Mitundu ya insulini:
Sizinali choncho kale kuti panali mitundu yochepa yokha ya insulini yomwe imapezeka kwa anthu omwe ali ndi shuga. Koma tsopano pali mitundu yosiyanasiyana ya insulini yomwe imagwira ntchito zosiyanasiyana. Kuti mumvetse mmene mitundu yosiyanasiyana ya insulini imagwirira ntchito m'thupi lanu, muyenera kumvetsetsa ziganizo zina.
- Kuyamba kwa insulini kumatanthawuza kuchuluka kwa nthawi pakati pa jekeseni yanu ndi pamene insulini imayamba kuchepetsa shuga wanu wa magazi.
- Kutha kwa insulini kumatanthawuza momwe insulini idzapitirire kugwira ntchito nthawi yayitali itayamba kugwira ntchito.
- Chidulecho chimatchula mfundo yomwe insulini ikugwira ntchito pamtunda wake waukulu kapena ndiyo yamphamvu kwambiri.
Mitundu ya Insulini
Pali mitundu yosiyanasiyana ya insulini. Nazi mitundu yomwe ilipo tsopano:
Kutulutsa insulini mwamsanga
Kuchita mofulumira kwa insulini wapangidwa kuti ayambe kugwira ntchito mofulumira, kawirikawiri ndi kuyamba kwa pafupi mphindi 15 mutapatsidwa jekeseni. Kuthamanga mofulumira kwa insulin kumagwiritsidwira ntchito nthawi yomweyo chakudya chisanathe kuti pakhale kukula kwa shuga komwe kumachitika kudya. Insulini imapitirira pafupifupi maola 1-2 pambuyo pa jekeseni ndipo imatenga maola asanu.
Kutulutsa insulini yochepa
Kachilombo kamene kamakhala ndi insulini, kamodzi kamene kamatchedwa insulin kawirikawiri, kakhala koyamba kwa mphindi 30 ndipo nthawi zambiri imatha maola awiri ndi awiri ndipo imatha kufika maola 8.
Kuchuluka kwa maselo oteteza insulini
Palinso insulin imodzi yokha yomwe imagwira ntchito pamsika ndipo imatchedwa NPH.
Mosiyana ndi madzi omveka a insulin yofulumira komanso yochepetsetsa, NPH imakhala ndi mawonekedwe a mitambo. Kutentha uku kumachokera ku insulin makatani mu njira. NPH imayamba pafupifupi maola 1-2, imakwera maola pafupifupi 8 ndi nthawi ya maola 16 koma nthawi imeneyi imatha kusiyana pakati pa munthu ndi munthu.
Si zachilendo kuti anthu omwe atenga kachilombo ka HIV apatsidwe mlingo wa insulini wodalirika kapena wofulumira kuti aphimbe chakudya, chomwe chimatchedwanso bolus insulini.
Kutulutsa insulini yaitali
Insulini yanthaŵi yaitali imayamba pafupifupi ola limodzi. Chifukwa chakonzedwa kukhalabe muutali wautali kusiyana ndi mitundu ina ya insulini, ilibe "mfundo" yachitsulo. Mukamaliza kugwira ntchito, cholinga chanu chokhala ndi insulini nthawi yaitali ndicho kukhalabe osasinthasintha komwe kumathandiza kuchepetsa ma shuga a magazi pamene simukudya komanso makamaka pamene mukugona. Izi zimatchedwanso insalin ya basal. Kuteteza thupi kwa nthawi yaitali kumakhala kwa nthawi yaitali mpaka maola 24 ndipo nthawi zambiri kumathandizidwa ndi insulini yofulumira kapena yochepetsetsa kuti iphimbe chifukwa cha kudya kwa shuga.
Pre-wosakaniza insulini
Pali insulin zingapo zosakanikirana zomwe zimagwirizanitsa insulini yosiyanasiyana yomwe imakhala yochepa kwambiri komanso imakhala ndi insulin yofulumira. Zosakaniza zimenezi zimakhala njira yabwino kuti tipeze ubwino wa mitundu yonse ya insulini pokhapokha tizilombo toyambitsa matenda. Ma insulin awa asanakhale oyamba amayamba pakati pa mphindi 15 ndi 1 ora, malingana ndi kusakaniza. Nthawi yapamwamba imasiyanasiyana ndipo aliyense amathera maola 24.
Zotsatira:
Insulini. Association of American Diabetes Association. "Buku la Ogulitsa a 2011." Matenda a shuga, January 2011, Vol, 64, No. 1.
Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Mitundu ya Insulini." Kuteteza kwa Shuga, 2009.