Tresiba Flextach magani ne mai rage sukari. Misali ne na insulin aikin mutum. Saboda halayen likitancinsa, yawanci marasa lafiya suna amfani da Tresiba tare da kamuwa da cutar sukari-da ke fama da cutar sankara a jiki. Ana amfani dashi azaman tushe don kula da matakan insulin jini.
Yanayi daban-daban na iya haifar da dogaro da insulin. Nau'in na 1 na ciwon sukari mellitus, halayyar matasa, ana fara shi da insulin. Tunda pancreas din ba zai iya sakin wannan hormone din cikin jini ba saboda yawan cututtukan kwayoyin halittu.
Nau'in 2 na ciwon sukari mellitus, wanda yake shine cikin tsohuwar rabin yawan jama'a, yana faruwa ne akan tushen canje-canje na cututtukan ƙwayoyin cuta a cikin ƙwayoyin jijiyoyin ƙwayoyin cuta da haɓakar jigilar masu karɓar sel zuwa insulin. Irin wannan ciwon sukari ba ya buƙatar magani nan da nan tare da shirye-shiryen insulin. Lokaci ne kawai tare da lokaci na rashin isharar tsibirin na Langerhans da kwantar da kwayar ta horuwar bi da bi.
Tresiba Flextach yana da tsari na musamman wanda ke sauƙaƙe rayuwar masu ciwon sukari sosai. Ana samun magungunan a cikin nau'i na alkalami, wanda ke sa gudanarwar insulin ya fi dacewa da jin zafi kuma yana sauƙaƙe hanyoyin ɗaukar maganin.
Sold Tresiba a cikin kunshin 5 alkalama. Matsakaicin matsakaicin farashin kayan kwalliya daga 7600 - 8840 rubles. Wannan yana da amfani sosai, tunda an nuna farashin nan da nan don alkalami 5.
Da abun da ke ciki da kuma irin maganin
Ana amfani da magungunan Tresiba Flextach a cikin nau'i na sirinji da aka haɗa tare da kayan haɗin gwanon. Ana samun maganin a cikin kashi biyu, wanda ya dace sosai ga marassa lafiyar da ke da nauyi a jiki da kuma hadadden tsarin ciwon suga. Kowane kundin 3 ml. Dangane da haka, allon alkalami na 300 da 600 ana samun su.
A cikin 1 ml na bayani don allura ya ƙunshi babban abu insulin degludec 100 da raka'a 200.
Abubuwa masu kama iri ɗaya suna da:
- Glycerol - 19.6 / 19.6 mg;
- Metacresol - 1.72 / 1.72 mg;
- Phenol - 1.5 / 1.5 MG;
- Hydrochloric acid;
- Zinc - 32.7 / 71.9 mcg;
- Sodium hydroxide;
- Ruwa don allura - har zuwa 1/1 ml.
Ana iya gudanar da maganin a cikin kwayar cutar har zuwa 80/160 U / kg. A wannan yanayin, matakin daidaita satin shine raka'a 1 ko 2. Kowane ɗayan insulin na insulin degludec yayi daidai da naúrar insulin ɗan adam.
Hanyar aikin
Hanyar aiwatar da miyagun ƙwayoyi ya dogara ne akan cikakken agonism na insulin degludec tare da ɗan adam mai ban sha'awa. Lokacin da aka saka shi, yana ɗaure wa masu karɓar ƙwayar insulin, musamman tsoka da mai. Sakamakon abin da, aikin sha glucose daga jini yana aiki. Hakanan akwai raguwar ragi a cikin samar da glucose ta sel hanta daga glycogen.
Ana haifar da insulin degludec ta yin amfani da injiniyan ƙwayoyin cuta, wanda ke taimakawa wajen ware DNA daga ƙwayoyin ƙwayoyin cuta na saccharomyces cerevisiae. Lambar kwayar halittarsu tana da kama da insulin ɗan adam, wanda ke sauƙaƙewa da haɓaka samar da magunguna. Insulin alade kasance da. Amma ya haifar da halaye masu yawa daga tsarin rigakafi.
Yawan zafinsa daga jikin mutum yake da kuma kasancewa da sinadarin insulin na tsawon awanni 24 ana tsokane shi da yanayin sifofin mutum daga cikin kitse mai ƙonawa.
Lokacin da aka sarrafa shi ƙarƙashin abu, insulin degludec yana samar da wani yanki mai narkewa mai narkewa mai yawa. Molecules yana rataye da ƙwayar mai, wanda ke tabbatar da jinkirin ƙwayar magunguna a hankali kuma ya zama sanadi a hankali a hankali. Haka kuma, kan aiwatar yana da matakin laima. Wannan yana nufin cewa ana amfani da insulin daidai da na tsawon awanni 24 sannan kuma ba shi da alamun canzawa.
Manuniya da contraindications
Babban kuma kawai nuni don yin amfani da insulin na dogon lokaci shine nau'in 1 ko nau'in ciwon sukari na 2 mellitus. Ana amfani da insulin Degludec don kula da matakin asali na hormone a cikin jini don daidaita yanayin rayuwa.
