\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2: B\u1ec7nh th\u01b0\u1eddng xu\u1ea5t hi\u00ean \u1edf tu\u1ed5i tr\u00ean 40, \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng t\u0103ng ti\u1ebft insulin v\u00e0 kh\u00e1ng insulin v\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 ngo\u1ea1i c\u1ea3nh nhi\u1ec1u h\u01a1n nh\u01b0 b\u00e9o ph\u00ec, l\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng, \u0103n nhi\u1ec1u \u0111\u01b0\u1eddng, ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a… M\u1eb7c d\u00f9 t\u1ebf b\u00e0o \u03b2 \u0111\u1ea3o t\u1ee5y v\u1eabn ti\u1ebft insulin, th\u1eadm ch\u00ed c\u00f2n nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng nh\u01b0ng glucose v\u1eabn kh\u00f3 v\u00e0o \u0111\u01b0\u1ee3c t\u1ebf b\u00e0o, kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c nhu c\u1ea7u t\u1ebf b\u00e0o. Th\u01b0\u1eddng ng\u01b0\u1eddi ta s\u1ebd ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t v\u00e0 khi kh\u00f4ng th\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u01a1n thu\u1ea7n n\u1eefa, l\u00fac n\u00e0y b\u1ec7nh nh\u00e2n m\u1edbi chuy\u1ec3n sang d\u00f9ng insulin.<\/li>\n<\/ul>\nTr\u01b0\u1eddng h\u1ee3p kh\u00e1c nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u00ec, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y d\u00f9 l\u00e0 type n\u00e0o th\u00ec b\u1ec7nh nh\u00e2n v\u1eabn s\u1ebd ch\u1ec9 s\u1eed d\u1ee5ng insulin do s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c th\u00f4ng th\u01b0\u1eddng c\u00f3 nguy c\u01a1 g\u00e2y \u0111\u1ed9c t\u00ednh cho thai nhi (insulin kh\u00f4ng qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o nhau thai n\u00ean kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi).<\/p>\n
C\u00f4ng d\u1ee5ng \u2013 Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c\u00a0NovoMix<\/h2>\n
Thu\u1ed1c NovoMix c\u00f3 c\u00f4ng d\u1ee5ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft cao.<\/p>\n
Thu\u1ed1c NovoMix \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u01a1n thu\u1ea7n k\u1ebft h\u1ee3p ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3.<\/p>\n
C\u00e1ch d\u00f9ng \u2013 Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c\u00a0NovoMix<\/h2>\n
C\u00e1ch d\u00f9ng<\/p>\n
D\u1ea1ng d\u00f9ng l\u00e0 b\u00fat ti\u00eam d\u01b0\u1edbi da.<\/p>\n
Li\u1ec1u d\u00f9ng<\/p>\n
Ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c t\u1ea1i b\u1ec7nh vi\u1ec7n. Li\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n. N\u1ed3ng \u0111\u1ed9 glucose m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ecbnh l\u01b0\u1ee3ng th\u01b0\u1eddng xuy\u00ean. Li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u00f3 th\u1ec3 l\u00e0 \u00a020 U\/ng\u00e0y r\u1ed3i t\u0103ng d\u1ea7n th\u00eam 2 U\/ng\u00e0y \u0111\u1ebfn khi \u0111\u1ea1t m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft mong mu\u1ed1n. N\u1ebfu qu\u00e1 30 U\/ng\u00e0y th\u00ec th\u01b0\u1eddng li\u1ec1u s\u1ebd \u0111\u01b0\u1ee3c chia l\u00e0m 2 l\u1ea7n\/ng\u00e0y v\u1edbi t\u1ec9 l\u1ec7 50\/50.<\/p>\n
M\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i mong mu\u1ed1n (m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb) l\u00e0 4.4 \u2013 6.1 mmol\/L (80 \u2013 110 mg\/dL)<\/p>\n
L\u01b0u \u00fd: Li\u1ec1u d\u00f9ng \u1edf tr\u00ean ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o. B\u1ec7nh nh\u00e2n c\u1ea7n tu\u1ea7n th\u1ee7 tuy\u1ec7t \u0111\u1ed1i ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n
T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c\u00a0NovoMix<\/h2>\n
H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft qu\u00e1 m\u1ee9c.<\/p>\n
Lo\u1ea1n d\u01b0\u1ee1ng m\u1ee1 \u1edf v\u1ecb tr\u00ed ti\u00eam. Kh\u1eafc ph\u1ee5c: thay \u0111\u1ed5i v\u1ecb tr\u00ed ti\u00eam th\u01b0\u1eddng xuy\u00ean.<\/p>\n
Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng t\u1ea1i ch\u1ed7: m\u00e0y \u0111ay, ban \u0111\u1ecf, ng\u1ee9a, ph\u00e1t ban…<\/p>\n
Ph\u00f9.<\/p>\n
R\u1ed1i lo\u1ea1n kh\u00fac x\u1ea1 m\u1eaft, b\u1ec7nh v\u00f5ng m\u1ea1c.<\/p>\n
C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 kh\u00e1ng insulin. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n ch\u1ec9nh li\u1ec1u cho b\u1ec7nh nh\u00e2n.<\/p>\n
B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean hi\u1ebfm g\u1eb7p.<\/p>\n
S\u1ed1c ph\u1ea3n v\u1ec7 r\u1ea5t hi\u1ebfm g\u1eb7p.<\/p>\n
Tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu g\u1eb7p b\u1ea5t k\u00ec t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u00e0o.<\/p>\n
Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c\u00a0NovoMix<\/h2>\n
Qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi insulin aspart ho\u1eb7c b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n
Ch\u00fa \u00fd \u2013 Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c\u00a0NovoMix<\/h2>\n
Th\u1eadn tr\u1ecdng v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i khi ph\u1ed1i h\u1ee3p insulin v\u1edbi thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng kh\u00e1c.<\/p>\n
Th\u1eadn tr\u1ecdng v\u1edbi b\u1ec7nh nh\u00e2n suy gan, th\u1eadn: c\u00f3 th\u1ec3 ph\u1ea3i gi\u1ea3m li\u1ec1u.<\/p>\n
Th\u1eadn tr\u1ecdng v\u1edbi tr\u1ebb em d\u01b0\u1edbi 9 tu\u1ed5i do c\u00f3 \u00edt th\u00f4ng tin v\u1ec1 d\u1eef li\u1ec7u l\u00e2m s\u00e0ng.<\/p>\n
N\u1ebfu b\u1eaft bu\u1ed9c ph\u1ea3i s\u1eed d\u1ee5ng, n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/p>\n
L\u01b0u \u00fd khi s\u1eed d\u1ee5ng chung v\u1edbi thu\u1ed1c kh\u00e1c<\/h2>\n
Thiazolidinediones: nguy c\u01a1 suy tim sung huy\u1ebft.<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng (metformin, glibenclamide…), thu\u1ed1c ch\u1eb9n \u03b2-adrenergic, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACEIs), thu\u1ed1c \u1ee9c ch\u1ebf monoamin oxydase (IMAO), acid salicylic, sulfamide kh\u00e1ng khu\u1ea9n, anabolic steroid: gi\u1ea3m nhu c\u1ea7u s\u1eed d\u1ee5ng insulin c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n
Thu\u1ed1c ch\u1eb9n \u03b2-adrenergic (propanolol, acebutolol…): che l\u1ea5p tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n
Thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng, c\u00e1c glucocorticoid, l\u1ee3i ti\u1ec3u thiazide, thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m…: t\u0103ng nhu c\u1ea7u s\u1eed d\u1ee5ng insulin c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n
Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng.<\/p>\n
Qu\u00e1 li\u1ec1u thu\u1ed1c NovoMix, qu\u00ean li\u1ec1u v\u00e0 c\u00e1ch x\u1eed tr\u00ed<\/h2>\n
N\u1ebfu qu\u00e1 li\u1ec1u s\u1ebd c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft nh\u01b0 ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, run, v\u00e3 m\u1ed3 h\u00f4i, tim \u0111\u1eadp nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, da t\u00e1i, ng\u01b0ng d\u00f9ng thu\u1ed1c ngay l\u1eadp t\u1ee9c v\u00e0 \u0111\u01b0a b\u1ec7nh nh\u00e2n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n
N\u1ebfu qu\u00ean li\u1ec1u, b\u1ec7nh nh\u00e2n n\u00ean ti\u00eam thu\u1ed1c c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. Tuy nhi\u00ean n\u1ebfu \u0111\u00e3 \u0111\u1ebfn g\u1ea7n li\u1ec1u ti\u1ebfp theo, n\u00ean b\u1ecf qua li\u1ec1u \u0111\u00f3 v\u00e0 ti\u00eam li\u1ec1u ti\u1ebfp theo nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00fd ti\u00eam b\u00f9 thu\u1ed1c c\u1ee7a li\u1ec1u tr\u01b0\u1edbc v\u00e0o li\u1ec1u sau d\u1ec5 d\u1eabn \u0111\u1ebfn qu\u00e1 li\u1ec1u.<\/p>\n
Tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ph\u00f9 h\u1ee3p.<\/p>\n","protected":false},"excerpt":{"rendered":"
Trong b\u00e0i vi\u1ebft n\u00e0y,\u00a0nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng\u00a0gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c\u00a0NovoMix\u00a0\u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Novo Nordisk A\/S, Novo All\u00e9, DK-2880 Bagsv\u00e6rd, \u0110an M\u1ea1chMalaysia c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 th\u00f4ng tin chi ti\u1ebft c\u1ee7a s\u1ea3n ph\u1ea9m. NovoMix l\u00e0 thu\u1ed1c g\u00ec? Ho\u1ea1t ch\u1ea5t ch\u00ednh trong b\u00fat ti\u00eam\u00a0thu\u1ed1c\u00a0NovoMix:\u00a0 […]\n","protected":false},"author":1,"featured_media":75751,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-12324","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product\/12324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/comments?post=12324"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media\/75751"}],"wp:attachment":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media?parent=12324"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_cat?post=12324"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_tag?post=12324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}