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Harkokin insulin yana nufin amfani da shirye-shiryen insulin don dalilai na magani. Wannan hanya ana amfani dashi sosai ba kawai don maganin ciwon sukari mellitus ba, har ma a cikin ilimin hauka, tare da cututtukan hanta, ci, cututtukan fata da cututtukan thyroid. Akwai manyan kwayoyi na roba wadanda suka kasu kashi-kashi bisa dogaro kan farawar tasirin da tsawon sa.

Insulin gajeriyar aiki shine ɗayan "mahalarta" a cikin tsarin kulawa. Ya shahara sosai a cikin amfani, saboda yana ba ka damar rage glucose da sauri. Magunguna na zamani suna da iyakar tasirin warkewa tare da ƙananan sakamako masu illa. Na gaba, menene mafi kyawun insulin da kayan aikinta.

Bambancin magani

A farkon matakin, farawar "ganiya" da tsawon lokacin tasirin, ana bambanta nau'ikan magungunan:

• Insulin gajeriyar aiki ana kuma kiransa insulin abinci. Zai iya dakatar da kololuwan kuma yana da tasiri na 10 zuwa rabin sa'a bayan allura. Wannan rukunin ya hada da magunguna na ultrashort da gajere.
• Tsawo mai zurfi - sunan na biyu shine "basal". Wannan ya hada da magunguna na matsakaici da kuma magunguna masu amfani da dogon lokaci. Dalilin gabatarwar su ya danganta ne da rike isashshen insulin a cikin jini tsawon yini. Sakamakon su na iya haɓaka daga 1 zuwa 4 hours.

Cin da gudanar da gajeren insulin abubuwa ne da ke hade da maganin cutar sukari

Baya ga raunin amsawa, akwai wasu bambance-bambance tsakanin rukunonin kwayoyi. Misali, gajeren insulin an allura shi ne a yankin bangon ciki na ciki saboda yadda tsarin sha yake faruwa da sauri. Ana dade ana kulawa da insulins cikin cinya.

Ma'anar ultrashort da gajere aiki suna daure kullun zuwa lokacin karbar abinci a jiki. Ana kulawa dasu kafin abinci don rage glucose kai tsaye bayan cin abincin da ke da carbohydrates a cikin abubuwan da ke ciki. Ana amfani da kwayoyi masu dorewa lokacin da aka shirya yin safiya da maraice. Ba su da wata alaƙa da abinci.

Short insulin

Kowane magani yana da wasu halaye na halayyar da tasirin akan jikin ɗan adam, wanda yakamata a yi la'akari da shi daki-daki.

Humalogue

Umarnin don yin amfani da maganin yana nuna cewa wannan kayan aikin kwatancin insulin mutum ne. Tsarinsa yana da jerin abubuwanda suka lalace na wasu abubuwan amino acid a cikin kwayoyin. Daga cikin dukkanin abubuwanda ke gabatar da gajeren lokaci, wannan yana da saurin farawa da ƙarshen sakamako. Rage glucose na jini yakan faru ne a cikin mintina 15 bayan allura, ya kai har awanni 3.

Alamu don nadin Humalog:

• nau'in ciwon sukari da ke dogaro da kansa;
• rashin haƙuri ga wasu kwayoyi na tushen;
• hyperglycemia wanda ke faruwa bayan abinci, wanda ba a gyara shi ta wasu hanyoyi ba;
• nau'in insulin-mai dogaro tare da juriya ga magungunan rage ƙwayar sukari;
• cututtukan da ba su da insulin-da ke fama da cutar siga a haɗe tare da tiyata ko cututtukan da ke haifar da rikice-rikice waɗanda ke haifar da alamun "cutar mai daɗi".

An zaɓi adadin insulin gajere daban-daban. Humalog a cikin vials za'a iya gudanar dashi ba kawai subcutaneously ba, har ma zuwa cikin tsoka, cikin jijiya. A cikin katakan katako - keɓaɓɓen ƙarƙashin hanya. Ana amfani da miyagun ƙwayoyi kafin a sanya abinci cikin abinci (har zuwa sau 6 a rana), haɗe tare da dogon insulins.

