Cov tshuaj insulin yog qhov kev thauj mus los, nws yog qhov zais cia rau hauv endocrine feem ntawm cov txiav. Lub hom phiaj tseem ceeb ntawm peptide no yog txhawm rau txo qis thiab tswj qhov sib luag ntawm cov ntshav qabzib hauv cov ntshav. Lub luag haujlwm ntawm cov khoom hauv lub cev tsim yog dab tsi? Lub chav insulin tsim los tsim cov leeg nqaij li cas?
Vim li cas cov neeg ncaws pob siv insulin
Cov tshuaj insulin yog hom thauj khoom, yog li thaum muaj ntau ntawm nws, ntau cov as-ham nkag mus rau hauv lub cell. Yog li ntawd, nws hloov kho thiab loj hlob sai dua. Xws li cov nyhuv yog vim muaj ntau yam.
Anabolic | Cov leeg nqaij yog cov tshuaj insulin. Thaum muaj cov tshuaj insulin ntau, lawv tau txais ntau cov amino acids (tshwj xeeb yog leucine thiab valine molecules) thiab cov protein. Cov xaim no yog lub hauv paus rau cov leeg khov kho. Cov tshuaj Insulin kuj tseem txhim kho kev thauj mus los ntawm Mg, K, Ph. Cov tshuaj yeeb yaj kiab no xav tau los tsim cov roj ntsha kua roj. Lawv yoog tau los ntawm adipose cov nqaij thiab cov qog hlwb. Thaum muaj cov insulin tsawg heev, cov rog tsis tawg, tab sis muab tso rau hauv daim ntawv ntawm cov rog rog. |
Kev zom zaub mov | Hauv cov leeg ua ib ce, cov roj ntsha kua nplaum yuav pib nqus tau zoo dua. Cov tshuaj insulin txhawb cov tshuaj glycogen, glyconen inhibits kev tsim suab thaj hauv cov qog hlwb. |
Anticatabolic | Cov kua dej los tiv thaiv kev tawg ntawm cov protein sib xyaw nrog cov amino acid sib txuas. Tsis tas li ntawd, nws tsis tso cai muaj roj ntau ntau rau hauv cov hlab ntshav. |
Vim qhov tseeb tias cov piam thaj pib ua kom thauj zoo dua, lub zog nce hauv ib tus neeg, thiab nce ntxiv ntawm cov protein thiab amino acids ua kom cov leeg loj hlob.
Yog li kom koj tsis txhob khaws ntau cov rog ntau, ua raws li ob peb txoj cai:
- Ua raws li kev noj haus - koj yuav tsum noj zaub mov kom muaj protein ntau thiab tsawg dua carbohydrates. Qeeb carbohydrates yog qhov kev tso cai tsuas yog tom qab kev tswj hwm ntawm insulin.
- Saib qhov kev hloov pauv ntawm lub cev. Yog tias koj nyhav dhau heev, lub cev insulin tuaj yeem tsim kev puas tsuaj ntau dua. Nws muab cov txiaj ntsig zoo tshaj plaws rau cov neeg ncaws pob ntawm hom ectomorphic lossis mesomorphic.
Sab sij huam
Qhov tseem ceeb tshaj plaws yog lub xeev ntawm cov ntshav ntog ntshav qab zib. Nws cov tsos mob tseem ceeb yog tshee tshee, tsis meej pem nco qab thiab ua kom sib haum, nce hws, lub siab ua haujlwm ntxhov. Nrog hypoglycemia, ib qhov mob xav tau noj cov tsos. Tsis tas li, qhov chaw txhaj tshuaj tuaj yeem ua rau khaus thiab mob rau tus neeg, txawm hais tias qhov ua rau muaj qhov tshwm sim zoo tshaj plaws yog qhov kev txhaj tshuaj tsis raug. Kev tawm tsam tsis haum yuav tshwm sim. Lwm qhov kev cuam tshuam yog qhov inhibition ntawm cov hluavtaws ntawm koj tus kheej cov insulin.
