A ina aka tsara wa sukari maganin "Insulin"

Yaushe aka tsara insulin? Wannan tambaya ta damu mutane da yawa masu ciwon sukari. Wannan miyagun ƙwayoyi ya zama dole don rama don rashin ƙwayar hormone kuma yana baka damar rage haɗarin haɓaka rikitarwa masu haɗari.

Ga masu ciwon sukari, a cikin su wanda cutar ta ci gaba a cikin tsari na dogaro da insulin, yin amfani da miyagun ƙwayoyi na yau da kullun, ba tare da ƙari ba, batun rayuwa da mutuwa. Usin yarda da shi a cikin yanayinsu yana da mafi yawan mummunan sakamako.

Wadanda suke da nau'in cutar guda 2 ana wajabta masu allurar ne kawai a wasu yanayi. A wasu halaye, ya ishe su shan magungunan da likita ya umarta su bi abinci.

Wannan labarin zai magance manyan dalilai na gudanar da allurar insulin ga marasa lafiya.

Lokacin da ake buƙatar insulin daidai

Ba yadda za ayi koyaushe marasa lafiya suna buƙatar sarrafa maganin a cikin tambaya. Koyaya, wani lokacin dole su kwashe ta ko kuwa wani tsari ko canzawa zuwa makirci na dindindin.

Akwai da yawa cututtuka da yanayin pathologies a cikin abin da wajabta wa hormone. Waɗanne cututtuka ne muke magana a kai?

Da farko dai, wannan, hakika, nau'in ciwon sukari ne na 1 (ana kiran shi insulin-dependant). Bugu da kari, ana iya buƙatar allura don:

coma (ciwon sukari, hawan jini, hawan jini),
katoacidosis,
ciwon sukari.

Zaɓin na ƙarshe shine ainihin takamaiman nau'in cutar. Yana girma musamman ga mata yayin daukar ciki. Dalilin wannan shine rashin daidaituwar hormonal. Babban alamar cutar cuta shine babban matakin glucose wanda ke hade bayan cin abinci kuma ya koma dabi'un al'ada lokacin da aka gudanar da bincike akan komai a ciki.

Cutar sankarar mahaifa (GDM ga takaice) na bukatar maganin insulin kawai a lokuta masu tsauri. Sauran yanayi daidaita yanayin:

abinci
kullun kaya.

Yin rigakafin cutar ta ƙunshi rubutaccen gwaji na kamuwa da cutar ga mata masu juna biyu. Suna yin hakan ne a tsakanin tsakanin 24th da mako na 28. Wannan taron yana da matukar muhimmanci, tunda GDM galibi yakan zama sanadin kwakwalwa ko ƙarancin zuciya a cikin yara.

Iyaye mata masu zuwa yakamata su fahimci cewa ba zai yiwu a ki yin allurar ba idan likita ne ya rubuta su. Shan insulin baya haifar da wani mummunan sakamako. Bayan samun sauki daga nauyin, yawanci ana dakatar da maganin.

Waɗanne alamomi ne ke haifar da cutar masu ciwon sukari da cuta ta 2?

Injections na insulin sau da yawa yana tallafawa mata yayin daukar ciki idan sun sami maganin cutar kafin haihuwa.

Mutanen da ke fama da nau'in cuta ta biyu, an wajabta insulin a kusan kashi 30 na lokuta. Wannan na faruwa idan tare da nau'in ciwon sukari na 2 suka same su:

cewa jiyya tare da ƙarin hanyoyin tawali'u ba shi da tasiri,
Cutar Kwayar cuta,
mummunan rauni
alamun bayyanar raunin insulin (asarar nauyi, ketoacidosis),
cututtuka da yawa (mafi hatsari purulent-septic),
m siffofin macrovascular rikitarwa (bugun zuciya ko bugun jini),
ƙananan matakan jini na C-peptide wanda aka gano akan asalin wani gwaji na ciki ta amfani da glucagon.

A cikin wanne takamaiman sukari yake wajabta insulin

Idan muna magana ne game da masu ciwon sukari da ke fama da rashin lafiya na 2, to muna magana ne game da waɗannan dabi'u:

matakin glycemia (tare da kowane nauyin jiki) akan komai a ciki - a cikin 15 mmol / l,
idan BMI kasa da kilo 25 na m2 - 7.8.

Mafi muni, zaku canza zuwa allura, kuma a yanayin idan mai nuna alama na ƙarshe ya daɗe, duk da shan magungunan. A cikin halin da ake ciki tare da ciwon sukari da ke dogara da insulin, komai yana da rikitarwa - koda kuwa mara lafiya yana da matakin glucose na jini tsakanin 6 mmol / l, to lallai ne ku yi allura.

A lokacin daukar ciki, ana nuna gabatarwar kwayoyin, lokacin da gwaje-gwajen suka nuna wuce haddi irin wadannan kyawawan dabi'u:

azumi cututtukan zuciya - 5.1,
bayan cin abinci - 7,
da yamma da kuma kafin abinci - 5.1.

Ana ɗaukar duk mata a matsayin ƙungiyar haɗari ga GDM tare da alamun sukari masu zuwa:

a cikin jini daga yatsa - daga 4.8 zuwa 6 mmol / l,
a cikin venous - 5.3-6.9.

Kasancewar irin waɗannan lambobi suna buƙatar ƙarin dalilin gwajin glucose.

Ciwon sukari insulin - iri

Kwayoyi, da farko, sun bambanta tsawon lokacin bayyanar. Zuwa yau, ana samar da insulin:

tare da takaitaccen sakamako
matsakaici
mai tsawo.

Hakanan sun bambanta a tsabtatawa:

monocomponent kusan bashi da ragowar inclusions,
dodannin monopic suna da ƙananan rashin ƙarfi.

Wasu samfurori ana yin su ne daga kayan da aka samo daga dabbobi. Amma mafi inganci ana ɗauka shine insulin ɗan adam. A halin yanzu, sun koya yadda za su iya haɗa ta ta yin amfani da fasahohin ƙwayoyin cuta na musamman. Hakanan yana da dukiya mai mahimmanci - ƙarancin ƙwayoyin cuta.

“Short” insulin shine allurar riga kafin ko abinci kai tsaye. Zai fara aiki tuni mintina 15 daga baya. A matsakaici, kashi ɗaya ya isa 8 hours. Ana lura da taro mafi yawa na jini bayan sa'o'i 2 ko 3.

Dole ne a gudanar da magani tare da matsakaicin sakamako sau biyu a rana - da safe da kuma kafin lokacin kwanciya. Rage sukari yana farawa bayan sa'o'i 2. Hakanan ana shafa allurar-insulin sau biyu a rana. Ya fara aiki ne bayan awa 6.

Zaɓin wani takamammen magani shine keɓaɓɓen mahimmancin likita.

Lissafin sashi

Kamar yadda a wasu lokuta da yawa, zaɓin da ya dace ya zama ya dogara da nauyin mai haƙuri. Mai tsananin cutar da kuma saukin kamuwa da kwayoyin ga masu cutar siga suna da matukar mahimmanci.

A cikin matakan farko, tare da nau'in cuta ta 1, yawanci ana zaɓi kashi na insulin don kada ya wuce raka'a 0.5 a kilo kilogram.

Tare da kyakkyawan lada na ciwon sukari, matsakaicin girman ƙwayar ba ta wuce 0.6 / kg.

A cikin lokuta masu tsauri, ana buƙatar raka'a 0.7 sau da yawa.

Tare da decompensated ciwon sukari, an yarda 0.8.

Idan muna magana ne game da ciwon sukari na gestational, to an ba shi izinin farawa da raka'a 1 a kowace kilogram.

Bukatar magani

A nau'in na biyu na ciwon sukari, rage insulin ya ragu sosai, kyallen takan zama mai rigakafi ga wannan hormone, wanda ke rikitar da aikin metabolism. Don gyara cin zarafin, ƙwayar ƙwayar cuta ta yi aiki a cikin yanayin haɓaka. Loadaukar nauyin kullun yana ɗaukar sashin jiki, musamman idan ba'a lura da tsarin abinci ba.

Matsalolin Endocrine suna tsokani:

kiba
rage rigakafi,
overwork
rikicewar hormonal
canje-canje masu dangantaka da shekaru
ciwan tumor a cikin farji.

Yawancin marasa lafiya suna jin tsoron canzawa zuwa allurar yau da kullun na insulin wucin gadi kuma suna ƙoƙarin jinkirta wannan lokacin muddin dai zai yiwu. A zahiri, maganin zai taimaka ba wai kawai kula da jiki a cikin kyakkyawan yanayi ba, amma kuma yana hana ci gaban cututtukan haɗuwa.

Siffofin .aukar wurare

Kwayoyin Beta suna yin insulin aiki sosai, suna rama masu ciwon sukari. Likitocin ba su bincikar mai haƙuri nan da nan ba da wani maganin da ya dogara da su, a farkon farfajiyar da ke ƙoƙarin maido da sashin don yin aiki a wasu hanyoyi. Lokacin da tasiri da ake so ba za a iya cimma ba, hanyoyin da aka yi amfani da su daina aiki, an wajabta mai haƙuri insulin.

Mahimmanci! Domin kada ya ɓata lokaci mai mahimmanci da sarrafa cutar, mai haƙuri ya kamata a yi gwajin jini na yau da kullun don sukari.

