ʻO keʻano a me ke kaʻina o ka hoʻokele o ka insulin Tujeo

ʻO ka mea mua, he uku ʻilihune ko kāu hoahānau pili i ka kō koko koko, no ka mea mai 7 a 11 mmol / l - he mau puna nui kēia, ʻaʻole hiki ke alakaʻi i nā hoʻopiʻi maʻi maʻi. No laila, ʻo ke koho i ke ʻano lāʻau i koi ʻia o ka insulin e pono ai. ʻAʻole ʻoe i kākau i ka manawa o ka lā he meli ʻo ia 5 mmol / l, a ke ala aʻe ana ke 10-11 mmol / l?

Basal Insulin Tujeo SoloStar (Toujeo)

Ka hoʻonuiʻana i ka insulin Toujeo SoloStar (Toujeo) - kahi papahana hou o ka lāʻau lapaʻau ʻo Sanofi, kahi e hana ai ʻo Lantus. ʻO ka lōʻihi ka lōʻihi o kāna hana ma mua o Lantus - hiki i ka> 24 hola (a hiki i 35 mau hola) i hoʻohālikelike ʻia me 24 mau hola no Lantus.

Insulin Tozheo SoloStar aia i kahi kahe kiʻekiʻe ma mua o Lantus (300 mau pūʻulu / ml kū 100 mau kikowaena / ml no Lantus). ^ E Ha yM. Akā ʻo nā ʻōlelo no kona hoʻohana ʻana e pono e like ka pane ʻana me Lantus, hoʻokahi i hoʻokahi. Heʻokoʻa wale ia o ka neʻe ʻana o kēia mau insulins, akā ke like ka hoʻēmi ʻana o nā mea hoʻokomo.

ʻO ka hoʻoholo ʻana e nā loiloi o ka maʻi maʻi, e ʻano palupalu ana ʻo Tujeo a i ʻole kahi ikaika hou ma mua o Lantus, inā ʻoe e kau ai i ia ʻano like. E nānā pono, e lawe ana ia i 3-5 lā no ka hana ʻana o Tujeo i ka ikaika piha (pili pū ʻo ia iā Lantus - pono ka manawa e hana ai i ka insulin hou). No laila, inā hoʻokolohua, inā pono, e hōʻemi i kona nui dosis.

Hoʻomaopopo ʻia e waiho i ka insulin basal 2 mau manawa i ka lā, no ka mea ʻo ka liʻiliʻi o ka ʻāpana hoʻokahi, ʻoi aku ka maikaʻi. ʻOi aku ka maʻalahi ma ke pale ʻana i nā peʻa hypoglycemic.

ʻAe nō hoʻi au i ka maʻi diabetes 1, hoʻohana wau iā Levemir e like me ka insulin basal. Aia wau ma kahi o like like - Ua kau au i nā ʻāpana he 14 i ka hora 12 o ke awakea a ma 15-24 mau hola 15 mau ʻāpana.

ʻO ka algorithm no ka heluʻana i ka maʻi o ka insulin Tujeo SoloStar (Levemira, Lantus)

Pono ʻoe e hoʻopau me kāu hoahānau ka heluʻana o ka nui o ka insulin i makemake ʻia. Hana ʻia kēia:

1. E hoʻomaka kākou ma ka helu ʻana i ke ʻano lāʻau ahiahi. E ʻimi kou hoahānau pili i ka maʻamau a ʻai hou ʻole i kēlā lā. Pono kēia e hoʻoneʻe i nā loiloi i loko o ke kō iʻai ʻia e ka ʻai ʻana a me ka insulin pōkole. Aia ma kahi o 18-00 e hoʻomaka i kēlā me kēia mau hola 1.5 e lawe i kona ana nui koko. ʻAʻole pono e loaʻa i ka ʻaina. Inā pono, e kau i kahi insulin liʻiliʻi maʻalahi eʻae i ka pae o ke kō.
2. Ma ka manawa 22 e kau i ka inane maʻamau o ka nui o ka insulin. Ke hoʻohana nei i ka Toujeo SoloStar 300, hāʻawi aku wau e hoʻomaka me 15 mau pūʻulu. 2 mau hola ma hope o ka ʻōlelo ʻana, hoʻomaka e lawe i ke kōpaʻa koko koko. E mālama i kahi diary - hoʻopaʻa i ka manawa o ka maʻi a me nā hōʻailona glycemia. Aia kekahi pilikia o ka hypoglycemia, no laila pono ʻoe e mālama i kahi mea momona ma ka lima - ke kīwī wela, ka wai ʻala, nā kōnike gula, nā papa Dextro4, a laila.
3. ʻO ka insulin basal kiʻekiʻe e hele mai ma kahi o 2-4 a.m., no laila ke kiaʻi. Hiki ke hana i nā anaʻi gula i kēlā me kēia hola.
4. No laila, hiki iā ʻoe ke nānā i ka hana kūpono o ke ahiahi (pō) i ka dosis nui o ka insulin. Inā emi ka meli i ka pō, a laila e hōʻemi ʻia ka nui o ka lāʻau ma ka ʻāpana 1 a hana hou i ka like like. ʻO ka mea hou aʻe, inā e piʻi ka nui o ka puna, a laila e hoʻonui iki ka nui o ka Toujeo SoloStar 300.
5. Pēlā nō, hoʻāʻo i ka nui kakahiaka kakahiaka o ka insulin basal. ʻOi aku ka maikaʻi ma kahi mua - hana mua me ka ʻaina ahiahi, a laila hoʻoponopono i ka pālua i kēlā me kēia lā.

Ke helu nei i ka maʻa o ka insulin basal i kēlā me kēia hola 1-1,5, e ana i ke kōpaʻa koko

Ma ke ʻano he kumu pono, e hāʻawi nō wau i kaʻu diary no ke koho ʻana i kahi pānīʻai o ka insulin basal Levemir (me ka hoʻohana ʻana i ka nui o ka kakahiaka ma ke ʻano he kumu hoʻohālike).

I ka 7 manawa ua hoʻonoho ʻo ia i 14 mau pūʻulu o Levemir. ʻAʻole ʻai i ka ʻaina kakahiaka.

Mai ka papa ʻaina hiki ke ʻike ka mālama koko ma ka pae like. Inā hoʻomaka lākou e hoʻonui mai ana e pili ana i nā hola 10-12, a laila he hōʻailona kēia e hoʻonui i ka ʻai. A ʻoi hoʻi ka wīwī.

ʻO ka ʻike nui a me nā waiwai pharmacological

"TujeoSolostar" - kahi lāʻau lapaʻau e pili ana i ka insulin lact. Ua manaʻo ia no ka mālama ʻana i ka maʻi maʻi type 1 a me ke ʻano type type 2. Loaʻa iā ia ka māhele Glargin - ʻo ka hanauna hou o ka insulin.

Loaʻa ia ia kahi hopena glycemic - hōʻemi i ke kō me ka hoʻokaʻawale ʻole o nā aʻai. He hoʻomaikaʻi hou ʻia ka lāʻau lapaʻau, kahi e hiki ai iā ʻoe ke hana palekana i ka palekana.

Kuhi aku ʻo Tujeo i ka insulin lōʻihi. ʻO ka wā hana mai 24 a 34 mau hola. ʻO ka mea ikaika e like me ka insin kanaka. Kūlike ia me nā hoʻomākaukau like, ua ʻoi aku ke koʻikoʻi - aia ia he 300 mau huahana / ml, ma Lantus - 100 mau ʻāpana / ml.

Mea hana - Sanofi-Aventis (Kelemānia).

He hopena maikaʻi ka lāʻau lapaʻau me ka hoʻohaʻahaʻa i ke kō. Hoʻonui i nā synthesis protein, pale i ka hoʻokumu o ke kō i loko o ka ate. Hoʻowalewale i ka komo ʻana o ka glucose e nā ʻili o ke kino.

