Yuav ua li cas nkaug Humalog: cov lus qhia rau kev siv, kev siv tshuaj zoo thiab cov nqi ntawm cov nyiaj

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Qhov cim npe ntawm nplooj ntawv, cov lus qhia uas cov kab lus no txuas nrog, yog DNA hloov chaw rau tib neeg cov kua dej.

Nws txawv ntawm pancreatic hormone los ntawm qhov thiaj li hu rov qab amino acid sib lawv liag. Qhov tseem ceeb ntawm cov tshuaj yog cov kev cai ntawm kev paub txog metabolism hauv nrog cov piam thaj.

Ntawm lwm yam, cov tshuaj muaj cov nyhuv anabolic haib. Hauv cov leeg muaj qhov nce ntawm cov kua nyeem ntawm glycogen, lipids, glycerol thiab nce synthesis protein. Yog li, muaj kev nce ntxiv hauv kev siv cov amino acids, tab sis nrog txhua yam no, muaj qhov txo qis hauv cov ntsiab lus ntawm glycogenolysis, gluconeogenesis, kev zom zaub mov tsis txaus ntawm cov protein thiab tso tawm cov amino acids.

Hauv cov tib neeg kev txom nyem los ntawm kev ua tsis taus ntawm cov metabolism hauv ob hom, nrog kev siv cov tshuaj insulin lyspro hyperglycemia, uas tshwm sim tam sim ntawd tom qab noj zaub mov, yog qhov txo qis. Piv nrog solulin hauv dej, nws yog qhov tshuaj uas ua tau zoo heev.

Rau cov neeg mob uas tau txais pancreatic hormone, zoo ib yam rau tib neeg, tab sis tus yam ntxwv los ntawm qhov kev luv luv, koj yuav tsum xaiv ib koob tshuaj ntawm ob qho tshuaj insulin. Qhov no yuav ua tiav qib siab zoo tshaj plaws ntawm cov piam thaj hauv cov ntshav thoob plaws hnub. Ib yam li lwm cov tshuaj insulin, lub sijhawm ua haujlwm ntawm cov tshuaj hauv nqe lus nug yuav txawv rau txhua tus neeg mob.

Kev ntsuas rau siv

Ua ntej koj yuav tsum nrog tus muaj pes tsawg leeg. Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog insulin lispro.

Tab sis ntawm cov khoom xyaw pab koj tuaj yeem nrhiav cov hauv qab no: glycerin, metacresol, zinc oxide, sodium hydrogen phosphate heptahydrate, hydrochloric acid tov, ntxiv rau cov kua sodium hydroxide.

Kev ncua kev tswj hwm rau kev tswj fwm thiab subcutaneous muaj daim ntawv ntawm cov kua ntshiab uas tsis muaj duab ntxoo. Cov tshuaj muaj nyob hauv daim cartridges, uas tau ntim rau hauv cov thawv ntawv thawv.

Xws li rau kev ntsuas rau kev siv, cov tshuaj kho tau raug kho ntshav qab zib. Nws yog qhov tsim nyog rau tus kab mob no, uas xav tau kev kho mob insulin tshwj xeeb. Ua tsaug rau nws qhov kev siv, nws muaj peev xwm kom tswj tau cov piam thaj hauv lub cev ntawm qib kom zoo.

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj ntawm cov tshuaj tau txiav txim siab ntawm tus kheej los ntawm tus kws kho mob tshwj xeeb. Nws nyob ntawm qhov xav tau ntawm tus neeg mob. Cov tshuaj tuaj yeem siv sijhawm kaum tsib feeb ua ntej noj mov. Yog tias muaj mob hnyav, nws raug tso cai muab tshuaj nrog cov tshuaj tam sim ntawd tom qab noj mov.

Qhov ntsuas kub ntawm cov tshuaj tso cai yuav tsum sib haum rau chav tsev kub. Qhov tshuaj Humalog yog muab nyob rau hauv daim tawv nqaij hauv daim ntawv ntawm kev txhaj tshuaj lossis ncua ntev subcutaneous infusion siv lub twj tso kua mis tshwj xeeb.

Cov tshuaj insulin Humalog Mix 25

Yog tias muaj mob hnyav (muaj ketoacidosis, mob huam sai, lub sijhawm sib kis los ntawm kev phais mob lossis tom qab ua haujlwm), cov tshuaj hauv cov lus nug tseem tuaj yeem siv tshuaj pleev ib ce. Kev txhaj tshuaj subcutaneous yuav tsum nqa tawm ntawm caj npab, ceg, pob tw thiab lub plab.

Yog li, tib seem ntawm lub cev tsis pom zoo kom siv ntau zaus ntau dua ib zaug hauv peb caug hnub. Nrog rau hom kev tswj hwm ntawm cov tshuaj Humalog, kev ceev faj yuav tsum siv. Koj yuav tsum ceev faj ntawm cov tshuaj rau hauv cov hlab ntshav me - capillaries.

