Cov neeg mob ntshav qab zib mellitus ntawm hom insulin-tiv thaiv yuav tsum tau txhaj tshuaj txhua hnub nrog insulin los tswj kev noj qab haus huv ib txwm muaj. Cov tshuaj no ntawm ntau hom. Humalog hauv cov xaum hluav taws xob muaj cov kev txheeb xyuas zoo. Cov lus qhia rau kev siv cov cuab yeej no tau muab rau hauv kab lus.
Humalog nyob rau hauv ib tug syringe cwj mem: nta
Tib neeg yog yam hloov kho DNA ntawm tib neeg cov kua dej. Nws lub ntsiab tseem ceeb yog qhov hloov pauv ntawm kev sib xyaw ntawm cov amino acids nyob rau hauv cov yeeb yaj kiab insulin. Cov tshuaj tswj cov metabolism hauv qabzib. Nws muaj cov nyhuv anabolic.
Kev Ntsuas Khoom Siv Humulin Insulin Cartridges
Nrog rau kev qhia ntawm Humalog, qhov kev ntxig ntawm glycogen, glycerol, cov roj ntsha rog nce ntxiv. Protein synthesis kuj tseem txhim kho. Kev noj cov amino acid ntau zuj zus. Qhov no txo qis ketogenesis, gluconeogenesis, lipolysis, glycogenolysis, protein catabolism thiab kev tso tawm ntawm cov amino acids. Tib neeg yog insulin-luv ua yeeb yam.
Yam khoom muaj sia
Lub ntsiab nquag tivthaiv ntawm Humalog yog insulin lispro.
Ib lub thawv muaj 100 IU.
Ntxiv rau, muaj cov pabcuam: glycerol, zinc oxide, sodium hydroxide 10% daws, hydrochloric acid 10% daws, sodium hydrogen phosphate heptahydrate, metacresol, dej rau kev txhaj tshuaj.
Cov Neeg Tsim Khoom
Tshaj tawm insulin Humalog Lub tuam txhab Fabkis Lilly Fabkis. Kuj koom nrog kev tsim khoom ntawm Asmeskas tuam txhab Eli Lilly thiab Tuam Txhab. Ua rau cov tshuaj thiab Eli Lilly Vostok S.A., lub teb chaws - Switzerland. Muaj tus sawv cev chaw haujlwm sawv cev hauv Moscow. Nws yog nyob ntawm Presnenskaya embankment, 10.
Cov tshuaj Insulin Humalog sib xyaw: 25, 50, 100
Humalog sib tov 25, 50 thiab 100 sib txawv ntawm qhov Humalog li ib txwm los ntawm qhov pom ntawm ib qho khoom ntxiv - cov tshuaj nruab nrab tiv thaiv Hagedorn (NPH).Lub ntsiab no pab kom qeeb qeeb ntawm kev ua haujlwm ntawm insulin.
Hauv cov tshuaj sib xyaw, qhov muaj nuj nqis ntawm 25, 50 thiab 100 qhia txog kev saib xyuas ntawm NPH. Qhov ntau ntawm cov khoom tivthaiv no yog, qhov kev ua ntawm ntau dua ntawm kev txhaj tshuaj yog ntev dua. Qhov zoo dua yog tias lawv txo qhov tsawg ntawm cov naj npawb hno txhua hnub.
Qhov no yooj yim kho cov kev kho mob thiab ua rau lub neej ntawm cov neeg mob ntshav qab zib zoo dua nyob. Qhov tsis zoo ntawm qhov sib xyaw ntawm Humalog yog tias nws tsis muab cov ntshav khov khov khov tswj tau. NPH feem ntau provokes kev tsis haum tshuaj, cov tsos ntawm ib tug xov tooj ntawm phiv.
Cov hom tshuaj insulin no haum rau cov neeg mob ntshav qab zib hauv lub hnub nyoog, uas nws lub neej muaj sia nyob luv, senile dementia tau pib. Txog rau lwm pawg ntawm cov neeg mob, cov kws kho mob xav pom zoo kom siv Daim Ntawv Teev Huv Huv Huv.
