Kahi palena lula bolus
Me kahi papa hana basal-bolus no ka mālama ʻana i ka insulin (ʻike hou ʻia e pili ana i ka ʻenekema i kēia manawa ma kēia ʻatikala), hapalua o ka nui o ka nui o kēlā me kēia lā ma ka inika hana lōʻihi, a ʻo ka hapalua hoʻi. Hoʻokomo ʻia nā hapakolu o ka insulin ka lōʻihi i ke kakahiaka a me ke ahiahi, ke koena i ke ahiahi.
![](http://img.diabetesentity.com/img/sayd-2020/2074/kak-rasschitat-dozu-insulina-i-kakie-posledstviya-mogut-vozniknut.jpg)
- ʻO ka insulin hana pōkole - i ke kakahiaka (7), i ke ahiahi (10), i ke ahiahi (7);
- ʻO ka insulin mea kūlohelohe - i ke kakahiaka (10), i ke ahiahi (6);
- Ka hana lōʻihi i ka insulin i ke ahiahi (16)
Pono e hoʻopili ʻia nā ʻōlelo hoʻoili ma mua o ka papaʻaina. Inā hoʻonui ʻia ka nui o ka glucose i loko o ke koko ma mua o ka ʻai ʻana, a laila e hoʻonui ʻia ka nui o ka insulin short-acting e ka nui o UNITS.
- Me ka glucose 11 - 12 mmol / l per 2;
- Me ka glucose 13 - 15 mmol / l e 4;
- Me ka glucose 16 - 18 mmol / l e 6;
- Me ka glucose e piʻi kiʻekiʻe ma mua o 18 mmol / l ma ka 12.
Pono e hoʻokaʻawale kahi maʻi maʻi i ka pancreas me kona mau lima a me kahi syringe, aia i ke ʻano maʻamau, e hilinaʻi ana i ka nui a me ke ʻano o ka meaʻai a me ka pae o ka hana kino, kūʻokoʻa like me ka nui o ka insulin e like me ka mea e hoʻohaʻahaʻa i ka glucose koko. Me kahi kelakona maʻi maʻi, pono e hoʻomalu kahi kanaka i kēia kaʻina hana, me ka noʻonoʻo pono i ka nui o ka insulin i paʻi ʻia. Kuhi ʻia ka nui o ka lāʻau lapaʻau - ma ke ana ʻana i ka pae glucose ma mua a ma hope o ka ʻai. Eia kekahi, aia nā papa i hōʻike i nā pono o nā ʻāpana ʻai o ka huahana a me ka maʻa o ka insulin e koi ana i ka wā e pau ai i kēia huahana.
- Ka ikaika o ka hana maʻi - e mālama ʻia ana nā hana inikini 4 i ka manawa 5 i ka lā;
- Hoʻokomo ʻia nā ʻikepili i ke ao, ʻo ia ka mea i kūpono ʻole ma ke ʻano o ke ola maʻamau (aʻo, hana, hele ma ka huakaʻi), pono ʻoe e loaʻa kahi syringe me ka peni;
- Aia ka nui o ka hoʻonui nui o ka holi i pili me ka lawa ʻole o ka ʻai i ka meaʻai a i ʻole nā lawelawe ʻana i ka nui o ka insulin.
Hoʻopiʻi koko
Kino ke kōpaʻa olakino olakino (kūlana A):
Noho o a | mmol / l |
Ma kahi ʻōpū | 3,3 - 5,5 |
ʻElua mau hola ma hope o ka ʻaina | 4,4 - 7,8 |
I ka pō (2 - 4 mau hola) | 3,9 - 5,5 |
Hōʻike ka puna no ka maʻi maʻi maʻi (kūlana B):
Noho o ka b | Ma lalo o 60 mau makahiki he nui | Ma hope o 60 mau makahiki |
mmol / l | ||
Ma kahi ʻōpū | 3,9 - 6,7 | a i ka 8.0 |
ʻElua mau hola ma hope o ka ʻaina | 4,4 - 7,8 | a i ka 10,0 |
I ka pō (2 - 4 mau hola) | 3,9 - 6,7 | a i ka 10,0 |
ʻO nā mea maʻi me ka maʻi mellitus e pono ai e pili ana i nā ana o ke kō i ke kiʻekiʻe o ka honu o nā kānaka olakino, ʻoiai ka lōʻihi o ka kiʻekiʻe o ka glucose kiʻekiʻe e hōʻike nei i ka hoʻomohala ʻana i nā maʻi mauʻeha (hōʻino i nā moku o kaʻeha, nā wāwae, nā maka).
- Me ka mellitus maʻi i loaʻa i ka wā kamaliʻi a i ʻole ʻōpio, me ka nānā ʻole ʻole ʻana i ke ʻano o ka glucose i hoʻohālikelike ʻia i kahi kanaka olakino, aia ke kiʻekiʻe o ka loaʻa ʻana o kahi maʻi maʻi i loko o 20 a 30 mau makahiki.
- ʻO ka poʻe i loaʻa i ka maʻi ma hope o ka makahiki he 50 a loaʻa i ke kiʻekiʻe o ke kō, ʻoi aku ka nui o nā maʻi ʻoi ʻole ka manawa a hoʻomohala ʻia a hele pū ʻia e kekahi make kūlohelohe o kekahi kanaka. ʻO nā maʻi maʻi palaka e pono ai i kahi pae glucose i 9 - 10 mmol / L. ʻO nā pae loi no ka lōʻihi lōʻihi ma mua o 10 mmol / L e alakaʻi i ka hoʻolālā wikiwiki ʻana i nā maʻi maʻi.
