Zonse zokhudza katemera wa insulin wothamanga (Insulin Lispro) mwachidule

Kodi ndinu munthu wodwala matenda a shuga? Ngati ndi choncho, dokotala wanu mwina anakulemberani jakisoni wapadera wa insulin kuti mumwe musanadye. Mwinanso munauzidwa kuti mudye mkati mwa mphindi 10-15 mutamwa mankhwalawa. Mwina mukudabwa kuti, "N'chifukwa chiyani insulin iyi imaperekedwa mwachangu chonchi? Kodi ndi yosiyana ndi insulin zina?" Ndicho chimene tiyankha m'nkhaniyi lero. Tiyeni timvetse zonse zokhudza insulin iyi yomwe imagwira ntchito mwachangu, yomwe ndi Insulin Lispro, momveka bwino komanso mosavuta.

Choyamba, kodi insulin ndi chiyani?

Mwachidule, insulin ndi hormone yomwe imapangidwa mwachibadwa m'matupi athu. Imagwira ntchito ngati kiyi. Shuga mu chakudya chomwe timadya, chotchedwa glucose, amafunika kulowa m'maselo athu ndikusandulika mphamvu. Koma zitseko za maselo zimatsekedwa. Insulin ndiye kiyi yomwe imatsegula zitsekozo. Insulin imachita zinthu ziwiri zazikulu: 1. Imathandiza maselo kusintha shuga (glucose) mu chakudya chomwe timadya kukhala mphamvu. 2. Ngati matupi athu ali ndi shuga wochulukirapo kuposa momwe amafunikira, shuga wowonjezerawo amasungidwa m'chiwindi kuti akagwiritse ntchito pambuyo pake. Mwanjira imeneyi, insulin imathandiza kuti shuga m'magazi mwathu akhale ndi thanzi labwino.

Ndiye kodi Insulin Lispro ndi chiyani?

Insulin Lispro ndi mtundu wa insulin womwe umapangidwa mu labotale ndi anthu. Ndi wofanana kwambiri ndi insulin yachilengedwe m'thupi lathu. Koma pali china chake chapadera pa insulin iyi. Ndi mtundu wa insulin womwe umagwira ntchito mwachangu . Izi zikutanthauza kuti umayamba kugwira ntchito patangopita mphindi zochepa kuchokera pamene wabayidwa. Umapezeka m'mafakitale osiyanasiyana, monga Admelog® kapena Humalog®. Dokotala wanu adzakulemberani mtundu womwe ndi wabwino kwa inu.

Ndani akufunikira insulin yachangu iyi?

Mungafunike insulin iyi ngati muli ndi matenda a shuga. Pali mitundu iwiri ikuluikulu ya matenda a shuga, sichoncho?

• Matenda a Shuga a Mtundu 1 : Izi nthawi zambiri zimayamba ali mwana. Chomwe chimachitika apa ndichakuti chifukwa cha vuto la chitetezo cha mthupi, maselo omwe amapanga insulin amawonongeka. Choncho thupi silingathe kupanga insulin. Chifukwa chake, insulin iyenera kutengedwa kunja kwa thupi kwa moyo wake wonse.

• Matenda a shuga amtundu wachiwiri : Ili ndi vuto lomwe limayamba pang'onopang'ono pakapita nthawi. Kudya mosayenera, kunenepa kwambiriIzi zitha kuchitika pazifukwa monga: Chomwe chimachitika apa ndichakuti ngakhale thupi limapanga insulin, maselo a thupi sayankha bwino insulin imeneyo ( kukana insulin ). Kenako, insulin yochulukirapo kuposa yachizolowezi imafunika kuti muwongolere kuchuluka kwa shuga m'magazi.

Kwa anthu omwe ali ndi matenda a shuga a mitundu yonse iwiri, madokotala amalemba insulin yogwira ntchito mwachangu monga Insulin Lispro kuti achepetse kukwera kwadzidzidzi kwa shuga m'magazi, makamaka mukatha kudya.

Kodi izi zimagwira ntchito bwanji ndi chakudya?

Kawirikawiri, munthu wathanzi akayamba kudya, chakudya chisanagayidwe ndipo shuga atawonjezeredwa m'magazi, insulin imatulutsidwa m'thupi. Izi zimafuna kukonzekera thupi kulandira shuga wobwera. Komabe, izi sizichitika bwino m'thupi la munthu wodwala matenda a shuga. Kuti tidzaze mpata umenewo, timalandira jakisoni wa Insulin Lispro mphindi 5-15 tisanadye. Kenako, shuga amene ali m'chakudya chomwe timadya akangowonjezeredwa m'magazi, insulin iyi imayatsidwa kuti ilamulire.

