Lantus Solostar (rab koob xaum qhuav) - insulin ntev ntev

Peb muab koj los nyeem cov lus ntawm cov ncauj lus: "insulin lantus solostar" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.

Lantus yog ib qho ntawm thawj qhov tsis muaj kab zauv ntawm tib neeg cov tshuaj insulin. Tau los ntawm kev hloov cov amino acid asparagine nrog glycine ntawm txoj hauj lwm 21st ntawm txoj saw A thiab ntxiv ob lub arginine amino acids hauv cov saw B mus rau lub davhlau ya nyob twg amino acid. Cov tshuaj no yog tsim los ntawm kev lag luam tshuaj Fabkis loj - Sanofi-Aventis. Hauv qhov kev tshawb fawb ntau, nws tau ua pov thawj tias insulin Lantus tsis tsuas yog txo cov kev mob ntshav qab zib tsawg dua piv nrog cov tshuaj NPH, tab sis tseem txhim kho cov metabolism hauv metabolism. Hauv qab no yog cov lus qhia luv luv rau kev siv thiab tshuaj xyuas cov neeg mob ntshav qab zib.

Cov tshuaj nquag ntawm Lantus yog cov tshuaj insulin glargine. Nws kis tau los ntawm kev rov ua dua caj ces siv k-12 leeg kab ntawm cov kab mob Escherichia coli. Hauv qhov nruab nrab nruab nrab, nws yog me ntsis soluble, nyob rau hauv nruab nrab acidic nws yaj nrog kev tsim ntawm microprecipitate, uas tas li thiab maj mam tso cov kua dej. Vim tias qhov no, Lantus tau muaj ib cov profile ua haujlwm ntev txog 24 teev.

Lub ntsiab pharmacological lub zog:

• Qeeb qeeb adsorption thiab kev txiav txim siab tsis kawg hauv 24 teev.
• Kev txhawb nqa ntawm proteolysis thiab lipolysis hauv adipocytes.
• Cov nquag tivthaiv khi rau cov tshuaj insulin 5-8 zaug ntau dua.
• Cov kev cai ntawm cov piam thaj hauv cov ntshav, kev txwv tsis pub muaj cov kua nplaum tsim tawm hauv lub siab.

Hauv 1 ml Lantus Solostar muaj:

• 3.6378 mg ntawm insulin glargine (hauv 100 IU ntawm tib neeg cov tshuaj insulin),
• 85% glycerol
• dej rau kev txhaj tshuaj
• hydrochloric concentrated acid,
• m-cresol thiab sodium hydroxide.

Lantus - kua pob tshab rau sc txhaj tshuaj, muaj nyob hauv daim ntawv ntawm:

• cartridges rau OptiKlik system (5pcs ib pob),
• 5 xaum npiv Lantus Solostar,
• OptiSet syringe cwj mem rau hauv ib pob 5 pcs. (kauj ruam 2 units),
• 10 ml vials (1000 units hauv ib lub vial).

1. Cov neeg laus thiab menyuam yaus txij li 2 xyoos muaj mob ntshav qab zib hom 1.
2. Hom 2 mob ntshav qab zib mellitus (nyob rau hauv cov ntaub ntawv tsis muaj txiaj ntsig ntawm cov ntsiav tshuaj).

Hauv kev rog, kev sib koom ua ke yuav kho tau zoo - Lantus Solostar thiab Metformin.

Muaj cov tshuaj uas cuam tshuam rau cov metabolism hauv cov metabolism, thaum nce los yog txo qis yuav tsum muaj cov insulin.

Txo cov piam thaj: cov tshuaj tiv thaiv kab mob hauv lub cev, sulfonamides, ACE inhibitors, salicylates, angioprotectors, monoamine oxidase inhibitors, antiarrhythmic dysopyramides, narcotic analgesics.

Qab zib kom ntau: cov thyroid hormones, diuretics, sympathomimetics, tshuaj tiv thaiv hauv lub qhov ncauj, phenothiazine derivatives, protease inhibitors.

Qee yam tshuaj muaj ob qho ua kom tsis pom kev thiab qhov ua tsis zoo. Cov no suav nrog:

• beta blockers thiab ntsev lithium,
• cawv
• clonidine (antihypertensive tshuaj).

1. Nws yog txwv tsis pub siv rau hauv cov neeg mob uas tsis nkag siab rau insulin glargine lossis ntu sib xyaw.
2. Kev ntshav siab.
3. Kev kho mob ntawm cov ntshav qab zib ketoacidosis.
4. Cov me nyuam qis dua 2 xyoos.

Ua tau qhov tsis zoo tshwm sim tsawg tsawg, cov lus qhia tau hais tias tej zaum yuav muaj:

• lipoatrophy los yog lipohypertrophy,
• kev ua xua (Quincke's edema, kev tsis haum, tshuaj bronchospasm),
• mob nqaij thiab mob qeeb hauv lub cev ntawm sodium ions,
• mob plab thiab qhov muag tsis pom kev.

Yog hais tias tus mob ntshav qab zib tau siv cov tshuaj insulins nyob rau ncua sijhawm, tom qab ntawd thaum hloov mus rau Lantus, kev noj ntau dua thiab kev noj tshuaj hloov pauv. Kev hloov pauv cov kua dej yuav tsum tau nqa tawm hauv tsev kho mob nkaus xwb.

Hauv lub neej yav tom ntej, tus kws kho mob saib cov piam thaj, tus neeg mob lub neej, qhov hnyav thiab kho rau ntau pawg uas tau tswj hwm. Tom qab peb lub hlis, cov hauj lwm zoo ntawm cov tshuaj kho tau tuaj yeem tshawb xyuas los ntawm kev soj ntsuam ntawm glycated hemoglobin.

Kev qhia video:

Hauv tebchaws Lavxias, txhua tus mob ntshav qab zib insulin-tau raug tshem tawm ntawm Lantus mus rau Tujeo. Raws li kev tshawb nrhiav, cov tshuaj tshiab muaj qhov txo qis ntawm cov mob ntshav qab zib tsawg, tab sis hauv kev xyaum feem ntau cov neeg yws tias tom qab hloov mus rau Tujeo lawv cov piam thaj tau dhia tau siab, yog li lawv raug yuam yuav Lantus Solostar insulin ntawm lawv tus kheej.

Levemir yog cov tshuaj zoo heev, tab sis nws muaj cov tshuaj sib txawv, txawm tias lub sijhawm ua haujlwm kuj yog 24 teev.

Aylar tsis ntsib insulin, cov lus qhia hais tias qhov no yog tib qho Lantus, tab sis cov chaw tsim khoom pheej pheej yig dua.

Cov kev tshawb fawb soj ntsuam ntawm Lantus nrog cov poj niam cev xeeb tub tsis tau ua. Raws li cov ntaub ntawv tsis raug cai, cov tshuaj tsis cuam tshuam loj heev hauv chav kawm ntawm cev xeeb tub thiab tus menyuam nws tus kheej.

Cov kev sim tau nrhiav rau ntawm cov tsiaj, thaum lub sijhawm nws tau ua pov thawj tias insulin glargine tsis muaj qhov phiv rau ntawm kev ua me nyuam.

Cev xeeb tub Lantus Solostar tuaj yeem siv tshuaj yog tias tsis muaj zog tiv thaiv NPH. Cov niam yav tom ntej yuav tsum saib xyuas lawv cov suab thaj, vim tias nyob rau thawj peb lub hlis, xav tau cov tshuaj insulin tuaj yeem txo qis, thiab hauv lub hlis thib ob thiab peb lub hlis.

Tsis txhob ntshai tsam pub niam mis rau tus menyuam noj, cov lus qhia tsis muaj cov ntaub ntawv uas Lantus tuaj yeem nkag mus rau niam mis tau.

Lub txee lub neej ntawm Lantus yog 3 xyoos. Koj yuav tsum muab cia rau hauv qhov chaw tsaus tiv thaiv los ntawm tshav ntuj ntawm qhov kub ntawm 2 txog 8 degrees. Feem ntau qhov chaw zoo tshaj plaws yog tub yees. Hauv qhov no, nco ntsoov saib cov txheej txheem kub, vim tias qhov txias khov ntawm cov tshuaj insulin Lantus yog txwv!

Txij li thaum siv thawj zaug, cov tshuaj yuav khaws cia rau ib hlis nyob rau hauv qhov chaw tsaus ntawm qhov kub ntawm tsis ntau tshaj 25 degrees (tsis nyob hauv tub yees). Tsis txhob siv cov tshuaj insulin uas tas sijhawm.

Lantus Solostar yog tshuaj dawb los ntawm kev kho mob los ntawm kev kho mob endocrinologist. Tab sis nws tseem tshwm sim uas tus mob ntshav qab zib yuav tsum yuav cov tshuaj no ntawm nws tus kheej ntawm lub tsev muag tshuaj. Tus nqi nruab nrab ntawm cov tshuaj insulin yog 3300 rubles. Hauv Ukraine, Lantus tuaj yeem yuav rau 1200 UAH.

Tus kws kho ntshav qab zib hais tias nws yog ib qho zoo heev insulin, hais tias lawv qab zib yog khaws cia nyob rau hauv ib txwm txwv. Ntawm no yog cov neeg yuav hais dab tsi txog Lantus:

Feem ntau sab laug tsuas yog cov tshuaj xyuas qhov zoo. Ob peb cov neeg hais tias Levemir lossis Tresiba zoo dua rau lawv.

Nrog rau ntshav qab zib, tib neeg raug yuam kom niaj hnub ua kom tiav cov theem ntawm insulin hauv lub cev los ntawm kev txhaj tshuaj. Cov kws tshwj xeeb tau tsim cov tshuaj uas tau los ntawm cov qauv sib xyaw ntawm DNA. Ua tsaug rau qhov no, cov tshuaj Lantus Solostar tau los ua cov tshuaj zoo ntawm tib neeg cov tshuaj insulin. Cov tshuaj no tso cai rau koj ua kom cov piam thaj hauv tib neeg lub cev ua kom tau ua haujlwm tseem ceeb.

