Daga cikin magungunan da kwararru suka tsara don maganin ciwon sukari, akwai irin wannan kayan aiki kamar insulin Novomix. Domin marassa lafiya su fahimci yadda wannan maganin yake aiki, ya dace a duba yanayin aikinsa.
A cikin kantin magunguna, ana siyar dashi karkashin sunan Novomix 30 Flexspen. Wani suna Penfill.
Gabaɗaya halaye da tsarin aiwatarwa
Wannan magani yana cikin adadin insulin. Kayan aiki shine dakatarwar biphasic, wanda aka gudanar da shi ga mai haƙuri subcutaneously. Babban abubuwan da ke cikin abun shine insulin Aspart da protamine.
Abu na farko ana ɗaukar shi analog na insulin ɗan adam tare da ɗan gajeren lokacin aiki. Wani sinadari kuma ana saninsa da wani abu na matsakaicin tsaka-tsakin yanayi kuma shine misalin ƙimar insulin ɗan adam. Siffofin waɗannan abubuwan haɓaka kuma saboda tasirin miyagun ƙwayoyi a jikin marasa lafiya da ciwon sukari.
Ana amfani da magani don sarrafa sukari na jini a cikin masu ciwon sukari. Ana iya amfani dashi don cututtukan nau'in 1 da 2, a matsayin wani ɓangare na jiyya mai wahala ko don monotherapy.
Ana nuna Novomix ta hanyar sakamako na hypoglycemic. Ana samun wannan ta hanyar hulɗa da abubuwa masu amfani da ƙwayoyi tare da masu karɓar insulin a cikin membranes cell, wanda ke haɓaka shigarwar glucose a cikin sel da aiwatar da metabolism metabolism. Sabili da haka, ana rarraba sukari a cikin tsokoki na tsokoki, wanda ke taimakawa rage yawan hankali a cikin ƙwayar plasma. Bugu da ƙari, a ƙarƙashin rinjayar Novomix, hanta yana rage adadin glucose da aka samar, saboda hakan raguwa cikin abubuwan da ke ciki ya tafi a cikin matakai biyu.
Wannan nau'in insulin yana da sakamako mai sauri. Aikin yana farawa daga mintina 10 zuwa 20 bayan allura. An ba shi izinin sarrafa magunguna jim kaɗan kafin abinci. Mafi yawan kayan aiki mai karfi da ke nuna kanta a matsakaici bayan sa'o'i 1-4, to, ingancinsa a hankali yana raguwa. Matsakaicin lokacin tasirinsa ga jikin mutum shine wata rana. Domin rabin abubuwan aiki masu aiki da za a cire, zai dauki awa 9.
Umarnin don amfani
Tasiri na jiyya tare da wannan magani ya dogara da bin umarnin. Yana da mahimmanci cewa likitan likita ya tsara Novomix. Sashi kuma ya kamata a ƙaddara ta ƙwararren masani. Yawancin lokaci ana yin lasafta gwargwadon nauyin mai haƙuri (don kowane kilogram ya kamata ya zama raka'a 0.5-1). Amma wannan babban bayanan ne kawai.
Sashi yana tasiri da halayen mutum daban-daban na jikin mai haƙuri, shekarunsa, cututtukan da suka dace, ka'idodin warkewa (ɗaukar wasu wakilai na hypoglycemic ko rashinsa), da sauransu.
Mutane masu ƙarancin hankali zuwa insulin suna buƙatar yin amfani da mafi girma, kuma waɗanda suka ci gaba da haɓaka wannan hormone suna amfani da miyagun ƙwayoyi a cikin ragewar sashi. Wannan yana nufin cewa ƙaddarawar kai na kashi da jadawalin ba zai karɓa ba.
Ana amfani da miyagun ƙwayoyi ne kawai a cikin nau'in allurar subcutaneous. Ba a yin aiki da jijiyoyin ciki da na jijiyoyin jini saboda babban haɗarin haɗarin hauhawar jini.
Ingantattun fannonin allura sune:
- cinya
- kafada
- gindi;
- bango na ciki.
Wani abu mai mahimmanci game da amfani da Penfill shine buƙatattun abubuwa masu amfani da allurar allurar. Idan kullun kuna yin allura a cikin yanki ɗaya, ɗaukar abubuwan aiki suna hana aiki kuma an rage tasirinsu. Hakanan yana da mahimmanci a gudanar da allura ta awa.
Yawancin lokaci ana amfani da miyagun ƙwayoyi daban da wasu ko a hade tare da metformin. A wannan yanayin, yawan insulin yana raguwa sosai.
Ko da kuwa ka'idodin magani, sau da yawa ya zama dole don bincika adadin glucose a cikin jinin mai haƙuri, da daidaita sashi gwargwadon sakamakon binciken.
Umarni na bidiyo akan amfani da alkairin sirinji:
Contraindications da sakamako masu illa
Ana iya magance tasirin mummunar cutar ta hanyar yin la'akari da abubuwan contraindications da iyakoki. Wannan zai fi dacewa ta hanyar kwararru.
Babban contraindications na Novomix sun hada da rashin jituwa ga abun da ke ciki da kuma haɓakar hawan jini. A waɗannan halayen, an haramta shan miyagun ƙwayoyi.
Hakanan akwai hani game da kungiyoyin haƙuri da yawa:
- Tsofaffi mutane. Restricuntatawa yana faruwa ne saboda lalacewar gabobin ciki a cikin marasa lafiya na wannan nau'in. Lokacin yana da shekaru 65, jiki yana raunana, wanda ke hana aikin al'ada na hanta da kodan. Kuma saboda wannan, tsarin cire insulin ya lalace.
- Yara. Jikin jarirai na iya zama mai matukar tasiri ga miyagun ƙwayoyi. Sabili da haka, yana yiwuwa a yanke shawara ko a yi amfani da Novomix don kula da yaro mai ciwon sukari kawai bayan cikakken bincike.
- Marasa lafiya da cutar hanta. Abubuwan da ke amfani da maganin suna shafar samar da glucose ta hanta. Game da keta abubuwa a cikin aikin jikin, to aikinsa ya zama wanda ba a iya faɗi ba, saboda haka kuna buƙatar yin la'akari da haɗarin hankali.
- Marasa lafiya tare da cututtukan koda. Kodan sun shiga cikin insulin. Idan har aikin su ya katse, wannan tsari na iya yin jinkirin aiki, wanda ke haifar da tara abubuwa a cikin jiki da haɓakar ƙwaƙwalwar ƙwayar cuta.
Ba a yi nazarin tasirin insulin dangane da waɗannan rukunin marasa lafiya ba, saboda haka, idan ya cancanta, yakamata likitoci su sanya ido sosai kan aikin.
Lokacin amfani da maganin, mummunan halayen na iya faruwa. Wasu daga cikinsu ba su da lahani kuma suna wuce wasu lokuta bayan farawar jiyya. Sauran su ne dalilin ƙi irin wannan jiyya.
Manyan sakamako masu illa sun hada da:
- Hypoglycemia. Yana da mafi haɗari amsawar jiki ga abu mai aiki. Tare da ƙananan bayyanannun, mai haƙuri kawai yana buƙatar cin ɗan sukari don daidaita lafiyar sa. A cikin mawuyacin hali, maganin gaggawa ya zama dole, tunda mai haƙuri na iya mutuwa.
- Cutar Jiki.
Wannan sakamako na gefen zai iya faruwa tare da rashin haƙuri na miyagun ƙwayoyi. Allergic halayen bambanta a cikin tsananin. Wasu daga cikinsu ba su da lahani - redness, itching, urticaria. Amma a cikin wasu marasa lafiya, rashin lafiyan na iya zama mai rauni sosai (alal misali, anaphylactic shock). - Rashin gani. Waɗannan sun haɗa da retinopathy da nakasasshen tunani. Deviarshe ɓata na ƙarshe yawanci yakan faru ne a farkon farfaɗo kuma ya ɓace bayan jiki ya daidaita da miyagun ƙwayoyi.
- Lipodystrophy. Irin wannan alamar tana bayyana idan an sanya allura a wuri guda. Wannan yana haifar da cin zarafin shan kayan. Sabili da haka, likitoci suna ba da shawarar sau da yawa canza wuraren allura.
- Ayyukan gida. Suna haɓaka a wuraren da ake gudanar da maganin. Daga cikinsu akwai alamomi kamar itching, redness, bugu na fata, da sauransu.
Wannan sakamako na gefen zai iya faruwa tare da rashin haƙuri na miyagun ƙwayoyi. Allergic halayen bambanta a cikin tsananin. Wasu daga cikinsu ba su da lahani - redness, itching, urticaria. Amma a cikin wasu marasa lafiya, rashin lafiyan na iya zama mai rauni sosai (alal misali, anaphylactic shock).Gano sakamako masu illa shine lokaci don tattaunawa da likita. Wani lokaci ana iya cire su ta hanyar canza jadawalin gudanarwa da kashi na miyagun ƙwayoyi, amma ya zama dole sau da yawa don maye gurbin insulin Novomix tare da wani magani.
Ofaya daga cikin sifofin magungunan shine tasirin sa akan hankali da rahusa. Tare da haƙuri na Penfill na yau da kullun, waɗannan damar ba ta wahala. Amma idan hypoglycemia ya faru, mai haƙuri na iya rasa ikon maida hankali.
Wannan yana nufin cewa marasa lafiya waɗanda ke cikin haɗarin haɓaka wannan karkatarwa ya kamata su guje wa ayyukan da ke buƙatar ƙara kulawa da saurin halayen (tuki mota). Saboda ita, an ƙirƙiri ƙarin barazanar rayuwarsa.
Yawan damuwa
Dole ne likita ya zaɓa kashi na maganin. Yakamata mai haƙuri ya bi alƙawarin sa, tunda yawan shan insulin da yawa na iya haifar da mummunan sakamako.
Yawanci, irin waɗannan lokuta suna faruwa lokacin amfani da miyagun ƙwayoyi a cikin adadi mai yawa, amma canje-canje na kwayoyin mutum shima zai yiwu, wanda zai iya rage buƙatar mai haƙuri game da magani sosai.
Yawan sakamako a cikin hypoglycemia. Zai iya zama da rauni da ƙarfi. Amma ba tare da la'akari da tsananin ba, wannan yanayin ba za a iya kira shi al'ada ba.
A lokuta masu wahala, mai haƙuri yana da jijiyoyi, tashin zuciya, rawar jiki, rauni, mutum na iya rasa hankalinsa har ma ya faɗi cikin rashin lafiya. A kan tushen yanayin rashin lafiyar hypoglycemia, rikicewar juyayi na haɓaka, saboda haka yana da muhimmanci sosai kada a hana faruwar hakan.
An dakatar da hypoglycemia mai sauƙi tare da taimakon carbohydrates mai sauri. Abin da ya sa aka ba da shawarar ga masu ciwon sukari su sami sukarin dunƙule ko kyandir mai zaki tare da su.
Idan yanayin mai haƙuri yana da matukar damuwa, to ba za ku iya yin ba tare da taimakon likita ba, saboda kuna buƙatar yin amfani da magani don dakatar da harin.
Haihuwa da lactation
Ya zuwa yanzu, ba a sami damar yin cikakken bayani game da tasirin Novomix ga mata masu juna biyu da uwaye masu shayarwa ba. Dangane da sakamakon binciken dangane da dabbobi, ba a samo bayanai game da haɗarin wannan abu ba.
Sabili da haka, idan akwai buƙatar yin amfani da wannan magani ta marasa lafiya masu juna biyu, likita na iya yin la'akari da wannan yiwuwar. Amma a lokaci guda, yana da mahimmanci a lura da taka tsantsan, a kullun ana duba matakan glucose na mahaifiyar mai tsammani. A lokacin haila, sukarin jini na iya bambanta dangane da tsawon lokacin, kuma ya kamata a la'akari da wannan.
Yayin shayarwa, ana kuma iya amfani da insulin - tare da zaɓi na dama, har da abinci. Abunda yake aiki baya shiga cikin madara, saboda haka bazai cutar da jariri ba.
Yin hulɗa tare da wasu magunguna
Kamar yadda sake dubawa game da miyagun ƙwayoyi suka ce, amfani da shi yana kawo sakamako masu mahimmanci. Marasa lafiya don waɗanda ba a la'akari da duk yanayi ba.
Aspectaya daga cikin mahimman fannonin magani shine jituwa da wannan nau'in insulin tare da wasu kwayoyi. Haɗin kai tare da wasu kwayoyi suna tasiri tasirinsa akan jiki.
Thearfafa aikin aikin insulin na iya haifar da hakan kamar:
- magungunan kwamfutar hannu na hypoglycemic;
- ACE da MAO masu hanawa;
- sulfonamides;
- salicylates;
- marasa zaɓi na beta-blockers;
- anabolics;
- magunguna dauke da barasa.
Hakanan akwai magunguna waɗanda ke raunana tasiri na Novomix.
Wadannan sun hada da:
- hana haihuwa;
- wasu nau'ikan magungunan hormonal;
- kamuwa da cuta;
- barasa
Daidaita kudaden da ke sama tare da insulin an yarda, amma ya zama dole don yin lissafin sashi na abubuwan aiki - sama ko ƙasa.
Haka magunguna
A wasu halaye, halayen mutum na jikin mai haƙuri ba su barin amfani da wannan magani don maganin ciwon sukari. A wannan yanayin, ya wajaba don amfani da waɗanda suke musanyawa.
Babu kuɗi tare da irin wannan abun da ke ciki. Sabili da haka, wajibi ne don amfani da kwayoyi tare da tasirin irin wannan, amma tare da sauran abubuwa masu aiki.
Manyan sune:
- Humalogue. Wannan magani, tushen shine insulin Lizpro. Yana da sakamako na ɗan gajeren lokaci. Sun kuma gane hakan ta hanyar dakatarwa don gudanar da ayyukan karkashin kasa. Hanyar tasiri da contraindications suna kama da waɗanda aka sanya su a cikin magani a cikin tambaya.
- Himulin. Tsawon lokacin da aka fara kaiwa ga babban ɓangarensa, insulin ɗan adam, ya ɗan fi tsayi fiye da na Novomix. Hakanan an yi shi ne don allurar subcutaneous. Ana amfani da kayan aikin ta hanyar iyakance ɗaya da kuma contraindications.
Yakamata mai haƙuri ya canja wurin mai haƙuri daga Penfill zuwa kowane irin maganganun bayanan shi. Yin shi da kansa yana da haɗari sosai. Rashin dakatarwar kwantar da hankali na insulin na iya haifar da rikice-rikice, kazalika da sauyawa zuwa magani tare da wasu kwayoyi.
Wannan magani yana da tsada mai tsada, saboda ana samarwa ƙasashen waje. Ana iya siyan kayan aiki mai suna Novomix 30 Flekspen akan farashin 1600 zuwa 2000 rubles. don shiryawa. Novomiks 30 Penfill yana da ɗan rahusa - kusan 1500-1800 rubles. Farashi na iya bambanta a birane da yankuna daban-daban.
