Lantus shine insulin rage sukari. Glargine yana aiki azaman abu mai aiki, analog ne na insulin ɗan adam, wanda ba shi da narkewa a cikin yanayin tsaka tsaki. Sau ɗaya a cikin abun da ke cikin miyagun ƙwayoyi, glargine ya narke gaba ɗaya saboda kasancewar wurin da keɓaɓɓun yanayin acidic.
A yayin gudanar da aikin karkashin kasa, acid din ya keɓance kuma an kirkiro microprecipitates, wanda daga ciki ake samun sakin insulin Lantus a hankali kaɗan. Saboda irin wannan tsarin, mai ciwon sukari ba shi da tsayayyiyar yanayi a matakan hormone, glargine ya shafi jiki sosai, sannu a hankali sukari. Saboda haka, aikin insulin yana tsawan lokaci.
Glargine mai aiki mai ƙarfi yana da irin ƙarfin hulɗa tare da masu karɓar insulin kamar insulin mutum. Magungunan yana taimakawa wajen hanzarta ɗaukar glucose ta hanyar mai da tsokoki, saboda wanda ya rage matakan sukari na jini. Ari, wannan magani yana hana aikin glucose mai aiki a cikin hanta.
Siffofin magani
Da farko dai, insulin aiki Lantus yana aiki da tsarin karas da haɓaka metabolism. Lokacin amfani da miyagun ƙwayoyi, ƙwayar sukari yana haɓaka ta hanyar mai da ƙashin tsoka, a sakamakon haka, ana rage darajar glucose. Wakili na hormonal yana haɓaka aikin samar da furotin a cikin jiki kuma lokaci guda yana hana lipolysis, kariya a cikin adipocytes.
Tasirin insulin na miyagun ƙwayoyi Lantus ya dogara ne akan kasancewar abubuwan kamar motsa jiki, abinci da kuma riƙe salon rayuwa mai aiki. Idan ana gudanar da magani a cikin jijiya, glargine yana aiki kamar yadda insulin mutum yake.
A yayin gudanarwar Lantus na ƙarƙashin ƙasa, ƙwaƙwalwa mai saurin faruwa, wannan shine dalilin da yasa ake amfani dashi don rage sukari sau ɗaya a rana. Nazarin ya nuna cewa yin amfani da wannan hormone da daddare yana taimakawa sosai wajen rage haɗarin hawan jini a cikin yara da matasa, yayin da sukari ya saba.
- Babban fa'idodi shine gaskiyar cewa Lantus insulin yana shan hankali a hankali, wanda shine dalilin da ya sa mai ciwon sukari bashi da ganiya a cikin tsarin kulawa da ƙasa. Idan kayi amfani da maganin sau ɗaya kowace rana, a rana ta biyu ko ta huɗu zaka iya cimma daidaituwa game da maganin. Tare da allura ta ciki, ana fitar da kwayar cutar daga jiki kwatankwacin insulin mutum.
- A lokacin metabolism na glargine, an samar da mahadi biyu masu aiki M1 da M2, saboda wane allurar subcutaneous yana da tasirin da ake so. Magungunan suna da tasiri iri ɗaya a kan masu ciwon sukari, ba tare da la'akari da shekarun masu haƙuri ba. Yara da matasa ba su taɓa yin nazarin abubuwan mallakar magunguna ba.
An fito da miyagun ƙwayoyi a cikin nau'in maganin allura, wanda aka cakuda a cikin katako 3 ml. Akwai katako guda biyar a cikin lamiri guda daya; Farashin miyagun ƙwayoyi a cikin kantin magani ya kasance daga 3500 zuwa 4000 rubles, a cikin kantin sayar da kan layi magani yana da rahusa.
Gabaɗaya, insulin yana da kyakkyawan kwalliya sosai daga marasa lafiya da likitoci da yawa.
Umarnin don amfani da miyagun ƙwayoyi
Amfani da insulin Lantus an nuna shi ne ga manya da yara masu shekaru shida waɗanda ke fama da ciwon sukari na 1. Yin allura tare da wakilin insulin ana yin shi gabaɗaya subcutaneously, kar a taɓa yin allura har da ƙwayar cutar, in ba haka ba akwai haɗarin hauhawar jini.
