Harkokin insulin shine tushen maganin cututtukan type 1. Insulin ne kawai zai iya rage matakan sukari na jini kuma hakan zai hana ci gaban cututtukan dake tattare da cutar sankara, kamar hangen nesa, da lalacewar gabobin, ci gaban cututtukan zuciya, kodan da tsarin narkewa.
Marasa lafiya sun san cewa dole ne a gudanar da insulin a ƙarƙashin ƙasa, tunda a wannan yanayin miyagun ƙwayoyi suna shiga cikin ƙwayar subcutaneous, daga inda ake hankali da shi cikin jini. Wannan yana taimakawa mafi kyawun sarrafa raguwar sukari na jini da hana shi faɗuwa sosai.
Koyaya, wani lokacin yanayi yakan taso yayin da allurar subulinaneous na insulin bazai isa ya kula da mai haƙuri ba, sannan ana gudanar da wannan magani a cikin jijiya, ta amfani da allura ko dusar ƙanƙara.
Dole ne a gudanar da irin wannan warkewar kulawa tare da kulawa sosai, saboda yana ba da gudummawa ga kusan karuwa nan da nan a matakan insulin da raguwa cikin hanzarin ƙwayar glucose, wanda zai haifar da matsanancin rashin ƙarfi na jini.
Sabili da haka, kafin hadawa da sarrafawar insulin a cikin maganin warkewarta, yana da mahimmanci a fayyace lokacin da irin wannan amfani da miyagun ƙwayoyi ya zama barata kuma menene tabbatacce kuma mummunan sakamako zai iya haifar da shi.
Lokacin da aka gudanar da insulin a cikin zuciya
Kamar yadda aka ambata a sama, allurar insulin a cikin jijiya na iya zama mara lafiya ga mai haƙuri, saboda haka, allurar rigakafin ƙwayoyi ya kamata a yi amfani dashi azaman makoma ta ƙarshe.
Mafi yawancin lokuta, ana gudanar da aikin kwantar da hankali na insulin don dalilai na likita don maganin rikitarwa, sune:
- Mai tsananin hauhawar jini da cutar sikila;
- Ketoacidosis da cutar ketoacidotic;
- Hyperosmolar coma;
Wani lokaci mara lafiya da kansa ya yanke shawarar canzawa daga allura ta subcutaneous zuwa ciki. A matsayinka na mai mulkin, akwai wasu manyan dalilai na wannan:
- Sha'awar hanzarta tasirin maganin;
- Sha'awar rage kashi na insulin;
- Haɗari ya shigo cikin jijiya lokacin allura.
A cewar masana ilimin kimiya na endocrinologists, kusan kowane mara lafiyar mai ciwon sukari ya shigar da magungunan insulin cikin jini a kalla sau daya, amma yawancin likitoci suna gargadin marassa lafiyar su game da wannan matakin.
Da fari dai, saboda yawancin insulins an tsara su musamman don subcutaneous ko gudanarwa na wucin gadi. Gaskiya ne game da kwayoyi waɗanda aka samar da nau'in dakatarwa, waɗanda aka haramta yin kaciya don shiga cikin jijiya.
Abu na biyu, ba duk marasa lafiya da masu ciwon sukari ke iya lura da alamun haɓakar haɓakawa cikin lokaci ba, wanda ya fi dacewa ga marasa lafiya da ke fama da ciwon sukari na dogon lokaci.
Gaskiyar ita ce saboda yawan sauye-sauye a cikin matakan sukari na jini, masu ciwon sukari tare da dogon tarihi sun daina bambanta tsakanin alamu na low da babban sukari har sai yanayinsa ya zama mai mahimmanci.
A wannan yanayin, mutum na iya rasa hankali kuma ya faɗi cikin rashin lafiya, wanda ba tare da taimakon likita na lokaci ba zai haifar da mutuwa.
Insulin cikin ciki don lura da cututtukan mahaifa
Dukkanin marasa lafiya da ciwon sukari suna sane da abin da hyperglycemia yake. Wannan rikice-rikice na iya haɓaka sakamakon cin abinci, ƙididdigar rashin daidaituwa na insulin, tsallake tsinkar allura, matsananciyar damuwa, kamuwa da cuta ta hoto, da sauran abubuwan da yawa.
Hyperglycemia yawanci yakan fara tasowa a hankali, da farko an nuna shi ta bayyanar alamun halaye masu zuwa:
- Mummunar rauni;
- Jin zafi a kai;
- M ƙishirwa;
- Urin yawan yin iska;
- Rashin gani;
- Bakin bushewa;
- Fatar fata.
A wannan mataki na haɓaka rikice-rikice, don inganta yanayin haƙuri, ya isa ya sanya inan ƙananan allurar ƙananan allurai na gajeren insulin, wanda zai taimaka rage yawan sukarin jini zuwa matakin al'ada.
Koyaya, ƙarin karuwa a cikin taro na glucose a cikin jiki na iya haifar da haɓaka mummunan yanayin mai haɗari - ketoacidosis. Ana nuna shi ta hanyar tara ƙwayar acetone a cikin jini, wanda zai iya haifar da ƙonewa sosai a jiki kuma yana haifar da rikicewar aiki a cikin zuciya da kodan.
Zai yiwu a tantance kasancewar ketoacidosis a cikin mara haƙuri ta hanyar ƙarfin acetone. Idan ya kasance, yana nufin cewa matakin sukari na jini na mai haƙuri ya tashi sama da 20 mmol / l, wanda ke buƙatar kulawar likita na gaggawa.
