Umarnin don insulin Tujeo da analogues tare da farashin da sake duba masana kimiyyar endocrinologists
Toujeo SoloStar shine sabon maye gurbin insulin wanda aka dade yana aiki da Sanofi. Sanofi babban kamfani ne wanda ke samar da insulins daban-daban ga masu ciwon suga (Apidra, Lantus, Insumans).
A Rasha, Toujeo ya wuce rajista a karkashin sunan "Tujeo." A cikin Ukraine, ana kiran sabon magani mai ciwon sukari Tozheo. Wannan nau'ikan analog ne na Lantus. An tsara shi don nau'in ƙaramin nau'in 1 da nau'in masu ciwon sukari 2.
Babban fa'idodin Tujeo shine bayanin martaba mara hankali sosai da tsawon lokaci har zuwa awanni 35.
Nazarin ya nuna cewa Toujeo ya nuna ingantaccen sarrafa kwayar cuta a nau'in 1 da masu ciwon sukari na 2. Raguwar matakin haemoglobin glygine a cikin insulin glargine 300 PIECES bai bambanta da Lantus ba.
Yawan mutanen da suka isa matakin HbA1c iri ɗaya ne, ikon glycemic iko da insulins biyu ya kasance daidai.
Idan aka kwatanta da Lantus, Tujeo yana da ƙarin sakin insulin a hankali daga hazo, don haka babban amfanin Toujeo SoloStar shine rage haɗarin haɓakar haɓakawar jini (musamman da dare).
A takaice shawarwarin amfani da Tujeo
Yana da mahimmanci yin allurar insulin sau ɗaya a rana a lokaci guda. Ba a yi nufi ba don gudanarwar jijiya. Ana zaɓin kashi da lokacin gudanarwa daban-daban ta likitan halartar ku a ƙarƙashin kulawar guban-jini akai-akai.
Idan salon rayuwa ko nauyin jiki ya canza, ana iya buƙatar daidaita sashi. An bai wa masu ciwon sukari na Type 1 guda 1 a rana guda ɗaya a hade tare da allura na ultrashort insulin tare da abinci. Magungunan kwayoyi 100ED da Tujeo sune abubuwan da basu iya canzawa ba kuma ba zasu iya canzawa ba.
Juyawa daga Lantus ana aiwatar da shi tare da lissafin 1 zuwa 1, sauran daskararru masu ɗaukar dogon lokaci - 80% na maganin yau da kullun.
Sunan insulin | Abu mai aiki | Mai masana'anta |
Lantus | glargine | Sanofi-Aventis, Jamus |
Tresiba | deglutec | Novo Nordisk A / S, Denmark |
Levemire | detemir |
Halaye da hanyar gudanar da insulin Tujeo
Ana yin maganin warkewar cututtukan ƙwayar cuta tare da kwayoyi daban-daban na glycemic. Sanofi ya fito da sabon magani na zamani, Tujeo Solostar, dangane da insulin.
Tujeo shine insulin wanda yake daukar dogon lokaci. Yana sarrafa matakan glucose na kwana biyu.
Magungunan suna hankali a hankali, rarraba daidai kuma cikin sauri metabolized. Tujeo Solostar an yarda da shi sosai kuma yana rage haɗarin cutar rashin jini a cikin maraice.
"TujeoSolostar" - wani magani ne wanda ya danganci insulin da ya dade yana yin aiki. An yi niyya don maganin cututtukan type 1 da ciwon sukari na 2. Ya ƙunshi ɓangaren Glargin - sabon ƙarni na insulin.
Yana da tasirin glycemic - yana rage sukari ba tare da sauƙaƙewa mai kaifi ba. Magungunan suna da ingantaccen tsari, wanda zai ba ka damar yin kwanciyar hankali.
Tujeo yana nufin insulin tsawon lokaci. Lokacin aikin yana daga sa'o'i 24 zuwa 34. Abubuwan da ke aiki suna kama da insulin ɗan adam. Idan aka kwatanta da shirye-shiryen iri ɗaya, an fi mai da hankali - ya ƙunshi raka'a 300 / ml, a Lantus - raka'a 100 / ml.
Mai kera - Sanofi-Aventis (Jamus).
Lura! Magungunan glandgin-tushen suna aiki sosai kuma ba sa haifar da kwatsam a cikin sukari.
Maganin yana da tasiri mai saurin rage sukari ta hanyar sarrafa metabolism. Syntara haɓakar furotin, yana hana samuwar sukari a cikin hanta. Yana ƙarfafa shaƙar glucose ta kyallen jiki.
Abin yana narkewa a cikin yanayin acidic. Sannu a hankali ake ɗauka, a ko'ina ana rarraba shi da sauri metabolized. Matsakaicin aiki shine sa'o'i 36. Sauƙin rabin rayuwar yana zuwa awa 19.
Toujeo insulin: sabon analogues da farashin
A yau a duniya akwai karuwa mai yawa a cikin yawan mutanen da ke fama da ciwon sukari. A cewar hasashen, nan da shekarar 2035 yawan masu ciwon siga a duniya zai karu da biyu kuma adadin zai kai fiye da rabin biliyan biliyan marasa lafiya. Irin waɗannan ƙididdigar masu ba da daɗi suna tilasta kamfanonin kera magunguna don haɓaka sababbin magunguna don magance wannan mummunar cuta mai ƙwayar cuta.
Ofaya daga cikin waɗannan abubuwan da suka faru na kwanan nan shine maganin Toujeo, wanda kamfanin kamfanin kasar Jamus Sanofi ya kirkireshi bisa ga maganin insulin glargine. Wannan abun da ke ciki ya sa Tujeo ya zama insulin ingantaccen aiki, mai aiki na yau da kullun wanda ke taimaka wajan shawo kan matakan sukari na jini, da guji sauyawa yanayi.
Wani fa'idar Tujeo shine kusan babu kusan tasirin sakamako guda ɗaya tare da dukiyar biyan diyya. Wannan yana taimakawa hana ci gaba da rikitarwa mai yawa a cikin ciwon sukari, kamar lalacewar tsarin zuciya da jijiyoyin jiki, wanda hakan na iya haifar da asarar hangen nesa, lalacewar gabobi da hargitsi a cikin narkewar abinci.
Wato, irin wannan dukiya ita ce mafi mahimmanci ga magungunan antidiabetic, tun da tushe don lura da ciwon sukari shine ainihin rigakafin haɓaka sakamakon mummunan haɗarin cutar. Amma don fahimtar yadda Tujeo yake aiki da kuma yadda ta banbanta da analog ɗin ta, ya zama dole a yi magana dalla-dalla game da wannan magani.
Siffofi da Amfana
Tujeo magani ne na duniya wanda ya dace sosai don maganin warkewa a cikin marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2. An sauƙaƙe wannan ta hanyar ma'anar insulin na mutanen ƙarshe, glargin 300, wanda shine bangarensa, wanda shine mafi kyawun kayan aiki don juriya na insulin tsayayya.
A farkon cutar, marasa lafiya waɗanda ba su da insulin-da ke fama da ciwon sukari na iya yin amfani da maganin rage ƙwayar sukari Duk da haka, yayin haɓaka cutar, babu makawa za su buƙaci allura ta insulin basal, wanda ya kamata ya taimake su kula da matakan glucose a cikin yanayin al'ada.
Sakamakon wannan, suna fuskantar duk mummunan sakamako na maganin insulin, kamar karuwar nauyi da kuma yawan hare-haren hypoglycemia.
A baya can, don rage tasirin insulin, marasa lafiya dole ne su bi tsayayyen abincin da kuma yin babban adadin motsa jiki a kowace rana. Amma tare da ƙarin alamun analogues na insulin na zamani, kamar glargine, buƙatar kulawa da nauyin nauyi koyaushe da yarda don dakatar da harin hypoglycemia gaba daya ya ɓace.
