Aikin magunguna

Duba umarnin don maganin Lantus ɗin. Tuulin din Tujeo shine Lantus iri daya, amma sau uku mafi girma shine 300 IU / ml. Maƙerin ya yi iƙirarin cewa kowane allurar Tujeo yana ɗaukar ɗan lokaci kaɗan kuma ya fi sauƙi fiye da Lantus, ana gudanar dashi a cikin kashi ɗaya. An tabbatar da wannan ta hanyar bita da masu cutar siga kan mahaukatan muhawara.

Alamu don amfani

Nau'in nau'in 1 da nau'in ciwon sukari na 2, wanda ba za'a iya rarraba shi ba, kuma ana buƙatar allurar insulin don samun sakamako mai kyau. Ana iya ba da Lantus ga yara waɗanda suka fara daga shekaru 6, da Tujeo - kawai sun fara ne daga shekaru 18. Saboda yawan taro, wannan ƙwayar ba ta dace da yara masu ciwon sukari waɗanda ke buƙatar ƙananan allurai ba. Ana iya tsara shi ga marasa lafiya waɗanda ke da rauni na koda ko aikin hepatic. A wannan yanayin, yawanci ana gyara kullun zuwa ƙasa.

Lokacin yin allurar Tujeo, kamar kowane nau'in insulin, kuna buƙatar bin abinci.

Contraindications	Allergic halayen insulin glargine ko tsofaffi waɗanda ke a cikin allura. Bai dace da maganin gaggawa na ketoacidosis mai ciwon sikari ba, haka kuma cutar sikari ta hyperglycemic a cikin tsofaffi marassa lafiya da nau'in ciwon suga 2 Babu bayanai game da amincin miyagun ƙwayoyi ga masu ciwon sukari a ƙasa da shekara 18.
Umarni na musamman	Yi amfani da katakarar insulin ta Tujeo kawai tare da ainihin Siffar SoloStar Syringe. Kokarin ɗaukar katako daga cikin alƙaluman siririn don amfani dasu daban. Saboda a lokaci guda akwai haɗarin yin kuskure tare da sashi saboda yawan haɗarin ƙwayoyi. Wannan zai haifar da hypoglycemia mai tsanani. Gano yadda damuwa, cututtuka, da yanayi ke shafan bukatun insulin.

Sashi

Karanta labarin "Lissafin allurai na dogon insulin don allura da daddare da safe." Hakanan bincika kayan "Inulin insulin: ina kuma yadda ake yin allura". Tujeo yakan fashe da kuka yana rufe allurar saboda yawan taro. Tabbatar da samun digon insulin a ƙasan allura kafin kowane allura. Don cikakkun bayanai, duba umarnin don amfani da alkalami na siran SoloStar. Karka yi amfani da daidaitattun shawarwari, amma zaɓi allurai da jadawalin injections daban-daban.

Side effects

Commonayan sakamako na gama gari da haɗari shine ƙananan sukari na jini (hypoglycemia). Fahimci menene alamun wannan rikitarwa, yadda za a taimaka wa mara haƙuri. Lipodystrophy na iya faruwa idan kun keta shawarar da za a bi a madadin wuraren allurar. A wuraren injections, na iya zama ja da ciwan ciki. Seriousarin halayen rashin lafiyan halayen ba su da yawa.

Yawancin masu ciwon sukari waɗanda ke yin allurar insulin suna ɗaukar abu mai wuya don kauce wa harin hypoglycemia. A zahiri, wannan ba haka bane. Kuna iya kiyaye sukari daidai har ma da mummunan cutar kansa. Kuma har ma fiye da haka, tare da gwada da laushi kamar nau'in ciwon sukari 2. Babu buƙatar ƙara girman matakin glucose na jini don insure kanka game da haɗarin hypoglycemia. Kalli bidiyon da Dr. Bernstein ya tattauna game da wannan batun. Koyi yadda za a daidaita abinci mai gina jiki da allurai insulin.

Ciki da Shayarwa	Adana insulin Tujeo ga mata masu juna biyu, bisa manufa, yana yiwuwa, amma ba da shawarar ba. Saboda miyagun ƙwayoyi sababbi ne, har yanzu akwai isasshen bayanai game da amincinsa. Kula da Levemir azaman madadin. Yi ƙoƙarin yin ba tare da insulin kwata-kwata ta canzawa zuwa tsarin abinci mai lafiya. Karanta labaran "Cutar Cutar Ciki" da "Ciwon Cutar na ciki" don ƙarin bayani.
Yin hulɗa tare da wasu magunguna	Wasu kwayoyi na iya haɓaka aikin insulin a cikin rage ƙwayar jini, yayin da wasu - akasin haka, raunana shi. Akwai cikakken jerin magunguna waɗanda Tujeo ke hulɗa da su ana samun su anan. Yi magana da likitanka game da duk kwayoyin magunguna, kayan abinci, da ganyayyaki da kuke sha!

Yawan damuwa

Kwatsam ko da gangan allura na yawan insulin da ya wuce na iya haifar da cutar rashin ƙarfi na hypoglycemia. Sakamakonsa lalacewa ne mai lalacewa, ƙwaƙwalwa, lalacewar kwakwalwa, mutuwa. Karanta nan yadda za a samar da kulawa ta gaggawa a gida da asibiti. Yin amfani da katako tare da insulin Tujeo daban da alkalan SoloStar sirinji na iya haifar da mai ciwon sukari ya sami kashi sau 3 fiye da yadda ake buƙata.

Fom ɗin saki

Tujeo insulin yana cikin katako 1.5 ml tare da maida hankali akan 300 IU / ml maimakon daidaitaccen 100 IU / ml. Kowane katun an saka shi cikin allon alkalami na SoloStar wanda za'a iya zubar dashi. A cikin fakitin kwali sune alkalami 1, 3 ko 5.

