Cov tshuaj NovoRapid yog cov cuab yeej tshiab uas tuaj yeem them taus rau cov tsis muaj peev xwm ntawm tib neeg cov tshuaj insulin. Nws muaj ntau yam zoo dua li lwm qhov kev txhais tau zoo, yog yooj yim thiab sai sai, tam sim ntawd normalizes ntshav qab zib, tuaj yeem siv tau tsis hais noj zaub mov, vim tias nws yog insulin ultrashort.
NovoRapid tsim tawm hauv 2 hom: cov ntawv sau tau npaj uaင် Flexpen cwjmem, hloov kho Penfill cartridges. Cov tshuaj sib xyaw cov tshuaj yog tib yam hauv ob qho tib si - cov kua ntshiab rau kev txhaj tshuaj, ib ml muaj 100 IU ntawm cov tshuaj nquag. Daim cartridge, zoo li tus cwj mem, muaj 3 ml ntawm insulin.
Tus nqi ntawm 5 NovoRapid Penfill insulin cartridges nyob rau nruab nrab yuav yog li 1800 rubles, FlexPen tus nqi kwv yees li 2 txhiab rubles. Ib pob ntawv muaj 5 xaum npiv.
Cov yam ntxwv ntawm cov tshuaj
Lub hauv paus tseem ceeb ntawm cov tshuaj yog insulin aspart, nws muaj cov nyhuv hypoglycemic haib, yog ib qho analogue ntawm luv luv insulin, uas tsim tawm hauv tib neeg lub cev. Qhov khoom siv no tau los ntawm kev siv cov thev naus laus zis DNA thev naus laus zis.
Cov tshuaj nkag mus rau hauv kev sib cuag nrog cov sab cytoplasmic ntawm cov amino acids, tsim cov txheej txheem ntawm cov tshuaj insulin xaus, pib cov txheej txheem uas tshwm sim hauv cov hlwb. Tom qab ib tug txo nyob rau hauv cov ntshav qab zib yog sau tseg:
- muaj kev thauj khoom ntxiv rau yav tom ntej;
- nce kev zom ntawm cov nqaij;
- kev ua kom zoo ntawm lipogenesis, glycogenesis.
Tsis tas li ntawd, nws muaj peev xwm ua tiav qhov txo qis hauv cov piam thaj ntawm cov piam thaj los ntawm nplooj siab.
NovoRapid zoo dua nqus los ntawm subcutaneous rog ntau dua li cov neeg ua kom tau cov tshuaj lom neeg, tab sis lub sijhawm ntawm cov nyhuv tsawg dua. Qhov kev txiav txim ntawm cov tshuaj tshwm sim nyob rau hauv 10-20 feeb tom qab txhaj, thiab nws lub sijhawm yog 3-5 teev, qhov siab tshaj plaws ntawm cov tshuaj insulin yog sau tseg tom qab 1-3 teev.
Kev tshawb nrhiav kev kho mob ntawm cov neeg mob ntshav qab zib hom 1 mob ntshav qab zib tau qhia tias kev siv zog ntawm NovoRapid txo qis kev muaj peev xwm ntawm nocturnal hypoglycemia tam sim ntawd ntau zaus. Tsis tas li ntawd, muaj cov pov thawj ntawm qhov tseem ceeb txo qis ntawm cov ntshav txhaws qau tom qab.
Cov tshuaj NovoRapid raug pom zoo rau cov neeg mob uas muaj tus kab mob ntshav qab zib mellitus ntawm thawj (non-insulin-dependant) thiab thib ob (tsis-insulin-dependant) hom. Cov tshuaj tiv thaiv kev siv yuav yog:
- ntau dhau kev rhiab ntawm lub cev mus rau lub Cheebtsam ntawm cov tshuaj;
- cov me nyuam qis dua 6 xyoo.
Cov tshuaj muaj cai siv los kho cov kab mob sib kis.