Tom qab kev txhaj tshuaj, cov cheeb tsam cuam tshuam yuav tsum raug muab zaws. Tus neeg mob yuav tsum tau kawm nyob rau hauv txoj kev coj ua cov tshuaj insulin.

Raws li rau txoj kev thov, thawj yam koj yuav tsum npaj rau kev txhaj tshuaj. Kev daws ntawm cov tshuaj Humalog muaj qhov tsis sib xws. Nws tsis muaj xim.

Nws tsis pom zoo kom siv huab, me ntsis thickened lossis txawm tias ib nyuag xim ntawm cov tshuaj. Nws yog qhov tshwj xeeb tshaj yog txwv tsis pub tswj cov tshuaj uas muaj cov khoom zoo li ntawd.

Thaum txhim kho lub taub ntim tshwj xeeb hauv ib rab koob txhaj tshuaj (cwj mem-txhaj tshuaj), kom ruaj ntseg koob thiab txhaj koob txhaj tshuaj tiv thaiv kabmob ntawm cov khoom neeg tsim, koj yuav tsum ua raws li cov lus qhia uas tau teev tseg hauv cov lus qhia rau cov tshuaj.

Raws li rau cov lus qhia, nws yuav tsum nrog ua cov haujlwm nram qab no:

  1. Thawj kauj ruam yog ntxuav koj txhais tes kom huv nrog xab npum;
  2. Tom ntej no, koj yuav tsum txiav txim siab qhov chaw rau kev txhaj tshuaj;
  3. koj yuav tsum ua tib zoo kho thaj chaw xaiv nrog tshuaj tua kab mob;
  4. tom qab ntawd koj yuav tsum tshem lub hau ntawm rab koob;
  5. tom qab ntawd nws yog qhov tsim nyog los kho daim tawv nqaij los ntawm rub nws los yog npog qhov quav zoo. Ntxig lub koob txhaj khoom raws li cov lus qhia txuas nrog siv cwj mem syringe;
  6. Tam sim no koj yuav tsum tau nyem rau ntawm lub pob;
  7. tom qab ntawd, ua tib zoo tshem tawm rab koob thiab nyem qhov chaw txhaj tshuaj rau ob peb feeb;
  8. Nws tsis raug nquahu kom txhuam qhov chaw txhaj tshuaj;
  9. siv lub hau tiv thaiv ntawm rab koob, unscrew nws thiab rhuav tshem nws;
  10. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw kom tib qhov chaw siv tsis ntau tshaj ib zaug txhua peb caug hnub.
Kev tswj hwm ntawm cov tshuaj Humalog yuav tsum tau nqa tawm raws li kev kho mob yooj yim kho mob ntawm kev txhaj tshuaj rau cov tshuaj tiv thaiv. Piv txwv li, hom kev txhaj tshuaj no yuav tsum tau nqa tawm uas yog siv txoj kev nqus tawm. Hauv qhov no, nws yog ib qho tsim nyog los tswj lub ntsiab lus ntawm cov piam thaj hauv tus neeg mob ntshav.

Cov txheej txheem tshwj xeeb rau kev lis ntshav nrog ntau qhov ntawm 0.1 IU / ml thiab txog li 1 IU / ml ntawm cov tshuaj ua haujlwm ntawm cov tshuaj no hauv 0.8% sodium chloride tov lossis 5% dextrose daws yog ruaj khov nyob rau qhov kub zoo rau ob hnub.

MiniMed insulin twj tso kua mis

Kev txhaj tshuaj subcutaneous yog siv nrog Minimed thiab Disetronic twj rau cov tshuaj insulin infusion.Cov. Hauv qhov no, koj yuav tsum nruj ua raws li cov lus qhia nyob nrog. Txoj kev lis ntshav yuav tsum hloov txhua ob hnub.

Thaum kev txuas cov cuab yeej, koj yuav tsum ua raws li cov cai ntawm asepsis. Thaum muaj teeb meem ntawm cov ntshav qab zib kom tsawg, cov txheej txheem yuav tsum tau nres kom txog rau thaum cov kab mob no daws tau.

Muaj cov xwm txheej thaum kev ua haujlwm tsis zoo ntawm cov tshuaj insulin cwj mem tuaj yeem ua rau cov ntshav qabzib nce sai.

Nyob rau hauv qhov xwm txheej ntawm kev ua txhaum ntawm kev tsim cov tshuaj insulin, koj yuav tsum ua raws li cov lus qhia thiab, yog tias tsim nyog, qhia koj tus kws kho mob kom raws sijhawm.

Thaum siv lub twj tso kua mis, cov tshuaj hu ua Humalog tsis tas yuav mus ua ke nrog lwm hom insulin zoo ib yam li tib neeg.

