Makhalidwe ndi njira yoyendetsera insulin Tujeo

Choyamba, m'bale wanu ali ndi chipepeso chochepa cha shuga, chifukwa kuyambira 7 mpaka 11 mmol / l - awa ndi mashuga ambiri, omwe amatsogolera ku zovuta za matenda ashuga. Chifukwa chake, kusankha kwa kuchuluka kwa insulin yowonjezera kumafunika. Simunalembe nthawi yanji ya tsiku lomwe ali ndi shuga 5 mmol / l, ndipo akwera mpaka 10-11 mmol / l?

Basal Insulin Tujeo SoloStar (Toujeo)

Insulin yowonjezera Toujeo SoloStar (Toujeo) - gulu latsopano la kampani ya Sanofi, yomwe imatulutsa Lantus. Kutalika kwa kuchitapo kwake ndikutali kuposa kwa Lantus - kumatenga maola 24 (mpaka maola 35) poyerekeza ndi maola 24 a Lantus.

Insulin Tozheo SoloStar likupezeka mu ndende yayikulu kuposa Lantus (mayunitsi 300 / ml motsutsana ndi mayunitsi 100 / ml a Lantus). Koma malangizo ake ogwiritsira ntchito akuti mlingo uyenera kukhala wofanana ndi wa Lantus, umodzi mpaka umodzi. Ndikungokhala kuti kuchuluka kwa ma insulin awa ndi kosiyana, koma makulidwe m'zowunikira amakhalabe chomwecho.

Poyerekeza ndemanga ya odwala matenda ashuga, Tujeo amachita zinthu zosasangalatsa komanso wamphamvu kuposa Lantus, ngati mungayike muyezo womwewo. Chonde dziwani kuti zimatenga masiku 3-5 kuti Tujeo achite zinthu mokwanira (izi zikugwiranso ntchito kwa Lantus - zimatenga nthawi kuti zizolowere insulin yatsopano). Chifukwa chake, kuyeserera, ngati kuli kotheka, muchepetseni.

Ndikofunika kuyika basal insulin katatu patsiku, chifukwa Wocheperako ndi muyezo womwewo, umamuyamwa bwino. Ndikosavuta kupewa nsonga za hypoglycemic.

Ndilinso ndi matenda a shuga 1, ndimagwiritsa ntchito Levemir monga basal insulin. Ndili ndi pafupifupi mlingo womwewo - ndimayika mayunitsi 14 nthawi ya 12 masana ndi maola 15-24 maola 15 magawo.

Algorithm yowerengera kuchuluka kwa insulin Tujeo SoloStar (Levemira, Lantus)

Muyenera kucheza ndi wachibale wanu kuwerengedwa kwa kuchuluka kwa insulin yomwe akufuna. Izi zimachitika motere:

1. Tiyeni tiyambe kuwerengera mlingo wamadzulo. Mbale wanu adye monga mwa nthawi zonse ndipo asadyerenso tsiku lomwelo. Izi ndizofunikira kuchotsa ma surges mu shuga omwe amayamba chifukwa chodya ndi insulin yochepa. Pena kuyambira 18-00 amayamba maola 1.5 aliwonse kuti amweze magazi. Palibenso chifukwa chodyera chakudya chamadzulo. Ngati ndi kotheka, ikani insulini yaying'ono kuti shuga ikhale yabwinobwino.
2. Pofika 22 koloko tengani mankhwala a insulin ambiri. Mukamagwiritsa ntchito Toujeo SoloStar 300, ndimalimbikitsa kuyamba ndi magawo 15. Patatha maola awiri jekeseni, yambani kumwa miyezo ya shuga ya magazi. Sungani chojambulira - lembani nthawi ya jakisoni ndi zizindikiro za glycemia. Pali chiopsezo cha hypoglycemia, kotero muyenera kusunga china chokoma - tiyi wotentha, msuzi wokoma, ma cubes a shuga, mapiritsi a Dextro4, etc.
3. Peak basal insulini iyenera kubwera pafupifupi cha m'ma a.m., choncho khalani maso. Miyeso ya shuga imatha kupangidwa ola lililonse.
4. Chifukwa chake, mutha kuyang'anira mphamvu yamadzulo (usiku) Mlingo wa insulin yowonjezera. Ngati shuga amachepetsa usiku, ndiye kuti mankhwalawo ayenera kuchepetsedwa ndi 1 unit ndikubweretsanso kafukufuku womwe. Mosiyana, ngati shuga amakwera, ndiye kuti kuchuluka kwa Toujeo SoloStar 300 kuyenera kuwonjezeka pang'ono.
5. Momwemonso, yesani m'mawa mlingo wa basal insulin. Bwino osati pompopompo - yambani ndi kumwa kwa mankhwalawa, kenako musinthe tsiku lililonse.

Mukamawerengera insulin ya basal maola 1-1,5 alionse, kuyeza shuga

Monga zitsanzo zenizeni, ndipereka diary yanga posankha mtundu wa basal insulin Levemir (wogwiritsa ntchito mlingo wam'mawa mwachitsanzo):

Nthawi 7 koloko amayambitsa magulu 14 a Levemir. Sanadye chakudya cham'mawa.

Kuchokera pagome kumatha kuwoneka kuti ndinatenga mlingo woyenera wa insulin yayitali, chifukwa shuga imasungidwa pafupifupi chimodzimodzi. Ngati atayamba kuchuluka kuchokera pa maola pafupifupi 10-12, ndiye kuti ichi chizikhala chizowonjezera. Ndipo mosemphanitsa.

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).

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

Zisonyezero zogwiritsidwa ntchito:

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

Tujeo osavomerezeka kuti agwiritsidwe ntchito zotsatirazi: hypersensitivity to the mahomoni kapena zigawo zina za mankhwalawo, osakwanitsa zaka 18, chifukwa chosowa chitetezo.

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.

Malangizo ogwiritsira ntchito

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

Mlingo wa mankhwalawa umatsimikiziridwa ndi endocrinologist kutengera 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.

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

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.

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.

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. Ndilowa pafupifupi miyezi iwiri, ndipo polyneuropathy ya zidendene inali itapita. Inemwini, mankhwalawo adabwera kwa ine.

Lyudmila Stanislavovna, wazaka 49, St. Petersburg