No ka mālamaʻana i ka diabetes mellitus o nā ʻano mua a me ʻelua, hoʻohana pinepine ka insulin. Ke koi nei kēia hormon no ka hiki ke hoʻokahuli i ka hana hoʻokahe kalama, e hōʻemi ana i ka hopena o ka hoʻonāukiuki.
Ua kuhikuhi ʻia nā mea maʻi i nā lāʻau like ʻole e like me nā hoʻolālā ʻana i kēlā me kēia. He aha nā hiʻohiʻona o ka insulin a me ka therapy insulin, e haʻi aku ka ʻatikala.
No ke aha e pono ai ka lāʻau lapaʻau e mālama i ka maʻi diabetes?
Inā loaʻa ka ʻōmaʻomaʻo o kekahi kanaka, a laila pau nā pūna o nā mālo i ko lākou hiki ke hoʻomau i ka glucose a hoʻomaka e ʻike i ka pōloli. Hoʻopilikia iki kēia i ka hana o nā ʻōnaehana āpau: ka huakaʻi, ka lolo thyroid, nā ʻōpū, a me nā lolo e hoʻomaka ai ka maʻi.
Hoʻopilikia ka maʻi maʻi i nā kino āpau
ʻO ka maʻi maʻi maʻi ʻole e alakaʻi i ka maʻi, coma, a me ka make.. ^ E Ha yM. I ke ʻano o nā maʻi āpau, i ka manawa ʻaʻole hiki i ka pancreas ke hoʻopuka i ka insulin, he hoʻonui ʻopena nui o ka hormone.
ʻO nā hōʻike ākea a me nā hōʻike
I kēia lā, ʻoi aku ka 30% o nā mea maʻi e loaʻa nei i ka maʻi maʻi i hāʻawi ʻia i nā inikini insulin. ʻO nā hōʻailona kūpono loa no ka maʻi:
- ke ʻano mua o nā patula;
- ka lua o ka maʻi inā: he kīpono haʻahaʻa-hina a me nā lāʻau hypoglycemic huikala ʻole, loaʻa nā hopena ʻino loa i nā lāʻau lapaʻau, ʻike ʻia nā maʻi koko, ʻāʻī, hōʻeha o ka pēpē, wahine a ʻehā mau keiki;
- ka hui pū ʻana o nā maʻi maʻi me nā maʻi maʻi a me nā maʻi purulent, myocardial infarction, anorexia;
- nā hoʻopiʻi koʻikoʻi o ka hana endocrine hana (neuropathy, maʻi wāwae maʻi diabetes).
Nā rula a me nā kuʻina o ka insulin insulin no ka maʻi diabetes
Loaʻa nā lāʻau lapaʻau i nā hopena ʻaoʻao.Ma ka hopena o ka hoʻomohala ʻana i nā hōʻailona kūpono ʻole ma ke kāʻei o nā inikini insulin e piʻi me ka dosis kūpono ʻole, a me ka pale ʻole o nā kūlana mālama o nā huahana.
Hiki i ka mea maʻi ke pilikia i ka hypoglycemia, lipodystrophy, allergies, a me ka nānāʻole o ka ʻike. No ka hōʻemiʻana i nā hopena maikaʻiʻole o ka insulin insulin, pono ʻoe e ʻike i nā lula a hahai i nā kānāwai o ka mālama ʻana.
Me ka maʻi maʻi maʻi 1
ʻO ke kuʻina kokoke loa i ka kō koko koko i ke kino kūlohelohe hiki ke hele ʻia ma o ka hahai ʻana i kēia mau lula a me nā ʻōnaehana.
