A cikin ciwon sukari na mellitus, samar da insulin yana da rauni sosai, wanda ke haifar da sauƙaƙewa a cikin matakan sukari na jini. Yarda da tsarin abincin ba koyaushe yana ba da sakamakon da ake tsammanin ba, don haka likitoci suna ba da magunguna don marasa lafiya don daidaita al'ada.
Novomix magani ne na insulin wanda shine farin dakatarwa ba tare da lumps ba. An wajabta shi don insulin-dogara da ciwon sukari-wanda ba shi da insulin-insulin na ciwon suga ba.
Principlea'idar miyagun ƙwayoyi Novomix
Magungunan suna shiga cikin kantin magunguna a cikin katako ko alkalami na musamman. Thearar duka nau'ikan sashi shine 3 ml. Dakatarwar ta kunshi bangarori 2.
Lokacin da aka shiga, ƙwayar:
- Yana shafar masu karɓar insulin;
- Yana hana samar da sukari mai narkewa;
- Yana rage sukarin jini;
- Normalizes matakin glucose, wanda yakan tashi sosai bayan cin abinci.
Magungunan ba ya tasiri da ikon samun yara kuma ba ya haifar da ci gaban maye gurbi da ciwan kansa. Novomix magani ne mai ƙoshin lafiya wanda ba shi da illa ko sakamako idan aka yi amfani da shi daidai.
Kwayar halittar da ke cikin miyagun ƙwayoyi ta yi kama da insulin na halitta don haka baya haifar da barazanar jiki.
Contraindications, amfani lokacin ɗaukar yaro da ciyar da shi
Magungunan yana contraindicated idan akwai wani tashin hankali zuwa kewayar insulin ko zuwa abubuwan taimako. Ba'a ba da shawarar maganin ga yara 'yan ƙasa da shekara 6 ba. Lokacin ɗaukar ɗa, Novomix an wajabta shi kawai a cikin lokuta na amfani mai mahimmanci wanda ya wuce hadarin ga ɗan da ba a haifa ba.
Lokacin ɗaukar yaro, a hankali kula da matakin glucose a cikin jini kuma kula da shi koyaushe. A cikin farkon watanni na ciki, ana buƙatar sakacin insulin, a cikin na biyu zuwa na uku yana karuwa. Bayan haihuwa, za a iya rage takin, tun da bukatar jikin mutum na yin insulin ya ragu sosai.
Zai yiwu sakamako masu illa
Tare da amfani mara kyau ko tsawaitawa, Novomix yana da ikon cutar da jikin mai haƙuri. Marasa lafiya suna da abubuwan da ba a ke so:
- Hypoglycemia. Wannan wani yanayi ne yayin da matakin sukari na jini ya sauka sosai ga alamu masu sanadi (kasa da mil 3.3 a lita 1). Hypoglycemia yana tasowa a cikin waɗannan marasa lafiyar waɗanda aka ba su babban adadin maganin. Bayyanar cututtuka na ƙarancin sukari yana faruwa kwatsam. Fatar ta zama mai kauri, mutum yakan yi gumi kullum, da sauri yana gajiya kuma yana fama da yawan damuwa. Marasa lafiya tare da raguwar sukari suna girgiza hannun, sun rasa ƙarfi kuma suka rikice. Mayar da hankalin ya lalace, bugun zuciyar yana da sauri kuma yana bacci koyaushe. Sau da yawa, marasa lafiya da ke fama da cutar tarin fuka suna fuskantar yunwar da ba a sarrafawa. Hangen nesa ba ya ragu kuma tashin zuciya ya bayyana. A cikin mummunan rauni na hypoglycemia, mai haƙuri yana haɓaka rashi da aikin kwakwalwa mai rauni. Idan ba a ba da taimako akan lokaci ba, yawan kuɗaɗen jini yana haifar da mutuwar mai haƙuri;
- Lipodystrophy. Wannan shi ne lalata fat mai har zuwa lokacin da zai ɓace. Yana bayyana a wuraren da aka yi allura akai-akai. Yawan shaye da shaye abubuwa masu aiki koyaushe basu da amfani. Don hana lipodystrophy, ana bada shawara don sauya wurare don allura da allurar insulin cikin sababbin yankuna;
- Allergic halayen. Novomix a lokuta mafi ƙaranci na haifar da ƙarara ta jiki - yanayin da rashes yake rufe jiki baki ɗaya. Mai haƙuri yana yin zufa, yana fama da rikice-rikice na ƙwayar jijiyoyi da angioedema. A cikin lokuta masu rauni, hawan jini yana raguwa, yawan bugun zuciya yana sauri, yana zama da wahala ma mara lafiya yin numfashi. Waɗannan halayen suna haifar da haɗari ga rayuwar mai haƙuri kuma suna buƙatar kulawa ta gaggawa.
Novomiks: umarnin aikace-aikacen
Kafin amfani da samfurin, ansu rubuce-rubucen katuno ko alkalami da za a iya zubar kuma girgiza. Kula da launi na akwati - inuwa ya kamata ya kasance daidai da fararen fata. Kwakwalwa da ke manne da bangon kicin din kada ta kasance. Kawai amfani da guda ɗaya na allura an yarda - idan kun manta da wannan dokar, to kuna iya haɗarin kamuwa da kwayar cutar.
Kafin amfani, yana da mahimmanci a kula da ka'idodi da matakan kiyayewa:
- Kada kayi amfani da miyagun ƙwayoyi idan kafin hakan yana kwance a cikin injin daskarewa;
- Idan mai haƙuri ya ji cewa sukari ya yi ƙasa, to haramun ne a gudanar da maganin. Don haɓaka glucose, isa
- Ku ci carbohydrates masu sauki (kamar alewa)
- Idan an fidda katako a ƙasa ko lalace ta wata hanya, ba zai yuwu a yi amfani da shi ba a nan gaba. Kafin amfani, bincika akwati mai dakatarwa akai-akai kuma bincika piston. Idan akwai tazara tsakanin su, maye gurbin injection insulin tare da wata naúrar;
- Bincika umarnin da alamomin - tabbatar cewa kana da nau'in insulin da ke hannunka;
- A kai a kai a madadin musanya wuraren da aka saka allura cikin mai mai ƙyalli. Wannan zai taimaka wajen guje wa lipodystrophy da hatimin a wurin allurar;
- Hanya mafi sauri shine insulin shiga cikin jiki lokacin da ake kulawa dashi a cikin yankin ciki.
Kada ku manta game da saka idanu akai-akai game da matakan sukari. Bi umarnin don hana mummunan yanayi da raguwa mai yawa a cikin glucose.
Yarda da wasu kwayoyi
Lokacin yin lissafin kashi, la'akari da cewa wasu kwayoyi na iya shafar metabolism metabolism. Wadannan kwayoyi sun hada da:
kwayoyi waɗanda ke haifar da raguwa mai yawa a matakan sukari;
- Okreotide;
- MAO masu hanawa;
- Salicylates;
- Tashin hankali
- Sulfonamides;
- Samfura dauke da barasa.
Bugu da kari, rukuni na kwayoyi sun fito fili wanda bukatar Novomix 30 Flexpen ta karu. Wannan rukuni ya hada da: kwayoyin hodar iblis, kwayoyin hana daukar ciki, danazole, thiazides, HSCs.
Tasiri kan iya tuki
Sakamakon sakamako na yau da kullun da aka lura yayin magani shine raguwa mai yawa na sukari zuwa dabi'un haɗari. Ofaya daga cikin alamun hypoglycemia shine cin zarafin maida hankali, saboda abin da mara lafiya ba zai iya fitar da injin ƙira ko tuki mota ba tare da haɗari ba.
Bayan gudanarwa, tabbatar da cewa babu haɗarin haɓaka mai yawa a matakin sukari. Idan ba a lura da alamun cututtukan hypoglycemia ba, ba da shawarar fitar da mota ba, kamar yadda sukari zai iya faɗuwa a kowane lokaci.
Allura da daidaitawa
An tsara Novomix azaman monotherapy ko tare da haɗin gwiwa tare da wasu magunguna. Sashi ya dogara da mutum halaye da irin cuta:
- A cikin ciwon sukari na nau'in na biyu, kashi na farko shine raka'a 6 kafin abincin farko da naúrar guda ɗaya kafin abincin dare. Tare da karuwar buƙatar insulin, ana daidaita sashi zuwa raka'a 12;
- Idan mai haƙuri ya canza jiyya tare da insulin biphasic zuwa Novomix, sigar farko tana zama iri ɗaya kamar yadda ta kasance a tsarin da suka gabata. Bugu da ari, an canza kashi kamar yadda ya cancanta. Lokacin canja wurin mai haƙuri zuwa sabon magani, ana buƙatar saka idanu sosai ta likitan halartar;
- Idan likita yana buƙatar ƙarfafawa, an wajabta mai haƙuri sau biyu na magani;
- Don canza kashi, auna glucose na azuminku na kwanaki 3 da suka gabata. Idan a cikin wannan lokacin akwai raguwa sosai a matakin sukari, ba a daidaita sashi ba.
Yadda ake sarrafa insulin
Haɗin wani zaɓi da aka zaɓa daidai da gabatarwar sa daidai cikin jikin mutum shine babban dokar nasarar cin nasarar cututtukan ƙwayar cutar sankarar fata:
- Kafin amfani da mafita, riƙe shi don 1-2 hours a zazzabi na digiri 15-20. Sannan a theauki kicin ɗin kuma jefa shi a kwance. Ulla sandararrakin a tsakanin tafin hannunka, sannan sai ka haɗa hannunka kamar kana mirgine sanda ko wani abin sililin. Maimaita har zuwa sau 15.
- Juya katun a kwance kuma a girgiza shi saboda kwallon da ke cikin akwati tana birgima daga wannan gefe zuwa wancan.
- Maimaita matakai 1 da 2 har sai abubuwan da ke cikin akwati suka zama girgije kuma suna ta fari fari.
- Sanya a hankali a cikin mai mai kitse. Kada a shigar da abinda ke cikin kidan a cikin jijiya - wannan zai haifar da ƙaruwa sosai a cikin sukarin jini.
- Idan kasa da IEARIN 12 na maganin an bar shi a cikin akwati, yi amfani da sabon kashi don haɗuwa sosai.
Rike maɓallin farawa har sai an sanya allurar maganin a ƙarƙashin fata. Idan kun yi amfani da samfura daban-daban guda 2, kada ku taɓa haɗa su a cikin kabad guda.
Taimako na farko don yawan shan ruwa
Babban alamar damuwa game da yawan ƙwayar cuta ta Novomix shine rashin ƙarfi na hypoglycemia. Ana iya taimaka wa mai haƙuri a cikin wannan yanayin ta hanyoyi da yawa:
- Tare da ɗan ƙaramin sukari, ba mai haƙuri kowane samfurin da ke ɗauke da carbohydrates mai sauƙi. Wannan ya hada da kayan kwalliya: alewa, cakulan, da sauransu. Gudanar da samfurori tare da abubuwan sukari kullun - buƙatar ƙara yawan taro na sukari na iya faruwa a kowane lokaci;
- Ana magance tsananin rashin ƙarfi tare da maganin glucagon. Wannan magani yana cikin adadin 0.5-1 MG. allurar ciki
- Wani madadin glucagon shine hanyar warwarewa. An gabatar da shi a cikin matsanancin yanayi, lokacin da mai cutar ya riga ya allurar tare da glucagon, amma baya sake dawowa da hankali fiye da minti 10. Ana gudanar da sarrafa Dextrose a ciki. Awararren masani ko likita ne kaɗai ke iya yin wannan.
Don hana sukari sake faɗuwa, ku ci abincin da ke da wadataccen ƙwayoyin carbohydrates. Kar ku manta game da taka tsantsan - ku ci a ƙaramin rabo don kada ku haifar da matsalar baya.
Sunayen ciniki, farashi, yanayin ajiya
Magungunan sun shiga cikin kantin magani a karkashin sunayen kasuwancin da yawa. Kowane ɗayansu an samar da su a cikin ƙayyadaddun girma da kuma maida hankali akan abu mai aiki.
Farashi ya bambanta dan kadan:
- Novomix FlexPen - 1500-1700 rubles;
- Novomiks 30 Penfill - 1590 rubles;
- Insulin Aspart - 600 rubles (don alkalami-syringe).
Ana bada shawarar magani don adana shi a zazzabi wanda bai wuce digiri 25 a wuri mai duhu ba ga yara..
Novomiks: analogues
Idan samfurin bai dace da kai ba ko bai yarda da kai ba saboda abubuwan da suka taimaka, muna ba da shawarar cewa ka fahimci kanka da gwajin alamun analogues:
- Novomix 30 Penfill. Wannan magani ne mai kashi biyu na asulin. Ya haɗu da kwayoyin halittun da ke aiki na ɗan gajeren lokaci da tsayi. Yana ƙarfafa samar da abubuwa masu mahimmanci, yana ƙaruwa motsi na glucose a matakin salula da kuma ƙarfinsa ta sauran ƙwayoyin. Yana shafar hanta, yana rage haɓakar glucose kuma yana daidaita ƙwayar kansa a cikin jini. Ba kamar Novomix na yau da kullun ba, yana da inganci aƙalla awanni 24. Tsarin kayan aiki mai aiki yana haɗuwa tare da insulin na halitta, don haka kayan aiki ba shi da haɗari ga jiki. Tare da amfani da shi yadda ya kamata, maganin a zahiri ba ya haifar da sakamako mara amfani. Contraindicated kafin shekarun 18 years, tare da hypoklycemia da hypersensitivity;
- Novomix 30 FlexPen. Yana shafar samar da insulin kuma yana ƙarfafa ayyukan da suke gudana a cikin sel. Tsawan lokacin aikin ya dogara da yankin allura, aikin jiki, sashi da sauran abubuwan. An wajabta magungunan don maganin nau'in 1 da nau'in ciwon sukari na 2;
- Novomix 50 FlexPen. Wannan kayan aiki kusan kusan iri ɗaya ne ga magungunan nan biyu da aka bayyana a sama. Bambanci yana kasancewa ne kawai a cikin taro na abu mai aiki. A saboda wannan dalili, yakamata a nemi likita koyaushe kafin farawa da jiyya.
Lokacin zabar maganin da ya dace, yi la'akari ba kawai farashin ba, har ma da wasu mahimmin maki. Wannan ya haɗa da nau'in insulin, halayen mutum guda ɗaya, haƙuri ga abubuwa da cututtukan da suke da alaƙa.