Insulin ya phindu lochulukirapo: njira ya mitundu ya ultrashort, ndemanga

• Okutobala 11, 2018
• Zakudya zamagulu
• Tatyana Andreeva

Mphamvu yachindunji ya insulin pa kulemera kwa minofu ulusi yatsimikiziridwa kalekale. Izi zimagwiritsidwa ntchito ndi osewera omwe amachita masewera olimbitsa thupi. Kupatula apo, nthawi zonse amafunafuna njira zomangira minofu mwachangu. Koma thupi limatulutsa timadzi tating'onoting'ono. Chifukwa chake, othamanga amatenga insulin kuwonjezera. Tilankhula za momwe zakhalira zotetezeka komanso zomwe zingagwiritsidwe ntchito m'nkhaniyi.

Ichi ndi chiyani

Ndikofunikira kuti muphunzire malingaliro musanatenge insulini kuti mupeze phindu lochulukirapo. Kupatula apo, ngati itagwiritsidwa ntchito molakwika, imatha kuyambitsa zotsatira zoyipa mthupi. Monga lamulo, timadzi timene timatumizidwa kwa anthu odwala matenda a shuga. Katunduyu amadzimangira payekha kapamba. Ndipo imakhudza kwambiri kagayidwe, koma ntchito yayikulu ya insulin imawonedwa ngati yotsitsa shuga m'magazi.

Kuchulukana kwa glucose komwe kumachitika, ndiye kuti insulin yochulukirapo imatulutsidwa kuti izibwezeretse. Muthanso kuwonjezera kuti ndi mahomoni ofunikira kwambiri a anabolic, pankhaniyi, sanganyalanyazidwe ndi omwe akukonzekera minofu yambiri. Insulin ndi katundu wake ndizofunikira kwa osewera:

• mahomoni amawonjezera kugwira ntchito
• imathandizira kuchira kwa minofu ya minofu,
• amachepetsa
• zimakhudza chidwi cha anthu,
• kumawonjezera mphamvu ya anabolic steroids.

Podziwa zabwino za insulini, omanga thupi ambiri amaganiza zongomwa mankhwalawo. Koma musaiwale za zomwe zingachitike chifukwa ch kumwa mankhwalawo.

Mukatenga nthawi yanji

Pamasewera, ndichizolowezi kugwiritsa ntchito insulin kuti minofu ipite pambuyo pake:

• kupezeka kwapaphiri (kufikira malire a kukula kwake kwa minofu),
• ndi kuchepa kwa mphamvu kuchokera ku anabolics,
• kukulitsa kwambiri ulusi wa minofu ndikugonjetsa chotchinga.

Titha kunena kuti insulini ndiyofunika kwa osewera okha padziko lonse lapansi komanso omwe amasewera pa akatswiri. Kupatula apo, sichinsinsi kwa aliyense kuti mawonekedwe ampikisano ndi minofu yayitali adapitilira mawonekedwe amunthu. Ndipo pakalipano, omanga thupi sangathe kupikisana mokwanira popanda kuphatikiza insulin, anabolic steroids, ndi mahomoni okula.

Kuphatikiza apo, ziyenera kudziwika kuti mahomoni enieniwo alibe phindu lililonse popanda kugwiritsa ntchito mankhwala ena. Ma ligament osankhidwa molondola okha omwe amakupatsani mwayi wokwanira ndikuwatsogolera pazotsatira zapamwamba.

Mulimonsemo, chiopsezo chotenga insulini kuti muchepetse thupi chimangolimbikitsidwa ndi masewera ampikisano, kenako chifukwa chofuna kwambiri. Mulimonsemo, kuvulaza kumapitilira phindu. Kupatula apo, kulakalaka kwachilendo kumanga minofu kumatha kubweretsa zovuta zina, ngakhale kufa. Pazifukwa izi, ngakhale akatswiri othamanga amalimbikitsa lingaliro labwino musanalowe.

Makhalidwe abwino

Cholinga chachikulu cha insulini ndikugawikiranso shuga m'maselo ndi kusintha kwa metabolism. Kutengera ndi zakudya komanso kapangidwe ka thupi la munthu, kuchuluka kwa mahomoni ena kumawonjezera kukula kwa adipose kapena minofu minofu. Pankhaniyi, tikulimbikitsidwa kuti tidziwe momwe insulin imakhudzira kulemera, ndikutsatira malamulo ena owonjezera kuti muthe kukwaniritsa minofu popanda kupeza mafuta. Zofunikira:

• Maphunzirowa sayenera kupitirira miyezi iwiri,
• ndikofunikira kusankha mulingo woyenera ndikutsatira njira ya mankhwala,
• munthawi yogwiritsira ntchito insulin, muyenera kudya zakudya zoyenera.

Panthawi yomwe mumamwa ma hormone, mutha kukwaniritsa kuchuluka kwa othamanga ndi kilogalamu 5-10.

Momwe mungagwiritsire ntchito

Pali mitundu ingapo ya insulin. Kupanga minofu ya minofu, kukonzekera kwakanthawi ndi ultrashort kumagwiritsidwa ntchito. Amasiyana mu nthawi yodziwitsa thupi. Poyambirira, thupilo limayamba kugwira ntchito theka la ola pambuyo pa kuperekedwa. Potere, chiwonetserochi chimachitika patatha maola awiri, ndipo patatha maola asanu kapena asanu ndi limodzi, chinthucho chimaperekedwa kwathunthu kuchokera m'thupi. Mlandu wachiwiri, nthawi yafupikitsidwa: mankhwalawa amayamba kugwira ntchito pambuyo pa mphindi 5 mpaka 10, nsonga - 1.5-2 mawola, amachotsedwa patatha maola atatu.

