Iyo Inoshanda Sei uye Ndeapi Mhando Iripo
Kushandisa insulin inokurumidzira ndiyo iyo maitiro emakemikari akachinjwa kuitira kuti insulini inokurumidza kupinda muropa. Iko kushanduka kune chimiro chemakemikari ye insulini haipindi kukwanisa kwayo kuderedza shuga yeropa (glucose) asi inokanganisa muzinga iyo insulini inowanikwa. Kukurumidza-kuita insulin inopindira muropa mukati memaminitsi uye kune zvakawanda zvinogona kubatsira kune vanhu vane chirwere cheshuga.
Ndiani Anoda Kukurumidza Kuita Sululini?
Vanhu vose vane chirwere cheshuga cheshuga uye vamwe vanhu vane chirwere cheshuga cheshuga vanofanira kutora insulini kuitira kuti vashandise glucose kubva kune zvokudya.
Muchidimbu 1 chirwere cheshuga, izvi ndechokuti pancreas haisisiri insulin zvakare. Mukurudzi rwechipiri chirwere cheshuga, pancreas inoita insulini, asi miviri yavo haichazoitizve nayo, dzimwe nguva kuita injection ye insulini inokosha.
Vanhu vane chirwere cheshuga chechirwere chemhando 1 vanofanira kutora zvose basal uye bolus insulini. Basal insulin ndiyo inonzi insulin yakabva inowanzopiwa nepancreas uye iripo maawa makumi maviri nemasere, ingave kana munhu wacho anodya kana kuti kwete. Bolus insulini inoreva zvimwe zvikamu zve insulini iyo pancreas yaizoita nenzira inopindura glucose inotorwa kuburikidza nekudya. Nhamba yehutu insulini yakakonzerwa inoenderana nekukura kwekudya. Kukurumidzira-kuita insulin inorudzi rwehutu insulin.
Mhando dzeRaid-Acing Insulins
Iko kune ikozvino katatu inokurumidza uye inokurumidza kushanda insulin.
Yokutanga inowanzonzi lispro asi inotengeswa pasi pezita rokuti Humalog uye inogadzirwa naEli Lilly. Humalog ndiye mukuru kudarika vatatu vanoita nokukurumidza-kuita insulin uye yakange iri mune zvekutengeswa kubva muna 1966.
Chechipiri yekukurumidza-kuita insulin yakagamuchirwa neU.S. Food and Drug Administration muna 2000.
Iyi insulin inotakura zita rechizvarwa reA aspart asi inotengeswa pasi pezita rekuti NovoLog uye inobudiswa naNovo Nordisk.
Asi chetatu chekuita nekukurumidza-kuita insulin yakawedzerwa muna 2006. Inonzi insulin glulisine uye inonyatsozivikanwa nezita rayo rokuti Apidra . Inotengeswa neSanofi-Aventis.
Muna 2015, rumwe rudzi rwekukurumidza-kuita insulin rwakawanika muUnited States Inonzi insulin inhayisa nezita rinonzi Afrezza.
Kukurumidza-Kuita Sululini Inoshanda
Zvose zvitatu izvi zvinokurumidzira-kuita insulin zvinokurumidza kupinda muropa uye dzinotanga kushanda mukati maminitsi gumi nemashanu. Imwe insulini inosvika pakukwirira kwayo inenge awa imwe uye inoramba ichideredza shuga yeropa kusvika maawa mashanu. Izvi zvinokurumidza kushandiswa kwe insulini inobvumira munhu kuvhara kushandiswa kwekukurumidza-kuita insulin nguva isati yasvika kuti adye "kuvhara" kukwira mune shuga yeropa inowanikwa apo zvokudya zvinodyiwa. Nhamba yepamusoro yeawa imwe inopindirana nenguva iyo glucose inowanzoputika, ichikanganisa kuwedzera kwehuga yeropa.
Kutarisa, Peak, uye Nguva yakatarwa muTatu-Fast-Acting insulins
Heino misiyano mukutangira, kukwirira, nekureba pakati peizvi marudzi ekukurumidza-kuita insulin :
1. Zita rekugadzira: Novolog (zita rinoreva: aspart):
- Kutarisa: 5-15 maminitsi
- Peak action: 1-3 maawa
- Nguva yakatarwa: 3-5 maawa
2. Zita rekugadzira: Apidra (zita rechiito: glulisine):
- Kutarisa: 5-15 maminitsi
- Peak action: 30 minutes-90 minutes
- Nguva yakatarwa: 3-5 maawa
3. Zita rekugadzira: Humalog (zita rechiito: lispro):
- Kutarisa: 5-15 maminitsi
- Peak action: 30 minutes-90 minutes
- Nguva yakatarwa: 3-5 maawa
Kurumidza Kuita Sululini Mumapombi
Kukurumidza-kuita insulin inoshandiswawo mu insulin pamapu kupa chirwere chinoramba chichienderera mberi asi chakadzika che insulini. Izvi zvinoramba zvichiri kuitika ye insulini inowanzotumidzwa sebasal insulin uye ndiyo insulin inopfuurira iyo inofanirwa kuti itarisire kushanduka kwemazuva ose muhuga yeropa pakati pezvokudya uye panguva yekurara. Zvimwe zvikamu zvekukurumidza-kuita insulin zvinowanikwa panguva dzezvokudya (inonzi bolus insulini) kubvisa migumisiro yekukwira glucose kubva pane zvauri kudya.
Sources:
Insulin. American Diabetes Association. "Mutengi weGwaro reVatengi 2011." Chirwere cheshuga Chirevo, January 2011, Vol, 64, Nha.
Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Mhando dzeIndulini." Chirwere Cheshuga Kuzvibata, 2009.