Abin da za a yi idan insulin bai taimaka ba

Ciwon sukari (mellitus) cuta ce da ke tattare da raguwar narkewar ciki (ko kuma cikakkiyar rashi) na insulin cututtukan fata. Don rama don rashin wannan kwayoyin a cikin jiki, likitoci suna ba da allurar insulin. Amma a wasu marasa lafiya, amfanin su ba ya bayar da wani sakamako. Don haka menene idan insulin baya taimaka? Kuma menene zai iya tasiri tasiri?

Rayuwar shelf da yanayin ajiya

Akwai dalilai da yawa da yasa insulin baya taimakawa masu ciwon sukari suna daidaita sukari jini. Kuma da farko, ya kamata a lura cewa, kamar kowane magani, insulin yana da ranar karewa, bayan wannan amfani ba wai kawai yana ba da sakamako mai kyau ba, har ma yana iya cutar da lafiyar sosai.

A lokaci guda, dole ne a faɗi cewa dole ne a ƙidaya tsawon lokacin insulin bayan buɗe maganin. A cikin ƙarin daki-daki game da rayuwar shiryayye na kowane magani an rubuta shi a cikin bayani, wanda aka haɗe da kowane magani.

Haka kuma, koda kwanakin karewa na al'ada ne, maganin na iya lalacewa da sauri idan mai haƙuri bai bi ka'idodin ajiyarsa ba. Dole ne a kiyaye samfuran insulin daga daskarewa, zafi mai zafi da kuma nunawa ga hasken rana kai tsaye. Ya kamata a adana su a zazzabi a daki (digiri 20-22) kuma a cikin duhu.

Siffofin aikace-aikace

Kusan sau da yawa, masu ciwon sukari ana sa su allurar insulin na dogon lokaci a hade tare da insulin gajeran aiki. A matsayinka na mai mulkin, ana tattara waɗannan magungunan a cikin sirinji guda ɗaya kuma ana gudanar dasu a lokaci guda. Koyaya, a wannan yanayin, yana da matukar muhimmanci a bi duk shawarar likita. Sau da yawa, himmar marasa lafiya da suka tsayar da kansu kan rage karancin insulin gajere da tsayi na daga cikin dalilan da yasa allurar ba ta taimaka wajan daidaita sukarin jini ba.

Magunguna masu dadewa kuma zasu iya rasa abubuwanda zasu iya warkarwa idan aka hade su da kwayoyi marasa amfani. A ƙarƙashin tasirin ƙarshen, ana lalata tasirin su, kuma allura ba ya bayar da wani sakamako. A saboda wannan dalili, likitoci ba su bayar da shawarar yin nasu yanke shawara game da hada nau'ikan insulin daban-daban.

Bugu da ƙari, idan insulin bai taimaka ba, to lallai ne ma a bincika yadda ake gudanar da aikinta. Mutane da yawa suna yin babban kuskure yayin yin allura, wanda har yanzu ba sa iya daidaita yanayin su.

Abun ciki shine mafi kyawun wurin allura

Don haka, alal misali, mutane da yawa basa kula da kasancewar iska a cikin sirinji. Kuma wannan yana da mahimmanci. Kasancewarsa yana haifar da raguwa a cikin adadin hormone da aka gabatar kuma, a zahiri, a bangon wannan, ana hana aikin rage yawan sukarin jini.

Wani mahimmin bangare daya kuma wajen samar da allura shine zabi wurin allurar. Zai yi matukar wahala idan gabatarwar ta bayyana a cikin kwatangwalo ko fatar fatar jiki sama da gindi. Ya kamata a yi allurar kai tsaye zuwa yankin kafada ko ciki. Wadannan yankuna sun fi dacewa da kulawar insulin.

Ko yaya, allura a cikin wannan yankin an haramta. Kuna buƙatar samun damar daidaita wuraren gudanarwa na miyagun ƙwayoyi, tunda ingancinsa shima ya dogara da wannan. Masana sun ba da ma'anar algorithms da yawa don gudanar da insulin. Na farko - ga kowane magani yana da yankin sa. Don haka, alal misali, idan mara lafiya ya yi amfani da insulin gajere, to ya kamata a gudanar da shi a karkashin fata akan ciki, tunda anan ne yake samar da mafi inganci. Idan ana amfani da insulin na dogon lokaci, ya kamata a sanya shi a yankin kafada, da dai sauransu. Duk wannan an riga an tattauna da likita.

