Zoyenera kusankha: Tujeo Solostar kapena Lantus?

Ku Russia, chiwerengero cha odwala matenda a shuga chimaposa kale anthu 6 miliyoni, mu 50% ya zamatumbo amapezeka mwa mitundu yowerengeka kapena mitundu yaying'ono. Kuti mukhale ndi moyo wabwino, kukulitsa kukonzekera kwa insulin kumapitilira. Tujeo Solostar ndi imodzi mwazinthu zabwino kwambiri zomwe zidalembetsedwa m'zaka zingapo zapitazi. Ichi ndi basulin insulin, yomwe imayendetsedwa kamodzi patsiku kuti athandize kuwongolera glycemia. Mankhwala ndi otetezeka kwa odwala, ali ndi chiopsezo chochepa cha kukhala ndi hypoglycemia. Mankhwalawa akuphatikizidwa mu fayilo ya radar.

Tujeo imapezeka mu jakisoni wosakanizira wopanda jakisoni kapena makatoni ojambulira. Njira yothetsera mavutowa ilowe m'makola a syringe - voliyumu ya 1.5 ml. Pakatoni imodzi makatoni 5 zidutswa.

Dzina losavomerezeka la mankhwala padziko lonse lapansi (INN) ndi insulin glargine. Dziko lomwe achokera ku Tujeo ndi Germany, ndipo Sanofri-Aventis alinso ndi nthambi ku Russia m'chigawo cha Oryol.

1 ml ya mankhwala 300 IU yogwira pophika. Zowonjezera zawo zimaphatikizapo:

• nthaka ya chloride
• koloko yotsekemera,
• metacresol
• glycerin ndende 85%,
• madzi osungunuka a jekeseni,
• hydrochloric acid.

Makhalidwe wamba

Tujeo ndi mankhwala okhala ndi insulin okhala ndi mphamvu yayitali. Kukonzekera kwa insulini kumasonyezedwa pochiza matenda osokoneza bongo a mellitus insulin komanso osagwirizana ndi insulin. Chosakaniza chachikulu yogwira - glargine - ndi m'badwo waposachedwa wa insulin, chimakulolani kuti musinthe shuga m'magazi popanda kusinthasintha kwakukulu pamlingo wake. Njira zamankhwala zimasinthidwa, motero chithandizo chamankhwala chimawonedwa ngati chosaopsa.

Musanalandire chithandizo, muyenera kuzolowera zovuta za mankhwala omwe akupangidwira. Izi zikuphatikiza:

• chidwi ndi zigawo zikuluzikulu komanso zowonjezera za kapangidwe kake,
• zaka zosakwana zaka 18 - palibe chidziwitso chokwanira chazogwiritsira ntchito gulu lino.

Mochenjera, "Tujeo" walembedwa:

• Kunyamula mwana - kufunikira kwa insulin kumatha kusintha pakakhala pakati komanso pambuyo pobadwa kwa mwana,
• kuchuluka kwa dongosolo la endocrine,
• matenda okhala ndi zizindikiro za kusanza komanso kutsekula m'mimba,
• stenosis yodziwika bwino yamitsempha yama coronary, ubongo
• kuchuluka retinopathy,
• kulephera kwa impso, chiwindi.

Malinga ndi malongosoledwe a mankhwalawo, "Tujeo" ndiye insulin yayitali kwambiri yomwe ikudziwika pano. Pakadali pano, Tresiba insulini yokha ndi omwe amaposa iwo - ndi mankhwala owonjezera.

"Tujeo" amalowa m'sitimawo kuchokera pamatumbo am'madzi masana, chifukwa chomwe imapereka kuchuluka kwa glycemic, ndiye kuti kuchitapo kanthu kumafooka, ndiye kuti nthawi yogwira ntchito imafika maola 36.

Tujeo sichingasinthe kwathunthu kupanga kwachilengedwe kwa insulin. Koma zotulukapo zake zimayandikira kwambiri pafupi ndi zosowa za anthu. Mankhwalawa ali ndi mawonekedwe osalala - izi zimathandizira kusankha kusankha, komanso zimathandiza kuchepetsa mwayi wa hypoglycemia.

Insulin yamtunduwu imalimbikitsidwa makamaka kwa odwala omwe amafuna waukulu.Tujeo imasowa katatu kuposa antchito ake. Chifukwa cha izi, kuwonongeka kwa minofu yapang'onopang'ono kumachepetsedwa, ndipo majekeseni amaloledwa mosavuta.

Ubwino wa Tujeo ndi monga:

• kuwonetsedwa nthawi yayitali kuposa tsiku
• kuchuluka kwa 300 PIECES / ml,
• kuthekera kuchepetsa kuchuluka kwa insulini yoyendetsedwa,
• kuchepa kwakukulu kwa hypoglycemia usiku.

Ndikofunikanso kulabadira zovuta:

• sagwiritsidwa ntchito pochiza matenda ashuga a ketoacidosis,
• chitetezo kwa ana ndi amayi apakati sichitsimikiziridwa,
• kuletsa kugwiritsa ntchito pathologies a chiwindi ndi impso.

Zotsatira za pharmacological

Tujeo ndi insulin yayitali. Nthawi yogwira ntchito kuyambira maola 24 mpaka 36. Gawo lomwe limagwira ndi chiwonetsero cha insulin ya anthu. Poyerekeza ndi choloweza mmalo, jakisoniyo amakhazikika kwambiri - 300 PIECES / ml.

Mankhwala omwe ali ndi chophatikizira cha glargine amakhudza msanga bwino, musapangitse kuti mwadzidzidzi mugwe. Kuchepetsa shuga kwa nthawi yayitali kumachitika chifukwa cha kuyamwa kwa shuga. Protein synthesis imapangidwanso bwino poletsa shuga kwa chiwindi. Mchere wa glucose ndi minofu ukuwonjezeka. Gawo lolimbikira limasungunuka pamalo achilengedwe, limasunthidwa pang'onopang'ono ndikugawanika. Hafu ya moyo wa maola 19.

Kusiyana pakati pa Tujeo Solostar ndi Lantus

Malinga ndi kafukufuku wa zamankhwala, Tujeo akuwonetsa kuchuluka kwa glycemic kwa odwala omwe ali ndi matenda amtundu wa 2 kapena matenda a shuga. Kuchepetsa kwa hemoglobin wa glycated sikusiyana ndi mankhwala "Lantus". Poyerekeza ndi Tujeo, imayenda pang'onopang'ono ndipo pang'onopang'ono imatulutsa insulin m'thupi, potero imachepetsa kuopsa kwa hypoglycemia, makamaka usiku.

Njira yogwiritsira ntchito

Mankhwala akuwonetsedwa kuti amaperekedwa nthawi yomweyo. Chifukwa cha dongosolo limodzi, dongosolo la jakisoni limasinthasintha. Ngati ndi kotheka, ndizovomerezeka kusunthira nthawi 3 maola kumbuyo kapena kutsogolo.

Ndi mfundo ziti za kuchuluka kwa shuga m'magazi zomwe zimafunikira, Mlingo, nthawi yogwiritsira ntchito, umatsimikiziridwa ndi dokotala aliyense payekha kwa wodwala aliyense yemwe ali ndi matenda a shuga. Kusintha kwa magazi kungafunike munthu akamakula, moyo wake wamba, nthawi yomwe jakisoniyo wasintha, komanso nthawi zina pomwe ngozi za hyperglycemia kapena hypoglycemia zimachulukirachulukira. Sizoletsedwa kusankha nokha mlingo.

Mankhwalawa sioyenera kuthandizira matenda ashuga a ketoacidosis. Izi zimafunikira kukonzekera kwakanthawi kochepa ka insulin.

