Guhindura ikaramu ya insuline ukayitera inshinge idafite inshinge, ni iki nakwitondera?

Injeneri idafite inshinge ubu yamenyekanye nkuburyo bwizewe kandi bworoshye bwo gutera inshinge za insuline, kandi byemewe nabarwayi benshi ba diyabete.Ubu buryo bushya bwo gutera inshinge bukwirakwizwa mu buryo bwihuse iyo utera amazi, byoroshye kwinjizwa nuruhu.Theibice byo munsi yubutaka ntibishobora kurakara kandi byegereye noninvasive.None, ni izihe ngamba dukeneye kwitondera mugihe cyo guhinduranya inshinge zatewe inshinge zidafite urushinge?

Guhindura ikaramu ya insuline ukayitera inshinge idafite inshinge

1. Mbere yo guhinduranya inshinge zidafite inshinge, ugomba kuvugana na muganga wawe witabye kugirango umenye gahunda yo kuvura insuline.

2. Mu bushakashatsi bwa Porofeseri Ji Linong, icyifuzo cyo guhindura imiti yo gutera inshinge za mbere zidafite inshinge zikurikira:

A. Insuline yateguwe: Mugihe utera insuline yateguwe idafite inshinge, hindura igipimo cya insuline ukurikije glucose yamaraso mbere ya prandial.Niba amaraso ya glucose ari munsi ya 7mmol / L, koresha gusa igipimo cyagenwe.

Yagabanutseho hafi 10%;niba urwego rwisukari rwamaraso ruri hejuru ya 7mmol / L, birasabwa gutanga imiti ukurikije imiti isanzwe ivura, kandi umushakashatsi arabihindura akurikije uko umurwayi ameze;

B. Insuline glargine: Mugihe utera insuline glargine hamwe na siringi idafite urushinge, hindura urugero rwa insuline ukurikije isukari yamaraso mbere yo kurya.Niba urwego rwisukari rwamaraso ari 7- 10mmol / L, birasabwa kugabanya dosiye 20-25% ukurikije ubuyobozi.Niba urwego rwisukari rwamaraso ari 10- 15mmol / L Hejuru, birasabwa kugabanya ibipimo 10-15% ukurikije ubuyobozi.Niba urugero rw'isukari mu maraso ruri hejuru ya 15mmol / L, birasabwa ko dosiye yatangwa hakurikijwe imiti ivura, kandi umushakashatsi akabihindura akurikije uko umurwayi ameze.

Byongeye kandi, mugihe uhinduye inshinge zidafite inshinge, hakwiye kwitabwaho kugenzura isukari yamaraso kugirango wirinde hypoglycemia.Mugihe kimwe, ugomba kumenya tekinike yuburyo bukwiye kandi ukitondera imikorere isanzwe mugihe utera inshinge.


Igihe cyo kohereza: Ugushyingo-07-2022