Ntawm cov tshuaj feem ntau siv cov tshuaj insulin tuaj yeem hu ua Humalog. Lawv tau tso tshuaj rau hauv Switzerland.
Nws ua raws li insulin Lizpro thiab npaj rau kev kho mob ntshav qab zib.
Cov tshuaj yuav tsum yog tus kws kho mob sau tseg. Nws kuj yuav tsum piav qhia txoj cai rau kev noj tshuaj kom zam dhau qhov tshwm sim tsis zoo. Cov tshuaj yuav muag los ntawm cov tshuaj xaj.
Cov ntaub ntawv dav dav thiab thaj chaw muag tshuaj
Lub humalogue yog nyob rau hauv daim ntawv ntawm ncua kev kawm lossis txhaj tshuaj tov. Kev raug tshem tawm yog txais tos nyob rau hauv cov neeg dawb thiab ib qho nyiam nyiam lub siab. Txoj kev daws teeb meem tsis muaj kob thiab tsis ntxhiab, pob tshab.
Cov khoom tseem ceeb ntawm cov khoom muaj pes tsawg leeg yog Lizpro insulin.
Ntxiv rau nws, cov khoom xyaw xws li:
- dej
- metacresol;
- zinc oxide;
- glycerol;
- sodium hydrogen phosphate heptahydrate;
- Cov kua sodium hydroxide.
Cov khoom lag luam raug muag hauv 3 ml cartridges. Cov ntawv thawv yog nyob hauv Quickpen syringe mem, 5 daim ib pob.
Tsis tas li ntawd, muaj ntau yam yeeb tshuaj, uas suav nrog kev hais luv luv ntawm cov tshuaj insulin thiab kev txwv tsis pub tshuaj. Lawv hu ua Humalog Mix 25 thiab Humalog Mix 50.
Lizpro insulin yog ib qho tshuaj tiv thaiv ntawm tib neeg cov tshuaj insulin thiab yog tus cwj pwm zoo tib yam. Nws pab txhawm rau ua kom nce tus nqi ntawm cov piam thaj. Cov tshuaj ua haujlwm ua rau ntawm cov xoos ntawm tes, vim tias cov piam thaj hauv cov ntshav nkag mus rau cov ntaub so ntswg thiab muab faib rau hauv lawv. Nws kuj txhawb nqa ua kom muaj protein ntau.
Cov tshuaj no yog tus cwj pwm los ntawm kev ua sai. Cov nyhuv tshwm nyob rau hauv ib lub hlis twg ntawm ib teev tom qab txhaj tshuaj. Tab sis nws tsis kav ntev. Rau ib nrab-lub neej ntawm cov tshuaj yeeb yaj kiab, li 2 teev xav tau. Qhov siab tshaj plaws rau lub sijhawm yog 5 teev, uas cuam tshuam los ntawm qee qhov yam ntxwv ntawm tus neeg mob lub cev.
Kev taw qhia thiab contraindications
Qhov taw qhia rau kev siv cov tshuaj insulin-muaj yog:
- yam type 1 insulin-based diabetes (thaum muaj mob tsis haum rau lwm hom kab mob insulin);
- non-insulin-hom mob ntshav qab zib hom 2 (yog tias kho nrog lwm cov tshuaj tsis ua hauj lwm);
- npaj kev phais mob;
- mob ntshav qab zib uas tau sawv thaum lub sijhawm cev xeeb tub (mob tes taw).
Hauv cov xwm txheej no, yuav tsum tau kho cov tshuaj insulin. Tab sis tib lub Humalog yuav tsum tau tsa los ntawm tus kws kho mob tom qab kawm txog daim duab ntawm tus kab mob. Cov tshuaj no muaj qee yam contraindications. Koj yuav tsum xyuas kom meej tias lawv tsis tuaj, txwv tsis pub muaj kev pheej hmoo ntawm kev muaj teebmeem.
Cov no suav nrog:
- qhov tshwm sim ntawm kev ua qog hypoglycemia (lossis qhov tshwm sim ntawm nws qhov tshwm sim);
- fab rau cov muaj pes tsawg leeg.
Nrog rau cov ntsej muag no, tus kws kho mob yuav tsum xaiv lwm yam tshuaj sib txawv. Ceev faj kuj tseem ceeb yog tias tus neeg mob muaj qee cov kab mob ntxiv (kab mob ntawm lub siab thiab lub raum), vim tias vim lawv, lub cev xav tau cov tshuaj insulin tuaj yeem ua kom tsis muaj zog. Yog li ntawd, cov neeg mob zoo li no yuav tsum kho cov tshuaj ntau ntxiv.
Cov lus qhia rau kev siv
Siv cov tshuaj tsuas yog nrog kev soj ntsuam nruj ntawm cov lus qhia ntawm tus kws tshaj lij. Nws txoj kev noj tshuaj tuaj yeem sib txawv heev, yog li nws nyuaj rau koj xaiv koj tus kheej.
