Kodi ndizotheka kubayitsa insulin yomwe yatha: zotheka ndi zotsatira zoyipa

Jakisoni wa insulin amapulumutsa miyoyo ya anthu mamiliyoni ambiri omwe ali ndi matenda ashuga tsiku lililonse. Komabe, kugwiritsa ntchito mosayenera mankhwalawa kumatha kuyambitsa zotsatira zosiyana, m'malo mwake kukhala zothandiza, zitha kuvulaza thupi la wodwalayo.

Zofunikira kwambiri pakuchita bwino kwa mankhwala a insulini ndi: kulondola kwamawerengeredwe, kayendetsedwe koyenera ka mankhwalawo, komanso, mtundu wa insulini. Koma kulondola kwake komanso nthawi yayitali yosungirako mankhwalawo sizofunikira kwenikweni pakuchepetsa kwamwazi wamagazi.

Anthu ambiri omwe akudwala matenda a shuga ali ndi chidaliro kuti ngati musunga insulin m'malo oyenera, izi zidzakulitsa moyo wa alumali ndi miyezi inanso 6 itatha. Koma madokotala ambiri amawona lingaliro ili kukhala lowopsa.

Malinga ndi iwo, aliwonse, ngakhale mawonekedwe apamwamba kwambiri a insulini amatha kusintha katundu wake tsiku litatha. Chifukwa chake, kugwiritsa ntchito ma insulin omwe adatha sikuti sikofunikira kokha, komanso ndikuwopseza moyo.

Koma, kuti mumvetsetse chifukwa chake mankhwalawa ali oopsa, ndikofunikira kumvetsetsa funsoli mwatsatanetsatane ngati ndizotheka kugwiritsa ntchito insulin yomwe idatha komanso zomwe zingachitike.

Zotsatira zakugwiritsa ntchito insulin yomwe idatha

Mwa odwala matenda ashuga, pali lingaliro kuti moyo wa alumali womwe wasonyezedwa pakukhazikitsa insulin ulibe cholinga ndipo ndalamazi ndizoyenera kugwiritsidwa ntchito kwa miyezi itatu itatha.

M'malo mwake, mawu awa alibe tanthauzo, popeza opanga ambiri amaonetsetsa kuti moyo wawo sangathe kukhala nawo kwa miyezi ingapo. Izi zimawathandiza kutsimikizira mtundu wa mankhwalawo komanso kuteteza odwala kuti asagwiritsidwe ntchito ndi insulin, momwe zosintha zina zingachitike kale.

Koma izi sizitanthauza konse kuti ma insulini onse omwe adatha amatha kukhala otetezeka kwa anthu ndipo angagwiritsidwe ntchito moyenera kuchiza matenda a shuga. Choyamba, si onse opanga omwe amakonda kupeputsa moyo wa alumali wa mankhwala awo, zomwe zikutanthauza kuti tsiku lotha litatha ntchito zake izi zimakhala zowopsa kwa wodwalayo.

Ndipo kachiwiri, moyo wa alumali wa kukonzekera kwa insulini umakhudzidwa osati ndi zida ndi zida zopangira, komanso ndi njira zoyendera ndi kusungira. Ndipo ngati zolakwa zinalengedwa pamagawo awa operekera mankhwala kwa wodwala, izi zitha kuchepetsa kwambiri moyo wake wa alumali.

Maganizo enanso olakwika pakati pa odwala matenda ashuga ndi malingaliro akuti kugwiritsa ntchito insulin yomwe yatha, ngati sikupindulitsa wodwala, osamuvulaza. M'malo mwake, ngakhale insulin yomwe itamaliza sikhala ndi poizoni, imasinthiratu kuchepa kwake.

Ndikosatheka kuneneratu molondola momwe insulin yomwe ingamalize imakhudzira thupi la odwala matenda ashuga. Nthawi zambiri, mankhwalawa amakhala ndi vuto lochulukirapo, lomwe lingayambitse kutsika kwamphamvu kwambiri komanso kowopsa m'magazi a shuga, ndipo nthawi zina kumabweretsa poizoni wambiri wa insulin.

Chifukwa chake, kugwiritsa ntchito insulin yomwe yatha, zomwe sizikulosera, ndizovomerezeka. Ngati lamuloli silikusungidwa, wodwalayo atha kukhala ndi zovuta zotsatirazi:

1. Kuukira kwambiri kwa hyperglycemia, komwe kumawonetsedwa ndi zizindikiro zotsatirazi: kufooka kwambiri, thukuta kwambiri, njala yayikulu, kunjenjemera thupi lonse makamaka m'manja.
2. Mankhwala osokoneza bongo a insulin, omwe angachitike ngati wodwalayo ataganiza zogwiritsa ntchito insulin yotsekemera ndikupeza jekeseni yowonjezera kuti athandize zotsatira za mankhwala. Pankhaniyi, wodwalayo amatha kupezeka ndi poizoni wa insulin, yomwe imakhala yowopsa kwambiri kwa anthu,
3. Coma, yomwe imatha kukhala chotsatira cha hypoglycemia komanso poizoni wa insulin. Izi ndizotsatira zoyipa kwambiri zakugwiritsa ntchito insulin ndi moyo wa alumali womwe watha, zomwe zingayambitse kuti wodwalayo afe.

Wodwala ngati mwangozi adadzipangira jakisoni wa insulin yomwe idatha ndipo pokhapokha ataona kuti tsiku lakelo lidatha, ndiye kuti ayenera kumvetsera mosamala mkhalidwe wake.

Zizindikiro zoyambirira za hypoglycemia kapena poyizoni zikaonekera, muyenera kulankhulana ndi kuchipatala mwachangu kuti mupeze chithandizo chamankhwala.

Zomwe mungagwiritse ntchito insulin yomwe itatha

Anthu ambiri omwe ali ndi matenda ashuga, akafunsidwa ngati zingatheke kubayitsa insulin yomwe idatha, ayankhe mokwanira ndikugogomezera kuti mankhwalawa ndi oyenera kwa miyezi inanso itatha tsiku lotha ntchito.

M'malo mwake, makampani amachepetsa nthawi yayitali ya alumali pofika miyezi 1-3. Izi zimachitika pofuna kuteteza odwala kuti asagwiritse ntchito mankhwalawa, zomwe zimachitika pangozi.

Musaganize kuti ma insulini onse omwe atha ntchito alibe vuto lililonse ndipo atha kugwiritsidwa ntchito ngati mankhwala. Musaiwale kuti si makampani onse omwe amachepetsa nthawi yosungirako zenizeni, motero amatha kupaka jekeseni wa mankhwala ndiowopsa.

Kumbukiraninso kuti tsiku lotha ntchito limatsimikiziridwa osati kokha ndi mawonekedwe a kapangidwe kamankhwala ndi zinthu zomwe zimagwiritsidwa ntchito, komanso momwe mankhwalawo adayendetsedwera ndikusungidwa mpaka nthawi yomwe adafika wodwalayo.

Pali nthano ina yodziwika - odwala matenda ashuga ndiwotsimikiza kuti kugwiritsa ntchito mankhwala omwe adatha, ngakhale sizivulaza thupi, sizivulaza. M'malo mwake, mankhwala owonongeka, ngakhale sangakhale ndi poizoni, amasintha machitidwe ake.

Kunena zowona, mankhwala owonongeka amakhudza thupi la wodwalayo, ndizovuta, vuto lirilonse ndi lomodzi ndipo zimatengera thanzi la wodwalayo. Nthawi zina mankhwala amakhala ndi vuto laukali, amathandizira kuchepa msanga m'magazi ndikuwongolera insulin yayikulu.

Kugwiritsa ntchito insulin yomwe idatha ntchito kumatha kubweretsa zotsatirazi:

• Wodwalayo amalumpha kwambiri m'magazi a shuga ndipo hyperglycemia imayamba. Mutha kuzindikira kuopsa kwa zizindikiro zotsatirazi: kutulutsa thukuta kwambiri, kumva kuti muli ndi njala, kunjenjemera thupi ndi mikono, kufooka kwathunthu mthupi,
• Poizoni wa insulin. Nthawi zina odwala amalingalira kuwonjezera kuchuluka kwa insulin yomwe yatha ndi jekeseni Mlingo wapamwamba, izi zimapangitsa kuti mankhwalawa azikundana komanso kuti adye poizoni kwambiri, mnofu mpaka kufa.
• Mkhalidwe. Kupsinjika kwa wodwala kumatha chifukwa cha shuga wambiri chifukwa cha zovuta zomwe zimachitika chifukwa cha mankhwala osokoneza bongo kapena poyizoni wokhala ndi insulin yomwe yatha. Choyipa chachikulu kwambiri, chikomokere chimatha kupha.

Ngati jakisoni wa insulin yomwe idatha adapatsidwa mwangozi ndi kusasamala, wodwalayo ayenera kumvetsera mosamalitsa kuzindikirika kwa thupi lake. Ndikofunika kuchenjeza za kulakwitsa kwa ena omwe angatembenukire kwa madokotala kuti akathandizidwe.

Kodi alumali moyo wa insulin kukonzekera umatsimikiziridwa bwanji?

Ngati mumagula insulini ku pharmacy, onetsetsani kuti mukusamala ndi moyo wa alumali, womwe umawonetsedwa pa phukusi. Simuyenera kugula mankhwala omwe atha kale kapena imodzi yokhala ndi nthawi yofikira yomwe ikutha, ngakhale insulini yotereyi ikagulitsidwa pamtengo. Tsiku lotha ntchito limalembedwa mobwerezabwereza pabotolo kapena pa cartridge.

Musaiwale kuti magwiritsidwe ake ndi momwe amasungidwira amasiyanasiyana kutengera wopanga ndi mtundu wa mankhwala. Izi zimayenera kukumbukiridwa kuti zisachitike mwangozi jakisoni ndi mankhwala omwe atha. Ndikofunika kuti muwone tsiku lotha ntchito asanalowe jekeseni aliyense, kuti mudziteteze.

Insulin imafunikira malo ena osungirako, kuphwanya komwe kumawonongeka msanga ndikutaya katundu wake wotsitsa shuga.

Pofuna kuti musaba jakisoni wa mankhwala owonongeka, muyenera kuyang'anira osati moyo wa alumali okha, komanso mawonekedwe a yankho:

• Ultrashort insulin nthawi zonse imakhala yowonekera komanso popanda zowonjezera zina,
• Insulin yokhala ndi nthawi yayitali imakhala ndi mpweya wocheperako, womwe, ukagwedezeka, umasungunuka komanso yunifolomu, yankho la opaque limapezeka.

Zizindikiro kuti insulini yanu yatha:

1. Turbid yankho mwachidule insulin. Simungagwiritse ntchito kukonzekera matope okha, kapena malo pomwe matope osafunikira ali pansi.
2. Zitupa zoyera zidawoneka mu insulini zomwe sizimatha atagwedeza mankhwalawo.
3. Kugwiritsa ntchito insulini kwa nthawi yayitali kusakanikirana ndi kupindika kwakanthawi - mankhwalawa asintha ndipo kugwiritsa ntchito kwina kungakhale ndi vuto m'thupi la wodwalayo.

Pewani kutha msanga kukonzekera kwa insulin kungachitike pokhapokha ngati malo osungirako akwaniritsidwa.

Insulin, ngakhale itakhala m'mabotolo kapena makatiriji, iyenera kusungidwa mufiriji. Kutentha kwambiri ndi kuwongolera dzuwa zimasokoneza mankhwalawo, kufupikitsa moyo wake wa alumali ndipo kumathandizira kuti chuma chichepetse shuga.

Insulin singathe kugundidwa - mothandizidwa ndi kutentha kwa mpweya wochepetsedwa, mankhwalawo amachotsa zinthu zake zopindulitsa ndipo sangathenso kuthandizira kuchepetsa shuga m'magazi.

Ndikofunika kuti musagwiritse ntchito insulin mwachindunji mufiriji. Madokotala amalangizidwa kuti amwe mankhwalawa maola 2-3 asanagwiritse ntchito, chifukwa jakisoni wambiri wa insulin ndiwowawa kwambiri. Monga momwe ndingathere, kupweteka komanso kutupika pambuyo pakugwiritsa ntchito kumatha kuchepetsedwa kokha ndi mankhwala omwe kutentha kwake kumakhala pafupi ndi kutentha kwa thupi la munthu.

Tengani insulini kuchokera mufiriji nthawi ndi nthawi ndikuwona kumaliza kwake.

Malangizo ena othandiza kupewa poizoni wa insulin:

• Osagwiritsa ntchito mankhwala omwe atha ntchito. Ndikofunikanso kukana mankhwala omwe nthawi yawo yayandikira kutha.
• Onani tsiku lotha ntchito musanagule komanso nthawi iliyonse musanalowe
• Osagula kukonzekera kwa insulin kuchokera kwa anthu ena,
• Musasungire insulini popanda firiji kapena dzuwa
• Musanagwiritse ntchito, onetsetsani kuti mwayang'ana zinyalala ndi zosayera.

M'nkhaniyi, tapeza ngati insulin yomwe ingamalize ingagwiritsidwe ntchito. Titha kunena motsimikiza - ndibwino kusiya chiyembekezo chotere, apo ayi zitha kukhala ndi zotsatirapo zovuta zaumoyo.

Insulin yomwe idamalizidwa sikuti imangotaya zinthu zake zabwino, komanso imakhala ndi poizoni. Pabwino kwambiri, mankhwala omwe atha ntchito sangachepetse shuga m'magazi; vuto lalikulu kwambiri, limapangitsa poizoni wakupha, chikomokere, komanso kufa.

