Chirwere cheshuga - insulin kurapwa

Insulin ihormone inogadzirwa nepancreas kubatsira muviri kushandisa uye kuchengeta glucose. Glucose inopa mafuta muviri.

Nechirwere cheshuga, muviri haugone kudzora huwandu hweshuga muropa (inonzi glycemia kana shuga yeropa). Insulin therapy inogona kubatsira vamwe vanhu vane chirwere cheshuga kuchengetedza huwandu hweshuga yeropa.

Makabhohaidhiretsi kubva muzvikafu akaputswa kuita glucose uye mamwe mashuga. Glucose inonwiwa kubva munzira yekugaya kuenda muropa. Insulin inoderedza shuga yeropa nekuibvumira kuti ifambe kubva muropa ichienda mumhasuru, mafuta, uye mamwe maseru, uko kwainogona kuchengetwa kana kushandiswa sehuni. Insulin inotaurirawo chiropa kuti yakadii glucose inoburitsa kana iwe uchitsanya (hauna kudya kuchangobva kuitika).

Vanhu vane chirwere cheshuga vane shuga yakakwira muropa nekuti muviri wavo haugadzi insulin yakakwana kana kuti nekuti muviri wavo haupindure insulin zvakanaka.

• Nemhando 1 chirwere cheshuga rwatata rwunoburitsa shoma kune isina insulin.
• Nerudzi rwechipiri chirwere cheshuga mafuta, chiropa, uye maseru maseru haapindure nenzira kwayo insulin. Izvi zvinonzi insulin kudzivisa. Nekufamba kwenguva, rwatata rinomira kugadzira insulini yakawanda.

Insulin kurapwa inotsiva insulin iyo muviri waiwanzo gadzira. Vanhu vane chirwere cheshuga 1 vanofanirwa kutora insulin mazuva ese.

Vanhu vane rudzi rwechipiri chirwere cheshuga vanoda kutora insulin kana mamwe marapirwo nemishonga zvikatadza kudzora huwandu hweshuga yeropa.

Insulin doses inopihwa munzira mbiri huru:

• Basal dose - inopa huwandu hwakadzikama hwe insulin yakaunzwa masikati nousiku. Izvi zvinobatsira kuchengetedza shuga yeropa nekudzora huwandu hweropa rinoburitswa nechiropa.
• Bolus dose - inopa muyero we insulin pazvikafu kubatsira kufambisa shuga yakatorwa muropa kuenda mumhasuru nemafuta. Bolus doses inogona zvakare kubatsira kugadzirisa shuga yeropa kana yanyanya kukwirira. Bolus doses anonzi zvakare hutano kana kudya-nguva yekuita.

Kune akawanda marudzi e insulin anowanikwa. Insulin mhando dzinovakirwa pane zvinotevera zvinhu:

• Inset - inokurumidza sei kutanga kushanda mushure mejekiseni
• Peak - nguva iyo iyo dosi ndiyo yakasimba uye inoshanda zvakanyanya
• Nguva yakareba - yakazara nguva iyo insulin muyero inogara muropa uye inoderedza shuga yeropa

Pazasi pane akasiyana marudzi e insulin:

• Inokurumidza-kuita kana yekukurumidza-kuita insulin inotanga kushanda mukati memaminitsi gumi nemashanu, inokwira muawa imwe, uye inogara kwemaawa mana. Inotorwa musati musati kana mushure mekudya uye zvekudya. Inowanzo shandiswa neyakareba-inoshanda insulin.
• Nguva dzose kana pfupi-inoshanda insulin inosvika muropa maminetsi makumi matatu mushure mekushandisa, inokwira mukati memaawa maviri kusvika matatu, uye inopedza maawa matatu kusvika matanhatu. Izvi zvinotorwa hafu yeawa usati wadya uye zvekudya. Inowanzo shandiswa neyakareba-inoshanda insulin.
• Pakati-kuita kana basal insulin inotanga kushanda mukati ma2 kusvika kumaawa mana, inokwira mumaawa mana kusvika gumi nemaviri, uye inogara maawa gumi nemaviri kusvika gumi neshanu. Izvi zvinotorwa kazhinji kana kaviri pazuva kana panguva yekurara.
• Yakareba-inoshanda insulin inotanga kushanda maawa mashoma mushure mekubaiwa uye inoshanda kwemaawa makumi maviri nemana, dzimwe nguva kureba. Inobatsira kudzora glucose zuva rese. Inowanzo sanganiswa nekukurumidza- kana kupfupi-kuita insulin sezvazvinodiwa.
• Premixed kana yakavhenganiswa insulin mubatanidzwa wemhando mbiri dzakasiyana dze insulin. Iyo ine zvese basal uye bolus dose yekudzora glucose mushure mekudya uye mukati mezuva rese.
• Inhaled insulin inokurumidza-kuita ichifema insulin poda iyo inotanga kushanda mukati memaminitsi gumi nemashanu ekushandisa. Inoshandiswa nguva pfupi usati wadya.