Humalog - wani "ɗan gajeren magani", yana samuwa a cikin katako da vials

Sakamakon sakamako na aikace-aikacen na iya zama raguwa cikin sukari na jini zuwa digiri mai sauƙi, a cikin nau'i na precoma, coma, pathologies na gani, halayen rashin lafiyan, lipodystrophy (raguwa a cikin ƙananan ƙwayar mai ƙonewa a wurin da ake yawan gudanarwa).

Nakamaka NM

Sunan miyagun ƙwayoyi (NM) yana nuna cewa abu mai aiki shine insulin kwayoyin ɗan adam mai rai. Nakradin NM na rage glucose bayan rabin awa, tsawon lokaci - har zuwa 8 hours. An tsara miyagun ƙwayoyi don nau'in insulin-dogara da "cutar mai dadi", har ma da nau'in cuta ta 2 a hade tare da halaye masu zuwa:

• asarar ji na ƙwaƙwalwa zuwa allunan cututtukan jini;
• kasancewar cututtukan da suke daga ciki (wadanda ke dagula yanayin cutar);
• hanyoyin tiyata;
• lokacin haihuwar yaro.

Nuni na Actrapid NM don yanayin hyperglycemic (ketoacidosis, hyperosmolar coma), rashin tausayi ga samfuran dabbobi, a bango na yada kwayar halitta tsibirin Langerhans-Sobolev.

Gabatar da gajeren insulin mai yiwuwa ne daga sau 3 zuwa 6 a rana. Idan an canza mai haƙuri zuwa wannan magani daga wani insulin na mutum, ba a canza sashi ba. Game da batun canjawa daga kwayoyi na asalin dabba, yakamata a rage kashi 10%.

Actrapid NM - magani ne wanda ke da sauri, amma yana riƙe shi na ɗan lokaci

Insuman Rapid

Abun da ke ciki ya haɗa da hormone wanda ke kusa da tsarin insulin mutum. Wani nau'in kwayar Colo Escherichia yana cikin sahunta. Tasirin insulin gajeran aiki yana faruwa ne a cikin rabin sa'a kuma ya kai har zuwa 7 hours. Ana samun Insuman Rapid a cikin vials da katako don maganin sirinji.

Alamu don nadin maganin sun yi kama da Actrapid NM. Ana allurar ciki sau 20 kafin cin abinci a jiki, kowane lokaci yana canza wurin allurar. Za'a iya haɗu da Insuman Rapid tare da tsawan dogon lokaci, wanda ya ƙunshi abubuwan gina jiki a matsayin mai haifar da ɓarnar abinci.

Homorap 40

Wani wakilin insulin gajere, sakamakon wanda ke bayyana kanta a cikin rabin sa'a kuma zai iya kaiwa 8 hours. Tsawan lokacin aiki ya dogara da waɗannan dalilai:

Hanyoyin bincike na insulinomas

• kashi na miyagun ƙwayoyi;
• hanyar gudanarwa;
• wurin allura;
• halayyar mutum daban daban na jikin mai haƙuri.

Kayan aiki yana dakatar da bayyanar alamun yanayin gaggawa (cututtukan ƙwayar cutar sankara, precoma), an tsara shi yayin tiyata. Homorap 40 an nuna shi ga marasa lafiya a lokacin ƙuruciya da kuma lokacin samartaka, a lokacin haihuwar ɗa.

Inje na miyagun ƙwayoyi ana yin har zuwa sau 3 a rana, daban-daban zaɓi sashi. Ana iya gudanar da shi ta amfani da famfan insulin ko a cikin sirinji iri ɗaya tare da jerin tsawan insulin.

Game da glucocorticosteroids, beta-blockers, antidepressants da kuma hada magungunan baka, ana bukatar daidaita sigar maganin hormonal.

