Insulin ya odwala matenda ashuga

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Anthu omwe adapezeka kuti ali ndi matenda ashuga amayenera kuwunika kuchuluka kwa shuga m'magazi awo moyo wawo wonse, kumwa mankhwala othana ndi shuga omwe madokotala amapereka, ndikuvulaza insulin.

Kuwunikira kusintha kwa gawo la glucose m'magazi, kwa odwala matenda ashuga pali zida zapadera zomwe odwala amatha kuchita mayeso kunyumba, osapita kuchipatala nthawi iliyonse.

Pakadali pano, mtengo wa glucometer ndi zinthu zogwiritsira ntchito pachipangizochi ndi wokwera kwambiri. Pazifukwa izi, odwala matenda ashuga ambiri ali ndi funso: kodi angatenge insulin ndi mankhwala ena kwaulere ndipo ndiyenera kulumikizana ndi ndani?

Phindu la Matenda A shuga

Odwala onse omwe amapezeka ndi matenda a shuga amapatsika gawo lokonda. Izi zikutanthauza kuti pamaziko a zopindulitsa za boma, ali ndi ufulu kulandira insulini ndi mankhwala ena othandizira matendawa.

Komanso, odwala matenda ashuga omwe ali ndi zilema amatha kutenga tikiti laulere kupita ku sukulu yophunzitsira, yomwe imaperekedwa kamodzi pazaka zitatu zonse ngati gawo lokhalitsa.

Odwala omwe apezeka ndi matenda amtundu woyamba ali ndi ufulu:

• Pezani ma insulin aulere komanso insulin,
• Ngati ndi kotheka, alowetsani kuchipatala kuti mukalandire upangiri,
• Pezani ma glucometer aulere a mayeso a shuga kunyumba, komanso zida zogwiritsira ntchito chipangizocho pamiyeso yamagawo atatu.

Pankhani ya matenda a shuga a mtundu woyamba, kulumala kumakhazikitsidwa nthawi zambiri, chifukwa chake pulogalamu yowonjezera imaphatikizidwa kwa odwala matenda ashuga, omwe amaphatikizapo mankhwala ofunikira.

Pankhaniyi, ngati dokotala atakulemberani mankhwala okwera mtengo omwe samaphatikizidwa mndandanda wazamankhwala okondera, wodwalayo nthawi zonse angafunse ndikupeza mankhwala ngati amenewo kwaulere. Zambiri zokhudzana ndi yemwe ali ndi vuto la matenda a shuga zitha kupezeka patsamba lathu.

Mankhwala amaperekedwa mosamalitsa malinga ndi zomwe dokotala wakupatsani, pomwe mlingo wofunikira uyenera kufotokozedwa papepala lachipatala lomwe wapatsidwa. Mutha kulandira insulin ndi mankhwala ena ku pharmacy kwa mwezi umodzi kuyambira tsiku lomwe linanenedwa kuti mupatsidwe mankhwala.

Kupatula, mankhwala akhoza kuperekedwa kale ngati mankhwala ali ndi cholembera chofunikira. Potere, insulin yaulere imaperekedwa nthawi yomweyo ngati ilipo, kapena pasanathe masiku khumi.

Mankhwala a Psychotropic amaperekedwa kwaulere kwa milungu iwiri. Chithandizo cha mankhwala chikuyenera kusinthidwa masiku asanu aliwonse.

Mu matenda a shuga a mtundu wachiwiri, wodwalayo ali ndi ufulu:

1. Pezani mankhwala ofunika kuchepetsa shuga kwaulere. Kwa odwala matenda ashuga, mankhwala amawonetsedwa akuwonetsa kuchuluka kwake, pamaziko omwe insulin kapena mankhwala amaperekedwa kwa mwezi umodzi.
2. Ngati kuli kofunikira kuperekera insulin, wodwalayo amapatsidwa glucometer yaulere yokhala ndi zothetsera pamiyeso ya mizere itatu patsiku.
3. Ngati insulin siyofunikira kwa odwala matenda ashuga, amatha kupezanso mayeso kwaulere, koma muyenera kugula nokha glucometer. Chosiyana ndi odwala omwe ali ndi vuto lowonongeka, omwe zida zake zimaperekedwa mwa njira zabwino.

Ana ndi amayi apakati amatha kutenga ma insulin ndi ma insulin aulere. Alinso ndi ufulu wotulutsa mita yamagazi m'magazi komanso zothetsera ku chipangizo choyeza shuga wamagazi, kuphatikiza zolembera za syringe.

