Don maganin insulin a cikin marasa lafiya da ciwon sukari, ana amfani da magungunan da suka bambanta lokacin aiki.
Wannan saboda gaskiyar cewa maye gurbin insulin dole ne ya samar da duka bashin insulin da shigowar shi cikin jini bayan cin abinci.
Don kula da insulin na yau da kullun azaman analog na asirin basal, ana amfani da insulins mai tsayi. Daya daga cikin sababbin magunguna a cikin wannan rukunin shine insulin degludec karkashin sunan kasuwanci Tresiba FlexTouch. Wannan insulin ne na dan-adam na karin lokaci domin maganin nau'in 1 da nau'in ciwon sukari na 2.
Saiti da tsari na sakin Tresib
Abubuwan da ke aiki da miyagun ƙwayoyi Tresib suna sake zama insulin degludec na ɗan adam. Ana samun insulin a matsayin mafita mara launi don gudanarwa a ƙarƙashin fata. An yi rajista nau'i biyu na sakin:
- Sashi 100 PIECES / ml: insulin degludec 3.66 MG, alkalami mai narkewa tare da 3 ml na bayani. Yana ba ku damar shiga cikin raka'a 80 a cikin ƙarfe na 1 naúrar. A cikin kayan kunshin 5 FensTouch.
- Sashi 200 PIECES ta 1 ml: insulin degludec 7.32 mg, 3 ml allura, zaku iya shigar 160 PIECES a cikin karuwar 2 PIECES. A cikin kunshin akwai akwai FensTouch alkalami 3.
Alƙalami don gabatarwar insulin ana iya amfani dashi, don maimaita allurar maganin.
Kayan aikin insulin na Tresiba
Sabbin insulin na matsanancin aiki da tsawon-lokaci suna da mallakin depot a cikin subcutaneous tissue a jikin mai narkewa mai narkewa. Wannan tsarin a hankali yana fitar da insulin a cikin jini. Sakamakon kasancewar insulin a cikin jini, yawanci glucose din cikin jini yana da tabbas.
Babban fa'idar Tresib shine bayanin martaba na hypoglycemic. Wannan magani a cikin 'yan kwanaki ya kai ga matsayin glucose na matakan glucose kuma yana kiyaye shi duk lokacin amfani, idan mai haƙuri ba ya keta tsarin kulawa da bin ƙididdigar insulin kuma yana bin ka'idodin tsarin abinci mai gina jiki.
Ayyukan Tresib akan matakin glucose a cikin jini an bayyana shi ne ta hanyar amfani da glucose ta tsokoki da tsopose nama a matsayin tushen kuzari a cikin sel. Tyariba, hulɗa tare da masu karɓar insulin, yana taimakawa glucose don ƙetare membrane. Bugu da ƙari, yana ƙarfafa ayyukan glycogen na hanta da ƙwayar tsoka.
Ana nuna tasirin Tresib akan metabolism a cikin gaskiyar cewa:
- Babu sabon kwayoyin glucose da aka kirkira a hanta.
- Rushewar glycogen daga hannun jari a sel hanta an rage shi.
- Abubuwan da ke tattare da mai sunadarai ne, kuma barkewar mai zai tsaya.
- Matsayin lipoproteins a cikin jini yana ƙaruwa.
- Tsarin tsoka yana karawa.
- Yana haɓaka tsarin furotin kuma an rage haɓaka aikin lokaci guda.
Tresiba FlexTouch insulin tana kare jini daga jinin haila a ranar bayan tafiyar. Jimlar lokacin aikinta ya wuce awanni 42. Ana samun daidaituwa akai akai tsakanin kwana 2 ko 3 bayan allurar ta farko.
Amfani na biyu mara tabbas na wannan ƙwayar cuta shine ɗanɗano haɓakar haɓakawar jini, gami da maraice, idan aka kwatanta da sauran shirye-shiryen insulin. A cikin binciken, an lura da irin wannan tsarin a cikin matasa da tsofaffi marasa lafiya.
Binciken marasa lafiya da ke amfani da wannan magani ya tabbatar da amincin amfaninsa dangane da raguwa mai yawa a cikin sukari da cututtukan hypoglycemia. Nazarin kwatancen Lantus da Tresib sun nuna daidaitattun tasirinsu don kiyaye yawan kwantar da hankalin insulin.
Amma yin amfani da sabon magani yana da fa'idodi, tunda yana yiwuwa a rage kashi na insulin a tsawon lokaci daga 20-30% kuma rage mahimmancin yawan hare-hare na dare na fadowar jini.
Tresiba yana da tasirin gaske game da matakin haemoglobin, wanda ke nufin zai iya rage haɗarin kamuwa da cutar siga.
Wanene Treshiba aka nuna?
Babban nuni ga adana insulin na Treshib, wanda zai iya kula da matakin manufa na glycemia, shine ciwon sukari.
