Insulin Lantus SoloStar yog ib qho tshuaj tiv thaiv ntawm cov tshuaj hormone nrog lub sijhawm ntev, uas yog rau cov kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog insulin glargine, qhov feem no tau los ntawm Escherichiacoli DNA siv txoj kev tso tawm.
Glargin muaj peev xwm khi rau cov tshuaj insulin zoo li tib neeg cov insulin, yog li cov tshuaj muaj txhua yam keeb kwm roj ntsha tsim nyog hauv cov tshuaj hormone.
Ib zaug nyob rau hauv cov rog subcutaneous, insulin glargine txhawb kev tsim ntawm microprecipitate, vim tias qee qhov nyiaj ntawm cov tshuaj qoj ib txwm tuaj yeem nkag mus rau cov hlab ntshav ntawm cov ntshav qab zib. Lub tshuab no muab cov ntaub ntawv pov thawj tus kheej.
Cov yam ntxwv ntawm cov tshuaj
Lub chaw tsim tshuaj paus yog cov tuam txhab German Sanofi-Aventis Deutschland GmbH. Cov tshuaj tseem ceeb ntawm cov tshuaj yog cov tshuaj insulin glargine, qhov muaj pes tsawg leeg kuj suav nrog kev pabcuam hauv cov qauv ntawm cov tshuaj metacresol, zinc chloride, glycerol, sodium hydroxide, hydrochloric acid, dej rau kev txhaj tshuaj.
Lantus yog cov kua ntshiab, tsis muaj xim lossis ze li xim tsis muaj kua. Qhov kev kub siab ntawm kev daws rau kev tswj hwm ntawm subcutaneous yog 100 U / ml.
Txhua lub khob ntim tau muaj 3 ml tshuaj; daim cartridge no tau tsa rau hauv SoloStar cov khoom nruab nruas siv. Tsib insulin cwjmem rau cov koob txhaj tshuaj muaj muag hauv cov thawv ntawv cardboard, lub teeb suav nrog phau ntawv qhia kev qhia rau lub ntaus ntawv.
- Cov tshuaj uas muaj cov tshuaj zoo los ntawm cov kws kho mob thiab cov neeg mob yuav tau hauv lub tsev muag tshuaj nkaus xwb nrog cov tshuaj kho mob.
- Insulin Lantus yog qhia rau cov kab mob ntshav qab zib insulin-mellitus hauv cov laus thiab cov menyuam yaus hnub nyoog rau xyoo.
- Daim foos tshwj xeeb ntawm SoloStar tso cai rau kev kho mob hauv cov menyuam yaus tshaj ob xyoos rov hauv.
- Tus nqi ntawm ib pob ntawm tsib syringe cwjmem thiab tshuaj ntawm 100 IU / ml yog 3,500 rubles.
Cov lus qhia rau kev siv tshuaj
Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob, tus kws endocrinologist yuav pab koj xaiv cov tshuaj kom raug thiab sau lub sijhawm txhaj tshuaj. Cov tshuaj insulin yog txhaj subcutaneously ib hnub ib zaug, thaum txhaj tshuaj yog ua tiav ncaj qha nyob rau qee lub sijhawm.
Cov tshuaj tau txhaj rau hauv lub cev subcutaneous rog ntawm tus ncej puab, lub xub pwg lossis lub plab. Txhua zaus koj yuav tsum tau hloov chaw mus txhaj tshuaj thiaj li tsis ua rau daim tawv. Cov tshuaj yeeb tshuaj no tuaj yeem raug siv los ua cov tshuaj ywj siab, los yog sib xyaw nrog lwm cov tshuaj txo suab thaj.
Ua ntej siv Lantus SoloStar cov tshuaj insulin nyob hauv tus cwj mem xaum rau kev kho mob, koj yuav tsum tau paub seb yuav siv cov cuab yeej no li cas rau kev txhaj tshuaj. Yog tias yav dhau los, kev kho tshuaj insulin yog ua tiav nrog kev pab los ntawm kev ua haujlwm ntev lossis nruab nrab ntawm insulin, kev noj tshuaj txhua hnub ntawm cov tshuaj insal hauv qab yuav tsum tau kho.
