Kusintha kuchoka pa cholembera cha insulin kupita ku jekeseni wopanda singano, ndiyenera kulabadira chiyani?

Jekeseni wopanda singano tsopano wazindikirika ngati njira yotetezeka komanso yomasuka yojambulira insulin, ndipo yavomerezedwa ndi odwala ambiri odwala matenda ashuga.Njira yatsopano ya jakisoniyi imafalikira mobisa pobaya madzi, omwe amatengedwa mosavuta ndi khungu.minofu ya subcutaneous imakhala yosakwiyitsa komanso yoyandikana ndi yosasokoneza.Ndiye, ndi njira ziti zomwe tikuyenera kusamala nazo posintha kuchoka ku jekeseni wa singano kupita ku jekeseni wopanda singano?

Kusintha kuchoka pa cholembera cha insulin kupita ku jekeseni wopanda singano

1. Musanasinthe jakisoni wopanda singano, muyenera kulumikizana ndi dokotala kuti mudziwe dongosolo la mankhwala a insulin.

2. Mkafukufuku wa Pulofesa Ji Linong, kusinthidwa kwa mlingo wa jakisoni woyamba wopanda singano ndi motere:

A. Insulin yosakanikirana: Mukamabaya insulin yosakanikirana popanda singano, sinthani mlingo wa insulini molingana ndi pre-prandial blood glucose.Ngati mulingo wa shuga m'magazi uli pansi pa 7 mmol / L, gwiritsani ntchito mlingo womwe waperekedwa.

Imachepetsedwa pafupifupi 10%;ngati mulingo wa shuga m'magazi uli pamwamba pa 7mmol / L, ndikulimbikitsidwa kuti mupereke mankhwalawa molingana ndi mlingo wamba wochiritsira, ndipo wofufuzayo amawusintha malinga ndi momwe wodwalayo alili;

B. Insulin glargine: Mukamabaya insulin glargine ndi syringe yopanda singano, sinthani mlingo wa insulini molingana ndi shuga wamagazi musanadye.Ngati mulingo wa shuga m'magazi ndi 7- 10 mmol / L, tikulimbikitsidwa kuti muchepetse mlingo ndi 20-25% molingana ndi malangizo.Ngati mulingo wa shuga wamagazi ndi 10- 15mmol/L Pamwambapa, tikulimbikitsidwa kuti muchepetse mlingo ndi 10- 15% molingana ndi malangizo.Ngati mulingo wa shuga m'magazi uli pamwamba pa 15mmol / L, ndi bwino kuti mlingowo uperekedwe molingana ndi mlingo wochiritsira, ndipo wofufuzayo asinthe malinga ndi momwe wodwalayo alili.

Kuphatikiza apo, mukasintha jakisoni wopanda singano, chidwi chiyenera kuperekedwa pakuwunika shuga wamagazi kuti mupewe hypoglycemia.Nthawi yomweyo, muyenera kudziwa njira yoyenera yogwiritsira ntchito ndikulabadira ntchito yokhazikika pobaya jakisoni.


Nthawi yotumiza: Nov-07-2022