Kugwiritsira ntchito insulin glargine (Lantus) kuphatikiza ndimankhwala a hypoglycemic

Zochizira matenda a shuga a mitundu yoyamba ndi yachiwiri, insulin imagwiritsidwa ntchito nthawi zambiri. Hormone iyi imalipira kuphwanya kagayidwe kazakudya, imachepetsa mwayi wamavuto.

Odwala amapatsidwa mankhwala osiyanasiyana malinga ndi zomwe amapanga. Kodi ndi zinthu ziti zomwe mungagwiritse ntchito monga insulin ndi insulin, zomwe nkhaniyi ikunena.

Kodi ndichifukwa chiyani insulini ikufunika pochiza matenda ashuga?

Ngati munthu wakana insulini, ndiye kuti maselo a ziwalo amalephera kuyamwa glucose ndikuyamba kumva njala. Izi zimakhudza kugwira ntchito kwa machitidwe onse: chiwindi, chithokomiro, impso, ndi ubongo zimayamba kuvutika.

Matenda a shuga amakhudza ziwalo zonse

Matenda a shuga osaphatikizika amabweretsa kupunduka, kukomoka, ndi kufa.. Mu mtundu woyamba wa matenda, ngati kapamba sangathe kutulutsa insulini, kuwonjezereka kwa mahomoni ndi kofunikira.

Gwiritsani ntchito mankhwala a nthawi yayitali komanso yochepa. Ngati ma jakisoni ochulukirapo, ndibwino kuti mubwezeretsenso kagayidwe kazakudya, kamene kamafanana ndi zolimbitsa thupi.

Zowonetsa ndi malingaliro athunthu

Masiku ano, odwala oposa 30% omwe amapezeka ndi matenda a shuga amapatsidwa jakisoni wa insulin. Zizindikiro zokwanira zamankhwala ndi awa:

• mtundu woyamba wa matenda,
• nthenda yachiwiri yamatenda, ngati:
• kuphatikiza kwa matenda a shuga omwe ali ndi matenda otupa komanso purulent, myocardial infarction, anorexia,
• zovuta zovuta za endocrine kusokonezeka (neuropathy, diabetesic phokoso syndrome).

Anthu ambiri odwala matenda ashuga safuna kulandira mankhwala a insulin. Koma ndi mtundu woyamba wa matenda palibe kusankha: kwa thanzi labwino, chithandizo cha moyo wonse ndichofunikira.

Malamulo ndi mfundo za insulin yothandizira matenda ashuga

Mankhwala aliwonse amakhala ndi zoyipa.

Chiwopsezo chokhala ndi zizindikiro zosasangalatsa kumbuyo kwa jakisoni wa insulini kumachulukitsa ndi Mlingo wosayenera, kuphwanya kosungidwa kwa zinthu.

Wodwala amatha kupeza vuto la hypoglycemia, lipodystrophy, chifuwa, komanso kusowa koonera. Kuti muchepetse mavuto omwe amabwera chifukwa cha insulin, muyenera kudziwa mfundo ndi kutsatira malamulo a mankhwala.

Ndi matenda a shuga 1

Kusinthasintha kwapafupi kwambiri kwa shuga m'magazi kuti pakhale kwachilengedwe pakubadwa ndikotheka kutsatira malamulo ndi mfundo izi:

• Pafupifupi tsiku lililonse azigwirizana ndi masoka omwe amapanga insulin ndi kapamba,
• kagawireni mankhwalawa malinga ndi chiwembuchi: 2/3 m'mawa, nkhomaliro ndi madzulo, 1/3 usiku,
• phatikizani insulin yayifupi ndi yayitali,
• jakisoni amalimbikitsidwa musanadye,
• musagwiritsidwe mankhwala opitilira 16 mankhwala osaneneka.

Ndi matenda a shuga a 2

Ndi matenda osadzimira matendawa, ndikofunikira:

• osaletsa antipyretic mankhwala,
• kutsatira zakudya
• Chitani zolimbitsa thupi.

Nthawi yanji komanso kangati kupanga jakisoni, omwe mankhwalawa amagwiritsa ntchito (kuthamanga kapena kuchitapo kanthu), dokotala amadzisankhira wodwala aliyense payekhapayekha.

Ndi matenda a shuga kwa ana

Kuchulukitsa chiyembekezo cha moyo wa mwana, kuti muchepetse zovuta zoyambitsa matendawa, ndikofunikira:

• phatikizani insulin yayifupi ndi mankhwala omwe atenga nthawi yayitali,
• Kodi jakisoni wa mahomoni nthawi yayitali kawiri kapena katatu patsiku,
• Ana opitirira zaka 12 kuti achite zochiritsika zolimba,
• sinthani mlingo ndi gawo,
• ndi chidwi chachikulu, zoyeserera zothetsa banja.

