Malangizo a Tozheo Solostar ogwiritsira ntchito

Magawo a Tujeo SoloStar (insulin glargine 300 IU / ml) amangotanthauza Tujeo SoloStar ndipo safanana ndi ziwalo zina zomwe zikuonetsa mphamvu ya zochita za ena a insulin analogues.

Tujo SoloStar iyenera kutumikiridwa mosavomerezeka kamodzi patsiku nthawi iliyonse yamasana, makamaka nthawi yomweyo.

Ndi dongosolo limodzi la Tujeo SoloStar masana, limakupatsani mwayi wosinthika wa jakisoni: ngati kuli kotheka, odwala amatha kubaya jekeseni mkati mwa maola 3 asanafike kapena maola 3 atatha nthawi yawo yokhazikika.

Zotsatira za pharmacological

Kuwongolera kagayidwe ka shuga. Amachepetsa kuchuluka kwa shuga m'magazi, kumalimbikitsa mayamwidwe a glucose ndi zotumphukira zimakhala (makamaka mafupa amkono ndi adipose minofu) ndikuletsa kupangika kwa glucose m'chiwindi. Imalepheretsa lipolysis mu adipocytes (mafuta m'magazi) ndikuletsa ma proteinol, pamene ikukula kaphatikizidwe ka mapuloteni.

Zotsatira zoyipa

Kuchokera kumbali ya kagayidwe ndi zakudya: hypoglycemia.

Kuchokera kumbali ya gawo la masomphenyawo: kuwonongeka kwakanthawi kowonekera chifukwa chakuphwanya kwakanthawi kwa turgor ndi kalozera wamaso amaso.

Kumbali ya pakhungu ndi minyewa yolumikizika: pamalo a jakisoni, lipodystrophy imatha kukhazikika, yomwe imachepetsa kuyamwa kwa insulin.

Kuphwanya minofu ndi mafupa minyewa: myalgia.

Zotsatira zoyipa zam'deralo malo a jakisoni

Malangizo apadera

Nthawi ya kukonzekera kwa hypoglycemia zimatengera mawonekedwe a insulini yomwe amagwiritsidwa ntchito motero, angasinthe ndikusintha kwamalamulo azithandizo.

Kusamalidwa makamaka kuyenera kuchitika ndikuwonjezera kuwunika kwa shuga wamagazi akamagwiritsa ntchito mankhwala omwe odwala omwe amapezeka ndi hypoglycemia amakhala ndi tanthauzo lapadera la matenda, monga odwala omwe ali ndi vuto lalikulu la mitsempha ya m'magazi kapena ziwiya za m'magazi komanso kwa odwala omwe ali ndi proliferative retinopathy, makamaka ngati salandira chithandizo cha photocoagulation (chiopsezo chotayika kwakanthawi masomphenyawo akutsatira hypoglycemia.

Kuchita

Beta-adrenergic blocking agents, clonidine, saltamu ndi ethanol - ndizotheka kulimbitsa ndi kufooketsa mphamvu ya hypoglycemic ya insulin.

GCS, danazole, diazoxide, diuretics, sympathomimetics (monga adrenaline, salbutamol, terbutaline), glucagon, isoniazid, phenothiazine zotumphukira, somatotropic timadzi, mahomoni a chithokomiro, estrogens ndi gestagen (mwachitsanzo, mu ziletso zamahomoni). olanzapine ndi clozapine). The munthawi yomweyo mankhwala awa ndi insulin glargine angafunikire kusintha kwa insulin.

Oral hypoglycemic agents, ACE inhibitors, salicylates, disopyramides, fibrate, fluoxetine, MAO zoletsa, pentoxifylline, propoxyphene, sulfonamide antibayotiki. The munthawi yomweyo mankhwala awa ndi insulin glargine angafunikire kusintha kwa insulin.

Mafunso, mayankho, ndemanga zamankhwala Tujeo SoloStar


Zomwe zimaperekedwa zimakonzekera akatswiri azamankhwala komanso zamankhwala. Chidziwitso chokwanira chokhudza mankhwalawa chili m'malangizo omwe amaphatikizidwa ndi zomwe amapanga ndi wopanga. Palibe chidziwitso chomwe chatumizidwa patsamba lino kapena tsamba lililonse la tsamba lathu chomwe chingagwire ntchito ngati cholowa m'malo mwapadera kwa katswiri.

