Insulin Lantus: ndemanga ya mankhwala omwe akhala akuchita kwa nthawi yayitali

Uthenga Alic » 19.05.2005, 7:45

Uthenga Irina » 19.05.2005, 7:52

Uthenga Sergey B. » 19.05.2005, 8:01

Uthenga Sergey B. » 19.05.2005, 8:07

Uthenga Irina » 19.05.2005, 8:14

Uthenga Yum » 19.05.2005, 8:56

Uthenga Irina » 19.05.2005, 9:15

Uthenga Elena » 19.05.2005, 9:42

Pali mbali ziwiri zavuto lantus:
1) kuthekera kwa kulipidwa
2) zochita za thupi komanso zotsatira zazitali

Pa mfundo yoyamba - palibe zodandaula! Chilichonse ndichabwino. Kwenikweni! M'masabata awiri oyamba osinthira ku Lantus, mlingo wanga wa humalogue udagwa kwambiri - Lantus adapilira. Kenako kufunikira kwa humalogue kunabwereranso ku gawo lake lakale. Lantus anatero m'mawa. Kufunika kwakusintha kwa mankhwalawa kunayang'ananso shuga a usiku. M'malo mwake, zamasamba usiku ndi m'mawa. Mlingo wa chaka ndi theka wogwiritsa ntchito Lantus amasambira - ndi matalikidwe a miyezi 1.5-2. Mpandawo unadzakhala wambiri, thupi limawoneka kuti ladzaza ndi insulin iyi, ndiye pang'ono. Ndinakondwera ndi chipepeso! Pazaka 25 zapitazi za matenda ashuga, sindinakhalepo ndimisempha yosalala monga lantus.

Koma pa mfundo yachiwiri. Aliyense amakhudzidwa mosiyanasiyana ndi lantus. Ndili ndi anzanga komanso zovuta, komanso wodziwa zambiri, koma ndimalingalira bwino. Ndipo sasiya. Koma pali ena - omwe ali ndi mavuto omwe amayanjana ndi lantus. Ndipo opaleshoni yanga ili kale ndi odwala pafupifupi 40 omwe ali ndi patsogolo mu fundus atasinthira ku lantus. Odwala awa ndi osiyana kwambiri potengera kutalika kwa ntchito ndi mulipidwe. Ine.e. kubweretsa neovascularization ku chindapusa chokhazikika pa lantus - sichikugwira ntchito. Chifukwa pali anthu komanso kubwezera zabwino pamaso pa lantus. Glyc. Hemoglobin sanagwe kwambiri, ndipo kupita patsogolo kwa retiroopathy kunayamba.

Ndine wokondwa kuti ndasiya Lantus. Ngakhale sizinali zophweka - kutaya zinthu zomwe amapereka. Nditakana lantus, pakuumirira kwa dokotala wamaso, ndinazindikira kuti "mwadzidzidzi" zizindikiro zina zinasowa zomwe zimandizunza kwa zaka 1.5 - nthawi yonse yomwe ndimagwiritsa ntchito lantus. Kusintha kwakuthwa mthupi (atachotsa) kunatsimikizira kuti lantus siophweka monga momwe ikuwonekera.

Kutengera kulumikizana kwanga zachisoni ndi Lantus, sindikadamasulira mwana wanga mu Lantus, ngakhale panali shuga wokoma bwanji. Lolani Aventis amalize mayeso abwinobwino azachipatala, kufalitsa zotsatira, ndiye kuti mutha kuziganizira.

Izi ndi zochuluka kuchokera ku lipoti la WHO Lantus lofalitsidwa mu 2003.
(Padzakhala nthawi - ndiziwamasulira.)
Mtundu wa Chingerezi ukufalitsidwa pano.
Ndikukhumudwitsa kuti kulengeza kolimba kwamphamvu m'dziko lathu lino kunayambitsidwa ndi mayeso azachipatala okwanira 28-52 okha. "Mkulu" mayesedwe otere amayenera kuchitika pasanathe zaka zisanu.

Zonse zokhudza insulin ya tsiku ndi tsiku Lantus Solostar |

“Lantus Solostar - okonzekera insulin analogue wokonzekera wochizira odwala omwe ali ndi matenda a shuga. Mankhwala Lantus Solostar amadziwika ndi kuphweka kwa kukwaniritsa zolinga zamankhwala popanda chiopsezo chachikulu cha matenda a hypoglycemic ”...

Pafupifupi zambiri zoterezi zitha kuwerengedwa za insulin glargine (Lantus) pofotokozera kuchokera kwa omwe akupanga.

Popeza subcutaneous makonzedwe oyenera a mankhwalawa kwa wodwalayo amathandizira kukhala woyambira glycemia pamlingo wokwanira kwa maola 24 athunthu, kumwa kamodzi patsiku ndikokwanira.

Insulin Lantus imaperekedwa kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin, ndipo mu nkhani iyi sitikungolankhula za mtundu woyamba wamatenda - mitundu yambiri yachiwiri ndi "kumwalira" kapena "kufa" kapamba kuphatikizira kukonzekera kwa piritsi kapena ma insulin / ma plug aifupi. Novoparid, Humalog, Apidra) munthawi zina.

About insulin Lantus mwachidule ..

Lantus insulin glargine imapezeka kuchokera ku Escherichia coli DNA mwa kukonzanso. Popeza makina omangirira glargine kupita ku insulin receptors ali ofanana ndi a insulin yaumunthu, zotsatira zake zonse zachilengedwe zimachitika mwanjira imeneyi.

Kamodzi mu subcutaneous mafuta, insulin glargine imapanga microprecipitate, chifukwa chomwe ochepa mankhwala amalowa m'magazi. Zonsezi zimathandiza kutsimikizira kusalala (popanda zochitika za peap ndi hypoglycemia), ndipo koposa zonse - mbiri yolosera zam'tsogolo.

Kodi lantus imayamwa pa mlingo uti?

Nthawi ya tsiku ndi mlingo wa Lantus ayenera kusankhidwa ndi adokotala (endocrinologist) pa nthawi yochita. Nthawi zambiri, mankhwalawa amalembedwera nthawi yamadzulo (nthawi yomweyo tsiku lililonse), mlingo woyambira ndi wosiyana ndipo ungakhale wa 8, 10, 12, etc.

Kukhazikitsa mofulumira kuchuluka kwa insulin glargine, monga kukonzekera kwina konse kwa insulin, ndizowopsa pokhudzana ndi kukula kwa hypoglycemia.

Kukhazikika kwa glargine pambuyo pa jekeseni wa subcutaneous kumadziwika pambuyo pa mphindi 60, nthawi yayitali yochita, monga tafotokozera kale, ndi maola 24, komabe, mankhwalawa amatha kukhala ndi maola pafupifupi 29, kutengera mlingo womwe waperekedwa ndi magawo ena.

Mankhwala ofanana a insulin glargine analogue, Toujeo SoloStar, amathandizidwanso kamodzi patsiku, ngakhale atakhala nthawi yayitali (mpaka maola 36).

