,d;rypid - ministry of health and long-term care · ,d;rypid gad;glj;jtj. 6,d;rypd; nahridfs; •...
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1
,d;Rypid
gad;gLj;JtJ
,d;Rypd; tiffs;
NtW gy tif ,d;Rypd;
fpilf;fpwJ. cq;fSf;F Njitahd
Neuq;fspYk; fhyq;fspYk; ,sf;fk;
jUtJld;, cq;fs; ,yf;f ,uj;j
FSf;Nfh]; msTfis guhkwpf;f
Rygkhf;FfpwJ. cq;fs; ,uj;j
FSf;Nfh]; msTfis NkYk;
ed;whf eph;tfpf;f ehnyhd;Wf;F
xd;Nwh mjw;F NkNyh Crp
Njitg;glyhk;.
mit Ntiyg;gLk; fhyk;;, vt;tsT rPf;fpuk; Ntiy nra;a
njhlq;Fk; kw;Wk; vg;nghOJ cr;r
Ntiyahw;Wk; Nghd;wtw;iw
nghWj;J ,d;Rypd;fs;
NtWgLfpd;wd. cq;fs; ,d;Rypd;
vg;gb Ntiy nra;fpd;wJ vd;W
Ghpe;Jnfhz;lhy;;, cq;fs; czT
Ntis, nehWf;Fj;jPzp kw;Wk;
nray;ghLfspd; msTfis
mjw;Nfw;g kzpf;Fwpf;fyhk;.
,d;Rypd; vd;gJ vd;d?
,uj;jj;jpy; cs;s FSf;Nfh]; (rh;f;fiu) msit
fl;Lg;gLj;j fizaRug;gpahy; cw;gj;jp nra;ag;gLk;
`hh;Nkhd; ,d;Rypd;; MFk; ilagpB]; cs;sth;fSf;F
fizak; mwNt my;yJ Nghjpa ,d;Rypd; jahhpf;f
Kbahik> my;yJ jahhpf;Fk; ,d;Rypd; nray;
jpwDld; cgNahfpf;fKbahik fhzg;gLfpwJ. mjd;
tpisthf ,uj;j Xl;lj;jpy; FSf;Nfh];
Nrh;e;J Nghtjhy; ghh;itapd;ik> ,ja Neha;> rpWePuf
Neha;, cly;cWg;G ePf;fy,; euk;G Nrjk; kw;Wk; Mz;
tpiug;G gpur;ridfs; Nghd;w jptpu cly;ey rpf;fy;fs;
Vw;gl rhj;jpakhfyhk;.
,d;RypDk; ilg; 1 ilagpB]_k; (type 1 diabetes)
ilg; 1 ilagpB]; cs;sth;fs; ,aw;ifahfNt
,d;Rypd; jahhpg;gjpy;iy. mjdhy; mth;fs; jpdKk;
,d;Rypd; vLj;jhfNtz;Lk;.
,d;RypDk; ilg; 2 ilagpB]_k; (type 2 diabetes)
MNuhf;fpakhd cz;Zjy;, cly;hPjpahd nray;ghL
kw;Wk; ilagpB]_f;fhd kUe;njLj;jy; %yk; ilg; 2
ilagpB]; cs;sth;fs; jq;fs; ,uj;j FSf;Nfh];
msTfis ,yf;F tPr;Rf;Fs; itj;jpUf;fyhk;.
2
Mdhy; ilg; 2 ilagpB]; cs;sth;fs; jq;fs; ,uj;j
FSf;Nfh]; msTfis rhptu ftdpf;f xU fl;lj;jpy;
,d;Rypd; gad;gLj;jNtz;bapUf;Fk;. kpf
Kf;fpakhdJ cq;fs; ilagpBi] fl;Lg;gLj;jp
rpf;fy;fis jLg;gjhFk;. ey;y nra;jp vd;dntd;why;
,d;Rypd; Ngdh Nghd;w etpd Crp cghaq;fs;
gad;gLj;j vspjhfTk; fpl;lj;jl;l typNa ,y;yhkYk;
cs;sd.
