Mutanen da ke fama da ciwon sukari dole ne su tsara yadda suke cin abinci koyaushe, tare da shan magunguna waɗanda ke daidaita matakan sukari na jini.
A cikin farkon matakan, babu buƙatar yin amfani da magunguna na yau da kullun, amma a wasu yanayi su ne waɗanda ba za su iya inganta yanayin kawai ba, har ma su ceci ran mutum. Suchaya daga cikin irin wannan magungunan shine Insulin Lizpro, wanda aka rarraba a ƙarƙashin sunan alama Humalog.
Bayanin maganin
Insulin Lizpro (Humalog) magani ne mai ɗan gajeren lokaci wanda za'a iya amfani dashi don fitar da matakan sukari a cikin marasa lafiya na ƙungiyoyi daban-daban. Wannan kayan aiki shine kwatankwacin insulin na mutum, amma tare da ƙananan canje-canje a cikin tsarin, wanda ke ba ku damar cimma mafi kyawun ɗauka ta jiki.
Kayan aiki shine mafita wanda ya kunshi matakai biyu, wanda aka gabatar dashi cikin gindin jiki, cikin ciki ko intramuscularly.
Magungunan, dangane da mai sana'anta, ya ƙunshi abubuwa masu zuwa:
- Sodium heptahydrate hydrogen phosphate;
- Glycerol;
- Hydrochloric acid;
- Glycerol;
- Metacresol;
- Zinc oxide
Ta hanyar amfani da aikin, Insulin Lizpro yayi kama da sauran kwayoyi masu dauke da insulin. Abubuwan da ke aiki suna shiga jikin mutum kuma suna fara aiki akan membranes, wanda ke inganta tasirin glucose.
Tasirin magungunan yana farawa tsakanin mintina 15-20 bayan gudanarwarsa, wanda ke ba ka damar amfani da shi kai tsaye yayin abinci. Wannan mai nuna alama na iya bambanta dangane da wurin da hanyar yin amfani da maganin.
Saboda babban taro, masana sun bada shawarar gabatar da Humalog subcutaneously. Matsakaicin ƙwayar ƙwayar cuta a cikin jini ta wannan hanya za'a iya cimma shi bayan minti 30-70.
Alamu da umarnin don amfani
Ana amfani da insulin Lizpro a cikin lura da marasa lafiya da ciwon sukari, ba tare da la'akari da jinsi da shekaru ba. Kayan aiki yana ba da alamun ƙarancin aiki a lokuta inda mai haƙuri ke jagorantar rayuwa mara kyau, wacce take musamman ga yara.
Humalog an wajabta ta musamman ta halartar likitan mata tare da:
- Nau'in 1 da nau'in 2 mellitus na ciwon sukari - a cikin ƙarshen ƙarshen kawai lokacin ɗaukar wasu magunguna ba ya kawo sakamako mai kyau;
- Hyperglycemia, wanda wasu kwayoyi ba su kwantar da shi ba;
- Shirya mai haƙuri don tiyata;
- Rashin yarda da sauran kwayoyi masu ɗauke da insulin;
- Aukuwa na pathological yanayi rikitarwa a hanya na cutar.
Don cimma sakamako mafi inganci, adadin da hanyar gudanar da miyagun ƙwayoyi ya kamata a ƙayyade gwargwadon halayen mutum na haƙuri. Abubuwan da ke cikin miyagun ƙwayoyi a cikin jini ya kamata su kasance kusa da na halitta - 0.26-0.36 l / kg.
Hanyar sarrafa magunguna wanda mai sana'anta ya ba da shawara shine subcutaneous, amma ya danganta da yanayin mai haƙuri, ana iya gudanar da wakilin a cikin intramuscularly da na cikin gida. Tare da hanyar subcutaneous, wuraren da suka fi dacewa sune kwatangwalo, kafada, gindi da kuma ramin ciki.
Ci gaba da gudanar da aikin insulin Lizpro a daidai wannan wuri shine contraindicated, saboda wannan na iya haifar da lalacewar tsarin fata a cikin hanyar lipodystrophy.
Ba za a iya amfani da sashi guda ɗin don gudanar da maganin ba fiye da 1 lokaci na wata daya. Tare da gudanar da subcutaneous, ana iya amfani da miyagun ƙwayoyi ba tare da kasancewar ƙwararren likita ba, amma kawai idan ƙwararren masanin ya riga ya zaɓi maganin.
Lokaci na kulawa da miyagun ƙwayoyi kuma an ƙaddara shi daga likitan halartar, kuma dole ne a kiyaye shi sosai - wannan zai ba da izinin jiki don daidaitawa da tsarin mulki, da kuma samar da sakamako na miyagun ƙwayoyi na dogon lokaci.
Ana iya buƙatar daidaita sirin jiki yayin:
Canza abincin da canzawa zuwa ƙananan abinci mai narkewa;- Damuwar motsin rai;
- Cutar cututtuka;
- Amfani da wasu magunguna;
- Sauyawa daga wasu kwayoyi masu sauri wanda ke shafar matakan glucose;
- Bayyanar da kasawar koda
- Haihuwa - ya danganta da watanni, buƙatun jiki ga insulin ya canza, don haka ya zama dole
- Ziyarci mai kula da lafiyar ku akai-akai kuma auna matakin sukari.
Canza abincin da canzawa zuwa ƙananan abinci mai narkewa;Yin gyare-gyare game da sashi na iya zama dole yayin canza masana'anta na insulin Lizpro da sauya tsakanin kamfanoni daban-daban, tunda kowannensu yana yin nasa canje-canje a cikin abun da ke ciki, wanda na iya shafar tasirin magani.
