{"id":10708,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/insulin-benh-tieu-duong\/"},"modified":"2024-03-17T02:43:52","modified_gmt":"2024-03-16T19:43:52","slug":"insulin-benh-tieu-duong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/","title":{"rendered":"Insulin &#8211; B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng"},"content":{"rendered":"<h2 id=\"ten-chung-quoc-te-insulin\">    T\u00ean chung qu\u1ed1c t\u1ebf Insulin   <\/h2>\n<p>    Insulin.   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-insulin\">    D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Insulin   <\/h2>\n<p>    Insulin t\u00e1c d\u1ee5ng nhanh (h\u00f2a tan) (dung d\u1ecbch ti\u00eam), insulin h\u00f2a tan 40 \u0111v\/ml \u1ed1ng 10 ml; 100 \u0111v\/ml \u1ed1ng 10 ml.   <\/p>\n<p>    Insulin isophan, ti\u00eam (d\u1ecbch treo \u0111\u1ec3 ti\u00eam) insulin isophan 40 \u0111v\/ml \u1ed1ng 10 ml; 100 \u0111v\/ml \u1ed1ng 10 ml.   <\/p>\n<p style=\"text-align: center;\">    <a src=\"\/Documents\/1556_insulin-benh-tieu-duong.jpg\" target=\"_blank\" rel=\"noopener\">     <img decoding=\"async\" alt=\"insulin-benh-tieu-duong\" src=\"\/\/yhoccongdong.org\/Documents\/1556_insulin-benh-tieu-duong.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/a>   <\/p>\n<p style=\"text-align: center;\">    <em>     H\u00ecnh minh h\u1ecda thu\u1ed1c c\u00f3 ch\u1ee9a h\u00e0m l\u01b0\u1ee3ng Insulin    <\/em>   <\/p>\n<h2 id=\"chi-dinh-insulin\">    Ch\u1ec9 \u0111\u1ecbnh Insulin   <\/h2>\n<p>    \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 1 (m\u1ecdi d\u1ea1ng); c\u1ea5p c\u1ee9u    <a src=\"\/video\/dai-thao-duong\/\" target=\"_blank\" rel=\"noopener\">     \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng    <\/a>    v\u00e0 trong l\u00fac m\u1ed5; h\u00f4n m\u00ea do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c nhi\u1ec5m acid ceton (d\u1ea1ng t\u00e1c d\u1ee5ng nhanh).   <\/p>\n<h2 id=\"chong-chi-dinh-insulin\">    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Insulin   <\/h2>\n<p>    D\u1ecb \u1ee9ng v\u1edbi insulin b\u00f2 ho\u1eb7c insulin l\u1ee3n ho\u1eb7c v\u1edbi m\u1ed9t trong c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a ch\u1ebf ph\u1ea9m (metacresol, protamin, methyl &#8211; parahydroxybenzoat).   <\/p>\n<h2 id=\"than-trong-insulin\">    Th\u1eadn tr\u1ecdng Insulin   <\/h2>\n<p>    D\u00f9ng insulin ng\u01b0\u1eddi l\u00e0m kh\u00f3 ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1edbm b\u00e1o hi\u1ec7u    <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ha-duong-huyet\/\" target=\"_blank\" rel=\"noopener\">     h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft    <\/a>    ; ti\u00eam d\u01b0\u1edbi da ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 \u0111\u1ed9 s\u00e2u (ch\u1ecdc kim vu\u00f4ng g\u00f3c v\u1edbi m\u1eb7t da); lu\u00e2n chuy\u1ec3n ch\u1ed7 ti\u00eam; t\u1ea1i m\u1ed9t ch\u1ed7, c\u00e1c m\u0169i ti\u00eam ph\u1ea3i xa nhau;\u00a0ch\u1ec9 ti\u00eam d\u01b0\u1edbi da, ti\u00eam b\u1eafp ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch insulin t\u00e1c d\u1ee5ng nhanh trong c\u1ea5p c\u1ee9u; kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch insulin isophan; nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ph\u1ea3i theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ch\u1ec9nh li\u1ec1u; kh\u00f4ng d\u00f9ng insulin c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y mi\u1ec5n d\u1ecbch cho ph\u1ee5 n\u1eef mang thai.   <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-insulin\">    Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Insulin   <\/h2>\n<p>    <span style=\"color:#4B0082;\">     <em style=\"font-size: 13px; line-height: 1.6em;\">      C\u00e1ch d\u00f9ng     <\/em>    <\/span>    <span style=\"font-size: 13px; line-height: 1.6em;\">    : Li\u1ec7u ph\u00e1p insulin ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n trong giai \u0111o\u1ea1n \u0111\u1ea7u. Li\u1ec1u l\u01b0\u1ee3ng ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo k\u1ebft qu\u1ea3 gi\u00e1m s\u00e1t \u0111\u1ec1u \u0111\u1eb7n n\u1ed3ng \u0111\u1ed9 glucose &#8211; m\u00e1u. TCYTTG khuy\u1ebfn c\u00e1o n\u1ed3ng \u0111\u1ed9 glucose &#8211; m\u00e1u t\u0129nh m\u1ea1ch l\u00fac \u0111\u00f3i ph\u1ea3i gi\u1eef trong ph\u1ea1m vi 3,3 &#8211; 5,6 mmol\/l\u00edt (60 &#8211; 100 mg\/dL) v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ea5p d\u01b0\u1edbi 3 mmol\/l\u00edt. Insulin t\u00e1c d\u1ee5ng nhanh c\u00f3 th\u1ec3 ti\u00eam d\u01b0\u1edbi da, ti\u00eam b\u1eafp ho\u1eb7c ti\u00eam     <a href=\"http:\/\/vi.wikipedia.org\/wiki\/T%C4%A9nh_m%E1%BA%A1ch\" target=\"_blank\" rel=\"noopener\">      t\u0129nh m\u1ea1ch     <\/a>     (tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u). \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec, thu\u1ed1c \u0111\u01b0\u1ee3c ti\u00eam 15 &#8211; 30 ph\u00fat tr\u01b0\u1edbc b\u1eefa \u0103n. Insulin isophan kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch. Thu\u1ed1c c\u00f3 th\u1ec3 ti\u00eam 2 l\u1ea7n m\u1ed7i ng\u00e0y ph\u1ed1i h\u1ee3p v\u1edbi insulin t\u00e1c d\u1ee5ng nhanh; ho\u1eb7c ti\u00eam 1 l\u1ea7n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. Thu\u1ed1c c\u00f3 th\u1ec3 tr\u1ed9n v\u1edbi insulin t\u00e1c d\u1ee5ng nhanh trong c\u00f9ng 1 b\u01a1m ti\u00eam, ho\u1eb7c 2 lo\u1ea1i thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u1ed9n s\u1eb5n (insulin isophan hai pha).    <\/span>   <\/p>\n<p>    <em>     <span style=\"color:#4B0082;\">      Li\u1ec1u d\u00f9ng     <\/span>    :    <\/em>    \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 1, ti\u00eam d\u01b0\u1edbi da ng\u01b0\u1eddi l\u1edbn li\u1ec1u ban \u0111\u1ea7u 0,6 &#8211; 0,75 \u0111v\/kg\/ng\u00e0y chia l\u00e0m 3 l\u1ea7n. Trong tu\u1ea7n \u0111\u1ea7u, li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng t\u1edbi 1 \u0111v\/kg\/ng\u00e0y ho\u1eb7c c\u00f3 th\u1ec3 gi\u1ea3m t\u1edbi 0,1 &#8211; 0,5 \u0111v\/kg\/ng\u00e0y tu\u1ef3 theo n\u1ed3ng \u0111\u1ed9 glucose &#8211; m\u00e1u. V\u1edbi tuy\u1ebfn c\u01a1 s\u1edf, ch\u1ec9 n\u00ean d\u00f9ng li\u1ec1u th\u1ea5p (0,1 &#8211; 0,5 \u0111v\/kg\/ng\u00e0y).   <\/p>\n<p>    <strong>     H\u00f4n m\u00ea \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng:    <\/strong>    Chuy\u1ec3n b\u1ec7nh vi\u1ec7n.   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-insulin\">    T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Insulin   <\/h2>\n<p>    H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft; ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 (ban \u0111\u1ecf, ng\u1ee9a ch\u1ed7 ti\u00eam; ph\u00e1t tri\u1ec3n m\u00f4 m\u1ee1 \u1edf ch\u1ed7 ti\u00eam); n\u1ed5i m\u00e0y \u0111ay; ph\u00f9 m\u1ea1ch; ph\u1ea3n v\u1ec7; h\u1ea1 kali huy\u1ebft; teo m\u00f4 m\u1ee1 d\u01b0\u1edbi da ch\u1ed7 ti\u00eam.   <\/p>\n<p>    <em>     <span style=\"color:#4B0082;\">      X\u1eed tr\u00ed ADR     <\/span>    :    <\/em>    C\u00e1c ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 s\u1ebd t\u1ef1 h\u1ebft; ti\u00eam insulin tinh khi\u1ebft h\u01a1n ho\u1eb7c insulin ng\u01b0\u1eddi v\u00e0o ch\u1ed7 b\u1ecb teo (n\u1ebfu b\u1ecb teo m\u00f4 m\u1ee1); lu\u00e2n chuy\u1ec3n ch\u1ed7 ti\u00eam \u0111\u1ec3 tr\u00e1nh ph\u00e1t tri\u1ec3n m\u00f4 m\u1ee1; ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u s\u1edbm b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 \u0103n ho\u1eb7c u\u1ed1ng n\u01b0\u1edbc \u0111\u01b0\u1eddng khi b\u1eaft \u0111\u1ea7u th\u1ea5y tri\u1ec7u ch\u1ee9ng; kh\u00f4ng d\u00f9ng insulin c\u00f3 t\u00e1c d\u1ee5ng nhanh v\u00e0o bu\u1ed5i t\u1ed1i.   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-insulin\">    \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Insulin   <\/h2>\n<p>    B\u1ea3o qu\u1ea3n b\u1ed9t insulin trong l\u1ecd k\u00edn, tr\u00e1nh \u00e1nh s\u00e1ng, \u0111\u1ec3 \u1edf n\u01a1i nhi\u1ec7t \u0111\u1ed9 th\u1ea5p &#8211; 20    <sup>     o    <\/sup>    C \u0111\u1ebfn 8    <sup>     o    <\/sup>    C). Ch\u1ebf ph\u1ea9m \u0111\u1ec3 ti\u00eam ph\u1ea3i \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n trong t\u1ee7 l\u1ea1nh (2    <sup>     o    <\/sup>    C &#8211; 8    <sup>     o    <\/sup>    C), kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ec3 \u0111\u00f3ng b\u0103ng. Thu\u1ed1c \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n tr\u00ean 2 n\u0103m n\u1ebfu \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n \u0111\u00fang nh\u01b0 tr\u00ean. C\u00f3 th\u1ec3 526 18.7.2 Thu\u1ed1c u\u1ed1ng ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf nhi\u1ec7t \u0111\u1ed9 25    <sup>     o    <\/sup>    C trong 1 th\u00e1ng, \u1edf n\u01a1i m\u00e1t v\u00e0 kh\u00f4ng b\u1ecb chi\u1ebfu n\u1eafng. Ph\u1ea3i l\u1eafc nh\u1eb9 l\u1ecd thu\u1ed1c tr\u01b0\u1edbc khi r\u00fat thu\u1ed1c ra v\u00e0 n\u1ebfu l\u1ecd thu\u1ed1c \u0111\u1ec3 \u1edf t\u1ee7 l\u1ea1nh th\u00ec ph\u1ea3i \u0111\u01b0a v\u1ec1 nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng.   <\/p>\n<p>    <span style=\"font-size:20px;\">     <strong>      T\u00e0i li\u1ec7u tham kh\u1ea3o     <\/strong>    <\/span>   <\/p>\n<p>    <a href=\"http:\/\/nidqc.org.vn\/duocthu\/587\/\" target=\"_blank\" rel=\"noopener\">     http:\/\/nidqc.org.vn\/duocthu\/587\/    <\/a>   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Insulin. Insulin v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.Insulin v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.Hormon, thu\u1ed1c tr\u00e1nh th\u1ee5 thai.<\/p>\n","protected":false},"author":143,"featured_media":10709,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5385,5535,5607,5316,5384,5317],"tags":[],"series":[],"coauthors":[2170],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-22T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T19:43:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6253-thongtin-insulin-benh-tieu-duong.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"440\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/\",\"name\":\"Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6253-thongtin-insulin-benh-tieu-duong.jpg\",\"datePublished\":\"2013-12-22T10:00:00+00:00\",\"dateModified\":\"2024-03-16T19:43:52+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/6df2c4823301496b552873b34070404a\"},\"description\":\"Insulin - B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n kh\u00e1c\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6253-thongtin-insulin-benh-tieu-duong.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6253-thongtin-insulin-benh-tieu-duong.jpg\",\"width\":440,\"height\":330},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/insulin-benh-tieu-duong\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Insulin &#8211; 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