Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wa 2, mungauzidwe kuti mutenge insulin. Koma zoona zake n'zakuti si aliyense amene ali ndi matenda a shuga a mtundu wa 2 amene amafunika insulin. Koma ngati muyenera kumwa insulin, ndikofunikira kwambiri kuti thanzi lanu lidziwe mlingo woyenera. Nthawi zina mungafunike kusintha mlingo uwu nokha pamene moyo wanu ukusintha. Chifukwa chake, tiyeni tikambirane izi mosavuta.
Kodi chithandizo cha insulin chimakonzedwa bwanji?
Chofunika apa ndichakuti shuga m'magazi mwanu mukhale otetezeka. Izi zingafunike kuti mugwiritse ntchito mtundu umodzi kapena iwiri ya insulin. Madokotala nthawi zambiri amayamba ndi mtundu umodzi poyamba.
1. Insulini yogwira ntchito nthawi yayitali
Dzina lina la izi ndi basal insulin . Mwachidule, mukangoyibaya, imagwira ntchito m'thupi lanu kwa maola pafupifupi 24, nthawi zina nthawi yayitali. Zili ngati kulamulira kuchuluka kwa shuga m'magazi mwanu. Nthawi zambiri imatengedwa kamodzi patsiku, koma ndikofunikira kuimwa nthawi yomweyo tsiku lililonse.
Kodi mumadziwa bwanji mlingo?
Pali mitundu ingapo ya insulin iyi, ndipo mlingo wake ungasiyane.
- Mlingo woyambira wamba: Anthu ambiri amayamba ndi mayunitsi pafupifupi 10 patsiku.
- Mlingo woyezera kulemera: Nthawi zina dokotala wanu amasankha mlingo kutengera kulemera kwa thupi lanu. Mwachitsanzo, kulemera kwa thupi lanu kungawerengedwe ngati mayunitsi 0.2 a insulin pa kilogalamu imodzi (mapaundi 2.2).
Mlingo woyamba ukhoza kukhala wocheperapo kuposa momwe mukufunira, koma ndi chiyambi chabwino. Kenako, dokotala wanu adzawonjezera pang'onopang'ono mlingo wanu ndi mayunitsi awiri kapena anayi masiku atatu aliwonse mpaka shuga wanu wamagazi wosala kudya ufike pamlingo womwe mukufuna (nthawi zambiri pakati pa 80-130 mg/dL ). Kusankha mtundu woyenera wa insulin kwa inu kudzadalira zinthu zambiri, kuphatikizapo kulemera kwanu, kuchuluka kwa shuga m'magazi, kaya muli ndi matenda ena, mtengo wa insulin, ndi zomwe mumakonda.
2. Insulini yokhudzana ndi chakudya (Insulini yaifupi kapena yogwira ntchito mwachangu)
Dokotala wanu angatchulenso kuti insulin ya bolus kapena prandial . Izi zimaperekedwa musanadye chakudya chachikulu kuti thupi lanu lizitha kulamulira kuchuluka kwa chakudya chomwe mumadya. Mtundu uwu wa insulin umawonjezeredwa ngati insulin ya tsiku lonse yomwe yatchulidwa pamwambapa sikokwanira.
Kodi mumadziwa bwanji mlingo?
Mlingo wake umadalira zinthu zingapo: kuchuluka kwa shuga m'magazi mwanu, kuchuluka kwa chakudya chomwe mumadya, komanso kuchuluka kwa zochita zanu.
- Mlingo wokhazikika:Kawirikawiri, mutha kuyamba ndi mayunitsi 4-6 ndikuwonjezera ndi mayunitsi 2-3 masiku atatu aliwonse mpaka shuga wanu utachepa.
- Kuwerengera Zakudya Zam'thupi: Iyi ndi njira yapamwamba pang'ono. Apa, mumawerengera mlingo wa insulin kutengera kuchuluka kwa chakudya chomwe mumadya.
- Kumwa mwangozi mankhwala opitirira muyeso .
- Kuphatikiza mitundu ya insulin yogwira ntchito nthawi yayitali komanso yochepa.
- Kudya chakudya chopanda chakudya chambiri komanso kumwa insulin yambiri .
- Kuiwala kudya mutamwa insulin.
- Kuchita masewera olimbitsa thupi kuposa masiku onse komanso osachepetsa mlingo wa insulin kuti muchepetse shuga.
- Mtundu ndi mlingo wa insulin ndi zanu. Nthawi zonse tsatirani malangizo a dokotala wanu. Musayerekezere mlingo wanu ndi wa anthu ena.
