Tuje insulin mu shuga mellitus: katundu ndi mawonekedwe ogwiritsira ntchito

Masiku ano, njira yokhayo yochizira matenda amtundu 1 komanso gawo lina la mtundu wachiwiri wa matenda omwe amachepetsa maselo a B ndikukula kwa insulin. Koma ku Russia, kukhazikitsa insulini yoyendetsedwa nthawi zambiri kumachedwetsedwa, ndipo ngakhale kuli kwothandiza kwambiri, kumangokhala kwa madokotala ndi odwala. Izi zimachitika chifukwa chowonjezera kulemera kwa thupi, osati kufuna jakisoni, komanso kuopa kukulitsa hypoglycemia.

Chifukwa chake, mantha a hypoglycemia atha kukhala cholepheretsa kukhazikitsidwa kwa insulin, yomwe ingayambitse kuchotsedwa kwa mankhwalawa. Zonsezi zinali ngati maziko a chitukuko cha gulu lama insulini lopanda kusintha kosiyanasiyana tsiku lonse m'magulu osiyanasiyana odwala. Kukonzekera kwatsopano kwa insulini kumakhala ndi insulini yokhazikika, yayitali, popanda kuchititsa hypoglycemia.

Njira imodzi yothanirana ndi insulin Tojeo. Ichi ndi mankhwala obwera kumene opangidwa ndi kampani yaku France a Sanofi, omwe amapanganso insulin Lantus.

Katundu ndi phindu la mankhwala atsopano

Chidacho chapangidwira kuchiza matenda amtundu wa 1 ndi mtundu wa 2 wa odwala akulu. Kuchita kwa insulin kumatenga maola 24 mpaka 35. Imaperekedwa pansi pakhungu kamodzi patsiku.

Komanso, insulini imapezeka mu cholembera cha 450 IU cha insulin (IU), ndipo mlingo waukulu wa jakisoni imodzi ndi 80 IU. Ndondomekozi adakhazikitsidwa pambuyo pa maphunziro omwe anthu 6.5,000 odwala matenda ashuga adatenga nawo gawo. Chifukwa chake, cholembera chimakhala ndi 1.5 ml ya insulin, ndipo iyi ndi theka la cartridge.

Ubwino waukulu wa kuyimitsidwa ndikuti samathandizira pakukula kwa hypoglycemia. Popeza mankhwalawa amakupatsani mwayi wowongolera glycemia mwa odwala omwe ali ndi mtundu wachiwiri wa shuga poyerekeza ndi insulin Lantus. Chifukwa chake, ndemanga za odwala ambiri zokhudzana ndi mankhwalawa ndizabwino kwambiri.

Pokonzekera Tozheo, kuchuluka kwa insulin glargine kudapitilira katatu (mayunitsi 300 / ml), poyerekeza ndi ma insulin ena omwe ali ndi vuto lofananalo. Chifukwa chake, mulingo wa insulin uyenera kukhala wocheperako ndikuwerengedwa kwa wodwala aliyense payekhapayekha.

Chifukwa chake, zabwino zotsatirazi zimadziwikanso motere:

1. Zotsatira zazitali (zoposa maola 24).
2. Jakisoni imodzi imafunikira zinthu zochepa.
3. Amakulolani kuti muwunikire kuchuluka kwa glycemia kuzungulira koloko.

Komabe, ndikofunikira kudziwa kuti Toujeo sangathe kugwiritsidwa ntchito pochiza ana komanso matenda ashuga a ketoacidosis.

The zikuchokera ndi limagwirira zake ntchito

Tujeo adapangidwa ndi kampani yaku Germany ya Sanofi. Chofunikira chachikulu ndi insulin glargine, yomwe imayang'anira kuchuluka kwa mahomoni m'magazi. Njira yopanda khungu, yomveka bwino imayendetsedwa mosasamala.

Tujeo amapangidwa mwa cholembera syringe mu 1.5 ml ma cartridge. Dzina la zolembera ndi solostar, lomwe limapangidwa mu cartridge yapadera.

Mankhwala

Thupi limamasulidwa pang'onopang'ono, chifukwa chomwe pali nthawi yayitali yolamulira kuchuluka kwa shuga masana. Mankhwalawa ndi oyenera kuthandizira matenda a shuga a mtundu 1 ndi a 2.

Poyerekeza ndi lantus yoyambirira, tugjo imakhala ndi katatu yogwira ntchito, yomwe imakupatsirani wogawana mlingo, kukulitsa, kuchititsa njirayi kukhala yocheperako, komanso yopweteka. Ubwino wa mankhwalawa ndi mwayi wokhazikitsa insulin yayikulu mkati mwa maola atatu isanachitike komanso pambuyo pa nthawi yokhazikika ya jekeseni. Kutalikirana kwakanthawi kumakupatsani mwayi wopewa kudumphadumpha mwadzidzidzi mu hormone ngati sizingatheke kuti mupeze mankhwala mwachangu.

Tujeo Solostar a odwala matenda ashuga

Tchati chantchito

Tujeo 300 U / ml imayendetsedwa nthawi 1 patsiku, m'njira zina, makamaka nthawi imodzi. Kwa wodwala, kusintha kwa mankhwalawa ndikofunikira posintha moyo, zakudya, kulemera kwa thupi ndi machitidwe ena.

