Paunenge uchirarama nechirwere cheshuga mellitus, majekiseni e insulin ave chikamu chehupenyu hwezuva nezuva kune vamwe vanhu. Kuwana tsono zuva nezuva usati wadya uye kugadzirira chirwere ichi kunonetsa zvikuru. Kune vamwe, kunyange kuona tsono idzi kunovatyisa. Wakambofunga here kuti, "Zvingave zvakanaka sei dai paine nzira iri nyore yekushandisa insulin pasina kunetseka nayo zuva nezuva?" Nhasi tiri kutaura nezvechimwe chinhu chingave mhinduro. Iyo i insulin inofemerwa, kana kuti Inhaled Insulin .
Chii chinonzi Insulin Inofema?
Zvichitaurwa zviri nyore, iyi ndiyo insulin imwe chete. Asi kwete sejekiseni, asi seupfu . Uchishandisa mudziyo wakafanana nechinhu chinoshandiswa nevanhu vane asthma, upfu hwe insulin uhwu hunofemerwa mumuviri sekunge tiri kufema.
Fungidzira, paunobayiwa jekiseni, insulin inopinda mumafuta ari pasi peganda, uye kubva ipapo inopinda muropa zvishoma nezvishoma. Zvinotora maminetsi angangoita 90 kusvika 120. Asi insulin iyi inofemerwa inoenda zvakananga kumapapu. Mapapu edu inzvimbo ine mitsipa midiki yeropa yakawanda, uko zvinhu zvinogona kunyudzwa nekukurumidza. Saka upfu hwe insulin iyi hunopinda muropa nekukurumidza uye hunotanga kushanda. Inowanzo tanga kushanda pahuwandu hwayo hwepamusoro mukati memaminitsi makumi mana nemashanu.
Chimwe chezvakanakira zvikuru zveizvi ndechekuti zvinoshanda pamwero wakafanana zvikuru nekushanda kweinsulin mumuviri wemunhu asina chirwere cheshuga. Nokudaro, kudzora shuga muropa kunoitika zviri nyore.
Ndingashandisa sei izvi? uye ndingazvichengeta sei?
Paunotanga kurapwa uku, chiremba wako achakuudza mashandisirwo chaiwo emushonga wekufemesa uye uwandu hwaunoda. Kazhinji unotorwa usati wadya.
Mashandisirwo:
1. Kutanga, buritsa mweya wakawanda sezvinobvira kubva mumapapu ako.
2. Wobva waisa muromo wemuchina wekufemera mweya mumuromo mako wobva wafemera mweya wakadzika .
3. Mushure mekufema, edza kubata mweya wako kwenguva yakareba sezvinobvira.
4. Wobva wafema zvakanaka.
Chinhu chinonyanya kukosha kushandisa mushonga wacho sezvawakarairwa nachiremba wako, zvichienderana nechiyero chinokurudzirwa. Kana uine mibvunzo, taura nachiremba wako nezvazvo.
Maitiro ekuchengetedza:
- Makatiriji nemidziyo yekufemesa isina kushandiswa, yakavharwa zvinogona kuchengetwa mufiriji kana patembiricha yemumba.
- Kana ukatanga kushandisa mushonga wekufemesa , unofanira kuurasa mushure memazuva gumi nemashanu.
- Kana katuriji ikasiyiwa patembiricha yemumba, Shandisa mukati memazuva gumi. Kana ikaiswa mufiriji, inogona kushandiswa kusvika zuva rekupera kwayo.
Ndezvipi zvakanakira nzira iyi?
Nzira iyi ine zvakanakira zvakawanda kupfuura majekiseni e insulin. Ngationei kuti ndeapi.
| Kubatsirwa | Tsananguro |
|---|---|
| Hapana chikonzero chekuboora maburi. | Iyi ndiyo mukana mukuru. Iyi inyaradzo huru kune avo vanotya tsono uye vanoomerwa nekuboora tsono zuva nezuva. |
| Kukurumidza kuita | Kana ikatorwa usati wadya, inotanga kudzora huwandu hweshuga muropa nekukurumidza. |
| Zviri nyore kushandisa | Mushonga wekufemesa diki, saka zviri nyore kuutora chero kupi. Haudi kugadzirira kwakawanda sekugadzira mushonga wekudzivirira. Unogona kushandiswa pasina anouona. |
| Njodzi shoma ye hypotension | Njodzi yekubuda ropa rakawanda mumuviri yakaratidzwa kuti yakaderera pane dzimwe mhando dzemajekiseni. |
| Zvingabatsira kudzora uremu | Dzimwe ongororo dzakaratidza kuti izvi zvinogonawo kubatsira kudzora kuwedzera uremu kusingadiwe. |
Pane migumisiro yakaipa here? Ngatizivei!
