Gensulin: umarni da sake dubawa don amfani

Gensulin magani ne na magani don allurar cutar sankara. An contraindicated idan akwai wani wuce haddi ji da shi, kazalika da hypoglycemia.

Umarnin don amfani da sashi

Takamaiman matakin da hanyar gudanarwa za a ba da shawarar kawai ga likitan halartar. Za a saita sashi ne gwargwadon yawan sukarin jini na yanzu da sa'o'i 2 bayan cin abinci. Bugu da ƙari, za a yi la'akari da matakin hanya na glucosuria da abubuwanta.

Ana iya sarrafa Gensulin r ta hanyoyi da yawa (a cikin ciki, intramuscularly, subcutaneously) mintuna 15-30 kafin abincin da aka yi niyya. Hanyar da aka fi sani da tsarin gudanarwa ita ce juzu'i. Sauran zasu dace a irin waɗannan yanayi:

• tare da ketoacidosis mai ciwon sukari;
• tare da coma mai ciwon sukari;
• yayin tiyata.

Mitar gudanarwa yayin aiwatar da aikin motsa jiki zai zama sau 3 a rana. Idan ya cancanta, ana iya ninka adadin allura har sau 5-6 a rana.

Domin kada ku bunkasa lipodystrophy (atrophy da hauhawar ƙwayar subcutaneous), ya zama dole don canza wurin allura akai-akai.

Matsakaicin yawan maganin yau da kullum Gensulin r zai zama:

• don marasa lafiya manya - daga raka'a 30 zuwa 40 (UNITS);
• ga yara - raka'a 8.

Furtherarin gaba, tare da ƙarin buƙata, matsakaicin kashi zai zama 0.5 - 1 UNITS a kowace kilogram na nauyi, ko daga 30 zuwa 40 UNITS sau 3 a rana.

Idan kashi na yau da kullun zai wuce 0.6 PIECES / kg, to a wannan yanayin ya kamata a gudanar da maganin kamar allura 2 a cikin sassan jikin daban daban.

Magunguna suna ba da damar haɗakar magungunan Gensulin r tare da insulins masu aiki da dogon lokaci.

Maganin dole ne a tattara shi daga murfin ta hanyar sokin matattarar roba tare da allurar syringe mai kauri.

Ka'idojin bayyanar jiki

Wannan magani yana hulɗa tare da takamaiman masu karɓa akan ƙwayoyin sel na waje na sel. A sakamakon irin wannan lambar sadarwa, mai karɓar insulin mai haɗari ya faru. Kamar yadda samar da cAMP ke ƙaruwa a cikin mai da ƙwayoyin hanta ko lokacin da kai tsaye suka shiga cikin ƙwayoyin tsoka, sakamakon haɗarin insulin mai karɓar ƙwaƙwalwar mahaifa yana fara motsa ayyukan cikin ciki.

Rage yawan sukari na jini yana faruwa ta:

1. haɓaka aikin jigilar kayan cikin jikinta;
2. karuwar sha, har da sha daga tsokoki;
3. ƙarfafawa na aiwatar da lipogenesis;
4. Tsarin furotin;
5. glycogenesis;
6. raguwa a cikin yawan samar da glucose ta hanta.

Bayan allurar subcutaneous, ƙwayar Gensulin r zata fara aiki cikin minti 20-30. Za'a lura da mafi yawan abubuwan da ke cikin abubuwan bayan sa'o'i 1-3. Matsakaicin bayyanar wannan insulin zai dogara ne kai tsaye akan sashi, hanyar da wurin gudanarwa.

Yiwuwar halayen m

A kan aiwatar da amfani da Gensulin r waɗannan halayen mara kyau na jiki suna yiwuwa:

• rashin lafiyan (urticaria, karancin numfashi, zazzabi, rage karfin jini);
• hypoglycemia (pallor na fata, gumi, karuwar gumi, yunwa, tashin hankali, matsanancin damuwa, ciwon kai, bacin rai, halin baƙon abu, hangen nesa da daidaituwa);
• cutar rashin ruwa na hypoglycemic;
• acidosis da ciwon sukari (hyperglycemia) (yana haɓaka tare da isasshen allurai na ƙwayoyi, tsallake allura, ƙin rage cin abinci): fatar fatar fatar fuska, raguwar ci, rashin abinci, ƙoshin ruwa a koda yaushe;
• mai rauni sosai;
• matsalolin hangen nesa na yau da kullun;
• immunological halayen na jiki ga insulin mutum.

Bugu da kari, a farkon farawar, ana iya samun kumburi da nakuda sosai. Wadannan bayyanar cututtuka ba na sama ba ne kuma da sauri sun shuɗe.

Siffofin aikace-aikace

Kafin ku sha magungunan Gensulin r daga vial, kuna buƙatar bincika mafita don nuna gaskiya. Idan aka gano gawar foreignan ƙasa, laka ko turbar wani abu, haramun ne a yi amfani da shi!

Yana da mahimmanci kada a manta game da kyakkyawan zazzabi na maganin allura - dole ne ya zama zazzabi dakin.

Sashi na miyagun ƙwayoyi ya kamata a daidaita shi idan ya kasance ci gaban wasu cututtuka:

• na cuta;
• Cutar Addison;
• tare da ciwon sukari a cikin marasa lafiya da suka girmi shekaru 65;
• tare da matsaloli a cikin aiki na glandar thyroid;
• maganin rashin lafiya.

Babban abubuwan da ake buƙata don ci gaban hypoglycemia na iya zama: yawan maye, maye gurbin miyagun ƙwayoyi, amai, narkewa a ciki, canjin wurin allura, ƙwayar jiki, da kuma hulɗa tare da wasu kwayoyi.

Za'a iya lura da raguwar sukari na jini yayin juyawa daga insulin dabbobi zuwa mutum.

Duk wani canji a cikin kayan da aka gudanar dole ne a tabbatar dashi ta hanyar likita kuma za'a aiwatar dashi karkashin tsananin kulawa na likita. Idan akwai wani hali na haɓaka haɓakar hypoglycemia, to a wannan yanayin ikon marasa lafiya su shiga cikin zirga-zirgar ababen hawa da kuma kiyaye hanyoyin, da kuma keɓaɓɓun motoci.

Masu ciwon sukari na iya dakatar da haɓaka ci gaban haɓakar ƙwararraki. Wannan mai yiwuwa ne saboda yawan adadin carbohydrates. Idan an canja wurin hypoglycemia, to lallai ya zama dole sanar da likitanka game da wannan.

A lokacin jiyya tare da Gensulin r, lokuta masu tsinkaye na raguwa ko haɓaka yawan adadin mai zai yiwu. Ana kuma lura da irin wannan tsari kusa da wuraren allurar. Zai yuwu a guji wannan abin ta hanyar canza wurin allurar a kai a kai.

Idan ana amfani da insulin a lokacin daukar ciki, yana da mahimmanci a la’akari da cewa a cikin farkon farkonta buƙatun homon yana raguwa, a cikin na biyu da na uku yana ƙaruwa sosai. Yayin haihuwar yara kuma kai tsaye bayan su, za a iya samun karancin bukatun jiki na allurar hormone.

Idan mace tana shayarwa, to a wannan yanayin ya kamata ta kasance karkashin kulawar likita (har zuwa lokacin da yanayin ya daidaita).

Marasa lafiya tare da masu ciwon sukari waɗanda ke karɓar raka'a 100 na Gensulin P a lokacin rana ya kamata a asibiti da canji na magani.

Matsayin hulɗa tare da wasu kwayoyi

Daga ra'ayi na magani, magungunan ba su dace da sauran kwayoyi ba.

Hypoglycemia na iya karuwa ta:

• sulfonamides;
• MAO masu hanawa;
• carbonic anhydrase inhibitors;
• ACE inhibitors, NSAIDs;
• magungunan anabolic steroids;
• androgens;
• Shirye-shiryen Li +

Sakamakon sabanin akan yanayin lafiyar masu ciwon sukari (raguwar hauhawar jini) zai sami amfanin Gensulin tare da wannan hanyar:

1. maganin hana haihuwa;
2. madauki diuretics;
3. estrogens;
4. marijuana
5. H1 histamine mai karɓa mai karɓa;
6. nicotine;
7. glucagon;
8. somatotropin;
9. epinephrine;
10. clonidine;
11. tricyclic antidepressants;
12. ƙwayar cuta.

Akwai magunguna waɗanda zasu iya shafar jikin mutum ta hanyoyi guda biyu. Pentamidine, octreotide, reserpine, har ma da masu amfani da beta-blockers zasu iya haɓakawa da raunana tasirin hypoglycemic na miyagun ƙwayoyi Gensulin r.