Insulin Levemir: cov khoom thiab cov cai ntawm kev siv

Levemir insulin yog insulin ntev ntev uas 17 teev, yog li nws feem ntau muab 2 r / d. Thaum siv rau hauv cov koob tshuaj ntau dua 0.4 units ib kg ntawm lub cev qhov hnyav, Levemir tuaj yeem siv sijhawm ntev dua (txog li 24 teev).
Raws li, yog tias koj yuav xaiv qhov hloov rau Levemir, tom qab ntawd koj xav tau insulin txuas ntxiv, lossis nruab nrab ncua sijhawm ntawm kev ua.

Tujeo yog ib qho tshuaj insulin uas ua haujlwm rau 24 teev, nrog Levemire nws zoo dua yog qhov hloov mus rau nws. Qhov tseem ceeb tshaj plaws yuav tsum nco ntsoov: vim qhov kev nqis tes ua ntev dua (thiab vim yog qee tus yam ntxwv ntawm rhiab rau insulins sib txawv), thaum hloov mus rau insulin tshiab (tshwj xeeb, Tujeo), nws yog qhov tsim nyog los txo cov tshuaj insulin txhua hnub (feem ntau cov koob tshuaj yog txo 30%, thiab tom qab ntawd cov koob tshuaj xaiv los ntawm ntshav qab zib theem).

Biosulin N yog nruab nrab insulin, nws tuaj yeem hloov mus rau Levemir yam tsis muaj kev kho kom haum, tab sis Biosulin tuaj yeem muab cov piam thaj tsis zoo ntau dua (uas yuav xav tau kom nce ntxiv ntawm cov tshuaj insulin) dua li Levemir thiab Tujeo, yog li kuv yuav xaiv rau Tujeo.

Qhov kev xaiv zoo tshaj plaws, tau kawg, yuav ua rau hauv tsev muab khoom ntawm koj tus kheej hom insulin (tshwj xeeb yog vim koj muaj insulin zoo heev, Levemir yog ib qho ntawm cov insulins zoo tshaj plaws ntawm kev ua lag luam) thiaj li tsis hloov mus rau insulins tshiab, vim qhov no nrog los ntawm kev kho lub koob tshuaj thiab tsis yog ib txwm yooj yim thiab xis nyob. rau lub cev.

Kev taw qhia thiab contraindications

Cov tshuaj Insulin Levemir Flekspen yog siv los nres cov tsos mob ntshav qab zib, tswj cov ntshav qab zib kom zoo thiab txhim kho txoj haujlwm ntawm lub cev. Nws yog qhia rau tus mob 1. Rau cov neeg mob uas kuaj pom no, kev siv tshuaj insulin hloov kho yog tib txoj kev los tswj kev noj qab haus huv thiab lub neej.

Kev siv cov tshuaj insulin kuj tseem qhia tau rau cov neeg muaj ntshav qab zib hom 2 mellitus - nyob rau hauv qhov muaj teeb meem loj los yog muaj kev cuam tshuam tsis zoo hauv kev ua kom zoo. Cov tshuaj yog siv los hloov kev kho mob thaum cev xeeb tub lossis phais mob.

Levemir qhia txog kev maj mam nqus ntawm cov kua dej hauv lub cev, uas normalizes cov piam thaj, tswj kev zom zaub mov, ua kom nrawm rau thauj cov kua nplaum mus rau hlwb thiab txhawb kev tsim cov glycogen.

Cov insulin ntev ntev muaj ntau tus lej sib kis. Levemir raug txwv tsis pub rau cov neeg mob ntshav qab zib nrog lub cev tsis nco qab rau detemir lossis lwm yam uas tsim cov tshuaj. Nws tsis yog qhov sau tseg rau cov menyuam yaus hnub nyoog qis dua 6 xyoo, txij li cov kev tshawb fawb tsis tsim nyog, thiab tsis muaj xov xwm hais txog nws qhov cuam tshuam rau menyuam mos.

Pib noj Levemir yuav tsum tsuas yog tus kws kho mob tau hais tseg thiab nyob rau hauv kev saib xyuas nws. Qhov no yuav tso cai koj los taug qab cov tshuaj tiv thaiv ntawm lub cev thiab txheeb xyuas lub sijhawm hloov kho pathological.

Cov tshuaj yog kws kho mob tau sau los ntawm tus kws kho mob tuaj koom yog tias qhia. Tus kws kho mob tshwj xeeb xaiv cov ntau npaum li cas ntawm cov tshuaj, suav txog qib ntawm hyperglycemia, hnyav, kev siv lub cev, kev noj zaub mov noj thiab lwm yam tshwj xeeb ntawm tus neeg mob lub neej. Rau txhua tus neeg mob, qhov muab xam cov koob tshuaj yog nqa tawm ntawm tus kheej.

Levemir Flekspen yog cov tshuaj insulin ntev ntev, yog li nws siv ib zaug lossis ob zaug ib hnub. Cov tshuaj ntawm cov tshuaj yog 0.2-0.4 units rau ib qhov hnyav ntawm lub cev. Hauv hom 2 mob ntshav qab zib mellitus, qhov tshuaj yog 0.1-0.2 U / kg, txij li cov tshuaj noj qhov ncauj tseem siv los txo cov ntshav qab zib.

Rau qee kis, yuav tsum kho cov tshuaj insulin ntau dua thiab yuav tsum saib xyuas ntshav qab zib kom nyob ze. Qhov no feem ntau siv rau cov neeg laus laus, nrog rau cov neeg mob siab los yog mob raum. Kev hloov pauv koob tshuaj yog qhov tsim nyog nyob rau hauv muaj cov kab mob ntev, kev hloov pauv ntawm kev noj zaub mov ib txwm, kev ua kom lub cev, lossis kev noj qee yam tshuaj.

Cov lus qhia rau kev siv

Cov kev cai rau kev siv tshuaj insulin ntev ntev tau tsim los ntawm tus kws kho mob koom nrog, ceeb toom txog qhov tshwm sim uas yuav muaj kev cuam tshuam ntawm koob tshuaj lossis kev tswj hwm tsis raug cai ntawm cov tshuaj.

Levemir insulin raug txhaj tshuaj subcutaneously nkag rau sab nraub qaum phab ntsa, ncej puab, lossis xub pwg. Nws raug nquahu kom hloov thaj chaw tswj hwm ntawm txhua txoj kev txhaj tshuaj.

Txhawm rau txhaj tshuaj insulin, xaiv cov naj npawb uas yuav tsum tau muaj (cov koob tshuaj), nyem ib daim ntawm daim tawv nqaij nrog koj cov ntiv tes thiab ntxig ib rab koob rau hauv nws. Nyem rau lub pob "Pib" thiab tos ob peb feeb. Tshem tawm cov koob thiab kaw lub hau nrog lub hau.

Cov tshuaj feem ntau siv ib zaug ib hnub. Yog tias xav tau ob txoj hauv kev, tom qab ntawd koob thib ob yog muab thaum noj hmo lossis ua ntej mus pw. Lub sijhawm nyob nruab nrab ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg 12 teev.

Qhov ua tau zoo tshaj plaws ntawm cov tshuaj tau tiav 3-4 teev tom qab nws tswj thiab kav ntev txog 14 teev. Levemir Flekspen tsis ua rau cov insulin nce ntau, yog li qhov kev pheej hmoo ntawm cov ntshav qog ntshav qis dua los ntawm lwm cov tshuaj.

Sab sij huam

Kev phiv los ntawm Levemir yog vim yog cov tshuaj pharmacological ntawm cov tshuaj insulin thiab tsis ua raws li cov tshuaj pom zoo. Feem ntau tshwm sim yog hypoglycemia, ib qho ntse thiab tseem ceeb txo cov ntshav qab zib. Tus mob pathological tshwm sim muaj txiaj ntsig los ntawm kev noj ntau dua cov tshuaj pom zoo, thaum cov koob tshuaj insulin siab dua qhov xav tau hauv lub cev.

