Insulin yeChipiri 2 Chirwere cheshuga
Insulin inogona kuva chimwe chinhu chaunoshamwaridzana nemhando yechirwere cheshuga, asi kwete chechipiri. Chaizvo ndechokuti, iwe paunenge uine makore, pancreas yako inogona kunyanya kuneta, uye masero e beta anoita insulini (hormone inobatsira kuisa mushuga weropa ) inogona kufa kana kuve yakasviba. Kana izvi zvikaitika, nekufamba kwenguva, kutarisa shuga yako yeropa nekudya, maitiro, uye mishonga yemuromo chete haisi kukwana kuti utarisire rudzi rwako rwechirwere cheshuga nekubudirira.
Izvozvo zvinoreva kuti iwe unoda kutora insulini inonzi manmade.
Iwe unogonawo kudiwa insulin kana ropa rako sutu rakanyanya kunyanya kuongororwa, kana iwe wakanyanya kupikisa insulini, kana iwe usingakwanisi kudzora shuga yako yeropa nemushonga wemuromo, kudya, uye chiito chekuita. Zvichienderana nemamiriro ako ezvinhu, iwe unogona kunge uri pa insulin kwenguva pfupi kuti uite sendipa yeropa. Vamwe vangada kuitora kwenguva refu.
Munhu wese ane chirwere cheshuga chirongwa chinokonzerwa nezvinodiwa. Kana iwe uri kutanga insulini, kurukura kuti nei zvichikurudzirwa, rudzi rwuri rwuri kutora kutora, uye kuti ungarishandisa sei nemupiki wako wehutano.
Chii Chinonyatsoita Insulin?
Insulin inowanzoita mabasa mazhinji, asi iyo inonyanya kukosha ndeyokubatsira kushambadzira shuga yeropa. Inokurudzira kubvisa shuga kubva muropa kusvika mumasumbu, chiropa, uye mafuta masero, iyo inoshandiswa kugadzirwa kwemagetsi kana kuchengetwa mune zvinodiwa zvemazuva anotevera.
Apo patinodya makhahydrates, pancreas inokanda mutoro mukuru we insulini kuunza pasi shuga yedu yeropa. Uye patinenge tiri zororo, pancreas inobudisa shoma shomanana zuva rega roga kuchengetedza suga yega yakasimba.
Vanhu vasina chirwere cheshuga vanoita kuti muviri wakakwana we insulini uchengetedze shuga yeropa pachavo. Vanhu vane chirwere cheshuga, zvisinei, havana kukwanisa kuita izvozvo. Dzimwe nguva, vanhu vane chirwere chechirwere cheshuga 2 vanogona kudzora ropa ravo mashuga nemishonga yemuromo , kudya, uye kurovedza muviri. Dzimwe nguva, vanoda kutora insulin yakareba-inobata, nguva yekudya ye insulin , kana kusanganiswa kwezvose kuti basa riitike.
Ndeapi Marudzi Anonzi Insulin Aripo?
Kune marudzi akasiyana-siyana e insulini anowanikwa:
- Nguva refu-kuita insulin
- Kurumidza-kuita insulin
- Short acting insulin
- Yakapindira-kuita insulin
- Mixed insulin
Mhando imwe neimwe ye insulini inogadzirwa nokuda kwechinangwa chaicho. Zvimwe zvinoreva kuderedza shuga mushure mekudya, vamwe kuvhara shuga muropa zuva rose, uye zvimwe zvakasikwa kuita zvose zviri zviviri. Dzimwe nguva vanhu vanoda kutora inshuini imwechete. Dzimwe nguva, vanhu vanoda kutora mhando mbiri. Insulini inopesana nekutanga (zvinotora nguva yakareba sei kuti insulini itange kushanda mushure mekuyiisa iyo), nhepfenyuro (apo insulini iri kushanda yakasimba kwazvo kuderedza shuga yako yeropa), uye nguva (nguva yakareba sei insulini inotora mumuviri wako).
