Insulin "Actrapid": kev piav qhia ntawm kev npaj thiab kev mob

Yog ib hom tshuaj uas nto moo tshaj plaws ntawm cov tshuaj hypoglycemic ntawm kev txiav txim siab luv luv yog insulin "Actrapid". Nws yog muaj raws li kev txhaj tshuaj tiv thaiv thiab siv rau kev kho mob ntawm hom 1 thiab hom 2 mob ntshav qab zib, nrog rau kev kho mob thaum muaj xwm ceev rau kev siv tshuaj tiv thaiv hyperglycemia. Tshwj xeeb feem ntau nws yog siv nyob rau hauv insulin-dependent ntshav qab zib. Cov neeg mob zoo li no yuav tsum tau txhaj tshuaj tiv thaiv kabmob. Yuav kom tswj tau ntau npaum li cas ntawm cov ntshav qab zib, muab ntau hom tshuaj no. Thiab ib qho ntawm cov yeeb tshuaj ntawm kev xaiv yog precisely "Actrapid" - ib tug luv luv insulin.

Yam ntxwv ntawm kev npaj

Insulin "Actrapid NM Penfill" yog ib qho tshuaj rau kev hno tshuaj. Cov kev npaj muaj ntawm tus tib neeg lawm txiav, tau los ntawm kev tshuaj ntsuam genetic hloov kho. Nyob rau hauv 1 ml ntawm kev daws muaj 3.5 mg ntawm insulin. Dhau li nws nyob rau hauv dej rau txhaj yog yaj glycerol, zinc chloride thiab tshwj xeeb cov tshuaj uas tsim lub Desired qhov theem ntawm acid-puag tshuav nyiaj li cas. Cov tshuaj yog tsim nyob rau hauv tshwj xeeb cartridges rau ib tug 3 ml syringe mem. Qhov no yog qhov hnyuv ib zaug xwb, tab sis qee qhov nws yuav tsum tau nce ntxiv.

Ntxiv nrog rau daim ntawv tso tawm muaj insulin "Actrapid NM" nyob rau hauv hwj ntawm 10 ml. Nws kuj muaj tib neeg tsis muaj zog soluble hormone uas tau siv cov qauv kev ua noob caj noob ces. Muaj kuj yog ib qho analogue ntawm yeeb tshuaj - "Aktrapil MS". Nws siv tsawg dua, vim nws yog ib tug nruab nrab ntawm tus kab npua insulin.

Cov nyhuv ntawm no siv tshuaj yaj yeeb

Insulin penetrates rau hauv hlwb thiab muaj feem xyuam rau cov txheej txheem metabolic, kev txhim kho kev thauj cov piam thaj. Vim qhov no, qhov absorbability ntawm nws cov nqaij tawm tuaj. Tsis tas li ntawd tsa lub lipid metabolism thiab muaj zog glycogen synthesis nyob rau hauv lub siab lub hlwb. Insulin "Actrapid" hais txog cov tshuaj yeeb ua luv. Nws cov nyhuv hypoglycemic yuav txawv li ntawm txoj kev thiab qhov chaw ntawm kev tswj ntawm kev daws, kev siv tshuaj thiab tus yam ntxwv ntawm tus neeg mob lub neej. Tab sis feem ntau qhov kev txiav txim ntawm lub tshuaj pib tom qab 30 feeb thiab kav txog 8 xuab moos. Qhov siab tshaj plaws tshwm sim yog 2-3 teev tom qab kev khiav dej num ntawm kev daws. Qhov siab tshaj plaws ntawm kev nqus yog "Actrapid NM", tshwj xeeb tshaj yog tias nws nkag mus yog lawm. Nws yog qhov zoo tshaj plaws los ua qhov kev txhaj tshuaj nyob rau hauv lub plab ntawm daim tawv nqaij ntawm lub plab, ces cov tshuaj yuav pib ua sai dua.

Cov kev qhia rau kev siv

Feem ntau, insulin "Actrapid" yog siv los kho hom 1 mob ntshav qab zib. Cov neeg uas yuav tsum tau ua ntu zus, ntau zaus ib hnub, ua tus saib xyuas yam tshuaj no, tuaj yeem muab tshuaj rau lwm tus. Cov tshuaj insulin luv luv no yog ua ntej noj mov, tab sis qhov no tsis yog kev kho mob nkaus xwb. Nws yog ib qho tsim nyog yuav tau thov 1-2 zaug ib hnub insulin ntev, uas yuav kho tus kab mob hauv qab no txhua hnub, tsis hais noj mov.

