Chii chinonzi Insulin uye ndechei

Zvemukati

• Chii chinonzi insulin
• Chii chinotarisa insulin kugadzirwa
• Paunenge uchida kutora insulin
• 1. Basal-inoshanda insulin
• 2. Bolus-inoshanda insulin

Insulini ihormone inogadzirwa mupancreas inova nebasa rekutora glucose irimo mumasero kuti ishandiswe sosi yesimba yekuita kwemuviri mashandiro.

Chinhu chikuru chinokurudzira insulin kugadzirwa ndiko kuwedzera kweshuga muropa mushure mekudya. Kana kugadzirwa kwehomoni iyi kusakwana kana kusavapo, sezvakaita chirwere cheshuga, shuga haigone kutorwa kupinda mumasero uye, nekudaro, inopedzisira yaunganidzwa muropa nemurini, zvichikonzera matambudziko akadai sekudzokororazve, kukundikana kwetsvo, kukuvara kusingapore uye kunyange kufarira stroke, semuenzaniso.

Chirwere cheshuga chirwere chinoshandura huwandu hwe insulini inogadzirwa, sezvo ichikanganisa kugona kwepancreas kuburitsa iri hormone, inogona kubva kubva pakuzvarwa, chinova chirwere cheshuga chekutanga, kana kuwanikwa muhupenyu hwese, chinova chirwere cheshuga. 2. Muzviitiko izvi, zvinogona kuve zvakakodzera kushandisa zvinodhaka kudzora huwandu hwehuga kana kushandisa synthetic insulin kutevedzera zvinoitwa nezvinofanira kugadzirwa nemuviri.

Nzwisisa zvirinani nezvezviratidzo uye maitiro ekuziva chirwere cheshuga.

Chii chinonzi insulin

Insulin ine kugona kutora glucose iri muropa, woenda nayo kunhengo dzemuviri, senge huropi, chiropa, mafuta nemhasuru, uko kwainogona kushandiswa kugadzira simba, mapuroteni, cholesterol uye triglycerides kune simba muviri, kana kuchengetwa.

Iyo pancreas inogadzira insulin yemhando mbiri:

• Basal: ndiko kuramba kuchidzivirira kwe insulin, kuchengetedza hushoma hunowanzoitika zuva rese;
• Bolus: iri apo pancreas inoburitsa huwandu hwakawanda kamwechete, mushure mekudya kwese, nekudaro ichidzivirira shuga iri muchikafu kubva mukuungana muropa.

Ndokusaka, kana munhu achida kushandisa synthetic insulin kurapa chirwere cheshuga, zvakakoshawo kushandisa mhando mbiri idzi: imwe inofanirwa kujowa kamwe pazuva, uye imwe inofanirwa kujowa mushure mekudya.

Chii chinotarisa insulin kugadzirwa

Kune imwe hormone, zvakare inogadzirwa mupancreas, iyo ine yakapesana chiito cheinsulini, inonzi glucagon. Inoshanda nekuburitsa iyo glucose inochengetwa mumafuta, chiropa uye mhasuru muropa, kuti muviri ushandise kana huwandu hweshuga hwadzikira kwazvo, senge panguva yekutsanya, semuenzaniso.

Kuita kweaya mahormone maviri, insulin uye glucagon, kwakakosha kwazvo kuyera huwandu hweshuga muropa, kuchidzivirira kubva pakuwandisa kana kushayikwa, sezvo mamiriro ese ari maviri anounza matambudziko akaipa kumuviri.

Paunenge uchida kutora insulin

Izvo zvinodikanwa kushandisa synthetic insulin mumamiriro ezvinhu apo muviri usingakwanise kuuburitsa muhuwandu hwakakodzera, senge iri murudzi rwe1 chirwere cheshuga kana chakakomba mhando 2 cheshuga. Nzwisisa zvirinani kana zvichidikanwa kuti utange kushandisa insulin neane chirwere cheshuga.

Iyo synthetic insulin yemishonga inotevedzera insulin yekudzivirira yemuviri mukati mezuva rese, zvese zviri zviviri basal uye bolus, saka kune mhando dzinoverengeka, dzinosiyana nekumhanyisa kwavanoita paropa reropa.

1. Basal-inoshanda insulin

Iwo ma synthetic insulins anoteedzera iyo basal insulin iyo inoburitswa zvishoma nezvishoma nepancreas zuva rese, uye inogona kuva:

• Zvepakati chiito kana NPH, saInsulatard, Humulin N, Novolin N kana Insuman Basal: inogara kusvika maawa gumi nemaviri mumuviri, uye inogona zvakare kushandiswa kuchengetedza huwandu hwakawanda hwe insulin mumuviri;
• Zvishoma nezvishoma chiito, saLantus, Levemir kana Tresiba: ndiyo insulini inoburitswa ichienderera uye zvishoma nezvishoma kwemaawa makumi maviri nemana, iyo inochengetedza chiito chidiki zuva rese.

Ultra-refu-inoshanda insulins ine nguva inosvika maawa makumi mana nemaviri iri kutengeswa, izvo zvinogona kupa munhu kurerukirwa, zvichideredza huwandu hwekurumwa.

2. Bolus-inoshanda insulin

Ndiwo mahormone anoshandiswa kutsiva insulini inogadzirwa mushure mekudya, kudzivirira glucose kuti isasimuke nekukurumidza muropa, uye ndeaya:

• Inokurumidza kana yenguva dzose insulin, saNovolin R kana Humulin R: inoteedzera iyo insulin inoburitswa patinodya, saka inotanga kushanda mumaminitsi makumi matatu, ichitora maawa angangoita maviri;
• Ultra-inokurumidza insulin, dzakadai seHumalog, Novorapid neApidra: insulini ine chiito chinenge chiriporipocho chekudzivirira chikafu kubva kuwanda kweshuga yeropa zvakawandisa, uye chinofanira kuiswa musati madya.

Izvi zvinhu zvinoiswa kune yakakora nyama pasi peganda nerubatsiro rwejekiseni kana mapeni akakosha eiri basa. Uye zvakare, sarudzo ndeyokushandisa iyo insulin pombi, chinova chinhu chidiki chinonamirwa nemuviri, uye chinogona kugadzirirwa kuburitsa basal kana bolus insulin zvinoenderana nezvinodiwa nemunhu mumwe nemumwe.

Dzidza zvakawanda nezve mhando dze insulin, zvivakwa uye mashandisiro.