Cov tsoos txhais tau tias ntawm kev txo cov piam thaj tom qab noj mov suav nrog luv luv ua haujlwm rau tib neeg insulins. Ib qho tshuaj uas nrov tshaj plaws, Actrapid, tau tawm tsam ntshav qab zib ntau dua 3 xyoo lawm. Tau ntau xyoo, nws tau ua pov thawj tias nws cov khoom zoo thiab txuag tau ntau lab tus neeg lub neej.
Tam sim no, cov tshiab, txhim kho insulins twb muaj lawm uas muab cov glycemia li qub thiab pub dawb los ntawm qhov tsis zoo ntawm lawv cov neeg ua ntej. Dua li ntawm qhov no, Actrapid tsis tso nws txoj haujlwm thiab nquag siv kho mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2.
Cov lus qhia luv luv rau kev siv
Actrapid yog ib qho ntawm thawj cov insulins tau los ntawm kev siv cov qauv hauv engineering. Nws tau tsim tawm rov qab rau xyoo 1982 los ntawm kev txhawj xeeb txog kev lag luam tshuaj Novo Nordisk, uas yog qhov loj tshaj plaws ntawm kev tsim cov tshuaj kho ntshav qab zib nyob hauv lub ntiaj teb. Lub sijhawm ntawd, cov neeg mob ntshav qab zib yuav tsum tau muaj cov ntsiab lus nrog tsiaj insulin, uas muaj qhov tsawg ntawm kev ua kom huv thiab siab dua.
Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los
- Li qub ntawm qab zib -95%
- Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
- Ntaus tau ntawm lub plawv dhia muaj zog -90%
- Kev tshem tawm ntshav siab - 92%
- Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%
Actrapid tau txais los siv hloov cov kab mob, cov khoom tiav tiav rov qab ua rau cov insulin tsim hauv tib neeg. Lub thev naus laus zis tso cai rau kom ua tiav qhov ua tau zoo hypoglycemic thiab siab purity ntawm kev daws, uas txo qhov kev pheej hmoo ntawm kev ua xua thiab kev ua rau ntawm thaj chaw txhaj tshuaj. Cov kab ntsuas (sau npe ntawm cov tshuaj tso npe los ntawm Ministry of Health) qhia tias cov tshuaj no tuaj yeem tsim thiab ntim hauv Denmark, Fabkis thiab Brazil. Kev tsim tawm kev tswj hwm yog nqa tawm tsuas yog nyob hauv Europe, yog li tsis muaj kev ntseeg siab txog qhov zoo ntawm cov tshuaj.
Cov lus qhia luv luv txog Actrapide los ntawm cov lus qhia rau kev siv, uas txhua tus kabmob ntshav qab zib yuav tsum paub txog:
| Nkaus | Nws txhawb kev hloov pauv ntawm qab zib los ntawm ntshav mus rau cov ntaub so ntswg, txhim kho kev sib txuas ntawm glycogen, cov nqaijrog thiab rog. |
| Muaj pes tsawg leeg |
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| Cov Khoom Qhia |
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| Cov Yuav Tsum Muaj | Cov tib neeg cov tshuaj tiv thaiv los ntawm cov tshuaj tiv thaiv lub cev tsis ploj li 2 lub lis piam txij li pib siv tshuaj insulin lossis tshwm sim hauv daim ntawv hnyav:
Actrapid txwv tsis pub siv rau hauv cov twj insulin, vim nws yog nquag rau crystallization thiab tuaj yeem txhaws qhov infusion system. |
| Xaiv xaiv | Actrapid yog qhov tsim nyog los them rau cov ntshav qabzib uas nkag rau hauv cov hlab ntshav tom qab noj mov. Qhov ntau thiab tsawg ntawm cov tshuaj tau muab xam los ntawm cov nyiaj hauv carbohydrates muaj nyob hauv cov zaub mov. Koj tuaj yeem siv txheej txheej ntawm chav nyob qhob cij. Qhov ntim ntawm cov tshuaj insulin ntawm 1XE yog txiav txim siab los ntawm kev xam, tus lej coefficients raug kho raws li cov txiaj ntsig ntawm kev ntsuas glycemia. Qhov ntau npaum li cas yog qhov txiav txim siab yog tias cov piam thaj hauv ntshav rov qab mus rau nws qib qub tom qab qhov kawg ntawm qhov kev txiav txim ntawm Actrapid insulin. |
