Kab mob ntshav qab zib yog ib yam mob uas ntau tus neeg hauv peb lub zej zog tab tom ntsib tam sim no. Yog li koj tus kws kho mob tej zaum yuav tau hais kom koj siv cov tshuaj txhaj insulin. Ntawm lawv, peb yuav tham txog hom hu ua Isophane Insulin, lossis NPH, hnub no. Muaj ntau yam tseem ceeb uas yuav tsum paub thaum siv qhov no. Cia peb tham txog nws kom meej, yooj yim.
Isophane Insulin (NPH) yog dab tsi?
Hais yooj yim xwb, Isophane Insulin yog ib yam tshuaj siv los tswj tus kab mob ntshav qab zib. Nws ua haujlwm los ntawm kev ua kom cov insulin ntau ntxiv hauv peb lub cev thiab txo cov piam thaj (glucose) hauv cov ntshav. Nws yog ib hom 'insulin ua haujlwm nruab nrab' . Qhov no txhais tau tias tom qab muab rau hauv lub cev, nws ua haujlwm tau ob peb teev, tswj cov piam thaj hauv cov ntshav.
Feem ntau, nrog rau cov tshuaj no, nws tseem ceeb heev rau kev tswj koj cov zaub mov noj thiab kev tawm dag zog . Tsuas yog thaum peb yam no los ua ke thiaj li tswj tau tus kab mob ntshav qab zib tau zoo tshaj plaws.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej siv cov tshuaj
Ua ntej koj sau cov tshuaj no, koj tus kws kho mob yuav tsum paub txog koj keeb kwm kev mob nkeeg tag nrho. Yog li ntawd, yog tias koj muaj ib qho mob twg hauv qab no, nco ntsoov qhia rau lawv paub.
| Koj qhov xwm txheej | Vim li cas nws thiaj tseem ceeb? |
|---|---|
| Yog tias cov ntshav qab zib poob qis tas li (Hypoglycemia) | Qhov no yog ib qho tseem ceeb rau kev kho qhov koob tshuaj, vim tias cov tshuaj insulin tuaj yeem ua rau cov ntshav qab zib poob qis dua. |
| Cov kab mob qhov muag, kev tsis pom kev zoo | Vim tias ntshav qab zib cuam tshuam rau qhov muag, tus kws kho mob yuav tsum paub txog cov mob uas twb muaj lawm. |
| Kab mob raum | Vim tias cov insulin raug tshem tawm ntawm lub cev los ntawm lub raum, cov neeg mob raum yuav xav tau cov tshuaj tsawg dua. |
| Kab mob siab | Lub siab cuam tshuam rau kev ua haujlwm ntawm insulin, yog li ntawd yuav tsum tau hloov kho qhov koob tshuaj. |
| Kev ua xua rau insulin lossis lwm yam tshuaj, khoom noj, lossis xim | Qhov no yog qhov tseem ceeb heev rau kev tiv thaiv kev ua xua thiab xaiv cov tshuaj uas tsim nyog tshaj plaws. |
| 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 koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia. |
| Yog tias koj yog niam pub niam mis | Yuav tsum xav txog seb cov tshuaj insulin cuam tshuam li cas rau niam thiab menyuam. |
Koj siv cov tshuaj no li cas tiag?
Qhov no yog ib qho tshuaj txhaj uas muab rau hauv qab daim tawv nqaij. Koj tus kws kho mob lossis tus nais maum yuav qhia koj paub meej tias yuav siv nws li cas. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawd kom meej .
- Saib seb daim duab zoo li cas: Cov tshuaj insulin no yuav tsum yog cov kua mis ntshiab uas feem ntau yog xim dawb . Tsis txhob siv nws yog tias nws tsis sib npaug lossis muaj xim txawv.
- Sib tov kom zoo: Ua ntej siv, sib tov lub raj mis lossis cwj mem kom zoo los ntawm kev dov nws ntawm koj txhais tes. Tsis txhob co.
- 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. Muab tso rau hauv lub thawv tshwj xeeb (lub thawv ntse). Yog tias koj tsis muaj, koj tuaj yeem nug koj tus kws kho mob kom muab ib qho rau koj.
- Yog siv tus cwj mem: Yog siv tus cwj mem insulin, nco ntsoov tshem lub hau koob txhaj tshuaj sab nraud tawm ntawm tus koob ua ntej txhaj tshuaj.
Ceeb Toom: Yog tias koj xav tias koj tau noj ntau dua li qhov tau teev tseg, hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo tam sim ntawd, lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Yog tias kuv tsis nco qab noj tshuaj li cas?
Qhov no yog ib yam uas koj yuav tsum tham nrog koj tus kws kho mob. Nws yuav muab ib txoj kev npaj rau koj ua thaum lub sijhawm zoo li no. Ua li ntawd.Tsis txhob noj ob koob tshuaj ib zaug.
Lwm yam uas yuav cuam tshuam nrog cov tshuaj insulin no
Lwm yam tshuaj, cov vitamins, lossis cov tshuaj ntsuab uas koj noj yuav cuam tshuam rau txoj kev ua haujlwm ntawm cov insulin no. Yog li, muab daim ntawv teev tag nrho ntawm txhua yam koj siv rau koj tus kws kho mob. Ceev faj tshwj xeeb txog cov no:
- Cawv
- Cov tshuaj tua mob xws li aspirin
- Qee cov tshuaj rau ntshav siab (piv txwv li Atenolol, Metoprolol)
- Cov tshuaj hormones poj niam (xws li cov tshuaj tiv thaiv kev yug me nyuam) thiab cov tshuaj hormones txiv neej
- tshuaj poob phaus
- Cov tshuaj rau mob khaub thuas, hnoos, thiab ua xua
- Qee cov tshuaj rau kev mob hlwb
- Lwm cov tshuaj kho mob ntshav qab zib (piv txwv li, Glyburide, Glipizide)
- Cov tshuaj uas muaj cov tshuaj steroid (piv txwv li Prednisone)
- Cov tshuaj hormones thyroid
- Qee cov tshuaj ntsuab ntxiv
Daim ntawv teev npe no tsis tiav. Yog li ntawd, nws yog qhov zoo tshaj plaws los qhia rau koj tus kws kho mob txog txhua yam koj noj.
Cov yam yuav tsum xav txog thaum siv insulin
- Kev kuaj HbA1C: Koj tus kws kho mob yuav hais kom koj kuaj ntshav hu ua HbA1C (A1C) . Qhov no ntsuas seb koj tswj tau koj cov piam thaj hauv ntshav zoo npaum li cas hauv 2-3 lub hlis dhau los.
- Ntsuas koj cov ntshav qab zib: Kawm paub yuav ua li cas ntsuas koj cov ntshav qab zib hauv tsev. Kawm txog cov tsos mob ntawm cov ntshav qab zib qis (hypoglycemia) thiab cov ntshav qab zib siab (hyperglycemia) thiab yuav ua li cas tswj lawv.
- Khaws ib yam khoom qab zib ze: Ib txwm khaws ib yam khoom qab zib, xws li ib daim khoom qab zib lossis ib lub ntsiav tshuaj glucose, ze kom noj tau sai yog tias koj muaj cov tsos mob ntawm cov ntshav qab zib qis.
- Tsis txhob hla pluas noj: Noj mov raws sijhawm. Nug koj tus kws kho mob txog cawv.
- Tsis txhob hloov cov tshuaj: Tsis txhob hloov hom insulin lossis hom koob txhaj tshuaj yam tsis tau koj tus kws kho mob qhia.
- 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 HIV thiab Hepatitis.
- Hnav daim ID kho mob: Nws yog ib qho tseem ceeb heev uas yuav tsum muaj ib txoj hlua tes lossis daim npav ID kho mob nrog koj yog tias muaj xwm txheej ceev, uas muaj cov ntaub ntawv hais txog koj tus mob thiab cov tshuaj.
Tej zaum yuav muaj tej yam tshwm sim ntawm cov tshuaj no
Ib yam li lwm yam tshuaj, insulin tuaj yeem ua rau muaj qee yam kev phiv, qee qhov tuaj yeem ua rau tuag taus.
| Qhov xwm txheej ntawm cov teebmeem sab nraud | Cov tsos mob |
|---|---|
| Tej yam 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) | Kev tshee hnyo, tawm hws ntau dhau, tsis so, kiv taub hau, lub plawv dhia ceev, tsis meej pem. |
| Txo cov potassium hauv cov ntshav | Mob nqaij los yog mob plab, qaug zog txawv txawv, lub plawv dhia tsis xwm yeem. |
| Yog tias nws tseem mob lossis ua rau koj tsis xis nyob, qhia rau koj tus kws kho mob. | |
| Kev hloov pauv ntawm qhov chaw txhaj tshuaj (Lipodystrophy) | Kev tho qhov chaw tib yam ntau zaus tuaj yeem ua rau cov ntaub so ntswg hauv qab daim tawv nqaij tuab lossis ua rau caws pliav. |
| Mob los yog liab ntawm qhov chaw txhaj tshuaj | Mob me ntsis, liab, lossis o ntawm qhov chaw txhaj tshuaj. |
| Qhov hnyav nce | Qee tus neeg muaj qhov hnyav nce thaum siv insulin. |
Yuav ua li cas khaws cov tshuaj insulin?
Nws yog ib qho tseem ceeb heev uas yuav tsum khaws cov tshuaj insulin kom zoo. Yog tsis ua li ntawd, nws yuav tsis ua haujlwm zoo. Cov lus qhia no yuav txawv me ntsis nyob ntawm hom tshuaj uas koj siv.
| Xwm txheej | Cov lus qhia txog kev khaws cia |
|---|---|
| Cov fwj thiab cwj mem uas tsis tau qhib | |
| Qhov twg yuav khaws cia | Khaws cia rau hauv lub tub yees , tab sis tsis txhob muab tso rau hauv lub tub yees khov. Tsis txhob siv cov insulin khov. |
| Lub sijhawm tas sij hawm | Tsis txhob siv tom qab hnub tas sij hawm. |
| Cov fwj thiab cwj mem uas siv lawm | |
| Qhov twg yuav khaws cia | Khaws cia rau qhov kub thiab txias hauv chav. Tsis txhob muab tso rau hauv lub tub yees tom qab siv tas. Khaws cia kom deb ntawm qhov kub thiab txias dhau thiab tshav ntuj ncaj qha. |
| Lub sijhawm pov tseg | Qhov no txawv ntawm ib hom mus rau ib hom. Piv txwv li, qee cov cwj mem yuav tsum tau muab pov tseg tom qab 14 hnub, qee cov tom qab 28 hnub, thiab qee lub raj mis tom qab 31 lossis 42 hnub. Nug koj tus kws kho mob txog hnub tas sij hawm rau koj hom insulin. Tom qab hnub tas sij hawm, muab pov tseg cov insulin uas seem. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Noj cov tshuaj insulin raws li qhov ntau thiab tsawg thiab lub sijhawm uas koj tus kws kho mob tau sau tseg. Tsis txhob hloov cov tshuaj koj tus kheej.
- Yuav tsum paub txog cov tsos mob ntawm cov ntshav qab zib qis (hypoglycemia) thiab cov ntshav qab zib siab (hyperglycemia). Khaws ib yam khoom qab zib ze ntawm koj yog tias muaj xwm txheej ceev.
- Tsis txhob muab koj tus cwj mem insulin, koob txhaj tshuaj, lossis koob txhaj tshuaj rau lwm tus li cas los xij.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, thiab cov tshuaj ntsuab uas koj noj.
- Khaws cov tshuaj insulin kom zoo. Tiv thaiv kom tsis txhob kub dhau, tshav ntuj, thiab khov dhau.
- Yog koj muaj kev txhawj xeeb lossis kev tsis ntseeg, nrog koj tus kws kho mob tham tam sim ntawd.
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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