Ngaba ungumntu oneDiabetes Mellitus? Ukuba kunjalo, ugqirha wakho usenokuba ukunike inaliti ekhethekileyo ye-insulin ukuba uyithathe ngaphambi kokutya. Usenokuba uxelelwe ukuba uyitye kwimizuzu eli-10-15 emva kokuyithatha. Usenokuba uzibuza, "Kutheni le insulin inikwa ngokukhawuleza kangaka? Ngaba yahlukile kwezinye ii-insulin?" Yiloo nto siza kuyiphendula kweli nqaku namhlanje. Masiqonde yonke into malunga nale insulin esebenza ngokukhawuleza, ebizwa ngokuba yi-Insulin Lispro, ngokucacileyo nangokulula.
Okokuqala, yintoni i-insulin?
Ngamafutshane, i-insulin yi-hormone eveliswa ngokwemvelo emizimbeni yethu. Isebenza njengesitshixo. Iswekile ekutyeni esikutyayo, ebizwa ngokuba yi-glucose, kufuneka ingene kwiiseli zethu kwaye iguqulwe ibe ngamandla. Kodwa iingcango zeeseli zivaliwe. I-insulin sisitshixo esivula ezo ngcango. I-insulin yenza izinto ezimbini eziphambili: 1. Inceda iiseli ziguqule iswekile (i-glucose) ekutyeni esikutyayo ibe ngamandla. 2. Ukuba imizimba yethu ineswekile engaphezulu kuneemfuno zayo, iswekile eyongezelelweyo igcinwa esibindini ukuze isetyenziswe kamva. Ngale ndlela, i-insulin inceda ukugcina amanqanaba eswekile yegazi lethu kwinqanaba elifanelekileyo.
Ngoko ke yintoni i-Insulin Lispro?
I-Insulin Lispro luhlobo lwe-insulin eyenziwa kwilebhu ngabantu. Ifana kakhulu ne-insulin yendalo emizimbeni yethu. Kodwa kukho into ekhethekileyo ngayo. Luhlobo lwe-insulin
esebenza ngokukhawuleza . Oku kuthetha ukuba iqala ukusebenza kwimizuzu embalwa emva kokutofwa. Ifumaneka phantsi kwamagama eempawu ezahlukeneyo, njenge-Admelog® okanye i-Humalog®. Ugqirha wakho uya kukunika uhlobo olulungele wena.
Ngubani ofuna le insulin ikhawulezayo?
Usenokuyidinga le insulin ukuba unesifo seswekile. Kukho iintlobo ezimbini eziphambili zesifo seswekile, akunjalo?
- Uhlobo loku-1 lwesifo seswekile : Oku kudla ngokuqala ebuntwaneni. Okwenzekayo apha kukuba ngenxa yesiphene kwinkqubo yomzimba yokuzikhusela, iiseli ezivelisa i-insulin ziyatshatyalaliswa. Ngoko ke umzimba awukwazi ukwenza i-insulin. Ke ngoko, i-insulin kufuneka ithathwe ngaphandle ubomi bayo bonke.
- Uhlobo lwesibini lwesifo seswekile: Le yimeko ekhula kancinci kancinci ngokuhamba kwexesha. Ukungatyi kakuhle, ukutyeba kakhuluOku kunokwenzeka ngezizathu ezinje: Okwenzekayo apha kukuba nangona umzimba uvelisa i-insulin, iiseli zomzimba aziphenduli ngokufanelekileyo kuloo insulin ( ukunganyamezelani ne-insulin ). Emva koko, kufuneka i-insulin engaphezulu kunesiqhelo ukulawula amanqanaba eswekile egazini.
Kubantu abaneentlobo zombini zesifo seswekile, oogqirha banika i-insulin esebenza ngokukhawuleza efana ne-Insulin Lispro ukulawula ukunyuka ngequbuliso kwamanqanaba eswekile egazini, ingakumbi emva kokutya.
Oku kusebenza njani ngesidlo?
Ngokwesiqhelo, xa umntu ophilileyo eqala ukutya, ngaphambi kokuba ukutya kugaywe kwaye iswekile yongezwe egazini, i-insulin ikhutshwa emzimbeni. Oku kwenzelwa ukulungiselela umzimba ukuba wamkele iswekile engenayo. Nangona kunjalo, le nkqubo ayenzeki kakuhle emzimbeni womntu onesifo seswekile. Ukuze sizalise loo msantsa, sithatha inaliti ye-Insulin Lispro imizuzu emi-5-15 ngaphambi kokutya. Emva koko, ngokukhawuleza emva kokuba iswekile ekutyeni esikutyayo yongezwe egazini, le insulin iyasebenza ukuyilawula.
Khawuthelekelele ulungiselela ukutya isidlo esimnandi. Emva kokuba utye isidlo, iicarbohydrate ezikuso zijika zibe yiswekile zingene egazini. I-Insulin Lispro ifana nomlindi ofika ngaphambi kokuba iswekile yamkelwe. Ivula iingcango zeeseli, ivumela iswekile ukuba ingene.
