Izinhlobo ze-insulin: ziyini nokuthi ungazifaka kanjani
-Delile
- 1. I-insulin esebenza kancane noma ende
- 2. I-insulini yesenzo esiphakathi
- 3. I-insulin esebenza ngokushesha
- 4. I-insulin esebenza ngokushesha kakhulu
- Izici zohlobo ngalunye lwe-insulin
- Uyifaka kanjani insulini
I-insulini yihomoni ekhiqizwa ngokwemvelo ngumzimba ukulawula amazinga kashukela egazini, kepha uma ingakhiqizwa ngobuningi obanele noma lapho umsebenzi wayo unciphile, njengasesifo sikashukela, kungadingeka ukusebenzisa i-insulin yokwenziwa neyokujova.
Kunezinhlobo eziningana ze-insulin yokwenziwa, elingisa isenzo sehomoni yemvelo umzuzu nomzuzu wosuku, futhi engasetshenziswa ngemijovo yansuku zonke esikhunjeni ngamasirinji, amapeni noma amaphampu amancane akhethekile.
I-insulin yokwenziwa isiza ukujwayelekile amazinga kashukela egazini futhi ivumela onesifo sikashukela ukuthi alondoloze impilo enempilo futhi agweme izinkinga zesifo sikashukela. Kodwa-ke, ukusetshenziswa kwayo kufanele kuqalwe kuphela ngokukhonjiswa kukadokotela ojwayelekile noma i-endocrinologist, njengohlobo lwe-insulin okufanele isetshenziswe, kanye namanani ayo ayahluka ngokuya ngezidingo zomuntu ngamunye.
Izinhlobo eziyinhloko ze-insulini ziyahlukahluka kuye ngesikhathi sokwenza nokuthi kufanele zisetshenziswe nini:
1. I-insulin esebenza kancane noma ende
Ingaziwa njengeDetemir, Deglutega noma iGlargina, ngokwesibonelo, futhi ihlala usuku lonke. Lolu hlobo lwe-insulin lusetshenziselwa ukugcina i-insulin engaguquki egazini, elingisa i-insulini, futhi incane, i-insulin usuku lonke.
Njengamanje, kune-insulins ehamba kancane, engasebenza izinsuku ezi-2, enganciphisa inani lokulunywa futhi ithuthukise izinga lokuphila likashukela.
2. I-insulini yesenzo esiphakathi
Lolu hlobo lwe-insulin lungaziwa ngokuthi yi-NPH, i-Lenta noma i-NPL bese lisebenza cishe isigamu sosuku, phakathi kwamahora ayi-12 kuye kwangama-24. Ingalingisa nomphumela oyisisekelo we-insulin yemvelo, kepha kufanele isetshenziswe izikhathi ezi-1 ukuya kwezi-3 ngosuku, kuya ngenani elidingekayo kumuntu ngamunye, nasekuqondisweni kukadokotela.
3. I-insulin esebenza ngokushesha
Eyaziwa nangokuthi i-insulin ejwayelekile yi-insulin okufanele isetshenziswe cishe imizuzu engama-30 ngaphambi kokudla okuyinhloko, imvamisa kathathu ngosuku, futhi lokho kusiza ekugcineni amazinga e-glucose ezinzile ngemuva kokudla.
Amagama aziwa kakhulu kwezohwebo alolu hlobo lwe-insulin nguHumulin R noma uNovolin R.
4. I-insulin esebenza ngokushesha kakhulu
Luhlobo lwe-insulin olunomphumela osheshayo futhi, ngakho-ke, kufanele lusetshenziswe ngokushesha ngaphambi kokudla noma, kokunye, ngemuva nje kokudla, kulingisa isenzo se-insulin esikhiqizwa lapho sidla ukuvikela amazinga kashukela ku igazi lihlala liphezulu.
Amagama amakhulu okuhweba yiLispro (Humalog), Aspart (Novorapid, FIASP) noma iGlulisine (Apidra).
