Kodi Insulini Yoyambira Ndi Yoyenera Ine? Maupangiri Akukambirana Kwadokotala

Zamkati

• Insulini ya basal ndi chiyani ndipo imagwiritsidwa ntchito bwanji?
• Kodi insulini ya basal ndiyabwino kwa ine?
• Kodi mankhwala anga a basal insulin adzasintha?
• Kodi pali zovuta zina ndi basal insulin?

Ngati muli ndi matenda ashuga, mukudziwa kuti kuthana ndi kupitilizabe kwazidziwitso zatsopano za insulin, kuyesa magazi m'magazi, ndi malingaliro azakudya nthawi zina kumakhala kovuta nthawi zina.

Ngati mwapezeka posachedwa, kapena ngati ndinu wogwiritsa ntchito wosasangalala ndi zomwe mumalandira insulini, ndiye kuti mwina ndi nthawi yoti mufunse dokotala kapena katswiri wazamagetsi za basal insulin.

Nawa mafunso omwe mungafune kulingalira mukamadzasankhidwa.

Insulini ya basal ndi chiyani ndipo imagwiritsidwa ntchito bwanji?

"Basal" amatanthauza maziko. Izi ndizomveka chifukwa ntchito ya basal insulin ndikugwira ntchito mseri nthawi yakusala kudya kapena nthawi yogona.

Insulini yoyamba imabwera m'njira ziwiri: kuchita wapakatikati ndipo wotenga nthawi yayitali. Zonsezi zimapangidwa kuti azisunga magazi m'magazi abwinobwino kwinaku akusala. Koma zimasiyana malinga ndi kuchuluka kwa nthawi komanso nthawi yayitali yogwira. Insulini ya basal amathanso kuperekedwa ndi pampu, pogwiritsa ntchito insulin mwachangu.

Insulini yogwira ntchito kwa nthawi yayitali, yomwe imadziwikanso kuti insulin glargine (Toujeo, Lantus, ndi Basaglar) ndi insulin detemir (Levemir), imamwa kamodzi kapena kawiri patsiku, nthawi zambiri nthawi yamadzulo kapena nthawi yogona, ndipo imakhala mpaka maola 24.

Insulini yochita masewera apakati, yotchedwanso NPH (Humulin ndi Novolin), imagwiritsidwa ntchito kamodzi kapena kawiri tsiku lililonse ndipo imatenga maola 8 mpaka 12.

Kodi insulini ya basal ndiyabwino kwa ine?

Popeza munthu aliyense ndi wosiyana, ndi dokotala wanu yekha yemwe angakuuzeni mtundu wa mankhwala a insulin omwe ndi oyenera pazosowa zanu.

Musanavomereze basal insulini, azikumbukira zotsatira zaposachedwa kwambiri zowunika magazi, zakudya, magwiridwe antchito, zotsatira zaposachedwa kwambiri za mayeso a A1C, komanso ngati kapamba wanu akupangabe insulin yokha kapena ayi.

Kodi mankhwala anga a basal insulin adzasintha?

Dokotala wanu angaganize zosintha mulingo wanu wa insulin pazifukwa zingapo.

Ngati kusala kwanu kapena kuchuluka kwa magazi m'magazi anu kumakhala kokwera kwambiri kuposa momwe mumafunira, ndiye kuti mulingo wanu woyambira wa insulin ungafunike kuwonjezeka. Ngati manambala anu amakhala ocheperako kuposa omwe mumafuna ndipo mumakhala ndi shuga wambiri wamagazi (hypoglycemia), makamaka usiku umodzi kapena pakati pa chakudya, ndiye kuti mlingo wanu ungafunike kuchepetsedwa.

Ngati pali kuchuluka kwakukulu pantchito yanu, ndiye kuti mungafunike kuchepetsedwa ndi basal insulin yanu.

Ngati mukuda nkhawa kapena kupanikizika kwanthawi yayitali, shuga wanu wamagazi amatha kukhala ochulukirapo, ndipo dokotala wanu atha kusankha kusintha mlingo wanu. Kupsinjika kumatha kuchepetsa kukhudzidwa kwa insulin, zomwe zikutanthauza kuti insulini siyigwiranso ntchito mthupi lanu. Poterepa, mungafunike insulini yochulukirapo kuti musunge shuga m'magazi anu.

Ngati mukudwala, mungafunike kuwonjezeka kwakanthawi kochepa mu insulini yothandizira kuti muchepetse kuchuluka kwa magazi m'magazi omwe amayamba chifukwa cha matenda, ngakhale izi zimangofunika pakudwala kwanthawi yayitali. Malinga ndi ADA, matenda amabweretsa kupsinjika kwakuthupi mthupi.

Kuphatikiza apo, chipatala cha Mayo chimatchula kuti kusamba kumatha kukhudza kuchuluka kwa magazi m'magazi azimayi. Izi ndichifukwa choti kusintha kwa estrogen ndi progesterone kumatha kuyambitsa kukana kwa insulin kwakanthawi. Izi zitha kufuna kusintha kwa zosowa za mlingo, ndipo zimatha kusintha mwezi ndi mwezi kutengera kusamba. Magazi a magazi amayenera kuyang'aniridwa pafupipafupi mukamasamba. Nenani za kusintha kwanu kwa dokotala wanu.

Kodi pali zovuta zina ndi basal insulin?

Monga mitundu yambiri ya insulini, shuga wotsika magazi kapena hypoglycemia ndiye zotsatira zoyipa kwambiri zomwe zimagwiritsidwa ntchito ndi basal insulin. Ngati muyamba kuwonetsa zochuluka kwambiri za shuga m'magazi tsiku lonse, mulingo wanu uyenera kusinthidwa.

Zina mwazovuta zina za basal insulin ndi monga: kunenepa (ngakhale kuli kocheperako kuposa mitundu ina ya insulini), kusokonezeka, ndi zotumphukira za edema. Mukakambirana ndi dokotala wanu, mutha kupeza zambiri pazotsatira izi komanso ngati mungakhale pachiwopsezo kapena ayi.

Pankhani ya basal insulini ndi mitundu ina ya mankhwala a insulin, dokotala wanu, endocrinologist, komanso wophunzitsa za matenda a shuga angakuthandizeni kukutsogolerani kuchipatala chomwe chikuyenerana ndi zosowa zanu komanso moyo wanu.