Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo 2, kunezindlela eziningana zokusilawula. Izinto ezifana nokudla okuhle nokuvivinya umzimba njalo kungasiza kakhulu. Kodwa ngezinye izikhathi, kungadingeka usebenzise i-insulin kanye neminye imithi ukuze ulawule kahle amazinga kashukela egazini lakho. Ngakho-ke, kunezindlela ezimbili eziyinhloko zokuthatha i-insulin. Enye i-bolus insulin, kanti enye i-basal insulin, esikhuluma ngayo namuhla.
Ngakho-ke, iyini i-basal insulin?
Kalula nje, lokhu kubizwa nangokuthi "i-insulin yangemuva." Cabanga nje, ama-pancreas emzimbeni womuntu ophilile akhiqiza i-insulin kancane kancane phakathi nosuku, amahora angama-24 ngosuku. Ngisho noma singadli, leli nani le-insulin liyadingeka ezinqubweni ezibalulekile emzimbeni wethu. Yilokhu esikubiza ngokuthi i-insulin eyisisekelo.
Le nqubo yemvelo ayenzeki kahle emzimbeni womuntu onesifo sikashukela sohlobo lwesibili. Yilapho udokotela wakho ezokuncoma ukuthi uthathe i-"Basal Insulin" yangaphandle. Uma le insulin ijovwa, imuncwa ngokushesha emzimbeni futhi isiza ukugcina amazinga kashukela egazini lakho ezinzile usuku lonke.
Ngokuvamile, uma uqala i-insulin yesifo sikashukela, udokotela wakho uzokuqala ngale 'basal insulin'. Ungaqala ngomjovo owodwa ngosuku. Uma lokho kunganele, udokotela wakho angase ancome ukuthi wengeze i-bolus insulin esebenza ngokushesha ukuze ithathwe ngaphambi noma ngemva kokudla.
Yiziphi izinhlobo ze-basal insulin ezikhona?
I-basal insulin ivame ukufakwa engxenyeni yamafutha ngaphansi kwesikhumba. Ungasebenzisa isirinji nenaliti kulokhu. Kukhona namapeni alahlwayo agcwalisiwe kakade okulula kakhulu ukuwasebenzisa kwabanye abantu.
Kunezinhlobo ezintathu eziyinhloko ze-basal insulin. Lezi ziyahlukahluka ngokuthi ziqala ukusebenza ngokushesha kangakanani emzimbeni (ukuqala), lapho zifinyelela esicongweni sazo (isiqongo), nokuthi zihlala isikhathi esingakanani emzimbeni (ubude). Udokotela wakho uzokhetha uhlobo olukufanele kakhulu ngokusekelwe ezicini ezifana namazinga kashukela egazini lakho nendlela yakho yokuphila.
| Uhlobo lwe-insulini | Incazelo nezibonelo |
|---|---|
| Ukusebenza okuphakathi nendawo | Lokhu kuqala ukusebenza kungakapheli ihora noma amabili, kufikela phezulu phakathi kwamahora angu-4-12, futhi kuhlale cishe amahora angu-24. Isibonelo: NPH (Humulin N, Novolin N) |
| Isebenza isikhathi eside | Lezi zithatha cishe amahora amabili ukungena egazini. Kodwa zihlala zisebenza cishe amahora angama-24. Lezi zinhlobo azinawo "umkhawulo" omkhulu, okungukuthi, azinalo ithuba lokufinyelela esiphezulu sazo ngesikhathi esisodwa. Ngakho-ke, zikhiqiza i-insulin ngokwemvelo futhi zinomphumela ofanayo. Isib: Detemir (Levemir), Glargine (Basaglar, Lantus) |
| Ukusebenza isikhathi eside kakhulu | Lokhu kuthatha phakathi kwehora eli-1-6 ukuqala ukusebenza, kodwa kungahlala amahora angama-36 noma ngaphezulu. Lezi zinhlobo azinawo "umkhawulo," ngakho-ke ukusebenza kahle kuhlala kufana. Isib: Degludec (Tresiba), Glargine u-300 (Toujeo) |
Yiziphi izinzuzo zokusebenzisa i-basal insulin?
Enye yezinzuzo ezinkulu zalokhu ukuthi udinga ukujova kanye noma kabili ngosuku, okuyinto elula kakhulu uma kuqhathaniswa ne-bolus insulin ethathwa ngokudla.
Futhi, uthola inkululeko enkulu kanye nokuguquguquka . Akudingeki unamathele ezikhathini zokudla futhi uzifake imijovo. Ungahambahamba kancane ukuze udle, wenze umsebenzi wakho, noma ngisho nokuhamba.