Kwa odwala, muyezo wa shuga wamagazi nthawi zonse umachitika.

Malangizo ogwiritsira ntchito Tujeo ndi osiyana pang'ono kutengera mtundu wa matenda ashuga:

1. Ndi mtundu 1, mankhwalawa amafunikira kamodzi patsiku limodzi ndi insulin, yomwe imaperekedwa ndi chakudya. Kusintha kwa dose kumachitika nthawi ndi nthawi.
2. Mlingo woyambira wa odwala matenda ashuga omwe ali ndi mtundu wachiwiri ndi 0.2 U / kg. Mankhwalawa amaperekedwa kamodzi patsiku. Nthawi ndi nthawi, kusintha kwa mlingo kungapangidwe.

Njira zachikhalidwe

Zotsatira zoyipa zomwe zimachitika kwambiri ndi hypoglycemia, yomwe imayamba ndi kuchuluka kwakukulu kwa jakisoni poyerekeza ndi zosowa za thupi. Milandu yayikulu ya hypoglycemia imatha kuyambitsa mitsempha. Hypoglycemia yemwe amakhala nthawi yayitali amangowopseza thanzi. Komanso miyoyo ya odwala matenda ashuga.

Odwala ambiri omwe ali ndi zizindikiro za neuroglycopenia, adayambitsidwa ndi kutsegulira kwa machitidwe opatsirana ngati poyankha boma la hypoglycemia. Hypoglycemia idawonetsedwa ndi kumverera kwanjala, mantha aukali, kunjenjemera kwa malekezero, kuda nkhawa, khungu lotuwa, tachycardia. Dziko litasinthidwa kukhala neuroglycopenia, zotsatirazi zidayamba:

• kutopa kwambiri
• kutopa kosadziwika,
• kuchepa kwa chidwi,
• kugona kwambiri,
• kuwonongeka kwamawonekedwe
• mutu
• chikumbumtima
• kukokana
• nseru

Openda owonera

Kusintha kooneka pakuwongolera glycemic kumatha kubweretsanso mavuto akawonedwe kanthawi. Izi zimachitika mothandizidwa ndi kuphwanya kwakanthawi kwa turgor ndi Reflexion mandimu.

Glycemia ikakhala yotalika nthawi yayitali, ntchito ya owunikira yowoneka bwino imakhala yofanana, mwayi wopanga retinopathy umachepetsedwa.

Kuukira kwambiri kwa hypoglycemia kumatha kupangitsa kuti anthu asamaone kwakanthawi.

Zomwe zimachitika mdera lanu

Zomwe zimachitika mderalo zimayamba kumayambiriro kwa mankhwala a insulin, koma kenako nokha. Zizindikiro zake zimaphatikizapo:

• kuyabwa
• kupweteka
• redness pakhungu,
• urticaria
• zotupa,
• kutupa.

Pafupipafupi zoterezi mukamagwiritsa ntchito Tujeo ndi 2,5% yokha.

Zotsatira zoyipa za m'magazi ndizosowa kwambiri. Hypersensitivity nthawi zambiri imawonetsedwa ndi mayankho apakhungu pakhungu, edema ya Quincke, bronchospasm, dontho la kukakamiza, komanso kugwedezeka. Vutoli likhoza kukhala pangozi yoopsa;

Nthawi zambiri, mankhwalawa amabweretsa kuchedwa kwa sodium komanso maonekedwe a edema.

Kuyanjana kwa mankhwala osokoneza bongo

Mankhwala a Hormonal, antihypertensive ndi psychotropic, maantibayotiki ena komanso mankhwala ochepetsa mphamvu ya chiberekero amatha kuthana ndi vuto la hypoglycemic. Mankhwala ena aliwonse omwe amagwiritsidwa ntchito pochiza "Tujeo" ayenera kuvomerezedwa ndi katswiri.

Tujeo ndi losiyana kwambiri ndi mawonekedwe ake pazomwe zimakhala. M'malo mwake, kusiyana kuyenera kukumbukiridwa.

Kugwiritsa ntchito kwina kulikonse ndi kovomerezeka monga adokotala amafotokozera.

Kwa miyezi ingapo ndakhala ndikugwiritsa ntchito Tujeo, adotolo adasinthanitsa ndi insulin ya m'mbuyomu Levemir. Ndine wokhutira ndi zomwe zimachitika, shuga amakhalanso wabwinobwino, ndikumva bwino, panalibe kuukira kwa hypoglycemia.

Tujeo ndi mankhwala othandizadi kuposa onse omwe adokotala adandiuza. Imasunganso chimodzimodzi shuga, sichimadzutsa hypoglycemia yausiku. Ndakhala ndikugwiritsa ntchito mankhalawo kwa nthawi yayitali, sinditero, zotsatira zake sizinakuwonjezeke pakapita nthawi.

Muyenera kusunga mankhwalawo pamalo omwe kuwala sikumagwa, kutentha kwa madigiri 2 - 8. Kuletsedwa kuti kumasula.

Mukatha kugwiritsa ntchito koyamba, cholembera cha syringe chitha kugwiritsidwa ntchito masiku ena 28, chimasungidwa pamtunda wosaposa 25 digiri.

Syringe iyenera kudzipatula ku dothi ndi fumbi, kupukutidwa ndi nsalu youma panja, osanyowa komanso osanyowa, kuti isawononge. Sizoletsedwa kuponya ndikumenya chogwirira. Ngati kuwonongeka kumakayikiridwa, ndi bwino kuisintha ndi yatsopano.

Kuchokera kuzipatala, mankhwalawa amagawidwa mosamalitsa malinga ndi zomwe dokotala wakupatsani. Zidutswa 5 za zolembera zingagulidwe kwa ma ruble 2800.

Khalidwe la mankhwalawa Tujo SoloStar

Ichi ndi mankhwala omwe adapangira kuti athane ndi hyperglycemia. Ndi nthawi yayitali ya insulin glargine, ndende yomwe mankhwala iyi ndi 300 IU / ml. Kampani yomweyo Sanofi-Aventis, yomwe imapanganso Lantus, yomwe ikukambidwa pansipa, imapanga mankhwalawo.

Glulin insulin ndi mawonekedwe a endo native insulin. Ndi subcutaneous makonzedwe, mayamwidwe amachepetsa ngati chidwi chogwira ntchito chikuwonjezeka. Mfundo iyi inali maziko a mankhwala atsopano a SoloStar, omwe adapangira nthawi yayitali. Anawonekera pamsika mu 2016 ndipo nthawi yomweyo adatchuka.

Mankhwalawa amamasulidwa mu makilogalamu ena 1.5 makilogalamu. Pali njira ziwiri zotulutsira - 3 kapena ma cartridge atatu phukusi lililonse.

Kodi Lantus

Lantus SoloStar ndi mankhwala omwe amamasulidwa mu mawonekedwe a yankho la subcutaneous makonzedwe. Kuchita uku kumachitika ndi cholembera cha cholembera chokhala ndi katoni 1 wopanda galasi. Kuchuluka kwake ndi 3 ml. Pali makatiriji 5 oterowo phukusi.

Zomwe zimagwiritsidwa ntchito ndi mankhwala Lantus ndi insulin glargine yomwe yatchulidwa pamwambapa, yomwe chilengedwe chake chimafanana ndi insulin. Kuphatikizika kwa chinthu chogwira ntchito pamenepa ndi 100 IU / ml pokhudzana ndi ambulensi ya amkati, ndiye kuti, 3,6738 mg wa insulin glargine. Omwe amathandizira ndi glycerol, zinc chloride, sodium hydroxide, hydrochloric acid ndi madzi a jakisoni.

