Ukwelashwa kwesifo sikashukela kwenziwa ngemithi ehlukahlukene ye-glycemic. USanofi ukhiphe isidakamizwa esisanda kwenziwa, iTujeo Solostar, esuselwa kwi-insulin.
ITujeo yisikhathi eside esebenza njenge-insulin. Ilawula amazinga kashukela izinsuku ezimbili.
Umuthi udonswa kancane, usatshalaliswa kahle futhi usungulwe ngokushesha. ITujeo Solostar ibekezelelwa kahle futhi inciphisa ubungozi be-hypoglycemia yangemuva kosuku.
Imininingwane ejwayelekile nezakhiwo zamakhemikhali
"I-TujeoSolostar" - isidakamizwa esuselwa esenzakalweni eside se-insulin. Yenzelwe ukwelashwa kwesifo sikashukela sohlobo 1 nohlobo 2 sikashukela. Kuhlanganisa ingxenye Glargin - isizukulwane sakamuva se-insulin.
Inomphumela we-glycemic - yehlisa ushukela ngaphandle kokuguquguquka okubukhali. Umuthi unefomu elithuthukisiwe, ekuvumela ukuthi wenze ukwelashwa luphephe.
ITujeo isho insulin ehlala isikhathi eside. Isikhathi somsebenzi sisuka emahoreni angama-24 kuye kwangama-34. Into esebenzayo ifana ne-insulin yomuntu. Uma kuqhathaniswa namalungiselelo afanayo, kugxiliwe ngaphezulu - kuqukethe amayunithi angama-300 / ml, eLantus - amayunithi ayi-100 / ml.
Umkhiqizi - uSanofi-Aventis (Germany).
Umuthi unomphumela obushelelezi futhi omude wokwehlisa ushukela ngokulawula i-glucose metabolism. Yandisa ukwakheka kwamaprotheni, kuvimbela ukwakheka koshukela esibindini. Kushukumisa ukufakwa kweglucose yizicubu zomzimba.
Into iyoncibilika endaweni ene-acidic. Imunca kancane, isatshalaliswa ngokulinganayo futhi isetshenziswa ngokushesha. Umsebenzi omkhulu amahora angama-36. Ukuqedwa kwesigamu sempilo kufike emahoreni ayi-19.
Izinzuzo kanye nokubi
Izinzuzo zeTujeo ngokuqhathaniswa nezidakamizwa ezifanayo zifaka:
- isikhathi sokusebenza ngaphezu kwezinsuku ezi-2;
- ubungozi bokwenza i-hypoglycemia ngesikhathi sasebusuku buncishisiwe;
- umthamo ophansi womjovo futhi, ngenxa yalokho, ukusetshenziswa okuphansi kwesidakamizwa ukufeza umphumela oyifunayo;
- imiphumela emincane emincane;
- izakhiwo ezinxephezela kakhulu;
- ukuzuza kancane kwesisindo ngokusetshenziswa njalo;
- Isenzo esibonakalayo ngaphandle kwama-spikes ushukela.
Phakathi kwamaphutha angabonakala:
- ungabeki izingane;
- ayisetshenziswa ekwelapheni isifo sikashukela sikashukela;
- ukusabela okungekuhle okungabandakanywa.
Izinkomba kanye ne-contraindication
Izinkomba ezisetshenziswayo:
- Thayipha isifo sikashukela esingu-1 esihambisana ne-insulin emfushane;
- I-T2DM njenge-monotherapy noma ngezidakamizwa zomlomo zesifo sikashukela.
I-Tujeo ayinconywa ukuthi isetshenziswe kulezi zimo ezilandelayo: i-hypersensitivity to the hormone noma izingxenye zomuthi, iminyaka engaphansi kweminyaka eyi-18, ngenxa yokuntuleka kwemininingwane yokuphepha.
Iqembu elilandelayo leziguli kufanele liphathwe ngokucophelela okukhulu:
- phambi kwesifo se-endocrine;
- abantu asebekhulile, iziguli ezinesifo sezinso;
- phambi kokungasebenzi kahle kwesibindi.
