Dogaro da hoto na asibiti, masu ciwon sukari suna ɗaukar kwayoyi daban-daban.
A cikin yanayin da ake buƙatar kulawa da insulin, ana wajabta allurar rigakafin jini. Suchaya daga cikin irin waɗannan magungunan shine Insuman Rapid GT.
Gabaɗaya halaye
Insuman Rapid magani ne da aka wajabta don magance ciwon sukari. Akwai shi a cikin nau'in ruwa kuma anyi amfani dashi da shi.
A cikin aikin likita, ana iya amfani dashi tare da sauran nau'in insulin. An wajabta shi don nau'in 1 na ciwon sukari da nau'in ciwon sukari na 2 tare da rashin ingancin allunan-sukari masu rage sukari, rashin haƙuri ko contraindications.
Halin yana da tasirin hypoglycemic. Abun da ke cikin miyagun ƙwayoyi shine insulin ɗan adam tare da solubility na 100% tare da ɗan gajeren aiki. An samo wannan abu a cikin dakin gwaje-gwaje ta hanyar injiniyan kwayoyin.
Matsalar insulin - abu mai amfani da miyagun ƙwayoyi. An yi amfani da abubuwan da aka haɗa a matsayin ƙari: m-cresol, glycerol, ruwa mai tsarkake, hydrochloric acid, sodium hydroxide, sodium dihydrogen phosphate dihydrate.
Kayan magunguna
Insuman lowers sukari jini. Yana nufin magunguna tare da hanzari da gajeriyar aiki.
Ana tsammanin sakamakon zai kasance rabin sa'a bayan allura kuma yana zuwa awa 7. Ana lura da mafi yawan maida hankali a cikin awa na biyu bayan gudanar da aikin ƙarƙashin ƙasa.
Abubuwan da ke aiki suna ɗaure wa masu karɓar tantanin halitta, suna samun hadaddun masu ɗaukar insulin. Yana tsokani ƙirar mahimmancin enzymes kuma yana haɓaka tafiyar matakai cikin ciki. Sakamakon haka, haɓaka sha da ƙwayar glucose ta jiki yana inganta.
Aikin insulin:
- ƙarfafa ƙwayar furotin;
- yana hana lalata abubuwa;
- yana hana glycolenolysis da glyconeogenesis;
- haɓaka sufuri da ɗaukar ƙwayar potassium;
- inganta halayyar kitse a hanta da kyallen takarda;
- yakan sassauta rushewar kitse;
- inganta sufuri da kuma daukar amino acid.
Manuniya da contraindications
An wajabta maganin a cikin waɗannan halaye:
- Nau'in ciwon sukari na 1 (nau'in dogaro da insulin) da nau'in ciwon suga guda 2;
- don lura da matsanancin rikitarwa;
- don kawar da cutar sikari;
- karbar diyya na musayar a cikin shiri da bayan aikin.
Ba a sanya hodar hormone ba a cikin irin wannan yanayi:
- gazawar koda / hanta;
- juriya ga abu mai aiki;
- stenosis na jijiyoyin zuciya / jijiyoyin wuya;
- rashin haƙuri ga miyagun ƙwayoyi;
- mutane masu cututtukan zuciya
- mutane tare da farfadowa na farfadowa.
Umarnin don amfani
Zabi da kuma daidaitawa da sashi ana sanya su daban daban. Likita ya kayyade shi daga alamomin glucose, matakin motsa jiki, yanayin tsarin metabolism. Ana ba da shawarwari ga mai haƙuri idan akwai wani sauyi a cikin taro na glucose.
Yawan maganin yau da kullun, yin la'akari da nauyin, shine 0.5 IU / kg.
Ana gudanar da hormone din cikin kwakwalwa, cikin zuciya, yadace Hanyar mafi yawan amfani da subcutaneous. Ana yin allurar 15 mintuna kafin cin abinci.
Tare da monotherapy, yawan sarrafawa na miyagun ƙwayoyi shine sau 3, a wasu lokuta yana iya kaiwa zuwa sau 5 a rana. Wurin allurar lokaci-lokaci yana canzawa a cikin wannan yankin. Ana aiwatar da canjin wuri (alal misali, daga hannu zuwa ciki) bayan tattaunawa da likita. Don ƙaddamar da ƙwaƙwalwar ƙarƙashin ƙasa na miyagun ƙwayoyi, ana bada shawarar yin amfani da alkalami mai siɓa.
