Yog tsis muaj insulin, nws tsuas yog tsis yooj yim sua kom xav txog lub neej puv ntoob rau tib neeg. Qhov no hormone yog qhov tseem ceeb rau kev ua dej qabzib los ntawm cov zaub mov.
Yog tias, vim muaj ntau yam laj thawj, insulin tsis txaus, ces yuav tsum muaj kev tswj hwm ntxiv. Hauv qhov teeb meem no, insulin, tshuaj Tresiba, tau ua pov thawj nws tus kheej. Qhov no nws yog ib tug ua yeeb yaj kiab ntev ntev.
Nta thiab ntsiab cai ntawm cov tshuaj
Cov khoom siv tseem ceeb ntawm Tresib insulin yog Insulin degludec (degludec). Yog li, zoo li Levemir, Lantus, Apidra thiab Novorapid, Tresib's insulin yog ib qho tshuaj tiv thaiv ntawm tib neeg lub cev.
Cov kws tshawb fawb niaj hnub muaj peev xwm muab cov tshuaj no rau cov khoom ntiag tug tiag tiag. Qhov no tau ua rau muaj kev ua tsaug rau kev siv tso ua ke DNA biotechnology koom nrog Saccharomyces cerevisiae lim thiab kev hloov pauv hauv cov qauv molecular ntawm cov neeg ua haujlwm insulin.
Tsis muaj kev txwv kiag li ntawm kev siv tshuaj, cov tshuaj insulin yog qhov tsim nyog rau txhua tus neeg mob. Cov neeg mob uas muaj hom mob ntshav qab zib thawj thiab hom thib ob tuaj yeem siv nws los kho lawv txhua hnub.
Xav txog cov ntsiab cai ntawm cov nyhuv ntawm Tresib insulin rau ntawm lub cev, nws yuav tsum raug sau tseg tias nws yuav ua raws li hauv qab no:
- cov tshuaj molecules ntawm cov tshuaj tau ua ke rau hauv multicameras (loj molecules) tam sim ntawd tom qab subcutaneous tswj hwm. Vim tias qhov no, ib qho insulin depot yog tsim hauv lub cev;
- kev txhaj tshuaj me me ntawm cov kua dej cais los ntawm kev sib koom, uas ua rau nws ua tiav qhov ua tau ntev.
Cov txiaj ntsig ntawm Treshiba
Xam tias cov tshuaj insulin muaj ntau yam zoo dua lwm cov insulins thiab txawm tias nws cov analogues. Raws li cov ntaub ntawv kho mob uas twb muaj lawm, Tresiba cov tshuaj insulin tuaj yeem ua rau cov ntshav qab zib tsawg kawg, los ntawm txoj kev, thiab tshuaj xyuas tau hais tias zoo ib yam. Ib qho ntxiv, yog tias koj siv nws meej meej raws li cov lus qhia los ntawm koj tus kws kho mob, qhov sib txawv ntawm cov piam thaj hauv ntshav yuav raug cais tawm.
Nws yog tsim nyog taw qhia tias qhov zoo ntawm cov tshuaj tseem raug sau tseg:
- hloov me ntsis hauv theem ntawm glycemia hauv 24 teev. Hauv lwm lo lus, thaum kho nrog lub cev qhuav dej, cov piam thaj hauv cov ntshav nyob hauv ib txwm li thawm hnub;
- vim tias muaj cov yam ntxwv ntawm cov tshuaj Tresib, tus endocrinologist tuaj yeem tsim cov tshuaj ntau dua rau txhua tus neeg mob.
Nyob rau lub sijhawm thaum Tresib insulin kho, kev them nyiaj zoo tshaj plaws rau tus kabmob tuaj yeem txuas ntxiv, uas yuav pab txhim kho kev noj qab haus huv ntawm cov neeg mob. Thiab kev tshuaj xyuas ntawm cov tshuaj no tsis tso cai kom ua xyem xyav nws cov txiaj ntsig zoo.
Nws yog kev tshuaj xyuas ntawm cov neeg mob uas twb tau siv cov tshuaj, thiab kev xyaum tsis ntsib kev phiv.
Cov Yuav Tsum Muaj
Zoo li lwm yam tshuaj, muaj cov tshuaj insulin muaj cov lus qhia tseeb. Yog li, qhov cuab yeej no tsis tuaj yeem siv rau hauv cov xwm txheej zoo li no:
- tus neeg mob hnub nyoog qis dua 18 xyoo;
- cev xeeb tub
- lactation (pub niam mis rau menyuam);
- kev tsis qaug rau ib qho kev pab cuam ntawm cov tshuaj lossis nws cov khoom tseem ceeb.
Tsis tas li ntawd, cov tshuaj insulin tsis tuaj yeem siv rau kev txhaj tshuaj tiv thaiv kab mob. Tib txoj kev tuaj yeem tswj hwm Tresib insulin yog subcutaneous!
Kev phiv tshuaj
Cov tshuaj muaj nws qhov tshwm sim tsis zoo, piv txwv:
- kev puas tsuaj nyob hauv lub cev tiv thaiv kab mob (urticaria, kev paub ntau dhau los);
- teeb meem hauv cov txheej txheem hauv metabolism (hypoglycemia);
- kev puas tsuaj nyob rau hauv daim tawv nqaij thiab cov nqaij mos ntawm qhov nqaij tawv nqaij tawv nqaij (lipodystrophy);
- kev cuam tshuam dav dav (edema).
