Rinsulin NPH, raws li tuaj yeem txiav txim los ntawm nws lub npe, yog tsim los tiv thaiv ntshav qab zib. Muab rau cov neeg laus thiab menyuam yaus ua ke.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Isulin cov kua dej.
Rinsulin NPH, raws li tuaj yeem txiav txim los ntawm nws lub npe, yog tsim los tiv thaiv ntshav qab zib.
ATX
A10AC01.
Tso cov ntawv thiab cov nyob ua ke
Kev tsim cov tshuaj yog nqa tawm hauv daim ntawv ntawm kev ncua rau kev tswj hwm subcutaneous. 100 IU hauv 1 ml - qhov no yog cov ntsiab lus ntawm cov tshuaj nquag hauv kev npaj, uas yog sawv cev los ntawm tib neeg insulin.
Pharmacological kev txiav txim
Cov tshuaj nquag tau txais los ntawm cov qauv ntawm kev rov ua kom zoo DNA. Hais txog insulins nrog kev ntsuas ncua ntev. Hauv kev pom ntawm kev tsim cov insulin receptor complex, nws txhawb cov txheej txheem sab hauv lub cell ntawm tib neeg lub cev, uas suav nrog kev tsim tawm ntawm lub ntsiab enzymes.
Kev tsim cov tshuaj yog nqa tawm hauv daim ntawv ntawm kev ncua rau kev tswj hwm subcutaneous.
Cov theem ntawm cov piam thaj hauv cov ntshav thaum lub sij hawm kho tau tsawg dua vim yog qhov tseeb tias nws txoj kev thauj mus los ntau ntxiv, tus nqi ntawm cov khoom lag luam los ntawm daim siab tsawg dua.
Cov tshuaj pib ua yeeb yam kwv yees li 1.5 teev tom qab nws tswj tau subcutaneously. Cov txiaj ntsig loj tshaj plaws tuaj yeem pom tom qab 4-12 teev. Kev siab tshaj yuav raug kwv thaum nruab hnub.
Cov Tshuaj Pharmacokinetics
Yuav ua li cas cov tshuaj insulin nqus tau thiab nws yuav cuam tshuam li cas rau tus neeg mob lub cev nyob ntawm ntau yam. Qhov no yog qhov chaw txhaj tshuaj (ncej puab, plab lossis pob tw), qhov koob tshuaj thiab kev cia siab ntawm cov tshuaj nquag nyob hauv cov tshuaj. Kev faib tawm lub cev lub cev yog tus cwj pwm tsis sib xws. Kev zam tau yog los ntawm ob lub raum ntawm tus neeg mob.
Kev ntsuas rau siv
Cov tshuaj yog siv hauv kev kho mob ntshav qab zib mellitus ntawm hom thawj thiab thib ob. Qhov thib ob ntawm ntshav qab zib nrog kev pab los ntawm cov cuab yeej no tuaj yeem kho thaum lub sijhawm yoj tes.
Cov Yuav Tsum Muaj
Kev kho tshuaj tsis tuaj yeem muaj peev xwm ua tau yog tias tus neeg muaj ntshav siab qis lossis tsis txaus siab ntawm cov tshuaj insulin.
Yuav noj Rinsulin NPH li cas
Nrog ntshav qab zib
Qhov ntau npaum li cas rau txhua tus neeg mob yuav tsum tau xaiv ib tus zuj zus thiab raws li cov piam thaj hauv cov ntshav.
Tus qauv muab tshuaj yog nyob rau hauv thaj tsam ntawm 0.5-1 IU ib 1 kg ntawm tib neeg qhov hnyav.
Feem ntau, cov tshuaj tau hno subcutaneously rau hauv tus ncej puab.
Tsis txhob tswj cov tshuaj qhov quav. Qhov kub ntawm cov tshuaj rau kev tswj hwm yuav tsum nyob ze rau chav sov.
Feem ntau, cov tshuaj tau hno subcutaneously rau hauv tus ncej puab. Kev txhaj tshuaj tuaj yeem tso rau hauv pem hauv ntej ntawm peritoneum, xub pwg lossis pob tw. Nws yog ib qho tseem ceeb kom hloov lub zos ntawm kev tswj hwm tshuaj, nrog uas koj tuaj yeem tiv thaiv kev txhim kho ntawm lipodystrophy. Tus kws kho mob yuav tsum tau xyuam xim tshwj xeeb tshaj yog thaum txhaj tshuaj kom tsis txhob ua rau lub nkoj puas tsuaj. Yog tias tus neeg mob yuav ua tus txheej txheem nws tus kheej, nws yuav tsum tau kawm yav tas los txog qhov no thiab paub zoo ntawm cov lus qhia.
