Matenda a shuga ndi matenda omwe anthu ambiri m'dera lathu akukumana nawo tsopano. Chifukwa chake dokotala wanu mwina adakuuzani kuti mugwiritse ntchito jakisoni wa insulin. Pakati pawo, tikambirana za mtundu wotchedwa Isophane Insulin, kapena NPH, masiku ano. Pali zinthu zambiri zofunika kudziwa mukamagwiritsa ntchito izi. Tiyeni tikambirane za izi molondola komanso mwachidule.
Kodi Isophane Insulin (NPH) ndi chiyani?
Mwachidule, Isophane Insulin ndi mankhwala omwe amagwiritsidwa ntchito poletsa matenda a shuga. Imagwira ntchito powonjezera kuchuluka kwa insulin m'thupi lathu ndikuchepetsa kuchuluka kwa shuga (shuga) m'magazi. Ili m'gulu la 'insulin yogwira ntchito pakati' . Izi zikutanthauza kuti ikaperekedwa m'thupi, imagwira ntchito kwa maola angapo, kulamulira kuchuluka kwa shuga m'magazi.
Nthawi zambiri, pamodzi ndi mankhwala awa, ndikofunikira kwambiri kulamulira zakudya zanu ndi masewera olimbitsa thupi . Ndi pokhapokha ngati izi zitatu zikugwirizana, matenda a shuga amatha kuthetsedwa bwino.
Zinthu zomwe muyenera kuuza dokotala musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya matenda anu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwawauza za vutoli.
| Mkhalidwe wanu | N’chifukwa chiyani n’kofunika? |
|---|---|
| Ngati shuga m'magazi atsika pafupipafupi (hypoglycemia) | Izi ndizofunikira kwambiri pakusintha mlingo, chifukwa insulin ingayambitse kuchepa kwa shuga m'magazi. |
| Matenda a maso, kulephera kuona bwino | Popeza matenda a shuga amakhudza maso, dokotala ayenera kudziwa za matenda omwe alipo. |
| Matenda a impso | Popeza kuti insulin imachotsedwa m'thupi ndi impso, odwala impso angafunike kuchepetsa mlingo wa insulin. |
| Matenda a chiwindi | Chiwindi chimakhudza momwe insulin imagwirira ntchito, kotero mlingo wake ungafunike kusinthidwa. |
| Matenda a insulin kapena mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kwambiri popewa ziwengo komanso kusankha mankhwala oyenera. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Zofunikira za insulin zimasintha panthawi ya mimba, choncho muyenera kutsatira malangizo a dokotala wanu. |
| Ngati ndinu mayi woyamwitsa | Kudziwa momwe insulin imakhudzira mayi ndi mwana. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Iyi ndi jakisoni yomwe imaperekedwa pansi pa khungu. Dokotala wanu kapena namwino adzakuuzani momwe mungagwiritsire ntchito. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola .
- Yang'anani mawonekedwe: Insulin iyi iyenera kukhala madzi oyera, ngati mkaka omwe nthawi zambiri amakhala oyera . Musagwiritse ntchito ngati siili ndi mitambo yofanana kapena ili ndi mtundu wosiyana.
- Sakanizani bwino: Musanagwiritse ntchito, sakanizani botolo kapena cholembera bwino pochizunguliza pakati pa manja anu. Musagwedeze.
- Kutaya singano: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ziikeni mu chidebe chapadera (chidebe cha sharps). Ngati mulibe, mutha kufunsa dokotala wanu.
- Ngati mukugwiritsa ntchito cholembera: Ngati mukugwiritsa ntchito cholembera cha insulin, kumbukirani kuchotsa chivundikiro chakunja cha singano mu singano musanabayire.
Chenjezo: 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.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ichi ndi chinthu chomwe muyenera kukambirana ndi dokotala wanu. Iye adzakupatsani dongosolo la zomwe mungachite panthawi ngati iyi. Chitani motero.Musamwe mankhwala awiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi insulin iyi
Mankhwala ena, mavitamini, kapena mankhwala azitsamba omwe mukumwa angakhudze momwe insulin iyi imagwirira ntchito. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa zonse zomwe mumagwiritsa ntchito. Samalani kwambiri ndi izi:
- Mowa
- Mankhwala ochepetsa ululu monga aspirin
- Mankhwala ena ochizira kuthamanga kwa magazi (monga Atenolol, Metoprolol)
- Mahomoni achikazi (kuphatikizapo mapiritsi oletsa kubereka) ndi mahomoni achimuna
- Mankhwala ochepetsa thupi
- Mankhwala a chimfine, chifuwa, ndi ziwengo
- Mankhwala ena a matenda amisala
- Mankhwala ena a shuga (monga Glyburide, Glipizide)
- Mankhwala okhala ndi steroid (monga Prednisone)
- Mankhwala a mahomoni a chithokomiro
- Zakudya zina zowonjezera ku zitsamba
Mndandanda uwu sunathe. Chifukwa chake, ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kuziganizira mukamagwiritsa ntchito insulin
- Kuyezetsa kwa HbA1C: Dokotala wanu adzakufunsani kuti muyezedwe magazi otchedwa HbA1C (A1C) . Izi zimayesa momwe mwawongolera shuga m'magazi mwa miyezi iwiri kapena itatu yapitayi.
