptors ntawm cytoplasmic cell membrane, txoj kev ua ib qho insulin-receptor complex. Nws ua kom muaj txheej txheem uas tshwm sim hauv cov hlwb thiab coj los ua cov enzymes tseem ceeb (glycogen synthetase, pyruvate kinase, hexokinase, thiab lwm yam).

Txo cov concentration ntawm qab zib yog kwv yees los ntawm kev nce ntxiv hauv kev thauj mus los hauv qis dua, txo qis tawm ntawm cov piam thaj ntau ntau los ntawm lub siab, pab txhawb txoj kev nqus thiab ntxiv nqus ntawm cov piam thaj los ntawm cov ntaub so ntswg. Tsis tas li, tib neeg cov kua dej ua kom cov protein ua ke, glycogenogenesis, lipogenesis.

Lub sijhawm ntawm kev ua ntawm cov tshuaj yog nyob ntawm qhov ceev ntawm kev nqus, thiab nws yog vim muaj ntau yam (thaj tsam ntawm kev tswj hwm, txoj kev thiab qhov koob tshuaj). Yog li, qhov ua tau zoo ntawm Isofan insulin tuaj yeem ua dej nyab rau ob tus neeg mob thiab lwm tus mob ntshav qab zib.

Feem ntau tom qab txhaj tshuaj, cov nyhuv ntawm cov tshuaj tau sau tseg tom qab 1.5 teev. Qhov siab tshaj plaws hauv kev ua tau zoo tshwm sim hauv 4-12 teev tom qab kev tswj hwm. Sij hawm ntawm ua - ib hnub.

Yog li, qhov ua tiav ntawm kev nqus thiab qhov pib ntawm kev ua ntawm tus neeg sawv cev yog nyob ntawm ntau yam xws li:

thaj chaw txhaj tshuaj (pob tw, ncej puab, plab),
nquag siv tshuaj mloog
tsuas tshuaj.

Kev npaj tshuaj insulin rau tib neeg yog faib tsis txaus ntseeg nyob rau hauv cov ntaub so ntswg. Lawv tsis nkag rau hauv lub tsho (placenta) thiab tsis nqus rau niam mis.

Lawv raug rhuav tshem los ntawm insulinase feem ntau nyob hauv lub raum thiab mob siab, nyob hauv tus nqi 30-80% nrog lub raum.

Tsuas tshuaj thiab tswj hwm

Cov lus qhia rau kev siv nrog insulin Izofan hais tias nws feem ntau tau muab tshuaj subcutaneously txog li 2 zaug hauv ib hnub ua ntej noj tshais (jam). Hauv qhov no, koj yuav tsum hloov thaj chaw txhaj tshuaj txhua hnub thiab khaws cov koob txhaj tshuaj uas siv los ntawm chav kub, thiab ib qho tshiab hauv lub tub yees.

Qee zaum cov tshuaj tau muab tshuaj intramuscularly. Thiab txoj hauv kev siv qhov tseeb nruab nrab ntawm kev siv tshuaj insulin yog qhov siv tsis tau siv.

Qhov ntau npaum li cas tau muab xam ib qho zuj zus rau txhua tus neeg mob, raws li theem ntawm cov suab thaj hauv kev tso zis lom thiab qhov tshwj xeeb ntawm tus kab mob. Raws li txoj cai, qhov nruab nrab txhua hnub ntau npaum li cas los ntawm 8-24 IU.

Yog tias cov neeg mob tau mob siab tsis txaus rau cov tshuaj insulin, ces qhov niaj hnub noj tshuaj ntau yog 8 IU. Nrog kev ua tsis tau zoo ntawm cov tshuaj hormones, qhov tshuaj ntau ntau ntxiv - los ntawm 24 IU ib hnub.

Thaum lub ntim txhua hnub ntawm cov tshuaj ntau dua 0.6 IU rau 1 kg ntawm huab hwm coj, tom qab ntawd 2 hno yog tsim nyob rau hauv qhov sib txawv ntawm lub cev. Cov neeg mob uas noj tshuaj ib hnub ib zaug ntawm 100 IU lossis ntau dua yuav tsum tau mus pw hauv tsev kho mob yog tias hloov cov kua dej.

Ntxiv mus, thaum hloov los ntawm ib hom khoom lag luam mus rau lwm tus, nws yog qhov yuav tsum tau soj ntsuam cov piam thaj hauv qab.

Cov tshuaj insulin hloov

Cov npe lag luam tawm rau tib neeg cov ntaub ntawv los tsim cov tshuaj insulin isofan yog Biosulin-N, Vozulim-N, Gensulin-N, Insuran-NPH, Protafan-NM, thiab lwm yam.
Qee qhov xwm txheej, koj tuaj yeem siv xws li hom tshuaj insulin Isofan nrog cov npe lag luam:

Txhua kis ntawm kev coj cov lus hais rau Insulin Isofan yuav tsum pom zoo nrog tus kws kho mob.

Cov tshuaj insulin

Kev ua haujlwm ntawm cov ua haujlwm tiv thaiv tib neeg cov insulin isophane yog nruab nrab-ntev. Kev ua tau zoo txo cov piam thaj hauv cov ntshav, thiab tseem txhim kho qhov nqus ntawm cov khoom no los ntawm cov ntaub so ntswg ntawm tib neeg lub cev. Nyob hauv kev cuam tshuam ntawm tib neeg kev ua haujlwm los ua haujlwm rau cov tshuaj Insulin Isofan, lipogenesis, gluconeogenesis kho kom zoo dua, thiab tus nqi ntawm kev tsim ib yam khoom hauv lub siab txo qis.

Cov tshuaj tsim noob ib cuam tshuam nrog cov tshuaj insulin-tso tawm ntawm lub xovtooj rau sab nraud. Vim qhov no, insulin-receptor complex tau qhib lub zog. Nws ua kom muaj ntau yam txheej txheem tshwm sim hauv cov hlwb vim kev tsim ntawm cAMP hauv hepatocytes thiab cov roj ntsha. Kev tsim cov enzymes yog ua kom nrawm thiab nce ntxiv - hexo-kinase, pyruvate kinase, glycogen synthetase.Ib qho kev tso tawm ntawm cov tshuaj tiv thaiv tau muaj cov txiaj ntsig zoo ntawm cov txheej txheem ua kom muaj protein ntau.

Qhov kev ua tom qab subcutaneous kev tswj hwm ntawm kev ua haujlwm ntawm noob viav vias insulin pib hauv ib teev thiab ib nrab. Cov kev ua haujlwm siab tshaj plaws ntawm cov tshuaj tshwm sim tom qab 4 txog 12 teev (nyob ntawm seb lub koob tshuaj, nrog rau cov cwj pwm ntawm txhua tus neeg). Lub siab tshaj tawm (ntawm 11 txog 24 teev) kuj nyob ntawm qhov no.

Dua li ntawm qhov tseeb tias insulin yog qhov tsim nyog rau mob ntshav qab zib (tshwj xeeb tshaj yog rau cov mob ntawm insulin-depended daim ntawv ntawm tus kab mob), nws tseem tsis pub dawb los ntawm kev phiv. Ntawm lawv, cov lus qhia rau kev siv qhia xws li.

Kev ua xua. Feem ntau muaj urticaria, angioedema. Coj los ntawm kev ua npaws thiab qhov ua kom ntshav nce siab.
Txo cov ntshav qab zib (cov ntshav qog ntshav qab zib). Nws yog pom los ntawm pallor ntawm daim tawv nqaij, qhov pom ntawm lub siab zoo li kev tshaib kev nqhis, nce ntxiv hauv zaus ntawm kev cuam tshuam ntawm lub siab, insomnia, kev ntshai thiab tus cwj pwm tsis tsim nyog. Hauv cov xwm txheej loj, nws muaj kev txhim kho.
Yog tias koj tsis mus txhaj tshuaj, tej zaum koj yuav muaj mob ntshav qab zib acidosis (qhov no, muaj qhov ua paug tsis xis nyob, muaj mob, ua ntsej muag tawm).
Thaum pib ntawm txoj kev kho nrog hom insulin no, kev pom kev tsis pom kev yog qhov zoo. Qhov tshwm sim no dhau mus sai.
Kev txhaj tshuaj tiv thaiv kev tiv thaiv. Feem ntau cov feem ntau, lawv tseem hloov dua tshiab.
Khaus daim tawv nqaij, liab.
Kev ua txhaum ntawm daim tawv nqaij tsis kam, pom ntau zaus thaum pib kho.
Nrog kev noj ntau dhau, kev hloov pauv ntawm lub hlwb pom. Ntshai, kev nyuaj siab, chim siab, coj txawv txawv tsis pom tseeb.

Kev kho mob ntawm hypoglycemia, uas feem ntau tshwm sim thaum subcutaneously muab cov tshuaj insulin, yog qhov kev qhia ntawm dextrose, glucagon. Nrog hypoglycemic coma, dextrose yog muab rau tus neeg mob kom txog thaum cov tsos mob ntawm tus mob no tau dhau mus.

Nws yog qhov tsim nyog los kawm cov lus qhia rau kev siv Insulin Isofan. Ua ntej siv Isofan, kev tsim cov tshuaj tiv thaiv kab mob, tsis tas yuav, tshuaj xyuas lub raj mis thiab hom tshuaj kom cov tshuaj tsis raug cai tsis raug tswj hwm. Yog tias pom lub cev txawv teb chaws, txoj kev daws teeb meem ua huab, thiab tshwj xeeb tshaj yog tias muaj nag lossis daus pom ntawm lub khob ntawm lub raj mis, tom qab ntawd cov tshuaj yuav tsum tsis txhob siv rau txhua kis - nws tuaj yeem ua kom lom rau tus neeg mob.

Nws yuav tsum xyuas meej tias qhov kub ntawm cov tshuaj yog chav sov.
Nco ntsoov hloov qhov ntau npaum ntawm cov tshuaj rau kis cov kab mob pathologies, thyroid dysfunctions, Addisson syndrome, ntxiv rau hypopituitarism. Tsis tas li, cov koob tshuaj ntawm cov tshuaj insulin yuav raug kho thaum lub sijhawm cov tsos mob raum tsis ua haujlwm thiab hauv cov neeg uas tau hla 65-xyoo cim.

Qee zaum hypoglycemia tuaj yeem tshwm sim yog tias tus neeg mob hloov thaj chaw txhaj tshuaj (piv txwv, los ntawm daim tawv nqaij ntawm lub plab mus rau daim tawv nqaij ntawm tus ncej). Kev mob ntshav siab ntshav qis kuj tshwm sim yog tias tus kws kho mob hloov tus neeg mob los ntawm insulin ntawm tus tsiaj mus rau ib qho tshuaj uas zoo ib yam li tib neeg. Txhua tus neeg mob tuaj yeem zam qhov pib ntawm hypoglycemia pib nrog cov khoom noj carbohydrate (rau qhov no koj yuav tsum muaj tsawg kawg 20 g suab thaj nrog koj).

Nrog lub siab nyiam rau lub ntsej muag ntshav qab zib, koj yuav tsum tsis txhob tsav tsheb lossis ua haujlwm nrog cov txheej txheem uas yuav tsum ua kom tus neeg tau saib xyuas ntau ntxiv. Thaum kho lub sijhawm, tsis pub haus cawv.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj xws li sulfonamides, MAO inhibitors, ACE inhibitors, cov tshuaj tsis-steroidal tiv thaiv kab mob txhim kho cov nyhuv suab thaj. Cawv kev noj qab haus huv kuj tseem ua rau cov nyhuv hypoglycemic, uas yuav tsum nco ntsoov xav txog thaum kho mob nrog insulin.

Cov tshuaj xws li glucagon, somatotropin, diuretics (loopback, zoo li thiazides), Clonidine hydrochloride, Danazole, Morphine, nrog rau tshuaj maj thiab nicotine ua kom cov ntshav qab zib tsawg dua. Nws yog qhov tsis tsim nyog haus luam yeeb thaum lub sij hawm kho insulin, txij li cov nyhuv zuj zus ntxiv glycemia txo cov hauj lwm kho.

Isofan insulin yog faib rau cov neeg siv khoom nkaus xwb. Tsis pub siv tshuaj rau tus kheej. Nws yog nruj me ntsis txwv tsis pub siv cov insulin tom qab lub sijhawm tas ntawm lub txee lub neej.Tsis txhob noj cov tshuaj yog tias nws tau tas sijhawm hauv lub raj mis qhib.

Txoj kev ntawm daim ntawv thov

P / C, 1-2 zaug hauv ib hnub, 30-45 feeb ua ntej noj tshais (hloov chaw txhaj tshuaj txhua zaus). Hauv qee kis tshwj xeeb, tus kws kho mob tuaj yeem sau ntawv rau / m txhaj tshuaj. Hauv / hauv kev qhia ntawm cov tshuaj insulin ntawm lub caij nyoog nruab nrab yog txwv! Cov koob tshuaj raug xaiv ib tus zuj zus thiab nyob ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav thiab zis, cov yam ntxwv ntawm chav kawm ntawm tus kabmob. Feem ntau, koob tshuaj yog 8-24 IU 1 zaug nyob rau ib hnub. Hauv cov neeg laus thiab menyuam yaus uas muaj lub siab tsis txaus siab rau insulin, qhov koob tshuaj tsawg dua 8 IU / hnub yuav txaus, rau cov neeg mob uas tsis tshua hnov mob ntau dua - ntau dua 24 IU / hnub. Ntawm qhov tshuaj txhua hnub ntau dua 0.6 IU / kg, - nyob rau hauv daim ntawv ntawm 2 koob nyob hauv qhov chaw sib txawv. Cov neeg mob tau txais 100 IU lossis ntau dua toj ib hnub, thaum hloov cov tshuaj insulin, nws raug nquahu kom mus pw hauv tsev kho mob. Hloov pauv los ntawm ib qho tshuaj rau lwm tus yuav tsum tau ua nyob rau hauv kev tswj hwm ntawm cov ntshav qabzib.

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

Sab sij huam

Kev tsis haum tshuaj (urticaria, angioedema - ua npaws, ua tsis taus pa, ntshav tsawg), ntshav tsis txaus, ua rau lub ntsej muag tawv nqaij, tawm hws, tawm hws, tshee, tshee tshee, tshaib plab, ntxhov siab, ntxhov siab, mob plab hauv lub qhov ncauj, mob taub hau, tsaug zog, pw tsaug zog, pw tsaug zog kev ntshai, kev ntxhov siab, chim siab, kev coj tus cwj pwm txawv, tsis ruaj ntseg ntawm kev txav, hais lus thiab tsis pom kev), hypoglycemic coma, hyperglycemia thiab ntshav qab zib acidosis (ntawm cov koob tshuaj qis, hla kev txhaj tshuaj, tsis ua raws li kev noj zaub mov, ntawm e ua npaws thiab kis tau tus mob): nkees nkees, nqhis dej, tsis qab los noj mov, ntsej muag ntsej muag), lub siab tsis hnov qab (mus txog rau ntawm lub cev ntas tsis xeev thiab tsis nco qab lawm), qhov pom kev tsis pom kev zoo (feem ntau thaum pib kho), txhaj tshuaj tiv thaiv kab mob nrog tib neeg cov tshuaj insulin, nce titer ntawm cov tshuaj tiv thaiv insulin. nrog kev nce ntxiv hauv glycemia, hyperemia, khaus thiab lipodystrophy (mob atrophy lossis hypertrophy ntawm subcutaneous rog) ntawm qhov chaw txhaj tshuaj. Thaum pib ntawm kev kho mob - edema thiab hnov mob tsis zoo (yog ib ntus thiab ploj mus nrog kev kho mob txuas ntxiv). Cov tsos mob: hws, palpitations, tshee tshee, tshaib plab, ntxhov siab, teeb tsa hauv lub qhov ncauj, pallor, mob taub hau, tsaug zog, pw tsaug zog, ntshai, siab ntsws xav, chim siab, txawv txav, tsis muaj zog, hais lus thiab tsis pom kev, hypoglycemic coma, nriaj. Kev Kho Mob: yog tias tus neeg mob nco qab, nws tau txiav txim siab dextrose qhov ncauj, s / c, i / m lossis iv txhaj tshuaj glucagon lossis iv hypertonic dextrose tov. Nrog rau kev txhim kho lub ntsej muag tsis nco qab, 20-40 ml (txog 100 ml) ntawm 40% dextrose tov yog txhaj iv rau hauv qhov dej kom txog thaum tus neeg mob tawm ntawm lub cev tsis nco qab.

