Insulin injection chungchang chiang takin i zir ang u. Hei hi i zunthlum control nan a pawimawh hle!

Diabetes Mellitus natna vei i nih chuan insulin injection chungchang hi i hre tawh mai thei. I doctor pawhin hmang turin a ti che pawh a ni mai thei. Chuti a nih chuan he insulin hi eng nge ni? Eng thil nge thleng? A chi hrang hrang a awm em? Hetiang zawhna hi i nei thei bawk. Vawiin hian a zawng zawng hi awlsam tak leh chiang takin sawi ila, kan sawi dawn em ni? Hlauh tur a awm lo, heng thilte hi i hriat veleh i rilru a hahdam lehzual ang.

Insulin chu eng nge ni? Engvangin nge kan mamawh?

A awlsam zawngin sawi ila, insulin hi hormone pawimawh tak, kan taksa chhunga siam chhuah a ni. Kan pum chhungah hian taksa peng te tak te, Pancreas an tih hi a awm a ni lawm ni? Chutah chuan he hormone insulin an tih hi siam chhuah a ni.

Chuti a nih chuan, he insulin hian eng nge a tih? Insulin hna bulpui ber chu kan ei leh in atanga sugar (glucose) te, thisen atanga lak chhuah a, taksa chhunga cell te te tea thawn luh a ni a, nitin hnathawhna atana kan mamawh chakna siam turin min pui a ni. In kawngkhar hawn nan chabi i mamawh ang maiin han ngaihtuah teh, kan cell chhunga sugar thawn turin insulin an tih chabi i mamawh ang.

Chuti a nih chuan, engvangin nge zunthlum vei hian pawn lam atanga insulin a lak a ngaih? Zunthlum i neih chuan pancreas hian insulin a siam tlem lutuk emaw, insulin siam chhuah zat hi taksa tan a tawk lo emaw, a siam chhuah insulin hian hna a thawk tha thei lo emaw a ni. Eng chhan pawh ni se, thisen a sugar chu cell-ah a lut thei lo va, thisenah a pung khawm a, chu chuan thisen sugar level a tisang a ni. Chu chu thisen sugar level control nan injection angin pawn lam atanga insulin pek a ngai a ni. Hei hi kan taksaa thil tlakchham supply ang mai a ni.

Insulin injection hian engtin nge hna a thawh tih hi i hrethiam ang u? (Onset, Peak, Hun rei zawng)

Tunah chuan i doctor-in insulin a pek che hian a hming nen hian thumal dang pathum sawi i hre tawh mai thei: ‘Onset’, ‘Peak’, leh ‘Duration’. Hengte hi English thumal ni mahse, a awmzia dik tak hriat hi i zunthlum enkawlna atan a pawimawh hle. Chûng zînga pakhat zel awmzia chu i lo en ang u.

‘Onset’ (a tan hun) 1.1.

‘Onset’ tih hi insulin i inject hnua i taksaa hna a thawh tan hun chhung a ni a, chu chu i thisen sugar a tihniam tan tihna a ni. Bike khalh tan nan hun rei tak kan mamawh ang bawkin insulin thenkhat chuan hna thawh tan nan hun rei tak an hmang thin. Ṭhenkhatin hna an thawk ṭan thuai a, ṭhenkhat erawh chuan rei vak lo an hmang thung.

‘Peak’ (thawh tam ber hun) 1.1.

‘Peak’ hi insulin inject hun a ni a, thisen thlum tihhniam nan a thawkrim ber a ni. Hei hi insulin-in nghawng a neih tam ber lai a ni. He ‘Peak’ chhung hian thisen sugar level a tlahniam nghal thei (`Hypoglycemia’ an tih condition). Chuvangin heng ‘Peak’ hun te hi kan hriat chian a pawimawh hle a, chutiang hun laia ei leh in ang chi thilah te fimkhur a pawimawh hle.

‘Duration’ (active hun chhung zawng zawng) 1.1.

‘Duration’ tih hian insulin-in a nghawng i taksaah eng chen nge a awm tih a kawk a ni. Hei hian injection vawi khat i pek hnuah darkar engzat nge i thisen sugar control turin a pui dawn tihna a ni. Insulin thenkhat chuan darkar tlemte chauh hna an thawk a, thenkhat erawh chuan darkar 24 emaw a aia rei emaw an thawk thung.

Heng thil ‘Onset’, ‘Peak’, leh ‘Duration’ te hi insulin chi hrang hrangah a inang lo hle. Chuvangin i doctor chuan i tana tha tur insulin a thlang ang a, thil tam tak a zirin, i ei leh in dan te, exercise i tih dan te, nitin i thiltih te a zirin a thlang ang.

