Isifo seswekile sisifo esichaphazela abantu abaninzi kuluntu lwethu ngoku. Ngoko ke ugqirha wakho usenokuba ukuxelele ukuba usebenzise inaliti ye-insulin. Phakathi kwazo, siza kuthetha ngohlobo olubizwa ngokuba yi-Isophane Insulin, okanye i-NPH, namhlanje. Zininzi izinto ezibalulekileyo ekufuneka uzazi xa usebenzisa le nto. Masithethe ngayo ngokuchanekileyo nangokulula.
Yintoni i-Isophane Insulin (NPH)?
Ngamafutshane, i-Isophane Insulin liyeza elisetyenziselwa ukulawula isifo seswekile. Lisebenza ngokunyusa izinga le-insulin emzimbeni wethu nokunciphisa izinga leswekile (i-glucose) egazini. Likwiqela le -'insulin esebenza phakathi' . Oku kuthetha ukuba emva kokuba inikwe umzimba, isebenza iiyure ezimbalwa, ilawula izinga leswekile egazini.
Kwiimeko ezininzi, kunye nala mayeza, kubaluleke kakhulu ukulawula ukutya kwakho kunye nokuzilolonga . Kuphela xa ezi zinto zintathu zidibene apho isifo seswekile sinokulawulwa ngcono.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise iyeza
Ngaphambi kokuba unike eli yeza, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yezonyango. Ngoko ke, ukuba unenye yezi meko zidweliswe ngezantsi, qiniseka ukuba umxelele ngayo.
| Imeko yakho | Kutheni kubalulekile? |
|---|---|
| Ukuba amanqanaba eswekile egazini ehla rhoqo (iHypoglycemia) | Oku kubalulekile ekulungiseni idosi, njengoko i-insulin inokubangela ukuba amanqanaba eswekile egazini ehle nangakumbi. |
| Izifo zamehlo, ukukhubazeka kokubona | Ekubeni isifo seswekile sichaphazela amehlo, ugqirha kufuneka azi ngeemeko ezikhoyo. |
| Isifo sezintso | Ngenxa yokuba i-insulin isuswa emzimbeni zizintso, izigulana zezintso zinokufuna idosi ephantsi. |
| Isifo sesibindi | Isibindi sichaphazela ukusebenza kwe-insulin, ngoko ke umthamo unokufuneka ulungiswe. |
| Ukunganyamezelani ne-insulin okanye amanye amayeza, ukutya, okanye idayi | Oku kubalulekile ukuthintela i-allergies kunye nokukhetha amayeza afanelekileyo. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Iimfuno ze-insulin ziyatshintsha ngexesha lokukhulelwa, ngoko ke kufuneka ulandele icebiso likagqirha wakho. |
| Ukuba ungumama oncancisayo | Ukukhumbula indlela idosi ye-insulin echaphazela ngayo umama nomntwana. |
Ulisebenzisa njani kanye kanye eli yeza?
Le yinaliti enikwa phantsi kwesikhumba. Ugqirha okanye umongikazi wakho uza kukuxelela ngqo indlela yokuyisebenzisa. Kubaluleke kakhulu ukulandela loo miyalelo ngqo .
- Jonga inkangeleko: Le insulin kufuneka ibe lulwelo olucacileyo, olufana nobisi oluhlala lumhlophe ngombala . Musa ukuyisebenzisa ukuba ayinamafu afanayo okanye inombala owahlukileyo.
- Xuba kakuhle: Ngaphambi kokuba uyisebenzise, xuba ibhotile okanye ipeni kakuhle ngokuyiqengqa phakathi kwezandla zakho. Musa ukuyishukumisa.
- Ukulahla iinaliti: Musa ukuphosa iinaliti ezisetyenzisiweyo kunye neesirinji enkunkuma. Zibeke kwisitya esikhethekileyo (isitya esibukhali). Ukuba awunaso, ungacela ugqirha wakho akunike sona.
- Ukuba usebenzisa ipeni: Ukuba usebenzisa ipeni ye-insulin, khumbula ukususa isiciko senaliti engaphandle kwinaliti ngaphambi kokuyijova.
Isilumkiso: Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, fowunela ngokukhawuleza iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Le yinto omele uyixoxe nogqirha wakho. Uza kukunika icebo lento omawuyenze ngexesha elinje. Yenza ngaloo ndlela.Ungaze uthathe iidosi ezimbini ngaxeshanye.
Ezinye izinto ezinokudibana nale insulin
Amanye amayeza, iivithamini, okanye iimveliso zezityalo onokuthi uzisebenzise zingayichaphazela indlela esebenza ngayo le insulin. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwazo zonke izinto ozisebenzisayo. Lumka ngakumbi ngezi zinto:
- Utywala
- Izithomalalisi zentlungu ezifana ne-aspirin
- Amanye amayeza oxinzelelo lwegazi (umz. i-Atenolol, i-Metoprolol)
- Iihomoni zabasetyhini (kuquka iipilisi zokulawula ukuzalwa) kunye neehomoni zamadoda
- Amayeza okunciphisa umzimba
- Amayeza omkhuhlane, ukukhwehlela, kunye ne-aleji
- Amanye amayeza okugula ngengqondo
- Amanye amayeza esifo seswekile (umz., iGlyburide, iGlipizide)
- Amayeza aqulethe ii-steroid (umz. i-Prednisone)
- Amayeza e-thyroid hormone
- Ezinye izongezo zemifuno
Olu luhlu aluphelelanga. Ke ngoko, kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka ziqwalaselwe xa usebenzisa i-insulin
- Uvavanyo lwe-HbA1C: Ugqirha wakho uza kukucela ukuba wenze uvavanyo lwegazi olubizwa ngokuba yi -HbA1C (A1C) . Olu vavanyo lulinganisa ukuba ulawule kakuhle kangakanani iswekile yakho egazini kwiinyanga ezi-2-3 ezidlulileyo.