Za'a iya haɗu da miyagun ƙwayoyi tare da insulin aiki na dogon lokaci.
Dangane da shawarwarin da aka bayar, ya kamata a yi amfani da katako tare da alkalami mai sikirin. Kafin yin diɗa, dole ne a mai da magani zuwa zafin jiki da ake so.
Koyarwar bidiyo na Syringe-pen akan aikin insulin:
Daidaitawar sashi
Za'a iya daidaita sashi na miyagun ƙwayoyi a lokuta masu zuwa:
- idan salon rayuwa ya canza;
- haɓaka ji na ƙwarai ga aiki mai aiki;
- canji cikin haƙuri mai haƙuri;
- lokacin sauya sheka daga wani magani.
A lokaci na farko bayan canzawa daga wani abu (a cikin makonni 2), ana yaba ingantaccen sarrafa glucose.
Daga mafi girman allurai na wasu magunguna, wajibi ne don canzawa zuwa wannan magani a karkashin kulawa ta kusa da likita.
Lokacin juyawa daga dabba zuwa insulin na mutum, ana yin gyaran sashi.
Ana buƙatar raguwarsa don rukuni na mutane:
- a baya ana gyara low sugar lokacin jiyya;
- shan babban allurai na maganin a baya;
- tsinkayar halitta zuwa yanayin rashin hauhawar jini.
Umarni na musamman da marassa lafiya
Lokacin da ciki ya faru, maganin ƙwayoyi ba ya tsayawa. Abubuwan da ke aiki ba zasu ƙetare mahaifa ba.
Tare da lactation, babu ƙuntatawa ta shigowa. Babban batun - akwai daidaituwa a cikin sashi na insulin.
Don hana maganganun hypoglycemic, kula da tsofaffi da hankali.
Mutanen da ke fama da hanta / koda na aikin canzawa zuwa Insuman Rapid kuma daidaita kashi a ƙarƙashin kulawa ta ƙwararrun masani.
Zazzabi na allurar rigakafin ya zama 18-28ºС. Ana amfani da insulin tare da taka tsantsan a cikin cututtukan m - ana buƙatar daidaita sashi a nan. Lokacin shan maganin, mai haƙuri ya ware barasa. Zai iya haifar da hypoglycemia.
Lokacin shan maganin, mai haƙuri yana buƙatar kulawa da duk wani canje-canje a yanayinsa. Wannan ya zama dole don sanin lokacin da alamun da ke gabuwa da cututtukan jini.
Hakanan ana bada shawarar saka idanu sosai akan dabi'un glucose. Hatsari na hypoglycemia wanda ke da alaƙa da amfani da miyagun ƙwayoyi suna da yawa a cikin mutane masu rauni mai ƙarfi na sukari. Ya kamata mai haƙuri koyaushe ya ɗauki 20 g na glucose.
Tare da matsanancin hankali, ɗauka:
- tare da kwantar da hankali;
- lokacin da aka canza shi zuwa wani insulin;
- Mutanen da ke da tsawon shekaru tare da ciwon suga;
- mutanen da suka tsufa;
- mutane tare da ci gaba na hankali na hauhawar jini;
- tare da rashin lafiyar kwakwalwa.
Side effects da yawan abin sama da ya kamata
Ana bambanta mummunan tasirin waɗannan bayan aiwatarwa:
- hypoglycemia - sanannen abu ne mara kyau na kowa yayin shan insulin
; - halayen rashin lafiyan, bronchospasm, edenioneurotic edema;
- hargitsi na gani;
- lipodystrophy a cikin allura, Har ila yau, ja da kumburi;
- mai rauni sosai;
- a farkon matakin shan magungunan, wasu halayen (rashi mai narkewa, kumburi) wuce tare da lokaci;
- riƙewar sodium a cikin jiki.
;Idan akwai yawan abin sama da ya kamata, mara lafiyar na iya sauke sukari zuwa karamin matakin. Tare da tsari mai laushi, 15 g na glucose ya kamata a ɗauka.