Cov tsos mob hauv qab no yog cov yam ntxwv ntawm hypoglycemia:

• tsis muaj zog, qaug zog thiab nce siab ntxhov siab,
• pallor ntawm daim tawv nqaij thiab tsos zoo li hws txias,
• nqaj co,
• nce siab nervousness
• zoo nkaus kev tshaib kev nqhis
• mob taub hau, tsis pom kev, xav tsis meej thiab taw qhia qhov chaw,
• lub plawv dhia.

Thaum tsis muaj kev pabcuam raws sijhawm, lub siab tsis nco qab yuav tshwm sim, uas qee zaum ua rau tuag lossis hloov tsis tau hauv lub cev (kev ua haujlwm tsis zoo rau lub hlwb lossis lub paj hlwb nruab nrab).

Feem ntau ua rau muaj kev tsis haum tawm ntawm qhov chaw txhaj tshuaj ntawm insulin. Qhov no yog ua kom pom los ntawm liab thiab o ntawm daim tawv nqaij, khaus, qhov kev txhim kho ntawm o thiab cov tsos mob ntawm doog. Raws li txoj cai, xws li tawm tsam mus ntawm nws tus kheej hauv ob peb hnub, tab sis ua ntej qhov ploj ploj ua rau tus neeg mob mob thiab tsis xis nyob. Yog tias muaj ntau qhov kev txhaj tshuaj raug muab rau hauv ib thaj chaw, qhov kev txhim kho ntawm lipodystrophy yog ua tau.

Qee qhov xwm txheej, kev siv cov Levemir insulin ua rau muaj kev hloov pauv hauv lub nruab nrog cev. Qhov no tuaj yeem ua rau khaus, tawm pob, thiab lwm yam ua xua. Qee zaum angioedema, tawm hws ntau dhau, ua rau mob tsis txaus, ua rau cov ntshav qis, ua kom lub plawv dhia zoo.

Noj ntau dhau

Qhov ntim ntawm cov tshuaj, uas tuaj yeem ua rau dhau ntawm Levemir insulin, tsis muaj kev ntseeg siab. Rau txhua tus neeg mob, cov ntsuas yuav txawv, tab sis cov kev rau txim yog tib yam - kev txhim kho hypoglycemia.

Tus mob ntshav qab zib muaj peev xwm nres tau me ntsis ntawm kev txo cov piam thaj ntawm nws tus kheej. Tus neeg mob raug pom zoo kom noj ib yam khoom nrog cov khoom noj sai. Txhawm rau kom ntsuas kev ntsuas kom raug lub sijhawm, tus mob ntshav qab zib yuav tsum muaj ncuav qab zib, qhaub noom lossis kua txiv qab zib ntawm tes.

Cov kev mob ntshav qab zib tsawg kawg yuav tsum tau kev kho mob uas tsim nyog. Tus neeg mob raug txhaj tshuaj los yog txhaj nrog ua kua nplaum. Tom qab rov qab nco qab, nws yog ib qho tsim nyog noj cov khoom noj uas muaj carb ntau kom tiv thaiv qhov rov huam mob.

Ntawm qhov phom sij tshwj xeeb yog lub hypoglycemic coma, uas tshwm sim hauv qhov tsis muaj qhov tsim nyog thiab pab tau raws sijhawm. Tus mob no tso cai rau kev noj qab haus huv thiab lub neej ntawm tus neeg mob.

Levemir thaum cev xeeb tub

Cov poj niam uas kuaj pom tus mob ntshav qab zib yuav tsum tau ua tib zoo saib xyuas los ntawm kws kho mob thaum npaj ua ntej, xeeb menyuam, thiab theem tes taw. Hauv thawj peb lub hlis thaum cev xeeb tub, xav tau cov tshuaj insulin tsawg dua, thiab nce ntxiv tom qab hnub tom qab. Thaum lub sij hawm lactation, kev kho tshuaj kho mob yog nqa tawm ua ntej yuav xeeb tub.

Levemir yog siv thaum cev xeeb tub thiab pub niam mis. Tus kws kho mob ib leeg zuj zus txiav txim qhov tsuas tshuaj thiab kho nws raws li qhov tsim nyog. Cov poj niam cev xeeb tub yuav tsum tau saib xyuas cov ntshav qabzib tas li, nws tseem ceeb heev uas yuav tsum ua raws li cov lus qhia kom txhaj tshuaj.

Yeeb tshuaj sib cuam tshuam

Cov neeg mob uas hloov mus los ntawm lwm cov tshuaj ntawm cov tshuaj nruab nrab lossis ua haujlwm ntev yuav tsum muaj kev hloov kho dua ntawm Levemir thiab kev hloov pauv lub sijhawm. Thaum lub sijhawm hloov mus, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas theem ntawm cov piam thaj hauv cov ntshav thiab saib xyuas nws rau ob peb hnub tom qab pib noj tshuaj tshiab.

Nws yog ib qho tseem ceeb uas yuav tsum xav txog tias kev sib xyaw ntawm Levemir nrog cov tshuaj tiv thaiv kab mob xws li clofibrate, tetracycline, pyridoxine, ketoconazole, cyclophosphamide ua rau muaj cov yam ntxwv ntshav qab zib tsawg. Txhim kho tau txiaj ntsig ntawm cov tshuaj thiab anabolic steroids, tshuaj tiv thaiv kabmob thiab cov tshuaj muaj cawv. Yog tias tsim nyog, xws li kev sib koom ua ke yuav tsum kho cov tshuaj ntau npaum li cas.

Cov tshuaj tiv thaiv thiab cov tshuaj diuretic, tshuaj tiv thaiv kab mob ntsws, corticosteroids, diuretics, morphine, heparin, nicotine, cov tshuaj hormones kev loj hlob thiab calcium blockers tuaj yeem txo cov nyhuv hypotensive ntawm cov tshuaj.

Cov ntaub ntawv dav dav

Feem ntau, cov neeg yuav txaus siab rau Levemir Flekspen thiab cov qauv tshuaj tiv thaiv ntawm cov tshuaj no. Cov chaw tsim kev lag luam ntawm cov tshuaj lag luam muaj cov qhua tuaj noj mov ua cov tshuaj siv tshuaj ntxiv, Levemir Penfill. "Levemir Flekspen" yog tus cwj mem ywj pheej uas muaj daim laub thiab ib rab koob. Levemira Penfill yog ntawm kev muag khoom sawv cev los ntawm lub pob muag hloov uas tuaj yeem tso rau hauv tus cwj mem uas rov siv tau. Cov sib xyaw ua ke ntawm ob pob nyiaj yog tib yam, qhov tshuaj tsuas zoo ib yam, tsis muaj qhov sib txawv hauv txoj kev siv.

"Levemir Flekspen" yog ib tus cwj mem tshwj xeeb nrog cov ntawv ntim khoom hauv tsev. Cov yam ntxwv txheej txheem yog xws li hais tias nyob rau hauv ib tus txheej txheem ib tus neeg tau txais los ntawm ib mus rau 60 ib pawg ntawm cov tshuaj. Cov tshuaj hloov pauv tau nyob rau hauv nce ntxiv ntawm ib qho. Cov tshuaj no yog tsim nyog los tswj cov teeb meem ntshav insulin zoo. Nws pab tswj qhov xwm txheej tsis tas muab khi rau noj mov.

Muaj dab tsi sab hauv?

Txhawm rau kom nkag siab qhov Levemir analogues yog, koj yuav tsum paub tias cov tshuaj muaj li cas, vim hais tias thawj zaug thiab feem ntau xaiv cov analogues yog cov khoom uas nws cov khoom xyaw dhia zoo ib yam.