Daim ntawv tso tawm

Kev Rau Txim rau kev txhaj tshuaj hauv vials ntawm 10 ml (40, 80 thiab 100 IU lossis IU hauv 1 ml).

Cov ntaub ntawv ntawm nplooj ntawv koj tab tom saib yog tsim rau cov ntaub ntawv lub hom phiaj nkaus xwb thiab tsis txhawb nqa nws tus kheej kev noj tshuaj hauv ib txoj kev twg. Cov peev txheej yog npaj los ua kom paub cov kws kho mob paub ntxiv txog qee yam tshuaj, yog li nce lawv qib kev tshaj lij. Siv cov tshuaj "Tshuaj Isofan "tsis muaj qhov tsis ua tiav muab kev sab laj nrog tus kws tshaj lij, nrog rau nws cov lus pom zoo ntawm txoj kev siv thiab kev noj tshuaj uas koj xaiv.

Cov mis, tshuaj lub npe: tsis muaj ntaub ntawv.
Pharmacological pawg: cov tshuaj hormones thiab lawv cov antagonists / insulins.
Pharmacological kev txiav txim: tshuaj qog ntshav.

Cov chaw muag tshuaj

Cov tshuaj yeeb yaj kiab tau tsim tawm los ntawm cov tsiaj txhu DNA biotechnology siv ib hom kab mob ntawm Saccharomyces cerevisiae. Cov tshuaj, sib cuam tshuam nrog cov receptors tshwj xeeb ntawm sab nraud cytoplasmic ntawm lub cell, ua ib qho insulin receptor complex uas txhawb cov txheej txheem sab hauv lub cell, suav nrog kev tsim tawm ntawm qee cov enzymes tseem ceeb (pyruvate kinase, hexokinase, glycogen synthetase thiab lwm tus). Kev poob qis hauv cov concentration ntawm cov piam thaj hauv cov ntshav tshwm sim vim yog qhov nce hauv nws txoj kev thauj hauv cov hlwb, kev nce siab thiab nqus los ntawm cov ntaub so ntswg, thiab qhov txo qis ntawm cov piam thaj tsim nyob hauv lub siab. Cov tshuaj stimulates glycogenogenesis, lipogenesis, synthesis protein.
Lub sijhawm tiv thaiv ntawm cov tshuaj yog feem ntau vim nws qhov nqus tus nqi, uas nyob ntawm qhov koob tshuaj, qhov chaw thiab kev coj noj coj ua thiab lwm yam, yog li, cov yeeb yaj kiab kev txiav txim siab sib txawv ntawm cov neeg mob sib txawv, tab sis kuj nyob hauv tib neeg. Qhov nruab nrab, nrog kev tswj hwm ntawm subcutaneous ntawm cov tshuaj, qhov pib ntawm kev ua yog pom tom qab 1.5 teev, qhov siab tshaj plaws ua tiav tau tiav tom qab 4 txog 12 teev, lub sijhawm ua haujlwm tau mus txog ib hnub. Qhov pib ntawm cov nyhuv thiab kev ua tiav ntawm kev nqus ntawm cov tshuaj yog nyob ntawm lub koob tshuaj (ntim ntawm cov tshuaj tau muab tshuaj), qhov chaw txhaj tshuaj (ncej puab, plab, pob tw), cov concentration ntawm insulin hauv tshuaj, thiab lwm yam. Qhov siab tshaj plaws ntawm cov tshuaj insulin hauv cov ntshav ntshav tau mus txog hauv 2 rau 18 teev tom qab kev tswj hwm subcutaneous. Tsis muaj kev tshaj tawm hais txog cov ntshav plasma tiv thaiv kab mob ntshav tsuas yog sau tseg, tshwj tsis yog rau lub cev sib kis rau cov insulin (yog tias muaj). Cov tshuaj tsis txaus ntseeg faib thoob plaws cov ntaub so ntswg, tsis txeem mus rau hauv niam mis thiab los ntawm qhov chaw tiv thaiv. Feem ntau nyob rau hauv ob lub raum thiab mob siab, cov tshuaj tau muab pov tseg los ntawm insulinase, thiab, tej zaum, protein disulfide isomerase. Cov tshuaj insulin tsis ua haujlwm. Ib nrab-lub neej ntawm insulin los ntawm cov ntshav yog tsuas yog ob peb feeb. Kev tshem tawm ib nrab-lub neej los ntawm kev muaj sia ua rau txog 5 - 10 teev. Nws yog tawm los ntawm lub raum (30 - 80%).
Tsis muaj ib qho kev pheej hmoo ntawm cov tshuaj rau tib neeg hauv kev kawm preclinical, uas suav nrog kev tshawb fawb tshuaj lom nrog kev siv tshuaj ntau zaus, kev tshawb fawb kev nyab xeeb ntawm pharmacological, kev tshawb fawb muaj mob carcinogenic, genotoxicity, thiab tshuaj lom cuam tshuam los ntawm kev ua me nyuam.

Hom 1 mob ntshav qab zib mellitus, hom 2 mob ntshav qab zib mellitus: ib nrab tawm tsam cov tshuaj hypoglycemic (thaum kho mob sib xyaw), theem ntawm tsis kam rau cov tshuaj tiv thaiv kab mob ntshav qab zib, cuam tshuam sib kis, hom 2 mob ntshav qab zib mellitus hauv cov poj niam cev xeeb tub.

Kev phiv tshuaj thiab kev haus ntau dhau

Kev siv cov tshuaj insulin rau tib neeg tuaj yeem ua rau ua xua tuaj. Feem ntau, nws yog angioedema (hypotension, ua pa luv, kub cev) thiab urticaria.

Tsis tas li, ntau tshaj qhov ntau npaum li cas tuaj yeem ua rau lub qog ntshav qab zib, los ntawm cov tsos mob hauv qab no:

insomnia
daim tawv nqaij blanching,
kev nyuaj siab
hyperhidrosis
ntshai
zoo siab lub xeev
palpitations
mob taub hau
tsis meej pem,
vestibular kev ntshawv siab
kev tshaib kev nqhis
tshee hnyo thiab os.

Cov kev mob tshwm sim suav nrog cov ntshav qab zib acidosis thiab hyperglycemia, uas tau tshwm sim los ntawm lub ntsej muag yaug, kev tsaug zog, tsis qab los noj mov thiab nqhis dej. Feem ntau, cov xwm txheej zoo li no tiv thaiv keeb kwm ntawm kev kis tus kab mob thiab kub taub hau, thaum txhaj tshuaj tsis dhau, qhov tsuas tshuaj tsis yog, thiab yog tias kev noj haus tsis ua raws.

Qee lub sij hawm ua txhaum ntawm nco qab tshwm sim. Nyob rau hauv qhov teeb meem nyuaj, ib qho tab tom zoo thiab xeev tsis xeev tau nce qib.

Thaum pib ntawm kev kho, kev hloov pauv tsis ua haujlwm nyob rau hauv kev ua haujlwm pom tau. Ib qho kev nce ntxiv ntawm lub titer ntawm anti-insulin lub cev tseem tseem sau tseg nrog kev nruam ntej ntawm glycemia thiab cov tshuaj tiv thaiv kab mob ntawm cov xwm txheej hla nrog tib neeg insulin.

Feem ntau qhov chaw txhaj tshuaj swells thiab khaus.Hauv qhov no, subcutaneous fatty cov ntaub so ntswg hypertrophies lossis atrophies. Thiab nyob rau theem pib ntawm txoj kev kho, kev ua yuam kev tsis txaus ntseeg ib ntus thiab mob edema yuav tshwm sim.

Yog tias muaj kev noj tshuaj ntau dhau ntawm cov tshuaj hormones, cov ntshav qab zib cov ntshav yuav poob qis. Qhov no ua rau cov ntshav qog ua kom qis, thiab qee zaum tus neeg mob poob rau hauv lub xeev tsis xeev.

Yog tias cov koob tshuaj tau nce siab dua me ntsis, koj yuav tsum noj cov zaub mov uas muaj cov carb ntau (chocolate, qhob cij dawb, ib yob, khaub noom) lossis haus dej qab zib. Thaum tsaus muag, qhov dextrose tov (40%) lossis glucagon (s / c, v / m) tau muab rau tus neeg mob hauv / hauv.

Thaum tus neeg mob rov qab nco qab, nws yog qhov tsim nyog los pub nws cov zaub mov nplua nuj hauv kev ua si carbohydrates.

Kev ncua kev kawm rau sc tswj hwm tsis yog siv nrog kev daws teeb meem ntawm lwm cov tshuaj. Ib tug co-thawj coj nrog sulfonamides, ACE / Mao / carbonic anhydrase, narcotics yuav muab, ethanol inhibitors, anabolic steroids, chloroquine, androgens, quinine, bromocriptine, pirodoksin, tetracyclines, lithium npaj, clofibrate, fenfluramine, Ketonozolom, Tsiklofosvamidom, theophylline, mebendazole tej hypoglycemic nyhuv.

Lub cev tsis muaj zog ntawm hypoglycemic ua rau:

H1 histamine receptor blockers,
Glucagon
Somatropin
Epinephrine
Phenytoin
tshuaj tiv thaiv qhov ncauj
Epinephrine
Estrogens
calcium antagonists.

Ntxiv rau, qhov kev txo qis hauv qab zib ua rau kev sib koom tes siv Isofan insulin nrog loop thiab thiazide diuretics, Klondin, BMKK, Diazoxide, Danazol, cov thyroid hormones, tricyclic antidepressants, sympathomimetics, Heparin thiab sulfinpyrazone. Nicotine, tshuaj maj thiab morphine kuj nce rau hauv cov ntshav siab.

Pentamidine, beta-blockers, Octreotide thiab Reserpine tuaj yeem txhim kho lossis tsis muaj zog glycemia.

Kev ceeb toom rau kev siv Isofan insulin yog tias tus neeg muaj ntshav qab zib yuav tsum hloov tas mus li qhov chaw uas yuav txhaj tshuaj insulin. Tom qab tag nrho, tib txoj kev los tiv thaiv cov tsos ntawm lipodystrophy.

Tawm tsam tom qab ntawm cov tshuaj insulin, koj yuav tsum tau saib xyuas kom tsis txhob muaj cov kua nplaum ntev. Tseeb, ntxiv rau kev sib koom tes nrog lwm cov tshuaj, lwm yam tuaj yeem ua rau cov ntshav qog ntshav qab zib:

thiab ntuav
tshuaj hloov
cov kab mob uas txo qis qhov xav tau rau lub cev (lub raum thiab lub siab ua haujlwm tsis txaus, kev ua haujlwm ntawm cov thyroid caj pas, lub caj pas pituitary, thiab lwm yam),
nrhiav tsis tau noj,
hloov chaw txhaj tshuaj.

Kev noj tshuaj tsis yog lossis ncua ntev ntev ntawm kev txhaj tshuaj insulin tuaj yeem pab txhawb kev txhim kho hyperglycemia, tshwj xeeb tshaj yog muaj ntshav qab zib hom 1. Yog hais tias kev kho mob tsis tuaj yeem hloov kho hauv lub sijhawm, tom qab ntawd tus neeg mob qee zaum pib txhim kho ketoacidotic tsis nco qab.

Ib qho ntxiv, kev hloov pauv yuav tsum yog tus neeg mob siab dua 65, nws muaj qhov tsis zoo ntawm lub qog, lub raum lossis mob siab. Nws kuj tseem ceeb rau kev ua haujlwm hypopituitarism thiab Addison's kab mob.

Tsis tas li ntawd, cov neeg mob yuav tsum paub tias tib neeg cov tshuaj insulin npaj txo kev haus cawv kom ua tau. Hauv cov theem pib ntawm txoj kev kho, thaum muaj kev hloov pauv ntawm cov tshuaj kho, kev ntxhov siab, kev tawm dag zog lub cev, nws tsis tas yuav tsav lub tsheb thiab lwm cov txheej txheem nyuaj lossis koom nrog cov haujlwm muaj peev xwm txaus ntshai uas xav tau nce siab thiab ceev ntawm cov kev tawm tsam.

Cov neeg mob cev xeeb tub yuav tsum xav txog tias nyob hauv thawj peb lub hlis xav tau cov tshuaj insulin tsawg dua, thiab hauv 2 thiab 3 nws nce ntxiv. Tsis tas li, ib qho me me ntawm cov hormone yuav xav tau thaum lub sijhawm ua haujlwm.

Cov yam ntxwv ntawm kws tshuaj ntawm Isofan yuav tham txog hauv kev yees duab hauv kab lus no.

Ntshav qab zib yog ib yam mob uas tsis tuaj yeem kho kiag li. Cov kws kho mob pom zoo npaj ua kom zoo “Insulin-isofan”, uas yog kev ncua ib ntus hluavtaws rau kev tswj hwm hauv qab daim tawv. Nws yog tshuaj rau tswj cov ntshav qab zib thiab kev ua haujlwm ntawm lub cev hauv cov ua haujlwm hauv lub cev. Nws tuaj yeem siv rau kev kho tag nrho thiab ib nrab.

Tso cov ntaub ntawv tawm, kwv yees tus nqi

Cov tshuaj muaj nyob hauv kev ncua.Nws yog npaj rau kev tswj hwm subcutaneous. Cov tshuaj muaj qhov nruab nrab ntawm kev txiav txim siab. Tib lub sijhawm, nws muaj txiaj ntsig zoo txo cov piam thaj hauv cov ntshav thiab pab nws kom nqus tau zoo hauv cov ntaub so ntswg. Ua cov txheej txheem ntawm cov tshuaj synthesis, glycogenogenesis thiab lipogenesis.

Lub sijhawm ntawm insulin kev ua haujlwm nyob ntawm qee qhov ntsuas:

tus nqi nqus
koob tshuaj ntawm kev tswj hwm
chaw txhaj tshuaj thiab lwm yam lwm yam

Lub sijhawm tiv thaiv ntawm cov tshuaj muaj sib txawv hauv cov neeg sib txawv thiab hauv ib tus neeg. Qhov nruab nrab, qhov pib ntawm kev ua ntawm cov tshuaj nrog subcutaneous tswj hwm yog ib thiab ib nrab teev. Yuav kom ua tiav cov nyhuv siab yuav tsum siv sijhawm li 4 txog 12 teev. Thiab lub sijhawm siab kawg ntawm kev ua haujlwm ntawm cov tshuaj yog 1 hnub.

Lub sijhawm ntawm pib, thiab qhov txhij txhua ntawm kev nqus tau ncaj qha nyob ntawm tus nqi ntawm cov tshuaj noj thiab lub sijhawm uas tau siv. Ntxiv rau, qhov kev cia siab ntawm cov tshuaj thiab ntau lwm yam muaj qhov cuam tshuam tseem ceeb. Koj tuaj yeem nkag mus rau hauv cov tshuaj hauv plab, pob tw thiab ncej puab.

