Insulin yochepa yaumunthu imayamba kuchita mphindi 30-45 pambuyo pa jekeseni, ndi mitundu yaposachedwa ya ultrashort ya insulin Humalog, NovoRapid ndi Apidra - ngakhale mwachangu, pambuyo pa mphindi 10-15. Humalog, NovoRapid ndi Apidra si inshuwaransi yaumunthu, koma ma analogues, omwe amasinthidwa, amawongolera poyerekeza ndi insulin yaumunthu yeniyeni. Chifukwa cha kachitidwe kawo kosinthika, amayamba kutsitsa shuga m'magazi mofulumira atalowa m'thupi.
Ma Ultrashort insulin anime adapangidwa kuti azitha kupanikiza msana shuga wamagazi omwe amapezeka pomwe wodwala matenda ashuga akufuna kudya chakudya champhamvu kwambiri. Tsoka ilo, malingaliro awa sagwira ntchito, chifukwa shuga amadumpha kuchokera ku zinthu zoletsedwa ngati misala. Ndi kukhazikitsidwa kwa Humalog, NovoRapid ndi Apidra, timapitilizabe kutsatira zakudya zamagulu ochepa. Timagwiritsa ntchito mankhwala a insulin oti insulin ingachepetse shuga kuti ikhale yokhazikika ngati ilumpha mwadzidzidzi, komanso mwa apo ndi apo pamikhalidwe yapadera musanadye, ndikakhala osavomerezeka kudikirira mphindi 40-45 musanadye.
Jekeseni wa insulin yochepa kapena ya ultrashort musanadye chakudya chofunikira kwa odwala omwe ali ndi matenda amtundu wa 2 kapena shuga, omwe ali ndi shuga yayikulu magazi atatha kudya. Amaganiziridwa kuti mukutsatira kale zakudya zamagulu ochepa, ndipo mwayesanso mitundu iwiri ya mapiritsi a shuga, koma njira zonsezi zangothandizapo pang'ono. Dziwani zambiri zokhudzana ndi matenda amtundu wa 2 komanso matenda amitundu iwiri. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, monga lamulo, zimapangitsa kuti ayesetse kumangopangiridwa ndi insulin yowonjezera, monga momwe amafotokozera m'nkhaniyi kuti "Insulin Lantus ndi Glargin yowonjezera." Medi-NPH-Insulin Protafan. " Mwina kapamba wanu wa insulin yemwe amakhala nthawi yayitali amapuma bwino ndipo amalumikizana kwambiri kotero kuti amatha kuzimitsa m'magazi a magazi mukatha kudya, popanda jakisoni wowonjezera wa insulin musanadye.
Mulimonsemo, lingaliro lomaliza la insulin yoyenera kugwiritsira ntchito, nthawi yayitali ndi mankhwala ati, omwe amatengedwa ndi zotsatira za kudziwunika kwathunthu kwa shuga kwa masiku osachepera 7. Njira yothandizila ya mankhwala a insulini imangokhala payekha. Kuti apange, adotolo ndi wodwalayo ayenera kuyesa kwambiri kulembera odwala matenda ashuga omwewo kulandira jekeseni wa 1-2 wa insulin tsiku lililonse. Tikukulimbikitsani kuti muwerenge nkhaniyi: “Ndi mtundu wanji wa insulini kuti mupeze jakisoni, munthawi yanji komanso mukutulutsa chiyani. Njira za matenda a shuga 1 ndi matenda ashuga a 2. ”
Momwe mungachiritsire matenda ashuga okhala ndi insulin yochepa kapena yapamwamba kwambiri
Ultrashort insulini imayamba kugwira ntchito thupi isanakhale ndi nthawi yolowa mapuloteni ndikusintha ena mwa iwo kukhala glucose. Chifukwa chake, ngati muli pa chakudya chochepa chamafuta, insulin yochepa ndiyabwino musanadye kuposa Humalog, NovoRapid kapena Apidra. Insulin yochepa iyenera kuperekedwa kwa mphindi 45 musanadye. Ino ndi nthawi yoyenera, ndipo wodwala aliyense yemwe ali ndi matenda ashuga amafunika kumafotokozera yekha payekha. Momwe mungachite, werengani apa. Kuchita mwachangu kwamtundu wa insulin kumatenga pafupifupi maola asanu. Ino ndi nthawi yeniyeni yomwe anthu nthawi zambiri amafunikira kuti apake chakudya chomwe amadya.
