Pali mitundu yambiri ya insulini ndipo sizinalengedwe mofanana. Mtundu uliwonse uli ndi ntchito yake yapadera ndipo sizimasinthasintha. Ndi insulini iti yomwe ili yoyenera kwa inu? Mzerewu pansipa udzakuthandizani kumvetsetsa momwe mankhwala osiyanasiyana a insulini amagwirira ntchito ndi chifukwa chake dokotala wanu wakulemberani inu.
Insulini imayikidwa mu minofu ya mafuta yomwe imathandiza kuti imveke m'magazi.
Mankhwala ena a insulini amagwira mofulumira kuposa ena, koma samakhala nthawi yayitali. Ndipo insulin ena imatha nthawi yaitali, koma amagwira ntchito pang'onopang'ono kusiyana ndi ena.
Zizindikiro za Insulin Action
Pali zizindikiro zitatu zomwe zimatanthawuza mitundu ya insulini.
- Kuyambira: Kutenga nthawi yaitali bwanji kuti insulini isinthe kuchepetsa magazi
- Nthawi yachitsulo: Nthawi yotsatira jekeseni pamene insulini ndiyo yothandiza kwambiri kuchepetsa magazi m'magazi
- Nthawi: Kodi insulini imachepetsa bwanji kuchepetsa magazi m'magazi?
Insulini imayikidwa poyerekeza ndi zizindikiro za insulini yeniyeni yomwe ili ndi zosowa za wodwala. Anthu ena ali ndi mtundu umodzi wokha wa insulini, pamene ena amagwiritsa ntchito mankhwala ochepetsa insulini kuti azisamalira bwino shuga.
Mitundu ya insulini
Pali mitundu 6 yambiri ya insulini yomwe ilipo:
- Kuchita mwamsanga: Izi zikuphatikizapo Apidra, Humalog, ndi Novolog. Iwo ali ndi kuyamba muchepera mphindi 15, pamwamba pa mphindi 30 mpaka 90, ndi nthawi ya maola atatu kapena asanu.
- Kawirikawiri (kawirikawiri): Awa ndi Humulin R ndi Novolin R. Iwo ali ndi theka la ola limodzi, chiwerengero cha maola awiri kapena anayi, ndi maola atatu kapena asanu.
- Zomwe zimachitika: Awa ndi Humulin N ndi Novolin N. Iwo ayamba maola atatu kapena atatu, mphindi zisanu ndi zitatu, ndi maola 12 mpaka 16.
- Kuchita nthawi yaitali: Izi zikuphatikizapo Levemir ndi Lantus. Iwo ali ndi kuyamba kwa ola limodzi, osachepera kapena palibe chiwerengero, ndi nthawi ya maola 20 mpaka 26.
- Kuphatikizana / kusakanikirana: Izi zimagwirizanitsa insulin yambiri yomwe imakhala ndi insulini yambiri ndipo ndi yabwino kwa anthu omwe akuyenera kugwiritsa ntchito onse awiri. Izi zimaphatikizapo zosakaniza za Humulin kapena Novoline, Mix Mix, ndi Humalog Mix. Onani tchati chazochita.
- Kuchulukitsa insulini: Izi zinayamba kupezeka mu 2015. Afrezza ili ndi maminitsi 12 mpaka 15, mphindi 30, ndi nthawi ya maminiti 180.
Mitundu ya insulini ndi Zithunzi Tchati
Tchatichi chimaphatikizapo mitundu yosiyanasiyana ya insulini, zimatengera nthawi yayitali bwanji kuchepetsa shuga wa magazi, pamene chiwongoladzanja chachitika chidzachitika, ndi kuti chidzapitirizabe kugwira ntchito mpaka liti. Onetsetsani kuti muwerenge mankhwala omwe amaperekedwa ndi mankhwala anu komanso kutsatira malangizo a dokotala ndi wa mankhwala kuti mugwiritse ntchito insulini.
| NJIRA ZA INSULIN NDI ZOCHITA | ||||||||||
| Dzina lajambula | Dzina lachibadwa | Kuyamba | Peak | Nthawi | ||||||
| YAM'MBUYO YOTSATIRA | ||||||||||
| Apidra | Insulini Glulisine | Pasanathe mphindi 15 | 30-90 Mphindi | Maola 3-5 | ||||||
| Zamalankhula | Insulin Lispro | Pasanathe mphindi 15 | 30-90 Mphindi | Maola 3-5 | ||||||
| Novolog | Insulin Aspart | Pasanathe mphindi 15 | 30-90 Mphindi | Maola 3-5 | ||||||
| ZOLEMBEDWA - ZOKHUDZA | ||||||||||
| Humulin R | Nthawi zonse | 1/2 - 1 ora | Maola 2-4 | Maola 5-8 | ||||||
| Novolin R | Nthawi zonse | 1/2 - 1 ora | Maola 2-4 | Maola 5-8 | ||||||
| KUCHITA ZOKHUDZA | ||||||||||
| Humulin N | NPH | Maola 1-3 | Maola 8 | Maola 12-16 | ||||||
| Novolin N | NPH | Maola 1-3 | Maola 8 | Maola 12-16 | ||||||
| KUCHITA KWAMBIRI | ||||||||||
| Levemir | Insulin Detemir | Ora limodzi | zochepa zochitapo kanthu | Maola 20-26 | ||||||
| Lantus | Insulin Glargine | Ora limodzi | palibe chiwerengero | Maola 20-26 | ||||||
| KUYANKHULANA / KUYAMBIRANA | ||||||||||
| Humulin kapena Novolin 70/30 | 0,5 - 1 ora | Maola 2-10 | Maola 10-16 | |||||||
| Sakani Konani 70/30 | Pasanathe mphindi 15 | Maola 1-2 | Maola 10-16 | |||||||
| Kusakaniza Manambala 75/25 kapena 50/50 | Pasanathe mphindi 15 | Maola 1-2 | Maola 10-16 | |||||||
| INHALED | ||||||||||
| Afrezza | 12-15 mphindi | Mphindi 30 | Mphindi 180 | |||||||
Zotsatira:
"Chithandizo cha 2007." Matenda a shuga January 2007: 13-18.
Insulin Action. "Phunzirani Za Shuga 2006. Joslin Diabetes Center 12 Dec 2006.
Ikani C: Mitundu ya Insulini, National Institute of Diabetes ndi Matenda a Digestive ndi Impso, National Institutes of Health.
Insulin Basic, American Diabetes Association, July 16, 2015.