Ukusebenzisa i-insulin kwisifo seswekile ngamanye amaxesha kunokubonakala kunzima. Kukho iintlobo ezahlukeneyo ze-insulin. Namhlanje sithetha ngenye yazo, i-Insulin Detemir. Ugqirha wakho usenokuba ukuxelele ukuba uyisebenzise le. Ikwabizwa ngegama lebrendi iLevemir. Ngoko ke, makhe sijonge ukuba yintoni, isetyenziswa njani kanye kanye, kunye noko kufuneka ukwazi.
Yintoni i-Insulin Detemir?
Ngamafutshane, i-Insulin Detemir luhlobo lwe-insulin esetyenziselwa ukunyanga isifo seswekile. Ngokukodwa, yi -insulin esebenza ixesha elide . Ngamanye amaxesha ibizwa ngokuba yi-'basal insulin'.
Kuthetha ukuthini oko? Xa uthatha le injection, ayisebenzi ngaxeshanye. Endaweni yoko, ikhupha i-insulin emzimbeni wakho kancinci kancinci kangangeeyure ezithile. Oku kunceda ukulawula nokuzinzisa amanqanaba eswekile egazini lakho imini nobusuku, njenge-insulin eveliswa yimizimba yethu ngokwendalo.
Into ebalulekileyo kukuba i-insulin yodwa ayanelanga. Ukutya kunye nokuzilolonga, njengoko ugqirha wakho ekucebisa, nazo ziyinxalenye yolu nyango.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Xa uxoxa ngale mithi nogqirha wakho, kubaluleke kakhulu ukunika inkcazo epheleleyo yempilo yakho. Qiniseka ukuba ukhankanya oku kulandelayo:
- Ukuba uneziqendu ezihlala zikho zeswekile ephantsi egazini .
- Ukuba unesifo samehlo okanye iingxaki zokubona.
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba ukhe waba ne-allergy kwi-insulin, amanye amayeza, ukutya, iidayi, okanye izithinteli kwixesha elidlulileyo.
- Ukuba ukhulelwe, okanye ulindele umntwana .
- Ukuba ungumama oncancisayo .
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba unyango olufanelekileyo kuwe.
Ndingayifaka njani le naliti ngokuchanekileyo?
Le yinaliti phantsi kolusu. Ugqirha okanye umongikazi wakho uza kukubonisa ngqo indlela yokuyinika.
- Ngexesha: Kubaluleke kakhulu ukuthatha inaliti ngexesha elifanayo yonke imihla.
- Musa ukuyixuba: Ungaze uyixube i-Insulin Detemir nayo nayiphi na enye i-insulin kwisirinji efanayo.
- Musa ukushukumisa: Musa ukushukumisa ibhotile ye-insulin okanye ipeni ngamandla ngaphambi kokuba uyisebenzise.
- Jonga inkangeleko: Soloko ujonga inkangeleko ye-insulin phambi kokuba uyisebenzise. Mayibe lulwelo olucacileyo, olungenambala, olufana namanzi . Musa ukuyisebenzisa ukuba ibonakala inamafu, ityebile, itshintshile umbala, okanye inamasuntswana kuyo.
- Ukususa inaliti: Ukuba usebenzisa ipeni ye-insulin, khumbula ukususa isiciko senaliti engaphandle ngaphambi kokuba uthathe idosi yakho.
- Ukulahla iinaliti: Musa ukuphosa iinaliti ezisetyenzisiweyo kunye neesirinji enkunkuma. Zifanele zibekwe kwisitya esibukhali. Ukuba awunayo, buza ugqirha wakho malunga nendlela yokuzifumana.
Yintoni omawuyenze ukuba uphoswe yidosi?
Kubaluleke kakhulu ukuba ungaphoswa yidosi. Kodwa ukuba uyaphoswa, ugqirha wakho uya kube ekunike imiyalelo yokuba wenze ntoni kwimeko enjalo. Landela loo cwangciso. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi elibalekileyo.
Kuthekani ukuba idosi inyusiwe?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, thatha inyathelo ngokukhawuleza. Ungafowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo , okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ezinye izinto ezinokusebenzisana nale mithi
Kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo, iivithamini, iimveliso zezityalo, yonke into. Kuba ezinye izinto zinokuchaphazela indlela esebenza ngayo i-insulin. Oko kuthetha ukuba amanqanaba eswekile egazini lakho anokuba phantsi kakhulu okanye aphakame kakhulu.
