Tresiba yog tsim rau kev kho mob ntshav qab zib pathology. Nws yog siv los normalize cov piam thaj. Nws muaj cov ntsiab lus txuas ntxiv hauv kev tawm tsam hyperglycemia.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Latin - Tresibum
Tresiba yog tsim rau kev kho mob ntshav qab zib pathology.
ATX
A10AE06
Tso cov ntawv thiab cov nyob ua ke
Muaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj - cov kua ntshiab, tsis muaj sediment thiab txhua yam impurities. Qhov tseem ceeb tshuaj yog insulin degludec 100 PIECES. Cov khoom siv ntxiv tau nthuav tawm: metacresol, glycerin, phenol, hydrochloric acid, zinc acetate, dihydrate, sodium hydroxide thiab dej rau kev txhaj tshuaj.
Hauv polypropylene syringe cwj mem muaj lub pob hauv taub hau nrog cov tshuaj txhaj kom haum rau qhov ntim ntawm 3 ml, i.e. 300 PIECES ntawm cov tshuaj insulin degludec. Iav tau siv los ua lub pob txha tav. Muaj lub roj hmab piston ntawm ib sab ntawm lub taub thiab cov roj hmab sib txuas ntawm lwm qhov. Ib pob ntawv ntawm cardboard muaj 5 xws li phwj ntoo.
Pharmacological kev txiav txim
Degludec insulin muaj lub peev xwm thoob ntiaj teb kom ceev ceev rau tib neeg cov insulin. Yog li, kho cov nyhuv ntawm cov tshuaj insulin no yuav luag zoo li qub. Cov tshuaj insulin khi rau cov chaw nto rau cov rog thiab cov leeg mob. Tib lub sijhawm, insulin tsis tsuas yog muaj cov nyhuv hypoglycemic, tab sis kuj inhibits kev tso tawm ntawm cov piam thaj los ntawm nplooj siab.
Hauv polypropylene syringe cwj mem muaj lub pob hauv taub hau nrog cov tshuaj txhaj kom haum rau qhov ntim ntawm 3 ml, i.e. 300 PIECES ntawm cov tshuaj insulin degludec.
Cov tshuaj qhov yog suav tias yog insulin basal. Tom qab nws cov kev taw qhia, ib qho tshwj xeeb multhexamer yog tsim. Los ntawm cov tsim ntawv cia, cov tshuaj insulin dawb nkag mus rau hauv cov ntshav. Cov ntshav qab zib cov ntshav qab zib tsawg zuj zus lawm. Tab sis qhov kev nqis tes kav ntev txaus.
Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm ncaj qha ntawm cov tshuaj rau cov tshuaj insulin, ib qho subcutaneous depot yog tsim. Cov tshuaj insulin monomers pib maj mam sib cais los ntawm cov neeg pleev ntshav ntau. Raws li qhov no, insulin, txawm hais tias maj mam tab sis tas li, nkag mus rau hauv cov hlab ntshav. Qhov loj tshaj plaws nyob rau hauv ntshav yog pom ob peb teev tom qab txhaj tshuaj. Cov nyhuv kav ntev li 2 hnub.
Cov tshuaj yog zoo thiab yuav luag sib luag faib thoob plaws cov ntaub so ntswg thiab kabmob. Bioavailability thiab kev muaj peev xwm khi rau cov qauv protein muaj ntau heev. Tsis muaj ib qho ntawm cov khoom noj uas ua rau lub cev muaj zog. Ib nrab-lub neej ntawm cov tshuaj siv sijhawm li 25 teev.
Kev ntsuas rau siv
Kev qhia txog kev siv tshuaj, raws li qhia los ntawm kev qhia, yog kev kho mob ntshav qab zib rau cov laus, cov hluas thiab menyuam yaus txij li 1 xyoos.
Qhov qhia tau rau kev siv tshuaj, raws li qhia los ntawm kev qhia, yog kho mob ntshav qab zib.
Cov Yuav Tsum Muaj
Cov Lus Qhia ncaj qha rau siv yog:
- cev xeeb tub
- lactation lub sijhawm;
- cov menyuam yaus hnub nyoog txog 1 xyoo;
- ua kom lub cev tsis haum rau cov tshuaj ntawm cov tshuaj.
Yuav noj Treshiba li cas?
Treshiba FlexTouch yog siv rau kev txhaj tshuaj subcutaneous. Kev txhaj tshuaj yuav tsum tau txhaj ib hnub ib zaug, nyiam dua txhua hnub nyob rau tib lub sijhawm. Tsuas tshuaj yog xaiv nruj me ntsis tus kheej. Nws yog qhov tsim nyog los ua kom zoo glycemic tswj raws li kev ceev ceev cov piam thaj. Tus xaum xaum tso cai rau koj nkag mus rau 1-80 units ntawm kev muab tshuaj rau 1 zaug.