- Nyob rau hauv qhov kev hloov pauv los ntawm qhov kev txhaj tshuaj ob-zaug ntawm insulin-isophan mus rau ib qho kev txhaj tshuaj los ntawm Lantus thaum thawj ob lub lis piam, qhov kev noj tshuaj txhua hnub ntawm basal hormone yuav tsum tau txo 20-30 feem pua. Qhov hno txo yuav tsum tau them nyiaj los ntawm kev nce ntxiv ntawm cov tshuaj ntawm luv luv ua yeeb yam insulin.
- Qhov no yuav tiv thaiv qhov kev loj hlob ntawm cov hypoglycemia thaum hmo ntuj thiab sawv ntxov. Tsis tas li, thaum hloov mus rau ib cov tshuaj tshiab, ib qho lus teb nce ntxiv rau kev txhaj tshuaj ntawm cov tshuaj hormones yog feem ntau pom. Yog li, thaum xub thawj, koj yuav tsum ua tib zoo saib xyuas cov ntshav qab zib kom tsis txhob siv tshuaj glucometer thiab, yog tias tsim nyog, kho cov tshuaj rau ntawm cov tshuaj insulin.
- Nrog kev txhim kho kev cai ntawm cov metabolism, qee zaum kev nkag siab zoo rau cov tshuaj yuav nce ntxiv, hauv qhov no, nws yog qhov tsim nyog los kho cov tshuaj ntau dua. Ib qho kev hloov pauv hauv lub koob tshuaj kuj tseem yuav tsum tau hloov thaum hloov pauv lub neej ntawm cov ntshav qab zib, nce lossis txo qhov hnyav, hloov lub sijhawm txhaj tshuaj thiab lwm yam uas ua rau muaj qhov zoo li hypo- lossis hyperglycemia.
- Cov tshuaj yog nruj me ntsis txwv tsis pub rau kev tswj hwm ntawm qhov quav, qhov no tuaj yeem ua rau muaj kev txhim kho ntawm cov ntshav khov qis. Ua ntej kev txhaj tshuaj, koj yuav tsum xyuas kom tus koob txhaj tshuaj huv thiab huv huv.
Raws li txoj cai, Lantus insulin yog muab rau thaum yav tsaus ntuj, kev siv tshuaj thawj yuav yog 8 qhov lossis ntau dua. Thaum hloov mus rau ib qho tshuaj tshiab, tam sim ntawd qhia qhov tshuaj loj heev yog tias muaj kev phom sij hauv lub neej, yog li kev txhim kho yuav tsum tshwm sim maj mam ua.
Glargin pib ua haujlwm nquag ib teev tom qab txhaj, ntawm qhov nruab nrab, nws ua rau 24 teev. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum xav txog tias nrog ntau qhov ntau, lub sij hawm ntawm kev txiav txim ntawm cov tshuaj tuaj yeem ncav cuag 29 teev.
Insulin Lantus yuav tsum tsis txhob xyaw nrog lwm cov tshuaj.
Sab sij huam
Nrog cov kev qhia ntawm kev siv ntau tshaj ntawm cov tshuaj insulin, ib tus mob ntshav qab zib tuaj yeem muaj kev mob ntshav qab zib tsawg. Cov tsos mob ntawm tus mob feem ntau yuav pib tshwm sim sai thiab muaj nrog kev paub zoo li qaug zog, qaug zog, qaug zog, qaug zog qis, nkees nkees, pom kev txawv txav, mob taub hau, xeev siab, tsis meej pem, thiab mob plab.