Cov lus qhia rau kev siv
Cov tshuaj Humalog yog qhia rau kev kho mob ntshav qab zib hauv cov neeg laus thiab cov menyuam yaus uas xav tau cov tshuaj insulin txhua hnub kom tswj tau cov ntshav qabzib.
Qhov ntau thiab tsawg zaus ntawm kev siv yog txiav txim los ntawm tus kws kho mob. Cov tshuaj tuaj yeem muab tshuaj intramuscularly, subcutaneously lossis txhaj tshuaj leeg. Txoj kev tom kawg ntawm kev siv yog haum rau cov mob hauv tsev kho mob nkaus xwb.
Kev tswj hwm ntawm cov leeg hauv tsev yog cuam tshuam nrog qee qhov kev pheej hmoo. Lub humalogue nyob rau hauv daim cartridges yog txhaj tshuaj tshwj xeeb subcutaneously siv ib rab koob xaum qhuav.
Cov tshuaj yuav tsum tau siv 5-15 feeb ua ntej tswj hwm lossis tam sim ntawd tom qab noj mov. Kev txhaj tshuaj yog ua tiav 4-6 zaug hauv ib hnub. Yog hais tias tus neeg mob tau ntxiv qhov kws kho mob ntev zog, ces Humalog yuav txhaj peb zaug ib hnub.
Niaj hnub nimno koob txhaj tshuaj yeeb los yooj yim yooj yim txheej txheem kev txhaj tshuaj. Ua ntej siv, daim cartridge yuav tsum muab cov dov hauv cov xib teg. Qhov no yog ua tiav kom cov ntsiab lus dhau los ua cov xim tsis sib xws thiab tsis xwm yeem. Tsis txhob co daim lev lav. Txwv tsis pub, ua npuas ncauj yuav tsim, uas yuav cuam tshuam nrog kev qhia ntawm cov nyiaj.
Hauv qab no piav qhia txog qhov algorithm uas yuav ua li cas thiaj li yuav raug tua tau sai:
- ntxuav tes kom huv nrog xab npum;
- xaiv qhov chaw rau kev txhaj tshuaj thiab so nws nrog cawv;
- co cov xaum xaum xaum hluav taws xob nrog daim cartridge muab tso rau hauv nws hauv cov lus qhia sib txawv lossis tig dhau 10 zaug. Txoj kev daws teeb meem yuav tsum zoo xws li xim, tsis muaj xim thiab pob tshab. Tsis txhob siv lub thawv ntawv nrog cov huab, me ntsis xim lossis cov ntawv tuab. Qhov no qhia tau tias cov tshuaj tau ploj zuj zus vim qhov tseeb tias nws tsis khaws cia zoo, lossis lub sijhawm hnub tas sijhawm tau tas sijhawm;
- teeb qhov tsuas tshuaj;
- hle lub hau kev tiv thaiv los ntawm rab koob;
- kho cov tawv nqaij;
- tag nrho ntxig tus ntxig rau hauv daim tawv nqaij. Hauv qhov no, ib qho yuav tsum ua tib zoo saib thiab tsis nkag rau hauv cov hlab ntshav;
- nias lub khawm ntawm qhov kov thiab tuav nws;
- Thaum lub suab nrov tso tawm kom tiav qhov kev txhaj tshuaj, tos 10 vib nas this thiab tshem lub rab koob. Ntawm qhov ntsuas, qhov koob tshuaj yuav tsum yog xoom;
- tshem cov ntshav uas tshwm tuaj nrog rau ntawd. Nws tsis tuaj yeem zaws lossis txhuam qhov chaw txhaj tshuaj tom qab kev txhaj tshuaj;
- muab lub hau tiv ntawm tus ntaus ntawv.
