Tresiba cholinga chake ndi matenda a matenda ashuga. Amagwiritsidwa ntchito kuteteza matenda a glucose. Ili ndi gawo lolimbikira polimbana ndi hyperglycemia.
Dzinalo Losayenerana
Chilatini - Tresibum
Tresiba cholinga chake ndi matenda a matenda ashuga.
ATX
A10AE06
Kutulutsa mafomu ndi kapangidwe kake
Amapezeka mu mawonekedwe a yankho la jakisoni - madzi owoneka bwino, opanda matope komanso zosakhudza zilizonse zamakina. Chofunikira chachikulu ndi insulin degludec 100 PIECES. Zowonjezera zimaperekedwa: metacresol, glycerin, phenol, hydrochloric acid, nthaka acetate, dihydrate, sodium hydroxide ndi madzi a jakisoni.
Mu cholembera cha polypropylene pali cholembera ndi yankho la jakisoni muyeso wa 3 ml, i.e. 300 ZITHUNZI za insulin degludec. Galasi imagwiritsidwa ntchito popanga cartridge. Pali pisitoni ya mphira kumbali ina ya cartridge ndi chimbale cha mphira mbali inayo. Phukusi la makatoni limakhala ndi zolembera 5 zotere.
Zotsatira za pharmacological
Insulin ya Degludec imatha kupanga mwachangu kwa insulin yaumunthu. Chifukwa chake, zochizira zamitundu iyi za insulin zimakhala zofanana. Ma insulin receptors amamangirira kumadera ena olandirira mafuta ndi minyewa. Nthawi yomweyo, insulini imangokhala ndi vuto la hypoglycemic, komanso imalepheretsa kutulutsa shuga kwa chiwindi.
Mu cholembera cha polypropylene pali cholembera ndi yankho la jakisoni muyeso wa 3 ml, i.e. 300 ZITHUNZI za insulin degludec.
Mankhwala amatengedwa monga basal insulin. Pambuyo poyambitsa, gulu la ma multihexamer limapangidwa. Kuchokera pa depo yopangidwa, insulin yaulere imalowa m'magazi. Magazi a shuga amachepa pang'onopang'ono. Koma mchitidwewo umatenga nthawi yayitali.
Pharmacokinetics
Pambuyo mwachindunji makonzedwe a mankhwala a insulin, pali malo obisika. Ma insulin monomers amayamba kupatuka pang'onopang'ono kuchokera kuma multihexamers. Zotsatira zake, insulin, ngakhale pang'onopang'ono koma mosalekeza, imalowa m'magazi. Kuchuluka kwa plasma kumawonedwa maola angapo jekeseni. Zotsatira zimatha mpaka masiku awiri.
Mankhwalawa ali bwino komanso pafupifupi pogawana ziwalo zonse ndi ziwalo. Bioavailability ndi kuthekera kumangiriza ku zomanga mapuloteni ndizambiri. Palibe chilichonse mwa metabolites chotsatira chomwe chimagwira ntchito. Hafu ya moyo wa mankhwalawa imatenga pafupifupi maola 25.
Zizindikiro zogwiritsidwa ntchito
Zisonyezero zakugwiritsidwa ntchito kwa mankhwala, monga momwe malangizowo alili, ndi chithandizo cha matenda a shuga kwa akulu, achinyamata ndi ana a chaka chimodzi.
Zisonyezo zakugwiritsa ntchito mankhwala, monga momwe malangizowo alili, ndi chithandizo cha matenda a shuga.
Contraindication
Direct contraindication ogwiritsa ntchito ndi:
- mimba
- nthawi ya mkaka wa m`mawere;
- zaka za ana mpaka 1 chaka;
- Hypersensitivity pamagawo a mankhwala.
Kodi mutenge Treshiba?
