Kana uri munhu ane chirwere cheshuga, pamwe unoziva zita rekuti 'Insulin'. Chiremba wako anogona kunge akakurayira kuti upinze insulin kwemaminitsi makumi matatu usati wadya. Ndiyo yatinodaidza kuti 'Regular Insulin' kana kuti 'Short-Acting Insulin'. Uyu mushonga unokosha kwazvo wekudzivirira chirwere cheshuga. Saka, nhasi tichataura nezvazvo zvese nenzira iri nyore yaunogona kunzwisisa.
Muchidimbu, chii chinonzi Regular Insulin?
Insulin ihormone inogadzirwa mumuviri wedu. Inokosha pakushandura shuga (glucose) muchikafu chatinodya kuita simba. Muvanhu vane chirwere cheshuga, muviri unoburitsa insulin shoma kana kuti haugone kushandisa insulin yaunogadzira nemazvo.
Saka, Regular Insulin imhando ye insulin yakagadzirwa murabhoritari. Kana ikapihwa mumuviri sejekiseni, inozadzisa kudiwa kushoma kwe insulin mumuviri wedu.
Aya ndiwo mashandiro azvinoita:
- Inoderedza huwandu hweshuga muropa rako.
- Shuga (glucose) iri muropa inotumirwa mumasero emuviri kuti ishandiswe sesimba, sezvinoita kiyi inovhura musuwo.
- Zvinoita kuti chiropa chisaburitse shuga zvisina kufanira.
Inowanzotanga kushanda mukati memaminitsi makumi matatu kusvika makumi matanhatu mushure mekubayiwa. Inosvika pakusimba kwayo mushure memaawa maviri kusvika matatu, uye inobatsira kudzora shuga yeropa kwemaawa matatu kusvika matanhatu.
Ndiani anoda jekiseni re insulin iri?
Jekiseni iri rinonyorerwa vana nevakuru vane chirwere cheshuga cherudzi rwekutanga (`Type 1 Diabetes`) uye chirwere cheshuga cherudzi rwechipiri (`Type 2 Diabetes`). Chiremba wako achasarudza kuti ndeipi mhando yeinsulini yakakunakira, zvichienderana nemamiriro ako ezvinhu, mararamiro ako, uye kuti huwandu hweshuga muropa rako hunochinja sei mukati mezuva.
Dzimwe nguva, chiremba wako anogona kukurudzira kushandisa insulin inoshanda kwenguva refu inodzora huwandu hweshuga muropa maawa makumi maviri nemana pazuva, pamwe chete ne insulin yenguva dzose.
Ndeipi nzira chaiyo yekuisa insulin muropa?
Majekiseni e insulin anopihwa pasi peganda. Izvi zvinowanzoitwa uchishandisa tsono nesirinjisi kana peni yakakosha (pen ye insulin). Chiremba wako kana mukoti wekiriniki yechirwere cheshuga achakuratidza maitiro chaiwo ekuita izvi.
Nzvimbo dzakakodzera dzekubayiwa majekiseni:
- Dumbu (nzvimbo yakatenderedza guvhu)
- Nzvimbo yemagaro
- Ruoko rwepamusoro
- Rutivi rwekumusoro, rwekunze rwechidya
Zvakakosha zvikuru:Usabaya jekiseni panzvimbo imwe chete zuva nezuva. Chinja nzvimbo yaunobaya jekiseni zuva nezuva. Kana ukaramba uchibaya jekiseni panzvimbo imwe chete, unogona kuita mapundu nemapundu (lipohypertrophy) munzvimbo idzodzo. Kana izvi zvikaitika, insulin haizopindi zvakanaka mumuviri.
Ndezvipi njodzi nemigumisiro yeizvi?
Kufanana nemishonga chero ipi zvayo, insulin inogona kuva nenjodzi uye migumisiro, uye zvakakosha kuti uzvizive.
| Njodzi/mhedzisiro yedivi | Zviratidzo uye zvekuziva |
|---|---|
| Shuga yakakwira muropa (Hyperglycemia) | Dzungu, muromo neganda rakaoma, kuda kurutsa, kuita weti nguva nenguva. Izvi zviratidzo zvekusagona kudzora chirwere cheshuga. |
| Shuga shoma muropa (Hypoglycemia) | Dzungu, kuvhiringidzika, kudikitira, kuona zvisizvo, uye nzara yakanyanya. Kuti udzivise izvi, iva nechokwadi chekudya mukati memaminitsi makumi matatu mushure mekubaya insulin. |
| Kushomeka kwepotassium muropa (Hypokalemia) | Kurova kwemoyo kusina kurongeka, kunzwa kuneta, kugwinha kwetsandanyama. |
| Kurwara kwakanyanya (Anaphylaxis) | Izvi hazviwanzoitika. Kana uchinetseka kufema, kuzvimba kwerurimi/huro/kumeso, idambudziko. |
| Mimwe migumisiro yakaipa | Kutsvuka, kuzvimba, kuvaviwa, kuwedzera uremu, kurwadziwa kwetsandanyama panzvimbo yekubaiwa jekiseni. |
| Kana zviratidzo zvakakomba zvataurwa pamusoro apa (shuga yakaderera/yakakwira, allergies) zvikaitika, tsvaga rubatsiro rwechiremba nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. | |
Chii chinoitika kana ukatora insulin yakawandisa (overdose)?
Ehe, kutora insulin yakawandisa kune njodzi huru. Kana izvi zvikaitika, huwandu hweshuga muropa rako hunogona kudzikira zvakanyanya (`Severe Hypoglycemia`). Izvi zvinogona kutungamira kuzvirwere zvinotyisidzira hupenyu zvakaita sepfari uye coma. Kana uchifungidzira kuti watora yakawandisa, fonera 911 nekukasika wofonera amburenzi kana kuenda kuchipatara chiri pedyo.
Zvinhu zvekungwarira pakushandisa pamwe chete nemimwe mishonga
Izvi zvakakosha zvikuru. Mimwe mishonga yaunotora inogona kukanganisa mashandiro anoita insulin. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemishonga yemishonga, mishonga inoderedza marwadzo (NSAIDs), mishonga yeBP (beta-blockers), mishonga yecholesterol (statins), mapiritsi ekudzivirira pamuviri, nemimwe mishonga yechirwere cheshuga .
Uyewo, kana ukanwa doro, taura nachiremba wako nezvazvo, sezvo zvinogona kukanganisa huwandu hweshuga muropa rako.
Mharidzo Yekuenda Nayo Kumba
- Insulin yenguva dzose imhando yeinsulin inoshanda nekukurumidza inotorwa maminetsi makumi matatu usati wadya.
- Gara uchichinja nzvimbo yekubaiwa jekiseni. Usarambe uchibaya jekiseni panzvimbo imwe chete.
- Ziva zviratidzo zveshuga shoma muropa (Hypoglycemia) uye shuga yakakwira muropa (Hyperglycemia). Kana ukaona chimwe chezviratidzo izvi, tsvaga rubatsiro rwechiremba nekukasika.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, nezvimwe zvirwere zvaungave nazvo (allergies, pamuviri).
- Usachinje, usamira, kana kusadya usina kurairwa nachiremba wako chero chikonzero chipi zvacho. Zvakakosha zvikuru kutevedzera zano rachiremba wako kuti uchengetedze chirwere chako cheshuga.
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