Dzina la insulin lispro

- Kodi ndiyenera liti kuyamba mankhwala insulin?

Yankho: Pakadali pano, lingaliro la kuikidwa kwa insulin limapangidwa ndi endocrinologist kapena akatswiri. Kwa mtundu wachiwiri wa matenda ashuga a shuga, maziko a mankhwala a insulin ndi awa: kuthamanga kwa shuga m'magazi (shuga) opitilira 8 mmol / l ndi glycated hemoglobin (kubwezeretsa kwathunthu kwa matenda a shuga mellitus) m'magazi oposa 7% omwe ali ndi mankhwala a pakamwa (piritsi) ochepetsa shuga. Kwa odwala omwe ali ndi matenda a shuga 1: kusala shuga m'magazi opitilira 6.1 mmol / l, ketosis kapena ketoacidosis. Njira zoperekera insulin ku gulu lachiwiri la odwala ndizovuta. Izi ndichifukwa choti odwala omwe ali ndi matenda a mtundu wa autoimmune 1 ndi ochepa kwambiri ndipo amafunika shuga wamagazi kuti ateteze zovuta.

- Ndi insulin yamtundu wanji yomwe ndiyenera kuyamba kulandira chithandizo?

Yankho: Lingaliro lomwe nthawi zambiri limavomerezedwa pakati pa endocrinologists a Russia, Europe ndi America ndi kusankhidwa ngati gawo loyamba la chibadwidwe cha anthu omwe akhala akuchita insulin (basal insulin) asanagone. Malingaliro awa ndi othandizira matenda ashugaonse oyamba ndi mtundu wachiwiri. Mlingo wotetezeka wocheperako ndi 10 IU.

Komabe, ngati mungapite kuchipatala chokhala ndi shuga wambiri (kupitilira 12 mmol / l), ndiye kuti mankhwalawo amayamba ndi insulin yochepa. Kuphatikiza apo, kuti shuga akhalebe m'magazi, ndiye kuti amasiya ndipo amangotsala insulin. Nthawi zina, ndi mtundu 1 wa matenda a shuga, kuikidwa kwa insulin yayifupi komanso ya basal kumafunika.

- Kodi kusiyana ma insulini ndi kotani?

Yankho: Pakadali pano, ma insulin onse amagawidwa m'magulu awiri. Gulu loyamba la ma insulin a anthu - samasiyana motsatira ma amino acid mu molekyulu ya insulin. Adapangidwa zaka 20 zapitazo posinthanitsa ndi insulin ya nyama (nkhumba). Kwa nthawi yayitali, chitetezo chawo chidawululidwa, koma nthawi yomweyo kuyendetsa bwino: nthawi zambiri zimayambitsa hypoglycemia, kulemera, zimapangitsa munthu kukhala ndi chidwi chofuna kudya. Asanakhazikitsenso ma insulin, botolo liyenera kugwedezeka kuti lithe insulin yonse ndi chosungunulira. Ubwino wawo wokhawo ndi mtengo wotsika. Komabe, izi ndizotsutsa zotsutsana kwambiri. Oyimira gulu lino: mwachangu, actrapid, humulin P, insuman basal, protafan, humulin NPH. Gulu lachiwiri la analogi ya insulin yaumunthu - mawonekedwe a amino acid mu molekyu ya mankhwalawa amasinthidwa. Sifunika kusakanikirana, hypoglycemia panthawi yomwe amagwiritsidwa ntchito kawirikawiri, kulimbitsa thupi sikuchepetsedwa, kuchuluka kwa kulemera kumatsimikiziridwa nthawi zambiri poyerekeza ndi insulin ya anthu. Pazonse, kubwezeredwa kwa shuga ndikwabwino kwambiri. Opanga ambiri amasintha ndikupanga ma analogues a insulin ya anthu. Zoposa zaka 10 zokumana ndi gulu ili la mankhwalawa. Madokotala onse amawona, kuwonjezera pa kuyenera, chitetezo chachikulu cha analogues. Milandu ya insulin tsankho, matupi awo sagwirizana, kusintha kwamunthu wamafuta m'magazi a jakisoni ndizosowa kwambiri. Ma insulini onse amapakidwa pang'onopang'ono pogwiritsa ntchito zolembera. Majakisoni ndi otetezeka (pokhapokha ngati singano isinthidwa nthawi iliyonse jakisoni wovulaza) ndipo sapweteka. Omwe akuyimira insulin yayitali: glargine (dzina lamalonda - lantus) ndi detemir (levemir). Oyimira ma enques of insulin yochepa-yochita anthu: lyspro (humalog), aspart (novorapid) ndi glulisin (apidra). Makampani opanga mankhwala opangira mankhwala opangira ma fakiteriya amatulutsa ma insulin aanthu. Komabe, pakadali pano akukonzekera kukhazikitsa mzere wopanga ma insulin. Mwa njira iyi, tikuyenda limodzi ndi dziko lonse lapansi.

