Yawancin masu ciwon sukari sun yarda cewa ya dace a sanya allurar insulin tare da sirinji mai amfani. A cikin samar da Tujeo SoloStar, ana amfani da fasahar da ke yin la’akari da bukatun mutanen da ke buƙatar saka kansu da kullun.
Sunan kasa da kasa mai zaman kansa
Insulin glargine.
A cikin samar da Tujeo SoloStar, ana amfani da fasahar da ke yin la’akari da bukatun mutanen da ke buƙatar saka kansu da kullun.
ATX
A10AE04.
Saki siffofin da abun da ke ciki
Magungunan yana cikin hanyar magancewa. Don yin allura a ƙarƙashin fata, ana yin amfani da tsararren sirinji mai siɓa tare da kayan kwalliyan 1.5 ml. Kowane yana dauke da IU 450 na abu mai aiki. Componentsarin aka gyara:
- metacresol - 4.05 mg;
- zinc chloride - 0.285 mg;
- glycerol (85%) - 30 MG;
- masu sarrafa acidity (alkalin sodium alkali da hydrochloric acid) - har zuwa pH 4;
- ruwa don yin allura.
Ana sanya tsarin allura guda 1, 3 ko 5 a cikin kunshin ɗaya.
Aikin magunguna
Magunguna kwatankwacin ƙwayar tsotsar ƙwaƙwalwar ƙwayar cuta ne wanda aka samu ta hanyar kwayar halittar DNA wanda aka inganta E. coli a ƙarƙashin yanayin masana'antu. A jikin mutum, wani abu yana da alamomin cututtukan kwayoyin cututtukan zuciya.
Magunguna kwatankwacin ƙwayar tsotsar ƙwaƙwalwar ƙwayar cuta ne wanda aka samu ta hanyar kwayar halittar DNA wanda aka inganta E. coli a ƙarƙashin yanayin masana'antu.
Ta hanyar ɗaure wa takamaiman masu karɓa a kan membrane, yana ƙaruwa da ƙarfin ikon yin amfani da glucose jini kuma amfani da shi cikin halayen ƙwayoyin cuta. Yana toshe hanyoyin da suke haifar da kirkirar monosaccharide, kamar gushecogen, fats da sunadarai. Yana karfafa enzymes don hadaddun kwayoyin.
Pharmacokinetics
Bayan gudanarwa a karkashin fata, ana amfani da maganin ta hanyar jinkirin shigar azzakari cikin farji da jini, wanda ke hade da peculiarities na kayan aikin magungunan. Ana samun daidaituwa yayin amfani dashi cikin kwanaki 3-4.
Tare da gudanawar jini, sinadarin ya shiga hanta, inda ake canza abubuwa masu narkar da abubuwa har zuwa 2. A wannan yanayin, farkon su yafi yawanci, maida hankali wanda ya ragu da rabi a cikin sa'o'i 18-19 bayan allura.
Babu karatuttukan asibiti game da canji a cikin magungunan magunguna dangane da launin fata ko jinsi, shekarun mutumin, wanda ya hada da yara, matasa, marasa lafiya sama da shekara 65, da masu juna biyu da masu shayarwa.
Gajeru ko tsayi
Wakilin hypoglycemic yana nufin magunguna tare da tsawan mataki. Ana samun wannan ta ikon ƙwaƙwalwar ƙwayar cuta ta samar da precipitates a ƙarƙashin fata dangane da keɓancewar yanayin acidic. Daga cikin waɗannan, abu mai aiki a hankali ya shiga cikin jini.
A cikin wannan nau'i na miyagun ƙwayoyi, an hada da hormone a cikin ƙara yawan taro, saboda haka, precipitates suna da rage yanki na hulɗa tare da kyallen da ke kewaye, wanda ke rage jigilar abu zuwa ga waje. Nazarin kwantar da hankali tare da kwayoyi tare da ƙaramin maida hankali ya nuna ƙarancin motsi na raguwa cikin abubuwan da ke cikin maganin a cikin jini.
An nuna magungunan don ciwon sukari a cikin manya, wanda yin wajan insulin ya zama dole.
Alamu don amfani
Ciwon sukari a cikin manya, wanda ke buƙatar nadin insulin.
Contraindications
An sanya maganin ne kawai ga mutanen da basu da izinin yin insulin glargine ko sauran abubuwanda ke ciki. Hakanan, masana'antun ba su yi rajista ba don amfani da miyagun ƙwayoyi a ƙarƙashin shekara 18 saboda ƙarancin karatu da ke tabbatar da amincin amfani da yara.
