Ngaba uthatha i-insulin ukulawula isifo sakho seswekile? Ukuba kunjalo, ugqirha wakho usenokuba ukunike inaliti ebizwa ngokuba yi-Insulin Glargine. Eli gama lisenokuvakala linzima, kodwa ungakhathazeki. Namhlanje, siza kuthetha ngale mithi, indlela esebenza ngayo, indlela yokuyisebenzisa ngokufanelekileyo, kunye noko kufuneka ukwazi ngendlela elula neqondakalayo.
Ngamafutshane, yintoni i-Insulin Glargine?
I-insulin glargine luhlobo olukhethekileyo lwe-insulin esetyenziselwa ukunyanga isifo seswekile. Isebenza ngendlela efanayo ne-insulin hormone emizimbeni yethu. Okuyenza ibe yekhethekileyo kukuba yi -insulin "esebenza ixesha elide" . Oku kuthetha ukuba emva kokuba uyijovile, ayisebenzi yonke ngaxeshanye. Endaweni yoko, ikhupha i-insulin kancinci kwaye ngesantya esifanayo kwixesha elimalunga neeyure ezingama-24. Njengokuba i-pancreas yethu ngokwendalo ikhupha inani elincinci le-insulin imini yonke. Oku kukwabizwa ngokuba yi -basal insulin .
Eyona nzuzo iphambili yoku kukuba inceda ekulawuleni amanqanaba eswekile egazini lakho (iglucose egazini) imini yonke. Ngokwesiqhelo, ugqirha uya kukucebisa ukuba utshintshe indlela otya ngayo kwaye uzilolonge kunye nale mithi. Kuxa nisenza zonke ezi zinto kunye apho ninokufumana iziphumo ezilungileyo.
Izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza zezi:
Ngaphambi kokuba uqale ukuthatha i-insulin glargine, kubaluleke kakhulu ukuxelela ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo, njengoko olu lwazi luza kumisela idosi kunye nemiyalelo oza kuyinikwa.
Khumbula, musa ukumfihlela ugqirha wakho nantoni na. Nokuba yinto encinci inokuba yinto ebalulekileyo kunyango lwakho.
Ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba wazise ugqirha wakho ngayo.
| Imeko yempilo okanye ithuba | Kutheni oko kubalulekile? |
|---|---|
| Isifo sezintso | Njengoko ukusebenza kwezintso kuncipha, indlela ekhutshwa ngayo i-insulin emzimbeni inokutshintsha. Ke ngoko, umthamo wamayeza unokufuneka utshintshwe. |
| Isifo sesibindi | Isibindi yindawo apho umzimba wethu ugcina khona kwaye uvelisa iswekile. Ukuba kukho ingxaki ngesibindi, iimfuno ze-insulin zinokutshintsha. |
| Ukuba amanqanaba eswekile egazini lakho aphantsi (hypoglycemia) | Ukuba uneswekile ephantsi rhoqo, inokunyuka nangakumbi xa uqala ukuthatha i-insulin. Ngoko ke kubalulekile ukuba uqaphele oku kwangaphambili. |
| Ukukhubazeka kokubona | Udinga ukubona kakuhle ukuze ulinganise ngokuchanekileyo ii-milliliters kwi-insulin vial kunye nesirinji. Ukuba uneengxaki zokubona, nceda usazise. |
| Ukunganyamezelani kwamanye amayeza, ukutya okanye izinto | Oku kubalulekile ukwazi ukuba une-allergy kwi-insulin okanye nantoni na equlethwe yiyo. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Iimfuno ze-insulin ziyatshintsha ngexesha lokukhulelwa, ngoko ke kubalulekile ukuxelela ugqirha wakho ngale nto. |
| Ukuba uncancisa umntwana wakho (Ukuncancisa) | Iidosi ze-insulin nazo zingadinga ukulungiswa ngexesha lokuncancisa. |
Ndingayisebenzisa njani kanye kanye le yeza?
Eyona nto ibalulekileyo kukufaka i-insulin ngokuchanekileyo. Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokwenza oku. Landela loo miyalelo ngokuchanekileyo.
Inyathelo 1: Ukujonga i-insulin
Soloko ujonga i-insulin vial ngaphambi kokuba uyifake. I-insulin glargine lulwelo olucacileyo, olungenambala, olufana namanzi . Ungaze uyisebenzise ukuba inamafu, amafu, okanye itshintshile umbala. Kwakhona, soloko ujonga igama kunye nomhla wokuphelelwa kwi-vial.