Qee zaus cov tshuaj no yog siv los kho hom 2 mob ntshav qab zib, tab sis tsuas yog raws li kws kho mob hais. Qhov no yog ua tiav yog tias tus neeg mob lub cev tsis pom tias muaj kev kho mob hypoglycemic hauv cov ntsiav tshuaj. Tsis tas li ntawd xwb, rau qee hom neeg mob, txoj kev ua haujlwm ntawm insulin no muaj kev nyab xeeb, piv txwv li, thaum cev xeeb tub thiab lactation.

"Actrapid" pib ua tam sim ntawd, yog li siv nws thaum muaj xwm txheej ceev, thaum koj xav kom txo qis qis heev. Qhov no tseem ceeb, piv txwv, nrog ketoacidosis los yog ua ntej kev phais.

Contraindications thiab phiv tshuaj

Qee cov neeg mob muaj ib tus neeg tsis txaus siab rau tib neeg insulin. Qee zaum, tej zaum kuj yuav muaj kev fab tshuaj rau lwm cov tshuaj ntawm cov tshuaj. Hauv cov no, lwm cov tshuaj insulin yog cov tshuaj. Contraindicated siv cov tshuaj kuj nrog hypoglycemia. Yog li, ua ntej qhov kev taw qhia, nws yog ib qhov tsim nyog los xyuas seb ntshav qab zib npaum li cas. Koj tsis tuaj yeem siv "Actrapid" rau kev mob kheesxaws ntawm cov txiav - insuloma. Nws tsis yog nyob rau hauv kev siv cov tshuaj no rau cov me nyuam, nrog rau cov poj niam cev xeeb tub.

Nrog kev siv cov tshuaj "Insulin" Actrapid "yuav tshwm sim tau li cov kev mob tshwm sim:

• Thaum noj ntau dhau heev lawm, kev mob hypoglycemia;
• Qee lub sij hawm muaj kev fab tshuaj tiv thaiv - tawm pob, ua pob txha, txhuam caj dab;
• Kev tawm hws, tachycardia, mob taub hau thiab xeev siab;
• Tsis muaj zog, kev nyuaj siab ntawm kev nyuaj siab thiab kev tsis nco qab;
• Muaj mob ntawm kev loj hlob ntawm peripheral neuropathy;
• Thaum pib txoj kev kho mob nrog rau cov tshuaj no, kev ua tsis zoo los yog kev txhim kho ntawm retinopathy tau;
• Qee zaum, kev tshwm sim hauv cheeb tsam ntawm qhov chaw txhaj tshuaj (liab liab thiab nqaij tawv); Yog hais tias qhov kev txhaj tshuaj ua tas li nyob rau tib qho chaw, lub cev muaj lipodystrophy.

Taw qhia cov insulin "Actrapid"

Dosing ntawm cov tshuaj - subcutaneous txhaj tshuaj, nyob rau hauv tej rooj plaub - tso dej. Qhov no yuav tsum tau txhaj cov tshuaj insulin tshwj xeeb. Lawv muaj kev kho kom zoo, uas tso cai rau koj los ntsuas qhov tseeb ntawm cov tshuaj. Feem ntau siv tus cwj mem syringe tshwj xeeb rau cov insulin "Actrapid NM". Nyob rau hauv no txoj kev, qhov kev txhaj tshuaj yog ntau yooj yim. Cov kev txhaj tshuaj yuav tsum tau ua nyob rau hauv lub plab lossis lub xwb pwg, tsuas yog nyob rau hauv cov quav quav, tsis txhob siv cov tshuaj txhaj tiv thaiv kab mob. Qee lub sij hawm qhov kev txhaj tshuaj raug txhaj rau hauv qhov tho lossis pob tw, tab sis qhov no yog cov tshuaj yaj yeeb ua rau mob ntxiv.