- Ndi insulin iti yomwe muyenera kusankha?

Yankho: Pakadali pano, titha kupereka lingaliro la insulin ya anthu: glargine kapena detemir. Chokhacho chomwe muyenera kukumbukira ndikuti glargin imayendetsedwa kamodzi patsiku, nthawi zambiri asanagone. Nthawi zina, mukamagwiritsa ntchito insulin detemir, kufunikira kwa jakisoni awiri (m'mawa ndi madzulo) kumadziwika. Kufunika kwa insulin iyi nthawi zambiri kumakhala 20-30% mwa odwala poyerekeza ndi glargine, i.e. Mlingo wawukulu umafunika.

- Momwe mungasankhire mlingo woyenera wa insulin?

Yankho: Mlingo wofunika wa insulini umasankhidwa ndi kusala kudya kwa shuga. Tiyenera kuyesetsa kuonetsetsa kuti glucose othamanga a magazi sapitirira 6 mmol / L. Chifukwa chake, kuyeza shuga m'mawa masiku atatu aliwonse, ndikofunikira kuwonjezera ufa wa basal insulin womwe umayendetsedwera asanagone ndi 2 IU mpaka mulingo uwu wa shuga ufike. Kusankha mlingo wa insulin kuyenera kuchitika moyang'aniridwa ndi katswiri wazodziwa. Komabe, kuchipatala kuti ayambe kulandira chithandizo ndi kusankha mankhwalawa sikufunikira nthawi zonse. Koma kuphunzitsa kusukulu ya matenda ashuga ndikofunikira.

- Ndi liti pamene muyenera kuyamba kulandira chithandizo ndi insulin yochepa?

Yankho: M'pofunika kuwonjezera insulini yochepa ngati shuga m'magazi 2 pambuyo chakudya ataposa 9 mmol / l. Mlingo woyambira nthawi zambiri amakhala 3 mpaka 4 IU. Kusankhaku kuyenera kupangidwa pa analogues ya ultrashort insulin: aspart kapena glulisin. Kugwiritsa ntchito kwawo kumalumikizidwa ndi chiopsezo chocheperako cha hypoglycemia pambuyo pobwera ndi kuwonjezeka pang'ono kwa kulemera kwa thupi, poyerekeza ndi ma insulins aanthu. Kusankhidwa kwa mlingo wofunikira ukhoza kuchitika ndikuwonjezera kuchuluka kwa insulini yoyendetsedwa ndi 1 IU m'masiku atatu mpaka mulingo wamagazi ufike pakudya kuyambira 6 mpaka 8 mmol / L.

- Kodi ndingagwiritse ntchito pampu kupereka insulin? Ndi insulin iti yomwe ndiyabwino kusankha?

Yankho: Ngati dokotalayo akufuna kuti mugwiritse ntchito jekeseni wambiri (1 kapena 2 jakisoni wa basal insulin + 2 mpaka 4 jakisoni wa insulin yochepa), ndiye kuti mungakonde kugwiritsa ntchito pampu. Mumangofunika insulin yochepa. Pa nthawi yapakati, insulin yaumunthu yochepa iyenera kukondedwa. Mwazinthu zina zonse, ndi analog ya ultrashort action: aspart kapena glulisin. Kuti musinthe kugwiritsa ntchito pampu, lankhulanani ndi dokotala kapena chipatala chapadera. *

- Ndi anthu angati omwe amagwiritsa ntchito insulin amakhala?