Cov tshuaj no yooj yim rau siv, vim tias nws muaj nyob rau hauv daim ntawv ntawm tus cwj mem qhuav, uas tso cai rau koj ua kev txhaj tshuaj rau koj tus kheej. Koj yuav tsum tswj cov tshuaj hauv qab daim tawv nqaij hauv plab, ncej puab lossis xub pwg. Kev txhaj tshuaj yog qhov tsim nyog ib zaug ib hnub. Raws li rau qhov ntau npaum li cas, nws yuav tsum yog tus kws kho mob koom tes nrog, raws li qhov tshwm sim thiab chav kawm ntawm tus kab mob.

Lantus Solostar kuj tseem siv nrog lwm cov tshuaj uas pab hloov cov ntshav qab zib hauv hom 2 ntshav qab zib. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum ua tib zoo kawm txog kev tsis haum ntawm cov tshuaj no nrog lwm tus.

Cov tshuaj muaj cov tshuaj insulin glargine. Ntxiv rau: dej, glycerol, acid (hydrochloric), sodium hydroxide thiab m-cresol. Ib lub thawv muaj 3 ml. kev daws.

Lub zog thiab nthuav tawm ntawm insulin glargine zoo ib yam li tib neeg, yog li, tom qab nws txoj kev tswj hwm, cov metabolism hauv qabzib tshwm sim, thiab nws cov concentration poob qis. Tsis tas li, cov tshuaj no pab txhim kho protein synthesis, inhibits lipolysis thiab proteolysis hauv adipocytes.

Kev ua ntawm cov insulin yog ntev dua, tab sis txawm tias qhov tseeb tias kev txhim kho tshwm sim ntau qeeb. Tsis tas li ntawd nyob rau lub sijhawm ntawm cov tshuaj muaj cov cawv ntawm cov yam ntxwv ntawm tus neeg ntawm tus neeg, kev ua neej.

Cov kev tshawb fawb tau txiav txim siab tias insulin glargine tsis ua rau mob ntshav qab zib neuropathy.

Hauv nruab nrab ntawm qhov chaw, insulin yog me ntsis soluble. Hauv cov kua qaub, microprecipitate tshwm, tso nws tawm, yog li ntawd lub sijhawm ua haujlwm ntawm cov tshuaj yog tsim rau 24 teev. Hais txog cov khoom tseem ceeb pharmacological, nws muaj qhov tsis muaj peev xwm txaus siab thiab qeeb adsorption.

Lub teb chaws ntawm cov tshuaj no yog Fabkis (Sanofi-Aventis Corporation). Txawm li cas los xij, ntau lub tuam txhab tshuaj nyob hauv Lavxias kuj koom nrog muag thiab tsim cov tshuaj raws li cov khoom tsim muaj ntawv pov thawj.

Lantus Solostar yuav tsum raug tswj hwm subcutaneously. Nws yog ib qho tsim nyog los txiav txim lub sijhawm tshwj xeeb kom txhawm rau tswj hwm qhov tshuaj kom tsis tu ncua los ntawm ib teev. Tus kws tshaj lij yuav tsum suav qhov ntau thiab tsawg, raws li kev tshuaj ntsuam thiab ntsuas. Cov tshuaj yog siv tshuaj rau hauv qhov kev nqis tes ua, tsis zoo li lwm yam tshuaj.

Koj tuaj yeem siv cov tshuaj rau cov tib neeg muaj ntshav qab zib zaum ob. Kev siv raug tso cai sib xyaw nrog cov tshuaj hypoglycemic.

Txav mus rau cov tshuaj no nrog cov uas muaj qhov nruab nrab lossis ua kom ntev ntev, nws yog qhov tsim nyog yuav tau hloov qhov ntau npaum li cas thiab lub sijhawm siv. Txhawm rau txo qis kev pheej hmoo ntawm hypoglycemia thaum hmo ntuj, nws yog qhov zoo dua rau qhov txo qis thaum lub sijhawm hloov mus rau cov tshuaj insulin no. Hauv qee kis, tus neeg yuav pib ua cov tshuaj tiv thaiv, thiab cov tshuaj tiv thaiv yeeb tshuaj tuaj yeem txo qis. Txhawm rau ua qhov no, koj yuav tsum tsis tu ncua kho qhov ntau npaum thiab ntsuas xyuas cov ntshav qabzib.

Cov cai tswj rau kev siv tshuaj:

• Nkag rau hauv cov nqaij deltoid nkaus xwb (plab, ncej, xub pwg).
• Nws raug nquahu kom hloov chaw txhaj tshuaj txhawm rau kom tsis txhob pom cov ntshav lossis ntshav mob.
• Tsis txhob txhaj tshuaj rau txoj leeg.
• Tsis tas li, cov kws tshaj lij txwv kev txwv cov tshuaj no nrog lwm cov tshuaj.
• Ua ntej pib txhaj tshuaj, tshem cov npuas dej ntawm lub khob thiab ntim ib rab koob tshiab.

Txij li thaum cov tshuaj tau muag hauv daim ntawv ntawm koob txhaj tshuaj, nws yuav tsum tau ua tib zoo kuaj ua ntej txhaj tshuaj kom tsis muaj cov pos huab hauv kev daws teeb meem. Yog tias muaj kev ua kom loog, tom qab ntawd qhov tshuaj yog qhov tsis zoo thiab tsis zoo rau siv. Tom qab siv tus cwj mem syringe, nws yuav tsum tau muab pov tseg. Koj yuav tsum tseem nco ntsoov tias cov tshuaj no tsis tuaj yeem xa mus rau lwm tus neeg.

Hais txog kev xam ntawm qhov ntau npaum, tom qab ntawd, raws li twb tau piav saum toj no, nws yuav tsum tau nruab los ntawm tus kws tshaj lij. Cov tshuaj nws tus kheej tso cai rau koj los ua ib lub koob tshuaj 1 txog 80 chav nyob. Yog tias ib qho kev txhaj tshuaj nrog cov koob tshuaj ntau dua 80 units yog qhov tsim nyog, ob qhov kev txhaj tshuaj tau ua.

Ua ntej kev txhaj tshuaj, koj yuav tsum kos daim ntawv xaum npuav. Txhawm rau ua qhov no, cov algorithm hauv qab no ntawm kev nqis tes ua:

• Ntaus cim pov thawj.
• Kev ntsuam xyuas cov tsos.
• Tshem tawm lub hau, txuas lub koob (tsis tilted).
• Tso cov koob txhaj tshuaj nrog rab koob li (tom qab txhaj koob tshuaj 2 U tau ntsuas).
• Coj mus rhaub rau ntawm daim cartridge, nias lub khawm nkag mus txhua.
• Kuaj tshuaj kom tsis txhob muaj cov kua dej ntxiv tom qhov kawg ntawm rab koob.

Yog tias thaum thawj qhov kev ntsuam xyuas tshuaj insulin tsis tshwm sim, qhov kev ntsuam xyuas yuav rov ua dua kom txog thaum cov tshuaj pom tshwm tom qab nias lub khawm.

Cov kev mob tshwm sim tseem ceeb uas tuaj yeem tshwm sim los ntawm Lantus Solostaom yog qhov pom ntawm cov ntshav tsis zoo. Nrog rau kev noj tshuaj ntau dhau lossis hloov sijhawm hauv lub sijhawm noj mov, kev hloov pauv hauv cov piam thaj tau tshwm sim, uas ua rau muaj kev cuam tshuam no. Vim muaj cov ntshav qog ntshav qab zib, ib tus neeg tuaj yeem ua rau mob hlwb khiav tsis zoo.

Tsis tas li ntawd, ntawm kev siv tshuaj, cov tsos mob hauv qab no yuav tshwm sim:

• Teeb meem hauv lub paj hlwb (retinopathy, dysgeusia, pom kev tsis zoo).
• Lub Lipoatrophy, lipodystrophy.
• Kev ua xua (tiv thaiv neurotic edema, bronchospasm).
• Bronchospasm.
• Quincke's edema.
• Mob leeg mob.
• Kev o thiab o tom qab txhaj.

Yog tias kev noj tshuaj ntau dhau dhau, ces glycemia tsis tuaj yeem zam. Hauv qhov no, ib tus neeg yuav muaj cov tsos mob li nram no:

• Mob taub Hau.
• Nkees
• Qaug zog.
• Cov teeb meem kev pom kev, kev sib koom tes, kev xav nyob hauv qhov chaw.

Cov cim ua ntej dhau los kuj tseem yuav tshwm sim: kev tshaib plab, txob taus, ntxhov siab, hws txias, mob plawv.

Ntawm qhov chaw txhaj tshuaj, lipodystrophy yuav tshwm sim, uas yuav ua rau qeeb qeeb ntawm cov txheej txheem ntawm kev nqus tshuaj. Txhawm rau zam qhov no, nws yog qhov yuav tsum hloov chaw txhaj tshuaj, hloov ncej puab, xub pwg thiab plab. Ntxiv rau, thaj chaw ntawm cov hniav, ua pob liab thiab mob tuaj yeem tshwm sim hauv thaj chaw ntawm daim tawv nqaij. Txawm li cas los xij, hauv ob peb hnub cov teeb meem no yuav ploj mus.