Side effects da contraindications
Lokacin rubuta magani, likitan halartar ya kamata yayi la'akari da duk halayen mutum na jikin mai haƙuri.
Insulin Lizpro yana cikin mutane:
- Tare da karuwar hankali mai ma'ana ga babban ko ƙarin bangaren aiki;
- Tare da haɓaka mai haɓaka don hypoglycemia;
- A cikinsu akwai insulinoma.
Yayin amfani da miyagun ƙwayoyi a cikin masu ciwon sukari, sakamako masu illa na gaba na iya faruwa:
- Hypoglycemia - shine mafi haɗari, yana faruwa ne saboda wani zaɓi da aka zaɓa ba daidai ba, haka kuma tare da magani na kai, na iya haifar da mutuwa ko mummunar raunin ayyukan kwakwalwa;
- Lipodystrophy - yana faruwa ne sakamakon injections a cikin yanki guda, don rigakafin wajibi ne don sauya wuraren da aka ba da fata na fata;
- Allergy - yana bayyana kanta dangane da halayen mutum na jikin mai haƙuri, yana farawa daga laushi mai haske na wurin allura, yana ƙare da faɗakarwar anaphylactic;
- Rashin rikicewar kayan gani - tare da kashi ba daidai ba ko rashin haƙuri ga abubuwan da aka gyara, retinopathy (lalacewar layin ƙwallon ido saboda cututtukan jijiyoyin jiki) ko kuma ƙarancin gani na gani yana raguwa, mafi yawan lokuta kan nuna kanta a farkon ƙuruciya ko tare da lalata tsarin jijiyoyin jini;
- Abubuwan da suka shafi gida - a wurin allura, redness, itching, redness da kumburi na iya faruwa, wanda ya wuce bayan amfani da jikin.
Wasu alamu na iya fara bayyana bayan tsawon lokaci. Idan akwai wani sakamako masu illa, ya zama dole a daina shan insulin kuma a nemi likitanka. Mafi yawan matsalolin ana warware su ta hanyar daidaitawa da kashi.
Yin hulɗa tare da wasu kwayoyi
Lokacin rubuta magani na Humalog, likitan halartar dole ne yayi la'akari da waɗanne magunguna kuke shan magani. Wasu daga cikinsu suna iya haɓakawa da rage aikin insulin.
Tasirin Insulin Lizpro yana haɓaka idan mai haƙuri ya ɗauki magunguna da ƙungiyoyi masu zuwa:
- MAO masu hanawa;
- Sulfonamides;
- Ketoconazole;
- Sulfonamides.
Tare da cin abinci mai haɗaɗɗen magungunan, yana da mahimmanci don rage adadin insulin, kuma mai haƙuri ya kamata, idan ya yiwu, ya ƙi shan su.
Abubuwa masu zuwa na iya rage tasirin Insulin Lizpro:
- Abubuwan hana haihuwa na ciki;
- Estrogens;
- Glucagon
- Baitamin.
Yawan sashi na insulin a cikin wannan halin yakamata ya karu, amma idan mara lafiya ya ki amfani da wadannan abubuwan, to lallai zaiyi gyara na biyu.
Hakanan ya cancanci yin la'akari da wasu fasaloli yayin jiyya tare da Insulin Lizpro:
- Lokacin yin lissafin sashi, likita dole ne yayi la'akari da nawa da kuma irin abincin da mai haƙuri yake ci;
- A cikin cututtukan cututtukan hanta da kodan, ana buƙatar rage kashi;
- Humalog na iya rage yawan motsawar jijiyoyin jijiyoyi, wanda ke shafar yawan motsawar, kuma wannan yana haifar da wani haɗari, alal misali, ga masu motar.
Analogs na miyagun ƙwayoyi Insulin Lizpro
Insulin Lizpro (Humalog) yana da tsada mai tsada, saboda abin da marasa lafiya ke yawan zuwa neman analogues.
Ana iya samun magungunan masu zuwa a kasuwa waɗanda ke da irin wannan manufa:
- Monotard;
- Protafan;
- Rinsulin;
- Intral;
- Aiki
Haramunne akasinsa don maye gurbin magani da kansa. Da farko kuna buƙatar neman shawara daga likitan ku, saboda shan magungunan kai na iya haifar da mutuwa.
Idan kun yi shakka game da ƙarfin kayan ku, yi gargaɗi gwani game da wannan. Abun da kowane magani zai iya bambanta ya dogara da mai sana'anta, sakamakon abin da ƙarfin tasirin magani zai iya canzawa a jikin mai haƙuri.
Ana amfani da wannan magani sau da yawa ga nau'in cututtukan da ba na insulin-ciki ba (1 da 2), da kuma don kula da yara da mata masu juna biyu. Tare da ƙididdigar yawan daidai, Humalog baya haifar da sakamako masu illa kuma a hankali yana shafar jiki.
Ana iya gudanar da miyagun ƙwayoyi ta hanyoyi da yawa, amma mafi yawan abubuwa shine subcutaneous, kuma wasu masana'antun suna ba da kayan aiki tare da injectionor na musamman wanda mutum zai iya amfani dashi koda a cikin yanayin rashin tsaro.
Idan ya cancanta, mai haƙuri da ciwon sukari na iya samun analogues a cikin magunguna, amma ba tare da tuntuɓar farko tare da gwani ba, an haramta yin amfani da su sosai. Insulin Lizpro yana dacewa da wasu magunguna, amma a wasu lokuta ana buƙatar daidaita sashi.
Yin amfani da miyagun ƙwayoyi na yau da kullun ba jaraba bane, amma mai haƙuri dole ne ya bi tsari na musamman wanda zai taimaka wa jiki dacewa da sabon yanayin.