Yankho: Monga momwe onse. Bwino kulipidwa, kumachepetsa zovuta. Mavuto ochepa, moyo wautali komanso wosangalatsa. Pakadali pano tili ndi mwayi uliwonse wowonetsetsa kuti odwala matenda ashuga athanzi. Izi zimangofunika zikhalidwe ziwiri zokha: chikhumbo cha wodwala komanso kufunsa kwa dokotala.

Insulin Lizpro - njira yokhazikitsira kuchuluka kwa shuga m'magazi kwa odwala omwe ali ndi matenda a shuga a mtundu wa 1-2

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Anthu odwala matenda ashuga amayenera kuwongolera zakudya zawo nthawi zonse, komanso kumwa mankhwala omwe amachepetsa shuga.

M'magawo oyamba, palibe chifukwa chogwiritsa ntchito mankhwala pafupipafupi, koma nthawi zina ndi omwe sangathe kusintha mkhalidwewo, komanso kupulumutsa moyo wa munthu. Chimodzi mwazida zoterezi ndi Insulin Lizpro, yomwe imagawidwa pansi pa dzina la Humalog.

Kufotokozera za mankhwalawa

Insulin Lizpro (Humalog) ndi mankhwala ochepetsa mphamvu yochepa omwe amatha kugwiritsidwa ntchito ngakhale popanga shuga kwa odwala azaka zosiyanasiyana. Chida ichi ndi chidziwitso cha insulin yaumunthu, koma ndikusintha kakang'ono m'mapangidwewo, omwe amakupatsani mwayi wofikitsa mwachangu thupi.

Chipangizocho ndi njira yokhala ndi magawo awiri, yomwe imayambitsidwa m'thupi kudzera mkati, mwamitsempha kapena kudzera m'mitsempha.

Mankhwala, kutengera wopanga, ali ndi izi:

• Sodium heptahydrate hydrogen phosphate,
• Glycerol
• Hydrochloric acid
• Glycerol
• Metacresol
• Zinc oxide

Pogwiritsa ntchito mfundo zake, Insulin Lizpro amafanana ndi mankhwala ena okhala ndi insulin. Zigawo zomwe zimagwira zimalowa mthupi la munthu ndikuyamba kuchita ziwonetsero zama cell, zomwe zimapangitsa kuti glucose ayambe.

Mphamvu ya mankhwalawa imayamba pakadutsa mphindi 15-20 pambuyo pa kukhazikitsa, zomwe zimakupatsani mwayi wowgwiritsa ntchito mwachindunji pakudya. Chizindikirochi chimatha kusiyanasiyana kutengera malo ndi njira yogwiritsira ntchito mankhwalawa.

Chifukwa chokhala ndi chidwi chambiri, akatswiri amalimbikitsa kuti akhazikitse Humalog mosasamala. Kuchuluka kwa mankhwalawa m'magazi m'njira imeneyi kudzatheka pambuyo pa mphindi 30-70.

Zizindikiro ndi malangizo ogwiritsa ntchito

Insulin Lizpro imagwiritsidwa ntchito pochiza odwala matenda a shuga, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka. Chipangizocho chimakhala ndi zizindikiro zapamwamba kwambiri ngati wodwala amakhala ndi moyo wopanda vuto, makamaka kwa ana.

Humalog imayikidwa ndi dokotala wokhazikika ndi:

1. Lembani 1 ndi 2 mtundu wa mellitus wa shuga - pamapeto pake, kokha ngati kumwa mankhwala ena sikumabweretsa zotsatira zabwino,
2. Hyperglycemia, yomwe siyimalimbikitsidwa ndi mankhwala ena.
3. Kukonzekera wodwalayo kuti achite opareshoni,
4. Kusagwirizana ndi mankhwala ena okhala ndi insulin,
5. The kupezeka kwa matenda zinthu zikusokoneza njira ya matenda.

Njira yogwiritsira ntchito mankhwalawa yovomerezeka ndi wopanga ndi yopanda tanthauzo, koma malinga ndi momwe wodwalayo alili, wothandiziridwayo amatha kuthandizidwa kudzera mu mnofu komanso m'mitsempha. Ndi njira yodutsa, malo abwino kwambiri ndi m'chiuno, phewa, matako ndi m'mimba.

