Apidra insulin: farashi, sake dubawa, mai ƙira

Bambanci tsakanin Tujeo da Lantus

Nazarin ya nuna cewa Toujeo ya nuna ingantaccen sarrafa kwayar cuta a nau'in 1 da masu ciwon sukari na 2. Raguwar matakin haemoglobin glygine a cikin insulin glargine 300 PIECES bai bambanta da Lantus ba. Yawan mutanen da suka isa matakin HbA1c iri ɗaya ne, ikon glycemic iko da insulins biyu ya kasance daidai. Idan aka kwatanta da Lantus, Tujeo yana da ƙarin sakin insulin a hankali daga hazo, don haka babban amfanin Toujeo SoloStar shine rage haɗarin haɓakar haɓakawar jini (musamman da dare).

Cikakken bayani game da Lantushttps: //sdiabetom.ru/insuliny/lantus.html

Ab ofbuwan amfãni na Toujeo SoloStar:

• tsawon lokacin aiki ya fi awanni 24,
• taro 300 PIECES / ml,
• kasa yin allura (raka'a Tujeo basu dace da raka'a sauran insulins ba),
• riskarancin haɗarin haɓakar cutar rashin ƙwaƙwalwar ƙwaƙwalwar ƙwayar maraice.

Misalai:

• ba'a amfani dashi don magance ketoacidosis masu ciwon sukari,
• aminci da tasiri a cikin yara da mata masu ciki ba a tabbatar da su ba,
• ba a tsara shi don cututtukan koda da hanta ba,
• mutum rashin jituwa ga glargine.

Umarnin don amfanin Tujeo

Yana da mahimmanci yin allurar insulin sau ɗaya a rana a lokaci guda. Ba a yi nufi ba don gudanarwar jijiya. Ana zaɓin kashi da lokacin gudanarwa daban-daban ta likitan halartar ku a ƙarƙashin kulawar guban-jini akai-akai. Idan salon rayuwa ko nauyin jiki ya canza, ana iya buƙatar daidaita sashi. An bai wa masu ciwon sukari na Type 1 guda 1 a rana guda ɗaya a hade tare da allura na ultrashort insulin tare da abinci. Magungunan kwayoyi 100ED da Tujeo sune abubuwan da basu iya canzawa ba kuma ba zasu iya canzawa ba. Juyawa daga Lantus ana aiwatar da shi tare da lissafin 1 zuwa 1, sauran daskararru masu ɗaukar dogon lokaci - 80% na maganin yau da kullun.

Haramun ne a haxa shi da wasu abubuwan insulins!

Kafofin sadarwar zamantakewa suna tattaunawa sosai game da fa'ida da raunin Tujeo. Gabaɗaya, mutane sun gamsu da sabon haɓakar Sanofi. Ga abin da masu ciwon sukari ke rubutawa:

Idan kun riga kun yi amfani da Tujeo, tabbas ku raba kwarewar ku a cikin bayanan!

• Insulin Protafan: umarni, analogues, bita
• Insulin Humulin NPH: koyarwa, analogues, bita
• Insulin Lantus Solostar: koyarwa da bita
• Alkalami na sihiri don insulin: nazarin samfura, bita
• Tauraron dan adam mai suna Glucometer: kwalliya ta samfura da bita

Yadda ake ɗaukar glulisin insulin?

Ana sarrafawa a ƙarƙashin ƙasa 0-15 mintuna kafin cin abinci. Ana yin allura a ciki, cinya, kafada. Bayan allurar, ba za ku iya tausa yankin allurar ba. Ba za ku iya haɗa nau'ikan insulin daban-daban a cikin sirinji iri ɗaya ba, duk da gaskiyar cewa ana iya tsara mai haƙuri daban-daban insulins. Juyawa daga mafita kafin gudanarwarsa ba da shawarar ba.

Kafin amfani, kuna buƙatar bincika kwalban. Zai yuwu a tattara maganin a cikin sirinji kawai idan mafita a bayyane yake kuma bashi da isasshen barbashi.

Sharuɗɗa don amfani da alkalami na alkalami

Ya kamata masu haƙuri ɗaya kaɗai za su iya amfani da shi. Idan ya lalace, ba a ba da izinin amfani da shi ba. Kafin amfani da alkalami, sai a bincika katun a hankali. Ana iya amfani dashi kawai lokacin da mafita ya bayyana kuma ba shi da illa. Dole ne a jefar da alƙalami marasa amfani kamar sharar gida.

Bayan cire hula, ana bada shawara don duba lakabin da mafita. Sannan a hankali a haɗa allura a maɓallin sirinji. A cikin sabon na'urar, mai nuna siginar yana nuna “8”. A wasu aikace-aikacen, ya kamata a saita a gaban mai nuna alama "2". Latsa maɓallin ɗaukar hoto har yanzu.

Riƙe da hannun a tsaye, cire fitar da iska ta hanyar buguwa. Idan an yi komai daidai, ƙaramin digo na insulin zai bayyana a saman allura. Na'urar zata baka damar saita sashi daga raka'a 2 zuwa 40. Ana iya yin wannan ta juyawa mai rarraba. Don caji, ana bayar da shawarar maɓallin keɓancewa gwargwadon yadda zai tafi.

Saka allura a cikin kashin bayan kashi. Sannan danna maballin duk yadda yakamata. Kafin cire allurar, dole ne a riƙe shi na 10 seconds. Bayan allura, cire da kuma zubar da allura. Sikelin yana nuna yadda kusan insulin ya rage a cikin sirinji.

Idan alkairin sirinji bai yi aiki daidai ba, to za a iya jawo mafita daga katun a cikin sirinji.

Sakamakon sakamako na insulin glulisin

Mafi tasirin sakamako na insulin shine hypoglycemia. Zai iya faruwa saboda yawan amfani da magunguna. Bayyanar cututtuka na raguwar sukari jini a hankali:

• gumi mai sanyi
• pallor da sanyaya fata,
• jin gajiya sosai
• farin ciki
• rikicewar gani
• rawar jiki
• babban damuwa
• rikicewa, wahalar mayar da hankali,
• mai karfi abin mamakin zafi a kai,
• palpitations.

Sakamakon sakamako na miyagun ƙwayoyi na iya bayyana azaman rawar jiki.

Sakamakon sakamako na miyagun ƙwayoyi na iya bayyana kansa a cikin hanyar motsa jiki.

Sakamakon sakamako na miyagun ƙwayoyi na iya bayyana azaman bugun zuciya da sauri.

Sakamakon sakamako na miyagun ƙwayoyi na iya bayyana kansa a cikin nau'i mai ƙarfi na jin gajiya.

Wani gefen sakamako na miyagun ƙwayoyi na iya bayyana azaman rashin lafiyar gani.

Wani gefen sakamako na miyagun ƙwayoyi na iya bayyana kamar rikicewa.

Wani gefen sakamako na miyagun ƙwayoyi na iya bayyana azaman sanyi gumi.

Hypoglycemia na iya ƙaruwa. Wannan yana da barazanar rayuwa, saboda yana haifar da rikicewar kwakwalwa, kuma a cikin manyan lokuta - mutuwa.

A ɓangaren fata

A wurin allurar, itching da kumburi na iya faruwa. Irin wannan yanayin jikin yana da nutsuwa, kuma ba kwa buƙatar shan magani don kawar da shi. Wataƙila haɓakar lipodystrophy a cikin mata a wurin allura. Wannan na faruwa idan an shigar dashi wuri guda. Don hana wannan faruwa, ya kamata a sauya wurin allurar.

Yana da matukar wuya cewa magani na iya haifar da rashin lafiyan halayen.

Tasiri kan ikon sarrafa abubuwan inji

Tare da hypoglycemia, haramun ne a tuka mota ko kuma yin wasu abubuwa masu rikitarwa.

Canja wurin mara lafiya zuwa wani sabon nau'in insulin ana yin shi ne kawai a karkashin kulawar likita. A cikin wasu halaye, ana iya buƙatar maganin hypoglycemic. Lokacin canza canjin aiki, kana buƙatar daidaita sashi gwargwado.

Yi amfani da tsufa

Za'a iya amfani da maganin a cikin tsufa. Saboda haka ba a buƙatar gyaran gyaɗa ba.

Ana iya tsara wannan nau'in insulin ga yara daga shekaru shida.

Lokacin rubuta wannan magani ga mata masu juna biyu, tilas ne a yi taka tsantsan. Wajibi ne a auna glucose jini a hankali.

Ana iya tsara wannan nau'in insulin ga yara daga shekaru shida.

Karka canza adadin maganin da aka bayar da tsarin kulawa domin lalacewar koda.

