ʻO ka maʻi maʻi a me ka insulin. Hoʻokomo ʻia ka insulin me ka maʻi maʻi diabetes

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Inā makemake ʻoe (a makemake ʻole paha, akā makemake ka ola iā ʻoe) e hoʻomaka i ka mālama ʻana i kāu maʻi maʻi me ka insulin, pono ʻoe e aʻo nui i ia mea i mea e loaʻa ai ka hopena e makemake ai. ʻO nā injections Insulin he mea maikaʻi loa kēia, ʻokoʻa no ka kaohi ʻana i ka maʻi type 1 a me ka type 2, akā inā noʻonoʻo wale ʻoe i kēia lāʻau lapaʻau me ka mahalo. Inā makemake ʻoe i ka ahonui a hoʻopaʻi ʻole, a laila e kōkua ka insulin i ka mālama ʻana i ke kō koko maʻamau, pale aku i nā hōʻeha a noho ola ʻole ʻia ma mua o kou mau poʻe āpau me ka maʻi ʻole.

No nā mea maʻi āpau me ka maʻi type 1, like nō hoʻi no kekahi o nā mea maʻi me ka maʻi type type 2, pono pono nā inikini insulin e mālama pono i ke kō koko koko a pale aku i nā hōʻeha. Ka nui o ka maʻi maʻi i ka manawa, ke haʻi aku nei ke kauka iā lākou ka manawa ke mālama ʻia me ka insulin, e kū kūʻē me ko lākou ikaika a pau. ʻO nā kauka, me ke ʻano he kānāwai, ʻaʻole e koi nui loa, no ka mea, ua lawa ko lākou hopohopo. ʻO kahi hopena, nā hoʻopiʻi maʻi i ka maʻi maʻi e hopena ai i ka maʻi a i ʻole a make paha i ka make ʻeha.

Pehea e mālama ai i nā inikini insulin i ka maʻi diabetes

Pono e lapaʻau i nā inikini insulin i loko o ka maʻi diabetes ʻaʻole e hōʻino, akā ma ke ʻano he makana o ka lani. ʻO ka hope loa ma hope o kou haku ʻana i ke ʻano o nā inikini insulin painless. ʻO ka mea mua, ke hoʻopakele nei kēia mau inikua mai nā hoʻopiʻi, e hoʻolōʻihi i ke ola o kahi mea maʻi me ka maʻi diabetes a hoʻomaikaʻi i kona ʻano. ʻO ka lua, hiki i nā inikini insulin e hōʻemi i ka ukana ma luna o ka pancreas a no laila ke alakaʻi nei i kahi mahele ʻāpana o kāna mau beta beta. Hoʻopili kēia i nā mea maʻi me ka maʻi diabetes type 2, nāna e hoʻoikaika i ka papahana mālama a pili i ka regimen. Hiki nō hoʻi ke hoʻihoʻi hou i nā cell beta no nā maʻi me nā maʻi type 1, inā ua hōʻike ʻia ʻoe i kēia wā a ua hoʻomaka koke ʻoe e mālama maikaʻi me ka insulin. E heluhelu hou i loko o ka ʻatikala "Polokalamu no ka mālama pono ʻana o nā maʻi maʻi type like 2" a me "Honeymoon no ke ʻano maʻi type 1: pehea e lōʻihi ai ia mau makahiki".

E ʻike ʻoe i nā mea he nui o kā mākou mau manaʻo no ka mālama ʻana i ke kō koko koko me nā inikini insulin e kūʻē kūʻē i ka mea i ʻāpono ʻia ʻia. ʻO ka nūhou maikaʻi e pono ʻole ʻoe e lawe i kahi mea ma ka hilinaʻi. Inā loaʻa iā ʻoe kahi mika koko koko pololei (e hōʻoia i kēia), e hōʻike koke ʻo ia i nā mea kōkua e kōkua ai i ka mālama ʻana i ka maʻi maʻi a me nā mea ʻole.

He aha nā ʻano o insulin i laila?

