Chithandizo cha matenda a shuga chimachitika ndi mankhwala osiyanasiyana a glycemic. Sanofi adatulutsa chida chaposachedwa kwambiri, Tujeo Solostar, kutengera insulin.
Tujeo ndi insulin yozizira kwambiri. Amalamulira kuchuluka kwa glucose kwa masiku awiri.
Mankhwalawa amalowetsedwa pang'onopang'ono, amagawa bwino komanso amapangidwa mofulumira. Tujeo Solostar imalekeredwa bwino ndipo imachepetsa zoopsa za nocturnal hypoglycemia.
Zambiri ndi mankhwala a pharmacological
"TujeoSolostar" - mankhwala ozikidwa pa insulin nthawi yayitali. Cholinga cha mankhwalawa ndi mtundu wa matenda a shuga a mtundu woyamba. Mulinso gawo Glargin - m'badwo waposachedwa wa insulin.
Ili ndi mphamvu ya glycemic - imachepetsa shuga popanda kusinthasintha kowongoka. Mankhwalawa ali ndi mawonekedwe osinthika, omwe amakupatsani mwayi wowonjezera mankhwala.
Tujeo amatanthauza insulin yotalikilapo. Nthawi ya ntchitoyi ikuchokera maola 24 mpaka 34. Zomwe zimagwira zimafanana ndi insulin ya anthu. Poyerekeza ndi kukonzekera komweko, kumalimbikitsidwa kwambiri - zimakhala ndi mayunitsi 300 / ml, ku Lantus - 100 mayunitsi / ml.
Wopanga - Sanofi-Aventis (Germany).
Mankhwala amakhala osalala komanso ochepetsera shuga pokhazikitsa kagayidwe ka shuga. Kuchulukitsa mapuloteni, kumalepheretsa mapangidwe a shuga m'chiwindi. Imathandizira mayamwidwe a shuga ndi minofu ya thupi.
Thupi limasungunuka m'malo acidic. Pang'onopang'ono odzipereka, wogawana wogawa komanso wopangidwa mofulumira. Zochita pazambiri ndi maola 36. Kutha kwa theka-moyo kuli mpaka maola 19.
Ubwino ndi zoyipa
Ubwino wa Tujeo poyerekeza ndi mankhwala ofanana ndi awa:
- Kutalika kwa kuchitapo kanthu masiku opitilira 2;
- zoopsa za kukhala ndi hypoglycemia nthawi yausiku zimachepa;
- mlingo wochepa wa jekeseni, motero, kumwa pang'ono kwa mankhwalawa kuti mupeze zomwe mukufuna;
- zovuta zochepa;
- katundu wobwezerera kwambiri;
- kuchepa thupi pang'ono ndi kugwiritsa ntchito pafupipafupi;
- yosalala popanda spikes mu shuga.
Mwa zolakwa zingadziwike:
- musamalamulire ana;
- osagwiritsidwa ntchito mankhwalawa matenda a shuga a ketoacidosis;
- zotheka zomwe zimachitika sizisankhidwe.
Zizindikiro ndi contraindication
Zisonyezero zogwiritsidwa ntchito:
- Mtundu wa shuga 1 kuphatikiza ndi insulin yochepa;
- T2DM ngati monotherapy kapena mankhwala apakamwa.
Tujeo osavomerezeka kuti agwiritsidwe ntchito zotsatirazi: hypersensitivity to the hormones kapena zigawo zikuluzikulu za mankhwalawa, azaka zosaposa zaka 18, chifukwa chosowa chitetezo.
Gulu lotsatira la odwala liyenera kuthandizidwa mosamala kwambiri:
- pamaso pa matenda a endocrine;
- okalamba, odwala matenda a impso;
- pamaso pa chiwindi kukanika.
M'magulu awa aanthu, kufunikira kwa mahomoni kumatha kutsika, chifukwa kagayidwe kawo kamafooka.
Malangizo ogwiritsira ntchito
Mankhwalawa amagwiritsidwa ntchito ndi wodwala mosatengera nthawi yakudya. Ndikulimbikitsidwa kupaka jekeseni nthawi yomweyo. Imayendetsedwa kamodzi kamodzi patsiku. Malangizo a maola atatu.
Mlingo wa mankhwalawa umatsimikiziridwa ndi endocrinologist potengera mbiri ya zamankhwala - zaka, kutalika, kulemera kwa wodwala, mtundu ndi njira ya matendawa amakumbukiridwa.
Mukasinthira mahomoni kapena kusinthira ku mtundu wina, ndikofunikira kuyendetsa mwamphamvu kuchuluka kwa shuga.
Pakupita mwezi umodzi, zizindikiro za metabolic zimayang'aniridwa. Pakusintha, mungafunike kuchepetsedwa kwa 20% kuti muchepetse kwambiri shuga.
Kusintha kwa Mlingo kumachitika mu milandu yotsatirayi:
- kusintha kwa zakudya;
- kusinthana ndi mankhwala ena;
- matenda omwe atuluka kapena alipo kale;
- kusintha kwa zolimbitsa thupi.
Njira zoyendetsera
Tujeo amangoperekedwa pokhapokha ndi cholembera. Malo omwe analimbikitsidwa - khoma lakunja lam'mimba, ntchafu, minofu yapamwamba kwambiri. Popewa kupanga mabala, malo a jakisoni sasinthidwa kupitilira gawo limodzi. Sizoletsedwa kugwiritsa ntchito mankhwalawa mothandizidwa ndi mapampu a kulowetsedwa.
Odwala omwe ali ndi matenda amtundu wa 1 amatenga Tujeo pa mlingo umodzi wophatikizana ndi insulin yochepa. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amapatsidwa mankhwalawa ngati monotherapy kapena kuphatikiza ndi mapiritsi a 0,2 u / kg ndikusintha.
Phunziro la kanema pogwiritsa ntchito cholembera:
Zochita Zosiyanasiyana
Zotsatira zoyipa kwambiri zinali hypoglycemia. Kafukufuku wachipatala adazindikira zotsatirazi zotsatirazi.
Mukutenga Tujeo, zotsatirapo zoyipa zingachitike:
- kuwonongeka kwamawonekedwe;
- lipohypertrophy ndi lipoatrophy;
- thupi lawo siligwirizana;
- zimachitika m'deralo jakisoni jekeseni - kuyabwa, kutupa, redness.
Mankhwala osokoneza bongo, monga lamulo, amachitika pamene Mlingo wa timadzi timene timatulutsidwa umapitilira kufunikira kwake. Itha kukhala yopepuka komanso yolemetsa, nthawi zina imakhala yowopsa kwa wodwalayo.
Ndi mankhwala osokoneza bongo pang'ono, hypoglycemia imakonzedwa potenga chakudya kapena shuga. Ndi zigawo zotere, kusintha kwa mankhwalawa kumatheka.
Woopsa milandu, limodzi ndi kutayika kwa chikomokere, mankhwala amafunikira. Wodwalayo amaphatikizidwa ndi shuga kapena glucagon.
Kwa nthawi yayitali, boma limayang'aniridwa pofuna kupewa maulendo obwereza.
Mankhwalawa amasungidwa pa t kuchokera ku + 2 mpaka +9 degrees.
Mtengo wa yankho la Tujeo ndi mayunitsi 300 / ml, cholembera cha 1.5 mm, cholembera ma 5. - 2800 ma ruble.
Mankhwala osokoneza bongo amaphatikiza mankhwala omwe ali ndi zosakaniza zomwe zimagwira (insulin Glargin) - Aylar, Lantus Optiset, Lantus Solostar.
Mankhwala omwe ali ndi vuto lofananira, koma zina zomwe zimagwira (insulin Detemir) zimaphatikizapo Levemir Penfil ndi Levemir Flekspen.
Yoperekedwa ndi mankhwala.
Maganizo a odwala
Kuchokera pa malingaliro a odwala a Tujeo Solostar, titha kunena kuti mankhwalawa sioyenera aliyense. Ambiri okwanira odwala matenda ashuga sakhutira ndi mankhwalawo komanso kuthekera kwake kuchepetsa shuga. Ena, m'malo mwake, amalankhula za zoyenera kuchita komanso kusakumana ndi mavuto.
Ndili pamankhwala mwezi umodzi. Izi zisanachitike, adatenga Levemir, kenako Lantus. Tujeo anakonda kwambiri. Shuga amagwira molunjika, osadumphapo mosayembekezereka. Ndi zizindikiro ziti zomwe ndidagona, ndizomwe ndidadzuka. Pa phwando milandu ya hypoglycemia sichinachitike. Ndayiwala zamtopola ndimankhwala. Kolya nthawi zambiri 1 pa tsiku usiku.
Anna Komarova, wazaka 30, Novosibirsk
Ndili ndi matenda ashuga a 2. Adatenga Lantus yamauniti 14. - m'mawa wotsatira shuga anali 6.5. Tujeo wamtengo wapatali yemweyo muyezo - shuga m'mawa kwambiri 12 ndimayenera kuwonjezera pang'onopang'ono mlingo. Ndikamadya pafupipafupi, shuga adawonetseranso osachepera 10. Mwachidziwikire, sindimamvetsetsa tanthauzo la mankhwalawa odziwika - muyenera kuwonjezera kuchuluka kwa tsiku ndi tsiku. Ndidafunsa kuchipatala, ambiri amakhalanso osakondwa.
Evgenia Alexandrovna, wazaka 61, Moscow
Ndili ndi matenda ashuga pafupifupi zaka 15. Pa insulin kuyambira 2006. Ndinafunika kuti nditenge mlingo kwa nthawi yayitali. Ndimasankha zakudya mosamala, ndimayang'anira insulin masana ndi Insuman Rapid. Poyamba panali Lantus, tsopano amapereka Tujeo. Ndi mankhwalawa, ndizovuta kusankha mlingo: 18 magawo. ndipo shuga akutsikira kwambiri, akumenya zigawo 17. -Oyamba amabwerera mwachizolowezi, kenako nkuyamba kuwuka. Nthawi zambiri zinkakhala zazifupi. Tujeo ndiwotupa kwambiri, ku Lantus ndikosavuta kuyenda pamtundu. Ngakhale zonse ndizofanana, adabwera kwa mnzake kuchokera ku chipatalako.
Victor Stepanovich, wa zaka 64, Kamensk-Uralsky
Kolola Lantus ali ndi zaka pafupifupi zinayi. Poyamba zonse zinali bwino, kenako matenda ashuga a polyneuropathy adayamba kukhazikika. Dokotala adasintha mankhwala a insulin ndipo adalemba Levemir ndi Humalog. Izi sizinabweretse zotsatira zomwe zimayembekezeredwa. Kenako adandisankha Tujeo, chifukwa samapereka kulumpha kwakuthwa mu glucose. Ndinawerenga ndemanga za mankhwalawa, omwe amalankhula zosagwira bwino komanso zotsatira zosakhazikika. Poyamba ndinakayikira kuti insuliniyi indithandiza. Adabaya pafupifupi miyezi iwiri, ndipo polyneuropathy ya zidendene idapita. Inemwini, mankhwalawo adabwera kwa ine.
Lyudmila Stanislavovna, wazaka 49, St. Petersburg
