Mitundu ya insulini imagwiritsidwa ntchito pochirikiza chithandizo cha m'mbuyo
Pankhani ya kutenga insulini , pali mitundu yambiri ya mahomoni omwe amasiyanitsidwa ndi liwiro limene amachita. Izi, ndizo, zimatsimikizira nthawi ndi momwe fomu iliyonse imagwiritsidwira ntchito. Aliyense amene ali ndi matenda a shuga a mtundu wa 1 , ndi ena omwe ali ndi matenda a shuga a mtundu wa 2 , ayenera kutenga insulini kuti athetse bwino shuga.
Ndi matenda a shuga a mtundu wa 1, izi ndi chifukwa chakuti makoswe sangathe kupanga mahomoni.
Ndi mtundu wa shuga wachiwiri, makoswe amatha kutulutsa insulini, koma thupi silinayankhepo momwe liyenera kukhalira ndipo limafuna insulini yowonjezera kuti ikhale yowonjezera.
Udindo wa Insulini Yotalika Kwambiri Ndiponso Yakufupi
Insulini imaperekedwa mu mawonekedwe a nthawi yaitali kuti atsimikizidwe kwambiri kuti muyezo wa insulini ukhale wosasunthika, pomwe mawonekedwe afupipafupi akuwongolera kuphulika kwadzidzidzi m'magazi a shuga.
- Timatchula mawonekedwe aatali monga insalini ya basal (kutanthauza "kumbuyo") chifukwa zimagwirira ntchito kusunga shuga.
- Mafasho afupipafupi amatchedwa bolus insulini (kutanthauza kuti "mlingo umodzi") chifukwa amatha kutengedwa nthawi yapadera kuti asunge shuga m'magazi.
Momwe Insulin ya Bolus Imagwirira Ntchito
Inshupus ya Bolus imatanthawuza kuchulukitsa kwa insulini zomwe zimapangitsa kuti shuga (shuga) itengeke mwa chakudya. Mlingo wa zokolola umadalira makamaka kukula ndi mtundu wa chakudya.
Kwa anthu omwe ali ndi matenda a shuga a mtundu wa 1, mphukira sizingathe kupanga insulini monga maselo a beta omwe amachititsa kuti hormone ikhale yotseka. Chifukwa cha ichi, insulin ikhoza kugwiritsidwa ntchito, pakufunika, kubwezeretsa imfa.
Pofuna kuonetsetsa kuti shuga ya magazi imayambira nthawi zonse, anthu ambiri amatsatira ndondomeko yazing'ono zomwe zimagwiritsidwa ntchito tsiku ndi tsiku chifukwa chokonzekera nthawi ndi nthawi.
Insulini ya Bolus imaperekedwa ndi jekeseni, pamene insulini yamtundu ikhoza kuperekedwa kudzera mwa jekeseni kapena kupitirira, maola 24 a insulini .
Mitundu ya Bolus Insulini
Pali mitundu iwiri ya insulini ya bolus: kuthamanga mofulumira (komwe kumadziwika kuti kugwira ntchito mwamsanga) komanso insulin yochepa (yomwe imadziwika kuti insulini yowonongeka). Kusiyana kwakukulu kwakukulu pakati pa mitundu iyi ya insulini ndi:
- Amachedwetsa mwamsanga mwazi
- Pamene ayamba kuchepetsa shuga wamagazi (kuyambira)
- Pamene ayamba kugwira ntchito yawo yovuta kwambiri
- Zimatenga nthawi yaitali bwanji (nthawi)
Kuthamanga mofulumira kwa insulini kungayambe kusokoneza shuga lanu la magazi mkati mwa mphindi zisanu kapena zisanu. Ma insulin ochepa, mosiyana, amayamba pafupifupi 30 minutes. Mitundu yonseyi ili ndi maola asanu.
(Mu 2015, mawonekedwe osakanikirana a insulin othamanga mofulumira, otchedwa Afrezza, adapezeka ku US Komabe, ogula, ndi osasamala amapangitsa wogulitsa kusiya ntchito yowalonda atangotulutsidwa.)
Mitundu Yofulumira-Kuchita Bolus Insulini
Pakalipano pali insulin itatu yogwira mofulumira yomwe ikuvomerezedwa ndi US Food and Drug Administration (FDA):
- Mankhwala a Novolog (jekeseni wa insulin aspart)
- Kuyambira: Mphindi 5 mpaka 15
- Chinthu chachikulu: maola atatu kapena atatu
- Nthawi: maola atatu kapena asanu
- Apidra (insulin namglulisine jekeseni)
- Kuyambira; Mphindi 5 mpaka 15
- Chinthu chachikulu: Mphindi 30 mpaka 90
- Nthawi: maola atatu kapena asanu
- Kujambulidwa kwa injini (insulin lispro)
- Kuyambira; Mphindi 5 mpaka 15
- Chinthu chachikulu: Mphindi 30 mpaka 90
- Nthawi: maola atatu kapena asanu
Mitundu Yophatikizira Kugwiritsa Ntchito Bolus Insulini
Pakali pano pali insulini iwiri yochepa yomwe ikuvomerezedwa ndi FDA. Zonsezi zimagwiritsidwa ntchito monga "nthawi zonse" insulini pogwiritsa ntchito mawu (R).
- Humulin (R)
- Kuchitapo kanthu: mphindi zisanu ndi zisanu
- Chinthu chachikulu: maola awiri kapena anayi
- Nthawi: Maola asanu kapena asanu ndi atatu
- Novolin (R)
- Kuchitapo kanthu: mphindi zisanu ndi zisanu
- Chinthu chachikulu: maola awiri kapena anayi
- Nthawi: Maola asanu kapena asanu ndi atatu
> Chitsime:
> Chigwirizano cha ku America cha shuga. "7. Njira zopita ku Glycemic Treatment." Chisamaliro cha shuga . January 2016; 39 (Suppl 1): S52-S59.