ʻO ka maʻi kō - diabetes therapy

ʻO ka insulin ka hone i hana ʻia e ka pancreas e kōkua i ke kino e hoʻohana a mālama i ka glucose. ʻO Glucose kahi kumu o ka wahie no ke kino.

Me ka maʻi hē, ʻaʻole hiki i ke kino ke hoʻoponopono i ka nui o ka glucose i loko o ke koko (i kapa ʻia ʻo glycemia a i ʻole ke kō kō. Hiki i ka insulin therapy ke kōkua i kekahi poʻe me ka maʻi kō e mālama i ko lākou mau kō kō.

Māhū ʻia nā Carbohidates mai ka meaʻai i ka glucose a me nā kō. Hoʻokomo ʻia ʻo Glucose mai ka digestive tract i loko o ke kahe o ke koko. Hoʻohaʻahaʻa ka insulin i ke kō i ke kō ma ka ʻae ʻana iā ia e neʻe mai ke kahe o ke koko i nā mākala, momona, a me nā pūnaewele ʻē aʻe, kahi e hiki ai ke mālama a hoʻohana ʻia paha i wahie. 'Inslelo pūʻo Insulin i ke akepaʻa pehea ka nui o ka glucose e hana ai ke hoʻokēʻai ʻoe (ʻaʻole i loaʻa kahi ʻai hou).

Loaʻa i nā kānaka me ka maʻi kō ke koko kō kiʻekiʻe no ka mea ʻaʻole lawa ka nui o ka insulin a ko lākou kino a i ʻole no ka pane pono ʻole o ko lākou kino i ka insulin.

• Me ka maʻi diabetes type 1 ka pancreas e hua liʻiliʻi ai i ka insulin.
• Me ka maʻi maʻisā ʻano 2 ʻaʻole e pane pololei ka momona, ke ake, a me nā mākala muscle i ka insulin. Kapa ʻia kēia ʻo resistamina insulina. Ke holo nei ka manawa, kū ka pancreas i ka hana ʻana i ka nui o ka insulin.

Hoʻololi ʻo Insulin therapy i ka insulina a ke kino e hana maʻamau ai. ʻO ka poʻe me ka maʻi diabetes 1 pono e lawe i ka insulin i kēlā me kēia lā.

Pono ka poʻe me ka maʻi diabetes 2 e lawe i ka insulina ke kū ʻole nā ​​mālama ʻē aʻe a me nā lāʻau i ke kaohi kō kō.

Hāʻawi ʻia nā lāʻau insulina i ʻelua ala nui:

• Paukūʻai basal - hāʻawi i kahi nui o ka insulin i hāʻawi ʻia i ka lā a me ka pō. Kōkua kēia i ka mālama ʻana i nā pae glucose koko ma o ka kaohi ʻana i ka nui o ka glucose a ke ake e hoʻokuʻu ai.
• Laau Bolus - hāʻawi i kahi mahele o ka insulin i nā pāʻina e kōkua i ka neʻe ʻana o ke kō mai ke koko i ka mākala a me ka momona. Hiki i nā moʻo Bolus ke kōkua i ka hoʻoponopono i ke kō kō ke kiʻekiʻe. Kāhea ʻia nā ana Bolus a ʻo nā lā palenaʻai a me nā manawa pāʻina.

Loaʻa kekahi ʻano o ka insulin i loaʻa. Hoʻokumu ʻia nā ʻano Insulin ma nā kumu aʻe:

• Hoʻomaka - pehea ka wikiwiki e hoʻomaka ai ka hana ma hope o ka hoʻopili ʻana
• Kihi - manawa ke ʻoi loa ka ikaika o ka mahele lāʻau
• Ka lōʻihi - ka manawa āpau e noho ai ka mahele lāʻau insulin i ke kahe o ke koko a hoʻohaʻahaʻa i ke kō i ke kō

Ma lalo nā ʻano ʻokoʻa o ka insulin:

• ʻO ka insulin wikiwiki a hana wikiwiki paha hoʻomaka ka hana ma waena o 15 mau minuke, piko i ka hola 1, a mau no 4 mau hola. Lawe ʻia ia ma mua a ma hope paha o ka ʻai ʻana a me nā meaʻai māmā. Hoʻohana pinepine ʻia me ka insulin lōʻihi.
• ʻO ka insulin maʻamau a hana pōkole paha hiki i ke kahe o ke koko 30 mau minuke ma hope o ka hoʻohana ʻana, piko ma waena o 2 a 3 mau hola, a hala 3 a 6 mau hola. Lawe ʻia kēia i ka hapalua hola ma mua o ka ʻai ʻana a me nā meaʻai māmā. Hoʻohana pinepine ʻia me ka insulin lōʻihi.
• Hana kūwaena waena a i ʻole insulina basal hoʻomaka ka hana ma waena o 2 a 4 mau hola, ke kiʻekiʻe ma 4 a 12 mau hola, a hala he 12 a 18 mau hola. Lawe ʻia kēia i ka manawa ʻelua a ʻelua paha lā i ka lā a i ʻole ka hiamoe.
• Insulina hana lōʻihi hoʻomaka e hana i kekahi mau hola ma hope o ka hoʻopili ʻana a hana no ma kahi o 24 mau hola, ʻoi aku ka lōʻihi o kekahi manawa. Kōkua ia i ka mālama ʻana i ka glucose a puni ka lā. Hoʻohui pinepine ʻia me ka insulin wikiwiki a i ʻole pōkole e pono ai.
• Premixed a huikau insulin kahi hui pū o 2 ʻano ʻokoʻa o ka insulin. Loaʻa iā ia kahi mahele basal a me bolus e kaohi ai i ka glucose ma hope o ka ʻai a me ka lā holoʻokoʻa.
• Insulina i hoʻōla ʻia kahi wikiwiki o ka hana ʻana i ka pauda insulin i hoʻomaka i ka hana ma waena o 15 mau minuke o ka hoʻohana. Hoʻohana ʻia ia ma mua o ka ʻai ʻana.

Hiki ke hoʻohana pū ʻia hoʻokahi a ʻoi paha ʻano o ka insulin e kōkua i ke kāohi ʻana i kāu kō kō. Hiki paha iā ʻoe ke hoʻohana i ka insulin me nā lāʻau maʻi diabetes. E hana pū kāu mea mālama ola me ʻoe e ʻike i ka hui kūpono o nā lāʻau no ʻoe.

E haʻi aku kāu mea lawelawe i ka manawa a me ka manawa hea ʻoe e pono ai e lawe i ka insulin. Pili paha kāu papa hana ma:

• Kou kaupaona
• Ke ʻano o ka insulin āu e lawe ai
• Ehia a me nā mea āu e ʻai ai
• Papa o ka hoʻoikaika kino
• ʻO kāu pae kō kō
• Nā kūlana olakino ʻē aʻe

Hiki i kāu mea hoʻolako ke helu i ka lāʻau insulin no ʻoe. E haʻi aku kāu mea lawelawe iā ʻoe pehea a pehea e nānā ai i kāu kō kō a me ka manawa o kāu kau ʻana i ke ao a me ka pō.

ʻAʻole hiki i ka insulin ke lawe ʻia e ka waha no ka mea luku ka waikawa ʻōpū i ka insulin. Hoʻokomo pinepine ʻia ia ma lalo o ka ʻili i loko o nā mea momona. Loaʻa nā ʻano hana hoʻouna insulin like ʻole:

• Insring syringe - Kuhi ʻia ka insulin mai kahi vial i kahi syringe. Ke hoʻohana nei i ka nila, hoʻokomo ʻoe i ka insulin ma lalo o ka ʻili.
• Pahu Insulina - kahi mīkini liʻiliʻi i kau ʻia ma ke kino e pump i ka insulin ma lalo o ka ʻili a puni ka lā. Hoʻopili kahi paipu liʻiliʻi i ka pauma i kahi nila liʻiliʻi i hoʻokomo ʻia i loko o ka ʻili.
• Peni Insulina - ua hoʻopihapiha nā peni insulina piha i ka insulin i hāʻawi ʻia ma lalo o ka ʻili e hoʻohana ana i kahi nila kuapo.
• Inhaler - kahi mea liʻiliʻi āu e hoʻohana ai e inhale i ka pauka insulin ma o kou waha. Hoʻohana ʻia ia i ka hoʻomaka o ka ʻai.
• Awa hoʻouka - hoʻokomo ʻia kahi ʻōmole pōkole i loko o nā mea ma lalo o ka ʻili. Hoʻopili ʻia ke awa i pili i ka ʻili i ka ʻili me ka hoʻohana ʻana i ka lipine liki. Hoʻokomo ʻia ka insulin wikiwiki i loko o ka paipu me ka hoʻohana ʻana i ka syringe a i ka peni. ʻAe kēia iā ʻoe e hoʻohana i ka pūnaewele hoʻouka like no 3 mau lā ma mua o ke kaʻapuni ʻana i kahi pūnaewele hou.

Hiki iā ʻoe ke kamaʻilio me kāu kauka olakino e pili ana i kāu mau makemake i ka hoʻoholo ʻana i kahi ʻano lawe insulina.

Hoʻokomo ʻia ʻo Insulin i kēia mau pūnaewele ma ke kino:

• Kapu
• Uluna
• Mau ʻūhā
• Hip

E aʻo aku kāu mea hāʻawi iā ʻoe pehea e hāʻawi ai i kahi inikina insulina a hoʻohana paha i kahi pauma insulin a i ʻole kekahi hāmeʻa ʻē aʻe.

Pono ʻoe e ʻike pehea e hoʻoponopono ai i ka nui o ka insulin āu e lawe nei:

• Ke hoʻoikaika kino ʻoe
• Ke maʻi ʻoe
• Ke ʻai ana ʻoe i ka mea ʻai a ʻoi aku a liʻiliʻi paha
• Ke huakaʻi nei ʻoe
• Ma mua a ma hope o ke kaha ʻana

Inā lawe ʻoe i ka insulin, e hoʻokaʻaʻike i kāu mea hāʻawi inā:

• Manaʻo ʻoe pono ʻoe e loli i kāu papa hana insulin
• He pilikia paha kāu i ka lawe ʻana i ka insulin
• ʻOi aku ke kiʻekiʻe o kāu kō kō a i ʻole haʻahaʻa paha ʻoe a ʻaʻole maopopo iā ʻoe ke kumu

Diabetes - insulin

• Pahu Insulina
• Ka hana insulina a me ka maʻi kō

Pūnaewele ʻAhahui Diabetes ʻAmelika. Nā kumu kumu insulin. www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/insulin-basics.html. Hoʻohou i Iulai 16, 2015. Loaʻa iā Kepakemapa 14, 2018.

ʻAhahui Diabetes ʻAmelika. 8. Nā lāʻau lapaʻau e hoʻokokoke ana i ka mālama glycemic: Nā kūlana o ka mālama olakino ma Diabetes-2018. Mālama Diabetes. 2018; 41 (Pākuʻi 1): S73-S85. PMID: 29222379 www.ncbi.nlm.nih.gov/pubmed/29222379.

ʻO ka National Institute of Diabetes a me Digestive a me nā maʻi maʻi hakuʻala. ʻO ka insulin, nā lāʻau, a me nā lāʻau maʻi diabetes. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Hoʻohou Nowemapa 2016. Loaʻa iā Kepakemapa 14, 2018.

ʻO ka pūnaewele US Food and Drug Administration. Insulina. www.fda.gov/ForConsumers/ByAudience/ForWomen/WomensHealthTopics/ucm216233.htm. Hoʻohou i Pepeluali 16, 2018. Loaʻa iā Kepakemapa 14, 2018.

• Laau Lapaʻau Diabetes