YANA MAGANIN INSULIN

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Akwai magunguna na insulin da yawa ga masu cutar siga. Kowane tsarin yana da alaƙar kansa da kuma yawan amfanin yau da kullun na insulin. Dangane da peculiarities na jiki, daban-daban aikin jiki, abincin da mai ciwon sukari ya ɗauka, ana lissafta kashi ɗaya na magungunan, ana lissafta su bisa ga ɗaya ko wata makirci.

A akasari, yana da matukar wahala a lissafa adadin insulin da ake bukata - kwatankwacin guda wanda likitoci daban-daban ke sarrafawa na iya haifar da wani bambanci na jikin mutum, saboda tasirin maganin, tsawon lokacin da yake aiki. Ana yin lissafin yawan insulin ne a asibiti, mai ciwon sukari kai tsaye zai tantance adadin, yana daidaita shi da tsananin yawan motsa jiki, abinci da sukari a cikin jini.

Gudanar da aikin insulin

Daga cikin hanyoyin da ake amfani dasu na maganin insulin, manyan nau'ikan guda 5 sun fito fili:

Jectionaya daga cikin allura guda-biyu na insulin aiki na tsayi ko tsaka-tsaki-tsaka-tsaki;
Sau biyu na insulin na matsakaici;
Jectionarin allura na matsakaiciyar matsakaiciya da gajeran gajeran insulin;
Allura sau uku na insulin cikin gajere da tsawaita aiki;
Basis shiri ne na bolus.

Hanyar sarrafawa ta yau da kullun na insulin na iya wakilta a cikin hanyar layin da ke da shinge a daidai lokacin da yake cikin insulin wanda ke faruwa sa'a daya bayan cin abinci (Hoto 1). Misali, idan mutum yaci abinci da karfe 7 na safe, 12 na safe, 6 na yamma da karfe 10 na safe, to, kogin insulin zai faru ne da karfe 8 na safe, 1 p.m., 7 p.m. da 11 p.m.

Hanyar ruɓewa ta halitta tana da sassan madaidaiciya, haɗawa wanda muke da tushe - layi. Abubuwan da ke cikin kai tsaye sun dace da lokacin da mutumin da ba ya fama da ciwon sukari ba ya ci kuma insulin ya keɓe kadan. A lokacin fitowar insulin bayan cin abinci, an raba madaidaicin layin sirrin halitta ta hanyar kololuwar tsauni tare da hauhawar tashi da raguwar kaifi.

Layi tare da fiɗa huɗu shine "zaɓi" zaɓi, yana dacewa da sakin insulin tare da abinci 4 a rana a ƙayyadaddden lokacin.

A zahiri, lafiyayyen mutum zai iya motsa lokacin cin abinci, tsallake abincin rana ko abincin dare, hada abincin rana tare da abincin rana ko ɗaukar ɗan abin ciye-ciye, a wannan yanayin ƙarin ƙananan kololuwar insulin zai bayyana a kan kwana.

Guda guda daya na insulin aiki na tsayi ko tsaka-tsaki-tsakani

Guda guda daya shine saboda gabatarwar insulin kowace rana da safe kafin karin kumallo.

Ayyukan wannan makirci hanya ce da ta samo asali daga lokacin da ake shayar da maganin, har ya kai ga lokacin cin abincinsa sannan ya gangaro zuwa abincin dare (jadawalin 2)

Wannan makirci yana daya daga cikin mafi sauki, yana da raunin abubuwa da yawa:

-Arfin harbi ɗaya-ɗaya ba zai yuwu ya yi kama da na halitta don ƙirar insulin ba.
Aikace-aikacen wannan shirin ya ƙunshi cin abinci sau da yawa a rana - ana maye gurbin karin kumallo mai sauƙi ta hanyar abincin rana mai yawa, ƙarancin abincin rana da ƙaramar abincin dare.
Adadin da abun da ke tattare da abinci ya kamata a daidaita tare da tasiri na aikin insulin a wannan lokacin da kuma matakin motsa jiki.

Rashin dacewar shirin ya haɗa da babban adadin haɗarin hauhawar jini, dare da rana. Abunda ya faru na rashin bacci a cikin maraice, tare da karuwar kashi na insulin safe, yana kara hadarin rashin karfin jini a lokacin mafi girman tasirin maganin.

Gabatarwar wani kaso mai yawa na insulin ya rushe tasirin jikin mai, wanda zai iya haifar da samuwar cututtukan mahaifa.

Ba a shawarar wannan makirci ga mutanen da ke fama da ciwon sukari na 1, masu ciwon sukari na 2, ana amfani da farjin haɗin gwiwa tare da magunguna masu rage sukari da aka gabatar yayin abincin dare.