Kufanana nemishonga chero ipi zvayo, iyi inogona kuva nemigumisiro midiki pamwe chete nematambudziko akakomba anoda kutarisirwa.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo zvinogona kuitika |
|---|---|
| Migumisiro yakajairika | Kukosora, musoro, kuda kurutsa (kushungurudzika mudumbu), kunzwa nzara kupfuura zvakajairika, kuneta, kudedera, kudikitira. |
| Migumisiro yakaipa yekuziva | |
| Mamiriro ezvinhu anoda rubatsiro rwechiremba nekukasika | Kutadza kufema zvakanaka, kunetseka kumedza, mapundu kana kuvaviwa paganda, kurova kwemoyo nekukurumidza, kuzvimba kwemakumbo kana kumeso, kuwedzera uremu nekukurumidza, kuneta zvakanyanya, uye kuvhiringidzika. Kana ukasangana nechimwe chinhu chakadai, enda kuna chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. |
Izvi hazvikodzeri munhu wese here?
Ehe, izvi hazvikodzeri munhu wese. Pane zvinhu zvishoma zvekufunga nezvazvo, kunyanya.
- Izvi hazvina kukodzera vanhu vane asthma.
- Izvi hazvina kukodzerawo kune vanhu vane zvimwe zvirwere zvemapapu zvisingaperi zvakaita seCOPD (Chronic Obstructive Pulmonary Disease) .
Chikonzero ndechekuti upfu hwe insulin iyi dzimwe nguva hunogona kukonzera kuomarara kwenzira dzekufema mumapapu (bronchospasm). Izvi zvinogona kuva nengozi zvikuru kuvanhu vane zvirwere zvakaita seasthma. Saka, usati watanga kurapwa uku, chiremba wako anogona kuita bvunzo yekutarisa mashandiro emapapu ako (spirometry).
Mhando dziri pamusika uye zvaunofanira kuziva
Kwaimbova ne insulin inofemeswa yainzi `(Exubera)`, asi yakabviswa pamusika nekuda kweinhaler yayo yakakura nezvimwe zvinetso. Mhando iri kushandiswa pasi rose parizvino ndi`(Afrezza)`.
Zvisinei, pane zvinhu zviviri zvakakosha zvaunofanira kuziva nezveizvi:
1. Kwete panguva dzenjodzi:Haigone kushandiswa kana paine dambudziko rekukurumidza, rakakomba sechirwere cheshuga ketoacidosis (DKA), kana paine insulin inokurumidza kushanda.
2. Haigone kushandiswa senzira yekutsiva insulin inoshanda kwenguva refu (basal insulin): Vanhu vane chirwere cheshuga cherudzi rwekutanga kana vamwe vanhu vane chirwere cheshuga cherudzi rwechipiri vanoda jekiseni re insulin inoshanda kwenguva refu (basal insulin) rinoshanda zuva rese. Insulin iyi inofemerwa inongovhara huwandu hweshuga hunouya nekudya. Saka, jekiseni re insulin inoshanda kwenguva refu harigone kumira nekuda kweizvi.
Pakupedzisira, zviri kuna chiremba wako kuti asarudze kana izvi zvakakunakira. Iye achakubatsira kuita sarudzo yakanakisisa zvichienderana nehutano hwako, mararamiro ako, uye kuti chirwere chako cheshuga chinodzorwa sei.
Mharidzo Yekuenda Nayo Kumba
- Insulin inofemerwa imhando yeinsulin inoshanda nekukurumidza inouya muchimiro cheupfu uye inogona kushandiswa pachinzvimbo chemajekiseni echirwere cheshuga.
- Chinhu chikuru chakanakira izvi ndechekuti hazvidi mapini uye zviri nyore kushandisa.
- Izvi hazvina kukodzera zvachose kuvanhu vane zvirwere zvemapapu zvakaita seasthma kana COPD.
- Izvi zvinongovhara zvinodiwa ne insulin zvine chekuita nekudya. Unofanira kuramba uchipihwa jekiseni re insulin kwenguva refu (basal).
- Sezvinongoita chero mushonga mutsva, zvakakosha kutaura pachena nachiremba wako nezve chero zvinokunetsa usati watanga kushandisa uye panguva yekushandisa.
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