Kev siv tshuaj ntshav siab yog tsim rau cov ntshav qab zib. Kev kho tshuaj Insulin tso cai rau koj kho koj cov ntshav qab zib. Cov tshuaj pab pawg no suav nrog Insuman Rapid GT.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Soluble insulin (tib neeg kev paub txog engineering).
ATX
A10AB01.
Tso cov ntawv thiab cov nyob ua ke
Kev daws yog muaj nyob rau hauv vials lossis cartridges. Ntim nrog Solostar pov tseg injector yog tau ua tiav.
Cov nquag ua yeeb yam hauv cov kua yog tib neeg lub cev. Qhov concentration ntawm kev daws yog 3.571 mg, lossis 100 IU / 1 ml.
Txoj kev daws teeb meem muaj nyob rau hauv lub raj mis los yog daim cartridges, muag ntim nrog Solostar uas siv cov tshuaj pov tseg.
Pharmacological kev txiav txim
Cov tshuaj insulin hauv cov tshuaj yog synthesized siv biotechnologies hauv kev ua haujlwm ntawm kev tshuaj ntsuam genetic engineering. Insulin muaj cov qauv zoo ib yam rau tib neeg.
Cov nyhuv pharmacological yog hais los ntawm txo qis hauv qabzib. Muaj ib qho tshwm sim qeeb ntawm cov txheej txheem raug puas tsuaj, ua haujlwm nrawm nrawm anabolic. Cov tshuaj txhawb kev thauj mus los ntawm cov piam thaj mus rau hauv qhov chaw tso siab, tsub zuj zuj ntawm cov glycogen carbohydrate nyob rau hauv cov leeg nqaij thiab lub siab. Kev tsim tawm ntawm pyruvic acid los ntawm lub cev txhim kho. Tawm tsam cov keeb kwm yav dhau los no, kev tsim cov piam thaj los ntawm glycogen, ntxiv rau los ntawm cov lwg me me ntawm lwm cov organic sib txuas, maj mam poob.
Lub tshuab ntawm kev txiav txim yog tus cwj pwm los ntawm kev nce hauv cov metabolism hauv cov piam thaj rau cov roj ntsha thiab txo qis hauv lipolysis.
Kev faib tawm ntawm cov amino acids thiab potassium nyob rau hauv lub hlwb, cov protein metabolism zoo dua.
Cov Tshuaj Pharmacokinetics
Nrog kev tswj hwm ntawm subcutaneous, qhov pib ntawm cov nyhuv yog pom nyob hauv ib nrab ib teev. Qhov siab tshaj plaws tau kav ntev li ntawm 1 txog 4 teev. Tas nrho lub sijhawm kho cov nyhuv yog los ntawm 7 txog 9 teev.
Ntev lossis luv
Cov tshuaj yeeb dej caw yog tus cwj pwm los ntawm lub sijhawm luv luv ntawm cov nyhuv.
Insuman Rapid GT yog ib qho tshuaj hypoglycemic rau tshuaj kho ntshav qab zib.
Kev ntsuas rau siv
Tus Kws Tshuaj:
- tshuaj tua kab mob;
- kev tshwm sim ntawm cov mob ntshav qab zib.
Nws siv nyob rau hnub ua ntej thiab thaum phais mob, thaum kho kom rov zoo li qub kom tau tswj cov nyiaj metabolic.
Cov Yuav Tsum Muaj
Cov ncauj lus rau kev kho yog hypoglycemia thiab intolerance mus rau cov tshuaj.
Ua tib zoo siv nyob rau hauv rooj plaub xws li:
- Plaws thiab lub siab ua haujlwm.
- Nqaim ntawm cov hlab ntsha ntawm lub hlwb thiab myocardium.
- Muaj hnub nyoog tshaj 65 xyoos.
- Coob tshaj plaws li koob hmoov.
Nrog rau cov kab mob koom nrog kev huam yuaj, kev xav tau cov tshuaj insulin tuaj yeem nce ntxiv, yog li kev siv cov tshuaj kuj tseem yuav tsum ceev faj.