Zimakhala zovuta kwa mwana wodwala matenda ashuga kumaliza dongosolo la sukulu: jakisoni wa mankhwala ayenera kuperekedwa nthawi inayake. Kuti muchepetse chithandizo, kubisa matendawa kwa ana ena, sankhani chithandizo cha pampu. Pampu imangotulutsa timadzi tomwe timalowa m'thupi tikamakula.

Pa nthawi yoyembekezera

Pa nthawi yomwe mayi ali ndi pakati, matenda osokoneza bongo amatha kuchitika. Kufunika kwa insulin mwa mkazi munthawi ya mayeso kumawonjezeka.

Kuti mukhale ndi thanzi labwino, ndibwino kutsatira malamulowa:

• Nthawi zambiri sinthani mankhwala (pamenepa, kagayidwe kamadziwika ndi kusakhazikika),
• Sinthani ku insulin ya anthu (matupi awo sagwirizana kawirikawiri amapezeka pa iyo kuposa nkhumba kapena bovine),
• kuteteza hyperglycemia, kutenga jakisoni awiri patsiku,
• ntchito mankhwala apakatikati, aafupi,
• kuti shuga asamuke usiku, asanagone, muyenera kupaka jekeseni wa mankhwala osakhalitsa,
• shuga sangakhale wowongolera ndi mapiritsi.

Kusankha moyenera mankhwalawa komanso njira zake za insulin.

Mbali za zolimbitsa, basal bolus ndi pump insulin

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Madokotala amagwiritsa ntchito njira zolimbikira, zapamwamba ndi zoyeserera pokonza popereka mahomoni a pancreatic kuchitira odwala. Njira yoyamba imakhazikitsidwa ndi kutsanzira kutulutsa kwachilengedwe kwa mahomoni masana.

Njira yowonjezereka imadziwika ndi zotere:

• jakisoni angapo amapangidwa patsiku,
• ntchito mankhwalawa
• yaitali mankhwala jekeseni yaingʻono Mlingo wa mawonekedwe a basal jekeseni,
• nthawi ya jakisoni imasankhidwa potengera nthawi yomwe munthu akufuna kudya.

Chinsinsi cha chithandizo choyambira cha bolus ndikuti m'mawa kapena madzulo, insulin yayitali kapena yayifupi. Chifukwa chake kuyerekezera kwa magwiridwe antchito a kapamba kumatheka. Gawo limodzi la mahomoni limakhala ndi insulin yokwanira, yachiwiri imalepheretsa kuchuluka kwa shuga.

Zina za mankhwala a insulin pump:

• kuphatikiza mitundu yonse ya mahomoni jekeseni imodzi,
• Kuchepetsa kuchuluka kwa jakisoni
• okhazikika mankhwala makonzedwe
• kuthekera kotsanzira ntchito zachilengedwe za kapamba.

Ndi mtundu wanji wa chithandizo chomwe chiri choyenera kwa wodwalayo, adokotala amasankha pamaziko a mayeso.

Kodi ndikufunika kupaka insulin ngati shuga ndi yabwinobwino?

Mtundu wachiwiri wa matenda ashuga, kapamba amatha kutulutsa timadzi tambiri tambiri. Chifukwa chake, nthawi zina munthu amakhala ndi shuga.

Ngati glycemia yachangu ndi 5.9, ndipo mutatha kudya sapitilira 7 mmol / l, ndiye kuti insulini ikhoza kusiyidwa kwakanthawi.

Koma nthawi yomweyo, muyenera kuwunika momwe zinthu ziliri ndikuwongolera kuchuluka kwa shuga m'magazi ndi zingwe zoyeserera.

Zoyenera kuchita mukaphonya jakisoni?

Zimachitika kuti munthu waiwala kubaya insulin. Algorithm yothandizira kuti azichita zina zimadalira kangati patsiku lomwe wodwala amapanga jakisoni:

• Ngati mlingo umodzi ukusowa mukabayitsa mahomoni owonjezera kawiri patsiku, ndikofunikira kusintha glycemia maola 12 otsatira ndi mankhwala osakhalitsa. Kapena onjezani zolimbitsa thupi kuti kugwiritsa ntchito shuga kwachilengedwe kuchitika,
• Ngati mankhwalawa amaperekedwa kamodzi patsiku, ndiye kuti atatha maola 12 kuchokera pa jakisoni wosowa, apangileni jakisoni theka.
• mukadumphira insulin, mankhwalawa amayenera kuperekedwa mofulumira mukatha kudya. Mutha kuwonjezera zochita zolimbitsa thupi ndikuwonetsetsa kuchuluka kwa shuga. Ngati glucometer amawonetsa glycemia ya 13 mmol / l, ndiye chifukwa chake ndikuyenera kuyambitsa magawo a 1-2 a mahoni afupiafupi.

