Rinsulin nph - txoj cai siv

Ntshav qab zib yog ib yam mob phem heev uas ua rau coob leej neeg nyob thoob plaws lub ntiaj teb puas tsuaj. Nws tsis yog tsuas yog txwv cov khoom uas siv tau rau kev noj haus, tab sis kuj txo lub neej muaj sia, tab sis kuj qhia txog cov kev txwv tseem ceeb uas cuam tshuam nrog tus neeg lub neej.

Thaum thawj cov cim qhia tias koj tab tom kho tus mob no, nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws tshaj lij, tsuas yog ua li no koj tuaj yeem ua qhov tsim nyog txhawm rau txhawm rau txhim kho tus neeg mob thiab kom tua tau tus kab mob ntxiv kom zoo dua yav tom ntej.

Rinsulin NPH yog dab tsi feem ntau siv nyob rau hauv qhov muaj ntawm hom 1 ntawm qhov mob no, tab sis cov tshuaj no tuaj yeem siv hauv lwm qhov xwm txheej. Cia wb mus ze saib nws.

Cov chaw muag tshuaj

Nws yog tsim nyog teev tam sim ntawd hais tias rinsulin NPH yog tib neeg cov insulin, uas tau muab los ntawm cov kws tshawb fawb siv cov thev naus laus zis niaj hnub ntsig txog cov DNA tso tawm tshiab. Cov insulin no feem ntau xa mus rau cov txhais tau tias, uas yog tus cwj pwm ntawm lub sijhawm ua haujlwm nruab nrab.

Thaum noj, cov tshuaj nquag pib sib cuam tshuam nrog receptors nyob ntawm daim nyias nyias ntawm lub hlwb. Yog li, kev tsim cov insulin receptor complex tshwm sim, uas tso cai rau koj ua kom muaj kev cuam tshuam ntau cov txheej txheem hauv cov hlwb.

Qhov tshwm sim ntawm yaug NPH yog txuam nrog kev nce ntxiv hauv kev thauj mus ntxiv hauv qabzib, nrog rau kev txhim kho hauv kev nqus ntawm nws cov ntaub so ntswg. Cov tshuaj kuj tseem tso cai rau koj los txhawb cov glycogenogenesis thiab lipogenesis. Raws li rau kev tsim cov kua nplaum los ntawm lub siab, nws txoj kev poob qis.

Lub sijhawm yav tas los hais txog kev ua haujlwm ntawm yaug tshuaj NPH yog li ntawd vim tias kev nce siab ntawm tus nqi ntawm kev nqus ntawm thaj chaw txhaj tshuaj thiab cov koob tshuaj pom zoo.

Cov kws tshaj lij sau tseg tias cov nyhuv ntawm cov tshuaj no pib tshwm sim hauv kwv yees li 1.5-2 teev tom qab nws qhia hauv qab daim tawv nqaij. Raws li rau lub siab tshaj plaws, nws yuav tiav nyob rau hauv kwv yees li 4 teev, thiab cov nyhuv yuav pib ua kom tsis muaj zog hauv 0.5 hnub tom qab kev tswj hwm. Lub sijhawm tshaj tawm ntawm cov nyhuv yog txog li 24 teev.

Cov nyhuv thiab ua tiav ntawm kev nqus tau kiag li nyob ntawm qhov twg rinsulin NPH yuav raug qhia, ntxiv rau ntawm qhov ntau thiab qhov mob siab hauv cov tshuaj nws tus kheej. Txhua qhov ntsuas no yuav tsum tau txiav txim siab los ntawm koj tus kws kho mob koom nrog, tsis muaj ib qho yuav tsum yog koj tus kheej noj tshuaj nrog qhov kev kuaj mob no, qhov no tuaj yeem ua rau tuag taus.

Cov khoom no tsis kis tusyees thoob plaws cov ntaub so ntswg, thiab dhau ntawm qhov tsis pub tus menyuam tso rau hauv lub mis, nws nkag mus tsis tau rau txhua qhov. Kev puas tsuaj ntawm cov tshuaj tshwm sim nyob rau hauv lub raum thiab hauv lub siab, thaum lub cev tawm rau feem ntau yog noj los ntawm ob lub raum.

