Cabanga nje uma umngane wakho noma ilungu lomndeni wakho, elinesifo sikashukela, ngokuzumayo liba nezinga likashukela eliphansi kakhulu egazini futhi selizolahlekelwa ingqondo. Ngaleso sikhathi, ubuyobe wesaba futhi ungazi ukuthi wenzeni, akunjalo? Namuhla sikhuluma ngomuthi okhethekile oza ngesimo sempuphu yamakhala engasetshenziswa ezimweni eziphuthumayo ezinjalo ezisindisa impilo. Lokhu kufana nokuthile okufanele kube sekhithini yosizo lokuqala.
Kalula nje, uyini lo muthi?
Lo muthi ubizwa ngokuthi i-glucagon . Usetshenziswa njengokwelashwa okuphuthumayo kwabanesifo sikashukela lapho amazinga abo kashukela egazini ehla kakhulu, okungukuthi, i-hypoglycemia enzima . Kufana nomuntu osebenza ngendlela ephambene ne-insulin. Ngenkathi i-insulin yehlisa ushukela egazini, i-glucagon iphakamisa amazinga kashukela egazini.
Kwenzeka kanjani? Isibindi sethu sifana nendawo yokugcina ushukela. Ngokuvamile, sigcina ushukela ukuze sisetshenziswe lapho kudingeka. Lapho amazinga kashukela egazini ehla ngendlela eyingozi, lo muthi we-glucagon ufakwa ekhaleni, bese uthumela isignali esibindini, uthi, "Okuphuthumayo! Khulula ushukela ogciniwe ngokushesha ungene egazini." Bese kuthi, njengoba ushukela ukhishwa esibindini futhi wengezwa egazini, amazinga kashukela akhuphuke kancane kancane.
Okubalulekile: Lesi yisisombululo sesikhashana nje kuphela esimweni esiphuthumayo. Ngemva kokunikeza lo muthi , kufanele ushayele i-ambulensi ngokushesha noma uhambise isiguli e-Emergency Treatment Unit (ETU) yesibhedlela, njengoba kungase kudingeke ukwelashwa okwengeziwe.
Lo muthi uvame ukutholakala emakethe ngaphansi kwegama elithi BAQSIMI .
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Uma udokotela wakho ekubhalela lo muthi wena noma othile emndenini wakho, kufanele umtshele nakanjani uma unezinye zezimo ezilandelayo, njengoba ukusebenza kwalo muthi kungashintsha ezimweni ezinjalo.
| Isimo sempilo noma ithuba | Kungani lokho kubalulekile? |
|---|---|
| Isifo sezinso | Izinkinga ngalezi zindlala zingathinta ukusebenza kwama-hormone. |
| Izimila ze-pancreatic | Ezinye izinhlobo zezimila (isib. i-glucagonoma, i-insulinoma) zingase zisabele ngendlela ehlukile ku-glucagon. |
| I-Pheochromocytoma | Lolu uhlobo lwesimila oluvela endlaleni ye-adrenal, futhi i-glucagon ingabangela umfutho wegazi ophakeme. |
| Ukudla okuncane ngenxa yokugula, ukuhlinzwa, noma ukudla okudlayo | Uma izitolo zikashukela zomzimba (i-glycogen yesibindi) zingenalutho, kungase kungabi noshukela owanele osele ukuze i-glucagon isebenze. |
| Ukudla okungekuhle | Ngesizathu esifanayo nesingenhla, uma izinga likashukela emzimbeni liphansi, imiphumela yomuthi ingancipha. |
| Ukungezwani komzimba ne-glucagon noma ezinye izinto | Kubalulekile ukusazisa uma une-allergies yemithi, ukudla, izithasiselo, njll. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kubalulekile ukukhuluma nodokotela ngemiphumela engaba khona enganeni. |
| Uma ungumama oncelisayo | Xhumana nodokotela wakho mayelana nokuthi umuthi udlulela enganeni ngobisi lwebele yini. |
Uyisebenzisa kanjani kahle le nto?
