Ngati ndinu munthu amene akulandira chithandizo cha matenda a shuga, dokotala wanu mwina adakulemberani jakisoni wa insulin wamtunduwu. Mutha kuugwiritsa ntchito m'mayina monga Humulin 70/30, Novolin 70/30. Iyi si mtundu umodzi wa insulin, koma kuphatikiza mitundu iwiri ya insulin. Ichi ndichifukwa chake tiyenera kusamala kwambiri tikamagwiritsa ntchito. Lero tikambirana za mankhwala awa, momwe amagwiritsidwira ntchito, komanso zinthu zomwe muyenera kuziganizira.
Kodi chimachitika ndi chiyani ndi insulin yosakanikirana iyi?
Mwachidule, uwu ndi mankhwala omwe amathandiza kuwongolera matenda a shuga. Umagwira ntchito powonjezera kuchuluka kwa insulin m'thupi lanu ndikuchepetsa kuchuluka kwa shuga (shuga) m'magazi mwanu.
Taganizirani izi ngati kuphatikiza kwapadera kwa insulin yochepa komanso insulin yapakatikati. Kuphatikiza kwa ziwirizi kudzakuthandizani kuwongolera shuga m'magazi mwanu bwino. Koma kumbukirani kuti mankhwalawa okha sikokwanira. Zakudya zabwino komanso masewera olimbitsa thupi ndizofunikira kwambiri pa chithandizochi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Ndikofunikira kwambiri kuti dokotala wanu akuuzeni za izi musanayambe kumwa insulin iyi.
- Ngati nthawi zambiri mumakhala ndi vuto la hypoglycemia (shuga wotsika m'magazi ).
- Ngati muli ndi matenda a maso kapena vuto la kuona bwino .
- Ngati muli ndi matenda a impso .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi vuto la insulin, perekani mankhwala ena, mankhwala ena, zakudya, kapena zinthu zina zopaka utoto.
- Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati .
- Ngati ndinu mayi amene akuyamwitsa mwana wanu .
Kutengera ndi izi, dokotalayo adzapanga dongosolo la chithandizo lomwe likuyenererani.
Kodi mungagwiritse ntchito bwanji insulin iyi moyenera?
Iyi ndi gawo lofunika kwambiri. Muyenera kutsatira malangizo awa molondola.
1. Momwe mungaperekere jakisoni: Iyi ndi jakisoni yomwe imabayidwa pansi pa khungu. Dokotala wanu kapena namwino adzakuwonetsani momwe mungaperekere bwino.
2. Nthawi musanadye: Dokotala adzakuuzani nthawi yomwe muyenera kudya mutalandira jakisoni. Nthawi zambiri, muyenera kumwa jakisoni pafupifupi mphindi 30 musanadye .
3. Mawonekedwe a insulin: Izi ndizofunikira kwambiri. Nthawi zonse yang'anani botolo musanagwiritse ntchito.
- Musanasakanize: Izi ziyenera kukhala zoyera, zooneka ngati mkaka.
- Mukasakaniza: Muyenera kuwona mtundu wofanana wa mkaka (wa mitambo yofanana).
- Kodi mumasakaniza bwanji?Pindani botololo nthawi khumi pakati pa manja anu. Musaligwedeze mwamphamvu.
- Musagwiritse ntchito: Ngati insulin yasintha mtundu, ngati muwona tinthu tating'onoting'ono, kapena ngati sinasakanizidwe bwino , musagwiritse ntchito.
4. Singano ndi ma syringe: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ziikeni mu chidebe chosungiramo zinthu zakuthwa. Ngati mulibe, funsani dokotala wanu za izi.
5. Mapeni a Insulin: Ngati mukugwiritsa ntchito peni, musaiwale kuchotsa chivundikiro chakunja cha singano musanabayire.
Ngati mwamwa mopitirira muyeso: Ngati mukuganiza kuti mwamwa mopitirira muyeso mwangozi, 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?
Si bwino kuphonya mlingo. Lankhulani ndi dokotala wanu za zomwe mungachite ngati mwaphonya mlingo ndipo pangani dongosolo. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya pazifukwa zilizonse.
Mankhwala ena ndi zinthu zomwe zingagwirizane ndi insulin
Mankhwala ena omwe mumamwa angakhudze momwe insulin imagwirira ntchito, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mumamwa.
| Mankhwala/mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Mowa | Kuchuluka kwa shuga kungakhudzidwe mosayembekezereka. |
| Aspirin ndi mankhwala ena ofanana nawo | Zingawonjezere chiopsezo cha shuga wotsika m'magazi. |
| Beta-blockers | (monga Metoprolol, Propranolol) - Ingabise zizindikiro za shuga wotsika m'magazi (hypoglycemia). |
| Mitundu ya Ma Steroid | (monga Prednisone) - Ikhoza kuonjezera kuchuluka kwa shuga m'magazi. |
| Mankhwala ochepetsa mphamvu ya mkodzo | Zingakhudze kuchuluka kwa shuga m'thupi. |
| Mankhwala ena a shuga | (monga Glyburide, Glipizide) - Muyenera kusamala kwambiri ndi kuchuluka kwa shuga m'magazi anu. |
| Mankhwala ena a chimfine/chifuwa | Izi zitha kukhala ndi shuga kapena mowa. |
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito
- Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala nthawi zonse kuti mukayeze matenda anu. Kuyezetsa magazi kotchedwa HbA1C kungakuthandizeni kudziwa bwino momwe shuga wanu m'magazi mumayendera m'miyezi iwiri kapena itatu yapitayi.
