Kev tshuaj xyuas txog "Insulin Tresiba" yuav tsum txaus siab rau txhua tus neeg mob hauv lawv lub neej tau ntsib cov kab mob hnyav xws li ntshav qab zib mellitus. Qhov no yog cov tshuaj niaj hnub ultra-ntev-ua yeeb yam tsim los ntawm lub tuam txhab thoob ntiaj teb Novo Nordisk, lub hauv paus chaw ua haujlwm nyob rau hauv suburbs ntawm Copenhagen. Ntau tus neeg hais tias nws muaj txiaj ntsig zoo dua rau ntau lwm cov tshuaj uas muaj cov tshuaj insulin, nrog rau txhua qhov kev txhaj tshuaj ntev txog 42 teev. Tag nrho cov no ua rau nws yooj yim dua thiab txhim khu kev qha los tswj cov qib qab zib hauv cov ntshav. Hauv tsab xov xwm no, peb yuav muab cov ntsiab lus tseem ceeb ntawm cov lus qhia uas tuaj nrog cov tshuaj no, tshuaj xyuas cov neeg mob uas twb sim cov tshuaj ntawm lawv tus kheej.
Kev piav qhia
Hauv kev tshuaj xyuas ntawm "InsulinTresiba" ntau tus neeg hais tias lawv twb tau soj ntsuam qhov ua tau zoo thiab cov txiaj ntsig ntawm cov tshuaj no, qhov tseeb, nws yog ib qho analogue ntawm tib neeg cov tshuaj insulin, tib lub sijhawm, nws yuav tsum tau nkag siab tias cov tshuaj insulin molecule tsis rov ua dua. Kev nce qib hauv biotechnology, nws muaj peev xwm hloov tau, uas tso cai rau nws kom tau txais cov txiaj ntsig tshiab Nws tau paub tias thaum pib cov tshuaj no tau tsim rau cov neeg mob ntshav qab zib hom 2 nkaus xwb, tab sis tam sim no nws tau pom tias nws tau ua tiav hauv thawj hom. ntawm tus kab mob no.
Cov nyhuv ntawm "Insulin Tresiba" nyob rau tib neeg lub cev rau ntau tshaj 40 teev. Txawm li cas los xij, cov neeg tsim khoom pom zoo kom txhaj tshuaj txhua hnub, txawm hais tias cov tshuaj ua haujlwm ntau tshaj ib hnub.
Hauv tebchaws Russia, nws paub hauv ob INNs "Insulin Tresiba" - cov no yog "Tresiba FlexTach" thiab "Tresiba Penfill". Thawj daim ntawv yog cov cwj mem pov tseg uas tau muab pov tseg tom qab cov tshuaj insulin tas lawm. Daim ntawv thib ob yog refillable syringe cwj mem cartridges. Nws yog ib qho tseem ceeb uas lawv tsim nyog tsis yog rau cov tshuaj no xwb, tab sis kuj rau NovoPen.
tshuaj tshiab pom zoo siv rau hom 1 thiab hom 2 mob ntshav qab zib. Nws yog ib qho tsim nyog yuav tsum nco ntsoov cov contraindications uas twb muaj lawm, nws yuav tsum tau siv tshwj xeeb yog ua tib zoo siv los ntawm cov poj niam cev xeeb tub thiab lactating, vim nws cov txiaj ntsig ntawm lawv lub cev tseem tsis tau kawm kom raug.
Txoj Cai Ua Haujlwm
Insulin "Tresiba FlexTouch" txoj caikev ua haujlwm yuav luag zoo ib yam li cov tshuaj Lantus, paub zoo rau ntau tus neeg mob ntshav qab zib. Tom qab cov molecules nkag mus rau hauv tib neeg lub cev, lawv ua ke rau hauv cov formations loj, uas tseem hu ua multichambers. Lawv tsim ib lub depot tshuaj. Tsis tas li ntawd, cov khoom me me tawg tawm ntawm nws, uas ua rau nws muaj peev xwm ua tiav cov nyhuv ntev ntev.
