Kev siv insulin rau tus kab mob ntshav qab zib qee zaum zoo li nyuaj me ntsis. Muaj ntau hom insulin sib txawv. Hnub no peb tab tom tham txog ib qho ntawm lawv, Insulin Detemir. Tej zaum koj tus kws kho mob tau hais kom koj siv qhov no. Nws kuj siv lub npe lag luam Levemir. Yog li, cia peb saib seb nws yog dab tsi, nws siv li cas, thiab koj yuav tsum paub dab tsi.
Insulin Detemir yog dab tsi?
Hais yooj yim xwb, Insulin Detemir yog ib hom insulin siv los kho mob ntshav qab zib. Tshwj xeeb, nws yog ib hom insulin uas ua haujlwm ntev . Qee zaum nws hu ua 'basal insulin'.
Txhais li cas? Thaum koj txhaj tshuaj no, nws tsis ua haujlwm ib zaug. Hloov chaw, nws tso cov insulin rau hauv koj lub cev maj mam dhau sijhawm ob peb teev. Qhov no pab tswj thiab ua kom koj cov ntshav qab zib ruaj khov thoob plaws hnub thiab hmo ntuj, ib yam li cov insulin uas peb lub cev tsim tawm ntuj.
Qhov tseem ceeb yog tias insulin ib leeg tsis txaus. Kev noj zaub mov thiab kev tawm dag zog, raws li koj tus kws kho mob qhia, kuj yog ib feem ntawm kev kho mob no.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej pib noj cov tshuaj no
Thaum koj tham txog cov tshuaj no nrog koj tus kws kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum piav qhia txog koj tus mob kom meej. Nco ntsoov hais txog cov hauv qab no:
- Yog tias koj muaj cov ntshav qab zib tsawg tsis tu ncua .
- Yog koj muaj kab mob qhov muag los yog teeb meem pom kev.
- Yog koj muaj kab mob raum .
- Yog koj muaj kab mob siab .
- Yog tias koj tau muaj kev tsis haum tshuaj rau insulin, lwm yam tshuaj, khoom noj, xim, lossis cov tshuaj tiv thaiv yav dhau los.
- Yog tias koj cev xeeb tub, lossis tab tom yuav muaj menyuam .
- Yog koj yog ib leej niam pub niam mis .
Raws li cov ntaub ntawv no, tus kws kho mob yuav txiav txim siab txoj kev kho mob uas haum rau koj tshaj plaws.
Kuv yuav txhaj tshuaj no li cas kom raug?
Qhov no yog kev txhaj tshuaj rau hauv qab daim tawv nqaij. Koj tus kws kho mob lossis tus nais maum yuav qhia koj paub meej tias yuav muab li cas.
- Raws sijhawm: Nws yog ib qho tseem ceeb heev uas yuav tsum tau txhaj tshuaj rau tib lub sijhawm txhua hnub.
- Tsis txhob sib tov: Tsis txhob sib tov Insulin Detemir nrog lwm yam insulin hauv tib lub koob txhaj tshuaj.
- Tsis txhob co: Tsis txhob co lub raj mis insulin lossis tus cwj mem ua ntej siv.
- Xyuas seb qhov tsos zoo li cas: Ua ntej siv, yuav tsum xyuas seb qhov tsos ntawm cov tshuaj insulin zoo li cas. Nws yuav tsum yog cov kua ntshiab, tsis muaj xim, zoo li dej . Tsis txhob siv nws yog tias nws zoo li pos huab, tuab, tsis muaj xim, lossis muaj cov khoom me me nyob hauv.
- Tshem tawm rab koob: Yog tias koj siv tus cwj mem insulin, nco ntsoov tshem lub hau koob sab nraud ua ntej noj koj cov tshuaj.
- Kev Pov Tseg Cov Koob: Tsis txhob muab cov koob thiab cov koob txhaj tshuaj uas siv lawm pov tseg rau hauv lub thoob khib nyiab. Yuav tsum muab lawv tso rau hauv lub thawv ntse. Yog tias koj tsis muaj, nug koj tus kws kho mob seb yuav ua li cas thiaj tau ib qho.
