Ntshav qab zib mellitus ntawm hom thawj thiab thib ob yog qhov kev phom sij txaus ntshai uas hloov pauv ntau txoj kev ntawm lub neej.
Yog tias muaj, qee cov tshuaj yuav tsum raug siv rau lub neej, tshwj xeeb yog cov tshuaj insulin.
Ib qho ntawm cov tshuaj no yog Humulin, cov lus qhia uas muaj nyob hauv tsab xov xwm no. Yog li dab tsi yog nws siv rau?
Txoj kev ntawm daim ntawv thov
Cov tshuaj hauv cov lus nug tau sau tseg rau qhov ua txhaum ntawm kev zom zom ntawm carbohydrates ntawm thawj thiab hom thib ob.
Raws li txoj cai, kev siv cov tshuaj Humulin yog qhov zoo dua nyob rau theem ntawm kev tawm tsam rau cov tshuaj hypoglycemic npaj rau kev tswj hwm qhov ncauj.
Humulin tseem tseem pom zoo rau ketoacidosis, ketoacidotic thiab hyperosmolar coma, qhov mob ntawm endocrine muaj cov cim tsis zoo ntawm cov zaub mov carbohydrates, uas tau tshwm sim thaum cev xeeb tub (nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov tshwj xeeb). Nws kuj yog ib qho tsim nyog rau cov neeg mob ntshav qab zib, uas tau sawv ntawm kev kis mob hnyav.
Raws li rau txoj kev ntawm daim ntawv thov ntawm Humulin, cov koob tshuaj thiab cov qauv ntawm kev siv tau txiav txim siab rau txhua tus neeg mob. Hauv txhua kis, raws li muaj cov suab thaj hauv cov ntshav ua ntej noj mov thiab rau caum feeb tom qab qhov no, cov tshuaj tsim nyog yuav raug xaiv. Tseem tseem ceeb lub sijhawm yog qib ntawm glucosuria thiab cov yam ntxwv ntawm chav kawm ntawm tus kabmob.
Cov tshuaj feem ntau yog tswj hwm hauv qab daim tawv nqaij lossis intramuscularly. Kev txhaj tshuaj yuav tsum tau ua tiav ib nrab teev ua ntej noj mov ncaj qha.
Yeej, ntau tus neeg nyiam lub subcutaneous txoj kev ntawm cov thawj coj.
Hauv qhov muaj cov mob ntshav qab zib ketoacidosis lossis ua rau mob ntshav qab zib tsis nco qab lawm, Humulin tuaj yeem muab tshuaj rau hauv qhov quav lossis ib leeg. Qhov no tseem siv rau lub sijhawm ntawm kev phais mob.
Tsuas tshuaj
Raws li txoj cai, tus kws kho mob xaiv koob tshuaj Humulin. Feem ntau, cov kws tshaj lij sau tshuaj tawm kho cov tshuaj insulin, uas yog raws li kev siv tshuaj ib leeg. Nws yuav tsum raug sau tseg hais tias Humulin Tsis tu ncua raug tso cai muab siv txawm tias tsis muaj lwm hom tshuaj insulin. Koj tseem tuaj yeem siv ntau yam kev txhaj tshuaj txhua txhua hnub.
Humulin NPH
Humulin NPH, Humulin L, Humulin Ultralente tuaj yeem siv los ua kev hno tsis muaj lwm yam ntawm cov tshuaj tua kabmob ua ke. Txaus ob zaug ib hnub.
Kev kho mob nrog ntau cov tshuaj insulin yog tias, yog tias tsim nyog, kev sib txuam ntawm cov tshuaj hauv cov lus nug nrog cov tshuaj zoo sib xws yog muaj peev xwm ua tau. Thaum muab cov khoom sib txuas ua ke, nws yog ib qho tseem ceeb kom nco ntsoov tias kev tsim cov tshuaj insulin luv luv yuav tsum tau kos rau hauv cov koob txhaj tshuaj ua ntej.
Tab sis cov nyiaj los ntawm Humulin M pawg yog suav tias yog kev npaj-los-siv sib tov. Ob hno tshuaj no txaus ib hnub.
Raws li txoj cai, rau ib qho kev tswj hwm twg, cov koob tshuaj yuav tsum tsis pub ntau tshaj 40 units.
Hloov tawm ntawm lwm cov khoom ntim tshuaj insulin yuav tsum ua kom zoo.