Tsarin Humulin

Ainihin shine insulin ɗan adam. Akwai shi a cikin gwal da kwalabe. Yana bayar da subcutaneous (kafada, cinya, bangon ciki), gudanarwar ciki da jijiyoyin ciki. Kamfani da allurar ya kamata koyaushe ya canza don wannan yankin ba ya maimaitawa sau da yawa fiye da sau ɗaya a cikin kwanaki 30.

Humulin Regular - ɗayan magungunan da za a iya tsara su daga haihuwa

M Yan adawar:

• raguwa cikin sukari na jini;
• bayyanar rashin lafiyar gida (jan jiki, kumburi da itching a wurin allura);
• rashin lafiyan tsari
• lipodystrophy.

Ana iya ɗaukar Regular Humulin daga haihuwa. A wannan yanayin, ana lissafin sashi na miyagun ƙwayoyi dangane da nauyin jikin mai haƙuri.

Berlinsulin HU-40

Akwai shi da yawa. An tattauna tebur na insulins da abubuwan su.

Gyara da sashi na insulin farjin tare da magungunan da aka bayyana ya zama dole ga cututtukan cututtukan cututtukan cututtukan zuciya, abubuwan da suka shafi tiyata, a lokacin haihuwar yaro, don cututtukan cututtukan cututtukan ƙwayar cuta ta hanji, rashin lafiyar koda da adrenal, da kuma "ciwo mai daɗi" a cikin tsofaffi.

Groupsungiyoyin magunguna masu zuwa za su iya inganta tasirin maganin ƙwaƙwalwar ƙwayar cuta, wanda ya kamata a yi la’akari da shi lokacin zabar tsarin kulawa:

• maganin alaƙar cuta;
• beta-blockers;
• sulfonamides;
• hade da maganin hana haihuwa;
• magunguna na tushen testosterone;
• maganin rigakafi (rukunin tetracycline);
• samfuran ethanol;
• heparin;
• magungunan diuretic;
• shirye-shiryen lithium;
• magungunan hodar iblis.

Magungunan gyaran jiki

A cikin duniyar yau, ana amfani da gajerun abubuwan insulins a fagen gina jiki, tunda tasirin kwayoyi sun yi kama da aikin anabolic steroids. Batun anan shine cewa kwayar halittar ta canza glucose zuwa tsoka, wanda hakan ke haifar da karuwa.

Gaggawa insulin ginin insulin - hanyar da yakamata ta faru ne kawai bayan cikakken bincike da kuma shawarar likita

An tabbatar da cewa irin wannan amfani yakamata ya faru "cikin hikima", tunda aikin insulin ya haɗa da canja wurin monosaccharides ba wai kawai ga tsokoki ba, har ma da tsotse nama. Rashin daidaituwa ba zai iya haifar da ginin tsoka ba, amma ga yawan kiba. Sabili da haka, an zabi magunguna don 'yan wasa, kazalika da marasa lafiya, ana zaɓan daban daban. Yana da kyau a dauki hutu na watanni 4 bayan watanni 2 allura.

Shawara ta Kwararru da Amfani da Ingantattun Lambobi

Ya kamata ka kula da ka'idodi don adana insulin da kuma ƙirar ta. Ga dukkan nau'ikan halittu iri ɗaya ne:

• Ya kamata a adana vials da katako a cikin firiji (ba a cikin injin daskarewa ba!) Yana da kyau a sanya su a ƙofar.
• Ya kamata a rufe magunguna na musamman.
• Bayan miyagun ƙwayoyi ya buɗe, ana iya amfani dashi a cikin kwanaki 30.
• Dole ne a yi jigilar samfurin don kada wani hulɗa kai tsaye tare da hasken rana. Wannan yana lalata kwayoyin kwayoyin kuma yana rage tasirin sa.

Kafin amfani da maganin, tabbatar da duba rashin ɓarkewar farji, farji ko flakes a cikin mafita, rayuwar shiryayye, yanayin ajiya.

Yarda da shawarar kwararru ita ce mabuɗin zuwa ingantacciyar rayuwa ga marasa lafiya da ikon hana haɓakar rikice-rikicen cutar.