Itheyibhile engezantsi ibonisa ezinye zezinto ezinokungqubana noko.
| Udidi lweziyobisi/iziyobisi | Imizekelo kunye noko kufuneka ukwazi |
|---|---|
| Amanye amayeza eswekile | Amayeza afana neGlyburide, iGlipizide, kunye neMetformin. Ukuwasebenzisa kunye kwandisa umngcipheko weswekile ephantsi egazini. |
| Utywala | Utywala bunokubangela utshintsho olungalindelekanga kumanqanaba eswekile egazini. Buza ugqirha wakho ngale nto. |
| Amayeza oxinzelelo lwegazi/isifo sentliziyo | Amayeza anjenge-beta-blockers (umz. iMetoprolol, iPropranolol) anokunceda ekuthinteleni iimpawu zeswekile ephantsi egazini (ukubetha kwentliziyo). |
| Izibulali-ntlungu | Ii-NSAID (umz., i-Ibuprofen, i-Naproxen), amayeza afana ne-aspirin. |
| IiSteroids | Amayeza anjengePrednisone kunye neCortisone anokunyusa amanqanaba eswekile egazini. |
| Okunye | Iipilisi zokulawula ukuzala, iihomoni ze-thyroid, amayeza athile okugula ngengqondo, kunye nezinye iziraphu zomkhuhlane/ukukhwehlela. |
Olu luhlu aluphelelanga, ngoko ke xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa i-insulin
- Ukuhlolwa rhoqo: Ndwendwela ugqirha wakho ngeentsuku ezimiselweyo ukuze ahlole imeko yakho. Uza kwenza uvavanyo lwegazi olubizwa ngokuba yi -HbA1C rhoqo emva kweenyanga ezi-2-3 ukuze abone ukuba iswekile yakho ilawulwa kakuhle kangakanani na.
- Vavanya iswekile yakho yegazi: Funda indlela yokuvavanya iswekile yakho yegazi ekhaya. Yazi iimpawu ze-hypoglycemia kunye ne-hyperglycemia, kunye nento omawuyenze ngazo.
- Gcina iswekile kufutshane: Soloko ugcina itofi, ityhubhu yeswekile, okanye ithebhulethi yeswekile kufutshane ukuze uyitye ngokukhawuleza xa ufumanisa iimpawu zeswekile ephantsi egazini.
- Ungaze wabelane: Ungaze wabelane ngepeni yakho ye-insulin okanye ikhatriji nomnye umntu. Nokuba utshintsha inaliti, usenokusasaza iintsholongwane ezifana neHepatitis okanye i-HIV.
- Isazisi Sezonyango: Ukunxiba okanye ukuphatha isongo okanye ikhadi elichaza imeko yakho yezonyango, amayeza kunye nomthamo kubaluleke kakhulu xa kukho imeko engxamisekileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?
Njengayo nayiphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga.
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukungcangcazela, ukubila, ukungazinzi, ulusu olubandayo, isiyezi, ukubetha kwentliziyo ngokukhawuleza. |
| Amanqanaba e-potassium anciphileyo | Intlungu okanye ukuqina kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Utshintsho kwindawo yokufaka inaliti (iLipodystrophy) | Ukujiya kwezicubu ezingaphantsi kolusu, amanxeba, okanye amaqhuma kwindawo yokutofa. |
| Intlungu kwindawo yokutofa | Ububomvu, iintlungu, okanye ukudumba okuncinci kwindawo yokutofa. |
| Ukutyeba kwakho | Abanye abantu banokubona ukunyuka kwesisindo. |
Ndingaligcina njani iyeza?
I-insulin liyeza ekufuneka ligcinwe kakuhle, kungenjalo lisenokulahlekelwa kukusebenza kwalo.
Iibhotile neePeni ezingavulwanga
- Eyona ndlela ilungileyo: Gcina emnyango wefriji. Kodwa ungaze uyibeke efrijini. Musa ukusebenzisa i-insulin eqandisiweyo.
- Ubushushu begumbi:Ukuba awukwazi ukuyibeka efrijini, ungayigcina kubushushu begumbi (ngaphantsi kwama-30 degrees Celsius). Nangona kunjalo, ukuba uyayenza, kufuneka uyisuse emva kweentsuku ezingama-42 .
- Ukuba umhla wokuphelelwa kwawo udlulile, yilahle ngaphandle kokuyisebenzisa.
Iibhotile neePeni ezisetyenziswa rhoqo
- Gcina ibhotile okanye ipeni osandul’ ukuyisebenzisa kubushushu begumbi . Musa ukuyibuyisela efrijini emva kokuyisebenzisa.
- Gcina kude nelanga elithe ngqo kunye nobushushu obugqithisileyo.
- Okona kubaluleke kakhulu: Ufanele ulahle ibhotile okanye ipeni oqale ukuyisebenzisa emva kweentsuku ezingama-42 . Akunamsebenzi nokuba kukho iyeza eliseleyo kuyo.
Umyalezo Wokuya Ekhaya
- I-Insulin Detemir yi-insulin esebenza ixesha elide elawula amanqanaba eswekile egazini lakho imini yonke.
- Sela idosi emiselweyo kanye njengoko ugqirha wakho ekuxelele, ngexesha elimiselweyo. Ungaze uyiphindaphinde kabini idosi.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, kuquka neevithamini.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcina into efana ne-candy bar kufutshane.
- Ungaze wabelane ngepeni yakho ye-insulin okanye isirinji nomnye umntu.
- Gcina i-insulin ngendlela efanelekileyo. Lahla zingadlulanga iintsuku ezingama-42 emva kokusetyenziswa.
- Ukuba unengxaki okanye ingxaki, ungoyiki ukuyixoxa nogqirha wakho.
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