Mankhwala

Mankhwala Tujeo Solostar amagwiritsidwa ntchito pochiza matenda ashuga. Mankhwala amakulolani kusintha mtundu wa insulin ndi kagayidwe kake mthupi. Chifukwa cha mankhwalawa, kuchuluka kwa glucose m'thupi kumachepa, kagayidwe kachakudya kowononga mafuta m'magulu awo amthupi mwa zochita za lipase kumachepetsa, njira ya protein hydrolysis imakhala yofanana. Mankhwalawa amayamba kugwira ntchito patatha maola ochepa atayamwa, ndipo zotsatira zake zimatha kwa masiku awiri.

Kuchita bwino kwa mankhwalawa kwatsimikiziridwa ndi kafukufuku wambiri, komanso ndemanga zabwino za odwala omwe adathandizidwa ndi Tujeo Solostar. Mankhwalawa amaphatikizidwa bwino ndi magulu onse odwala, mosaganizira jenda, zaka komanso mapikidwe ake. Mukamagwiritsa ntchito mankhwalawa, chiopsezo chowonetsedwa cha hypoglycemic syndrome, chomwe chitha kuyambitsa chiwopsezo cha moyo kwa wodwalayo, chimachepa.

Chithandizo cha mankhwalawa Tujeo Solostar sichikhudzanso mtima wamthupi. Mukamagwiritsa ntchito mankhwalawa, odwala sangachite mantha kukumana ndi mavuto azaumoyo monga:

  • kulowerera kopanda magazi
  • pachimake ubongo
  • kusowa kwa magazi kumisempha yamtima,
  • kuwonongeka kwa ziwiya zazing'onoting'ono ndi ziwalo za capillaries,
  • khungu chifukwa cha matenda ashuga a michere,
  • zotupa zamkodzo,
  • kuchuluka seramu creatinine.

    Mankhwala amatha kuperekedwa kwa amayi omwe ali ndi mwana, komanso amayi oyamwitsa, koma izi ziyenera kuchitidwa mosamala kwambiri, chifukwa chowopseza kukula kwa mwana. Mankhwalawa amatha kutengedwa ndi odwala okalamba omwe ali ndi matenda a chiwindi ndi impso, komanso kusintha kwa mlingo sikofunikira. Mankhwalawa sayenera kuperekedwa kwa ana osakwana zaka 18.

    Kupanga ndi mawonekedwe a kumasulidwa

    Mankhwala a Tujeo amapezeka mu mawonekedwe a yankho, omwe amagwiritsidwa ntchito popangira jakisoni subcutaneous. Mankhwalawa amagulitsidwa mu botolo losavuta ngati syringe, yokonzekera kugwiritsidwa ntchito. Kapangidwe ka mankhwala kamaphatikizira izi:

  • insulin glargine,
  • klazin
  • glycerin
  • nthaka ya chloride
  • caustic koloko
  • hydrochloric acid
  • madzi oyeretsedwa.

    Zotsatira zoyipa

    Kugwiritsa ntchito mankhwalawa Tujeo kumatha kuyambitsa zotsatira zoyipa mthupi la wodwala:

  • kagayidwe kakang'ono kamene kamayandikira m'munsi mwa masiku abwinobwino, a neuroglycopenia,
  • ziwonetsero zam'maso: khungu zowoneka, khungu losakhalitsa,
  • khungu: kuchepa kwamafuta,
  • minofu yolimba ndi yolumikizika: kuwonekera kowawa m'matumbu,
  • Matupi a thupi: chifuwa, redness khungu, kupweteka, kuyabwa, malungo, zotupa pakhungu, kutupa, kutupa,
  • chitetezo: Edema ya Quincke, chifuwa, kuchepa kwa bronchi, kutsitsa magazi.

    Contraindication

    Mankhwala sayenera kuperekedwa kwa odwala pazotsatira zotsatirazi:

  • Hypersensitivity pamagawo a mankhwala,
  • ana osakwana zaka 18. Mosamala, muyenera kupereka mankhwala a Tujeo:
  • mukanyamula mwana,
  • odwala okalamba
  • ndi zovuta za dongosolo la endocrine,
  • matenda omwe amayamba chifukwa cha kuchepa kwa ntchito ya chithokomiro komanso kusakwanira kwa mahomoni.
  • ndi kuperewera kwa pituitary gland function,
  • ndi kusowa kwa adrenal,
  • Matenda osanza komanso chimbudzi,
  • ndi mtima stenosis,
  • ndi chiwonetsero cha matenda ashuga a shuga,
  • ndi matenda a impso,
  • ndi matenda a chiwindi.

