Kev kho mob ntawm cov neeg mob ntshav qab zib hom 1 yog nqa tawm txoj kev kho tshuaj insulin. Ua ke nrog kev txwv kev noj zaub mov, kev tswj hwm insulin tuaj yeem tiv thaiv cov neeg mob no los ntawm kev mob ntshav qab zib hnyav.
Thaum sau tshuaj rau hauv insulin, nws yog qhov yuav tsum tau sim kom yug cov menyuam ze ze li qhov ua tau rau lub ntuj sib luag ntawm nws qhov kev nkag mus rau hauv cov ntshav. Rau qhov no, ob hom tshuaj insulin feem ntau qhia rau cov neeg mob - ntev thiab luv.
Cov tshuaj insulins ntev ua qog ua ntsiag to hauv qab (zais me) zais cia. Cov insulins luv luv tau hais tseg rau qhov nqus ntawm carbohydrates los ntawm cov khoom noj. Lawv muab ua ntej noj mov hauv ib qho koob tshuaj sib xws nrog cov naj npawb ntawm cov khob cij hauv cov khoom. Actrapid NM hais txog cov tshuaj insulin.
Tus txheej txheem ntawm kev ua ntawm Actrapid NM
Cov khoom muaj cov tib neeg insulin tau los ntawm kev tsim hluav taws xob. Rau nws cov ntau lawm, DNA los ntawm saccharomycetes poov xab siv.
Cov tshuaj insulin khi rau cov receptors nyob rau hauv lub hlwb thiab qhov nyuaj no muab cov ntshav ntws los ntawm cov ntshav mus rau hauv lub cell.
Tsis tas li ntawd, Actrapid insulin nthuav tawm cov yeeb yam zoo li ntawm cov txheej txheem hauv metabolic:
- Txhim kho kev tsim glycogen hauv daim siab thiab cov leeg nqaij
- Pab txhawb kev siv cov piam thaj los ntawm cov leeg ntawm cov leeg thiab cov nplais adipose rau lub zog
- Qhov rhuav tshem ntawm glycogen yog txo, zoo li yog kev tsim cov kua nplaum nyob rau hauv lub qog.
- Txhim kho kev tsim cov roj fatty thiab txo cov rog rog
- Hauv cov ntshav, cov synthesis ntawm lipoproteins ntau ntxiv
- Kev siv tshuaj insulin nce ntawm tes kev loj hlob thiab faib
- Ua kom ceev cov synthesis protein thiab txo nws cov khoom tawg.
Lub sijhawm ua li cas ntawm Actrapid NM nyob ntawm lub koob tshuaj, thaj chaw txhaj tshuaj thiab hom mob ntshav qab zib. Cov yeeb tshuaj qhia nws cov khoom ib nrab ib teev tom qab kev tswj hwm, nws qhov siab tshaj plaws tau sau tseg tom qab 1.5 - 3.5 teev. Tom qab 7 txog 8 teev, cov tshuaj nres nws qhov kev txiav txim thiab raug pov tseg los ntawm cov enzymes.
Cov cim tseem ceeb rau kev siv Actrapid insulin yog kom txo cov piam thaj hauv ntshav qab zib mellitus ob qho tib si rau kev siv tas li thiab rau kev txhim kho ntawm cov xwm txheej ceev.
Actrapid thaum cev xeeb tub
Cov tshuaj Insulin Actrapid NM tuaj yeem raug txo kom txo qis hyperglycemia hauv cov poj niam cev xeeb tub, vim nws tsis hla qhov teeb meem placental. Tsis muaj nyiaj them rau ntshav qab zib nyob rau hauv cov poj niam cev xeeb tub tuaj yeem yog qhov txaus ntshai rau tus menyuam.
