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

ʻO ka NPH a me ka insulin maʻamau he lāʻau hui e kōkua ana i ka poʻe me ka maʻi diabetes e mālama i ko lākou pae kōpaʻa koko i ka lā. Aia i loko o kēia hui ʻana nā ʻano insulin ʻelua e hana ana i nā wikiwiki like ʻole - hana wikiwiki ka insulin maʻamau aʻo ka insulin NPH e hāʻawi i ka uhi lōʻihi.

E noʻonoʻo i kēia hui ʻana ma ke ʻano he hana hui i ka mālama ʻana i ke kōpaʻa koko. Mālama ka insulin maʻamau i ka piʻi koke ʻana o ke kōpaʻa koko ma hope o nā meaʻai, aʻo ka insulin NPH e hana paʻa ana ma ke kua e mālama i nā pae paʻa ma waena o nā meaʻai a me ka pō.

He aha ka NPH a me ka Insulin maʻamau?

ʻO ka NPH a me ka insulin maʻamau he hui mua o nā ʻano insulin ʻelua i hoʻolālā ʻia e hoʻomaʻalahi i ka mālama ʻana i ka maʻi diabetes. ʻO NPH ke kū nei no Neutral Protamine Hagedorn, he insulin hana waena, aʻo ka insulin maʻamau he ʻano hana pōkole.

Hele mai kēia lāʻau hui ma ke ʻano he wai ao āu e hoʻokomo ai ma lalo o kou ʻili. No ka insulin NPH ka ao, aia nā protein e hoʻolohi i kāna komo ʻana. Ke hui pū ʻia, hāʻawi kēia mau insulins ʻelua i ka mana kōpaʻa koko koke a hoʻolōʻihi ʻia i hoʻokahi injection.

ʻO ka mea maʻamau, e ʻike ʻoe i kēia hui ʻana ma kahi ratio 70/30, ʻo ia hoʻi 70% NPH insulin a me 30% insulin maʻamau. Hele mai kekahi mau formulations i nā ratio 50/50, ma muli o kāu mau pono.

No ke aha e hoʻohana ʻia ai ka NPH a me ka Insulin maʻamau?

Hoʻohana nui ʻia kēia hui ʻana o ka insulin e mālama i ka maʻi diabetes type 1 a me type 2 ke hana ʻole kou kino i ka insulin lawa a i ʻole hiki ʻole ke hoʻohana pono. He mea kōkua nui ia no ka poʻe e pono ai i ka uhi ʻana i ka insulin i ka wā ʻai a me ke kua.

Hiki i kāu kauka ke kauoha i kēia hui ʻana inā ʻoe e lawe nei i ʻelua mau pahu insulin kaʻawale a makemake e maʻalahi i kāu hana maʻamau. Hoʻohana pinepine ʻia nō hoʻi ke pono ʻoe i ka uhi insulin mau i ka lā akā ʻaʻole makemake i ka paʻakikī o nā injections he nui.

Hoʻohana kekahi poʻe me ka maʻi diabetes type 2 i kēia hui ʻana ke hāʻawi ʻole nā lāʻau lapaʻau ʻē aʻe e like me metformin a i ʻole sulfonylureas i ka mana kōpaʻa koko kūpono. Hiki ke kauoha ʻia i ka wā hāpai no ka maʻi diabetes gestational ke lawa ʻole ka ʻai a me ka hoʻoikaika kino.

Pehea e hana ai ʻo NPH a me ka Insulin maʻamau?

Hana kēia hui ʻana ma ka pani ʻana i ka insulin e hana maoli ai kou kino. Hoʻomaka ka hana ʻana o ka mea insulin maʻamau i loko o 30 mau minuke o ka injection a piʻi ma kahi o 2-4 mau hola, e hana ana i mea maikaʻi no ka mālama ʻana i nā spikes kōpaʻa koko ma hope o nā meaʻai.

Loaʻa i ka mea insulin NPH kahi hoʻomaka lohi, e hoʻomaka ana e hana i loko o 1-2 mau hola a mau a hiki i 24 mau hola. Hāʻawi kēia i ka uhi insulin hope e pono ai kou kino ma waena o nā meaʻai a i ka wā e hiamoe ai ʻoe.

ʻO ka hui pū ʻana, kōkua kēia mau insulins i ka hoʻoneʻe ʻana i ka glucose mai kou kahe koko i loko o kāu mau cell, kahi e hiki ai ke hoʻohana ʻia no ka ikehu. Manaʻo ʻia kēia hui ʻana he ikaika, e hāʻawi ana i ka mana kōpaʻa koko hilinaʻi no ka hapa nui o ka poʻe me ka maʻi diabetes ke hoʻohana ʻia e like me ke kauoha.

Pehea wau e lawe ai i ka NPH a me ka Insulin maʻamau?

E hoʻokomo ʻoe i kēia insulin ma lalo o ka ʻili o kou ʻūhā, ka lima luna, a i ʻole ka ʻōpū me ka hoʻohana ʻana i ka syringe a i ʻole ka peni insulin. E hōʻike kāu kauka iā ʻoe i ke ʻano o ka injection kūpono a kōkua iā ʻoe e koho i nā wahi injection maikaʻi loa.

Ma mua o kēlā me kēia injection, pono ʻoe e ʻōwili mālie i ka vial a i ʻole ka peni ma waena o kou mau lima e hui pono i ka insulin. Pono ke wai e nānā pono i ke ao me ka ʻole o nā puʻupuʻu a i ʻole nā kristal. Mai lulu ikaika i ka vial, no ka mea, hiki i kēia ke hōʻino i ka insulin.

He mea nui ka manawa me kēia hui pū ʻana. Hoʻokomo ka hapa nui o nā kānaka i ka lāʻau i 30 mau minuke ma mua o ka ʻaina kakahiaka a me ka ʻaina ahiahi e ʻae ai i ka insulin maʻamau e hoʻomaka e hana ma mua o ka piʻi ʻana o ke kō koko mai ka ʻai ʻana. Pono ʻoe e ʻai i kāu ʻai i hoʻolālā ʻia i loko o 30-60 mau minuke ma hope o ka hoʻokomo ʻana e pale ai i ke kō koko haʻahaʻa.

E hoʻololi i kāu mau wahi hoʻokomo e pale ai i nā pilikia o ka ʻili e like me nā puʻupuʻu a i ʻole nā niho. E mālama i kahi papa hoʻololi a pale i ka hoʻokomo ʻana i ka wahi like i nā manawa he nui. ʻAʻole pono ka hoʻomaʻemaʻe ʻana i nā wahi hoʻokomo me ka waiʻona ke ʻole e ʻōlelo kāu kauka.

Pehea ka lōʻihi e lawe ai au i ka NPH a me ka Insulin maʻamau?

Pono ka hapa nui o nā kānaka me ka maʻi diabetes type 1 i ka lāʻau insulin no ke ola, no ka mea, ʻaʻole hiki i ko lākou kino ke hana i ka insulin maoli. Hiki i kēia hui pū ʻana ke lilo i mea hoʻonā lōʻihi inā e hoʻomau ana ia i ka hāʻawi ʻana i ka mana kō koko maikaʻi.

No ka maʻi diabetes type 2, pili ka lōʻihi i ka holomua o kou maʻi a me ka maikaʻi o nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi poʻe ke hoʻololi i nā ʻano insulin like ʻole a i ʻole e hoʻohui i nā lāʻau lapaʻau ʻē aʻe i kā lākou hoʻolālā lapaʻau.

E nānā mau kāu kauka i kāu pae kō koko a hoʻoponopono i kāu lapaʻau e like me ka mea e pono ai. Mai hooki i ka lawe ʻana i ka insulin me ka nānā ʻole ʻana i ka lāʻau lapaʻau, no ka mea, hiki i kēia ke alakaʻi i nā pilikia weliweli. ʻOiai inā maikaʻi ʻoe, he mea nui ka lāʻau insulin mau no ka pale ʻana i nā pilikia diabetes lōʻihi.

He aha nā hopena ʻaoʻao o NPH a me ka Insulin maʻamau?

E like me nā lāʻau lapaʻau a pau, hiki i ka NPH a me ka insulin maʻamau ke hana i nā hopena ʻaoʻao, ʻoiai e ʻae ka hapa nui o nā kānaka iā ia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mālama i nā pilikia e kū mai a ʻike i ka manawa e hoʻopili ai i kāu mea mālama ola.

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

Eia nā hopena ʻaoʻao i hōʻike pinepine ʻia e hiki iā ʻoe ke ʻike:

• Nā hanana haʻahaʻa o ke kō koko, ʻoi loa inā ua lohi nā ʻai
• Ka loaʻa ʻana o ke kaumaha no ka mea e mālama maikaʻi ai kou kino i ka glucose
• Nā hopena ma ke kahua o ka pahu ʻana e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻū
• Nā loli o ka ʻili ma nā kahua o ka pahu ʻana, me nā puʻupuʻu a i ʻole nā niho
• Ka ʻike pōkole ʻana i ka ʻike no ka mea e paʻa ai nā pae kō koko

Hoʻomaikaʻi pinepine kēia mau hopena maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau a i ka wā e hoʻoponopono ai ʻoe i kāu ana a me ka manawa.

ʻOiai ʻaʻole maʻamau, hiki i kekahi poʻe ke ʻike i nā hopena ʻoi aku ka koʻikoʻi e koi ai i ka mālama olakino koke. He mea maʻamau kēia mau kūlana akā he mea nui e ʻike:

• Hypoglycemia koʻikoʻi me ka huikau, nā hopu, a i ʻole ka nalowale o ka ʻike
• Nā hopena maʻi me ka ʻōpala, ka pilikia o ka hanu ʻana, a i ʻole ka pehu
• Nā maʻi ʻili mau ma nā kahua o ka pahu ʻana
• Ka mālama ʻana i ka wai maʻamau a i ʻole ka pehu ʻana i nā lima a me nā wāwae

Inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka mālama olakino ulia pōpilikia.

ʻO wai ka mea ʻaʻole pono e lawe iā NPH a me ka Insulin maʻamau?

He kakaikahi wale nō ka poʻe me ka maʻi diabetes ʻaʻole hiki ke lawe i kēia hui ʻana o ka insulin, akā koi kekahi mau kūlana i ka mālama kūikawā a i ʻole nā lāʻau lapaʻau ʻē aʻe. E loiloi pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e hoʻohana i kēia insulin inā e ʻike nei ʻoe i ke kō koko haʻahaʻa a i ʻole inā he maʻi ʻoe i kekahi mea i loko o ka formulation. Hiki i kekahi poʻe ke maʻi i ka protamine i loko o ka insulin NPH, e koi ana i kahi ʻano insulin ʻokoʻa.

Pono kekahi mau maʻi olakino i ka nānā pono ʻana a me nā hoʻoponopono ʻana i ka dosis ke hoʻohana nei i kēia hui ʻana o ka insulin:

• Ka maʻi kīkī, hiki ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka insulin
• Ka maʻi ate, hiki ke hoʻololi i kāu pono insulin
• Nā maʻi thyroid, hiki ke hoʻopilikia i ka mālama ʻana i ke kō koko
• Ka maʻi puʻuwai, hiki ke hoʻopilikia i ke kaulike wai
• Nā maʻi koʻikoʻi a i ʻole nā maʻi, e hoʻonui maʻamau i nā koi insulin

E hana pū kāu kauka me ʻoe e hoʻoholo inā palekana a kūpono kēia hui ʻana o ka insulin no kāu kūlana.

Nā inoa inoa o NPH a me Regular Insulin

Loaʻa kēia hui ʻana o ka insulin ma lalo o nā inoa inoa like ʻole, me kēlā me kēia mea hana e hāʻawi ana i nā formulations a me nā ʻano hāʻawi like ʻole. ʻO nā inoa inoa maʻamau e komo pū ana me Humulin 70/30 a me Novolin 70/30.

Hana ʻia ʻo Humulin 70/30 e Eli Lilly a hele mai i nā vials no nā syringes a me nā peni i hoʻopiha mua ʻia. Hana ʻia ʻo Novolin 70/30 e Novo Nordisk a loaʻa pū kekahi i nā vials a me nā ʻano peni.

Hoʻohana kekahi mau formulations hou i nā analog insulin ma kahi o ka insulin kanaka maʻamau, e like me Humalog Mix 75/25 a i ʻole NovoLog Mix 70/30. Hana like kēia mau mea akā loaʻa paha nā ʻano manawa like ʻole. E hoʻohana mau i ka inoa inoa a me ke ʻano i kauoha ʻia e kāu kauka, no ka mea, ʻo ka hoʻololi ʻana ma waena o nā inoa inoa e pono ai ke kiaʻi olakino.

Nā koho ʻē aʻe o NPH a me Regular Insulin

Nui nā koho ʻē aʻe inā ʻaʻole hana maikaʻi ʻo NPH a me ka insulin maʻamau no kou ola a i ʻole nā pono olakino. Hāʻawi ka lāʻau lapaʻau insulin hou i nā koho he nui e kūlike me nā papa manawa a me nā makemake like ʻole.

ʻO nā analog insulin lōʻihi e like me ka insulin glargine (Lantus) a i ʻole insulin detemir (Levemir) i hui pū ʻia me nā insulin mealtime wikiwiki e hāʻawi i ka manawa maʻalahi. ʻO kēia ala, i kapa ʻia ʻo basal-bolus therapy, hiki iā ʻoe ke hoʻoponopono i nā mea i hoʻohana ʻia ma muli o kāu ʻai maoli a me nā pae hana.

ʻO nā hui ʻē aʻe i hui pū ʻia, ʻo ia hoʻi ka insulin lispro mix (Humalog Mix) a me ka insulin aspart mix (NovoLog Mix), e hoʻohana ana i nā analogs wikiwiki ma kahi o ka insulin maʻamau. Hana wikiwiki kēia mau hui a hiki ke hoʻemi i nā hanana haʻahaʻa koko ma waena o nā meaʻai.

No ka poʻe me ka maʻi diabetes type 2, ʻo nā lāʻau lapaʻau ʻole insulin e like me GLP-1 agonists a i ʻole SGLT-2 inhibitors he mau koho kūpono a i ʻole nā mea i hoʻohui ʻia i ka lāʻau insulin. E kōkua kāu kauka iā ʻoe e ʻimi i kēia mau koho e pili ana i kāu mau pono.

ʻOi aku ka maikaʻi o ka NPH a me ka Insulin maʻamau ma mua o Lantus?

Hoʻohana ka hui pū ʻana o ka NPH a me ka insulin maʻamau a me Lantus (insulin glargine) i nā kumu like ʻole i ka mālama ʻana i ka maʻi diabetes, no laila e pili ana ka

ʻO ia hoʻi, pono paha ʻoe i nā mea liʻiliʻi e pale aku i nā hanana haʻahaʻa o ke kō koko. E nānā mau kāu kauka i kāu hana kīkī a hoʻoponopono i kāu mau mea insulin e like me ka mea e pono ai. Hiki nō hoʻi iā lākou ke ʻōlelo aku i ka hoʻāʻo pinepine ʻana i ke kō koko e hōʻoia i ka noho ʻana o kāu mau pae i kahi pae palekana.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka NPH a me ka Insulin maʻamau?

Inā ʻoe e hoʻokomo hewa i ka nui o ka insulin, mai hopohopo, akā e hana wikiwiki e pale i ke kō koko haʻahaʻa weliweli. E ʻai a inu paha i kekahi mea me nā carbohydrates hana wikiwiki koke, e like me nā papa glucose, wai hua, a i ʻole ka soda maʻamau.

E nānā pono i kāu kō koko no nā hola e hiki mai ana, no ka mea, e hoʻomau ka hana ʻana o ka insulin. E mālama i nā carbohydrates hana wikiwiki ma kahi kokoke a e ʻai i nā meaʻai maʻamau e like me ka mea i hoʻonohonoho ʻia. E hoʻokaʻaʻike i kāu mea mālama ola a i ʻole e kelepona i nā lawelawe pilikia inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka huikau, nā hopu ʻana, a i ʻole ka nalowale o ka ʻike.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka NPH a me ka Insulin maʻamau?

Inā ua hala ʻoe i kahi mahele, e lawe koke iā ia ke hoʻomanaʻo ʻoe, akā inā ma loko o kekahi mau hola o kou manawa maʻamau. Mai pāpālua i nā mahele a i ʻole e lawe i ka insulin keu e

Hiki i kāu kauka ke hoʻoponopono i kāu ʻōnaehana insulin inā e hoʻomaikaʻi nui ka mana o ke kō i ke koko me nā loli o ke ola, ka emi ʻana o ke kaumaha, a i ʻole nā lāʻau lapaʻau ʻē aʻe. Pono e hana mālie ʻia nā loli i kāu lāʻau insulin ma lalo o ka mālama ʻana o ke kauka e hōʻoia i ka paʻa ʻana o ke kō i kou koko.

Hiki iaʻu ke hele me NPH a me Regular Insulin?

ʻAe, hiki iā ʻoe ke hele me ka insulin, akā he mea nui ka hoʻolālā kūpono. E lawe mau i ka insulin i loko o kāu ʻeke lima i ka wā e lele ana, no ka mea, hiki i nā mahana o nā ʻeke i nānā ʻia ke hōʻino i ka lāʻau lapaʻau. E lawe mai i kahi leka kauoha mai kāu kauka e wehewehe ana i kou pono no ka insulin a me nā lako.

E hoʻopaʻa i ka insulin a me nā lako keu inā loaʻa nā lohi a i ʻole nā ʻeke i nalowale. Inā e hele ana ma nā ʻāina manawa, e hana pū me kāu mea mālama ola e hoʻoponopono mālie i kāu papa hana injection. E mālama i ka insulin i ka wela o ka lumi i ka wā e hele ai, a mai waiho i loko o nā kaʻa wela a i ʻole ka lā pololei.