Sakamakon bambancinsa na ƙananan ƙananan, tsawon lokacin aiki, da ƙaddamar da ƙaddamar da ƙwayar subcutaneous cikin jini, glargine yana da ƙarancin haifar da raguwar ƙwayar jini a cikin jini kuma baya bayar da tasirin gudummawar ƙimar ƙarfin jiki.
Duk shirye-shiryen da aka danganta da glargine suna da aminci ga marasa lafiya, saboda basa haifar da canji mai yawa a cikin sukari kuma yana da kyakkyawan kariya ga tsarin zuciya, kamar yadda bincike ya tabbatar da yawa. Bugu da ƙari, yin amfani da glargine maimakon detemir a cikin ilimin insulin yana taimakawa rage farashin magani da kusan 40%.
Toujeo ba shine magani na farko da ya ƙunshi ƙwayoyin glargine ba. Wataƙila samfurin farko da ya haɗa glargargin shine Lantus. Koyaya, a cikin Lantus an ƙunshi shi cikin girman 100 PIECES / ml, yayin da yake cikin Tujeo maida hankali ne sau uku - 300 PIECES / ml.
Don haka, don samun kashi ɗaya na insulin Tujeo, yana ɗaukar sau uku ƙasa da Lantus, wanda ke sa injections rage rauni saboda raguwa mai mahimmanci a cikin yankin hazo. Bugu da ƙari, ƙaramin ƙwayar yana ba da izinin sarrafa insulin mafi kyau zuwa cikin jini.
Tare da ƙaramin yanki na hazo, ɗaukar ƙwayoyi daga ƙwayar subcutaneous yana faruwa a hankali kuma a ko'ina. Wannan kayan yana sanya Tujeo ba tare da isharar hasala na insulin insulin ba, wanda ke taimakawa ci gaba da sukari a matakin daya kuma ya hana ci gaban hawan jini.
Idan aka kwatanta Glargin 300 IU / ml da glargin 100 IU / ml, zamu iya amincewa da tabbacin cewa nau'in insulin na farko yana da bayanin martaba na likitancin da yake da laushi da tsawon lokacin aiki, wanda shine sa'o'i 36.
Mafi girman inganci da amincin glargine 300 IU / ml an tabbatar dashi yayin binciken wanda nau'in 1 na ciwon sukari na nau'ikan shekaru daban-daban da matakan cutar suka shiga.
Magungunan Tujeo suna da sake dubawa masu inganci da yawa, duka daga marasa lafiya da likitocin da suke bi.
Umarnin don amfani da miyagun ƙwayoyi
Toujeo yana samuwa a cikin tsararren bayani mai tsabta, wanda aka cakuda a cikin gilashin gilashin gilashin 1.5 ml. Akwatin da kansa an ɗora ta a cikin sirinji don amfani guda. A cikin kantin magunguna, ana sayar da maganin Tujeo a cikin kwali na kwali, wanda zai iya ƙunsar alkalai 1.3 ko 5.
Dole ne a gudanar da insulin na basal na Tujeo sau ɗaya a rana. Koyaya, babu takamaiman shawarwari dangane da mafi dacewa lokacin inje. Mai haƙuri da kansa zai iya zaɓar lokacin da ya fi dacewa da shi don gudanar da maganin - da safe, yamma ko yamma.
Yana da kyau idan mai ciwon suga na iya saka insulin Tujeo insulin a lokaci guda. Amma idan ya manta ko kuma bashi da lokacin yin allura cikin lokaci, to a wannan yanayin wannan ba zai da wani sakamako ga lafiyar sa. Yin amfani da Tujeo na miyagun ƙwayoyi, mai haƙuri yana da damar yin allura 3 sa'o'i a baya ko sa'o'i 3 daga baya kamar yadda aka tsara.
Wannan yana ba mara lafiya tsawon lokacin 6 sa'o'i wanda dole ne ya jagoranci insulin basal, ba tare da tsoron karuwar sukarin jini ba. Wannan dukiyar ta miyagun ƙwayoyi tana sauƙaƙe rayuwar mai ciwon sukari, saboda tana ba shi damar yin allura a cikin yanayin da ya fi dacewa.
Lissafi na kashi na miyagun ƙwayoyi ya kamata kuma a aiwatar da su daban-daban tare da halartar masanin ilimin endocrinologist. Establishedaddamarwar sashin insulin yana ƙarƙashin daidaituwa mai mahimmanci yayin taron canji na nauyin jikin haƙuri, canzawa zuwa abinci daban, ƙara ko rage adadin aikin jiki, da canza lokacin allura.
Lokacin amfani da insulin basal, Tujeo dole ne a auna sukarin jini sau biyu a rana. Mafi dacewa lokacin wannan shine safe da maraice. Yana da mahimmanci a jaddada cewa maganin Tujeo bai dace da maganin ketoacidosis ba. Ya kamata a yi amfani da daskararru na gajere don wannan dalili.
Hanyar magani tare da Tujeo galibi ya dogara da irin nau'in ciwon sukari da mai haƙuri yake fama da shi:
- Tujeo tare da nau'in ciwon sukari na 1. Yakamata a warke daga wannan cuta ya kamata a hada Tujeo injections masu daukar dogon lokaci tare da yin amfani da gajeren insulin. A wannan yanayin, ya kamata a zaɓi sashin insulin na Tual a hankali gabaɗaya.
- Tujeo tare da nau'in ciwon sukari na 2. Tare da wannan nau'in ciwon sukari, endocrinologists suna ba da shawara ga marassa lafiya don zaɓar madaidaiciyar ƙwayar magani dangane da gaskiyar cewa ga kowane kilogram na nauyin haƙuri 0.2 raka'a / ml ana buƙatar. Shigar da insulin basal sau ɗaya a rana, idan ya cancanta, daidaita sashi a bangare ɗaya ko wata.
Yawancin marasa lafiya masu ciwon sukari ba su san yadda za su canza daga yin amfani da Lantus zuwa Tujeo ba. Duk da gaskiyar cewa dukkanin magungunan suna dogara ne akan glargine, ba su da ilimin halittu kuma sabili da haka ba a yin musayar su.
Da farko, ana ba da shawara ga mai haƙuri don canja wurin sashi na insulin guda ɗaya zuwa wani a cikin ƙayyadaddun sashi zuwa naúrar. Koyaya, a ranar farko ta amfani da Tujeo, mai haƙuri yana buƙatar saka idanu sosai a kan matakin glucose a cikin jiki. Zai yiwu cewa don cimma matakin da ake buƙata na sukari na jini, mai haƙuri zai buƙaci ƙara yawan wannan magani.
Canjin canji daga wasu abubuwan kwastan zuwa magungunan Tujeo na bukatar karin shiri sosai, tunda a wannan yanayin, dole ne a daidaita sashi ba wai kawai don daukar dogon lokaci ba, har ma ga gajere. Kuma ga marasa lafiya da ke dauke da ciwon sukari na 2, ya kamata a canza kashi na masu amfani da hawan jini.
- Canji daga insulin aiki na tsawan lokaci. A wannan halin, mai haƙuri na iya canza sashi, ya bar shi guda. Idan a nan gaba mai haƙuri ya lura da karuwa a cikin sukari ko kuma, akasin haka, alamun hypoglycemia, dole ne a daidaita sashi.
- Juyawa daga turakar matsakaici. Ana shigar da insulins na matsakaici na matsakaici a jikin mai haƙuri sau biyu a rana, wanda shine babban bambancin su daga Tujeo. Don yin lissafin daidai da sabon ƙwayar magani, ya zama dole a taƙaita ɗaukacin ƙwayar insulin na kowace rana kuma a cire shi kusan 20%. Ragowar 80% zai zama mafi dacewa sashi don insulin na tsawon lokaci.
Dole ne a jaddada cewa maganin Tujeo an haramta shi sosai don haɗuwa tare da wasu abubuwan insulins ko tsarma tare da kowane abu, saboda wannan na iya rage tsawon lokacinsa kuma yana haifar da hazo.