Kodi ndikufunika mitundu ina ya insulin?

Inde, nthawi zambiri zimakhala choncho. Anthu omwe ali ndi matenda a shuga amtundu woyamba, makamaka, nthawi zambiri amafunikira mitundu iwiri ya insulin. Izi zili choncho chifukwa insulin imagwira ntchito pa liwiro losiyana komanso nthawi zosiyanasiyana. Ganizirani mitundu iyi ya insulin ngati othamanga omwe amathamanga pa liwiro losiyana. Choncho dokotala wanu angakulembereni insulin yogwira ntchito nthawi yayitali, monga Insulin Lispro, pamodzi ndi insulin yogwira ntchito mwachangu. Kwa anthu omwe ali ndi matenda a shuga amtundu wa 2, angakulangizeninso kugwiritsa ntchito iyi pamodzi ndi mapiritsi kapena jakisoni wina.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Ndikofunikira kwambiri kuuza dokotala wanu mbiri yonse ya thanzi lanu. Onetsetsani kuti mwatchula izi makamaka:

• Ngati muli ndi pakati , mukuyesera kutenga pakati, kapena mukuyamwitsa .
• Ngati muli ndi vuto la insulin, metacresol, mankhwala ena, zakudya, zosungira, kapena utoto.
• Ngati muli ndi vuto la maso, kusawona bwino, kapena matenda a shuga otchedwa diabetesic retinopathy .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati shuga m'magazi mwanu nthawi zambiri amakhala otsika (Hypoglycemia) .

Kutengera ndi izi, dokotala wanu adzakukonzerani mlingo woyenera komanso dongosolo la chithandizo choyenera.

Kodi katemerayu mumalandira bwanji kwenikweni?

Kuika jakisoni wa insulin kungawoneke koopsa poyamba, koma mukangozolowera, zimakhala zosavuta kwambiri. Dokotala wanu kapena namwino ku chipatala cha matenda a shuga adzakuwonetsani momwe mungachitire bwino. Nazi njira zonse: 1. Kukonzekera: Konzani cholembera chanu cha insulin kapena botolo ndi syringe. Ngati ndi cholembera, ikani singano yatsopano. 2. Kutsegula cholembera: Chotsani chivundikiro choteteza kuchokera ku cholembera kapena syringe. 3. Kuika cholembera: Muyenera 'kupaka' cholembera musanapereke jekeseni iliyonse. Izi zikutanthauza kuyimba pafupifupi mayunitsi awiri, kutembenuza singano mmwamba, ndikukanikiza mpaka palibe thovu la mpweya ndipo dontho la insulin litatuluka. Izi ndi kuchotsa mpweya uliwonse womwe watsekeredwa mu singano ndikuwonetsetsa kuti mwalandira mlingo woyenera. 4. Kuika cholembera:Jambulani jakisoni mphindi 5 mpaka 15 musanadye. 5. Kukonzekera chakudya: Konzani chakudya musanapereke jakisoni. Musachedwe kudya mutapereka jakisoni. Kuchita zimenezi kungayambitse shuga m'magazi kukhala wochepa kwambiri.

Chofunika: Musabaya jakisoni pamalo amodzi tsiku lililonse. Zungulirani malo omwe jakisoniyo imachitikira, monga m'mimba, ntchafu, ndi mkono wapamwamba. Ngati mupitiliza kubaya jakisoni pamalo omwewo, malowo akhoza kukhala okhuthala ngati mafuta pansi pa khungu (lipohypertrophy). Izi zitha kulepheretsa thupi kuyamwa insulin moyenera. Bayani jakisoni patali ndi mainchesi imodzi kuchokera pamalo omwe jakisoniyo imachitikira.

Kodi ubwino wogwiritsa ntchito insulin iyi ndi wotani?

Phindu lalikulu ndilakuti limakuthandizani kukhala ndi shuga wabwino m'magazi, zomwe zingakuthandizeni kupewa mavuto ambiri oopsa omwe angabwere chifukwa cha matenda a shuga.

• Mavuto a maso (omwe angayambitse khungu)
• Matenda a chingamu
• Matenda amtima
• Kulephera kwa Impso
• Kuwonongeka kwa mitsempha (Ululu wa Neuropathic)
• Stroke

Kodi pali zotsatirapo zilizonse?

Inde, zotsatirapo zina zingachitike mukayamba kugwiritsa ntchito insulin yatsopano kapena kusintha mlingo. Koma zambiri mwa izi sizowopsa.

