Nyob ntawm saib daim duab soj ntsuam, cov mob ntshav qab zib siv tshuaj sib txawv.
Hauv cov xwm txheej uas xav tau kev kho tshuaj insulin, kev txhaj tshuaj hypoglycemic yog kho mob. Ib cov tshuaj no yog Insuman Rapid GT.
Cov yam ntxwv dav dav
Insuman Rapid yog cov tshuaj kho mob rau cov ntshav qab zib. Muaj ua kua thiab siv cov tshuaj siv tau.
Hauv kev xyaum kho mob, nws tuaj yeem siv nrog lwm hom insulin. Nws yog tshuaj rau ntshav qab zib hom 1 thiab ntshav qab zib hom 2 nrog qhov tsis muaj txiaj ntsig zoo ntawm qab zib-txo cov ntsiav tshuaj, lawv qhov kev tsis txaus siab lossis tshuaj tiv thaiv kab mob.
Qhov tshuaj no muaj cov nyhuv ua kom ntshav qab zib. Cov tshuaj muaj pes tsawg leeg yog tib neeg insulin nrog 100% solubility nrog kev ua luv luv. Cov tshuaj tau txais nyob hauv chav kuaj sim los ntawm kev tsim kho caj ces.
Soluble insulin - cov tshuaj nquag ntawm cov tshuaj. Cov khoom siv hauv qab no tau siv los ua kev sib ntxiv: m-cresol, glycerol, dej huv, hydrochloric acid, sodium hydroxide, sodium dihydrogen phosphate dihydrate.
Cov chaw muag tshuaj
Insuman ua rau cov ntshav qab zib kom tsawg. Hais txog cov tshuaj nrog txoj kev sai thiab lub sijhawm luv luv ntawm kev ua haujlwm.
Cov nyhuv yog xav tias yuav zoo li ib nrab teev tom qab txhaj tshuaj thiab kav ntev txog 7 teev. Qhov siab tshaj plaws tau pom nyob rau ntawm 2 teev tom qab subcutaneous tswj hwm.
Cov tshuaj ua kom sib haum rau cov cell receptors, tau txais cov insulin receptor complex. Nws provokes synthesis ntawm cov enzymes tseem ceeb thiab txhawb cov txheej txheem intracellular. Yog li ntawd, qhov nqus thiab nqus cov kua nplaum los ntawm lub cev tau zoo tuaj.
Insulin nkaus:
- stimulates synthesis protein;
- tiv thaiv kev rhuav tshem cov tshuaj;
- inhibits glycolenolysis thiab glyconeogenesis;
- txhim kho kev thauj thiab nqus ntawm cov poov tshuaj;
- txhim kho kev sib txuas ntawm fatty acids nyob rau hauv daim siab thiab cov nqaij;
- kev ua kom tsis zoo;
- txhim kho kev thauj mus los thiab kev nqus ntawm cov amino acids.
Kev taw qhia thiab contraindications
Cov tshuaj yog tshuaj rau hauv cov teeb meem nram qab no:
- Ntshav Qab Zib Hom 1 (hom mob insulin) thiab hom ntshav qab zib 2;
- rau kev kho mob ntawm kev mob hnyav ntxiv;
- kom tshem tawm cov mob ntshav qab zib tsis xeev;
- tau txais cov nyiaj pauv hloov hauv qhov kev npaj thiab tom qab ua haujlwm.
Qhov tshuaj qog tsis tawm nyob rau hauv cov xwm txheej zoo li no:
- lub raum / daim siab ua haujlwm;
- tsis kam mus rau cov khoom nquag;
- stenosis ntawm hlab ntshav / hlwb hlab ntsha;
- intolerance rau cov tshuaj;
- cov neeg uas muaj kab mob sib kis;
- cov neeg uas muaj kev ua yeeb yam rov qab zoo dua.
Cov lus qhia rau kev siv
Xaiv thiab kho qhov ntau npaum li cas yog muab tau ib tus zuj zus. Tus kws kho mob txiav txim siab nws los ntawm cov ntsuas hauv qabzib, qhov ntau ntau ntawm kev ua haujlwm hauv lub cev, lub xeev ntawm cov khoom noj metabolism. Cov lus pom zoo tau muab rau tus neeg mob yog tias muaj pauv rau cov piam thaj hauv qab.
Qhov tshuaj txhua hnub ntawm cov tshuaj, noj mus rau hauv tus account qhov hnyav, yog 0.5 IU / kg.
Cov tshuaj hormones yog muab tso ntshav, intramuscularly, subcutaneously. Qhov feem ntau siv hom subcutaneous. Qhov kev txhaj tshuaj yog nqa tawm 15 feeb ua ntej noj mov.
Nrog cov tshuaj monotherapy, qhov ntau zaus ntawm kev tswj hwm tshuaj yog kwv yees 3 zaug, qee qhov nws tuaj yeem ncav cuag txog 5 zaug hauv ib hnub. Qhov chaw txhaj tshuaj hloov qee zaus hloov hauv tib cheeb tsam. Ib qho chaw pauv chaw (piv txwv, los ntawm txhais tes mus rau hauv plab) yog nqa tawm tom qab sab laj nrog kws kho mob. Txog kev ua haujlwm subcutaneous ntawm cov tshuaj, nws raug nquahu kom siv cov cwj mem xaum qhuav.
Cov tshuaj tuaj yeem ua ke nrog cov insulin ntev ntev.
Raws li cov lus pom zoo uas tau hais tseg, yuav tsum tau siv daim cartridges nrog ib tug xaum xim. Ua ntej kev siv roj, cov tshuaj yuav tsum tau muab rhaub kom kub qhov xav tau.
Cwj mem-yeeb yaj kiab video qhia txog kev tswj hwm cov tshuaj insulin:
Tsuas tshuaj kho kom haum
Qhov ntau ntawm cov tshuaj tuaj yeem hloov kho hauv rooj plaub:
- yog tias kev ua neej hloov;
- nce rhiab siab rau cov tshuaj nquag;
- hloov hauv qhov hnyav hauv tus neeg mob;
- thaum hloov los ntawm lwm cov tshuaj.
Nyob rau thawj lub sijhawm tom qab hloov tawm los ntawm lwm qhov khoom siv (hauv 2 lub lis piam), txhim kho kev tswj xyuas ntshav qabzib tau zoo.
Los ntawm kev txhaj tshuaj ntau dua, nws yog qhov yuav tsum hloov mus rau cov tshuaj no nyob rau hauv kev saib xyuas mob nkeeg.
Thaum hloov los ntawm tsiaj los rau tib neeg cov kua dej, kev kho kom haum yog ua.
Nws qhov kev txo qis yog xav tau rau cov neeg hauv qab no:
- yav tas tsau qab zib qis thaum kho;
- noj qib siab ntawm cov tshuaj ua ntej dhau los;
- predisposition rau tsim ntawm ib lub xeev hypoglycemic.
Cov lus qhia tshwj xeeb thiab cov neeg mob
Thaum cev xeeb tub tshwm sim, kev kho tshuaj tsis nres. Cov tshuaj nquag tsis hla tus txiv neej.
Nrog lactation, tsis muaj kev txwv txiav kev nkag mus. Lub ntsiab lus tseem ceeb - muaj kev kho kom haum rau hauv cov tshuaj ntawm cov tshuaj insulin.
Txhawm rau tiv thaiv hypoglycemic tshua, kho cov neeg laus nrog kev ceev faj.
Cov neeg muaj lub siab raum / lub raum hloov pauv mus rau Insuman Rapid thiab kho cov koob tshuaj nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij.
Qhov ntsuas kub ntawm cov tshuaj txhaj yuav tsum yog 18-28ºС. Kev siv tshuaj insulin yog siv nrog kev ceev faj hauv cov kab mob kis hnyav - yuav tsum tau txhaj tshuaj rau ntawm no. Thaum noj cov tshuaj, tus neeg mob tsis haus cawv. Nws tuaj yeem ua rau ntshav qab zib tsawg.
Thaum noj tshuaj, tus neeg mob yuav tsum tau mloog zoo rau txhua yam kev hloov hauv nws tus mob. Qhov no yog qhov tsim nyog rau kev lees paub kom raws sijhawm ua ntej cov phiajcim txo cov ntshav qis.
Xav kom kuaj xyuas cov piam thaj ntau ntxiv. Qhov phom sij ntawm cov ntshav qog ua rau cuam tshuam nrog kev siv cov tshuaj no yog qhov siab rau cov tib neeg uas muaj kev saib xyuas tsis muaj zog qab zib. Tus neeg mob yuav tsum niaj hnub nqa 20 g suab thaj.
Nrog kev ceev faj, noj:
- nrog rau kev kho ntxiv;
- thaum pauv mus rau lwm cov insulin;
- Cov neeg uas muaj ntshav qab zib ntev heev;
- cov neeg ntawm kev muaj hnub nyoog siab;
- cov neeg uas muaj kev loj hlob maj mam hypoglycemia;
- nrog concomitant mob hlwb.
Phiv thiab haus tshaj
Cov kev mob tsis zoo no yog qhov txawv tom qab kev tswj hwm:
- hypoglycemia - ib qho kev tshwm sim tsis zoo thaum noj insulin
; - kev fab tshuaj tiv thaiv xeb, bronchospasm, agnioneurotic edema;
- kev cuam tshuam nrog kev pom;
- lipodystrophy hauv thaj chaw txhaj tshuaj, tseem liab thiab o;
- tsis nco qab zoo;
- nyob rau theem pib ntawm kev noj tshuaj, qee qhov tshwm sim (tsis hnov lus zoo, o) dhau nrog lub sijhawm;
- sodium khaws cia hauv lub cev.
;Thaum noj ntau dhau, tus neeg mob tuaj yeem ua suab thaj kom txog qib qis. Nrog daim foos me, 15 g suab thaj yuav tsum nqa.
Daim foos hnyav nrog rau qaug dab peg, poob ntawm kev nco qab xav tau kev qhia ntawm glucagon (intramuscularly). Tej zaum qhov qhia ntxiv ntawm dextrose (tso ncaj qha).
Tom qab tswj kho tus neeg mob tus mob, nws yog ib qho tsim nyog yuav tau noj cov tshuaj txij nkawm ntawm carbohydrates. Rau qee lub sijhawm tom qab tshem tawm cov tsos mob ntawm tus mob qog ntshav qab zib, kev saib xyuas tus mob yuav tsum tau ua, txij li ib txoj kev qhia zaum ob yog ua tau. Hauv qee kis tshwj xeeb, tus neeg mob pw hauv tsev kho mob rau kev soj ntsuam ntxiv.
Kev cuam tshuam nrog lwm yam tshuaj
Yog tias tsis sab laj nrog kws kho mob, kev siv lwm yam tshuaj ua ke nrog tsis pom zoo. Lawv tuaj yeem nce lossis txo cov nyhuv ntawm cov tshuaj insulin los yog ua rau cov kev mob hnyav.
Kev txo qis ntawm cov tshuaj hormones yog pom nrog kev siv tshuaj tiv thaiv, glucocorticosteroids hormones (progesterone, estrogen), diuretics, ntau cov tshuaj tiv thaiv tshuaj, adrenaline, thyroid hormones, glucagon, barbiturates.
Kev txhim kho ntawm hypoglycemia tuaj yeem tshwm sim nrog kev sib koom tes ntawm lwm cov tshuaj tiv thaiv kab mob ntshav siab. Qhov no siv rau cov tshuaj tua kab mob ntawm sulfonamide series, MAO inhibitors, acetylsalicylic acid, fibrates, testosterone.
Cawv nrog cov tshuaj hormones txo qis qab zib kom txog qib uas tseem ceeb, ua rau ua rau lub plawv tsis muaj ntshav qab zib. Qhov pom zoo muab rau noj yog txiav txim los ntawm tus kws kho mob. Koj yuav tsum ceev faj txog kev noj tshuaj laxa - lawv cov khoom noj ntau dhau cuam tshuam txog qib qab zib.
Pentamidine tuaj yeem ua rau mob txawv - hyperglycemia thiab hypoglycemia. Cov tshuaj tuaj yeem ua rau lub plawv tsis ua haujlwm. Tshwj xeeb yog cov tib neeg muaj kev pheej hmoo.
Cov tshuaj tsis raug cai (piv rau daim ntawv tso tawm thiab muaj cov tshuaj tiv thaiv uas muaj txuam nrog) suav nrog: Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. Cov tshuaj teev npe muaj xws li tib neeg insulin.
Tus neeg mob tshuaj xyuas thiab cov tswv yim kws tshaj lij
Cov neeg mob uas siv Insuman Rapid tawm mus rau qhov kev tshuaj xyuas zoo txog cov tshuaj. Ntawm cov lus zoo: kev txiav txim sai, kev txo qis qab zib kom ib txwm nyob. Ntawm qhov tsis zoo: ntawm qhov chaw txhaj tshuaj, ntau tus neeg mob ntshav qab zib pom qhov khaus thiab khaus.
Kuv raug xaj kom noj tshuaj insulin vim tias cov ntsiav tshuaj tsis pab. Insuman Rapid tshwm sim sai, tsuas yog nws muaj peev xwm ua kom cov suab thaj hauv theem ib txwm. Tam sim no kuv feem ntau siv cov kua nplaum los tiv thaiv qhov ua kom tsis muaj qab zib nyob rau qib qis.
Nina, 45 xyoo lawm, Moscow
Insuman muaj lub meej mom zoo hauv tshuaj. Cov tshuaj muaj cov nyhuv zoo hypoglycemic. Hauv chav kawm ntawm cov kev tshawb fawb, ib qho kev kub siab hypoglycemic tau tsim. Ib qho kev mob tshwm sim yog hypoglycemia, uas tau ua kom tiav los ntawm kev noj mov. Lub chaw siv tau thiab kev nyab xeeb ntawm kev siv kuj tau txhais. Raws li qhov no, kuv muaj kev nyab xeeb txog kev muab tshuaj rau kuv cov neeg mob.
Svetlichnaya N.V., endocrinologist
Tus nqi ntawm cov tshuaj yog qhov nruab nrab ntawm 1200 rubles.
Nws yog tawm hauv lub tsev muag tshuaj nrog cov tshuaj noj.
Cov tshuaj raug khaws cia ntawm t ntawm +2 txog +7 C. Tshuaj khov tsis pub.
Insuman Rapid GT yog ib qho tshuaj insulin uas ua hauj lwm zoo rau cov neeg mob ntshav qab zib. Cov tshuaj yog tus cwj pwm los ntawm kev nqis tes ua sai thiab lub sijhawm luv luv ntawm kev ua haujlwm. Txoj kev kawm tau txiav txim siab nws kam rau ua thiab kev nyab xeeb. Cov kev mob tshwm sim feem ntau yog hypoglycemia.
