Hom insulin: lawv siv rau dab tsi thiab yuav thov li cas

Zoo Siab

• 1. Ua yeeb yam qeeb lossis ntev ntev
• 2. Cov kua dej ntawm kev ua haujlwm nrab
• 3. Kev siv tshuaj insulin sai
• 4. Ultra-ceev ua yeeb yam insulin
• Cov yam ntxwv ntawm txhua hom insulin
• Yuav thov cov tshuaj insulin li cas

Cov tshuaj insulin yog yam tshuaj tsim los ntawm lub cev los tswj cov ntshav qabzib, tab sis thaum nws tsis tsim nyob rau hauv ntau los yog thaum nws txoj haujlwm txo qis, xws li mob ntshav qab zib, nws yuav tsum siv tshuaj insulin thiab txhaj tshuaj.

Muaj ntau hom insulin hluavtaws, uas ua raws li qhov kev ua ntawm cov tshuaj hormones ntuj txhua lub sijhawm ntawm lub hnub, thiab uas tuaj yeem siv los ntawm kev hno txhua hnub rau hauv daim tawv nqaij nrog cov koob txhaj tshuaj, cov npiv lossis cov twj tshwj xeeb me me.

Cov tshuaj insulin pab ua kom cov ntshav qabzib hauv lub cev ua kom lub cev tsis zoo thiab ua rau cov ntshav qab zib ua kom lub neej noj qab haus huv thiab zam kev mob ntshav qab zib. Txawm li cas los xij, nws txoj kev siv yuav tsum tsuas yog pib los ntawm kev qhia ntawm tus kws kho mob lossis tus endocrinologist, raws li hom insulin yuav tsum tau siv, nrog rau nws cov nyiaj sib txawv raws li qhov xav tau ntawm txhua tus neeg.

Hom insulin tseem ceeb txawv raws li lub sijhawm ua haujlwm thiab thaum lawv yuav tsum thov:

1. Ua yeeb yam qeeb lossis ntev ntev

Nws tuaj yeem raug hu ua Detemir, Deglutega lossis Glargina, piv txwv li, thiab kav ntev li ib hnub. Qhov insulin no yog siv los tswj cov tshuaj insulin hauv cov ntshav, uas ua yam tsis txaus, thiab tsawg heev, muaj insulin thawm hnub.

Tam sim no, muaj cov tshuaj insulins ultra-qeeb qeeb, uas tuaj yeem ua rau 2 hnub, uas tuaj yeem txo cov kabmob tom thiab txo cov neeg mob ntshav qab zib lub neej.

2. Cov kua dej ntawm kev ua haujlwm nrab

Qhov insulin no tuaj yeem paub ua NPH, Lenta lossis NPL thiab ua rau ib nrab ib hnub, nruab nrab ntawm 12 txog 24 teev. Nws tseem tuaj yeem ua raws li cov nyhuv ntawm ntuj tsim los ntawm insulin, tab sis nws yuav tsum siv li 1 mus rau 3 zaug hauv ib hnub, nyob ntawm seb tus neeg xav tau ntau npaum li cas, thiab tus kws kho mob cov lus qhia.

3. Kev siv tshuaj insulin sai

Kuj tseem paub zoo li insulin tsis tu ncua yog ib qho insulin uas yuav tsum siv 30 feeb ua ntej noj mov loj, feem ntau 3 zaug hauv ib hnub, thiab qhov ntawd yuav pab kom cov piam thaj nyob tom qab noj mov tas.

Cov lag luam nto npe tshaj plaws rau hom insulin no yog Humulin R lossis Novolin R.

4. Ultra-ceev ua yeeb yam insulin

Nws yog hom insulin uas muaj qhov tshwm sim sai tshaj plaws, yog li, nws yuav tsum siv tam sim ua ntej noj mov lossis qee kis, tsis ntev tom qab noj mov, qog cov kev ua ntawm cov insulin uas tsim tawm thaum peb noj kom tiv thaiv cov suab thaj hauv cov ntshav nyob siab.

Cov lag luam tseem ceeb lub npe yog Lispro (Humalog), Aspart (Novorapid, FIASP) lossis Glulisine (Apidra).

Cov yam ntxwv ntawm txhua hom insulin

Cov yam ntxwv uas txawv ntawm hom insulin yog:

Qhov pib ntawm cov tshuaj insulin sib raug rau lub sijhawm nws siv tshuaj insulin pib ua tiav tom qab kev tswj hwm thiab qhov kawg ntawm qhov kev txiav txim yog lub sijhawm thaum insulin ua tiav nws qhov kev txiav txim siab tshaj plaws.

Qee tus neeg mob ntshav qab zib yuav xav tau kev ua yeeb yam sai, ua nrawm nrawm thiab nruab nrab ntawm kev siv tshuaj tua kab mob, hu ua premixed insulin, xws li Humulin 70/30 lossis Humalog Mix, piv txwv li, tswj tus kab mob thiab feem ntau yog siv los pab nws siv thiab txo tus naj npawb ntawm cov yoov, tshwj xeeb los ntawm cov neeg laus lossis cov uas muaj teeb meem npaj cov tshuaj insulin vim muaj teeb meem rau lub cev lossis qhov muag Qhov pib ntawm kev ua, lub sijhawm thiab qhov kawg yog nyob ntawm cov insulins uas ua cov sib tov, thiab feem ntau yog siv 2 txog 3 zaug hauv ib hnub.

Ntxiv rau kev txhaj tshuaj insulin uas muab nrog tus cwj mem tshwj xeeb lossis cov koob txhaj tshuaj, koj tuaj yeem siv lub tshuab nqus insulin, uas yog cov khoom siv hluav taws xob uas nyob hauv lub cev txuas thiab tso cov tshuaj insulin rau 24 teev, thiab tso cai tswj tau zoo ntawm cov ntshav qab zib cov ntshav thiab mob ntshav qab zib, thiab tuaj yeem siv rau txhua tus neeg ntawm txhua lub hnub nyoog, feem ntau ntawm tus mob ntshav qab zib hom 1. Kawm paub ntau txog kev siv thiab qhov twg nrhiav cov twj tso kua mis.

Yuav thov cov tshuaj insulin li cas

Rau ib hom tshuaj insulin kom ua tiav, nws yog qhov yuav tsum tau thov nws kom raug, thiab rau qhov no nws yog qhov tsim nyog:

1. Ua daim me me rau ntawm daim tawv nqaij, ua ntej txhaj cov tshuaj txhaj, kom nws nqus dej hauv thaj av subcutaneous;
2. Ntxig lub koob txiav tawm ntawm daim tawv nqaij thiab siv cov tshuaj;
3. Hloov chaw txhaj tshuaj, ntawm caj npab, ncej puab thiab lub plab thiab txawm tias nyob rau hauv cov chaw no nws yog qhov tseem ceeb kom tig, kom tsis txhob bruising thiab lipohypertrophy.

Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau siv cov tshuaj insulin, khaws cia hauv tub yees kom txog thaum nws qhib thiab tom qab cov pob qhib nws yuav tsum muaj kev tiv thaiv los ntawm tshav kub thiab kub thiab yuav tsum tsis txhob siv ntau dua 1 hlis. Txaws taub cov ntsiab lus ntawm yuav ua li cas thov insulin.