Chiremba wako akakuudza here kuti utange kutora majekiseni e insulin sekurapa chirwere cheshuga ? Ungave wakanzwa mazita ekuti 'Regular Insulin ' kana kuti 'Short-Acting Insulin'. Saka, paunonzwa zita iri, mibvunzo yakawanda inofanira kunge yakauya mupfungwa dzako. "Iyi insulin rudzii?", "Inoshanda sei?", "Ndinofanira kuitora riini?", "Pane migumisiro yakaipa here?" Ungave uchishamisika nezvinhu zvakaita seizvi. Usanetseke, tichataura nezveizvi zvese zviri nyore nhasi, nenzira yaunogona kunzwisisa.
Chii chinonzi insulin yenguva dzose?
Muchidimbu, insulin yenguva dzose ihormone ye insulin yakagadzirwa inoshandiswa kudzora huwandu hweshuga muropa muvanhu vane chirwere cheshuga . Inonziwo insulin inoshanda kwenguva pfupi . Izvi zvinodaro nekuti inotanga kushanda mukati menguva pfupi mushure mekunge yapinzwa mumuviri uye yobva yarasikirwa nekushanda kwayo mukati memaawa mashoma.
Uyu hausi mushonga wechirwere cheshuga. Asi unogona kubatsira kudzora huwandu hweshuga muropa uye kukudzivirira kubva kumatambudziko ane njodzi anogona kuitika nekuda kwechirwere cheshuga. Vanhu vane chirwere cheshuga cheType 1 neType 2 , kusanganisira vana nevakuru, vanogona kushandisa rudzi urwu rwe insulin vachitungamirirwa nachiremba wavo.
Ko insulin iyi inoshanda sei mumuviri wedu?
Funga nezvemasero ari mumiviri yedu sedzimba diki. Shuga ( glucose ) yatinodya inopa simba rinodiwa nedzimba idzi kuti dzishande. Asi shuga iyi haigone kupinda zvakananga mudzimba dzinonzi masero. Masuo edzimba idzodzo akavharwa.
Homoni inonzi insulin inoshanda se "kiyi" inovhura masuo aya. Mumuviri wemunhu ane hutano, kiyi iyi, insulin, inogadzirwa zvakasikwa. Zvisinei, mumunhu ane chirwere cheshuga, muviri unoburitsa kiyi iyi shoma, kana kuti kunyange ikaburitsa, kiyi haigone kuvhura musuwo zvakanaka.
Ndipo patinopa insulin kunze kwemuviri sejekiseni. Insulin yenguva dzose inopiwa nenzira iyi inoita zvinhu zvitatu zvikuru:
1. Inoderedza huwandu hweshuga muropa:Inobatsira kutakura shuga inounganidzwa mutsinga dzeropa kuenda mumasero.
2. Inopa simba kumasero: Inopa masero mukana wekushandisa shuga inopinda mumasero sesimba.
3. Inodzora kugadzirwa kweshuga nechiropa: Inodzivisa chiropa chedu kugadzira shuga zvisina kufanira uye kuiwedzera muropa.
Nenzira iyi, insulin iyi inokubatsira kudzora huwandu hweshuga muropa rako uye kurarama hupenyu hune hutano.
Ndeipi nzira chaiyo yekuisa insulin muropa?
Kuti uwane zvakawanda kubva ku insulin iyi, zvakakosha zvikuru kuishandisa nemazvo uye panguva yakakodzera.
Nguva ndiyo inonyanya kukosha.
Jekiseni re insulin rinofanira kupiwa maminetsi makumi matatu usati wadya . Ichi chinhu chaunofanira kuyeuka zvechokwadi.
Fungidzira kuti wadya na8am. Wobva waisa insulin na7:30am. Nekuti zvinotora maminetsi angangoita 30-60 kuti insulin iyi isvike mumuviri wotanga kushanda. Izvi zvinoreva kuti paunodya, insulin inotanga kushanda uye inenge yakagadzirira kudzora shuga inowedzerwa muropa kubva muchikafu.