Kuphatikiza apo, tikiti yopita ku sanatorium imaperekedwa kwa ana, omwe amatha kupumula palokha ndikutsagana ndi makolo awo, omwe amakhalanso amalipira ndi boma.

Maulendo opita kumalo opumulirako njira iliyonse, kuphatikizapo sitimayi ndi basi, ndi zaulere, ndipo matikiti amaperekedwa nthawi yomweyo. Kuphatikiza makolo akusamalira mwana wodwala wosakwana zaka 14 ali ndi ufulu wolandila ndalama zolandila malipiro ake pamwezi.

Kuti muthe kugwiritsa ntchito bwino maubwino otere, muyenera kupeza chikalata kuchokera kwa dokotala wakwanuko yemwe akutsimikizira kupezeka kwa matendawa komanso ufulu wothandizidwa ndi boma.

Kukana phukusi ochezera

Ngati nkosatheka kukafika ku malo a sanatorium kapena disensary, wodwala matenda ashuga atha kukana dala kuchipatala. Potere, wodwalayo amalandila chipukuta ndalama chifukwa chosagwiritsa ntchito chilolezo.

Komabe, ndikofunikira kumvetsetsa kuti ndalama zomwe zimalipiridwa zimakhala zochepa poyerekeza ndi mtengo weniweni wokhala m'dera lopumira. Pachifukwa ichi, anthu nthawi zambiri amakana phukusi pokhapokha ngati, pazifukwa zilizonse, sizotheka kugwiritsa ntchito tikiti.

Pankhani yopeza mankhwala omwe amakonda, wodwala matenda ashuga amatha kulandira insulin ndi mankhwala ena ochepetsa shuga, ngakhale atakana mwakufuna kwawo. Zomwezi zimagwiranso ntchito ma insulin syringes, glucometer, ndi zida zoyeserera shuga m'magazi.

Tsoka ilo, masiku ano zinthu zili choncho kuti anthu ambiri odwala matenda ashuga asankha kutenga mwayi wokana phindu kuti alandire ndalama zochepa kuboma.

Odwala amalimbikitsa zochita zawo nthawi zambiri chifukwa chokhala ndi thanzi labwinobwino, kukana kulandira mankhwala osokoneza bongo. Komabe, ngati muwerengera mtengo wokhala pakubwera milungu iwiri m malo ampumulo, zimapezeka kuti malipiro azikhala ocheperako maulendo 15 kuposa phukusi lathunthu la odwala matenda ashuga.

Moyo wochepera wokhala ndi odwala ambiri umawapangitsa kusiya chithandizo chamankhwala apamwamba mokomera chithandizo chochepa.

Pakadali pano, anthu samaganizira nthawi zonse kuti pambuyo pa sabata boma la thanzi limatha kusokonekera kwambiri, ndipo sipangakhale mwayi wopita kuchipatala.

Kupeza mankhwala okondera

Mankhwala aulere othandizira matendawa pamaziko a zabwino amapatsidwa ndi endocrinologist potengera matenda a shuga. Kuti izi zitheke, wodwalayo amapima mayeso athunthu, amatenga magazi ndi mkodzo pamiyeso ya shuga. Atalandira zotsatira zonse, dokotalayo amasankha dongosolo la kaperekedwe ka mankhwala ndi kuchuluka kwa mankhwalawa. Zambiri izi zimawonetsedwa mu mankhwala.

Mankhwala amaperekedwa kwaulere m'mafakitala onse aboma pamtundu wolembedwa, zomwe zikuwonetsa kuchuluka kwa mankhwalawo. Monga lamulo, mankhwala amatha kupezeka pamwezi.

Kuti muwonjezere phindu ndikupeza mankhwala aulere, mukufunikiranso kulumikizana ndi endocrinologist ndikuyezetsa. Vutoli litatsimikiziridwa, dokotalayo amupatsanso mankhwala ena.

Ngati dokotala akukana kupereka mankhwala oyenera omwe ali m'gulu la mankhwala aulere kwa odwala matenda ashuga, wodwalayo ali ndi ufulu wolumikizana ndi wamkulu kapena dokotala wamkulu wachipatala. Kuphatikizanso thandizo kuthetsa nkhaniyi mu dipatimenti yachigawo kapena Unduna wa Zaumoyo.