Kodi ndingagwiritse ntchito insulin yomwe yatha?

• 1 tsiku lotha ntchito
• 2 Malamulo Osungira
• 3 Mungamvetse bwanji ngati mankhwalawa adasokonekera?
• 4 Zotsatira za jakisoni wa insulin yomwe yatha

Monga mankhwala aliwonse, insulin ili ndi nthawi yomwe imatha. Kugwiritsa ntchito insulin yomwe idatha ntchito imakhumudwitsidwa kwambiri. Pambuyo pakutha kwake, mankhwalawo ndi zida zake ndikulowa m'machitidwe amtundu wa mankhwala, zinthu zawo zowola zimakhudza mahomoni, ndikusintha mawonekedwe ake.

Tsiku lotha ntchito

Alumali moyo - nthawi yomwe imafotokozedwa ndi makampani opanga mankhwala pomwe mankhwala amasunga zonse zomwe zimatchulidwa mu malangizo. Ma insulini amakhalanso ndi nthawi yolimba.

Pali malingaliro akuti masiku omwe akuwonetsedwa pamaphukusi amatha kupitiliza kwa miyezi 3-6. Kuphatikiza pakupotoza zomwe zimayembekezera, kuyambitsidwa kwa mankhwala osayenera kumayambitsa poizoni. Kuphatikiza apo, ndizosatheka kuneneratu kulumikizana kwamtundu wa zinthu zowola, zida zothandizira za mankhwala ndi thupi la wodwalayo.

Kodi katundu wa insulin wamkulu ndi uti?

Mthupi la munthu, insulini ya mahomoni imapangidwa ndi kapamba ndipo amachepetsa kuchepetsa magazi. Ntchito yayikulu yahomoniyi ndikugwiritsa ntchito ndikusunga amino acid, mafuta acid ndi glucose pama cellular.

Kwa zaka zambiri, kupanga insulini kwakhala kukugwiritsidwa ntchito kwambiri pochiza matenda osokoneza bongo, ndipo adagwiritsidwanso ntchito pamasewera othamanga komanso omanga thupi (monga anabolic).

Zotsatira zazikulu za insulin ndizotsatira zotsatirazi:

• amathandizira kuchotsa michere m'chiwindi, minofu ya adipose ndi minofu yotuluka m'magazi,
• imayendetsa kagayidwe kachakudya kotero kuti thupi limatulutsa mphamvu yayikulu yamafuta, kusunga mapuloteni ndi mafuta.

Kuphatikiza apo, insulin imagwira ntchito zotsatirazi:

• ali ndi kuthekera kosunga ndi kuphatikiza shuga mumitsempha ndi minyewa ya adipose,
• imalola kukonza kwa shuga m'maselo a chiwindi mu glycogen,
• amathandizira kuwonjezera mafuta kagayidwe kachakudya,
• Ndi cholepheretsa kuwonongeka kwa mapuloteni,
• kumawonjezera kagayidwe kachakudya njira mu minofu minofu.

Insulin ndi chimodzi mwama mahomoni omwe amathandizira kukula ndikukula kwabwino kwa mwana, chifukwa chake ana amafunikira kupangidwa kwa mahomoni kofunikira ndi kapamba.

Mlingo wa insulin mwachindunji umadalira chakudya chamunthuyo komanso moyo wokangalika. Chifukwa chake, zakudya zambiri zotchuka zimapangidwa motengera mfundo iyi.

Momwe mungadziwire alumali moyo wa insulin

Nthawi zambiri, ndizotheka kukumana ndi malingaliro olakwika pakati pa odwala omwe ali ndi matenda ashuga kuti chinthu chofunikira kwambiri cha insulini ndikusungidwa kwake koyenera, chifukwa chake simungathe kuyang'anira mwapadera tsiku lomwe linatha.

Mwanjira inayake, malingaliro olakwikawa ali ndi ufulu wokhala ndi moyo, popeza opanga otsimikiziridwa, poopa kuvulaza odwala, amawonetsa patsiku lotha ntchito insulin, yomwe imasiyana ndi yomwe imachitika miyezi ingapo, ndipo nthawi zina zochulukirapo.

Lingaliro lina lolakwika ndilakuti mankhwala omwe atha ntchito sangathandize, koma osavulaza thupi. Komabe, ngakhale mfundo yoti insulin imalowetsedwa panthawi yake siyikhala ndi zotsatira zomwe zikufunikira - uwu ndi chiopsezo, ndipo chiwopsezo sichili kokha chifukwa cha thanzi, komanso moyo wa wodwalayo.

• Zizindikiro zokhala ndi hypoglycemia: kufooka kopanda zifukwa zakunja, thukuta kwambiri, manja akunjenjemera, kumangokhala osagwirizana ndi njala.
• Ngati poizoni wa insulin ndiwofunikira mokwanira (mwachitsanzo, wodwala, akaona kuti mankhwala atha, waganiza zopereka mlingo wowonjezera, "kukhala wotsimikiza"), phokoso la psychomotor lingayambike.
• Zingwe.
• Coma.
• Coma

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Ngati mukungodziwiratu kuti mankhwalawa adatha ndipo atha kuvulaza thupi, ndipo muli ndi chimodzi mwazizindikiro za poizoni zomwe zikuwonetsedwa, pitani kuchipatala msanga, ndikuwuzani othandizira anu azaumoyo za jakisoni wa insulin atatha.

Zachidziwikire, aliyense wodwala matenda ashuga ayenera kudziwa kuopsa kwa poyizoni yemwe amayamba chifukwa chogwiritsa ntchito mankhwala omwe atha, komanso kukumbukira kuti botolo lotseguka, ngakhale tsiku lomwe linawonetsedwa, limatha ntchito pakatha milungu iwiri ndipo kugwiritsa ntchito kwake kumatha kuyambitsa poizoni.

Ichi ndichifukwa chake ndikofunikira kuganizira kuchuluka kwa insulini yomwe dokotala wakupatsani ndikuyigula mu ma CD kuti mutha kuyigwiritsa ntchito nthawi yake isanathe.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Mukamagula insulini mu mankhwala, muyenera kuyang'anitsitsa moyo wa alumali, womwe umawonetsedwa nthawi zonse. Simuyenera kugula mankhwala omwe nthawi yawo yatsala kuti ithe kutha ngati palibe chitsimikizo kuti ichotsedwa kwathunthu ndi tsiku lomwe likuwonetsedwa m'botolo kapena cartridge.

Tiyeneranso kudziwa kuti mitundu yambiri ya insulini imakhala ndi alumali osiyana, yomwe imatengera wopanga. Izi ziyenera kukumbukiridwa nthawi zonse kuti tisagwiritse ntchito mwangozi mankhwala omwe adatha.

Kuphatikiza apo, ziyenera kutsimikiziridwa kuti odwala matenda ashuga omwe angakhale owopsa sangakhale mankhwala omwe atha ntchito, komanso otsekemera ndi moyo wabwinobwino wa alumali. Chowonadi ndi chakuti ma insulin ndi mankhwala omwe amafunikira malo osungirako apadera, kuphwanya komwe kumayambitsa kuwonongeka kwa mankhwalawa mwachangu.

Kukonzekera kwa insulin koteroko sikumangosintha katundu wake, komanso mawonekedwe ake, kotero ndikosavuta kudziwa ngati mukusamala mokwanira.

Chifukwa chake ma insulin osakhalitsa posakhalitsa amafunika kukhala osavuta kutsata njira, ndipo kwa yayitali ndi yayitali amaika insulini yaying'ono. Chifukwa chake, musanagwiritse ntchito, mankhwala osokoneza bongo omwe amagwiritsidwa ntchito kwa nthawi yayitali ayenera kugwedezeka kuti apeze njira yokhazikika ya opaque.

Zizindikiro zomwe zikuwonetsa insulin ya jakisoni:

• Kusintha kwa yochepa insulin njira. Ndipo zilibe kanthu kuti mankhwala onse kapena gawo lake ndilopanda mitambo. Ngakhale kuyimitsidwa kwamtambo pang'ono pansi pa botolo ndi chifukwa chabwino chosiya kugwiritsa ntchito insulin,
• Kuwoneka mu yankho la zinthu zakunja, makamaka tinthu toyera. Ngati malonda sakuwoneka ngati yunifolomu, izi zikuwonetsa kuti zawonongeka,
• Njira yayitali ya insulin idadziwikiratu ngakhale itagwedezeka. Izi zikusonyeza kuti mankhwalawa ayamba kukhumudwitsidwa ndipo chifukwa chake musagwiritse ntchito mankhwalawa matenda a shuga.

Ngati mumagula insulini ku pharmacy, onetsetsani kuti mukusamala ndi moyo wa alumali, womwe umawonetsedwa pa phukusi. Simuyenera kugula mankhwala omwe atha kale kapena imodzi yokhala ndi nthawi yofikira yomwe ikutha, ngakhale insulini yotereyi ikagulitsidwa pamtengo. Tsiku lotha ntchito limalembedwa mobwerezabwereza pabotolo kapena pa cartridge.

Musaiwale kuti magwiritsidwe ake ndi momwe amasungidwira amasiyanasiyana kutengera wopanga ndi mtundu wa mankhwala. Izi zimayenera kukumbukiridwa kuti zisachitike mwangozi jakisoni ndi mankhwala omwe atha. Ndikofunika kuti muwone tsiku lotha ntchito asanalowe jekeseni aliyense, kuti mudziteteze.

Insulin imafunikira malo ena osungirako, kuphwanya komwe kumawonongeka msanga ndikutaya katundu wake wotsitsa shuga.

Pofuna kuti musaba jakisoni wa mankhwala owonongeka, muyenera kuyang'anira osati moyo wa alumali okha, komanso mawonekedwe a yankho:

• Ultrashort insulin nthawi zonse imakhala yowonekera komanso popanda zowonjezera zina,
• Insulin yokhala ndi nthawi yayitali imakhala ndi mpweya wocheperako, womwe, ukagwedezeka, umasungunuka komanso yunifolomu, yankho la opaque limapezeka.

Zizindikiro kuti insulini yanu yatha:

1. Turbid yankho mwachidule insulin.Simungagwiritse ntchito kukonzekera matope okha, kapena malo pomwe matope osafunikira ali pansi.
2. Zitupa zoyera zidawoneka mu insulini zomwe sizimatha atagwedeza mankhwalawo.
3. Kugwiritsa ntchito insulini kwa nthawi yayitali kusakanikirana ndi kupindika kwakanthawi - mankhwalawa asintha ndipo kugwiritsa ntchito kwina kungakhale ndi vuto m'thupi la wodwalayo.

Lemberani mankhwala a shuga atatu

Mwa odwala matenda ashuga, pali lingaliro kuti moyo wa alumali womwe wasonyezedwa pakukhazikitsa insulin ulibe cholinga ndipo ndalamazi ndizoyenera kugwiritsidwa ntchito kwa miyezi itatu itatha.

M'malo mwake, mawu awa alibe tanthauzo, popeza opanga ambiri amaonetsetsa kuti moyo wawo sangathe kukhala nawo kwa miyezi ingapo. Izi zimawathandiza kutsimikizira mtundu wa mankhwalawo komanso kuteteza odwala kuti asagwiritsidwe ntchito ndi insulin, momwe zosintha zina zingachitike kale.

Koma izi sizitanthauza konse kuti ma insulini onse omwe adatha amatha kukhala otetezeka kwa anthu ndipo angagwiritsidwe ntchito moyenera kuchiza matenda a shuga. Choyamba, si onse opanga omwe amakonda kupeputsa moyo wa alumali wa mankhwala awo, zomwe zikutanthauza kuti tsiku lotha litatha ntchito zake izi zimakhala zowopsa kwa wodwalayo.

Ndipo kachiwiri, moyo wa alumali wa kukonzekera kwa insulini umakhudzidwa osati ndi zida ndi zida zopangira, komanso ndi njira zoyendera ndi kusungira. Ndipo ngati zolakwa zinalengedwa pamagawo awa operekera mankhwala kwa wodwala, izi zitha kuchepetsa kwambiri moyo wake wa alumali.

Maganizo enanso olakwika pakati pa odwala matenda ashuga ndi malingaliro akuti kugwiritsa ntchito insulin yomwe yatha, ngati sikupindulitsa wodwala, osamuvulaza. M'malo mwake, ngakhale insulin yomwe itamaliza sikhala ndi poizoni, imasinthiratu kuchepa kwake.

Ndikosatheka kuneneratu molondola momwe insulin yomwe ingamalize imakhudzira thupi la odwala matenda ashuga. Nthawi zambiri, mankhwalawa amakhala ndi vuto lochulukirapo, lomwe lingayambitse kutsika kwamphamvu kwambiri komanso kowopsa m'magazi a shuga, ndipo nthawi zina kumabweretsa poizoni wambiri wa insulin.

Chifukwa chake, kugwiritsa ntchito insulin yomwe yatha, zomwe sizikulosera, ndizovomerezeka. Ngati lamuloli silikusungidwa, wodwalayo atha kukhala ndi zovuta zotsatirazi:

1. Kuukira kwambiri kwa hyperglycemia, komwe kumawonetsedwa ndi zizindikiro zotsatirazi: kufooka kwambiri, thukuta kwambiri, njala yayikulu, kunjenjemera thupi lonse makamaka m'manja.
2. Mankhwala osokoneza bongo a insulin, omwe angachitike ngati wodwalayo ataganiza zogwiritsa ntchito insulin yotsekemera ndikupeza jekeseni yowonjezera kuti athandize zotsatira za mankhwala. Pankhaniyi, wodwalayo amatha kupezeka ndi poizoni wa insulin, yomwe imakhala yowopsa kwambiri kwa anthu,
3. Coma, yomwe imatha kukhala chotsatira cha hypoglycemia komanso poizoni wa insulin. Izi ndizotsatira zoyipa kwambiri zakugwiritsa ntchito insulin ndi moyo wa alumali womwe watha, zomwe zingayambitse kuti wodwalayo afe.

