Halaye da hanyar gudanar da insulin Tujeo

Da fari dai, dangin ku yana da rama mara kyau don sukarin jini, saboda daga 7 zuwa 11 mmol / l - waɗannan suna da yawan ƙwayoyi, 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) - wani sabon matakin kamfanin kamfanin Sanofi ne, 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.

Yana da kyau a sanya insulin basal sau 2 a rana, saboda karami daya kashi, mafi kyau ana shanshi. Yana da sauƙi a guji ɓoye kololuƙa.

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:

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.

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.

Babban bayani da kayan aikin magunguna

"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).

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.

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.

Umarnin don amfani

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.

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.

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.

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.

Ina kan maganin har tsawon wata daya. Kafin wannan, ta dauki Levemir, sannan Lantus. Tujeo ya fi son mafi. Suga tana riƙe da madaidaiciya, babu tsalle-tsalle mara tsammani. Da wane alamu na tafi, tare da waɗanda na farka. A lokacin liyafar shari'ar cututtukan cututtukan jini ba a lura da su ba. Na manta game da abun ciye-ciye tare da miyagun ƙwayoyi. Kolya mafi yawan lokuta 1 a kowace rana da daddare.

Anna Komarova, 30 years old, Novosibirsk

Ina da ciwon sukari na 2 Lauki Lantus na raka'a 14. - da sanyin safiya sukari ya kasance 6.5. Tujeo mai wadatacce a cikin sashi guda - sukari da safe shine gabaɗaya 12. Dole ne in ƙara yawan kashi. Tare da rage cin abinci na yau da kullun, har yanzu sukari bai nuna ƙasa da 10. Gabaɗaya, ban fahimci ma'anar wannan magungunan ƙwaƙwalwa ba - dole ne ku ƙara ƙimar yau da kullun. Na tambaya a asibiti, da yawa ma basa cikin farin ciki.

Evgenia Alexandrovna, shekara 61, Moscow

Ina da ciwon sukari na kusan shekaru 15. A kan insulin tun shekara ta 2006. Dole na dau wani kaso na dogon lokaci. Ina zaɓar abincin a hankali, Ina sarrafa insulin a cikin rana ta Insuman Rapid. Da farko akwai Lantus, yanzu sun ba da Tujeo. Tare da wannan magani, yana da matukar wahala a zabi sashi: 18 raka'a. kuma sukari ya ragu sosai, yana jingine raka'a 17. - Da farko ya dawo daidai, sannan ya fara tashi. Sau da yawa mafi yawan lokuta shi gajere ne. Tujeo yana da ban tsoro sosai, yana da sauƙin hawa cikin Lantus cikin allurai. Dukda cewa komai na mutum ne, yazo aboki ne daga asibitin.

Victor Stepanovich, dan shekara 64, Kamensk-Uralsky

Kolola Lantus yana ɗan shekara huɗu. Da farko komai yayi kyau, sannan cutar sikila ta fara haɓaka. Likita ya daidaita maganin insulin kuma ya tsara Levemir da Humalog. Wannan bai kawo sakamakon da ake tsammani ba. Daga nan sai suka nada ni Tujeo, saboda baya bayar da kaifi a cikin glucose. Na karanta sake dubawa game da miyagun ƙwayoyi, waɗanda ke magana game da rashin aiki mai kyau da sakamako mai ɗorewa Da farko na yi shakkar cewa wannan insulin zai taimaka min. Na soke shi kimanin watanni biyu, kuma polyneuropathy na sheqa ya ɓace. Da kaina, miyagun ƙwayoyi sun zo wurina.

Lyudmila Stanislavovna, mai shekara 49, St. Petersburg