COV TSHUAJ INSULIN LUV LUV - YOG DAB TSI? - COV HAU KEV THIAB KEV KHO MOB

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Cov tshuaj insulin luv luv yog qhov tshwj xeeb uas txo cov piam thaj uas tswj cov metabolism hauv kev ua zaub mov hauv lub cev.

Cov tshuaj muaj pes tsawg leeg ntawm cov tshuaj no suav nrog kev daws teeb meem hormonal, uas tsis muaj cov tshuaj ntxiv uas ua kom ntev nws cov nyhuv hauv lub cev. Ib pawg ntawm cov yeeb yam luv luv ua haujlwm sai dua li lwm tus, tab sis tag nrho lub sijhawm ntawm lawv cov haujlwm yog luv.

Cov tshuaj Intramuscular muaj nyob rau hauv cov iav vials kaw, ntim nrog nres nres nrog txhuas ua.

Cov nyhuv ntawm cov insulin luv luv ntawm lub cev yog los ntawm:

kev tsuj lossis kev tsim tshwj xeeb ntawm qee yam enzymes;
kev ua haujlwm ntawm glycogen synthesis thiab hexokinase;
kev tiv thaiv ntawm lipase ua kom muaj roj ntau.

Qhov qib ntawm kev ua kom tso pa tawm thiab biosynthesis yog nyob ntawm cov piam thaj hauv cov ntshav. Nrog rau qhov nce ntxiv hauv nws cov qib, cov txheej txheem ntawm cov tshuaj insulin ntau hauv cov txiav ua ke nce thiab, hloov pauv, nrog qhov kev poob qis hauv kev zais, kev zais cia qeeb.

Luv luv Insulin Txwv

Raws li lub sij hawm cov yam ntxwv ntawm kev tsim yeeb yam luv luv yog:

Insulins luv luv (soluble, regulators) insulins - ua tom qab kev coj noj coj ua tom qab ib nrab teev, yog li lawv pom zoo kom siv 40-50 feeb ua ntej noj mov. Qhov kev cia siab tshaj plaws ntawm cov tshuaj nquag hauv cov ntshav ntws tau mus txog tom qab 2 teev, thiab tom qab 6 teev tsuas yog ib qhov cim ntawm cov tshuaj nyob hauv lub cev. Cov insulins luv luv suav nrog tib neeg lub soluble txhob kaw, cov tib neeg soluble semisynthetic thiab monocomponent soluble nqaij npuas.
Insulins Ultrashort (tib neeg, analog) - pib cuam tshuam rau lub cev tom qab tswj hwm tom qab 15 feeb. Kev ua tiav cov pob tw tseem tau tiav tom qab ob peb teev. Kev tshem tawm tiav ntawm lub cev tshwm sim tom qab 4 teev. Vim tias qhov tseeb tias cov tshuaj tiv thaiv kab mob ua kom muaj zog ua rau lub cev muaj zog ntau dua, cov kev npaj uas nws muaj yuav siv tau li 5-10 feeb ua ntej noj mov lossis tam sim ntawd tom qab noj mov. Hom tshuaj no suav nrog aspart insulin thiab ib nrab hluavtaws sib piv ntawm tib neeg cov tshuaj insulin.

Nws yuav tsum nco ntsoov tias insulin ultrafast zoo li lub cev hloov pauv ntawm tib neeg lub cev mus rau kev nce siab hauv cov ntshav qab zib tom qab noj mov. Tias yog vim li cas nws yuav tsum tau ua sai sai ua ntej lossis sai sai tom qab noj mov.

Luv luv insulin rau ntshav qab zib

Ntshav qab zib insulin pab tiv thaiv kev txhim kho ntawm cov kev mob nyhav, ua rau lub neej ntev dua ntawm cov ntshav qab zib thiab txhim kho nws qhov zoo. Tsis tas li, kev txhaj tshuaj ntawm cov tshuaj no txo cov load ntawm tus txiav, uas pab txhawb rau qee feem kho tshiab ntawm cov hlwb.

Ib qho zoo sib xws tuaj yeem ua tiav nrog tus mob ntshav qab zib hom 2 nrog kev ua kom yog ntawm kev kho mob thiab ua raws li kev cai pom zoo los ntawm kws kho mob. Rov qab ntawm cov qe ntshav yog tseem muaj peev xwm nrog mob ntshav qab zib hom 1 tsuas yog kev kuaj pom tau ua nyob rau lub sijhawm thiab kev ntsuas kho mob tau tshwm sim yam tsis muaj sijhawm qeeb.
Feem ntau, cov tshuaj tau muab tshuaj rau tshuaj intramuscularly lossis subcutaneously nrog tus qauv tsim tshwj xeeb rau cov tshuaj insulin. Tsuas yog nyob rau ntawm qhov muaj mob ntshav qab zib ua kom tsis nco qab, tso siab rau kev tswj hwm ntawm cov tshuaj yog kev tso cai. Cov koob tshuaj yog xaiv tau ntawm tus kheej, noj mus rau hauv tus account qhov mob hnyav, qib ntawm cov piam thaj hauv lub cev thiab qhov mob ntawm tus neeg mob.

Kev txhaj tshuaj insulin yog raws li 2-3 teev hauv ib hnub ib nrab teev ua ntej noj mov. Cov koob tshuaj ib txwm siv tshuaj no yog los ntawm 10 txog 40 ib hnub.

