Ngaba ugqirha wakho ukuxelele ukuba uqale ukuthatha inaliti ye-insulin njengonyango lwesifo seswekile ? Usenokuba ukhe weva amagama athi 'Regular Insulin ' okanye 'Short-Acting Insulin'. Ngoko ke, emva kokuva eli gama, imibuzo emininzi imele ukuba yafika engqondweni yakho. "Luhlobo luni lwe-insulin olu?", "Isebenza njani?", "Ndingayithatha nini?", "Ngaba kukho iziphumo ebezingalindelekanga ?" Usenokuba uzibuza izinto ezinje. Ungakhathazeki, siza kuthetha ngazo zonke ezi zinto ngokulula namhlanje, ngendlela onokuyiqonda.
Yintoni i-insulin eqhelekileyo?
Ngamafutshane, i-insulin eqhelekileyo yi-hormone ye-insulin eyenziweyo esetyenziselwa ukulawula amanqanaba eswekile egazini kubantu abanesifo seswekile . Ikwabizwa ngokuba yi-insulin esebenza ixesha elifutshane . Oku kungenxa yokuba iqala ukusebenza ngexesha elifutshane emva kokuba ifakwe emzimbeni ize ilahlekelwe kukusebenza kwayo kwiiyure ezimbalwa.
Olu asilonyango lwesifo seswekile. Kodwa lunokunceda ekulawuleni amanqanaba aphezulu eswekile egazini kwaye lukukhusele kwiingxaki ezinobungozi ezinokubakho ngenxa yesifo seswekile. Abantu abanesifo seswekile sohlobo 1 kunye nesifo seswekile sohlobo 2 , kuquka abantwana kunye nabantu abadala, banokusebenzisa olu hlobo lwe-insulin phantsi kwesikhokelo sikagqirha wabo.
Isebenza njani le insulin emzimbeni wethu?
Cinga ngeeseli emizimbeni yethu njengezindlu ezincinci. Iswekile ( iglucose ) esiyityayo inika amandla ezi zindlu ziwadingayo ukuze zisebenze. Kodwa le swekile ayinakungena ngqo ezi zindlu zibizwa ngokuba ziiseli. Iingcango zezo zindlu zivaliwe.
Ihomoni i-insulin isebenza njenge "sitshixo" esivula ezi ngcango. Emzimbeni womntu ophilileyo, esi sitshixo, i-insulin, siveliswa ngokwendalo. Nangona kunjalo, kumntu onesifo seswekile, umzimba uvelisa esi sitshixo sincinci, okanye nokuba siyavula, isitshixo asinakuvula ucango ngokufanelekileyo.
Kulapho ke sinikela khona i-insulin ngaphandle njengesitofu. I-insulin eqhelekileyo enikwa ngale ndlela yenza izinto ezintathu eziphambili:
1. Yehlisa amanqanaba eswekile egazini:Inceda ekuthuthweni kweswekile eqokelelene kwimithambo yegazi iye kwiiseli.
2. Inika iiseli amandla: Inika iiseli ithuba lokusebenzisa iswekile engena kwiiseli njengamandla.
3. Ilawula ukuveliswa kweswekile sisibindi: Isibindi sethu siyayekisa ukuveliswa kweswekile okungeyomfuneko kunye nokuqokelelana kwegazi.
Ngale ndlela, le insulin ikunceda ukulawula amanqanaba eswekile egazini lakho kwaye uphile ubomi obusempilweni.
Yeyiphi indlela echanekileyo yokufaka i-insulin?
Ukuze ufumane okuninzi kule insulin, kubaluleke kakhulu ukuyisebenzisa ngokuchanekileyo nangexesha elifanelekileyo.
Ixesha yeyona nto ibalulekileyo.
Inaliti ye-insulin eqhelekileyo kufuneka inikwe imizuzu engama-30 ngaphambi kwesidlo esiphambili . Le yinto ekufuneka uyikhumbule ngokuqinisekileyo.
Khawucinge ukuba utya ngo-8 kusasa. Emva koko kufuneka ufake i-insulin malunga ne-7:30 kusasa. Kuba kuthatha malunga nemizuzu engama-30-60 ukuba le insulin ifikelele emzimbeni ize iqale ukusebenza. Oko kuthetha ukuba xa usitya, i-insulin iqala ukusebenza kwaye ikulungele ukulawula iswekile eyongezwa egazini ekutyeni.