Pampu ya insulin ndi chipangizo chanzeru chomwe chimapangidwira kuperekera mankhwala ochepetsa mphamvu ya insulin mosalekeza pansi pa khungu. Pakugunda kolondola, timachubu tating'onoting'ono ta silicone tautali wosiyanasiyana ndi ma cannulas apadera omwe amapangidwa ndi pulasitiki kapena zitsulo amagwiritsidwa ntchito. Kutalika kwa cannula kumasankhidwa payekhapayekha, komanso kukula kwa singano wamba zotayira zopangira syringe. Silicone chubu imatha kukhala yochepa komanso yayitali kutengera zofuna za munthu payekha komanso kuyenda.

Kusiyana kwakukulu ndi mwayi wapampu wa insulin ndikuyambitsa milingo yaying'ono kwambiri. Mitundu yaposachedwa imakupatsani mwayi wokhazikitsa magawo a 0,01. insulini, yomwe ndiyofunikira kwambiri kuti chipukutu chabwino cha ana ndi amayi apakati azikhala ndi vuto laling'ono la mahomoni opanga. Chipangacho chokha chimalowa m'malo jakisoni angapo tsiku ndi tsiku, zomwe zimawonjezera kwambiri chitonthozo cha m'maganizo ndi moyo wabwino wa odwala

Chifukwa chake, pampu ya insulin imakhala

1. Chipangacho chokha ndi chaching'ono (pafupifupi ngati pager) chokhala ndi mabatire
2. M'malo ndi chosungira kuti mudzaze ndi insulin yatsopano (yomwe ili mkati mwa chipangacho)
3. Kulowetsedwa (cannula kuphatikiza ndi silicone chubu)

Zinthu ziwiri zomalizirazi nthawi zambiri zimatchedwa zothetsera pampu ndipo zimayikidwanso m'malo mwake, monga momwe wopanga adavomerezera ndikuwatsimikizira mwamphamvu. Nthawi zina mumayenera kusintha m'malo mwake.

Pambuyo pokonza insulin pump kuti muigwiritse ntchito, wogwiritsa ntchitoyo amakhazikitsa magawo ofunikira. Insulin imagwiritsidwa ntchito pokhapokha komanso ultrashort, koma imabwera m'njira ziwiri: bolus ndi basal. Tilankhula zochulukirapo pazokhudza chithandizo cha pampu m'nkhani zotsatirazi. Koma mfundo yayikulu ndi iyi: regimen regimen ndikupereka kwa mahomoni kuti agwiritse ntchito zakudya zomwe zimaperekedwa komanso / kapena kuchepa kwa shuga m'magazi, pomwe masamba apansi amatsata kutengera kwachilengedwe kwa insulini masana kuti athetse matenda a glycemia pakati pa chakudya komanso nthawi yogona.

Mitundu yonse imatha kukhazikitsidwa munthawi yake, zomwe zimapereka mwayi ku pampu poyerekeza ndi jakisoni wamba. Apa ndikotheka kusintha kupezeka kwa kuchuluka kwa insulin kutengera nthawi yakatsiku komanso zomwe zikuyembekezeka, i.e. pangani menyu yanu pamasiku osiyana a sabata.

Kodi mapampu a insulin ndi ati?

Poyamba, opanga odziwika bwino opanga zida zamankhwala amapanga zida zamankhwala zotere, ndipo pali mitundu yosiyana kwambiri yosonkhanitsa ntchito ndi mtengo wake. Maofesi ambiri oimira ku Russia amapereka malonda awo kuti ayesedwe kwakanthawi, i.e. mutha "kubwereka" ndikusankha ngati mtunduwu ndi woyenera kwa inu, ndipo pokhapokha mutagula zida zanu zomwe.

Nthawi zina pamakhala mayankho (kachipangizo kakang'ono ka mini-glucose m'magazi kamene kamaperekedwa ndi kit) kapena njira yokhazikitsidwa ndi mahomoni. Gawo la mitengo yamagetsi ndilosiyana kwambiri, koma, kwenikweni, chipangizocho sichotsika mtengo kwa anthu wamba aku Russia. Opanga chachikulu omwe amagwiritsidwa ntchito ku Russia ndi Akku Chek, Medtronic, Omnipod, Dana. Mtengo wa zothetsera zimasiyana pang'ono kutengera wopanga wosankhidwa. Koma pafupifupi pamlingo wapafupi.

