Cov cuab yeej no hais txog cov tshuaj uas siv rau cov neeg mob ntshav qab zib. Cov chaw tsim khoom yog Fabkis lub tuam txhab tshuaj.
Cov yam ntxwv ntawm cov tshuaj yog dab tsi, yuav siv nws li cas, nws zoo li cas rau lwm cov tshuaj, thiab nws tau qhia rau txhua tus neeg mob? Muaj ntau cov lus nug, tab sis rau txhua ntawm lawv koj tuaj yeem nrhiav lo lus teb hauv kab lus no.
Tus yam ntxwv thiab muaj pes tsawg leeg
Cov tshuaj Insuman sai sai muaj nyob rau hauv daim ntawv ua kua, qhov no yog kev daws teeb meem, nws tau txhaj hauv qab daim tawv. Cov cim tseem ceeb rau kev siv yog kab mob: ntshav qab zib mellitus, ketoacidosis, coma.
Cov tshuaj yeeb dej caw nquag yog tib neeg insulin hauv daim ntawv ntawm 100% tshuaj (3,571 mg).
Cov khoom siv hauv ib puag ncig muaj xws li: m-cresol, sodium dihydrogen phosphate dihydrate, sodium hydroxide, glycerol, hydrochloric acid, dej siv rau kev txhaj tshuaj.
Cov yam ntxwv ntawm Pharmacological
Cov tshuaj uas zoo ib yam li tib neeg cov insulin yog tsim nyob rau hauv txoj kev niaj hnub siv kev tsim hluav taws xob. K 12 hom ntawm E. Coli raug coj los ua cov khoom pib.
Cov chaw muag tshuaj ntawm cov tshuaj muaj raws li nram no:
- Nws muaj peev xwm ua kom qis qis ntshav qabzib;
- Nce cov nyhuv ntawm qhov xwm txheej anabolic, thaum txo cov tsos mob catabolic;
- Nws txhawb nqa kev hloov chaw ntawm cov piam thaj mus rau qhov tseem ceeb tshaj plaws ntawm lub cell, thaum sib sau glycogen hauv cov leeg thiab mob siab;
- Qhov tshwm sim yog kev txhim kho hauv kev siv "pov tseg", thiab cov txheej txheem ntawm glycogenolysis thiab glyconeogenesis yog qhov kev txwv hauv qhov no;
- Protein ntau dua tau yooj yim synthesized, thiab muaj txiaj ntsig amino acids nrawm mus rau lub hlwb.
Insuman Rapid HT yog "insulin ceev" uas muaj peev xwm ua tiav cov nyhuv hypoglycemic tom qab ib nrab teev tom qab txhaj tshuaj subcutaneous, thiab tsis pub dhau 3-4 teev muaj kev tshaj tawm tag nrho ntawm qhov muaj peev xwm kho tau ntev tshaj plaws, ntev li 9 teev.
Kev siv yeeb tshuaj
- Ntshav qab zib mob insulin;
- Coma ntawm cov ntshav qab zib etiology thiab ketoacidosis;
- Lub sijhawm ua haujlwm thiab tom qab kev phais mob ntshav qab zib kom ua tiav cov metabolism.
Daim ntawv thov, ntau npaum li cas rau ntau pab pawg ntawm cov neeg mob
Nws tsim nyog hais tias qhov muab tshuaj yog txuam nrog ntau yam ntxwv ntawm tus neeg mob nws tus kheej.
Tus kws kho mob hauv ib tus neeg nqa tawm lub sij hawm uas siv cov kev qhia hauv qab no:
- Kev ua si lossis dhau ntawm tus neeg mob lub neej;
- Kev noj haus, lub cev yam ntxwv thiab kev loj hlob ntawm lub cev;
- Cov ntshav qab zib thiab cov lus tseeb txog cov metabolism hauv cov metabolism;
- Hom mob.
Raws li cov txheej txheem kho tau, tus kws kho mob ua haujlwm tswj kev noj zaub mov kom tsawg thiab ntau zaus ntawm kev noj zaub mov noj thiab hloov kho qhov ntawd lossis lwm yam kev hloov pauv ntawm koob tshuaj. Nyob rau hauv ib lo lus, qhov kev lav paub kho tau zoo heev yuav tsum tau ua rau ib tus neeg muaj kev xav ntau thiab mloog nws tus kheej.
Muaj qhov tawm ntawm cov tshuaj, nws yog cim los ntawm qhov nruab nrab ntawm cov tshuaj insulin nyob rau ib phaus ntawm tus neeg mob lub cev qhov hnyav thiab thaj tsam li 0.5 txog 1.0 IU. Hauv qhov no, yuav luag 60% ntawm kev tsuas yog tib neeg cov tshuaj insulin.
Yog tias ua ntej Insuman Rapid HT, ntshav qab zib siv tshuaj yeeb nrog cov tshuaj ua kom muaj zog los ntawm cov tsiaj keeb kwm, ces tus nqi ntawm tib neeg cov insulin yuav tsum tau pib txo.