Wodwala ngati mwangozi adadzipangira jakisoni wa insulin yomwe idatha ndipo pokhapokha ataona kuti tsiku lakelo lidatha, ndiye kuti ayenera kumvetsera mosamala mkhalidwe wake.

Zizindikiro zoyambirira za hypoglycemia kapena poyizoni zikaonekera, muyenera kulankhulana ndi kuchipatala mwachangu kuti mupeze chithandizo chamankhwala.

Kuteteza kukonzekera kwa insulin kuti isawonongedwe isanakwane, iyenera kusungidwa bwino. Kuti muchite izi, Mbale kapena ma cartridge omwe ali ndi mankhwalawa amayenera kuyikidwa nthawi zonse mufiriji, chifukwa cha kutentha kapena kutentha kwa dzuwa, ma insulini amataya katundu wawo mwachangu.

Nthawi yomweyo, mankhwalawa amaletsedwa kutulutsa kutentha kochepa kwambiri. Ma inshuwaransi omwe amaundana ndipo kenako amasungunuka amawonongeka ndipo sangathe kugwiritsidwa ntchito kuchepetsa magazi a odwala matenda ashuga.

Maola 2-3 asanayambike insulin, iyenera kuchotsedwa mufiriji ndikusiyidwa kuti ifundidwe kutentha kwa firiji. Mukapanga jakisoni ndi insulin yozizira, imakhala yopweteka kwambiri. Kuti muchepetse ululu kuchokera jakisoni, ndikofunikira kubweretsa kutentha kwa insulini pafupi kwambiri ndi kutentha kwa thupi kwa wodwalayo, komwe ndi 36.6 ℃.

Kanemayo munkhaniyi akuwuzani zambiri zakugwiritsa ntchito ndi mitundu ya insulini.

Malamulo osungira

Kutsatira malamulo osungira insulin kudzapereka zotsatira zoyenera za mankhwalawa ndikuchepetsa chiopsezo chotsatira chochepa kwambiri. Nthawi zonse muzisunga zotengera ndi zomwe zili mufiriji, kupatula mphamvu ya dzuwa ndi kutentha kwambiri. Kuzizira kwa mahomoni kumapangitsanso kuchepa kapena kuwonongeka kwathunthu kwa mankhwala a mankhwala. Sungani chishalo pachitseko chachitseko. Jekeseni yothetsera ozizira ndizopweteka kwambiri ndipo zimayambitsa kukula kwa khungu. Pewani kugwedezeka pafupipafupi komanso mwamphamvu kwa botolo.

Pamaso pa makonzedwe, tikulimbikitsidwa kutentha kutentha kwa insulin.

Kugwiritsa ntchito chidebe chotseguka ndizovomerezeka kwa milungu yopitilira 6, iyenera kusungidwa pamtunda wofikira mpaka madigiri 25, pamalo amdima. Kwa ma cartridge, nthawi yosungirako imasinthidwa mpaka masabata anayi. Kuyambira pomwe amatsegulira mabotolo amasungidwa mufiriji kwa masiku 90. Pambuyo pa nthawi iyi, mphamvu ya mankhwalawa imachepetsedwa kwambiri. Panjira ntchito zida zapadera. Palibe vuto lililonse kuti amapereka mankhwalawo m'manja mwawo.

Mungamvetse bwanji ngati mankhwalawa adasokonekera?

Insulin yotalikilapo imakhalabe yowonekera mutagwedezeka. Zizindikiro zotsatirazi zikuwonetsa kuti:

• chinyezi kapena kusungunuka kwa yankho,
• kuwonekera mu botolo la ma inclusions achilendo: tinthu tating'ono, tinthu tating'onoting'ono, kuyimitsidwa, zotupa, ulusi,
• heterogeneity ya mankhwala.

Zotsatira za jakisoni wa insulin yomwe yatha

• gawo lalikulu la hypo- kapena hyperglycemia,
• poizoni
• chikumbumtima
• chikomokere.

Kutsatira malamulo osungira kumawonetsetsa kuti insulini yatha komanso kumachepetsa chiopsezo chotsatira chotsatira. Kupatuka pa kutentha ndi kuwongolera, kusintha kwa chinyezi kapena zinthu zina kumayambitsa kuchepa kapena kuwonongeka kwathunthu kwa mankhwalawa, ndipo mu zoyipitsitsa zimayipa kwambiri thanzi la wodwalayo.

Momwe mungasungire insulin kunyumba: malamulo oyambira ndi zoyambitsa

Momwe amasungira insulin ndi funso lodziwika bwino lomwe omwe endocrinologist amakonda kumva kuchokera kwa odwala matenda ashuga. Kufunika kokutsatira mosamalitsa pazofunsidwa zotere ndikosavuta kutsutsana, izi zimafotokozedwa ndikuti kuphatikiza kwa mankhwala kofunikira kwa wodwala kumadalira kutsatira malangizowo.

Popeza insulini imachokera ku mapuloteni, zotsatira za kutentha kochepa komanso koopsa zimaphetsa. Mankhwala ayenera kusungidwa mufiriji, moyo wa alumali pazaka zitatu.

Malamulo oyambira kusunga insulin.

Malangizo onse

Ndi malamulo ati omwe akuyenera kutsatiridwa.

Insulin nthawi zambiri imalekerera kutentha mpaka madigiri 30. Zikatero, mankhwalawa amatha kusungidwa kwa masabata anayi. Pansi pa malo osungirako kutentha kwa chipinda, zinthu zomwe sizigwiritsidwa ntchito sizitaya 1% yokha ya malo ake mwezi umodzi.

Madokotala amalimbikitsa kuti odwala awo aziika chizindikiro pa botolo tsiku lakutsegulira ndi mpanda woyamba. Malangizo pakugwiritsira ntchito izi kapena mtundu wa insulin uyenera kuphunziridwa musanagwiritse ntchito.Nthawi zina, nthawi zovomerezeka zosungira zimatha kusiyanasiyana.

Nthawi zambiri, tikulimbikitsidwa kusunga insulini mufiriji, ndithudi, mchitidwewu umakhalapo, koma amatanthauza kusungidwa kwazomwe zimaperekedwa zokha, botolo lomwe limagwiritsidwa ntchito liyenera kukhala pakupanda kutentha.

Zogulitsa siziyenera kuzizira.

Chisamaliro cha odwala chiyenera kuyimitsidwa pazotsatira zotsatirazi, zofunika kwambiri:

1. Katunduyo sayenera kuyikidwa pafupi ndi freezer; chinthucho sichilola kutentha kuzikhala +2.
2. Mbale zosatsegulidwa zitha kusungidwa mufiriji mpaka tsiku lotha ntchito.
3. Choyamba, muyenera kugwiritsa ntchito insulin kuchokera m'matangadza akale.
4. Insulin itatha kapena yowonongeka chifukwa chosagwirizana ndi malamulo osungira iyenera kutayidwa.
5. Musanayambitse magawo kuchokera ku botolo latsopano, mankhwalawo amawotha. Kuti izi zitheke, botolo liyenera kutulutsidwa mufiriji patatsala maola atatu kuti jakisoni.
6. Mankhwalawa ayenera kutetezedwa ku zovuta zomwe zimapezeka pakatentha ndi dzuwa.
7. Sizoletsedwa kugwiritsa ntchito jekeseni chinthu chomwe chimapanga timiyala tating'onoting'ono kapena thambo.
8. Mankhwalawa ndi amfupi komanso kuwonongeka kwa ultrashort mkati mwa masabata awiri ndikasungidwa mu chipinda chotentha.
9. Kuyika malonda mumdima wathunthu sikupanga nzeru.

Mtengo wosatsata malamulo osavuta osungira insulin kunyumba ndiwokwera kwambiri. Izi ndichifukwa choti popanda chinthu chofunikira, wodwala matenda ashuga amatha kuthana ndi zoopsa.

Ndalama zomwe zatha ntchito ndizoletsedwa.

Sizotheka nthawi zonse kusungirako chithandizo chofunikira pazofunikira popanda zida zapadera. Izi zimachitika makamaka chifukwa cha kusinthasintha kwa kutentha kwa chilengedwe.

Pankhaniyi, zida zapadera zimabwera ndi thandizo la wodwala, zomwe zafotokozedwa pagome:

Zida zomwe zalembedwazo zimathandizira kuti insulin isayende pamsewu, chifukwa mankhwalawo amafunikira zikhalidwe zomwezo mosasamala malo omwe munthu ali.

Mankhwala ayenera kupendedwa mosamala.

Yang'anani! Mu nyengo yozizira, mutha kuchita popanda kugwiritsa ntchito zida zapadera, mutanyamula insulin pamfundo ya "pafupi ndi thupi." Njira imeneyi ithandiza kupewa hypothermia wa mankhwala.

Anthu odwala matenda ashuga omwe akuyenda pa ndege ayenera kukumbukira kuti insulin yomwe idakonzedwa paulendowu iyenera kupita nawe ku kanyumba konyamula katundu. Poterepa, onetsetsani kuti mwawona kutentha kwa boma.

Momwe mungadziwire insulin yosweka

Ngati mphamvu ya mulingo womwe waperekedwa sikuwoneka, insulini ikhoza kukhala itawonongeka.

Pali njira ziwiri zomvetsetsa kuti insulin iwonongeka:

• kusowa kwa zotsatira za mankhwala omwe amaperekedwa,
• kusintha maonekedwe a malonda.

Ngati, inshuwaransi itatha kuperekedwa, popanda kukhazikika kwa shuga m'magazi kungachitike, ndiye kuti insulini idawonongeka.

Kuchokera pamndandanda wazisonyezo zakunja zomwe zingawonetse kusakwanira kwa ndalama zitha kuzindikirika:

• kukhalapo kwa nyansi mu njira - insulin iyenera kukhala yowonekera,
• Njira yothetsera vutoli,
• Kusintha kwa yankho.

Yang'anani! Ngati pali kukayikira kocheperako kuti kapangidwe kake kawonongeka, kugwiritsa ntchito kuyenera kutayidwa. Pankhaniyi, muyenera kutsegula botolo kapena cartridge yatsopano.

Nkhaniyi ipangitsa owerenga malamulo oyambira kugwiritsa ntchito mankhwala ofunikira.

Malangizo a Insulin

Malamulo oonetsetsa kuti malo akusungidwa bwino.

Wodwala akuyenera kutsatira zotsatirazi:

1. Ndikofunikira kuti muwone tsiku lomwe lasonyezedwa paphukusili musanagwiritse ntchito.
2. Sizoletsedwa kuperekera mankhwala omwe adatha.
3. Ndikofunikira kuyang'ana yankho lisanayambike, pokonzekera kusintha maonekedwe, ndizoletsedwa kugwiritsa ntchito mawonekedwe.
4. Cholembera cha syringe (chojambulidwa) chokhala ndi singano yolumikizidwa sichiyenera kusungidwa.
5. Ndi koletsedwa kulowa mu vial yotsalira pambuyo pa insulin yambiri, iyenera kutayidwa ndi syringe yomwe imagwiritsidwa ntchito.

Malangizo Pamaulendo

Wodwala matenda ashuga ayenera kudziwa malamulo otsatirawa:

1. Mukamayenda nanu muyenera kutenga insulini kawiri, yomwe imafunikira nthawi yowerengedwa. Musanayambe kulongedza zida zothandizira, ndikofunikira kuyang'ana masiku omwe atha ntchito.
2. Kufikira momwe mungathere, mankhwalawo amayenera kusungidwa pamsewu limodzi nanu monga katundu wonyamula.
3. Musatulutsire chinthucho kutentha kwambiri. Osasiya ma CD kuti aziwoneka mwachindunji pamakina.
4. Insulin iyenera kusungidwa pamalo abwino.
5. Insulin yotseguka imatha kusungidwa kutentha kwa madigiri anayi mpaka 25 kwa masiku 28.
6. Maselo a insulin amasungidwa mufiriji.

Kutsatira malamulo osavuta awa kumalepheretsa kuyambitsidwa kwa mankhwala osayenera m'thupi. Muyenera kudziwa kuti insulini, yomwe nthawi yake yakwanira yomwe ikufika kumapeto, singakhale othandiza, chifukwa chake kugwiritsa ntchito chida chotere panthawi yomwe shuga imakwezedwa sichikulimbikitsidwa.

Mankhwalawa atengedwe kupita nawe ku kanyumba kanyumba kamagudumu.

Mafunso kwa katswiri

Nikiforova Natalia Leonidovna, wazaka 52, Simferopol

Madzulo abwino Ndikukupemphani kuti muthane ndi kuganizira funso langa, sindinakumanepo ndi vuto lotere, monga momwe ndimakhalira kudera lina. Miyezi ingapo yapitayo anasamuka ku Ufa kupita kwawo. Ndikuda nkhawa ndi kusungidwa kwa mapaketi otsegulidwa m'chilimwe. Kutentha m'nyumba kumafikira madigiri 25, ngakhale izi zingakhudze mtundu wazopezeka.

