Yam 1 ntshav qab zib mellitus ib txwm xav tau kev pab tshuaj insulin, thiab ntshav qab zib hom 2 qee zaum xav tau insulin. Yog li no, yuav tsum muaj kev tswj hwm ntxiv ntawm qhov hormone. Ua ntej siv cov tshuaj, ib qho yuav tsum kawm nws cov teebmeem pharmacological, contraindications, muaj kev phom sij, nqi, tshuaj xyuas thiab analogues, sab laj tus kws kho mob thiab txiav txim qhov koob.
Humalog yog cov hluavtaws sib piv ntawm cov tib neeg muaj suab thaj-txo cov tshuaj hormones. Nws muaj cov nyhuv hauv lub sijhawm luv luv, tswj cov txheej txheem ntawm cov metabolism hauv qabzib hauv lub cev thiab qib. Nws yuav tsum tau sau tseg tias cov kua nplaum tseem tuaj yeem ua hauv daim siab thiab cov leeg nqaij ua glycogen.
Lub sijhawm ntawm cov tshuaj yog nyob ntawm ntau ntawm ntau yam, suav nrog tus neeg ntawd tus yam ntxwv ntawm tus neeg mob. Piv txwv, hauv tus neeg mob uas muaj ntshav qab zib hom 2, thaum siv cov tshuaj hypoglycemic thiab kev kho tshuaj insulin, kev tswj hwm qib siab ntau dua yog pom. Cov tshuaj tseem tiv thaiv cov ntshav qabzib thaum lub hmo ntuj so hauv cov neeg mob ntshav qab zib. Hauv qhov no, pathology ntawm lub siab lossis ob lub raum tsis cuam tshuam rau cov metabolism hauv cov tshuaj.
Cov tshuaj Humalog pib ua kom muaj qhov hypoglycemic tom qab nws nkag mus rau hauv lub cev tom qab 15 feeb, yog li cov neeg mob ntshav qab zib feem ntau txhaj tshuaj ua ntej noj mov. Tsis zoo li lub cev tib neeg lawm, cov tshuaj no tsuas kav ntev li 2 mus rau 5 teev, thiab tom qab ntawd 80% ntawm cov tshuaj tso tawm los ntawm lub raum, tshuav 20% - los ntawm lub siab.
Ua tsaug rau cov tshuaj, cov kev hloov pauv zoo tshwm sim:
- kev ua kom nrawm ntawm cov khoom cua protein;
- ntau ntxiv ntawm cov amino acids;
- ua rau kom tsis muaj teeb meem ntawm glycogen hloov mus rau hauv qabzib;
- kev txwv ntawm kev hloov ntawm cov piam thaj los ntawm cov tshuaj protein thiab cov rog.
Nyob ntawm qhov kev saib xyuas ntawm cov tshuaj nquag, Lispro insulin, ob hom tshuaj tso tawm nyob rau hauv lub npe Humalog Mix 25 thiab Humalog Mix 50. Hauv thawj kis, 25% daws ntawm hluavtaws hormone thiab 75% raug ncua ntawm cov tshuaj tiv thaiv muaj, nyob rau hauv rooj plaub thib ob, lawv cov ntsiab lus yog 50% rau 50%. Tshuaj kho mob kuj tseem muaj qee qhov me me ntawm cov khoom siv ntxiv: glycerol, phenol, metacresol, zinc oxide, dibasic sodium phosphate, dej haus, sodium sodiumx 10% lossis hydrochloric acid (daws 10%). Ob qho tshuaj no yog siv rau cov tshuaj insulin-tiv thaiv tsis rau tus mob ntshav qab zib thiab tsis-insulin.
Cov insulins hluavtaws yog tsim nyob rau hauv daim ntawv ntawm kev ncua, uas yog xim dawb. Cov dej nag dawb thiab cov kua translucent saum nws kuj yuav tsim, nrog kev ntxhov siab, qhov sib xyaw ua kom homogeneous dua.
Humalog Mix 25 thiab Humalog Mix 50 kev ncua yog muaj nyob rau hauv 3 ml cartridges thiab hauv koob txhaj tshuaj.
Cov lus qhia rau kev siv tshuaj
Rau yeeb tshuaj, ntawv tshwj xeeb QuickPen koob txhaj tshuaj yog muaj rau kev tswj hwm yooj yim dua. Ua ntej siv nws, koj yuav tsum nyeem Daim Ntawv Qhia Siv Cov Lus Qhia Txuas nrog. Qhov insulin daim cartridge yuav tsum tau muab sib dhos ntawm lub xib teg ntawm txhais tes rau qhov kev ncua ntawv kom dhau los ua homogeneous. Thaum kuaj pom cov khoom txawv txawv hauv nws, nws zoo dua tsis txhob siv cov tshuaj txhua lub sijhawm. Txhawm rau nkag mus rau lub cuab yeej kom raug, qee txoj cai yuav tsum ua raws.
