Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, unokuxelelwa ukuba uthathe i-insulin. Kodwa eneneni, ayinguye wonke umntu onesifo seswekile sohlobo lwesibini ofuna i-insulin. Kodwa ukuba kufuneka uthathe i-insulin, kubaluleke kakhulu kwimpilo yakho ukuba imisele idosi efanelekileyo. Ngamanye amaxesha kunokufuneka ulungise le dosi ngokwakho njengoko indlela yakho yokuphila itshintsha. Ngoko ke, masithethe ngale nto ngokulula.
Lucwangciswa njani unyango lwe-insulin?
Eyona nto ibalulekileyo apha kukugcina amanqanaba eswekile egazini lakho ekwinqanaba elikhuselekileyo. Oku kusenokufuna ukuba usebenzise uhlobo olunye okanye ezimbini ze-insulin. Oogqirha badla ngokuqala ngohlobo olunye kuqala.
1. I-insulin esebenza ixesha elide
Elinye igama lale nto yi -basal insulin . Ngamafutshane, wakuba uyijovile, isebenza emzimbeni wakho kangangeeyure ezingama-24, ngamanye amaxesha ixesha elide. Kufana nokulawula amanqanaba eswekile egazini lakho ngasemva. Idla ngokuthathwa kanye ngemini, kodwa kubalulekile ukuyithatha ngexesha elifanayo yonke imihla.
Uwumisela njani umlinganiselo?
Kukho iintlobo ezahlukeneyo zolu hlobo lwe-insulin, kwaye imilinganiselo yazo nganye ingahluka.
- Idosi eqhelekileyo yokuqala: Uninzi lwabantu luqala ngeeyunithi ezili- 10 ngosuku.
- Umlinganiselo osekelwe kubunzima: Ngamanye amaxesha ugqirha wakho uya kugqiba ngedosi ngokusekwe kubunzima bomzimba wakho. Umzekelo, ubunzima bomzimba wakho bunokubalwa njengeeyunithi eziyi-0.2 ze-insulin kwikhilogram e-1 (iikhilogram eziyi-2.2).
Idosi yokuqala isenokuba ngaphantsi kunokuba ufuna, kodwa sisiqalo esihle. Emva koko, ugqirha wakho uya kunyusa idosi yakho kancinci kancinci ngeeyunithi ezimbini ukuya kwezine rhoqo emva kweentsuku ezintathu de iswekile yakho yegazi yokuzila ifikelele kwinqanaba olifunayo (ngesiqhelo phakathi kwe -80-130 mg/dL ). Ukukhetha uhlobo olufanelekileyo lwe-insulin kuwe kuya kuxhomekeka kwizinto ezininzi, kubandakanya ubunzima bakho, amanqanaba eswekile egazini, nokuba unezinye izifo, ixabiso le-insulin, kunye nezinto ozithandayo.
2. I-insulin ehambelana nokutya (i-insulin emfutshane okanye ekhawulezayo)
Ugqirha wakho angabiza le insulin ye-bolus okanye i-insulin ye-prandial . Ezi zinikwa ngaphambi kwesidlo esiphambili ukunceda umzimba wakho ulawule ubungakanani beecarbohydrate ekutyeni okutyayo. Olu hlobo lwe-insulin longezwa xa i-insulin yosuku lonke ekhankanyiweyo apha ngasentla inganelanga.
Uwumisela njani umlinganiselo?
Umlinganiselo uxhomekeke kwizinto ezahlukeneyo: inqanaba leswekile egazini lakho, ubungakanani beecarbohydrates ekutyeni okutyayo, kunye nenqanaba lomsebenzi wakho.
- Idosi esisigxina:Ngokwesiqhelo, ungaqala ngeeyunithi ezi-4-6 uze unyuke ngeeyunithi ezi-2-3 rhoqo emva kweentsuku ezi-3 ude amazinga eswekile yakho alawuleke.
- Ukubala iiCarbohydrate: Le yindlela ephucukileyo kancinci. Apha, ubala idosi ye-insulin ngokusekelwe kubungakanani beecarbohydrate ozityayo.
- Ukuthatha i-overdose ngengozi.
- Ukudibanisa iintlobo ze-insulin ezisebenza ixesha elifutshane kunye ne-insulin ezisebenza ixesha elide.
- Ukutya isidlo esingenazo iicarbohydrate ezininzi kunye nokuthatha i-insulin eninzi .
- Ukulibala ukutya emva kokuthatha i-insulin.
