Magunguna don rage sukarin jini a nau'in I da nau'in ciwon sukari na 2
Cutar sankara (mellitus) cuta ce ta kullum da ke faruwa sakamakon raunin jijiyoyin jiki a jiki. Cutar na iya shafar kowane mazaunin duniyarmu, ba tare da la'akari da jinsi da shekaru ba. Kowace shekara yawan masu haƙuri da cutar sankara na ci gaba da ƙaruwa.
A cikin ciwon sukari, ƙwayar ƙwayar cuta ta ɓoye insulin na hormone. Don rushe sukari da kuma daidaita yanayin, ana shirya shirye-shiryen insulin, alal misali, actrapid, wanda zamuyi magana a kan yau, an shigar da shi cikin jikin mai haƙuri.
Ba tare da allurar insulin kullun ba, ba a shan sukari da kyau, yana haifar da rikicewar tsarin a duk gabobin jikin mutum. Domin Actrapid NM yayi aiki yadda yakamata, ya zama dole a bi ka'idodin tsarin sarrafa magunguna kuma a ko da yaushe suna lura da matakin glucose a cikin jini.
Dangane da umarnin don amfani, ana amfani da Actrapid don bi da:
- Ciwon sukari na 1 (marasa lafiya suna dogaro ne da yawan insulin a jikin mutum),
- Nau'in ciwon sukari na 2 (insulin resistant. Marasa lafiya da wannan nau'in ciwon sukari suna yawan amfani da kwayoyin magani, duk da haka, tare da karuwa da ciwon sukari, irin waɗannan kwayoyi sun daina aiki, ana amfani da allurar insulin don rage sukari a cikin irin waɗannan halayen).
Suna ba da shawarar insulin na motsa jiki a lokacin daukar ciki da lactation, kazalika da haɓaka cututtukan da ke haɗuwa da ciwon sukari. Magungunan suna da alamun analogues masu tasiri, misali, Actrapid MS, Iletin Regular, Betasint da sauransu. Lura cewa sauyin zuwa analogues ana aiwatar da shi ne kawai a asibiti a karkashin kulawar likita da kuma kula da yawan sukari na jini.
Gabatarwar Ka'idoji
Subcutaneous, intramuscular da ciki na jiyya na miyagun ƙwayoyi an yarda. Tare da gudanar da subcutaneous, an shawarci marasa lafiya su zabi yankin cinya don yin allura, a nan ne miyagun ƙwayoyi ke warware hankali a hankali.
Bugu da kari, zaku iya amfani da gindi, goshin baya da bangon gaban ciki na ramin ciki don inje (lokacin da aka shigar cikin ciki, sakamakon maganin yana farawa da wuri). Kar a yi allura a cikin yanki daya fiye da sau ɗaya a wata, miyagun ƙwayoyi na iya tsokana lipodystrophy.
Saitin maganin a cikin sirinji na insulin:
- Kafin fara aikin, dole ne a wanke hannaye kuma a share,
- Insulin yana sauƙaƙe tsakanin hannayen hannu (dole ne a bincika magungunan don larura da inclusions na ƙasashen waje, har ma da ranar karewa),
- An jawo iska a cikin sirinji, an saka allura a cikin ampoule, an saki iska,
- Dama da yawan ƙwayar cuta an zana shi cikin sirinji,
- Za'a cire iska mai ƙima daga sirinji ta hanyar bugawa.
Idan ya zama dole don kara insulin gajere tare da tsayi, ana yin algorithm mai zuwa:
- An shigar da iska cikin duka ampoules (tare da gajeru da tsayi),
- Na farko, an jawo insulin mai gajeren zango a cikin sirinji, sannan an haɗu da shi tare da wani magani na dogon lokaci,
- An cire iska ta hanyar bugawa.
Masu ciwon sukari da ƙarancin ƙwarewa ba'a bada shawarar gabatar da Actropide zuwa cikin kafada da kansu ba, saboda akwai babban haɗarin ƙirƙirar ƙarancin mai-kitse da allura da magungunan intramuscularly. Yana da mahimmanci a lura cewa lokacin amfani da allura har zuwa 4-5 mm, ba a ƙirƙiri ƙoshin kitse mai kwatankwacinsa.