Sharuɗɗan da yanayin ajiya	Kamar sauran nau'ikan insulin, Tujeo magani ne mai ƙarancin gaske wanda zai iya zama mara kyau. Don guje wa lalacewarsa, bincika ka'idodin ajiya kuma bi su a hankali. Rayuwar shiryayye na katako kafin amfani shine shekaru 2.5.
Abun ciki	Abunda yake aiki shine insulin glargine. Wadanda suka kware - metacresol, chloride zinc, glycerol, sodium hydroxide, hydrochloric acid, ruwa don allura.

Followingarin ƙarin bayanai masu amfani ne ga mutanen da ke da nau'in 1 da nau'in ciwon sukari na 2.

Shin Tujeo Solostar mai tsayi ne ko gajere insulin?

Tujeo yana da dogon insulin, ba gajere ba. Yau ba shine mafi tsawo ba. Saboda miyagun ƙwayoyi Tresib ya bayyana, kowane allurar wacce zata kai tsawon awanni 42. Kula da wannan sabon insulin, wanda aka rarrabe shi azaman superlong. Yi la'akari da sauyawa zuwa gare ta.

Solostar - sunan sirinji alkalami wanda aka ɗora harsashin katako tare da miyagun ƙwayoyi. Ya kamata a yi amfani da katuwar insulin tujeo tare da alkalanin sirinjin Solostar na asali. Lokacin ƙoƙarin yin amfani da wasu hanyoyin gudanarwa, zaku iya yin kuskure kuma kuyi allurar rigakafin sau 3 sau da dama. Wannan mummunan abu ne.

Menene bambanci tsakanin Tujeo da insulin Lantus? Wanne magani ne mafi kyau?

Lantus shine glargine insulin a cikin taro na 100 PIECES / ml, wanda kowa ya saba dashi shekaru da yawa na amfani. Tujeo shine sabon magani wanda ke dauke da kayan aiki iri ɗaya a cikin sau 3 babban taro na 300 PIECES / ml. Insulin da aka sakawa damuwa yana haifar da matsaloli fiye da dattijan Lantus na gari. Idan kawai saboda yawanci yana fashewa da rufe allurar alkalami na alkalami. Hakanan akwai haɗarin yin kuskure da allurar kashi sau uku fiye da yadda ake buƙata. Reviews game da miyagun ƙwayoyi Tujeo ne mafi yawa mara kyau. Marasa lafiya tare sun tsawatar masa ba kawai a cikin gida ba, har ma a cikin wuraren tattaunawar cutar Turanci na Ingilishi.

Dr. Bernstein ya yi imanin cewa miyagun ƙwayoyi Lantus suna ƙara haɗarin ciwon kansa. Insulin Tujeo yana da matsala iri ɗaya domin yana da kayan aiki guda ɗaya - glargine. Duba bidiyo don ƙarin cikakkun bayanai. A lokaci guda, koya yadda ake adana insulin yadda yakamata kada ya lalace. Fahimci dalilin da yasa kuke buƙatar farashi da safe da maraice, kuma allura ɗaya kowace rana bai isa ba.

Idan kun yarda cewa haɗarin cutar kansa yana ƙaruwa sosai, yana da kyau ku canza zuwa Levemir. Kuma har ma da kyau - akan sabon maganin Tresib, wanda shine mafi kyawun yanayin halaye.

Yadda za a canza daga Lantus zuwa Tujeo? Ta yaya aka canza sashi?

Idan za ta yiwu, ci gaba da amfani da Lantus, kar a sauya zuwa Tujeo. Yawancin marasa lafiya da suka canza zuwa wannan magani suna ba da labarin abubuwan da ba su da kyau game da wuraren ciwon sukari. Canjin ya buƙaci kawai a cikin lokuta inda ba a sake bayar da Lantus kyauta ba. Yi la'akari da sauyawa zuwa Tuemo maimakon Levemire, har ma mafi kyau, zuwa sabon insulin Tresiba mai ci gaba.

Umarnin da ke cikin hukuma ya ce yawan insulin glargine zai canza ba. Sau 3 ne kawai yawan zafin alluran zai ragu. Tujeo Solostar Syringe Pen zai magance wannan ta atomatik. Koyaya, a aikace, sashi na karin insulin tare da canzawa zuwa canjin Tujeo. Bayan haka, ba shi yiwuwa a hango ko hasashen wane shugabanci za su canza. Dole ne ku yi kwanaki da yawa ko makonni don sake zaɓin mafi kyau gwargwado. Kamar yadda yake tare da Lantus, bai kamata ku zama mai laushi don allurar Tujeo sau biyu a rana ba. Kada ku ƙuntata kanku da allura ɗaya kowace rana.

Zan iya shan allurar wannan magani sau biyu a rana?

Ba wai kawai abin da za ku iya ba, amma dole! Yankin yau da kullun na Tujeo ya kamata ya kasu kashi biyu injections: safe da yamma. Hakanan ya kamata kuyi wannan tare da kowane nau'in insulin da ya kara. Suna ba da harbe har safiya lokacin da suka farka, da kuma harbe da maraice a daren kafin zuwa gado, da wuri-wuri. Gudanarwa na yau da kullun guda ɗaya na tsawan insulin koyaushe yana haifar da sakamako mara kyau.

Shin ana iya fitar da Tujeo da cutar kansa?

Me zai hana? Insulin Tujeo shine Lantus iri daya, kawai yafi sau uku. Babu wata hujja cewa wannan magani yana da illa ga masu ciwon sukari tare da matsalolin koda. Ka tuna cewa mafi muni da kodan suna aiki, ƙananan ƙwayar insulin da ake buƙata. Daidaitaccen matakan zai iya haifar da hypoglycemia. Karanta labarin shima game da maganin cututtukan cututtukan mahaifa. Yana cikin ikon ku don hana ci gaban lalacewa ta koda. Koyi yadda ake yi.

