Humulin, magani ne na insulin da ake amfani da shi don rage ƙananan ƙwayar plasma, magani ne mai mahimmanci ga mutanen da ke fama da ciwon sukari. Ya ƙunshi insulin na ɗan adam a matsayin sashi mai aiki - 1000 IU a 1 ml. An wajabta wa marasa lafiya na dogaro da ke buƙatar insulin allurar rigakafi.
Da farko dai, ana amfani da wannan nau'in insulin ta hanyar masu ciwon sukari masu fama da cutar ta 1, yayin da marasa lafiya da ke da nau'in ciwon sukari na 2 wanda aka kula dasu da kwayoyin hana daukar ciki (na tsawon lokaci kwayayen sun daina fama da rage karfin sukari), canzawa zuwa Humulin M3 injections akan shawarar wani kwararren likitanci.
Yaya ake samarwa
Humulin M3 don allurar subcutaneously ko intramuscularly an sanya shi a cikin hanyar maganin 10 ml. don gudanarwa tare da sirinji na insulin ko a cikin katako da aka yi amfani da alƙaliman sirinji, 1.5 ko 3 milliliters, capsules 5 suna cikin kunshin ɗaya. Za'a iya amfani da katako tare da almakunan alkalami daga Humapen, BD-Pen.
Magungunan yana ba da gudummawa ga kunna tasirin rage tasirin sukari a jikin mai haƙuri da ciwon sukari, yana da matsakaita na tsawon lokaci, kuma yana cakuda gajere da aiki na tsawon lokaci. Bayan amfani da Humulin da gabatar da shi a cikin jiki, yana fara aiki rabin sa'a bayan allura, tasirin yana ɗaukar awanni 18 zuwa 24, tsawon lokacin tasirin yana dogara ne akan halayen ƙwayoyin cutar sankara.
Ayyukan miyagun ƙwayoyi da tsawon lokaci ya bambanta daga wurin allura, kashi da likitan halartar ya zaɓa, abubuwan motsa jiki na marasa lafiya bayan gudanar da maganin, abincin, da ƙarin ƙarin fasali.
Ayyukan miyagun ƙwayoyi ya dogara ne akan tsarin ayyukan raunin glucose a cikin jiki. Hakanan Humulin yana da tasirin anabolic, saboda wanda galibi ana amfani dashi a cikin aikin gina jiki.
Yana haɓaka motsi na sukari da amino acid a cikin ƙwayoyin ɗan adam, yana haɓaka yunƙurin metabolism na gina jiki na anabolic. Yana inganta sauyawar glucose zuwa glycogen, yana hana glucogenesis, yana taimakawa aiwatar da canji na wuce haddi a cikin jiki zuwa tsohuwar nama.
Siffofin amfani da yiwuwar mummunan sakamako
Ana amfani da Humulin M3 don kula da ciwon sukari na mellitus, wanda aka nuna maganin insulin.
Daga cikin mummunan tasirin miyagun ƙwayoyi an lura:
- Cases na tsalle mai tsayi a cikin sukari da ke ƙasa da tsarin da aka kafa - hypoglycemia;
- Hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi.
Yawancin lokuta rubutattun lokuta na raguwa mai yawa a cikin sukarin jini bayan amfani da insulin, ciki har da Humulin M3. Idan mai haƙuri yana cikin mummunan yanayin, tsalle-tsalle a cikin sukari yana haifar da ci gaban mahaifa, mutuwa da mutuwar mai haƙuri suna yiwuwa.
Dangane da batun rashin lafiyar jiki, marasa lafiya na iya fuskantar halayen rashin lafiyan, jan launi, ƙaiƙayi, da haɓaka fata a wurin allurar.
Abubuwan da ke haifar da sakamako mafi yawa sukan rabu da kansu, tare da amfani da halayen halayen Humulin na iya barin kwanaki da yawa bayan allurar farko ta fata a cikin fata, wani lokacin jaraba yana jinkirta har zuwa makonni da yawa.
A cikin wasu marasa lafiya, rashin lafiyan tsari ne na tsari, wanda a cikin hakan yakan haifar da mummunan sakamako:
- Bayyanuwar matsalolin numfashi;
- Tachycardia;
- Sharparin raguwa a cikin matsin lamba da rauni gaba ɗaya na jiki;
- Bayyanar rashin ƙarfi na numfashi da haɓaka mai ɗaci;
- An samar da itching na fata.
A wasu halayen, halayen rashin lafiyan suna haifar da haɗari ga rayuwar ɗan adam da lafiya, saboda haka, idan alamun cutar da aka bayyana a sama sun bayyana, yana da kyau a nemi taimakon likita nan da nan. Ana magance matsalar ta hanyar maye gurbin shirin insulin tare da wani.
