Kana uine chirwere cheshuga cheshuga , zvichida uchitoziva kuti mararamiro ane hutano - kusanganisira kudya, kuedza muviri uye kurerutsa-chikamu chakakosha chekurapa kwako. Iwewo unogona kudiwa kutora mishonga yemuromo, pamwe chete nemishonga kana kusanganiswa kwemishonga. Kana chirwere chako chechirwere cheshuga chisina kunyatsochengetedzwa pamuromo wemishonga, iwe unogona kutora insulini.
Insulin Inoshanda Sei?
Insulin inobatsira kuchengetedza huwandu hwehuga hweropa mukati mehutano hwakanaka nekufamba glucose kubva muropa rako mumasero emuviri wako. Masero ako zvino anoshandisa glucose simba. Vanhu vasina chirwere cheshuga vanoita zvakakwana zve insulini pachavo.
Kana uine chirwere cheshuga cheshuga, unogona kutora mazinga ako eushuini uye shuga yeropa nemishonga yemuromo . Zvisinei, vamwe vanhu vane chirwere cheshuga cheshuga havakwanisi kudzora shuga yavo yeropa nemishonga yemuromo chete uye vanoda kuwedzera insulin majekesiti kumushonga wavo.
Ndinotora Sei Insulini?
Iwe unoda kudzidza kudzidzira iwe ne insulin, iyo iwe unogona kutora imwe kana dzimwe nguva zuva rega rega. Chiremba wako kana mukoti wechirwere cheshuga anogona kukubatsira kuti usarudze nzira ipi yekutora insulini yakakunakira iwe uye ichakudzidzisa nzira yekuzvidzivirira iwe pachako .
Kutora injini. Iwe uchazvipa iwe pfuti uchishandisa nete nesirinhe. Chiremba wako kana mukoti achakuratidza kuti ungawana sei zvakakwana zve insulini mujinga uye kuti ungaiisa sei pasi peganda rako.
Vamwe vanhu vanoshandisa insulini peni, iyo inotaridzika sepeni asi ine nheyo yeyoti iyo uye inoshandiswa neyakakwana ye insulini.
Kushandisa insulin jet injector. Ichi chigadzirwa, icho chinoratidzika sepeni huru, chinotumira tsvina yakanaka ye insulini kuburikidza neganda rako nepamusoro-mhepo panzvimbo pane nete.
Achishandisa insulini pombi. An insulini pombi ikamu kadiki iwe unogona kupfeka kunze kwemuviri wako pane bhanhire kana muhomwe. Iyo pombi inobatanidza nekapurasitiki yepurasitiki uye chiduku chiduku chinowanikwa pasi peganda rako uye chinogara kwemazuva mazhinji. Mushonga unoputira insulin kuburikidza nehutu mumuviri wako.
Ndirini Ndinofanira Kutora Insulini?
Chiremba wako achakurudzira purogiramu yako iwe inokuudza nguva uye kuti insulini yakawanda inotora sei. Purogiramu yako inobva pane yerudzi rwe insulini yaunoshandisa uye zuva rega rega, kusanganisira paunodya kudya kwako uye sei uye paunenge uchishandisa.
Vamwe vanhu vane chirwere chechirwere cheshuga 2 vari kutora mishonga yemuromo vangangoda bundu rimwe chete re insulin zuva rimwe nerimwe. Vamwe vangada insulin injini mbiri, katatu, kana kana kane pazuva kuti vasvike muropa ravo reglucose.
Ndeapi Marudzi Anonzi Insulin Aripo?
Mhando imwe neimwe ye insulini inoshanda pane imwe nguva. Mhando dzakasiyana dze insulini dzinowirirana nekureba kwenguva yakaita sei mumuviri wako.
Somuenzaniso, nokukurumidza-kuita insulin inotanga kushanda mukati maminitsi gumi nemashanu mushure mekunge maitora uye inoshanda kwemaawa matatu kusvika mashanu. Nguva refu-kuita insulin inotanga kushanda mukati memawa imwe mushure mokunge iwe uchitora uye inoshanda maawa anenge makumi mana. Vamwe vanhu vane rudzi rwechipiri chirwere cheshuga vanoda maviri kana kupfuura marudzi e insulini kuti vasvike muropa ravo rekuisa glucose.
Mhando imwe neimwe ye insulin inotanga, kutanga, uye nguva yenguva.
- Kutanga ndiko kuti insulin inotanga kushanda sei kuderedza shuga yako yeropa mushure mokunge uirayire iyo.
- Nhamba yepamusoro ndiyo nguva iyo insulini iri kushanda zvakaoma kuderedza shuga yako yeropa.
- Nguva yacho ndeipi iyo insulin yakareba kwenguva yakareba sei mumuviri wako - nguva yakawanda inoramba ichideredza shuga yako yeropa.
