Yog koj yog ib tug neeg mob ntshav qab zib, tej zaum koj yuav paub txog lub npe 'Insulin'. Tej zaum koj tus kws kho mob yuav tau sau ntawv kom koj txhaj tshuaj insulin li 30 feeb ua ntej noj mov. Qhov ntawd yog yam peb hu ua 'Insulin Ib Txwm Muaj' lossis 'Insulin Ua Haujlwm Luv'. Qhov no yog ib yam tshuaj tseem ceeb heev rau kev tswj ntshav qab zib. Yog li, hnub no peb yuav tham txog nws tag nrho hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, Insulin ib txwm yog dab tsi?
Insulin yog ib yam tshuaj hormones uas peb lub cev tsim tawm los ntawm nws tus kheej. Nws yog ib yam tseem ceeb rau kev hloov cov suab thaj (glucose) hauv cov khoom noj uas peb noj mus ua lub zog. Rau cov neeg uas muaj tus kab mob ntshav qab zib, lub cev tsim cov insulin tsawg dua lossis siv tsis tau cov insulin uas nws tsim tawm kom raug.
Yog li, Insulin Ib Txwm yog ib hom insulin uas yog tsim los ntawm tib neeg, uas yog, ua nyob rau hauv chav kuaj. Thaum muab qhov no rau hauv lub cev ua ib qho kev txhaj tshuaj, nws ua kom tiav qhov kev xav tau insulin tsawg dua hauv peb lub cev.
Nov yog li cas nws ua haujlwm:
- Txo koj cov ntshav qab zib.
- Qab zib (glucose) hauv cov ntshav raug xa mus rau hauv lub cev cov cell kom siv ua lub zog, ib yam li tus yuam sij qhib lub qhov rooj.
- Nws tiv thaiv lub siab kom tsis txhob tsim cov suab thaj yam tsis tsim nyog.
Feem ntau nws pib ua haujlwm li ntawm 30 txog 60 feeb tom qab txhaj tshuaj. Nws ua haujlwm zoo tshaj plaws tom qab 2-3 teev, thiab pab tswj cov piam thaj hauv cov ntshav li ntawm 3 txog 6 teev.
Leej twg xav tau cov tshuaj insulin txhaj no?
Cov tshuaj txhaj no yog muab rau cov menyuam yaus thiab cov neeg laus uas muaj ntshav qab zib hom 1 ("Type 1 Diabetes") thiab ntshav qab zib hom 2 ("Type 2 Diabetes"). Koj tus kws kho mob yuav txiav txim siab seb hom insulin twg zoo tshaj plaws rau koj, raws li koj tus mob, kev ua neej, thiab koj cov ntshav qab zib hloov pauv li cas thoob plaws hnub.
Qee zaum, koj tus kws kho mob yuav pom zoo kom siv cov insulin ua haujlwm ntev uas tswj cov ntshav qab zib 24 teev hauv ib hnub, nrog rau cov insulin ib txwm muaj.
Yuav ua li cas thiaj txhaj tau insulin kom raug?
Cov tshuaj insulin raug txhaj rau hauv qab daim tawv nqaij. Feem ntau siv koob txhaj thiab koob txhaj tshuaj los yog cwj mem tshwj xeeb (insulin pen). Koj tus kws kho mob lossis tus nais maum hauv chaw kho mob ntshav qab zib yuav qhia koj paub yuav ua li cas.
Cov chaw zoo rau kev txhaj tshuaj tiv thaiv kab mob:
- Plab (cheeb tsam ib ncig ntawm lub pij ntaws)
- Thaj chaw ntawm lub pob tw
- Sab caj npab sab saud
- Sab saud, sab nraud ntawm tus ncej puab
Tseem ceeb heev:Tsis txhob txhaj tshuaj rau tib qho chaw txhua hnub. Hloov qhov chaw txhaj tshuaj txhua hnub. Yog tias koj pheej txhaj tshuaj rau tib qho chaw, koj yuav muaj pob thiab pob me me (lipohypertrophy) rau ntawm cov chaw ntawd. Thaum qhov no tshwm sim, lub cev yuav tsis nqus tau cov insulin zoo.
Cov kev pheej hmoo thiab cov kev phiv ntawm qhov no yog dab tsi?
Ib yam li lwm yam tshuaj, insulin tuaj yeem muaj qee qhov kev pheej hmoo thiab cov kev mob tshwm sim, thiab nws yog ib qho tseem ceeb kom paub txog lawv.
| Kev Pheej Hmoo/kev phiv | Cov tsos mob thiab yam yuav tsum paub |
|---|---|
| Ntshav Qab Zib Siab (Hyperglycemia) | Kiv taub hau, qhov ncauj qhuav thiab tawv nqaij, xeev siab, tso zis ntau zaus. Cov no yog cov tsos mob ntawm kev tswj tsis tau tus kab mob ntshav qab zib. |
| Ntshav Qab Zib Qis (Hypoglycemia) | Kiv taub hau, tsis meej pem, tawm hws, pom kev tsis meej, thiab tshaib plab heev. Yuav kom tsis txhob muaj qhov no, nco ntsoov noj mov hauv 30 feeb tom qab txhaj tshuaj insulin. |
| Cov poov tshuaj tsawg hauv cov ntshav (Hypokalemia) | Lub plawv dhia tsis sib xws, xav tias qaug zog, cov leeg nqaij co. |
| Kev ua xua hnyav heev (Anaphylaxis) | Qhov no yog ib qho xwm txheej tsis tshua muaj. Yog tias koj ua pa nyuaj, ua pob khaus, lossis o ntawm tus nplaig/caj pas/lub ntsej muag, nws yog ib qho xwm txheej ceev. |
| Lwm yam kev mob tshwm sim | Liab, o, khaus, hnyav nce, mob nqaij ntawm qhov chaw txhaj tshuaj. |
| Yog tias cov tsos mob hnyav saum toj no (ntshav qab zib qis/siab, ua xua) tshwm sim, nrhiav kev pab kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws. | |
Yuav ua li cas yog tias koj siv tshuaj insulin ntau dhau (overdose)?
Yog, kev noj tshuaj insulin ntau dhau yog qhov txaus ntshai heev. Yog tias qhov no tshwm sim, koj cov ntshav qab zib yuav poob qis heev ('Hnyav Hypoglycemia'). Qhov no tuaj yeem ua rau muaj mob txaus ntshai xws li qaug dab peg thiab tsis nco qab. Yog tias koj xav tias koj tau noj ntau dhau, hu rau 911 tam sim ntawd thiab hu rau lub tsheb thauj neeg mob lossis mus rau tsev kho mob ze tshaj plaws.
Tej yam yuav tsum ceev faj thaum siv nrog lwm cov tshuaj
Qhov no tseem ceeb heev. Qee cov tshuaj uas koj noj tuaj yeem cuam tshuam rau txoj kev ua haujlwm ntawm insulin. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog cov vitamins, tshuaj ntsuab, tshuaj tua kab mob (NSAIDs), tshuaj ntshav siab (beta-blockers), tshuaj cholesterol (statins), tshuaj tswj kev yug menyuam, thiab lwm yam tshuaj ntshav qab zib .
Tsis tas li ntawd, yog tias koj haus cawv, nrog koj tus kws kho mob tham txog nws, vim nws tuaj yeem muaj cov teebmeem tsis tau xav txog rau koj cov ntshav qab zib.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj insulin ib txwm yog hom insulin ua haujlwm sai uas noj li 30 feeb ua ntej noj mov.
- Yuav tsum hloov qhov chaw txhaj tshuaj tas li. Tsis txhob txhaj tshuaj rau tib qho chaw tas li.
- Yuav tsum paub txog cov tsos mob ntawm cov ntshav qab zib qis (Hypoglycemia) thiab cov ntshav qab zib siab (Hyperglycemia). Yog tias koj muaj cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd.
- Qhia rau koj tus kws kho mob txog lwm yam tshuaj, cov vitamins, thiab lwm yam mob uas koj muaj (ua xua, cev xeeb tub).
- Tsis txhob hloov, tsum, lossis hla pluas noj yam tsis tau koj tus kws kho mob qhia rau txhua qhov laj thawj. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom tswj tau koj tus kab mob ntshav qab zib.
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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