Dalilin Insulin

Akwai dalilai da yawa lokacin da gabatarwar hormone mutum ya zama dole don daidaita yanayin mai haƙuri:

babban sukari mai yawa, fiye da 9 mmol / l,
tsawaita tsawaitawa. Patientsarin yawan abubuwan da ke cikin glucose sau da yawa ba a kula da shi ta hanyar marasa lafiya, tun da yake sukan danganta alamun cututtukan cututtukan cututtuka zuwa wasu cututtukan kuma kada ku nemi ƙwararrun masanin kimiyya - game da cutar sankara,
hawan jini, rage wahalar gani, yawan hare-hare na cephalalgia, bakin jini na jijiyoyin jini,
take hakkin pancreas, yafi tashi bayan shekaru 45,
mai tsanani jijiyoyin bugun gini,
matsanancin yanayi tare da haɓaka mummunan ciwo, alal misali, zazzabi, in ya cancanta, maganin gaggawa na cikin gaggawa. Harkokin insulin yana ba da damar jiki ya jimre da mummunan yanayin,
shan magunguna marasa inganci, ko yawan shan su.

A wannan yanayin, ana tsara insulin na wucin gadi nan da nan, kuma an ƙaddara sashi gwargwadon ƙididdigar jini.

Ci gaban ciwon sukari

Aiki mai narkewa yana aiki cikin kwanciyar hankali, yana samarda adadin insulin da ake buƙata. Glucose da aka karɓa tare da abinci yana karye cikin narkewar abinci kuma yana shiga cikin jini. Sannan, shigar da sel, yana samar musu da makamashi. Don wannan tsari ya ci gaba ba tare da rudani ba, isasshen sakin insulin da kuma raunin nama a wuraren samar da furotin da ke shiga cikin sel sun zama dole. Idan hankalin mai karɓar rashi ya lalace kuma babu cikakkiyar wahala, to glucose ba zai iya shiga cikin tantanin ba. Ana lura da wannan yanayin a cikin nau'in ciwon sukari na 2.

Marasa lafiya suna sha'awar abin da masu nuna alama ya kamata su fara da maganin insulin. Tuni 6 mmol / L a cikin jini ya nuna cewa abinci mai gina jiki yana buƙatar daidaitawa. Idan alamu sun kai 9, to, kuna buƙatar bincika jikin don kasancewar yawan guba a cikin glucose - karanta abin da ke cin zarafin glucose.

Wannan kalmar tana nufin cewa hanyoyin da ba za'a iya juyarwa ba suka fara lalata rukunin beta na farjin. Ma'aikatan Glycosylating suna tsoma baki tare da samar da kwayoyin halitta kuma suna fara samar da insulin da kansa. Idan an tabbatar da shakkun kwararrun, ana amfani da hanyoyin da suka shafi ra'ayin mazan jiya. Har yaushe sakamakon tasirin hanyoyin warkewa zai daɗe yana dogara ne da kiyaye ka'idodi na marasa lafiya da kuma isasshen magani na likita.

A wasu halaye, taƙaitaccen gudanarwar maganin ya isa ya dawo da tsarin insulin na al'ada. Amma yawanci dole ne a gudanar dashi yau da kullun.

Amfani da insulin

Ya kamata mai haƙuri ya yi la’akari da cewa idan akwai wata alama ta insulin, ƙi kulawa yana da haɗari ga lafiya da rayuwa. An lalata jikin tare da bayyanar cututtukan sukari da sauri. A wannan yanayin, komawa zuwa allunan mai yiwuwa ne bayan wata hanya ta magani (lokacin da rayayyun kwayar beta ke ci gaba da zama a jikin).

Ana gudanar da insulin a gwargwadon ingantaccen tsari da sashi. Fasaha na magunguna na zamani suna sa hanya don gudanar da magani gaba ɗaya mara jin zafi. Akwai sirinji masu dacewa, alƙaluma da sirinji tare da ƙananan allura, godiya ga wanda mutum zai iya yin allura tare da iyakar ta'aziyya.

Lokacin da aka tsara insulin, kwararru dole ne su nuna wurare a jiki inda aka fi gudanar da maganin kamar haka: ciki, babba da gindi, gindi. A cikin wadannan sassan jiki, mai haƙuri zai iya bayar da allura ba tare da buƙatar taimako a waje ba - yadda za a yi inulin.

Mahimmanci! Idan aka yi rikodin glycemia a lokacin bayar da gudummawar jini, kuma alamu sun wuce 7 mmol / l lokacin da suke shan allunan rage sukari kuma tare da tsauraran matakan rage cin abinci, to kwararrun ya ba da izinin sarrafa sinadarin mutum don kiyaye al'ada ta jiki.

Likita na Kimiyyar Kimiyya, Shugaban Cibiyar Nazarin Diabetology - Tatyana Yakovleva

Na yi shekaru da yawa ina nazarin ciwon sukari. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

Na yi hanzarin ba da labari mai daɗi - Cibiyar Binciken Endocrinological na Kwalejin Kimiyya ta Rasha ta sami nasarar inganta maganin da ke warkar da ciwon sukari gaba ɗaya. A yanzu, ingancin wannan magani yana gab da kashi 98%.

