Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika

Kuwerengera ndi malamulo othandizira insulin

Jakisoni wa insulin ndi heparin amawonetsedwa mosiyanasiyana.

Insulin imapezeka m'mabotolo a 5 ml, 1 ml ili ndi 40 mayunitsi kapena 100 mayunitsi. Insulin imayendetsedwa ndi syringe yapadera yotaya, pogawa kuti gawo limodzi likugwirizana ndi 1 unit kapena cholembera.

Vial ya insulin yosatsimikizika iyenera kusungidwa mufiriji kutentha kwa + 2 ° C mpaka + 8 ° C. Ndikwabwino kuyiyika pakhomo kapena pansipa ya firiji, kutali ndi mufiriji. Botolo lomwe limagwiritsidwa ntchito lingathe kusungidwa pamalo abwino mpaka milungu isanu ndi umodzi (katoni katemera wa syringe - mpaka milungu 4). Asanakhazikitsidwe, botolo liyenera kutenthetsedwa mpaka 36 ° C.

Insulin iyenera kuperekedwa kwa mphindi 20-30 asanadye.

Zida: Botolo lokhala ndi insulin yothetsera, thonje losabala, ma tonneti, mipira ya thonje losalala, syringe wa insulin, 70% mowa.

I. Kukonzekera njirayi.

1. Onani kuyenera kwa insulini.

2. Yang'anani sterility ya insulin syringe, tsegulani thumba.

3. Tsegulani chipewa kuchokera m'botolo lomwe limatchinga chopukutira.

4. Pukuta chowimitsa chopukutira ndi mipira ya thonje wothira mowa kamodzi, lolani kuti mowawo uume.

5. Kokerani piston ku chilembo chomwe chikuwonetsa kuchuluka kwa ma insulin omwe adokotala adawauza.

6. Pierce chopondera chotchinga cha vala ndi insulini ndi singano, ndikutulutsa mpweya mu vial, sinthani vial ndi syringe kuti vial ija itembenuke mozungulira, ndikuyigwira dzanja limodzi pamaso.

7. Kokani pisitoni pansi mpaka pa manambala omwe mukufuna.

8. Chotsani singano mu vial, valani chipewa, ikani syringe mu thireyi.

II. Kuphedwa kwa njirayi.

9. Kusamba m'manja. Valani magolovesi.

10. Chitani jakisoni wambiri ndi mipira iwiri ya thonje yothira mowa. Lolani khungu kuti liume; chotsani kapu ku syringe.

11. Tengani khungu mu khola ndikulowetsa singano pamalo a 45 pafupifupi - 90 pafupifupi.

12. Lowetsani insulin pang'onopang'ono.

13. Kanikizani ndi mpira wowuma wopanda nsapato ku malo a jakisoni, chotsani ndi singano.

Musamasewetse jakisoni wa jekeseni (izi zingayambitse kuyamwa kwambiri kwa insulin).

III. Mapeto a njirayi.

14. Tayani syringe ndi zinthu zomwe mwazigwiritsa ntchito.

Chotsani magolovu, ayikeni mu chidebe cha zoteteza ku matenda.

16. Sambani ndikusamba m'manja (pogwiritsa ntchito sopo kapena antiseptic).

17. Lembani zoyenera pazotsatira zamankhwala.

18. Kumbutsani wodwalayo kudya pakatha mphindi 20-30.

Njira ya insulin makonzedwe: algorithm ndi kuwerengera, mlingo mu insulin mankhwala

Pancreatic hormone, yomwe imayang'anira kuyendetsa kagayidwe kazakudya m'thupi, imatchedwa insulin. Ngati insulini sikokwanira, ndiye kuti izi zimabweretsa njira zamatenda, chifukwa cha zomwe shuga ya magazi imakwera.

Masiku ano, vutoli limathetsedwa mosavuta. Kuchuluka kwa insulini m'magazi kumatha kuwongolera kudzera jakisoni wapadera. Imeneyi ndiye chithandizo chachikulu cha matenda osokoneza bongo a mtundu woyamba komanso osakhala wachiwiri.

Mlingo wa mahomoni nthawi zonse umatsimikiziridwa payekhapayekha, kutengera kuwuma kwa matendawo, momwe wodwalayo alili, kadyedwe kake komanso chithunzithunzi chachipatala chonse. Koma kukhazikitsidwa kwa insulin ndikofanana kwa aliyense, ndipo kumachitika molingana ndi malamulo ena ndi malingaliro.

Ndikofunikira kuganizira malamulo a insulin Therapy, kuti mudziwe momwe mawerengeredwe a insulin amachitikira. Kodi pali kusiyanasiyana pakati pa kasamalidwe ka insulin pakati pa ana, ndi momwe angapangire insulin?

Zokhudza chithandizo cha matenda ashuga

Zochita zonse pakuchiza matenda a shuga zimakhala ndi cholinga chimodzi - uku ndiko kukhazikika kwa shuga m'thupi la wodwalayo. Chizolowezi chimatchedwa kuti ndende, chomwe sichotsika kuposa 3.5, koma sichidutsa malire 6 apamwamba.

Pali zifukwa zambiri zomwe zimayambitsa kupunduka kwa kapamba. Mwambiri, zochitika zoterezi zimayendera limodzi ndi kuchepa kwa kapangidwe ka insulin, motero, izi zimayambitsa kuphwanya kwa kagayidwe kazakudya ndi michere.

Thupi silingalandiranso mphamvu kuchokera ku chakudya chomwe chidya, limapeza shuga wambiri, yemwe samalowetsedwa ndi maselo, koma amangokhala m'magazi a munthu. Izi zikawonedwa, kapamba amalandila chizindikiro kuti insulin iyenera kupangidwa.

Koma popeza magwiridwe antchito ake ali ndi vuto, chida chamkati sichingagwire ntchito machitidwe am'mbuyomu, ophatikizidwa, kupanga kwa mahomoni kumakhala kuchepa, pomwe kumapangidwa pang'ono. Mkhalidwe wa munthu umakulirakulira, ndipo pakupita nthawi, zomwe zawo za insulin zikuyandikira zero.

Pankhaniyi, kukonza zakudya komanso zakudya zolimbitsa thupi sikokwanira, mudzafunika kuyambitsidwa kwa mahomoni opanga. Muzochita zamakono zamankhwala, mitundu iwiri yamatenda amasiyanitsidwa:

Ndi matenda amtundu 1, kupanga mahomoni m'thupi la munthu kumatsekedwa, chifukwa chomwe ntchito ya ziwalo zamkati ndi machitidwe zimasokonekera. Kuwongolera vutoli, kupezeka kwa maselo okhala ndi analog ya mahomoni okha ndi kumene kungathandize.

Chithandizo pa nkhaniyi ndi cha moyo. Wodwala wodwala matenda ashuga ayenera kulandira jakisoni tsiku lililonse. Zovuta za insulin makonzedwe ndikuti ziyenera kuperekedwa munthawi yake kupatula vuto lalikulu, ndipo ngati kukomoka kumachitika, muyenera kudziwa chisamaliro chazomwe zili ndi vuto la matenda ashuga.

Ndi mankhwala a insulin othandizira odwala matenda a shuga omwe amakuthandizani kuti mulamulire kuchuluka kwa shuga m'magazi, kusungirako magwiridwe antchito pazofunikira, kupewa kuperewera kwa ziwalo zina zamkati.

Kuwerengera kwa hormone kwa akulu ndi ana

Kusankhidwa kwa insulin ndi njira yomwe munthu amachita payekha. Chiwerengero cha malo olimbikitsidwa mu maola 24 chimayendetsedwa ndi zizindikiro zosiyanasiyana. Izi zimaphatikizira ndi ma concomitant pathologies, zaka za wodwalayo, "zomwe adakumana nazo" ndi matenda ena.

Kukhazikitsidwa kuti nthawi zambiri, kufunikira kwa tsiku la odwala omwe ali ndi matenda ashuga sikupitilira gawo limodzi la mahomoni pa kilogalamu ya kulemera kwake kwa thupi. Ngati lonjezoli latha, ndiye kuti kukulitsa zovuta kumakulirakulira.

Mlingo wa mankhwalawa amawerengedwa motere: ndikofunikira kuchulukitsa tsiku lililonse la mankhwalawa ndi kulemera kwa wodwala. Kuchokera pakuwerengera izi zikuwonekeratu kuti kuyambitsa kwa mahomoni kumadalira thupi la wodwalayo. Chizindikiro choyamba chimakhazikitsidwa kutengera zaka za wodwalayo, kuuma kwa matendawo ndi "zomwe adakumana nazo".

Mlingo wa tsiku ndi tsiku wa mankhwala opangira insulin umasiyana:

Pambuyo pazomwe zalandiridwa patsiku, kuwerengera kumapangidwa. Pa njira imodzi, wodwalayo sangathe kulowa magawo a 40, ndipo masana mlingo umasiyana kuchokera 70 mpaka 80 magawo.

Odwala ambiri samamvetsetsa momwe angawerengere mlingo, koma izi ndizofunikira. Mwachitsanzo, wodwala amakhala ndi thupi lolemera ma kilogalamu 90, ndipo mlingo wake patsiku ndi 0.6 U / kg. Kuti muwerenge, muyenera mayunitsi 90 * 0,6 = 54. Uku ndiye kuchuluka kwathunthu patsiku.

Ngati wodwalayo akulimbikitsidwa kuwonetsa nthawi yayitali, ndiye kuti zotsatira zake ziyenera kugawidwa pawiri (54: 2 = 27). Mlingo uyenera kugawidwa pakati pa kasamalidwe kazaka zam'mawa ndi zam'mawa, m'malo awiri kapena mmodzi. M'malo mwathu, awa ndi magawo 36 ndi 18.

Pa mahomoni "achidule" amakhalabe magawo 27 (kuchokera pa 54 tsiku lililonse). Iyenera kugawidwa pang'onopang'ono katatu asanadye, kutengera thupi lomwe wodwalayo akufuna kudya. Kapena, gawani ndi "servings": 40% m'mawa, ndi 30% mgonero ndi madzulo.

Mu ana, kufunikira kwa insulin kumakulirapo kwambiri ndikakuyerekeza ndi akulu. Zomwe mulingo wa ana:

Nthawi zambiri, njira yoperekera mankhwala a insulini kwa odwala ochepa siinasinthe. Mphindi yokha, mwana wamng'ono sangadzipangire yekha jakisoni, chifukwa chake makolo ayenera kuiwongolera.

Hormone Syringes

Mankhwala onse a insulin amayenera kusungidwa mufiriji, kutentha komwe akulimbikitsidwa kuti asungidwe ndi 2-8 madigiri pamwamba pa 0. Nthawi zambiri mankhwalawa amapezeka mu cholembera chapadera cha syringe omwe ndi osavuta kunyamula ndi inu ngati mukufuna kupanga jakisoni yambiri masana.

Zitha kusungidwa osaposa masiku 30, ndipo mphamvu za mankhwalazo zimatayika chifukwa cha kutentha. Ndemanga za odwala zimawonetsa kuti ndibwino kugula zolembera zomwe zimakhala ndi singano yomangidwa kale. Mitundu yotere ndi yotetezeka komanso yodalirika.

Pogula, muyenera kulabadira mtengo wogawa wa syringe. Ngati kwa wamkulu - ichi ndi chimodzi gawo, ndiye kwa 0,5 mwana. Kwa ana, ndikofunikira kusankha masewera amfupi komanso owonda omwe salinso mamilimita 8.

Musanalowe mu insulin, muyenera kuifufuza mosamala kuti mutsatire malangizo a dokotala: kodi mankhwalawa ndi oyenera, ndiye phukusi lonse, ndizomwe zimapangitsa kuti pakhale mankhwalawa.

Insulin ya jakisoni iyenera kulembedwa motere:

Pamafunika kupereka insulin yayitali, zotsatira zake ndi zomwe mankhwalawo amayenera "kukulira m'manja mwanu" mpaka mankhwalawo atakhala mthunzi wamtambo.

Ngati palibe thumba la insulin lotayika, mutha kugwiritsa ntchito zinthu zomwe zingayambenso. Koma nthawi yomweyo, muyenera kukhala ndi singano ziwiri: kudzera m'modzi, mankhwalawo amawimbidwa, mothandizidwa ndi wachiwiri, makonzedwe amachitika.

Kodi insulini imagwirira ntchito motani ndipo?

Timadzi timadzi timatumba timene timalowa m'matumbo amafuta, apo ayi mankhwalawo sakhala ndi zotsatira zochizira. Kukhazikikako kumatha kuchitika m'mapewa, m'mimba, kumtunda kwa ntchafu yakumbuyo, khola lakunja la gluteal.

Malingaliro a madotolo samalimbikitsa kuperekera mankhwalawo paphewa pawo, chifukwa mwina wodwalayo sangathe kupanga "khungu lolowera" ndikuwupatsa mankhwala mwachidwi.

Dera lam'mimba ndilofunikira kwambiri kusankha, makamaka ngati Mlingo wa mahomoni ofupikirako ukuperekedwa. Kudzera m'derali, mankhwalawa amamwa mwachangu kwambiri.

Ndizofunikira kudziwa kuti dera la jakisoni liyenera kusinthidwa tsiku lililonse. Ngati izi sizichitika, mtundu wa mayamwidwe am'madziwo umasintha, pakakhala kusiyana m'magazi m'magazi, ngakhale kuti mulingo woyenera walowetsedwa.

Malamulo oyendetsera insulin samalola kubayidwa m'malo omwe amasinthidwa: zipsera, zipsera, mabala ndi zina zotero.

Kuti mulowetse mankhwalawa, muyenera kutenga syringe yokhazikika kapena cholembera. Ma algorithm ogwiritsira ntchito insulin ndi motere: (tengani chifukwa choti syringe yokhala ndi insulini yakonzeka):

• Chiritsani tsamba la jakisoni ndimasamba awiri omwe amakhala ndi mowa. Swab imodzi imakhala ndi malo ambiri, ndipo yachiwiriyo imagwiritsa ntchito jakisoni wa jekeseni wa mankhwala.
• Yembekezani masekondi makumi atatu mpaka mowa utasanduka.
• Dzanja limodzi limapanga khola lamafuta olowera, ndipo dzanja linalo limalowetsa singano pamakwerero mpaka madigiri 45 kulowa m'munsi mwa khola.
• Popanda kumasula makutuwo, kanikizani piston pansi ponse panu, jekeseni mankhwalawo, tulutsani syringe.
• Kenako mutha kulola kuti khungu lizitha.

Mankhwala amakono othandiza kukhazikitsa shuga m'magazi nthawi zambiri amagulitsidwa m'mapensulo apadera a syringe. Ndizosinthika kapena zotayikira, zimasiyana pa mlingo, zimabwera ndi singano zosinthika komanso zopangidwa.

Wopanga ndalamazi amapereka malangizo othandiza kuti ma hormone azioneka bwino:

1. Ngati ndi kotheka, sakanizani mankhwalawa ndikugwedeza.
2. Onani singano ndikutulutsa magazi mu syringe.
3. Potani pakumapeto kwa syringe kuti musinthe mlingo wofunikira.
4. Pangani khola, ikani jakisoni (ofanana ndi kufotokozera koyamba).
5. Tulutsani singano, mutatha kutseka ndi kapu ndi mipukutu, ndiye muyenera kutaya.
6. Chomaliza kumapeto kwa njirayi, pafupi.

Momwe mungasungire insulin, ndipo chifukwa chiyani ikufunika?

Odwala ambiri ali ndi chidwi ndi chifukwa chake insulin dilution ikufunika. Tiyerekeze kuti wodwala ndi mtundu woyamba wa matenda ashuga, ali ndi thupi lofooka. Tiyerekeze kuti insulini yocheperako imachepetsa shuga m'magazi awiri ndi magulu awiri.

Pamodzi ndi zakudya zama carb zotsika kwambiri za anthu odwala matenda ashuga, shuga wamagazi amawonjezeka mpaka magawo 7, ndipo akufuna kuchepetsa mpaka magawo 5.5.Kuti achite izi, ayenera kubaya jekeseni imodzi ya mahomoni ofupikirapo (chithunzi pafupifupi).

