Tiyeni tiphunzire zambiri za cholembera cha insulin chomwe chimagwiritsidwa ntchito pa matenda a shuga.

Ngati muli ndi matenda a shuga mellitus, kudzibaya jakisoni wa insulin tsiku lililonse nthawi zina kungakhale kovuta. Sizophweka nthawi zonse kukoka mankhwala kuchokera mu kapu ya insulin kupita mu syringe ndikubaya mlingo weniweni. Koma pali chipangizo chomwe chimawoneka ngati cholembera chomwe chimapangitsa ntchitoyi kukhala yosavuta. Lero, tikulankhula za cholembera cha insulin .

Ndiye, kodi cholembera cha insulin ichi ndi chiyani?

Mwachidule, cholembera cha insulin ndi chipangizo chojambulira chomwe chimadzazidwa kale chomwe chimakupatsani mwayi wojambulira insulin m'minofu yapansi pa khungu lanu. Iyi ndi njira yochiritsira matenda a shuga. Makamaka, ndi njira yomwe imagwera pansi pa njira ya Multiple Daily Injection (MDI).

Tangoganizirani cholembera chomwe chili ndi insulin m'malo mwa inki, ndi singano yaying'ono, yogwiritsidwa ntchito nthawi imodzi m'malo mwa nsonga ya cholembera. Umu ndi momwe zilili ndi ichi.

Kodi ziwalo za cholembera cha insulin ndi ziti?

Ngakhale pali mitundu ingapo ya ma insulin pen, onse ali ndi zinthu zina zofanana. Tiyeni tiwone zomwe zili.

Kodi mitundu ya mapensulo a insulin ndi iti?

Pali mitundu ingapo ya ma insulin pen. Amasiyana makamaka m'njira zotsatirazi:

• Zogwiritsidwanso ntchito poyerekeza ndi zotayidwa: Mapeni ena amatha kutayidwa ndipo amatha kutayidwa insulin ikatha kapena itatha. Mtundu wina ndi wogwiritsidwanso ntchito. Katiriji ya insulin ikatha, mutha kuyichotsa ndikuyika yatsopano kuti mugwiritsenso ntchito cholembera.
• Mtundu wa insulin wogwiritsidwa ntchito:Pali mitundu yambiri ya insulin. Imasiyana malinga ndi nthawi yomwe thupi limagwira ntchito komanso nthawi yomwe limakhala likugwira ntchito (monga kugwira ntchito kwa nthawi yayitali, kugwira ntchito mwachangu). Mapeni ena amapangidwira mtundu umodzi wokha wa insulin. Mapeni ena ali ndi mitundu yosiyanasiyana ya insulin.
• Kodi pali zipangizo za digito : Mapeni ena a insulin amabwera ndi pulogalamu ya digito. Pulogalamuyi imakuthandizani kukumbukira zinthu monga nthawi yomaliza yomwe mudabaya insulin ndi kuchuluka kwake. Timatchanso mapeni a insulin awa kuti 'Anzeru' kapena 'Olumikizidwa'. Mtundu wina ndi cholembera wamba (cholembedwa pamanja). Ndipo muyenera kulemba mlingo womwe mudabaya m'buku.

Tiyeni tikambirane pang'ono za mapeni a insulin a 'Smart'

Cholembera cha insulin chanzeru ichi ndi cholembera cha digito chomwe chimatumiza zokha zambiri monga nthawi ndi mlingo wa jakisoni wanu ku pulogalamu pafoni yanu. Pulogalamuyi ingathenso kuchita zinthu zina zingapo.

• Lembani kuchuluka kwa insulin yomwe imagwira ntchito m'thupi lanu panthawiyo.
• Zimathandiza kuwerengera kuchuluka kwa insulin yomwe mukufuna kutengera kuchuluka kwa shuga m'magazi mwanu komanso kuchuluka kwa chakudya chomwe mukufuna kudya. Makina ena anzeru olembera amachita izi polumikiza ku chipangizo chomwe chimayesa kuchuluka kwa shuga m'magazi mosalekeza (Continuous Glucose Monitor - CGM).
• Ngati mukuganiza kuti mungaiwale kumwa insulin yanu nthawi ya chakudya, mudzadziwitsidwa (chenjezo).
• Lembani kutentha ndi tsiku lotha ntchito la insulin.