Contraindications don amfani da miyagun ƙwayoyi sune hankalin mutum zuwa abubuwan da aka gyara na mafita ko abu mai aiki. Hakanan, saboda rashin ilimin magungunan, ba a ba da umarnin ga yara 'yan ƙasa da shekara 18, uwaye masu shayarwa da mata masu juna biyu.
Kodayake lokacin fitar insulin ya fi kwana 1.5, ana bada shawarar shigar da shi sau ɗaya a rana, zai fi dacewa a lokaci guda. Mai ciwon sukari mai nau'in cuta na biyu zai iya karɓar Treshiba ko kuma haɗa shi da magunguna masu rage sukari a allunan. Dangane da alamu da nau'in ciwon sukari na biyu, an wajabta insulins na gajere tare da shi.
Tare da nau'in 1 na ciwon sukari na mellitus, ana ƙayyadaddar da ƙwaƙwalwar ƙwaƙwalwa mai ƙyalli Tailab FlexTouch tare da insulin gajere ko matsanancin gajeren lokaci don rufe buƙatar buƙatar sha daga carbohydrates daga abinci.
Sashi na insulin an ƙaddara shi da hoto na asibiti na ciwon sukari mellitus kuma an daidaita shi dangane da matakin glucose na jini.
Wa'adin sabon kashi na Tresib an aiwatar da shi:
- Lokacin canza aikin jiki.
- Lokacin juyawa zuwa wani abinci.
- Tare da cututtuka masu yaduwa.
- A take hakkin aikin endocrine tsarin - ilimin halittar jini na thyroid gland shine yake, guguwar glandon gland ko adrenal gland shine yake.
Ana iya yin maganin Tresiba don marasa lafiya tsofaffi waɗanda ke fama da matsalar koda ko kuma hepatic, idan har ana kulawa da matakan glucose na jini da kyau.
Ga marasa lafiya da ke fama da ciwon sukari na 2, suna farawa da kashi 10 NA FARKO, suna zaɓar kowane kashi. Marasa lafiya tare da nau'in cutar ta farko, lokacin da suke juyawa zuwa Treshiba tare da sauran daskararru na dogon lokaci, suna amfani da ka'idodin "maye gurbin naúra ɗaya."
Idan mai haƙuri ya sami injections na basal insulin sau 2, to an zaɓi kashi gwargwadon bayanan glycemic daban daban. Tresiba yana ba da damar karkacewa a cikin yanayin gudanarwa, amma ana bada shawarar tazara zuwa akalla 8 hours.
Za'a iya shigar da kashi da aka rasa a kowane lokaci, washegari kuna iya komawa cikin shirin da ya gabata.
Dokoki don amfani da Treshiba FlexTouch
Ana sarrafa Tresib ne kawai a ƙarƙashin fata. An contraindicated gudanarwar cikin ciki saboda ci gaban mai girma hypoglycemia. Ba'a ba da shawarar da za a gudanar dashi ta intramuscularly kuma a cikin magunan insulin.
Wurare don gudanar da aikin insulin shine kashi na gaban ko na baya na cinya, kafada, ko bangon ciki. Kuna iya amfani da yanki mai dacewa na dabi'a, amma kowane lokaci don farashi a cikin sabon wuri don rigakafin lipodystrophy.
Don gudanar da insulin ta amfani da alkalami na FlexTouch, kuna buƙatar bin jerin ayyukan:
- Duba alamar rubutu na alkalami
- Tabbatar da bayyana ma'anar maganin insulin
- Sanya allura da tabbaci a kan makarar
- Jira har sai digon insulin ya bayyana a allura
- Saita kashi ta juya mai zazzage kashi
- Saka allura a karkashin fata domin a bayyane adadin maganin.
- Latsa maɓallin farawa.
- A saka insulin.
Bayan allura, allura ya kamata ya kasance ƙarƙashin fata don wani sakan 6 na cikakken isowar insulin. Don haka dole ne a ja hannun. Idan jini ya bayyana akan fatar, to an tsayar dashi da auduga. Kar a shafa wurin allura.
Ya kamata a gudanar da allurar ta hanyar amfani da allon mutum kawai cikin yanayin cikakkiyar ƙarfin haihuwa. Don wannan, fata da hannayenku kafin allura dole ne a kula dasu da magungunan maganin antiseptics.
Kada a ajiye alkalami na FlexTouch a yanayin zafi ko zafi. Kafin buɗewa, an adana maganin a cikin firiji a kan shiryayyen tsakiya a zazzabi na 2 zuwa 8. Kar a daskare mafita. Bayan amfani na farko, ana adana alƙalin a zazzabi a ɗakuna na sama da makonni 8.
Karka wanke ko shafa mai a hannu. Dole ne a kiyaye shi daga ƙazantarwa kuma a tsabtace shi da rigar rigar. Ba za a yarda da fadada da dunƙulen ba. Bayan cikakken amfani, alkalami ba zai sake cikawa ba. Ba za ku iya gyara ko watsa shi da kanku ba.