Wani mummunan yanayin tare da rauni, rashi na hankali yana buƙatar gabatarwar glucagon (intramuscularly). Wataƙila ƙarin gabatarwar dextrose (a cikin jijiya).
Bayan daidaitawa daga yanayin haƙuri, ya wajaba don ɗaukar kashi na gyaran carbohydrates. Don wani lokaci bayan kawar da alamun cututtukan hypoglycemia, ana buƙatar saka idanu akan yanayin, tunda bayyanar ta biyu tana yiwuwa. A cikin lokuta na musamman, an kwantar da mai haƙuri a asibiti don ƙarin kallo.
Yin hulɗa tare da wasu magunguna
Ba tare da tuntubi likita ba, ba a bada shawarar yin amfani da wasu magungunan a lokaci daya. Zasu iya ƙaruwa ko rage sakamakon insulin ko tsokani yanayi mai mahimmanci.
Ana lura da rage tasirin kwayar cutar tare da yin amfani da rigakafin hana haihuwa, kwayoyin glucocorticosteroids (progesterone, estrogen), diuretics, adadin magungunan antipsychotic, adrenaline, hormones thyroid, glucagon, barbiturates.
Ci gaban hypoglycemia na iya faruwa tare da haɗin gwiwa na amfani da wasu magungunan maganin cututtukan cututtukan fata. Wannan ya shafi maganin rigakafin sulfonamide, mai hana MAO, Acetylsalicylic acid, fibrates, testosterone.
Barasa mai guba tare da hormone yana rage sukari zuwa mummunan mahimmanci, yana haifar da cutar hypoglycemia. An yarda da maganin da ya halatta ta likita. Hakanan yakamata kuyi taka tsantsan wajen shan gurbatattun magunguna - yawan shan su sosai yana shafar matakin sukari.
Pentamidine na iya haifar da yanayi daban - hyperglycemia da hypoglycemia. Magungunan na iya tsokanar bugun zuciya. Musamman a cikin mutane masu haɗari.
Magungunan magunguna masu kama da juna (suna dacewa da nau'in fitarwa da kuma kasancewar ɓangaren mai aiki) sun haɗa da: Actrapid Hm, Vosulin-R, Insuvit N, Rinsulin-R, Humodar, Farmasulin N. Jerin magungunan da aka lissafa sun haɗa da insulin mutum.
Nazarin haƙuri da ra'ayin masana
Marasa lafiya waɗanda ke ɗaukar Insuman Rapid suna barin sake dubawa game da magani. Daga cikin maganganun tabbatacce: aiki mai sauri, rage sukari zuwa al'ada. Daga cikin marasa kyau: a wuraren allura, yawancin masu cutar sukari sun lura da hangula da itching.
An yi mini maganin insulin ne saboda magungunan kwayoyi ba su taimaka ba. Insuman Rapid ya nuna sakamako mai sauri, kawai ya iya daidaita matakan sukari. Yanzu koyaushe ina amfani da glucometer don hana yiwuwar rage yawan glucose zuwa ƙaramin matakin.
Nina, dan shekara 45, Moscow
Insuman yana da suna a fagen magani. Magungunan yana da kyakkyawan sakamako na hypoglycemic. A yayin karatun, an kafa babban aiki na hypoglycemic. Sakamakon sakamako na yau da kullun shine hypoglycemia, wanda aka ci nasarar dakatar da cin abinci. Hakanan an bayyana matsayin kuma amincin amfani. Dangane da wannan, Ina amintar da magani ga marasa lafiyata.
Svetlichnaya N.V., endocrinologist
Farashin miyagun ƙwayoyi shine kimanin 1200 rubles.
An fito dashi daga kantin magani tare da takardar sayan magani.
An adana maganin a t daga +2 zuwa +7 C. Ba a yarda daskarewa.
Insuman Rapid GT wani magani ne wanda yake dauke da kwayar cutar insulin da ke wajabta wa masu ciwon sukari. Ana amfani da maganin ta hanyar aikin gaggawa da ɗan gajeren lokaci. Nazarin ya ƙaddara haƙurinsa da amincinsa. Sakamakon sakamako na yau da kullun shine hypoglycemia.