- Inotanga kushanda: Mukati memaminitsi 30-60
- Kushanda kwakanyanya: mukati memaawa 2-3
- Simba rekugara: Anenge maawa matatu kusvika matanhatu
Zvakakosha: Usambofa wakarega kudya mushure mekubaya insulin. Kuita izvi kunogona kukonzera kuti shuga yeropa rako iderere zvine njodzi. Tichataura nezvazvo munguva pfupi iri kutevera.
Ndingabaiwa kupi?
Insulin iyi inopinzwa muchikamu chine mafuta chiri pasi peganda. Chiremba wako kana nesi achakuratidza maitiro ekuita izvi. Nzvimbo dzinowanzo shandiswa kubaya insulin ndeidzi:
- Dumbu (rakatenderedza guvhu)
- Ruoko rwepamusoro (kumashure kweruoko)
- Chidya chepamusoro (kumberi kana kumashure)
- Nzvimbo yemagaro
Yeuka: Usabaya insulin panzvimbo imwe chete zuva nezuva. Kubaya jekiseni kakawanda panzvimbo imwe chete kunogona kukonzera mapundu, maburi, kana kukora kweganda . Saka, kana ukabaya jekiseni panzvimbo imwe, baya jekiseni panzvimbo yakasiyana nguva inotevera. Semuenzaniso, kana ukabaya jekiseni kuruboshwe rwedumbu rako mangwanani ano, baya jekiseni kurudyi masikati. Chinjana maoko zuva rinotevera. Rudzi urwu rwekutenderera nzvimbo rwakakosha zvikuru.
Ndezvipi njodzi nemigumisiro yemishonga yekurapa inofanira kungwarira?
Sezvimwe nemishonga, pane zvinhu zvishoma zvatinofanira kuziva kana tichishandisa insulin yenguva dzose. Kuziva izvi kwakakosha zvikuru kuti uchengetedzeke.
Semunhu ane chirwere cheshuga, unosangana ne "Hypo" uye "Hyper"Unofanira kuziva nezvemashoko maviri aya zvechokwadi.
1. Hypoglycemia: Izvi zvinoreva kuti huwandu hweshuga muropa hwakaderera zvakanyanya .
2. Kukwira kweshuga mumuviri: Izvi zvinoreva kuti huwandu hweshuga muropa hwakakwira zvakanyanya .
Kuziva zviratidzo zvezvirwere izvi zviviri kunogona kukubatsira kuponesa hupenyu hwako kana paine dambudziko.
| Hunhu | Shuga shoma muropa (Hypoglycemia) | Shuga yakakwira muropa (Hyperglycemia) |
|---|---|---|
| Chikonzero | Kusadya uchitora insulin, kunonoka kudya, kurovedza muviri zvakanyanya, uye kuwedzera insulin. | Kusakwana kwemuyero we insulin, kudya zvakanyanya, kurwara, kana kushushikana. |
| Zvinhu zvakajairika | Kudikitira kamwe kamwe, kudedera, nzara yakanyanya, kurova kwemoyo nekukurumidza, dzungu, kuvhiringidzika, kuona zvisipo. | Nyota yakawandisa, muromo wakaoma, kuita weti nguva nenguva, kuneta zvakanyanya, kuona zvisipo, kuda kurutsa. |
| Zvekuita | Idya chimwe chinhu chinotapira nekukasika! Idya/inwa chimwe chinhu chakaita seshuga, glucose, chinwiwa chinotapira, kana toffee. Idya chikafu chikuru chakaita semupunga mushure mechinguva. Kana ukarasikirwa nepfungwa, tora munhu wacho kuchipatara cheEmergency Treatment Unit (ETU) nekukasika. | Inwa mvura yakawanda. Tevedzera mirairo yachiremba wako. Kana zviratidzo zvikawedzera kana kuti uchinetseka kufema, enda kuna chiremba nekukasika. |
Dzimwe njodzi
- Hypokalemia: Ichi chirwere apo huwandu hwepotassium muropa hunenge hwakaderera. Zviratidzo zvinogona kusanganisira kurova kwemoyo kusina kurongeka, kushaya simba, uye kugwinha kwetsandanyama.