Kula maqembu abantu, isidingo se-hormone singase sibe phansi, ngoba i-metabolism yabo ibuthakathaka.
Imiyalo yokusebenzisa
Umuthi usetshenziswa isiguli kungakhathalekile isikhathi sokudla. Kunconywa ukujova ngasikhathi sinye. Ihanjiswa ngokungaziphathi kanye ngosuku. Tolerances amahora amathathu.
Umthamo womuthi unqunywa yi-endocrinologist ngokususelwa emlandweni wezokwelapha - ubudala, ubude, isisindo sesiguli, uhlobo nenkambo yalesi sifo kuyabhekwa.
Lapho uthatha indawo yehomoni noma ushintshela kolunye uhlobo, kuyadingeka ukulawula ngokuqinile lelo glucose.
Kungakapheli inyanga, izinkomba ze-metabolic ziqashwe. Ngesikhathi sokushintsha, ungadinga ukuncishiswa kwamthamo ka-20% ukuvikela ukwehla okukhulu kweglucose yegazi.
Ukulungiswa kwedosi kwenziwa emacaleni alandelayo:
- ukuguqulwa komsoco;
- ukushintshela kwesinye isidakamizwa;
- izifo ezivele noma ezivele zikhona;
- ushintsho lomsebenzi womzimba.
Indlela yokuphatha
ITujeo ilawulwa kuphela ngokungenasici ngepeni yesirinji. Indawo enconyiwe - udonga lwesibeletho lwangaphandle, ithanga, izicubu zamahlombe ezingadingekile. Ukuvimbela ukwakheka kwamanxeba, indawo yemijovo ayiguqulwa njengendawo eyodwa. Kwenqatshelwe ukusebenzisa umuthi ngosizo lwamaphampu wokufaka.
Iziguli ezinesifo sikashukela sohlobo lokuqala zithatha iTujeo kumthamo ngamunye ohambisana ne-insulin emfushane. Iziguli ezinesifo sikashukela sohlobo 2 zinikezwa umuthi njenge-monotherapy noma zihlanganiswe namaphilisi ngethamo lika-0,2 u / kg ngokulungiswa okunokwenzeka.
Isifundo sevidiyo sokusebenzisa ipeni lesirinji:
Ukuphendula okungalungile kanye ne-Overdose
Umphumela wecala ovame kakhulu yi-hypoglycemia. Izifundo zemitholampilo zikhombe ukusabela okulandelayo okungekuhle.
Ngenqubo yokuthatha iTujeo, imiphumela emibi elandelayo nayo ingenzeka:
- ukungaboni kahle
- I-lipohypertrophy ne-lipoatrophy;
- ukungahambi kahle komzimba;
- ukusabela kwendawo yokujova - ukulunywa, ukuvuvukala, ubomvu.
I-overdose, njengomthetho, kwenzeka lapho umthamo we-hormone owethulwayo weqa isidingo sawo. Kungaba lula futhi kube nesisindo, kwesinye isikhathi kubeka ingozi enkulu esigulini.
Nge-overdose encane, i-hypoglycemia ilungiswa ngokuthatha i-carbohydrate noma ushukela. Ngalezi ziqephu ezinjalo, ukulungiswa komthamo womuthi kungenzeka.
Ezimweni ezimbi kakhulu, ezihambisana nokuphelelwa ukwazi, ukoma, kudingeka imishanguzo. Isiguli sifakwa nge-glucose noma nge-glucagon.
Isikhathi eside, umbuso ubhekwa ngenhloso yokugwema iziqephu eziphindaphindwayo.
Umuthi ugcinwa kuma-t ukusuka kuma-+ 2 kuya ku- +9 degrees.
Intengo yesisombululo sikaTujeo ngamayunithi angama-300 / ml, ipeni yesirinji engu-1.5 mm, ama-5 ama-PC. - Ama-ruble angama-2800.
Ama-Analogues afaka izidakamizwa ezinesithako esifanayo esisebenzayo (i-insulin Glargin) - i-Aylar, iLantus Optiset, iLantus Solostar.