Algorithm na biyu shine shigar da miyagun ƙwayoyi cikin sashi ɗaya har sati guda, bayan haka ma allurar ta canza. Wato, da farko mutum zai iya bayar da allura kawai a cikin yankin kafada na dama, kuma bayan mako guda yana buƙatar canza wurin allura, alal misali, zuwa yankin cinya na hagu. Ya kamata a canza canjin yankin inulin kowane kwana 7.

A cewar masana, daidai wadannan ka'idojin allurar ne suke tabbatar da ingancinsu. Koyaya, wannan ba duk lambobin da ake buƙatar la'akari lokacin amfani da kwayoyi masu ɗauke da insulin ba.

Idan allurar insulin ba ta bayar da sakamako mai inganci, tabbas yakamata ku gaya wa likitanka

Recommendationsarin shawarwari

A cikin masu ciwon sukari, sau da yawa wani nau'in nama na tsopose a cikin ƙananan yadudduka, waɗanda ba a bayyane tare da duban makamai. A lokaci guda, marasa lafiya ba sa zargin kasancewar su, suna ganinsu azaman tsopose nama, inda suke yiwa insulin aiki. A zahiri, a wannan yanayin, sakamakon maganin yana raguwa sosai, kuma wani lokacin ba a ganin sakamako ko kaɗan daga amfani da shi.

Kuma kamar yadda aka ambata a sama, abubuwa da yawa sun dogara da yankin na sarrafa magunguna. Amma a baya ba a nuna cewa lokacin saita allura yana da matukar muhimmanci a yi amfani da yankin gaba daya ba. Misali, idan allurar ta kasance a kaikaice, to ya kamata a fadada sashi zuwa cikin kananan inguinal.

Yankin tsakanin haƙarƙarin da cibiya yana ɗauka kyakkyawan wuri ne don gudanar da insulin. Sanya cikin wannan yanki na allurar ba wai kawai yana kara tasirin maganin ba, har ila yau ba ya haifar da kirkirar ƙwayoyin wuƙaƙƙen ƙwaƙwalwar subcutaneous da ke faruwa, alal misali, lokacin da aka gabatar da insulin a cikin yankin gluteal.

Abubuwan da suka faru kafin gabatarwar miyagun ƙwayoyi kuma suna da tasiri kai tsaye akan tasirinsa. Mutane da yawa suna kula da yankin allura tare da barasa, wanda aka haramta shi sosai, tun da barasa yana lalata insulin, kuma an rage tasirirsa sosai.

Saurin gudu da tsawon insulin

Ganin wannan, masu ciwon sukari da yawa suna da tambaya game da yadda ake magance cututtukan fata. Kuma babu abin da ake bukata. Hadarin da ke tattare da kamuwa da cuta tare da gabatar da insulin na zamani da sirinji waɗanda aka sayar da su ba su da yawa, sabili da haka, ƙarin fata na fata kafin allurar ba a buƙatar. A wannan yanayin, zai iya yin lahani da yawa.

Kuma kafin ku shiga magunguna, kuna buƙatar ƙirƙirar fatar fata, pinching tare da yatsunsu kuma ja kadan. In ba haka ba, za a iya gabatar da miyagun ƙwayoyi a cikin tsokoki, wanda mummunar tasiri tasirinsa. A wannan halin, ba a bada shawara sosai don sakin fatar fatar ba har sai an yi maganin sosai.

Sauran abubuwan da suka haifar da gazawar insulin

Baya ga kuskuren masu ciwon sukari tare da gabatarwar insulin, akwai wasu abubuwan da zasu iya tayar da raguwa game da tasirin magungunan da ake amfani da su. Wadannan sun hada da:

• juriya insulin;
• ci gaban cutar Samoji.