Qhov siab tshaj plaws ntawm cov tshuaj insulin hauv cov ntshav, ntau dua qhov tseeb ntawm cov ntshav ntshav, nce ntxiv ntawm 2 mus rau 18 teev txij li lub sijhawm txhaj. Hauv qhov no, insulin tsis khi rau cov protein. Nws cov khoom faib thoob plaws lub cev nqaij tsis sib xws. Cov tshuaj tsis kis mus rau leej niam cov kua mis, nrog rau kev nkag mus los ntawm tus txiv neej.

Nws siv sijhawm li ob peb feeb xwb kom tshem tawm nws los ntawm cov ntshav, tab sis kom tshem nws tawm ntawm lub cev, nws yog tshem tawm 5 mus rau 10 teev. Lub raum tshem nws nce mus txog 80%. Thaum ua kev tshawb fawb, tsis muaj kev puas tsuaj pom lub cev. Cov lus qhia rau kev siv cov tshuaj muaj ntau yam. Nws piav qhia txhua yam ntawm daim ntawv thov.

Kev taw qhia thiab contraindications

Ib yam li lwm yam tshuaj, tib neeg cov insulin "Isofan" kev tsim hluav taws xob muaj cov cim qhia txog kev siv. Thawj yam ntawm no yog yam 1 mob ntshav qab zib. Yam ob yog ntshav qab zib hom 2 nyob rau ntau qib ntawm tus kab mob. Cov tshuaj tuaj yeem siv thaum cev xeeb tub.

Tsis muaj kev txwv. Koj tsis tuaj yeem txiav tsis txhob noj cov tshuaj nrog kev pub niam mis. Tom qab tag nrho, cov tshuaj tsis raug rau hauv cov kua mis thiab cov me nyuam. Yog tias, txawm li cas los xij, muaj lub siab xav tsis kam noj tshuaj, ces nws tsim nyog nco ntsoov tias tib lub sijhawm cov kab mob tuaj yeem txhim kho nyob rau hauv uas nws tuaj yeem cuam tshuam kev loj hlob ntawm lub cev xeeb tub. Qhov no tuaj yeem ua rau txoj kev txhim kho ntawm cov me nyuam hauv plab tsis zoo lossis ua rau nws tuag.

Thaum nqa tus menyuam, tsis txhob saib xyuas kws khomob mus ntsib. Hauv qhov no, kev saib xyuas tas li ntawm cov piam thaj yuav tsum muaj. Thaum lub sijhawm npaj ua kom cev xeeb tub, koj yuav tsum ua raws li txhua qhov kev pom zoo tib yam.

Qhov xav tau tshuaj insulin yog yuav luag tsawg nyob hauv thawj peb lub hlis, thiab nce ntau heev hauv lub sijhawm tom ntej. Tom qab yug menyuam tas, xav tau cov tshuaj insulin tseem nyob li qub ua ntej nws muaj menyuam. Thaum lub sijhawm lactation, nws yog ib qho tsim nyog yuav tau hloov kho qhov ntau npaum ntawm cov tshuaj thiab kev noj haus.

Zoo, thiab, ntawm chav kawm, cov tshuaj muaj contraindications. Thawj qhov ntawm cov no yuav ua rau khaus taws rau cov tshuaj ntawm cov tshuaj. Qhov tshuaj tiv thaiv ob yog kev ncua tsis tu ncua los ntawm tus qauv, uas yog tus cwj pwm los ntawm txo qis cov piam thaj hauv cov ntshav lymph qis dua 3.5 mmol / L. Qhov thib peb contraindication yog insulinoma.

Nrog kev tswj hwm subcutaneous, kev noj tshuaj yog txiav txim los ntawm tus kws kho mob ncaj qha rau txhua tus neeg mob ib tus zuj zus. Txhua rooj plaub ntawm tus kheej yuav raug txiav txim siab, vim tias txhua hnub ntawm kev siv tshuaj insulin txawv ntawm 0.5 thiab 1 IU / kg. Qib no nyob ntawm theem ntawm cov piam thaj hauv cov ntshav ntawm tus neeg mob thiab tus yam ntxwv ntawm lawv txhua tus. Vim li no thiaj suav tias yog tshuaj yuav tsum yog ua li cas.

Txog kev txhaj tshuaj, feem ntau cov neeg mob nyiam xaiv lub duav. Lwm qhov chaw tuaj yeem yog lub xub ntiag ntawm phab ntsa ntawm lub plab kab noj hniav, lub xub pwg thiab pob tw. Ua ntej kev tswj hwm, nws yuav tsum tau ua kom sov tshuaj nyob ntawm chav sov.

Cov qhia ntawm cov tshuaj yog tau tsuas yog subcutaneously. Nyob rau hauv tsis muaj qhov xwm txheej twg yuav tsum koj tswj hwm cov tshuaj intravenously.

Kev xav tau ntxiv rau cov insulin yog pom nyob rau hauv cov neeg rog thiab lub sijhawm thaum tiav nkauj tiav nraug. Nws tsis pom zoo kom tswj cov tshuaj hauv tib qho chaw. Txhua qhov kev txhaj tshuaj yuav tsum tau ua nyob rau ntau qhov chaw hauv cheeb tsam tso cai.

Thaum lub sijhawm siv cov insulin, yuav tsum tau saib xyuas cov ntshav qabzib tas mus li kom tau siv. Nyob rau tib lub sijhawm, tsis txhob hnov qab txog qhov xav tau kev noj mov kom raws sijhawm. Nws tsis yog yuav tsum tau nqa tawm kev hloov cov tshuaj yam tsis tau txais kev pom zoo los ntawm tus kws kho mob.

Hauv cov kab mob ntawm lub raum thiab mob siab, qhov xav tau rau insulin yog txo qis. Cov thyroid tsis ua haujlwm tuaj yeem ua rau tib lub txiaj ntsig.

Ib qho kev tawm mus ntsig txog kev hloov sijhawm hauv thaj chaw yuav tsum pom zoo nrog koj tus kws kho mob. Cov laj thawj rau qhov no yooj yim. Thaum hloov lub sijhawm ntawm thaj chaw, lub sijhawm noj mov thiab cov tshuaj yuav hloov pauv.

Thaum noj tshuaj, tshwj xeeb tshaj yog nyob rau theem pib, tej zaum yuav muaj qhov txo qis hauv kev muaj peev xwm tsav lub tsheb thiab lwm yam tsheb.

Cov tshuaj no muaj cov yeeb yaj kiab ntau, tab sis yuav kom paub txog lawv ntawm cov chaw muag tshuaj, koj yuav tsum paub lub npe lag luam ntawm insulin "Isofan":

Nws yog tshuaj rau tswj cov ntshav qab zib thiab kev ua haujlwm ntawm lub cev hauv cov ua haujlwm hauv lub cev. Nws tuaj yeem siv rau kev kho tag nrho thiab ib nrab.

Cev xeeb tub thiab lactation

Tsis muaj kev txwv txog kev siv cov tshuaj insulin thaum cev xeeb tub thiab thaum pub niam mis, txij li thaum insulin tsis nkag rau hauv tus me nyuam thiab mis niam. Kev mob ntshav qab zib thiab hyperglycemia, tuaj yeem tsim kho nrog kev kho tsis tau zoo, ua rau muaj kev pheej hmoo ntawm tus me nyuam hauv plab tuag thiab qhov tshwm sim ntawm cov me nyuam hauv plab tsis zoo. Cov poj niam cev xeeb tub uas muaj ntshav qab zib yuav tsum muaj kev saib xyuas mob thoob plaws hauv lawv lub cev xeeb tub, lawv yuav tsum saib xyuas lawv cov ntshav qabzib kom qis, thiab cov lus qhia zoo ib yam rau cov poj niam npaj xeeb menyuam. Nyob rau thawj peb lub hlis thaum cev xeeb tub, insulin thov feem ntau poob qis thiab maj mam nce qib thib ob thiab thib peb theem. Tom qab yug menyuam tas, xav tau cov tshuaj insulin feem ntau sai sai rau qib uas tau pom ua ntej muaj menyuam hauv plab. Thaum lub sijhawm pub niam mis, cov pojniam muaj ntshav qab zib yuav tau kho lawv kev noj haus thiab / lossis noj tshuaj ntxiv.

Sau cov analogues

Ua tib zoo mloog! Cov lus sau muaj cov lus txhais ua Insulin-isophan tib neeg kev tsim kho caj ces * (Insulin-isophan *), muaj cov khoom sib thooj, yog li koj tuaj yeem xaiv qhov hloov kho koj tus kheej, noj mus rau hauv daim ntawv sau thiab cov tshuaj uas kws kho mob tau sau tseg. Muab kev nyiam rau cov tuam ntxhab los ntawm Asmeskas, Nyiv, Western Europe, thiab cov tuam txhab lag luam zoo los ntawm Eastern Europe: Krka, Gideon Richter, Actavis, Aegis, Lek, Hexal, Teva, Zentiva.

Daim ntawv tso tawm (los ntawm qhov nrov)	Nqe, tshiav.
Biosulin N
Raug tshem tawm rau cov tawv ib nrab. 100 IU / ml lub raj mis 10 ml 1 pc., Ntim. (Pharmstandard - Ufavita, Russia)	576
Ncua kev kawm rau cov tawv ib nrab. 100 IU / ml cartridge 3 ml 5 pcs., Pob. (Pharmstandard - Ufavita, Russia)	990
Raug tshem tawm rau semi-tawv int. 100 IU / ml cartridge + koob txhaj - mem Biomatic Pen2 3 ml 5 pcs., Pob (Pharmstandard - Ufavita, Russia)	1163
Vozulim-N
Gansulin N
Gensulin N
Tib Neeg Kev Tshawb Fawb Txog Kev Cuab Yeej Hauv Hluav Taws Xob Insulin Isophan * (Insulin-isophan *)
Insuman Bazal GT
Solostar, koob txhaj tshuaj - cwj mem 100 IU / ml, 3 ml, 5 pcs. (Sanofi - Aventis, Fabkis)	1132
Fwj ntawm 100 PIECES / ml, 5 ml, 5 daim. (Sanofi - Aventis, Fabkis)	1394
Kev pov hwm NPH
Cov tshuaj tiv thaiv thaum muaj xwm ceev insulin
Protafan
Protafan HM
Vials 100 IU / ml, 10 ml	399
Protafan HM Penfill
901
Tshuaj yaug NPH
Raug tshem tawm rau kev coj ua subcutaneous ntawm 100 IU / ml 10 ml vial (pob ntawm duab los qhia) (GEROPHARM - Bio LLC (Russia)	420
Raug rau txim rau kev coj ua ntawm 100 IU / ml (cartridge) 3 ml No. 5 (ntim cov duab los qhia) (GEROPHARM - Bio LLC (Russia)	980
Rosinsulin C
Humodar B 100 Hav dej
Humulin NPH
Vials 100 IU / ml, 10 ml	618
Cov thawv ntawv 100 IU / ml, 3 ml, 5 pcs.	1137
Humulin ™ NPH

Kev sib cuam tshuam ntawm cov tshuaj insulin-isophan tib neeg kev tshawb fawb caj nrog lwm yam tshuaj

: glucocorticoids, qhov ncauj tawm tsam, cov thyroid hormones, heparin, thiazide diuretics, tricyclic antidepressants, danazol, clonidine, sympathomimetics, calcium channel blockers, phenytoin, morphine, diazoxide, nicotine.
: Monoamine oxidase inhibitors, qhov ncauj hypoglycemic tshuaj, angiotensin converting enzyme inhibitors, xim beta-blockers, carbonic anhydrase inhibitors, octreotide, bromocriptine, sulfonamides, tetracyclines, anabolic steroids, clofibrate, mebendazole, ketoconazole, pyridoxine, cyclophosphamide, theophylline, tshuaj lithium fenfluramine.
Hauv qab ntawm salicylates, reserpine, kev npaj muaj ethanol, ob qho tib si qaug zog thiab txhim kho kev ua ntawm insulin yog ua tau.
Octreotide, lanreotide tuaj yeem nce lossis txo qis hauv lub cev xav tau cov tshuaj insulin.
Beta-blockers tuaj yeem npog cov tsos mob ntawm kev ua qog ntshav qab zib thiab kev ua kom rov qab qeeb tom qab kev mob hypoglycemia.
Nrog rau kev siv cov tshuaj insulin thiab thiazolidinedione, nws muaj peev xwm txhim kho kev mob plawv tsis ua hauj lwm, tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kev pheej hmoo rau nws txoj kev loj hlob. Thaum cov kev kho mob ua ke no tau tsim nyog, nws yog ib qho tsim nyog los soj ntsuam cov neeg mob kom paub txog lub plawv tsis ua haujlwm ntev, muaj qhov nyob ntawm edema, thiab qhov hnyav nce. Yog hais tias cov tsos mob ntawm lub plawv tsis zoo nyob rau hauv cov neeg mob, thiazolidinedione kev kho yuav tsum tau tsum tsis ua hauj lwm.

Noj ntau dhau

Nrog kev siv tshuaj ntau dhau ntawm cov tshuaj, hypoglycemia tshwm sim.
Kev Kho Mob: tus neeg mob tuaj yeem tshem tawm qhov mob ntshav qab zib tsawg nws tus kheej, rau qhov no nws yog ib qho tsim nyog yuav tau noj zaub mov ntau nyob hauv cov carbohydrates, lossis cov piam thaj hauv, yog li ntawd nws raug nquahu rau cov neeg mob ntshav qab zib mellitus tas li nqa cov suab thaj, ncuav qab zib, khoom qab zib, kua txiv qab zib. Hauv kev mob ntshav qis (nrog rau tsis nco qab), 40% kev daws teeb meem yog muab tshuaj rau txoj leeg, intramuscularly, subcutaneously lossis tso ntshav qab zib - glucagon. Tom qab rov qab nco qab, tus neeg mob yuav tsum noj cov zaub mov uas muaj cov khoom noj carbohydrate kom tiv thaiv kev rov qab txhim kho ntshav qab zib.

Cov kev lag luam niaj hnub muaj ntau cov tshuaj tsom rau kho cov ntshav qab zib.

Cov tshuaj noj raws cov tshuaj tshiab tau tsim kho kom muaj lub neej zoo rau cov neeg mob ntau npaum li ua tau. Ntawm cov neeg sawv cev no, ib cov tshuaj xws li insulin Isofan yuav tsum raug txiav txim siab.

Cov ntaub ntawv dav dav, taw qhia rau kev siv

Lub cuab yeej yog zwm rau pab pawg ntawm insulin. Nws lub luag haujlwm tseem ceeb yog txhawm rau tawm tsam cov tsos mob ntshav qab zib mellitus ntawm ib qho foos-insulin.

Nws yog tsim nyob rau hauv daim ntawv ntawm kev txhaj tshuaj ncua kev kawm, qhov kev nquag ua haujlwm uas yog tib neeg lub cev tsim tawm insulin. Nws txoj kev loj hlob yog raws li siv DNA thev naus laus zis sib zog. Cov tshuaj muaj qhov nruab nrab tau ncua ntev ntawm kis.

Zoo li feem ntau cov tshuaj hauv pawg no, Isofan yuav tsum tsuas yog siv los ntawm kev pom zoo los ntawm tus kws kho mob. Kev suav qhov tseeb koob tshuaj yog qhov tsim nyog yog li kom tsis txhob ua rau kev tawm tsam ntawm kev mob ntshav qab zib. Yog li, cov neeg mob yuav tsum ua raws nraim cov lus qhia.