Ra'ayoyi 28 akan Tujeo

Menene shawarar a cikin kayan “Cutar juna biyu da shayarwa” - yi ƙoƙarin yin ba tare da insulin kwata-kwata?! Ta canza zuwa abinci mai kyau. Shin mahaukaci kake? Nau'in 1 ko 2 na ciwon sukari a cikin ciki baya iya yin insulin! Ko da nau'in 2 na fassara zuwa insulin! Wace irin shawarar charlatan?! Ba tare da insulin a cikin ciki ba - Ina jin tsoron tunanin yadda sakamakon zai kasance! Ba ku san abin da kuke faɗi ba - yana da kyau ba a rubuta komai ba!

Wace irin shawarar charlatan?!

Kun gajiya da rashin hankali, kuna rubuta tsokaci mara kunya.

Marasa lafiya nau'in 1 na masu cutar sukari suna da kyau cewa suna buƙatar allurar insulin. Koyaya, yawancin lokuta sune cututtukan ƙwayar cutar mahaifa, wanda aka gano kawai lokacin daukar ciki. Abincin karancin carb yana rage glucose jini. A cikin fiye da rabin marasa lafiya, ya kai 4.0-5.5 mmol / L. Tare da irin waɗannan alamun, insulin bai kamata a allurar dashi ba. Ko akwai wasu ƙin yarda?

Ko yaya, abinci mai karancin carb yana haifar da ketones (acetone) a cikin jini da fitsari. Likitoci suna son tsoratar da mata masu juna biyu cewa tana da haɗari. Statisticsididdigar da aka tara, wanda ke nuna cewa ba daidai ba ne. Don 2014-2016, da dama da daruruwan matan Amurkawa sun ɗauka kuma sun haihuwar yara masu lafiya, waɗanda ba su cin fiye da 30 g na carbohydrates a kowace rana, daga samfuran da aka halatta - http://endocrin-patient.com/chto-mozhno-est-pri-diabete/. Suna da sukarin jini na al'ada, kazalika da rage haɗarin edema da cututtukan fata na mata. Acetone a cikin fitsari bai cutar da mata ko yara ba. Sabili da haka, sauyawa zuwa ƙarancin carb a lokacin daukar ciki yana ba da damar gaske don yin ba tare da insulin ba. Kodayake ban yi da'awar cewa duk 100% na marasa lafiya masu ciwon sukari suna cikin nasara.

Shekaru 46, tsayin 172 cm, nauyi 68 kg, Na kamu da ciwon sukari na tsawon shekaru 19. Yanzu an matsa daga Lantus zuwa Tujdeo. Kuma ko ta yaya wannan canjin yana da wuya. Tsawon mako guda yanzu ban lura da ƙasa da alamun sukari 10 ba. Yawan a Lantus ya kasance raka'a 26 kowace rana, yanzu Tujeo stab shine 36, amma matakin glucose har yanzu yana kan sikeli. Dangane da haka, adadin insulin mai sauri ya karu, amma ba shi da amfani. Matsalar ita ce ba za a ba Lantus ba don fa'idodi ba. Saboda haka, dole ne mu koyi zama tare da Tujeo.

Yanzu an matsa daga Lantus zuwa Tujdeo. Kuma ko ta yaya wannan canjin yana da wuya.

Ba ku nuna babban abu ba - bi abincin low-carb ko a'a

Yawan a Lantus ya kasance raka'a 26 kowace rana, yanzu Tujeo stab shine 36, amma matakin glucose har yanzu yana kan sikeli.

Sauyawa zuwa ƙarancin abinci-mai - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - ita ce hanya daya tilo da za a bi don samun karancin allurar insulin kuma ku kiyaye sukari daidai yadda ya kamata, ba tare da ɓarkewa ba. Allurar insulin cikin sauri da tsawan lokaci ana rage shi sau 2-8. Yawancin lokaci ba kasa da sau 4-5. Wannan duk da gaskiyar cewa dole ne ka allurar insulin akan furotin da aka ci, kuma bawai kan carbohydrates ba.

Bincika idan alkalami ya makala da lu'ulu'u insulin. Tujeo ya ninka sau 3 fiye da Lantus. Sabili da haka, haɗarin mafi girma na samuwar kristal.

Ni dan shekaru 19 ne, tsayinsa ya kai 182 cm, nauyi mai nauyin kilogram 83, na dade ina fama da ciwon siga irin na 1 na tsawon shekaru 12. Na sa Tujeo tsawa da dare, kuma da rana Humalog sau 3 a rana don abinci, raka'a 1-1.5 a 1 XE. Jimlar yawan insulin na yau da kullum kusan kashi 80 ne. Don wasu dalilai, sugar na yakan tashi da yamma. Da dare, yakan ci gaba sosai, Da safe yakan ragu. Yadda za a canza yanayin allurar insulin don dakatar dashi?

Don wasu dalilai, sugar na yakan tashi da yamma

Kuna buƙatar ƙara yawan ƙwayar insulin cikin sauri kafin abincin dare, kuma ba magungunan da za a sake-saki da daddare da daddare ba.

Hakanan koya ka'idoji don adana insulin - http://endocrin-patient.com/hranenie-insulina/ - kuma a tabbata cewa magunguna ba su lalacewa.

Ni 18 years old, tsawo 170 cm, nauyi 60 kg, mara lafiya 5 years sd1. Ya gabatar da lantus don raka'a 24 a 22:00. Na je neman insulin - sun ba da tujeo. Shin wajibi ne don sanya raka'a masu yawa kamar Lantus? Ko yana da bambanci?

aka ba da tujeo. Shin wajibi ne don sanya raka'a masu yawa kamar Lantus? Ko yana da bambanci?

Yi ƙoƙari ka fara da kashi ɗaya, sannan ka daidaita shi cikin fewan kwanaki. Ba za a iya samun ingantattun tsinkaya. Wannan duk mutum ɗaya ne ga kowane mai ciwon sukari.