Kukhazikika kwa makulidwe a Insulin Lizpro nthawi yomweyo amatsutsana, chifukwa izi zingapangitse kuwonongeka kwa khungu pakhungu.

Gawo lomweli silingagwiritsidwe ntchito kuperekera mankhwala oposa 1 mwezi pamwezi. Ndi subcutaneous makonzedwe, mankhwalawa angagwiritsidwe ntchito popanda kupezeka kwa akatswiri azachipatala, koma pokhapokha ngati dotolo linasankhidwa ndi katswiri.

Nthawi ya kukhazikitsidwa kwa mankhwalawa imapangidwanso ndi dokotala, ndipo iyenera kuonedwa mosamala - izi zimalola kuti thupi lizolowerana ndi boma, komanso lipatsidwe kwakanthawi mankhwala.

Kusintha kwa Mlingo kufunikira pa:

• Kusintha zakudya ndikusinthira ku chakudya chochepa kapena chamtundu wazakudya zambiri,
• Kupsinjika mtima
• Matenda opatsirana
• Kugwiritsa ntchito mankhwala ena
• Kusintha kuchokera ku mankhwala ena omwe amagwira ntchito mwachangu omwe amakhudza kuchuluka kwa glucose,
• Kuwonetsera kulephera kwa impso,
• Mimba - kutengera ndi trimester, kufunikira kwa thupi pakusintha kwa insulin, motero ndikofunikira
• Pitani kwa omwe amakupatsani chithandizo chazaumoyo pafupipafupi ndikuyeza kuchuluka kwa shuga.

Kusintha pamalingaliro kungafunikenso pakusintha wopanga Insulin Lizpro ndikusintha pakati pa makampani osiyanasiyana, popeza aliyense wa iwo amasintha momwe amapangidwira, zomwe zingakhudze kugwiriridwa kwa mankhwalawo.

Zotsatira zoyipa ndi contraindication

Posankha mankhwala, dokotala wopezekapo amayenera kuganizira zonse zomwe zimachitika m'thupi la wodwalayo.

Insulin Lizpro imaphatikizidwa mwa anthu:

1. Ndi chidwi chochulukirapo pazinthu zazikulu kapena zowonjezera,
2. Ndi kuchuluka kwambiri kwa hypoglycemia,
3. Momwe mumakhala insulinoma.

Pogwiritsa ntchito mankhwalawa odwala matenda ashuga, zotsatirazi zoyipa zimawonedwa:

1. Hypoglycemia - ndiyoopsa kwambiri, imachitika chifukwa cha mlingo wosankhidwa mosamala, komanso ndimankhwala omwe amadzipangira nokha, imatha kubweretsa imfa kapena kusokonezeka kwakukulu kwa zochitika zaubongo,
2. Lipodystrophy - imachitika chifukwa cha jakisoni m'dera lomwelo, kupewa, ndikofunikira kusintha magawo a khungu,
3. Chiwopsezo - chimawonekera kutengera mawonekedwe a thupi la wodwalayo, kuyambira pakuwonjezeranso kuperewera kwa jakisoni, ndikutha ndi kuwonongeka kwa anaphylactic,
4. Zowonongeka za zida zowonera - ndi mlingo wolakwika kapena kusalolera payekhapayekha ziwalo zina, retinopathy (kuwonongeka kwa kufinya kwa diso chifukwa cha kusokonezeka kwa mitsempha) kapena kuwonongeka kwamawonekedwe pang'ono kumachepera, nthawi zambiri kumadziwonekera mudakali ana kapena kuwonongeka kwa mtima,
5. Zomwe zimachitika mdera lanu - m'malo a jakisoni, redness, kuyabwa, redness ndi kutupa zimatha, zomwe zimadutsa thupi litazolowera.

Zizindikiro zina zimatha kuonekera patapita nthawi yayitali. Ngati muli ndi mavuto, siyani kumwa insulini ndikuwonana ndi dokotala. Mavuto ambiri nthawi zambiri amathetsedwa ndikusintha kwa mlingo.

