Domin fahimtar muhimmancin basal da bolus insulin, yana da muhimmanci mu fahimci yadda jiki yake amfani da glucose da insulin.
Lokacin da aka ci abinci, an yi digested kuma ya canza zuwa glucose (sukari) don haka za'a iya amfani dashi don makamashi. Kusan kowace tantanin jiki, ciki har da kwakwalwarka, yana buƙatar glucose don aiki yadda ya kamata. An buƙatar insulin hormone don ɗaukar wannan glucose a cikin sassan jiki a duk sassan jikin don a iya amfani dasu don makamashi.
Wasu daga cikin wannan glucose an adana a cikin hanta a matsayin mai da aka tanada (wanda ake kira glycogen) wanda aka saki lokacin da ba a samo glucose ta hanyar abinci. Saboda haka, tsakanin glucose da aka cinye ta abinci da abin da aka cire daga cikin hanta, jiki yana samun kyautar glucose. Wannan kuma yana nufin cewa akwai bukatar samar da insulin a cikin jiki don kiyaye adadin glucose a ma'auni.
Tun da karin glucose da aka samar bayan cin abinci, pancreas ya ɓoye insulin. Lokacin da yawan glucose ya rage, kamar tsakanin abinci ko daren, akwai insulin da ake buƙata - amma akwai koda karamin insulin din a cikin jiki a kowane lokaci.
Bayyana Basal da Bolus Insulin
Basal insulin shine insulin ne wanda ake ba da shi ta hanyar pancreas kuma yana da 24 hours a rana, ko mutumin ya ci ko a'a. Bolus insulin yana nufin karin hawan insulin wanda zaiyi amfani da glucose a cikin abinci.
Yawan adulus insulin samar ya dogara ne akan girman abincin.
A cikin mutumin da ke da ciwon sukari na 1 , pancreas ba ta yin insulin ta atomatik ba tare da yaduwar glucose ba. Kwayoyin beta dake samar da insulin sun rufe su. Duka basal, ko insulin mai tsawo na tsawon lokaci, da kuma buɗaɗɗen insulin da ake buƙata a lokacin cin abinci, dole ne a samu ta hanyar injections ko insulin pump don a aiwatar da dukan glucose da aka samu ta hanyar abinci ko kuma ta hanyar hanta .
Irin Basal da Bolus Insulins
Hannun maganin jinkiri, irin su NPH, Levemir, da Lantus, zasu fara aiki a cikin awa 1-2 amma ana saki sannu-sannu don haka zasu iya wuce har zuwa awa 24, suna bada insulin wanda ake bukata a kowane lokaci .
Ayyuka masu tsauraran hanzari, irin su NovoLog, Apidra, Humalog, da Regular, kullum suna aiki a cikin minti 15. Banda shi ne Kullum, wanda yana da farko na kimanin minti 30. Kowane ɗayan waɗannan hawan ƙwallon an shirya su ne kafin a ci abinci kuma suna da tsawon lokaci har zuwa sa'o'i biyar don NovoLog, Apidra, da Humalog, da kuma hutu bakwai na Regular.
Wannan na nufin mutum da ke dauke da ciwon sukari na 1 zai yi amfani da inganci da yawa a cikin insulin kowace rana don rufe abincin da abincin su, tare da basal don kiyaye insulin baya a rajistan.
Basal da Bolus Insulin tare da farashin insulin
Mutumin da ke amfani da furanni na insulin zai samu yawancin kashi mai yawan insulin da zai yi aiki a matsayin insulin. Kafin abinci, mai yin amfani da famfo zai ba da kashi mafi girma na insulin da sauri don rufe abincin da za a ci. Wannan yana gamsar da basal da bolus yana buƙatar yin amfani da insulin din nan mai sauri.
Ko injecting tare da sirinji ko amfani da insulin pump, ainihin dosing da kuma irin insulin (s) da aka yi amfani da shi za su ƙaddara ta ma'aikatan kiwon lafiya.
Sources
- Insulin. Ƙungiyar Ciwon Yankakken Amirka. "Jagoran Mai Amfani 2011." Sanarwar ciwon sukari , Janairu 2011, Vol, 64, No. 1.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Nau'in Insulin." Ciwon Kai-Kai , 2009.
- Newton, C, MD. "Dalilin da yasa Basal-Bolus Zubar da Ingancin Insulin zai iya kasancewa mafi kyawun ƙin Ciwon sukari na 2." Ciwon sukari , ranar 27 ga Nuwamba, 2007.