Levemir Flekspen - insulin rau kev txhaj tshuaj subcutaneous. Hais txog cov tshuaj insulin ntev. Thaum kho, koj yuav tsum ua tib zoo saib xyuas kom ntau npaum li cas ntawm cov tshuaj thiab txoj hauv kev ntawm kev tswj hwm, kev noj haus.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Cov tshuaj insulin.
Levemir Flekspen - insulin rau kev txhaj tshuaj subcutaneous.
ATX
ATX - A10AE05. Hais txog cov tshuaj hypoglycemic, analogues ntawm tib neeg cov insulins ntawm kev ua ntev.
Tso cov ntawv thiab cov nyob ua ke
Muaj nyob rau hauv qhov kev daws teeb meem rau kev txhaj tshuaj sc, pob tshab thiab tsis muaj kob. 1 cm³ ntawm kev daws muaj 100 units ntawm insulin ntev. Ntu cov khoom siv - cov tshuaj uas ua rau muaj kev tiv thaiv ntawm kev daws thiab tiv thaiv qhov ua kom lwj ntawm cov khoom ua kom nquag plias.
1 xaum xaum hluav taws xob muaj 3 cm³ ntawm kev tov uas muaj 300 units ntawm insulin. 1 pawg yog 142 mcg ntawm detemir insulin.
Pharmacological kev txiav txim
Nov yog tshuaj siv synthesized siv biotechnology. Hauv qhov no, cov kab mob ntawm cov microorganism Saccharomyces cerevisiae yog siv. Qhov no yog cov tshuaj soluble basal insulin, ib qho ua tiav ntawm cov khoom cua tau sib txuas hauv cov ntaub so ntswg ntawm lub txiav.
Kev cuam tshuam ntev ntawm cov tshuaj yog vim cov txheej txheem ntawm tus kheej kev koom tes ntawm cov tshuaj insulin nyob ntawm qhov chaw txhaj tshuaj thiab lawv cov lus cog rau albumin. Hauv qhov no, cov tshuaj hormone maj mam poob rau cov ntaub so ntswg. Kev faib tawm cov tshuaj hauv cov nqaij thiab cov hlwb (hauv kev sib txuas nrog cov txheej txheem no) kuj ua rau qeeb. Vim tias qhov tshwj xeeb ntawm tus cawv, nws yog qhov ua tau los ua kom tsis tu ncua cov nyhuv tshuaj tiv thaiv kab mob siab ntawm insulin.
Cov yam ntxwv ntawm kev daws teeb meem tso cai rau koj siv nws hauv menyuam yaus.
Cov kev tshawb fawb soj ntsuam qhia txog ib tug zuj zus nyob rau hauv cov ntsiab lus ceev cov ntsiab lus ntawm cov neeg mob tau txais txoj kev kho nrog cov insulin zoo li no. Ib xyoos tom qab pib kev kho mob, glycated hemoglobin qib yuav raug txo kom tsawg. Tsis muaj kev cuam tshuam txog kev mob ntshav qab zib siab heev. Kev tsom xam ntawm cov kev tshawb fawb pom tias muaj kev pheej hmoo tsawg ntawm cov kev mob nocturnal hypoglycemia piv nrog Isofan.
Cov tshuaj tua kab mob tau tsim thaum lub sijhawm siv cov tshuaj, tab sis qhov no tsis tshwm sim hauv txhua txoj kev ntawm kev nqus ntawm cov tshuaj nquag. Cov yam ntxwv ntawm kev daws teeb meem tso cai rau koj siv nws hauv menyuam yaus.
Cov Tshuaj Pharmacokinetics
Qhov siab tshaj plaws ntawm kev siv tshuaj rau hauv cov ntshav tau pom 6-8 teev tom qab kev tswj hwm subcutaneous. Nrog kev qhia txog cov tshuaj ob zaug hauv ib hnub, qhov sib luag ntawm cov ntsiab lus ntawm cov tshuaj insulin hauv cov ntshav tau mus txog tom qab tau txhaj peb zaug. Yuav luag tag nrho cov tshuaj ntawm qhov tshuaj nyob rau hauv cov ntshav.
Inactivation ntawm insulin ua rau kev tsim cov khoom noj sib xyaw ua ke hauv lub cev uas tsis muaj qhov chaw kuaj mob.
Tsis muaj qhov sib txawv hauv cov pharmacokinetics ntawm cov tshuaj insulin no nyob rau hauv cov ntshav qab zib ntawm kev sib deev txawv thiab hnub nyoog. Tsis muaj kev cuam tshuam cov tshuaj lom hauv lub cev.
Nws qhia txog ntshav qab zib hauv ntau pawg ntawm cov neeg mob.