Kapangidwe kameneka ndi glargine yemweyo, koma owonjezereka - 300 IU / ml. Kodi ndikofunika kusintha kusinthasintha kwa insulin, komanso momwe mungachitire ngati kuli koyenera, kuwerengedwa kuchokera m'nkhaniyi.

Kulongosola kofananira kwa kukonzekera Lantus ndi Tujeo Solostar kumaperekedwanso kumeneko.

Mankhwala Lantus Solostar ayenera kuyambitsidwa ndi mafuta ochulukirapo, pomwe gawo la ntchafu ndi phewa kapena pamimba ndizoyenera. Kuchokera pamimba, kunyowa kumachitika mofulumira kuposa kuchokera kumapewa, komanso makamaka kuyambira m'chiuno kapena matako. Ngati simukudziwa momwe mungabayire insulin molondola, werengani nkhani ya dzina lomweli pamalowo.

Malo omwe amafunikira jakisoni wotsekemera ayenera kusinthidwa kuti ateteze kukula kwa lipodystrophy. Ndi zoletsedwa kupaka insulin Lantus m'mitsempha, chifukwa izi zingayambitse kukula kwa hypoglycemia.

Mankhwala a Lantus Solostar insulin amatha kuphatikizidwa ndi mapiritsi am'mlomo a hypoglycemic kapena insulin yofulumira, kutengera momwe zinthu zilili.

Ngati endocrinologist yaganiza zosintha kuchoka ku chizolowezi chokhazikika cha insulin kupita ku Lantus, poyamba zingakhale zovuta kusintha insulin tsiku ndi tsiku. Nthawi zina, mumayenera kusintha masinthidwe a mapiritsi ochepetsa shuga.

Nthawi zambiri, adotolo amachepetsa insulin ya 20-30% ya mankhwala oyamba kuchokera ku isophan-insulin, yomwe imayenera kuperekedwa kawiri pa tsiku. Chifukwa chake, kuthekera kotheka kwa hypoglycemic m'mawa kapena usiku kumapewetsedwa. Nthawi yomweyo, Mlingo wa insulin womwe umathanso kusinthidwa (ukuwonjezeredwa kuti ukhale malipiro).

Kulemba kuchuluka kwa Lantus m'masiku oyamba osamutsira wodwala kuchokera ku insulin yokhazikika kungakhale koopsa. Popeza odwala oterewa, makamaka ngati alandira kuchuluka kwa insulin yayikulu, amakhala ndi ma antibodies ku insulin m'magazi awo, kusamutsira ku mtundu wofanana wa Lantus kungayambitse kwambiri hypoglycemia chifukwa chowonjezeka pakuyankha kwa thupi ku insulin.

Ichi ndichifukwa chake madokotala amafuna odwala awo m'masiku 10 mpaka 14 asamutsidwe ku Lantus kuti apeze kuchuluka kwamayeso am'magazi a glucose mita ndikuwonetsetsa shuga yawo ndi diary yoyenera. Zikatero, endocrinologist amasintha mtundu wa mankhwalawo.

Zotsatira zoyipa komanso zovuta kuchokera pakukhazikitsidwa kwa Lantus ndizofanana ndi zina mwa kukonzekera kwa insulin, koma ndizochepa.

Zovuta za insulin mankhwala zimafotokozedwa mwatsatanetsatane mu nkhani ya "Mavuto a insulin therapy".

Choyambitsa chachikulu ndi hypoglycemia, kukulira komwe kungapeweke poyambira kulandira mankhwala ochepa Mlingo wowonjezera pang'onopang'ono mu chiwerengero chofunikira cha tsiku lililonse.

Ndani sayenera kugwiritsa ntchito Lantus?

Ana ochepera zaka zisanu ndi chimodzi omwe ali ndi matenda a shuga samalimbikitsidwa kuti apereke Lantus Solostar, popeza maphunziro apamwamba pankhani iyi sanachitidwe.

Lantus sayeneranso kutumizidwa kwa odwala omwe ali ndi insulin sensitivity glargine, komanso zilizonse zothandizira za mankhwala (glycerol, zinc chloride, sodium hydroxide, m-cresol, hydrochloric acid.

Pa nthawi yoyembekezera, Lantus siivomerezeka. Amayi oyembekezera omwe ali ndi matenda ashuga, komanso odwala matendawa, ndikofunikira kugwiritsa ntchito analog ina ya insulin yayitali - mankhwala Levemir.

Ngati mukufuna kuphunzira zambiri za Levemir, komanso za kuphatikiza koyenera kwambiri kwa amayi omwe ali ndi matenda ashuga omwe ali mumkhalidwewo, ingolembetsani zosintha apa, popeza zatsopano pankhaniyi zikuyembekezeka kumasulidwa posachedwa.

Sungani insulin yosakonzekeretsa Lantus m'malo a mdima pamtunda wa 2-8 digiri Celsius, makamaka mufiriji. Palibe chifukwa sayenera kuzizira.

Palibe chifukwa chogwirizira cholembera chomwe chikugwiritsidwa ntchito mufiriji tsopano; kwa mwezi umodzi mutha kuchisunga pamalo otentha kwambiri pamalo otetezedwa ndi dzuwa. Zoyenera, mu chipinda chotseka ndi chitseko chotsekedwa.

Munkhani yakuti "Momwe mungasungire insulini?" Tinalemba mwatsatanetsatane za momwe angasungidwire insulin.

Mapeto ake, onani malangizo apakanema pa mutu wamomwe mungagwiritsire ntchito ndikupereka mankhwala a Lantus Solostar:

Malangizo ogwiritsira ntchito insulin Lantus

Lantus ndi mankhwala omwe amagwira ntchito kwa nthawi yayitali (omwe amakhala) omwe amathandizira kukhala ndi insulin yayitali kwa odwala omwe ali ndi matenda ashuga. Insulin (maziko) ya insulini mwa munthu wathanzi imatulutsa kapamba. Lantus ndizofanizira za insulin yaumunthu yomwe imatsanulira secretion yachilengedwe ya kapamba.

• Lantus: mawonekedwe omasulidwa
• Lantus: malangizo ogwiritsira ntchito
• Lantus: syringe cholembera - mikhalidwe ntchito ndi yosungirako
• Lantus: ndemanga

Lantus: mawonekedwe omasulidwa

Lantus - Insulinyomwe imatulutsidwa mu mawonekedwe a yankho la subcutaneous makonzedwe.

Mayina apadziko lonse: insulin glargine.

Mankhwalawa adapangidwa ndi Sanofi-Aventis. Wopezeka mumawonekedwe a cartridgeges a OptiSet, zolembera za sytige OptiKlik ndi zolembera za OptiSet ndi SoloStar.

Mankhwala okhala ndi mayina osiyanasiyana azamalonda samasiyana pakapangidwe kazinthu zomwe zimagwira, mankhwala, Zizindikiro zachipatala ndi zotsutsana.

Ku Russia, Lantus SoloStar ndi wofala. Opanga - nthambi yaku Germany ya kampani Sanofi (Sanofi-Aventis Deutschland), yomwe ili ku Frankfurt pa Main ndi ZAO "Sanofi-Aventis Vostok" ochokera ku Russia (Oryol Oblast).

1 ml ya LantusSoloStar yankho lili ndi 3.638 mg (100 PIECES) ya insulin glargine ndi zigawo zothandizira: 2.7 mg wa metacresol, 20 mg wa glycerol, 30 μg ya zinc, sodium hydroxide ndi hydrochloric acid - mpaka pH 4.0, madzi a jakisoni.

Pharmacodynamics ndi pharmacokinetics

Lantus insulin imapangidwa ndi mainjiniering ndikusintha kwa DNA ya Escherichia coli bacteria (strain K12). Kuwonongeka kwathunthu kwa glargine pakukonzekera kwa Lantus kumaperekedwa ndi chilengedwe acidic yankho (pH 4.0).

Pogwiritsa ntchito mankhwalawa pansi pa khungu, microprecipitate (microparticles ya maselo okhalapo mozungulira insulin) amapangidwa, omwe pang'onopang'ono amatulutsa glargine pang'ono. Kuphatikiza kwakukulu m'magazi kumafika pambuyo pa ola limodzi ndipo kumasungidwa nthawi zonse kuchokera maola 24 mpaka 29. Palibe choponderezedwa.

Ndende yolingana, ndi jakisoni wamkati imodzi masana, imatheka patsiku lachitatu kapena lachinayi.

Zizindikiro zakuchipatala

Mankhwalawa amalembera shuga, yomwe imafunikira chithandizo ndi insulin. Lantus SoloStar imagwiritsidwa ntchito kwa achikulire, achinyamata ndi ana mpaka zaka ziwiri. Malinga ndi zikuwonetsa pachipatala, Lantus amagwiritsidwa ntchito pa nthawi yobereka komanso pakubala.

Kugwiritsa ntchito ndi kugwiritsa ntchito mankhwala Lantus SoloStar ana kuyambira 2 mpaka 6 zaka zatsimikiziridwa. Mu shuga mellitus wa mtundu woyamba, mbiri ya kuchuluka kwa glargine asanafike jakisoni wotsatira ikufanana ndi mbiri ya akulu.

Ndi kugwiritsidwa ntchito kosalekeza kwa Lantus, kudziunjikira kwa glargine ndi ma metabolites ake kunalibe ana, komanso akuluakulu. Zovuta za hypoglycemia zinali zochepa poyerekeza ndi isofan insulin.

Pafupifupi pamakhala milandu 25 wodwala m'modzi pachaka chifukwa cha insulin glargine ndi milandu 33 mukamagwiritsa ntchito insulin isofan.

Pa nthawi yoyembekezera komanso pambuyo pa Lantus ntchito pansi glycemic. Munthawi imeneyi, pali kusintha kwa kufunikira kwa mankhwalawa. Ndikofunikira kusintha mlingo woyang'aniridwa ndi endocrinologist.

Lantus amagwiritsidwa ntchito pa mtundu 1 ndi matenda ashuga 2.

Lantus: mlingo

Mlingo ndi nthawi ya kukhazikitsidwa kwa mankhwalawa amasankhidwa payekha. Kuchuluka kwa insulin glargine kumadalira mtundu wa matenda ashuga, kutalika kwa matendawo, kulemera kwa wodwalayo, dongosolo lazakudya, zolimbitsa thupi, ndi zina zambiri.

Odwala omwe ali ndi matenda a shuga 1, kuchuluka kwa insulin nthawi zambiri kumakhala 40-60% ya kuchuluka kwa insulin yayitali komanso yochepa.

Odwala odwala matenda ashuga mtundu wachiwiri, muyeso wa insulin glargine womwe ndi mankhwala osaposa 10, kenako osinthidwa motsogozedwa ndi shuga.

Mukasamutsa insulin isofan kupita ku insulin glargine, mlingo wa Lantus umachepetsedwa ndi 20% kuti muchepetse kupezeka kwa hypoglycemia.

Zotsatira zoyipa ndi zovuta

Zotsatira zoyipa kwambiri insulin glargine ndi hypoglycemia - kuchepa kwa shuga m'magazi a wodwala kumakhala kotsika kuposa 3 mmol / l.

Itha kuchitika ndi insulin yayikulu kwambiri, ndikudya mopepuka komanso kuchita masewera olimbitsa thupi kwambiri. Imayandikira mosavutikira, koma imatha kuyamba ndi vuto la kuda, nkhawa.

Pakuyandikira kwa hypoglycemia akuti:

1. Thukuta lozizira.
2. Kukongola kwa khungu.
3. Kupweteka kwapafupipafupi komanso kwakanthawi.
4. Kugona.
5. Kutentha.
6. Mutu wotsatira ndi zosokoneza.

Kubwereza pafupipafupi kuzunza kwambiri kwa hypoglycemia kumabweretsa kuwonongeka kwamitsempha yamagetsi komanso kukulitsa kuchepa kwa masomphenya. Hypoglycemic coma imatha kupha.

Odwala Atsitsi la Hypoglycemic Oyenera Kukhala Ndi syringe ya glucogon.

Cholembera cha insulin chochepa, mapiritsi a shuga, kapena ma cubes ochepa a shuga ayenera kukhala pafupi.

Ndi isanayambike zizindikiro za hypoglycemia, muyenera kumwa mapiritsi ochepa a shuga, idyani ma shuga angapo kapena kumwa pang'ono pang'ono. Kenako muyenera kuyezetsa magazi a shuga ndi mayendedwe kusintha kwina poganizira zomwe mwalandira.

Thupi lawo siligwirizana pa Lantus ndizosowa (mu 0.01-0.1% ya odwala). Komabe, kukulira kwa matupi a edema, bronchospasm kapena kugwedezeka kumawopseza moyo wa wodwala.

Kuyipa kwina kuli konse lipodystrophy (mu 1-2% ya odwala). Lipodystrophy ndi njira yamatenda a adipose pamalo opangira jakisoni.

Amayamba ndi makonzedwe pafupipafupi a nthawi yomweyo. Imachepetsa mayamwidwe a insulin, imakulitsa njira ya matenda ashuga.

Kugwiritsa ntchito kusintha kwa jekeseni pafupipafupi kumachepetsa kuopsa kwa mbali iyi kapena kulepheretsanso kuchitika.

Zochita Zamankhwala

Kupititsa patsogolo hypoglycemic zotsatira ndi kuchuluka makonzedwe a kukula kwa hypoglycemia:

• sodium mankhwala ndi salicylates,
• mafupa
• disopyramids
• propoxyphene
• fluoxetine
• m`kamwa hypoglycemic mankhwala.

Walephera hypoglycemic zotsatira za insulin:

• glucagon,
• progestogens ndi estrogens,
• okodzetsa
• glucocorticosteroids,
• mahomoni a chithokomiro,
• adrenaline
• atypical antipsychotic.

