Kuti unzwisise chikamu chezvinhu zvose zviri zviviri uye basus insulin, zvinokosha kutanga kutanga kunzwisisa kuti muviri unoshandisa sei glucose uye insulin.
Apo zvokudya zvinodyiwa, zvinodyiwa uye zvinoshandurwa kuva glucose (shuga) saka inogona kushandiswa simba. Zvinenge masero ose mumuviri, kusanganisira uropi hwako, inoda glucose kuti iite zvakanaka. Iyo hormone insulin inodiwa kutakura iyo glucose mumasero muzvikamu zvose zvemuviri kuitira kuti ishandiswe simba.
Mamwe aya glucose akachengetwa mukati mechiropa sevhareti yemafuta (inonzi glycogen) iyo inosunungurwa apo glucose haisipo kuburikidza nekudya. Saka, pakati peglucose inopedzwa kuburikidza nezvokudya uye izvo zvishoma nezvishoma zvinosunungurwa kubva pachiropa, muviri unowana nguva dzose glucose. Izvi zvinoreva zvakare kuti panofanira kuve nekugara kuripo kwe insulini mumuviri kuchengetedza huwandu hweglucose yakaenzana.
Sezvo mamwe glucose anobudiswa mushure mekudya, pancreas inovanza insulin yakawanda. Kana huwandu hwehuga huri pasi, hwakadai pakati pekudya kana usiku, pane insulin shoma inodiwa - asi pane nguva dzose zvishoma nezvishoma insulin inowanikwa mumuviri nguva dzose.
Kusarudzira Basal uye Bolus Insulin
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.
Mune munhu ane chirwere cheshuga chechirwere chepabonde , pancreas haisati yashandisa insulin pasinei nekudya kweglucose. Maseja e beta anobudisa insulini akawanda akavhara. Zvose zviri pasi, kana kuti kwenguva refu kwenguva refu insulin, uye bolus, kana kuputika nokukurumidza kwe insulini inodiwa panguva dzezvokudya, inofanira kuwanikwa kuburikidza nemakisiko kana insulini pombi kuitira kuti iite zvose glucose inotorwa kuburikidza nekudya kana kusunungurwa nechiropa .
Mhando dzeBasal uye Bolus Insulins
Nguva yakareba-yakashandisa insulin yakadzika, yakadai seNPH, Levemir, uye Lantus, inotanga kushanda mumaawa maviri asi inosunungurwa zvishoma kuitira kuti inokwanisa kupedza kusvika maawa makumi maviri nemana, ichipa iyo insulin yakabva inodiwa inenge yakatarisana neawa .
Kutsanya-kuita bhutu insulin, yakadai seNovoLog, Apidra, Humalog, uye Nguva dzose, kazhinji inotanga kushanda mumaminitsi gumi nemashanu. Izvo zvinowanzoitwa nguva dzose, izvo zvinotanga kusvika kwemaminitsi makumi matatu. Chimwe nechimwe chezviki insulin yakagadzirirwa kutorwa nguva isati yasvika uye inenge yakareba kusvika maawa mashanu eCovoLog, Apidra, uye Humalog, uye maawa manomwe echiitiko.
Izvi zvinoreva kuti munhu ane chirwere cheshuga chechirwere chepabonde anofanira kutora majekiseni akawanda e-bolus insulin zuva roga roga kuti afukidze zvokudya zvavo uye kudya, pamwe chete nehana yebasal kuitira kuchengetedza insulini yakabva.
Basal uye Bolus Insulini NeApulin Pumps
Munhu anoshandisa insulini pombi yaiwanzogadzirisa chirwere chinogara chiripo chekuita-kushanda insulin iyo inogona kuita seasalal background insulin. Pamberi pekudya, mushandi wepombi aizopa mukana mukuru wekushanya-insulin yekuvhara kudya kwekudya. Izvi zvinogutsa zvose zvinyorwa uye bhousi zvinoda kushandisa zvakafanana kushandisa insulin.
Chero kujowa nesironho kana kushandisa insulin pump, chaiyo dosing uye rudzi rwe insulini (s) inoshandiswa ingarongororwa nehutano hwehutano.
Sources
- Insulin. American Diabetes Association. "Mutengi Wechirongwa 2011." Chirwere cheshuga Chiitiko , January 2011, Vol, 64, Nha.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Marudzi eUndulini." Diabetes Self-Management , 2009.
- Newton, C, MD. "Nei Basal-Bolus Therape Insulin Inogona Kuva Izvo Zvakanakisisa Chechipiri Chechirwere Cheshuga." Dhiyabhorosi Utano , November 27, 2007.