Noocyada insulin ee loo isticmaalo taageeridda daaweynta asalka ah
Marka ay timaado qaadashada insulin , waxaa jira noocyo badan oo hormoon ah kuwaas oo ay kala duwan yihiin xawaaraha ay ku dhaqmaan. Tani, markaa, waxay go'aamisaa goorta iyo sida foom kasta loo isticmaalo. Qofkasta oo qaba sonkorowga nooca 1 , iyo qaar ka mid ah noocyada sonkorowga nooca 2 , waxay u baahan yihiin inay insulin qaataan si wax ku ool ah oo wax looga qabto gulukoosta cuntada.
Marka la eego nooca 1aad ee diabeteska, tani waxay sababtaa in gawracatadu aysan ka dhigi karin hormoonka.
Marka la eego nooca 2aad ee sonkorowga, boogaha wuxuu awoodaa inuu sameeyo insulin, hase yeeshee jidhku uma jawaabi karo maadaama uu u baahan yahay waana inuu u baahan yahay insulin dheeraad ah si loo magto.
Doorka Insulinnada Muddo-dheer iyo Dhaqdhaqaaq Gaaban
Insulin waxaa la siiyaa foomam dheer si loo hubiyo in badan oo ah nidaam joogto ah oo ah heerarka insulin, halka qaababka gaaban ee ujeedadoodu ay tahay in la yareeyo sonkorta dhiiga.
- Waxaanu tixraacaynaa qaabka dheer ee loo yaqaan ' insulin basal' (basal macnaha 'asalka') tan iyo markii uu ka shaqeeyo asalka si uu u ilaaliyo sonkorta dhiigga.
- Foomamka gaaban oo la yiraahdo bolus insulin (bolus macnaheedu yahay "qiyaasta hal") maaddaama loola jeedo in si gooni ah loo qaato waqtiyada cuntada si loo ilaaliyo heerarka sonkorta dhiigga.
Sida Bolus Insulin u shaqeyso
Insulin Bolus wuxuu loola jeedaa qiyaasta dheeraadka ah ee insulinta ee beeryaradu caadi ahaan soo saari doonaan marka laga jawaabayo sonkorta (glucose) ee laga qaado cuntada. Heerka wax-soo-saarka wuxuu ku xiran yahay inta badan cabbirka iyo nooca cuntada ee ku lug leh.
Dadka qaba sonkorowga nooca 1, beeryaradu mar dambe ma awoodaan inay insulin ka dhigaan unugyada beta oo soo saaro hormoonka si weyn loo xiray. Taas awgeed, insulin bolus ayaa loo isticmaali doonaa, marka loo baahdo, si loo magdhabo khasaarahan.
Si loo hubiyo in caadada joogtada ah ee heerka sonkorta dhiigga, dad badan ayaa badanaa raaci doona nidaamka asaasiga ah ee xajmigaas oo dhowr jeer la qaato maalin kasta oo loogu talagalay ujeedooyinka dayactirka iyo ujeedada dayactirka labadaba.
Insulin Bolus waxaa la keenaa cirbad, halka insulinta basal la geyn karo cirbadeynta ama bamka joogto ah, bamka insulin 24 saacadood ah .
Noocyada Insulin Bolus
Waxaa jira laba nooc oo ah insulin-bolus: farsamo -degdeg ah (oo sidoo kale loo yaqaanno dhaqsaha dhaqdhaqaaqa) iyo insulin-gaaban-yar (oo loo yaqaan insulin joogto ah). Afarta farqiga ugu weyn ee u dhaxeeya noocyada insulin-ku waa:
- Intee ayey dhakhso u gaari karaan dhiigga
- Marka ay bilaabaan in ay yareeyaan sonkorta dhiigga (ficilka bilawga ah)
- Marka ay bilaabaan inay shaqeeyaan ugu adkaadaan (ficilka ugu sareeya)
- Ilaa intee ayay soconayaan (muddada)
Insulinta degdegga ah ee dhaqdhaqaaqa leh waxay bilaabi kartaa sonkorta dhiiggaaga shan ilaa 15 daqiiqo. Insulin-gaaban oo gaaban, marka loo eego, waxay leeyihiin bilawga illaa 30 daqiiqo. Labada noocba waxay leeyihiin mudo ah ilaa shan saacadood.
(2015), foomka la nuugo insulin degdeg ah, oo loo yaqaan 'Afrezza', ayaa laga heley Maraykanka. Hase yeeshee, macaamiil, iyo xanaaq bixiyaha ayaa keeney in soo-saaraha uu joojiyo dadaalka suuq-galka isla marka uu sii daayo badeecadda.
Noocyada dhakhsaha badan ee dhaqdhaqaaqa Bolus Insulin
Hadda waxaa jira saddex insulin degdeg ah oo ay ansaxisay Maamulka Maraykanka ee Cuntada iyo Maandooriyeyaasha (FDA):
- Novologi (insulin cirbadeynta)
- Hawlgalkooda bilaabista: shan ilaa 15 daqiiqo
- Tallaabo tallaabo: hal ilaa saddex saacadood
- Muddada: saddex ilaa shan saacadood
- Apidra (insulin cirbadoomiinta)
- Hawlgalkoodii hore; shan ilaa 15 daqiiqo
- Tallaabo tallaabo: 30 illaa 90 daqiiqo
- Muddada: saddex ilaa shan saacadood
- Humalog (insulin lispro)
- Hawlgalkoodii hore; shan ilaa 15 daqiiqo
- Tallaabo tallaabo: 30 illaa 90 daqiiqo
- Muddada: saddex ilaa shan saacadood
Noocyada Insulin ee Bolus-yar oo dhaqdhaqaaqa
Waxaa hadda jira laba insulin yar oo shaqaynaya oo ay ansixisay FDA. Labadaba waxaa lagu tilmaamaa "insulin joogto ah" iyadoo la isticmaalayo xidhiidhka (R).
- Humulin (R)
- Hawlgalku waa: shan shan daqiiqo
- Tallaabo tallaabo: laba illaa afar saacadood
- Muddada: shan ilaa siddeed saacadood
- Novolin (R)
- Hawlgalku waa: shan shan daqiiqo
- Tallaabo tallaabo: laba illaa afar saacadood
- Muddada: shan ilaa siddeed saacadood
> Isha:
> Ururka Diabetes-ka Maraykanka. "7. Hordhaca daaweynta glycemic." Diabetes Care . Janaayo 2016; 39 (Sahay 1): S52-S59.