Pib siv cov cuab yeej no tsuas yog tsim nyog. Cov kws kho mob koom feem ntau yuav tshuaj xyuas kom paub tseeb tias qhov kev kho mob ntawd tsim nyog thiab thaum tsis muaj contraindications.

Nws yog ntawv hauv qhov xwm txheej zoo li:

ntshav qab zib hom 1
hom 2 mob ntshav qab zib mellitus (yog tias tsis muaj ib qho txiaj ntsig los ntawm kev siv lwm yam tshuaj nrog cov nyhuv hypoglycemic lossis yog tias cov txiaj ntsig tau dhau los me me),
kev loj hlob ntawm cov ntshav qab zib hauv kev sib txuas nrog cev xeeb tub (thaum qib qis tsis tuaj yeem kho los ntawm kev noj zaub mov noj).

Tab sis txawm tias muaj kev kuaj mob tsim nyog tsis txhais tau tias cov tshuaj no yuav tsum siv. Nws muaj qee yam contraindications, txawm tias lawv yog ob peb.

Ib qho kev txwv nruj siv rau cov neeg mob uas tsis xav ua rau cov tshuaj no. Nws kuj tseem ceeb rau kev tawm dag zog thaum xaiv cov tshuaj rau cov neeg mob uas muaj kev nce siab ntau tuaj yeem ua rau lub qog ntshav qab zib.

Muaj ntau cov tshuaj raws cov tshuaj Isofan. Qhov tseeb, nws yog ib qho thiab tib qho yeeb tshuaj. Cov khoom qub muaj qhov sib luag hauv cov tshuaj no, lawv muaj tib cov kev mob tshwm sim thiab sib kis, qhov sib txawv tuaj yeem pom tsuas yog nyob hauv tus nqi ntawm lub ntsiab tseem ceeb thiab hauv lub npe kev lag luam. Ntawd yog, cov no yog cov tshuaj tiag tiag.

Ntawm lawv yog:

Cov kab mob no yog analogues ntawm Isofan nyob rau hauv muaj pes tsawg leeg. Txawm hais tias lawv zoo sib xws, tib tus neeg mob yuav muaj teeb meem siv ib qho twg, thiab thaum xaiv lwm cov tshuaj, cov teeb meem no ploj. Qee lub sij hawm koj yuav tsum sim ob peb hom tshuaj ua ntej koj tuaj yeem xaiv qhov uas zoo tshaj plaws hauv qee kis.

Kev ntsuas rau siv

Qhov tseem ceeb tshaj plaws yog kev kho mob ntshav qab zib hom 1, tab sis qee qhov nws tuaj yeem tsim kho nyob rau hauv lub cev muaj kev tiv thaiv kev ywj pheej ntawm tus kab mob. Txhua lub npe lag luam rau isophane yog qhov tsim nyog rau kev kho mob ntawm tus neeg uas tsis noj tshuaj hypoglycemic vim tias ua tiav lossis ib nrab tsis kam. Tsawg tsawg dua, kev siv tshuaj kho mob siv rau hauv cov poj niam cev xeeb tub muaj hom mob ntshav qab zib zaum ob.

Kev Sau ua ke thiab daim ntawv ntawm kev tso tawm

1 ml ntawm kev daws muaj 100 chav nyob ntawm cov tshuaj nquag nquag. Ntu cov khoom siv - protamine sulfate, dej tsis huv rau kev txhaj tshuaj, crystalline phenol, sodium dihydrate phosphate, glycerol, metacresol.

Raug tshem tawm rau kev txhaj tshuaj, pob tshab. Ib lub raj mis muaj 3 ml ntawm cov tshuaj. Hauv ib pob muaj 5 daim cartridges lossis nws muag hauv ib lam fwj tam sim ntawd 10 ml ntawm cov tshuaj.

Kho thaj chaw

Isofan insulin yog nruab nrab ncua sijhawm ntawm kev nqis tes ntawm ib tus neeg sawv cev hypoglycemic, uas tau ua siv cov thev naus laus zis DNA thev naus laus zis. Tom qab kev tswj hwm subcutaneous, cov tshuaj hormones endogenous khi rau cov insulin receptor complex, uas ua rau cov synthesis ntawm ntau cov enzyme tebchaw - hexokinase, pyruvate kinase thiab lwm tus. Ua tsaug rau cov tshuaj qhia los ntawm sab nraud, qhov chaw nyob ntawm qog ntau ntxiv, vim tias nws tau siv lub zog ntau heev los ntawm cov ntaub so ntswg, thiab tus nqi ntawm cov suab thaj ua ke los ntawm daim siab yog txo qis. Nrog rau kev siv ntau zaus, cov tshuaj tawm ua rau cov txheej txheem ntawm lipogenesis, glycogenogenesis thiab proteinogenesis.

Lub sijhawm ntawm qhov kev txiav txim thiab tus nqi ntawm qhov pib ntawm cov nyhuv hauv cov neeg sib txawv nyob ntawm ntau yam, tshwj xeeb ntawm kev ceev ntawm cov metabolism hauv cov txheej txheem. Nws txhais li cas - txoj kev no yog ib leeg. Qhov nruab nrab, vim tias qhov no yog qhov tshuaj hormones ntawm qhov nruab nrab ntawm qhov kev txiav txim siab, qhov pib ntawm cov nyhuv tshwm sim tsis dhau ib teev thiab ib nrab los ntawm lub sijhawm ntawm subcutaneous tswj hwm. Lub sijhawm ntawm cov nyhuv yog 24 teev, kev pom siab siab tshwm sim nyob rau hauv 4-12 teev.

Cov tshuaj no yog nqus tsis ncaj, ua tawm ntawm lub raum, qhov hnyav ntawm cov nyhuv yog ncaj qha rau ntawm qhov chaw txhaj tshuaj (plab, caj npab lossis ncej puab). Cov tshuaj tsis hla cov teeb meem placental thiab mus rau niam mis, yog li ntawd nws raug tso cai rau cov niam cev xeeb tub thiab cov menyuam nyuam qhuav yug los tshiab.

Phiv thiab haus tshaj

Hypoglycemia los yog lipodystrophy yog ua tau yog tias txoj cai txhaj tshuaj thiab qhov tshuaj muab rau noj tsis ua raws. Tsawg dua yog qhov cuam tshuam rau lub cev rau hauv txoj kev tsis haum, ua pa luv, txo ntshav siab, hyperhidrosis thiab tachycardia.

Yog tias muaj kev noj ntau dhau, cov tsos mob ntawm cov ntshav qab zib tsawg tshwm sim: muaj kev xav txog kev tshaib plab, tsis muaj zog, tsis nco qab, kiv taub hau, tawm hws, xav noj cov khoom qab zib, nyob rau hauv mob hnyav - tsis nco qab lawm. Cov tsos mob me yog tso tseg los ntawm kev ua kom tau sai ntawm cov roj sai, nruab nrab - nrog los ntawm dextrose lossis qabzib. Cov xwm txheej hnyav yuav tsum hu rau cov kws kho mob hauv tsev sai.

Geropharm-bio LLC, Russia

Cov ntaub ntawv tsis ntev los no hauv tshooj no:

Xav kom poob phaus, cov ntxhais feem ntau zaum saum cov zaub mov tshiab fangled uas tau cog lus tias yuav tau txais kev yuag yuag. Txawm li cas los xij, tsis yog txhua txoj kev hnyav kom zoo li qub.

Tus poj niam cev xeeb tub yog tshwj xeeb tshaj yog ntxim nyiam, txawm hais tias kev ntseeg dab qhuas uas cov ntxhais tshem tawm cov kev zoo nkauj ntawm leej niam yav tom ntej, thiab cov tub yog qhov lav txog lub neej yav tom ntej.

Nov yog tus mob endocrine mob. Lub ntsiab metabolic manifestation ntawm ntshav qab zib yog txhawb cov ntshav piam thaj (qab zib). Piam thaj -.

Txhua cov lus nyob hauv lub xaib tsuas yog rau kev qhia xov xwm nkaus xwb.

Insulin-isophan: cov lus qhia rau kev siv ncua kev ncua

Cov tshuaj nquag: insulin

tib neeg kev tshuaj ntsuam tshuab isophane

Chaw tsim tshuaj paus: Novo Nordisk, Denmark

Tsev kho mob tawm mob: Tshuaj

Cia rau cov neeg mob: t li ntawm 2-8 qib

Tib neeg kev tsim kho tshuab ua kua tshuaj isulin yog siv los kho cov mob uas cuam tshuam nrog kev tsim tsis txaus ntawm lub cev lub cev lawm los ntawm cov tshuaj insulin. Tsis muaj ib lub yeeb tshuaj nrog cov npe no ntawm kev muag, vim qhov no yog ib hom tshuaj uas dhia, tab sis muaj analogues. Qhov piv txwv tiag tiag ntawm cov khoom muaj nyob rau ntawm kev muag yog rinsulin.

Xyoo ntawm kawg hloov kho

Cov ntaub ntawv ntawm nplooj ntawv tau txheeb xyuas qhov tseeb los ntawm kws kho mob Vasilieva E.I.

Ntawm cov tshuaj siv rau ntshav qab zib, ib qho zoo tshaj plaws yog insulin Isofan. Cov tshuaj muaj cov tib neeg lub cev ua cov tshuaj insulin ntawm lub sijhawm ntev.

Isofan qhov kev txiav txim

Isofan insulin txhim kho qhov nqus ntawm cov piam thaj los ntawm cov ntaub so ntswg thiab ua kom muaj protein ntau ntxiv. Glycogenogenesis thiab lipogenesis kuj tseem txhim kho. Tom qab kev tswj hwm, tus nqi ntawm cov piam thaj txo qis dua.

Isofan yog siv rau cov ntshav qab zib mellitus ntawm hom thawj thiab thib ob nrog kev tiv thaiv ib nrab thiab nrog kev tawm tsam cov tshuaj hypoglycemic. Cov tsuas yog contraindication yog hypersensitivity rau lub Cheebtsam ntawm yeeb tshuaj thiab hypoglycemia.

Cov tshuaj insulin ua nrog lub ntsej muag cell receptors thiab tsim ib qho teeb meem ua kom muaj zog insulin. Thaum nkag mus rau hauv cov hlwb, cov txheej txheem no pib txhawb cov synthesis ntawm enzymes thiab lwm cov txheej txheem kev tso dej. Cov piam thaj thauj ntau ntxiv thiab cov ntshav qab zib cov ntshav qab zib tsawg zuj zus.

Isofan pib ua kwv yees li 1.5 teev tom qab kev tswj hwm, thiab cov txiaj ntsig siab tshaj plaws tau tiav tom qab 4 teev. Lub sijhawm ntawm cov tshuaj yog nyob ntawm tus kheej koob thiab nyob ntawm muaj pes tsawg leeg ntawm cov tshuaj insulin, los ntawm 11-24 teev.

Kev tsis zoo thiab kev mob tshwm sim

Txawm hais tias kho qhov mob tau zoo hauv qee tus neeg, isofan insulin tuaj yeem ua rau ntau yam kev phiv thiab cov nyom. Qhov no yog vim qhov ntxim rau cov metabolism hauv kev ua kom rog.

Cov kev ua txhaum cai feem ntau:

kev ua xua - suav nrog urticaria, txo cov ntshav siab thiab kub taub hau,
hypoglycemia - yog yus muaj los ntawm lub siab, kev ntxhov siab, kev tshaib plab thiab nce hws,
hypoglycemic coma, mob ntshav qab zib acidosis,
tsis nco qab (ua txhaum qhov kev nco qab),
txhaj tshuaj tiv thaiv kab mob
cov tawv nqaij hauv zos - cov tawv nqaij liab dua, khaus, o thiab lipodystrophy tshwm sim.

Thaum pib theem ntawm kev siv tshuaj insulin, txhua yam cim yuav luv luv thiab ploj tom qab qee lub sijhawm tom qab txhaj tshuaj.

Yog hais tias noj tshaj, tus neeg mob muaj cov tsos mob li nram no:

pallor ntawm daim tawv nqaij,
palpitations
tsis muaj zog, mob taub hau,
cramps
pom kev pom
hypoglycemic coma,
kev ntshai ntawm kev ntshai
tshee hnyo.

Yuav siv cov tshuaj insulin li cas?

Isofan insulin txhaj tshuaj yuav tsum tau ua 30 lossis 40 feeb ua ntej noj mov kom cov tshuaj pib qhov kev nqis tes ua. Qhov tshuaj insulin txhaj tshuaj subcutaneously 1 zaug (2 zaug) hauv ib hnub, ntxiv mus, ib txwm hloov qhov chaw txhaj tshuaj yuav tsum tau hloov mus rau qhov chaw tshiab. Qhov yuav tsum tau noj cov tshuaj yog xam los ntawm cov kws kho mob koom nrog cais rau txhua tus neeg mob. Cov chav kawm ntawm tus kab mob thiab theem ntawm cov piam thaj hauv cov zis kuj tseem coj mus rau hauv tus account.

Rau cov menyuam yaus thiab cov neeg muaj siab rhiab rau cov tshuaj, qhov koob tshuaj yuav tsum raug txo kom tsawg. Thaum hloov mus rau lwm lub tshuaj insulin, nws yog qhov zoo tshaj rau tus neeg mob mus pw hauv tsev kho mob thiab soj ntsuam cov ntshav qabzib tas li.

Tam sim ntawd ua ntej kev txhaj tshuaj, tshuaj insulin raug soj ntsuam rau pob tshab thiab nruj ntawm kev daws. Contraindication kom siv yog kev puas tsuaj rau lub vial, lub xub ntiag ntawm cov huab lossis nag lossis muaju nyob hauv qhov kev daws teeb meem. Qhov kub yuav tsum yog chav ntsuas kub. Koj yuav tsum kho lub koob tshuaj rau cov kab mob ntawm cov thyroid caj pas thiab cov kab mob kis.

Cov tshuaj yog rau insulins nruab nrab-sijhawm. Qhov tseeb, qhov no yog tib neeg cov tshuaj insulin, uas tau txais txiaj ntsig los ua ke DNA technology.

Thaum noj tshuaj isofan

Ntshav qab zib mellitus hom I thiab II.
Hypoglycemic qhov ncauj tiv thaiv theem.
Thaum coj los kho kev sib cais, ib nrab tawm tsam rau cov tshuaj ntawm pawg neeg no.
Ntshav Qab Zib Hom II hauv cov poj niam cev xeeb tub.
Cov kab mob sib kis.

Kev Kho Mob Hypoglycemia

Tus neeg mob tuaj yeem tiv thaiv qhov mob ntshav qab zib tsawg los ntawm kev noj hom piam thaj, khaub noom lossis khoom noj uas muaj carbohydrate. Yog li, cov neeg mob ntshav qab zib yuav tsum muaj qab zib, ncuav qab zib, qab zib los yog kua txiv hmab txiv ntoo nrog lawv.

Thaum muaj mob hypoglycemia, thaum tus neeg mob tsis nco qab lawm, 40% ntawm dextrose lossis glucagon yog tso ntshav tshuaj.

Cov tshuaj tua kab mob ntshav kawg kawg tuaj yeem ua tiav muab ob qho tib si ntawm intramuscularly thiab subcutaneously. Thaum lub siab nco qab rov qab rau ib tug neeg, nws yuav tsum noj cov khoom noj uas muaj cov khoom noj carbohydrate, qhov no yuav tiv thaiv qhov kev rov txhim kho ntawm hypoglycemia.