Yuav siv tus cwj mem syringe li cas?
Ua ntej siv, nco ntsoov kos daim duab syringe rau kev ua haujlwm kom zoo. Koj yuav tsum paub tseeb tias nws muaj hom insulin thiab nyob rau hauv cov nyiaj uas yuav tsum tau txhaj. Lub hau tiv thaiv tau muab tshem tawm los ntawm lub koob txhaj tshuaj. Tom qab ntawd nqa ib rab koob thiab tshem tawm cov ntawv tiv thaiv daim nyias nyias.
Treshiba FlexTouch yog siv rau kev txhaj tshuaj subcutaneous.
Lub koob yog ntsia mus rau tus tuav kom nws ruaj ruaj tuav tau. Lub hau sab nraud yog tshem tawm ntawm rab koob tab sis tsis pov tseg kom kaw cov koob siv tom qab txhaj. Thiab lub hau puab ntim pov tseg. Cov koob raug pov tseg tom qab txhaj tas. Lub taub hau koob txhaj tshuaj tau khaws cia rau lub sijhawm ntev, tab sis txhua zaus nws tau kaw nrog lub hau tiv thaiv kom tsis txhob muaj kab mob nkag rau hauv nws.
Noj cov tshuaj rau ntshav qab zib
Rau cov neeg muaj hom 2 pathology, cov tshuaj siv tau muab tshuaj cais lossis sib xyaw nrog cov tshuaj qab zib rau kev tswj hwm qhov ncauj, lossis insulin bolus.
Cov koob tshuaj pom zoo thawj zaug yog 10 units nyob rau ib hnub nrog kev tuaj yeem hloov kho raws qab tau koob ntxiv. Cov neeg mob uas tau txhaj tshuaj insulin basal lossis basal-bolus, thiab cov uas muaj cov tshuaj insulin, hloov mus rau Treshiba 1: 1 rau kev siv tshuaj insulin yav dhau los.
Hauv cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus, cov tshuaj yog ib txhij nrog luv luv insulin los npog qhov xav tau nws thaum noj mov. Cov tshuaj yog txhaj ib zaug ib hnub nrog rau cov tshuaj insulin.
Rau ntau cov neeg mob uas muaj ntshav qab zib hom 1, qhov kev hloov ntawm basal insulin mus rau Treshiba tshwm sim hauv 1: 1 piv. Rau cov neeg uas tau txais cov tshuaj insalal ib hnub ob zaug, kev hloov pauv ib zaug tau suav tus kheej. Koob txo yuav siv sij hawm rau hauv tus account glycemic teb.
Sab Sij Huam Treshiba
Ua kom muaj txiaj ntsig dhau ntawm kev siv tshuaj ntau dua lossis txhaum kev txhaj tshuaj.
Thaum noj, muaj kev tsis haum tshuaj tuaj yeem tshwm sim.
Los ntawm lub cev tiv thaiv kab mob
Thaum noj, muaj kev tsis haum tshuaj tuaj yeem tshwm sim. Lawv qhov kev mob loj tshwm sim ua rau lub neej tsis zoo. Lawv tuaj yeem tshwm sim los ntawm o ntawm daim di ncauj thiab tus nplaig, raws plab, xeev siab, khaus, ua kom tsis txaus.
Ntawm ib feem ntawm cov metabolism thiab khoom noj khoom haus
Kev mob ntshav qab zib feem ntau pib txhim kho. Nws tshwm sim thaum cov koob tshuaj insulin tau txais ntau dua li qhov tsim nyog. Cov tsos mob ntawm tus mob hypoglycemia tshwm sim dheev. Lawv pom los ntawm kev tawm hws txias, tawv nqaij daj ntseg, ntxhov siab, tshee tshee, dav dav tsis muaj zog, tsis meej pem, hais lus tsis meej thiab siab tsis meej, muaj kev tshaib plab, mob taub hau, tsis pom kev.
Ntawm ib sab ntawm daim tawv nqaij
Cov tawv nqaij cuam tshuam ntau tshaj plaws yog lipodystrophy, tuaj yeem tsim kho ntawm thaj chaw txhaj tshuaj. Txoj kev pheej hmoo ntawm kev tsim cov tshuaj tiv thaiv no yuav txo qis yog tias qhov chaw txhaj tshuaj hloov tas li.
