Maka ọgwụgwọ insulin na ndị ọrịa nwere ọrịa shuga, a na-eji ọgwụ ndị dị iche na oge omume eme ihe.
Nke a bụ n'ihi eziokwu ahụ bụ na ọgwụ iji dochie anya insulin ga-enyerịrị ọkwa insulin yana ntinye ọbara mgbe ị risịrị.
Iji nọgide na-enwe insulin kwa ụbọchị dị ka analog nke nzuzo basal, a na-eji insulins dị ogologo. Otu n'ime ọgwụ ọhụrụ na otu a bụ insulin degludec n'okpuru aha azụmaahịa Tresiba FlexTouch. Nke a bụ insulin mmadụ ogologo oge maka ịgwọ ụdị ọrịa shuga 1 na ụdị 2.
Ngwakọta na ụdị ntọhapụ nke Tresib
Ihe na - arụ ọrụ nke ọgwụ Tresib bụ insulin degludec na-agbanwe ọgwụ mmadụ. Enweta insulin dị ka ihe enweghị ngwọta maka nchịkwa n'okpuru anụahụ. Aha ndeputa nke abuo:
- Usoro onunu ogwu 100 PIECES / ml: insulin degludec 3.66 mg, pen sirinji nwere 3 ml nke osisa. Na-enye gị ohere ịbanye ruo nkeji 80 na mgbakwunye nke 1 unit. Na ngwugwu 5 pensụl FlexTouch.
- Usoro onyunyo nke 200 PIECES kwa 1 ml: insulin degludec 7.32 mg, pensụl 3 mil, ị nwere ike tinye 160 PIECES na mmụba nke 2 PIECES. N'ime ngwugwu ahụ enwere pensụl FlexTouch 3.
Edere pen nke maka iwebata insulin, maka ịgba ọgwụ ọgwụ ugboro ugboro.
Njirimara Tresiba
Insulin ọhụụ na-arụ ọrụ ogologo oge nwere ihe na -eme ka ebusa ya sie ike n'ime ụdị nke soluble multihexamers. Ihe owuwu a jiri nwayọ wepuga insulin n’ime ọbara. N'ihi ọnụnọ insulin n'ọbara, ọbara glucose dị n'ọbara mgbe niile.
Isi uru nke Tresib bụ profaịlụ nke nnwere onwe hypoglycemic. Ọgwụ a n’ụbọchị ole na ole ruru ọkwa glucose ma jigide ya n’oge eji ya, ọ bụrụ na onye ọrịa ahụ emebighị usoro nchịkwa ma na-agbaso usoro insulin nke gbakọrọ ma na-agbaso iwu nri.
E gosipụtara ọrụ nke Tresib na ọkwa glucose n'ọbara n'ihi ojiji nke glucose site na akwara na anụ ahụ adipose dị ka isi iyi nke ike n'ime sel. Tyariba, na - eso ndị na - anabata insulin emekọrịta ihe, na - enyere glucose aka ịgafe akpụkpọ ahụ. Na mgbakwunye, ọ na-akpali ọrụ glycogen nke imeju na akwara anụ ahụ.
E gosipụtara mmetụta nke Tresib na metabolism n'eziokwu ahụ bụ na:
- Enweghị ụmụ irighiri glucose ọhụrụ emepụtara na imeju.
- A na-ebelata mmebi nke glycogen site na ebuka na mkpụrụ ndụ imeju.
- A na-agwakọta abụba nke abụba, na-akụda abụba na-akwụsị.
- Ọkwa lipoproteins n'ime ọbara na-abawanye.
- Iri anụ ahụ na-eto ngwa ngwa.
- A na-emewanye protein, a na-ebelata ihie ya n'otu oge.
Insulin nke Tresiba FlexTouch na-echekwa ọgwụ mgbochi ọbara kwa ụbọchị mgbe nchịkwa gasịrị. Oge ngụkọta nke ihe ọ na-eme karịrị awa iri anọ na anọ. A na-etinye uche uche oge niile n'ime ụbọchị abụọ ma ọ bụ 3 3 mgbe agba mbụ ahụ gasịrị.
