Jiyya don ciwon sukari na 1 a cikin israel

antagonist B. cepacia AB 1934 da bambance 8 na B. thailandensis 295, wanda hasarar juriya ta kanamycin, amma ya riƙe juriya ga chloramphenicol kuma a lokaci guda ya sami wadatar, wanda ya nuna haɗawar Tn9 cikin ƙwayoyin chromosome. Eterayyade buƙatun abincinsu bisa ga tsarin Holliday ya nuna cewa haɗuwar kuɓarin maye gurbi na transposon ya dogara da proline ko glutamine. A tsawon lokaci, wani ɓangare na maɓallin StK an juya zuwa rikitarwa, wanda mai yiwuwa ne saboda motsin transposon tare da chromosome.

Wannan aikin yana nuna yuwuwar yanayin watsawa yayin haɗuwar platsmid Rts1 :: Tn9 daga E. coli KS 707 (Rts1 :: Tn9) zuwa B. cepacia AB 1934 da B. thailandensis 295 ragin tare da kewayon 6 × 10-8 a kowace karɓa . An samo nau'ikan gyare-gyare na rigakafi tare da juriya na rigakafi na plasmid, an ƙaddara abubuwan da ke nunawa sosai a cikin sabon mai watsa shiri, yana ƙaruwa da juriya na damuwa zuwa kanamycin da chloramphenicol sau 3-6. Transconjugates ya nuna raguwa na virulence don hamsters na zinariya da cytopathogenicity don P aculeata. An nuna yiwuwar haɗa Tn9 cikin cikin chromosome.

Don haka, zamu iya yanke hukuncin cewa platsmid Rts1 :: Tn9, kazalika da plasmids P-1 na ƙungiyar karfinsu, za a iya amfani da su a cikin nazarin halittar jini na burkholder.

1. Voronina O. L., Chernukha M. Yu., Shaginyan I.A. et al. // Molecular Genetics, Microbiology da Virology. - 2013. - A'a. 2 - S. 22-30.

2. Kalinkina E.V., Ageeva N.P., Merinova O.A. et al. // Matsaloli na musamman masu haɗari. - 2008. - No. 96 - S. 32-35.

3. Molchanova E.V., Ageeva N.P. Patent don ƙirƙirar A'a. 2485182 Hanyar don kai tsaye don kimanta halayen ɓarke ​​na ɓarke ​​na jijiyoyin jini wanda ya danganci cytopathogenicity / wanda aka sanya ranar 23.01.2012.

4. Morozova M.V., Merinova L.K., Seimova I.K. et al. // Bulletin na Cibiyar Kimiyya ta Volgograd na RAMS. - 2006. - A'a. 1. - S. 38-40.

5. Peters M. K., Shipovskaya N. P., Merinova L. K. // Jaridar Microbiological. - 1983. - T 45. - V. 3. - S. 11-14.

6. Coenye T., Vandamme P. // Environ. Microbiol. - 2003. - Vol. 5. - P 719-729.

7. Deshazer D. // FEMS Microbiol. Ba da izini. - 2007. - Vol. 277 (1). - P 64-69.

8. Murata T., Ohnishi M., Ara T., et al. // J. Bacteriol. - 2002. - Vol. 184. - P 3194-3202.

Molchanova Elena Vladimirovna - K. b. n,,

s n s tarin tarin FKUZ Volgograd Research Anti-Plague Institute of Rospotrebnadzor, mataimaki na Sashen Kwayar Kwayar halittu da Halittar Jiki, Jami'ar Medical University ta Volgograd e-mail: [email protected]

GANGAR JIKI A CIKIN SAURAN YARA DA CIKIN MUTUWAR IYALI I: “DON” DA “KYAUTA”

N. Yu. Otto, G. R Sagitova, M. Ya. Ledyaev

Asibitin Yankin Yanan Yankin da aka sanyawa suna N.N. Silishcheva, Astrakhan,

Astrakhan State Medical Academy,

Jami’ar Likitocin Jihar Volgograd

Ofaya daga cikin ɓangarorin don inganta rayuwar rayuwar marasa lafiya ana ɗaukar kyakkyawan zaɓin insulin da ya dace. Dangane da kwarewarmu na asibiti, ana ba da shawarar hanyoyin dabarun yin amfani da insulin, dangane da nau'in magani, shekarun yarinyar, da gadon asibiti.

Kalmomi masu mahimmanci: yara, nau'in ciwon sukari mellitus, maganin insulin.

PROS DA CONS NA YI AMFANI DA SIFFOFI A CIKIN AIKIN YARA DA IYALAN I SUKE YI.

N. Yu. Oio, G. R. Sagitova

An zaɓa da ingantaccen aikin kwantar da insulin a matsayin ɗayan mahimman abubuwa don inganta rayuwar marasa lafiya. Muna ba da shawarar hanyoyin yin amfani da insulin na dabara dangane da nau'in ƙwayoyi, shekarun yarinyar dangane da ƙwarewar asibiti.

Kalmomi masu mahimmanci: yara, nau'in ciwon sukari I, insulin therapy.

Nazarin matsalolin da suka shafi, alaƙa, zuwa ga aikin ƙasa da na ƙasa 1, 2. Ciwon sukari mai saurin ci gaba, musamman a cikin yara, an san shi ne sanadin cutar.

Mas'ala ta 4 (48). 2013 57

tsananin raunin insulin. Abin da ya sa maye gurbin insulin ya rage shine kawai magani ga nau'in cutar sankarar mahaifa a cikin yara. Tun daga 2012, Jerin Magunguna da Mahimman Magunguna suna cikin aiki, wanda Dokar Gwamnatin approvedungiyar Rasha ta amince da shi daga Disamba 7, 2011 Lambar 2199-r, wanda ya haɗa da insulin. Zaɓin mafi kyawun magani don nau'in I ciwon sukari ana ɗaukar shi ya zama mai haɓaka insulin farji - tsari ne na injections da yawa na insulin wanda ke kwaikwayon ƙwayoyin insulin na rayuwa. Jiyya yana ƙarƙashin ikon sarrafa insulin iri biyu. Mafi sau da yawa wannan shine amfani da gajeren insulin (Actrapid ko Humulin Regular) ko ultrashort (NovoRapid ko Humalog), waɗanda ake gudanarwa kafin manyan abinci (wani nau'in kwaikwayon ɓoye abinci yana faruwa) da insulin na tsawon lokaci (Protofan, Humulin NPH) ko aiki mai tsawo (Lantus) ( kwaikwayon tsabtace abinci ko muhimmi na abinci). Ana gabatar da 1-2 sau ɗaya a rana 3, 5. Endocrinologists, masu ƙwararrun likitoci suna jin abubuwa da yawa game da manyan fa'idoji na "sabo" insulins akan "tsofaffi", suna ƙoƙari su nesanta kansu daga insulin ɗin farko na ɗan adam (biosynthetic), kamar su Actrapid da Protofan (kamfanin Novo Nordisk, Denmark), Humulin Regular da Humulin NPH, (Eli Lilly, Amurka). Canjin zuwa insulins na kamfanoni iri ɗaya, amma na aikin ultrashort (analogues na mutum) - insulin Aspart (sunan kasuwanci Novorapid) da insulin Lizpro (Humalog), ya barata ta hanyar cewa suna yin sauri. Daga cikin dindindin na yau da kullun a cikin aikin kiwon lafiya, ana kara amfani da Glargin (Lantus) (Aventis, Jamus) da Detemir (Levemir) (Novo Nordisk, Denmark) a cikin jiyya. Amfanin ultrashort insulins shine cewa babu buƙatar tsayayya da lokaci kafin cin abinci, marasa lafiya suna canza yanayin da lokacin cin abinci, kuma wannan yana da matukar muhimmanci daga matsayin duba kimar rayuwar masu haƙuri. Lantus shine insulin awa 24 a kowace rana sau daya, sabanin insulins na matsakaici (Protofana da Humulin NPH), wanda ake sarrafa su sau biyu (safe da maraice), wanda, a hankali, yana rage adadin alluran. Iyakar abin da ke jawo cikas na insulins na zamani shine farashin, wanda, alal misali, ya wuce farashin Actrapid da Protofan da Humulin fiye da sau 3.