Ua ntej siv thiab tom qab cov txheej txheem, tus neeg mob yuav tsum ntsuas ntshav qab zib nrog glucometer. Txwv tsis pub, nws muaj qhov pheej hmoo ntawm lub qog ntshav qab zib.
Humalog muaj qee qhov tsis sib haum:
- ntshav tshuaj qis;
- intolerance rau insulin lyspro lossis lwm yam tshuaj.
Thaum siv Humalog, nws yuav tsum tau yug los hauv lub siab tias, nyob rau hauv kev cuam tshuam ntawm qee yam tshuaj, xav tau txhaj tshuaj yuav hloov.
Piv txwv li, qhov ncauj tiv thaiv kab mob hauv lub cev, corticosteroids muaj cov nyhuv hyperglycemic. Yog li, koj yuav tsum tswj hwm cov tshuaj hauv ib qhov ntau dua. Thaum noj cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj, tshuaj tiv thaiv kab mob siab, salicylates, ACE inhibitors, beta-blockers, qhov xav tau rau insulin yog txo qis.
Cov tshuaj Humalog yog tso cai siv thaum siv thaum cev xeeb tubCov. Tsis muaj cov kev mob tshwm sim hauv cov poj niam hauv txoj hauj lwm siv cov kev txhaj tshuaj ntawm cov tshuaj no. Cov khoom lag luam tsis cuam tshuam rau kev noj qab haus huv ntawm tus me nyuam hauv plab lossis tus menyuam tshiab. Tab sis nyob rau lub sijhawm no, koj yuav tsum ua tib zoo saib xyuas cov kua qab zib hauv cov ntshav.
Hauv thawj peb lub hlis, xav tau cov tshuaj insulin feem ntau poob qis, thiab nyob rau lub hlis thib ob thiab peb nce ntxiv. Thaum lub sijhawm lactation, kev hloov kho cov tshuaj insulin kuj tseem xav tau.
Nws tsis muaj kev thaj tsam kev txiav txim siab rau kev siv ntau tshaj. Tom qab tag nrho, cov ntshav qab zib plasma concentration yog qhov tshwm sim ntawm kev sib txuam ntawm cov tshuaj insulin, piam thaj muaj, thiab cov metabolism.
Yog tias koj nkag mus ntau dhau lawm, hypoglycemia yuav tshwm sim. Hauv qhov no, cov tsos mob hauv qab no tau pom: tsis pom kev, nkees, tawm hws, tsis hnov qab, tachycardia, mob taub hau, ntuav, tshee ntawm lub qhov kawg. Kev noj ntshav qab zib kom tsawg yog feem ntau tshem tawm los ntawm kev noj cov ntsiav tshuaj qab zib, cov khoom muaj suab thaj.
Cov kev tawm tsam hnyav ntawm cov ntshav qog nqaij hlav, uas nrog los ntawm cov leeg mob puas hlwb, tsis nco qab, yuav tsum tau ua tshuaj intramuscular lossis subcutaneous ntawm glucagon. Yog tias tsis muaj qhov tshuaj tiv thaiv rau cov tshuaj yeeb dej caw no, tom qab ntawd cov tshuaj kua qabzib 40% yuav tsum muab cov tshuaj pleev ib ce. Thaum tus neeg mob rov qab nco qab, nws yuav tsum tau noj cov zaub mov carbohydrate, vim tias nws muaj kev pheej hmoo ntawm cov kev rov qab qog ntshav qab zib.
Thaum siv lub Humalog, cov kev mob tshwm sim tuaj yeem tshwm sim:
- kev pom kev tsis haumCov. Lawv raug soj ntsuam tsis tshua muaj tshwm sim, tab sis muaj qhov tsis txaus ntseeg kiag li. Tus neeg mob yuav ua tsis taus pa, khaus thoob plaws lub cev, tawm hws, lub plawv dhia, tso ntshav tawm, ua pa nyuaj. Ib qho mob hnyav txaus ntshai rau lub neej;
- ntshav qogCov. Feem ntau cov kev mob tshwm sim ntawm kev kho hypoglycemic;
- cov tshuaj tiv thaiv hauv zos (ua pob, liab liab, khaus, lipodystrophy). Dhau tom qab ob peb hnub, lub lim tiam.
