NovoRapid yog cov tshuaj kho ntshav qab zib tuaj yeem them nyiaj rau qhov tsis muaj yam tshuaj lom neeg ntuj. NovoRapid insulin txhaj txo qis cov ntshav qab zib. Cov tshuaj tshiab no muaj ntau qhov zoo hauv kev sib piv nrog cov analogues.
Nws yog sai thiab yooj yim nqus, qab zib yog tam sim ntawd ib txwm muaj. Koj tuaj yeem siv nws lub sijhawm twg los tau, tsis hais ua ntej lossis tom qab noj mov, vim nws nyob ntawm pab pawg ntawm cov tshuaj insulin. Lub cev tsis tau siv cov tshuaj no, txhua lub sijhawm koj tuaj yeem tso nws lossis hloov mus rau lwm cov tshuaj.
Nta ntawm NovoRapida
NovoRapid tau suav hais tias yog ib qho piv txwv ncaj qha ntawm cov tshuaj insulin rau tib neeg, tab sis muaj zog ntau dua qhov nws ua. Nws lub ntsiab tivthaiv yog cov tshuaj insulin aspart, uas muaj lub ntsej muag luv luv hypoglycemic. Vim tias qhov tseeb tias kev txav ntawm cov piam thaj hauv cov cell yuav nce ntxiv, thiab nws txoj kev tsim hauv lub siab ua rau qis qis dua, cov ntshav qab zib cov ntshav yuav poob qis.
Tom qab txo cov piam thaj hauv cov ntshav, cov txheej txheem hauv qab no tshwm sim:
- Txhim kho cov metabolism hauv hlwb;
- Txhim kho txoj kev nqus ntawm txhua daim ntaub los ntawm lub cev;
- Ntxiv kev ua haujlwm ntawm lipogenesis thiab glycogenesis.
NovoRapid tov tau tso cai rau muab tshuaj subcutaneously lossis intravenously. Tab sis kev tswj hwm nyob rau hauv daim tawv nqaij yog qhov pom zoo, tom qab ntawd NovoRapid yog nqus tau zoo dua thiab tshaj tawm nws cov nyhuv sai dua thaum piv nrog cov tshuaj insulin. Tab sis lub sijhawm ua haujlwm ntawm lub sijhawm tsis ntev npaum li hais tias ntawm cov dej ua kua dej.
NovoRapid ua kom yuav luag tam sim ntawd tom qab txhaj tshuaj - tom qab 10-15 feeb, cov txiaj ntsig zoo dua tuaj yeem pom tom qab 2-3 teev, thiab lub sijhawm yuav yog 4-5 teev.
Cov neeg mob thaum lub caij nyoog siv cov tshuaj kho cov tshuaj no tseem ceeb dua tias hmo ntawd yuav muaj ntshav qab zib tsawg yuav tshwm sim. Tsis tas li ntawd, tsis txhob txhawj xeeb txog tias NovoRapid insulin yuav hloov mus rau hauv lub cev, koj tuaj yeem hloov kho lossis hloov pauv cov tshuaj tsis tu ncua.
Cov lus qhia rau kev siv NovoRapida
Cov tshuaj yog kws kho rau cov kab mob nram qab no:
- Ntshav qab zib mellitus ntawm thawj (insulin-dependant) hom;
- Ntshav qab zib mellitus thib ob (tsis-insulin-ywj siab) hom;
- Txhawm rau txhim kho qhov ua tau zoo ntawm kev ua si kis las;
- Txhawm rau normalize qhov hnyav;
- Raws li kev tiv thaiv ntawm hyperglycemic coma.
NovoRapid yog contraindicated rau hauv cov neeg mob hauv qab no:
- Txaij kom lub cev nkag siab zoo ntxiv rau cov tshuaj;
- Thaum cov ntshav qabzib hauv lub ntsej muag poob qis;
- Haus tshuaj tib lub sijhawm xws li dej cawv;
- Cov menyuam yaus hnub nyoog qis dua 6 xyoo.