Nazarin halayen insulin, la'akari da adadin kwanakin da marasa lafiya da nau'in ciwon sukari na I a cikin asibiti da matsakaita na yau da kullun na insulin ya dogara da shekaru.

An gudanar da cikakken bincike game da takardun likita (nau'i na 112, tsari 003 / y) na yara 144 da matasa

nau'in I ciwon sukari mellitus wanda aka bincika kuma aka bi dashi a Sashin Endocrinology a cikin 2012. Mafi yawan lokuta jiyya da aka yi amfani da su shine insulin na "sabon" ƙarni: aikin Humalog ko Novorapid (70%) a hade tare da tsawan insulin Lantus (50%) kuma a cikin yara 1/5 a hade tare da Levemir. '' Tsohuwar '' insulins 'na tsufa, kamar Humulin - Regular da NPH. Fiye da rubu'in yara aka karɓa, kuma Actrapid da Protofan 4% na yara. Mafi sau da yawa, ana amfani da haɗakar insulins na gajere da na matsakaici - Actrapid + Protofan, Humulin Regular + Humulin NPH, ultrashort da tsawan insulin-Humalog + Lantus da Novorapid + Levemir (95%). Lessarancin da aka saba amfani dashi: Humulin Regular + Lantus, Actrapid + Lantus, Actrapid + Levemir, Novorapid + Lantus (5%), wanda ke hade da samar da shirye-shiryen insulin a wurin zama. A cikin yara da matasa 11-17 shekara, sabon ƙarni na insulins - Humalog da Lantus - an yi amfani da su sau da yawa, a cikin yara na makarantar firamare shekaru 7-10 shekaru - Novorapid da Levemir, a cikin ƙananan yara - Humulin Regular da Humulin NPH. Irin wannan zaɓi na insulin a cikin ƙananan yara yana faruwa ne ta hanyar wadatar da HumaPen da Novo-Pen ƙwayar sirinji alƙalum tare da ƙaramin matakin allurar 0.5 raka'a. Binciken mai nuna adadin kwanakin kwanciya a lokacin aikin jiyya, mun lura cewa a cikin yanayin amfani da insulins na gajere da gajere (Humalog, Novorapid, Actrapida, Humulin Regular), an lura da mafi ƙarancin zama a kan gado yayin jiyya tare da Novorapi-house - matsakaita na gado ranar 16.6 mafi girma - tare da lura da Humalog - 18.5. An lura da mafi ƙarancin matsakaiciyar gado yayin amfani da Humalog a cikin rukuni na yara 11-14 shekara, Novorapida - a cikin rukuni na shekaru 4-6, Humulin Regular - a cikin rukuni na shekaru 4-6, Actrapida a cikin matasa shekaru 15-17. Lokacin amfani da insulins na matsakaici na matsakaici da aiki na tsawon lokaci (Protofan, Humulin NPH, Lantus, Levemir), an lura da mafi ƙarancin zaman tare da kulawar Protofan - matsakaicen gado-16,2, kuma mafi girma tare da Lantus-bi da - matsakaita na gado-rana ya kasance 18.8. Kwanan-gajeren gado-gado lokacin da aka yi amfani da Lantus an lura da shi a cikin rukuni na 7-10 shekaru, Levemira - a cikin rukuni na shekaru 4-6 da shekaru 15-17, Protofana - a cikin rukuni na shekaru 15-17, Humulin NPH - a cikin rukuni na shekaru 4-6. Ranar gado mafi tsawo shine halayyar shekarun 11-14 shekaru (wanda ana iya haɗa shi da lokacin haila) kuma shine kwanakin gado 20.2. A cikin jiyya tare da insulins na ultrashort, matsakaita na yau da kullun na 15 (Novorapid) raka'a 17 (Huma log) kuma don "tsohuwar" ƙarni na insulin gajere, matsakaiciyar yau da kullun na insulin shine 158 (Tsarin Humulin) - raka'a 17,7 (Actrapid). "Sabbin" insulins masu aiki tsawon lokaci kuma basu da fa'idodi masu mahimmanci: matsakaita na yau da kullun na 12.3 (Levemir) raka'a 13.1 ne (Lantus), da "tsohuwar" insulin

Mas'ala ta 4 (48). 2013

matsakaicin matsakaicin matsakaicin adadin yau da kullun na 12.7 (Humulin NPH) raka'a 13.9 ne (Protofan). Ga duk insulins, abu ɗaya shine halayyar: kashi yana ƙaruwa a gwargwadon shekarunsa, akwai "tsalle" a cikin kashi na insulin sau 1.5-3, wanda ya faɗi akan shekaru 7 zuwa 14, idan aka kwatanta da yara na makarantu. Ga ƙananan yara (shekaru 1-3), mafi ƙarancin matsakaici na yau da kullun don kowane insulin (raka'a 4-8), da matsakaicin adadin - don shekarun shekara 15-17 (raka'a 17-28). Lokacin amfani da insulins na gajere-gajere da insulins na gajere (Humalog, Novorapid, Aktrapid, Humulin Regular), mafi ƙarancin matsakaiciyar yau da kullun na insulin ana lura dashi a cikin shekaru 1-3 na rayuwa (raka'a 5.1), Novorapid a shekaru 7-10 (13 , Raka'a 2), Actrapida a cikin shekaru 7-10 (raka'a 14.0). Lokacin amfani da insulins na tsawon lokacin matsakaici da aiki mai tsawo (Protofan, Humulin NPH, Lantus, Levemir), mafi ƙarancin matsakaiciyar yau da kullun na insulin an lura da shi a cikin Humulin NPH a cikin shekaru 1-6 na rayuwa - raka'a 4.5. Lokacin shekaru 7-10, kashi na Lantus da Levemir ya zama sau 1.5 ƙasa da lokacin amfani da matsakaitan matsakaici (Protofan da NPH). Mun yi imanin cewa yana da shekaru 11-14, yana da kyau ba da kyauta ga Lantus, tun da yake yana da mafi ƙarancin lokacin amfani lokacin da (raka'a 13.2). A shekaru 15-17, mafi ƙarancin lokacin amfani da Protofan (raka'a 17) da Lantus (raka'a 17,8).

1. Babu wani raguwa mai mahimmanci a tsawon tsawon kwanciya a gado da raguwa a matsakaicin adadin yau da kullun lokacin amfani da "sabbin" insulins.

2. Yana mai da hankali kan tasirin jiyya a kan yawan lokacin kwanciya da yawan maganin yau da kullun, muna ba da shawarar amfani da hanyoyin da suka dace na gaba: Ana iya ba da shawarar Humalog yana da shekaru 1-3 da shekaru 11-14, Novorapid a shekaru 4-10, ana iya bada shawarar Recin Humulin a cikin Shekaru 4-6, NPH yana da shekara 1-6, Leva-duniya 4-10 da 15-17 years old, Lantus yana 7-17 years old, Actrapid at 7-10 years old, Actrapid and Protofan (sabanin shawarwari na zamani) 15-17 years old .

1. Dedov I.I., Kuraeva T. L., Peterkova V. A., Shcherba-cheva L. N. Ciwon sukari a cikin yara da matasa. - M.: Labaran Kasa da Kasa, 2002 .-- 203 p.

2. Dedov I.I., Melnichenko G.A. Tsarin kulawa. Endocrinology. - M.: Litterra, 2007 .-- 85 p.

3. Dedov I.I., Peterkova V.A., Kuraeva T. L. Yarjejeniyar yarjejeniya ta Rasha game da lura da cutar sukari a cikin yara da matasa. // Farmateka. - 2010. - A'a 3. - S. 7-10.