Levemir muaj insemir insulin. Qhov no yog tib neeg cov khoom lag luam, tso ua ke cov tshuaj tiv thaiv hormonal compound, tsim los siv cov kev cai caj ceg ntawm cov kab mob tshwj xeeb. Ib qho tshuaj milliliter muaj ib puas units, uas sib haum rau 14,2 mg. Ib pawg ntawm cov tshuaj yog zoo ib yam nrog ib chav ntawm cov tshuaj insulin uas tsim hauv tib neeg lub cev.

Puas muaj lwm yam?

Yog tias koj xa mus rau cov lus qhia rau kev siv Levemir analogues lossis cov tshuaj no nws tus kheej, koj tuaj yeem nrhiav pom tias cov tuam ntxhab feem ntau siv tsis tsuas yog cov tshuaj insulin, tab sis kuj muaj ntau yam khoom xyaw ntxiv. Lawv tsim nyog los txhim kho cov kev ua tiav ntawm cov tshuaj, muaj cov yam ntxwv sib xws. Los ntawm kev koom ua ke nrog cov khoom xyaw ntxiv, kev nyab xeeb ua kom zoo dua qub, cov nqaij mos ua kom zoo dua, thiab kev muaj peev xwm ntawm cov khoom tseem ceeb los khi rau cov ntshav plasma protein tsawg.

Ntxiv cov khoom xyaw ntxiv yog qhov xav tau. Txhua qhov kev sib xyaw hauv cov tshuaj muaj pes tsawg lub luag haujlwm yog qee yam ua tau zoo. Qee cov khoom xyaw xav tau txhawm rau txhim kho lub sijhawm, lwm tus muab cov cuab yeej tseem ceeb rau lub cev thiab tshuaj. Ua ntej siv, koj yuav tsum paub tseeb tias tus neeg mob tsis ua xua rau txhua yam khoom siv los ntawm cov neeg tsim khoom yog qhov tseem ceeb lossis pabcuam.

Hais txog kev xaiv thiab npe

Ua piv txwv rau Levemir, nws tsim nyog txiav txim siab siv tshuaj Lantus SoloStar. Cov tshuaj no tseem ntim rau hauv daim cartridges. Hauv nruab nrab, ib pob khoom ntawm qhov khoom noj no ntawm cov tshuaj hauv cov lus nug yog muaj nqis ib txhiab rubles ntau dua. Lantus SoloStar daim cartridges tau muab tso rau hauv cov koob txhaj tshuaj pleev ib ce ua tus cwj mem. Cov chaw tsim khoom ntawm cov khoom sib piv ntawm Levemira yog lub tuam txhab German Sanofi.

Tus yam tsis tshua muaj muag, koj tuaj yeem pom cov tshuaj "Lantus". Nws yog cov kua tshuaj uas muaj cov tshuaj insulin glargine. Cov tshuaj tau ntim rau hauv daim cartridges - hauv ib pob muaj tsib daim. Ntim - 3 ml. Ib milliliter muaj 100 units ntawm insulin. Hauv nruab nrab, cov nqi ntim tau ntau dua li tus nqi txiav txim siab "Levemire" los ntawm ib txhiab rubles.

Yav dhau los, cov khw muag tshuaj muab cov tshuaj "Ultratard XM." Niaj hnub no nws yog ob qho tib si tsis yog rau ntawm kev muag lossis nyuaj nyuaj nrhiav. Cov tshuaj yog nyob rau hauv daim ntawv ntawm hmoov rau qhov kev npaj ntawm txhaj tshuaj txhaj dej. Qhov ntsuas ntawm Levemir tau tsim los ntawm tib lub tuam txhab Novo Nordisk. Ib qho milliliter muaj 400 IU, thiab qhov ntim ntawm lub vial yog 10 ml.

Dab tsi ntxiv uas yuav tau xav txog?

Yog tias koj xav xaiv cov tshuaj analogue ntawm Levemir insulin, koj yuav tsum sab laj nrog kws kho mob. Hauv cov khw muag tshuaj, muaj ob peb yam tshuaj rau cov neeg uas mob ntshav qab zib, tab sis tsis tag nrho cov muaj feem siv tshwj xeeb. Qhov nruab nrab, tus nqi ntawm cov tshuaj no hauv cov chaw muag tshuaj niaj hnub yog kwv yees li 2,5 txhiab rubles, tab sis muaj ntau qhov chaw uas koj tuaj yeem yuav cov tshuaj pheej yig dua, muaj cov khw muag tshuaj nrog cov nqi siab dua. Thaum xaiv cov tshuaj analogue, ib qho yuav tsum tsis txhob suav rau qhov tseem tuaj yeem hloov cov tshuaj nrog cov txhais tau tias pheej yig heev. Txawm hais tias cov chaw muag tshuaj muaj ntau qhov analogues, lawv cov nqi feem ntau yog sib thooj rau cov tshuaj hauv nqe lus nug lossis tseem ceeb dua nws.

Ntxiv rau cov uas tau hais tseg yav tas los, cov tshuaj hauv qab no tuaj yeem suav tias yog tshuaj tua kab mob Levemir insulin:

• Aylar.
• Tresiba Flextach.
• Novorapid Flekspen.
• Novomix Flekspen.
• "Monodar ultralong."

Muaj qee kis, tus kws kho mob yuav qhia koj kom saib zoo rau cov tshuaj "Tozheo SoloStar." Kev hloov tus kheej ntawm kev noj tshuaj nrog lwm txoj hauv kev yog qhov tsis lees txais. Qhov no tuaj yeem ua rau muaj kev phiv rov qab, qhov muaj zog thiab cov yam ntxwv ntawm yam uas tsis tau lees paub.

Levemir. Cov Tshuaj Pharmacokinetics

Tag nrho cov yeeb yam ntawm kev ua haujlwm thiab siv tau ntawm tus twj muaj peev xwm pom nyob hauv cov ntaub ntawv xa nrog ua ke. Nws yuav tsum tau txiav txim siab kom nws thiaj li pom meej tias nws txawv li cas ntawm keeb kwm ntawm Levemir analogues. Qhov muaj pes tsawg leeg ntawm cov cuab yeej no, raws li tau hais los saum no, yog qhov nyuaj heev, thiab cov khoom tseem ceeb yog insulin detemir. Analogues ntawm cov tshuaj muaj cov tshuaj insulin, tab sis nyob rau lwm hom. Detemir insulin yog tshuaj tiv thaiv ntawm tib neeg lub cev. Nws muaj qhov nqaim ntawm qhov kev txiav txim. Cov tshuaj muaj txiaj ntsig zoo rau lub sijhawm ntev. Qhov tshwm sim qeeb ntawm kev tswj hwm tau piav qhia los ntawm kev sib koom tes molecular ywj siab ua.

Lub sijhawm ua haujlwm ntev yog vim qhov tshaj tawm tus kheej kev koom tes ntawm detemir insulin lwg me me ntawm qhov chaw txhaj tshuaj thiab qhov khi ntawm cov tshuaj molecules rau albumin los ntawm kev sib txuas nrog cov ntawv sib txuas. Ua tsaug rau qhov no, Cov tshuaj Levemir, uas muaj ntau qhov analogues, suav hais tias yog ib qho zoo tshaj plaws tiv thaiv keeb kwm ntawm lwm txoj, vim tias kev nqus ntawm cov tshuaj sib txuas tseem ceeb hauv cov ntshav qeeb. Phiaj nqaij cov nqaij thaum kawg tau txais cov ntau ntawm cov kua dej lawv xav tau, tab sis qhov no tsis tshwm sim tam sim ntawd, uas ua rau Levemir yog ib qho tshuaj muaj txiaj ntsig zoo dua thiab ntau dua li ntau lwm cov tshuaj insulin npaj. Cov txiaj ntsig sib xyaw ua ke, kev ntsuas, kev nqus yog cov ntsuas zoo.