Vamwe vanhu vane chirwere cheshuga vanoda kutora maitiro maviri akasiyana eesulin kuti vatarise shuga yavo yeropa. Kana vasingakwanisi kushandisa mapepa maviri akasiyana (kana mamwe maitiro ekutakura), mishonga yepakati-inobata insulin uye kana inokurumidza-kuita insulin kana kuti insulin shoma-inopinda inowanikwa. Iwe haugoni kusanganisa kwenguva yakareba-kuita insulin nekukurumidza-kana kuti kwenguva pfupi insulin inomusanganisi umwe. I-insulin yakagara isanganiswa haisi iyo nzira inonyanya kutendwa yekudzora shuga yeropa, asi ndiyo imwe nzira yokutora majekiseni akawanda uye zvichida nyore kune avo vakwegura kana vasingakwanisi kunyatsoziva maitiro maviri akasiyana eesululin injections. Aya maitiro e insulini haasi mikana yakanaka yevanhu vanokamba kudya kana vane zvirongwa zvekudya zvisina kukodzera.
Chiremba wako achakuudza iwe kuti ndeupi rudzi rwe insulini iwe unoda kutora uye nei. Dzimwe nguva chirongwa chako che inshuwarisi chinosarudza rudzi rwakasiyana rwe insulin. Kana mari yako ye insulini yakakwirira kwazvo, unogona kuongorora neinishuwarenzi yako kuti uve nechokwadi chokuti uri kutora insulin inosarudzwa.
Heano mamwe marudzi akasiyana e insulin uye kuti anoenzanisa sei:
| Rudzi rweIndulin | Onset | Peak | Nguva | Mienzaniso |
|---|---|---|---|---|
| Kurumidza-kuita insulin | 10 kusvika kumaminitsi makumi matatu | 30 kusvika kumaminitsi 90 | 3 kusvika maawa mashanu | Apidra (insulin glulisine) Humalog (insulin lispro) NovoLog (insulin aspart) |
| Kushanda-kuita insulin | 30 kusvika kumaminitsi makumi matanhatu | 2 kusvika maawa mashanu | Kusvikira maawa gumi nemaviri | Humulin R (nguva dzose insulin) Novolin R (nguva dzose insulin) |
| Yakapindira-kuita insulin | 1.5 kusvika 4 maawa | 4 kusvika kumaawa gumi nemaviri | 12 kusvika ku16 maawa, asi inogona kugara kwenguva yakareba nemaawa makumi mana nemaviri | Humulin N (NPH insulin) Novolin N (NPH insulin) |
| Nguva refu-kuita insulin | 1 awa | minimal | 20 kusvika ku24 maawa | Lantus (insulin glargine) * Levemir (insulin detemir) Toujeo (lantus iri mukati mavo) ** Tresiba (insulin degludec) |
| Mixed insulin | 5 kusvika kumaminitsi makumi matanhatu | inofanana | 10 kusvika ku16 maawa | Humalog 50/50 (50% pakati pemakore-50 + 50% nokukurumidza-kuita) Humalog 75/25 (75% mukati-kati-acting + 25% nokukurumidza-kuita) Humulin 50/50 (50% iri pakati-inoshanda + 50% pfupi-kuita) Humulin 70/30 (70% iri pakati-inoshanda + 30% pfupi-kuita) Novolin 70/30 (70% mukati-acting + 30% pfupi-kuita) NovoLog 70/30 (70% iri pakati-kuita + 30% nokukurumidza-kuita) |
* Mishonga iyi inogona kuve yakasiyana-siyana inogara kwenguva yakareba mumuviri; vanhu vari pamatokisi makuru vangada kutora majekiseni akawanda.
** Zvimwe zvidzidzo zvinoratidza kuti unogona kusiyanisa majekiseni epanguva iyi nemishonga uye uchiri nehutano hwehuga hwemashuga.
Ndinotora Sei Insulini?
Insulin inogona kuponeswa kuburikidza nemhando dzakasiyana-siyana dzemashandisirwo. Yakawandisa kune vanhu vane chirwere cheshuga chechipiri chinoshandiswa mazuva ano chinonzi insulini peni. Zvimwe zviyero zvinosanganisira vial and syringe, insulin pump, insulini patch pump, uye inhaled insulin.
Insulini pen: An insulini peneni isimbi inoshandiswa kuunza insulini kushandisa shoma duku, inogona kushandiswa . Pini inogona kushandiswa kutakura zvakasiyana-siyana zvekuita nekukurumidza kuita insulin maitiro, pamwe ne premixed insulin formulations. Vanodanwa nezita ravo nokuti vari maererano nehukuru uye chimiro chepeni.