Ua ntej teeb tsa kev txhaj tshuaj, koj yuav tsum tau yob lub pob hauv nruab nrab ntawm xib teg li 10 npaug, tuav nws ua ntej tav toj. Nws yog ib qho tseem ceeb kom ua qhov no kom txog thaum cov tshuaj insulin siv hom tshuaj homogeneous, zoo ib yam li mis.
Thaum siv daim cartridge, cov khw muag khoom pom zoo hais txog nws cov kev teeb tsa hauv cov xaum xaum thiab kev teeb tsa lub koob yuav tsum pom. Tom qab kev txhaj tshuaj lawm, koj yuav tsum tau muab rab koob tshem tawm nrog lub hau sab nraud thiab pov tseg. Qhov no yuav ua kom paub meej qhov ua kom tsis taus menyuam, kom tsis txhob txhaws ntawm rab koob thiab kev nkag ntawm huab cua mus rau nws. Tom qab ntawd, koj yuav tsum txhim kho lub hau ntawm tus kov.
Cov tshuaj rau siv yuav khaws cia ntawm chav tsev nyob tsis ntev tshaj 28 hnub.
Sab sij huam
Ntawm cov kev tawm tsam hauv zos, hyperemia, khaus thiab o ntawm thaj chaw txhaj tshuaj, qhov tshwm sim ntawm lipodystrophy nrog kev qhia tas li rau tib lub zos tau sau tseg.
Feem ntau muaj cov tshuaj tiv thaiv uas yog tshwm sim los ntawm cov nyhuv rau ntawm tus neeg mob lub cev metabolism. Lawv sawv cev los ntawm kiv taub hau, tsis pom pob ntseg, tsis muaj zog, ua daus no, tshee tshee thiab tawm hws, tawv nqaij daj ntseg, tshaib plab, thiab kab mob pob txha.
Ntawm kev ua xua tshwm sim, kev tsis haum lub cev thiab tawm pob ntawm daim tawv yog cov tsos mob tshwm sim. Nrog rau kev mob tsis nco qab, txo qis, thiab lwm yam tsos mob, yuav tsum nrhiav kev pab kho mob sai sai. Tus kws kho mob yuav tuaj yeem hloov pauv cov kev kho mob thiab ntsuas kev ntsuas tsim nyog.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Lub peev xwm no tuaj yeem tsim kev puas tsuaj, txij li lub hauv nruab nrab cov hlab ntsha feem ntau mob.
Cov lus qhia tshwj xeeb
Cov neeg laus yuav tsum tau hloov koob tshuaj. Tib yam siv rau cov neeg mob uas tsis muaj mob raum thiab mob siab.
Siv thaum cev xeeb tub thiab lactation
Kev kho mob nrog cov tshuaj thaum cev xeeb tub yog ua tau, vim qhov tseeb tias cov tshuaj insulin tsis tuaj yeem nkag mus hauv niam qhov chaw tiv thaiv. Qhov xav tau rau insulin poob qis hauv thawj peb lub hlis thiab loj hlob nyob rau hauv lub thib ob thiab thib peb.
Thaum lub sijhawm thiab tom qab yug menyuam, qhov kev xav tau rau kev kho mob zoo li no yuav raug txo. Thaum lactation, kev kho tuaj yeem nqa tawm, tab sis nws yuav tsim nyog los txo cov koob tshuaj insulin uas tau txais los ntawm poj niam.
Kev kho mob nrog cov tshuaj thaum cev xeeb tub yog ua tau, vim qhov tseeb tias cov tshuaj insulin tsis tuaj yeem nkag mus hauv niam qhov chaw tiv thaiv.
Cawv tau zoo
Nws yog ib qho tsim nyog yuav tsum tso tseg txoj kev haus cawv hauv kev kho kab mob.
