Mankhwala a insulin
Mankhwala a insulin amasonyezedwa matenda a shuga, pamene wodwala sanapange bwino insulin kapena sanapangike konse. Zimatanthawuza kuyambitsidwa kwa thupi la munthu la mahomoni opanga omwe azigwira ntchito ya kagayidwe kazachilengedwe komanso kukhazikika kwa shuga m'magazi. Njira yochizira matenda a insulin imadziwika kuti imakhala yothandiza matenda ashuga komanso matenda ena pamagulu amisala.
ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.
Ndondomeko ya insulin chithandizo imapangidwa mosamalitsa mikhalidwe ya wodwala.
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
Chinsinsi cha mankhwala a insulin
Munthu akadwala matenda ashuga, kupanga kwawo insulin kumasokonekera, ndikusintha glycogen kukhala glucose ndikusokoneza kagayidwe kazakudya. Mankhwala a insulin ndi njira zingapo zomwe zimathandiza kulipirira kuchepa kwa insulin kapena kusakhalapo kwathunthu. Chithandizo chimagwiritsidwanso ntchito ngati matenda a schizophrenia ndi zodwala zina zomwe zimadziwika m'magulu azamisala. Pali mitundu ingapo yamankhwala:
- maziko a bolus (kukulitsidwa),
- zachikhalidwe
- zochita pampu.
Mlingo wina (wa basal) wa insulin nthawi zonse umapezeka m'thupi la munthu. Homoni wowonjezera (bolus) amapangika ndi kapamba akangomaliza kudya komanso mkati mwa maola 5 mutatha kudya. Poterepa, biocomponent yosungirako imatulutsidwa m'thupi. Njira ya basal bolus yokonzanso mahomoni imakwanira m'matangadza ndi kukonzekera kwakanthawi kapena kosakhalitsa kwa insulin m'mawa kapena usiku. Dzinalo lina lotheka la njirayo limakulitsidwa.
Njira yachikhalidwe ya mankhwala a insulin ndiyo kuphatikiza mitundu yayifupi komanso yayikulu ya insulini imodzi. Kuphatikiza pamtunduwu pochepetsa kuchuluka kwa jakisoni kukhala 1-3 patsiku. Choyang'ana pansi ndikulephera kubala ntchito zapakompyuta, ndiye kuti, sizigwira ntchito kulipira kwathunthu kubwezeretsa kwa kagayidwe kazakudya.
Pogwiritsa ntchito pampu ya insulin, mutha kusintha nthawi ndi kuthamanga kwa mankhwalawo kwa wodwala.
Mfundo za insulin mankhwala ogwiritsa ntchito pampu ndizopereka nthawi zonse pakukonzekera mahomoni pansi pakhungu pogwiritsa ntchito chipangizo chamagetsi, chotchedwa pampu. Chithandizo chamtunduwu chimachepetsa mankhwala. Pampu yamagetsi imapereka mitundu iyi:
- kuphatikiza kwakanthawi kwamankhwala ochepa mwachangu kwambiri,
- kayendetsedwe kazinthu zogulira nthawi pa liwiro la bolus (chosinthidwa mokha).
Mtundu woyamba wa shuga
Palibe insulin yokwanira yomwe imasungidwa kuti shuga isinthe, kapena kapamba sangatulutse konse ndi mtundu 1 wa shuga. Chifukwa chake, mawonekedwe amtunduwu amatchedwa insulin-amadalira ndipo amafunikira kuphatikizira mahomoni pafupipafupi kuchokera kunja. Algorithm yomwe imagwiritsidwa ntchito pochiza matenda a shuga 1 ndikuwongolera kuchuluka kwa insulin kwa nthawi yayitali. Amapanga 30 mpaka 50% ya mlingo wokwanira. Zina zomwe zimaphatikizidwamo ndi kupatsidwa kwa mahomoni a bolus asanadye, kuchuluka kwake komwe kumawerengedwa payekhapayekha kwa wodwala aliyense.
Type 2 shuga
Mtundu wachiwiri wa matenda a shuga a mellitus, insulin imapangidwa ndi kapamba, koma simalumikizana ndi ma cell a thupi, ndichifukwa chake amatchedwanso insulin. Nthawi zambiri, chithandizo chimabwera pakudya chamafuta ochepa, masewera olimbitsa thupi, komanso mankhwala ochepetsa shuga. Mankhwala a insulin a matenda a shuga 2 amasonyezedwa m'mikhalidwe yotere:
- ntchito yomwe ikubwera
- mavuto ndi matenda amtundu wa ARI kapena matenda ena,
- kusagwira ntchito kwa mankhwala omwe amachititsa kuti magazi asungunuke kapena sayanjana nawo.