Zoo li txhua yam tshuaj, cov tshuaj insulin Lantus SoloStar muaj cov lus contraindications rau kev siv, raws li cov tshuaj uas yuav tsum tsis txhob noj:

• Cov neeg mob siab qhov tsis haum rau qhov muab tshuaj.
• Nrog tus kheej intolerance mus rau Cheebtsam ntawm cov tshuaj.
• Rau teeb meem nrog lub siab lossis ob lub raum.
• Cov me nyuam qis dua 6 xyoo.
• Nrog ketoacidosis.
• Cov neeg laus uas muaj teeb meem lub raum lossis lub siab ua haujlwm tsis zoo.
• Cov neeg mob uas mob cerebral stenosis.

Raws li kev tshawb fawb hauv tsev kho mob, tsis muaj kev phiv thaum siv cov tshuaj no thaum cev xeeb tub. Cov tshuaj tsis muaj qhov tsis zoo rau leej niam thiab tus me nyuam.

Tus kws kho mob tuaj yeem sau ntawv Lantus SoloStar yog tias NPH insulin tsis muaj qhov xav tau. Nws yog ib qho tsim nyog yuav tau soj ntsuam cov ntshav qab zib cov ntshav ntawm cov poj niam cev xeeb tub tshwj xeeb yog ua tib zoo, txij li thaum sib txawv ntau nws qhov ntsuas tuaj yeem hloov pauv. Hauv thawj, lawv feem ntau yog qis dua hauv qib thib ob thiab peb. Tsis tas li, nrog cov tshuaj zoo li no, koj tuaj yeem pub niam mis tau yam tsis muaj kev ntshai ntawm cov kev mob tshwm sim thiab kev phiv.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj Lantus Solostar muaj peev xwm hloov pauv raws li cov tshuaj sib xyaw nrog nws. Cov no suav nrog:

• angiotensin inhibitors,
• tshuaj tiv thaiv kab mob qhov ncauj
• monoamine oxidant inhibitors,
• sulfanimamides,
• propoxyphene
• disopyramids
• Glarinin.

Hauv kev sib xyaw nrog cov tshuaj corticosteroid, Lantus SoloStara yog siv tau liquefied. Cov no suav nrog: danazol, isoniazid, diazoxide, diuretics, estrogens.

Txo lossis txo kom zoo ntxiv ntawm cov nyhuv ntawm Lantus tuaj yeem ua cov roj ntsha ntsev, ethyl cawv, pentamidine, clonidine.

Yog tias kev noj ntau dhau tshwm sim, nws yog ib qho tsim nyog yuav tsum tau tso tseg kom tsis txhob mob ntshav qab zib nrog kev pab ntawm cov khoom lag luam uas muaj cov khoom noj khoom haus sai sai. Thaum ib qho kev mob ntshav khov ntau tshwm sim, glucagon yuav tsum tau txhaj rau hauv cov leeg lossis hauv qab ntawm daim tawv nqaij lossis cov piam thaj rau hauv cov leeg ntshav.

Qhov ua rau muaj kev noj haus ntau dhau dhau lawm yog ib koob tshuaj ntawm cov tshuaj. Hauv qhov no, nws yog qhov yuav tsum tau sab laj nrog tus kws kho mob kom ua qhov kev ntsuam xyuas ntxiv thiab tsim kom muaj qhov tshiab ntawm kev haus tshuaj.

Thaum cheem hypoglycemia, koj tuaj yeem tsis tawm ntawm tus neeg mob tsis saib xyuas, txij li kev tawm tsam tuaj yeem rov ua dua thaum nruab hnub. Nws yog ib qho tseem ceeb heev uas yuav tau saib xyuas lub koob tshuaj, kev tawm dag zog kom tsis tu ncua, tsis txhob hla cov pluas noj, tsis txhob noj cov khoom raug txwv. Hauv kev kuaj mob ntshav qab zib, tib neeg yuav tsum tau saib xyuas lawv tus mob kom zoo, yog li tsim nyog nrhiav kev pab tam sim ntawd.

Cia kev mob ntawm cov tshuaj yog txwv rau peb lub xyoos, raug rau tsoomfwv kub txog li 8 degrees. Tsis txhob tso xaum xoos hluav taws rau hauv qhov chaw uas menyuam yaus tuaj yeem nce. Nws yog qhov zoo dua khaws cov tshuaj hauv lub tub yees kom tswj qhov kub thiab txias. Txawm li cas los xij, nws tsim nyog nco ntsoov tias koj tsis tuaj yeem khaws cov tshuaj insulin hauv lub tub yees.

Cov xaum xaum yuav siv tau tom qab txhaj thawj zaug rau 28 hnub. Tom qab txhaj tshuaj tas lawm, nws tsis tuaj yeem khaws cov tshuaj hauv tub yees. Nws zoo dua tias kev tswj hwm kub tsis tshaj 25 degrees. Txwv tsis pub siv cov tshuaj rau hnub nyoog tas sijhawm.

Coob tus neeg mob uas tau tswjfwm sim thiab tau txais txiaj ntsig ntawm kev siv cov tshuaj no tau txaus siab, vim nws pab ua kom qab zib nyob rau hauv ib txwm muaj.

Txawm li cas los xij, tsis yog txhua tus neeg pib ua tiav hauv kev tswj hwm cov tshuaj tsis zoo, yog li, ua ntej txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum ua tib zoo kawm tag nrho cov tuam txhab cov lus pom zoo thiab cov lus qhia rau kev siv.

Cov neeg mob uas mob ntshav qab zib Lantus SoloStar tau muab pub dawb, raws li tus kws kho mob endocrinologist tau sau tseg rau nws raws li cov tshuaj noj. Muaj qee kis, koj yuav tsum yuav koj cov tshuaj. Hauv qhov no, tsis muaj teeb meem dab tsi, vim nws tau muag ntawm lub tsev muag tshuaj hauv cov npiv. Tus nqi nruab nrab ntawm cov tshuaj yog kwv yees li 3,500 rubles, thiab hauv Ukraine kwv yees 1300 hryvnia.

Muaj cov analogues txaus uas muaj cov tshuaj zoo sib xws hauv cov muaj pes tsawg leeg, tab sis tib lub sijhawm cuam tshuam rau lub cev sib xws. Lantus insulin analogues suav nrog:

• Tujeo (tshuaj insulin glargine). Lub tebchaws ntawm lub tebchaws Yelemes.
• Aylar (insulin glargine). Lub teb chaws ntawm keeb kwm Is Nrias teb.
• Levemir (insulin detemir). Lub teb chaws twg hauv tebchaws Denmark.

Cov analogue nrov tshaj plaws yog Tujeo. Qhov sib txawv tseem ceeb ntawm cov insulin lantus thiab tujeo yog tias lawv coj tus cwj pwm txawv ntawm cov kab mob sib txawv. Hauv tebchaws Russia, cov neeg mob ntshav qab zib nrog hom 1 yog pauv mus rau Tujeo, tab sis tsis yog txhua tus muaj cov yam xav tau thiab txo qis qab zib.

Hais txog Levemira, cov tshuaj no tau cais los ntawm nws cov tshuaj nquag. Thiab Aylar yog qhov txawv txav hauv tus nqi, tsis zoo li Lantus, tab sis tib lub sijhawm nws muaj cov lus qhia zoo sib xws thiab muaj pes tsawg leeg.

Ua ntej txhua txoj kev txhaj tshuaj ntawm cov tshuaj no, koj yuav tsum ua tib zoo saib xyuas cov koob tshuaj. Vim tias nws tsuas muaj cov tshuaj nkaus xwb, kev sab laj ua ntej siv yog qhov xav tau ceev. Thaum muaj qhov noj ntau dhau, yuav tsum tau ua kom dhau qhov kawg thiab txo qhov txaus ntshai thiab muaj teeb meem. Koj tsis tuaj yeem ncua nrog qhov kev daws teeb meem ntawm kev mob ntshav qab zib, vim nws tuaj yeem ua rau tsis nco qab.

Cov menyuam yaus yog me me txwv tsis pub txhaj tshuaj tiv thaiv kab mob no. Txhawm rau kom paub meej tag nrho cov kev mob tshwm sim thiab contraindications, nws yog qhov zoo dua rau kawm cov lus qhia ua ntej pib kev txhaj tshuaj.

Insulin Lantus Solostar: tshuaj xyuas thiab nqe, cov lus qhia rau kev siv

Insulin Lantus SoloStar yog ib qho tshuaj tiv thaiv ntawm cov tshuaj hormone nrog lub sijhawm ntev, uas yog rau cov kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog insulin glargine, qhov feem no tau los ntawm Escherichiacoli DNA siv txoj kev tso tawm.

Glargin muaj peev xwm khi rau cov tshuaj insulin zoo li tib neeg cov insulin, yog li cov tshuaj muaj txhua yam keeb kwm roj ntsha tsim nyog hauv cov tshuaj hormone.

Ib zaug nyob rau hauv cov rog subcutaneous, insulin glargine txhawb qhov tsim ntawm microprecipitate, vim tias qee qhov nyiaj ntawm cov tshuaj qoj ib txwm tuaj yeem nkag mus rau cov hlab ntshav ntawm cov ntshav qab zib. Lub tshuab no muab cov ntaub ntawv pov thawj tus kheej.

Lub chaw tsim tshuaj paus yog cov tuam txhab German Sanofi-Aventis Deutschland GmbH. Cov tshuaj tseem ceeb ntawm cov tshuaj yog cov tshuaj insulin glargine, qhov muaj pes tsawg leeg kuj suav nrog kev pabcuam hauv hom metacresol, zinc chloride, glycerol, sodium hydroxide, hydrochloric acid, dej rau kev txhaj tshuaj.

Lantus yog cov kua ntshiab, tsis muaj xim lossis ze li xim tsis muaj kua. Qhov kev kub siab ntawm kev daws rau kev tswj hwm ntawm subcutaneous yog 100 U / ml.

Txhua lub khob ntim tau muaj 3 ml tshuaj; daim cartridge no tau tsa rau hauv SoloStar cov khoom nruab nruas siv. Tsib insulin cwjmem rau cov koob txhaj tshuaj muaj muag hauv cov thawv ntawv cardboard, lub teeb suav nrog phau ntawv qhia kev qhia rau lub ntaus ntawv.

