Unesifo seswekile, ngoko ke ugqirha wakho usenokuba ukunike inaliti ebizwa ngokuba yi-Insulin Degludec. Usenokuba uyazi ngegama elithi Tresiba. Olu luhlobo olutsha lwe-insulin olusebenza ixesha elide, phantse imini yonke. Ngoko ke namhlanje, masithethe ngezinto ezibalulekileyo ekufuneka uzazi malunga nokusebenzisa le nto.
Yintoni kanye kanye i-Insulin Degludec?
Ngamafutshane, i-Insulin Degludec liyeza elisetyenziselwa ukulawula isifo seswekile. Liyi-insulin esebenza ixesha elide. Oku kuthetha ukuba emva kokufakwa inaliti enye, inokugcina amanqanaba e-insulin afunekayo emzimbeni wakho kangangeeyure ezininzi. Oku kunciphisa amanqanaba eswekile (i-glucose) egazini lakho.
Khumbula, olu gonyo lodwa alwanelanga. Ngokwesiqhelo, kunye nolu nyango , ukutya okufanelekileyo kunye nokuzilolonga nako kubaluleke kakhulu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba uqale olu gonyo, kubalulekile ukuxelela ugqirha wakho ngemeko yakho yempilo, njengoko oku kuya kumisela idosi kunye nemiyalelo oza kuyinikwa.
| Imeko yakho | Kutheni kubalulekile ukuxelela ugqirha ? |
|---|---|
| Iziqendu ezihlala zikho zeswekile ephantsi egazini | Iidosi ze-insulin zinokunyusa ngakumbi umngcipheko we-hypoglycemia, ngoko ke kufuneka kuthathwe ingqalelo. |
| Izifo zamehlo okanye ukukhubazeka kokubona | Utshintsho kumanqanaba eswekile lunokuchaphazela ezinye izifo zamehlo. |
| Isifo sezintso | Xa izintso zingasebenzi kakuhle, indlela ekhutshwa ngayo i-insulin emzimbeni inokutshintsha, kwaye idosi inokufuneka ilungiswe. |
| Isifo sesibindi | Ekubeni isibindi sikwabandakanyeka kumsebenzi we-insulin, ugqirha kufuneka azi ngale nto. |
| Ukunganyamezelani ne-insulin okanye amanye amayeza okanye ukutya | Oku kubalulekile ukuthintela iimpembelelo ezimbi ze-allergy. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo | Iimfuno ze-insulin zitshintsha ngexesha lokukhulelwa nokuncancisa, ngoko ke kubalulekile ukuthetha nogqirha wakho ngale nto. |
Isetyenziswa njani kanye kanye le gonyo?
Olu tyando lunikwa phantsi kolusu (inaliti engaphantsi kolusu). Ugqirha wakho okanye umongikazi weklinikhi yesifo seswekile uza kukubonisa indlela yokulunika ngqo.
- Sebenzisa idosi echanekileyo. Ungaze uthathe okungaphezulu koko ugqirha wakho akuxelele kona.
- Jonga imbonakalo ye-insulin. Eli yeza kufuneka licace kwaye lingabi nambala, njengamanzi. Musa ukulisebenzisa ukuba linamafu, lijiyile, linombala, okanye linamaqhuma kulo.
- Musa ukuxuba nezinye ii-insulin. Akuvumelekanga ngokupheleleyo ukuxuba olu hlobo lwe-Insulin Degludec nezinye iintlobo ze-insulin kwisirinji enye.
- Ukuba yipeni ye-insulin: Ungalibali ukususa isiciko senaliti engaphandle kwinaliti ngaphambi kokuba uyisebenzise.
- Iinaliti ezisetyenzisiweyo: Ezi naliti mazilahlwe ngononophelo olukhulu. Beka iinaliti ezisetyenzisiweyo kunye neesirinji kwisitya esibukhali. Ungaze uzilahle emgqomeni wenkunkuma. Ukuba awunayo, buza ugqirha wakho ukuba ungayifumana njani.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, ungoyiki. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa lidosi leyeza?
- Kwabantu abadala: Ukuba uphoswe yidosi, fumana igonyo ngokukhawuleza xa ukhumbula. Kodwa kufuneka kubekho ubuncinane isithuba seeyure ezisi-8 phakathi kwedosi yakho elandelayo.Ungaze uthathe iidosi ezimbini ngaxeshanye.
- Kubantwana nakubantu abadala abancinci: Ugqirha wakho uza kukunika isicwangciso sento omawuyenze ukuba uphoswe yi-aphoyintimenti. Landela eso sicwangciso ngokuchanekileyo.
Ezinye izinto ezinokusebenzisana nale mithi
Kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo, kungekuphela nje amayeza kagqirha, kodwa kunye nemithi yokunciphisa iintlungu ethengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye nezongezo zemifuno, njengoko ezinye zezi zinto zinokuchaphazela indlela esebenza ngayo i-insulin.
Ngezantsi kukho ezinye zezinto ezinjalo:
- Utywala: Utywala bunokubangela ukuba amanqanaba eswekile egazini ehle okanye anyuke ngokungalindelekanga.
- Amanye amayeza eswekile: Umngcipheko wokuba neswekile ephantsi egazini (hypoglycemia) uyanda xa usetyenziswa kunye nala mayeza.