Txog ntawm qhov cuam tshuam pharmacological

Hais txog pharmacological nuances

Lub sijhawm tiv thaiv cov tshuaj uas tau tso cov tshuaj insulin feem ntau nyob ntawm tus nqi ntawm kev nqus. Cov txheej txheem nqus dej yog ncaj qha nyob ntawm qee yam tsis. Piv txwv li:

Hauv qhov no, qhov profile ntawm kev sib kis, uas txiav txim siab cov insulin "Isofan", raug rau cov kev hloov pauv hnyav tsis yog hauv cov neeg sib txawv heev, tab sis kuj nyob hauv tib neeg. Cov ntawv ntsuas qhov nruab nrab tom qab txhaj tshuaj subcutaneous qhia tau hais tias qhov pib ntawm kis tau tshwm sim tom qab ib teev thiab ib nrab, cov peev xwm siab tshaj plaws pib tsim nyob rau hauv lub sijhawm nruab nrab ntawm plaub mus rau 12 teev, thiab lub sijhawm raug rau 24 teev. Nov yog qhov uas tuaj yeem hais txog cov tshuaj insulin Isofan.

Qhov qib ntawm kev ua tiav yog txiav txim siab tsis yog los ntawm kev nqus, tab sis kuj los ntawm qhov pib ntawm cov nyhuv ntawm cov tshuaj, nrog rau thaj chaw txhaj tshuaj (thaj tsam ntawm peritoneum, ncej puab, pob tw), ntau npaum li cas (ntim ntawm cov lus qhia tivthaiv), kev nqus ntawm insulin hauv tshuaj thiab ntau lwm tus. Isofan tib neeg cov kua dej raug faib nyob rau hauv cov ntaub so ntswg tsis sib xws, tsis tas li ntawd, nws tsis muaj peev xwm txeem rau hauv qhov chaw tiv thaiv kab mob, nrog rau hauv niam cov kua mis. Kev cuam tshuam los ntawm insulinase tshwm sim tshwj xeeb hauv daim siab thiab lub raum. Hom insulin no tseem ua tiav nrog kev pab los ntawm lub raum, qhov no suav txog 30 txog 80%.

Txog ntau npaum

Yuav ua li cas txiav txim cov koob tshuaj?

Isofan tib neeg cov kua dej yuav tsum muab tshuaj tshwj xeeb rau hauv daim tawv nqaij. Qhov ntau npaum li cas yog txiav txim los ntawm tus kws tshaj lij tshwj xeeb rau txhua tus ntawm cov neeg mob, uas tau ua tiav raws li cov piam thaj hauv ntshav sib piv. Qhov nruab nrab txhua hnub ntau npaum li cas ntawm cov tshuaj nws txawv ntawm 0.5 txog 1 IU ib kg.Nws tseem nyob ntawm tus kheej cov yam ntxwv ntawm kev muaj sia ntawm cov ntshav qab zib thiab qhov sib piv ntawm cov ntshav qab zib.

Isofan tib neeg cov kua dej feem ntau qhia nyob rau hauv daim tawv nqaij mus rau hauv tus ncej puab. Hauv lawv tus kheej, kev txhaj tshuaj yog qhov zoo dua rau kev txaus siab los ua txhawm rau lub xub ntiag ntawm phab ntsa ntawm thaj chaw mob plab, ib qho ntawm lub pob tw lossis thaj tsam ntawm lub xub pwg leeg. Qhov ntsuas qhov kub thiab txias ntawm cov tshuaj tiv thaiv yuav tsum ua raws li chav sov.

Hais Txog Kev Ceev Faj

Hauv kev siv ib qho tshuaj twg yuav tsum ua kom zoo. Yog li, siv Isofan tib neeg cov tshuaj insulin nws tau pom zoo:

hloov chaw txhaj tshuaj nyob rau thaj tsam qub ib cheeb tsam. Qhov no yuav ua rau nws muaj peev xwm tiv thaiv qhov tsim ntawm lipodystrophies ntawm ntau yam keeb kwm,
noj mus rau hauv tus account tshuaj insulin, nws raug nquahu los soj ntsuam cov ntshav qab zib kom sib piv.

Tsis tas li ntawd, nws yuav tsum tau yug los rau hauv lub siab tias cov teeb meem ntawm kev mob ntshav qab zib, ntxiv rau qhov tseem ceeb tshaj ntawm cov tshuaj insulin, tuaj yeem yog: hloov tshuaj, hla zaub mov noj, ntuav thiab lwm yam kev cuam tshuam ntawm lub plab zom mov, hloov hauv qhov ntsuas ntawm lub cev ua si hauv txhua qhov kev taw qhia.

Nws kuj tseem tuaj yeem cuam tshuam los ntawm cov kab mob uas txo qis qhov xav tau rau lub cev (kev puas tsuaj ntawm cov kabmob xws li lub siab thiab lub raum, kev ua haujlwm ntawm lub qog ua haujlwm ntawm adrenal cortex, pituitary caj pas, lossis caj pas endocrine).

Yuav ua li cas kom tsis txhob hyperglycemia?

Kev siv cov tshuaj tsis yog lossis kev cuam tshuam hauv kev qhia ntawm cov tshuaj insulin, tshwj xeeb tshaj yog nyob rau cov neeg uas tau ntsib hom ntshav qab zib hom 1, tuaj yeem ua rau muaj qhov tshwm sim ntawm hyperglycemia. Feem ntau cov feem ntau, thawj qhov kev tshwm sim ntawm hyperglycemia pib tsim rau ntawm kev nce zuj zus, dhau ob peb teev lossis txawm hnub.

Lawv suav nrog kev tsim kev nqhis dej, tso zis ntxiv thiab lwm cov tsos mob. Tsis tas li, thiaj li yuav tau ceev faj ntau dua, nws yog ib qho tsim nyog yuav tsum nco ntsoov contraindications, uas rhaub mus rau ib theem ntawm qhov rhiab mob thiab mob ntshav qab zib.

Yog li, kev siv cov tshuaj insulin uas tib neeg nrog lub sijhawm nruab nrab ntawm lub sijhawm hu ua Isofan yuav tsum tau ua raws li cov lus pom zoo no. Qhov no yuav yog qhov tseem ceeb ntawm qhov ua tau zoo tshaj plaws nrog ib tus kab mob xws li mob ntshav qab zib.

Rinsulin PNH

Geropharm-bio LLC, Russia

Tus nqi nruab nrab hauv Russia yog 1000 rubles rau ib pob.

Rinosulin yog cov tshuaj tiv thaiv tag nrho thiab muaj cov tshuaj insulin isophan nruab nrab-ntev. Daim ntawv foos no zoo vim tias nws tsis tas yuav tsum tau tswj tuav kab lis kev cai ntau.

Tsis yog qhov pheej yig
Phiv ntau yam ua tau.

Isofan Insulin yog tib neeg lub cev tsim los ntawm kev siv tshuaj tua hluav taws xob

Hauv kev kho kev kho mob ntshav qab zib, ob qho 1 thiab 2 degrees, cov tshuaj hormones qhia rau hauv lub cev ua lub luag haujlwm tseem ceeb rau sijhawm. Cov tshuaj tshiab Insulin Isofan yuav pab cov neeg mob ntshav qab zib kom nyob zoo. Kev kho mob ntshav qab zib nrog insulin muaj cov cuab yeej hloov pauv.

Lub hom phiaj ntawm kev kho mob kev kho mob yog ua kom poob lossis ploj ntawm cov carbohydrates hauv lub moj khaum ntawm cov metabolism los ntawm kev tswj hwm ntawm cov tshuaj hormones tshwj xeeb. Qhov tshuaj hormones no cuam tshuam rau lub cev ua haujlwm rau lub cev insulin uas tsim ua cov txiav ua kab mob. Cov kev kho yuav yog ib nrab lossis ua tiav.

Ntawm cov tshuaj ua tiav siv rau kev kho mob ntshav qab zib mellitus 2 thiab 1 degree, insulin Isofan tau ua pov thawj nws tus kheej. Nws suav nrog tib neeg kev tsim kho tshuab engineering insulin, uas muaj lub sijhawm ua haujlwm nruab nrab.

Cov tshuaj no, cov tshuaj no, qhov tseem ceeb tsis tau rau lub neej tag nrho ntawm tus neeg uas muaj teeb meem nrog qab zib hauv

cov ntshav tau tsim tawm hauv ntau hom:

Los taw qhia hauv qab daim tawv nqaij,
Rau kev ntxig rau txoj leeg ntshav,
Rau kev tswj hwm intramuscular.

Qhov kev xaiv no ua rau tus neeg mob ntshav qab zib los ntawm kev sib txawv ntawm cov qib kom tswj tau theem ntawm cov piam thaj hauv cov ntshav los ntawm txhua txoj kev qhia nws cov ntshav, kho nws thaum tsim nyog.

Isofan insulin - kev qhia rau kev siv:

Ua cov tshuaj txo qis ntshav qab zib uas koj yuav tsum tau haus hauv cov ntsiav tshuaj ua ib feem ntawm kev kho mob kom zoo,
Mob ntshav qab zib ntawm qib thib 2 thiab 1st, kev siv tshuaj insulin,
Mob ntshav qab zib hauv plab, yog tias tsis muaj qhov cuam tshuam los ntawm cov pluas noj,
Pathologies ntawm intercurrent hom.

Nws yuav ua haujlwm li cas

Isofan insulin cov tib neeg kev tsim kho tshuab muaj feem xyuam rau lub cev, ua kom muaj qhov tshwm sim hypoglycemic. Cov tshuaj no nkag los rau hauv kev sib cuag nrog cytoplasmic receptors ntawm lub cell membrane. Qhov no tsim cov insulin receptor complex. Nws lub luag haujlwm yog ua kom cov metabolism hauv kev ua haujlwm uas tshwm sim hauv cov hlwb lawv tus kheej, nrog rau kev pabcuam hauv cov synthesis ntawm lub ntsiab ntawm txhua tus enzymes uas twb muaj lawm.

Txo cov piam thaj hauv cov ntshav yuav tshwm sim los ntawm kev nce ntxiv hauv kev thauj mus los hauv lub cell, nrog rau kev txo cov piam thaj ntau lawm, los ntawm kev pab hauv cov txheej txheem ntawm kev nqus. Lwm qhov zoo dua ntawm tib neeg cov kua dej yog cov synthesis protein, ua kom cov lithogenesis, glycogenogenesis.

Lub sijhawm ntev npaum li cas ntawm cov tshuaj no ua rau ncaj qha sib piv rau tus nqi ntawm nqus ntawm cov tshuaj mus rau hauv cov ntshav, thiab cov txheej txheem nqus tau yog nyob ntawm tus qauv ntawm kev coj thiab qhov tshuaj ntawm cov tshuaj. Yog li, cov nyhuv ntawm cov tshuaj no nws txawv rau cov neeg mob sib txawv.

Kev lig kev cai, tom qab txhaj tshuaj, cov nyhuv ntawm cov tshuaj pib tom qab 1.5 teev. Lub ncov ntawm qhov ua tau tshwm sim nyob rau ntawm taw tes 4 teev tom qab tswj hwm kev siv tshuaj. Lub sijhawm ua haujlwm yog 24 teev.

Qhov nqus ntawm Isofan nyob ntawm cov hauv qab no:

Qhov chaw txhaj tshuaj (pob tw, plab, ncej puab),
Kev siv tshuaj nquag
Koob tshuaj.

Cov tshuaj no yog tawm los ntawm lub raum.

Yuav siv li cas: kev taw qhia rau kev siv

Raws li cov lus qhia rau kev siv Isofan, nws yuav tsum tau noj subcutaneously ob zaug ib hnub: thaum sawv ntxov thiab yav tsaus ntuj ua ntej noj mov (lawv yuav tau tsoo ua ntej noj mov). Qhov chaw txhaj tshuaj yuav tsum tau hloov txhua txhua hnub, cov koob txhaj tshuaj yuav tsum khaws cia li qub, qhov kub thiab txias, thiab cov koob txhaj tshuaj tshiab yuav tsum muab ntim rau hauv lub ntim thiab hauv tub yees. Tsis tshua muaj, qhov tshuaj no tau txhaj rau hauv cov leeg, tab sis yuav luag tsis tuaj yeem, vim tias nws yog insulin nruab nrab.

Cov koob tshuaj ntawm cov tshuaj no tau muab xam rau txhua tus neeg los ntawm kev mob ntshav qab zib, hauv kev sab laj nrog tus kws kho mob uas koom nrog. Ua raws li cov piam thaj hauv ntshav thiab qhov tshwj xeeb ntawm ntshav qab zib. Qhov nruab nrab txhua hnub koob tshuaj, ib txwm coj sib txawv ntawm 8-24 IU.

Thaum muaj qhov mob hypersensitivity rau insulin, nws yog ib qho tsim nyog yuav tsum tsis txhob ntau dua 8 IU ib hnub, yog tias qhov tshuaj hormones tsis pom zoo, qhov tshuaj yuav nce ntxiv rau 24 lossis ntau dua IU thaum nruab hnub. Yog tias qhov tshuaj txhua hnub ntawm cov tshuaj yuav tsum dhau 0. 6 IU toj ib phaus ntawm lub cev qhov hnyav ntawm tus neeg mob, ces 2 qhov kev txhaj tshuaj ib zaug nyob rau ntau qhov chaw.

Urticaria,
Kev Ntshav
Kub nce
Ua daus no
Txog siav
Kev mob ntshav qab zib (ntshai, pw tsaug zog, pallor, kev nyuaj siab, kev noj qab haus huv, nqus kev tshaib plab, tshee nqua).
Ntshav Qab Zib Acidosis
Qog Ntshav,
Pom kev tsis pom kev
O o thiab khaus ntawm thaj chaw txhaj tshuaj.

Kev noj tshuaj ntau dhau ntawm cov tshuaj no yog fraught nrog cov ntshav qab zib tsawg thiab tsis nco qab. Tshaj cov koob tshuaj tuaj yeem tiv thaiv yog tias koj noj cov khoom noj uas muaj carbohydrates (chocolate, khaub noom, khaub noom, ncuav qab zib).

Yog tias tsis nco qab, ib qho kev daws teeb meem ntawm Dextrose lossis Glucagon yuav tsum tau txhaj tshuaj rau tus neeg mob kom ncaj. Thaum lub siab nco qab rov qab, tus neeg mob yuav tsum tau muab zaub mov kom ntau hauv carbohydrates. Qhov no yuav ua rau nws ua tau kom zam ob qho mob glycemic coma thiab hypoglycemic relapse.

Isofan insulin: Kuv tuaj yeem siv nrog lwm cov tshuaj

Tsub kom muaj cov nyhuv hypoglycemic (ib txwm muaj ntshav qab zib) Isofan tus kab mob nrog:

Sulfonamides,
Chloroquinine
ACE inhibitors / MAO / carbonic anhydrase,
Ethanol
Mebendazole,
Txhais tau tias yog ib feem ntawm pawg neeg anabolic steroids,
Fenfluramine
Cov tshuaj Tetracycline
Clofibrate
Cov tshuaj ntawm theophylline pab pawg.

Cov nyhuv hypoglycemic (nqa cov suab thaj hauv cov ntshav mus rau li qub) tau txo qis vim yog cov kab mob ntawm Isofan nrog cov tshuaj zoo li no:

Cov piam thaj hauv cov ntshav tsawg dua vim qhov mob tshwm sim ntawm insulin Isofan nrog thiazide thiab lub voj diuretics, nrog BMCC, ntxiv rau cov thyroid hormones, sympathomimetics, Klondin, Danazole, sulfinpyrazone. Morphine, yeeb tshuaj xas, dej cawv thiab nicotine kuj txo cov ntshav qab zib. Cov neeg mob ntshav qab zib yuav tsum tsis txhob haus luam yeeb lossis haus luam yeeb.