Hanyar aikace-aikacen
Toujeo an yi nufin ne kawai don shigar da cikin kasusuwa cikin ciki, cinya da hannu. Yana da mahimmanci a canza wurin allura a kullun don hana haɓakar scars da haɓakar hyper- ko hypotrophy na ƙwaƙwalwar subcutaneous.
Ya kamata a guji shigar da insulin din basal a cikin jijiya, saboda wannan na iya haifar da mummunan harin hypoglycemia. Tsawan sakamako na miyagun ƙwayoyi zai ci gaba tare da allurar subcutaneous. Bugu da kari, ƙwayar Tujeo ba za a iya saka ta cikin jiki tare da famfo na insulin ba.
Yin amfani da alkalami guda-guda, mai haƙuri zai iya yin allurar kansa da sashi na 1 zuwa 80 raka'a. Bugu da ƙari, yayin amfani da shi, mai haƙuri yana da damar ƙara yawan insulin ta kashi 1 a lokaci guda.
Sharuɗɗan yin amfani da alkalami na syringe:
- Alƙalin siririn yana sanye da mit ɗin sashi wanda zai nuna wa mara haƙuri yawan raka'a insulin da za a allura yayin allurar. An ƙirƙiri wannan alkairin sirinji musamman don insulin Tujeo, saboda haka, lokacin amfani da shi, babu buƙatar gudanar da ƙarin bayanan sashi,
- Yana da matuƙar ɓacin rai ya shiga kicin ta amfani da sirinji na al'ada da kuma ɗaukar maganin Tujeo a ciki. Yin amfani da sirinji na al'ada, mara lafiya ba zai iya sanin daidai yawan sashin insulin ba, wanda zai haifar da matsanancin rashin ƙarfi.
- An hana shi sosai don amfani da allurar guda biyu sau biyu Lokacin shirya don allurar insulin, dole ne mai haƙuri ya maye gurbin tsohuwar allura tare da sabon bakararre. Insulin allurai suna da bakin ciki sosai, saboda haka idan ka sake amfani dasu, haɗarin clogging allura yayi matukar girma. A wannan halin, mai haƙuri na iya karɓar ƙarami ko akasin yawan insulin. Bugu da kari, sake amfani da allurar na iya haifar da kamuwa da rauni daga allura.
Alƙarin sirinji an yi shi ne don amfani da mai haƙuri ɗaya kaɗai. Amfani da mutane da yawa a lokaci daya na iya haifar da kamuwa da cututtukan haɗari waɗanda ke yada jini.
Bayan allurar farko, mara lafiyar na iya amfani da alƙawarin Tujeo don yin allura har wani sati 4. Yana da mahimmanci koyaushe a adana shi a cikin wuri mai duhu, ana kiyaye shi sosai daga hasken rana.
Don kar a manta da ranar da aka yi allura ta farko, dole ne a nuna shi a jikin firinji na sirinji.
Kwanan nan an amince da lafiyar insulin na Toujeo a Rasha a cikin Yuli 2016. Don haka, har yanzu ba a sami irin wannan rarraba ba a cikin kasarmu kamar sauran masu dogon zango.
Matsakaicin farashin Tujeo a Rasha shine kusan 3,000 rubles. Costaramar farashin kusan 2800 rubles, yayin da matsakaicin na iya kaiwa kusan 3200 rubles.
Sauran insulin na basal na sabon ƙarni ana iya la'akari da analogues na ƙwayar Tujeo. Ofaya daga cikin waɗannan magungunan shine Tresiba, wanda aka kirkiro shi bisa asalin Degulinec insulin. Degludek yana da irin kaddarorin ga Glargin 300.
Hakanan, irin wannan sakamako akan jikin mai haƙuri yana motsawa ta hanyar insulin peglizpro, akan abin da ake haɓaka magunguna da yawa ga masu cutar sukari a yau. Bidiyo a cikin wannan labarin zai taimaka maka gano lokacin da aka tsara insulin.
Amfani da Sashi
Tujeo Solostar ana gudanar da shi kawai a ƙarƙashin, a cikin kafada, ciki ko cinya. Wajibi ne a canza wuraren allurar akai-akai (don hana mummunan sakamako). Ba a tsara magungunan ba don gudanarwar cikin ciki da gudanarwa ta hanyar famfo. Dangane da adadin maganin da likitan halartar ya tsara, daga 1 zuwa 80 rafukan an gabatar da su ta amfani da alkairin sirinji.
Ba a tsara Solostar daga cikin katun kuma an motsa shi cikin sirinji ba. An maimaita yin amfani da allura kuma an hana shi, tunda yana yiwuwa a toshe shi, a sakamakon wanda karuwa ko raguwa a sashi. Rike Tujeo Solostar ko glargine insulin a cikin wuri mai duhu ba zai wuce mako huɗu ba daga farkon amfani.
An haramtawa Toulino insulin shiga tare da kowane irin insulin. Wannan yana haifar da canji a cikin kadarorin ƙwayoyi kuma yana haifar da hazo. An kuma haramtawa Tujeo Solostar yin kiwo.
Ya kamata a wajabta magunguna kuma a canza shi daban-daban kuma kawai likitan halartar.
Ana amfani da sauya sashi na Tujeo don ragewa ko haɓaka nauyin jikin mai haƙuri, canza salon rayuwarsa ko canza lokacin allura. Gabatarwar da za a canza yanayin sashi na miyagun ƙwayoyi ana yin shi ne kawai a gaban ƙwararren likita.
Zayyana "naúrar" yana nufin kawai wannan insulin, ba daidai yake bane ga raka'o'in da ke nuna ƙarfin wasu hanyoyin masu kama. Toujeo dole ne a saita sau ɗaya a rana a kowane lokaci na rana, amma zai fi dacewa a lokaci guda. Sakamakon tsawan aikin, masu haƙuri suna iya yin allurar maganin sa'o'i uku kafin ko bayan daidaitaccen lokacin allurar a gare su.
Cire Tujeo a cikin wuri mai duhu kuma ba fiye da makonni 4 ba daga ranar farkon amfani!
Lokacin da bazai amfani ba
Toujeo Solostar yana contraindicated ga mutanen da ke fama da ciwon sukari a karkashin shekara 18 saboda rashin gwaji na asibiti a cikin wannan rukunin shekarun don lafiyar miyagun ƙwayoyi ko kuma rashin haƙuri ɗaya ga abubuwan da ke cikin Toujeo ko insulin glargine.
Anyi taka tsantsan don ba da magani:
- Matan da ke da juna biyu (dangane da yiwuwar maye gurbin adadin magunguna da ake cinyewa bayan haihuwa da kuma lokacin daukar ciki).
- Tsofaffi mutane (sama da shekara saba'in).
- Masu ciwon sukari a gaban cututtukan endocrinological.
Lokacin canzawa daga wannan insulin zuwa wani, ya zama dole don neman shawarwari na endocrinologists, kawai ya kamata a zaba su. A cikin yanayin da zawo tare da gudawa da amai, tsananin koda ko gazawar hanta, ana kuma buƙatar yin amfani da hankali.
Abinda ya kamata ayi tsammani lokacin da aka dauki shi da kyau
Idan kashi ya wuce, hypoglycemia na iya faruwa (mafi m cutar ta kowa tare da insulin far).
Alamun alamun cutar rashin jini a jiki sune:
- Rashin ƙarfi.
- Gajiya
- Ciwon ciki
- Gari ya waye.
- Cramps.
- Rashin sani.
Kafin farkon alamun, tachycardia, jin karfi na yunwar, tashin hankali, jin damuwa da tsoro na iya faruwa, sweating, pallor na fata an lura.
A cikin marasa lafiya da ciwon sukari, tashin hankali na gani na ɗan lokaci na iya bayyana. A wuraren injections na Toujeo da insulin glargine, haɓakar lipodystrophy, bayyanar itching, urticaria, zafi, kumburi, da jan launi mai yiwuwa ne.
