Kodi dokotala wanu wakuuzani kuti muyambe kumwa jakisoni wa insulin ngati chithandizo cha matenda ashuga ? Mwina munamvapo mayina akuti 'Regular Insulin ' kapena 'Short-Acting Insulin'. Chifukwa chake, mutamva dzinali, mafunso ambiri ayenera kuti adabwera m'maganizo mwanu. "Kodi insulin iyi ndi yamtundu wanji?", "Imagwira ntchito bwanji?", "Ndiyenera kuimwa liti?", "Kodi pali zotsatirapo zina ?" Mwina mukudabwa zinthu ngati izi. Musadandaule, tikambirana zonsezi mosavuta lero, mwanjira yomwe mungamvetse.
Kodi insulin yokhazikika ndi chiyani?
Mwachidule, insulin yokhazikika ndi mahomoni opangidwa ndi insulin omwe amagwiritsidwa ntchito powongolera kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda ashuga . Amatchedwanso insulin yochepa . Izi zili choncho chifukwa imayamba kugwira ntchito pakapita nthawi yochepa ikangolowetsedwa m'thupi kenako n’kusiya kugwira ntchito mkati mwa maola ochepa.
Iyi si mankhwala a matenda a shuga. Koma ingathandize kuchepetsa kuchuluka kwa shuga m'magazi ndikukutetezani ku mavuto oopsa omwe angabwere chifukwa cha matenda a shuga. Anthu omwe ali ndi matenda a shuga a Mtundu 1 ndi Mtundu 2 , kuphatikizapo ana ndi akuluakulu, akhoza kugwiritsa ntchito mtundu uwu wa insulin motsogozedwa ndi dokotala wawo.
Kodi insulin iyi imagwira ntchito bwanji m'thupi lathu?
Taganizirani maselo m'thupi lathu ngati nyumba zazing'ono. Shuga ( glucose ) yomwe timadya imapereka mphamvu zomwe nyumbazi zimafunikira kuti zigwire ntchito. Koma shuga uyu sangalowe mwachindunji m'nyumba zotchedwa maselo. Zitseko za nyumba zimenezo zatsekedwa.
Homoni ya insulin imagwira ntchito ngati "kiyi" yomwe imatsegula zitseko izi. M'thupi la munthu wathanzi, kiyi iyi, insulin, imapangidwa mwachibadwa. Komabe, mwa munthu wodwala matenda a shuga, thupi limapanga kiyi yochepa iyi, kapena ngakhale itatero, kiyiyo singathe kutsegula chitseko bwino.
Apa ndi pamene timapereka insulin kunja kwa thupi ngati jakisoni. Insulin yokhazikika yoperekedwa motere imachita zinthu zitatu zazikulu:
1. Amachepetsa shuga m'magazi:Zimathandiza kunyamula shuga wosonkhanitsidwa m'mitsempha yamagazi kupita ku maselo.
2. Kumapereka mphamvu ku maselo: Kumapatsa maselo mwayi wogwiritsa ntchito shuga wolowa m'maselo ngati mphamvu.
3. Amalamulira kupanga shuga m'chiwindi: Amaletsa chiwindi chathu kupanga shuga mosafunikira ndikuwonjezera m'magazi.
Mwanjira imeneyi, insulin iyi imakuthandizani kuchepetsa shuga m'magazi anu ndikukhala ndi moyo wathanzi.
Kodi njira yolondola yoperekera insulin ndi iti?
Kuti mugwiritse ntchito bwino insulin iyi, ndikofunikira kwambiri kuigwiritsa ntchito moyenera komanso panthawi yoyenera.
Nthawi ndiye chinthu chofunika kwambiri.
Jakisoni wa insulin nthawi zonse uyenera kuperekedwa mphindi 30 musanadye chakudya chachikulu . Ichi ndi chinthu chomwe muyenera kukumbukira.
Tangoganizani kuti mwadya nthawi ya 8 koloko m'mawa. Kenako muyenera kubaya insulin pafupifupi 7:30 koloko m'mawa. Chifukwa zimatenga mphindi 30-60 kuti insulin iyi ifike m'thupi ndikuyamba kugwira ntchito. Izi zikutanthauza kuti mukadya, insulin imayamba kugwira ntchito ndipo imakhala yokonzeka kulamulira shuga womwe umawonjezeredwa m'magazi kuchokera muzakudya.