Lawa ma-insulin asebenza isikhathi eside ayasiza kakhulu ekuvimbeleni ushukela wegazi ophansi ngendlela eyingozi (hypoglycemia), ikakhulukazi ngesikhathi sokuzila ukudla ebusuku.
I-Hypoglycemia yinto okudingeka siyiqaphele kakhulu ekwelashweni nge-insulin. Lesi simo singabangela izinkinga zenhliziyo, futhi ngezinye izikhathi ngisho nokufa. Ngakho-ke, ukunciphisa le ngozi kuyinzuzo enkulu ye-'Basal Insulin'.
Ngakho-ke, azikho yini izinkinga? Ake sifunde nangemiphumela emibi.
I-insulin empeleni iyisidakamizwa esiphephile kakhulu, kodwa ngezinye izikhathi imiphumela emibi emincane ingaba khona.
Into yokuqala intengo . Amanye ama-insulin asebenza isikhathi eside angabiza kakhulu kunezinye izinhlobo ezisebenza isikhathi esifushane. Ngakho-ke lokho kuyinto okudingeka siyicabangele.
Imiphumela emibi eyinhloko
- Amazinga kashukela aphansi egazini (i-Hypoglycemia):Isizathu esiyinhloko salokhu ukuthi umzimba uthola i-insulin eningi kunenani likashukela emzimbeni ngaleso sikhathi. Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nokuzizwa ubuthakathaka, uqhaqhazela, ucasukile, ujuluka, kanye nokushaya kwenhliziyo okungajwayelekile . Uma uhlangabezana nanoma yini efana nale, yidla ngokushesha okuthile okunoshukela omncane (isib. isiphuzo esimnandi, i-toffee) bese wazisa udokotela wakho.
- Ukwanda kwesisindo: Lokhu kuyinkinga nakubantu abaningi. I-insulin isiza amangqamuzana ukuthi asebenzise kalula ushukela ekudleni esikudlayo ukuze athole amandla. Kodwa-ke, uma sidla amakhalori amaningi kunalokho umzimba wethu okudingayo, lowo shukela owengeziwe ungagcinwa njengamafutha ngaphakathi kwamangqamuzana futhi uholele ekukhuleni kwesisindo. Yingakho kubalulekile ukuba nokudla okuhle nokuzivocavoca umzimba .
- Ukungezwani nendawo yomjovo: Ngezinye izikhathi indawo yomjovo ingaba bomvu, ivuvuke, noma ilume. Lokhu kungancishiswa ngokushintshanisa indawo yomjovo kunokufaka umjovo endaweni efanayo.
Ngingawunquma kanjani umthamo we-insulin engiwudingayo?
Lona umbuzo obaluleke kakhulu. Khumbula, udokotela wakho kuphela onganquma umthamo we-insulin owudingayo. Ungalokothi ushintshe umthamo wakho we-insulin ngokusekelwe emizweni yakho noma kulokho omunye umuntu akutshela kona.
Udokotela wakho uvame ukuqala ngomthamo wokuqala ngokusekelwe esisindweni sakho . Ngemuva kwalokho, uzoqapha amazinga kashukela egazini lakho izinsuku ezimbalwa futhi alungise umthamo kancane kancane (isb., ngamayunithi angu-2-4) ukuze athole umthamo ofanele wena. Lokhu kufana nokuzama ingubo. Kuzothatha isikhathi ukuthola umthamo ofanele wena. Ngakho-ke yiba nesineke futhi ulandele imiyalelo kadokotela wakho ngqo .
Umlayezo Wokuya Nawe Ekhaya
- I-insulin eyisisekelo iyindlela yokwelapha efana ne-insulin "yangemuva" ekhiqizwa yimizimba yethu ngokwemvelo usuku lonke.
- Uma usebenzisa lokhu, unenkululeko enkulu ngoba inani lemijovo ngosuku liyancishiswa futhi alixhunyanisiwe nokudla.
- Inzuzo eyinhloko ukulawulwa okuzinzile koshukela egazini kanye nokunciphisa ingozi ye-hypoglycemia, ikakhulukazi ebusuku.
- Ukunquma nokushintsha umthamo wakho we-insulin kufanele kwenziwe udokotela wakho kuphela . Ungalokothi uzame ukuwushintsha wena.
- Qaphela imiphumela emibi efana noshukela ophansi egazini kanye nokukhuluphala. Uma unenkinga, khuluma nodokotela wakho ngayo.
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