Izici zohlobo ngalunye lwe-insulin
Izici ezihlukanisa izinhlobo eziyinhloko ze-insulin yilezi:
Uhlobo lwe-insulin | Ukuqala kwesenzo | Isenzo esiphakeme | Isikhathi | Umbala we-Insulin | Kungakanani okufanele uthathe |
Isenzo esisheshayo | 5 kuya ku-15 min | 1 kuya 2 amahora | 3 kuya ku-5 amahora | Okusobala | Ngaphambi nje kokudla |
Isenzo Esisheshayo | 30 iminithi | Amahora amabili kuya kwamathathu | Amahora amahlanu kuya kwayisithupha | Okusobala | 30 min ngaphambi kokudla |
Isenzo Esincane | 90 amaminithi | Ayikho isiqongo | Amahora angama-24 kuya kwangu-30 | Okusobala / Ubisi (NPH) | Imvamisa kanye ngosuku |
Ukuqala kwesenzo se-insulin kufana nesikhathi esithatha ukuthi i-insulin iqale ukusebenza ngemuva kokuphathwa futhi inani eliphakeme lesenzo yisikhathi lapho i-insulin ifinyelela esenzweni sayo esiphezulu.
Abanye abanesifo sikashukela bangadinga amalungiselelo e-insulin asebenza ngokushesha, asebenza ngokushesha futhi asebenza ngokushesha, abizwa ngokuthi i-premixed insulin, efana neHumulin 70/30 noma iHumalog Mix, ukwenza ukulawula lesi sifo futhi kuvame ukusetshenziselwa ukwenza lula ukusetshenziswa kwaso nokunciphisa inani lokulunywa, ikakhulukazi ngabantu asebekhulile noma labo abanobunzima bokulungiselela i-insulin ngenxa yezinkinga zemoto noma zombono. Ukuqala kwesenzo, ubude besikhathi kanye nokuphakama kuncike kuma-insulins akha ingxube, futhi ajwayele ukusetshenziswa izikhathi ezi-2 kuya kwezi-3 ngosuku.
Ngaphezu kwemijovo ye-insulin enikezwa ngosiba noma isipetu esikhethekile, ungasebenzisa futhi ipompo ye-insulin, okuyithuluzi elenziwa ngogesi elihlala lixhumene nomzimba futhi likhiphe i-insulin amahora angama-24, futhi livumela ukulawula okungcono amazinga kashukela egazini. isifo sikashukela, futhi singasetshenziselwa abantu bayo yonke iminyaka, imvamisa kuhlobo lukashukela lohlobo 1. Funda kabanzi mayelana nokuthi ungayisebenzisa kanjani futhi ungayithola kuphi impompo ye-insulin.
Uyifaka kanjani insulini
Ukuze noma yiluphi uhlobo lwe-insulin lusebenze, kubalulekile ukulusebenzisa kahle, futhi ngenxa yalokhu kuyadingeka:
- Yenza isibaya esincane esikhunjeni, ngaphambi kokunikeza umjovo, ukuze ungene kwisifunda esingaphansi kwesikhumba;
- Faka inaliti perpendicular kwesikhumba futhi usebenzise imithi;
- Shintsha izindawo zokujova, phakathi kwengalo, ithanga nesisu futhi nakulezi zindawo kubalulekile ukuzungeza, ukugwema ukulimaza kanye ne-lipohypertrophy.
Ngaphezu kwalokho, kubalulekile ukonga i-insulin, ukuyigcina esiqandisini ize ivulwe futhi ngemuva kokuthi iphakethe selivuliwe kufanele ivikelwe elangeni nasekushiseni futhi akufanele isetshenziswe isikhathi esingaphezu kwenyanga eyodwa. Ukuqonda kangcono imininingwane yokuthi ungayisebenzisa kanjani i-insulin.