Ntawm no yog cov ntsuas tseem ceeb rau kev siv yaug dej NPH, tau teev los ntawm cov chaw tsim khoom:

1. Thawj hom ntshav qab zib;
2. Qhov thib ob ntawm ntshav qab zib, uas yog nyob rau theem ntawm kev tawm tsam thaum tshuaj tiv thaiv qhov ncauj pom thiab qhov tsis kam ib nrab yog txawm muaj peev xwm ua tau rau cov tshuaj zoo sib xws yog tias txoj kev kho kom haum;
3. Qhov thib ob ntawm ntshav qab zib uas tshwm sim hauv cov poj niam cev xeeb tub.

Thiab ntawm no yog lub ntsiab contraindications:

• Lub xub ntiag ntawm hypoglycemia;
• Ntev li ntawm ib tug neeg rhiab heev rau ib qho ntawm cov tshuaj ntawm cov lus nug lossis txawm tias cov tshuaj insulin.

Ua tib zoo mloog! Txawm li cas los xij koj yuav tsum pib noj cov tshuaj yeeb yaj kiab no yam tsis tau sab laj nrog kws tshaj lij, vim hais tias yaug dej NPH tuaj yeem ua mob tsis zoo rau koj kev noj qab haus huv yog tias nws siv nyob rau qhov xwm txheej tsis tas yuav tsum muaj. Thiab qhov tseeb, txhua yam kab mob yuav tsum tau kho nrog qhov loj tshaj, tshwj xeeb tshaj yog ntshav qab zib mellitus!

Puas yuav siv tau thaum cev xeeb tub lossis lactation?

Kev xav txog qhov ua tau los siv qhov no lossis cov tshuaj no thaum cev xeeb tub yog qhov tseem ceeb heev.

Tam sim ntawd, peb nco ntsoov tias rinsulin NPH raug tso cai rau hauv lub sijhawm no, vim tias, raws li tau hais ua ntej, cov tshuaj tiv thaiv kev tiv thaiv ntawm cov khoom tsis tuaj yeem hla dhau qhov kev tiv thaiv placental. Cov kws tshaj lij pom tias yog tias koj npaj yuav cev xeeb tub thaum muaj ntshav qab zib mellitus, nws yog ib qho tseem ceeb rau kev kho mob rau lub sijhawm no tshaj plaws (qhia qhov no nrog tus kws tshaj lij).

Nws yog ib qho tseem ceeb kom paub tias thaum thawj peb lub hlis thaum cev xeeb tub, tus poj niam xav tau cov tshuaj insulin yog qhov txo qis, thiab thoob plaws lub sijhawm nws rov qab los rau nws qib dhau los.

Raws li rau kev yug nws tus kheej thiab thawj zaug tom qab nws, tom qab lub sijhawm no xav tau cov tshuaj insulin kuj raug txo, tab sis kev xa rov qab rau cov koob tshuaj ib txwm muaj sai heev. Kuj tseem tsis muaj kev txwv ntsig txog kev kho thaum lub sijhawm pub niam mis, vim tias cov dej cawv ntxig NPH nkag tsis tau mus rau niam mis.

Kev thov cov cai

Cov tshuaj no tuaj yeem siv tshuaj subcutaneously xwb, thiab cov koob tshuaj yuav tsum tau xaiv ib tus zuj zus tom qab tus neeg mob tau hla cov kev tshawb fawb los ntawm tus kws kho mob tshwj xeeb.

Raws li rau yam yam ntxwv uas tuaj yeem cuam tshuam kev txiav txim siab qhov loj me, qhov no feem ntau yog cov concentration ntawm cov piam thaj. hauv cov ntoo ntawm qhov xwm txheej, tus neeg mob tau siv tshuaj txhua txhua hnub ntawm 0.5-1 IU ib kilogram ntawm lub cev hnyav. Koob tshuaj kuj yog nyob ntawm ntau yam ntawm tus neeg, yog li tsis muaj qhov xwm txheej koj yuav tsum sim xaiv lawv koj tus kheej.

Raws li kev siv cov tshuaj yaug NPH los ntawm tus neeg laus, qhov kev ua no yeej ib txwm nrog qee qhov kev pheej hmoo, vim tias muaj qhov muaj feem yuav los txhim kho hypoglycemia. Txhawm rau kom zam dhau qhov no, nws yog ib qho tseem ceeb kom xaiv cov koob tshuaj, kho kom haum rau qee yam teeb meem.

Cov neeg mob tau ntsib nrog lub siab thiab lub raum tsis ua haujlwm yuav tsum npaj rau qhov tseeb tias kev pheej hmoo ntawm ntshav qog ntshav hauv qhov no tseem yuav tseem ceeb. Txhawm rau zam kom tsis txhob raug mob hnyav, nws yog ib qho tseem ceeb los saib xyuas koj cov ntshav qab zib kom ntau ntau, nrog tas li kho cov tshuaj raws li cov lus pom zoo ntawm koj tus kws kho mob.