Yuav ua li cas kom ua kom paub cov tshuaj insulin "Actrapid"? Cov kev qhia no piav qhia txog txoj haujlwm no raws li hauv qab no:

• Koj yuav tsum tau muab cov tshuaj tov rau hauv lub raj yas qis los ntawm lub raj yas los yog ntxig rau hauv daim ntawv cartridge rau hauv tus kabmob tshwj xeeb;
• Nrog koj sab tes laug, quav tawv nqaij ntawm lub plab, thim lossis xub pwg nrog ob tug ntiv tes;
• Ntxig rau rab koob mus rau hauv lub hauv paus ntawm cov quav ntawm ib kaum ntawm 45 degrees;
• Maj mam hnav cov kua hauv qab ntawm daim tawv nqaij;
• Tawm lub koob rau 5-6 vib nas this;
• Maj mam rub tawm, yog tias cov ntshav tau tshwm, koj yuav tsum tau nyem qhov chaw txhaj tshuaj me ntsis.

Insulin "Actrapid": cov lus qhia siv

Tsuas yog tus kws kho mob tuaj yeem teem caij rau kev noj tshuaj thiab ntau zaus ntawm cov tshuaj. Nws nyob ntawm kev ceev ntawm cov kab mob carbohydrate ntawm tus neeg mob, nws txoj kev ua neej, tus yam ntxwv ntawm kev noj haus thiab xav tau cov tshuaj insulin. Qhov nruab nrab, tsis pub tshaj 3 ml rau ib hnub, tab sis daim duab no muaj peev xwm siab dua rau cov neeg muaj hnyav dua, nrog cev xeeb tub los yog siv ntaub so ntswg. Yog tus txiav ua rau tsawg kawg ntawm cov tshuaj insulin, nws yuav tsum txhaj tshuaj rau hauv koob me me. Qhov kev xav tau rau insulin kuj txo qis nrog lub siab thiab mob raum.

Kev txhaj tshuaj ntawm "Actrapid" ua tau 2-3 zaug hauv ib hnub. Yog tias tsim nyog, koj tuaj yeem ua rau ncua sij hawm ntau dua ntawm 5-6 zaug. Ib nrab ntawm ib teev tom qab txhaj tshuaj koj yuav tsum tau noj lossis tsawg kawg yog noj ib pluas mov muaj carbohydrates.

Nws yog ua tau kom sib tov no txoj kev kho mob nrog cov yeeb tshuaj ntev. Piv txwv, ua ke ntawm: insulin "Actrapid" - "Protafan" feem ntau siv. Tab sis tsuas yog ib tus kws kho mob tuaj yeem xaiv hom kev kho mob glycemic xwb. Yog tias tsim nyog, nkag rau ob lub insulin ib txhij, lawv tau sau ib hom kabmob syringe: ua ntej - "Actrapid", thiab tom qab ntawd - insulin ntev-ua haujlwm.

Cov lus qhia tshwj xeeb thaum siv tshuaj

Los tswj cov kab mob hauv qab zib nrog kev pab ntawm "Actrapid" zoo, ntau cov cai ntawm kev siv cov insulin no yuav tsum tau pom:

• Nws yog ib qho tsim nyog los hloov qhov chaw ntawm kev siv tshuaj ntawm cov tshuaj kom tsis txhob muaj kev loj hlob ntawm lipodystrophy;
• Cov neeg muaj mob xiam oob qhab thiab lub plab ua rau lub cev yuav tsum txo cov tshuaj ntawm kev siv yeeb tshuaj;
• Mus ua kom tau sai sai, qhov kev txhaj tshuaj yuav tsum tau ua nyob rau hauv cov quav hauv plab ntawm lub plab;
• Tsis txhob siv cov tshuaj yog tias nws tau poob zoo lossis yog lub pob puas lawm;
• Tom qab qhib lub vial qhov daws yuav tsum muab cia rau hauv lub tub yees uas tsis tas khov, thiab nws yog ib qhov tsim nyog yuav tau siv nws rau ib lub hlis thiab ib nrab;
• Koj muaj peev xwm siv tsis tau "Actrapid" rau insulin twj tso kua mis ;
• Thaum hloov mus rau "Actrapid" los ntawm lwm yam tshuaj, nws yuav tsum yog tus kws kho mob kho qhov koob tshuaj, thawj zaug nws yog ib qho tseem ceeb kom tsis tu ncua ntsuas kab noj qab haus huv, vim cov tsos mob ntawm hypoglycemia tsis hnov li cas.

