Short insulin mutum yana fara aikinsa minti 30-45 bayan an gabatar dashi cikin jiki. Akwai nau'ikan insulin na yau da kullun na insulin wucin gadi, wadanda suke aiki bayan mintuna 10. Waɗannan sun haɗa da samfuran ci gaba na insulin ɗan adam: Apidra, Novo-Rapid da Humalog. Wadannan analogues na insulin na halitta, godiya ga mafi kyawun tsari, sun sami damar rage matakan glucose jini kusan nan da nan bayan shigar mai haƙuri tare da ciwon sukari mellitus.
Menene insulin wucin gadi
An tsara insulin na wucin gadi musamman don ƙwantar da ƙwaryaka a cikin sukari sakamakon cin zarafin tsananin cin abincin mai cutar. Kamar yadda al'adar ta nuna, ba shi yiwuwa a yi shi dari bisa dari, saboda idan kayi amfani da abinci da aka haramta wa mai cutar siga, gulukon jini zai iya tashi zuwa matsanancin matsayi.
Duk da kasancewar wasu nau'ikan glucose da aka canza, ba za a iya yin watsi da rage yawan abincin da ke dauke da carbohydrate ba, saboda irin wannan karuwar da ke cikin sukari na jini yayi matukar tasiri ga yanayin cutar.
Ana amfani da insulin Ultrashort don saukar da sukari da sauri zuwa matakin al'ada, kuma wani lokacin kafin abinci. Wannan ya zama dole a lokuta idan mai ciwon sukari ya tashi glucose kai tsaye bayan cin abinci.
Likita ya tsara nau'in 1 ko nau'in masu ciwon sukari guda 2 tare da kamun kai na kai matakin glucose na jini. Dole ne a aiwatar da wannan hanyar aƙalla mako guda amma kuma bayan wannan lokacin zai yiwu don yanke shawara a kan wane nau'in insulin ɗin da kuke buƙatar allurar, sashi ɗin kuma a wane lokaci. Ba shi yiwuwa a bada shawarar makirci na duniya, saboda a kowane yanayi zai zama na musamman da mutum ɗaya.
Yaya aikin insulin yake aiki?
Idan muka yi magana game da yanayin insulin na gajere, to, yana aiki da yawa fiye da yadda jikin mara lafiya ya fara juyar da furotin zuwa glucose jini. A saboda wannan dalili, waɗancan mutanen da ke bin abincin low-carbohydrate a cikin inganci da tsari na iya amfani da insulin na ɗan gajeren lokaci kafin abinci.
Zai buƙaci gabatar da shi a cikin jiki kimanin mintuna 45 kafin cin abinci. Ba a nuna lokacin daidai ba, saboda kowane mai haƙuri dole ne, ta hanyar gwaji da kuskure, nemo lokacin da ya dace da irin wannan allurar. Insulin mutum zaiyi aiki na tsawon awanni 5, saboda a wannan lokacin ne dukkan abinci ke narkewa kuma glucose ya shiga cikin jini.
Amma game da insulin gyaran ultrashort, ya zama dole a cikin yanayi majeure don rage sukari cikin sauri. Wannan yana da matuƙar mahimmanci, saboda a matakinsa mafi girmanwa akwai kusan yiwuwar rikice rikicewar cututtukan mellitus da haɓaka a cikin bayyanar cututtuka. Don wannan, ba a son amfani da insulin na ɗan adam.
Bayyana wasu maki:
- Ga waɗanda ke fama da ciwon sukari na 2 mai sauƙi kuma sukarin jininsu na iya faɗuwa da kansu, babu buƙatar yin allurar insulin don ƙara rage sukarin jini.
- Ko da za ku bi shawarar likita game da adadin carbohydrates da ke cinyewa, hannun jari na analog na anaulin insalin mutum na iya zuwa da amfani. Idan sukari ya yi tsalle ba zato ba tsammani, to insulin-gajere insulin zai rage shi sau da sauri. Yana biye daga wannan cewa rikice-rikice na cutar sukari ba zai iya fara kunnawa ba.
- A wasu halaye, ba za ku iya bin ka'idodin jira na mintuna 45 kafin cin abinci ba, duk da haka, wannan shine banda.