Thov nco ntsoov tias:

1. Qhov ntsuas kub ntawm yaug NPH yuav tsum ua raws nraim rau chav ntsuas;
2. Feem ntau, cov tshuaj tau txhaj tshuaj subcutaneously mus rau hauv tus ncej puab, tshwj tsis yog muaj lwm yam kev qhia los ntawm koj tus kws kho mob (kev hloov pauv yog qhov kev taw qhia rau hauv lub pob tw, mus rau hauv plab phab ntsa, thiab tseem mus rau hauv lub xub pwg);
3. Nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas qhov siab tshaj plaws, vim tias yog tias koj nkag rau hauv cov hlab ntshav loj, cov kev xav tsis pom yuav tshwm sim;
4. Tom qab kev txhaj tshuaj tiav lawm, tsis muaj ib qhov yuav tsum tau koj zaws rau qhov chaw uas nws tau nkag mus;
5. Koj yuav tsum tau qhia cov cai hais txog yuav ua li cas muab cov tshuaj yaug NPHF NPH.

Cov kws tshaj lij sau cia hais tias daim cartridges uas muaj cov tshuaj yaug NPH yuav tsum muab sib dhos ntawm lub xib teg ua ntej siv kom txog thaum nws hloov xim (cov khoom yuav tsum muaj huab thiab tsis sib xws, tab sis tsis ua npuas dej).

Nco ntsoov xyuas cov cartridges ua ntej siv! Thawj qhov cim ntawm cov khoom pov tseg yog ib co flakes uas tshwm sim tom qab sib tov, muaj cov khoom dawb thiab cov khoom tawg rau hauv rinsulin NPH kuj txhais tau tias tsis haum rau siv.

Nws yog ib qho tseem ceeb kom nkag siab tias daim cartridges muaj cov cuab yeej tshwj xeeb uas tsis pub siv tau cov khoom sib xyaw nrog lwm cov tshuaj insulin, thiab lub thawv ntim nws tus kheej tuaj yeem tau sau ib zaug xwb.

Yog tias koj txiav txim siab siv cov roj cartridges uas muaj xaum xaum hluav taws xob thiab muaj qhov siv tau rov siv dua, koj yuav tsum ua tib zoo nyeem cov lus qhia sau los ntawm tus tsim cov khoom lag luam, thiab kuj tsis hloov los ntawm nws.

Tom qab ua tiav cov lus qhia ntawm nws tus kheej, nws yog ib qho tseem ceeb rau unscrew lub koob nrog lub kaus mom sab nraud, yog li koj rhuav tshem nws thiab xyuas kom meej qhov kev tsis muaj peev xwm tshaj plaws (qhov tseeb yog tias koj tuaj yeem tiv thaiv to, txhaws lossis huab cua huab cua). Tam sim no txhua qhov seem yog kom muab lub hau nws tus kheej ntawm tus kov hauv nug.

Txawm li cas los xij tsis txhob siv cov tshuaj insulin rau hauv daim duab syringe, yog tias yav dhau los nws khov, koj tuaj yeem tsis tuaj yeem khaws cia rau hauv tub yees. Raws li rau cov tshuaj, uas yog siv, nws tuaj yeem khaws tsuas yog 4 lub lis piam, thiab nyob rau hauv chav tsev kub.

Muaj kev phiv ntau

Nov yog cov kev mob tshwm sim loj uas tshwm sim feem ntau:

• Qhov tshwm sim cuam tshuam nrog cov teeb meem cuam tshuam nrog cov metabolism hauv kev ua kom rog (peb tab tom tham txog kev mob hypoglycemic, uas, yog tias tsis muab kom zoo thiab kho, yuav xaus txawm tias nrog lub ntsej muag tsis tsaug zog):
  tawm hws ntau dhau;
• Qhov tseem ceeb ntawm daim tawv nqaij;
• Tachycardia;
• Lub Nruab Siab;
• Muaj peev xwm ua kom muaj kev tshaib kev nqhis;
• Cov ua daus no me los sis hnyav heev;
• Kev muaj siab loj;
• Paresthesia txog qhov mob ntawm lub qhov ncauj;
• Mob taub hau;
• Neeg tsis muaj zog
• Tseem pheej kiv taub hau;
• Ib qho tseem ceeb txo nyob rau hauv kev pom tseeb tseeb.