Cov lus qhia rau kev siv tshuaj
Yuav kom tau txais qhov txiaj ntsig zoo tshaj plaws, qhov kev sib deev no yuav tsum tau ua ke nrog kev sib luag nrog lub sijhawm ntev thiab nruab nrab. Txhawm rau tswj cov theem ntawm glycemia, ib txoj kev ntsuas hauv nruab nrab ntawm cov ntshav qab zib tau pom, koob tshuaj kho qhov tsim nyog yog tias tsim nyog.
Feem ntau, qhov koob tshuaj txhua hnub ntawm insulin rau qhov mob ntshav qab zib sib txawv ntawm 0.5-1 units ib kilogram ntawm qhov hnyav. Ib qho kev txhaj tshuaj ntawm cov tshuaj hormone muab rau tus neeg mob txoj kev xav tau cov tshuaj insulin txhua hnub los ntawm kwv yees li 50-70%, qhov seem yog cov insulin ntev ntev.
Muaj ntawv pov thawj los saib xyuas cov nyiaj uas pom zoo uas muab:
- nce lub cev ua si ntawm cov ntshav qab zib;
- hloov hauv nws cov zaub mov noj;
- kev nce qib ntawm cov kab mob sib txuas.
Insulin NovoRapid Flekspen, tsis zoo li soluble tib neeg cov tshuaj lom neeg, ua haujlwm sai, tab sis lub sijhawm luv luv. Nws yog qhia kom siv cov tshuaj ua ntej noj mov, tab sis nws raug tso cai ua tam sim no tom qab noj mov, yog tias tsim nyog.
Vim tias qhov tseeb tias cov tshuaj no ua rau lub cev rau lub sijhawm luv luv, qhov ntxim nyiam ntawm kev txhim kho hmo ntuj hypoglycemia yog txo qis. Yog tias cov tshuaj siv los kho cov ntshav qab zib ntawm lub hnub nyoog laus, nrog lub siab lossis lub raum tsis ua haujlwm, nws yog qhov yuav tsum tswj cov ntshav qab zib kom ntau, xaiv cov tshuaj insulin ntau dua.
Nws yog ib qho tsim nyog yuav tsum tau txhaj tshuaj insulin rau hauv thaj chaw xub ntiag ntawm lub plab, pob tw, brachial, deltoid cov leeg. Txhawm rau tiv thaiv lipodystrophy, nws yog qhov yuav tsum hloov chaw thaj chaw uas tau muab tshuaj. Tab sis koj yuav tsum paub tias cov lus qhia rau hauv plab xub pwg muab qhov nqus sai sai ntawm cov tshuaj, thaum muab piv nrog kev txhaj tshuaj rau lwm qhov ntawm lub cev.
Lub sijhawm tiv thaiv cov nyhuv ntawm insulin yog cuam tshuam ncaj qha los ntawm:
- tsuas tshuaj
- chaw txhaj tshuaj;
- theem kev ua neeg mob;
- degree ntawm cov ntshav ntws;
- lub cev kub.
Lub sijhawm ntev subcutaneous infusions raug pom zoo rau qee tus mob ntshav qab zib, uas tuaj yeem ua tiav siv cov twj tso kua mis tshwj xeeb. Cov lus qhia ntawm cov tshuaj hormones yog qhia hauv phab ntsa plab xub ntiag, tab sis, zoo li yav dhau los, cov chaw yuav tsum tau hloov chaw.
Siv cov twj insulin, tsis txhob muab cov tshuaj nrog lwm cov insulins. Cov neeg mob uas tau txais cov nyiaj siv uas siv cov kab ke no yuav tsum muaj kev noj tshuaj ntau ntxiv thaum muaj cov khoom tawg. NovoRapid yog qhov tsim nyog rau kev tswj hwm kev quav dej, tab sis xws li kev txhaj tshuaj yuav tsum tau muab los ntawm kws kho mob nkaus xwb.