Njengoba lokhu kuyinto esetshenziswa esimweni esiphuthumayo, kubaluleke kakhulu ukwazi kahle ukuthi yini okufanele uyenze esimweni esiphuthumayo. Ngakho-ke, kubalulekile ukufundisa hhayi wena wedwa, kodwa nomndeni wakho nabangani abakanye nawe ukuthi ungayisebenzisa kanjani ngaphambi kokuba kwenzeke isimo esiphuthumayo .
1.Yazisa wonke umuntu ukuthi umuthi wakho ukuphi: Yazisa umndeni wakho ukuthi umuthi wakho ukuphi (isikhwama, idrowa).
2. Shayela izinsizakalo eziphuthumayo ngokushesha ngemva komthamo wokuqala: Ngemva kokufaka umuthi ekhaleni, ngaphandle kokucabanga kabili , shayela ngokushesha ku-1990 bese uthola i-ambulensi noma uhambise isiguli e -ETU (Emergency Treatment Unit) yesibhedlela esiseduze.
3. Jikisa isiguli ngohlangothi: Ngemva kokunikeza umuthi, jika ngokucophelela umuntu oqulekile ngohlangothi lwakhe. Lokhu kungenxa yokuthi ngezinye izikhathi ukuhlanza kungenzeka lapho ephinde aqaphe. Uma lokhu kwenzeka, lokhu kuzosiza ukuhlanza kuphume ngomlomo ngaphandle kokubhajwa emaphashini.
4. Nikeza umthamo wesibili uma kudingeka: Uma isiguli sisaqulekile ngenkathi silinde i-ambulensi, kungase kudingeke sinikezwe omunye umthamo. Lokhu kufanele kwenziwe kusetshenziswa idivayisi entsha . Idivayisi efanayo ayikwazi ukusetshenziswa kabili.
5. Ungamshiyi yedwa umuntu noma ngabe usephinde waqonda: Hlala nesiguli kuze kufike usizo lwezokwelapha. Ngisho noma esephinde waqonda, ungamshiyi yedwa ngoba ushukela wakhe ungase wehle futhi.
Funda futhi uqonde incwajana yemiyalelo eza nalo muthi ngokucophelela. Uma kukhona ongakuqondi, buza udokotela wakho.
Ingabe lokhu kunganikezwa izingane ezincane?
Ngisho nasezinganeni ezingaphezu konyaka owodwa ubudala, odokotela bangase batuse lo muthi kwezinye izimo ezikhethekile. Kodwa udokotela wakho kuphela okufanele anqume ngalokhu. Ngakho-ke, uma usebenzisa lokhu enganeni, landela imiyalelo kadokotela ngqo.
Kwenzekani uma uphuza umuthi omningi kakhulu?
Lona umuthi ophuthumayo ngakho amathuba okuthi lokhu kwenzeke mancane. Kodwa-ke, uma ucabanga ukuthi ususebenzise ngokweqile nganoma iyiphi indlela, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye ku- ETU ngokushesha.
Izinto okufanele uzikhumbule uma usebenzisa lo muthi
Uma unesifo sikashukela futhi udokotela wakho ekunike lo muthi, khumbula la maphuzu.
- Hlala uyigcina nawe: Qiniseka ukuthi uyiphatha le mithi esikhwameni sakho noma ngabe uya kuphi. Asikwazi ukuthi isimo esiphuthumayo singase sivele nini noma kuphi.
- Gqoka i-ID yezokwelapha: Kubalulekile ukugqoka isongo noma umgexo othi unesifo sikashukela. Futhi, gcina ikhadi esikhwameni sakho elinohlu lwemithi yakho. Lokhu kuzokwenza kube lula ngomuntu okusizayo ukuqonda isimo sakho, noma ngabe uqulekile.
- Hlola usuku lokuphelelwa yisikhathi: Hlola njalo usuku lokuphelelwa yisikhathi komuthi. Umuthi ophelelwe yisikhathi ngeke unikeze imiphumela efanele.
- Qaphela amazinga kashukela egazini lakho: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho. Futhi, qaphela izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.
- Gcina okuthile okuhlinzeka ngoshukela ngokushesha eduze:Hlala ugcina okuthile eduze ongakudla ngokushesha nje lapho uzwa izimpawu zoshukela ophansi egazini ( isiyezi , ukujuluka, ukushaya kwenhliziyo). Isibonelo, i-glucose toffee, ama-sugar cubes, noma ibhodlela lesiphuzo esinoshukela.
