Insulin Insuman (Rapid da Bazal) - umarnin kan yadda ake maye gurbinsu

Ba da daɗewa ba, duniya za ta yi bikin cika shekara ɗari da amfani da insulin don ceton rayukan mutane masu ciwon sukari. Babban amfanin da ke tattare da kula da lafiyar miliyoyin masu ciwon sukari ya kasance ne na insulins, wanda ɗayansu shine Insuman.

Wannan magani shine samfurin damuwa na Sanofi, wanda ke samar da sanannun Lantus, Apidra da Tujeo. Rashin insuman a kasuwar insulin kusan 15%. A cewar masu ciwon sukari, mafita ya dace don amfani, ana nuna shi ta hanyar inganci koyaushe. Akwai nau'ikan insulin guda biyu a cikin layin: matsakaici Insuman Bazal da gajeren Insuman Rapid.

Ta yaya miyagun ƙwayoyi ke aiki?

Insuman shine asalin injin ɗan adam. A kan sikelin masana'antu, ana samar da hormone ta amfani da kwayoyin cuta. Idan aka kwatanta da insulins da aka yi amfani da su a baya, injin-ɗabi'a suna da sakamako mafi tsayayye da tsabtatawa mai inganci.

A da, makasudin maganin insulin shine yakar mutuwa. Tare da shigowar insulin ɗan adam, ƙalubalen ya canza. Yanzu muna magana ne game da rage haɗarin rikice-rikice da cikakken rayuwar marasa lafiya. Tabbas, don cimma wannan akan analogues ana insulin sauki, amma akan ragin insuman tsayayyar cutar sankari mai yiwuwa ne. Don yin wannan, kuna buƙatar karanta umarnin don maganin, bayanin martabarsa na aiki, koya yadda ake lissafin kashi daidai kuma daidaita shi lokaci-lokaci.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

• Normalization na sukari -95%
• Cirewa kan jijiyoyin mara wuya - 70%
• Cire zuciyar mai karfin zuciya -90%
• Rabu da cutar hawan jini - 92%
• Increasearuwar kuzarin rana, inganta bacci da dare -97%

Ba za a iya amfani da tsarin kwayar halitta a cikin farcen abinci mai lafiyayyiya ba. Babban saki insulin yana faruwa ne yayin amsawar glucose da ke shiga jijiyar jini daga abinci. Koyaya, idan mutum yana jin yunwa ko yana bacci, har yanzu akwai insulin a cikin jini, kodayake cikin adadi kaɗan - a matakin da ake kira basal. Lokacin da samar da hormone ya tsaya tare da ciwon sukari, an fara amfani da magani don maye gurbinsa. Wannan yawanci ana buƙatar nau'ikan insulin guda 2 ne. Matsayin Basal yana kwaikwayon Insuman Bazal, yana shiga cikin jini a hankali, na dogon lokaci kuma a cikin ƙananan rabo. Sugar bayan cin abinci an tsara shi don rage Insuman Rapid, wanda ya isa tasoshin da sauri.

Kwatanta halayen Insumans:

Dokokin aikace-aikace

Bukatar insulin na mutum ɗaya ne ga kowane mai ciwon sukari. A matsayinka na mai mulkin, marasa lafiya da ke da nau'in cuta na 2 da kiba suna buƙatar ƙarin hormone. Dangane da umarnin don amfani, a kan matsakaita kowace rana, marasa lafiya suna har zuwa raka'a 1 na miyagun ƙwayoyi a kowace kilo kilogram na nauyi. Wannan adadi ya hada da Insuman Bazal da Rapid. Short insulin yakai kashi 40-60% na yawan bukata.

Insuman Bazal

Tun da Insuman Bazal GT yana aiki da ƙasa da kwana ɗaya, dole ne ku shigar da shi sau biyu: da safe bayan auna sukari da kafin lokacin kwanciya. Allurai na kowace gwamnati ana kirga daban. A saboda wannan, akwai dabaru na musamman waɗanda ke yin la’akari da hankalin mutum game da ƙwayar hormone da kuma glycemia data. Matsakaicin da ya dace ya kamata ya kiyaye matakin sukari a lokacin da mai fama da cutar sukari ke fama da yunwa.

