Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, kukho iindlela ezahlukeneyo zokulawula esi sifo. Izinto ezifana nokutya okunempilo kunye nokuzilolonga rhoqo zinokunceda kakhulu. Kodwa ngamanye amaxesha, unokufuna ukusebenzisa i-insulin kunye namanye amayeza ukulawula ngokufanelekileyo amanqanaba eswekile egazini lakho. Ngoko ke, kukho iindlela ezimbini eziphambili zokuthatha i-insulin. Enye yi-bolus insulin, kwaye enye yi-basal insulin, esithetha ngayo namhlanje.
Ngoko ke, yintoni i-insulin esisiseko?
Ngamafutshane, oku kukwabizwa ngokuba yi-"background insulin." Khawucinge nje, i-pancreas emzimbeni womntu ophilileyo ivelisa i-insulin kancinci kancinci imini yonke, iiyure ezingama-24 ngosuku. Nokuba singatyi, eli nani le-insulin liyimfuneko kwiinkqubo ezibalulekileyo emzimbeni wethu. Oku sikubiza ngokuba yi-basal insulin.
Le nkqubo yendalo ayenzeki kakuhle emzimbeni womntu onesifo seswekile sohlobo lwesibini. Kulapho ugqirha wakho aya kukucebisa ukuba uthathe i-"Basal Insulin" yangaphandle. Xa le insulin ifakwa, ifunxwa ngokukhawuleza emzimbeni kwaye inceda ukugcina amanqanaba eswekile egazini lakho ezinzile imini yonke.
Ngokwesiqhelo, ukuba uqala i-insulin yesifo seswekile, ugqirha wakho uza kukuqalisa ngale 'insulin isisiseko'. Ungaqala ngenaliti enye ngosuku. Ukuba oko akwanelanga, ugqirha wakho unokucebisa ukuba wongeze i-insulin esebenza ngokukhawuleza ngaphambi okanye emva kokutya.
Ziziphi iintlobo ze-insulin ezisisiseko ezikhoyo?
I-insulin esisiseko idla ngokufakwa kumaleko wamafutha phantsi kwesikhumba. Ungasebenzisa isirinji kunye nenaliti koku. Kukwakho neepeni ezisele zigcwalisiwe kwaye kulula kakhulu ukuzisebenzisa kwabanye abantu.
Kukho iintlobo ezintathu eziphambili ze-basal insulin. Ezi zahlukile kwindlela eziqala ngayo ukusebenza ngokukhawuleza emzimbeni (ukuqala), xa zifikelela kwincopho yazo (incopho), kunye nokuba zihlala ixesha elingakanani emzimbeni (ubude bexesha). Ugqirha wakho uya kukhetha uhlobo olulungele wena ngokusekelwe kwizinto ezifana namanqanaba eswekile egazini lakho kunye nendlela ophila ngayo.
| Uhlobo lwe-insulin | Inkcazo kunye nemizekelo |
|---|---|
| Ukusebenza okuphakathi | Ezi ziqala ukusebenza kwiyure enye okanye ezimbini, zifikelele kwinqanaba eliphezulu phakathi kweeyure ezi-4-12, kwaye zihlala malunga neeyure ezingama-24. Umzekelo: NPH (Humulin N, Novolin N) |
| Isebenza ixesha elide | Ezi zithatha malunga neeyure ezi-2 ukungena egazini. Kodwa zihlala zisebenza malunga neeyure ezingama-24. Ezi ntlobo azinawo "umlinganiselo" omkhulu, oko kukuthi, azinalo ithuba lokufikelela kwinqanaba lazo eliphezulu ngaxeshanye. Ke ngoko, zivelisa i-insulin ngokwendalo kwaye zinefuthe elifanayo. Umzekelo: Detemir (Levemir), Glargine (Basaglar, Lantus) |
| Ukusebenza ixesha elide kakhulu | Ezi zithatha phakathi kweyure eyi-1-6 ukuqala ukusebenza, kodwa zinokuhlala iiyure ezingama-36 nangaphezulu. Ezi ntlobo azinawo "umlinganiselo ophezulu," ngoko ke ukusebenza kwazo kuhlala kufana. Umzekelo: Degludec (Tresiba), Glargine u-300 (Toujeo) |
Zithini iingenelo zokusebenzisa i-basal insulin?
Enye yezona nzuzo zinkulu zoku kukuba kufuneka utofe kanye okanye kabini ngemini, nto leyo elula kakhulu xa ithelekiswa ne-bolus insulin ethathwa xa usitya.