Kodi insulin ndi adrenaline amagwira ntchito bwanji?

Adrenaline ndi insulin ndi zosiyana ziwiri pazinthu zomwe zikuchitika.

Malinga ndi Endocrinology Research Center ya Russia, insulin unit imachepetsa kuchuluka kwa shuga ndi 2 mmol / l, ndipo 1 ml ya adrenaline imaletseratu kugunda kwa hypoglycemic.

Ndikofunikira kudziwa kuti insulini (adrenaline) imachita mosiyanasiyana pa odwala matenda ashuga: kudalira zaka, kulemera, zolimbitsa thupi za munthu. Chifukwa chake, mankhwala osokoneza bongo amakhudza anthu achinyamata komanso owonda, ana kwambiri.

Kuti mumvetsetse kuchuluka kwa maselo a insulin omwe amachepetsa shuga, komanso kuchuluka kwake kwa adrenaline kumatha, kudzera m'mitundu.

Ndondomeko ya Zakudya Zaukhondo ndi Kuyang'anira Magazi a Magazi

Ndikofunikira kuti munthu wamkulu komanso mwana yemwe wapezeka ndi matenda ashuga azitsatira zakudya zamafuta ochepa. Zitsanzo zamagetsi:

• kadzutsa (4 XE) - gawo la phala la chimanga, kapu imodzi ya mkaka,
• chakudya (1 XE) - zipatso
• nkhomaliro (2 XE) - nyama, masamba, mbatata yosenda,
• tiyi wamadzulo (1 XE) - zipatso
• chakudya chamadzulo (4 XE) - phala ndi saladi, nsomba yophika,
• asanagone (1 XE) - kagawo ka mkate wathunthu ndi tiyi.

Zogulitsa zimatsutsana:

• nyama ya nkhumba, nsomba yamafuta,
• chokoleti
• zakumwa zoziziritsa kukhosi
• margarine
• mbatata
• marinade
• mowa
• makeke.

Chinsinsi cha Latin insulin

Onse odwala matenda ashuga ayenera kulembedwa ndi endocrinologist. Ali ndi ufulu kulandira insulin yaulere.

Chinsinsi cha Latin chimaperekedwa chomwe chikuwoneka ngati ichi:

• Rp: Insulini 6 ml (40 ED - 1 ml).
• Nthano zachabe No. 10.
• Jekeseni 10 ED (0.25 ml) pansi pakhungu katatu pa tsiku mphindi 20 musanadye.

Kodi zopanga insulin zabwino kwambiri ndi ziti?

Mankhwala a insulin amakono komanso omwe amagwiritsidwa ntchito masiku onse ndi awa:

• Chichewa. Awa ndi mankhwala abwino kwambiri. Amachepetsa shuga m'mphindi 15. Muli insulin yaumunthu. Sungani shuga wambiri kwa maola atatu,
• Gensulin N. Chithandizo chapakatikati. Amachepetsa shuga pambuyo ola limodzi pakatha maola 20. Malinga ndi malangizo, imakhala ndi zoyipa zochepa.
• Lantus. Uwu ndi mtundu wa mankhwala wokhalitsa. Zovomerezeka kwa maola 40.

Jakisoni wa insulin kapena mapiritsi: ndibwino bwanji?

Matenda a shuga amtundu woyamba amathandizidwa ndi insulin yokha. Odwala omwe ali ndi mtundu wachiwiri wa matenda angagwiritse ntchito mapiritsi kapena jakisoni.

Fomu ya kapisolo ndizosavuta kugwiritsa ntchito ndipo imapereka kuyang'anira kwa chilengedwe cha glucose. Nthawi yomweyo mapiritsi amakhudza kayendedwe ka chiwindi ndi impso.

Ndi kusankha kolakwika kwa mankhwalawo, pamakhala ngozi yotenga mtima. Zilonda pankhaniyi ndizotetezeka ndipo zimatha 100% kulowa m'malo mwa kapamba.

Makanema okhudzana nawo

About insulin chithandizo cha matenda a shuga a 1 ndi 2 mu kanema:

Chifukwa chake, shuga imathandizidwa ndi mapiritsi ochepetsa shuga kapena jakisoni wa insulin. Njira yoyamba ndi yoyenera kwa odwala amtundu wachiwiri. Chithandizo cha jakisoni ndiyo njira yokhayo yotumizira anthu omwe ali ndi mtundu woyamba wa matenda.