- Kuyeza kuchuluka kwa shuga m'magazi: Phunzirani momwe mungayang'anire kuchuluka kwa shuga m'magazi kunyumba. Dziwani zizindikiro za hypoglycemia ndi hyperglycemia .
- Ngati shuga m'magazi mwanu atsika: Nthawi zonse khalani ndi chinthu china, monga piritsi la shuga, toffee, kapena piritsi la shuga. Koma kumbukirani, ngati mwagwidwa ndi khunyu kapena mwataya chikumbumtima, musaike chilichonse mkamwa mwanu , chifukwa chingayambitse kusowa tulo. Ngati zimenezo zitachitika, muyenera kupita kuchipatala nthawi yomweyo.
- Musagawane: > Musagawane, kapena musagawane mapeni a insulin kapena makatiriji ndi wina aliyense. Ngakhale mutagawana singano, mutha kufalitsa mavairasi oopsa monga Hepatitis ndi HIV.
- ID ya Zachipatala: Kuvala khadi kapena chibangili (ID ya zachipatala) chokhala ndi tsatanetsatane wa matenda anu ndi mankhwala kungakuthandizeni kupulumutsa moyo wanu pakagwa ngozi.
Zotsatirapo zomwe zingatheke
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wochepa m'magazi (Hypoglycemia) | Kunjenjemera, thukuta, kusakhazikika, chizungulire, kugunda kwa mtima mofulumira, komanso kusokonezeka maganizo. |
| Kuchepa kwa potaziyamu | Kupweteka kapena kuuma kwa minofu, kufooka kosazolowereka, kusintha kwa kugunda kwa mtima. |
| Kawirikawiri palibe chodetsa nkhawa (koma uzani dokotala wanu ngati chikupitirira) | |
| Lipodystrophy | Kukhuthala kwa minofu pansi pa khungu, ziphuphu, kapena zipsera pamalo obayira jakisoni. (Izi zitha kuchitika ngati mwabayidwa pamalo omwewo.) |
| Pamalo obayira jakisoni | Kupweteka pang'ono, kufiira, kapena kuyabwa. |
| Kulemera | Anthu ena amaona kuti thupi lawo likuwonjezeka. |
Kodi mungasunge bwanji insulin?
Ichi ndi chinthu chomwe muyenera kudziwa. Ngati sichisungidwa bwino, insulin ikhoza kutaya mphamvu yake.
Mabotolo ndi zolembera zosatsegulidwa
- Mabotolo a Humulin 70/30:Sungani mufiriji (pakati pa madigiri 2-8 Celsius) kapena kutentha kwa chipinda (pansi pa madigiri 30 Celsius). Ngati mwasunga kutentha kwa chipinda, tayani patatha masiku 31 .
- Mabotolo a Novolin 70/30: Sungani mufiriji (2-8 Celsius) kapena kutentha kwa chipinda (pansi pa 25 Celsius). Ngati mwasunga kutentha kwa chipinda, tayani patatha masiku 42 .
- Humulin 70/30 KwikPens: Sungani mufiriji (2-8 Celsius) kapena kutentha kwa chipinda (pansi pa 30 Celsius). Ngati mwasunga kutentha kwa chipinda, tayani patatha masiku 10 .
- Novolin 70/30 FlexPens: Sungani mufiriji (2-8 Celsius) kapena kutentha kwa chipinda (pansi pa 30 Celsius). Ngati mwasunga kutentha kwa chipinda, tayani patatha masiku 28 .
Mabotolo ndi zolembera zomwe zimagwiritsidwa ntchito
- Mabotolo a Humulin 70/30: Sungani mufiriji kapena kutentha kwa chipinda (pansi pa madigiri 30 Celsius). Tayani mkati mwa masiku 31 mutatsegula.
- Mabotolo a Novolin 70/30: Sungani kutentha kwa chipinda (pansi pa madigiri 25 Celsius). Musawasunge mufiriji. Tayani mkati mwa masiku 42 mutatsegula.
- Humulin 70/30 KwikPens: Sungani kutentha kwa chipinda (pansi pa madigiri 30 Celsius). Musayisunge mufiriji. Itayeni mkati mwa masiku 10 mutatsegula (ngakhale insulin itatsala).
- Novolin 70/30 FlexPens: Sungani kutentha kwa chipinda (pansi pa madigiri 30 Celsius). Musayisunge mufiriji. Itayeni mkati mwa masiku 28 mutatsegula (ngakhale insulin yatsala).
Chofunika: Musamaike insulin mufiriji . Musagwiritse ntchito insulin yozizira. Sungani kutali ndi kutentha kwambiri ndi kuwala kochuluka. Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse yang'anani mawonekedwe a insulin (mtundu wa mkaka, wopanda ma thread) musanayibayire. Sakanizani bwino.
- Musagwiritse ntchito cholembera chanu cha insulin, syringe, kapena singano ndi wina aliyense pazifukwa zilizonse.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Nthawi zonse sungani chinthu chokhala ndi shuga pafupi.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Sungani insulin moyenera. Mukatsegula, onetsetsani kuti mwayitaya mkati mwa masiku omwe mwasankha.
- Ngati muli ndi nkhawa kapena simukudziwa bwino za vuto linalake, musazengereze kulankhula ndi dokotala wanu.
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