- ʻO ka awelika o kēlā me kēia lā e kūpono i ka hana kūlohelohe o ka insulin e ka pancreas;
- e hoʻohālikelike i ka pauku e like me kēia ʻōnaehana: 2/3 i ke kakahiaka, ka ʻaina a me ke ahiahi, 1/3 i ka pō;
- hoʻāliʻi i ka insulin pōkole me ka lōʻihi;
- kukaeia na inikini imua o ka ai;
- mai lawelawe ma kahi o 16 mau pūʻulu o nā lāʻau lapaʻau pōkole.
Me ka maʻi papa maʻi 2
Me kahi ʻano kūʻokoʻa o ka insulin o ka maʻi, he mea pono ia:
- mai haʻalele i nā lāʻau antipyretic;
- hele pololei i kahi meaʻai;
- Hana i ka hana kino dosed.
Me ka maʻi diabetes i nā keiki
E hoʻonui ʻo ia i ke ola o kahi keiki, e hoʻemi i nā hopena maikaʻi ʻole o ka maʻi, pono
- hoʻohui i nā insulin pōkole me kahi lāʻau lapaʻau lōʻihi;
- hana i nā kaha inaki ʻana o ka lōʻihi ma ʻelua a ʻekolu paha manawa i ka lā;
- nā keiki ma mua o 12 mau makahiki e hoʻokau i ka therapy hoʻonui;
- hoʻoponopono i ka pāʻālua ma nā papa;
- me ka noʻonoʻo pono, kuʻikahi helu kuʻokiʻoki.
He paʻakikī no kahi keiki me ka maʻi maʻi e hoʻopau i kahi papahana aʻo ke kula: pono ʻoe e hoʻolauna i nā lāʻau lapaʻau i kekahi manawa. E hoʻomaʻemaʻe i ka mālamaʻana, hūnā i ka maʻi mai nā keiki ʻē aʻe, koho i ka lāʻau lapaʻau. Hoʻopaʻa koke ka pahu i ka hormone i loko o ke kino ke kū nei ka pae o ke kō.
I ka wā hāpai
I ka wā hāpai, hiki ke maʻi maʻi gestational. ʻO ka pono o ka insulin i ka wahine i loko o ka manawa o ka gestation e hoʻonui.
No ka mālama i ke olakino maʻamau, pono ke pili i kēia mau rula:
- pinepine hoʻoponopono i ka maʻi (i kēia kūlana, ke ʻano ka metabolism e ka instability);
- hoʻololi i ka insulin kanaka (kūlohelohe nā hopena alia i ka pinepine ma luna o ka puaʻa a i ʻole bovine);
- i mea e pale ai i ka hyperglycemia, e lawe i ʻelua inikina i kēlā me kēia lā;
- pili ʻōpiopio, pōkole, hoʻohui i nā lāʻau lapaʻau;
- i ʻole e kū ka hilo i ka pō, ma mua o ka hele ʻana e moe, pono ʻoe e kipa i kahi lāʻau lapaʻau ka lōʻihi;
- ʻAʻole hiki iā ʻoe ke hoʻoponopono hou i ke kō me nā papa.
Nā hiʻohiʻona o ka hana paʻa, basal bolus a me ka pump insulin therapy
Ke hoʻohana nei nā kauka i nā hana i hoʻonui ʻia, base-bolus a me nā mea e hana ai i ka pī-hana no ka lawelawe ʻana i ka hormone pancreatic e mālama i nā maʻi. ʻO ke ʻano mua e kau ʻia ma ke ʻano o ke kau ʻana o ka huna ʻana o ka physiological o ka hormone i ka lā.
Hōʻike ʻia ke ʻano o ke ʻano e like me nā hiʻohiʻona:
- nui nā ʻōlelo kauoha i kēlā me kēia lā;
- ka hoʻohana nui ʻana i ka lāʻau lapaʻau pōkole;
- e hoʻolōʻihi i ka lāʻau e hoʻolōʻihi ʻia i nā pahu liʻiliʻi i loko o ke ʻano o kahi ʻōmole basal;
- koho ʻia ka manawa i ʻōlelo ʻia e pili ana i ka manawa e hoʻolālā ai ke kanaka e ʻai.