Ya kamata koyaushe ku tuna cewa insulin ultrashort yana da yawa sau da yawa fiye da na gajere. Da yake magana cikin lambobi, 1 na Hulinlog naúrar zai iya rage yawan glucose taro sau 2.5 cikin sauri fiye da 1 na insulin na yau da kullun.
Wasu kwastomomi suna ba da insulin matsanancin gajere “Apidra” da “Novo-Rapid” - suna sau 1.5 cikin sauri. Ba za a iya ɗaukar waɗannan alƙawura azaman na gaba ɗaya ba, saboda wannan adadin mai ƙima ne. Daidai sanin wannan adadi zai yiwu ne kawai a aikace a kowane yanayi. Haka yake amfani da allurai na ultrashort insulin. Zai iya zama ƙasa ƙasa da kwatancin insulin gajere.
Idan muka kwatanta Humalog, Apidra da Novo-Rapid, to, shi ne magani na farko da ya ci nasara ta hanzarta aiwatarwa kusan sau ɗaya a cikin 5.
Babban fa'idodi da rashin amfanin insulin
Karatuttukan likita da yawa sun nuna cewa kowane nau'in insulin na iya samun babban fa'ida da fa'idoji masu girma.
Idan zamuyi magana game da gajeren insulin na ɗan adam, to, girman tasirin sa akan jinin mai ciwon sukari yana daga baya lokacin da aka allura tare da zaɓi na ultrashort, amma a lokaci guda matakan maida hankali yana raguwa da sauri, kuma low insulin a cikin jini kwata-kwata baya iya canzawa.
Sakamakon gaskiyar cewa Humalog yana da mafi girman kaifi, yana da matukar wahala a yi hango ko hasashen ainihin adadin waɗannan carbohydrates da za a iya cinye su har zuwa matakin glucose a cikin jinin mai haƙuri ya kasance a matakin al'ada. Sakamakon mai laushi na gajeren insulin yana ba da gudummawa ga mafi kyawun ɗaukar mahimman abubuwa daga abinci, ƙarƙashin cikakkiyar lura da abinci na musamman don sarrafa matakan glucose.
Idan muka kalli wannan batun a wannan bangaren, to kowane lokaci kafin cin abinci yana da matsala matsala jira minti 45 na gajeran insulin don fara aikin. Idan ba a la'akari da wannan nuance ɗin ba, to, sukari a cikin jini zai yi girma da sauri fiye da abin da aka shigar zai fara aiki.
Kwayar roba ta iya rage insulin minti 10-15 bayan allurar ta. Wannan, hakika, ya fi dacewa, musamman idan ba a dauki abincin ba gwargwadon takamaiman tsarin aiki.
Idan kun bi abinci, ana bada shawara don amfani da gajeren insulin kowane lokaci kafin cin abincin rana ko abincin dare. A lokaci guda, yana yiwuwa a sami bambance-bambancen insulin na ɗan kankanin lokaci don yanayin da ba a tsammani ba, mai haƙuri kuma ya kamata ya san inda zai sa insulin.
A cikin rayuwa ta hakika, sai ya zama cewa gajeruwar insulin din dan adam tayi aiki sosai fiye da ultrashort. Latterarshen na iya zama ƙasa da ake iya faɗi, koda kuwa ana amfani dashi a cikin mafi ƙarancin magunguna, kar a faɗi waɗannan maganganun lokacin da marasa lafiya suka shigar da kansu da madaidaicin sashin abubuwa.
Ya kamata kuma a tuna cewa ingantaccen insulin yana sau da yawa fiye da na mutum. Misali, kashi 1 na Humaloga kusan kwata ne na kashi na gajeren insulin, kuma kashi 1 na Apidra da Novo-Rapida kusan 2/3. Koyaya, yana da mahimmanci a san cewa waɗannan alƙaluman suna kusan, kuma haɓakarsu yana yiwuwa ne kawai ta hanyar gwaji.
Akwai wasu marasa lafiya da masu fama da cutar sukari waɗanda suka sha gajeriyar insulin na dogon lokaci. Wannan lokacin na iya bambanta daga kusan minti 60 zuwa awa 1.5. A irin waɗannan yanayi, yana da wahala matsala a ci abinci cikin nutsuwa. Ga irin waɗannan marasa lafiya, ana bada shawarar yin amfani da insulin Humalog mafi sauri, duk da haka, irin waɗannan maganganu na ɗaukar dogon lokaci ba su da wuya.