Treshiba FlexTouch imagwiritsidwa ntchito pakubaya kwa subcutaneous. Zingwe ziyenera kuperekedwa kamodzi patsiku, makamaka tsiku lililonse nthawi imodzi. Mlingo umasankhidwa mosiyanasiyana. Ndikofunikira kutsegula kayendedwe ka glycemic kutengera kudya kwa glucose. Cholembera cha syringe chimakupatsani mwayi kuti mulembe zigawo za 1-80 zamankhwala nthawi 1.
Momwe mungagwiritsire ntchito cholembera?
Musanagwiritse ntchito, onetsetsani kuti cholembera sichingagwire ntchito moyenera. Muyenera kuwonetsetsa kuti ili ndi mtundu wa insulin komanso kuchuluka kwa jakisoni. Chipewa choteteza chimachotsedwa mu syringe. Kenako tengani singano ndikuchotsa pepala loteteza.
Treshiba FlexTouch imagwiritsidwa ntchito pakubaya kwa subcutaneous.
Singanoyo imakulungidwa pachikono kuti igwire. Chipewa chakunja chimachotsedwa mu singano koma osatayidwa kuti chitsekedwe ndi singano yomwe imagwiritsidwa ntchito jekeseni. Ndipo chophimba chamkati chimatayidwa. Masingano amatayidwa pambuyo pa jekeseni iliyonse. Cholembera cha syringe chimasungidwa kwanthawi yayitali, koma nthawi iliyonse chimatsekeka ndi chipewa choteteza kuti matenda aliwonse asalowe nawo.
Kumwa mankhwala a shuga
Kwa anthu omwe ali ndi mtundu wa 2 matenda, mankhwalawa amaperekedwa padera kapena osakanikirana ndi mankhwala ochepetsa shuga a pakamwa, kapena bolus insulin.
Mlingo woyambayo ndi magawo khumi patsiku ndi kusintha komwe kungachitike pang'onopang'ono. Odwala omwe kale adalandira basal kapena basal-bolus insulin, ndi omwe amasakanikirana ndi insulin, amasinthira ku Treshiba 1: 1 kupita ku insulin yapita.
Odwala omwe ali ndi matenda a shuga a mtundu woyamba 1, mankhwalawa amakhala munthawi yomweyo ndi insulin yochepa kuti apeze zofunika pakudya. Mankhwalawa amapaka jekeseni kamodzi patsiku limodzi ndi insulin.
Kwa odwala ambiri omwe ali ndi matenda amtundu 1, kusintha kuchokera ku basal insulin kupita ku Treshiba kumachitika mwa 1: 1. Kwa anthu omwe amalandila insulini ya basal kawiri patsiku, gawo losinthira limawerengeredwa palokha. Kuchepetsa Mlingo umaganizira mayankho a glycemic.
Zotsatira zoyipa Treshiba
Pangani chifukwa choonjezera kuchuluka kwa mankhwalawa kapena kuphwanya malamulo a jakisoni.
Akamamwa, matupi awo sagwirizana.
Kuchokera ku chitetezo chamthupi
Akamamwa, matupi awo sagwirizana. Mawonekedwe awo owopsa nthawi zambiri amakhala owopsa pamoyo. Amatha kuwonetsedwa ndi kufalikira kwa milomo ndi lilime, kutsegula m'mimba, kusanza, kuyabwa, kudzutsidwa kwakukulu.
Pa gawo la kagayidwe ndi zakudya
Hypoglycemia nthawi zambiri imayamba. Zimachitika pamene mlingo wa insulini wolandila ndiwokwera kwambiri kuposa momwe ungafunikire. Zizindikiro za hypoglycemia zimachitika mwadzidzidzi. Amawonetsedwa ndi thukuta lozizira, khungu lotumbululuka, kuda nkhawa, kunjenjemera, kufooka, kusokonezeka, kuyankhula ndi kupumira, kuchuluka kwa njala, kupweteka mutu, kuchepa kwa masomphenya.
Pa khungu
Chochita chofala kwambiri pakhungu ndi lipodystrophy, yomwe imatha kupezeka pamalo a jekeseni. Chiwopsezo chokhala ndi zoterezi chidzachepa ngati tsamba la jakisoni lisinthidwa nthawi zonse.