Ntxuav koj txhais tes kom huv thiab txiav txim siab qhov chaw txhaj tshuaj. Tom ntej, kho qhov chaw nrog tshuaj tua kab mob. Tshem lub hau tiv thaiv los ntawm rab koob. Tom qab qhov no, koj yuav tsum kho qhov tawv nqaij. Cov kauj ruam tom ntej yog los ntxig cov koob subcutaneously raws li cov lus qhia. Tom qab tshem rab koob, qhov chaw yuav tsum tau muab nias thiab tsis zaws. Ntawm theem kawg ntawm cov txheej txheem, cov koob siv tau raug kaw nrog lub hau, thiab rab koob syringe kaw nrog lub hau tshwj xeeb.
Cov lus qhia uas ntim hauv no muaj cov ntaub ntawv uas tsuas yog kws kho mob tuaj yeem sau ntawv muab tshuaj kom yog thiab tshuaj noj ntawm cov tshuaj insulin, muab cov kua nplaum hauv cov ntshav rau tus neeg mob. Tom qab kev yuav khoom ntawm Humalog, cov lus qhia rau kev siv yuav tsum tau ua tib zoo kawm. Koj tseem tuaj yeem paub txog cov cai tswjfwm rau kev siv tshuaj hauv nws:
- hluavtaws cov tshuaj tua kab mob tsuas yog tswj tau subcutaneously, nws yog txwv tsis pub nkag mus rau hauv txoj leeg ntshav;
- qhov kub ntawm cov tshuaj ntawm lub sijhawm ntawm kev tswj hwm yuav tsum tsis txhob qis dua chav sov;
- kev txhaj tshuaj yog tsim nyob hauv tus ncej, pob tw, xub pwg lossis lub plab;
- qhov chaw rau kev txhaj tshuaj yuav tsum tau sib hloov;
- thaum saib xyuas cov tshuaj, nws yog ib qho tsim nyog yuav tsum xyuas kom meej tias lub koob tsis tshwm hauv lub lumen ntawm cov hlab ntsha;
- tom qab kev ua haujlwm ntawm cov tshuaj insulin, qhov chaw txhaj tshuaj tsis tuaj yeem raug ua kom mob.
Ua ntej siv, sib tov yuav tsum muab chais.
Lub txee lub neej ntawm cov tshuaj yog peb xyoos. Thaum cov lus no xaus, nws siv tau txwv. Cov tshuaj yuav cia nyob hauv qhov ntau ntawm 2 txog 8 degrees tsis muaj hnub ci.
Cov tshuaj uas siv tau yog khaws cia ntawm qhov kub uas tsis pub tshaj 30 degrees txog li 28 hnub.
Cov kev txuam nrog, phiv thiab siv ntau dhau
Cov tshuaj tiv thaiv Humalog 25 thiab Humalog Mix 50 tshuaj muaj tsuas yog ob qho kev sib tiv thaiv - qhov no yog lub xeev ntawm kev txo lub cev thiab ib leeg rhiab rau cov tshuaj uas muaj nyob hauv qhov npaj.
Txawm li cas los xij, yog tias cov tshuaj siv tsis tsim nyog lossis rau lwm qhov laj thawj, tus neeg mob yuav muaj kev phiv tshuaj zoo li hypoglycemia, kev fab tshuaj, lipid dystrophy ntawm qhov chaw txhaj tshuaj (tsawg heev).
Nyob rau hauv cov xwm txheej nyuaj tshwj xeeb, tus kws kho mob yuav tsum kho cov kev kho mob los ntawm kev sau tshuaj ntawm lwm yam tshuaj insulin lossis desensitization.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev fab tshuaj tsis haum ntawm qhov xwm txheej sib txawv:
- Kev txhaj tshuaj-cuam tshuam-kev pleev tawv, liab, thiab khaus uas ploj mus tom qab ob peb hnub lossis ob lis piam.
- Sib txuam nrog kev siv tshuaj tiv thaiv kab mob lossis ua haujlwm tsis zoo ntawm cov tshuaj insulin.
- Cov kev tsis haum rau lub cev - ua pa luv, ntshav siab, ua kom khaus, ua tawm hws thiab tachycardia.
Txog rau lub sijhawm cev xeeb tub thiab pub niam mis, cov poj niam tuaj yeem siv cov tshuaj no, yuav tsum sab laj nrog tus kws kho mob tshwj xeeb.
Cov menyuam yaus tseem raug tso cai siv cov tshuaj no, tab sis tsuas yog qee yam. Piv txwv li, me nyuam lub siab thiab zaub mov noj tsis hloov ntau zaus, nws feem ntau muaj kev tawm tsam cov ntshav qog ntshav qab zib lossis cov dej qab zib ib txwm hloov pauv nyob hauv cov ntshav qab zib. Txawm li cas los xij, tsuas yog ib tus kws kho mob tuaj yeem txiav txim siab qhov tsim nyog ntawm kev siv tshuaj Humalog.
