Mankhwala a insulin a shuga. Mankhwala a insulin

Ndondomeko ya insulin yothandizira ndi wodwala yemwe ali ndi matenda amtundu wa 2 kapena mtundu wa 2:

• mitundu yanji ya insulin yothamanga komanso / kapena yayitali yomwe amayenera kupaka jekeseni;
• nthawi yoperekera insulin;
• kuchuluka kwake kuyenera kukhala chiyani.

Malangizo a insulin ndi endocrinologist. Palibe konse momwe ziyenera kukhalira, koma nthawi zonse pamlingo uliwonse, malinga ndi zotsatira za kudziletsa kwathunthu kwa shuga sabata yatha. Ngati dotolo angakulengereni jakisoni wa 1-2 wa insulin patsiku wokhala ndi Mlingo wosakhazikika ndipo sayang'ana zotsatira za kudziwunika kwa magazi, pitani ndi katswiri wina. Kupanda kutero, posachedwa mudzafunika kudziwa akatswiri omwe ali ndi vuto la aimpso, komanso othandizira omwe amachititsa odwala matenda ashuga.

Choyamba, adokotala amasankha ngati insulini yowonjezera ikufunika kuti shuga isakhale yofulumira. Amazindikira ngati jakisoni wa insulin yofulumira imafunikira chakudya musanadye, kapena ngati wodwala akufunika majakisoni a insulin yokwanira komanso yachangu. Kuti mupange zisankhozi, muyenera kuyang'ana zolemba za shuga wamagazi sabata yatha, komanso momwe zinawathandizirana. Izi ndi ziti:

• nthawi yakudya;
• kuchuluka ndi zakudya zomwe zidadyedwa;
• ngakhale kudya kwambiri kapena mosinthanitsa kudadyedwa pang'ono kuposa masiku onse;
• ntchito zolimbitsa thupi ndi liti;
• nthawi ya makonzedwe ndi mapiritsi a shuga;
• matenda ndi matenda ena.

Ndikofunikira kudziwa shuga ya magazi musanagone, ndipo m'mawa pamimba yopanda kanthu. Kodi shuga yanu imakwera kapena kuchepa usiku? Mlingo wa insulin wa nthawi yayitali usiku zimatengera yankho la funso ili.

Kodi chithandizo chachikulu cha mankhwala a bolus insulin ndi chiyani?

Matenda a shuga a insulin amatha kukhala akale kapena oyambira (olimbikitsidwa). Tiyeni tiwone kuti ndi chiyani komanso ndi zosiyana. Muyenera kuwerenga kuti, "Momwe insulini imayang'anira shuga wa magazi mwa anthu athanzi komanso zomwe zimasintha ndi matenda ashuga." Mukamvetsetsa bwino nkhaniyi, mukamachita bwino pochiza matenda ashuga.

Mwa munthu wathanzi yemwe alibe matenda a shuga, insulin yaying'ono, yokhazikika imazungulira pamimba yopanda kanthu m'magazi. Izi zimatchedwa basal kapena basal insulin concentration. Zimalepheretsa gluconeogenesis, i.e., kusintha kwa malo ogulitsa mapuloteni kukhala glucose. Pakanakhala kuti palibenso insulin plasma insulin, ndiye kuti munthu “amasungunuka kukhala shuga ndi madzi,” monga momwe madokotala akale amafotokozera amfawo chifukwa cha matenda a shuga a mtundu woyamba.

M'malo akusala kudya (pakudya komanso pakati pa chakudya), kapamba wamtundu wabwino amatulutsa insulini. Gawo lake limagwiritsidwa ntchito kuti likhale ndi khola la insulin m'magazi, ndipo gawo lalikulu limasungidwa. Izi zimatchedwa bolus chakudya. Zofunika ngati munthu ayamba kudya kuti azitha kudya zakudya zomwe zadyedwa ndipo nthawi yomweyo aletse kulumpha m'magazi.

Kuyambira poyambira chakudyacho komanso kupitirira kwa pafupifupi maola 5, thupi limalandira insulin. Uku ndikutulutsa kofinya ndi kapamba wa insulin, yomwe idakonzedwa pasadakhale. Zimachitika mpaka glucose onse wazakudya atengeke ndi minyewa yochokera m'magazi. Nthawi yomweyo, mahomoni otsutsana amachitanso kanthu kuti shuga m'magazi asatsike kwambiri komanso hypoglycemia isachitike.