Kev xaiv cov koob tshuaj rau cov poj niam cev xeeb tub yog qhov tseem ceeb heev, txij li qib siab thiab qis qab zib cuam tshuam kev cuam tshuam ntawm cov khoom hauv nruab nrog thiab ua rau muaj kev tsis zoo, nrog rau cov kev pheej hmoo ntawm me nyuam hauv plab tuag.
Pib txij theem pib cev xeeb tub, cov neeg mob ntshav qab zib yuav tsum tau saib xyuas los ntawm tus kws kho mob endocrinologist, thiab lawv tau pom tias nce qib ntshav qabzib. Qhov kev xav tau rau insulin tuaj yeem txo qis hauv thawj peb lub hlis thaum cev xeeb tub thiab nce hauv zaum ob thiab peb.
Tom qab yug menyuam, theem ntawm glycemia feem ntau rov qab mus rau cov nuj nqis yav dhau los uas yog ua ntej cev xeeb tub.
Rau cov niam tsev laus, lub luag haujlwm ntawm Actrapid NM kuj tsis muaj kev phom sij.
Tab sis noj mus rau hauv tus account qhov xav tau ntau ntxiv rau cov khoom noj muaj txiaj ntsig, kev noj haus yuav tsum hloov pauv, thiab yog li cov koob tshuaj insulin.
Yuav tso npe thov Actrapid NM li cas?
Cov tshuaj insulin muab cov tshuaj subcutaneously thiab txhaj tshuaj. Tsuas tshuaj yog xaiv nruj me ntsis tus kheej. Feem ntau, cov tshuaj insulin yog nyob nruab nrab ntawm 0.3 thiab 1 IU ib hnub rau ib phaus ntawm tus neeg mob lub cev. Nrog insulin tsis kam nyob rau hauv cov hluas lossis nrog rog, nws yog qhov siab dua, thiab rau cov neeg mob uas muaj kev tso pa tawm ntawm lawv tus kheej insulin, nws qis dua.
Hauv txoj kev them nyiaj mob ntshav qab zib, cov kab mob ntawm tus kab mob no tsis tshua pom muaj ntau thiab tom qab. Yog li, yuav tsum tau soj ntsuam cov ntshav qabzib tas mus li thiab xaiv cov tshuaj insulin uas tswj kom tiaj tus sib npaug ntawm qhov ntsuas no.
Actrapid NM yog cov tshuaj insulin luv luv, yog li nws feem ntau ua ke nrog cov tshuaj ncua ntev. Nws yuav tsum tau noj tshuaj rau ib nrab teev ua ntej noj mov, lossis ib qho khoom noj me me uas muaj cov carbohydrates.
Txoj kev nkag nrawm tshaj yog kev txhaj tshuaj rau hauv plab. Ua li no, nws yog qhov yuav tsum tau txhaj cov tshuaj insulin rau hauv daim tawv nqaij quav. Thaj chaw ntawm lub duav, pob tw, lossis xub pwg kuj tseem siv. Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li txhawm rau kom tsis txhob ua kev puas tsuaj rau cov ntaub so ntswg subcutaneous.
Ntawm kev pom zoo ntawm kws kho mob, kev txhaj tshuaj intramuscular tuaj yeem siv. Actrapid tsuas siv rau hauv cov tsev kho mob, feem ntau ua ke nrog lwm cov tshuaj, suav nrog cov piam thaj rau cov khoom noj niam txiv.
Nrog rau kev txhim kho ntshav qab zib nephropathy, qhov kev xav tau rau cov insulin poob qis, yog li cov koob tshuaj tau hloov mus rau hauv tus account lub glomerular pom npaum li cas thiab theem ntawm lub raum tsis ua haujlwm. Hauv cov kab mob ntawm cov qog adrenal, cov thyroid caj pas, pituitary caj pas, nrog rau daim siab puas tsuaj, koob tshuaj yuav tsum tau hloov pauv.
