ʻO ka maʻamau, e hoʻoneʻe ʻia ka insulin e ka pancreas mau, e komo i ke koko i loko o kahi liʻiliʻi - ka pae basal. I ka ʻai ʻana i nā kalaka, kū mai ke kūleʻa nui, a e ʻike mai ka lolo mai ke koko me kāna kōkua i ka komo ʻana i loko o nā hale.
Hoʻomaka ka maʻi diabetes mellitus inā ʻaʻole i hana ʻia ka insulin a he hapa paha kona ma lalo o ka maʻamau. Hoʻomaka ka hoʻomohala ʻana i nā maʻi diabetes i ka wā ʻaʻole e hiki i nā mea pane aku ke pane i kēia hormone.
Ma ke ʻano 1 diabetes mellitus, ma muli o ka nele o ka insulin, ua hōʻike ʻia kona keʻa ʻana ma ke ʻano o nā injections. Hiki i nā mea maʻi o ka ʻano lua ke hiki ke kuhikuhi ʻia i ka inika insulin ma kahi o nā paila. No ka mālamaʻana i ka insulin, ka meaʻai nui a me nā inikini maʻamau o ka lāʻau lapaʻau ka mea nui loa.
Kāhea i ka inikini insulin
No ka mea ke lawe ʻia ka mālama ʻana i ka maʻi diabetes type 1 wale nō ma ke ʻano o ka inulin kaila o ka inulin ma ke ʻano he hoʻomau mau nei, ʻo ka ʻākena subcutaneous o ka lāʻau ka manawa e hiki ai ke mālama i ke kō o ke kō.
Hiki i ka hoʻohana kūpono ʻana i ka hoʻomākaukau ʻana o ka insulin e pale i nā loli like ʻole i ka glucose a pale i nā hoʻopiʻi ʻana i ka maʻi diabetes.
- ʻO ka hoʻomohala ʻana i nā kūlana comatose e hoʻoweliweli ana i ka ola: ketoacidosis, lactactacidosis, hypoglycemia.
- ʻO ka luku ʻana i ka pā vascular - micro- a me macroangiopathy.
- ʻO ka nephropathy Diabetic.
- Ka i hōʻea ʻia o ka ʻike - retinopathy.
- Nā puka wai o ka pūnao - maʻi neuropathy maʻi.
ʻO ka koho maikaʻi loa no ka hoʻohana ʻana i ka insulin, ʻo ia hoʻi e hana hou i kona kaila physiological o ke komo ʻana i ke koko. No kēia, hoʻohana ʻia nā insulins o nā ʻano lōʻihi o ka hana. E hana i kahi kaila koko mau, e lawelawe ʻia ka insulin i ka manawa 2 i ka lā - Protafan NM, Humulin NPH, Insuman Bazal.
Hoʻohana ʻia ka hana pōkole hana pōkole i mea e wehe ai i ka wehe ʻana o ka insulin i ka pane ʻana i ka ʻai kai. Hōʻike ʻia ma mua o nā papa liʻiliʻi ma kahi o 3 mau manawa i ka lā - ma mua o ka ʻaina kakahiaka, i ka ʻaina awakea a ma mua o ka ʻaina. Ma hope o ka ʻōlelo ʻana, pono ʻoe e ʻai i ka ʻai ma waena o 20 a 40 mau minuke. I kēia hihia, pono ke hoʻolālā ʻia ka nui o ka insulin e lawe i kahi nui o nā puʻupaʻa.
Hiki i ka injecting pololei ke hiki i ka subcutaneous. No kēia mea, ʻo nā wahi palekana a palekana a ʻoi loa nā kihi o nā poʻohiwi, ka mua o nā ʻūhā a i ʻole ka hapa hope o ka ʻūhā, ʻo ka ʻōpū, koe wale nō no ka wahi umbilical. I ka manawa like, ʻo ka insulin mai ka ʻili o ka ʻōpū e komo i loko o ke koko ma mua o nā wahi ʻē aʻe.