Ngaba ndiza kuyidinga eminye i-insulin?
Ewe, idla ngokuba njalo. Abantu abanesifo seswekile sohlobo loku-1, ngokukodwa, badla ngokufuna iintlobo ezimbini ze-insulin. Kungenxa yokuba i-insulin isebenza ngesantya esahlukileyo nangexesha elahlukileyo. Cinga ngezi ntlobo ze-insulin njengabagijimi ababaleka ngesantya esahlukileyo.
| Uhlobo lwe-insulin | Ingaba isebenza kanjani |
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| Isebenza ngokukhawuleza (umz. i-Insulin Lispro) | Oku kufana nomgijimi weemitha ezili-100. Uqala ukusebenza kwimizuzu embalwa, kodwa kuthatha iiyure ezimbalwa ukugqiba ukusebenza. Oku kusetyenziswa xa kutyiwa. |
| Esebenza ixesha elifutshane/Eqhelekileyo | Oku kuqale ukusebenza kwimizuzu engama-30 kwaye kusebenze iiyure ezininzi. |
| Isebenza ixesha elide | Kufana nomgijimi we-marathon. Kuthatha iiyure ezimbalwa ukuqala ukusebenza, kodwa kusebenza iiyure ezingama-24 nangaphezulu. Oku kwenza ngokugcina amanqanaba e-insulin asisiseko afunekayo emzimbeni ngexesha lokutya nasebusuku. |
Ngoko ke ugqirha wakho unokukunika i-insulin esebenza ixesha elide, njenge-Insulin Lispro, kunye ne-insulin esebenza ngokukhawuleza. Kubantu abanesifo seswekile sohlobo lwesibini, banokucebisa ukuba basebenzise le insulin kunye neepilisi okanye ezinye iinaliti.
Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndithathe eli yeza?
Kubaluleke kakhulu ukuxelela ugqirha wakho imbali yakho epheleleyo yempilo. Qiniseka ukuba ukhankanya oku kulandelayo ngokukodwa:
- Ukuba ukhulelwe , uzama ukukhulelwa, okanye uncancisa .
- Ukuba une -allergies kwi-insulin, i-metacresol, amanye amayeza, ukutya, izithinteli, okanye iidayi.
- Ukuba unengxaki yokubona, umbono ofipheleyo, okanye i-diabetesic retinopathy .
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba inqanaba leswekile egazini lakho lihlala liphantsi (iHypoglycemia) .
Ngokusekelwe kolu lwazi, ugqirha wakho uya kumisela idosi efanelekileyo kunye nesicwangciso sonyango esifanelekileyo kuwe.
Uyifumana njani kanye kanye le gonyo?
Ukujova i-insulin kunokubonakala kuyoyikisa ekuqaleni, kodwa wakuba uyiqhelile, kulula kakhulu. Ugqirha wakho okanye umongikazi kwikliniki yesifo seswekile uza kukubonisa indlela yokukwenza ngokucacileyo. Nazi amanyathelo aqhelekileyo: 1.
Ukulungiselela: Lungisa ipeni yakho ye-insulin okanye ibhotile kunye nesirinji. Ukuba yipeni, ncamathisela inaliti entsha kuyo. 2.
Ukuvula ipeni: Susa isiciko sokukhusela kwipeni okanye kwisirinji. 3.
Ukubeka ipeni ngeprimer: Kufuneka 'uyibeke' ipeni ngaphambi kokufaka inaliti nganye. Oku kuthetha ukucofa malunga neeyunithi ezimbini, uphendule inaliti phezulu, kwaye ucinezele de kungabikho maqamza omoya kwaye kuphume ithontsi le-insulin. Oku kukususa nawuphi na umoya ovaleleke kwinaliti kwaye uqinisekise ukuba ufumana idosi echanekileyo. 4.
Ukufumana inaliti:Faka inaliti imizuzu emi-5 ukuya kweli-15 ngaphambi kokutya. 5. Ukulungiselela isidlo: Lungisa isidlo ngaphambi kokuba ufake inaliti. Musa ukulibazisa ukutya emva kokuba ufake inaliti. Ukwenza njalo kunokubangela amanqanaba eswekile egazini aphantsi ngendlela eyingozi. Kubalulekile: Musa ukujova kwindawo enye yonke imihla. Jikelezisa iindawo zokujova, njengesisu, ithanga, nengalo engentla. Ukuba uqhubeka nokujova kwindawo enye, indawo inokuba nkulu njengomaleko wamafutha phantsi kolusu (lipohypertrophy). Oku kunokuthintela umzimba ekufunxeni i-insulin ngokufanelekileyo. Jova ubuncinane i-intshi enye ukusuka kwindawo yokujova yokugqibela.
Zithini iingenelo zokusebenzisa le insulin?