Barka da rana, bazan iya fahimtar yadda ake lissafin yawan Tujeo daidai ba. Yanzu na sanya Levemir raka'a 40. Ya bayyana cewa an rage Tujeo zuwa raka'a 13? Gaya mani, don Allah. Gobe dole ne mu kawo canji. Type 1 ciwon sukari.

Ya bayyana cewa an rage Tujeo zuwa raka'a 13?

A'a, ba kamar wannan ba. Yawan insulin din ya kasance iri daya ko ya dan canza kadan. Yawan rage yawan ruwan da zaku shiga ya rage sau 3. Koyaya, alkalami na syje na Tujeo zai yi wannan gyaran ta atomatik, ba tare da hallarka ba. Kawai sanya madaidaicin kashi akan shi.

Babu dalilin da zai iya allurar Tujeo da wani abu ban da alkalami na syringe!

Daga cikin mutane sananniyar masu cutar sankara, har da kaina, mutum daya ne ya sami damar canzawa zuwa Tujeo. Duk sauran masu abin kunya sun shiga Tresiba. Wannan magani kusan 50% ya fi tsada, wanda shine dalilin da ya sa dukkanin sassan kiwon lafiya na gida ba sa son bayar da shi. Kuma gaskiyar ita ce mafi kyawu kuma mafi aminci tana farantawa marasa lafiya da kansu kawai.

Daga cikin mutane sananniyar masu cutar sankara, har da kaina, mutum daya ne ya sami damar canzawa zuwa Tujeo

Sauyawa zuwa ƙarancin abincin carb - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - yana sa ya yiwu a rage alluran insulin sau 2-7. Lowerananan kashi, ƙananan matsaloli tare da insulin. Wannan kuma ya shafi miyagun ƙwayoyi Tujeo.

Tresiba. Wannan magani kusan 50% ne mafi tsada.

Na gwada farashin kantin magani - ba kamar 50% ba, amma sau 3.

Ni 42 years old, riga 33 years old fama da ciwon sukari type 1, shekaru 5 na hemodialysis. Sun ba da Tujeo, kafin wannan shine Lantus. Ina da takamaiman tambaya: shin ya fi kyau in ɗauki Levemir? Me yasa nake buƙatar ƙarin haɗarin? Haka ne, Na fahimta cewa mai ƙera yana buƙatar haɓaka ƙwayar. Amma ba ni cikin yanayin yin gwaji da kaina! Duk da haka, shin Treshiba yana ba masu ciwon sukari fa'idodi? Ko bai kamata ku ma ku yi ba? Na gode

Ina tunatar da ku cewa a yanayinku ya yi latti don canzawa zuwa ga abincin karab, zai hanzarta fara mutuwa.

Sauran masu karatu suna da darasi: kame zuciyar ka akan lokaci har sai kodan sun fado.

Oh, zai kasance ni nufin - zan ba da masu ciwon sukari kwanan nan bisa izinin balaguro-tilas tilastawa zuwa cibiyar dialysis.

Ina da takamaiman tambaya: shin ya fi kyau in ɗauki Levemir?

Ban sani ba Abun takaici, hasashenku bashi da dadi. Ba na tsammanin maye gurbin insulin din Tujeo da Levemir zai shafe shi ko ta yaya, domin babu wani abin da ya fi muni. Wataƙila a cikin batun ku na iya gwada Tujeo, idan an ba shi kyauta, kuma kar ku kashe kuɗi akan Levemir. Amma ba na jin isasshen iya bayar da shawara daidai.

Shin Tresib yana ba da fa'idodin masu ciwon sukari?

Ban sani ba Tambayi a wurinku.

Shekaru 27, tsawo 175 cm, nauyi 90 kg.
Type 1 ciwon sukari mellitus tun 2004. Anyi amfani dashi azaman ragin insulin tsawon lokaci Lantus 30 a rana sau daya. Kwanan nan a asibitin ya ba Tujeo. Ina amfani dashi tsawon mako guda.Tare da sashi iri ɗaya, sukari na safiya ya yi girma. Ya kasance yana riƙewa daga 3.5 zuwa 5.5 da safe. Bayan canzawa zuwa sukari Tujeo da safe 9-10. Da yamma yana al'ada. Na sa Tujeo, kamar Lantus, da karfe 10 na safe kafin lokacin barci. Na lura cewa a cikin alkalami na Lantus Solostar ƙwayar abu mai aiki shine 3 ml, kuma a Tujeo - 1.5 ml. A zahiri, idan na kasance da almalin Lantus na tsawon kwanaki 10, Tujeo yakamata ya ishe kwanaki 5. Amma to yawan maganin Tujeo zai zama raka'a 90 a kowace rana, kuma waɗannan lambobi ne masu ƙaranci a gare ni))) Ina kuskurena?

Da farko dai, sanya kanka tsawon insulin sau daya a rana, kuma ba biyu ba.

Shawarwarin Dr. Bernstein ba su da amfani a wannan rukunin yanar gizon. Suna ba da irin wannan sakamakon cewa masu ciwon sukari waɗanda aka bi da su bisa tsarin al'ada ba su ma yi mafarki ba.

a cikin alkalami na Lantus Solostar sirinji, abu mai aiki shine 3 ml, kuma a Tujeo - 1.5 ml. A zahiri, idan na kasance da almalin Lantus na tsawon kwanaki 10, Tujeo yakamata ya ishe kwanaki 5.

Tuulin din Tujeo ya ninka sau 3 fiye da Lantus. Penaya daga cikin alkalami sirinji ya kamata ya wuce tsawon sau 1.5. Ka saita kashi a raka'a akan hannun. Kuma ta ƙayyade adadin ruwan da ke buƙatar gabatar da shi.