No laila, ua noi ʻia e nā maʻi i ke kakahiaka, a ʻo ka mea, inā pono e hoʻemi nui i ka hyperglycemia (me ka wā o ka uhai ʻana i kahi ʻauʻau), e hoʻokomo i ka insulin i ka pā o ka ʻōpū.
ʻO ka algorithm o ka hana o ka maʻi maʻi, inā e poina ia e hoʻoiho i kahi insulin, ke hilinaʻi nei i ke ʻano o ka pau a hemo a me ke ʻano o ka mea e hoʻohana ai ka mea maʻi i ka maʻi maʻi. Inā nalowale ka mea maʻi i kahi inikua insulin lōʻihi, a laila pono e hana ʻia nā mea aʻe:
- Ke koho ʻia i ka manawa 2 i ka lā - no 12 mau hola, e hoʻohana wale i ka insulin pono e like me nā kānāwai maʻamau ma mua o ka papaʻaina. Ke uku nei no kahi maʻi i hala, e hoʻonui i ka hana kino e hoʻemi i ke kōʻai koko. Hōʻike e hana i kahi maʻi lua.
- Inā hōʻeha kahi maʻi me ka maʻi maʻi i ka insulin i hoʻokahi manawa, ʻo ia hoʻi, e hoʻolālā ʻia ka lāʻau no 24 mau hola, a laila hiki ke loaʻa ka maʻi i ka 12 mau hola ma hope o ka hala, akā, pono kāna ʻāpana. ʻO ka manawa aʻe e pono ai e komo i ka lāʻau lapaʻau i ka manawa maʻamau.
Inā kāpīpī ʻoe i kahi pana o ka insulin pōkole ma mua o ka ʻai ʻana, hiki iā ʻoe ke komo koke ma hope o ka ʻai ʻana. Inā hoʻomanaʻo ka mea maʻi i ka hala ma hope, a laila pono ʻoe e hoʻonui i ka ukana - komo i ka hana hāleʻa, hele no ka hele, a laila ʻike ʻoe i ke kōpaʻa koko. Inā ʻoi aku ka kiʻekiʻe o ka hyperglycemia ma mua o 13 mmol / L, ua kūpono ke kuhi i nā 1-2 o nā kō o ka insulin pōkole e pale ai i kahi kō i loko o ka kō.
Inā hoʻokomo hewa ʻole - ma kahi o ka pōkole pōkole, kahi mea maʻi me ka maʻi maʻi i hoʻopaʻa ʻia e lōʻihi, a laila ʻaʻole lawa kona ikaika e hoʻōki i nā hāmeʻe mai ka meaʻai. No laila, pono ʻoe e kiʻi i nā insulin liʻiliʻi, akā i ka manawa like i ke kiʻekiʻe o kāu glucose i kēlā me kēia hola ʻelua a loaʻa kekahi mau papa o ka glucose a me nā ʻeke pū kekahi me ʻoe e hoʻohaʻahaʻa i ka gula i ka hypoglycemia.
Inā ʻoe e hoʻoluhi i kahi maʻi pōkole ma mua o ka insulin lōʻihi, a laila pono ʻoe e hele i ke kau ʻia i hala ʻole ʻia, no ka mea pono ʻoe e ʻai i ka nui o ka meaʻai karaka no ka inane pōkole, a hoʻopau i kāna hana ma mua o ka manawa e pono ai.
I ka hanana ʻoi aku ka nui o ka insulin ma mua o ka mea e pono ai a hoʻopili hewa ʻia paha ka maʻi ʻalua, a laila pono ʻoe e hana i kēia mau ʻano:
- Hoʻonui i nā kaila glucose mai ka meaʻai haʻahaʻa haʻahaʻa me nā momona lae paʻakikī - cereals, huamala a me nā hua.
- Hoʻokomo i nā glucagon, kahi antagonist insulin.
- E ana i ka glucose i kēlā me kēia manawa i kēlā me kēia mau hola
- Hoʻemi i ke kaumaha o ke kino a me ka noʻonoʻo.
