Icyo ukeneye kumenya kuri insuline ivanze (Insulin isanzwe na Isophane / NPH) kuri diyabete

Niba uri umuntu uri kuvurwa diyabete, muganga wawe ashobora kuba yaragundikiye ubwoko bw'iyi nkunga ya insuline. Ushobora kuyifata ukoresheje amazina nka Humulin 70/30, Novolin 70/30. Iyi si ubwoko bumwe bwa insuline, ahubwo ni uruvange rw'ubwoko bubiri bwa insuline. Niyo mpamvu tugomba kwitonda cyane mu gihe tuyikoresha. Uyu munsi rero turaganira ku muti uwo ari wo, uburyo ukoreshwa neza, n'ibintu ugomba kwitondera.

Ni iki koko kibaho kuri iyi insuline ivanze?

Muri make, uyu ni umuti ufasha mu kurwanya diyabete. Ukora mu kongera urugero rwa insuline mu mubiri wawe no kugabanya urugero rw'isukari (glucose) mu maraso yawe.

Tekereza nk'uruvange rwihariye rwa insuline ikora vuba na insuline ikora hagati. Uruvange rw'ibi bibiri ruzagufasha kugenzura neza urugero rw'isukari mu maraso yawe. Ariko ibuka ko uyu muti wonyine udahagije. Indyo nziza n'imyitozo ngororamubiri nabyo ni bimwe mu bigize ubu buvuzi.

Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti

Ni ngombwa cyane ko muganga wawe akubwira ibi bintu mbere yuko utangira gufata iyi insuline.

• Niba ukunze kugira ibihe byo kubura glucose (hypoglycemia) (isukari nke mu maraso ).
• Niba ufite indwara z'amaso cyangwa ubumuga bwo kutabona neza .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite allergie kuri insuline, metacresol, indi miti, ibiryo, cyangwa ibara.
• Niba utwite cyangwa wifuza gusama .
• Niba uri umubyeyi wonsa umwana wawe .

Ashingiye kuri aya makuru, muganga azashyiraho gahunda yo kuvura ikubereye.

Ni gute wakoresha iyi insuline neza?

Iki ni cyo gice cy'ingenzi cyane. Ugomba gukurikiza aya mabwiriza neza.

1. Uko batera urushinge: Uru ni urushinge ruterwa munsi y'uruhu. Muganga wawe cyangwa umuforomo azakwereka uburyo bwo kurutera neza.

2. Igihe mbere yo kurya: Muganga azakubwira igihe ugomba kurya nyuma yo guterwa urushinge. Ubusanzwe, ugomba gufata urushinge iminota 30 mbere yo kurya .

3. Ishusho ya insuline: Ibi ni ingenzi cyane. Buri gihe banza urebe icupa mbere yo kurikoresha.

• Mbere yo kuvanga: Ibi bigomba kuba byera, bisa n'amata.
• Nyuma yo kuvanga: Ugomba kubona ibara ry'amata rimwe (rimeze nk'ibicu).
• Ukora gute?Zingura icupa inshuro zigera ku icumi hagati y'amaboko yawe. Ntuzigere uryinyeganyeza cyane.
• Ntukayikoreshe: Niba insuline yahinduye ibara, niba ubonye uduce twayo, cyangwa niba idavanze neza , ntukayikoreshe.

4. Inshinge n'inshinge: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Bishyire mu kintu gishyushya. Niba udafite, baza muganga wawe ibyabyo.

5. Amakaramu ya insuline: Niba ukoresha ikaramu, ntukibagirwe gukuramo agapfundikizo k'urushinge rw'inyuma mbere yo gutera inshinge.

Bite se nintakaza dose?

Si byiza gusiba doze. Vugana na muganga wawe icyo wakora niba wasibye doze hanyuma ufate gahunda yo kuyifata. Ntugafate doze ebyiri icyarimwe kugira ngo wishyure doze wasibye kubera impamvu iyo ari yo yose.

Indi miti n'ibindi bishobora kugira ingaruka ku ngaruka za insuline

Imiti imwe n'imwe ufata ishobora kugira ingaruka ku mikorere ya insuline, bityo ni ngombwa kubwira muganga wawe buri muti, vitamine, n'ibikomoka ku bimera ufata.

Uru rutonde ntirwuzuye, bityo bwira muganga wawe ibyo ufata byose .

Ibintu ugomba kuzirikana mu gihe ukoresha

• Gusuzumwa buri gihe: Sura muganga wawe buri gihe kugira ngo arebe uko umerewe. Isuzuma ry'amaraso ryitwa HbA1C rishobora kuguha igitekerezo cyiza cy'uburyo isukari yawe igenzurwa mu mezi 2-3 ashize.
• Gupima urugero rw'isukari mu maraso: Menya uburyo bwo kugenzura urugero rw'isukari mu maraso mu rugo. Menya ibimenyetso bya hypoglycemia na hyperglycemia .
• Niba isukari yawe mu maraso igabanutse: Buri gihe shyira ikintu muri wowe, nk'agace k'isukari, tofe, cyangwa ikinini cya glucose. Ariko ibuka ko niba urwaye indwara yo gupfukama cyangwa ugatakaza ubwenge, ntugomba gushyira ikintu mu kanwa , kuko bishobora gutuma ucika intege. Niba ibyo bibaye, ugomba kujya kwa muganga ako kanya.
• Ntugasangire: > Ntuzigere usangira amakaramu ya insuline cyangwa karitoyi n'undi muntu uwo ari we wese. Nubwo mwasangira urushinge, mushobora gukwirakwiza virusi zikomeye nka Hepatite na VIH.
• Indangamuntu yo kwa muganga: Kwambara ikarita cyangwa umukufi (indangamuntu yo kwa muganga) iriho ibisobanuro birambuye ku ndwara yawe n'imiti bishobora kugufasha kurokora ubuzima bwawe mu gihe cy'impanuka.

Ingaruka mbi zishobora kubaho

Ni gute wabika insuline?

Iki nacyo ni ikintu ugomba kumenya. Iyo insuline ibitswe nabi, ishobora gutakaza ubushobozi bwayo.

Amacupa n'amakaramu bidafunguye

• Amacupa ya Humulin 70/30:Bika muri firigo (hagati ya dogere selisiyusi 2-8) cyangwa mu bushyuhe bw'icyumba (munsi ya dogere selisiyusi 30). Niba bibitswe mu bushyuhe bw'icyumba, jugunya nyuma y'iminsi 31 .
• Amacupa ya Novolin 70/30: Bika muri firigo (2-8 selisiyusi) cyangwa ku bushyuhe bw'icyumba (munsi ya selisiyusi 25). Niba bibitswe ku bushyuhe bw'icyumba, jugunya nyuma y'iminsi 42 .
• Humulin 70/30 KwikPens: Bika muri firigo (2-8 selisiyusi) cyangwa ku bushyuhe bw'icyumba (munsi ya selisiyusi 30). Niba bibitswe ku bushyuhe bw'icyumba, jugunya nyuma y'iminsi 10 .
• Novolin 70/30 FlexPens: Bika muri firigo (2-8 selisiyusi) cyangwa ku bushyuhe bw'icyumba (munsi ya selisiyusi 30). Niba bibitswe ku bushyuhe bw'icyumba, jugunya nyuma y'iminsi 28 .

Amacupa n'amakaramu bikoreshwa

• Amacupa ya Humulin 70/30: Bika muri firigo cyangwa ku bushyuhe bw'icyumba (munsi ya dogere selisiyusi 30). Shyira mu minsi 31 uhereye igihe ufunguye.
• Amacupa ya Novolin 70/30: Bika ahantu hari ubushyuhe bw'icyumba (munsi ya dogere selisiyusi 25). Ntubishyire muri firigo. Bijugunye mu minsi 42 uhereye igihe bifunguriwe.
• Humulin 70/30 KwikPens: Bika ahantu hari ubushyuhe bw'icyumba (munsi ya dogere selisiyusi 30). Ntubishyire muri firigo. Bijugunye mu minsi 10 uhereye igihe ubifunguriye (nubwo byaba bisigaye bya insuline).
• Novolin 70/30 FlexPens: Bika ku bushyuhe bw'icyumba (munsi ya dogere selisiyusi 30). Ntubishyire muri firigo. Bijugunye mu minsi 28 uhereye igihe ubifunguriye (nubwo byaba bisigaye bya insuline).