Lantus insulin kukonzekera shuga

Lantus ndi imodzi mwazomwe zimapangitsa insulini pamsika wapanyumba. Chida ichi ndi chosiyana kwambiri ndi mankhwala ena, ndizokhazo zomwe zimapangitsa insulin. Kodi Lantus, momwe mungapangire ndikudulira, ndi zina zambiri, muphunzira kuchokera munkhani zamakono.

Kodi Lantus amagwiritsidwa ntchito bwanji?

Chofunikira chachikulu mu Lantus ndi insulin glargine. Chimodzi mwamaubwino kwambiri a mankhwalawa ndikuti alibe ntchito zapamwamba ndipo ali ndi mbiri yosankha bwino. Mankhwalawa ali ndi mphamvu yayitali (amakhala ndi insulin yayitali), amamangilira bwino ma cell a insulin komanso amapanga metabolites ochepa poyerekezera ndi insulin yachilengedwe.

Glycemia wolimba amawonekera pambuyo pa masiku 3-6 a mankhwala a Lantus. Hafu ya moyo wake ndiofanana ndi insulin yachilengedwe. Kupanga kagayidwe ndi kachitidwe ka mankhwala pawokha kumatha kupondereza mankhwala ndi corticosteroids, danazol, glucagon, estrogens, progestins, kukula kwa kukula kwa hormone, proteinase inhibitors ndi mahomoni a chithokomiro.

Ngati mukumwa mankhwalawa, mungafunike kusintha.

Jekeseni wa mankhwala amaperekedwa kwa odwala matenda a shuga:

1. Kukhazikika kwa kuchuluka kwa shuga m'magazi masana (makamaka m'mawa);
2. Pofuna kupewa kusintha kwa matenda ashuga a mtundu wachiwiri kukhala 1;
3. Kuteteza kapamba ndi matenda amtundu 1 ndikusunga maselo a beta athanzi;
4. Kupewa matenda ashuga a ketoacidosis.

Jakisoni oterewa amathandizira kwambiri kapamba. Insulin yomwe yakhala ikugwira ntchito kwa nthawi yayitali imathandizira kuchepetsa spikes mu shuga.
Zovala zazitali sizili zofunikira pazofanana ndi zazifupi. Satha kuzimitsa msanga kuchuluka kwa shuga atatha kudya. Komanso ndalama zotere sizili zoyenera kuchita izi mukafunikira mwachangu tsitsani shuga.

Ngati mumagwiritsa ntchito mankhwala ngati Lantus pacholinga ichi, zotsatira za kugwiritsa ntchito sizingokhala zabwino, zidzakhala zopanda pake. Mwa anthu, kulumpha mumagazi a glucose kumachitika pafupipafupi, kutopa kudzachuluka ndipo mayiko achisoni adzachitika, njira za metabolic zidzasokonekera. Pakapita zaka 1-3, zovuta zidzayamba kuonekera, chifukwa choti wodwala atha kukhala wolumala.

Kodi insulin ya nthawi yayitali ndi iti?

Mankhwala amtunduwu amtundu wa insulin amalowetsedwa kuti magazi azisungunuka m'magazi. Insulin yaying'ono imakhala ikupezeka nthawi zonse ndipo imazungulira m'magazi a anthu, zomwe zimadziwika kuti basal kapena maziko a insulin.

Insulin iyi imaperekedwa ndi kapamba kosalekeza. Munthu akadya chakudya, chithaphwi chija chimagwira mwachangu ndikutulutsa ma protein ena ambiri m'magazi. Njirayi imatchedwa bolus kapena mlingo wa bolus.

Mlingo wa Bolus amakonda kuwonjezera kuchuluka kwa insulin kwakanthawi kochepa. Chifukwa chake, shuga, yemwe amalowa mthupi la munthu ndi chakudya, salowerera. Munthu akadwala matenda ashuga, satulutsa ma botus ndi insalins.