ʻO ka hoʻohālikelike ʻana o ke ʻano loiloi bolus ka mea i ke kakahiaka a i ke ahiahi paha, e kiʻi ʻia ana ka lōʻihi a i ʻole ka pōkole. No laila ua hoʻokō ʻia kahi hoʻomaʻamaʻa ʻana o ka hana maoli o ka pancreas. Mālama kekahi hapa o ka hormone i ka pae kiʻekiʻe o ka insulin, ka pale i ka lua o ka hoʻōki o ke kō.
ʻO nā hiʻohiʻona o ka insulin insulin pump:
- nā hui o nā ʻano āpau o ka nui o ka hāmeʻa ma kahi hoʻokahi;
- ka hoʻololi ʻana i ka helu o nā injections;
- ka hoʻokele maʻalahi o ka lāʻau;
- ka mea e hiki ai ke pili ʻana i nā hana kūlohelohe o ka pancreas.
Pono iaʻu e hoʻoiho i ka insulin inā he maʻamau ke kō?
Ma ka maʻi diabetes II II, hiki i ka pancreas ke hana i kekahi nui o ka hormone koʻikoʻi. No laila, i kekahi manawa he maʻi maʻamau o kahi kanaka.
Inā he 5.9 ka ʻai wikiwiki ʻana, a ma hope o ka ʻai ʻana ʻaʻole iʻoi aku ka 7 mmol / l, a laila hiki ke kāpae ʻia ka insulin.
Akā i ka manawa like, pono ʻoe e nānā i ke ʻano a me ka kaohi i ka ʻaila o ka glucose i ke koko me nā kaha hōʻike.
He aha ka hana inā hemo ʻole ka maʻi?
He mea i poina ia e hoʻopoina ke kanaka i ka hoʻonāʻana i ka insulin. ʻO ka algorithm no nā hana hou aʻe, e hilinaʻi ana i ka manawa o ka lā e hana ai ka mea maʻi i nā injections:
- ina hala kekahi hapa i ka hoʻoiho ʻana i kahi hormone hoʻonui i ʻelua o ka lā, pono ia e hoʻoponopono i ke pae o ka glycemia i nā hola 12 e hiki mai ana me kahi lāʻau lapaʻau pōkole. A i ʻole e hoʻonui i ka hana kino e kūlohelohe ai ka hoʻohana ʻana i ka glucose maoli;
- ina ke lawelaweia ka laau lapaau hookahi i ka la, a mahope iho o 12 mau hora mai ka inea i hala, e hana i ka inikua ma ka hapalua o ka pauku;
- ke ʻoki nei i ka insulin bolus, pono e hoʻolako ʻia ka lāʻau lapaʻau ma hope o ka ʻaina. Hiki iā ʻoe ke hoʻonui i ka hana kino a mālama i nā pae i ka kō. Inā hōʻike mai ka glucometer i kahi glycemia o 13 mmol / l, a laila kūpono ke kauʻana i nā pūʻulu 1-2 o ka hormone pōkole.
Pehea e hana ai ka insulin a me ka adrenaline?
ʻO ka adrenaline a me ka insulin e like me nā mea kū'ē e hana.
Wahi a ka Russian Endocrinology Research Center, he ʻāpana o ka insulin e hoʻemi ana i ka hoʻoliʻiliʻi glucose ma o 2 mmol / l, a me ka 1 ml o ka adrenaline e pani i kahi hōʻeha hypoglycemic.
He mea nui ia e noʻonoʻo pono he hana like ka insulin (adrenaline) ma nā maʻi maʻi maʻi: ka hilinaʻi ʻana i ka makahiki, ke kaumaha, ka hana kino a ke kanaka. No laila, ʻo nā lāʻau lapaʻau e hoʻopilikia i ka poʻe ʻōpio a me ka ʻilihune, nā keiki i ikaika hou.