Nokuti munhu mumwe nomumwe ane chirwere cheshuga chechipiri chakasiyana, kutanga, peak, nekureba kwenguva zvingave zvakasiyana. Dhiyabhorosi yako yekutarisira utano hwehutano ichashanda newe kuti uuye neurongwa hwe insulin inoshanda zvakanaka kwauri.
Izvi zvinotevera ndezvimwe zvinowanzogadzirwa zve insulin:
Kurumidza-kuita insulin
Kutarisana: Maminitsi mashanu kusvika ku15
Peak: Maminitsi 30 kusvika ku90
Nguva yakatarwa: 3 kusvika maawa mashanu
Mienzaniso:
- Apidra (insulin glulisine)
- Humalog (insulin lispro)
- NovoLog (insulin aspart)
Kushanda-kuita insulin
Kutarisana: Maminitsi makumi matatu nemakumi matanhatu
Peak: 2 kusvika 4 maawa
Nguva yakatarwa: 5 kusvika ku8 maawa
Mienzaniso:
- Humulin R (nguva dzose insulin)
- Novolin R (nguva dzose insulin)
Yakapindira-kuita insulin
Kutarisa: 1 kusvika kuawa 3
Peak: 8 maawa
Nguva yakatarwa: 12 kusvika ku16 maawa, asi inogona kuramba kwenguva yakareba maawa makumi maviri nemaviri
Mienzaniso:
- Humulin N (NPH insulin)
- Novolin N (NPH insulin)
Nguva refu-kuita insulin
Kutarisa: 1 awa
Peak: hapana peak
Nguva Yakareba: 20 kusvika kumaawa makumi mana
Mienzaniso:
- Lantus (insulin glargine)
- Levemir (insulin detemir) (iyi mishonga inoderedza doro kuitira kuti igare kwenguva shoma seawa 6)
Pre-mixed-insulin
Sezvo vamwe vanhu vane chirwere cheshuga vachida kutora mhando mbiri dzakasiyana dze insulin kuti dzishandise shuga yavo yeropa, zvinosanganiswa zvepakati--kuita insulin inobata uye kushandiswa kwekukurumidza-kuita insulin kana kuti insulin shoma shoma inowanikwa.
Kutarisana: Maminitsi mashanu kusvika ku60
Peak: yakasiyana
Nguva yakatarwa: maawa 10 kusvika ku16
Mienzaniso:
- 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)
Ndezvipi Zvikamu Zvakawirwa neIndulin?
Zvinokonzerwa nemigumisiro yechirwere ye insulini inosanganisira:
- humbly blood glucose (hypoglycemia)
- kurema kuwanikwa
Kubatanidzwa kwe insulin neminwa yemuromo inoshandiswa kubata chirwere chechirwere cheshuga inowedzera ngozi yako yehuga yakaderera ropa kunyanya kana iwe uchishandisa zvishoma kupfuura nguva dzose kana iwe wakaderera, wakanonoka, kana wadya zvishoma.
Nhengo yeboka renyu rehuga rehuga richaongorora zviratidzo zvehuga hwepasi shoma pamwe newe uye ichakudzidzisa pamusoro pezvinhu zvaunofanira kuita apo shuga yako yeropa iri pasi.
Pamusoro pekupedzisira, kana iwe uri kutora insulini yehuga, iwe unogona kuongorora kushandisa teknolojia itsva inonzi yakasimba glucose monitoring (CGM). Kazhinji, vanhu vanotora insulini yechirwere chechipiri (kana kuti chikwata 1) chirwere cheshuga chinofanira kuita maverengeka asinganzwisisiki neminwe inoshandiswa zuva kuti aongorore mazinga eropa glucose. CGM iyo inogadziriswa iyo inoramba ichitarisa maitiro eropa mushuga pasina chidikanwi chemazuva akawanda eminwe. Zvisinei, pakati pematatu neminwe zvigunwe zvigunwe zvinenge zvichiri kudiwa kuti zvinyatsogadzirwa nemichina.
Kushandiswa kweCGM kunobatsira kuchengetedza mazamu eropa rako rega rega panguva yausingazokwanise kuongorora mazinga ako eglucose, zvakadai seanenge akarara kana uchiri kushandisa. Uchishandisa ruzivo urwu, chiremba wako anogona kugadzirisa insulin yako madhairi kuti ave nani kuratidza zvido zvako uye kupa zviri nani kugadzirisa chirwere. CGM inokurudzirwa nemasangano akasiyana-siyana eeshuga uye dzimwe nguva yakafukidzwa nenishuwarenzi. Kana uchida, tapota bvunza chiremba wako nezveCGM.
Sources
Kuramba Glucose Monitoring. www.niddk.nih.gov.
Diabetes Mishonga. National Diabetes Information Clearinghouse. Svondo 2006. https://www.niddk.nih.gov/health-information/diabetes/diabetes-medicines