Ana amfani da insulins masu aiki da tsayi don ɗaukar adadin hormone a cikin nau'in 1 da nau'in ciwon sukari na 2. Wadannan magungunan sun hada da Tresiba wanda Novo Nordisk kera.
Tresiba magani ne wanda ya danganta da sinadarin hormone na babban aiki.
Wani sabon analog ne na insulin basal. Yana bayar da izinin sarrafa kwayar cutar guda tare da rage haɗarin cutar rashin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa.
Halaye da aikin magani
Siffofin maganin sun hada da:
- barga da wadataccen raguwar glucose;
- aiki fiye da awanni 42;
- ƙananan bambanci;
- daidaitaccen raguwar sukari;
- kyakkyawan bayanin martaba;
- yiwuwar samun canji kadan a cikin lokacin gudanar da insulin ba tare da keta lafiya ba.
An samar da miyagun ƙwayoyi a cikin hanyar katako - "Tresiba Penfil" da sirinji-alkalami, wanda a cikin hatimin ke rufe hatimi - "Tresiba Flexstach". Abubuwan da ke aiki shine insulin Degludec.
Degludec yana ɗaure bayan shigar da kitse da ƙwayoyin tsoka. Akwai nutsuwa da ci gaba a cikin jini. Sakamakon haka, ana samun ci gaba a cikin sukarin jini.
Magungunan yana inganta sha daga glucose ta kyallen da ke hana sirrinta hanta. Tare da karuwa a cikin sashi, sakamakon rage sukari yana ƙaruwa.
An samar da daidaituwa na kwayar halitta a cikin matsakaici bayan kwana biyu na amfani. Abun da ake buƙata shine ya shafe fiye da awanni 42. Cire rabin rayuwa yana faruwa a cikin rana.
Alamu don amfani: nau'in 1 da 2 na ciwon sukari a cikin manya, ciwon sukari a cikin yara daga shekara 1.
Contraindications don ɗaukar insulin na Tresib: rashin lafiyan kayan haɗin magunguna, rashin haƙuri na Degludek.
Umarnin don amfani
Ana amfani da maganin sosai a lokaci guda. Yanzun nan ana samun karbuwa a rana. Marasa lafiya tare da nau'in ciwon sukari na 1 suna amfani da Degludec a hade tare da gajeren insulins don hana shi buƙata yayin abinci.
Marasa lafiya tare da ciwon sukari suna ɗaukar magani ba tare da ambaton ƙarin magani ba. Ana amfani da Tresiba duka daban kuma a hade tare da magungunan tableted ko wasu insulin. Duk da sassauci a zaɓar lokacin gudanarwa, mafi ƙarancin tazara ya zama aƙalla 8 hours.
Likita ne ya saita sashi na insulin. An ƙididdige shi gwargwadon bukatun mai haƙuri a cikin hormone tare da ambaton amsawar glycemic. Yawan shawarar da aka bada shawarar shine raka'a 10. Tare da canje-canje a cikin abincin, lodi, ana aiwatar da gyaran sa. Idan mai haƙuri da masu ciwon sukari na 1 ya ɗauki insulin sau biyu a rana, adadin insulin da aka gudanar ana tantance shi daban-daban.
Lokacin canzawa zuwa insulin na Tresib, yawan sarrafa glucose ana sarrafa shi sosai. An kula da musamman don alamu a farkon makon fassarar. Ana amfani da kashi ɗaya zuwa ɗaya daga sashi na baya na miyagun ƙwayoyi.
Tresiba yana allurar subcutaneously a cikin wadannan fannoni: cinya, kafada, bangon gaban ciki na ciki. Don hana haɓaka haushi da ƙoshinsa, wurin ya canza sosai a cikin yankin.
An hana shi gudanar da kwayoyin cikin ciki. Wannan yana tsoratar da ƙwanƙwasawar jini. Ba'a amfani da maganin a cikin farashin jiko da intramuscularly. Maniarshen amfani na yau da kullun na iya canza adadin sha.
Umarni na bidiyo akan amfani da alkairin sirinji:
Side effects da yawan abin sama da ya kamata
Daga cikin raunin da aka samu a marasa lafiya da ke shan Tresiba, an lura da masu zuwa:
- hypoglycemia - sau da yawa;
- lipodystrophy;
- guguwar mahaifa;
- halayen rashin lafiyan fata;
- halayen a wurin allura;
- ci gaba na retinopathy.
