Apidra haraji ne na sake insulin jikin mutum, babban sinadaran aiki shine glulisin. Kwarewar ƙwayar cuta shine ya fara aiki da sauri fiye da insulin ɗan adam, amma tsawon lokacin aiki yana da ƙasa sosai.
Hanyar sashi na wannan insulin shine mafita don gudanarwar subcutaneous, ruwa mai tsafta ko mara launi. Mlaya daga cikin ml na maganin yana ƙunshe da ƙwayar 3.49 na abu mai aiki, wanda yake daidai da 100 IU na insulin ɗan adam, da magabata, gami da ruwa don allura da sodium hydroxide.
Farashin insulin na APidra ya bambanta da farashin canji na yanzu. Matsakaici a Rasha, mai ciwon sukari na iya sayan magani don 2000-3000 dubu rubles.
Tasirin warkewar cutar
Mafi mahimmancin aikin Apidra shine ka'idojin inganci na glucose metabolism a cikin jini, insulin ya sami damar rage yawan sukari, ta haka yana ƙarfafa shawarsa ta hanyar tsinkaye na waje:
- kitse;
- tsoka mai narkewa.
Insulin yana hana samar da glucose a cikin hanta mai haƙuri, adipocyte lipolysis, proteolysis, da kuma haɓakar haɓakar furotin.
A cikin binciken da aka gudanar kan mutane masu lafiya da marasa lafiya da ke fama da cutar sankara, an gano cewa gudanar da mulki na glulisin yana bayar da sakamako mai sauri, amma tare da gajeren lokaci, idan aka kwatanta da insulin mutum na narkewa.
Tare da gudanarwa na ƙwayar subcutaneous na miyagun ƙwayoyi, tasirin hypoglycemic zai faru a cikin mintuna 10 zuwa 20, tare da injections na ciki wannan tasirin yana daidai da ƙarfi ga aikin insulin na mutum. Apungiyar Apidra tana da halin aiki na rashin ƙarfi, wanda ya yi daidai da na insulin ɗan adam mai narkewa.
Ana gudanar da insulin na Apidra 2 mintuna kafin abincin da aka yi niyya, wanda ke ba da izinin sarrafa glycemic na al'ada na postprandial, mai kama da insulin na mutum, wanda ana gudanar da minti 30 kafin abinci. Ya kamata a lura cewa irin wannan kulawa ita ce mafi kyau.
Idan ana gudanar da glulisin mintina 15 bayan cin abinci, zai iya samun damar kula da yawan sukarin jini, wanda ya yi daidai da insulin na mutum wanda aka ba shi mintina 2 kafin cin abinci.
Insulin zai tsaya a cikin jini tsawon minti 98.
Umarnin don amfani da miyagun ƙwayoyi
Alamar don amfani da insulin Apidra SoloStar ita ce ƙwayar ciwon sukari-wanda ke dogaro da mellitus na farko da na biyu, ana iya ba da maganin ga manya da yara sama da shekaru 6. Contraindications zai zama hypoglycemia da rashin haƙuri ɗaya zuwa kowane ɓangare na miyagun ƙwayoyi.
Yayin cikin ciki da shayarwa, ana amfani da Apidra tare da taka tsantsan.
Ana gudanar da insulin nan da nan kafin abinci ko mintina 15 kafin. Hakanan an ba shi izinin yin amfani da insulin bayan abinci. Yawancin lokaci, Apidra SoloStar ana ba da shawarar a cikin yanayin kulawa na insulin na matsakaici, tare da analogues na insulin na tsawon lokaci. Ga wasu marasa lafiya, ana iya tsara shi tare da allunan rigakafin jini.
Ga kowane mai ciwon sukari, ya kamata a zaɓi hanyar yin aikin mutum ɗaya, la'akari da cewa gazawar renal, an rage buƙatar wannan hormone sosai.
An yarda da miyagun ƙwayoyi don gudanar da subcutaneously, jiko cikin yankin na subcutaneous mai. Mafi kyawun wurare don kulawar insulin:
- Belly
- cinya
- kafada.
