Popeza muli ndi matenda a shuga mellitus, dokotala wanu mwina anakuuzani kuti mugwiritse ntchito insulin. Pali mitundu yambiri ya insulin. Lero tikulankhula za mtundu wa insulin womwe umagwira ntchito mwachangu, zomwe zikutanthauza kuti umayamba kuwongolera kuchuluka kwa shuga m'magazi atangobayidwa. Ndi insulin Glulisine. Tiyeni tiwone zinthu zofunika kwambiri zomwe muyenera kudziwa za matendawa.
Kodi insulin Glulisine iyi ndi chiyani?
Mwachidule, uwu ndi mtundu wa insulin womwe umagwiritsidwa ntchito pochiza matenda a shuga. Umagwira ntchito powonjezera kuchuluka kwa insulin m'thupi lathu ndikuchepetsa kuchuluka kwa shuga (shuga) m'magazi. Ndi m'gulu la insulin yogwira ntchito mwachangu . Izi zikutanthauza kuti imayamba kugwira ntchito mkati mwa mphindi 15 mutabayidwa. Nthawi zambiri, mukamagwiritsa ntchito mankhwalawa, muyenera kusamala ndi zakudya zanu komanso masewera olimbitsa thupi. Apidra ndi Apidra SoloStar ndi mayina otchuka pamsika.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, adzakufunsani mafunso ena. Ndikofunikira kwambiri kuti muwauze izi popanda kuzibisa. Makamaka ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwawauza za izo.
- Ngati nthawi zambiri mumakhala ndi shuga wochepa m'magazi .
- Ngati muli ndi matenda a maso kapena vuto la maso.
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati mwakhalapo ndi vuto la insulin iyi, mankhwala otchedwa metacresol, kapena mankhwala ena, zakudya, kapena zosungira.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa .
Izi ndizofunikira kwambiri pa chitetezo chanu.
Kodi mumagwiritsa ntchito bwanji izi?
Izi ziyenera kubayidwa pansi pa khungu. Muyenera kuzigwiritsa ntchito monga momwe dokotala wanenera.
Chofunika kwambiri ndi nthawi. Izi ziyenera kubayidwa mphindi 15 musanadye kapena mkati mwa mphindi 20 mutadya . Chifukwa chake, ndikofunikira kwambiri kukonzekera chakudya musanapereke jakisoni. Musachedwe kudya.
Nthawi zonse yang'anani mawonekedwe a insulin musanaipereke jakisoni. Iyenera kukhala madzi oyera, opanda mtundu, ngati madzi . Musagwiritse ntchito ngati ikuwoneka ngati mitambo, yokhuthala, yosintha mtundu, kapena yokhala ndi madontho.
Ngati mukugwiritsa ntchito cholembera, muyenera kuchotsa chivundikiro chakunja cha singano kuchokera pa singano kuti mutenge mlingo.
Samalani kwambiri mukachotsa singano.
Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ziikeni mu chidebe chapadera cha sharping. Izi zithandiza kupewa ena kubayidwa. Ngati mulibe, funsani dokotala wanu kuti akupatseni imodzi.
Nanga bwanji ngati mlingo ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi insulin iyi
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, ndi mankhwala azitsamba omwe mukumwa, chifukwa zina mwa izi zingakhudze momwe insulin iyi imagwirira ntchito.
| Mtundu wa mankhwala / mankhwala | Kufotokozera |
|---|---|
| Mankhwala ena a shuga | Zingakhudze kuchuluka kwa shuga m'magazi. |
| Zakumwa zoledzeretsa | Shuga imatha kuchepa kapena kukwera mwadzidzidzi. |
| Mankhwala ena ochepetsa ululu (NSAIDs) | Mankhwala monga Ibuprofen ndi Naproxen. |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | Mitundu ina imakhudza kuchuluka kwa shuga m'thupi. |
| Mitundu ya mahomoni | Mapiritsi oletsa kubereka, ma steroid (monga Prednisone). |
| Mankhwala a mphumu ndi chimfine | Ma syrup ena akhoza kukhala ndi shuga kapena mowa. |
| Zina | Mankhwala a HIV/AIDS, mankhwala ena a matenda amisala, maantibayotiki ena, ndi zowonjezera zitsamba. |
| Chisamaliro chapadera: Mankhwala omwe amabisa zizindikiro za shuga wotsika m'magazi | |
| Beta-blockers | Mankhwala monga Atenolol, Metoprolol, ndi Propranolol, omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi kapena matenda a mtima, angayambitse zizindikiro monga kunjenjemera ndi kuwonjezeka kwa kugunda kwa mtima komwe kumachitika shuga m'magazi akatsika. |
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala nthawi ndi nthawi kuti mukaone momwe mulili. Muyenera kuyezetsa magazi otchedwa HbA1C (A1C) miyezi iwiri kapena itatu iliyonse kuti muwone ngati matenda anu a shuga akuchepa.