Kufunsira matenda apadera ndi matenda osachiritsika

Mankhwala Lantus ntchito mimba ndi mkaka wa m`mawere.

Zotsatira za mankhwala Lantus pa nthawi ya pakati akufotokozedwanso mwa kukonzanso kwa thupi la mzimayi ndikusintha kwa mahomoni ambiri.

Kupenyerera komwe kumachitika pathupi sikunasonyeze kuyipa kwa insulin pamikhalidwe ya mwana wosabadwayo, ntchito, komanso thanzi la mwana wakhanda.

Kufunika kwa insulin amachepetsa mu trimester yoyamba ya kutenga pakati ndikuwonjezeka pang'ono lachiwiri ndi lachitatu. Mlingo wa mankhwala uyenera kusinthidwa. Pambuyo pobadwa, kufunika kwa insulin kumachepa kwambiri ndipo hypoglycemia imatha kukhazikika. Kuyang the ana kwambiri pa nthawi ya matenda ashuga pakatha nthawi yayitali komanso mtsogolo ndikofunikira.

Kufunika kwa insulini kumatha kuchepa odwala okalamba chifukwa cha kuwonongeka kwa impso.

Ndi kulephera kwa chiwindi, chifukwa chakuchepa kwa biotransformation, kufunika kwa insulin kumachepetsedwa.

M'matenda owopsa kasamalidwe koyenera shuga wamagazi ndikuwunika kwa kukhalapo kwa acetone mu mkodzo.

Odwala omwe amagwiritsa ntchito mankhwala a hypoglycemic ayenera kutsatira zakudya, azitha kuwerengera kuchuluka kwa chakudya m'thupi, kudziwa kuchuluka kwa insulin komanso kumvetsetsa zomwe zingayambitse matenda a hypoglycemia.

Lantus: syringe cholembera - mikhalidwe ntchito ndi yosungirako

Mankhwalawa ayenera kusungidwa mufiriji, koma kutali ndi mufiriji. Kutentha kosungira - 4-8 ° C. Cholembera chimbiricho chimasungidwa kutentha kwa ola limodzi musanagwiritse ntchito, ndipo chikagwiritsidwa ntchito chimasungidwa kunja kwa firiji, koma osayatsidwa mwachindunji ndi dzuwa osati pafupi ndi zida zamagetsi.

Alumali moyo wa 3 zaka.

Chogwirizira cha SoloStar ndichotaya ndipo sichingagwiritsidwenso ntchito.

Singano zosalala zomwe zimagwirizana ndi cholembera cha SoloStar zimasinthidwa jakisoni iliyonse ya insulin, ndikuichotsa ndikuitaya.

Kukambirana kwa mankhwala Lantus mu zolembedwa za amayi

Mukutanthauza insulin? Ndili watsopano. Sindinayang'ane china chilichonse padera, ndinapita kuchipatala cha eco ndipo ndinawauza endocrinologist wanga kuti ndikufuna kutenga pakati. Simuyenera kuchita kunena za eco kwa a endocrinologist, koma ndidamuwuza, adachitanso zomwezo. Palinso akatswiri omwe amapezeka ku chipatala cha eco, dokotala wakuthandizirani akukuthandizani kudziwa za endocrinologist, koma sizokwanira, amangoyang'ana mayeso. Malonjezo ochokera kwa endocrinologist omwe mudawerengedwa ndiofunikira. Koma inu mumapereka hemoglobin wa glycated, wanu ndi chiyani?

Xun, inenso ndili ndi vuto lomweli. Koma dokotala wothandizira kwanga adandilola kukhala ndi pakati pa Lantus. Anati zonse zikuyenda bwino. Ambiri adakhala pamiyendo yake pakubala ndipo adabereka ana athanzi. osadandaula. Ndikukonzekera kukhala ndi pakati ndekha .Ishuga wazaka zisanu ndi zitatu ndi theka. Mantha ambiri. Ndimagwira. koma ndikufuna kupita kutchuthi cha odwala m'milungu yoyamba. kuti piss kuntchito, koma modekha.

Ndili ndi matenda ashuga kwa zaka 11, ndimakumana ndi zovuta m'maso mwanga. mphira. Magawo a Lantus 14 ndi Novorapid XE, pafupifupi mayunitsi 6-8. GG 6.3 kumayambiriro kwa kutenga pakati. Shuga sanagwe pomwe. Kukutika kolimba monga tafotokozera, sindinakhalepo. Chilichonse ndichizolowezi. Kukana kwa insulin sikunasinthe.

Inde, freaks. Chabwino, adotolo ndi azakhali abwinobwino, amamulembera Lantus ndi Novorapid kwa iye, akuti, achichepere, omwe adawadyetsa mapiritsi .. Ndipo agogo ndi agogo ndi mapiritsi aulere.

Ndidathamangitsidwa Lantus, ngati sichoncho, ndiye Levimir, ndipo adapatsa Tujo SoloStar. Uku ndikuwonetseratu kwa Lantus, koma sindipeza paliponse pazowunikira kuti adaperekedwa kwa amayi apakati. Lero, mwachitsanzo, ndimasala kudya shuga 5.5, tsiku lisanafike 5.2.

Catherine, moni. Ndili ndimatumba angapo amtundu wa lantus ndi novorpid kuchokera m'matumba anga. Titha kuwoloka ku Moscow

Agogo anga aakazi amatenga Lantus kwaulere. Zingwe zoyesa zimagula.

musatambe. chifukwa ngakhale ndi 0.5 u (Lantus) overdose (koma SK imagwira usiku makalata. Ndimagona mwachitsanzo 6.5 - 6.7 m'mawa. Short apidra .. Zikomo)

Ayi, tili pamalonda, sizingatheke kuti kambuku akhale kanthawi kochepa ndipo sakukwanira. Pakalipano tili pa protocol yamtengo wa Lantus, koma pakadali pano popanda zotsatira

Mmawa wabwino. Ndipo insulin yamtundu wanji imafunika? Ndatalikitsa mapikisano angapo a Levemir, ndi mapaketi a Lantus 2

. Momwe ndidaponyera zofanana zimandilola kubereka mwana uyu))) Ndikukhulupirira kuti zonse zikhala bwino)) Ndinalinso ku Aktrapid ndi Protafan ndipo kwinakwake zaka 4 zapitazo ndidasinthidwa kupita ku Epidera ndi Lantus ndipo nthawi ya B sindinasinthe, kwa ine ali bwino ndipo mathedwe sanalimbikire makamaka. Mwamuna wanga ndi ine tidakali mu ukwati waboma. Ndi mlendo kwa ine. kwakukulu, zonse ndizovuta pamenepo. Ndasankha mwana, koma sindinakwatiwe naye mwalamulo. Amandikwiyitsa kwambiri, sindikudziwa ngati izi zikuchitika chifukwa cha mimba. kapena mosinthanitsa, maso akumutsegukira, ngakhale akuwoneka kuti ali bwino. Ndipo kodi ubale wanu ndi wanu ndi chiyani - mtendere ndi chikondi? Mumakhala padera kapena.