Don hana halayen da ba su dace ba, ana yin allura a wurare daban-daban.
Allergic halayen bayyanar nan da nan suna da matuƙar wuya.
Halin kwatankwacin hali
Tujeo Solostar yana da babban taro na insulin. Bambanci dangane da analog shine cewa Tujeo yana da abubuwa uku na aiki (shine, mil ml na kashi na Tujeo Solostar insulin yayi daidai da Miliyan Mil uku na analogue). Dangane da haka, lokacin sauya sheka daga ƙananan ƙwayoyi zuwa mai ƙarfi, ya kamata ka nemi likitanka, wanda zai ƙayyade adadin raka'a insulin don ragewa da adadin maganin da aka bayar.
Lokacin canzawa zuwa insulin, Tujeo Solostar dole ne koyaushe nemi likita!
A yayin gwaji na asibiti, mai masana'anta ya bayyana cewa abubuwan da ke cikin Toujeo za su shiga jiki sosai, wannan yana rage yuwuwar cututtukan jini, musamman da daddare. Idan aka kwatanta da takwarorina, Tujeo Solostar da kashi 15 cikin dari yayin rana da kashi 30 cikin dare yana rage haɗarin hauhawar jini, tunda Solostar yana da kyakkyawan digon digote.
Kokarin Toujeo ana nufin shirya matakan glucose a cikin jiki a cikin kullun, amma a aikace tasirin sa ya wuce kadan fiye da 12. Masu haɓaka Solostar sun ba shi sakamako mai ɗorewa a jiki - daga 24 zuwa 35 hours, wannan bambanci shine ɗayan manyan.
Matsakaicin farashin insulin Tujeo Solostar shine 3000 rubles.
Matsakaicin farashin insulin lantus shine 3550 rubles (wani ɗan syringe pen 100 IU / ml 3 ml, 5 inji mai kwakwalwa).
Idan kuna buƙatar ɗaukar insulin, marasa lafiya ya kamata su iya sarrafa matakin glucose a cikin jini, suna da madaidaicin dabarar allura, kuma ku san abin da za ku yi yayin hauhawar jini - da hauhawar jini. A kowane hali ya kamata ku da kansu ku daidaita jadawalin injections da likita ya tsara da kuma adadin insulin allura, kar ku canza zuwa wani magani na insulin (kar kuyi amfani da shafin yanar gizo na likita akan Intanet maimakon likita na gaske), kuma ku nemi shawarar likita nan da nan.
Toujeo Solostar zai zama mataimaki mai dogara ga mutanen da ke fama da ciwon sukari. Ma'aikatan Sanofi sun ba wa Tujeo wani tsawan mataki, wanda ke ba da damar allura sau ɗaya kawai a rana, kuma kayan haɓaka masu ƙarfi suna rage haɗarin hawan jini.
Abvantbuwan amfãni da rashin amfani
Fa'idodin Tujeo idan aka kwatanta da irin waɗannan kwayoyi sun haɗa da:
- fiye da kwanaki 2,
- hatsarorin hawan jini a cikin dare yana ragewa,
- ƙananan sashi na allura kuma, gwargwadon haka, ƙananan amfani da miyagun ƙwayoyi don cimma sakamako da ake so,
- kadan sakamako masu illa
- babban rashi kaddarorin
- kadan nauyi riba tare da amfani na yau da kullun,
- m aiki ba tare da spikes a cikin sukari.
Daga cikin gazawa za a iya gano:
- kar a rubuta wa yara
- ba a amfani dashi wajen maganin cutar ketoacidosis na ciwon sukari,
- mai yiwuwa m halayen ba a cire.
Manuniya da contraindications
Alamu don amfani:
- Nau'in 1 na ciwon sukari a haɗe tare da gajeren insulin,
- T2DM azaman monotherapy ko tare da maganin antidiabetic na baka.
Ba a ba da shawarar Tujeo don amfani a cikin waɗannan halaye masu zuwa ba: rashin jituwa ga hormone ko abubuwan haɗin maganin, a ƙarƙashin shekara 18, saboda ƙarancin bayanan aminci.
Ya kamata a kula da rukuni na masu zuwa tare da taka tsantsan:
- a gaban cutar endocrine,
- tsofaffi masu cutar koda,
- a gaban lalata hanta.
A cikin waɗannan rukunin mutane, buƙatar homonin zai iya zama ƙasa kaɗan saboda haɓaka aikinsu ya ragu.
Mahimmanci! A yayin aiwatar da bincike, ba wani takamaiman sakamako a tayin da aka samu. Ana iya tsara magungunan a lokacin daukar ciki, idan ya cancanta.
Mai haƙuri yana amfani da maganin ba tare da la'akari da lokacin cin abinci ba. An bada shawarar yin allura a lokaci guda. Ana sarrafa shi ƙarƙashin abu sau ɗaya a rana. Yin haƙuri shine 3 hours.
Sashi na maganin yana ƙaddara ta hanyar endocrinologist dangane da tarihin likita - shekarun, tsayi, nauyin mai haƙuri, yanayin da cutar ana la'akari dashi.
Lokacin sauya mayewar hormone ko canzawa zuwa wani alama, kuna buƙatar tsaftace matakan glucose sosai.
A cikin wata guda, ana saiti alamun alamu. Bayan canzawa, zaku iya buƙatar ragewa na kashi 20% don hana raguwa mai yawa a cikin glucose jini.
Lura! Tujeo ba a gasa ko gauraye da wasu kwayoyi. Wannan ya keta bayanin aikinsa na wucin gadi.
Ana aiwatar da gyaran ƙyallen a cikin waɗannan lambobin:
- canjin abinci
- sauya sheka zuwa wani magani
- Rikici ko cututtukan da suka riga mu
- canji na jiki.
Hanyar gudanarwa
Ana gudanar da Tujeo ne kawai da subcutaneously tare da alkalami mai saƙo. Yankin da aka ba da shawarar - bango na ciki, cinya, tsoka mara nauyi. Don hana samuwar raunuka, an canza wurin injections babu wani yanki sama da yanki daya. Haramun ne a yi amfani da maganin tare da taimakon kumburin jiko.
Marasa lafiya tare da nau'in ciwon sukari na 1 suna ɗaukar Tujeo a cikin sashi na mutum a hade tare da gajeren insulin. Marasa lafiya da ke da nau'in ciwon sukari na 2 ana ba su magani a matsayin monotherapy ko a haɗe tare da Allunan a cikin adadin kashi 0.2 / kg tare da yiwuwar daidaitawa.
Hankali! Kafin gudanarwa, ya kamata a kiyaye maganin a zazzabi a daki.
Koyarwar bidiyo akan amfani da alkalami mai syringe:
Rashin Amincewa da Yawan doauka
Sakamakon sakamako na yau da kullun shine hypoglycemia. Nazarin asibiti ya gano halayen masu illa masu zuwa.
A kan aiwatar da shan Tujeo, wadannan sakamako masu illa na iya faruwa:
- karancin gani
- lipohypertrophy da kuma lipoatrophy,
- halayen rashin lafiyan halayen
- halayen gida a cikin allura - itching, kumburi, jan launi.
Yawan zubar da jini yawanci yakan faru ne lokacin da sashi na allurar da take ciki ya wuce buƙatarta. Zai iya zama mai haske da nauyi, wani lokacin yakan haifar da haɗari ga mai haƙuri.
Tare da ɗan ƙara yawan zubar jini, ana gyara hypoglycemia ta hanyar shan carbohydrates ko glucose. Tare da irin wannan halayen, daidaita sashi na miyagun ƙwayoyi yana yiwuwa.
A cikin mawuyacin hali, wanda ke haɗuwa da asarar hankali, coma, magani ake buƙata. An saka mara haƙuri a cikin glucose ko glucagon.
Na dogon lokaci, ana kula da yanayin don gujewa maimaitawa.
Ana adana maganin a t daga + 2 zuwa +9 digiri.
Hankali! An haramta daskarewa!