Kev ntsuas rau siv
Nws qhia txog mob ntshav qab zib mellitus ntawm ntau pawg sib txawv ntawm cov neeg mob (ntau dua 2 xyoos).
Cov Yuav Tsum Muaj
Kev kho yog contraindicated nyob rau hauv cov ntaub ntawv ntawm lub siab rhiab heev rau Levemir Flekspen. Nws tsis pom zoo kom siv rau kev kho mob menyuam yaus hnub nyoog qis dua 2 xyoos vim tsis muaj cov pov thawj tshawb pom.
Nrog saib xyuas
Ua tib zoo siv cov tshuaj insulin nrog cov tshuaj tiv thaiv tsis haum rau nws.
Yuav ua li cas noj levemir flekspen?
Cov koob tshuaj ntawm cov tshuaj raug xaiv nruj me ntsis, raws li cov yam ntxwv ntawm tus neeg mob lub cev. Nws yuav tsum raug tswj tsuas yog subcutaneously. Kev tswj cov tshuaj tiv thaiv ntawm cov tshuaj no yog txwv tsis pub, vim tias nws ua rau muaj kev cuam tshuam ntawm kev mob ntshav qis. Intramuscular thawj coj ntawm cov tshuaj kuj tsis pom zoo, vim tias kev txhaj tshuaj pauv hloov cov chaw muag tshuaj, thiab cov tshuaj insulin pib ua haujlwm tsis raug.
Nkag cov tshuaj nkaus xwb subcutaneously.
Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li. Cov koob tshuaj yuav txawv txav mus rau hauv tus account ntsuas kub, qhov siv ntawm lub cev ua si thiab lwm yam: lawv txhua tus cuam tshuam rau lub cev xav tau cov tshuaj insulin. Qhov insulin no xav tau txhaj tshuaj tas li.
Yuav siv tus cwj mem syringe li cas?
Txhawm rau siv tus cwj mem syringe, nws raug nquahu kom ua yeeb yam hauv qab no:
- Tshem lub hau thiab tshuaj tua kab mob rau cov roj hmab.
- Tshem tawm cov ntawv nplaum tiv thaiv.
- Tshem tawm lub hau ntawm rab koob.
- Tshem tawm cov cua ntawm daim cartridge thiab sib sau ua 2 pawg ntawm cov tshuaj insulin.
- Kov qhov cartridge nrog koj cov ntiv tes, nias lub khawm pib txhua txoj kev.
- Teeb tus xaiv rau txoj hauj lwm “0” thiab ntaus tus naj npawb ntawm cov koog.
- Ntxig lub koob tso rau hauv qab daim tawv nqaij thiab nias lub khawm pib, tuav nws li ob peb feeb.
- Tshem tawm rab koob.
Noj cov tshuaj rau ntshav qab zib
Kev siv ntshav qab zib hom 2 tsuas yog ua tau tom qab txiav txim siab qhov tsim nyog ntawm kev kho mob. Qhov tshuaj insulin tuaj yeem kho ib txhij nrog qhov ncauj tshuaj hypoglycemic, suav nrog Metformin.
Cov tshuaj yog muab rau hauv ntau qhov ntawm lub cev.
Yog tias cov tshuaj tau muab tshuaj kho raws li kev tiv thaiv ntawm cov hauv paus-bolus regimen, tom qab ntawd nws raug tshuaj subcutaneously 1 lossis 2 zaug hauv ib hnub. Cov koob tshuaj ntawm cov tshuaj tau muab xam los ntawm tus neeg mob ntawm nws tus kheej. Koob tshuaj rau yav tsaus ntuj tuaj yeem siv rau thaum noj hmo lossis thaum mus pw.
Cov tshuaj yog muab rau hauv ntau qhov ntawm lub cev. Muaj kev txiav txim siab lub sijhawm txhaj tshuaj, koj yuav tsum tau lo rau nws yav tom ntej.
Kev Phiv Sab Ntawm Levemir Flekspen
Yog tias cov tshuaj ntau thiab ntau dua kev noj tshuaj ntau dhau, ntau cov kev mob tshwm sim tuaj yeem tsim.
Los ntawm lub cev tiv thaiv kab mob
Kev ua txhaum ntawm lub cev tsis muaj zog thaum kho nrog insulin tsis pom.
Nruab nrab hauv lub paj hlwb
Tsis tshua muaj, tshee tshee thiab mob taub hau tuaj yeem tsim kho.
Ntawm ib feem ntawm cov metabolism thiab khoom noj khoom haus
Feem ntau, cov neeg mob txhim kho qhov kev ua txhaum hnyav ntawm cov metabolism ua cov metabolism - cov ntshav qab zib hauv lub cev. Nws cov tsos mob tshwm sim sai thiab sai.
