Insulin Tresiba: kuwunika, kuwunika, kugwiritsa ntchito malangizo

Popanda insulini, ndizosatheka kulingalira za moyo wathunthu wamunthu. Hormoni iyi ndiyofunikira pokonza shuga kuchokera ku chakudya.

Ngati, chifukwa cha zifukwa zosiyanasiyana, insulini sikokwanira, ndiye kuti pakufunika makulidwe ake owonjezera. Pankhaniyi, insulin, mankhwala a Tresiba, adziwonetseratu. Ichi ndi mtundu wakale wa insulin.

Zinthu ndi mfundo za mankhwalawa

Chofunikira chachikulu cha Tresib insulin ndi Insulin degludec (degludec). Chifukwa chake, monga Levemir, Lantus, Apidra ndi Novorapid, insulin ya Tresib ndi analogue ya mahomoni amunthu.

Asayansi amakono atha kupereka mankhwalawa mwapadera. Izi zidatheka chifukwa chakugwiritsanso ntchito kabuku ka DNA kamene kamakhudzanso gawo la Saccharomyces cerevisiae ndi kusintha kwa maselo kapangidwe ka insulin yaumunthu.

Palibe zoletsa pa kugwiritsa ntchito mankhwalawa, insulin ndiyabwino kwa onse odwala. Odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa shuga amatha kugwiritsa ntchito mankhwalawa tsiku lililonse.

Poganizira za momwe mphamvu ya Tresib insulin imakhalira ndi thupi, ziyenera kudziwika kuti izikhala motere:

1. mamolekyu a mankhwala amaphatikizidwa kukhala ma multicamera (ma mamolekyulu) atangoyenda mosamala. Chifukwa cha izi, insulin depot imapangidwa m'thupi;
2. Mlingo wocheperako wa insulin umasiyanitsidwa ndi masheya, zomwe zimapangitsa kuti zitheke.

Zopindulitsa za Treshiba

Insulin yomwe imawerengedwa imakhala ndiubwino wambiri kuposa ma insulin ena komanso mawonekedwe ake. Malinga ndi ziwerengero zamankhwala zomwe zilipo, Tresiba insulin imatha kuyambitsa kuchuluka kwa hypoglycemia, mwa njira, ndipo ndemanga zimanenanso chimodzimodzi. Kuphatikiza apo, ngati mumagwiritsa ntchito momveka bwino mogwirizana ndi malangizo omwe dokotala mumapereka, kusiyana kwamasamba amwazi sikungokhala kwina konse.

Ndikofunika kunena kuti zabwino zamankhwala zimanenedwanso:

• kusiyanasiyana pang'ono pamlingo wa glycemia mkati mwa maola 24. Mwanjira ina, pakumwa mankhwala a dehydlude, shuga wamagazi amakhala m'magazi abwinobwino tsiku lonse;
• chifukwa cha mankhwalawa Tresib, endocrinologist imatha kukhazikitsa mulingo woyenera wa wodwala aliyense.

Munthawi yomwe Tresib insulin Therapy ikuchitika, chindapusa chabwino cha matendawa chitha kupitilizidwa, zomwe zingathandize kukonza bwino kwa odwala. Ndipo malingaliro pa mankhwalawa samalola kukayikira kukonzekera kwake kwakukulu.

Ndikounika kwa odwala omwe amagwiritsa ntchito mankhwalawo, ndipo samakumana ndi mavuto.

Contraindication

Monga mankhwala ena aliwonse, insulin ili ndi zotsutsana zomveka. Chifukwa chake, chida ichi sichingagwiritsidwe ntchito muzochitika zotere:

• wodwala zaka zosakwana 18;
• mimba
• mkaka wa m'mawere (yoyamwitsa);
• kusalolera kwa chimodzi mwazinthu zothandizira za mankhwala kapena chinthu chake chachikulu chogwira ntchito.

Kuphatikiza apo, insulin singagwiritsidwe ntchito jakisoni wovomerezeka. Njira yokhayo yoperekera inshuwaransi ya Tresib ndiyosazungulira!

Zotsatira zoyipa

Mankhwala ali ndi mavuto ake osiyanasiyana, mwachitsanzo:

• kusokonezeka kwa chitetezo cha m'thupi (urticaria, sensitivity kwambiri);
• mavuto mu kagayidwe kachakudya njira (hypoglycemia);
• zovuta pakhungu ndi subcutaneous zimakhala (lipodystrophy);
• zovuta zonse (edema).