Atsikana! Mwinanso wina amadulira Isulin LANTUS, ndikufunika cholembera 1, ndidzagula

Kodi ndizotheka mwatsatanetsatane? Tili ndi Lantus yayitali kamodzi patsiku pa mayunitsi 18.00 3. Nthawi yomweyo, usiku umakhalanso (kuyambira 6.0 mpaka 8.2), m'mawa shuga ndizabwinobwino. Lero linali 5.2 m'mawa.

Ndili pa Novorapid ndi Levemire. M'mbuyomu ndidali ku Lantus koma sizotheka panthawi yoyembekezera! Chipatala cha azimayi sichinasankhe

Ine.e. osalira? Alyoha amasintha catheter yanga, amasonkhana ndi mzimu. Nthawi zina amaseka mosaumira, koma amakhala pansi ndi usiku, nadzimvera chisoni!

. Ola limodzi mutatha kudya zosaposa 7. Masana, 4-7 mmol / l. Kudziwitsa kwa glycemia 6-8 pa tsiku. Kusintha kwa dongosolo lanyama la insulinotrapia. NPH imakonda, osati lantus kapena levemir. Pezani mzere woyesa wa ketonuria ndikuvomera kubereka mpaka masabata 38 ndi masiku 6. Mutha kukhala bwino, simungalole hypo ndikupatsa anthu kuti azidzichitira okha popanda zoyenera.

DV Nditha kutumiza zingwe zoyeserera ndi ma lantus solostar. Lembani adilesi

Sindikupeza foni yanu. kamodzinso. Tikufunanso lantus.

. E. DZIWANI Zomwe TILI NABWANSO NDI 2. MOPANDA CHIYANI CHOKHUDZA MALO OGWIRITSIRA NTCHITO YABWINO KWAMBIRI, KUTENGA ALIYENSE, NGAKHALE NDINAKHALA WOSANGALALA NAWO. I ON LANTUS (EXTENDED) NDI NOVOROPID (CHABWINO), PAMODZI PAKUTHANDIZA NDIPONSO ZOKONZEKA, POPERANI PROTOPHANE (CHOLETSEDWA), KOPOSA NDINALI SUGAR, NDIPO KUTI NDIPO KUSUNGA SUGAR KU NORMAL3. Tsatirani ZONSE ZOTHANDIZA KUTI MUKHALE NAWO, POPANDA MUNTHU WODZIWA GULU LAKO, NGATI MUKUFUNA, MUKUFUNA KUTI NDIKUONA KUTI NDILI NDI CHITSIMIKIZO Kuti mugwiritse ntchito. PAKATI PA CHIYEMBEKEZO NDINAKHALA 3.

Mtengo wa cholembera

Lantus amachotsedwa ku pharmacies ndi mankhwala. Odwala odwala matenda ashuga amalandira insulin kwaulere. Komabe, ma analogu omwe amapezeka paulere amauzidwa. Siri insulini nthawi zonse zomwe wodwalayo amamugwiritsa ntchito.

Mtengo wa mankhwalawo Lantus SoloStar (100 IU / ml 3 ml No. 5) ku pharmacies aku Moscow mu Julayi 2017 umachokera pa 2810 mpaka 4276 rubles pa phukusi lililonse.

Asinthidwa kupita ku Lantus kuchokera ku Protafan. Protafan adayamba kulawidwa m'mawa cha 12 komanso madzulo kwa mayunitsi 8. Panalibe usiku hypoglycemia, ndi shuga m'mawa - 10-12. Amayenera kuseka Novorapid nthawi ya 5 m'mawa. Lantus ali wokondwa kwambiri. Ndimabaya mayunitsi 14 madzulo. M'mawa, shuga samatuluka pamwamba pa 7.

Nina Petrovna, Tver

Ndili ndi matenda ashuga a 2. Ndimakonda kumwa mapiritsi okha. Shuga adakwera mpaka 15 mmol / lita, ndipo ma acetone adatuluka mkodzo. Lantus ndi glimeperid tsopano zalembedwa. Shuga m'mawa 5.5-6.5 mmol / lita, palibe acetone. Mayankho pa mankhwala Lantus ndi zabwino.

A.I. Kuznetsov, Saratov

Kodi cholembera cha SoloStar syringe ndi Lantus chimakhala ndi ndalama zingati? Adalemba kwaulere, tsopano amalemba Apidra. Ndimazolowera Lantus. Kulibwino ndigule. Mwina mbuye.

Lantus: malangizo ogwiritsira ntchito. Momwe mungawerengere kuchuluka kwa mankhwalawa pamene mukumata

Insulin Lantus (Glargine): Dziwani zonse zomwe mukufuna. Pansipa mupeza malangizo ogwiritsira ntchito olembedwa m'chinenerochi.

Werengani kuchuluka kwa magawo omwe muyenera kulowa ndi momwe, muwerengere mankhwalawa, momwe mungagwiritsire ntchito cholembera cha Lantus Solostar.

Mvetsetsani nthawi yayitali jekeseni wa mankhwalawa atayamba kuchita, zomwe insulin ndiyabwino: Lantus, Levemir kapena Tujeo. Ndemanga zambiri za odwala omwe ali ndi matenda a shuga 2 ndi 1 amaperekedwa.

Glargin ndi timadzi tambiri tomwe timapanga kwa nthawi yayitali ndi kampani yotchuka yapadziko lonse Sanofi-Aventis. Mwina iyi ndiye insulin yotchuka kwambiri kwa odwala matenda ashuga achi Russia.

Jakisoni wake amafunika kuthandizidwa ndi njira zamankhwala zomwe zimakulolani kuti mukhale ndi shuga 3.9-5,5 mmol / l khola maola 24 patsiku, monga mwa anthu athanzi.

Dongosolo la Dr. Bernstein, amene akhala ndi matenda ashuga kwa zaka zopitilira 70, amalola akuluakulu ndi ana odwala matenda ashuga kudziteteza ku zovuta zowopsa.

Werengani mayankho a mafunso:

Mvetsetsani momwe mungabayere bwino mankhwalawa, kangati patsiku, zabwino ndi zovuta za jakisoni madzulo ndi m'mawa. Lantus amafanizidwa mwatsatanetsatane ndi kukonzekera kwa Tujeo, Levemir ndi Tresiba.

Dziwani kuti insulin Lantus yowonongeka imawoneka yowoneka bwino. Mwa mawonekedwe a mankhwalawa, ndizosatheka kudziwa mtundu wake. Simuyenera kugula insulin ndi mankhwala okwera mtengo kuchokera m'manja mwanu, malinga ndi kulengeza kwanu. Pezani mankhwala a shuga kuchokera kuzipatala zotchuka zomwe zimatsatira malamulo osungira.

Malangizo ogwiritsira ntchito

Mukabayidwa kukonzekera kwa Lantus, monga mtundu wina wa insulin, muyenera kutsatira zakudya.

