Xa uphila neDiabetes Mellitus, ukujova i-insulin kuye kwaba yinxalenye yobomi bemihla ngemihla kwabanye abantu. Ukufumana inaliti yonke imihla ngaphambi kokuba utye nokuzilungiselela kuyingxaki enkulu. Kwabanye, nokubona ezi naliti kuyaboyikisa. Ngaba wakha wacinga, "Bekuya kuba mnandi kangakanani ukuba bekukho indlela elula yokusebenzisa i-insulin ngaphandle kokukhathazeka ngayo yonke imihla?" Kaloku, namhlanje sithetha ngento enokuba sisisombululo. Oko yi-insulin ephefumliweyo, okanye i-Inhaled Insulin .
Yintoni i-Insulin efuthwe yi-Inhaled?
Ngamafutshane, le yi-insulin efanayo. Kodwa kungekhona njengenaliti, kodwa njengomgubo . Sisebenzisa isixhobo esifana ne-inhaler esetyenziswa ngabantu abane-asthma, le powder ye-insulin ifuthwa emzimbeni ngokungathi siyaphefumla.
Khawucinge nje, xa ufumana inaliti, i-insulin ingena kumaleko wamafutha phantsi kolusu, ize isuke apho ingene egazini kancinci kancinci. Ithatha malunga nemizuzu engama-90 ukuya kwengama-120. Kodwa le insulin iphefumlwayo iya ngqo emiphungeni. Imiphunga yethu yindawo enemithambo yegazi emininzi emincinci, apho izinto zinokufunxwa khona ngokukhawuleza. Ngoko ke le mpuphu ye-insulin ingena egazini ngokukhawuleza kwaye iqala ukusebenza. Idla ngokuqala ukusebenza kwincopho yayo kwimizuzu engama-45.
Enye yezona nzuzo zinkulu zoku kukuba isebenza ngesantya esifana kakhulu nesantya esebenza ngaso i-insulin emzimbeni womntu onesifo seswekile. Ke ngoko, ulawulo lweswekile egazini lwenzeka ngokwendalo.
Ndiyisebenzisa njani le nto? kwaye ndiyigcina njani?
Xa uqala olu nyango, ugqirha wakho uza kukuxelela ngqo indlela yokusebenzisa i-inhaler kunye nomthamo owufunayo. Idla ngokuthathwa ngaphambi kokutya okuphambili.
Kusetyenziswa kwanjani:
1. Okokuqala, khupha umoya omninzi kangangoko unako kwimiphunga yakho.
2. Emva koko, faka umlomo we-inhaler emlonyeni wakho uze uphefumle nzulu .
3. Emva kokuphefumla, zama ukubamba umphefumlo wakho ixesha elide kangangoko unako.
4. Emva koko phefumla ngendlela eqhelekileyo.
Eyona nto ibalulekileyo kukusebenzisa amayeza kanye njengoko ugqirha wakho ekuyalele, ngokwemilinganiselo ecetyiswayo. Ukuba unemibuzo, thetha nogqirha wakho ngayo.
Indlela yokugcina:
- Iikhatriji ezingasetyenziswanga nezivaliweyo kunye nee-inhalers zingagcinwa efrijini okanye kubushushu begumbi.
- Ukuba uqala ukusebenzisa i-inhaler , kufuneka uyilahle emva kweentsuku ezili-15.
- Ukuba ikhatriji ishiywe kubushushu begumbi, Sebenzisa zingakapheli iintsuku ezili-10. Ukuba igcinwe efrijini, ingasetyenziswa kude kube ngumhla wokuphelelwa.
Zithini iingenelo zale ndlela?
Le ndlela ineenzuzo ezininzi ngaphezu kokufakwa kwe-insulin. Masibone ukuba zeziphi.
| Inzuzo | Inkcazo |
|---|---|
| Akukho mfuneko yokubhoboza imingxunya. | Le yeyona nzuzo inkulu. Le yintuthuzelo enkulu kwabo boyika iinaliti kwaye kunzima ukuzigqobhoza yonke imihla. |
| Ukuphunyezwa ngokukhawuleza | Xa ithathwa ngaphambi kokutya, iqala ngokukhawuleza ukulawula amanqanaba eswekile egazini. |
| Kulula ukuyisebenzisa | I-inhaler incinci, ngoko ke kulula ukuyithatha naphi na. Ayifuni kulungiswa kakhulu njengokulungiselela isitofu sokugonya. Ingasetyenziswa ngaphandle kokuba umntu ayibone. |
| Umngcipheko ophantsi we-hypo | Umngcipheko we-hypoglycemia ubonakalisiwe uphantsi kunakwiintlobo ezithile zemithi yokugonya. |
| Inganceda ekulawuleni ubunzima | Ezinye izifundo zibonise ukuba oku kunokunceda ekulawuleni ukutyeba okungafunekiyo. |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga? Masiqaphele!
