Lantus insulin npaj rau cov suab thaj kom ruaj khov

Lantus yog ib qho ntawm feem ntau tau qhia txog cov tshuaj insulin rau ntawm kev lag luam hauv tsev. Cov cuab yeej no sib txawv ntawm lwm cov tshuaj, nws yog tib qho ntawm cov tshuaj insulin. Dab tsi yog Lantus, yuav ua li cas koob tshuaj thiab prick nws, thiab ntau yam ntxiv, koj yuav kawm los ntawm tsab xov xwm niaj hnub no.

Dab tsi yog Lantus siv rau?

Lub ntsiab tseem ceeb ua nyob rau hauv Lantus yog insulin glargine. Ib qho tseem ceeb tshaj plaws ntawm cov tshuaj no yog tias nws tsis muaj ncov kev ua ub no thiab muaj qhov txiav txim siab ncaj ncees. Qhov kev kho no muaj qhov ua kom ntev (nws yog insulin ntev), nws khi zoo dua rau cov insulin-sensitive receptors thiab tsim cov metabolites tsawg dua li natural insulin.

Txhawb kev glycemia hauv cov neeg mob yog pom tom qab 3-6 hnub ntawm kev kho nrog Lantus. Ib nrab-lub neej ntawm nws yog tib yam li hais tias ntawm ntuj insulin. Kev txiav txim siab thiab kev ua haujlwm ntawm cov tshuaj nws tus kheej tuaj yeem siv tshuaj tua kabmob nrog corticosteroids, danazol, glucagon, estrogens, progestins, kev loj hlob hormone, protease inhibitors thiab cov thyroid hormones.

Yog tias koj noj cov tshuaj no, tej zaum koj yuav tsum tau txais qhov kev hloov kho ntau dua.

Cov hno tshuaj ntawm cov tshuaj no tau sau tseg rau cov neeg mob ntshav qab zib rau:

1. Kev ruaj khov ntawm cov concentration ntawm cov piam thaj hauv cov ntshav thaum nruab hnub (tshwj xeeb thaum sawv ntxov);
2. Txhawm rau tiv thaiv kev hloov pauv ntawm tus mob ntshav qab zib hom 2 mus rau 1;
3. Txhawm rau tiv thaiv cov txiav ua kab mob nrog cov kab mob hom 1 thiab khaws cia tsawg kawg qee cov qe ntshav muaj txiaj ntsig;
4. Kev tiv thaiv kab mob ntshav qab zib ketoacidosis.

Qhov kev txhaj tshuaj zoo no txo ​​cov txiav ua leeg thiab. Qhov insulin ntev ntev pab ua kom txo qis cov dej qab zib.
Cov insulins ntev tsis haum rau tib lub hom phiaj luv luv. Lawv yuav tsis tuaj yeem ua kom sai sai rau lub siab zoo ntawm cov piam thaj tom qab noj mov. Tsis tas li, cov nyiaj txiag no tsis tsim nyog rau cov hom phiaj thaum koj xav tau kom maj nroos txo cov suab thaj.

Yog tias koj siv cov tshuaj xws li Lantus rau lub hom phiaj no, cov nyhuv ntawm kev siv yuav tsis tsuas yog tsis zoo, nws yuav yog qhov tsis zoo. Hauv tib neeg, jumps hauv cov piam thaj concentration yuav tshwm sim tas li, kev qaug zog yuav nce thiab qhov kev nyuaj siab yuav tshwm sim, cov txheej txheem hauv lub cev yuav cuam tshuam. Hauv lub sijhawm cia li 1-3 xyoos, cov kev mob tshwm sim yuav pib tshwm sim, vim tias tus neeg mob yuav xiam oob khab.

Tshuaj insulin rau ntev npaum li cas rau?

Qhov no hom insulin-muaj cov tshuaj raug txhaj tshuaj nyob rau hauv kev txiav txim siab los ua kom ib txwm xav tau ntawm cov piam thaj hauv cov ntshav. Ib qho tshuaj insulin ib txwm nyob thiab ib ncig ntawm tib neeg cov ntshav, qhov tshwm sim hu ua theem qis los yog keeb kwm insulin theem.

