Idan kana da ciwon sukari iri na 2 , tabbas ka sani cewa salon lafiya - ciki har da abinci, motsa jiki da kulawa da nauyi - yana da mahimmancin bangare na jiyya. Kuna iya buƙatar daukar magungunan magunguna, ko dai wata miyagun ƙwayoyi ko haɗuwa da kwayoyi. Idan nau'in ciwon sukari na 2 ba shi da lafiya a kan maganin magunguna, za ku iya buƙatar ɗaukar insulin.
Ta Yaya Ayyukan Insulin?
Insulin yana taimakawa wajen kiyaye matakan jini a cikin al'ada ta hanyar motsi glucose daga jini zuwa jikin jikinka. Kwayoyinku suna amfani da glucose don makamashi. Mutanen da ba su da ciwon sukari suna yin daidai da insulin a kansu.
Idan kana da ciwon sukari iri na 2, zaka iya sarrafa matakan insulin da sukarin jini tare da maganin magunguna . Duk da haka, wasu mutane masu ciwon sukari iri biyu ba zasu iya sarrafa jini da sukari tare da magungunan magunguna ba kadai kuma suna bukatar su ƙara insulin injections zuwa maganin su.
Ta yaya zan ɗauki insulin?
Kuna buƙatar koyon yadda za a yi amfani da insulin, wanda zaka iya buƙatar ɗauka daya ko sau sau a kowace rana. Kwararka ko likitancin ciwon sukari zai iya taimaka maka ka yanke shawara ko wane hanya na daukar insulin zai fi dacewa gare ka kuma zai koya maka yadda za a yi kanka kanka .
Samun injections. Za ku ba da kanku fuska ta amfani da allura da sirinji. Dikita ko likita za su nuna maka yadda za a sami adadin insulin cikin sirinji da kuma yadda za a zura shi a karkashin fata.
Wasu mutane suna amfani da penulin insulin, wanda yayi kama da alkalami amma yana da allura don tsayinsa kuma an cika shi da adadin insulin.
Yin amfani da injector insulin jet. Wannan na'urar, wanda yake kama da babban alkalami, yana aika da shinge na insulin ta fata ta da iska mai matsananciyar iska maimakon wani allura.
Amfani da insulin pump. Kwafa insulin shine karamin inji wanda zaka iya sa a waje na jikinka akan belin ko cikin aljihu. Fiti ya haɗa zuwa karamin tube da ƙananan ƙwayar da aka saka a karkashin fata kuma ya zauna a cikin kwanaki da yawa. Kayan aiki yana tayar da insulin ta cikin tube a jikinka.
Yaushe zan dauki insulin?
Kwararku zai ba da shawara akan jadawalin ku wanda ya gaya muku lokacin da yawancin insulin ya ɗauka. Lissafinku zai dogara ne akan irin insulin da kake amfani dasu da kuma aikin yau da kullum, ciki har da lokacin da ka ci abincinka da kuma yadda za ka motsa jiki.
Wasu mutanen dake dauke da ciwon sukari 2 wadanda suke shan magungunan magunguna ne kawai zasu buƙaci bugun insulin kowace rana. Wasu na iya buƙatar insulin injections biyu, uku, ko sau hudu a rana don cimma burin glucose na jini.
Mene Zamanin Insulin Akwai Akwai?
Kowane irin insulin yana aiki a wani daban daban. Hannun insulin daban-daban sun bambanta tsawon lokacin da suke aiki a jikinka.
Alal misali, insulin zai fara aiki a cikin mintina 15 bayan ka ɗauki shi kuma yayi aiki na kimanin uku zuwa biyar. Halin insulin zai fara aiki a cikin sa'a daya bayan da kayi amfani da shi har tsawon sa'o'i 24. Wasu mutanen dake dauke da ciwon sukari 2 suna buƙatar guda biyu ko fiye da insulin don su kai ga ciwon glucose na jini.
Kowane irin insulin yana da farawa, tsayi, da kuma lokaci mai tsawo.
- Da farko shine yadda jimawa insulin fara aiki don rage jinin jini bayan kun yi shige.
- Mafi girma shine lokacin da insulin yana aiki mafi wuya a rage jinin jininku.
- Tsawon lokaci shine tsawon lokacin insulin yana cikin jikinka - adadin lokacin da ya rage rage jinin jini.
Saboda kowane mutum da ciwon sukari iri biyu yana da bambanci, da farko, tsayi, da kuma lokutan lokaci na iya zama daban. Kungiyar kula da lafiyar masu ciwon sukari za su yi aiki tare da ku don su zo da tsarin insulin da ke aiki mafi kyau a gare ku.
Wadannan su ne wasu daga cikin insulin:
Yin insulin mai karfi
Farawa: 5 zuwa 15 minutes
Girma: 30 zuwa 90 minutes
Duration: 3 zuwa 5 hours
Misalai:
- Apidra (insulin glulisine)
- Humalog (insulin lispro)
- NovoLog (insulin aspart)
Ingancin gajere
Farawa: 30 zuwa 60 minutes
Girma: 2 zuwa 4 hours
Duration: 5 zuwa 8 hours
Misalai:
- Humulin R (insulin na yau da kullum)
- Novolin R (insulin na yau da kullum)
Matsakaici-aiki insulin
Farawa: 1 zuwa 3 hours
Peak: 8 hours
Duration: 12 zuwa 16 hours, amma zai iya zama har tsawon 24 hours
Misalai:
- Humulin N (NPH insulin)
- Novolin N (NPH insulin)
Yin insulin mai tsawo
Farawa: 1 awa
Kira: ba gani
Duration: 20 zuwa 26 hours
Misalai:
- Lantus (insulin glargine)
- Levemir (insulin detemir) (wannan magani yana dogara ne don haka yana iya wucewa har tsawon sa'o'i 6)
Ingancin da aka haɗuwa
Tunda wasu mutanen da ke fama da ciwon sukari suna buƙatar daukar nau'in insulin guda biyu don sarrafa yaduwar jini, haɗuwa da insulin mai tsaka-tsakin kuma ko dai insulin ko kuma insulin gajere suna samuwa.
Farawa: 5 zuwa 60 minutes
Girma: bambanta
Duration: 10 zuwa 16 hours
Misalai:
- Humalog 50/50 (50% matsakaici-aiki + 50% mai sauri)
- Humalog 75/25 (75% matsakaici-aiki + 25% mai sauri)
- Humulin 50/50 (kashi 50% na tsaka-tsaki + 50% gajere)
- Humulin 70/30 (70% matsakaici-aiki + 30% gajere)
- Novolin 70/30 (70% matsakaici-aiki + 30% gajere)
- NovoLog 70/30 (70% matsakaici-aiki + 30% mai sauri)
Mene ne Hanyoyin Insulin?
Abubuwan da zasu iya haifar da insulin sun hada da:
- glucose mai ƙananan jini (hypoglycemia)
- riba
Haɗuwa da insulin tare da magungunan magungunan da ake amfani dashi don bi da ciwon sukari na 2 yana ƙaruwa game da hadarin ƙananan jini sugar musamman ma idan kana motsa jiki fiye da saba ko idan ka yi tsalle, jinkirta, ko ka ci kadan.
Wani memba na ƙungiyar masu ciwon sukari za ta sake nazarin alamun jini mai ƙananan jini tare da kai kuma zai koya maka game da abin da ya kamata ka yi a lokacin da sukarin jini ya yi ƙasa ƙwarai.
A bayanin ƙarshe, idan kuna shan insulin don ciwon sukari, kuna iya yin la'akari da amfani da sabon fasahar da ake kira ci gaba da glucose (CGM). Yawancin lokaci, mutanen da suka dauki insulin don nau'in cututtukan 2 (ko iri 1) suna buƙatar yin dogayen yatsa da yawa a rana don gwada matakan glucose na jini. CGM wani kayan da ba shi da amfani wanda ke ci gaba da lura da matakan glucose na jini ba tare da buƙatar yawan sandun sanda ba. Duk da haka, a tsakanin ƙananan yatsa guda uku da hudu ana buƙatar yin gyare-gyaren injin.
Yin amfani da CGM zai taimaka wajen lura da ƙwayoyin glucose na jini a lokutan da ba za ku iya duba ƙwayoyin glucose na jini ba, kamar su yayin barci ko yayin yin amfani da su. Amfani da wannan bayani, likitan ku iya daidaita hanyoyin nazarin insulin don ya fi dacewa da abubuwan da kuke buƙata kuma ku samar da mafi kyawun glycemic. Cibiyoyin masu ciwon sukari suna bada shawarwari tare da CGM kuma wasu lokuta ana rufe su da inshora. Idan yana da sha'awa, don Allah a tambayi likita game da CGM.
Sources
Ci gaba da Kulawa da Glucose. www.niddk.nih.gov.
Magunguna masu ciwon sukari. Ciwon Gidauniyar Masarautar Ciwon Gida. Satumba 2006. https://www.niddk.nih.gov/health-information/diabetes/diabetes-medicines