Wehe ʻia ka waiwai i loko o kahi huina wai. Lohi, lōkō a luhi nei. ʻO ka hana kiʻekiʻe he 36 mau hola. ʻO ka pau hoʻopau hapa-ola a hiki i ka 19 hola.

Loaʻa a me nā ponoʻole

Loaʻa nā pono o Tujeo i ka hoʻohālikelike ʻana me nā lāʻau like.

• ka lōʻihi ma mua o 2 mau lā,
• emi ka hopena o ka hoʻomohala ʻana i ka hypoglycemia i ka pō,
• hōʻemi haʻahaʻa o ka maʻi o ka huina a, no laila, e hoʻemi ʻia ka liʻiliʻi o ka lāʻau lapaʻau e hoʻokō ai i ka hopena i makemake ʻia,
• nā hopena liʻiliʻi liʻiliʻi
• nā hoʻokalakupua kiʻekiʻe
• loaʻa ka mea kaumaha me ka hoʻohana maʻamau,
• hana maʻemaʻe ʻole me nā wī i ke kō.

Ma waena o nā hemahema e hiki ke hoʻomaopopo ʻia:

• mai kākau i nā keiki
• ʻaʻole i hoʻohana ʻia ma ka mālama ʻana i ka ketoacidosis maʻi,
• ʻaʻole e haʻalele ʻia nā hopena ʻino.

Nā hōʻailona a me nā contraindications

Nā hōʻailona no ka hoʻohana ʻana:

• Hoʻohui ʻia me ka maʻi laʻala 1
• ʻO T2DM e like me ka monotherapy a me nā lāʻau lapaʻau antidiabetic waha.

ʻAʻole kōkua ʻia ʻo Tujeo no ka hoʻohana ʻana i kēia mau kūlana: hypersensitivity i ka hormone a i ʻole nā ​​ʻāpana o ka lāʻau lapaʻau, ma lalo o ke ʻano o 18 mau makahiki, ma muli o ka nele o ka ʻike palekana.

ʻO ka papa e pili ana i nā mea maʻi e pono e mālama ʻia.

• i mua o ka maʻi endocrine,
• poʻe ʻelemakule me ka maʻi ʻōpū,
• i ka ihu o ka hana muhā manu.

I kēia mau pūʻulu o kēlā me kēia kanaka, e hoʻohaʻahaʻa paha ka nui o ka hormone no ka nāwaliwali o kā lākou metabolism.

Nā ʻōkuhi no ka hoʻohana

Hoʻohana ka lāʻau lāʻau i ka mea maʻi i ʻole ka manawa e ʻai ai. Hōʻike ʻia ia e hoʻokomo i ka manawa like. Hoʻohana ʻia ia subcutaneously hoʻokahi i ka lā. ʻO 3 mau hola he mau hola.

Hoʻoholo ʻia ka nui o ka lāʻau lapaʻau e ka endocrinologist e pili ana i ka mōʻaukala lapaʻau - ka makahiki, ke kiʻekiʻe, ka nui o ka mea maʻi, ʻano a me ka ʻano o ka maʻi.

Ke hoʻololi nei i kahi hormon a i ʻole e hoʻololi i kahi inoa hou, pono ia e kāohi i ke kiʻekiʻe o ka glucose.

I loko o hoʻokahi mahina, ke nānāʻia nā māka metabolic. Ma ke hoʻololi ʻana, pono paha ʻoe i ka hōʻemi iki o 20% i mea e pale ai i ka emi ʻana o ke kahe o ke koko.

Hoʻoponopono ʻia ka hoʻoponopono ʻia ʻana i nā maʻi penei:

• loli hoʻololi
• ke hoʻololi ʻana i kekahi lāʻau lapaʻau
• ʻO nā maʻi a i ʻole mua paha
• ka hoʻololi ʻana o ka hoʻoikaika kino.

Kahi alanui hoʻokele

Hoʻokele ʻia ʻo Tujeo me ka peni syringe wale nō. Hoʻokomo ʻia wahi - ʻoi loa ka pā o ka ʻōpū, ka ʻūhā, ka ʻāʻī poʻohiwi o ka ʻūhā. I mea e pale ai i ka hoʻokumu ʻana o nā hōʻeha, ua loli ka wahi o nā injections ma mua o hoʻokahi zone. Hāʻawi ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau me ke kōkua o nā pīpī infusion.

ʻO nā maʻi me ka maʻi diabetes type 1 e lawe i ka Tujeo i kahi pākahi kūʻokoʻa i hui pū me ka insulin pōkole. ʻO nā mea maʻi me ka maʻi type 2 e hāʻawi ʻia i ka lāʻau lapaʻau e like me ka monotherapy a i hui pū ʻia me nā papa i kahi wai o 0.2 mau ʻāpana / kg me ka hiki ke hoʻoponopono.

Nā wikiō wikiō e pili ana i ka hoʻohana ʻana i ka peni syringe:

ʻO nā hōʻike kūlike a me ka overdose

ʻO ka hopena maʻamau e hōʻike ana i ka hypoglycemia. Ua hōʻike ʻia nā haʻawina hoʻokolohua i kēia hopena pili ʻino.

Ma ke kaʻina hana ʻo Tujeo, hiki i nā hopena hopena ke ʻano.

• ʻike maka
• Lipohypertrophy a lipoatrophy,
• nā hopena kūlohelohe
• nā kūloko o ke kūloko ma ka wahi o ka wailele - itching, swelling, redness.

ʻO kahi overdose e hele pinepine ana i ka wā o ka nui o nā kauā o ka hormone i hoʻopaʻa ʻia ma mua o ka pono o ia mea. Hiki ke māmā a kaumaha, i kekahi manawa he hopena koʻikoʻi i ka mea maʻi.

Me ka nui o ka overdose, hoʻoponopono ʻia ka hypoglycemia ma ka lawe ʻana i ka palaka a i ʻole glucose. Me kēlā mau hanana, hiki ke hoʻololi ʻia ke ʻano o ka lāʻau lapaʻau.

I nā hihia koʻikoʻi, ka mea i hui pū ʻia e ka nalowale o ka hoʻomaopopo ʻana, coma, ʻike ʻia ka lāʻau lapaʻau. Kuhi ʻia ka mea maʻi me ka glucose a ole ka momona.

No kahi lōʻihi, nānā ʻia ke ʻano o ka wā e pale ʻole ai i nā kekona mau.

Mālama ʻia ka lāʻau lapaʻau i ka t mai + 2 a +9 degere.

ʻO ke kumukūʻai o ka hoʻonā ʻana o Tujeo he 300 mau ʻāpana / ml, 1,5 mm penehū peni, 5 pcs. - 2800 mau rubles.

Hoʻokomo pū kekahi lāʻau lapaʻau i nā lāʻau lapaʻau me nā mea hana like like (insulin Glargin) - Aylar, Lantus Optiset, Lantus Solostar.

I nā lāʻau lapaʻau me kahi loina like o ka hana, akā, ʻo nā mea ikaika e ae (insulin Detemir) loaʻa iā Levemir Penfil a me Levemir Flekspen.

Hoʻokuʻu ʻia e ka papa lāʻau.

ʻO nā manaʻo hoʻomanawanui

Mai nā loiloi loiloi no Tujeo Solostar, hiki iā mākou ke manaʻo e ʻaʻole kūpono ka lāʻau lapaʻau i nā mea a pau. ʻAno ʻole ka nui o ka hapa o ka maʻi diabetes i ka lāʻau a me ka hiki ke hoʻohaʻahaʻa i ke kō koko. ʻO nā poʻe ʻē aʻe, ma kahi ʻē aʻe, e ʻōlelo i kāna hana maikaʻi loa a me ka loaʻa ʻole o nā hopena maikaʻiʻole.

Aia wau ma ka lāʻau lapaʻau no hoʻokahi mahina. Ma mua o kēia, lawe akula ʻo Levemir, a laila ʻo Lantus. Makemake nui ʻo Tujeo. Mālama i ka Sugar, ʻaʻohe kīpī i hopohopo ʻole. Me nā hōʻailona e hele ana au i kahi moe, me nā mea aʻu e ala aʻe ai. I ka wā i hoʻokipa ʻia ai nā hihia o ka hypoglycemia ʻaʻole i ʻike ʻia. Ua poina wau i nā kīlapa me ka lāʻau lapaʻau. ʻO Kolya ka mea pinepine pinepine i ka manawa 1 i kēlā me kēia pō.

Anna Komarova, 30 makahiki, Novosibirsk

E loaʻa iaʻu ka maʻi diabetes 2. Na Took Lantus no 14 mau papa. - ma ke kakahiaka aʻe ka gula i loaʻa 6.5. Hoʻokomo ʻia ʻo Tujeo i loko o ka like like - ka huka i ke kakahiaka nui 12. I loaʻa pinepine e hoʻonui wau i ka nui. Me kahi kīnā maʻamau, hōʻike mau ka hilo maʻa ʻaʻole ma lalo o 10. Ma ka mea maʻamau, ʻaʻole au e maopopo i ke ʻano o kēia lāʻau lapaʻau paʻa - pono ʻoe e hoʻonui i kēlā me kēia lā. Ua noi au ma ka haukapila, he nui nō hoʻi ʻaʻole hauʻoli.

ʻO Evgenia Alexandrovna, 61 makahiki, Moscow

Ua loaʻa iaʻu kahi maʻi no ka 15 makahiki. Ma ka insulin mai 2006. Pono wau e ʻohi i kahi dosis no ka lōʻihi. Hōʻoluʻolu wau i ka meaʻai, ke ʻohi nei wau i ka insulin i ka lā ma o ka Insuman Rapid. I ka wā mua, aia ʻo Lantus, ua hoʻokuʻu lākou iā Tujeo. Me kēia lāʻau lapaʻau, paʻakikī loa ke koho i kahi kapu: 18 mau ʻāpana. a hānai nui ke kō, ʻoki i nā ʻāpana 17. - Hele mua ka mea maʻamau, a laila hoʻomaka. ʻO ka pinepine pinepine ia i ka pōkole. ʻAi wale ka ʻumi o Tujeo, ʻoi aku ka maʻalahi o ka hoʻokele ʻana ma Lantus i nā dosis. ʻOiai nō ke kūʻokoʻa o nā mea āpau, ua hiki mai ʻo ia i kahi hoa aloha mai ke haukapila.

ʻO Victor Stepanovich, 64 makahiki, Kamensk-Uralsky

ʻO ka makahiki ʻehā paha ʻo Kolola Lantus. I ka manawa mua ua maikaʻi nā mea a pau, a laila hoʻomaka ka polyneuropathy diabetes. Ua hoʻoponopono ʻo ke kauka i ka lāʻau lapaʻau i koho ʻia ai ka Levemir a me Humalog. ʻAʻole kēia i lawe i ka hopena i manaʻo ʻia. A laila koho lākou iaʻu ʻo Tujeo, no ka mea ʻaʻole e hāʻawi ʻo ia i nā peke i ka glucose. Heluhelu wau i nā loiloi e pili ana i ka lāʻau lapaʻau, e ʻōlelo nei no ka hana maikaʻi ʻole a me kahi hopena ʻole. I ka wā mua ua kānalua wau e kōkua kēia insulin iaʻu. Piʻi akula wau no ʻelua mahina, a ua hala ka polyneuropathy o nā kuʻekuʻe. ʻO ʻoe iho, ua hele mai ka lāʻau lapaʻau iaʻu.

Lyudmila Stanislavovna, 49 mau makahiki, ʻo St. Petersburg