Kusankha kwa Mlingo

Mlingo wa Lantus m'mawa ndi usiku ungasiyane. Chifukwa chake, ndikofunikira kuwerengera mulingo wa njira izi mosiyana.

Patsani usiku

Ndikofunikira kuti pambuyo pakubayidwa jekeseni wamagazi amasungidwa pa 4.5-0.6 mmol / lita imodzi ya magazi. Ndi matenda amtundu wa 1 shuga, muyenera kubaya insulin yayitali musanagone komanso mutagona, yochepa kapena ultrashort musanadye. Amakhala ngati 6 jakisoni patsiku. Matenda a shuga a 2 amafunikira zochepa. Ndi mitundu yonse iwiri yamatenda, muyenera kutsatira zakudya zapadera osanyalanyaza zochitika zolimbitsa thupi.

Musanayambe jakisoni muyenera kukonzekera. Kuti izi zitheke, wodwalayo ayenera kuyamba kuyeza (mpaka 15 pa tsiku) ndende tsiku lililonse. Kupita kuchipatala chifukwa cha ichi muli ndi ndalama zokwanira ndi nthawi, motero ndikwabwino kuti muwasunge onse awiri ndipo nthawi yomweyo mugule glucometer kuti mupange njirayo kunyumba.

Odwala a shuga a Type 2 amakhala ndi jakisoni wa insulini pokhapokha asanagone. Kuti mumvetsetse ngati jakisoni wam'mawa likufunika, muyenera kupenda chizindikiro cham'mimba pakatha tsiku.

Chifukwa chake, timapanga tatchulazi motere:

1. Masiku 7 timayezera kuchuluka kwa shuga asanagone komanso m'mawa wotsatira tisanadye.
2. Zotsatira za tsiku lililonse zimalowa mu mbale (tidzakambirana template).
3. Patsiku lililonse, werengani shuga m'mawa usiku wathawu.
4. Tulukani masiku omwe mudadya chamadzulo musanagone (osakwana maola asanu).
5. Tikulongosola bwino kogwirizana kwa chida.
6. Timagawa kukula kochepa kwambiri kwa glucose nthawi yogona ndi cholowa - iyi ndi gawo lanu loyamba la jakisoni.
7. Timalowetsedwa mu koyamba mlingo musanagone ndipo onetsetsani kuti mwayika alamu pakati pausiku kuti muyeze shuga.
8. Ngati mumakhala ndi nkhawa usiku wokwera 3.8, timachepetsa mlingo womwe timayeserera musanagone. Mutha kuthyolanso jakisoni zingapo ndikukhomera gawo lachiwiri pakati pausiku.
9. Pambuyo pake, mlingo uyenera kusinthidwa kuti pasakhale hypoglycemia usiku ndipo shuga m'mimba yopanda kanthu inali yoposa 4.5-0.6 mmol / lita imodzi ya magazi.

Gome lokhala ndi kuwerengera liyenera kuwoneka ngati ili:

Malo amangochotsedwa chifukwa wodwalayo anadya mochedwa. Kukula kochepa kwambiri kwa shuga kunali Lachisanu, 4.0. Kuchulukitsa kocheperako kumatengedwa kuti mankhwalawo akhale ochepa kwambiri, angakutsutseni mwadala. Chifukwa chake, mumakhala otetezeka pakukula kwa hypoglycemia.

Mwachitsanzo, simumapanga ma insulin achilengedwe konse. Kenako gawo lidzachepetsa ndende ndi 2 mmol (ngati mumalemera zosakwana 70 kg). Chonde dziwani kuti kuchepetsa kulemera kwanu, kumalimbikira kwambiri ntchito ya insulin. Mwa munthu wolemera makilogalamu 80, chiwerengerochi chidzakhala pafupifupi 1.7.

Mutha kuwerengera chizindikiro chanu ndi formula: Pa matenda a shuga 1, chithunzichi chimatengedwa. Ngati muli ndi mtundu wachiwiri, ndiye kuti ndalama zidzakhala zazikulu kwambiri. Chifukwa chake, lingalirani za mankhwalawa potengera kuti gawo la Lantus lidzachepetsa ndende ndi 4.4. Kutengera mtundu womwewo, kuwerengera zolingana zanu zonse.