Inyathelo lesi-2: Ukukhetha indawo yokugonya
Olu gonyo lunikwa kwizicubu ezingaphantsi kolusu, umaleko onamafutha phantsi kolusu. Iindawo ezilungileyo zokugonya zezi:
- Indawo ejikeleze iqhosha lesisu (malunga nee-intshi ezi-2 ngaphantsi kweqhosha lesisu)
- Umqolo ongasentla wengalo
- Iindawo eziphezulu nezecala zethanga
Kubalulekile: Musa ukuhlafuna kwiindawo ezonakeleyo, ezikrwitshiweyo, ezidumbileyo, ezinamaqhuqhuva, okanye ezinolusu olujiyileyo.
Inyathelo lesi-3: Ukujikeleziswa kweNdawo
Oku kubaluleke kakhulu. Musa ukujova kwindawo enye yonke imihla . Ukuba wenza njalo, umaleko wamafutha phantsi kolusu unokuba mkhulu uze wenze amaqhuma. Oku kubizwa ngokuba yi-`(Lipodystrophy)`. Ukuba oku kuyenzeka, i-insulin efakwe kuloo ndawo ayizukufunxwa kakuhle. Ngoko ke, gcina incwadi encinci uze uphawule iindawo ozijovile kuzo. Umzekelo, ukuba ujove kwicala lasekunene lesisu kule veki, jova kwicala lasekhohlo ngosuku olulandelayo. Emva koko uye ethangeni. Nokuba yindawo efanayo, jova malunga ne-intshi ukusuka apho ujove khona ngosuku oludlulileyo.
Inyathelo lesi-4: Ukulahla iinaliti neesirinji ezisetyenzisiweyo
Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Zinokuba yingozi kwabanye. Kukho izikhongozeli zeplastiki ezikhethekileyo ('izikhongozeli ezibukhali') zezi. Buza ugqirha wakho ukuba ungazifumana njani.
Eli yeza ngamanye amaxesha linikwa abantwana abangaphezu kweminyaka emi-6 ubudala, kodwa oku kugqitywa ngugqirha wabantwana.
Kuthekani ukuba usela amayeza amaninzi kakhulu? Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele esikufutshane ngoko nangoko . Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo .
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha inaliti yakho ye-insulin ngexesha elimiselweyo, ungoyiki. Khumbula, ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyiphosileyo. Ukwenza njalo kunokubangela ukuba iswekile yakho yegazi yehle kakhulu, nto leyo enokuba yingozi. Ukuba uphoswe yidosi, fowunela ugqirha wakho ukuze akucebise. Uza kukuxelela into omawuyenze ngokulandelayo.
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
Xa uthatha unyango lwe-insulin, kufuneka ulumke kakhulu ngendlela ophila ngayo.
- Jonga amanqanaba eswekile egazini lakho rhoqo: Sebenzisa isixhobo sokulinganisa iswekile egazini ekhaya kwaye ujonge amanqanaba eswekile egazini lakho rhoqo njengoko kuyalelwe ngugqirha wakho. Gcina irekhodi lamanqanaba eswekile egazini lakho.
- Lumka xa i-hypoglycemia iphezulu: Oku kwenzeka xa amanqanaba eswekile egazini ehla kakhulu. Le yeyona meko iyingozi kakhulu enokwenzeka kumntu osebenzisa i-insulin.Iimpawu ziquka ukubila , ukungcangcazela, indlala enkulu, ukubetha kwentliziyo ngokukhawuleza, ixhala, isiyezi, kunye nokudideka.
- Soloko ugcina into emnandi nawe: Soloko ugcina into emnandi nawe, efana ne -glucose toffee, ipakethi yeswekile, isiselo esineswekile, okanye ijusi yeziqhamo, ukuze uyitye kwangoko nje ukuba uzive iimpawu zeswekile ephantsi egazini. Ukuba ulahlekelwa zingqondo ngenxa yeswekile ephantsi egazini, musa ukufaka nto emlonyeni wakho. Yiya esibhedlele ngoko nangoko.
- Lumka nge-hyperglycemia: Oku kukunyuka kwamanqanaba eswekile egazini. Iimpawu ziquka ukoma kakhulu , ukuchama rhoqo, ukudinwa kakhulu, kunye nokungaboni kakuhle . Xelela ugqirha wakho ukuba unayo nayiphi na kwezi mpawu.
- Lumka ngeentsuku zokugula: Xa unesifo esifana nomkhuhlane, umkhuhlane, okanye isifo sohudo, amanqanaba eswekile egazini lakho anokunyuka ngenxa yotshintsho lwehomoni emzimbeni wakho. Buza ugqirha wakho ukuba ufuna ukulungelelanisa umthamo wakho we-insulin ngeentsuku ezinjalo.
- Musa ukutsiba ukutya: Ukuba uthatha i-insulin uze ungatyi, iswekile yakho egazini inokwehla kakhulu. Yitya ukutya ngexesha elifanelekileyo.
- Nxiba isazisi sezonyango: Soloko uphatha isongo okanye ikhadi elichaza ukuba uthatha i-insulin yesifo seswekile. Ingasindisa ubomi bakho xa kukho imeko engxamisekileyo.