Zida zamankhwala a mitundu iwiri yamatenda:

Ndikofunikira kutsatira malamulo amachitidwe:

1. Singano yosalala iyenera kugwiritsidwa ntchito jekeseni iliyonse isanachitike.
2. Timaletsedwanso kuchotsa syringe ku cartridge.
3. Musanagwiritse ntchito mankhwala osokoneza bongo, kuyezetsa thupi kuyenera kuvomerezedwa.
4. Osaphatikiza inulin tujeo ndi mitundu ina ya mahomoni.
5. Pamaso pa njirayi, muyenera kuwerenga mosamala malangizo.

Ngati mukufunikira kusintha njira yochizira kuchokera ku insulin yapakatikati kupita ku mankhwala osokoneza bongo, ndiye kuti mukufunikira kukonza kwa mankhwalawa komanso kusintha kwa Mlingo, nthawi ya mankhwala.

Zofunika! Makamaka kuyang'anira kuchuluka kwa shuga ndikofunikira patsiku loyamba la kumwa mankhwala atsopano, komanso masabata awiri otsatira.

Zolemba ntchito

Pofuna kupewa zoyipa, ndikofunikira kuganizira zina za mankhwalawa amtundu woyamba ndi matenda 2:

1. Mbadwo wachikulire. Kusiyana kwina kwamankhwala kumakhalapo kwa okalamba. Anthu azaka zopitilira 65 ndi kupitilira ayenera kuyamba kulandira chithandizo chokhala ndi Mlingo wotsika pofuna kupewa zovuta mwadzidzidzi. Kuchuluka kwa mankhwalawa kumachedwa pang'ono kuposa m'mibadwo ina yonse. Makhalidwe a thupi la munthu wachikulire amatengedwa, ndipo kuphatikizidwa kwa glucose kumayang'aniridwa nthawi zonse.
2. Anthu onenepa kwambiri. Mankhwalawa ndi othandiza kwambiri ndipo palibe kusiyana pakati pa gulu la onenepa kwambiri.
3. Matenda aimpso. Poyesedwa pagulu la anthu omwe ali ndi vuto la impso, mankhwalawo adawonetsa chitetezo chachikulu. Pa chithandizo, ndikofunikira kuyang'anira mahomoni m'magazi ndikuganizira momwe thupi la wodwalayo lilili.
4. Zaka za ana. Palibe zambiri pa kugwiritsa ntchito mankhwalawa kwa ana.

Kuphatikiza pa Tujeo Solostar, mankhwala ena amakono apangidwa.

Levemir kusinthika

Mankhwala ena othandiza a hypoglycemic ndi levemir flexen, omwe amapezekanso ngati cholembera. Pakatikati mwa mankhwalawa ndi insulin. Kuchuluka kwakukulu pambuyo pa kayendetsedwe ka makonzedwe kumachitika pambuyo pa maola 14, mwina kamodzi kapena kawiri. Amagwiritsidwa ntchito mwa achikulire, ogwira mtima komanso otetezeka kwa ana azaka ziwiri.

Njira yamachitidwe

Zinthu zosungunuka zimakhala ndi basulin insulin yokhala ndi mbiri yaying'ono poyerekeza ndi insulin glargine. Kupangika kwa levemir flexen ndi ofanana ndi mahomoni amunthu.

Zofunikira zazikulu za levemir zimathawa

Insulin apidra

Analogue yamunthu yamunthu imakhala ndi insulin glulisin, koma imayamba kuwongolera njira za metabolic mwachangu. Mphamvu ya Hypoglycemic ya mankhwala imatha msanga poyerekeza ndi mnzake.

Kuzindikira kwakukulu kumafika patatha mphindi 15. Mankhwalawa amagwiritsidwa ntchito mwa ana a zaka 6 kapena kwa akulu omwe ali ndi matenda omwe amadalira insulin. Mlingo umatengera mtundu wamatenda, malinga ndi wodwala.

Contraindication zotheka ndi mavuto

Mankhwala atsopano a tujeo okhala ndi malire osatha amakhala ndi malire oti angagwiritse ntchito:

• thupi lawo siligwirizana
• Hypersensitivity ku magawo othandizira,
• wazaka 18
• Mimba ndi kuyamwa

Ntchito mosamala mu milandu yotsatirayi:

• odwala okalamba
• kulephera kwambiri kwaimpso,
• kusokonezeka kwa endocrine dongosolo (hypothyroidism ndi zina pathologies).

Zina mwazotsatira zake ndi izi:

1. Lipodystrophy, yomwe imathandizira kupewa kusintha pafupipafupi m'malo a jakisoni.
2. Kutsika kwakanthawi kwakanthawi kwamawonekedwe a odwala.
3. Thupi lawo siligwirizana pakhungu, kuyabwa, ming'oma pamalo a jekeseni.
4. Hypoglycemia ndi njira yofala kwambiri yamatenda a endocrine system, amapezeka kuti mlingo wa mankhwalawo utaperekedwa.

Malangizo! Monga kukonzekera kwina kwa insulin, mankhwalawo amayenera kusungidwa bwino. Moyo wa alumali ndi zaka 2,5.

Mankhwalawa ndiye mndandanda wofunikira kwambiri wa insulin ya anthu. Chuma chofunikira kwambiri cha insulin glargine ndikuyang'anira kagayidwe ka shuga mwa anthu omwe ali ndi matenda a endocrine system. Njira ya mankhwala, monga kusintha kwa mankhwalawa, imangoyambira pokhapokha katswiri atamufotokozera.