Tsiku labwino, Natalia Leonidovna. Funso lanu ndilothandizadi, chifukwa chotsatira kukhudzana ndi kutentha, chinthu chogwiritsa ntchito chimataya ntchito. Moyo wololeza wolumikizidwa wa botolo lotseguka pa kutentha kwa madigiri 25 sapitirira masabata 3-4.

Mikhaleva Natalya, 32, Tver

Tsiku labwino. Chaka chino tinapita kunyanja, mwachilengedwe ndinatenga mankhwala a insulin kupita pagombe. Zidachitika kuti ndidatenga limodzi mlingo mu chikwama changa kwa masiku awiri. Kuphatikizikako kwasintha mtundu. Kodi izi ndimachitidwe abwinobwino chifukwa cha kuwunika kwa dzuwa kapena insulini yawonongeka? Zikatere, mankhwalawo adatayidwa.

Natalya, moni, mwachita zonse molondola. Kuwonetsedwa ndi kuwala kwa dzuwa kumasokoneza mkhalidwe wa mankhwalawo ndi ntchito yake. Chida choterocho sichoyenera kugwiritsidwa ntchito.

Momwe mungasungire insulin kunyumba?

Ngati mukufunikira kuti mupite naye mankhwalawo, ndiye kuti muyenera kumugulira chivundikiro chake.

• Tetezani pakusintha kwadzidzidzi kwa kutentha,
• kutentha kapena kukweza, gwiritsirani ntchito chotchingira mafuta,
• Pewani kuzizira botolo
• mutatsegula, osasiya botolo likuwala,
• Musanagwiritse ntchito, werengani mawuwo mosamala ndikulemba chizindikiro pa tsiku la jakisoni woyamba wa mankhwalawo.

Momwe mungagwiritsire ntchito insulin:

• Onani tsiku lokhala ndi tsiku lomaliza ntchito.
• Yenderani yankho musanagwiritse ntchito. matope, mapepala kapena mbewu zimasinthanso zina za mankhwalawa. Madziwo ayenera kukhala opanda khungu komanso owonekera.
• Mukamagwiritsa ntchito kuyimitsidwa musanabaye jekeseni, madzi omwe ali mu vial amasakanikirana bwino mpaka yankho lake lisasunthidwe.

Ngati mankhwala owonjezera omwe atengedwa mu syringe aja adabwezeretsedweranso mu vial, yankho lonse lomwe latsala likhoza kukhala loyipitsidwa.

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi?

Insulin ndi imodzi mwamafuta ofunika kwambiri m'thupi la munthu. Amapangidwa mu kapamba ndipo amayang'anira njira yokhazikika ya kagayidwe kazakudya. Kupatuka kulikonse kwa kuchuluka kwa insulin kuchokera ku chizolowezi kumawonetsa kuti kusintha koyipa kumachitika m'thupi.

Zotsatira za kuperekera insulin kwa munthu wathanzi

Ngakhale anthu athanzi amatha kusinthasintha kwakanthawi mu insulin ya mahomoni, chifukwa, mwa kupsinjika kapena poyizoni wa mankhwala ena. Nthawi zambiri, kuchuluka kwa mahomoni munthawiyi amabwerera kwawokhazikika pakapita nthawi.

Ngati insulini imaperekedwa kwa munthu wathanzi, ndiye kuti mankhwalawa adzakhala ngati poizoni kapena chinthu chakupha. Kukwera kwakukulu m'magulu a mahomoni kungayambitse kutsika kwa ndende yamagazi, zomwe zimayambitsa hypoglycemia.

Matendawa ndi oopsa chifukwa amatha kudwala matendawa, ndipo ngati wodwala sanapatsidwe thandizo panthawi yake, ndiye kuti zotsatira zake zitha. Ndipo zonse chifukwa choti insulin idalowa m'thupi la munthu yemwe samamufuna panthawiyo.

Mavuto ndi kuchuluka kwa insulin

Mukabayidwa ndi mahomoni awa kwa anthu athanzi, amatha kukhala ndi zotsatirazi:

1. kuthamanga kwa magazi
2. arrhasmia,
3. minofu ikunjenjemera
4. mutu
5. kuzunza kwambiri
6. nseru
7. njala
8. kuphwanya mgwirizano
9. ana opukusidwa
10. kufooka.

Komanso, kuchepa kwambiri kwa kuchuluka kwa shuga kungayambitse kukula kwa amnesia, kukomoka, ndi kuchepa kwa hyperglycemic sikumayikidwa pambali.

Ndi nkhawa kwambiri kapena mutatha kuchita masewera olimbitsa thupi osakwanira, ngakhale munthu wathanzi labwino kwambiri amatha kuperewera insulin. Mwakutero, kuyambitsa kwa mahomoni kumakhala koyenera komanso kofunikira, chifukwa ngati simupanga jakisoni, ndiye kuti, mwayi wokhala ndi vuto la hyperglycemic ndiwokwera kwambiri.

Ngati munthu wathanzi atalowetsedwa ndi insulin yaying'ono, chiwopsezo chake chimakhala chochepa, ndipo kutsika kwa glucose kumangoyambitsa njala komanso kufooka kwathunthu.

Mulimonsemo, ngakhale utachepa pang'ono wa mahomoniwo umatsogolera ku kuwonekera kwa zizindikiro za hyperinsulinism mwa munthu, zomwe zazikulu zake ndi:

• thukuta kwambiri,
• kutaya chidwi
• masomphenya apawiri
• kusintha kwa mtima,
• kunjenjemera ndi ululu m'misempha.

Ngati insulin imaperekedwa mobwerezabwereza kwa munthu wathanzi, izi zimatha kuyambitsa zotupa za m'mimba (m'mayikhidwe a Langerhans), endocrine pathologies ndi matenda omwe amagwirizana ndi kagayidwe ka thupi (metabolism of protein, salt and carbohydrate). Pachifukwa ichi, jakisoni wa insulin woletsedwa amaletsedwa.

Kodi kuyambitsa insulin kwa munthu wathanzi kudzatani?

Mtundu woyamba wa matenda ashuga, wodwala amayenera kupaka jakisoni nthawi zonse, chifukwa kapamba wawo sangathe kupanga kuchuluka kwa timadzi timeneti.

Izi ndizofunikira kusungitsa ndende ya magazi pamlingo womwe mukufuna. Insulin ikalowetsedwa, anthu athanzi amayamba hypoglycemia.Ngati simukupereka chithandizo choyenera, ndiye kuti shuga yotsika kwambiri imatha kutaya chikumbumtima, kukomoka komanso kuchepa kwa magazi. Zotsatira zoyipa ndizotheka, monga tidalemba pamwambapa

Muyenera kudziwa kuti kuyesa ndi insulin kumachitika osati ndi achinyamata omwe akuyesera kulimbana ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo, nthawi zina atsikana ang'onoang'ono omwe ali ndi matenda osokoneza bongo amakana kugwiritsa ntchito insulini kuti azitha kuyendetsa thupi.

Ochita masewera amathanso kugwiritsa ntchito insulin, nthawi zina kuphatikiza ndi anabolic steroid kuti achulukitse minofu, sizobisika kuti insulini popanga thupi imathandiza othamanga kuti apange minofu yayikulu mwachangu komanso moyenera.

Pali mfundo ziwiri zofunika kudziwa za insulin:

1. Mahomoni amatha kupulumutsa moyo wa munthu wodwala matenda ashuga. Kuti izi zitheke, amafunika Mlingo wochepa, womwe umasankhidwa payekhapayekha kwa wodwala wina. Insulin imachepetsa shuga. Ngati insulin singagwiritsidwe ntchito molondola, ngakhale milingo yaying'ono ingayambitse hypoglycemia.
2. Insulin siyipangitsa kuti mumve chisangalalo, ngati mankhwala osokoneza bongo. Zizindikiro zina za hypoglycemia zimakhala ndi zofananira ndi kuledzera, koma palibenso kumverera kwa euphoria, ndipo munthu, m'malo mwake, akumva kuyipa kwambiri.

Mosasamala kanthu zomwe zimayambitsa kuzunza insulin, pali vuto limodzi lalikulu - hypoglycemia. Kuti mupewe izi, ndikofunikira kuyendetsa kukambirana momasuka za zotsatirapo zonse za kusuta kwa mankhwala a insulin.

Kodi ndizotheka kubayitsa insulin yomwe yatha?

Insulin ndi mankhwala ofunikira kwambiri kwa matenda a shuga 1 a mtundu wa 2 mellitus insulin, pamene Mlingo wochepa wa insulin womwe umakhala wolumikizidwa kwa nthawi yayitali umalumikizidwa ndi mankhwala ochepetsa shuga.

Insulin ndi mankhwala omwe nthawi yake imatha, yomwe akuwonetsa pa botolo ndi wopanga. Komanso, insulin iyenera kusungidwa mufiriji, koma singagwiritsidwe ntchito mwachangu pambuyo pa firiji, muyenera kuyitenthetsa m'manja mwanu, apo ayi, jakisoni wa insulin yozizira imatha kukhala yopweteka.

Insulin yomwe yatha siingagwiritsenso ntchito, koma ndikuwopseza moyo, chifukwa palibe amene amadziwa momwe insulin ingathere mthupi ndikumanga mapuloteni amwazi.

Mankhwalawa ndi insulin, mulingo woyenera wa mankhwalawa, njira yoyenera yoyendetsera, komanso kusungidwa koyenera ndikofunikira.

Ngati mumagwiritsa ntchito insulin yomwe itatha, mutha kuyika mankhwala osakwanira kapena kuchuluka kwake. M'njira zonsezi, ketoacidosis / ketoacidotic chikomokere kapena hypoglycemic state / chikomacho chitha kuchitika.

Kwa odwala matenda a shuga mellitus, ma insulin amaperekedwa malinga ndi pulogalamu yapadera, anthu amawalandira kwaulere, tsopano nthawi zambiri, ma insulini amapezeka mu zolembera zapadera za syringe, ndi yabwino kumwa, ndipo ndi yabwino kusunga.

Onetsetsani kuti muli ndi botolo la mankhwalawo.

Insulin yogwira ntchito yayifupi iyenera kukhala yowonekera, yopanda matumba ndi ma flakes, komanso ma insulini a nthawi yayitali kapena apakati pakayimitsidwa ayenera kukhala osaneneka, komanso osapindika.

Munthu akapeza mankhwala kuchipatala, ndikofunikira kuwona tsiku lotha ntchito.

Mankhwala osokoneza bongo ambiri a insulin: zimayambitsa, zizindikiro, thandizo, zotsatira zake

Insulini ndi mahomoni apamba. Inagwiritsidwa ntchito koyamba ngati mankhwala mu 1922 ndipo kuyambira pamenepo yakhala ikugwiritsidwa ntchito moyenera ngati chiphuphu cha matenda a shuga mellitus.

Kodi magwiritsidwe ake a mankhwalawo ndi chiyani? Glucose yemwe amalowa m'magazi atalowa mu cell ya thupi naye, ndikuwonjezeranso "umasungidwa". Mothandizidwa ndi insulin, shuga owonjezera amasinthidwa kukhala glycogen m'chiwindi.

Ngati mahomoniwo sanapangidwe okwanira, ndiye kuti kagayidwe kake ka zakudya zonse zimasokonekera. Izi ndizomwe zimayambira matenda amitundu 1. Madokotala amatcha izi - kuperewera kwathunthu kwa insulin.Chizindikiro chake chachikulu ndi hyperglycemia - kuchuluka kwa shuga (shuga) m'magazi.

Kuchulukitsidwa mwamphamvu, komanso kuchepa kwamphamvu kwa glucose (hypoglycemia) kumayambitsa kukula kwa hyperglycemic kapena hypoglycemic coma ndipo kumatha kupha.

Tiyeni tikambirane zomwe zimachitika ndi mankhwala osokoneza bongo ambiri, zomwe zimachitika chifukwa cha vuto la hypoglycemic, ndi momwe angaperekere thandizo pakagwa izi.

Zoyambitsa bongo

Insulin imagwiritsidwa ntchito makamaka ndi odwala matenda ashuga, koma zotulukapo zake zambiri zimagwiritsidwa ntchito nthawi zina. Mwachitsanzo, mphamvu ya insulin ya insulin yapeza ntchito pakulimbitsa thupi.

Mlingo wa insulin amasankhidwa payekha, moyang'aniridwa ndi dokotala. Pankhaniyi, ndikofunikira kuyeza glucose m'magazi, kudziwa njira zodziletsa pakuthana ndi matendawa.

Mankhwala osokoneza bongo amatha kuchitika pazifukwa zingapo:

• Zolakwika za dotolo - jakisoni wa insulin kwa munthu wathanzi,
• Mlingo wolakwika
• kugwiritsa ntchito mankhwala atsopano kapena kusinthira mtundu wina wa syringe,
• zolakwika pa nthawi ya jakisoni - kuyambitsa sikuwoneka modekha, koma modekha.
• zolimbitsa thupi osamwa chakudya,
• zolakwa za wodwala pamene mukugwiritsa ntchito insulin yofulumira komanso mwachangu,
• kusowa chakudya pambuyo jakisoni.

Kuzindikira insulin kumawonjezera mu nthawi yayitali ya mimba, motsutsana ndi maziko a matenda aimpso kulephera, ndi mafuta a chiwindi.

Kodi insulin yowonjezera imachitika liti m'thupi? Izi zitha kuchitika, ngati pali kuphwanya kwa kupanga kwa mahomoni ndi kapamba (mwachitsanzo, ndi zotupa).