Don hana gudanarwar da ba ta dace ba, kuna buƙatar adana insulins daban daban, kuma bincika alamar kafin amfani don kar ku sha wani insulin da gangan. Hakanan kuna buƙatar bayyananniyar lambobi a kan kan adadin kashin. Tare da hangen nesa mai rauni, kuna buƙatar amfani da taimakon mutane masu kyakkyawar gani da ƙwarewa a cikin gabatarwar Tresib FlexTouch.
Tasirin sakamako Treshiba
Degludek, kamar sauran insulins, galibi yakan haifar da hypoglycemia tare da zaɓin da bai dace ba. Bayyanar bayyanar cututtuka yayin da aka rage sukari a cikin yanayin gumi mai sanyi, fatar fata, tsananin rauni da damuwa, haka kuma yunwar da hannuwa, mai yiwuwa ne duk mara lafiya ya karbe shi a kan lokaci.
Hyara yawan hypoglycemia yana bayyana ta hanyar ketawar hankali da jan hankali a sararin samaniya, nutsuwa tana haɓaka, hangen nesa yana cikin rauni, akwai ciwon kai da ciwon suga da tashin zuciya. Akwai yiwuwar bugun bugun zuciyar. Idan ba a dauki matakan a wannan lokacin ba, to hankali ya rikice, rashi ya bayyana, mai haƙuri na iya shiga cikin rashin lafiya. Ko da m sakamako mai yiwuwa ne.
A yayin hypoglycemia, ƙarancin motsin rai da ikon ba da amsa daidai, kazalika da jawo hankali na iya raguwa, wanda zai iya zama barazanar rayuwa yayin tuki ko amfani da wasu hanyoyin a wuraren aiki.
Sabili da haka, kafin hawa, kuna buƙatar tabbatar da matakin sukari na al'ada kuma yana da sukari ko samfura masu kama da ku. Idan mai haƙuri da ciwon sukari baya jin kusancin cututtukan hypoglycemia ko yana da irin wannan yanayin to ya zama mafi yawan lokuta, to an bada shawarar barin tuki.
Amsawa ta biyu mafi muni ga amfani da Tresib shine lipodystrophy a wurin allurar. Don rigakafin ta, kuna buƙatar shigar da miyagun ƙwayoyi kowane lokaci a cikin sabon wuri. Hakanan za'a iya jin zafi, kurma, redness, ko haushi a cikin allurar. Fata na iya canza launi, kumbura, ƙaiƙayi. A wurin allurar, nodules na connective nama wasu lokuta ana kafa su.
Commonarancin na kowa sune irin waɗannan rikice-rikice daga amfanin Tresib:
- Allergic halayen da miyagun ƙwayoyi ko tsofaffi.
- Kwari.
- Ciwon ciki
- Retarfafa maganin retinopathy.
Don kula da hypoglycemia tare da yanayin gamsarwa mai haƙuri, yana buƙatar ɗaukar samfuran sukari ko gari. A cikin yanayin da bai sani ba, ana gudanar da glucose ne a cikin fata da glucagon a ƙarƙashin fata. Don hana hare-hare masu zuwa, bayan dawo da hankali, kuna buƙatar ɗaukar abincin carbohydrate.
Ba za a iya haɗa Tresiba da wasu kwayoyi ba. Ba a ƙara amfani da miyagun ƙwayoyi zuwa mafita na jiko ba. Tare da nadin Tresib da Aktos ko Avandia, akwai wasu maganganu na ci gaban rashin karfin zuciya. A gaban ilimin cututtukan zuciya da hadarin decompensation na aikin zuciya na Tresib, waɗannan magungunan ba a haɗuwa.
Tare da karɓar magani mai zaman kanta ko isasshen kashi, hyperglycemia da ketoacidosis masu ciwon sukari suna haɓaka. An sauƙaƙe wannan ta hanyar kwayar cuta ko ƙwayoyin cuta, cututtuka na gabobin endocrine, da kuma gudanarwar glucocorticosteroids, estrogens, maganin hana haihuwa, diuretics, hormone girma ko Danazole.
Bayyanar cututtukan hyperglycemia suna haɓaka a hankali kuma ana nuna su ta hanyar tashin zuciya, ƙishirwa, karuwar fitowar fitsari, faɗuwar rana, jan launi na fata, bushewar baki. Lokacin da ƙanshi na acetone, haɗarin ketoacidosis da coma yana ƙaruwa. An nuna masu haƙuri a asibiti cikin gaggawa. Ana amfani da insulin Ultrashort don magani.
Shan giya na iya shafar duka ƙarfafa da rauni ga aikin insulin.
Abubuwan da ke cikin magunguna na insulin Treshiba zasu gaya wa bidiyo a wannan labarin.