Farashin maganin Tujeo shine raka'a 300 / ml, alkalami sirinji 1.5, 5 inji mai kwakwalwa. - 2800 rubles.
Magungunan analogous sun haɗa da kwayoyi tare da kayan aiki guda ɗaya (insulin Glargin) - Aylar, Lantus Optiset, Lantus Solostar.
Don magunguna tare da irin wannan manufa ta aiki, amma sauran kayan aiki (insulin Detemir) sun haɗa da Levemir Penfil da Levemir Flekspen.
An sake shi ta hanyar takardar sayan magani.
Ra'ayoyin masu haƙuri
Daga bita da haƙuri na Tujeo Solostar, zamu iya yanke hukuncin cewa maganin bai dace da kowa ba. Yawancin masu ciwon sukari basu da gamsuwa da maganin da kuma iyawarsa na rage sukarin jini. Wasu kuma, akasin haka, suna magana game da kyakkyawan aikinsa da rashin halayen halayen.
Muna bada shawara ga wasu labaran masu alaƙa
Tujeo Solostar: farashi a cikin kantin magani da kuma farashin farashi, bincika da oda
Nuna a taswira
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 1 | 940,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 1 | 1 059,60 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 1 | 1 096,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 060,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 128,00 | 24 hours |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 217,00 | 24 hours |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 277,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 281,50 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 318,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 398,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 450,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 450,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 450,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 450,00 | |
kwandon 300ME / ml 1.5ml allurar alƙalami SoloStar A'a 3 | 3 475,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 4 700,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 4 728,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 200,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 268,00 | 24 hours |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 369,00 | 24 hours |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 372,10 | 24 hours |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 384,90 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 600,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 600,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 670,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 5 670,00 | |
kwandon 300ME / ml 1.5ml almarar alli SoloStar A'a 5 | 6 090,00 | 24 hours |
Tujeo SoloStar yalwataccen lissafin Allurar Allurar Inulin - Misalin Ingantacce
Da fari dai, dangin ku yana da rama mara kyau don sukarin jini, saboda daga 7 zuwa 11 mmol / l - waɗannan suna da yawan gaske, babu makawa suna haifar da rikicewar cutar ciwon sukari. Saboda haka, ana buƙatar zaɓi na adadin da ake buƙata na karin insulin. Ba ku rubuta wane lokaci ba rana tana da sukari 5 mmol / l, kuma idan ta tashi zuwa 10-11 mmol / l?
Basal Insulin Tujeo SoloStar (Toujeo)
Ujeaukar insulin na Toujeo SoloStar (Toujeo) - sabon matakin kamfanin kera Sanofi, wanda ke samar da Lantus. Tsawon lokacin aikinsa ya fi na Lantus - ya kasance> awanni 24 (har zuwa awanni 35) idan aka kwatanta da awowi 24 na Lantus.
Insulin Tozheo SoloStar Akwai a cikin babban taro fiye da Lantus (raka'a 300 / ml a kan raka'a 100 / ml don Lantus). Amma umarnin don amfani da shi ya ce dole ne kashi ɗaya ya zama daidai da na Lantus, ɗaya zuwa ɗaya. Abin kawai cewa ɗaukar waɗannan insulins ya bambanta, amma gradation a cikin kayan shigarwar ya kasance iri ɗaya ne.
Yin hukunci da sake dubawa game da masu ciwon sukari, Tujeo yana yin laushi kuma yana da ɗan ƙarfi fiye da Lantus, idan kun sa shi a cikin sashi guda. Lura cewa yana ɗaukar kwanaki 3-5 don Tujeo yayi aiki da ƙarfi (wannan kuma ya shafi Lantus - yana ɗaukar lokaci don daidaitawa da sabon insulin). Sabili da haka, gwada, idan ya cancanta, rage sashi.
Ina kuma da ciwon sukari na 1, na yi amfani da Levemir a matsayin insulin. Ina da kimanin sashi guda - Na sanya raka'a 14 a 12 tsakar rana kuma a 15-24 hours 15 raka'a.
Algorithm don lissafin kashi na insulin Tujeo SoloStar (Levemira, Lantus)
Kuna buƙatar ciyarwa tare da dangin ku lissafin yawan suturar insulin da take buƙata. Ana yin wannan kamar haka:
- Bari mu fara da yin lissafin kashi maraice. Bari danginku su ci abinci kamar yadda suka saba kuma kada ku ci wannan ranar. Wannan ya zama dole don cire juye a cikin sukari wanda ya haifar da cin abinci da kuma karancin insulin. Wani wuri daga 18-00 fara kowane awa 1.5 don ɗaukar ma'aunin jinin jikinta. Babu buƙatar cin abincin dare. Idan ya cancanta, sanya insulin sauki kadan domin matakin sukari ya zama al'ada.
- A karfe 22 saka lokacin da aka saba na karin insulin. Lokacin amfani da Toujeo SoloStar 300, Ina ba da shawarar farawa da raka'a 15. 2 hours bayan allura, fara ɗaukar ma'aunin sukari na jini. Kulawa da abin tunawa - yi rikodin lokacin allura da alamomin glycemia. Akwai haɗari na hypoglycemia, saboda haka kuna buƙatar ajiye wani abu mai daɗi a kusa - shayi mai zafi, ruwan 'ya'yan itace mai laushi, ƙwal sukari, Allunan Dextro4, da dai sauransu.
- Peak basal insulin yakamata yazo da misalin karfe 2-4 na safe, don haka a kasance a faɗake. Ana iya yin ma'aunin sukari a kowane awa.
- Saboda haka, zaku iya waƙa da tasiri na maraice (dare) sashi na insulin insulin. Idan sukari ya ragu da daddare, to dole ne a rage kashi 1 a raka'a kuma a sake gudanar da wannan binciken. Haka kuma, idan sukari sun hau sama, to yawan maganin Toujeo SoloStar 300 yana buƙatar ƙara haɓaka dan kadan.
- Hakanan, gwada maganin safiya na insulin basal. Zai fi kyau ba tare da ɓata lokaci ba - da farko magance maganin maraice, sannan gyara yanayin yau da kullun.
Lokacin yin lissafin kashi na insulin basal kowane sa'o'i 1-1.5, auna sukari jini
A matsayin misali mai kyau, zan bayar da rubutuna na don zaɓin wani kashi na insulin na basal Levemir (alal misali, yawan safiya):
A karfe 7 na dare ya kafa raka'a 14 na Levemir.Bai ci karin kumallo ba.
lokacin | jini jini |
7-00 | 4.5 mmol / l |
10-00 | 5.1 mmol / l |
12-00 | 5,8 mmol / L |
13-00 | 5.2 mmol / l |
14-00 | 6.0 mmol / l |
15-00 | 5.5 mmol / l |
Daga tebur ana iya ganin cewa na ɗauki madaidaicin kashi na insulin tsawon safiya, saboda sukari kiyaye a game da wannan matakin. Idan sun fara haɓaka daga kimanin 10-12 hours, to wannan zai zama alama don ƙara yawan kashi. Kuma mataimakin.
Insulin Tujeo Solostar: umarni ga wanda ya dace, farashin
Yawan marasa lafiya masu ciwon sukari a cikin Rasha sun wuce miliyan 6, rabi daga cikinsu suna da cutar a cikin matakan da aka rarraba da subcompensated. Don inganta rayuwar rayuwar masu ciwon sukari, ci gaba na inganta insulins ke gudana.
Daya daga cikin sababbin magungunan da aka yiwa rijista a shekarun baya shine Toujeo. Wannan shine sabon insulin basal, wanda ake sarrafa shi sau ɗaya a rana kuma yana ba ku damar inganta sarrafa glycemic idan aka kwatanta da wanda ya riga shi, Lantus. Dangane da bincike, Tujeo yana da aminci ga marasa lafiya, tunda haɗarin cutar rashin ruwa tare da amfani da ita ya ragu.
