Lokacin amfani da kwayoyi, yana da matukar muhimmanci a fahimci mizanin aikinsu. Duk wani magani zai iya zama cutarwa idan anyi amfani dashi da kyau. Gaskiya ne game da magungunan da ake amfani dasu cikin cututtukan da ke ɗaukar haɗarin mutum.
Waɗannan sun haɗa da magunguna na tushen insulin. Daga cikinsu akwai insulin da ake kira Aspart. Kuna buƙatar sanin halayen homon don cewa lura da shi yana taimakawa ya zama mafi inganci.
Babban bayani
Sunan kasuwanci na wannan magani shine NovoRapid. Ya kasance ga adadin insulins tare da ɗan gajeren aiki, yana taimakawa rage yawan sukari a cikin jini.
Likitoci suna tsara ta ga marasa lafiya da ke fama da cutar sikari ta hanyar insulin. Abubuwan da ke aiki na miyagun ƙwayoyi shine insulin Aspart. Wannan abu yana da kama da yawa a cikin kayan sa zuwa ƙwayar mutum, kodayake ana kera shi da ƙwaƙwalwa.
Aspart yana samuwa a cikin hanyar warwarewa wanda ake gudanar da subcutaneously ko cikin jijiya. Wannan bayani ne na tsari kashi biyu (mai narkewa na insulin Aspart da lu'ulu'u masu yawa).
Baya ga babban abu, daga cikin abubuwanda za'a iya kiransa:
- ruwa
- phenol;
- sodium chloride;
- glycerol;
- hydrochloric acid;
- sodium hydroxide;
- zinc;
- metacresol;
- sinadarin sodium hydrogen phosphate dihydrate.
An rarraba Insulin Aspart a cikin 10 ml vials. An ba da izinin amfani dashi kawai kamar yadda likita halartar ya umarta kuma bisa ga umarnin.
Kayan magunguna
Asparta yana da tasirin hypoglycemic. Yana faruwa lokacin da sashin aiki mai aiki ya hulɗa tare da masu karɓar insulin a cikin ƙwayoyin adipose nama da tsokoki.
Wannan yana taimaka wajan hanzarta jigilar glucose tsakanin ƙwayoyin, wanda ke rage maida hankali cikin jini. Godiya ga wannan magani, ƙwayoyin jiki suna amfani da glucose da sauri. Wani shugabanci na tasirin kwayar shine rage hanzarin aiwatar da samar da glucose a cikin hanta.
Magungunan yana motsa glycogenogenesis da lipogenesis. Hakanan, lokacin da aka cinye shi, ana samar da furotin sosai.
An rarrabe shi ta hanzari. Bayan da aka yi allura, abubuwan da ke aiki suna dauke da kwayoyin tsoka. Wannan tsari yana farawa daga mintina 10 zuwa 20 bayan allura. Ana iya samun tasiri mafi karfi bayan 1.5-2 hours. Tsawon lokacin tasirin miyagun ƙwayoyi a cikin kusan 5 hours ne.
Umarnin don amfani
Za'a iya amfani da maganin don nau'in 1 da nau'in ciwon sukari na 2. Amma wannan ya kamata a yi kawai kamar yadda likitan ya umurce shi. Kwararrun yakamata ya yi nazarin hoton cutar, ya gano halayen jikin mai haƙuri sannan ya bada shawarar wasu hanyoyin magani.
A cikin nau'in 1 na ciwon sukari, ana amfani da wannan magani sau da yawa a matsayin babban hanyar warkewa. A cikin marasa lafiya da ke dauke da ciwon sukari na 2, an wajabta shi idan babu sakamakon sakamako daga jiyya tare da wakilai na hypoglycemic na bakin.
Yadda ake amfani da miyagun ƙwayoyi, wanda likita ya ƙaddara. Hakanan yana lissafin adadin maganin, ainihin shine 0.5-1 UNITS a kowace kilogiram 1 na nauyi. Lissafin ya samo asali ne daga gwajin jini don abubuwan sukari. Dole ne mai haƙuri dole ne ya bincika yanayinsa kuma ya ba da rahoton duk wani mummunan lamari ga likita don ya canza adadin magunguna a kan kari.
Wannan magani an yi nufin shi ne don gudanar da mulki. Wasu lokuta ana iya bayar da allura ta hanji, amma ana yin wannan ne kawai tare da taimakon kwararrun likitoci.
Gabatar da magunguna yawanci ana yi sau ɗaya a rana, kafin abinci ko kuma bayan hakan. Ya kamata a sanya allura a cikin kafada, bangon ciki ko gindi. Don hana aukuwar lipodystrophy, kowane lokaci kana buƙatar zaɓar sabon yanki a cikin yankin mai suna.
Koyarwar bidiyo na Syringe-pen akan aikin insulin:
Contraindications da gazawa
Dangane da kowane magani, dole ne a la'akari da contraindications don kada ya kara tsananta rayuwar mutum. Tare da nadin Aspart, wannan ma dacewa ne. Wannan magani yana da ƙananan contraindications.
Daga cikin mafi tsauri shine rashin hankali ga abubuwan da suka shafi magunguna. Wani haramcin shine ƙaramin shekarun haƙuri. Idan mai ciwon sukari bai wuce shekara 6 ba, ya kamata ka guji shan wannan magani, tunda ba a san yadda zai shafi jikin yara ba.
Hakanan akwai wasu iyakoki. Idan mai haƙuri yana da hali na hypoglycemia, ya kamata a yi taka tsantsan. Sashi don shi wajibi ne don runtse da sarrafa hanyar magani. Idan an sami alamun bayyanar cututtuka, zai fi kyau ka ƙi shan maganin.
Hakanan ana buƙatar daidaita shi lokacin da yake rubuta maganin ga tsofaffi. Canje-canje masu alaƙa da tsufa a jikinsu na iya haifar da rudani a cikin ayyukan gabobin ciki, wanda shine dalilin da yasa cutar take canzawa.
Hakanan ana iya faɗi game da marasa lafiya da ke dauke da kwayar cuta a cikin hanta da ƙodan, saboda wanda insulin ya fi muni, wanda hakan na iya haifar da cututtukan jini. Ba a hana yin amfani da wannan magani ga irin waɗannan mutanen ba, amma ya kamata a rage ƙwayar sa, kuma ya kamata a duba matakan glucose koyaushe.
Ba a yi nazarin tasirin maganin da ake tambaya akan ciki ba. A cikin nazarin dabbobi, halayen marasa kyau daga wannan kayan ya taso ne kawai tare da gabatarwar manyan allurai. Sabili da haka, wani lokacin ana yarda da amfani da miyagun ƙwayoyi yayin daukar ciki. Amma wannan tilas ne a yi ta kawai karkashin kulawa ta hanyar kwararrun likitoci kuma tare da daidaitattun matakan sutura.
Yayin ciyar da jariri tare da madara, shi ma ana amfani da shi wani lokaci - idan amfanin mahaifiyar ya fi kusan hadarin da jariri ke fuskanta.
Babu wani takamaiman bayani da aka samu a binciken da aka yi kan yadda haɗin maganin ya shafi ingancin madarar nono.
Wannan yana nuna cewa dole ne a yi taka tsantsan yayin amfani da wannan magani.
Side effects
Amfani da miyagun ƙwayoyi gaba ɗaya ana iya kiransa lafiya ga marasa lafiya. Amma idan rashin bin ka'idoji na likita, kazalika saboda halayen mutum na jikin mai haƙuri, raunin sakamako na iya faruwa yayin amfani dashi.
Wadannan sun hada da:
- Hypoglycemia. Yana haifar da adadin insulin a cikin jiki, wanda shine dalilin da ya sa matakan sukari na jini ke faduwa sosai. Wannan karkacewa tana da matukar hadari, domin idan babu kulawar likita a kan lokaci, mara lafiya na fuskantar mutuwa.
- Ayyukan gida. Suna bayyana azaman haushi ko rashin lafiyan a wuraren allurar. Babban fasalin su shine itching, kumburi da redness.
- Rushewar gani. Zasu iya zama na ɗan lokaci, amma wani lokacin saboda wucewar insulin, hangen nesa na mai haƙuri na iya lalacewa sosai, wanda ba zai iya juyawa ba.
- Lipodystrophy. Abinda ya faru da shi yana da alaƙa da keta nauyin maganin da ake sarrafa shi. Don hana shi, masana sun bada shawarar yin allura a cikin yankuna daban daban.
- Cutar Jiki. Bayyanannunsa sun bambanta sosai. Wasu lokuta suna da wuyar rayuwa da haɗari ga mai haƙuri.
A duk waɗannan halayen, ya zama dole likita ya gudanar da bincike kuma ko dai ya canza sashi na maganin ko kuma ya soke shi baki ɗaya.
Yin hulɗa da ƙwayoyi, yawan wuce gona da iri, analogues
Lokacin shan wasu magunguna, yana da mahimmanci a sanar da likitan halartar game da su, tunda bai kamata a yi amfani da wasu magunguna tare ba.
A wasu halayen, ana iya yin taka tsantsan - a sanya ido akai akai. Wataƙila akwai buƙatar daidaitawar sashi.
Ya kamata a rage yawan sinadarin ‘Asulin insulin’ a lokacin jiyya tare da kwayoyi kamar:
- magungunan hypoglycemic;
- kwayoyi dauke da barasa;
- magungunan anabolic steroids;
- ACE masu hanawa;
- hanyoyin tetracyclines;
- sulfonamides;
- Fenfluramine;
- Pyridoxine;
- Kalamunda
Wadannan kwayoyi suna motsa ayyukan miyagun ƙwayoyi a cikin tambaya, wanda shine dalilin da ya sa aka inganta tsarin amfani da glucose a cikin jikin mutum. Idan ba a rage yawan maganin ba, za a iya faruwa da hypoglycemia.
Ana lura da raguwar tasirin ƙwayoyi lokacin da aka haɗe shi da hanyoyin masu zuwa:
- mai kula da abubuwa;
- m
- wasu nau'ikan maganin rigakafi;
- maganin hana haihuwa;
- glucocorticosteroids.
Lokacin amfani da su, ana buƙatar daidaita sashi a sama.
Hakanan akwai magunguna waɗanda zasu iya haɓakawa da rage tasirin wannan ƙwayar. Waɗannan sun haɗa da salicylates, beta-blockers, reserpine, magunguna dauke da lithium.
Yawanci, waɗannan kudade suna ƙoƙari kada su haɗaka tare da insulin insulin. Idan ba za a iya magance wannan haɗuwa ba, ya kamata likitan da masu haƙuri su yi hankali musamman game da halayen da ke faruwa a jikin mutum.
Idan ana amfani da maganin kamar yadda likitan likitanci ya bada shawarar, abun sa maye zai iya faruwa. Yawancin lokaci abubuwan da ba a sani ba suna da alaƙa da halayen rashin kulawa na mai haƙuri da kansa, kodayake wani lokacin matsalar tana iya kasancewa a cikin halayen jiki.
Game da yawan abin sama da ya kamata, yawan cututtukan jini da yawanci yakan faru. A wasu yanayi, alewa mai zaki ko cokali mai yawa na sukari zai iya kawar da alamun ta.
Bukatar maye gurbin Aspart na iya faruwa saboda dalilai daban-daban: rashin haƙuri, sakamako masu illa, contraindications ko rashin damuwa na amfani.
Likita na iya maye gurbin wannan maganin tare da magunguna masu zuwa:
- Protafan. Tushen sa shine insulin Isofan. Magungunan abin dakatarwa ne wanda dole ne a sarrafa shi a ƙarƙashin.
- Nuwammar. Magungunan ya dogara da insulin Aspart. An aiwatar dashi azaman dakatarwa don gudanarwa ƙarƙashin fata.
- Apidra. Magungunan maganin rigakafi ne. Abunda yake aiki shine insulin glulisin.
Baya ga magungunan injectable, likita zai iya rubuto magunguna da kuma tebur. Amma zaɓin ya kamata ya zama na ƙwararren masani domin babu ƙarin matsalolin kiwon lafiya.