Yi amfani da lokacin daukar ciki da lactation

Akwai iyakantaccen shaida dangane da amfani da wannan magani yayin lokacin shayarwa da shayarwa. Nazarin dabbobi na ƙwayoyin ba su nuna wani tasiri ba a lokacin daukar ciki.

Lokacin rubuta wannan magani ga mata masu juna biyu, tilas ne a yi taka tsantsan. Wajibi ne a auna glucose jini a hankali.

Marasa lafiya tare da masu ciwon sukari suna buƙatar saka idanu matakan sukari na jini. A cikin farkon watanni, bukatun insulin na iya raguwa kaɗan. Ba'a san ko insulin ya wuce cikin madara ba.

Aikace-aikacen aiki mara kyau

Karka canza adadin maganin da aka bayar da tsarin kulawa domin lalacewar koda.

Aikace-aikace don aikin hanta mai rauni

Ba a gudanar da karatun asibiti a cikin marasa lafiya da ke fama da rauni na hepatic ba.

Glulisin insulin yawan zubar jini

Tare da kashi mai sarrafawa mai wucewa, hypoglycemia yana haɓaka da sauri, kuma digiri na iya zama daban - daga m zuwa mai tsanani.

Abubuwan da ke faruwa na rashin jinin haila an hana su amfani da glucose ko abinci mai narkewa. An ba da shawarar cewa marasa lafiya koyaushe suna ɗaukar kayan maciji, kukis, ruwan 'ya'yan itace mai ɗanɗano, ko kuma kawai sukari mai ladabi tare da su.

Tare da mummunan digon jini, mutum ya rasa hankali. Ana ba da Glucagon ko dextrose azaman taimako na farko. Idan babu amsa ga ayyukan glucagon, to ana maimaita irin allura iri ɗaya. Bayan samun nutsuwa, kuna buƙatar ba mai haƙuri shayi mai zaki.

Yin hulɗa tare da wasu kwayoyi

Wasu ƙwayoyi na iya shafar metabolism metabolism. Wannan yana buƙatar canji ga sashin insulin. Wadannan kwayoyi masu zuwa suna kara tasirin cutar Apidra:

• na baki hypoglycemic jamiái,
• ACE masu hanawa
• Yin watsi da su,
• zaren wuta
• Fluoxetine,
• monoamine oxidase hana abubuwa
• Pentoxifylline
• Propoxyphene,
• salicylic acid da abubuwan ta,
• sulfonamides.

Pentoxifylline yana ƙaruwa da sakamako na hypoglycemic na Apidra.

Fluoxetine yana ƙaruwa da sakamako na hypoglycemic na Apidra.

Acid na Salicylic yana kara tasirin cutar Apidra.

Disopyramide yana ƙaruwa da sakamako na hypoglycemic na Apidra.

Irin waɗannan magunguna suna rage yawan aiki na jikin mutum na wannan nau'in insulin:

• GKS,
• Danazole
• Diazoxide
• kamuwa da cuta
• Isoniazid,
• Abubuwan Phenothiazine
• Girma hormone,
• cututtukan ƙwayar hodar iblis ɗin
• jijiyoyin mace na mace wanda ke cikin magungunan hana haihuwa,
• abubuwa masu hana kariya.

Beta-blockers, clonidine hydrochloride, shirye-shiryen lithium na iya haɓaka, ko kuma, bi da bi, ya raunana ayyukan insulin. Yin amfani da pentamidine da farko yana haifar da hypoglycemia, sannan kuma ƙaruwa mai yawa a cikin tattarawar glucose jini.

Insulin baya buƙatar haɗa shi da wasu nau'ikan wannan hormone a cikin sirinji iri ɗaya. Guda iri ɗaya ya shafi kumburin jiko.

Amfani da barasa

Shan giya na iya haifar da ƙwaƙwalwar ƙwayar cuta.

Glulisin analogues sun hada da:

• Apidra
• Novorapid Flekspen,
• Epidera
• insulin isophane.

Novorapid (NovoRapid) - analog na insulin mutum

Isofan insulin shirye-shiryen (Isofan insulin)

Ta yaya kuma yaushe za a gudanar da insulin? Maganin allura da sarrafa insulin

Yanayin ajiya na miyagun ƙwayoyi

Karancin katako da vials ya kamata a ajiye su a cikin firiji. Ba a yarda daskarewa insulin ba. Storedayoyin da aka buɗe da katukan katako ana ajiyar su a zazzabi da basa wuce + 25ºC.