Thaum hloov qee cov neeg mob ntshav qab zib los ntawm insulin ntawm tsiaj keeb kwm rau Humulin, qhov yuav txo qis hauv thawj cov tshuaj lossis txawm tias muaj kev hloov pauv ntawm cov tshuaj ntawm qhov sib txawv ntawm kev sib txawv yuav raug xav tau.
Txo cov tshuaj insulin ntau tuaj yeem nqa tawm tam sim lossis ua ntu zus. Feem ntau hom txheej txheem thib ob yuav siv sijhawm ntau lub lim tiam. Qhov ntxim nyiam ntawm qhov txo qis hauv ntshav cov ntshav qab zib thaum lub sij hawm hloov los ntawm ib hom tshuaj insulin mus rau lwm tus yog qhov tsawg heev. Qhov no yog cuam tshuam tsuas yog tias qhov tshuaj txhua hnub tsawg dua 40 units.
Kev hloov ntawm ib hom tshuaj mus rau lwm tus hauv cov neeg mob ntawm endocrinologist tau txais insulin tshwj xeeb hauv kev txhaj tshuaj txhua hnub uas ntau dua 100 units, yuav tsum tau ua hauv tsev kho mob nkaus xwb.
Qhov kev xav tau rau cov tshuaj insulin tuaj yeem nce ntxiv thaum lub caij mob lossis nrog kev ntxhov siab hnyav ntawm cov kev xav.
Tsis tas li, ib qho tshuaj ntxiv yuav tsum muaj thaum siv lwm yam tshuaj. Piv txwv, thaum ib tug neeg noj qhov ncauj tiv thaiv kab mob, corticosteroids, thiab raws li cov thyroid hormones.
Txoj kev xav tau sai sai rau kev hloov kho kab mob pancreatic tuaj yeem txo qis cov kab mob ntawm qhov mob plab thiab mob siab, nrog rau kev qhia cov tshuaj nrog cov nyhuv hypoglycemic. Raws li txoj cai, tom kawg suav nrog MAO inhibitors thiab tsis xaiv BAB.
Thaum lub sijhawm nqa tus menyuam, xav tau cov tshuaj insulin tsawg zuj zus. Qhov no yog pom meej meej nyob rau thawj lub hlis thaum xeeb tub. Tab sis ib qho koob tshuaj ntxiv ntawm pancreatic hormone yog qhov xav tau nyob rau hauv qib thib ob thiab thib peb.
Noj ntau dhau
Yog tias kev tso cai pom zoo ntawm cov tshuaj ntau dua, hais tawm cov tsos mob ntawm kev siv ntau dhau.
Cov tsos mob ntawm kev haus ntau dhau muaj xws li hypoglycemia, uas ua rau nws tus kheej ua rau lub cev tsis muaj zog, tsis muaj zog, tsis quav ntsej, tsaug zog, tsis hnov mob taub hau, mob plawv, nce hws, hais kom ntuav thiab tsis nco qab.
Txhawm rau tshem tawm cov cim ntawm malaise, koj yuav tsum pib kho kom tsim nyog. Tsis muaj teeb meem hypoglycemic tseem ceeb tuaj yeem raug tshem tawm los ntawm kev muab cov piam thaj lossis qab zib hauv cov kua ua.
Tab sis kev txhim kho ntawm cov kev mob hnyav ntawm cov mob no yog tsim nyog siv tshuaj intramuscular lossis subcutaneous ntawm cov tshuaj tshwj xeeb hu ua glucagon. Lwm tus neeg mob yuav tsum tau haus dej qab zib. Ib tus neeg nyob hauv lub cev tsis xeev, thiab thaum tsis muaj qhov tshuaj tiv thaiv rau kev txhaj tshuaj Glucagon, yuav tsum tau txhaj tshuaj rau hauv qab zib.
Sab sij huam
Tus neeg mob yuav muaj kev phiv phiv xws li:
- urticaria;
- mob hlwb;
- ua npaws;
- txog siav
- siab poob rau qhov taw tes tseem ceeb;
- ntshav tshuaj qis;
- pallor ntawm daim tawv nqaij ntawm lub ntsej muag, lub cev, caj npab thiab ceg;
- nce hws;
- tawm hws;
- tshee hnyo ntawm qhov qis thiab qis kawg;
- arousal
- ntxhov siab vim pheej;
- paresthesia nyob rau hauv lub qhov ncauj;
- mob taub hau;
- tsaug zog
- kev pw tsaug zog hnyav;
- ntshai
- kev nyuaj siab hauv xeev;
- kev chim siab;
- atypical tus cwj pwm;
- qhov kev xav tsis meej ntawm kev txav chaw;
- tsis txawj hais lus thiab muaj peev xwm pom;
- hypoglycemic coma;
- hyperglycemia;
- ntshav qab zib acidosis.