Nrog rau mob ntshav qab zib tsis nco qab, yuav tsum tau ntau dua cov tshuaj: rau kev tswj hwm subcutaneous - los ntawm 100 PIECES thiab siab dua, thiab rau cov tshuaj tswj kav - txog 50 PIECES ib hnub. Txog kev kho mob ntshav qab zib them se, qhov nyiaj ntawm cov tshuaj insulin raug suav raws li qhov mob hnyav ntawm cov kab mob hauv qab. Hauv lwm qhov xwm txheej, yuav tsum tsis txhob muaj ntau tus neeg sawv cev hormonal, nws raug nquahu kom txhaj cov tshuaj me me, tab sis ntau zaus.

Kev phiv tshuaj tiv thaiv thiab tshuaj tiv thaiv

Kev siv tshuaj insulin tsis raug pom zoo rau kev siv nrog:

pancreatitis
kab mob siab
jade

decompensated kab mob plawv,
mob raum pob zeb
ulcerative txhab ntawm lub pais plab cheeb tsam thiab duodenum.

Qhov tshwm sim tsis zoo tom qab kev tswj hwm ntawm tus neeg sawv cev hormonal tshwm sim thaum cov lus pom zoo muab tshuaj tsis ua raws. Qhov no yog nrog los ntawm qhov nce ntxiv hauv insulin hauv cov ntshav kev.

Feem ntau cov kev mob tshwm sim muaj xws li:

cov tsis muaj zog dav dav;
nce hws;
palpitations
nce salivation;
kiv taub hau.

Thaum muaj mob hnyav yuav ua rau lub cev muaj mob ntau ntxiv rau hauv cov hlab ntshav (yog tias tsis muaj kev tswj hwm cov sijhawm ntev ntawm cov carbohydrates), kev huam yuaj tuaj yeem tshwm sim, nrog rau kev tsis nco qab thiab ua rau lub cev tsis nco qab lawm.

Kev npaj tshuaj insulin luv thiab ultrafast

Txhua yam tshuaj uas muaj luv luv tib neeg insulins lossis lawv cov analogues muaj cov yam ntxwv zoo sib xws. Yog li no, yog tias tsim nyog, lawv tuaj yeem hloov, soj ntsuam cov tshuaj kho mob tib yam, nrog kev sib tham ua ntej ntawm kws kho mob yuav tsum ua. Yog li, kev xaiv me me ntawm kev ua haujlwm luv thiab ua haujlwm sai insulin npe

Feem ntau nrov thiab siv tshuaj kev ua yeeb yam luv luv yog:

Actrapid (tus nqi nruab nrab ntawm 380 rubles)

- tsim tawm siv Saccharomyces cerevisiae siv qhov thev naus laus zis DNA thev naus laus zis. Lub sijhawm ua haujlwm ntawm cov nquag ua haujlwm ntawm lub cev yog txiav txim siab los ntawm nws qhov nqus tus nqi. Nws nyob ntawm qhov ntau npaum li cas, thaj chaw, hom mob ntshav qab zib mellitus thiab txoj kev khiav haujlwm. Cov nyhuv ntawm cov tshuaj pib 30 feeb tom qab kev txhaj tshuaj. Qhov siab tshaj plaws ntawm cov kua dej yog ua tiav tom qab lub sijhawm sib npaug li 1.5-3.5 teev thiab lub sijhawm ntawm nws cov kev ua nws txawv ntawm 7 txog 8 teev.

Humulin (tus nqi 530 rubles)

- ib hom tshuaj nrog cov nyhuv hypoglycemic. Nws yog tsim nyob rau hauv lub hauv paus ntawm biosynthetic tib neeg insulin thiab cuam tshuam rau cov tshuaj hormones hauv cev ntawm lub sijhawm luv lossis nruab nrab. Cov tshuaj pib ua haujlwm tom qab coj hauv ib teev. Qhov siab tshaj plaws yog ua tiav tom qab 1-3 teev, thiab tag nrho lub sijhawm nyob hauv lub cev yog 5-8 teev.

Iletin (tus nqi nruab nrab ntawm 400 rubles)

- muaj pes tsawg leeg ntawm cov tshuaj no suav nrog insulin-zinc nqaij npuas monocomponent. Cov tshuaj muaj lub sij hawm luv luv thiab nruab nrab ntawm kev sib kis, vim tus nqi nqus ntawm cov tshuaj nquag. Qhov pib ntawm kev quav yeeb tshuaj tshwm sim tom qab 2.5 teev, thiab cov txiaj ntsig siab tshaj plaws yog los ntawm 7 txog 15 teev. Insulin zinc raug tawm ntawm lub cev ib hnub tom qab kev coj.

Npaj ultrafast:

Novorapid (nqe 1700 rub.)

- tsim tawm siv Saccharomyces cerevisiae nrog amino acid hloov nrog aspartic acid. Lub sijhawm ncua ntawm kev siv tshuaj yog luv dua li ntawm tib neeg lub cev insulin. Tom qab kev tswj hwm, nws txoj haujlwm pib hauv 10-20 feeb. Qhov siab tshaj plaws hauv cov hlab ntsha tau mus txog tom qab 1-3 teev. Qhov kev txiav txim kav tom qab txhaj rau 3 txog 5 teev.

Humalog (tus nqi nruab nrab rau daim cartridge 550 rubles)

- Ib qho tshuaj tiv thaiv ntawm tib neeg cov tshuaj insulin, cim los ntawm kev pib sai thiab thaum xaus ntawm cov txiaj ntsig piv nrog cov tshuaj tiv thaiv luv luv. Qhov nrawm ntawm nws cov nyhuv yog vim muaj cov qauv monomeric ntawm lwg me me ntawm lub humalogue. Tom qab txhaj tshuaj, tus neeg sawv cev hormonal pib cuam tshuam rau tib neeg lub cev tom qab 15 feeb. Qhov siab tshaj plaws kev tsom xam tau pom tom qab 30 feeb lossis 2.5 teev. Nws tawm tom qab 3-4 teev.

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