Magungunan sun dace da shekaru 2. Shiryayyar rayuwar katako a cikin kwalba ko kabad ana sati 4, bayan haka dole ne a zubar dashi.

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Apidra ga mata masu juna biyu

Wa'adin da miyagun ƙwayoyi dangane da mata masu juna biyu yakamata a gudanar da su tare da taka tsantsan. Bugu da kari, a cikin tsarin irin wannan jiyya, yakamata a gudanar da iko da kashi na sukari na jini duk lokacin da zai yiwu. An bada shawarar sosai cewa:

• marasa lafiya waɗanda aka bincikar lafiya tare da ciwon sukari na mellitus nan da nan kafin daukar ciki ko kuma waɗanda suka haɓaka abin da ake kira cutar sankara ta mata masu juna biyu, ana ba da shawarar sosai a cikin tsawon lokacin don gaba ɗaya su kula da kulawar glycemic uniform,
• A cikin farkon lokacin haihuwa, da bukatar wakilan mata suyi amfani da insulin na iya raguwa cikin hanzari,
• a matsayinka na mai mulki, a karo na biyu da na uku, zai karu,
• bayan bayarwa, da buƙatar amfani da kayan haɗin gami, ciki har da Apidra, zai sake raguwa sosai.

Hakanan yakamata a ɗauka cewa waɗannan matan waɗanda ke shirin yin ciki dole ne kawai su sanar da likitan nasu game da wannan.

Hakanan yana da mahimmanci a tuna cewa ba a san shi sarai ba ko insulin-glulisin zai iya wuce kai tsaye zuwa cikin madara.

Ana iya ɗaukar wannan analog na insulin na mutum yayin daukar ciki, amma yin aiki a hankali, lura da matakin sukari a hankali kuma, ya danganta da shi, daidaita sashin hormone. A matsayinka na mai mulki, a cikin farkon farkon lokacin daukar ciki, kashi na maganin yana raguwa, kuma a cikin na biyu da na uku, sannu a hankali yana ƙaruwa. Bayan haihuwa, bukatar babban adadin Apidra ta ɓace, don haka ana sake rage kashi ɗin.

Babu nazarin karatun asibiti game da amfanin Apidra yayin daukar ciki. Limitedarancin bayanai game da amfani da wannan insulin ta hanyar mata masu juna biyu ba su nuna tasirinsa ba game da samuwar cikin tayin, lokacin daukar ciki, ko kan jariri.

Gwajin dabbobi na dabbobi bai nuna wani bambance-bambance tsakanin insulin ɗan adam da kuma glulisin insulin dangane da haɓakar tayi / tayi, ciki, aiki da kuma na bayan haihuwa.

Ya kamata a tsara wa mata masu juna biyu Apidra tare da taka tsantsan tare da tursasawa akai-akai na matakan glucose din plasma da kuma sarrafa glycemic.

Mata masu juna biyu da masu ciwon sukari ya kamata su san yiwuwar raguwar buƙatun insulin a cikin farkon farkon lokacin ciki, karuwa a cikin na biyu da na uku, da kuma raguwa cikin sauri bayan haihuwa.

Ciki Babu isasshen bayani game da amfani da insulin glulisin a cikin mata masu juna biyu.

Karatuttukan dabbobi na dabbobi basu bayyana wani bambance-bambance tsakanin insulin glulisin da insulin mutum dangane da ciki, ci gaban tayin / tayi, haihuwa da kuma bayan haihuwa.

Lokacin da aka tsara magunguna ga mata masu juna biyu, ya kamata a kula. Ana buƙatar kulawa da hankali akan matakan glucose na jini.

Marasa lafiya da ke da juna biyu kafin masu juna biyu ko masu ciwon sukari suna buƙatar kula da ingantaccen iko na rayuwa a duk lokacin da suke cikin ciki. A cikin lokacin farko na ciki, bukatar insulin na iya raguwa, kuma a lokacin karo na biyu da na uku, yawanci yana iya ƙaruwa. Nan da nan bayan haihuwa, bukatar insulin ya ragu da sauri.

Ba a samun bayani game da amfani da insulin-glulisin ta mata masu ciki. Gwajin dabbobi na dabbobi bai nuna wani bambance-bambance tsakanin insulin-narkewar mutum da insulin-glulisin dangane da ciki, ci gaban tayin, tayi, da kuma bayan haihuwa.