Ntiy nra;a ,d;Rypd;
NjhYf;F fPNo
Crp Nghl Ntz;lhk;
Neuhf ,uj;jj;jpy; my;yJ
cq;fs; clypd;
ntt;NtW cWg;Gfs;
ntt;NtW tpfpjj;jpy;
,d;Rypid cwpQ;RfpwJ
ePq;fs; Nkw;nfhs;Sk;
cly;hPjpahd
nray;ghLfis
nghUj;Jk;
ghjpf;fg;glyhk;.
ntt;NtW Crp
cghaq;fSf;F Fwpg;gpl;l
Crp NghLk; ,lk;
Njitg;glyhk;. cq;fs;
CrpfSf;fhd ghq;if
gw;wp cq;fs; FLk;g
cly;ey ftdpg;gspg;gth;
my;yJ ilagpB];
fw;gpg;ghshplk; NgRq;fs;.
,d;Rypid gad;gLj;JtJ
3
cq;fs; ,uj;j FSf;Nfh];
msTfis fz;fhzpg;gjpd;
mtrpak;
cq;fs; ,uj;j FSf;Nfh];
msTfis Kiwahf
fz;fhzpAq;fs;.
cq;fs; ,uj;j FSf;Nfh]; msTfs;
,yf;F tPr;rpy; ,Ug;gij mwpa
cfe;j top Kiwahd
fz;fhzpg;ghFk;. Kiwahd
ghprPypidfs; cq;fs; ,uj;j
FSf;Nfh]; msTfis xU ehspy;
vg;gb khWgLfpd;wJ. vj;jid
,d;Rypd; cq;fSf;F Njit
kw;Wk; cq;fs; ilagpBi]
fl;Lg;gLj;j ePq;fs; rhpahd
ghijapy; cs;sPh;fsh vd Kf;fpa
jftiy mspf;fpd;wJ.
ve;j ,d;Rypd; jpl;lk; cq;fSf;F cfe;jJ?
xU ,d;Rypd; jpl;lj;ij Fwpg;gjw;F Kd; cq;fs; FLk;g
cly;ey ftdpg;gspg;gth; cq;fs; rpfpr;ir Fwpf;Nfhs;fs;>
taJ> tho;f;if ghzp> czTj;jpl;lk;> nghJ
MNuhf;fpak;> jho;e;j ,uj;j FSf;Nfh]pd;
(i`Nghffp;is]Pkpah) (hypoglycemia) mghak; kw;Wk; mwpT
kw;wk; ce;Jjy; cs;slq;fpa gy fhuzq;fis
fUJthh;. r%f kw;Wk; epjp epiyikiaAk; fUjyhk;.
“xU msT vy;NyhUf;Fk; nghWe;Jk;” jpl;lk; VJk; ,y;iy.
cq;fs; Njitf;F cfe;j ,d;Rypd; jpl;lj;ij gw;wp
cq;fs; cly;ey ftdpg;gspf;Fk; FO cq;fSld; NgRk;.
cq;fs; ,d;Rypd; Nfhl;ghl;il eph;dapf;f NeunkLf;Fk;
vd;gij epidT $Wq;fs;. fhyg;Nghf;fpy; tho;f;if
epfo;Tfs; (nghpa Neha;tha;g;gLj;jy; Nghd;w) kw;Wk;
tho;f;if ghzp khw;wq;fshYk; (Gjpa
clw;gapw;rpj;jpl;lk; Nghd;W) ,it khwyhk;.
cq;fs; FLk;g cly;ey ftpdpg;gspg;gthplk; my;yJ
ilagpB]; fw;gpg;gthplk; cq;fs; ,d;Rypd;
ml;ltiziag; gw;wp Nfs;tpfs; my;yJ ftiyfs>;
my;yJ rpy #o;epiyfis vg;gb rkhspg;gJ> mjhtJ
gadk; nra;Ak;nghOJ ,d;Rypid khw;wpaikg;gJ>
Nghd;wtw;iw gw;wp NgRq;fs;.
ehd; ,d;Rypid vg;gb gad;gLj;JtJ?
cq;fs; nrhe;j tpUg;gj;Jf;F Vw;g ,d;Rypid kUe;Jhrp>
Ngdh my;yJ gk;g; %yk; mspf;fyhk;.
• ,d;Rypd; Ngdhf;fs; xNu a+dpl;by; kpf nky;ypa CrpiaAk; ,d;Rypd; fhh;l;hpl;iIAk; mlf;fp gy
kUe;Jhrpfisf; nfhLf;f vspjhf;FfpwJ. xU tiff;F
Nkyhd ,d;Rypid xU ehspd; ntt;NtW ghfq;fspy;
vLg;gjhdhy; rpyh; ,uz;L my;yJ Nkyhd Ngdhf;fis
ifapy; itj;jpUg;ghh;fs;. xNu Ntisapy; cq;fSf;F
,uz;L tpj ,d;Rypd; cgNahfpf;f Njitg;gl;lhy;
cq;fSf;F ,uz;L jdpj;jdpahd Ngdhf;fs; Njit
kw;Wk; ,uz;L Crpfs; Nghl;Lf;nfhs;s Ntz;Lk;.
,d;Rypd; Ngdhf;fspd; xU nghpa gad; mtw;iw
vspNj Jhf;fpr; nry;yyhk;.
,d;Rypid gad;gLj;JtJ
4
• ,g;nghOnjy;yhk; rphpQ;Rfs; ,d;Dk; rpwpajhfTk;>
rpwg;G Nfhl;bq; Nghl;l kpf nky;ypa CrpfSlDk;
,Ug;gjhy; f\;lNk ,y;iy. ,U tif ,d;Rypid
xNu Neuj;jpy; vLf;fNtz;Lk; vd;why; mtw;iw fye;J
ePq;fs; xNu Crp Nghl;Lf; nfhs;syhk; my;yJ fye;J
,d;Rypid cq;fSf;F Fwpf;fyhk;.
• jPtpukhd ,d;Rypd; rpfpr;ir jUtjw;F xU gaDs;s
ghJfhg;ghd top ,d;Rypd; gk;GfshFk; ,e;j rhjdj;jpy;
xU rpwpa fj;jpl;lh; cs;sJ. mJ NjhYf;F fPo;
nrUfg;gLfpwJ. xU Ng[h; mstpy; cs;s xU gk;g; cs;sJ.
mij ntspNa clk;gpy; mzpe;Jnfhs;syhk;. ,e;j
gk;g;gpy; xU hprh;thah; ,Uf;fpwJ. xU Fwpg;gpl;l fhy
,ilntspapy; mJ ,d;Rypid mDg;Gtjw;F GNuhfpuhk;
nra;Jnfhs;syhk;. $Ljy; Nlh]; ,d;Rypd; vLg;gJ gw;wp
(cjhuzkhf czT Neuj;jpy;) ePq;fs; cq;fSila
lhf;lUk; jPh;khdpf;f Ntz;Lk;. ePq;fs; rhjdj;jpy; cs;s
xU gl;lid mOj;j Ntz;Lk;.
ve;j cghak; cq;fSf;F jFe;jJ vd;W cq;fs; FL;k;g
cly;ey ftdpg;gspg;gth; my;yJ ilagpB];
fw;gpg;gthplk; NgRq;fs;. ,d;Rypid gad;gLj;JtJ
gw;wp Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s
“kUe;njLj;jy;” (“Medication”) vd;w tPbNahitg; ghUq;fs;.
vg;gb ,uz;L tif
,d;Rypd;fis fyg;gJ
my;y Crpg;NghLtJ
cl;gl cq;fs; ,d;Rypd;
gw;wp cq;fSf;F vOk;
VjhtJ Nfs;tpfSf;F
cq;fs; FLk;g cly;ey
ftdpg;gspg;gth; my;yJ
ilagpB]; fw;gpg;gth;
cjTthh;.
5
,d;Rypd; tiffs; (fdlhtpy; gad;gLj;j mq;fPfhpf;fg;gl;lJ)
,d;Rypd; tif
(Njhw;wk;)
eltbf;if th;j;jfg; ngah;fs;
(nghJg;ngah;
g;Nuf;fl;Lf;Fs;)
kUe;njLf;Fk;
fhy ml;ltiz
Nugpl; Mf;bq;
mdyhf;
(njspthdJ)
njhlf;fk;: 10-15 epkplq;fs;
cr;rfl;lk; 60-120 epkplq;fs;
fhy msT: 3-5 kzp
Neuq;fs;
Apidra®(,d;rypd; FSf;Nfh]Pd;)
Humalog® (,d;rypd; yp];g;Nuh)
NovoRapid® (,d;rypd; m];ghh;l;)
czT cz;gjw;F 0-15
epkplq;fSf;F Kd;dhy;
my;yJ mjpf ,uj;j
FSf;Nfh]; msit
Fiwg;gjw;fhf
vLf;fg;gLfpwJ.
\hh;l; Mf;bq;
(njspthdJ)
njhlf;fk;: 30 epkplq;fs;
cr;rk;: 2-3 kzp Neuq;fs;
fhy msT: 6.5 kzp
Neuq;fs;
Humulin®-R
Novolin®ge Toronto
czT cz;gjw;F 30-45
epkplq;fSf;F
Kd;dhy; my;yJ
mjpf ,uj;j
FSf;Nfh];
msit Fiwg;gjw;fhf
vLf;fg;gLfpwJ.
,d;lh;kPbal;
Mf;bq;
(%l;lkhdJ)
njhlf;fk;: 1-3 kzp Neuq;fs;
cr;rk;: 5-8 kzp Neuq;fs;
fhy msT: up to 18 kzp
Neuq;fs;
Humulin®-N
Novolin®ge NPH
mbf;fb gLf;Fk;
Ntisapy;
vLg;gJ my;yJ
,uz;L Ntisfs;
(fhiyAk;
gLf;Fk;NtisAk;)
yhq; Mf;bq;
mdyhf;
(njspthdJ kw;wk;
epwkw;wJ)
njhlf;fk;: 90 epkplq;fs;
cr;rk;: xd;W ,y;iy
fhy msT: 24 kzp
Neuq;fs; tiu
(Lantus 24 kzp Neuq;fs;
Levemir 16-24 kzp Neuq;fs;)
Lantus® (,d;rypd; f;shh;fPd;)
Levemir® (,d;rypd; jPnlkph;)
tof;fkhf ehSf;F
xU KiwNah
,uz;L KiwNah
vLg;gJ
g;hPkpf;];l;
(%l;lkhdJ)
xU jdpg;gl;l itay;
my;yJ fhh;l;hp[; xU
epiyj;j ,d;Rypd;
tpfpjj;ij nfhz;Ls;sJ
(uhgpl; my;yJ gh];l; Mf;bq;
,d;RypDf;F vjpNu
,e;lh;kPbal; Mf;bq;
,d;Rypdpd; rjtpfpjj;ij
,e;j vz;fs; Fwpf;fpd;wd)
g;hPkpf;];l; nuFyh;
,d;Rypd;
Humulin® (30/70)
Novolin®ge (30/70, 40/60, 50/50)
g;hPkpf;];l; ,d;Rypd;
mdyhf;];
Humalog® Mix25 Mix50
NovoMix 30
fyitia
nghWj;jJ.
Canadian Diabetes Association- ,d; Efh;Nthh; jfty;jhis mbg;gilahf;nfhz;lJ, ,d;Rypd;: cq;fSf;F njhpaNtz;bait © 2013. (Insulin: Things you should know © 2013.)
,d;Rypid gad;gLj;JtJ
6
,d;Rypd; Nahridfs;
• ePq;fs; cgNahfpf;Fk; ,d;Rypd;(fs;) ngah;(fs;) kw;Wk; msTfs;, ve;j Ntisfspy; cq;fspd; ,d;Rypid Crp
Nghl;Lf;nfhs;sNtz;Lk;, vt;tsT Neuk; ,d;Rypd; Ntiy nra;fpwJ kw;Wk; vg;nghOJ kpfTk; nray;jpwDld;
,Uf;fpwJ vd;W vOj;jhy; gjpT nra;Aq;fs;.
• jpwf;fg;glhj ,d;Rypid 2 Kjy; 8 bfphp rp (35.6 bfphp v/g; Kjy; 46.4 bfphp v/g;) nu/g;hp[pNul; ntg;gepiyapy; itf;fTk;. xU Kiw ,d;Rypid jpwe;Jtpl;lhy;
mjDila n\y;g; MAs; xU khjk; jhd;.
jpwf;fg;glhj tpahy;fs; mit fhyhtjpahFk; jpfjp
tiuf;Fk; ed;whf ,Uf;Fk; e xU tpahiy ePq;fs;
cgNahfpg;gjw;F Kd;dhy; mjd; fhyhtjpahFk; jpfjpiag;
ghUq;fs;
• cq;fSila ,d;Rypd; ciwahky; ,Uf;fpwjh my;yJ
kpfTk; #lhg ,Uf;fpwjh (30 bfphp rp my;yJ 86 bfphp v/g; msTf;F kpfhky;) vd;W ghh;f;fTk;.
Content taken from the Canadian Diabetes Association’s consumer fact sheet, Insulin: Things you should know.
Tam
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No.
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87 R
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