Mob ntshav qab zib thiab insulin. Insulin kho mob ntshav qab zib

Yog tias koj xav tau (lossis tsis xav tau, tab sis lub neej ua rau koj) pib kho koj cov ntshav qab zib nrog cov tshuaj insulin, koj yuav tsum kawm ntau yam txog nws thiaj li yuav ua tiav cov txiaj ntsig. Cov tshuaj insulin yog qhov zoo, tshwj xeeb rau kev tswj ntshav qab zib hom 1 thiab ntshav qab zib hom 2, tab sis tsuas yog tias koj kho cov tshuaj no nrog kev hwm. Yog tias koj yog tus mob siab thiab qhuab qhia tus neeg mob, ces cov tshuaj insulin yuav pab koj tswj cov ntshav qab zib kom ib txwm muaj, zam kev cuam tshuam thiab ua neej tsis muaj qhov phem dua li koj cov phooj ywg tsis muaj ntshav qab zib.

Rau txhua tus neeg mob uas muaj ntshav qab zib hom 1, nrog rau qee tus neeg mob ntshav qab zib hom 2, kev txhaj tshuaj insulin yog qhov tsim nyog los tswj cov ntshav qab zib kom ib txwm muaj thiab zam kev cuam tshuam. Feem ntau ntawm cov neeg mob ntshav qab zib, thaum kws kho mob qhia lawv tias nws yog lub sij hawm yuav tsum tau kho nrog insulin, tiv nrog tag nrho lawv lub zog. Cov kws kho mob, raws li txoj cai, tsis txhob hais ntau dhau, vim tias lawv twb muaj kev txhawj xeeb txaus. Raws li qhov tshwm sim, mob ntshav qab zib uas ua rau neeg xiam oob khab thiab / lossis thaum ntxov tuag tau ua rau muaj kev kis thoob plaws.

Yuav kho cov tshuaj insulin li cas hauv cov ntshav qab zib

Nws yog ib qho tsim nyog los kho cov tshuaj insulin hauv ntshav qab zib tsis yog kev foom, tab sis ua khoom plig saum ntuj ceeb tsheej. Tshwj xeeb tshaj yog tom qab koj kawm tiav cov txheej txheem ntawm kev siv tshuaj insulin tsis muaj tshuaj. Firstly, cov kev txhaj tshuaj no cawm tau los ntawm kev nyuaj, ua kom lub neej ntev ntawm tus neeg mob ntshav qab zib thiab txhim kho nws txoj kev zoo. Thib ob, cov tshuaj insulin txo cov load rau ntawm tus txiav thiab yog li ua rau kom rov kho ib feem ntawm nws cov hlwb hlwb. Qhov no siv rau cov neeg mob ntshav qab zib hom 2, leej twg mob siab ua raws li kev kho mob thiab ua raws li kev tswj hwm. Nws tseem tuaj yeem rov qab tsim cov qe ntshav rau cov neeg mob ntshav qab zib hom 1, yog tias koj nyuam qhuav tau kuaj thiab koj tau pib kho cov tshuaj insulin kom zoo. Nyeem ntxiv hauv cov ntawv “Cov txheej txheem los kho tus mob ntshav qab zib hom 2 thiab“ zib ntab rau ntshav qab zib hom 1: yuav ua li cas kom nws nyob ntev li ntau xyoo ”.

Koj yuav pom tias ntau ntawm peb qhov kev pom zoo rau kev tswj ntshav qab zib nrog kev txhaj tshuaj insulin yog qhov cuam tshuam nrog qhov uas feem ntau lees txais. Qhov xwm zoo yog tias koj tsis tas yuav ua dab tsi rau txoj kev ntseeg. Yog koj muaj cov ntsuas ntshav qabzib nyob rau hauv lub ntshav (kom paub meej txog qhov no), nws yuav qhia sai sai uas cov lus qhia pab kho ntshav qab zib thiab cov twg tsis ua.

Hom insulin dab tsi muaj?

Muaj ntau ntau yam thiab npe ntawm insulin rau ntshav qab zib hauv khw muag tshuaj hnub no, thiab sijhawm dhau sijhawm yuav muaj ntau dua. Qhov tshuaj insulin muab faib raws li tus txheej txheem tseem ceeb - ntev npaum li cas nws txo cov ntshav qab zib tom qab txhaj tshuaj. Cov tshuaj insulin hauv qab no muaj:

• ultrashort - ua tawm sai heev;
• luv luv - qeeb qeeb thiab smoother dua li luv luv;
• thaj tsam nruab nrab ntawm kev nqis tes ua ("nruab nrab");
• ntev-ua yeeb yam (txuas ntxiv).

Xyoo 1978, cov kws tshawb fawb yog thawj zaug siv cov qauv kev tshawb fawb caj ces “yuam” Escherichia coli Escherichia coli los tsim tib neeg cov kua dej. Hauv xyoo 1982, Asmeskas tuam txhab Genentech tau pib nws txoj kev muag khoom ntau. Ua ntej no, bovine thiab nqaij npuas insulin tau siv. Lawv txawv ntawm tib neeg, thiab vim li no feem ntau ua rau ua xua. Txog hnub, tsiaj insulin tsis siv lawm. Mob ntshav qab zib yog kho tau ntau yam nrog kev txhaj tshuaj tiv thaiv kab mob tib neeg cov insulin.

Cov yam ntxwv ntawm cov tshuaj insulin

Txij li xyoo 2000, cov hom kab mob tshiab ntxiv ntawm cov kua dej (Lantus thiab Glargin) tau pib hloov nruab nrab ncua ntev NPH-insulin (protafan). Hom kev tawm tshiab tshiab tsis yog tib neeg cov tshuaj insulin, tab sis nws cov analogues, uas yog, hloov kho, ua kom zoo dua qub, piv nrog tib neeg cov insulin. Lantus thiab Glargin kav ntev dua thiab yooj yim dua, thiab tsis tshua muaj kev ua xua.

Lub sijhawm ntev-ua cov tshuaj insulin - lawv siv sijhawm ntev, tsis muaj qhov ncov siab, tswj lub siab ruaj khov ntawm cov kua dej hauv cov ntshav

Nws yuav zoo li hloov NPH-insulin nrog Lantus lossis Levemir ua koj cov insulin txuas ntxiv (hauv qab) yuav txhim kho koj cov txiaj ntsig kev kho mob ntshav qab zib. Sib tham qhov no nrog koj tus kws kho mob. Kom paub meej ntxiv, nyeem kab lus “Ncua insulin Lantus thiab Glargin. Nruab Nrab NPH-Insulin Protafan. "

Hauv lub sijhawm xyoo 1990, ultrashort analogues ntawm insulin Humalog, NovoRapid thiab Apidra tau tshwm sim. Lawv tau sib tw nrog kev luv luv ntawm tib neeg cov insulin. Ultra-luv-ua yeeb yam insulin analogs pib txo cov ntshav qab zib hauv 5 feeb tom qab txhaj tshuaj. Lawv coj nruj, tab sis tsis ntev, tsis pub dhau 3 teev. Cia peb sib piv cov yeeb yaj kiab kev txiav txim siab ntawm kev ua yeeb yaj kiab luv luv thiab "zoo tib yam" tib neeg luv luv insulin hauv daim duab.

Ultra-short-acting insulin analogs muaj zog dua thiab sai dua. Tib neeg "luv" insulin pib txo cov ntshav qab zib tom qab thiab kav ntev dua

Nyeem kab lus "Ultrashort insulin Humalog, NovoRapid thiab Apidra. Tib neeg luv insulin. "

Saib xyuas! Yog tias koj ua raws li cov zaub mov muaj protein tsawg rau cov ntshav qab zib hom 1 lossis hom 2, ces tib neeg lub cev insulin ua haujlwm tau zoo dua li kev ua yeeb yam luv luv ntawm insulin analogues.

Nws puas tuaj yeem tsis kam lees txhaj tshuaj insulin tom qab lawv tau pib?

Ntau tus neeg mob ntshav qab zib tau ntshai pib kho cov tshuaj insulin, vim tias yog tias koj pib, ces koj dhia tsis dhau ntawm cov tshuaj insulin. Nws tuaj yeem teb tau tias nws zoo dua rau kev txhaj tshuaj insulin thiab ua neej nyob ib txwm zoo dua li coj cov neeg xiam oob khab vim muaj mob ntshav qab zib. Thiab dua li, yog tias koj pib kho nrog cov tshuaj insulin nyob rau hauv lub sijhawm, tom qab ntawd nrog tus mob ntshav qab zib hom 2, qhov yuav muaj feem ntau uas yuav tso tseg lawv dhau sijhawm yam tsis muaj teebmeem rau kev noj qab haus huv.

Muaj ntau yam sib txawv ntawm cov hlwb ua cov txiav. Beta cells yog cov uas tsim cov tshuaj insulin. Lawv tuag massively yog tias lawv yuav tsum ua haujlwm nrog nce ntxiv. Lawv kuj raug tua los ntawm cov piam thaj tsis zoo, xws li, ua kom cov ntshav qab zib nce siab. Nws kwv yees hais tias thaum ntxov ntawm tus mob ntshav qab zib hom 1 lossis hom 2, qee cov qe ntshav muaj qee tus tuag lawm, qee leej tau ua haujlwm tsis muaj zog thiab yuav luag tuag, thiab tsuas yog qee tus ntawm lawv tseem ua haujlwm ib txwm muaj.

Yog li, cov tshuaj insulin txo cov load los ntawm beta hlwb. Koj kuj tseem tuaj yeem kho koj cov piam thaj hauv ntshav nrog kev noj zaub mov kom tsawg. Nyob rau hauv cov xwm txheej zoo li no, ntau ntawm koj cov beta hlwb yuav muaj sia nyob thiab txuas ntxiv tsim cov tshuaj insulin. Qhov pheej hmoo ntawm qhov no yuav muaj ntau yog tias koj pib kho hom mob ntshav qab zib hom 2 lossis hom kho mob ntshav qab zib hom 1 kom ncav sijhawm, thaum ntxov.

Ntawm hom ntshav qab zib hom 1, tom qab pib kho mob, "lub sij hawm sib hlub sib xws" tshwm sim thaum xav tau cov tshuaj insulin poob rau yuav luag txog xoom. Nyeem seb yog dab tsi. Nws tseem qhia txog yuav ua li cas txuas nws mus rau ntau xyoo, lossis tseem nyob rau ib sim neej. Nrog tus mob ntshav qab zib hom 2, qhov pheej hmoo ntawm kev tso tshuaj insulin yog 90%, yog tias koj kawm paub ua kom ib ce muaj zog nrog kev lom zem, thiab yuav ua nws tsis tu ncua. Zoo, ntawm chav kawm, koj yuav tsum tau nruj me ntsis ua raws li cov zaub mov uas tsis muaj cov carbohydrate tsawg.

Xaus Yog tias muaj pov thawj, koj yuav tsum pib kho cov ntshav qab zib nrog kev txhaj tshuaj insulin kom ntxov li ntxov tau, tsis tas yuav ncua sijhawm. Qhov no nce lub sijhawm uas tom qab ib lub sijhawm nws yuav muaj peev xwm txwv tsis kam txhaj tshuaj insulin. Nws suab paradoxical, tab sis nws yog. Siv cov txheej txheem ntawm kev siv tshuaj insulin tsis muaj tshuaj. Ua raws li hom kabmob ntshav qab zib hom 2 lossis hom kabmob ntshav qab zib hom 1. Ua nruj me ntsis ua raws li kev coj tus kheej, tsis txhob so. Txawm hais tias koj tsis tuaj yeem tsis kam lees txog kev txhaj tshuaj, txawm li cas los xij, koj tuaj yeem tswj hwm nrog kev txhaj tshuaj tsawg kawg.

Cov tshuaj insulin yog dab tsi?

Kev siv dag zog thiab kev txhaj tshuaj lom hauv lub cev yog ntsuas hauv cov koog (UNITS). Hauv kev txhaj tshuaj me me, 2 units ntawm insulin yuav tsum txo qis cov ntshav qab zib kom ntau 2 zaug ntau dua 1 ntu. Ntawm insulin koob txhaj tshuaj, qhov ntsuas yog plotted hauv units. Feem ntau cov koob txhaj tshuaj muaj qhov ntsuas qhov luv ntawm 1-2 PIECES thiab yog li ntawd tsis raug tso cai me me ntawm cov tshuaj insulin los ntawm lub khob ntim. Qhov no yog qhov teeb meem loj heev yog tias koj yuav tsum tau txhaj tshuaj ntawm 0.5 UNITS ntawm cov tshuaj insulin lossis tsawg dua. Cov kev xaiv rau nws cov kev daws teeb meem tau piav qhia hauv kab lus “Insulin Syringes thiab Syringe Cwjmem”. Nyeem ntawv ntxiv yuav ua li cas txhawm rau insulin.

Qhov tob ntawm cov tshuaj insulin yog cov ntaub ntawv hais txog ntau npaum li cas UNITS muaj nyob hauv 1 ml ntawm kev daws teeb meem hauv lub raj mis lossis daim cartridge. Cov tshuaj feem ntau siv yog U-100, i.e. 100 IU ntawm cov tshuaj insulin hauv 1 ml ntawm cov kua. Tsis tas li ntawd, cov tshuaj insulin ntawm ib qho kev haum ntawm U-40 pom. Yog tias koj muaj cov tshuaj insulin nrog cov tshuaj U-100, tom qab ntawd siv cov koob txhaj tshuaj uas tsim los rau cov tshuaj insulin ntawm qhov concentration. Nws tau sau rau ntawm lub ntim ntawm txhua daim ntawv syringe. Piv txwv li, cov koob txhaj tshuaj rau insulin U-100 nrog lub peev xwm ntawm 0.3 ml tuav txog 30 PIECES ntawm insulin, thiab ib rab koob uas muaj peev xwm ntawm 1 ml tuav txog 100 PIECES ntawm insulin. Ntxiv mus, 1 ml koob txhaj tshuaj yog qhov feem ntau muaj nyob hauv cov khw muag tshuaj. Nws yog qhov nyuaj rau hais tias leej twg xav tau koob tshuaj tuag ntawm 100 tus PIECES ntawm insulin tam sim ntawd.

Muaj cov xwm txheej thaum tus neeg mob ntshav qab zib muaj insulin U-40, thiab cov koob txhaj tshuaj tsuas yog U-100. Txhawm rau kom tau txais qhov nyiaj tshuav ntawm UNITS ntawm cov tshuaj insulin nrog kev txhaj tshuaj, qhov no koj yuav tsum tau kos ntau tshaj 2.5 zaug ntxiv rau hauv cov phwj. Pom tseeb, muaj qhov pheej hmoo loj heev ntawm kev ua txhaum thiab kev txhaj tshuaj rau cov tshuaj insulin tsis yog. Yuav muaj cov piam thaj hauv ntshav siab lossis muaj ntshav qab zib ntau heev. Yog li, cov xwm txheej zoo li no tau zam tshaj plaws. Yog tias koj muaj cov U-40 insulin, tom qab ntawd sim siv U-40 koob txhaj tshuaj rau nws.

Puas yog cov sib txawv ntawm cov tshuaj insulin puas muaj tib lub zog?

Ntau hom tshuaj insulin sib txawv ntawm lawv tus kheej hauv qhov ceev ntawm qhov pib thiab lub sijhawm ntawm kev ua, thiab hauv lub zog - xyaum tsis muaj. Qhov no txhais tau tias 1 seem ntawm ntau hom tshuaj insulin yuav kwv yees sib luag li cov ntshav qab zib hauv ib tus neeg mob ntshav qab zib. Ib qho kev zam rau txoj cai no yog ultrashort hom insulin. Humalog yog kwv yees li 2.5 zaug muaj zog dua li cov hom insulin luv luv, thaum NovoRapid thiab Apidra yog 1.5 zaug muaj zog. Yog li, cov koob tshuaj ultrashort analogues yuav tsum muaj ntau qis dua qhov sib npaug ntawm cov tshuaj insulin luv. Qhov no yog cov ntaub ntawv tseem ceeb tshaj plaws rau cov neeg mob ntshav qab zib, tab sis rau qee qhov laj thawj nws tsis tsom rau nws.

Cov Insulin Cia Cov Cai

Yog tias koj khaws lub vial lossis lub taub hau nrog cov tshuaj insulin hauv lub tub yees ntawm qhov kub ntawm + 2-8 ° C, tom qab ntawd nws yuav khaws tag nrho nws cov haujlwm kom txog thaum hnub tas sij hawm luam tawm ntawm lub pob. Cov khoom ntawm cov tshuaj insulin tuaj yeem ua kom tsis zoo yog tias khaws cia hauv chav sov ntev dua 30-60 hnub.

Tom qab txhaj thawj koob ntawm Lantus lub pob tshiab tau txhaj, nws yuav tsum siv tag nrho tsis pub dhau 30 hnub, vim tias tom qab ntawd cov tshuaj insulin yuav plam qhov tseem ceeb ntawm nws cov haujlwm. Levemir tuaj yeem muab khaws cia kwv yees li 2 zaug ntev dua tom qab siv thawj zaug. Cov tshuaj insulins luv thiab nruab nrab, raws li Humalog thiab NovoRapid, tuaj yeem muab khaws cia hauv chav sov txog li 1 xyoos. Apidra insulin (glulisin) yog qhov zoo tshaj plaws hauv lub tub yees.

Yog hais tias insulin tau ploj qee qhov ntawm nws cov kev ua, qhov no yuav ua rau cov ntshav qab zib tsis tau qhia hauv cov neeg mob ntshav qab zib. Hauv qhov no, cov insulin pob tshab yuav dhau los ua huab, tab sis tej zaum yuav ua kom pob tshab. Yog tias cov tshuaj insulin ua qhov tsawg kawg huab me ntsis, nws txhais tau tias nws tau ua rau tsis pom tseeb, thiab koj siv tsis tau nws. NPH-insulin (protafan) nyob rau hauv lub xeev ib txwm tsis yog pob tshab, yog li nws nyuaj rau nws. Saib xyuas zoo zoo seb nws puas hloov nws qhov ntsej muag. Nyob rau hauv txhua kis xwm txheej, yog tias muaj tshuaj insulin zoo li qub, ces qhov no tsis txhais tau tias nws tsis xeb.

Dab tsi koj yuav tsum tau xyuas yog tias cov piam thaj hauv ntshav khaws cia hauv ntau hnub kom tsis tu ncua:

• Koj puas tau ua txhaum kev noj haus? Tau zais cov carbohydrates plam mus rau hauv koj cov zaub mov? Koj puas tau ua tshaj li?
• Tej zaum koj muaj kab mob hauv koj lub cev uas tseem zais? Nyeem "Ntshav qab zib cov ntshav muaj ntshav txaus vim kab mob kis."
• Yog koj cov insulin piam? Qhov no yog qhov tshwj xeeb tshaj yog tias koj siv cov koob txhaj tshuaj ntau dua ib zaug. Koj yuav tsis paub txog qhov no los ntawm qhov pom ntawm insulin. Yog li, tsuas yog sim pib txhaj tshuaj insulin "tshiab". Nyeem txog kev rov siv tshuaj insulin.

Khaws cov khoom siv tshuaj insulin mus ntev hauv tub yees, tso rau hauv txee ntawm lub qhov rooj, ntawm qhov kub ntawm + 2-8 ° C. Tsis txhob tso cov tshuaj insulin! Txawm tias tom qab nws tau yaj tag, nws twb tso pov tseg ua tsis tiav. Cov tshuaj insulin vial lossis daim cartridge uas koj tab tom siv tam sim no tuaj yeem khaws cia ntawm chav tsev kub. Qhov no siv rau txhua hom tshuaj insulin, tsuas yog Lantus, Levemir thiab Apidra, uas muab tso rau hauv lub tub yees txhua lub sijhawm.

Tsis txhob tso cov tshuaj insulin rau hauv lub tsheb xauv, uas yuav sov dhau lub caij ntuj no, lossis hauv lub hnab looj tes hauv lub tsheb. Tsis txhob nthuav nws tawm ncaj qha hnub ci. Yog tias chav tsev kub txog + 29 ° C thiab siab dua, tom qab ntawv hloov tag nrho koj cov tshuaj insulin rau hauv tub yees. Yog tias cov tshuaj insulin raug rau qhov kub txog + 37 ° C lossis siab dua rau 1 hnub lossis ntev dua, tom qab ntawd yuav tsum muab pov tseg. Hauv tshwj xeeb, yog tias nws overheated hauv ib lub tsheb xauv. Rau tib qho laj thawj, nws yog qhov tsis tsim nyog nqa lub raj mis lossis cwj mem nrog insulin ze rau lub cev, piv txwv li, hauv lub tsho hnab tsho.

Peb ceeb toom koj dua: nws zoo dua tsis txhob rov qab siv cov koob txhaj tshuaj kom tsis txhob noj cov tshuaj insulin.

Lub sij hawm insulin

Koj yuav tsum paub meej tias ntev npaum li cas tom qab txhaj tshuaj, insulin pib ua, nrog rau thaum nws qhov kev txiav txim nres. Cov ntaub ntawv no luam tawm rau ntawm cov lus qhia. Tab sis yog tias koj ua raws li kev noj zaub mov tsis muaj carbohydrate thiab txhaj tshuaj insulin me me, ces nws yuav tsis muaj tseeb. Vim tias cov ntaub ntawv uas cov chaw tsim khoom muab los ntawm cov tshuaj insulin nyob deb tshaj qhov cov yuav tsum tau los ntawm cov kws kho mob ntshav qab zib noj cov zaub mov tsis muaj ntsev.

Txhawm rau tawm tswv yim ntev npaum li cas tom qab txhaj tshuaj, insulin pib pib thaum pib kho mob ntshav qab zib, kawm cov lus "Cim ntawm kev npaj tshuaj insulin", uas tau muab rau saum no hauv tsab xov xwm no. Nws yog raws cov ntaub ntawv los ntawm Dr. Bernstein txoj kev xyaum ntau. Cov ntaub ntawv muaj nyob hauv cov lus no, koj yuav tsum qhia meej rau koj tus kheej hais txog kev siv ntsuas ntsuas ntshav qab zib ntau zaus nrog lub ntsej muag glucometer.

Cov insulin loj loj yuav ua kom sai dua li cov me, thiab lawv cov nyhuv kav ntev dua. Tsis tas li, sijhawm ntawm cov tshuaj insulin yog qhov sib txawv ntawm cov neeg sib txawv. Kev txiav txim ntawm kev txhaj tshuaj yuav ua rau nrawm nrawm yog tias koj ua cov kev tawm dag zog rau lub cev ntawm qhov chaw uas koj tau txhaj tshuaj insulin. Qhov nuance no yuav tsum tau coj mus rau hauv tus account yog tias koj tsuas tsis xav ua kom nrawm rau ua haujlwm ntawm cov tshuaj insulin. Piv txwv, tsis txhob txhaj cov tshuaj insulin txuas ntxiv hauv koj txhais tes ua ntej mus rau tom chav ntaus kis las, qhov twg koj yuav nqa lub bar nrog txhais tes no. Los ntawm lub plab mog, insulin feem ntau heev sai sai nqus, thiab nrog ib ce muaj zog, txawm tias nrawm dua.

Saib xyuas cov txiaj ntsig kho ntshav qab zib insulin

Yog tias koj muaj ntshav qabzib txaus uas koj yuav tsum tau txhaj tshuaj insulin sai ua ntej noj, tom qab ntawd nws raug nquahu kom ua qhov kev ntsuas tus kheej cov ntshav qab zib tas li. Yog tias koj xav tau cov tshuaj txaus ntawm cov tshuaj insulin thaum hmo ntuj thiab / lossis thaum sawv ntxov, yam tsis muaj kev txhaj tshuaj sai ua ntej noj mov, kom ntsuas cov ntshav qab zib, ces koj tsuas yog xav ntsuas koj cov piam thaj thaum sawv ntxov nyob rau ntawm lub plab khoob thiab yav tsaus ntuj ua ntej yuav mus pw. Txawm li cas los xij, nqa tawm tag nrho cov ntshav qab zib tswj 1 hnub hauv ib lub lis piam, thiab nyiam dua 2 hnub txhua lub lim tiam. Yog tias nws hloov tawm tias koj cov piam thaj nyob tsawg kawg yog 0.6 mmol / L saum toj lossis qis dua cov hom phiaj tseem ceeb, ces koj yuav tsum tau sab laj tus kws kho mob thiab hloov qee yam.

Nco ntsoov ntsuas koj cov piam thaj ua ntej pib qoj ib ce, thaum kawg, thiab nrog lub sijhawm 1 teev mus rau ntau teev tom qab koj ua tiav qoj ib ce. Los ntawm txoj kev, nyeem peb cov txheej txheem tshwj xeeb txog kev txaus siab rau kev kawm cev nqaij daim tawv hauv ntshav qab zib. Nws kuj tseem piav qhia cov hau kev rau kev tiv thaiv kev mob ntshav qab zib thaum lub cev kev kawm tawm dag zog rau cov neeg mob ntshav qab zib insulin.

Yog tias koj muaj kev kis kab mob, tom qab ntawd txhua hnub thaum tab tom kho, ua kev tswj hwm tus kheej ntawm cov ntshav qab zib thiab ceev ceev cov ntshav qab zib sai sai nrog kev txhaj tshuaj insulin. Txhua tus neeg mob ntshav qab zib uas tau txhaj tshuaj insulin yuav tsum kuaj xyuas lawv qab zib ua ntej tsav, thiab tom qab ntawd txhua teev thaum lawv tsav. Thaum tsav lub tshuab uas muaj peev xwm txaus ntshai - ib yam. Yog tias koj mus dhia dej scuba, tom qab ntawd tawm txhua 20 feeb los xyuas koj cov piam thaj.

Huab cua ua li cas rau cov tshuaj insulin

Thaum cov neeg khiav dej num txias cia li nco dheev ua rau huab cua sov, ntau tus neeg mob ntshav qab zib dheev pom tias lawv xav tau cov tshuaj insulin poob qis. Qhov no tuaj yeem txiav txim siab vim tias cov 'meter' qhia tau tias muaj ntshav qab zib tsawg heev. Hauv cov neeg zoo li no, qhov xav tau rau cov tshuaj insulin tsawg dua nyob rau lub caij sov thiab muaj ntau hauv lub caij ntuj no. Cov laj thawj cov xwm txheej no tsis yog qhov tseeb. Nws raug nquahu tias nyob rau hauv kev tiv thaiv huab cua sov, kev tiv thaiv peripheral cov hlab ntshav so zoo dua thiab xa cov ntshav, piam thaj thiab insulin rau peripheral cov ntaub so ntswg zoo dua qub.

Qhov xaus yog tias koj yuav tsum tau ua tib zoo saib xyuas koj cov ntshav qab zib thaum nws sov dua rau sab nraud kom tsis txhob mob ntshav qab zib. Yog tias cov piam thaj poob qis dhau, cia li txo qis koj cov tshuaj insulin. Hauv cov neeg mob ntshav qab zib uas tseem mob lupus erythematosus, txhua yam tuaj yeem tshwm sim rau lwm txoj hauv kev. Huab cua sov qhov huab cua zoo dua, lawv yuav xav tau cov tshuaj insulin ntau dua.

Thaum tus neeg mob ntshav qab zib pib kho mob los ntawm kev txhaj tshuaj insulin, nws tus kheej, nrog rau nws tsev neeg, cov phooj ywg thiab cov npoj yaig yuav tsum paub cov tsos mob ntawm tus mob ntshav qab zib tsawg thiab yuav pab tau nws li cas thaum muaj mob hnyav. Txhua tus neeg nrog koj nyob thiab ua haujlwm, cia peb nyeem peb nplooj ntawv txog cov ntshav qog ntshav qab zib. Nws yog cov ncauj lus kom ntxaws thiab sau ua lus meej.

Insulin kho mob ntshav qab zib: cov lus xaus

Tshooj lus qhia cov ntaub ntawv tseem ceeb uas txhua tus neeg mob uas muaj ntshav qab zib hom 1 lossis hom 2 tau txais kev txhaj tshuaj insulin yuav tsum paub txog. Qhov tseem ceeb tshaj plaws yog tias koj tau kawm txog hom insulin dab tsi tshwm sim, lawv muaj cov yam ntxwv twg, thiab tseem muaj txoj cai rau kev khaws cov insulin kom tsis txhob poob. Kuv xav kom koj ua tib zoo nyeem tag nrho cov lus nyob rau hauv “Insulin hauv kev kho mob ntawm hom 1 thiab hom 2 ntshav qab zib” yog tias koj xav kom tau txais txiaj ntsig zoo rau koj cov ntshav qab zib. Thiab ntawm chav kawm, ua tib zoo ua raws li kev noj haus cov zaub mov uas tsis muaj carbohydrate. Kawm seb lub teeb thauj khoom yog dab tsi. Siv nws los ua kom cov ntshav qab zib nyob ruaj khov thiab tau txais los ntawm yam tsawg kawg nkaus li ntawm insulin.