Me zai yi idan na rasa allurar insulin da ta dadewa?

A yadda aka saba, ana samar da insulin ne ta hanjin koda, yana shiga jini a cikin adadi kaɗan - matakin basal. Lokacin cin carbohydrates, babban saki yana faruwa, kuma glucose daga jini tare da taimakonsa ya shiga cikin sel.

Ciwon sukari yana faruwa idan ba a samar da insulin ba ko kuma adadinsa yana ƙasa da al'ada. Hakanan ci gaban alamun bayyanar cututtuka yana faruwa lokacin da masu karɓar sel ba su iya amsa wannan hormone ba.

A cikin nau'in 1 na ciwon sukari na mellitus, saboda rashin insulin, an nuna aikinta a cikin hanyar injections. Hakanan za'a iya tsara marasa lafiya na nau'in na biyu da maganin insulin maimakon kwayoyin. Don maganin insulin, abinci da inje na yau da kullun na miyagun ƙwayoyi suna da mahimmanci.

Tsallake allurar insulin

Tunda lura da nau'in 1 na ciwon sukari ana aiwatar da shi ta musamman a cikin hanyar sauya maganin inulin a kan ci gaba, tsarin kulawa da ƙananan ƙwayoyi shine kawai damar da za a kula da matakan sukari na jini.

Amfani da ingantaccen shirye-shiryen insulin na iya hana haɓaka mai narkewa a cikin glucose kuma ya guji rikice-rikice na ciwon sukari:

1. Haɓaka yanayi na comatose waɗanda ke da haɗari ga rayuwa: ketoacidosis, lactactacidosis, hypoglycemia.
2. Halakar bango na jijiyoyin jiki - micro- da macroangiopathy.
3. Cutar masu fama da ciwon sukari.
4. Rage hangen nesa - retinopathy.
5. Hauka daga cikin juyayi tsarin - neuropathy masu ciwon sukari.

Mafi kyawun zaɓi don amfani da insulin shine don sake farfado da ƙirar sa ta shiga cikin jini. Don wannan, ana amfani da insulins na durations daban-daban na aiki. Don ƙirƙirar matakin jini na yau da kullun, ana yin insulin tsawon lokaci sau 2 a rana - Protafan NM, Humulin NPH, Insuman Bazal.

Ana amfani da insulin na ɗan gajeren lokaci don maye gurbin sakin insulin a sakamakon karɓar abinci. An gabatar dashi kafin abinci akalla sau 3 a rana - kafin karin kumallo, abincin rana da kuma abincin dare. Bayan allura, kuna buƙatar ɗaukar abinci a cikin tazara tsakanin minti 20 zuwa 40. A wannan yanayin, yawan insulin ya kamata a tsara shi don ɗaukar takamaiman adadin carbohydrates.

Daidai allurar insulin na iya zama kawai ƙarƙashin abu. A saboda wannan, wuraren da suka fi aminci da dacewa sune wurare na kusa da na baya da na baya na kafadu, gaban cinyoyin cinya ko sashin gefen su, na ciki, ban da na yankin. A wannan yanayin, insulin daga fata na ciki yana shiga cikin jini sauri fiye da sauran wurare.

Sabili da haka, an ba da shawarar cewa marasa lafiya da safe, kuma, idan ya zama dole don hanzarta rage haɓakar hyperglycemia (gami da lokacin tsallake allura), allura insulin cikin bangon ciki.

Algorithm na aikin mai ciwon sukari, idan ya manta da allurar insulin, ya dogara da nau'in allurar da aka rasa da kuma yawan wanda mutumin da ke fama da ciwon sukari yake amfani dashi. Idan mara lafiya ya rasa allurar insulin tsawon lokaci, to ya kamata a dauki matakan da suka biyo baya:

• Lokacin da aka allura sau 2 a rana - na tsawon awanni 12, yi amfani da insulin gajeru kaɗan bisa ga ka'idodi na yau da kullun kafin abinci. Don rama da allurar da aka rasa, ƙara yawan motsa jiki don ta halitta rage sukarin jini. Tabbatar yin allura ta biyu.
• Idan mai haƙuri da ciwon sukari ya saka insulin sau ɗaya, wato, an tsara allurar don awanni 24, to allurar za a iya yin sa'o'i 12 bayan wucewa, amma ya kamata a rage ƙwayar ta. Lokaci na gaba kana buƙatar shigar da miyagun ƙwayoyi a lokacin da aka saba.