Ndizofunikira kudziwa kuti "cholakwika" cha syringe 1 ya insulin ndi yolakwika. Ndipo nthawi zambiri, ma syringe amakhala ndi gawo logawanitsa magawo awiri, motero zimakhala zovuta kulemba imodzi, ndiye muyenera kuyang'ana njira ina.

Ndi cholinga chochepetsera mwayi wobweretsa Mlingo woyenera, muyenera kuchepetsedwa ndi mankhwalawo. Mwachitsanzo, ngati muthira mankhwalawo maulendo 10, ndiye kuti kulowa gawo limodzi muyenera kulowa magawo 10 a mankhwalawo, zomwe ndizosavuta kuchita ndi njirayi.

Mwachitsanzo pakupaka koyenera kwa mankhwala:

Insulin ikhoza kuchepetsedwa ndi mchere kapena madzi osungunuka, zakumwa zina ndizoletsedwa. Zakumwa izi zimatha kuchepetsedwa mwachindunji mu syringe kapena chidebe china nthawi yomweyo isanayambike. Kapenanso, mphatso yopanda kanthu yomwe kale inali ndi insulin. Mutha kusungitsa insulini yovomerezeka kwa maola osaposa 72 mufiriji.

Matenda a shuga ndi matenda oopsa omwe amafunikira kuyang'anitsitsa shuga wamagazi, ndipo amayenera kuyendetsedwa kudzera jakisoni wa insulin. Njira yolowera ndiyosavuta komanso yotsika mtengo, chinthu chachikulu ndikuwerengera molondola mlingo ndikulowa mafuta osaneneka. Kanemayo munkhaniyi akuwonetsa njira zamtundu wa insulin.

Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika

Odwala ambiri omwe ali ndi matenda a shuga a 2, mtundu 1 wa shuga wofatsa, komanso ana omwe ali ndi matenda amtundu 1, amafunika kubaya jakisoni wochepa kwambiri wa insulin. Mwa odwala, 1 U ya insulini imatha kutsitsa shuga wamagazi ndi 16-17 mmol / L. Poyerekeza, odwala omwe ali ndi matenda a shuga a 2 omwe ali ndi kunenepa kwambiri, 1 U ya insulin amatsitsa shuga ndi 0,6 mmol / L. Kusiyana kwa zotsatira za insulin kwa anthu osiyanasiyana kumatha kukhala mpaka katatu.

Tsoka ilo, ma insulin otsika kwambiri sangathe kusungidwa molondola pogwiritsa ntchito ma syringe omwe ali pamsika. Vutoli limafotokozedwa mwatsatanetsatane m'nkhani "Insulin Syringes and Syringe Pens". Ikufotokozanso zomwe syringe yabwino kwambiri ingagulidwe m'maiko olankhula ku Russia. Kwa odwala omwe ali ndi vuto la shuga omwe amakonda kwambiri insulin, cholakwika cha kuchuluka ngakhale kwa 0,25 kumatanthauza kupatuka kwa shuga wamagazi a ± 4 mmol / L. Izi mwapadera sizovomerezeka. Kuti muthane ndi vutoli, yankho lalikulu ndikuchotsa insulin.

Bwanji mukuvutikira ndi zonsezi

Tiyerekeze kuti ndinu munthu wamkulu komanso matenda ashuga a mtundu woyamba. Kudzera pazoyeserera, zidapezeka kuti insulini yochepa pamlingo wa 1 unit imachepetsa shuga ya magazi anu ndi pafupifupi 2.2 mmol / L. Pambuyo pa chakudya chamafuta ochepa, shuga m'magazi anu adalumphira mpaka 7.4 mmol / L ndipo mukufuna kutsitsa mpaka mulingo woyambira 5.2 mmol / L. Kuti muchite izi, muyenera kubaya 1 unit ya insulin yochepa.

Kumbukirani kuti cholakwika cha syringe wa insulin ndi gawo limodzi mwa magawo onse. Ma syringe ambiri omwe amagulitsidwa muma pharmacies ali ndi gawo la 2 mayunitsi. Ndi syringe yotere, ndizosatheka kwenikweni kutulutsa mlingo wa insulin kuchokera ku botolo la 1 UNIT. Mudzalandira mlingo wokhala ndi kufalikira kwakukulu - kuchokera ku 0 mpaka 2 mayunitsi. Izi zimayambitsa kusinthasintha kwa shuga m'magazi kuchokera pamwamba kwambiri kupita ku hypoglycemia. Ngakhale mutha kupeza ma insulin mu inshuwaransi ya 1 unit, izi sizingayende bwino mokwanira.

Momwe mungachepetse cholakwika cha insulin? Pachifukwa ichi, njira ya insulin dilution imagwiritsidwa ntchito. Tiyerekeze kuti tayamba kulowetsamo insulin maulendo 10. Tsopano, kuti tithe kuyambitsa 1 inshuwaransi m'thupi, tifunika kubaya magawo 10 a yankho. Mutha kuchita izi. Tisonkhanitsa magawo 5 a insulini mu syringe, kenaka tiwonjezenso magawo 45 a mchere kapena madzi a jakisoni. Tsopano voliyumu yamadzi yomwe yatengedwa mu syringe ndi 50 PIECES, ndipo zonsezi ndi insulin, yomwe idaseweredwa ndi kuchuluka kwa U-100 mpaka U-10. Tiphatikiza ma PISCES 40 owonjezera a yankho, ndikuyika ma PISCES 10 otsala m'thupi.

Kodi chimapereka chiyani ndi chiyani? Tikakoka 1 U ya insulin yosavomerezeka mu syringe, cholakwika wamba ndi UN 1 UNIT, i.e 100% ya mlingo wofunikira. M'malo mwake, tinayimira PISCES 5 mu syringe ndi cholakwika chomwechi cha ± 1 PIECES. Koma tsopano amapanga ± 20% ya mlingo womwe umatengedwa, i.e, kulondola kwa mlingo womwe wakonzedwa wakula ndi nthawi 5. Ngati tsopano mungothira ma insulin anayi a insulin kubwerera mgululi, ndiye kuti kuimiriraku kudzatsikanso, chifukwa mudzafunika “ndi diso” kusiya 1 UNIT ya insulin mu syringe. Insulin imadziwitsidwa chifukwa chokulirapo kuchuluka kwa madzimadzi mu syringe, kumawonjezera kulondola kwake.

Momwe mungapangire insulin ndi mchere kapena madzi a jakisoni

Ndikulimbikitsidwa kuti muchepetse insulin ndi mchere kapena madzi a jekeseni, pakalibe “zosungunulira” zoyenera. Mchere ndi madzi a jekeseni ndi zinthu zotsika mtengo zomwe mutha kugula ndikugula mankhwala. Osayesa kukonzekera mchere kapena madzi osungunuka nokha! Ndikotheka kuthira insulin ndi zakumwa izi mwachindunji mu syringe nthawi yomweyo musanabayidwe kapena musanadye mbale ina. Chosankha chodyera ndi botolo la insulin, lomwe m'mbuyomu limatulutsidwa ndi madzi otentha.

Pa kuchepetsedwa kwa insulin, komanso ndikakulowetsa m'thupi la wodwala yemwe ali ndi matenda ashuga, machenjezo omwewo osagwiritsidwa ntchito mobwerezabwereza ma syringe amtunduwu amagwiranso ntchito monga chizolowezi.

Zambiri komanso zamtundu wanji zowonjezera

Mchere kapena madzi a jakisoni amatha kugwiritsidwa ntchito ngati "solvent" ya insulin. Onsewa amagulitsidwa kwambiri m'mafakitale pamitengo yotsika mtengo. Sitikulimbikitsidwa kugwiritsa ntchito lidocaine kapena novocaine. Sitikulimbikitsidwanso kuti muchepetse insulin ndi yankho la albumin ya anthu, chifukwa izi zimawonjezera chiopsezo cha chifuwa

Anthu ambiri amaganiza kuti ngati akufuna kuchepetsa insulini maulendo 10, ndiye kuti muyenera kutenga 1 IU ya insulini ndikuwonjezera mu 10 IU ya saline kapena madzi a jekeseni. Koma izi sizolondola konse. Kuchulukitsa kwa yankho kumakhala magawo 11, ndipo kuchuluka kwa insulini mmalo mwake ndi 1:11, osati 1:10

Kuti muchepetse insulin maulendo 10, muyenera kugwiritsa ntchito gawo limodzi la insulin m'magawo 9 a "solvent.

Kuti muchepetse insulin maulendo 20, muyenera kugwiritsa ntchito gawo limodzi la insulin m'magawo 19 a "zosungunulira.

Ndi mitundu iti ya insulin yomwe ingathe kuchepetsedwa ndipo siyingatheke

Kuchita kumawonetsa kuti mwina mumachepetsa mitundu yonse ya insulini, kupatula Lantus. Ichi ndi chifukwa china chogwiritsira ntchito Levemir, osati Lantus, monga insulin yowonjezera. Sungani insulini yovomerezeka mu firiji kwa maola osaposa 72. Tsoka ilo, intaneti ilibe chidziwitso chokwanira momwe Levemir amagwirira ntchito, kuchepetsedwa ndi saline kapena madzi a jekeseni. Ngati mukugwiritsa ntchito Levemir kuchepetsedwa, chonde fotokozani zotsatira zanu mu ndemanga ino.

Kuchuluka kwa insulin yomwe ingasungidwe

Ndikofunikira kusunga insulin yovomerezeka mu firiji kutentha kwa + 2-8 ° C, monga "okhazikika". Koma sangathe kusungidwa kwanthawi yayitali, apo ayi amalephera kuchepetsa magazi. Malangizo oyenera akusunga insulin yovutitsidwa ndi saline kapena madzi a jekeseni osaposa maola 24. Mutha kuyesa kuyisunga mpaka maola 72 ndikuwona momwe imagwirira ntchito. Phunzirani malamulo osungira insulin. Kwa insulin yowonjezera, imakhala yofanana ndi yokhazikika yokhazikika, moyo wa alumali okha ndi womwe umachepetsedwa.

Kodi chifukwa chiyani insulin imasungunuka ndi mchere kapena madzi a jakisoni amawonongeka msanga? Chifukwa timangopaka insulin, komanso zoteteza, zomwe zimateteza ku kuwola. Mafuta okhala ndi mafuta obetchera amitundu yosiyanasiyana omwe ali ndi insulin. Chifukwa cha izi, kuchuluka kwa mankhwala osungidwa mu insulin yowonjezera kumakhalabe chimodzimodzi, ndipo amathanso kusungidwa kwanthawi yayitali. Mu saline kapena madzi a jekeseni, omwe timagula ku pharmacy, palibe mankhwala osungirako (tisayembekezere :). Chifukwa chake, insulini, yothira mu "anthu", imawonongeka mofulumira.

Mbali inayi, nayi nkhani yophunzitsa "Kuthandiza Mwana ndi Humalog Insulin Wophatikizidwa ndi Saline (Zochitika ku Poland)". Mwana wazaka zisanu ndi ziwiri zakubadwa anali ndi mavuto a chiwindi chifukwa cha zoteteza pakompyuta, zomwe zimakhudza kwambiri Humalogue. Pamodzi ndi insulin, zotetezazi zimaphatikizidwa ndi mchere. Zotsatira zake, patapita kanthawi, kuyezetsa magazi kwa mayesero a chiwindi kwa mwana kunabwezeretsedwa. Nkhani yomweyi ikutchulanso kuti Humalog, yomwe idasungunulidwa nthawi 10 ndi saline, sinataye katundu wake pambuyo poti asungidwa maola 72 mufiriji.

Momwe mungapangitsire insulin: mawu omaliza

Kuwonongeka kwa insulin ndi chinthu chofunikira kwambiri kwa makolo omwe ana awo ali ndi matenda amtundu wa 1, komanso odwala matenda ashuga akuluakulu omwe amatsata zakudya zamagulu ochepa, ndipo chifukwa cha izi amafunikira insulini kwambiri. Tsoka ilo, m'maiko olankhula Chirasha ndizovuta kuthira insulin, chifukwa palibe zakumwa zakunja zomwe zimapangidwira izi.

Komabe, zovuta - sizitanthauza kusatheka. Nkhaniyi ikufotokozera njira za anthu wowerengeka momwe tingagwiritsire ntchito mitundu yambiri ya insulini (kupatula Lantus!) Kugwiritsa ntchito mankhwala a saline kapena madzi a jekeseni. Izi zimapangitsa kuti jakisoni wolondola wa insulin yotsika, makamaka ngati ma syringe amagwiritsidwa ntchito ndi insulin yovomerezeka.

Kuyika mitundu yosiyanasiyana ya insulini ndi mchere kapena madzi a jakisoni ndi njira yomwe sinavomerezedwe ndi opanga iliyonse. Pali zambiri zochepa pamutuwu, onse mu chilankhulo cha Russia komanso zakunja. Ndidapeza nkhani imodzi, "Kuthandiza Mwana Wokhala Ndi Humalog Insulin Yodalitsika ndi Saline (Zomwe Zikuchitika Ku Chipolishi)," yomwe ndidamasulira kuchokera ku Chingerezi kwa inu.

M'malo mopaka insulin, ndizotheka kupaka molondola Mlingo wotsika ndi ma syringe oyenera. Koma, tsoka, palibe aliyense wa omwe akupanga, kaya kuno kapena akunja, sanatulutsire syringes yapadera ya Mlingo wambiri wa insulin. Werengani zambiri mu nkhani ya "Insulin Syringes, singano ndi Syringe Pens".

Ndikulimbikitsa aliyense wa owerenga omwe amachiza matenda ashuga omwe ali ndi insulini yowonjezera kuti agawane zomwe akukumana nazo mu ndemanga. Pochita izi, mudzathandiza gulu lalikulu la odwala olankhula Chirasha omwe ali ndi matenda ashuga. Chifukwa chakuti odwala matenda ashuga ambiri amasintha kudya zakudya zamagulu ochepa, m'pamenenso amafunika kuchepetsa insulini.

Malangizo oyendetsera insulin mu shuga

Matenda a shuga ndi matenda oopsa omwe amatha kupezeka mwa munthu aliyense. Choyambitsa matendawa ndi chosakwanira kupanga mahomoni a insulin ndi kapamba. Zotsatira zake, shuga ya wodwalayo imakwera, kagayidwe kazakudya zimasokonekera.

Matendawa amakhudza ziwalo zamkati - chimodzi ndi chimodzi. Ntchito yawo imachepetsedwa. Chifukwa chake, odwala amayamba kugwiritsa ntchito insulin, koma amapanga kale. Kupatula apo, m'thupi lawo timadzi timeneti timapangidwa. Kuchepetsa matenda a shuga, wodwala amawonetsedwa tsiku lililonse.

Ntchito ya mankhwala

Odwala omwe amapezeka ndi matenda a shuga amakhala ndi vuto loti matupi awo satha kulandira mphamvu kuchokera kuzakudya zomwe adamwa. Tizigawo tam'mimba timapangira pokonza, kugaya chakudya. Zinthu zothandiza, kuphatikizapo shuga, kenako zimalowa m'magazi a munthu. Mlingo wa glucose m'thupi pakadali pano ukuwonjezeka mofulumira.

Zotsatira zake, kapamba amalandila chizindikiro kuti ndikofunikira kutulutsa insulin. Ndizinthu izi zomwe zimapatsa mphamvu munthu mkati, zomwe ndizofunikira kuti aliyense akhale ndi moyo wonse.

Ma algorithm omwe atchulidwa pamwambawa sagwira ntchito mwa munthu yemwe ali ndi matenda ashuga. Glucose simalowa m'maselo a kapamba, koma amayamba kudziunjikira m'magazi. Pang'onopang'ono, kuchuluka kwa glucose kumakwera mpaka malire, ndipo kuchuluka kwa insulini kumatsika mpaka pang'ono. Momwemo, mankhwalawa sangathenso kukhudza kagayidwe kazakudya m'magazi, komanso kudya ma amino acid m'maselo.Madipoziti amafuta amayamba kudziunjikira mthupi, chifukwa insulin sigwiranso ntchito iliyonse.

