Masiku ano, njira yokhayo yochizira matenda amtundu 1 komanso gawo lina la mtundu wachiwiri wa matenda omwe amachepetsa maselo a B ndikukula kwa insulin. Koma ku Russia, kukhazikitsa insulini yoyendetsedwa nthawi zambiri kumachedwetsedwa, ndipo ngakhale kuli kwothandiza kwambiri, kumangokhala kwa madokotala ndi odwala. Izi zikufotokozedwa ndi kuwonjezeka kwa kulemera kwa thupi, osati kufuna jakisoni komanso kuopa kukulitsa hypoglycemia.
Chifukwa chake, mantha a hypoglycemia atha kukhala chochepetsera kukhazikitsidwa kwa insulin yomwe ingayambitse kuchepa kwa mankhwala. Zonsezi zinali ngati maziko a chitukuko cha gulu lama insulini lopanda kusintha kosiyanasiyana tsiku lonse m'magulu osiyanasiyana odwala. Kukonzekera kwatsopano kwa insulini kumakhala ndi insulini yokhazikika, yayitali, popanda kuchititsa hypoglycemia.
Chimodzi mwa zinthu zoterezi ndi Tojeo insulin. Ichi ndi mankhwala obwera kumene opangidwa ndi kampani yaku France a Sanofi, omwe amapanganso insulin Lantus.
Katundu ndi phindu la mankhwala atsopano
Chidachi chapangidwira zochizira matenda amtundu 1 komanso mtundu wachiwiri wa shuga mwa odwala akuluakulu. Kuchita kwa insulin kumatenga maola 24 mpaka 35. Imaperekedwa pansi pakhungu kamodzi patsiku.
Komanso, insulini imapezeka mu cholembera cha 450 IU cha insulin (IU), ndipo mlingo waukulu wa jakisoni imodzi ndi 80 IU. Magawo awa adakhazikitsidwa pambuyo pa maphunziro omwe anthu 6.5,000 odwala matenda ashuga adatenga nawo gawo. Chifukwa chake, cholembera chimakhala ndi 1.5 ml ya insulin, ndipo iyi ndi theka la cartridge.
Ubwino waukulu wa kuyimitsidwa ndikuti samathandizira pakukula kwa hypoglycemia. Popeza mankhwalawa amakupatsani mwayi wowongolera glycemia mwa odwala omwe ali ndi mtundu wachiwiri wa shuga poyerekeza ndi insulin Lantus. Chifukwa chake, ndemanga za odwala ambiri zokhudzana ndi mankhwalawa ndizabwino kwambiri.
Pokonzekera Tozheo, kuchuluka kwa insulin glargine kudapitilira katatu (mayunitsi 300 / ml), poyerekeza ndi ma insulin ena omwe ali ndi vuto lofananalo. Chifukwa chake, mulingo wa insulin uyenera kukhala wocheperako ndikuwerengedwa kwa wodwala aliyense payekhapayekha.
Chifukwa chake, zabwino zotsatirazi zimadziwikanso motere:
- Zotsatira zazitali (zoposa maola 24).
- Jakisoni imodzi imafunikira zinthu zochepa.
- Amakulolani kuti muwunikire kuchuluka kwa glycemia kuzungulira koloko.
Komabe, muyenera kudziwa kuti Toujeo sangathe kugwiritsidwa ntchito pochiza ana komanso matenda ashuga a ketoacidosis.
Malangizo ogwiritsira ntchito
Popeza Tozheo ili ndi kuchuluka kwambiri kuposa Lantus, imayendetsedwa mu bol. Mlingo wamba wa mankhwalawa ndi magawo 10-12 patsiku, ndipo ngati shuga akupitilizabe kukhala wokwera ndiye kuchuluka kwa insulini kumawonjezeka ndi mayunitsi 1-2.
Popewa hypoglycemia, timadzi timeneti timalimbikitsidwa kutumikiridwa kawiri pa tsiku. Mwachitsanzo, nthawi yoyamba pa ma oveni 12 - ma 14 magawo, ndipo chachiwiri pa maora 22 mpaka 24 - magawo 15.
Kuti mupeze mlingo wamadzulo, kuti muchepetse kusinthasintha kwa kuchuluka kwa shuga komwe kumayamba chifukwa cha insulin yochepa kapena chakudya chamadzulo kuyambira 18:00 maola 1.5 aliwonse, muyenera kuyeza kuchuluka kwa shuga m'magazi. Chakudya chamadzulo ndi bwino kudumphadumpha, ndipo ngati pangafunike (kusintha matenda a shuga) mutha kulowa insulini yaying'ono.
Pa maola 22 muyenera kuchita jakisoni wa insulin yayitali (mlingo wosavuta). Mlingo woyambira wa Toujeo SoloStar 300 ndi 6 mayunitsi. Koma patatha maola awiri mutakhazikitsa mankhwalawa, ndikofunikira kupanga miyeso ya glucose mosalekeza.
Kuchuluka kwa thunthu la zinthu kudzachitika pa 2-4 a.m., motero. Ngati kuchuluka kwa shuga kumagwera kapena kukwera usiku, ndiye kuti mlingowo uyenera kuchepetsedwa kapena kuwonjezeredwa ndi 1 unit, kenako mfundo za glycemia ziyenera kuyesedwanso. Momwemonso, mutha kuyesa m'mawa komanso tsiku lililonse mlingo wa basal insulin. Kanemayo munkhaniyi akuwonetsa momwe insulin imagwirira ntchito.