Muyenera kusamala kwambiri pakugwiritsa ntchito insulin komanso mowa. Mwakutero, zakumwa zoledzeretsa sizikulimbikitsidwa kwa odwala omwe ali ndi matenda ashuga. Koma popeza zoletsa za madokotala sizimaletsa aliyense, madokotala amalangizidwa kuti azitsatira malamulo otsatirawa kuti muchepetse chiopsezo cha mavuto.

• musanamwe mowa, mankhwalawa a insulin ayenera kuchepetsedwa,
• musanamwe komanso mutamwa mowa, muyenera kudya zakudya zomwe zimakhala ndi mafuta ochulukirapo,
• amakonda zakumwa zoledzeretsa zochepa,
• mukamamwa mowa kwambiri tsiku lotsatira, ndikofunikira kusintha mlingo wa insulin, motsogozedwa ndi miyezo ya shuga.

Imfa ya mankhwala osokoneza bongo a insulin imachitika chifukwa chokhala ndi vuto la hypoglycemic.

Mlingo wa mankhwala oopsa umatengera kulekerera kwa insulin m'thupi lililonse, kulemera kwa wodwalayo, ndi zina zotere - kumwa chakudya, mowa, ndi zina zambiri.

Kusungidwa kwa insulin

Ndizodziwika bwino kuti insulini ndi mahomoni a protein. Kuti insulini igwire bwino ntchito, siyiyenera kuyatsidwa ndi kutentha kotsika kwambiri kapena kutentha kwambiri, komanso sikuyenera kugwa ngati lakuthwa pang'ono. Izi zikachitika, insulini imayamba kugwira ntchito, motero osathandiza.

Insulin imalekerera kutentha kwa chipinda. Opanga ambiri amalimbikitsa kusunga insulini pamoto kutentha (osapitirira 25-30 °) kwa milungu yopitilira 4. Pa kutentha kwa firiji, insulin imataya mphamvu yochepera 1% ya mphamvu yake pamwezi.

Nthawi yosungidwa ya insulini imangokhudza kusamalira mphamvu zake kuposa mphamvu. Opanga amalimbikitsa kuyika chizindikiro pa zilembedwe tsiku la kudya koyamba kwa mankhwala.

Ndikofunikira kuwerenga malangizo kuchokera pakukhazikitsa insulin yamtundu womwe umagwiritsidwa ntchito, ndipo samalani ndi tsiku lotha ntchito pa botolo kapena cartridge.

Chomwe chimachitika nthawi zonse ndikusunga insulini mufiriji (4-8 ° C), ndi botolo kapena cartridge lomwe likugwiritsidwa ntchito panopo kutentha.

Osayika insulini pafupi ndi mufiriji, popeza simalola kutentha kukhala pansi + 2 °

Mutha kusunga ma insulin otsekedwa mufiriji kufikira nthawi yomwe mankhwalawo atha. Moyo wa alumali wa insulin yotsekedwa ndi miyezi 30-36. Nthawi zonse yambirani ndi wachikulire (koma osamaliza!) Maphukusi a insulini kuchokera pazomwe mwapeza.

Musanagwiritse ntchito katemera watsopano wa insulin / vial, futhetsani kutentha kwa chipinda. Kuti muchite izi, chotsani mufiriji maola awiri musanalowetse insulin. Jakisoni wofinya wa insulin amatha kupweteka.

Osaonetsera insulin ku kuwala kowala kapena kutentha kwambiri, monga kuwunika kwa dzuwa m'galimoto kapena kutentha mu sauna - insulini imachepetsa mphamvu yake pamatenthedwe pamwamba pa 25 °. Kutentha kwa 35 ° kumayatsidwa maulendo 4 mwachangu kuposa kutentha kwa firiji.

Ngati muli m'malo otentha kwambiri kuposa 25 ° C, pitilizani insulini m'malo osungiramo mafiriji, makontena kapena milandu. Masiku ano, pali zida zosiyanasiyana zoyenera kunyamula ndi kusunga insulin. Pali ma coolers apadera amagetsi omwe amayendera mabatire obwezeretsanso.

Palinso zokutira zama thermo ndi matumba a thermo osunga insulin, omwe ali ndi makhitchini apadera omwe amasintha kukhala ma gel atakumana ndi madzi. Kachipangizo kameneka kamayikidwa m'madzi, chimatha kugwiritsidwa ntchito ngati insulin kwa masiku atatu. Pambuyo pa nthawi imeneyi, kuti muchite bwino, muyenera kuyikanso m'madzi ozizira.

M'miyezi yozizira, ndibwino kunyamula insulin poiyika pafupi ndi thupi, m'malo ndi kathumba.

Palibe chifukwa chosungira insulin mumdima wathunthu.

Osamagwiritsanso ntchito insulini pakatikati kapena nthawi yayitali ngati zimakhala ndi mkati. Komanso kuchita insulin yocheperako (yokhazikika) ngati kumakhala mitambo.

Kuzindikira insulin yosatheka

Pali njira ziwiri zokha zofunika kumvetsetsa kuti insulin yasiya kugwira ntchito:

• Kuperewera kwamakina a insulin (palibe kuchepa kwamagazi m'magazi),
• Sinthani mukuwoneka yankho la insulin mu cartridge / vial.

Ngati muli ndi shuga wambiri wamagazi pambuyo pobayidwa jakisoni wa insulin (ndipo munatulutsa zifukwa zina), insulini yanu ingakhale itasiya kugwira ntchito.

Ngati mawonekedwe a insulini mu cartridge / vial asintha, mwina sigwiranso ntchito.

Mwa zina mwazindikiritso zomwe zikuwonetsa kusakwanira kwa insulin, zotsatirazi zimatha kusiyanitsidwa:

• Njira yothetsera insulin ndi yotentha, ngakhale iyenera kukhala yowonekera,
• Kuyimitsidwa kwa insulin pambuyo posakanikirana kuyenera kukhala yunifolomu, koma zotupa ndi zotupa zimakhalabe,
• Njira yothetsera vutoli imawoneka yosasangalatsa,
• Mtundu wa yankho la insulin / kuyimitsidwa kwasintha.

Ngati mukuwona kuti china chake sichabwino ndi insulin yanu, musayese mwayi wanu. Ingotenga botolo / cartridge yatsopano.

Malangizo posungira insulin (katiriji, vial, cholembera)

• Werengani malingaliro pa momwe zinthu ziliri komanso moyo wa alumali wopanga insulin. Malangizowo ali mkatimu,
• Tetezani insulini ku kutentha kwambiri (kuzizira / kutentha),
• Pewani kuwala kwa dzuwa (mwachitsanzo, kusungirako pazenera),
• Musasunge insulini mufiriji. Pakuzizira, imataya katundu wake ndipo iyenera kutayidwa,
• Osasiya insulin m'galimoto pamtunda wambiri / kutentha kwambiri,
• Pamawonekedwe otentha / otsika kwambiri, ndibwino kusungitsa / kunyamula insulini mwapadera mafuta.

Malangizo ogwiritsira ntchito insulin (katiriji, botolo, cholembera):

• Nthawi zonse muziwonetsetsa tsiku la kupanga ndi kumaliza kwake pamapaketi ndi ma cartridge / mbale,
• Osamagwiritsira ntchito insulin ngati itatha,
• Pendani insulin mosamala musanagwiritse ntchito. Ngati yankho lili ndi zotupa kapena ma flakes, insulin yotere singagwiritsidwe ntchito.Njira yodziwika bwino yopanda insulin siyikhala yopanda mitambo, yopanga mpweya kapena zotupa,
• Ngati mugwiritsa ntchito kuyimitsidwa kwa insulin (NPH-insulin kapena insulin yosakanikirana) - musanalowetse jakisoni, sakanizani mosamala zomwe zili mu vial / cartridge mpaka utoto wamtundu wa kuyimitsidwa utaperekedwa.
• Ngati mutabayira insulin yambiri mu syringe kuposa momwe mukufunikira, simukuyenera kuyesa kutsanulira insulini yonse mu vial, izi zingayambitse kuipitsidwa (kuipitsidwa) kwa insulin yothetsera vial.

Malangizo Pamaulendo:

• Tengani insulin yowonjezera kawiri masiku omwe mukufuna. Ndikwabwino kuyiyika m'malo osiyana ndi katundu wamanja (ngati gawo limodzi la katunduyo latayika, ndiye kuti gawo lachiwiri likhalabe losavulaza),
• Mukamayenda pa ndege, nthawi zonse tengani insulini yonse m'manja mwanu. Mukadutsa m'chipinda cholongedza katundu, mumatha kuwuma chifukwa cha kutentha kochepa kwambiri m'chipinda chonyamula katundu panthawi yomwe amathawa. Frozen insulin singagwiritsidwe ntchito,
• Osatulutsira insulini kutentha kwambiri, kumusiya mgalimoto m'chilimwe kapena pagombe,
• Ndikofunikira nthawi zonse kusunga insulin m'malo abwino momwe kutentha kumatakhazikika, osasinthasintha. Pazomwezi, pali zambiri zophimba zapadera (zozizira), zotengera ndi milandu momwe insulin ikhoza kusungidwa m'malo oyenera:
• Insulin yotseguka yomwe mukugwiritsa ntchito pano iyenera kukhala yotentha nthawi zonse mpaka 4 ° C mpaka 24 ° C, osapitirira masiku 28,
• Zotsatira za insulin ziyenera kusungidwa pafupifupi 4 ° C, koma osati pafupi ndi mufiriji.

Insulin mu cartridge / vial sangathe kugwiritsidwa ntchito ngati:

• Maonekedwe a yankho la insulin adasinthika (kunakhala mitambo, kapena matayala kapena matope adatuluka),
• Tsiku lotha ntchito lomwe linapangidwa ndi wopanga phukusi latha,
• Insulin idawonetsedwa ndi kutentha kwambiri (kwamira kapena kutentha)
• Ngakhale atasakanikirana, choyera champhepete kapena chotupa chimakhalabe mkati mwa kuyimitsidwa kwa insulin vial / cartridge.

Kutsatira malamulo osavuta awa kukuthandizani kuti insulini ikhale yogwira ntchito nthawi yonse ya shelufu komanso kupewa kupewa mankhwala osayenera m'thupi.

Zogwirizana ndi izi:

Kodi ndizotheka kubayitsa insulin yomwe yatha: zotheka ndi zotsatira zoyipa

Alumali moyo - nthawi yomwe imafotokozedwa ndi makampani opanga mankhwala pomwe mankhwala amasunga zonse zomwe zimatchulidwa mu malangizo. Ma insulini amakhalanso ndi nthawi yolimba. Pali malingaliro akuti masiku omwe akuwonetsedwa pamaphukusi amatha kupitiliza kwa miyezi 3-6.

Kuphatikiza pakupotoza zomwe zimayembekezera, kuyambitsidwa kwa mankhwala osayenera kumayambitsa poizoni. Kuphatikiza apo, ndizosatheka kuneneratu kulumikizana kwamtundu wa zinthu zowola, zida zothandizira za mankhwala ndi thupi la wodwalayo. Nthawi zonse muzigwiritsa ntchito insulin nthawi isanakwane phukusi.

Ndipo kuvomerezeka kwa botolo lotseguka kumatha mpaka masabata awiri, zaka zitatu ndi moyo wamtali kwambiri wa mahomoni.

Kodi mankhwala osokoneza bongo amatsogolera bwanji?

Kuchulukitsa mlingo wa insulin wotchulidwa ndi dokotala mosakayikira kumabweretsa kukula kwa hypoglycemic syndrome. Vutoli limadziwika ndi shuga wochepa wamagazi, yemwe amatha kupha.

Pankhani yoyambitsa kupweteka kwa insulin, thandizo loyamba limafunika, lomwe lingapulumutse moyo wa munthu wodwala matenda ashuga.

Komabe, munthawi imeneyi ndikofunikira kwambiri kuti muzitha kusiyanitsa pakati pa hypoglycemic ndi hyperglycemic syndrome, chifukwa nthawi zina pambuyo pa utsogoleri wa insulin, kuwonongeka kwa mkhalidwe wa wodwala kumatha chifukwa cha shuga wambiri.

Kwa matenda a hyperglycemic, zizindikiro zotsatirazi ndizodziwika bwino:

• ludzu kwambiri
• kukodza pafupipafupi
• kutopa
• masomphenya osalala
• Kuuma ndi kuyabwa kwa pakhungu,
• kamwa yowuma
• arrhasmia,
• chikumbumtima
• chikomokere.

Mwanjira imeneyi, ndikuphwanya magwiridwe antchito a ubongo, omwe amakhala oopsa makamaka kwa okalamba. Amatha kudwala ziwalo, paresis, kuchepa kwamphamvu kwa malingaliro.

Mtima ndi mtima zimadwalanso - kuthamanga kwa magazi kumachepa, komwe nthawi zambiri kumabweretsa kulowerera m'mitsempha, zotupa zam'mimba, komanso zilonda zam'mimba zimatha kuonekanso posachedwa.

Pankhaniyi, wodwalayo ayenera kuthandizidwa kubaya ma insulin mahandiredi asanafike.

Ngati mlingo waukulu wa insulin umayambitsa matenda a hypoglycemic, chithandizo chofunikira chikangofunikira, zotsatira zotsatirazi zimachitika:

• kuchuluka kwamkwiyo, mantha,
• thukuta
• kamvekedwe ka minofu
• ana opukusidwa
• nseru komanso kusanza
• chizungulire, kupweteka mutu,
• machitidwe osayenera
• pre-syncope.

Mwanjira yomwe insulin yayikulu imayendetsedwa, ziyenera kuchitidwa kuti muchepetse imfa ya wodwalayo.