Cov neeg tsim khoom thov tias lub sijhawm ntawm cov tshuaj yog ntau tshaj 40 teev. Raws li qee qhov kev tshawb fawb, nws tuaj yeem ncav cuag li ob hnub. Hauv qhov no, nws yuav zoo li tias tus neeg sawv cev no tuaj yeem siv tsawg dua li niaj zaus insulin. Tsis yog txhua hnub, tab sis ib zaug txhua ob hnub. Tab sis qhov tseeb qhov no tsis yog li ntawd. Cov kws tshaj lij tau hais kom tsis txhob hla kev txhaj tshuaj txhua hnub, kom tsis txhob ua kom tsis muaj zog thiab ua haujlwm los ntawm cov tshuaj no.
Kev tshawb fawb ntawm "Insulin Tresiba" tshiab tau ua pov thawj tias cov tshuaj muaj txiaj ntsig zoo sib xws rau cov neeg mob hluas thiab laus. Tsis tas li ntawd, tsis muaj kev tshuaj xyuas tsis zoo los ntawm cov neeg mob uas tseem txhawj xeeb txog teeb meem ntawm daim siab thiab lub raum.
Cov khoom xyaw tseem ceeb ntawm qhov txuas ntxiv "Insulin Tresiba" - degludec tau qhia nws tus kheej kom muaj txiaj ntsig. Piv nrog rau glargine siv hauv Lantus, nws ua rau muaj tsawg dua cov neeg mob hypoglycemia.
KOJ
Hauv cov lus qhia rau kev siv "Insulin Tresiba" ntau npaum li cas rau txhua pawg ntawm cov neeg mob tau sau kom meej. Cov tshuaj yog siv tshwj xeebsubcutaneously, intravenous tshuaj yog contraindicated. Qhov no yuav tsum tau ua ib hnub ib zaug.
Nws yog ib qho tsim nyog sau cia tias cov tshuaj yog sib xws nrog txhua yam tshuaj hypoglycemic uas muaj nyob rau hauv cov ntsiav tshuaj, nrog rau ntau hom insulin. Raws li qhov tshwm sim, nws tau muab cais tawm, thiab qee zaum ua ib feem ntawm txoj kev kho mob nyuaj.
Yog tias tus neeg mob tau txhaj tshuaj insulin thawj zaug, koob tshuaj yuav tsum yog 10 units. Tom qab ntawd nws maj mam kho, uas yuav nyob ntawm tus neeg xav tau kev pab ntawm txhua tus neeg.
Yog tus neeg mob tau txais qee yam tshuaj insulin, thiab tom qab ntawd txiav txim siab hloov mus rau Tresiba, thawj koob tshuaj suav nrog hauv qhov piv ntawm ib mus rau ib qho. Qhov no txhais tau hais tias cov tshuaj insulin degludec yuav tsum tau muab ntau npaum li qhov basal insulin tau txhaj.
Yog tias tus neeg mob tau txais ob txoj cai ntawm kev txais cov tshuaj insulin basal rau ib lub sijhawm, ces cov koob tshuaj yuav tsum tau txiav txim siab nrog tus kws kho mob ntawm tus kheej. Nws muaj peev xwm yuav txo tau. Tib qhov xwm txheej yuav raug pom yog tias qib glycated hemoglobin hauv tus neeg mob tsawg dua 8%.
Tau kawg, yav tom ntej, tus neeg mob yuav xav tau kev hloov kho tshuaj ib leeg raws li kev tswj hwm cov ntshav qab zib.
Side effects
Cov lus qhia rau "Insulin Tresiba" piav qhia meej txog cov kev mob tshwm sim uas cov tshuaj no tuaj yeem ua rau. Hmoov tsis zoo, koj tsis tuaj yeem ua yam tsis muaj lawv, nrog rau thaum noj cov tshuaj pharmacologic altshuaj.
Ntawm cov teeb meem feem ntau yog kev tsis txaus siab ntawm hypoglycemia. Txawm hais tias nws tsis tshua muaj ntau dua li lwm cov tshuaj uas muaj cov tshuaj insulin.
Lwm cov kev mob tshwm sim muaj xws li:
- tshuaj tsis haum (xws li anaphylaxis lossis khaus khaus);
- cov tshuaj tiv thaiv siab tuaj yeem tshwm sim nws tus kheej hauv daim ntawv ntawm cov quav nquag, loog ntawm tus nplaig, khaus tawv nqaij, nkees);
- lipodystrophy uas tshwm sim ntawm qhov chaw txhaj tshuaj (qhov tshwm sim tsis zoo tuaj yeem zam tau los ntawm kev hloov chaw txhaj tshuaj tas li);
- hauv zos cov tshuaj tiv thaiv thiab tshwm sim ntawm qhov chaw txhaj tshuaj (o, bruising, txuas cov nqaij mos, liab, induration, khaus).