Momwemonso SoloStar tafotokozera pamwambapa, Lantus imayendetsa kagayidwe ka glucose, ndikuchepetsa zomwe zili m'magazi, ndikulimbikitsa kudya kwake ndi zotumphukira (kuphatikizapo mafuta) ndikuchepetsa gluconeogeneis, i.e. njira yopanga shuga m'magazi.

Lantus imayendetsa kagayidwe kakang'ono ka glucose, kuchepetsa zomwe zimapezeka m'magazi, kumalimbikitsa kumwa kwake ndi zotumphukira zama minofu ndikuchepetsa gluconeogeneis.

Nthawi yayitali ya mankhwalawa Lantus ndi maola makumi awiri ndi awiri, kuposa pamenepo ndi maola 29.

Kuyerekeza Tugeo SoloStar ndi Lantus

Kafukufuku akuwonetsa kuti ndi kufanana kofanana ndi mfundo zoyenera kuchitikira, kuchuluka kwake komanso zoyipa zomwe zimachitika, SoloStar imatha kutengedwa ngati mankhwala othandiza kwambiri.

Kapangidwe kamankhwala omwe mukumawaganizira ndi ofanana kuchokera pakuwona kwa mankhwala. Zomwe zimagwirira ntchito ndi insulin glargine, yomwe ndi analogue ya insulin yaumunthu, koma idapezeka mwa kubwereza DNA ya mabakiteriya omwe amakhala m'matumbo - Eshericia coli.

Ngakhale pozunzidwa ndi 100 IU / ml (monga momwe zimakhalira ndi Lantus), kuyambika kwa insulin glargine kumayamba pang'onopang'ono poyerekeza ndi insulin yaumunthu, yomwe imalepheretsa kuchuluka kwa shuga. Zotsatira za hypoglycemic za SoloStar zimafanana ndi zomwe adachita kale, koma ndizochulukirapo (zimatenga maola 36) komanso zosalala.

Zisonyezo zakugwiritsa ntchito mankhwalawa ndizofanana (shuga mellitus). Pali contraindication ambiri mankhwala. Kwenikweni, uku ndikoyerekeza zinthu zogwiritsidwa ntchito ndi zinthu zina zothandizira. Pa nthawi yoyembekezera, mankhwalawa samapangidwa, koma amagwiritsidwa ntchito mosamala.

Zotsatira zoyipa nazonso zimakhala zofanana. Chifukwa chake, ngati mlingo umapitilira, hypoglycemia ndiyotheka, kuphatikiza ndi kuwonongeka kwamanjenje. Nthawi zina pamakhala zowonongeka zazakanthawi zomwe zimakhudzana ndi kayendedwe ka shuga m'magazi. Koma nthawi yomweyo, pakapita nthawi, shuga akayamba kuchepa, chiwopsezo chokhala ndi matenda ashuga chikucheperachepera, ndipo masomphenyawo amabwereranso mwakale. Zomwe zimachitika m'deralo ndi insulin ndizothekanso.

Njira zoyendetsera mankhwala ndizofanana. Jakisoni samaperekedwa kudzera m'mitsempha, koma mafuta ochulukirapo omwe ali pamapewa, m'chiuno kapena m'mimba: iyi ndiyo njira yokhayo yotsimikizira nthawi yayitali mankhwala.

Ndikulimbikitsidwa kumamwaza mawu oyamba kulikonse m'malo osiyanasiyana m'malo oyenera.

Maluso a zochita akhale motere:

1. Tsamba la jakisoni limasankhidwa, singano imayikidwa.
2. Chala chake chimayikidwa pa batani la mlingo, chimakanikizidwa njira yonse ndikugwidwa.
3. Pitilizani kukanikiza batani la mlingo mpaka ndalama zomwe mukufuna zithe. Kenako amagwira batani kanthawi kokwanira kuti atsimikizire kuyambitsidwa kwa kuchuluka kwa mankhwalawo.
4. Singano imachotsedwa pakhungu.

Kumbukirani kuti kugwiritsa ntchito singano ndikuletsedwa. Jekeseni iliyonse isanachitike, yatsopano imalumikizidwa ndi syringe.

Kodi pali kusiyana kotani?

Kusiyana kwakukulu pakati pa Tujeo SoloStar ndi omwe adatsogola (Lantus) ndende, pomwe pamenepa azikhala 3 katatu ndipo adzakhala 300 IU ya insulin glargine. Kuphatikiza apo, mankhwalawa onse ali ndi molekyulu ya glargine, kotero palibe kusiyana pakati pa iwo.

Cholembera cha SoloStar chimakulolani kuti mugwiritse ntchito nthawi yomweyo pamiyeso kuyambira 1 mpaka 80 mayunitsi.

Cholembera cha SoloStar chimakulolani kuti mugwiritse ntchito nthawi yomweyo pamiyeso kuchokera pa 1 mpaka 80 mayunitsi, ndipo gawo lake ndi gawo limodzi lokha, zomwe zimapangitsa kusinthaku.

Contraindication kwa SoloStar ndi zaka 18, koma osati chifukwa cha zovuta zina zomwe zadziwika, koma chifukwa chakuti palibe data wazachipatala yemwe angatsimikizire chitetezo chake kwa ana kapena achinyamata. Ponena za mankhwala a Lantus, amavomerezedwa kwa ana opitirira zaka 6.

Ndi matenda ashuga

Kafukufuku adawona kusintha kocheperachepera kwa mankhwala SoloStar, omwe angafotokozedwe pochiza matenda amtundu 1 komanso matenda a shuga a 2. Ndi mitundu yonse iwiri yamatendawa, mankhwalawa amayenda bwino. Akatswiri akuti Tujeo SoloStar ali ndi mbiri yaukadaulo “wosalala” kwambiri, popanda mapangidwe otulutsa zinthu, zomwe zimalola nthawi yosintha jakisoni.

Zikutsimikiziridwa kuti chifukwa chakuti wodwalayo pamlanduwu amalandila katatu mosavomerezeka yankho, mankhwalawo amadziwika bwino ndi anthu omwe amafunikira insulin tsiku lililonse. Nthawi yomweyo, kuchokera pakuwoneka otetezeka chifukwa cha mtima wamtima, onse mankhwalawa amasiyanitsidwa ndi zinthu zazikulu: sizitsogolera ku izi zosafunikira mbali iyi.

Palinso mfundo ina yofunika. Kukhazikitsidwa kwa insulin kumapereka chindapusa chofanana cha kagayidwe kazakudya monga glargine 100 IU / ml (i.e. Lantus), kokha kwa odwala omwe amafunikira insulin tsiku lililonse.

Kafukufuku akuwonetsa kuti mankhwalawa matenda a shuga a mtundu 2, SoloStar samatsogolera kukula kwa hypoglycemia usiku, monga zimakhalira ndi mankhwala ena ambiri. Kwa matenda ashuga amtundu woyamba, chiopsezo cha nocturnal hypoglycemia sichimamveka bwino.

Kodi ndizotheka kusintha mankhwalawa ndi wina

Mwachangu, ndi Lantus, mutha kusinthana ndi mankhwala Tujo SoloStar. Koma muyenera kusankha mulingo woyenera ndi nthawi ya jakisoni, apo ayi wodwalayo angamve kuwonongeka.

Kusankha kwa Mlingo kumapangidwa mokomera. Poyamba, amalowa kuchuluka komweko ngati mumagwiritsa ntchito Tujeo. Mutha kuonana ndi dokotala pano, koma kwa matenda a shuga a 2, chizindikirocho ndi magawo a 10-15. Pankhaniyi, muyenera kuyang'anira kuchuluka kwa shuga m'magazi, kumayeza ndi chipangizo chotsimikiziridwa. Osachepera 4 mayeso ayenera kuchitidwa patsiku. Komanso, muyeso 1 umachitika ola limodzi musanayambe kuperekera mankhwala ndipo wina 1 - ola limodzi pambuyo. Ngati ndi kotheka, m'masiku atatu oyamba, mutha kuwonjezera mlingo wa mankhwalawa ndi 10-15%.

