Nyob rau hauv hom 1 mob ntshav qab zib mellitus, tus neeg mob tuaj yeem siv cov tshuaj insulin sai sai, ua haujlwm luv luv, nruab nrab, ua haujlwm ntev thiab premixed insulin. Qhov twg yuav sau rau qhov kev kho kom zoo dua yog nyob ntawm tus kheej yam ntxwv ntawm lub cev. Thaum xav tau ultrashort insulin, Glulisin yog siv.
Kev txhaj tshuaj hu ua "Insulin glulisine" yog yuav hauv khw muag tshuaj los ntawm cov neeg mob ntshav qab zib. Cov tshuaj no yog xav tau los ntawm cov neeg kom txo qis cov suab thaj, thiab ntxiv rau, rau kev kho mob ntawm tus kab mob no. Qhov no, ua ntej ntawm tag nrho cov, luv luv insulin. Nws yog ib feem ntawm lwm cov tshuaj npaj rau cov ntshav qab zib. Cov tshuaj no muaj cov nyhuv hypoglycemic hais.
Qhov no yog ib qho piv txwv ntawm tib neeg cov tshuaj insulin, uas zoo ib yam li hauv paus ntsiab lus ntawm cov tshuaj hormone no. Tab sis los ntawm nws qhov xwm txheej, nws ua sai dua thiab muaj luv luvinfluence.
Txoj kev thov thiab ntau npaum li cas
Cov tshuaj no yog siv subcutaneously 15 feeb ua ntej noj mov. Kev txhaj tshuaj yog xaiv tus kheej.
Yuav siv tau nrog lub twj tso kua mis. Raws li txoj cai, qhov xav tau ntawm cov tshuaj insulin txhua hnub yog 0.5 units. ib kilo ntawm pawg: ob feem peb ntawm lawv yog insulin ua ntej noj. Thiab ib feem peb yog los ntawm keeb kwm insulin (basal).
Drug trade names
"Insulin glulisin" hauv khw muag tshuaj muaj ob lub npe lag luam ntxiv. Coob leej tau hnov lawv.
Cov no yog Apidra thiab Apidra SoloStar tshuaj.
Drug "Apidra" ("Epidra"): piav qhia
Cia peb saib cov tshuaj no.
Insulin Apidra yog siv los kho ntshav qab zib rau cov menyuam yaus hnub nyoog tshaj rau xyoo, thiab nws kuj yog siv rau cov neeg laus. Qhov kev npaj muaj 3,49 milligrams ntawm cov khoom tseem ceeb. Cov tshuaj no tuaj yeem muab piv rau 100 IU (International Units) ntawm tib neeg cov tshuaj hormones. Cov khoom xyaw muaj xws li dej rau kev txhaj tshuaj nrog rau m-cresol, sodium chloride thiab hydroxide, concentrated hydrochloric acid, trometamol thiab polysorbate.
Insulin "Apidra" yog muag hauv 10 ml lub raj mis lossis hauv 3 ml cartridges. Thawj qhov kev xaiv yog ntim rau hauv ib lub thawv ntawv, thiab qhov thib ob yog muab tso rau hauv cov hlwv nrog cov hlwb. Nyob rau hauv lub xeem version, muaj tsib cartridges uastau ntim rau hauv tus cwj mem tshwj xeeb (uas yog, mus rau hauv lub koob txhaj tshuaj), hu ua "OptiPen" (qhov no yog tus cwj mem pov tseg).
Cov chaw tsim khoom kuj tseem tsim cov kab ke sib cais "OptiClick". Nyob rau hauv tag nrho cov ntim muaj cov kua pob tshab uas tsis muaj xim.
Apidra SoloStar
Cov khoom nquag muaj nyob rau hauv nws raws nraim tib yam li hauv qhov kev txiav txim siab dhau los. "Insulin glulisin" nrog lub npe lag luam "Apidra brand SoloStar" muaj cov nram qab no contraindications:
- Muaj nyob rau hauv cov neeg mob ntawm hypoglycemia thiab hypersensitivity ntawm lub cev mus rau lub hauv paus los yog excipient ntawm cov tshuaj no.
- Lub sijhawm menyuam yaus txog rau xyoo.
Tshuaj "Apidra" thiab "Apidra Solostar" tuaj yeem yuav ntawm txhua lub khw muag tshuaj.
Subtleties ntawm kev siv cov tshuaj no
"Insulin glulisin" yuav luag zoo tib yam rau tib neeg. Qhov tsuas yog qhov tshwj xeeb yog lub sijhawm ntawm qhov raug, uas yog luv dua. Nws txaus los muab cov tshuaj no rau tus neeg mob ib zaug, raws li tom qab 15 feeb nws yuav hnov zoo heev hauv nws tus mob.