Yuav ua li cas coj Insuman Rapid GT
Txoj kev daws teeb meem yog npaj rau kev ua dej num thiab ntu hauv av. Tsis muaj ib qho kev tswj hwm qhov tshuaj ntawm cov tshuaj. Txoj kev kho yuav tsum yog kho los ntawm tus kws kho mob. Cov neeg mob sib txawv muaj ntau qib sib txawv ntawm cov piam thaj uas tsim nyog los tswj, yog li ntawd, cov tshuaj thiab cov txheej txheem kev kho mob tau muab xam rau tus kheej. Tus kws kho mob uas tau mus koom yuav suav nrog tus neeg mob lub cev kev ua si thiab cov yam ntxwv noj haus.
Qhov yuav tsum tau hloov qhov tshuaj ntau npaum li cas yuav tshwm sim hauv qee kis:
- Thaum hloov cov tshuaj nrog lwm hom insulin.
- Nrog rau kev nkag siab zoo ntxiv rau cov tshuaj vim tias txhim kho cov zom zaub mov tswj tau zoo.
- Thaum poob lossis nce phaus ntxiv los ntawm tus neeg mob.
- Thaum kho cov khoom noj khoom haus, hloov qhov sib zog ntawm lub nra.
Kev ncaj qha txoj kev tswj hwm yog nqa tawm hauv tsev kho mob, raws li cov kev mob tseem ceeb rau kev saib xyuas tus neeg mob lub sijhawm.
Subcutaneous kev tswj hwm yog qhov tob. Nws raug nquahu kom ua qhov txheej txheem 15 lossis 20 feeb ua ntej noj mov. Nws yog ib qho tsim nyog yuav tau hloov qhov chaw txhaj tshuaj nrog txhua qhov kev txhaj tshuaj. Txawm li cas los xij, nyob ntawm thaj tsam ntawm kev tswj hwm kev daws teeb meem, pharmacokinetics ntawm cov tshuaj yuav hloov pauv, yog li kev hloov thaj tsam ntawm kev tswj hwm yuav tsum pom zoo nrog tus kws kho mob.
Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov muaj lub hau. Qhov no qhia tau hais tias kev ncaj ncees ntawm lub thawm. Tsis muaj cov xaim yuav tsum muaj nyob hauv cov tshuaj, cov kua yuav tsum yog pob tshab.
Cov hauv qab no yuav tsum tau txiav txim siab:
- Thaum siv txoj hauv kev daws teeb meem, siv cov kua yas uas haum.
- Ua ntej, huab cua sau nyob rau hauv lub taub dej, qhov ntau npaum li cas ntawm qhov sib npaug ntawm cov tshuaj. Nkag mus rau hauv qhov chaw khoob hauv lub raj mis. Lub peev xwm yog muab tig. Txheej txheej ntawm kev daws teeb meem yog nqa tawm. Yuav tsum tsis muaj cua npuas ntxiv rau hauv cov koob txhaj tshuaj. Maj mam nkag mus rau kev daws rau hauv daim tawv nqaij quav tsim los ntawm cov ntiv tes.
- Ntawm daim ntawv lo koj yuav tsum muaj hnub tim thaum thawj qhov kev xav tau tshuaj.
- Thaum siv daim cartridges, yuav tsum siv cov tshuaj txhaj (koob txhaj tshuaj).
- Daim cartridge raug pom zoo kom muab sab laug ntawm chav sov li 1 lossis 2 teev, raws li qhia txog muab cov khoom ua kom chilled mob. Ua ntej kev txhaj tshuaj, tshem cov huab cua seem.
- Lub ntim roj ntim tsis tau ntxiv.
- Nrog tus cwj mem tsis ua hauj lwm, cov koob txhaj tshuaj haum yog tso cai.
Kev ncaj qha txoj kev tswj hwm yog nqa tawm hauv tsev kho mob, raws li cov kev mob tseem ceeb rau kev saib xyuas tus neeg mob lub sijhawm.