M'tsogolomu, zochita za Tujeo zimayamba, ndipo nthawi zambiri mlingo umatha kuchepetsedwa. Ndikwabwino kuti musachite izi mwadzidzidzi, koma kuti muchepetse pang'onopang'ono, ndi gulu limodzi pakayendetsedwe kalikonse, makamaka popeza momwe mankhwalawo amalolera. Kenako sipadzadumpha shuga m'magazi ndipo kuchepa kwa mankhwalawa sikungakhudze thanzi la wodwalayo.

Mukalowetsa kukonzekera kwa SoloStar ndi zomwe zimakhazikitsidwa ndi kuchuluka kwa 100 IU / ml (Lantus), kuchepetsa kwa 20% ndikulimbikitsidwa, ndipo mtsogolomo, ngati kuli kofunikira, bukuli lingasinthidwe.

Madokotala amawunika za Tujo SoloStar ndi Lantus

Alexander, endocrinologist, Krasnoyarsk: "SoloStar ndi mankhwala osavuta komanso othandiza, makamaka kwa odwala omwe amafunikira kwambiri insulin. Koma zimawononga zochulukirapo, chifukwa ngati palibe umboni wowonjezera kuchuluka kwa mankhwalawo, mutha kutenga Lantus. "

Anna, endocrinologist, Tver: "Onse a SoloStar ndi Lantus amapangidwa ndi kampani yomweyo, motero onse mankhwalawa ndi otetezeka komanso ogwira ntchito. Lantus imafotokozedwa ngati muyezo kwa achinyamata, kwa akuluakulu, makamaka ngati pakufunika mlingo waukulu, Tujeo SoloStar. ”

Ndemanga za Odwala

Irina, wazaka 41, Tver: “Ndinkakonda kubaya jekeseni Lantus, koma tsopano ndinasinthira ku SoloStar, chifukwa imatha kuperekedwa pafupipafupi ndipo mlingo wake ndiwosavuta kusintha. Mankhwalawa amalekeredwa bwino, palibe mavuto.

Victor, wazaka 45, Tula. "Adokotala adasankha Lantus, pakadali pano sindisintha kupita ku SoloStar, chifukwa mankhwalawa amathandizanso kukhala okhalitsa, koma wotsika mtengo."

Olga, wazaka 52, ku Moscow: "Ndilowa jakisoni wa SoloStar chifukwa poyambirira ndidalemba mankhwala okwanira. Palibe hypoglycemia yausiku, sichikhudza mtima, ilola. ”

Pomaliza

Tujeo ndi mankhwala omwe amapezeka nthawi yayitali kuti achepetse shuga. Imasinthasintha bwino shuga popanda lakuthwa mosinthasintha. Chifukwa cha njira yabwino yosinthira, insuliniyi ndiyotetezeka kwambiri kuposa momwe idakhazikitsira monga Lantus. Simungathe kugwiritsa ntchito nokha popanda malangizo a katswiri.

Kodi amagwiritsa ntchito chiyani?

Tujeo ndi Lantus amakonzekera insulin mwanjira yamadzimadzi a jakisoni.

Mankhwalawa amagwiritsidwa ntchito ngati mtundu 1 komanso matenda a shuga a 2, pomwe matenda a shuga sangatheke popanda kugwiritsa ntchito jakisoni wa insulin.

Ngati mapiritsi a insulin, kudya kwapadera komanso kutsatira mosamalitsa njira zonse zomwe zimaperekedwa sikumathandiza kuti shuga azikhala pansi pazovomerezeka, kugwiritsa ntchito Lantus ndi Tujeo. Monga kafukufuku wazachipatala wawonetsa, mankhwalawa ndi njira yothandiza yowunikira kuchuluka kwa shuga m'magazi.

M'maphunziro omwe opangidwa ndi mankhwalawa amapanga, kampani yaku Germany ya Sanofi, maphunziro adakhudza odzipereka okwana 3,500. Onsewa anali ndi matenda osokoneza bongo a mitundu yonse iwiri.

Mu gawo loyamba ndi lachitatu, chidwi cha Tujeo paumoyo wa odwala matenda ashuga a 2 adaphunzira.

Gawo lachinayi lidadzipereka pantchito ya Tujeo pa odwala omwe ali ndi matenda ashuga a mtundu woyamba. Malinga ndi zotsatira za kafukufukuyu, kuwoneka bwino kwambiri kwa Tujeo.

Chifukwa chake, kwa odwala matenda a shuga a gulu lachiwiri, kutsika kwapakati pa glucose kunali -1.02, ndikupatuka kwa 0.1-0.2%. Nthawi yomweyo, kuchuluka kovomerezeka kwamankhwala kunadziwika komanso kuchuluka kocheperako ka minyewa yam'mimba ma siteji ya jakisoni. Muyeso wachiwiri, ndi 0% yokha mwa mituyi yomwe idakhala ndi zotsatira zosasangalatsa.

Zonsezi zidatilola kuti tilingalire za chitetezo chamankhwala chatsopanocho ndikuyamba kupanga mafakitale. Tujeo tsopano likupezeka m'dziko lathu.

Lantus ndi Tujeo: zosiyana ndi zofanana

Kodi pali kusiyana kotani ndi Lantus, yemwe anali wodziwika ndi kufalitsidwa kale? Monga Lantus, mankhwalawa amapezeka mumachubu osavuta kugwiritsa ntchito.

Thumba lirilonse limakhala ndi mlingo umodzi, ndipo pakugwiritsa ntchito ndikwanira kutsegula ndikuchotsa kansalu ndikufinya dontho la zomwe zili ndi singano yokhazikitsidwa. Kugwiritsanso ntchito syringe chubu ndikotheka kokha asanachotsere injector.

Monga ku Lantus, ku Tujeo, chinthu chogwira ntchito ndi glargine - chithunzi cha insulin chopangidwa m'thupi la munthu. Glargine wophatikizika umapangidwa ndi njira ya kubwereza kwa DNA kwa mtundu wina wapadera wa Escherichia coli.

Mphamvu ya hypoglycemic imadziwika ndi kufanana komanso nthawi yayitali, yomwe imatheka chifukwa chotsatira njira ya thupi la munthu. Chithandizo chogwira ntchito cha mankhwalawa chimayambitsidwa ndi minofu yamafuta a anthu, pansi pa khungu.

Chifukwa cha izi, jakisoni amakhala wosapweteka komanso wosavuta kuchita.

Acidic solution ndi yotenga mbali, zomwe zimapangitsa kuti pakapangidwe michere yaying'ono yomwe imatha kumasula pang'onopang'ono ntchito.

Zotsatira zake, ndende ya insulin imakwera bwino, yopanda nsonga ndi madontho akuthwa, komanso kwanthawi yayitali. Kukhazikika kwa chochitika kumawonedwa pambuyo pa ola limodzi pambuyo pa jekeseni wa mafuta ochulukirapo. Kuchitikaku kumatha maola osachepera 24 kuyambira nthawi yoyang'anira.

Nthawi zina, Tujeo imakhala yowonjezereka mpaka maola 29 - 30. Nthawi yomweyo, kutsika kwamphamvu kwa glucose kumachitika pambuyo pa jakisoni a 3-4, ndiye kuti, palibe kale kuposa masiku atatu atayamba kumwa mankhwalawa.

Monga Lantus, gawo la insulin limasweka ngakhale isanalowe m'magazi, m'matumbo amafuta, motsogozedwa ndi ma asidi omwe amapezeka m'menemo. Zotsatira zake, pakuwunikira, deta imatha kupezeka pazowonjezera zomwe zimapangitsa insulini kusweka m'magazi.

