Xa sicinga ngesifo seswekile, uninzi lwethu lucinga ngeenaliti ze-insulin. Kwabanye, ukuzijova ngenaliti yonke imihla kunzima kwaye kuyacaphukisa. Kodwa ngoku, uya kumangaliswa kukwazi ukuba kukho isisombululo esitsha sale nto, indlela engasetyenziswa ngaphandle kweenaliti. Oko kukuthi, umgubo we-insulin ophefumlwa ngomlomo. Makhe sithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje.
Yintoni le insulin yomlomo?
Ngamafutshane, le yi-insulin. Kodwa endaweni yokuba inikwe njengenaliti, iza njengomgubo ocolekileyo kakhulu. Iphefumlwa ngomlomo kusetyenziswa i-inhaler ekhethekileyo. Emva koko umgubo we-insulin ufunxwa emzimbeni ngokukhawuleza ngemiphunga. Oku kubizwa ngokuba yi-insulin esebenza ngokukhawuleza . Oku kuthetha ukuba xa uyisebenzisa, iqala ukulawula amanqanaba eswekile egazini ngokukhawuleza.
Eli yeza lidla ngokumiselwa ngugqirha wakho kunye notshintsho kwindlela otya ngayo kunye nokuzilolonga. Nangona le yindlela entsha nelula yokulawula isifo seswekile, ayifanelekanga kuye wonke umntu. Ke ngoko, kubaluleke kakhulu ukwazi ukuba yintoni kanye kanye.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale olu nyango, kubalulekile ukuba unike ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo. Ngokukodwa, kufuneka ubaxelele oku kulandelayo:
| Imeko okanye umkhwa wakho wempilo | Kutheni oko kubalulekile? |
|---|---|
| Ukuba utshaya okanye usandul' ukuyeka. | Eli yeza alicetyiswa kubantu abatshayayo nabagula ngemiphunga. Linokuchaphazela imiphunga. |
| Ukuba unesifo semiphunga esifana ne-asthma okanye i-COPD. | Ngenxa yokuba isebenza ngemiphunga, inokubangela ubunzima bokuphefumla kubantu abasele benesifo semiphunga. |
| Ukuba uhlala uneswekile ephantsi egazini (hypoglycemia). | Ngenxa yokuba eli yeza likwanciphisa amanqanaba eswekile egazini, umngcipheko unokwanda kumntu osele eneswekile ephantsi egazini. |
| Ukuba unesifo sezintso okanye sesibindi. | Ekubeni la malungu enceda ekususeni amayeza emzimbeni, ukuba ukusebenza kwawo kuyaphazamiseka, umthamo wamayeza unokufuneka utshintshwe. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. | Kwezi meko, kufuneka uthethe nogqirha wakho malunga nemiphumo yamayeza uze wenze isigqibo. |
| Ukuba une-allergy kwi-insulin okanye kwamanye amayeza, ukutya, okanye iidayi. | Oku kubaluleke kakhulu ukuze kuthintelwe iimpembelelo ezinokubakho ze-allergy. |
Ulisebenzisa njani kanye kanye eli yeza?
Indlela esetyenziswa ngayo le nto yahlukile kancinci kune-inhaler eqhelekileyo, ngoko ke kubaluleke kakhulu ukulandela imiyalelo enikwe ngugqirha wakho okanye iqela lezempilo ngokuchanekileyo.
- Ufanele usebenzise oku emva nje kokuba uqalise isidlo sakho esiphambili .
- Ugqirha wakho uza kukufundisa indlela yokusebenzisa le inhaler, indlela yokulungisa umthamo wakho, kunye nendlela yokutshintsha umthamo wakho xa ugula okanye uzilolonga.
- Ungaze usebenzise ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.
- Funda incwadana yemiyalelo eza nale yeza ngononophelo. Ukuba unemibuzo, buza ugqirha wakho.