Uru nke abụọ a na-ejighị n'aka nke ọgwụ a bụ mmepe pụrụ iche nke hypoglycemia, gụnyere nocturnal, ma e jiri ya tụnyere usoro insulin ndị ọzọ. N'ime ọmụmụ ihe ahụ, a hụrụ ụdịrị usoro ahụ n'ime ma ndị na-eto eto ma ndị okenye.
Nyocha nke ndị ọrịa na-eji ọgwụ a gosipụtara nchekwa nke iji ya n'ihe metụtara mbelata shuga na ọgụ hypoglycemia. Ọmụmụ ihe atụ nke Lantus na Tresib egosila otu ha si arụ ọrụ na idozi mkpo insulin.
Mana ojiji ọgwụ ọhụrụ ahụ nwere uru, ebe ọ bụ na ọ ga-ekwe omume belata ọgwụ insulin kwa oge site na 20-30% ma belata ugboro ole ọgụ abalị na - agbadata shuga dị n'ọbara.
Tresiba nwere mmetụta dị mma na ọkwa nke hemoglobin glycated, nke pụtara na ọ nwere ike belata ihe egwu nke ọrịa shuga.
Ole ndị ka Treshiba gosiri?
Isi ihe na - egosi maka ide insulin Treshib, nke nwere ike ijigide ọkwa glycemia bụ shuga.
Ihe mgbochi maka iji ọgwụ eme ihe bụ uche mmadụ n'otu n'otu maka akụkụ nke ihe ngwọta ma ọ bụ ihe eji arụ ọrụ. Ọzọkwa, n’ihi enweghị ihe ọmụma banyere ọgwụ ahụ, enyeghị ya iwu maka ụmụaka na-erubeghị afọ 18, ndị nne na-enye nwa na ụmụ nwanyị dị ime.
Ọ bụ ezie na oge ịpụpụ insulin dị ogologo karịa ụbọchị 1.5, a na-atụ aro ịbanye ya otu ugboro n'ụbọchị, ọkacha mma n'otu oge ahụ. Onye na-arịa ọrịa shuga nke nwere ụdị ọrịa nke abụọ nwere ike ịnata Treshiba ma ọ bụ jikọta ya na ọgwụ na-ebelata shuga na mbadamba. Dabere na njiri mara ụdị shuga nke abụọ, a na-edenye insulins ndị na-adị mkpụmkpụ tinyere ya.
Site na ụdị ọrịa shuga 1 nke ọrịa mellitus, a na-enye T ogob FlexTouch akwụkwọ insulin dị mkpụmkpụ ma ọ bụ nke dị mkpụmkpụ iji kpuchie mkpa maka ịptionụ carbohydrates site na nri.
A na-ekpebi usoro nke insulin site na onyonyo onyonyo nke ọrịa shuga mellitus ma gbanwee ya dabere na ọkwa glucose ọbara na-ebu ọnụ.
Nhọpụta nke ọhụrụ Tresib a rụrụ:
- Mgbe ị na-agbanwe mmega ahụ.
- Mgbe ị na-agbanye nri ọzọ.
- Ọrịa na-efe efe.
- Imebi ọrụ nke sistemụ endocrine - pathology nke gland thyroid, pituitary gland ma ọ bụ adrenal gland.
Enwere ike ịkọwa Tresiba maka ndị agadi agadi nwere ọrịa akụrụ ma ọ bụ hepatic, ma ọ bụrụhaala na ejiri nlezianya nyochaa ọkwa glucose ọbara.
Maka ndị ọrịa nwere ụdị shuga 2, ha na-amalite site na iji 10 PIECES, na-ahọrọ otu onye. Ndị ọrịa nwere ụdị ọrịa mbụ, mgbe ha na-agagharị na Treshiba na insulins ndị ọzọ na-eme ogologo oge, na-eji ụkpụrụ nke "dochie akụkụ site na otu."
Ọ bụrụ na onye ọrịa ahụ natara injections nke insal insal ugboro abụọ, mgbe ahọpụtara dose ahụ dabere na profaịlụ glycemic n'otu n'otu. Tresiba na-enye ohere ndọpụ uche n'ụdị nchịkwa, mana akwadoro etiti oge ọ dịkarịa ala elekere 8.
Enwere ike ịbanye na-efu ihe ịchọrọ n'oge ọ bụla, na-esote ụbọchị ị nwere ike ịlaghachi na atụmatụ gara aga.