Kev ua xua
Nrog kev qhia ntawm cov tshuaj, cov tshuaj tiv thaiv tuaj yeem tshwm sim ntawm qhov chaw txhaj tshuaj. Lawv tshwm sim: hematomas, mob, khaus, o, cov tsos ntawm nodules thiab erythema, densification hauv qhov chaw no. Tag nrho cov no tshwm sim vim qhov tseeb tias cov tshuaj tiv thaiv tshwj xeeb raug tsim tawm hauv kev teb rau kev tswj hwm tshuaj. Cov kev xav zoo li no yog qhov thim rov qab, mob hnyav, tsis tas kho tshwj xeeb thiab thaum kawg kis los ntawm lawv tus kheej.
Cov tawv nqaij cuam tshuam ntau tshaj plaws yog lipodystrophy, tuaj yeem tsim kho ntawm thaj chaw txhaj tshuaj.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Vim hais tias lub sijhawm kho kev mob ntshav qab zib siab yuav pib txhim kho, yuav tsum tau saib xyuas tshwj xeeb thaum tsav tsheb thiab lwm cov txheej txheem nyuaj uas yuav tsum muaj kev saib xyuas ntau ntxiv.
Cov lus qhia tshwj xeeb
Thaum siv cov tshuaj no, koj yuav tsum soj ntsuam cov qib ntawm cov piam thaj hauv cov ntshav kom tsis txhob muaj qhov tshwm sim ntawm cov teeb meem tshwm sim. Hauv qhov no, daim duab xaum hluav taws xob tsuas yog siv ib zaug xwb. Koj tsis tuaj yeem sib xyaw ntau hom tshuaj insulin hauv 1 tus kab mob.
Siv rau lub sijhawm qub
Hauv cov neeg laus, txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia yog nce. Yog li, kev siv cov tshuaj hauv pawg neeg mob no yuav tsum muaj kev soj ntsuam tas li ntawm cov kev hloov hauv cov txiaj ntsig kev sim.
T ထာဝရဘုရား cov tshuaj Treshiba rau menyuam yaus
Raws li cov kws muag tshuaj, cov tshuaj yuav siv tau rau cov hluas thiab menyuam yaus txij li 1 xyoos.
Raws li cov kws muag tshuaj, cov tshuaj yuav siv tau rau cov hluas thiab menyuam yaus txij li 1 xyoos.
Siv thaum cev xeeb tub thiab lactation
Cov cuab yeej no tuaj yeem siv tau thaum cev xeeb tub. Tab sis koj yuav tsum tau saib xyuas tas li ntawm cov txiaj ntsig ntawm kev hloov pauv hauv kev xav ntawm cov piam thaj hauv cov ntshav. Qhov no yog qhov tseeb tshwj xeeb rau cov poj niam cev xeeb tub uas muaj ntshav qab zib. Thaum pib cev xeeb tub, xav tau cov tshuaj insulin tsawg dua, thiab thaum kawg ntawm lub sijhawm nce. Yog li, nws yog ib qho tseem ceeb los soj ntsuam kev hloov pauv hauv cov piam thaj hauv ntshav kom tiv thaiv kev txhim kho ntshav qab zib.
Tsis muaj kev tshawb fawb txog seb cov tshuaj lom neeg mob kis mus rau niam mis. Tab sis raws li qee qhov lus ceeb toom, tsis muaj cov xwm txheej tsis zoo pom nyob hauv tus menyuam.
Daim ntawv thov rau lub raum khiav tsis zoo
Txhua yam nws nyob ntawm creatinine tshem tawm. Qhov siab dua nws yog, qhov qis dua cov tshuaj ntawm insulin koj yuav tsum tau siv.
Siv rau lub siab ua haujlwm tsis zoo
Nws muaj kev pheej hmoo siab tshwm sim thaum lub sij hawm kho tshuaj insulin. Yog li, yuav tsum tau saib xyuas kom tswj tau cov piam thaj.
Muaj kev pheej hmoo loj ntawm kev tsim lub siab thaum lub sij hawm siv tshuaj kho mob nrog cov tshuaj insulin.
Noj ntau dhau ntawm Treshiba
Yog tias koj nkag rau hauv qhov ntau zog ntxiv, cov qog ntshav qab zib ntawm cov qib sib txawv nce. Kev txo ntshav qab zib tsawg yog kho nrog cov piam thaj lossis zaub mov uas muaj suab thaj thiab ceev carbohydrates. Hauv cov xwm txheej hnyav, thaum tus neeg mob poob siab, glucagon tau txhaj rau hauv cov leeg nqaij lossis mob hauv qab. Yog tias tom qab 20 feeb tus mob tsis txhim kho, muaj cov kua nplaum ntxiv rau hauv cov leeg ntshav.
