Tshuaj insulin rau qhov hnyav ntxiv: cov lus qhia rau kev siv, qhov zoo thiab kev pom zoo ntawm kev siv, tso tawm daim ntawv, tshwj xeeb tshaj yog txais tos thiab noj ntau npaum li cas

Lub 10 hli 11, 2018
Kev noj haus ua si
Tatyana Andreeva

Qhov ncaj qha ntawm cov tshuaj insulin rau qhov hnyav ntawm cov leeg nqaij tau ua pov thawj ntev lawm. Qhov no yog siv los ntawm cov kis las uas txawj ua haujlwm hauv lub cev. Tom qab tag nrho, lawv ib txwm nrhiav txoj hauv kev kom txhim kho cov leeg khov kho sai. Tab sis lub cev ua cov tshuaj hormones hauv qhov nyiaj tsawg. Yog li cov neeg ncaws pob siv cov tshuaj insulin ntxiv. Peb yuav tham txog yuav ua li cas muaj kev nyab xeeb thiab nyob rau hauv dab tsi tshuaj nws yuav siv tau nyob rau hauv no tsab xov xwm.

Dab tsi yog qhov no

Nws yog ib qho tseem ceeb heev uas yuav tau kawm txog kev tshawb xav ua ntej noj tshuaj insulin rau qhov hnyav nce. Tom qab tag nrho, yog siv tsis raug, nws tuaj yeem ua rau muaj kev phom sij rau lub cev. Raws li txoj cai, cov tshuaj hormones yog tsim rau cov neeg mob ntshav qab zib insulin. Qhov tshuaj no ywj siab tsim cov txiav ua kua txiav. Thiab nws muaj cov teebmeem tseem ceeb hauv cov metabolism, tab sis kev ua haujlwm tseem ceeb ntawm insulin yog suav tias yog txo cov ntshav qab zib.

Thaum ntxov nyob rau hauv cov piam thaj hauv lub cev tshwm sim, cov insulin ntau yuav raug tso tawm kom coj rov qab mus nyob qhov qub. Koj tuaj yeem tseem ntxiv tau tias nws yog qhov tseem ceeb tshaj plaws anabolic hormone, hauv qhov no, nws tsis tuaj yeem tsis quav ntsej los ntawm cov neeg ua haujlwm hauv cov nqaij ntshiv. Insulin thiab nws cov khoom yog qhov tseem ceeb rau cov neeg ncaws pob:

cov tshuaj hormones nce zoo
accelerates rov qab los ntawm cov leeg nqaij,
txo catabolism,
zoo cuam tshuam lub qab los noj mov,
nce kev cuam tshuam ntawm anabolic steroids.

Paub txog cov txiaj ntsig zoo ntawm cov tshuaj insulin, ntau tus kws tsim kho lub cev xav txog kev noj cov tshuaj hormone ntxiv. Tab sis tsis txhob hnov qab txog kev rau txim uas yuav tshwm sim txuas nrog kev noj cov tshuaj.

Thaum twg mam coj

Hauv kev coj ua kis las, nws yog ib qho ib txwm ua los siv insulin kom nce rau cov nqaij pob tsuas tom qab:

tshwm sim ntawm toj siab (ncav cuag qhov kev txwv ntawm tus kheej txoj kev loj hlob),
nrog rau txo qis hauv qhov ua tau zoo los ntawm anabolics,
kom muaj zog nce cov nqaij pob txha thiab kov yeej cov caj ces.

Peb tuaj yeem hais tias cov kua dej insulin tsuas yog cuam tshuam rau cov neeg ncaws pob hauv ntiaj teb thiab cov neeg uas ua si ntawm kev tshaj lij. Tom qab tag nrho, nws tsis pub ib tus neeg paub tseeb tias qhov sib tw daim ntawv sib tw thiab cov leeg nqaij tau ntev ntev dhau ntawm caj ces ntawm tus txiv neej. Thiab tam sim no, cov neeg tawm dag zog tsis tuaj yeem sib tw tau yam tsis muaj kev tiv thaiv cov tshuaj insulin, anabolic steroids, thiab kev loj hlob hormone.

Tsis tas li ntawd, nws yuav tsum raug sau tseg tias qhov tshuaj hormones nws tus kheej tsis muaj qhov cuam tshuam loj yog tsis muaj kev sib koom tes ntawm lwm cov tshuaj. Tsuas yog txoj cai xaiv ligament tso cai rau koj kom tau txais cov txiaj ntsig siab tshaj plaws thiab ua rau cov txiaj ntsig super.

Nyob rau hauv txhua rooj plaub, qhov kev pheej hmoo ntawm kev siv tshuaj insulin rau qhov hnyav nce tsuas yog tsim nyog los ntawm kev sib tw kis las, thiab tom qab ntawd rau qhov kev tsim nyog tshaj plaws. Nyob rau hauv txhua rooj plaub, qhov kev tsim txom yuav ib txwm sib tshooj cov txiaj ntsig. Tom qab tag nrho, cov kev ib txwm ua kom cov leeg tuaj yeem ua rau qhov tsis tuaj yeem, txawm tias tas sim neej. Rau cov laj thawj no, txawm tias cov kws ncaws pob tshaj lij pom zoo xav ua ntej kev txhaj tshuaj.

Muaj tus yam ntxwv zoo

Lub hom phiaj tseem ceeb ntawm insulin yog qhov kev faib tawm cov piam thaj hauv cov hlwb thiab kev ua kom muaj protein. Ua raws li kev noj haus thiab cov qauv ntawm tib neeg lub cev, kev noj ntxiv ntawm cov tshuaj hormones ua rau kev nce adipose lossis nqaij cov nqaij. Hauv kev hais txog qhov no, nws raug nquahu kom paub txog cov insulin cuam tshuam li cas rau qhov hnyav, thiab ua raws qee txoj cai kev nkag mus txhawm rau txhawm rau kom cov leeg nce ntxiv yam tsis muaj rog. Yuav tsum muaj:

qhov kev kawm yuav tsum tsis pub ntev tshaj ob lub hlis,
nws yog ib qho tsim nyog los xaiv txoj cai ntau thiab nruj me ntsis ua raws li cov tshuaj ntawm tshuaj,
thaum lub sij hawm siv cov insulin, tsim nyog kev noj haus yuav tsum ua raws.

Thaum lub sijhawm noj cov tshuaj hormones, koj tuaj yeem ua tiav qhov hnyav ntawm cov kis las los ntawm 5-10 phaus.

Yuav siv li cas

Muaj ntau hom insulin. Txhawm rau tsim cov leeg nqaij, npaj luv thiab ultrashort yog siv. Lawv txawv nyob rau lub sij hawm ntawm raug lub cev. Hauv thawj kis, cov tshuaj pib ua haujlwm ib nrab teev tom qab kev tswj hwm. Hauv qhov no, lub siab ntawm tus neeg mob tshwm sim tom qab ob teev, thiab tom qab tsib mus rau 6 teev, qhov tshuaj tawm tag mus ua los ntawm lub cev. Hauv qhov xwm txheej thib ob, lub sijhawm ua haujlwm luv: cov tshuaj pib ua haujlwm tom qab 5-10 feeb, lub ncov - 1.5-2 teev, yog tawm tom qab 3 teev.

Kev yoo mov

Lub sijhawm ua kom tau cov tshuaj insulin rau qhov hnyav nce nyob ntawm lub sijhawm kis tau. Thaum noj cov tshuaj hormone rau ntawm lub plab khoob, Cov neeg ncaws pob yuav tsum ua tib zoo xav txog kev noj tshuaj. Cov pib tshiab yuav tsum tsis txhob haus ntau tshaj plaub ntawm cov tshuaj ib zaug ib zaug. Thiab cov zaub mov raug pom zoo kom noj li ib nrab teev tom qab txhaj tshuaj. Ntxiv rau, 25 gram ntawm cov amino acids yog ntxiv rau cov ntawv qhia zaub mov, nrog kev pab ntawm cov leeg nqaij twg ua. Thaum lub sijhawm ua haujlwm ntawm cov tshuaj insulin, tus neeg ncaws pob yuav tsum tsis ua lub dag lub zog - qhov no tuaj yeem nce ntxiv kev noj cov glycogen, uas yuav ua rau muaj kev tsis zoo rau lub cev, txawm tias kev tuag.

Huab hom kev

Lub ntsiab lus ntawm chav kawm yog coj insulin ib teev ua ntej kev kawm. Txoj kev no tsim kev phom sij rau lub cev, tab sis, txawm tias qhov no, nws tseem nrov. Ib teev ua ntej kev txhaj tshuaj, koj yuav tsum noj nruj. Txhawm rau tiv thaiv kev tawm tsam ntawm hypoglycemia, koj yuav tsum noj txhua yam khoom qab zib nrog koj mus kawm.

Siv cov txheej txheem no, koj tuaj yeem tsim cov leeg nqaij nrog qhov kev tawm dag zog me me. Qhov ntau ntawm cov tshuaj yog 5-6 units. Nws yuav tsum tau yug los hauv lub siab tias nrog kev poob qis hauv cov ntshav qab zib cov ntshav, yuav muaj kev phom sij txaus ntshai, suav nrog kev tuag.

Txoj kev nyab xeeb

Kev hno cov tshuaj insulin ultrafast ntawm cov tshuaj ntawm 5-10 units tam sim ntawd tom qab noj mov tau suav tias yog qhov kev xaiv tsim nyog tshaj plaws. Hauv qhov no, cov zaub mov txig tau nqus, cov nqaij ntshiv yog tsim tsis muaj cov rog ua haujlwm. Txhawm rau kom tau txais qhov nce siab nyob rau hauv cov leeg ntim, koj yuav tsum siv cov tshuaj hlawv roj, nrog rau kev tswj cov roj ntsha hauv cov khoom. Txoj kev no yog qhov tsawg tshaj plaws rau lub cev.

Feem ntau, cov tshuaj txhaj tshuaj niaj hnub siv rau hauv qhov txheej txheem no. Txog hnub so, kev siv tshuaj insulin sai sai yog siv, thiab thaum kawm, siv tshuaj ultra-ceev. Pib nrog ob chav teeb meem, maj mam nqa mus txog 15-20 units.

Cov tshuaj insulin tom qab ua tiav rau qhov hnyav

Nrog cov txheej txheem no, kev txhaj tshuaj yog tsim nyob rau hauv ib koob ntawm 3-5 units. Thaum kawg ntawm cov txheej txheem kev cob qhia, glycogen thiab cov khw muag khoom qab zib hauv lub cev tau qis heev, yog li kev siv tshuaj me me. Rau hom no, insulin ultrafast yog feem ntau siv.

Tseem ceeb zoo ntawm cov tshuaj

Cov tshuaj insulin muaj ntau qhov zoo:

tshuaj yog ib qho yooj yim mus yuav,
txoj kev pheej hmoo ntawm kev ua cuav yog tsawg,
nrog rau kev siv kom raug thiab kev txiav txim ntawm cov tshuaj insulin rau ib pawg ntawm lub cev qhov hnyav, nws tsis ua rau muaj kev phiv,
mus zoo nrog cov tshuaj steroids,
tsis cuam tshuam zoo rau daim siab thiab lub raum,
tsis quav tshuaj thiab tsis hloov pauv kev ua haujlwm ntawm noob.

Lwm qhov zoo ntawm cov tshuaj yog tias nws tsis txiav txim siab los ntawm doping tswj. Txawm hais tias nrog kev pab ntawm insulin koj tuaj yeem ua tiav kev ua kis las tseem ceeb. Feem ntau, cov tshuaj hormones yog siv ua ke nrog cov tshuaj steroid. Hauv qhov no, koj tuaj yeem ua tiav qhov nce ntxiv ntawm cov nqaij pob hauv lub sijhawm luv.

Lub ntsiab tseem ceeb yog:

ib txoj kev nyuaj ntawm kev noj tshuaj,
koj yuav tsum ua qhov kev txhaj tshuaj koj tus kheej,
kev pheej hmoo ntawm lub cev rog
yog tias cov cai ntawm kev pub nkag thiab ntau npaum li cas tsis pom, kev mob hnyav rau lub cev tau.

Ua ntej siv insulin hauv kev ntaus pob ncaws pob, koj yuav tsum sab laj nrog tus kws kho mob txog kev ua kis las. Lawv yuav qhia koj tias yam tshuaj twg yog qhov zoo dua los xaiv, txhim kho cov khoom noj kom zoo thiab suav cov tshuaj noj.