Ntau lossis ob peb

Yuav kom ua tiav cov txiaj ntsig siab, koj yuav tsum siv cov tshuaj nyob hauv qhov tseeb.Cov lus qhia ntawm "Levemire" yuav tsum tsis muaj tsawg tshaj qhov tseeb ntawm qhov teeb meem no dua li cov tshuaj hauv nug. Cov qib siab zoo tshaj plaws, ntau zaus ntawm kev tswj hwm yog txiav txim los ntawm tus kws kho mob koom nrog.

Hauv nruab nrab, ib hnub, cov tshuaj siv hauv qhov nyiaj ntawm 0.3 PIECES rau txhua qhov hnyav ib phaus ntawm qhov hnyav nrog kev sib txawv ntawm ib feem kaum ntawm qhov loj thiab me dua. Kev ua tau zoo tshaj plaws yog ua tau tiav tau peb teev tom qab tau txais cov nyiaj, tab sis, tsis tshua muaj sijhawm, lub sijhawm tos yog 14 teev. Cov tshuaj yog muab rau tus neeg mob ib zaug lossis ob zaug ib hnub.

Thaum twg Levemir xav tau?

Zoo li cov tshuaj tiv thaiv zoo sib xws ntawm cov tshuaj, "Levemir" yog tshuaj rau kev mob ntshav qab zib. Cov tshuaj yog qhia rau ib qho insulin-dependant hom kab mob. Nws yog siv los kho tus neeg muaj hnub nyoog tshaj ob xyoos. Cov tshuaj ua tsis muaj lwm yam taw qhia.

Nws yog txwv tsis pub sau ntawv rau cov tshuaj yog tias ib tus neeg ib leeg tsis zam lub txim. Qhov no siv rau lub ntsiab - insulin, thiab cov khoom xyaw pabcuam. Cov neeg muaj hnub nyoog qis dua ob xyoos tsis raug sau los ntawm Levemir, vim tias tsis muaj ntaub ntawv hais txog kev ua haujlwm thiab kev cia siab ntawm kev siv pawg neeg mob no.

Puas tsim nyog siv?

Muaj ntau qhov kev txheeb xyuas me ntsis txog cov analogues ntawm Levemire, thiab tib neeg tsis tshua pom kev xav txog cov cuab yeej no nws tus kheej. Hauv ntau cov lus teb, tshwj xeeb mloog yog tsom rau tus nqi siab ntawm cov tshuaj. Txawm hais tias tus kws kho mob yuav qhia cov tshuaj rau coob tus neeg, tsis yog txhua tus neeg mob muaj nyiaj hauv tsev neeg uas tso cai rau lawv mus yuav cov tshuaj zoo li ntawd. Cov analogues saum toj no kuj tseem kim heev. Ntau ntawm lawv tseem kim heev dua li qhov tau xav los ntawm "Levemire", yog li ntawd lawv cov kev nkag mus tau rau cov pejxeem feem ntau qis dua.

Kawm cov ntawv txheeb xyuas, cov qauv duab, cov lus qhia rau kev siv Levemir ua ntej siv nws, koj tuaj yeem txiav txim siab yuav tshuaj los tsis siv. Feem ntau cov neeg mob uas tau noj cov tshuaj tau txaus siab nrog nws cov nyhuv. Tus kab mob ntshav qab zib yog nyob ntawm qhov tsis tuaj yeem kho mob, yog li tus kws kho mob tsim kho txoj kev kho raws li kev ua haujlwm ntev. Raws li, ib qho yuav tsum tsis txhob cia siab tias Levemir yuav kho ib tus neeg. Cov neeg uas nkag siab meej txog cov haujlwm tseem ceeb ntawm kev noj tshuaj (tswj hwm lub cev ib txwm ntawm tus neeg mob lub cev) feem ntau txaus siab rau kev siv tshuaj.

Kev siv raug

Thiab tag nrho cov Levemir analogues (hloov chaw) tau piav qhia saum toj no, thiab cov tshuaj no nws tus kheej xav tau tus neeg mob kom saib xyuas zoo li sai tau rau txoj kev tswj hwm tus txheej txheem. Cov tshuaj yog siv 1-2 zaug hauv ib hnub. Txo cov kev pheej hmoo ntawm nocturnal hypoglycemia, qhov thib ob yog muab rau thaum lub sijhawm noj mov dhau los lossis luv luv ua ntej mus pw.

Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob. Ua ntej, qee qhov nyiaj ntawm cov tshuaj raug txiav tawm, cov tshuaj tiv thaiv ntawm lub cev raug saib xyuas, tom qab ntawd cov ntawv ntim raug kho. Xaiv txoj cai txhaj rau thawj zaug sim yuav luag tsis pom. Yog tias cov ntshav qab zib muaj teeb meem los ntawm lwm cov kab mob, cov phiaj xwm kho tshuaj yuav raug kho. Nws yog nruj me ntsis txwv tsis pub rau nws tus kheej hloov cov tshuaj, hla lub koob tshuaj. Muaj qhov txaus ntshai ntawm kev tsis nco qab, retinopathy, neuropathy.

Hais txog lub nuances ntawm daim ntawv thov

Qee zaum tus kws kho mob tau sau ntawv tsuas yog Levemir, qee zaum ob peb tshuaj rau kev kho mob sib xyaw ua ke. Hauv kev kho mob ntau yam, Levemir feem ntau yog siv ib hnub ib zaug. Lub sijhawm ntawm kev tswjhwm ntawm cov tshuaj yog muab los xaiv tus neeg mob. Koj yuav tsum tswj cov tshuaj txhua hnub nruj me ntsis thaum tib lub sijhawm. Cov tshuaj yog txhaj nyob hauv qab daim tawv. Lwm cov kev siv yuav ua rau muaj kev mob hnyav. Hauv txoj hlab ntaws, hauv cov leeg nqaij, cov tshuaj yog txwv tsis pub siv. Cov tshuaj no tsuas yog siv hauv cov twj insulin. Cov chaw tsim khoom ntim cov khoom hauv cov cwj mem tshwj xeeb nrog rab koob, tsim qauv kom nws yooj yim rau kev tswj hwm cov tshuaj. Qhov ntev ntawm rab koob yog xaiv coj mus rau hauv tus account cov yam ntxwv ntawm kev siv.

Txhua qhov kev txhaj tshuaj tshiab yog ua tiav hauv thaj chaw tshiab, txwv tsis pub muaj kev pheej hmoo ntawm cov roj ntsha. Nkag mus rau lub cuab yeej hauv ib qho chaw, txhua zaus ib qho chaw pib tshiab raug xaiv. Nws yog qhov yooj yim tshaj plaws los qhia “Levemir” rau hauv lub xub pwg, lub pob tw, sab pem hauv ntej ntawm lub plab phab ntsa, hauv tus ncej puab. Koj tuaj yeem ua ib qho kev txhaj tshuaj nyob ze ntawm cov nqaij deltoid.

Mloog kom paub

Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum xyuas seb daim cartridge nyob sab hauv, seb lub piston puas nyob zoo. Qhov thaiv pom yuav tsum tsis pub ntev tshaj qhov dav dawb ntawm qhov chaws. Yog tias pom qhov txawv txav los ntawm daim qauv foos tau pom, nws yog qhov yuav tsum tau hu rau lub tsev muag tshuaj kom hloov daim ntawv theej tsis siv.

Tag nrho lub sijhawm ntawm kev kho mob yuav tsum tau kuaj xyuas cov ntshav qab zib siab kom siab.

Tam sim ntawd ua ntej kev qhia, kev ua haujlwm ntawm tus kov tau kuaj xyuas. Tshawb xyuas lub piston thiab lub thawv ntim ntawv, kos lub npe ntawm cov khoom. Qhov kev txhaj tshuaj twg yog ua nrog rab koob tshiab, txwv tsis pub muaj qhov pheej hmoo kis tus mob. Koj siv tsis tau cov tshuaj yog tias hnub tas sijhawm tau dhau sijhawm, txhua yam khoom puas, qhov kev daws yog pos huab, qhov siab ntawm cov piam thaj hauv cov ntshav qis dua li ib txwm. Tsis txhob ntim roj dua. Nws raug nquahu tias koj ib txwm muaj cov tshuaj ntxiv rau ntawm tes yog tias tus cwj mem uas tau siv dhau los ua qhov tsis zoo thaum lub sijhawm tswjhwm - qhov no yuav tshem tawm qhov tsis meej.

Cov kauj ruam ib kauj ruam cov lus qhia

Nws yog ib qho tsim nyog yuav tsum tau ua tib zoo siv tshuaj kom tsis pub plooj thiab khoov lub koob. Kev siv pib nrog kev tso tawm ntawm rab koob ntawm lub ntim tawm. Nws tau txuas rau daim ntaub qhwv. Yog tias muaj lub kaus mom kev nyab xeeb, nws raug tshem tawm. Sab sab hauv, tshem lub hau tiv thaiv thiab tshawb xyuas qhov khiav ntawm insulin. Xaiv txheej txheem 2 ntu. Cov koob txhaj ncaj qha nrog rab koob nce thiab lub taub ntim khi, yog li cov huab cua sau hauv ib lub npuas, nias tus tes tuav kom txog thaum tus xaiv txav mus rau qhov kev faib xoom thiab qhov poob ntawm cov khoom tshwm ntawm qhov taub ntawm rab koob. Koj tuaj yeem rov ua qhov txheej txheem tsis pub dhau rau lub sijhawm. Yog tias nws tsis tau ua tiav los npaj cov tshuaj rau cov tswj hwm, cov khoom lag luam pov tseg.

Tom qab ntsuas lub cev, tsim cov koob xav tau uas siv tus xaiv, thiab txhaj tshuaj rau hauv qab daim tawv nqaij. Txhawm rau nkag mus rau hauv rab koob, nias lub pob pib mus rau qhov kawg thiab tuav kom txog thaum qhov ntsuas qhov ntsuas tau txav mus rau qhov chaw xoom. Yog tias koj tsis nias tus xaiv nyob rau lub sijhawm lossis tig nws, qhov no yuav cuam tshuam cov kev taw qhia. Kev saib xyuas yuav tsum ua. Tom qab ua tiav cov lus qhia, ua tib zoo tshem tawm cov koob thaum tuav tus yuam sij pib. Siv lub hau, unscrew thiab pov tseg siv koob. Nws yog txwv tsis pub khaws cov pas nrig nrog rab koob xaim xaim, vim tias cov khoom yuav tuaj yeem tawm thiab yaig los ntawm ntim. Daim phwj yuav tsum ntxuav kom zoo. Lub caij nplooj zeeg ntawm ib qho khoom, raug ntaus rau nws ua rau cov khoom siv tsis raug.

Cov lus qhia tshwj xeeb

Levemir Flekspen yog cov tshuaj insulin ntev ntev uas tsis ua rau nce hauv lub cev qhov hnyav thiab tsis tshua pom qhov kev txhim kho hypoglycemia. Cov tshuaj tso cai rau koj los tswj cov concentration ntawm cov piam thaj hauv cov ntshav thiab tswj nws hauv qib siab.

Qhov tsis txaus cov tshuaj txhaj tiv thaiv kab mob ua rau muaj kev pheej hmoo ntawm hyperglycemia lossis ketoacidosis. Cov tsos mob ntawm tus mob pathological tshwm sim hauv ob peb hnub thiab pom los ntawm kev nqhis dej ntau dua, tso zis tsis tu ncua (tshwj xeeb tshaj yog thaum tsaus ntuj), nkees nkees, xeev siab, kiv taub hau, qhov ncauj qhuav thiab qab los noj mov. Nrog ketoacidosis, muaj qhov tsis hnov ​​tsw tsw ntawm acetone los ntawm lub qhov ncauj. Thaum tsis muaj kev pab kom zoo, kev pheej hmoo ntawm kev tuag kuj muaj ntau.

Tus kws kho mob sau ntawv rau Levemir yuav tsum qhia tus neeg mob txog qhov tshwm sim yuav tshwm sim thiab cov tsos mob ntawm hypo- thiab hyperglycemia.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov: thaum kis cov kab mob kis, xav tau cov tshuaj insulin nce siab, uas yuav tsum tau txhaj tshuaj ntau dua.

Nws yog nruj me ntsis txwv tsis pub tswj hwm cov tshuaj txhawm rau vim qhov muaj kev pheej hmoo siab ntshav qis. Nrog kev tswj hwm intramuscular, insulin yog nqus thiab pib ua haujlwm sai dua, yog li nco ntsoov xav txog qhov no ua ntej kev txhaj tshuaj.

Cov cai cia

Txhawm rau khaws cov chaw khaws tshuaj ntawm cov tshuaj, nws yog ib qho tseem ceeb kom paub meej txog kev khaws cia kom zoo. Ua cov tshuaj insulin hauv lub tub yees ntawm qhov kub ntawm +2 ... +8 ⁰С. Tsis txhob tso cov khoom ze rau cov khoom kub, khoom siv tshav kub (roj teeb, qhov cub, lub thawv cua sov) thiab tsis txhob khov.

Kaw tus cwj mem syringe tom qab siv txhua thiab khaws cia kom deb ntawm lub teeb ntawm qhov kub tsis tshaj +30 ⁰С. Tsis txhob tso cov tshuaj insulin thiab cov koob txhaj tshuaj kom ncav cuag cov menyuam.

Insulin Levemir Flekspen yog tsim los txhawb lub neej thiab kev noj qab haus huv ntawm cov neeg mob ntshav qab zib. Tus kws kho mob xaiv cov ntau npaum li cas hauv txhua kis, thiab tseem piav qhia txog qhov tshwm sim ntawm kev hloov pauv ywj siab lossis siv cov tshuaj tsis raug cai.

Analogs hauv kev muaj pes tsawg leeg thiab qhia txog kev siv

Cov npe saum toj no ntawm cov yeeb tshuaj analogues, uas qhia hloov chaw Levemir Penfill, yog qhov tsim nyog tshaj plaws vim tias lawv muaj tib cov tshuaj sib luag thiab sib luag ua ke raws li kev taw qhia rau kev siv

Sib txawv muaj pes tsawg leeg, tuaj yeem ua ke nyob rau hauv kev taw qhia thiab cov qauv ntawm daim ntawv thov

Yuav ua li cas thiaj nrhiav tau qhov pheej yig tshuaj ntawm cov tshuaj kim?

Txhawm rau kom pom qhov pheej yig cov khoom sib piv rau cov tshuaj, cov dav dav lossis cov lus sau, ua ntej txhua yam peb xav kom them sai sai rau qhov muaj pes tsawg leeg, uas yog rau tib cov tshuaj yeeb dej caw thiab qhia txog kev siv. Cov tshuaj sib xyaw zoo ib yam ntawm cov tshuaj yuav qhia tau tias cov tshuaj cuam tshuam nrog cov tshuaj, kws tshuaj sib npaug lossis chaw muag tshuaj. Txawm li cas los xij, tsis txhob hnov ​​qab txog qhov ua tsis muaj zog ntawm cov tshuaj uas zoo sib xws, uas tuaj yeem cuam tshuam kev nyab xeeb thiab ua haujlwm. Tsis txhob hnov ​​qab txog cov lus qhia ntawm cov kws kho mob, kev noj tshuaj rau nws tus kheej tuaj yeem tsim kev puas tsuaj rau koj kev noj qab haus huv, yog li nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv cov tshuaj.