Kuchita ndi mankhwala ena

Popereka mankhwala a Humalog, dokotala wopezekapo ayenera kuganizira zomwe mukumwa kumwa kale. Zina mwa izo zimatha kuwonjezera ndi kuchepetsa zochita za insulin.

Zotsatira za Insulin Lizpro zimatheka ngati wodwala atenga mankhwala ndi magulu otsatirawa:

• Mao zoletsa,
• Sulfonamides,
• Ketoconazole,
• Sulfonamides.

Ndi kugwiritsanso ntchito mankhwalawa mankhwalawa, ndikofunikira kuchepetsa mlingo wa insulin, ndipo wodwala ayenera, ngati nkotheka, akane kumwa nawo.

Zinthu zotsatirazi zimachepetsa mphamvu ya Insulin Lizpro:

• Njira za kulera
• Ma estrogens
• Glucagon,
• Nikotini.

Mlingo wa insulin pamenepa uyenera kuchuluka, koma ngati wodwalayo akana kugwiritsa ntchito zinthu izi, mpofunika kusintha kwachiwiri.

M'pofunikanso kuganizira zina mwazakudya ndi Insulin Lizpro:

1. Pakuwerengera kuchuluka kwake, dokotala ayenera kuganizira kuchuluka ndi chakudya chomwe odwala amadya,
2. Mu matenda a chiwindi ndi impso, mlingo umayenera kuchepetsedwa.
3. Humalog imatha kuchepetsa ntchito yakuyenda kwa mitsempha, zomwe zimakhudza kuchuluka kwa zomwe zimachitika, ndipo izi zimabweretsa ngozi, mwachitsanzo, kwa eni magalimoto.

Mndandanda wa mankhwala Insulin Lizpro

Insulin Lizpro (Humalog) imakhala ndi mtengo wokwera kwambiri, chifukwa chomwe odwala nthawi zambiri amapita kukafuna ma analogues.

Mankhwala otsatirawa akhoza kupezeka pamsika omwe ali ndi mfundo zomwezi:

• Monotard
• Protafan
• Rinsulin
• Pakati
• Khalid.

Ndi zoletsedwa kuti asankhe mankhwalawo m'malo mwake. Choyamba muyenera kulandira upangiri kuchokera kwa dokotala, chifukwa kudzipanga nokha kungayambitse imfa.

Ngati mukukayikira luso lanu lazinthu, chenjezo katswiri za izi. Kapangidwe kamankhwala aliwonse kumatha kusintha kutengera wopanga, chifukwa cha momwe mphamvu ya mankhwalawo imasinthira m'thupi la wodwalayo.

Mankhwalawa amagwiritsidwa ntchito nthawi zambiri pamitundu yosiyanasiyana ya shuga ndi 1 (2 ndi 2), komanso kwa ana ndi amayi apakati. Kuwerengera kolondola kwa mankhwalawa, Humalog sikubweretsa mavuto komanso amakhudza thupi pang'ono.

Mankhwalawa amatha kutumikiridwa m'njira zingapo, koma zofala kwambiri ndizopanga, ndipo opanga ena amapereka chida chija ndi jakisoni wapadera yemwe munthu angagwiritse ntchito osakhazikika.

Ngati ndi kotheka, wodwala yemwe ali ndi matenda ashuga amatha kupeza ma analogu mu malo ogulitsa mankhwala, koma popanda kufunsana ndi katswiri, kugwiritsa ntchito kwawo koletsedwa. Insulin Lizpro imagwiritsidwa ntchito limodzi ndi mankhwala ena, koma nthawi zina kusintha kwa mankhwalawa kumafunikira.

Kugwiritsa ntchito mankhwalawa pafupipafupi sikungosokoneza, koma wodwalayo ayenera kutsatira njira yapadera yomwe ingathandize thupi kuti lizolowera zinthu zina.

Kodi ndichifukwa chiyani insulini ndi yofunika kwa matenda ashuga?

Choyamba, insulini ndi mahomoni opangidwa ndi maselo a beta a kapamba. Ndi ntchito ya kapamba komanso kuchuluka kwa insulin yomwe ndi zinthu zazikulu zomwe zimatsimikizira ngati munthu ali ndi matenda a shuga.

Lotsatira ndi kufotokozera mitundu iwiri yayikulu ya matenda ashuga.