- Mvetsetsani kusiyana pakati pa insulin yogwira ntchito nthawi yayitali ndi insulin yogwira ntchito nthawi yochepa.
- Dziwani zizindikiro za shuga wochepa m'magazi (hypoglycemia). Musachite mantha ndipo dziwani bwino chochita ngati mutakumana ndi vutoli.
- Musadalire mapulogalamu a foni osavomerezeka komanso osadalirika kuti muwerengere kuchuluka kwa insulin.
- Yang'anani shuga m'magazi mwanu nthawi zonse. Kambiranani momasuka ndi dokotala wanu za kusintha kulikonse ndi nkhawa zilizonse zomwe mungakhale nazo.
Taganizirani izi motere: Mumadya chidutswa cha pizza, ndipo chimakhala ndi magalamu 60 a chakudya. Kawirikawiri, unit imodzi ya insulin yogwira ntchito mwachangu "imaphimba" pafupifupi magalamu 10-15 a chakudya. Tiyerekeze magalamu 10. Kenako mumafunika mayunitsi pafupifupi 6 a insulin pa chidutswa cha pizza chimenecho.
Chiŵerengero cha insulin-to-carbohydrate ichi chimasiyana malinga ndi munthu. Chingasinthe ngakhale nthawi zosiyanasiyana patsiku. Chifukwa chake, ndikofunikira kulankhula ndi dokotala wanu kuti mupeze njira yoyenera kwa inu.
Kodi chimachitika ndi chiyani ngati mlingo wa insulin wawonjezeka?
Ngati mumwa insulin yochuluka kwambiri, shuga m'magazi mwanu akhoza kutsika mwadzidzidzi moopsa. Izi zimatchedwa hypoglycemia . Uwu ndi matenda oopsa omwe angakhale oopsa kwa moyo.
Kodi ndichifukwa chiyani insulin imawonjezeka?
| Zizindikiro zodziwika bwino za shuga wotsika m'magazi (Hypoglycemia) | |
|---|---|
| Nkhawa | Mutu |
| Chizungulire | Kusanza |
| Kugunda kwa mtima mwachangu | Kugwedezeka |
| Khungu lotupa kapena lotupa | Njala yoopsa |
Chofunika ndichakuti zizindikirozi zimatha kusiyana malinga ndi munthu, choncho samalani momwe thupi lanu limamvera.
Zoyenera kuchita nthawi yomweyo ngati shuga m'magazi mwanu watsika
Njira yokhayo yodziwira ngati shuga wanu ndi wochepa ndi kuyeza kuchuluka kwa shuga nthawi yomweyo ndi glucometer.
1. Ngati shuga m'magazi mwanu ndi pansi pa 70 mg/dL , idyani chinthu chokhala ndi shuga mwachangu momwe mungathere. Mwachitsanzo, idyani piritsi la shuga, theka la galasi la madzi a zipatso opanda shuga, kapena supuni imodzi ya uchi. Izi zikupatsani pafupifupi magalamu 15 a chakudya chopatsa mphamvu chogwira ntchito mwachangu.
2. Dikirani mphindi 15.
3. Yang'ananinso kuchuluka kwa shuga m'magazi mwanu.
4. Ngati ikadali yotsika (yoposa 70 mg/dL), idyaninso china chake chokhala ndi shuga. Shuga ikabwerera mwakale, ndi bwino kudya pang'ono (monga chidutswa cha buledi).
Ngati izi zimachitika kawirikawiri, kapena ngati zakula kwambiri moti simukuzindikira, nthawi yomweyo pemphani wina kuti akutengereni ku Emergency Treatment Unit (ETU) yapafupi.
Kodi mapulogalamu angagwiritsidwe ntchito pa ntchitoyi?
Pali mapulogalamu ambiri omwe amati angakuthandizeni kudziwa kuchuluka kwa insulin-to-carbohydrates omwe muli nawo kapena kuwerengera mlingo wa insulin yanu. Koma kafukufuku wa 2015 adapeza kuti ambiri mwa awa sagwira ntchito bwino. Ndi owopsa kwambiri. Ngati mwapatsidwa mlingo wolakwika, ukhoza kukhala woopsa kwambiri.
Chifukwa chake, ngati muyenera kugwiritsa ntchito pulogalamu, gwiritsani ntchito pulogalamu yodalirika yokha yomwe dokotala wanu kapena chipatala cha matenda ashuga amalangiza.
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