Wani albishir: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya diyyar magunguna mai yawa. A Rasha, masu ciwon sukari har sai 18 ga Mayu (m) samun shi - Don kawai 147 rubles!

Gaskiya da tatsuniyoyi

Da nau'in ciwon sukari da ke dogaro da mutum, mutum yana buƙatar maganin insulin akai-akai. Amma koda tare da nau'in na biyu, ana tsara aikin maganin hodar Iblis sau da yawa. Kowane mai ciwon sukari yana fuskantar gaskiyar cewa magani yana farawa ta hanyar injections. Tsoron hanyar, tsoro da aka ji daga abokai, jin daɗi da ji na iya yin tasiri ga lafiyar mutum. Dole ne likita ya goyi bayan mai haƙuri, ya bayyana masa cewa wannan matakin magani ne na wajibi wanda dubun-dubatar mutane ke tafiya.

An wajabta insulin wucin gadi ne kawai a mahimmancin darajar sukari na jini, lokacin da farji ya daina aiki ko da a cikin mafi ƙarancin yanayi. Ta hanyar taimakonsa ne cewa carbohydrates shiga cikin sel, kuma ba tare da waɗannan abubuwa mutum ba zai iya rayuwa. Lokacin da ƙwayoyin beta suka mutu, wajibi ne don yin allurar. Guji allura ba zai yi aiki ba. In ba haka ba, tare da tara gubobi, bugun jini, bugun zuciya, da zubar jini tare da sakamako mai ƙisa na iya haɓaka. Kiyaye duk ka'idodi na jiyya zai taimaka wajen kula da lafiyar mutum yadda yakamata ya tsawaita rayuwarsa tsawon shekaru.

Sau da yawa, mutanen da suke shan insulin suna wahala sakamakon cutar sankara. Ba su da alaƙa da magani, amma tare da takamaiman maganin cutar, wanda adadin sukari zai iya ƙaruwa sosai. Wannan yakan haifar da raguwa ta hanyar yawan aiki da likitan ya umarta, kamar yadda wasu marasa lafiya suka yi imanin cewa ana ba su shawarar yin allurar da yawa. A sakamakon haka, mai ciwon sukari yana fuskantar matsanancin cututtuka:

raunuka a ƙafa, suna haifar da jijiyoyin wuya (mutuwa), gangrene da yanke,
raunin gani sosai, makanta - ciwon sikari,
gazawar hanta da kodan - masu fama da cutar sankara,
jijiyoyin bugun zuciya, atherosclerosis, bugun jini, bugun zuciya,
ci gaban oncopathologies.

Don hanawa ko hana haɓakar waɗannan cututtukan, ya kamata a allurar da insulin a cikin ƙwararrun ƙwararrun ƙwararrun likitoci da aka umarta dasu kuma kada ku shiga cikin gyaran kai na kashi.

A farkon gabatarwar hormone mutum, an ba da shawarar yin 1-2 injections kowace rana. A nan gaba, sashi yana daidaita ta hanyar endocrinologist:

Yana yin la'akari da buƙatar magani da dare,
an saita kashi na farko sannan kuma a gyara,
da lissafi na safiya insulin. A wannan yanayin, mara lafiya zai tsallake abinci,
tare da buqatar yin insulin cikin sauri, mai ciwon sukari yakamata ya yanke hukunci kafin wane babban abinci za'a masa,
lokacin da ake ƙayyade allurai, ya zama dole don la'akari da yawan sukari don kwanakin da suka gabata,
An shawarci mara lafiya don bincika tsawon lokaci kafin cin maganin ƙwaƙwalwar wucin gadi wanda dole ne a allurar dashi.

Sakamakon ilimin insulin

Abubuwan da ake amfani da su yau da kullun suna haifar da tsoro na halitta a cikin mutane, wanda ke haifar da ƙari ga haɗarin haɗarin mummunan sakamako. Insulin yana da hasara guda. Tare da rashin aiki na jiki, yana haifar da cikawa da saita karin fam. Amma masana sun tabbata cewa za a iya magance wannan.

Ciwon sukari na buƙatar aiki mai rai, mai nutsuwa da kuma tilasta amfani da abinci da ya dace. Ko da lokacin da ƙididdigar jini ta koma al'ada, ba kwa buƙatar mantawa game da haɓakar haɓakar rashin lafiya, rarraba abinci, hutawa, hutawa.

Tabbatar koya! Shin kuna tsammanin kulawa da kwayoyin hana daukar ciki da insulin shine hanya daya tilo da za'a iya sarrafa sukari a karkashinta? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi. kara karantawa >>