Kev tawm lub cev lub zog insulin
Hauv kev ua kis las ncaws pob, ultra-luv thiab luv luv insulin yog siv. Tsis zoo li cov tshuaj ua yeeb yaj kiab ntev, lawv ua rau lub ntsej muag txo cov piam thaj kom tsawg. Cov nyhuv ntawm subcutaneous tau tus kab mob luv luv ntawm insulin tshwm sim li ntawm ib nrab ib teev (yog li ntawd, nws tau siv txog 40 ua ntej noj mov). Qhov siab tshaj plaws hauv cov ntshav cov ntshav yog tsau tom qab 2 teev. Nws yog tag nrho cov tshuaj tiv thaiv hauv 7 teev. Qhov luv luv zoo tshaj plaws insulin yog:
- Actrapid NM;
- Humulin Tsis tu ncua.
Txhais tau los ntawm cov pab pawg ntawm ultrashort insulin ua raws cai yuav luag tam sim ntawd, lossis tom qab 15 feeb. Lub ncov ntawm qhov kev nqis tes tseem tshwm sim hauv ob peb teev. Kev thim tawm ntawm lub cev sai dua, qhov chaw nyob hauv 3-5 teev. Nws yog ntau npaum li cas physiological tshaj luv luv, yog li nws muaj peev xwm raug txho cia 7-10 feeb ua ntej noj mov los yog tam sim ntawd tom qab. Cov tshuaj insulin yog qhov zoo rau kev tsim kho cov leeg:
- Spart (cov no yog NovoRapid Penfill thiab FlexPen);
- Lizpro (Humalog);
- Glulisin (Apidra).
Txhua tus neeg sawv cev no yog roj ntsha ib nrab ntawm cov tshuaj insulin. Qhov nruab nrab, tus nqi ntawm cov nyiaj no yog kwv yees 2500 rubles.
Pros thiab cons ntawm kev siv tshuaj insulin
Cov txiaj ntsig ntawm chav kawm suav nrog:
- Cov tshuaj insulin tsuas kav ntev li 1-2 lub hlis;
- Yuav luag txhua cov tshuaj insulin yog qhov ua tau zoo heev thiab lub sijhawm muaj yuav ib cov tshuaj phem yog qhov tsawg heev (txawm tias piv nrog anabolic steroids);
- Cov tshuaj insulin muaj, lawv feem ntau tuaj yeem yuav dawb;
- Tus nqi siab anabolic;
- Yog tias chav kawm tau muab tso ua ke kom raug, qhov ntxim nyiam ntawm kev mob tshwm sim yog scanty (dua, piv nrog steroids);
- Me ntsis rov qab tom qab ua tiav ntawm insulin;
- Chav kawm tuaj yeem ua ke nrog lwm cov hauv kev txhawb ntawm kev ua kis las;
- Tsis muaj androgenic ua;
- Tsis muaj tshuaj lom cuam tshuam rau daim siab thiab mob raum, tom qab kev kawm tsis muaj teeb meem nrog kev ua haujlwm sib deev (tom qab noj cov testosterone thiab anabolics rau cov txiv neej, impotence feem ntau pom.
Txawm li cas los xij, muaj qee qhov tsis zoo rau cov chav kawm insulin. Qhov thib ib yog qhov tsim ua kom pom cov piam thaj hauv siab, koj yuav tsis muaj lub zog txaus. Kuj, nrog cov piam thaj hauv qab qis, tshuaj lom neeg endorphin tuaj yeem raug tshem tawm. Qhov thib ob - koj ntxiv 100% daim ntaub so ntswg. Qhov thib peb, nws nyuaj heev rau kev laij cov tshuaj insulin kom raws sijhawm thiab noj ntau npaum li cas, tshwj xeeb yog tias koj tsis tau txhaj cov tshuaj no ua ntej.
Insulin chav kawm
Tom qab xaiv cov tshuaj insulin txoj cai, nws yog ib qho tseem ceeb kom teeb tsa chav qhia kom haum rau 1-2 hlis. Thov nco ntsoov tias koj tsis tuaj yeem hno cov insulin ntev dua, vim tias vim tias ntau ntawm cov tshuaj hormones tau txais los ntawm sab nraud, kab mob ntshav nres tuaj yeem nres qhov tsim nyog ntawm nws cov insulin. Yog tias chav kawm tau ua tiav qhov yog, koj tuaj yeem nce li 15 kg ntawm cov nqaij ntshiv uas loj.
Chav kawm pib nrog kev txhaj tshuaj subcutaneous hauv ib qhov tshuaj 2 zaug. Maj mam, qhov tshuaj ntawm cov tshuaj insulin nce ntxiv mus rau 20 units. Qhov kev nce qib hauv cov koob tshuaj no pab txhawm rau txhawm rau lub cev kev ua haujlwm rau cov tshuaj insulin sab nraud. Nws tsis tuaj yeem ntaus nqi ntau tshaj 20 units hauv ib hnub.
Ua ntej koj pib txhaj cov tshuaj hormones thauj cov tshuaj insulin, xyuam xim rau ob peb yam:
- Ua kom ntau dua cov tshuaj yuav tsum tau nqa tawm maj, qhov no yog qhov tsim nyog. Koj tsis tuaj yeem hloov pauv ntawm 3 ntu mus rau 7 lossis txij 20 txog 10. Kev hloov pauv sai li no tuaj yeem cuam tshuam lub cev tsis zoo.
- Qee tus kws qhia pom zoo kom tso cov tshuaj insulin siab ntau txog 40 units. Txawm li cas los xij tsis ua raws li kev qhia ntawm qhov ntau ntawm, cov tshuaj insulin ntau dhau tuaj yeem ua rau mob ntshav ntog thiab ua rau lub cev tsis ua ke. Nws yog tau tias 20 units rau koj lub cev yuav muaj ntau yam.
Cov lus sib dhos ntawm kev siv tshuaj insulin yuav txawv. Koj tuaj yeem hno nws txhua hnub, txhua lwm hnub lossis ntawm ntau zaus. Yog tias koj txhaj tshuaj txhua hnub lossis ntau zaus nyob hauv ib hnub, koj yuav tsum txo qis tag nrho lub sijhawm. Yog tias koj txhaj tshuaj txhua hnub, tom qab ntawd siv sijhawm ntev yuav yog 2 hli.
Yog hais tias lub cev raug coj yuav luag rau hauv lub xeev hypoglycemic (insulin nce zuj zus), cov piam thaj feem ntau poob thiab tso tawm ntau ntawm cov tshuaj hormones loj hlob tshwm sim.
Yog tias koj mus rau tom chav qoj 3 zaug hauv ib asthiv thiab lwm hnub tsis muaj lwm qhov hnyav - muab kev txhaj tshuaj ua ntej noj tshais rau cov hnub ntawd thaum koj tsis tawm dag zog. Txog hnub nrog kev tawm dag zog, nws yog qhov zoo dua rau hno cov tshuaj insulin (tam sim ntawd tom qab noj mov), thiab hnub so tsuas yog siv tshuaj insulin luv luv (ib nrab teev ua ntej noj mov).
Yog li qhov chaw txhaj tshuaj tsis kos, daim tawv nqaij tsis ziab thiab ua xua tsis tshwm sim, nws yog qhov zoo dua rau kev txhaj mus rau qhov sib txawv ntawm lub cev.
Yuav xam pes tsawg insulin los txhaj
Cov kua dej yog hais txog cov keeb endocrinological. Qhov ntsuas ntsuas ntawm carbohydrates yog lub khob cij qhob cij, nws yog txo kom XE. Ib qho XE muaj 15 grams. carbohydrates. Ib qho kev lag luam zoo li no ntxiv cov piam thaj ntawm 2.8 mmol / litre cov ntshav. Ntawd yog, koj yuav tsum xam seb koj tau haus ntau npaum li cas carbohydrate ib hnub thiab sib npaug lawv cov nyiaj nrog insulin.
Qhov tshuaj uas tau tso cai ntawm cov tshuaj insulin ntxiv yuav yog nyob ntawm qhov pib ntawm thawj ntawm kev txiav, mob leeg thiab cov lej ua haujlwm ib lis piam. Thaum pib, nws zoo dua rau kev kuaj mob tus mob ntawm tus po (ultrasound) los kuaj xyuas nws qhov mob. Nws muaj peev xwm hais tias kev txhaj tshuaj insulin feem ntau contraindicated rau koj. Nws kuj tseem muaj txiaj ntsig rau tso ntshav rau qab zib. Nws twb tau hais lawm tias ntau li ntau tau koj tuaj yeem haus li 20 XE ntawm cov tshuaj insulin. Nws yog qhov zoo dua rau cov poj niam tsis txhob txhaj ntau dua 15. Qhov kev xaiv zoo tshaj plaws yuav mus rau endocrinologist nrog rau cov txiaj ntsig thiab tham nrog nws txog kev siv tshuaj uas tau txais.
Tso li cas thiaj txhaj tshuaj
Ua ntej txhaj tshuaj, npaj rau qee yam qab zib. Nws tuaj yeem yog chocolates, zib ntab lossis qab zib. Yog tias koj pom dheev hypoglycemia, koj yuav noj cov khoom zoo li no thiab txawm tias tsis muaj cov piam thaj. Rau kev txhaj tshuaj, cov tshuaj insulin tshwj xeeb zoo tshaj. Nws yog qhov ntau thinner dua li niaj zaus thiab ntawm nws lub cev sib faib me me ntawm ntim. hais txog 1 lub voos kheej kheej lossis 1 ml ntawm insulin yog muab tso rau hauv ib qho tshuaj insulin.
Nws yog qhov zoo tshaj plaws los ua ib qho kev txhaj tshuaj rau hauv lub plab, txij li nyob hauv thaj chaw no nws tau zoo dua. Xa cov tshuaj insulin rau hauv cov phwj. Pw, rov qab 5 cm los ntawm txoj hlab ntaws, ua ib daim nrog tus ntiv tes xoo thiab forefinger (quav yuav tsum yog tsuas tawv nqaij, yog tias koj nyem cov leeg nqaij - cov tshuaj insulin yuav nruj thiab mob).
Ntawm kaum ntawm kwv yees li 45 degrees, ntxig lub koob, tom qab ntawd maj mam thawb lub piston thiab ntxig qhov sib txuas. Ua nws maj mam nrog txhais tes khov kho. Tom qab txhaj tag nrho cov tshuaj insulin rau hauv thaj av subcutaneous, tuav rab koob nyob qhov qub chaw ntev li 6 feeb. Tom qab ntawd rub tawm rab koob tawm thiab muab tshuaj tua kab mob nrog lub qhov tshuaj tua kab mob.
Vim yog cov tshuaj tiv thaiv kab mob thiab txoj kab uas hla ntawm lub koob txhaj tshuaj, qhov feem pua ntawm kev kis tus kab mob hauv lub cev yog tsawg heev. Yog tias koj tau txhaj nrog lub koob txhaj tshuaj ib txwm siv, yuav tsum siv cov tshuaj tiv thaiv kab mob lossis haus dej cawv ua ntej thiab tom qab txhaj tshuaj tas yog qhov tsim nyog.
Thov nco ntsoov tias lub tsev tsim cov leeg tsis yog nyob ntawm kev txhaj tshuaj insulin thiab lwm yam tshuaj. Tus yuam sij rau qhov txiaj ntsig zoo yuav yog:
- Cov khoom noj khoom haus kom zoo thiab sib npaug;
- Kev sib tw tsim kev paub ua tiav;
- Txog sijhawm so.
Kev sib xyaw ua ke ntawm insulin nrog anabolic steroids
Xws li cov ua tau siv tau los siv. Kev siv cov insulin solo muab cov txiaj ntsig tsawg dua li qhov kev sib txuam ua ke. Cov tshuaj anabolic steroids tuaj yeem noj thoob plaws tag nrho cov tshuaj insulin. Cov kws kho mob pom zoo tias koj yuav tsum haus cov tshuaj anabolics li 2-3 lub lis piam tom qab kawg ntawm kev ua haujlwm.
Yog li, ib qho yob me ntawm cov nyhuv yuav tshwm sim.
Yog tias koj ua haujlwm hauv cov kis las kom haum rau lawv, koj tsis tas yuav siv tshuaj insulin. Cov txheej txheem ntawm cov leeg ua lub cev tsuas yog qhia rau kev ncaws pob xwb. Cov kiv cua yuav cia li xav tau kom tu lub cev nrog ntau cov protein ntau shakes.
Cov Khoom Noj Kom Zoo Tom Qab Txhaj
Tus nqi ntawm cov khoom noj uas koj xav noj tom qab txhaj tshuaj yog nyob ntawm lub koob txhaj tshuaj ntawm cov tshuaj insulin. Qhov nruab nrab, cov piam thaj hauv lub cev ntawm cov neeg noj qab haus huv yog 3-5 mmol / litre cov ntshav. 1 lub tsev thauj cov tshuaj hormones txo cov piam thaj ntawm 2.2 mmol. Txhawm rau ruaj khov qhov sib txawv no tuaj yeem lo qab zib lossis ua qab zib chocolate. Muab cov khoom noj carbohydrates ntau raws qhov ntau koj noj.
Cov carbohydrates nrawm nrawm tshaj plaws ua tau hauj lwm zoo. Lawv muaj nyob hauv:
- Khoom qab zib;
- Khoom qab zib;
- Sib txawv confectionery;
- Cov txiv ntoo (txiv hmab, txiv pos, txiv ntoo qab zib);
- Txiv Hmab Txiv Ntoo.
Qhov ntau ntau ntawm cov protein tau pom nyob hauv cov khoom tsiaj. Koj tuaj yeem ua tau qaib, qe qe, tsev cheese, nqaij nyuj. Nws yog qhov zoo dua los ua noj los yog muab nqaij rau hauv qhov cub.
Tej kev ua yuam kev
Qhov yuam kev No. 1 - tsis ua raws li cov thev naus laus zis thaum kev txhaj tshuaj. Qee tus neeg ncaws pob, vim tias tsis muaj kev paub dhau los, tsis txhob txhaj tshuaj subcutaneously, tab sis hauv cov leeg nqaij lossis cov rog.
Yuam kev lej 2 - koj siv cov tshuaj insulin ntau dhau lawm thiab txhaj rau nws thaum lub sijhawm tsis raug. Yog li, koj yuav tsis tsuas yog ua kom tau txais txiaj ntsig tsim nyog, tab sis tseem yuav tsim kev puas tsuaj rau koj lub cev.
Yuam kev tus naj npawb 3 - kev qhia txog cov tshuaj insulin ua ntej kev cob qhia lossis ua ntej dhia rau hauv kev pw tsaug zog. Qhov tseeb yog tias thaum koj qoj ib ce, koj siv ntau lub zog - qab zib. Ntawd yog, ntxiv rau nws cov khib nyiab ntuj, ib feem tseem ceeb ntawm cov piam thaj yog noj los ntawm insulin. Qhov no yuav luag yog 100% lav ntawm qhov pib ntawm hypoglycemia. Qhov pib ntawm hypoglycemia hauv kev npau suav yog qhov txaus ntshai heev, vim tias koj tsis tuaj yeem kho lub cev rov qab los ntawm cov piam thaj thiab yuav tsis pom kev hloov mus rau lub xeev tseem ceeb.
Yuam kev lej 4 - koj tau noj zaub mov me ntsis tom qab txhaj tas. Tom qab txhaj tshuaj, koj yuav tsum tau noj kom txaus cov protein thiab carbohydrates. Vim tias txhim kho kev thauj mus los, cov txiaj ntsig tau zoo yuav nkag mus rau cov leeg nrawm dua. Yog tias lawv xiam, qhov uas twb paub lawm ntshav qab zib hauv lub plawv yuav tshwm sim.
Qhov yuam kev tsawg 5 - kev siv ntawm chav kawm insulin thaum ziab. Nyob rau theem no, cov khoom siv carbohydrate hauv cov kis las noj zaub mov tau txo los yog ploj. Kev txhaj tshuaj txo cov ntsiab lus zoo ntawm cov piam thaj thiab yuav tau ntxiv nrog qee yam. Muaj ntau ntau ntawm cov carbohydrates ceev ceev hauv cov khoom qab zib, thiab lawv tau txwv tsis pub thaum lub sijhawm ziab. Yog li, koj tsuas yog ua kom qhov ua kom tiav ntawm kev ziab.