Kusala kudya

Ndondomeko ya kutenga insulin kuti muchepetse thupi zimatengera nthawi yomwe akuwonetseredwa. Mukatenga matumbo m'mimba yopanda kanthu, othamanga ayenera kulingalira mosamala. Oyamba sayenera kudya mankhwala opitilira anayi panthawi imodzi. Ndipo chakudya chikulimbikitsidwa kuti chitengedwe theka la ola pambuyo pobayira. Kuphatikiza apo, 25 magalamu a amino acid amawonjezeredwa pamenyu, mothandizidwa ndi omwe minofu yambiri imapangidwa. Panthawi ya insulin, othamanga sayenera kuchita masewera olimbitsa thupi - izi zimathandizira kumwa glycogen, yomwe imabweretsa zotsatira zoyipa kwa thupi, ngakhale imfa.

Njira zopambanitsa

Chinsinsi cha maphunzirowa ndikumatenga insulin ola limodzi musanaphunzire. Njirayi imadzetsa ngozi yayikulu mthupi, koma, ngakhale izi, ndizotchuka. Ola limodzi musanabaye jekeseni, muyenera kudya zolimba. Kuti mupewe kuukira kwa hypoglycemia, muyenera kutenga mankhwala aliwonse okoma mukamaphunzitsidwa.

Pogwiritsa ntchito chiwembuchi, mutha kumanganso minofu yokhala ndi mphamvu zambiri zolimbitsa thupi. Mlingo wa mankhwalawa ndi magawo 5-6. Tiyenera kudziwa kuti kukwera kwambiri m'magazi a shuga, zovuta zowopsa zimatha kuphatikizapo imfa.

Njira yotetezeka

Jekeseni wa ultrafast insulin pa mulingo wa magawo 5-10 mutangomaliza kudya amawaganizira kuti ndi njira yoyenera kwambiri. Pankhaniyi, chakudyacho chimakonzeka bwino, minofu imapangidwa popanda mafuta. Kuti mukwaniritse kuchuluka kwamphamvu kwa minofu, muyenera kugwiritsa ntchito mankhwala owotchera mafuta, komanso kuwongolera zomwe zili pazopatsa mphamvu. Njira iyi ndiyovulaza thupi.

Nthawi zambiri, jakisoni wa mahomoni tsiku lililonse amagwiritsidwa ntchito pachimenechi. M'masiku opuma, insulin yothamanga imagwiritsidwa ntchito, ndipo pophunzitsidwa, mankhwala osokoneza bongo kwambiri. Yambani ndi magawo awiri a zinthu, pang'onopang'ono kubweretsa mpaka magawo 15-20.

Post-kulimbitsa thupi insulin kuti muchepetse kunenepa

Ndi njirayi, jakisoni amapangidwa muyezo wa magawo a 3-5. Pamapeto pa maphunziro, glycogen ndi malo ogulitsa shuga mthupi ndizochepa kwambiri, kotero mlingo wochepa umagwiritsidwa ntchito. Mwa njira iyi, insulin ya ultrafast imagwiritsidwa ntchito nthawi zambiri.

Makhalidwe ogwiritsira ntchito mankhwalawa

Insulin ili ndi maubwino angapo:

• Mankhwala ndi osavuta kugula,
• Chiwopsezo chabodza ndichuma,
• Kugwiritsa ntchito moyenera komanso kuwerengera kwamankhwala a insulin pa gawo lililonse la kulemera kwa thupi, sizoyambitsa mavuto.
• zimachitika bwino ndi ma steroid,
• sizikhudza chiwindi ndi impso,
• osasirira ndipo sasintha ma gene.

Ubwino wina wa mankhwalawa ndikuti samatsimikiziridwa ndi doping control. Ngakhale mothandizidwa ndi insulin mutha kukwanitsa kuchita masewera olimbitsa thupi. Nthawi zambiri, mahomoniwa amagwiritsidwa ntchito molumikizana ndi ma steroid. Pankhaniyi, mutha kukwaniritsa kuwonjezeka kwakukulu kwa minofu yambiri mu nthawi yochepa.

Zoyipa zazikulu ndi:

• njira yovuta yothira mankhwala,
• muyenera kupanga jakisoni nokha,
• chiopsezo chamafuta amthupi
• ngati malamulo a kuvomereza ndi kumwa sakusungidwa, zotsatira zoyipa za thupi zimatheka.

Musanagwiritse ntchito insulin pamasewera, muyenera kufunsa dokotala wa zamasewera. Adzakuwuzani kuti ndi mankhwala ati omwe ayenera kusankha bwino, kukulitsa zakudya zoyenera ndikuwerengera mlingo.

Kodi chiwopsezo chotenga maphunziro a insulin ndi chiani?