Kusiyana kwakukulu kuchokera ku Lantus ndi kuchuluka kwa insulin yopanga muyezo umodzi wa Tujeo. Mukukonzekera kwatsopano, kumakhala katatu mwinanso 300 IU / ml. Chifukwa cha izi, kuchepa kwakukulu kwa kuchuluka kwa jakisoni tsiku ndi tsiku kumatheka.

Kuphatikiza apo, malinga ndi Sanofi, kuwonjezereka kwa mankhwalawa kunathandizira "kusalala" kwa mankhwalawa.

Chifukwa cha kuchuluka kwa nthawi pakati pa mabungwe, kuchepa kwakukulu kwa masheya a glargine kumatheka.

Ikagwiritsidwa ntchito moyenera, hypoglycemia imagwiritsidwa ntchito pokhapokha pokhapokha ngati pali mankhwala ena okhala ndi insulin ndikupita ku Tujeo. Pakadutsa masiku 7-10 mutangoyamba kumwa hypoglycemia imakhala chinthu chosowa kwambiri komanso cha atypical ndipo imatha kuwonetsa kusankhidwa kwakanthawi kogwiritsa ntchito mankhwalawa.

Zowona, kuwonjezereka katatu kwa ndende kunapangitsa kuti mankhwalawo akhale osasinthasintha. Ngati Lantus angagwiritsidwe ntchito pa matenda ashuga mwa ana ndi achinyamata, ndiye kuti kugwiritsa ntchito Tujeo ndizochepa. Wopanga amalimbikitsa kuti azigwiritsa ntchito mankhwalawa kuyambira azaka 18 zokha.

Wopangayo adapereka mwayi panjira yosinthira mankhwalawo. Cholembera cha syringe chimakupatsani mwayi kuti musinthe kuchuluka kwa mahomoni olowetsedwa mukuwonjezera gawo limodzi. Mlingo ndiwawokha, ndipo yoyenera imatha kusankhidwa mwanjira ina.

Kusintha kwa gawo mu cholembera cha Lantus

Choyamba muyenera kukhazikitsa mlingo womwewo womwe umagwiritsidwa ntchito ndi mankhwala am'mbuyomu. Kwa matenda a shuga a 2, nthawi zambiri amakhala magawo 10 mpaka 15. Pankhaniyi, ndikofunikira kuyesa glucose nthawi zonse ndi chipangizo chotsimikiziridwa.

Miyeso inayi iyenera kuchitika tsiku lililonse, awiri a iwo ola limodzi musanabaye jekeseni ndi ola limodzi mutatha. M'masiku atatu kapena asanu oyamba, kuchuluka pang'onopang'ono kwa mlingo wa mankhwalawa ndi 10-15% ndikotheka. M'tsogolomo, kuchuluka kwa mawonekedwe a Tujeo akayamba, mlingo umachepa.

Ndikwabwino kuti tisachepetse kwambiri, koma kuichepetsa ndi 1 unit nthawi imodzi - izi zingachepetse chiopsezo cha kudumpha kwa glucose. Kuchita bwino kwambiri kumachitikiranso chifukwa chosowa kowonjezera.

Kuchita bwino kwambiri komanso chitetezo cha mankhwalawa zimatengera kugwiritsa ntchito moyenera. Choyamba, muyenera kusankha nthawi yoyenera ya jakisoni.

Mankhwalawa amayenera kuperekedwa kwa mphindi 30 asanagone.

Chifukwa chake, zotsatira ziwiri zimakwaniritsidwa. Komanso, kuchepa thupi thupi pogona kumathandizira kuchepetsa kuchepa kwamphamvu kwa shuga m'magazi.

Kumbali inayi, kuchuluka kwa nthawi yayitali kwa mankhwalawa kungathandize kuthana ndi zomwe zimadziwika kuti "m'mawa kutacha", pomwe kuchuluka kwa glucose m'magazi kumawonjezeka kwambiri m'maola, m'mawa kwambiri.

Mukamagwiritsa ntchito Tujeo, muyenera kutsatira malangizo okhudza chakudya. Ziyenera kuchitika kuti chakudya chotsiriza chimalize maola asanu wodwala asanagone.

Chifukwa chake, ndikofunikira kwambiri kuti muzikhala ndi chakudya cham'mawa nthawi ya 18-00, osati kudya chakudya usiku. Kafukufuku akuwonetsa kuti kusankha koyenera kwa regimen ya tsiku ndi nthawi ya jakisoni kumakuthandizani kuti mugwiritse jakisoni imodzi yokha ya mankhwala pa maola makumi atatu ndi zisanu ndi chimodzi.

Malinga ndi odwala omwe asinthana ndi jakisoni wa Tujeo ndi mankhwala ena a insulin, ndi yosavuta kugwiritsa ntchito.

Mphamvu yofatsa yam'madzi, kusintha kwa thanzi, komanso kugwiritsa ntchito jakisoni mosavuta.

Poyerekeza ndi Lantus, Tujeo ali ndi kusiyana kocheperako, komanso kusapezeka kwazomwe zimachitika chifukwa cha kuchepa kwambiri kwa glucose. Nthawi yomweyo, odwala ena adazindikira kuipiraipira atasintha mankhwala atsopano.

Pali zifukwa zingapo zoyipa:

• nthawi yolakwika ya jekeseni
• kusankha kolakwika
• yoyenera mankhwala.

Ndi njira yoyenera yosankhira mlingo, zotsatira zoyipa zogwiritsa ntchito Tujeo sizimachitika.

Nthawi yomweyo, nthawi zambiri chifukwa cha mlingo wosankhidwa bwino, shuga ya wodwalayo imachepetsedwa mosafunikira.

Makanema okhudzana nawo

Zambiri zomwe muyenera kudziwa zokhudza Lantus insulin mu kanema:

Chifukwa chake, chidacho chitha kuvomerezedwa kwa anthu omwe ali ndi matenda a shuga a 2, makamaka iwo omwe amafunikira phindu lochulukirapo kuchokera ku mahomoni omwe amaperekedwa. Malinga ndi kafukufuku, kulephera kwa impso ndi chiwindi sikutsutsana pakugwiritsa ntchito mankhwalawa.

Palibe chovuta kugwiritsa ntchito mukakalamba. Nthawi yomweyo, kugwiritsa ntchito Tujeo paubwana sikulimbikitsidwa - pamenepa, Lantus ingakhale njira yabwino.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Zambiri ndi mankhwala a pharmacological

"TujeoSolostar" - mankhwala ozikidwa pa insulin. Cholinga cha mankhwalawa ndi mtundu wa matenda a shuga a mtundu woyamba. Mulinso gawo Glargin - m'badwo waposachedwa wa insulin.

Ili ndi vuto la glycemic - imachepetsa shuga popanda kusinthasintha kwamphamvu. Mankhwalawa ali ndi mawonekedwe osinthika, omwe amakupatsani mwayi wowonjezera mankhwala.

Tujeo amatanthauza insulin yotalikilapo. Nthawi ya ntchitoyi ikuchokera maola 24 mpaka 34. Zomwe zimagwira zimafanana ndi insulin ya anthu. Poyerekeza ndi kukonzekera komweko, kumalimbikitsidwa kwambiri - zimakhala ndi mayunitsi 300 / ml, ku Lantus - 100 mayunitsi / ml.

Wopanga - Sanofi-Aventis (Germany).

Zindikirani! Mankhwala omwe amachokera ku Glargin amagwira ntchito bwino ndipo samayambitsa kuchuluka kwadzidzidzi mu shuga.

