LUB TSWV YIM NTAWM "KOOB TSHUAJ INSULIN" HAUV IDDM

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Kev xam qhov tseeb ntawm kev txhaj tshuaj ntawm cov tshuaj insulin tsis yog tsuas yog kev kho mob xwb, tab sis yog ib qho tseem ceeb rau qhov ua tiav tau zoo tom qab kev kawm ntawm cov tshuaj insulin

Tau paub txog cov kev siv tshuab ntawm kev suav, muaj delved rau biochemistry ntawm cov txheej txheem tshwm sim hauv lub cev nrog kev kuaj mob ntshav qab zib, koj yuav tsis tsuas nkag siab qhov xav tau koob tshuaj thiab muaj peev xwm kho nws hauv lub sijhawm, tab sis kuj muaj txoj hauv kev los cuam tshuam kom tsis txhob noj tshuaj insulin!

Lub hauv paus pib

Ua ntej tshaj plaws, koj yuav tsum rov qab kho cov ntaub ntawv ntawm tus nqi ntawm cov tshuaj insulin: ib hnub nws cov khoom hauv cov neeg laus lub cev yog 40-50 units, thiab raws li qhov tseeb tias nws nkag mus rau hauv cov ntshav los ntawm cov kua roj nqus ntshav maj, nws yooj yim los tuaj rau qhov xaus tias tus nqi ib teev ntawm hluavtaws yog 0, 25-2 units, nyob ntawm tus lej ntawm txhua tus yam ntxwv.

Qhia cov tshuaj insulin nyob rau hauv ntau ntawm sab nraud, peb thiaj li "pov tseg" ntau qhov tshuaj ntawm cov tshuaj - ib zaug dhau ib theem zuj zus ntawm qhov pib ntawm qhov hluavtaws synthesis ntuj rau lub cev. Thiab vim tias tag nrho cov kab ke ntawm lub cev muaj kev cuam tshuam thiab sib txawv rau ib leeg tus yam ntxwv, nws yog ib qhov laj thawj tias super-loj npaum li cas ntawm cov tshuaj insulin tsuas yog "tsis quav ntsej" los ntawm lub cev - nws tsis pom tias qhov dhau heev dhau ntawm qhov tsis suav. Nws yog qhov tsim nyog tias qhov tshuaj loj dua raug muab ua ke ib txhij, ntau dua qhov nws yuav "nrawm dua" thiab yuav tsis pab txo qis cov ntshav qab zib.

Ntawm chav kawm, yog tias txhua yam yog li ntawd yooj yim kev xav, ces tsis muaj leej twg ntawm cov neeg mob yuav sim ua txoj haujlwm siab. Txawm li cas los xij, cov neeg mob ntshav qab zib ua ntu zus qhia cov tshuaj ntau dua li qhov tsim tawm los ntawm lub cev cov khoom siv. Cov lus teb nyob rau saum npoo - nws paub rau qee yam uas tau ntxiv cov koob tshuaj insulin ntev nws qhov kev txiav txim, uas txhais tau tias qhov sib nrug ntawm "kev tos" tuaj yeem nce ntxiv.

Cov tshuaj insulin: luv luv, nruab nrab thiab ntev

Qhov tos ntawm qhov kev sib tw ntawm lub caij nyoog ntev ntawm kev siv tshuaj yuav raug kwv yees li tau piav qhia los ntawm cov phiaj xwm hauv qab no:

Insulin "luv": tsis pub ntau tshaj 4-5 teev ntawm kev ua tiag ntawm ib koob tsis tshaj 12 UNITS, 6-7 teev ntawm kev nqis tes - ntawm ib koob ntawm 12-20 UNITS; tshaj qhov ntsuas ntawm 20 PIECES yog qhov kev poob siab heev vim qhov tseeb tias qhov no tuaj yeem ua rau cov ntshav qog ntshav qab zib thiab, raws li tau hais los saum toj no, kev tshaj dhau tsis yog yaim yam twg.
Cov tshuaj insulin "nruab nrab": tsis pub dhau 16-18 teev ntawm qhov kev nqis tes ua ntawm ib koob tsis tshaj 22 UNITS, txij li 18 teev ntawm kev nqis tes - ntawm ib koob nyob hauv thaj tsam ntawm 22-40 UNITS; los ntawm kev sib piv nrog cov insulin "luv", kev qhia ntawm ntau dua 40 chav yog tsis qhia.
Cov tshuaj insulin "mus ntev": nws muaj peev xwm ua rau yuav luag ib hnub yam tsis muaj suab thaj txo qis - nws tsuas yog tswj nws qib kom nyob rau ntawm qee qhov ntawm cov zaub mov noj; yog li ntawd, nws tseem hais lub npe ntawm cov keeb kwm yav dhau los lossis qab daus; raws li txoj cai, nws tsis yog thov ntawm nws tus kheej, tab sis nyob rau hauv ib tug duet nrog "luv luv" kev tswj hwm ib zaug ib hnub hauv ib koob tsis tshaj 14 units.

IDDM tus neeg mob

Qhov kev txhaj tshuaj ntawm cov tshuaj insulin nrog kev kuaj mob ntawm IDDM yog nyob ncaj qha rau lub xeev ntawm pancreatic muaj nuj nqi, thiab tshwj xeeb tshaj yog nyob rau nws qhov muaj peev xwm ua kom tsawg kawg qhov tsawg kawg nkaus ntawm nws tus kheej insulin lossis qhov kawg txiav tawm ntawm nws.

Txhawm rau kom paub tseeb, koj tuaj yeem ua qhov kev soj ntsuam tshwj xeeb hauv tsev kho mob - kuaj C-peptide. Tab sis cov txiaj ntsig tau ntawm cov qauv yooj yim kuj tseem yuav yog qhov cim: nws paub tias insulin secretion tshwm sim kwv yees li ntawm qhov ntim ntawd, rau txhua qhov hnyav ntawm ib tus neeg qhov hnyav, muaj 0.5-0.6 units.

Los ntawm kev xam zauv yooj yim, nws yog qhov yooj yim los xaus tias yog kev ntsuas tus mob ntshav qab zib, piv txwv li 75 kg yuav tsum nkag mus rau hauv qhov kev tiv thaiv kev noj qab haus huv txhua hnub ntawm 40 units, tom qab ntawd nws cov beta hlwb tag nrho "tsis kam" insulin ntau lawm.

Qhov tseem ceeb qhia - hauv qhov ua piv txwv peb tsis tau tham txog ib txog kev siv ib zaug, tab sis hais txog qhov nyiaj ntawm cov pawg sib txawv ntawm cov insulin txhaj rau hauv nruab hnub.

Yuav ua li cas los xam cov koob tshuaj ntawm cov tshuaj insulin?

Kev qeb duas ntawm koob tshuaj rau 1 kg ntawm qhov hnyav yog raws li nram no:

0.3-0.5 PIECES - kev pib ntsuas thawj zaug rau kev ntsuam xyuas lub cev lub cev rau cov tshuaj insulin (yog tias cov koob tshuaj ntawd tso cai kom ua tiav kev them nyiaj, tom qab ntawd nws tsim nyog los nyob ntawm qhov ntim no);
0.5-0.6 IU - tus qauv koob tshuaj rau cov neeg mob uas cov txiav tsis ua haujlwm rau lawv tus kheej insulin (tuaj yeem siv rau kaum xyoo lossis ntau dua, raug rau cov xwm txheej ntawm tsis ua txhaum cai ntawm kev them nyiaj);
0.7-0.8 PIECES - ib qho kev nce ntxiv tom qab kaum xyoo thiab qhov pib ntawm lub sijhawm uas lub cev tsis ua rau pom qhov kev cais tshwj xeeb (raws li kev xaiv, kev hloov pauv ntawm hom tshuaj insulin yog qhov ua tau thiab pom zoo);
1.0-1.5 UNITS - noj ntau dhau, taw qhia cov tshuaj tiv thaiv insulin (tsis tshua muaj kev cuam tshuam ntawm cov ntaub so ntswg thiab cov hlwb ntawm lub cev mus rau insulin). Cov lus qhia ntawm kev haus ib ce yog nrog los ntawm gamut ntawm qhov tsis hnov zoo, ntxiv rau, nws tsis raug rau cov menyuam yaus lub cev loj hlob.

Nrog rau txoj hauv kev tsim nyog rau kev hloov kho koob tshuaj thiab kev siv qee yam ntawm cov tshuaj insulin, koj yuav tsum nco ntsoov tias qhov tseem ceeb rau kev them nyiaj thiab txo qis kev pheej hmoo uas kev kuaj mob tau ua los ntawm kev paub noj zaub mov zoo, ua si lub cev thiab lub siab dawb paug.

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