- Amanye amayeza oxinzelelo lwegazi oluphezulu (iiBeta-blockers): La mayeza anokufihla iimpawu zeswekile ephantsi egazini (ezifana nokuqhaqhazela, ukunyuka kwesantya sentliziyo), ngoko ke unokufumana iswekile ephantsi egazini ungaqondanga.
- Iipilisi zokunciphisa iintlungu (ii-NSAID): Amayeza afana ne-ibuprofen kunye ne-naproxen.
- IiSteroids: Amayeza afana nePrednisone anokunyusa amanqanaba eswekile egazini.
- Amanye amayeza e-asthma, ukukhwehlela, kunye nomkhuhlane.
- Ukutshaya.
Olu luhlu aluphelelanga, ngoko qiniseka ukuba uxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza
- Ukuhlolwa rhoqo: Ungaphoswa kukudibana nogqirha wakho ekliniki. Kubalulekile ukujonga inkqubela yakho.
- Uvavanyo lwe-HbA1C: Olu luvavanyo lwegazi olulula olubonisa indlela isifo sakho seswekile esilawuleke ngayo kwiinyanga ezi-2-3 ezidlulileyo.
- Ukulinganisa amanqanaba eswekile egazini: Funda indlela yokulinganisa amanqanaba eswekile egazini lakho ekhaya. Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nento omawuyenze ngazo.
- Gcina into emnandi kufutshane: Soloko ugcina into yokutya ngokukhawuleza (umz., iityhubhu zeswekile, itofi, iipilisi zeglucose) kufutshane ukuba uziva iimpawu zeswekile ephantsi egazini.
- Musa ukutsiba ukutya: Yitya ngexesha elifanelekileyo.
- Ikhadi lokuzazisa: Ukunxiba ikhadi okanye isongo esichaza ukuba unesifo seswekile kwaye uhlobo kunye nomthamo we-insulin oyithathayo kubaluleke kakhulu xa kukho imeko engxamisekileyo.
Kubaluleke kakhulu: Ungaze wabelane ngepeni okanye ikhatriji yakho ye-insulin nomnye umntu . Nokuba utshintsha inaliti, kukho umngcipheko omkhulu wokudlulisela izifo eziyingozi zentsholongwane ezifana neHepatitis okanye i-HIV.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga kwabanye abantu.
| Iintlobo zeziphumo ebezingalindelekanga | |
|---|---|
| Izinto omele uzixelele ugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukungcangcazela, ukubila, ukuziva usoyika, ukuziva ubanda, isiyezi, ukubetha kwentliziyo ngokukhawuleza. |
| Amanqanaba aphantsi e-potassium | Intlungu okanye ukuqina kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Izinto omele uzixelele ugqirha wakho ukuba azisoloko zimbi, kodwa ziqhubeka | |
| I-Lipodystrophy | Ukujiya kwezicubu ezingaphantsi kwesikhumba okanye amanxeba kwindawo ehlatywe kuyo inaliti. (Ukuthintela oku, tshintsha indawo ehlatywe kuyo inaliti rhoqo.) |
| Utshintsho kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukudumba okuncinci. |
| Ukutyeba kwakho | Abanye abantu banokwanda ubunzima emva kokuqalisa i-insulin. |
Ungayigcina njani imithi?
I-insulin liyeza ekufuneka ligcinwe kakuhle, kungenjalo lisenokulahlekelwa kukusebenza kwalo.
Iibhotile neePeni ezingavulwanga
- Eyona ndlela ilungileyo: Gcina kwishelufu engaphakathi yefriji, hayi emnyango, kubushushu obuphakathi kwe-2 kunye ne-8 degrees Celsius.
- Enye indlela: Ungayigcina nakwiqondo lobushushu begumbi (ngaphantsi kwama-30 degrees Celsius).
- Ungaze uyifake efrijini. Musa ukusebenzisa i-insulin eqandisiweyo.
- Lahla emva komhla wokuphelelwa.
Iibhotile neePeni ezisetyenziswa rhoqo
- Ungagcina ibhotile okanye ipeni oqale ukuyisebenzisa efrijini okanye kubushushu begumbi (ngaphantsi kwama-30 degrees Celsius).
- Okona kubaluleke kakhulu: Ifanele ilahlwe zingadlulanga iintsuku ezingama-56 (iiveki ezi-8) emva kokusetyenziswa kwayo okokuqala. Akunamsebenzi nokuba kukho nayiphi na i-insulin eseleyo ngaphakathi, yilahle nje.
- Gcina kude nelanga elithe ngqo kunye nobushushu obugqithisileyo.
Umyalezo Wokuya Ekhaya
- I-Insulin Degludec yi-insulin esebenza ixesha elide. Musa ukuyixuba nezinye iintlobo ze-insulin kwisirinji efanayo.
- Soloko uqinisekisa ukuba isisombululo se-insulin sicacile kwaye asinambala phambi kokuba uyisebenzise.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kwaye soloko ugcina into emnandi kufutshane.
- Ungaze wabelane ngepeni okanye iinaliti zakho ze-insulin nabanye abantu.
- Gcina i-insulin ngokuchanekileyo. Yilahle emva kweentsuku ezingama-56 zokusetyenziswa.
- Ukuba unemibuzo okanye unenkxalabo malunga nale mithi, thetha nogqirha wakho.
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