An hana shi shigar da miyagun ƙwayoyi cikin kyallen da aka canza ta hanyar lipodystrophy, har zuwa wuraren hematomas, like, scars da scars.
Ana iya sarrafa abu ta hanyar amfani da sirinji na al'ada, alkalami na syringe ko kuma famfo na atomatik. A cikin yanayin na ƙarshe, an gabatar da miyagun ƙwayoyi a cikin jikin kansa, a farkon biyun ya cancanci sanin fasahar gudanarwa.
- Tare da taimakon babban yatsa da yatsa mai ma'ana, ana yin ninka a kan allurar don tabbatar da cewa an ba da insulin ga mai, ba tsoka ba (don allura har zuwa 4-5 mm, zaka iya yin ba tare da ninka ba),
- An shigar da sirinji perpendicular zuwa ninka (don allura har zuwa 8 mm, idan sama da mm 8 - a wani kusurwa na digiri 45 zuwa ninka), ana matsa maɓallin duka, kuma maganin yana allura,
- Mai haƙuri ya kirga 10 kuma yana fitar da allura,
- A ƙarshen manipulations, an saki fitsarin mai, ba a shafa wurin allurar ba.
- An sanya allura wanda za'a iya zubar dashi,
- Ana iya hade magungunan cikin sauki, tare da taimakon mai rarraba magunguna 2 ana zazzage maganin, ana shigar da su cikin iska,
- Amfani da juyawa, an saita darajar yawan abin da ake so,
- Kitsen kitse ya shafi fata, kamar yadda aka bayyana a tsarin da ya gabata,
- An gabatar da miyagun ƙwayoyi ta hanyar latsa piston a gaba ɗaya,
- Bayan sekan 10, za a cire allura daga fata, an saki fatar.
Idan anyi amfani da abu mai motsa jiki na gajere, ba lallai bane a gauraya kafin amfani.
Don ware shaye-shaye marasa inganci na miyagun ƙwayoyi da kuma faruwar cutar, tare da hyperglycemia, bai kamata a shigar da insulin cikin shiyyoyin da ba su dace ba kuma magungunan da ba a yarda da likita ba ya kamata a yi amfani da su. An hana yin amfani da ƙarewar Actrapid, miyagun ƙwayoyi na iya haifar da yawan insulin.
Gudanarwa ta wucin gadi ko intramuscularly ana aiwatar da shi ne kawai a ƙarƙashin kulawar likitan halartar. An gabatar da Actrapid a cikin jikin rabin sa'a kafin cin abinci, dole ne abinci ya ƙunshi carbohydrates.
Ta yaya Actrapid
Insulin Actrapid yana cikin rukuni na kwayoyi, babban aikin wanda aka shirya shi don rage sukarin jini. Magani ne na ɗan gajeren lokaci.
Rage sukari saboda:
- Ingantaccen tsarin zirga-zirga a cikin jiki,
- Kunnawawar lipogenesis da glycogenesis,
- Kariyar metabolism
- Hankalin ya fara samar da karancin glucose,
- Gilashin jiki sunfi dacewa da kyallen jiki.
Matsayi da saurin bayyanar cutar ta kwayoyin ta dogara da dalilai da yawa:
- Sashi na insulin,
- Hanyar gudanarwa (sirinji, sirinji, sikalin insulin),
- Wurin da aka zaɓa don gudanar da maganin miyagun ƙwayoyi (ciki, goshin hannu, cinya ko buttock).
Tare da subcutaneous management of Actrapid, miyagun ƙwayoyi ya fara aiki bayan minti 30, ya isa cikin mafi girman hankali a cikin jiki bayan sa'o'i 1-3 dangane da halayen mutum na mai haƙuri, tasirin hypoglycemic yana aiki na 8 hours.