Hoʻolālā ka meaʻai a me ke kiaʻi koko
He mea nui ia no kahi pākeke a me kahi keiki i maʻi me ka maʻi maʻi e hahai ma muli o kahi pāʻai haʻahaʻa. Hoʻololi i nā hoʻolālā meaʻai:
- ʻaina kakahiaka (4 XE) - he ʻāpana o ka punela cereal, he aniani o ka waiū;
- kīmū (1 XE) - nā hua;
- ʻaina awakea (2 XE) - ka lau, nā lau iʻa, kālai ʻia;
- ʻaina awakea (1 XE) - nā hua;
- ʻaina awakea (4 XE) - kaʻaila me ka mākeke, iʻa iʻa ʻia;
- ma mua o ka hiamoe (1 XE) - kahi ʻāpana o ka palaoa a pau me ka kīʻaha.
Nā huahana nā huahana:
- ʻai kīʻaha puaʻa, iʻa momona;
- Kāwei
- nā kīʻaha ʻona;
- margarine;
- ʻuala
- mokulele;
- waiʻona
- kahakaha.
ʻĀnō resepiini Latin
Pono nā maʻi āpau āpau me ke endocrinologist. Loaʻa iā lākou kahi kuleana e loaʻa i ka insulin no ka manuahi.
Hoʻokuʻu ʻia kahi ʻano latin e like me kēia:
- Rp: Insulini 6 ml (40 ED - 1 ml).
- Da tales doses No. 10.
- Hoʻohālikelike 10 ED (0.25 ml) 3 mau manawa i ka lā 20 mau minuke ma mua o ka ʻai i ka ʻili.
He aha nā huahana insulin maikaʻi loa?
ʻO nā lāʻau lapaʻau āpau a me kēia hana maʻamau:
- Humawai. ʻO kēia ka lāʻau lapaʻau hana maikaʻi maikaʻi loa. E ho'ēmi i ke kō i 15 mau minuke. Lawa ka insulin kanaka. Mālama i nā pae glucose maikaʻi loa no 3 mau hola;
- Gensulin N. ^ E Ha yM. Ka lāʻau lapaʻau hana ʻona. Hoemi haʻahaʻa i hoʻokahi hola ma hope o ka hoʻokele ʻana no 20 mau hola. Wahi a nā ʻōlelo aʻo, loaʻa kēia mau hopena maikaʻi loa;
- Lākusa. ^ E Ha yM. He wā lōʻihi kēia o ka lāʻau lapaʻau. Kūpono no 40 mau hola.
Injections injections a or pills: ʻoi aku ka maikaʻi?
Hana ʻia ka maʻi diabetes type 1 me ka insulin. Hiki i nā mea maʻi me kahi lua o ke ʻano ke hele mai ka pills a i ʻole injections.
ʻOi aku ka maʻalahi o ka capsule form e hoʻohana a hāʻawi i ka ʻike glucose kūlohelohe. I ka manawa like, pili maoli nā papa i ka hana o nā aʻalā a me nā pēpē.
Me ka koho hewa ʻole hewahewa, aia ka hopena e pili ana i ka hoʻomohala ʻana i nā hoʻopiʻi cardiovascular. ʻOi aku ka maikaʻi o nā ʻōlelo ākea ma kēia ʻike a hiki iā 100% ke hoʻololi i ka hana o ka pancreas.
Nā wikiō pili
E pili ana i ka maʻi insulin no ka maʻi type a me ka type 2 ma ke wikiō:
No laila, ke mālama ʻia nei ka maʻi diabetes me nā lāʻau hoʻomoʻa ʻana i nā kōpaʻa a i ʻole nā inikini insulin. He kūpono wale ke koho mua wale nō no nā maʻi nā lua. ʻO ka maʻi maʻi hiki wale ke ala i ka poʻe me ke ʻano ʻano o ka patology mua.