- Ukuzilolonga ngaphezu kwesiqhelo kwaye unganciphisi umthamo wakho we-insulin ukuze ubuyisele umva.
- Uhlobo kunye nomthamo we-insulin zixhomekeke kuwe. Landela imiyalelo kagqirha wakho rhoqo. Musa ukuthelekisa umthamo wakho nowabanye abantu.
- Qonda umahluko phakathi kwe-insulin esebenza ixesha elide kunye ne-insulin esebenza ixesha elifutshane.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Musa ukoyika kwaye wazi kakuhle ukuba wenze ntoni kwimeko enjalo.
- Musa ukuthembela kwii-apps zefowuni ezingavunywanga nezingathenjelwanga ukubala iidosi ze-insulin.
- Jonga amanqanaba eswekile egazini lakho rhoqo. Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na utshintsho kunye nazo naziphi na izinto ezikuxhalabisayo.
Cinga ngale ndlela: Utya isilayi sepizza, kwaye ineegram ezingama-60 zeecarbohydrate. Ngokwesiqhelo, iyunithi enye ye-insulin esebenza ngokukhawuleza "igubungela" malunga neegram ezili-10-15 zeecarbohydrate. Masithi iigram ezili-10. Emva koko udinga malunga neeyunithi ezi-6 ze-insulin kweso silayi sepizza.
Olu mlinganiselo we-insulin-to-carb uyahluka ukusuka kumntu nomntu. Usenokutshintsha nangamaxesha ahlukeneyo emini. Kungoko ke, kubalulekile ukuthetha nogqirha wakho ukuze ufumane ifomyula efanelekileyo kuwe.
Kwenzeka ntoni ukuba idosi ye-insulin inyusiwe?
Ukuba uthatha i-insulin eninzi kakhulu, inqanaba leswekile egazini lakho linokuhla ngequbuliso libe phantsi ngendlela eyingozi. Oku kubizwa ngokuba yi -hypoglycemia . Le yimeko embi enokuba yingozi ebomini.
Yintoni ebangela ukwanda kwe-insulin?
| Iimpawu eziqhelekileyo zeswekile ephantsi egazini (iHypoglycemia) | |
|---|---|
| Ixhala | Intloko ebuhlungu |
| Isiyezi | Isicaphucaphu |
| Ukubetha kwentliziyo ngokukhawuleza | Ukuxinana |
| Ulusu olubilayo okanye olufumileyo | Indlala enkulu |
Into ebalulekileyo kukuba ezi mpawu zingahluka kumntu nomntu, ngoko ke qaphela indlela umzimba wakho oziva ngayo.
Yintoni omawuyenze ngoko nangoko ukuba iswekile yakho egazini iyehla
Eyona ndlela yokwazi ngokuqinisekileyo ukuba iswekile yakho iphantsi kukulinganisa inqanaba leswekile yakho ngoko nangoko ngeglucometer.
1. Ukuba inqanaba leswekile egazini lakho lingaphantsi kwe-70 mg/dL , yitya into eneswekile ngokukhawuleza. Umzekelo, yitya ithebhulethi yeglucose, isiqingatha seglasi yejusi yeziqhamo engenaswekile, okanye icephe lobusi. Oku kuya kunika malunga ne-15 grams yeecarbohydrates ezisebenza ngokukhawuleza.
2. Linda imizuzu eli-15.
3. Jonga kwakhona inqanaba leswekile egazini lakho.
4. Ukuba isesezantsi (ngaphezulu kwe-70 mg/dL), yitya into eneswekile kwakhona . Xa inqanaba leswekile yakho libuyele esiqhelweni, kungcono ukutya isidlo esincinci (umz., isilayi sesonka).
Ukuba oku kwenzeka rhoqo, okanye ukuba kuba nzima kangangokuba ulahlekelwe zingqondo, cela umntu ukuba akuse kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Ngaba ii-apps zingasetyenziselwa lo msebenzi?
Kukho ii-apps ezininzi ezithi ziyakunceda ukuba ufumane umlinganiselo we-insulin-to-carb yakho okanye ukubala idosi yakho ye-insulin. Kodwa uphando luka-2015 lufumanise ukuba uninzi lwazo alusebenzi kakuhle. Kuyingozi kakhulu. Ukuba unikwe idosi engalunganga, inokuba yingozi ebomini.
Ngoko ke, ukuba kufuneka usebenzise i-app, sebenzisa kuphela i-app ethembekileyo ecetyiswa ngugqirha wakho okanye yiklinikhi yesifo seswekile.
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