Side effects
Lokacin canzawa zuwa Actrapid a cikin marasa lafiya na kwanaki da yawa (ko makonni, dangane da ɗabi'ar mutum mai haƙuri), ana iya lura da kumburi da matsaloli tare da bayyananniyar hangen nesa.
Sauran m halayen ana rubuta su tare da:
- Rashin abinci mai gina jiki bayan gudanar da magani, ko tsallake abinci,
- Karin motsa jiki
- Roaddamar da kashi mai yawa na insulin a lokaci guda.
Sakamakon sakamako na yau da kullun shine hypoglycemia. Idan mara lafiya yana da launin fatar jiki, haushi da wuce gona da iri da jin yunwar, rikicewa, rawar jiki da karuwar gumi, ana iya ganin sukari na jini a kasa da matakin halas.
A farkon alamun bayyanar cututtuka, wajibi ne don auna sukari da cin abinci mai narkewa mai sauƙin narkewa, idan aka rasa nauyi, glucose yana allurar intramuscularly ga mai haƙuri.
A wasu halayen, insulin na insulin na iya haifar da rashin lafiyan da ke faruwa:
- Bayyanar a wurin allurar zafin jiki, jan launi, kumburi mai zafi,
- Ciwon ciki da amai
- Matsalar numfashi
- Tachycardia
- Dizziness.
Idan mai haƙuri ba ya bi ka'idodin allura a wurare daban-daban, lipodystrophy yana haɓaka cikin kyallen.
Marasa lafiya waɗanda aka lura da cutar basir a ci gaba, ya zama dole a nemi likitanka don daidaita allurai da ake sarrafawa.
Umarni na musamman
Sau da yawa, ana iya haifar da hypoglycemia ba kawai ta hanyar yawan shan magunguna ba, har ma da wasu dalilai:
- Canza miyagun ƙwayoyi zuwa analog ba tare da kulawa daga likita ba,
- Abincin da bai dace ba
- Amai
- Wuce kima daga jiki ko raunin jiki,
- Canza wuri don allura.
A yayin da mai haƙuri ya gabatar da isasshen adadin ƙwayoyi ko kuma ya tsallake gabatarwar, yana haɓaka haɓakar hyperglycemia (ketoacidosis), yanayin da ba shi da haɗari, zai iya haifar da tari.
- Jin ƙishirwa da yunwa
- Redness na fata,
- Urination akai-akai
- Ellarshen Acetone daga bakin
- Ciwon ciki
Yi amfani yayin daukar ciki
An ba da damar motsa jiki na motsa jiki idan akwai yiwuwar daukar ciki na mai haƙuri. Duk tsawon lokacin, ya zama dole don sarrafa matakin sukari da canza sashi. Don haka, a cikin lokacin farko na farko, buƙatar maganin ya ragu, a lokacin na biyu da na uku - akasin haka, yana ƙaruwa.
Bayan haihuwar jarirai, an sake buƙatar bukatar insulin zuwa matakin da ya kasance kafin yin juna biyu.
Yayin shayarwa, rage yawan sashi na iya zama dole. Mai haƙuri yana buƙatar kulawa da hankali gwargwadon matakin sukari na jini don kada ya ɓaci lokacin da buƙatar maganin ta kwantar da hankali.
Sayi da adanawa
Kuna iya siyan Actrapid a cikin kantin magani gwargwadon rubutaccen likitanka.
Zai fi kyau adana miyagun ƙwayoyi a cikin firiji a zazzabi na 2 zuwa 7 Celsius. Kada kabar izinin samfurin ga zafin kai tsaye ko hasken rana. Lokacin daskararre, Actrapid ya rasa halayensa na rage sukari.
Kafin allurar, mai haƙuri ya kamata ya duba ranar karewar miyagun ƙwayoyi, ba a yarda da amfani da insulin da aka ƙare ba. Tabbatar bincika ampoule ko tafin hannu tare da Actrapid don laka da baƙin inclusions.
