Ukuba unesifo seswekile, mhlawumbi uqhelene negama elithi 'Insulin'. Ugqirha wakho usenokuba ukunike inaliti ye-insulin oza kuyithatha malunga nemizuzu engama-30 ngaphambi kokutya. Yiloo nto siyibiza ngokuba yi-'Regular Insulin' okanye 'Short-Acting Insulin'. Eli liyeza elibaluleke kakhulu lokulawula isifo seswekile. Ngoko ke, namhlanje siza kuthetha ngayo yonke le nto ngendlela elula onokuyiqonda.
HbA1c converter
Convert HbA1c values to normal blood sugar levels
Ngamafutshane, yintoni i-insulin eqhelekileyo?
I-insulin yi-hormone eveliswa ngokwemvelo emizimbeni yethu. Ibalulekile ekuguquleni iswekile (i-glucose) ekutyeni esikutyayo ibe ngamandla. Kubantu abanesifo seswekile, umzimba uvelisa i-insulin encinci okanye awukwazi ukuyisebenzisa ngokufanelekileyo i-insulin oyivelisayo.
Ngoko ke, i-Regular Insulin luhlobo lwe-insulin eyenziweyo, oko kukuthi, eyenziwe kwilebhu. Xa inikwa umzimba njengenaliti, iyahlangabezana nemfuneko encitshisiweyo ye-insulin emzimbeni wethu.
Nantsi indlela esebenza ngayo:
- Yehlisa amanqanaba eswekile egazini lakho.
- Iswekile (iglucose) egazini ithunyelwa kwiiseli zomzimba ukuze isetyenziswe njengamandla, kanye njengesitshixo esivula ucango.
- Iyathintela isibindi ekuveliseni iswekile ngokungeyomfuneko.
Idla ngokuqala ukusebenza kwimizuzu engama-30 ukuya kwengama-60 emva kokutofwa. Ifikelela kwisiphumo sayo esiphezulu emva kweeyure ezi-2-3, kwaye inceda ekulawuleni iswekile yegazi iiyure ezi-3 ukuya kwezi-6.
Ngubani ofuna olu tyando lwe-insulin?
Le injection imiselwe abantwana kunye nabantu abadala abanesifo seswekile sohlobo loku-1 (Uhlobo loku-1 lweswekile) kunye nesifo seswekile sohlobo lwesibini (Uhlobo lweswekile lwesibini). Ugqirha wakho uya kugqiba ukuba loluphi uhlobo lwe-insulin olulungele wena, ngokusekwe kwimeko yakho, indlela ophila ngayo, kunye nendlela amanqanaba eswekile egazini lakho atshintsha ngayo imini yonke.
Ngamanye amaxesha, ugqirha wakho unokucebisa ukusebenzisa i-insulin esebenza ixesha elide elawula amanqanaba eswekile egazini iiyure ezingama-24 ngosuku, kunye ne-insulin eqhelekileyo.
Yeyiphi indlela echanekileyo yokufaka i-insulin?
Inaliti ye-insulin ifakwa phantsi kwesikhumba. Oku kudla ngokwenziwa kusetyenziswa inaliti kunye nesirinji okanye ipeni ekhethekileyo (ipeni ye-insulin). Ugqirha wakho okanye umongikazi weklinikhi yesifo seswekile uza kukubonisa ngqo indlela yokwenza oku.
Iindawo ezifanelekileyo zokugonywa:
- Isisu (indawo ejikeleze inkaba)
- Indawo yamathanga
- Ingalo ephezulu
- Icala eliphezulu, elingaphandle lethanga
Ibaluleke kakhulu:Musa ukujova kwindawo enye yonke imihla. Tshintsha indawo ojova kuyo yonke imihla. Ukuba uqhubeka nokujova kwindawo enye, unokuba namaqhuma kunye namaqhuma (lipohypertrophy) kwezo ndawo. Xa oku kusenzeka, i-insulin ayizukufunxwa kakuhle ngumzimba.
Zithini iingozi kunye neziphumo ebezingalindelekanga zoku?
Njengayo nayiphi na imithi, i-insulin inokuba neengozi ezithile kunye nemiphumo emibi, kwaye kubalulekile ukuba uzazi.
| Umngcipheko/isiphumo esibi | Iimpawu kunye noko kufuneka ukwazi |
|---|---|
| Iswekile ephezulu egazini (iHyperglycemia) | Ukuba nesiyezi, umlomo nolusu olomileyo, isicaphucaphu, ukuchama rhoqo. Ezi ziimpawu zokulahlekelwa kulawulo lwesifo seswekile. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukuba nesiyezi, ukudideka, ukubila, ukubona izinto ezingaqhelekanga, kunye nendlala enkulu. Ukuze uphephe oku, qiniseka ukuba utya kwimizuzu engama-30 emva kokufaka i-insulin. |
| I-potassium ephantsi egazini (i-Hypokalemia) | Ukubetha kwentliziyo okungahambelaniyo, ukuziva udiniwe, izihlunu zishukuma. |
| Impendulo enzima ye-allergy (i-Anaphylaxis) | Oku kuyinto engaqhelekanga kakhulu. Ukuba ufumana ubunzima bokuphefumla, ukurhawuzelelwa, okanye ukudumba kolwimi/umphimbo/ubuso, yimeko engxamisekileyo leyo. |
| Ezinye iziphumo ebezingalindelekanga | Ububomvu, ukudumba, ukurhawuzelela, ukutyeba, iintlungu zemisipha kwindawo yokufakwa inaliti. |
| Ukuba kuvela ezi mpawu zimbi zingasentla (iswekile ephantsi/ephezulu egazini, i-allergies), funa ingcebiso kagqirha ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. | |
Kwenzeka ntoni ukuba uthatha i-insulin eninzi kakhulu (i-overdose)?
Ewe, ukuthatha i-insulin eninzi kakhulu kuyingozi kakhulu. Ukuba oku kuyenzeka, inqanaba leswekile yakho egazini linokuhla kakhulu (iHypoglycemia Enkulu). Oku kunokukhokelela kwiimeko ezisongela ubomi ezifana nokuxhuzula kunye ne-coma. Ukuba ukrokrela ukuba uthathe kakhulu, fowunela u-911 ngoko nangoko kwaye ubize i-ambulensi okanye uye esibhedlele esikufutshane.
Izinto ekufuneka uzilumkele xa usebenzisa namanye amayeza
Oku kubaluleke kakhulu. Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo i-insulin. Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza emifuno, amayeza okunciphisa iintlungu (NSAIDs), amayeza oxinzelelo lwegazi (ii-beta-blockers), amayeza e-cholesterol (ii-statins), iipilisi zokulawula ukuzalwa, kunye namanye amayeza eswekile .
Kwakhona, ukuba usela utywala, thetha nogqirha wakho ngalo mba, kuba unokuba nemiphumo engalindelekanga kumanqanaba eswekile egazini lakho.
Umyalezo Wokuya Ekhaya
- I-insulin eqhelekileyo luhlobo lwe-insulin esebenza ngokukhawuleza ethathwa malunga nemizuzu engama-30 ngaphambi kokutya.
- Soloko utshintsha indawo ofake kuyo inaliti. Musa ukuqhubeka ufaka inaliti kwindawo enye.
- Qaphela iimpawu zeswekile ephantsi egazini (iHypoglycemia) kunye neswekile ephezulu egazini (iHyperglycemia). Ukuba ufumana naziphi na kwezi mpawu, funa ingcebiso kagqirha ngokukhawuleza.
- Yazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi, iivithamini, kunye nezinye iimeko zempilo onokuba nazo (ii-allergies, ukukhulelwa).
- Musa ukutshintsha, ukuyeka, okanye ukutsiba ukutya ngaphandle kwengcebiso kagqirha wakho nangasiphi na isizathu. Kubaluleke kakhulu ukulandela ingcebiso kagqirha wakho ukuze ulawule isifo sakho seswekile.
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