Mndandanda wa insulin wofupikitsa

Insulin ndi timadzi tomwe timatulutsa ma cell a pancreatic. Ntchito yake yayikuru ndi kuphatikiza kagayidwe kazakudya ndi "kupumula" shuga.

Makina ogwirira ntchito ndi awa: munthu amayamba kudya, pakatha mphindi 5 za insulin, amapanga shuga, amawonjezereka atatha kudya.

Ngati kapamba sagwira ntchito moyenera ndipo mahomoni satetezeka mokwanira, matenda a shuga amakula.

Mitundu yofatsa ya kuloleza kwa glucose sikufuna chithandizo, nthawi zina, simungachite popanda iwo. Mankhwala ena amalowetsedwa kamodzi patsiku, pomwe ena nthawi zonse asanadye.

Makalata ochokera kwa Owerenga

Agogo anga akhala akudwala matenda a shuga kwa nthawi yayitali (mtundu 2), koma posachedwapa mavuto atuluka pamiyendo ndi ziwalo zamkati.

Mwangozi ndidapeza nkhani pa intaneti yomwe idapulumutsa moyo wanga. Ndidalumikizidwa kumeneko kwaulere pafoni ndipo ndidayankha mafunso onse, ndikuuzidwa momwe ndingachitire ndi matenda ashuga.

Patatha milungu iwiri atatha kulandira chithandizo, agogo aja adasinthiratu momwe akumvera. Ananenanso kuti miyendo yake sikupweteka komanso zilonda zake sizinayende; sabata yamawa tidzapita ku ofesi ya dotolo. Falitsa ulalo wa nkhaniyo

Ngati insulini yachangu imagwiritsidwa ntchito

Insulin yochepa-pang'ono imayamba kugwira ntchito pambuyo pakudya pambuyo pa mphindi 30 mpaka 40. Pambuyo pake, wodwalayo ayenera kudya. Kudumpha zakudya sizovomerezeka.

Kutalika kwa mankhwalawa kumafika mpaka maola 5, pafupifupi nthawi yambiri kuti thupi ligaye chakudya. Zochita za mahormoni zimachuluka kwambiri kuposa nthawi yowonjezera shuga mutatha kudya. Kusamala kuchuluka kwa insulin ndi glucose, atatha maola 2,5 kuyamwa kumalimbikitsidwa kwa odwala matenda ashuga.

Kuthamanga kwa insulin nthawi zambiri kumawalembera odwala omwe amawonjezera kwambiri shuga pambuyo kudya. Mukamagwiritsa ntchito, ndikofunikira kuganizira zanzeru zina:

kukula kwake kuyenera kukhala kofanana nthawi zonse
Mlingo wa mankhwalawa amawerengedwa poganizira kuchuluka kwa zakudya zomwe zimadyedwa kuti zithetse kusowa kwa mahomoni m'thupi la wodwalayo,
ngati kuchuluka kwa mankhwalawa sikunayambike kokwanira, hyperglycemia imachitika,
kukulira mlingo kumayambitsa hypoglycemia.

Onsewa hypo- ndi hyperglycemia ndiowopsa kwambiri kwa wodwala matenda ashuga, chifukwa amatha kuyambitsa zovuta zazikulu.

Odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 omwe ali ndi zakudya zamafuta ochepa amalangizidwa kuti azigwiritsa ntchito insulin mwachangu. Ndi kuchepa kwa chakudya m'thupi, gawo la mapuloteni pambuyo pa cleavage limasinthidwa kukhala glucose. Iyi ndi nthawi yayitali ndipo machitidwe a ultrashort insulin amayamba msanga.

Komabe, aliyense wodwala matenda ashuga amalangizidwa kuti apereke mlingo wa mahomoni a ultrafast pakafunika mwadzidzidzi. Ngati atatha kudya shuga atakhala wovuta, mahomoni oterowo amathandizanso.