Cov insulin no yog nkag los ntawm cov txiav ua tsis tu ncua. Thaum ib tus neeg noj ib co khoom noj, cov kab mob no ua sai sai thiab tso cov protein ntau rau hauv cov ntshav. Cov txheej txheem no hu ua bolus lossis koob bolus.

Bolus koob tshuaj yuav nyiam nce qib ntawm insulin rau ib lub sijhawm luv. Yog li, piam thaj, uas nkag rau hauv tib neeg lub cev nrog zaub mov, yog neutralized. Thaum ib tug neeg mob ntshav qab zib, nws tsis tsim tawm cov pob zeb (bolus thiab basal insulins).

Xaiv xaiv

Cov koob tshuaj ntawm Lantus thaum sawv ntxov thiab tsaus ntuj yuav txawv. Yog li, nws yog ib qho tseem ceeb kom laij cov tshuaj rau cov hau kev no cais.

Koob thaum hmo ntuj

Nws yog ib qho tseem ceeb tias tom qab txhaj cov ntshav qab zib cov ntshav tau khaws cia ntawm 4.5-0.6 mmol / litre cov ntshav. Muaj ntshav qab zib hom 1, koj yuav tsum txhaj insulin ntev ua ntej yuav mus pw thiab tom qab pw, luv luv los yog hnoos qeev ua ntej noj mov. Nws hloov tawm txog 6 koob nyob hauv ib hnub. Tus mob ntshav qab zib hom 2 xav tau tsawg. Nrog rau ob hom kabmob, koj yuav tsum ua raws li kev noj haus tshwj xeeb thiab tsis saib xyuas kev tawm dag zog lub cev.

Ua ntej koj pib txhaj tshuaj koj yuav tsum npaj. Rau qhov no, tus neeg mob yuav tsum pib ntsuas ntsuas dua (txog 15 zaug hauv ib hnub) txhua hnub cov piam thaj hauv siab. Txhawm rau mus rau hauv tsev kho mob rau qhov no koj muaj nyiaj txaus thiab sijhawm, yog li nws zoo dua los cawm ob qho ntawm lawv thiab tam sim ntawd yuav ib qho glucometer los ua cov txheej txheem hauv tsev.

Cov neeg mob ntshav qab zib hom 2 muaj cov insulin ntev ntev ua ntej mus pw. Txhawm rau kom nkag siab hais tias yuav tsum tau txhaj tshuaj rau thaum sawv ntxov, koj yuav tsum soj ntsuam cov kua nplaum ntawm lub plab thaum nruab hnub.

Yog li, peb suav qhov sib lawv liag ntawm cov kauj ruam:

1. 7 hnub peb ntsuas kev mloog zoo ntawm cov piam thaj ua ntej yuav mus pw thiab sawv ntxov ntxov ua ntej noj mov.
2. Qhov tshwm sim ntawm txhua hnub yog nkag rau hauv phaj (peb yuav txheeb xyuas qhov qauv tom qab).
3. Rau cov hnub ib tug neeg, suav thaum sawv ntxov qab zib cov piam thaj hauv qab nag hmo.
4. Hla tawm cov hnub thaum koj tau noj hmo ua ntej yuav mus pw (tsawg dua tsib teev).
5. Peb hais kom meej qhov kwv yees kwv yees ntawm kev nkag siab rhiab rau cov cuab yeej.
6. Peb faib cov ntshav qabzib tsawg tshaj plaws thaum pw nrog coefficient no - qhov no yog koj thawj koob tshuaj hno.
7. Peb nkag mus rau thawj koob tshuaj ua ntej yuav mus pw thiab nco ntsoov teeb lub tswb nrov thaum ib tag hmo kom ntsuas cov piam thaj.
8. Yog tias koj muaj lub siab nyob hmo ntuj siab dua 3.8, peb txo qhov koob tshuaj uas peb lav ua ntej yuav mus pw. Koj kuj tseem tuaj yeem tsoo nws mus rau hauv ntau cov kev txhaj tshuaj thiab nkaug tshooj ntu thib ob thaum ib tag hmo.
9. Tom qab ntawd, cov koob tshuaj yuav tsum tau kho kom tsis muaj ntshav qab zib thaum hmo ntuj thiab qab zib thaum sawv ntxov ntawm lub plab khoob tsis pub ntau tshaj 4.5-0.6 mmol / litre cov ntshav.