Monga momwe adadziwira, kuchuluka kochepa kwa glucose kunali 4 mmol. Wodwala, mwachitsanzo, amalemera 80 kg. Kenako gawo la insulin lidzachepetsa shuga ndi 3.52. Likukhalira kuti mlingo wa insulin uyenera kukhala magawo 1.13.

Mlingo wam'mawa

Kuti mumvetsetse ngati mukufuna jekeseniyu, muyenera kupewa kudya masana. Motsatira masitepe anu:

• Osamadya mkati mwa maola 14 mutamaliza kugona, ndi chakudya chamadzulo chokhacho chovomerezeka;
• Masana mutha kumwa tiyi ya zitsamba, madzi;
• Chepetsa mankhwala anu a shuga;
• Ganizirani kuchuluka kwa shuga pambuyo pogona, ndiye pambuyo pa maola 1, 5, 9, 12 ndi 13.

Ngati pakati pa miyeso mwazindikira kuti kuchuluka kwa glucose m'magazi kumadutsa 0,6 mmol ndipo sikunachepe, ndiye kuti muyenera kubaya insulin m'mawa. Mlingo umawerengedwa monga momwe amaliri ma jakisoni pogona. Kusintha mlingo wa m'mawa, muyenera kuchita njirayi, motero tikulimbikitsidwa kuti mupeze mlingo womwe mukufuna mu masabata osiyanasiyana.

Lantus yoyambitsa ukadaulo

Jekeseni wa mankhwala aliwonse omwe amapezeka ndi insulini amapatsidwa. Nthawi zambiri, odwala samadziwaukadaulo wa kapangidwe ka mankhwala ndipo amapangira jakisoni wolakwika. Kapangidwe kolakwika ka khungu kamatha kusokoneza mbali yolowa ndi singano. Zotsatira zake, zimatha kulowa minofu yam'mimba, ndiye kuwerenga kwa kusinthasintha kwa shuga m'magazi kudzakhala kosadalirika.

Ndikofunikanso kuti musalowe m'mitsempha yamagazi mukapatsidwa insulin. Kuti mudziteteze, ndibwino kuti mugwiritse ntchito singano zapadera komanso zazifupi za insulin.

Pa jakisoni wa insulin, magawo angapo a thupi amagwiritsidwa ntchito:

• Malo am'mimba;
• Mapewa
• Ntchafu yakutsogolo;
• Matako.

Kutengera ndi tsamba la jakisoni la Lantus, mayamwidwe ake amasiyanasiyana. Mankhwalawa amalowetsedwa bwino kwambiri ngati atalowetsedwa pamimba; kumizira pang'onopang'ono kumachitika pakabaya matako ndi matako. Ngati mwasankha kupereka jakisoni pamimba, ndiye kuti mukuyenera kuchoka pa msomali pafupi 5 cm ndikugwera mozungulira.

M'masiku osiyanasiyana, muyenera kusinthanitsa malo omwe mungalowe ndi singano. Chonde dziwani kuti ngati mutenga khola molakwika, kulimba mwamphamvu kapena kukhazikitsa minofu ya minofu, singano imapita mwamphamvu ndipo jakisoniyo amakhala wowawa.

Mankhwala Lantus akulimbikitsidwa kuti azigwiritsidwa ntchito ndi mitundu iyi ya ma syringe:

1. DinaniSTAR.
2. OptiPen Pro1.

Musanayambe kugwiritsa ntchito, onetsetsani kuti muwerenga malangizo omwe aphatikizidwa ndi cholembera, muyenera kutsatira malangizo a wopanga nthawi zonse.