Cov kev tshwm sim no feem ntau yog dhau los ntawm cov tsos mob nyob rau hauv daim ntawv ntawm kev xav ntawm kev tshaib plab, txob taus, mob siab lossis tshee, ntxhov siab, tawv nqaij daj, qhov tsos ntawm hws txias, tachycardia, palpitations lub plawv. Kev mob ntshav qab zib tsawg tuaj yeem ua rau lub cev puas tsuaj, yog li nws yog ib qho tseem ceeb uas yuav pab tau tus mob ntshav qab zib kom ncav sijhawm.
Qee qhov tsis tshua muaj tshwm sim, tus neeg mob muaj kev fab tshuaj rau cov tshuaj, uas nrog cov kev tawm tsam ntawm daim tawv nqaij dav dav, angioedema, bronchospasm, mob ntshav siab, poob siab, uas kuj yog qhov txaus ntshai rau tib neeg.
Tom qab txhaj tshuaj insulin, cov tshuaj tiv thaiv rau cov tshuaj nquag yuav tsim. Hauv qhov no, nws yog ib qho tsim nyog los kho cov tshuaj ntau npaum li cas ntawm cov tshuaj kom tshem tawm qhov kev pheej hmoo ntawm kev tsim hypo- lossis hyperglycemia. Tsis tshua muaj, nyob rau hauv cov ntshav qab zib, saj tuaj yeem hloov pauv tau, qee qhov tsis tshua pom, qhov muag pom muaj lub zog ua rau ib ntus vim muaj kev hloov ntawm qhov ntsuas qhov ntsuas ntawm lub lens ntawm lub qhov muag.
Ntau zaus, hauv thaj chaw txhaj tshuaj, cov mob ntshav qab zib tsim lipodystrophy, uas ua rau qeeb qis dua qhov nqus tshuaj. Txhawm rau zam qhov no, koj yuav tsum hloov chaw rau kev txhaj tshuaj tsis tu ncua. Kuj, liab, khaus, mob yuav tshwm rau ntawm daim tawv nqaij, qhov mob no yog ib ntus thiab feem ntau ploj tom qab ob peb hnub ntawm kev kho.
- Cov tshuaj insulin Lantus yuav tsum tsis txhob siv nrog qhov lub cev tsis haum rau cov tshuaj nquag glargine lossis lwm yam kev pabcuam ntawm cov tshuaj. Cov tshuaj no txwv rau kev siv rau cov menyuam yaus hnub nyoog qis dua rau xyoo, txawm li cas los xij, tus kws kho mob tuaj yeem sau ntawv tshwj xeeb rau cov tshuaj SoloStar, npaj rau cov menyuam.
- Ceev faj yuav tsum tau tawm dag zog thaum kho cov tshuaj insulin thaum cev xeeb tub thiab pub niam mis. Nws yog ib qho tseem ceeb txhua txhua hnub txhawm rau ntsuas ntshav qab zib thiab tswj cov chav kawm ntawm tus kab mob. Tom qab yug menyuam, nws yog ib qho tsim nyog yuav tau hloov kho qhov ntau npaum li cas ntawm cov tshuaj, txij li qhov xav tau cov tshuaj insulin thaum lub sijhawm no txo qis.
Feem ntau, cov kws kho mob pom zoo thaum cev xeeb tub nrog ntshav qab zib hauv lub cev kom siv lwm qhov piv ntawm cov tshuaj insulin ntev - cov tshuaj Levemir.
Thaum noj ntau dhau, muaj ntsis ntshav qab zib tsawg kawg yog nres los ntawm kev noj cov khoom lag luam uas suav nrog sai carbohydrate zom cov zaub mov. Tsis tas li ntawd, txoj kev kho mob pauv hloov, kev noj haus kom tsawg thiab ua kom lub cev ua haujlwm yog xaiv.
Hauv cov ntshav qog ntshav qab zib siab heev, glucagon yog muab cov tshuaj intramuscularly lossis subcutaneously, thiab txhaj tshuaj rau cov ntshav qabzib tov nrog.
Nrog rau tus kws kho mob tuaj yeem sau tshuaj lub sijhawm ntev rau kev noj cov carbohydrates.