Koyaya, mata masu juna biyu ya kamata su tsara maganin sosai. A lokacin kulawa, ya kamata a sa ido kan sukari na jini akai-akai.

Marasa lafiya waɗanda suka kamu da ciwon sukari kafin samun juna biyu ko kuma waɗanda suka kamu da cutar sukari a cikin mata masu juna biyu suna buƙatar kula da ƙwayar cutar glycemic a duk tsawon lokacin.

A cikin farkon lokacin ciki, bukatar mai haƙuri ga insulin na iya raguwa. Amma, a matsayin mai mulkin, a cikin watanni masu zuwa, yana ƙaruwa.

Bayan haihuwa, bukatar insulin ya ragu kuma. Mata masu shirin daukar ciki ya kamata su sanar da mai kula da lafiyar su game da hakan.

Lokacin kulawa da mata yayin haila da shayarwa, yi amfani da hankali - zai fi kyau amfani da nau'ikan insulin na gargajiya.

Tasirin warkewar cutar

Mafi mahimmancin aikin Apidra shine ka'idojin cancanta na glucose metabolism a cikin jini, insulin ya sami damar rage yawan sukari, ta haka yana ƙarfafa karɓar ƙwayoyin ta ta hanyar:

Insulin yana hana samar da glucose a cikin hanta mai haƙuri, adipocyte lipolysis, proteolysis, da kuma haɓakar haɓakar furotin.

A cikin binciken da aka gudanar kan mutane masu lafiya da marasa lafiya da ke fama da cutar sankara, an gano cewa gudanar da mulki na glulisin yana bayar da sakamako mai sauri, amma tare da gajeren lokaci, idan aka kwatanta da insulin mutum na narkewa.

Tare da gudanarwa na ƙwayar subcutaneous na miyagun ƙwayoyi, tasirin hypoglycemic zai faru a cikin mintuna 10 zuwa 20, tare da injections na ciki wannan tasirin yana daidai da ƙarfi ga aikin insulin na mutum. Apungiyar Apidra tana da halin aiki na rashin ƙarfi, wanda ya yi daidai da na insulin ɗan adam mai narkewa.

Ana gudanar da insulin na Apidra mintuna biyu kafin abincin da aka yi niyya, wanda ke ba da izinin sarrafa glycemic na al'ada na postprandial, mai kama da insulin na mutum, wanda ana gudanar da mintina 30 kafin abinci. Ya kamata a lura cewa irin wannan kulawa shine mafi kyau.

Idan ana gudanar da glulisin mintina 15 bayan cin abinci, zai iya samun damar kula da yawan sukarin jini, wanda ya yi daidai da insulin na mutum wanda ke tafiyar da mintina 2 kafin cin abinci.

Insulin zai tsaya a cikin jini zuwa minti 98.

Bayanin sigar sashi

Dole ne a gudanar da maganin ta hanyar allurar subcutaneous, kazalika da ci gaba da jiko. An bada shawarar yin wannan na musamman a cikin kasusuwa da ƙoshin kitse ta amfani da tsarin aikin famfo na musamman.

Dole ne a aiwatar da injections na Subcutaneous in:

Ya kamata a gabatar da insulin na Apidra ta amfani da jinkirin jiko a cikin kashi mai ƙwaya ko mara mai kyau a cikin ciki. Bangarorin ba wai kawai allura ba ne, har ma da abubuwan da aka samar a bangarorin da aka gabatar, kwararru sun bada shawarar musayar junan su don kowane sabon tsarin na bangaren.

Irin waɗannan abubuwan kamar yankin dasawa, aikin jiki, da sauran yanayin "iyo" na iya samun tasiri akan girman hanzarin ɗaukar ciki kuma, sakamakon hakan, a kan ƙaddamar da girman tasirin.

Shiga ciki daga ciki zuwa bangon yankin na ciki ya zama garanti na mafi yawan hanzarin jan ciki fiye da shigar cikin wasu sassan jikin mutum. Tabbatar ka bi ka'idodin ka'idodi don kauda abubuwan ci gaba na miyagun ƙwayoyi a cikin tasoshin jini na nau'in jini.