Timagwiritsa ntchito mankhwala a "cellash" a "cell" mwadzidzidzi kuti muchepetse magazi msanga ngati angodumpha mwadzidzidzi. Mavuto obwera chifukwa cha matenda ashuga amakula pomwe magazi amakwezedwa. Chifukwa chake, timayesetsa kutsitsa kuti zikhale zabwinobwino mwachangu, ndipo kwa insulini yocheperako ndiyabwino kuposa yochepa. Ngati muli ndi matenda amtundu wachiwiri wa shuga, ndiye kuti, shuga wokwera msanga amakhala yekha, ndiye kuti simukufunika kuti mupeze insulin yowonjezera kuti muchepetse. Kungoyang'anira shuga kwathunthu kwa masiku angapo otsatizana kumathandizira kumvetsetsa momwe shuga ya magazi imakhalira mwa wodwala yemwe ali ndi matenda ashuga.
Mitundu ya insulin yochepa kwambiri - imachita zinthu mwachangu kuposa aliyense
Mitundu ya insulashort ya insulini ndi Humalog (Lizpro), NovoRapid (Aspart) ndi Apidra (Glulizin). Amapangidwa ndi makampani atatu osiyanasiyana azachipatala omwe amapikisana nawo. Insulin yochepa yachizolowezi ndi yaumunthu, ndipo ultrashort - awa ndi fanizo, i.e., osinthidwa, otukuka, kuyerekeza ndi insulin yeniyeni ya anthu. Kusintha kuli potengera kuti amayamba kutsitsa shuga wamagazi ngakhale mofulumira kuposa amfupikitsa - mphindi 5 mpaka jakisoni.
Ultrashort insulin analogue adapangidwa kuti achepetse kuchepa kwa shuga m'magazi pomwe munthu wodwala matenda ashuga akufuna kudya chakudya champhamvu kwambiri. Tsoka ilo, malingaliro awa sagwira ntchito. Zakudya zopatsa mphamvu, zomwe zimamwe nthawi yomweyo, zimakulitsa shuga m'magazi mwachangu kwambiri kuposa momwe insulin yaposachedwa kwambiri imatsikira. Ndi kukhazikitsidwa kwa mitundu yatsopanoyi ya insulin pamsika, palibe amene wathetsa kufunika kotsatira zakudya zamagulu ochepa ndikutsatira njira zamagulu ochepa. Inde, muyenera kutsatira regimen pokhapokha ngati mukufuna kuwongolera shuga komanso kupewa zovuta zake.
Ngati mutsatira zakudya zamafuta ochepa a 1 kapena 2 shuga, ndiye kuti insulin yayifupi ya anthu ndiyabwinobwino jakisoni musanadye kuposa anzanu apamwamba ochepa. Chifukwa odwala omwe ali ndi matenda ashuga omwe amadya zakudya pang'ono, thupi limayamba kugaya mapuloteni, kenako ndikusintha ena kuti akhale glucose. Uku ndikuchita pang'onopang'ono, ndipo insulin ya ultrashort imayamba kuchita mwachangu kwambiri. Mitundu yayifupi ya insulin - kulondola. Nthawi zambiri amafunika kumadulidwa Mphindi 40-45 chakudya chisanafike.
Komabe, kwa odwala matenda ashuga omwe amaletsa zakudya zamagulu m'zakudya zawo, ma enamel a ultrashort insulin amathanso kukhala othandiza. Ngati muyeza shuga ndi glucometer ndikupeza kuti ilumpha, ndiye kuti insulini yochepa kwambiri imatsitsa mofulumira kuposa lalifupi. Izi zikutanthauza kuti zovuta za matenda ashuga zimakhala ndi nthawi yochepa kwambiri yopanga. Mutha kubayanso insulin ya ultrashort, ngati ilibe nthawi yoti mudikire mphindi 45 musanadye. Izi ndizofunikira mu lesitilanti kapena paulendo.
Yang'anani! Maultrashort ma insulin ndi amphamvu kwambiri kuposa amafupikitsafupi. Mwachindunji, 1 unit ya Humalog imatsitsa shuga wamagazi pafupifupi 2,5 kuposa 1 unit ya insulin yochepa. NovoRapid ndi Apidra ndi olimba pafupifupi 1.5 nthawi kuposa insulin. Uwu ndi muyeso wofanana, ndipo kwa wodwala aliyense wodwala matenda ashuga ayenera kudzikhazikitsira yekha mwa kuyesa ndi kulakwitsa. Momwemo, Mlingo wa ultrashort insulin analogs uyenera kukhala wotsika kwambiri poyerekeza ndi Mlingo waifupi wa insulin. Komanso, kuyesa kukuwonetsa kuti Humalog imayamba kuchita mwachangu mphindi 5 kuposa NovoRapid ndi Apidra.