Pali mwayi wolandila chipangizocho kwaulere, koma malamulowo amawunikiridwa chaka chilichonse ndipo muyenera kudziwa zambiri kuchokera ku Unduna wa Zaumoyo ndi kuchokera kwa dokotala.

Kodi pampu ya insulini ikufunika liti?

Pali malingaliro komanso nthano zambiri zokhudzana ndi kugwiritsa ntchito kwa ogawa ana ndi akulu. Pali zisonyezo ndi ma contraindication ogwiritsira ntchito mankhwala a pampu. Pachifukwa ichi, kufunitsitsa kusinthira njira iyi yoperekera mankhwala a insulin ndikotheka pambuyo pokumana ndi dokotala. Mungafunike kuchipatala kwa masiku angapo kuchipatala kuti musankhe mankhwalawa kapena kuyang'aniridwa ndi adokotala pakompyuta. Kuwerengera koyambirira kuyeneranso kuperekedwa kwa dokotala waluso, choyambirira, kuti musakhumudwitsidwe pasadakhale ndikupirira zovuta za masiku oyamba. Ndipo zimachitika ngakhale odwala matenda ashuga odziwa bwino.

Chifukwa chake, pampu ikalimbikitsidwa

• Kuchiza kwa pump kumagwira bwino mu ana aang'ono chifukwa cha gawo laling'ono kwambiri la insulin.
• Amayi oyembekezera panthawi yobereka komanso nthawi yobereka.
• Amayi omwe ali ndi matenda a shuga akukonzekera kutenga pakati.
• Ana omwe amapita ku sukulu yaulemu komanso kusukulu pawokha popanda kuyang'aniridwa ndi makolo.
• Akuluakulu omwe amakonda njira zosiyanasiyana za tsiku ndi tsiku ndipo akufuna kuyesa chithandizo cha pampu.
• Anthu odwala matenda ashuga okhala ndi hemoglobin wambiri wa glycated.
• Odwala sayanjana ndi insulin yayitali.
• Odwala omwe akusintha kwambiri m'magazi a magazi
• Pamaso pa mbiri yakale ya hypoglycemia komanso usiku.
• Pamaso pa "mbandakucha m'mawa."
• Zochita zovuta za matenda ashuga.

Insulin yamunthu

• 1 Jinijini wopanga insulin - ndi chiyani?
• 2 Matenda omwe amapezeka ndi insulin
• Kutalika kwa nthawi ya mankhwala osokoneza bongo
• 4 Kugwiritsa ntchito insulin yaumunthu
  • 4.1 Zochitika Zosiyanasiyana
  • 4.2 Zizindikiro za bongo
• Pomaliza

Insulin yopangidwa ndi chibadwa cha anthu ndi gawo la jakisoni yankho la matenda a shuga. Gwiritsani ntchito mankhwalawa mosamala, muyezo wokhazikitsidwa ndi mankhwala, apo ayi, phwando limadzala ndi zovuta kapena mankhwala osokoneza bongo. Kuphatikiza apo, adokotala ali ndi udindo wopereka mankhwala ndikuwachiza, popeza pali mitundu yambiri ya insulin, iliyonse yomwe ili ndi mawonekedwe enieni a zochita.

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

Genulin engineering insulin - ndi chiyani?

Insulin imakhudzidwa ndi ma metabolic ambiri a thupi la munthu, kotero zotsatira zazikulu zimawonekera pakuchepetsa katundu - zimatsitsa kuchuluka kwa shuga m'magazi. Komabe, pazifukwa zambiri, kapamba nthawi zambiri amaletsa kupangika kwa mahomoni, kenako insulin yopangidwa mwanjira ina.

Insulin yopangidwa mwabadwa imatha kulocha insulin yaumunthu, ndipo imapezedwa ndi mankhwala mwa kuphatikiza Escherichia coli kapena kusinthitsa amino acid ya mahomoni a porcine.

M'mbuyomu, hormoneyi idapangidwa kuchokera ku nyama zapancreatic, koma posakhalitsa njirayi idasinthidwa ndi kuphatikizidwa ndi mankhwala. Mankhwala opangidwa ndi nyama adakhalabe, koma amawonedwa ngati osagwira ntchito. Pakapangira mankhwala, pakakhala pano, mtundu wa osakhala wa pathogenic E. coli kapena yisiti umagwiritsidwa ntchito. Chifukwa chake konzekerani zokonzekera za insulin zingapo. Makhalidwe abwino a ndalamazi ndi awa:

• kutsatira kwa amino acid
• zochita nthawi - ultrashort, yayifupi, nthawi yayitali komanso nthawi yayitali.