Insuman Bazal dakatarwa ne, yayin ajiya yana exfoliates: a saman akwai ingantaccen bayani, a ƙasa akwai farashin fari. Kafin kowane allura, da miyagun ƙwayoyi a cikin sirinji na alkalami buƙatar Mix da kyau. Duk lokacin da aka sanya suturar ta zamanto, za a dauki karin matakan da ake so daidai. Insuman Bazal ya fi sauƙi a shirya don gudanarwa fiye da sauran ƙananan matsakaici. Don sauƙaƙe haɗuwa, katunan suna sanye da kwallaye uku, waɗanda ke ba da damar samun cikakkiyar daidaituwa na dakatarwa a cikin 6 kawai na alkairin sirinji.

Insuman Rapid

Short Insuman Rapid GT allurar kafin abinci, yawanci sau uku a rana. Yana fara aiki bayan minti 30, don haka dole ne a yi allurar gaba. Don haɓaka diyya na ciwon sukari, yana da kyawawa don cimma daidaituwa na karɓar kashi na insulin da glucose a cikin jini.

Don yin wannan, kuna buƙatar:

1. Fara abincinku da jinkirin carbohydrates da furotin. Ana barin carbohydrates mai sauri a ƙarshen cin abinci.
2. Ku ci kaɗan tsakanin manyan abincin. Don abun ciye-ciye, 12-20 g na carbohydrates sun isa.

Matsayin Insuman Rapid an ƙaddara shi da adadin carbohydrates a cikin abinci da abin ciye-ciye mai zuwa. Adadin da aka ƙididdige daidai yana ba ku damar cire duk sukari daga tasoshin abinci.

Insulin mai sauri koyaushe yana a bayyane, ba kwa buƙatar haɗa shi, ana iya amfani da alkairin sirinji ba tare da shiri ba.

Maganin allura

Wanda masana'antun ke samar da Insuman a cikin nau'ikan 5 ml vials, katako 3 ml da alƙaliman sirinji. A cikin kantin magunguna na Rasha, ya fi sauƙi don siyan magani wanda aka sanya shi a cikin allon alkairin SoloStar. Sun ƙunshi 3 ml na insulin kuma baza'a iya amfani dashi ba bayan magungunan sun ƙare.

Yadda za a shiga Insuman:

1. Don rage zafin allura da rage haɗarin lipodystrophy, ƙwayar a cikin ƙwayar sirinji ya kamata ya kasance da zazzabi a ɗakin.
2. Kafin amfani, ana bincika katun a hankali don alamun lalacewa. Don kada mara haƙuri ya rikitar da nau'in insulin, ana yiwa alkalami mai alama da alamu masu launi waɗanda suka dace da launi na rubutattun a kan kunshin. Insuman Bazal GT - kore, Rapid GT - rawaya.
3. An mirgine Insuman Bazal tsakanin tafin hannu sau da yawa don haɗawa.
4. An ɗauki sabon allura don kowane allura. Reuse ya lalata ɓacin nama. Duk wata allura ta duniya kamar ta alkairin SoloStar sirinji: MicroFine, Insupen, NovoFine da sauransu. An zaɓi tsayin allura gwargwadon kaurin kitse mai ƙyalƙyali.
5. Alƙalin sirinji yana ba ku damar farashi daga raka'a 1 zuwa 80. Insumana, daidaituwar dosing - 1 naúrar. A cikin yara da marasa lafiya a kan abinci mai ƙarancin carb, buƙatar homonin zai iya zama kaɗan, suna buƙatar haɓaka mafi girma a tsarin saiti. SoloStar bai dace da irin waɗannan lamuran ba.
6. An fi dacewa da Insuman Rapid a ciki, Insuman Bazal - a cinya ko gindi.
7. Bayan gabatarwar mafita, allurar an bar ta a cikin jikin na wani santin 10 don kada magungunan su fara zubowa.
8. Bayan kowane amfani, an cire allura. Insulin yana tsoron hasken rana, saboda haka kuna buƙatar rufe katako nan da nan tare da hula.