Barka da rana
Tilasta canzawa zuwa Tujeo, saboda babu insulin Lantus.
Ina fama da ciwon sukari tsawon shekara 22.
Lantus yayi allura 22 a cikin dare, fara da Tujeo tare da wannan sashi. Sanyin asubahi a farkon kwanakin sun kasance cikin daren dare - sun kai 25, amma da rana ba su tashi sama da 10 ba. Ga satin da ya gabata akan Tujeo. Na kwana biyu, cutar hawan jini tana kiyaye, a ƙasa 15 baya faruwa.
Yaya za a kasance? Menene mafi kyawun sashi?
Yayin amfani da Lantus, babu irin wannan mafarki mai ban tsoro.

Yaya za a kasance? Menene mafi kyawun sashi?

Kwararrun masu ciwon sukari suna jujjuya yanayin abinci mai ƙarancin carb wanda aka bayyana akan wannan rukunin yanar gizon. Godiya ga abin da allurai na insulin suka fadi sau da yawa, alamu na sukari suna dushe. Ina da marasa lafiya da yawa waɗanda ke rayuwa sosai bayan ƙaura zuwa Tujeo.

Hakanan, ka tabbata cewa sam sam sam bai lalace ba. Binciki labarinmu akan ka'idodin adana insulin - http://endocrin-patient.com/hranenie-insulina/.

Shekaru 71, tsawan 172 cm, nauyi 55 kg, Na kamu da rashin ciwon sukari irin na shekaru 61. Ina sarrafa sukari na jini sau 6 a rana. Yanzu na tsayar da humalog na kimanin raka'a 25-27 (5 injections) kuma da safe raka'a 2 na lantus. Yawan sukari a cikin rana ya bambanta tsakanin 6-11. Akwai canji zuwa Tujeo, saboda ba a samar da Lantus ba. Ina so in karɓi shawarwarinku akan yawan injections da sakin tujeo.

Ina so in karɓi shawarwarinku akan adadin inje da sashi

Da farko dai, yakamata ku canza zuwa abinci mai karancin-carb kuma rage kashi na Humalog don rage girman amfanun sukari. Kuma a magance ma'anar canjin zuwa sabon insulin da aka kara.

Sannu Ni 32 years old. Tsayi 160 cm, nauyi 54 kg. Ina rashin lafiya da ciwon sukari na 1 na tsawon watanni shida. Likita ya dauke ni daga Levemir zuwa Tujeo. Ya ce ya fi na yau da kullum kuma mafi kyau duka saboda wasu dalilai. Levemir ya harbe 14 da safe da kuma 10 da dare. Nawa ne zan kwantar da Tujeo da safe kuma nawa ne cikin dare? Na riga na canza zuwa rage cin abinci mara nauyi.

Likita ya dauke ni daga Levemir zuwa Tujeo. Ya ce ya fi na yau da kullum kuma mafi kyau duka saboda wasu dalilai.

Wannan mummunan ra'ayi ne. Har Levemir ya daina fitowa, zai fi kyau a tsaya a kai. Idan da kai ne, zan yi ƙoƙarin canza likita.

Nawa ne zan kwantar da Tujeo da safe kuma nawa ne cikin dare?

Fara da kashi ɗaya da jigon allura, kuma a nan za ku gani.

Ni 49 years old, 165 cm tsayi, nauyi ya riga ya zama 120 kg, T2DM, Na sa humalogue 2 ko sau 3 a rana don raka'a 15, kazalika da tujeo 30 da safe kuma daidai adadin a maraice. Farin sukari daga 7 zuwa 15-23. Kuma kwana biyu da suka wuce, masaniyar ilimin halittar dabbobi ta ce ba za ku iya yi ba sau biyu a rana, amma kuna buƙatar 45 da yamma. Yanzu ni wa zan saurara? An fara da insulin levemir, sannan lantus, yanzu tujeo.

Yanke shawara da kanku. Kun ga abin da bin shawarwarin aikin hukuma ya haifar.

Ni mai shekara 55 ne, tsayinsa ya kai cm 160, nauyi 52 kg. Ina rashin lafiya da ciwon sukari na 1 tun shekaru 10, wato, tsawon shekaru 45. Akwai dukkanin rikice-rikice, musamman DAPA da kuma matakin pre-dialysis of naƙasa na koda. Glycated haemoglobin na ƙarshe 5.6%. M hypoglycemia akai-akai, Ban lura da su ba. Ko da a cikin matsananciyar damuwa a cikin shekarar da ta gabata, Ina kiyaye sukari a cikin kewayon 4-6. Na kasance ina zaune a jikin insulin lantus da humalog na tsawon shekaru 20. Likitan ya ce jiya ba za a sake samun lantus ba, kawai tujeo ne ga kowa. Kuma na riga na saba da hakan. Ina yin Lantus da dare 00, watau, lokaci 1 a rana, 8-9 IU, ya danganta da yanayin (ARVI, sauran raunin da ya faru). Nawa ne shigar shigar tujo? Sashi guda ne ko ƙasa? Aka ba ni CRF.

Nawa ne shigar shigar tujo? Sashi guda ne ko ƙasa?

Fara da sigar iri daya, sannan kuma zaku gani.

Glycated haemoglobin na baya da kashi 5.6%

Ba zan iya tunanin yadda ku da irin wannan kyakkyawan kula da ciwon sukari suka sami damar samun gazawar koda da kuma sauran tarin matsaloli ba.

Wataƙila ya makara a gare ku don canzawa zuwa tsarin abinci mai ƙarancin carb.

Ni mai shekara 55 ne, tsayi 164 cm, nauyi 75 kg. Na sanya 34 lantus da dare, Na juya zuwa tujeo. Tambaya: nawa ake sanya raka'a? Short insulin apidra yayin raka'a 40. Type 2 ciwon sukari, shekara 20.

Na sanya 34 lantus da dare, Na juya zuwa tujeo. Short insulin apidra yayin raka'a 40.

Waɗannan sune allurai dawakai na insulin. Idan kuka ci abinci mara nauyi, zaku iya rage su sau da yawa.

Tambaya: Nawa ne za a sanya abincin Tujeo?