Qhov kev xav tau rau insulin kuj hloov pauv nrog kev ntxhov siab kev xav, hloov hauv lub cev ua si lossis hloov mus rau kev noj zaub mov txawv. Txhua yam kab mob yog qhov laj thawj rau kev kho cov tshuaj insulin pom zoo nrog koj tus kws kho mob.
Yog tias cov koob tshuaj insulin tsawg, lossis tus neeg mob nws tus kheej tau tso tseg insulin, hyperglycemia yuav pib ua nrog cov tsos mob hauv qab no:
- Ua rau tsaug zog ntau dua qub thiab nkees.
- Nce nqhis dej.
- Xeev siab thiab ntuav ntuav.
- Daim tawv liab thiab qhuav.
- Nce tso zis.
- Tsis qab los noj mov.
- Lub qhov ncauj qhuav.
Cov tsos mob ntawm hyperglycemia pib maj mam - ntau ob peb teev lossis hnub. Yog tias koj tsis kho koj cov ntshav qab zib, ces ketoacidosis muaj mob ntshav qab zib. Nws cov yam ntxwv ntawm tus kheej yog qhov tsis hnov tsw ntawm acetone hauv pa pa tawm. Txoj kev pheej hmoo ntawm hyperglycemia nce nrog cov kis kab mob thiab ua npaws.
Cov kev hloov pauv los ntawm ib hom tshuaj insulin mus rau lwm qhov yuav tsum tau xaiv cov koob tshuaj tshiab. Txhawm rau ua qhov no, koj yuav tsum sab laj nrog tus kws kho mob endocrinologist. Kev siv tshuaj Insulin Actrapid tuaj yeem siv tsis tau rau hauv cov tshuaj insulin twj, thaum tsis muaj lub hau tiv thaiv ntawm lub vial, yog tias nws tau khaws cia tsis raug lossis raug khov, thiab tseem yog tias cov tshuaj ua huab.
Txog kev txhaj tshuaj, koj yuav tsum ua raws li cov cai no:
- Sau cov pa mus rau hauv cov phwj hauv, uas yog sib npaug nrog cov koob tshuaj muab.
- Tso cov ntawv txhaj tshuaj los ntawm lub ntsaws thiab nias lub piston.
- Tig lub raj mis sab hauv.
- Siv ib koob tshuaj insulin rau hauv cov phwj.
- Tshem cua thiab xyuas koob tshuaj.
Tom qab qhov no, koj yuav tsum tau txhaj tshuaj sai: muab daim tawv rau hauv qhov quav thiab ntxig cov koob txhaj tshuaj nrog rab koob rau hauv nws qhov chaw, ntawm kaum ntawm 45 degrees. Cov tshuaj insulin yuav tsum nyob hauv qab daim tawv nqaij.
Tom qab txhaj, koob yuav tsum nyob hauv qab ntawm daim tawv nqaij tsawg kawg 6 feeb kom puv nkaus tswj cov tshuaj.
Phiv los ntawm Actrapid
Feem ntau cov kev mob tshwm sim thaum kev txhaj tshuaj insulin tshaj yog qhov ua kom tsis txhob mob ntshav qab zib. Nws feem ntau tshwm sim dheev thiab raug nrog pallor ntawm daim tawv nqaij, tawm hws txias, nkees heev lossis qaug zog, lub cev tsis muaj kev taw qhia, ntxhov siab, poob siab thiab tshee tshee.
Lub siab ntawm cov xim poob qis, tsaug zog zoo li qub, zoo nkaus li kev tshaib nqhis, pom qhov muag tsis pom kev. Mob taub hau thiab kiv taub hau, xeev siab, thiab palpitations hloov zuj zus. Cov foos hnyav ntawm cov piam thaj hauv qab zib tuaj yeem cuam tshuam rau lub hlwb kev ua haujlwm nrog poob ntawm kev nco qab lossis tuag taus.