- Iqala ukusebenza: Kwimizuzu engama-30-60
- Ukusebenza okuphezulu: zingadlulanga iiyure ezi-2-3
- Amandla okuhlala: Malunga neeyure ezi-3-6
Kubalulekile: Ungaze utye emva kokufaka i-insulin. Ukwenza njalo kunokubangela ukuba iswekile yakho egazini yehle ngendlela eyingozi. Siza kuthetha ngaloo nto kungekudala.
Ndingagonywa phi?
Le insulin ifakwa kwi-fatty layer engaphantsi kolusu. Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokwenza oku. Iindawo eziqhelekileyo zokufaka i-insulin zezi:
- Isisu (esijikeleze inkaba)
- Ingalo engasentla (ngasemva kwengalo)
- Ithanga elingaphezulu (ngaphambili okanye ngasemva)
- Indawo yamathanga
Khumbula: Musa ukufaka i-insulin kwindawo enye yonke imihla. Ukujova okuphindaphindiweyo kwindawo enye kunokubangela amaqhuma, imingxunya, okanye ukuqina kolusu . Ke ngoko, ukuba ujova kwindawo enye, faka kwenye indawo kwixesha elizayo. Umzekelo, ukuba ujove kwicala lasekhohlo lesisu sakho kusasa, faka kwicala lasekunene emini. Tshintshana izandla ngosuku olulandelayo. Olu hlobo lokujikeleza indawo lubaluleke kakhulu.
Zithini iingozi kunye nemiphumo emibi ekufuneka uyilumkele?
Njengakweminye imithi, kukho izinto ezimbalwa ekufuneka siziqaphele xa sisebenzisa i-insulin eqhelekileyo. Ukuzazi ezi zinto kubaluleke kakhulu kukhuseleko lwakho.
Njengomntu onesifo seswekile, ufumana "iHypo" kunye "neHyper"Ngokuqinisekileyo kufuneka wazi ngala magama mabini.
1. I-Hypoglycemia: Oku kuthetha ukuba inqanaba leswekile egazini liphantsi kakhulu .
2. I-Hyperglycemia: Oku kuthetha ukuba inqanaba leswekile egazini liphezulu kakhulu .
Ukwazi iimpawu zazo zombini ezi meko kunokukunceda usindise ubomi bakho xa kukho imeko engxamisekileyo.
| Uphawu | Iswekile ephantsi egazini (iHypoglycemia) | Iswekile ephezulu egazini (iHyperglycemia) |
|---|---|---|
| Isizathu | Ukutsiba ukutya ngelixa usela i-insulin, ukulibazisa ukutya, ukwenza umthambo ngokugqithisileyo, kunye nokunyusa imithamo ye-insulin. | Umthamo we-insulin owaneleyo, ukutya kakhulu, ukugula, okanye uxinzelelo. |
| Iimpawu eziqhelekileyo | Ukubila ngequbuliso, ukungcangcazela, indlala enkulu, ukubetha kwentliziyo ngokukhawuleza, isiyezi, ukudideka, ukubona okufipheleyo. | Unxano olugqithisileyo, umlomo owomileyo, ukuchama rhoqo, ukudinwa kakhulu, ukubona izinto ezingaqhelekanga, isicaphucaphu. |
| Kwenziwe ntoni | Yitya into emnandi ngoko nangoko! Yitya/sela into efana neswekile, iglucose, isiselo esimnandi, okanye itofi. Yitya isidlo esiphambili njengerayisi emva kwexesha elithile. Ukuba ulahlekelwa zingqondo, mthathe umntu umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. | Sela amanzi amaninzi. Landela imiyalelo kagqirha wakho. Ukuba iimpawu ziya zisiba mandundu okanye unengxaki yokuphefumla, bonana nogqirha ngokukhawuleza. |
Ezinye iingozi
- I-Hypokalemia: Le yimeko apho inqanaba le-potassium egazini liphantsi. Iimpawu zingabandakanya ukubetha kwentliziyo okungahambelaniyo, ubuthathaka, kunye nokushukuma kwemisipha.