| Qhov tsis txaus siab ua | Yog tias qhov tshuaj tau ntau dhau, kev ntshav qab zib hauv lub siab tshwm sim, uas tuaj yeem ua rau tsis xeev tsis nco qab li teev. Nquag tso me ntsis hauv qab zib ua rau kev tsis tuaj yeem ua rau puas tsuaj rau cov hlab ntaws, tshem tawm cov tsos mob ntawm kev mob ntshav qab zib, uas ua rau lawv nyuaj kuaj tau. Thaum muaj kev ua txhaum ntawm kev txhaj tshuaj ntawm Actrapid insulin lossis vim yog tus neeg cov yam ntxwv ntawm cov nqaij mos subcutaneous, lipodystrophy muaj peev xwm ua tau, lawv qhov ntau zaus tshwm sim tsawg dua 1%. Raws li cov lus qhia, thaum hloov mus rau cov kua dej insulin thiab cov ntshav qab zib kom sai, cov kev tawm tsam ib ntus uas ploj ntawm lawv tus kheej yog ua tau: tsis pom kev tsis pom kev, o, mob hlwb. |
| Ua ke nrog lwm cov tshuaj | Cov tshuaj insulin yog cov khoom tawg yooj yim, hauv ib qho syringe nws tuaj yeem xyaw tsuas yog muaj saline thiab nruab nrab-ua yeeb yam insulins, zoo dua ntawm tib lub chaw tsim khoom (Protafan). Actrapid insulin dilution yog qhov tsim nyog rau cov neeg mob ntshav qab zib muaj lub siab tsis zoo rau qhov ua rau lub cev qog, piv txwv, cov menyuam yaus. Kev sib xyaw nrog cov tshuaj nruab nrab yog siv rau cov ntshav qab zib hom 2, feem ntau yog rau cov neeg laus. Kev siv qee cov tshuaj ib txhij yuav cuam tshuam rau kev ua ub no ntawm insulin. Hormonal thiab diuretics tuaj yeem txo cov nyhuv ntawm Actrapid, thiab cov tshuaj niaj hnub rau lub siab thiab tseem tetracycline nrog cov tshuaj aspirin tuaj yeem ntxiv nws. Cov neeg mob ntawm kev kho mob insulin yuav tsum ua tib zoo kawm "Kev sib cuam tshuam" hauv cov lus qhia ntawm txhua yam tshuaj uas lawv npaj yuav siv. Yog tias nws hloov tawm tias cov tshuaj yuav cuam tshuam qhov kev ua ntawm insulin, kev noj tshuaj ntawm Actrapid yuav tau hloov pauv ib ntus. |
| Cev xeeb tub thiab GV | Thaum cev xeeb tub thiab lactation Actrapid pub. Cov tshuaj tsis hla lub cev, yog li ntawd, tsis tuaj yeem cuam tshuam kev loj hlob ntawm tus me nyuam hauv plab. Nws kis mus rau cov kua mis hauv cov khoom me me, tom qab ntawd nws tau muab faib rau ntawm txoj hnyuv hauv lub plab. |
| Actrapid insulin daim ntawv foos tso tawm | Lub radar suav nrog 3 daim ntawv ntawm cov tshuaj uas tau tso cai muag hauv tebchaws Russia:
Hauv kev coj ua, tsuas yog lam fwj (Actrapid NM) thiab cov cartridges (Actrapid NM Penfill) muaj muag. Tag nrho cov foos muaj tib qho kev npaj nrog qhov kub siab ntawm 100 units ntawm insulin ib milliliter ntawm kev daws. |
| Cia | Tom qab qhib, cov tshuaj insulin cia rau 6 lub lis piam hauv qhov chaw tsaus, qhov kub tso cai muaj txog 30 ° C. Kev ntim khoom seem yuav tsum yog nyob hauv tub yees. Tsis pub siv cov neeg muaj roj insulin khov. Saib ntawm no >> cov cai dav dav rau kev ntim tshuaj insulin. |
Actrapid yog ib xyoos ib zaug muaj nyob rau hauv daim ntawv teev cov Tseem Ceeb thiab Cov Tshuaj Tseem Ceeb, yog li cov neeg mob ntshav qab zib tuaj yeem tau txais nws dawb, nrog rau cov tshuaj los ntawm koj tus kws kho mob.