Mtundu wa shuga wachiwiri Mtundu 1 shuga 1 Zakudya za patebulo la nambala 9 Mitu ya sabata: zitsanzo

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitse

Anthu ambiri odwala matenda ashuga omwe amaba jakisoni wa insulin amawona kuti ndizosatheka kupewa matenda a hypoglycemia. M'malo mwake, imatha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune.

Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti mudzilimbitse nokha motsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi.

Phunzirani zamomwe mungasinthire zakudya komanso zakudya za insulin.

Onani pansipa kuti mumve zambiri.

Lantus ndi mankhwala ochita chiyani? Kodi ndizitali kapena zazifupi?

Lantus ndi wa insulin. Jekeseni aliyense wa mankhwalawa amachepetsa shuga m'magazi 24. Komabe, jakisoni imodzi patsiku sikokwanira.

Dr. Bernstein adalimbikitsa kwambiri jakisoni wa insulin yayikulu kangapo 2 patsiku - m'mawa ndi madzulo. Amakhulupirira kuti Lantus imawonjezera chiopsezo cha khansa, ndipo ndikwabwino kusinthana ndi Levemir kuti mupewe izi. Onani vidiyoyi kuti mumve zambiri.

Nthawi yomweyo, phunzirani kusungira bwino insulini kuti isawonongeke.

Anthu ena, pazifukwa zina, amafunafuna insulini yochepa yotchedwa Lantus. Mankhwala oterowo sagulitsidwa ndipo sanakhalepo.

Mutha kubayira insulini usiku komanso m'mawa, komanso kubayitsa imodzi mwamankhwala otsatirawa musanadye: Actrapid, Humalog, Apidra kapena NovoRapid.

Kuphatikiza pazomwe zili pamwambazi, pali mitundu ingapo ya insulin yomwe imagwira mwachangu yomwe imamasulidwa ku Russian Federation ndi mayiko a CIS. Musayese kubwezeretsa jakisoni waifupi kapena wa insulin ya m'mimba musanadye ndi waukulu waukulu.

Izi zimabweretsa kukula kwa pachimake, ndipo pambuyo pake zovuta za matenda ashuga.

Actrapid Humalog Apidra NovoRapid

Amakhulupirira kuti Lantus alibe chochita, koma amatsitsa shuga chimodzimodzi 18 maola. Komabe, ambiri omwe ali ndi matenda ashuga pazowunikira zawo pamapulogalamu amati akadali ndi nsonga, ngakhale ofooka.

Insulin glargine imachita bwino kuposa Protafan ndi mankhwala ena a nthawi yayitali. Komabe, insulin Tresiba yatsopano kwambiri yomwe imagwira ntchito kwa nthawi yayitali imagwira ntchito bwino, ndipo jekeseni lililonse limatenga maola 42. Ngati ndalama zilola, ndiye lingalirani m'malo mwa Tresib ndi mankhwala atsopano.

Ndi zigawo zingati za Lantus zomwe zimayenera kudula komanso liti? Momwe mungawerengere mlingo?

Mulingo woyenera wa insulin yayitali, komanso ndandanda ya jakisoni, zimatengera mawonekedwe a matenda a shuga mwa wodwala. Funso lomwe mudafunsa liyenera kuyankhidwa limodzi. Phunzirani nkhani ya "Kuwerengera Mlingo wa Insulin Yotalika Pakapentera Usiku ndi M'mawa". Chitani monga kwalembedwa.

Mitundu yonse yokonzekera insulin yodzikongoletsera silingakupatseni shuga wabwinobwino ngakhale munthu wodwala matenda ashuga azitsatira zakudya zamafuta ochepa. Chifukwa chake, Dr. Bernstein salimbikitsa kugwiritsa ntchito iwo ndipo tsamba la endocrin-patient.com sililembera za iwo.

Mitundu ya insulini: momwe mungasankhire mankhwala a insulin yayitali usiku komanso m'mawa Kuwerengedwa kwa kuchuluka kwa insulin musanadye chakudya

Kodi mlingo wa mankhwalawa uyenera kukhala wotani usiku?

Mlingo wa Lantus usiku zimatengera kusiyana kwa shuga m'mawa pamimba yopanda kanthu komanso usiku watha.

Ngati kuchuluka kwa shuga m'magazi m'mimba yopanda matenda ashuga nthawi zambiri kumakhala kotsika kuposa masiku apitawa, simukuyenera kubaya insulin yayitali usiku.

Chifukwa chokhacho chofuna kugona usiku ndikulakalaka kadzuka ndi shuga wabwino m'mawa wotsatira. Werengani zambiri zomwe zalembedwa m'magazini ya "Shuga pamimba yopanda kanthu m'mawa: momwe mungabwezeretsere zachilendo".

Ndibwino kuti mukubaya Lantus: madzulo kapena m'mawa? Kodi ndizotheka kuchedwetsa jakisoni wamadzulo m'mawa?

Madzulo ndi m'mawa jakisoni wa insulin yowonjezera amafunikira pazifukwa zosiyanasiyana. Mafunso okhudzana ndi cholinga chawo komanso kusankha kwa mankhwalawa amayenera kuyankhidwa pawokha. Monga lamulo, nthawi zambiri pamakhala mavuto ndi index index yam'mawa pamimba yopanda kanthu. Kuti mubwezere mwakale, chitani jakisoni wa insulin yayitali usiku.

Ngati munthu wodwala matenda ashuga ali ndi kuchuluka kwa shuga m'magazi pamimba yopanda kanthu, sayenera kubayira Lantus usiku.

Jakisoni wam'mawa wa insulin yayitali amapangidwira kuti shuga asakhazikike masana m'mimba yopanda kanthu. Simungayese kubwezeretsa jakisoni wa mankhwala ambiri Lantus m'mawa, kukhazikitsidwa kwa insulin asanadye.

Ngati shuga nthawi zambiri amadumpha mukatha kudya, muyenera kugwiritsa ntchito mitundu iwiri ya insulini nthawi yomweyo - yowonjezereka komanso mwachangu.

Kuti mudziwe ngati mukufunika kupaka jekeseni wautali m'mawa, muyenera kufa ndi njala tsiku limodzi ndikutsatira mphamvu ya kuchuluka kwa shuga m'magazi.

Jakisoni wamadzulo sangayimitsidwe m'mawa. Ngati mwakhazikitsa shuga m'mawa m'mimba yopanda kanthu, musayese kuzimitsa ndi mlingo waukulu wa insulin yayitali. Gwiritsani ntchito izi mwachidule kapena ultrashort.

Onjezerani mlingo wa Lantus insulin usiku wotsatira. Kuti mukhale ndi shuga wabwinobwino m'mimba yopanda kanthu, muyenera kudya chakudya cham'mawa kwambiri - maola 4-5 musanagone. Kupanda kutero, jakisoni wa insulin yayitali usiku sizithandiza, ngakhale mlingo utakhala waukulu bwanji.