A lokacin aiwatar da shan miyagun ƙwayoyi, hypoglycemia na tsananin tsananin na iya faruwa. Ana ɗaukar matakai daban-daban dangane da yanayin.
Tare da raguwa kaɗan a cikin glycemia, mai haƙuri yana cin 20 g na sukari ko samfura tare da abubuwan da ke ciki. An ba da shawarar cewa koyaushe kuna ɗaukar glucose a cikin adadin da ya dace.
A cikin yanayi mai tsanani, wanda ke tattare da asarar hankali, an gabatar da IM glucagon. A cikin yanayin da ba canzawa, an gabatar da glucose. Ana kula da haƙuri ga sa'o'i da yawa. Don kawar da koma baya, mai haƙuri yana ɗaukar abincin carbohydrate.
Marasa lafiya na musamman da kuma Jagorori
Bayanai game da shan maganin a cikin rukuni na musamman na marasa lafiya:
- An yarda da Tresiba don tsofaffi suyi amfani da shi. Wannan rukuni na marasa lafiya ya kamata kula da matakan sukari akai-akai.
- Babu karatuttuka kan tasirin maganin yayin daukar ciki. Idan an yanke shawarar ɗaukar magungunan, ana bada shawarar inganta haɓaka abubuwan da ke nuna alamun, musamman a karo na 2 da na 3.
- Har ila yau, babu bayanai game da tasirin maganin yayin lactation. Yayin aiwatar da ciyar da jarirai, ba a lura da munanan halayen ba.
Lokacin ɗauka, ana ɗaukar haɗarin Degludek tare da wasu kwayoyi.
Anabolic steroids, ACE inhibitors, sulfonamides, adrenergic blockers, salicylates, magungunan rage karfin tebur, masu hana MAO suna rage matakan sukari.
Magungunan da ke kara buƙatar homon sun haɗa da juyayi, glucocorticosteroids, Danazole.
Barasa na iya shafar aikin Degludek duka a cikin shugabanci na haɓaka da rage ayyukansa. Tare da haɗin Tresib da Pioglitazone, rashin zuciya, kumburi na iya haɓaka. Marasa lafiya suna ƙarƙashin kulawar likita yayin jiyya. Game da aiki mai rauni na aikin zuciya, an dakatar da maganin.
A cikin cututtukan hanta da kodan yayin jiyya tare da insulin, ana buƙatar zaɓin kowane mutum. Marasa lafiya yakamata su sarrafa sukari sau da yawa. A cikin cututtukan cututtuka, cututtukan thyroid, damuwa na jijiya, buƙatar canje-canje na sashi mai tasiri.
Magunguna tare da irin wannan sakamako, amma tare da wani sashi na daban mai aiki, sun hada da Aylar, Lantus, Tujeo (insulin Glargin) da Levemir (insulin Detemir).
A cikin gwaje-gwajen gwaje-gwaje na Tresib da kwayoyi masu kama, an ƙaddara wannan aikin. A lokacin binciken, akwai rashin farat ɗaya kwatsam a cikin sukari, ƙarancin adadin cututtukan jini na nocturnal.
Shaidun masu ciwon sukari suma suna bayar da hujjoji na inganci da amincin Treshiba. Mutane sun lura da ingantaccen aikin da amincin miyagun ƙwayoyi. Daga cikin abubuwan damuwa, an nuna babban farashin Degludek.
Na kamu da ciwon sukari fiye da shekaru 10. Kwanan nan na sauya zuwa Tresibu - sakamakon yana da kyau sosai na dogon lokaci. Magungunan kwayoyi sun cika aiki sosai kuma sun yi daidai fiye da Lantus da Levemir. Na farka da sukarin al'ada washegari bayan allura. Ba a taɓa samun zubar da jini a cikin dare ba. Kadai "amma" shine babban farashin. Idan kudade suka ba da izini, zai fi kyau canzawa zuwa wannan maganin.
Oksana Stepanova, 38 years old, St. Petersburg
Tresiba magani ne wanda ke samar da asaline na insulin. Yana da kyakkyawan bayanin martaba, yana rage sukari daidai. Nazarin haƙuri yana tabbatar da inganci da kwanciyar hankali. Farashin insulin na Tresib kusan 6000 rubles ne.