Yog tias ntshav qab zib kav ntev mus ntev, nrog rau tus mob ntshav qab zib neuropathy, hauv kev kho mob beta-blockers lossis lwm yam tshuaj uas ua rau cov hlab ntsha tsis sib haum, ces cov tsos mob thaum ntxov ntawm hypoglycemia tuaj yeem yog atypical, yog li koj yuav tsum tsom mus rau qib ntshav qabzib ntau.
Nrog cov ntshav qog ntshav qab zib tsawg, koj yuav tsum noj qab zib lossis kua txiv, ncuav qab zib, cov ntsiav tshuaj qabzib. Thaum muaj mob hnyav, muaj 40% cov kua nplaum tov ua ke rau cov tshuaj pleev ib ce, thiab glucagon muab tshuaj rau ntau lub cev los yog ua kom qis. Tom qab tus neeg mob rov qab nco qab, nws yuav tsum noj zaub mov nrog cov khoom noj uas yooj yim.
Kev tawm tsam ntawm glycemia tuaj yeem rov ua dua ib hnub, yog li txawm tias qhov ib txwm ua rau cov piam thaj hauv qab, nws yog qhov tsim nyog los ua kom tswj tau nws cov ntsiab lus. Cov neeg mob zoo li no yuav tsum tau rov haus cov carbohydrates.
Cov kev mob tshwm sim lwm yam tshwm sim tuaj yeem tsis tshua pom tshwm sim tuaj thiab tuaj yeem tshwm sim hauv lawv tus qauv:
- Ua xua pob khaus los yog ua xua. Tsis tshua muaj nrog rau tus tib neeg lub cev tsis qab ntsev - qhov tsis haum.
- Tawm hws, xeev siab thiab mob taub hau.
- Txhawb lub plawv dhia.
- Mob paj hlwb peripheral.
- Tsis hnov qab txhim kho lossis txhim kho retinopathy.
- Lipodystrophy ntawm qhov chaw txhaj tshuaj, khaus, hematoma.
- Puffiness, tshwj xeeb tshaj yog nyob rau thawj hnub ntawm kev siv.
Daim ntawv tso tawm thiab chaw ntim tshuaj insulin Actrapid NM
Cov tshuaj hauv khw muag khoom yog nyob rau hauv daim ntawv ntawm: Actrapid NM Penfill insulin (nws xav tau cwj mem tshwj xeeb rau insulin), nrog rau cov tshuaj insulin hauv vials (ib qho tshuaj insulin yog xav tau rau kev txhaj tshuaj).
Ob hom kev npaj muaj ib qho kev daws teeb meem nrog lub zog ntawm 100 IU hauv 1 ml. Cov hauv qab ntim muaj 10 ml, thiab daim cartridges - 3 ml ntawm 5 daim ib pob. Cov lus qhia rau kev siv yog txuas rau txhua daim ntawv tso tawm.
Tus nqi ntawm Actrapid hauv hwj yog qis dua tus nqi ntawm daim ntawv penfil. Tus nqi ntawm cov tshuaj yuav txawv hauv khw muag khoom sib txawv. Ib qho ntxiv, kev hloov pauv kev hloov pauv ntawm cov txiaj hloov pauv tsim cov nqi, vim qhov no yog qhov tshuaj txawv teb chaws. Yog li, tus nqi ntawm Actrapid yog cov cuam tshuam nkaus xwb nyob rau hnub ntawm kev yuav khoom.
Cov tshuaj Insulin yog muab cia rau hauv tub yees kom deb ntawm lub tub yees ntawm qhov txias ntawm ob txog yim degrees. Koj tsis tuaj yeem tsau nws. Lub raj mis qhib tuaj yeem khaws cia hauv chav sov li 6 lub lis piam, nco ntsoov tiv thaiv nws ntawm lub teeb thiab kub hauv cov thawv ntawv thawv. Cov yeeb yaj kiab hauv tsab xov xwm no yuav teb rau lo lus nug ntawm insulin thawj coj.