Feem ntau, cov neeg mob raug pom zoo kom siv 0.5-1 IU / kg thaum nruab hnub. Tab sis, muaj cov xwm txheej tshwj xeeb yuav tsum tau kho kom ntau dua los yog tsawg dua. Tsuas yog tus kws kho mob tuaj yeem hloov cov tshuaj tom qab ua kev kuaj ntshav.
Nyob hauv tsev, Humalog yog muab subcutaneously. Los ntawm subcutaneous ntaub so ntswg, cov khoom lag luam zoo dua tuaj. Kev hno tawm yuav tsum ua rau lub xub pwg, tus ncej puab lossis sab hauv plab.
Qhov chaw txhaj tshuaj yuav tsum tau hloov mus kom thiaj li tsis ua rau muaj kev ntxhov siab hauv kev cia siab ntawm cov tshuaj thiab cov teeb meem. Lub sijhawm zoo ntawm kev tswj hwm cov tshuaj yog sai ua ntej noj mov.
Koj tseem tuaj yeem tswj cov tshuaj cia, tab sis qhov no tau ua nyob hauv tsev kho mob.
Video qhia siv kev xaum xim:
Cov Neeg Mob Tshwj Xeeb thiab Cov Lus Qhia
Thaum siv Humalog, qee qhov yuav tsum tau ceev faj txog qhov tshwj xeeb ntawm cov neeg mob. Lawv lub cev yuav nkag siab dhau los cuam tshuam txog cov tshuaj insulin, yog li koj yuav tsum tau ua tib zoo saib xyuas.
Ntawm lawv yog:
- Cov poj niam thaum cev xeeb tub. Raws txoj kev xav, kev kho mob ntshav qab zib hauv cov neeg mob no tau tso cai. Raws li kev tshawb pom, cov tshuaj tsis cuam tshuam rau kev txhim kho ntawm tus me nyuam hauv plab thiab tsis ua rau rho menyuam. Tab sis nws yuav tsum tau yug los rau hauv lub siab tias lub sijhawm no cov theem ntawm cov piam thaj hauv cov ntshav tuaj yeem sib txawv ntawm cov sijhawm sib txawv. Qhov no yuav tsum raug tswj kom tsis txhob muaj qhov tsis xav ua lub txim.
- Saib xyuas niam cov txiv. Qhov kev nkag mus ntawm cov kua dej mus rau niam mis yog tsis tsim kev puas tsuaj rau tus menyuam mos. Qhov khoom siv no muaj cov keeb kwm protein thiab nqus tau ntawm txoj hnyuv zom zaub mov. Qhov ceeb toom tsuas yog tias cov poj niam uas ua raws li kev noj zaub mov zoo yuav tsum yog nyob ntawm zaub mov noj.
Rau cov menyuam yaus thiab cov laus hauv qhov tsis muaj teeb meem kev noj qab haus huv, tsis muaj kev saib xyuas tshwj xeeb. Cov tshuaj Humalog yog qhov haum rau lawv txoj kev kho mob, thiab tus kws kho mob yuav tsum xaiv qhov ntau npaum li cas los ntawm cov yam ntxwv ntawm chav kawm ntawm tus kabmob.
Kev siv ntawm Humalog yuav tsum muaj qee qhov kev xav hauv kev sib raug rau qee cov kabmob uas muaj kabmob.
Cov no suav nrog:
- Kev tsis sib haum xeeb hauv daim siab. Yog hais tias qhov kev ua haujlwm ntawm lub cev ua haujlwm tsis zoo tshaj li qhov tsim nyog, tom qab ntawd cov nyhuv ntawm cov tshuaj rau nws yuav dhau mus, uas ua rau muaj kev nyuaj siab, nrog rau kev txhim kho hypoglycemia. Yog li ntawd, nyob rau hauv qhov muaj kab mob siab, qhov kev noj tshuaj ntawm Humalog yuav tsum raug txo kom tsawg.
- Teeb meem lub raum ua haujlwm. Yog tias muaj, nws kuj tseem txo qis hauv lub cev xav tau cov tshuaj insulin. Hauv kev hais txog qhov no, koj yuav tsum ua tib zoo suav seb puas noj ntau npaum li cas thiab saib xyuas txoj kev kho. Lub xub ntiag ntawm cov teeb meem zoo li no yuav tsum muaj kev tshuaj xyuas lub raum ib qho zuj zus.
Humalog muaj peev xwm ua rau cov ntshav qab zib tsawg, vim qhov ceev ntawm qhov tshwm sim thiab lub peev xwm mloog zoo yog cuam tshuam.
Kiv taub hau, tsis muaj zog, tsis meej pem - tag nrho cov yam ntxwv no tuaj yeem cuam tshuam kev ua haujlwm ntawm tus neeg mob. Kev ua ub no uas xav tau kev nrawm thiab lub siab xav tsis zoo rau nws. Tab sis cov tshuaj nws tus kheej tsis cuam tshuam rau cov ntsej muag no.