Mtundu woyamba wa shuga
Ichi ndi matenda a autoimmune pomwe ma cell a pancreatic samalola kuti thupi lipange insulin konse kapena kuchuluka kofunikira kuti magazi azikhala ndi shuga wokwanira (glucose).

Type 2 shuga
Matenda a Type 2 amayamba pomwe ma cell a pancreatic omwe amapanga insulin sangathe kupanga zochuluka mokwanira, kapena pomwe insulini yopanga sadziwika ndi thupi, lomwe limatchedwa "insulin kukana."

M'mawu osavuta, chomwe chimayambitsa matenda a shuga ndi momwe thupi limalephera kugwiritsa ntchito insulin kugwiritsa ntchito kapena kusunga mphamvu kuchokera kuzakudya.

Mitundu ya insulin

Mitundu yosiyanasiyana ya insulin imagwiritsidwa ntchito pochiza matenda ashuga. Ngakhale kuti insulin imagwiritsidwa ntchito masiku onse, mphamvu yake yogwiritsira ntchito chinthu chinale siyikuloseredwa, chifukwa chinthu chilichonse chimagwirizana ndi insulin. Kutalika kwa nthawi yomwe zimatenga kuti mahomoni (insulin) amidwe komanso kutalika kwa thupi ndi zinthu ziwiri zomwe zimatha kusintha kutengera mtundu wanu, zaka, kapena kulemera kwanu. Dokotala wanu adzakuthandizani kudziwa kuti ndi insulin iti yabwino kwambiri pazofunikira zanu.

Msika umapereka mitundu yambiri ya insulin, yomwe nthawi zambiri imagawidwa m'magulu anayi:

Gome limawonetsa machitidwe a insulin, koma momwe thupi lanu limathandizira ku mitundu iyi ya insulin imasiyana. Chifukwa chake, ndikofunikira kuyeserera pafupipafupi kwa HbA1c ndikuwunikira nthawi zonse momwe mumakwanitsira kukhalabe ndi shuga (glucose) m'magazi kuti muwone ngati zotsatira za chithandizo cha matenda ashuga zitha kupititsidwa patsogolo.

Ngati insulin ikufunika

Thupi la anthu omwe alibe matenda ashuga mwachilengedwe limatulutsa insulini ikazindikira kwambiri (hyperglycemia) kapena kuchepa kwambiri (hypoglycemia) shuga wamagazi (glucose). Popeza thupi la anthu omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 sangathe kuyendetsa shuga mwanjira yachilengedwe, amafunikira thandizo mu mawonekedwe a insulin yakunja. Tsiku lonse, odwala onse omwe ali ndi matenda amtundu woyamba 1 komanso odwala ena omwe ali ndi matenda a shuga 2 amafunikira kumwa insulin. Nthawi zambiri, mlingo wa insulin womwe umakhazikika umagwiritsidwa ntchito kapena mtundu wa basal-bolus umagwiritsidwa ntchito.

Osakhazikika mlingo insulin

Kugwiritsa ntchito mankhwalawa, komwe insulin imayendetsedwa, zimadalira luso lotha kuwerengera chakudya. Popeza mukamagwiritsa ntchito njira iyi, insulin yokhazikika imaperekedwa nthawi inayake masana, ndikofunikanso kuganizira zinthu zakunja monga masewera olimbitsa thupi ndi kumwa mowa posankha chakudya.

Mwachitsanzo, ngati mumakhala ndi shuga wambiri musanadye, muyenera kuchepetsa mafuta omwe mumamwa kuti muchepetse vuto lanu la hyperglycemia. Choyipa chachikulu cha mankhwalawa ndikuchepa kwa kusinthasintha komanso kuthekera kosankha, chifukwa, makamaka, zakudya zanu zimadalira kuchuluka kwa shuga m'magazi, osati chifukwa cha chidwi kapena zomwe mumakonda.

