Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, ungase utshelwe ukuthi uthathe i-insulin. Kodwa empeleni, akuwona wonke umuntu onesifo sikashukela sohlobo lwesibili odinga i-insulin. Kodwa uma kufanele uthathe i-insulin, kubaluleke kakhulu empilweni yakho ukunquma umthamo ofanele. Ngezinye izikhathi kungadingeka ukuthi ulungise lo mthamo ngokwakho njengoba indlela yakho yokuphila ishintsha. Ngakho-ke, ake sixoxe ngalokhu kalula.
Kuhlelwa kanjani ukwelashwa nge-insulin?
Isihluthulelo lapha ukugcina amazinga kashukela egazini lakho esezingeni eliphephile. Lokhu kungadinga ukuthi usebenzise uhlobo olulodwa noma ezimbili ze-insulin. Odokotela bavame ukuqala ngohlobo olulodwa kuqala.
1. I-insulin esebenza isikhathi eside
Elinye igama lalokhu yi -basal insulin . Kalula nje, uma usuyijovile, isebenza emzimbeni wakho cishe amahora angama-24, ngezinye izikhathi isikhathi eside. Kufana nokulawula amazinga kashukela egazini lakho ngemuva. Ngokuvamile ithathwa kanye ngosuku, kodwa kubalulekile ukuyithatha ngesikhathi esifanayo nsuku zonke.
Unquma kanjani umthamo?
Kunezinhlobo eziningana zalolu hlobo lwe-insulin, futhi izilinganiso zalo zingahluka.
- Umthamo ojwayelekile wokuqala: Iningi labantu liqala ngamayunithi angaba yi -10 ngosuku.
- Umthamo osekelwe esisindweni: Ngezinye izikhathi udokotela wakho uzonquma umthamo ngokusekelwe esisindweni somzimba wakho. Isibonelo, isisindo somzimba wakho singabalwa njengamayunithi angu-0.2 e-insulin ngekhilogremu eli-1 (amakhilogremu angu-2.2).
Umthamo wokuqala ungase ube ngaphansi kwalokho okudingayo, kodwa kuyisiqalo esihle. Ngemuva kwalokho, udokotela wakho uzokwandisa kancane kancane umthamo wakho ngamayunithi amabili kuya kwamane njalo ezinsukwini ezintathu kuze kube yilapho ushukela wakho wegazi osheshayo ususezingeni olihlosile (ngokuvamile phakathi kuka -80-130 mg/dL ). Ukukhetha uhlobo olufanele lwe-insulin kuzoncika ezintweni eziningi, kufaka phakathi isisindo sakho, amazinga kashukela egazini, ukuthi unezinye izimo zezokwelapha, izindleko ze-insulin, kanye nezintandokazi zakho.
2. I-insulini ethile yokudla (i-insulini emfushane noma esebenza ngokushesha)
Udokotela wakho angase futhi akubize ngokuthi i-bolus insulin noma i-prandial insulin . Lokhu kunikezwa ngaphambi kokudla okuyinhloko ukusiza umzimba wakho ukulawula inani lama-carbohydrate ekudleni okudlayo. Lolu hlobo lwe-insulin luyangezwa uma i-insulin yosuku lonke okukhulunywe ngayo ngenhla inganele.
Unquma kanjani umthamo?
Umthamo uncike ezintweni eziningana: izinga likashukela egazini lakho olihlosile, inani lama-carbohydrate ekudleni okudlayo, kanye nezinga lomsebenzi wakho.
- Umthamo ozinzile:Ngokuvamile, ungaqala ngamayunithi angu-4-6 bese ukhuphuka ngamayunithi angu-2-3 njalo ezinsukwini ezintathu kuze kube yilapho amazinga kashukela wakho elawulwa.
- Ukubala Ama-carbohydrate: Lena indlela ethuthuke kancane. Lapha, ubala umthamo we-insulin ngokusekelwe enanini lama-carbohydrate owadlayo.
- Ukuthatha i-overdose ngengozi.
- Ukuhlanganisa izinhlobo ze-insulin ezisebenza isikhathi esifushane nezisebenza isikhathi eside.
- Ukudla ukudla okunama-carbohydrate aphansi nokudla i-insulin eningi .
- Ukukhohlwa ukudla ngemva kokuthatha i-insulin.
- Ukuzivocavoca umzimba ngaphezu kokujwayelekile futhi unganciphisi umthamo wakho we-insulin ukuze ubuyisele isisindo.
- Uhlobo kanye nomthamo we-insulin kuqondene nawe. Landela njalo imiyalelo kadokotela wakho. Ungaqhathanisi umthamo wakho nowabanye abantu.
- Qonda umehluko phakathi kwe-insulin esebenza isikhathi eside kanye ne-insulin esebenza isikhathi esifushane.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Ungesabi futhi wazi kahle ukuthi yini okufanele uyenze esimweni esinjalo.
- Ungathembeli kuzinhlelo zokusebenza zocingo ezingavunyiwe nezingathenjiwe ukuze ubale imithamo ye-insulin.
- Hlola amazinga kashukela egazini lakho njalo. Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izinguquko kanye nanoma yiziphi izinto ezikukhathazayo.
Cabanga ngale ndlela: Udla ucezu lwe-pizza, futhi lunamagremu angu-60 ama-carbohydrate. Ngokuvamile, iyunithi eyodwa ye-insulin esebenza ngokushesha "imboza" amagremu angaba ngu-10-15 ama-carbohydrate. Ake sithi amagremu ayi-10. Bese udinga amayunithi angaba ngu-6 e-insulin kuleyo ngxenye ye-pizza.
Lesi silinganiso se-insulin-to-carbohydrate siyahlukahluka kumuntu nomuntu. Singashintsha ngisho nangezikhathi ezahlukene zosuku. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ukuze uthole ifomula efanele wena.
Kwenzekani uma umthamo we-insulin ukhushulwa?
Uma uthatha i-insulin eningi kakhulu, izinga likashukela egazini lakho lingase lehle ngokuzumayo ngendlela eyingozi. Lokhu kubizwa ngokuthi i-hypoglycemia . Lesi yisimo esibi esingaba yingozi empilweni.
Yini ebangela ukwanda kwe-insulin?
| Izimpawu ezivamile zoshukela ophansi egazini (i-Hypoglycemia) | |
|---|---|
| Ukukhathazeka | Ikhanda elibuhlungu |
| Isiyezi | Isicanucanu |
| Ukushaya kwenhliziyo okusheshayo | Ukushaqeka |
| Isikhumba esijulukayo noma esithambile | Indlala enkulu |
Into ebalulekile ukuthi lezi zimpawu zingahluka kumuntu nomuntu, ngakho-ke naka indlela umzimba wakho ozizwa ngayo.
Okufanele ukwenze ngokushesha uma ushukela wakho wegazi wehla
Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi ushukela wakho uphansi yini ukukala izinga lakho likashukela ngokushesha nge-glucometer.
1. Uma izinga likashukela egazini lakho lingaphansi kuka-70 mg/dL , yidla okuthile okunoshukela ngokushesha okukhulu. Isibonelo, yidla ithebhulethi ye-glucose, ingxenye yengilazi yejusi yezithelo engenashukela, noma isipuni soju. Lokhu kuzokunikeza cishe amagremu ayi-15 ama-carbohydrate asebenza ngokushesha.
2. Linda imizuzu eyi-15.
3. Hlola izinga likashukela egazini lakho futhi.
4. Uma kusephansi (ngaphezu kuka-70 mg/dL), yidla okuthile okunoshukela futhi . Uma izinga lakho likashukela selibuyele esimeni esijwayelekile, kungcono ukudla ukudla okulula okuncane (isib. ucezu lwesinkwa).
Uma lokhu kwenzeka njalo, noma uma kuba kubi kakhulu uze ulahlekelwe ingqondo, cela othile akuyise e -Emergency Treatment Unit (ETU) eseduze nawe ngokushesha.
Ingabe izinhlelo zokusebenza zingasetshenziswa kulo msebenzi?
Kunezinhlelo zokusebenza eziningi ezithi zikusiza ukuthola isilinganiso sakho se-insulin-to-carbohydrate noma ukubala umthamo wakho we-insulin. Kodwa ucwaningo lwango-2015 luthole ukuthi eziningi zalezi azisebenzi kahle. Kuyingozi kakhulu. Uma unikezwe umthamo ongalungile, kungaba yingozi ngisho nokuphila.
Ngakho-ke, uma kufanele usebenzise uhlelo lokusebenza, sebenzisa kuphela uhlelo lokusebenza oluthembekile olunconywe udokotela wakho noma umtholampilo wesifo sikashukela.
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