Jekeseni imaperekedwa motere:

1. Chotsani syringe pamlanduwo ndikuchotsa chivundikiracho;
2. Chotsani chitetezo cha munthu kuchokera singano ndikuyiyika mu cholembera;
3. Gwedeza zomwe zili mu syringe bwino ndikusakaniza;
4. Mukamayesa ndi kudina, dinani kuchuluka kwanu kosankhidwa mwanjira imodzi;
5. Kanikizani batani pa jakisoni ndikuchotsa mpweya ku singano;
6. Pa gawo la thupi lomwe jekeseni idzaperekedwa, pangani khungu. Kenako gwiritsani batani kwa masekondi 10 kuti mankhwalawo alowe malo osakanikira. Kenako mumasuleni khungu, gwiritsani singano kwa masekondi ena asanu kenako ndikutulutsani kwambiri.

Musanakonze katiriji mu syringe, ndibwino kuyiyimitsa kwa maola 1-3 pa kutentha kwa firiji. Osagwiritsa ntchito cartridge ngati chida chilipo mu yankho, sikuwonekera, kapena ngati madzi asintha mtundu wake. Musaiwale kuchotsa mpweya mu cartridge (malangizo adafotokozeredwa pamwambapa). Palibe, osadzaza makatoni, amatayika.

Musanapereke jakisoni, onetsetsani kuti mwapenda dzina la mankhwalawo kuti, osazindikira, musanalowerenso insulini ina. Choyipa chotere chimatha kupha (madontho amasankhidwa mosiyanasiyana ndipo hypoglycemia imatha kuchitika kwambiri).

Ngati mulibe cholembera choyenera, mutha kuyendetsa Lantus ndi syringe yokhazikika ya insulin. Zofunika! Ngati mugwiritsa ntchito syringe wamba, sonkhanitsani mosamala mankhwalawo, kuchuluka kwake mu insulin ndi syringe yokhazikika ndikosiyana.

Lowani Lantus malinga ndi njira iyi:

1. Sankhani malo omwe mukalowe;
2. Pukuta jakisoni ndi antiseptic (Lantus imatha kuwonongeka mothandizidwa ndi ma alcohols, ndiye kuti isowa mkati mwa mphindi 5-7 kenako pokhapokha ndi jekeseni.
3. Pangani chikwama (ngati mugwiritsa ntchito singano ya ultrashort, ndiye kuti simungathe kuzichita);
4. Popanda kumasula khola, lowetsani singano pa ngodya ya madigiri 45;
5. Pang'onopang'ono ndi dzanja lolimba, kanikizani piston ndikulowa Lantus;
6. Pambuyo wothandizira wothandizira, masula khola;
7. Gwirani singano pansi pakhungu lanu kwa masekondi 5 kenako muchotse kwambiri.

Ngati jakisoni wa Lantus analibe kufunika kwake, onaninso kukonzekera kwa mankhwalawo. Osathamangira kukweza mlingo wa insulin. Ngati mwayipatsa kuzizira, imayamwa pang'onopang'ono. Mukamapereka insulin molondola komanso munthawi yake, imakupatsirani chidziwitso chokhazikika cha glycemia.

Lantus pa nthawi yapakati

Maphunziro ena osiyana a momwe mankhwalawa amaperekera azimayi apakati sanachitike. Malinga ndi ziwerengero, mwa akazi 96 mwa amayi 100 aliwonse padalibe zoyipa zomwe zimachitika ndi Lantus pamawonekedwe a mwana komanso nthawi yayitali. Insulin iyi siyisokoneza dongosolo la kubereka.

Mankhwalawa nthawi zambiri amaperekedwa kwa amayi apakati ndi akatswiri. Zikakhala choncho, wodwalayo ayenera kuyang'aniridwa ndi dokotala komanso kuyang'anira kuchuluka kwa shuga m'magazi.

Nthawi zambiri, kufunikira kwa mankhwalawa kumacheperanso nthawi yoyambirira, mkati mwa 2 ndi 3, mmalo mwake, kumawonjezeka.

Mayiyo atabereka, kufunika kwa mankhwala a insulini kuchokera kunja kumachepera kwathunthu ndipo mkaziyo amatha kukhala ndi hypoglycemia.