Lub rooj nrog cov laij yuav tsum saib ib yam zoo li no:

Qhov chaw ib puag ncig yog cia pov tseg vim tias tus neeg mob noj lig. Kev nce qab zib tsawg tshaj plaws yog hnub Friday, 4.0. Qhov tsawg kawg nkaus nce tau thiaj li hais tias qhov koob tshwm sim tsis loj rau koj, nws yuav yog txhob txwm tshaj tawm tsis txaus ntseeg. Yog li, koj muaj kev nyab xeeb los ntawm kev txhim kho hypoglycemia.

Piv txwv li, koj tsis tsim cov tshuaj insulin ntuj tsim txhua lub sijhawm. Tom qab ntawd chav tsev yuav txo qhov siab ntawm 2 mmol (yog tias koj hnyav dua 70 kg). Thov nco ntsoov tias qis dua koj qhov hnyav, ua haujlwm ntau ntxiv ntawm cov kua dejCov. Hauv ib tus neeg hnyav txog 80 kg, daim duab no yuav yog txog 1.7.

Koj tuaj yeem suav koj tus kheej qhov ntsuas los ntawm cov qauv: Rau ntshav qab zib 1, daim duab no raug coj los. Yog tias koj muaj hom 2, tom qab no cov nyiaj yuav loj heev. Yog li no, xav txog qhov koob tshuaj raws li qhov tseeb tias Lantus chav ua haujlwm yuav txo qhov kub siab los ntawm 4.4. Raws li tib lub mis, laij koj qhov coefficient tshwj xeeb.

Raws li nws tau pom, qhov nce tsawg kawg ntawm cov piam thaj yog 4 mmol. Tus neeg mob, piv txwv li, nws hnyav 80 kg. Tom qab ntawd ib chav tsev ntawm cov dej dej yuav txo qis qab zib los ntawm 3.52. Nws hloov tawm tias lub koob tshuaj ntawm cov tshuaj insulin yuav tsum yog 1.13 units.

Kev noj tshuaj thaum sawv ntxov

Txhawm rau kom nkag siab hais tias koj xav tau qhov kev txhaj tshuaj no txhua lub sijhawm, koj yuav tsum xub tsis kam noj thaum nruab hnub. Cov qib ntawm koj cov kauj ruam:

• Tsis txhob noj nyob rau hauv 14 teev tom qab ua tiav kev pw tsaug zog, tsuas yog noj hmo lig tuaj yeem pom zoo;
• Nruab hnub koj tuaj yeem haus tshuaj ntsuab tshuaj yej, dej;
• Txo koj cov tshuaj ntshav qab zib;
• Ntsuas cov kev ntsuas ntawm cov piam thaj tam sim ntawd tom qab tsaug zog, tom qab ntawd 1, 5, 9, 12 thiab 13 teev.

Yog tias thaum lub sijhawm ntsuas koj txiav txim siab tias cov piam thaj hauv cov ntshav siab dhau 0.6 mmol thiab tsis nqis, ces koj yuav tsum txhaj tshuaj insulin thaum sawv ntxov. Cov koob tshuaj tau raug muab suav rau tib txoj kev raws li cov tshuaj noj rau thaum mus pw. Yuav kom kho cov tshuaj thaum sawv ntxov, koj yuav tsum ua qhov txheej txheem no dua, yog li nws raug nquahu kom txiav txim siab yuav tsum tau noj ntau npaum li cas nyob rau ntau lub lim tiam.

Lantus qhia cov thev naus laus zis

Kev txhaj tshuaj ntawm cov tshuaj insulin-cov tshuaj raug muab rau lwm qhov. Ntau zaus, cov neeg mob tsis paub txog thev naus laus zis ntawm kev siv tshuaj thiab ua qhov tsis raug tshuaj. Qhov tsis tsim ntawm daim tawv nqaij yuav cuam tshuam lub kaum sab xis ntawm nkag ntawm rab koob. Raws li qhov no, nws tuaj yeem nkag mus rau cov leeg nqaij, tom qab ntawd nyeem ntawm kev hloov pauv ntawm cov piam thaj hauv cov ntshav yuav tsis muaj kev tiv thaiv.