Zotsatira zake ndi ziti zomwe zimapangitsa thupi kutenga insulin ngati chowonjezera pamasewera? Akatswiri amalangizidwa kuti azitha kugwiritsa ntchito njira iyi yopezera minofu yambiri mosamala. Choopsa chachikulu m'thupi ndi hypoglycemia. Uku ndikusowa kwa magazi. Ndi hypoglycemia yomwe ingayambitse kukomoka, ndipo nthawi zina imfa.

Ochita masewera olimbitsa thupi amatha kuzindikira zizindikiro za matendawa ndikuwunika nthawi. Nthawi zambiri, Zizindikiro zimatsimikizira kuti insulini ikugwira ntchito ndipo mlingo woyenera watengedwa.

Contraindication ndi zoyipa

Mahomoniwa ndi osayenera kugwiritsa ntchito kwa anthu omwe amakonda msanga, chifukwa pali chiopsezo chachikulu cha mafuta m'malo mwa kukula kwa minofu.

Kuti muchepetse chiwopsezo cha kuchepa kwambiri kwa shuga m'magazi, muyenera kutsatira zakudya zapadera ndikuwonera regimen ndi mlingo wa jakisoni.

Zizindikiro za hypoglycemia zimaphatikizapo:

• kufooka
• chizungulire
• kutaya mtima
• njala
• zala zanjenjemera
• palpitations.

Kuti muchepetse kuukira, muyenera kudya kena kokoma.

Nthawi zina, matupi awo sagwirizana chifukwa cha jakisoni, omwe amaphatikizidwa ndi kuyabwa komanso redness.

Ndizofunikanso kudziwa kuti kutenga mahomoni kwa miyezi yopitilira iwiri sikulimbikitsidwa. Izi zimatha kuchepetsa katemera wa pancreatic insulin.

Kodi pali ubale wotani pakati pa insulin ndi kupanga thupi?

Insulin ndiyofunikira kwambiri kuti ikhale ndi minofu yambiri, ndipo pafupifupi maphunziro onse omwe othamanga amakonzekera sangachite popanda mahomoni awa. Omwe amachita nawo masewera olimbitsa thupi, komanso omanga thupi, akudziwa kuti insulin ili ndi anabolic komanso anti-catabolic athari.

Horm iyi ndiyotchuka kwambiri chifukwa chakuti imatha kudziunjikira mphamvu zamphamvu za thupi, ngakhale kuti maphunzirowa nthawi zambiri amakhala ovuta, iyi ndi mfundo yofunika kwambiri. Insulin, yolowa m'magazi, imapereka shuga, mafuta ndi ma amino acid ku cell iliyonse yam'matumbo, zomwe zimapangitsa kuti ziwonjezeke mofulumira.

Kuphatikiza apo, insulini imathandizira mwachangu kuwonjezera masewera othamanga komanso kupirira. Kuchulukitsa kwa glycogen ndikuchira msanga kumachitika mthupi.

Zomwe muyenera kudziwa

Aliyense womanga thupi azikumbukira kuti insulin yotsalira yochepa yokha ndiyomwe iyenera kugwiritsidwa ntchito, ndipomwe maphunzirowo amayenda momwe angathere. Ndikofunikanso kwambiri kuti muphunzire kuzindikira momwe thupi liliri ngati kuchuluka kwa shuga m'magazi kumatsika kwambiri (hypoglycemia). Zizindikiro zake ndi:

1. kutuluka thukuta kwambiri
2. kugwedezeka miyendo,
3. kukomoka mtima,
4. kamwa yowuma
5. kukwiya mopitirira muyeso kapena kukokomeza mosaganizira.

Maphunziro a jakisoni amayenera kuyamba ndi mlingo wa 4 IU ndikuwonjezera nthawi iliyonse ndi 2 IU. Kuchuluka kwa insulini ndi 10 IU.

Jakisoni amachitidwa mochenjera m'mimba (pansi pa khosi). Ndikofunikira kuchita izi pokhapokha ndi syringe yapadera ya insulin, momwe mungabayire insulin ikupezeka patsamba lathu.

Kuyimitsa hypoglycemia, ndipo maphunziridwe ake ndikumaphunzirira insulin amathanso kuyenda limodzi ndi malo ogulitsa zakudya (protein) ya Whey protein (50 g) ndi ma carbohydrate (fructose kapena dextrose) mogwirizana ndi 8-10 g pa 1 IU ya insulin.

Ngakhale pambuyo pa theka la ola hypoglycemia sichinachitike, ndiye kuti mukufunikabe kumwa chakumwa chotere.

Ndikofunikira kuti kunenepa kuzilamulira zakudya, zomwe ndi:

• chakudya chokha,
• mapuloteni ayenera kukhalapo momwe angathere
• mafuta ayenera kuchepetsedwa.

Ngakhale mukumwa insulin, kudya mafuta osavuta osaphatikizidwa kuyenera kupatula.

Tisaiwale kuti muyenera kudya pang'ono komanso nthawi zambiri. Njira za metabolism m'thupi zimachepetsedwa ngati chakudya chimadyedwa zosakwana 3 pa tsiku. Ponena za osewera omwe amachita maphunziro apulogalamuyi komanso nthawi yomweyo kumwa mankhwala a insulin, zakudya zoyenera panthawiyi ndizomwe zimayambira ntchito yonse.