4. Algorithms don kulawa ta musamman ga marasa lafiya da ke fama da ciwon sukari mellitus // Ciwon sukari. - 2011. - No. 3 (adj.).

5. Diungiyar Diadetes ta Amurka. Ka'idodin Kula da Kiwon lafiya a cikin Cutar Sikila Ciwon Ciwon Ciwon sukari. - 2009. - Vol. 32 (Sanya ta 1). - P. 13-61.

Otto Natalya Yuryevna - Shugaban sashen Endocrinology na Asibitin Clinical Yara da aka sanya wa suna N. N. Silishcheva ”, e-mail: [email protected]

YAWANCIN HUKUNCIN IYAYE DA CIKIN SAUKI CIKIN SAUKI A CIKIN IYALI NA PYELONEPHRITIS A YARA.

Smolensk State Medical Academy

An gabatar da bayanan bincike kan tsarin prooxidant da antioxidant a cikin yara 79, wanda yara 49 suke da pyelonephritis masu aiki da kuma yara 30 masu lafiya masu shekaru 1 zuwa 17. Peculiarities na ci gaba da kuma hanya na damuwa oxidative a cikin pyelonephritis dangane da hanyarta an bayyana.

Kalmomi masu mahimmanci: pyelonephritis, yara, damuwa na oxidative, nau'in oxygen mai amsawa, karewar antioxidant, chemiluminescence.

YAWANCIN CIKIN SAUKI DA YAWAN CIKIN CIKIN SAUKI CIKIN IYALI A CIKIN SAUKI PYELONEPHRITIS A YARA.

Labarin yana gabatar da bayanai na nazarin prooxidant da tsarin maganin antioxidant a cikin yara 79, wanda ya hada da yara 49 tare da aiki na pyelonephritis, da yara 30 masu lafiya masu shekaru daga 1 zuwa 17. Abubuwan halayen damuwa na damuwa a cikin pyelonephritis, dangane da hanyarsa, sun kasance m.

Kalmomi masu mahimmanci: pyelonephritis, yara, damuwa na oxidative, nau'in oxygen mai amsawa, kariyar antioxidative, chemiluminescence.

A tsarin tsarin ilimin da aka samo, urinary excretion shine lonephritis. Tsarin aiki mai tsattsauran ra'ayi yana cikin ɗayan tsarin haifar da kumburi cikin tsarin jiki a cikin yara.

Nau'in ciwon sukari na 1 na 1: alamomi, abinci da rigakafin cutar I type

Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.

Bayan 'yan shekarun da suka gabata, ciwon sukari an dauke shi cutar da ke da alaƙa da shekaru - a ƙuruciya,' yan ƙalilan ne suka wahala daga hakan. Abin takaici, kwanan nan akwai wani ra'ayi game da ci gaban ciwon sukari a cikin kyakkyawan ƙuruciya. Dalilan da ke haifar da ci gaban cutar a cikin tsofaffi da matasa sun bambanta: idan tare da shekaru wannan yana ba da gudummawa ga ɗaukacin jijiyoyin ayyukan jiki, gami da ƙwayar ƙwayar cuta, to a cikin ƙungiyar matasa wannan yana faruwa ne sakamakon raunin insulin. A da, ana kiran wannan nau'in ciwon suga da suna "insulin-insulin-based diabetes mellitus." Yanzu ya zama mafi yawan gama gari - nau'in ciwon sukari na 1. Cutar cuta ce da ke tattare da cutar sikila.

Ma'anar kalmomin: hyperglycemia alama ce ta asibiti wacce ke nuna haɓaka abubuwan glucose (sukari) a cikin jini.

Bambanci mai mahimmanci tsakanin nau'in 1 na ciwon sukari da nau'in ciwon sukari na 2 shine cewa a cikin na biyu, jiki yana iya samar da insulin da kansa kuma, saboda haka, sannu a hankali yana rage sukarin jini. A cikin nau'in cutar ta farko, ba a samar da insulin da kansa kuma mai haƙuri kai tsaye ya dogara da shan magunguna masu rage sukari da allurar insulin.

Nau'in na 1 na ciwon sukari mellitus yawanci yana farawa da irin wannan yanayin cutar da mai haƙuri zai iya harba suna ranar da alamun farkon cutar hauka ta bayyana:

• Bakin bushewa
• Jinjiri
• Urin saurin hanzari.

Rage nauyi mai nauyi, wani lokacin yakankai kilogiram 10-15 a wata, shima yana daya daga cikin alamun cututtukan type 1.

Don tabbatar da bayyanar cutar, an wajabta nazarin kwayoyin halitta na jini da fitsari. Idan gwaje-gwajen suka nuna kasancewar sukarin jini mai yawa, kuma acetone da glucose suna nan a cikin fitsari, an tabbatar da cutar.

Ciwon sukari na nau'in 1 cuta ce ta autoimmune, kuma ana haɗa ta sau da yawa tare da cututtuka irin wannan - yaduwar goiter mai guba (Cutar cuta), autoimmune thyroiditis.

Course na cutar

Duk da matsananciyar damuwa, ciwon sukari da ke dogaro da insulin da kansa yana tasowa a hankali. A latent, latent lokacin wani lokaci yana ɗaukar shekaru da yawa. Kuma sai kawai lokacin da halakar cells-sel ya kai 80% sai alamun bayyanar cututtuka suka fara bayyana.

Ma'anar kalmomin: β - sel - ɗayan nau'ikan sel na ƙwayar endocrine. Kwayoyin Beta suna samar da insulin na hormone, wanda ke rage glucose jini.

A cikin ci gaban nau'in ciwon sukari na 1, an bambanta matakai shida:

1. Matsayin kwayoyin halitta. Ya kamata a sani cewa kawai 2-5% na mutanen da ke da halin gado don rubuta 1 ciwon sukari da gaske sa shi. Don samun ingantaccen bayanai game da yadda ake kamuwa da cutar, ya zama dole a gudanar da bincike kan alamun alamomin cutar. Kasancewar cututtukan HLA yana nuna cewa haɗarin haɓakar ciwon sukari da ke dogaro da insulin ya yi yawa sosai. A cikin magani, wannan alamar ta bayyana shekaru 5-10 kafin bayyanuwar bayyanar ta farko ta cutar.
2. Farkon tsarin sarrafa kansa. Abubuwan da ke cikin waje waɗanda zasu iya haifar da farkon cutar na iya zama - cututtukan hoto ko bidiyo guda biyu (mumps, rubella, cytomegalovirus), magunguna, damuwa, abinci mai gina jiki - amfani da gaurayawar madara tare da kariyar dabbobi a cikin abun da ke ciki, samfuran dauke da nitrosamines. A cikin 60% na lokuta, abubuwan da ke cikin waje ne suka zama maɓallin Farawa don haɓaka nau'in ciwon sukari na 1. Maganin insulin na maganin cututtukan fata bai faru ba a wannan matakin, amma gwajin rigakafi ya riga ya ƙaddara kasancewar ƙwayoyin rigakafi.
3. Haɓaka tsarin rigakafi. Wani lokaci ana kiran shi insulin autologous insulin.A wannan matakin, har yanzu ba a canza hanyoyin motsa jiki, amma sannu-sannu lalata ɓarkewar sel na betta fara faruwa. A cikin jini akwai takamaiman ƙwayoyin rigakafi na jiki zuwa ga bangarori daban-daban na sel-sel-anti-anti-insulin. Matatar ba ta da alamun bayyanar cututtuka. A cikin ganewar asali (yawanci gwajin haƙuri glucose na ciki), ana gano asarar kashi na farko na ɓoye insulin.
4. Mai tsananin rigakafi na rigakafi - cututtukan ƙwayar cutar sankara na hanji. Kodayake rashin haƙuri na glucose ba shi da kyau, har yanzu babu alamun alamun cutar ciwon sukari. Wani gwajin haƙuri na glucose na baka yana nuna karuwa a cikin glucose mai azumi, wanda lalacewa ta lalata kusan rabin ƙwayoyin β-sel. Sau da yawa marasa lafiya a wannan matakin suna koka game da zazzabin cizon sauro, maimaitawar cututtukan fata, conjunctivitis.
5. Bayyanar sukari mellitus na nau'in farko tare da keɓewar insulin. A wannan matakin, duk alamun asibiti na cutar suna bayyana cikakke. Cutar tana da muni - ba tare da kyakkyawan magani ba, bayan makonni 2 wani mummunan yanayin yana tasowa - ketoacidosis mai ciwon sukari. Halakar β-sel ta kai 80-90%, amma, sauran abubuwan insulin har yanzu ana kiyaye su. Idan aka fara samar da insulin na lokaci, a cikin wasu marasa lafiya a can sai a fara wani yanayin da ke fama da cutar - '' amaryar '', wacce ke tattare da mafi ƙarancin ƙwayar insulin.
6. Bayyanar sukari mellitus tare da cikakken rashi insulin - yawan ciwon sukari. Halakar β-sel ta kai matakin mahimmanci, ƙwaƙwalwar insulin gabaɗaya ta jiki ta dakatar dashi. Ba za a iya amfani da metabolism na yau da kullun ba tare da allurai na yau da kullun ba.