Mutha kupeza mitundu yosavuta ya Lantus insulin pamasamba ena kuposa omwe amaphunzitsidwa ndi Dr. Bernstein. Mwapadera, ndikulimbikitsidwa kuti mupeze jakisoni imodzi patsiku.

Komabe, mitundu yosavuta ya mankhwala a insulin sikuyenda bwino. The odwala matenda ashuga omwe amawagwiritsa ntchito amadwala pafupipafupi hypoglycemia komanso spikes mu shuga.

Popita nthawi, amakumana ndi zovuta zomwe zimafupikitsa moyo kapena kusintha munthu kukhala wolumala.

Kuti muthane bwino matenda a shuga a mtundu woyamba kapena a 2, muyenera kusinthira zakudya zamafuta ochepa, werengani nkhaniyo powerengera za insulin yayitali ndikuchita zomwe ukunena.

Kodi mlingo waukulu wa Lantus insulin patsiku ndi uti?

Palibe mtundu wokhazikika wa tsiku ndi tsiku wa Lantus insulin. Ndikulimbikitsidwa kuichulukitsa mpaka shuga m'magazi a odwala matenda ashuga akhale owonjezereka.

M'magazini azachipatala, odwala onenepa omwe ali ndi matenda amtundu wa 2 omwe amalandila mankhwala 100-150 patsiku amafotokozedwa. Komabe, kukwera tsiku ndi tsiku mlingo wa mankhwalawo umayamba.

Mkulu wama glucose amalumpha mosalekeza, nthawi zambiri pamakhala kuukira kwa hypoglycemia. Kuti mupewe mavutowa, muyenera kutsatira zakudya zamafuta ochepa ndikubaya ma insulin otsika omwe amafanana nawo.

Mlingo woyenera wamadzulo ndi m'mawa wa Lantus insulin uyenera kusankhidwa payekhapayekha. Ndizosiyana kwambiri kutengera zaka, kulemera kwa thupi kwa wodwala komanso kuopsa kwa matenda ashuga.

Ngati mukufunikira kubaya ma unit oposa 40 patsiku, ndiye kuti mukuchita zina zolakwika. Mwambiri, osati kutsatira zakudya zotsika zamoto.

Kapena kuyesa kubayira jakisoni wa insulin musanadye ndikumayambiriro kwa Mlingo waukulu wa glargine wa mankhwala.

Odwala onenepa kwambiri omwe ali ndi matenda a shuga a 2 amalimbikitsidwa kwambiri kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha thupi lanu ku insulin. Izi zipangitsa kuti azitha kugawa mosiyanasiyana mankhwalawa. Funsani kuti kuyendetsa Qi ndi chiani.

Odwala ena amatha kukoka chitsulo mu masewera olimbitsa thupi kuposa kuthamanga. Zimathandizanso.

Chimachitika ndi chiani ngati muphonya jakisoni?

Mudzakhala ndi shuga wambiri chifukwa chosowa insulin mthupi. Molondola, chifukwa cha kulakwitsa kwa msana wa insulin ndi kufunikira kwa thupi. Kuchuluka kwa glucose okwanira kumathandizira kukulitsa zovuta zovuta za matenda ashuga.

Woopsa milandu, zovuta pachimake kuonedwa: matenda ashuga ketoacidosis kapena hyperglycemic chikomokere. Zizindikiro zawo ndi kusokonezeka kwa chikumbumtima. Amatha kupha.

Insulin Lantus: ndemanga ya mankhwala omwe akhala akuchita kwa nthawi yayitali

Lantus ndi insulin yotsitsa shuga. Glargine imagwira ntchito ngati chinthu chogwira ntchito, ndi analogue ya insulin ya anthu, yomwe singasungunuke bwino m'malo osagwirizana nawo. Kamodzi popanga mankhwala, glargine imasungunuka kwathunthu chifukwa cha kukhalapo kwa chilengedwe chapadera cha acid.

Pa subcutaneous makonzedwe, asidi samasinthidwa ndipo microprecipitates imapangidwa, pomwe pamakhala kutulutsa pang'onopang'ono kwa insulin Lantus pang'ono. Chifukwa cha dongosolo lotere, munthu wodwala matenda ashuga sasintha kwambiri m'thupi, timadzi tating'onoting'ono timayendetsa bwino thupi, ndipo shuga amayamba kuchepa. Chifukwa chake, zochita za insulin zimapitilira.

The yogwira mankhwala glargine ali ndi mphamvu yomweyo mogwirizana ndi insulin zolandilira monga anthu insulin. Mankhwalawa amathandizira kuthamangitsa kuyamwa kwa glucose ndi minofu yamafuta ndi minofu, chifukwa chomwe minofu ya m'madzi ya m'magazi imachepetsedwa. Kuphatikiza apo, mankhwalawa amalepheretsa kugwira ntchito kwa shuga mu chiwindi.

Zolemba za mankhwala

Choyamba, insulin Lantus yomwe imagwira ntchito kwa nthawi yayitali imayendetsa kagayidwe kazakudya ndipo imasintha kagayidwe kazakudwala. Mukamagwiritsa ntchito mankhwalawa, kumwa shuga kumathandizira ndi mafuta ndi minofu minofu, chifukwa, zotsatira za shuga zimachepetsedwa. Wothandizira mahomoni amalimbikitsa ntchito yogwira mapuloteni m'thupi ndipo nthawi yomweyo amalepheretsa lipolysis, proteinol in adipocytes.

Kugwiritsa ntchito bwino kwa mankhwala a insulin Lantus kumatengera kukhalapo kwa zinthu monga masewera olimbitsa thupi, kudya komanso kukhalabe ndi moyo wogwira ntchito. Ngati mankhwalawa akaperekedwa kudzera m'mitsempha, glargine imachita chimodzimodzi ndi insulin ya anthu.

Panthawi yokonza Lantus, kumizidwa pang'ono pang'onopang'ono, chifukwa chake umagwiritsidwa ntchito kutsitsa shuga kamodzi patsiku. Kafukufuku wasonyeza kuti kugwiritsa ntchito timadzi timeneti usiku kumathandizira kuchepetsa chiopsezo cha hypoglycemia mwa ana ndi achinyamata, pomwe shuga amawonjezeka.

• Ubwino wabwino ndi chakuti Lantus insulin imatengedwa, ndiye chifukwa chake odwala matenda ashuga alibe chiwonetsero chazomwe zimayendera. Ngati mukugwiritsa ntchito mankhwalawa kamodzi tsiku lililonse, patsiku lachiwiri kapena lachinayi mutha kukwaniritsa kuchuluka kwa mankhwalawa. Ndi jakisoni wamkati, timadzi timatulutsa m'thupi chimodzimodzi ndi insulin ya munthu.
• Panthawi ya glargine metabolism, mapangidwe awiri othandizira a M1 ndi M2 amapangidwa, chifukwa chomwe jekeseni wa subcutaneous ali ndi zotsatira zoyenera. Mankhwalawa amathandizanso odwala matenda ashuga, mosatengera zaka za odwala. Ana ndi achinyamata sanatengepo kafukufuku wa mankhwala a pharmacokinetic a mankhwalawo.