Chithandizo cha matenda ashuga

Cholinga cha chithandizo cha matenda ashuga ndikusunga shuga m'magazi munthawi yochepa (3.9 - 5.8 mol / L).
Zizindikiro zokhala ndi matenda ashuga kwambiri ndi izi:

Palinso algorithm yapadera yosakanikirana ndi mankhwalawo mu syringe imodzi. Choyamba muyenera kuyambitsa mpweya mu vial ya insulin yotalika, ndiye chitani zomwezo ndi vial ya insulin yochepa. Tsopano mutha kuyimba jakisoni wa mankhwala owonekera, ndiye kuti, njira yochepa. Ndipo pagawo lachiwiri, lembani njira yotsalira ya insulin yodzala.

Madera a jakisoni wa mankhwala

Madokotala amalimbikitsa kuti odwala onse omwe ali ndi hyperglycemia amaphunzitsanso njira ya insulin. Insulin nthawi zambiri imalowetsedwa m'matumbo a adipose. Pankhaniyi, mankhwalawa amakhala ndi zofunikira. Malo omwe amalimbikitsa insulin kuyendetsedwa ndi m'mimba, phewa, ntchafu kumtunda ndikukulungani matako akunja.

Sikulimbikitsidwa kudzijambulitsa nokha m'mbali, chifukwa munthu sangathe kupanga khola lamafuta. Ndipo izi zikutanthauza kuti pali mwayi wolandira mankhwalawo intramuscularly.

Pali zinthu zina zokhudza insulin. Hormone ya pancreatic imagwira bwino kwambiri pamimba. Chifukwa chake, insulin yochepa siyenera kuyikiridwa pano. Kumbukirani kuti malo omwe jakisoni ayenera kusinthidwa tsiku ndi tsiku. Kupanda kutero, kuchuluka kwa shuga kumatha kusinthasintha m'thupi tsiku lililonse.

Muyeneranso kuyang'anira mosamala kuti lipodystrophy isakhale pamalo omwe jekeseni. M'derali, kuyamwa kwa insulin kudzakhala kochepa. Onetsetsani kuti mwapanga jekeseni yotsatira m'dera lina la khungu.Sizoletsedwa kubayira mankhwalawo m'malo otupa, zipsera, zipsera ndi zovuta zowonongeka pamakina - mabala.

Momwe mungapangire jakisoni?

Jekeseni wa mankhwalawa amapakidwa pang'onopang'ono ndi syringe, cholembera ndi syringe, pogwiritsa ntchito pampu yapadera (dispenser), pogwiritsa ntchito jakisoni. Pansipa timaganizira za algorithm yoyendetsera insulin ndi syringe.

Popewa zolakwika, muyenera kutsatira malamulo othandizira insulin. Kumbukirani kuti mwachangu momwe mankhwalawo amalowera m'magazi zimatengera gawo la singano. Insulin imalowetsedwa mu mafuta obisika okha, koma osatinyoza kapena m'magazi!

Ngati jakisoni wa insulin waperekedwa kwa ana, ndiye kuti singano zazifupi za insulin zotalika 8 mm ziyenera kusankhidwa. Kuphatikiza pa kutalika kochepa, awa mulinso singano zowonda kwambiri pakati pa onse omwe alipo - mulifupi mwake ndi 0.25 mm mmalo mwa 0.4 mm wamba.

Njira Ya Syringe Insulin:

Zolakwika zosavomerezeka pakukhazikitsa izi pamwambapa ndi izi: kuchuluka kolakwika kwa yankho, kuyambitsa malo osayenera a malowa, kugwiritsa ntchito mankhwalawa ndi moyo wa alumali womwe watha. Komanso, jakisoni wambiri adadzaza, osawona mtunda pakati pa jakisoni wa 3 cm.

Ndikofunikira kutsatira algorithm pakuyendetsa insulin! Ngati mukulephera jakisoni nokha, pezani thandizo kuchipatala.

Ana ali bwino kubayidwa ndi singano ya 4 mm. Mwanjira imeneyi ndi pomwe mungatsimikize kuti muchita zinthu modekha

Ndi zakudya ziti zomwe zimakhala ndi insulin?

Palibe zakudya zomwe zimakhala ndi insulin. Komanso, mapiritsi okhala ndi mahomoniwa kulibe. Chifukwa chakuti akaperekedwa kudzera mkamwa, amawonongeka m'matumbo, samalowa m'magazi ndipo sakhudzanso kagayidwe ka glucose. Mpaka pano, insulini yochepetsa shuga ya magazi imatha kubweretsedwa mthupi kokha mothandizidwa ndi jakisoni. Pali mankhwala osokoneza bongo omwe amapezeka ndi inhalation, koma sayenera kugwiritsidwa ntchito chifukwa samapereka mlingo woyenera komanso wosasunthika. Nkhani yabwino ndiyakuti singano zopangira ma insulin ndi zolembera za syringe ndizochepa thupi kotero kuti mutha kuphunzira kupanga jakisoni wa insulin mopanda kupweteka.

Kodi ndi magawo ati a shuga omwe amapatsidwa kuti apange jakisoni?

Kuphatikiza pa milandu yoopsa kwambiri, odwala matenda ashuga ayenera kusinthana ndi zakudya zamafuta ochepa ndikukhala pamenepo kwa masiku 3-7, akumayang'ana magazi awo. Mutha kuwona kuti simukufunika jakisoni wa insulin konse.

Kusintha ku chakudya chopatsa thanzi ndikuyamba kudya metformin, muyenera kupeza zambiri zokhudzana ndi shuga patsiku lililonse kwa masiku 3-7. Popeza tadziwa zambiri, amagwiritsidwa ntchito kusankha mitundu yayikulu ya insulin.

Zakudya, metformin komanso masewera olimbitsa thupi ziyenera pamodzi kuti zibweretsenso magazi, monga momwe zimakhalira ndi anthu athanzi, 3.9-5,5 mmol / L mosakhazikika maola 24 patsiku. Ngati zizindikiro zotere sizingatheke, pulula wina mu insulin.

Osagwirizana kuti mukhale ndi shuga 6-7 mmol / l, komanso kwambiri, apamwamba! Ziwerengerozi zimawonetsedwa ngati zabwinobwino, koma kwenikweni zimakwezedwa. Ndi iwo, zovuta za shuga zimayamba, pang'onopang'ono.Ambiri a anthu odwala matenda ashuga mazana ambiri omwe ali ndi mavuto ndi miyendo, impso ndi maso amadzanong'oneza bondo kuti anali aulesi kwambiri kapena owopa kubaya insulin. Osabwereza cholakwa chawo. Gwiritsani ntchito Mlingo wotsika, wowerengeka mosamala kuti mupeze zotsatira zokhazikika pansipa 6.0 mmol / L.

Nthawi zambiri ndikofunikira kupaka jakisoni wokwanira usiku kuti mukhale ndi shuga wabwinso m'mawa wopanda kanthu. Werengani momwe mungawerengere kuchuluka kwa insulin yayitali. Choyamba, pezani ngati mukufuna jakisoni wa mankhwala omwe akhala akuchita kwa nthawi yayitali. Ngati zikufunika, yambani kuzikwaniritsa.

Tresiba ndi mankhwala odziwika bwino kwambiri kotero kuti oyang'anira tsambalo adakonza kanema wazokhudza izi.

Kuyamba kubayila insulin, musayese kukana zakudya. Ngati onenepa kwambiri, pitilizani kumwa mapiritsi a metformin. Yesani kupeza nthawi ndi mphamvu zolimbitsa thupi.

Pimani shuga musanadye chilichonse, komanso maola atatu mutatha kudya. Ndikofunikira kudziwa mkati mwa masiku ochepa mutatha kudya shuga ya glucose imadzuka ndi 0,6 mmol / l kapena kuposa. Asanadye izi, muyenera kubaya insulin yochepa kapena yochepa kwambiri. Izi zimathandizira kapamba pamavuto pomwe samachita bwino pawokha. Werengani apa zambiri za kusankha mitundu yoyenera musanadye.

Zofunika! Kukonzekera konse kwa insulin kumakhala kosalimba, kuwonongeka mosavuta. Phunzirani kusunga malamulo ndikuwatsata mosamala.

Shuga wa 9.0 mmol / L ndiwotalika amatha kupezeka, ngakhale zakudya zimatsatiridwa mosamalitsa. Pankhaniyi, muyenera kuyamba kulandira jakisoni, kenako ndikulumikiza metformin ndi mankhwala ena. Komanso odwala omwe ali ndi matenda a shuga a mtundu woyamba komanso anthu owonda omwe apezeka ndi matenda a shuga a 2 amayamba kugwiritsa ntchito mankhwala a insulin akangomaliza kudya zakudya zama carb ochepa, ndikudutsa mapiritsi.

Ndi kuchuluka kwa shuga m'magazi, muyenera kuyamba mwachangu insulin, ndizowononga nthawi.

Mlingo wa insulin waukulu kwambiri ndi uti?

Palibe malamulo oletsa kuchuluka kwa insulin tsiku lililonse. Itha kuwonjezereka mpaka kuchuluka kwa glucose mwa odwala omwe ali ndi matenda ashuga kufike. M'magazini akatswiri, milandu imafotokozedwa pamene odwala omwe ali ndi matenda a shuga a 2 alandila mayunitsi 100-150 patsiku. Funso lina ndilakuti kuchuluka kwa mahomoni ambiri kumapangitsa kuti mafuta azikhala mthupi komanso kuti matenda a shuga asamayende bwino.

Webusaitiyi endocrin-patient.com imaphunzitsira momwe angakhalire shuga osasunthika maola 24 patsiku ndipo nthawi yomweyo samalani ndi Mlingo wochepa. Kuti mumve zambiri, onani njira yachiwiri yothetsera matenda a shuga a 2 komanso mtundu wa pulogalamu yopewa matenda ashuga. Choyamba, muyenera kusinthana ndi zakudya zamafuta ochepa. Anthu odwala matenda ashuga omwe amathandizidwa kale ndi insulin, mutasintha zakudya zatsopano, muyenera kuchepetsa mankhwalawo nthawi 2-8 nthawi yomweyo.

Kodi pamafunika insulini ingati pa chakudya chimodzi (XE) yama chakudya?

Amakhulupirira kuti ngati mkate umodzi (XE), womwe umadyedwa ndi nkhomaliro kapena chakudya chamadzulo, muyenera kubaya ma insulin a 1,0-1.3. Chakudya cham'mawa - zochulukirapo, mpaka magawo 2.0-2.5. M'malo mwake, izi sizolondola. Ndikwabwino osazigwiritsa ntchito powerengera kuchuluka kwa insulin. Chifukwa mu mitundu yosiyanasiyana ya odwala matenda ashuga, chidwi cha timadzi timeneti timatha kusiyanasiyana kangapo. Zimatengera zaka komanso kulemera kwa wodwalayo, komanso zinthu zina zomwe zalembedwa patebulo pansipa.

Mlingo wa insulin musanadye chakudya choyenera munthu wamkulu kapena wachinyamata amatha kutumiza mwana kudzakhala ndi matenda ashuga padziko lapansi. Komabe, mlingo wocheperako, womwe ungakhale wokwanira kwa mwana, sukhudza wodwala wamkulu yemwe ali ndi matenda onenepa kwambiri a 2.

Muyenera kudziwa mosamala ndikuyesera ndi magalamu angati a chakudya omwe amaphatikiza 1 unit ya insulin. Zambiri pafupifupi zimaperekedwa mwa njira yowerengetsera kuchuluka kwa insulin yochepa musanadye. Ayenera kufotokozedwa payekhapayekha kwa aliyense wodwala matenda ashuga, kudzikundikira ziwerengero za jakisoni wa thupi lake. Hypoglycemia (shuga m'magazi ochepa) ndi chiwopsezo chenicheni komanso chowopsa.Kuti mupewe amayamba kulandira chithandizo chochepa kwambiri. Amakweza pang'onopang'ono komanso mosamala pakadutsa masiku 1-3.

Endocrin-patient.com imalongosola momwe mungagwiritsire ntchito zakudya zamagulu otsika a shuga. Mwa kusinthira ku zakudyazi, mutha kuletsa kulumpha m'magazi a shuga ndikupangitsa kuti shuga asungidwe m'magazi 3.9-5,5 mmol / L, monga mwa anthu athanzi.

Anthu omwe amadwala matenda ashuga omwe amatsatira zakudya zoyenera samadya zakudya zomwe amapatsa mphamvu osati chakudya, koma magalamu. Chifukwa mkate magawo amangosokoneza, popanda phindu. Pazakudya zama carb ochepa, kudya kwambiri kwa carbohydrate osapitilira masiku a 2 XE. Chifukwa chake, sizikupanga nzeru kutenga Mlingo wa insulin mwa magawo a mkate.

Kodi gawo limodzi la insulini limachepetsa bwanji shuga?

Zipangizo za Federal State Budgetary Institution "Endocrinological Science Scient Center" ya Unduna wa Zaumoyo ku Russian Federation zimati gawo limodzi la insulini limatsitsa shuga ndi magazi pafupifupi 2.0 mmol / l. Chiwerengerochi sichikondweretsedwa bwino. Gwiritsani ntchito zomwe zanenedwazo ndi zopanda ntchito komanso zoopsa. Chifukwa insulini imabweretsa zotsatira zosiyanasiyana pa odwala matenda ashuga onse. Akuluakulu oonda omwe ali ndi matenda a shuga 1, komanso ana, amakhala amphamvu. Pokhapokha ngati malamulo osungira adaphwanyidwa ndipo insulin idasokonekera.

Mankhwala osiyanasiyana a hormone iyi amasiyana kwambiri mu mphamvu. Mwachitsanzo, mitundu ya ultrashort ya insulin Humalog, NovoRapid ndi Apidra ndi yolimba nthawi pafupifupi 1.5 kuposa Actrapid wamfupi. Mitundu ya insulin yowonjezera, yayitali, yapakati, yochepa komanso ya ultrashort imagwira ntchito mwa njira yake. Amakhala ndi zovuta zosiyanasiyana pa shuga wamagazi. Zolinga zoyambitsa ndi njira zowerengera milingo sizofanana. Ndikosatheka kugwiritsa ntchito mtundu wina wapakatikati woonetsa ntchito za onsewo.

Chitsanzo. Tiyerekeze kuti mwayesa komanso mwazindikira kuti 1 unit ya NovoRapid imachepetsa shuga yanu ndi 4.5 mmol / L. Pambuyo pake, munaphunzira za zakudya zozizwitsa zamafuta ochepa ndikuzisintha. Dr. Bernstein akuti insulin yochepa ndiyabwino kwambiri pakudya chamafuta ochepa kuposa kochepa. Chifukwa chake, musintha NovoRapid kukhala Actrapid, womwe ndi wocheperako nthawi 1.5. Kuti mupeze mlingo woyambira, mukuganiza kuti 1 PIECE imatsitsa shuga yanu ndi 4.5 mmol / L / 1.5 = 3.0 mmol / L. Kenako, patatha masiku ochepa, fotokozerani za chiwerengerochi potengera zotsatira za jakisoni woyamba.

Aliyense wodwala matenda ashuga ayenera kuphunzira kuyesa ndikulakwitsa kuti kuchuluka kwake kwa glucose kumachepetsedwa ndi gawo limodzi la insulin yomwe amalowetsa. Sikoyenera kugwiritsa ntchito kuchuluka komwe kumachokera pa intaneti kuti mupeze kuchuluka kwanu. Komabe, muyenera kuyambira penapake. Kuti muwerenge mlingo woyambira, mutha kugwiritsa ntchito zotsatirazi zomwe Dr. Bernstein amapereka.

