E aʻo pono kākou e pili ana i nā inikini insulin. He mea nui loa kēia no ka kaohi ʻana i kāu maʻi diabetes!

Inā ʻoe e noho nei me ka maʻi diabetes Mellitus, ua lohe paha ʻoe e pili ana i ka inikini insulin. Ua haʻi aku paha kāu kauka iā ʻoe e hoʻohana. No laila he aha kēia insulin? He aha ka mea e hana ʻia me ia? Aia kekahi mau ʻano like ʻole? Loaʻa paha iā ʻoe nā nīnau e like me kēia. E kamaʻilio kākou e pili ana i nā mea āpau i kēia lā me ka maʻalahi a me ka maopopo, ʻeā? ʻAʻohe mea e makaʻu ai, ke ʻike ʻoe i kēia mau mea, e ʻoluʻolu ʻoe.

He aha ka insulin? No ke aha mākou e pono ai?

I ka ʻōlelo maʻalahi, he hormone koʻikoʻi loa ka insulin i hana ʻia i loko o ko kākou kino. Aia kekahi ʻōkana liʻiliʻi i kapa ʻia ʻo ka pancreas, ʻeā, i loko o ko kākou ʻōpū? ʻO ia kahi e hana ʻia ai kēia hormone i kapa ʻia ʻo ka insulin.

No laila, he aha ka hana a kēia insulin? ʻO ka hana nui a ka insulin, ʻo ia ke lawe ʻana i ke kō (glucose) mai ka meaʻai a mākou e ʻai ai, mai ke koko mai, a hoʻouna aku i loko o nā ʻāpana liʻiliʻi o ke kino, e kōkua ana iā mākou e hana i ka ikehu e pono ai mākou e hana i kā mākou hana o kēlā me kēia lā. E noʻonoʻo e like me ʻoe e pono ai i kahi kī e wehe ai i ka puka o kahi hale, pono ʻoe i kahi kī i kapa ʻia ʻo ka insulin e hoʻouna i ke kō i loko o kā mākou mau ʻāpana.

No laila, no ke aha e pono ai ke hāʻawi ʻia ka insulin i waho i kahi kanaka me ka maʻi diabetes? Ke loaʻa iā ʻoe ka maʻi diabetes, ʻaʻole paha e hana ka pancreas i ka insulin liʻiliʻi, a i ʻole ʻaʻole lawa ka nui o ka insulin i hana ʻia no ke kino, a i ʻole ʻaʻole hiki i ka insulin i hana ʻia ke hana pono. No kekahi kumu, ʻaʻole hiki i ke kō i loko o ke koko ke komo i loko o nā ʻāpana a hōʻiliʻili i loko o ke koko, e piʻi ai ke kiʻekiʻe o ke kō koko. ʻO ia ka manawa e pono ai ʻoe e hāʻawi i ka insulin i waho ma ke ʻano he inikini e kāohi i ke kiʻekiʻe o ke kō koko. Ua like kēia me ka hoʻolako ʻana i kahi mea i nele i ko mākou kino.

E hoʻomaopopo kākou pehea e hana ai ka inikini insulin? (Hoʻomaka, Kiʻekiʻe, Ka lōʻihi)

I kēia manawa, ke kuhikuhi mai kāu kauka iā ʻoe i ka insulin, ua lohe paha ʻoe i ʻekolu mau huaʻōlelo ʻē aʻe i ʻōlelo ʻia me kona inoa: 'Onset', 'Peak', a me 'Duration'. ʻOiai he mau huaʻōlelo Pelekania kēia, ʻo ka ʻike pono i ko lākou manaʻo he mea nui loa ia no ka mālama ʻana i kāu maʻi diabetes. E nānā kākou i ke ʻano o kēlā me kēia.

'Hoʻomaka' (manawa o ka hoʻomaka ʻana)

ʻO ka 'Onset' ka lōʻihi o ka manawa e hoʻomaka ai ka insulin e hana i loko o kou kino ma hope o kou hoʻokomo ʻana iā ia, ʻo ia hoʻi, hoʻomaka ia e hoʻohaʻahaʻa i kou kō koko. E like me ka lōʻihi o ka manawa no mākou e hoʻomaka ai e holo paikikala, lōʻihi kekahi mau insulin e hoʻomaka ai e hana. Hoʻomaka koke kekahi e hana, aʻo kekahi e lōʻihi iki.

'Piko' (manawa o ka hana nui loa)

ʻO ka 'Peak' ka manawa e hoʻokomo ʻia ai ka insulin a hana ikaika loa ia e hoʻohaʻahaʻa i ke kō koko. ʻO kēia ka manawa e loaʻa ai ka hopena nui loa o ka insulin. I loko o kēia 'Peak', hiki i nā pae kō koko ke hāʻule koke i lalo loa (kahi kūlana i kapa ʻia ʻo 'Hypoglycemia'). No laila, he mea nui loa ka makaʻala i kēia mau manawa 'Peak' a e makaʻala i nā mea e like me ka ʻai ʻana i kēlā mau manawa.

'Lōʻihi' (ka manawa hana holoʻokoʻa)

ʻO ke ʻano o ka "Lōʻihi" e pili ana i ka lōʻihi o ka hopena o ka insulin i loko o kou kino. ʻO ia hoʻi, ma hope o hoʻokahi inikini, e kōkua ia i ka hoʻomalu ʻana i kou kō koko no nā hola he nui. Hana kekahi mau insulin no kekahi mau hola wale nō, aʻo kekahi e hana no 24 mau hola a ʻoi aku paha.

ʻOkoʻa loa kēia mau mea e like me 'Onset', 'Peak', a me 'Duration' mai kekahi ʻano insulin a i kekahi. ʻO ia ke kumu e koho ai kāu kauka i ka insulin kūpono iā ʻoe, ma muli o nā kumu he nui, e like me kāu mau ʻano ʻai, pehea ʻoe e hoʻoikaika kino ai, a me kāu mau hana o kēlā me kēia lā.

E nānā kākou i ke ʻano o kēia mau ʻano insulin.

Aia kekahi mau ʻano insulin. Hoʻokaʻawale nui ʻia lākou e like me ka wikiwiki o kā lākou hoʻomaka ʻana e hana (Onset), ka wā e loaʻa ai ko lākou hopena kiʻekiʻe loa (Peak), a me ka lōʻihi o ko lākou mau ʻana i ke kino (Duration).

ʻInisulina hana wikiwiki

ʻO kēia ʻano insulin, e like me ka inoa e hōʻike nei, hoʻomaka koke ka hana. Hoʻomaka pinepine ia e hana i loko o 5-20 mau minuke o ka hoʻokomo ʻia ʻana. ʻO kona 'peak', a i ʻole ka hopena kiʻekiʻe loa, hiki mai i loko o 1-3 mau hola , a ʻo kona hopena holoʻokoʻa e mau ana ma kahi o 3-5 mau hola . Lawe pinepine ʻia ma mua a i ʻole i ka wā o ka ʻai.

• Nā laʻana: `Insulin glulisine (Apidra®)`, `Insulin aspart (Novolog®)`, `Insulin lispro (Humalog®)` (U-100/U-200).

E noʻonoʻo ʻoe e hoʻomākaukau ana ʻoe e ʻai i ka laiki i kēia manawa. A laila, ʻo ka lawe ʻana i kēia ʻano insulin e kōkua iā ʻoe e kāohi koke i ka nui o ke kō i hoʻohui ʻia i kou koko mai ka meaʻai āu e ʻai ai.

ʻInisulina hana pōkole

Ua kapa ʻia hoʻi kēia ʻo 'insulin maʻamau'. ʻAʻole wikiwiki kēia e like me ka insulin hana wikiwiki i ʻōlelo ʻia ma mua, akā hana wikiwiki lākou. Ma kahi o 30-60 mau minuke e hoʻomaka ai ka hana. Loaʻa ka 'Peak' ma waena o 2-4 mau hola , a mau ka hopena ma kahi o 5-8 mau hola . Lawe pinepine ʻia kēia ma kahi o 30 mau minuke ma mua o ka ʻai ʻana.

• Laʻana: `ʻInsulina maʻamau (Novolin R, Humulin R)`.

ʻInisulina hana waena

ʻO kēia ʻano insulin e hoʻomaka ai e hana ma kahi o 1-2 mau hola . He lohi iki ka 'kiʻekiʻe', ma waena o 4-12 mau hola . ʻOiai he 14-24 mau hola ka lōʻihi o ka hana o kēia mau mea, aia kekahi mau manawa e pono ai ʻoe e hoʻokomo iā lākou i ʻelua manawa i ka lā.

• Laʻana: `NPH insulin (Novolin N, Humulin N)`.

ʻInisulina hana lōʻihi

Ua kapa ʻia hoʻi kēia he insulin 'basal'. Kōkua kēia i ka hoʻomalu ʻana i nā pae kō koko, e like me ka insulin maoli o ko mākou kino, i ka lā holoʻokoʻa. ʻAʻohe o kekahi o kēia mau mea i kahi 'peak' maopopo, no laila ʻaʻole emi ka pilikia o ka hāʻule ʻana o ke kō koko haʻahaʻa loa. Hiki i ka hopena ke mau no 24 mau hola a ʻoi aku paha.

• Nā Laʻana:
• ʻInsulin detemir (Levemir®): Ma kahi o hoʻokahi hola e hoʻomaka ai ka hana. ʻO ka hopena kiʻekiʻe loa he 3-14 mau hola.Hiki ke ma waena. Hoʻomau ka hopena a hiki i 24 mau hola .
• ʻO ka `Insulin glargine U-100 (Lantus®, Basaglar®)`: He 3-4 mau hola e hoʻomaka ai ka hana. ʻAʻohe 'kiʻekiʻe' maopopo . Hoʻomau ka hopena a hiki i 24 mau hola .
• ʻO ka Insulin glargine U-300 (Toujeo®): E hoʻomaka ana ma kahi o 6 mau hola e hana ai. ʻAʻohe o kēia 'peak' . Hiki i ka hopena ke mau a hiki i 36 mau hola .
• ʻO ka Insulin degludec U-100/U-200 (Tresiba®): Hoʻokahi hola e hoʻomaka ai e hana. ʻAʻohe nō hoʻi he 'peak' kēia. Hiki i ka hopena ke mau a hiki i 42 mau hola .

Ke lawe ʻia i hoʻokahi manawa (a i ʻole ʻelua paha) i ka lā, kōkua kēia ʻano insulin i ka mālama ʻana i nā pae kō koko i paʻa i ka lā a pau, e like me ka loaʻa ʻana o nā ʻāpana liʻiliʻi o ka insulin i ko mākou kino i ka lā a pau.

ʻInsulina i kāwili mua ʻia

E like me ka inoa e hōʻike nei, he hui pū ʻana kēia o ʻelua ʻano insulin, ka hana wikiwiki a me ka hana waena, a i ʻole nā ​​​​hui like. ʻO ke ʻano kēia, hana hoʻokahi ka inikini i nā mea ʻelua. Lawe pinepine ʻia kēia mau mea ma mua o ka ʻai ʻana.

• Nā Laʻana:
• ʻInsulina i kāwili mua ʻia 70/30 (70% NPH a me 30% Maʻamau)`: He hapalua hola a hoʻokahi hola paha e hoʻomaka ai ka hana. ʻO ka kiʻekiʻe ma waena o 2-12 mau hola . ʻO ka hopena he 10-16 mau hola .
• ʻInsulina i kāwili mua ʻia 50/50 (50% NPH a me 50% Maʻamau)`: He hapalua hola a hoʻokahi hola paha e hoʻomaka ai ka hana. ʻO ka manawa kiʻekiʻe ma waena o 2-12 mau hola . ʻO ka hopena he 10-16 mau hola .
• Humalog® Mix 75/25 (75% insulin lispro protamine a me 25% insulin lispro): Hoʻomaka ka hana i loko o 5-20 mau minuke . ʻO ka manawa kiʻekiʻe he 1-2 mau hola . ʻO ka hopena he 10-16 mau hola .
• Humalog® Mix 50/50 (50% insulin lispro protamine a me 50% insulin lispro): Hoʻomaka ka hana ma 5-20 mau minuke . ʻO ka hopena kiʻekiʻe he 1-2 mau hola . ʻO ka lōʻihi o ka hana he 10-16 mau hola .
• ʻO ka `NovoLog® Mix 70/30 (70% insulin aspart protamine a me 30% insulin aspart)`: Hoʻomaka ka hana i loko o 5-20 mau minuke . ʻO ka manawa kiʻekiʻe he 1-2 mau hola . ʻO ka hopena he 10-16 mau hola .

I ka hoʻohana ʻana i ka insulin i hui ʻia e like me kēia, hiki iā ia ke hōʻemi i ka nui o nā inikini i kēlā me kēia lā, he mea pono loa ia no kekahi poʻe.

Pehea ʻoe e hoʻokomo ai i ka insulin? Ma hea ʻoe e hoʻokomo ai?

Aia kekahi mau wahi ma ko mākou kino i kūpono no nā inikini insulin.

• ʻĀpana ʻōpū: Ma kahi o ʻelua ʻīniha a puni ka piko (umbilicus), a a puni kēlā wahi.
• ʻĀpana ʻūhā o nā wāwae: ʻO ke poʻo a me ke kua o ka ʻūhā.
• Ke kua o ka lima luna.
• Wahi puʻupuʻu.

ʻO ka mea nui loa, ʻaʻole e hoʻokomo i ka insulin ma kahi like i kēlā me kēia lā.Inā hana ʻia kēia, hiki i ka ʻiʻo momona ma lalo o ka ʻili ma ia wahi ke mānoanoa a hana i nā puʻupuʻu. Ua kapa ʻia kēia he 'Lipohypertrophy'. Ke hana ʻia kēia, emi ka omo ʻana o ke kino i ka insulin mai ia wahi, a ʻaʻole hana pono ka insulin. No laila, pono ʻoe e hoʻololi i kahi e hoʻokomo ai i kēlā me kēia lā. Ua kapa ʻia kēia he 'rotation' . No ka laʻana, inā ʻoe e hoʻokomo ma ka ʻaoʻao hema o ka ʻōpū i kēia lā, pono ʻoe e hoʻokomo ma ka ʻaoʻao ʻākau i ka lā ʻapōpō, a ma ka lā ma hope o kēlā ma ka ʻūhā hema.

Na kāu kauka a i ʻole ke Kumu Hoʻonaʻauao Maʻi Diabetic e aʻo pololei iā ʻoe pehea e hoʻokomo ai i ka insulin, pehea e hoʻohana ai i ka syringe, a pehea e hoʻohana ai i ka peni insulin inā loaʻa iā ʻoe. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka hoʻohana ʻana i ka insulin?

E like me nā lāʻau lapaʻau āpau, hiki i ka insulin ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Akā, ʻaʻohe mea e hopohopo ai, no ka mea, ʻo ka ʻike ʻana i kēia mau mea hiki ke kaohi a pale aku iā lākou.

Hypoglycemia - haʻahaʻa ke kō koko

ʻO kēia ka mea nui loa e pono ai kākou a pau e makaʻala i ka wā e lawe ai i ka insulin. I ka ʻōlelo maʻalahi, ʻo kēia kūlana i kapa ʻia ʻo 'Hypoglycemia' e kū mai ana i ka wā e hāʻule haʻahaʻa loa ai ke kiʻekiʻe o ke kō koko.

• He aha nā hōʻailona?
• Ka hou koke ʻana
• Manaʻo e haʻalulu ana kou kino
• Nā palpitations o ka puʻuwai
• Manaʻo hopohopo, hoʻomaha ʻole
• Pololi loa ka manaʻo
• Manaʻo poniuniu, poʻo māmā
• Hoʻololi ka leo, slouching i ka wā e ʻōlelo ana
• ʻIke pōwehiwehi
• Inā lilo kēia ʻano i mea koʻikoʻi loa, hiki iā ia ke alakaʻi i ka nalowale o ka ʻike. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.

• No ke aha lā kēia e hana nei?
• Ka ʻai lohi ʻana a i ʻole ka hōʻalo ʻana i ka ʻai.
• Ke lawe nui nei i ka insulin.
• Hoʻoikaika kino nui aʻe ma mua o ka maʻamau, ʻai ʻole lawa e hoʻoponopono ai, a i ʻole ʻaʻole hoʻi e hōʻemi i ka insulin.

• He aha kāu e hana ai? I kou ʻike ʻana i kēia mau hōʻailona, ​​pono ʻoe e ʻai i kekahi kō i ka wā hikiwawe loa. No ka laʻana, hiki iā ʻoe ke inu i kekahi mau papa glucose, 2-3 punetēpuni kō i hoʻoheheʻe ʻia i loko o kahi wai liʻiliʻi, inu i kahi wai huaʻai (me ke kō), a inu paha i kahi mea inu ʻono iki. A laila, ma hope o kekahi manawa, e ʻai i kahi pāʻina liʻiliʻi me nā kalapona paʻakikī (e laʻa me kahi ʻāpana berena, kekahi mau biscuits). He mea nui loa e kamaʻilio me kāu kauka e pili ana i kēia a ʻike pono i ka mea e hana ai i kahi pilikia.

Ka hopena maʻi kūloko

He mea laha ʻole kēia. Hiki i kahi i hoʻokomo ʻia ai ka insulin ke lilo i ʻulaʻula, pehu iki, a ʻānai. Nalo wale kēia ma kekahi mau lā. Eia nō naʻe, inā hoʻomau a ʻoi aku ka ʻino, pono ʻoe e haʻi aku i kāu kauka.

Piʻi ke kaumaha

Hiki i kekahi poʻe ke piʻi iki ke kaumaha ke hoʻomaka lākou e lawe i ka insulin. ʻO kēia no ka mea, ma mua, ʻaʻole i komo pono ke kō i loko o nā ʻāpana ma muli o ka maʻi diabetes, akā i kēia manawa, mahalo i ka insulin, hoʻomaka ke hoʻohana ʻia kēlā kō i ikehu. Eia kekahi, mālama ʻia ka ikehu keu i loko o ke kino, hiki ke alakaʻi i ka piʻi ʻana o ke kaumaha. Akā, mai hopohopo, hiki iā ʻoe ke kāohi nui i kēia piʻi ʻana o ke kaumaha ma ka ʻai ʻana i kahi meaʻai olakino a kaulike a me ka hoʻoikaika kino i kēlā me kēia lā.

E hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai i ka insulin:

• ʻInsulina i lawe ʻia ma mua o ka ʻai ʻana: ʻO nā insulin hana wikiwiki e like me Humalog®, Novolog®, a me Apidra® e pono e lawe ʻia ma kahi o 15 mau minuke ma mua o ka ʻai ʻana. Pono e lawe ʻia ka insulin maʻamau ma kahi o 30 mau minuke ma mua o ka ʻai ʻana. He mea nui loa ka pili ʻana i kēia mau manawa no ka kaohi ʻana i nā pae kō koko ma hope o ka ʻai ʻana.
• Ke kāwili ʻana i ka insulin: Hiki ke kāwili ʻia kekahi mau ʻano insulin (no ka laʻana, ka insulin hana wikiwiki a maʻamau paha a me ka insulin NPH) i loko o ka syringe hoʻokahi. Akā inā haʻi aku kāu kauka iā ʻoe e hana pēlā. Eia naʻe, mai kāwili i ka insulin mai kekahi hui me ka insulin mai kekahi. No ka laʻana, ʻaʻole pono e kāwili ʻia ʻo Humulin-R® (mai Eli Lilly) me Novolin-N® (mai Novo-Nordisk). ʻO kēia no ka mea he ʻokoʻa paha nā ʻano hana i hoʻohana ʻia e hana ai i kēia mau insulin a me nā mea mālama i loko, no laila ʻaʻole i aʻo ʻia nā hopena o ka kāwili ʻana iā lākou.
• E hoʻoholo pololei kāu kauka i ke ʻano o ka insulin kūpono iā ʻoe, ka nui (dose) āu e pono ai e lawe, ka nui o nā manawa i ka lā e pono ai ʻoe e lawe, a me ka wā e pono ai ʻoe e lawe. He mea nui e hahai pololei i nā ʻōlelo a kāu kauka. Mai hoʻololi i ka nui a i ʻole ka manawa e like me kou makemake.
• Inā ʻoe e hoʻohana i nā peni insulin, e hoʻohana wale i nā nila i ʻōlelo ʻia e kūpono i kāu peni. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i kahi nila hou i kēlā me kēia manawa āu e hoʻokomo ai i ka insulin. ʻO ka hoʻohana hou ʻana i ka nila like i nā manawa he nui hiki ke hōʻeha, maʻi, a me ka ʻūlū ʻana o ka nila, kahi e hiki ai ke pale i ka hāʻawi pono ʻana o ka insulin.
• He mea nui hoʻi e mālama i ka insulin i ka mahana kūpono. Pono e mālama ʻia nā ʻōmole insulin i hoʻopaʻa ʻia a i ʻole nā ​​peni i hoʻohana ʻole ʻia i loko o ka friji (ʻaʻole ka ʻāpana pahu hau). Hiki ke mālama ʻia kahi ʻōmole a peni paha i hoʻohana wale ʻia ma ka mahana o ka lumi (mai ka lā pololei a me ka wela nui). ʻOkoʻa ka lōʻihi o ka manawa ma muli o ke ʻano o ka insulin. E nānā i ka pepa i hele mai me kāu insulin, a i ʻole e nīnau i kāu kauka a kauka lāʻau paha.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki i ka noho ʻana me ka maʻi diabetes ke paʻakikī i kekahi manawa. Eia nō naʻe, he lāʻau lapaʻau waiwai nui ka insulin e hiki ke kōkua iā ʻoe e kāohi i kou pae kō koko, pale iā ʻoe mai nā pilikia e hiki ai i ka maʻi diabetes ke hana, a kōkua iā ʻoe e ola i kahi ola olakino a hauʻoli.

Mai makaʻu i ka insulin a mai manaʻo he pilikia nui ia. E noʻonoʻo iā ia he hoaaloha kou, he kanaka e kōkua iā ʻoe a mālama iā ʻoe.

Inā he mau nīnau kāu a i ʻole he kānalua iki paha e pili ana i ka insulin a i ʻole ka maʻi diabetes, mai hilahila a hoʻohilahila paha e nīnau i kāu kauka, kahu maʻi diabetes, a i ʻole ka mea kūʻai lāʻau lapaʻau. Ua mākaukau lākou a pau e kōkua iā ʻoe a pane i kāu mau nīnau.

Ma ka hoʻohana pono ʻana i ka insulin, ka hahai ʻana i nā ʻōlelo a kāu kauka, ka ʻai ʻana i ka meaʻai olakino, a me ka hoʻoikaika kino i kēlā me kēia lā, hiki iā ʻoe ke mālama pono i kāu maʻi diabetes a ola i kahi ola hauʻoli. Makemake wau iā ʻoe i nā mea maikaʻi loa a pau!

ʻInsulina , Maʻi Diabetes, Nā ʻAno o ka Insulin, Hypoglycemia, Nā Inikini Insulin, Apidra, Novolog, Humalog, Lantus, Levemir, Tresiba, NPH