Levemir Penfill qhia

LUS QHIA
ntawm kev siv cov tshuaj
Levemir Penfill

Daim ntawv tso tawm
Tshuaj Subcutaneous

Muaj pes tsawg leeg
1 ml muaj:
cov tshuaj ua kom muaj zog: insulin detemir - 100 PIECES (ib qho cartridge (3 ml) - 300 PIECES),
kev zam: glycerol, phenol, metacresol, zinc acetate, sodium hydrogen phosphate dihydrate, sodium chloride, hydrochloric acid los yog sodium hydroxide, dej rau kev txhaj tshuaj. Ib chav tsev ntawm insulin detemir muaj 0.142 mg ntawm cov ntsev tsis muaj tshuaj tua kab mob insulin. Ib koog ntawm insulin detemir (ED) sib raug rau ib koog ntawm tib neeg cov insulin (ME).

Ntim
5 daim cartridges (3 ml) rau ib pob.

Pharmacological kev txiav txim
Levemir Penfill yog ib tus neeg sawv cev hypoglycemic, ib qho mob ntawm cov neeg ua haujlwm ntev insulin. Cov tshuaj Levemir Penfill yog tsim los ntawm txoj kev kho kom zoo DNA biotechnology txoj kev siv hom Saccharomyces cerevisiae lim. Nws yog soluble basal analogue ntawm tib neeg cov tshuaj insulin ntev nrog kev ua ntawm lub tiaj tus kheej. Qhov kev txiav txim ntawm qhov tshuaj ntawm Levemir Penfill yog qhov tsawg dua li qhov sib txawv piv nrog isofan-insulin thiab insulin glargine. Lub sijhawm ua haujlwm ntev ntev ntawm cov tshuaj Levemir Penfill yog vim yog qhov tshaj tawm tus kheej kev koom tes ntawm detemir insulin lwg me me ntawm qhov chaw txhaj tshuaj thiab qhov khi ntawm cov tshuaj lwg me me rau albumin los ntawm kev siv ntawm cov sib txuas nrog ib sab fatty acid. Piv nrog isofan-insulin, detemir insulin xa mus rau lub hom phiaj peripheral qeeb dua. Cov kev sib koom ua ke ntawm kev faib khoom ncua tau muab ntau qhov ua kom rov qab nqus tau thiab ua haujlwm ntawm Levemir Penfill piv nrog isofan-insulin. Nws cuam tshuam nrog kev lees paub tshwj xeeb rau sab nraud cytoplasmic membrane ntawm cov hlwb thiab tsim cov txheej txheem insulin-receptor complex uas txhawb cov txheej txheem intracellular, suav nrog cov synthesis ntawm ntau cov enzymes (hexokinase, pyruvate kinase, glycogen synthetase, thiab lwm yam). Qhov kev txo qis hauv cov ntshav qab zib yog vim muaj kev nce ntxiv hauv nws txoj kev thauj mus los ntawm qhov tsis txaus, nce siab los ntawm cov ntaub so ntswg, txhawb kev lipogenesis, glycogenogenesis, qhov txo qis ntawm cov piam thaj ntau dhau los ntawm lub siab, thiab lwm yam. -4 xuaj moos rau 14 teev tom qab kev tswj hwm. Lub sijhawm tiv thaiv yog txog li 24 teev, nyob ntawm seb lub koob tshuaj, uas yog qhia qhov muaj peev xwm ntawm ib leeg thiab ob zaug kev tswj hwm ib hnub. Tom qab kev coj ua subcutaneous, qhov lus teb pharmacodynamic tau faib rau cov koob tshuaj uas tau siv (cov txiaj ntsig siab tshaj plaws, sijhawm ua haujlwm, cov nyhuv dav dav). Kev tshawb nrhiav ntev ntev tau pom tias muaj cov txiaj ntsig ntshav tsawg nyob hauv ntshav ntshav ntshav ntau hauv cov neeg mob kho nrog Levemir Penfill, uas tsis txaus siab rau isofan-insulin.

Cov Khoom Qhia
Mob ntshav qab zib mellitus.

Cov Yuav Tsum Muaj
Kom ib tug neeg rhiab rau insulin detemir lossis ib feem ntawm cov tshuaj. Nws tsis raug nquahu kom siv cov tshuaj Levemir Penfill hauv cov menyuam yaus hnub nyoog qis dua 6 xyoo, vim tias kev tshawb fawb soj ntsuam hauv cov menyuam yaus hnub nyoog qis dua 6 xyoo tsis tau ua.

Tsuas tshuaj thiab tswj hwm
Levemir Penfill yog npaj rau kev tswj hwm subcutaneous. Qhov ntau thiab tsawg zaus ntawm kev tswj hwm ntawm cov tshuaj Levemir Penfill tau txiav txim siab ntawm tus kheej hauv txhua kis. Kev Kho Mob nrog Levemir Penfill nrog rau cov tshuaj hypoglycemic hauv qhov ncauj pom zoo kom pib ib zaug ib hnub nyob rau ntawm 10 koob PIECES lossis 0.1-0.2 PIECES / kg. Cov koob tshuaj ntawm Levemir Penfill yuav tsum tau xaiv ib tus zuj zus raws li qhov ntsuas ntawm ntshav ntshav qab zib. Yog tias Levemir Penfill siv ua ib feem ntawm cov txheej txheem pib bolus, nws yuav tsum tau siv tshuaj 1 lossis 2 zaug ib hnub raws li tus neeg mob xav tau. Cov neeg mob uas xav tau siv cov tshuaj ib hnub ob zaug txhawm rau tswj tau lawv tus mob glycemia ntau tuaj yeem muab tshuaj rau yav tsaus ntuj tsis hais thaum noj hmo, lossis ua ntej mus pw, lossis 12 teev tom qab noj thaum sawv ntxov. Levemir Penfill tau txhaj rau hauv tus ncej puab sab xub ntiag, sab nraub qaum ntsa lossis xub pwg.Qhov chaw txhaj tshuaj yuav tsum tau hloov txawm tias thaum nkag mus rau thaj chaw qub.
Koob tshuaj hloov kho
Ib yam li lwm cov insulins, cov neeg laus thiab cov neeg mob lub raum lossis hepatic tsis txaus yuav tsum tau saib xyuas cov kua nplaum hauv cov ntshav ntau dua thiab kho cov tshuaj insemir insulin ib leeg zuj zus. Kev hloov koob tshuaj kuj tseem ceeb thaum txhim kho tus neeg mob lub cev kev ua si, hloov nws kev noj zaub mov li qub, lossis nrog lub zog tsis xis nyob.
Hloov tsheb los ntawm lwm yam tshuaj insulin
Hloov los ntawm nruab nrab ua yeeb yam insulins thiab ntev li insulin mus rau Levemir Penfill yuav xav tau koob tshuaj thiab lub sijhawm hloov kho. Ib yam li lwm cov tshuaj insulin, ua tib zoo saib xyuas ntshav qabzib ntau thaum hloov pauv thiab hauv thawj lub lis piam ntawm cov tshuaj tshiab tau raug pom zoo. Yuav tsum kho cov tshuaj hypoglycemic los kho (koob thiab lub sij hawm ntawm cov thawj coj ntawm cov tshuaj insulin luv luv los yog cov tshuaj ntawm qhov ncauj hypoglycemic) yuav tsum tau ua.

