Basal insulin Lantus da Levemir - wanne yafi kyau kuma menene bambanci?

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Magungunan Lantus da Levemir suna da kaddarorin jama'a da yawa kuma sune nau'ikan sashi na insulin. Aikinsu ya dawwara tsawon lokaci a jikin mutum, ta haka ne yake kwantar da lokacin da yake fitowa ta hanyar kumburin zuciya.

Magungunan an yi su ne domin kula da tsofaffi da yara kanana shekaru 6 da ke fama da ciwon suga.

Yin magana game da fa'idodin magani ɗaya akan wani abu ne mai wahala. Don sanin ko wanene a cikinsu yake da mafi ingancin kaddarorin, wajibi ne a yi la'akari da kowane daki-daki daki-daki.

Lantus

Lantus yana dauke da sinadarin insulin glargine, wanda shine kwatankwacin yanayin jikin mutum. Yana da ƙananan solubility a cikin tsaka tsaki yanayi. Magungunan kanta shine allurar rashin lafiyar insulin.

Magungunan Lantus SoloStar

Abun ciki

Ilaya daga cikin mililiter na Lantus allura ya ƙunshi 3.6378 MG na insulin glargine (Unungiyoyi 100) da ƙarin kayan haɗin. Cartayan katako guda (3 milliliters) ya ƙunshi raka'a 300. insulin glargine da sauran abubuwanda aka hada dasu.

Sashi da gudanarwa

Wannan magani an yi shi ne na musamman don gudanar da aiki da ƙasa; wata hanyar na iya haifar da matsanancin rashin ƙarfi.

Ya ƙunshi insulin tare da dogon aiki. Ya kamata a gudanar da maganin sau ɗaya a rana a lokaci guda na rana.

Yayin saduwa da kuma duk lokacin da ake yin magani, ya zama dole don kula da salon rayuwar da likitan ya ba da shawarar kuma yi allura kawai a lokacin da ake buƙata.

Yana da mahimmanci a tuna cewa Lantus an haramta haɗuwa tare da wasu kwayoyi.

An zaɓi sashi, tsawon lokacin magani da lokacin gudanar da miyagun ƙwayoyi daban-daban ga kowane haƙuri. Duk da gaskiyar cewa yin amfani da haɗuwa tare da wasu kwayoyi ba da shawarar ba, amma ga marasa lafiya da ke fama da ciwon sukari na 2, ana iya tsara maganin ta tare da wakilan maganin antidiabetic na baka.

Wasu marasa lafiya na iya fuskantar raguwa a cikin bukatun insulin:

  • tsofaffi marasa lafiya. A wannan rukuni na mutane, cututtukan haɓakar haɓakar ƙwayar cuta sun zama ruwan dare, saboda wanda ake samun raguwa koyaushe cikin buƙatar hormone;
  • marasa lafiya da ke fama da rauni na aikin haya;
  • marasa lafiya da nakasa aikin hanta. Wannan rukuni na mutane na iya samun buƙatu na raguwa saboda raguwar gluconeogenesis da raguwa a cikin metabolism metabolism.

Side effects

Yayin amfani da miyagun ƙwayoyi Lantus, marasa lafiya na iya fuskantar tasirin sakamako daban-daban, babban wanda shine hypoglycemia.

Koyaya, rashin lafiyar ba shine kawai zai yiwu ba, irin waɗannan bayyananniyar ma tana yiwuwa:

  • rage ƙarancin gani;
  • lipohypertrophy;
  • dysgeusia;
  • lipoatrophy;
  • ma'asumi
  • urticaria;
  • bronchospasm;
  • myalgia;
  • girgiza anaphylactic;
  • riƙewar sodium a cikin jiki;
  • Harshen Quincke na edema;
  • hyperemia a wurin allura.
Dole ne a tuna cewa yayin taron hypoglycemia mai tsanani, lalacewar tsarin juyayi na iya faruwa. Dogaro da hauhawar jini zai iya ba kawai ba da rikitarwa ga jiki baki ɗaya, amma yana haifar da babban haɗari ga rayuwar mai haƙuri. Tare da ilimin insulin, akwai yuwuwar ƙwayoyin rigakafi zuwa insulin.

Contraindications

Don hana tasirin mummunar tasiri a jikin mutum, akwai ƙa'idodi da yawa waɗanda ke hana amfani da marasa lafiya:

  • wanda akwai haƙuri a cikin aiki mai aiki, ko abubuwa na taimako waɗanda suke cikin maganin;
  • fama da ƙwanƙwasawar jini;
  • yara a ƙarƙashin shekara shida;
  • Ba a sanya wannan magani don lura da cutar ketoacidosis mai ciwon sukari ba.

Ana amfani da miyagun ƙwayoyi tare da taka tsantsan:

  • tare da kunkuntar tasoshin jijiyoyin jini;
  • tare da kunkuntar jiragen ruwa na hanji;
  • tare da farfadowa na farfadowa;
  • marasa lafiya waɗanda ke haɓaka hypoglycemia a cikin wani nau'i wanda ba a iya ganin mai haƙuri;
  • tare da neuropathy na kai tsaye;
  • tare da rikicewar tunani;
  • tsofaffi marasa lafiya;
  • tare da tsawan tsawan karatun sankarau;
  • marasa lafiya waɗanda ke cikin haɗarin haɓakar haɓakar rashin ƙarfi na jini;
  • marasa lafiya waɗanda ke da haɓakar haɓakar insulin;
  • marasa lafiya waɗanda aka tilasta wa aikin motsa jiki;
  • lokacin shan giya.