• Maso osawoneka bwino
• Ululu, kutupa, kapena kufiira pamalo omwe jakisoni amaperekedwa
• Kumva dzanzi kapena kufooka m'miyendo

Mwa izi, zotsatira zoyipa zomwe tiyenera kuziganizira kwambiri ndi kutsika mwadzidzidzi kwa shuga m'magazi, kapena hypoglycemia .

Zizindikiro za hypoglycemia (shuga wotsika m'magazi)

Chochita ngati muli ndi zizindikiro zochepa? Idyani kapena imwani chinthu chokhala ndi shuga nthawi yomweyo. Mwachitsanzo, supuni imodzi ya shuga, chakumwa chotsekemera (osati zakudya), mapiritsi angapo a shuga, kapena madzi a zipatso. Ngati muli ndi zizindikiro zazikulu, pitani naye munthuyo ku dipatimenti yapafupi yadzidzidzi (ETU) nthawi yomweyo.

Zizindikiro zochepa/zochepa (zodziletsa zokha)	Zizindikiro zazikulu (zimafunika chithandizo chamankhwala mwachangu)
Kumva mantha komanso kusakhazikika Kutuluka thukuta kwambiri kuposa masiku onse Chizungulire Kumva njala kwambiri kuposa masiku onse Kusanza Chisokonezo	Kuvuta kupuma Kukomoka / Syncope Kugwidwa

Nanga bwanji ngati ndayiwala kubaya jakisoni ndisanadye?

Zingachitike. Musadandaule.

• Ngati mukukumbukira nthawi yochepa mutangodya, mutha kumwa mlingo womwe munasowa nthawi yomweyo.
• Koma ngati kwapita nthawi yayitali , tsatirani malangizo a dokotala wanu. Ngati simukudziwa chochita, imbani dokotala wanu ndikufunsani.
• Musawonjezere kawiri mlingo pa chakudya chotsatira kuti mubwezeretse mlingo womwe munaphonya. Kuchita zimenezi kungayambitse kuchepa kwa shuga m'magazi mwanu moopsa.

Zinthu zina zofunika kudziwa

Kumbukirani mfundo izi kuti mukhale otetezeka komanso kuti chithandizo chanu chikhale chopambana.

• Cholembera choyenera ndi mlingo wake: Nthawi zonse onetsetsani kuti ndi cholembera chanu cha insulin, dzina lake ndi lolondola, ndipo mlingo womwe mwapatsidwa uyenera kuyikidwa musanapereke jekeseni.
• Mtundu wa insulin: Insulin Lispro ndi madzi oyera, ngati madzi. Musagwiritse ntchito ngati ali ndi mitambo, oyera, kapena ali ndi ziphuphu.
• Singano zogwiritsidwa ntchito: Musataye singano zogwiritsidwa ntchito m'zinyalala. Ndi zakuthwa ndipo zitha kukhala zoopsa. Ziikeni mu chidebe chapadera (chidebe cha sharps) komwe zingasonkhanitsidwe bwino. Mutha kudziwa zambiri za izi ku pharmacy kapena kuchipatala chanu.
• Kusunga insulin: Sungani mapeni a insulin osatsegulidwa kapena ma botolo mufiriji (osati mufiriji). Mapeni omwe amagwiritsidwa ntchito akhoza kusungidwa kutentha kwa chipinda (nthawi zambiri masiku 28). Tetezani ku kutentha kwambiri ndi dzuwa.

Ngati muli ndi mafunso okhudza insulin yanu, mlingo, kapena mafunso ena aliwonse, chonde funsani dokotala wanu.

Uthenga Wopita Nawo Kunyumba

• Insulin Lispro ndi insulin yogwira ntchito mwachangu kwambiri yomwe imatengedwa ndi chakudya.
• Katemerayu ayenera kuperekedwa nthawi zonse mphindi 5-15 musanadye. Konzani chakudya musanapereke katemera.
• Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Ngati mukumva zizindikiro monga chizungulire, thukuta, kapena njala yambiri, idyani chinthu chokhala ndi shuga nthawi yomweyo.
• Ngati mwaphonya mlingo, musawonjezere kawiri mlingo wotsatira. Ngati simukudziwa, funsani dokotala wanu.
• Musabaya jekeseni katemera pamalo omwewo tsiku lililonse. Sinthanitsani malo monga mimba, ntchafu, ndi mkono wapamwamba.
• Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo.

Insulin, Insulin Lispro, Matenda a Shuga, Shuga, Jakisoni, Hypoglycemia, Shuga wa M'magazi, Cholembera cha Insulin