Mankhwala Lantus ndi Levemir ali ndi katundu wambiri ndipo ndi mtundu wa insal insulin. Zochita zawo zimapitilira kwakanthawi mthupi la munthu, potero ndikulinganiza kutulutsa kosalekeza kwa timadzi ndi kapamba.
Mankhwalawa adapangira zochizira akuluakulu ndi ana azaka zopitilira 6 omwe akudwala matenda a shuga.
Kulankhula za Ubwino wa mankhwala amodzi kuposa wina ndikovuta. Kuti mudziwe yani mwa iwo omwe ali ndi katundu wogwira ntchito bwino, ndikofunikira kuganizira iliyonse mwatsatanetsatane.
Lantus
Lantus imakhala ndi insulin glargine, yomwe ndi analogue ya mahomoni amunthu. Imakhala ndi madzi ochepa osaloĊµerera m'ndale. Mankhwalawo pawokha ndi jakisoni wa hypoglycemic wa insulin.
Mankhwala Lantus SoloStar
Kupanga
Mililita imodzi ya jakisoni wa Lantus ili ndi 3.6378 mg wa insulin glargine (100 Units) ndi zina zowonjezera. Makatoni amodzi (mamililita atatu) ali ndi mayunitsi 300. insulin glargine ndi zina zowonjezera.
Mlingo ndi makonzedwe
Mankhwalawa amapangidwira ma subcutaneous makonzedwe; njira ina ingayambitse kwambiri hypoglycemia.
Muli ndi insulin yokhala ndi nthawi yayitali. Mankhwalawa amayenera kuperekedwa kamodzi patsiku nthawi yomweyo.
Panthawi yoikidwiratu komanso munthawi yonse ya chithandizo, ndikofunikira kukhalabe ndi moyo womwe adotolo adalandira ndikupanga jakisoni pa mlingo wofunikira.
Mlingo, nthawi ya mankhwala ndi nthawi ya kapangidwe ka mankhwala amasankhidwa mosiyanasiyana pa wodwala aliyense. Ngakhale kuti kugwiritsa ntchito limodzi ndi mankhwalawa sikulimbikitsidwa, koma kwa odwala omwe ali ndi matenda amtundu wa 2, chithandizo chamankhwala chokhala ndi mankhwala opatsirana pakamwa chitha kutumikiridwa.
Odwala ena amatha kuchepa kwa insulin:
- odwala okalamba. Mu gulu ili la anthu, kusokonezeka kwa impso kumakhala kofala kwambiri, chifukwa chomwe kumakhala kutsika kosafunikira kwa mahomoni;
- odwala ndi mkhutu aimpso ntchito;
- Odwala omwe ali ndi vuto la chiwindi. Gululi la anthu likhoza kukhala ndi chosowa chocheperako chifukwa cha kuchepa kwa gluconeogeneis komanso kuchepa kwa insulin metabolism.
Zotsatira zoyipa
Pogwiritsa ntchito mankhwala Lantus, odwala amatha kukumana ndi zovuta zingapo, zazikulu zomwe ndi hypoglycemia.
Komabe, hypoglycemia siiwo wokhayo, kuwonetsa kotereku ndikothekanso:
- kuchepa kowoneka bwino;
- lipohypertrophy;
- dysgeusia;
- lipoatrophy;
- retinopathy
- urticaria;
- bronchospasm;
- myalgia;
- anaphylactic mantha;
- posunga sodium mthupi;
- Edema ya Quincke;
- hyperemia pamalo jakisoni.
Contraindication
Pofuna kupewa zoyipa mthupi, pali malamulo angapo oletsa kugwiritsidwa ntchito ndi odwala:
- mmalo mwake mumakhala tsankho kapena gawo lazinthu zomwe zikuthandizira;
- akudwala hypoglycemia;
- ana ochepera zaka zisanu ndi chimodzi;
- Mankhwala sinafotokozeredwe zochizira matenda ashuga ketoacidosis.
Mankhwala amagwiritsidwa ntchito mosamala:
- ndi kuchepa kwa ziwiya zama coronary;
- ndi kuchepetsa ziwiya
- proliferative retinopathy;
- odwala omwe amakhala ndi hypoglycemia mu mawonekedwe osawonekera kwa wodwala;
- ndi autonomic neuropathy;
- ndi mavuto amisala;
- odwala okalamba;
- wokhala ndi matenda a shuga;
- odwala omwe ali pachiwopsezo cha kukhala ndi hypoglycemia yayikulu;
- odwala omwe ali ndi chidwi chambiri cha insulin;
- odwala omwe amapatsidwa mphamvu zolimbitsa thupi;
- mukamamwa zakumwa zoledzeretsa.
Levemir
Mankhwalawa ndi analogue ya insulin yamunthu, imakhala ndi zotsatira zokhalitsa. Amagwiritsidwa ntchito ngati insulin yodalira shuga.
Mankhwala Levemir
Kupanga
Zomwe zili ndi insulin m'mililita imodzi ya jakisoni ndi ofanana ndi Lantus. Zowonjezera ndizo: phenol, zinc acateate, madzi d / ndi, metacresol, sodium hydroxide, disodium phosphate dihydrate, hydrochloric acid.
Zisonyezero zogwiritsidwa ntchito ndi mlingo
Mlingo Levemir amayikidwa payekhapayekha. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku, poganizira zosowa za wodwalayo.
Pankhani yogwiritsa ntchito mankhwalawa kawiri pa tsiku, jakisoni woyamba amayenera kuperekedwa m'mawa, ndipo wotsatira atatha maola 12.
Popewa kukula kwa lipodystrophy, ndikofunikira kuti musinthe pafupipafupi jekeseni mkati mwa anatomical dera. Mankhwalawa amalowetsedwa mwachangu mu ntchafu.
Zotsatira zoyipa
Panthawi ya mankhwala a Levemir, zotsatira zoyipa zimawonedwa, ndipo ambiri mwa iwo ndi hypoglycemia.
Kuphatikiza pa hypoglycemia, zotere zimatha kuchitika:
- carbohydrate kagayidwe kachakudya: kusathetseka kwa nkhawa, thukuta, kuchuluka kwa tulo, kutopa, kufooka, malo osungika, kuchepa kwa chidwi, kugona mosalekeza, hypoglycemia, mseru, kupweteka mutu, kusanza, kusazindikira, kutsekeka kwa khungu, kusasinthika kwa ubongo, imfa;
- kusawona bwino ntchito;
- kuphwanya malo a jakisoni: hypersensitivity (redness, kuyabwa, kutupa);
- thupi lawo siligwirizana: zotupa pakhungu, urticaria, pruritus, angioedema, kuvuta kupuma, kutsika magazi, tachycardia;
- zotumphukira neuropathy.
Contraindication
Mankhwala ndi contraindised kuti ntchito:
- ndi chidwi chachikulu cha zigawo za mankhwala;
- ana ochepera zaka zisanu ndi chimodzi.
Mosamala kwambiri:
- pa mimba, mkazi ayenera kuyang'aniridwa ndi madokotala ndipo nthawi zonse amayang'anira kuchuluka kwa shuga m'magazi a magazi;
- pa mkaka wa m`mawere, mungafunike kusintha kuchuluka kwa mankhwalawo ndikusintha zakudya.
Bongo
Pakadali pano, mlingo wa insulin sunakhazikitsidwe, zomwe zingayambitse mankhwala osokoneza bongo ambiri. Komabe, hypoglycemia imatha kukula pang'onopang'ono. Izi zimachitika ngati ndalama zambiri zakwaniritsidwa.
Kuti achire mu mtundu wina wa hypoglycemia, wodwalayo ayenera kumwa shuga, shuga kapena chakudya chamagulu mkati.
Ndi chifukwa ichi kuti odwala matenda ashuga amalangizidwa kuti azinyamula zakudya zomwe zili ndi shuga. Ngati kwambiri hypoglycemia, wodwalayo atakomoka, amafunika kubaya jekeseni wa shuga, komanso kuyambira 0,5 mpaka 1 milligram ya glucagon intramuscularly.
Ngati njirayi singathandize, ndipo pakatha mphindi 10-15 wodwalayo asadzayambenso kumva bwino, ayenera kubayidwa m'magazi kudzera m'mitsempha. Wodwala akangobwerera, ayenera kudya chakudya chamafuta ambiri. Izi ziyenera kuchitidwa kuti zisayambenso.
Makanema okhudzana nawo
Kuyerekeza kukonzekera Lantus, Levemir, Tresiba ndi Protafan, komanso kuwerengera kwa mulingo woyenera wa jekeseni yam'mawa ndi yamadzulo:
Kusiyana pakati pa Lantus ndi Levemir ndi kocheperako, ndipo kumakhala kosiyanako pazotsatira zoyipa, njira yoyendetsera komanso zotsutsana. Pakugwiritsa ntchito bwino, ndizosatheka kudziwa kuti ndi mankhwala ati omwe ali bwino kwa wodwala winawake, chifukwa mawonekedwe awo ali ofanana. Koma ndikofunikira kudziwa kuti Lantus ndiyotsika mtengo mtengo kuposa Levemir.