Cov Ntaub Ntawv Ntxiv
Actrapid NM yog hais txog luv luv (daim ntawv teev npe ntawm cov insulins luv luv), tab sis tsis yog cov tshuaj ultrashort. Nws pib ua tom qab 30 feeb, yog li lawv qhia nws ua ntej. Cov kua nplaum los ntawm cov zaub mov uas muaj GI tsawg (piv txwv li, buckwheat nrog nqaij) tswj kom "ntes" cov insulin no thiab tshem nws los ntawm cov ntshav kom raws sijhawm. Nrog cov carbohydrates ceev ceev (piv txwv li, tshuaj yej nrog ncuav mog qab zib), Actrapid tsis muaj peev xwm tawm tsam sai, yog li tom qab noj zaub mov hyperglycemia yuav tshwm sim dhau los, uas yuav ces maj mam txo. Xws li cov ntshav qab zib tsis yog tsuas ua rau txoj kev noj qab haus huv zoo rau tus neeg mob, tab sis kuj tseem ua rau kev txhim kho ntawm kev mob ntshav qab zib. Txhawm rau kom qeeb ntawm txoj kev loj hlob ntawm glycemia, txhua pluas noj nrog Insulin Actrapid yuav tsum muaj fiber ntau, protein, lossis rog.
Sijhawm ua
Actrapid ua haujlwm txog li 8 teev. Thawj 5 teev - qhov kev txiav txim tseem ceeb, tom qab ntawd - pom qhov seem. Yog tias cov tshuaj insulin raug tswj ntau zaus, cov nyhuv ntawm ob koob yuav rov qab ua ke. Nyob rau tib lub sijhawm, nws yog qhov ua tau tsis yooj yim los xam qhov xav tau ntau npaum li cas ntawm cov tshuaj, uas ua rau muaj kev pheej hmoo ntawm hypoglycemia. Txhawm rau kom siv cov tshuaj tiav, pluas noj thiab tshuaj insulin yuav tsum tau faib txhua 5 teev.
Cov tshuaj muaj qhov ua siab tshaj plaws tom qab 1.5-3.5 teev. Los ntawm lub sijhawm no, feem ntau ntawm cov zaub mov muaj sijhawm rau kev zom, yog li ua rau lub ntsej muag ntshav muaj ntshav. Txhawm rau zam nws, koj xav tau khoom txom ncauj rau 1-2 XE. Hauv tag nrho, nrog ntshav qab zib mellitus ib hnub, 3 lub ntsiab thiab 3 cov zaub mov ntxiv tau txais. Kev siv tshuaj Insulin Actrapid tsuas yog muab ua ntej ua ntej nkaus xwb, tab sis nws txoj kev noj tshuaj yog xam rau noj cov khoom noj txom ncauj.
Taw qhia cov kev cai
Vials nrog Actrapid HM tuaj yeem siv tsuas yog siv cov koob tshuaj insulin uas muaj ntawv cim U-100. Cartridges - nrog cov koob txhaj tshuaj thiab cov xaum xaum hluav taws xob: NovoPen 4 (ntsuas cov kauj ruam 1 chav), NovoPen Echo (0.5 unit).
