Levemir Penfill yog cov tshuaj tua kab ua haujlwm ntev ntev. Tus neeg sawv cev hypoglycemic muab lub sijhawm ntev ntawm cov insulin hauv cov hlab ntshav. Qhov no ua rau muaj kev txo qis hauv cov ntshav qabzib tas li. Siv rau kev kho mob ncaj qha hauv cov neeg mob ntshav qab zib mellitus.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
INN: Cov tshuaj insulin.
ATX
A10AE05.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm ib qho kev daws teeb meem npaj rau subcutaneous thawj coj. Lub ntsiab tseem ceeb sib xyaw ua ke yog insulin detemir hauv ib npaum ntawm 100 IU. Cov khoom siv ntxiv: glycerol, zinc acetate, metacresol, phenol, sodium hydroxide, dihydrate thiab chloride, dej rau kev txhaj tshuaj.
Levemir Penfill yog kev noj tshuaj hauv cov tshuaj uas muaj kev daws teeb meem kom tau txais kev tswj hwm hauv subcutaneous.
Cov tshuaj yog tsim nyob rau hauv cov ntawv tshwj xeeb (3 ml). 1 koog ntawm insulin detemir yog sib npaug rau 0.142 mg ntawm cov ntsev tsis muaj tshuaj tua kab mob insulin. 1 UNIT ntawm insulin detemir - 1 IU ntawm tib neeg cov tshuaj insulin.
Pharmacological kev txiav txim
Nws yog qhov ua haujlwm los ntawm cov lus tshaj tawm los tiv thaiv kab mob siab, ua haujlwm ntev. Nws yog cov tshuaj soluble uas zoo heev ntawm tib neeg qhov chaw insulin. Kev daws ua haujlwm ncaj ncees, tsis muaj lub ncov kev ua haujlwm ntawm cov tshuaj.
Lub tshuab nruab nrab ntawm kev nqis tes ua vim yog lub peev xwm ntawm cov lwg me me ntawm cov tshuaj nquag coj los khi rau cov roj ntsha. Txoj kev no tshwm sim ncaj qha rau ntawm qhov chaw txhaj tshuaj. Cov tshuaj nquag tau maj mam muab faib rau cov nqaij thiab cov cev. Qhov no yog vim lub cev ntev.
Qhov ua rau lub ntsej muag (hypoglycemic effect) tshwm sim vim yog qhov tshwm sim sai sai ntawm cov piam thaj los ntawm cov nqaij ntawm cov leeg thiab cov leeg nqaij. Tom qab khi ntawm cov tshuaj insulin rau cov txais, qhov tso tawm ntawm cov piam thaj los ntawm lub siab poob.
Cov Tshuaj Pharmacokinetics
Qhov siab tshaj plaws ntawm cov kua dej hauv cov ntshav tau pom tom qab 6 teev. Nws tau faib tawm yuav luag zoo ib yam li lub hom phiaj cov nqaij. Nws nthuav tawm sai heev hauv cov hlab ntshav. Kev mob plab zom mov tshwm sim hauv daim siab, tab sis cov khoom noj ua kom lub cev tsis muaj cov kev ua haujlwm hypoglycemic. Kev tshem tawm ib nrab-lub neej yog 7 teev, vim kev muab koob tshuaj.
Kev ntsuas rau siv
Qhov taw qhia ncaj qha rau kev siv Levemir Penfill yog:
- kev kho mob ntshav qab zib hom 1 rau cov neeg laus;
- mob ntshav qab zib mellitus hauv cov menyuam yaus txij li 2 xyoos thiab hauv kev muaj tiav.
Cov Yuav Tsum Muaj
Tsuas yog qhov kev ua txhaum ncaj qha rau kev siv tshuaj insulin detemir rau kev kho mob ntshav qab zib yog qhov tsis haum rau hom insulin lossis ib qho ntawm cov tshuaj. Nws tsis raug pom zoo kom muab rau cov menyuam yaus hnub nyoog qis dua 2 xyoos, raws li kev soj ntsuam sim rau cov neeg mob hauv pab pawg no tsis yog.
Nrog saib xyuas
Nrog kev ceev faj, cov tshuaj yog tawm rau cov neeg laus thiab cov neeg mob uas tsis ua haujlwm adrenal.
Nrog kev ceev faj, cov tshuaj Levemir Penfill tau sau tseg rau cov neeg laus.
Yuav noj li cas Levemir Penfill?
Subcutaneously hauv tus ncej puab, pem hauv ntej ntawm phab ntsa plab lossis xub pwg. Siv dej nkag rau hauv lub cev yog txwv tsis pub. Cov lus qhia yog ua tau txhua lub sijhawm ntawm hnub, yog tias nws ua 1 zaug nyob rau hnub. Cov tshuaj muab rau yuav muab faib ua 2 koob. Tab sis koj yuav tsum coj mus rau hauv tus account qhov tseeb tias koob tshuaj thib ob yuav tsum muab ua ntej noj hmo lossis ua ntej mus pw kom 12 teev dhau mus ntawm qhov txhaj thawj thiab zaum thib ob.
Txhawm rau kom tsis txhob muaj teeb meem hauv zos, nws raug nquahu kom hloov qhov chaw txhaj tshuaj.
Cov tshuaj yuav tsum tsis khov, yuav tsum muaj chav sov. Yog tias qhov kev daws teeb meem tau ploj mus los lossis ib qho kev koom ua ke tau pom, nws yuav siv tsis tau.
Yuav siv tus cwj mem syringe li cas?
Qhov kev daws teebmeem cartridge tsuas yog siv nrog kev tsim ntawm Novo Nordics cwj mem thiab tshwj xeeb NovoFine koob.
Kev siv cartridges yog tus kheej thiab pov tseg. Yog tias xav tau siv ntau hom tshuaj insulin ntawm kev ua haujlwm ntev thiab luv luv ntawm ib zaug, tom qab ntawd koj tsis tuaj yeem sib xyaw. Txhua yam ntawm cov kev daws teeb meem yuav xav tau nws tus cwj mem syringe.
Ua ntej kev txhaj tshuaj, nco ntsoov tias txoj kev daws teeb meem tau xaiv qhov raug, txiav txim siab nws haum rau hauv qhov tsos, tshawb xyuas cov koob txhaj tshuaj thiab piston rau kev puas tsuaj. Ua ntej siv, ua kom huv si lub roj hmab membrane nrog cov tshuaj tua kab mob, xws li cawv ethyl.
Cov tshuaj yog muab raws li cov lus qhia, uas yuav tsum tau nyob ntawm txhua tus cwj mem syringe. Txhawm rau txhawm rau kom tag nrho cov koob tshuaj, tom qab txhaj tshuaj, koj yuav tsum tso lub koob tso rau hauv ob peb feeb ntxiv. Qhov no yuav pab tiv thaiv kom txhob muaj cov tshuaj insulin ntxiv los ntawm cov koob txhaj tshuaj.
Noj cov tshuaj rau ntshav qab zib
Ceev faj yog xav tau rau cov neeg uas tau siv lwm hom tshuaj insulin. Txoj kev hloov mus ib txwm yog los ntawm cov kev hloov pauv nyob hauv qhov kev ntsuas ntawm cov piam thaj hauv cov ntshav, thiab yog li koj yuav tsum ua tib zoo saib xyuas kev hloov pauv hauv txhua qhov ntsuas.
Phiv los ntawm Levemir Penfill
Yeej, qhov tshwm sim ntawm qhov tshwm sim tsis zoo yog cuam tshuam nrog kev hloov pauv ntawm cov tshuaj. Yog tias cov tshuaj tau muab tshuaj rau hauv ntau dua qhov ntau, ces qhov ua rau ntshav qab zib yog ua tau. Nyob rau hauv cov mob hnyav, cov kev tsis zoo tshwm sim tau tshwm sim: tus mob syndrome, tsis nco qab. Cov neeg mob yws yws tias muaj kev npau taws ntau dua, tsaug zog, mob taub hau, xeev siab, tachycardia, muaj kev cia siab tsis tu ncua.
Cov kev tshawb fawb pom tau tias nrog cov lus qhia ntawm kev daws rau ntawm ib lub plab khoob, kuj muaj qee qhov mob dyspeptic. Cov kev tawm tsam hauv cheeb tsam tau sau tseg hauv daim ntawv o thiab ua pob liab ntawm daim tawv nqaij, khaus, qhov kev pheej hmoo ntawm kev tsim cov nqaij lipodystrophy nce.