Ngati mukufuna cholembera chanzeru ngati ichi, lankhulani ndi dokotala wanu za icho.

Kodi mumagwiritsa ntchito bwanji cholembera cha insulin?

Musanapereke jakisoni wa katemera, konzani malo oyera komanso ouma. Mudzafunika izi:

• Cholembera cha insulin chomwe dokotala wanu wakupatsani. (Ngati mugwiritsa ntchito mitundu yoposa umodzi ya cholembera, onetsetsani kuti mwasankha choyenera .)
• Singano yatsopano ndi chopukutira mowa.
• Chidebe choyenera kugwiritsa ntchito singano zogwiritsidwa ntchito kale. Ichi chingakhale botolo la pulasitiki lokhuthala lokhala ndi chivindikiro cholimba kapena chidebe "chokhala ndi zingwe zosongola".

Momwe mungakonzekerere cholembera pang'onopang'ono:

1. Sambani m'manja: Choyamba, sambani m'manja mwanu bwino ndi sopo.

2. Tsegulani chivundikiro: Chotsani chivundikirocho mu cholembera cha insulin.

3. Sakanizani cholembera: Ngati insulin yomwe ili mu cholembera ikuwoneka ngati mitambo, pindani cholembera pakati pa manja anu kwa mphindi imodzi. Ngati insulin ili yoyera bwino, simuyenera kuchita izi. Musagwedeze cholemberacho.

4. Tsukani chisindikizo cha rabara: Pukutani chisindikizo cha rabara ndi chopukutira mowa.

5. Ikani singano yatsopano:Chotsani tepi ya pepala kuchokera mu singano, ikani singano yatsopano ku cholembera, ndikuyipotoza. Kenako chotsani chivundikiro chakunja kuchokera mu singano. Mudzafunikanso chivundikiro chakunja ichi kuti muchotse singano mutabaya. Tsopano chotsaninso chivundikiro chamkati.

6. Kuika cholembera pa bolodi: Kuika cholembera pa bolodi ndi njira yochotsera thovu la mpweya kuchokera mu singano ndikuonetsetsa kuti singano ikugwira ntchito bwino. Muyenera kuchita izi musanaike cholembera pa bolodi nthawi iliyonse. Kuti muchite izi, tembenuzani cholembera cha mlingo kukhala mayunitsi awiri. Cholembera chikatsegulidwa mmwamba, dinani batani la jakisoni mpaka pansi. Dontho limodzi la insulin liyenera kutuluka pa nsonga ya singano. Muyenera kubwereza izi mpaka dontho litawonekera.

7. Sankhani mlingo: Sankhani mlingo wa insulin womwe dokotala wanu wakupatsani potembenuza batani la mlingo.

8. Yang'anani mlingo: Yang'anani zenera la mlingo kuti muwonetsetse kuti mlingo womwe mwasankha ndi wolondola. Kenako ikani cholembera pambali kuti singano isamamatire kulikonse.

Momwe mungabayire katemera pang'onopang'ono:

1. Gwirani cholembera cha insulin ndi dzanja lomwe mukulemba nalo, musalole chala chanu chachikulu kuti musindikize batani loti mulowe jakisoni.

2. Ikani singano pakhungu lanu mofulumira pa ngodya ya madigiri 90. Singanoyo iyenera kulowetsedwa yonse pakhungu.

3. Pang'onopang'ono kanikizani batani la jakisoni mpaka mkati kuti mujambule mlingo wonse. Gwirani cholembera pamalo awa kwa masekondi 6 mpaka 10, kenako chotsani singano.

4. Sinthani mosamala chivundikiro chakunja cha singano, pindani singanoyo ndikuichotsa. Kenako ikani singanoyo mu chidebe cha singano chomwe mwagwiritsa ntchito.