Tare da kulawa
Koyarwar ta ba da shawarar kulawa da kulawa da hankali a cikin mutane tare da mummunan rikice-rikice na ayyukan gabobin da ke cikin saurin abubuwa a cikin jiki, kamar hanta da kodan. Canji a cikin taro na miyagun ƙwayoyi a cikin jini da tasirin magungunan miyagun ƙwayoyi yana yiwuwa a cikin marasa lafiya tare da maimaita zawo ko amai. Bugu da kari, bukatun insulin na iya bambanta:
- a cikin mata masu juna biyu da kuma mata bayan haihuwa;
- a cikin marasa lafiya tare da rikice-rikice na tsarin endocrine daban-daban ba a hade da insulin insulin ba;
- a cikin mutane tare da hemodynamic sakamako, kunkuntar na cerebral arteries ko na jijiyoyin zuciya sclerosis;
- tare da proliferative mataki na retinal angiopathy.
Sakamakon kasancewar ƙwayoyin cuta da yawa na gabobin ciki, gami da canje-canje masu alaƙa da shekaru, amfani da miyagun ƙwayoyi a cikin mutane sama da 65 shekaru ya kamata ya haɗa da saka idanu na yau da kullun na kiwon lafiya.
Yadda za'a dauki Tujo SoloStar
Ana amfani da miyagun ƙwayoyi ne kawai don gudanar da mulkin subcutaneous sau ɗaya a rana, saboda ƙimar magunguna. Lokacin da aka shiga cikin jijiya, waɗannan alamun zasu zama daidai ga magunguna masu gajeriyar aiki. Don yin allura a ƙarƙashin fata, ana samun alkalancin sirinji-sirinji, ana samun su tare da gurneti masu canzawa.
Shan maganin don ciwon sukari
Ana gudanar da zaɓin sashi don kowane mai haƙuri, la'akari da bukatunsa. Magungunan yana ba da iko da matakin basal na glycemia. Don daidaita haɓakar postprandial a cikin glucose, ya zama dole don ƙari yin amfani da kwayoyi masu saurin aiki. A cikin marasa lafiya da ke fama da ciwon sukari na 2, zaɓin ya fara da raka'a 0.2 a 1 kg na nauyi. Ga irin waɗannan marasa lafiya, ana iya haɗaka magungunan tare da magungunan hypoglycemic don gudanar da maganin baka.
Side effects
Abubuwan da ba a sa ba da magani ta hanyar magani sun yi kama da waɗanda ake amfani da analog na hormone na panreatic a taro na 100 PIECES a cikin 1 ml.
A bangaren metabolism da abinci mai gina jiki
Lokacin da aka sarrafa shi a allurai da suka wuce wadanda ke da mahimmanci don sarrafa glycemic, yanayin hypoglycemic yana haɓaka.
Daga tsoka da kashin haɗin kai
Smallarancin kashi na marasa lafiya sun lura da abin da ya faru na ciwon tsoka.
Daga tsarin rigakafi
Tare da abin da ya faru na rigakafin halayen ƙwayar cuta ta wani nau'in nan da nan, masu zuwa zasu yiwu:
- karancin jini;
- fata necrosis da epidermolysis;
- kumburi da wuya da wuya;
- cakulan.
A wani bangare na bangaren hangen nesa
Farkon maganin yana iya haifar da rauni na gani saboda canji a cikin yanayin kafofin watsa labarai na ido, gami da ruwan tabarau. Halin retina kuma yana canzawa na ɗan lokaci tare da babban sakamako na Normoglycemia. A ƙarshen tushen ƙara yawan ƙwayoyin halittar tasoshin na retina, ƙarancin glucose da yawa wanda ke wucewa yana haifar da makanta.
A ɓangaren fata
A cikin wurin da ake yin allura akai-akai, ƙwayar adipose nama mai narkewa, saboda haka ana bada shawara don canza wurin allura akai-akai.
A wani ɓangare na rigakafi, tasirin sakamako akan miyagun ƙwayoyi na iya faruwa ta hanyar kumburi da wuya.
Cutar Al'aura
Misalin analog na mutum yana da wuya ya haifar da alamun rashin haƙuri. A wurin allurar, hyperemia, tashin zuciya, kumburi, fitsari, gami da cututtukan ciki, tashin zuciya da itching.
Umarni na musamman
Amfani da barasa
Ba'a bada shawarar yin amfani da miyagun ƙwayoyi tare da yin amfani da kwayoyi masu ɗauke da giya waɗanda ke canza kayyakin maganin ba.
Tasiri kan ikon sarrafa abubuwan inji
Kwayar cutar yiwuwar haɓakar jini sun haɗa da rauni gaba ɗaya, rashin daidaituwa, rarrabuwa da ƙarancin farkawa, don haka marassa lafiya suyi hankali lokacin aiki da wasu injuna na ƙera mai ƙwari.
