Muaj qhov qhia tau ncaj qha rau kev siv tshuaj insulin Actrapid MK. Cov no suav nrog:
- yam 1 mob ntshav qab zib mellitus (insulin dependant);
- yam 2 mob ntshav qab zib mellitus (tiv thaiv insulin).
Yog tias peb xav txog rooj plaub thib ob, tom qab ntawd peb tab tom tham txog qhov ua tiav thiab ib nrab ntawm cov tshuaj tiv thaiv glycemic uas yuav tsum tau noj qhov ncauj. Tsis tas li, Actrapid tuaj yeem pom zoo thaum cev xeeb tub thiab ntshav qab zib kab mob.
Muaj qee qhov hloov pauv ntxiv rau cov kua dej (Insulin Actrapid MK), tab sis lawv siv yuav tsum muaj kev pom zoo nrog tus kws kho mob tuaj koom. Cov analogues no suav nrog: Actrapid MS, Maxirapid BO-S, Iletin II Tsis tu ncua, ntxiv rau Betasint nruab nrab E-40.
Kev nquag siv hauv cov tshuaj yog soluble luv ua yeeb yam nqaij npuas insulin, thiab Actrapid yog tsim nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj.
Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity rau nws, zoo li nrog hypoglycemia.
Yuav thov li cas thiab koob tshuaj?
Actrapid yuav tsum muab tshuaj:
- subcutaneously;
- intramuscularly;
- tso leeg ntshav.
Kev coj tus cwj pwm coj tuaj yeem ua rau hauv cheeb tsam pojniam. Nws yog qhov chaw no uas tso cai rau cov tshuaj kom nqus kom maj mam thiab ib qho. Txoj kev siv tshuaj yeeb tshuaj no tuaj yeem ua rau hauv pob tw, deltoid cov leeg ntawm lub xub pwg lossis sab xub ntiag phab ntsa.
Qhov ntau npaum li cas ntawm Actrapid yuav tsum txiav txim siab los ntawm tus kws kho mob saib xyuas. Qhov no tshwm sim ntawm tus kheej raws li kis tshwj xeeb ntawm tus kabmob thiab ntshav qab zib cov ntshav ntawm tus neeg mob. Yog tias peb tham txog cov tshuaj nruab nrab txhua hnub, tom qab ntawd nws yuav los ntawm 0.5 txog 1 IU ib kilogram ntawm lub cev qhov hnyav ntawm tus neeg mob.
Cov tshuaj Insulin yog siv ib nrab ib teev ua ntej kev npaj noj mov, uas yuav muaj cov carbohydrates. Qhov kub ntawm cov tshuaj yog chav sov.
Qhov kev txhaj tshuaj yog tsim rau hauv cov kab ntawm daim tawv nqaij, uas dhau los ua kev lees paub tias lub koob tsis nkag mus rau hauv cov leeg. Txhua lub sijhawm tom qab, qhov chaw txhaj tshuaj yuav tsum tau hloov. Qhov no yuav pab tshem tawm qhov ntxim nyiam ntawm kev txhim kho lipodystrophy.
Cov kev qhia ntawm Actrapid intramuscularly thiab intravenously muab rau kev tswj hwm tus kws kho mob tshwj xeeb. Cov tshuaj insulin luv luv feem ntau yog siv ua ke nrog cov insulin ntawm cov teebmeem nruab nrab lossis ntev ntev rau lub cev ntawm cov ntshav qab zib.
Lub ntsiab zoo ntawm cov tshuaj
Actrapid MK hais txog cov tshuaj hypoglycemic. Qhov no yog insulin-luv yeeb yam. Nws los rau hauv kev sib cuag nrog lub tshwj xeeb receptor ntawm sab nraud ntawm lub cell membrane thiab yog li tsim ib qho tag nrho insulin-receptor complex.
Qhov ua kom cov ntshav qab zib tsawg tuaj yeem yog vim:
- kev loj hlob ntawm nws txoj kev thauj khoom intrasystem;
- nce ntxiv kev nqus thiab nqus ntawm cov tshuaj los ntawm cov ntaub so ntswg;
- kev txhawb nqa ntawm lipogenesis, glycogenesis;
- protein synthesis;
- qhov txo qis hauv cov nqi ntawm cov piam thaj tsim tawm los ntawm lub siab.
