Ungawbala kanjani kahle umthamo we-insulin wabanesifo sikashukela

Emzimbeni womuntu onempilo, imetabolism ivela njalo. I-hormone i-insulin, ekhiqizwa ekudleni okudla ekudleni, nayo iyabandakanyeka kule nqubo. Ngokuya ngezidingo zomzimba ze-hormone, le nqubo ilawulwa ngokuzenzakalelayo.

Uma kuba nokugula, ukubalwa komthamo we-insulin kuyenzelwa ukwethulwa kwemijovo, okuhloswe ngayo ukugcina impilo yomzimba.

Izenzo zokubalwa zenziwa udokotela obhekele ukunakwa okukhethekile, ngoba umthamo omkhulu kakhulu womjovo wokufakelwa ungadala ukulimala komzimba womuntu.

Ukulungiselela Ukuhlala

Okokuqala, impendulo yombuzo - indlela yokubala isilinganiso se-insulin, ihambisana nokuthengwa kwe-glucometer, ngoba le divayisi ikuvumela ukuba wenze izilinganiso ezijwayelekile zokuba khona kweshukela egazini.

Kuyanconywa futhi ukuthi ugcine idayari ubhale njalo amanothi ohlobo olulandelayo lapho:

1. Izinga le-glucose egazini esiswini esingenalutho ekuseni;
2. Izinkomba ezifanayo ngaphambi nangemva kokudla ukudla;
3. Kuyadingeka ukuqopha ngamagremu inani lamafutha nama-carbohydrate adliwe ekudleni;
4. Izinhlobonhlobo zomsebenzi womzimba usuku lonke.

I-insulin ibalwa iyunithi ngalinye lesisindo sakho. Ngakho-ke, phambi kwalesi sifo, lezi zinkomba kufanele zibhekwe njalo. Futhi, ngaphezu kwalokhu, isikhathi sesifundo sesifo, okungukuthi okuhlangenwe nakho kwaso eminyakeni, siyabalwa.

Ukubalwa kumayunithi wokulinganisa

Ukubalwa komthamo kanye nokuphathwa kwe-insulin kuhlinzeka ngokulandela ngokuphelele yonke imithetho yenqubo. Kulokhu, iyunithi eli-1 lithathwa ngeyunithi ngayinye yokubala umthamo we-hormone. ngekhilogremu yesisindo somzimba womuntu Ngokugula okufana nesifo sikashukela sohlobo loku-1, kuvunyelwe umjovo wokujova ongekho ngaphezu kwe-1.

Ngaphezu kwalokho, izinhlobo ezahlukene zalesi sifo ziyabhekwa: ukubola, i-ketoacitosis, futhi ukunakwa okukhethekile kuyabhekelwa kwabesifazane abakhulelwe abanesifo sikashukela.

Kubalulekile. Emazingeni okuqala esifo, ngama-50% kuphela ejwayelekile yokujova kwe-insulin avunyelwe.

Ngemuva konyaka owodwa wezifo, umthamo wanda kancane kancane uye kumayunithi angama-0.6. Ukugxuma okungalindelekile emazingeni kashukela egazini kungathinta kakhulu. Kulokhu, udokotela angakunquma ukwanda komthamo wokujova kumayunithi angu-0,7.

Njengomthetho, kwabanesifo sikashukela ngohlobo oluhlukile lwesifo, umthamo omkhulu we-hormone uhlukile:

• Ngokubolekwa kwemali, amayunithi angaphezu kuka-0.8 asetshenzisiwe;
• Lapho i-ketoacitosis ivunyelwe amayunithi angaphezu kuka-0.7;
• Kwabesifazane abakhulelwe, umthamo omkhulu weyunithi eli-1 ...

Ngokwesingeniso sokuqala somjovo we-insulin, kubaluleke kakhulu ukuba ne-glucometer ekhaya. Le divayisi izokuvumela ukuthi ucacisele ngesidingo esiphelele senani lemijovo ye-insulin, ucubungula zonke izici zomzimba. Lokhu kungenxa yeqiniso. ukuthi udokotela akahlali njalo ukwazi ukubona ngokunembile inani le-insulin edingekayo emzimbeni womuntu.

Ukusabela okuzinzile kwamaseli womzimba womuntu ku-insulin eyenziwe ngamabomu kwenzeka kuphela ngokusetshenziswa kwawo isikhathi eside. Ukuze wenze lokhu, kutuswa ukulandela irejimeni yomujovo ophakanyisiwe, okungukuthi:

1. Ukuzila ukudla kwasekuseni ngaphambi kokudla kwasekuseni;
2. Ukwethulwa komthamo we-insulin yokwenziwa kusihlwa ngokushesha ngaphambi kokudla.

Ngokuhambisana nalokhu, odokotela bavame ukusebenzisa indlela ehlukile yokusebenzisa i-insulin yokufakelwa ukusetshenziswa okufushane noma okufushane. Kulezi zimo, umthamo wezidakamizwa zokwenziwa akufanele wedlule amayunithi angama-28. ngosuku. Umthamo omncane wesidakamizwa ngale ndlela yokusetshenziswa ngamayunithi ayi-14. Uhlobo olunjani lomthamo ngosuku okufanele ulusebenzisele, udokotela ozokutshela uzokutshela.

Ungasibala kanjani isibonelo se-insulin

Ukuze wenze ukubalwa komthamo we-insulin kube lula kakhulu, izifinyezo ezilandelayo zivame ukusetshenziswa kwezokwelapha:

• I-insulin esebenza isikhathi eside (IPD);
• Umthamo ophelele womjovo we-insulin, obalwe ngosuku lokusetshenziswa (i-SDDS);
• Umjovo we-insulin omfushane (ICD);
• Ukugula - thayipha isifo sikashukela esingu-1 mellitus (CD-1);
• Thayipha isifo sikashukela sohlobo 2 (CD-2);
• Isisindo somzimba esifanele (M);
• Isisindo somzimba esifanele (W).

Ngesisindo somuntu esingamakhilogremu angama-80 kanye nesilinganiso somjovo we-insulin ka-0,6 U, lezi zenzo ezilandelayo zenziwa:
Multiply 0.6 by 80 bese uthola isilinganiso sansuku zonke sama-unit angama-48.

Esigabeni sokuqala sesifo sikashukela sohlobo 1, kusetshenziswa isenzo esilandelayo: i-48 iphindaphindwe ngamaphesenti angama-50 ejwayelekile, okungukuthi ngamayunithi angama-0.5. futhi uthole amanani nsuku zonke amayunithi angama-24. umjovo we-insulin.

Ngokusekelwe kulokhu, singathola isiphetho esilandelayo:

• Nge-SDDS yamayunithi angama-48, umthamo wansuku zonke womjovo amayunithi ayi-16;
• Ngaphambi kwesidlo sasekuseni, amayunithi ayi-10 aphathwa ngesisu esingenalutho;
• Ngaphambi kokudla kwakusihlwa, umthamo osele ufakwe kumayunithi ayi-6;
• I-IPD ilawulwa njalo ekuseni nakusihlwa njalo;
• I-ICD ifaka ukuhlukanisa inani lansuku zonke lomjovo wokwenziwa phakathi kwazo zonke izidlo.

Ngakho-ke, singafinyelela esiphethweni esincane sokuthi wonke umuntu angazibala ngokwakhe ngokuzimela i-insulin umthamo, noma kunjalo, ngaphambi kokusebenzisa umjovo, kunconywa ukuthi uhlolwe ngokuphelele futhi uthintane nodokotela wakho.

Ukubalwa kweKhalori noma i-XE

Kulokhu, i-X ifana nenani lamandla adingekayo kumuntu, ukuze ukusebenza kwezitho zangaphakathi kugcinwe ngaphakathi kobubanzi obujwayelekile.

Kulokhu, ukuqhathanisa nokubopha okwalandela kwi-XE, sibheka izindlela ngazinye zokuhlanganisa ukukhula kuleli nani, kanye nokujwayelekile kokusetshenziswa kwekhalori okuvumelekile:

1. Lapho kukhona ubungako obulinganiselayo bomthwalo ongokomzimba emzimbeni, kuvunyelwe ama-32 kilocalories ngekhilogremu ngayinye yesisindo;
2. Ukuba nomthwalo womzimba ojwayelekile, Kuvunyelwe ama-kcal angama-40 kilo;
3. Ukuzivocavoca umzimba osindayo kubandakanya ukusetshenziswa kwama-kcal angama-48 ngekhilogremu ngayinye yesisindo somzimba.

Isibonelo sokubala inkomba XE

Ukuba nokukhula kwesineke kwamasentimitha ayi-167, inani elilandelako le-167-100 = 67 liyasetshenziswa. Leli nani licishe lilingane nesisindo somzimba samakhilogremu angama-60 kanye nezinga lomsebenzi womzimba lisebenza ngokulingana, lapho inani le-caloric ngosuku liyi-32 kcal / kg. Kulokhu, okuqukethwe kwe-caloric ekudleni kwansuku zonke kufanele kube yi-60x32 = 1900 kcal.

Lokhu kumele kufake lezi zinto ezilandelayo:

• Hhayi ngaphezu kwama-55% ama-carbohydrate;
• Kufika kuma-30% amafutha;
• Amaprotheni awekho ngaphezulu kwe-15%.

Kubalulekile kulokhu, i-1 XE ilingana namagremu ayi-12 ama-carbohydrate. Ngakho-ke, sithola imininingwane yokuthi ukusetshenziswa kwe-261: 12 = 21 XE kuyatholakala kwiziguli

Ukudla nsuku zonke ama-carbohydrate kusatshalaliswa ngokuya ngalemigomo elandelayo:

1. Ngokudla kwasekuseni, akukho ngaphezu kwe-25% okudliwayo;
2. Ukudla kwasemini kuhlinzeka ngokusetshenziswa kwama-40% ama-carbohydrate avela kwisibonelelo sezinsuku;
3. Ukuze uthole isidlo sakusihlwa, kunikezwa ama-10% ama-carbohydrate;
4. Ngokudla kwakusihlwa, kuze kufike ku-25% wokudla okwenziwa nsuku zonke kwama-carbohydrate.

Ngokusekelwe kulokhu, kungaphethwa ngesiphetho esincane sokuthi isiguli esinesifo sikashukela singadliwa isidlo sasekuseni kusuka ku-4 kuye ku-5 XE, ngesidlo sasemini kusuka ku-6 kuye ku-7 XE, ngesidlo sasemini kusuka ngo-1 kuye ku-2 XE, kanye nakusihlwa sakusihlwa futhi 5 XE.

Kuyaqapheleka ukuthi ngefomu lokuqinisa ukwethulwa kwe-insulin yokwenziwa, ukunamathela ngokuqinile ekudleni okungenhla akudingekile.

Isifinyezo esincane

Ezigulini ezinesifo sikashukela mellitus, kubaluleke kakhulu ukuqala ukwelapha isifo esiyingozi ngendlela esheshayo, uma kungenjalo impilo yomuntu ongenzi budedengu impilo yakhe ngeke ibe yinde.

Uma uhlangabezana nezimpawu zokuqala ze-malaise, bese uvakashela udokotela wakho ngokushesha, kungenzeka ukuthi udinga ukwelashwa usebenzisa imijovo ye-insulin.