Magunguna kan layi

Takamaiman matakin da hanyar gudanarwa za a ba da shawarar kawai ga likitan halartar. Za a saita sashi ne gwargwadon yawan sukarin jini na yanzu da sa'o'i 2 bayan cin abinci. Bugu da ƙari, za a yi la'akari da matakin hanya na glucosuria da abubuwanta.

Ana iya sarrafa Gensulin r ta hanyoyi da yawa (na cikin ciki, intramuscularly, subcutaneously) mintuna 15-30 kafin abincin da aka yi niyya. Hanyar da aka fi sani da tsarin gudanarwa ita ce juzu'i. Sauran zasu dace da irin waɗannan yanayi:

• tare da ciwon sukari ketoacidosis,
• tare da coma mai ciwon sukari
• yayin tiyata.

Mitar gudanarwa yayin aiwatar da aikin motsa jiki zai zama sau 3 a rana. Idan ya cancanta, ana iya ninka adadin allura har sau 5-6 a rana.

Domin kada ku bunkasa lipodystrophy (atrophy da hauhawar ƙwayar nama), ya zama dole don canza wurin allura akai-akai.

Matsakaicin yawan maganin yau da kullum Gensulin r zai zama:

• don tsofaffi marasa lafiya - daga raka'a 30 zuwa 40 (UNITS),
• ga yara - raka'a 8.

Furtherarin gaba, tare da karuwar buƙata, matsakaicin kashi zai zama 0.5 - 1 LATSA don kowane kilogram na nauyi ko daga 30 zuwa 40 PIECES sau 3 a rana.

Idan kashi na yau da kullun zai wuce 0.6 U / kg, to, a wannan yanayin, ya kamata a gudanar da maganin a cikin nau'i na injections guda 2 a sassa daban-daban na jiki.

Magunguna suna ba da damar haɗakar magungunan Gensulin r tare da insulins masu aiki da dogon lokaci.

Maganin dole ne a tattara shi daga murfin ta hanyar sokin matattarar roba tare da allurar syringe mai kauri.

Ka'idojin bayyanar jiki

Wannan magani yana hulɗa tare da takamaiman masu karɓa a kan sel na waje na sel. A sakamakon irin wannan lambar sadarwa, mai karɓar insulin ta haɗari. Kamar yadda samar da cAMP ke ƙaruwa a cikin mai da ƙwayoyin hanta ko lokacin da kai tsaye suka shiga cikin ƙwayoyin tsoka, sakamakon haɗarin insulin mai karɓar ƙwaƙwalwar mahaifa yana fara motsa ayyukan cikin ciki.

Rage yawan sukari na jini yana faruwa ta:

1. da girma ta cikin kwayuka,
2. ptionarin shanshi, har da shashi daga tsokoki,
3. ƙarfafawa daga tsarin aikin lipogenesis,
4. sunadaran gina jiki
5. karin magana
6. raguwa a cikin yawan samar da glucose ta hanta.

Bayan allurar subcutaneous, ƙwayar Gensulin r zata fara aiki cikin minti 20-30. Za'a lura da mafi yawan abubuwan da ke cikin abubuwan bayan sa'o'i 1-3. Matsakaicin bayyanar wannan insulin zai dogara ne akan kai tsaye, hanya da wurin gudanarwa.

Yiwuwar halayen m

A kan aiwatar da Gensulin r waɗannan halayen mara kyau na jiki suna yiwuwa:

• rashin lafiyan (cututtukan mahaifa, karancin numfashi, zazzabi, rage karfin jini),
• hypoglycemia (pallor, gumi, haɓaka gumi, yunwa, rawar jiki, damuwa mai yawa, ciwon kai, rashin damuwa, halayyar baƙon, hangen nesa da daidaituwa),
• cutar rashin daidaituwa
• acidosis da ciwon sukari (hyperglycemia) (yana haɓaka da isasshen magunguna, ƙyalƙyalen injections, ƙin rage cin abinci): hyperemia na fata, raguwar ci, rashin nutsuwa, yawan shan ruwa,
• mai raunin hankali
• matsalolin hangen nesa na yau da kullun,
• immunological halayen na jiki ga insulin mutum.

Bugu da kari, a farkon farawar, ana iya samun kumburi da nakuda sosai. Wadannan bayyanar cututtuka ba na sama ba ne kuma da sauri sun shuɗe.