• Cov tshuaj uas muaj cov tshuaj zoo los ntawm cov kws kho mob thiab cov neeg mob yuav tau hauv lub tsev muag tshuaj nkaus xwb nrog cov tshuaj kho mob.
• Insulin Lantus yog qhia rau cov kab mob ntshav qab zib insulin-mellitus hauv cov laus thiab cov menyuam yaus hnub nyoog rau xyoo.
• Daim foos tshwj xeeb ntawm SoloStar tso cai rau kev kho mob hauv cov menyuam yaus tshaj ob xyoos rov hauv.
• Tus nqi ntawm ib pob ntawm tsib syringe cwjmem thiab tshuaj ntawm 100 IU / ml yog 3,500 rubles.

Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob, tus kws kho qhov muag endocrinologist yuav pab koj xaiv cov tshuaj kom raug thiab sau lub sijhawm txhaj tshuaj. Cov tshuaj insulin yog ib qho txhaj tshuaj ib zaug ib hnub, thaum txhaj tshuaj yog ua raws li lub sijhawm ntawm lub sijhawm.

Cov tshuaj tau txhaj rau hauv lub cev subcutaneous rog ntawm tus ncej puab, lub xub pwg lossis lub plab. Txhua zaus koj yuav tsum tau hloov chaw mus txhaj tshuaj kom qhov voos tsis ua rau daim tawv. Cov tshuaj yeeb tshuaj no tuaj yeem siv los ua cov tshuaj ywj siab, los yog ua ke nrog lwm cov tshuaj txo suab thaj.

Ua ntej siv Lantus SoloStar cov tshuaj insulin nyob hauv tus cwj mem xaj rau kev kho mob, koj yuav tsum tau paub seb yuav siv cov cuab yeej no li cas rau kev txhaj tshuaj. Yog hais tias yav dhau los siv tshuaj insulin nrog kev pab los ntawm kev ua haujlwm ntev lossis nruab nrab ntawm insulin, kev noj cov tshuaj txhua hnub ntawm cov tshuaj insal hauv qab yuav tsum tau kho.

1. Nyob rau hauv qhov kev hloov pauv los ntawm kev txhaj tshuaj ob-zaug ntawm insulin-isophan mus rau ib qho kev txhaj tshuaj los ntawm Lantus thaum thawj ob lub lis piam, qhov kev noj tshuaj txhua hnub ntawm basal hormone yuav tsum tau txo 20-30 feem pua. Qhov hno txo ​​yuav tsum tau them nyiaj los ntawm kev nce ntxiv ntawm cov tshuaj ntawm luv luv ua yeeb yam insulin.
2. Qhov no yuav tiv thaiv qhov kev loj hlob ntawm cov hypoglycemia thaum hmo ntuj thiab sawv ntxov. Tsis tas li, thaum hloov mus rau ib cov tshuaj tshiab, ib qho lus teb nce ntxiv rau kev txhaj tshuaj ntawm cov tshuaj hormones yog feem ntau pom. Yog li, thaum xub thawj, koj yuav tsum ua tib zoo saib xyuas cov ntshav qab zib kom tsis txhob siv tshuaj glucometer thiab, yog tias tsim nyog, kho cov tshuaj rau ntawm cov tshuaj insulin.
3. Nrog kev txhim kho kev cai ntawm cov metabolism, qee zaum kev nkag siab zoo rau cov tshuaj yuav nce ntxiv, hauv qhov no, nws yog qhov tsim nyog los kho cov tshuaj ntau dua. Hloov cov koob tshuaj kuj tseem xav tau thaum hloov pauv lub neej muaj ntshav qab zib, nce lossis tsawg dua qhov hnyav, hloov lub sijhawm txhaj tshuaj thiab lwm yam uas ua rau muaj qhov pib ntawm hypo- lossis hyperglycemia.
4. Cov tshuaj yog nruj me ntsis txwv tsis pub rau kev tswj hwm ntawm qhov quav, qhov no tuaj yeem ua rau muaj kev txhim kho ntawm cov ntshav khov qis. Ua ntej kev txhaj tshuaj, koj yuav tsum paub tseeb tias daim phwj hauv tshuaj ntxuav tawm thiab huv.

Raws li txoj cai, Lantus insulin raug tswj hwm nyob rau yav tsaus ntuj, kev siv tshuaj thawj yuav yog 8 qhov lossis ntau dua. Thaum hloov mus rau ib qho tshuaj tshiab, tam sim ntawd qhia qhov tshuaj loj yog ua rau muaj kev phom sij hauv lub neej, yog li kev txhim kho yuav tsum tshwm sim maj mam ua.

Glargin pib ua haujlwm nquag ib teev tom qab txhaj, ntawm qhov nruab nrab, nws ua rau 24 teev. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum xav txog tias nrog ntau qhov ntau, lub sij hawm ntawm kev txiav txim ntawm cov tshuaj tuaj yeem ncav cuag 29 teev.

Insulin Lantus yuav tsum tsis txhob xyaw nrog lwm cov tshuaj.

Nrog cov kev qhia ntawm kev siv tshuaj ntau dhau los ntawm cov tshuaj insulin, tus mob ntshav qab zib tuaj yeem ntsib kev mob ntshav qab zib. Cov tsos mob ntawm tus mob tsis txaus siab feem ntau pib tshwm sim tam sim ntawd thiab ua ke nrog kev paub zoo li qaug zog, qaug zog, qaug zog, poob qis, nkees, pom kev txawv txav, mob taub hau, xeev siab, tsis meej pem, thiab mob plab.

Cov kev tshwm sim no feem ntau yog dhau los ntawm cov tsos mob nyob rau hauv daim ntawv ntawm cov kev xav ntawm kev tshaib plab, txob taus, mob siab lossis tshee tshee, ntxhov siab, tawv nqaij daj, qhov tsos ntawm hws txias, tachycardia, palpitations lub plawv. Kev mob ntshav qab zib tsawg tuaj yeem ua rau lub cev puas tsuaj, yog li nws yog ib qho tseem ceeb uas yuav pab tau tus mob ntshav qab zib kom ncav sijhawm.

Muaj qee zaus, tus neeg mob muaj kev fab tshuaj rau cov tshuaj, uas nrog cov kev tawm tsam ntawm daim tawv nqaij dav dav, angioedema, bronchospasm, mob ntshav siab, poob siab, uas kuj yog qhov txaus ntshai rau tib neeg.

Tom qab txhaj tshuaj insulin, cov tshuaj tiv thaiv rau cov tshuaj nquag yuav tsim. Hauv qhov no, nws yog ib qho tsim nyog los kho cov tshuaj ntau npaum li cas ntawm cov tshuaj txhawm rau kom tshem tawm qhov kev pheej hmoo ntawm kev txhim kho hypo- lossis hyperglycemia. Tsis tshua muaj, nyob rau hauv cov ntshav qab zib, saj tuaj yeem hloov pauv tau, qhov tsis tshua pom, qhov muag pom muaj qhov cuam tshuam ib ntus vim muaj kev hloov pauv ntawm qhov ntsuas qhov tsis pom tseeb ntawm lub lens ntawm lub qhov muag.

Ntau zaus, hauv thaj chaw txhaj tshuaj, cov mob ntshav qab zib tsim lipodystrophy, uas ua rau qeeb qis dua qhov nqus tshuaj. Txhawm rau kom tsis txhob ua li no, koj yuav tsum tau hloov pauv qhov tas mus txhaj tshuaj. Kuj, liab, khaus, mob yuav tshwm rau ntawm daim tawv nqaij, qhov mob no yog ib ntus thiab feem ntau ploj tom qab ob peb hnub ntawm kev kho.

• Cov tshuaj insulin Lantus yuav tsum tsis txhob siv nrog qhov lub cev tsis haum rau cov tshuaj nquag glargine lossis lwm yam kev pabcuam ntawm cov tshuaj. Cov tshuaj no txwv rau kev siv rau cov menyuam yaus hnub nyoog qis dua rau xyoo, tab sis tus kws kho mob tuaj yeem sau ib daim ntawv tshwj xeeb ntawm SoloStar, npaj rau cov menyuam.
• Ceev faj yuav tsum tau tawm dag zog thaum kho tshuaj insulin thaum cev xeeb tub thiab pub niam mis. Nws yog ib qho tseem ceeb txhua hnub ntsuas ntsuas ntshav qab zib thiab tswj cov chav kawm ntawm tus kab mob. Tom qab yug menyuam, nws yog ib qho tsim nyog yuav tau kho cov tshuaj ntau npaum li cas, vim tias qhov xav tau cov tshuaj insulin thaum lub sijhawm no txo ​​qis.

Feem ntau, cov kws kho mob pom zoo thaum cev xeeb tub nrog ntshav qab zib hauv lub cev kom siv lwm qhov piv ntawm cov tshuaj insulin ntev - cov tshuaj Levemir.

Thaum noj ntau dhau, muaj ntsis ntshav qab zib tsawg kawg yog nres los ntawm kev noj cov khoom lag luam uas suav nrog sai carbohydrate zom cov zaub mov. Tsis tas li ntawd, txoj kev kho mob pauv hloov, kev noj haus kom haum thiab kev ua kom lub cev.

Hauv cov ntshav qog ntshav qab zib siab heev, glucagon yog muab tshuaj rau cov ntshav lossis tshuaj rau kom ntau, thiab qhov txhaj tshuaj rau cov ntshav qabzib muaj nyob rau hauv.

Nrog rau tus kws kho mob tuaj yeem sau tshuaj lub sijhawm ntev rau kev noj cov carbohydrates.