Hloov cov ntim ntau ntawm cov tshuaj hauv qab daim tawv nqaij tuaj yeem ua rau cov tsos mob cuam tshuam nrog kev noj ntau dhau:
- nce zog thiab ua hws sib cais;
- mob taub hau
- xeev siab thiab ntuav
- tachycardia;
- tsis meej pem pem.
Hauv cov ntawv me ntawm kev noj ntau dhau, tus neeg mob yuav tsum noj zaub mov nrog cov piam thaj hauv qab. Tus kws kho mob koom nrog tuaj yeem hloov qhov ntau ntxiv ntawm cov tshuaj, khoom noj khoom haus lossis kev ua haujlwm lub cev. Nrog mob hnyav, glucagon yog muab tshuaj subcutaneously lossis intramuscularly, thiab yooj yim rau kev zom cov zaub mov muaj tseem tau noj. Hauv cov xwm txheej hnyav, thaum muaj mob tsis meej pem, puas hlwb lossis huam mob huam, mob ntshav qabzib lossis ntshav qabzib feem ntau tseem siv tshuaj. Thaum tus neeg mob rov qab, nws yuav tsum noj zaub mov carbohydrate-nplua nuj.
Ntxiv mus, nws yuav tsum nyob hauv qab kev tswj hwm ntawm tus kws kho mob.
Tus nqi, tshuaj xyuas thiab analogues tshuaj
Cov tshuaj yuav muag los ntawm cov tshuaj xaj. Nws tuaj yeem muas ntawm chaw muag tshuaj lossis chaw muag tshuaj online. Tus nqi ntawm cov tshuaj los ntawm Humalog series tsis yog ntau heev, txhua tus neeg nrog cov nyiaj tau los nruab nrab tuaj yeem yuav nws. Tus nqi ntawm kev npaj tau yog rau Humalog Mix 25 (3 ml, 5 pcs) - los ntawm 1790 txog 2050 rubles, thiab rau Humalog Mix 50 (3 ml, 5 pcs) - los ntawm 1890 txog 2100 rubles.
Kev txheeb xyuas ntawm cov neeg mob ntshav qab zib feem ntau txog insulin Humalog zoo. Muaj ntau cov lus pom nyob hauv Is Taws Nem txog kev siv tshuaj, uas tau hais tias nws yooj yim siv, thiab nws ua sai sai.
Cov kev mob tshwm sim muaj tsawg heev. Tus nqi ntawm cov tshuaj yog tsis dhau lawm "yoov", raws li tau hais los ntawm kev txheeb xyuas cov ntshav qab zib. Insulin Humalog ua haujlwm zoo heev uas muaj ntshav qab zib ntau ntau.
Ntxiv rau, qhov zoo hauv qab no ntawm cov tshuaj los ntawm cov koob no tuaj yeem ua qhov txawv:
- txhim kho metabolism hauv cov metabolism;
- txo hauv HbA1;
- txo nyob rau hauv glycemic tawm tsam nruab hnub thiab hmo ntuj;
- lub peev xwm los siv cov khoom noj yooj yim;
- yooj yim ntawm kev siv tshuaj.
Hauv qhov xwm txheej uas tus neeg mob txwv tsis pub siv cov tshuaj los ntawm koob tshuaj Humalog, tus kws kho mob tuaj yeem sau ib qho ntawm cov tshuaj zoo ib yam, piv txwv li:
- Isophane;
- Iletin;
- Pensulin;
- Cov tshuaj insulin C;
- Cov tshuaj insulin Humulin;
- Rinsulin;
- Actrapid MS thiab lwm tus.
Cov tshuaj ib txwm muaj niaj hnub hloov zuj zus, tsim kho thiab txhim kho cov tshuaj uas pab tau ntau tus neeg los tswj kev ua neej thiab kev noj qab haus huv. Nrog rau kev siv tshuaj insulin kom zoo los ntawm Humalog cov tshuaj, koj tuaj yeem tshem tawm qhov kev tawm tsam uas mob ntshav qab zib tsawg thiab cov tsos mob ntawm "muaj mob qab zib". Koj yuav tsum ua raws li cov lus pom zoo los ntawm koj tus kws kho mob thiab tsis txhob noj tshuaj rau tus kheej. Tsuas yog hauv txoj kev no tus neeg muaj ntshav qab zib tuaj yeem tswj hwm tus kabmob thiab muaj peev xwm nyob tau zoo nrog cov neeg muaj mob.
Cov yeeb yaj kiab hauv tsab xov xwm no yuav qhia txog cov ntsej muag pharmacological ntawm cov tshuaj insulin.
