He aha te Insulin NPH: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te insulin NPH he momo insulin e mahi ana mo te wā roa e āwhina ana i te hunga mate huka ki te whakahaere i ō rātou taumata huka toto puta noa i te rā. E kiia ana he "waenganui-mahi" nā te mea e mahi ana mō te 12-18 haora, e whakarato ana i te whakahaere huka mō te wā i waenga i ngā kai me te pō.

Ko tēnei momo insulin i tapaina mai i te ingoa Neutral Protamine Hagedorn, i muri i te kaipūtaiao nāna i whakawhanake. Ko te wāhanga "isophane" e pā ana ki te āhua o te insulin i hangaia me te protamine hei whakaroa i tōna urunga ki tō tinana.

He aha te Insulin NPH e whakamahia ana mō?

Ko te insulin NPH te mea nui e whakamahia ana hei rongoā i te mate huka momo 1 me te momo 2 ina hiahia tō tinana ki te āwhina i te whakahaere i ngā taumata huka toto. He insulin papamuri e whai ana i te mahi a tō pūkahukahu e whakaputa ana i te nuinga o te rā.

Ko te hunga mate huka momo 1 e whakawhirinaki ana ki te insulin NPH nā te mea kāore e taea e ō rātou tinana te whakaputa insulin. Mō te hunga mate huka momo 2, ka whai pānga te insulin NPH ina kāore e ranea ētahi atu rongoā pēnei i ngā pire hei pupuri i te huka toto i roto i te awhe hauora.

Ka tohutohu pea tō tākuta i te insulin NPH mēnā kei te raru koe i te mate huka hapū i te wā e hapū ana. Ka pā tēnei ina uaua ake te whakamahi a tō tinana i te insulin i ngā homoni hapū.

Me pēhea te mahi a te Insulin NPH?

Ka mahi te insulin NPH mā te āwhina i ō pūtau ki te uru ki te huka mai i ō toto, pērā i te insulin tūturu. E kiia ana he insulin kaha-waenga e whakarato ana i te whakahaere huka toto tūmau, rite tonu, kaua ki ngā whakatikatika tere.

Ko te protamine i roto i te insulin NPH e mahi ana pērā i te pūnaha tuku-wā. Ina werohia e koe ki raro i tō kiri, ka rewa haere te protamine, ka tuku haere te insulin ki roto i ō toto i roto i te 12-18 haora.

Na te tukunga puhoi nei ka tino pai te insulin NPH ki te aukati i te piki o te huka toto i waenga i nga kai me te wa e moe ana. Ko te tikanga ka timata te mahi i roto i te 1-2 haora, ka eke ki te 4-6 haora, ka haere tonu te mahi mo te 18 haora.

Me pehea taku tango i te Insulin NPH?

Ka tukuna te insulin NPH hei werohanga i raro i te kiri, i te huha, i te ringa, i te puku ranei. Ma to taakuta koe e ako i te tikanga werohanga tika me te awhina i a koe ki te whiriwhiri i nga waahi werohanga pai.

Ko te tikanga ka tango koe i te insulin NPH kotahi, e rua ranei i te ra, i mua i te parakuihi me te tina. Ko etahi tangata e hiahia ana i te wa e moe ana anake hei whakahaere i nga taumata huka toto i te po.

Anei etahi mahi nui hei whai i te wa e tango ana i te insulin NPH:

• Hurihia marie te ipu i waenga i ou nikau hei whakaranu i te insulin - kaua rawa e ruru kaha
• Horoi i te waahi werohanga ki te waipiro
• Hurihia nga waahi werohanga hei aukati i nga raruraru kiri
• Rokiroki nga ipu kaore ano i whakatuwherahia ki roto i te pouaka whakamātao
• Puritia te ipu e whakamahia ana e koe i te pāmahana rūma

Kaore i rite ki etahi rongoa, kaore he take ki te tango i te insulin NPH me te kai, engari ko te wa me nga kai ka awhina i te aukati i te huka toto iti. Ka hoatu e to kaiwhakarato hauora ki a koe nga tohutohu motuhake i runga i to waarangi kai.