- Yesani shuga m'magazi mwanu: Phunzirani momwe mungayesere shuga m'magazi mwanu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.
- Sungani chinthu chotsekemera pafupi: Nthawi zonse sungani chinthu chotsekemera pafupi, monga maswiti kapena piritsi la shuga, kuti mudye mwachangu ngati mukuwona zizindikiro za shuga wotsika m'magazi.
- Musamadumphe chakudya: Idyani nthawi zonse. Funsani dokotala wanu za mowa.
- Musasinthe mankhwala: Musasinthe mtundu wa insulin kapena mtundu wa syringe popanda upangiri wa dokotala.
- Musagawane: Musagawane cholembera chanu cha insulin kapena katiriji ndi wina aliyense. Ngakhale mutasintha singano, mutha kufalitsa mavairasi monga HIV ndi Hepatitis.
- Valani chiphaso cha zachipatala: Ndikofunikira kwambiri kukhala ndi chibangili cha zachipatala kapena khadi lanu ngati pachitika ngozi, chomwe chili ndi tsatanetsatane wa matenda anu ndi mankhwala anu.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, insulin ingayambitse zotsatirapo zina, zina zomwe zingakhale zoopsa pa moyo.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wochepa m'magazi (Hypoglycemia) | Kunjenjemera, thukuta kwambiri, kusakhazikika, chizungulire, kugunda kwa mtima mofulumira, kusokonezeka maganizo. |
| Kuchepa kwa potaziyamu m'magazi | Kupweteka kwa minofu kapena kupweteka m'mimba, kufooka kosazolowereka, kugunda kwa mtima kosasinthasintha. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kusintha kwa malo omwe adabayidwa jakisoni (Lipodystrophy) | Kuboola mobwerezabwereza pamalo omwewo kungayambitse kukhuthala kwa minofu yomwe ili pansi pa khungu kapena zipsera. |
| Ululu kapena kufiira pamalo omwe jakisoni adayikidwa | Kupweteka pang'ono, kufiira, kapena kutupa pamalo omwe jakisoni amaperekedwa. |
| Kulemera | Anthu ena amakula thupi akagwiritsa ntchito insulin. |
Kodi mungasunge bwanji insulin?
Ndikofunikira kwambiri kusunga insulin moyenera. Kupanda kutero, ikhoza kutaya mphamvu yake. Malangizo awa angasiyane pang'ono kutengera mtundu womwe mumagwiritsa ntchito.
| Udindo | Malangizo osungira |
|---|---|
| Mabotolo ndi zolembera zosatsegulidwa | |
| Komwe mungasungire | Sungani mufiriji , koma osati mufiriji. Musagwiritse ntchito insulin yozizira. |
| Kutha ntchito | Musagwiritse ntchito pambuyo pa tsiku lotha ntchito. |
| Mabotolo ndi zolembera zomwe zimagwiritsidwa ntchito | |
| Komwe mungasungire | Sungani kutentha kwa chipinda. Musayisunge mufiriji mukatha kugwiritsa ntchito. Sungani kutali ndi kutentha kwambiri komanso dzuwa lolunjika. |
| Nthawi yotaya | Izi zimasiyana malinga ndi mtundu wake. Mwachitsanzo, mapeni ena ayenera kutayidwa patatha masiku 14, ena patatha masiku 28, ndipo mabotolo ena patatha masiku 31 kapena 42. Funsani dokotala wanu za tsiku lotha ntchito la mtundu wanu wa insulin. Pambuyo pa tsiku lotha ntchito, tayani insulin yotsalayo. |
Uthenga Wopita Nawo Kunyumba
- Imwani insulin pa mlingo ndi nthawi yeniyeni yomwe dokotala wanu wakupatsani. Musasinthe mlingo nokha.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia). Sungani chinthu chotsekemera pafupi ngati pachitika ngozi.
- Musagwiritse ntchito cholembera chanu cha insulin, syringe, kapena singano ndi wina aliyense pazifukwa zilizonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Sungani insulin moyenera. Tetezani ku kutentha kwambiri, kuwala kwa dzuwa, ndi kuzizira kwambiri.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, lankhulani ndi dokotala wanu nthawi yomweyo.
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