Ana amfani da Actrapid daga marasa lafiya da duka nau'in 1 da nau'in ciwon sukari na 2 na mellitus. Tare da amfani da kuma dacewa da abubuwan da likitan ya nuna, hakan ba ya haifar da ci gaban sakamako a jikin mutum.
Ka tuna cewa yakamata a kula da ciwon sukari gabaɗaya: ban da injections na yau da kullun na miyagun ƙwayoyi, dole ne a manne da wani abinci, ka kula da aikin jiki kuma kada a fallasa jiki ga yanayin damuwa.
Irin waɗannan maganganu daban-daban ...
Kamar yadda aka ambata a ƙarshe, tare da nau'in ciwon sukari na 1, ƙwayar ƙwayar cuta ba ta haifar da insulin kwata-kwata, don haka dole ne a gudanar dashi daga waje.
Da farko, an nemi marasa lafiya su ba da allura tare da sirinji na musamman, amma, wannan yana da matsaloli da yawa. Da fari dai, ƙwayar katako ya ruɓe da sauri sosai a wurin allurar. Shin wargi ne don yin allura 4-6 a kullun!
Abu na biyu, ana yin allura a wuraren da ake allurar rigakafi. Kuma wannan ba za a ambaci cewa allura kanta hanya ce mara ƙanƙanci.
A yau, ana haɓaka hanyoyi don ƙaddamar da allurar rashin allurar insulin. Amma don magance wannan matsalar, kuna buƙatar gano yadda za a iya kare kwayar sunadaran insulin daga yanayin tashin hankali na jijiyar ciki, wanda a shirye yake ya raba duk wani kwayar zarra da ta faɗi cikin yanayin tasirinsa.
Alas, waɗannan ci gaban ba su da cikakke, don haka ga marasa lafiya da ke ɗauke da nau'in ciwon sukari iri ɗaya, har yanzu hanyace ɗaya tilo don tsira: don ci gaba da injections na yau da kullun na shirye-shiryen insulin.
Zamuyi cikakken bayani kan yadda insulin guda daya ya banbanta da wani, da kuma yadda yake faruwa.
Akwai hanyoyin da yawa da ake nunawa wurin rarrabe insulin: da farko, daga asali (porcine, sake halittar dan adam, roba, da sauransu), ta tsawon lokacin aiwatarwa (gajarta, matsakaici da tsayi).
A gare ku da ni, rarrabuwa ta ƙarshe da aka bayar a teburin yana da mahimmancin amfani.
Rarraba insulin ta hanyar tsawon aiki
Short takaice | Tsawon lokaci | Dogon aiki |
Jiyya na nau'in ciwon sukari mellitus ya ƙunshi bangarori biyu: ilimin asali (wanda likitancin endocrinologist ya tsara): wannan shine kullun da ake sarrafa shi na matsakaici ko aiki mai tsawo.
Irin waɗannan kwayoyi suna kwaikwayon asalin yanayin insulin, sarrafa hanyoyin halitta na carbohydrate metabolism.
Kashi na biyu na magani shine gyaran glucose bayan cin abinci, kayan ciye-ciye, da sauransu.
Gaskiyar ita ce idan haƙuri tare da nau'in ciwon sukari na 1 na mellitus ya ba ta damar cin abinci mai daɗi ko kowane abinci wanda ke ɗauke da carbohydrates, to matakin glucose na jini zai fara ƙaruwa, kuma "insulin" na asali ba zai isa ya yi amfani da glucose na yau da kullun ba.
Wannan zai haifar da ci gaban hyperglycemia, wanda in babu inshorar insulin zai haifar da laima da mutuwar mai haƙuri.
Saboda haka, likita ya ba kawai insulin "na asali", amma kuma "gajere" - don daidaita matakan glucose anan da yanzu. Kamar yadda za'a iya gani daga tebur, tare da gudanar da subcutaneous, yana fara aiki bayan minti 30.
Kuma mai haƙuri da kansa ya zaɓi sashin kwayar insulin na ɗan gajeren lokaci, gwargwadon karatun glucometer. Ana koyar da shi a makarantar ciwon sukari.
