Mitundu Yoyambira ya Insulini, maubwino, Zambiri za Mlingo, ndi zoyipa zake

Zamkati

• Mitundu
• Insulin wapakatikati, NPH
• Insulini yotenga nthawi yayitali
• Kutalika kwanthawi yayitali insulin
• Zoganizira
• Ubwino
• Zambiri za Mlingo
• Kutenga NPH nthawi yogona, m'mawa, kapena zonse ziwiri
• Kutenga zoziziritsa kukhosi, glargine, kapena degludec nthawi yogona
• Kugwiritsa ntchito mpope wa insulini
• Zotsatira zoyipa
• Mfundo yofunika

Ntchito yoyamba ya basal insulini ndikuteteza magazi m'magazi anu mosasunthika panthawi yakusala kudya, monga nthawi yomwe mukugona. Pamene mukusala kudya, chiwindi chanu chimatulutsa shuga m'magazi mosalekeza. Insulini yoyambira imathandizira kuti izi ziziyenda bwino.

Popanda insulini iyi, magulu anu a glucose angakwere modetsa nkhawa. Insulini ya basal imawonetsetsa kuti maselo anu amadyetsedwa ndi shuga wosasunthika nthawi zonse kuti aziwotcha mphamvu tsiku lonse.

Izi ndi zomwe muyenera kudziwa zamankhwala amchere a insulin komanso chifukwa chake ndikofunikira pakuwongolera matenda ashuga.

Mitundu

Pali mitundu itatu yayikulu ya basal insulin.

Insulin wapakatikati, NPH

Mabaibulo omwe ali ndi dzina ndi Humulin ndi Novolin. Insulini iyi imayendetsedwa kamodzi kapena kawiri tsiku lililonse. Nthawi zambiri imasakanizidwa ndi nthawi ya chakudya chamadzulo m'mawa, musanadye chakudya chamadzulo, kapena zonse ziwiri. Imagwira ntchito molimbika mu maola 4 mpaka 8 mutalandira jakisoni, ndipo zotsatira zake zimayamba kuchepa patatha pafupifupi maola 16.

Insulini yotenga nthawi yayitali

Mitundu iwiri ya insulin iyi yomwe ili pamsika ndi detemir (Levemir) ndi glargine (Toujeo, Lantus, ndi Basaglar). Insulini yoyambira iyi imayamba kugwira ntchito mphindi 90 mpaka maola 4 mutabayidwa ndipo imakhalabe m'magazi anu mpaka maola 24. Itha kuyamba kufooka kwa maola ochepa m'mbuyomu kwa anthu ena kapena kutha kwa maola ochepa kwa ena. Palibe nthawi yayikulu yamtundu wa insulin. Imagwira ntchito pang'onopang'ono tsiku lonse.

Kutalika kwanthawi yayitali insulin

Mu Januwale 2016, insulini ina ya basal yotchedwa degludec (Tresiba) idatulutsidwa. Insulin woyambira amayamba kugwira ntchito mkati mwa mphindi 30 mpaka 90 ndipo amakhala m'magazi anu mpaka maola 42. Monga momwe zimakhalira kwa nthawi yayitali ma insulins obwerera m'mbuyo komanso glargine, palibe nthawi yayikulu ya insulin iyi. Imagwira ntchito pang'onopang'ono tsiku lonse.

Insulin degludec imapezeka mwamphamvu ziwiri, 100 U / mL ndi 200 U / mL, chifukwa chake muyenera kutsimikiza kuti muwerenga chizindikirocho ndikutsatira malangizo mosamala. Mosiyana ndi detemir ndi glargine, itha kuphatikizidwa ndi mankhwala ena othamanga kwambiri omwe atha kufika kumsika posachedwa.

Zoganizira

Posankha pakati pamiyeso yapakatikati komanso yayitali, pali zinthu zambiri zofunika kuziganizira. Izi zikuphatikiza moyo wanu komanso kufunitsitsa kwanu kubaya jakisoni.