Siffofin aikace-aikace

Kafin ku sha magungunan Gensulin r daga vial, kuna buƙatar bincika mafita don nuna gaskiya. Idan aka gano gawar foreignan ƙasa, laka ko turbar wani abu, haramun ne a yi amfani da shi!

Yana da mahimmanci kada a manta game da kyakkyawan zazzabi na maganin allura - dole ne ya zama zazzabi dakin.

Sashi na miyagun ƙwayoyi ya kamata a daidaita shi idan ya kasance ci gaban wasu cututtuka:

• na ciwon maɗamfari
• Cutar Addison
• tare da ciwon sukari a cikin marasa lafiya da suka girmi shekaru 65,
• tare da matsalolin aikin thyroid,
• maganin rashin lafiya.

Babban abubuwan da ake buƙata don ci gaban hypoglycemia na iya zama: yawan maye, maye gurbin miyagun ƙwayoyi, amai, narkewa a ciki, canjin wurin allura, ƙwayar jiki, da kuma hulɗa tare da wasu kwayoyi.

Za'a iya lura da raguwar sukari na jini yayin juyawa daga insulin dabbobi zuwa mutum.

Duk wani canji a cikin kayan da aka gudanar ya kamata a tabbatar da lafiyar shi kuma za'a aiwatar dashi karkashin tsananin kulawa na likita. Idan akwai wani hali na haɓakar hypoglycemia, to a wannan yanayin ikon marasa lafiya su shiga cikin zirga-zirgar ababen hawa da kiyaye injunan, da kuma takamaiman motoci.

Masu ciwon sukari na iya dakatar da haɓaka ci gaban haɓakar ƙwararraki. Wannan mai yiwuwa ne saboda yawan adadin carbohydrates. Idan an canza jini, to ya zama dole a sanar da likitanka masu halartar wannan.

A lokacin jiyya tare da Gensulin r, lokuta masu rarrabewa na raguwa ko haɓaka yawan adadin mai zai yiwu. Ana kuma lura da irin wannan tsari kusa da wuraren allurar. Zai yuwu a guji wannan abin ta hanyar canza wurin allurar a kai a kai.

Idan ana amfani da insulin a lokacin daukar ciki, yana da mahimmanci a la’akari da cewa a farkon lokacinsa na farko, buƙatuwar ƙwayar jijiyar jiki ta ragu, kuma cikin na biyu da na uku yana ƙaruwa sosai. Yayin haihuwar yara kuma kai tsaye bayan su, za a iya samun karancin bukatun jiki na allurar hormone.

Idan mace tana shayarwa, to a wannan yanayin ya kamata ta kasance karkashin kulawar likita (har zuwa lokacin da yanayin ya daidaita).

Marasa lafiya tare da masu ciwon sukari waɗanda ke karɓar fiye da raka'a 100 na Gensulin R a lokacin rana ya kamata a asibiti idan sun canza magunguna.

Matsayin hulɗa tare da wasu kwayoyi

Daga ra'ayi na magani, magungunan ba su dace da sauran kwayoyi ba.

Hypoglycemia na iya karuwa ta:

• sulfonamides,
• MAO masu hanawa
• carbonic anhydrase inhibitors,
• ACE hanawar, NSAIDs,
• magungunan anabolic steroid
• androgens
• Shirye-shiryen Li +

Sakamakon akasin yanayin lafiyar masu ciwon sukari (raguwar ɗimin jini) zai sami amfani da Gensulin ta wannan hanyar:

1. maganin hana haihuwa
2. madauki diuretics
3. estrogens
4. marijuana
5. masu karɓar masu karɓar H1-histamine,
6. nicotine
7. glucagon
8. somatotropin,
9. epinephrine
10. clonidine
11. tricyclic maganin rigakafin,
12. ƙwayar cuta.

Akwai magunguna waɗanda zasu iya shafar jikin mutum ta hanyoyi guda biyu. Pentamidine, octreotide, reserpine, har ma da masu amfani da beta-blockers zasu iya haɓakawa da raunana tasirin hypoglycemic na miyagun ƙwayoyi Gensulin r.

