Yin amfani da shirye-shiryen insulin ga marasa lafiya da masu ciwon sukari irin 1 ana amfani dasu don maye gurbin nasu. A cikin irin waɗannan marasa lafiya, wannan ita ce kawai hanyar da ba za a iya maye gurbin ta da komai ba.
A nau'in ciwon sukari na 2, an tsara allunan don rama, amma a cikin ayyukan tiyata, ciki, da cututtuka, ana iya tura su zuwa cikin insulin ko kuma a madadin allunan, ana bada shawarar allurar insulin.
Idan ba'a biya diyya ga ciwon sukari ta hanyar abinci da magungunan ƙwayoyi kuma tare da mummunan cutar, to, yin amfani da insulin yana hana ci gaban cututtukan sukari da tsawan rayuwar marasa lafiya. Sakamakon sakamako na maganin insulin shine halayen rashin lafiyan insulin, yawancin lokaci a cikin halayen gida, ƙarancin girgiza anaphylactic.
Sanadin rashin lafiyan zuwa shirye-shiryen insulin
Lokacin da ake nazarin tsarin dabbobi da insulin na mutum, an gano cewa daga dukkan jinsin, insulin alade shine mafi kusancin mutum, sun banbanta da amino acid guda daya. Sabili da haka, gabatarwar insulin dabbobi na dogon lokaci shine kawai zaɓi na magani.
Babban sakamako na gefen shine haɓakar halayen halayen ƙwayoyi masu ƙarfi na bambancin ƙarfi da tsawon lokaci. Bugu da ƙari, shirye-shiryen insulin sun ƙunshi cakuda proinsulin, polypeptide na pancreatic da sauran sunadarai. A kusan dukkanin marasa lafiya, bayan gudanar da insulin, watanni uku bayan haka, kwayoyin kariya daga ciki sun bayyana a cikin jini.
Ainihin, rashin lafiyan shine yake haifar da insulin kanta, ƙasa da sau ƙarancin furotin ko abubuwan gurɓataccen furotin. An ruwaito mafi ƙarancin halayen rashin lafiyan tare da gabatarwar insulin ɗan adam wanda aka samu ta hanyar injiniyan ƙwayoyin cuta. Mafi allergenic shine bovine insulin.
Samuwar ƙwarewar hankali yana faruwa ta hanyoyi masu zuwa:
- Halin gaggawa na nan da nan da ke hade da sakin immunoglobulin E. Yana haɓakawa bayan sa'o'i 5-8. Yana bayyana ta hanyar halayen gida ko anaphylaxis.
- Nau'in an jinkirta nau'in. Bayyanar tsari wanda ke faruwa bayan awanni 12 zuwa 24. Yana faruwa a cikin nau'in urticaria, edema ko amsawar anaphylactic.
Bayyanancin gida na iya zama saboda rashin kyakkyawan maganin na maganin - ƙarancin allura, an allura cikin ciki, fatar ta ji rauni yayin gudanarwa, an zaɓi wurin da bai dace ba, an saka allurar insulin da yawa.
Bayyanar da rashin lafiyan insulin
An lura da rashin lafiyar insulin a cikin 20% na marasa lafiya. Tare da yin amfani da insulins recominsant, ana rage yawan halayen halayen. Tare da halayen gida, alamu galibi ana iya ganin sa'a daya bayan allurar, suna ɗan gajeren lokaci kuma suna wucewa da sauri ba tare da kulawa ta musamman ba.
Daga baya ko jinkirta halayen gida na iya haɓaka 4 zuwa 24 bayan fitowar da kuma awanni 24 na ƙarshe. Mafi sau da yawa, alamun asibiti na halayen gida na yawan tashin hankali zuwa insulin suna kama da fatar fata, kumburi da itching a wurin allura. Fatar bakin ciki na iya yadawa zuwa kyallen da ke kewayenta.
Wani lokaci karamin hatimi yana buɗewa a wurin allurar, wanda yakan tashi sama da matakin fatar. Wannan papule din yayi kimanin kwana 2. Rikitarwa mai ɗaukar hankali shine sabon abu Artyus-Sakharov. Irin wannan rashin lafiyar ɗan ƙasa yana tasowa idan ana yin insulin koyaushe a wuri guda.
Yin gasa a cikin wannan yanayin yana bayyana bayan kusan mako guda, tare da raunin jiki da itching, idan injections sake fada cikin wannan papule sake, to an kafa infiltrate. Sannu a hankali yana ƙaruwa, ya zama mai raɗaɗi kuma, idan an haɗa kamuwa da cuta, yakan zama mai ƙarfi. Rashin bacci da kumburin kumburi furi, zazzabi ya tashi.
Abubuwan da ke nuna halayen rashin lafiyan insulin ba su da yawa, ana bayyanar da irin wannan halayen:
- Redness na fata.
- Urticaria, itch blisters.
- Harshen Quincke's edema.
- Murmushi Anaphlactic.
- Spasm na bronchi.
- Polyarthritis ko polyarthralgia.
- Damuwa.
- Manyan kumburar jini.
Abubuwan da za su amsa ga insulin shirye-shirye suna bayyana idan aka dakatar da maganin insulin na dogon lokaci, sannan ya sake komawa.
Cutar rashin lafiyan da ta shafi insulin
Da farko, masanin ilimin rigakafi ko ƙwalƙwalwar ƙwaƙwalwar ƙwayar cuta yana kafa alaƙa tsakanin gudanar da shirye-shiryen insulin da bayyanar rashin lafiyar zuwa gare shi dangane da nazarin alamun da tarihin rashin lafiyar.
