Insulin far don ciwon sukari. Yana maganin insulin

Tsarin kulawa na insulin shine jagorar cikakken bayani ga mai haƙuri da ke ɗauke da 1 ko nau'in ciwon sukari 2:

• wane nau'in azumi da / ko tsawan insulin da ya buƙaci allura;
• wane lokaci ne don gudanar da insulin;
• menene yakamata ya zama ajalinsa.

Tsarin insulin na insulin shine kwararren likitanci. A kowane hali yakamata ya zama daidaitacce, amma koyaushe mutum, gwargwadon sakamakon cikakken ikon sarrafa sukari na jini a cikin makon da ya gabata. Idan likita ya ba da allurar 1-2 na insulin a kowace rana tare da tsayayyen allurai kuma baya duba sakamakon binciken sa-kai na sukarin jini, tuntuɓi wani kwararre. In ba haka ba, nan bada jimawa ba za ku fara sanin kwararrun likitocin kasawa, da kuma likitocin da ke datse ƙananan hancin a cikin masu ciwon sukari.

Da farko dai, likita ya yanke shawara ko ana buƙatar karin insulin don kula da sukari mai azumi. Daga nan sai ya yanke shawarar ko ana buƙatar allurar insulin cikin sauri kafin abinci, ko kuma mara lafiya yana buƙatar allura na duka insulin da azumin dafi. Don yin waɗannan yanke shawara, kuna buƙatar bincika abubuwan ƙididdigar sukari na jini a cikin makon da ya gabata, da kuma yanayin da suka haɗu da su. Menene waɗannan yanayi:

• lokutan abinci;
• nawa kuma menene abinci aka ci;
• ko cin abinci mai yawa ko akasin haka aka ci abinci fiye da yadda aka saba;
• menene aiki na zahiri da kuma lokacin da;
• lokacin gudanarwa da kashi na allunan don ciwon suga;
• cututtuka da sauran cututtuka.

Yana da matukar muhimmanci a san sukarin jini kafin lokacin bacci, sannan kuma da safe akan ciwon mara. Shin yawan sukarinku yana ƙaruwa ko ragewa a cikin dare? Yawan insulin tsawan dare yayi akan amsar wannan tambayar.

Menene ainihin maganin insalin bolus

Maganin insulin na ciwon sukari na iya zama na gargajiya ko na asali (ƙarfafa). Bari mu ga yadda abin yake da yadda suka bambanta. Yana da kyau a karanta labarin “Yadda insulin ke sarrafa sukari na jini a cikin mutane masu lafiya da kuma abin da ke canzawa da masu ciwon sukari.” Idan ka fahimci wannan batun, zaka iya samun nasarar da zaka iya samu wajen magance cutar siga.

A cikin lafiyayyen mutumin da ba shi da ciwon suga, ƙaramin, insulin adadin insulin koyaushe yana zagayawa akan komai a ciki cikin jini. Wannan ana kiransa taro basal ko basal insulin. Yana hana gluconeogenesis, i.e., juyar da kantin sayar da furotin zuwa glucose. Idan babu yawan kwalliyar insulin plasma insulin, to mutum zai “narke cikin sukari da ruwa,” kamar yadda likitocin d described a suka kwatanta mutuwar daga kamuwa da ciwon sukari na 1.

A cikin yanayin azumi (lokacin barci da tsakanin abinci), ƙwayar ƙwayar cuta ta samar da insulin. Ana amfani da wani sashi na shi don kula da daidaitaccen muhimmin mahimmanci na insulin a cikin jini, kuma an adana babban sashi a ajiyar. Ana kiran wannan hannun jari ƙarin abinci. Za'a buƙaci lokacin da mutum ya fara cin abinci don yalwata abincin da aka ci kuma a lokaci guda yana hana tsalle cikin sukarin jini.

Daga farkon cin abinci da bayan kimanin awa 5, jiki yana karɓar insulin. Wannan saki ne mai kaifi ta hancin insulin, wanda aka shirya a gaba. Yana faruwa har sai dukkanin takaddun dake cikin abinci ya mamaye su daga tsokar jini. A lokaci guda, hormones masu hana haihuwa suna kuma aiki don kada sukari jini ya fadi kasa kadan kuma hypoglycemia baya faruwa.