Yuav ua li cas nyob rau hauv cov ntaub ntawv ntawm hypoglycemia

Hauv qee zaum, feem ntau nrog cov tshuaj noj ntau dua, tus neeg mob muaj ntshav qab zib. Nws tuaj yeem tshwm sim yog, tom qab txhaj tshuaj, tus neeg mob tsis tau noj mov los yog hnav lub cev ntau dua. Qhov mob no tshwm sim sai sai. Tus neeg mob tau hnov txog cov tsos mob xws li:

• Tachycardia;
• Xeev siab;
• Kev lwj, kev qaug zog;
• Tsav;
• Nervousness, ntxhov siab vim;
• Mob taub hau;
• Muaj zog qab los noj mov;
• Ua txhaum ntawm kev sib koom tes ntawm kev hloov.

Cov tsos mob ntawm hypoglycemia yog ib qho yooj yim rau pom. Thawj qhov koj yuav tsum tau ua yog noj tej yam qab zib. Rau qhov no, diabetics yeej ib txwm khoom qab zib, ncuav qab zib, kua txiv qab zib los yog ib daig qab zib. Yog tias tus neeg mob mob hnyav, nws muaj kev sib ceg lossis tsaus muag, nws yuav tsum hno tshuaj glycogen. Koj yuav tsum tau mus ntsib ib tus kws kho mob thiab kho cov tshuaj "Actrapid" los tiv thaiv kev mob hypoglycemia.

Hyperglycemia nrog kev siv tshuaj

Qee lub sij hawm nws yog ua tau thiab lwm yam mob, thaum qab zib ntawm cov ntshav nce siab. Qhov no tuaj yeem nrog kev kub hnyiab, nrog rau cov kab mob sib kis, nrog rau kev txo qis ntawm cov tshuaj los yog nce hauv qhov khoom noj khoom haus ntawm carbohydrate. Cov tsos mob ntawm hyperglycemia yog tsis yog li ntawd cov lus hais, tab sis lub xeev kuj txaus ntshai vim hais tias nws yuav ua tau kom ketoacidosis thiab coma. Qhov tseeb tias qab zib tau nce, koj tuaj yeem twv tau cov nram no:

• Muaj zog nqhis dej;
• Nquag tso zis;
• Xeev, tsis qab los noj mov;
• Tsis muaj zog;
• Qhuav ntawm daim tawv nqaij thiab mucous membranes;
• Muaj zog tsw ntawm acetone los ntawm lub qhov ncauj.

Yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum tau ntsuam xyuas cov kab mob hauv qab no, koj yuav tsum tau txhaj tshuaj ntxiv "Actrapid".

Kev sib tham nrog lwm cov tshuaj

Insulin yuav tsum muaj kev tswj hwm. Yog li, nws feem ntau hloov tawm hais tias nws yog tag nrho nrog lwm cov tshuaj. Thiab nws yog ib qhov tsim nyog yuav tsum paub tias insulin li cas "Actrapid" ua ke nrog cov tshuaj sib txawv. Piv txwv li, muaj cov tshuaj uas tsis muaj zog nws hypoglycemic nyhuv: beta-blockers, thiazide diuretics, Mao inhibitors, tej cov tshuaj hormones thiab nicotine. Ua ke nrog lwm cov tshuaj, ntawm qhov tawm tsam, cov nyhuv hypoglycemic ntawm "Actrapid" nce. Cov no yog tetracyclines, sulfonamides, ketoconazole, Teofilin, lithium preparations thiab cov neeg muaj cawv.

Tus neeg mob nws tus kheej tsis tuaj yeem txiav txim siab seb qhov insulin no zoo li lwm yam tshuaj, yog li ntawd, txhua yam tseem ceeb yuav tsum tau mus ntsib kws kho mob. Nrog rau cov tshuaj kom zoo thiab tsom tag nrho cov yeeb yam ntawm cov tshuaj, ib tus neeg mob uas tuaj yeem tuaj yeem ua rau lub neej zoo li qub.