Eyona nzuzo iphambili kukuba ikunceda ugcine amanqanaba eswekile egazini esempilweni, nto leyo enokukunceda uphephe iingxaki ezininzi eziyingozi ezinokubakho ngenxa yesifo seswekile.- Iingxaki zamehlo (ezinokubangela ubumfama)
- Isifo seentsini
- Ukuhlaselwa yintliziyo
- Ukusilela Kwezintso
- Umonakalo wemithambo-luvo (Intlungu ye-Neuropathic)
- Istroke
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Ewe, ezinye iziphumo ebezingalindelekanga zinokwenzeka xa uqala i-insulin entsha okanye utshintsha idosi. Kodwa uninzi lwazo azibi nkulu.- Umbono ofipheleyo
- Intlungu, ukudumba, okanye ukubomvu kwindawo yokujova
- Ukuziva ngathi ubuthathaka okanye ubuthathaka kwimilenze
Kwezi zinto, isiphumo esibi esifanele sinikele ingqalelo kuso ngakumbi kukwehla ngequbuliso kwamanqanaba eswekile egazini, okanye i-hypoglycemia . Iimpawu ze-hypoglycemia (iswekile ephantsi egazini)
Yintoni omawuyenze ukuba uneempawu ezingephi? Yitya okanye usele into eneswekile ngoko nangoko. Umzekelo, ithisipuni yeswekile, isiselo esimnandi (hayi ukutya), iipilisi ezimbalwa zeglucose, okanye ijusi yeziqhamo.
Ukuba uneempawu ezinzulu, mse umntu kwisebe likaxakeka lesibhedlele elikufutshane (ETU) ngoko nangoko. | Iimpawu ezibuthathaka/eziphakathi (ezilawulekayo) | Iimpawu ezinzulu (zifuna unyango olukhawulezileyo) |
|---|
- Ndiziva ndoyika kwaye ndingakhululekanga
- Ukubila ngaphezu kwesiqhelo
- Isiyezi
- Ndiziva ndilambile ngaphezu kwesiqhelo
- Isicaphucaphu
- Ukudideka
| - Ubunzima bokuphefumla
- Ukuquleka / Ukungakwazi ukunxibelelana
- Ukuxhuzula
|
Kuthekani ukuba ndilibele ukujova ngaphambi kokuba nditye?
Inokwenzeka loo nto. Musa ukukhathazeka.- Ukuba uyakhumbula emva nje kokutya, ungayithatha idosi ephosiweyo ngoko nangoko.
- Kodwa ukuba sele kudlule ixesha elide , landela imiyalelo kagqirha wakho. Ukuba awuqinisekanga ukuba wenze ntoni, fowunela ugqirha wakho umbuze.
- Ungaze uphindaphinde idosi kabini kwisidlo esilandelayo ukuze ubuyisele idosi oyiphosileyo. Ukwenza njalo kunokubangela amanqanaba eswekile egazini aphantsi kakhulu.
Ezinye izinto ezibalulekileyo ekufuneka uzazi
Gcina ezi ngongoma engqondweni ukuze ukhuseleke kwaye uphumelele kunyango lwakho.- Ipeni echanekileyo kunye nedosi: Soloko ujonga kabini ukuba yipeni yakho ye-insulin, igama lichanekile, kwaye idosi oyinikweyo ixutywe ngaphambi kokuba uyifake.
- Umbala we-insulin: I-Insulin Lispro lulwelo olucacileyo, njengamanzi. Musa ukuyisebenzisa ukuba inamafu, imhlophe, okanye inamaqhuma kuyo.
- Iinaliti ezisetyenzisiweyo: Musa ukuphosa iinaliti ezisetyenzisiweyo enkunkuma. Zibukhali kwaye zinokuba yingozi. Zibeke kwisitya esikhethekileyo (isitya esibukhali) apho zinokuqokelelwa khona ngokukhuselekileyo. Ungafumana ulwazi oluthe kratya malunga noku kwikhemesti yakho okanye esibhedlele.
- Ukugcinwa kwe-insulin: Gcina iipeni ze-insulin ezingavulwanga okanye iibhotile efrijini (hayi efrijini). Iipeni ezisetyenziswayo zingagcinwa kubushushu begumbi (ngesiqhelo iintsuku ezingama-28). Khusela kubushushu obugqithisileyo kunye nelanga elithe ngqo.
Ukuba unemibuzo malunga ne-insulin yakho, idosi, okanye nayiphi na eminye imibuzo, nceda ubuze ugqirha wakho. Umyalezo Wokuya Ekhaya
- I-Insulin Lispro yi-insulin esebenza ngokukhawuleza kakhulu ethathwa xa kutyiwa.
- Olu gonyo kufuneka lusetyenziswe imizuzu emi-5 ukuya kweli-15 ngaphambi kokutya. Lungisa ukutya ngaphambi kokuba ulusebenzise.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Ukuba ufumana iimpawu ezifana nesiyezi, ukubila, okanye indlala enkulu, yitya into eneswekile ngoko nangoko.
- Ukuba uphoswe yidosi, ungaze uyiphinde kabini idosi elandelayo. Ukuba awuqinisekanga, buza ugqirha wakho.
- Musa ukufaka isitofu kwindawo enye yonke imihla. Jikelezisa iindawo ezifana nesisu, ithanga, kunye nengalo engentla.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
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