Ngati chithandizo sichingaperekedwe ndi anthu omwe ali pafupi, kufupika kwa ubongo kumachitika mosakhalitsa, zomwe zimapangitsa kuwonongeka kwakukulu kwa dongosolo lamanjenje lamkati.

Mavuto a hypoglycemic pafupipafupi mwa achikulire amachititsa kusintha kwakukulu mu umunthu wa wodwala, ndipo mwa ana amachititsa kuchepa kwa luntha. Komanso, imfa siyimachotsedwa pakakhala mankhwala osokoneza bongo ambiri.

Choyamba thandizo la insulin

Pogwiritsa ntchito insulin yayikulu, pakakhala matenda a hypoglycemic coma, ndikofunikira kuchita zinthu zotsatirazi kuti muchepetse mkhalidwe wa wodwalayo:

1. Anthu odwala matenda ashuga ayenera kupatsidwa chakumwa kapena china chokoma - tiyi, mandimu, kagawo ka shuga, maswiti kapena kupanikizana.
2. Apatseni munthu malo okhala kapena wonama.
3. Pofuna kutaya magazi, wodwalayo ayenera kuyikidwa pambali pake ndikuyika chidutswa cha shuga patsaya lake.
4. Onetsetsani kuti mukuyimbira gulu la ambulansi.

Atafika ogwira ntchito zachipatala pomwe insulin inayamba kulephera kuzindikira, 50 ml ya 40% ya glucose amaphatikizidwa kudzera m'mitsempha. Ngati mankhwalawa sangathe kuperekedwa kudzera m'mitsempha, amathandizidwa mosavuta ndi 500 ml ya 6% shuga kapena 150 ml ya glucose 10% mu enema.

Pofuna kupewa kuchuluka kwa insulini mu matenda a shuga, omwe amachititsa kuti thupi lisinthe mosiyanasiyana, ndikofunikira kutsatira njira zopewera. M'pofunika kuyesa kuti musapange jakisoni usiku, pokhapokha ngati wodwala sakhala usiku akuyang'aniridwa ndi ogwira ntchito kuchipatala.

Kupatula apo, vuto lalikulu la hypoglycemic limatha kuchitika usiku, pamene munthu alibe thandizo. Odwala omwe ali ndi matenda ashuga nthawi zonse ayenera kukhala ndi chakudya chamagulu am'mimba, kugwiritsa ntchito kwawo komwe kumathandizira mosavuta kulekerera kwambiri kwa insulin.

Amatha kukhala opanga, masikono, shuga, maswiti.

Momwe mungawerengere kuchuluka kwa insulin?

Mlingo wa insulin ya mahomoni odwala omwe ali ndi matenda ashuga amalembedwa ndi adokotala okha ndipo chinthu chachikulu chofunikira kudziwa kuchuluka kwa chinthu ndicho kulemera kwa munthu.

Komabe, anthu ambiri akutsimikiza kuti mlingo umatsimikiziridwa ndendende ndi kuchuluka kwa shuga m'magazi, monga momwe kumaganizidwira m'mbuyomu, koma izi zidatsimikiziridwa kale ndi sayansi.

Endocrinologists amatsutsa kuti muyenera kulowa ma insulin ambiri momwe munthu amalemera.

Mlingo wowopsa wa insulin imakhalanso munthu aliyense payekhapayekha. Nthawi zambiri samafa chifukwa cha izi, koma zovuta zimatha kubuka, chifukwa chomwe kuphwanya kwakukulu kwachitika kwa thupi kumachitika.

Zowona, ngati afowoka kwambiri, imfa imatha kuchitika msanga pambuyo poyendetsa mahomoni. Kuti muwone molondola kuchuluka kwa mahomoni, ndikofunikira kuti mugwiritse ntchito njira yapadera.

Pogwiritsa ntchito chubu, amalowa pakhungu la m'mimba ndipo kuchuluka kwa insulini kumaperekedwa nthawi zonse m'magazi a wodwalayo.

Mankhwala osokoneza bongo a insulin
Ngakhale Somoji adalongosola chodabwitsa chowonjezeka cha shuga wamagazi pambuyo poti chachitika hypoglycemic, chodabwitsa cha posthypoglycemic hyperglycemia.

Potengera hypoglycemia yovuta kwambiri, yomwe imapanikizika kwambiri mthupi, njira zotsutsana nazo zimayendetsedwa, ma catecholamines, cortisol, glucagon, STH amasulidwa, ndikutsatira kuwonjezereka kwa kutulutsa kwa shuga ndi chiwindi. Chifukwa chake, thupi limadziyimira motsutsana ndi hypoglycemia.

Komabe, nthawi zambiri pambuyo pochita izi sawalembera osati Normo, koma hyperglycemia. Izi zimachitika chifukwa cha kutseguka kwa lipolysis, kuchuluka kwa ketogenesis, ndi ndende ya matupi a ketone, omwe amatsogolera pakukula kwa insulin.

Ngati wodwala samva zizindikiro za hypoglycemia kapena sakwanira kuti wodwalayo adzuke usiku nthawi ya hypoglycemia, sizimadziwika. Potere, pamimba yopanda kanthu kapena nthawi ina, pambuyo pa hypoglycemia yam'mbuyomu, shuga wambiri amalembedwa.

Malingaliro omveka amapangidwa za kuchuluka kosakwanira kwa mankhwala a insulin, mankhwalawa amawonjezereka, omwe amangokulitsa vutoli. Kuzungulira koyipa kotereku kumabweretsa chiwopsezo chachikulu cha insulin yolimbana ndi maziko azovuta za matenda komanso kuwonongeka.

Zizindikiro za insulin yowonjezera

Kuonjezera insulin m'magazi kumapangitsa kutsika kwa shuga. Mutha kuyankhula za hypoglycemia ndi chizindikiro chotsika 3.3 mmol / L m'magazi a capillary. Kukula kwa zizindikiro kumadalira mtundu wamankhwala omwe amagwiritsidwa ntchito. Ndi kuyambitsa insulin yofulumira, zizindikirazo zimayamba kwakanthawi kochepa, ndi jakisoni wa insulin yoleza kwa nthawi yayitali.

Zizindikiro za insulin yowonjezera m'magazi ndi motere.

Pa gawo loyamba, kumakhala kumva njala, kufooka, mutu, kusokonezeka kwa mtima.

Imfa imachitika ndi kuchepa kwa ntchito zonse - kupuma, magazi, komanso kusowa kwa zinthu zina.

More bongo

Kugwiritsa ntchito kwambiri insulini popewa matenda a shuga kumayambitsa matenda osokoneza bongo, omwe amaphatikizidwa ndi kupanga mahomoni omwe amalepheretsa kuchepa kwa shuga m'magazi - adrenaline, corticosteroids, glucagon - ndipo amatchedwa "Somoji syndrome." Zizindikiro za odwala osokoneza bongo odwala matenda a shuga:

• kwambiri matenda
• kulakalaka
• Kulemera kwambiri ndi shuga mkodzo,
• chizolowezi cha ketoacidosis,
• acetonuria
• kusinthasintha kwamphamvu kwa shuga m'masana,
• Nthawi zambiri kuposa masiku onse, kuchuluka kwa shuga m'magazi kumajambulidwa,
• kupitiriza hypoglycemia (kangapo patsiku).

Nthawi zambiri hypoglycemia imabisika. Zodziwika bwino "zam'mawa zam'mawa zodabwitsa".Hyperglycemia imayamba m'mawa, kuyambira 5 mpaka 7 m'mawa, zomwe zimafotokozedwa ndi kuchuluka kwa mahomoni obisika komanso kufooka kwa jakisoni wa insulin yamadzulo.

Matenda a Somoji amasiyana ndi zomwe zimachitika m'mawa.

Zotsatira zake, m'mawa wodwala amakhala ndi hyperglycemia woopsa chifukwa cha mankhwala osokoneza bongo a insulin yamadzulo.

Kuthandiza ndi bongo wa insulin

Zoyenera kuchita ndi bongo wa insulin? Thandizo loyamba kapena kudzithandiza ndekha ndi zizindikiro zoyambirira za boma la hypoglycemic zimakhala ndi zotsatirazi.

1. Idyani 50-100 magalamu a mikate yoyera.
2. Ngati zizindikirazo sizitha pambuyo pa mphindi 3-5, idyani maswiti angapo kapena supuni ziwiri za shuga.
3. Ngati pambuyo mphindi 5 zizindikiro zimapitilirabe, bwerezaninso kudya zakudya zamafuta.

Ndi kukula kwambiri hypoglycemia (kutaya chikumbumtima, kukomoka), yankho lalikulu la bongo la insulin ndi mtsempha wamagazi. Jakisoni wa 40% yankho mu kuchuluka kwa 30-50 ml amapangidwa, ngati pambuyo mphindi 10 wodwalayo sanayambenso kuzindikira, ndiye kuti kulowetsako kumachitika mobwerezabwereza.

Zotsatira za kuchuluka kwa insulin

Zotsatira za bongo wambiri zimadalira kuchuluka kwa momwe zimachitikira. Matenda ofooketsa okoma amachitika ndi onse odwala matenda ashuga.

Malinga ndi kuchuluka kwa zamankhwala, pafupifupi gawo limodzi mwa magawo atatu a odwala amakhala ndi hypoglycemia.

Choopsa chachikulu pano chikukula kwa matenda a Somoji ndipo, chifukwa chake, mankhwala osayenera a matenda a shuga, omwe samachepetsa njira ya matendawa ndipo pamapeto pake amayamba kukula kwa ketoacidosis.

Zotsatira zake pakakhala vuto la hypoglycemia wovomerezeka ziyenera kuchotsedwa pakukhazikitsa mankhwala oyenera, omwe amatha nthawi yayitali.

Woopsa milandu insulin poyizoni, angayambitse matenda a chapakati mantha dongosolo:

• matenda edema
• Zizindikiro zoyipa
• ntchito yamisala yodwala (dementia).

Komanso, zochitika pafupipafupi za hypoglycemic mwa anthu omwe ali ndi vuto la mtima wam'magazi zimatha kuyambitsa kuphwanya kwam'mbali, kupweteka kwam'mimba, komanso kupweteka kwam'mimba.

Pomaliza, ndikofunikira kudziwa kuti ngati chithandizo cha mankhwala a insulin chapanthawi yake, zotsatira zake mu njira ya imfa zimathetsedwa.

Kupewa kwa zinthu ngati izi ndi lingaliro losamalitsa lomwe limayang'anira kuperekera insulin komanso kudziyang'anira pawokha.

Kuukira kwakanthawi kwa hypoglycemia kumatha kuimitsidwa pakudya chakudya chomwe chili ndi chakudya chambiri - shuga, maswiti, chakumwa chokoma.

Mankhwala osokoneza bongo a insulin: Zizindikiro, thandizo, zotsatira, kumwa mankhwala oopsa

Insulin ndi kofunikira pancreatic hormone. Kwambiri, onse omwe ali ndi matenda a shuga amadziwa. Kuti akhale ndi shuga wokwanira m'magazi, amafunika tsiku lililonse.

Njira yamachitidwe

Ndi chakudya, shuga amalowa m'thupi lathu. Imalowetsedwa ndi ziwalo ndi ma cell, ndipo zochulukazo zimadziunjikira m'thupi. Mafuta ochulukirapo amakonzedwa m'chiwindi ndikupanga chinthu china - glycogen.

Muzochita zamankhwala, matenda awa amatchedwa kuperewera kwa insulin. Izi ndi zomwe zimachitika ngati pali kuwonjezeka kwa shuga m'magazi - hyperglycemia.

Musati mupeze insulin yomwe inatha

Ndi zoletsedwa kubayira insulin yomwe idatha. Ngakhale insulin yomwe itamaliza sikhala ndi poizoni, imasinthira hypoglycemic.

Ngati wodwalayo watha mankhwalawo, ndiye kuti imakhala ndi mphamvu yolimba, yomwe imadzaza ndi shuga lakuthwa mumtsempha wamagazi komanso toxemia yayikulu.

Zotsatira zoyipa

Zotsatira zake zoyipa ndi ziti? Kuwonetsera kofala kwambiri kuyambira pakuyambitsa kwa mahomoni ndi hypoglycemia. Zotsatira zina za insulin:

• chifuwa
• lipoatrophy (atrophy of the subcutaneous minerals in the area of ​​jekeseni),
• lipohypertrophy (kuchuluka kwa mafayilo am'deralo)
• insulin edema,
• ketoacidosis ndi acetonuria.

Mulingo wololedwa

Mlingo umasankhidwa payekha ndi dokotala wopezekapo. Nthawi yomweyo, shuga m'magazi amayezedwa.

Monga tafotokozera pamwambapa za kugwiritsa ntchito mankhwalawa polimbitsa thupi, funso lachilengedwe limadza ndi zomwe zimachitika ngati mutabaya insulin mwa munthu wathanzi.

Kukhazikitsidwa kwa ma hormone kungabise ngozi. Ngati mutaba jakisoni wambiri, mutha kuchepetsa kwambiri kuchuluka kwa shuga m'magazi.

Nthawi zambiri osewera, omwe akufuna kupanga minofu, amapitilira muyeso. Zotsatira za insulin yochulukirapo, hypoglycemia imatha kuchitika.

Zizindikiro zake zoyambirira ndizamphamvu yakufa ndi kugona komanso kugona kwambiri.

Hypoglycemia imayamba kuchokera ku insulin yambiri

Chifukwa chake, anthu omwe amasewera masewera ayenera kutenga mahomoni moyang'aniridwa ndi wophunzitsa waluso.