Nws kuj tseem ceeb kom tsis txhob nkag mus rau hauv cov hlab ntshav thaum muab cov tshuaj insulin. Txhawm rau tiv thaiv koj tus kheej, nws zoo dua yog siv cov koob insulin tshwj xeeb thiab luv luv rau kev txhaj tshuaj.

Rau kev txhaj tshuaj insulin, ntau qhov chaw hauv lub cev raug siv:

• Thaj tsam thaj tsam;
• Lub xub pwg
• Pem hauv ntej ncej puab;
• Pob Tsuas.

Nyob ntawm qhov chaw txhaj tshuaj ntawm Lantus, nws txoj kev nqus tau txawv. Cov tshuaj yuav nqus zoo tshaj yog tias nws raug rau hauv plab, maj mam nqus nws tus kheej tshwm sim thaum txhaj rau hauv pob tw thiab ncej puab. Yog tias koj txiav txim siab muab qhov tshuaj txhaj rau hauv qhov chaw hauv plab, tom qab ntawd koj yuav tsum tawm ntawm tus ntaws ntawm 5 cm thiab nkaug ntawm lub voj voos.

Txog hnub sib txawv, koj yuav tsum tau hloov lwm qhov chaw nkag ntawm lub koob. Thov nco ntsoov tias yog tias koj khawm lub qhov tsis raug, zawm nws lossis tuav cov leeg nqaij, lub koob yuav nruj thiab txhaj tshuaj yuav mob.

Cov tshuaj Lantus raug pom zoo rau kev siv nrog cov koob txhaj tshuaj no:

1. ClickSTAR.
2. OptiPen Pro1.

Ua ntej koj pib siv, nco ntsoov nyeem cov lus qhia uas txuas nrog tus cwj mem syringe, koj yuav tsum ua raws li cov lus pom zoo los ntawm cov kws tsim khoom.

Kev txhaj tshuaj yog tswj hwm raws li hauv qab no:

1. Tshem cov koob txhaj tshuaj ntawm rooj plaub thiab tshem lub hau ntawm nws;
2. Tshem tawm kev tiv thaiv tus kheej ntawm rab koob thiab nruab nws hauv cov xaum xaum;
3. Co cov ntsiab lus ntawm cov phwj hauv zoo thiab sib tov;
4. Thaum ntsuas nrog nias, hu rau koj cov kev xaiv tshuaj ua ntej xaiv tus kheej;
5. Nias lub pob rau ntawm rab koob thiab tshem tawm cov cua ntawm rab koob;
6. Ntawm thaj chaw ntawm lub cev uas kev txhaj tshuaj yuav tsum ua, ua tawv nqaij quav. Tom qab ntawd tuav lub pob rau 10 vib nas this kom cov tshuaj nkag mus rau qhov chaw subcutaneous. Tom qab ntawd tso cov tawv nqaij, tuav rab koob li 5 feeb ntxiv thiab rub tawm kom tawm.

Ua ntej txhawm rau txhawm rau lub taub ntawv rau hauv cov phwj tshuaj, nws yog qhov zoo tshaj plaws kom sawv nws li 1-3 teev ntawm chav sov. Tsis txhob siv lub taub hau yog tias cov nag lossis daus nyob hauv qhov kev daws teeb meem, nws yuav tsis pob tshab, lossis yog tias lub kua tau hloov nws cov xim. Tsis txhob hnov ​​qab tshem tawm cov huab cua los ntawm daim cartridge (cov lus qhia tau piav qhia saum toj no). Nyob rau hauv tsis muaj cov ntaub ntawv tsis refill cartridges, lawv yog pov tseg.