Kwakhona, ufumana inkululeko enkulu kunye nokuguquguquka . Akunyanzelekanga ukuba unamathele kwixesha lokutya uze uzifake inaliti. Ungahambahamba kancinci ukuze utye, wenze umsebenzi wakho, okanye uhambe.
Ezi insulins ezisebenza ixesha elide ziluncedo kakhulu ekuthinteleni iswekile yegazi ephantsi kakhulu (hypoglycemia), ingakumbi ngexesha lokuzila ukutya ebusuku.
I-Hypoglycemia yinto ekufuneka siyilumkele kakhulu xa kunyangwa nge-insulin. Le meko inokubangela iingxaki zentliziyo, kwaye ngamanye amaxesha ide ibangele nokufa. Ke ngoko, ukunciphisa le ngozi kuluncedo kakhulu kwi-'Basal Insulin'.
Ngoko ke, akukho zingxaki? Masifunde nangeziphumo ebezingalindelekanga.
I-insulin ngokwenene liyeza elikhuselekileyo kakhulu, kodwa ngamanye amaxesha iziphumo ebezingalindelekanga ezincinci zinokubakho.
Into yokuqala lixabiso . Ezinye ii-insulin ezisebenza ixesha elide zinokuba zibiza kakhulu kunezinye iintlobo ezisebenza ixesha elifutshane. Ngoko ke loo nto kufuneka siyiqwalasele.
Iziphumo ebezingalindelekanga eziphambili
- Amanqanaba aphantsi eswekile egazini (iHypoglycemia):Eyona nto iphambili kukuba umzimba ufumana i-insulin engaphezulu kuneswekile emzimbeni ngelo xesha. Xa oku kusenzeka, unokufumana iimpawu ezifana nokuziva ubuthathaka, ungcangcazela, unomsindo, ubila, kunye nokubetha kwentliziyo okungahambelaniyo . Ukuba ufumana into efana nale, yitya ngokukhawuleza into eneswekile encinci (umz. isiselo esimnandi, i-toffee) kwaye wazise ugqirha wakho.
- Ukwanda kobunzima: Oku kukwayingxaki kubantu abaninzi. I-insulin inceda iiseli ukuba zisebenzise iswekile ekutyeni esikutyayo ukuze zifumane amandla. Nangona kunjalo, ukuba sitya iikhalori ezingaphezulu kunezo umzimba wethu uzifunayo, loo swekile ingaphezulu inokugcinwa njengamafutha ngaphakathi kweeseli kwaye ikhokelele ekukhuleni kobunzima. Yiyo loo nto kubalulekile ukuba nokutya kakuhle kunye nokuzilolonga .
- Ukunganyamezelani nendawo yokufaka inaliti: Ngamanye amaxesha indawo yokufaka inaliti inokuba bomvu, idumbe, okanye irhawuzelele. Oku kunokunciphisa ngokujikelezisa indawo yokufaka inaliti endaweni yokufaka inaliti kwindawo enye.
Ndingawubona njani umthamo we-insulin endiwudingayo?
Lo ngumbuzo obaluleke kakhulu. Khumbula, ngugqirha wakho kuphela onokugqiba ngedosi ye-insulin oyifunayo. Ungaze utshintshe idosi yakho ye-insulin ngokusekelwe kwiimvakalelo zakho okanye oko omnye umntu akuxelele kona.
Ugqirha wakho uhlala eqala ngedosi yokuqala ngokusekelwe kubunzima bakho . Emva koko, baya kujonga amanqanaba eswekile egazini lakho kangangeentsuku ezimbalwa baze balungise idosi kancinci kancinci (umz., ngeeyunithi ezi-2-4) ukuze bafumane idosi efanelekileyo kuwe. Oku kufana nokuzama ilokhwe. Kuya kuthatha ixesha ukufumana idosi efanelekileyo kuwe. Ngoko ke yiba nomonde kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo .
Umyalezo Wokuya Ekhaya
- I-insulin esisiseko lunyango olufana ne-insulin "yangasemva" eveliswa yimizimba yethu imini yonke.
- Xa usebenzisa oku, unenkululeko enkulu kuba inani leenaliti ngosuku liyancitshiswa kwaye alixhomekanga ekutyeni.
- Inzuzo ephambili kukulawula iswekile egazini ngendlela ezinzileyo kunye nokunciphisa umngcipheko we-hypoglycemia, ingakumbi ebusuku.
- Ukumisela nokutshintsha idosi yakho ye-insulin kufuneka kwenziwe ngugqirha wakho kuphela . Ungaze uzame ukuyitshintsha ngokwakho.
- Qaphela iziphumo ebezingalindelekanga ezifana neswekile ephantsi egazini kunye nokutyeba. Ukuba uneengxaki, thetha nogqirha wakho ngazo.
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