Umlobi: John Pratt
Usuku Lokudalwa: 11 Ufebhuwari 2021
Ukuvuselela Usuku: 14 Unovemba 2024
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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-insulinUkuqala kwesenzoIsenzo esiphakemeIsikhathiUmbala we-InsulinKungakanani okufanele uthathe
Isenzo esisheshayo5 kuya ku-15 min1 kuya 2 amahora3 kuya ku-5 amahoraOkusobalaNgaphambi nje kokudla
Isenzo Esisheshayo30 iminithiAmahora amabili kuya kwamathathuAmahora amahlanu kuya kwayisithuphaOkusobala30 min ngaphambi kokudla
Isenzo Esincane90 amaminithiAyikho isiqongoAmahora angama-24 kuya kwangu-30Okusobala / 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:

  1. Yenza isibaya esincane esikhunjeni, ngaphambi kokunikeza umjovo, ukuze ungene kwisifunda esingaphansi kwesikhumba;
  2. Faka inaliti perpendicular kwesikhumba futhi usebenzise imithi;
  3. 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.

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