Ubwino ndi kuipa kwa ultrashort insulin
Poyerekeza ndi mitundu yaifupi ya insulin yaumunthu, mitundu yatsopano ya insulin yocheperako yomwe ili ndi zabwino komanso zovuta. Amakhala ndi chiopsezo choyambirira, koma ndiye kuti magazi awo amawatsikira kuposa ngati mutabayidwa ndi insulin yochepa. Popeza ma insulin a ultrashort ali ndi nsonga zakuthwa, ndizovuta kudziwa kuti ndi zakudya zochuluka ziti zomwe muyenera kudya kuti shuga ya magazi ikhale yabwinobwino. Kuchita kosalala kwa insulin yochepa kumakhala bwino kwambiri pakulowetsedwa kwa chakudya ndi thupi, ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga.
Kumbali inayo, jakisoni wa insulin yocheperako ayenera kuchitika kwa mphindi 40-45 asanadye. Mukayamba kudya mwachangu, ndiye kuti insulin yayifupi sikhala ndi nthawi yochitapo kanthu, ndipo magazi a magazi amalumpha. Mitundu yatsopano ya insulin ya insulin imayamba kugwira ntchito mwachangu, mkati mwa mphindi 10-15 mutabayidwa. Izi ndizothandiza kwambiri ngati simukudziwa nthawi yomwe muyenera kuyamba kudya. Mwachitsanzo, mukadzakhala malo odyera. Ngati mutsatira zakudya zamafuta ochepa, tikulimbikitsani kuti muzigwiritsa ntchito insulin yochepa anthu musanadye nthawi yovomerezeka. Komanso khalani ndi insulin yochepa kwambiri pakakhala zochitika zapadera.
Zomwe tikuwonetsa zikuwonetsa kuti mitundu ya insulin yomwe imapangidwa ndi insulin imakhudzanso shuga ya magazi osakhazikika kuposa yochepa. Amachita zinthu mosalosera, ngakhale atabayidwa jekeseni wochepa, monga momwe odwala matenda ashuga amatsata, akamatsata zakudya zochepa, komanso makamaka ngati atabaya jekeseni wamkulu. Onaninso kuti mitundu ya insulin ya insulin ndiyamphamvu kwambiri kuposa yayifupi. 1 unit ya Humaloga imatsitsa shuga wamagazi ndi pafupifupi 2,5 nthawi yolimba kuposa 1 unit ya insulin yochepa. NovoRapid ndi Apidra ndi olimba pafupifupi 1.5 nthawi kuposa insulin yochepa. Momwemo, mulingo wa Humalog uyenera kukhala pafupifupi 0,4 Mlingo wa insulin yochepa, komanso mlingo wa NovoRapid kapena Apidra - pafupifupi mlingo wa ⅔. Ichi ndi chidziwitso chofunikira kwambiri chomwe muyenera kufotokozera.
Cholinga chathu chachikulu ndikuchepetsa kapena kuletsa kwathunthu kudumpha m'magazi a magazi mukatha kudya. Kuti izi zitheke, muyenera kupereka jakisoni musanadye ndi nthawi yokwanira kuti insulini iyambe kuchita. Kumbali ina, tikufuna kuti insulini iyambe kutsika shuga m'magazi m'mene chakudya chodyedwacho chikuyamba kuchuluka. Komabe, ngati mutabayira insulansi molawirira kwambiri, shuga wanu wamagazi amatsika mofulumira kuposa chakudya chomwe chingakweze. Kuchita kumawonetsa kuti ndibwino kubaya insulin yochepa mphindi 40-45 musanayambe chakudya chamafuta ochepa. Kusiyana ndi odwala omwe adwala matenda ashuga a gastroparesis, i.e., akuchedwa kuchotsa matumbo atatha kudya.
Nthawi zambiri, koma amakumana ndi odwala omwe ali ndi matenda ashuga, omwe mitundu yochepa ya insulini pazifukwa zina imatengedwa kulowa m'magazi makamaka pang'onopang'ono. Amayenera kubaya insulini, mwachitsanzo, maola 1.5 asanadye. Zachidziwikire, izi sizabwino kwambiri. Afunika kugwiritsa ntchito mitundu yaposachedwa ya ultrashort insulin musanadye, yomwe mwachangu kwambiri ndi Humalog. Tikutsimikizanso kuti anthu odwala matenda ashuga siamachitika mwadzidzidzi.
Kupitilira kwa nkhani yomwe mwawerengayi ndi tsamba "Momwe mungawerengere kuchuluka kwa insulin musanadye. Momwe mungachepetse shuga kuti ukhale wabwinobwino ndi jakisoni wa insulin yofulumira. "