Heng insulin chi hrang hrangte hi eng nge ni tih i lo en ang u.

Insulin chi hrang hrang a awm a. An hnathawh tan chak dan (Onset), engtikah nge an maximum effect (Peak), leh taksaa an awm rei dan (Duration) a zirin an thliar hrang tlangpui.

Insulin hnathawh chak tak

Hetiang insulin chi hi a hming ang bawkin hna a thawk tan nghal vat thin. A tlangpuiin inject atanga minute 5-20 chhungin hna a thawk tan thin. A ‘peak’, a nih loh leh maximum effect chu darkar 1-3 chhungin a thleng a, a total effect chu darkar 3-5 vel a ni. Chaw ei hma emaw, chaw ei laiin emaw ei a ni fo.

• Entirnan: `Insulin glulisine (Apidra®)`, `Insulin aspart (Novolog®)`, `Insulin lispro (Humalog®)` (U-100/U-200) te hi a ni.

Tunah hian buhfai ei turin i inpeih tawh ang tih han ngaihtuah teh. Tichuan, he insulin chi hi ei hian i ei tur atanga i thisena sugar awm zat chu rang takin a thunun thei ang.

Insulin hun rei lote chhunga thawk thei

Hei hi ‘Regular insulin’ an ti bawk. Hengte hi a hmaa kan sawi tawh angin Rapid-acting insulin angin an rang lo hle a, mahse an thawk rang hle thung. Hnathawh tan nan minute 30-60 vel a ngai thin. 'Peak' hi darkar 2-4 inkarah a thleng a , a nghawng chu darkar 5-8 vel a ni . Hei pawh hi chaw ei hma minute 30 vel ei a ni tlangpui bawk.

• Entirnan: `Insulin pangngai (Novolin R, Humulin R)`.

Intermediate-a thawk insulin

Hetiang insulin chi hi hnathawh tan nan darkar 1-2 vel a ngai a ni. ‘Peak’ hi a tlai deuh a, darkar 4-12 inkar vel a ni . Since these have a duration of action of about 14-24 hours , ni khatah vawi hnih inject ngai hun a awm.

• Entirnan: `NPH insulin (Novolin N, Humulin N)` tih te hi a ni.

Hun rei tak chhunga thawk thei insulin

Hei hi ‘basal’ insulin an ti bawk. Hengte hian kan taksa natural insulin ang bawkin nitin thisen sugar level control turin a pui a ni. Chung zinga ṭhenkhat chuan ‘peak’ chiang tak an nei lo a, chuvangin thisen sugar tlahniam lutuk theihna a tlem zawk. A nghawng chu darkar 24 emaw a aia rei emaw a awm thei.

• Entirnan:
• Insulin detemir (Levemir®): Hnathawh tan nan darkar khat vel a ngai. Peak effect hi darkar 3-14 chhung a ni.A inkar a ni thei. A effect hi darkar 24 thleng a awm thei .
• `Insulin glargine U-100 (Lantus®, Basaglar®): Hnathawh tan nan darkar 3-4 vel a ngai. ‘Peak’ chiang tak a awm lo . A effect hi darkar 24 thleng a awm thei .
• `Insulin glargine U-300 (Toujeo®): Hnathawh tan nan darkar 6 vel a ngai. Hei pawh hian ‘peak’ a nei lo . A nghawng chu darkar 36 thleng a daih thei .
• `Insulin degludec U-100/U-200 (Tresiba®): Hnathawh tan nan darkar khat vel a ngai. Hei pawh hian ‘peak’ a nei lo . A nghawng chu darkar 42 thleng a daih thei .

Ni khatah vawi khat (a nih loh leh vawi hnih pawh ni thei) ei hian he insulin chi hi nitin thisen sugar level a nghet reng theih nan a pui a, chutiang bawkin kan taksa hian nitin insulin tlemte a dawng ang bawkin.

Insulin chu pre-mixed a ni

A hming ang bawkin hengte hi insulin chi hnih, rapid-acting leh intermediate-acting, a nih loh leh a ang chi compound inzawmkhawm a ni. Hei hian injection pakhatin a pahnih a ti tihna a ni. Hengte hi chaw ei hmaa ei a ni fo.

• Entirnan:
• `Pre-mixed insulin 70/30 (70% NPH leh 30% Regular)`: Hnathawh tan nan darkar chanve atanga darkar khat vel a ngai. Peak hi darkar 2-12 inkar a ni . Effect hi darkar 10-16 chhung a ni .
• `Pre-mixed insulin 50/50 (50% NPH leh 50% Regular)`: Hnathawh tan nan darkar chanve atanga darkar khat vel a ngai. 'Peak' hi darkar 2-12 inkar a ni . Effect hi darkar 10-16 chhung a ni .
• Humalog® Mix 75/25 (75% insulin lispro protamine leh 25% insulin lispro): Minute 5-20 chhungin hna a thawk tan thin . Peak time hi darkar 1-2 vel a ni . A nghawng chu darkar 10-16 chhung a ni .
• Humalog® Mix 50/50 (50% insulin lispro protamine leh 50% insulin lispro): Minute 5-20 chhungin hna a thawk tan thin . Peak effect chu darkar 1-2 chhung a ni . Action hun chhung hi darkar 10-16 chhung a ni .
• `NovoLog® Mix 70/30 (70% insulin aspart protamine leh 30% insulin aspart)`: Minute 5-20 chhungin hna a thawk tan . Peak time hi darkar 1-2 vel a ni . Effect hi darkar 10-16 chhung a ni .

Hetianga mixed insulin hman hian ni khata injection pek zat a tihtlem thei a, hei hi mi thenkhat tan chuan a awlsam hle.

Engtin nge insulin i inject ang? Khawiah nge i inject ang?

Kan taksaah hian insulin injection atan hmun engemaw zat a awm a.

• Abdominal area: Navel (umbilicus) vel inches hnih vel a ni a, chu hmun vel chu a ni.
• Thigh area of ​​the legs: A kekawr chung leh hnunglam.
• A hnunglam chu a kut chunglam a ni.
• Buttock area ah a awm.

Thil pawimawh tak chu nitin hmun khata insulin inject loh hi a ni.Chutiang a nih chuan chu hmuna vun hnuaia thau awm chu a thim thei a, lumps a siam thei bawk. Hei hi `Lipohypertrophy` an ti a. Chutiang a nih chuan chu lai hmun atang chuan taksain insulin a hip tlem a, insulin chuan hna a thawk tha lo. Chuvangin injection na hmun hi nitin i thlak a ngai a ni. Hei hi `rotation` an ti a. Entirnan, vawiinah hian pum veilam i inject a nih chuan naktukah dinglamah inject tur a ni a, chumi hnu ni khatah chuan ke veilam ah inject tur a ni.

I doctor emaw Diabetic Nurse Educator emaw chuan insulin inject dan tur dik tak, syringe hman dan tur leh insulin pen i neih chuan hman dan tur dik tak a zirtir ang che. Heng thupekte hi dik taka zawm a pawimawh hle.

Insulin hman hian eng side effect nge a neih theih?

Damdawi dang ang bawkin insulin hian side effect tenau te a nei thei a ni. Mahse ngaihtuahawm tur a awm lo, hengte hi hriat chian hian a tam zawkah chuan a thunun thei a, a veng thei bawk.

Hypoglycemia - thisen sugar tlahniam

Hei hi insulin kan ei huna kan fimkhur tur pawimawh ber a ni. A awlsam zawngin sawi ila, he `Hypoglycemia` an tih hi thisen sugar level a tlahniam lutuk hian a lo awm thin.

• Eng nge a lan chhuah dan?
• Sudden thawmhnaw a chhuak
• I taksa a nghing ang maia inhriatna
• Lung na tak tak
• Lungkham, rilru hahdam lo tih hriatna
• riltam hlein ka hria
• Luak chhuak, lightheaded tih hriatna
• Aw a inthlak a, thusawi laiin a slurring
• Mit hmuh a fiah lo
• Hetiang dinhmun hi a nasat em em chuan hriatna hloh hial a thlen thei a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

• Engvangin nge hetiang hi a lo awm?
• Chaw ei tlai emaw, chaw ei skip emaw.
• Insulin ei tam lutuk.
• Exercise tih dan pangngai aia tam, compensate tur ei tlem, insulin tihtlem loh.

• Engtin nge tih ang? Heng symptoms te hi i hriat veleh a rang thei ang bera sugar i ei tur a ni. Entirnan, glucose tablet tlemte, tui tlemtea sugar teaspoon 2-3 hmin te, thei tui (sugar nen) in emaw, in tur thlum tlem te te i in thei bawk. Tichuan, rei vak lo hnuah chaw tlemte, complex carbohydrates (e.g. chhangphut slice khat, biscuit tlemte) awmna ei tur a ni. Hemi chungchang hi doctor nen inbiakna neih a pawimawh hle a, emergency-a tih tur dik tak hriat a pawimawh hle.

Tualchhung Allergic Reaction awm thei

Hei hi a takah chuan thil thleng tlem tak a ni. Insulin injection pekna hmun chu a sen a, a hring deuh a, a hring thei bawk. Hei hi ni engemaw zat hnuah a mah chauhin a bo tlangpui. Mahse, a awm reng emaw, a na zual emaw chuan doctor hnenah i hrilh ngei tur a ni.

Rihna a sang chho zel

Mi thenkhat chuan insulin an ei tan hian an thau deuh thei. Hei hi a chhan chu, a hmain zunthlum vangin cell-ah sugar a lut tha lo a, mahse tunah chuan insulin vangin chu sugar chu chakna atan hman tan a ni ta a ni. Tin, chakna tam lutuk taksaah a khawlkhawm a, chu chuan taksa rihna a tipung thei bawk. Mahse lungngai suh, he taksa rihna hi a tam zawkah chuan ei leh in hrisel, inthlau tak ei leh nitin exercise i tih hian i thunun thei a ni.

Insulin i hman hunah hengte hi hre reng ang che:

• Chaw ei hmaa insulin ei: Rapid-acting insulins Humalog®, Novolog®, leh Apidra® te hi chaw ei hma minute 15 vel ei tur a ni tlangpui. Insulin pangngai ei hma minute 30 vel ei tur a ni. Chaw ei zawha thisen sugar level control nan heng timings zawm hi a pawimawh hle.
• Insulin pawlh: Insulin chi thenkhat (entir nan, rapid-acting emaw regular insulin leh NPH insulin) te hi syringe khatah chawhpawlh theih a ni. Mahse i doctor-in a hrilh che chauhvin. Mahse, company pakhat atanga insulin leh company dang atanga insulin mix ngai suh. Entirnan, Humulin-R® (Eli Lilly atanga lak) chu Novolin-N® (Novo-Nordisk atanga lak) nen chawhpawlh loh tur a ni. Hei hi a chhan chu heng insulin siamna atana hmanraw hman dan leh a chhunga preservatives te hi a danglam thei a, chuvangin an pawlh khawm hian nghawng a neih dan hi zirchian a la ni lo.
• I doctor chuan insulin chi i tana tha tur, engzat (dose) nge i ei tur, ni khatah vawi engzat nge i ei tur tih leh engtikah nge i ei tur tih te a rel ang. Doctor thupek dik taka zawm a pawimawh. I duh angin dose emaw timing emaw thlak suh.
• Insulin pen i hman chuan i pen nena inmil tur needle recommended chauh hmang ang che. Insulin i inject apiangin needle thar hman a tha ber. Needle pakhat hi hman nawn leh chuan natna, infection leh needle blunting a thlen thei a, chu chuan insulin chu a pe tha thei lo thei a ni.
• Tin, insulin chu temperature dik takah dah a pawimawh bawk. Insulin vial emaw pen emaw sealed, hman loh chu refrigerator-ah dah tur a ni (freezer section-ah ni lovin). Vial emaw pen emaw hman thar chu room temperature-ah (ni êng direct leh lum lutuk lohna hmunah) dah theih a ni. Insulin chi hrang hrang a zirin hun rei zawng hi a inang lo. I insulin nena rawn kal leaflet kha enfiah la, a nih loh leh i doctor emaw pharmacist emaw zawt rawh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Zunthlum natna nena nun hi a châng chuan a harsa thei hle. Amaherawhchu, insulin hi damdawi hlu tak a ni a, i thisen sugar level control-na atan a pui thei che a, zunthlum natna avanga harsatna awm thei lakah a venghim thei che a, nun hrisel leh hlim taka i nun theih nan a pui thei che a ni.

Insulin hlau suh la, harsatna lian takah ngai suh. I thian, i tanpui tur leh enkawltu tur che angin ngaihtuah rawh.

Insulin emaw zunthlum emaw chungchanga zawhna emaw, rinhlelhna tlemte emaw i neih chuan i doctor, zunthlum nurse, damdawi lam thiamte zawt zak lo la, zak suh. An vai hian tanpui tur che leh i zawhnate chhang turin an inpeih vek a ni.

Insulin dik taka i hman a, i doctor thupek zawm a, ei leh in hrisel i ei a, nitin exercise engemaw zat i neih chuan i zunthlum hi i enkawl tha thei a, nun hlim takin i hmang thei bawk. Ka duhsakna ka hlan a che u!

` Insulin, Zunthlum, Insulin chi hrang hrang, Hypoglycemia, Insulin Injection, Apidra, Novolog, Humalog, Lantus, Levemir, Tresiba, NPH