Idan kun tsallake harbi na gajeren insulin kafin cin abinci, zaku iya shigar da ita nan da nan bayan cin abinci. Idan mai haƙuri ya tuna da ƙetarewa, to kuna buƙatar ƙara nauyin - shiga don wasanni, tafi don tafiya, sannan auna matakan sukari na jini. Idan hyperglycemia ya fi mm 13 /ol / L, ana bada shawara don saka raka'a 1-2 na gajeren insulin don hana tsalle cikin sukari.

Idan an gudanar da shi ba daidai ba - maimakon gajeren insulin, mai haƙuri da ciwon sukari allura yayi tsawo, to ƙarfinsa bai isa ya aiwatar da carbohydrates daga abinci ba. Sabili da haka, kuna buƙatar ɗaukar insulin gajere, amma a lokaci guda ku auna matakin glucose a cikin kowane sa'o'i biyu kuma ku sami tabletsan allunan glucose ko Sweets tare da ku don kada ku rage sukari zuwa hypoglycemia.

Idan aka yi allura ta gajewa maimakon yin insulin tsawan kwana, to lallai ne a ci gaba da yin allurar, tunda ya zama dole a ci abincin carbohydrate akan gajeran insulin, kuma aikin sa zai ƙare kafin lokacin da ake buƙata.

Idan ana yin ƙarin insulin fiye da dole ko kuma an yi kuskuren yin kuskure sau biyu, to kuna buƙatar ɗaukar irin waɗannan matakan:

1. Akeara yawan samun abinci a cikin kiba-mai mai-mai-mai-mai tare da ƙwayoyin carbohydrates masu rikitarwa - hatsi, kayan lambu da 'ya'yan itatuwa.
2. Sanya glucagon, mai maganin antulinist.
3. Auna suga glucose akalla sau daya a cikin awanni biyu
4. Rage damuwa a jiki da kwakwalwa.

Abinda ba a ba da shawarar sosai ga marasa lafiya da masu ciwon sukari shine a ninka kashi na gaba na insulin ba, saboda wannan zai hanzarta haifar da faɗuwar sukari. Abu mafi mahimmanci yayin tsallake kashi shine lura da matakin glucose a cikin jini har sai ya sami kwanciyar hankali.

Hyperglycemia lokacin tsallake allurar insulin

Alamar farko na karuwa a cikin gulukos jini tare da allurar da aka rasa suna ƙara ƙishirwa da bushe baki, ciwon kai, da yawan urination. Ciwon ciki, rauni mai yawa a cikin ciwon sukari, da kuma raunin ciki na iya bayyana. Hakanan matakan sukari na iya ƙaruwa tare da ƙididdigar da ba daidai ba ko yawan ƙwayar carbohydrates, damuwa da cututtuka.

Idan ba ku dauki carbohydrates a cikin lokaci don kai harin hypoglycemia ba, to jiki zai iya rama wannan yanayin da kansa, yayin da ma'aunin hormonal mai rikicewa zai kula da sukarin jini a cikin dogon lokaci.

Don rage sukari, kuna buƙatar ƙara yawan adadin insulin mai sauƙi idan, lokacin da aka auna, mai nuna alama ya wuce 10 mmol / l. Tare da wannan ƙaruwa, ga kowane ƙarin 3 mmol / l, ana raba raka'a 0.25 ga yara na makarantan gaba, raka'a 0.5 zuwa ɗaliban makarantar, raka'a 1 -2 ga matasa da manya.