Pa munthu wamkulu wolemera makilogalamu 63, 1 U wa ultrashort insulin Humalog, Apidra kapena NovoRapid amachepetsa shuga za pa 3 mmol / l. Momwe wodwala amayenera kuchuluka ndi mafuta m'thupi mwake, amayamba kuchepa mphamvu kwambiri chifukwa cha insulin. Ubwenzi wapakati pa kulemera kwa thupi ndi mphamvu ya insulin ndiwofanana kwambiri, mzere. Mwachitsanzo, wodwala onenepa kwambiri wokhala ndi matenda a shuga a 2, wokhala ndi thupi lolemera makilogalamu 126, 1 U wa mankhwala Humalog, Apidra kapena NovoRapid amachepetsa shuga mwachisawawa 1.5 mmol / l.

Kuti mupeze mlingo woyenera, muyenera kupanga gawo molingana ndi kulemera kwa odwala matenda ashuga. Ngati simukudziwa momwe mungapangire gawo lanu, ndipo simukudziwa momwe mungawerengere popanda zolakwitsa, ndibwino kuti musayesere. Pezani ndi chithandizo chamunthu wazambiri. Chifukwa cholakwika mu Mlingo wa insulin yolimba kwambiri imatha kukhala ndi vuto lalikulu, ngakhale kupha wodwalayo.

Kuphunzitsa. Tiyerekeze kuti munthu wodwala matenda ashuga akulemera 71 kg. Insulin yake yachangu - mwachitsanzo, NovoRapid. Mukawerengera kuchuluka kwake, mutha kudziwa kuti 1 unit ya mankhwalawa imachepetsa shuga ndi 2.66 mmol / l. Kodi yankho lanu linagwirizana ndi nambala iyi? Ngati ndi choncho, zili bwino. Tikubwerezanso kuti njirayi ndi yoyenera kokha kuwerengetsa mlingo woyamba, woyamba.Chithunzi chomwe mumapeza, kuwerengera kuchuluka kwake, kuyenera kufotokozedwa ndi zotsatira za jakisoni.

Kuchuluka kwa shuga kumachepetsa gawo limodzi - zimatengera kulemera kwa thupi, zaka, kuchuluka kwa zochita zolimbitsa thupi za munthu, mankhwala omwe amagwiritsidwa ntchito komanso zinthu zina zambiri.

Mukakhala ndi chidwi chachikulu, gawo lirilonse la insulin limalowetsedwa (U) limatsitsa shuga. Ziwerengero zowonetsera zimaperekedwa mwa njira zowerengera insulin yayitali usiku ndi m'mawa, komanso njira zowerengera kuchuluka kwa insulin yochepa musanadye. Izi zitha kugwiritsidwa ntchito kuwerengera mlingo woyambira. Kupitilira apo, amafunika kufotokozedwa aliyense payekhapayekha malinga ndi zotsatira za jakisoni wakale. Musakhale aulesi kusankha mosamala mulingo woyenera kuti mulingo wama glucose ukhale wa 4.0-5,5 mmol / l tsiku ndi tsiku.

Ndi magawo angati a insulin omwe amafunikira kuti muchepetse shuga ndi 1 mmol / l?

Yankho la funsoli limatengera zinthu zotsatirazi:

• M'badwo wa matenda ashuga
• kulemera kwa thupi
• mulingo wakuchita zolimbitsa thupi.

Zinthu zina zingapo zofunika zalembedwa patebulopo. Mukakhala ndi chidziwitso cha masabata a 1-2 a jakisoni, mutha kuwerengera momwe 1 unit ya insulini imatsitsira shuga. Zotsatira zake ndizosiyana ndi mankhwala a nthawi yayitali, yochepa komanso ya ultrashort. Podziwa ziwerengerozi, ndikosavuta kuwerengera mlingo wa insulin, womwe umachepetsa shuga la magazi ndi 1 mmol / l.

Kusunga zolemba ndi kuwerengetsa kumakhala kovuta ndipo zimatenga nthawi. Komabe, iyi ndi njira yokhayo yopezera mlingo woyenera, khalani ndi glucose okhazikika, ndikudziteteza ku zovuta za shuga.

Zotsatira za jakisoni zidzawoneka liti?

Funso ili limafunikira yankho mwatsatanetsatane, chifukwa mitundu yosiyanasiyana ya insulini imayamba kuchita mwachangu.

Kukonzekera kwa insulin kumagawidwa:

• yowonjezera - Lantus, Tujeo, Levemir, Tresiba,
• sing'anga - Protafan, Biosulin N, Insuman Bazal GT, Rinsulin NPH, Humulin NPH,
• kuchitapo kanthu mwachangu - Actrapid, Apidra, Humalog, NovoRapid, apakhomo.

Palinso zosakanikirana za magawo awiri - mwachitsanzo, Humalog Mix, NovoMix, Rosinsulin M. Komabe, Dr. Bernstein salimbikitsa kuti azigwiritsa ntchito. Sizinakambidwe patsamba lino. Kuti mukwaniritse chiwongolero chabwino cha matenda ashuga, muyenera kusintha mankhwalawa kuti mugwiritse ntchito mitundu iwiri ya insulin - yotenga nthawi yayitali komanso yofulumira (yochepa kapena ya ultrashort).

Zimamvekedwanso kuti odwala matenda ashuga amatsatira zakudya zamafuta ochepa ndipo amalandila Mlingo wambiri wa insulin womwe umagwirizana nawo. Mlingo uwu ndiochulukitsa ka 2-7 kuposa omwe madokotala amazolowera. Chithandizo cha matenda ashuga omwe ali ndi insulin malinga ndi njira za Dr. Bernstein zimakupatsani mwayi wokhazikika wamagulu a shuga a 3.9-5,5 mmol / L. Izi ndi zenizeni ngakhale ndi vuto lalikulu la kagayidwe kazakudya. Komabe, insulin yotsika Mlingo imayamba kugwira ntchito pambuyo pake ndikusiya kuyambiranso kale kuposa pamiyeso yambiri.

Insulin yofulumira (yaifupi komanso ya ultrashort) imayamba kuchita mphindi 10 mpaka 10 pambuyo pa jekeseni, kutengera mankhwala omwe adayamwa ndi mlingo. Komabe, izi sizitanthauza kuti pambuyo pa mphindi 10 mpaka 40 mita ikuwonetsa kuchepa kwa shuga. Kuti muwonetse zotsatira, muyenera kuyeza kuchuluka kwa shuga osati kale kuposa ola 1. Ndikwabwino kuchita izi pambuyo pake - pambuyo pa maola 2-3.

Werengani nkhani yatsatanetsatane yowerengera Mlingo wa insulin wofupikitsa komanso wa ultrashort. Osaba jakisoni waukulu wa mankhwalawa kuti muthamangire. Mosakayikira mudzadzipangira nokha mahomoni ochulukirapo kuposa momwe muyenera kuchitira, ndipo izi zidzabweretsa hypoglycemia. Padzakhala kugwedeza kwamanja, manjenje ndi zizindikiro zina zosasangalatsa. Ngakhale kutayika kwa chikumbumtima ndi imfa. Musamalire insulin mwachangu! Musanagwiritse ntchito, mverani mosamala momwe imagwirira ntchito komanso momwe mungadziwire mlingo woyenera.

Kukonzekera kwa insulin kwa nthawi yayitali komanso nthawi yayitali kumayamba kugwira ntchito patatha maola atatu jekeseni. Amapereka chosalala, chomwe chimavuta kutsatira ndi glucometer. Muyezo umodzi wa shuga sungawonetse chilichonse.M'pofunika kuchita kudziwunikira kwa shuga wamagazi kangapo tsiku lililonse.

Anthu odwala matenda ashuga omwe amadzipatsa jakisoni wa insulin yowonjezereka m'mawa, amawona zotsatira zawo madzulo, akutsatira zotsatira za tsiku lathunthu. Ndikofunika kumanga ma graph azitsulo zama shuga. M'masiku omwe adzaika insulin yochulukirapo, imasiyana kwambiri kuti ikhale yabwino. Inde, ngati mlingo wa mankhwalawa udasankhidwa bwino.

Jakisoni wa insulin yowonjezera, yomwe imachitika usiku, imapereka zotsatirazo m'mawa wotsatira. Kuthamanga shuga kumakhala bwino. Kuphatikiza pa muyeso wam'mawa, mutha kuwongolera kuchuluka kwa glucose pakati pausiku. Ndikofunika kupenda shuga usiku m'masiku oyambirira a mankhwalawa, ngati pali chiopsezo chowonjezera ndi mankhwala oyambira. Khazikitsani alamu kuti mudzuke panthawi yoyenera. Pimani shuga, lembani zotsatirazo ndikugona.

Werengani nkhani yokhudza kuwerengetsa kuchuluka kwa mapiritsi a insulin musanayambe mankhwalawa.

Kodi insulin imafunikira kuchuluka motani ngati wodwala matenda ashuga adakwera kwambiri?

Mlingo wofunikira umangotengera shuga wamagazi, komanso kulemera kwa thupi, komanso kuzindikira kwa wodwalayo. Pali zinthu zambiri zomwe zimakhudza kuchepa kwa insulin. Zalembedwa pamwambapa.

Nkhani yowerengera Mlingo wamfupi ndi wa insulin ya insulin ndiwothandiza kwa inu. Kukonzekera kwapafupipafupi ndi ultrashort kumathandizidwa kwa odwala matenda ashuga ngati kuli kofunikira kuti athetse shuga msanga. Insulin yayitali komanso yapakati suyenera kugwiritsidwa ntchito pazinthu zotere.

Kuphatikiza pa jekeseni wa insulin, zingakhale zothandiza kuti munthu wodwala matenda ashuga amwe madzi ambiri kapena tiyi wamafuta. Zachidziwikire, popanda uchi, shuga ndi maswiti ena. Kumwa madzi amadzimadzi magazi, kumachepetsa kuchuluka kwa shuga m'magaziwo, ndipo kumathandizanso impso kuchotsa shuga wina wambiri m'thupi.

Anthu odwala matenda ashuga ayenera kukhazikitsidwa ndendende ndi kuchuluka kwa gawo limodzi la insulin komwe kumachepetsa shuga. Izi zitha kudziwika kwa masiku angapo kapena masabata poyesa ndi kulakwitsa. Chiwerengero chomwe chimawerengera mlingo uliwonse wa mankhwalawa chimayenera kusintha nyengo, matenda opatsirana ndi zina.

Pali nthawi zina pamene shuga watumphuka kale, muyenera kuigwetsa mwachangu, osatha kudziunjikira ndikulakwitsa ndikulakwitsa. Momwe mungawerengere kuchuluka kwa insulin pamenepa? Tiyenera kugwiritsa ntchito zambiri.

Mutha kugwiritsa ntchito njira yowerengetsera mlingo pansipa pangozi yanu. Mankhwala osokoneza bongo kwambiri amatha kuyambitsa matenda osautsa, kusokonezeka kwa chikumbumtima komanso ngakhale kufa.

Pa munthu wamkulu wolemera makilogalamu 63, 1 U wa ultrashort insulin Humalog, Apidra kapena NovoRapid amachepetsa shuga za pa 3 mmol / l. Mafuta ochulukirapo komanso kuchuluka kwa mafuta m'thupi, amachepetsa mphamvu ya insulin. Mwachitsanzo, wodwala onenepa kwambiri yemwe ali ndi matenda a shuga a 2 kg wolemera makilogalamu 126, gawo limodzi la Humalog, Apidra kapena NovoRapid amachepetsa shuga mwachisawawa 1.5 mmol / l. Ndikofunikira kupanga gawo lolingana ndi kulemera kwa odwala matenda ashuga.

Ngati simukudziwa momwe mungapangire kuchuluka, ndipo simukutsimikiza kuti mutha kuwerengetsa molondola, ndibwino kuti musayese. Funafunani thandizo kwa munthu wodziwa zambiri. Chovuta muyezo wa insulin yochepa kapena ya ultrashort imatha kukhala ndi vuto lalikulu, ngakhale kupha wodwalayo.

Tinene kuti munthu wodwala matenda ashuga wolemera makilogalamu 71. Insulin yake yachangu - mwachitsanzo, Apidra. Mutapanga gawo, munawerengera kuti 1 unit ithetse shuga ndi 2.66 mmol / l. Tiyerekeze kuti wodwala ali ndi shuga wamagazi 14mmol / L. Iyenera kuchepetsedwa mpaka 6 mmol / L. Kusiyana kwake ndi chandamale: 14 mmol / L - 6 mmol / L = 8 mmol / L. Mlingo wofunika wa insulin: 8 mmol / l / 2.66 mmol / l = 3.0 PIECES.

Apanso, iyi ndi mlingo wowonetsa. Zimatsimikiziridwa kuti sizingakhale zangwiro. Mutha kubaya 25-30% yocheperako kuti muchepetse chiopsezo cha hypoglycemia. Njira yowerengera yomwe ikufotokozedwayo iyenera kugwiritsidwa ntchito pokhapokha ngati wodwala sanakudziwitse zambiri molondola ndi vuto.

Actrapid ndi wocheperako 1.5 nthawi kuposa Humalog, Apidra kapena NovoRapid. Amayambanso kuchita pambuyo pake. Komabe, Dr. Bernstein amalimbikitsa kugwiritsa ntchito mankhwalawa. Chifukwa yochepa insulini imagwirizana bwino ndi zakudya zama carb otsika kwambiri kuposa mafupipafupi.

Njira yowerengetsera kuchuluka kwa insulin yomwe yaperekedwa pamwambapa siili yoyenera kwa ana odwala matenda ashuga. Chifukwa ali ndi chidwi chofuna kuteteza insulini kangapo kuposa anthu akuluakulu. Jakisoni wa insulin yofulumira mu mlingo wowerengeka malinga ndi njira yodziwikirayo imatha kuyambitsa kwambiri hypoglycemia mwa mwana.

Kodi ndi chiyani chomwe chimawerengetsera kuchuluka kwa insulin kwa ana odwala matenda ashuga?

Mu ana odwala matenda ashuga mpaka unyamata, chidwi cha insulin chimakhala chambiri kangapo kuposa akuluakulu. Chifukwa chake, ana amafunika Mlingo wosayerekezeka poyerekeza ndi odwala akuluakulu. Monga lamulo, makolo omwe amawongolera matenda ashuga mwa ana awo ayenera kuthira insulini ndi saline, wogulidwa mu mankhwala. Izi zimathandiza jekeseni wolondola wa 0,25 mayunitsi.

Pamwambapa, tidasanthula momwe tingawerengere mlingo wa insulin kwa munthu wamkulu wolemera makilogalamu 63. Tinene kuti mwana wodwala matenda ashuga amalemera 21 kg. Titha kumaganiza kuti angafunikire mlingo wa insulin katatu poyerekeza ndi munthu wamkulu, yemwe ali ndi milingo yambiri ya shuga m'magazi. Koma lingaliro ili likhala lolakwika. Mlingo woyenera uyenera kukhala osapitilira katatu, koma nthawi 7-9.

Kwa ana odwala matenda ashuga, pamakhala chiwopsezo chachikulu cha magawo a shuga ochepa omwe amayamba chifukwa cha insulin. Popewa bongo wambiri, jekeseni insulin ndi mankhwala ochepa. Kenako amakwezedwa pang'onopang'ono mpaka magazi a m'magazi atakhala abwinobwino. Ndiosafunika kugwiritsa ntchito mankhwalawa amphamvu Humalog, Apidra ndi NovoRapid. Yesani Actrapid m'malo mwake.

Ana a zaka mpaka 8-10 akhoza kuyamba kubaya insulin ndi muyeso wa mayunitsi 0,25. Makolo ambiri amakayikira kuti mlingo wa "homeopathic" ungakhale ndi phindu lililonse. Komabe, mwachiwonekere, malingana ndi zomwe zikuwonetsera za glucometer, mudzazindikira zotsatira kuchokera pakubaya koyamba. Ngati ndi kotheka, onjezani mankhwalawa ndi 0,25-0,5 PIERES masiku onse atatu aliwonse.

Zomwe zalembedwera pamankhwala a insulini pamwambapa ndizoyenera kwa ana omwe ali ndi matenda ashuga omwe amatsata zakudya zama carb zochepa. Zipatso ndi zakudya zina zoletsedwa ziyenera kusiyidwa kwathunthu. Mwanayo ayenera kufotokozera zotsatira za kudya zakudya zopanda pake. Palibe chifukwa chogwiritsa ntchito pampu ya insulin. Komabe, ndikofunika kuti muzivala mosamala njira yowonera shuga ngati mungakwanitse.

