Matsaloli da ka iya faruwa na ginin insulin a cikin masu ciwon suga

Harkokin insulin shine hanya don magance nau'in 1 na ciwon sukari mellitus kuma, a wasu yanayi, na biyu. Kowane haƙuri tare da wannan ilimin ilimin likita ya kamata ya bi matakin da likita ya tsara. Wani lokaci irin wannan yana haifar da sakamako masu illa. Kowane mai ciwon sukari ya kamata ya san su. Za a tattauna rikice-rikicen ilimin insulin a gaba.

Farfesa don ciwon sukari

Idan mutum ya kamu da rikice-rikice a cikin ƙwayar metabolism, ana buƙatar matakan gaggawa. Babban magani a wannan yanayin shine maganin insulin don ciwon sukari. Tashin hankali na iya tasowa saboda dalilai daban-daban.

Koyaya, babu wata hanya mafi inganci da zata iya inganta yanayin rayuwa ga marasa lafiya da ke da nau'in cuta ta 1. Gabatar da insulin a cikin jiki yana ba ku damar tabbatar da yanayin al'ada na marasa lafiya.

Harkokin insulin shine hanya da ake amfani da ita sosai don kula da marasa lafiya da masu cutar sukari na 1 na sukari, da kuma lokacin shirye-shiryen mai haƙuri da nau'in cuta na 2 don tiyata, idan akwai wasu cututtuka (alal misali, mura).

Hakanan, ana amfani da wannan dabarar don rashin tasirin magunguna masu rage sukari. An sanya masu magani ga masu fama da ciwon sukari na 2.

Maganin da aka gabatar yana buƙatar ƙididdigar adadin daidai na kashi na insulin. Don wannan, mai haƙuri ya ɗauki gwajin jini da fitsari. Dangane da sakamako, likitan ya lissafta adadin yau da kullun na wannan ƙwayar. An kasu kashi uku injections, wanda dole ne a gudanar dashi intramuscularly a duk tsawon rana.

Bayan shan magungunan, likita yana kula da sukari na jini da fitsari na mai haƙuri. Idan ya cancanta, ana yin gyare-gyare. Don wannan, mutum ya ba da gudummawar jini kafin kowane allurar insulin (abinci). Yana kuma tattara fitsari safe, dare da rana. Tare da allurai marasa dacewa na maganin insulin, rikitarwa na iya zama mai wahala. Sabili da haka, ana ɗaukar tsarin gabatar da miyagun ƙwayoyi a jiki.

Tashin hankali

Duk mutumin da ya kamu da ciwon sukari na 1 yakamata ya fahimci ka'idodin insulin far. Tashin hankali yakan tashi sau da yawa. Koyaya, wannan yakan faru ne ta hanyar haƙuri da kansa. Yana da matukar wahala a sami amfani da irin wannan jadawalin rayuwa a farkon cutar. Amma bayan lokaci, wannan hanya ta zama ruwan dare, ɗabi'a ce ga mutane.

Ana bukatar gabatar da hormone cikin jikin duk rayuwa. Daidaitaccen kashi zai guji rikitarwa iri daban-daban. Ciwon sukari ba zai iya samun hutu ba, ya huta daga jiyya. Gabatar da insulin koyaushe ana buƙatar. Dole ne a tuna cewa tare da yawancin rikice-rikice masu rikitarwa masu wahala. Manyan sune:

1. Mayafi a gaban idanu.
2. Kumburi da kafafu.
3. Lipohypertrophy.
4. Lipoatrophy.
5. Bayyanar launin itch spots.
6. Cutar Al'aura
7. Kasancewa.
8. Hypoglycemia.
9. Rage nauyi.

Nau'in nau'ikan rikitarwa ana haifar da su saboda dalilai da yawa. Ya kamata a fahimta cewa insulin shine furotin. Ba'a samar da shi a daidai gwargwado a jikin mai ciwon sukari mai nau'in cuta 1. Saboda haka, ana gudanar dashi koyaushe. An tsara wa marasa lafiya da irin wannan cutar ta insulin na asalin dabam. Zai iya zama dabba ko ɗan adam.

Yana da kyau a tuna cewa insulin na hormone zai iya zama iri daban-daban. Yana da lokacin inganci daban. An daidaita ayyukan ku na yau da kullun don ɗaukar magunguna. Akwai insulin homologous, heterologous da cakuda. Ana kulawa dasu a lokuta daban-daban, suna ɗaukar abincin abinci zuwa waɗannan manipulations.

Hypoglycemia

Possibleaya daga cikin yiwuwar rikicewar maganin insulin shine hypoglycemia. Wannan yanayin yana faruwa ne saboda yawan ƙwayar da ake samu. A wannan yanayin, mai haƙuri yana fuskantar matsanancin karancin carbohydrates a jiki. Wani lokaci bayan allurar, matakan sukari na jini na iya raguwa da kyau. Wannan yana haifar da haɓaka yanayin hypoglycemic.

Idan mai haƙuri ya yi amfani da tsawan mataki, zai iya faruwa a lokacin lokacin da ya fi ƙarfin abu. Lokacin ɗaukar hormone mai sauri, wannan yanayin yana haɓaka da sauri.

Yana da mahimmanci a lura cewa irin wannan rikitarwa tare da ilimin insulin, irin su hypoglycemia, na iya faruwa ba kawai saboda yawan ƙwayar ba daidai ba ta hanyar. Bayan kunna wasanni, motsa jiki ko tashin hankali, shima yakanada bunkasa.

A cikin mutane masu ciwon sukari, alamun farko na wannan yanayin na iya faruwa tare da alamar 5.5 mmol / L. Wannan ya haifar da raguwa cikin sauri na matakan sukari. Idan faduwar tayi jinkirin, mutum ba zai iya jin karkacewa cikin jin daɗin rayuwa na dogon lokaci. A lokaci guda, matakin glucose a cikin jini na iya sauka a hankali zuwa 2.7 mmol / L.

Kowane mutumin da ke da irin wannan cutar ya kamata ya san yanayin mahaifa don jikinsa da rikice-rikice na ilimin insulin. Babban alamun cututtukan hypoglycemia shine ji na tsananin matsananciyar damuwa, bugun zuciya, rawar jiki, da kuma shaye shaye. Idan rashin carbohydrates yana ƙaruwa, raɗaɗin zai bayyana. Mutum na iya rasa sani.

Yadda za a nuna hali tare da hypoglycemia?

Yin rigakafin rikice-rikice na ilimin insulin yana ɗauka, da farko, fahimtar tare da abubuwan da ke haifar da fitowar yanayi daban-daban da kuma yaƙi da su.

Idan mutum yana jin cewa matakin sukari ya faɗi, kana buƙatar cin abinci kaɗan na abincin carbohydrate. Zai iya zama 100 g na muffin, shayi mai zaki ko kuma guda 3-4 na sukari mai ladabi. Wasu mutane masu wannan cutar koda yaushe suna ɗaukar sandar alewa a cikin jakarsu ko aljihu. Wannan tsoratarwa ne gama gari wanda wani lokaci zai iya ceton rayuka.

Idan bayan cin abinci na carbohydrate babu haɓaka ya faru, suna cin kashi ɗaya na Sweets.

In ba haka ba, mutum na iya samun matsalar rashin haila. Anan za ku buƙaci taimakon likitoci. Amungiyar motar asibiti tana allurar 60 na glucose bayani (40%) cikin hanzari. Wannan yana ba ku damar kwantar da haƙuri. Idan babu ci gaba da aka samu, bayan minti 10 ana maimaita allura da ƙaramin abu.

Idan mutum yana zaune a yankin da yake nesa da birni inda motar asibiti zata iya tafiya na fiye da minti 20, yakamata ya kasance a gida kowane abu mai mahimmanci don yanayin cutar mahaifa. 'Yan uwa dole ne suyi kwasa-kwasan glucose. Wannan yana da mahimmanci.

Hypoglycemia na iya haifar da mutuwa idan ya dace, ba a ɗauki matakin da ya dace ba. Musamman ma sau da yawa, irin wannan cin zarafin yana faruwa a cikin tsofaffi waɗanda ke da cututtuka na zuciya, tasoshin jini, ko kwakwalwa. Idan matakin sukari ya faɗi sau da yawa, wannan zai haifar da ci gaba na cututtukan kwakwalwa da ba a iya sauyawa ba. Waƙwalwa da hankali suna tabarbarewa.

Insulin juriya

Ofaya daga cikin yiwuwar rikice rikicewar insulin shine raguwa a cikin ƙwaƙwalwar sel zuwa hormone. Wannan yanayin yana faruwa ne saboda dalilai da yawa. A sakamakon haka, mutum yana haɓaka jarin insulin. A wannan yanayin, an kara yawan maganin. Don rama don ƙarancin ƙwayar hormone, ana buƙatar kashi 100-200 raka'a insulin.

Irin wannan karkacewar na iya faruwa ne sakamakon raguwar lamba ko kusancin masu karɓuwa a cikin jiki. Wannan yanayin yawanci yakan zama sakamakon ci gaban ƙwayoyin rigakafi zuwa ga hormone ko kuma ga masu karɓar kansu.

Insulin jurewar insulin yana faruwa, a matsayin mai mulkin, saboda rushewar furotin ta wasu enzymes ko kuma dauri daga wasu jerin rigakafi.

Abun hankali ga miyagun ƙwayoyi na iya raguwa tare da haɓakar samar da hormones na contrainsulin.

Don tsara madaidaicin jiyya, likita dole ne ya gano ainihin dalilin bayyanar irin wannan yanayin. Yayin binciken, alamun kawar da cututtukan cututtuka na yau da kullun (alal misali, sinusitis, cholecystitis, da dai sauransu) an cire su. An kuma gudanar da bincike kan ayyukan glandon endocrine. Likita zai maye gurbin nau'in inulin. Wani lokaci ana amfani da warkaswa tare da kwayoyin magani wanda ke taimakawa rage sukari a cikin jiki.

Yana da mahimmanci a tabbatar da dalilin rikitarwar maganin insulin. Amfani da glucocorticoids an nuna shi a wasu halaye. Kullum yawan insulin yana tashi. Tare da wannan, mai haƙuri yana ɗaukar prednisone (1 mg / kg) tsawon kwanaki 10. Bayan wannan, daidai da yanayin mai haƙuri, an rage kashi na maganin.

A wasu halaye, likita ya ba da izinin insulin na insulin ga mai haƙuri. Abubuwan baya amsawa tare da ƙwayoyin rigakafi, kusan ba sa haifar da wani alerji. Wajibi ne a daidaita sashi na wannan nau'in kwayoyin.

Wannan wani rikitarwa ne wanda yawanci yakan haifar ne sakamakon warkarwa. Allergies na iya zama na gida da kuma keɓaɓɓu.

A lamari na biyu, urticaria yana faruwa akan fuska da wuya. Ciwon hanci, yashwa a kan mucous membranes na hanci, idanu da baki na iya bayyana. Wani lokacin girgiza anaphylactic tasowa.

Wani rikicewar maganin insulin na cikin gida yana bayyana ta hanyar kumburi da itching a cikin allurar. Hakanan, za a iya yanke hukunci mai wuya a nan. Irin wannan yanayin a cikin mafi yawan lokuta ana haifar da shi ta hanyar allurar da ba ta dace ba (allura ta zama mara nauyi ko lokacin farin ciki, samfurin yana da sanyi).

Irin waɗannan yanayi suna buƙatar maye gurbin nau'in insulin. Kuna iya canza wanda ya kirkiro da kwayar ko kuma canzawa daga shirin dabba zuwa na mutum. Allergy shine mafi yawan lokuta amsawar jiki ba ta hanyar hormone ba, amma don abin kiyayewa a cikin abubuwan da ke ciki. Ingredientsarin abubuwan kayan ciki na iya zama daban. Saboda haka, yana da daraja a gwada yin amfani da wasu nau'ikan insulin.

Idan ba za a iya maye gurbin miyagun ƙwayoyi ba, ana amfani da magungunan ƙwayar cuta da yawa. Don rikitarwa mai laushi, Hydrocortisone ya dace. A lokuta masu tsauri, sanya "Calcium Chloride", "Diphenhydramine", "Suprastin", da sauransu.

Lipodystrophy

Yin la'akari da rikice-rikice na ilimin insulin a cikin yara da manya, yana da daraja a lura da wani yanayi kamar lipodystrophy. Zai iya zama hypertrophic da atrophic.

A karo na biyu, ilimin haɓakar cuta yana haɓaka asalin bayan hauhawar jini. Masana kimiyya ba a san su da wasu hanyoyin ci gaban irin waɗannan jihohin ba. Wasu daga cikinsu sun yi imani da cewa waɗannan karkacewar sun taso ne sakamakon rauni na kullun zuwa jijiyoyin gefe da ƙarin rikice-rikice na gida na nau'in neurotrophic. Irin waɗannan rikice-rikice na iya faruwa saboda rashin isasshen insulin.

Wajibi ne don canzawa zuwa liyafar abubuwan haɗin keɓaɓɓun abubuwa. A wannan yanayin, an rage alamun bayyanuwa. Hakanan kuna buƙatar yin allura a daidai hanya.

A kan asalin lipodystrophy, juriya insulin yakan haifar da haɓaka. Idan akwai tsinkayar yanayin irin waɗannan yanayin, kuna buƙatar canza wurin allurar koyaushe, bi duk ka'idodi na maganin insulin. Hakanan, hormone a cikin wannan yanayin dole ne a tsarma shi a daidai gwargwado tare da bayani (0.5%) na novocaine.

Shafa a gaban idanun, itching, aibobi, ƙurji

Hadarin da ya shafi insulin na iya zama daban. Wasu lokuta mutane sukanyi korafin cewa suna da mayafi a gaban idanunsu saboda maganin. Yana haifar da rashin jin daɗi, yana da wuya a karanta komai. Wannan yanayin na iya zama da damuwa. Wannan alamar ana yawan rikitar da ita da ƙwayar cuta (lalacewar asusu).

Amma labulen galibi yakan haifar da fasalulluka ne na fasalin tabin hankali. Yana da matukar amsa ga shan maganin. Mayafin kafin idanu ya bayyana a cikin mutanen da suka fara ɗaukar hormone. Bayan makonni 2-3, wannan alamar za ta shuɗe kanta. A kowane hali ya kamata ku daina bayar da allura idan wata alama ta kama ta bayyana.

Kafafu na iya kumbura yayin ɗaukar insulin. Wannan kuma alama ce ta wucin gadi, wacce ake lura da ita a farkon makonni na sarrafa magunguna. Saboda hormone, ana kiyaye sodium da ruwa a cikin jikin mutum. A hankali, jiki zai saba da sababbin yanayi. Kumburi zai tafi. Saboda wannan dalili, hawan jini na iya ƙaruwa a farkon farfaɗo.

A wurin allurar, daskararren launin ruwan hoda na iya bayyana a wasu majinyata. Suna haifar da rashin jin daɗi sosai. A wannan yanayin, magungunan sun haɗu da hydrocortisone. A baya, wasu marasa lafiya sun lura da irin wannan abin da ya faru yayin ɗaukar insulin a matsayin ɓaci. A yau, irin wannan hanyar ilimin cuta ba zai yiwu ba.

Wasu karkacewa

Akwai wasu rikitarwa na ilimin insulin. Daya daga cikin abubuwanda basuji dadi shine saurin daukar nauyi. Marasa lafiya waɗanda ke ɗaukar ƙwayar hormone suna murmurewa a kan matsakaita ta hanyar kilogiram 3-5. Wannan al'ada ce ta al'ada. Shan insulin yana kunna aikin lipogenesis (kitse mai kyau a jikin fata). Hakanan, ci abinci na iya ƙaruwa.

Don kula da adadi, kuna buƙatar zaɓar abincin da hankali. Mitar abincin, yawan adadin kuzari yana buƙatar sarrafawa. In ba haka ba, wannan zai shafi mummunan ba kawai adadi ba, har ma da kyautatawa na gaba ɗaya. Abubuwa daban-daban na iya bayyanuwa, sakamakon karuwar nauyi mai nauyi.

Hakanan yana da mahimmanci a lura cewa shan insulin yana haifar da raguwar potassium a cikin jini. Sabili da haka, ana nuna wa marasa lafiya da ciwon sukari abinci na musamman. Dole ne menu ya ƙara berries, 'ya'yan itacen' ya'yan lemo, ganye (ganye musamman faski), kayan lambu (albasa, kabeji, radishes). Da ma'ana game da tsarin yau da kullun ku, tsarin abincin ku da ka'idodin sarrafa insulin, zaku iya rage tasirin cutarwar jiki a jiki.

Yin rigakafin

Kowane mai ciwon sukari ya kamata ya san yadda ake hana rikice-rikice na ilimin insulin. Dole a bi ka'idoji masu sauki. Wajibi ne a lura da matakin glucose a cikin jini. Ana yin wannan bayan cin abinci. Manuniya an daidaita. A lokaci guda, yana da mahimmanci a lura ko akwai damuwa ta jiki ko tausayawa. Cutar, musamman tare da karuwa a zazzabi ko yanayin mai kumburi, ya kamata kuma a lura da shi yayin gyaran sakamakon auna matakin sukari.

Yawan allurai na insulin dole ne a daidaita shi da likita. A lokaci guda bi da abinci na musamman. Kuna iya sarrafa matakan sukarin ku da matakan gwaji. An nutsar dasu a cikin fitsari, sannan kuma an bincika sakamakon gaba da filin sarrafawa. Gwajin jini ya fi daidai, amma a gida, tsararrakin gwaji sun fi sauƙi amfani. Kuna iya siyan glucometer. Zai baka damar samun ingantaccen sakamako game da yanayin mutum a wani takamaiman lokaci na rana.

Mai ciwon sukari ya kamata ya lura da nauyin jikinsa. Samun kiba yana buƙatar gyara na gaggawa.

Yin la'akari da yiwuwar rikice-rikice na ilimin insulin, zaku iya tantance kasancewar su a farkon matakan. Biye da bayyanannun ka'idodi don shan miyagun ƙwayoyi, zaku iya guje wa yanayi daban-daban mara kyau a nan gaba.

Nau'in Inshorar Inshora

Idan mara lafiya ba shi da matsala tare da nauyin kiba kuma bai sami ƙarancin motsa rai ba, ana wajabta insulin ne a cikin ½ - unit 1 rukunin 1 lokaci ɗaya kowace rana cikin sharuddan 1 kg na nauyin jiki. A lokaci guda, maganin insulin mai karfi yana aiki azaman na'urar kwaikwayo ta asirin halitta na kwayar halitta.

Ka'idojin ilimin insulin suna buƙatar cikar waɗannan halaye:

• miyagun ƙwayoyi dole ne ya shiga jikin mai haƙuri a cikin adadin da ya isa ya yi amfani da glucose,
• insulins na waje wanda ke gudana ya kamata ya zama cikakkiyar kwaikwayon sirrin basal, shi ne, abin da farjin ke samarwa (gami da mafi girman raunin hankali bayan cin abinci).

Abubuwan buƙatun da aka lissafa a sama suna bayanin hanyoyin maganin insulin, wanda ya kasu kashi-kashi na yau da kullun ya kasu cikin insulins mai tsawo ko gajere.

Mafi yawanci ana gudanar da abubuwa masu tsayi a lokutan safe da maraice kuma suna yin kwatancen samfurin kayan aikin fitsari.

Shan gajeren insulin yana da kyau bayan cin abinci mai wadataccen carbohydrates.Sashi na wannan nau'in insulin an ƙaddara shi akayi daban-daban kuma an ƙaddara shi da yawan XE (gurasa burodi) a abincin da aka bayar.

Maganin insulin yayin daukar ciki

Kula da ciwon sukari a lokacin daukar ciki yana da niyyar kiyaye yawan sukarin jini, wanda yakamata ya kasance:

• Da safe a kan komai a ciki - 3.3-5.6 mmol / l.
• Bayan cin abinci, 5.6-7.2 mmol / L.

Eterayyade sukari jini na watanni 1-2 yana ba ka damar kimanta fa'idar jiyya. Metabolism a jikin mace mai ciki yana da matukar girgiza. Wannan gaskiyar tana buƙatar akai-akai na gyaran regimen (regimen) na ilimin insulin.

Ga mata masu juna biyu da masu nau'in 1 na ciwon sukari, an wajabta maganin insulin kamar haka: don hana safe da postprandial hyperglycemia, mai haƙuri yana buƙatar a kalla allura 2 a kowace rana.

Ana yin insulin gajere ko matsakaici kafin karin kumallo na farko da kuma kafin cin abinci na ƙarshe. Hakanan za'a iya amfani da alluran rigakafi. Adadin yau da kullun dole ne a rarraba shi daidai: 2/3 na jimlar adadin an yi niyya don safiya, da kuma kashi 1/3 - kafin abincin dare.

Don hana daddarewar dare da asuba, an canza kashi “kafin abincin dare” zuwa allurar da aka yi kafin lokacin bacci.

JARIDAR DA KYAUTA

Kula da masu ciwon sukari nau'in 2 na bukatar wani tsari. Babban mahimmancin wannan maganin shine cewa mai haƙuri ya fara ƙara ƙara ƙananan allurai na basal a cikin kwayoyi waɗanda ke rage sukari.

A karo na farko da ke fuskantar wani muhimmin shiri, wanda aka gabatar da shi a matsayin wata matsananciyar yanayin anaulin na insulin aiki (alal misali, insulin glargine), mara lafiya ya kamata ya tsaya a kashi 10 na IU kowace rana. Zai fi dacewa, ana ba da allura a lokaci guda na rana.

Idan ciwon sukari ya ci gaba da ci gaba da haɗuwa da magunguna masu rage sukari (nau'in kwamfutar hannu) tare da injections basal ba zai haifar da sakamakon da ake so ba, a wannan yanayin likita ya yanke shawarar canja wurin mai haƙuri gaba daya zuwa tsarin allurar.

A lokaci guda, ana ƙarfafa yin amfani da magungunan gargajiya daban-daban, amma kowane ɗayan su dole ne ya sami yarda da likitan halartar.

Yara yara ne na musamman na marasa lafiya, saboda haka lura da insulin idan akwai masu ciwon sukari koda yaushe na bukatar tsarin kula da mutum. Mafi sau da yawa, don lura da jarirai, ana amfani da tsarin sau 2-3 ana gudanar da aikin insulin. Don rage adadin allura don ƙananan marasa lafiya, ana amfani da haɗakar magunguna tare da gajeren lokaci da matsakaita na tsakiya.

Ana gudanar da aikin insulin ne bisa tsarin da ke gaba:

1. Kafin yin allurar subcutaneous, shafin allurar yayi kadan da gwiwowi.
2. Abinci bayan allura kada ya motsa fiye da rabin sa'a.
3. Matsakaicin adadin na iya wuce raka'a 30.

A kowane yanayi, ainihin jadawalin tsarin insulin ya kamata ya zama likita. Kwanan nan, an yi amfani da sirinji insulin don aiwatar da aikin jiyya, zaku iya amfani da sirinjin insulin na yau da kullun tare da allura mai bakin ciki.

Yin amfani da almarar sirinji ya fi dacewa da dalilai da yawa:

• Godiya ga wata allura ta musamman, an rage zafi daga allura.
• Samun dacewa da na'urar yana ba ku damar yin allura a ko'ina kuma kowane lokaci.
• Wasu alkalami sirinji suna sanye da sifofin insulin, wanda ke ba da damar haɗuwa da kwayoyi da kuma amfani da makirci daban-daban.

Abubuwa na tsarin insulin na nau'in 1 da nau'in ciwon sukari 2 sune kamar haka:

1. Kafin karin kumallo, mai haƙuri ya kamata ya ba da magani na gajere ko tsawaita aikin.
2. Maganin insulin kafin abincin rana yakamata yakasance wani gajere mai aiki.
3. Maganin da ya wuce abincin dare ya hada da gajeren insulin.
4. Kafin yin barci, mai haƙuri ya kamata ya gudanar da wani shiri na tsawan lokaci.

Akwai wurare da yawa na gudanarwa a jikin mutum. Yawan shaye magungunan a kowane yanki daban. Abun ciki yafi kamuwa da wannan alamar.

Tare da yanki da ba a zaɓa ba daidai don gudanarwa, aikin insulin na iya ba da sakamako mai kyau.

Kwalejin Kimiyya ta Kasa na Ilimin Bayani Sub. Shupika

Kuma nsuli ot erap da I (IT) har yanzu suna ɗaya daga cikin mahimman hanyoyin magance cututtukan mellitus (DM). Ya danganta da yanayin cutar, an nuna shi cikin 1/3 na shari'ar wannan ilimin.

Dukkanin marasa lafiyar da ke dauke da nau'in 1 na ciwon sukari da kuma 15-25% na marasa lafiya da ke da nau'in ciwon sukari na 2 (insulin-take subtype) suna buƙatar sa. Wasu lokuta, musamman a cikin yanayin damuwa (kamuwa da cuta, maye, rauni, tiyata, da sauransu)

d.), gudanar da insulin na wucin gadi wajibi ne ga marasa lafiya ko da masu laushi zuwa matsakaici ne waɗanda ba su karɓa ba.

Yawancin marasa lafiya suna jure wa insulin kulawa sosai kuma kawai wani sashi daga cikinsu na iya haɓaka rikice-rikice iri daban-daban, irin su rashin lafiyan insulin, hypoglycemia, juriya na kasashen waje, bayyanar l ipodystrophy, insulin edema, haɓakar sabon abu na Somogy, inulin presbyopia da hyperalgesia na fata.

Abubuwan da aka yi da alaƙa suna da alaƙa da amsawar jiki ga gudanarwar insulin a matsayin furotin na ƙasan waje (ko kuma abubuwan da suke yin magunguna).

Phenomena saboda tasirin insulin a matsayin hormone wanda ke daidaita tsarin metabolism.

Har zuwa 'yan kwanannan, rikitarwa mai yawa na IT shine haɓakar halayen gida da na yara. Abubuwa da yawa na iya yin tasiri ga samuwar ƙarshen, watau: nau'in da nau'in insulin, matakin tsarkakewa da yanayin tarawa, abubuwan da aka haɗa a cikin shirye-shiryen, pH na matsakaici, hanyar da jadawalin gudanarwa, yanayin jikin haƙuri, yanayin tsufa da ƙaddarar jini.

Abubuwan da aka fi sani da immunogenic mallakin suna a cikin bovine, ƙasa da - insulin alade. Allergic halayen tare da yin amfani da tsarkakakkun abubuwan insulins, musamman abubuwan da ke cikin urinary da na mutane, suna da wuya.

Ana amfani da irin wannan sakamako ta kayan taimako wanda aka haɗu a cikin shirye-shiryen (zinc, ma'abocin ɗaukar hoto, abubuwan kiyayewa), da kuma maganin acid na insulin,

Hanya guda daya da za'a bi don magance phlegmon
a halin yanzu yana da fadi
bude da kuma magudanar da abin ya shafa
sarari mai fasalci. Sau da yawa
Dole ne a sake bita ko ma
m malalewa daga waɗanda
shari'o'in fadanci, inda yaduwa
mugun yiwuwa.

Yin aiki da
game da phlegmon yana buƙatar zurfin ilimi
akan ilmin jikin mutum kuma ya kamata
yi kawai ta sosai m
purulent likita
tiyata. Rufe magudanar ruwa-mai fitar da ruwa
da kuma maganin huda amfani
tare da kasala, a cikin lura da phlegmon
m.

Rashin gani
lura da hanya mai kumburi
tsari, yiwuwar saurin
tsantsa yadawa akan fascial
lokuta suna yin waɗannan hanyoyin musamman
mai haɗari.

Tare da hanyoyin tiyata, tare da
phlegmons yawanci ana buƙata
maganin rigakafi, hana maye da
immunocorrective far. Tunani
rashin tsarin tafiyar da rayuwa
a cikin fiber sako-sako, ko da lokacin da yadu
bude phlegmon wajibi ne
maganin rigakafi wanda
ya kamata ya ci gaba har sai rauni ya wanke.

Yana da mahimmanci musamman don jaddada rashin dacewar
ra'ayin mazan jiya magani phlegmon in
matakin farko "," a matakin
mai kumburi infiltrate ",
Kowane marubuci ya ba da shawarar.
Za a iya bi da Conservatively
kumburi infiltrate, i.e.
tsari mai kyau,
har ma idan, zai yiwu
cikakken ganewar asali na zubar da ciki
a farkon matakai.

A cikin mara lafiya
yanayin zai iya zama
kumburi subcutaneous infiltrates
zaren.

Insulin juriya

Sau da yawa tare da ciwon sukari, ƙwaƙwalwar sel zuwa insulin yana raguwa. Don ramawa metabolism metabolism, ana buƙatar 100-200 PIECES na hormone.

Koyaya, wannan yanayin yana faruwa ba kawai saboda raguwar abun ciki ko kusancin masu karɓa don furotin ba, har ma lokacin da kwayoyin cuta ga masu karɓa ko kwayoyin suka bayyana. Hakanan, juriyawar insulin yana haɓaka asalin tushen lalata furotin ta hanyar wasu enzymes ko ɗaukar nauyin kwayoyin cuta.

Bugu da kari, rashin hankali ya bayyana a yanayin saurin karuwar kwayar contrainsulin. Wannan yana faruwa ne akan tushen hypercortinism, yadawa mai guba mai guba, acromegaly da pheochromocytoma.

Tushen magani shine gano yanayin yanayin. Har zuwa wannan, kawar da alamun cututtukan cututtukan na kullum (cholecystitis, sinusitis), cututtukan glandar endocrine. Hakanan, ana maye gurbin wani nau'in insulin ko ana amfani da insulin ta hanyar amfani da allunan rage sukari.

A wasu halaye, ana nuna glucocorticoids. Don yin wannan, ƙara yawan ƙwayoyin maganin yau da kullun kuma tsara magani na kwana goma tare da prednisone (1 mg / kg).

Bugu da ƙari, dangane da yanayin haƙuri, ana rage rage yawan ƙwayoyi. Amma wani lokacin tsawan amfani da kudade cikin adadi kaɗan (har zuwa 15 MG kowace rana) ya zama dole.

Hakanan, don juriya na insulin, ana iya amfani da insulin mai narkewa. Amfaninta shine cewa baya amsawa da ƙwayoyin rigakafi, yana da kyakkyawan aiki na ilimin halittu kuma kusan ba sa haifar da rashin lafiyan halayen. Amma lokacin da aka sauya zuwa irin wannan ilimin, marasa lafiya ya kamata su san cewa kashi na wakili mai narkewa, idan aka kwatanta da tsari mai sauƙi, an rage zuwa ¼ na adadin farko na maganin da aka saba.

Lokacin da aka gudanar da insulin, rikice-rikicen na iya zama daban. Don haka, a cikin wasu marasa lafiya akwai rashin lafiyan ƙwayar cuta, wanda ke bayyana kanta a cikin nau'i biyu:

1. Yankin. Bayyanar erythematous, tartsatsi, ƙodaƙƙun itaciya ko taurara a cikin allura.
2. An daidaita shi, a cikin abin da urticaria (wuyansa, fuska) ke faruwa, tashin zuciya, ƙoshin fata, yashwa a kan mucous membranes na bakin, idanu, hanci, tashin zuciya, zafin ciki, amai, jin sanyi, zazzabi. Wani lokacin girgiza anaphylactic tasowa.

Don hana ci gaban rashin lafiyar jiki, sau da yawa ana yin maye gurbin insulin. A saboda wannan dalili, an maye gurbin hormone dabba ta hanyar sinadarin ɗan adam ko wanda ya samar da magani ya canza shi.

