Anthu ena akamadwala matenda a shuga mellitus, jakisoni wa insulin wakhala gawo la moyo wawo watsiku ndi tsiku. Kupeza singano tsiku lililonse musanadye ndikukonzekera ndizovuta kwambiri. Kwa ena, ngakhale kuona singano izi kumawaopsa. Kodi munayamba mwaganizapo kuti, "Zikanakhala bwino bwanji ngati pakanakhala njira yosavuta yogwiritsira ntchito insulin popanda kuda nkhawa nayo tsiku lililonse?" Lero tikulankhula za chinthu chomwe chingakhale yankho. Ndi insulin yopumidwa, kapena Insulin Yopumidwa .
Kodi Insulin Yopumira Ndi Chiyani?
Mwachidule, iyi ndi insulin yomweyi. Koma osati ngati jakisoni, koma ngati ufa . Pogwiritsa ntchito chipangizo chofanana ndi chopumira chomwe chimagwiritsidwa ntchito ndi anthu omwe ali ndi mphumu, ufa wa insulin uwu umalowetsedwa m'thupi ngati kuti tikupuma.
Tangoganizirani, mukalandira jakisoni, insulin imalowa mu mafuta omwe ali pansi pa khungu, ndipo kuchokera pamenepo imalowa pang'onopang'ono m'magazi. Zimatenga mphindi pafupifupi 90 mpaka 120. Koma insulin yopumira iyi imapita mwachindunji m'mapapu. Mapapu athu ndi malo okhala ndi mitsempha yambiri yamagazi, komwe zinthu zimatha kuyamwa mwachangu. Chifukwa chake ufa wa insulin uwu umalowa m'magazi mwachangu kwambiri ndikuyamba kugwira ntchito. Nthawi zambiri umayamba kugwira ntchito pachimake mkati mwa mphindi 45.
Chimodzi mwa ubwino waukulu wa izi ndikuti chimagwira ntchito pamlingo wofanana kwambiri ndi momwe insulin imagwirira ntchito mwachibadwa m'thupi la munthu wopanda matenda a shuga. Chifukwa chake, kuwongolera shuga m'magazi kumachitika mwachibadwa.
Kodi ndimagwiritsa ntchito bwanji izi? ndipo ndingazisunge bwanji?
Mukayamba chithandizochi, dokotala wanu adzakuuzani momwe mungagwiritsire ntchito inhaler ndi mlingo womwe mukufunikira. Nthawi zambiri amatengedwa musanadye chakudya chachikulu.
Momwe mungagwiritsire ntchito:
1. Choyamba, tulutsani mpweya wochuluka momwe mungathere kuchokera m'mapapu anu.
2. Kenako, ikani chopumira cha pakamwa panu ndipo pumirani mpweya wambiri .
3. Mukamaliza kupuma, yesani kugwira mpweya wanu kwa nthawi yayitali momwe mungathere.
4. Kenako pumani bwino.
Chofunika kwambiri ndikugwiritsa ntchito mankhwalawo monga momwe dokotala wanu wanenera, pa mlingo woyenera. Ngati muli ndi mafunso, lankhulani ndi dokotala wanu za mankhwalawa.
Momwe mungasungire:
- Makatiriji ndi zopumira zomwe sizinagwiritsidwe ntchito komanso zotsekedwa zitha kusungidwa mufiriji kapena kutentha kwa chipinda.
- Ngati mwayamba kugwiritsa ntchito inhaler , muyenera kuisiya patatha masiku 15.
- Ngati katiriji yasiyidwa kutentha kwa chipindaGwiritsani ntchito mkati mwa masiku 10. Ngati ili mufiriji, ingagwiritsidwe ntchito mpaka tsiku lotha ntchito.
Kodi ubwino wa njira iyi ndi wotani?
Njira iyi ili ndi ubwino wambiri kuposa jakisoni wa insulin. Tiyeni tiwone zomwe zili.
| Phindu | Kufotokozera |
|---|---|
| Palibe chifukwa choboola mabowo. | Uwu ndiye ubwino waukulu. Uwu ndi mpumulo waukulu kwa iwo omwe amaopa singano ndipo amavutika kuziboola tsiku lililonse. |
| Kukhazikitsa mwachangu | Ikamwa musanadye, imayamba kulamulira shuga m'magazi mwachangu. |
| Zosavuta kugwiritsa ntchito | Chopumiracho ndi chaching'ono, kotero n'chosavuta kuchitenga kulikonse. Sichifuna kukonzekera kwambiri monga kukonzekera katemera. Chingagwiritsidwe ntchito popanda wina aliyense kuchiwona. |
| Chiwopsezo chochepa cha hypo | Chiwopsezo cha hypoglycemia chawonetsedwa kuti ndi chotsika poyerekeza ndi mitundu ina ya katemera. |
| Zingathandize kuchepetsa kulemera | Kafukufuku wina wasonyeza kuti izi zingathandizenso kuchepetsa kunenepa kosafunikira. |
Kodi pali zotsatirapo zilizonse? Tiyeni tidziwe!