Pankhani ya odwala matenda ashuga, kuchuluka kwa mankhwalawa omwe amaperekedwa masana kumasiyana magawo 20 mpaka 50.

Mlingo wa Lethal

Mlingo wochepa kwambiri wa insulin kwa munthu wathanzi ungakhale magawo 50-60. Ngakhale ndizokhudza munthu payekha ndipo zimatengera zinthu zina: kulemera, kuthekera kwa thupi, zaka, ndi zina zambiri.

Mlingo womwe kumwalira wodwala wodwala matenda a shuga umadaliranso pazinthu zingapo:

• kulolera payekha mankhwala
• kulemera kwa odwala
• kudya, mowa.

Mbiri idziwa milandu ya kupulumuka kwa anthu pambuyo poyambitsa 3000 IU.

Kuchuluka kwazonse

Insulin yochulukirapo m'thupi imabweretsa kuchepa kwa kuchuluka kwa shuga m'magazi. Zizindikiro za hypoglycemia zimayamba ndi mphamvu zosiyanasiyana. Zimatengera mtundu wa mankhwala omwe amaperekedwa. Kuchokera pakukhazikitsidwa kwa mankhwala omwe amagwira ntchito mwachangu, zizindikiro zimawonedwa pambuyo pa mphindi 15-30, ndipo kuchokera pakukhazikitsa mankhwala omwe amayamba pang'onopang'ono, zizindikiro zimayamba kwakanthawi.

Ndikotheka kulankhula za hypoglycemia ndi chidziwitso chotsika 3.3 mmol / L. Mankhwala osokoneza bongo a insulini kwambiri ndimadziwika ndi zotere:

• ulesi
• njala yosalekeza
• kupweteka kwakanthawi
• zokonda mtima.

Ngati palibe njira zomwe zidatengedwa kuti zithetsedwe, ndiye kuti matendawa amakula, ndipo poizoni wa insulin akupita patsogolo. Chowonekera:

• thukuta kwambiriNgati bongo wa insulin, idyani maswiti kapena shuga
• kugwedezeka kwa dzanja
• kuperewera kwambiri
• njala yomwe ikupita patsogolo komanso ulesi,
• khungu
• dzanzi la chala
• Kuchepetsa maonekedwe.

Njira yabwino yothetsera kuchuluka kwa insulin ndi zakudya zomwe zimapezeka m'matumbo omanga othamanga (maswiti kapena shuga). Ngati simugwiritsa ntchito panthawiyi, chizindikiro cha hypoglycemia ichulukira. Zina mwa izo ndi:

• kulephera kusuntha,
• thukuta kwambiri
• kugunda kwa mtima ndi kugunda kwa mtima
• kugwedezeka miyendo,
• chisokonezo,
• kuponderezedwa kwa psyche.

Pambuyo clonic ndi tonic kuukira minofu contraction ukuwonjezeka. Ngati galasi la intravenous silikuwonjezeredwa pamwambapa, ndiye kuti kuchuluka kwa insulin kumapangitsa kuti pakhale kuperewera kwa hypoglycemic.

Amadziwika ndi dziko losazindikira, kuchepa kwakukulu kwa shuga m'magazi (oposa 5 mmol / l kuchokera koyambirira), khungu, kutsika kwa mtima, komanso kusowa kwa chidwi cha ophunzira.

Anthu okhudzidwa nthawi zambiri amafa chifukwa cha kuchepa kwa ntchito zonse zofunikira - kupuma, magazi, komanso Reflex. Chifukwa chake, pazofunikira zomwe mukufuna, ndikwanira kuwerengera momwe zidzayambira.

Fomu yovuta

Choyambitsa matenda osokoneza bongo a insulini chagona mwadongosolo lawo mosiyanasiyana pochiza matenda. Poterepa, kupanga kwa mahomoni omwe amalepheretsa kuchepa kwa shuga m'magazi. Pakati pawo pali adrenaline, glucagon, corticosteroids. Poizoni wambiri wa insulin amatchedwa Somoji syndrome.

Kulakalaka kwambiri kwa mankhwala osokoneza bongo a insulin

Zizindikiro za bongo wambiri:

• matenda oopsa
• kulakalaka kwambiri
• kunenepa kwambiri ndi shuga wambiri mumtsempha wa kwamikodzo,
• kusinthasintha kwakukulu kwa kuchuluka kwa shuga masana,
• pafupipafupi hypoglycemia tsiku lonse.

Kuphatikiza apo, vuto la toxemia limawonetsedwa ndi zovuta zingapo:

• Ketoacidosis. Ichi ndi chikhalidwe chomwe, chifukwa cha kuchepa kwa mahomoni, maselo amalephera kugwiritsa ntchito glucose monga gwero lamphamvu. Thupi la munthu limayamba kudya mafuta ake omwe amasungidwa. Mukugawa mafuta, ma ketoni amapangidwa mwamphamvu. Zochuluka zawo zikamazungulira m'magazi, impso sizingagwire ntchito yotulutsa. Chifukwa chake, acidity yamagazi imachuluka. Zofooka zambiri, nseru, kusanza, kumva ludzu kwambiri, kupuma kwa acetone kumawonekera. Kuti muthane ndi vutoli, ndikofunikira kubwezeretsa mwasungidwe mosungira madzi ndikupanga majakisoni a mahomoni.
• Acetonuria. Kupezeka kwa ma ketoni mu mkodzo - zinthu zosakwanira makutidwe ndi okosijeni a mafuta ndi mapuloteni.

Nthawi zambiri, hypoglycemia imabisika. Zochita zachipatala zimadziwa "zodzuka zam'mawa" pamene zizindikiro zake zimakhalapo kuyambira 5 mpaka 7 m'mawa. Ichi ndi chifukwa cha kukwera kwakukulu kwa zigawo za ma contra-mahormoni komanso kuchepa kwa mphamvu ya jakisoni madzulo.

Somoji syndrome ndi yosiyana ndi chodabwitsa. Izi zimachitika chifukwa cha kupita patsogolo kwa maola 2 mpaka 4 a hypoglycemia - shuga amachepetsedwa mpaka 4 mmol / l kapena kutsikira. Zotsatira zake, thupi limayambitsa ziwembu. Ndipo m'mawa, wodwalayo amakhala ndi hypoglycemia, wokwiyitsidwa ndi jakisoni wamadzulo.

Kusamalira ana

Mchipatala, wodwalayo adzapatsidwa jakisoni ndi dontho. Ngati ndi kotheka, kulowetsedwa kubwerezedwa pambuyo pa mphindi 10.

Pankhani yokhwima koopsa, amachotsedwa chifukwa cha kulowetsedwa kwa mayankho ake.

Kuvulaza kwakukulu kwa insulin kumadziwika kwambiri. Izi zimakhudza ntchito ya mtima wamanjenje. Zotsatira:

• edema yam'mimba,
• kumenyedwa
• dementia (matenda amisala).

Komanso, kuphwanya malamulo kumachitika mu CCC. Ichi ndi chopsinjika ndi myocardial infarction, stroke, hemorrhage.

Gawanani ndi anzanu:

Chimachitika ndi chiani ngati munthu wathanzi wavulaza insulin? Zotsatira za bongo

Hemeni wa insulin imapangidwa m'thupi lathu ndi kapamba. Chimodzi mwa ntchito zake zofunika kwambiri ndikukhazikitsidwa kwa kagayidwe kazakudya. Koma kagayidwe kachakudya mthupi ndi njira yolumikizirana. Ngati chimbudzi cha chakudya chimasokonekera, kagayidwe kazinthu zina amakhalanso kolakwika. Ndi matenda ashuga, heme wodwalayo amakhala ndi shuga wambiri.

Izi zili choncho chifukwa sizilowetsedwa ndi minyewa yathupi. Popeza glucose amathandizira kubwezeretsanso mphamvu za munthu, pankhani ya matenda ashuga, mavuto amabuka ndi kayendedwe, kuzungulira, kupuma ndi zina zofunika kuchita mthupi. Pankhaniyi, adotolo amafotokozera insulin ya jakisoni.

Ndipo chidzachitike ndi chiyani ngati munthu wathanzi atalowetsedwa ndi insulin? Tithana ndi izi mwatsatanetsatane.

Pafupifupi insulini

Ma hormone, mwatsoka, sangatengeke ndi chakudya. Ngati mutadya chinthu chokhala ndi insulini, chinthucho chimasungunuka m'matumbo athu ndipo sichilowa m'magazi. Kupulumutsidwa kwa matenda ashuga ndi jakisoni wa mankhwalawo.

Insulin yaumunthu ndi chinthu cha peptide. Kuphatikiza pa shuga, iye amanyamula potaziyamu komanso ma amino acid osiyanasiyana. Gome lotsatirali likuwonetsa kuchuluka kwama mahomoni kutengera ndi zaka komanso wodwala:

Glucose omwe amapezeka ndi thupi panthawi yazakudya amakhala othandizira m'badwo wa insulin. Amino acid arginine ndi leucine, mahomoni cholecystokinin ndi estrogens, calcium, potaziyamu, ndi mafuta acids zimathandizanso pakupanga mahomoni. Imachepetsa m'badwo wa insulin.

Ntchito za insulin zimaphatikizapo:

• Kulimbikitsa kuthekera kwa glucose komwe kumachitika ndi maselo kuti apangitse mphamvu zambiri,
• Ma enzymero olimbikitsa
• Kuchulukitsa kwa glycogen, komwe kumalimbikitsa mayamwidwe a shuga ndi minyewa ya chiwindi ndi maselo amisempha,
• Kuchepetsa mapangidwe a shuga omwe amasungidwa m'chiwindi
• Kukula kwa kuthekera kwa maselo kupanga amino acid,
• Kupereka kwamaselo okhala ndi potaziyamu, magnesium ndi phosphorous,
• Kachitidwe ka mapuloteni,
• Zimapangitsa kutembenuka kwa glucose kukhala triglycerides.

Zomwe zimapangitsa kuti Insulin Iwonjezere

Chochulukitsa chomwe chimayambitsa kuphatikiza kwamankhwala ambiri ndi chosankha cholakwika cha odwala omwe ali ndi matenda ashuga. Anthu omwe akudwala matendawa amakhudzidwa makamaka ndi izi. Zifukwa zonse za kuchuluka kwa mahomoni panthawi ya jakisoni zimatha ndi mndandanda:

• Chovuta chochitika ndi endocrinologist momwe insulin imalowetsedwera munthu yemwe safuna,
• Kuwerengera molakwika kwa mankhwala kunapangidwa,
• Tinayambitsa insulini yayifupi komanso yayitali pakapita kamodzi,
• Kusintha mtundu wa mankhwala,
• Kusankha syringe yayikulu ya mankhwala
• Kulephera kubwezeretsa kwina zamagetsi pamasewera,
• Kuphwanya zakudya regimen (osatenga chakudya pambuyo jakisoni wa mahomoni).

Zizindikiro zakukhathamiritsa kwa mahomoni ambiri

Zotsatira za kuchuluka kwa insulin zikuwonetsedwa ndi zizindikiro:

• Kumva kufooka thupi lonse
• Mutu wosakhalitsa
• Njala yopanda nzeru
• Kudzaza pakamwa ndi malovu,
• Khungu,
• Thukuta kwambiri
• Kumva dzanzi m'miyendo,
• Kuwonongeka kwa diso,
• Kumvetsani bwino
• Kuthamanga kwa mtima
• Kusokonezeka m'malingaliro
• Kukhumudwitsa.

Ngati zinthu sizinatengedwe panthawi yowonjezera kuchuluka kwa shuga mu heme, imfa imatha kuchitika. Mlingo wowopsa wa insulin kwa munthu wathanzi umatsimikiziridwa ndi kuchepa kwa 5 mmol / L pambuyo pobayira shuga poyerekeza ndi mulingo wabwinobwino.

Timadzi timeneti timakula ndi kusakwanira kwa impso komanso kusintha kwamafuta m'maselo a chiwindi. Kuwonjezeka kwa kupanga kwa mahomoni m'thupi kumachitika ndi matenda otupa, pomwe zotupa zokha zimapanga insulin. Voliyumu ya insulini imadzanso nthawi yapakati.

Madokotala samalimbikitsa kuti insulin ndi mowa ziziphatikizika. Tsoka ilo, si onse odwala matenda ashuga omwe amamvera malangizowo. Chifukwa chake, akatswiri apanga malamulo otsatirawa:

• Ngati mukufuna kumwa zakumwa zoledzeretsa, mlingo wa mahomoniwo uyenera kuchepetsedwa izi zisanachitike.
• Asanamwe komanso atamwa mowa, thupi liyenera kudya zakudya zamafuta ochepa,
• Anthu odwala matenda ashuga samalangizidwa kumwa zakumwa zoledzeretsa,
• Tsiku lotsatira, atamasulidwa, wodwalayo ayenera kuyeza kuchuluka kwa shuga posanthula magazi ndikusintha kuchuluka kwa mankhwalawo.

Mankhwala osokoneza bongo kwambiri a insulin ndi oopsa a hypoglycemic (okhala ndi shuga wambiri) komanso kufa. Mlingo wowopsa umatengera thanzi la munthu, kulemera kwake, kudya, kumwa, ndi zina. Kwa munthu m'modzi, imfa imatha kupezeka 100 IU ya insulin, ina pambuyo pa 300 kapena 500 IU.

