
pulsettail insulin

chilappol metaboolik aaktiveshan therapy allengil sellular aaktiveshan therapy ennu vilikkappedunna pulsettail intravinus insulin therapy aksharaarthatthil pulsukalile insulin kuthivayppine thudarchayaaya infusionukale vivarikkunnu. pulsukalil insulin kuthivaykkunnathu pancreas vazhi insulin sareerashaasthraparamaaya sravathe portal sirayilekku anukarikkunnu, athu pinneedu karalilekku ozhukunnu. aarogyamulla, prameharahitharaaya vyakthikalil, insulin pancreatic sravangal bhakshanam kazhikkunnathumayi poruthappedunnu. mattu gadakangalkkoppam, upabhogam cheiyunna bhakshanathinte alavine adisthaanamaakki pancreas vyathyastha alavil insulin sravikkum (adisthaanaparamaayi paranjaal, kooduthal bhakshanam kazhikkumbol, pancreas kooduthal insulin sravikkum). insulin, glookagan ennivayumaayulla thudarchayaaya sanbarkkam manushyaril glucose ulppaadanathil hormonukalude upapachayam falaprapti kuraykkunnathaayi ariyappedunnu, kaaranam shareeram hormonukalodu kooduthal sahishnutha vikasippikkunnu. sellular thalatthile daun-regulation insulinte sthiraavasthayude alavu kurayunna pravartthanatthe bhaagikamaayi vishadeekarichekkaam, athesamayam pulsettail hormon sravam risapttar affinityum insulinte ennavum veendedukkaan anuvadichekkaam. insulin saandrathayude ettavum uyarnna nirakkilulla edavittulla intravinus insulin upayogam gluconiogenesinte adichamarthal vardhippikkukayum hepatic glucose uthppaadanam kuraykkukayum cheyyum.
pashchaathalam.
doow. masaachyusetsile bosttanile joslin diabetis sentarile metabolism researchinte muun medhaviyum davis california sarvakalaashaalayile muun medisin professorumaaya thomas ayokki, prameha chikilsayil pulsettail insulin upayogikkunnathil oru thudakkakkaaranaayi eee mekhalaye nayichu. diabetic mettabolisatthil karal thakaraarinte pankinekkurichu ayokkiyude pravartthanangal shradha kendreekarichu. asaadhaaranamaaya hepatic glucose metabolism, aparyapthamaaya insulin vitharanam, insulin prathirodham ennivayaanu pramehathile anthima avayava shatham moolamundaakunnathennu addeham sidhaanthichu. chikilsayude karyakshamatha nirnnayikkaan shwasanaghadakam upayogichu insulin nirantharam vardhichuvarunna adisthaanarekha ulkkollunna thante sameepanathe addeham metaboolik aaktiveshan therapy (maatt) ennu vilichu (us pettant 4,826,810).
pulsettail insulin, karal.
saadhaaranayaayi, insulin pancreasil ninnu palsukaliloode portal sirayilekku sravikkukayum ithu bhakshanam kazhikkunnathumayi adutha bandhamullah rakthathe karalilekku maattaavunna alavil konduvarikayum cheiyunnu. karalile glucose mettabolisathinu aavashyamaaya insulin ashrita ensaimukalude induction paripaalanatthinum (udha.jii. hepatic glucokiness, phosphophractokines, pairuvettu kinace), hepattosaittukalkk uyarnna glucose alavukalulla (ithu oru bimolecular signalayi pravartthikkunnu) oru nirvachikkapetta insulin level (portal sirayil 200-500 μu/ml) aavasyamaanu. prameharogikalallaathavaril, portal insulin saandrata peripheral rakthachamkramanathekkaal eratti muthal moonniratti vare kooduthalaanu. karaliloode kadannupokunna aadya ghattathil, insulinte 50 sathamaanavum neekkam cheyyappedunnu, ithu dahananaalathinteyum pancreasinteyum pradhana upapachayam lakshyamidunna avayavamaan karal ennu shakthamayi soochippikkunnu. heppattosaittukal nilanirthunna insulin thanne hepatic glucose mettabolisathilum valarchayilum dii novo ensime synthesisilum insulin deerghakaala falangalkku anivaaryamaan. vaayiloode glucose kazhikkunnathinethudarnna, paridhiyumayi thaarathamyappeduthumbol motham glucose upabhogathinte thulyamo athiladhikamo bhagam karalinanu. hepatic glucose uthppaadanam neritto allaatheyo niyantrikkaanulla kazhiviloode insulin glucosinte alavil nirnaayaka niyanthranam cheluthunnu. parambaraagatha subcutaneous (kall.sii.) prameharogikal upayogikkunna insulin administration rejimens swaabhaavika insulin sravathinte pulsettail swabhaavam pidichedukkunnathil paraajayappedunnu, koodaathe hepattosaitt thalatthil uyarnna insulin saandrathayil athunnilla (udha.jii., 10 yuu regular insulin kuthivacha ezz.sii. ithu ettavum uyarnna systemic sarkkuleshan saandrata 30-40 μu/ml umm athilum kuranja portal sira saandrata 15-20 μu/ml umm srishtikkunnu.
falapraapthiyekkurichulla avalokanangal.
falapraapthiyude aparyapthamaaya thelivukal undennu insurance kambanikalude niravadhi saahitya avalokanangal nigamanam cheiyunnu. pulsettail insulin vitharanam cheiyunnathil padanangal oru gunavum kaanichittilla.
moonnaam kakshi payment.
mikka insurance kambanikalum chikitsa nalkaan visammathikkunnu. chila kelvikalilum oru jadji thelivukal ketta kesukalilum, aaa rogikk panam nalkaan insurance kambanikalkku nirdesham nalkiyittundu. udaaharanathinu, kaalpparukalumayulla oru pareekshanam blue crossin mattu insurance daathaakkalkkum aaa kakshikale sambandhicha chikilsaykku panam nalkaan utharavidunna theerumaanathinu kaaranamaayi. ennirunnaalum, sii. emm. esinte thudarnnulla vilayiruthalil pulsettail insulin type 1,2 prameharogikalude avastha mechappeduthunnu ennathinu thelivukalonnum kandethiyitla, koodaathe oru deseeya noonn-kavarej theerumaanam purappeduvichu, athu innuvare praabalyatthil undu. chikilsayil upayogikkunna vyakthigatha nadapadikramangal vazhi billing vazhi thettaaya payment ozhivakkaan eee chikitsa billing cheyyumbol upayogikkaan cms oru prathyeka coode purappeduvichittundu. nilavil pulsettail insulin allengil krithrima pancreas chikilsayude prayojanam kaanikkunnathinaayi sveekaaryamaaya klinikkal pareekshanangal nadathunnathuvare, medicare ensidy praabalyatthil thudarum.