Nui nā ʻano a me nā inoa o ka inē no ka maʻi diabetes i ka mākeke kūʻai i kēia lā, a i ka wā e haʻi hou aku. Ua hoʻokaʻawale ʻia ka Insulin e like me ka maʻa nui - no ka lōʻihi e hoʻemi ai i ke kōpaʻa koko ma hope o kahi paʻi. Kuhi ʻia nā ʻano lā o nā insulin like:

  • ka hana uila - hana wikiwiki;
  • ka pōkole - mālie a palupalu i nā pōkole;
  • ka lōʻihi awelika o ka hana ("waʻa");
  • kahi lōʻihi (lōʻihi).

I ka makahiki 1978, ʻo nā kānakaʻepekema ka mea mua i hoʻohana i nā ʻenehanaʻenehana genetic e "hoʻoikaika" Escherichia coli Escherichia coli e hana i ka insulin kanaka. I 1982, ua hoʻomaka ka hui ʻAmelika ʻo Genentech i kāna kūʻai kūhelu nui. Ma mua o kēia, ua hoʻohana ʻia ka bovine a me nā kahu puaʻa puaʻa. Kūʻokoʻa lākou i ke kanaka, a no laila ua kumu pinepine i nā hopena alerine. I kēia lā, ʻaʻohe hoʻohana ʻia ka insulin holoholona. Hoʻomaʻamaʻa nui ʻia ka maʻi Diabetes i nā inikini o ka ʻenehana i hana ʻia e ka maʻi o nā kānaka.

Ka hōʻailona o ka hoʻomākaukau ʻana o ka insulin

ʻAno insulinInoa inoa honuaInoa kālepaNā kōkuhi hana (pili i nā ʻōkuhi nui)Nā kiʻi ʻōkuhi (haʻahaʻa haʻahaʻa ka ʻai, nā pāʻina liʻiliʻi)
HoʻomakaKukuluKa lōʻihiHoʻomakaKa lōʻihi
Hoʻolaha ka hana Ultrashort (analogues o ke kanaka insul)LizproHumawaiMa hope o 5-15 mau minukeMa hope o 1-2 mau hola4-5 hola10 min5 mau hola
Kau AspartNovoRapid15 min
ʻO GlulisinApidra15 min
ʻO ka hana pōkoleSoluble kanaka genetically mīkini ʻenehanaActrapid NM
Humulin Kūʻai
Insuman Rapid GT
Biosulin P
Insuran P
Gensulin r
Rinsulin P
ʻO Rosinsulin P
Humodar R
Ma hope o 20-30 mau minukeMa hope o nā hola 2-45-6 mau holaMa hope o 40-45 min5 mau hola
Ka lōʻihi waena (NPH-Insulin)Isofan Insulin Human Genetic EngineeringProtafan NM
Humulin NPH
ʻO Bazal Insuman
Biosulin N
Insuran NPH
Gensulin N
Rinsulin NPH
ʻO Rosinsulin C
Humodar B
Ma hope o 2 mau holaMa hope o 6-10 hola12-16 holaMa hope o nā hola 1,5-312 mau hola, inā e kiʻi ʻia ma ke kakahiaka; 4-6 mau hola, ma hope o ka ʻōlelo ʻana ma ka pō
Kuhi lōʻihi ka hoʻohālikelike o ka insulin o ke kanakaHōʻailonaLākusaMa hope o 1-2 mau holaʻAʻole i hōʻike ʻiaTalia i 24 mau holaE hoʻomaka lohi i loko o 4 mau hola18 mau hola inā i kaha ʻia i ke kakahiaka; 6-12 mau hola ma hope o ke kau ʻana i ka pō
DetemirLevemir

Mai ka makahiki 2000, ua hoʻomaka nā ʻano o ka insulin hou (Lantus a me Glargin) e haʻalele i ka maʻamau NPH-insulin (protafan). ʻO nā ʻōmaʻomaʻo hou o nā insulin e ʻaʻole i ke insulin kanaka, akā, ko lākou analogues, i.e. hoʻololi, hoʻomaikaʻi ʻia, hoʻohālikelike ʻia me ka insulin kanaka maoli. ʻO Lantus a me Glargin e lōʻihi a lōʻihi hoʻi, me ke ʻano o ka pale ʻana.