Cov tshuaj Insulin NovoRapid tau pom zoo rau kev tswj ntshav qab zib hauv cov poj niam thoob plaws lub cev xeeb tub thiab thaum pub niam mis.
Qee zaum, nrog kev siv tshuaj NovoRapid, cov kev mob tshwm sim tshwm sim:
- Kev ua xua nyob rau hauv daim ntawv ntawm urticaria, edema, scabies, rhiab rau lub sab ntawm lub hnub;
- Peripheral neuropathy thiab ntxhov siab vim tsis muaj laj thawj;
- Poob qhov kev qhia;
- Kev mob rov qab zoo nkauj, qhov muag tsis pom kev;
- Kev sib tsoo nce siab;
- Cramp ntawm nqua;
- Qhov zoo nkaus li tsis muaj zog ntawm cov leeg, poob lub zog;
- Tachycardia;
- Xeev siab los sis tshaib plab;
- Txo cov kev pom zoo;
- Ntawm qhov pom tshwm sim: khaus, liab lossis blanching ntawm daim tawv nqaij, edema.
Nyob rau hauv overdose qhov teeb meem nyob rau hauv lub cev yuav muaj xws li kev coj ua:
- Tsaus muag
- Nyuaj siab,
- Blanching ntawm daim tawv nqaij.
NovoRapida Ntau Lawm
NovoRapid muaj ob hom:
- Npaj-tsim syringe cwjmem Flexpen;
- Cov pob txha mos uas hloov tau.
Cov tshuaj nws tus kheej yog qhov zoo ib yam ntawm cov no - cov kua ntshiab, tsis muaj kob, 100 ml ntawm cov tshuaj tiv thaiv nquag yog hauv 1 ml. Cov tshuaj muaj pes tsawg leeg ntawm cwjmem thiab cartridges ntawm 3 ml ntawm insulin.
Kev tsim cov NovoRapid insulin yog ua tiav raws li cov thev naus laus zis tshwj xeeb raws li kev siv tshuaj Saccharomyces cerevisiae lim, cov amino acid tau hloov nrog aspartic acid, vim tias cov receptor complex tau txais, nws ua kom cov txheej txheem tshwm sim hauv cov hlwb, nrog rau cov tshuaj lom neeg ntawm cov khoom tseem ceeb (glycogen synthetase, hexokinases, pyruvate).
Qhov sib txawv ntawm cov hom ntawm NovoRapid FlexPen thiab NovoRapid Penfill tshwj xeeb hauv daim ntawv tso tawm: thawj hom yog cwj mem syringe, qhov thib ob yog hloov lub thawv. Tab sis tib cov tshuaj muaj nchuav rau ntawd. Txhua tus neeg mob tau muaj txoj cai xaiv hom tshuaj insulin yooj yim dua rau nws siv.
Ob hom tshuaj no tsuas tuaj yeem yuav hauv khw muag tshuaj los ntawm cov tshuaj noj.
Nqi ntawm NovoRapida
Tus nqi ntawm NovoRapid Penfill rau 5 daim hauv Lavxias yog 1600-1800 rubles, tus nqi ntawm Flexpen rau 5 cwjmem (ib pob) yog 1800-2000 rubles.
Cov lus qhia rau kev siv NovoRapida
Txhawm rau tawm tsam cov ntshav qab zib hom 1 lossis hom 2, nws raug nquahu kom hno subcutaneously mus rau hauv tus ncej puab, pob tw, sab nraub qaum phab ntsa lossis xub pwg ua ntej noj ntawm lub plab tas.
Cov kev xaiv tshuaj yog pom zoo raws li cov kev suav hauv qab no ntawm cov khoom ntim ntawm insulin:
- Nyob rau theem pib ntawm tus kabmob ntawm thawj hom - 0.5 PIECES / kg;
- Thaum muaj mob dhau mus ntev dua ib xyoos - 0.6 PIECES / kg;
- Nrog rau cov mob ntshav qab zib - 0.7 PIECES / kg;
- Nrog decompensated mob ntshav qab zib - 0.8 units / kg;
- Nrog muaj tus kabmob tiv thaiv keeb kwm ntawm ketoacidosis - 0.9 PIECES / kg;
- Cov poj niam thaum cev xeeb tub - 1 unit / kg.