Momwe mungawerengere insulin yofulumira komanso nthawi yayitali

Chifukwa chakuti wodwala aliyense ali ndi vuto lakumwa mankhwala osokoneza bongo, kuchuluka kwa mankhwala ndi nthawi yodikirira asanadye ziyenera kuwerengedwa payekhapayekha kwa wodwala aliyense.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Mlingo woyamba uyenera kudulidwedwa mphindi 45 asanadye. Kenako kugwiritsa ntchito glucometer mphindi 5 zilizonse kujambula kusintha kwa shuga. Mafuta akayamba kuchepa ndi 0,3 mmol / L, mutha kudya.

Kuwerenga molondola kutalika kwa mankhwalawo ndiye njira yothandiza kwambiri yothandizira matenda ashuga.

Ultrafast insulin ndi mawonekedwe ake

Kuchita kwa insulin ya ultrashort kumachitika nthawi yomweyo. Uku ndiye kusiyana kwake kwakukulu: wodwalayo sayenera kudikirira kuti nthawi yake iperekedwe kuti mankhwalawo akhale ndi mphamvu. Amalembera odwala omwe samathandizira insulin yofulumira.

Horona yofunikira kwambiri imapangidwa kuti izitha kuthandiza odwala matenda ashuga kuti azitha kudya zakudya zamafuta nthawi ndi nthawi, makamaka maswiti. Komabe, kwenikweni, izi siziri choncho.

Zakudya zam'mimba zilizonse zosavuta zimachulukitsa shuga posachedwa kuposa momwe insulin yothamanga imagwirira ntchito.

Ichi ndichifukwa chake zakudya zama carb zotsika mtengo ndizomwe zimayang'anira chisamaliro cha shuga. Kutsatira zakudya zomwe wodwalayo adwala, wodwalayo amatha kuchepetsa mwayi wovuta kwambiri.

Ultrafast insulin ndi mahomoni amunthu omwe ali ndi mawonekedwe osinthika. Itha kugwiritsidwa ntchito pa matenda a shuga 1 ndi mtundu 2, komanso amayi apakati.

Ubwino ndi zoyipa

Monga mankhwala aliwonse, insulin yochepa imakhala ndi mphamvu ndi zofooka zake.

mtundu uwu wa insulin umatsitsa magazi kukhala wabwinobwino popanda kupangitsa hypoglycemia,
Khola shuga
ndizosavuta kuwerengetsa kukula ndi kapangidwe ka gawo lomwe lingadyedwe, ikatha nthawi yoikika jekeseni,
Kugwiritsa ntchito mitundu yamtunduwu kumalimbikitsa kuyamwa kwabwino pakudya, ndikutsimikizira kuti wodwalayo amatsatira zakudya zomwe adalandira.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kufunika kudikirira mphindi 30 mpaka 40 musanadye. Nthawi zina, izi zimakhala zovuta kwambiri. Mwachitsanzo, ali panjira, pa chikondwerero.
Zotsatira zamankhwala sizichitika mwachangu, zomwe zikutanthauza kuti mankhwalawa sayenera kupumula kwaposachedwa kwa hyperglycemia.
Popeza insulini yotere imakhala ndi mphamvu yayitali, kuwunikira kosafunikira kumafunikira patatha maola 2,5 patatha kubayidwa kuti jekeseni azikhazikika.

Muzochitika zamankhwala, pali odwala matenda ashuga omwe amupeza kuti akutsitsa m'mimba.

Odwala awa amafunika kuti alowe ndi insulin yokwanira 1.5 maola asanadye. Nthawi zambiri, izi ndizosokoneza. Potere, njira yokhayo ndi kugwiritsa ntchito mahomoni a ultrafast action.

Mulimonsemo, ndi dokotala yekhayo amene angakupatseni mankhwala kapena mankhwalawa. Kusintha kuchokera ku mankhwala kupita kwina kuyeneranso kuchitika moyang'aniridwa ndi achipatala.

Mayina Mankhwala Osokoneza bongo

Pakadali pano, kusankha kwa kukonzekera insulin mwachangu kuli konsekonse. Nthawi zambiri, mtengo umadalira wopanga.