Basis-bolus insulin mankhwala - amatanthauza kuti "baseline" (basal) ndende ya insulin m'magazi imapangidwa ndi jakisoni wa insulini wapakatikati kapena wautali usiku ndi / kapena m'mawa. Komanso, phulusa la insulin (paphiri) la insulin mukatha kudya limapangidwa ndi jakisoni wowonjezera wa insulin yaifupi kapena ya ultrashort musanadye nawo. Izi zimathandizira, ngakhale pang'ono, kutsanzira kugwira ntchito kwa kapamba wabwino.

Chithandizo cha insulin chachikhalidwe chimaphatikizanso kuyambitsa insulin tsiku lililonse, yoikika munthawi yake ndi mlingo. Poterepa, wodwala matenda a shuga samakonda kuyeza kuchuluka kwake kwa glucose ndi glucometer. Odwala amalangizidwa kuti azidya zakudya zomwezo tsiku lililonse. Vuto lalikulu ndi izi ndikuti palibe kusinthasintha kosinthasintha kwa mlingo wa insulini kukhala shuga. Ndipo odwala matenda ashuga amakhala "omangika" kuzakudya ndi dongosolo la jakisoni wa insulin. Mu chikhalidwe njira ya insulin mankhwala, jakisoni awiri a insulin nthawi zambiri amapatsidwa kawiri patsiku: yochepa komanso yapakati nthawi yochitapo kanthu. Kapena kusakaniza kwa mitundu yosiyanasiyana ya insulin kumabayira m'mawa ndi madzulo ndi jakisoni imodzi.

Mwachidziwikire, chithandizo cha matenda a shuga a insulin ndizosavuta kuyipeza kuposa pamlomo. Koma, mwatsoka, nthawi zonse zimabweretsa zotsatira zosakhutiritsa. Ndikosatheka kupeza chipukutiro chabwino cha matenda a shuga, ndiko kuti, kubweretsa kuchuluka kwa shuga m'magazi pafupi ndi zomwe zimachitika ndi mankhwala a insulin. Izi zikutanthauza kuti zovuta za matenda ashuga, zomwe zimayambitsa kulumala kapena kufa msanga, zikukula mwachangu.

Chithandizo cha insulin chachikhalidwe chimagwiritsidwa ntchito pokhapokha ngati ndizosatheka kapena zopanda tanthauzo kuyambitsa insulini malinga ndi chiwembu chokhazikika. Izi zimachitika pomwe:

• wokalamba wodwala matenda ashuga; ali ndi moyo wotsika;
• wodwala ali ndi matenda amisala;
• wodwala matenda ashuga sangathe kuwongolera shuga m'magazi ake;
• wodwala amafunikira chisamaliro chakunja, koma ndizosatheka kupereka mtundu.

Kuti muthane ndi matenda a shuga ndi insulin malinga ndi njira yoyenera ya mankhwalawa, muyenera kuyeza shuga ndi glucometer kangapo masana. Komanso, wodwalayo azitha kuwerengera kuchuluka kwa insulin yayitali komanso yofulumira kuti asinthe mlingo wa insulin pakali pano shuga.

Momwe mungasinthire mankhwala a insulin a matenda a shuga 1 kapena 2

Amaganiziridwa kuti muli kale ndi zotsatira za kudziletsa kwathunthu kwa shuga m'magazi odwala matenda a shuga masiku 7 otsatizana. Malangizo athu ndi a odwala matenda ashuga omwe amatsata zakudya zamafuta pang'ono ndikugwiritsa ntchito njira yolemetsa. Ngati mutsatira zakudya “zopatsa thanzi”, zodzaza ndi mafuta, ndiye kuti mutha kudziwa kuchuluka kwa insulini m'njira zosavuta kuposa zomwe zafotokozedwa mu nkhani zathu. Chifukwa ngati zakudya za anthu odwala matenda ashuga zili ndi chakudya chamagetsi, ndiye kuti simungapewe magazi.

Momwe mungapangire regimen ya insulin - njira iliyonse:

1. Sankhani ngati mukufuna jakisoni wa insulin yochulukirapo usiku.
2. Ngati mukufuna jakisoni wa insulin yayitali usiku, ndiye kuti muwerenge mlingo woyambira, ndikusintha patsiku lotsatiralo.
3. Sankhani ngati mukufuna jakisoni wa insulin yowonjezera m'mawa. Izi ndizovuta kwambiri, chifukwa poyesera muyenera kudumpha chakudya cham'mawa komanso nkhomaliro.
4. Ngati mukufuna jakisoni wa insulin yowonjezereka m'mawa, ndiye muwerengereni mlingo woyambira wa insulin, ndikusintha kwa masabata angapo.
5. Sankhani ngati mukufuna jakisoni wa insulin yachangu musanadye chakudya cham'mawa, chakudya chamadzulo ndi chakudya chamadzulo, ndipo ngati ndi choncho, chakudya chofunikira chisanachitike, ndipo isanachitike - ayi.
6. Muyenera kuwerengera poyambira mwachidule kapena insulin ya insulin musanadye.
7. Sinthani Mlingo wamtundu waifupi kapena wa ultrashort musanadye, malinga ndi masiku apitawa.
8. Chitani kafukufuku kuti mudziwe kuti ndi mphindi zingati musanadye jakisoni.
9. Phunzirani momwe mungawerengere kuchuluka kwa insulini yochepa kapena ya ultrashort pamilandu mukafuna kusintha matenda a shuga.

Momwe mungakwaniritsire mfundo 1-4 - werengani mu nkhani ya “Lantus and Levemir - insulin. Asinthe shuga m'mimba yopanda kanthu m'mawa. " Momwe mungakwaniritsire mfundo 5-9 - werengani muzolemba "Ultrashort insulin Humalog, NovoRapid ndi Apidra. Human Short Insulin ”komanso“ jakisoni wa Insulin musanadye. Momwe mungachepetse shuga kuti akhale wabwinobwino ngati ukukwera. " M'mbuyomu, muyenera kuphunziranso nkhani ya "Kuchiza matenda a shuga ndi insulin. Mitundu ya insulin ndi iti. Malamulo osungira insulin. ” Tikumbukiranso kuti zosankha zakufunika kwa jakisoni wa insulin yayitali komanso yachangu zimapangidwa popanda china. Mmodzi wodwala matenda ashuga amangofunika insulini yowonjezera usiku ndi / kapena m'mawa. Ena amangowonetsa jakisoni wa insulin yofulumira musanadye kotero kuti shuga akhalebe wabwinobwino pambuyo chakudya. Chachitatu, insulin yayitali komanso yachangu imafunikira nthawi yomweyo. Izi zimatsimikiziridwa ndi zotsatira za kudziletsa kwathunthu kwa shuga m'magazi 7 otsatizana.

Tidayesera kufotokoza m'njira yofikirika komanso yomveka bwino momwe angapangire bwino dongosolo la insulin yodwala matenda amtundu 1 komanso matenda a shuga. Kuti mudziwe insulin yomwe mungabayire, munthawi iti komanso munthawi iti, mumayenera kuwerenga zolemba zazitali, koma zidalembedwa mchilankhulo chomveka bwino. Ngati muli ndi mafunso, afunseni mu ndemanga, ndipo tidzayankha mwachangu.

Chithandizo cha matenda a shuga 1 amitundu jakisoni wa insulin

Odwala onse omwe ali ndi matenda amtundu wa 1, kupatula okhawo omwe ali ndi vuto kwambiri, ayenera kulandira jakisoni wa insulin mwachangu musanadye. Nthawi yomweyo, amafunika jakisoni wa insulin yowonjezera usiku ndi m'mawa kuti akhalebe shuga wamba. Ngati muphatikiza insulin yambiri m'mawa ndi madzulo ndi jakisoni wa insulin yofulumira musanadye, izi zimakupatsani mwayi wowerengeka wopanikizika ndi ntchito ya zikondamoyo za munthu wathanzi.

Werengani zida zonse zomwe zili mgululi "Insulin pochiza matenda amtundu 1 komanso matenda a shuga a 2." Samalani kwambiri ndi zolembedwa kuti "Insulin Lantus ndi Glargin yowonjezera. Kati NPH-Insulin Protafan ”ndi“ jekeseni wa insulin mwachangu musanadye. Momwe mungachepetse shuga kuti akhale wabwinobwino ngati wadumpha. " Muyenera kumvetsetsa bwino chifukwa chake insulin yayitali imagwiritsidwa ntchito komanso yomwe imathamanga. Dziwani njira yochepetsetsa yokhayo yokhala ndikukhazikitsa shuga wabwinobwino pomwe nthawi yomweyo mumawononga mitengo ya insulin yaying'ono.

Ngati muli ndi kunenepa kwambiri pamaso pa matenda a shuga 1, ndiye kuti mapiritsi a Siofor kapena Glucofage atha kukhala othandiza kuchepetsa kuchuluka kwa insulin ndikupangitsa kuti muchepe mosavuta. Chonde kambiranani ndi mankhwalawa ndi dokotala, osadzipatsa nokha.