Ua ntej siv cov tshuaj txhaj, nco ntsoov xyuas ob zaug ntawm lub npe tshuaj kom yog li ntawd, koj tsis txhob txhaj tshuaj ntxiv rau koj tus kheej. Xws li qhov yuam kev tuaj yeem ua rau tuag taus (koob tshuaj tau xaiv nyob rau hauv txoj kev sib txawv thiab hypoglycemia tuaj yeem tshwm sim nrawm).

Yog tias koj tsis muaj lub cwj mem uas haum rau koj tus kheej, koj tuaj yeem siv cov roj pleev nrog lub koob tshuaj insulin tsis tu ncua. TSEEM CEEB! Yog tias koj siv cov syringe zoo tib yam, ua tib zoo sau cov tshuaj, nws cov nyiaj hauv cov tshuaj insulin thiab cov koob txhaj tshuaj yog txawv.

Nkag mus rau hauv Lantus raws li cov txheej txheem no:

1. Xaiv ib qho chaw uas koj yuav nkag mus rau cov khoom lag luam;
2. Ua ntej so qhov chaw txhaj tshuaj nrog tshuaj tua kab mob (Lantus tuaj yeem tawg hauv qab ntawm cawv, yog li cia nws ploj mus tsis pub dhau 5-7 feeb thiab tsuas yog tom qab ntawd txuas ntxiv nrog kev txhaj tshuaj lossis tsis txhob siv cov khoom ntim cawv);
3. Ua cov quav ntawm tawv tawv (yog tias koj siv koob ultrashort, tom qab ntawd koj tsis tuaj yeem ua);
4. Yog tias tsis tso cov quav, nkag lub koob ntawm lub kaum ntawm 45 degrees;
5. Maj mam nrog txhais tes ruaj khov, nias ntawm lub piston thiab nkag rau hauv Lantus;
6. Tom qab cov lus qhia ntawm tus neeg sawv cev, tso tawm cov khoom tsim;
7. Tuav rab koob nyob hauv koj daim tawv nqaij li 5 feeb thiab tom qab ntawd tshem tawm kom meej.

Yog tias kev txhaj tshuaj ntawm Lantus tsis muaj cov txiaj ntsig uas xav tau, rov xyuas dua kev tswj hwm qhov tseeb ntawm cov tshuaj. Tsis txhob maj nce los thov koob tshuaj ntawm cov tshuaj insulin. Yog tias koj muab nws txias, nws yuav nqus tau qeeb dua. Thaum koj tswj cov tshuaj insulin kom raug thiab lub sijhawm, nws yuav muab cov cim qhia ntawm glycemia ruaj khov.

Lantus thaum cev xeeb tub

Qee qhov kev tshawb fawb cais txawv ntawm cov nyhuv ntawm cov tshuaj no rau cov poj niam cev xeeb tub tsis tau ua. Raws li kev txheeb cais, nyob rau hauv 96% ntawm cov poj niam tsis muaj qhov tshwm sim tsis zoo los ntawm qhov kev nqis tes ntawm Lantus ntawm kev mob ntawm tus menyuam thiab txoj kev kawm ntawm lub sijhawm. Qhov tshuaj insulin no tsis cuam tshuam nrog cov kab ke yug menyuam.

Cov tshuaj no feem ntau sau tseg rau cov poj niam cev xeeb tub los ntawm cov kws tshwj xeeb. Thaum zoo li no, tus neeg mob yuav tsum tau saib xyuas tas li los ntawm kws kho mob thiab soj ntsuam kom tsis txhob muaj cov piam thaj hauv ntshav.

Feem ntau, qhov xav tau ntawm cov tshuaj tsawg dua nyob rau thawj lub hlis, thaum 2 thiab 3, ntawm qhov tsis tooj, nws nce.

Tom qab tus poj niam tau yug me nyuam, xav tau cov tshuaj insulin los ntawm sab nraud yuav luag txo qis thiab tus poj niam yuav muaj mob hypoglycemia.

Thaum lub sijhawm pub niam mis, koj tuaj yeem siv Lantus, thaum koj yuav tsum tau saib xyuas kev noj ntau npaum li cas ntawm cov tshuaj. Thaum cov tshuaj insulin glargine nkag mus rau hauv lub plab zom mov, nws pib zom rau hauv amino acid lwg me me. Hauv tus mob no, nws tsis ua rau muaj kev phom sij rau tus menyuam, uas pub mis noj mis mis.