Kev yuav txhaj tshuaj insulin li cas
Ua ntej ua kev txhaj tshuaj, koj yuav tsum kuaj xyuas lub zwj ceeb ntawm daim ntawv muab tso rau hauv daim ntawv xaum. Cov kev daws teeb meem yuav tsum ua kom pob tshab, xim, tsis muaj cov pov thawj lossis pom txawv teb chaws, muaj xwm yeem sib xws nrog dej.
Daim ntaub qhwv xim yog qhov khoom siv pov tseg, yog li tom qab txhaj tshuaj yuav tsum muab pov tseg, rov qab siv dua tuaj yeem ua rau kis tau. Txhua qhov kev txhaj tshuaj yuav tsum tau ua nrog cov kab mob uas tsis muaj kab mob tshiab, rau qhov siv rab koob tshwj xeeb no, siv cov koob txhaj tshuaj pleev los ntawm lub chaw tsim khoom no.
Cov khoom siv tsis zoo yuav tsum tau muab pov tseg; nrog kev ua txhaum me me ntawm kev ua haujlwm tsis zoo, kev txhaj tshuaj tsis tuaj yeem tsim nrog tus cwj mem no. Hauv no hais txog, cov neeg mob ntshav qab zib yuav tsum tau muaj ib qho xaum ntxiv los hloov lawv.
- Lub hau tiv thaiv tau raug muab tshem tawm los ntawm lub cuab yeej, tom qab ntawd lub cim rau ntawm lub khob insulin yog paub tseeb tias yuav tsum tau kuaj xyuas kom paub tseeb tias qhov kev npaj raug yog. Cov tsos ntawm kev daws teeb meem no tseem tau tshuaj xyuas, nyob rau hauv qhov muaj cov neeg yoog, cov khoom txawv teb chaws tuaj yeem lossis turbid sib xws, insulin yuav tsum tau hloov nrog lwm.
- Tom qab lub hau tiv thaiv raug tshem tawm, ib rab koob sterile yog kom zoo zoo thiab nruj nreem txuas rau daim duab xaum xim. Txhua zaus koj yuav tsum kuaj xyuas lub cuab yeej ua ntej ua kev txhaj tshuaj. Nws yog ib qho tseem ceeb kom paub meej tias tus pointer tau pib ntawm tus naj npawb 8, qhov no qhia tau tias lub koob txhaj tshuaj tsis tau siv ua ntej.
- Txhawm rau txhawm rau qhov xav tau yam xav tau, lub pob pib pib tau rub tawm, tom qab uas xaiv lub koob tsis tuaj yeem hloov pauv. Lub hau sab nraud thiab sab hauv yuav tsum tau muab tshem tawm, lawv yuav tsum khaws cia kom txog thaum ua tiav cov txheej txheem, kom tom qab txhaj tshuaj, tshem tawm cov koob siv uas tau siv lawm.
- Cov xaum xaum yog tuav los ntawm rab koob, tom qab ntawd koj yuav tsum maj mam chwv koj cov ntiv tes rau ntawm lub pas dej insulin kom huab cua nyob hauv tus npuas yuav sawv los ntawm rab koob. Tom ntej no, lub pob pib pib tau nias txhua txoj kev. Yog tias cov cuab yeej npaj tau los siv, ib qho poob me me yuav tsum tshwm ntawm qhov taub ntawm rab koob. Thaum tsis muaj qhov poob, koob cwj mem yuav rov ua dua.
Tus mob ntshav qab zib tuaj yeem xaiv qhov ntau thiab tsawg ntawm 2 txog 40 units, ib theem yog qhov no yog 2 ntu. Yog tias tsim nyog, kev qhia txog cov tshuaj insulin ntau zog, ua ob koob.
Ntawm qhov seem ntawm cov tshuaj insulin, koj tuaj yeem tshawb xyuas qhov tshuaj ntau npaum li cas hauv lub cuab yeej. Thaum cov piston dub yog nyob rau hauv thawj ntu ntawm qhov tso tawm xim dawb, qhov nyiaj ntawm cov tshuaj yog 40 PIECES, yog tias lub piston tso rau tom kawg, qhov koob tshuaj yog 20 PIECES. Lub koob xaiv xaiv raug muab kom txog thaum lub xub ntawm tus taw qhia yog ntawm lub koob tshuaj yam xav tau.