Ntxiv nrog rau kev tswj hwm ntawm cov tshuaj tsis haum nrog Isofan, lwm yam xws li tuaj yeem ua rau cov ntshav qog ntshav qab zib ib yam nkaus:

Hloov mus rau lwm cov tshuaj uas tswj cov qib qab zib kom zoo,
Mob ntshav qab zib ntuav
Mob ntshav qab zib-ua rau mob raws plab
Lub cev nce thauj khoom
Cov kab mob uas txo qis qhov xav tau ntawm cov tshuaj insulin (pituitary, hypothyroidism, lub siab ua haujlwm, lub raum tsis ua haujlwm),
Thaum tus neeg mob tsis noj mov raws sijhawm,
Hloov chaw txhaj tshuaj.

Cov koob tshuaj tsis yog lossis lub sijhawm ntev dhau los ntawm kev txhaj tshuaj tuaj yeem ua rau hyperglycemia (tshwj xeeb tshaj yog cov ntsiab lus ntawm tus kabmob ntshav qab zib hom 1). Yog tias qhov kev kho kom tsis haum rau lub sijhawm, tus neeg mob yuav poob mus rau hauv lub cev tsis nco qab ketoacidotic.

Tus neeg mob uas siv cov tshuaj no yog hnub nyoog laus dua rau caum xyoo, thiab tseem muaj ntau dua yog li leej twg muaj kev ua haujlwm tsis zoo ntawm cov thyroid caj pas, lub raum, lossis mob siab, nws yog qhov yuav tsum tau sab laj nrog tus kws kho mob uas tau kawm txog kev noj tshuaj ntawm insulin Isofan. Yuav tsum muaj kev ntsuas ib yam nkaus yog tias tus neeg mob cuam tshuam los ntawm hypopituitarism lossis Addison tus kab mob.

Yuav ua li cas stab: cov lus qhia tshwj xeeb

Ua ntej koj noj cov tshuaj mus rau hauv cov phwj hauv qab, xyuas seb qhov kev daws teeb meem yog pos huab. Nws yuav tsum ua kom pob tshab. Yog tias plaub ya ri, lub cev txawv teb chaws tau tshwm sim, txoj kev daws teeb meem tau ua huab, ib qho nag lossis daus tau tsim, cov tshuaj tsis tuaj yeem siv.

Qhov kub ntawm cov tshuaj tso cai yuav tsum yog chav kub. Yog tias koj tam sim no muaj mob khaub thuas lossis ntau dua nrog lwm yam kev kis mob, koj yuav tsum sab laj nrog koj tus kws kho mob txog kev noj tshuaj. Thaum hloov cov tshuaj, qhov no yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob, nws yog ib qho tsim nyog mus rau hauv tsev kho mob.

Cev xeeb tub, lactation thiab insulin Isofan

Cov poj niam cev xeeb tub uas muaj ntshav qab zib tuaj yeem noj Isofan insulin, nws yuav tsis tuaj yeem ncav cuag tus me nyuam hauv lub plab. Koj tuaj yeem siv nws thiab cov niam tu, yuam kom nyob nrog tus kab mob no. Nws yog ib qho tseem ceeb kom paub tias thaum cev xeeb tub hauv thawj peb lub hlis, xav tau cov tshuaj insulin tsawg dua, thiab nyob rau lub hlis thib ob thiab thib peb nce ntxiv.

Kev tsis ncua nruab nrab ntawm tib neeg insulin ntawm nruab nrab ncua.

Kev Qhia Txog Isofan-Insulin Ntiaj Teb Khob

Insulin-dependant diabetes mellitus: rau kev ua xua rau lwm hom insulin, rau kev siv tshuaj insulin ntau zog (tsis muaj kev txhaj tshuaj, cov qauv thiab PEN koob txhaj tshuaj, thiab lwm yam), hauv cov neeg mob vascular mob hnyav ntshav qab zib, rau cov khoom siv nrog lub hom phiaj tshwj xeeb (dag txiav, lwm yam) , cov ntshav qab zib tsis-insulin-mob ntshav qab zib (kev kho ua ke nrog kev siv tshuaj ntawm qhov ncauj hypoglycemic, kev kho tshuaj insulin ib ntus).

Cov ntsiab lus ntawm nosological pawg

Tso koj saib

Cov Ntaub Ntawv Tam Sim No Xav Tau Index, ‰

Cov khoom pabcuam ua ntej
Khw online
Hais txog tuam txhab
Hu rau cov ntsiab lus

Hu rau tus tshaj tawm:
Email:
Chaw Nyob: Russia, Moscow, st. Thib Tsib 5, d.12.

Thaum hais cov ntaub ntawv xov xwm luam tawm nyob rau ntawm nplooj ntawv ntawm lub xaib www.rlsnet.ru, qhov txuas mus rau qhov chaw ntawm cov ntaub ntawv xav tau.

Qoob loo.

Kev ua lag luam siv cov ntaub ntawv tsis raug tso cai.

Cov ntaub ntawv yog npaj rau cov kws kho mob.

Humulin NPH

Eli Lilly East, Switzerland

Tus nqi nruab nrab hauv Russia yog 17 rubles.

Humulin NPH yog kev sib piv ntawm qhov nruab nrab ntawm tus nqi nruab nrab.

Isofan Insulin yog tib neeg lub cev tsim los ntawm kev siv tshuaj tua hluav taws xob

Cov tshuaj no, cov tshuaj no, qhov tseem ceeb tsis tau rau lub neej tag nrho ntawm tus neeg uas muaj teeb meem nrog qab zib hauv

cov ntshav tau tsim tawm hauv ntau hom:

Los taw qhia hauv qab daim tawv nqaij,
Rau kev ntxig rau txoj leeg ntshav,
Rau kev tswj hwm intramuscular.

Isofan insulin - kev qhia rau kev siv:

Ua cov tshuaj txo qis ntshav qab zib uas koj yuav tsum tau haus hauv cov ntsiav tshuaj ua ib feem ntawm kev kho mob kom zoo,
Mob ntshav qab zib ntawm qib thib 2 thiab 1st, kev siv tshuaj insulin,
Mob ntshav qab zib hauv plab, yog tias tsis muaj qhov cuam tshuam los ntawm cov pluas noj,
Pathologies ntawm intercurrent hom.

Isofan: analogues thiab lwm lub npe

Cov npe lag luam rau Isofan insulin tuaj yeem ua raws li hauv qab no:

Nws yuav ua haujlwm li cas

Kev lig kev cai, tom qab txhaj tshuaj, cov nyhuv ntawm cov tshuaj pib tom qab 1.5 teev. Lub ncov ntawm qhov ua tau tshwm sim nyob rau ntawm taw tes 4 teev tom qab tswj hwm kev siv tshuaj. Lub sijhawm ua haujlwm yog 24 teev.

Qhov nqus ntawm Isofan nyob ntawm cov hauv qab no:

Qhov chaw txhaj tshuaj (pob tw, plab, ncej puab),
Kev siv tshuaj nquag
Koob tshuaj.

Cov tshuaj no yog tawm los ntawm lub raum.

Yuav siv li cas: kev taw qhia rau kev siv

Thaum muaj qhov mob hypersensitivity rau insulin, nws yog ib qho tsim nyog yuav tsum tsis txhob ntau dua 8 IU ib hnub, yog tias qhov tshuaj hormones tsis pom zoo, qhov tshuaj yuav nce ntxiv rau 24 lossis ntau dua IU thaum nruab hnub.Yog tias qhov tshuaj txhua hnub ntawm cov tshuaj yuav tsum dhau 0. 6 IU toj ib phaus ntawm lub cev qhov hnyav ntawm tus neeg mob, ces 2 qhov kev txhaj tshuaj ib zaug nyob rau ntau qhov chaw.

Urticaria,
Kev Ntshav
Kub nce
Ua daus no
Txog siav
Kev mob ntshav qab zib (ntshai, pw tsaug zog, pallor, kev nyuaj siab, kev noj qab haus huv, nqus kev tshaib plab, tshee nqua).
Ntshav Qab Zib Acidosis
Qog Ntshav,
Pom kev tsis pom kev
O o thiab khaus ntawm thaj chaw txhaj tshuaj.

Isofan insulin: Kuv tuaj yeem siv nrog lwm cov tshuaj

Tsub kom muaj cov nyhuv hypoglycemic (ib txwm muaj ntshav qab zib) Isofan tus kab mob nrog:

Sulfonamides,
Chloroquinine
ACE inhibitors / MAO / carbonic anhydrase,
Ethanol
Mebendazole,
Txhais tau tias yog ib feem ntawm pawg neeg anabolic steroids,
Fenfluramine
Cov tshuaj Tetracycline
Clofibrate
Cov tshuaj ntawm theophylline pab pawg.

Cov nyhuv hypoglycemic (nqa cov suab thaj hauv cov ntshav mus rau li qub) tau txo qis vim yog cov kab mob ntawm Isofan nrog cov tshuaj zoo li no:

Ntxiv nrog rau kev tswj hwm ntawm cov tshuaj tsis haum nrog Isofan, lwm yam xws li tuaj yeem ua rau cov ntshav qog ntshav qab zib ib yam nkaus:

Hloov mus rau lwm cov tshuaj uas tswj cov qib qab zib kom zoo,
Mob ntshav qab zib ntuav
Mob ntshav qab zib-ua rau mob raws plab
Lub cev nce thauj khoom
Cov kab mob uas txo qis qhov xav tau ntawm cov tshuaj insulin (pituitary, hypothyroidism, lub siab ua haujlwm, lub raum tsis ua haujlwm),
Thaum tus neeg mob tsis noj mov raws sijhawm,
Hloov chaw txhaj tshuaj.

Isofan insulin: nqi

Tus nqi ntawm Isofan insulin txawv ntawm 500 txog 1200 rubles rau ib pob, uas suav nrog 10 ampoules, raws lub teb chaws ntawm kev tsim khoom thiab ntau npaum li cas.

Yuav ua li cas stab: cov lus qhia tshwj xeeb

Cev xeeb tub, lactation thiab insulin Isofan

Cov poj niam cev xeeb tub uas muaj ntshav qab zib tuaj yeem noj Isofan insulin, nws yuav tsis tuaj yeem ncav cuag tus me nyuam hauv lub plab. Koj tuaj yeem siv nws thiab cov niam tu, yuam kom nyob nrog tus kab mob no.Nws yog ib qho tseem ceeb kom paub tias thaum cev xeeb tub hauv thawj peb lub hlis, xav tau cov tshuaj insulin tsawg dua, thiab nyob rau lub hlis thib ob thiab thib peb nce ntxiv.

Kev tsis ncua nruab nrab ntawm tib neeg insulin ntawm nruab nrab ncua.

Pharmacological kev txiav txim

Nws ua kom lub phosphatidylinositol system, hloov daim nyias nyias thauj ntawm cov kua nplaum thiab ions, normalizes lub polarization ntawm daim nyias nyias (nce potassium nkag mus rau hauv lub cell), ua kom hexokinase thiab glycogen synthetase, thiab txhawb kev nqus ntawm cov amino acids los ntawm cov hlwb.

Cov Chaw Tshuaj Kho Mob

Cov nyhuv tsim 1-2 teev tom qab kev tswj hwm, nce mus txog qhov siab tshaj plaws los ntawm 6-12 teev thiab kav ntev li 18-24 teev.

Kev Qhia Txog Isofan-Insulin Ntiaj Teb Khob

Cov Yuav Tsum Muaj

Tej yam kev mob hypoglycemic, coma.

Sab sij huam

Kev mob ntshav qab zib (kev xav ntawm kev tshaib plab, ua haujlwm dhau mus, tshee), kev fab tshuaj tsis haum, lipodystrophy ntawm thaj chaw txhaj tshuaj.

Tsuas tshuaj thiab tswj hwm

S / c, v / m, cov ntsiab lus ntawm lub vial yog shaken zoo ua ntej siv thiab txhaj tshuaj tam sim ntawd tom qab sau cov koob txhaj tshuaj. Tsuas tshuaj yog txiav txim siab ib tus zuj zus.

Kev tiv thaiv kev nyab xeeb

Tsis txhob nkag rau tib qho chaw. Nrog rau kev tswj hwm tib lub sij hawm nrog kev daws teeb meem ntawm tib neeg cov tshuaj insulin, Intral XM yog thawj zaug sau nyob rau hauv cov koob txhaj tshuaj. Siv nrog ceev faj hauv lub raum tsis ua haujlwm, tawm tsam keeb kwm ntawm kev kis kab mob, nrog hypopituitarism, cev xeeb tub, hauv cov neeg muaj hnub nyoog 65 xyoos.

Cia kev mob ntawm cov tshuaj Isofan-Insulin FM

Txhob nyob ze cov me nyuam.

Isofan-Insulin Ntiaj Teb Khob

Tsis txhob siv tom qab hnub tas sij hawm qhia ntawm pob.

Cov ntsiab lus ntawm nosological pawg

Tso koj saib

Cov Ntaub Ntawv Tam Sim No Xav Tau Index, ‰

Cov khoom pabcuam ua ntej
Khw online
Hais txog tuam txhab
Hu rau cov ntsiab lus

Hu rau tus tshaj tawm:
Email:
Chaw Nyob: Russia, Moscow, st. Thib Tsib 5, d.12.

Thaum hais cov ntaub ntawv xov xwm luam tawm nyob rau ntawm nplooj ntawv ntawm lub xaib www.rlsnet.ru, qhov txuas mus rau qhov chaw ntawm cov ntaub ntawv xav tau.

Qoob loo.

Kev ua lag luam siv cov ntaub ntawv tsis raug tso cai.

Cov ntaub ntawv yog npaj rau cov kws kho mob.

Insulin Isofan Txhim khu kev qha cov ntshav qab zib

Cov tshuaj insulin pab txo cov ntshav qabzib. Tab sis tib lub sijhawm, tag nrho cov tshuaj muaj contraindications, thiab koj yuav tsum tsis txhob hnov qab txog qhov no. Thaum noj cov tshuaj, koj yuav tsum nco ntsoov qhov tsuas tshuaj.

Tso cov ntaub ntawv tawm, kwv yees tus nqi

Cov tshuaj muaj nyob hauv kev ncua. Nws yog npaj rau kev tswj hwm subcutaneous. Cov tshuaj muaj qhov nruab nrab ntawm kev txiav txim siab. Tib lub sijhawm, nws muaj txiaj ntsig zoo txo cov piam thaj hauv cov ntshav thiab pab nws kom nqus tau zoo hauv cov ntaub so ntswg. Ua cov txheej txheem ntawm cov tshuaj synthesis, glycogenogenesis thiab lipogenesis.

tus nqi nqus
koob tshuaj ntawm kev tswj hwm
chaw txhaj tshuaj thiab lwm yam lwm yam

Qhov siab tshaj plaws ntawm cov tshuaj insulin hauv cov ntshav, ntau dua qhov tseeb ntawm cov ntshav ntshav, nce ntxiv ntawm 2 mus rau 18 teev txij li lub sijhawm txhaj. Hauv qhov no, insulin tsis khi rau cov protein.Nws cov khoom faib thoob plaws lub cev nqaij tsis sib xws. Cov tshuaj tsis kis mus rau leej niam cov kua mis, nrog rau kev nkag mus los ntawm tus txiv neej.