Mankhwala amakhala osalala komanso ochepetsera shuga pokhazikitsa kagayidwe ka shuga. Kuchulukitsa mapuloteni, kumalepheretsa mapangidwe a shuga m'chiwindi. Imathandizira mayamwidwe a shuga ndi minofu ya thupi.

Thupi limasungunuka m'malo acidic. Pang'onopang'ono odzipereka, wogawana wogawa komanso wopangidwa mofulumira. Zochita pazambiri ndi maola 36. Kutha kwa theka-moyo kuli mpaka maola 19.

Ubwino ndi zoyipa

Ubwino wa Tujeo poyerekeza ndi mankhwala ofanana ndi awa:

• nthawi yayitali yopitilira masiku awiri,
• zoopsa zokulitsa hypoglycemia nthawi yamadzulo zimachepa,
• kuchuluka kwa jekeseni, motero, kumwa pang'ono kwa mankhwalawa kuti mupeze zotsatira zomwe mukufuna,
• zoyipa zochepa
• kukweza katundu kwambiri
• kuchepa thupi pang'ono ndi kugwiritsa ntchito pafupipafupi,
• yosalala popanda spikes mu shuga.

Mwa zolakwa zingadziwike:

• musamalamulire ana
• sagwiritsidwa ntchito pochiza matenda ashuga a ketoacidosis,
• zotheka zomwe zimachitika sizisankhidwe.

Zizindikiro ndi contraindication

Zizindikiro zogwiritsidwa ntchito:

• Type 1 shuga limodzi ndi insulin yochepa,
• T2DM ngati monotherapy kapena mankhwala apakamwa.

Gulu lotsatira la odwala liyenera kuthandizidwa mosamala kwambiri:

• pamaso pa matenda a endocrine,
• okalamba omwe ali ndi matenda a impso,
• pamaso pa chiwindi kukanika.

M'magulu awa aanthu, kufunikira kwa mahomoni kumatha kutsika chifukwa kagayidwe kake kamakhala kofooka.

Zofunika! Mukufufuza, palibe zotsatira zenizeni pa fetus zomwe zapezeka. Mankhwala amatha kuikidwa pa nthawi ya pakati, ngati pakufunika kutero.

Malangizo ogwiritsira ntchito

Mankhwalawa amagwiritsidwa ntchito ndi wodwala mosasamala nthawi yakudya. Ndikulimbikitsidwa kupaka jekeseni nthawi yomweyo. Imayendetsedwa kamodzi kamodzi patsiku. Malangizo a maola atatu.

Mlingo wa mankhwalawa umatsimikiziridwa ndi endocrinologist potengera mbiri ya zamankhwala - zaka, kutalika, kulemera kwa wodwala, mtundu ndi njira ya matendawa amakumbukiridwa.

Mukasinthira mahomoni kapena kusinthira kwina, ndikofunikira kuyendetsa mwamphamvu kuchuluka kwa glucose.

Pakupita mwezi umodzi, zizindikiro za metabolic zimayang'aniridwa.Pakusintha, mungafunike kuchepetsedwa kwa 20% kuti muchepetse kwambiri shuga.

Zindikirani! Tujeo sakhala woweta kapena kusakaniza ndi mankhwala ena. Izi zikuphwanya mbiri yake yakanthawi.

Kusintha kwa Mlingo kumachitika mu milandu yotsatirayi:

• kusintha kwa zakudya
• kusinthana ndi mankhwala ena
• Matenda ochitika kapena omwe analipo kale
• kusintha kwa zolimbitsa thupi.

Njira zoyendetsera

Tujeo amangoperekedwa pokhapokha ndi cholembera. Malo omwe analimbikitsidwa - khoma lakunja lam'mimba, ntchafu, minofu yapamwamba kwambiri. Popewa kupanga mabala, malo a jakisoni sasinthidwa kupitilira gawo limodzi. Sizoletsedwa kugwiritsa ntchito mankhwalawa mothandizidwa ndi mapampu a kulowetsedwa.

Odwala omwe ali ndi matenda amtundu wa 1 amatenga Tujeo pa mlingo umodzi wophatikizana ndi insulin yochepa. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amapatsidwa mankhwalawa ngati monotherapy kapena kuphatikiza ndi mapiritsi a 0.2 mayunitsi / kg ndikusintha.

Yang'anani! Asanakhazikitsidwe, mankhwalawa amayenera kusungidwa kutentha.

Phunziro la kanema pogwiritsa ntchito cholembera:

Zochita Zosiyanasiyana

Zotsatira zoyipa kwambiri zinali hypoglycemia. Kafukufuku wachipatala adazindikira zotsatirazi zotsatirazi.

Mukutenga Tujeo, zotsatirapo zoyipa zingachitike:

• kuwonongeka kwamawonekedwe
• lipohypertrophy ndi lipoatrophy,
• thupi lawo siligwirizana
• zimachitika m'deralo jakisoni jekeseni - kuyabwa, kutupa, redness.

Mankhwala osokoneza bongo nthawi zambiri amapezeka pamene mlingo wa mahomoni obayidwa upitilira kufunikira kwake. Itha kukhala yopepuka komanso yolemetsa, nthawi zina imakhala yowopsa kwa wodwalayo.

Ndi mankhwala osokoneza bongo pang'ono, hypoglycemia imakonzedwa potenga chakudya kapena shuga. Ndi zigawo zotere, kusintha kwa mankhwalawa kumatheka.

Woopsa milandu, limodzi ndi kuwonongeka, chikomokere, mankhwala amafunikira. Wodwalayo amaphatikizidwa ndi shuga kapena glucagon.

Kwa nthawi yayitali, vutoli limayang'aniridwa kuti lipewe zochitika zomwe zibwerezedwa.

Mankhwalawa amasungidwa pa t kuchokera ku + 2 mpaka +9 degrees.

Yang'anani! Ndi zoletsedwa kuti ziwundane!

Mtengo wa yankho la Tujeo ndi mayunitsi 300 / ml, cholembera cha 1.5 mm, cholembera ma 5. - 2800 ma ruble.

Mankhwala osokoneza bongo amaphatikiza mankhwala omwe ali ndi chophatikizira chomwecho (insulin Glargin) - Aylar, Lantus Optiset, Lantus Solostar.

Mankhwala omwe ali ndi vuto lofananira, koma zina zomwe zimagwira (insulin Detemir) zimaphatikizapo Levemir Penfil ndi Levemir Flekspen.

Yoperekedwa ndi mankhwala.

Maganizo a odwala

Kuchokera pakuwunika kwa a Tujeo Solostar, titha kunena kuti mankhwalawa sioyenera aliyense. Ambiri okwanira odwala matenda ashuga sakhutira ndi mankhwalawo komanso amatha kuchepetsa shuga. Ena, m'malo mwake, amalankhula za zoyenera kuchita komanso kusakumana ndi mavuto.

Ndili pamankhwala mwezi umodzi. Izi zisanachitike, adatenga Levemir, kenako Lantus. Tujeo anakonda kwambiri. Shuga amagwira molunjika, palibe kudumpha kosayembekezereka. Ndi zizindikiro ziti zomwe ndidagona, ndizomwe ndidadzuka. Pa phwando milandu ya hypoglycemia sichinachitike. Ndayiwala zamtopola ndimankhwala. Kolya nthawi zambiri 1 pa tsiku usiku.

Anna Komarova, wazaka 30, Novosibirsk

Ndili ndi matenda ashuga a 2. Adatenga Lantus yamauniti 14. - m'mawa wotsatira shuga anali 6.5. Tujeo adalowetsa muyezo womwewo - shuga m'mawa kwambiri 12 ndimayenera kuwonjezeka pang'onopang'ono. Ndikamadya pafupipafupi, shuga adawonetseranso osachepera 10. Mwachidziwikire, sindimamvetsetsa tanthauzo la mankhwalawa othandizira - muyenera kuwonjezera kuchuluka kwa tsiku ndi tsiku. Ndidafunsa kuchipatala, ambiri amakhalanso osakondwa.