Lokacin da ake buƙatar ci gaba da jiko, gabatarwar ana gudana ne ta musamman a cikin ciki. Likitocin sun bada shawarar sosai akan hanyoyin yin allurar, tabbatar da tsaurara matakan aminci. Wannan zai hana shigarwar insulin cikin jijiyoyin jini. Gudanar da ƙananan ƙwayoyin cuta ta jikin bangon yankin mai ciki shine tabbacin mafi yawan shan ƙwayoyi fiye da gabatarwar sa zuwa wasu sassan jikin mutum.
Bayan allurar, an hana shi tausa wurin allurar, likitan ya kamata ya ba da labarin wannan yayin taƙaitaccen hanyar da ta dace don gudanar da maganin.
Yana da mahimmanci a san cewa wannan magani bai kamata a gauraye da sauran insulins ba, ƙarancin wannan dokar shine insulin Isofan. Idan kun haɗu da Apidra da Isofan, kuna buƙatar bugawa da farko kuma nan da nan farashi.
Dole ne a yi amfani da katunan katako tare da alkalami na OptiPen Pro1 ko tare da wannan na'urar, tabbatar cewa bin shawarwarin mai ƙira:
- cike take da katako;
- shiga cikin allura;
- gabatarwar miyagun ƙwayoyi.
Kowane lokaci kafin amfani da na'urar, yana da mahimmanci a gudanar da bincike na gani; maganin allurar ya kamata ya zama mai cikakken haske, mara launi, ba tare da tsayayyen abubuwan gani ba.
Kafin shigarwa, dole ne a ajiye katako a cikin zafin jiki a cikin aƙalla awanni 1-2, nan da nan kafin gabatarwar insulin, an cire iska daga cikin kicin. Ba za a cika harsashin da aka sake amfani da shi ba, ana watsar da sikirin da aka lalata. Lokacin amfani da tsarin famfo don samar da insulin ci gaba, haɗawa haramun ne!
Don ƙarin bayani, da fatan a karanta umarnin don amfani. An kula da marasa lafiya masu zuwa sosai:
- tare da aiki na nakasa mai rauni (akwai buƙatar sake duba adadin insulin);
- tare da aikin hanta mai rauni (buƙatar hormone yana iya raguwa).
Babu wani bayani game da karatuttukan magani na magunguna a cikin tsofaffi marasa lafiya, duk da haka, ya kamata a haɗu da hankali cewa wannan rukuni na marasa lafiya na iya rage buƙatar insulin saboda rashin aiki na keɓaɓɓen aiki.
Za a iya amfani da vial insulin na insulin tare da tsarin insulin mahaifa, sirinji insulin tare da sikelin da ya dace. Bayan kowace allura, sai an cire allura daga sirinji ya watsar. Wannan hanyar zai taimaka wajen hana kamuwa da cuta, yaduwar magunguna, shigar iska, da kuma rufe allurar. Ba za ku iya yin gwaji tare da lafiyar ku ba kuma sake amfani da allura.
Don hana kamuwa da cuta, ana amfani da alƙalami mai sikari guda ɗaya kawai wanda ke fama da ciwon sukari, ba za'a iya tura shi ga wasu mutanen ba.
Magidodi na yawan abin sama da ya kamata da kuma cutarwa
Mafi sau da yawa, mai haƙuri da ciwon sukari na iya haɓaka irin wannan sakamako wanda ba a so kamar hypoglycemia.
A wasu halayen, miyagun ƙwayoyi suna haifar da wucewar fata da kumburi a wurin allurar.
Wani lokacin tambaya ce na lipodystrophy a cikin ciwon sukari na mellitus, idan mai haƙuri bai bi shawarar ba a madadin wuraren allurar insulin.
Sauran halayen rashin lafiyan halayen sun hada da:
- shaƙa, urticaria, rashin lafiyar dermatitis (sau da yawa);
- kirji (kirji).
Tare da bayyanarwar halayen ƙwayar cuta na gaba ɗaya, akwai haɗari ga rayuwar mai haƙuri. A saboda wannan dalili, yana da mahimmanci ku kula da lafiyarku kuma ku saurari abubuwan damuwarta.
Lokacin da yawan abin sama da ya faru, mai haƙuri yana haɓaka ƙwanƙwasa ƙwayar cuta mai ƙarfi a hankali. A wannan yanayin, an nuna magani:
- m hypoglycemia - amfani da abinci wanda ke da sukari (a cikin masu ciwon sukari ya kamata koyaushe ya kasance tare da su);
- tsananin hypoglycemia tare da asarar hankali - tsayawa ana aiwatar da shi ta hanyar gudanar da 1 mil na glucagon subcutaneously ko intramuscularly, ana iya gudanar da glucose a cikin jijiya (idan mai haƙuri bai amsa glucagon ba).
Da zarar mai haƙuri ya dawo cikin hayyacinsa, yana buƙatar cin ɗan adadin carbohydrates.
Sakamakon cututtukan hypoglycemia ko hyperglycemia, akwai haɗarin ƙarancin ƙarfin haƙuri na mai da hankali, canza saurin halayen psychomotor. Wannan yana haifar da wata barazana yayin tuki motocin ko wasu hanyoyin.
Ya kamata kulawa ta musamman ga masu ciwon sukari da ke da ikon ragewa ko kuma ba su da cikakkiyar damar sanin alamun cutar rashin ƙarfi. Hakanan yana da mahimmanci don sassaukar yawan sukari mai narkewa.
Irin waɗannan marasa lafiya ya kamata su yanke shawara game da yiwuwar sarrafa abubuwan hawa da injuna daban-daban.
Sauran shawarwari
Tare da amfani da insulin na Apidra SoloStar insulin tare da wasu kwayoyi, ana iya samun haɓaka ko raguwa a cikin tsinkaye don ci gaban hypoglycemia, al'ada ce a haɗa da irin waɗannan hanyoyin:
- maganin zub da jini;
- ACE masu hanawa;
- fibrates;
- Disopyramids;
- MAO masu hanawa;
- Fluoxetine;
- Pentoxifylline;
- salicylates;
- Propoxyphene;
- maganin antimicrobials na sulfonamide.
Tasirin hypoglycemic zai iya raguwa nan da nan sau da yawa idan an gudanar da insulin glulisin tare da kwayoyi: diuretics, abubuwan da ke haifar da kwayoyin halittar sitot, cututtukan thyroid, inhibitors, antipsychotropic, glucocorticosteroids, Isoniazid, Phenothiazine, Somatropin, sympathomimetics.
Magungunan Pentamidine kusan koyaushe yana da hypoglycemia da hyperglycemia. Ethanol, salts lithium, beta-blockers, miyagun ƙwayoyi Clonidine na iya yin ƙarfin ƙarfi kuma ya ɗan raunana tasirin hypoglycemic.
Idan ya zama dole don canja wurin masu ciwon sukari zuwa wani nau'in insulin ko wani nau'in magani, tsananin kulawa daga likitan halartar yana da mahimmanci. Lokacin da aka yi amfani da isasshen maganin insulin ko kuma mara lafiya ya yanke shawarar yanke magani, wannan zai haifar da ci gaban:
- mai zafi hyperglycemia;
- mai fama da ciwon sukari ketoacidosis.
Duk waɗannan yanayin suna haifar da haɗari ga rayuwar mai haƙuri.
Idan akwai wani canji a cikin aikin motsa jiki na al'ada, adadi da ingancin abinci da ake ci, ana iya buƙatar daidaita sashin insidin insidra. Ayyukan jiki wanda ke faruwa nan da nan bayan cin abinci na iya ƙara yawan yiwuwar ƙin jini.
Marasa lafiya tare da masu ciwon sukari ya canza bukatar yin insulin idan yana da yawan wahalar rai ko cututtuka masu rikitarwa. An tabbatar da wannan tsarin ta hanyar sake dubawa, duka likitoci da marasa lafiya.
Ana buƙatar insulin na Apidra a cikin wuri mai duhu, wanda dole ne a kiyaye shi daga yara har tsawon shekaru 2. Mafi kyawun zazzabi don adana maganin shine daga digiri 2 zuwa 8, haramun ne a daskare insulin!
Bayan fara amfani da shi, ana ajiye katako a cikin zafin jiki wanda bai wuce digiri 25 ba, sun dace don amfani da su na tsawon wata guda.
Bayanin insulin na Apidra an ba da shi a cikin bidiyon a cikin wannan labarin.