- Iyamba kugwira ntchito: Mphindi 30-60
- Kuchita bwino kwambiri: mkati mwa maola 2-3
- Mphamvu yokhazikika: Pafupifupi maola 3-6
Chofunika: Musamadumphe chakudya mukatha kubaya insulin. Kuchita zimenezi kungapangitse kuti shuga m'magazi mwanu atsike kwambiri. Tikambirana za zimenezi posachedwa.
Kodi ndiyenera kukalandira katemera kuti?
Insulin iyi imalowetsedwa mu mafuta omwe ali pansi pa khungu. Dokotala wanu kapena namwino adzakuwonetsani momwe mungachitire izi. Malo ofala kwambiri operekera insulin ndi awa:
- Mimba (kuzungulira mchombo)
- Dzanja lapamwamba (kumbuyo kwa mkono)
- Nsagwada yapamwamba (kutsogolo kapena kumbuyo)
- Malo a matako
Kumbukirani: Musamabayire insulin pamalo omwewo tsiku lililonse. Kubayira mobwerezabwereza pamalo omwewo kungayambitse ziphuphu, mabowo, kapena kukhuthala kwa khungu . Chifukwa chake, ngati mubayira pamalo amodzi, ibayireni pamalo ena nthawi ina. Mwachitsanzo, ngati mubayira mbali yakumanzere ya m'mimba mwanu m'mawa uno, ibayireni mbali yakumanja masana. Sinthani manja tsiku lotsatira. Mtundu uwu wa kuzungulira malo ndikofunikira kwambiri.
Kodi zoopsa ndi zotsatirapo zake ndi ziti zomwe muyenera kuzisamala nazo?
Monga mankhwala ena aliwonse, pali zinthu zingapo zomwe tiyenera kuzidziwa tikamagwiritsa ntchito insulin nthawi zonse. Kudziwa izi ndikofunikira kwambiri kuti mukhale otetezeka.
Monga munthu wodwala matenda a shuga, mumakumana ndi "Hypo" ndi "Hyper"Muyenera kudziwa bwino mawu awiriwa.
1. Kuchepa kwa shuga m'magazi: Izi zikutanthauza kuti shuga m'magazi ndi wotsika kwambiri .
2. Kuchuluka kwa shuga m'magazi: Izi zikutanthauza kuti shuga m'magazi ndi wokwera kwambiri .
Kudziwa zizindikiro za matenda onsewa kungakuthandizeni kupulumutsa moyo wanu pakagwa ngozi.
| Khalidwe | Shuga wochepa m'magazi (Hypoglycemia) | Shuga wambiri m'magazi (hyperglycemia) |
|---|---|---|
| Chifukwa | Kusiya kudya pamene mukumwa insulin, kuchedwetsa kudya, kuchita masewera olimbitsa thupi mopitirira muyeso, komanso kuwonjezera mlingo wa insulin. | Kusakwanira kwa insulin, kudya mopitirira muyeso, matenda, kapena kupsinjika maganizo. |
| Zinthu zodziwika bwino | Kutuluka thukuta mwadzidzidzi, kugwedezeka, njala yaikulu, kugunda kwa mtima mofulumira, chizungulire, kusokonezeka, kusawona bwino. | Ludzu lochuluka, pakamwa pouma, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino, nseru. |
| Zoyenera kuchita | Idyani chinthu chokoma nthawi yomweyo! Idyani/imwani chinthu monga shuga, shuga, chakumwa chokoma, kapena toffee. Idyani chakudya chachikulu ngati mpunga pakapita nthawi. Ngati mutataya chikumbumtima, tengani munthuyo ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. | Imwani madzi ambiri. Tsatirani malangizo a dokotala wanu. Ngati zizindikiro zikukulirakulira kapena mukuvutika kupuma, pitani kwa dokotala nthawi yomweyo. |
Zoopsa zina
- Hypokalemia: Iyi ndi vuto lomwe potaziyamu m'magazi ndi wochepa. Zizindikiro zake zitha kukhala kugunda kwa mtima kosakhazikika, kufooka, komanso kugwedezeka kwa minofu.