Yog tias muaj ntshav qab zib kom tsawg, nws yog ib qho tseem ceeb uas koj yuav tsum qhia koj tus kws kho mob tam sim no. Koj tseem tuaj yeem pom cov tsos ntawm cov xwm txheej zoo li no: nws raug nquahu kom txo qis lossis txiav kom tsis txhob ua haujlwm rau cov tshuaj insulin.

Sab sij huam

Cov kev tsis haum lub cev ntawm lub cev cuam tshuam nrog cov txiaj ntsig tseem ceeb ntawm cov tshuaj: cia li poob ntawm qab zib theem.

Kev mob ntshav qab zib siab heev tuaj yeem tom qab ntawd ua rau tsis nco qab (lub npe hu ua hypoglycemic coma), thiab hauv qee kis txawm tias muaj kev tuag.

Raws li txog rau cov kev tsis haum tshuaj, cov hauv zos muaj peev xwm ua tau. Lawv pom qhov txawv los ntawm daim tawv nqaij liab, o, khaus, nrog rau lwm cov tsos mob uas ploj tom qab ob peb hnub. Feem ntau muaj cov cim kev ua txhaum cai ntawm ib leeg rau kev qaug tshuaj.

Nws tshwm sim ntau tsawg dua, tab sis muaj qhov hnyav dua. Qhov tshwm sim no yog pom los ntawm khaus, urticaria, tawm pob, angioedema, kub taub hau, ua pa luv, txo qis ntshav siab, tachycardia, thiab kuj hyperhidrosis.

Cov uas muaj kev tsis haum tshuaj loj tuaj yeem ua rau ib tus neeg lub neej. Ntawm cov kev tawm tsam hauv zos, ib tus tuaj yeem paub qhov txawv xws li txo qis roj subcutaneous ntawm qhov chaw txhaj tshuaj.

Cov Yuav Tsum Muaj

Cov kws tshaj lij txwv tsis pub siv cov tshuaj no rau qhov pom muaj ntshav qab zib thiab ua rau lub siab tsis zoo rau lub ntsiab ntawm cov tshuaj.

Raws li kev xeeb tub thiab kev pub niam mis, lub sijhawm tam sim no tseem tsis tau muaj qhov xav tau yam tsis txaus siab ntawm kev hloov pauv pancreatic rau kev xeeb menyuam thiab lactation.

Nws tseem yuav tsum tau sau tseg tias cov kev tshawb fawb cuam tshuam tsis tau ua tiav. Lub hom phiaj tseem ceeb ntawm kev kho mob nrog insulin thaum cev xeeb tub yog txiav txim siab los tswj cov ntshav piam thaj.

Nws yog ib qho tseem ceeb kom nco ntsoov tias kev xav tau cov tshuaj hormones feem ntau poob qis hauv thawj peb lub hlis thiab nce hauv lub hlis thib ob thiab thib peb. Thaum lub sijhawm yug menyuam thiab tom qab yug menyuam tas, xav tau cov tshuaj insulin cia li poob qis. Cov neeg sawv cev ntawm kev sib deev tsis muaj zog ntawm kev muaj me nyuam hnub nyoog uas tau muaj mob ntshav qab zib yuav tsum qhia lawv tus kws kho mob txog qhov pib lossis npaj yuav xeeb tub.

Thaum nqa tus me nyuam hauv plab, cov neeg mob endocrinologist nrog cov kev tsis zoo no yuav tsum tswj hwm cov piam thaj hauv qab.

Nws yog ib qho tseem ceeb kom nco ntsoov tias thaum lub sijhawm pub niam mis, yuav tsum kho me ntsis ntawm cov nyiaj ntawm kev txiav txim siab ua haujlwm ntawm pancreatic.

Tsis tas li, yog tias tsim nyog, koj yuav tsum yoog kom yuag yoo tshwj xeeb cov zaub mov. Raws li txoj cai, insulin thov yuav poob thaum muaj kev pheej hmoo ua haujlwm rau daim siab. Cov neeg muaj tus kabmob no muaj tus nqi ntau ntawm kev nqus ntshav ntawm pancreatic.

Nqi

Tus nqi nruab nrab ntawm cov tshuaj no txawv ntawm kwv yees li 1800 txog 2200 rubles.

Txoj kev xav tau cov tshuaj insulin tuaj yeem txo qhov uas lub raum tsis ua haujlwm. Hauv cov neeg mob uas muaj tus kab mob no, qhov feem pua ​​ntawm cov tshuaj tua kabmob (pancreatic) nqus tau los ntawm lub cev tseem nyob.

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Los ntawm tsab xov xwm no, koj tuaj yeem tshawb pom tias cov tshuaj no tsuas yog kws kho mob tus kws kho mob pom zoo xwb. Nws kuj muaj txoj cai xaiv cov kev kho mob tsim nyog thiab koob tshuaj ntawm cov lus nug.

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