Mahomoni owonjezera

Mankhwala osokoneza bongo ambiri a insulin amatsogolera ku mfundo yoti mahomoni amapanga mwachangu kwa wodwala omwe amachepetsa kuchepa kwa shuga m'thupi. Izi zimaphatikizapo adrenaline, corticosteroids, glucagon. Zizindikiro za kuchuluka kwa insulin kwambiri:

• Kumva zosasangalatsa
• Njala yokhazikika
• Kunenepa kwambiri
• Maonekedwe a ketoacidosis ndi acetonuria (kuchuluka kwa shuga mu heme ndi kuwonjezereka kwa kukhalapo kwa matupi a ketone, kupezeka kwa mamolekyulu a acetone mu mkodzo, kusowa kwamphamvu kwa asidi, kuchepa kwa madzi m'thupi),
• Kusintha kwadzidzidzi kwa shuga masana,
• Kusinthasintha pafupipafupi kwa shuga ambiri,
• Kutsika pafupipafupi kwa kuchuluka kwa shuga mu lymph pansipa 3.9 mmol / L (hypoglycemia).

Ndi mankhwala osokoneza bongo ambiri, zomwe zimachitika m'mawa "m'mawa" zimadziwika. Zimanenedwa kuti pambuyo poti jakisoni wamadzulo ochulukirapo kuyambira 2 mpaka 4 a.m. pali kuchepa kwa shuga. Zotsatira zake ndikuti thupi limayamba kulimbikitsa gwirisi mwachangu m'matanki osungira, ndipo pofika 5-7 am msinkhu wa shuga umakwera kwambiri.

Njira zoyambirira zothandizira bongo

Ngati wodwala ali ndi zizindikiro za kuchuluka kwa mahomoni omwe afotokozedwa pamwambapa, ndikofunikira:

• Idyani mikate yoyera 100,
• Ngati palibe kusintha, idyani maswiti atatu kapena supuni zochepa za shuga,
• Yembekezani mphindi 5, ngati palibe kusintha, imwani zam'madzi kachiwiri.

Ngati zizindikiro za mankhwala osokoneza bongo zili zowopsa - kutaya chikumbumtima, kukomoka, ndi zina zotere, ndikofunikira kuyambitsa yankho la shuga kwa wodwalayo. Kuyambira 30 mpaka 50 ml ya 40% yankho limayendetsedwa kudzera m'mitsempha. Ngati zizindikiro zikulimbikira, bwerezani jakisoni.

Zotsatira za bongo

Pafupifupi gawo limodzi mwa magawo atatu a odwala matenda ashuga onse amakhala ndi insulin yambiri nthawi imodzi. Palibe chifukwa chochitira mantha.

Mukungofunika kudya zakudya zam'kati zothamanga zomwe zimakulitsa shuga. Kulimbikitsa kwa insulin komwe kumachepetsa kuchepetsa shuga kumakhala kowopsa.

Izi nthawi zina zimabweretsa chithandizo chosayenera - kuchuluka kwa jakisoni wa insulin m'malo mwa kuchepa.

Kuti mumve zambiri, muyenera kuyimba ambulansi, yomwe dokotala wake amapatsa jakisoni jakisoni wa shuga, popeza zimakhala zovuta kuti amateur apange jakisoni m'mitsempha.

Mankhwala osokoneza bongo okwanira ali owopsa. Zotsatira zake ndikuphwanya magwiridwe antchito aubongo - matenda a edema, zochitika zokhudzana ndi amuna.

Komanso, insulin yochulukirapo imayambitsa chiopsezo cha stroke kapena kugunda kwa mtima.

Popewa zotsatira zosasangalatsa, zimakhala zomveka kupenda kuchuluka kwa shuga ndi glucometer ndikusintha mankhwalawo kumbali pamene kuchuluka kwa glucose kumatsika.

Ngati mukulowetsa insulin mwa munthu wathanzi, muyenera kuganizira izi mopitirira muyeso ndipo, ndi mlingo wochepa, tengani zomwe tafotokozazi.

Ngati insulin yayikulu imaperekedwa kwa munthu wathanzi, imayambitsa zomwe zimachitika monga mankhwala oopsa. Pankhaniyi, muyenera kuyitanitsa ambulansi mwachangu.

Zotsatira za kuchuluka kwa insulin yayifupi

Anthu omwe amadalira insulin omwe ali ndi matenda a shuga 1 amafunika Mlingo wofunika wa insulini tsiku lililonse, mankhwala ofunikira a glucose ofunikira tsiku lililonse.

Hormayo imafunikira kuti apange mlingo woyenera wa dokotala. Ndi osakwanira makonzedwe, kukula kwa matenda a shuga mu wodwala ndi kosatheka, ndi bongo wa hypoglycemia, womwe mosalephera umabweretsa kukomoka. Zotsatira zake ndi imfa.

Hypoglycemia, zizindikiro

Kuonjezera Mlingo wa insulin pafupipafupi kumabweretsa chiyambi cha njira ya hypoglycemic, kugwidwa, zomwe zimadziwika ndi mawonekedwe a:

• kukomoka mtima,
• mutu
• kunjenjemera, kulira ndi zala ndi milomo.
• thukuta kwambiri
• Khungu lakhungu,
• kuukira kwa mankhwalawa, njala.

Ngati zizindikiro zotere zikuwoneka, odwala ayenera kufunsa dokotala. Ngati kunyalanyazidwa, pamenepo kukomoka kumachitika, ndiye kuti mukumwetulira. Zotsatira zake sizingasinthe.

Ndi kutsika kwakuthwa m'magulu a glucose pamikhalidwe yovuta, Zizindikiro ndizosiyana kwambiri ndi mawonekedwe a hypoglycemia:

• palibe thukuta, komanso momwe ophunzira awunikira,
• asymmetric chisokonezo chakutsogolo kwa ma eyeb eye
• kuthamanga kwa magazi kumachepetsedwa
• kupuma pafupipafupi komanso kwakanthawi
• kutsika kwamisempha,
• palibe ozizira mu tendons, mu peritoneum,
• kuwoneka kwa kugwidwa, khunyu.

Mankhwala osokoneza bongo a insulin ambiri amayamba ndi matenda a hypoglycemic syndrome, pomwe misempha ya magazi amatsika kwambiri. Koma, musasokoneze ndi hyperglycemic, momwe, m'malo mwake, shuga imaposa.

Matenda a wodwalayo amakhalanso oopsa, koma Zizindikiro ndizosiyana kotheratu:

• kamwa yowuma, ludzu,
• kufooka kwa minofu
• kunjenjemera, kugwedezeka kwa malekezero,
• thukuta lozizira
• kuyabwa pakhungu,
• arrhythmias,
• chisokonezo,
• mawonekedwe a goosebumps, chifunga pamaso pa maso,
• kusakhazikika, komanso ubongo ntchito.

Nthawi zambiri, anthu okalamba amakhala ndi zizindikiro monga:

• kukula kwa ziwalo zamiyendo yakumtunda (kumbuyo),
• kutsitsa kuthamanga kwa magazi, kugwira ntchito kwamaganizidwe,
• Mitsempha yamagazi mumitsempha,
• matenda a mtima
• kukula kwa zilonda zam'mimba (makamaka pamiyendo).

Ndi kutaya chikumbumtima, mkhalidwe wodwala umakhala wovuta, wofulumira - kugunda kwa mtima ndi kugunda. Popanda kuperekera chithandizo chatsopano cha mankhwala a insulin, munthu akhoza kufa. Kuimbira foni mwadzidzidzi kuyenera kukhala mwachangu.

Thandizo loyamba

Monga thandizo loyamba, kukhazikitsa mlingo wovomerezeka wa insulin mu mawonekedwe a jakisoni.

Zoyenera kuchita ngati zizindikiro zotere zikuwoneka zowopsa, ndikuwululidwa kuti zimagwirizanitsidwa ndi insulin yayifupi? Choyamba, mothandizidwa ndi glucometer, muyenera kuyeza kuchuluka kwa shuga. Mitengo ya glucose nthawi zambiri imakhala ya 5mm mmol / lita. Mukatsitsa mulingo uwu, muyenera kuchitapo kanthu kuti muwonjezere. Fotokozerani kuchuluka kwa shuga m'magazi, ipatseni wodwalayo chokoma.

Koma kuchuluka kwa chakudya chamafuta sikuvomerezeka. Ngati mwa munthu wathanzi glycogen, ikalowa m'magazi, imasungidwa ngati mphamvu yosungirako thupi, mwa odwala matenda ashuga omwe ali ndi insulin yambiri, kuchepa mphamvu kwa thupi, kuchepa kwa maselo ndi minofu ingayambike, kenako, pakalibe chithandizo, chikomokere ndi imfa sizingatheke.

Zizindikiro zikuwoneka kuti zimayenderana ndi izi: kuuma ndi ludzu mkamwa, kuyanika khungu.

Kupanda kutero, zizindikilo zikaonekera motsutsana ndi maziko a kuchuluka kwa shuga m'magazi, i.e. motsutsana ndi maziko osakhalitsa a insulin, wodwalayo adazindikira:

• uiike pambali pake, ndi kachidutswa kakang'ono ka shuga patsaya lake,
• imwani tiyi wokoma
• ngati ndi kotheka, jekeseni 50 ml ya glucose (40%) mwachindunji pakhungu kapena enema (150 ml ya glucose 10%),
• Nthawi yomweyo itanani ambulansi kuti ipereke chithandizo chabwino kwa madokotala kuchipatala.

Zotsatira za bongo

Monga tanena kale, kupitirira kuyambitsa chizolowezi cha insulin, zizindikiro zosasangalatsa pamwambazi zimawonekera bwino.

Pafupipafupi, ndi hypoglycemia mu cortex ya ubongo komanso m'maselo a wodwalayo, njira zowonongera zimayamba, zomwe zimapangitsa kuti hypoxia ipangidwe.

Kupitilira apo, ma pituitary gland ndi hypothalamus yaubongo amakhudzidwa, zomwe zimafotokozedwa pakugawidwa kwambiri kwa thukuta lozizira mwa wodwalayo, kunjenjemera kwa malekezero, kusakwanira.

Ngati simukuchitapo kanthu mwachangu kuti matenda a shuga akhale m'magazi, ndiye kuti njira ya hypoglycemic imadzetsa vuto la chifuwa cham'mimba.

Wodwalayo wathandizira ana, pali kukokana, khunyu.

Kukhazikitsidwa kwa kuchuluka kwa insulin mosavutikira kumabweretsa vuto lalikulu - kutaya chikumbumtima, chikomokere, kuchuluka kwa mtima ndi kugunda kwa mtima. Ndi kutupa kwa ubongo ,imfa ndiyosatheka.

Ngakhale munthu wodwala matenda ashuga atha kupulumutsidwa, zotsatila zake zikagwiritsira ntchito insulin yokwanira zimatha kukhala zowawa kwambiri. Kuukira pafupipafupi kwa hypoglycemia kumawononga kwambiri madipatimenti a ubongo wamkati ndi ubongo.Mwinanso kuchepa kwa chidwi cha miyendo, kusintha kwa malingaliro, Zizindikiro zakuchepa kwa akulu, kulepheretsa kukula kwa luntha kwa ana.

Zimakhala zowopsa ngati ntchito yaubongo ili ndi vuto. Munthu amakhala wosasamala komanso wasokonezeka, zilonda zam'mimba zosasindikizika zimawoneka pamapazi ake. Kulephera kwamitsempha yamagazi ndi mtima kumatha kubweretsa kuwonongeka kwadzidzidzi kwa myocardial. Kuchuluka kwa mahomoni omwe amadalira insulin angayambitse kufa nthawi yomweyo.

Njira zopewera

Tsoka ilo, odwala matenda ashuga a gulu 1 ndi odwala omwe amadalira insulin. Kusagwiritsa ntchito mosamala mlingo wotsatira wa insulin kapena mosiyanasiyana, insulin yochulukirapo ingayambitse zotsatira zoyipa, mpaka kufa.

Odwala amalembetsedwa ndipo amayang'aniridwa nthawi zonse ndi endocrinologist. Zochuluka motani, panthawi yanji yoyenera kupangira mahomoni poganizira mtundu wa shuga mwa wodwala amasankhidwa ndi adokotala okha.

Tsiku lililonse, odwala ayenera kuyeza shuga m'magazi awo ndi glucometer. Dokotala akakufotokozerani, perekani jakisoni mu Mlingo ndi maola ofanana ndi omwe adokotala adapereka.

Masiku ano, ma syringe osavuta komanso osavuta apangidwa kuti apereke ma insulin awa kunyumba. Malinga ndi kuchuluka kwake, kuchuluka kwa ma insulini kumalembedwanso, ndikulowetsedwa m'matumbo a miyendo (makamaka m'mimba kuti mumulowetse bwino insulin) pambuyo pochiza malowa ndi mowa. Pambuyo masekondi 10, singano imachotsedwa.

Kukhazikika koyenera komanso kwakanthawi kwa timadzi tokha kumateteza ku insulin. Ndikofunikira kwambiri kuti odwala matenda ashuga azitsatira malangizo onse a dokotala.

Ngati sizotheka kudzipatsa nokha jakisoni chifukwa cha thanzi labwino kapena, mwachitsanzo, insulin yatha, ndiye kuti muyenera kukhala ndi foni yosachepera nanu. Ngati zizindikiro zosasangalatsa zikuwonekera, itanani abale anu nthawi yomweyo kapena imbani ambulansi munthawi yake.

Madokotala amayesetsa kuchita zonse zotheka kuti ayimitse kaye zizindikiro zake, kuti abweretsenso wodwala matenda ashuga ku moyo wachilendo.