Cev xeeb tub thiab lactation
Cov kev mus kuaj mob nrog Levemir Penfill thaum cev xeeb tub thiab kev pub niam mis yog txwv. Txoj kev tshawb no ntawm kev ua me nyuam muaj nuj nqi hauv cov tsiaj tsis tau qhia tawm qhov sib txawv ntawm insulin detemir thiab tib neeg cov insulin nyob rau hauv cov lus ntawm embryotoxicity thiab teratogenicity. Feem ntau, ua tib zoo saib xyuas cov poj niam cev xeeb tub uas muaj ntshav qab zib thaum lub sijhawm tag nrho cev xeeb tub, nrog rau kev npaj thaum cev xeeb tub, yog qhov tsim nyog. Qhov kev xav tau rau insulin hauv thawj peb lub hlis thaum cev xeeb tub feem ntau poob qis, tom qab ntawd zaum ob thiab peb feem plaub nws nce ntxiv. Tsis ntev tom qab yug los, xav tau cov tshuaj insulin sai sai rau qib uas yog ua ntej cev xeeb tub. Hauv cov pojniam muaj menyuam, kev txhaj tshuaj thiab noj zaub mov kom haum.

Sab sij huam
Cov kev phiv tshuaj pom nyob rau hauv cov neeg mob uas siv cov tshuaj Levemir Penfill yog feem ntau koob tshuaj thiab tsim kho vim yog cov txiaj ntsig pharmacological ntawm cov tshuaj insulin. Kev mob ntshav qab zib feem ntau yog cov kev mob tshwm sim feem ntau. Kev mob ntshav qab zib yog nce zuj zus yog tias noj tshuaj ntau dhau yog siv rau ntawm lub cev xav tau cov tshuaj insulin. Los ntawm cov kev tshawb fawb hauv chaw kho mob nws tau paub tias mob ntshav qab zib ntau yam uas yuav tsum muaj kev cuam tshuam ntawm cov neeg thib peb hauv kwv yees li 6% ntawm cov neeg mob tau txais Levemir Penfill. Cov tshuaj tiv thaiv ntawm qhov chaw txhaj tshuaj tuaj yeem pom ntau zaus nrog kev kho mob Levemir Penfill dua li nrog kev qhia txog tib neeg ntawm insulin. Cov kev cuam tshuam no suav nrog liab, o, ua pob, ua pob, thiab khaus ntawm qhov chaw txhaj tshuaj. Feem ntau qhov tshwm sim ntawm qhov chaw txhaj tshuaj yog qhov me me thiab ib ntus ntawm qhov xwm txheej, i.e. ploj nrog kev kho mob txuas mus ob peb hnub mus rau ntau lub lis piam. Qhov feem ntawm cov neeg mob uas tau txais kev kho mob thiab uas cia siab tias yuav muaj kev mob tshwm sim yog kwv yees li 12%. Qhov tshwm sim ntawm cov kev mob tshwm sim, uas feem ntau kwv yees muaj feem cuam tshuam nrog Levemir Penfill thaum kuaj mob, tau hais hauv qab no.
Kev noj haus hauv lub cev thiab zaub mov tsis haum: ntau dhau - Muaj Hypoglycemia. Cov tsos mob ntawm tus mob ntshav qab zib feem ntau pib dheev. Cov no suav nrog "tawm hws txias", pallor ntawm daim tawv nqaij, ua rau qaug zog, tshee lossis tshee tshee, ntxhov siab, nkees nkees lossis tsis muaj zog, tsis meej pem, qis zuj zus, nkees nkees, tshaib plab, tsis pom kev, mob taub hau, xeev siab. Kev mob ntshav nce siab ntau tuaj yeem ua rau tsis nco qab thiab / lossis rov huam, ib ntus lossis tsis tuaj yeem ua haujlwm ntawm lub hlwb kev ua haujlwm, txawm tias tuag.
Kev cuam tshuam dav dav thiab qhov tshwm sim ntawm qhov chaw txhaj tshuaj: ntau heev - liab liab, o thiab khaus ntawm qhov chaw txhaj tshuaj. Cov kev mob no feem ntau yog ib ntus thiab ploj nrog kev kho mob txuas ntxiv.
Tsis tshua muaj - Lipodystrophy. Nws tuaj yeem txhim kho ntawm qhov chaw txhaj tshuaj uas ua rau tsis ua raws li txoj cai ntawm kev hloov pauv chaw nyob hauv tib thaj chaw.
Edema tuaj yeem tshwm sim nyob rau theem pib ntawm kev siv tshuaj insulin. Cov tsos mob no feem ntau yog ib ntus.
Kev tiv thaiv kab mob hauv lub cev: tsis tshua muaj - kev ua xua, urticaria, tawv nqaij ua pob. Cov tsos mob zoo li no yuav pib loj tuaj vim yog qhov ua kom txo qis. Lwm yam cim ntawm qhov ua rau lub siab tag nrho yuav suav nrog ua kom khaus, tawm hws, mob plab zom mov, mob caj dab, ua pa nyuaj, ua rau lub plab, thiab ntshav siab. Generalized hypersensitivity tshua (anaphylactic kev coj ua) yog qhov muaj feem yuav txo tau txoj sia.
Pom kev tsis txaus ntseeg: tsis tshua pom - hnov ​​lus tsis zoo, mob ntshav qab zib retinopathy.
Kev tsis sib haum xeeb ntawm lub paj hlwb: tsis tshua muaj heev - nruab nrab cov leeg hlwb.

Cov lus qhia tshwj xeeb
Levemir Penfill yog soluble basal insulin analogue nrog lub tiaj thiab qhov kev xav tau kev ua ub no profile nrog lub zog ntev.
Tsis zoo li lwm yam insulins, kev kho mob hnyav nrog Levemir Penfill tsis ua rau nce hauv lub cev qhov hnyav. Txoj kev pheej hmoo qis ntawm nocturnal hypoglycemia piv rau lwm cov insulins tso cai rau kev xaiv cov tshuaj ntau dua kom ua tiav cov ntshav qabzib. Levemir Penfill muab cov kev tswj zoo glycemic (raws li kev ntsuas ntshav ceev ntshav qab zib) piv nrog isofan-insulin. Qhov tsis txaus noj ntawm cov tshuaj lossis kev txiav tawm ntawm kev kho mob, tshwj xeeb tshaj yog nrog hom 1 mob ntshav qab zib mellitus, tuaj yeem ua rau kev loj hlob ntawm hyperglycemia lossis ntshav qab zib ketoacidosis. Raws li txoj cai, thawj cov tsos mob ntawm hyperglycemia tshwm sim maj, dhau ob peb teev lossis hnub. Cov tsos mob no suav nrog kev nqhis dej, tso zis sai, xeev siab, ntuav, nkees, liab thiab tawv nqaij ntawm daim tawv nqaij, qhov ncauj qhuav, tsis qab los noj mov, tsw ntxhiab tsw ntxhiab ntawm cov acetone hauv kev ua pa. Ntawm hom 1 mob ntshav qab zib mellitus, tsis muaj kev kho mob uas tsim nyog, hyperglycemia ua rau kev txhim kho mob ntshav qab zib ketoacidosis thiab tuaj yeem ua rau tuag taus. Hypoglycemia tuaj yeem tsim kho yog tias qhov koob tshuaj insulin ntau dhau rau qhov xav tau ntawm insulin, nrog kev noj zaub mov noj lossis ua kom lub cev qoj ib ce tsis zoo. Tom qab them nyiaj rau cov pluas noj carbohydrate, piv txwv li, nrog kev siv tshuaj insulin ntau dua, cov neeg mob yuav muaj cov tsos mob tshwm sim ua ntej ntawm hypoglycemia, uas cov neeg mob yuav tsum tau qhia txog. Cov paib ceeb toom ib txwm yuav ploj thaum muaj ntshav qab zib ntev. Cov kab mob tsis haum, tshwj xeeb tshaj yog kis thiab nrog kub taub hau, feem ntau ua rau lub cev xav tau cov tshuaj insulin. Hloov chaw ntawm tus neeg mob mus rau ib hom tshiab lossis kev npaj tshuaj insulin ntawm lwm qhov chaw tsim khoom yuav tsum muaj nyob rau hauv kev saib xyuas mob nkeeg nruj. Yog tias koj hloov lub siab, cov chaw tsim khoom, hom, hom (tsiaj, tib neeg, analogues ntawm tib neeg cov tshuaj insulin) thiab / los yog cov qauv ntawm nws cov khoom siv (tsim kho los yog cov tshuaj insulin ntawm cov tsiaj keeb kwm), yuav tsum tau txhaj tshuaj kho. Cov neeg mob ntawm kev kho mob nrog Levemir Penfill yuav xav hloov pauv cov koob tshuaj piv rau cov koob tshuaj ntawm kev siv tshuaj insulin uas tau siv yav dhau los. Qhov xav tau koob tshuaj yuav tau hloov tom qab qhia thawj koob los sis thawj ob peb lub lis piam los yog lub hlis. Ib yam li lwm yam kev kho mob insulin, kev hloov pauv tuaj yeem tshwm sim ntawm qhov chaw txhaj tshuaj, uas pom los ntawm qhov mob, khaus, ua xua, o, thiab o. Hloov chaw txhaj tshuaj nyob hauv tib thaj av ib puag ncig tuaj yeem txo cov tsos mob lossis tiv thaiv kev txhim kho ntawm cov tshuaj tiv thaiv. Cov kev tawm tsam feem ntau ploj li ntawm ob peb hnub mus rau ntau lub lis piam. Tsawg tsawg zaus, qhov tshwm sim ntawm qhov chaw txhaj tshuaj yuav tsum tsis muaj kev kho mob. Levemir Penfill yuav tsum tsis txhob muab rau cov leeg ntshav, vim tias qhov no tuaj yeem ua rau mob ntshav qab zib tsis txaus. Intramuscular nqus tau tshwm sim sai dua thiab mus rau ntau dua piv nrog kev tswj hwm subcutaneous. Yog tias Levemir Penfill sib xyaw nrog lwm cov tshuaj insulin, cov profile ntawm ib lossis ob qho sib xyaw yuav hloov. Kev sib xyaw Levemir Penfill nrog kev siv tshuaj tua kab mob sai sai, xws li insulin aspart, ua rau cov yeeb yam kev ua haujlwm nrog txo qis thiab qeeb tshaj plaws uas siv piv nrog lawv cov kev tswj hwm cais. Levemir Penfill tsis yog siv rau kev siv tshuaj pleev insulin.