Ezidakamizweni ezinomgomo ofanayo wokusebenza, kepha okunye okusebenzayo (insulin Detemir) kufaka iLevemir Penfil kanye neLevemir Flekspen.
Ikhishwe ngumbhalo.
Imibono yesiguli
Ukusuka kokubukeza kweziguli kweTujeo Solostar, singaphetha ngokuthi umuthi awulungele wonke umuntu. Iphesenti elikhulu ngokwanele labanesifo sikashukela abanelisekile ngomuthi namandla alo okunciphisa ushukela wegazi. Abanye, kunalokho, bakhuluma ngesenzo saso esihle kakhulu nokungabi bikho kokusabela okubi.
Nginomuthi inyanga yonke. Ngaphambi kwalokhu, uthathe uLvemir, wabe uLantus. UTujeo wayethanda kakhulu. Ushukela ubamba uqonde, akukho ukuqabula okungalindelekile. Ngabe ngilala ngaziphi izinkomba, nalabo engabavusa. Ngesikhathi sekwamukelwa amacala e-hypoglycemia akuzange kubonwe. Ngikhohliwe ngokudla okulula ngomuthi. I-Kolya imvamisa kakhulu isikhathi esingu-1 ngosuku ebusuku.
U-Anna Komarova, oneminyaka engama-30, eNovosibirsk
Nginesifo sikashukela sohlobo 2. Uthathe uLantus wamayunithi ayi-14. - ekuseni ushukela olandelayo wayengu-6.5. I-Tujeo ephakeme kumthamo ofanayo - ushukela ekuseni ngokuvamile kwakuyi-12. Kwakufanele ngikhulise umthamo kancane kancane. Ngokudla okuhlala njalo, ushukela ubengakhombisi ngaphansi kweshumi. Ngokuvamile, angiqondi ukuthi usho ukuthini lo muthi ohlanganisiwe - kufanele ukhuphule izinga lansuku zonke. Ngibuze esibhedlela, abaningi nabo abajabule.
U-Evgenia Alexandrovna, oneminyaka engama-61, eMoscow
Nginesifo sikashukela iminyaka engaba ngu-15. Ku-insulin kusukela ngo-2006. Kwakufanele ngithole umthamo isikhathi eside. Ngikhetha ngokucophelela ukudla, ngilawula i-insulin phakathi nosuku ngabakwa-Insuman Rapid. Ekuqaleni bekukhona uLantus, manje sebekhipha iTujeo. Ngalesi sidakamizwa, kunzima kakhulu ukukhetha umthamo: amayunithi ayi-18. noshukela wehla kakhulu, ushaya amayunithi ayi-17. - Okokuqala ubuyela kokujwayelekile, bese kuqala ukukhuphuka. Kaningi kwaba mfushane. UTujeo unomsindo omkhulu, kuLantus kulula ngandlela-thile ukuhamba ngemithamo. Yize konke kungumuntu ngamunye, weza kumngane ovela emtholampilo.
UVictor Stepanovich, oneminyaka engama-64, uKamensk-Uralsky
UKolola Lantus cishe uneminyaka emine ubudala. Ekuqaleni konke kwakuhamba kahle, khona-ke i-polyneuropathy yesifo sikashukela yaqala ukukhula. Udokotela walungisa ukwelashwa kwe-insulin futhi wanquma uLevemir noHumalog. Lokhu akuzange kulethe umphumela obekulindelekile. Ngemuva kwalokho bangiqokela iTujeo, ngoba ayinikezi ukugxuma okubukhali kushukela. Ngifunde ukubuyekezwa mayelana nomuthi, okhuluma ngokungasebenzi kahle nemiphumela engazinzile. Ekuqaleni ngangingabaza ukuthi le insulin izongisiza. Wamgwaza cishe izinyanga ezimbili, kanti ne-polyneuropathy yezithende ayisekho. Ngokwami, umuthi weza kimi.
ULyudmila Stanislavovna, oneminyaka engama-49 ubudala, eSt