Noj ntau dhau
Tshaj dhau cov koob tshuaj hem qhov ua rau lub qog ntshav qab zib. Tus neeg mob tuaj yeem tshem tawm qhov mob me me tshaj ntawm nws tus kheej los ntawm kev noj qab zib lossis zaub mov nrog cov ntsiab lus siab ntawm carbohydrate feem. Vim li no, cov neeg mob pathology yuav tsum muaj kua txiv, ncuav qab zib lossis khoom qab zib nrog lawv. Hauv cov xwm txheej hnyav, kev tswj hwm ntawm cov tshuaj dextrose nrog qhov kub siab 40% yog tsim nyog. Cov kua nplaum kuj tseem tuaj yeem muab cov subcutaneously, tso leeg ntshav lossis nrog intramuscularly.
Txhawm rau tiv thaiv cov kev mob tshwm sim tom qab ua kom lub cev nyob ruaj khov, koj yuav tsum noj zaub mov uas muaj cov carbohydrates.
Kev cuam tshuam nrog lwm yam tshuaj
Xws li cov tshuaj xws li fenfluramine, tetracyclines, ketoconazole, sulfonamides thiab qee yam muaj peev xwm nce cov nyhuv ntawm cov tshuaj.
Heparin, lub voj tshuaj, kho qhov ncauj thiab tshuaj estrogens, nicotine tuaj yeem ua rau cov nyhuv tsis muaj zog.
Analogs
Biosulin N, Protafan.
Cov Lus Cog Tseg Rinsulin RPH Lub Tsev Muag Tshuaj
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Tsuas yog siv cov tshuaj kho mob.
Rinsulin NPH Nqe
Tus nqi qis kawg yog 1000 rubles (Russia).
Cia rau cov neeg mob rau cov tshuaj
Qhov kub yuav tsum yog los ntawm +2 txog + 8 ° C.
Rinsulin NPH tuaj yeem nqus tau tshwj xeeb los ntawm cov tshuaj noj.
Hnub tas sij hawm
2 xyoos
Rinsulin NPH Chaw Tsim Tshuaj
Lub teb chaws Biotechnologies OJSC, 142279, Tebchaws Lavxias, Cheeb Tsam Moscow, Serpukhov Koog Tsev Kawm Ntawv.
Kev tshuaj xyuas txog Rinsulin NPH
Cov kws kho mob
A.D. Koltygina, endocrinologist, Ulyanovsk: "Kuv sau tshuaj ntau heev, vim tias cov neeg mob feem ntau zam nws zoo. Qhov yooj yim yog tias koj tuaj yeem kho nws tus kheej hauv tsev, uas ua rau cov neeg mob txaus siab. Cov cuab yeej qhia tau zoo hauv kev kho mob ntshav qab zib" Cov.
E.O. Karimulina, kws tshaj lij, Novy Urengoy: "Cov tshuaj yuav pab txo qis cov ntshav qabzib hauv cov ntshav, uas tau lees paub los ntawm ntau xyoo ntawm kev kho mob."
Heparin tuaj yeem ua rau tsis muaj zog ntawm cov tshuaj Rinsulin NPH.
Cov neeg mob
Violetta, 38 xyoo, Krasnoyarsk: “Kuv tau txais cov tshuaj no rau ntshav qab zib. Kuv tuaj yeem hais tias nws tau pab thiab tsis muaj kev phiv tshuaj. Kuv xav tias qhov no yog qhov tseem ceeb ntawm kev siv tshuaj. Hauv tsev. Kuv zoo siab rau txoj kev kho mob. "
Rustam, hnub nyoog 48 xyoo, Omsk: "Kuv tau siv cov tshuaj ntau lub hlis dhau los. Kuv tsis tuaj yeem hais tias kuv twb zoo tu qab lawm, txoj kev tawm tsam tseem yog tom ntej, tab sis cov kab mob no pib thim rov qab. Kuv zoo siab dua. "rau txhua tus neeg mob uas tau muaj kev cuam tshuam loj heev hauv lub cev ua hom ntshav qab zib. Nws yog ib qho tseem ceeb uas tus kws kho mob tswj hwm kev kho mob tas li thiab saib xyuas tus neeg mob tas mus li, qhov no yuav pab kom ua tiav qhov zoo tshaj plaws kho."
Arina, 28 xyoo, Obninsk: "Txawm tias nws tseem hluas, nws ntsib kev mob ntshav qab zib. Cov tshuaj tau pab hauv kev tawm tsam nws."