Za'a iya samun tsawon lokacin tasirin hodar idan ana allurar insulin a kowane maraice zuwa mai mai kitse. Sakamakon warkewa da ake so daga maganin ƙwaƙwalwar magani za'a iya cimma shi ne kawai tare da takamaiman salon rayuwa da ingantaccen tsarin magani.
Yana da mahimmanci a san yadda yawan maganin zai zama da yadda ake yin allurar. Ana yin allura a cikin yankin na ciki, cinya ko ƙoshin lafiya. A lokaci guda, babu wani bambanci mai zahiri a daidai inda za a yi wa allurar. Kowane sabon allurar zai fi dacewa a wurare daban-daban don hana haɓaka haɓakar fata.
- Don kiwo, insulin Lantus bai dace ba, an kuma haramta yin amfani da hodar a hade tare da wasu kwayoyi. Sakamakon tsawan aikin, ana gudanar da miyagun ƙwayoyi sau ɗaya a rana, ana ba da allura a lokaci guda - da safe, yamma ko da dare. An zabi sashi da lokacin allura ta hanyar likitan halartar, yana mai da hankali kan halayen mutum na jikin mai haƙuri.
- Masu ciwon sukari masu nau'in ciwon sukari na 2 suna da izinin yin amfani da insulin yayin amfani da magungunan antidiabetic, alal misali, Allunan Trazent. Lokacin amfani da hormone, dole ne a ɗauka cikin zuciya cewa ɗaukar matakin Lantus ya bambanta da ɓangaren aikin kwayoyi masu ɗauke da insulin.
- Lokacin kulawa da tsofaffi tare da Lantus, ya kamata a daidaita sashi daban-daban, tun da aikin kodan ya tarwatse tare da tsufa kuma ana buƙatar rage ƙwayar jijiya sau da yawa. Ciki har da buƙatar maganin yana raguwa a cikin mutanen da ke fama da aikin hanta. Gaskiyar ita ce akwai raguwa a cikin metabolism metabolism da raguwa a cikin gluconeogenesis.
Yadda ake canzawa zuwa glargine tare da wani nau'in insulin
Idan mai ciwon sukari yayi amfani da insulin ultrashort ko kwayoyi na matsakaici da tsayi na tsawon lokaci don aikin jiyya, yayin juyawa zuwa Lantus, gyaran sashi da sake duba hanyoyin kulawa da magani ya zama dole.
Don rage haɗarin hypoglycemia da safe ko da dare a lokacin canji daga allura sau biyu na insulin insulin zuwa allura guda ɗaya, a cikin kwanakin ashirin na farko na jiyya, an rage yawan zafin jiki na basal da kashi 20-30. A lokaci guda, sashi na hormone da aka gabatar a lokacin cin dan kadan yana ƙaruwa. Bayan kwanaki 14-20, ana aiwatar da gyaran ƙayyadaddun kan guda ɗaya ga kowane masu ciwon sukari.
A cikin abin da ya faru da mai ciwon sukari yana da rigakafi ga insulin na mutum, shi ma ya zama dole a sake duba yawan maganin.
Ciki har da canje-canje na kashi, idan mutum ya canza salon rayuwarsa, ya rage nauyi, ya fara motsa jiki cikin motsa jiki.
Yadda ake rage sukari insulin
An gabatar da miyagun ƙwayoyi Lantus a cikin jiki kawai tare da taimakon na musamman na'urar - wani sikelin pen KlikSTAR ko OptiPen Pro1. Kafin yin allura, ya kamata ka san kanka da umarnin yin amfani da alkalami kuma ka bi duk shawarwarin.
Idan akwai wani lalacewa, dole ne a zubar da makama. Bayan haka, an ba shi izinin sarrafa magunguna daga cikin katun ta amfani da sirinji na insulin, sikelin wanda shine Rukunin 100 a cikin 1 ml.