Lub sijhawm ntawm kis ntawm Actrapid rau lub cev yuav ua tiav txiav txim siab los ntawm tus nqi ntawm kev nqus. Qhov kawg yuav cia siab rau ntau yam xwm txheej ib zaug:
- tsuas tshuaj
- txoj kev ntawm cov thawj coj;
- cov chaw nkag.
Tom qab tswj hwm subcutaneous, cov nyhuv tshwm sim tom qab 30 feeb, qhov siab tshaj plaws ntawm cov kua dej luv luv tshwm sim tom qab 1-3 teev, thiab tag nrho lub sijhawm siv yog 8 teev.
Cov kev mob tshwm sim tom qab siv Actrapid
Thaum pib ntawm txoj kev kho, o ntawm sab sauv thiab qis dua, nrog rau kev tsis pom kev, tuaj yeem pom. Lwm qhov kev tshwm sim tsis zoo yuav tshwm sim yog tias:
- kev tswj hwm sai ntawm kev txhaj tshuaj siab hnyav;
- tsis ua raws kev noj haus (piv txwv, noj tshais);
- kev siv lub cev ntau dhau.
Lawv yuav raug qhia los ntawm kev tshwm sim ntawm kev mob ntshav qab zib: hws txias, pallor ntawm daim tawv nqaij, ntau qhov kev ntshai, tshee tshee ntawm qhov kawg, nkees dhau sai, ua haujlwm tsis muaj zog thiab tsis meej.
Ntxiv rau, cov kev mob tshwm sim tuaj yeem pom los ntawm mob taub hau heev, kiv taub hau, dias taub hau, tachycardia, teeb meem tsis pom kev ib ntus, nrog rau qhov tsis paub kev tshaib plab.
Hauv cov xwm txheej nyuaj tshwj xeeb, poob ntawm kev nco qab lossis tseem hnov qab yuav tshwm sim.
Kuj tseem raug cai saib cov kab xev ua xua:
- tawm hws ntau dhau;
- ntuav
- ua pa nyuaj;
- plawv dhia;
- kiv taub hau.
Tej zaum muaj qhov tshwm sim hauv zos:
- liab
- khaus ntawm daim tawv nqaij;
- o tuaj.
Yog tias muaj kev txhaj tshuaj ntau dhau rau tib qho chaw, lipodystrophy tuaj yeem tsim kho.
Tshuav cov tsos mob
Nrog rau qhov muaj txiaj ntsig ntau dhau ntawm Actrapid, ntshav qab zib ntshav qab zib yuav pib. Nws tuaj yeem tshem tawm yog tias piam thaj lossis carbohydrates noj ntawm qhov ncauj.
Hauv cov teeb meem tshwj xeeb tshaj yog ploj ntawm kev nco qab, kev tswj hwm ntawm 40 feem pua dextrose daws tau muab, nrog rau txhua txoj kev ntawm glucagon tswj hwm. Tom qab ua kom muaj zog, ib pluag mov nyob rau hauv carbohydrates yog pom zoo.
Cov lus qhia tseem ceeb rau kev siv Actrapid
Thaum kho cov tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas cov qib ntawm cov piam thaj hauv cov ntshav. Qhov no yog qhov tseeb tshwj xeeb tshaj yog thaum Actrapid muaj nyob hauv kev daws teeb meem.
Ntxiv nrog rau ib qho kev noj qab haus huv ib puag ncig, qhov ua rau ntawm qhov pib ntawm hypoglycemia tuaj yeem yog:
- hloov yeeb tshuaj;
- hla kev noj mov;
- ntuav
- ntxeev ntawm lub cev ua;
- hloov chaw txhaj tshuaj.
Yog hais tias cov tshuaj insulin tau sau hnub tsis raug los yog muaj qhov rhuav tshem ntawm kev siv, ces qhov no tuaj yeem ua rau mob hyperglycemia lossis ntshav qab zib ketoacidosis.
Ntawm thawj qhov tshwm sim ntawm hyperglycemia, nqhis dej tawm tsam, xeev siab, tso zis nce ntxiv, daim tawv liab thiab tsis qab los noj mov yuav pib. Thaum koj tso pa, yuav muaj kev nkag siab zoo txog kev hnov ntxhiab tsw ntxhiab ntawm acetone, ntxiv rau, cov tshuaj acetone yuav tshwm sim nyob rau hauv cov zis, thiab qhov no twb yog tus cim qhia txog ntshav qab zib.
Yog tias lub cev xeeb tub tau npaj tseg, tom qab ntawd nws tseem tsim nyog los kho cov tsos mob thiab ua kom muaj ntshav qab zib. Nyob rau lub sijhawm no tseem ceeb rau tus pojniam lub cev, qhov kev xav tau rau insulin tsawg dua, tshwj xeeb tshaj yog nyob rau thawj thawj peb lub hlis. Ntxiv mus, raws li lub sijhawm nce, lub cev yuav xav tau insulin ntau dua, tshwj xeeb tshaj yog thaum kawg ntawm cev xeeb tub.
Lub sijhawm yug menyuam lossis uantej hnub pib, xav tau cov tshuaj insulin ntxiv yuav tsis muaj kev sib txuas lossis cias qis tsis txaus ntseeg. Thaum yug tau tus me nyuam tas, tus poj niam yuav tau txhaj nws cov tshuaj tua tus txiv ib yam li ua ntej kev xeeb tub.
Thaum lub sijhawm lactation, tej zaum yuav tsum muaj qhov txo qis cov tshuaj insulin thiab vim li no nws yog ib qho tseem ceeb uas yuav tau ua tib zoo saib xyuas koj lub cev ntawm lub cev thiab tsis txhob nco lub sijhawm thaum muaj kev ruaj khov ntawm insulin xav tau.
Yuav khaws cia li cas?
Actrapid MK yuav tsum ua kom zoo tiv thaiv los ntawm tshav ntuj, tsis txhob overheating, kis rau lub teeb, nrog rau kev tiv thaiv kom tsis txhob mob.
Koj tuaj yeem siv tsis tau cov tshuaj yog tias nws khov lossis ploj nws qhov tsis muaj xim thiab pom tseeb.
Thaum kho, yuav tsum ceev faj thaum tsav tsheb thiab lwm yam uas yuav muaj kev phom sij. Kev ua haujlwm uas cuam tshuam nrog ntau dhau ntawm kev saib xyuas, nrog rau kev ceev ntawm lub hlwb kev xav, tsis tuaj yeem lees txais thaum noj Actrapid. Qhov no yog vim qhov tseeb hais tias thaum lub sij hawm hypoglycemia tus nqi ntawm kev tsis haum tuaj yeem txo qis.
Kev cuam tshuam nrog lwm yam tshuaj
Muaj qee qhov kev tiv thaiv hypoglycemic uas tsis tuaj yeem ua tshuaj nrog lwm cov kev daws teeb meem. Hypoglycemic effect tuaj yeem txhim kho los ntawm sulfonamides, MAO inhibitors, carbonic anhydrase inhibitors, ACE inhibitors, anabolic steroids, androgens, bromocreptin, tetracycline, clofibrates, ketonazole, pyridoxine, quinine, chitin, theophylline, phenolomine, phenolomine.
Hypoglycemic effect tuaj yeem ua kom tsis muaj zog los ntawm cov tshuaj no:
- glucagon;
- qhov ncauj tiv thaiv;
- octreotide;
- reserpine;
- thiazide lossis ntxig diuretics;
- calcium antagonists;
- nicotine;
- tshuaj maj
- H1-histamine receptor blockers;
- morphine;
- diazoxide;
- tricyclic cov tshuaj tiv thaiv kab mob;
- clonidine.
Txhawm rau txhim kho lossis ua rau cov nyhuv hypoglycemic ntawm insulin tuaj yeem yog pentademin, zoo li beta-blockers.
Ntau cov ncauj lus tseeb txog cov yam ntxwv ntawm kev siv, cov kev siv thiab cia yuav qhia tau rau tus kws kho mob uas tuaj koom xwb.