![](http://img.diabetesentity.com/img/sayd-2020/2074/kak-rasschitat-dozu-insulina-i-kakie-posledstviya-mogut-vozniknut-2.jpg)
ʻO ke ahiahi ʻana i ka insulin. Ka manawa injection
No nā mea maʻi ʻaʻole i hoʻohana i kahi kumu - bolus regimen o ka ʻina o ka insulin, ʻaʻole ia e hoʻokaʻawale i kahi mea i ʻoi aku ma mua o ka hola 10, no ka mea, e hala ana ka ʻōlelo he 11 hola i hala, i ka hana i hoʻomau ʻia i ka hana o ka insulin i ka lua ma ke kakahiaka, i ka wā e hiamoe ana ka maʻi maʻi a ʻaʻole hiki ke mālama i kona ʻano. . ^ E Ha yM. ʻOi aku ka maikaʻi inā ke kaho o ka hana o ka insulin ma mua o 12 oʻōkō i ke ahiahi (pono e hana ʻia ka ʻaha i ka 9 o) a me ka mea maʻi ma ka ʻāina hiamoe ʻole.
- No ka mea maʻi e hoʻomaʻamaʻa nei i ke kumu o ka lāʻau bolus, ʻaʻole ka hana o ka manawa o ka pāʻina i ke ʻano he nui, no ka mea, ʻo kēlā me kēia manawa o ka kīmaka, ke kau ʻia nei ka ʻili i ka koho ʻana i kēlā ʻano insulin e ʻano e hoʻolilo i kahi pō i ka pae gula a e pili ana i ka glucose maʻamau ma ke kakahiaka ma kahi ʻōpū ʻole.
ʻO ke pae o ka ea ke hoʻokaʻawale loa ka nui o ke kō:
Ka manawa (hola) | Hoʻolaha kūleʻa, mol / l |
20.00 - 22.00 | 16 |
24.00 | 10 |
2.00 | 12 |
8.00 | 13 |
ʻO nā palena nui loa i ke hoʻohaʻahaʻa haʻahaʻa:
Ka manawa (hola) | Hoʻolaha kūleʻa, mol / l |
20.00 - 22.00 | 16 |
24.00 | 10 |
2.00 | 3 |
8.00 | 4 |
ʻO ka hoʻonui aʻe o ke kōhi koko ma hope o ka hypoglycemia ma muli o ka hoʻoili ʻana o ke kino i ke kō i loko o nā mālama o ke akea, e mālama ana iā ia iho mai kahi hōʻaiʻu i ka glucose. ʻO ka palena ma hope e hoʻonohonoho ʻia ai ka hypoglycemia no nā maʻi maʻi like ʻole, aia kekahi i ka 3-4 mmol / l, aia kekahi 6-7 mmol / l. Loaʻa nā mea āpau loa.
Nā kumu kumu o ke Kumukapuka Nui
ʻO ke kiʻekiʻe o ke kōpana kiʻekiʻe ʻoi aku ka kiʻekiʻe ma mua o ka mea maʻamau, hiki ke hoʻopili ʻia me ke anuanu maʻamau, kahi kaʻina hana e kū nei i ke kino ma hope o ka ʻai ʻana i ka meaʻai kaumaha. ʻElua mau ala e hōʻemi:
- Hoʻopuka i nā maʻi insulin hou;
- Hoʻohana pilikino.
ʻĀʻaoinsul. ^ E Ha yM. = 18 (SahN-SahK) / (1500 / Dosislā) = (SahN-SahK) / (83.5 / Dosislā),
kahi wai ka caxH ma mua o kaʻai;
Kālā - kōpaʻa kūpaʻa ma hope o ka ʻaina;
ʻĀʻaolā - ka nui o ka maʻi i kēlā me kēia lā i ka insulin.
No ka laʻana, e helu i kahi nui o ka insulin me ka huina o kēlā me kēia lā he 32 PIECES, pae ka nui o ke kō ma mua o ka ʻai - 14 mmol / L a me ka pono e hoʻemi i nā haʻahaʻa kōpili ma hope o ka papa i 8 mmol / L (SahK), e loaʻa iā mākou:
ʻĀʻaoinsul = (14-8)/(83,5/32) = 2,
keia ke kumu i ka nui o ka insulin, i helu ʻia ma ka nui o ka meaʻai e pono ai, pono ʻoe e hoʻohui i kahi 2 hou. Inā ka helu ʻokoʻa o nā huahana i manaʻo ʻia no ka ʻaina awakea he ʻāpana berena 4, a laila 8 mau ʻāpana o ka insulin hana pōkole e pili ana i ia. Akā me kahi kiʻekiʻe o ka glucose kiʻekiʻe, ma mua o kaʻai ʻana he mea ia he 14 mmol / l, pono e hoʻohui i ka 2 PIECES o ka insulin i nā ʻāpana 8. Me ke kumu, ua hāʻawi ʻia he inikua o nā pūʻulu he 10.
![](http://img.diabetesentity.com/img/sayd-2020/2074/kak-rasschitat-dozu-insulina-i-kakie-posledstviya-mogut-vozniknut-5.jpg)
Inā he kanaka olakino ia he hana maʻamau ia ma mua o ka hoʻomaka ʻana o ka lā, no ka maʻi maʻi, kahi maʻi kakahiaka i ka hoʻoweliweli ʻana o ke kō me ka hyperglycemia. ʻO ka Syndrome o ke kolamu o ke kō e piʻi ana he mea ʻokoʻa a he hiki ke hoʻōla ʻia. Hiki i nā mea āpau ke hana i ka hoʻokaʻina iki o nā hilo gula ke hoʻomohala i 5 - 6 o ke kakahiaka ma kahi o ka inika he "pōkole" i ka nui o ka 2 i ka 6 mau pūʻulu.