Yana da mahimmanci a lura cewa rashin lafiyan yana ci gaba ne ba akan hormone din kansa ba, amma akan abin da aka kiyaye don magance shi. A wannan yanayin, kamfanonin magunguna na iya amfani da mahallin magunguna daban-daban.

Idan ba zai yiwu a maye gurbin miyagun ƙwayoyi ba, to, ana haɗuwa da insulin tare da gabatar da ƙananan allurai (har zuwa 1 MG) na hydrocortisone. A cikin mummunan halayen halayen, ana amfani da magungunan masu zuwa:

• Kalori na karafa
• Kawasaki
• Diphenhydramine,
• Suprastin da sauransu.

Abin lura ne cewa bayyanar cututtuka na gida sau da yawa sukan bayyana lokacin da allura ta yi ba daidai ba.

Misali, game da zaɓin da ba daidai ba na wurin yin allura, lalacewar fata (ƙyalƙyali, allura mai kauri), da kuma gabatarwar sanyi mai magani.

Manta Lipodystrophy

Akwai nau'ikan lipodystrophy 2 - atrophic da hauhawar jini. Wani nau'in cututtukan ƙwayar cuta na cututtukan ƙwayar cuta na jiki wanda ke tasowa daga asalin tsarin tsawan jinsi na nau'in ƙwayar cuta.

Ta yaya daidai irin waɗannan bayyanar allurar bayan-na faruwa ba a kafa shi ba. Koyaya, yawancin likitoci suna ba da shawarar cewa sun bayyana saboda rauni na dindindin ga jijiyoyin gefe tare da ƙarin rikice-rikice na neurotrophic na gida. Hakanan lahani na faruwa yayin amfani da insulin ɗinda keɓantaccen isashshen aiki.

Amma bayan amfani da magungunan ƙwayoyin cuta, yawan bayyanuwar lipodystrophy an rage sosai. Wani muhimmin mahimmanci shine rashin daidaituwa na hormone, alal misali, hypothermia na wurin allura, yin amfani da shirye-shiryen sanyi da sauransu.

A wasu halaye, a kan asalin lipodystrophy, juriyawar insulin da yawa dabam yana faruwa.

Idan an kamu da cutar sankara game da bayyanar lipodystrophy, yana da matukar mahimmanci a bi ka'idodin insulin therapy, wuraren canza kullun don allura. Hakanan, don hana faruwar lipodystrophy, an narke hormone tare da daidai adadin Novocaine (0.5%).

Bugu da kari, an gano cewa lipoatrophy ta bace bayan chipping da insulin mutum.

Sauran tasirin insulin farji

Sau da yawa a cikin masu ciwon suga da ke fama da ciwon sikila, wani mayafin yakan bayyana a gaban idanun. Wannan sabon abu yana haifar da rashin jin daɗi ga mutum, don haka ba zai iya rubutu da karatu ba.

Yawancin marasa lafiya suna kuskure wannan alamar don maganin ciwon sukari. Amma mayafin a gaban idanuwa sakamakon canje-canje ne a cikin juyawar ruwan tabarau.

Wannan sakamako yana wucewa da kansa bayan kwanaki 14-30 daga farkon jiyya. Sabili da haka, babu buƙatar katse farji.

Sauran rikice-rikice na ilimin insulin suna kumburi daga ƙananan ƙarshen. Amma irin wannan bayyanar, kamar matsalolin hangen nesa, zai tafi da kansa.

Kumburi da kafafu yana faruwa saboda riƙe ruwa da riƙe gishiri, wanda ke tasowa bayan allurar insulin. Koyaya, a kan lokaci, jiki yakan dace da magani, don haka ya daina tara ruwa.

Don irin waɗannan dalilai, a matakin farko na jiyya a cikin marasa lafiya, hawan jini na iya ƙaruwa lokaci-lokaci.

Hakanan, a kan asalin ilimin insulin, wasu masu ciwon sukari suna samun nauyi. A matsakaici, marasa lafiya suna murmurewa daga kilogram 3-5. Bayan duk wannan, magani na hormonal yana kunna lipogenesis (tsarin samar da mai) kuma yana ƙaruwa da ci. A wannan yanayin, mai haƙuri yana buƙatar canza abincin, musamman, abubuwan da ke cikin kalori da kuma yawan lokacin cin abinci.

Bugu da kari, ci gaba da gudanar da insulin yana rage karfin sinadarin potassium a cikin jini. Ana iya magance wannan matsala ta abinci na musamman.

A saboda wannan dalili, menu na yau da kullun na masu ciwon sukari ya kamata ya cika tare da 'ya'yan itatuwa Citrus, berries (currants, strawberries), ganye (faski) da kayan lambu (kabeji, radishes, albasa).