Side sakamako

Idan ana gudanar da maganin fiye da abin da ake buƙata, hypoglycemia yana faruwa. Yana da shi ne mafi yawan sakamako gefen sakamako na insulin far, ko da kuwa da irin insulin amfani. Hypoglycemia na iya ƙaruwa da sauri, saboda haka ko da ƙarancin saukad da sukari da ke ƙasa da al'ada ya kamata a kawar da shi nan da nan.

Sakamakon sakamako na Insuman shima ya hada da:

1. Cutar koda zuwa abubuwanda aka gyara. Yawancin lokaci ana bayyana shi a cikin itching, redness, fitsari a cikin yankin gudanarwa. Sau da yawa ƙasa da ƙasa (bisa ga umarni, ƙasa da 1%) halayen anaphylactic yana faruwa: bronchospasm, edema, saukarwar matsi, girgiza.
2. Sodium riƙewa. Yawancin lokaci ana lura dashi a farkon jiyya, lokacin da sukari daga manyan lambobi ya sauka zuwa al'ada. Hypernatremia yana tare da edema, hawan jini, ƙishirwa, haushi.
3. Samuwar ƙwayoyin rigakafi don insulin a cikin jiki shine halayyar aikin insulin na tsawon lokaci. A wannan yanayin, ana buƙatar haɓakar ƙwayar insuman. Idan kashi da ake so ya yi girma da yawa, za a tura mai haƙuri zuwa wani nau'in insulin ko an tsara magungunan immunosuppressive.
4. Kyakkyawan ci gaba a cikin biyan diyya na iya haifar da rauni na gani na ɗan lokaci.

Mafi sau da yawa, sannu a hankali jikin mutum ya saba da insulin, kuma rashin lafiyan yana tsayawa. Idan sakamako na gefe yana da barazanar rayuwa (faɗakarwar anaphylactic) ko bai ɓace ba bayan makonni 2, yana da kyau a maye gurbin maganin tare da analog. Insuman Bazal GT - Humulin NPH ko Protafan, Rapid GT - Actrapid, Rinsulin ko Tsarin Humulin. Wadannan kwayoyi sun bambanta kawai a cikin magabata. Bayanin aikin abu ɗaya ne a gare su. Lokacin da rashin lafiyar insulin na mutum, suna canzawa zuwa insulin analogues.

Farashin Insuman yayi daidai da darajar harajin sa. Magungunan a cikin sirinji ya ƙima kimanin 1100 rubles. da 15 ml (raka'a 1500, almarar 5 sirinji). Isofan-insulin yana cikin jerin mahimman magunguna, don haka masu ciwon sukari suna da da ikon karbarsa kyauta.

Contraindications

Dangane da umarnin, cikakkiyar contraindications don amfani sune kawai hypoglycemia da mummunan halayen rashin lafiyar. Idan an wajabta maganin insulin, ana iya katse shi ta hanyar yarjejeniya tare da likita, tunda a cikin rashi na kansa da na jijiyoyin haila na hyperglycemia da sauri na faruwa, to ketoacidosis da coma. Masu fama da matsalar rashin lafiyan jiki sukan girke insulin a cikin asibiti.

Abubuwan da aka ketare masu zuwa ba contraindications bane, amma suna buƙatar masu zuwa:

• ɗan adam yana ɗan sakin jiki da kodan, sabili da haka, tare da ƙarancin waɗannan gabobin, ƙwayar za ta iya yin kwanciyar hankali a cikin jiki kuma ta haifar da hypoglycemia. A cikin masu ciwon sukari tare da cutar nephropathy da sauran cututtukan koda, ana kulawa da ikon haɓaka iyakance su a kai a kai. Bukatar insulin na iya rage hankali a cikin tsufa, lokacin da aikin koda ya ragu saboda dalilai na ilimin halayyar;
• kusan kashi 40% na insulin shine yake hanta hanta. Organungiyoyin guda ɗaya suna haɗawa da wani ɓangare na glucose wanda ke shiga cikin jini. Rashin isasshen hepatic yana haifar da wuce haddi na Insuman da hauhawar jini;
• buƙatar hormone yana ƙaruwa sosai tare da cututtukan cututtukan zuciya, musamman tare da m cututtuka tare da yawan zafin jiki;
• a cikin marasa lafiya da rikice-rikice na kullum na ciwon sukari, hypoglycemia yana da haɗari musamman. Tare da angiopathy tare da taƙaitawar jijiya, yana iya haifar da bugun zuciya da bugun jini, tare da retinopathy - don asarar hangen nesa. Don rage haɗarin irin wannan sakamakon, matakan glucose na ainihi ga marasa lafiya suna ƙaruwa kaɗan, kuma ana rage raguwar allurai;
• aikin insulin na iya canzawa ƙarƙashin rinjayar abubuwa daban-daban da suka shiga jini: ethanol, hormonal, antihypertensives da wasu magunguna. Yakamata a yarda da kowane magani tare da likita. Wajibi ne a shirya cewa biyan diyyar mellitus na ciwon sukari zai daɗa ƙaruwa, kuma za a buƙaci daidaita suturar mutum.

Yawan da ake buƙata na Insuman tare da nau'in ciwon sukari na 2 na iya raguwa a hankali yayin da juriya na insulin ke raguwa. Normalization na nauyi, ƙarancin abincin carb, da kuma motsa jiki na yau da kullun suna haifar da wannan raguwa.

Umarni na musamman

Hypoglycemia shine mafi kyawun sakamako na rashin lafiyar insulin, don haka ana keɓe wani sashi na musamman a cikin umarnin don amfani da Insuman. Rashin haɗari na sukari mai haɗari yana da girma musamman a farkon amfani da insulin, lokacin da mara lafiya yana koyo don ƙididdige yawan maganin. A wannan lokacin, ana bada shawarar kulawa da glucose mai zurfi: ana amfani da mitar ba kawai da safe da kuma abinci ba, har ma a tsaka-tsaki.

Hypoglycemia an tsayar da shi a farkon alamun ko tare da ƙarancin sukari, koda kuwa ba ta shafi zaman lafiya. Alamar hatsari: juyayi, yunwar, rawar jiki, yawan magana ko tsoratar da harshe da lebe, zufa, ciwon kai, ciwon kai. Theara yawan hauhawar jini na iya kasancewa ana ɗaukar shakku, rikicewar iko da kulawa da motsi. Bayan asarar farka, yanayin da sauri yayi rauni, yanayin fara haila ya fara aiki.

A duk lokacin da yanayin cututtukan jini ke kara dawowa, mafi muni da mai ciwon sukari yana jin alamun sa, kuma yayin da hadarin ke raguwa na sukari na gaba. Yawancin hypoglycemia yana buƙatar daidaita sashi na Insuman. Taimako na Farko ga Suga mai Sanda - 20 g glucose. Wannan kashi na iya wucewa a cikin matsanancin yanayi, tunda wuce haddi na carbohydrates zai haifar da sauri zuwa wannan jihar - hyperglycemia.

Wani rikitarwa na cututtukan hyperglycemia mai ƙarfi shine coma na ketoacidotic. Yawancin lokaci yana haɓaka kwanaki da yawa, saboda haka mai haƙuri yana da lokaci don ɗaukar mataki. A wasu halaye, daga farkon ketoacidosis zuwa coma, 'yan awanni kawai suka wuce, saboda haka kuna buƙatar rage babban sukari nan da nan bayan an gano shi. Don waɗannan dalilai amfani kawai mutum ne mai sauri. A matsayinka na babban doka, ana buƙatar sashi 1 don rage yawan ƙwayar cuta ta 2 mmol / L. Insuman. Don hana hypoglycemia, sukari a farkon matakin ya ragu zuwa 8. Yin gyara ga al'ada ana yin shi ne bayan 'yan sa'o'i, lokacin da tsawon lokacin allurar da ta gabata ya ƙare.