Kuna iya farawa da 90-100% na kashi na baya na Lantus, sannan ku daidaita bisa ga sakamakon.

Bambancin Lantus daga Tujeo

Ana amfani da Lantus ko Tujeo a cikin jiyya na nau'in 1 da nau'in ciwon sukari na dogaro na 2. Duk magungunan biyu suna taimakawa wajen kiyaye matakan sukari na jini na al'ada, ba tare da canje-canje kwatsam da tsalle-tsalle ba.

Ana amfani da Lantus ko Tujeo a cikin jiyya na nau'in 1 da nau'in ciwon sukari na dogaro na 2.

Halayen Lantus

Hanyar maganin shine maganin allura. Abunda yake aiki shine insulin glargine. A cikin akwati 1, adadin shine 100 PIECES, a cikin kwalba 1 - 10 ml, cikin sharuddan - 1000 PIECES.

Hanyar aiwatarwa shine insulin glargine ya rushe gaba ɗaya cikin yanayin acidic wanda maganin allura yake da shi. Bayan an gabatar da miyagun ƙwayoyi a karkashin fata, acid din ya lalace kuma an kirkiro microprecipitates, wanda ya ci gaba da sakin insulin a cikin adadi kaɗan. Godiya ga wannan, yana yiwuwa a guje wa tsalle-tsalle da bayar da dogon aiki na maganin.

Manuniya don amfani - insulin-dogara da ciwon sukari mellitus nau'in 2 da 1. Magungunan an yi shi ne kawai don amfani da marasa lafiya daga 18 shekara. Contraindications - rashin haƙuri ga abubuwan taimako na magunguna.

Sashi shine allura 1 a kowace rana, wanda dole ne a gudanar dashi a lokaci guda kowace rana. Matsaloli masu iya haifar da sakamako:

da wuya - cin gaban halayen halayen ga fata,
rage a cikin acuity na gani,
lipohypertrophy,
nama edema a wurin allurar insulin.

Yiwuwar sakamako masu illa daga amfani da Lantus yana da ƙima sosai kuma yana da alaƙa a cikin mafi yawan lokuta tare da mai haƙuri yana da contraindications ko amfani da magunguna mara kyau tare da karuwa na yau da kullun.

Yiwuwar tasirin sakamako daga amfani da Lantus yana da ƙanƙanta sosai kuma yana da alaƙa a cikin mafi yawan lokuta tare da kasancewar contraindications a cikin haƙuri.

Halin Tujeo

Fitar saki - bayani mai injection. Babban bangaren maganin shine insulin glargine. Magungunan an yi niyya don maganin cututtukan cututtukan masu ciwon sukari 1 da 2 na nau'in insulin-dogara. Abunda yake aiki sashi ne mai kusancin insulin ɗan adam. Bayan subcutaneous na sarrafawa, insulin ya narke a cikin yanayin acidic, ƙwayar ta samar da ci gaba na sakin insulin a cikin adadi kaɗan, wanda ke hana tsalle-tsalle a cikin jiki.

An hana yin allurar Tujeo idan akwai rashin jituwa ga wasu abubuwan. Kada kayi amfani ga mutane underan ƙasa da shekara 18, kamar yadda Babu bayanai game da tasirin maganin a jikin yaran. Matsaloli masu iya haifar da sakamako:

Allergic halayen ga fata, ciki har da a wurin allurar.
Hypoglycemia, musamman, shine haɗarin haɓakar haɓakar cutar rashin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa.
Iguearin gajiya, rashin bacci.
Rashin damuwa na tsarin narkewa - tashin zuciya da amai.
Rage ƙarancin gani na gani.
Remarfin wata gabar jiki.
Canje-canje a cikin halin psychoemotional - bayyanar ƙara damuwa, rashin damuwa.

Farashi Tujeo ya zama dole sau 1 a rana, zai fi dacewa a lokaci guda. A mafi yawancin halayen, ana ba da allura a maraice, kafin lokacin bacci.

Kwatanta Lantus da Tujeo

Magungunan suna da halaye na yau da kullun, saboda haka yana da wuya mai ciwon sukari ya zaɓi ɗayan magunguna.

Lokacin allurar Tujeo ita ce maraice bayan cin abinci, rabin sa'a kafin lokacin bacci.

Babban halayen magunguna sun haɗa da:

Tsarin saki shine mafita ga tsarin kulawa da ƙasa.
Haramcin a kan / a gabatarwar.
Abun da ke ciki ya ƙunshi abu mai aiki - gulingine insulin.
Alamu don amfani: saduwa da masu ciwon sukari tare da nau'in 1 da 2 na insulin-dogara da ciwon sukari.
Haramun ne a gaban mutum rashin jituwa ga abubuwan daya shafi na maganin, wadanda suke taimakawa sosai.
Hanyar amfani da sirinji na alkalami.
Gabatarwar ana aiwatar da shi ne kawai a cikin faransar fata mai aiki da ƙasa.
Lokacin yin allura shine da yamma, bayan cin abinci, rabin sa'a kafin lokacin bacci. Sakamakon gaskiyar cewa aikin jiki da daddare yana da ƙima, da yiwuwar rage raguwar haɗuwa a cikin ƙwayar glucose. A lokaci guda, magungunan maraice suna taimakawa hana karin glucose a lokacin asuba.
Ba da shawarar a lokacin daukar ciki.

Menene bambanci?