Kulemera kumakhala ndi insulini regimen

Jakisoni wa insulini uyenera kuchitika ola limodzi mutadzuka. Chotsatira, muyenera kudikirira theka la ola ndikumwa kapuloteni kapadera (ngati hypoglycemia sinachitike kale). Pambuyo pake, ndikofunikira kudya chakudya cham'mawa, osayiwala mtundu wa chakudya. Ngati izi sizingaganiziridwe, ndiye kuti m'malo momanga minofu, njira yopeza mafuta iyamba, chifukwa insulin imakakamiza thupi kuti lizitenga pafupifupi kalori yonse yomwe yafika, momwe ndi momwe maphunzirowa ayenera kuonedwera.

Ngati jakisoni amapangidwa tsiku lililonse, maphunzirowa atha mwezi umodzi. Ndi jakisoni pokhapokha masiku ophunzitsira, nthawi imeneyi imawonjezera mpaka miyezi iwiri.

Pakati pa maphunziro a insulin, ndikofunikira kuti muchepetse nthawi yofanana ndi maphunzirowo. Chiwembucho chimalongosola katatu kokha, kuyesa konse sikudzapereka zotsatira zomwe mukufuna. Zikhala zofunikira kuwonjezera kuchuluka kwa zinthu zomwe zaperekedwa, kapena kuyambitsa jakisoni musanaphunzire komanso mutamaliza maphunziro, komabe, njira zopitilira izi ndizosayenera.

Pali intravenous insulin regimen limodzi ndi amino acid solution. Ngakhale imagwira ntchito kwambiri, ndiyowopsa pazotsatira zake.

Kugwiritsa ntchito molakwika ma horoni kungayambitse kunenepa kwambiri komanso kuchepa kwa magazi, komanso kuvulala kwa kapamba ndi kudzikundikira kwamafuta a visceral. Koma ngati mukudziwa momwe mungatengere insulin pomanga thupi, ndiye kuti zotsatirazi zimakhala zosiyana kotheratu!

Chitsimikizo chokha chachitetezo cha kugwiritsa ntchito insulin kotereku kuti mupeze minofu yochulukirapo ndiye kuti ma jakisoni a mahomoni adzachitika moyang'aniridwa ndi dokotala kapena wophunzitsa masewera. Komabe, lamuloli silothandiza konse.

Makhalidwe a insulin

Mthupi, insulin imagwira ntchito yoyendetsa, ndikupereka michere m'maselo a minyewa. Kwa othamanga, mawonekedwe a anabolic a mankhwalawa ndiofunikira kwambiri:

• Kupititsa patsogolo kwa kumwa kwa mankhwala amino acid ndi maselo,
  
• Kukhazikitsa kwa michere nawo glycolysis,
  
• Kuchulukitsa kwa kubwereza kwa DNA, etc.
  

Kuphatikiza apo, mphamvu za insulin zomwe zimapangira insulin ziyenera kukumbukiridwa, mwachitsanzo, kuchepetsa njira yogwiritsira ntchito mafuta. M'mawu osavuta, insulini imathandizira minofu kuwonda ndipo nthawi yomweyo imalepheretsa lipolysis. Anthu omwe amakonda kunenepa kwambiri, popanda kutsata bwino insulin, amatha kupeza mafuta ochulukirapo.

Pali mankhwala a mitundu yosiyanasiyana yolumikizana ndi thupi, ndipo othamanga amatha kugwiritsa ntchito mahomoni afupiafupi kapena a ultrashort. Izi ndichifukwa choti othamanga amatha kuthamangitsa kutuluka kwa insulin mthupi komanso nthawi yake pokhapokha pogwiritsa ntchito mitundu iyi ya mankhwala.

Kuwonetsedwa ndi insulin yochepa kumayambira theka la ola pambuyo pa kukhazikitsa, ndipo kumatenga pafupifupi maola 8. Mankhwala a ultrashort amayamba kugwira ntchito pambuyo pa mphindi 5 mpaka 15 ndipo amakhudza thupi pafupifupi maola 3-5.

Momwe mungatengere insulin kwa omanga thupi?

Muyenera kumwa insulin panthawi yake. Pachifukwa ichi, pulogalamu yoyenera yazakudya ndizofunikira. Komabe, simuyenera kudya zakudya zochepa, m'malo mwake, muzidya ngati mukupeza minofu yambiri, koma zakudya zake ziyenera kukhala zopanda ntchito. Ngakhale mumagwiritsa ntchito insulin, muyenera kudya nthawi yomweyo, kudya zakudya zomwezo. Njira yokhayo yodziwira kuchuluka kwa mahomoni.

Yambirani ndi Mlingo wocheperako, kuyambira magawo atatu mpaka asanu.Kenako muyenera kudikirira kuyambika kwa hypoglycemia, zizindikiro zazikulu zomwe zimakhala kugona, kutopa komanso kumva kuti muli ndi njala. Pambuyo pa izi, ndikofunikira kuchepetsa mlingo wapitalo ndi magawo awiri. Ngati woyamba mankhwala a hypoglycemia sichinachitike, onjezerani mlingo ndi magawo awiri omwewo.