Ua ntej ua kev txhaj tshuaj, koj yuav tsum kuaj xyuas lub zwj ceeb ntawm daim ntawv muab tso rau hauv daim ntawv xaum. Txoj kev daws teeb meem yuav tsum yog pob tshab, xim tsis muaj av, tsis muaj cov pov thawj lossis pom qhov txawv teb chaws, hais txog cov dej nyob hauv lub tiaj.

Daim ntaub qhwv xim yog qhov khoom siv pov tseg, yog li, tom qab txhaj tshuaj, nws yuav tsum muab pov tseg, rov siv dua tuaj yeem ua rau kis tus kab mob. Txhua txoj kev txhaj tshuaj yuav tsum tau ua nrog cov kab mob rab koob tshiab, rau lub hom phiaj no siv cov koob tshwj xeeb, tsim rau koob txhaj tshuaj pleev los ntawm lub chaw tsim khoom no.

Cov khoom siv tsis zoo yuav tsum tau muab pov tseg; nrog kev ua txhaum me me ntawm kev ua haujlwm tsis zoo, kev txhaj tshuaj tsis tuaj yeem tsim nrog tus cwj mem no. Hauv no hais txog, cov neeg mob ntshav qab zib yuav tsum tau muaj ib qho xaum ntxiv los hloov lawv.

1. Lub hau tiv thaiv tau muab tshem tawm los ntawm lub cuab yeej, tom qab ntawd tus cim rau ntawm lub pas dej insulin yog paub tseeb tias yuav tsum tau kuaj xyuas kom paub tseeb tias qhov kev npaj raug yog. Cov tsos ntawm kev daws teeb meem no tseem tau tshuaj xyuas, nyob rau hauv qhov muaj cov neeg yoog, cov khoom txawv teb chaws tuaj yeem lossis turbid sib xws, insulin yuav tsum tau hloov nrog lwm.
2. Tom qab lub hau tiv thaiv raug tshem tawm, ib rab koob muaj menyuam tsis taus yog ua tib zoo thiab muab khi nrog cov ntawv xaum. Txhua zaus koj yuav tsum kuaj xyuas lub cuab yeej ua ntej ua kev txhaj tshuaj. Nws yog ib qho tseem ceeb kom ntseeg tau tias lub pointer tau pib thaum 8, uas qhia tias lub koob txhaj tshuaj tsis tau siv ua ntej.
3. Txhawm rau txhawm rau qhov xav tau yam xav tau, lub pob pib pib tau rub tawm, tom qab uas xaiv lub koob tsis tuaj yeem hloov pauv. Lub hau sab nraud thiab sab hauv yuav tsum tau muab tshem tawm, lawv yuav tsum khaws cia kom txog thaum ua tiav cov txheej txheem, kom tom qab txhaj tshuaj, tshem tawm cov koob siv uas tau siv lawm.
4. Cov xaum xaum yog tuav los ntawm rab koob, tom qab ntawd koj yuav tsum maj mam chwv koj cov ntiv tes rau ntawm lub pas dej insulin kom huab cua nyob hauv tus npuas yuav sawv los ntawm rab koob. Tom ntej no, lub pob pib pib tau nias txhua txoj kev. Yog tias cov cuab yeej npaj tau los siv, ib qho poob me me yuav tsum tshwm ntawm qhov taub ntawm rab koob. Thaum tsis muaj qhov poob, koob xwj ntawm kev tshuaj xyuas yog rov ua dua.

Tus mob ntshav qab zib tuaj yeem xaiv qhov ntau thiab tsawg ntawm 2 txog 40 units, ib theem yog qhov no yog 2 ntu. Yog tias nws tsim nyog los ua cov tshuaj insulin ntau ntxiv, ob lub tshuaj tiv thaiv kab mob.

Ntawm qhov seem ntawm cov tshuaj insulin, koj tuaj yeem tshawb xyuas qhov tshuaj ntau npaum li cas hauv lub cuab yeej. Thaum cov piston dub yog nyob rau hauv thawj ntu ntawm qhov tso tawm xim dawb, qhov nyiaj ntawm cov tshuaj yog 40 PIECES, yog tias lub piston tso rau tom kawg, qhov koob tshuaj yog 20 PIECES. Lub koob xaiv xaiv raug muab kom txog thaum lub xib xub tso ntawm tus taw ntawm koob tshuaj yam xav tau.

Txhawm rau sau cov insulin cwj mem, qhov txhaj tshuaj pib khawm yog rub mus rau qhov txwv. Koj yuav tsum paub tseeb tias cov tshuaj raug xaiv nyob rau hauv cov tshuaj yuav tsum tau muaj. Lub khawm pib hloov pauv mus rau qhov tsim nyog ntawm cov tshuaj hormones tshuav hauv lub tank.

Siv lub pob pib, cov ntshav qab zib tuaj yeem kuaj xyuas seb cov insulin sau ntau npaum li cas. Thaum lub sijhawm pov thawj, lub pob yog khaws cia kom muaj zog. Tus nqi ntawm kev quav tshuaj yuav raug txiav txim los ntawm kab kawg pom dav.

• Tus neeg mob yuav tsum tau kawm siv cov koob tshuaj insulin ua ntej, cov txheej txheem insulin yuav tsum tau kawm los ntawm cov neeg ua haujlwm hauv chaw kho mob. Lub koob nkag tau ib txwm tso subcutaneously, tom qab ntawd lub pob pib pib nias rau qhov txwv. Yog hais tias lub pob yog nias txhua txoj kev, ib lub suab nrov ntawm lub suab yuav hnov.
• Lub pob pib pib tau tuav tseg li 10 feeb, tom qab uas rab koob tuaj yeem rub tawm. Cov txheej txheem txhaj tshuaj no tso cai rau koj nkag mus rau qhov kev txhaj tshuaj tag nrho. Tom qab txhaj tshuaj tas lawm, rab koob raug rho tawm ntawm rab koob txhaj tshuaj thiab muab pov tseg; koj siv tsis tau nws rov qab los siv. Lub hau npog tiv thaiv yog muab tso rau ntawm tus cwj mem syringe.
• Txhua lub ntsej muag insulin yog nrog daim ntawv qhia, uas koj tuaj yeem paub txog yuav ua li cas txhawm rau txhawm rau txhawm rau txuas, txuas rab koob thiab txhaj tshuaj. Ua ntej muab cov tshuaj insulin, daim cartridge yuav tsum yog tsawg kawg ob teev ntawm chav sov. Nyob rau hauv tsis muaj cov ntaub ntawv yuav khoob cartridges yuav rov siv dua.

Nws yog ib qho ua tau kom cia Lantus insulin hauv qhov kub ntawm 2 txog 8 degrees hauv qhov chaw tsaus tsaus, kom deb ntawm kev tshav ntuj ncaj qha. Cov tshuaj yuav tsum muab tso rau qhov chaw ncav cuag ntawm cov menyuam yaus.

Lub txee lub neej ntawm cov tshuaj insulin yog peb xyoos, tom qab kev daws teeb meem yuav tsum tau muab pov tseg, nws tsis tuaj yeem siv rau nws qhov laj thawj.

Cov tshuaj zoo ib yam li lub ntsej muag hypoglycemic xws li Levemir insulin, uas muaj kev txheeb xyuas zoo heev. Cov tshuaj no yog cov tshuaj basal soluble analogue ntawm tib neeg lub cev ntev insulin.

Qhov tshuaj hormones no yog tsim los ntawm kev siv cov kabmob DNA biotechnology siv ib hom kab mob ntawm Saccharomyces cerevisiae. Levemir nkag tau rau hauv lub cev ntawm cov mob ntshav qab zib tsuas yog subcutaneously. Qhov ntau thiab tsawg zaus ntawm kev txhaj tshuaj yog kho los ntawm tus kws kho mob mus kawm, nyob ntawm tus neeg qhov yam ntxwv ntawm tus neeg mob.

Lantus yuav tham txog insulin hauv kev nthuav dav hauv video hauv kab lus no.

Insulin Lantus: kev qhia, sib piv nrog analogues, tus nqi

Feem ntau ntawm cov tshuaj insulin hauv teb chaws Russia yog cov khoom siv hauv lub hauv paus chiv keeb. Ntawm cov analogues ntev ntawm cov tshuaj insulin, Lantus, tsim los ntawm ib qho ntawm cov lag luam tshuaj loj tshaj plaws Sanofi, feem ntau siv.

Txawm hais tias qhov tseeb tias cov tshuaj no nws kim dua li NPH-insulin, nws txoj kev sib koom lag luam tseem loj ntxiv. Qhov no tau piav qhia los ntawm kev ua kom ntev dua thiab du qab zib. Nws yog ib qho ua tau rau prick Lantus ib hnub ib zaug. Cov tshuaj tso cai rau koj los tswj zoo dua ob hom ntshav qab zib mellitus, zam kev ua kom tsis txhob mob ntshav qab zib, thiab ua rau muaj kev tsis haum tshuaj ntau dhau heev.

Insulin Lantus tau pib siv hauv 2000, nws tau sau npe nyob rau hauv Russia 3 xyoo tom qab. Sij hawm dhau los, cov tshuaj tau pov thawj nws txoj kev nyab xeeb thiab ua haujlwm tau zoo, tau suav nrog cov npe tseem ceeb thiab Cov Tshuaj Tseem Ceeb, yog li cov neeg mob ntshav qab zib tuaj yeem nrhiav nws dawb.

Tus nquag ua hauj lwm yog insulin glargine. Piv nrog tib neeg cov tshuaj hormones, glargine molecule hloov kho me ntsis: ib qho acid hloov, ob qho ntxiv. Tom qab kev tswj hwm, xws li cov tshuaj insulin yooj yim tsim cov sib txuas hauv qab tawv nqaij - hexamers. Kev daws tau muaj pH acidic (txog 4), yog li ntawd qhov ua kom lwj ntawm hexamers tsis tshua muaj siab thiab ntseeg tau.