Short-aiki insulin mutum

ICD: Mellitus na sukari mai dogaro da insulin na Eulin (nau'in ciwon sukari na 1) Ciwon mara wanda ke fama da rashin lafiyar insulin-insellus (irin na sukari guda 2 mellitus)

Gensulin P - insulin din ɗan adam wanda aka samo ta hanyar amfani da fasahar DNA. Shirye-shiryen insulin ne a takaice. Yana hulɗa tare da takamaiman mai karɓa akan ƙwayar cytoplasmic na waje na sel kuma yana samar da hadaddun insulin-receptor wanda ke motsa ayyukan ciki, gami da haɗakar enzymes da yawa (hexokinase, pyruvate kinase, glycogen synthetase). Raguwar glucose a cikin jini yana faruwa ne saboda karuwa a cikin jijiyoyin zuciya, karɓar karɓar ƙwaƙwalwa da ƙimar kyallen takarda, haɓakar lipogenesis, glycogenogenesis, da raguwa a cikin yawan samar da glucose ta hanta.
Tsawon lokacin aiwatar da shirye-shiryen insulin ya kasance ne sabili da yawan rashi, wanda ya dogara da abubuwa da yawa (alal misali, akan kashi, hanyar da wurin gudanarwar), sabili da haka bayanin aikin insulin yana haifar da sauyawa sosai, duka mutane daban-daban kuma iri daya mutum.
Bayanin aiki tare da allurar sc (jimlar ƙira): farkon aiwatarwa bayan mintuna 30, matsakaicin tasirin yana cikin tazara tsakanin awa 1 zuwa 3, tsawon lokacin aikin yana zuwa 8 hours.

Cikakken mamayewa da farawar insulin ya dogara da hanyar gudanarwa (s / c, i / m), wurin allurar (ciki, cinya, gindi), kashi (yawan insulin insulin), da kuma tattarawar insulin a cikin shiri. An rarraba shi ba tare da daidaituwa ba akan ƙusoshin: h baya shiga.

Fom ɗin saki

Ba ku sami bayanin da kuke buƙata ba?
Ana iya samun ƙarin cikakkun umarnin don magani "gensulin r (gensulin r)" za'a iya samun su anan:

Ya ku likitoci!

Idan kuna da gogewa wajen tsara wannan magani ga marasa lafiyar ku - raba sakamakon (barin sharhi)! Shin wannan maganin ya taimaka wa mai haƙuri, shin akwai wasu sakamako masu illa da suka faru yayin magani? Kwarewar ku zata kasance mai ban sha'awa ga abokan aiki da kuma marasa lafiya.

Ya ku marasa lafiya!

Idan aka tsara muku wannan magani kuma kun sha hanyar magani, ku gaya mani idan yana da tasiri (ko yana taimakawa), ko akwai sakamako masu cutarwa, abubuwan da kuke so / ba ku so. Dubban mutane suna neman sake dubawa ta kan layi na magunguna daban-daban. Amma 'yan kaɗan ne suka rage su. Idan kai da kanka ba ku ba da ra'ayi ba akan wannan batun - sauran ba za su karanta ba.

Abun ciki na GENSULIN N

3 ml - katako (5) - murhun kwano.
3 ml - katako (625) - fakitoci na kwali.
10 ml - kwalabe (1) - fakitoci na kwali.
10 ml - kwalabe (144) - fakitoci na kwali.

Matsakaici tsawon insulin mutum

Gensulin H - insulin din ɗan adam wanda aka samu ta hanyar amfani da fasahar DNA. Shiri ne na matsakaici wanda yake aiki da shi. Yana hulɗa tare da takamaiman mai karɓa a kan ƙwayar cytoplasmic na waje na sel kuma yana samar da hadaddun insulin-receptor wanda ke motsa ayyukan ciki, gami da haɗakar enzymes da yawa (hexokinase, pyruvate kinase, glycogen synthetase, da sauransu). Raguwar glucose a cikin jini yana faruwa ne saboda karuwa a cikin jijiyoyin zuciya, karɓar karɓar ƙwaƙwalwa da ƙimar kyallen takarda, haɓakar lipogenesis, glycogenogenesis, da raguwa a cikin yawan samar da glucose ta hanta. Tsawon lokacin aiwatar da shirye-shiryen insulin ya kasance ne sabili da yawan rashi, wanda ya dogara da abubuwa da yawa (alal misali, akan kashi, hanyar da wurin gudanarwar), sabili da haka bayanin aikin insulin yana haifar da sauyawa sosai, duka mutane daban-daban kuma iri daya mutum.

Bayanin aiki na allurar sc (jimlar siffofi): farawar aiki bayan sa'o'i 1.5, matsakaicin sakamako yana kasancewa tsakanin sa'o'i 3 zuwa 10, tsawon lokacin aikin ya kai awowi 24.