Udindo wa insulini mu gulu loyambira-basal

Mwina munamvapo kapena kugwiritsa ntchito njira ya basal bolus ngati njira yolowera insulin m'thupi. Ndi yoyenera mtundu woyamba wa matenda a shuga ndipo nthawi zina mumayambitsa matenda a shuga a 2. Mwachidule, insulin (basal) yomwe imagwira ntchito kwa nthawi yayitali imagwiritsidwa ntchito polembetsazi popanga shuga (m'magazi) panthawi ya kusowa kwa chakudya komanso kukonza jakisoni wa insulin (bolus) musanadye chakudya kuti muchepetse shuga m'magazi mutatha kudya.

Ngati muli ndi matenda a shuga omwe amadalira insulin, cholinga chanu ndikuwerengera kuchuluka kwa chakudya chamagulu anu kuti muwapatse mlingo wa insulin. Kuchuluka kwa insulini yomwe muyenera kulowamo kudzadalira zinthu monga shuga wamagazi anu komanso kuchuluka kwa chakudya chamafuta omwe mumafuna kudya.

Zosankha zama insulin

Insulin imatha kuperekedwa m'njira zingapo zosiyanasiyana. Nthawi zambiri chisankho chimapangidwa malinga ndi njira yomwe ikugwirizana bwino ndi zosowa zanu komanso moyo wanu. Pali zosankha zambiri zoyendetsera, koma zotchuka kwambiri ndizo zolembera za insulin ndi mapampu a insulin.

Pampu ya insulin

Pampu ya insulin imasankhidwa ndi odwala omwe safuna kupanga jakisoni tsiku lililonse. Ndi yoyenera kwa onse amtundu wa 1 ndi mtundu wa 2 odwala matenda ashuga. Pampu ndi chida chaching'ono zamagetsi chomwe chimayambitsa insulini yocheperako pang'ono panthawi yopitilira muyeso wosankhidwa kuti ukwaniritse zosowa za thupi lanu.

Kuchiza ndi pampu ya insulin kumabweretsa zabwino zambiri mukayerekeza ndi chithandizo cha jakisoni angapo tsiku lililonse, mwachitsanzo 2:

• bwino glycated hemoglobin
• magawo ochepa a hypoglycemia
• kuchepa kwa glycemia kusiyanasiyana

Cholembera cha insulin

Cholembera chimbale chomwe chimakhala ndi insulini ndi mtundu wa insulin wofala kwambiri kwa anthu odwala matenda ashuga 1 ndipo anthu ena ali ndi matenda a shuga a 2. Nthawi zambiri, singano zowoneka bwino komanso zazifupi zimagwiritsidwa ntchito mu zolembera, jakisoni womwe nthawi zambiri umakhala wopanda ululu. Cholembera cha syringe ndi insulin ndikusankha kwa odwala omwe ali ndi matenda ashuga omwe amagwiritsa ntchito basal bolus regimen kapena kuperekera muyeso wa insulin. Kusintha mlingo wa insulin womwe umayendetsedwa, chosankha cha mankhwalawa chimagwiritsidwa ntchito pamwamba pa cholembera.

1 NHS UK. (Januware, 2010). Kugwiritsa Ntchito Koyamba KWA INSULIN POPHUNZITSIRA ZIWEREWERE 88 ZAKA 88 POPANDA LONTO. Zabwezedwa pa 5 February, 2016, kuchokera ku https://www.diabetes.org.uk/about_us/news_landing_page/first-use-of-insulin-in-treatment-of-diabetes-88-years-ago-today/

2 J. C. Pickup ndi A. J. Sutton Severe hypoglycaemia ndikuwongolera kwa glycemic mu Mtundu woyamba wa shuga: kusanthula kwa meta kawiri kawiri masiku onse jakisoni poyerekeza ndi kulowetsedwa kosalekeza kwa insulini ya Matenda A shuga a 2008: 25, 765-774

Zomwe zili patsamba lino ndizachidziwitso chokhacho ndipo sizingalole m'malo mwaukadaulo wazachipatala, kuzindikira ndi kulandira chithandizo mwanjira iliyonse. Mbiri yonse yoleza yomwe idalembedwa patsamba lino ndi zomwe munthu aliyense payekha amachita. Chithandizo chitha kusiyanasiyana. Nthawi zonse mufunsane ndi dokotala kuti mudziwe za matendawo ndi chithandizo, ndipo onetsetsani kuti mwamvetsetsa malangizo ake ndikuwatsatira.