Kulawa da marasa lafiya da nau'in ciwon sukari na 1 ana yin su a cikin hanyar maye gurbin insulin. Tare da ƙuntatawa na abinci, gudanarwar insulin na iya hana irin waɗannan masu haƙuri daga cutar rikice-rikice masu ciwon sukari.
Lokacin da yake rubuta insulin, ya zama dole ayi ƙoƙarin haifuwa kusa-da-zuwa ƙurar yanayin shigar ta cikin jini. A saboda wannan, nau'ikan insulin guda biyu sune mafi yawan lokuta ana tsara su ga marasa lafiya - tsayi da gajere.
Tsawon lokaci insulins mimic basal (na dindindin qarin) mugunya. An tsara gajeren insulins don ɗaukar carbohydrates daga abinci. Ana gudanar dasu kafin abinci a kashi daya wanda yayi daidai da adadin gurasar burodi a samfuran. Actrapid NM yana nufin irin wannan insulin.
Hanyar aiwatar da Actrapid NM
Samfurin ya ƙunshi insulin ɗan adam wanda aka samu ta injiniyan kwayoyin. Don samarwarta, ana amfani da DNA daga yisti na saccharomycetes.
Insulin yana ɗaure wa masu karɓa akan sel kuma wannan hadadden yana samar da kwararar glucose daga jini zuwa cikin tantanin.
Bugu da ƙari, insulin na insrail yana nuna irin waɗannan ayyuka akan tafiyar matakai na rayuwa:
- Na haɓaka samuwar glycogen a cikin hanta da ƙashin tsoka
- Yana ƙarfafa yin amfani da glucose ta ƙwayoyin tsokoki da tsotse nama don kuzari
- Rushewar glycogen an rage shi, kamar yadda ake samu sabbin kwayoyin kwayoyi a cikin hanta.
- Yana haɓaka kitse mai kitse kuma yana rage ƙiba
- A cikin jini, ƙwayar lipoproteins tana ƙaruwa
- Insulin yana haɓaka haɓakar sel da rarrabuwa
- Yana haɓaka aikin furotin da rage rushewarta.
Tsawan lokacin da Actrapid NM ya dogara da kashi, wurin allura da nau'in ciwon suga. Magungunan yana nuna kayanta rabin sa'a bayan gudanarwa, an lura da iyakar ta bayan awa 1.5 - 3.5. Bayan sa'o'i 7 zuwa 8, miyagun ƙwayoyi sun daina aikinta kuma enzymes ya lalata ta.
Babban mahimmancin amfani da insulin Actrapid shine raguwar matakan glucose a cikin mellitus na ciwon sukari duka don amfani na yau da kullun da kuma ci gaban yanayin gaggawa.
Aiki yayin daukar ciki
Ana iya tsara insulin Actrapid NM don rage yawan hyperglycemia a cikin mata masu juna biyu, tunda ba ƙetare shingen jini ba. Rashin biyan diyya ga masu cutar siga a cikin mata masu juna biyu na iya zama haɗari ga jariri.
Zabi na allurai ga mata masu juna biyu yana da matukar muhimmanci, tunda duka manya da kanana na sukari suna lalata tsarin halittar mutum kuma yana haifar da mummunar illa, haka kuma yana kara hadarin mutuwar tayi.
Farawa daga matakin shiryawa na ciki, yakamata likitocin endocrinologist su kula da masu dauke da cutar sankara, kuma ana nuna masu ingantaccen saka idanu akan matakan glucose din jini. Bukatar insulin na iya raguwa a farkon farkon lokacin ciki kuma ya karu a na biyu da na uku.
Bayan haihuwa, matakin glycemia yawanci yakan dawo zuwa ga alkalumman da suka gabata wadanda suka kasance kafin lokacin daukar ciki.
Ga uwaye masu shayarwa, gwamnatin Actrapid NM kuma ba ta cikin haɗari.
Amma yin la’akari da ƙarin buƙatar abinci mai gina jiki, abincin ya kamata ya canza, don haka ya zama kashi na insulin.
Yaya ake amfani da Actrapid NM?
