Mhando dze insulin: izvo zvavari uye maitiro ekushandisa

Zvemukati

• 1. Inononoka-kuita kana yakareba insulin
• 2. Insulin yepakati yekuita
• 3. Fast-inoshanda insulin
• 4. Ultra-inokurumidza kuita insulin
• Zvimiro zverudzi rumwe nerumwe rwe insulin
• Maitiro ekushandisa insulin

Insulin ihormone inowanzo gadzirwa nemuviri kudzora huwandu hweropa, asi kana isina kugadzirwa muhuwandu hwakakwana kana kana basa rayo radzikira, sezvakaita chirwere cheshuga, zvinogona kuve zvakakodzera kushandisa synthetic uye injekiseni insulin.

Kune mhando dzinoverengeka dzekugadzira insulin, iyo inoteedzera zvinoitwa nemahormone echisikigo nguva dzese dzezuva, uye iyo inogona kuiswa kuburikidza nemajekiseni ezuva nezuva mukati meganda nemasipirini, mapeni kana mapombi madiki akasarudzika.

Synthetic insulin inobatsira kudzikamisa huwandu hweshuga yeropa uye inobvumira chirwere cheshuga kuchengetedza hupenyu hune hutano uye kudzivirira matambudziko eshuga. Nekudaro, mashandisirwo ayo anofanirwa kungotangwa chete nekuratidzwa kwechiremba mukuru kana endocrinologist, serudzi rwe insulin inoshandiswa, pamwe nemari yayo inosiyana zvinoenderana nezvinodiwa nemunhu mumwe nemumwe.

Mhando huru ye insulin inosiyana zvinoenderana nenguva yekuita uye kana ichizoshandiswa:

1. Inononoka-kuita kana yakareba insulin

Inogona kuzivikanwa seDetemir, Deglutega kana Glargina, semuenzaniso, uye inogara kwezuva rese. Rudzi urwu rweinsulini inoshandiswa kuchengetedza yakawanda insulini muropa, iyo inoteedzera basal, uye shoma, insulin zuva rese.

Parizvino, pane Ultra-inononoka insulins, iyo inogona kuita kwemazuva maviri, iyo inogona kudzikisa huwandu hwekurumwa uye kusimudzira hupenyu hweshuga hwehupenyu.

2. Insulin yepakati yekuita

Rudzi urwu rwe insulin runogona kuzivikanwa seNPH, Lenta kana NPL uye runoshanda kweinenge hafu yezuva, pakati pemaawa gumi nemaviri kusvika makumi maviri nemana. Inogona zvakare kuteedzera basal mhedzisiro yeinowanikwa insulin, asi inofanira kuiswa ka1 kana katatu pazuva, zvichienderana nemari inodiwa kumunhu wega wega, uye nachiremba.

3. Fast-inoshanda insulin

Iyo inozivikanwawo seyakagara insulini iri insulini inofanirwa kuiswa ingangoita maminetsi makumi matatu pamberi pekudya kukuru, kazhinji katatu pazuva, uye izvo zvinobatsira kuchengetedza mwero weglucose wakasimba mushure mekudya.

Mazita ekutengeserana anozivikanwa kwazvo erudzi urwu rwe insulin ndi Humulin R kana Novolin R.

4. Ultra-inokurumidza kuita insulin

Ndiro rudzi rwe insulin rwakanyanya kuitika uye, nekudaro, runofanira kuiswa nekukasira usati wadya kana, mune dzimwe nguva, nguva pfupi mushure mekudya, kutevedzera zvinoitwa neiyo insulin inogadzirwa patinodya kudzivirira mashuga mu ropa rinogara rakakwira.

Mazita makuru ekutengeserana ndiLispro (Humalog), Aspart (Novorapid, FIASP) kana Glulisine (Apidra).

Zvimiro zverudzi rumwe nerumwe rwe insulin

Hunhu hunosiyanisa iwo makuru marudzi e insulin ndeaya:

Kutanga kwe insulin chiitiko kunoenderana nenguva yainotora kuti insulini itange kushanda mushure mekutonga uye nhanho yekuita inguva iyo iyo insulin inosvika pakuita kwayo kukuru.

Vamwe vane chirwere cheshuga vangangoda kukurumidza-kuita, kukurumidza-kuita uye kwepakati-kuita insulin gadziriro, inonzi premixed insulin, yakadai seHumulin 70/30 kana Humalog Mix, semuenzaniso, kudzora chirwere ichi uye inowanzo shandiswa kuita kuti ishandiswe uye kuderedza kuwanda kwekurumwa, kunyanya nevanhu vakura kana avo vanonetseka kugadzirira insulin nekuda kwemota kana matambudziko ekuona. Kutanga kwekuita, kureba uye kukwirira kunoenderana nema insulins anoumba musanganiswa, uye anowanzo shandiswa kaviri kana katatu pazuva.

Pamusoro pejekiseni jekiseni rinopihwa peni yakakosha kana sirinji, unogona zvakare kushandisa iyo insulin pombi, inova chigadzirwa chemagetsi chinogara chakabatana nemuviri uye chinoburitsa insulin kwemaawa makumi maviri nemana, uye inobvumira kudzora kuri nani kweshuga yeropa. chirwere cheshuga, uye inogona kushandiswa kune vanhu veese mazera, kazhinji mune chirwere cheshuga 1. Dzidza zvakawanda nezve mashandisiro uye kupi kwaungawana insulin pombi.

Maitiro ekushandisa insulin

Kuti chero mhando ye insulin ishande, zvakakosha kuti uishandise nenzira kwayo, uye izvi zvinofanirwa:

1. Gadzira chidimbu chidiki paganda, usati wapa jekiseni, kuitira kuti inyure munzvimbo yepasi;
2. Pinza tsono perpendicular kune ganda uye shandisa mushonga;
3. Shanduka nzvimbo dzekubaiwa jekiseni, pakati peruoko, chidya uye dumbu uye kunyangwe munzvimbo idzi zvakakosha kutenderera, kudzivirira kupwanya uye lipohypertrophy.

Pamusoro pezvo, zvakakosha kuchengetedza insulin, kuichengeta mufiriji kusvika yavhurwa uye mushure mekunge pasuru yavhurwa inofanira kuchengetedzwa kubva kuzuva uye kupisa uye haifanire kushandiswa kweinopfuura mwedzi mumwe. Zvirinani unzwisise iwo maitiro ekushandisa insulin.