Nws siv sijhawm li ob peb feeb xwb kom tshem tawm nws los ntawm cov ntshav, tab sis kom tshem nws tawm ntawm lub cev, nws yog tshem tawm 5 mus rau 10 teev. Lub raum tshem nws nce mus txog 80%. Thaum ua kev tshawb fawb, tsis muaj kev puas tsuaj pom lub cev. Cov lus qhia rau kev siv cov tshuaj muaj ntau yam. Nws piav qhia txhua yam ntawm daim ntawv thov.

Kev taw qhia thiab contraindications

Cov qhia ntawm cov tshuaj yog tau tsuas yog subcutaneously. Nyob rau hauv tsis muaj qhov xwm txheej twg yuav tsum koj tswj hwm cov tshuaj intravenously.

Hauv cov kab mob ntawm lub raum thiab mob siab, qhov xav tau rau insulin yog txo qis. Cov thyroid tsis ua haujlwm tuaj yeem ua rau tib lub txiaj ntsig.

Thaum noj tshuaj, tshwj xeeb tshaj yog nyob rau theem pib, tej zaum yuav muaj qhov txo qis hauv kev muaj peev xwm tsav lub tsheb thiab lwm yam tsheb.

Protafan NM,
Neeg lim hiam
Actrafan NM.

Los ntawm txhaj khawm "Xa", koj lees txais cov nqe lus ntawm txoj cai ntiag tug thiab muab koj qhov kev pom zoo rau kev ua cov ntaub ntawv ntawm tus kheej ntawm cov ntsiab lus thiab rau cov hom phiaj tau hais hauv nws.

Insulin-isophan: cov lus qhia rau kev siv ncua kev ncua

Cov tshuaj nquag: insulin

tib neeg kev tshuaj ntsuam tshuab isophane

Chaw tsim tshuaj paus: Novo Nordisk, Denmark

Tsev kho mob tawm mob: Tshuaj

Cia rau cov neeg mob: t li ntawm 2-8 qib

Kev ntsuas rau siv

Kev Sau ua ke thiab daim ntawv ntawm kev tso tawm

Raug tshem tawm rau kev txhaj tshuaj, pob tshab. Ib lub raj mis muaj 3 ml ntawm cov tshuaj. Hauv ib pob muaj 5 daim cartridges lossis nws muag hauv ib lam fwj tam sim ntawd 10 ml ntawm cov tshuaj.

Kho thaj chaw

Txoj kev ntawm daim ntawv thov

Tus nqi nruab nrab ntawm cov tshuaj hauv Lavxias yog 1075 rubles rau ib pob.

Txhawm rau txhaj tshuaj subcutaneously, ib hnub ib zaug, nyob rau ntau qhov chaw. Qhov ntau zaus ntawm kev txhaj tshuaj hauv ib qho chaw yuav tsum tsis pub ntau tshaj 1 zaug hauv ib hlis, yog li qhov chaw tswj hwm ntawm cov tshuaj hloov txhua lub sijhawm. Ua ntej siv ncaj qha, ampoules tau dov rau hauv lub xib teg. Cov lus qhia kev txhaj tshuaj yooj yim - kev kho kom tsis muaj mob, cov koob tau ntxig subcutaneously ntawm kaum ntawm 45 degrees rau hauv lub clamped quav, tom qab ntawd qhov chaw huv huv tshuaj tua kab. Cov koob tshuaj yog xaiv los ntawm tus kws kho mob ib leeg zuj zus.

Thaum cev xeeb tub thiab pub niam mis

Cov tshuaj tau pom zoo rau siv thaum lub sijhawm no.

Cov Kev Tsis Txaus Ntseeg thiab Kev Ceev Faj

Cov no suav nrog: tsis nkag rau qee yam khoom muaj nqis thiab muaj suab thaj tsawg tsawg nyob rau ib lub sijhawm tshwj xeeb.

Hla kev sib txuam yeeb tshuaj

Txo cov nyhuv ntawm cov tshuaj: cov kab ke glucocorticoids, qhov ncauj tsis huv, estradiol thiab progesterone, anabolic steroids, diuretics, antidepressants, cov thyroid hormones.

Ua kom muaj txiaj ntsig: cawv, salicylates, sulfonamides thiab beta-blockers, MAO inhibitors.

Phiv thiab haus tshaj

Rinsulin PNH

Geropharm-bio LLC, Russia

Tus nqi nruab nrab hauv Russia yog 1000 rubles rau ib pob.

Rinosulin yog cov tshuaj tiv thaiv tag nrho thiab muaj cov tshuaj insulin isophan nruab nrab-ntev. Daim ntawv foos no zoo vim tias nws tsis tas yuav tsum tau tswj tuav kab lis kev cai ntau.

Tsis yog qhov pheej yig
Phiv ntau yam ua tau.

Humulin NPH

Eli Lilly East, Switzerland

Tus nqi nruab nrab hauv Russia yog 17 rubles.

Humulin NPH yog kev sib piv ntawm qhov nruab nrab ntawm tus nqi nruab nrab.

Cov tshuaj muaj pes tsawg leeg

Cov tshuaj insulin siv hauv cov ntshav qab zib tau muab faib ua ntau pawg loj raws li lub sijhawm ua. Txhawm rau ua kom tiav txhua yam koj tus kheej kev tsim cov tshuaj insulin, koj xav tau ob hom tshuaj hormones: ntev (lossis nruab nrab) thiab luv luv (lossis ultrashort) -. Isofan tau muab cais ua qhov nruab nrab ntawm insulin. Nrog rau kev siv 2 npaug hauv ib hnub, nws muaj peev xwm los muab cov qib qis hauv qib qis hauv cov tshuaj hormones hauv cov ntshav, uas txo cov piam thaj uas nkag rau hauv cov ntshav ntawm daim siab nyob ib puag ncig.

Isofan insulin muaj 2 yam khoom xyaw:

Cov tshuaj insulin Cov. Yav dhau los, npua thiab bovine hormone tau siv, tam sim no tsuas yog siv tib neeg kev tshawb fawb caj ces, uas zoo tib yam rau cov tshuaj hormones uas ua los ntawm tib neeg cov txiav ua ke. Nws yog tsim los siv cov kab mob hloov kho, cov tshuaj muaj qhov siab ntawm kev ua kom huv, pom tau yooj yim los ntawm lub cev thiab muaj peev xwm ua rau muaj kev fab tshuaj ntau dua li nws cov neeg ua ntej.
Cov tshuaj tiv thaiv - protein uas tau siv los ua kev txuas ntxiv ntawm kev ua ntawm insulin. Ua tsaug rau nws, lub sijhawm ntawm txoj kev loj hlob hormone los ntawm cov nqaij mos subcutaneous rau hauv cov hlab ntsha tau nce li ntawm 6 txog 12 teev. Hauv cov tshuaj insulin, Isofan hormone thiab cov tshuaj tiv thaiv tau sib xyaw rau hauv isophane tus nqi, uas yog, hauv qhov kev daws teeb meem tsis muaj ib qho dhau ntawm ib yam ntawm cov tshuaj. Los ntawm lub npe ntawm nws tus tsim, Danish kws tshawb fawb Hagedorn, insulin Isofan feem ntau xa mus rau hauv cov ntaub ntawv kho mob ua qhov nruab nrab tiv thaiv Hagedorn, lossis NPH-insulin.

Yog li ntawd cov tshuaj tiv thaiv uas muaj cov tshuaj insulin tuaj yeem tsim lub muaju, zinc ntxiv rau hauv kev daws. Phenol thiab m-cresol muaj nyob hauv qhov kev npaj ua cov tshuaj khaws cia kom tau txais cov tshuaj tiv thaiv nrog acidity tsis zoo, cov kua qaub tsis muaj zog lossis lub hauv paus siv. Rau cov analogues ntawm cov hom sib txawv, cov muaj pes tsawg leeg ntawm cov khoom siv sib txawv yog txawv, ib daim ntawv ua tiav tau muab rau hauv cov lus qhia rau kev siv.

Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los

Mob ntshav qab zib yog qhov ua rau ze li ntawm 80% ntawm tag nrho cov cwj nrag thiab txiav taws. 7 ntawm 10 leej neeg tuag vim txhaws ntawm cov hlab ntsha hauv plawv lossis paj hlwb. Yuav luag txhua qhov teeb meem, qhov laj thawj rau qhov txaus ntshai kawg no yog qhov qub - ntshav qab zib siab.

Cov piam thaj tuaj yeem thiab yuav tsum tau sib khob, tsis muaj dab tsi. Tab sis qhov no tsis kho tus kab mob nws tus kheej, tab sis tsuas yog pab txhawm rau txhawm rau tshawb xyuas, thiab tsis yog qhov ua kom muaj tus kab mob.

Cov tshuaj nkaus xwb uas raug pom zoo rau mob ntshav qab zib thiab siv los ntawm endocrinologist nyob rau hauv lawv kev ua haujlwm yog thaj npog ntshav qab zib Ji Dao.

Qhov ua tau zoo ntawm cov tshuaj, suav raws li tus qauv txheej txheem (tus naj npawb ntawm cov neeg mob uas tau zoo mus rau tag nrho cov neeg mob hauv pawg 100 ntawm cov neeg tau txais kev kho mob) yog:

Li qub ntawm qab zib - 95%
Kev tshem tawm ntawm cov hlab ntshav thrombosis - 70%
Ntaus tau ntawm lub plawv dhia muaj zog - 90%
Kev tshem tawm ntshav siab - 92%
Ntxiv dag zog rau nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj - 97%

Ji Dao cov neeg tsim khoom tsis yog lub koom haum ua lag luam thiab tau nyiaj los ntawm lub xeev. Yog li ntawd, tam sim no txhua tus neeg nyob hauv nroog muaj txoj cai yuav tau txais cov tshuaj ntawm tus nqi luv 50%.

Cov lus qhia rau kev teem caij

Qhov laj thawj ntawm kev teem caij ntawm cov tshuaj pleev insulin basal yuav yog:

1 yam mob ntshav qab zib. Ib txoj kev ua haujlwm hnyav ntawm kev siv tshuaj insulin yog siv, uas yog, Isofan thiab tau siv.
Qee hom.
Hom 2, yog tias cov ntsiav tshuaj hypoglycemic yog contraindicated los yog tsis muab cov tswj ntshav qab zib kom txaus. Raws li txoj cai, kev kho tshuaj insulin yog pib nrog Isofan. Qhov xav tau rau qog luv yuav tshwm sim tom qab.
Yam 2 thaum cev xeeb tub.
Raws li hloov chaw rau cov ntsiav tshuaj, yog tias muaj ntshav qab zib hom 2 nyob hauv. Tom qab cov piam thaj txo, cov neeg mob tuaj yeem pauv rov mus rau qhov kev npaj ntawm qhov ncauj.
Mob ntshav qab zib mob ntshav qab zib, yog tias nws tsis txo qab zib rau qhov ib txwm.

Cov cim ສິນ ຄ້າ

Isofan Insulin yog qhov tseem ceeb tshaj plaws hauv ntiaj teb no cov insulin. Cov tshuaj muaj ntau dua niaj hnub no muaj ntau dua thiab nws nyuam qhuav pib kov yeej txoj kev lag luam. Cov npe lag luam hauv qab no ntawm Isofan tau rau npe rau hauv Lavxias Federation:

Npe	Nqe, tshiav.	Ntim, txoj kev khiav haujlwm		Chaw tsim tshuaj paus
Npe	Nqe, tshiav.	Fwj, insulin koob txhaj tshuaj	Cartridges, Syringe Cwjmem	Chaw tsim tshuaj paus
Biosulin N	los ntawm 506	+	+	Cov Kws Muag Tshuaj
los ntawm 400	+	+	Tshuaj ntsuab
Rosinsulin C	los ntawm 1080	+	+	Medsintez Tsob Nroj
Cov tshuaj tiv thaiv thaum muaj xwm ceev insulin	los ntawm 492	+	—	VIC
Gensulin N	—	+	+	MFPDK BIOTEK
Kev pov hwm NPH	—	+	—	IBCh RAS
los ntawm 600	+	+	Eli Lilly
los ntawm 1100	+	+	Sanofi
los ntawm 370	+	+	Novo Nordisk
Vozulim-N	—	+	+	Wokhard Txwv

Tag nrho cov tshuaj saum toj no yog analogues. Lawv muaj tib lub siab xav thiab nws nyob ze rau hauv lub zog, yog li, nrog ntshav qab zib, nws muaj peev xwm hloov ntawm ib cov tshuaj mus rau lwm qhov tsis muaj kev kho qhov tshuaj.

Thaum twg cov tshuaj tau sau tseg?

Cov lus qhia rau kev siv qhia tias qhov ntsuas ntawm kev siv tshuaj Insulin-isophan yog:

insulin-tso ua hom mob ntshav qab zib
cov ntshav qab zib tsis yog insulin-tiv thaiv kev mob ntshav qab zib,
ib nrab tsis kam rau kev txiav txim ntawm cov ntsiav tshuaj muaj suab thaj txo qis,
muaj cov kab mob sib kis (cov uas koom nrog los ntawm lub caij nyoog, tab sis ua rau kom cov kab mob pib muaj zog dua),
Mob ntshav qab zib hauv kev xeeb tub ntawm cov poj niam cev xeeb tub.

Cev xeeb tub thiab lactation

Cov tshuaj ua kom muaj zog ntawm cov tshuaj tsis nkag rau hauv niam mis thiab los ntawm qhov chaw tiv thaiv qhov chaw, yog li ntawd, insulin-isofan tuaj yeem muab rau cov poj niam thaum lub sijhawm xeeb tub thiab pub niam mis. Nws yog ib qho tseem ceeb rau xam qhov tseeb ntawm lub koob tshuaj uas tau tso cai, vim tias qhov nce ntxiv lossis txo qis rau cov piam thaj hauv leej niam cov ntshav thaum siv cov tshuaj tsis yog yog qhov zoo rau cov menyuam hauv plab.

Yeeb tshuaj sib cuam tshuam

Muaj cov tshuaj uas tuaj yeem txhim kho hypoglycemic nyhuv ntawm Insulin-isophan, tab sis muaj cov uas, ntawm qhov tsis sib xws, ua rau nws tsis muaj zog, uas ua rau nce ntshav qab zib cov neeg mob.

Thawj pawg ntawm cov tshuaj muaj xws li:

qab zib-txo cov ntsiav tshuaj,
ACE inhibitors
sulfonamides,
ib co tshuaj tua kab mob
anabolic tshuaj yuam
antifungal tus neeg sawv cev
Theophylline
lithium-based npaj
Clofibrate.

Cov sawv cev ntawm pawg pab pawg tetracycline muaj peev xwm txhim kho cov nyhuv hypoglycemic ntawm insulin

Pawg ob suav nrog:

cov tshuaj hormones ntawm adrenal cortex,
COCs
cov thyroid hormones,
heparin
tshuaj kho mob
tshuaj tiv thaiv kab mob
sympathomimetics.

Taw qhia cov kev cai

Qhov koob tshuaj ntawm Isofan yog xaiv ua ntej ntawm txhua yam, kom luv luv insulin. Nws yog tus kheej rau txhua tus mob ntshav qab zib. Kwv yees li qhov xav tau tag nrho cov tshuaj hormones thaum tsis muaj ib tus kheej yog 0.3-1 units rau 1 kg ntawm qhov hnyav, Isofan tso nyiaj rau 1/3 txog 1/2 ntawm qhov xav tau. Yuav tsum tau muaj cov insulin tsawg dua hauv cov ntshav qab zib hom 2, ntau dua rau cov neeg mob rog thiab insulin tsis kam. Cov yam ntxwv ntawm cov khoom noj muaj me ntsis muaj txiaj ntsig rau qhov koob tshuaj ntawm Isofan, txij li luv insulin ua haujlwm los pab them rov qab rau prandial glycemia.