Hauv cov lus qhia rau kev siv "Insulin Tresiba" nws tau qhia kom khaws cia rau hauv tib yam li lwm yam tshuaj zoo sib xws. Nws yog ib qho tseem ceeb rau lawv kom tsis txhob khov thiab kub dhau, txwv tsis pub lawv yuav plam tag nrho lawv cov khoom kho.
Indications thiab contraindications
Cov lus qhia rau "Insulin Tresiba" kom meej meej pom zoo siv cov tshuaj no hauv kev kho mob ntshav qab zib rau cov neeg laus.
Cov tshuaj yog contraindicated nyob rau hauv cov nram qab no pawg ntawm cov neeg mob:
- menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo;
- poj niam cev xeeb tub;
- niam laus;
- tus neeg mob uas muaj kev nkag siab ntawm tus kheej rau cov tshuaj tseem ceeb ntawm cov tshuaj lossis ib qho ntawm nws cov khoom pabcuam.
Composition
Cov tshuaj muaj nyob rau hauv kev daws teeb meem rau kev tswj hwm subcutaneous. Cov khoom xyaw tseem ceeb yog insulin degludec.
Phenol, glycerol, zinc, hydrochloric acid, thiab dej rau kev txhaj tshuaj yog siv los ua excipients hauv cov tshuaj no.
Ib pob muaj tsib koob txhaj tshuaj ntawm 3 ml txhua.
Insulin degludec muaj peev xwm tshwj xeeb khi rau tib neeg cov tshuaj insulin endogenous. Kev cuam tshuam ncaj qha nrog nws, nws paub txog nws cov tshuaj pharmacological, uas yuav luag zoo ib yam li kev ua ntawm tib neeg insulin.
Nws tsim nyog sau cia tias cov cuab yeej hypoglycemic ntawm cov tshuaj no yog vim muaj peev xwm nce kev siv cov piam thaj. Qhov no tshwm sim vim yog kev khi ntawm insulin nws tus kheej mus rau receptors ntawm cov rog thiab cov leeg nqaij. Nws yog ib qho tseem ceeb uas nyob rau tib lub sijhawm, tus nqi ntawm cov piam thaj los ntawm lub siab txo qis.
Yuav siv li cas
Ib zaug ntxiv, cov khoom siv tshuaj no yog rau kev tswj hwm subcutaneous nkaus xwb. Nws yuav tsum tsis txhob siv tshuaj intravenously, vim qhov no tuaj yeem ua rau muaj kev loj hlob ntawm hypoglycemia. Nws tseem yog txwv tsis pub noj nws intramuscularly, vim hais tias nyob rau hauv cov ntaub ntawv no muaj kev pheej hmoo tias kev nqus ntawm lub ntsiab active tshuaj yuav hloov. Hauv qhov no, nws yuav luag tsis tuaj yeem kwv yees seb lub cuab yeej no yuav ua li cas yav tom ntej. Ntawm cov lus ceeb toom, ib qho ntxiv yuav tsum nco ntsoov: "Insulin Tresiba" yuav tsum tsis txhob uasiv hauv twj.
Cov tshuaj tau txhaj tshuaj subcutaneously rau hauv thaj tsam ntawm phab ntsa sab hauv plab, ncej puab lossis lub xub pwg. Nco ntsoov hloov qhov chaw txhaj tshuaj tsis tu ncua nyob rau hauv tib qhov chaw anatomical kom txo qhov kev pheej hmoo ntawm kev tsim lipodystrophy.
Sab nraud, cov tshuaj yog ib lub koob txhaj tshuaj ua ntej, uas yog tsim los siv cov koob txhaj tshuaj pov tseg.
Nws yog ib qho tseem ceeb uas cov tshuaj nws tus kheej thiab cov koob yog npaj tshwj xeeb rau kev siv tus kheej. Tsis txhob refill lub cwj mem cartridge.
Saib qhov xwm txheej thiab qhov tshwm sim ntawm kev daws. Koj tsis tuaj yeem noj nws yog tias cov tshuaj tau tso tseg tsis muaj xim thiab pob tshab. Nws kuj poob tag nrho nws cov khoom muaj txiaj ntsig tom qab nws tau khov lawm. Muab rab koob pov tseg tom qab txhua qhov txhaj tshuaj.