Txhawm rau sau cov insulin cwj mem, qhov txhaj tshuaj pib khawm yog rub mus rau qhov txwv. Koj yuav tsum paub tseeb tias cov tshuaj yuav tsum raug hu nyob hauv qhov ntau npaum yuav tsum tau ua. Lub khawm pib hloov pauv mus rau qhov tsim nyog ntawm cov tshuaj hormones tshuav hauv lub tank.
Siv lub pob pib, cov ntshav qab zib tuaj yeem kuaj xyuas seb cov insulin ntau npaum li cas. Thaum lub sijhawm pov thawj, lub pob yog khaws cia kom muaj zog. Tus nqi ntawm kev quav tshuaj yuav raug txiav txim los ntawm qhov pom kawg ntawm cov kab dav dav.
- Tus neeg mob yuav tsum kawm siv cov koob tshuaj insulin ua ntej, cov txheej txheem insulin tswj hwm yuav tsum tau kawm los ntawm cov neeg ua haujlwm hauv chaw kho mob. Lub koob nkag tau ib txwm tso subcutaneously, tom qab ntawd lub pob pib pib tau nias rau qhov txwv. Yog hais tias lub pob yog nias txhua txoj kev, ib lub suab nrov ntawm lub suab yuav hnov.
- Lub pob pib pib tau tuav tseg li 10 feeb, tom qab uas rab koob tuaj yeem rub tawm. Cov txheej txheem txhaj tshuaj no tso cai rau koj nkag mus rau qhov kev txhaj tshuaj tag nrho. Tom qab txhaj tshuaj tas lawm, rab koob raug rho tawm ntawm rab koob txhaj tshuaj thiab muab pov tseg; koj siv tsis tau nws rov qab los siv. Lub hau npog tiv thaiv yog muab tso rau ntawm tus cwj mem syringe.
- Txhua lub ntsej muag insulin yog nrog daim ntawv qhia, uas koj tuaj yeem paub yuav ua li cas txhawm rau txhawm rau txhawm rau txuas, txuas rab koob thiab txhaj tshuaj. Ua ntej muab cov tshuaj insulin, daim cartridge yuav tsum tsawg kawg ob teev ntawm chav sov. Tsis txhob siv cov laub tsis tas li.
Daim roj insant lantus tuaj yeem khaws cia hauv qhov kub thiab txias ntawm 2 txog 8 degrees ntawm qhov chaw tsaus, kom deb ntawm kev tshav ntuj ncaj qha. Cov tshuaj yuav tsum muab tso rau qhov chaw ncav cuag ntawm cov menyuam yaus.
Lub txee lub neej ntawm cov tshuaj insulin yog peb xyoos, tom qab kev daws teeb meem yuav tsum tau muab pov tseg, nws tsis tuaj yeem siv rau nws qhov laj thawj.
Analogues ntawm cov tshuaj
Cov tshuaj zoo ib yam li lub ntsej muag hypoglycemic xws li Levemir insulin, uas muaj kev txheeb xyuas zoo heev. Cov tshuaj no yog cov tshuaj basal soluble analogue ntawm tib neeg lub cev ntev insulin.
Qhov tshuaj hormones no yog tsim los ntawm kev siv cov kabmob DNA biotechnology siv ib hom kab mob ntawm Saccharomyces cerevisiae. Levemir yog nkag tau rau hauv lub cev ntawm cov mob ntshav qab zib tsuas yog subcutaneously. Qhov ntau thiab tsawg zaus ntawm kev txhaj tshuaj yog kho los ntawm tus kws kho mob mus kawm, nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob.
Lantus yuav tham txog insulin hauv kev nthuav dav hauv video hauv kab lus no.
