Irin insulin amfani don tallafawa farfadowa
Idan yazo da shan insulin , akwai nau'i-nau'i da dama na hormone wanda aka bambanta da gudun da suke aiki. Wannan, bi da bi, yana ƙayyade lokacin da yadda ake amfani da kowane nau'i. Duk wanda ke da ciwon sukari iri daya , da wasu masu ciwon sukari iri biyu , ya buƙaci ɗaukar insulin don aiwatar da glucose mafi kyau daga abinci.
Tare da ciwon sukari na iri 1, wannan shi ne saboda pancreas ba zai iya yin hormone ba.
Tare da ciwon sukari na iri 2, pancreas zai iya yin insulin, amma jikin ya sake amsawa kamar yadda ya kamata kuma zai bukaci karin insulin don ya biya.
Sakamakon Sulhun ƙaddarar-lokaci da gajeren lokaci
An bayar da insulin a cikin siffofin dogon lokaci don tabbatar da ƙarin tsari na tsaftacin matakan insulin, yayin da siffofin gajeren lokaci na nufin rage ƙananan spikes a cikin jini sugar.
- Muna komawa zuwa tsari mai tsayi kamar basal insulin (basal ma'anar "baya") tun da yake yana aiki a bango don kiyaye jinin jini.
- Ana kiran sifofin da ake kira bolus insulin (bolus ma'anar "kwaya daya") tun lokacin da ake nufi a dauki shi a lokutan cin abinci don kiyaye matakan jini a karkashin iko.
Yadda Bolus Insulin ke aiki
Bolus insulin yana nufin karin adadin insulin wanda zaiyi amfani da shi a madadin sukari (glucose) wanda aka dauka ta hanyar abinci. Matsayin samarwa ya dogara ne akan girman da nau'in abincin da ake ciki.
A cikin mutane masu ciwon sukari iri na 1, ƙwayar jikin ba ta iya yin insulin a matsayin sassan beta wanda ya haifar da hormone sun rufe. Saboda haka, za a yi amfani da insulin za a yi amfani da shi, idan an buƙata, don ramawa saboda wannan asarar.
Don tabbatar da daidaituwa na matakan jini, mutane da yawa zasu bi tsarin tsarin basal-bolus sau da yawa wanda aka dauka da dama a kowane lokaci a duk rana don dalilai na kulawa da abincin lokaci.
An yi amfani da allurar insulin a cikin Bolus, yayin da insulin za a iya fitowa ta hanyar allurar rigakafi ko ci gaba, mai insulin pump 24 hours.
Irin Bolus Insulin
Akwai nau'o'i biyu na bolus insulin: aiki mai sauri (wanda aka sani da sauri) da kuma insulin (wanda aka sani da insulin). Babban bambanci hudu da ke tsakanin waɗannan nau'in insulin shine:
- Yaya da sauri suka isa jini
- Lokacin da suka fara rage jini sugar (farko aiki)
- A lokacin da suka fara aiki da mafi wuya (mataki mafi girma)
- Yaya tsawon lokacin da zasu wuce (duration)
Magunguna na hanzari na sauri zasu iya fara rage jinin jini a cikin minti biyar zuwa 15. Ra'ayoyin ɗan gajeren lokaci, da bambanci, suna da farko game da minti 30. Dukansu siffofin suna da tsawon lokaci har zuwa sa'o'i biyar.
(A shekara ta 2015, an yi amfani da insulin, mai suna Afrezza, wanda aka yi amfani da shi, a Amurka. Duk da haka, mabukaci, da masu kulawa da rashin kulawa, sun jagoranci masana'antun su dakatar da aikin kasuwancin nan da nan bayan an fitar da samfurin.)
Nau'in Rahoton Bolus Insidine na Rapid-Act
A halin yanzu dai akwai Cibiyar Abinci da Harkokin Kiyaye na Amurka (FDA) guda uku da suka amince da su:
- Novolog (insulin aspart allura)
- Aiki na farko: minti biyar zuwa 15
- Yanayi mafi girma: daya zuwa uku
- Duration: sau uku zuwa biyar
- Apidra (allurar insulin)
- An fara aiki; minti biyar zuwa 15
- Yanayi mafi girma: 30 zuwa 90 minutes
- Duration: sau uku zuwa biyar
- Humalog (insulin samfurin injection)
- An fara aiki; minti biyar zuwa 15
- Yanayi mafi girma: 30 zuwa 90 minutes
- Duration: sau uku zuwa biyar
Types of Bolus Insulin
A halin yanzu akwai takunkumi na gajeren lokaci da FDA ta amince. Dukansu an lasafta su ne a matsayin "insulin" na yau da kullum ta yin amfani da ƙididdiga (R).
- Humulin (R)
- Aiki na farko: minti 15
- Ɗaukaka mataki: sa'o'i biyu zuwa hudu
- Duration: tsawon biyar zuwa takwas
- Novolin (R)
- Aiki na farko: minti 15
- Ɗaukaka mataki: sa'o'i biyu zuwa hudu
- Duration: tsawon biyar zuwa takwas
> Source:
> Ƙungiyar Ciwon Yankakken Amirka. "7. Yana fuskantar Glycemic Jiyya." Ciwon sukari Kulawa . Janairu 2016; 39 (Sanya 1): S52-S59.