Yi amfani da lokacin daukar ciki da lactation
Ba a hana matan da ke da juna biyu yin amfani da magungunan don sarrafa glycemia ba. Suna sarrafa buƙatun insulin dangane da lokacin haihuwar: don yawancin mata, an rage buƙata a farkon makonni 12 na farko, kuma daga ƙarni na biyu yana ƙaruwa. Bayan dakatar da daukar ciki, bukatar insulin ta ragu kuma. Nazarin bai bayyana ɓarna a cikin unan da ba a haifa ba ko kuma wasu cutarwa mai guba.
Yayin aikin jiyya tare da miyagun ƙwayoyi, marasa lafiya yakamata suyi hankali lokacin da suke aiki da na'urorin haɗin injinin.
Alƙawarin Tujeo SoloStar ga yara
Marasa lafiya marasa lafiya 'yan shekaru 18 da haihuwa ba a rubuta musu magani ba saboda karancin bayanai kan amincin amfani a wannan zamanin.
Yi amfani da tsufa
Marasa lafiya sama da 65 ba su san alamun faduwar jini na jini ba. Cutar cututtukan irin waɗannan yanayi sun fi ƙaruwa a wannan zamanin, don haka zaɓi yana farawa da rage allurai kuma yana ƙaruwa da su a hankali. Magungunan yana nuna kyakkyawan sakamako a aikin magani da amincin amfani.
Aikace-aikacen aiki mara kyau
Tsarin ilimin cututtukan urinary na iya zama sananne ta hanyar karuwar dangi a cikin haɗuwa da miyagun ƙwayoyi dangane da buƙatun insulin.
Amfani don aikin hanta mai rauni
Hannun hanta ya shiga cikin juyar da insulin zuwa wasu abubuwa da hada sinadarin glucose, sabili da haka, tare da raguwa a cikin ayyukanta, akwai raguwa a cikin buƙatar homonin hypoglycemic. A sakamakon haka, marasa lafiya waɗanda ke da cututtukan cututtukan ƙwayar cuta na hepatobiliary na iya buƙatar daidaita sashi.
Tsarin ilimin cututtukan urinary na iya zama sananne ta hanyar karuwar dangi a cikin haɗuwa da miyagun ƙwayoyi dangane da buƙatun insulin.
Umarnin don yin amfani da alkalami
Don amfani da maganin, mai haƙuri dole ne ya bi jerin ayyukan:
- Duba sunan da ranar amfani da maganin. A kan batun allurar akwai ya kamata a sami rubutu mai suna "300 PIECES / ml" akan rawaya mai launin shuɗi. Idan sama da kwanaki 28 suka wuce tun farkon amfani da wannan alkairin sirinji, to bai dace da amfani ba.
- Cire hula kuma kimanta ma'anar mafita a cikin kicin, wanda ke nuna rashin ɓarna. A lokaci guda bincika amincin kowane sassa.
- Shafa farfajiya na membrane tare da maganin alurar rigakafi.
- Haɗa allura. Yi amfani da allura daga sabon kunshin don kowane allura. Tsofaffin allurai suna toshewa, wanda hakan ya keta amintaccen amfani da miyagun ƙwayoyi.
- Cire hula ta waje, kiyaye shi.
- Cire kwalban ciki ka zubar dashi.
- Yi bincike mai aiki ta hanyar buga 3 3 BUDI da latsa piston. Idan digo ya fice, to tsarin yana aiki. Tare da gazawar nasara sau 3, ana buƙatar allura ko sirinji ya zama dole.
- Kira lambar adadin maganin da ake buƙata - daga 1 zuwa 80. Mai zaɓar yana motsawa a bangarorin biyu.
- Ba da allura.
- Saka hula a waje ka cire allura tare da juyawa. Fitar da allura a cikin akwati na musamman wanda ke da tsayayya wa lalacewa.
Ana yin allurar a cikin ciki, faranti na kafada ko cinya. Wuraren zama m tare da gabatarwar mai zuwa. An saka allura kamar yadda kwararren likita ya koyar. Kawai danna maballin piston kullun, ba tare da tsangwama tare da juyawa na kayan zaɓi na kashi ba. Ba tare da cire yatsa ba, ƙidaya zuwa 5, bayan haka an cire allurar.
Yi hankali don allurar bazata game da allura. Guji amfani da motsi kwatsam, karfin wuce kima na iya lalata injunan.
Yawan damuwa
Don zaɓin kashi, ana kimanta sigogin mara lafiya, gami da alamun bayanin martaba na glycemic. Amma a lokacin daukar ciki, abubuwan rage cin abinci, matsanancin motsa jiki, amfani da wasu magunguna, haɓakar raunuka na hanta, kodan ko wasu gabobin tsarin endocrine, alamun alamun yawan ƙwayoyi na iya haɓaka. A wannan yanayin, cututtukan hypoglycemia ana nuna su da alamu kamar:
- ciwon kai
- jin yunwar;
- rauni
- gumi
- rage gani;
- mai rauni sosai;
- katsewa.