Kev cuam tshuam nrog lwm yam tshuaj
Qee yam tshuaj ua rau txo lub cev xav tau cov tshuaj insulin. Ntawm lawv: cov tshuaj tiv thaiv kab mob hauv qab zib, MAO inhibitors, beta-blockers, ACE inhibitors, qee cov tshuaj salicylates, sulfonamides thiab anabolic steroids.
Kev nce ntxiv ntawm cov tshuaj insulin yog xav tau thaum noj ua ke nrog thiazides, glucocorticosteroid tshuaj, OK, sympathomimetics, cov thyroid thiab kev loj hlob hormone, Danazole.
Cawv tau zoo
Koj tsis tuaj yeem sib xyaw nrog kev noj tshuaj nrog dej cawv. Qhov no ua rau muaj ntshav nce siab ntau ntau, uas tuaj yeem cuam tshuam cov mob ntawm tus neeg mob.
Analogs
Hloov tshuaj yog:
- Aylar;
- Lantus Optiset;
- Lauj Teeb;
- Lantus Solostar;
- Tujeo;
- Tujeo Solostar;
- Levemir Penfill;
- Levemir Flekspen;
- Monodar;
- Solikva.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj yuav tuaj yeem yuav tom chaw muag tshuaj nrog rau cov tshuaj noj.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis suav.
Treshiba Nqe
Tus nqi them siab thiab tau nce mus txog 5900-7100 rubles. ib pob ntawm 5 daim cartridges.
Cia rau cov neeg mob rau cov tshuaj
Lub tub yees tsim nyog raws li qhov chaw ntim khoom, ntsuas kub - + 2 ... + 8 ° C. Tsis khov. Daim iav xaum pob yuav tsum tau cia tsuas yog muab lub hau kaw. Tom qab qhib thawj zaug, rab koob xaum xim tuaj yeem khaws cia ntawm qhov kub tsis tshaj + 30 ° C, siv rau 8 lub lis piam.
Hnub tas sij hawm
2.5 xyoo.
Chaw tsim tshuaj paus
Lub tuam txhab tsim khoom: A / S Novo Nordisk, Denmark.
Xyuas txog Tresib
Cov kws kho mob
Moroz A.V., endocrinologist, 39 xyoo, Yaroslavl.
Tam sim no peb pib xaiv Treshib tsis yog li ntau zaus, vim hais tias nws tus nqi yog ntau dhau, tsis yog txhua tus neeg mob tuaj yeem them taus ntawm kev yuav khoom. Thiab yog li cov tshuaj zoo thiab siv tau zoo.
Kocherga V.I., tus kws kho keeb (endocrinologist), hnub nyoog 42 xyoos, Vladimir.
Txawm hais tias tus nqi siab, Kuv tseem qhia rau kuv cov neeg mob kom xaiv cov tshuaj no, vim tias zoo dua lub cim hluav taws xob tshiab tshiab, Kuv tseem tsis tau ntsib dua. Nws ceev cov piam thaj kom huv, nrog 1 hno ib hnub.
Lawj xeeb
Igor, 37 xyoo, Cheboksary.
Kuv muaj ntshav qab zib hom 1. Ntawm kev pom zoo los ntawm tus kws kho mob, Kuv ua raws kev noj haus thiab tawv ncauj ntawm 8 ntu ntawm Treshiba thaum hmo ntuj thiab ua ntej noj Actrapid. Kuv nyiam cov txiaj ntsig. Qab zib yog ib txwm nyob thawm hnub, tsis tau muaj tus mob hypoglycemia tau ntev.
Karina, 43 xyoo, Astrakhan.
Kuv tau coj mus Levemir, Kuv dhia me ntsis qab zib, tom qab ntawd kuv tau qhia rau hloov mus rau Tresiba. Qib qab zib kom rov qab zoo li qub, Kuv txaus siab txog cov nyhuv ntawm cov tshuaj. Tab sis muaj ib qhov loj rho tawm - nws kim heev, thiab tsis yog txhua tus muaj peev xwm muab nws.
Pavel, 62 xyoo, Khabarovsk.
Cov tshuaj no tau coj mus rau ib xyoos. Tam sim no tus kws kho mob tau xa kuv mus rau Levemir, vim tias Nws raug nqi ntau pheej yig dua. Nws yog qhov tsis zoo, nws yog qhov yuav tsum tau txhaj tshuaj yuav luag ua ntej txhua pluas noj.
