Iji ghọta ọrụ nke insulin na basal na bolus, ọ dị mkpa ka ị ghọta ụzọ nke ahụ si eji glucose na insulin eme ihe.
Mgbe a na-eri nri, a na-agbaze ya ma gbanwee ya na glucose (shuga) ka eji ya mee ihe. Ihe fọrọ nke nta ka ọ bụrụ sel ọ bụla n'ime ahụ, gụnyere ụbụrụ gị, chọrọ glucose iji rụọ ọrụ nke ọma. A chọrọ insulin hormone iji buru glucose ahụ n'ime sel n'ime akụkụ nile nke ahụ ka e wee jiri ya mee ihe.
A na-echekwa ụfọdụ n'ime glucose a n'ime imeju dịka mmanụ nchekwa (a na-akpọ glycogen) nke a na-ahapụ mgbe glucose adịghị enweta ya site na nri. Ya mere, n'agbata glucose nke a na-eri site na nri na ihe eji nwayọọ nwayọọ wepụta na imeju, ahụ na-enweta glucose mgbe nile. Nke a pụtakwara na ọ dị mkpa ịnweta insulin n'ahụ mgbe nile iji mee ka glucose dị arọ.
Ebe ọ bụ na a na-emepụtakwu glucose mgbe nri gasịrị, pancreas na- ezochi insulin. Mgbe ọnụ ọgụgụ glucose dị ntakịrị, dika dị n'etiti nri ma ọ bụ n'abalị, enwechaghị insulin mkpa - ma ọ dịkarịa ala, obere insulin na-apụta n'ime ahụ n'oge niile.
Ịkọwa Basal na Bolus Insulin
Basal insulin bụ insulin na-esite na pancreas na-enyekarị ya 24 awa n'ụbọchị, ma onye ahụ ọ na-eri. Ọkụ insulin bụ Bolus na- ezo aka nsị insulin na pancreas ga-eme ka o kwe omume na glucose a na-eburu site na nri.
Ọnụ mmanụ insulin bolus na-adabere n'ụdị nri ahụ.
N'ime onye nwere ọrịa shuga nke ụdị 1 , pancreas adịghịzi eme insulin n'agbanyeghị na nri glucose. Mkpụrụ ndụ beta nke na-emepụta insulin na-emechibido. Ma insulin, ma ọ bụ ogologo insulin oge, na bolus, ma ọ bụ ngwa ngwa nke insulin chọrọ n'oge nri, ga-enwetara site na injections ma ọ bụ insulin mgbapụta iji mepụta ihe niile glucose a nabatara na nri ma ọ bụ na-emeju ya .
Ụdị Basal na Bolus Insulins
Mkpụrụ insulin basal, dị ka NPH, Levemir, na Lantus, na-amalite ịrụ ọrụ n'ime awa 1-2, ma a na-ahapụ ha nwayọ ka ha wee nwee ike ịdịgide ruo awa 24, na-enye nhazi insulin na-achọ n'oge elekere .
Ngwunye bolus na-eme ngwa ngwa, dịka NovoLog, Apidra, Humalog, na Adịkarị, n'ozuzu na-amalite ịrụ ọrụ n'ime minit 15. E wezụga bụ Akara, nke nwere mmalite nke ihe dị ka minit 30. A na - emepụta ọkpụkpụ bolus ọ bụla iji were ya tupu oge iri nri ma nwee oge ruo awa ise maka NovoLog, Apidra, na Humalog, na awa asaa maka Oge.
Nke a pụtara na onye na-arịa ọrịa shuga nke ụdị ọrịa ahụ ga-eji ọtụtụ insjections nke insulin bolus kwa ụbọchị iji na-ekpuchi nri ha na nri ha, tinyere obere azụ iji mee ka insulin na-enyocha ya.
Pasulin na Bolus insulin na nsi insulin
Onye na - eji mmiri ọgwụ insulin eme ihe ga - enweta obere ume nke insulin na - eme ngwa ngwa nke ga - eme dị ka insulin. Tupu nri, onye ọrụ mgbapụta ahụ ga-enye ọgwụ dị ukwuu nke insulin na-eme ngwa ngwa iji kwadebe nri a ga-eri. Nke a na-enye ma ma basal ma bolus mkpa iji otu insulin na-eme ngwa ngwa.
Ma ọ bụ ịṅụ ọgwụ na sringe ma ọ bụ iji insulin na-agbapụta, ọ bụ onye ọkachamara ahụike ga - ekpebi ụdị dosing na ụdị insulin (s) eji mee ihe.
Isi ihe
- Insulin. Òtù Ndị Ọrịa Shuga Ọrịa America. "Ntuziaka Ndị Ahịa 2011." Nkwupụta Ọrịa Shuga , January 2011, Vol, 64, Nke 1.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Ụdị Insulin." Ọchịchị Onwe-onye Ọrịa Shuga , 2009.
- Newton, C, MD. "Ihe mere Basal-Bolus Insulin Treatment nwere ike ịbụ nhọrọ kachasị mma maka ụdị shuga shuga." Ọrịa Ọrịa Shuga , November 27, 2007.