Ba a kowane hali na nau'in ciwon sukari na 1 ba, ana lura da irin wannan ci gaba na cutar.

Jiyya don ciwon sukari-dogara da ciwon sukari mellitus

Kula da ciwon sukari na nau'in 1 shine mafi tsananin abincin da ake buƙata da allurar insulin na yau da kullun ko shan magunguna masu rage sukari. Abin baƙin ciki, ciwon sukari ba magani bane. Makasudin magani shine kiyaye lafiyar al'ada da kuma hana faruwar rikice-rikice.

Idan an kirkiri adadin insulin daidai, babu wasu bambance-bambance na musamman daga menu na mutum na yau da kullun. Muhimmin bambanci shine buƙatar ƙididdige adadin ƙwayoyin carbohydrates masu sauƙin narkewa. Wannan yana ba ku damar lissafin adadin insulin da ake buƙata gwargwadon iko.

• Abinci ya kamata ya bambanta sosai.
• Abincin da ya fi dacewa - aƙalla sau 4 a rana, a cikin ƙaramin rabo,
• Matsakaicin yanki a kowane abinci shine adadin kuzari 500-600, idan akwai buƙatar rage nauyi, to ko da ƙasa da haka
• Yawan carbohydrates na iya ƙaruwa lokacin aiki ta jiki - tafiya zuwa ƙasar, horo,
• Wajibi ne a bayar da fifiko ga kwanon abinci. M, soyayyen, yaji, kyafaffen - kawai a cikin iyaka mai iyaka.

Mahimmanci! Kada ku tsallake abinci tare da ciwon sukari a kowane yanayi. Kamar wuce gona da iri.

Ya kamata a biya kulawa ta musamman ga samfurori masu daɗin zaƙi - wasunsu suna ɗauke da adadin kuzari ƙasa da sukari. Abincin kalori mai ƙarancin kuzari ya hada da aspartame, saccharide, stevioside, cyclamate. Fructose, xylitol da sorbitol suna dauke da adadin kuzari. Kar a manta cewa ana yin lamuran zazzagewa yayin yin lissafin allurai na insulin, ban da komai shine mai sauki, lahani da fa'idodin fructose kusan iri ɗaya ne!

Yana da wuya musamman a lizimta ga abincin da ake ci ga yara da matasa. A bangaren iyaye, sanya idanu a ko da yaushe ya zama dole don kada yaron ya ci abinci a haramtattun kayan abinci kuma kada ya tsokani rikitarwa.

Samfura waɗanda aka haramta su sosai cikin cututtukan sukari na farkon nau'in: cakulan, biscuits, sukari, jam, Sweets da makamantan su, dauke da adadin ƙwayoyin carbohydrates mai narkewa. Daga 'ya'yan itatuwa - inabi.

Dole ne a kirkiri adadin insulin don kowane abinci na mutum da yau da kullun, koda kuwa menu na jiya bai bambanta da yau ba. Wannan shi ne da farko saboda gaskiyar cewa buƙatar insulin na iya canzawa yayin rana.

Hankali! Barasa!

Doaramin allurai na barasa don ciwon sukari na 1 ba a haramta ba. Hadarin shan barasa shine mai zuwa - lokacin da ya bugu, mutum ba zai iya kulawa da yanayinsa ba kuma koyaushe yana lura da alamun haɗarin karuwar sukarin jini a cikin lokaci kuma ba shi da lokacin yin allurar insulin.

Bugu da ƙari, yanayin hypoglycemic da alamu sun yi daidai da alamun maye - kalaman rikice-rikice, rikicewar motsi na motsi. Kuma idan wannan yanayin ya fara a wurin jama'a, ƙanshi na barasa ba zai ba wasu damar tantance haɗarin ga rayuwar ɗan adam akan lokaci ba. Dangane da haka, lokacin da ake buƙata domin ceton rai an rasa.

Aiki na Jiki

Aiki na jiki wani yanayi ne na da ake buƙata na yau da kullun ga kowane mutum. A cikin ciwon sukari mellitus, motsa jiki ba a contraindicated, amma akwai wasu dokoki don yin su da amfani ne sosai ga jiki.

1. Na farko mulkin. Za'a iya aiwatar da aikin motsa jiki kawai daga tushen biyan diyya na tsawon lokaci don ciwon sukari. A matakin sukari na jini fiye da 15 mmol / l, motsa jiki ya saba.
2. Na biyu mulki. Tare da kaya masu aiki - ilimin motsa jiki, iyo, ko da disko - kuna buƙatar cin 1 X.E. kowane rabin sa'a. bugu da .ari. Zai iya zama ɗan burodi, apple.
3. Na uku mulki. Idan aiki na jiki ya isa sosai, ya zama dole don rage kashi na insulin da kashi 20-50%. Idan hypoglycemia har yanzu sanya kanta ji, to, zai fi kyau rama da shi ta hanyar shan narkewa carbohydrates - sauƙi, zaki da yanã shã
4. Mulkin Na Hudu Ana yin motsa jiki sosai awanni kaɗan bayan babban abincin. A wannan lokacin, yiwuwar haɓakar ƙwararrakin ƙwayar cuta yana da ƙasa.
5. Na biyar mulki. Ayyukan jiki ya kamata yin la'akari da halaye na mutum na haƙuri - shekaru, dacewa, lafiyar gaba ɗaya.

Tabbatar da shan isasshen ƙwayar ruwa, saboda yayin motsa jiki asarar ƙwayar ruwa a jiki yana ƙaruwa. Kuna buƙatar gamawa da azuzuwan ta hanyar rage ƙarfin darussan motsa jiki, motsawa zuwa wasu masu natsuwa. Wannan zai bawa jiki damar sanyaya a hankali kuma ya shiga yanayin annashuwa.

Turmeric don nau'in 1 da nau'in ciwon sukari na 2

• Game da fa'idodin turmeric
• Game da amfani
• Game da girke-girke

Ciwon sukari mellitus yana buƙatar magani mai aiki, wanda ya shafi yin amfani da ba kawai magunguna da ƙwararrun likitoci suka yarda da su ba, har ma da amfani da wasu hanyoyin magunguna na gargajiya. Irin wannan magani ya kamata a yi la'akari da shi cikakke don nau'in 1 da nau'in ciwon sukari na 2, yana taimakawa don guje wa girgiza insulin. A wannan batun, ya kamata a lura cewa an ba da gudummawa ta musamman don murmurewa daga cututtukan ƙwayar cuta ga irin waɗannan kayan ƙanshi kamar turmeric. Game da kayan aikinsa masu mahimmanci, aikace-aikacen nuances na aikace-aikace da ƙari a cikin rubutun.

Game da fa'idodin turmeric

A zahiri, yana yiwuwa a lissafa duk dalilan ɗaukar turmeric na dogon lokaci, saboda al'ada ce mai amfani da gaske wanda zai zama da amfani ga kowane nau'in ciwon sukari kuma ba zai haifar da karuwar insulin ba. Yana da kyau a gudanar da magani da shi, saboda sa:

• normalizes saukar karfin jini,
• yana rage tasirin cholesterol mara kyau kuma yana sa ya yiwu a hana atherosclerosis,
• ya inganta rigakafi,
• yana haifar da kariya daga cututtukan sanyi, yana magance su yadda ya kamata - ana kuma iya amfani da sirinji insulin don warkarwa,
• yana ba da aiki sosai ga tsarin zuciya da jijiyoyin jini.

Bugu da ƙari, turmeric shine ɗayan mafi kyawun maganin rigakafi na asali. Ba ta iya cutar da microflora na hanji. Hakanan, shan wannan kayan yaji shine saboda gaskiyar cewa yana da halayen anti-mai kumburi kuma yana da ikon rage ba kawai sha'awar cin abinci mai ƙima ba, har ma don kula da sakamakon wannan tsari, don tabbatar da adana insulin. Duk wannan, hakika, yana da amfani ga masu ciwon sukari, iri na farko da na biyu.

Hakanan masana sun lura da raguwa a cikin adadin glucose a cikin jini da raguwa a cikin adadin tsopose nama, wanda, ba shakka, ya cutar da lafiyar lafiyar masu ciwon sukari. Abin da ya sa ya kamata a zubar da shi, har ma da matsaloli tare da jikin da ke samar da insulin. Bugu da ƙari, lura da turmeric tare da ciwon sukari yana dakatar ko baya yarda ci gaban kowane rikitarwa a gaban ciwon sukari mellitus. Musamman, wannan ya shafi ba kawai don atherosclerosis ba, har ma da arthritis.

Jerin abubuwan da ake amfani da su a cikin turmeric ya hada da wadancan bitamin wadanda ke cikin rukunin B, C, E da K, da abubuwan ganowa, abubuwan kariya na dabi'a da mai mai mahimmanci, tare da curcumin. Wannan shine dalilin da ya sa kowane daga cikin masu ciwon sukari ya kamata a dauki kayan yaji.

Irin wannan abun da yake tattare da shi mai kyau daidai yana shafar dukkanin hanyoyin rayuwa wanda ke faruwa a jikin mutum, don haka yana da kyau ayi amfani dashi kowace rana. Irin wannan magani ya kamata a aiwatar dashi saboda:

1. rigakafin cututtuka daban-daban,
2. kara “ingancin” rigakafi.

Game da amfani

A yayin aiwatar da aiki mai amfani da turmeric, ya kamata a bi wasu ƙa'idodi.

Ganin cewa wannan har yanzu kayan yaji ne da ke da dandano mai ƙoshin gaske, bai kamata a ɗauke ku da amfani ba.

A lokaci guda, lokacin da ciwon sukari na mellitus na kowane nau'in yana haɗuwa tare da matsaloli tare da ƙwayar gastrointestinal, yana da kyau a yi amfani da turmeric kawai bayan tuntuɓar ƙwararrun masani.

Jiyya tare da curcumin yana buɗe damar don rage girman adadin ƙwayoyin cholesterol a cikin jini da kuma inganta abubuwan da ke cikin jini. A lokaci guda, ba a tsabtace kawai ba, har ma da inganta samar da ƙwayoyin jan jini, kuma an rage matsayin samar da platelet ɗin. A wannan batun, ɗauki wannan yaji ya kamata a hankali kuma mutanen da ke da matsalar jini.

Da aka ba ta ikon cire abubuwa masu guba da gubobi daga jiki, sai a shawarce ta da ta kara abinci tare da tsawaita amfani da magunguna ko kuma inganta maganin cutar sankara. Hakanan, magani zai zama dacewa don guba tare da wasu kwari da ƙwayoyi.

Godiya ga kowane ɗayan kayan aikin warkarwa, turmeric ga masu ciwon sukari na kowane nau'in:

• ba wai kawai zai rage yawan glucose a cikin jini ba,
• amma kuma yana saurin dawo da jiki gabaɗaya.

Bugu da kari, amfani da kayan yaji da aka bayyana akai-akai yana iya yiwuwa a guji farawar cututtukan sukari ga wadanda ke cikin hadarin. Abin da ya sa turmeric a cikin ciwon sukari dole ne ya zama wani ɓangare na abinci. Menene girke-girke tare da amfani?

Game da girke-girke

Ga kowane nau'in ciwon sukari, girke-girke na turmeric iri ɗaya ne. Misali, zaku iya yin shayi mai cike da koshin lafiya, wanda ya haɗa da waɗannan abubuwan: kofi uku na shayi mai baƙi, kwata cokali na kirfa, cokali biyu na turmeric da ƙananan yanka uku na ginger.

Hakanan, kefir, zuma da madara don dandano ya kamata a haɗa su a cikin wannan shayi - duk abubuwan da aka sanya wajibi ne don ciwon sukari.

Ana dafa abinci bisa ga tsarin da ke gaba: turmeric an zuba shi da ruwan zãfi, haka kuma shayi mai baƙi, kirfa, ginger da zuma. Duk wannan yana gauraye sosai, an sanyaya kuma an ƙara kefir. Ya halatta ayi amfani da shayi da safe ko yamma, gilashin kowannensu. Hakanan zaka iya shirya pudding nama tare da turmeric, wanda yake da kyau ga masu ciwon sukari.

Yankakken albasa da nama (zai fi dacewa a dafa naman sa) tare da ɗanyen niƙa ko blender. Duk wannan an shimfiɗa ta a cikin kwanon rufi da man kayan lambu da soyayyen na kimanin minti goma. Na gaba:

1. An sanyaya nama tare da albasa tare da sauran abubuwan da aka gyara (kwai, ganye, turmeric, kirim mai tsami da man shanu),
2. shimfiɗa ta a cikin kwanon burodi na musamman.

An shirya kwano a zazzabi na akalla digiri 180 na minti 50. Zai iya zama da amfani ga masu cutar siga sosai kuma zai ba da dama ba kawai don daidaita jikin mutum ba, har ma ya wadatar da shi da abubuwa masu amfani.

Kula da yaro tare da nau'in ciwon sukari na 1 tare da dilulin insulin Humalog: experiencewarewar Yaren mutanen Poland

Mun kawo muku wata fassarar daga Ingilishi wani labarin da likitocin Poland suka buga a watan Satumba na 2012. Wannan shi ne ɗayan fewan da ke da fa'ida a cikin kayan kayan dillancin insulin da gaske. Masu karanta shafin mu, gami da tsofaffi waɗanda ke sarrafa ciwon sukarinsu da abinci mai ƙayyadaddun carbohydrate, dole su tsinke insulin, saboda in ba haka ba allurai zasu yi yawa. Abin baƙin ciki, magani na hukuma, har ma da masu samar da insulin da sirinji, ƙin wannan batun. Karanta maganganunmu a ƙasan tushe, bayan rubutun labarin.

Ga ƙananan yara waɗanda ke da nau'in ciwon sukari na 1, kashi na yau da kullun na insulin yawanci ƙasa da raka'a 5-10. Wannan yana nufin cewa irin waɗannan marasa lafiya kowace rana suna buƙatar shigar da ƙasa da 0.05-0.1 ml na insulin a cikin taro na 100 PIECES / ml. Wasu yara suna buƙatar 0.2-0.3 IEASO na bolus (gajere) insulin don rufe giram 10 na carbohydrates da aka ci. Wannan ba karamin abu bane, microscopic kashi na 0.002-0.003 ml na maganin insulin a taro na 100 PIECES / ml.

Don me zan tsarma insulin

Idan ana buƙatar ƙananan insulin na insulin don magance ciwon sukari, wannan yana haifar da matsaloli yayin ƙoƙarin tabbatar da daidaitaccen tsarin kulawa da insulin na insulin ta sirinji ko famfon insulin. A cikin famfo, ana yin sautin kararrawa sau da yawa.

Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.

Ana gano nau'in 1 na ciwon sukari a cikin yara tun yana da shekaru. Saboda haka, matsalar gudanar da ƙarancin allurai na insulin yana shafar masu haƙuri da yawa. Yawancin lokaci, insulin lyspro (Humalog), wanda aka lalata tare da ruwa na musamman da mai samarwa ya samar, ana amfani dashi don maganin insulin a cikin jarirai. A cikin labarin yau, mun gabatar da gwaninta na amfani da insulin lyspro (Humalog), wanda aka narkar da shi tare da saline sau 10 - zuwa taro na 10 PIECES / ml, don maganin insulin a cikin karamin yaro.

• Tsarin kula da cutar sukari na 1 na manya da yara
• Nau'in abinci mai ciwon sukari na 1
• Lokacin gudun amarci da yadda ake shimfida shi
• Hanyar allurar insulin mara jin zafi
• Ana kula da nau'in 1 na ciwon sukari a cikin yaro ba tare da insulin ta amfani da abincin da ya dace ba. Tattaunawa da dangi.
• Yadda za a sassauta halakar da kodan

Me yasa kuka yanke shawarar gwada Humalog da ruwan gishiri?

Yaron mai shekara 2.5, yana fama da ciwon sukari irin na 1 na watanni 12 tuni, tun daga farkon da aka fara fama dashi ta hanyar maganin insulin. Da farko sun yi amfani da insulin NovoRapid, sannan sai suka canza zuwa Humalog. Yaron ya kasance da ƙarancin ci, kuma tsayinsa da nauyinsa sun kasance kusa da ƙarshen kewayon al'ada don shekarun sa da jinsi. Glycated haemoglobin - 6.4-6.7%. Matsalar fasaha tare da fam ɗin insulin ya faru sau da yawa - sau da yawa a mako. Saboda wannan, ana iya amfani da kowane jiko na tsawan kwanaki 2. Sauyi a cikin sukari na jini ya kasance mai girma (9.6 ± 5.16 mmol / L), ana auna sukari sau 10-17 a rana. Yawan alluran insulin ya kasance 4.0-6.5 IU kowace rana (0.41-0.62 IU / kg body body), wanda 18-25% basal ne.

• Jiyya don ciwon sukari tare da insulin: fara a nan. Nau'in insulin da ka'idojin ajiyar shi.
• Wani nau'in insulin don yin allura, a wani lokaci kuma a cikin wane allurai. Tsarin kamuwa da ciwon sukari na 1 da nau'in ciwon sukari 2.
• Yadda ake yin allurar insulin ba da jin zafi ba. Maganin Insulin na Subcutaneous
• Maganin insulin, allunan sirinji da allura a garesu. Abin da sirinji ya fi kyau a yi amfani da shi.
• Lantus da Levemir - insulin mai daukar aiki. Normalize sukari da safe a kan komai a ciki
• Ultrashort insulin Humalog, NovoRapid da Apidra. Shortan gajeran insulin na ɗan adam
• Lissafin kashi na insulin kafin abinci. Yadda ake rage sukari zuwa al'ada idan ya yi tsalle
• Yadda za a tsarma insulin don daidaita allurai kaɗan
• Suturar insulin: Abubuwan Taimako da Kwakantawa.Samun maganin insulin

Matsalolin da suka haifar mana da ƙoƙarin narke insulin da saline sune masu zuwa:

• “Samfurin” insulin ruwa mai lalacewa daga masu samarwa ba ya samuwa.
• Marasa lafiya ya nuna wani abu na dan lokaci a cikin bilirubin da bile acid a cikin jini. Wannan na iya nufin cewa abubuwan da aka adana a cikin insulin da ruwa mai narkewa (metacresol da phenol) suna cutarwa ga hanta.

Kwamitin da'a ya amince da yunƙurin amfani da insulin da aka lalata tare da ruwan gishiri don neman magani. Iyaye sun rattaba hannu kan takardar amincewa da sanarwa. Sun sami cikakkun bayanai game da yadda ake narke insulin tare da saline da yadda ake saita saitin matattarar insulin.

Sakamakon maganin insulin tare da narkewar insulin

Iyaye sun fara amfani da maganin famfo tare da insulin, wanda aka narke shi da ruwan gishiri sau 10, a kan aikin outpatient, i.e. a gida, ba tare da kulawar kwararru ba koyaushe. Za a sake shirya maganin Humalog mai narkewa kowane kwanaki 3. Yanzu, ta amfani da famfo na insulin, sau 10 ana saka ruwa mai yawa a jikin jaririn fiye da ainihin yawan insulin ɗin.

Daga kwanakin farko na maganin ciwon sukari a karkashin sabon tsarin, yawan matsalolin fasaha tare da famfo na insulin ya ragu sosai. Matakan sukari na jini ya ragu kuma ya zama kamar yadda ake iya faɗi, zuwa 7.7 ± 3.94 mmol / L. Waɗannan alamu ne bisa ga sakamakon auna sukari na jini sau 13-14 a rana. A cikin watanni 20 masu zuwa, lokutan sau 3 ne kawai aka lura da gantsar murfin bututun daga insulin lu'ulu'u. Episodeaya daga cikin abin da ya faru na rashin ƙarfi na hypoglycemia ya faru (sukari jini shine 1.22 mmol / L), wanda ke buƙatar gudanar da glucagon. A wannan yanayin, yaron ya ɓata rai na tsawon minti 2-3. Glycated haemoglobin a farkon watanni 15 ya kasance 6.3-6.9%, amma a cikin watanni 5 masu zuwa ya karu zuwa 7.3-7.5% a kan asalin cututtukan cututtukan da ke yawan kamuwa da cuta.

Kashi insulin na Humalog, wanda aka narkar dashi sau 10, kuma aka sarrafa shi da kabewa, ya kasance 2.8-4.6 U / day (0.2-0.37 U / kg nauyin jiki), wanda kashi 35-55% na asali ya danganta da ci da kuma kasancewar wata cuta mai kamuwa da cuta. Yaron har yanzu yana da ci abinci mara kyau, kuma wannan ya cutar da ikon sa na sukari na jini. Amma yana haɓaka kullun, yana samarwa cikin tsayi da nauyi, kodayake waɗannan alamu har yanzu suna kan ƙananan ƙarancin shekaru. Matsayi bilirubin da acid bile a cikin jini ya ragu zuwa al'ada. Mitar matsalolin fasaha tare da famfo na insulin ya ragu sosai. Iyaye suna farin ciki. Sun ƙi mayar da yarinyar zuwa insulin a cikin yawan 100 IU / ml.

Mun bincika guda ɗaya kawai, amma ƙwarewarmu na iya zama da amfani ga sauran ayyukan. Muna ba da shawara cewa tsarke insulin Humalog sau 10 don amfani dashi tare da maganin insulin-na iya zama mai taimakawa wajen shawo kan lamuran fasaha. Wannan hanyar magani ya zama mai lafiya ga yaro wanda ke buƙatar raguwar insulin na ƙasa. Babban abin da ya haifar da nasara cikin nasara shine hadin kai tare da iyaye tare da sanya ido a hankali game da tsarin ta kwararru. Hanyar dillancin insulin na iya zuwa da amfani yayin da ake haɓaka tsarin kulawa na insulin don yara ƙanana. Don kammala yanke hukuncin ƙarshe, ana buƙatar ƙarin bincike, gami da sharhi daga masu samar da insulin.

Ra'ayoyi akan shafin yanar gizon masu ciwon sukari-Med.Com

Ga gajere da nau'ikan insulin, wannan masana'antun ba su da izinin hukuma, amma kuma ba a haramta su ba. A cikin wuraren tattaunawar ciwon sukari, zaku iya gano cewa yana ba da ƙari ko ƙasa da sakamako mai kyau. Kuna iya canzawa daga Humalog zuwa Actrapid kafin abincin da ke aiki a hankali da santsi. Amma idan kana son ka mallaki ciwon sukari da gaske a cikin yaro, to lallai ne zaka tsarma shi ma.

An tabbatar dashi bisa hukuma cewa kananan yaran da ke dauke da ciwon sukari na 1 suna buƙatar a tsarma su da insulin domin su iya yin allurar ƙananan ƙwayoyi kullun. Kuma idan kun bi tsarin nau'in maganin cututtukan nau'in 2 ko nau'in shirin kula da ciwon sukari na 1, wato, ku bi tsarin abinci na low-carbohydrate, to tare da babban yiwuwar ba kawai yara ba har ma da manya za su buƙaci narke insulin. Domin idan ka gabatar da ingantaccen allurai na insulin, hakan zai haifar da yawan jijiyoyin jini a cikin jini da kuma yawan maganganun cututtukan jini.

Abin takaici, magani na hakika yana watsi da batun insulin dilution. Zuwa yau, littafin da ya fi karfin magana game da lura da cutar sankara a kasashen da ke magana da Rasha ita ce juzu'i biyu na 2011 wanda I. I. Dedov da M. V. Shestakova suka wallafa.

Wannan ingantacciyar fassara ce mai launi, kusan shafuka 1,400. Alas, ba ya faɗi kalma game da yadda ake narke insulin ba, har ma a ɓangaren game da lura da masu ciwon sukari na nau'in 1 a cikin ƙananan yara. Ba a ma maganar manya. Har ila yau, marubutan sun yi watsi da tsarin abinci na low-carbohydrate, duk da cewa wannan ita ce hanya mafi inganci don sarrafa sukari na jini da kuma hana rikicewar cutar sankara. Wannan hauka ne na gama kai.

A cikin adalci, mun lura cewa wannan mahaukacin taro yana faruwa a ƙasashen waje. Littattafan Ingilishi mai sabuntawa da littattafan tunani a kan kula da ciwon sukari kuma ba sa magana game da ko dai karancin abinci na carbohydrate ko dilcin insulin. Zan iya roƙonku kawai kuyi nazarin babban labarinmu, "Yadda ake Nusar da insulin don Cikakken rickarancin Prick Low." Yi amfani da hanyoyin da suka tabbatar da inganci a aikace, kuma gwada kanku.

A shekarun 1970, wani jami'in hukuma ya yi tsayayya da bayyanar mita mita gulkin cikin gida na akalla shekaru 5, wanda zai baiwa masu ciwon sukari damar auna sukarin jininsu da kansu. Duk waɗannan shekarun, likitoci sun tabbatar da cewa tare da ciwon sukari, riƙe da sukari na jini kamar al'ada kamar yadda yake cikin mutane masu lafiya ba shi da amfani har ma da haɗari. Karanta tarihin Dr. Bernstein cikin cikakken bayani. Wadannan ranakun, tarihi ya maimaita kansa tare da ƙarancin carb don sarrafa nau'in 1 da nau'in ciwon sukari na 2.

Karanta abin da ya sa ba mu bayar da shawarar yin amfani da famfon na insulin ba, har ma ga yara ƙanana da ke ɗauke da ciwon sukari na 1. Auki jaririn ku a kan abinc-carb da zaran shayarwa ta ƙare. Sauya sirinji na insulin tare da famfo zai zama mai kyau kawai lokacin da farashinsa ya koyi auna sukarin jini da daidaita matakan insulin ta atomatik gwargwadon sakamakon waɗannan ma'aunin. A cikin labarin, irin waɗannan matsololin insulin na zamani ana kiran su "tsarin rufewa." Kuma har yanzu, wasu matsalolin da ba za a iya warware su ba suna ɓoyewa.

Za ku taimaka wa babbar jama'ar da ke magana da harshen Rashanci masu fama da cutar sankara idan kuna raba sakamakon gwaje-gwajenku game da dilution na insulin a cikin maganganun ga labaran.

Sharhin Likita

Bayan fitarwa, iyaye sun maye gurbin teburin da aka ba da shawarar 9 tare da ragewar carb na 6-8 XE, gaba ɗaya yana cire hatsi, gurasa, 'ya'yan itãcen marmari, sukari, duk suna sha tare da sukari. Drinkarin sha ruwan alkaline da kuma motsa jiki.

Daga 04/07/2016, don dawo da rigakafi, an yi amfani da abinci mai gina jiki na Phoenix Fohow (monosaccharides, disaccharides, kayan haɗin ƙwayar cuta mai cike da ƙwaƙwalwa) bisa ga ƙa'idar tsari, tsarkakewa, da tsarin abinci mai gina jiki.

A hankali, kamar yadda glycemia ya ragu, yawan insulin insulin yana raguwa. Bayan watanni 2, mai haƙuri ya iya gaba daya kauda insulin. Daga wasikar mahaifiya: “10 ga Yuni gaba daya mun yarda da insulin, yayin da matakin sukari ya tsaya cak: daga 4.8 zuwa 7 mmol / l, ya kai kololuwar 8.5-9 mmol / l bayan cin abinci. "

09/10/2016 watanni 3 bayan an cire insulin daga ciki: haemoglobin mai narkewa 6 %C peptide 0.53 ng / ml, tare da ƙa'idar 0.79 - 4.19. Manuniya na nuna don mayar da aikin samar da insulin nasu.

Tuna yara inna

08.10.2016
A ƙarshe, Ina rubuto muku game da sakamakon.
Matashi na shekaru 14, bayyanar cututtukan type 1 a ranar 27 ga Fabrairu, 2016, Glycated haemoglobin 13.8, gwajin antibody duk tabbatacce ne (tabbatar da ciwon sukari na 1). An wajabta maganin insulin: raka'a 10 na lantus (1 a rana ɗaya) da raka'a 6-7 na apidra a kowane abinci (sau 3 a rana). An sauke shi daga asibiti a ranar 3 ga Maris tare da matakan glucose na jini wanda yakai raka'a 6 zuwa 12.

Nan da nan bayan fitarwa, an canza abincin: 6-8 XE kowace rana maimakon shawarar 18-20 XE da aka ba da shawara a kowace rana, hatsi, gurasa, 'ya'yan itãcen marmari, sukari, duk abubuwan sha akan sukari an cire su gaba ɗaya. A cikin duka, tushen abinci shine: nama, kifi, kayan lambu, abincin teku, cuku gida, yogurt, kwayoyi da tsaba.

A ranar 7 ga Afrilu, bisa shawarar Dr. Tetyuk, an fara shirye-shiryen gudanar da shirye-shiryen Fohow. A lokaci guda, sun dauki ilimin acupuncture kuma sun gabatar da tsayayyen tsarin cin abinci da wasanni.

Yawan allurar insulin na raguwa koyaushe, wanda yafi dacewa saboda yanayin haɗin kai da "amaryar", wanda wani lokacin yakan faru ne bayan bayyanar ciwon sukari.

Ranar 25 ga Mayu, 2016, haemoglobin ta glycated ya kasance a matakin 6.8. Matakan sukari sun kasance ingantattu ba tare da hauhawar jini ba.

A ranar 10 ga Yuni, mun watsar da insulin gaba daya, yayin da matakan sukari ke tsayawa cikin kwanciyar hankali daga kewayon 4.8 zuwa 7, har zuwa ƙarshen ganiya na 8.5-9 bayan cin abinci. Yawan shan kwayoyi na Fohow da kuma yarda da abincin ba su canzawa.

A lokacin rani, an gabatar da 'ya'yan itatuwa da kayan marmari a bugu da itari (yana da wahala tsayayya, tunda sauran yaran guda biyu sun ci duka). Akwai peaches, kankana, da kowane nau'in berries. Dankali da kusan ba ta da sukari (musamman ma sanyi a salads), amma ba mu ci dankalin turawa a ka'ida.

Sakamakon duka na Satumba 10: glycated haemoglobin 6 raka'a, c-peptide 0.53 raka'a, tare da ka'idar 0.79 - 4.19. Amincewa da samfuran Fohow ya zama al'ada ba kawai ga saurayi da aka bayyana a sama ba, har ma da sauran yaranmu biyu.

Sabunta 10.09.2016 watanni 3 bayan sakewa na insulin na insulin: insulin hawan jini. 6,0 % a al'ada (2.0 - 6.0), C-peptide 0.53 ng / ml a al'ada (0.79 - 4.19).

12/17/2016 Sabuntawa bayan watanni 6 bayan dakatar da insulin abinci mai fashewa: haemoglobin mai glycated 5,6 % (2.0 - 6.0), C-peptide 0.88 ng / ml (0,79 – 4,19). Dukkanin alamu guda biyu ne na al'ada, suna nuna cikakken murmurewa na aikin ƙwayar ƙwayar cuta. Aikin shine a fadada abincin daidai gwargwado yayin kiyaye sakamako.

Pathogenesis na nau'in ciwon sukari na 1

1. Gene ka'idar - kwayoyin halittar mutum 2 akan kwaya ta 6. Suna da alaƙa da tsarin HLA-tsarin, wanda ke ƙayyade amsawar jiki da ƙwayoyin beta zuwa hauhawar jini daban-daban.
2. Ka'idar hoto ko bidiyo mai zagaya yanar gizo da sauri (kamuwa da cutar kwayar cuta a cikin mutane wanda ke dauke da cutar sankarau yana haifar da lalacewa ko ƙarancin lalacewar ƙwayoyin beta ko kuma yana haifar da ci gaba da kwayar cutar tare da haɓakar halayen kansa a cikin tsibirin Islet.)

Tushen cikakkar rashi ne na insulin.

Rashin daidaituwa na glucose don shiga cikin ƙwayoyin insulin-dogara da ƙwayar cuta yana haifar da ƙarancin kuzari, sakamakon haifar da lipolysis da proteolysis, waɗanda ke da alaƙa da asarar nauyi .. Anara yawan glycemia yana haifar da hauhawar jini, wanda ke tare da osmotic diuresis da tsananin bushewa. A cikin yanayin karancin insulin da karancin makamashi, an hana samar da kwayoyin halittattun kwayoyin, wanda, duk da kara yawan cutar glycemia, yana haifar da kara kuzari na GNG. Liara yawan lipolysis a cikin tsopose nama yana haifar da ƙaruwa mai yawa a cikin taro na FA. Tare da rashi insulin, ana iya rage karfin hanta, kuma FA kyauta zata fara shiga cikin ketogenesis. Rarraba jikin ketone yana haifar da ci gaban ketosis mai ciwon sukari, kuma a nan gaba - ketoacidosis. Tare da ci gaba mai hauhawa a cikin bushewar fata da acidosis, ƙwayar cuta ke tasowa, wanda in babu insulin farji da ba ƙoshin ruwa ba makawa ya mutu.

Yin aiki tsawon lokaci - Lantus (farawa daga aiki bayan sa'o'i 4, tsawon lokacin aiwatarwa - har zuwa awanni 28).

SIFFOFIN INSULIN
■ Sauyawa daga insulin-gajeran aiki zuwa analogue insalin (alal misali, insalin Lizpro) yana ba ku damar samar da sassauci a cikin tsarin abincin abinci ga marasa lafiya waɗanda galibi ake tilasta su canza shi saboda aiki.
Effect Sakamakon insulin Lizpro yana farawa nan da nan bayan allura, don haka ana iya gudanar da maganin nan da nan kafin ko lokacin abinci.
■ A cikin gwaje-gwajen asibiti, Lizpro insulin bai nuna ci gaba a cikin sarrafawar ciwon sukari ba idan aka kwatanta da insulin da aka yiwa inzali.
Log Ba a shawarar analogs na insulin ba tukuna don amfani da yara a ƙarƙashin shekaru 12 da mata masu juna biyu.
INSULIN BAYANIN HUKUNCIN SA
Must Dole ne a ninka fatar fatar a wurin allurar ta yadda allura ta shiga karkashin fatar ba wai cikin tsoka ba. Fatar fatar jiki ya zama mai fadi, allura ya kamata ya shigar da fata a wani kwana na 45-60 °.
Should Ya kamata a nisantar da wuraren fata mai yawa lokacin zabar wurin allura. Ba za a canza wuraren allurar ba tare da haɗari ba.
Kada allurar a karkashin fata ta kafada.
Ya kamata a shigar da insulins na cikin gajerun abu a cikin jikin mai kitse na katako mai ciki na mintina 20-30 kafin cin abinci (ana yin maganin insulin nan da nan kafin abinci).
Ins Magungunan da ke yin aiki na dindindin ana allura da su a cikin cinyar cinya biyu a cinya ko a gindi.
Ana ba da allurar insulin na ɗan gajeran lokaci (humalog ko Novorapid) nan da nan kafin cin abinci, kuma idan ya cancanta, a lokacin ko kai tsaye bayan abincin.
Should Ya kamata a yi wa mai haƙuri bayanin cewa zafi da motsa jiki suna ƙaruwa da yawan shan insulin, kuma sanyi yana rage shi.
Can Za'a iya amfani da sirinji iri ɗaya da allura sau 4-6 a cikin kwanaki 2-3.
Duk yara da matasa masu fama da ciwon sukari na 1, mata masu juna biyu da masu ciwon sukari, marasa lafiya da ke fama da rauni da kuma yanke ƙarancin ƙarshen saboda ciwon sukari ya kamata a samar dasu da allurar insulin (ƙyamar sirinji)!
BAYANIN SAUKAR DA AKE YIN CIKIN INSA
Illness Cutawar ciki ko wata damuwa yana kara bukatar insulin.
Activity Yin aiki na jiki yana ƙara yawan amfani da glucose kuma yana iya ba da gudummawa ga hypoglycemia idan ba'a rage yawan insulin ba ko an ɗauki ƙarin carbohydrates.
P Somogy Phenomenon: Tsarin insulin-insulin na cikin jiki yana haifar da sakin kwayoyin halittar haila (adrenaline, cortisol, hormone girma da glucagon), wanda ake ganin shine ke haifar da hauhawar jini. Jahilcin wannan sanadin hyperglycemia da karuwa cikin kashi na insulin yana haifar da cutar hypoglycemia mai tsananin gaske. Hypoglycemia a lokacin bacci na iya zama sanadin da ba a san shi ba na haɓakar taro glucose na jini, wataƙila a wannan yanayin, raguwar kashi na insulin yana ba ku damar gyara hypoglycemia safe.
■ Abin mamakin “sanyin asubahi” (wanda aka lura da shi a cikin ciwon sukari da na al'ada) - hauhawar haɓakar glucose na jini tsakanin ƙarfe 5 zuwa 7 na safe, wanda ya haifar da tashin hankali na haɓakar hormone a farkon sa'o'i ba tare da maganin ciwon baya ba.
CIGABA DA INSULIN SAURARA
Hawan jini.
Reactions Abubuwan da ke tattare da rashin lafiyan ƙwaƙwalwa na gida da ƙima (musamman mafi wuya tare da gabatarwar insulin mutum).
Form Tumor da ke kunshe da fibrous da adipose nama na iya faruwa a wurin allurar ta insulin, ta yiwu saboda tasirin lipogenic na cikin gida a jikin mai. Tsarin zai iya raguwa a cikin girman lokacin da aka dakatar da allura a shafukan yanar gizo na lipohypertrophy.