Leej twg yuav tsum tsis siv Lantus?

Cov tshuaj insulin-cov tshuaj no muaj qhov cuam tshuam hauv pawg ntawm cov neeg mob:

• Cov neeg uas muaj tus kheej tsis haum rau insulin glaragin lossis lwm cov khoom siv uas yog ib feem ntawm cov tshuaj;
• Cov neeg muaj ib daim ntawv ntawm hypoglycemia;
• Cov me nyuam qis dua 6 xyoo.

Qhov kev daws no tsis pab nrog mob ketoacidosis. Nrog rau kev saib xyuas tshwj xeeb, koj yuav tsum siv Lantus vim tias nws tiv thaiv qhov nqaim ntawm cov hlab ntsha hlwb thiab cov hlab ntsha hauv lub cev, cov leeg hlwb tsis meej, kev puas hlwb, mob ntshav qab zib, mob ntshav qab zib, thiab cov neeg uas muaj ntshav qab zib tsawg.

Hauv qee cov neeg mob, cov tsos mob ntawm lub xeev hypoglycemic yuav tsis tshwm sim.

Kev saib xyuas tus kws kho mob yog yuav tsum tau los ntawm cov neeg laus thiab cov neeg uas hloov los ntawm tsiaj cov tsiaj insulin rau tib neeg, cov neeg muaj kev tiv thaiv kab mob rau cov tshuaj insulin, cov neeg mob ua rau muaj kev ntxhov siab tas li thiab tawm dag zog, noj lwm yam tshuaj, thiab cov uas muaj kab mob concomitant.

Thaum siv cov Lantus, txhua tus neeg mob yuav tsum noj kom muaj kuab (nrog ntshav qab zib, cov zaub mov tsis muaj carb yog qhia) thiab sim haus cov cawv kom tsawg.

Thov nco ntsoov tias Lantus tuaj yeem cuam tshuam tsis zoo rau lub peev xwm kev xav thiab tsom xam. Nws tuaj yeem txhawb kev txhim kho hyper- thiab hypoglycemia, vim tias lub zeem muag txo qis thiab tsis pom zoo pib. Yog li, cov neeg tau txais kev kho mob nrog cov tshuaj no thiab lwm cov insulins thaum kho yog contraindicated los tsav lub tsheb lossis ua haujlwm tsis zoo uas tuaj yeem ua haujlwm.

Zoo sib xws txhais tau tias

Ntawm lub khw muag tshuaj, muaj ntau tus neeg sawv cev ntawm cov tshuaj insulin zoo sib xws, cov khoom xyaw tseem ceeb uas yog insulin glargine:

• Tshuaj Aylar txhaj - cov nqi kwv yees 3,000 txhiab rubles;
• Cov lus piav qhia ntawm lub teeb thiab cov kev daws teeb meem - tus nqi 3000 rubles;
• Tozheo Solostar - los ntawm 1000 txog 2500 rubles.

Lwm cov yeeb tshuaj zoo sib xws:

Thov nco ntsoov tias qee cov tshuaj no muaj qee qhov kev txwv thiab kev mob tshwm sim. Tej zaum lawv yuav raug rau koj thiab coj yam ntxwv tsis raug cai thaum siv. Yog li no, ua ntej hloov ntawm Lantus mus rau lwm hom tshuaj insulin, sab laj nrog koj tus kws tshaj lij.

Kev Ntsuas Cov Ntawv Ntsuas

Xaus

Los ntawm pharmacological thiab physiological tsis, Lantus yog ib qho zoo tshaj plaws tshuaj kho mob ntshav qab zib. Nws yog qhov zoo sib xws heev rau ntuj insulin thiab tsis muaj kev cuam tshuam zoo rau lub cev. Lub ntsiab lus tseem ceeb thaum siv cov cuab yeej no (nrog rau lwm cov tshuaj insulins) yog kev pom kev noj tshuaj thiab cov cuab yeej technology rau kev tswj hwm tshuaj.