Yuav ua li cas yog tias koj tsis nco qab noj tshuaj?
Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob nco ib zaug noj tshuaj. Tab sis yog tias koj ua li ntawd, koj tus kws kho mob yuav tau muab cov lus qhia rau koj txog yam yuav tsum ua hauv qhov xwm txheej zoo li no. Ua raws li txoj kev npaj ntawd. Tsis txhob noj ob zaug tshuaj kom them rau qhov tsis nco qab noj tshuaj.
Yuav ua li cas yog tias koob tshuaj nce ntxiv?
Yog koj xav tias koj tau noj tshuaj ntau dhau lawm, ua tam sim ntawd. Koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo , lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Lwm yam uas yuav cuam tshuam nrog cov tshuaj no
Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, xws li cov vitamins, cov tshuaj ntsuab, thiab txhua yam. Vim tias muaj qee yam uas yuav cuam tshuam rau txoj kev ua haujlwm ntawm insulin. Qhov ntawd txhais tau tias koj cov ntshav qab zib yuav qis dhau lossis siab dhau.
Lub rooj hauv qab no qhia txog qee yam uas yuav tsis sib haum nrog qhov ntawd.
| Pawg tshuaj/tshuaj yeeb | Piv txwv thiab yam yuav tsum paub |
|---|---|
| Lwm cov tshuaj kho mob ntshav qab zib | Cov tshuaj xws li Glyburide, Glipizide, thiab Metformin. Kev noj cov no ua ke yuav ua rau muaj kev pheej hmoo ntawm cov ntshav qab zib qis. |
| Cawv | Cawv tuaj yeem ua rau muaj kev hloov pauv tsis tau xav txog hauv cov ntshav qab zib. Nug koj tus kws kho mob txog qhov no. |
| Tshuaj kho mob ntshav siab/mob plawv | Cov tshuaj xws li beta-blockers (piv txwv li Metoprolol, Propranolol) tuaj yeem pab tiv thaiv cov tsos mob ntawm cov ntshav qab zib qis (palpitations). |
| Cov tshuaj tua kab mob | Cov tshuaj NSAIDs (piv txwv li, Ibuprofen, Naproxen), cov tshuaj zoo li aspirin. |
| Cov tshuaj steroids | Cov tshuaj xws li Prednisone thiab Cortisone tuaj yeem ua rau cov ntshav qab zib nce ntxiv. |
| Lwm yam | Cov tshuaj tiv thaiv kev xeeb tub, cov tshuaj hormones thyroid, qee cov tshuaj rau kev mob hlwb, thiab qee cov kua txob mob khaub thuas/hnoos. |
Daim ntawv teev npe no tsis tiav, yog li qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
Cov yam yuav tsum tau ceev faj thaum siv insulin
- Kev kuaj mob tsis tu ncua: Mus ntsib koj tus kws kho mob raws li hnub teem tseg kom paub koj tus mob. Nws yuav kuaj ntshav hu ua HbA1C txhua 2-3 lub hlis kom pom tias koj cov piam thaj tswj tau zoo npaum li cas.
- Kuaj koj cov ntshav qab zib: Kawm paub yuav ua li cas kuaj koj cov ntshav qab zib hauv tsev. Paub cov tsos mob ntawm hypoglycemia thiab hyperglycemia, thiab yuav ua li cas txog lawv.
- Khaws qee cov suab thaj ze: Ib txwm khaws ib lub toffee, lub voos xwmfab suab thaj, lossis lub ntsiav glucose ze kom noj sai sai yog tias koj muaj cov tsos mob ntawm cov ntshav qab zib qis.
- Tsis txhob muab faib rau lwm tus: Tsis txhob muab koj tus cwj mem insulin lossis lub thawv txhaj tshuaj rau lwm tus siv ua ke. Txawm tias koj hloov koob txhaj tshuaj los xij, koj tseem tuaj yeem kis tau cov kab mob xws li Hepatitis lossis HIV.
- Daim Ntawv Pov Thawj Kho Mob: Kev hnav lossis nqa daim hlua tes lossis daim npav pov thawj kho mob uas teev koj tus mob, tshuaj, thiab noj tshuaj yog qhov tseem ceeb heev thaum muaj xwm txheej ceev.
Tej yam tshwm sim ntawm qhov no yog dab tsi?
Ib yam li lwm yam tshuaj, qhov no tuaj yeem ua rau muaj qee qhov kev phiv.
| Cov kev mob tshwm sim uas koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd | |
|---|---|
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas. |
| Ntshav Qab Zib Qis (Hypoglycemia) | Ntshav tshee hnyo, tawm hws, tsis so, tawv nqaij txias, kiv taub hau, lub plawv dhia ceev. |
| Cov qib potassium txo qis | Mob nqaij los yog mob nqaij tawv, tsis muaj zog txawv txawv, lub plawv dhia tsis xwm yeem. |
| Tej yam uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau kws kho mob yog tias lawv tseem muaj | |
| Kev hloov pauv ntawm qhov chaw txhaj tshuaj (Lipodystrophy) | Cov nqaij hauv qab daim tawv nqaij tuab zuj zus, ua caws pliav, lossis ua pob ntawm qhov chaw txhaj tshuaj. |
| Mob ntawm qhov chaw txhaj tshuaj | Liab, mob, lossis o me ntsis ntawm qhov chaw txhaj tshuaj. |
| Qhov hnyav nce | Tej tus neeg yuav pom tias lawv qhov hnyav nce ntxiv. |
Kuv yuav tsum khaws cov tshuaj li cas?
Insulin yog ib yam tshuaj uas yuav tsum khaws cia kom zoo, txwv tsis pub nws yuav poob nws cov txiaj ntsig.
Cov fwj tshuaj thiab cov cwj mem uas tsis tau qhib
- Kev coj ua zoo tshaj plaws: Khaws cia rau hauv lub qhov rooj ntawm lub tub yees. Tab sis tsis txhob muab tso rau hauv lub tub yees khov. Tsis txhob siv cov insulin khov.
- Kub hauv chav:Yog tias koj tsis tuaj yeem tso rau hauv lub tub yees, koj tuaj yeem khaws cia rau qhov kub thiab txias hauv chav tsev (qis dua 30 degrees Celsius). Txawm li cas los xij, yog tias koj ua li ntawd, koj yuav tsum tshem tawm tom qab 42 hnub .
- Yog tias hnub tas sij hawm dhau lawm, muab pov tseg yam tsis tau siv.
Cov fwj thiab cwj mem uas siv lawm
- Khaws ib lub raj mis lossis cwj mem uas koj nyuam qhuav pib siv rau qhov kub thiab txias hauv chav . Tsis txhob muab rov qab rau hauv lub tub yees tom qab siv lawm.
- Khaws cia kom deb ntawm tshav ntuj ncaj qha thiab cua sov ntau dhau.
- Qhov tseem ceeb tshaj plaws: Koj yuav tsum muab pov tseg lub raj mis lossis cwj mem uas koj tau pib siv tom qab 42 hnub . Txawm tias muaj tshuaj nyob hauv los tsis muaj teeb meem.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Insulin Detemir yog ib hom insulin uas ua haujlwm ntev thiab tswj koj cov ntshav qab zib thoob plaws hnub.
- Noj cov tshuaj raws li koj tus kws kho mob qhia rau koj, raws lub sijhawm uas tau teem tseg. Tsis txhob noj ob npaug ntawm cov tshuaj.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, txawm tias cov vitamins.
- Yuav tsum paub txog cov tsos mob ntawm cov ntshav qab zib qis (hypoglycemia). Ib txwm muaj ib yam khoom qab zib nyob ze.
- Tsis txhob muab koj tus cwj mem insulin lossis koob txhaj tshuaj rau lwm tus.
- Khaws cov tshuaj insulin kom zoo. Pov tseg rau hauv 42 hnub tom qab siv.
- Yog tias koj muaj teeb meem lossis teeb meem, tsis txhob ntshai tham nrog koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus