Tshuaj insulin yog hais txog tib neeg cov insulins. Nws yog siv nyob rau hauv kev kho mob ntshav qab zib pathology thiab cuam tshuam cov metabolism carbohydrate. Nws muaj cov nyhuv hypoglycemic pheej.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Tib neeg cov tshuaj insulin.
Tshuaj insulin yog hais txog tib neeg cov insulins.
ATX
ATX code: A10A B01.
Tso cov ntawv thiab cov nyob ua ke
Hauv daim ntawv ntawm cov tshuaj tov. Lub ntsiab ua cov khoom xyaw tseem ceeb yog ua rau tib neeg insulin 100 IU. Cov muaj mob siab: glycerin, dej rau txhaj tshuaj, metacresol.
Nws yog cov kua ntshiab hauv 3 ml daim cartridges lossis 5 ml vials (5 daim hauv ib pob).
Pharmacological kev txiav txim
Kev noj tshuaj yog ib qho ntawm cov kev sib txuam ntawm tib neeg cov tshuaj insulin. Nws yog tsiag ntawv los ntawm kev ua luv luv. Cov tshuaj ua kom muaj zog sai cuam tshuam nrog sab nraud receptors ntawm cov cell. Hauv qhov no, ib hom insulin-receptor complex raug tsim. Nrog nws cov kev pab, txhua cov txheej txheem tshwm sim sab hauv lub hlwb raug txhawb nqa. Tib lub sijhawm, cov enzymes ib tug neeg tau synthesized.
Kev txo qis ntawm cov piam thaj hauv cov ntshav yog txuam nrog kev nrawm ntawm nws kev thauj mus los hauv cov hlwb, thiab kev nqus zoo dua ntawm cov piam thaj los ntawm cov nqaij mos. Tus nquag ua hauj lwm ua rau lub ntsej muag glycogenogenesis, lipogenesis. Hauv qhov no, qhov txo qis hauv kev coj los ua ke ntawm saccharides hauv lub siab tshwm sim.
Cov Tshuaj Pharmacokinetics
Yuav sai npaum li cas cov tshuaj haum rau ntawm txoj kev twg, nyob qhov twg thiab nyob rau hauv ntau npaum li cas cov tshuaj tau muab rau. Kev faib tawm hauv cov ntaub so ntswg yog tsis sib xws. Cov tshuaj Insulin tsis tuaj yeem nkag mus rau hauv niam mis thiab los ntawm kev tiv thaiv lub cev ntawm tus me nyuam, yog li kev xeeb tub tsis yog qhov tsis muaj kev cuam tshuam rau kev siv cov tshuaj.
Kev puas tsuaj ntawm cov nquag nquag tshwm sim nyob rau hauv kev cuam tshuam ntawm insulinase hauv daim siab thiab lub raum. Tshem tawm ntawm lub cev los ntawm kev lim raum hauv ob peb feeb.
Kev ntsuas rau siv
Pom zoo rau kev siv nrog:
- mob ntshav qab zib
- cov xwm txheej ceev hauv cov neeg muaj tus kab mob ntshav qab zib;
- decompensation ntawm cov metabolism hauv carbohydrate.
Cov Yuav Tsum Muaj
Muaj ntau tus naj npawb ntawm cov lus qhia ncaj nraim rau kev siv Insulin Khoom Tuaj qhia hauv cov lus qhia. Ntawm lawv yog:
- ntshav tshuaj qis;
- ua kom lub cev tsis txaus siab rau qhov insulin lossis lwm yam tshuaj.
Qhov kev zam tau yog kev kho kom zoo.
Nrog saib xyuas
Nrog kev ceev faj, cov tshuaj yog tawm rau cov neeg muaj lub raum thiab lub siab tsis ua haujlwm, cov neeg mob uas tau ua yav tas los kho lwm hom tshuaj insulin.
Yuav Ua Li Cas Txais Khoom Siv Insular?
Muab ib subcutaneous txhaj tshuaj. Qee qhov xwm txheej, nws raug nquahu kom ua haujlwm intramuscularly. Txhawm rau kom tsis txhob subcutaneous cov tshuaj tiv thaiv, nws raug nquahu kom hloov qhov chaw rau kev txhaj tshuaj. Saib xyuas yuav tsum tau ua zoo xwv kom lub koob txhaj tsis nkag rau cov hlab ntshav. Qhov chaw txhaj tshuaj yeej tsis tau npuaj li.
Cov tshuaj yog muab tshuaj subcutaneously.
Nrog ntshav qab zib
Cov tshuaj yeeb tshuaj yuav tsum tau coj ib nrab ib teev ua ntej noj mov. Qhov ntsuas kub ntawm qhov kev daws tau tsis qis dua li chav sov.
Sab sij huam ntawm Insular Cov Cuab Yeej
Tawm tsam keeb kwm ntawm kev siv lub sijhawm ntev, xws li kev tsis zoo tshwm sim tuaj yeem tshwm sim:
- Kev ntshav siab. Qhov no yog ib qho kev phiv ntau tshaj ntawm kev siv tshuaj insulin. Hauv rooj plaub uas hnyav, nws ua rau ploj mus ntawm kev nco qab lossis ua kom lub cev nyob tsis qab. Qhov ntau zaus ntawm kev ua kom tawm no yog tus neeg, vim tias nyob ntawm cov tshuaj insulin thiab kev noj haus ntawm tus neeg mob.
- Kev fab tshuaj hauv zos. Nws ua tau nws tus kheej ntau zaus hauv daim ntawv ntawm hyperemia thiab khaus. Cov tsos mob no dhau los ntawm 1 lub lis piam mus rau ib hlis. Cov tsos ntawm cov tsos mob no tsis yog ib txwm cuam tshuam los ntawm insulin tswj hwm. Cov no tuaj yeem yog lwm yam khoom sab nraud lossis kev paub me me nrog kev txhaj tshuaj.
- Cov cev tsis haum. Nws pom tias txawm tsawg dua. Nws ua rau cov tawv nqaij ua pob thoob plaws lub cev, ua tsis taus pa, hawb pob, ua kom ntshav qis, tawm hws. Ua kom cov kab mob ua xua ua xua muaj kev phom sij txog lub neej.
- Lipodystrophy. Muaj tsawg kawg ntawm qhov chaw txhaj tshuaj.
Yog tias ib qho ntawm cov tsos mob no tshwm sim, koj yuav tsum kho qhov koob tshuaj lossis hloov nrog lwm cov insulin. Hauv cov xwm txheej hnyav, cov tshuaj raug muab tso tseg tag nrho, kev kho mob cov tsos mob yog nqa tawm, thiab cov tshuaj insulin tshiab tau sau tseg.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Kev txhim kho ntawm lub qog ntshav qab zib, raws li muaj peev xwm tshwm sim, cuam tshuam qhov kev mloog zoo, uas ua rau muaj kev pheej hmoo ntawm qhov xwm txheej hauv lub tsheb tsav tsheb lossis lwm yam txheej txheem nyuaj.
Tus neeg mob yuav tsum ceeb toom ua ntej yuav ua li cas ua ntej tsav tsheb, txhawm rau kom zam dhau qhov kev hem thawj ntawm hypoglycemia. Yog tias tus mob no qhia tau nws tus kheej ntau zaus, nws zoo dua yog tsis txhob tsav tsheb.
Cov lus qhia tshwj xeeb
Kev kho tsis zoo lossis hla kev txhaj tshuaj provokes qhov kev loj hlob ntawm ib tus mob hyperglycemic.
Ntau hom insulin tsis tuaj yeem xyaw nrog ib qho koob txhaj tshuaj. Tsuas yog sib xyaw cov tshuaj no (hauv lub raj mis) nrog Insular Stabil yog tso cai. Tab sis xws li kev sib tov yuav tsum tau qhia tam sim tom qab kev npaj. Daim cartridges yog txwv tsis pub siv ntau zaus, lawv yog pov tseg. Cov koob txhaj tshuaj ib txwm ua nrog cov koob txhaj tshuaj tshiab.
Siv rau lub sijhawm qub
Kev kho cov tshuaj ntawm cov tshuaj insulin hauv cov neeg laus tsis tas yuav.
Txiag tej menyuam
Nws yog siv rau cov menyuam yug tshiab thaum cov cim tseem ceeb xav tau. Tab sis cov koob tshuaj yuav tsum tau saib xyuas tas li thiab teeb tsa raws li cov kev hloov pauv ntawm tus mob ntawm tus me nyuam.
Siv thaum cev xeeb tub thiab lactation
Nws yog ib qho tseem ceeb los soj ntsuam cov ntshav qab zib hauv cov poj niam uas yug menyuam hauv plab thiab tau txais kev kho mob nrog insulin. Thaum pib ntawm tus poj niam cev xeeb tub, tsawg dua yog qhov xav tau, thiab tom kawg, ntau dua. Kev siv tshuaj insulin qee zaus txo qis thaum lub sijhawm xa khoom. Tab sis ob peb hnub tom qab yug tus me nyuam, cov kua nplaum ntawm lub ntsej muag yuav tsum rov qab zoo li qub.
Tsis muaj kev txwv txog kev siv cov tshuaj hauv lub sijhawm xeeb tub thiab thaum pub niam mis, raws li Txoj kev kho yog nyab xeeb rau leej niam thiab tus me nyuam. Tab sis hauv qhov no, ib qho kev txhim kho tsis tu ncua ntawm cov tshuaj ntawm lub siab yog qhov yuav tsum ua los tiv thaiv kev txhim kho ntawm hypoglycemia.
Daim ntawv thov rau lub raum khiav tsis zoo
Hauv cov neeg mob uas mob raum tsis zoo, yuav tsum tau kho ntau npaum li cas. Tsuas yog thaum tus neeg mob lub cev ntau zuj zus, cov koob tshuaj insulin ntau zog lossis txo qis, suav txog hauv kev ntsuas kev kuaj mob.
Siv rau lub siab ua haujlwm tsis zoo
Dosage kev kho kom haum yog qhov yuav tsum tau ua, raws li qhov xav tau nws hauv cov neeg mob lub siab pathologies yog nce ntxiv.
Noj ntau tshaj ntawm cov tshuaj Insulin
Nws tsis tuaj yeem txiav txim siab meej tias qhov kev tshaj tawm yog tshwm sim los ntawm Insular Cov Khoom Siv, zoo li hypoglycemia provokes ntau ntawm cov txiaj ntsig tsis txaus siab: muaj cov insulin ntau heev hauv cov ntshav, qhov sib piv ntawm cov piam thaj mus rau tag nrho cov metabolism, kev ua kom lub cev ntau dhau.
Kev kho yog mob. Qhov kub me me yog kho nrog cov piam thaj lossis cov piam thaj uas muaj cov zaub mov. Nrog mob hnyav, glucagon yog txhaj rau hauv txoj leeg lossis leeg nqaij, tom qab cov zaub mov uas muaj cov ntsiab lus siab ntawm cov carbohydrates ceev yog muaj. Nrog rau qhov qab zib qab zib, glucagon yog muab tshuaj subcutaneously.
Kev cuam tshuam nrog lwm yam tshuaj
Ntau yam tshuaj rau ib qib lossis lwm qhov muaj cov nyhuv ntawm cov metabolism hauv qabzib. Qhov xav tau rau insulin nce nrog rau kev siv ua ke nrog qee yam kab mob hyperglycemic, glucocorticoids, kev loj hlob hormone thiab cov thyroid hormones, sympathomimetics, salbutamol thiab thiazides.
Yuav tsum muaj cov tshuaj insulin tsawg dua yog tias hypoglycemic thiab antidepressant tshuaj, salicylates, OK, MAO inhibitors, enalapril, ib leeg beta-blockers tau noj ua ke.
Analogs
Muaj ntau tus lej hloov rau cov tshuaj no, zoo sib xws hauv cov khoom sib luag thiab cov nyhuv kho. Cov nyiam tshaj plaws ntawm lawv yog:
- Actrapid;
- Vosulin-R;
- Gensulin P;
- Insuvit;
- Insugen-R;
- Insuman Sai Sai;
- Rinsulin-R;
- Neej Neeg Dab Tsi;
- Humulin Tsis tu ncua.
Cawv tau zoo
Cov tshuaj yuav tsum tsis txhob nrog cov cawv vim muaj kev pheej hmoo ntawm lub qog ntshav qab zib.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Kev yuav khoom hauv chaw muag tshuaj, yuav tsum tau siv tshuaj kho mob.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Ua tsis tau.
Nqe rau Insular Cov Cuab Yeej
Tus nqi yog:
- cartridges - 1420-1500 rubles. rau ntim;
- fwj - 1680-1830 rubles. rau kev ntim khoom.
Tus nqi nyob ntawm thaj av ntawm kev muag khoom thiab cov khw muag tshuaj muaj npoo.
Cia rau cov neeg mob rau cov tshuaj
Qhov chaw khaws cia yuav tsum qhuav thiab tsaus ntuj, txwv tsis pub nkag los ntawm cov menyuam yaus, nrog lub ntsuas kub ntawm + 2 ... + 8 ° C. Cov tshuaj tsis raug rau khov. Tom qab qhib, nws tuaj yeem khaws ntxiv rau 28 hnub (t = + 25 ° C). Qhib ntim yuav tsum tau tiv thaiv los ntawm lub teeb thiab tsis rhuab.
Qhov chaw rau khaws cov tshuaj yuav tsum qhuav thiab tsaus ntuj, txwv tsis pub nkag los ntawm cov menyuam yaus, nrog lub ntsuas kub ntawm + 2 ... + 8 ° C.
Hnub tas sij hawm
Tsis pub ntau tshaj 2 xyoos.
Chaw tsim tshuaj paus
Lub chaw tsim khoom lag luam ntawm Insular, ntim hauv cartridges, yog Galichpharm, ntim hauv hwj - Kievmedpreparat, Ukraine.
Kev tshuaj xyuas txog Insulin Cov Khoom Siv
Makar, 47 xyoo, Sevastopol
Kuv tau mob ntshav qab zib ntev ntev. Vosulin tau siv los coj nws, tam sim no nws tau ploj ntawm qhov muag, yog li lawv tau sau ntawv txhaj tshuaj ntawm Cov Khoom Siv Insular. Nws ua haujlwm zoo, qab zib kom nyob rau tib theem li qub. Qhov tsuas yog qhov npau taws yog tus nqi.
Elena, 29 xyoos, Mariupol
Qab zib rov qab zoo li qub ntawm Insular Active, thiab ntshav qab zib ntshav qab zib pib tshwm sim muaj tsawg dua. Cov tshuaj, txawm hais tias kim, tab sis zoo, Kuv qhia.
Vladimir, hnub nyoog 56 xyoo, Ekaterinburg
Kuv txaus siab rau cov tshuaj insulin no. Kuv siv nws hauv cartridges. Nws nkag tau yooj yim, thiab 1 txhaj tshuaj yog txaus rau ib hnub. Kuv muaj tsis muaj kev phiv tshuaj. Qab zib tam sim no khaws cia nyob rau tib theem.