Cikakken kamfani da kuma haifar da tasirin insulin ya dogara da wurin allura (ciki, cinya, buttocks), kashi (girman insulin allurar), yawan insulin a cikin magunguna, da dai sauransu An rarraba shi ba tare da bambanci ba a jikin kyallen, kuma ba ya shiga cikin shinge na mahaifa da kuma cikin madara. An lalata shi ta hanyar insulinase galibi a cikin hanta da kodan. Kodan ya fitar da ita (kashi 30-80%).

Sashi da gudanar da GENSULIN N

Gensulin N an yi niyya ne don sc gwamnati. Girman maganin yana maganin likita ne daban-daban a kowane yanayi, gwargwadon matakin glucose a cikin jini. A matsakaici, kashi na yau da kullum na miyagun ƙwayoyi ya tashi daga 0.5 zuwa 1 IU / kg nauyin jikin mutum (ya dogara da halaye na mutum na haƙuri da matakin glucose jini). Zazzabi na insulin da ke cikin yakamata ya zama zazzabi a dakin.

Gensulin H yawanci ana allurar sc a cinya. Hakanan za'a iya yin allura a cikin bangon ciki na ciki, gindi, ko kuma yanki na ƙwayar tsoka ta kafada.

Wajibi ne a canza wurin allurar a cikin yankin na jiki don hana ci gaban lipodystrophy.

Ana iya samun Gensulin N duka biyu daban-daban kuma a hade tare da insulin-ɗan gajeran lokaci (Gensulin P).

Sakamakon sakamako na GENSULIN N

Sakamakon tasirin metabolism: yanayin hypoglycemic (pallor na fata, karuwar gumi, palpitations, rawar jiki, yunwar, tashin hankali, paresthesia a cikin bakin, ciwon kai). Mai tsananin rashin ƙarfi na hypoglycemia na iya haifar da haɓakar ƙwaƙwalwar ƙwayar cuta.

Allergic halayen: da wuya - fatar fata, fitsarin Quincke, mai wuya sosai - girgiza anaphylactic.

Abubuwan da suka shafi gida: hyperemia, kumburi da itching a wurin allurar, tare da tsawan amfani - lipodystrophy a wurin allurar.

Sauran: edema, kurakurai na yau da kullun kurakurai (yawanci a farkon farji).

Bayyanar cututtuka: hypoglycemia na iya haɓaka.

Jiyya: mai haƙuri na iya kawar da ɗimbin ƙwayar cuta mai narkewa ta hanyar shigar da sukari ko abinci mai cike da ƙwayoyi. Sabili da haka, ana ba da shawarar ga marasa lafiya da masu ciwon sukari don ɗaukar sukari, Sweets, cookies ko ruwan 'ya'yan itace mai zaki.

A cikin mawuyacin yanayi, lokacin da mai haƙuri ya rasa hankalin, 40% dextrose bayani yana shiga cikin ciki, a / m, s / c, in / a glucagon. Bayan ya dawo da hankali, ana ba da shawarar mai haƙuri ya ci abinci mai arzikin carbohydrate don hana sake haɓakar ƙwanƙwasa jini.

Akwai kwayoyi da yawa waɗanda ke shafar buƙatar insulin.

Tasirin hypoglycemic na insulin an inganta shi ta hanyar maganganu na maganin hypoglycemic na baka, maganin inhibitors na monoamine oxidase. ACE inhibitors, carbonic anhydrase inhibitors, wakilin hana-talla na beta-block adrenergic tarewa, bromocriptine, octreotide, sulfanilamides, anabolic steroids, tetracyclines, clofibrate, ketoconazole, mebendazole, pyridoxine, theophylline, plofolol, etley, etlo, etal, etlo, etal, etlo, etal, etlo, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, etel, plofol, etel, plofol, etel, plonfel, etel, plofol, etel, plonfel, etam Maganin hana daukar ciki, glucocorticosteroids, hormones thyroid, thiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, danazole, clonidine, allunan tashar alli, diazokeide, morphine, phenytoin suna raunana tasirin hypoglycemic insulin.

Underarfafawar tasirin reserpine da salicylates, duka raunana da haɓaka a cikin aikin miyagun ƙwayoyi yana yiwuwa.