Nā hana analogue lōʻihi-lōʻihi - lōʻihi lākou he lōʻihi, ʻaʻohe kaū, mālama i kahi paʻa o ka insulin i ka koko

E like paha o ka hoʻololi ʻana i ka NPH-insulin me Lantus a i Levemir paha o kou hoʻonui (basal) insulin e hoʻomaikaʻi i kāu hopena maʻi maʻi maʻi. E kūkākūkā me kāu kauka. No nā kikoʻī hou aku, e heluhelu i ka ʻatikala "Extant insulin Lantus a me Glargin. Medium NPH-Insulin Protafan. "

I ka hopena o nā makahiki 1990, ua puka mai nā ultrashort analogues o ka insulin Humalog, NovoRapid a me Apidra. Ua hakakā lākou me ka insulin kanaka pōkole. Hoʻomaka ka hanaʻana i nā pauna insulin hana pōkole e hoʻohaʻahaʻa i ke kō koko koko i loko o nā minuke 5 ma hope o ka paʻi ʻana. Hana ikaika lākou, akā ʻaʻole no ka lōʻihi, ʻaʻole iʻoi aku ma mua o 3 mau hola. E hoʻohālikelike i nā palapala hana a nā mea hana ultra-pōkole e hana ʻia ai a me ka "maʻamau" kanaka pōkole pōkole i ke kiʻi.

ʻOi aku ka ikaika a me ka wikiwiki o nā loli analogs ultra-pōkole. Hoʻomaka ka insulin "pōkole" i ke hoʻohaʻahaʻa i ke kō koko koko ma hope a lōʻihi aku ka lōʻihi

Heluhelu i ka ʻatikala "Ultrashort insulin Humalog, NovoRapid a me Apidra. ʻO ka wīwī pōkole o kānaka. "

Hoʻolohe Inā ʻoe e hahai i kahi meaʻai haʻahaʻa-haʻihaʻi no ka maʻi type o 1 a i ʻole paha 2, a laila heʻoi aku ka insanne pōkole o ke kanaka ma mua o nā alapiʻi insulin-pōkole.

Hiki paha ke hōʻole i nā inikini insulin ma hope o ko lākou hoʻomaka ʻana?

Nui nā poʻe maʻi me ka maʻi hilahila e hoʻomaka i ka mālama ʻia me nā inikini insulin, no ka mea inā hoʻomaka ʻoe, a laila ʻaʻole ʻoe e lele i ka insulin. Hiki ke pane ʻia e ʻoi aku ka maikaʻi o ke kiʻi ʻana i ka insulin a ola maʻamau ma mua o ke alakaʻi ʻana i ke ola o kahi mea maʻi ma muli o nā hopena o ka maʻi maʻi. A ma waho aʻe, inā hoʻomaka ʻoe e mālama ʻia me ka inikini insulin i ka manawa, a laila me ka maʻi ʻōmaʻomaʻo type 2, hoʻonui ʻia ka manawa kūpono e hiki iā ʻoe ke haʻalele iā lākou i ka manawa pono ʻole e hōʻeha i ka olakino.

Nui nā ʻano ʻano he nui i ka pancreas. ʻO nā cell Beta nā mea i hana i ka insulin. Make lākou i ka make nui inā e hana lākou me ka nui o ka ukana. Ke luku ʻia hoʻi lākou e ka maʻi glucose lā, i.e., ʻoi ka miki i hoʻokaʻina i ke kō. Ke kuhi nei ia ma na wahi mua o ka maʻi type o 1 a i ʻole type 2, ua hala kekahi o nā cell beta, ua nāwaliwali kekahi, a kokoke e make, a he mea wale nō o lākou e hana nei e hana maʻamau.