Ua tib zoo ua raws li cov cai hauv zos uas siv rau kev pov tseg cov khoom siv kho mob siv hauv koj cheeb tsam. Tus cwj mem yog siv los ntawm tus neeg mob nws tus kheej tom qab nws tau paub siv nws raws li kev saib xyuas ntawm tus kws kho mob lossis tus kws saib xyuas neeg mob.
Muaj ob peb theem tseem ceeb rau hauv cov txheej txheem txhaj tshuaj tuaj yeem muab faib. Pib nrog, tus cwj mem syringe yuav tsum tau npaj rau kev siv. Txhawm rau ua qhov no, pib ua tib zoo xyuas cov koob tshuaj thiab lub npe ntawm daim ntawv lo ntawm tus cwj mem syringe. Xyuas kom tseeb tias nws muaj cov tshuaj uas koj xav tau. Nws yog ib qho tseem ceeb tshwj xeeb uas yuav tsum tau xyuam xim rau theem no yog tias koj noj ntau yam tshuaj tib lub sijhawm lossis hloov pauv.ntau hom insulin. Hauv qhov no, koj yuav tsum tsis txhob tsis meej pem thiaj li tsis ua mob rau koj tus kheej, thiab cov txiaj ntsig ntawm kev siv tshuaj yog qhov siab tshaj plaws. Tsuas yog tom qab ntawd tshem lub hau ntawm tus cwj mem syringe.
Ua kom cov tshuaj hauv lub koob txhaj tshuaj tsis muaj xim thiab meej. Txhawm rau ua qhov no, ua tib zoo saib lub qhov rais ntawm qhov ntsuas qhov ntsuas insulin. Yog tias cov khoom dhau los ua huab, nws yuav tsum tsis txhob siv.
Tshem tawm daim nplaum tiv thaiv los ntawm rab koob pov tseg. Muab rab koob rau ntawm tus cwj mem syringe, thiab tom qab ntawd tig nws kom lub koob tuav ntawm nws kom nruj li sai tau. Tom qab tshem lub hau sab nrauv, tsis txhob muab pov tseg. Koj yuav xav tau nws tom qab kev txhaj tshuaj tiav kom muaj kev nyab xeeb tshem cov koob. Tab sis tam sim ntawd koj tuaj yeem pov lub hau sab hauv ntawm rab koob. Tsis txhob sim muab nws rov qab, vim qhov no muaj qhov tshwm sim ntau ntawm pricking.
Nco ntsoov tias ib qho tshuaj insulin tshwm rau ntawm qhov kawg ntawm rab koob. Qhov no yuav tsum tau ua txhawm rau txhawm rau xyuas qhov ntws ntawm cov tshuaj hauv lub koob txhaj tshuaj.
Siv ib rab koob tshiab rau txhua qhov kev txhaj tshuaj los tiv thaiv kev txhaws, kab mob, thiab txhaj tshuaj tsis raug. Tsis txhob siv rab koob yog tias nws puas lossis khoov.
Ntau tshaj
Qee zaum, muaj qhov ua tau ntau dhau ntawm cov tshuaj no. Nws yuav tsum raug sau tseg tias cov koob tshuaj tshwj xeeb uas ua rau muaj kev cuam tshuam zoo sib xws tsis tau tsim. Hypoglycemia, uas feem ntau cov neeg mob ntshav qab zib ntshai, nyiam zuj zus.
Nrog lub teebhypoglycemia tus neeg mob tuaj yeem tiv taus lawv tus kheej los ntawm kev noj cov khoom noj uas muaj suab thaj lossis qabzib. Cov neeg mob ntshav qab zib tau qhia kom nqa cov khoom uas muaj suab thaj nrog lawv txhua lub sijhawm.
Thaum muaj qhov mob hnyav hnyav, thaum tus neeg mob tsis nco qab, nws yuav tsum tau txhaj tshuaj glucagon lossis dextrose. Koj yuav tsum qhia dextrose yog tias ib lub hlis twg ntawm ib teev tom qab kev tswj hwm ntawm glucagon, tus neeg mob tsis nco qab. Thaum kev nco qab rov qab los, nws raug nquahu kom noj mov uas muaj cov carbohydrates sai li sai tau txhawm rau tiv thaiv kev rov qab los.