Ua xua:

1. Quincke's edema;
2. Cov pob khaus ua pob rau ntawm daim tawv nqaij;
3. Anaphylactic poob siab.

Ntau qhov chaw hauv zos:

• Khaus qhov chaw koj txhaj;
• Hyperemia;
• O rau qhov chaw koj txhaj;
• Lipodystrophy (yog tias koj tsis saib xyuas cov lus ntuas cuam tshuam nrog qee qhov hloov chaw txhaj tshuaj).

Lwm cov kev phiv:

• Edema ntawm qhov sib txawv;
• Txo tsis pom kev pom tseeb los ntawm cov tshuaj;
• Cov neeg muaj ntshav qab zib tsawg dhau los ntawm kev siv dhau.

Ua tib zoo mloog! Thaum muaj kev mob tshwm sim, nws yog ib qho tseem ceeb kom sab laj tus kws tshaj lij sai li sai tau, vim hais tias txawm tias qeeb me me tuaj yeem txhim kho txoj hauv kev uas koj yuav tsis tuaj yeem daws cov teeb meem zoo!

Cov Lus Qhia

Nov yog cov lus qhia yooj yim uas koj yuav tsum ua raws:

1. Tsis txhob tswj cov tshuaj yog tias, thaum xaus kev ntxhov siab, qhov kev ncua no tsis dhau los ua huab thiab dawb, uas qhia tias npaj txhij rau kev siv.
2. Ib txoj kev kho ntawm cov koob tshuaj uas txiav txim los ntawm tus kws kho mob tshwj xeeb tsis txaus, vim tias lawv yuav tsum tau kho tas li nyob ntawm kev nyeem cov kua nplaum hauv lub siab, thiab rau qhov no nws yog qhov yuav tsum tau ua kev ntsuas tas mus li.
3. Muaj ntau tus naj npawb ntawm cov ua rau cov neeg mob ntshav qab zib, nws tsuas yog zam tau yog tias koj ua raws txhua qhov kev pom zoo ntawm cov kws tshaj lij, tsis muaj qhov cuam tshuam los ntawm lawv txawm tias me ntsis.
4. Yog tias koj xaiv cov koob tshuaj tsis yog lossis thaum muaj kev cuam tshuam hauv kev tswj hwm tshuaj (qhov no tseem ceeb tshwj xeeb rau cov neeg mob ntshav qab zib hom 1), kev pheej hmoo ntawm kev tsim hyperglycemia tseem nce ntxiv. Nws yog tsim nyog sau cia tias thawj cov tsos mob ntawm tus mob no tuaj yeem tshwm sim hauv ob peb teev, tab sis qee lub sijhawm no nce mus txog ntau hnub. Feem ntau, hyperglycemia yog tsiag ntawv los ntawm kev nqhis dej heev, nrog rau kev tso zis ntau ntxiv, xeev ntuav thiab ntuav, tsis meej pem, zoo li lub zos qhov pom ntawm daim tawv nqaij, feem ntau liab thiab dryness. Cov kws tshaj lij kuj sau tseg tias tus neeg mob lub qab los noj mov ploj thiab muaj ntxhiab tsw ntawm acetone tshwm, uas tuaj yeem hnov ​​hauv pa pa tawm. Txhua yam tuaj yeem ua tiav nrog ketoacidosis uas mob ntshav qab zib yog tias kev ntsuas tsim nyog tsis tau coj los ua.
5. Yog tias koj tab tom muaj kev cuam tshuam nrog kev cuam tshuam cov thyroid caj pas, nrog rau lub raum thiab mob siab, ces cov koob tshuaj insulin yuav tsum tau hloov kho ntau.
6. Muaj ntau pab pawg ntawm cov neeg uas yuav tsum tau mus rau txoj kev siv cov tshuaj no nrog kev ceev faj, nug koj tus kws kho mob kom paub meej.
7. Qee qhov mob hnyav uas ua tau tuaj yeem nce qhov xav tau ntawm insulin, thiab tshwj xeeb yog cov uas yuav nrog tus kub ua ke.
8. Yog tias koj npaj yuav ua qhov kev hloov pauv mus rau lwm hom tshuaj insulin lossis tshuaj uas muaj nws, ces koj yuav tsum tau ua qhov no raws li kev saib xyuas ntawm tus kws tshaj lij! Zoo tshaj yog tias koj mus rau hauv tsev kho mob rau lub sijhawm luv luv.