5. Bwezerani chivundikiro cha cholembera ndikuchisunga kutentha kwa chipinda.

Kodi malo abwino kwambiri operekera insulin ndi ati?

Malo abwino kwambiri operekera insulin ndi awa:

• Malo am'mimba: Pansi ndi mozungulira mchombo.
• Matchu: Kutsogolo ndi m'mbali mwa ntchafu.
• Manja: Mbali ya pamwamba ndi yakunja ya manja.
• Malo a matako:

Musaboole m'malo awa:

• Mkati mwa mainchesi awiri kuzungulira mchombo.
• Pakati pa mimba.
• Pamalo kapena pafupi ndi malo omwe ali ndi zipsera kapena ma stretch marks.
• Pafupi ndi malo olumikizirana.
• M'dera la groin.

Ndikofunikanso kusinthasintha malo omwe jakisoni waperekedwa m'malo mopitiliza kubaya jakisoni pamalo omwewo . Kupitiliza kubaya jakisoni pamalo omwewo kungayambitse lipohypertrophy (kukhuthala kwa mafuta omwe ali pansi pa khungu).) zingachitike. Izi zingapangitse kuti insulin isalowe bwino m'thupi. Chifukwa chake, kusinthana malo obayira jakisoni kumapangitsa kuti jakisoni wanu akhale wosavuta, wotetezeka, komanso womasuka.

Ubwino ndi kuipa kwa mapensulo a insulin

Anthu ambiri amaona kuti kugwiritsa ntchito cholembera cha insulin n'kosavuta kuposa kugwiritsa ntchito botolo la insulin ndi syringe. Kafukufuku wasonyezanso kuti kugwiritsa ntchito cholembera kumapereka mlingo wolondola komanso wokhazikika.

Kodi pali zotsatirapo zilizonse?

Monga momwe zimakhalira ndi jakisoni wina uliwonse wa insulin, zotsatira zoyipa kwambiri za ma insulin pen ndi shuga wochepa m'magazi ( hypoglycemia ) . Vutoli nthawi zambiri limachitika pamene shuga m'magazi atsika pansi pa 70 mg/dL.

Ndiyenera kupita kwa dokotala liti?

Ngati mukugwiritsa ntchito cholembera cha insulin koyamba, dokotala wanu kapena mphunzitsi wa matenda ashuga adzakuwonetsani momwe mungagwiritsire ntchito. Musazengereze kufunsa mafunso aliwonse omwe mungakhale nawo.

Mukamagwiritsa ntchito insulin, muyenera kuonana ndi dokotala nthawi zonse kuti muwonetsetse kuti dongosolo lanu la chithandizo likugwira ntchito. Ngati nthawi zambiri mumakhala ndi shuga wambiri kapena wotsika m'magazi, uzani dokotala nthawi yomweyo. Izi zikutanthauza kuti mlingo wanu wa insulin ungafunike kusinthidwa kuti ugwirizane ndi zosowa zanu.

Kodi mapeni a insulin ayenera kusungidwa mufiriji?

Mukhoza kusunga cholembera cha insulin chomwe mwangoyamba kumene kugwiritsa ntchito (chotsegulidwa) kutentha kwa chipinda (pafupifupi madigiri 20-22 Celsius). Komabe, musachisunge pamalo otentha kwambiri kapena ozizira kwambiri. Izi zitha kusintha momwe insulin imagwirira ntchito.

Mapeni atsopano osatsegulidwa ayenera kusungidwa mufiriji. Ndi abwino mpaka tsiku lotha ntchito lomwe lalembedwa pabokosi. Lembani tsiku lomwe mudagwiritsa ntchito koyamba cholembera pabokosi. Mapeni ambiri amakhala abwino kwa masiku pafupifupi 28 mutagwiritsa ntchito koyamba. Werengani kabuku kamene kali ndi cholembera kuti mupeze malangizo olondola kwambiri.