Peni inogona kunge yakanyatsozadzwa ne insulin (idzi dzinogona kuraswa) kana iwe unogona kurongerwa peni inodzokorora. Kana uine peni inogadziriswa, unofanirwa kuitakura ne cartridge ye insulin (inotengeswa zvakasiyana mumabhokisi emakadhiridhi mashanu). Zvichienderana nehukuru hwemasero ako, cartridge inogona kukupa insulin yakawanda kuti igare kwemazuva mashoma ejojo. Apo iyo cartridge isina chinhu, iwe unorashira kure uye utakure karajiri itsva. Paunenge wapedza nekadhi inonzi insulin ipeni, unongorashira kunze.
Usati warova iwe ne insulini, unofanira kusunga nheyo. Iwe unofanirwa kushandisa shandi itsva yejoi imwe neimwe. Zvose mapepa zvisiri kushandiswa zvinofanira kuva firiji. Kana uchinge wazarura peni uye ukatanga kuishandisa, unogona kuichengeta kunze kwefriji. Zviremba zvizhinji zvinopera mazuva anenge 28 kusvika ku30, zvichienderana nepeni (nguva dzose uverenge peji inowanikwa). Chinangwa chekudzivisa kuvhara mapeji kune kutonhora kwakanyanyisa uye kuve nechokwadi kuti iwe unodzinga zvose zvinoshandiswa mukati kana mudziyo wezvokuputira kana chigwaro chekuvhara. Bvunza mudzidzisi wako ane chirwere cheshuga kana kuti chiremba kuti adzidzise kuti iwe unyore zvakanaka insulin yako dose.
- Insulin Injection-Ziva Sei
- Nzira Yokuchengetedzeka Nayo Zvakachengetedzwa Nekutsvaira Kudzivirira Kukuvara Nezvirwere
Vial nesirinesi: Insulin inogona kugoverwa kuburikidza nehuta kana girasi duku. Mishonga inopesana muhuwandu hwehutachiwana hwavanobata, uyewo kuti yakareba sei uye netare ndeyei. Iwe uchaisa sora yako (kana sirineni) muchigodo kuti ubvise insulin yakakwana. Chiremba wako, mukoti, kana mudzidzisi ane chirwere cheshuga anokwanisa kukuratidza kuti ungaita sei izvi. Izvi dzimwe nguva zvinogona kuva zvakaoma kune vanhu vane nyaya dzakashata kana vanhu vakwegura vane nguva yakaoma yekuverenga nhamba shomanana. Pane urongwa hwekuita izvi; kana zvisina kuitwa zvakanaka, unogona kukwevera kuipa kwe insulini, iyo inogona kuchinja ropa rako sutu.
Insulin pump: An insulin pump inomiti, iyo inoshandisa pager-size device iyo inopa chirwere chinoramba chiine insulin kuburikidza ne cannula kuvhara nheyo yako yekutanga kana kuti inonzi insulin yakadzama. Inogonawo kutumira insulini kuvhara nguva yako yekudya ushuga, iyo inonzi inoshandiswa . Kuti vanhu vane chirwere cheshuga 2 vakwanise kuwana insulin pump, vanoda kusangana zvakanakira.
Insulin patch pump: An insulin patch pump ndiyo inotakura, isina hutachiwana, inokonzerwa ne insulini inoshandiswa nzira (kufanana nepombi duku). Iyo yakajeka zvikuru muhomwe, inenge 0,7 kusvika ku8,8 ounces, uye yakareba masendimita masere, 1.3 masendimita yakafara uye hafu yema inchi yakareba. Yakagamuchirwa neHove and Drug Administration (FDA) muna 2010 uye yakatengeswa muUnited States kubvira muna 2012. Inoshanda zvakafanana kune insulin pombi pakuti inopa huwandu hunoramba huripo hweasalin muawa 24 uyewo rinopa bolus insulini (insulin inobatsira kufukidza mushure mekudya kweropa sutu). Iyo inouya mumhando dzakasiyana-siyana.
Inhaled insulin: Afreeza inokurumidza kushandisa insulin inoshandiswa kuderedza nguva yekudya sutu yeropa. Hazvikurudzirwi kune vanhu vanosvuta. Izvi zvakakonzera insulini hazvirevi nguva dzose, sezvo inodhura uye inogona kungobudisa zvine, masere, nemaviri 12 kana insulin panguva imwe, izvo zvingave zvisingagoneki kune avo vari kunyanya kusanyanya insulini.