- Yesani shuga m'magazi mwanu: Phunzirani momwe mungayesere shuga m'magazi mwanu kunyumba. Komanso, dziwani zizindikiro za shuga wambiri m'magazi (hyperglycemia) ndi shuga wotsika m'magazi (hypoglycemia) ndi zomwe mungachite nazo.
- Ngati muli ndi shuga wochepa m'magazi: Ngati mukumva zizindikiro za shuga wochepa m'magazi, nthawi zonse sungani shuga, piritsi la shuga, kapena china chake chonga maswiti pafupi. Koma kumbukirani, ngati muli ndi shuga wochepa m'magazi monga khunyu kapena kutaya chidziwitso, si bwino kuika chilichonse mkamwa mwanu. Zikatero, muyenera kupita kuchipatala nthawi yomweyo.
- Musagawane: Musagawire wina aliyense cholembera chanu cha insulin kapena katiriji. Ngakhale mutasintha singano, mutha kufalitsa mavairasi oopsa monga Hepatitis ndi HIV.
- Chiphaso cha zachipatala: Ndi bwino kunyamula chiphaso cha zachipatala chomwe chili ndi tsatanetsatane wa matenda anu komanso mankhwala omwe mukumwa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wochepa m'magazi (Hypoglycemia) | Kunjenjemera, nkhawa, thukuta, kuzizira, chizungulire, kugunda kwa mtima mofulumira, komanso kusokonezeka maganizo. |
| Mulingo wochepa wa potaziyamu | Kupweteka kapena kuuma kwa minofu, kufooka kosazolowereka, kugunda kwa mtima kosakhazikika, kudzimbidwa. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Lipodystrophy | Kukhuthala kwa minofu pansi pa khungu, ziphuphu, kapena zipsera pamalo obayira jakisoni. (Nthawi zonse sinthani malo obayira jakisoni kuti mupewe izi). |
| Ululu pamalo obayira jakisoni | Kufiira, kupweteka, kapena kutupa pang'ono pamalo omwe jakisoniyo adayikidwa. |
| Kulemera | Anthu ena angaone kuti akulemera. |
Kodi mankhwalawo angasungidwe bwanji?
Kusunga insulin moyenera ndikofunikira kwambiri kuti igwire bwino ntchito.
- Mabotolo/mapani osatsegulidwa:
- Sungani mufiriji pakati pa madigiri 2 ndi 8 Celsius.
- Musasunge mufiriji. Musagwiritse ntchito insulin yozizira.
- Musagwiritse ntchito pambuyo pa tsiku lotha ntchito.
- Mabotolo/mapani ogwiritsidwa ntchito:
- Ikatsegulidwa, ikhoza kusungidwa kutentha kwa chipinda (pansi pa madigiri 25 Celsius) kapena kusungidwa mufiriji.
- Pambuyo pa masiku 28 mutatsegula, tayani zotsala zilizonse.
- Sungani kutali ndi dzuwa lachindunji komanso kutentha kwambiri.
Uthenga Wopita Nawo Kunyumba
- Insulin Glulisine ndi insulin yomwe imagwira ntchito mwachangu. Jambulani mphindi 15 musanadye kapena mkati mwa mphindi 20 mutadya.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Nthawi zonse sungani chinthu chonga shuga pafupi kuti mugwiritse ntchito mukachifuna.
- Uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa. Mankhwala ena angagwirizane ndi insulin iyi.
- Musagawire wina aliyense cholembera chanu cha insulin, singano, kapena ma syringe.
- Dziwani njira yoyenera yosungira mankhwala anu. Tayani botolo kapena cholembera chotseguka patatha masiku 28.
- Ngati mukukumana ndi mavuto kapena zizindikiro zachilendo, lankhulani ndi dokotala wanu nthawi yomweyo.
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