Sashin baya na ilimin insulin, ba kirga sakamako na hanyar gudanarwa ba, yiwuwar yawan zubar da jini.
Matsakaicin sashi na insulin da ake sarrafawa kowace rana na iya zama daga 0.1 zuwa 0.5 ml. Waɗannan ƙananan lambobi ne, kuma lokacin amfani da hanyoyin aikin sarrafawa (tare da sirinji na yau da kullun), yana da sauƙi sauƙin buga ƙarin, wanda zai haifar da hypoglycemia tare da duk sakamakon da ke biyo baya.
Don guje wa irin waɗannan matsalolin, sun fara haɓaka na'urori masu sarrafa kansu. Waɗannan sun haɗa da famfunan insulin da kuma sanannun ƙwayar syringe.
A cikin alkairin sirinji, an saita sashi ta hanyar jujjuya kai, yayin da aka saita adadin ɓangarorin da za su shiga yayin allura a kan bugun kira. Lambobin sun yi yawa sosai, saboda Duk yara da tsofaffi suna amfani da alkairin sirinji.
Koyaya, irin wannan tsarin baya kariya daga yawan wuce gona da iri (wani ya juya dan kadan, bai fitar da adadi ba, da dai sauransu).
Saboda haka, a yau ana amfani da abin da ake kira pumps insulin. Ana iya faɗi karamin kwamfyuta da ke kwaikwayon aikin ƙwaƙwalwar ƙwayar cuta. Jirgin insulin ya auna girman pager kuma ya ƙunshi sassa da yawa. Yana da famfo don samar da insulin, tsarin sarrafawa, tafki mai maye gurbin insulin, saiti mai sauyawa, batura.
An sanya filastin filastik na na'urar a cikin fata a daidai wannan wuraren da yawanci ake allurar insulin (ciki, kwatangwalo, gindi, kafadu). Tsarin kansa yana ƙayyade matakin sukari a cikin jini yayin rana, kuma ita kanta tana saka insulin a daidai lokacin. Sabili da haka, adadin injections yana da yawa sau ƙasa. Ba lallai ba ne a ɗora yatsanku sau 5-6 a rana don sanin sukari da sauran wuraren insulin.
Magunguna don rage sukari a cikin nau'in ciwon sukari na II
Mellitus na II na ciwon sukari na II (DM II) a cikin mafi yawan lokuta sakamako ne na kai tsaye na rayuwa da abinci mai gina jiki.
Na tuna ɗayan mummunan shawara:
"Idan wani ya bata maka rai, ka bashi alewa, sannan wani, da sauransu, har sai ya kamu da ciwon sukari."
Bari na tunatar da ku cewa lokacin da carbohydrates suka shiga hanjin, sai aka samar da insulin, wanda yake sanya bangon sel ya zama izuwa glucose mai shigowa.
Tare da yawan ƙarfafa masu karɓar insulin, wasu daga cikinsu sun daina amsa insulin. Haƙuri yana haɓaka, shine, rashin ƙarfin insulin, wanda ke ƙaruwa da ƙwayar mai ciki, wanda ke hana glucose shiga cikin tantanin halitta.
Don kunnawa na gaba na masu karɓa, ana buƙatar ƙarin insulin.Ba da jimawa ba, adadin insulin da jiki ke fitarwa ya zama kasa isa bude wadannan tashoshi.
Glucose yana tara jini, baya shiga cikin sel. Wannan shine yadda nau'in ciwon sukari na II ke haɓaka.
Wannan tsari yana da tsawo kuma kai tsaye ya dogara da abincin ɗan adam.
Don haka a nan mafi kyawun magana ita ce: "Yin hakar rami don kansa."
Wannan shine dalilin da ya sa marasa lafiya da ke kamuwa da ciwon sukari na type II ana bada shawarar su fara rage cin abinci.
Tare da ingantaccen abinci mai gina jiki da iyakance yawan ƙwayoyin carbohydrates, ana dawo da matakan sukari da hankali ga insulin naku.
Abin takaici, mafi sauƙin shawarar shine mafi wuya.