Matupi omaliza
Mothandizidwa ndi mankhwalawa, zimapangitsa kuti jakisoni asungidwe. Amawoneka: hematomas, ululu, kuyabwa, kutupa, mawonekedwe a timinema ndi erythema, kukomoka m'malo ano. Zonsezi zimachitika chifukwa chakuti ma antibodies enaake amapangidwa poyankha makonzedwe a mankhwalawa. Kusintha koteroko ndikosintha, kosapondera, sikutanthauza chithandizo chapadera ndipo pamapeto pake amadzidutsa okha.
Chochita chofala kwambiri pakhungu ndi lipodystrophy, yomwe imatha kupezeka pamalo a jekeseni.
Zokhudza mphamvu pakuwongolera njira
Chifukwa Mankhwalawa hypoglycemia imayamba kuchitika, chisamaliro chapadera chiyenera kuthandizidwa poyendetsa galimoto ndi njira zina zovuta zomwe zimafunikira chidwi chachikulu.
Malangizo apadera
Mukamagwiritsa ntchito mankhwalawa, muyenera kuyang'anira kuchuluka kwa shuga m'magazi kuti mupewe kukula kwa zovuta. Potere, cholembera cha syringe chimagwiritsidwa ntchito kamodzi. Simungathe kusakaniza mitundu ingapo ya insulini mu 1 syringe.
Gwiritsani ntchito mu ukalamba
Mwa anthu achikulire, chiopsezo chokhala ndi hypoglycemia chikuwonjezeka. Chifukwa chake, kugwiritsa ntchito mankhwalawa m'gululi la odwala kumafunika kuwunikira kosinthidwa pazotsatira zoyesa.
Kupangira Treshiba kwa ana
Malinga ndi akatswiri azamankhwala, mankhwalawa amatha kugwiritsidwa ntchito kwa achinyamata ndi ana kuyambira chaka chimodzi.
Malinga ndi akatswiri azamankhwala, mankhwalawa amatha kugwiritsidwa ntchito kwa achinyamata ndi ana kuyambira chaka chimodzi.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Chida ichi chitha kugwiritsidwa ntchito pakuthira. Koma nthawi zonse muziyang'anira zotsatira za kusintha kwa kuchuluka kwa shuga m'magazi. Izi ndizowona makamaka kwa amayi apakati omwe ali ndi matenda ashuga. Kumayambiriro kwenikweni kwa kubereka, kufunikira kwa insulin kumachepetsedwa, ndipo kumapeto kwa nthawi kumawonjezeka. Chifukwa chake, ndikofunikira kuyang'anira kusinthasintha kwa shuga m'magazi kuti mupewe kukula kwa hypoglycemia.
Palibe maphunziro akuti ngati chinthu chodutsa chimadutsa mkaka wa m'mawere. Koma malinga ndi malipoti ena, palibe zochitika zoyipa zomwe zimawonedwa mwa mwana.
The ntchito aimpso kuwonongeka
Zonse zimatengera chilolezo cha creatinine. Mukakhala pamwamba, mumachepetsa mlingo wa insulin yomwe muyenera kugwiritsa ntchito.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Pali chiopsezo chachikulu cha zovuta panthawi ya mankhwala a insulin. Chifukwa chake, chisamaliro chimayenera kutengedwa kuti athe kuthana ndi shuga.
Pali chiopsezo chachikulu chobwera ndi zovuta za chiwindi panthawi ya mankhwala omwe amapezeka ndi insulin.
Kuchulukitsa kwa Treshiba
Ngati mukulitsa mlingo, hypoglycemia ya magawo osiyanasiyana imayamba. Hypoglycemia yofatsa imathandizidwa ndi shuga kapena zakudya zokhala ndi shuga komanso zakudya zamafuta othamanga. Woopsa akayamba kudwala, glucagon amalowa m'matumbo kapena subcutaneally. Ngati pakapita mphindi 20 vutoli silikuyenda bwino, yankho lina la glucose limalowetsedwa m'mitsempha.