Evgenia Alexandrovna, wazaka 61, Moscow

Ndili ndi matenda ashuga pafupifupi zaka 15. Pa insulin kuyambira 2006. Ndinafunika kuti nditenge mlingo kwa nthawi yayitali. Ndimasankha zakudya mosamala, ndimayang'anira insulin masana ndi Insuman Rapid. Poyamba panali Lantus, tsopano amapereka Tujeo. Ndi mankhwalawa, ndizovuta kusankha mlingo: 18 magawo. ndipo shuga akutsikira kwambiri, akumenya zigawo 17. -Oyamba amabwerera mwachizolowezi, kenako umayamba kukwera. Nthawi zambiri zinkakhala zazifupi. Tujeo ndiwotupa kwambiri, ndizosavuta kuyenda mu Lantus mu Mlingo. Ngakhale zonse ndizofanana, adabwera kwa mnzake kuchokera ku chipatalako.

Victor Stepanovich, wa zaka 64, Kamensk-Uralsky

Kolola Lantus ali ndi zaka pafupifupi zinayi. Poyamba zonse zinali bwino, kenako matenda ashuga a polyneuropathy anayamba kukula. Dokotala adasintha mankhwala a insulin ndipo adalemba Levemir ndi Humalog. Izi sizinabweretse zotsatira zomwe zimayembekezeredwa. Kenako adandisankha Tujeo, chifukwa samapereka kulumpha kwakuthwa mu glucose. Ndinawerenga ndemanga za mankhwalawa, omwe amalankhula zosagwira bwino komanso zotsatira zosakhazikika. Poyamba ndinakayikira kuti insuliniyi indithandiza. Ndidabaya pafupifupi miyezi iwiri, ndipo polyneuropathy zidendene zidapita. Inemwini, mankhwalawo adabwera kwa ine.

Lyudmila Stanislavovna, wazaka 49, St. Petersburg

Padziko lonse lapansi pali opitilila 750 miliyoni odwala matenda ashuga. Kuti mukhale ndi thanzi, odwala ayenera kumwa mankhwala a glycemic mwadongosolo. Pamsika wazamalonda, insulin ya kampani yaku Germany Sanofi yomwe ili ndi dzina la Tujeo SoloStar idadziwonetsa bwino.

Kusiyana pakati pa SoljoStar ndi Lantus

Sanofi adatulutsanso Apidra, Insumans, ndi Lantus insulin. SoloStar ndi analogue yapamwamba ya Lantus.

Pali zosiyana pakati pa SoloStar ndi Lantus. Choyamba, ndimakhudzidwa. SoloStar ili ndi 300 IU ya glargine, ndipo Lantus ali ndi 100 IU. Chifukwa cha izi, ndizovomerezeka kwanthawi yayitali.

Pochepetsa kukula kwa mpweya wotentha, Tujeo SoloStar pang'onopang'ono amatulutsa mahomoni. Izi zikufotokozera kuchepetsedwa kwa nocturnal kwambiri hypoglycemia kapena zovuta za matenda ashuga.

Zotsatira zamtundu wa 100 IU za glargine zimadziwika pambuyo pake pambuyo pa jekeseni wa 300 IU. Kuchita kwa nthawi yayitali kwa Lantus kumatha masiku opitilira 24.

Tujeo SoloStar imachepetsa mwayi wokhala ndi hypoglycemia wowopsa kapena wamadzulo pofika 21 mpaka 23%. Nthawi yomweyo, zisonyezo zochepetsera zomwe zili glycated hemoglobin ku SoloStar ndi Lantus ndi zofanana. "Glargin" pa mayunitsi 100 ndi 300 ndi otetezeka kuthandizira odwala matenda ashuga onenepa kwambiri.

Zotsatira zoyipa

Mwapadera, Tujeo SoloStar amatha kuyambitsa zosafunikira.

Pa mankhwala, mavuto ena amatha.

• Njira za metabolism: hypoglycemia - chikhalidwe chomwe chimachitika pakudya mlingo waukulu wa insulin kuposa momwe thupi limafunikira. Atha kukhala limodzi ndi kutopa, kugona, kupweteka mutu, kusokonezeka, kukokana.
• Organs: kuphwanya turgor ndi mandala Refractive index. Zizindikiro zake ndizakanthawi kochepa, safuna chithandizo. Kaŵirikaŵiri, kuwonongeka kwakanthawi kumachitika.
• Khungu ndi subcutaneous minofu: lipodystrophy ndi zochitika kwanuko m'dera loyang'anira. Amadziwika mu 1-2% yokha ya odwala. Popewa chizindikiro ichi, muyenera kusintha tsamba la jakisoni nthawi zambiri.
• Chitetezo chokwanira: zokhudza zonse ziwengo mu mawonekedwe a edema, bronchospasm, kutsitsa magazi, kugwedezeka.
• Machitidwe ena: kawirikawiri thupi limayamba kulolera insulin, ndikupanga ma antibodies ena.

Popewa zoyipa zilizonse, wodwalayo akulangizidwa kuti apimidwe. Nthawi zonse muzitsatira njira zomwe dokotala amakupatsani. Kudzichitira nokha mankhwala kungakhale pachiwopsezo cha moyo.

Kuchita bwino ndi chitetezo cha Tujeo Solostar

Pakati pa Tujeo Solostar ndi Lantus, kusiyana ndikuwonekeratu. Kugwiritsa ntchito Tujeo kumalumikizidwa ndi chiopsezo chochepa kwambiri cha kukhala ndi hypoglycemia mwa odwala matenda a shuga. Mankhwala atsopanowa atsimikizira kukhazikika kwokhazikika komanso kwanthawi yayitali poyerekeza ndi Lantus kwa tsiku limodzi kapena kupitilira apo. Muli malo ena atatu a yogwira 1 ml yankho, lomwe limasintha kwambiri malo.

Kutulutsa kwa insulin kumayamba pang'onopang'ono, kenako kumalowa m'magazi, nthawi yayitali imayendetsa kuchuluka kwa shuga m'magazi masana.

Kuti mupeze insulin yomweyo, Tujeo amafunikira katatu kuposa Lantus. Jakisoni sadzakhala wowawa kwambiri chifukwa chakuchepa kwa dera la mpweya. Kuphatikiza apo, mankhwalawa ocheperako amathandizira kuwunika bwino momwe amalowera m'magazi.

Kusintha kwapadera pa mayankho a insulin mutatenga Tujeo Solostar kumaonekera mwa iwo omwe amatenga Mlingo wambiri wa insulin chifukwa cha mankhwala omwe amapezeka ndi insulin.

Ndani angagwiritse ntchito insulin Tujeo

Kugwiritsa ntchito mankhwalawa kumaloledwa kwa okalamba omwe ali ndi zaka zopitilira 65, komanso odwala matenda ashuga omwe ali ndi aimpso kapena chiwindi.

Mukakalamba, ntchito ya impso imatha kuwonongeka kwambiri, zomwe zimapangitsa kuchepa kwa kufunika kwa insulin. Ndi kulephera kwa aimpso, kufunika kwa insulini kumachepa chifukwa kuchepa kwa insulin metabolism. Ndi kulephera kwa chiwindi, kufunika kumachepa chifukwa kuchepa kwa kuthekera kwa gluconeogeneis ndi insulin metabolism.

Zomwe munthu amagwiritsa ntchito mankhwalawa sizinachitike mwa ana ndi achinyamata osakwana zaka 18. Malangizowo akuwonetsa kuti inshuwaransi ya Tujeo imapangidwira achikulire.