Dab tsi yog qhov phom sij ntawm kev noj chav kawm ntawm cov insulin ntawm qhov hnyav

Yuav muaj dab tsi tshwm sim rau lub cev ntawm kev noj tshuaj insulin raws li kev ua kis las ntxiv? Cov kws tshaj lij qhia cov tshuaj los kho cov hom no ntawm kev ua kom cov leeg lub cev nrog kev ceev faj. Qhov phom sij txaus ntshai rau lub cev yog hypoglycemia. Qhov no yog qhov tsis muaj ntshav qab zib. Nws yog hypoglycemia uas tuaj yeem ua rau tsis nco qab, thiab nyob rau qee kis.

Cov kws kis las paub zoo muaj peev xwm paub txog cov tsos mob ntawm tus kab mob thiab ua raws li lub sijhawm. Feem ntau, cov tsos mob qhia tias cov insulin ua haujlwm thiab cov tshuaj noj kom tsim nyog.

Cov kev thaiv tsis zoo thiab cov tshwm sim

Qhov tshuaj hormones yog qhov tsis tsim nyog rau siv rau tib neeg ua rau nws muaj txhij txhua, vim tias nws muaj kev pheej hmoo siab ntawm cov rog ua kom tsis txhob muaj kev loj hlob ntawm cov leeg pob txha.

Txhawm rau txo qis kev pheej hmoo ntawm qhov txo qis hauv cov ntshav qab zib, koj yuav tsum ua raws li kev noj zaub mov tshwj xeeb thiab soj ntsuam cov kev tswj hwm thiab kev noj tshuaj ntawm kev txhaj tshuaj.

Cov tsos mob ntawm tus qog ntshav qab zib muaj xws li:

tsis muaj zog
kiv taub hau
poob ntawm kev taw qhia
kev tshaib kev nqhis
co ntiv tes
palpitations.

Txhawm rau kom txo qis kev tawm tsam, koj yuav tsum noj tej yam qab zib.

Hauv qee kis, kev fab tshuaj yuav tshwm sim ntawm qhov chaw txhaj tshuaj, uas nrog nrog khaus thiab liab.

Nws kuj tseem tsim nyog pom tias yuav tsum noj cov tshuaj hormone ntau dua ob hlis yog tsis pom zoo. Qhov no tuaj yeem txo qis cov tshuaj tua kabmob pancreatic.

Kev sib txuam ntawm insulin thiab lub cev tsim yog dab tsi?

Qhov tshuaj insulin yog qhov tseem ceeb heev rau kev ua kom cov leeg nqaij, thiab yuav luag txhua txoj kev kawm uas cov neeg ncaws pob tsis tuaj yeem ua yam tsis muaj yam tshuaj no. Cov neeg koom nrog hauv kev ua kis las, thiab kev tawm dag zog lub cev tshwj xeeb, paub tias insulin muaj cov lus tshaj tawm anabolic nrog rau tshuaj tiv thaiv catabolic.

Cov tshuaj hormones no yog qhov nrov heev vim tias nws muaj peev xwm los khaws lub zog tshwj tseg rau lub cev, txawm tias qhov tseeb ntawm chav kawm feem ntau nyuaj, qhov no yog qhov tseem ceeb heev. Cov tshuaj insulin, nkag mus rau hauv cov hlab ntshav, xa cov ntshav qabzib, rog thiab amino acids rau txhua tus leeg mob, uas ua rau nws nce sai sai.

Tsis tas li ntawd, cov tshuaj insulin pab sai sai rau cov kis las ua kom zoo thiab ua siab ntev. Glycogen supercompensation thiab kev kho sai sai tshwm sim hauv lub cev.

Qhov koj yuav tsum paub

Txhua tus neeg tawm dag zog yuav tsum nco ntsoov tias tsuas yog siv ultra-luv insulin yuav tsum tau siv, nrog nws cov chav kawm mus raws li nws yuav tsum tau. Nws tseem ceeb heev uas yuav tsum paub kom paub txog lub xeev ntawm lub cev thaum theem ntawm cov piam thaj hauv cov ntshav poob qis (hypoglycemia). Nws cov tsos mob yog:

nce hws
nqaj co,
lub plawv dhia,
qhov ncauj qhuav
kev npau taws ntev dhau los yog hais tsis tau zoo siab.

Qhov kev txhaj tshuaj yuav tsum pib nrog koob tshuaj 4 IU thiab nce nws txhua zaus los ntawm 2 IU. Qhov ntau ntim ntawm cov tshuaj dej yog 10 IU.

Qhov kev txhaj tshuaj yog ua rau subcutaneously hauv plab (hauv qab ntaws) Nws yog ib qho tsim nyog yuav tsum ua qhov no tsuas yog nrog insulin koob txhaj tshuaj tshwj xeeb, yuav ua li cas txhaj tshuaj insulin tuaj yeem nrhiav tau ntawm peb lub vev xaib.

Txhawm rau kom tsis txhob mob ntshav qab zib, thiab cov chav kawm ntawm kev noj kev kawm thiab kev noj tshuaj insulin tuaj yeem nrog dej cawv los ntawm whey protein (50 g) thiab carbohydrates (fructose lossis dextrose) hauv ib feem ntawm 8-10 g ib 1 IU ntawm insulin.

Yog hais tias txawm tias tom qab ib nrab ib teev hypoglycemia tsis tshwm sim, ces koj tseem yuav tsum haus cov dej haus no.

Nws yog qhov tseem ceeb rau qhov hnyav hauv lub cev yuav tswj cov zaub mov noj, uas yog:

tsuas yog ua carbohydrates,
protein yuav tsum muaj ntau li ntau tau
rog yuav tsum muaj tsawg kawg nkaus.

Thaum noj cov tshuaj insulin, kev nkag los ntawm cov carbohydrates yooj yim yuav tsum tau muab cais tawm.

Peb yuav tsum tsis txhob hnov qab tias koj yuav tsum noj feem ntau thiab ntau zaus. Kev zom cov zaub mov hauv lub cev txo qis yog tias zaub mov noj tsawg dua 3 zaug hauv ib hnub. Raws li rau cov kislas uas ua qhov kev kawm thiab tib lub sijhawm ntawm kev noj cov tshuaj insulin, kev noj zaub mov kom tsim nyog hauv lub sijhawm no feem ntau yog qhov pib ntawm tag nrho cov txheej txheem.

