He aha te NPH me te Insulin Auau: Ngā Whakamahinga, te Inenga, ngā Pānga Taha me Ētahi Atu

Ko te NPH me te insulin auau he rongoā whakakotahi e āwhina ana i te hunga mate huka ki te whakahaere i ō rātou taumata huka toto puta noa i te rā. Kei roto i tēnei ranunga e rua ngā momo insulin rerekē e mahi ana i ngā tere rerekē - ka tere te mahi a te insulin auau i te wā e whakarato ana te insulin NPH i te uhi roa ake.

Whakaarohia tēnei whakakotahitanga hei huarahi tōmua ki te whakahaere i te huka toto. Ka whakahaere te insulin auau i te pikinga tonu o te huka toto i muri i ngā kai, i te wā e mahi ana te insulin NPH i te papamuri ki te pupuri i ngā taumata pūmau i waenga i ngā kai me te pō.

He aha te NPH me te Insulin Auau?

Ko te NPH me te insulin auau he whakakotahitanga i mua i te whakaranu o ngā momo insulin e rua i hangaia hei whakamāmā i te whakahaere i te mate huka. Ko te NPH te tikanga Neutral Protamine Hagedorn, he insulin mahi-wā-waenganui, i te wā e auau ana te insulin he momo mahi-poto.

Ka tae mai tēnei rongoā whakakotahi hei wai kapua e werohia ana e koe i raro i tō kiri. No te insulin NPH te kapua, kei roto nei ngā pūmua e whakaroa ana i tōna ngongo. Ki te whakaranua ngātahi, ka whakarato ēnei insulin e rua i te whakahaere huka toto tonu me te whakawhānui i roto i te werohanga kotahi.

I te nuinga o te wā, ka kitea e koe tēnei whakakotahitanga i roto i te ōwehenga 70/30, ko te tikanga 70% insulin NPH me te 30% insulin auau. Ko ētahi hanganga ka tae mai i roto i ngā ōwehenga 50/50, i runga i ō hiahia motuhake.

He aha te NPH me te Insulin Auau e Whakamahia Ana?

Ko tēnei whakakotahitanga insulin te mea nui e whakamahia ana hei rongoā i te momo 1 me te momo 2 mate huka i te wā e kore ai tō tinana e whakaputa i te nui o te insulin, e kore rānei e taea te whakamahi whai hua. He tino āwhina mō te hunga e hiahia ana ki te uhi insulin i te wā kai me te papamuri.

Ka tohua pea e tō tākuta tēnei huinga mēnā kei te tango koe i ngā werohanga rāpoi ngākau e rua, ā, e hiahia ana koe ki te whakamāmā i tō tikanga. Ka whakamahia nuitia hoki i te wā e hiahia ana koe ki te uhi rāpoi ngākau i te roanga o te rā, engari kāore koe e hiahia ana ki te uaua o ngā werohanga maha.

E whakamahi ana ētahi tāngata e mate huka momo 2 i tēnei huinga i te wā kāore ētahi atu rongoā pēnei i te metformin, i te sulfonylureas e whakarato ana i te mana whakahaere huka toto. Ka tohua pea i te wā e hapū ana mō te mate huka hapū i te wā kāore te kai me te whakakori tinana e ranea.

Me pēhea te mahi a te NPH me te rāpoi ngākau auau?

E mahi ana tēnei huinga mā te whakakapi i te rāpoi ngākau me whakaputa e tō tinana. Ka tīmata te mahi a te wāhanga rāpoi ngākau auau i roto i te 30 meneti i muri i te werohanga, ā, ka eke ki te tihi i te 2-4 haora, e whai hua ana mō te whakahaere i ngā piki huka toto i muri i ngā kai.

He pōturi ake te tīmatanga o te wāhanga rāpoi ngākau NPH, ka tīmata te mahi i roto i te 1-2 haora, ā, ka roa ki te 24 haora. E whakarato ana tēnei i te uhi rāpoi ngākau papamuri e hiahia ana tō tinana i waenga i ngā kai me te wā e moe ana koe.