Phiv thiab haus tshaj
Qhov tshwm sim ntawm kev phiv tuaj yeem yog qhov txaus ntshai heev. Tus neeg mob yuav tsum qhia rau tus kws kho mob txog qhov kev hloov pauv uas tau pom los ntawm nws.
Feem ntau cov teeb meem yog:
- ntshav tshuaj qis;
- daim tawv liab;
- o tuaj;
- khaus
- npaws
- tachycardia;
- tsawg siab
- nce hws;
- lipodystrophy.
Qee qhov kev cuam tshuam saum toj no tsis txaus ntshai, vim tias lawv tshwm sim me ntsis thiab dhau sijhawm.
Lwm tus tuaj yeem tsim teeb meem loj. Yog li, yog tias muaj kev mob tshwm sim, koj yuav tsum tau sab laj nrog koj tus kws kho mob txog kev muaj peev xwm kho tus mob Humalog.
Nws yuav tshuaj xyuas cov kev pheej hmoo txaus ntshai, txheeb xyuas qhov ua rau lawv (qee zaus lawv dag hauv tus neeg mob tsis raug) thiab sau ntawv kho yuav tsum tau kho qhov tshwm sim tsis zoo.
Kev siv tshuaj ntau dhau ntawm cov tshuaj no feem ntau ua rau lub ntsej muag hypoglycemic. Nws tuaj yeem ua tau txaus ntshai heev, qee zaum tseem ua rau muaj kev tuag.
Nws yog tus yam ntxwv xws li:
- Kiv taub hau
- kev tab kaum ntawm kev nco qab;
- plawv dhia;
- mob taub hau
- tsis muaj zog
- txo hauv cov ntshav siab;
- tsis hnov qab ntawm kev saib xyuas;
- tsaug zog
- cramps
- tshee hnyo.
Qhov pib ntawm cov tsos mob ntawm cov ntshav qab zib tsawg yuav tsum tau hu rau ib tus kws kho mob tshwj xeeb. Qee qhov xwm txheej, qhov teeb meem no tuaj yeem nruab nrab nrog kev pab ntawm cov khoom lag luam uas muaj cov carbohydrate, tab sis nws kuj tseem tshwm sim tias nws tsis tuaj yeem hloov kho tus neeg mob tus mob tsis muaj tshuaj. Nws xav tau kev kho mob sai, yog li koj yuav tsum tsis txhob sim kho qhov teeb meem ntawm koj tus kheej.
Analogs
Kev txheeb xyuas txog cov tshuaj no muaj kev sib cav. Qee zaum cov neeg mob tsis nyiam qhov cuab yeej no, thiab lawv tsis kam nws. Feem ntau, teeb meem tshwm sim nrog kev siv tsis tsim nyog ntawm Humalog, tab sis qee zaum qhov no tshwm sim vim kev tsis haum ntawm qhov muaj pes tsawg leeg. Tom qab ntawv tus kws kho mob uas koom nrog yuav tsum xaiv ib qho tshuaj ntawm cov tshuaj no txhawm rau txuas ntxiv kev kho mob ntawm tus neeg mob, tab sis kom nws nyob nyab xeeb dua thiab xis dua.
Raws li kev hloov chaw tuaj yeem siv:
- Iletin. Cov tshuaj yog isofan insulin-based ua ke kev ncua. Nws yog tus cwj pwm los ntawm contraindications zoo ib yam li Humalog thiab kev mob tshwm sim. Cov tshuaj yog tseem siv subcutaneously.
- Nyob Nruab Nrab. Cov twj yog sawv cev los ntawm kev daws teeb meem. Lub hauv paus yog tib neeg cov kua dej.
- Yawg Hlob. Qhov no yog tib neeg cov kua dej tshuaj txhaj.
- Protafan. Qhov tseem ceeb ntawm cov tshuaj yog cov tshuaj insulin Isofan. Nws yog siv nyob rau hauv tib qho xwm txheej ntawm Humalog, nrog kev ceev faj tib yam. Siv nyob rau hauv daim ntawv ntawm cov raug muab tshem tawm.
Txawm hais tias zoo sib xws hauv txoj cai ntawm kev nqis tes, cov tshuaj no txawv ntawm Humalog.
Yog li, qhov ntau npaum rau lawv yog xam dua, thiab thaum hloov mus rau qhov cuab yeej tshiab, tus kws kho mob yuav tsum tswj cov txheej txheem. Kev xaiv ntawm cov tshuaj uas tsim nyog kuj yog nws, vim tsuas yog nws tuaj yeem ntsuas qhov kev pheej hmoo thiab ua kom paub tseeb tias tsis muaj kev tiv thaiv kabmob.
Mus yuav tshuaj hauv tib lub khw muag tshuaj, yog tias muaj tshuaj los ntawm kws khomob. Rau qee tus neeg mob, nws tus nqi yuav zoo li siab, thaum lwm tus ntseeg tias cov tshuaj muaj nqis vim tias nws ua haujlwm tau zoo. Kev kis tau ntawm tsib daim cartridges nrog qhov muaj peev xwm txhaws 3 ml yuav tsum muaj 1700-2100 rubles.