Txhawm rau kom cov tshuaj insulin ua haujlwm kom raug rau cov ntshav qab zib mellitus, koj yuav tsum kawm cov txheej txheem txhaj tshuaj hauv cov lus qhia rau kev siv thiab ua raws nraim. Feem ntau, Actrapid txhaj rau hauv qhov quav ntawm lub plab, daim ntaub nqus dej nyob ntawm kaum ntawm daim tawv nqaij. Tom qab nkag mus, rab koob tsis raug tshem tawm ob peb feeb kom tiv thaiv cov tshuaj los ntawm kev ntws tawm. Cov tshuaj insulin yuav tsum nyob ntawm chav sov. Ua ntej kev tswj hwm, nws yog ib qhov tsim nyog yuav tsum kuaj xyuas lub hnub tas sij hawm thiab qhov tsos ntawm cov tshuaj.
Txwv tsis pub ib lub raj mis uas muaj cov xaum xaum, dej hauv av lossis iav ci hauv sab hauv.
Piv nrog rau lwm cov insulins
Txawm hais tias qhov tseeb tias Actrapid lwg me me yeej zoo ib yam rau tib neeg cov kua dej, lawv cov nyhuv txawv. Qhov no vim yog subcutaneous tswj hwm ntawm cov tshuaj. Nws xav tau sijhawm los txhawm rau tso cov rog thiab mus txog cov hlab ntshav. Tsis tas li ntawd, cov tshuaj insulin yog qhov txaus ntshai rau kev tsim cov qauv hauv cov ntaub so ntswg, uas tseem tiv thaiv cov suab thaj txo sai.
Muaj ntau hom tshiab ntawm cov insulins - Humalog, NovoRapid thiab Apidra - tau xiam ntawm cov luv no. Lawv pib ua haujlwm ntxov dua, yog li lawv tswj kom tshem tawm txawm tias carbohydrates nrawm. Lawv lub sijhawm tau txo qis, thiab tsis muaj lub ncov, yog li cov zaub mov muaj peev xwm ua tau ntau, thiab cov khoom noj txom ncauj tsis tas yuav tsum muaj. Raws li cov kev tshawb fawb, cov tshuaj ultrashort muab glycemic tswj zoo dua li Actrapid.
Kev siv Actrapid insulin rau ntshav qab zib tuaj yeem tsim nyog:
- hauv cov neeg mob uas ua raws li cov zaub mov muaj cov carb qis, tshwj xeeb tshaj yog cov ntshav qab zib hom 2;
- hauv cov menyuam mos uas noj txhua 3 teev twg.
Tus nqi tshuaj ntau npaum li cas? Cov tsis muaj qhov ua tau zoo ntawm cov tshuaj insulin no suav nrog nws cov nqi qis: 1 chav ntawm Actrapid tus nqi 40 kopecks (400 rubles rau 10 ml lub raj mis), cov tshuaj hormones ultrashort - 3 zaug kim dua.
Analogs
Kev tsim kho tib neeg cov kua dej muaj cov qauv tsim qauv thiab cov yam ntxwv zoo sib xws:
| Analogs | Chaw tsim tshuaj paus | Nqe, tshiav. | |
| daim cartridges | fwj | ||
| Actrapid NM | Lub Tebchaws Denmark, Novo Nordisk | 905 | 405 |
| Biosulin P | Russia, Cov Khw Muag Khoom | 1115 | 520 |
| Insuman Ceev Heev GT | Belarus, Monoinsulin ntawm Czech koom pheej | - | 330 |
| Humulin Tsis tu ncua | USA, Eli Lily | 1150 | 600 |
Kev hloov ntawm ib qho tshuaj insulin mus rau lwm qhov yuav tsum tau ua rau kev kho mob nkaus xwb, vim tias cov nyiaj mob ntshav qab zib yuav zam tsis dhau lub sijhawm xaiv cov ntau npaum.
Nws yuav nyob hauv cov ncauj lus: yuav ua li cas los xam cov koob tshuaj insulin rau kev txhaj tshuaj