Ana ba da allurar insulin a ƙarƙashin ƙasa kuma a cikin jijiya. Sashi aka zaɓi tsananin akayi daban-daban. Yawanci, buƙatar insulin tsakanin 0.3 da 1 IU kowace rana ta kilogram na nauyin haƙuri. Tare da juriya na insulin a cikin matasa ko tare da kiba, yana da girma, kuma ga marasa lafiya da keɓaɓɓen asirin insulin nasu, yana da ƙasa.
A cikin sakamako na cutar sankarar bargo, rikice-rikice na wannan cuta ci gaba kasa akai-akai da kuma daga baya. Saboda haka, kula da yawan glucose na jini da zaɓi na allurar insulin da ke kula da matakin waɗannan alamun ya zama dole.
Actrapid NM shine insulin-gajeran aiki, saboda haka ana hade shi da nau'ikan magungunan. Dole ne a gudanar dashi rabin sa'a kafin cin abinci, ko abinci mai sauƙi wanda ya ƙunshi carbohydrates.
Hanya mafi sauri ita ce ta allura zuwa cikin ciki. Don yin wannan, yana da matukar mahimmanci a saka allurar insulin a cikin fatar fatar. Hakanan ana amfani da yankin kwatangwalo, gindi, ko kafada. Dole ne a canza wurin allurar koyaushe don kada ya haifar da lalacewar nama da ke cikin ƙasa.
A kan shawarar likita, ana iya amfani da injections intramuscular. A cikin ciki, ana amfani da Actrapid a asibiti kawai, sau da yawa tare da wasu kwayoyi, gami da glucose don abinci mai gina jiki.
Tare da haɓakar ƙwayar cutar sankara, da buƙatar insulin ya ragu, don haka ana sake yin amfani da sashin don yin la'akari da ƙimar filmer ɗin duniya da kuma matakin lalacewa. A cikin cututtukan ƙwayar cuta ta adrenal, glandar thyroid, glandon gland, da kuma lalacewar hanta, ƙwayar insulin da ake buƙata na iya canzawa.
Buƙatar insulin kuma yana canzawa tare da damuwa na damuwa, canji a cikin aiki na jiki ko canzawa zuwa tsarin abinci daban. Duk wata cuta itace dalilin gyaran insulin da aka yarda da likitanka.
Idan kashi na insulin ya ragu, ko mara lafiya da kansa ya soke insulin, toshewar hanji na iya haɓaka tare da alamun masu zuwa:
- Droara yawan nutsuwa da nutsuwa.
- Thirstara yawan ƙishirwa.
- Ciwon ciki da kuma tazara mai taushi.
- Ja da bushe fata.
- Yawan urination.
- Rashin ci.
- Bakin bushewa.
Kwayar cutar sankara ta haɓaka hankali - awanni da yawa ko ma kwanaki. Idan bakayi gyaran sukari na jini ba, to cutar ketoacidosis mai ciwon sukari tayi girma. Alamar halayyar sa shine ƙanshi na acetone a cikin iska mai ƙyalli. Hadarin hyperglycemia yana ƙaruwa tare da cututtuka da zazzabi.
Canjin daga wani nau'in insulin zuwa wani yana buƙatar zaɓin sabon kashi. Don yin wannan, kuna buƙatar tuntuɓar likitancin endocrinologist. Ba za a iya amfani da insulin Actrapid a cikin famfon na insulin ba, idan babu murfin kariya a kan murfin, idan an adana shi ba daidai ba ko ya daskarewa, kuma idan mafita ta zama gajimare.
Don yin allura, dole ne ku bi waɗannan ƙa'idodin:
- Airara iska a cikin sirinji, wanda ya yi daidai da kashi da aka gudanar.
- Saka sirinji ta cikin filogi ka danna piston.
- Juya kwalban a gefe.
- Aauki kashi na insulin a cikin sirinji.
- Cire iska kuma duba sashi.
Bayan wannan, kuna buƙatar yin allurai nan da nan: shigar da fata a cikin wuyan kuma saka sirinji tare da allura a cikin gindinta, a wani kusurwa na digiri 45. Insulin yakamata ya shiga fata.
