Kev siv tshuaj insulin luv luv yog ib hom tshuaj tshwj xeeb uas tsim nyog rau kev tswj ntshav hauv cov ntshav qabzib. Nws ua kom txoj haujlwm muaj qee yam ntawm txoj kev ua tiav rau lub sijhawm luv luv, thiab muaj siab solubility.
Feem ntau, cov tshuaj insulin luv luv tau sau tseg rau cov neeg nyob hauv lub cev endocrine no tseem tuaj yeem tsim cov tshuaj hormones. Qhov siab tshaj plaws ntawm cov tshuaj nyob rau hauv cov ntshav yog sau tseg tom qab 2 teev, ua tiav los ntawm lub cev - tsis pub dhau 6.
Mechanism ntawm kev ua
Hauv tib neeg lub cev, cov neeg nyias nyias txiav nyias lub cev yog qhov feem xyuam rau kev tsim cov tshuaj insulin. Sij hawm dhau mus, cov kab mob beta no tiv tsis tau lawv lub luag haujlwm, uas ua rau muaj kev nce siab hauv cov ntshav qab zib ntau ntau.
Thaum luv luv cov tshuaj insulin nkag mus rau hauv lub cev, nws ua rau muaj kev tawm tsam, uas ua kom cov txheej txheem qabzib ua tiav. Qhov no yuav pab kom cov piam thaj hauv cov glucogens thiab cov rog. Tsis tas li ntawd, cov tshuaj yuav pab ua kom muaj kev nqus ntawm cov piam thaj hauv daim siab.
Nco ntsoov tias cov tshuaj zoo li ntawv hauv cov ntsiav tshuaj yuav tsis ua rau muaj mob ntshav qab zib hom 1. Hauv qhov no, cov khoom ua si yuav vau tag hauv lub plab. Hauv qhov no, kev txhaj tshuaj yog qhov tsim nyog.
Rau kev tswj hwm yooj yim siv cov koob txhaj tshuaj, cov xaum qhwv ntsej muag lossis cov twj tso kua mis. Cov tshuaj insulin luv luv yog npaj rau kev kho mob ntshav qab zib hauv thawj theem.
Tshuaj insulin luv luv li cas?
Txhawm rau kom luv luv ua yeeb yam kho cov tshuaj insulin kom zoo li ua tau, ib tug xov tooj ntawm qee qhov kev cai yuav tsum ua raws li:
- Kev txhaj tshuaj yog tsim nyog tsuas yog ua ntej noj mov.
- Kev hno yog muab rau qhov ncauj kom tiv thaiv kev phiv.
- Yuav kom cov tshuaj insulin nqus tau ncaj ncees, qhov chaw txhaj tshuaj yuav tsum raug muab ម៉ាស្សា kom ntev li ob peb feeb.
- Nco ntsoov tias kev xaiv koob tshuaj ntawm cov tshuaj nquag yuav tsum yog tshwj xeeb los ntawm cov kws kho mob koom nrog.
Txhua koob tshuaj ntawm cov yeeb yam luv luv ua yeeb yam yuav tsum tau muab xam ua ib leeg zuj zus. Ua kom zoo, cov neeg mob yuav tsum paub lawv tus kheej nrog cov cai. 1 koob tshuaj yog npaj rau kev ua zaub mov noj, uas yog tus nqi sib npaug zos rau ib lub khob cij.
Kuj sim ua raws li cov lus qhia no:
- Yog hais tias kev xav ntawm cov piam thaj hauv cov ntshav yog qhov qub, ces cov tshuaj rau txo nws yuav xoom. Cov koob tshuaj ntawm cov tshuaj nquag raug coj los ua yog nyob ntawm seb pes tsawg lub khob cij yuav tsum ua tiav.
- Yog tias cov piam thaj cov ntshav nce siab dua li ib txwm, tom qab ntawd rau txhua chav ua mov yuav tsum muaj 2 khob dej ntawm insulin. Hauv qhov no, koj yuav tsum nkag mus rau lawv ua ntej noj mov.
- Thaum kis cov kab mob sib kis los yog hauv cov txheej txheem mob, ntau npaum li cov tshuaj ntawm cov tshuaj insulin nce 10%.
Cov Hom Tshuaj Luv Ntu
Tsis ntev los no, tib neeg tau txhaj tshwj xeeb nrog cov hluavtaws insulin, uas zoo kiag li tib neeg txoj haujlwm. Nws yog qhov pheej yig dua, kev nyab xeeb dua, tsis ua rau muaj kev phiv ntau. Yav dhau los siv cov tsiaj hauv tsiaj - muab tau los ntawm ntshav ntawm tus nyuj lossis npua.
Hauv tib neeg, lawv feem ntau ua rau muaj kev tsis haum. Cov tshuaj insulin luv luv tau tsim los ua kom lub zog tsim cov tshuaj tua kabmob ntawm kev ua kom ntuj ntoo. Hauv qhov no, ib tus neeg yuav tsum tau noj zaub mov kom txaus kom thiaj li tsis ua rau qhov kev poob qis hauv cov concentration ntawm cov piam thaj hauv cov ntshav.
Nws tsis tuaj yeem hais qhov tsis muaj tseeb uas qhov tshuaj insulin luv luv yog qhov zoo dua. Tsuas yog ib tus kws kho mob yuav tsum xaiv yam tshuaj no lossis yam tshuaj no. Nws yuav ua qhov no tom qab kev kuaj mob txuas mus ntev. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv hnub nyoog, poj niam txiv neej, lub cev nyhav, qhov mob hnyav.
Qhov zoo ntawm luv luv ua yeeb yam insulin yog qhov tseeb tias nws pib ua yeeb yam li ntawm 15-20 feeb tom qab kev tswj hwm. Txawm li cas los xij, nws ua haujlwm rau ob peb teev. Cov tshuaj yuav nrov tshaj plaws yog Novorapid, Apidra, Humalag.
Cov tshuaj insulin luv luv ua haujlwm rau 6-8 teev, nws txhua tus yog nyob ntawm qhov chaw tsim khoom thiab cov koob tshuaj ntawm cov tshuaj nquag. Nws cov siab kawg hauv cov ntshav tshwm sim 2-3 teev tom qab kev tswj hwm.
Cov pab pawg insulin hauv qab no yog cov tsis txawv:
- Kev tsim kho caj ces - Rinsulin, Aktrapid, Humulin;
- Semi hluavtaws - Biogulin, Humodar;
- Monocomponent - Monosuinsulin, Actrapid.
Nws tsis tuaj yeem hais qhov tsis muaj tseeb uas qhov tshuaj insulin luv luv yog qhov zoo dua. Ib qho tshuaj tshwj xeeb yuav tsum tau sau tseg hauv txhua kis los ntawm tus kws kho mob uas koom nrog. Ntxiv mus, lawv txhua tus muaj cov koob tshuaj sib txawv, ncua sijhawm ntawm kev coj ua, phiv thiab contraindications.
Yog tias koj xav sib xyaw ua ke cov tshuaj insulins ntawm ntau cov sijhawm ua haujlwm, koj yuav tsum xaiv cov tshuaj los ntawm lub chaw tsim khoom lag luam. Yog li lawv yuav ua haujlwm dua thaum siv ua ke. Tsis txhob hnov qab noj tom qab tswj hwm ntawm cov tshuaj los tiv thaiv kev txhim kho mob ntshav qab zib tsis nco qab.
Tsuas tshuaj thiab tswj hwm
Feem ntau, cov tshuaj insulin raug kho rau kev coj noj coj ua hauv tus ncej, pob tw, sab caj npab, lossis hauv plab. Hauv qee qhov tsis tshua muaj tshwm sim, qhia txog kev tso ntshav lossis txoj hlab ntshav txhaws. Qhov nrov tshaj plaws yog cov tshwj xeeb cartridges, nrog uas nws yog qhov ua tau rau nkag mus rau qee qhov koob tshuaj ntawm cov tshuaj subcutaneously.
Txhaj tshuaj subcutaneous yuav tsum tau ua li ib nrab teev lossis ib teev ua ntej noj mov. Txhawm rau kom tsis txhob ua rau tawv nqaij, qhov chaw txhaj tshuaj tas li hloov tas li. Tom qab koj txhaj, zaws koj daim tawv nqaij kom ua tiav qhov txheej txheem ntawm kev tswj hwm.
Sim ua txhua yam kom zoo rau kev tiv thaiv kom tsis txhob cuam tshuam cov tshuaj tawm ntawm cov hlab ntshav. Qhov no yuav ua rau qhov kev hnov mob hnyav heev. Yog tias tsim nyog, cov tshuaj insulin luv luv tuaj yeem sib xyaw nrog tib qho tshuaj lom neeg ntawm lub sijhawm ntev. Hauv qhov no, qhov ntau npaum li cas thiab cov lus sib xyaw ntawm cov kev txhaj tshuaj yuav tsum raug xaiv los ntawm tus kws kho mob uas koom nrog.
Cov neeg laus uas muaj mob ntshav qab zib yuav noj sijhawm li 8 txog 24 units ntawm insulin ib hnub twg. Hauv qhov no, qhov koob tshuaj tau txiav txim siab nyob ntawm qhov noj mov. Cov neeg uas lub siab ntev rau qhov sib xyaw, lossis menyuam yaus tuaj yeem nqa tsis tshaj 8 chav nyob rau ib hnub.
Yog tias koj lub cev tsis pom qhov cov tshuaj no zoo, ces koj tuaj yeem noj ntau dua ntawm cov tshuaj. Nco ntsoov tias lub siab txhua hnub yuav tsum tsis pub tshaj 40 Chav Nyob rau ib hnub. Qhov ntau zaus ntawm kev siv nyob rau hauv cov ntaub ntawv no yog 4-6 zaug, tab sis yog tias diluted nrog lub sijhawm ntev-ua yeeb yam insulin - txog 3.
Yog tias ib tus neeg tau noj tshuaj insulin luv luv ntev ntev, thiab tam sim no muaj qhov xav hloov nws mus rau kev kho mob nrog tib qho tshuaj lom ntawm lub sijhawm ntev, nws raug xa mus rau tsev kho mob. Txhua yam kev hloov pauv yuav tsum muaj kev saib xyuas los ntawm cov neeg kho mob.
Qhov tseeb yog tias cov xwm txheej no tuaj yeem yooj yim ua rau kev loj hlob ntawm acidosis lossis ntshav qab zib tsis xeev. Qhov phom sij tshwj xeeb yog cov xwm txheej rau cov neeg muaj mob raum lossis mob siab.
Cov kev cai tswj hwm kev siv tshuaj thiab siv tshuaj tshaj
Cov tshuaj insulin luv luv hauv nws cov tshuaj lom neeg yog yuav luag zoo tib yam uas tsim los ntawm tib neeg lub cev. Vim qhov no, cov tshuaj no tsis tshua muaj kev ua xua. Tsis tshua muaj neeg mob, tib neeg hnov khaus thiab khaus ntawm lub chaw txhaj tshuaj ntawm cov tshuaj nquag.
Ntau tus kws tshaj lij pom zoo kom txhaj cov tshuaj insulin rau hauv plab kab noj hniav. Yog li nws pib ua ntau nrawm dua, thiab qhov tshwm sim ntawm kev nkag mus rau hauv cov ntshav lossis cov hlab ntsha yog qhov tsawg heev. Nco ntsoov tias tom qab 20 feeb tom qab kev txhaj tshuaj koj yuav tsum twv kom noj tej yam qab zib.
Ib teev tom qab txhaj tshuaj yuav tsum yog tag nrho cov zaub mov noj. Txwv tsis pub, qhov ntxim nyiam ntawm kev txhim kho hypoglycemic coma yog siab. Tus neeg uas siv cov tshuaj insulin rau noj yuav tsum noj kom raug thiab muaj txhij txhua. Nws cov khoom noj yuav tsum yog nyob ntawm cov zaub mov protein uas tau noj nrog zaub lossis zaub mov noj.
Yog tias koj txhaj cov tshuaj insulin ntau dhau, nws kuj tseem muaj qhov pheej hmoo tias yuav muaj cov ntshav qog ntshav qab zib tsawg dua tiv thaiv cov keeb kwm yav dhau los uas muaj ntshav qabzib tsawg.
Koj tuaj yeem paub txog nws txoj kev txhim kho los ntawm cov cim hauv qab no:
- Kev mob hnyav;
- Xeev siab thiab ntuav;
- Kiv taub hau;
- Tsaus nti hauv qhov muag;
- Kev Tsis Txaus Siab;
- Muaj nce hws;
- Lub plawv palpitations;
- Qhov zoo nkaus li muaj kev ntxhov siab thiab kev coj tsis ncaj.
Yog tias koj pom tias koj muaj tsawg kawg ib qho kev mob tshwm sim ntawm kev siv yeeb yam luv luv, koj yuav tsum haus cov dej qab zib sai li sai tau. Thaum cov tsos mob ua rau me ntsis tsis muaj zog, noj ntau ntawm cov protein thiab carbohydrates. Thaum koj zoo me ntsis koj yuav xav pw tiag.
Daim ntawv thov nta
Nco ntsoov tias kev siv cov insulin luv luv yuav tsum ua raws li qee txoj cai.
Xav txog cov hauv qab no:
- Koj yuav tsum khaws cov tshuaj hauv lub tub yees, tab sis tsis yog hauv lub taub yees txias;
- Qhib cov vials tsis raug rau cia;
- Hauv cov thawv tshwj xeeb nws raug tso cai khaws cia qhib cov tshuaj insulin rau 30 hnub;
- Nws yog nruj me ntsis txwv tsis pub tawm cov tshuaj insulin hauv qhov qhib hnub;
- Tsis txhob sib xyaw nrog cov tshuaj nrog lwm cov tshuaj.
Ua ntej muab cov tshuaj, xyuas yog tias cov nag lossis daus tau tshwm sim, yog tias kua tau dhau los. Tseem tas li saib xyuas kev ua raws nrog cov chaw cia, nrog rau hnub tas sij hawm siv. Tsuas yog qhov no yuav pab khaws lub neej thiab kev noj qab haus huv ntawm cov neeg mob, thiab tseem yuav tsis tso cai rau kev txhim kho ntawm cov kev mob tshwm sim.
Yog tias muaj qhov tshwm sim tsis zoo los ntawm kev siv, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd, vim tias qhov tsis kam siv tshuaj insulin tuaj yeem ua rau muaj kev mob loj heev.
Feem ntau, cov tshuaj insulin luv luv siv nyob rau hauv kev tawm dag zog lub cev. Nws nce qhov ua tau zoo thiab ua siab ntev ntawm ib tus neeg, thiab tseem siv thaum lub sijhawm ziab. Ntawm qhov tsis tau pom qhov zoo ntawm cov tshuaj no, nws tuaj yeem sau tseg tias tsis yog ib qho kev ntsuam xyuas doping tuaj yeem txiav txim siab cov khoom no nyob rau hauv cov ntshav - nws tam sim ntawd yaj thiab nkag mus rau hauv lub txiav.
Nco ntsoov tias nws yog txwv tsis pub sau ntawv rau cov tshuaj no rau koj tus kheej, qhov no tuaj yeem ua rau muaj kev rau txim loj, xws li lub cev tsis zoo lossis kev tuag. Cov neeg uas noj tshuaj insulin yuav tsum pub ntshav pab lawv cov ntshav qabzib tas mus li.