Qhov seem ntawm seem ntawm lwm cov tshuaj hauv koob txhaj tshuaj yog qhov tsis lees txais.
Kev Phiv Phom Kab Mob Insuman Rapid GT
Qhov tshwm sim ib txwm cuam tshuam yog qhov tseem ceeb txo cov piam thaj hauv qab no. Feem ntau, tus mob yuav pib txhim kho thaum cov koob tshuaj insulin tsis ua raws li. Ntau ntu rov qab npau taws tsim kev loj hlob ntawm cov leeg hlwb. Cov qauv mob hnyav uas tsis txaus ntseeg, nrog rau cov kev tawm tsam, qhov tsis zoo ntawm kev txav thiab ua kom tsis nco qab, yog qhov txaus ntshai rau tus neeg mob lub neej. Hauv cov rooj plaub no, yuav tsum tau pw hauv tsev kho mob.
Raws li kev saib xyuas ntawm cov neeg ua haujlwm kho mob, cov tsos mob tau nres los ntawm kev siv cov tshuaj uas muaj zog ntawm dextrose lossis glucagon. Cov cim tseem ceeb ntawm cov teeb meem hauv metabolic, electrolyte tshuav thiab acid-base ratio yog sau. Qib ntawm glycosylated hemoglobin yog saib xyuas.
Phenomena tshwm sim los ntawm kev txo qis qab zib hauv cov tshuaj ntawm lub hlwb yuav ua ntej los ntawm kev tshwm sim ntawm reflex kev ua haujlwm ntawm ib feem ntawm cov leeg hlwb. Kev poob qis hauv cov ntshav hauv lub ntsej muag tuaj yeem cuam tshuam qhov kev ua ntawm cov poov tshuaj, ua rau hypokalemia thiab ceema.
Ntshav siab yuav poob qis.
Ntawm ib feem ntawm cov plab hnyuv siab raum ntawm lub zeem muag
Tshaj tawm ntawm kev hloov pauv hauv glycemic tswj tuaj yeem ua rau muaj kev ntxhov siab ib ntus ntawm cov xovtooj ntawm lub ntsej muag ntawm lub lens ntawm lub qhov muag, qhov hloov pauv ntawm qhov ntsuas qhov ntsuas rov qab. Qhov kev hloov pauv ntawm qhov ntsuas qhov tseeb vim qhov nce ntawm qhov siv ntau ntawm kev kho yuav nrog los ntawm kev cuam tshuam ib ntus hauv cov xwm txheej ntawm retinopathy.
Hauv cov ntshav qog ntshav qab zib nrog kev loj hlob ntawm lub hlwb retinopathy, kev puas tsuaj rau retina lossis cov hlab qhov muag ntawm qhov hloov chaw yog tau.
Hematopoietic plab hnyuv siab raum
Qee lub sijhawm thaum kho tshuaj, tshuaj tiv thaiv kom tiv thaiv cov kab mob yuav pib tsim. Hauv qhov no, kev hloov kho ntau yog tsim nyog.
Ntawm ib sab ntawm daim tawv nqaij
Ntawm qhov chaw txhaj tshuaj, nws muaj peev xwm txhim kho pathologies ntawm adipose ntaub so ntswg, txo qis hauv kev nqus ntawm cov tshuaj hauv zos.
Cov khaus khaus, mob, liab, khaus, o lossis o tuaj yeem tshwm sim hauv cheeb tsam txhaj tshuaj.
Los ntawm ib sab ntawm cov metabolism
Muaj peev xwm cuam tshuam ntawm sodium metabolism, nws qeeb hauv lub cev thiab cov tsos ntawm edema.
Kev ua xua
Cov tshuaj tiv thaiv tawv nqaij, bronchospasm, angioedema, lossis anaphylactic poob siab yog tau.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Teeb meem ntawm kev kho mob tuaj yeem ua rau tsis hnov qab ntawm lub siab, qhov qis ntawm cov tshuaj tiv thaiv. Qhov no tuaj yeem txaus ntshai thaum tsav tsheb tshuab thiab tsheb.