No laila, hoʻomaha ka injections i ka laka mai nā beta beta. Hiki iā ʻoe ke hoʻokaʻawale i kāu kōhi koko me kahi meaʻai haʻahaʻa-haʻahaʻa. Ma lalo o kēlā mau kūlana maikaʻi, nui nā ʻōkuhi beta e ola a hoʻomau i ka hana i ka insulin. Nui nā kūlana o kēia inā hoʻomaka ʻoe i kahi papahana lapaʻau diabetes type 2 a i ʻole he ʻano lāʻau lapaʻau ʻo kahi maʻi 1 ka manawa, i ka wā mua.

Ma ke ʻano maʻi maʻi 1, ma hope o ka hoʻomaka ʻana o ka mālama ʻana, ua hele ka manawa o "honeymoon" i ka wā e hāʻule ai ka nui o ka insulin i ka aneane ʻole. Heluhelu ia. Ua wehewehe pū ʻia ʻo pehea e hoʻolōʻihi ʻia ai i nā makahiki he nui, a i ʻole ke ola ʻana no ke ola. Me nā maʻi 'āina 2, ʻo ka manawa o ka hāʻawi ʻana i nā inikini insulin e 90%, inā ʻoe e aʻo pehea e hoʻomaʻamaʻa ai me ka leʻaleʻa, a e hana maʻamau. Ka, eia hoʻi, pono pono e hahai i ka ʻai haʻahaʻa loa.

Hoʻohālikelike Inā hōʻike mai, a laila pono ʻoe e hoʻomaka e mālama i ka maʻi diabetes me nā inikini insulin e like me ka mea hiki, me ke kali ʻole o ka manawa. Hoʻonui kēia i ka manawa ma hope o ka wā e hiki ai ke hōʻole i nā inikini insulin. E kani ana i ka leo, akā. E haku i ke ʻano o nā inikini insulin painry. E hahai i ka papahana maʻi diabetes type 2 a i ʻole nā ​​papahana maʻi 'āpau 1. Hahai ikaika i ka regimen, mai hoʻomaha. ʻOiai inā ʻaʻole hiki iā ʻoe ke hōʻole loa i nā inikini, ma kekahi hihia, hiki iā ʻoe ke lawelawe me nā dosis liʻiliʻi o ka insulin.

He aha ka manaʻo o ka insulin?

Hoʻolāka ʻia nā hana loiloi a me nā inikua insulin i nā ʻāpana (UNITS). I nā liʻiliʻi liʻiliʻi, pono nā ʻāpana o ka insulin i ka hoʻoliʻiliʻi o ke kō koko koko 2 mau manawa ikaika ma mua o 1 papa. I nā syringes insulin, ua hoʻolālā ʻia ke pākaukau i nā ʻāpana. ʻO ka hapa nui o nā syringes he wahi ʻāpana o ka 1-2 PIECES a no laila ʻaʻole pololei ʻoe e ʻae i nā ʻāpana liʻiliʻi o ka insulin e hōʻiliʻili mai ka vial. ʻO kēia ka pilikia koʻikoʻi inā makemake ʻoe e hoʻoiho i nā ʻōwili o 0.5 UNITS o ka insulin a i ʻole ka liʻiliʻi. ʻO nā koho no kāna hoʻonā e wehewehe ʻia ma ka ʻatikala "Insulin Syringes a me ka ʻāpana Syringe". E heluhelu pū pehea e hoʻoheheʻe ai i ka insulin.

ʻO ka ʻike o ka insulin he ʻike e pili ana i ka nui o UNITS i loaʻa i ka 1 ml o ka hoʻonā i loko o kahi pahu pahu a i ʻole ka pahu pahu. ʻO ka mea maʻamau ka maʻamau o ka U-100, i.e. 100 IU o insulin i loko o ka wai o 1 ml no ka wai. Inā loaʻa iā ʻoe ka insulin me ka ʻike ʻana o ka U-100, a laila e hoʻohana i nā syringes i hoʻolālā ʻia no ka insulin ma kēlā hoʻokele. Kāhea ʻia ma ka pūpū o kēlā me kēia mele. No ka laʻana, he syringe no ka insulin U-100 me ka nui o 0.3 ml paʻa i ka 30 PIECES o ka insulin, a me kahi syringe me ke kaha o 1 ml paʻa a hiki i 100 PIECES o insulin. Eia kekahi, ʻo ka 1 ml syringes ka mea maʻamau loa i nā lāʻau lapaʻau. He mea paʻakikī ke ʻōlelo i ka mea e pono ai i ka lethal dosis o 100 PIECES o ka insulin i kahi koke.