Ngātahi, ka āwhina ēnei rāpoi ngākau ki te neke i te kūkō mai i tō toto ki roto i ō pūtau, ki te wāhi ka taea te whakamahi mō te pūngao. E whakaarohia ana tēnei huinga he kaha ngawari, e whakarato ana i te mana whakahaere huka toto pono mō te nuinga o ngā tāngata e mate huka i te wā e whakamahia ana i te mea i tohua.

Me pēhea taku tango i te NPH me te rāpoi ngākau auau?

Ka werohia e koe tēnei rāpoi ngākau i raro i te kiri o tō huha, tō ringa o runga, i tō puku rānei mā te whakamahi i te syringe, i te pene rāpoi ngākau rānei. Mā tō tākuta koe e whakaatu i te tikanga werohanga tika, ā, ka āwhina i a koe ki te whiriwhiri i ngā wāhi werohanga pai.

I mua i ia werohanga, me huri marie e koe te pounamu, te pene rānei i waenga i ō pākē ki te whakaranu i te rāpoi ngākau. Me titiro te wai nei he pōkaikaha, kāore he pūhui, he tioata rānei. Kaua rawa e rūrū kaha i te pounamu, nā te mea ka pā tēnei ki te rāpoi ngākau.

He mea nui te wā i tēnei huinga. Ko te nuinga o te tangata ka werohia e rātou 30 meneti i mua i te parakuihi me te tina kia taea ai e te insulin auau te tīmata ki te mahi i mua i te pikinga o te huka toto mai i te kai. Me kai tō kai kua whakamaherehia i roto i te 30-60 meneti i muri i te werohanga hei aukati i te huka toto iti.

Hurihia ō wāhi werohanga hei aukati i ngā raruraru kiri pēnei i ngā puku, i ngā kōpaka rānei. Kia mau ki tētahi rārangi hurihanga, ā, kaua e werohia ki te wāhi kotahi tonu. Kāore he take ki te horoi i ngā wāhi werohanga ki te waipiro, ki te kore te tākuta e kī mai.

Kia Pēhea te Roa e Tango ai au i te NPH me te Insulin Auau?

Ko te nuinga o te tangata e mate huka momo 1 e hiahia ana ki te rongoā insulin mō te ora, nā te mea kāore e taea e ō rātou tinana te whakaputa insulin i te taiao. Ka taea e tēnei huinga te otinga mō te wā roa i te wā e haere tonu ana te mana pai o te huka toto.

Mō te mate huka momo 2, kei runga i te ahunga o tō āhuatanga me te pai o te mahi o ētahi atu rongoā te roa. Ko ētahi tangata ka neke atu ki ngā momo insulin rerekē, ka tāpiri rānei i ētahi atu rongoā ki tā rātou mahere rongoā.

Ka aroturukihia e tō tākuta ō taumata huka toto, ā, ka whakatikatikahia tō rongoā i te mea e tika ana. Kaua rawa e mutu te tango insulin me te kore he tirotiro hauora, nā te mea ka puta he raruraru kino. Ahakoa kei te pai koe, he mea nui te rongoā insulin tonu hei aukati i ngā raruraru mate huka mō te wā roa.

He Aha ngā Pānga taha o te NPH me te Insulin Auau?

Pērā i ngā rongoā katoa, ka taea e te NPH me te insulin auau te pānga taha, ahakoa te nuinga o te tangata e pai ana ki te tango. Mā te māramatanga ki te aha e tūmanako ai ka āwhina koe ki te whakahaere i ngā take ka puta, me te mōhio ki te wā ki te whakapā atu ki tō kaiwhakarato hauora.

Ko te pānga taha tino noa 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 tohu wawe ko te werawera, te wiri, te hiakai, te whanoke, me te rangirua.

Anei ngā pānga taha e pūrongohia ana e te nuinga ka pā ki a koe:

• Ngā wāhanga huka toto iti, ina koa ka roa te kai
• Te pikinga o te taumaha i te mea ka penapena pai ake tō tinana i te kūkō
• Ngā tauhohenga i te wāhi werohanga pēnei i te whero, te pūpū, te mānukanuka rānei
• Ngā huringa kiri i ngā wāhi werohanga, tae atu ki ngā puku, ngā pōkō rānei
• Te tirohanga pōkaikaha rangitahi i te wā e whakapūmau ana ngā taumata huka toto

He maha ngā wā ka pai ake ēnei pānga taha noa i te wā e whakatika ana tō tinana ki te rongoā, me te wā e whakatika ana koe i tō inenga me te wā.

Ahakoa he iti noa iho, ka pā pea ētahi tāngata i ngā pānga taha nui ake e hiahia ana kia āwhina tonu mai i te tākuta. He mea onge ēnei āhuatanga engari he mea nui kia mōhio:

• Te hypoglycemia nui me te raruraru, te hopu, te ngaro rānei o te mahara
• Ngā tauhohenga mate pāwera me te pāhēhē, te uaua ki te manawa, te pūpū rānei
• Ngā mate kiri tonu i ngā wāhi werohanga
• Te pupuri wai rerekē, te pūpū rānei i ngā ringa me ngā waewae

Mēnā ka pā koe i ētahi o ēnei pānga taha nui, whakapā atu ki tō kaiwhakarato hauora tonu, rapu rānei i te āwhina hauora ohorere.

Ko wai kāore e tika kia tango NPH me te Insulin Auau?

He tokoiti rawa ngā tāngata e mate huka ana kāore e taea te tango i tēnei huinga insulin, engari ko ētahi āhuatanga e hiahia ana kia tūpato motuhake, kia rongoā kē rānei. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kāore koe e whakamahi i tēnei insulin mēnā kei te pā koe i te huka toto iti i tēnei wā, mēnā rānei he mate pāwera tō mō ētahi o ngā kai i roto i te hanganga. Ka pāwera pea ētahi tāngata ki te protamine i roto i te insulin NPH, e hiahia ana i tētahi momo insulin rerekē.

He maha ngā āhuatanga hauora e hiahia ana kia āta aroturukihia, kia whakatikahia pea te inenga i te wā e whakamahi ana i tēnei huinga insulin:

• Te mate tākihi, ka pā ki te āhua e tukatuka ai tō tinana i te insulin
• Te mate ate, ka huri pea i ō hiahia insulin
• Ngā raruraru thyroid, ka pā ki te whakahaere huka toto
• Te ngoikore o te ngākau, ka pā pea ki te tauritenga wai
• Ngā mate kino, te nuinga ka piki ake ngā whakaritenga insulin

Ka mahi tō tākuta ki a koe ki te whakatau mēnā he haumaru, he tika hoki tēnei huinga insulin mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu o te Insulin NPH me te Regular

Kei te wātea tēnei huinga insulin i raro i ētahi ingoa waitohu, me te tuku a ia kaihanga i ētahi hanganga me ngā tikanga tuku rerekē. Ko ngā ingoa waitohu tino noa ko Humulin 70/30 me Novolin 70/30.

Ko Humulin 70/30 i hangaia e Eli Lilly, kei te wātea i roto i ngā pounamu mō ngā syringe me ngā pene kua whakakiia. Ko Novolin 70/30 i hangaia e Novo Nordisk, kei te wātea hoki i roto i ngā pounamu me ngā momo pene.

Ko ētahi hanganga hou e whakamahi ana i ngā analog insulin hei utu mō te insulin tangata noa, pērā i te Humalog Mix 75/25, i te NovoLog Mix 70/30 rānei. He rite te mahi o ēnei, engari he rerekē pea ngā wā. Me whakamahi tonu i te waitohu me te momo tika i whakaritea e tō tākuta, nā te mea me mātakitaki te rongoā i te huri i waenga i ngā waitohu.

Ngā Kōwhiringa kē mō te Insulin NPH me te Regular

He maha ngā kōwhiringa kē kei te wātea mēnā kāore te insulin NPH me te regular e pai ana mō tō oranga, mō ō hiahia rongoā rānei. He maha ngā kōwhiringa e tukuna ana e te rongoā insulin hou hei whakatutuki i ngā hōtaka me ngā hiahia rerekē.

Ko ngā analog insulin roa-te-wā pērā i te insulin glargine (Lantus) i te insulin detemir (Levemir) i honoa ki ngā insulin tere-te-wā kai e tuku ana i te wā tika ngawari. Ko tēnei huarahi, e kiia ana ko te rongoā basal-bolus, e tuku ana i a koe ki te whakatika i ngā inenga i runga i tō kai me ō taumata mahi.

Ko ētahi atu huinga i mua i te whakaranu ko te insulin lispro mix (Humalog Mix) me te insulin aspart mix (NovoLog Mix), e whakamahi ana i ngā tātānga tere-mahi hei utu mō te insulin auau. Ka tere ake te mahi a ēnei huinga, ā, he iti ake pea ngā wāhanga huka toto iti i waenga i ngā kai.

Mō te hunga e mate huka momo 2, ko ngā rongoā kore-insulin pēnei i ngā GLP-1 agonists, i ngā SGLT-2 inhibitors rānei, he pai pea hei whakakapinga, hei tāpiritanga rānei ki te rongoā insulin. Māu e kōrero tō tākuta ki te tūhura i ēnei kōwhiringa i runga i ō hiahia motuhake.

He Pai Anei te NPH me te Insulin Auau i te Lantus?

He rerekē ngā kaupapa o te huinga NPH me te insulin auau me te Lantus (insulin glargine) i roto i te whakahaere mate huka, nō reira ka whakawhirinaki te

Ko te tikanga tera pea ka hiahia koe ki nga horopeta iti ake hei karo i nga wahanga huka toto iti. Ka aroturukihia e to taakuta to mahi whatukuhu i nga wa katoa, ka whakatika i o horopeta insulin i runga i te hiahia. Tera pea ka tohutohu ratou kia maha ake nga whakamatautau huka toto hei whakarite kia noho haumaru o taumata.

Me aha ahau ki te whakamahi pohehe i te nui rawa o te NPH me te Insulin Auau?

Mena ka werohia e koe te nui rawa o te insulin, kaua e mataku, engari kia tere te mahi ki te aukati i te huka toto iti kino. Kai, inu ranei i tetahi mea he warowaihā tere, penei i nga papa glucose, wai hua, houra ranei.

Aroturukihia to huka toto mo nga haora e whai ake nei, na te mea ka haere tonu te insulin ki te mahi. Kia tata tonu nga warowaihā tere, me te kai i nga kai i nga wa katoa. Whakapa atu ki to kaiwhakarato hauora, waea atu ranei ki nga ratonga ohorere mena ka pa ki a koe nga tohu kino penei i te rangirua, te hopu, te ngaro ranei o te mohio.

Me aha ahau ki te ngaro i te horopeta o te NPH me te Insulin Auau?

Mena ka ngaro koe i te horopeta, tangohia i te wa e mahara ana koe, engari mena kei roto i etahi haora i muri i to wa noa. Kaua e rua nga horopeta, kaua ranei e tango i te insulin taapiri hei

Ka whakatika pea tō tākuta i tō rongoā insulin mēnā ka pai ake te whakahaere huka toto i ngā huringa o te oranga, te whakaheke taumaha, ētahi atu rongoā rānei. Ko ngā huringa ki tō rongoā insulin me mahi pōturi i raro i te tirotiro hauora kia mau tonu ai tō huka toto.

Ka taea e au te haere me te NPH me te Insulin Auau?

Āe, ka taea e koe te haere me te insulin, engari he mea nui te whakamahere tika. Me mau tonu te insulin ki tō pōkai-a-ringa ina rere ana, nā te mea ka taea e ngā pāmahana o ngā pōkai i raro i te waka te kino i te rongoā. Me mau mai he reta whakahaunga mai i tō tākuta e whakamārama ana i tō hiahia ki te insulin me ngā taonga.

Whakakīa he insulin me ngā taonga anō mō ngā whakaroa, ngā pōkai rānei kua ngaro. Mēnā kei te haere koe i ngā rohe wā, mahi tahi me tō kaiwhakarato hauora ki te whakatika i tō hōtaka werohanga pōturi. Kia mau te insulin i te pāmahana rūma i te wā o te haere, kaua rawa e waiho ki ngā waka wera, ki te rā tika rānei.