Kev mob ntshav khov ntau heev ua rau tsis nco qab nco qab thiab ua rau lub hlwb tsis zoo. Yog tias tus neeg mob tsis tau txais kev pabcuam thaum muaj xwm ceev hauv qhov no, kev tuag yuav tshwm sim.
Ntawm ib feem ntawm cov plab hnyuv siab raum ntawm lub zeem muag
Tsis tshua muaj, qhov tsis pom zoo yuav tshwm sim thaum pib kho cov tshuaj insulin.
Lub caij ntev insulin kho txo cov kev pheej hmoo ntawm kev tsim mob ntshav qab zib retinopathy thiab muaj kev cuam tshuam zoo rau kev pom tseeb.
Ntawm ib sab ntawm daim tawv nqaij
Ntawm qhov chaw txhaj tshuaj ntawm insulin, lipodystrophy qee zaum tsim. Qhov tshwm sim no suav hais tias yog hloov mus. Thaum pib theem ntawm kev kho, qhov tshwm sim ntawm edema yog ua tau.
Kev ua xua
Ntawm qhov chaw txhaj tshuaj, nws tuaj yeem tshwm sim thiab o tuaj yeem tshwm sim. Cov kev tsis zoo no tsis tshua muaj tshwm sim sai thiab dhau mus. Tsis tshua muaj mob, cov neeg mob tshwm sim ua pob ua xua vim muaj kev tiv thaiv kab mob siab.
Kev phiv tshuaj tiv thaiv yog qhov muaj feem yuav tuag taus.
Yog tias ib tus neeg muaj kev cuam tshuam rau kev mob ntshav qab zib los ntawm cov tshuaj no, nws yog qhov zoo tshaj kom tsis muaj kev pheej hmoo lossis tsav lub tsheb.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Cov tshuaj yuav ua rau cov ntshav qab zib tsawg. Yog tias ib tus neeg muaj kev cuam tshuam rau cov kev mob hypoglycemic, nws yog qhov zoo tshaj plaws kom tsis txhob muaj kev pheej hmoo lossis tsav tsheb. Tib yam siv rau kev ua haujlwm nrog cov txheej txheem nyuaj.
Cov lus qhia tshwj xeeb
Thaum hloov mus rau cov neeg mob los ntawm lwm cov tshuaj insulin, nws yog qhov yuav tsum tau kho cov tshuaj thiab kev coj ntawm cov tshuaj insulin. Hauv thawj lub lis piam tom qab teem caij siv tshuaj tshiab, piam thaj hauv ntshav capillary yuav tsum tau saib xyuas tshwj xeeb. Tib yam siv rau cov tshuaj hauv qhov ncauj.
Siv tau koob tshuaj hloov kho ntawm luv luv ua yeeb yam insulin nrog kev pib kho nrog Levemir Flekspen.
Siv rau lub sijhawm qub
Hauv cov neeg laus laus, cov haujlwm ntawm lub raum thiab lub siab yuav tsum ua tib zoo saib. Nrog rau kev puas tsuaj hnyav rau cov kabmob no, koj yuav tsum tau ua tib zoo ua raws li kev noj zaubmov thiab tsis pub ua rau kev loj hlob ntawm hyperglycemia.
Hauv cov neeg laus laus, cov haujlwm ntawm lub raum thiab lub siab yuav tsum ua tib zoo saib.
Xaj Levemir Flekspen rau Cov Menyuam
Kev nyab xeeb ntawm hom tshuaj insulin no hauv cov menyuam yaus raug lees paub los ntawm kev tshawb fawb soj ntsuam. Tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 2 xyoos.
Siv thaum cev xeeb tub thiab lactation
Thaum cev xeeb tub, qhov txiaj ntsig uas xav tau los ntawm cov kev txhaj tshuaj yuav tsum cuam tshuam nrog cov kev phom sij uas yuav muaj. Ntau cov kev tshawb fawb pom tau hais tias cov poj niam cev xeeb tub tsis muaj teebmeem teratogenic rau tus menyuam hauv plab. Kev thev taus rau insulin txoj kev kho tau zoo.
Tsis muaj teebmeem tshwm sim zoo ntawm insulin hauv lub cev yug menyuam tau pom. Nws yog siv rau kev pub niam mis, tab sis hauv cov poj niam laus, qhov ntau thiab kev noj haus yuav tsum tau kho.