Aia aia nā kūlana i loaʻa i ka maʻi maʻi me ka maʻi ʻĀpana U-40, a me nā syringes wale nō i ka U-100. No ka loaʻa ʻana o ka nui kūpono o UNITS o ka insulin me kahi inikini, ma kēia hihia pono ʻoe e huki i nā manawa 2 aʻe hou aʻe i loko o ka ʻili. ʻO ka mea ʻike nui loa, aia ke manawa kiʻekiʻe loa e hana i ke kuhi a ke kuhi ʻana i ka hewa hewa o ka insulin. E loaʻa aʻe paha nā hoʻonui koko koko a i ʻole hypoglycemia koʻikoʻi. No laila, ʻoi aku ka maikaʻi o nā hanana. Inā loaʻa iā ʻoe ka U-40 insulin, a laila e ho'āʻo e loaʻa ka syringes U-40 no ia mea.

Loaʻa i nā ʻano like ʻole o ka insulin i ka mana?

He ʻokoʻa nā ʻano like ʻole o ka insulin i waena o lākou iho i ka wikiwiki o ka hoʻomaka a me ka lōʻihi o ka hana, a ma ka mana - hiki ʻole. ʻO ia ka mea 1 e hōʻike like i nā ʻano like like ole o ka insulin i ka hoʻokaʻawale ʻana i ke kō o ke koko i loko o kahi mea maʻi me ka maʻi maʻi. ʻO kahi hanaʻokoʻa loa i kēia kānāwai he mau ultrashort ʻano o ka insulin. ʻO Humalog kahi ma kahi o 2.5 mau manawa i ʻoi aku ka ikaika ma mua o nā ʻano o ka insulin, aʻo NovoRapid lāua ʻo Apidra he 1.5 mau ikaika ka manawa. No laila, ʻo nā pona o nā analognash ultrashort pono e emi iho i ka haʻahaʻa ma mua o nā hopena like o ka inika pōkole. ʻO ia ka ʻike nui loa no ka poʻe maʻi me ka maʻi maʻi maʻi, akā no kekahi mau kumu ʻaʻole ia i maʻa i ia.

Nā Papa Hoʻomalu Insulin

Inā mālama ʻoe i kahi pahu i hoʻopaʻa ʻia a i ʻole pahu pahu me ka insulin i loko o ka friji ma kahi mahana o + 2-8 ° C, a laila mālama ia i kāna hana āpau a hiki i ka lā pau ʻana i paʻi ʻia ma ka pā. Hiki ke loli ka waiwai o ka insulin inā mālama ʻia i ka lumi lumi no ka lōʻihi ma mua o 30-60 mau lā.

Ma hope o ke kau ʻia o ka inika mua o ka Lantus hou i hoʻohana ʻia, pono e hoʻohana i nā mea āpau i loko o 30 mau lā, no ka mea, e nalowale ana ka insulin i kahi mea nui o kāna hana. Hiki ke mālama ʻia ʻo Levemir i kahi kokoke i 2 mau manawa lōʻihi ma hope o ka hoʻohana mua. ʻO nā insulins lōʻihi a me ke ʻano, a me Humalog a me NovoRapid, hiki ke mālama ʻia i ka lumi lumi a hiki i ka 1 makahiki. Hoʻokomo maikaʻiʻia ka Apidra insulin (glulisin) i loko o ka friji.

