Zunthlum i vei a nih chuan ‘insulin’ tih thumal hi i hriat chian em em a ni mai thei. Nitin insulin injection hmang thin pawh i ni thei. Mahse, insulin chu eng nge ni tak tak? Kan taksa chhungah eng nge a tih? A awlsam leh chiang takin sawi ila. I zawhna zawng zawng chhânna chu he thuziakah hian i hmu ang.
Insulin hi eng nge a nih a, engtin nge a hnathawh?
A awlsam zawngin sawi ila, insulin hi kan taksain a siam chhuah hormone a ni. Kan pum chhunga awm, pum hnung lama awm, pancreas an tih organ atanga siam a ni. Chuvangin he insulin hna ber chu kan ei tur chu chaknaah a chantir a, chutih rualin kan thisena sugar level pawh a control bawk.
Carbohydrates awmna thil, buhfai emaw, chhangphut emaw ang chi i ei angin han mitthla teh. Heng carbohydrates te hi kan intestines ah an digested a, sugar simple tak ‘glucose’ an tih a lo ni ta a ni. He glucose hi kan thisenah a lut leh thin. Tichuan kan thisen sugar level a sang chho zel a.
Hei hi kan ‘hero’ insulin a rawn chhuah hun a ni. Thisen sugar level a san chhoh zel tih hriat a nih chuan pancreas hian hormone insulin chu thisenah a chhuah tir thin. Kan in chhunga AC awm ang mai a ni. Room chhunga temperature a san chuan AC a on a, room a ti lum a, temperature a tlahniam chuan a off leh thin.
Chuvangin he insulin chhuak hian thisena glucose chu a la a, kan taksa cell-ah a thlen a ni. Cell te hian chu glucose chu nitin kan mamawh chakna siam nan an hmang thin. Insulin hian kan liver leh muscle-ah glucose tam zawk chu a hnua kan hman theih nan dahkhawm turin min hrilh bawk. Chutianga glucose chu cell chhunga a luh chuan thisen sugar level chu a pangngaiin a tlahniam leh thin.
Mahse mi thenkhatah chuan pancreas hian insulin a siam tling thei lo va, taksain a siam chhuah insulin chu a hmang dik thei lo bawk. Hei hi ‘insulin resistance’ an ti bawk. Chutiang a nih chuan thisenah sugar a pung a, sugar level pawh a sang reng a ni. Hetiang dinhmun hi hyperglycemia kan ti a . Hun rei tak chhunga thisenah sugar tam lutuk hi zunthlum thlentu a ni.
Insulin leh Glucagon: Sugar Thununtu Thian Pahnih
Glucagon , kan pancreas-in hormone pawimawh dang a siam, insulin nen hian an inhmachhawn a, mahse taksaa sugar level a inthlau hle thung.
- Insulin: Thisen sugar level a tihniam.
- Glucagon: Thisen sugar level a tisang.
A hun takah chaw i ei lo emaw, exercise i la nasa hle emaw niin han ngaihtuah teh. Tichuan i thisen sugar level a tlahniam thei a ni. Hetih lai hian pancreas hian glucagon a chhuah tir thin. Glucagon hian liver chu a hmaa a lo dah tawh sugar (glycogen) chu thisenah dah leh turin a hrilh a. Tichuan thisen sugar level chu a pangngaiin a awm leh ta a ni.
Chutiang chuan hormone pahnih insulin leh glucagon te hian nitin hna an thawk leh a, kan thisen sugar level chu a bituk chhungah a awmtir a ni.
Zunthlum tan hian eng ang insulin nge pek thin?
Zunthlum vei chuan mahni insulin a thunun theih loh avangin pawn lam atanga injection angin insulin pek a ngai a ni. Insulin chi hrang hrang a awm a. Tin, chi thum ah then an ni.
1. Onset: Vaccine pek a nih hnuah engtiang chiahin nge hna a thawh tan.
2. Peak: Vaccine chakna (potency) a sang ber a thlen theih nan hun a mamawh.
3. Hun chhung (taksa chhunga a awm chhung): Injection vawi khatin thisen sugar a control theih hun chhung.
I doctor-in insulin chi a pek che chu heng thilte azirin a inang lo thei.
| Insulin chi hrang hrang (Type) 1.1. | Onset hun chhung | Performance sang ber a ni | Rei zawng |
|---|---|---|---|
| Rapid-acting a ni Ex: Insulin aspart, Insulin lispro tih te hi a awm a | Minute 15 vel a ni | Darkar 1 vel a ni | Darkar 2-4 chhung a ni |
| Short-acting a ni Ex: Insulin hman dan pangngai (Humulin R, Novolin R) . | Minute 30 vel a ni | Darkar 2-3 chhung a ni | Darkar 3-6 chhung a ni |
| Intermediate-a thiltih a ni Entirnan: NPH insulin (Humulin N, Novolin N) tih hi a ni. | Darkar 2-4 chhung a ni | Darkar 4-12 chhung a ni | Darkar 12-18 chhung a ni |
| Hun rei tak chhunga che thei Entirnan: Insulin glargine (Lantus), Insulin detemir (Levemir) te hi a tha hle a ni. | Darkar 2 vel a ni | Peak a awm lo | Darkar 24 thleng a ni |
| Ultra long-acting a ni Ex: Insulin degludec (Tresiba) hmanga tihdam theih a ni. | Darkar 6 vel a ni | Peak a awm lo | Darkar 36 emaw a aia rei emaw a ni |
Engtin nge insulin dik tak i thlan theih ang?
Hei hi mahni thua thutlukna siam theih a ni lo. I doctor chuan i dinhmun a zirin insulin chi, a dose leh i tana tha ber tur chu a ruat ang. Hei hi nghawng nei thil engemaw zat a awm a:
- Chaw ei chi hrang hrang leh i ei zat
- i kum zat
- I taksa chakna level (exercise i tih leh exercise loh) .
- I thisen sugar level control dan tur
- Insulin taksain a lakluh hun chhung
Insulin lak dan tur: 1.1.
- Syringe: A hmanraw hman tlanglawn ber. Insulin dose ruat chu vial atang hian syringe-ah lakchhuah a ni a, vun hnuaiah inject a ni.
- Pens: Hengte hi hman a awlsam hle. Pen ang chi hmanrua an ni a, insulin-a khat cartridge a awm a ni. Dial hmangin dose dik tak i set thei a, chutah chuan button hmet la, i inject thei bawk.
- Insulin Pump: Hei hi hmanraw te tak te a ni a, darkar 24 chhungin taksaah insulin a pe chhuak zauh zauh a. A tlangpuiin pum vun hnuaiah dah a ni.
Insulin injection hian side effect a nei em?
Ni e, insulin hman avanga side effect lian ber leh tlanglawn ber chu thisen sugar level a tlahniam lutuk hi a ni. Hei hi damdawi lam chuan hypoglycemia tia hriat a ni . Hetiang dinhmun hi thisen sugar level 70 mg/dL aia hniam a nih chuan a awm thei.
Hypoglycemia natna lan chhuah dan tlangpui:
- Lungkham, rilru hahdam lo tih hriatna
- Thawmhnaw a chhuak nasa hle
- Taksa a nghing
- riltam hlein ka hria
- Luak chhuak , mit sen
- Buaina, thinrimna
Pawimawh: Heng symptoms te hi i neih chuan emergency a ni thei. Ngaihthah suh. Thisen thlum i rinhlelh veleh thil thlum (sugar spoon khat, glucose tlem, in tur thlum) in la , doctor ko nghal rawh. Thil na tak tak thenkhatah chuan damdawi in Emergency Department (ETU) pan a ngai mai thei.
A tlem hle a, allergic reaction, a sen, a hring, leh a hring (swelling) te hi injection na hmunah a awm thei. Chutiang a nih chuan i doctor nen sawiho rawh.
Khawiah chiah nge insulin i inject thin?
Insulin injection hi vun hnuaia thau layer-ah pek tur a ni. Hei hi thisenah a lut a, a thawk tha hle. Hei atan hian hmun tha ber berte chu:
- Abdomen: Pum chhunga khawi hmunah pawh, navel vel inches 2 vel hmun a awm.
- Back of the arm: Kut chunglam hnunglam.
- Thigh: Thigh hmalam emaw, a sir lam emaw.
- Buttocks area chunglam a ni.
A pawimawh ber chu, nitin hmun khatah inject suh. Vawiin hian i kut dinglamah i inject a nih chuan naktuk hian i kut veilam ah inject tur a ni. Vawiin hian i pum dinglamah i inject chuan naktuk hian veilam lamah inject tur a ni. Hetiang site rotation hi tih ngei ngei tur a ni. Chutiang a nih loh chuan hmun khata i inject chhunzawm zel chuan chu hmunah chuan vun hnuaiah hian lump te te (lipohypertrophy) a lo awm thei a ni. Chutiang lumps avang chuan taksain a hnuah insulin a hip tha lo mai thei.
Take-Home Thuchah a ni
- Insulin hi kan taksaa hormone pawimawh tak, thisen thlum control tu a ni.
- Zunthlum i neih chuan he insulin system hnathawh a chhiat avangin pawn lam atanga insulin i lak a ngai a ni.
- Insulin chi hrang hrang a awm a. I doctor chuan i dinhmun atana tha ber chi leh dose a ruat ang.
- Insulin hman a hlauhawm ber chu thisen sugar tlahniam (hypoglycemia) a ni. A symptoms te hi hre reng ang che.
- Insulin chungchanga zawhna, lungkhamna, rinhlelhna i neih chuan i doctor nen zalen taka inbiakna neih hi hlau ngai suh.











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