Pa yoyamwitsa, mutha kugwiritsa ntchito Lantus, pomwe muyenera kuyang'anira kuchuluka kwa mankhwalawa. Pamene insulin glargine ikalowa m'mimba, imayamba kupezeka ma molekyulu a amino acid. Mwanjira imeneyi, sizimayambitsa vuto lililonse kwa mwana, yemwe wadyetsedwa malo a bere.

Ndani sayenera kugwiritsa ntchito Lantus?

Mankhwala okhala ndi insulin ali otsutsana kwathunthu m'magulu otere:

• Iwo omwe ali ndi vuto la insulin glaragin kapena zigawo zina zomwe ndi gawo la mankhwala;
• Anthu omwe ali ndi mtundu uliwonse wa hypoglycemia;
• Ana osakwana zaka 6.

Mankhwalawa sathandiza ndi matenda ashuga a ketoacidosis. Ndi chisamaliro chapadera, Lantus iyenera kugwiritsidwa ntchito chifukwa imakhala ndi kuchepa kwa ziwalo zamkati ndi ziwongolero, kuchepa kwa mitsempha, kusokonezeka kwa m'maganizo, matenda a shuga, proliferative retinopathy, komanso omwe amakonda kuzunza hypoglycemia.

Mwa odwala ena, zizindikiro za matenda a hypoglycemic mwina sizingachitike.

Kuyang'anira kwa madokotala kumafunikira okalamba ndi anthu omwe asintha kuchokera ku insulin ya nyama kupita kwa anthu, anthu omwe ali ndi hypersensitivity kupita ku insulin, odwala omwe ali ndi nkhawa nthawi zonse komanso azolimbitsa thupi, kumwa mankhwala ena, komanso omwe ali ndi matenda opatsirana.

Pogwiritsa ntchito Lantus, wodwala aliyense ayenera kudya chakudya chamagulu (omwe ali ndi matenda ashuga, chakudya chamoto wotsika chikusonyezedwa) ndikuyesera kumwa mowa wochepa momwe mungathere.

Chonde dziwani kuti Lantus ikhoza kusokoneza kuthekera kwakuya ndi kuyang'ana kwambiri. Zimatha kukulitsa chitukuko cha hyper- ndi hypoglycemia, chifukwa masomphenya amachepa ndipo kusokonezeka kumayamba. Chifukwa chake, anthu omwe amathandizidwa ndi mankhwalawa ndi ma insulini ena nthawi ya chithandizo amalephera kuyendetsa galimoto kapena kugwira ntchito yoopsa.

Momwemonso

Pamsika wama pharmacological, pali mitundu ingapo yofanana ndi ya insulin, yofunika kwambiri yomwe ndi insulin glargine:

• Yankho la jakisoni wa Aylar - limawononga ma ruble 3,000;
• Kufotokozera kwa Lantus ndi mayankho a Solostar - ma ruble 3000;
• Tozheo Solostar - kuchokera ku ruble 1000 mpaka 2500.

Mankhwala ena ofanana:

Chonde dziwani kuti ena mwa mankhwalawa ali ndi malire komanso zovuta zina. Zitha kupangidwira kwa inu ndikuchita mosasamala mukamagwiritsa ntchito. Chifukwa chake, musanasinthe kuchoka ku Lantus kupita ku mtundu wina wa insulin, funsani katswiri wanu.

Ndemanga za Lantus

Pomaliza

Mwa magawo a pharmacological ndi zokhudza thupi, Lantus ndi imodzi mwamankhwala abwino kwambiri ochizira matenda a shuga. Imafanana kwambiri ndi insulin yachilengedwe ndipo ilibe vuto lililonse m'thupi. Chofunikira chofunikira mukamagwiritsa ntchito chida ichi (komanso ma insulini ena) ndikuwonetsetsa kuti mwapeza Mlingo ndi ukadaulo woperekera mankhwalawo.