Cawv rau ntawm kev muaj peev xwm tsav lub tsheb thiab ua haujlwm nrog cov tshuab
Lub peev xwm ntawm cov neeg mob kom pom tseeb thiab qhov tshuaj tiv thaiv yuav ua rau lub sijhawm tsis muaj ntshav qab zib thiab hyperglycemia, uas tuaj yeem ua rau muaj xwm txheej nyob rau hauv cov xwm txheej uas cov peev xwm no tsim nyog tshwj xeeb (piv txwv li, thaum tsav tsheb lossis ua haujlwm nrog cov tshuab thiab tshuab). Cov neeg mob yuav tsum tau qhia rau kev ntsuas kom tiv thaiv kev txhim kho hypoglycemia thiab hyperglycemia thaum tsav tsheb thiab ua haujlwm nrog cov txheej txheem. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas tsis muaj los yog ploj zuj zus ntawm cov tshwm sim ntawm kev muaj ntshav qab zib lossis kev txom nyem los ntawm kev pheej muaj ntshav tsis txaus. Hauv cov xwm txheej no, kev tsim nyog ntawm kev tsav tsheb los yog kev ua haujlwm zoo li no yuav tsum raug txiav txim siab.

Yeeb tshuaj sib cuam tshuam
Muaj ntau tus yeeb tshuaj uas cuam tshuam rau kev xav tau cov tshuaj insulin. Hypoglycemic nyhuv ntawm insulin txhim khu qhov ncauj hypoglycemic agents, monoamine oxidase inhibitors, angiotensin converting enzyme inhibitors, carbonic anhydrase inhibitors, xim beta-blockers, bromocriptine, sulfonamides, anabolic steroids, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, cyclophosphamide, fenfluramine, lithium, tshuaj muaj ethanol. Cov nyhuv hypoglycemic ntawm insulin tsis muaj zog los ntawm kev tiv thaiv qhov ncauj, glucocorticosteroids, iodine-muaj cov thyroid hormones, somatropin, thiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, danazole, clonidine, blockers ntawm "qeeb" calcium channels, morphinin diazin, diacine, diacine, diacine, diacine ob qho tib si qaug zog thiab txhim kho kev txiav txim ntawm cov tshuaj. Octreotide / lanreotide tuaj yeem nce ntxiv thiab txo qis qhov xav tau ntawm lub cev. Beta-blockers tuaj yeem npog cov tsos mob ntawm kev mob ntshav qab zib thiab ncua sijhawm rov qab tom qab muaj ntshav qog ntshav qab zib. Cov cawv yuav pab txhim kho thiab ua kom ntev li ntawm cov nyhuv hypoglycemic ntawm insulin. Qee cov tshuaj, piv txwv li, muaj cov thiol lossis sulfite pawg, thaum ntxiv rau cov tshuaj Levemir Penfill, tuaj yeem ua rau kev puas tsuaj ntawm insulin detemir. Levemir Penfill yuav tsum tsis txhob ntxiv rau kev daws teeb meem.

Noj ntau dhau
Ib koob tshuaj tshwj xeeb xav tau rau kev txhaj tshuaj ntau dhau ntawm cov tshuaj insulin tsis tau tsim, tab sis ntshav qab zib ntshav qab zib muaj peev xwm nce qeeb zuj zus yog tias qhov tshuaj txhaj ntau dhau rau cov neeg mob tshwj xeeb.
Kev Kho Mob: tus neeg mob tuaj yeem tshem tawm qhov mob ntshav qab zib tsawg los ntawm kev noj cov piam thaj, qab zib lossis zaub mov carbohydrate. Yog li, nws pom zoo rau cov neeg mob ntshav qab zib kom noj qab zib tas li, cov khoom qab zib, ncuav qab zib lossis kua txiv qab zib.
Thaum muaj mob ntshav qab zib ntau, thaum tus neeg mob tsis nco qab lawm, 0.5 mus rau 1 mg ntawm glucagon yuav tsum tau txhaj tshuaj intramuscularly lossis subcutaneously (tuaj yeem ua haujlwm los ntawm tus neeg kawm tiav) lossis tso ntshav tshuaj kho dextrose (qabzib) (tsuas yog tus kws kho mob thiaj nkag tau). Nws kuj yog qhov tseem ceeb rau kev tswj hwm dextrose txhaj tshuaj yog tias tus neeg mob tsis rov qab nco qab 10-15 feeb tom qab kev tswj hwm ntawm glucagon. Tom qab nws rov qab nco qab, tus neeg mob tau qhia kom noj cov khoom noj uas muaj cov khoom noj carbohydrate kom tiv thaiv kom tsis txhob mob ntxiv ntshav qab zib.

Cia rau cov neeg mob
Khaws ntawm qhov kub ntawm 2 ° C txog 8 ° C (hauv tub yees), tab sis tsis txhob nyob ze ntawm lub taub yees txias. Tsis khov.
Muab cia rau hauv thawv ntawv thawv los tiv thaiv los ntawm qhov pom kev, kom tsis ncav cov menyuam.
Rau cov ntawv sau qhib: nws tsis pom zoo kom muab cia rau hauv tub yees. Khaws rau 6 lub lis piam ntawm qhov kub tsis tshaj 30 ° C.

Hnub tas sij hawm
30 hli