Babban contraindications sune:
- Kowane mutum rashin jituwa ga abubuwan da miyagun ƙwayoyi;
- Ciki da lokacin ciyarwa;
- Yara a kasa da shekara 1.
Umarnin don amfani
An zaɓi sashi don kowane mai haƙuri daban-daban ta likitan halartar. Kundin layin yana dogara da yanayin cutar, nauyin mai haƙuri, yanayin rayuwa mai aiki, da kuma cikakken abincin da za a bi.
Za'a iya amfani da maganin a matsayin monotherapy, kazalika da haɗin ɓangaren hadaddun jiyya don ƙoshin lafiyar insulin na yau da kullun. Yi amfani da kullun a lokaci guda na rana don guje wa haɓakar ciwon sukari.
Vearin insulin da ya fara aiki Levemir ana yin shi kawai ne kawai, saboda sauran hanyoyin gudanar da ayyukan na iya haifar da rikitarwa. Yankunan da suka fi dacewa don allurar subcutaneous: cinya, gindi, kafada, ƙoshin lafiya da bangon gaban ciki na ciki. Tare da canji na yau da kullun a cikin yankin na sarrafa magunguna, an rage girman haɗarin haɓakar lipodystrophy da halayen gida.
Kafin ka fara amfani da alkairin sirinji, kana buƙatar gano ƙa'idodi don amfani da wannan na'urar. Wannan mafi yawanci koya ne daga halartar likita. Ko mara lafiyar yana halartar azuzuwan rukuni don shirya don rayuwa tare da ciwon sukari. Wadannan darussan suna magana akan raka'a gurasa a cikin abinci mai gina jiki, tushen ka'idodin magani wanda ya dogara da mai haƙuri, da kuma ka'idoji don amfani da famfo, alƙalami, da sauran na'urori don gudanar da insulin.
Kafin fara aiwatar da aikin, kana buƙatar tabbatar da amincin alkairin sirinji. A wannan yanayin, ya kamata ku kula da katun, launi na mafita, rayuwar shiryayye da sabis na bawuloli. Tsarin Tresib na syringe-pen shine kamar haka.
Sannan fara aiwatar da kanta.
Zai dace da kula da gaskiyar cewa yin amfani da al'ada wajibi ne don amfani mai zaman kansa. Mai haƙuri yakamata yaga lambobin da aka nuna akan mai zaɓar lokacin zabar magani. Idan wannan ba zai yiwu ba, yana da daraja shan ƙarin taimakon wani da hangen nesa na al'ada.
Nan da nan shirya alkairin sirinji don amfani. Don yin wannan, muna buƙatar cire hula daga cikin maɓallin sirinji kuma mu tabbata cewa akwai ingantaccen bayani mai launi mara launi a cikin tagar. Auki allurar da za a iya cirewa kuma cire alamar daga ciki. Sannan a hankali danna allura zuwa hannun kuma, kamar, zura shi.
Bayan mun gamsu da cewa allura ta ɗaure ta a cikin sirinji na siririn, cire maɗaurin murfin waje kuma saita shi gefe. Allura koyaushe yana da fila na ciki na biyu wanda dole ne a zubar dashi.
Lokacin da duk abubuwan da aka sanya don allurar suna shirye, muna bincika ɗaukar insulin da lafiyar tsarin. Don wannan, an saita kashi 2 raka'a akan mai zaɓa. Hannun ya ɗaga sama da allura kuma an ɗora shi a tsaye. Tare da yatsanka, a hankali kan jiki don duk abin da zai yiwu a samu kumburin iska a saman gaban allurar.
Latsa piston kullun, bugun kiran ya nuna 0. Wannan yana nuna cewa adadin da ake buƙata ya fito. Kuma a ƙarshen ƙarshen allura wani digo na bayani ya kamata ya bayyana. Idan wannan bai faru ba, sake maimaita matakai don tabbatar da tsarin yana aiki. An ba da wannan ƙoƙari guda 6.
Bayan bincike ya ci nasara, za mu ci gaba zuwa gabatarwar miyagun ƙwayoyi cikin kitsen mai ƙyalli. Don yin wannan, tabbatar cewa mai zaɓin yana nuna "0". Sannan zaɓi zaɓi da ake so don gudanarwa.
Sanya allura a ƙarƙashin fata tare da duk wata dabara da nurse ɗin ta nuna yayin horo. Kulle allura a wannan matsayin. Ba tare da taɓa mai zaɓin ko motsa shi ta kowace hanya ba, danna maɓallin farawa gaba ɗaya. Riƙe allura a cikin kauri na fata na wani sakan 6, domin magungunan na iya fita daga silar sirinji a cikakke, sannan a fitar da shi. Bai kamata a sanya mashin allurar ba ko shafa.
Sannan sanya murfin waje a allura don kwance shi daga abin rikewa, sannan a zubar dashi. Rufe maɓallin sirinji tare da kansa.
Kula da kayan aiki baya buƙatar kowane ƙoƙari. Don yin wannan, kawai kuna buƙatar shafa duk abubuwan bayyane na alkairin sirinji tare da auduga swab a cikin barasa.
M halayen
A lokacin jiyya, halayen da ba a sani ba na iya faruwa. Abubuwan da suka fi dacewa da raunin da ya faru shine hypoglycemia. An lura, a matsayin mai mulkin, a cikin waɗannan marasa lafiya waɗanda suka wuce adadin da aka nuna, ba daidai ba bi magunguna, ko kuma an zaɓi sashi ba daidai ba.
Hypoglycemia yana bayyana ta fuskoki iri iri, wanda har zuwa digiri ɗaya ko wani ya dogara da aikin kwakwalwa da ke fama da rauni. Hakanan ana taka muhimmiyar rawa ta matakan sukari daban-daban wanda jikin mai haƙuri ya saba dashi.
Bayyananniyar bayyanar cututtuka na faruwa da wuya. Wannan sakamako na gefen shine yakan haifar da halayen anaphylactic wani nau'in kai tsaye, wanda ya tashi saboda rashin jituwa ga mutum akan abubuwan da ke cikin magani.
Yawanci anaphylaxis yana bayyana ta hanyar:
- Urticaria;
- Itching
- Harshen Quincke na edema;
- Erythema;
- Murmushi Anaphlactic.
Ana lura da halayen gida game da kula da miyagun ƙwayoyi. Mai haƙuri ya koka da kumburi na gida, itching, rashes a wurin allurar. Reactionwaƙwalwa mai kumburi da ƙonewa na gida halaye ne.
Abubuwan mamaki na lipodystrophy ana lura dasu koyaushe lokacin da ba a bi umarnin yin amfani da shi ba. Idan kuna bin ka'idodi, kuma duk lokacin da kuka canza wurin yin allura, da yiwuwar haɓakar lipodystrophy zai ragu.
Yawan damuwa
Mafi kyawun alamar alamar yawan zubar jini shine hypoglycemia. Wannan yanayin yana faruwa ne sakamakon karuwar matakan glucose na jini da keɓancewar ƙara yawan insulin taro. Hypoglycemia na iya bayyana kanta tare da alamomi daban-daban, waɗanda suka dogara da tsananin yanayin.
Ana iya zargin hypoglycemia idan da yawa daga cikin alamun da ke gaba sun bayyana:
- Dizziness
- Matattu;
- Yunwar;
- Bakin bushewa;
- Gumi mai ɗumi;
- Cramps
- Itching
- Girma;
- Jin bugun kirji;
- Jin damuwa;
- Magana mara kyau da hangen nesa;
- Makaho mai haske harma ya kasance.
Za a iya ba da taimako na farko don ƙoshin lafiya mai sauƙi ta hanyar dangi ko ta haƙuri. Don daidaita yanayin, kuna buƙatar dawo da matakin glucose na jini zuwa al'ada.
Idan yanayin ya fi tsanani kuma yana haifar da cin zarafin ƙwaƙwalwa, dole ne a kira motar asibiti nan da nan. Tare da mummunan hypoglycemia, yana da kyau a gabatar da maganin maganin insulin - glucagon a cikin kashi na 0.5-1 mg intramuscularly ko subcutaneously. Idan glucagon ba ya nan saboda wasu dalilai, sauran masu maganin insulin na iya maye gurbin sa. Hotunan thyroid, glucocorticoids, catecholamines, musamman adrenaline, ana iya amfani da somatotropin.
Therapyarin aikin tiyata ya ƙunshi narkewar ruwa na kwantar da hankalin glucose da kuma ci gaba da saka idanu akan sukari na jini. Controlarin sarrafa sarrafa lantarki da daidaitawar ruwa.
Sharuɗɗan da yanayin ajiya
Kiyaye alkalami insulin daga nesa da yara. Matsakaicin zafin jiki na ajiya na katako da ba'a amfani dashi shine digiri +2 - +8. An ba shi izinin adanawa a cikin firiji a kan shelf ƙofar, wanda ke nesa da injin daskarewa. Kada a daskare miyagun ƙwayoyi!
Guji bayyanar hasken rana da tsananin zafi. Don yin wannan, adana katako mai rufe a cikin tsare na musamman, wanda aka haɗa a matsayin kayan kariya.
Adana bude sirinji na buɗe cikin ɗakin zazzabi a cikin duhu. Matsakaicin zafin jiki kada ya wuce digiri +30. Don kariya daga hasken rana, kullun buɗe akwati a buɗe tare da hula.
Matsakaicin rayuwar shiryayye shine watanni 30. Bayan ranar karewa da aka nuna a kan kunshin, amfani da miyagun ƙwayoyi ya zama karuwa. Za'a iya amfani da katako mai buɗe tare da alkairin sirinji na makonni 8.
Tresiba insulin shine ingantaccen madadin sirinji, wanda ke sauƙaƙa rayuwa sauƙaƙa a yawancin fannoni na ilimin insulin.