A irin wannan yanayin, allurar da ke cikin insulin na yau da kullun bazai isa ya rage yawan sukarin jini ba. A cikin wannan babban taro na glucose, kawai gudanarwar cikin jijiyar insulin zai iya taimakawa mai haƙuri.
A wannan yanayin, yana da mahimmanci don yin lissafin sashi daidai, tunda allurar insulin cikin ciki ya kamata yayi amfani da ɗan ƙaramin ƙwayar. Matsakaicin insulin ya dogara da sukarin jininka. Misali, a cikin maras lafiya a gab da wani yanayi na rashin karfin jini na hyperosmolar tare da ciwon sukari, matakin glucose na iya wuce 50 mmol / l.
A cikin wannan yanayin, jinin mai haƙuri yana cike da glucose har ya rasa abubuwan da suka saba, suka zama mai kauri da danko. Wannan mummunar cutar ta shafi aikin jijiyoyin jini da urinary tsarin, kuma yana kawo haɗari ga rayuwar mai haƙuri.
Ka cire mara lafiya daga wannan yanayin, bai isa ba kawai kawai a saka allurar cikin ciki. Wannan yana buƙatar ci gaba da jiko na miyagun ƙwayoyi a cikin jikin mai haƙuri ta hanyar drip. Mutuwar insulin shine taimako na farko don mummunan lokuta na cututtukan hawan jini.
Ana amfani da insulin droppers ne kawai a lokacin kulawa da mara lafiya a asibiti, saboda yana buƙatar ƙwarewa da ilimi da yawa. An haramta yin amfani da su sosai a gida saboda babban barazanar cutar rashin ƙarfi.
Sauran insulin na ciki
Wani lokaci marasa lafiya masu ciwon sukari suna yin insulin cikin jini don karfafawa da haɓaka sakamakon maganin. Kowane mai ciwon sukari ya san cewa duk wani ƙaruwa na sukari na jini yana haifar da sakamako mara canzawa a jikinsa, yana lalata tasoshin jini da jijiyoyin jijiya.
Saboda haka, mutane da yawa waɗanda ke fama da ciwon sukari suna ɗaukar ƙananan matakan glucose su da wuri-wuri don haka rage cutarwarsu ga jiki. Koyaya, babban haɗarin haɓakar ciwon sukari yana ƙin yuwuwar fa'idodin irin wannan jiyya, saboda ƙarancin sukari na jini ba shi da haɗari fiye da babba.
Saboda haka, tare da haɓakar sukari na jini, kashi na yau da kullun na gajeren insulin ya kamata a gudanar dashi ƙarƙashin ƙasa. Wannan hanyar magance babban sukari shine mafi inganci kuma mai lafiya. Idan allura guda daya bai isa ba don saukar da glucose, to bayan ɗan lokaci zaku iya yin ƙarin allura.
Wani dalili na masu ciwon sukari na iya son canza allurar injection na insulin tare da wadanda ke cikin ciki shine sha'awar rage farashin magunguna. Duk wanda ke da cutar sankara ya san cewa insulin magani ne mai tsada. Kuma ko da tare da in mun gwada da rashin daidaituwa na yau da kullun na miyagun ƙwayoyi, yawan amfani dashi babban abu ne.
Marasa lafiya waɗanda suke amfani da famfon insulin suna da tsada musamman. Yayinda ake buƙatar gudanar da aikin insulin a cikin sau da yawa ana buƙatar ƙasa da subcutaneous. Wannan, tabbas, babbar ƙari ce ga wannan hanyar magani.
Koyaya, tare da allura ta insulin, duka ƙarar ƙwayar rhinestones ta shiga cikin jini, wanda ke haifar da raguwa cikin matakan glucose. Ganin cewa yana ƙarƙashin insulin na insulin, yana shiga hankali a cikin jini daga ƙwayar subcutaneous, sannu a hankali yana rage sukarin jini.
Wannan lura da cutar sankarau ya fi amfani ga mai haƙuri, saboda shine mafi ƙamƙar kwaikwayon tsarin da ke faruwa a jikin mutum mai lafiya. Raguwa sosai a matakan glucose na haifar da firgici a cikin jiki kuma yana iya haifar da sakamako masu haɗari.
Yawancin hare-haren hypoglycemia, wanda ba makawa tare da gudanarwar insulin, na iya haifar da damuwa a cikin kwakwalwa kuma yana haifar da rikicewar kwakwalwa. Saboda haka, yakamata a saka allurar a cikin jijiya kawai a lokuta masu wuya, alal misali, tare da tsawan matakan sukari.
Amma wani lokacin gabatarwar insulin a cikin jijiya na iya faruwa ba da gangan ba idan mai haɗari ya shiga cikin jijiya lokacin allura. Irin waɗannan halayen sun zama ruwan dare musamman idan mara lafiya ba ya yin ciki, amma a cikin kwatangwalo. Ayyade wannan abu ne mai sauƙi: bayan allura a cikin jijiya, jinin venous koyaushe yana bayyana akan fatar, wanda ke da launi mai duhu fiye da gashin kai.
A wannan yanayin, dole ne a kai tsaye a ɗauki allunan glucose, a ci cokali mai na zuma ko a sha ruwan zaƙi. Wannan zai taimaka rage yawan zubar jini a cikin jini da kuma kare mai haƙuri daga zub da jini.
Kwararre a cikin bidiyon a cikin wannan labarin zai yi magana game da dabarar sarrafa insulin.