Bruef umarnin
Tujeo SoloStar shine samfurin ɗayan shugabannin duniya a cikin samar da insulin, damuwar Turai tana damuwa da Sanofi. A Rasha, samfuran kamfanin sun wakilci fiye da shekaru 4 da suka gabata. Tujeo ya karbi lasisin rajista na Rasha mafi kwanan nan, a cikin 2016. A cikin 2018, an fara samar da wannan insulin a cikin reshen Sanofi-Aventis Vostok, wanda ke yankin Oryol.
Sannu Sunana Galina kuma ba na samun ciwon suga! Na ɗauki makonni 3 kacaldon dawo da sukari zuwa al'ada kuma kar a kamu da shi da kwayoyi marasa amfani
>> Kuna iya karanta labarina a nan.
Maƙerin ya ba da shawarar sauya insulin na Tujeo idan ba zai yiwu a iya biyan isasshen maganin ciwon sukari ba ko kuma a rabu da yawan ciwon sikila. Yawancin masu ciwon sukari za su yi amfani da Tujeo ba tare da la'akari da sha'awar su ba, kamar yadda wani yanki na yankuna na Rasha suka sayi wannan insulin a maimakon Lantus.
Fom ɗin saki | Toujeo yana da natsuwa sau 3 fiye da yadda aka saba yin insulin - U300. Iya warware matsalar a bayyane yake gaba daya, baya buƙatar hadawa kafin gudanarwa. An sanya insulin a cikin gilashin gilashin gilashin milimita 1.5, wanda a biyun an hatimce a cikin allon alkairin SoloStar tare da matakan sashi na 1 ml. Ba a bayar da sauyawa na katako a cikin su, bayan amfani da su an zubar dashi. A cikin kunshin 3 ko 5 allon alkalami. |
Umarni na musamman | Wasu masu ciwon sukari suna fashe katuwar katako daga almakatar sirinji don amfani dasu don saka su cikin kayan allura tare da ingantaccen allurar. Lokacin amfani da Tujeo shine tsananin haramta, tunda duk allunan sirinji, banda ainihin SoloStar, an tsara su don insulin U100. Sauya kayan aikin gudanarwa na iya haifar da sau uku yawan abin sama da ya kamata na miyagun ƙwayoyi. |
Abun ciki | Kamar yadda a cikin Lantus, abu mai aiki shine glargine, don haka ka'idodin aiki na waɗannan insulins guda ɗaya ne. Jerin abubuwan da ke tattare da taimako gaba daya sun hade: m-cresol, glycerin, chloride zinc, ruwa, abubuwa don gyaran acidity. Sakamakon haɗarin iri ɗaya, haɗarin halayen halayen yayin motsa jiki daga wannan insulin zuwa wancan an rage zuwa sifili. Kasancewar magungunan biyu a cikin maganin yana ba da damar adana miyagun ƙwayoyi don tsawanta, ana gudanar da shi ba tare da ƙarin maganin rigakafin fata ba, kuma yana rage haɗarin kumburi a wurin allurar. |
Aikin magunguna | Daidai ga aikin insulin wanda aka kirkira cikin lafiyayyen mutum. Duk da ɗan bambanci a cikin kwayar halitta ta glargine da inshinin insulin, Tujeo yana da ikon ɗaure wa masu karɓar insulin cell, saboda wanda glucose daga jini ke motsawa cikin kyallen. A lokaci guda, yana ƙarfafa ajiya na glycogen a cikin tsokoki da hanta (glycogenogenesis), yana hana samuwar sukari ta hanta (gluconeogenesis), yana hana fashewar mai, kuma yana tallafawa samar da sunadarai. |
Alamu | Sauya raunin insulin a cikin manya tare da masu ciwon sukari. An yarda da insulin din Tujeo ga marasa lafiya da ke fama da cutar sankara, da gazawar koda, da cututtukan hanta. A matsayinka na mai mulki, maganinsa a cikin waɗannan halayen yana da ƙananan. |
Sashi | Umarnin don amfani ba ya ƙunshi allurai da aka ba da shawarar Tujeo, tunda ya kamata a zaɓi adadin insulin ɗin da dai-dai gwargwadon sakamakon sukarin jini. Lokacin da suke yin lissafin insulin, ana amfani da su ne musamman ta hanyar yawan cututtukan cututtukan cututtukan ƙwayoyi. Maƙerin ya ba da shawarar yin allurar Tujeo sau ɗaya a rana. Idan allura guda daya bata bada damar cincin sukari mai santsi a cikin komai na ciki, za'a iya raba kashi na yau da kullun zuwa 2. Ana yin allurar farko kafin lokacin bacci, na biyu da sanyin safiya. |
Yawan abin sama da ya kamata | Idan adadin Tujeo da aka gudanar ya wuce buƙatun insulin na haƙuri, babu makawa zai faru. A matakin farko, yawanci yana tare da alamomin bayyanannun - yunwar, rawar jiki, bugun zuciya. Dukansu masu ciwon sukari da danginsa ya kamata su san ka'idodin motar asibiti don maganin rashin ƙarfi na jini, koyaushe suna ɗaukar carbohydrates da sauri da kuma taimakon farko tare da glucagon. |
Tasirin abubuwanda suka shafi waje | Insulin wani hormone ne wanda aikinsa zai iya yin rauni a wasu kwayoyin halittun da ke hade cikin jikin mutum, abinda ake kira antagonists. Halin kyallen takarda zuwa ga miyagun ƙwayoyi na iya raguwa na ɗan lokaci. Irin waɗannan canje-canjen halaye ne na yanayin da ke tattare da rikicewar endocrine, zazzabi, amai, zawo, yawan kumburi, da damuwa. A cikin mutane masu lafiya, a cikin irin waɗannan lokutan, haɓakar insulin yana ƙaruwa, masu ciwon sukari suna buƙatar ƙara yawan ƙwayar Tujeo. |
Contraindications | Sauya maganin yana da mahimmanci idan akwai mummunan halayen rashin lafiyan halayen glargine ko abubuwan taimako. Tujeo, kamar kowane insulin tsayi, ba za a iya amfani dashi don gyara gaggawa na sukari jini ba. Aikinta shi ne kiyaye glycemia a daidai matakin .. Saboda karancin karatu da ke tabbatar da amincin yara, ƙwaƙwalwar Tujeo an yarda kawai ga masu ciwon sukari. |
Yin hulɗa tare da wasu magunguna | Hormonal, antihypertensive, psychotropic, wasu magungunan ƙwayoyin cuta da anti-inflammatory na iya shafar tasirin hypoglycemic. Duk magungunan da ake amfani da su don maganin ciwon sukari ya kamata a yarda da likitan ku. |
Side sakamako | Dangane da umarnin, masu ciwon sukari na iya fuskantar:
Sharparin raguwar sukari bayan farawar insulin zai iya haifar da neuropathy na ɗan lokaci, myalgia, hangen nesa mai ƙoshin gaske, kumburi. Wadannan sakamako masu illa zasu lalace lokacin da kayan jikinsu suka cika. Don hana su, marasa lafiya da ke fama da ciwon sukari mellitus sun kara yawan ƙwayar Tujeo SoloStar a hankali, suna samun raguwar hankali a cikin glycemia. |
Ciki | Insulin Tujeo ba shi haifar da matsala ta tayi, idan ya cancanta, ana kuma iya amfani dashi yayin daukar ciki. Kusan ba ya shiga cikin madara, saboda haka an yarda mata su shayar da nono a kan maganin insulin. |
Yi amfani da yara | Zuwa yanzu, umarnin Tujeo ya hana amfani da wannan insulin a cikin yara masu fama da ciwon sukari. Ana tsammanin kamar yadda sakamakon bincike ya bayyana, za a cire wannan hani. |
Ranar karewa | Shekaru 2.5 daga ranar fitowa, makonni 4 bayan buɗe katun, idan an cika yanayin ajiya. |
Siffofin ajiya da sufuri | Ana adana Tujeo SoloStar a ma'aunin 2-8 ° C a cikin firiji, alkalami da aka yi amfani da shi a gida idan zazzabi a ciki bai wuce 30 ° C ba. Insulin yana rasa kaddarorin sa idan aka fallasa shi ga hasken ultraviolet, daskarewa, zafi mai zafi, don haka yana da kariya ta suttukan zafi na musamman yayin sufuri. |
Farashi | Kunshin kanshi tare da sirinji 3 (jimlar 1350 raka'a) farashin kimanin 3200 rubles. Farashin akwatin tare da hannu guda 5 (raka'a 2250) 5200 rubles ne. |
Bayani mai amfani game da Tujeo
Toujeo shine insulin mafi dadewa a rukunin sa. A halin yanzu, ya fi girma kawai ga miyagun ƙwayoyi na Tresib, wanda ke da alaƙa da insulins na dogon lokaci. Tujeo yana shiga cikin jirgi sannu a hankali daga cikin ƙananan ƙwaƙwalwar ƙasa kuma a cikin awanni 24 yana samar da ƙwayar cutar glycemia, bayan hakan tasirin sa yana rauni a hankali. Matsakaicin lokacin aiki shine kimanin sa'o'i 36.