Kia pehea te roa e tango ai ahau i te Insulin NPH?

Ko te nuinga o nga tangata e mate huka momo 1 ka hiahia ki te insulin NPH mo te oranga, na te mea karekau o ratou tinana e whakaputa i te insulin. Ko te roanga e pa ana ki to ahuatanga takitahi me te pai o te urupare o to tinana ki te maimoatanga.

Mo te mate huka momo 2, tera pea ka hiahia koe ki te insulin NPH mo te wa roa, mo te wa poto ranei, i runga i nga mea penei i to whakahaere huka toto, etahi atu rongoa, me nga huringa o te oranga. Ka taea e etahi tangata te whakaiti, te whakamutu ranei i te insulin mena ka pai ake te kai me nga tikanga whakakori tinana.

Ka aroturukihia e tō tākuta ō taumata huka toto i ngā wā katoa, ā, ka whakatikatikaina tō mahere maimoatanga i te mea e tika ana. Kaua rawa e mutu te tango i te insulin NPH me te kore e kōrero ki tō kaiwhakarato hauora, nā te mea ka puta he pikinga huka toto mōrearea.

He aha ngā pānga taha o te Insulin NPH?

Ko te pānga taha tino noa o te insulin NPH ko te huka toto iti (hypoglycemia), ka puta tēnei ki te tango koe i te nui rawa o te insulin, ka ngaro i ngā kai, ka nui ake rānei te korikori tinana i te tikanga. Ko ngā tohumate ko te wiri, te werawera, te rangirua, me te hiakai.

Me titiro ki ngā pānga taha ka pā ki a koe, ka tīmata mai i ngā mea tino noa:

• Ngā wāhanga huka toto iti me ngā tohumate pēnei i te whanoke, te tere o te ngākau, te riri rānei
• Ngā tauhohenga wāhi werohanga pēnei i te whero, te pūpū, te mamae ngawari rānei
• Te pikinga taumaha i te mea ka tīmata tō tinana ki te whakamahi i te glucose i te pai ake
• Ngā huringa kiri i ngā wāhi werohanga ki te kore koe e huri i ngā wāhi

Ko ngā pānga taha kāore i te noa engari he nui ake te mōrearea ko te huka toto iti nui e hiahia ana ki te maimoatanga ohorere, me ngā tauhohenga pānga mate onge me ngā tohumate pēnei i te uaua ki te hā, te pūpū, te pāpānga whānui rānei.

He pai te aro o te nuinga o te tāngata ki te insulin NPH, ā, ka pai ake ngā pānga taha i te mea ka urutau tō tinana ki te rongoā. Me waiho tonu ngā papa glucose tere-mahi, te wai rānei i te taha hei rongoā tere i te huka toto iti.

Ko wai kāore e tika ana kia tango i te Insulin NPH?

He tokoiti rawa ngā tāngata kāore e taea te tango i te insulin NPH, engari ko ētahi āhuatanga e hiahia ana kia nui ake te tūpato, ētahi atu maimoatanga rānei. Ko ngā tāngata e pā ana ki ngā wāhanga huka toto iti nui, auau rānei, tērā pea ka hiahia ki tētahi atu tikanga insulin.

Ka āta arotake tō tākuta mēnā he tika te insulin NPH mōu ki te whai koe i ētahi āhuatanga hauora:

• Te mate tākihi, e pā ana ki te āhua o te tinana e tukatuka ana i te insulin
• Ngā raruraru ate ka huri pea i ngā whakaritenga insulin
• Ngā āhuatanga ngākau ka kino pea e ngā wāhanga huka toto iti
• He hītori o ngā tauhohenga mate pāwera nui ki te insulin, ki ōna kai rānei
• Ngā raruraru kai e kore ai te wā kai e matapae

Kāore te hapū me te whāngai ū e aukati i te whakamahi insulin NPH, engari ka whakatika pea tō tākuta i tō inenga. Ka taea e ngā tamariki te whakamahi i te insulin NPH, ahakoa ka hiahia pea rātou ki ētahi atu hanganga, ki ngā hōtaka inenga rānei.

Ngā Ingoa Waitohu Insulin NPH

Kei te wātea te insulin NPH i raro i ētahi ingoa waitohu, ko Humulin N me Novolin N ngā momo e tino tohua ana i te United States. Kei roto i ēnei e rua te kai kaha kotahi engari he rerekētanga iti pea i ngā wāhanga kore kaha.

Ko Humulin N i hangaia e Eli Lilly, i te mea ko Novolin N nō Novo Nordisk. Ka mau pea tō whare rongoā i tētahi, i ngā waitohu e rua rānei, ā, he rite tonu te whakamahi me te whakaaetanga a tō tākuta.

Ka pai pea ētahi mahere inihua ki tētahi waitohu i tētahi atu, nō reira he mea tika kia tirohia me tō kaiwhakarato inihua mō te kapinga. Kei te wātea ngā waitohu e rua i roto i ngā ipu me ngā pene kua whakakiia i mua mō te werohanga māmā.

Ngā Kōwhiringa kē mō te Insulin NPH

He maha ētahi atu insulin waenga me te roa te mahi ka taea te mahi hei kōwhiringa kē ki te insulin NPH, i runga i ō hiahia motuhake. Ko te insulin glargine (Lantus) me te insulin detemir (Levemir) he kōwhiringa roa ake te mahi e whakarato ana i te kapinga 24-haora.

Ko ēnei kōwhiringa kē hou ake nei ka whai mana pea i te mana whakahaere huka toto e matapae ana me te iti ake o te tūponotanga o ngā wāhanga huka toto iti i te pō. Heoi anō, he nui ake te utu i te insulin NPH.

Ka whakaaro pea tō tākuta ki ngā insulin whakakotahi e whakaranu ana i te NPH me te insulin tere te mahi i roto i te werohanga kotahi. Kei roto i ēnei ko te 70/30 insulin (70% NPH, 30% noa) me ētahi atu whakakotahitanga rite ka taea te whakamāmā i tō hōtaka inenga.

He pai ake te pūtaiaki NPH i te pūtaiaki Glargine?

Ko te pūtaiaki NPH me te pūtaiaki glargine (Lantus) e rua e whakarato ana i te whakahaere huka toto mo te wa roa, engari he rerekē te mahi me ngā painga motuhake. Kāore tētahi e 'pai ake' ana – kei runga i tō oranga, ngā tauira huka toto, me ngā whāinga maimoatanga te whiriwhiri.

He iti ake te utu o te pūtaiaki NPH i te pūtaiaki glargine, ā, kua whakamahia marie mō ngā tekau tau. He pai te mahi mō te tokomaha, ā, e whakarato ana i te whakahaere huka toto pono ina whakamahia tonu.

E whakarato ana te pūtaiaki glargine i te ngongo e mōhiotia ana, ā, e tata ana ki te 24 haora te roa, e taea ai te iti ake o ngā huringa huka toto. He iti ake hoki te tūponotanga o te pānga o ngā wāhanga huka toto iti i te pō.

Ka āwhina tō tākuta i a koe ki te whakatau i ngā mea pēnei i te utu, te watea, me ngā tauira whakahaere huka toto kia whakatau ai ko tēhea te pūtaiaki e pai ana mō tō āhuatanga.

Ngā Pātai Auau mō te Pūtaiaki NPH

He haumaru te pūtaiaki NPH mō te mate tākihi?

Ka taea te whakamahi marie i te pūtaiaki NPH mō te hunga e mate tākihi ana, engari me mātakitaki āta, me te whakatikatika i te horopeta. Ka āwhina ō tākihi ki te wawahi i te pūtaiaki, nō reira ka taea e ngā raruraru tākihi te noho roa ake o te pūtaiaki i roto i tō pūnaha.

Ko te tikanga tēnei pea ka hiahia koe ki ngā horopeta iti ake o te pūtaiaki NPH mēnā he mate tākihi tōu. Ka mātakitaki tō tākuta i tō mahi tākihi me ngā taumata huka toto kia kore ai e puta ngā wāhanga huka toto iti e mōrearea ana.

Me aha au mēnā ka whakamahi ohorere au i te nui rawa o te pūtaiaki NPH?

Mēnā ka werohia e koe te nui rawa o te pūtaiaki NPH, kaua e mataku, engari me mahi tonu ki te ārai i te huka toto iti. Kai, inu rānei i tētahi mea me ngā warowaihā tere pūngao pēnei i ngā papa kūkū, te wai hua, te houra rānei.

Mātakitaki i tō huka toto mō ngā haora 12-18 e whai ake nei i te mea e mahi ana te pūtaiaki NPH mō te wā roa. Whakapā atu ki tō tākuta, ki tō kaiwhakarato hauora rānei ki te kōrero mō te whakatikatika i tō horopeta e whai ake nei, me te tiki tohutohu mō te whakahaere i te āhuatanga.

Rapua he manaakitanga hauora ohorere mēnā ka pā koe i ngā tohumate kaha pērā i te rangirua, te ngaro o te mahara, te hopu rānei. Kia wātea ngā kete ohorere glucagon mēnā ka tūtohu tō tākuta.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i te Inenga o te NPH Insulin?

Mēnā ka ngaro koe i te inenga o te NPH insulin, tangohia i te wā ka mahara koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. Kaua rawa e rua ngā inenga hei utu mō tētahi i ngaro.

Tirohia tō huka toto i te auau ake i muri i te ngaronga o te inenga, nā te mea ka tiketike ake pea ō taumata i te tikanga. Akene pea me whakatika tō wā kai, whakapā atu rānei ki tō kaiwhakarato hauora mō te ārahi.

Mēnā ka wareware koe i ngā inenga i te auau, whakaarohia te whakatakoto i ngā pūoho waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe ki te mahara. He mea nui te wā tika mō te NPH insulin kia whai hua.

Āhea Āhei Ai Au te Kati te Tango i te NPH Insulin?

Ko ngā tāngata whai mate huka momo 1 te tikanga e hiahia ana ki te insulin mō te ora, nā te mea kāore e taea e ō rātou tinana te whakaputa i te mea māori. Heoi, ko te hunga whai mate huka momo 2 ka taea te whakaiti, te kati rānei i te insulin mēnā ka pai ake te whakahaere i te huka toto.

Ka arotake tō tākuta mēnā ka taea e koe te kati i te NPH insulin i runga i ō taumata huka toto, te hauora whānui, me ētahi atu rongoā mate huka. Kāore rawa tēnei whakatau e tika kia mahia me te kore he tirotiro hauora.

Ka taea e ētahi tāngata te whakaiti i ō rātou hiahia insulin mā te whakaheke taumaha, te whakapai ake i te kai, te whakakori tinana i te wā katoa, ētahi atu rongoā mate huka rānei. Ka mahi tō rōpū hauora ki a koe ki te kimi i te mahere maimoatanga pai rawa atu mō te wā roa.

Ka Taea e Au te Whakaranu i te NPH Insulin ki Ētahi Atu Insulins?

Ka taea te whakaranu i te NPH insulin ki te insulin auau i roto i te syringe kotahi, engari kāore e tika kia whakaranuhia ki ngā insulins tere pērā i te insulin lispro, aspart rānei. Whaia tonu ngā tohutohu motuhake a tō tākuta mō te whakaranu i ngā insulins.

I te whakaranu i ngā insulins, tōia te insulin auau mārama i te tuatahi, kātahi ko te insulin NPH pōhu. Mā tēnei ka ārai i te whakapoke, ka whakarite i te inenga tika o ngā momo e rua.

Kei te wātea ngā huinga inihini kua whakaranuhia i mua mēnā ka whakatau tō tākuta e hiahia ana koe ki te NPH me te inihini auau. Mā ēnei e whakakore te hiahia ki te whakaranu, ā, ka māmā ake tō tikanga werohanga.