Inā nalowale ka insulin i kekahi o kāna hana, e alakaʻi kēia i kahi kahe koko nui i hōʻike ʻole ʻia i ka mea maʻi maʻi maʻi. I kēia hihia, e lilo ai ka lapalapa i ke aniani, akā e hoʻomālamalama paha. Inā lilo ka insulin i ka liʻiliʻi liʻiliʻi loa, ʻo ia ka mea, ua pōʻino maoli ia, a hiki ʻole ʻoe e hoʻohana. ʻO ka NPH-insulin (protafan) i kahi kūlana maʻamau, ʻaʻole maopopo kahi maʻi, no laila uaʻoi aʻe ka paʻakikī. E nānā pono a laila ua hoʻololi ʻo ia i kona helehelena. ʻO kekahi hihia, inā he nānā maʻamau ka insulin, a laila ʻaʻole kēia manaʻo ʻaʻole ia i pōʻino.

ʻO nā mea e pono ai ʻoe e nānā inā he kiʻekiʻe loa ka hoʻokahe o ke koko no nā lā he nui i kahi lālani:

  • Ua hana hewa paha ʻoe i ka papa ʻaina? Ua haki i nā momona kākela i loko o kāu papaʻaina? Ua lanakila anei ʻoe?
  • Loaʻa paha ʻoe i kahi maʻi i loko o kou kino e hūnā ʻia? Heluhelu i ka "koko koko ma muli o nā maʻi maʻi."
  • Ua luku ʻia kāu insulin? Hoʻohālikelike paha kēia inā hoʻohana ʻoe i nā syringes ʻoi aku ma mua o ka manawa. ʻAʻole ʻoe e ʻike i kēia ma ke ʻano o ka insulin. No laila, e ho'āʻo e hoʻomaka e hoʻoiho i ka insulin "hou". E heluhelu e pili ana i ka hoʻohana hou ʻana i nā syringes insulin.

E mālama i nā lako no ka inanini i loko o ka friji, ma kahi'ākau ma ka puka, i ke mahana o + 2-8 ° C. Mai hana ʻole i ka insulin! ʻOiai ma hope aʻe o ke ō ʻana mai, ua hōʻo ʻia nō hoʻi ke ʻano o ka palupalu. ʻO ka vial insulin a i ʻole ka pahu kaʻa āu e hoʻohana nei i kēia manawa hiki ke mālama ʻia i ke ana o ka lumi. Pili kēia i nā ʻano like ole o ka insulin, koe wale nō ʻo Lantus, Levemir a me Apidra, e mālama pono ʻia i loko o ka friji i nā manawa āpau.

Mai kūʻai i ka insulin i loko o ka kaomi paʻa, e nui paha i ka hoʻoilo, a i ʻole i ka pahu keleawe kaʻa. Mai hoʻolaha i ka kuhikuhi ʻana i ka lā. Inā pae ka mahana o ka lumi i ka + 29 ° C a ma luna, a laila e hoʻoneʻe i kāu insulin āpau i ka friji. Inā hōʻike i ka insulin i nā mahana o + 37 ° C a ʻoi aku paha e kiʻekiʻe aʻe no 1 mau lā a i ʻole he lōʻihi paha, a laila pono e hoʻokuʻu ʻia. Ma keʻano kūikawā, inā ua overheated ia i kahi kaʻa paʻa. No ke kumu like, ʻaʻole pono e hāpai i kahi pahu a peni paha me ka insulin e kokoke loa i ke kino, no ka laʻana, i loko o ka ʻeke peke.

E ao hou aku iā mākou: ʻoi aku ka maikaʻi o ka hoʻohana ʻole ʻana i nā syringes i ʻole e palau i ka insulin.

ʻO ka hana hoʻoulu

Pono ʻoe e ʻike pono i ka lōʻihi o ka lōʻihi o ka pau ʻana, hoʻomaka ke ʻano o ka insulin, a hiki pū i kāna hana. Ua paʻi ʻia kēia ʻike ma nā ʻōlelo kuhikuhi. Akā inā e hahai ʻoe i kaʻai haʻahaʻa-haʻahaʻa a hoʻōla i nā ʻōmole liʻiliʻi o ka insulin, a laila ʻaʻole ʻoiaʻiʻo. No ka mea, ʻo ka ʻike a ka mea hana i hoʻolako ai e pili ana i ka dosis dosis i ka nui o nā mea i koi ʻia e ka maʻi maʻi ma kaʻai haʻahaʻa.