Idan hanyar insulin na gaba da asalin cutar, a zazzabi mai zafi ko lokacin ƙi abinci saboda ƙarancin ci, to don hana rikicewa ta hanyar ketoacidosis ana ba da shawarar:

• Kowane sa'o'i 3, auna matakan glucose a cikin jini, kazalika da ketone jikin a cikin fitsari.
• Ka bar matakin tsawan insulin ba ya canzawa, kuma ka tsara hyperglycemia tare da gajeren insulin.
• Idan glucose na jini ya wuce 15 mmol / l, acetone ya bayyana a cikin fitsari, to kowane allura kafin abinci ya kamata ya karu da 10-20%.
• A matakin glycemia har zuwa 15 mmol / L da kuma gano acetone, kashi na gajeren insulin yana ƙaruwa da 5%, tare da ragewa zuwa 10, dole ne a dawo da magungunan da suka gabata.
• Baya ga manyan injections na cututtukan cututtuka, zaku iya gudanar da insulin Humalog ko NovoRapid insulin ba awanni 2 ba, da kuma insulin gajeren zango - 4 hours bayan allura ta karshe.
• Sha ruwaye na akalla lita ɗaya a rana.

A lokacin rashin lafiya, ƙananan yara zasu iya ƙin abinci gaba ɗaya, musamman a gaban tashin zuciya da amai, sabili da haka, don cin abinci na carbohydrates, zasu iya canzawa zuwa 'ya'yan itace ko ruwan' ya'yan itace na Berry na ɗan gajeren lokaci, suna ba da apples apples, zuma

Yaya ba za a manta game da allurar insulin ba?

Yanayin tsallake matakin na iya kasancewa baya dogaro ga mai haƙuri, sabili da haka, don maganin ciwon sukari mellitus tare da insulin, kowa yana ba da shawarar wakilai waɗanda ke sauƙaƙe injections na yau da kullun:

Alamar rubutu ko siffofin musamman don cikewa tare da nuni na kashi, lokacin allura, da bayanai akan duk ma'aunin sukari na jini.

Sanya sigina a wayarka ta hannu, yana tunatar da ku shiga insulin.

Sanya aikace-aikacen a wayarka, kwamfutar hannu ko kwamfuta don sarrafa matakan sukari. Irin waɗannan shirye-shiryen na musamman suna ba ku damar lokaci guda don ɗaukar adadin kuzari na abinci, matakan sukari da ƙididdige yawan insulin. Waɗannan sun haɗa da Norma Sugar, Magazine na ciwon sukari, Ciwon sukari.

Yi amfani da aikace-aikacen likita don na'urori waɗanda ke nuna lokacin shan magunguna, musamman lokacin amfani da wanin allunan insulin don maganin cututtukan haɗuwa: My Allunan, My therapy.

Yi wa lakabi sirinji tare da lambobi na jiki don guje wa rikicewa.

A yayin da aka rasa allurar saboda rashin ɗayan nau'ikan insulin, kuma ba za a iya siyanta ba, tunda ba a cikin kantin magani ba ne ko kuma wasu dalilai, to, yana iya zama mafificiyar makoma don maye gurbin insulin. Idan babu gajeran insulin, to lallai ne a allurar da insulin tsawon lokaci a irin wannan lokacin da kololuwar aikinta yayi daidai da lokacin cin abinci.

Idan akwai insulin gajeren lokaci, to, kuna buƙatar allurar dashi sau da yawa, yana mai da hankali kan matakin glucose, gami da kafin lokacin kwanciya.

Idan kun rasa shan magunguna don maganin cututtukan cututtukan cututtukan mellitus na nau'in na biyu, to ana iya ɗaukar su a wani lokaci, tun da biyan diyya don bayyanar cutar glycemia tare da magungunan antidiabetic na zamani ba a ɗaure don rubuta dabaru ba. Haramun ne a ninka kashi biyu na allunan koda kuwa an rasa allurai biyu.

Ga marasa lafiya da masu ciwon sukari mellitus, yana da haɗari don samun sukarin jini a yayin da suka tsallake allura ko shirye-shiryen tebur, amma haɓaka tashe-tashen hankula na cututtukan jini, musamman a lokacin ƙuruciya, na iya haifar da haifarwar jiki, gami da haɓaka tunanin mutum, don haka daidaita sikelin daidai yana da mahimmanci.

Idan akwai wata shakka game da daidai da sake dawowa da ƙwaƙwalwar ƙwayoyi ko maye gurbin magunguna, to, zai fi kyau nemi taimakon likita na ƙwararrun masani daga endocrinologist. Bidiyo a cikin wannan labarin zai nuna alaƙar tsakanin insulin da sukari jini.