Biyu allurar insulin matsakaici mataki

Wannan makirci na maganin insulin shine saboda gabatarwar kwayoyi da safe kafin karin kumallo da maraice kafin abincin dare. Adadin yau da kullun na insulin ya kasu kashi safe da maraice a cikin rabo na 2: 1, bi da bi (jeri 3).

Fa'idodin makircin shine rage hadarin cututtukan jini, kuma rarrabewar insulin a cikin allurai guda biyu yana taimakawa ga rage yawan yaduwar jini a jikin mutum.
Rashin dacewar shirin ya haɗa da ƙaƙƙarfan haɗi zuwa tsarin da abinci - mai ciwon sukari ya kamata ya ci ƙasa da sau 6 a rana. Bugu da kari, yanayin aikin insulin, kamar yadda yake a cikin tsari na farko, ya yi nisa da tsarin ruhin insulin na halitta.

M allura na matsakaici da gajeren aiki insulin

Ofaya daga cikin ingantattun makirfan makircin ana ɗauka ya zama allurar ninki biyu na matsakaiciyar ciki da gajere.

Wannan tsarin yana nunawa da gabatarwar kwayoyi da safe da maraice, amma sabanin makircin da ya gabata, ya zama mai yiwuwa ne ya bambanta kashi na yau da kullun na insulin dangane da aikin motsa jiki mai zuwa ko abinci.

A cikin masu ciwon sukari, saboda yawan amfani da sashin insulin, zai iya yiwuwa a yawaita menu na masu ciwon sukari ta hanyar amfani da samfurin da sukari mai yawa ko kara adadin abincin da aka dauka (jadawalin 4).

Idan a cikin ranar da kuka shirya lokacin aiki (tafiya, tsaftacewa, gyara), kashi na safe na gajeren insulin yana ƙaruwa da raka'a 2, kuma matsakaicin kashi ya ragu da raka'a 4 - 6, kamar yadda aikin jiki zai ba da gudummawa ga rage yawan sukari;
Idan taron da aka saba da shi tare da abinci da yawa ana shirin yamma da yamma, kashi na gajeren insulin ya kamata ya ƙara raka'a 4, tsaka-tsakin - barin su a cikin adadin.

Saboda rarrabuwa mai ma'ana na kashi na yau da kullun na miyagun ƙwayoyi, yaduwar allurar rigakafin insulin ta tsaka-tsaki da gajere kuma shine mafi kusanci da ɓoyewar yanayin, wanda yasa hakan ya zama mafi kyawu kuma ya dace da kula da masu ciwon suga irin na 1. Yawan insulin da aka saka a cikin jini yana yaduwa a cikin jini kodayaushe, wanda ke rage hadarin cututtukan jini.

Duk da fa'idodi, makircin ba shi da matsala, ɗayan ɗayan yana da alaƙa da abinci mai wahala. Idan maganin insulin na ninki zai baka damar ninka yawan abincin, to ya zama haramun ne daga tsarin abinci. Ragewa daga jadawalin rabin sa'a yana barazanar faruwar cutar rashin ƙarfi.

Allura ta ukku na gajere da tsawan insulin

Tsarin allurar insulin sau uku a safiya da yamma ya yi daidai da lokacin da ake bi da biyun da suka gabata, amma ya fi sauyawa a sa'o'in maraice, wanda ya sa ya zama mafi kyau. Jumlalin ya ƙunshi gudanar da cakuda insulin gajere da tsawa cikin safiya kafin karin kumallo, allurai gajerun insulin kafin abincin rana da ƙaramin kashi na tsawon insulin kafin abincin dare (Hoto na 5).

Tsarin yana da sauƙin sassauƙa, saboda yana ba da damar sauya lokaci don abincin yamma da raguwa a cikin adadin insulin na tsawan lokaci. Hanyar allura sau uku ita ce mafi kusanci da tsarewar insulin na ɗabi'a da maraice.

Dalili - Shirin Bolus

Basis - tsarin kula da insulin na insulin ko kuma wanda yai alkawarin cika alkawuran, kamar yadda yake kusa da kusancin hanya zuwa inshoran insulin na halitta.

Tare da tsarin kulawa-bolus na kulawar insulin, rabin jimlar yana faɗi akan insulin aiki mai tsawo, rabi kuma akan "gajere" ɗaya. Kashi biyu cikin uku na tsawan insulin ana sarrafa shi safe da yamma, sauran a maraice. Matsayin insulin "gajere" ya dogara da adadin da kayan abinci da aka ɗauka.