Los ntawm lub cev tiv thaiv kab mob
Los ntawm lub nruab zog tiv thaiv kab mob tuaj yeem pom:
- daim tawv nqaij ua pob ua ke nrog khaus;
- tawm hws ntau dhau;
- lub plab zom mov tawg;
- ua pa nyuaj.
Cov tsos mob no feem ntau tshwm sim los ntawm kev dav dav rau qhov txo qis. Xws anaphylactic kev phom sij yog qhov txaus ntshai.
Ntawm ib feem ntawm cov metabolism thiab khoom noj khoom haus
Ntau tus neeg mob tau pom tias muaj kev tshaib plab. Hauv qhov no, lub cev metabolism yog cuam tshuam, uas ua rau lub cev tsis xav tau nyob hauv lub cev qhov hnyav.
Nruab nrab hauv lub paj hlwb
Tsis tshua muaj, kev puas hlwb mob loj tuaj yeem loj hlob tuaj. Tus mob no yog thim rov qab.
Ntawm ib feem ntawm cov plab hnyuv siab raum ntawm lub zeem muag
Qhov cuam tshuam rau ib ntus yog qhov tsis pom thiab qhov muag pom.
Tom qab kev saib xyuas ntawm cov tshuaj, ib ntus refractive cuam tshuam thiab tsis pom kev zoo tau.
Ntawm ib sab ntawm daim tawv nqaij
Edema, hyperemia, mob nqaij ntshiv ntshav (qhia tias txhaj tshuaj rau cov nqaij hauv qhov chaw qub).
Kev ua xua
Cov pob khaus ntawm daim tawv nqaij, khaus, urticaria.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nrog kev kho mob ntev, qee qhov kev tshwm sim tsis zoo uas cuam tshuam txog kev cuam tshuam cov kev saib xyuas thiab qhov ceev ntawm psychomotor kev tig rov qab. Yog li ntawd, nws zoo dua rau tso tseg kev tsav tus kheej.
Cov lus qhia tshwj xeeb
Nws muaj cov nyhuv hypoglycemic ntev dua li Isofan Insulin. Yog tias koj qhia txog cov tshuaj insulin tsis txaus hauv hom ntshav qab zib hom 1, tom qab ntawv hyperglycemia thiab ntshav qab zib ketoacidosis yuav tshwm sim. Kev mob ntshav siab ntshav qis tshwm sim nrog kev noj ntau dhau.
Cov tsav tsheb tsav raug txwv, raws li kev kho lub sijhawm ntev, cov kev mob tshwm sim uas cuam tshuam rau kev saib xyuas thiab cov tshuaj tiv thaiv.
Siv rau lub sijhawm qub
Xav tau tswj cov suab thaj thiab koob hloov kho.
Xaj Levemir Penfill rau cov menyuam yaus
Txwv sijhawm txog 6 xyoo.
Siv thaum cev xeeb tub thiab lactation
Niaj hnub no, muaj kev tshawb nrhiav tsis txaus ntawm cov nyhuv ntawm insulin rau ntawm kev tsim kho tus menyuam hauv plab. Nws yog ib qho tsim nyog los soj ntsuam cov kev hloov pauv hauv cov piam thaj. Hauv thawj lub trimesters ntawm insulin gestation tsawg dua yog qhov yuav tsum tau, thiab thaum kawg - ntau dua. Yog li ntawd, yuav tsum muaj kev kho kom haum rau ib tus neeg.
Thaum pub niam mis, yuav tsum tau kho cov tshuaj insulin ntau dua.
Daim ntawv thov rau lub raum khiav tsis zoo
Kev saib xyuas qabzib thiab hloov kho cov tshuaj yog xav tau.
Siv rau lub siab ua haujlwm tsis zoo
Ib qho kev pauv pauv ntawm cov tshuaj ntawm cov kua dej siv yuav tsum tau ua.
Noj tshuaj ntau dhau ntawm Levemir Penfill
Kev mob ntshav qab zib tsawg yog nres ntawm nws tus kheej nrog cov piam thaj lossis zaub mov carbohydrate. Kev ua kom hnyav, nrog rau kev tsis nco qab, yuav tsum tau qhia txog glucagon lossis tso kua ntshav qab zib rau hauv cov leeg nqaij / hauv qab tawv nqaij. Tom qab nws nco qab tau zoo lawm, koj yuav tsum tau muab cov zaub mov rau cov neeg mob nrog rau cov zaub mov kom sai.