    Mimba

    Amayi omwe akukonzekera kutenga pakati amayenera kudziwitsa dokotala yemwe ali ndi mankhwalawa asanagwiritse ntchito mankhwala a Tujeo Solostar, amene angaganize za kugwiritsa ntchito mankhwalawa povulaza popanda kuvulaza khanda lomwe limakula m'mimba. Mankhwalawa amayenera kuperekedwa panthawi ya bere, komanso panthawi yoyamwitsa mosamala kwambiri.

    Njira ndi magwiritsidwe ake

    Mankhwala Tujeo Solostar amapezeka mu mawonekedwe a yankho, lomwe limapangidwa kuti liwongoleredwenso ndi jakisoni. Jakisoni amaikidwa paphewa, pamimba kapena ntchafu. Mlingo woyenera komanso nthawi yayitali ya mankhwala amatsimikiziridwa ndi dokotala atamuyesa wodwala, atatenga mayeso, kudziwa anamnesis ndi kuganizira zomwe zimachitika ndi thupi la wodwalayo. Kuphatikiza apo, mankhwala onse ali ndi malangizo ogwiritsira ntchito, omwe amawonetsa malamulo ogwiritsa ntchito mankhwalawa. Chithandizo cha ana: Mankhwala sayenera kuperekedwa kwa ana osakwana zaka 18, popeza palibe chidziwitso cha mphamvu ya mankhwalawa pakukula ndi kukula kwa thupi la mwana. Chithandizo cha odwala okalamba: mankhwala amaloledwa kuperekedwa kwa odwala okalamba, ndikusintha kwa mankhwala sikofunikira. Chithandizo cha odwala omwe ali ndi matenda a impso: Mankhwala amatha kuperekedwa kwa odwala omwe ali ndi matenda a impso. Pankhaniyi, dokotala wopezekapo amayenera kuwunika kuchuluka kwa shuga m'magazi, ndipo mlingo umatsimikiziridwa payekhapayekha. Chithandizo cha odwala omwe ali ndi matenda a chiwindi: Mankhwala amaperekedwa kwa odwala omwe ali ndi matenda a chiwindi. Pankhaniyi, dokotala wopezekapo amayenera kuwunika ma shuga a magazi.

    Bongo

    Ndi mankhwala osokoneza bongo odwala, kuchuluka kwa shuga m'magazi kumatha kuchepa kwambiri, komwe kumayambitsa hypoglycemic syndrome. Kuphatikizika kwa matendawa kumatha kuyenda limodzi ndi chikomokere, minyewa yodzipereka, komanso mavuto a m'mitsempha. Ngati zizindikirozi zikuchitika, muyenera kufunsa dokotala yemwe akupatseni mankhwala oyenera.

    Mankhwala Tugeo Solostar ali ndi analogue yogwira ya Lantus, yomwe ili ndi mankhwala omwewo, koma ali ndi gawo laling'ono lothandizidwa, zomwe zikutanthauza kuti ali ndi kuchepa kwamankhwala.

    Malo osungira

    Ndikulimbikitsidwa kusunga mankhwalawa Tujeo Solostar pamalo otsekedwa kuchokera kulowa kwazinthu zilizonse zowunikira ndikufikira ndi ana pa kutentha kwa 2 mpaka 8 ° C. Osamasula mankhwalawo. Alumali moyo wa mankhwalawa ndi zaka 2.5 kuyambira tsiku lopanga. Tsiku lotha litatha, simungagwiritse ntchito mankhwalawa ndipo liyenera kutayidwa malinga ndi mfundo zaukhondo. Malangizowa ali ndi tsatanetsatane wokhudza miyambo ndi malamulo osungira ndi moyo wa alumali wa mankhwalawo m'njira yotseguka komanso yotsekedwa.

    Chilolezo cha Pharmacy LO-77-02-010329 cha pa June 18, 2019

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