Kuchita ndi mankhwala ena
Mankhwala ena amachepetsa kufunika kwa thupi kwa insulin. Pakati pawo: Mankhwala ochepetsa shuga a pakamwa, ma inhibitors a MAO, beta-blockers, zoletsa za ACE, ma salicylates ena, sulfonamides ndi anabolic steroids.
Kuwonjezeka kwa kuchuluka kwa insulin kumafunika mukamamwa pamodzi ndi thiazides, glucocorticosteroid mankhwala, OK, sympathomimetics, chithokomiro komanso kukula kwa timadzi, Danazole.
Kuyenderana ndi mowa
Simungathe kuphatikiza kumwa mankhwala ndi mowa. Izi zimabweretsa hypoglycemia, yomwe imatha kukhudza wodwala.
Analogi
Mankhwala othandizira ndi awa:
- Aylar;
- Lantus Optiset;
- Lantus;
- Lantus Solostar;
- Tujeo;
- Tujeo Solostar;
- Levemir Penfill;
- Levemir Flekspen;
- Monodar;
- Solikva.
Kupita kwina mankhwala
Mankhwalawa atha kugulidwa ku chipatala ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Kupatula.
Mtengo wa Treshiba
Mtengo wake ndi wokwera ndipo umakhala ma ruble 5900-7100. pa paketi iliyonse ya ma cartridge 5.
Zosungidwa zamankhwala
Firiji ndiyabwino ngati malo osungira, chizindikiro cha kutentha - + 2 ... + 8 ° C. Osamawuma. Cholembera cha syringe chiyenera kusungidwa kokha ndi chipewa chotseka. Pambuyo pa kutsegulira koyamba, cholembera cha syringe chimatha kusungidwa pa kutentha osaposa + 30 ° C, wogwiritsidwa ntchito kwa masabata 8.
Tsiku lotha ntchito
Zaka 2,5.
Wopanga
Kampani yopanga: A / S Novo Nordisk, Denmark.
Ndemanga za Tresib
Madokotala
Moroz A.V., endocrinologist, wazaka 39, Yaroslavl.
Tsopano tinayamba kusankha Treshib osati kangapo, chifukwa mtengo wake ndi wokwera kwambiri, si odwala onse omwe angakwanitse kugula. Ndipo kotero mankhwalawa ndi abwino komanso ogwira ntchito.
Kocherga V.I., endocrinologist, wazaka 42, Vladimir.
Ngakhale mtengo wokwera, ndimalangizabe odwala anga kuti asankhe mankhwalawa, chifukwa bwino kuposa m'badwo watsopano wa insulin, sindinakumaneko. Amasunga shuga bwino, ndi jakisoni 1 patsiku.
Anthu odwala matenda ashuga
Igor, wazaka 37, Cheboksary.
Ndili ndi matenda ashuga 1. Potsatira lingaliro la adotolo, ndimatsatira kadyedwe ndikusoka kwa magawo 8 a Treshiba usiku komanso ndisanadye Actrapid. Ndimakonda zotsatira. Shuga ndiwabwinobwino tsiku lonse, pakhala palibe vuto lililonse la hypoglycemia kwa nthawi yayitali.
Karina, wazaka 43, Astrakhan.
Ndinkakonda kutenga Levemir, ndinadumphapo shuga pang'ono, kenako ndinalangizidwa kusinthana ndi Tresiba. Mlingo wa shuga unabweranso mwakale, ndikhutitsidwa ndi momwe mankhwalawo amathandizira. Koma pali imodzi yayikulu - yotsika mtengo, ndipo si aliyense amene angakwanitse.
Pavel, wazaka 62, Khabarovsk.
Mankhwalawa adamwa kwa chaka chimodzi. Tsopano adotolo adandisamutsira ku Levemir, chifukwa Zimakhala zotsika mtengo kwambiri. Ndizowopsa, ndikofunikira kumangoyala pang'ono chakudya chilichonse.