Mankhwala a insulini amatha kukhala osakhalitsa ndipo amakhala ngati kupewa kapena mosalekeza. Insulin ya basal imalowetsedwa pamapiritsi omwe adamwa kale. Ngati kukonzekera kopanda kanthu kwawonjezeredwa kwa nthawi yoyamba, chizolowezi cha tsiku ndi tsiku sichikhala choposa 10 IU, makamaka nthawi yomweyo. Ngati matendawo akuipiraipira, dokotalayo angamupatseni mankhwala a insulin mosalekeza.
Kupanga Mapulani
Mukukonzekera maphunziro, ndikofunikira kudziwa zambiri za momwe magazi amayendera munthu wodwala matenda ashuga, komanso kuganizira za kadyedwe kake. Chithandizo cha mankhwalawa chitha kugwira ntchito pokhapokha mukamadya zakudya zamafuta ochepa. Malamulo a kayendetsedwe ka insulin kukonzekera akuphatikiza mfundo zotsatirazi:
Kuti mupeze chithandizo choyenera, ndikofunikira kuwerengetsa kuchuluka kwa omwe mankhwalawa atulutsidwe akufunika kugwiritsidwa ntchito.
- Dziwani kufunika kwa mankhwala omwe amatha nthawi yayitali madzulo komanso m'mawa.
- Kuwerengera kuchuluka kwa insulin yayitali komanso m'masiku otsatirawa kuti muwongolere.
- Dziwani ngati insulin yayifupi ndiyofunikira musanadye. Ngati ndi choncho, chakudya chisanachitike.
- Muwerenge kuchuluka kwake kwa mankhwala omwe amangotsala pang'ono, kenako kukonza.
- Khazikitsani mlingo wa kukonzekera kwapafupi komwe kungafunikire pochiza kuchuluka kwa shuga.
Njira yofulumira kwambiri yomwe mankhwalawa amalowa mthupi ndi kukhazikitsidwa kwa insulin pamimba.
Kodi mankhwalawo ndi othandizika motani?
Mankhwala a insulin, momwe mankhwala apadera amagwiritsidwa ntchito, amakhudza thupi motere:
- kapamba amalimbikitsidwa ndi insulin katulutsidwe,
- kudya glycemia ndikatha kudya,
- kusintha kwa mapuloteni a chiwindi kukhala glucose kumachepa,
- kupanga mahomoni omwe amawonjezera glycemia atatha kudya amachepetsa.
Zolemba mwa ana
Thupi la mwana limatengeka kwambiri ndi mahomoni kuposa munthu wamkulu, chifukwa chake matenda ashuga ali mwana amafunikira chisamaliro chapadera. Njira yodziwika bwino yothetsera insulin mwa ana ndi katatu patsiku. Kuti muchepetse kuchuluka kwa jakisoni, mankhwala omwe amangokhala pang'ono amaphatikizidwa ndi pafupifupi. Zomwe amathandizira pakadali pano ali ndi kuyang'anira nthawi zonse za momwe khanda limasinthira ndi kusintha kwa mankhwalawa mkati mwa UNITS ya 1-2 - pazipita - 4 UNITS Ndikofunika kuti musasinthe kuchuluka kwa insulin yam'mawa ndi yamadzulo nthawi yomweyo. Kwambiri mankhwala angathe kuchitika kuyambira azaka 12 zokha.
Zovuta zotheka
Zotsatira zoyipa zomwe zimakhudzana ndi kusatsata mfundo za kayendetsedwe ka mankhwala zingakhale motere:
- Shuga wamagazi ochepa (hypoglycemia). Amadziwika ndi manja akunjenjemera, thukuta kwambiri komanso kusilira.
- Matenda ofiira pakhungu lanu. Chomwe chimapangitsa kuti inshuwaransi ichotse mankhwala ndi mankhwala osayenera, singano yotsika mtengo, kapena kutentha pang'ono kwa insulini.
Mavuto pambuyo insulin makonzedwe angathe chifukwa cha kuchuluka kwambiri kwa mankhwala kapena zosayenera chakudya. Popewa vuto lotere, njira yokonzera zida ndi kusintha kwa mankhwalawa iyenera kuchitidwa nthawi zonse. Komanso, wodwalayo ayenera kumwa mankhwala a insulin monga adokotala amafunira.
Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?
Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.
Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.
Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda a shuga omwe alipo masiku ano. Werengani nkhani >>