E hōʻike i ka hoʻomaka ʻana o ka mālama ʻana i ka maʻi diabetes me nā inikini insulin i ka lōʻihi o ka lōʻihi o ka hoʻomaka ʻana i ka inikini inikini e hana ʻana, e aʻo i ka papaʻaina Kahi ʻia ia e ka ʻike mai ka hana nui a Dr. Bernstein. ʻO ka ʻike i loko o kēia papaʻaina, pono ʻoe e wehewehe pono iā ʻoe iho e hoʻohana ana i kahi nui o ka nui o ke kō o ke koko me ka glucometer.

Hoʻomaka ka hana nui o nā insulin i ka wikiwiki ma mua o nā mea ʻuʻuku, a ʻoi aku ka lōʻihi o ka hopena. Pēlā nō, ʻokoʻa ka lōʻihi o ka insulin i nā kānaka ʻē aʻe. Hiki i ka ʻoihana ke hele ʻana i ka hoʻomaʻamaʻa inā e hana ʻoe i ke ʻano kino no ke ʻāpana o ke kino kahi i hoʻopaʻa ai ʻoe i ka insulin. Pono e hoʻokomo i kēia nuance inā ʻaʻole ʻoe makemake e hoʻokae i ka hana o ka insulin. No ka laʻana, mai kuhi ʻoe i ka insulin i kou lima ma mua o ka hele ʻana i ke keʻa, kahi e hāpai ai ʻoe i ka pā me kēia lima. Mai ka ʻōpū, lawe pinepine ʻia ka insulin, a me kekahi hoʻomaʻamaʻa ʻana, ʻoi aku ka wikiwiki.

Nānā mau i ka hopena lapaʻau diabetes maʻi

Inā loaʻa iā ʻoe ka maʻi maʻi koʻikoʻi e pono ai ʻoe e hana i nā inikini insulin wikiwiki ma mua o ka ʻai ʻana, a laila e kuhikuhi ʻia e hoʻomau i ka mālama pono ʻana i ke kō o ka koko koko. Inā makemake ʻoe i ka nui o nā inikini o ka insulin i ka pō a i / i ke kakahiaka paha, me ka helu ʻole ʻana i ka insulin i mua o ka papaʻaina, e helu ai i ka uku o ka maʻi diabetes, a laila pono ʻoe e ana i kāu kōʻai i ke kakahiaka ma loko o kahi ʻōpū ʻole a i ke ahiahi ma mua o ka hiamoe. Eia naʻe, e hoʻokau i kahi kahe koko koko piha 1 lā i ka hebedoma, a ʻoi aku ka maikaʻi 2 mau lā i kēlā me kēia pule. Inā hoʻohuli ʻo kāu koikoi e noho ma ka liʻiliʻi o 0.6 mmol / L ma luna a i ʻole ma lalo o nā waiwai i hāpai ʻia, a laila pono ʻoe e nīnau i ke kauka a hoʻololi i kekahi mea.

E mālama e ana i ke kōpaʻa ma mua o ka hoʻomaka ʻana i ka hoʻomaʻamaʻa, ma ka hopena, a pū kekahi me kahi hola 1 i mau hola no kekahi mau hola ma hope o kāu hoʻomaʻamaʻa. Ma ke ala, heluhelu i kā mākou ʻano ʻenehana ʻenehana e pehea e hauʻoli ai ka hoʻonaʻauao kino i ka maʻi maʻi maʻi. Ua wehewehe pū ʻia nā ʻano kumu no ka pale ʻana o ka hypoglycemia i ka wā o ka hoʻonaʻauao kino no nā mea maʻi maʻi insulin-hilinaʻi.

Inā loaʻa iā ʻoe kahi maʻi maʻi, a laila i nā lā a pau e mālama ʻia ana, e hoʻokō me ka pale ʻana i ke kō o ke koko a me ka hoʻohaʻahaʻa koke i ke kō. Pono nā maʻi maʻi āpau e loaʻa i nā inikini insulin e nānā i kā lākou kōpaʻa ma mua o ka hoʻokele ʻana, a laila i kēlā me kēia hola i ko lākou holo ʻana. Ke hoʻokau nei i nā mīkini kīlohelo loa - mea like ʻole. Inā hele ʻoe i ka diving scuba, a laila e kū i kēlā me kēia mau minuke 20 e nānā i kāu kō.

Pehea ka hopena o ka la i ka noi ʻana o ka insulin

Ke hāʻawi koke nei ke anuanu maloʻo i ke ala mahana, ua ʻike koke ka nui o nā maʻi maʻi i ko lākou pono no ka hāʻule o ka insulin. Hiki ke hoʻoholo i kēia no ka mea e hōʻike ana ka mika i ke kō anuʻu haʻahaʻa haʻahaʻa. I ka poʻe e like me ka hoʻopau ʻana o ka insulin i ka wā mahana a hoʻonui i ka hoʻoilo. ʻAʻole paʻa i nā kumu kumu o kēia hanana. Ua manaʻo ʻia aia ma lalo o ke ʻano o ka mahana o ka mahana, e hoʻomaha maikaʻi ana nā moku koko peripheral a hoʻōla hou ka hāʻawi ʻana i ke koko, ka glucose a me ka insulin i nā kino peripheral.

ʻO ka hopena ke makemake nei ʻoe e kiaʻi pono i ke kō o kou koko ke loaʻa ka mahana ma waho o ka hele ʻole o ka hypoglycemia. Inā hāʻule nui ka meli, e hoʻohaʻahaʻa i ka hoʻohaʻahaʻa i kāu dosis insulin. I loko o ka poʻe maʻi pākēlani no hoʻi ka lupus erythematosus, hiki i nā mea āpau ke loaʻa i ke ala ʻē aʻe. ʻO ke kiʻi o ka mahana, ʻoi aku ka kiʻekiʻe o ka pono o ka insulin.

I ka wā e hoʻomaka ai ka mea maʻi me ka maʻi diabetes me nā inikini insulin, ʻo ia iho, me kona ʻohana, ʻo nā hoa a me nā hoa aloha e ʻike i nā ʻano o ka maʻi hypoglycemia a pehea e kōkua ai iā ia i kahi hihia hōʻeha loa. ʻO nā kānaka a pau āu e noho ai a hana, e heluhelu mākou i kā mākou ʻaoʻao e pili ana i ka hypoglycemia. Hōʻike nui ʻia a kākau ʻia ma ka ʻōlelo kūlike.

Hoʻolaha i ka insulin lapaʻau no ka maʻi maʻalahi: nā hopena

Hāʻawi ka ʻatikala i ka ʻike pili pono e ʻike nā maʻi āpau i ka maʻi maʻamau a i ʻole type 2 i loaʻa i nā inikini insulin. ʻO ka mea nui ka ʻike ʻoe i nā ʻano o nā mea i loaʻa i ka insulin, nā hiʻohiʻona a lākou i loaʻa ai, a me nā kānāwai hoʻi no ka mālama pono ʻana i ka insulin i mea ʻole e make. Hōʻike ikaika wau e heluhelu pono i nā ʻatikala āpau i ka "Insulin ma ka mālama ʻana i ke ʻano type type 1 a me ka type 2" inā makemake ʻoe e hoʻokō maikaʻi ʻia no kāu maʻi maʻi. A ʻoiaʻiʻo, e nānā pono me kahiʻai haʻahaʻa-liʻiliʻi. E aʻo no ke ala o ke ala ʻōiwi. Hoʻohana ia ia e mālama i ke kōpaʻa koko koko ikaika a kiʻi me ka liʻiliʻi o ka dosis o ka insulin.

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