Hanyar aikace-aikace
Haramun ne a gudanar da shirye-shiryen insulin a ciki, ana yin allurar ta musamman subcutaneously.
An yanke shawarar yin amfani da insulin ne ta hanyar halartar malamin likita, yayin da aka zaɓi suturar allura da kuma yawan sarrafa magunguna daban-daban ga kowane mai ciwon sukari, kashi ya dogara da matakin sukari a cikin jinin mai haƙuri.
Nadin insulin ana yin sa ne a cikin asibiti a ƙarƙashin kulawar ƙwararren likitancin endocrinologist da ci gaba da auna matakan sukari da jini a kowane lokaci.
Game da amfani na farko, likita yayi magana game da hanyoyin gudanar da insulin, da kuma wurare masu yuwu, a wasu halayen, an yarda da gudanarwar maganin ƙwayoyin cuta.
An saka maganin a cikin ciki, gindi, gwiwowi ko kafadu. Wajibi ne a canza wurin allurar lokaci-lokaci don guje wa ci gaban lipodystrophy. Mafi girman aikin insulin yana faruwa bayan allura a cikin ciki.
Dogaro da tsawon lokacin allura, ana gudanar da insulin a kusurwoyi mabambanta:
- Gajeren allura (4-5 mm) - a wani kusurwa na digiri 90 ta hanyar gabatarwar kai tsaye ba tare da yin shafa akan fatar ba;
- Matsakaitan allura (6-8 mm) - a wani kusurwa na 90 digiri, dole ne a ninka ninka akan fatar;
- Dogon (fiye da mm 8) - a kwana na 45 digiri tare da ninka akan fatar.
Kyakkyawan zaɓi na kusurwa yana ba ku damar kauce wa tsarin gudanarwar insulin. Masu fama da cutar sankara tare da dogon tarihin cutar suna amfani da allura sama da mm 12, yayin da yake bu mai kyau yara suyi allura tare da allura babu 4-5 mm.
Lokacin aiwatar da allura, kar a bar allura ta shiga cikin bututun jini, in ba haka ba, zawan na iya faruwa a wurin allurar. Ba a yarda a hana wurin yin allurar ba.
Magungunan Humulin M3 - cakuda insulin Humulin NPH da Humulin Regular, ya dace saboda ba ya buƙatar mai haƙuri ya shirya mafita da kansa kafin amfani.
Kafin amfani, dole ne a shirya juzu'i ko kwandon shara tare da insulin - ana tsabtace shi a cikin hannunka a hankali sau 10 kuma ya juya sau da yawa digiri 180, wannan yana ba ka damar cimma daidaituwa na yanayin. Idan, har ma bayan shafe tsawon lokaci, ƙwayar ba ta zama mai kama da juna ba kuma a bayyane fararen fata ana iya gani, insulin ya lalace.
Karka girgiza insulin aiki na tsawon lokaci sosai, saboda wannan zai haifar da haifar da kumfa kuma hakan zai hana ka zabar yadda yakamata a magani.
Da zaran an shirya shiri da kansa, an shirya wurin allura. Mai haƙuri ya kamata ya wanke hannayensa sosai, bi da allurar yanar gizon ta hanyar goge-gogen musamman, waɗannan suna da sauƙin samu a kowane kantin magani.
Adadin insulin da ake buƙata an zana shi cikin sirinji (idan aka yi amfani da alkalami mai ƙarfi, an zaɓi sashi ta amfani da sauyawa na musamman), an cire hula mai kariya kuma ana yi allura a cikin fata. Kar a fitar da allurar da sauri, wurin allurar bayan allura dole ne a matse tare da adiko na goge baki.
Yawan damuwa
Babu wani abu kamar ƙara yawan ƙwayoyi a cikin ƙwayoyin insulin, tunda matakin sukari a cikin jini na iya dogaro ba kawai kan insulin ba, har ma a kan sauran hanyoyin rayuwa. A wannan yanayin, gabatarwar kashi wanda ya fi wanda likitan halartar ya kafa zai iya haifar da mummunar cuta a cikin jiki har zuwa mutuwa.
Dangane da kashi da ba a zaɓa ba daidai ba ko kuma rashin daidaituwa tsakanin abubuwan da ke cikin insulin a cikin jini da kuzarin kuzari a jikin mutum, hauhawar jini ya fara haɓaka, idan ba a ɗaga sukari kan lokaci ba, zai iya jujjuyawa.
Ana ganin alamun cututtukan hypoglycemia:
- Jigilar jiki da rauni na gaba ɗaya a cikin haƙuri;
- Palpitations
- Haɗaɗɗa
- Pallor na fata;
- Ciwon ciki da amai;
- Rashin sani;
- Rawar jiki, musamman a cikin kafafu;
- Jin yunwa.
Kwayar cutar hypoglycemia na iya bambanta dangane da tsawon ciwon sukari na mai haƙuri, wasu marasa lafiya ba sa jin alamun cutar ƙarancin jini. Lokacin da alamun farko suka bayyana, yana da kyau a ɗauki sukari ko glucose.
Tare da hypoglycemia na matsakaici, ana yin allurar intramuscular na glucose da kuma amfani da carbohydrates. Game da mummunan yanayin mai haƙuri, tare da rikice-rikice, rikice-rikice da kuma coma, ana gudanar da hankali na glucose a cikin jini. Don dawo da yanayin, an nuna mai haƙuri ya ci abinci mai-carbohydrate.
Idan an yi rikodin hypoglycemia akai-akai, wajibi ne don daidaita sashi na maganin da likita ke sarrafawa, sake duba abincin da daidaita ayyukan jiki.
Sharuɗɗan sayarwa da ajiya
Kuna iya siyar da insulin a cikin kantin magani idan kuna da ingantaccen takaddara daga likitan ku.
Yana da daraja adana ƙwayoyi a cikin firiji a zazzabi na 2 zuwa 8 Celsius, kada a bijirar da maganin ga daskarewa, gami da fuskantar zafi ko hasken rana. Ana iya adanar insulin da aka buɗe a zazzabi na digiri 15 zuwa 25 don babu fiye da kwanaki 28.
Idan an cika duk yanayin ajiya, rayuwar shiryayye shine shekaru 3 daga ranar samarwa. Haramun ne a yi amfani da magani wanda ya ƙare, a mafi kyawun yanayin ba zai shafi jiki ba ta kowane hali, a cikin mafi munin gaske shi zai haifar da mummunan guba na insulin.
Kafin amfani, yana da kyau a cire Humulin M3 daga firiji a cikin mintuna 20-30. Injewar magungunan a zazzabi a daki zai rage zafi.
Tabbatar duba ranar karewa kafin amfani.
Umarni na musamman
An hana shi dakatar da magani tare da insulin ko canza sashi akan kanku, saboda wannan na iya haifar da ci gaban ketoacidosis, hypoglycemia ko hyperglycemia da sanya haɗari kai tsaye ga rayuwar mai lafiya da lafiyar.
Ka tuna cewa kulawa akai-akai game da sukari na jini da kuma bin duk ka'idodin allura, abinci mai gina jiki, aikin jiki zai iya haifar da canji a cikin alamun hypoglycemia.
Yana da mahimmanci don gyara yanayin haƙuri a cikin lokaci tare da haɓaka ko raguwa a matakan sukari, in ba haka ba hyperglycemia, kamar hypoglycemia, na iya haifar da asarar hankali, haɓakawa da mutuwa.
Canjin daga magani daya Humulin NPH zuwa analog, kazalika da canji a sashi, ana aiwatar dashi ne a asibiti karkashin kulawar likita.
Rashin ingancin maganin insulin na iya zama mai rauni sakamakon cututtukan hanta da koda, da cututtukan thyroid. A cikin yanayi na damuwa da yanayin damuwa na mai haƙuri, aikin insulin yana inganta.
Amfani da Humulin M3 yayin haihuwa da shayarwa
A lokacin daukar ciki, mata masu ciwon sukari ya kamata su sa ido sosai a kan sukarin jininsu. Bukatar insulin yana canzawa dangane da tsawon lokacin daukar ciki, don haka, a lokacin farkon farkon, ya fadi, a lokacin na biyu da na uku - yana ƙaruwa. Abin da ya sa ake buƙatar ma'auni kafin kowane allura. A lokacin daukar ciki, ana iya daidaita sashi sau da yawa.
Ana buƙatar buƙatar daidaita sashi yayin shayarwa. Dole ne likita mai halartar aikin yayi la'akari da halayen abinci na mahaifiyar ƙuruciya da kuma matakin motsa jiki.
Selecteda'idodin da aka zaɓa da kyau suna ba da damar yin amfani da Humulin M3 don lura da ciwon sukari na mellitus, yawancin nazarin magungunan suna da kyau. A cewar marasa lafiya, Humulin yana da matuƙar tasiri kuma a zahiri ba shi da sakamako masu illa a ƙarƙashin duk yanayin amfani.
Ka tuna cewa yin allurar insulin da kanka wani abu ne, saboda wannan na iya haifar da mutuwa. Duk gyare-gyare na kashi da sauyawa zuwa analogues ana yin su ne a gaban likitan halartar tare da kulawa da matakan sukari na jini.