Qhov nruab nrab ntawm tus neeg mob xav tau cov tshuaj insulin ib hnub yuav tsum yog li 0.5 txog 1 UNITS / kg ntawm qhov hnyav. Nws yog 60-70% kev them nyiaj los ntawm kev qhia ntawm cov tshuaj ua ntej noj mov, thiab tus nqi ntxiv yog tau los ntawm cov insulin ntev dua.
NovoRapid Flexpen yog cwj mem uas muaj cov xaum qhwv ua ntej. Yuav kom yooj yim, muaj lub dispenser thiab xim coding. Rau kev txhaj tshuaj nrog cov tshuaj insulin, 8 hli ntev ntev rab koob nrog lub hau luv tiv thaiv los ntawm NovoFayn lossis Novotvist tau siv, cim "S" yuav tsum nyob ntawm lawv cov ntim.
Nrog cov koob txhaj tshuaj no, koj tuaj yeem nkag los ntawm 1 txog 60 units ntawm cov tshuaj uas muaj qhov tseeb ntawm 1 pawg. Nws yog qhov tsim nyog yuav tsum tau ua kev qhia los ntawm cov lus qhia rau kev siv lub cuab yeej. Lub FlexPen koob txhaj tshuaj yog muab rau tus kheej siv thiab tsis tuaj yeem sau dua lossis hloov mus rau lwm tus neeg.
- Kauj Ruam 1. Ua tib zoo kawm lub npe kom paub tseeb tias hom tshuaj insulin raug xaiv raug. Tshem lub hau sab nraud ntawm lub koob txhaj tshuaj, tab sis tsis txhob muab pov tseg. Sanitize roj hmab phaj. Tshem tawm txheej txheej sab nraud ntawm rab koob. Tso lub rab koob tso rau ntawm tus cwj mem kom txog thaum nws nres, tab sis tsis txhob siv lub zog quab yuam. Lwm rab koob yog tas li siv rau kev txhaj tshuaj, uas tiv thaiv kom tsis txhob muaj kab mob. Lub koob tsis tas yuav tsum tawg, khoov, tso cai siv siv los ntawm lwm tus.
- Kauj Ruam 2. Qhov cua me me yuav tshwm sim nyob hauv tus xaum xim. Yog li cov pa tsis tau sau rau hauv, thiab cov koob tshuaj yog qhov tseeb, koj yuav tsum ntaus 2 units los ntawm tig rau lub ntsuas metering selector. Tom qab ntawd tig cov koob txhaj tshuaj nrog rab koob nce, maj mam muab coj mus rhaub cov tshuaj ntxuav tes nrog koj qhov ntiv tes ntsuas. Koj tsis tuaj yeem tsim qhov kev cai siab tshaj qhov txwv tsis pub tshaj, siv ntsuas nplai kom paub koj qhov ntau npaum li cas. Qhov kub ntawm cov tshuaj tso cai yuav tsum yog chav kub.
- Kauj Ruam 3. Nyem khawm tag nrho txog ntua thaum tus po taw mus txog rau tus cim "0". Yog tias thaum kawg ntawm rab koob poob ntawm cov kua tsis protrude, txhua yam yuav tsum tau ua dua, tab sis tsis tshaj rau. Yog tias qhov tshwm sim tsis tiav, ces FlexPen tsis tuaj yeem siv.
- Kauj Ruam 4. Yog tias cov cuab yeej ua haujlwm tau zoo, nias lub khawm "Pib" kom txog thaum tus pointer rov mus rau "0" cim ntxiv. Tom qab ntawv hno cov tshuaj insulin rau hauv cov nqaij ntshiv ntawm lub pob tw, lub pob tw, xub ntiag sab hauv phab ntsa lossis xub pwg. Cov tshuaj yuav tsis pib yog tias koj tsis nias lub pob ntxiv mus li 5-6 vib nas this tom qab ntxig rab koob nyob hauv qab daim tawv nqaij. Nov yog txoj hauv kev qhia tshuaj nkaus xwb, raws li kws kho mob pom zoo. Lub khawm pib yuav tsum tau nias kom txog thaum rab koob raug tshem tawm hauv qab ntawm daim tawv nqaij. Cov chaw ntawm lub cev ntawm txhua qhov kev txhaj tshuaj yuav tsum tau hloov chaw. Tom qab txhaj koob, cov koob txhaj tshuaj yuav tsum tau muab tshem tawm thiab tsis khaws cia ze lub koob txhaj tshuaj kom cov kua tsis xau.
- Kauj Ruam 5. Ntxig rab koob rau hauv lub hau sab nraud uas tsis kov lub hau. Thaum lub koob nkag ntawm lub hau, muab ceev nrawm nws thiab txiav cov koob ntawm cov koob txhaj tshuaj. Tsis txhob chwv lub ntsis ntawm rab koob. Muab rab koob tso rau hauv lub thawv ntim ceev, tom qab muab pov tseg raws li tus kws kho mob cov lus qhia. Muab lub hau tso rau ntawm cov phwj. Koj yuav tsum khaws nws hauv chav kub, tsis txhob poob, tsis txhob poob siab, tsis txhob ntxuav, tab sis tiv thaiv kom tsis txhob muaj plua plav. Lub raj mis tshiab yuav tsum tso rau hauv lub tub yees, tab sis tsis txhob kom khov thiab tsis txhob tso ze rau ntawm lub taub yees txias! Thaum raug rau lub hnub ci, cov tshuaj yuav poob qhov kev ua haujlwm zoo. Lub raj mis qhib yuav khaws cia tau 28 hnub ntawm chav tsev kub.
Cov chav kawm ntawm kev kho mob ntau zaus, yog li cov hnub tshwj xeeb yog qhov nyuaj rau tsim. Lub sijhawm tiv thaiv cov tshuaj yog cuam tshuam los ntawm cov koob tshuaj tau siv, qhov chaw txhaj tshuaj rau ntawm lub cev, ntshav khiav ceev, qhov kub thiab ntsuas qhov ua haujlwm ntawm lub cev.
NovoRapid Penfill yog muaj nyob rau hauv daim ntawv ntawm cov roj cartridges uas tau siv los txhaj tshuaj insulin.
Ua los ntawm NovoNordisk, NovoFine koob muaj nyob nrog.
- Kauj Ruam 1. Ua tib zoo tshuaj xyuas daim paib kom ntseeg tau tias xaiv hom tshuaj insulin raug xaiv. Nws yog qhov yuav tsum tau them sai sai rau lub npe ntawm cov tshuaj insulin thiab seb nws lub hnub tas sij hawm tau tas sij hawm. Txhuam cov pos hniav maj mam nrog paj rwb ntaub plaub los yog ib daim phuam so hauv dej cawv kho mob. Cov tshuaj tsis tuaj yeem siv yog tias tus cartridge poob los ntawm qhov ntawd, puas nyob rau hauv txhua txoj kev lossis raug tsoo, vim tias qhov no cov tshuaj insulin poob zoo; zoo li yog tias cov kua tshuaj insulin los ua huab lossis nrhiav cov duab ntxoo sib txawv.
- Kauj Ruam 2. Ntxig rab koob rau hauv subcutaneous adipose ntaub so ntswg ntawm tus ncej puab, xub pwg, pob tw, thiab sab hauv pem hauv ntej phab ntsa. Tom qab ntxig rab koob tso rau hauv qab ntawm daim tawv nqaij, nws yuav tsum nyob twj ywm rau ntawd rau lwm 5-6 feeb. Lub pob yuav tsum nias kom txog thaum rab koob rub tawm. Tom qab txhua yam kev txhaj tshuaj, koj yuav tsum tshem tawm tam sim ntawd. Koj tsis tuaj yeem rov qab tib lub qub ntawv tib yam nrog insulin dua.
Tsis txhob siv Flexpen thiab Penfill hauv cov xwm txheej hauv qab no:
- Lub taub hau lossis daim ntim dab tsi poob, tsoo;
- Cov cuab yeej ua puas lawm, vim hais tias qhov no qhov poob ntawm insulin yog qhov yuav tshwm sim;
- Cov roj hmab piston yog ntau dua li cov hlua dawb ntaus nrig;
- Cov tshuaj insulin tau muab khaws cia rau hauv cov xwm txheej tsis zoo lossis raug ua khov;
- Cov tshuaj insulin tsis pob tshab, tau dhau los lossis ua huab.
Cov lus qhia tshwj xeeb thaum siv NovoRapida:
- Kev noj tshuaj tsis tiav lossis cuam tshuam kev kho mob sai yuav ua rau hyperglycemia lossis ketosis.
- Yog tias muaj kev kis kab mob hauv lub cev, tom qab ntawd qhov kev xav tau rau cov insulin yog nce, thiab yog tias muaj kev puas tsuaj rau lub raum lossis mob siab, ces qhov kev xav tau no raug txo.
- Txoj kev hloov ntawm cov ntshav qab zib mus rau lwm hom lossis tuam txhab ntawm cov kua dej yog ua raws li kev saib xyuas ntawm tus kws kho mob uas koom nrog. Thaum hloov cov tshuaj mus rau insulin aspart, feem ntau koj yuav xav tau ntau dua kev txhaj tshuaj nyob rau hauv 24 teev lossis koj yuav tsum kho lub koob tshuaj. Kev mob hnyav ntxiv tuaj yeem kuaj pom txawm tias thawj zaug txhaj lossis thawj 3-4 lub lis piam lossis ob peb hlis tom qab hloov cov tshuaj.
- Noj zaub mov noj los yog qoj ib ce muaj zog tuaj yeem ua rau txhim kho ntshav qab zib ntshav qab zib.
- Koj tsis tuaj yeem hno cov tshuaj yog tias cov kua tau dhau ib qho xim lossis muaj huab.
- Thaum siv NovoRapid, ib tus yuav tsum ua tib zoo tsav tsheb thiab koom nrog cov haujlwm tshwj xeeb muaj kev phom sij uas yuav tsum muaj kev kub siab.
Cov qauv ntawm NovoRapida
Yog tias NovoRapid tsis haum rau cov neeg mob ntshav qab zib rau ib qho laj thawj twg, ces tus kws kho mob pom zoo siv cov tshuaj hauv qab no: Apidra, Gensulin N, Humalog, Novomiks, Rizodeg. Lawv tus nqi yog hais txog tib yam.
Feem ntau cov neeg mob nug lawv tus kws kho mob cov lus nug: "Qhov twg zoo dua - Humalog lossis NovoRapid?". Tab sis tsis tuaj yeem tsis muaj cov ntaub ntawv raug rau cov lus teb, vim tias ntau hom tshuaj insulin muaj qhov sib txawv ntawm txhua tus neeg mob ntshav qab zib. Feem ntau, kev fab tshuaj tshwm sim ua rau hloov ntawm ib cov tshuaj mus rau lwm qhov.
Ib qho ntxiv, hauv cov neeg mob ntshav qab zib, cov lus nug tshwm sim: "Qhov twg zoo dua - Apidra lossis NovoRapid?". Ntawm chav kawm, txhua tus xaiv qhov twg yooj yim dua. Apidra tseem siv tshuaj insulin luv luv, nws pib ua tiav 4-5 feeb tom qab txhaj, tab sis nws yuav tsum tau txhaj tshuaj nruj me ntsis ua ntej noj mov lossis tam sim ntawd tom qab noj mov, uas tsis yog ib txwm yooj yim rau tus neeg mob.