Mankhwala amamasulidwa mu mawonekedwe a yankho la jekeseni, lomwe limayikidwa m'makalata atatu a 3 ml. Muli makatoni asanu mu chithuza chimodzi; chithuza chimodzi chikuphatikizidwa ndi katoni imodzi. Mtengo wa mankhwalawa m'masitolo amakankhira ndi 3500 mpaka 4000 rubles, m'malo osungirako intaneti mankhwala ndi otsika mtengo.

Mwambiri, insulin ili ndi ndemanga zabwino kuchokera kwa odwala ndi madokotala ambiri.

Momwe mungasinthire ku glargine ndi mtundu wina wa insulin

Ngati munthu wodwala matenda ashuga agwiritsa ntchito mankhwala osokoneza bongo a ultrashort insulin kapena mankhwala okhala ndi nthawi yayitali komanso yayitali kuchitira chithandizo, panthawi yosintha kupita ku Lantus, kusintha kwa mankhwalawa ndikusinthanso kwa njira yayikulu yochiritsira ndiyofunikira.

Kuchepetsa chiopsezo cha hypoglycemia m'mawa kapena usiku pakusintha kuchokera jakisoni wachiwiri wa insulin kulowa jakisoni imodzi, m'masiku makumi awiri oyamba, mankhwalawa amachepetsa ndi 20-30 peresenti. Nthawi yomweyo, Mlingo wa mahomoni omwe amaperekedwa panthawi ya kudya amakula pang'ono. Pambuyo masiku 14-20, kusintha kwa mlingo kumachitika aliyense payekhapayekha.

Ngati wodwala matenda ashuga ali ndi mankhwala a insulin yaumunthu, ndikofunikira kuunikanso kuchuluka kwa mankhwalawa.

Kuphatikiza kusintha kwa mlingo, ngati munthu asintha moyo wake, achepetsa thupi, amayamba kuchita zolimbitsa thupi.

Momwe mungachepetse shuga wa insulin

Mankhwala Lantus amalowetsedwa mthupi kokha mothandizidwa ndi chipangizo chapadera - cholembera cholembera KlikSTAR kapena OptiPen Pro1. Musanapange jekeseni, muyenera kudziwa malangizo omwe angagwiritse ntchito cholembera ndikutsatira malangizo onse.

Pakasweka, chigwacho chimayenera kutayidwa. Kapenanso, amaloledwa kupereka mankhwalawo kuchokera ku cartridge pogwiritsa ntchito syringe ya insulin, yomwe kukula kwake ndi 100 Units pa 1 ml.

Pamaso jakisoni, katemera wa insulin ayenera kukhala kutentha kwambiri kwa maola angapo. Ndikofunikira kuyang'anitsitsa botolo lirilonse kuti mutsimikizire kuti kulibe, mawonekedwe, mawonekedwe ndi mawonekedwe a yankho sayenera kusintha.

Mbale zotumphukira zimachotsedwa pagolosale malinga ndi buku la malangizo. Kudzaziratu ma cartridge ndi mahomoni ndizoletsedwa. Kuti mupewe mwangozi mankhwala ena, muyenera kuwonetsetsa kuti ndi katangale uti amene amagwiritsidwa ntchito, pamenepa, botolo lililonse limayendera nthawi yomweyo jekeseni lisanachitike.

Kupezeka kwa zoyipa ndi contraindication

Nthawi zambiri, odwala matenda ashuga, mukamagwiritsa ntchito mahomoni Lantus osatsatira malamulo oyambira, zotsatira zosayenerera mu mawonekedwe a hypoglycemia zimawonedwa. Zofananazo zimachitika pambuyo pakupereka mankhwala ochuluka.

Kuphatikiza apo, mawonekedwe a wodwala amatha kuwonongeka, zizindikiro za retinopathy, dysgeusia, lipohypertrophy, lipoatrophy. Zomwe zimachitika chifukwa cha insulin mu mawonekedwe a edema, redness pakhungu pakhungu, urticaria, anaphylactic, bronchospasm, ndi Quincke edema ndizotheka. Chifukwa cha kuchedwa kwa ayodini m'thupi, munthu amatha kumva kupweteka kwamisempha.

Ndi pafupipafupi matenda a hypoglycemia wodwala matenda ashuga, kugwira ntchito kwamanjenje kungadodometse. Ndi kukula kwa nthawi yayitali komanso kwamphamvu kwa chizindikiro ichi, pamakhala chiopsezo chachikulu cha kufa msanga kwa wodwala.

• Pa mankhwala ndi insulin, kupanga ma antibodies ku mankhwalawa kumaonedwa. Mu ana ndi achinyamata, kupweteka kwa minofu, thupi lawo siligwirizana, komanso kupweteka m'malo a jekeseni kumawonekeranso. Pankhaniyi, kusankha molakwika mulingo wowopsa kwa akulu ndi ana.
• Hormoni imaletsedwa kutenga pamaso pa tsankho la munthu pazinthu zomwe zili mbali ya mankhwalawa. Simungagwiritsenso ntchito Lantus ya hypoglycemia. Ana amatha kumwa mankhwalawa pokhapokha atakwanitsa zaka zisanu ndi chimodzi.
• Mu diabetesic ketoacidosis, mtundu wa insulin suti. Kusamalidwa kwapadera kuyenera kuthandizidwa pochiza anthu omwe ali ndi prinifosic retinopathy komanso kuchepetsedwa kwa ziwiya zamafuta ndi mtima. Ndikofunikanso kuwunika mosamala zaumoyo wa achikulire omwe amasinthira ku insulin ya anthu omwe ali ndi mankhwala ochokera ku nyama.

Mitu ya mankhwalawa

Analogue yayikulu yamankhwala omwe amachepetsa shuga yayikulu, ndi Levemir insulin kuchokera ku Novo Nordisk, ndi mpikisano wowonekera. Pafupifupi pafupifupi inshuwaransi zonse za Novo Nordisk zili ndi mitengo yokwanira yogwira ntchito.

Ndi insulin iti yomwe mungasankhe - Funso ili limayanjanitsidwa bwino ndi dokotala.

Hormon iyi, yokhala ndi ndemanga zabwino, imatha kuyamwa pang'onopang'ono kuchokera pamalo opangira jakisoni ndipo imakhala ndi zotsatira zazitali. Izi zimatheka chifukwa chakuti mankhwalawa amalowa m'magazi ndi minyewa ya cell pang'onopang'ono.

Popeza insulini iyi ilibe chiopsezo chochita, chiopsezo chokhala ndi hypoglycemia usiku chimachepetsedwa kwambiri. Jakisoni amaperekedwa katatu kapena kanayi patsiku, jakisoni m'modzi amayenera kuchitidwa pakatikati pa 1 mpaka 3 koloko m'mawa kuti athe kuwongolera zochitika zam'mawa.

nkhaniyi ipereka chidziwitso chokwanira cha Lantus insulin.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.