Cov lus qhia tshwj xeeb
Tsis tuaj yeem siv hauv cov twj tso nrog silicone tubing.
Siv rau lub sijhawm qub
Hauv cov neeg mob tom qab 65 xyoo, lub raum ua haujlwm tsawg dua. Qhov no ua rau txo qis hauv yuav tsum tau siv cov tshuaj insulin.
Txiag tej menyuam
Thaum kho cov menyuam yaus, kev xaiv ceev faj ntawm tsuas tshuaj yog nqa tawm, vim tias qhov xav tau cov tshuaj insulin qis dua li cov neeg laus siv. Txhawm rau tiv thaiv kev txhim kho ntawm kev mob ntshav tawm heev, cov kua nplaum saib xyuas.
Siv thaum cev xeeb tub thiab lactation
Thaum cev xeeb tub thiab tom qab yug menyuam, kev kho mob tsis nres. Yuav tsum kho cov kev kho mob thiab muab ntau npaum li cas yuav tsum tau vim muaj kev hloov pauv hauv cov tshuaj insulin.
Daim ntawv thov rau lub raum khiav tsis zoo
Raws li qhov txo qis ntawm cov metabolism hauv kev ua haujlwm nrog cov tshuaj insulin hauv lub cev, qhov xav tau cov khoom no tsawg dua.
Siv rau lub siab ua haujlwm tsis zoo
Lub peev xwm los ua ke ua qabzib los ntawm cov qauv tsis-carbohydrate txo. Qhov no tuaj yeem txo qhov xav tau ntawm cov tshuaj yeeb tshuaj.
Noj ntau tshaj ntawm Insuman Ceev ceev GT
Kev tswj hwm dhau lub cev qhov kev xav tau rau cov tshuaj insulin ua rau kev loj hlob ntawm hypoglycemia.
Kev cuam tshuam nrog lwm yam tshuaj
Kev noj tshuaj thaum noj tshuaj insulin yuav tsum muaj kev sib koom tes nrog koj tus kws kho mob.
Kev noj tshuaj thaum noj tshuaj insulin yuav tsum muaj kev sib koom tes nrog koj tus kws kho mob.
Contraindicated kev sib txuas ua ke
Kev sib xyaw ua ke ntawm cov tshuaj nrog tsiaj insulin thiab analogues tsis suav nrog.
Kev sib koom tes ntawm Pentamidine ua rau txoj kev txhim kho ntawm cov teeb meem.
Tsis pom zoo kev sib txuas ua ke
Cov tshuaj yeeb dej hauv qab no thiab kev npaj ua kom tsis txhob muaj cov nyhuv zoo li qab zib:
- corticosteroids;
- adrenocorticotropic cov tshuaj hormones;
- derivatives ntawm phenothiazine thiab phenytoin;
- glucagon;
- poj niam sib deev cov tshuaj hormones;
- kev loj hlob hormone;
- nicotinic acid;
- phenolphthalein;
- tshuaj kho mob
- tshuaj uas cuam tshuam rau cov hlab ntsha hlwb;
- hluavtaws androgen Danazole;
- tshuaj tiv thaiv TB yog Isoniazid;
- adrenoblocker Doxazosin.
Sympathomimetics thiab iodinated tyrosine derivatives tsis muaj zog ua yeeb yam ntawm kev daws.
Lub cev tsis muaj qab zib-cov nyhuv qis dua ntawm cov tshuaj tiv thaiv-tiv thaiv TB Isoniazid.
Tej kev sib txuam uas xav tau ceev faj
Cov tshuaj hauv qab no ua rau kev pheej hmoo txaus ntshai:
- endrogens thiab anabolics;
- ib tug xov tooj ntawm cov tshuaj rau kev kho mob plawv thiab leeg ntshav tsis zoo;
- Cov tshuaj tiv thaiv CNS;
- antiarrhythmic tshuaj cybenzoline;
- propoxyphene analgesic;
- pentoxifylline angioprotector;
- cytostatic tshuaj trophosphamide;
- tus lej ntawm cov tshuaj tiv thaiv kab mob;
- sulfonamides;
- ib tug xov tooj ntawm cov tshuaj tsom rau txo qis roj;
- tetracycline tshuaj tua kab mob;
- npaj raws li somatostatin thiab nws cov analogues;
- cov kab mob hypoglycemic;
- qab los noj mov fenfluramine;
- antitumor tshuaj ifosfamide.