Verarfin bayyanar cututtuka ya dogara da matakin yawan ƙwayar cuta, tare da mummunan adadin allurai, lalacewar lalacewar tsarin juyayi (coma, cerebral edema) yana haɓaka.
Ana amfani da abinci mai ɗauke da sukari da magunguna don mayar da matakan glucose. Tare da matsanancin rashin ƙarfi na hypoglycemia, yana iya zama dole a rub ata maganin rigakafin haila - glucagon.
Yin hulɗa tare da wasu kwayoyi
Magungunan da ke haɓaka ƙananan glycemia sun haɗa da:
- allunan rage sukari;
- Magungunan ƙwayoyin cuta na sulfonamide;
- fluoxetine;
- ACE masu hanawa;
- fenofibrate;
- acetylsalicylic acid;
- pentoxifylline;
- rashin biyayya
- MAO masu hanawa;
- wakili
Gudanarwa na lokaci guda na Tujeo SoloStar tare da diuretics yana haifar da raguwa a cikin aikin insulin.
Amfani da wakilai masu zuwa yana rage tasirin insulin:
- kamuwa da cuta;
- adrenaline
- beta-adrenergic agonists;
- danazole;
- diazoxide;
- isoniazid;
- abubuwan asalin phenothiazine;
- clozapine.
Kwayoyin hormones wadanda aka gabatar dasu a jikin mutum suma suna toshe tasirin maganin. Wadannan sun hada da:
- glucagon;
- glucocorticosteroids;
- girma hormone;
- thyroxine;
- kwayoyin jima'i na mace.
Clonidine da beta-adrenergic blockers sun haifar da duka hyperglycemia da hypoglycemia. Koyaya, alamu irin su tachycardia sun zama ba za'a iya faɗi.
Pioglitazone lokacin da aka yi amfani tare tare ya haifar da ci gaban rashin zuciya.
Lantus SoloStar kwatanci ne na Tujo SoloStar.
Analogs
Babu alamun analogues iri ɗaya, amma akwai kwayoyi tare da abubuwan insulin na glargine 100 IU a cikin 1 ml. Wadannan kwayoyi sun hada da Lantus.
Yanayin hutu Tujeo SoloStara daga magunguna
Wanda aka bayar da takardar sayan magani.
Zan iya siye ba tare da takardar sayan magani ba
Marasa lafiya na iya siyan magani tare da amincewa da zaɓin ɗakunan da suka dace. A wasu halaye, ba da shawarar sayen magani ba tare da takardar sayen magani ba.
Farashi
Matsakaicin matsakaici don alkalami na sirinji 1 yana canzawa kusan 1000 rubles. Yana da fa'ida sosai don siyan kayan haɗi tare da katako 5, kamar yadda cikin sharuddan rukunin na miyagun ƙwayoyi, farashin zai kasance kusan 800-900 rubles. na alkalami 1
Yanayin ajiya na miyagun ƙwayoyi
Kiyaye yara daga zafin jiki + 2 ... + 8 ° С. Kar a daskare. Kada a bada izinin dumama sama da + 30 ° C.
Ana bayar da maganin ta hanyar sayan magani.
Ranar karewa
Shekaru 2.5.
Tujeo SoloStara mai gabatarwa
Sanofi-Aventis Deutschland GmbH, Jamus.
Neman bita don Tujo SoloStare
Likitoci
Elena M, endocrinologist, Moscow
Sakamakon ya bambanta da analog tare da ƙananan maida hankali. Lokacin canzawa, daidaita sashi ya wajaba. Suna farawa da allurai iri ɗaya, amma sau da yawa ya zama dole a ƙara adadin raka'a a allura. In ba haka ba, babu bambance-bambance.
Svetlana B., Likita, Voronezh
Marasa lafiya ba su da farin ciki. Magungunan in ba haka ba yana shafar yawan zafin jiki na yau da kullun idan aka kwatanta da sauran magunguna masu amfani da dogon lokaci, don haka dole ne ku daidaita duka kashi da halayenku. Dangane da lura da su, yana haifar da karancin yanayin hypoglycemic kuma baya buƙatar abun ciye-ciye.
Masu ciwon sukari
Mikhail, shekara 40, Samara
Nan da nan canjawa wuri zuwa wannan magani. A farko, sukari mai azumi ya tashi zuwa 17, amma ya daina cin abinci da daddare kuma matakin glucose na safe ya ragu. Ina son cewa an gabatar da shi ba tare da wani damuwa ba.
Mariya, mai shekara 64, Ryazan
Ban ji dadi ba yayin amfani da wannan magani. Ta fara zazzagewa, damuwa da ƙarancin numfashi. Bayan asibiti, an maye gurbin maganin.
