He aha ka NPH Insulin: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka NPH insulin he ʻano insulin e hana lōʻihi ana e kōkua i ka poʻe me ka maʻi diabetes e mālama i ko lākou pae kōpaʻa koko i ka lā. Ua kapa ʻia ʻo ia he "intermediate-acting" no ka mea e hana ana no kahi o 12-18 mau hola, e hāʻawi ana i ka mana glucose paʻa ma waena o nā meaʻai a me ka pō.

Loaʻa i kēia ʻano insulin kona inoa mai Neutral Protamine Hagedorn, ma hope o ka mea ʻepekema nāna i hoʻomohala. ʻO ka ʻāpana "isophane" e pili ana i ke ʻano o ka hoʻokumu ʻia ʻana o ka insulin me ka protamine e hoʻolohi i kona komo ʻana i loko o kou kino.

No ke aha e hoʻohana ʻia ai ka NPH Insulin?

Hoʻohana nui ʻia ka NPH insulin e mālama i ka maʻi diabetes type 1 a me type 2 ke pono ke kōkua o kou kino i ka mālama ʻana i nā pae kōpaʻa koko. He mea ia e like me ka insulin hope e like me ka mea e hana maʻamau ai kou pancreas i ka lā.

Ke hilinaʻi nei ka poʻe me ka maʻi diabetes type 1 i ka NPH insulin no ka mea ʻaʻole hiki i ko lākou kino ke hana i ka insulin. No ka poʻe me ka maʻi diabetes type 2, pono ka NPH insulin ke lawa ʻole nā lāʻau lapaʻau ʻē aʻe e like me nā pila e mālama i ke kōpaʻa koko i ke olakino.

Hiki i kāu kauka ke kuhikuhi i ka NPH insulin inā e hana ana ʻoe me ka maʻi diabetes gestational i ka wā hāpai. Hiki kēia i ka wā e paʻakikī ai nā hormones hāpai i kou kino e hoʻohana pono i ka insulin.

Pehea e hana ai ka NPH Insulin?

Hana ka NPH insulin ma ke kōkua ʻana i kāu mau cell e komo i ka glucose mai kou kahe koko, e like me ka insulin maoli. Manaʻo ʻia he insulin ikaika waena e hāʻawi ana i ka mana kōpaʻa koko paʻa a paʻa ma mua o nā hoʻoponopono wikiwiki.

Hana ka protamine i ka NPH insulin e like me ka mīkini hoʻokuʻu manawa. Ke hoʻokomo ʻoe iā ia ma lalo o kou ʻili, e hoʻoheheʻe mālie ka protamine, e hoʻokuʻu mālie ana i ka insulin i loko o kou kahe koko ma luna o 12-18 mau hola.

Ma muli o kēia hoʻokuʻu lohi, maikaʻi loa ka insulin NPH i ka pale ʻana i nā piʻi o ke kō koko ma waena o nā meaʻai a i ka wā e hiamoe ana. Hoʻomaka maʻamau ia e hana i loko o 1-2 mau hola, piʻi ma kahi o 4-6 mau hola, a hoʻomau i ka hana ʻana a hiki i 18 mau hola.

Pehea e lawe ai au i ka Insulin NPH?

Hāʻawi ʻia ka insulin NPH ma ke ʻano he injection ma lalo o ka ʻili, maʻamau i kou ʻūhā, lima, a i ʻole ka ʻōpū. E aʻo kāu kauka iā ʻoe i ke ʻano o ka injection kūpono a kōkua iā ʻoe e koho i nā wahi injection maikaʻi loa.

E lawe maʻamau ʻoe i ka insulin NPH hoʻokahi a ʻelua paha i ka lā, pinepine ma mua o ka ʻaina kakahiaka a me ka ʻaina ahiahi. Pono kekahi poʻe i ka wā e moe ai e mālama i nā pae kō koko i ka pō.

Eia kekahi mau ʻanuʻu nui e hahai ai i ka wā e lawe ai i ka insulin NPH:

• E ʻōwili mālie i ka hue ma waena o kou mau lima e hui i ka insulin - mai lulu ikaika
• E hoʻomaʻemaʻe i ka wahi injection me kahi swab waiʻona
• E hoʻololi i nā wahi injection e pale i nā pilikia o ka ʻili
• E mālama i nā hue i wehe ʻole ʻia i loko o ka pahu hau
• E mālama i ka hue āu e hoʻohana nei i kēia manawa ma ka lumi wela

ʻAʻole like me kekahi mau lāʻau lapaʻau, ʻaʻole pono e lawe ʻia ka insulin NPH me ka meaʻai, akā hiki i ka manawa me nā meaʻai ke kōkua i ka pale ʻana i ke kō koko haʻahaʻa. E hāʻawi kāu mea mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu papa manawa meaʻai.

Pehea ka lōʻihi e lawe ai au i ka Insulin NPH?

Pono ka hapa nui o ka poʻe me ka maʻi diabetes type 1 i ka insulin NPH no ke ola, no ka mea, ʻaʻole hiki i ko lākou kino ke hana i ka insulin maoli. Aia ka lōʻihi i kāu kūlana pilikino a me ka maikaʻi o ka pane ʻana o kou kino i ka lāʻau lapaʻau.

No ka maʻi diabetes type 2, pono paha ʻoe i ka insulin NPH no ka wā lōʻihi a i ʻole no ka manawa pōkole, ma muli o nā mea e like me kāu kaohi kō koko, nā lāʻau lapaʻau ʻē aʻe, a me nā loli o ke ola. Hiki i kekahi poʻe ke hōʻemi a hoʻōki paha i ka insulin inā hana lākou i nā hoʻomaikaʻi nui i kā lākou ʻai a me nā hana hoʻoikaika kino.

E nānā mau kāu kauka i nā pae kōpa koko a hoʻoponopono i kāu hoʻolālā lapaʻau e like me ka mea e pono ai. Mai hooki i ka lawe ʻana i ka insulin NPH me ka ʻole e kūkākūkā me kāu mea mālama ola, no ka mea, hiki i kēia ke alakaʻi i nā piʻi kōpa koko weliweli.

He aha nā hopena ʻaoʻao o ka insulin NPH?

ʻO ka hopena ʻaoʻao maʻamau o ka insulin NPH he haʻahaʻa ke kōpa koko (hypoglycemia), hiki ke hana inā ʻoe e lawe i ka nui o ka insulin, haʻalele i nā meaʻai, a i ʻole e hoʻoikaika kino ma mua o ka maʻamau. ʻO nā hōʻailona e pili ana i ka haʻalulu, ka hou, ka huikau, a me ka pōloli.

E nānā kākou i nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:

• Nā hanana haʻahaʻa ke kōpa koko me nā hōʻailona e like me ka ʻūlū, ka puʻuwai wikiwiki, a i ʻole ka huhū
• Nā hopena wahi injection e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻeha māmā
• Ka loaʻa ʻana o ke kaumaha i ka wā e hoʻomaka ai kou kino e hoʻohana i ka glucose me ka maikaʻi
• Nā loli ʻili ma nā wahi injection inā ʻaʻole ʻoe e hoʻololi i nā wahi

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e pili ana i ke kōpa koko haʻahaʻa koʻikoʻi e koi ana i ka lāʻau lapaʻau pilikia, a me nā hopena maʻi maʻamau me nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka pehu, a i ʻole ka ʻōpala ākea.

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka insulin NPH, a ʻo nā hopena ʻaoʻao e hoʻomaikaʻi pinepine i ka wā e hoʻoponopono ai kou kino i ka lāʻau. E mālama mau i nā papa glucose wikiwiki a i ʻole ka wai kokoke e mālama koke i ke kōpa koko haʻahaʻa.

ʻO wai ka mea ʻaʻole pono e lawe i ka insulin NPH?

He kakaikahi loa ka poʻe hiki ʻole ke lawe i ka insulin NPH, akā pono kekahi mau kūlana i ka mālama hou a i ʻole nā lāʻau lapaʻau ʻē aʻe. Pono paha ka poʻe me nā hanana haʻahaʻa ke kōpa koko koʻikoʻi a pinepine i kahi hoʻoponopono insulin ʻokoʻa.

E loiloi pono kāu kauka inā kūpono ka insulin NPH iā ʻoe inā loaʻa iā ʻoe kekahi mau maʻi olakino:

• Ka maʻi kīkī, hiki ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka insulin
• Nā pilikia o ke akepaʻa e hiki ke hoʻololi i nā koi insulin
• Nā maʻi o ka naʻau e hiki ke hoʻonui ʻia e nā hanana haʻahaʻa o ke kō koko
• He moʻolelo o nā hopena maʻi koʻikoʻi i ka insulin a i ʻole nā mea i loko
• Nā maʻi ʻai e hoʻolilo i ka manawa ʻai i mea hiki ʻole ke wānana

ʻAʻole e pale ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka hoʻohana ʻana i ka insulin NPH, akā hiki i kāu kauka ke hoʻoponopono i kāu dosage. Hiki i nā keiki ke hoʻohana palekana i ka insulin NPH, ʻoiai paha lākou e pono i nā ʻano ʻokoʻa a i ʻole nā papa hana dosing.

Nā inoa inoa o ka insulin NPH

Loaʻa ka insulin NPH ma lalo o nā inoa inoa like ʻole, me Humulin N a me Novolin N nā mana i kauoha pinepine ʻia ma ʻAmelika Hui Pū ʻIa. Loaʻa i nā mea ʻelua ka mea hana like akā loaʻa paha nā ʻokoʻa liʻiliʻi i nā mea hana ʻole.

Hana ʻia ʻo Humulin N e Eli Lilly, a mai Novo Nordisk mai ʻo Novolin N. Hiki i kāu hale kūʻai lāʻau lapaʻau ke lawe i kekahi a i ʻole nā ​​inoa ʻelua, a ua like lākou me ka ʻae ʻia o kāu kauka.

Makemake paha kekahi mau hoʻolālā ʻinikua i kekahi inoa ma luna o kekahi, no laila he mea pono ke nānā me kāu mea hoʻolako ʻinikua e pili ana i ka uhi. Loaʻa nā inoa ʻelua i nā vials a me nā peni i hoʻopiha mua ʻia no ka maʻalahi o ka injection.

Nā koho ʻē aʻe o ka insulin NPH

Nui nā insulin waena a me ka lōʻihi e hiki ke lilo i nā koho ʻē aʻe i ka insulin NPH, ma muli o kāu mau pono. ʻO ka insulin glargine (Lantus) a me ka insulin detemir (Levemir) nā koho lōʻihi e hāʻawi ana i ka uhi 24-hola.

Hiki i kēia mau koho hou ke hāʻawi i ka mana kō koko i hiki ke wānana ʻia me ka liʻiliʻi o ka pilikia o nā hanana haʻahaʻa o ke kō koko i ka pō. Eia naʻe, ʻoi aku ka pipiʻi ma mua o ka insulin NPH.

Hiki i kāu kauka ke noʻonoʻo i nā insulin hui e hui pū ana i ka NPH me ka insulin wikiwiki i hoʻokahi injection. Aia kēia mau mea i ka 70/30 insulin (70% NPH, 30% maʻamau) a i ʻole nā ​​hui like e hiki ke maʻalahi i kāu papa hana dosing.

Ua ʻOi aku ka maikaʻi o ka Insulin NPH ma mua o ka Insulin Glargine?

Hāʻawi nā insulin NPH a me ka insulin glargine (Lantus) i ka mana kōpaʻa koko lōʻihi, akā hana lākou i nā ʻano like ʻole a loaʻa nā pōmaikaʻi like ʻole. ʻAʻole kekahi i kaulana i ka

E ʻimi i ka mālama olakino pilikia inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka huikau, ka nalowale o ka ʻike, a i ʻole nā hopu. E mālama i nā pahu pilikia glucagon inā ʻōlelo kāu kauka iā lākou.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o ka insulin NPH?

Inā ua hala ʻoe i kahi mahele o ka insulin NPH, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole ua kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. Mai pāpālua i nā mahele e hoʻopiha ai i kahi mea i hala.

E nānā pinepine i kou kōpaʻa koko ma hope o ka hala ʻana i kahi mahele, no ka mea, ʻoi aku paha kou pae ma mua o ka maʻamau. Pono paha ʻoe e hoʻoponopono i ka manawa o kāu ʻai ʻana a i ʻole e hoʻokaʻaʻike i kāu mea mālama ola kino no ke alakaʻi.

Inā poina pinepine ʻoe i nā mahele, e noʻonoʻo e hoʻonohonoho i nā ʻōhua kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e kōkua iā ʻoe e hoʻomanaʻo. He mea nui ka manawa kūlike no ka hana pono ʻana o ka insulin NPH.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka insulin NPH?

Pono ka poʻe me ka maʻi diabetes type 1 i ka insulin no ke ola no ka mea ʻaʻole hiki i ko lākou kino ke hana maoli. Eia naʻe, hiki i ka poʻe me ka maʻi diabetes type 2 ke hōʻemi a i ʻole ke hooki i ka insulin inā hoʻomaikaʻi nui kā lākou mana kōpaʻa koko.

E loiloi kāu kauka inā hiki iā ʻoe ke hooki i ka insulin NPH ma muli o kou pae kōpaʻa koko, ke olakino holoʻokoʻa, a me nā lāʻau lapaʻau diabetes ʻē aʻe. ʻAʻole pono e hana ʻia kēia hoʻoholo me ka nānā ʻole ʻana o ka lāʻau lapaʻau.

Hiki i kekahi poʻe ke hōʻemi i kā lākou pono insulin ma o ka lilo ʻana o ke kaumaha, ka hoʻomaikaʻi ʻana i ka ʻai, ka hoʻoikaika kino mau, a i ʻole nā lāʻau lapaʻau diabetes ʻē aʻe. E hana pū kāu hui mālama ola kino me ʻoe e ʻimi i ka hoʻolālā lapaʻau lōʻihi maikaʻi loa.

Hiki iaʻu ke hui pū i ka insulin NPH me nā insulins ʻē aʻe?

Hiki ke hui pū ʻia ka insulin NPH me ka insulin maʻamau i ka syringe hoʻokahi, akā ʻaʻole pono e hui pū ʻia me nā insulins wikiwiki e like me ka insulin lispro a i ʻole aspart. E hahai mau i nā ʻōlelo kikoʻī a kāu kauka e pili ana i ka hui ʻana i nā insulins.

Ke hui pū ʻana i nā insulins, e huki mua i ka insulin maʻamau maʻemaʻe, a laila ka insulin NPH ao. Pale kēia i ka haumia a hōʻoia i ka dosing pololei o nā ʻano ʻelua.

Loaʻa nā hui ʻana o ka insulin i hui mua ʻia inā manaʻo kāu kauka e pono ana ʻoe i ka NPH a me ka insulin maʻamau. Hoʻopau kēia mau mea i ka pono no ka hui ʻana a hiki ke maʻalahi i kāu hana injection.