Na tuna wani farfesa-endocrinologist wanda yake ba da labarin yadda, da safe, ya yi wa mara lafiya tambaya, yana cewa, Me ya sa sukari yake da yawa da safe? Wataƙila ta ci wani abu da aka hana?
Mai haƙuri, a dabi'a, ya ƙi komai: ita ba ta cin gurasa, kuma babu-babu Sweets.
Daga baya, lokacin da nake bincika tsakar dare, kakata ta sami tulun zuma, wanda ta ƙara wa shayi, yana motsa cewa ba za ta iya rayuwa ba tare da Sweets.
Anan nufin mutum baya aiki. Tare da ciwon sukari, hakika ina son in ci kuma mafi dacewa kawai mai dadi! Kuma wannan mai fahimta ne. A cikin yanayin rashin glucose (kuma kun tuna cewa duk da cewa yana cikin jikin mutum, baya shiga cikin sel, gami da kwakwalwa), kwakwalwa yana fara kunna tsakiyar yunwar, kuma mutum yana shirye ya ci bijimin a zahirin ma'anar kalmar.
Don sarrafa magunguna na ciwon sukari na II, akwai hanyoyi da yawa:
- Sanya insulin insulin zuwa matakin da ya isa daidai da sukari na jini,
- Rage gudu daga abubuwan karfafawa a cikin hanjin,
- Sensara hankalin mai karɓa na insulin.
Dangane da haka, duk magunguna don rage sukari a cikin nau'in ciwon sukari na II za'a iya raba su cikin waɗannan rukunoni 3.
Rukuni 1 Ma'aikatan hankali game da masu karɓar insulin
A ciki, bisa ga tsarin sunadarai, sun kasu kashi biyu - rukunan biguanides da glitazone.
Biguanides sun haɗa da Siofor, Glucofage, Bagomet (Metformin mai aiki mai aiki).
Abubuwan da aka samo daga Glitazone sun hada da Amalvia, Pioglar (Pioglitazone), Avandia (Rosiglitazon).
Wadannan kwayoyi suna ƙara yawan amfani da glucose ta ƙwayar tsoka, kuma suna hana ajiyar shi a cikin nau'in glycogen.
Abubuwan da aka samo daga glitazone suma suna hana jinkirin aiki da hanta a hanta.
An haɗu da Metformin tare da wasu kwayoyi, alal misali tare da sibutramine - magani don kiba, glibenclamide - magani ne wanda ke motsa samar da insulin.
Rukuni 2. Magungunan ciki
Hanya ta biyu don rage girman glucose shine rage yawan cinsa daga hancin gastrointestinal.
Don wannan, ana amfani da miyagun ƙwayoyi Glucobai (Akaraboza), wanda ke hana aikin enzyme α-glucosidase, wanda ke rushe sugars da carbohydrates zuwa glucose. Wannan yana haifar da gaskiyar cewa sun shiga babban hanjin, inda suke zama madadin abinci mai gina jiki ga ƙwayoyin cuta da ke zaune.
Saboda haka babban sakamako na wadannan magungunan: ƙonewa da gudawa, kamar yadda ƙwayoyin cuta suke rushe sugars don samar da gas da lactic acid, wanda ke damun bangon hanji.
Rukunin na 3. Insulin kara kuzari
A tarihi, akwai ƙungiyoyi biyu na magunguna waɗanda ke da wannan tasirin. Magungunan ƙungiyar farko suna haɓaka ɓarin insulin, ba tare da la'akari da yawan abinci da matakin glucose ba. Sabili da haka, tare da amfani da shi ba daidai ba ko kuma ba daidai ba, mutum zai iya fuskantar yunwa koyaushe saboda hauhawar jini. Wannan rukunin ya hada da Maninyl (glibenclamide), Diabeton (glyclazide), Amaryl (glimepiride).
Rukuni na biyu shine analogues na hormones na jijiyar ciki. Suna da sakamako mai motsa rai kawai lokacin da glucose ya fara gudana daga hanji.