Kev cuam tshuam nrog lwm yam tshuaj
Nws yog txwv tsis pub coj los ua ke nrog ib qho tshuaj txhaj, sib tov hauv tib lub vias nrog tshuaj infusion. Kev kho qhov koob tshuaj ntawm cov tshuaj insulin yog qhov xav tau thaum nws siv nrog kev siv tshuaj uas hloov nws txoj haujlwm.
Txo cov koob tshuaj insulin yog qhov tsim nyog thaum noj MAO inhibitors, tsis xaiv-beta-blockers, hypoglycemic cov neeg sawv cev rau kev tswj hwm qhov ncauj, ACE inhibitors, salicylates, metformin thiab ethanol.
Qhov koob tshuaj ntawm cov tshuaj insulin yuav tsum tau nce nrog nws siv ua ke nrog kev loj hlob hormone, adrenergic agonists, cov thyroid hormones, glucocorticosteroids, tshuaj diuretic thiab Danazol.
Cawv tau zoo
Ua ke kev noj tshuaj nrog cawv yog txwv tsis pub, raws li kev nqus ntawm cov tshuaj mus qeeb, thiab cov kev tsis zoo tshwm sim los ntawm kev qhia txog kev daws teeb meem tsuas yog exacerbated.
Analogs
Muaj ntau ntau yam analogues ntawm Levemir Penfill:
- Levemir Flekspen;
- Actrafan NM;
- Insulin Daim Kab Xev GPB;
- Cov tshuaj insulin liraglutide.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj yuav tau hauv cov tsev muag tshuaj tsuas yog muaj daim ntawv sau tshuaj tshwj xeeb los ntawm koj tus kws kho mob.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis suav.
Nqe rau Levemire Penfill
Tus nqi nyob ntawm 2800 txog 3100 rubles. ib pob thiab nyob ntawm thaj av ntawm kev muag khoom thiab cov khw muag tshuaj muaj npoo.
Cia rau cov neeg mob rau cov tshuaj
Hauv tub yees ntawm qhov kub ntawm + 2 ... + 8 ° C, tab sis kom deb ntawm lub taub yees txias. Qhib cov khoob no tau muab tso rau sab nraum lub tub yees.
Hnub tas sij hawm
2.5 xyoo txij li hnub muab cov khoom ntim rau ntawm thawj lub ntim. Cov pob qhib qhib tau khaws cia rau 6 lub lis piam thaum kub tsis tshaj + 30 ° C. Tsis txhob siv tom qab hnub tas sij hawm.
Ib qho tshuaj tiv thaiv ntawm cov tshuaj tuaj yeem yog cov tshuaj Levemir Flekspen.
Chaw tsim tshuaj paus
Lub tuam txhab tsim khoom: "Novo Nordisk A / S", Denmark.
Kev txheeb xyuas Levemire Penfill
Cov kws kho mob
Mikhailov A.V., tus kws kho mob endocrinologist, Moscow: "Kuv feem ntau tshaj tawm nws rau cov neeg uas muaj hom 1 mob ntshav qab zib pathology. Cov kev kho mob tau zoo, tsuas yog tshuaj xyuas cov ntshav qab zib tas mus li los txhawm rau tiv thaiv kev txhim kho hypoglycemia."
Suprun I. R., tus kws kho mob endocrinologist, Kazan: “Kuv sau ntawv rau Lefemira Penfill kev txhaj tshuaj rau kuv cov neeg mob ntau zaus. nws yog raug rau tus kheej Cheebtsam. "
Cov neeg mob
Karina, 35 xyoo, Voronezh: "Levemir mus txog txig. Tau nce qib qab zib yog qhov tseem ceeb, tsis muaj dab tsi. Tsis muaj kev phiv tshuaj, txawm tias kuv zoo siab dua."
Pavel, hnub nyoog 49 xyoo, Moscow: "Cov tshuaj insulin no tsis haum. Ib txwm muaj ntshav qab zib dhia, qee zaum muaj kev tawm tsam ntshav qab zib qis, uas kuv tsis tuaj yeem tswj tau kuv tus kheej tas li.
Margarita, 42 xyoo, Yaroslavl: "Kuv tau hno Penemill nrog Levemir tau ntev lawm. Kuv nyiam cov tshuaj. Nws yooj yim rau kev tswj hwm. Ib koob yog txaus rau ib hnub kom qab zib kom nyob li qub."