Cov lus pov thawj tus neeg mob
Kev tshuaj xyuas cov ntshav qab zib ntawm "Insulin Tresiba" tuaj yeem pom tau yooj yim txaus siab. Kev txhaj tshuaj feem ntau yog muab thaum hmo ntuj. Qhov no tso cai rau tus neeg sawv ntxov thaum sawv ntxov nrog cov suab thaj ib txwm, nyob rau hauv ib txwm muaj.
Qhov tseem ceeb tshaj plaws yog qhov koob tshuaj raug xaiv raug. Hauv kev tshuaj xyuas cov neeg mob ntshav qab zib nrog kev paub txog Insulin Tresiba, nws tau sau tseg tias ua ntej cov tsos mob ntawm cov tshuaj no ntau yam, txhua qhov kev hloov pauv dhau los ua rau lub sijhawm luv luv, uas ua rau muaj teeb meem ntau. Kev tswj ntshav qabzib yoo mov nyuaj heev.
Tam sim no, hauv kev tshuaj xyuas thiab "Insulin Tresibe", ntau tus tau hais tias qhov txiaj ntsig tseem ceeb ntawm cov tshuaj nyob rau hauv qhov tseeb tias nrog nws cov kev pab nws muaj peev xwm ua tau zoo dua txo cov ntshav qab zib piv rau ntau lwm yam zoo sib xws. txhais tau tias. Piv txwv li, nrog Lantus lossis Levemir. Ib sabQhov kev pheej hmoo ntawm kev tsim cov tshuaj hypoglycemia yog txo qis, txawm hais tias nws tseem nyob hauv cov ntaub ntawv ntawm kev noj ntau dhau. Qhov no tau sau tseg ob qho tib si hauv kev tshuaj xyuas thiab hauv cov lus qhia rau kev siv Insulin Tresiba.
negative
Nrog rau txhua qhov zoo, nws tsim nyog sau cia tias cov kev xav tsis zoo txog cov tshuaj no tseem pom. Muaj tseeb, qhov kev tshuaj xyuas tsis zoo txog "Insulin Tresiba" tsis cuam tshuam nrog nws cov txiaj ntsig, tab sis nrog nws tus nqi siab.
Nws yuav tsum raug sau tseg tias tsuas yog cov neeg mob muaj nyiaj ntau tuaj yeem them taus nws, vim tias cov tshuaj no yog qhov kev txiav txim siab kim dua li ntau lwm cov tshuaj. Yog tias koj muaj nyiaj pub dawb, koj yuav tsum tham txog kev hloov pauv mus rau insulin tshiab nrog koj tus kws kho mob. Peb hais ntxiv tias hauv ntshav qab zib mellitus, ntau cov tshuaj tau muab tshuaj rau tus kheej, nyob ntawm tus neeg mob tus mob. Tsis tas li ntawd, nws yog ib qho tseem ceeb los txiav txim siab npaum li cas raws li kev noj qab haus huv ntawm ib tus neeg mob.
Nws yuav tsum tau muab sau tseg tias tam sim no Insulin Tresiba raug nqi kwv yees li peb npaug ntau npaum li Levemir thiab Lantus, uas tseem siv tau rau ntshav qab zib los ntawm ntau tus neeg mob.
Cov kws tshaj lij uas nyob ze rau kev lag luam tshuaj nco ntsoov tias nyob rau xyoo tom ntej koj tuaj yeem suav nrog qhov tshwm sim ntawm cov tshuaj analogues, cov khoom uas yuav tsis tshua muaj txiaj ntsig zoo dua li Insulin Tresiba. Kev tshuaj xyuas thiab cov lus qhia ntawm cov nyiaj no tseem tsis tau ua tib zoo nyeem, txawm li cas los xij, tsis xav tias cov tshuaj no yuav raug nqi tsawg dua.account rau. Qhov no yog vim qhov tseeb tias tam sim no tsuas muaj ob peb lub tuam txhab muaj npe nrov hauv ntiaj teb uas tsim cov tshuaj insulin niaj hnub thiab zoo. Nyob rau tib lub sijhawm, muaj kev xav tias muaj kev pom zoo ntawm kev lag luam ntawm lawv, uas tso cai rau kev tswj hwm tus nqi ntawm qhov siab tsis tu ncua.