- Afreeza Insulin Powder
Ndirini Ndinofanira Kutora Insulini?
Nguva ye insulini inobva pane zvinhu zvakasiyana-siyana, kusanganisira rudzi rwe insulini yaunotora, nhamba yako yehuga yeropa uye zvinangwa , uye purogiramu yako yekudya. Vamwe vanhu vane chirwere chechirwere cheshuga vanongoda kutora jekisi rimwe pazuva, asi vamwe vanogona kutora majekiseni akawanda eutachiini kuti vawedzere ropa ravo. Chiremba wako achakurukura newe iwe majekiseni mangani aunoda zuva rega uye paunofanira kuatora kuti usvike kune chinangwa chako cheshuga yeropa. Kana iwe usingambogutsikani, bvunza.
Chii Chinokonzera Matambudziko Acho eEndulin?
Iyo huru yechirungu yehutu ye insulini ine shuga shoma yeropa, inozivikanwa se hypoglycemia . Sirasi shoma yeropa inogona kuitika kana iwe ukatora insulin yakawandisa, kana iwe ukatora insulini uye urovedza kwenguva yakareba, kana iwe ukatora insulini usina kudya zvakakwana (kana zvachose). Sirasi shoma yeropa inotsanangurwa se shuga yepasi pe 70 md / dL. Zviratidzo zvemashuga epasi mashoma zvinosanganisira kunetseka, kuputika, kuvhiringidzika, uye chizuru.
Zvakakosha kuziva nzira yekugadzirisa shuga shoma yeropa. Kana gorosi rako rega riri shoma, ritore ne 15 gramu wekukurumidza kuita carbohydrate, zvakadai seounces mana ejusi, mahwendefa mana emaglucose, mafuta mashanu akaoma, kana masere anoverengeka emukaka. Dzokorora tsvaga yako yega uye uone kuti yakasvika pamusoro pe 70mg / dL. Kana zvisiri izvo, dzokorora mushonga. Kana yakasimuka, iwe unogona kuva nehomwe duku nekatehydrate uye mapuroteni kuti urege kudzika zvakare. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge utsi hweropa, unofanirwa kuonana nemutengi wako wehutano. Iwe unogona kudikanwa kuchinja insulin yako dose.
Imwe yechipfuva yechirungu ye insulini inorema pfuma. Insulin inonzi hormone inoderedza mafuta. Dzimwe nguva, apo ropa rako rega rinokurudzirwa uye rinotanga kumira, muviri wako unotanga kushandisa glucose uri kuidya uye iwe unogona kuwanda. Iwe unogonawo kuwedzera uremu kana iwe uri pane zvakawanda zve insulini. Nzira yakanakisisa yekuedza kusimbisa uremu hwako ndeyekuedza kudya kudya kwakanaka uye kurovedza muviri.
Imwe insulini inogona kuva nemimwe migumisiro yakafanana nekugadzirisa pane nzvimbo yejojo. Iva nechokwadi chekuverenga mishonga inopinza mishonga uye kurukura nemigumisiro yezvimwe insulin yakakwana pamwe nemupi wako wehutano.
Shoko Rinobva
Kutanga insulin kunogona kutyisa, asi inongova nzira yemuviri yekukuudza kuti inoda rubatsiro. Ungave uchitanga insulin yakareba-inobata, nguva yekudya insulin, kana imwe imwe sangano ye insulini, kana uchinge wawana zororo rezvinhu, unoona kuti hazvisi zvakaoma kana kuti zvinotyisa sezvawaimbofunga. Uye kana iwe uchinge uine shungu, inogona kukunyaradza kuziva kuti nheyo dzemazuva ano dzakaonda uye dzakapfupika. Kuchinja kunogona kuoma, asi iwe unogona kuzviita.
> Sources;
> American Association of Diabetes Educators. Insulin Injection-Ziva Sei. https://www.diabeteseducator.org/docs/default-source/legacy-docs/_resources/pdf/general/Insulin_Injection_How_To_AADE.pdf
> Joslin Diabetes Center. Insulin AZ: Mutungamiri weMhando dzakasiyana dzeIndulin. http://www.joslin.org/info/insulin_a_to_z_a_guide_on_different_types_of_insulin.html
> Novo Nordisk. Tresibs. http://www.novo-pi.com/tresiba.pdf
> Sanofi -Aventis. Toujeo. http://products.sanofi.us/Toujeo/Toujeo.pdf