Kodi muli ndi matenda a shuga? Kapena kodi wachibale wanu kapena mnzanu wapatsidwa insulin ndi dokotala kuti agwiritse ntchito matenda a shuga? Chifukwa chake mwina muli ndi mafunso ambiri okhudza kuti insulin ndi chiyani, mitundu ya insulin yomwe ilipo, komanso momwe mungagwiritsire ntchito. Anthu ambiri amaopa pang'ono mawu oti insulin. Koma palibe choopa. Lero, tikambirana zonsezi, kuti tipeze mayankho a mafunso onse omwe muli nawo m'maganizo mwanu, m'njira yosavuta kwambiri.
Choyamba, kodi insulin ndi chiyani?
Mwachidule, insulin ndi mahomoni opangidwa ndi thupi lathu. Amapangidwa ndi chiwalo chotchedwa kapamba wathu. Chifukwa chake, ntchito yayikulu ya insulin iyi ndikuthandiza shuga (Glucose) yomwe imawonjezeredwa m'magazi kuchokera muzakudya zomwe timadya, kulowa m'maselo a thupi ndikuthandiza maselo amenewo kupeza mphamvu zomwe amafunikira. Insulin imagwira ntchito ngati kiyi yomwe imatsegula chitseko cha nyumba.
Koma mwa munthu wodwala matenda a shuga (Diabetes Mellitus), thupi silingapange insulin yokwanira, kapena insulin yomwe imapangidwa singagwire ntchito bwino. Pamenepo ndi pomwe tiyenera kumwa insulin kunja, ngati mankhwala. Izi zimachitika kuti tichepetse kuchuluka kwa shuga m'magazi.
- Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kumwa insulin chifukwa kupanga kwa insulin m'thupi lawo kwatha.
- Anthu omwe ali ndi matenda a shuga amtundu wa 2 nthawi zina amafunikira insulin, koma anthu ambiri amatha kuchepetsa shuga m'magazi mwa kugwiritsa ntchito mapiritsi ena ndi kusintha moyo wawo.
Kodi pali mitundu yosiyanasiyana ya insulin?
Inde, pali mitundu ingapo ya insulin yomwe imagwiritsidwa ntchito pochiza matenda a shuga. Izi zimagawidwa m'magulu malinga ndi momwe zimayambira kugwira ntchito mwachangu m'thupi komanso nthawi yomwe zimatenga. Dokotala wanu adzasankha mtundu womwe ukukuyenererani.
Tiyeni timvetse bwino mitundu iyi kuchokera pa tebulo ili m'munsimu.
| Mtundu wa insulin | Nthawi yoyambira | Nthawi yofika pachimake | Kutalika |
|---|---|---|---|
| Kuchita zinthu mwachangu Mwachitsanzo: Novolog, Humalog | Mkati mwa mphindi 15 | Mkati mwa maola 1-2 | Pafupifupi maola 3-5 |
| Yogwira ntchito mwachidule / Yokhazikika Mwachitsanzo: Humulin R | Mkati mwa mphindi 30-60 | Mkati mwa maola awiri kapena anayi | Pafupifupi maola 5-8 |
| Kuchita zinthu zapakati Mwachitsanzo: Humulin N, Novolin N | Mkati mwa maola 1-2 | Mkati mwa maola 4-12 | Pafupifupi maola 12-18 |
| Yogwira ntchito nthawi yayitali Mwachitsanzo: Lantus, Levemir, Basaglar | Mkati mwa maola 1-2 | Imagwira ntchito mofanana tsiku lonse, popanda zotsatirapo zazikulu. | Pafupifupi maola 24 |
| Zosakanikirana kale Mwachitsanzo: Humalog Mix 70/30 | Zimasiyana malinga ndi mtundu (mphindi 15-60) | Zimasiyana malinga ndi mtundu (Double Peak) | Pafupifupi maola 10-16 |
Insulin ya Glargine (monga Lantus) ndi mtundu wa insulin womwe umagwira ntchito kwa nthawi yayitali. Ikaperekedwa kamodzi patsiku, imakwaniritsa zosowa za insulin yoyambira m'thupi kwa maola pafupifupi 24.
Kodi njira zoperekera insulin m'thupi ndi ziti?
Pali njira zingapo zazikulu zogwiritsira ntchito insulin. Dokotala wanu angakuthandizeni kusankha njira yomwe ili yoyenera komanso yoyenera kwa inu.
- Ma syringe: Iyi ndi njira yachikhalidwe yomwe anthu ambiri amagwiritsa ntchito. Izi zimaphatikizapo kutenga mlingo woyenera wa insulin kuchokera mu kapu ndikuyiyika pansi pa khungu.
- Mapeni: Awa ali ngati mapeni. Ali ndi katiriji ya insulin mkati mwake. Simuyenera kutenga mankhwala kuchokera mu vial. Mutha kubaya mlingo weniweni mosavuta. Ndi okwera mtengo pang'ono kuposa ma syringe, koma ndi osavuta kugwiritsa ntchito.
- Mapampu: Izi ndi zida zazing'ono, zovalidwa zomwe zimapereka insulin yochepa m'thupi nthawi ndi nthawi. Zingagwiritsidwenso ntchito kupereka insulin yambiri mukatha kudya.