- Iimpendulo Ezinzima Zokwaliwa Yi-allergy: Oku kunqabile. Nangona kunjalo, ukuba kuyenzeka, iimpawu ezinje ngobunzima bokuphefumla, amaqhuqhuva, kunye nokudumba kolwimi/umphimbo/ubuso zinokubakho. Le yingxamiseko yezonyango (i-anaphylaxis) . Ukuba ufumana naziphi na kwezi mpawu, yiya kwiSebe Lezongxamiseko lesibhedlele (i-ETU) ngokukhawuleza.
- Iimpendulo kwindawo yokufaka inaliti: Abanye abantu banokuba bomvu, ukurhawuzelelwa, ukudumba, okanye iintlungu kwindawo yokufaka inaliti.
Kwenzeka ntoni ukuba usebenzisa i-insulin kakhulu?
Ewe, ukuthatha i-insulin eninzi kakhulu kuyingozi kakhulu. Ukuba wenza njalo, amanqanaba eswekile egazini lakho anokwehla kakhulu (i-Severe Hypoglycemia) , ukuxhuzula, i-coma, kwanokufa kunokwenzeka.
Ukuba ucinga ukuba ngempazamo ufumene i-insulin eninzi kakhulu, okanye ukuba ubona umntu onayo, fowunela i-911 ngoko nangoko ukuze ufumane i-ambulensi okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane. Musa ukuzama ukuyilawula le nto ekhaya.
Ngaba oku kungadibana namanye amayeza endiwasebenzisayo? (Ukusebenzisana kwamayeza)
Ewe, ngokuqinisekileyo. Amanye amayeza owasebenzisayo anokusebenzisana ne-insulin aze achaphazele amanqanaba eswekile egazini lakho. Amanye amayeza anokubangela ukuba iswekile egazini lakho yehle nangakumbi, ngelixa amanye anokubangela ukuba iswekile egazini lakho inyuke.
Ngoko ke, xa usiya kugqirha wakho, mxelele ngawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza esintu, kunye nezongezo . Kubaluleke kakhulu ukumxelela ukuba usebenzisa naliphi na kula mayeza alandelayo:
- Amayeza oxinzelelo lwegazi (ingakumbi ii-beta-blockers)
- Iipilisi zokubulala iintlungu (i-Aspirin, ii-NSAIDs)
- Ezinye iintlobo zeepilisi zeswekile
- Iziyobisi zomchamo
- Amayeza e-asthma okanye i-allergies
- Amayeza e-cholesterol
- Amayeza okugula ngengqondo
- Amayeza aqulethe ii-steroids
- Iipilisi zokulawula inzala
Olu luhlu aluphelelanga, ngoko ke qiniseka ukuba uthetha nogqirha wakho wesifo seswekile ngaphambi kokuba uqale naluphi na unyango olutsha. Kwakhona, ukusela utywala kunokuba yingozi xa usebenzisa i-insulin.
Zeziphi izinto ekufuneka uzixelele ugqirha?
Ngaphambi kokuba uqale i-insulin eqhelekileyo, qiniseka ukuba uxelele ugqirha wakho ngale nto ilandelayo:
- Ukuba une-allergies kumayeza okanye ukutya.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa.
- Ukuba unesifo samehlo okanye unengxaki yokubona.
- Ukuba uneengxaki zeswekile ephantsi egazini rhoqo (ii-hypoglycemia episodes).
Ngokusekelwe kolu lwazi, kuya kuba lula kugqirha ukumisela indlela yonyango efanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-insulin eqhelekileyo luhlobo lwe-insulin esebenza ngokukhawuleza enceda ukulawula isifo seswekile.
- Kubalulekile ukuba olu gonyo lunikwe imizuzu engama-30 ngaphambi kwesidlo esiphambili .
- Musa ukulibazisa ukutya nangasiphi na isizathu emva kokufaka i-insulin.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia). Yazi into omawuyenze xa kukho imeko engxamisekileyo.
- Soloko utshintsha indawo ofake kuyo inaliti. Musa ukuqhubeka ufaka inaliti kwindawo enye.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
- Musa ukutshintsha idosi yakho ye-insulin okanye uyeke ukuthatha i-insulin ngaphandle kwengcebiso kagqirha wakho.
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