Sitikulimbikitsidwa kugwiritsa ntchito Tujeo Solostar panthawi yoyembekezera komanso mkaka wa m'mawere, ndibwino kusinthana ndi zakudya zabwino.

Insulin ya Tujeo imapezeka ngati jakisoni, woperekedwa kamodzi pa nthawi yoyenera patsiku, koma tsiku lililonse nthawi yomweyo. Kusiyanitsa kwakukulu mu nthawi yoyendetsera kuyenera kukhala maola 3 isanachitike kapena itatha nthawi yokhazikika.

Odwala omwe akusowa mlingo amayenera kuyang'anitsitsa magazi awo kuti athe kuyamwa kwambiri, ndipo abwerere mwakale kamodzi. Palibe vuto, mutatha kudumpha, simungathe kulowa muyezo wapawiri kuti mupange zomwe zayiwalika!

Kwa odwala omwe ali ndi matenda a shuga 1, Tujeo insulin iyenera kuperekedwa mwachangu ndi insulin panthawi yachakudya kuti ithetsere kufunika kwake.

Odwala a Tujeo insulin 2 omwe ali ndi matenda ashuga ayenera kuphatikizidwa ndi mankhwala ena a hypoglycemic. Poyamba, ndikulimbikitsidwa kuyambitsa 0.2 U / kg kwa masiku angapo.

KUMBUKIRANI. Tujeo Solostar imayang'aniridwa mosasamala! Simungathe kulowa nawo kudzera m'mitsempha! Kupanda kutero, pamakhala chiopsezo cha hypoglycemia.

Gawo 1 Chotsani cholembera ku firiji ola limodzi musanagwiritse ntchito, chokani kutentha. Mutha kulowa mankhwala ozizira, koma zimakhala zowawa kwambiri. Onetsetsani kuti mwapeza dzina la insulin ndi nthawi yomwe nthawi yake yakwana. Chotsatira, muyenera kuchotsa chipewa ndikuyang'anitsitsa ngati insulini ikuwonekera. Osagwiritsa ntchito ngati wapangika utoto. Opaka chingamu pang'ono ndi ubweya wa thonje kapena nsalu yothira ndi mowa wa ethyl.

Gawo 2 Chotsani chophimba chotchingira mu singano yatsopanoyo, ndikukulungani pa cholembera kufikira chitayima, koma osagwiritsa ntchito mphamvu. Chotsani kapu yakunja ndi singano, koma osataya. Chotsani chophimba chamkati ndi kutaya nthawi yomweyo.

Gawo 3 . Pali zenera loletsa kumwa pa syringe yomwe ikuwonetsa kuti ndi ma unit angati omwe adzalowe. Chifukwa cha zatsopanozi, kusanthula pamiyeso sikofunikira. Mphamvu imawonetsedwa mumagulu amodzi a mankhwalawo, osofanana ndi ma analogu ena.

Choyamba yesetsani mayeso okhudza chitetezo. Mukamaliza kuyesa, dzazani syringe ndi 3 PIECES, mukamazungulira chosankha cha mankhwalawo mpaka cholembera chili pakati pa manambala 2 ndi 4. Kanikizani batani loyang'anira mlingo mpaka litayima. Ngati dontho lamadzi lituluka, ndiye kuti cholembera cha syringe ndi choyenera kugwiritsidwa ntchito. Kupanda kutero, muyenera kubwereza chilichonse mpaka gawo 3. Ngati zotsatira sizinasinthe, ndiye kuti singano ndiyolakwika ndipo iyenera kusintha.

Gawo 4 Pambuyo pokhazikitsa singano, mutha kuyimba mankhwalawo ndikudina batani la metering. Ngati batani silikuyenda bwino, musagwiritse ntchito mphamvu kuti mupewe kuwonongeka. Poyamba, mlingo umakhala w zero, wosankha uyenera kuzunguliridwa mpaka polemba pamzere ndi mlingo womwe ukufunidwa. Ngati mwayi wosankhidwa atembenukira kutali kuposa momwe ungafunire, mutha kuubweza. Ngati mulibe ED yokwanira, mutha kulowa mankhwalawa 2 jakisoni, koma ndi singano yatsopano.

Zowonetsera zenera lotsogolera: ngakhale manambala amawonetsedwa moyang'anizana ndi cholembera, ndipo manambala osamvetseka amawonetsedwa pamzere pakati pa manambala. Mutha kuyimba ma PIERES 450 mu cholembera. Mlingo wa 1 mpaka 80 mayunitsi umadzazidwa ndi cholembera ndipo umaperekedwa mu kuwonjezeka kwa mlingo wa 1 unit.

Mlingo ndi nthawi yogwiritsira ntchito zimasinthidwa malinga ndi momwe thupi la wodwala aliyense limachitikira.

Gawo 5 Insulin iyenera kuyikiridwa ndi singano m'matumbo a subcutaneous a ntchafu, phewa kapena pamimba popanda kukhudza batani la dosing. Kenako ikani chala chanu batani, ndikukankhira mbali yonseyo (osati patali) ndikuigwira mpaka "0" iwonekere pazenera. Pang'onopang'ono kuwerenga mpaka asanu, kenako amasulidwe. Chifukwa chake mlingo wathunthu udzalandiridwa. Chotsani singano pakhungu. Malo omwe ali ndi thupi ayenera kusinthidwa ndikumayambitsa jakisoni watsopano aliyense.

Gawo 6 Chotsani singano: tengani nsonga ya kapu yakunja ndi zala zanu, gwiritsani singanoyo ndikuyiyika mu kapu yakunja, ndikulimba mwamphamvu, kenako ndikutembenuzira cholembera ndi dzanja lanu lina kuti muchotsere singano. Yesaniso mpaka singano ichotsedwe. Tayetsani mu chidebe cholimba chomwe chimatayidwa ndi dokotala. Tsekani cholembera ndi cholembera ndipo musachiyimitsenso mufiriji.

Muyenera kuti muzisunga kutentha kutentha, osatsika, pewani kugwedezeka, musasambe, koma pewani fumbi kuti lisalowe. Mutha kugwiritsa ntchito kwa mwezi wathunthu.

Kusintha kuchokera ku mitundu ina ya insulin kupita ku Tujeo Solostar

Mukasintha kuchokera ku Glantine Lantus 100 IU / ml kupita ku Tugeo Solostar 300 IU / ml, mlingo umayenera kusinthidwa, chifukwa zomwe zakonzedwazo sizili ndi bioequivalent ndipo sizisinthana. Mutha kuwerengera gawo lililonse, koma kuti mukwaniritse kuchuluka kwa shuga m'magazi, mudzafunika mlingo wa Tujeo 10-18% kuposa mlingo wa Glargin.

Mukamasintha insulin yayitali komanso yayitali, muyenera kusintha kusintha kwa mankhwalawo ndikusintha mankhwala a hypoglycemic, nthawi ya makonzedwe.

Ndikusintha kwa mankhwalawa kamodzi kokha kwa Tujeo, munthu amatha kuwerengera gawo la chakudya. Mukasinthira mankhwalawa kawiri pa tsiku ku Tujeo, tikulimbikitsidwa kugwiritsa ntchito mankhwala atsopano pa 80% ya kuchuluka kwa mankhwalawo.

Ndikofunikira kuchita pafupipafupi kuyang'anira metabolic ndi kufunsa dokotala mkati mwa masabata 2-4 mutasintha insulin. Pambuyo pakukonzanso kwake, mlingo uyenera kusinthidwanso. Kuphatikiza apo, kusintha kumafunikira pakusintha kulemera, moyo, nthawi ya insulin kapena zochitika zina pofuna kupewa kukula kwa hypo- kapena hyperglycemia.