- Vavanya iswekile yakho yegazi: Funda indlela yokuvavanya iswekile yakho yegazi ekhaya. Funda iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.
- Gcina into emnandi kufutshane: Soloko ugcina into emnandi, efana ne-candy bar okanye i-glucose tablet, kufutshane ukuze uyitye ngokukhawuleza ukuba ufumana iimpawu zeswekile ephantsi egazini.
- Musa ukutsiba ukutya: Yitya ngamaxesha aqhelekileyo. Buza ugqirha wakho malunga notywala.
- Musa ukutshintsha amayeza: Musa ukutshintsha uhlobo lwe-insulin okanye uhlobo lwesirinji ngaphandle kwengcebiso kagqirha wakho.
- Ungaze wabelane: Ungaze wabelane ngepeni yakho ye-insulin okanye ikhatriji nomnye umntu. Nokuba utshintsha inaliti, usenokusasaza iintsholongwane ezifana ne-HIV kunye ne-Hepatitis.
- Nxiba isazisi sezonyango: Kubaluleke kakhulu ukuba nesacholo sesazisi sezonyango okanye ikhadi kuwe xa kukho imeko engxamisekileyo, equlethe iinkcukacha malunga nemeko yakho yezonyango kunye namayeza.
Iziphumo ebezingalindelekanga ezinokubakho zeyeza
Njengalo naliphi na iyeza, i-insulin inokubangela ezinye iziphumo ebezingalindelekanga, ezinye zazo ezinokuba yingozi ebomini.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Izinto ekufuneka uzixelele ugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukungcangcazela, ukubila kakhulu, ukungazinzi, isiyezi, ukubetha kwentliziyo ngokukhawuleza, ukudideka. |
| Ukuncipha kwe-potassium egazini | Iintlungu okanye ukuqaqamba kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Utshintsho kwindawo yokufakwa inaliti (iLipodystrophy) | Ukugqobhoza okuphindaphindiweyo kwindawo enye kunokubangela ukujiya kwezicubu ezingaphantsi kolusu okanye amanxeba. |
| Intlungu okanye ukubomvu kwindawo yokutofa | Intlungu encinci, ukubomvu, okanye ukudumba kwindawo yokutofa. |
| Ukutyeba kwakho | Abanye abantu bafumana ubunzima xa besebenzisa i-insulin. |
Ungayigcina njani i-insulin?
Kubaluleke kakhulu ukugcina i-insulin ngokufanelekileyo. Kungenjalo, inokulahlekelwa kukusebenza kwayo. Le miyalelo inokwahluka kancinci ngokuxhomekeke kuhlobo olusebenzisayo.
| Imeko | Imiyalelo yokugcina |
|---|---|
| Iibhotile neepeni ezingavulwanga | |
| Apho ungagcina khona | Yigcine efrijini , kodwa ingabi sefrijini. Musa ukusebenzisa i-insulin eqandisiweyo. |
| Ukuphelelwa lixesha | Musa ukuyisebenzisa emva komhla wokuphelelwa. |
| Iibhotile kunye neepeni ezisetyenziswayo | |
| Apho ungagcina khona | Gcina kubushushu begumbi. Musa ukuyibeka efrijini emva kokuyisebenzisa. Yigcine kude nobushushu obugqithisileyo kunye nelanga elithe ngqo. |
| Lixesha lokulahla | Oku kuyahluka kuhlobo ngalunye. Umzekelo, ezinye iipeni kufuneka zilahlwe emva kweentsuku ezili-14, ezinye emva kweentsuku ezingama-28, kwaye ezinye iibhotile emva kweentsuku ezingama-31 okanye ezingama-42. Buza ugqirha wakho ngomhla wokuphelelwa kohlobo lwakho lwe-insulin. Emva komhla wokuphelelwa, lahla nayiphi na i-insulin eseleyo. |
Umyalezo Wokuya Ekhaya
- Sela i-insulin ngexesha elichanekileyo nelichazwe ngugqirha wakho. Ungaze utshintshe idosi ngokwakho.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia). Gcina into emnandi kufutshane xa kukho imeko engxamisekileyo.
- Musa ukwabelana ngepeni yakho ye-insulin, isirinji, okanye inaliti nomnye umntu nangasiphi na isizathu.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Gcina i-insulin ngokuchanekileyo. Khusela kubushushu obugqithisileyo, elangeni, nakwingqele.
- Ukuba uneengxaki okanye amathandabuzo, thetha nogqirha wakho ngokukhawuleza.
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