Mlingo woyenera wa insulin masana kuyambira magawo 5 mpaka 20, omwe amagawidwa pawiri. Komanso, muyenera kumamwa nthawi zonse mozungulira nthawi yonse yonse yogwiritsa ntchito mankhwalawa, omwe amathandiza kuimitsa hypoglycemia. Itha kugulidwa ku malo ogulitsa mankhwala kapena kukonzekera palokha. Potsirizira pake, ndikofunikira kugwiritsa ntchito njira zotsatirazi: 1 gramu ya glucose pa kilogalamu imodzi ya kulemera kwa thupi, 0,5 magalamu a mapuloteni pa kilogalamu ya thupi, 20 magalamu a glutamine, magalamu 5 a creatine pa lita imodzi yamadzi.

Kenako ndikofunikira kuperekera insulini pamlingo wa 5 PIECES, komwe ndikofunikira kuwonjezera ma PIECES amodzi pa mamol owonjezera aliwonse omwe amapezeka mutagwiritsa ntchito mahomoni okula. Mankhwala onse omwe ali pamwambapa amagwira ntchito pa syringe ya 40 ya IU. Izi ndizofunikira kwambiri, chifukwa insulini imakhala yoopsa kwambiri pamene mlingo umalizidwa.

Kutsutsana kokwanira kumapangitsa kugwiritsa ntchito insulin kumapeto kwa sabata. Komabe, awa si mawu athunthu olondola. Ngati mukugwiritsa ntchito hormone yokukula, ma steroid ndi insulin nthawi yomweyo, ndiye kuti mufunika kuphunzitsidwa tsiku ndi tsiku, makamaka kawiri pa tsiku.

Funso lina lodziwika ndi nthawi yoyang'anira mankhwala: isanayambike phunziroli, pakukhazikitsa kapena kumapeto. Munthawi zonse zomwe mwatulutsa, mudzalandira phindu kuchokera ku insulin.

Chinthu chinanso ndikuti insulin ikalowetsedwa panthawi yophunzitsira, ndikofunikira kugwiritsa ntchito wopeza nthawi yomweyo. Ngati mukufuna kuchita maphunziro ogwirizana ndi somatotropin, ndiye kuti muyenera kumwa mankhwalawo limodzi.

Yakwana nthawi yokwanira ndikuwunikira mfundo zofunika kwambiri pakugwiritsa ntchito insulin ndi othamanga. Gwiritsani ntchito syringe yapadera ya insulin, ndipo mlingo wa mankhwalawa umachokera magawo 5 mpaka 20 mukamamwa kawiri mpaka kawiri masana.

Muyenera kutsatira zakudya panthawi yoyenda, komanso timadzi timene timatulutsa timadzi timene timakula. Ndikofunika kwambiri kuti mugwiritse ntchito mankhwalawa ndi mlingo yaying'ono wa 3 mpaka 5, ndikuwonjezera pang'onopang'ono mpaka mlingo wamphamvu utatsimikizika. Penyani shuga yanu, osalola kuti igwe pansi pa 3 mmol.

Kuti mumve zambiri za momwe insulin imakhudzira kuchuluka, onani makanema a endocrinologist:

Zotsatira zake ndi anabolic.

Monga mukudziwa, insulin imathandizira kuyamwa ma amino acid ambiri momwe angathere m'maselo a minofu. Valine ndi leucine amamwa kwambiri, ndi amino acid odziimira. Horm imapangitsanso DNA, mayendedwe a magnesium, potaziyamu phosphate ndi mapuloteni a biosynthesis. Mothandizidwa ndi insulin, kaphatikizidwe wamafuta acids, omwe amalowetsedwa mu minofu ya adipose ndi chiwindi, amalimbikitsidwa. Ndikusowa kwa insulini m'magazi, kukhathamiritsa kwamafuta kumachitika.

Kugwiritsa ntchito insulin pomanga thupi

Pomanga thupi, insulini imagwiritsidwa ntchito pokhapokha, kapena ultrashort.

Insulin yofupikitsa imagwira ntchito motere: pambuyo poti subcutaneous makonzedwe (jekeseni) amayamba kuchita theka la ola. Insulin iyenera kuperekedwa kwa theka la ola musanadye. Kuchuluka kwa insulini kumafika pakatha mphindi 120 pambuyo pa kupangika, ndikumayimitsiratu ntchito yake yoyendera thupi pambuyo maola 6.

Mankhwala abwino kwambiri omwe amayesedwa ndi nthawi ndi Actrapid NM ndi Humulin Regul.

Insulin yotsitsika pang'ono imagwira ntchito molingana ndi mfundo iyi: itatha kuilowetsa m'magazi, imayamba kugwira ntchito yake pambuyo pa mphindi 10, ndipo kuyendetsa bwino kwambiri kumachitika pambuyo pa mphindi 120. Insulin ya Ultrafast imayima pambuyo pa maola 3-4. Pambuyo pokhazikitsidwa ndi insulin, ndikofunikira kutenga chakudya nthawi yomweyo, kapena mutatha kunyamula, kulowa mu mahomoni a mayendedwe.

Mankhwala abwino kwambiri a ultrashort insulin ndi awiri, awa ndi a Penfill kapena FlexPen.

Mtengo wa maphunziro a insulin wa masiku makumi asanu ndi limodzi udzakhala pafupifupi ma ruble 3,000 a ku Russia. Chifukwa chake, othamanga omwe amalandira ndalama zochepa amatha kugwiritsa ntchito insulin.

Tiyeni tikambirane za zabwino ndi zoyipa zama hormone onyamula.