Shirye-shirye suna da bambance-bambance da yawa:

Tujeo yana da karancin bambance-bambancen karatu; ba shi da tasirin rage zafin sukari.
Tujeo ba shi da wata illa ko zai iya samun sakamako masu illa, saboda haka ana ɗaukar shi mafi aminci ga jiki.
Yawan aiki. Tujeo, kamar Lantus, ana gudanar dashi sau ɗaya a rana, amma ya kasance cikin plasma na jini na dogon lokaci, wanda ke nufin samar da insulin zai ɗauki tsawon lokaci, yana rage yiwuwar hauhawar jini, musamman da daddare.
Hankalin insulin yana da girma a Tujeo, don haka shan Lantus yana buƙatar babban kashi.
Tujeo an tsara shi ne kawai ga marasa lafiyar manya. Ana iya tsara Lantus ga yara daga shekaru 6.
Theirƙirari da kuma aiki na alkairin sirinji don ƙwayoyi sun sha bamban.
Gabatarwar Tujeo yana farawa da ƙaramin sashi, wanda sannu a hankali yana ƙaruwa kowace rana, saboda haka alkairin sirinji shima sanye yake da ikon canza yanayin insulin.
Tujeo ba shi da wata jaraba.

Shin zai yiwu a sauya magani ɗaya tare da wani?

Duk da cewa Tujeo yana da haɓakar insulin, idan Lantus ya maye gurbinsa, sashi, gwargwadon umarnin, ya kasance ɗayan guda ɗaya. Amma a aikace, ya kamata a daidaita sashi, kuma ta wacce hanya (mafi girma ko ƙarami) za a iya fahimtar ta hanyar zaɓi kawai. Aaddamar da canji game da sindarin insulin ya zama dole tare da likitan ku don rage yiwuwar haɓaka tasirin da ba'a so ba.

Duk da gaskiyar cewa Lantus zai iya maye gurbin Tujeo, ana bada shawara don sauyawa daga magani ɗaya zuwa wani kawai a cikin matsanancin yanayi. Canjin daga Lantus zuwa Tujeo kuma mataimakin yana hade da tabarbarewa.

Wanne ya fi kyau - Lantus ko Tujeo?

Sakamako mai kyau daga yin amfani da kayan aiki na musamman ya dogara da halaye na jikin mutum. Yawancin marasa lafiya sun yarda cewa Tujeo ya fi dacewa, yana yin aiki mafi tsayi, yana da ƙarancin haɗari na alamun gefen. Amma lalacewarsa ita ce ƙuntatawa shekaru, yayin da Lantus za'a iya tsara shi ga yara daga shekaru 6.

Tujeo yana da wani koma-baya: saboda gaskiyar cewa insulin din da ke ciki a cikin taro mai zurfi, yana fashewa sau da yawa da sauri, wanda ke nufin cewa a cikin wannan yanayin ba za a iya amfani da shi ba. Kafin gabatarwa a karkashin fata, kuna buƙatar tabbatar da hankali cewa digo na magani ya bayyana a saman allura.

Zai yi wuya a tantance wanne magani zai fi tasiri, saboda Halin da ake bi don magance wannan magani a cikin marasa lafiya da yawa na iya zama daban. Yana da mahimmanci a fahimci cewa kowane ɗayan waɗannan magunguna zai ba da sakamako mai kyau ga masu ciwon sukari, idan kun haɗu da gabatarwar insulin tare da abinci mai dacewa da rayuwa mai kyau.

Bambanci tsakanin Tujeo da Lantus

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 IU 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).

Tasirin warkewar cutar

Babban mahimmancin aikin Apidra shine ka'idojin inganci na glucose metabolism a cikin jini, insulin ya sami damar rage yawan sukari, don haka yana ƙarfafa shayarwa ta hanyar tsinkaye na waje:

Insulin yana hana samar da glucose a cikin hanta mai haƙuri, adipocyte lipolysis, proteolysis, da kuma haɓakar haɓakar furotin.

A cikin binciken da aka gudanar kan mutane masu lafiya da marasa lafiya da ke fama da cutar sankara, an gano cewa gudanar da mulki na glulisin yana bayar da sakamako mai sauri, amma tare da gajeren lokaci, idan aka kwatanta da insulin mutum na narkewa.

Tare da gudanarwa na ƙwayar subcutaneous na miyagun ƙwayoyi, tasirin hypoglycemic zai faru a cikin mintuna 10 zuwa 20, tare da injections na ciki wannan tasirin yana daidai da ƙarfi ga aikin insulin na mutum. Apungiyar Apidra tana da halin aiki na rashin ƙarfi, wanda ya yi daidai da na insulin ɗan adam mai narkewa.

Ana gudanar da insulin na Apidra mintuna biyu kafin abincin da aka yi niyya, wanda ke ba da izinin sarrafa glycemic na al'ada na postprandial, mai kama da insulin na mutum, wanda ana gudanar da mintina 30 kafin abinci. Ya kamata a lura cewa irin wannan kulawa shine mafi kyau.

Idan ana gudanar da glulisin mintina 15 bayan cin abinci, zai iya samun damar kula da yawan sukarin jini, wanda ya yi daidai da insulin na mutum wanda ke tafiyar da mintina 2 kafin cin abinci.

Insulin zai tsaya a cikin jini zuwa minti 98.

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.

Nazarin likitoci game da Lantus da Tujeo

Svetlana, dan shekara 51, masaniyar ilimin halittar dabbobi, Moscow: “Bambanci tsakanin Lantus da Tujeo shine saboda gaskiyar cewa magani na farko ya bayyana a kasuwa lokaci mai tsawo, kuma Tujeo sabon magani ne, zaku iya cewa, canza shi, tare da babban aikin insulin, wanda duka biyu ne kuma rashin amfani ne. . Wanne magani don zaɓar shine tambayar mutum, dangane da dalilai da yawa. Idan mai haƙuri ya fara ɗaukar Lantus, ba a ba da shawarar sauya Tujeo ba, kuma ba haka ba. ”

Oksana, mai shekara 36, endocrinologist, Samara: “Tujeo wani sabon magani ne na insulin, wanda galibin marasa lafiya suka fi son shi saboda yawan insulin, wanda ke nuna cewa yana bukatar kulawa dashi cikin kankanin lokaci, ya fi dacewa da jiki. Amma duk akayi daban-daban. Idan babu wani mummunan ra'ayi game da abubuwan da suka shafi taimako, magungunan biyu zasuyi aiki tare da tasiri iri ɗaya, yana da mahimmanci kawai zaɓi ainihin matakan. "