Qhov hnyav nce insulin regimen

Kev txhaj tshuaj ntawm cov tshuaj insulin yuav tsum tau ua ib teev tom qab tsa nws. Tom ntej no, koj yuav tsum tau tos ib nrab ib teev thiab haus ib qho tshwj xeeb protein co (yog tias hypoglycemia tsis tau tshwm sim dhau los). Tom qab ntawd, nws yog ib qho tseem ceeb kom muaj pluas tshais, tsis txhob hnov qab txog qhov khoom noj zoo. Yog tias qhov no tsis tau coj mus rau hauv tus account, tom qab ntawd es tsis txhob txhim kho cov leeg nqaij, txheej txheem ntawm kev muaj rog yuav pib, vim hais tias insulin yuam lub cev kom nqus yuav luag txhua cov calories uas tau tuaj txog, uas yog li cas cov chav kawm yuav tsum tau xav txog.

Yog tias kev txhaj tshuaj txhua txhua hnub, tom qab ntawd qhov kev kawm yuav ntev li 1 lub hlis. Nrog kev txhaj tshuaj nkaus xwb rau cov hnub kawm, lub sijhawm no nce mus txog 2 hlis.

Nruab nrab ntawm cov chav kawm ntawm insulin, nws yog qhov tsim nyog los tswj lub sijhawm hauv lub sijhawm sib luag nrog chav kawm nws tus kheej. Cov phiaj xwm kev cai tshwj xeeb yuav muab cov txiaj ntsig tsuas yog peb zaug, tag nrho cov kev sim tom qab yuav tsis tuaj yeem muab cov txiaj ntsig uas xav tau. Nws yuav yog qhov tsim nyog los txhawm rau txhawm rau nce cov tshuaj ntawm cov tshuaj, lossis pib txhaj tshuaj tam sim ntawd ua ntej thiab tom qab kev cob qhia, txawm li cas los xij, xws li txoj hauv kev tshaj yog qhov tsis xav tau.

Nws muaj cov tshuaj insulin ua rau mob nrog rau kev daws cov amino acid. Txawm hais tias nws ua tau zoo, nws yog qhov txaus ntshai rau nws lub txim.

Kev siv tsis zoo ntawm lub cev yuav ua tsis tau tsuas yog kev rog rog thiab ntshav qab zib tsis nco qab, tab sis kuj ua haujlwm tsis zoo ntawm cov txiav thiab ua kom cov ntshav visceral ploj. Tab sis yog tias koj paub yuav ua li cas coj cov tshuaj insulin hauv kev tawm dag zog hauv lub cev, ces cov txiaj ntsig yuav sib txawv!

Tsuas yog qhov kev lees paub ntawm kev nyab xeeb ntawm kev siv cov tshuaj insulin rau kev nce mus rau hauv cov leeg nqaij yuav yog qhov xwm txheej los ntawm kev txhaj tshuaj hormone yuav tshwm sim nyob rau hauv kev saib xyuas ntawm kws kho mob lossis kws qhia kis las. Txawm li cas los xij, txoj cai no yuav tsis zoo rau txhua kis.

Cov yam ntxwv hauv Insulin

Hauv lub cev, insulin ua lub luag haujlwm hauv kev thauj mus los, xa cov khoom noj mus rau cov nqaij mos. Txog kev ncaws pob, cov khoom anabolic ntawm cov tshuaj yog qhov tseem ceeb tshaj:

Kev nrawm ntawm kev noj cov amino acid sib txuas los ntawm cov hlwb,
Ua kom cov enzymes koom nrog glycolysis,
Nce DNA rov ua dua, thiab lwm yam.

Tsis tas li ntawd, cov khoom ntawm catabolic ntawm cov kua dej yuav tsum tau nco ntsoov, piv txwv li, qeeb ntawm cov txheej txheem ntawm kev siv roj. Hauv cov lus yooj yooj yim, insulin nrawm nce mus rau cov leeg nqaij thiab ib txhij tiv thaiv lipolysis. Cov neeg uas nquag dhau los lub cev rog, tsis muaj kev tswj hwm zoo ntawm lub cev insulin, tuaj yeem nce cov rog ntau.

Muaj cov tshuaj siv ntawm ntau qhov sib txawv ntawm kev sib raug ntawm lub cev, thiab cov kis las siv tsuas yog luv lossis ultrashort hormone. Qhov no yog vim qhov tseeb tias cov kws ncaws pob tuaj yeem tswj hwm qhov pib ntawm cov tshuaj insulin rau lub cev thiab nws lub sijhawm tsuas yog siv cov tshuaj no.

Raug cov tshuaj insulin luv luv pib ib nrab ib teev tom qab kev tswj hwm, thiab kav ntev txog 8 teev. Cov tshuaj ultrashort pib ua haujlwm tom qab 5-15 feeb thiab cuam tshuam rau lub cev txog li 3-5 teev.

Yuav ua li cas rau cov tshuaj insulin rau cov neeg tawm dag zog?

Koj yuav tsum siv tshuaj insulin thaum lub sijhawm tshwj xeeb. Vim li no, kev noj zaub mov kev noj haus kom tsim nyog yog qhov tseem ceeb. Txawm li cas los xij, koj yuav tsum tsis txhob noj zaub mov tsawg dua, ntawm qhov tsis sib xws, noj mov rau kev ua kom cov leeg nqaij, tab sis kev noj haus yuav tsum yog mus tas li. Thaum koj siv cov insulin, koj yuav tsum tau noj tib lub sijhawm, noj ib yam zaub mov. Tib txoj kev los txiav txim siab tias qhov tshuaj tiv thaiv zoo.

Pib nrog tshuaj me me, ntawm 3 txog 5 units.Tom qab ntawd koj yuav tsum tau tos rau qhov pib ntawm qhov mob ntshav qab zib tsawg, cov cim tseem ceeb ntawm kev uas tsaug zog, nkees thiab zoo nkaus li kev tshaib kev nqhis. Tom qab qhov no, nws yog qhov tsim nyog los txo cov tshuaj uas dhau los ntawm 2 chav nyob. yog tias tom qab thawj koob tshuaj tiv thaiv kab mob hypoglycemia tsis tau tshwm sim, tom qab ntawd nce qhov koob tshuaj los ntawm tib 2 chav.

Kev kwv yees ntawm kev siv tshuaj insulin thaum nruab hnub yog los ntawm 5 txog 20 units, muab faib ua 2-4 koob. Tsis tas li, koj yuav tsum muaj dej haus nyob ib puag ncig koj thoob plaws hauv tag nrho lub voj voog ntawm kev siv yeeb tshuaj, uas pab ua kom tsis txhob mob ntshav qab zib. Nws tuaj yeem yuav hauv khw muag tshuaj lossis npaj tau ntawm nws tus kheej. Hauv rooj plaub tom kawg, nws yuav tsum siv cov mis li nram qab no: 1 gram ntawm cov piam thaj ib phaus ntawm lub cev, 0.5 grams ntawm cov protein rau ib qhov hnyav ntawm lub cev, 20 grams glutamine, 5 grams creatine ib liter dej.

Tom qab ntawd nws yog ib qho tsim nyog yuav tsum tau tswj cov insulin ntawm tus nqi ntawm 5 PIECES, rau qhov nws yog qhov yuav tsum tau ntxiv 1 PIECES ntxiv rau txhua qhov mmol ntxiv tom qab siv cov tshuaj loj hlob. Tag nrho cov koob tshuaj tau hais los saum toj no siv rau 40 IU insulin koob txhaj tshuaj. Qhov no yog cov lus tseem ceeb heev, vim tias cov tshuaj insulin yog qhov txaus ntshai heev thaum cov koob tshuaj ntau dua.

Kuj muaj ntau qhov kev sib cav uas yuav tsum siv cov tshuaj insulin rau hnub so. Txawm li cas los xij, qhov no tsis yog cov lus muaj tseeb ntawm cov nqe lus nug. Yog tias koj tab tom siv txoj kev loj hlob hormone, tshuaj steroids thiab insulin tib lub sijhawm, tom qab ntawd koj xav tau kev cob qhia txhua hnub, nyiam dua ob zaug ib hnub.

Lwm lo lus nug nrov yog lub sijhawm ntawm kev tswj hwm tshuaj: ua ntej pib ntawm zaj lus qhia, lub sijhawm nws siv lossis thaum kawg. Hauv txhua kis ntawm cov teeb meem hais tawm, koj yuav tau txais qee yam faib nyiaj los ntawm insulin.

Ib qho ntxiv yog tias thaum cov insulin raug txhaj thaum ua kev kawm, nws yog ib qho tsim nyog yuav tsum tau siv cov khoom nce thaum tib lub sijhawm. Yog tias koj xav ua kev kawm ua ke nrog somatotropin, tom qab ntawd koj yuav tsum noj cov tshuaj ua ke.

Nws yog lub sijhawm los coj cov khoom lag luam thiab qhia txog cov ntsiab lus tseem ceeb tshaj plaws hauv kev siv tshuaj insulin los ntawm cov kis las. Siv cov tshuaj insulin tshwj xeeb, thiab kev noj ntau npaum li cas los ntawm 5 txog 20 units thaum noj 2 mus rau 4 zaug thaum nruab hnub.

Koj yuav tsum tau ua raws cov zaub mov noj thaum lub voj voog, nrog rau kev noj cov tshuaj hormones kev loj hlob thiab steroids. Nws yog qhov tseem ceeb heev kom pib siv cov tshuaj nrog qhov tshuaj me me ntawm 3 txog 5 units, thiab maj mam nce lawv kom txog thaum txiav txim siab tau txais txiaj ntsig zoo. Saib xyuas koj cov qib qab zib, tsis txhob cia nws poob qis dua 3 mmol cim.

Yog xav paub ntau ntxiv txog yuav ua li cas cov insulin cuam tshuam rau qhov hnyav nce, saib cov lus endocrinologist ntawm kev sab laj video:

Cov nyhuv yog anabolic.

Raws li koj paub, insulin pab nqus cov amino acids ntau li ntau tau rau hauv cov leeg nqaij. Valine thiab leucine yog qhov zoo nqus, lawv yog cov amino acids ywj siab. Cov tshuaj hormone kuj rov ua DNA, thauj cov magnesium, potassium phosphate thiab protein biosynthesis. Nrog kev pab los ntawm cov tshuaj insulin, cov hluavtaws ua ke ntawm cov roj ntsha, uas tau nqus rau hauv daim ntaub adipose thiab daim siab, ua kom zoo dua. Nrog rau cov tsis muaj cov tshuaj insulin hauv cov ntshav, rog rog tshwm sim.

Kev siv cov insulin hauv kev tawm dag zog lub cev

Hauv kev tawm dag zog lub cev, cov tshuaj insulin tsuas yog siv luv luv ua yeeb yam, lossis ultrashort.

Cov tshuaj insulin luv luv ua haujlwm raws li cov hauv qab no: tom qab subcutaneous tswj hwm (txhaj tshuaj) pib ua hauv ib nrab ib teev. Yuav siv tshuaj insulin ib nrab teev ua ntej noj mov. Qhov siab tshaj plaws ntawm cov tshuaj insulin ncav cuag 120 feeb tom qab nws tswj hwm, thiab nres kiag nws txoj haujlwm thauj hauv lub cev tom qab 6 teev.

Cov tshuaj uas zoo tshaj plaws tau kuaj los ntawm lub sijhawm yog Actrapid NM thiab Humulin Regul.

Ultra-luv-ua yeeb yam insulin ua haujlwm raws li lub hauv paus ntsiab lus no: tom qab qhia nws rau hauv cov ntshav, nws pib ua nws txoj haujlwm tom qab 10 feeb, thiab qhov ua haujlwm siab tshaj plaws tau tiav tom qab 120 feeb. Cov tshuaj insulin nres tom qab 3-4 teev. Tom qab tshuaj insulin tau qhia, nws yog ib qho tsim nyog yuav tsum tau noj zaub mov tam sim ntawd, lossis tom qab thauj, nkag mus rau hauv lub zog thauj.

Cov tshuaj zoo tshaj plaws rau ultrashort insulin yog ob qho, cov no yog Penfill lossis FlexPen.

Tus nqi ntawm rau caum hnub chav kawm ntawm insulin yuav raug kwv yees li 2-3 txhiab rubles Lavxias. Yog li, cov neeg kis las tau nyiaj tsawg tuaj yeem siv insulin.

Cia peb tham txog qhov zoo thiab qhov tsis zoo ntawm kev thauj mus los.

Qhov zoo:

Lub hauv chav kawm muaj 60 hnub, uas txhais tau tias lub sijhawm luv luv.
Qhov zoo tshaj plaws ntawm cov tshuaj yog txhua theem. Qhov tshwm sim ntawm kev yuav qhov cuav yog 1% thaum piv nrog anabolic steroids.
Muaj cov tshuaj insulin. Tuaj yeem yuav tau hauv txhua lub tsev muag tshuaj yam tsis muaj kws kho mob sau ntawv.
Cov tshuaj hormone muaj qhov ua kom siab anabolic.
Qhov ntxim nyiam ntawm cov kev mob tshwm sim yog qhov tsawg, muab qhov kev kawm tau raug kos kom raug.
Qhov kawg ntawm qhov kawg, kev kho tom qab lub voj voog tsis tsim nyog, vim tias cov tshuaj insulin tsis muaj qhov tshwm sim.
Lub rollback tom qab qhov kawg ntawm chav kawm yog me me.
Koj tuaj yeem siv tsis yog solo, tab sis nrog lwm cov peptides thiab anabolic steroids.
Nws tsis muaj cov androgenic cuam tshuam rau tib neeg lub cev.
Cov tshuaj insulin tsis ua mob rau daim siab thiab lub raum, thiab kuj tsis muaj tshuaj lom rau lawv. Tsis ua rau muaj teeb meem potency tom qab kawm.

Qhov tsis zoo:

Cov piam thaj tsawg hauv lub cev (qis dua 3.3 mmol / L).
Adipose ntaub so ntswg thaum kawm.
Ib txoj cai tswj hwm ntawm cov tshuaj.

Raws li koj tuaj yeem pom, insulin muaj peb zaug ntau dua qhov tsis zoo. Qhov no txhais tau hais tias cov tshuaj insulin yog ib qho zoo tshaj plaws ntawm cov tshuaj pharmacological.

Sab nyhuv ntawm cov tshuaj insulin.

Cov thawj thiab tseem ceeb tshwm sim yog hypoglycemia, uas yog, muaj cov piam thaj hauv ntshav. Kev mob ntshav qab zib yog yam ntxwv raws li hauv qab no: cov povtseg pib tshee, tsis nco qab, thiab nkag siab qhov tshwm sim puag ncig, tseem yog haub kev ntxias. Cov ntshav qabzib hauv lub ntsej muag tseem tseem ua nrog los ntawm qhov tsis ua haujlwm ntawm kev ua haujlwm thiab kev ua haujlwm, qhov kev hnov zoo ua rau muaj kev tshaib plab. Lub plawv dhia pib nce. Tag nrho cov saum toj no yog cov tsos mob ntawm kev muaj ntshav qab zib.

Nws yog ib qho tseem ceeb kom paub txog cov hauv qab no: yog tias koj pom qhov tshwm sim pom tseeb ntawm cov ntshav qabzib tsis txaus, tom qab ntawd nws yog qhov maj nrawm los ua kom lub cev nrog cov qab zib kom thiaj li ua rau cov piam thaj hauv ntshav mus txog qhov qub.

Cov kev mob tshwm sim tom ntej, tab sis ntawm me ntsis qhov tseem ceeb, yog khaus thiab voos ntawm qhov chaw txhaj tshuaj.

Kev ua xua muaj tsawg, tab sis lawv tsis tshua muaj txiaj ntsig.

Yog tias koj noj cov tshuaj insulin ntev, tom qab ntawd koj qhov kev tso tawm ntawm koj tus kheej ntawm cov insulin tsawg heev. Nws tseem ua tau vim tias muaj zog ntau dhau ntawm cov tshuaj insulin.

Tam sim no peb paub tias cov insulin yog dab tsi thiab qhov twg yog qhov haum rau peb. Cov haujlwm tom ntej yog txhawm rau kho cov xim ntawm cov insulin rau 30-60 hnub. Nws yog ib qho tseem ceeb heev uas tsis tau mus ntau tshaj ob lub hlis kom thiaj li tso cai rau lub cev los txhim kho nws tus kheej zais cia. Yog tias koj ua raws li cov lus qhia kom raug, tom qab ntawd nrog ib hom tshuaj insulin koj tuaj yeem nce li 10 phaus ntawm cov nqaij ntshiv pawg.

Nws yog ib qho tseem ceeb heev uas yuav tsum tau pib tam sim ntawd nrog kev txhaj tshuaj me me txog ob ntu subcutaneously, thiab maj mam nce qhov koob tshuaj mus rau 20 units. Qhov no yog qhov tsim nyog thiaj li yuav xub kuaj xyuas seb lub cev siv tshuaj insulin li cas. Nws muaj zog heev txwv tsis pub kuv ntau tshaj 20 units nyob rau ib hnub.

Ua ntej siv cov tshuaj hormones thauj khoom, koj yuav tsum them sai sai rau 2 yam:

Pib nrog qhov tshuaj me me thiab maj mam nce nws kom txog thaum koj mus txog 20 units. Nws yog txwv tsis pub hloov sai ntawm 2x txog 6 units, lossis txij li 10 txog 20! Txoj kev hloov kho ntse tuaj yeem nqa cov kev phem rau koj lub cev.
Tsis txhob mus dhau nees nkaum units. Leej twg yuav tsis pom zoo kom noj yuav luag 50 units - tsis txhob mloog lawv, vim txhua lub cev siv tshuaj insulin sib txawv (rau ib tug neeg, 20 units yuav zoo li ntau).

Qhov ntau zaus ntawm cov tshuaj insulin tuaj yeem sib txawv (txhua txhua hnub, lossis txhua txhua lwm hnub, ib hnub ib zaug, lossis ntau dua). Yog tias koj ply txhua txhua hnub thiab txawm tias ntau zaus, tom qab ntawd tag nrho cov chav kawm yuav tsum raug txo kom tsawg. Yog tias koj khiav txhua lwm hnub, tom qab 60 hnub yog qhov txaus rau qhov no.

Kev txhaj tshuaj insulin yog qhov kev pom zoo tsuas yog tom qab kev cob qhia lub zog, thiab tom qab ntawd noj zaub mov ntau nyob rau hauv cov protein thiab ntev carbohydrates. Nws yog qhov tsim nyog yuav tsum tau plooj sai li sai tau tom qab kev cob qhia, txij li thaum thauj khoom, raws li tau hais ua ntej, muaj cov nyhuv anti-catabolic. Nws rhuav tshem cov txheej txheem ntawm catabolism, uas tshwm sim los ntawm kev tawm dag lub cev.

Nws tsim nyog them rau qhov tseeb tias kev siv tshuaj insulin tom qab ib qho kev ua haujlwm zoo muaj qee qhov zoo dua: thaum koj coj lub cev mus rau yuav luag tsis muaj ntshav qab zib, uas yog tshwm sim los ntawm kev qhia txog cov tshuaj insulin, qhov no cuam tshuam lub ntuj txo hauv ntshav qabzib. Tom qab kev cob qhia, txoj kev loj hlob qog tau khov kho. Lwm lub sijhawm ntawm nruab hnub, txhaj tshuaj insulin tsis pom zoo. Yog tias koj cob qhia 3 zaug hauv ib asthiv, thiab so 4 hnub so, tom qab ntawd koj tuaj yeem hno ib tag kis ua ntej noj tshais rau hnub thaum tsis muaj kev tawm dag zog. Hauv qhov no, nws raug nquahu kom siv cov tshuaj insulin luv luv (Actapid) thiab noj ib nrab ib teev tom qab txhaj. Ntawm kev cob qhia hnub, tsuas yog tom qab kev cob qhia.

Qhov xaus qhia nws tus kheej: yog tias koj txhaj tshuaj thauj cov tshuaj hormones txhua hnub, ces peb cov chav kawm yuav tsum tsis pub ntau tshaj 30 hnub. Yog tias peb muaj kev tswj hwm maj mam lossis nyiaj txiag, ces peb siv sijhawm 60 hnub. Hnub ntawm kev kawm tom qab nws, peb siv insulin ultra-short-acting (Novorapid), thiab nyob rau hnub so - ua ntej noj tshais, insulin luv luv (Actrapid).

Yog tias siv "luv" cov tshuaj hormones, tom qab ntawd peb txhaj ib nrab ib teev ua ntej noj mov loj.

Yog tias peb siv "ultrashort", tom qab ntawd peb ua ib qho kev hno tam sim tom qab kev noj mov tseem ceeb.

Yog li qhov kev txhaj tshuaj yuav siv sijhawm tsis muaj qhov khaus thiab ua xua, thiab cov tawv nqaij tsis tawv rau ntawm qhov chaw txhaj tshuaj, koj yuav tsum ua lawv nyob hauv ntau qhov chaw ntawm lub cev.

Txhawm rau suav qhov xav tau ntawm cov tshuaj insulin uas yuav tsum tau, nws yuav tsum noj 10 gram carbohydrates ib ntu ntawm insulin.

Cov kev txhaum loj hauv kev noj cov tshuaj thauj.

Thawj qhov yuam kev - koob tshuaj loj thiab lub sijhawm tsis raug siv. Pib siv cov koob tshuaj me me thiab saib lub cev muaj kev tawm tsam.

Qhov yuam kev thib ob - tsis ncaj ncees lawm txhaj tshuaj. Nws yog qhov tsim nyog los prick subcutaneously.

Thib peb yuam kev - Kev siv cov tshuaj insulin ua ntej kev cob qhia thiab thaum mus pw, uas yog txwv tsis pub tshaj.

Plaub qhov yuam kev - Noj mov me me tom qab thov cov tshuaj insulin. Nws yog ib qho tsim nyog kom noj cov khoom noj carbohydrates thiab cov protein ntau li ntau tau, vim tias qhov kev thauj mus los sai yuav kis cov enzymes uas tsim nyog rau cov leeg. Yog tias koj tsis saturate lub cev nrog cov nyiaj pab pawg ntau kawg, ces muaj kev pheej hmoo ntawm lub qog ntshav qab zib.

Thib tsib yuam kev - kev siv cov tshuaj insulin hauv qhov theem kom qhuav. Qhov tseeb yog tias koj kev noj zaub mov kom tsis muaj carbohydrates, lossis tsis muaj hlo li. Ib zaug ntxiv, nws ua rau kom txo qis cov ntshav qabzib hauv lub ntsej muag, thiab nws yuav tsum tau ua kom tiav nrog qee yam qab zib. Thiab qab zib, raws li peb paub, yog qhov khoom noj sai ntawm lub cev (carbohydrates) uas tsis xav tau nyob hauv theem ziab ntawm lub cev.

Cov npe thiab cov naj npawb ntawm cov khoom siv tom qab txhaj tshuaj.

Txoj cai kev noj haus uas koj xav tau noj yuav ncaj qha nyob ntawm qhov ntau npaum ntawm kev thauj khoom thauj. Qhov nruab nrab qab zib cov ntsiab lus nyob hauv tib neeg cov ntshav, qhia tias nws muaj kev noj qab haus huv - 3-5 mmol / l. Ib chav nyob ntawm insulin txo qis suab thaj los ntawm 2.2 mmol / L. Qhov no txhais tau hais tias yog tias koj txhaj ntxig rau ob peb pawg tshuaj insulin ib zaug, ces koj tuaj yeem yauv tau cov ntshav qog ntshav tau yooj yim. Yog tias koj tsis ua cov ntshav qabzib kom puv sijhawm, koj tuaj yeem ua rau muaj kev pheej hmoo heev. Nws yog ib qho tseem ceeb kom noj cov khoom noj carbohydrates ntau li ntau tau tom qab txhaj tshuaj.

Cov tshuaj insulin yog ib yam tshuaj uas yog lub tsev cov keeb endocrinology. Muaj lub tswvyim ntawm "chav ua mov ci", sau luv tus XE. Ib lub khob cij muaj 15 grams ntawm carbohydrates. Tsuas yog tias 1 lub khob cij ua kom nce qib qab zib ntawm 2.8 mmol / l. Yog tias koj, tsis txhob txwm, lossis rau lwm qhov laj thawj, txhaj 10 units, tom qab ntawd koj yuav tsum siv 5-7 XE, uas nyob rau hauv cov nqe lus ntawm carbohydrates - 60-75. Xav txog qhov tseeb tias cov khoom noj carbohydrates yog pom tias dawb huv.