Kafin yin allura, kicin ɗin insulin ya kamata ya kasance cikin zafin jiki a ɗakuna da yawa. Yana da mahimmanci a bincika kowane kwalban don tabbatar da cewa babu haɓakawa, bayyanar, launi da kuma bayanin mafita bai kamata ya canza ba.
An cire kumburin iska daga kundin bisa ga littafin jagorar da aka makala. Sake cika akwatunan tare da kwayar halitta an hana shi sosai. Don kauce wa gabatar da wani magani ba da gangan ba, kuna buƙatar tabbatar da abin da katako ke amfani da shi, don wannan, ana bincika kowane kwalban kai tsaye kafin allurar.
A gaban sakamako masu illa da kuma contraindications
Sau da yawa, a cikin masu ciwon sukari, lokacin amfani da hormone Lantus kuma baya bin ka'idodi na asali, ana lura da sakamako mara kyau a cikin hanyar hypoglycemia. Wani yanayin makamancin wannan yana faruwa bayan gabatarwar sashi na miyagun ƙwayoyi.
Bugu da ƙari, hangen nesa na mai haƙuri na iya lalacewa, alamun retinopathy, dysgeusia, lipohypertrophy, lipoatrophy ya faru. Cutar rashin lafiyan ga insulin a cikin nau'in edema, redness na fata a cikin wurin allura, cututtukar ciki, girgiza kumburin ciki, bronchospasm, da Quincke edema shima hakan zai yiwu. Saboda jinkirin sodium ions a cikin jiki, mutum na iya fuskantar zafin jijiya.
Tare da yawan hare-haren hypoglycemia akai-akai a cikin masu ciwon sukari, aiki na tsarin mai juyayi na iya lalacewa. Tare da doguwar ci gaba mai zurfi na wannan alamomin, akwai babban haɗarin mutuwa mai bacci.
- Yayin jiyya tare da insulin, ana iya lura da samarwa na rigakafin ƙwayoyi. A cikin yara da matasa, ciwon tsoka, amsawar rashin lafiyar jiki, da jin zafi a cikin allurar suma sun bayyana. A wannan batun, zaɓin sashi ba daidai ba yana da haɗari ga manya da yara.
- An hana hormone amfani da shi a yayin rashin jituwa ga mutum a cikin abubuwan da ke cikin miyagun ƙwayoyi. Hakanan baza ku iya amfani da Lantus don maganin cututtukan jini ba. Yara za su iya shan maganin kawai lokacin da suka kai shekaru shida.
- A cikin cutar ketoacidosis na ciwon sukari, ba a sanya wannan nau'in insulin ba. Ya kamata a kula da kulawa ta musamman a cikin kulawar mutane tare da ɓarkewar ƙwayar cuta da taɓarɓarewar jijiyoyin jini da na jijiyoyin jini. Hakanan yana da mahimmanci a lura da lafiyar lafiyar tsofaffi waɗanda suka sauya zuwa insulin ɗan adam tare da kwayoyi na asalin dabba.
Analogues na miyagun ƙwayoyi
Babban analog na miyagun ƙwayoyi wanda ke rage sukari mai yawa, kuma mai iya fafatawa shine insulin Levemir daga kamfanin Novo Nordisk. Gabaɗaya, kusan dukkanin insulins na Novo Nordisk suna da babban inganci.
Wanne insulin don zaɓar - wannan tambaya shine mafi kyawu a haɗa tare da likitan ku.
Wannan hormone, yana da sake dubawa masu inganci, zai iya zama a hankali a hankali daga wurin allurar kuma yana da tasiri na tsawan lokaci. Ana iya samun wannan sakamako saboda gaskiyar cewa miyagun ƙwayoyi suna shiga cikin jini da ƙwayar sel fiye da sannu a hankali.
Tunda wannan insulin din bashi da wani matakin da yake nunawa, hadarin bunkasa hawan jini a cikin dare yana raguwa sosai. Ana yin allurar sau uku zuwa sau biyu a rana, dole ne a yi allura guda a cikin tsakanin tsakanin ƙarfe 1 zuwa 3 na safe don kula da sabon safiya.
Bidiyo a cikin wannan labarin zai ba da cikakken bayani game da insulin Lantus.