Humalog yuav tsum tau muab cia rau hauv qhov chaw qhuav thiab tsaus ntawm qhov kub ntawm +15 txog +25 degrees. Cov tshuaj yuav tsum tsis txhob muab tso ze ntawm cov roj hlawv lossis los ntawm lub roj teeb ua ntej siv. Lub cartridge yuav tsum tau muaj nyob rau hauv xib teg.
Xyuas
Muaj ntau qhov kev tshuaj xyuas ntawm Humalog nyob rau hauv cov xaum xim. Thiab lawv feem ntau muaj qhov zoo:
- NatalyaCov. Kuv muaj ntshav qab zib. Kuv siv Humalog hauv qhov xaum qhuav. Zoo nyob heev. Qab zib sai dauv mus rau theem ib txwm muaj. Yav dhau los, nws txhaj Actrapid thiab Protafan. Ntawm Humalog Kuv zoo siab dua thiab muaj kev ntseeg siab dua. Kev mob ntshav qab zib tsis tshwm sim;
- OlgaCov. Kuv mob ntshav qab zib xyoo ob. Lub sijhawm no kuv sim cov insulins sib txawv. Ntev ntev yeeb tshuaj nqa tam sim. Tab sis nrog kev siv tshuaj yeeb-luv luv rau lub sijhawm ntev kuv tsis tuaj yeem txiav txim siab. Ntawm txhua tus paub, Humalog hauv Cov Tshuaj Tiv Thaiv Ceev ceev tau haum rau kuv. Nws sai thiab zoo txo qis suab thaj. Ua tsaug rau tus kov nws yooj yim siv. Ua ntej cov lus qhia, Kuv suav cov khob cij thiab xaiv cov koob tshuaj. Twb tau ib nrab xyoo ntawm Humalog thiab kom deb li deb Kuv tsis hloov nws;
- AndreyCov. Xyoo tsib muaj mob ntshav qab zib. Mob tas li nrog surges nyob rau hauv qabzib nyob rau hauv cov ntshav. Tsis ntev los no Kuv tau pauv mus rau Humalog. Kuv zoo siab tam sim no, cov tshuaj muab nyiaj zoo. Nws tsuas yog drawback yog tus nqi siab;
- Marina Kuv tau mob ntshav qab zib txij thaum 10 xyoo. Txog thaum muaj hnub nyoog 12 xyoos, nws coj cov ntsiav tshuaj txo qis qab zib. Tiamsis tom qab ntawd lawv tsum tsis pab kuv lawm. Vim tias qhov no, tus kws kho mob endocrinologist pom zoo hloov mus rau lub zog insulin. Kuv yeej tsis xav tau qhov no thiab tawm tsam. Tab sis thaum kuv qhov muag pom tau pib tsis zoo thiab kuv cov raum teeb meem tau pib, Kuv pom zoo. Kuv tsis khuv xim kuv qhov kev txiav txim siab. Ua kev txhaj tshuaj yog tsis txaus ntshai. Qab zib tam sim no tsis tau siab dua 10. Kuv txaus siab rau cov tshuaj.
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Cov lus qhia rau kev siv tshuaj insulin Humalog hauv video:
Yog li, Humalog nyob hauv rab koob txhaj tshuaj yog qhov zoo tshaj plaws tshuaj rau cov neeg muaj mob ntshav qab zib. Nws muaj ob peb contraindications thiab phiv. Ua tsaug rau cov koob txhaj tshuaj syringe, kev tsim koob tshuaj thiab kev tswj hwm tshuaj yog yooj yim dua. Cov neeg mob muaj lub tswv yim zoo txog hom tshuaj insulin no.