Ubwino:

1. Maphunzirowa ali ndi masiku 60, zomwe zikutanthauza kuti nthawi yochepa.
2. Ubwino wa mankhwalawa uli wonse pamlingo wapamwamba. Mwayi wogula zabodza ndi 1% poyerekeza ndi anabolic steroids.
3. Insulin ikupezeka. Itha kugulidwa pa mankhwala aliwonse popanda mankhwala a dokotala.
4. Hormayo imakhala ndi mitengo yambiri ya anabolic.
5. Kuopsa kwa zotsatirapo ndizochepa, bola ngati maphunzirowa atapangidwa moyenera.
6. Kumapeto kwa maphunzirowa, chithandizo chamankhwala chosinthira sizofunikira, popeza insulini imasiya zotsatirapo zake.
7. Kubwezeretsa kumapeto kwa maphunzirowa ndikocheperako.
8. Simungagwiritse ntchito nokha, koma ndi ma peptides ena ndi ma anabolic steroids.
9. Palibe mphamvu ya androgenic pa thupi la munthu.
10. Insulin sikuvulaza chiwindi ndi impso, komanso sizikhala ndi poizoni. Sizimayambitsa mavuto a potency pambuyo pa maphunzirowa.

Zoyipa:

1. Glucose wotsika m'thupi (pansi pa 3.3 mmol / L).
2. Adipose minofu mkati maphunziro.
3. Mitundu yovuta ya mankhwalawa.

Monga mukuwonera, insulini imakhala ndi Ubwino wopindulitsa katatu kuposa zovuta. Izi zikutanthauza kuti insulini ndi imodzi mwamankhwala abwino kwambiri a pharmacological.

Zotsatira zoyipa za insulin.

Choyipa choyamba komanso chofunikira kwambiri ndi hypoglycemia, ndiko kuti, shuga wamagazi ochepa. Hypoglycemia imadziwika motere: nthambi ndi miyendo zimayamba kugwedezeka, kusiya kuzindikira, ndikumvetsetsa zomwe zikuchitika mozungulira, ndizotulutsa thukuta kwambiri. Mlingo wochepetsedwa wa glucose umaphatikizidwanso ndi kuchepa kwa mgwirizano ndi malingaliro, kumverera kwamphamvu kwa njala. Kusweka mtima kumayamba kuchuluka. Zonsezi pamwambapa ndi zizindikiro za hypoglycemia.

Ndikofunikira kudziwa izi: ngati mungazindikire zodziwika za kuperewera kwa shuga, ndiye kuti mukufunikira kuti mubwezeretsenso thupi ndi zotsekemera kuti magazi abwinobwino akhale m'magazi.

Zotsatira zoyotsatira, koma zosafunikira kwenikweni, ndikuluma ndi kuwawa pamalo a jekeseni.

Thupi la aller ndi losowa, koma ndilofunika kwambiri.

Ngati mumamwa insulin nthawi yayitali, ndiye kuti kutulutsa kwanu insulin komweko kumachepetsedwa kwambiri. N`zothekanso chifukwa cha bongo wa insulin.

Tsopano tikudziwa kuti insulini ndi iti ndipo ndi iti yomwe ili yoyenera kwa ife. Ntchito yotsatira ndikupenda molondola njira ya insulin masiku 30-60. Ndikofunikira kwambiri kuti musapite kwa miyezi yopitilira iwiri kuti thupi likhale ndi chinsinsi chake. Ngati mutsatira malangizowo molondola, ndiye kuti mukapeza insulini imodzi mutha kufikira ma kilogalamu 10 a minofu yopendekera.

Ndikofunika kwambiri kuti nthawi yomweyo muyambe ndi milingo yaying'ono mpaka ma unit awiri modumphira, ndikuwonjezera pang'onopang'ono kwa magawo 20. Izi ndizofunikira kuti poyambirira onani momwe thupi limatengera insulini. Ndikukhumudwitsidwa kwambiri kugulitsa mayunitsi opitilira 20 patsiku.

Musanagwiritse ntchito mahomoni oyendera, muyenera kuyang'anira zinthu ziwiri:

1. Yambani ndi mlingo wocheperako ndikuwonjezera pang'onopang'ono mpaka mufika 20. Sizoletsedwa kusintha mwadzidzidzi kuchoka pa 2x kupita ku 6, kapena 10 mpaka 20! Kusunthira lakuthwa kumatha kubweretsa zotsatira zoyipa mthupi lanu.
2. Osapitirira magawo makumi awiri. Ndani sakanalimbikitsa kuti atenge pafupifupi magawo 50 - musawamvere, chifukwa thupi lililonse limatenga insulin mosiyanasiyana (kwa wina, magawo 20 amawoneka kuti ndi ochuluka).

Kukula kwa kudya kwa insulin kungakhale kosiyana (tsiku lililonse, kapena tsiku lililonse, kamodzi patsiku, kapena kupitilira apo). Ngati mumayendayenda tsiku lililonse komanso kangapo, ndiye kuti maphunzirowa atha kuchepetsedwa. Ngati mungayende tsiku lina lililonse, ndiye kuti masiku 60 ndiokwanira.

Kubaya insulini kumalimbikitsidwa pokhapokha ngati mutaphunzitsidwa mphamvu, kenako ndikudya chakudya chama protein ndi zakudya zazitali zamatumbo. Ndikofunikira kumangoyamwa mutangomaliza maphunziro, popeza mahomoni onyamula, monga tafotokozera kale, ali ndi mphamvu yotsutsa-catabolic. Imabweza m'mbuyo ntchito ya catabolism, yomwe imayambitsidwa ndi kuchita masewera olimbitsa thupi kwambiri.

Ndikofunika kudziwa kuti kugwiritsa ntchito insulin pambuyo poti mugwiritse ntchito bwino kumakhala ndiubwino wina: mukabweretsa thupi pafupifupi hypoglycemia, yomwe imayambitsidwa ndi kuyambitsa kwa insulin, izi zimakhudzanso kuchepa kwachilengedwe kwa shuga wamagazi. Pambuyo pakuphunzitsidwa, mahomoni okula amatulutsidwa mwamphamvu. Nthawi zina masana, kubaya insulini sikulimbikitsidwa. Ngati mumaphunzitsanso katatu pa sabata, ndikupumula masiku 4, ndiye kuti mutha kubaya jakisoni m'mawa musanadye chakudya cham'mawa masiku omwe kulibe ntchito. Pankhaniyi, ndikulimbikitsidwa kwambiri kugwiritsa ntchito insulin (Actapid) yochepa ndikudya theka la ola mutatha kubayidwa. Pamasiku ophunzitsira, pokhapokha mutaphunzitsidwa.

Mapeto ake amadzitsimikizira nokha: ngati mutaba jakisoni yotulutsa tsiku lililonse, ndiye kuti maphunzirowo sayenera kupitirira masiku 30. Ngati tili ndi boma lodekha kapena lachuma, ndiye kuti timatenga masiku 60. Patsiku lophunzitsidwa pambuyo pake, timagwiritsa ntchito insulin (Novorapid) yayikulu kwambiri, komanso masiku opumula - asanadye chakudya cham'mawa, a insulin (Actrapid) apambuyo pake.

Ngati mankhwala "achidule" agwiritsidwa ntchito, ndiye kuti timamwa jakisoni theka la ola musanadye chakudya chachikulu.

Ngati tigwiritsa ntchito "ultrashort", ndiye kuti timapanga jakisoni mukangomaliza kudya.

Kuti jakisoni ichitike popanda kuyabwa ndi ziwengo, ndipo khungu silikuuma malo a jakisoni, muyenera kuwapanga m'malo osiyanasiyana a thupi.

Kuti muwerenge kuchuluka kwa insulin yofunika, ndikofunikira kukumbukira gawo lililonse la insulin - 10 magalamu a chakudya.

Zolakwika zazikulu potenga mahomoni oyendetsa.

Choyipa choyamba - Mlingo waukulu komanso nthawi yolakwika yogwiritsira ntchito. Yambani ndi yaying'ono Mlingo ndipo muwone thupi likuchita.

Chachiwiri cholakwika - jekeseni wolakwika. Kubaya ndikofunikira mosazindikira.

Cholakwika chachitatu - Kugwiritsa ntchito insulin musanaphunzire komanso pogona, zomwe ndizoletsedwa.

Cholakwika chachinayi - Chakudya chochepa mutatha kugwiritsa ntchito insulin. Ndikofunikira kudya chakudya cham'mimba ndi mapuloteni momwe ndingathere, chifukwa mahomoni amtunduwu amafalitsa mwachangu ma enzymes ofunikira kwa minofu. Ngati simudzaza thupi ndi chakudya chochuluka, ndiye kuti pali chiopsezo cha hypoglycemia.

Kulakwitsa kwachisanu - kugwiritsa ntchito insulin pakuyanika. Chowonadi ndi chakuti zakudya zomwe mumadya zimakhala zochepa m'makoko, kapena ayi. Ndiponso, zimayambitsa kutsika kwakukuru m'magazi a magazi, ndipo ziyenera kubwezeretsedwanso ndi china chake. Ndipo lokoma, monga tikudziwa, ndi gwero la chakudya champhamvu chofunikira kwambiri chomwe sichofunikira m'chigawo chowumitsa thupi.

Mndandanda ndi kuchuluka kwa zinthu zogwiritsidwa ntchito jekeseni.

Mulingo woyenera wazakudya zomwe muyenera kudya zimatengera mwachindunji muyezo wa mahoni oyendetsa. Zambiri zomwe zimakhala ndi shuga m'magazi a anthu, malinga ndi athanzi - 3-5 mmol / l. Gawo limodzi la insulini limatsitsa shuga ndi 2.2 mmol / L. Izi zikutanthauza kuti ngati mutaba jekeseni wa insulin kangapo nthawi, mutha kupeza mosavuta hypoglycemia. Ngati simumadzaza shuga m'magazi munthawi yake, mutha kupeza zotsatira zoyipa. Ndikofunikira kwambiri kudya zakudya zamafuta ambiri pambuyo pa jekeseni.

Insulin ndi mahomoni omwe amapezeka ku dipatimenti ya endocrinology. Pali lingaliro la "mkate mkate", wachidule wa XE. Gulu limodzi la mkate limakhala ndi magalamu 15 a chakudya. Kungoti mkate umodzi umodzi umakweza shuga ndi 2.8 mmol / l. Ngati inu, mosazindikira, kapena pazifukwa zina, mwalowa mayunitsi 10, ndiye kuti muyenera kugwiritsa ntchito 5-7 XE, yomwe malinga ndi chakudya - 60-75. Onani mfundo yoti zakudya zopatsa thanzi zimawonedwa ngati zoyera.

