Insulin farida don maganin ciwon suga an rubuta shi ta hanyar endocrinologist. Insulin da aka yi amfani dashi lokacin jiyya yana ɗaukar ɗaukar nauyi mai yawa na glucose a jikin mai rashin lafiya.
Neman tsarin kula da insulin ya kamata ya zama na yau da kullun, ya kamata a ɗauki tsarin mutum ɗaya ga kowane mara lafiya, kuma ci gaban kulawar insulin na kanta ana aiwatar dashi gwargwadon bayanan da aka samu sakamakon yawan saka idanu akan sukari na jini a cikin mako.
Yayin da likitan halartar, yayin da ake inganta tsarin kula da insulin, ba ya yin la’akari da halayen jikin mai haƙuri da bayanan da aka samu sakamakon saka idanu a cikin jini, ya kamata ku nemi taimako daga wani kwararre.
A tsarin kulawar insulin tare da rubutaccen tsari na iya dagula yanayin mai haƙuri har izuwa farkon alamun rashin nasara na koda da hargitsi a cikin bayarwar jini zuwa ga gabar jiki.
Idan an inganta tsarin kula da insulin ba tare da yin la’akari da halayen jikin mai haƙuri ba, wannan a ƙarshe na iya haifar da mummunan sakamako har zuwa yankewar gabobin saboda ci gaban ayyukan ƙwayar cuta a cikin kyallen.
Bambanci tsakanin nau'ikan ilimin insulin
Zaɓin maganin insulin don maganin ciwon sukari na 1 ana gudanar da shi ne ta halartar endocrinologist dangane da halayen jikin mai haƙuri.
Idan mai haƙuri ba shi da matsala tare da nauyin kiba, kuma a rayuwa babu matsin lamba na damuwa da yawa, to, an wajabta insulin a cikin adadin ɓangaren 0.5-1 sau ɗaya a rana dangane da kilogram na nauyin mai haƙuri.
Zuwa yau, masana ilimin kimiya na ilimin kimiya (endocrinologists) sun haɗu da nau'ikan wannan insulin therapy:
- ya kara karfi;
- na gargajiya
- aikin famfo;
- tushen bolus.
Siffofin yin amfani da ƙwaƙwalwar insulin
Ingantaccen ilimin insulin na iya zama tushen jijiyar ƙarancin ƙoshin inshora na bolus, ƙarƙashin wasu fasalolin hanyar.
Wani fasalin da ke tattare da rashin lafiyar insulin shine cewa yana aiki azaman mai kwaikwayon iskancin insulin a jikin mai haƙuri.
Ana amfani da wannan hanyar lokacin da ake buƙatar maganin insulin na nau'in 1 na ciwon sukari. Yana cikin kulawa da wannan nau'in cutar cewa wannan ilimin yana ba da mafi kyawun alamun alamun asibiti, kuma an tabbatar da wannan a asibiti.
Don kammala aikin, ana buƙatar takamaiman jerin yanayi. Waɗannan halaye sune kamar haka:
- Dole ne a saka insulin a jikin mai haƙuri a cikin adadin da ya isa ya haifar da amfani da glucose.
- Abubuwan insulins da aka gabatar a cikin jiki dole ne su kasance daidai da insulins da ƙwayar ƙwayar cuta ta mai haƙuri ta haifar da mellitus na ciwon sukari.
Kayayyakin da aka ƙayyade sun ƙayyade peculiarities of insulin therapy wanda ya ƙunshi rabuwa da magungunan da aka yi amfani da su cikin insulins na ɗan gajeren lokaci.
Ana amfani da insulins na dogon lokaci don gudanar da insulin a safiya da maraice. Wannan nau'in magani yana kwatankwacin samfuran hormonal wanda ƙwayar huhu ke haifarwa.
Yin amfani da insulins tare da ɗan gajeren lokaci na aiki an barata bayan cin abinci mai girma a cikin carbohydrates. Sashi da aka yi amfani da shi don gabatar da wadannan kwayoyi a cikin jikin mutum ya dogara da yawan adadin gurasar burodin da ke cikin abinci kuma an ƙaddara shi daban-daban ga kowane mai haƙuri.
Yin amfani da ilimin insulin mai ƙarfi don nau'in 1 na ciwon sukari mellitus ya ƙunshi ma'aunin yau da kullun na glycemia kafin cin abinci.
Siffofin amfani da ilimin insulin na gargajiya
Harkokin insulin na gargajiya al'ada ce ta haɗu da ke haɗawa da gajere da tsawan aikin insulin cikin allura ɗaya.