Kamar sauran insulins, Tujeo bashi da ikon maye gurbin samarda kwayoyin halitta gaba daya. Ko yaya dai, tasirin sa yana da kusanci zuwa ga bukatun jiki. A miyagun ƙwayoyi yana da kusan lebur bayanin martaba na aiki yayin rana, wanda ke sauƙaƙe zaɓin kashi, rage lamba da tsananin cututtukan hypoglycemia, kuma cikin nasara na magance ciwon sukari na tsufa.
Tujeo insulin an bada shawarar musamman ga marasa lafiya da magunguna masu yawa. Volumearar maganin maganin allura tare da alƙalami mai narkewa ya rage sau 3, saboda haka, an rage lalacewar ƙwaƙwalwar subcutaneous, injections an fi sauƙin jure su.
Yana da muhimmanci sosai: Dakatar da ciyar da mafia na kantin magani koyaushe. Endocrinologists suna sa mu daina kashe kuɗi akan magunguna lokacin da za'a iya daidaita sukari na jini don kawai 143 rubles ... >> >> karanta labarin Andrey Smolyar
Bambanci daga Lantus
Maƙerin ya bayyana fa'idodi da yawa na Tujeo SoloStar akan Lantus, sabili da haka, tare da isasshen diyya don ciwon sukari, ya ba da shawarar canzawa zuwa sabon magani.
>> Karanta ƙari game da insulin Lantus - karanta nan
Ribobi na insulin Tujeo:
- Thearar maganin yana da ƙanƙanta sosai, sabili da haka, an rage fannin hulɗa da miyagun ƙwayoyi tare da tasoshin jini, hormone yana shiga cikin jini a hankali.
- Tsawan lokacin da ya wuce sama da awanni 24, wanda zai baka damar dan motsa lokaci lokacin allurar ba tare da yin illa ga lafiya ba.
- Lokacin canzawa zuwa Toujeo daga wasu insulin na basal, yawan zubar jini yana raguwa. Ana lura da mafi kyawun sakamako a cikin tsofaffi marasa lafiya da ke dauke da ciwon sukari na 2, yawan sukarinsu ya ragu da kashi 33%.
- Sauyin yanayin glucose a cikin rana yana raguwa.
- Farashin insulin na Tujeo cikin yanayin 1 ramin yana da ƙasa kaɗan da Lantus.
Yawancin sake duba masu ciwon sukari suna da kyau, zaɓin wani kashi yayin canza insulin abu ne mai sauƙi, ba a ɗauka sama da mako guda.
Wadancan marasa lafiya waɗanda ke amfani da Tujeo tsananin bisa ga umarnin suna magana da shi a matsayin magani mai inganci, mai sauƙin amfani.
Tujeo ba shi da farin ciki tare da masu ciwon sukari waɗanda ke amfani da allurar alkalami sau da yawa. Sakamakon karuwar taro, yana iya zama yawan kuka, saboda haka yana iya rufe rami a allura.
Amsar jikin mutum ga Toujeo mutum ne, kamar kowane insulin. Wasu marasa lafiya suna fuskantar rashin iya ɗaukar kashi na miyagun ƙwayoyi, tsallake sukari, karuwa a cikin buƙatar gajeren insulin, da haɓaka nauyin jiki, don haka suna komawa zuwa yin amfani da Lantus.
Canji daga Lantus zuwa Tujeo
Duk da abubuwan guda daya, insulin Tujeo bai dace da Lantus ba. Umarnin don amfani yana nuna cewa ba za ku iya maye gurbin maye gurbin magani ɗaya da wani ba. Wajibi ne don zaɓar sabon kashi da m glycemic iko a wannan lokacin.
Yadda za a canza daga Lantus zuwa Tujeo tare da ciwon sukari:
- Mun bar kashi na farko ba canzawa, idan muna da raka'a yawan Tujeo kamar yadda Lantus ya kasance. Volumearar maganin zai zama sau 3 ƙasa.
- Kar ka canza lokacin allura.
- Muna kula da cutar glycemia na tsawon kwanaki 3, a cikin wannnan lokacin insulin zai fara aiki da ƙarfi.
- Muna auna sukari ba kawai akan komai a ciki ba, har ma bayan cin abinci. Lantus na iya ɗan gyara kurakuran da ƙididdigar carbohydrates a cikin abinci. Tujeo SoloStar bai yafe irin wannan kurakuran ba, saboda haka, yana yiwuwa a kara kashi na gajeren insulin.
- Dangane da bayanan da muka samu, za mu canza sashi. Yawancin lokaci yana buƙatar ƙara kaɗan (har zuwa 20%) karuwa.
- Kowane gyara na gaba ya kamata ya faru aƙalla kwanaki 3 bayan wanda ya gabata.
- Ana daukar matakin daidai ne lokacin da glucose a lokacin bacci, da safe da kuma kan komai a ciki, ana sa a daidai matakin tsakanin abinci.
Don tabbatar da kashi na da ake sarrafawa, dole ne a bi ingantaccen dabarar allura. Kafin allurar, kana buƙatar saki sashin insulin don bincika aikin alƙalin alƙalami da iyawar allura.
Da fatan za a kula: Shin kuna mafarki don kawar da ciwon sukari sau ɗaya kuma? Koyi yadda ake shawo kan cutar, ba tare da amfani da magunguna masu tsada ba, amfani kawai ... >> kara karantawa anan
Tujeo insulin dogon aiki - hanyoyin amfani, alamomi, sashi da bita
Mutane da yawa suna fama da ciwon sukari. Yaduwar cutar yana haifar da gaskiyar cewa kamfanonin samar da magunguna suna kirkirar sabbin wakilai na warkewa wanda ke ba marasa lafiya damar yin rayuwa ta al'ada.
Ofaya daga cikin magungunan zamani shine Tujeo, wanda kamfanin kamfanin Sanofi na kasar Jamus ya kirkira dangane da glargine.
An bullo da shi ta hanyar allurar subcutaneous, insulin Tujeo yana taimaka wajan daidaita matakan sukari na jini, da nisantar kololuwar sa, da guje wa hauhawar jini da sauran rikicewar lafiya.
Tujo SoloStar
Tujeo ne ya samar da kamfanin Sanofi na kasar Jamus. An kirkiro shi ne akan glargine, wanda ya mayar dashi zuwa wani lokaci mai narkarda basal insulin, mai iya sarrafa matakan sukari na jini yadda ya kamata, yana hana canje-canje na kwatsam.