Cov kev tsis haum no tuaj yeem tshwm sim tsis tshua pom tshwm thiab tsis nyob hauv txhua tus neeg mob.
Qhov pom tau thiab pom tshwm sim ntau tshaj plaws ntawm qhov tshwm sim tsis zoo yog qhov liab nyob ntawm thaj chaw txhaj tshuaj.
Tawm hom
Cov tshuaj no muaj nyob hauv daim ntawv cartridges uas tsuas yog siv hauv Novopen (Tresiba Penfill) syringe pens, rov siv tau dua.
Ntxiv rau qhov no, nws yog qhov ua tau los tsim Tresib raws li daim ntawv pov tseg uas siv phwj (Tresib FlexTouch), uas tsuas yog muab 1 daim ntawv thov. Nws yuav tsum tau muab pov tseg tom qab kev tswj hwm ntawm txhua daim insulin.
Qhov ntau npaum ntawm cov tshuaj yog 200 lossis 100 units hauv 3 ml.
Cov kev cai yooj yim rau kev qhia Tresib
Raws li tau hais tseg, cov tshuaj yuav tsum raug tswj ib hnub ib zaug.
Cov neeg tsim khoom sau cia tias kev txhaj tshuaj ntawm Tresib insulin yuav tsum tau ua tib lub sijhawm.
Yog tias tus neeg mob ntshav qab zib siv tshuaj insulin thawj zaug, ces tus kws kho mob yuav sau ntawv rau nws noj 10 zaug ib zaug hauv 24 teev twg.
Yav tom ntej, raws li cov txiaj ntsig ntawm kev ntsuas cov ntshav qab zib cov ntshav ntawm lub plab khoob, nws yog qhov yuav tsum tau them ib feem ntawm Tresib insulin nyob hauv ib tus neeg nruj me ntsis.
Nyob rau hauv cov xwm txheej uas kev kho tshuaj insulin tau ua tiav rau qee lub sijhawm, tus kws kho keeb endocrinologist yuav muab tshuaj rau cov tshuaj uas yuav zoo ib yam li koob tshuaj basal hormone uas tau siv yav dhau los.
Qhov no tuaj yeem ua rau tsuas yog hais tias theem ntawm glycated hemoglobin yog nyob rau theem tsis qis dua 8, thiab insulin basal tau muab rau ib zaug thaum nruab hnub.
Yog tias cov mob no tsis tsim nyog tau txais, ces yog li qhov no yuav tsum tau txo qis ntawm Tresib.
Cov kws kho mob muaj lub tswv yim tias nws yuav siv qhov muaj peev xwm me me. Qhov no yog qhov tsim nyog rau lub laj thawj tias yog tias koj hloov cov koob tshuaj mus rau cov tshuaj analogues, tom qab ntawd txawm tias ib qho tshuaj me me yuav raug yuam kom ua tiav glycemia ib txwm.
Kev tsom xam tom qab ntawm qhov yuav tsum tau ntim ntawm cov tshuaj insulin tuaj yeem ua 1 zaug nyob hauv ib lis piam. Kev them ib feem kaum yog tau raws li cov txiaj ntsig ntawm nruab nrab ntawm ob qho kev ntsuas yoo dhau los.
Ua tib zoo mloog! Tresiba tuaj yeem thov kom meej meej nrog:
- lwm cov ntshav qab zib txo cov ntsiav tshuaj;
- lwm yam (bolus) insulin npaj.
Cov yam ntxwv ntawm cov tshuaj cia
Tresiba yuav tsum tau muab cia rau hauv qhov chaw txias ntawm qhov kub ntawm 2 txog 8 degrees. Tej zaum nws yuav yog tub yees, tab sis nyob nrug ntawm lub tub yees.
Tsis txhob tso cov tshuaj insulin!
Cov txheej txheem ntim cia yog cuam tshuam rau cov tshuaj insulin. Yog tias nws twb tau nyob hauv qhov siv los yog siv lub phwj ntim ntawm lub hnab tes, ces hauv qhov no, kev cia khoom tuaj yeem nqa ntawm chav sov, uas yuav tsum tsis pub tshaj 30 degrees. Txee lub neej nyob rau hauv qhib daim ntawv - 2 hlis (8 lub lis piam).
Nws yog qhov tseem ceeb heev los tiv thaiv cov xaum xim los ntawm lub hnub ci. Ua li no, siv lub hau tshwj xeeb uas yuav tiv thaiv kev puas tsuaj rau insulin Tresiba.
Dua li ntawm qhov tseeb tias cov tshuaj tuaj yeem raug yuav ntawm lub tsev muag tshuaj network tsis tas yuav tsum tau sau ntawv yuav, nws yog qhov tsis yooj yim sua kom muab tshuaj rau koj tus kheej!
Ntau tus neeg mob
Yog tias muaj kev tshaj tawm cov tshuaj insulin (uas tsis tau rau npe rau hnub tim), tus neeg mob tuaj yeem pab nws tus kheej. Kev mob ntshav qab zib siab yuav raug tshem tawm los ntawm kev siv me me ntawm cov khoom ntim uas muaj suab thaj:
- qab zib tshuaj yej;
- kua txiv ua kua;
- tsis muaj qab zib chocolate.
Txhawm rau tiv thaiv hypoglycemia, nws yog ib qho tseem ceeb kom tas li nqa cov tsos nrog koj.