Cov tswv yim tswv yim yuav txawv. Piv txwv li, tus neeg sawv cev no tau txhaj tshuaj subcutaneously rau hauv ib qho chaw tshwj xeeb, thiab tom qab ntawd cov txheej txheem tiav siv lub twj tso kua mis insulin. Infusions tuaj yeem ua tau yam tsis muaj kev cuam tshuam, uas yog ua rau cov nqaij rog ncaj qha hauv qab ntawm daim tawv nqaij.
Cov txheej txheem yuav tsum ua ua ntej noj mov lossis tom qab, tab sis tsis yogncaj nraim. Kev txhaj tshuaj subcutaneous yog qhov ua tau zoo tshaj plaws hauv cheeb tsam plab, tab sis nws kuj tseem ua tau hauv lub xub pwg nyom, tus ncej puab kuj tsim nyog. Tab sis qhov infusion tuaj yeem ua tau tsuas yog hauv plab. Tsuas yog tus kws kho mob tuaj yeem sau tshuaj kho mob. Cov tshuaj no yog siv rau lub sij hawm ntev los yog nruab nrab-lub sij hawm xa cov tshuaj insulin.
Nws raug tso cai los muab cov tswv yim "Insulin glulisin" nrog cov ntsiav tshuaj (siv cov tshuaj hypoglycemic). Qhov ntau npaum thiab kev xaiv ntawm cov tshuaj yog txiav txim los ntawm tus kws kho mob, vim tus neeg mob tsis muaj cai xaiv nws tus kheej. Qhov tseeb yog tias qhov no yog fraught nrog tsis tshua muaj tshwm sim. Ntawm cov lus qhia tseem ceeb rau kev siv, ib tus tuaj yeem pom cov lus pom zoo ntawm thaj tsam ntawm kev tswj hwm tus neeg sawv cev. Nws yog ib qho tseem ceeb kom tsis txhob muaj kev puas tsuaj rau cov hlab ntsha.
Dab tsi ntxiv cov lus qhia rau kev siv "Insulin Glulisin" hais li cas?
cov lus qhia tshwj xeeb rau kev siv tshuaj
Kev tswj hwm cov tshuaj txhaj tshuaj yog nqa tawm hauv cov chaw tshwj xeeb endocrinological nkaus xwb. Thaum siv cov tshuaj insulin aspart hauv cov twj subcutaneous, tsis txhob muab cov tshuaj no sib tov nrog lwm cov tshuaj.
Khoom siv syringe cwjmem rau ntawm chav tsev kub xwb. Ib tug cwj mem syringe tsis siv yuav tsum tau khaws cia hauv lub tub yees. Cov tshuaj yuav tsum tau muab tshuaj tsuas yog tom qab sib xyaw cov ntsiab lus hauv lub syringe kom txog thaum cov xim dawb dawb.
mob siab rau lub cev ua si, nrog rau muaj feem cuam tshuamKev kis kab mob thiab kab mob yuav tsum tau txhaj tshuaj insulin ntxiv.
Thaum pib ntawm kev kho mob, kev tsav tsheb tsis pom zoo, thiab ntxiv rau, ua haujlwm nrog kev txav mus los vim qhov tsis pom kev. Tawm tsam keeb kwm yav dhau los ntawm kev siv cov tshuaj tas li, yuav tsum tau saib xyuas vim qhov tshwm sim ntawm hypoglycemia.
Kev mob tshwm sim los ntawm kev siv
Lub paj hlwb nrog rau cov kab ke peripheral tuaj yeem teb rau Insulin Glulisine los ntawm kev tswj cov ntshav qabzib sai thaum pib kho. Tej zaum qhov pib ntawm mob mob neuropathy, uas tej zaum yuav yog ib ntus. Ntawm cov tshuaj tiv thaiv kab mob dermatological, nws tsim nyog hais txog lipodystrophy ntawm qhov chaw txhaj tshuaj ntawm cov tshuaj no.
Cov kab mob hauv nruab nrog cev tuaj yeem hnov mob nrog kev cuam tshuam tsis zoo, thiab ntxiv rau, qhov txo qis hauv qhov pom kev pom, uas tseem yuav cuam tshuam nrog kev ua kom nrawm nrawm ntawm cov piam thaj hauv cov ntshav thaum pib kho. Qhov no tej zaum yuav yog ib ntus. Raws li ib feem ntawm kev siv cov khoom no, kev tsis haum tshuaj tsis suav nrog.
Ntau tshaj
Thaum noj tshuaj ntau dhau, cov neeg mob tuaj yeem ntsib hypoglycemia. Tawm tsam keeb kwm yav dhau los ntawm kev txhim kho hypoglycemic coma, txog li 100 milliliters ntawm plaub caug feem pua ntawm cov tshuaj dextrose raug txhaj rau hauv cov hlab ntsha kom txog thaum tus neeg tuaj yeem sawv ntawm nws lub coma.