Ntxiv rau glargine, Lantus insulin muaj dej, tshuaj tua kab mob m-cresol thiab zinc chloride, thiab glycerol stabilizer. Qhov xav tau acidity ntawm kev daws yog ua tiav los ntawm kev ntxiv sodium hydroxide lossis hydrochloric acid.

Txawm hais tias qhov peculiarities ntawm molecule, glargine muaj peev xwm khi rau cell receptors tib txoj kev raws li tib neeg cov kua dej, yog li txoj ntsiab cai ntawm kev ua zoo ib yam rau lawv. Lantus tso cai rau koj los tswj cov metabolism hauv qab zib thaum tsis muaj teeb meem ntawm koj tus kheej cov kua dej: nws ua rau cov leeg mob thiab cov nplawm adipose kom nqus tau cov piam thaj, thiab inhibits glucose synthesis los ntawm daim siab.

Txij li Lantus yog ib yam tshuaj lom neeg lawm ntev, nws tau txhaj los tswj kom muaj kua nplaum sai. Raws li txoj cai, yog tias muaj ntshav qab zib mellitus, ua ke nrog Lantus, insulins luv luv yog kho - Insuman ntawm tib lub chaw tsim khoom, nws cov analogues lossis ultrashort Novorapid thiab Humalog.

Cov koob tshuaj ntawm cov tshuaj insulin yog xam raws qhov kev nyeem ntawv sai ntawm glucometer rau ob peb hnub. Nws ntseeg tias Lantus tau nce lub zog tag nrho hauv 3 hnub, yog li kev hloov kho koob tshuaj yog qhov ua tau tsuas yog tom qab lub sijhawm no. Yog hais tias qhov nruab nrab txhua hnub yoo mov glycemia yog> 5.6, qhov ntau ntawm cov Lantus tau nce los ntawm 2 pawg.

Cov koob tshuaj tau txiav txim siab raug xaiv yog tias tsis muaj ntshav qab zib, thiab glycated hemoglobin (HG) tom qab 3 lub hlis ntawm kev siv ntawm 30 ° C kub.

Ntawm kev muag koj tuaj yeem nrhiav 2 txoj kev xaiv rau insulin Lantus. Thawj yog tsim nyob rau hauv lub teb chaws Yelemees, ntim hauv Russia. Lub sijhawm thib ob tag nrho cov khoom lag luam tau tsim nyob rau hauv Russia ntawm Sanofi cog hauv thaj av Oryol. Raws li cov neeg mob, qhov zoo ntawm cov tshuaj yog zoo ib yam, kev hloov ntawm ib txoj kev xaiv mus rau lwm qhov tsis ua rau muaj teeb meem.

Insulin Lantus yog ib qho tshuaj siv ntev. Nws muaj yuav luag tsis muaj qhov kawg thiab ua haujlwm nyob rau thaj tsam li 24 teev, ntev kawg 29 teev. Lub sijhawm, lub zog ntawm kev nqis tes ua, qhov xav tau ntawm insulin yog nyob ntawm tus neeg tus yam ntxwv thiab hom kab mob, yog li ntawd, kev kho mob thiab kev noj tshuaj raug xaiv rau txhua tus neeg mob ib tus zuj zus.

Cov lus qhia rau kev siv pom zoo kom txhaj Lantus ib hnub ib zaug, ib zaug. Raws li cov kab mob ntshav qab zib, kev tswj hwm ob npaug kom ua tau zoo dua, vim nws tso cai siv cov tshuaj ntau hnub thiab hmo ntuj.

Qhov ntau npaum li cas ntawm Lantus xav tau rau kev ceev ceev ntawm glycemia yog nyob ntawm lub xub ntiag ntawm insulin tsis txaus, insulin tsis kam, peculiarities ntawm kev nqus ntawm cov tshuaj los ntawm cov nqaij mos subcutaneous, thiab theem ntawm kev ua si ntawm cov ntshav qab zib. Kev kho kom zoo tsis muaj nyob. Qhov nruab nrab, tag nrho cov kev xav tau rau cov tshuaj insulin yog li ntawm 0.3 txog 1 chav tsev. ib kilogram, feem ntawm Lantus hauv qhov no tso nyiaj rau 30-50%.

Qhov yooj yim tshaj plaws yog xam cov koob tshuaj Lantus los ntawm qhov hnyav, siv cov qauv yooj yim: 0.2 x qhov hnyav hauv kg = ib qho tshuaj txhaj Lantus nrog ib qho txhaj tshuaj. Xws li suav tsis muaj tseeb thiab yuav luag txhua lub sijhawm yuav tsum tau kho.

Muab xam los ntawm insulin raws li glycemia muab, raws li txoj cai, qhov txiaj ntsig zoo tshaj plaws. Ua ntej, txiav txim siab qhov koob tshuaj rau yav tsaus ntuj txhaj tshuaj, kom nws muab qhov keeb kwm yav dhau los ntawm insulin hauv cov ntshav thoob plaws hmo ntuj. Qhov ntxim nyiam yuav ua rau tus mob qog ntshav qis nyob hauv cov neeg mob ntawm Lantus tau qis dua ntawm NPH-insulin. Txawm li cas los xij, rau kev nyab xeeb vim li cas, lawv xav tau kev soj ntsuam cov piam thaj txhua zaus thaum lub sijhawm txaus ntshai tshaj plaws - thaum ntxov thaum sawv ntxov, thaum tsim tawm ntawm cov tshuaj hormones-antagonists ntawm cov kua dej yog ua haujlwm.

Thaum sawv ntxov, Lantus tswj hwm kom tsis txhob muaj piam thaj rau hauv plab txhua hnub. Nws cov koob tshuaj tsis yog nyob ntawm seb muaj pes tsawg carbohydrates hauv zaub mov noj. Ua ntej noj tshais, koj yuav tsum tau nkaug ob leeg ntawm Lantus thiab luv luv insulin. Ntxiv mus, nws tsis yooj yim sua kom ntxiv cov koob tshuaj thiab ua kom paub tsuas yog ib hom tshuaj insulin, vim tias lawv txoj cai ntawm kev coj ua yog txawv dhau. Yog tias koj xav tau txhaj tshuaj ntev dhau los ua ntej yuav mus pw, thiab cov piam thaj ntxiv, ua 2 lub tshuaj tib lub sijhawm: Lantus hauv ib qho kev noj ib txwm thiab luv luv insulin. Qhov ntau npaum li cas ntawm cov tshuaj tiv thaiv luv luv tuaj yeem raug suav siv siv mis Forsham, kwv yees ib qho raws li qhov tseeb tias 1 pawg ntawm insulin yuav txo cov suab thaj los ntawm kwv yees li 2 mmol / L.

Yog tias nws tau txiav txim siab txhaj Lantus SoloStar raws li cov lus qhia, uas yog, ib hnub ib zaug, nws zoo dua los ua qhov no txog ib teev ua ntej mus pw. Thaum lub sijhawm no, thawj ntu ntawm cov tshuaj insulin muaj sijhawm los nkag rau cov ntshav. Cov koob tshuaj raug xaiv nyob rau hauv xws li txoj hauv kev kom qhov tseeb glycemia thaum tsaus ntuj thiab thaum sawv ntxov.

Thaum muab ob zaug, qhov kev txhaj tshuaj thawj zaug tau ua tom qab yauv nce, thib ob - ua ntej mus pw. Yog tias cov piam thaj tsis zoo rau yav hmo ntuj thiab nce me ntsis thaum sawv ntxov, koj tuaj yeem sim txav mus noj hmo rau lub sijhawm ntxov, li 4 teev ua ntej mus pw.

Qhov ntau ntawm cov ntshav qab zib hom 2, qhov nyuaj ua raws li kev noj haus uas tsis muaj zaub mov, thiab ntau qhov kev phiv los ntawm kev siv cov tshuaj uas muaj suab thaj ua rau muaj qhov tshwm sim ntawm txoj kev tshiab rau nws txoj kev kho mob.

Tam sim no muaj kev pom zoo kom pib txhaj cov tshuaj insulin yog tias glycated hemoglobin ntau dua 9%. Ntau cov kev tshawb fawb pom tau tias ua ntej pib kev siv tshuaj insulin thiab nws txoj kev hloov mus rau lub zog sai sai tau muab cov txiaj ntsig zoo dua li kev kho "rau nres" nrog cov tshuaj tiv thaiv hypoglycemic. Cov hau kev no tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem ntshav qab zib hom 2: tus naj npawb ntawm kev txiav tawm yog 40%, qhov muag thiab lub raum microangiopathy raug txo los ntawm 37%, tus naj npawb ntawm kev ploj tuag yog txo los ntawm 21%.

Ua pov thawj txog kev kho zoo:

1. Tom qab kuaj mob - kev noj haus, kis las, Metformin.
2. Thaum qhov kev kho no tsis txaus, sulfonylurea npaj tau ntxiv.
3. Nrog kev vam meej ntxiv, kev hloov pauv hauv lub neej, metformin thiab insulin ntev.
4. Tom qab ntawd cov tshuaj insulin luv luv raug ntxiv rau cov insulin ntev, ib qho kev tswj hwm ntawm insulin kho tau siv.

Ntawm theem 3 thiab 4, Lantus tuaj yeem siv tau zoo. Vim tias qhov kev txiav txim siab ntev nrog tus mob ntshav qab zib hom 2, ib qho kev txhaj tshuaj ib hnub yog qhov txaus, qhov tsis tuaj ntawm lub ncov yuav pab tswj cov tshuaj insalin nyob rau tib theem txhua lub sijhawm. Nws tau pom tias tom qab hloov mus rau Lantus hauv feem ntau cov neeg mob ntshav qab zib nrog GH> 10% tom qab 3 lub hlis, nws qib poob qis li 2%, tom qab ib nrab xyoo nws nce mus txog qhov tsis suav.

Cov insulins ntev-ntev tau tsim los ntawm tsuas yog 2 tus tuam txhab - Novo Nordisk (Cov tshuaj Levemir thiab Tresiba) thiab Sanofi (Lantus thiab Tujeo).

Sib piv cov yam ntxwv ntawm cov tshuaj hauv koob txhaj tshuaj:

1. 
   Filatova, M.V. Kev tawm dag zog rau kev tawm dag zog rau ntshav qab zib mellitus / M.V. Filatova. - M .: AST, Sova, 2008 .-- 443 p.
2. 
   Tkachuk V. A. Lus taw qhia txog molecular endocrinology: monograph. , MSU Lub Tsev Luam Ntawv - M., 2015. - 256 p.
3. 
   Cov kab mob endocrine thiab cev xeeb tub hauv cov lus nug thiab lus teb. Cov lus qhia rau cov kws kho mob, E-tsis - M., 2015. - 272 c.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.

Cov lus qhia phau ntawv

Insulin Lantus tau pib siv hauv 2000, nws tau sau npe nyob rau hauv Russia 3 xyoo tom qab. Sij hawm dhau los, cov tshuaj tau pov thawj nws txoj kev nyab xeeb thiab ua haujlwm tau zoo, tau suav nrog cov npe tseem ceeb thiab Cov Tshuaj Tseem Ceeb, yog li cov neeg mob ntshav qab zib tuaj yeem nrhiav nws dawb.

Tus nquag ua hauj lwm yog insulin glargine. Piv nrog tib neeg cov tshuaj hormones, glargine molecule hloov kho me ntsis: ib qho acid hloov, ob qho ntxiv. Tom qab kev tswj hwm, xws li cov tshuaj insulin yooj yim tsim cov sib txuas hauv qab tawv nqaij - hexamers. Kev daws tau muaj pH acidic (txog 4), yog li ntawd qhov ua kom lwj ntawm hexamers tsis tshua muaj siab thiab ntseeg tau.

Ntxiv rau glargine, Lantus insulin muaj dej, tshuaj tua kab mob m-cresol thiab zinc chloride, thiab glycerol stabilizer. Qhov xav tau acidity ntawm kev daws yog ua tiav los ntawm kev ntxiv sodium hydroxide lossis hydrochloric acid.

Txawm hais tias qhov peculiarities ntawm molecule, glargine muaj peev xwm khi rau cell receptors tib txoj kev raws li tib neeg cov kua dej, yog li txoj ntsiab cai ntawm kev ua zoo ib yam rau lawv. Lantus tso cai rau koj los tswj cov metabolism hauv qab zib thaum tsis muaj teeb meem ntawm koj tus kheej cov kua dej: nws ua rau cov leeg mob thiab cov nplawm adipose kom nqus tau cov piam thaj, thiab inhibits glucose synthesis los ntawm daim siab.

Txij li Lantus yog ib yam tshuaj lom neeg lawm ntev, nws tau txhaj los tswj kom muaj kua nplaum sai. Raws li txoj cai, yog tias muaj ntshav qab zib mellitus, ua ke nrog Lantus, insulins luv luv yog kho - Insuman ntawm tib lub chaw tsim khoom, nws cov analogues lossis ultrashort Novorapid thiab Humalog.

Cov koob tshuaj ntawm cov tshuaj insulin yog xam raws qhov kev nyeem ntawv sai ntawm glucometer rau ob peb hnub. Nws ntseeg tias Lantus tau nce lub zog tag nrho hauv 3 hnub, yog li kev hloov kho koob tshuaj yog qhov ua tau tsuas yog tom qab lub sijhawm no. Yog hais tias qhov nruab nrab txhua hnub yoo mov glycemia yog> 5.6, qhov ntau ntawm cov Lantus tau nce los ntawm 2 pawg.

Cov koob tshuaj tau txiav txim siab raug xaiv yog tias tsis muaj ntshav qab zib, thiab glycated hemoglobin (HG) tom qab 3 lub hlis ntawm kev siv ntawm 30 ° C kub.

Ntawm kev muag koj tuaj yeem nrhiav 2 txoj kev xaiv rau insulin Lantus. Thawj yog tsim nyob rau hauv lub teb chaws Yelemees, ntim hauv Russia. Lub sijhawm thib ob tag nrho cov khoom lag luam tau tsim nyob rau hauv Russia ntawm Sanofi cog hauv thaj av Oryol. Raws li cov neeg mob, qhov zoo ntawm cov tshuaj yog zoo ib yam, kev hloov ntawm ib txoj kev xaiv mus rau lwm qhov tsis ua rau muaj teeb meem.

Cov Ntaub Ntawv Tseem Ceeb Lantus

Insulin Lantus yog ib qho tshuaj siv ntev. Nws muaj yuav luag tsis muaj qhov kawg thiab ua haujlwm nyob rau thaj tsam li 24 teev, ntev kawg 29 teev. Lub sijhawm, lub zog ntawm kev nqis tes ua, qhov xav tau ntawm insulin yog nyob ntawm tus neeg tus yam ntxwv thiab hom kab mob, yog li ntawd, kev kho mob thiab kev noj tshuaj raug xaiv rau txhua tus neeg mob ib tus zuj zus.

Cov lus qhia rau kev siv pom zoo kom txhaj Lantus ib hnub ib zaug, ib zaug. Raws li cov kab mob ntshav qab zib, kev tswj hwm ob npaug kom ua tau zoo dua, vim nws tso cai siv cov tshuaj ntau hnub thiab hmo ntuj.

Koob suav

Qhov ntau npaum li cas ntawm Lantus xav tau rau kev ceev ceev ntawm glycemia yog nyob ntawm lub xub ntiag ntawm insulin tsis txaus, insulin tsis kam, peculiarities ntawm kev nqus ntawm cov tshuaj los ntawm cov nqaij mos subcutaneous, thiab theem ntawm kev ua si ntawm cov ntshav qab zib. Kev kho kom zoo tsis muaj nyob. Qhov nruab nrab, tag nrho cov kev xav tau rau cov tshuaj insulin yog li ntawm 0.3 txog 1 chav tsev. ib kilogram, feem ntawm Lantus hauv qhov no tso nyiaj rau 30-50%.

Qhov yooj yim tshaj plaws yog xam cov koob tshuaj Lantus los ntawm qhov hnyav, siv cov qauv yooj yim: 0.2 x qhov hnyav hauv kg = ib qho tshuaj txhaj Lantus nrog ib qho txhaj tshuaj. Qhov kev xam no yog qhov tsis muaj tseeb thiab yuav luag txhua lub sijhawm yuav tsum tau kho.

Muab xam los ntawm insulin raws li glycemia muab, raws li txoj cai, qhov txiaj ntsig zoo tshaj plaws. Ua ntej, txiav txim siab qhov koob tshuaj rau yav tsaus ntuj txhaj tshuaj, kom nws muab qhov keeb kwm yav dhau los ntawm insulin hauv cov ntshav thoob plaws hmo ntuj. Qhov ntxim nyiam yuav ua rau tus mob qog ntshav qis nyob hauv cov neeg mob ntawm Lantus tau qis dua ntawm NPH-insulin. Txawm li cas los xij, rau kev nyab xeeb vim li cas, lawv xav tau kev soj ntsuam cov piam thaj txhua zaus thaum lub sijhawm txaus ntshai tshaj plaws - thaum ntxov thaum sawv ntxov, thaum tsim tawm ntawm cov tshuaj hormones-antagonists ntawm cov kua dej yog ua haujlwm.

Thaum sawv ntxov, Lantus tswj hwm kom tsis txhob muaj piam thaj rau hauv plab txhua hnub. Nws cov koob tshuaj tsis yog nyob ntawm seb muaj pes tsawg carbohydrates hauv zaub mov noj. Ua ntej noj tshais, koj yuav tsum tau nkaug ob leeg ntawm Lantus thiab luv luv insulin. Ntxiv mus, nws tsis yooj yim sua kom ntxiv cov koob tshuaj thiab ua kom paub tsuas yog ib hom tshuaj insulin, vim tias lawv txoj cai ntawm kev coj ua yog txawv dhau. Yog tias koj xav tau txhaj tshuaj ntev dhau los ua ntej yuav mus pw, thiab cov piam thaj ntxiv, ua 2 lub tshuaj tib lub sijhawm: Lantus hauv ib qho kev noj ib txwm thiab luv luv insulin. Qhov ntau npaum li cas ntawm cov tshuaj tiv thaiv luv luv tuaj yeem raug suav siv siv mis Forsham, kwv yees ib qho raws li qhov tseeb tias 1 pawg ntawm insulin yuav txo cov suab thaj los ntawm kwv yees li 2 mmol / L.

Taw qhia lub sijhawm

Yog tias nws tau txiav txim siab txhaj Lantus SoloStar raws li cov lus qhia, uas yog, ib hnub ib zaug, nws zoo dua los ua qhov no txog ib teev ua ntej mus pw. Thaum lub sijhawm no, thawj ntu ntawm cov tshuaj insulin muaj sijhawm los nkag rau cov ntshav. Cov koob tshuaj raug xaiv nyob rau hauv xws li txoj hauv kev kom qhov tseeb glycemia thaum tsaus ntuj thiab thaum sawv ntxov.

Thaum muab ob zaug, qhov kev txhaj tshuaj thawj zaug tau ua tom qab yauv nce, thib ob - ua ntej mus pw. Yog tias cov piam thaj tsis zoo rau yav hmo ntuj thiab nce me ntsis thaum sawv ntxov, koj tuaj yeem sim txav mus noj hmo rau lub sijhawm ntxov, li 4 teev ua ntej mus pw.

Ua ke nrog cov tshuaj hypoglycemic

Qhov ntau ntawm cov ntshav qab zib hom 2, qhov nyuaj ua raws li kev noj haus uas tsis muaj zaub mov, thiab ntau qhov kev phiv los ntawm kev siv cov tshuaj uas muaj suab thaj ua rau muaj qhov tshwm sim ntawm txoj kev tshiab rau nws txoj kev kho mob.

Tam sim no muaj kev pom zoo kom pib txhaj cov tshuaj insulin yog tias glycated hemoglobin ntau dua 9%. Ntau cov kev tshawb fawb pom tau tias ua ntej pib kev siv tshuaj insulin thiab nws txoj kev hloov mus rau lub zog sai sai tau muab cov txiaj ntsig zoo dua li kev kho "rau nres" nrog cov tshuaj tiv thaiv hypoglycemic. Cov hau kev no tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem ntshav qab zib hom 2: tus naj npawb ntawm kev txiav tawm yog 40%, qhov muag thiab lub raum microangiopathy raug txo los ntawm 37%, tus naj npawb ntawm kev ploj tuag yog txo los ntawm 21%.

Ua pov thawj txog kev kho zoo:

1. Tom qab kuaj mob - kev noj haus, kis las, Metformin.
2. Thaum qhov kev kho no tsis txaus, sulfonylurea npaj tau ntxiv.
3. Nrog kev vam meej ntxiv, kev hloov pauv hauv lub neej, metformin thiab insulin ntev.
4. Tom qab ntawd cov tshuaj insulin luv luv raug ntxiv rau cov insulin ntev, ib qho kev tswj hwm ntawm insulin kho tau siv.

Ntawm theem 3 thiab 4, Lantus tuaj yeem siv tau zoo. Vim tias qhov kev txiav txim siab ntev nrog tus mob ntshav qab zib hom 2, ib qho kev txhaj tshuaj ib hnub yog qhov txaus, qhov tsis tuaj ntawm lub ncov yuav pab ua kom cov tshuaj insalin nyob rau tib theem txhua lub sijhawm. Nws tau pom tias tom qab hloov mus rau Lantus hauv feem ntau cov neeg mob ntshav qab zib nrog GH> 10% tom qab 3 lub hlis, nws qib poob qis li 2%, tom qab ib nrab xyoo nws nce mus txog qhov tsis suav.

Cov insulins ntev-ntev tau tsim los ntawm tsuas yog 2 tus tuam txhab - Novo Nordisk (Cov tshuaj Levemir thiab Tresiba) thiab Sanofi (Lantus thiab Tujeo).

Sib piv cov yam ntxwv ntawm cov tshuaj hauv koob txhaj tshuaj:

Lantus lossis Levemir - uas zoo dua?

Cov tshuaj insulin nrog cov yeeb yaj kiab uas yuav luag hu ua Lantus thiab Levemir (ntau ntxiv txog Levemir). Thaum siv qee yam ntawm lawv, koj tuaj yeem tso siab tau tias hnub no nws yuav ua qhov zoo ib yam li nag hmo. Nrog rau qhov tsim nyog ntawm cov tshuaj insulin ntev, koj tuaj yeem pw tsaug zog kom muaj kev thaj yeeb nyab xeeb ib hmos yam tsis muaj kev ntshai ntawm kev mob ntshav qab zib.

Qhov sib txawv ntawm cov tshuaj:

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm qhov teeb meem mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov mob ntshav qab zib mellitus kom zoo. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

1. Levemir qhov kev ua yog smoother. Ntawm daim kab ntsuas, qhov sib txawv no tau pom meej meej, hauv lub neej tiag tiag nws yog qhov yuav luag tsis pom. Raws li kev txheeb xyuas, cov nyhuv ntawm ob qho tib si insulins yog qhov zoo ib yam, thaum hloov ntawm ib qho mus rau lwm qhov feem ntau koj tsis tas yuav hloov pauv cov koob tshuaj.
2. Lantus ua haujlwm ntev dua Levemir. Hauv cov lus qhia rau siv, nws raug pom zoo kom laim nws 1 lub sijhawm, Levemir - txog 2 zaug. Hauv kev xyaum, ob qho tshuaj ua haujlwm zoo dua thaum muab tshuaj rau ob zaug.
3. Levemir nyiam rau cov neeg mob ntshav qab zib nrog ib qho xav tau ntawm insulin tsawg kawg. Nws tuaj yeem yuav hauv cov ntawv cartridges thiab ntxig rau hauv cov xaum xaum nrog cov kauj ruam ntawm 0.5 ntsuas. Lub teeb tsa muag tsuas yog muag hauv cov npuaj tiav hauv qhov nce ntawm 1 chav tsev.
4. Levemir muaj pH nruab nrab, yog li nws tuaj yeem diluted, uas yog qhov tseem ceeb rau cov menyuam yaus thiab cov ntshav qab zib muaj qhov siab rhiab heev rau qhov hormone. Insulin Lantus plam nws lub zog thaum diluted.
5. Levemir nyob rau hauv qhib daim ntawv yog khaws cia 1.5 zaug ntev dua (6 lub lis piam tiv thaiv 4 ntawm Lantus).
6. Cov chaw tsim khoom tshaj tawm tias nrog hom 2 ntshav qab zib, Levemir ua rau lub cev hnyav dua. Hauv kev xyaum, qhov sib txawv nrog Lantus yog qhov tsis lees paub.

Feem ntau, ob qho tshuaj puav leej zoo sib xws, yog li muaj ntshav qab zib tsis muaj lub laj thawj hloov pauv ib qho tsis muaj laj thawj: tsis haum tshuaj lossis tswj tsis zoo glycemic.

Lantus lossis Tujeo - yuav xaiv dab tsi?

Cov tshuaj insulin Tujeo yog ua los ntawm tib lub tuam txhab li Lantus. Qhov tsuas yog qhov txawv ntawm Tujeo yog qhov kev nce ntawm 3-zaug concentration ntawm cov tshuaj insulin hauv kev daws (U300 hloov U100). Tus so ntawm muaj pes tsawg leeg zoo tib yam.

Qhov txawv ntawm Lantus thiab Tujeo:

• Tujeo ua haujlwm txog 36 teev, yog li qhov profile ntawm nws qhov kev ua yog flatter, thiab kev pheej hmoo ntawm nocturnal hypoglycemia tsawg dua
• nyob rau hauv milliliters, Tujeo koob tshuaj yog li ib feem peb ntawm Lantus insulin koob,
• hauv cov koog - Tujeo yuav tsum tau kwv yees li 20% ntxiv
• Tujeo yog cov tshuaj tshiab dua, yog li nws cov nyhuv ntawm menyuam lub cev tseem tsis tau raug tshawb nrhiav. Cov kev qhia txwv txwv tsis pub nws siv rau cov neeg mob ntshav qab zib tsis tau muaj hnub nyoog 18 xyoo,
• Raws li kev txheeb xyuas, Tujeo yog qhov muaj feem ntau los ua crystallization hauv rab koob, yog li nws yuav tau hloov txhua zaus nrog lub tshiab.

Mus los ntawm Lantus mus rau Tujeo yog qhov yooj yim heev: peb txhaj ntau yam raws li ua ntej, thiab peb soj ntsuam glycemia rau 3 hnub. Feem ntau cov yuav hloov, koob tshuaj yuav tsum tau yoog tom qab me ntsis.

Lantus lossis Tresiba - qhov twg zoo dua?

Tresiba tsuas yog tus tswv cuab pom zoo ntawm cov pab pawg tshiab ntev-ntev insulin. Nws ua haujlwm ntev txog 42 teev. Tam sim no, nws tau tshaj tawm tias nrog hom 2 yam kab mob, kev kho mob TGX txo GH los ntawm 0.5%, mob ntshav qab zib tsawg li 20%, qab zib tsawg dua 30% tsawg dua thaum tsaus ntuj.

Nrog rau hom ntshav qab zib hom 1, qhov tshwm sim tsis yog li muaj kev txhawb nqa: GH txo qis los ntawm 0.2%, hmo ntuj ntshav qab zib tsawg dua 15%, tab sis yav tav su, qab zib poob ntau dua li 10%. Tau hais tias tus nqi ntawm Treshiba yog tus nqi ntau dua, kom deb li deb nws tsuas yog pom zoo rau cov neeg mob ntshav qab zib nrog hom 2 tus kab mob thiab tus nyiam ua kom ntshav qog ntshav qab zib. Yog tias ntshav qab zib tuaj yeem them nyiaj rau nrog Lantus insulin, hloov pauv nws tsis pom dab tsi.

Kev Ntsuas Cov Ntawv Ntsuas

Lantus yog qhov zoo tshaj plaws insulin nyob rau hauv Russia. Ntau dua 90% ntawm cov neeg mob ntshav qab zib tau zoo siab nrog nws thiab tuaj yeem pom zoo rau lwm tus. Qhov tsis muaj qhov zoo ntawm cov neeg mob suav nrog nws cov txiaj ntsig ntev, du, ruaj khov thiab cov kwv yees tau yooj yim, xaiv cov koob tshuaj yooj yim, kev siv yooj yim, tsis siv tshuaj txhaj.

Cov lus taw qhia zoo tsim nyog lub peev xwm ntawm Lantus tshem tawm sawv ntxov hauv qab zib, qhov tsis muaj txiaj ntsig rau qhov hnyav. Nws qhov koob tshuaj ntau zaus tsawg dua NPH-insulin.

Ntawm qhov kev ua tsis tiav, cov neeg mob ntshav qab zib mellitus nco ntsoov qhov tsis muaj daim cartridges tsis muaj kua mem rau ntawm kev muag, theem noj ntau dhau, thiab tsis hnov ​​tsw tsw ntxhiab ntawm insulin.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>