Tujeo ba shi da wata illa ko kaɗan, yayin da akwai maki mai ƙarfi don ramawa. Kwayar cuta da illa da ba a ke so ba a tsarin jijiyoyi da jijiyoyin jini. Tujeo ya dace don maganin nau'in 1 da nau'in ciwon sukari na 2. Abubuwan da ke tattare da miyagun ƙwayoyi shine glargin 300, ana ɗauka mafi ƙarancin abu don amfani a cikin yanayi inda aka lura da ƙara ƙarfin insulin. Na farko irin wannan maganin shine Lantus. Tare da Tujeo, zaku iya sarrafa matakan insulin daidai, rage kashi da yanki na haɓaka, wanda ke sanya injections rage rashin jin daɗi kuma yana inganta shaye-shayen ta hanyar ƙwayar subcutaneous, yana sa ya zama mai daidaituwa da jinkirin. Tujeo yana kama da mafita mara launi, wanda aka yi nufin gudanarwa a ƙarƙashin fata, ana sayar dashi cikin sirinji na alkalami. Babban kayan shine insulin glargin 300 PIECES. Daga cikin magabata: Bangare Sashi Glycerol 20 MG Metacresol 2.70 MG Sinadarin zinc 0.19 mg Sodium hydroxide har zuwa pH 4.0 Hydrochloric acid Har zuwa pH 4.0 Ruwa har zuwa 1.0 ml
Magunguna da magunguna
Tujeo kwatankwacin insulin na mutum ne, wanda aka samo shi ta sake haɗa shi da kwayoyin ƙwayar cuta. Babban tasirin insulin shine daidaita jikin mutum na amfani da glucose.
Yana rage matakan glucose, yana kara shan kwayar sa a cikin tsopose nama da kasusuwa, yana haɓaka samarwar furotin, yana hana haɓakar glucose da hanta lipolysis a cikin ƙwayoyin mai.
Sakamakon amfani da miyagun ƙwayoyi Tujo SoloStar yana nuna cewa akwai babban ɗaukar tsinkaye mai tsawo, yana ɗaukar sa'o'i 36.
Idan aka kwatanta da glargine 100, miyagun ƙwayoyi suna nuna ƙarancin maida hankali ne lokaci-lokaci. A cikin ranar bayan allurar Tujeo da ke ƙasa, bambance-bambancen ya kasance kashi 17,4%, wanda yake alama ce mara ƙarfi.
Bayan allura, glargine insulin ya kara karfin metabolism a yayin samuwar wasu daga cikin metabolites din M1 da M2. Plasma na jini a wannan yanayin yana da babban jijiyar jiki tare da M1 metabolite.
Theara yawan ƙwayar yana haifar da karuwa a cikin tsarin bayyanar da metabolite, wanda shine babban abin da ke haifar da maganin.
Alamu don amfani
Ciwon sukari mellitus, wanda dole ne a kula dashi da insulin.
Gudun ƙarƙashin ƙasa a cikin ciki, kwatangwalo da makamai. Yakamata a canza wurin allurar a kowace rana don hana samuwar alamomin da lalacewar ƙashin nama. Gabatarwa zuwa jijiya na iya haifar da mummunan harin na hypoglycemia.
Magungunan suna da tasiri na tsawon lokaci idan an yi allura a ƙarƙashin fata. Ana yin allurar insulin ta hanyar amfani da alkairin sirinji, allura ta ƙunshi raka'a 80.
Yana yiwuwa a ƙara yawan lokacin amfani da alƙalami a cikin yawan rukunin 1.
An tsara alkalami don Tujeo, wanda ke kawar da buƙatar sake dawowa da sashi. Wani sirinji na yau da kullun na iya lalata kicin tare da ƙwayoyi kuma ba zai ba ku damar yin daidai da gwargwadon sashin insulin ba. Ana iya zubar da allura kuma dole ne a sauya tare da kowane allurar.
Sirinjin yana aiki daidai idan digon insulin ya bayyana a saman allura. Ganin yadda bakin ciki yake cikin alluran insulin na insulin, to akwai hadarin toshewar su yayin amfani da sakandare, wanda hakan ba zai baiwa mara lafiya damar samun ainihin adadin insulin ba.
Ana iya amfani da alkalami tsawon wata daya.
Umarni na musamman
Marasa lafiya masu ciwon sukari ya kamata su sa ido a kan yawan tattarawar glucosersu a kai a kai, su iya yin allurar subcutaneous daidai, kuma su dakatar da cututtukan jini da hawan jini.
Mai haƙuri ya kamata ya kasance a kan mai tsaro a koyaushe, ya lura da kansa yayin kula da insulin don waɗannan yanayin.
Marasa lafiya waɗanda ke fama da gazawar koda ya kamata su sani cewa ana buƙatar rage ƙwayar hormone a wasu lokuta saboda raguwa a cikin metabolism metabolism da raguwa a cikin ikon gluconeogenesis.
Abun Harkokin Magunguna
Wasu kwayoyi na iya shafar metabolism metabolism. Idan an ɗauke su tare da hormone, to yana iya zama dole a fayyace kashi.
Daga cikin magungunan da za su iya kara tasirin hypoglycemic na insulin kuma suna ba da gudummawa ga farawar hypoglycemia sune fluoxetine, pentoxifylline, ƙwayoyin rigakafin sulfonamide, fibrates, ACE inhibitors, MAO inhibitors, rashin biyayya, propoxyphene, salicylates. Idan kun ɗauki waɗannan kudade a lokaci guda kamar glargine, zaku buƙaci canjin sashi.
Sauran kwayoyi na iya yin tasirin hypoglycemic na miyagun ƙwayoyi.
Daga cikin su akwai Isoniazid, glucocorticosteroids, hormone girma, inhibitors protease, kwayoyi tare da phenothiazine, Glucagon, sympathomimetics (Salbutamol, Terbutaline, Adrenaline), estrogens da progestogens, ciki har da waɗanda ke cikin rigakafin cututtukan hormonal, glandon thyroid, glandon dattin, antipsychotics (clozapine, olanzapine), diazoxide.
Lokacin amfani dashi tare da shirye-shirye tare da ethanol, clonidine, salhi lithium ko beta-blockers, sakamakon hormone yana iya ƙaruwa kuma ya zama mai rauni. Amfani da lokaci guda tare da Pentamidine na iya haifar da hypoglycemia, sau da yawa yana canzawa zuwa hyperglycemia. Yin amfani da pioglitazone tare da hormone a cikin lokuta masu wuya na iya haifar da bayyanuwar rashin nasarar zuciya.
Contraindications da sakamako masu illa
Bai kamata a yi amfani da miyagun ƙwayoyi ba idan akwai rashin jituwa ga mutum daga abubuwan da aka haɗa. Tujeo ya dace wa manya kawai. Ya kamata a yi amfani da hankali a cikin mata masu juna biyu, mutanen da ke fama da rikice-rikice na endocrine da shekarun ritaya. Tujeo bai dace da ketoacidosis mai ciwon sukari ba. Sakamakon sakamako na yau da kullun sun haɗa da:
- halayen rashin lafiyan halayen
- lipodystrophy,
- nauyi
- karancin gani
- myalgia
- yawan haila.
Sharuɗɗan sayarwa da ajiya
Ana ba da magani a cikin kantin magani tare da takardar sayan magani. Wajibi ne don adanawa a cikin wurin da aka kiyaye shi daga haske, zazzabi ya kamata ya kasance tsakanin 2-8 ° C. Boye daga yara. Lokacin adana miyagun ƙwayoyi, yana da mahimmanci a tabbatar cewa murhun alkalami bai shigo cikin injin daskarewa ba, tunda insulin ba zai iya daskarewa ba. Bayan amfani na farko, adana miyagun ƙwayoyi bai wuce makonni 4 ba.
Analogs na insulin Tujeo
Abubuwan da ke tattare da miyagun ƙwayoyi akan analogues a bayyane suke. Wannan tsawan aikin (a cikin awanni 24-35), da karancin amfani, da karin madaidaiciyar iko da matakan glucose na jini (kodayake akwai karancin allura), kuma ba za a iya tsayar da lokacin injections sosai. Daga cikin maganganun gama gari na insulin basal na sabon ƙarni: