Tujeo yog cov tshuaj hypoglycemic. Siv rau hauv kev kho mob ntawm ob hom mob ntshav qab zib. Cov tshuaj yog suav tias yog cov tshuaj insulin nrog cov nyhuv ntev ntev, yog li nws siv tau yooj yim.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
INN: Tshuaj insulin Glargine.
Tujeo yog cov tshuaj hypoglycemic. Siv rau hauv kev kho mob ntawm ob hom mob ntshav qab zib.
ATX
Tus lej ATX A10AE04.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov tshuaj tiv thaiv kom haum rau kev txhaj tshuaj hauv qhov ntim ntawm 1.5 ml.
Qhov tseem ceeb tshuaj yog 300 PIECES ntawm insulin glargine. Kuj suav nrog: meta-cresol, zinc chloride, glycerin, sodium hydroxide, hydrochloric acid, tshwj xeeb cov dej huv rau kev txhaj tshuaj.
Pharmacological kev txiav txim
Hais txog cov neeg sawv cev hypoglycemic. Vim yog cov kev ua haujlwm ntawm cov tshuaj insulin, cov txheej txheem hauv kev zom zaub mov hauv qabzib yog tswj hwm. Qhov concentration ntawm cov piam thaj hauv cov ntshav yog txo vim nws txoj kev nqus zoo hauv cov leeg pob txha thiab cov nqaij mos adipose. Hauv qhov no, kev tsim cov tshuaj polysaccharide ntau hauv cov nplooj siab yog inhibited, thiab cov synthesis ntawm cov protein ntau nce ntxiv.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov tshuaj tiv thaiv kom haum rau kev txhaj tshuaj hauv qhov ntim ntawm 1.5 ml.
Cov Tshuaj Pharmacokinetics
Piv nrog rau cov tshuaj insulin luv luv, tom qab txhaj cov tshuaj no, cov tshuaj ua kom muaj zog yog nqus tau los ntawm cov nqaij mos subcutaneous qeeb dua. Qhov siab tshaj plaws ntawm cov tshuaj nquag nyob hauv cov ntshav raug pom 2 teev tom qab txhaj tshuaj. Nws yog metabolized feem ntau hauv lub siab. Nws yog tawm hauv cov qauv ntawm cov khoom noj khoom haus yooj yim. Ib nrab-lub neej yog li 19 teev.
Cov ntshav insulin ntev lossis luv
Ntev ntev.
Kev ntsuas rau siv
Kev siv cov tshuaj no raug pom zoo hauv kev kho mob txhua yam mob ntshav qab zib hauv cov neeg laus.
Kev siv cov tshuaj no raug pom zoo hauv kev kho mob txhua yam mob ntshav qab zib hauv cov neeg laus.
Cov Yuav Tsum Muaj
Cov tshuaj tiv thaiv ib leeg lub cev tsis haum rau ib leeg ntawm cov tshuaj.
Nrog saib xyuas
Nrog kev ceev faj, cov tshuaj yog tawm rau cov neeg muaj lub raum thiab mob siab, muaj kev txom nyem los ntawm cov kab mob ntawm cov hlab plawv, thiab cov neeg laus.
Yuav ua li cas noj Tujeo?
Nws raug nquahu kom txhaj rau tib lub sijhawm 1 zaug nyob rau ib hnub. Yog tias yuav tsum tau txhaj ib zaug, ces kev txhaj tshuaj tuaj yeem ua tiav thaum twg los tau ntawm lub hnub. Yog tias nws tsis tuaj yeem tso cov kev txhaj tshuaj tib lub sijhawm, nws raug nquahu kom ua cov txheej txheem ua ntej 3 teev ua ntej lossis tom qab lub sijhawm teem sijhawm. Kev ua ntawm cov tshuaj yuav tsum txaus rau ib hnub nkaus.
Yuav ua li cas los xam cov koob tshuaj?
Hauv kev kho mob ntshav qab zib hom 1, hno tau pom zoo nrog pluas noj. Nws yuav tsum tau yug los hauv lub siab tias qhov ntau npaum tau xaiv rau txhua tus neeg mob ib tus zuj zus, tab sis yuav tsum tsis pub ntau tshaj 100 units hauv ib hnub. Rau cov txiaj ntsig zoo tshaj, cov tshuaj tau ua ke nrog lwm cov insulins luv luv-ua yeeb yam.
Nws raug nquahu kom txhaj rau tib lub sijhawm 1 zaug nyob rau ib hnub. Yog tias yuav tsum tau txhaj ib zaug, ces kev txhaj tshuaj tuaj yeem ua tiav thaum twg los tau ntawm lub hnub.
Txog kev kho mob ntshav qab zib hom 2, tshuaj txhua hnub yog ntau dua 200 units. Yog hais tias tus neeg mob tsis txaus, nws tuaj yeem ua ke nrog lwm tus neeg sawv cev uas muaj cov nyhuv hypoglycemic.
Yuav siv tus cwj mem syringe li cas?
Koj tsis tuaj yeem nkag mus rau cov tshuaj ua ke. Qhov no tuaj yeem ua rau cov insulin tsis sib haum nrog lwm cov tshuaj thiab ua rau cov ntshav qog ntshav ntau. Txhaj tshuaj tau ua tsuas yog hauv cov roj ntsha subcutaneous.
Daim duab syringe yog tau npaj ua ntej nrog kev daws thiab 1 rau 80 chav nyob ntawm cov tshuaj raug muab tshuaj. Ntxiv mus, cov nce ntxiv yuav tsum tsis txhob ntau dua 1 chav tsev. Lub koob txhaj tshuaj puv lawm tsim tshwj xeeb rau kev taw qhia ntawm Toujeo SoloStar, yog li tsis muaj qhov muab tshuaj ntxiv xav tau.
Cov tshuaj yuav tsum tsis txhob pauv ntawm ib rab koob xaum mus rau lwm lub koob txhaj tshuaj. Qhov no tuaj yeem ua rau muaj kev txwv ntau dhau. Koob rau txhua txoj kev txhaj tshuaj raug tso nrog tshiab. Lawv yuav tsum ua kom tsis muaj menyuam.
Ua ntej koj pib siv cov phwj syringe, koj yuav tsum ua tib zoo kawm cov lus qhia rau kev siv, uas yuav tsum muaj nyob hauv thawj ntim. Yuav kom muaj kev nyab xeeb ntau dua thaum txhaj tshuaj yuav tsum tsis tsuas hloov cov koob txhua zaus. Nco ntsoov tias tsuas yog ib tus neeg siv cov koob txhaj tshuaj.
Sab sij huam
Tej zaum qhov kev txhim kho ntawm hypoglycemia.
Ntawm ib feem ntawm cov metabolism thiab khoom noj khoom haus
Kev nce siab tsis nco qab tshwm sim, tus neeg mob ib txwm xav tias tshaib plab. Tus mob no tuaj yeem ua rog rog tau. Vim tias kev txhim kho hypoglycemia, cov metabolism hauv cov kab mob tsis zoo, uas ua rau kom cov ntshav qab zib tsawg dua vim tias cov piam thaj hauv cov metabolism. Kev ua kom rog cov roj thiab rog rog kuj tseem yuav tsis zoo.
Los ntawm cov leeg nqaij thiab pob txha sib txuas
Cov kab mob ntawm kev txhim kho myalgia yog qhov tsis tshua muaj neeg tsawg. Tsis muaj cov ntaub ntawv tshawb fawb txog lwm cov kev hloov hauv cov leeg nqaij.
Los ntawm lub cev tiv thaiv kab mob
Lub caij nyoog siv insulin ua rau lub cev tsim cov tshuaj tiv thaiv rau nws. Ntxiv mus, thaum siv ntau hom tshuaj insulin, cov tshuaj tiv thaiv tau tsim nyob rau hauv tib tus nqi. Cov kev xav zoo li no yuav tsum tau hloov kho cov tshuaj insulin.
Ntawm ib feem ntawm cov khoom hauv nruab nrog kev pom
Feem ntau muaj kev ua txhaum ntawm turgor thiab lub kaum sab xis ntawm kev cuam tshuam ntawm lub teeb los ntawm lub lens. Qhov no ua rau muaj kev cuam tshuam tsis meej hauv kev pom tseeb.
Ntawm ib sab ntawm daim tawv nqaij
Cov tshuaj tiv thaiv hauv zos tshwm sim ntawm cov chaw txhaj tshuaj. Qhov mob, ua xeb, ua tawv nqaij liab thiab kub tau sau tseg.
Kev ua xua
Feem ntau nrog kev siv cov insulin ntev ntev, kev ua xua tshwm sim. Lawv pom los ntawm cov tawv nqaij tshwj xeeb ua pob, khaus thiab kub. Urticaria thiab Quincke's edema yuav tshwm sim.
Cov lus qhia tshwj xeeb
Lub sijhawm siv rau cov tsos mob ntawm cov ntshav qog ntshav qab zib kom loj hlob tuaj yog nyob ntawm lub sijhawm siv tshuaj insulin thiab kev hloov pauv ntawm kev kho mob.
Ceev faj yuav tsum tau tawm dag zog hauv kev kho mob ntawm cov neeg mob uas kev txo qis hauv cov ntshav qab zib yog qhov tseem ceeb hauv kev kho mob. Qhov no siv rau cov neeg mob uas mob stenosis ntawm cov hlab ntshav ntawm cov hlab ntsha txhaws thiab hlab ntsha hauv lub hlwb, zoo li kev pheej hmoo ntawm cerebral thiab lub plawv mob hnyav ntawm lub qog ntshav nce ntshav. Ceev faj yuav tsum tau ua raws li los ntawm cov neeg nrog proliferative retinopathy, uas hem ua rau lub ntsej muag ploj zuj zus mus.
Cawv tau zoo
Ethanol tuaj yeem ob qho tib si txhim kho thiab ua kom cov ntshav qog ntshav qab zib tsawg dua ntawm kev noj tshuaj. Yog li, koj tsis tuaj yeem sib xyaw nrog kev noj tshuaj nrog dej cawv.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Cov tshuaj Insulin tsis cuam tshuam rau qhov ceev ntawm psychomotor cov tshuaj tiv thaiv thiab kev xav, yog li kev tsav tsheb ywj pheej yog ua tau. Nws tsuas yog ib qho tseem ceeb los tiv thaiv qhov tshwm sim ntawm hypoglycemia, uas cuam tshuam rau kev noj qab haus huv ntawm tus neeg mob.
Siv thaum cev xeeb tub thiab lactation
Nws yog qhov tso cai siv nyob rau lub sij hawm ntawm tus me nyuam. Hauv kev tshawb fawb, tsis muaj qhov tshwm sim tsis zoo ntawm cov tshuaj txuam ntawm cov tshuaj ntawm tus menyuam hauv plab. Qhov xav tau rau insulin tsawg zuj zus thaum pib cev xeeb tub, thiab thaum kawg, ntawm qhov tsis tooj, nce ntxiv. Yog li, txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm hyperglycemia, nws yog ib qho tsim nyog yuav tsum tau saib xyuas tas li ntawm cov piam thaj hauv cov ntshav ntawm tus poj niam cev xeeb tub.
Tom qab yug menyuam thiab lub sijhawm pub niam mis, xav tau cov tshuaj insulin txo qis, yog li, kev hloov tshuaj ntau dua yuav tsum tau ua.
Tujeo lub sijhawm teem rau cov menyuam yaus
Nws tsis raug tso cai rau kho cov menyuam yaus nrog cov tshuaj zoo li no.
Siv rau lub sijhawm qub
Rau cov neeg mob hnub nyoog 65 xyoos, kev pib siv thiab thawj zaug yuav tsum tau ua kom tsawg. Txoj kev pheej hmoo ntawm kev txhim kho mob latent hypoglycemia yog nce. Tsis tas li ntawd, lwm qhov kev tiv thaiv hypoglycemic cuam tshuam nrog kev nqus ntawm cov insulin tas li muaj kev txhim kho. Yog li, cov tshuaj hloov kho yuav tsum tau ua rau txhua tus neeg mob ntawm tus kheej.
Daim ntawv thov rau lub raum khiav tsis zoo
Nws yog ib qho tsim nyog los soj qab saib xyuas cov kua piam hauv cov ntshav plasma. Kev noj tshuaj ntawm cov tshuaj insulin yog xaiv ib qho zuj zus rau txhua tus neeg mob. Hauv raum tsis ua haujlwm, insulin metabolism khiav qeeb qeeb, thiab yog li ntawd lub cev xav tau rau nws yog qee qhov qis.
Siv rau lub siab ua haujlwm tsis zoo
Cov metabolism hauv cov tshuaj thiab cov txheej txheem ntawm gluconeogenesis nyob rau hauv rooj plaub no ua rau qeeb, uas ua rau txo qis hauv cov tshuaj insulin, vim tias ntshav qab zib cov ntshav tsawg zuj zus lawm.
Noj ntau dhau
Kev mob ntshav khov (hypoglycemia) hnyav heev. Thaum muaj mob loj tsawv, tus mob yuav ua tau li qub los ntawm kev noj haus carbohydrates txaus. Hauv cov xwm txheej loj, thaum lub plab tsis hnov qab, mob hlwb thiab qee qhov mob hlwb, kev tawm tsam nres los ntawm kev qhia txog kev daws teebmeem ntawm dextrose lossis glucagon.
Kev cuam tshuam nrog lwm yam tshuaj
Thaum siv qee cov tshuaj, koj yuav tsum kho cov tshuaj ntawm cov tshuaj insulin, vim tias ntshav qabzib hauv cov ntshav tuaj yeem poob qis, uas ua rau kev txhim kho ntawm lub qog ntshav qab zib.
Cov kab mob hypoglycemic, salicylates, ACE inhibitors, tshuaj tua kab mob thiab qee cov tshuaj sulfonamides txo cov nyhuv hypoglycemic ntawm cov kua dej no. Beta-blockers thiab lithium npaj tuaj yeem ob leeg txo qis thiab nce kev kho kom zoo ntawm kev noj tshuaj insulin.
Diuretics, salbutamol, adrenaline, glucagon, cov thyroid hormones, estrogens, qee qhov kev tiv thaiv qog, isoniazid, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob ntxiv thaum noj cov tshuaj no txo nws cov nyhuv hypoglycemic.
Analogs
Cov kab mob zoo sib xws muaj cov tshuaj sib xws thiab kev kho mob:
- Aylar;
- Lantus Optiset;
- Xaus SoloStar.
Cov hnub so haujlwm Tujeo los ntawm cov chaw muag tshuaj
Cov cuab yeej no tsuas yog xa tawm los ntawm cov tshuaj noj.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis yog.
Nqi
Nyob ntawm cov khw muag khoom muaj npoo thiab tus naj npawb ntawm lub thawv rau hauv pob. Tus nqi nruab nrab yog 5,000 rubles. rau kev ntim khoom.
Cia rau cov neeg mob rau cov tshuaj
Kev tiv thaiv siab tshaj plaws tiv thaiv tshav ntuj ncaj qha. Tsis txhob cia kom khov, tab sis khaws cia rau hauv tub yees ntawm qhov kub ntawm tsis ntau tshaj + 8 ° C.
Hnub tas sij hawm
Lub hnab ntim tsis tau ntim tau khaws cia tsis pub dhau 30 hli. Tom qab siv thawj zaug, rab koob xaum xaum yog cia rau hauv sijhawm tsis ntau tshaj 28 hnub ntawm chav sov.
Chaw tsim tshuaj paus Tujeo
Lub tuam txhab tsim khoom: Sanofi Aventis Deutschland GmbH, Lub Tebchaws Yelemees.
Kev tiv thaiv siab tshaj plaws tiv thaiv tshav ntuj ncaj qha. Tsis txhob cia kom khov, tab sis khaws cia rau hauv tub yees ntawm qhov kub ntawm tsis ntau tshaj + 8 ° C.
Tujeo Kev Xyuas
Feem ntau kev tshuaj xyuas ntawm tus kws kho mob thiab tus neeg mob yog qhov zoo.
Cov kws kho mob
Mikhailov AS, tus kws kho mob endocrinologist, Moscow: "Coob tus neeg tam sim no yws txog qhov hloov mus rau cov tshuaj no. Insulin nws tus kheej yog qhov zoo, tab sis nws yog qhov tseem ceeb tshaj plaws los laij cov koob tshuaj. Qhov no, nws yuav zam tau zoo yam tsis muaj tsos mob tshwm sim."
Samoilova VV, tus kws kho mob endocrinologist, Nizhny Novgorod: "Niam pog tau mob ntshav qab zib tau ntau xyoo dhau los. Kuv, uas yog kws kho mob, tau xa nws los ntawm Lantus, uas peb tsis tau txais lawm, rau Toujeo. Vim tias kuv tus kheej tau kawm txog qhov kev cuam tshuam ntawm cov insulin no. Qab zib tsis tuaj yeem "loj hlob" yog tias qhov tshuaj noj tau yog.
Lawj xeeb
Karina, hnub nyoog 27 xyoo, Kiev: "Kuv nyiam nws tshaj qhov seem ntawm cov tshuaj insulin, vim tias nws muaj zog ntau dua, thiab koj yuav tsum tau txhaj tshuaj nws tsuas yog 1 zaug ib hnub. Nws yooj yim, ua tau thiab tsis cuam tshuam nrog kev ua si txhua hnub. Qab zib tseem nyob rau theem ntawm txhua lub sijhawm, tsis muaj. jumps, tshuaj xyuas tsis tu ncua. "
Victor, 36 xyoo, Voronezh: "Kuv tau noj cov tshuaj insulin no rau ib lub hlis. Ua ntej ntawd, muaj lwm yam tshuaj uas ua rau tsis muaj txiaj ntsig. Nrog nws Kuv tsis nco qab txawm tias noj khoom txom ncauj."
Andrei hnub nyoog 44 xyoo, Moscow: "Kuv tau siv Lantus. Tam sim no lawv tsuas yog tsis sau nws tawm. Kuv yuav tsum ntuag Toujeo, uas kuv tsis txaus siab rau. Ntawm Lantus Kuv tau yoo qab zib kom txog thaum 10, tam sim no 20-25."