Babban fa'idar amfani da wannan nau'in magani shine rage yawan allura zuwa mafi ƙaranci. Mafi sau da yawa, yawan injections lokacin jiyya daidai da wannan dabarar ta ɗauki daga 1 zuwa 3 kowace rana.
Rashin ingancin amfani da wannan hanyar shine rashin iya daidaita ayyukan farji. Wannan yana haifar da gaskiyar cewa lokacin amfani da wannan hanyar ba shi yiwuwa a rama cikakkiyar ƙetarewar abubuwan haɓakar metabolism na mutum.
A kan aiwatar da wannan hanyar, mai haƙuri yana karɓar allura 1-2 a kowace rana. Ana gudanar da gajere da tsayi na insulins lokaci guda a cikin jiki. Insulins tare da matsakaicin tsawon lokacin yadawa sun kai kimanin 2/3 na yawan magungunan da ake bayarwa, kashi daya bisa uku na matakan yau da kullun sune insulins-gajere.
Jiyya na nau'in 1 na ciwon sukari mellitus tare da nau'in maganin gargajiya na insulin baya buƙatar ma'aunin yau da kullun na glycemia kafin abinci.
Fasali na amfanin amfani da maganin insulin
Fulin insulin shine na'urar lantarki wanda aka ƙera don samar da aikin-cikin-gaban-da-agogo gudanar da shirye-shiryen insulin yana da ɗan gajeren mataki.
Lokacin amfani da wannan nau'in maganin, ana gudanar da magani a cikin ƙananan allurai.
Za'a iya aiwatar da tsarin famfon na lantarki ta hanyoyi daban-daban. Babban hanyoyin aikin famfo sune kamar haka:
- Ci gaba da gudanar da magani a cikin jikin mutum a cikin nau'ikan microdoses tare da farashin basal.
- Gabatar da miyagun ƙwayoyi a jikin mutum a cikin ƙimar bolus wanda a ciki ne ake shirya mitar allurar maganin a cikin mai haƙuri.
Game da hanyar farko na gudanarwar insulin, cikakken kwaikwayon kwayar halittar dake cikin farji ta faru. Wannan yanayin tsarin kulawa da magunguna ya sa ya yiwu a daina amfani da daskararru na tsawan aiki.
Yin amfani da hanyar ta biyu don shigar da insulin a cikin jiki ya barata kafin cin abinci ko a wasu lokutan da ake samun karuwa a cikin glycemic index.
Tsarin insulin na insulin ta amfani da famfo yana ba da damar haɓaka gudu don daidaita ayyukan insulin cikin jikin mutum, wanda ke da ƙwarin gwiwa. Lokacin amfani da famfo, ana buƙatar maye gurbin catheter kowane kwana 3.
Yin amfani da famfo na lantarki yana ba ku damar warware matsaloli tare da kwaikwayon yadda ake sarrafa insulin na halitta na jikin mutum.
Gudanar da ilimin insulin a cikin yara
Harkokin insulin a cikin yara yana buƙatar tsarin mutum kuma yana buƙatar ɗumbin dalilai da halaye na mutum na jikin ɗan lokacin zaɓin wata dabara.
Lokacin zabar wani nau'in maganin insulin don ciwon sukari na 1 a cikin yara, an zaɓi fifiko ga 2- da 3-ninki na kulawa da insulin-dauke da kwayoyi a cikin jikin yaron.
Wani fasalin insulin da yawu a cikin yara shine hadewar insulin tare da wani aiki na daban don rage yawan injections a kowace rana.
Ga yara wanda shekarunsu suka fi shekaru 12, yana da shawarar yin amfani da ingantaccen tsarin ilimin likita.
Siffar jikin yarinyar yana karuwa da hankalin mutum zuwa insulin idan aka kwatanta shi da jikin saurayi. Wannan yana buƙatar endocrinologist don daidaita yanayin insulin da yaron ya ɗauka. Idan an gano yaro da nau'in farko na ciwon sukari mellitus, to daidaitawa ya kamata ya fadi tsakanin kewayon 1-2 a kowace allura, kuma mafi girman izinin daidaitawa na lokaci daya ya zama bai wuce 4 raka'a ba.
Don ƙididdigar cikakken daidaituwa game da daidaitawa, ya zama dole don saka idanu kan canje-canje a cikin jiki tsawon kwanaki.
Lokacin yin gyare-gyare, masana ilimin ilimin kimiya na endocrinologists ba su bayar da shawarar lokaci guda don canza allurai masu alaƙa da aikin safiya da maraice na insulin a cikin jikin yara ba.
Harkokin insulin da sakamakon irin wannan magani
Lokacin ziyartar likita-endocrinologist, yawancin marasa lafiya suna damuwa da yadda ake yin magani tare da insulin kuma menene sakamakon da za a iya samu ta hanyar amfani da magani tare da kwayoyi masu ɗauke da insulin.
A kowane yanayi, ingantaccen tsarin kulawa ne ta hanyar endocrinologist. A halin yanzu, an ƙirƙiri alkalami na musamman don marasa lafiya don sauƙaƙe jiyya. Idan babu ƙarshen, za a iya amfani da sirinji insulin wanda yake da siririn insulin na bakin ciki sosai.
Ana gudanar da jiyya tare da insulin don haƙuri tare da ciwon sukari bisa ga tsarin da ke ƙasa:
- Kafin yin aikin insulin na subcutaneous cikin jikin mutum, yakamata a yiwa wurin allurar.
- Yakamata a ci abinci da ya wuce minti 30 bayan gudanar da maganin.
- Matsakaicin sashi na gwamnati guda bai wuce raka'a 30 ba.
Yin amfani da sirinji alƙaluma an zaɓi fida da aminci. Amfani da alƙalami yayin maganin yana da amfani sosai ga waɗannan dalilai:
- Kasancewar allura tare da ƙarawa ta musamman a cikin sirinji na syringe yana rage jin zafi yayin allura.
- Sauƙaƙawar ƙirar maganin sirinji yana ba ku damar amfani da na'urar a kowane lokaci kuma ko'ina, idan ya cancanta, a sa allurar.
- Wasu samfurannnnnn al ada na zamani suna sanye da fuka-ficin insulin. Wannan yana ba da damar haɗuwa da kwayoyi da kuma yin amfani da magunguna daban-daban na maganin warkewa a cikin tsarin kulawa.
Tsarin magani na kamuwa da cutar sankara tare da allurar insulin ya hada da wadannan abubuwan:
- Kafin abincin safe, ana buƙatar mai haƙuri daga masu cutar sukari don gudanar da insulin gajere ko na tsawon lokaci.
- Gudanar da insulin kafin lokacin abincin rana ya kamata ya ƙunshi kashi wanda ya ƙunshi ɗan gajeren shiri.
- Maganin kafin abincin yamma ya kamata ya ƙunshi insulin gajere da aiki.
- Yawan maganin da aka sarrafa kafin zuwa gado ya kamata ya hada da tsawan magunguna na aikin.
Za'a iya yin allurar cikin jiki a yankuna da dama na jikin mutum. Yawan sha a kowane yanki na shi.
Mafi saurin sha yana faruwa lokacin da ake sarrafa maganin a karkashin fata a cikin ciki.
Hadaddun insulin far
Gudanar da aikin jiyya, kamar kowane magani, zai iya samun ba kawai contraindications, amma har da rikitarwa. Daya daga cikin alamun rikice-rikicen da suka taso daga maganin insulin shine matsalar rashin lafiyan a fannin allurar.
Yawancin abin da ya faru da rashin lafiyar jiki shine sanadiyyar ƙarancin fasahar injection lokacin amfani da kwayoyi waɗanda ke ɗauke da insulin. Sanadin rashin lafiyan na iya zama yawan amfani da allura mai kauri ko kauri lokacin da allura, ba a nufin gudanar da aikin insulin ba, bugu da kari, sanadin rashin lafiyan na iya zama yankin da ake yin allurar da ba daidai ba da kuma wasu dalilai.
Wani rikitarwa na ilimin insulin shine raguwa a cikin sukari na jinin mai haƙuri da haɓakar haɓakar hypoglycemia a cikin jiki. Halin hypoglycemia cuta ne na jikin mutum.
Faruwar cutar rashin haihuwa a cikin jiki na iya haifar da ta'ammali da zabin sarin insulin ko kuma tsawan azumi. Sau da yawa glycemia na faruwa ne sakamakon babban nauyin hankalin mutum akan mutum.
Wani rikicewar sifofin halayyar insulin shine lipodystrophy, babban alama wanda shine ɓoyewar ƙoshin kitse a cikin allurar. Don hana haɓakar wannan rikicewar, ya kamata a canza yankin allurar.
A cikin bidiyon a cikin wannan labarin, an nuna hanya don gudanar da insulin ta hanyar amfani da alƙalami na sihiri.