Bayan allura, allura ya kamata ya kasance a karkashin fata na akalla aƙalla 6 don gudanar da magani gaba ɗaya.
Sakamakon sakamako na Actrapid
Sakamakon sakamako na yau da kullun lokacin da adadin insulin ya wuce shine hypoglycemia. Yawancin lokaci yakan faru ba zato ba tsammani kuma yana tare da pallor na fata, gumi mai sanyi, gajiya mai rauni ko rauni, rashi yanayin motsa jiki, damuwa, damuwa da rawar jiki.
Mayar da hankali yana raguwa, nutsuwa tana ci gaba, jin yunwar, rashi na gani yana ƙaruwa. Ciwon kai da danshi, tashin zuciya, da bugun zuciya. Mummunan siffofin sukari na fadowa na iya tsoma baki tare da aikin kwakwalwa tare da asarar hankali ko ma mutuwa.
Idan ciwon sukari yana ɗaukar tsawon lokaci, tare da neuropathy na masu ciwon sukari, a cikin maganin beta-blockers ko wasu kwayoyi waɗanda ke aiki akan tsarin mai juyayi, to alamun farko na hypoglycemia na iya zama marasa ƙarfi, don haka koyaushe ya kamata ka mai da hankali kan matakan glucose na jini.
Tare da hypoglycemia mai laushi, kuna buƙatar ɗaukar sukari ko ruwan 'ya'yan itace, kuki, Allunan glucose. A cikin lokuta masu tsauri, ana gudanar da maganin glucose 40% a cikin ciki, kuma ana gudanar da glucagon intramuscularly ko subcutaneously. Bayan mai haƙuri ya sake farfaɗo, yana buƙatar cin abinci tare da carbohydrates mai sauƙi.
Haɗin kai na glycemia ana iya maimaita shi a cikin rana guda, don haka ko da daidaituwa na matakan glucose, ya zama dole don ƙarfafa iko akan abubuwan da ke ciki. Irin waɗannan marasa lafiya suna buƙatar maimaita shan abubuwan carbohydrates.
Sauran tasirin sakamako masu tasowa suna da wuya kuma zasu iya bayyana kansu ta hanyar:
- Allergic fyade ko amya. Da wuya a ɗan ɗauka da jijiyoyin jiki - halayen anaphylactic.
- Haushi, tashin zuciya, da ciwon kai.
- Asedara yawan zuciya.
- Peripheral neuropathy.
- Rage nakkasa ko ci gaban retinopathy.
- Lipodystrophy a wurin allurar, itching, hematoma.
- Yawancin abinci, musamman a farkon lokacin amfani.
Nau'in saki da adana insulin Actrapid NM
Magunguna a cikin cibiyar sadarwar dillali suna cikin nau'ikan: Actrapid NM Penfill insulin (yana buƙatar alkalami na musamman don insulin), kazalika da insulin a cikin vials (ana buƙatar sirinji insulin don injections).
Duk nau'ikan shirye-shiryen suna ɗauke da mafita tare da maida hankali kan IU 100 a cikin 1 ml. Kwalabe suna dauke da 10 ml, da kuma katako - 3 ml na 5 guda a kowane fakiti. Umarnin don amfani an haɗa su a kowane nau'in fitarwa.
Farashin Actrapid a cikin kwalabe yayi ƙasa da na penfil fom. Farashin miyagun ƙwayoyi na iya bambanta a cikin sarƙoƙi daban-daban. Bugu da kari, canjin canjin canjin yana tasiri kan samuwar farashi, tunda wannan magani ne wanda aka yi kasashen waje. Sabili da haka, farashin Actrapid yana dacewa kawai a ranar saya.
Ana adana insulin a cikin firiji daga injin daskarewa a zazzabi na digiri biyu zuwa takwas. Ba za ku iya daskare shi ba. Za a iya ajiye kwalban da aka buɗe a zazzabi a daki na tsawon makonni 6, tabbatar a kare shi daga haske da zafi a cikin kwali. Bidiyo a cikin wannan labarin zai amsa tambayar aikin insulin.