- Yazisa abanye: Tshela umndeni nabangani ukuthi akuwona umqondo omuhle ukufaka ukudla noma isiphuzo emlonyeni uma ungazi lutho noma unezimpawu ezinzima ezifana nokuquleka, njengoba ukwenza kanjalo kungabangela ukuminyana. Bachazele ukuthi kufanele ufune usizo lwezokwelapha ngokushesha esimweni esinjalo nokuthi kufanele unikeze le glucagon kuze kufike usizo lwezokwelapha.
Futhi, isikhumbuzo: Ngisho noma isiguli siphinde saqonda futhi sikwazi ukukhuluma kahle ngemva kokunikezwa lo muthi, kufanele siyiswe esibhedlela ngokushesha. Lokhu kungenxa yokuthi imiphumela ye-glucagon ingeyesikhashana. Phakathi namahora ambalwa, izinga likashukela egazini lingase lehle ngendlela eyingozi futhi.
Uma umuntu esephinde waphaphama futhi esekwazi ukugwinya kahle, mnike ukudla noma isiphuzo esiqukethe ama-carbohydrate ukuze umise ushukela egazini ukuthi ungehli kakhulu. Isibonelo, ungamnika ilayisi, ucezu lwesinkwa, ibhisikidi, noma ingilazi yejusi yezithelo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi, kodwa ngokuvamile awubi yingozi uma uqhathaniswa nezinzuzo ozinikezayo.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
| Ukusabela kokungezwani komzimba | Izimpawu zifaka phakathi ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, kanye nobunzima bokuphefumula. Lesi yisimo esiphuthumayo esibucayi. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivamile ngemva kokusebenzisa umuthi. |
| Isicanucanu nokuhlanza | Lesi yisimo esingenzeka kubantu abaningi. Yingakho kubalulekile ukuphendula isiguli sibe sesimweni sokuthambekela. |
| Ukungakhululeki ekhaleni | Izinto ezifana nokomisa, ukuvuvukala, ikhala eligobhozayo , noma ukuminyana kwamakhala ngaphakathi ekhaleni. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho.
Uwugcina kanjani lo muthi uphephile?
- Gcina kude nezingane: Gcina endaweni ephephile kude nezingane ezincane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa: Gcina ekamelweni lokushisa elingaphansi kwama-degree Celsius angu-30 (86 Fahrenheit). Vikela ekushiseni okukhulu noma ekubandeni okukhulu.
- Gcina ephaketheni lokuqala: Gcina umuthi epulasitikini (i-shrink wrap) ofike ngayo uze usukulungele ukuwusebenzisa. Uma uvulwa, ikhwalithi yomuthi ingase yehle.
- Ukusetshenziswa kanye: Ithubhu ngalinye liqukethe umthamo owodwa kuphela. Alikwazi ukusetshenziswa kabusha.
Lesi sihloko sinikeza umbono omfushane wempuphu yekhala ye-glucagon. Uma uneminye imibuzo, sicela ukhulume nodokotela wakho ukuze uthole ulwazi olwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- Impuphu yekhala ye-Glucagon iyindlela yokwelapha ephuthumayo esindisa impilo enikezwa abantu abanesifo sikashukela lapho amazinga kashukela egazini labo ehla kakhulu (i-hypoglycemia enzima).
- Uma unikezwe lo muthi, fundisa umndeni wakho kanye nabathandekayo bakho ukuthi ungawusebenzisa kanjani ngaphambi kokuba kube nesimo esiphuthumayo.
- Ngokushesha ngemva kokusebenzisa umuthi, noma ngabe isiguli siphinde saphaphama, kumele kubizwe i-ambulensi noma isiguli kumele siyiswe e-Emergency Treatment Unit (ETU) yesibhedlela .
- Uma isiguli sesiphinde saqonda futhi sesikwazi ukugwinya kahle, sinike ukudla okunama-carbohydrate (isib. isinkwa, amabhisikidi) ukuze uvimbele amazinga kashukela egazini ukuthi ehle futhi.
- Hlala uphethe lo muthi futhi uhlole usuku lokuphelelwa kwawo njalo.
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