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Matenda a Insulin

Moyo wamunthu umadalira pakupanga insulin mthupi, motero kupeza mahomoni ndikofunikira kwa anthu omwe adapezeka kuti ali ndi zotsatirazi:

Matenda a shuga, amatanthauza kukakamiza kwa insulin.

Type 1 and Type 2 shuga. Ndi matenda amtundu wa 1 shuga, kapamba sangathe kupanga mahomoni ambiri; ndi matenda amitundu iwiri, amatero, koma osakwanira.

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Kutalika kwa zochita za mankhwala

Njira yothetsera insulin imasiyana pakadutsa kachitidwe. Kusiyana pakati pa zida zomwe zalembedwa patebulo:

Mankhwala mwa kutalika kwa zochita

Nthawi yogwira (ola)

Ultrashort4Zotsatira zimachitika mkati mwa ola limodzi ndi thekaApidra, Insulin Novorapid, Humalog Amaloledwa kulowa zonse musanadye komanso pambuyo pake Palibe chifukwa chokhalira kuluma kuti muchiritse Mwachidule5Zotsatira zimachitika mkati mwa theka la olaActrapid, Insulin Rapid, Humodar Mankhwala chikuyendetsedwera mphindi 15 asanadye Mukufuna akamwe zoziziritsa kukhosi maola angapo jakisoni Yapakatikati12—16The achire zotsatira kuonekera pambuyo 4-8 maolaProtafan, Novomiks, Humulin NPH Zimafunikira kulowa m'mawa ndi madzulo Ntchito mtundu 1 shuga Kuchita motalika24The achire zotsatira pambuyo 4-6 maola"Monodar Long", "Levemir", "Ultralente" Kutsatira mahomoni achilengedwe Ntchito mtundu 2 shuga

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Kugwiritsa ntchito insulin yaumunthu

Kukhala bwino komanso thanzi la munthu wodwala matenda ashuga kumadalira malamulo ogwiritsira ntchito mankhwalawa. Mlingo ndi chithandizo ziyenera kuyang'aniridwa mwachindunji ndi dokotala. Kugwiritsa ntchito moyenera mankhwalawa kutengera malamulo awa:

Mlingo umasankhidwa payekha kwa wodwala aliyense.

Mlingo umakhazikitsidwa payekhapayekha kwa wodwala aliyense.

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Zochitika Zosiyanasiyana

Pafupipafupi matupi awo sagwirizana ndi insulin mwanjira yotupa, kuchepa kwa chilala kapena kugona. Vutoli ndilosakhalitsa. Mwa zina mwazomwe zimayambitsa zovuta, kuphatikiza pa zomwe zatchulidwa, pali:

• ulesi, kusowa mphamvu,
• dermatitis
• kuyabwa
• kuzizira, kutentha thupi,
• kuthamanga kwa magazi.

M'malo omwe insulin imalowetsedwa, lipodystrophy nthawi zina imawonedwa - kusowa kwa minofu ya adipose. Chifukwa chake, ndikofunikira kusintha tsamba la jakisoni mwezi uliwonse.

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Zizindikiro Zambiri

Khunyu imayamba chifukwa cha kuchuluka kwa insulin.

Mankhwala osokoneza bongo amadziwika ndi zizindikiro za hypoglycemia. Pa gawo loyambirira la mapangidwe a vutoli, ndizotheka kuchotsa zizindikilozo popanda ufulu - kudya chinthu chomwe chili ndi shuga wambiri kapena "kuwala" mafuta. Kapena yambitsani njira zapadera za glucagon ndi dextrose. Zizindikiro za bongo ndi:

• womvera
• kufooka ndi mutu
• kunjenjemera ndi tachycardia,
• kukokana
• kawirikawiri njala
• thukuta lozizira.

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Pomaliza

Kuthamangitsa kwa mahomoni ena kumathandiza pochiza anthu omwe ali ndi matenda ashuga, chifukwa mankhwalawa amachepetsa kuchuluka kwa shuga m'magazi chifukwa cholocha bwino. Insulin imagwiritsidwa ntchito pokhapokha ngati lingaliro lazachipatala, moyang'aniridwa ndi dokotala, kuti musatsogoze zotsatira zoyipa. Izi zimagwiranso ntchito pakusamutsa wodwala kupita ku mtundu wina wa insulin.

Kuchita zinthu mwachidule kwa odwala matenda ashuga

Makampani opanga mankhwala amapanga mitundu yambiri ya mankhwala a mahomoni kuti athandizire shuga. Chimodzi mwa izo ndi insulin yochepa. Imatha kusintha matenda a shuga mwa odwala omwe ali ndi matenda osokoneza bongo nthawi yochepa, zomwe zimapangitsa kukhala chida chofunikira kwambiri.

• Lingaliro la insulin yochepa
• Kodi insulin yamtunduwu imalembedwa liti?
• Kodi insulin yayifupi imagwira ntchito mpaka liti?
• Mitundu ya insulin yofatsa
• Ultra Yokhala-Mwachidule Insulin
• Momwe mungawerengere insulin yochepa - njira za anthu odwala matenda ashuga
• Mulingo woyenera wa osakwatira
• Momwe mungabayitsire insulin yochepa? (kanema)

Lingaliro la insulin yochepa

Insulin ikangoyambitsidwa, imasungunuka ndipo imasinthasintha mwachangu njira za metabolic zomwe zimagwirizanitsidwa ndi kuyamwa kwa shuga.

Mosiyana ndi mankhwala omwe akhala akuchita kwa nthawi yayitali, amakhala ndi yankho loyera la mahomoni popanda zowonjezera zina. Kuchokera ku dzinalo ndizodziwikiratu kuti akatha kuyambitsa, amayamba kugwira ntchito mwachangu, ndiye kuti, kwakanthawi kochepa amatsitsa shuga. Koma panthawi imodzimodziyo, amasiya kuchitapo kanthu mwachangu kuposa mankhwala omwe amakhala ndi nthawi yayitali pochita, monga momwe tikuwonera pachitsanzo chotsatira:

Kodi insulin yamtunduwu imalembedwa liti?

Zovala zazifupi zimagwiritsidwa ntchito zokhazokha kapena kuphatikiza ndi mahomoni okhala ndi nthawi yayitali. Amaloledwa kulowa mpaka 6 pa tsiku. Nthawi zambiri, amawalemba ngati:

• kuyambiranso,
• chosafunikira thupi insulin,
• othandizira opaleshoni
• zophulika
• matenda a shuga - ketoacidosis.

Kodi insulin yayifupi imagwira ntchito mpaka liti?

Ndi subcutaneous makonzedwe, mphamvu yayitali kwambiri ya mankhwalawa imawonedwa, yomwe imachitika pakadutsa mphindi 30 mpaka 40, nthawi yomwe chimbudzi cha chakudya chodyedwa chimachitika.

Mutatha kumwa mankhwalawa, nsonga ya insulin imatheka pambuyo pa maola awiri ndi atatu. Kutalika kumatengera mlingo womwe umaperekedwa:

• ngati ma 4 UNITS - 6 UNITS, nthawi yodziwika bwino ndi pafupifupi maola 5,
• ngati 16 mayunitsi kapena kupitilira apo, itha kufika maola 6-8.

Pambuyo pakutha kwa chochitikacho, mankhwalawa amachotsedwa m'thupi ndi mahomoni olimbana ndi mahomoni.

Mitundu ya insulin yofatsa

Pali zokonzekera zambiri za insulin zomwe zimakhalapo mwachidule, zomwe mankhwalawa omwe ali patebulopo ndi otchuka kwambiri:

Zosindikizira zomwe zalembedwazo zimawoneka ngati zomangamanga pamtundu wa anthu, kupatula Monodar, womwe umatchedwa nkhumba. Amapezeka mu mawonekedwe a njira yosungunuka mumbale. Zonse zimapangidwa kuti athandize odwala matenda amtundu wa 1 komanso a 2 matenda ashuga. Nthawi zambiri zotchulidwa musanayambe mankhwala.

Mankhwala sanaperekedwe kwa azimayi oyembekezera komanso oyembekezera, chifukwa insulini yamtunduwu simalowa m'matumbo ndi mkaka wa m'mawere.