Izi zimachitika kawirikawiri osati kwa odwala onse.

Chowonekera kwambiri komanso pafupipafupi cha kuchitidwa kovuta ndikubwezeretsanso malo a jekeseni.

Kutulutsa njira

Mankhwalawa amapezeka mu mawonekedwe a makatoni omwe amatha kugwiritsidwa ntchito mu Novopen (Tresiba Penfill) syringe pens, refill.

Kuphatikiza apo, ndizotheka kupanga Tresib mu mawonekedwe a zolembera zotayika (Tresib FlexTouch), zomwe zimangogwiritsa ntchito 1 yokha. Iyenera kutayidwa pambuyo poyang'anira insulin yonse.

Mlingo wa mankhwalawa ndi 200 kapena 100 magawo 3 ml.

Malamulo oyambira kukhazikitsidwa kwa Tresib

Monga taonera kale, mankhwalawa amayenera kuperekedwa kamodzi patsiku.

Wopangayo akuti jakisoni wa Tresib insulin iyenera kuchitidwa nthawi yomweyo.

Ngati wodwala yemwe ali ndi matenda ashuga amagwiritsa ntchito kukonzekera kwa insulin nthawi yoyamba, ndiye kuti dokotala amupatsa mlingo wa magawo 10 kamodzi pa maola 24 aliwonse.

Mtsogolomo, malinga ndi zotsatira za kuyeza kuchuluka kwa shuga pamimba yopanda kanthu, ndikofunikira kuphatikiza kuchuluka kwa Tresib insulin modabwitsa.

Muzochitika zomwe chithandizo cha insulin chakhala chikuchitika kwa nthawi yayitali, endocrinologist akupereka mlingo wa mankhwalawa womwe ungafanane ndi kuchuluka kwa basal hormone yomwe imagwiritsidwa ntchito kale.

Izi zitha kuchitika pokhapokha ngati mulingo wa hemoglobin wa glycated sunali wotsika kuposa 8, ndipo insulin ya basal idaperekedwa kamodzi masana.

Ngati mavutowa sanakwaniritsidwe mokwanira, ndiye kuti pakufunika mlingo wotsika wa Tresib.

Madokotala ali ndi lingaliro kuti idzagwiritsa ntchito muyeso yaying'ono. Izi ndizofunikira chifukwa kuti ngati musintha mankhwalawo ku analogues, ndiye kuti mankhwalawa angapangidwe kofunikira kuti akwaniritse glycemia wabwinobwino.

Kusanthula kwotsatira kwa kuchuluka kwa insulin kumatha kupangidwa nthawi imodzi pa sabata. Kusinthaku kumakhazikitsidwa pazotsatira zapakati pa miyeso iwiri yotsalira.

Tcherani khutu! Tresiba ikhoza kugwiritsidwa ntchito kwathunthu ndi:

• mapiritsi ena ochepetsa shuga;
• ena (bolus) insulin kukonzekera.

Mbali zosungirako mankhwala

Tresiba iyenera kusungidwa pamalo abwino pa kutentha kwa madigiri 2 mpaka 8. Itha kukhala firiji, koma patali ndi mufiriji.

Sipadzayambiranso insulin!

Njira yosungiridwayo ikugwirizana ndi insulin yosindikizidwa. Ngati ili kale ndi cholembera chogwiritsidwa ntchito kapena pokhapokha, ndiye kuti chosungirako chitha kuchitidwa kutentha, osayenera kupitirira 30 digiri. Alumali moyo wotseguka - miyezi iwiri (masabata 8).

Ndikofunikira kwambiri kuteteza cholembera ku dzuwa. Kuti muchite izi, gwiritsani ntchito kapu yapadera yomwe ingapewe kuwonongeka kwa insulin Tresiba.

Ngakhale kuti mankhwalawa atha kugulidwa ku chipatala cha mankhwala popanda kupereka mankhwala, ndizosatheka kuyipeza nokha!

Milandu yambiri

Ngati pali mankhwala ochulukitsa a insulin (omwe sanalembetsedwe mpaka pano), wodwalayo angadzithandizire. Hypoglycemia imatha kuthetsedwa pogwiritsa ntchito zinthu zazing'ono zokhala ndi shuga:

• tiyi wokoma;
• msuzi wa zipatso;
• chokoleti chosakhala ndi matenda ashuga.

Pofuna kupewa hypoglycemia, ndikofunikira kuti muzikhala ndi kutsekemera kulikonse.