Iwu nke iji Treshiba FlexTouch
A na-elekọta Tresib naanị n'okpuru anụahụ. A na-egbochi nchịkwa intravenous maka mmepe nke nnukwu hypoglycemia. Achọghị ka a nye ya intramuscularly na nfuli insulin.
Ebe a na-ahụ maka insulin bụ akụkụ ihu, n'apata ụkwụ, ma ọ bụ mgbidi afọ. You nwere ike iji otu mpaghara mmewere ahụ dị mma, mana oge ọ bụla iji tinye ọnụ na ebe ọhụrụ maka mgbochi nke lipodystrophy.
Iji mkpịsị FlexTouch mee ka insulin ghaa akwụkwọ, ịkwesịrị ịgbaso usoro nke omume:
- Lelee akara mkpịsị ọdee
- Gbaa mbọ hụ na nghọta insulin dị na ya
- Tinye agịga ahụ na aka ahụ
- Chere ruo mgbe ntakịrị insulin pụtara na agịga
- Nịm dose site na-atụgharị dose Selector
- Fanye agịga n'okpuru anụ ahụ ka ọ wee hụkwa.
- Pịa bọtịnụ mmalite.
- Gbanye insulin.
Mgbe ịgba ntụtụ ahụ, agịga kwesịrị ịdị n'okpuru anụ ahụ maka sekọnd isii ọzọ maka mmụba insulin zuru ezu. Mgbe ahụ a ga-ewelite aka ahụ. Ọ bụrụ na ọbara apụta n’anụ ahụ, mgbe ahụ ejiri owu swab kwụọ ya. Ejila ebe a na-agba ogwu.
Ọ bụ naanị ịgba ọgwụ mgbochi ka a ga-ebu naanị iji mkpụrụ akwụkwọ na-arụ ọrụ ọ bụla. Maka nke a, akpụkpọ ahụ na aka tupu ntụtụ ya ga-eji ọgwụ mgbochi nke antiseptics gwọọ ya.
Ekwentị agaghị echekwa mkpịsị FlexTouch ma ọ dị ala. Tupu ịmalite, a na-echekwa ọgwụ ahụ na friji na shelf nke etiti na okpomọkụ 2 ruo 8 ogo. Ejikwala nsogbu a. Mgbe ojiji nke mbụ, a na-echekwa mkpịsịkpọ ụlọ ahụ n'ime ụlọ ebe ihe na-erughị izu asatọ.
Akwọkwala aka ma ọ bụ tee mmanụ ahụ. Ekwesịrị iji ya kpuchie ya ma ọ bụ jiri akwa mmiri kpochaa ya. Anabataghị ịda ngbanye na nhịahụ. Mgbe ejirichara nke ọma, mkpirisi ahụ agaghị ejupụtakwa ọzọ. Cannot nweghị ike ịrụzi ma ọ bụ kwasasị ya.
Iji gbochie nchịkwa na-adịghị mma, ịkwesịrị ịchekwa insulins dị iche iche, wee lelee akara ahụ tupu ị jiri ya ka ị ghara ịbanye n'ime insulin ọzọ na mberede. Ọ dịkwa mkpa ka ị hụ nọmba nke dị na tebulu ogwu. N'anya ọhụhụ, ọ dị gị mkpa iji enyemaka nke ndị nwere ezigbo anya ma zụọ ya na iwebata Tresib FlexTouch.
Mmetụta dị n'akụkụ Treshiba
Degludek, dị ka insulins ndị ọzọ, ọ na-akpatakarị hypoglycemia na usoro a họọrọ nke ọma. Ihe mgbaàmà mberede mgbe ọ na-ebelata shuga n'ụdị ọsụsọ oyi, akpịrịkpa ahụ, adịghị ike na ụjọ, yana agụụ na aka na-ama jijiji, ndị ọrịa niile agaghị amata oge.
A na-egosipụta ịba ụba hypoglycemia site na mmebi nke itinye uche na nghazi na oghere, ụra na-etolite, ọhụụ na-arịa ọfụma, isi ọwụwa na-arịa ọrịa shuga na ọgbụgbọ na-eme. Enwere ike ịnwe nkụchi obi. Ọ bụrụ na-enweghị usoro a n'oge, mgbe ahụ nsụhọ na-ama jijiji, nkwarụ na-apụta, onye ọrịa ahụ nwere ike ịda. Ọbụna enwere ike ịnwe ya.
N'oge hypoglycemia, ọnụego mmeghachi omume na ikike ịzaghachi n'ụzọ ziri ezi, yana itinye uche n'ihe nwere ike ibelata, nke nwere ike itinye ndụ n'ihe egwu mgbe ị na-anya ụgbọala ma ọ bụ jiri usoro ndị ọzọ n'ebe ọrụ.
Yabụ, tupu ịkwọ ụgbọala, ịkwesịrị ijide n'aka na ogo shuga dị nkịtị ma nwee shuga ma ọ bụ ngwaahịa ndị yiri ya. Ọ bụrụ na onye ọrịa nwere ọrịa shuga ahụghị obibia nke hypoglycemia ma ọ bụ nwee ụdị ọnọdụ a ọ na - agakarị, mgbe ahụ, a na-atụ aro ka ọ kwụsị ịkwọ ụgbọala.
Ihe nke abụọ na-esokarị emeghachi omume na iji Tresib bụ lipodystrophy na ntụtụ. Maka mgbochi ya, ịkwesịrị ịbanye ọgwụ ahụ oge ọ bụla na ebe ọhụrụ. Enwere ike ịnwe mgbu, ọnya, redness, ma ọ bụ mgbakasị ahụ na mpaghara ịgba ọgwụ. Akpụ ahụ nwere ike ịgbanwe agba, zaa, itch. N'ebe a na-agba ntụtụ, nodules nke njikọ ahụ na-etolite mgbe ụfọdụ.
Obere nsogbu ndị a sitere na iji Tresib:
- Ihe nfụkasị ahụ na-emetụta ọgwụ ma ọ bụ ndị ochie.
- Uwe.
- Ahụ erughị ala
- Thenkwalite nkwụghachi azụ.
Iji na-emeso hypoglycemia na ọnọdụ afọ ojuju n'ozuzu onye ọrịa, ọ kwesịrị ị productsụ ngwaahịa nwere shuga ma ọ bụ ntụ ọka. Na ọnọdụ amaghị, a na-a gluụ glucose akpukpo aru na glucagon n'okpuru anụahụ. Iji gbochie mwakpo ndị na-esote, mgbe mweghachi nke nsụhọ, ị kwesịrị iri nri carbohydrate.
Agaghị agwakọta Tresiba na ọgwụ ndị ọzọ. Agaghị agbakwunye ọgwụ ahụ na ngwọta infusion. Site na nhọpụta nke Tresib na Aktos ma ọ bụ Avandia, enwere ikpe nke mmepe nke nkụda obi. Na ọnụnọ nke ọrịa obi na ọnya nke mbibi akwara obi nke Tresib, ọgwụ ndị a ejikọtaghị.
Site na mwepụ ọgwụ ọjọọ eme ihe ma ọ bụ ọgwụ ezughi oke, hyperglycemia na ketoacidosis na-arịa ọrịa shuga. Emere nke a site na nje ma ọ bụ ọrịa nje, ọrịa nke akụkụ endocrine, yana nchịkwa nke glucocorticosteroid ọgwụ, estrogens, ọgwụ mgbochi, diuretics, homonụ ibu ma ọ bụ Danazole.
Ihe mgbaàmà nke hyperglycemia na-abawanye nke nta nke nta ma gosipụta ya site na ọgbụgbọ, akpịrị ịkpọ nkụ, mmụba mmamịrị, ụra, redness nke anụ ahụ, akpọnwụ akpọnwụ. Mgbe enwere isi acetone, ihe ize ndụ nke ketoacidosis na coma na-abawanye. E gosipụtara ndị ọrịa n'ụlọ ọgwụ ngwa ngwa. A na - eji insulin Ultrashort mee ihe maka ọgwụgwọ.
Veraakingụ ihe ọ alcoụholicụ na-aba n’anya nwere ike imetụta ma iwusi ike ma ọ na-akụda ọrụ insulin.
Ngwongwo ogwu nke insulin Treshiba ga-agwa vidiyo ahụ n'isiokwu a.