Gome: "Ochita zinthu mwachangu"

Dzina lamankhwala	Kutulutsa Fomu	Dziko lomwe adachokera
"Biosulin P"	10 ml galasi ampoule kapena 3 ml katoni	India
Apidra	3 ml katoni katoni	Germany
Gensulin R	10 ml galasi ampoule kapena 3 ml katoni	Poland
Chifungo cha Novorapid	3 ml katoni katoni	Denmark
Rosinsulin R	5 ml botolo	Russia
Humalog	3 ml katoni katoni	France

Humalog ndi analogue ya insulin yamunthu. Mafuta osapaka utoto omwe amapezeka m'mabotolo atatu amililita atatu. Njira yovomerezeka yoyendetsera ndiyopanda njira komanso yolowerera. Kutalika kwa kuchitapo kanthu mpaka maola 5. Zimatengera Mlingo wosankhidwa ndi kuwonongeka kwa thupi, kutentha kwa thupi la wodwalayo, komanso tsamba la jakisoni.

Ngati kuyambitsa kunali pansi pa khungu, ndiye kuti kuchuluka kwa mahomoni ambiri m'magazi kudzakhala theka la ola - ola.

Humalog imatha kutumikiridwa musanadye, komanso pambuyo pake. Kuwongolera kwa subcutaneous kumachitika m'mapewa, m'mimba, matako kapena ntchafu.

Yogwira pophika mankhwala a Novorapid penfill ndi insulin. Uku ndi kuwonetsera kwa mahomoni amunthu. Amadzimadzi opanda mtundu, wopanda chinyengo. Mankhwalawa amaloledwa kwa ana opitirira zaka ziwiri. Nthawi zambiri, kufunika kwa insulin kuyambira 0.5 mpaka 1 UNITS, kutengera kulemera kwa odwala matenda ashuga.

"Apidra" ndi mankhwala achijeremani, omwe amagwira ntchito omwe ndi insulin glulisin. Ichi ndi chinanso china cha ma hormone amunthu. Popeza kafukufuku wokhudzana ndi mankhwalawa sanachitike pa amayi apakati, kugwiritsa ntchito kwake gulu la odwala nkosayenera. Zomwezo zimapita kwa akazi akumiyala.

Rosinsulin R ndi mankhwala opangidwa ndi Russia. Mankhwala omwe amapangika amapangidwa ndi majini amtundu wa insulin. Wopanga amalimbikitsa kuti ayendetsedwe posakhalitsa chakudya chisanafike kapena 1.5-2 pambuyo pake. Musanagwiritse ntchito, ndikofunikira kupenda mosamala zamadzimadzi kutipezeka matope, matope. Pankhaniyi, mahomoni sangathe kugwiritsidwa ntchito.

Zotsatira zoyambirira za kukonzekera kwa insulin mwachangu ndi hypoglycemia. Mawonekedwe ake ofatsa safuna kusintha kwa mankhwalawa ndi chisamaliro chamankhwala. Ngati shuga wochepa wadutsa pamlingo woyenera kapena wovuta kwambiri, thandizo lachipatala lofunikira likufunika. Kuphatikiza pa hypoglycemia, odwala amatha kukhala ndi lipodystrophy, pruritus, ndi urticaria.

Nicotine, COCs, mahomoni a chithokomiro, mankhwala opha tizilombo komanso mankhwala ena amachepetsa mphamvu za insulin pa shuga. Pankhaniyi, muyenera kusintha mlingo wa mahomoni. Ngati mankhwala ena amatengedwa ndi odwala tsiku lililonse, ayenera kudziwitsa adotolo za izi.

Monga mankhwala aliwonse, kukonzekera insulin mwachangu kumakhala ndi zotsutsana. Izi zikuphatikiza:

matenda ena amtima, makamaka chilema,
pachimake yade
matenda am'mimba
chiwindi.

Pamaso pa matenda oterewa, njira yochizira imasankhidwa payekhapayekha.

Kukonzekera mwachangu kwa insulin kumapangidwira kwa odwala matenda ashuga ngati mankhwala. Kuti tikwaniritse chithandizo chokwanira, kutsatira kwambiri dosing, kutsatira zakudya ndizofunikira. Kusintha kuchuluka kwa mahomoni omwe amaperekedwa, kusintha imodzi ndi inzake kumatheka pokhapokha povomerezana ndi adokotala.