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi emincinci kunye neemeko ezinzulu ezifuna ingqalelo.
| Uhlobo lwesiphumo esibi | Iimpawu ezinokwenzeka |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukukhwehlela, intloko ebuhlungu, isicaphucaphu (ukuphazamiseka kwesisu), ukuziva ulambile ngaphezu kwesiqhelo, ukudinwa, ukungcangcazela, ukubila. |
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzazi | |
| Iimeko ezifuna ingcebiso yezonyango ngokukhawuleza | Ubunzima bokuphefumla, ubunzima bokuginya, ukurhawuzelela okanye ukurhawuzelela, ukubetha kwentliziyo ngokukhawuleza, ukudumba kwamalungu okanye ubuso, ukutyeba ngokukhawuleza, ukudinwa kakhulu, kunye nokudideka. Ukuba ufumana into efana nale, bonana nogqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane. |
Ngaba oku akubafanele bonke abantu?
Ewe, oku akufanelanga wonke umntu. Kukho izinto ezimbalwa ekufuneka uzikhumbule, ingakumbi.
- Oku akufanelekanga kubantu abane-asthma.
- Oku akufanelekanga nakubantu abanezinye izifo zemiphunga ezingapheliyo ezifana neCOPD (Chronic Obstructive Pulmonary Disease) .
Isizathu kukuba le insulin powder ngamanye amaxesha inokubangela ukuqina ngequbuliso kwendlela yomoya emiphungeni (bronchospasm). Oku kunokuba yingozi kakhulu kubantu abanezifo ezifana ne-asthma. Ke ngoko, ngaphambi kokuba uqale olu nyango, ugqirha wakho unokwenza uvavanyo lokujonga ukusebenza kwemiphunga yakho (spirometry).
Iintlobo ezithengiswayo kunye noko kufuneka ukwazi
Bekukho i-insulin ephefumlwayo ebizwa ngokuba yi-`(Exubera)`, kodwa yarhoxiswa kwimarike ngenxa ye-inhaler yayo enkulu kunye nezinye iingxaki. Uhlobo olusetyenziswayo ngoku kwihlabathi yi-`(Afrezza)`.
Nangona kunjalo, kukho izinto ezimbini ezibalulekileyo ekufuneka uzazi ngale nto:
1. Ayisiyo imeko kaxakeka:Ayinakusetyenziswa kwiimeko ezingxamisekileyo, ezinzulu ezifana ne-diabetesic ketoacidosis (DKA), xa kufuneka i-insulin efakwa ngokukhawuleza.
2. Ayinakusetyenziswa endaweni ye-insulin esebenza ixesha elide (i-basal insulin): Abantu abanesifo seswekile sohlobo 1 okanye abanye abantu abanesifo seswekile sohlobo 2 bafuna inaliti ye-insulin esebenza ixesha elide (i-basal insulin) esebenza imini yonke. Le insulin iphefumlwayo igubungela kuphela amanqanaba eswekile eza nokutya. Ke ngoko, inaliti yakho ye-insulin esebenza ixesha elide ayinakuyekiswa ngenxa yoku.
Ekugqibeleni, kuxhomekeke kugqirha wakho ukuba agqibe ukuba oku kulungile na kuwe. Uza kukunceda wenze isigqibo esifanelekileyo ngokusekelwe kwimpilo yakho, indlela ophila ngayo, kunye nendlela elawulwa ngayo isifo sakho seswekile.
Umyalezo Wokuya Ekhaya
- I-insulin efunxwayo luhlobo lwe-insulin esebenza ngokukhawuleza oluza ngendlela yomgubo kwaye lungasetyenziswa endaweni yeenaliti zesifo seswekile.
- Eyona nzuzo inkulu yoku kukuba ayifuni zikhonkwane kwaye kulula ukuyisebenzisa.
- Oku akufanelekanga konke konke kubantu abanezifo zemiphunga ezifana ne-asthma okanye i-COPD.
- Oku kuhlawula kuphela iimfuno ze-insulin ezinxulumene nokutya. Kufuneka uqhubeke ufumana inaliti yakho ye-insulin yexesha elide (basal).
- Njengakwezinye iindlela zonyango ezintsha, kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na iingxaki onokuba nazo ngaphambi kokuba uqale ukusebenzisa nangaphambi kokuba usebenzise.
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