Eyona nto ibalulekileyo kukuba eli yeza lelakho kuphela. Musa ukwabelana nge-inhaler yakho okanye umgubo we-insulin nabanye abantu nangasiphi na isizathu.
Kuthekani ukuba ndiphoswa yintlanganiso yamayeza?
Kubalulekile ukuba ungaliphosi iyeza lakho. Kodwa ugqirha wakho mhlawumbi uza kukunika isicwangciso sento omawuyenze ukuba uyenza. Landela eso sicwangciso. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Oku kusenokuba yingxamiseko.
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
Ufanele uhlale uqaphela impilo yakho ngelixa usenza olu nyango.
- Bona ugqirha wakho rhoqo: Yiya ekliniki ngemihla emiselweyo ukuze ujonge inkqubela phambili yonyango lwakho.
- Uvavanyo lwe-HbA1C: Olu luvavanyo lwegazi olulula. Lunokukuxelela ukuba iswekile yakho yegazi ilawulwe kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo. Ugqirha wakho uya kucebisa ukuba wenze olu vavanyo rhoqo kwiinyanga ezi-3-6.
- Funda ukuvavanya iswekile yakho yegazi: Funda indlela yokuvavanya iswekile yakho yegazi ekhaya. Yazi iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.
- Ukuba iswekile yakho egazini iphantsi: Ukuba uziva uqhaqhazela, ubila, okanye unesizungu, ezi zinokuba ziimpawu zeswekile ephantsi egazini. Soloko ugcina into efana neepilisi zeglucose, ityhubhu yeswekile, okanye iswiti kufutshane xa uyifuna.
- Ingxamiseko: Ukuba uneswekile ephantsi egazini kwaye unesithuthwane okanye ulahlekelwa zingqondo, musa ukufaka nantoni na emlonyeni wakho. Oku kunokubangela ukukrwitshwa. Yazisa abanye ngale nto. Ufanele usiwe esibhedlele ngokukhawuleza.
- Musa ukutsiba ukutya. Buza ugqirha wakho malunga notywala. Amanye amayeza okukhwehlela nawomkhuhlane anokuba neswekile okanye utywala. Oku kunokuchaphazela iswekile yegazi lakho.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga. Ezinye zazo zinzima, ezinye ziqhelekile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla okanye ukuphefumla emva kokusebenzisa iyeza. |
| I-Hypoglycemia (iswekile ephantsi egazini) | Ukungcangcazela, ukubila kakhulu, ukungazinzi, isiyezi, ukuquleka, ukubetha kwentliziyo ngokukhawuleza. |
| I-ketoacidosis yeswekile (i-DKA) | Unxano olugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ivumba lomphefumlo elifana neziqhamo, ubunzima bokuphefumla, isisu esibuhlungu, isicaphucaphu. |
| Amanqanaba e-potassium anciphileyo | Iintlungu okanye ukuqaqamba kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukukhwehlela | Oku kungenzeka xa uqala ukusebenzisa iyeza. |
| Umqala obuhkungu | Kusenokubakho ukungakhululeki okanye ukuqaqamba okuncinci emqaleni. |
Umyalezo Wokuya Ekhaya
- I-insulin esetyenziswa ngomlomo ayisebenzisi naliti, ikhawuleza ukunyanga isifo seswekile. Kodwa kufuneka isetyenziswe kuphela njengoko ugqirha wakho ekuyalele.
- Ufanele uxelele ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, zonke iimeko zakho zempilo, ingakumbi izifo zemiphunga (ezifana ne-asthma) kunye nokutshaya.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcina into efana neqhekeza leswekile okanye itofi kufutshane ngamaxesha anjalo.
- Ukuba ufumana ubunzima bokuphefumla, ukurhawuzelela kolusu, okanye ezinye iziphumo ebezingalindelekanga emva kokusela eli yeza, funa ingcebiso kagqirha ngoko nangoko.
- Eli liyeza elimiselwe wena kuphela. Musa ukwabelana nge-inhaler yakho okanye umgubo we-insulin nomnye umntu.
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