- Kurwara Kwakanyanya: Izvi hazviwanzoitiki. Zvisinei, kana zvikaitika, zviratidzo zvakaita sekuoma kufema, mapundu, uye kuzvimba kwerurimi/huro/kumeso zvinogona kuitika. Uku kurwara kwechirwere (anaphylaxis) . Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Maitiro ekuva panzvimbo yekubaiwa jekiseni: Vamwe vanhu vanogona kunzwa kutsvuka, kuvaviwa, kuzvimba, kana kurwadziwa panzvimbo yekubaiwa jekiseni.
Chii chinoitika kana ukashandisa insulin yakawandisa?
Ehe, kutora insulin yakawandisa kune njodzi huru. Kana ukadaro, huwandu hweshuga muropa rako hunogona kudzikira zvakanyanya (Severe Hypoglycemia) , pfari, koma, uye kunyange rufu zvinogona kuitika.
Kana uchifunga kuti wakabaya insulin yakawandisa netsaona, kana kuti ukaona mumwe munhu akaibaya, fonera 911 nekukasika kuti utore amburenzi kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU). Usaedza kuzvigadzirisa kumba.
Izvi zvinogona kupindirana nemimwe mishonga yandiri kutora here? (Kudyidzana kweMishonga)
Ehe, zvechokwadi. Mimwe mishonga yaunotora inogona kushanda pamwe chete ne insulin uye kukanganisa huwandu hweshuga muropa rako. Mimwe mishonga inogona kukonzera kudzikira kweshuga muropa rako, nepo mimwe inogona kukonzera kukwira kweshuga muropa rako.
Saka, kana uchienda kunoona chiremba wako, muudze nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemiti, uye zvekudya zvinovaka muviri . Zvakakosha zvikuru kumuzivisa kana uri kutora chero ipi yemishonga inotevera:
- Mishonga yeBP (kunyanya beta-blockers)
- Mishonga inouraya marwadzo (Aspirin, NSAIDs)
- Mamwe marudzi emapiritsi echirwere cheshuga
- Mishonga inobvisa mvura mumuviri
- Mishonga yeasthma kana allergies
- Mishonga yekuderedza cholesterol
- Mishonga yekurapa chirwere chepfungwa
- Mishonga ine steroid
- Mapiritsi ekudzivirira pamuviri
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuti wataura nachiremba wako wechirwere cheshuga usati watanga chero mushonga mutsva. Zvakare, kunwa doro kunogona kuva nengozi kana uchitora insulin.
Ndezvipi zvinhu zvaunofanira kuudza chiremba?
Usati watanga kutora insulin yenguva dzose, iva nechokwadi chekuudza chiremba wako nezve zvinotevera:
- Kana uine allergies kune chero mushonga kana chikafu.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
- Kana uine chirwere chemaziso kana kutadza kuona zvakanaka.
- Kana uine nguva yekudzikira kweshuga muropa (hypoglycemia episodes).
Zvichibva paruzivo urwu, zvichava nyore kuti chiremba asarudze nzira yekurapa yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Insulin yenguva dzose imhando yeinsulin inoshanda kwenguva pfupi inobatsira kudzora chirwere cheshuga.
- Zvakakosha kuti mushonga uyu upihwe maminetsi makumi matatu usati wadya .
- Usarega kudya chero chikonzero chipi zvacho mushure mekubaya insulin.
- Ziva zviratidzo zveshuga shoma muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia). Ziva zvekuita kana paine emergency.
- Gara uchichinja nzvimbo yekubaiwa jekiseni. Usarambe uchibaya jekiseni panzvimbo imwe chete.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
- Usachinje dose yako ye insulin kana kurega kutora insulin usina kurairwa nachiremba wako.
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