Basis-bolus insulin therapy - yana nufin cewa “tushen” (basal) maida hankali akan insulin a cikin jini an halitta shi ta hanyar injections na insulin na matsakaici ko aiki mai tsawo cikin dare da / ko da safe. Hakanan, taro na insulin bayan abinci an ƙirƙiri shi ta hanyar ƙarin injections na insulin gajere ko aikin ultrashort kafin kowane abinci. Wannan yana ba da izini, koyaushe kusan, don yin kwaikwayon aikin ƙwaƙwalwar ƙoshin lafiya.

Harshen insulin na al'ada yana kunshe da gabatarwar insulin a kowace rana, tsayayyen lokaci da kuma kashi. A wannan yanayin, mara lafiyar mai ciwon sukari da wuya yana ɗaukar matakin glucose na jininsa tare da glucometer. An shawarci masu haƙuri su cinye adadin abinci mai gina jiki iri ɗaya tare da abinci kowace rana. Babban matsala game da wannan shine cewa babu wani canji mai daidaitawa na kashi na insulin zuwa matakin sukari na yanzu. Kuma mai ciwon sukari ya kasance “daure” ga abincin da kuma tsara jigilar insulin. A cikin tsarin al'ada na ilimin insulin, ana ba da allura biyu na insulin sau biyu a rana: gajere da matsakaici na aiki. Ko kuma cakuda nau'ikan insulin daban-daban ana shafa shi safe da yamma tare da allura guda.

Babu shakka, maganin insulin na gargajiya yana da sauƙin gudanarwa fiye da tushen bolus. Amma, abin takaici, koyaushe yana haifar da sakamako mara gamsarwa. Ba shi yiwuwa a sami biyan diyya mai kyau ga masu ciwon sukari, wato, kawo matakan sukari na jini kusa da dabi'un al'ada tare da maganin insulin na gargajiya. Wannan yana nufin cewa rikicewar ciwon sukari, wanda ke haifar da nakasa ko farkon mutuwa, yana haɓaka cikin hanzari.

Ana amfani da maganin insulin na al'ada kawai idan ba zai yiwu ba ko ba a fahimta ba don gudanar da insulin bisa ga shirin da aka yi. Wannan yakan faru ne lokacin da:

• tsofaffi masu ciwon sukari; yana da karancin rayuwa;
• mara lafiya yana da tabin hankali;
• mai ciwon sukari baya iya sarrafa matakin glucose a cikin jininsa;
• mara lafiya yana buƙatar kulawa a waje, amma ba shi yiwuwa ya samar da inganci.

Don kula da ciwon sukari tare da insulin bisa ga hanyar ingantacciyar hanyar maganin bolus, kuna buƙatar auna sukari tare da glucometer sau da yawa a cikin rana. Hakanan, mai ciwon sukari ya kamata ya iya yin lissafin sashi na tsawon lokaci da saurin insulin don daidaita yanayin insulin zuwa matakin sukari na yanzu.

Yadda ake tsara insulin farfajiya don nau'in 1 ko masu ciwon sukari 2

Ana tsammanin kun riga kun sami sakamako na cikakken ikon sarrafa sukari na jini a cikin mai haƙuri tare da ciwon sukari na kwanaki 7 a jere. Shawarwarinmu ga masu ciwon sukari ne waɗanda ke bin tsarin abinci na low-carbohydrate kuma suna amfani da hanyar nauyi. Idan ka bi abinci mai “daidaita”, wanda aka cika shi da carbohydrates, to zaku iya yin lissafin yawan insulin ta hanyoyi masu sauki fiye da wadanda aka bayyana a labaran mu. Domin idan abinci na ciwon sukari ya ƙunshi wuce haddi na carbohydrates, to har yanzu ba za ku iya guje wa ɗibar sukarin jini ba.

Yadda za a tsara lokacin yin aikin insulin - tsarin mataki-mataki-mataki:

1. Yanke shawara idan kuna buƙatar allura na karin insulin na dare.
2. Idan kana bukatar allura na tsawan insulin da daddare, to sai a lissafa lokacin farawa, sannan a daidaita shi a ranakun da ke gaba.
3. Yanke shawara idan kuna buƙatar allura na karin insulin da safe. Wannan shi ne mafi wuya, saboda ga gwaji kana buƙatar tsallake karin kumallo da abincin rana.
4. Idan kana bukatar injections na kara insulin da safe, sannan kayi lissafin farawar insulin a kansu, sannan ka daidaita shi tsawon sati.
5. Yanke shawarar ko kuna buƙatar allurar insulin cikin sauri kafin karin kumallo, abincin rana da abincin dare, kuma idan haka ne, kafin waɗanne abinci ake buƙata, kuma kafin wane - a'a.
6. Calididdige farawa daga cikin gajeran ko insulin gwajin insulin allurar kafin abinci.
7. Daidaita sashi na gajere ko ultrashort insulin kafin abinci, gwargwadon kwanakin da suka gabata.
8. Gudanar da gwaji don gano daidai mintina kafin abincin da kuke buƙatar allurar insulin.
9. Koyi yadda za a ƙididdige yawan inshora na gajere ko na ultrashort na lokuta idan kana buƙatar daidaita sukarin jini.

Yadda za a cika maki 1-4 - karanta a cikin labarin “Lantus da Levemir - insulin-mai-aiki. Normalize sukari a kan komai a ciki da safe. ” Yadda ake cika maki 5-9 - karanta a cikin labaran “Ultrashort insulin Humalog, NovoRapid da Apidra. 'Short insulin' 'da “insulin injections kafin abinci. Yadda ake rage sukari zuwa al'ada idan ya tashi. " A baya can, dole ne kuma kayi nazarin labarin “Kula da ciwon sukari da insulin. Menene nau'ikan insulin. Dokoki don adana insulin. ” Muna tuna sake cewa yanke shawara game da buƙatar allura mai tsawo da saurin insulin ana yin su daban-daban da juna. Diaya daga cikin masu ciwon sukari yana buƙatar insulin ƙarin da dare kawai da / ko da safe. Wasu kawai suna nuna injections na saurin insulin kafin abinci kafin sukari ya kasance al'ada bayan cin abinci. Abu na uku, ana buƙatar insulin mai sauri da sauri a lokaci guda. An tabbatar da wannan ne ta sakamakon cikakken ikon sarrafa kansa na jini na kwana 7 a jere.

Munyi kokarin bayyanawa ta hanya mai sauki kuma mai fahimta yadda za'a tsara tsarin insulin yadda yakamata ga masu ciwon sukari na 1 da nau'in 2. Don yanke shawarar insulin don yin allurar, a wane lokaci kuma a wace allurai, kuna buƙatar karanta labarai masu yawa, amma an rubuta su cikin harshe mai fahimta. Idan kuna da wasu tambayoyi, tambaye su a cikin maganganun, kuma za mu amsa da sauri.

Jiyya don ciwon sukari na type 1 tare da allurar insulin

Dukkanin marasa lafiya da ke dauke da ciwon sukari na 1, ban da waɗanda ke da yanayi mai sauƙi, ya kamata su sami allurar insulin cikin sauri kafin kowane abinci. A lokaci guda, suna buƙatar allura na ƙara insulin da maraice da safe don kula da sukari mai azumi. Idan kun haɗu da insulin da yawa daga safe da maraice tare da injections na insulin azumi kafin abinci, wannan yana ba ku damar ƙara yin daidai ko lessasa da daidai daidai da aikin ƙwaƙwalwar mutumin lafiya.

Karanta duk kayan da ke cikin akwati “Insulin a lura da ciwon 1 da nau'in ciwon sukari 2.” Biya kulawa ta musamman kan labaran “Karin insulin Lantus da Glargin. Matsakaici NPH-insulin Protafan ”da“ Injections na saurin insulin kafin abinci. Yadda ake rage sukari zuwa al'ada idan ya yi tsalle. " Kuna buƙatar fahimtar sosai dalilin da yasa ake amfani da insulin mai tsawo da kuma abin da yake sauri. Koyi menene hanyar rashin nauyi shine kiyaye daidaitaccen sukarin jini yayin da kuma a lokaci guda tsadar insulin ƙananan insulin.

Idan kana da kiba saboda cutar guda 1, to allunan Siofor ko Glucofage na iya zama da amfani don rage asulin insulin da kuma saukaka asarar nauyi. Da fatan za a tattauna waɗannan kwayoyin magunguna tare da likitan ku, kada ku rubuto musu da kanku.