Basal Insulin Mhando, Bhenefiti, Dosage Ruzivo, uye Mativi Mhedzisiro

Zvemukati

• Mhando
• Pakati-inoshanda insulin, NPH
• Yakareba-inoshanda insulin
• Ultra-refu inoshanda insulin
• Kufunga
• Kubatsirwa
• Chipimo chemashoko
• Kutora NPH panguva yekurara, mangwanani, kana zvese zviri zviviri
• Kutora detemir, glargine, kana degludec panguva yekurara
• Uchishandisa insulin pombi
• Zvimwe zvinokanganisa
• Pazasi mutsara

Basa rekutanga reiyo basal insulin ndeyekuchengeta rako reropa glucose mazinga akatsiga panguva dzekutsanya, senge paunenge wakarara. Paunenge uchitsanya, chiropa chako chinoramba chichivanza glucose muropa. Basal insulin inochengeta aya mazinga eglucose ari pasi pesimba.

Pasina ino insulin, mazinga eglucose ako aisimuka pamwero unotyisa. Basal insulin inovimbisa kuti maseru ako anodyiswa nerwizi rwusingaperi rweglucose kuti utsvare simba zuva rese.

Hezvino izvo zvaunoda kuti uzive nezve basal insulin mishonga uye nei zvichikosha mukugadzirisa chirwere cheshuga.

Mhando

Kune matatu makuru marudzi ebasal insulin.

Pakati-inoshanda insulin, NPH

Brand-zita shanduro dzinosanganisira Humulin naNovolin. Iyi insulin inopihwa kamwe kana kaviri pazuva. Inowanzo sanganiswa nenguva yekudya insulin mangwanani, usati wadya manheru, kana zvese. Inoshanda zvakanyanya mumaawa mana kusvika masere mushure mekujowa, uye mhedzisiro yacho inotanga kudzikira mushure memaawa gumi nematanhatu.

Yakareba-inoshanda insulin

Mhando mbiri dzeiyi insulin iripamusika iri detemir (Levemir) uye glargine (Toujeo, Lantus, uye Basaglar). Iyi basal insulin inotanga kushanda maminetsi makumi mapfumbamwe kusvika kumaawa mana mushure mejekiseni uye inoramba iri muropa rako kwemaawa makumi maviri nemana. Inogona kutanga kupera simba maawa mashoma apfuura kune vamwe vanhu kana kupedza maawa mashoma kwenguva yakareba kune vamwe. Iko hakuna nguva yepamusoro yeiyi mhando ye insulin. Inoshanda pamwero wakatsiga mukati mezuva rese.

Ultra-refu inoshanda insulin

MunaNdira 2016, imwe basal insulin inonzi degludec (Tresiba) yakaburitswa. Iyi basal insulin inotanga kushanda mukati memaminitsi makumi matatu kusvika makumi mapfumbamwe uye inoramba iri muropa rako kwemaawa anosvika makumi mana nemaviri. Sezvo neyakareba-inoshanda insulins detemir uye glargine, hapana nguva yepamusoro yeiyi insulin. Inoshanda pamwero wakatsiga mukati mezuva rese.

Insulin degludec inowanikwa mumasimba maviri, 100 U / mL uye 200 U / mL, saka unofanirwa kuve nechokwadi chekuverenga chitaridzi uye uteedzere zvakanyatso rairwa. Kusiyana nedemir uye glargine, inogona kusanganiswa neimwe inokurumidza-inoshanda insulin iyo inogona kusvika kumusika nekukurumidza.

Kufunga

Paunenge uchisarudza pakati pepakati- uye kwenguva refu-inoshanda basal insulins, pane zvinhu zvakawanda zvekufunga nezvazvo. Izvi zvinosanganisira mararamiro ako uye kuda kubaya jekiseni.

Semuenzaniso, unogona kusanganisa NPH nenguva yekudya insulin, nepo yakareba-inoshanda basal insulin inofanirwa kujowa zvakasiyana. Zviitiko zvinogona kukanganisa yako insulin dosi zvinosanganisira saizi yemuviri wako, mahormone mazinga, chikafu, uye yakawanda sei insulini yemukati mapancreas achiri kuburitsa, kana paine.

Kubatsirwa

Vanhu vazhinji vane chirwere cheshuga senge basal insulini nekuti inovabatsira zvirinani kubata mashuga eropa pakati pekudya, uye inobvumidza mararamiro akasununguka.

Semuenzaniso, kana iwe ukashandisa yakareba-inoshanda insulin, haufanire kunetseka nezve yepamusoro nguva dze insulin basa. Izvi zvinoreva kuti nguva yekudya inogona kuchinjika. Izvo zvinogona zvakare kudzikisa njodzi yako yeshuga yakadzika yeropa.

Kana iwe uchinetseka kuchengetedza yako yakanangana neshuga yeropa mangwanani, kuwedzera basal insulin kune yako nguva yekudya kana yekurara regimen inogona kubatsira kugadzirisa dambudziko iri.

Chipimo chemashoko

Uine basal insulin, iwe une matatu matatu esarudzo. Imwe sarudzo ine zvayakanakira nezvayakaipira. Wese munhu basal insulin zvinodiwa zvakasiyana, saka chiremba wako kana endocrinologist anogona kukubatsira kusarudza iyo dosi yakakukodzera.

Kutora NPH panguva yekurara, mangwanani, kana zvese zviri zviviri

Iyi nzira inogona kuve yakakosha nekuti iyo insulin inokwira panguva yekutanga uye masikati maawa, pazvinenge zvichinyanya kudiwa. Asi iyo yepamusoro inogona kunge isingatarisirwe zvichienderana nezvikafu zvako, nguva yekudya, uye nhanho yechiitiko. Izvi zvinogona kukonzera huwandu hweshuga yeropa paunenge wakarara kana wakaderera kana wakakwira shuga yeropa panguva yemasikati maawa.

Kutora detemir, glargine, kana degludec panguva yekurara

Kuenderera kuri kuyerera kweaya marefu-ekuita insulins ndeimwe yemabhenefiti avo makuru. Asi, vamwe vanhu vanoona kuti iyo detemir uye glargine insulin inopera nekukurumidza kupfuura maawa makumi maviri nemana mushure mejekiseni. Izvi zvinogona kureva mwero weshuga yeropa pane yako inotevera yakarongwa jekiseni. Degludec inofanirwa kugara kusvika yako yakatevera yakarongwa jekiseni.

Uchishandisa insulin pombi

Uine insulin pombi, unogona kugadzirisa mwero weiyo basal insulin kuti iwirirane nechiropa chako chinoshanda. Imwe yekudzosera pombi kurapa ndiyo njodzi yeshuga ketoacidosis nekuda kwepombi kusashanda. Chero dambudziko diki remuchina nepombi rinogona kukonzeresa kuti iwe usatore iyo chaiyo insulini.

Zvimwe zvinokanganisa

Mimwe mhedzisiro mhedzisiro inosanganisirwa nebasal insulin inosanganisira hypoglycemia uye inogona kuwedzera uremu, kunyangwe padanho diki ichienzaniswa nemamwe marudzi e insulin

Mimwe mishonga, inosanganisira beta-blockers, diuretics, clonidine, uye lithium salts, inogona kushomeka zvinokonzerwa nebasal insulin. Taura nachiremba wako uye endocrinologist nezve iyo mishonga yauri kutora parizvino uye chero kudyidzana kwezvinodhaka.

Pazasi mutsara

Basal insulin chinhu chakakosha mune yako chirwere cheshuga. Shanda nachiremba wako kana endocrinologist kuti uone kuti ndeupi mhando wakanakira iwe nezvaunoda.