Thaum kho, koj yuav tsum tau tso ntshav tsis tu ncua rau kuaj cov piam thaj.
Yuav ua li cas los xam cov koob tshuaj
Txhawm rau suav qhov tseeb ntawm cov tshuaj, nws yog qhov tsim nyog yuav tsum paub tias cov tshuaj insulin yog ultrashort, luv, nruab nrab, txuas thiab ua ke. Txhawm rau nqa cov ntshav qab zib kom rov zoo li qub, ib qho tshuaj sib xyaw ua ke pab, nws tau siv rau ntawm lub plab tsis muaj ntshav qab zib mellitus ntawm hom thawj lossis thib ob.
Yog tias ib tus neeg mob tau qhia tsuas yog muaj tshuaj insulin ntev, tom qab ntawd, yog tias tsim nyog, yuav tiv thaiv kev hloov sai sai ntawm cov piam thaj uas muaj suab thaj, NovoRapid yog qhia tshwj xeeb. Rau kev kho mob ntawm hyperglycemia, luv luv thiab ntev insulins tuaj yeem siv ib txhij, tab sis nyob rau lub sijhawm sib txawv. Qee zaum, txhawm rau kom ua tiav qhov txiaj ntsig, tsuas yog kev sib xyaw ua ke ntawm cov tshuaj insulin yog qhov tsim nyog.
Thaum xaiv kev kho mob, tus kws kho mob xav txog qee yam, piv txwv li, ua tsaug rau kev ua ntawm insulin ntev ib leeg, nws muaj peev xwm khaws cov piam thaj thiab ua yam tsis tas yuav txhaj tshuaj luv luv.
Qhov kev xaiv ntawm kev ua ntev yog qhov xav tau ntawm txoj kev no:
- cov ntshav qab zib yog ntsuas ua ntej noj tshais;
- 3 teev tom qab noj su, ntsuas dua lwm qhov.
Cov kev tshawb nrhiav txuas ntxiv yuav tsum tau nqa tawm txhua txhua teev. Nyob rau thawj hnub ntawm kev xaiv tshuaj noj, koj yuav tsum tau pluas su, tab sis noj hmo. On thib ob hnub, kev ntsuas suab thaj yog ua raws txhua teev, suav nrog thaum tsaus ntuj. Txog hnub peb, cov kev ntsuas tau nqa tawm ntawm txoj kev zoo li no, zaub mov tsis txwv, tab sis lawv tsis txhaj luv insulin. Cov lus pom zoo thaum sawv ntxov: thawj hnub - 5 mmol / l; hnub thib ob - 8 mmol / l; hnub thib peb - 12 mmol / l.
Nws yuav tsum nco ntsoov tias NovoRapid txo cov ntsiab lus ntawm cov piam thaj hauv ntshav ib thiab ib nrab hnub ntau zog dua li nws cov analogues. Yog li, koj yuav tsum tau txhaj 0.4 koob ntawm cov tshuaj insulin luv luv. Ntau dua qhov tseeb, qhov ntau npaum no tsuas yog tsim los ntawm kev sim, ntsuas rau hauv qhov hnyav ntawm cov ntshav qab zib. Txwv tsis pub, ib qho kev tshaj tawm zuj zus, uas yuav ua rau ntau yam kev tsis haum siab.
Cov kev cai tseem ceeb rau kev txiav txim qhov ntim ntawm cov tshuaj insulin rau cov ntshav qab zib:
- ntshav qab zib thaum ntxov ntawm thawj hom - 0.5 PIECES / kg;
- yog tias kuaj pom ntshav qab zib rau ntau dua ib xyoos - 0.6 U / kg;
- mob ntshav qab zib tsis txaus - 0.7 U / kg;
- decompensated mob ntshav qab zib - 0.8 U / kg;
- mob ntshav qab zib nyob rau tom qab ntawm ketoacidosis - 0.9 PIECES / kg.