Yuav ua li cas txhaj tshuaj insulin.

Ua ntej koj txhaj cov tshuaj insulin, koj yuav tsum npaj cov khoom uas qab zib (qab zib, zib ntab, chocolate, thiab lwm yam). Qhov no yuav lav koj qhov kev nyab xeeb rau hauv kev mob ntshav qab zib.

Koj yuav tsum txhaj tshuaj lub cev nrog lub koob txhaj tshuaj tshwj xeeb, nws hu ua insulin koob txhaj tshuaj.

Xws li lub koob txhaj tshuaj yog qhov ntau thinner dua li ib txwm, thiab muaj ib qho me me ntawm qhov cub faib rau nws. Ib cov tshuaj insulin tag nrho tuaj yeem tuav ib lub voos xwm yeem, i.e. 1 ml. Ntawm daim ntaub qhwv, qhov kev sib cais tau muab faib ua 40 daim. Nws yog qhov tseem ceeb kom tsis txhob yuam kev nrog cov xaim tshuaj ib txwm siv nrog ib qho insulin syringe, txwv tsis pub yuav muaj qhov tshwm sim ntawm kev noj tshuaj ntau dhau. Koj yuav tsum tau txhaj ib lub kaum ntawm 45 degrees.

Ua ntej siv, sau cov kab mob yuav tsum tau siv tshuaj insulin, coj nws nrog koj sab laug thiab ua ib daim ntawm daim tawv nqaij, nyiam dua rau ntawm lub plab, tom qab ntawd hauv qab ntu 45-degree, nkag mus rau rab koob, thiab tom qab ntawd ces insulin. Tuav rau ob peb feeb, thiab tshem tawm rab koob ntawm daim tawv nqaij. Tsis txhob txhaj rau hauv ib qho chaw txhua lub sijhawm.

Tsis txhob ntshai tias qhov mob yuav nkag tau rau hauv qhov chaw txhaj tshuaj. Qhov koob txhaj tshuaj ntawm cov tshuaj insulin yog qhov tsawg heev, yog li kev sib kis tsis muaj kev hem thawj. Yog tias koj tau txhaj nrog cov koob txhaj tas li, tom qab ntawd koj yuav tsum ntxuav koj txhais tes kom huv si thiab pleev rau qhov chaw uas yuav txhaj nrog cawv.

Txhawm rau kom tau txais cov txiaj ntsig zoo tshaj plaws ntawm chav kawm insulin, peb yuav tsum xav txog peb txoj cai tseem ceeb:

Ua raws li cov khoom noj kom yuag yuag ntxiv.
Tsheb nqaj hlau zoo.
Muaj kev so zoo.

Puas yog nws tuaj yeem ua ke nrog insulin nrog anabolic steroids?

Koj tuaj yeem sib xyaw ua ke nrog tshuaj insulin nrog lwm cov tshuaj pharmacological, raws li nws tau raug. Kev sib xyaw ua ke hauv 99% ntawm cov xwm txheej muab cov txiaj ntsig zoo dua li cov insulin solo. Koj tuaj yeem siv cov insulin nrog lwm yam tshuaj los ntawm qhov pib thaum kawg mus txog thaum kawg ntawm kev kawm kev thauj. Nws yog qhov zoo tshaj los txuas ntxiv ua haujlwm tom qab insulin rau 14-21 hnub, kom lub yob sib tw me me li sai tau.

Nws yog ib qho tseem ceeb kom paub tias txhua yam tshuaj pharmacological, suav nrog insulin, tsuas yog noj tau los ntawm cov kws ncaws pob uas ua haujlwm hauv kev tawm dag zog thiab khwv tau. Yog tias koj lub hom phiaj tsuas yog khaws kom zoo, tom qab ntawd tsis nco qab txog "chemistry", vim qhov no tsis ncaj ncees rau txhua txoj kev.

Yog tias tus neeg muaj ntshav qab zib, tom qab ntawd nws xav tau koob tshuaj insulin.

Tsis txhob pheej hmoo koj li kev noj qab haus huv nyob rau hauv kev txiav txim kom tau txais qhov txiaj ntsig xav tau sai li sai tau Yog tias koj tau txiav txim siab ruaj khov tias koj xav tau txoj haujlwm ntawm kev tawm dag zog thiab ua ib tus neeg ua kis las, tom qab ntawd xub mus rau koj qhov kev txwv ib txwm, thaum koj tsis ua mob nqaij qhuav hauv qhov zoo. Feem ntau, nws yog qhov tsim nyog kom ua tiav koj li "qab nthab", thiab tom qab ntawd pib "tshuaj lom neeg".

Nco ntsoov tias ua ntej siv cov tshuaj pharmacological, koj yuav tsum tau ua kev kuaj mob kom meej. Nws tsis tas yuav tsum xeem dab tsi yog tias koj yog cov tshuaj insulin ib leeg. Yog tias koj siv tshuaj insulin nrog lwm yam, tom qab ntawd koj yuav tsum ntsuas qhov kev ntsuas tsim nyog ua ntej kev kawm, nyob rau tom qab thiab tom qab. Thiab, tsis txhob hnov qab txog kev kho tom qab lub voj voog.

Thaum kawg, koj yuav tsum nco ntsoov ob peb txoj cai rau kev siv cov tshuaj insulin, yog li nws yuav tsis muaj teeb meem:

Paub koj lub cev, nco ntsoov tias nws nyob hauv kev txiav txim siab thiab npaj txhij rau kev siv tshuaj insulin.
Mus rau lub chav kawm kom raug thiab muaj lub luag haujlwm.
Saib xyuas meej kev noj zaub mov zoo thiab kev cob qhia lub cev kom tau txais qhov hnyav tshaj rau lub sijhawm kawm.

Yog tias koj tau txiav txim siab meej meej dab tsi koj xav txhawm rau, ces nws raug nquahu kom koj pib insulin solo txhawm rau txhawm rau kawm kev tawm tsam ntawm koj lub cev, vim nws yuav nyuaj rau nkag siab nrog kev siv lwm yam tshuaj yog tias muaj kev cuam tshuam hauv lub cev. Nws yog qhov zoo tshaj plaws kom tsis txhob siv cov tshuaj pharmacological ntawm txhua lub sijhawm, vim nws tsis paub yuav ua li cas lawv yuav cuam tshuam koj lub cev.