An tsara gwajin jini don matakan sukari, cikakken gwajin jini da ƙaddara matakin immunoglobulins, da samfurori tare da gabatarwar microdoses na nau'ikan insulin daban-daban. Ana gudanar dasu ta hanyar intradermally a kashi na 0.02 ml kuma an kimanta su da girman papule.
Don ganewar asali, cututtukan hoto ko bidiyo mai zagaya yanar gizo, cututtukan fata, cututtukan fata da ƙoshin fata a matsayin bayyanar faduwar koda.
Ofayan abin da ke haifar da irin waɗannan bayyanar cututtuka na iya zama cutar jini, da kuma neoplasms.
Jiyya don rashin lafiyan zuwa shirye-shiryen insulin
Idan wani alerji zuwa shirin insulin ya bayyana kanta a matsayin mai rikicewar gida, mai rauni mai zurfi, alamunta sun shuɗe kansu a cikin awa ɗaya, to irin waɗannan maganganun ba sa buƙatar magani. Idan bayyanar cututtuka ta ci gaba na dogon lokaci kuma ta fi ƙaruwa bayan kowace allurar insulin, to, an tsara maganin antihistamines (Suprastin, Tavegil, Diphenhydramine).
Ana yin allurar insulin a sassa daban daban na jiki, yayin da mitar gudanarwa ke ƙaruwa, kuma kashi ɗaya na allura yana raguwa. Idan a lokaci guda amsawar insulin bai shuɗe ba, to, miyagun ƙwayoyi, ko bovine ko insulin alade, yakamata a maye gurbinsu da ɗan adam ya tsarkaka, wanda babu zinc ɗin.
Idan tsarin jijiya ya ci gaba - urticaria, Quincke's edema ko anaphylactic shock, to ana buƙatar gudanarwar gaggawa na Adrenaline, Prednisolone ko Hydrocortisone, antihistamines da kuma kula da numfashi da kuma zagayawa cikin jini a asibiti.
Tun da mai haƙuri ba zai iya yin gabaɗaya ba tare da insulin ba, ana rage kashi kaɗan na ɗan lokaci sau 3-4, sannan a hankali, a ƙarƙashin ƙwaƙwalwar ƙwayoyin ƙwayar cuta, yana ƙaruwa kwana biyu kafin wanda ya gabata.
Idan mummunar tashin hankali anaphylactic ya haifar da cikakken zubar insulin, to, kafin komawa zuwa jinya, ya wajaba don aiwatar da irin waɗannan matakan:
- Yi gwajin fata tare da nau'ikan insulin.
- Zabi magani tare da mafi ƙarancin amsa
- Shigar da mafi ƙarancin kashi
- A hankali ƙara yawan sashi a ƙarƙashin kulawar gwajin jini.
- Idan magani na rashin lafiyan ba shi da tasiri, gudanar da insulin tare da hydrocortisone.
Halin rashin isashshewar insulin yana farawa ne da kashi wanda aka rage shi sau 10 idan aka kwatanta shi da ƙarami, wanda ya haifar da kyakkyawan sakamako yayin gwajin fata. Sannan, bisa ga tsarin, ana ƙaruwa kowace rana. A lokaci guda, a farkon, ana aiwatar da irin waɗannan matakan zuwa shirye-shiryen insulin gajere, sannan kuma don tsawaita siffofin.
Idan mai haƙuri ya haɓaka da ƙwayar cutar kansa a cikin wani nau'in su kamar ketoacidosis masu ciwon sukari ko giperosmolar coma da insulin wajibi ne don dalilai na kiwon lafiya, to ana amfani da hanyar haɓakar rashin ƙarfi. 'Insulin' gajeran aiki da allurar yana shafawa a jikin fata a kowane mintuna 15 ko 30.
Kafin wannan hanyar gwajin fata, an zaɓi shirye-shiryen magunguna da kashi, wanda a cikin haƙuri yana haifar da ƙarancin alamun bayyanar rashin lafiyar.
Idan amsawar gida ta taso lokacin rashin isasshen magani, to kashi na insulin din baya karuwa har sai lokacin ta ci gaba.
Tare da haɓakar halayen anaphylactic, ana rage kashi kashi biyu da rabi, sannan insulin allurar ta ƙara ƙaruwa, yayin da sigar ta ke ƙaruwa a hankali.
Idan akwai buƙatar rage kashi na insulin, to, sai a tura mai haƙuri zuwa ga abinci mai ƙarancin carb, wanda a ciki ana amfani da takaddun carbohydrates a cikin iyakataccen adadi. A wannan yanayin, daga abincin da kuke buƙatar cire duk samfuran da zasu iya inganta bayyanar rashin lafiyar.
Manyan kayayyakin da ake amfani dasu sun hada da:
- Milk, cuku, qwai.
- Abincin da aka gishiya da abincin gwangwani, doya, kayan miya.
- Ruwan barkono ja, tumatir, karas, zobo, eggplant.
- Yawancin berries da 'ya'yan itatuwa.
- Namomin kaza.
- Zuma, kwayoyi, koko, kofi, barasa.
- Abincin teku, caviar.
An ba shi izinin amfani da abin sha madara, cuku mai gida, nama mai ƙanƙan da keɓaɓɓu, kwalin, busassun teku, apples, kore tare da ciwon sukari, kabeji, broccoli, cucumbers, ganye, zucchini.
Bidiyo a cikin wannan labarin yana ba da bayyani game da antihistamine wanda ke da tasiri ga rashin lafiyan zuwa insulin.