Inna Shakirtdinova ya rubuta a ranar 16 ga Fabrairu, 2017: 26

Tujeo din dinka tsawon wata daya. Ana saka shi sau ɗaya a rana. Umarnin yace hakane
sauyawa na +/- 3 hours mai yiwuwa ne. Amma na fi so in tsayar a lokaci guda.
Kuna buƙatar farawa, kamar yadda aka fada a cikin umarnin, tare da kashi na 1: 1. Amma da alama hakan
daidaitawar kashi har yanzu yana faruwa kadan daga baya.
Ba kamar Lantus ba, Tujeo yana aiki awanni 36. Idan saƙa da safe, to
dan kadan yanki mafi girma na kashi zai zama kowace rana. Lokacin allura da yamma
- don dare.

Inna Shakirtdinova ya rubuta a ranar 16 ga Fabrairu, 2017: 38

Bronislaw farawa tare da raka'a 30. Bibiya da SC dinka tsawon kwanaki 3-4.
Sannan ya zama sananne ko kuna buƙatar daidaita sashi ko a'a.
Farashi da safe ko da yamma, kuma, kuna buƙatar duba UK. Ta wane hali
SK yafi kyau. Idan allura da safe da SK a wannan yanayin ya fi kyau. abin da za a yi da safe. Idan
SC ne mafi kyau don allurar maraice, sannan yi shi da yamma.

Bronislav Sychev ya rubuta 17 Fabrairu, 2017: 110

Don adadin adadin raka'a ɗaya. insulin glargine ana sarrafawa da ƙwayar Tujeo Solostar shine 1/3 na tare da gudanar da insulin Glargin Solostar 100ED / ml Ta yaya za a fahimci wannan?

Rajista a kan portal

Yana baka damar amfani akan baƙi na yau da kullun:

Taro da kyaututtuka masu mahimmanci
Sadarwa tare da membobin kulob, shawarwari
Labaran ciwon sukari kowane mako
Tattaunawa da damar tattaunawa
Rubutu da hira ta bidiyo

Rajista yana da sauri sosai, yana ɗaukar ƙasa da minti ɗaya, amma yaya nawa suke da amfani!

Bayanin kuki Idan kuka ci gaba da amfani da wannan rukunin yanar gizon, muna ɗauka cewa kun yarda da amfani da kukis.
In ba haka ba, don Allah barin shafin.

Neman Masu haƙuri

Anna, 32, Arkhangelsk: “Da farko na yi amfani da Tujeo, na taimaka da yawa, babu wani sukari a cikin sukari, amma bayan wasu makonni wasu sakamako masu illa. Likita ya koma Lantus, yanayin ya tsananta nan da nan, har sai ya sami damar samun magungunan da suka dace. Yanzu an yarda da Lantus, ba ya haifar da matsaloli. "

Marina, ɗan shekara 42, Odessa: “Ina son Tujeo fiye da Lantus, saboda ya fi mai da hankali, don haka yana buƙatar kulawa da ƙasa da hakan. Magungunan ya dade. Idan ka rasa allura na awanni da yawa, wani bala'i na musamman ba zai faru ba, sabanin Lantus, ɗan jinkirtawa a gabatarwar wanda ya haifar da mummunan yanayin yanayin. "

Andrei, mai shekara 56, Astrakhan: “Na karɓi magunguna biyu kyauta, don haka ina amfani da su daban. Ban ga bambanci tsakanin su ba, waɗannan kayan aikin iri ɗaya ne a gare ni. Babu wani rashin jin daɗi a lokacin miƙa mulki, Ba lallai ne in daidaita sashi ba, kodayake na sake zuwa akai-akai cewa ina buƙatar sauya adadin maganin. ”

Wanne ne mafi arha

Bayan nazarin farashin miyagun ƙwayoyi a yankuna daban-daban, farashin maganin Lantus don gudanarwar subcutaneous na kwalabe 5 - daga 3 500 rubles, mafita don allurar subcutaneous a cikin nau'i na katako a cikin alƙalin sirinji - daga 3,700 rubles.

Kayan kayan aikin Tujeo don gudanar da subcutaneous na 5 na katuwar katako ya biya daga 4,500 rubles. Kudin magungunan guda biyu na iya bambanta dangane da yankin da aka siyar, adadin kwalabe, girman maganin.

Abinda yafi lantus ko tujeo

Mutanen da ke kamuwa da cutar sankarar mellitus sau da yawa ba za su iya zaɓar maganin da za su zaɓa ba. An gabatar da nazarin kwatancen magungunan a sama.

Ana buƙatar maganin Lantus sau uku more, tunda ana buƙatar kulawa da magunguna akai-akai. Yin hukunci da sake dubawar marasa lafiya, a lokacin gudanar da wannan magani akwai rashin jin daɗi, konewa, tingling, amma ƙwayar Tujeo ta kusan kashi 15% mafi tsada.

Nazarin likitoci game da Lantus da Tujeo

Eugene, dan shekara 48, endocrinologist. Bambanci tsakanin waɗannan kwayoyi suna faruwa ne saboda gaskiyar cewa daya ya bayyana tun da daɗewa, da na biyu - sabo, wanda aka gyara, tare da babban insulin. Sauyawa daga magani ɗaya ba da shawarar ba, amma a cikin 30% na lokuta yana yiwuwa kuma yana da tasiri sosai.

Eugene, dan shekara 42, endocrinologist. Tujeo wani sabon magani ne na insulin, tare da babban taro na kayan aiki, ana iya jure shi da jiki, baya bukatar gudanarwa akai-akai. Amma duk abin da yake yi daidai ne. Dukansu magungunan za su yi tasiri, amma madaidaicin doka don ingancin inganci shine matakin da ya dace.