- Zopumira: Izi sizichitika kawirikawiri ku Sri Lanka. Insulin yogwira ntchito mwachangu ndi mtundu wa insulin womwe ungapumidwe. Afrezza ndi mtundu umodzi wa insulin iyi.
Kodi malo abwino kwambiri operekera insulin ndi ati?
Liwiro limene insulin imalowa m'thupi lingasiyane malinga ndi komwe mwailowetsa. Malo abwino komanso ofunikira kwambiri ndi m'mimba (dera la m'mimba) chifukwa insulin imalowa m'thupi mofanana ndi mmenemo. Komabe, iyenera kuperekedwa patali ndi mainchesi awiri kuchokera pa nipple.
Malo abwino kwambiri ndi manja apamwamba (mkono wapamwamba), ntchafu, ndi matako .
Chofunika Kwambiri: Musamabayire jakisoni pamalo amodzi nthawi zonse. Ngati mupitiliza kubayira jakisoni pamalo omwewo, ziphuphu kapena zipsera zimatha kupangika pansi pa khungu. Ngati zimenezo zitachitika, insulin sidzayamwa bwino. Choncho, ngakhale itakhala pamalo omwewo, siyani mpata wa pafupifupi chala chimodzi pakati pa malo omwe mudabayira jakisoni kale.
Kodi ndingasankhe bwanji mtundu wa insulin womwe ndi wabwino kwa ine?
Izi sizinthu zomwe mungasankhe nokha. Dokotala wanu adzafufuza mosamala matenda anu ndikukupatsani mtundu wa insulin kapena mitundu yosiyanasiyana yomwe ili yoyenera kwa inu. Iye adzaganizira zinthu zambiri popanga chisankho chimenecho, kuphatikizapo:
- Momwe thupi lanu limayankhira ku insulin.
- Moyo wanu (zomwe mumadya ndi kumwa, kuchuluka kwa masewera olimbitsa thupi omwe mumachita).
- Kodi mungabayane kangati patsiku?
- Kodi mumayesa kangati kuchuluka kwa shuga m'magazi mwanu?
- zaka zanu.
- Zolinga zanu zowongolera shuga.
Kodi pali zotsatirapo zilizonse zoyipa za insulin?
Monga mankhwala ena aliwonse, insulin ikhoza kukhala ndi zotsatirapo zina, koma nthawi zambiri izi zimatha kuthetsedwa.
- Shuga wochepa kwambiri m'magazi (Hypoglycemia):Ichi ndi chinthu chofunikira komanso chofunikira kwambiri choyenera kusamala nacho. Ngati mukumva zizindikiro monga thukuta, kunjenjemera, njala yambiri, kusakhazikika, komanso kugunda kwa mtima mwachangu, muyenera kumwa nthawi yomweyo chinthu chotsekemera (shuga, shuga, chakumwa chotsekemera).
- Kulemera: Mutha kunenepa pang'ono mukayamba kugwiritsa ntchito insulin.
- Ziphuphu kapena mabala pamalo obayira jakisoni: Izi zitha kuchitika ngati mupitiliza kubaya jakisoni pamalo omwewo.
- Kutupa kapena kuyabwa pamalo omwe jakisoni amaperekedwa.
Kodi mungasunge bwanji insulin moyenera?
Kuti insulini ikhale yogwira ntchito bwino, ndikofunikira kwambiri kuisunga bwino.
- Nthawi zonse sungani ma botolo kapena mapeni osagwiritsidwa ntchito mufiriji. Koma musawasunge mufiriji. Musalole kuti insulin izizire.
- Mukhoza kusunga botolo lanu lamakono kapena cholembera kutentha kwa chipinda (pafupifupi masiku 28-30), koma sungani kutali ndi dzuwa lachindunji komanso kutentha kwambiri.
- Yang'anani botolo la insulin musanagwiritse ntchito. Mitundu yogwira ntchito mwachangu komanso yogwira ntchito mwachidule iyenera kukhala yamadzimadzi oyera. Mitundu yogwira ntchito pakati iyenera kukhala ngati mkaka komanso mitambo, koma isakhale ndi machubu.
- Ngati insulin yanu yasintha mawonekedwe ake kapena yatha ntchito, musagwiritse ntchito.
Uthenga Wopita Nawo Kunyumba
- Insulini ndi mankhwala opulumutsa moyo omwe ndi ofunikira poletsa matenda a shuga. Musachite mantha nawo.
- Pali mitundu ingapo ya insulin. Dokotala wanu yekha ndi amene angadziwe mtundu ndi mlingo woyenera kwa inu.
- Musasinthe mtundu wa insulin yanu, mlingo, kapena nthawi yobayira popanda upangiri wa dokotala.
- Mukabaya insulin, sinthani malo omwe muli m'malo mobaya jakisoni tsiku lililonse. Izi zingathandize kupewa mavuto a pakhungu.
- Ndikofunikira kwambiri kusunga insulin moyenera. Dziwani zomwe ziyenera kusungidwa mufiriji komanso zomwe zingasungidwe kutentha kwa chipinda.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi insulin, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.











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