Momwe mungabayitsire insulin.

Musanalowe jakisoni wa insulin, muyenera kukhala ndi chilichonse chotsekemera (shuga, uchi, chokoleti, ndi zina). Izi zikutsimikizirani chitetezo chanu ngati mungagwiritse ntchito hypoglycemia.

Muyenera kubaya ma hormone ndi syringe yapadera, yomwe imatchedwa syringe ya insulini.

Syringe yotereyi imachepera kwambiri kuposa yokhazikika, ndipo pamakhala kachigawo kakang'ono ka kiyubiki. Syringe yonse ya insulin ikhoza kugwira cube chimodzi, i.e. 1 ml. Pa syringe, magawikawa agawika zidutswa 40. Ndikofunikira kuti musasokoneze syringe yokhazikika ndi syringe ya insulin, apo ayi pamakhala zotsatira zakupha kuchokera ku mankhwala osokoneza bongo ambiri. Muyenera kuchita jakisoni pa ngodya ya madigiri 45.

Musanagwiritse ntchito, sonkhanitsani kuchuluka kwa insulini, tengani ndi dzanja lanu lamanzere ndikupanga khola pakhungu, makamaka pamimba, kenako pang'onopang'ono, kulowa pansi kwa singano, kenako insulini. Gwirani masekondi angapo, ndikuchotsa singano pakhungu. Osamabailidwa malo amodzi nthawi zonse.

Musawope kuti kachilomboka kazalowa mujekeseni. Singano ya insulin yocheperako ndiyochepa kwambiri, kotero kuti matenda sawopseza. Ngati mumayenera kubaya jakisoni wokhazikika, ndiye kuti muyenera kusamba m'manja ndikusambitsa malo omwe jakisoniyo udzapangire ndi mowa.

Kuti tipeze zotsatira zabwino kwambiri kuchokera ku insulin, tifunika kuganizira malamulo atatu akuluakulu:

1. Kugwirizana ndi zakudya zamafuta.
2. Phunzitsani bwino.
3. Pumulani bwino.

Kodi ndizotheka kuphatikiza insulin ndi anabolic steroids?

Mutha kuphatikiza insulin ndi mankhwala ena a pharmacological, monga momwe zilili zomveka. Kuphatikizidwa kwa milandu 99% kumapereka mphamvu kwambiri kuposa insulin solo. Mutha kugwiritsa ntchito insulin ndi mankhwala ena kuyambira pachiyambi mpaka kumapeto kwa mapangidwe a mahoni anyama. Ndikofunika kupitiliza kuthamanga pambuyo pa insulin kwa masiku 14-21, kotero kuti kubwezeretsanso ndikung'ono momwe kungathekere.

Ndikofunikira kudziwa kuti mankhwala aliwonse a pharmacological, kuphatikiza insulin, angotengedwe ndi akatswiri othamanga omwe amakhala mwamphamvu zopanga thupi ndikulipeza. Ngati cholinga chanu ndikungoyang'ana bwino, ndiye kuiwalani za "chemistry", chifukwa izi sizoyenera mwanjira iliyonse.

Ngati munthu ali ndi matenda ashuga, ndiye kuti akufunika mlingo wa insulin.

Musaike moyo wanu pachiswe kuti mudzapeze zotsatira zomwe mukufuna posachedwa. Ngati mwatsimikiza kuti mukufuna kuchita nawo masewera olimbitsa thupi ndikukhala othamanga, ndiye kuti pitani kumalo anu achilengedwe, pomwe simulinso ndi minofu yambiri mwanjira yachilengedwe. Pazonse, ndikofunikira kuti mukwaniritse "denga" lanu lachilengedwe, kenako ndikuyamba kupanga "mankhwala".

Kumbukirani kuti musanagwiritse ntchito mankhwala aliwonse a pharmacological, muyenera kupimidwa kwathunthu. Sikoyenera kuchita mayeso aliwonse ngati muli ndi insulin. Ngati mumagwiritsa ntchito insulin ndi chinthu china, ndiye kuti muyenera kuyesa mayeso ofunika musanayambe maphunzirowa, panthawi ndi pambuyo pake. Komanso, musaiwale zamankhwala am'mbuyomu.

Mapeto ake, muyenera kukumbukira malamulo angapo ogwiritsira ntchito insulin, kuti isakhale yovulaza:

1. Dziwani thupi lanu, onetsetsani kuti lili mwadongosolo komanso mwakonzeka kugwiritsa ntchito insulin.
2. Yenderani phunzirolo molondola komanso ndiudindo wonse.
3. Onani bwino zakudya ndi mndandanda wophunzitsira kuti muchepetse thupi lanu lonse.

Ngati mwasankha mwanzeru zomwe mukufuna kutulutsa, tikulimbikitsidwa kuti muyambe kukhala ndi insulin kuti muphunzire zomwe zimachitika mthupi lanu, chifukwa zimavuta kumvetsetsa pogwiritsa ntchito mankhwalawa ngati pali zovuta zina mthupi. Ndikofunika kuti musagwiritse ntchito mankhwala omwe mumakonzekera, chifukwa sizikudziwika kuti zingakhudze bwanji thupi lanu.