Levemir

Magunguna kwatankwacin insulin na mutum ne, yana da sakamako mai daɗewa. Ana amfani dashi don maganin ciwon sukari na m insitus.

Da miyagun ƙwayoyi Levemir

Abun ciki

Abun insulin a cikin milliliter na allura yayi kama da Lantus. Componentsarin abubuwan haɗin sune: phenol, zinc acetate, ruwa d / da, metacresol, sodium hydroxide, disodium phosphate dihydrate, hydrochloric acid.

Alamu don amfani da kashi

Sashi Levemir an wajabta shi daban-daban. Yawancin lokaci ana ɗauka sau ɗaya zuwa biyu a rana, la'akari da bukatun mai haƙuri.

Game da amfani da maganin sau biyu a rana, ya kamata a gudanar da allurar farko da safe, da kuma na gaba bayan awa 12.

Don hana haɓakar lipodystrophy, ya zama dole don canza wurin allurar a koyaushe a cikin yankin ilimin halittar jiki. An saka maganin a cikin yatsunsu a cikin cinya.

Ba kamar Lantus ba, ana iya gudanar da Levemir a cikin jini, amma likita ya kamata ya kula da wannan.

Side effects

Yayin gudanar da maganin Levemir na miyagun ƙwayoyi, ana iya lura da sakamako masu illa daban-daban, kuma mafi yawancin su shine cututtukan jini.

Bugu da ƙari da hypoglycemia, irin waɗannan tasirin na iya faruwa:

  • take hakkin carbohydrate metabolism: abubuwan da ba a bayyana ba na fargaba, gumi mai sanyi, karin nutsuwa, gajiya mai yawa, rauni gaba ɗaya, rashin kwanciyar hankali a cikin sarari, raguwar hankali, matsananciyar yunwa, matsanancin rashin ƙarfi, tashin zuciya, ciwon kai, amai, rashi na sanyin jiki, ƙwayar fata, rashin tabin hankali na kwakwalwa, mutuwa;
  • wahalar hangen nesa;
  • take hakki a wurin allura: rashin jin daɗi (jan launi, ƙaiƙayi, kumburi);
  • halayen rashin lafiyan: fatar fata, fitsari urticaria, pruritus, angioedema, wahalar numfashi, rage karfin jini, tachycardia;
  • na gefe neuropathy.

Contraindications

An sanya miyagun ƙwayoyi don amfani:

  • tare da karuwar hankali game da abubuwan da ke cikin miyagun ƙwayoyi;
  • yara a ƙarƙashin shekara shida.

Tare da matsananci hankali:

  • yayin daukar ciki, mace dole ne a koda yaushe karkashin kulawar likitoci da sanya ido akai-akai matakin glucose a cikin jini;
  • a lokacin shayarwa, wataƙila dole ku daidaita sashi na ƙwayoyi kuma ku canza abincin.

Yawan damuwa

A yanzu, ba a tantance kashi na insulin ba, wanda zai haifar da yawan shan magunguna. Koyaya, hypoglycemia na iya haɓaka hankali. Wannan na faruwa idan an gabatar da isasshen adadin.

Domin murmurewa daga wani yanayi mai saurin zubar jini, mai haƙuri dole ne ya ɗauki glucose, sukari ko kayan abinci na carbohydrate waɗanda ke ciki.

Saboda wannan dalili ne cewa an shawarci marasa lafiya da masu ciwon sukari su dauki abinci mai dauke da sukari tare da su. Idan akwai haɗarin hypoglycemia mai ƙarfi, lokacin da mara lafiya ya sume, yana buƙatar allurar maganin glucose, ciki har da 0.5 zuwa 1 na milligram na glucagon intramuscularly.

Idan wannan hanyar ba ta taimaka ba, kuma bayan mintoci 10-15 mara lafiya bai sake tsinkayewa ba, to ya kamata ya shigar da glucose a cikin ciki. Bayan mara lafiyar ya dawo cikin tunani, yana buƙatar ɗaukar abinci mai wadataccen a cikin carbohydrates. Dole ne a yi hakan don a hana dawowa aiki.

Bidiyo masu alaƙa

Kwatanta shirye-shiryen Lantus, Levemir, Tresiba da Protafan, da lissafin ingantattun allurai domin alurar asuba da maraice:

Bambanci tsakanin Lantus da Levemir kadan ne, kuma ya ƙunshi wasu bambance-bambance na sakamako masu illa, hanyar gudanarwa da kuma contraindications. Dangane da tasiri, ba shi yiwuwa a tantance wanne magani ne ya fi dacewa ga wani mai haƙuri, saboda haɗinsu kusan iri ɗaya ne. Amma ya kamata a sani cewa Lantus yana da arha a farashin Levemir.

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