Yuav ua li cas nkaug Isofan:

Cov lus qhia pom zoo kom tswj cov tshuaj tsuas yog subcutaneously. Yog li qhov kev daws teeb meem tsis nkag mus rau hauv cov leeg nqaij, koj yuav tsum xaiv cov qhov ntev ntawm rab koob. Tso dej siab tswj hwm yog txwv tsis pub.
Txog kev tswj hwm, insulin koob txhaj tshuaj thiab ntau dua lub ntsej muag thoob tsib tuaj yeem siv. Siv tshuaj insulin hauv nruab nrab tsis tuaj yeem siv hauv lub twj tso kua mis.
Isofan insulin yog qhov muab tshem tawm, yog li ntawd ib qho kev hno tso tawm zuj zus nyob rau hauv qab ntawm lub vial. Ua ntej ua kev txhaj tshuaj, cov tshuaj yuav tsum tov zoo. Yog tias nws tsis tuaj yeem ua tiav xim sib txawv ntawm cov kev ncua, cov tshuaj insulin tau piam, thiab nws siv tsis tau.
Qhov chaw txhaj tshuaj zoo tshaj plaws yog tus ncej puab. Nws tseem raug tso cai muab kev txhaj tshuaj rau lub plab, pob tw, xub pwg -.
Ua ib qho kev txhaj tshuaj tshiab tsawg kawg yog 2 cm ntawm qhov dhau los. Koj tuaj yeem chwv tib qho chaw xwb tom qab 3 hnub.

Cov lus

Luam tawm cov ntaub ntawv los ntawm lub xaib yog tau tsuas yog nrog txoj kab txuas rau peb tus xaib.

XAUS! Txhua yam ntaub ntawv ntawm lub vev xaib yog nrov rau cov ntaub ntawv thiab tsis lees tias yog qhov tseeb los ntawm qhov pom ntawm kev kho mob. Kev kho mob yuav tsum tau nqa tawm los ntawm tus kws kho mob uas tsim nyog. Kev tshuaj nws tus kheej, koj tuaj yeem ua rau koj tus kheej mob!

Kws Tshuaj

Isofan - insulin, muaj cov nyhuv hypoglycemic. Nws yog nyob rau hauv kev sib cuag nrog cov xaus tshwj xeeb ntawm sab nraud cytoplasmic cell daim nyias nyias, vim li ntawm kev tau tsim cov tshuaj insulin. Nws pab txhawb kev ua haujlwm sai.

Vim tias qhov tseeb tias kev txav ntawm cov piam thaj hauv cov cell yuav nce, nws cov nyiaj hauv cov ntshav tsawg dua. Ib qho zoo sib xws yog ua tiav los ntawm kev txo tus nqi ntawm cov kua nplaum tsim los ntawm lub siab thiab nce nws nqus los ntawm cov ntaub so ntswg.

Cov tshuaj yeeb tshuaj ua rau lub sijhawm ntev vim yog kev nrawm ntawm kev nqus, uas cuam tshuam los ntawm ntau yam: insulin tau txhaj li cas (nws tuaj yeem raug txhaj rau hauv plab, ncej lossis pob tw), txoj kev tswj hwm, kev siv ntau npaum li cas.

Tom qab qhia txog soluble tib neeg cov roj ntsha tsim cov tshuaj insulin hauv qab daim tawv nqaij nrog kev txhaj tshuaj, nws ua kom tshwm sim tom qab ib thiab ib nrab teev. Cov tshuaj siv tau zoo tshaj los ntawm 4 rau 12 teev, yog ua haujlwm thaum nruab hnub.

Cov xwm txheej hauv qab no tuaj yeem raug ntaus nqi los ntawm cov yam ntxwv tseem ceeb ntawm Isofan: nws tsis mloog zoo hauv niam cov kua mis. Kev faib tawm hauv cov ntaub so ntswg yog tsis sib xws. Tsis txhob hla tawm lub tsho me nyuam. Txij li 30 txog 80% raug tso tawm los ntawm lub raum.

Cov lus qhia rau kev siv

Cov lus qhia rau kev siv qhia tseem ceeb ntawm hom kabmob uas siv tshuaj tua kab mob ntshav yog siv - insulin-tiv thaiv ntshav qab zib mellitus. Kev kho mob nyob rau hauv cov teeb meem no yog nqa tawm thoob plaws lub neej. Hauv qhov no, nws yog ib qho tseem ceeb kom ua raws li kev txhaj tshuaj qauv. Ntxiv rau, Isofan yog siv rau hom 1 thiab ntshav qab zib hom 2.

Tus kws kho mob tuaj yeem sau ntawv rau cov tshuaj yog tias tsis muaj qhov cuam tshuam los ntawm cov tshuaj uas muaj suab thaj txo qis. Tom qab ntawd cov tshuaj insulin yog tshuaj kho ua ke.

Qhov kev nce ntxiv ntawm cov ntshav qab zib kuj tseem tuaj yeem ua rau muaj kev mob tshwm sim, piv txwv, tom qab phais mob. Hauv qhov no, cov tshuaj insulin kuj tseem raug sau cia ua ib qho kev kho mob nyuaj. Nws yog tshuaj rau cov poj niam cev xeeb tub uas muaj ntshav qab zib.

Isofan tsuas yog siv rau hom 1 thiab ntshav qab zib hom 2!

Cov tshuaj yog contraindicated rau hauv cov neeg mob nws nquag muaj kev fab tshuaj thiab muaj ntshav qab zib tsawg.

Cov nyhuv txiav ua tiav

Cov kev phiv loj los ntawm kev noj Isofan yog:

Cov kev tsis zoo tshwm sim ntawm cov metabolism carbohydrate. Qhov no qhia hauv daim pallor ntawm daim tawv nqaij, tawm hws ntau dhau, lub plawv dhia ceev ceev, lub ntsej muag ntawm kev tshee, ib tus neeg xav noj tas li, muaj kev ntxhov siab ntxhov siab, nquag mob taub hau.
Kev ua xua qhia los ntawm daim tawv nqaij ua pob, Quincke's edema. Tsawg tsawg zaus, cov tshuaj ua rau anaphylactic kev poob siab.
Kev o tuaj yeem tshwm sim.
Tom qab txhaj tshuaj, khaus lossis o, ua pob tuaj. Yog tias kev kho mob ntev ntev, lipodystrophy yog tsim.

Hauv qhov no, thaum pib ntawm kev kho mob, kev kho tshuaj insulin tuaj yeem nqa tawm tsuas yog tom qab kev teem caij ntawm tus kws kho mob thiab nyob hauv kev saib xyuas nws.

Cev xeeb tub Siv

Isofan tuaj yeem siv rau lub sijhawm cev xeeb tub thiab HB, vim tias nws tsis tuaj yeem nkag rau tus menyuam cov ntshav los ntawm tus menyuam thiab mis. Hauv cov poj niam uas mob ntshav qab zib uas muaj menyuam, kev kho tshuaj insulin tsuas yog ib txoj hauv kev los txo qis glycemia uas tso cai hauv Lavxias.

Qhov xav tau ntawm cov tshuaj rau 9 lub hlis ntau zaus pauv ib txhij nrog kev hloov pauv keeb kwm ntawm poj niam, yog li koj yuav tsum kho cov tshuaj insulin tsis tu ncua. Kev tswj nruj ntawm cov piam thaj thaum cev xeeb tub yog qhov yuav tsum tau ua ua ntej rau kev tiv thaiv ntawm malformations thiab kev tuag ntawm tus me nyuam.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws.

Kev noj tshuaj ntau dhau

Nyob rau hauv cov ntaub ntawv ntawm kev qhia txog kev nce ntawm cov tshuaj, tus neeg mob yuav muaj cov cim qhia ntawm hypoglycemia. Hauv qhov no, koj yuav tsum noj ib qho piam thaj lossis cov zaub mov muaj txiaj ntsig nrog cov khoom noj (carbohydrates). Nws tuaj yeem yog cov ncuav qab zib, kua txiv hmab txiv ntoo, khoom qab zib.

Qhia ntau dhau heev ntawm Isofan tuaj yeem ua rau tsis nco qab. Nws raug nquahu kom koj txhaj tshuaj rau ntawm cov tshuaj 40% dextrose. Glucagon tuaj yeem muab tshuaj intramuscularly, leeg pob zeb lossis subcutaneously.

Hla kev sib tshuam

Cov lus qhia rau kev siv yeeb tshuaj piav qhia txhua yam ntawm tus yam ntxwv ntawm cov tshuaj thiab nuances ntawm nws txoj kev siv.

Isofan human genetic engineering haj yam muaj zog yog tias siv cov tshuaj hauv qab no tib lub sijhawm:

Kev siv tshuaj hypoglycemic qhov ncauj.
MAO thiab ACE inhibitors, carbonic anhydrase.
Sulfonamides.
Anabolics.
Tetracyclines.
Cov tshuaj muaj tshuaj ethanol.

Cov txiaj ntsig ntawm Isofan txo qis thaum siv: qhov ncauj tawm tsam, tshuaj glucocorticoid, cov thyroid hormones, tshuaj tua kab mob, morphine. Yog tias nws tsis tuaj yeem thim cov tshuaj uas cuam tshuam rau kev ua haujlwm ntawm insulin, nws yog qhov yuav tsum ceeb toom rau tus kws kho mob uas tuaj koom txog qhov no.

Cov tshuaj zoo sib xws

Cov neeg mob ntshav qab zib txaus siab xav txog cov lus nug uas txhais tau li cas tuaj yeem hloov kho insulin. Nws raug nquahu kom siv cov analogues li ntawm Isofan rau kev kho mob: Humulin (NPH), Protafan-NM, Protafan-NM Penfill, Insumal, Actrafan.

Ua ntej hloov Isofan mus rau ib qho piv txwv, nws yog ib qhov tsim nyog yuav tsum sab laj nrog koj tus kws kho mob. Kev kho tshuaj Insulin yog ib qho kev kho mob hnyav. Nws yuav tsum muaj kev qhuab qhia ntawm ib feem ntawm tus neeg mob thiab kev soj ntsuam los ntawm tus kws kho mob.

Txog Isofan Txog Ntshav Qab Zib

Hauv kev siv los kho tus kab mob xws li mob ntshav qab zib, ib qho ncaj ncees ntawm ntau yam tshuaj tau siv. Ib qho ntawm lawv yog Isofan insulin, uas yog ib qho yeeb tshuaj muaj qhov nruab nrab ntawm cov kis mob nruab nrab uas yog nruab nrab hauv lub sijhawm. Hais txog dab tsi nws muaj pes tsawg leeg, seb puas muaj cov contraindications txog lwm yam trifles tom qab hauv cov ntawv nyeem.

Isofan insulin yog tau nrog kev siv cov thev naus laus zis xws li DNA sib hloov. Nov yog ib qho ntawm cov qauv niaj hnub no. Nws paub tias nws lees tias qhov ua tau zoo tshaj plaws nyob rau hauv cov txheej txheem ntawm kev siv hauv ntshav qab zib mellitus ntawm hom thawj thiab thib ob.

Qhov no muaj pes tsawg leeg yog qhov kev lees paub tseeb tias cov tshuaj insulin Isofan yuav cuam tshuam rau cov ntshav qab zib hauv txoj hauv kev zoo tshaj. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum tau sau qee cov ntaub ntawv hais txog kev cuam tshuam ntawm pharmacological.

Isofan insulin daim foos tawm

Thaum twg nws yog tshuaj?

Cov lus qhia rau kev siv "Insulin-Isophan"

Cov Yuav Tsum Muaj

Sab sij huam

Kev nplua

Tshaj tsos mob

Kev tiv thaiv kev nyab xeeb

Analogues ntawm cov tshuaj

Isofan insulin: cov lus qhia rau kev siv thiab tus nqi ntawm cov tshuaj

Kev qhia rau kev siv thiab cov npe lag luam ntawm cov tshuaj

Pharmacological kev txiav txim

Tsuas tshuaj thiab tswj hwm

Cov tshuaj insulin hloov

Cov tshuaj insulin

Kev cuam tshuam nrog lwm yam tshuaj

Txoj kev ntawm daim ntawv thov

Sab sij huam

Daim ntawv tso tawm

Cov chaw muag tshuaj

Kev phiv tshuaj thiab kev haus ntau dhau

Tso cov ntaub ntawv tawm, kwv yees tus nqi

Kev taw qhia thiab contraindications

Cev xeeb tub thiab lactation

Sau cov analogues

Kev sib cuam tshuam ntawm cov tshuaj insulin-isophan tib neeg kev tshawb fawb caj nrog lwm yam tshuaj

Noj ntau dhau

Cov ntaub ntawv dav dav, taw qhia rau kev siv

Kev ntsuas rau siv

Kev Sau ua ke thiab daim ntawv ntawm kev tso tawm

Kho thaj chaw

Phiv thiab haus tshaj

Insulin-isophan: cov lus qhia rau kev siv ncua kev ncua

Xyoo ntawm kawg hloov kho

Isofan qhov kev txiav txim

Kev tsis zoo thiab kev mob tshwm sim

Yuav siv cov tshuaj insulin li cas?

Thaum noj tshuaj isofan

Kev Kho Mob Hypoglycemia

Txog ntawm qhov cuam tshuam pharmacological

Txog ntau npaum

Hais Txog Kev Ceev Faj

Rinsulin PNH

Isofan Insulin yog tib neeg lub cev tsim los ntawm kev siv tshuaj tua hluav taws xob

Nws yuav ua haujlwm li cas

Yuav siv li cas: kev taw qhia rau kev siv

Isofan insulin: Kuv tuaj yeem siv nrog lwm cov tshuaj

Yuav ua li cas stab: cov lus qhia tshwj xeeb

Cev xeeb tub, lactation thiab insulin Isofan

Kev Qhia Txog Isofan-Insulin Ntiaj Teb Khob

Cov ntsiab lus ntawm nosological pawg

Humulin NPH

Isofan Insulin yog tib neeg lub cev tsim los ntawm kev siv tshuaj tua hluav taws xob

Isofan: analogues thiab lwm lub npe

Nws yuav ua haujlwm li cas

Yuav siv li cas: kev taw qhia rau kev siv

Isofan insulin: Kuv tuaj yeem siv nrog lwm cov tshuaj

Isofan insulin: nqi

Yuav ua li cas stab: cov lus qhia tshwj xeeb

Cev xeeb tub, lactation thiab insulin Isofan

Pharmacological kev txiav txim

Cov Chaw Tshuaj Kho Mob

Kev Qhia Txog Isofan-Insulin Ntiaj Teb Khob

Cov Yuav Tsum Muaj

Sab sij huam

Tsuas tshuaj thiab tswj hwm

Kev tiv thaiv kev nyab xeeb

Cia kev mob ntawm cov tshuaj Isofan-Insulin FM

Isofan-Insulin Ntiaj Teb Khob

Cov ntsiab lus ntawm nosological pawg

Insulin Isofan Txhim khu kev qha cov ntshav qab zib

Tso cov ntaub ntawv tawm, kwv yees tus nqi

Kev taw qhia thiab contraindications

Insulin-isophan: cov lus qhia rau kev siv ncua kev ncua

Kev ntsuas rau siv

Kev Sau ua ke thiab daim ntawv ntawm kev tso tawm

Kho thaj chaw

Txoj kev ntawm daim ntawv thov

Phiv thiab haus tshaj

Rinsulin PNH