Ultra Yokhala-Mwachidule Insulin

Izi ndi zomwe zapangidwa posachedwapa mu pharmacology. Amasiyana ndi mitundu ina yonse monga momwe zimakhalira nthawi yomweyo, ndikupanga shuga m'magazi. Mankhwala odziwika bwino ndi awa:

Mankhwalawa ndi fanizo la munthu la munthu. Ndiwothandiza panthawi yomwe muyenera kudya, koma kuchuluka kwake sikudziwika, pakakhala zovuta kudziwa kuchuluka kwa insulin yokumba. Mutha kudya kaye, kenako kuwerengera ndi kumwa mankhwalawo. Popeza zochita za insulin ndizothamanga, chakudya sichikhala ndi nthawi yokwanira.

Insulin iyi ya ultrashort idapangidwa kuti izigwiritsidwa ntchito pamene anthu omwe ali ndi matenda ashuga amaswa zakudya zawo ndikudya maswiti ambiri kuposa omwe adalimbikitsa. Nthawi zambiri muzochitika zotere mumakhala kuchuluka kwambiri kwa shuga, komwe kumatha kubweretsanso thanzi. Kenako mankhwalawa atha kuthandiza. Nthawi zina, pamene wodwala sangathe kudikirira kwa mphindi 40, ndikulakwira chakudyacho kale, inshuwaransi yamtunduwu ikhoza kuphatikizidwanso.

Insulin yotereyi sikuti imaperekedwa kwa odwala omwe amatsatira malamulo onse azakudya. Nthawi zambiri, ngati ambulansi yokha yolumphira shuga.

Sipakhudzidwa mu amayi apakati omwe ali ndi matenda a shuga. Amaloledwa kugwiritsidwa ntchito, ngakhale pali toxosis ya mimba.

Phindu la ultrashort insulini ndikuti:

• muchepetse kuchuluka kwa shuga m'magazi usiku, makamaka kumayambiriro kwa kutenga pakati,
• thandizirani kusintha matendawa msanga mwa mayi woyembekezera panthawi ya cesarean,
• kuchepetsa chiopsezo cha zovuta mukatha kudya.

Mankhwalawa ndi othandiza kwambiri mwakuti amatha kusinthitsa shuga pakanthawi kochepa, pomwe mankhwalawa amathandizidwa pang'ono, omwe amathandiza kupewa zovuta zingapo.

Kutengera glycemia

Kuwerengera kuchuluka kwa zakudya zomwe zimamwa

Mlingo umodzi wothandizirana ndi insulin mwachidule samangotengera kuchuluka kwa shuga m'magazi, komanso zakudya zomwe zimamwa. Chifukwa chake, pakuwerengera nkoyenera kuganizira mfundo zotsatirazi:

• Chiyeso cha chakudya chamoto ndi magawo a buledi (XE). Chifukwa chake, 1 XE = 10 g shuga,
• Pa XE iliyonse muyenera kulowa gawo limodzi la insulin. Kuti muwerengedwe molondola kwambiri, tanthauzo lake limagwiritsidwa ntchito - 1 unit ya insulin imachepetsa mahomoni ndi 2.0 mmol / l, ndi 1 XE ya chakudya chamafuta imakwera ku 2.0 mmol / l, kotero pa 0.28 mmol / l iliyonse yomwe imaposa 8, 25 mmol / l, 1 unit ya mankhwala imayendetsedwa,
• Ngati chakudyacho chilibe chakudya, kuchuluka kwa mahomoni m'magazi sikukwera.

Kuti kuwerengera kumakhala kosavuta, tikulimbikitsidwa kusunga zolemba motere:

Mwachitsanzo: Ngati kuchuluka kwa glucose ndi 8 mmol / l musanadye, ndipo akukonzekera kudya 20 g ya chakudya chamafuta kapena 2 XE (+4.4 mmol / l), ndiye kuti mutadya shuga mutha kufika pa 12.4, pomwe mankhwalawa ndi 6. Chifukwa chake, ndikofunikira kuyambitsa magawo atatu a mankhwalawa kotero kuti index ya shuga igwere ku 6.4.

Mulingo woyenera wa osakwatira

Mlingo uliwonse wa insulin umasinthidwa ndi adotolo, koma sayenera kukhala apamwamba kuposa ma PIECES, omwe amawerengedwa pa kilogalamu imodzi ya kuchuluka kwake. Uwu ndiye mlingo waukulu.

Mankhwala osokoneza bongo amatha kubweretsa zovuta.