Daim ntawv thov rau lub raum khiav tsis zoo
Cov koob tshuaj yuav tsum tau ua tib zoo xam nyob rau hauv yog tias muaj teeb meem tsis zoo lub raum txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm cov ntshav qog ntshav qab zib. Kev kho cov khoom noj khoom haus yog qhov xav tau.
Siv rau lub siab ua haujlwm tsis zoo
Tsis tas yuav hloov pauv hom kev siv tshuaj ib txwm siv ntawm cov tshuaj insulin no thiab kev noj tshuaj hauv qhov txuas nrog lub siab ntawm lub siab.
Noj tshuaj ntau ntawm Levemir Flekspen
Nrog rau kev noj haus ntau dhau, tus neeg muaj mob ntshav qab zib tsawg. Tus neeg mob tuaj yeem tshem tawm ib qho kev tawm tsam me ntawm lawv tus kheej. Ua li no, noj qee yam qab zib lossis lwm yam khoom noj uas yog carbohydrate-nplua nuj.
Kev mob ntshav nce siab ntau yog kho nyob hauv chav kho mob hnyav.
Kev cuam tshuam nrog lwm yam tshuaj
Kev tiv thaiv hypoglycemic yog kho kom zoo los ntawm kev siv:
- MAO thiab ACE inhibitors;
- beta-blockers;
- Bromocriptine;
- Ketoconazole;
- Liraglutida;
- Mebendazole;
- tag nrho cov tshuaj muaj cawv.
Cawv ua rau cov ntshav qabzib tsawg kawg ntawm cov tshuaj insulin, ib tus neeg tuaj yeem txhim kho cov mob ntshav qab zib tsawg.
Cov nyhuv hypoglycemic tsis muaj zog thaum noj:
- qhov ncauj tiv thaiv;
- glucocorticosteroid tshuaj;
- thiazide diuretics;
- Heparin;
- Danazole;
- Clonidine;
- Diazoxide;
- Morphine;
- Phenytoin.
Cawv tau zoo
Cawv ua rau cov ntshav qabzib tsawg kawg ntawm cov tshuaj insulin, ib tus neeg tuaj yeem txhim kho cov mob ntshav qab zib tsawg.
Analogs
Cov tshuaj ntawm cov tshuaj - Aylar, Lantus, Tujeo SoloStar, Monodar Ultralong, Novorapid Penfill.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Nws yog tso tawm los ntawm cov tshuaj noj.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis suav.
Nqe rau Levemir Flekspen
Tus nqi ntawm daim cartridge yog li 5300 rubles.
Cia rau cov neeg mob rau cov tshuaj
Khaws rau hauv tub yees. Tsis txhob khov cov tshuaj. Tus cwj mem siv yuav tsum khaws cia 6 lub lis piam.
Hnub tas sij hawm
Tsim nyog siv nyob rau hauv 2.5 xyoos los ntawm hnub ntawm ntau lawm.
Chaw tsim tshuaj paus
Nws yog tsim ntawm kev lag luam ntawm "Novo Nordisk A / S", Tebchaws Denmark.
Levemir Flekspen yog tsim ntawm Novo Nordisk A / S, Denmark.
Kev txheeb xyuas txog Levemire Flekspen
Cov kws kho mob
Andrei, tus kws kho mob endocrinologist, hnub nyoog 55 xyoo, Moscow: "Qhov no yog ib qho txiaj ntsig zoo rau kev kho tas li ntawm glycemia. Nws tsis ua rau muaj ntshav qab zib, nws pab tswj ntshav qab zib kom zoo."
Vladimir, hnub nyoog 50 xyoo, endocrinologist, Samara: "Raws li kev kho mob raws qauv, Kuv qhia txog kev txhaj tshuaj ntawm Levemir Flekspen rau cov neeg mob. Cov neeg mob zam cov kev kho kom zoo, ntev ntev lawv tau txais theem ntawm glycemia."
Cov neeg mob
Anna, 25 xyoo, Saratov: "Qhov no yog qhov zoo tshaj plaws insulin los tswj cov ntshav qab zib kom ib txwm muaj. Kuv tsis tau muaj ntshav nce siab ntau. Kuv txoj kev noj qab haus huv yog qhov txaus siab."
Sergey, 50 xyoo, St. Petersburg: “Kuv muab Levemir Flekspen kev txhaj tshuaj ntxiv rau cov tshuaj noj. Kev qab zib yoo tsis nce siab tshaj 6 mmol / l.”
Irina, hnub nyoog 42 xyoo, Moscow: "Ntawm txhua hom tshuaj insulin, Levemir zoo tshaj plaws zam. Ua tsaug rau nws, nws muaj peev xwm ua kom qab zib zoo li qub, tab sis tsis muaj kev tawm tsam ntawm hypoglycemia."