- Matenda Oopsa a Thupi: Izi sizichitika kawirikawiri. Komabe, ngati zitachitika, zizindikiro monga kupuma movutikira, ziphuphu, ndi kutupa kwa lilime/pakhosi/nkhope zingachitike. Izi ndi zadzidzidzi zachipatala (anaphylaxis) . Ngati mukukumana ndi zizindikiro izi, pitani ku Dipatimenti Yothandiza Pachipatala (ETU) nthawi yomweyo.
- Zotsatira za malo omwe jakisoni amachitikira: Anthu ena amatha kufiira, kuyabwa, kutupa, kapena kupweteka pamalo omwe jakisoni amachitikira.
Kodi chimachitika ndi chiyani ngati mugwiritsa ntchito insulin mopitirira muyeso?
Inde, kumwa insulin yochuluka kwambiri ndi koopsa kwambiri. Ngati mutatero, shuga m'magazi mwanu akhoza kutsika kwambiri (Kuchepa Kwambiri kwa shuga m'magazi) , kukomoka, kukomoka, ngakhale kufa.
Ngati mukuganiza kuti mwabaya insulin yambiri mwangozi, kapena ngati mwaona munthu amene wabaya insulin, imbani 911 nthawi yomweyo kuti muyitanitse ambulansi kapena pitani ku chipatala chapafupi cha Emergency Department (ETU). Musayese kuthana ndi vutoli kunyumba.
Kodi izi zingagwirizane ndi mankhwala ena omwe ndikumwa? (Kuyanjana kwa mankhwala)
Inde, ndithudi. Mankhwala ena omwe mumamwa amatha kusokonezana ndi insulin ndikukhudza kuchuluka kwa shuga m'magazi mwanu. Mankhwala ena amatha kutsitsa shuga m'magazi mwanu, pomwe ena amatha kukweza shuga m'magazi mwanu.
Choncho, mukapita kukaonana ndi dokotala wanu, muuzeni za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera . Ndikofunikira kwambiri kumudziwitsa ngati mukumwa mankhwala aliwonse mwa awa:
- Mankhwala ochepetsa kuthamanga kwa magazi (makamaka beta-blockers)
- Mankhwala ochepetsa ululu (Aspirin, NSAIDs)
- Mitundu ina ya mapiritsi a shuga
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala a mphumu kapena ziwengo
- Mankhwala a cholesterol
- Mankhwala a matenda amisala
- Mankhwala okhala ndi ma steroid
- Mapiritsi oletsa kubereka
Mndandandawu sunathe, choncho onetsetsani kuti mwalankhula ndi dokotala wanu wa matenda a shuga musanayambe kumwa mankhwala atsopano. Komanso, kumwa mowa kungakhale koopsa mukamagwiritsa ntchito insulin.
Ndi zinthu ziti zomwe muyenera kuuza dokotala?
Musanayambe kumwa insulin yokhazikika, onetsetsani kuti mwadziwitsa dokotala wanu za izi:
- Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala kapena chakudya chilichonse.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
- Ngati muli ndi matenda a maso kapena vuto la maso.
- Ngati muli ndi nthawi yocheperako ya shuga m'magazi (hypoglycemia episodes).
Kutengera ndi izi, zidzakhala zosavuta kwa dokotala kusankha njira yochiritsira yoyenera kwambiri kwa inu.
Uthenga Wopita Nawo Kunyumba
- Insulin yokhazikika ndi mtundu wa insulin wogwira ntchito kwakanthawi kochepa womwe umathandiza kuwongolera matenda ashuga.
- Ndikofunikira kuti katemerayu aperekedwe mphindi 30 chakudya chachikulu chisanakwane .
- Musamadye chakudya pazifukwa zilizonse mutabaya insulin.
- Dziwani zizindikiro za shuga wochepa m'magazi (hypoglycemia) ndi shuga wokwera m'magazi (hyperglycemia). Dziwani chochita pakagwa ngozi.
- Nthawi zonse sinthani malo obayira jakisoni. Musapitirize kubaya jakisoni pamalo omwewo.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Musasinthe mlingo wanu wa insulin kapena kusiya kumwa insulin popanda upangiri wa dokotala.
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