Nthawi zambiri, dokotala amatsatira malamulo otsatirawa:

• Ngati matenda a shuga a mtundu woyamba wangopezedwa kumene, muyezo wosaposa 0,5 / kg mankhwala.
• Ndikulipirira kwabwino chaka, mankhwalawa ndi 0.6 U / kg.
• Ngati kusakhazikika kumawonedwa mu mtundu 1 wa shuga, shuga amasinthasintha, ndiye kuti 0,7 U / kg amatengedwa.
• Ndi matenda a shuga ophatikizika, mlingo ndi 0.8 IU / kg.
• Ndi ketacidosis, 0,9 U / kg amatengedwa.
• Ngati pakati mu trimester yomaliza ndi mayunitsi 1.0 / kg.

Momwe mungabayitsire insulin yochepa? (kanema)

Mitundu yonse ya insulini nthawi zambiri imayendetsedwa chimodzimodzi asanadye. Ndikulimbikitsidwa kuti musankhe madera amthupi la munthu pomwe mitsempha yayikulu ya magazi siyidutsa, pali ma amana amafuta ochepa.

Ndi makonzedwe a venous, zochita za insulin zidzakhala nthawi yomweyo, zosavomerezeka pamankhwala amasiku onse. Chifukwa chake, kuyamwa kwa mankhwalawa kumalimbikitsidwa, zomwe zimapangitsa kuti mayendedwe a insulin ayambe kulowa m'magazi.

Mutha kusankha pamimba, koma osasuntha mkati mwa masentimita 6 kuchokera ku navel. Pamaso pa jekeseni, muyenera kutsuka malowa ndikusamba m'manja ndi sopo ndikuuma. Konzani chilichonse chomwe chikufunika munjira yake: syringe yotayidwa, botolo lokhala ndi mankhwala komanso pedi. Onetsetsani kuti mwamaliza bwanji!

Chotsatira, muyenera kutsatira malangizo awa:

1. Chotsani kapu ku syringe, ndikusiya kapu ya mphira.
2. Chitani ndi singano ndi mowa ndikuyika mosamala mu botolo ndi mankhwala.
3. Sonkhanitsani kuchuluka kwa insulin.
4. Tulutsani singano ndikutulutsa mpweya, kutsogoza wopondayo mpaka dontho la insulin lithe.
5. Ndi chala chachikulu ndi chofiyira, tengani kachikopa kakang'ono. Ngati subcutaneous mafuta wosanjikiza ndi wandiweyani, ndiye kuti timayambitsa singano pamakona madigiri 90, ndi yopyapyala - singano ndiyofunika kupendekeka pang'ono pakona madigiri 45. Kupanda kutero, jekeseni sangakhale wosinjirira, koma wamitsempha. Ngati wodwalayo alibe kulemera kwambiri, ndibwino kugwiritsa ntchito singano yopyapyala komanso yaying'ono.
6. Pang'onopang'ono komanso bwino insulin. Kuthamanga kuyenera kumayendera yunifolomu pakukonzekera.
7. Syringe ikapanda kanthu, chotsani singano yokha pansi pa khungu ndikumasula khola.
8. Ikani kapu yoteteza pa singano ya syringe ndikuitaya.

Simungakhale malo amodzi nthawi zonse, ndipo mtunda kuchokera pa jakisoni wina kupita kwina uzikhala wa masentimita awiri. Majekeseni enanso: koyambirira m'ntchafu imodzi, kenako kwina, kenako kumatako. Kupanda kutero, kuphatikizika kwamafuta kumatha kuchitika.

Kuchuluka kwa mahomoni kumadalira kusankha malo. Mofulumira kuposa zonse, insulin imatengedwa kuchokera kukhoma lakutsogolo kwa m'mimba, kenako mapewa ndi matako, ndipo pambuyo pake kuchokera kutsogolo kwa ntchafu.

Ndikofunika kubayira m'mimba, kuti chochitikacho chichitike mwachangu akangodya.

Kuti mudziwe zambiri zamomwe mungagwiritsire ntchito kupatsa insulin, onani nkhani iyi kapena kanema wotsatira:

Pomaliza, ndikofunikira kudziwa kuti simungathe kusankha nokha mankhwala osankha mwachidule, musinthe mlingo wake popanda mankhwala a dokotala. Ndikofunikira kukhazikitsa, pamodzi ndi endocrinologist, dongosolo la kayendetsedwe kake malinga ndi regimen ndi kuchuluka kwa chakudya chomwe chimatengedwa. Ndikofunika kuti musinthe nthawi zonse jekeseni, sungani mosamala mankhwalawo, onani masiku omwe atha. Ndipo pakusintha pang'ono komanso zovuta, funsani dokotala.