Cov tsos mob kawg feem ntau tau pom nrog kev qhia txog kev noj tshuaj tsawg kawg ntawm cov lus nug. Nws tseem tuaj yeem tshwm sim thaum koj ncua kev txhaj tshuaj ntxiv.
Lwm qhov kev mob tshwm sim tuaj yeem muab cais ua qhov tsis hnov qab, uas ua rau nws tus kheej nyob rau hauv daim ntawv ntawm kev txhim kho ntawm qhov ua ntej thiab tsis nco qab. Txawm tias tus neeg mob thaum pib kho tau sau ntau yam ntawm tus kab mob thiab tsis hnov mob. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov tsos mob no tsis sib thooj thiab ploj mus nrog kev txuas ntxiv ntawm kev kho tshwj xeeb.
Yeeb tshuaj sib cuam tshuam
Nws tam sim ntawd tsim nyog sau cia tias hom kev hloov pauv rau tib neeg pancreatic hormone tsis tuaj yeem siv nrog hypoglycemia thiab muaj qhov tsis txaus siab rau qhov tsis txaus siab rau insulin lossis rau ib qho ntawm cov tshuaj tiv thaiv ntawm cov tshuaj hauv nqe lus nug. Humulin kuj tseem tsis sib haum nrog kev daws teeb meem ntawm lwm cov tshuaj.
Nws cov nyhuv hypoglycemic muaj zog yog txhim kho los ntawm sulfonamides (suav nrog rau cov tshuaj hypoglycemic npaj rau lub qhov ncauj tswj hwm).
Tsis tas li ntawd, qhov tseem ceeb ntawm cov tshuaj no yog txhim kho los ntawm cov neeg sawv cev xws li MAO inhibitors (Furazolidone, Procarbazine thiab Selegiline), carbonic anhydrase inhibitors, ACE inhibitors, NSAIDs, anabolic steroids, tetracyclines, Clofibrate, Ketoconazole, Pyridoxine, Chloroquinine.
Cov tshuaj tseem ceeb yog txo los ntawm Glucagon, Somatropin, GCS, tshuaj tiv thaiv qhov ncauj, thiazide thiab lub voj diuretics, BMCC, cov thyroid hormones, Sulfinpyrazone, sympathomimetics, tricyclic antidepressants, Clonidine, calcium antagonists, H1 thaiv cov tshuaj tiv thaiv.
Tab sis rau cov beta-blockers, xws li Reserpine, Octreotide, Pentamidine tuaj yeem ob leeg nce thiab txo qis cov ntsiab lus hypoglycemic ntawm kev txiav txim siab pancreatic hormone hloov chaw rau ib tus neeg.
Daim ntawv tso tawm
Cov tshuaj Humulin feem ntau muaj rau kev rho tawm tshwj xeeb rau kev siv tshuaj intramuscular, subcutaneous thiab leeg ntshav. Ib lub raj mis muaj 10 ml ntawm cov khoom no.
Siv thaum cev xeeb tub thiab lactation
Ntawm qhov tseem ceeb thaum yug menyuam yog tswj cov ntshav qab zib kom ntshav qab.
Qhov no tsuas yog siv rau cov neeg uas raug kho mob nrog insulin.
Nws yog ib qho tseem ceeb kom nco ntsoov tias cov poj niam uas muaj tus mob endocrine no yuav tsum tau qhia lawv tus kws kho mob txog lawv lub hom phiaj kom muaj menyuam. Kev saib xyuas qis ntawm cov ntshav qabzib yog qhov tseem ceeb rau txhua tus poj niam cev xeeb tub.
Related videos
Cov lus qhia rau kev siv thiab tshuaj xyuas ntawm cov tshuaj Humulin hauv video:
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhua yam hloov pauv ntawm hom lossis hom ntawm cov khoom noj uas ua rau pancreatic, uas yog qhov zoo ib yam rau tib neeg, yuav tsum tau ua nyob rau hauv kev saib xyuas nruj ntawm cov kws kho mob koom. Nyob rau hauv tsis muaj qee yam yuav tsum tau koj xaiv cov tshuaj ntawm koj tus kheej, vim tias lawv yuav tsis haum rau ib qho kev mob twg ntawm cov chav kawm ntawm tus mob. Lub peev txheej ntsig txog kev kho yuav pab tiv thaiv koj tus kheej kom ntshav qab zib.