Koj yuav tsum tsis txhob hloov ntawm lwm hom tshuaj rau qhov no yam tsis muaj kev paub txog ntawm tus kws kho mob, kev saib xyuas ntawm tus kws tshaj lij yog qhov yuav tsum tau nyob ntawm no, txwv tsis pub cov teeb meem uas tsis paub ua ntej yuav tuaj yeem tshwm sim thiab tus mob yuav loj dua tuaj. Lub sijhawm hloov pauv no tau hais tawm ntawm kev hloov pauv hauv cov metabolism hauv cov pluas noj tsis pub dhau ob peb hnub.
Cov lus qhia ntawm cov tshuaj hauv cov lus nug yog nqa tawm tob hauv daim tawv nqaij lossis mus rau hauv cov leeg ua ntej noj mov hauv 20 feeb. Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li, qhov kev txhaj tshuaj tsis tas yuav tsum tau ua haujlwm tas li nyob rau hauv ib thaj chaw ntawm lub cev, tab sis qhov chaw hloov chaw tsuas yog tshwm sim nrog tus kws kho mob, tom qab nws sab laj.
Kuv yuav siv cov tshuaj txhaj dab tsi ntxiv? Nco ntsoov, koj yuav tsum siv tshuaj yas yas rau kev txhaj tshuaj nkaus xwb, lawv yuav tsum tau tsim tshwj xeeb rau qhov koob tshuaj thiab siab zoo uas yuav siv. Hauv koob txhaj tshuaj yuav tsum tsis muaj lwm yam impurities lossis seem cov tebchaw.
Kev kho mob monotherapy koom tes nrog kev tswj hwm ntawm insulin peb zaug ib hnub nrog kev hloov chaw ntawm kev txhaj tshuaj. Qhov no pab tiv thaiv kev txhim kho ntawm atrophic tshwm sim hauv cov roj ntsha subcutaneous.
Cov lus qhia ntxaws ntxaws rau kev txhaj tshuaj
- Tshawb xyuas cov tshuaj kom pom tseeb thiab ua kom nws ntog nrog chav ua haujlwm kub;
- Tshem lub hau yas, nws yog nws qhia tias lub raj mis tsis qhib;
- Ua ntej koj sau cov tshuaj insulin, nyem rau ntawm lub raj mis thiab nqus hauv qhov ntau ntawm huab cua sib npaug ntawm cov koob tshuaj;
- Tom qab ntawd koj yuav tsum nkag mus rau hauv cov koob txhaj tshuaj mus rau hauv lub vial, tab sis tsis nkag rau hauv cov tshuaj nws tus kheej, tig lub koob txhaj tshuaj kauv, thiab cov thawv ntim nrog cov tshuaj nce, nce qhov yuav tsum tau;
- Ua ntej koj pib txhaj tshuaj, koj yuav tsum tau tshem ntawm cov npuas hauv cov koob txhaj tshuaj;
- Tom qab ntawd, nyob rau hauv qhov chaw txhaj tshuaj ntxiv rau yav tom ntej, daim tawv nqaij yuav sau rau hauv kev quav thiab, qhia cov koob hauv qab ntawm daim tawv nqaij, lawv pib maj mam tso cov tshuaj tawm;
- Tom qab ntawd, lawv tseem muab rab koob rho tawm qeeb thiab nias qhov chaw ntawm daim tawv nqaij nrog cov ntaub nplaum nrog paj rwb, nias lub paj rwb ntaub plaub rau ib pliag;
- Txhawm rau kom tsis txhob muaj kev kub ntxhov, sau rau ntawm tus naj npawb thiab hnub tim ntawm thawj zaug tshuaj insulin tshem tawm;
- Tom qab lub raj mis tau qhib, nws yuav tsum khaws cia ntawm qhov kub tsis tshaj +25 degrees hauv qhov chaw tsaus. Nws tuaj yeem khaws cia rau ib hlis;
- Insuman Rapid HT tuaj yeem yog cov tshuaj nyob hauv Solostar cov koob txhaj tshuaj. Cov cuab yeej khoob tom qab txhaj tshuaj yog muab rhuav tshem, tsis pauv mus rau lwm tus. Ua ntej siv nws, nyeem cov ntaub ntawv xa nrog.
Cov lus qhia tshwj xeeb
Cov koob tshuaj yuav tsum tau tsim los xav txog tus neeg cov yam ntxwv thiab cov kab mob uas yuav tshwm sim, uas suav nrog, ua ntej ntawm:
- Kab mob sib kis;
- Mob qog;
- Kev Txiav Txim Siab;
- Addison tus kab mob;
- CRF hauv cov neeg muaj hnub nyoog 65 xyoos.
Rau cov poj niam cev xeeb tub hauv thawj peb lub hlis, txo qis hauv cov tshuaj insulin yog cov yam ntxwv, thiab hauv lub sijhawm tom qab, qhov kev xav tau nce me ntsis. Thaum lub caij ua haujlwm thiab nyob rau lub sijhawm ua haujlwm tom qab sijhawm yug menyuam, feem ntau xav tau tsawg dua. Rau cov poj niam pub mis niam rau menyuam noj - tshwj xeeb cov kws kho mob xav tau kom txog thaum lub sijhawm ruaj khov, lub sijhawm no tuaj yeem siv sijhawm ntau dua li ib hlis.
Sab sij huam
Txhua tus neeg sawv cev pharmacological muaj qee qhov kev mob tshwm sim uas tuaj yeem yaum thiab ceeb toom. Insuman Rapid GT tsis muaj kev zam rau txoj cai. Nws yog tsim nyog los tig koj lub siab rau qhov no ntawm cov lus qhia tam sim no ua ntej nws cov ntawv thov tsim nyog.
Ntawm no yog cov kev qhia tsis zoo uas yuav tsum tsis txhob sau tawm, txij li ntawm cov lus ceeb toom muaj qhov kev hem thawj heev rau tib neeg kev noj qab haus huv thiab lub neej.
- Kev ua xua nyob rau hauv daim ntawv ntawm urticaria, angioedema, txo cov ntshav siab;
- Kev mob ntshav siab thiab tag nrho cov cim qhia saum toj saud;
- Khaus, nrog kev txhim kho ntxiv ntawm lipodystrophy hauv thaj chaw ntawm kev tswj hwm tshuaj.
Yog tias kev tswj glycemic tsis tau ua tiav, uas yog: hom kev txhaj tshuaj, cov txheej txheem raug, qhov chaw thiab ntau npaum li cas, lwm yam tseem ceeb, cov txiaj ntsig xav yuav tsis tiav. Seb nws yuav tsis muaj zog los yog muaj zog. Lwm yam tshuaj nrog rau kev siv thooj txhij yuav tsum pom zoo nrog koj tus kws kho mob.
- Xws li qhov tsis txaus siab tshwm sim li tus mob ntshav qab zib tsawg tuaj yeem tshwm sim thaum xav tau lub cev ntau dua, qhov kev pheej hmoo nce ntxiv tshwj xeeb tshaj yog nyob rau thawj lub sijhawm ntawm kev kho mob lossis thaum lwm tus neeg sawv cev hloov pauv nrog insulin, thiab kev hloov pauv rau cov neeg mob uas muaj suab thaj qis kuj txaus ntshai.
- Nrog qhov pom kev pom tseeb ntawm cov kab mob ua rau lub plawv lossis cov hlab ntsha hauv lub cev, muaj kev phom sij ntawm cov kab mob hlwb, lub tsev kho mob ntawm hypoglycemic ntu tshwj xeeb tshaj yog xav tau.
- Tom qab kev kho cov tshuaj laser lossis lwm txoj hauv kev, photocoagulation, mob ntshav qab zib yog qhov txaus ntshai tshwj xeeb, vim tias amaurosis lossis dig muag tuaj yeem loj hlob.
Cov tsos mob ntawm qhov pib ntawm kev mob ntshav qab zib yog qhov yooj yim pom tau yooj yim: ib tus neeg pib tawm hws ntau dhau, daim tawv nqaij tawg nrog noo noo, ua haujlwm tsis zoo ntawm lub plawv dhia thiab tachycardia tau pom, ntshav siab nce, tshee tshee thiab mob hauv siab, tsis txaus siab ntxhov siab thiab ntxhov siab. Ib txhij nrog cov tsos mob no, tej zaum yuav muaj lwm yam cim: kev tshaib kev nqhis, tsaug zog, pw tsaug zog, ntshai, ntxhov siab lub sijhawm, pallor.
Qhov tshwm sim rau kev tshwm sim ntawm cov ntshav qab zib yog qhia los ntawm yam:
- Lub chaw tswjhwm ntawm cov tshuaj thiab nws hloov chaw;
- High rhiab heev;
- Kev siv lub cev ntau dhau thaum kho;
- Kev noj haus tsis txaus, raws plab;
- Cawv
- Lub xub ntiag ntawm cov kab mob endocrine.
Tus mob Ketoocytosis tuaj yeem tshwm sim ntau heev, thiab nyob rau ob peb hnub tus neeg xav tau kev kho mob sai. Thawj qhov cim qhia ntawm kev nce siab ntawm exacerbation yog qhia nyob rau hauv nqhis dej thiab tib lub sij hawm tso zis heev, cov tawv nqaij qhuav thiab nquag ua pa, muaj kev mob siab ntawm acetone thiab qab zib hauv cov zis.
Raws li txoj cai, cov kws kho mob ceeb toom lawv cov neeg mob txog qhov yuav tshwm sim los ntawm kev noj tsis raug zoo ntawm cov insulin thiab cov teeb meem.
Npaj - analogues
- Yawg Farmasulin;
- Apidra Solostar;
- Qhwv nm;
- Actrapid NM mem hluav;
- Intral SPP;
- Gensulin R.
Tus nqi ntawm Insuman Rapid GT yuav txawv raws cheeb tsam. Qhov nruab nrab, nws nyob ntawm 1,400 txog 1,600 rubles rau ib pob. Yog lawm, qhov no tsis yog tus nqi qis heev, muab qhov tseeb tias cov neeg raug yuam "zaum" ntawm cov kua dej txhua lub sijhawm.