Don fahimtar dalilin da yasa ake samun raguwa game da tasiri na insulin, ya zama dole a yi la’akari da waɗannan halaye dalla dalla.

Insulin juriya

Sashin insulin

Ko da mara lafiya ya yi daidai allurar, ƙila za su ba da sakamakon da ake so. Kuma dalilin wannan shine yawanci juriya ga maganin da akayi amfani dashi. Wannan sabon abu a magani ana kiran shi "ciwo na rayuwa."

Irin waɗannan abubuwan zasu iya tayar da ci gaba:

• kasancewar nauyin jiki mai yawa;
• cholesterol mai hawan jini;
• yawan tsalle-tsalle cikin hawan jini (hauhawar jini);
• ilimin halittar jini na tsarin zuciya;
• polycystic ovary (a cikin mata).

Idan mai haƙuri yana da ciwo na rayuwa kuma an ba shi allurar insulin, to, ba zai ba da wani sakamako ba. Kuma duk saboda gaskiyar cewa ƙwayoyin jikin mutum a cikin wannan yanayin sun rasa ikon da za su amsa wa hormone. Sakamakon wannan, matakin glucose na jini ya hauhawa sosai, wanda kumburin kansa yake ba da nasa matakin - yana tsinkayar da matakin glucose mai girma a matsayin karancin insulin a jiki, ya fara samar da wannan kwayoyin a kansa, a sakamakon haka, kwayoyin jikinsa da sauri suna lalacewa, kuma yawan insulin a jikinsa ya wuce matsayin al'ada . Duk wannan yana haifar da rashin daidaituwa na haƙuri.

Hanyar haɓakar insulin juriya

Yawancin kwayoyin insulin shine yakan bayyana ta hanyar bayyanar cututtuka masu zuwa:

• hawan jini a kan komai a ciki;
• hawan jini;
• raguwa a matakin "mai kyau" cholesterol a cikin jini da kuma karuwa a "mara kyau";
• karuwa mai nauyi a jikin mutum;
• bayyanar sunadarai a cikin fitsari, wanda ke nuna ci gaban cututtukan koda.

Kuma ba da gaskiyar cewa juriya na insulin na iya haifar da mummunar matsalolin kiwon lafiya, rashin sakamakon bayan gudanar da maganin ya kamata faɗakar da mai haƙuri kuma ya sa ya sami ƙarin jarrabawa, wanda zai tabbatar ko musanta ci gaban wannan yanayin. Idan aka tabbatar da gano cutar, dole ne mara lafiyar ya yi cikakken magani.

Samoji ciwo

Samoji ciwo yana haɓaka asalin yanayin yawan insulin da yake fama da shi. Yana tasowa ta hanyar amsawar jiki ga hare-hare na yau da kullun na ƙara yawan sukarin jini. Samoji ciwo yana bayyana tare da alamomin masu zuwa:

• a lokacin day a kasance akwai canzawa mai kaifi a matakin glucose a cikin jini, sannan kuma zuwa kan iyakoki na sama, har zuwa kasan;
• hare-hare na hypoglycemia na yau da kullun, wanda zai iya bayyana kanta a cikin hare-hare na fili da na nesa;
• bayyanar a cikin fitsari na jikin ketone (wanda aka gano ta hanyar bayar da OAM);
• jin yunwar kullun;
• karin nauyi;
• tare da karuwa a cikin kashi na insulin, yanayin haƙuri yana da rauni;
• tare da sanyi, matakin sukari na jini al'ada ne (wannan abun yana faruwa ne sakamakon cewa lokacin da kwayar ta shiga jiki, yana ɗaukar makamashi da yawa don kawar dashi).

Cutar Somoji na iya haifar da yawan yawan yawan insulin

Yawancin marasa lafiya, lokacin da suka lura da karuwa a cikin sukari na jini, fara haɓaka sashi na insulin da aka yi amfani dashi, ba tare da tuntuɓar likitan su ba. Amma yin wannan haramunne. Madadin ƙara yawan ƙwayar insulin da ake sarrafawa, kuna buƙatar kulawa da wasu dalilai, wato ingancin abincin da aka ƙone, motsa jiki matsakaici (tare da salon rayuwa mai tsada, farashin kuzari yana ƙanƙantar da yawa, wanda ke haifar da karuwa a cikin sukari na jini), kazalika da kasancewa mai daraja. barci da hutawa.

Masu ciwon sukari da suka ɗanɗana haɓakar sukari cikin jini na dogon lokaci ba lallai ne su nemi allurar insulin ba. Abinda ke faruwa shine ga kowane mai ciwon sukari akwai ka'idoji na matakan glucose na jini wanda a ciki yake jin shi daidai yake. Yin amfani da insulin a wannan yanayin zai iya haifar da ci gaban Somogy syndrome da kuma buƙatar ƙarin magani.

Idan akwai shakku kan ci gaban Somoji ciwo, kuna buƙatar yin cikakken gwaji a asibitin

Don tabbatar da kasancewar ƙwayar yawan ƙwayar yawan ƙwayar insulin a cikin jiki, mai haƙuri yana buƙatar yin jerin hanyoyin bincike. Babban mahimmanci a cikin wannan kasuwancin shine ma'aunin yau da kullun na sukari na jini. Kuma ba wai kawai a cikin rana ba, har ma da dare. Ana yin nazari akai-akai. Dole ne a gudanar da gwajin jini na farko da misalin karfe 9 na dare, duk matakan da suka biyo baya dole ne ayi su a cikin kowane sa'o'i 3.

Tare da haɓakar cutar Somogy, ana ganin raguwa sosai a cikin sukarin jini da misalin ƙarfe 2-3 na safe. Kuma ya kamata a lura cewa da daddare ne jiki yake cin ƙarancin makamashi, sabili da haka, insulin da aka gabatar a 8-9 na dare zaiyi aiki sosai kuma ya fi tsayi. Yawancin yawan sukari na jini a cikin cututtukan Somoji yawanci ana lura da shi sau 6-7 da safe.

Ta hanya madaidaiciya, ana iya magance cutar Somoji cikin sauki. Babban abu shine a bi dukkan shawarwarin likitocin da ke halartar kuma kada su wuce sashi na magunguna masu dauke da insulin.

Sharuɗɗa don yin lissafin sashi na insulin

Amfanin insulin kai tsaye ya dogara da sashi wanda ake amfani dashi. Idan ka shigar dashi cikin isasshen adadin, matakin suga na jini zai zama ba zai canzawa ba. Idan kun wuce sashi, to wannan na iya haifar da haɓakar ƙwayar cuta.

Sabili da haka, yana da mahimmanci a cikin ci gaban ciwon sukari don ƙididdige yawan sashin insulin. A wannan halin, dole ne a kula da abubuwan da suka dace a cikin la'akari:

• Ultra-gajere aiki insulin kashi. Sau da yawa sau da yawa, mutanen da ba sa kula da abincinsu suna fuskantar yanayi irin su hyperglycemia postprandial. Yana faruwa a lokuta inda mai haƙuri kafin abinci ya gabatar da isasshen adadin insulin kuma a lokaci guda ya cinye guraben abinci fiye da buƙata. A cikin irin waɗannan yanayi, ana buƙatar gudanar da aikin gaggawa cikin insulin a cikin ƙarin adadin sashi.
• Yin gyaran insulin na dogon lokaci yana dogaro ne da matakan sukari na jini da safe da yamma.
• Idan mai haƙuri yana da ciwo na Somoji, sashi na magunguna na saki-lokaci da safe ya kamata ya zama raka'a 2 sama da maraice.
• A gaban jikin ketone a cikin fitsari, an wajabta ƙarin allurai na insulin-gajere mai aiki sosai.

A wannan yanayin, kamar yadda aka ambata a sama, ana la'akari da abincin mai haƙuri da aikin jiki a duk tsawon lokacin. Saboda buƙatar yin la’akari da duk waɗannan abubuwan, likita ne kawai zai iya tsaida madaidaicin sashin insulin, wanda zai yi tasiri wajen kula da ciwon sukari.