Inganta tasirin insulin:

• na baki hypoglycemic jamiái,
• rashin biyayya
• ACE hanawa da MAO,
• mai kyalli
• sulfonamide antimicrobial jamiái,
• wakili
• zaren wuta
• skwarin
• salicylates.

Gane da sakamako:

• GKS,
• daban-daban na diuretics
• danazol
• isoniazid
• diazoxide
• tausayawa
• salbutamol,
• sabbin kayan tarihin,
• somatropin,
• kwaya, kwayoyi,
• epinephrine
• magungunan ƙwayoyin cuta
• dabino
• cututtukan mahaifa
• masu hana masu kariya.

Irin waɗannan kwayoyi kamar beta-blockers, lithium salts, ethanol, clonidine na iya samun sakamako mai yawa. Bayyanar cututtukan hypoglycemia mask: beta-blockers, reserpine, clonidine, guanethidine.

Lokacin da yake ba da magani, likitan halartar ya kamata ya kula da shan kuɗin da aka lissafa.

Amincewa da insulin isophane na mutum. Rashin jituwa tare da sauran hanyoyin magance magunguna.

Reviews game da Apidra miyagun ƙwayoyi, da kuma game da duk sauran insulins, sun gangara abu ɗaya, shin wannan magungunan ko wannan mutumin ya zo ko a'a. Game da batun lokacin da maganin Apidra ya dace da mai haƙuri, kusan babu koke game da inganci da amincinsa. Hakanan an lura da dacewa da yin amfani da almarar sirinjin SoloStar da daidaituwar allurar insulin a cikinsu.

Mafi yawa tabbatacce sake dubawa. Ingantaccen aiki, ana saurin aiwatar da aiki. Abubuwan da ke haifar da sakamako masu lalacewa suna da matuƙar wuya, ana amfani da maganin a haɗuwa da magani.

Mariya: “Na ɗan jima ina fama da ciwon sukari irin 2. Kwanan nan, koyaushe ba zai yiwu a sarrafa tsalle-tsalle a cikin sukari ba yayin abinci. Likita ya shawarce ni in gwada Apidra tare da sauran magunguna na. Ina amfani da shi tsawon watanni yanzu, babu korafi. Babban abu shine cikakken tsarin cin abinci. Ba za a iya cin abincin da ke cikin carbohydrates sosai ba. Amma tasirin shine abin da kuke buƙata. Na yi farin ciki da wannan maganin. ”

Alina: “Sau da yawa na kan fuskanci gaskiyar cewa insulin karancin matsakaicina bai isa ba duk ranar. Bayan hypoglycemia mai sauƙi ya faru sau ɗaya, sai ta je wurin likita don ƙarin magani. Ya wajabta Apidra. Sakamakon yana da sauri, barga. Ya isa kawai ga waɗancan halayen lokacin da kuke buƙatar daidaita matakan sukari da sauri. Yanzu ba zan iya damuwa da cin abinci a wajen gidan ba. Ina son miyagun ƙwayoyi sosai. ”

1. Farashin Apidra SoloStar, inda zaka sayi Apidra SoloStar a Moscow?
2. Alkalami na sihiri don insulin - yadda ake amfani da kuma zaɓi mafi kyau
3. Lantus - umarnin don amfani, allurai, alamu
4. Antibodies zuwa insulin - farashin a Moscow

Umarnin don amfani da miyagun ƙwayoyi

Alamar don amfani da insulin Apidra SoloStar ita ce mellitus na insulin-dogara da ciwon sukari na farkon da na biyu, ana iya ba da maganin ga manya da yara sama da shekaru 6. Contraindications zai zama hypoglycemia da rashin haƙuri ɗaya zuwa kowane ɓangare na miyagun ƙwayoyi.

Yayin cikin ciki da shayarwa, ana amfani da Apidra tare da taka tsantsan.

Ana gudanar da insulin nan da nan kafin abinci ko mintina 15 kafin. Hakanan an ba shi izinin yin amfani da insulin bayan abinci. Yawancin lokaci, Apidra SoloStar ana ba da shawarar a cikin tsarin kulawa na insulin na matsakaici-matsakaici, tare da analogues na insulin analogues. Ga wasu marasa lafiya, ana iya tsara shi tare da allunan rigakafin jini.

Ya kamata a zaɓi hanyar yin aikin mutum ɗaya don kowane mai ciwon sukari, la'akari da cewa tare da gazawar renal, an rage buƙatar wannan hormone sosai.

