Koj puas noj tshuaj insulin los tswj koj tus kab mob ntshav qab zib? Yog tias yog, tej zaum koj tus kws kho mob yuav tau muab tshuaj rau koj hu ua Insulin Glargine. Lub npe yuav zoo li nyuaj me ntsis, tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog cov tshuaj no, nws ua haujlwm li cas, yuav siv nws li cas, thiab yam koj yuav tsum paub txog hauv txoj kev yooj yim thiab nkag siab.
Hauv lwm lo lus, Insulin Glargine yog dab tsi?
Insulin glargine yog ib hom insulin tshwj xeeb uas siv los kho tus kab mob ntshav qab zib. Nws ua haujlwm zoo ib yam li cov tshuaj insulin hauv peb lub cev. Qhov ua rau nws tshwj xeeb yog tias nws yog insulin "ua haujlwm ntev" . Qhov no txhais tau tias tom qab koj txhaj nws, nws tsis ua haujlwm tag nrho ib zaug. Hloov chaw, nws tso insulin qeeb qeeb thiab tib lub sijhawm li 24 teev. Ib yam li peb lub pancreas tso tawm me me ntawm insulin thoob plaws hnub. Qhov no tseem hu ua basal insulin .
Qhov txiaj ntsig tseem ceeb ntawm qhov no yog tias nws pab tswj koj cov ntshav qab zib (ntshav qabzib) thoob plaws hnub. Feem ntau, tus kws kho mob yuav qhia koj kom hloov koj cov zaub mov noj thiab tawm dag zog nrog rau cov tshuaj no. Thaum koj ua tag nrho cov no ua ke koj tuaj yeem tau txais cov txiaj ntsig zoo tshaj plaws.
Cov lus qhia tseem ceeb tshaj plaws rau koj tus kws kho mob ua ntej pib noj cov tshuaj no yog:
Ua ntej koj pib noj tshuaj insulin glargine, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog koj tus mob, vim tias cov ntaub ntawv no yuav txiav txim siab seb koj yuav noj tshuaj ntau npaum li cas thiab cov lus qhia twg yuav muab rau koj.
Nco ntsoov, tsis txhob zais dab tsi ntawm koj tus kws kho mob. Txawm tias qee yam me me los kuj tseem ceeb rau koj txoj kev kho mob.
Yog koj muaj ib qho mob hauv qab no, nco ntsoov qhia rau koj tus kws kho mob txog qhov ntawd.
| Kev noj qab haus huv lossis lub cib fim | Vim li cas qhov ntawd thiaj tseem ceeb? |
|---|---|
| Kab mob raum | Thaum lub raum ua haujlwm tsis zoo, txoj kev uas insulin raug tshem tawm ntawm lub cev yuav hloov pauv. Yog li ntawd, qhov ntau npaum li cas ntawm cov tshuaj yuav tsum tau hloov pauv. |
| Kab mob siab | Lub siab yog qhov chaw uas peb lub cev khaws cia thiab tsim cov suab thaj. Yog tias muaj teeb meem nrog lub siab, qhov xav tau insulin yuav hloov pauv. |
| Yog tias koj cov ntshav qab zib qis (hypoglycemia) | Yog koj cov ntshav qab zib qis tas li, nws yuav nce ntxiv thaum koj pib siv insulin. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no ua ntej. |
| Kev tsis pom kev zoo | Koj yuav tsum muaj qhov muag pom kev zoo kom ntsuas tau cov milliliters hauv lub raj mis insulin thiab lub koob txhaj tshuaj kom raug. Yog tias koj muaj teeb meem pom kev, thov qhia rau peb paub. |
| Kev ua xua rau lwm yam tshuaj, khoom noj lossis cov tshuaj | Qhov no yog ib qho tseem ceeb kom paub yog tias koj ua xua rau insulin lossis lwm yam uas nws muaj. |
| Yog tias koj cev xeeb tub los yog tab tom sim cev xeeb tub | Cov kev xav tau insulin hloov pauv thaum cev xeeb tub, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog qhov no. |
| Yog koj pub niam mis rau koj tus menyuam (Breastfeeding) | Cov koob tshuaj insulin kuj tseem yuav tsum tau hloov kho thaum pub niam mis. |
Kuv siv cov tshuaj no li cas?
Qhov tseem ceeb tshaj plaws yog txhaj tshuaj insulin kom raug. Koj tus kws kho mob lossis tus nais maum yuav qhia koj yuav ua li cas. Ua raws li cov lus qhia ntawd kom raug.
Kauj Ruam 1: Kev kuaj xyuas cov tshuaj insulin
Ua ntej txhaj tshuaj, yuav tsum saib lub raj mis insulin ua ntej. Insulin glargine yog ib yam kua ntshiab, tsis muaj xim, zoo li dej . Tsis txhob siv nws yog tias nws yog xim av, xim av, lossis xim hloov pauv. Tsis tas li ntawd, yuav tsum saib lub npe thiab hnub tas sij hawm ntawm lub raj mis.
Kauj Ruam 2: Xaiv qhov chaw txhaj tshuaj tiv thaiv kab mob
Cov tshuaj tiv thaiv no muab rau hauv cov nqaij mos hauv qab daim tawv nqaij, uas yog cov rog hauv qab daim tawv nqaij. Cov chaw zoo tshaj plaws rau nws yog:
- Thaj chaw nyob ib puag ncig lub pob tw (kwv yees li 2 ntiv tes hauv qab lub pob tw)
- Sab nraub qaum ntawm caj npab
- Sab saud thiab sab ntawm tus ncej puab
Tseem Ceeb: Tsis txhob txhaj tshuaj rau hauv cov chaw raug mob, raug mob, o, ua pob, lossis muaj daim tawv nqaij tuab.
Kauj Ruam 3: Kev Hloov Chaw
Qhov no tseem ceeb heev. Tsis txhob txhaj tshuaj rau tib qho chaw txhua hnub . Yog tias koj ua li ntawd, cov rog hauv qab daim tawv nqaij tuaj yeem tuab thiab ua pob. Qhov no hu ua '(Lipodystrophy)'. Yog tias qhov no tshwm sim, cov insulin uas txhaj rau hauv qhov chaw ntawd yuav tsis nqus tau zoo. Yog li, khaws ib phau ntawv me me thiab cim cov chaw uas koj tau txhaj tshuaj rau. Piv txwv li, yog tias koj txhaj tshuaj rau sab xis ntawm lub plab lub lim tiam no, txhaj tshuaj rau sab laug hnub tom qab. Tom qab ntawd txav mus rau sab ceg. Txawm tias nws yog tib thaj chaw, txhaj tshuaj li ib nti deb ntawm qhov chaw koj txhaj tshuaj hnub dhau los.
Kauj Ruam 4: Pov tseg cov koob txhaj tshuaj thiab cov koob txhaj tshuaj uas siv lawm
Tsis txhob muab cov koob txhaj tshuaj thiab cov koob txhaj tshuaj uas siv lawm pov tseg rau hauv lub thoob khib nyiab. Lawv tuaj yeem ua rau lwm tus muaj kev phom sij. Muaj cov thawv yas tshwj xeeb ('sharps containers') rau cov no. Nug koj tus kws kho mob seb koj yuav tau ib qho li cas.
Cov tshuaj no qee zaum muab rau cov menyuam yaus hnub nyoog tshaj 6 xyoo, tab sis qhov no yog tus kws kho mob menyuam yaus txiav txim siab.
Yog koj noj tshuaj ntau dhau lawm, yuav ua li cas? Yog koj xav tias koj tau noj tshuaj ntau dhau lawm, mus rau lub tsev kho mob ze tshaj plaws hu ua Chav Xwm Ceev (ETU) tam sim ntawd . Los yog hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National .
Yuav ua li cas yog tias koj tsis nco qab noj tshuaj?
Yog koj tsis nco qab txhaj tshuaj insulin raws sijhawm teem tseg, tsis txhob ntshai. Nco ntsoov, tsis txhob noj ob zaug kom rov qab tau koob tshuaj uas koj tsis nco qab. Ua li ntawd yuav ua rau koj cov ntshav qab zib poob qis dhau, uas yuav txaus ntshai. Yog koj tsis nco qab txhaj tshuaj, hu rau koj tus kws kho mob kom tau lus qhia. Nws yuav qhia koj tias yuav ua li cas tom ntej.
Tej yam yuav tsum tau ceev faj thaum noj cov tshuaj no
Thaum koj siv tshuaj insulin, koj yuav tsum ua tib zoo saib xyuas koj txoj kev ua neej.
- Tshawb xyuas koj cov ntshav qab zib tsis tu ncua: Siv lub ntsuas ntshav qab zib hauv tsev thiab tshawb xyuas koj cov ntshav qab zib tsis tu ncua raws li koj tus kws kho mob qhia. Khaws cov ntaub ntawv ntawm koj cov ntshav qab zib.
- Ceev faj txog qhov hypoglycemia: Qhov no yog thaum cov ntshav qab zib poob qis dhau. Qhov no yog qhov teeb meem txaus ntshai tshaj plaws uas tuaj yeem tshwm sim rau ib tus neeg uas siv insulin.Cov tsos mob muaj xws li tawm hws , tshee hnyo, tshaib plab heev, lub plawv dhia ceev ceev, ntxhov siab, kiv taub hau, thiab tsis meej pem.
- Ib txwm khaws ib yam khoom qab zib nrog koj: Ib txwm khaws ib yam khoom qab zib nrog koj, xws li ib lub khob noom qab zib glucose, ib lub hnab qab zib, ib khob dej qab zib, lossis ib co kua txiv hmab txiv ntoo, kom noj sai li sai tau thaum koj hnov cov tsos mob ntawm cov ntshav qab zib qis. Yog tias koj tsis nco qab vim yog cov ntshav qab zib qis, tsis txhob muab dab tsi rau hauv koj lub qhov ncauj. Mus rau tsev kho mob tam sim ntawd.
- Ceev faj txog hyperglycemia: Qhov no yog cov ntshav qab zib ntau. Cov tsos mob suav nrog nqhis dej ntau dhau , tso zis ntau zaus, qaug zog heev, thiab pom kev tsis meej . Qhia rau koj tus kws kho mob yog tias koj muaj ib qho ntawm cov tsos mob no.
- Ceev faj thaum muaj mob: Thaum koj muaj mob xws li kub taub hau, mob khaub thuas, lossis raws plab, koj cov ntshav qab zib tuaj yeem nce siab vim yog kev hloov pauv ntawm cov tshuaj hormones hauv koj lub cev. Nug koj tus kws kho mob yog tias koj xav tau hloov koj cov tshuaj insulin rau cov hnub zoo li no.
- Tsis txhob hla pluas noj: Yog tias koj noj insulin thiab hla ib pluag mov, koj cov piam thaj hauv cov ntshav yuav qis dhau. Noj pluas noj rau lub sijhawm zoo.
- Hnav daim ntawv pov thawj kho mob: Ib txwm nqa ib txoj hlua tes lossis daim npav uas sau tias koj siv insulin rau tus kab mob ntshav qab zib. Nws tuaj yeem cawm koj txoj sia thaum muaj xwm txheej ceev.
- Kev kuaj HbA1C: Koj tus kws kho mob yuav hais kom koj kuaj ntshav hu ua "(HbA1C)" txog li ib zaug txhua 3 lub hlis. Qhov no tuaj yeem pab koj pom tias koj qhov kev tswj hwm ntshav qab zib nruab nrab tau zoo li cas dhau 2-3 lub hlis dhau los.
Puas muaj teeb meem nrog lwm cov tshuaj? (Kev Sib Cuam Tshuam)
Yog, qee cov tshuaj tuaj yeem cuam tshuam nrog insulin thiab cuam tshuam rau koj cov ntshav qab zib. Qee cov tshuaj ua rau koj cov ntshav qab zib nce siab, thaum lwm cov txo qis. Tsis tas li ntawd, muaj qee cov tshuaj uas tswj cov tsos mob ntawm cov ntshav qab zib qis (hypoglycemia). Yog li koj yuav tsis xav tias koj cov ntshav qab zib qis.
Yog li ntawd, qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj (xws li cov vitamins, cov tshuaj ib txwm muaj, thiab cov tshuaj ntxiv) .
| Kev cuam tshuam | Piv txwv li, cov tshuaj |
|---|---|
| Cov tshuaj uas tuaj yeem cuam tshuam rau cov ntshav qab zib | |
| Qee cov tshuaj kho mob ntshav siab | Piv txwv li: enalapril, losartan |
| Cov hom tshuaj steroids | Piv txwv li: prednisolone, cortisone |
| Cov tshuaj diuretic | Piv txwv li: hydrochlorothiazide |
| Cov tshuaj rau qee yam kab mob hlwb | Piv txwv li: fluoxetine, olanzapine |
| Cawv | Cawv tuaj yeem ua rau cov ntshav qab zib qis lossis nce ntxiv yam tsis tau xav txog. |
| Cov tshuaj uas tuaj yeem npog cov tsos mob ntawm hypoglycemia | |
| Cov hom beta-blockers | Cov tshuaj no yog siv los kho cov ntshav siab thiab kab mob plawv. Piv txwv li: metoprolol, propranolol. |
Puas muaj tej yam tshwm sim tsis zoo?
Ib yam li lwm yam tshuaj, insulin glargine tuaj yeem ua rau muaj kev phiv rau qee tus neeg. Feem ntau, cov no tsis yog qhov loj heev, tab sis muaj qee yam uas peb yuav tsum paub txog.
| 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, ua pa nyuaj. |
| Hypoglycemia (qab zib qis hauv cov ntshav) | Kev tshee hnyo, tawm hws ntau dhau, tsis tswm, tsis meej pem, kiv taub hau, thiab lub plawv dhia ceev. |
| Cov qib potassium txo qis | Mob nqaij los yog mob plab, qaug zog txawv txawv, lub plawv dhia tsis xwm yeem. |
| Feem ntau (yog tias nws tseem muaj, qhia rau koj tus kws kho mob) | |
| Kev hloov pauv ntawm qhov chaw txhaj tshuaj | Liab, mob me ntsis los yog khaus ntawm qhov chaw txhaj tshuaj. Tej zaum yuav muaj pob nyob hauv qab daim tawv nqaij (Lipodystrophy). |
| Qhov hnyav nce | Thaum pib kho mob nrog insulin, tej zaum yuav hnyav me ntsis. |
Yuav ua li cas khaws cov tshuaj kom zoo?
Insulin yog ib yam tshuaj uas yuav lwj sai yog tias tsis khaws cia kom zoo.
- Cov fwj tsis tau qhib: Khaws cov no rau hauv lub qhov rooj tub yees. Tsis txhob khaws cia rau hauv lub tub yees. Tsis txhob siv insulin yog tias nws khov lawm.
- Cov fwj uas tau qhib lawm/siv lawm: Koj tuaj yeem khaws koj lub fwj uas siv lawm rau qhov kub thiab txias hauv chav tsev (qis dua 30 degrees Celsius). Tab sis koj yuav tsum siv nws tsis pub dhau 28 hnub. Yog tias tseem muaj seem tom qab 28 hnub, muab pov tseg.
- Tiv thaiv kom tsis txhob raug tshav ntuj ncaj qha thiab kub dhau.
Vam tias cov lus qhia no yuav pab tau koj. Nco ntsoov tias, mob ntshav qab zib yog ib yam mob uas yuav tsum tau tswj kom zoo. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej thiab nrog nws tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Insulin Glargine yog ib hom insulin uas ua haujlwm thoob plaws hnub thiab tswj cov ntshav qab zib.
- Ua ntej pib noj tshuaj, qhia rau koj tus kws kho mob txog tag nrho koj cov mob thiab lwm yam tshuaj uas koj noj.
- Tsis txhob txhaj tshuaj tiv thaiv kab mob rau tib qho chaw txhua hnub, tab sis hloov chaw txhaj tshuaj.
- 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 hla pluas noj. Noj raws sijhawm.
- Yog koj tsis nco qab noj ib zaug, tsis txhob noj ob npaug ntawm cov tshuaj. Nug koj tus kws kho mob kom tau lus qhia.
- Yog koj muaj lus nug txog cov tshuaj no, 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