He aha nā mea i koi ʻole ʻia no nā maʻi me ka maʻi diabetes e pālua i ka wai hou o ka insulin, no ka mea, e wikiwiki koke kēia i ka hāʻule ʻana o ka kō. ʻO ka mea nui loa ma ka pale ʻana i kahi maʻa e mālama ana i ke kiʻekiʻe o ka glucose i ke koko a paʻa.
Hyperglycemia i ke kaʻe ʻana i kahi inikini insulin
ʻO nā hōʻailona mua o ka hoʻonui ʻana i ka glucose o ke koko me ka ʻōloʻi neʻe e hoʻonui ʻia i ka makewai a me ka waha maloʻo, hōʻea, a me ka urination pinepine. ʻO ke ʻano hāhā, nāwaliwali koʻikoʻi i ka maʻi diabetes, a ʻike paha hoʻi ka ʻeha o ka ʻōpū. Hiki ke hoʻonui ʻia i nā nui o ka Sugar me kahi puʻupuʻu i helu ʻole ʻia a i ʻole ke kau ʻana i ka nui o nā koina, ke hoʻonaninani a me nā maʻi maʻi.
Inā ʻaʻole ʻoe e lawe i nā haʻaleka ma ka manawa no ka neʻe ʻana o ka hypoglycemia, a laila hiki i ke kino ke uku no kēia kūlana ma luna o ia mea, aʻo ka pale kaulike o ka hormonal i hoʻopilikia ʻia e mālama i ke kō o ke koko kiʻekiʻe no ka manawa lōʻihi.
E ho'ēmi i ke kō, ua pono ʻoe e hoʻonui i ka ʻai o ka insulin maʻalahi inā inā e ana ʻia, ʻo ka hōʻailona ma luna o 10 mmol / l. Me kēia hoʻonui, no kēlā me kēia 3 mmol / l, nā huahana 0.25 e mālama ʻia i nā keiki ma ke kula, 0,5 ʻāpana i ke kula, 1 -2 mau ʻōpio i nā ʻōpio a me nā pākeke.
Inā kū ʻole ka pae o ka insulin i ka hope o kahi maʻi maʻi, ma ke kiʻekiʻe wela a i ʻole ke hōʻole ʻana i ka meaʻai no ka haʻahaʻa haʻahaʻa, a laila e pale aku ai i nā hoʻopiʻi ma ke ʻano o ka ketoacidosis ua ʻōlelo ʻia.
- ʻO kēlā me kēia 3 hola, e ana i ka nui o ka glucose i loko o ke koko, a me nā kino ketone hoʻi i ka pā.
- E waiho i ke pae o ka lōʻihi o ka insulin i loli ʻole, a hoʻoponopono i ka hyperglycemia me ka insulin pōkole.
- Inā ʻaʻoleʻoi aku ka glucose o ke koko ma mua o 15 mmol / l, ʻike ka acetone i ka pāʻai, a laila e hoʻonui ʻia kēlā me kēia ma mua o ka ʻai e 10-20%.
- Ma kahi pae o ka glycemia a hiki i ka 15 mmol / L a me nā haʻalulu o ka acetone, hoʻonui ʻia ka nui o ka insulin puʻupuʻu e 5%, me kahi puʻu i 10, pono e hoʻihoʻi ʻia nā mea hana mua.
- Ma kahi o nā hōʻemi nui no nā maʻi maʻi maʻi, hiki iā ʻoe ke lawelawe i ka insulin Humalog a i ʻole NovoRapid insulin i ʻole ma mua o 2 mau hola, a me ka insulin māmā maʻalahi - 4 mau hola ma hope o ka maʻi hope.
- E inu i nā wai o ka liʻiliʻi a i kahi lita i kēlā me kēia lā.
I ka wā o nā maʻi, hiki i nā keiki liʻiliʻi ke hōʻole loa i ka meaʻai, ʻoi aku ka ua i ke aniani a me ka luaʻi, no laila hiki iā lākou ke hoʻololi i nā hua a i ʻole nā ʻāpana ʻuʻupu i kahi manawa pōkole, e hāʻawi i nā hua kō,
Pehea e poina ai e pili ana i kahi inikini o ka insulin?
ʻAʻole pili paha nā kūlana o ka ʻoka ʻana i ka maʻi maʻi, no laila, no ka mālama ʻana i ka maʻi mellitus me ka insulin, ua ʻōlelo aku kēlā i nā mea āpau e hoʻomaʻamaʻa i nā inikua maʻamau:
ʻO ka Notepad a i nā palapala kūikawā e hoʻopiha ai me kahi hōʻike ʻana o ka make ʻana, ka manawa injection, a me ka ʻikepili i nā helu āpau o ke kō koko.
E kau i kahi hōʻailona ma kāu kelepona helehelena, e hoʻomanaʻo ana iā ʻoe e hoʻokomo i ka insulin.
E hoʻoulu i ke noi ma kāu kelepona, papa a i ʻole kamepiula e hoʻomalu i nā pae kō. Hāʻawi ʻia kēlā mau papahana kūikawā i ka manawa like ʻole e mālama i kahi kīʻaha o nā meaʻai, ke kō, a me ke kōpaʻa i ka nui o ka insulin. Hoʻopili kēia ma ka Norma Sugar, Diabetes Magazine, Diabetes.
E hoʻohana i nā noi lapaʻau no nā hāmeʻa e hōʻailona i ka manawa o ka lawe ʻana i ka lāʻau lapaʻau, ʻoiai inā ke hoʻohana ʻana i nā mea ʻē aʻe ma mua o nā papa i ka inika no ka mālama ʻana i nā maʻi concomitant: Nā papa hana, kaʻu hoʻomehana.
E kāʻei pono i nā ʻāwili syringe penehi me nā mea kauā kino e pale i ka hūnā.
Ma ka hanana a ka nalo o ke kau ʻana ma muli o ka nalo ʻana o kekahi o nā ʻano o ka insulin, ʻaʻole hiki ke loaʻa, no ka mea, ʻaʻole i loko o ke kīhāpai a i nā kumu ʻē aʻe paha, a laila hiki ke lilo i hopena hope loa e kahaki i ka insulin. Inā ʻaʻohe insinens pōkole, a laila pono e kiʻi ʻia ka insulin i ka manawa like i ka piʻi ʻana o ka hana o ka hana me ka manawa o ka ʻai.
Inā aia ka insulole pōkole wale nō, a laila pono ʻoe e hoʻoiho pinepine iā ʻoe, e nānā pono ana i ke ʻano o ka glucose, me ke ʻano o ka hiamoe.
Inā makemake ʻoe e lawe i nā lāʻau lapaʻau no ka mālama ʻana i ka maʻi mellitus o ka lua o ka ʻano, a laila hiki ke lawe ʻia i kekahi manawa, ʻoiai ʻo ka uku uku no ka hōʻike ʻana o ka glycemia me nā lāʻau antidiabetic hou ʻaʻole i hoʻopili ʻia e kākau i nā ʻano. Hoʻowahāwahā ʻia e pāpālua i ka nui o nā papa inā ʻoi aʻe ʻelua mau wai.
No ka poʻe maʻi me ka maʻi mellitus, he pōpilikia i ke kaila koko nui i ka wā e kahaki ana i ka maʻi ʻoaʻi a i hoʻomākaukau paha no ka papa, akā ʻo ka hoʻomohala ʻana o nā hoʻokuʻi hypoglycemic pinepine, ʻoi loa i ka wā kamaliʻi, hiki ke alakaʻi i ka hana kino o ka maʻi, me ka ulu ʻana o ka noʻonoʻo, no laila he mea nui ka hoʻoponopono hoʻoponopono kūpono.
Inā loaʻa kekahi kānalua e pili ana i ka pololei o ka hana hou ʻana i ka hopena o ka lāʻau a i ʻole ka mea o ka pono o nā lāʻau, a laila maikaʻi ke ʻimi i ke kōkua lāʻau lapaʻau kūikawā mai kahi endocrinologist. ʻO ka wikiō ma kēia ʻatikala e hōʻike aku i ka pilina ma waena o ka insulin a me ke kō koko koko.
