Ngati muli ndi matenda a shuga, mwina mukudziwa dzina lakuti 'Insulin'. Dokotala wanu mwina anakupatsani jakisoni wa insulin kuti mumwe mphindi 30 musanadye. Umenewo ndi umene timautcha 'Regular Insulin' kapena 'Short-Acting Insulin'. Uwu ndi mankhwala ofunikira kwambiri poletsa matenda a shuga. Chifukwa chake, lero tikambirana zonsezi m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi insulin yokhazikika ndi chiyani?
Insulini ndi mahomoni omwe amapangidwa mwachibadwa m'matupi athu. Ndi ofunikira kwambiri posintha shuga (shuga) mu chakudya chomwe timadya kukhala mphamvu. Kwa anthu omwe ali ndi matenda a shuga, thupi limapanga insulin yochepa kapena silingagwiritse ntchito insulin yomwe limapanga bwino.
Choncho, insulin yokhazikika ndi mtundu wa insulin yopangidwa m'ma laboratories. Ikaperekedwa m'thupi ngati jakisoni, imakwaniritsa kufunikira kochepa kwa insulin m'thupi lathu.
Umu ndi momwe zimagwirira ntchito:
- Amachepetsa shuga m'magazi mwanu.
- Shuga (shuga) m'magazi amatumizidwa m'maselo a thupi kuti agwiritsidwe ntchito ngati mphamvu, monga momwe kiyi imatsegulira chitseko.
- Zimaletsa chiwindi kutulutsa shuga mosafunikira.
Kawirikawiri imayamba kugwira ntchito mkati mwa mphindi 30 mpaka 60 mutabayidwa jakisoni. Imafika pachimake patatha maola awiri kapena atatu, ndipo imathandiza kulamulira shuga m'magazi kwa maola atatu mpaka asanu ndi limodzi.
Ndani akufunikira jakisoni wa insulin uyu?
Jakisoni iyi imaperekedwa kwa ana ndi akuluakulu omwe ali ndi matenda a shuga amtundu woyamba (`Type 1 Diabetes`) ndi matenda a shuga amtundu wachiwiri (`Type 2 Diabetes`). Dokotala wanu adzasankha mtundu wa insulin womwe uli wabwino kwa inu, kutengera momwe mulili, moyo wanu, komanso momwe shuga m'magazi mwanu amasinthira tsiku lonse.
Nthawi zina, dokotala wanu angakulangizeni kugwiritsa ntchito insulin yogwira ntchito nthawi yayitali yomwe imayang'anira kuchuluka kwa shuga m'magazi maola 24 patsiku, pamodzi ndi insulin yokhazikika.
Kodi njira yolondola yoperekera insulin ndi iti?
Jakisoni wa insulin amaperekedwa pansi pa khungu. Izi nthawi zambiri zimachitika pogwiritsa ntchito singano ndi sirinji kapena cholembera chapadera (cholembera cha insulin). Dokotala wanu kapena namwino wa ku chipatala cha matenda a shuga adzakuwonetsani momwe mungachitire izi.
Malo oyenera kulandira katemera:
- Mimba (malo ozungulira mchombo)
- Malo a matako
- Dzanja lapamwamba
- Kumtunda, mbali yakunja ya ntchafu
Chofunika kwambiri:Musamabayire jakisoni pamalo omwewo tsiku lililonse. Sinthani malo omwe mubayire jakisoni tsiku lililonse. Ngati mupitiliza kubayira jakisoni pamalo omwewo, mutha kukhala ndi ziphuphu ndi matumbo (lipohypertrophy) m'malo amenewo. Izi zikachitika, insulin sidzayamwa bwino ndi thupi.
Kodi zoopsa ndi zotsatira zake ndi ziti?
Monga mankhwala ena aliwonse, insulin ikhoza kukhala ndi zoopsa komanso zotsatirapo zake, ndipo ndikofunikira kudziwa izi.
| Zoopsa/zotsatira zake | Zizindikiro ndi zomwe muyenera kudziwa |
|---|---|
| Shuga wambiri m'magazi (hyperglycemia) | Chizungulire, pakamwa ndi pakhungu louma, nseru, kukodza pafupipafupi. Izi ndi zizindikiro za kutaya mphamvu ya matenda a shuga. |
| Shuga wochepa m'magazi (Hypoglycemia) | Chizungulire, chisokonezo, thukuta, kusawona bwino, komanso njala yayikulu. Kuti mupewe izi, onetsetsani kuti mwadya mkati mwa mphindi 30 mutalandira jakisoni wa insulin. |
| Kuchepa kwa potaziyamu m'magazi (Hypokalemia) | Kugunda kwa mtima kosakhazikika, kumva kutopa, minofu ikugwedezeka. |
| Matenda oopsa kwambiri (Anaphylaxis) | Izi zimachitika kawirikawiri. Ngati mukuvutika kupuma, ziphuphu, kapena kutupa lilime/pakhosi/nkhope, ndi vuto ladzidzidzi. |
| Zotsatira zina zoyipa | Kufiira, kutupa, kuyabwa, kunenepa, kupweteka kwa minofu pamalo omwe jakisoni amaperekedwa. |
| Ngati zizindikiro zazikulu zomwe zili pamwambapa (shuga wochepa/wokwera m'magazi, ziwengo), funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi. | |
Kodi chimachitika ndi chiyani ngati mutenga insulin yochuluka (yopitirira muyeso)?
Inde, kumwa insulin yochuluka kwambiri ndi koopsa kwambiri. Ngati izi zitachitika, shuga m'magazi mwanu akhoza kutsika kwambiri (`Severe Hypoglycemia`). Izi zingayambitse matenda oopsa monga khunyu ndi chikomokere. Ngati mukuganiza kuti mwamwa mopitirira muyeso, imbani 911 nthawi yomweyo ndikuitana ambulansi kapena pitani kuchipatala chapafupi.
Zinthu zofunika kusamala nazo mukamagwiritsa ntchito mankhwala ena
Izi ndizofunikira kwambiri. Mankhwala ena omwe mumamwa amatha kusintha momwe insulin imagwirira ntchito. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikiza mavitamini, mankhwala azitsamba, ochepetsa ululu (NSAIDs), mankhwala othamanga magazi (beta-blockers), mankhwala a cholesterol (statins), mapiritsi oletsa kubereka, ndi mankhwala ena a shuga .
Komanso, ngati mumwa mowa, lankhulani ndi dokotala wanu za mowawo, chifukwa ukhoza kukhudza shuga m'magazi mwanu mosayembekezereka.
Uthenga Wopita Nawo Kunyumba
- Insulin yokhazikika ndi mtundu wa insulin wogwira ntchito mwachangu womwe umatengedwa mphindi 30 musanadye.
- Nthawi zonse sinthani malo obayira jakisoni. Musapitirize kubaya jakisoni pamalo omwewo.
- Dziwani zizindikiro za shuga wotsika m'magazi (Hypoglycemia) ndi shuga wambiri m'magazi (Hyperglycemia). Ngati mukukumana ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda ena omwe mungakhale nawo (zifukwa za ziwengo, mimba).
- Musasinthe, kusiya, kapena kulumpha chakudya popanda upangiri wa dokotala pazifukwa zilizonse. Ndikofunikira kwambiri kutsatira upangiri wa dokotala wanu kuti muchepetse matenda anu a shuga.
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