Babban sashi na lura da ciwon sukari shine kula da matakin glucose a cikin jinin mai haƙuri. Canjin yanayin wannan alamar akwai rikice-rikice masu haɗari da alamu mai tsanani.
Don hana su, ana amfani da kwayoyi masu ɗauke da insulin sau da yawa. Daga cikin waɗannan akwai maganin Rinsulin R. Marasa lafiya ya kamata su san yadda yake aiki don amfani da shi daidai.
Abun ciki da nau'i na saki
Magungunan yana nufin magungunan da aka sayar da takardar sayan magani, tunda amfani da shi ba tare da kulawa ba zai iya cutar da jiki.
Maganin allura ne, babban abun ciki shine insulin ɗan adam, wanda aka kera shi ta amfani da fasahar DNA.
Abubuwa masu taimakawa na magunguna sune:
- glycerol;
- metacresol;
- ruwa.
Ana aiwatar da sakin Rinsulin a Rasha. Iya warware matsalar a bayyane yake kuma bashi da launi. An sanya shi a cikin kwalabe na gilashin 10 ml.
Halayen magunguna
Ana amfani da miyagun ƙwayoyi ta hanyar tasirin hypoglycemic. Ana samar da raguwa cikin glucose na jini ta wurin tasirin manyan abubuwan. Insulin, yana shiga jikin mai haƙuri, yana kunna tsarin karɓar glucose da rarrabuwa a cikin sel. Rinsulin kuma yana rage yawan samar da sukari ta hanta.
Wannan kayan aiki yana da ɗan gajeren lokacin aiki. Zai fara shafar jikin rabin sa'a bayan allura. Yana yin aiki sosai a tsakanin sa'o'i 1-3 bayan amfani. Tasirinsa ya ƙare bayan sa'o'i 8.
Amfani da tsawon lokacin bayyanar Rinsulin ya dogara da sashi da hanyar gudanarwa. Cire wannan kayan daga jiki shine gudana daga kodan.
Umarnin don amfani
An ba da shawarar yin amfani da magani don nau'in 1 da nau'in ciwon sukari na 2 idan ba zai yiwu a daidaita matakin sukari tare da magunguna don maganin baka ba. Rinsulin allura ce da za a iya yi intramuscularly, subcutaneously da intravenously. Mafi kyawun hanyar aikace-aikacen aikace-aikacen an kaddara akayi daban-daban.
An lissafta sashi na miyagun ƙwayoyi dangane da halaye na hoton asibiti. Mafi sau da yawa, 0.5-1 IU / kg na nauyin haƙuri ya kamata a gudanar dashi kowace rana.
An ba da izinin amfani da maganin a hade tare da sauran magungunan hypoglycemic, idan ya cancanta.
A mafi yawancin halayen, ana gudanar da rinsulin a ƙarƙashin ƙasa. Ya kamata a ba da allura ga cinya, kafada, ko bangon ciki. Yana da mahimmanci a madadin wuraren allura, in ba haka ba lipodystrophy na iya haɓaka.
Ana aiwatar da aikin kulawa na wucin gadi kawai akan shawarar likita. Ba a cikin ciki, wannan magani ne kawai ke samar da maganin. Ana amfani da wannan a cikin yanayin rikitarwa.
Darasi na bidiyo akan gabatarwar insulin ta amfani da alkairin sirinji:
M halayen
Shan kowane magani na iya haifar da mummunan sakamako. Don sanin menene matsaloli Rinsulin zai iya haifar, kuna buƙatar nazarin umarnin da sake dubawa a kan tattaunawar daga marasa lafiya.
Mafi yawan lokuta tare da amfani dashi, abubuwanda suka faru suna faruwa:
- halin hypoglycemic (yana haɗuwa tare da alamomin raunin da yawa, waɗanda suka haɗa da tsananin wahala, rauni, tashin zuciya, tachycardia, rudani, da sauransu);
- rashin lafiyan (fatar fata, girgizawar kwayar kwayar, kumburin Quincke);
- raunin gani;
- jan launi na fata;
- itching
Yawancin lokaci, sakamako masu illa suna faruwa lokacin amfani da miyagun ƙwayoyi duk da rashin jituwa ga abun da ke ciki. Don kawar da mummunan abu, kuna buƙatar tuntuɓi ƙwararre. Wasu sakamako masu illa suna ɓacewa bayan ka dakatar da shansa, wasu kuma suna buƙatar maganin rashin lafiya.
Wasu lokuta bayyanar cututtukan cututtukan cututtukan cuta suna haifar da mummunar lalacewa a cikin lafiyar mai haƙuri, sannan yana buƙatar mummunan magani a asibiti.
Hulɗa da ƙwayoyi
Wani lokaci ana amfani da Rinsulin a cikin hadaddun farji, amma ya kamata a tsara shi da kyau. Akwai rukuni na kwayoyi saboda abin da hankalin jikinsa ga insulin ya inganta ko ya raunana. A cikin waɗannan halayen, wajibi ne don daidaita sashi na magungunan.
Ya kamata a rage wani yanki na Rinsulin yayin amfani dashi tare da hanyoyi masu zuwa:
- magungunan hypoglycemic;
- salicylates;
- beta-blockers;
- MAO da masu hana ACE;
- hanyoyin tetracyclines;
- jami'in antifungal.
Tasirin Rinsulin yana raguwa idan aka yi amfani dashi tare da irin waɗannan kwayoyi kamar haka:
- kamuwa da cuta;
- maganin alaƙar cuta;
- magungunan hormonal.
Idan akwai buƙatar yin amfani da Rinsulin lokaci guda kuma waɗannan kwayoyi, ya kamata a ƙara yawan allurai.
Kada ku gyara jadawalin magani ba da izini ba. Idan ya yi yawa a jikin insulin ya shiga jiki, to yawan zubar jini zai iya faruwa, babban abin da yake magana wanda yake shine hypoglycemia. Idan kayi amfani da kadan kadan na magani, magani zai zama mai tasiri.
Umarni na musamman
Ana ba da matakan musamman don shan magunguna ga yara, mata masu juna biyu da tsofaffi.
Jiyya tare da Rinsulin yana haifar da bin ka'idodi masu zuwa:
- Mata masu juna biyu. Babu buƙatar daidaita sashi na ƙwayoyi, tun da sashin aikinsa mai aiki ba ya shafar lokacin daukar ciki. Amma a lokaci guda, ya zama dole don sarrafa matakin sukari na jini na mace, tunda wannan alamar tana iya canzawa idan aka haifi yaro.
- Iyayen mata masu shayarwa. Insulin baya wuce zuwa cikin nono kuma, saboda haka, baya tasiri akan jariri. Sabili da haka, baku buƙatar canza sashi ba. Amma yakamata mace ta sanya ido a kan abincinta, saboda bin shawarwarin.
- Tsofaffi mutane. Sakamakon canje-canje masu dangantaka da shekaru, jikinsu na iya zama mai saurin kamuwa da cutarwar. Wannan yana buƙatar cikakken binciken mai haƙuri da ƙididdigar yawan magunguna kafin nadin Rinsulin.
- Yara. An kuma ba su izinin magani tare da wannan magani, amma a ƙarƙashin kulawar kwararrun. An wajabta maganin gwargwado.
Hakanan ana ba da umarni na musamman ga marasa lafiya waɗanda ke fama da cututtukan hanta da koda. Magungunan suna shafar hanta, kuma kodan suna da hannu wajen cire maganin daga jikin. Idan akwai matsaloli tare da waɗannan gabobin, to yakamata a rage kashi na Rinsulin don kada ya tsokani ƙwaƙwalwar ƙwayar cuta.
Analogs
Idan akwai rashin jituwa ga wannan wakili a cikin mai haƙuri, yana da mahimmanci don maye gurbin shi da wani. Likita zai taimaka muku.
Mafi yawan lokuta, ana wajabta sauyawa:
- Aiki. Tushen maganin shine insulin mutum. Akwai shi ta hanyar mafita don allura, wanda aka yi cikin ciki da jujjuyawa.
- Gensulin. Magungunan zai iya zama nau'ikan guda biyu: Gensulin N (maganin allura mai amfani da dogon lokaci) da Gensulin M30 (dakatarwa sau biyu). Saka shi a cikin kwalaben gilashin a cikin katako.
- Protafan. Tushen wannan kayan aiki shine insulin isophan. Protafan ya tabbata a cikin nau'i na dakatarwa, wanda ke haɗe da matsakaicin tsawon lokacin aiki.
- Zamu. Wannan magani yana da ɗan gajeriyar aiki. Vozulim yana wanzu ta hanyar allurar mafita, babban abinda shine insulin ɗan adam.
- Biosulin. Ya wanzu a cikin tsari na dakatarwa da mafita. Magungunan yana samar da ƙwayar glucose mai aiki a jiki, wanda ke taimakawa rage yawanta a cikin jini.
- Gansulin. An aiwatar dashi azaman dakatarwa wanda abu mai aiki shine insulin isophan. Lokacin amfani da shi, dole ne a bi umarnin kuma yin la'akari da yiwuwar contraindications.
- Humulin. Magungunan ya dogara da insulin mutum kuma yayi kama da dakatarwa. Inje tare da wannan magani yana taimakawa wajen daidaita matakan glucose na jini. An haramta amfani da shi tare da hypoglycemia da rashin haƙuri ga abubuwan haɗin.
- Rosinsulin. Ana sayar da wannan kayan aiki azaman maganin allura. An sanya shi cikin katako 3 ml. Babban abincinta shine insulin mutum.
- Insuran. Magungunan yana dakatarwa ne wanda ake amfani dashi don amfani da subcutaneous. Ya bambanta a matsakaiciyar lokacin aiki. Insuran ne suka kirkireshi bisa insulin marassa lafiyar.
Ana amfani da waɗannan magungunan ta hanyar tasirin kama, amma suna da wasu bambance-bambance waɗanda ya kamata a bincika. Hakanan kuna buƙatar sanin yadda za ku canza daidai daga wannan magani zuwa wani.
Rinsulin NPH
Wannan magani yana kama sosai da Rinsulin R. Ya ƙunshi insulin isofan. Magungunan yana da tsakaitaccen lokacin aiki kuma yana dakatarwa don yin allura.
Ana amfani dashi kawai a ƙarƙashin ƙasa, wanda ke taimakawa wajen yin sirinji na sikirin don Rinsulin NPH.
Wajibi ne a gabatar da miyagun ƙwayoyi a bangon ciki, cinya ko kafada. Domin abubuwan magunguna su sha da sauri, ya kamata a sanya allura a cikin sassan jikin daban-daban a cikin yankin da aka kayyade.
Abubuwan da zasu iya tallafawa masu zuwa shima bangare ne na Rinsulin NPH:
- phenol;
- glycerin;
- furotin protamine;
- sinadarin hydrogen phosphate;
- metacresol;
- ruwa.
An fito da wannan magani a cikin gilashin gilashin 10 ml. Dakatarwar fararen fat ce;
Wannan magani yana aiki kusan iri ɗaya ga Rinsulin R. Yana haɓaka yawan haɓakar glucose ta sel kuma yana rage jinkirin samar da shi ta hanta. Bambanci ya ta'allaka ne a cikin tsawon lokacin tasiri - yana iya kaiwa awanni 24.
Farashin Rinsulin NPH yana canzawa kusan 1100 rubles.
Kuna iya gano yadda tasirin maganin yake ta hanyar yin bita da haƙuri game da Rinsulin P da NPH. Suna da bambanci sosai. Yawancin marasa lafiya suna ba da gaskiya ga waɗannan kwayoyi, amma akwai waɗanda waɗanda irin wannan magani bai dace ba. Rashin damuwa yana haifar da sakamako masu illa waɗanda zasu iya tsokani ƙwayoyi masu dauke da kwayar insulin.
Mafi sau da yawa, matsaloli sun faru a cikin masu ciwon sukari waɗanda ba sa bin umarnin ko a cikin waɗanda jikinsu ke kula da abubuwan da aka gyara. Wannan yana nufin cewa tasiri na miyagun ƙwayoyi ya dogara da yanayi da yawa.