Cov poj niam cev xeeb tub hauv lub hlis thib peb tau qhia tias tswj hwm 1 U / kg ntawm insulin. Txhawm rau kom pom qhov tshuaj ib zaug ntawm cov tshuaj, nws yog ib qho tsim nyog yuav tsum nce lub cev qhov hnyav los ntawm qhov tshuaj txhua hnub, thiab tom qab ntawd faib los ntawm ob. Qhov tshwm sim yog puag ncig.
NovoRapid Flexpen
Cov lus qhia ntawm cov tshuaj yog nqa tawm siv ib rab koob xaum, nws muaj qhov faib tshuaj, xim cim xim. Qhov ntim ntawm cov tshuaj insulin tuaj yeem yog li 1 txog 60 units, cov kauj ruam hauv cov koob txhaj tshuaj yog 1 koog. Tus neeg sawv cev NovoRapid siv tus pas 8 hli Novofayn, Novotvist.
Siv cwj mem kua los qhia cov tshuaj hormones, koj yuav tsum tshem tawm daim nplaum los ntawm rab koob, ntsia hlau nws rau cwj mem. Txhua zaus siv rab koob tshiab rau kev txhaj tshuaj, qhov no yuav pab tiv thaiv kev loj hlob ntawm cov kab mob. Lub koob txwv yog txwv tsis pub ua kom puas, khoov, hloov mus rau lwm tus neeg mob.
Cov xaum xaum yuav muaj cov pa me me rau sab hauv, kom cov pa oxygen tsis nthuav tawm, lub koob tshuaj tau nkag mus rau qhov tseeb, nws tau ua raws li cov cai no:
- hu 2 chav nyob los ntawm kev xa cov xaiv tshuaj;
- tso tus xaum xaum xaum nrog rab koob kom txog, coj tus laub me ntsis nrog koj cov ntiv tes;
- nias lub khawm pib txhua txoj kev (tus xaiv rov mus rau 0 cim).
Yog tias poob ntawm cov tshuaj insulin tsis tshwm sim ntawm lub koob, cov txheej txheem rov ua dua (tsis pub ntau tshaj 6 zaug). Yog tias txoj kev daws teeb meem tsis ntws, nws txhais tau hais tias cov xwj xaim hluav taws tsis haum rau kev siv.
Ua ntej teeb tsa qhov ntau npaum, tus xaiv yuav tsum nyob hauv txoj hauj lwm 0. Tom qab ntawd, yuav tsum tau txhaj cov tshuaj rau hauv lub cev, kho tus xaiv hauv ob qho tib si.
Nws yog txwv tsis pub teeb tsa tus qauv saum toj saud, siv qhov ntsuas los txiav txim qhov ntau npaum ntawm cov tshuaj. Nrog kev qhia txog cov tshuaj hormones hauv qab daim tawv nqaij, cov txheej txheem pom zoo los ntawm tus kws kho mob yog qhov yuav tsum tau ua. Txhawm rau txhawm rau txhaj tshuaj, nias lub pob pib, tsis txhob tso nws kom txog rau thaum tus xaiv yog 0.
Kev sib hloov li niaj zaus ntawm qhov ntsuas cov koob tshuaj yuav tsis pib qhov ntws tawm ntawm cov tshuaj; tom qab txhaj, koob yuav tsum tau tuav hauv qab daim tawv nqaij li 6 feeb, tuav lub pob pib. Qhov no yuav tso cai rau koj nkag mus rau NovoRapid kom tiav, raws li kws kho mob tau hais.
Lub koob yuav tsum tau muab tshem tawm tom qab txhua qhov kev txhaj tshuaj, nws yuav tsum tsis txhob khaws cia nrog cov koob txhaj tshuaj, txwv tsis pub cov tshuaj yuav xau.
Qhov tsis xav tau muaj teebmeem
NovoRapid insulin nyob rau qee kis muaj peev xwm ua rau muaj kev tsis zoo ntawm lub cev, nws tuaj yeem ua rau ntshav qis, nws cov tsos mob:
- pallor ntawm daim tawv nqaij;
- tawm hws ntau dhau;
- tshee hnyo ntawm nqua;
- kev ntxhov siab vim tsis muaj dab tsi;
- leeg tsis muaj zog;
- tachycardia;
- bouts ntawm xeev siab.
Lwm qhov kev qhia ntawm cov ntshav qog ntshav yuav yog qhov muaj kev taw qhia tsis zoo, txo qis ntawm qhov muag, teeb meem tsis pom kev, thiab kev tshaib plab. Hloov ntshav ntshav hauv lub ntsej muag tuaj yeem ua rau qaug dab peg, tsis nco qab, ua rau lub hlwb puas, ua rau tuag.
Kev tsis haum tshuaj, tshwj xeeb urticaria, nrog rau kev cuam tshuam ntawm lub plab zom mov, mob hlwb, ua pa nyuaj, thiab tachycardia, tsis tshua muaj. Kev tiv thaiv hauv zos yuav tsum tau hu ua tsis xis nyob hauv thaj chaw txhaj tshuaj:
- o tuaj
- liab
- khaus
Cov tsos mob ntawm lipodystrophy, qhov tsis hnov lus zoo yog tsis txiav txim siab. Cov kws kho mob tau hais tias qhov kev tshwm sim tsuas yog tshwm sim ib ntus hauv cov xwm txheej, tshwm sim hauv cov neeg mob koob tshuaj, tshwm sim los ntawm kev ua haujlwm ntawm insulin.
Cov qauv ntsuas, kuaj xyuas tus neeg mob
Yog tias nws tau tshwm sim tias NovoRapid Penfill insulin tsis haum rau tus neeg mob vim qee yam, tus kws kho mob pom zoo kom siv cov analogues. Cov tshuaj yuav nrov tshaj plaws yog Apidra, Gensulin N, Humalog, Novomiks, Ryzodeg. Lawv tus nqi yog tib yam.
Ntau tus neeg mob tau tswj hwm los soj ntsuam cov tshuaj NovoRapid, lawv pom tias cov nyhuv tuaj sai sai, cov kev phiv tsis tshua pom muaj tsawg. Cov tshuaj yog zoo heev rau kev kho mob ntshav qab zib mellitus ntawm thawj thiab thib ob hom. Kev noj qab haus huv feem ntau ntseeg tias cov cuab yeej siv tau yooj yim, tshwj xeeb tshaj yog cov xaum xaum, lawv tshem tawm qhov xav tau los yuav tshuaj txhaj tshuaj.
Hauv kev xyaum, insulin siv tawm tsam ntawm keeb kwm ntawm qhov ntev ntawm cov tshuaj insulin, nws pab ua kom cov ntshav qabzib nyob hauv qib siab thaum nruab hnub, txo cov piam thaj tom qab noj mov. NovoRapid yog qhia rau qee tus neeg mob tshwj xeeb thaum nyuam qhuav pib mob.
Qhov tsis muaj nyiaj tuaj yeem tuaj yeem hu ua qhov nce qis hauv qabzib hauv cov menyuam yaus, vim li ntawd, cov neeg mob yuav xav tias tsis zoo. Txhawm rau tiv thaiv cov teeb meem zoo li no, nws yog ib qho tsim nyog yuav tsum hloov pauv rau cov tshuaj insulin rau lub sij hawm ntev raug.
Tsis tas li, cov kws kho ntshav qab zib tau ceeb toom tias yog tias tsuas tshuaj yog xaiv tsis raug, cov tsos mob ntawm tus mob ntshav qab zib tsawg zuj zus tuaj, thiab lub xeev ntawm kev noj qab haus huv tsis zoo. Cov yeeb yaj kiab hauv tsab xov xwm no yuav txuas ntxiv cov ncauj lus ntawm Novorapid insulin.