Wadannan sun hada da Bayeta (exenatide), Victoza (liraglutide), Januvia (sidagliptin), Galvus (vildagliptin).
Zamu kawo karshen sananne tare da magunguna masu rage sukari, kuma a matsayin aikin gida, ina ba da shawarar ku yi tunani kuma ku amsa tambayoyin:
- Shin ana iya amfani da wakilan roba na ƙwayar cuta ta jiki don kula da nau'in ciwon sukari na irin?
- Wani irin ciwon sukari mellitus ne allurar?
- Me yasa aka ba da shawarar ga marasa lafiya da masu ciwon sukari su ɗauki ɗan alewa ko ɗan sukari?
- Yaushe ake tsara nau'in insulin nau'in II?
Kuma a ƙarshe, Ina so in faɗi wordsan kalmomi game da ciwon sukari na musamman. Dangane da hoton, yana iya yin kama da SD I da SD II.
Yana da alaƙa da raunin da ya faru, cututtukan kumburi na ƙwayar ƙwayar cuta, gudanar da aiki akan sa.
Kamar yadda kuka tuna, yana cikin β-sel na pancreas ana samar da insulin. Ya danganta da matakin lalacewar wannan sashin, karancin insulin na digo dabam dabam.
Idan mutum yana fama da cututtukan hanji na huhu, a bayyane yake cewa adadin insulin da wannan ƙwayar ta haifar zai ragu, yayin da tare da cirewa gabaɗaya (ko kuma ƙashin kansa), yana nuna ƙarancin insulin kuma, a sakamakon haka, za a lura da hauhawar jini. Ana gudanar da aikin kulawa da irin waɗannan yanayin gwargwadon yanayin aikin pancreas.
Wannan duka ne a gare ni.
Kamar koyaushe, super! Komai a bayyane yake kuma mai fahimta.
Kuna iya barin tambayoyinku, ra'ayoyin da ke ƙasa a cikin akwatin ra'ayoyin.
Kuma, hakika, muna jiran amsarku ga tambayoyin da Anton yayi.
Za a sake ganin ku a kan kantin magani na mutum blog!
Tare da kauna gare ku, Anton Zatrutin da Marina Kuznetsova
P.S. Idan kana son ci gaba da kasancewa da sabbin labaru kuma ka sami shirye-shiryen yaudara na aiki, ka shiga cikin labarai. Shafin biyan kuɗi yana ƙarƙashin kowane labarin kuma akan dama a saman shafin.
Idan wani abu ya faru ba daidai ba, bincika cikakken umarnin anan.
P.P.S. Abokai, wani lokacin haruffa daga gare ni sun shiga cikin wasikun banza. Wannan shi ne yadda shirye-shiryen vigilant ɗin suke aiki: ba su tace abin da ake buƙata ba, kuma tare da shi wajibi ne. Don haka, kawai idan akwai.
Idan kwatsam kuka daina karbar wasikun aikawasiku daga wurina, duba cikin babban fayil "spam", bude duk wani "Magunguna ga mutane" jerin aikawasiku danna maballin "kar a tona spam".
Kasance mai kyau sati mai aiki da kuma babbar siyarwa! 🙂
Ya ku masoyana masu karatu!
Idan kuna son labarin, idan kuna son yin tambaya, ƙara, raba gwaninta, zaku iya yin shi a cikin tsari na musamman a ƙasa.
Kawai don Allah ki yi shiru! Bayaninku shine babban burina na sabbin halittu a kanku.
Zan yi matukar godiya idan kun raba hanyar haɗi zuwa wannan labarin tare da abokanka da abokan aiki a shafukan sada zumunta.
Kawai danna kan maɓallin maɓallin zamantakewa. da hanyoyin sadarwa wanda kake memba na.
Danna mabullin maballin. Hanyoyin sadarwa suna kara yawan matsakaiciyar rajista, kudaden shiga, albashi, sukari, sukari, matsin lamba, cholesterol, kawar da osteochondrosis, ƙafafun lebur, basur!