Chimachitika ndi chiani ngati mutaba jakisoni kwambiri?

Mlingo wambiri wa timadzi timeneti umachepetsa kwambiri magazi. Kuphatikizika kwa mankhwalawa kumatchedwa hypoglycemia. Kutengera ndi kuuma, zimatha kuyambitsa zizindikiro zosiyanasiyana - kuchokera pa njala, kusakwiya komanso kulimba. Werengani nkhani yakuti "Low Blood sukari (Hypoglycemia)" kuti mumve zambiri. Mvetsetsani zomwe zikuvutikira, momwe mungaperekere chithandizo chadzidzidzi, zomwe mungachite popewa.

Kuti mupewe hypoglycemia, muyenera kuphunzira momwe mungawerengere jakisoni ndi mapiritsi oyenerera kwa odwala matenda ashuga. Komanso, pochepetsa mlingo wofunikira, umachepetsa chiopsezo cha hypoglycemia. Mwanjira iyi, kusinthana ndi chakudya chamafuta ochepa kumakhala kothandiza chifukwa kumachepetsa kuchuluka kwa nthawi 2-10.

Kangati patsiku muyenera kubaya insulin?

Zimatengera kuopsa kwa matendawa. Anthu ambiri odwala matenda ashuga omwe asintha zakudya zamagulu ochepa kuyambira pachiyambi amatha kukhala ndi shuga wopanda insulin tsiku lililonse. Amayenera kupaka jakisoni pokhapokha ngati ali ndi matenda opatsirana, pomwe kufunika kwa insulin kumawonjezeka.

Ndi matenda a shuga okwanira, jakisoni 1-2 wa insulin yowonjezera tsiku lililonse amafunikira. Pamavuto akulu a kagayidwe kakang'ono ka glucose, muyenera kubaya insulin mwachangu musanadye chakudya chilichonse, komanso mankhwala omwe amapezeka kwa nthawi yayitali m'mawa ndi madzulo. Amakhala jakisoni 5 patsiku. Amakhala kuti mumadya katatu katatu patsiku popanda kudya.

Ndi nthawi yanji ya tsiku yomwe imayenera kuperekera insulin?

Otsatirawa akufotokozera za momwe ma aligorivimu amachitidwe awiriwo:

1. Matenda a shuga a 2 ofatsa.
2. Matenda akulu a shuga a autoimmune - shuga wamwazi ndiwoposa 13 mmol / l ndipo, mwina, wodwalayo wagona kale mu chisamaliro chambiri chifukwa cha chikumbumtima champhamvu.

Funso la nthawi ya jakisoni wa insulin liyenera kulingaliridwa payekhapayekha. Mtundu wachiwiri wa matenda ashuga, musanayambe mankhwala a insulin, yang'anani momwe odwala amadwaladwala masiku 3-7 tsiku lililonse. Ngati muli ndi matenda ochepetsetsa pang'ono, mutha kuwona kuti maola ena kuchuluka kwa glucose kumakwera pafupipafupi, pomwe kwa ena kumakhalabe koopsa.

Nthawi zambiri, misempha ya shuga m'magazi imakwezedwa m'mawa pamimba yopanda kanthu ndikatha kudya chakudya cham'mawa. Itha kuwuka musanadye nkhomaliro, maola 2-3 mutadya chakudya chamadzulo, musanadye chakudya chamadzulo, kapena usiku. M'mawola amenewo pamene kapamba sangathe kupirira, ayenera kusamalidwa ndi jakisoni wa insulin.

Pa matenda akuluakulu a shuga, palibe nthawi yoti muwone, koma muyenera kuyambitsa jakisoni wa nthawi yayitali m'mawa ndi madzulo, komanso ndimankhwala omwe amayamba mwachangu musanadye. Kupanda kutero, odwala matenda ashuga amatha kugwa ndipo amatha kufa.

Mitundu yayitali ya insulin (Lantus, Tujeo, Levemir, Protafan, Tresiba) idapangidwa kuti izikhala ndi shuga usiku, m'mawa musanadye chakudya, komanso masana pamimba yopanda kanthu. Mitundu ina ya zochita zazifupi komanso za ultrashort zimagwiritsidwa ntchito kubweretsa zizindikiro za glucose mwanjira yabwino mukatha kudya. Ndizosavomerezeka kupereka mtundu womwewo wa mankhwala a insulin kwa odwala onse popanda kuwaganizira omwe ali ndi matenda awo a shuga.

Kodi shuga ayenera kuyesedwa kwa nthawi yayitali bwanji?

Anthu odwala matenda ashuga omwe amatsata zakudya zama carb ochepa ndikuyika insulin mwachangu pamiyeso yoyenera ayenera kuyeza shuga pakatha maola atatu jakisoni. Kapena mutha kuyeza pambuyo pake, chakudya chotsatira chisanachitike. Komabe, ngati mukukayikira kuti magazi anu achepa kwambiri, onetsetsani mwachangu.

Kodi ndiyenera kubayira insulin musanadye kaye ngati matenda ashuga abwinobwino kapena otsika?

Nthawi zambiri inde. Muyenera kubaya insulini kuti mulipirire kuchuluka kwa shuga omwe chakudya chodyedwacho chidzayambitse. Tiyerekeze kuti mudakhala ndi shuga m'munsi 3.9 mmol / L musanadye. Poterepa, tengani magalamu ochepa a shuga m'mapiritsi. Pambuyo pake, idyani chakudya chamafuta ochepa chomwe mudakonza. Ndipo jekeseni insulini kuti ilipilire mayendedwe ake. Werengani nkhani yokhudza kuwerengera kuchuluka kwa insulin musanadye zambiri.

Tiyerekeze kuti munthu wodwala matenda ashuga samaba jakisoni musanadye nkhomaliro. Amayezera shuga wake m'magawo atatu pambuyo chakudya chamasana kapena asanadye - ndikupeza zotsatira sizoposa 5.5 mmol / L. Izi zimabwerezedwa masiku angapo motsatana. Poterepa, wodwalayo amachita zonse molondola. Sifunikira jakisoni insulin musanadye nkhomaliro. Komabe, izi zitha kukhala zofunikira panthawi ya chimfine ndi matenda ena opatsirana. Chifukwa nthawi izi, kufunikira kwa insulin kumachulukana kwambiri.

Chakudya chamadzulo chisakhale mochedwa 18:00. Onani shuga yanu m'mawa usiku asanagone. Iyenera kukhala yokhazikika pansi pa 5.6 mmol / L. Ngati kuchuluka kwa shuga kumangosungidwa mkati mwa izi, simungathe kubaya insulin musanadye. Ponena za kadzutsa, muyenera kuyeza shuga maola atatu mutatha kudya kapena musanadye chakudya chamadzulo.

Chifukwa chiyani shuga samatsika pambuyo pobayira jakisoni?

Zifukwa, pakuchepera kwa pafupipafupi:

• Njira yothetsera mahomoni inasefukira chifukwa cha kuphwanya kosunga.
• Kuzindikira kwa insulini kunachepa chifukwa cha matenda opatsirana - mano a m'mano, kuzizira, mavuto ndi kwamikodzo, impso, ndi matenda ena.
• Wodwalayo sanadziwe momwe insulin imagwira ntchito kwa nthawi yayitali, ndipo akuyembekeza kuti achepetse shuga.
• Wodwala nthawi zambiri amavulala malo amodzi. Zotsatira zake, kakhazikidwe kakang'ono kwambiri kamene kamasokoneza kulowetsedwa kwa insulin.

Mwambiri, insulin idawonongeka chifukwa choti malamulo osungira adaphwanyidwa. Komabe, nthawi zambiri zimakhala zowonekera.M'mawonekedwe, sizingatheke kudziwa kuti yankho mu katoni kapena botolo laipa. Phunzirani malamulo apadera osungira insulin, komanso zofunika mwapadera pa malangizo omwe mumagwiritsa ntchito. Mukamayendetsa, malonda akhoza kukhala achisanu kapena anasefukira.

Ambiri odwala matenda ashuga amatenga insulin yayitali ndipo amayembekeza kuti achepetse shuga atatha kudya. Izi mwachilengedwe sizichitika. Mvetsetsani kusiyana kwa mitundu yayitali, yochepa komanso ya ultrashort, zomwe amafunidwira, komanso momwe angawerengere molondola.

Mwina adabaya mankhwala oyenera, koma mlingo wochepa kwambiri, womwe suwonongeka ndi shuga. Izi zimachitika kwa odwala matenda ashuga akuluakulu omwe akungoyamba mankhwala a insulin. Nthawi ina mukachulukitsa mlingo, koma osachuluka, chenjerani ndi hypoglycemia. Izi nthawi zambiri sizichitika ndi ana. Ngakhale mlingo waukulu kwambiri umachepetsa shuga la magazi awo.

Phunzirani luso la insulin yopanda ululu ndikupereka jakisoni momwe amanenera. Nthawi iliyonse, sinthani malo a jakisoni. Kugwiritsa ntchito pampu ya insulin nthawi zonse kumayambitsa kuwonongeka ndi malabsorption. Vutoli litha kuthetsedwa pokana kukana pampu ndi kubwerera ku ma syringe akale akale.

Pa mlingo woikidwa ndi adokotala, insulin siyigwira ntchito. Chifukwa chiyani? Ndipo choti achite?

Ndizachilendo kwambiri kuti madokotala amalimbikitsa insulin yotsika kwambiri. Monga lamulo, amapereka mankhwala ochulukirapo omwe amayamba kwambiri ndipo amayambitsa hypoglycemia. Izi ndizofunikira makamaka kwa odwala matenda ashuga omwe amatsata zakudya zama carb ochepa. Ayenera kuwerengera Mlingo wa insulin pogwiritsa ntchito njira zomwe zafotokozedwa patsamba lino.

Mwambiri, mankhwalawa akula chifukwa chophwanya malo osungira. Muyenera kuti munagula kapena mwalandila kwaulere kale zowonongeka. Werengani nkhani ya "Malamulo Osungira Insulin" ndikuchita zomwe ikunena.

Zoyenera kuchita ngati jakisoni jekeseni?

Sungani glucometer, yoyesererani, komanso mapiritsi a shuga ndi madzi pafupi. Ngati mukumva zizindikiro za hypoglycemia (shuga wochepa wamagazi), yang'anani mulingo wanu. Ngati ndi kotheka, tengani kuchuluka kwa shuga komwe mumawerengera kuti shuga athetse. Osagwiritsa ntchito zinthu zina kupatula miyala ya glucose kuti muimitse hypoglycemia. Osayesanso kudya monga momwe kungafunikire.

Ngati mutaba jakisoni wa insulin yayitali usiku, muyenera kuyika alamu pakati pausiku, kudzuka ndikuyang'ananso shuga. Ngati ndi kotheka, imwani shuga m'mapiritsi.

Kodi mlingo wa insulini uyenera kukhala wotani?

Acetone (ma ketones) mumkodzo amapezeka nthawi zambiri mwa akulu ndi ana pa chakudya chochepa kwambiri. Malingana ngati shuga wamagazi anu ali abwinobwino, simuyenera kuchita china chilichonse kupatula kumwa madzi. Kuwerenga kuchuluka kwa insulin kumakhalabe chimodzimodzi. Simuyenera kusintha mankhwalawo kapena kuwonjezera zakudya m'thupi. Mlingo wa timadzi timene timachepetsa shuga umadalira mphamvu za shuga m'magazi, ndikwabwino osayeza ma ketoni konse.

Maonekedwe a ma ketoni mkodzo komanso kununkhira kwa acetone mumlengalenga watha kutanthauza kuti thupi limawotcha mafuta omwe amasungidwa. Kwa odwala a 2 a shuga odwala, ndizomwe mumafunikira. Makolo a ana omwe ali ndi matenda amtundu woyamba nawonso sayenera kuchita mantha.

Nthawi zambiri, mwana amakhala ndi chidwi chofuna kudya. Mupatseni zakudya zomwe zololedwa. Muwerenge kuchuluka kwa jakisoni pazakudya za mapuloteni ndi chakudya, komanso zisonyezo za shuga m'magazi. Osapatsa chakudya chofulumira kuti muchotse acetone, ngakhale madotolo kapena agogo akuumiriza. Nkhaniyi ikufotokozedwa mwatsatanetsatane m'nkhani "Shuga wa Ana." Yang'anani magazi anu pafupipafupi. Ndipo ndikwabwino kuti tisasunge mzere kunyumba.

26 ndemanga pa "Kuwerengera mlingo wa insulin: mayankho a mafunso"

Kodi bwanji ngati shuga akusala kudya pansipa 5, koma mukadya kadzutsa imadumphira 9? Ndili ndi kadzutsa kokhazikika - mwachitsanzo, mazira ophika, tchizi ndi kefir 30 magalamu. Mukufuna insulin yayitali kapena yifupi? Ndili ndi matenda ashuga amtundu 2, amtundu wofanana.Ndinkakonda kubaya insulin. Atasinthira kudya zakudya zamafuta ochepa, adasiya kuzigwiritsa ntchito. Koma zizindikiro za shuga sizolimbikitsa kwambiri, mwina ndi nthawi yoti muyambenso.

Choyamba, kefir iyenera kuthetsedwa. Ichi ndi chinthu choletsedwa chomwe chimadzutsa shuga m'magazi mwachangu komanso modabwitsa.

Muyenera kuti mupeze insulin mwachangu kuti muthe kuphimba chakudya chomwe mumadya. Mumalemba kuti mumatsata zakudya zamafuta ochepa. Poyerekeza ndi odwala matenda ashuga odziwika bwino, Mlingo wanu wa insulin adzakhala wotsika kwambiri, pafupifupi homeopathic. Mutha kuyamba ndi mayunitsi 0,5, kenako nkuwoneka.

Moni Ndili ndi zaka 33, kutalika kwa 165 cm, kulemera kwa 71 kg. Ndikudwala matenda ashuga amtundu 1 chaka 4. Mwina mutha kulangiza china chake pamavuto anga ndi insulin. Madzulo ndimayika Tujeo pama unit 26, koma m'mawa shuga ochepera 9.0-9.5 pafupifupi sizimachitika. Tsiku lonse ndimawerengera XE chakudya cham'mawa chisanafike, nkhomaliro, chakudya chamadzulo ndi zokhwasula-khwasula. Novorapid iyenera kulilidwa osati chakudya, komanso nthawi zambiri kuti ibweretse shuga wambiri. Pambuyo pakuwonjezera jakisoni, shuga imatha kugwera, mwachitsanzo, mpaka 8. Koma nthawi zambiri ndimalephera kutsitsa mpaka 6.0. Zikuwoneka kuti ndikuchita zonse bwino, koma zotsatira zake zimakhala zoipa. Thanzi langa lidakali lachilendo, koma ndili ndi mantha kuti zovuta za matenda ashuga zikukula. Ndidzakondwera ku uphungu uliwonse, zikomo patsogolo!

M'mawa, shuga amakhala ochepera 9.0-9.5 pafupifupi sizimachitika. Thanzi langa lidakali lachilendo, koma ndili ndi mantha kuti zovuta za matenda ashuga zikukula.

Mwina mutha kulangiza china chake pamavuto anga ndi insulin.

Choyamba, muyenera kusinthana ndi zakudya zamafuta ochepa. Ngati simukufuna kuchita izi, ndiye kuti simungathe kusintha chiwongolero chanu cha matenda ashuga.

Komanso werengani malamulo osungira insulin - http://endocrin-patient.com/hranenie-insulina/ - mwina ena mwa mankhwala anu achedwa kapena ataya mphamvu.

Zaka 51 zakubadwa, kutalika 159 cm, kulemera makilogalamu 69.
Matenda a shuga a Type 2 adapezeka kuchipatala (mwezi wa 1.5 chipatala) atatsika ambiri. Patatha mwezi umodzi kuchipatala, shuga adakulirakulira kuposa masiku 13-20. Nditatuluka m'mimba, ndimaba jekeseni wa Tujeo m'mawa 18, Humalog katatu pa tsiku, magawo 8, monga momwe adalembera. Kwa masiku 4 omaliza shuga anali muyezo wamba, Tujeo amangokhala m'mawa ndipo ndi momwemo. Kodi ndikuchita bwino? Ndiuzeni, chonde, mwinanso ndine woyamba. Patatha mwezi umodzi kuchokera kuchipatala, ndimatsatira kadyedwe.

Nditatuluka m'mimba, ndimaba jekeseni wa Tujeo m'mawa 18, Humalog katatu pa tsiku, magawo 8, monga momwe adalembera.

Ngati mukufuna kukhala ndi moyo, muyenera kuphatikizapo ubongo, osati mopusa kuchita zomwe mwalamula

Zimatengera shuga wanu wamagazi. Ngati akhazikika 3.9-5.5 mmol / L maola 24 patsiku, ndiye kuti zonse zili mu dongosolo.

Ndili ndi zaka 52, ndimadwala 2 matenda ashuga kuyambira 2005. Miyezi iwiri yapitayo, anali m'chipatala, adokotala adandisamutsira insulin. Sindingathe kudya mgonero nditatha maola 18, chifukwa ndikubwera kuchokera maola 19. Malinga, kusala kudya pansipa 7 sizichitika. Pazitsulo, dotolo adawonetsa malire a shuga a 6-9. Ndimabaya insulin katatu patsiku musanadye chakudya chamagulu 12, 8 ndi 8, komanso zigawo 12 zazitali asanagone. Ndipo masana shuga sakhala 6, nthawi zambiri amakhala okwera. Kodi ndikufunika kulabadira chiyani? Kodi mungapeze bwanji mashuga abwino?

Sindingathe kudya mgonero nditatha maola 18, chifukwa ndikubwera kuchokera maola 19.

Anthu odwala matenda ashuga omwe amathandizidwa amakhala ndi chakudya chantchito, asanachichoke, panthawi yoyenera.

Kodi ndikufunika kulabadira chiyani? Kodi mungapeze bwanji mashuga abwino?

Phunzirani mosamala nkhani yomwe mudalemba ndemanga, ndikuchita zomwe zalembedwamo.

Shuga wanga amakwera makamaka pa 24 ma ola mpaka 18 mmol / l. Ndikhala zaka ziwiri pa insulin. Nditawerenga zolemba za insulin, ndidadzipangira ndekha. Tikuthokoza chifukwa cha malangizo othandiza.

Zikomo chifukwa cha ndemanga. Padzakhala mafunso - funsani, musachite manyazi.

Moni, Sergey. Kuyambira momwe matenda ashuga aposachedwa, ndidayamba kugwira chimfine, ngakhale chilimwe. Kutentha kunakwera pang'ono kufika pa 37.5 ndipo dzulo herpes idatuluka mkamwa mwake. Ndinaona kuti shuga ndiwambiri kuposa masiku onse a insulin. Mwachitsanzo, tsopano ndi 8, ngakhale zili zabwinobwino popanda kuchita zosafunsa pakadakhala kale pali hypoglycemia.Zoyenera kuchita Kudya zochepa kapena zambiri za insulini kuti musinkhe?

dzulo herpes pa milomo tayamba. Ndinaona kuti shuga ndiwambiri kuposa masiku onse a insulin.

Izi ndizabwinobwino. Shuga limatuluka matenda aliwonse opatsirana, ma virus ndi bakiteriya. Nthawi zambiri izi zimachitika masiku awiri 1-2 chisanayambe kuzizira.

Zoyenera kuchita Kudya zochepa kapena zambiri za insulini kuti musinkhe?

M'malo mwake, kuwonjezera Mlingo wa insulin. Kudya - ndi chidwi.

Marina Zaka 48 zakubadwa. Matenda a 2 a shuga adapezeka zaka 10 zapitazo. Zilibe vuto mwanjira iliyonse. Shuga ndiwambiri kwambiri (16-21) mosalekeza. Sindikumva. Mkodzo umakhala wabwinobwino. Amasanthula pafupifupi chilichonse -. Ndikudziwa za shuga kuchokera pa kuwerenga kwa glucometer. Koma ndikumvetsa kuti simungakhale ndi shuga wambiri. Potembenukira kwa endocrinologist, adalemba mulu waukulu wamapiritsi. Ndidafunsa insulin - ayi, sindinatero. Kenako, nditabwera ndi shuga 29.8, ndidaganiza zolemba levemir. Sanapereke insulin yochepa. Ndimamusilira, monga momwe adalembera, mayunitsi 12 nthawi ya 10 pm, koma m'mawa palibe zosakwana 18 shuga. Mnzathu wa matenda ashuga adandiwuza kuti ndigule Novorapid, ndikugula, ndikuyeza shuga - inali 19.8. Ndidapanga mayeso a 2 mayeso, sindinadye, sindinkamwa, ndimayeza maola awiri - ndinadumphira mpaka 21! Akuti sizingatheke, fufuzani mita. Ndinayang'ana mwamuna wanga - zonse zili bwino, ali ndi 4.8, mwachizolowezi. Chifukwa chiyani Zingakhale bwanji kuti kuchokera pakudya ziwiri, shuga a Novorapid amadzuka, osagwa? Sinditsatira chakudya. Ndimakhala ndikudya nthawi zambiri. Koma chonde, musalumbire, kuyankha chifukwa chiyani shuga adalumpha kuchokera ku insulin?

chifukwa chiyani shuga idalumpha kuchokera ku insulin?

Ndili ndi zaka 62, kutalika 152 cm, 50 cm. Chaka chino, kwa nthawi yoyamba, adapezeka ndi matenda ashuga a 2. Atatuluka m'chipatala, adotolo adalemba insulin Apidra SoloStar nthawi ya 8 koloko 8 koloko m'mawa, 8 koloko mpaka 8 koloko m'mawa. Shuga adayamba m'mawa pamimba yopanda kanthu 3.4-5.5-8.2. Madzulo ndimayesa shuga ku ma oveni 21 - zimachitika 8.7, 6.7, 5.4. Nthawi zina ndimadzuka m'mawa kwambiri, chifukwa zimakhala zoipa ngati sakundidzutsa. Shuga yam'mawa ndi 11.4, ndipo madzulo 10.5. Sindinatenge shuga, kuphika, kupanikizana ndi zakudya. Momwe mungawerengere insulin yamadzulo kuti shuga isalumphe ndipo siyabwino?

Momwe mungawerengere insulin yamadzulo kuti shuga isalumphe ndipo siyabwino?

Muyenera kuwerenga tsambali mosamala ndikutsatira malangizowo.

Moni Ndili ndi zaka 45, kutalika 172 cm, 60 cm. Mwezi ndi theka zapitazo, matenda a shuga a Lada adapezeka, shuga anali 15, glycated hemoglobin 12%. Nthawi yomweyo musinthane ndi zakudya zanu zama carb ochepa. Kuthamanga shuga 4.3-5.7. Koma maola awiri itatha chakudya chimakhala pafupifupi 7.5, makamaka mukadya. Ndimadya chakudya chamadzulo 19-00 isanakwane. M'mawa shuga nthawi zambiri amakhala otsika. Madokotala amati mayesowa ndiabwino, insulini siyofunika. Koma, monga momwe ndikumvera, ndizofunikira kuti zisungidwe kapamba. Tsopano C-peptide ndi 0.36 pamlingo wa 0.79-4.19, insulini yothamanga ndi 1.3 (2.6-24.9). Mukupangira chiyani?

Madokotala amati mayesowa ndiabwino, insulini siyofunika. Koma, monga momwe ndikumvera, ndizofunikira kuti zisungidwe kapamba.

Kodi mukumvetsetsa kuti padzakhala odwala ochulukirapo

Poyerekeza ndi zotsatira za kuwunika pa C-peptide, komanso kutalika ndi kulemera, muyenera kubaya insulin, kuwonjezera pa kutsata zakudya.

Yesani kulandira insulin yaulere, komanso mapindu ena. Zotsatira zoyesedwa za glycated hemoglobin ndi C-peptide ziyenera kuthandizira.

Kodi ndizowona kuti jakisoni wa insulini mu matenda ashuga amawonjezera magazi?

Kodi ndizowona kuti jakisoni wa insulini mu matenda ashuga amawonjezera magazi?

Imwani zamadzi zambiri. Ngati mukuopa kuopsa kwa mtima komanso sitiroko, mutha kuyesanso magazi kwa fibrinogen, komanso munthawi yomweyo mapuloteni a homocysteine ​​ndi C-reactive.

Moni Ndili ndi zaka 61, ndili ndi matenda ashuga a 2 kwa zaka 15. Zaka 3 zapitazo adasamukira ku insulin. Kolola Insuman Bazal Madzulo magawo 15 ndipo m'mawa 10 mayunitsi. Shuga akulumpha. Mavuto amapezeka. Retinopathy, nephropathy, ndipo mwezi watha, mwendo udadulidwa. Ndinaganiza zosintha zakudya zamafuta ochepa. Kwa sabata tsopano, kuchuluka kwake kwa shuga ndikosiyana. Kuchokera pa 5.5 mpaka 7.0.Ndimabaya actrapid potengera shuga wambiri kwa mayunitsi 6-8 musanadye katatu pa tsiku. Sindikudya chakudya chamadzulo pasanathe maola 19. M'mawa, shuga amakhalanso chimodzimodzi. Palibe dokotala amene angasankhe chiwembuchi. Chipatalacho sichinafotokozenso insulin komanso momwe angagwiritsire ntchito. Funso: Kodi ndikufunika kubayitsa insulin yayitali ngati sindidya pambuyo pa maola 19 usiku? Ndimadya katatu patsiku nthawi yodziwika bwino.

Retinopathy, nephropathy, ndipo mwezi watha, mwendo udadulidwa. Ndinaganiza zosintha zakudya zamafuta ochepa.

Choyamba, muyenera kuyesa kuyesa momwe impso zimagwirira ntchito - http://endocrin-patient.com/diabetes-nefropatiya/ - kuti muwonetsetse kuti sitimayo siinanyamukebe, sinachedwe kuti musinthane ndi zakudya.

Palibe dokotala amene angasankhe chiwembuchi. Chipatalacho sichinafotokozenso insulin komanso momwe angagwiritsire ntchito.

Madokotala sakudziwa momwe angafunire ndipo safuna kuthandiza odwala matenda ashuga pa zakudya zama carb zotsika.

Kodi ndikufunika kupaka insulin yayitali ngati sindidya pambuyo pa maola 19 usiku?

Zaka 69 zakubadwa, khalani ndi matenda ashuga azaka 15. Anasamutsira insulin zaka 3 zapitazo. Pambuyo pake, ndimangotenga metformin, panali mashuga 18. Ndazindikira tsamba lanu, ndikudandaula kuti lachedwa. Opaleshoni kale m'maso, miyendo, mabala samachiritsa, impso ndizodwala. Tsopano ndimadya zakudya zamafuta ochepa. Kuchepetsa thupi m'miyezi 8 ndi 31 kg. Ndikuthokoza kwambiri. Koma pali mafunso. Kuthamanga shuga 3.5-5.1. Koma pofika madzulo, 7.4-10.0. Ndimayika insulin madzulo 4-8 magawo. Momwe mungachotsere kukula kwa shuga kwamadzulo? Uta waukulu kwa inu kuti utsambawu, ntchito yanu. Ngati madotolo angamvetsetse izi! Pambuyo pa zonse zomwe ndalangizidwa, sindikufunanso kupita kwa iwo. Ndi ulemu ndi kuthokoza kwa inu, Vera.

Momwe mungachotsere kukula kwa shuga kwamadzulo?

Muyenera kubayira insulin pang'ono pasadakhale kuti igwire ntchito nthawi yamadzulo pomwe shuga amatuluka nthawi zambiri. Ngati insulin yayitali, ndiye kuti mumatha maola 2-3. Mlingo wocheperako wa insulin yayitali, yomwe owerenga anga nthawi zambiri amawabayira, amawonekera msanga, kenako, machitidwe awo amayima mwachangu.

Ngati mankhwala mwachangu, ndiye kuti mu 30-90 mphindi.

Chachikulu apa ndikuti mupeze insulini yaying'ono pasadakhale, prophylactically, osati kuzimitsa moto pomwe zachitika kale.

Kuthana ndi vuto lakukweza shuga m'mawa ndikosavuta kuposa kutenga mafuta m'mawa m'mimba yopanda kanthu. Chifukwa pamenepa muyenera kudzuka pa koloko ya ma alamu pakati pausiku kuti mupeze insulini pang'ono, ndikuyesanso kugona komanso kugona kwambiri mpaka m'mawa.

Mtundu wa 2 wa matenda ashuga wolimba, ndimadwala wazaka 11, ndili ndi zaka 56, kulemera kwa makilogalamu 111 ndi kutalika kwa masentimita 165. Kolya 36 magawo a insulin Rinsulin NPH owonjezera m'mawa ndi madzulo, komanso insulin yolowerera pakati pamagulu 14 katatu patsiku, madzulo piritsi lina lowonjezera metformin 1000 mg. Shuga okwera, pafupifupi pafupifupi 13. Zoyenera kuchita? Mwinanso Mlingo wa insulin sawerengedwa molondola?

Werengani tsamba lino mosamala ndikutsatira mosamala malangizowo ngati mukufuna kukhala ndi moyo.

Mwinanso Mlingo wa insulin sawerengedwa molondola?

Ndipo Mlingo wake ndi wolakwika (osasinthika), ndipo mankhwalawa siabwino.

Kuchita masewera olimbitsa thupi a mtundu woyamba wa ana

Anthu odwala matenda ashuga omwe amatsata zakudya zamagulu ochepa amafuta amafunika kubaya insulin mwachangu pamapuloteni omwe amadya, osati chakudya chambiri. Chifukwa gawo la mapuloteni amadyedwa lidzasinthidwa kukhala glucose m'thupi.

Ngakhale izi, mankhwalawa azikhala otsika 2-10 kuposa omwe amadya omwe amadya malinga ndi kutsimikiziridwa ndi chithandizo chamankhwala. Kuti mupeze mlingo woyambira, mukuganiza kuti gawo limodzi la insulin yofupikira imakhudza 8 g yamafuta kapena 60 g ya mapuloteni.

Ma Ulgs a Ultrashort (Humalog, Novorapid, Apidra) ndi amphamvu kwambiri kuposa insulin yofupikitsa anthu. Dr. Bernstein alemba kuti Novorapid ndi Apidra ndi amphamvu ma 1.5 nthawi kuposa insulin yochepa, ndi Humalog - 2.5 nthawi.

Tikutsindika kuti awa sakhala achidziwitso, koma chidziwitso chochokera kwa Dr. Bernstein. Opanga mankhwala a Humalog, Novorapid ndi Apidra amati onse ali ndi mphamvu zofanana.Chiwonetserochi chikuyamba kuchita zinthu mwachangu kwambiri kuposa olimbana nawo.

Makhalidwe omwe aperekedwa patebulopo amangogwiritsidwa ntchito kuwerengera mlingo woyambira. Athandizeni pambuyo pake pazotsatira za jakisoni woyamba pa matenda ashuga. Musakhale aulesi kusintha mosamala mlingo wa insulin ndi zakudya mpaka shuga atakhala wokhazikika pamtunda wa 4.0-5,5 mmol / L.

Onani mafuta ochulukirapo omwe amamwetsa, koma osati fiber. Zambiri zofunikira zitha kupezedwa mwachangu komanso mosavuta posankha google funso loti "fayilo ya dzina lagululi". Muwona nthawi yomweyo mafayilo.

Nachi chitsanzo. Tiyerekeze kuti wodwala yemwe ali ndi matenda ashuga a 2, yemwe ali ndi chidwi chofuna kudya, akufuna kudya mazira 6 pakudya kwamasana, komanso 250 g ya saladi yatsopano yomwe amadyera mandala. Mafuta ophikira amawonjezeredwa ku saladi.

Nthawi zingapo, mafani a zakudya zosiyanasiyana amafunika kukhala ndi mabuku akuluakulu okhala ndi matebulo azakudya zopangidwa ndi zakudya zosiyanasiyana zomwe zilipo. Zambiri tsopano zikupezeka mosavuta pa intaneti. Wathu wodwala matenda ashuga adazindikira mwachangu zomwe amapezeka mumapuloteni, mafuta ndi chakudya m'magawo omwe amadzadya.

Mtengo Wokoma wa Zinthu

Tiyerekeze kuti dzira lirilonse limalemera 60 g. Mukatero, mazira 6 adzalemera 360 g. Masamba atsopano a salon 250 g amakhala ndi katsabola ndi parsley 125 g Pakadyedwe kazomera, muyenera kuchotsa zofunikira (fiber fiber) pazakudya zonse za chakudya. Simuyenera kuchita chidwi ndi kuchuluka kwa shuga.

Kuti mupeze kuchuluka kwazomwe mukugulitsa, muyenera kuchulukitsa zomwe zili m'mapuloteni ndi ma carbohydrate mwakulemera ndikugawa ndi 100 g.

Kudziwitsa mapuloteni ndi chakudya cha mawerengeredwe a insulin musanadye

Kumbukirani kuti odwala matenda ashuga achikulire omwe amayenera kupaka jakisoni wokwanira chakudya, Dr. Bernstein akuwonetsa kuti azikhala ndi chakudya chamafuta - osaposa 6 g pa chakudya cham'mawa, mpaka 12 g pa chakudya cham'mawa komanso chakudya chamadzulo. Kuchuluka kwa chakudya chambiri patsiku sikoposa 30 g.

Wodwala matenda a shuga a mtundu wachiwiri, yemwe adapereka zambiri mwachitsanzo, samakumana ndi chakudya pang'ono pakukonzekera chakudya chamadzulo, koma izi ndizovomerezeka. Komabe, sizingatheke kuwonjezera kuchuluka kwa mazira ndi amadyera, komanso tchizi.

Kuti mupeze mlingo woyambira, inu, mukutsatira Dr. Bernstein, mumaganiza kuti 1 unit ya Apidra kapena Novorapid imakhudza 90 g mapuloteni kapena 12 g ya chakudya chamagulu.

1. Kuyamba kwa Apidra mapuloteni: 53,5 g / 90 g ≈ 0,6 PESCES.
2. Mlingo pa chakudya: 13.5 g / 12 g ≈ 1.125 maunits.
3. Kukula konse: 0.6 PIECES 1.125 PIECES = 1.725 PIECES.

M'pofunikanso kuwerengera bolus yokonza (onani pansipa), yonjezerani ku bolus ya chakudya ndikazungulira kuchuluka kwake kukhala ± 0.5 PIECES. Ndipo sinthani mtundu wa insulin yoyambira musanadye masiku otsatirawo malinga ndi zotsatira za jakisoni wakale.

Mlingo wa insulin yochepa yaumunthu, komanso analogue ya ultrashort action Humalog, imatha kuwerengeka ndi njira yomweyo ya Novorapid ndi Apidra. Mankhwala osiyanasiyana, kuchuluka kwa chakudya komanso mapuloteni amasiyana, omwe amafunika gawo limodzi.

Zofunikira zonse zimaperekedwa patebulo pamwambapa. Mwangophunzira momwe mungawerengere kuchuluka kwa insulin yomwe ingafunike kuphimba chakudya chomwe mumadya. Komabe, musanadye chakudya, musanadye chakudya chokha, komanso chokonza.

Monga momwe mukudziwira kale, odwala matenda ashuga amathetsa shuga wamagazi kwambiri ndi jakisoni wa insulin. Kuti muchite izi, muyenera kugwiritsa ntchito mankhwala osakhalitsa kapena a ultrashort. Simuyenera kuyesa kukakamiza kuchuluka kwa shuga mothandizidwa ndi insulin yayitali - kukonzekera Lantus, Levemir, Tresiba kapena protafan.

Odwala okhulupilira omwe ali ndi shuga yayikulu amayeza shuga asanadye chilichonse. Ngati yatukuka, muyenera kubaya jekeseni wowongolera, osangokhala mlingo wa insulin kuti mumwe chakudya. Otsatirawa akufotokozera momwe mungawerengere mlingo woyenera wa shuga.

Choyamba, muyenera kudziwa momwe 1 unit imatsitsira magazi anu. Izi zimatchedwa insulin sensitivity factor (PSI).Muwerenge kusiyana kwa shuga ndi zomwe muli nazo. Kenako gawani izi ndi PSI kuti mupeze mankhwala okhala ndi insulin yokwanira.

Mutha kugwiritsa ntchito zambiri za Dr. Bernstein kuti mupeze poyambira kukonzanso. Alemba kuti 1 U ya insulini yocheperako imachepetsa shuga ndi pafupifupi 2.2 mmol / L munthu wamkulu wolemera makilogalamu 63.

Kugwiritsa ntchito chidziwitso choyambira, muyenera kusintha malinga ndi kulemera kwa thupi la wodwalayo.

Kuwerengera kwa zomwe zimapangitsa chidwi cha insulin (PSI)

Mtengo wama glucose amomwe umakhala ndi 4,5-5,5 mmol / L. Kuti mupeze momwe shuga yanu imasiyanirana ndi chizolowezi, gwiritsani ntchito malire ochepa a 5.0 mmol / L.

Tipitiliza kupenda zinthu ndi mtundu wachiwiri wa matenda ashuga kuchokera ku zitsanzo zam'mbuyomu. Kumbukirani kuti asanadye, amapweteka jakisoni waifupi wa insulin Apidra. Kulemera kwake kwam'mimba ndi makilogalamu 96. Shuga asanadye, anali 6.8 mmol / L.

1. Kusiyana kwake ndi chizolowezi: 6.8 mmol / L - 5.0 mmol / L = 1.8 mmol / L.
2. Kulingalira kwamphamvu chifukwa cha kulemera kwa thupi: 63 kg / 96 kg * 3.3 mmol / L = 2.17 mmol / L - munthu wodwala matenda ashuga akamacheperachepera, mankhwalawo amachepetsa mphamvu ya mankhwalawo.
3. Malo owongolera: 1.8 mmol / L / 2.17 mmol / L = 0.83 ED

Kumbukirani kuti kuchuluka kwathunthu kwa insulin musanadye chakudya ndi kuchuluka kwa chakudya komanso kukonza. Chakudya chawerengeredwa kale kwambiri, chinali magawo 1.725. Mlingo wonse: 1.725 IU 0.83 IU = 2.555 IU - muzungulire mpaka 2.5 IU.

Anthu omwe amadwala matenda ashuga, asanasinthe zakudya zamafuta ochepa, kutsatira zakudya “zopatsa thanzi,” amatsimikizira kuti iyi ndi mtundu wochepa wa insulin yochepa kapena yochepa kwambiri pakudya. Madokotala am'nyumba sazigwiritsidwa ntchito mwanjira imeneyi.

Musachulukitse mulingo, ngakhale adokotala akuumiriza. Kuphatikiza apo, pofuna kupewa hypoglycemia (shuga wochepa wamagazi), ndikofunikira kuti nthawi yoyamba kubayidwa theka la mlingo wowerengeka. Mwa ana ochepera zaka 9 mpaka 10, kusowa kwa insulin kumakhala kwakukulu kwambiri.

Kwa ana omwe ali ndi matenda amtundu woyamba, mulingo woyambira, womwe umawerengeredwa ndi njira yotsimikizidwira, uyenera kuchepetsedwa ndi 8 zina. Jekeseni moyenera mlingo wocheperako ndizotheka pokhapokha pogwiritsa ntchito njira yothetsera insulin.

Kuwerengera muyeso wa insulin musanadye ndi chiyambi chabe. Chifukwa m'masiku ochepa otsatira muyenera kusintha.

Kuti musankhe bwino mankhwalawa musanadye, ndikofunikira kudya zakudya zomwezo tsiku lililonse. Chifukwa ngati musintha kapangidwe kazakudya, muyenera kuyambiranso kumwa. Ndipo iyi ndi njira yofulumira komanso yovuta.

Mwachidziwikire, zogulitsa ziyenera kukhala zosavuta kuti pasakhale zovuta pazomwe zimapezeka. Mu malingaliro, mutha kugwiritsa ntchito zinthu zosiyanasiyana, ngati kulemera kwamapuloteni ndi chakudya sikosintha. Koma pochita, njira izi sizikuyenda bwino. Bola kuvomereza zoperewera zakudya kuti mudziteteze ku zovuta za matenda ashuga.

Popeza mutabaya insulin mwachangu musanadye, muyenera kuyeza shuga maola atatu mutatha kudya kuti muone zotsatira zake. Chifukwa chakuti pambuyo pa mphindi 30-120, zakudya zomwe zidadyedwazo zilibe nthawi yoti zikhudze kuchuluka kwa shuga m'magazi, ndipo insulin siyingamalize kuchita. Zakudya zama carb zochepa ndizochepa, ndipo motero ndizoyenera kudya.

Ndikofunikira kusintha mlingo wa insulin musanadye kuti shuga asatulutse kuposa 0,6 mmol / l maola atatu mutatha kudya. Ndikofunikira kuphatikiza jakisoni wa timadzi timene timachepetsa shuga ndi zakudya kuti mulingo wa glucose m'magazi ukhale wokhazikika pamlingo wa 4.0-5,5 mmol / l.

• Ma insulin ma insulin
• Kodi ndingagwiritse ntchito jakisoni mitundu iti?
• Kuwerengetsa kwa insulin
• Kukonzekera kwa jekeseni
• Syringe Insulin Technique
• Kodi ndingatani ngati nditha kuiwala kupereka mankhwala a insulin musanagone kapena kudya?
• Zovuta zotheka

Acetone mu mkodzo wokhala ndi chakudya chamafuta ochepa

- Chinthu choyamba ndikufuna kufunsa. Tsopano mwaphunzira kuti mwana ali ndi acetone mu mkodzo, ndipo ndikukulemberani kuti apitiliza kukhalabe. Kodi iwe uchita chiyani pamenepa? - Tidawonjezera madzi, mwana adayamba kumwa, tsopano kulibe acetone.

Lero tayesanso, koma sitikudziwa zotsatira zake. "Kodi adachitanso chiyani?" Magazi kapena mkodzo? "" Kutupa kwa uralosia. "" Kodi mwapambananso mayeso omwewo? "" Inde, chifukwa chiyani? "

Akufuna kuti aperekenso, ndipo tikuchita izi kuti tisakanganenso ndi adotolo. "Chifukwa chake, pakhale mkodzo, ndakufotokozerani." "Tsopano mwana wayamba kumwa zakumwa zambiri, ndimuphikira. Chifukwa cha izi, palibe mkodzo mumkodzo, zingwe zoyeserera sizimagwira, ngakhale sindikudziwa zomwe mayesowa akuwonetsa.

"Kodi palibepo acetone pamizere yoyeserera?" "Inde, Mzere wa mayesowo suchitapo kanthu ayi. M'mbuyomu, adachitapo kanthu pang'ono, mtundu wa pinki, koma tsopano samachita chilichonse. Koma ndikuwona kuti mwana akangomwa zakumwa zochepa, ndiye kuti ma acetone amawonekera pang'ono.

Amamwa zakumwa zina - ndizo zonse, palibe acetone. - Zikutanthauza chiyani, ma acetone amawoneka? Pa Mzere woyezera kapena mukukhala bwino? "" Kungoti strata yoyeserera, sitikuzionanso. Sichikuwoneka mmaonekedwe kapena mkhalidwe wa thanzi la mwana.

Acetone mu mkodzo - osayang'ana ngati mwana ali ndi shuga wabwinobwino ndipo akumva bwino. Pang'onopang'ono pakudya kwamatumbo ochepa, acetone amapezeka mumkodzo nthawi zonse. Izi ndizabwinobwino, osati zovulaza, sizilepheretsa mwana kukula ndikukula. Simuyenera kuchita chilichonse pa izi. Musadandaule za acetone, ndipo m'malo mwake muyeze shuga pafupipafupi ndi glucometer.

- Kodi mukumvetsetsa kuti ma acetone omwe amatha kuyesa mkodzo azikhala nthawi zonse? Ndipo bwanji simukuyenera kuchita mantha ndi izi? "" Inde, thupi lokha lasintha mtundu wina wa zakudya. "" Izi ndikulemberani ... Ndiuzeni, kodi madotolo adawona izi? "" Chiyani?

"Kuyesa kwa mkodzo kwa acetone." "Nanga adachepera chiyani?" "Ayi, ali ndi chiyani?" "Kunena zowona, dokotala sanadere nkhawa izi chifukwa glucose sanali mumkodzo. Kwa iwo, ichi sichizindikiro cha matenda ashuga, chifukwa kulibe shuga.

Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.

"Ndikudzifunsa ngati atamuyika chakudya mwana mu sukulu kuti acetone asoweke." Zidzakhala nawo. Ndili ndi mantha kuti izi ndizotheka. - Mayi Tidzangopita kusukulu mu Seputembala. Mu Seputembala ndimatenga tchuthi ndipo akhala akugwira ntchito kwa mwezi wathunthu kuti akonzekere ndi aphunzitsi.

Ndikuganiza kuti mphunzitsiyo si dotolo, ali okwanira. - Yembekezani. Mphunzitsi sasamala. Mwana wanu samabayira insulin, ndiye kuti mphunzitsi alibe mavuto. Mwanayo azidzadya tchizi chake chopanda mafuta, mphunzitsi wake ndi bulb wopepuka.

Koma tinene kuti pali namwino mu ofesi. Amawona kuti mwana ali ndi acetone mkodzo wake. Ngakhale pali acetone pang'ono ndipo mwanayo samamva chilichonse, namwino adzakhala ndi Reflex - perekani shuga kuti acetoneyu asapezekenso.

"Ababa. Ndipo adzazindikira bwanji?" "Mayi. Ndikufuna kuyang'ana pazotsatira zomwe tapanga lero. Mwina sitingawonetse acetone konse. Pambuyo pake, akapempha kuti apereke mkodzo pazowoneka za glucosuric, ndiye kuti timupatsa, koma patsikuli tidzamwetsa mwana ndi madzi ambiri.

- Mukusanthula kwanu kwamkamwa chifukwa cha acetone, panali ma ploses awiri mwa atatu. Pakhoza kukhala ndi mfundo imodzi yophatikiza, koma iyenera kukhalabe ... - Ziri bwino, chifukwa adotolo sanafotokozere nkhawa iliyonse pa izi.

Anati ayenera kusintha kadyedwe kake, koma sanadandaule nazo. "Anakupatsirani malangizo omwe ali ndi malangizo: ngati pali acetone, ndipatseni chakudya chamafuta." Simudzachita izi, ndikuthokoza Mulungu.

Koma wina mwa zolinga zabwino amatengera mwana wanu kusukulu ndikuti, nkuti, idyani maswiti, ma cookie kapena china chilichonse kuti mumupatse acetone uyu. Izi ndi zoopsa. "Amayi. Kunena zowona, ndikuwopa sukulu, chifukwa ndi mwana, ndipo simungathe kuulula ...." "Chiyani?

- Kuti akhoza kudya kena kolakwika kwinakwake. Tidakhalapo nthawi imodzi yomwe tidadyako, ngakhale wokhoza kuba kunyumba. Kenako tinayamba kusintha magawo, kum'patsa walnuts, ndipo mwakachetechete. "Kodi zinali liti?"

Kodi munalowetsa liti insulin, kapena pambuyo pake, munasinthira liti pakudya chamafuta ochepa? - Tinali ndi insulini kwa masiku atatu okha. Tinapita kuchipatala pa Disembala 2, tinapatsidwa insulin kuyambira tsiku loyamba, tinabayilitsa insulin kawiri, ndinapita naye kuchipatala kuchokera ku nkhomaliro.

Mwana akangomva ululu, momwe zimachitikira insulin ndizovuta "Amangokhala ndi shuga wambiri, insulin ikugwirizana bwanji ndi izi" adadyetsa pilaf ndipo adamtengera pilaf kupita naye kuchipatala.

Zotsatira zake, shuga aja adadumpha mpaka 18. "Ababa, ndiye ndidawerenga ndikuganiza - zidachitika bwanji?" Chifukwa chiyani anali ndi shuga 12 ndikukhala 18? - Amayi Chifukwa choti adadya pilaf ndipo tafika kale kuchipatala ndi shuga 18.

Matenda a shuga 1 amtundu wa ana amatha kuthandizidwa popanda jakisoni wa insulin tsiku lililonse, ngati mutasinthira kudya zakudya zamagulu ochepa kuyambira masiku oyamba matenda. Tsopano njirayi imapezeka mokwanira mu Russia, kwaulere.

. Khalani okonzeka kumugunda mwana akagwidwa ndi chimfine. Pitilizani insulin, syringes, dzanja. Werengani nkhaniyo “

Momwe mungachiritsire kuzizira, kusanza, ndi matenda am'mimba mu shuga

". Mukatha kukana jakisoni wa insulin tsiku lililonse, musapume. Mukasiya kutsatira regimen, ndiye kuti matenda ashuga abwerera patatha masiku angapo kapena milungu.

- Munali mwayi kwambiri, chifukwa malowo akadali ofowoka, ndizovuta kupeza. Kodi mwana wanu azichita bwanji kusukulu? Pamenepo adzakhala ndi ufulu wambiri kuposa tsopano, ndipo mayesero adzawonekera. Pa dzanja limodzi, m'modzi mwa akulu adzayesa kumudyetsa kuti pasakhale acetone.

Mbali inayi, mwana adzayesa kena kake. Kodi ukuganiza bwanji, kodi azichita bwanji? - Tikumukhulupirira, chifukwa ndi wamkulu komanso wodziimira payekha. Poyamba, aliyense amasirira kupirira kwake.

Ana ena m'chipinda chachipatala adadya maapulo, nthochi, maswiti, ndipo iye adangokhala pamenepo, adangoyendetsa bizinesi yake ndipo sadachitepo kanthu. Ngakhale chakudya chomwe chinali kuchipatala chinali chovuta kwambiri kuposa kunyumba. "Modzifunira anakana zakudya zabwinozi kapena mwamukakamiza?"

- Udindo udachitika chifukwa choti amadwala kwambiri chifukwa cha insulin. Adakumbukira izi kwanthawi yayitali ndipo adavomera ku chilichonse, zikadapanda kulowetsedwa ndi insulin. Ngakhale tsopano, adakwera pansi pa tebulo, akumva mawu akuti "insulin." Kuti mukhale wabwino popanda insulini, muyenera kudziletsa.

Amadziwa kuti amafunikira. Zakudya zoyenera - izi ndi za iye, osati za abambo ndi ine, zomwezo. "" Zidzakhala zosangalatsa kuti titha kukuwonerani m'dzinja, momwe zonse zidzakhalire akakhala ndi ufulu kusukulu pankhani yathanzi. " perekani mpata woti utiyang'anire.

Kodi makolo a mwana yemwe ali ndi matenda ashuga angagwirizane bwanji ndi madokotala?

Ngati mulingo wochepetsetsa kwambiri wa insulin amafunikira kuchiza matenda a shuga, izi zimabweretsa mavuto poyesa kutsimikizira insulin yolimba komanso yolimba ya insulin kapena pampu ya insulin. Pakupopera, ma alarm nthawi zambiri amayamba.

Matenda a shuga amtundu woyamba amapezeka mwa ana adakali ang'ono. Chifukwa chake, vuto la kuperekera mankhwala ochepa kwambiri a insulin limakhudzanso odwala ambiri. Nthawi zambiri, insulin lyspro (Humalog), yothiriridwa ndi madzi apadera omwe amapangidwa ndi wopanga, amagwiritsidwa ntchito popopa insulin mankhwala mu makanda.

M'nkhani ya lero, timapereka chidziwitso chogwiritsa ntchito lyspro insulin (Humalog), kuchepetsedwa ndi saline maulendo 10 - kuchuluka kwa ma PIECES / ml, pakugwiritsira ntchito insulin mankhwala a mwana wakhanda.

Mnyamata wazaka 2.5, wakhala akudwala matenda ashuga amtundu woyamba kwa miyezi 12 kale, kuyambira pachiwonetsero pomwe adalandira chithandizo cha insulin. Choyamba adagwiritsa ntchito NovoRapid insulin, kenako adasinthana ndi Humalog. Mwanayo anali ndi vuto losowa chakudya, ndipo kutalika kwake ndi kulemera kwake zinali pafupi ndi gawo labwinobwino la msinkhu wake komanso jenda.

Glycated hemoglobin - 6.4-6.7%.Mavuto aukadaulo ndi pampu ya insulin amachitika pafupipafupi - kangapo pa sabata. Chifukwa cha izi, kulowetsedwa kulikonse kumatha kugwiritsidwa ntchito osaposa masiku awiri.

Mavuto omwe adatipangitsa kuyesa kuchepetsa insulin ndi saline anali awa:

• Mafuta osungidwa "odziwika" a insulin ochokera kwa wopanga sanali kupezeka.
• Wodwalayo adawonetsa kuchepa kwapang'onopang'ono mu mulingo wa bilirubin ndi bile acid m'magazi. Izi zitha kutanthauza kuti zoteteza ku insulin ndi proprietary dilution fluid (metacresol ndi phenol) ndizovuta kwa chiwindi chake.

Komiti ya Ethics inavomereza kuyesa kugwiritsa ntchito insulin yothira mchere ndi mankhwalawa. Makolo adasaina chikalata chodziwitsa. Adalandila malangizo atsatanetsatane amomwe angapangitsire insulin ndi saline komanso momwe angakhazikitsire phukusi la insulin.

Kuyambira m'masiku oyamba a matenda a shuga pansi pa regimen yatsopano, pafupipafupi mavuto aukadaulo ndi pampu ya insulin anachepa kwambiri. Magazi a shuga m'magazi anachepa ndikuyamba kudziwikiratu, mpaka 7.7 ± 3.94 mmol / L.

Izi ndi zizindikiro molingana ndi zotsatira za kuyeza shuga m'magazi 13 mpaka 14 patsiku. M'miyezi 20 yotsatira, kufalikira kwa cannula ya pampu ndi makhristulo a insulin kumachitika katatu kokha. Chigawo chimodzi cha hypoglycemia choopsa chinachitika (shuga wamagazi anali 1.22 mmol / L), omwe amafunikira kuyamwa kwa glucagon.

Mlingo wa Humalog insulin, kuchepetsedwa maulendo 10, ndikugwiritsiridwa ntchito ndi pampu, anali 2.8-4.6 U / tsiku (0.2-0.37 U / kg kulemera kwa thupi), komwe 35-55% anali oyambira kutengera chidwi cha kudya komanso kupezeka kwa matenda opatsirana.

Mwanayo amakhalabe ndi njala, ndipo izi zimakhudza kuwongolera kwake shuga. Koma ikukula mwachizolowezi, yopezeka kutalika ndi kulemera, ngakhale zizindikirozi zimakhalabe pamunsi pamiyeso ya zaka.

Mlingo wa bilirubin ndi ma asidi a bile m'magazi unachepa kukhala wabwinobwino. Kukula kwa mavuto aukadaulo ndi pampu ya insulin kwatsika kwambiri. Makolo ndi okondwa. Amakana kusamutsa mwana kupita ku insulin pamsasa wa 100 IU / ml.

Tiyerekeze kuti mwasankha kubaya jakisoni pang'ono madzulo, kuti ndikwanira m'maola. Komabe, ngati mukulongetsa, mwina ndi shuga wochepa kwambiri pakati pausiku. Zimayambitsa zolakwika, zotupa, thukuta. Chifukwa chake, kuwerengetsa kuchuluka kwa insulin yayitali usiku sichinthu chophweka, chosavuta.

Choyamba, muyenera kukhala ndi chakudya cham'mawa molondola kuti mukhale ndi shuga wathanzi m'mawa wotsatira pamimba yopanda kanthu. Chakudya chamadzulo chabwino maola 5 asanagone. Mwachitsanzo, nthawi ya 18:00, khalani ndi chakudya chamadzulo, nthawi ya 23:00, jekeseni adakulitsa usiku ndikupita kukagona. Dziikireni chikumbutso pafoni yanu theka la ola musanadye, "ndipo dziko lonse lapansi lidikire."

Ngati mutadya chakudya chamadzulo, mudzakhalanso ndi shuga m'mawa wotsatira pamimba yopanda kanthu. Komanso, jakisoni wa mlingo waukulu wa mankhwala Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku sizithandiza. Mchere wambiri pakati pausiku ndi m'mawa umavulaza, chifukwa nthawi ya kugona imakhala ndi zovuta za shuga.

Zofunika! Kukonzekera konse kwa insulin kumakhala kosalimba, kuwonongeka mosavuta. Phunzirani kusunga malamulo ndikuwatsata mosamala.

Ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin amakhulupirira kuti zochitika za shuga wochepa sizingapeweke. Amaganiza kuti kuukira kwa hypoglycemia ndi njira imodzi yosapeweka. M'malo mwake, mutha kusunga shuga wabwinobwino ngakhale mutakhala ndi matenda oopsa a autoimmune.

Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1. Phunzirani momwe mungasinthire zakudya zopatsa thanzi komanso mulingo wa insulin.

Timapita molunjika ku algorithm yowerengera kuchuluka kwa insulin yayitali usiku. Munthu wodwala matenda ashuga okhazikika amadya chakudya cham'mawa kwambiri, kenako amayeza shuga usiku ndi m'mawa atadzuka. Muyenera kukhala ndi chidwi pakusiyana kwamitengo usiku ndi m'mawa.

Pezani kusiyana kochepa m'mawa ndi m'mawa wa shuga m'masiku apitawa. Mukumenya Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku kuti muchotse kusiyana uku.

Ngati shuga m'mawa wopanda kanthu umasungidwa mkati mwa 4.0-5,5 mmol / l chifukwa cha chakudya chamadzulo chamadzulo, sikofunikira kuti jekeseni owonjezera usiku.

Kuti mupeze mlingo woyambira, muyenera kudziwa kuchuluka kwa momwe 1 unit imachepetsera shuga wamagazi. Izi zimatchedwa insulin sensitivity factor (PSI). Gwiritsani ntchito mfundo zotsatirazi zomwe Dr. Bernstein amapereka.

Kuwerengera poyambira kuchuluka kwa insulini wamba, Protafan, Humulin NPH, Insuman Bazal, Biosulin N ndi Rinsulin NPH, gwiritsani ntchito chiwerengero chomwecho.

Munthu akayamba kulemera, mphamvu zake za insulin zimachepa. Muyenera kupanga gawo molingana ndi kulemera kwanu.

Kutalika kwa Insulin Sensitivity Factor

Mtengo womwe wapezeka wa kuzindikira kwa insulin yayitali ungagwiritsidwe ntchito kuwerengetsa poyambira (DM) yomwe mudzailowetsa madzulo.

kapena zonse zofanana mu kachitidwe kamodzi

Gubitsani mtengo wotsatira kwa magawo 0,5 ndikugwiritsa ntchito. Mlingo woyambira wa insulin yayitali usiku, womwe mudzawerenge kugwiritsa ntchito njirayi, ungakhale wotsika kuposa momwe umafunikira. Ngati zikhala zopanda pake - mayunitsi 1 kapena 0,5 - izi ndizabwinobwino.

M'masiku otsatirawo musintha - kuwonjezeka kapena kuchepa kwa shuga m'mawa. Izi siziyenera kuchitika kamodzi pakapita masiku atatu aliwonse, pakukweza kwa 0,5-1 ED, mpaka m'mawa m'mimba yopanda kanthu pakubwera zabwinobwino.

Kumbukirani kuti shuga wambiri mumayetsero amadzulo alibe chochita ndi mlingo wa insulin yayitali usiku.

Mlingo womwe mumaba jakisoni usiku suyenera kupitirira eyiti. Ngati mlingo wapamwamba ukufunika, ndiye kuti china chake chalakwika ndi zakudya. Kupatula kumatenga matenda mthupi, komanso achinyamata akamakula. Izi zimawonjezera kufunika kwa insulin.

Mlingo wamadzulo wa insulin yowonjezera sayenera kukhazikitsidwa osatsala ola limodzi asanagone, koma asanagone. Yesani kumwa jakisoniyo mochedwa momwe angathere mpaka kuti m'mawa. Mwanjira ina, pitani mukagone mukangolowa jakisoni wamadzulo.

Munthawi yoyambirira ya mankhwala a insulin, zingakhale zothandiza kukhazikitsa alamu pakati pausiku. Dzukani pamawu ake, onetsetsani kuchuluka kwa shuga, lembani zotsatirazo, kenako mugone mpaka m'mawa. Jakisoni wamadzulo kwambiri wa mlingo waukulu wa insulin ingayambitse hypoglycemia yausiku. Izi ndizosasangalatsa komanso zowopsa. Kupenda kwa magazi ma inshuwaransi usiku.

Bwerezani kachiwiri. Kuti muwerenge kuchuluka kwa insulin yayitali usiku, mumagwiritsa ntchito kusiyana kochepa kwam'mawa m'mimba yopanda kanthu komanso usiku watha, wopezeka masiku angapo apitawa. Akuyerekeza kuti shuga m'magazi amakhala okwera m'mawa kuposa usiku.

Ngati chizindikiritso cha mita chikwera kwambiri pamadzulo, muyenera kuwonjezera jekeseni wa mankhwala osokoneza bongo a insulin - yochepa kapena ya ultrashort. Jakisoni wa mankhwalawa Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku ndikofunikira kuti shuga asadzuke pang'onopang'ono pomwe mukugona, makamaka m'mawa. Ndi iyo, simungathe kutsitsa shuga, yomwe imakwezedwa kale.

Kodi mukufuniranji jakisoni wautali wa m'mawa? Amathandizira kapamba, kuchepetsa katundu pamenepo. Chifukwa cha izi, odwala matenda ashuga ena, kapamba payekha amasintha shuga atatha kudya.

Kuti muwerenge mlingo woyenera wa insulin yayitali ya jakisoni wam'mawa, muyenera kufa ndi njala pang'onopang'ono. Tsoka ilo, izi sizingagawidwe. Komanso mudzamvetsetsa chifukwa chake. Mwachidziwikire, kusala kudya ndikwabwino patsiku lopumira.

Patsiku loyesera, muyenera kulumphira chakudya cham'mawa komanso nkhomaliro, koma mutha kudya chakudya chamadzulo. Ngati mukumvera metformin, pitilizani izi, palibe kupuma komwe kumafunikira.Kwa odwala matenda ashuga omwe sanatayebe kumwa mankhwala owononga, ndi nthawi yoti achite.

Muziwonjezera shuga mukangodzuka, kenanso pambuyo pa ola limodzi komanso katatu pakadutsa maola 3.5-4. Nthawi yotsiriza yomwe mumayeza mulingo wa glucose ndi maola 11.5-13 mutadzuka m'mawa.

Musayembekezere kuti endocrinologist agwirizane ndi chidwi chanu pakudya chamafuta ochepa. Mwinanso amachitapo kanthu. Osalimbana ndi madokotala, chifukwa kulumala ndi mapindu zimadalira iwo. Chifukwa chogwirizana nawo, koma kudyetsa mwana kokha zakudya zomwe sizimatulutsa shuga.

Kuwongolera matenda amtundu wa shuga 1 kwa ana popanda jakisoni tsiku lililonse ndi insulin. Koma muyenera kutsatira mosamalitsa boma. Tsoka ilo, zochitika m'moyo sizimathandizira izi.

Kuchita masewera olimbitsa thupi sikulowa m'malo mwa chakudya chamafuta ochepa a shuga 1! Kuchita masewera olimbitsa thupi ndikofunikira, koma musayembekezere kuti kuyimitsa chitetezo cha mthupi kugwidwa ndi ma cell a pancreatic beta. Phunzirani

sangalalani ndi maphunziro akuthupi

ndipo khalani chitsanzo chabwino kwa mwana wanu.