- Uvavanyo lwe-HbA1C: Ugqirha wakho uza kukucela ukuba wenze uvavanyo lwegazi olubizwa ngokuba yi-``(HbA1C)``` phantse kube kanye kwiinyanga ezi-3. Oku kunokukunceda ubone ukuba umlinganiselo wolawulo lweswekile egazini lakho ube njani kwiinyanga ezi-2-3 ezidlulileyo.
Ngaba kukho iingxaki ngamanye amayeza? (Iindlela esetyenziswa ngayo)
Ewe, amanye amayeza anokusebenzisana ne-insulin aze achaphazele amanqanaba eswekile egazini lakho. Amanye amayeza anyusa amanqanaba eswekile egazini lakho, ngelixa amanye ehlisa. Kwakhona, kukho amanye amayeza athintela iimpawu zeswekile ephantsi egazini (hypoglycemia). Ngoko ke usenokungaziva ngathi uneswekile ephantsi egazini.
Ngoko ke, xelela ugqirha wakho malunga neminye imithi oyithathayo (kuquka iivithamini, amayeza esintu, kunye nezongezo) .
| Impembelelo | Umzekelo, amayeza |
|---|---|
| Amayeza anokuchaphazela amanqanaba eswekile egazini | |
| Amanye amayeza oxinzelelo lwegazi oluphezulu | Umzekelo: i-enalapril, i-losartan |
| Iintlobo ze-steroids | Umzekelo: i-prednisolone, i-cortisone |
| Iziyobisi zomchamo | Umzekelo: i-hydrochlorothiazide |
| Amayeza kwezinye izifo zengqondo | Umzekelo: i-fluoxetine, i-olanzapine |
| Utywala | Utywala bunokwehlisa okanye bonyuse amanqanaba eswekile egazini ngokungalindelekanga. |
| Amayeza anokufihla iimpawu ze-hypoglycemia | |
| Iintlobo ze-beta-blockers | La ngamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo. Umzekelo: i-metoprolol, i-propranolol. |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, i-insulin glargine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Uninzi lwexesha, ezi azibalulekanga kangako, kodwa kukho izinto ezithile ekufuneka siziqaphele.
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| I-Hypoglycemia (iswekile ephantsi egazini) | Ukungcangcazela, ukubila kakhulu, ukungazinzi, ukudideka, isiyezi, kunye nokubetha kwentliziyo ngokukhawuleza. |
| Amanqanaba e-potassium anciphileyo | Iintlungu okanye ukuqaqamba kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Iqhelekile (ukuba iyaqhubeka, xelela ugqirha wakho) | |
| Utshintsho kwindawo yokutofa | Ububomvu, intlungu encinci okanye ukurhawuzelela kwindawo efakwe kuyo inaliti. Mhlawumbi kukho amaqhuma angaphantsi kolusu (Lipodystrophy). |
| Ukutyeba kwakho | Kunokubakho ukunyuka okuncinci kobunzima xa uqala unyango lwe-insulin. |
Indlela yokugcina amayeza ngokufanelekileyo?
I-insulin liyeza elibola ngokukhawuleza ukuba aligcinwanga kakuhle.
- Iibhotile ezingavulwanga: Zigcine emnyango wefriji. Ungaze uzigcine efrijini. Musa ukusebenzisa i-insulin ukuba ikhenkcezisiwe.
- Iibhotile ezivuliweyo/ezisetyenziswayo: Ungayigcina ibhotile yakho oyisebenzisayo ngoku kubushushu begumbi (ngaphantsi kwama-30 degrees Celsius). Kodwa kufuneka uyisebenzise zingadlulanga iintsuku ezingama-28. Ukuba kukho eseleyo emva kweentsuku ezingama-28, yilahle.
- Zikhusele elangeni elithe ngqo kunye nobushushu obugqithisileyo.
Ndiyathemba ukuba la macebiso aya kukunceda. Khumbula, isifo seswekile sisifo ekufuneka silawulwe ngokufanelekileyo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uthethe naye ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
Umyalezo Wokuya Ekhaya
- I-Insulin Glargine luhlobo lwe-insulin esebenza imini yonke kwaye ilawula amanqanaba eswekile egazini.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo.
- Endaweni yokufumana isitofu kwindawo enye yonke imihla, tshintsha indawo ogonyelwe kuyo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcina into emnandi kufutshane.
- Musa ukutsiba ukutya. Yitya ngexesha elifanelekileyo.
- Ukuba uphoswe yidosi, ungaze uyiphinde kabini. Nxibelelana nogqirha wakho ukuze akunike icebiso.
- Ukuba unemibuzo malunga nale yeza, ungoyiki ukuthetha nogqirha wakho.
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