Ba za ku iya amfani da Gensulin N ba, idan bayan girgiza dakatarwar ba ta zama fari da gajimare ba gaba ɗaya.

Gabanin tushen ilimin insulin, lura da kullun matakan glucose na jini ya zama dole. Abubuwan da ke haifar da hauhawar jini a cikin ƙari ga yawan yin insulin na iya zama: maye gurbin miyagun ƙwayoyi, tsallake abinci, amai, gudawa, haɓaka aiki na jiki, cututtukan da ke rage buƙatar insulin (lalacewar hanta da ƙwayar koda, hauhawar ƙwayar fata adrenal, pituitary ko glandar thyroid), canjin wurin allura, kazalika da ma'amala da wasu magunguna.

Dolle ba daidai ba ko katsewa a cikin aikin insulin, musamman a cikin marasa lafiya da ke da nau'in ciwon sukari na 1 na sukari, zai iya haifar da hauhawar jini. Yawancin lokaci, alamun farko na hyperglycemia suna haɓaka hankali a kan sa'o'i da yawa ko kwanaki. Waɗannan sun haɗa da ƙishirwa, yawan urination, tashin zuciya, amai, amai, ja, bushewar fata, bushewar baki, rashin ci, kamshin acetone a cikin iska mai ƙuna. Idan ba a kula da shi ba, cutar hauka a cikin nau'in I ciwon sukari na iya haifar da haɓakar cutar ketoacidosis mai barazanar rayuwa. Yankin insulin dole ne a gyara shi saboda aikin thyroid mai rauni, cututtukan Addison, cututtukan zuciya, hanta da ƙoshin koda da masu ciwon sukari a cikin mutane sama da shekaru 65 da haihuwa.

Hakanan ana iya buƙatar gyara kashi na insulin idan mai haƙuri ya ƙaru da ƙarfin motsa jiki ko ya canza abincin da aka saba.

Cututtukan da ke haɗuwa, musamman cututtuka da yanayi tare da zazzabi, suna ƙara buƙatar insulin.

Canjin daga wani nau'in insulin zuwa wani yakamata a gudanar dashi ƙarƙashin ikon matakan glucose na jini.

Miyagun ƙwayoyi na rage haƙuri haƙuri.

Sakamakon yiwuwar hazo a cikin wasu catheters, ba a bada shawarar yin amfani da miyagun ƙwayoyi a cikin farashin matatun.

Tasiri kan iya tuƙi motoci da hanyoyin sarrafa ƙarfi .. Saboda ainihin dalilin insulin, canza nau'inta ko kasancewar mahimman damuwa na jiki ko na tunani, yana yiwuwa a rage ikon hawa mota ko sarrafa abubuwa daban-daban, kazalika da yin wasu ayyukan masu haɗari waɗanda ke buƙatar attentionara kulawa da saurin tunani da kuma motsi.

Adana kwayoyi a zazzabi na 2 zuwa 8 ° C. Kar a daskare. Bayan buɗe kunshin, adana maganin a zazzabi da bai wuce 25 ° C ba na kwanaki 28, a cikin duhu. Ayi nesa da isar yara.

Rayuwar shiryayye na miyagun ƙwayoyi shine shekaru 2. Kada kayi amfani bayan ranar karewa.

Alamu don amfani

Gensulin N an ba da shawarar yin amfani da shi a cikin nau'in 1 na ciwon sukari na mellitus, kazalika da nau'in ciwon sukari na 2 na mellitus a cikin matakan juriya ga wakilai na hypoglycemic don amfani da baka, juriya ga waɗannan kwayoyi (a yanayin haɗuwa da magani) da cututtukan cututtukan zuciya.

Amfani da dakatarwa a cikin vials

Yin amfani da nau'in insulin guda ɗaya:

1. Cire filayen kariya na aluminiji daga murfin.
2. Sanitize da membrane na roba akan kwafin.
3. Airara iska cikin sirinji a cikin ƙarar yayi daidai da adadin insulin ɗin da ake buƙata ka gabatar da iska cikin murfin.
4. Juya kasan vial tare da sirinjin da aka saka a ciki kuma a tattara kashi yakamata na insulin a ciki.
5. Cire allura daga vial, cire iska daga sirinji, kuma tabbatar da cewa adadin insulin din da ake buƙata.
6. Yi allura.

Amfani da insulin iri biyu:

1. Cire filayen kariya daga alummuka daga vials.
2. Sanitize robar membranes akan vials.
3. Nan da nan kafin yin bugawa, mirgine murfin insulin na matsakaiciyar tsayi (tsayi) a turance ta hanyar dakatarwa tsakanin tafin hannayen har sai an rarraba laka a sarari da farin bayyanar dakatar da girgije.
4. Airara iska a cikin sirinji a cikin ƙarar daidai da ake buƙata na insulin aiki na dindindin, gabatar da iska cikin murfin tare da dakatarwa, sannan ka cire allura.
5. Don jawo iska a cikin sirinji a cikin ƙarar daidai da ake buƙata na insulin gajere na aiki, gabatar da iska cikin murfin insulin ta hanyar bayyananniyar mafita, juya kasan vial tare da sirinji kuma cika adadin da ake buƙata.
6. Cire allura daga vial, cire iska daga sirinji, kuma tabbatar da cewa adadin insulin din da ake buƙata.
7. Saka allura cikin vial tare da dakatarwa, juya kasan vial tare da sirinji ka tattara kashi da ake bukata na insulin mai aiki da dadewa.
8. Cire allura daga murfin, cire iska daga sirinji, ka bincika idan jimlar insulin ya dace.
9. Yi allura.

Yana da mahimmanci koyaushe rubuta insulin a cikin jerin abubuwan da aka bayyana a sama.

Yin amfani da fitarwa a cikin katako

Karanti tare da miyagun ƙwayoyi Gensulin N an yi niyya don amfani ne kawai tare da sirinji na kamfanin "Owen Mumford". Abubuwan da aka sanya a cikin umarnin don amfani da alkairin sirinji don gudanar da insulin ya kamata a lura.

Kafin amfani da Gensulin H, dole ne a bincika katun kuma tabbatar da cewa babu lalacewa (chipsan kwakwalwan kwamfuta, fasa), idan suna nan, ba za a yi amfani da katun ba. Bayan an shigar da katun a cikin sirinji na siriri, yakamata a fitar da wani abu mai launi a jikin mai riƙe.

Kafin shigar da katun a aljihun syringe, yakamata a jujjuya saboda ƙwallan ƙaramar gilashin da ke ciki ya haɗu da dakatarwa. Ana maimaita tsarin jujjuya aƙalla sau 10, har sai an samar da tsafin farin da ɗauka mai nauyi. Yi allura daidai bayan hakan.

Idan an shigar da katun a cikin alkalami kafin, za'ayi amfani da abubuwan dakatarwa don daukacin tsarin (aƙalla sau 10) kuma an maimaita su kafin kowane allura.

Bayan an gama allura, dole a bar allurar a karkashin fata na akalla wani tsawan 6, kuma ya kamata a adana maɓallin har sai an cire allurar gaba ɗaya daga fata. Wannan zai tabbatar da cewa an gudanar da maganin daidai kuma yana iyakance yiwuwar jini / lymph shiga cikin allura ko kuma katun insulin.

Katin tare da miyagun ƙwayoyi Gensulin N an yi shi ne kawai don amfanin mutum ɗaya kuma baza a iya cika shi ba.

Side effects

• Sakamakon sakamako na metabolism: yanayin hypoglycemic - ciwon kai, blanching na fata, palpitations, karuwar gumi, rawar jiki, tashin hankali, yunwar, paresthesia a cikin bakin, a sakamakon mummunan hypoglycemia, hypoglycemic coma na iya haɓaka,
• halayen rashin hankali: da wuya - rashes a kan fata, ta Quincke ta edema, mai saukin kai - anaphylactic shock,
• halayen a wurin allurar: kumburi da itching, hyperemia, idan har aka tsawaita amfani da juna - lipodystrophy a wurin allurar,
• Sauran: edema, kurakurai na lokaci mai ratsa jiki (yawanci a farkon farawa).

Bayyanar cututtuka na yawan zubar da jini na iya zama ci gaban hypoglycemia. Don lura da yanayin mai laushi, ana bada shawara ga ƙwayar sukari ko abinci mai wadatar carbohydrates. Marasa lafiya masu ciwon sukari yakamata su kasance suna ɗaukar sukari, Sweets, kukis, ko abin sha mai sa maye.

Game da raguwa mai yawa a cikin taro na glucose, idan aka samu asarar hankali, ana gudanar da maganin 40% na dextrose a cikin ciki, ana gudanar da glucagon ta hanyar intramuscularly, a cikin ciki ko a ƙarƙashin. Bayan dawo da hankali, ana bada shawara a ci abinci mai cike da ƙwayoyi don hana sake haɓakar ƙwanƙwasawa.

Umarni na musamman

An hana Gensulin N yin amfani idan dakatarwar ba ta zama fari ba kuma a ko'ina take turbid bayan girgiza.

Lokacin gudanar da aikin insulin, ya zama dole don kulawa da kullun matakin glucose a cikin jini. Irin wannan saka idanu ya zama dole saboda, ban da yawan wuce haddi na insulin, abubuwan da ke haifar da rashin ƙarfi a cikin jini na iya zama: tsallake abinci, maye gurbin miyagun ƙwayoyi, zawo, amai, haɓaka aiki na jiki wanda ke buƙatar buƙatar cutar insulin (ƙwayar cutar hanta / hanta, ƙwanƙwasa ƙwayar fata adrenal, ƙwayar thyroid ko glandar gland), canji rukunin wuraren allura, hulɗa da miyagun ƙwayoyi tare da wasu kwayoyi.

Dosing kuskure ko karya tsakanin allurar insulin, musamman ma a cikin marassa lafiya da ke dauke da ciwon sukari na 1, na iya haifar da cutar hauka. Yawancin lokaci, alamun farko na hyperglycemia suna haɓaka hankali, a cikin sa'o'i da yawa ko kwanaki. Bakin ciki, ƙishirwa, tashin zuciya, amai, amai, ja, bushewar fata da bushewar fata, asarar abinci, ƙanshi na acetone a cikin iska mai ƙarfi, ƙara yawan urination. Idan ba a aiwatar da magani ba, to tare da nau'in ciwon sukari na 1 na ciwon sukari, hyperglycemia na iya haifar da ci gaban yanayin barazanar rayuwa - ketoacidosis mai ciwon sukari.

Gyara yawan sashin insulin ana buƙatar shi don hypopituitarism, dysfunction na thyroid gland shine yake, cutar Addison, hanta / ƙarancin koda, da kuma a cikin tsofaffi marasa lafiya fiye da shekaru 65.

Hakanan ana buƙatar buƙatar daidaita sashi na insulin tare da karuwa a cikin yawan motsa jiki ko canji a cikin abincin da aka saba.

Bukatar insulin ya karu ta hanyar cututtukan haɗuwa, musamman ma yanayin cuta, da yanayi tare da zazzabi.

Canjin daga wani nau'in insulin zuwa wani shima yana buƙatar aiwatar dashi, yana sarrafa matakin glucose a cikin jini.

Yana da mahimmanci a la'akari da cewa amfani da insulin yana rage haƙuri ga haƙuri ga barasa.

Amfani da Gensulin N a cikin magunan insulin ba shi da shawarar saboda yiwuwar hazowar dakatarwar a wasu catheters.

Hypoglycemia na iya lalata ikon mai haƙuri don tattarawa da rage saurin halayyar psychophysical, wanda zai iya ƙara haɗarin yayin tuki motoci da / ko aiki tare da wasu hanyoyin haɗin gwiwa.

Hulɗa da ƙwayoyi

• hypoglycemic jamiái na baka gwamnati, hanawa na monoamine oxidase (Mao) hanawa, angiotensin tana mayar enzyme (ACE) hanawa, ba zabe β-blockers, carbonic anhydrase hanawa, bromocriptine, sulfonamides, tetracyclines, octreotide, anabolic steroids, clofibrate, mebendazole, ketoconazole, theophylline, pyridoxine, cyclophosphamide, shirye-shiryen lithium, fenfluramine, shirye-shiryen ethanol: haɓaka tasirin rashin lafiyar insulin,
• thiazide diuretics, glucocorticosteroids (GCS), maganin hana haihuwa, hodar iblis, tausayawa, heparin, maganin tricyclic antidepressants, clonidine, danazole, diazoxide, allunan tashar alli, phenytoin, morphine, nicotine: rashin ƙarfi hypogly
• reserpine da salicylate: zasu iya raunana biyu da haɓaka aikin insulin.

Analagues na Gensulin N sune: Biosulin N, Vozulim N, Insuman Bazal GT, Insuran NPH, Mahimmancin insulinine-insulin, Protafan NM, Protafan NM Penfill, Rinsulin NPH, Rosinsulin S, Humodar B 100 Rec.

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