Kev ceev faj yuav tsum tau noj tshuaj raws li esters ntawm salicylic acid, tritokvalin, cyclophosphamide, guanethidine thiab phentolamine.
Lithium ntsev yuav ua tau attenuate lossis txhim kho cov nyhuv ntawm cov tshuaj. Reserpine thiab clonidine sib txawv hauv tib qho kev ua.
Kev siv cov beta-blockers nce qhov kev pheej hmoo ntawm cov teeb meem.
Cawv tau zoo
Hauv cov cawv quav cawv ntev, qhov kev hloov pauv ntawm glycemia. Mob ntshav qab zib, kev haus cawv haus cawv tsawg, thiab kws kho mob sab laj yog ib qho tseem ceeb rau kev haus dej haus cawv muaj kev nyab xeeb. Glucose concentration tuaj yeem ua rau poob rau ib qib tseem ceeb.
Analogs
Tib neeg cov insulin muaj cov tshuaj xws li Insuran, Actrapid, Humulin, Rosinsulin, Biosulin, thiab lwm yam.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Nws tsis yog rau daim ntawv teev cov tshuaj uas muaj nyob hauv khw dawb.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Nws yog tso tawm thaum kev nthuav qhia ntawm daim ntawv qhia.
Nqe rau Insuman Ceev ceev GT
Tus nqi nruab nrab ntawm kev ntim khoom yog 1000-1700 rubles.
Cia rau cov neeg mob rau cov tshuaj
Cov txheej txheem kub rau khaws cov tshuaj yog + 2 ... + 8 ° C. Tsis txhob qiv lub cev ntim rau ntawm cov phab ntsa ntawm lub tub yees kom tsis txhob khov rau kev daws.
Tom qab siv thawj zaug, lub raj mis muaj peev xwm muab khaws cia rau 4 teev, daim cartridge - rau 28 hnub tom qab kev teeb tsa. Thaum lub sijhawm khaws cia, kev kov lub teeb yuav tsum raug zam thiab qhov kub thiab txias yuav tsum tsis pub nce siab tshaj + 25 ° C.
Hnub tas sij hawm
Txij li hnub ntawm ntau lawm, txoj kev daws teeb meem yog siv tau rau 2 xyoos.
Chaw tsim tshuaj paus
Cov tshuaj yog lub tsev tsim los ntawm Sanofi-Aventis. Lub teb chaws ntawm kev tsim khoom siv yog lub teb chaws Yelemees lossis Russia.
Kev txheeb xyuas txog Insuman Rapid GT
Vasily Antonovich, endocrinologist, Moscow: "Kev txhaj tshuaj siab nrog kev daws tau sau tseg. Cov tshuaj muaj kev nyab xeeb txaus thiab pom zoo zoo."
Daria, hnub nyoog 34 xyoo, Severodvinsk: "Lwm yam tshuaj tau pab ntau dua qhov nrawm. Ua tsaug rau kev txhaj tshuaj, Kuv muaj peev xwm tswj tau kuv qib qab zib kom tsis tu ncua. Kuv niaj hnub noj tshuaj ntsuas nrog glucometer thiab tswj cov tshuaj ua ntej noj mov."
Marina, 42 xyoo, Samara: "Thaum kho cov menyuam yaus, nws yog qhov yuav tsum tau sab laj nrog kws kho mob txog cov tsos mob ntawm kev noj tshuaj ntau dhau, saib xyuas theem ntawm qhov ntsuas. Raws li kev kho tshuaj insulin, cov tshuaj tau raug kho rau tus tub, kho zoo."