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zazing'ono komanso matenda aakulu omwe amafunika chisamaliro.
| Mtundu wa zotsatira zoyipa | Zizindikiro zomwe zingatheke |
|---|---|
| Zotsatira zoyipa zofala | Chifuwa, mutu, nseru (kukwiya m'mimba), kumva njala kuposa masiku onse, kutopa, kunjenjemera, thukuta. |
| Zotsatirapo zoyipa zomwe muyenera kuzidziwa | |
| Zochitika zomwe zimafuna upangiri wamankhwala mwachangu | Kuvuta kupuma, kuvutika kumeza, kutupa pakhungu kapena kuyabwa, kugunda kwa mtima mofulumira, kutupa miyendo kapena nkhope, kunenepa mofulumira, kutopa kwambiri, ndi kusokonezeka maganizo. Ngati mukukumana ndi vuto lotere, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi. |
Kodi izi sizikugwirizana ndi aliyense?
Inde, izi si za aliyense. Pali zinthu zingapo zofunika kuzikumbukira, makamaka.
- Izi sizoyenera anthu omwe ali ndi mphumu.
- Izi sizili zoyenera kwa anthu omwe ali ndi matenda ena a m'mapapo monga COPD (Chronic Obstructive Pulmonary Disease) .
Chifukwa chake n'chakuti ufa wa insulin uwu nthawi zina ungayambitse kuuma kwadzidzidzi kwa njira zopumira m'mapapo (bronchospasm). Izi zitha kukhala zoopsa kwambiri kwa anthu omwe ali ndi matenda monga mphumu. Chifukwa chake, musanayambe chithandizochi, dokotala wanu angachite mayeso kuti aone momwe mapapo anu amagwirira ntchito (spirometry).
Mitundu yomwe ili pamsika ndi zomwe muyenera kudziwa
Kale panali insulin yopumidwa yotchedwa `(Exubera)`, koma idachotsedwa pamsika chifukwa cha inhaler yake yayikulu ndi mavuto ena. Mtundu womwe ukugwiritsidwa ntchito padziko lonse lapansi pano ndi `(Afrezza)`.
Komabe, pali zinthu ziwiri zofunika zomwe muyenera kudziwa pankhaniyi:
1. Sizichitika pa nthawi yadzidzidzi:Sizingagwiritsidwe ntchito pa nthawi yadzidzidzi komanso yovuta kwambiri monga matenda a shuga a ketoacidosis (DKA), pamene pakufunika jakisoni wa insulin wofulumira.
2. Singagwiritsidwe ntchito m'malo mwa insulin yogwira ntchito nthawi yayitali (basal insulin): Anthu omwe ali ndi matenda a shuga amtundu woyamba kapena anthu ena omwe ali ndi matenda a shuga amtundu wachiwiri amafunika jakisoni wa insulin yogwira ntchito nthawi yayitali (basal insulin) yomwe imagwira ntchito tsiku lonse. Insulin yopumira iyi imaphimba shuga wokhawo womwe umabwera ndi chakudya. Chifukwa chake, jakisoni wanu wa insulin yogwira ntchito nthawi yayitali sungayimitsidwe chifukwa cha izi.
Pomaliza pake, ndi udindo wa dokotala wanu kusankha ngati izi zili zoyenera kwa inu. Iye adzakuthandizani kupanga chisankho chabwino kwambiri kutengera thanzi lanu, moyo wanu, komanso momwe matenda anu a shuga amalamuliridwira.
Uthenga Wopita Nawo Kunyumba
- Insulin yopumira ndi mtundu wa insulin wogwira ntchito mwachangu womwe umabwera mu mawonekedwe a ufa ndipo ungagwiritsidwe ntchito m'malo mwa jakisoni wa matenda ashuga.
- Ubwino waukulu wa izi ndikuti sizimafuna mapini aliwonse ndipo ndizosavuta kugwiritsa ntchito.
- Izi sizoyenera konse kwa anthu omwe ali ndi matenda a m'mapapo monga mphumu kapena COPD.
- Izi zimangokhudza zosowa za insulin zokhudzana ndi chakudya chokha. Muyenera kupitiriza kulandira jakisoni wa insulin wa nthawi yayitali (basal).
- Monga momwe zimakhalira ndi mankhwala atsopano, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za nkhawa zilizonse zomwe mungakhale nazo musanayambe kugwiritsa ntchito komanso musanayambe kugwiritsa ntchito.
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