An ba da damar yin amfani da miyagun ƙwayoyi a ƙarƙashin subcutaneously, jiko a cikin yankin mai subcutaneous mai. Mafi kyawun wurare don kulawar insulin:

Lokacin da ake buƙatar ci gaba da jiko, gabatarwar ana gudana ne ta musamman a cikin ciki. Likitocin sun bada shawarar sosai akan hanyoyin yin allurar, dan tabbatar da matakan lafiya. Wannan zai hana shigarwar insulin cikin jijiyoyin jini. Gudanar da ƙananan ƙwayoyin cuta ta jikin bangon yankin mai ciki shine tabbacin mafi yawan shan miyagun ƙwayoyi fiye da gabatarwarsa zuwa wasu sassa na jiki.

Bayan allurar, an hana shi tausa wurin allurar, likita ya kamata ya ba da labarin wannan yayin taƙaitaccen hanyar da ta dace don gudanar da maganin.

Yana da mahimmanci a san cewa wannan magani bai kamata a gauraye da sauran insulins ba, ƙarancin wannan dokar shine insulin Isofan. Idan kun haɗu da Apidra da Isofan, kuna buƙatar bugawa da farko kuma nan da nan farashi.

Dole ne a yi amfani da katunan katako tare da alkalami na OptiPen Pro1 ko tare da wannan na'urar, tabbatar cewa bin shawarwarin mai ƙira:

1. katuwar taya,
2. hade da allura
3. gabatarwar miyagun ƙwayoyi.

Kowane lokaci kafin amfani da na'urar, yana da mahimmanci a gudanar da bincike na gani; maganin allurar ya kamata ya zama mai cikakken haske, mara launi, ba tare da tsayayyen abubuwan gani ba.

Kafin shigarwa, dole ne a ajiye katun a zazzabi a daki na akalla awanni 1-2, nan da nan kafin gabatarwar insulin, an cire iska daga cikin kicin. Ba za a cika harsashin da aka sake amfani da shi ba, ana zubar da alkalami mai lalacewa. Lokacin amfani da famfo na famfo don samar da insulin ci gaba, haɗawa haramun ne!

Don ƙarin bayani, da fatan a karanta umarnin don amfani. An kula da marasa lafiya masu zuwa sosai:

• tare da nakasa aikin naya (akwai bukatar a sake duba yawan sinadarin insulin),
• tare da aikin hanta mai rauni (buƙatar hormone yana iya raguwa).

Babu wani bayani game da karatuttukan magani na magunguna a cikin tsofaffi marasa lafiya, duk da haka, ya kamata a haɗu da hankali cewa wannan rukuni na marasa lafiya na iya rage buƙatar insulin saboda rashin aiki na keɓaɓɓen aiki.

Ana iya amfani da vial insulin na insulin tare da tsarin insulin-pump, sirinji insulin tare da sikelin da ya dace. Bayan kowace allura, sai an cire allura daga sirinji ya watsar. Wannan hanyar zai taimaka wajen hana kamuwa da cuta, yaduwar magunguna, shigar iska, da kuma rufe allurar. Ba za ku iya yin gwaji tare da lafiyar ku ba kuma sake amfani da allura.

Don hana kamuwa da cuta, ana amfani da alƙalami mai sikari guda ɗaya kawai wanda ke fama da ciwon sukari, ba za'a iya tura shi ga wasu mutanen ba.

Magidodi na yawan abin sama da ya kamata da kuma cutarwa

Mafi sau da yawa, mai haƙuri da ciwon sukari na iya haɓaka irin wannan sakamako mara amfani kamar hypoglycemia.

A wasu halayen, miyagun ƙwayoyi suna haifar da wucewar fata da kumburi a wurin allurar.

Wani lokacin tambaya ce na lipodystrophy a cikin ciwon sukari na mellitus, idan mai haƙuri bai bi shawarar ba a madadin wuraren allurar insulin.

Sauran halayen rashin lafiyan halayen sun hada da:

1. choking, urticaria, rashin lafiyan cututtukan fata (sau da yawa),
2. kirji (kirji).

Tare da bayyanar da halayen halayen ƙwayar cuta, akwai haɗari ga rayuwar mai haƙuri. A saboda wannan dalili, yana da mahimmanci ku kula da lafiyarku kuma ku saurari abubuwan damuwarta.

Lokacin da yawan abin sama da ya faru, mai haƙuri yana haɓaka ƙwanƙwasa ƙwayar cuta mai ƙarfi a hankali. A wannan yanayin, an nuna magani:

• m hypoglycemia - amfanin abinci da ke da sukari (a cikin masu ciwon sukari ya kamata su kasance tare da su koyaushe)
• tsananin hypoglycemia tare da asarar hankali - tsayawa ana aiwatar da shi ta hanyar gudanar da 1 mil na glucagon subcutaneously ko intramuscularly, ana iya gudanar da glucose a cikin jijiya (idan mai haƙuri bai amsa glucagon ba).

Da zaran mara lafiya ya dawo cikin hayyacinsa, to lallai yana bukatar cin abinci mai yawa na carbohydrates.

Sakamakon cututtukan hypoglycemia ko hyperglycemia, akwai haɗarin ƙarancin ƙarfin haƙuri na mai da hankali, maida saurin halayen psychomotor. Wannan yana haifar da wata barazana yayin tuki motocin ko wasu hanyoyin.

Ya kamata kulawa ta musamman ga masu ciwon sukari da ke da ikon ragewa ko kuma ba su da cikakkiyar damar sanin alamun cutar rashin ƙarfi. Hakanan yana da mahimmanci ga yawan lokutan yawan sukari mai narkewa.

Irin waɗannan marasa lafiya ya kamata su yanke shawara game da yiwuwar sarrafa abubuwan hawa da injuna daban-daban.

Sauran shawarwari

Tare da amfani da insulin Apidra SoloStar na insulin tare da wasu kwayoyi, ana iya ƙaruwa ko raguwa cikin tsinkayar ci gaban hypoglycemia, al'ada ce a danganta da irin waɗannan kwayoyi:

1. na baki hypoglycemic,
2. ACE masu hanawa
3. zaren wuta
4. Yin watsi da su,
5. MAO masu hanawa
6. Fluoxetine,
7. Pentoxifylline
8. salicylates,
9. Propoxyphene,
10. maganin antimicrobials na sulfonamide.

Tasirin hypoglycemic zai iya raguwa nan da nan sau da yawa idan an gudanar da insulin glulisin tare da kwayoyi: diuretics, abubuwan da ke haifar da kwayoyin halittar sitot, cututtukan thyroid, inhibitors, antipsychotropic, glucocorticosteroids, Isoniazid, Phenothiazine, Somatropin, sympathomimetics.

Magungunan Pentamidine kusan koyaushe yana da hypoglycemia da hyperglycemia. Ethanol, salts lithium, beta-blockers, miyagun ƙwayoyi Clonidine na iya yin ƙarfin ƙarfi kuma ya ɗan raunana tasirin hypoglycemic.

Idan ya zama dole don canja wurin masu ciwon sukari zuwa wani nau'in insulin ko wani nau'in magani, tsananin kulawa daga likitan halartar yana da mahimmanci. Lokacin da aka yi amfani da insulin na insulin da yawa ko kuma mara lafiya ya yanke shawarar yanke magani, wannan zai haifar da ci gaban:

• mai zafi hyperglycemia,
• mai fama da ciwon sukari ketoacidosis.

Duk waɗannan yanayin suna haifar da haɗari ga rayuwar mai haƙuri.

Idan akwai canji a cikin aikin motsa jiki na al'ada, adadi da ingancin abinci da aka ƙone, ana iya buƙatar daidaita sashin insidin insidra. Aiki na jiki wanda ke faruwa nan da nan bayan cin abinci na iya ƙara yawan yiwuwar ƙin jini.

Marasa lafiya tare da ciwon sukari ya canza bukatar yin insulin idan yana da yawan wahalar rai ko kuma cututtuka masu rikitarwa. An tabbatar da wannan tsarin ta hanyar sake dubawa, duka likitoci da marasa lafiya.

Ana buƙatar insulin na Apidra a cikin wuri mai duhu, wanda dole ne a kiyaye shi daga yara har tsawon shekaru 2. Mafi kyawun zazzabi don adana maganin shine daga digiri 2 zuwa 8, haramun ne a daskare insulin!

Bayan fara amfani da shi, ana ajiye katako a cikin zafin jiki wanda bai wuce digiri 25 ba, sun dace don amfani da su na tsawon wata guda.

Bayanin insulin na Apidra an ba da shi a cikin bidiyon a cikin wannan labarin.