Imwe kana mamwe marudzi e insulin anogona kushandiswa pamwechete kubatsira kudzora shuga rako reropa. Iwe zvakare unogona kushandisa insulin pamwe nemimwe mishonga yeshuga. Anopa hutano hwako anoshanda newe kuti uwane yako chaiyo musanganiswa wemishonga iwe.

Wako mupi achakuudza nguva uye kangani iwe yaunoda kutora insulin. Yako dosing purogiramu inogona kuvimba ne:

• Kurema kwako
• Rudzi rwe insulin yaunotora
• Zvakawanda sei uye zvaunodya
• Chikamu chezviitiko zvemuviri
• Ropa rako rehuga
• Mamwe mamiriro ehutano

Wako mupi anogona kuverenga iyo insulin dosi iwe. Wako mupi achakuudzawo kuti sei uye riini kuti utarise yako shuga yeropa uye nguva yako maidosi masikati neusiku.

Insulini haigone kutorwa nemuromo nekuti mudumbu acid inoparadza insulin. Inowanzojowa pasi peganda mumafuta ane mafuta. Kune nzira dzakasiyana dzekuburitsa insulin dziripo.

• Insulin sirinji - Insulini inotorwa kubva muhombodo ichienda mujekiseni. Uchishandisa tsono, unobaya jekiseni pasi peganda.
• Insulin pombi - muchina mudiki unopfekwa pamuviri wepombi insulin pasi peganda zuva rese. Chubhu diki inobatanidza pombi nekatsono kadiki kakaiswa mukati meganda.
• Peni ye insulin - inoraswa insulin peni yakafarira insulin yakaunzwa pasi peganda ichishandisa tsono inotsiviwa.
• Inhaler - chishandiso chidiki iwe chaunoshandisa kupinza insulin poda kuburikidza nemuromo wako. Inoshandiswa pakutanga kwekudya.
• Jekiseni chiteshi - chubhu pfupi inoiswa mukati memucheka pasi peganda. Chiteshi icho chine chubhu inonamatira kune ganda uchishandisa yekunamatira tepi. Fast-inoshanda insulin inosvikirwa muhubhu uchishandisa sirinji kana peni. Izvi zvinokutendera iwe kuti ushandise iyo imwechete jekiseni saiti kwemazuva matatu usati watenderera kune imwe saiti nyowani.

Unogona kutaura nemupi wako wezvehutano nezvezvaunofarira kana uchisarudza nzira yekuendesa insulin.

Insulini inoiswa munzvimbo idzi pamuviri.

• Dumbu
• Ruoko rwekumusoro
• Zvidya
• Chiuno

Wako mupi achakudzidzisa maitiro ekupa jekiseni ye insulin kana kushandisa insulin pombi kana chimwewo chigadzirwa.

Iwe unofanirwa kuziva maitiro ekugadzirisa huwandu hwe insulin yauri kutora:

• Paunenge uchirovedza muviri
• Paunenge uchirwara
• Paunenge uchinge uchidya zvakanyanya kana zvishoma chikafu
• Paunenge uchifamba
• Asati uye mushure mekuvhiyiwa

Kana iwe uri kutora insulin, bata wako mupi kana:

• Iwe unofunga iwe ungangoda kuchinja yako insulin maitiro
• Une chero matambudziko kutora insulin
• Ropa rako shuga rakanyanya kukwirira kana kuderera uye haunzwisise kuti sei

Chirwere cheshuga - insulin

• Insulin pombi
• Insulin kugadzirwa uye chirwere cheshuga

American Diabetes Association webhusaiti. Insulin mabhesiki. www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/insulin-basics.html. Yakagadziridzwa Chikunguru 16, 2015. Yakasvika Nyamavhuvhu 14, 2018.

American Chirwere cheshuga Association. 8. Pharmacologic inosvika pakurapa glycemic: Maitiro Ekurapwa Kwechirwere cheshuga-2018. Chirwere cheshuga. 2018; 41 (Chikwata 1): S73-S85. PMID: 29222379 www.ncbi.nlm.nih.gov/pubmed/29222379.

Sangano reNational Institute of Diabetes uye Digestive uye Kidney Zvirwere webhusaiti. Insulin, mishonga, & mamwe marapirwo eshuga. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Yakagadziridzwa Mbudzi 2016. Yakasvika Nyamavhuvhu 14, 2018.

US Chikafu neDrug Administration webhusaiti. Insulin. www.fda.gov/ForConsumers/ByAudience/ForWomen/WomensHealthTopics/ucm216233.htm. Yakagadziridzwa Kukadzi 16, 2018. Yakasvika Nyamavhuvhu 14, 2018.

• Chirwere cheshuga Mishonga