Mwachitsanzo, mutha kusakaniza NPH ndi insulin nthawi yakudya, pomwe insulini yayitali yayitali iyenera kubayidwa padera. Zinthu zomwe zingakhudze kuchuluka kwanu kwa insulin zimaphatikizapo kukula kwa thupi lanu, kuchuluka kwa mahomoni, zakudya, komanso kuchuluka kwa insulini yamkati yomwe kapangidwe kanu kamatulutsabe, ngati alipo.

Ubwino

Anthu ambiri omwe ali ndi matenda ashuga amakonda basal insulin chifukwa amawathandiza kuti azitha kusamalira shuga wamagazi pakati pa chakudya, ndipo zimathandiza kuti azikhala moyo wosinthasintha.

Mwachitsanzo, ngati mumagwiritsa ntchito insulini yayitali, simuyenera kuda nkhawa kuti nthawi yayitali bwanji pantchito ya insulini. Izi zikutanthauza kuti nthawi yakudya imatha kusintha. Zingathenso kuchepetsa chiopsezo cha shuga wambiri wamagazi.

Ngati mumavutika kuti mukhalebe ndi shuga m'mawa, kuwonjezera insulini nthawi yanu yodyera kapena nthawi yogona ingathandize kuthana ndi vutoli.

Zambiri za Mlingo

Ndi basal insulini, muli ndi magawo atatu amiyeso. Njira iliyonse ili ndi zabwino komanso zoyipa. Zosowa za insulini za aliyense ndizosiyana, kotero dokotala kapena endocrinologist akhoza kukuthandizani kusankha mulingo woyenera kwa inu.

Kutenga NPH nthawi yogona, m'mawa, kapena zonse ziwiri

Njirayi ikhoza kukhala yofunika chifukwa insulini imakwera kwambiri nthawi yamadzulo komanso yamadzulo, ikafunika kwambiri. Koma chiwerengerocho sichingakhale chosadalirika kutengera zakudya zanu, nthawi yakudya, komanso magwiridwe antchito. Izi zitha kubweretsa kuchuluka kwa shuga wamagazi mukamagona kapena kutsika kwa magazi m'magazi masana.

Kutenga zoziziritsa kukhosi, glargine, kapena degludec nthawi yogona

Kuyenda mosalekeza kwa ma insulini omwe akhala akutalika ndi chimodzi mwazabwino zawo. Koma, anthu ena amapeza kuti detemir ndi glargine insulin zimatha msanga kuposa maola 24 pambuyo pa jakisoni. Izi zitha kutanthauza kuti kuchuluka kwa magazi m'magazi pa jakisoni wanu wotsatira. Degludec iyenera kukhala mpaka jekeseni wanu wotsatira.

Kugwiritsa ntchito mpope wa insulini

Ndi pampu ya insulini, mutha kusintha kuchuluka kwa insulin yoyambira kuti igwirizane ndi chiwindi chanu. Chimodzi mwazovuta kupopera mankhwala ndi chiopsezo cha matenda ashuga ketoacidosis chifukwa cha kutayika kwa pampu. Vuto lililonse lokhala ndi pampu limatha kukupangitsani kuti musalandire insulini yokwanira.

Zotsatira zoyipa

Zina mwa zovuta zoyambitsidwa ndi basal insulin zimaphatikizira hypoglycemia komanso kuthekera kunenepa, ngakhale pang'ono pokha poyerekeza ndi mitundu ina ya insulin.

Mankhwala ena, kuphatikizapo beta-blockers, diuretics, clonidine, ndi lithiamu salt, amatha kufooketsa zovuta za basal insulin. Lankhulani ndi dokotala wanu komanso katswiri wamaphunziro okhudza mapangidwe azachipatala zamankhwala omwe mumamwa pakadali pano komanso zovuta zilizonse zomwe mungachite.

Mfundo yofunika

Insulini yoyamba ndi gawo lofunikira pakuwongolera matenda anu ashuga. Gwirani ntchito ndi dokotala kapena endocrinologist kuti mudziwe mtundu womwe ungakukomereni ndi zosowa zanu.