Njengoba unesifo sikashukela i-Diabetes Mellitus, kungenzeka ukuthi udokotela wakho ukutshelile ukuthi usebenzise i-insulin. Kungenzeka ukuthi unikezwe ingxube yezinhlobo ezimbili ezibizwa ngokuthi i-Insulin Aspart kanye ne-Insulin Aspart Protamine. Nakuba leli gama lingase lizwakale lithusa kancane, uma usuliqonda kalula, kulula kakhulu ukulisebenzisa. Ngakho-ke ake sixoxe ngalokhu namuhla.
Kalula nje, lolu uhlobo lwe-insulin olusetshenziselwa ukwelapha isifo sikashukela. Okwenza lube olukhethekile ukuthi luyinhlanganisela ye-insulin esebenza isikhathi esifushane kanye ne-insulin esebenza isikhathi esiphakathi. Lokhu kwandisa amazinga e-insulin emzimbeni wakho futhi kusiza ukulawula amazinga kashukela egazini lakho (i-glucose). Kubalulekile futhi ukuqapha ukudla kwakho kanye nokuzivocavoca umzimba ngenkathi uthatha lo muthi.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukusebenzisa le insulin, kufanele utshele udokotela wakho ngalezi zinto, njengoba umthamo wakho we-insulin ungashintsha ngenxa yalezi zimo.
- Uma uneziqephu ezivamile zoshukela wegazi ophansi .
- Uma unezinkinga zamehlo noma ukubona .
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma uke waba nokusabela kokungezwani komzimba ne-insulin noma eminye imithi, ukudla, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo.
Ungayisebenzisa kanjani le insulin ngendlela efanele?
Lo muthi kufanele ufakwe ngaphansi kwesikhumba. Kufanele usebenzise umthamo oqondile njengoba udokotela wakho ekutshela. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi kufanele ufake le insulin zingakapheli imizuzu eyi-15 uqale ukudla .
Udokotela wakho uzochaza ngokucacile ukuthi ungayisebenzisa kanjani le ndlela, nokuthi ungayilungisa kanjani idosi uma uzizwa ugula noma uzivocavoca. Ungalokothi usebenzise idosi engaphezulu noma engaphansi kwedosi enqunyiwe.
Hlola lezi zinto ngaphambi kokujova
- Ukubonakala kwe-insulin: Hlola njalo ukubonakala kwe-insulin ngaphambi kokuyijova. Lolu hlobo kufanele lube mhlophe futhi lube namafu . Ungayisebenzisi uma ingenamafu afanayo ngisho nangemva kokuxubana kahle.
- Indlela yokuxuba: Ukuze uxube lokhu, beka i-vial phakathi kwezandla zakho bese uyiphendula kancane kancane izikhathi eziyishumi . Khumbula, ukuxubha akukuhle.Hlanganisa le insulin njalo ngaphambi komjovo ngamunye. Ungaxubi le insulin nanoma iyiphi enye i-insulin noma i-diluent.
- Ukusebenzisa ipeni le-insulin: Uma usebenzisa ipeni, khumbula ukususa isembozo senaliti yangaphandle ngaphambi kokuthatha umthamo.
- Ukulahla izinaliti: Ungalahli izinaliti ezisetshenzisiwe kanye nezinaliti emgqonyeni kadoti. Kufanele zifakwe esitsheni esibukhali. Uma ungenayo, cela udokotela wakho akunike eyodwa.
Into ebaluleke kakhulu ukuthi, ungalokothi wabelane ngepeni noma ngesirinji yakho ye-insulin nanoma ubani . Ngisho noma ushintsha inalithi, usengadlulisela amagciwane afana ne-Hepatitis ne-HIV.
Yini okufanele uyenze uma uphuthelwa umthamo?
Kubaluleke kakhulu ukungaphuthelwa umthamo we-insulin. Khuluma nodokotela wakho kusenesikhathi mayelana nokuthi yini okufanele uyenze uma uphuthelwa umthamo bese wenza uhlelo lwawo. Uma uphuthelwa umthamo, landela lolo hlelo. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe .
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nale insulin
Amazinga kashukela egazini lakho angashintsha kuye ngeminye imithi oyithathayo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini nemikhiqizo yamakhambi.
| Izinto ezingathinta amazinga kashukela egazini | |||
|---|---|---|---|
| Eminye imithi yesifo sikashukela | Iziphuzo ezidakayo | ||
| Imithi yokulwa negciwane lengculazi noma ingculazi | I-aspirini kanye nemithi efanayo | ||
| Eminye imithi yokwelapha umfutho wegazi ophakeme kanye nesifo senhliziyo | Ama-hormone abesifazane (njengamaphilisi okuvimbela inzalo) | ||
| Eminye imithi ye-asthma, ukukhwehlela, kanye nomkhuhlane | Eminye imithi yokwelapha isifo sengqondo | ||
| Ama-Painkiller (ama-NSAID) (isib. i-Ibuprofen) | Amanye ama-antibiotic (ama-antibiotic e-Quinolone) | Ezinye izithasiselo zemithi | |
Isexwayiso Esikhethekile: Eminye imithi ingafihla izimpawu zoshukela ophansi egazini (i-hypoglycemia) (njengokuqhaqhazela, ukujuluka). Uma uthatha imithi efana ne-beta-blockers (evame ukusetshenziswa kwengcindezi ephezulu yegazi), kufanele uhlole amazinga kashukela egazini lakho njalo.
Izinto okufanele uzicabangele lapho usebenzisa i-insulin
- Ukuhlolwa okuvamile: Bona udokotela wakho ngezinsuku ezihleliwe ukuze uqaphe inqubekela phambili yokwelashwa kwakho. Ukuhlolwa okubizwa ngokuthi i-HbA1c (A1C) kwenziwa njalo ezinyangeni ezi-2-3 ukuze kuhlolwe ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani.
- Yazi amazinga kashukela egazini lakho: Funda ukuthi ungalinganisa kanjani ushukela egazini lakho ekhaya. Qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia) nokuthi ungazilawula kanjani.
- Uma uneshukela eliphansi egazini: Hlala uphethe ushukela (ibha yamaswidi, ithebhulethi yeglucose). Uma unesifo sokuwa noma ulahlekelwa ingqondo ngenxa yeshukela eliphansi egazini, tshela umndeni nabangani ukuthi bangafaki lutho emlonyeni wakho. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.
- Ungayeki ukudla. Futhi, xhumana nodokotela wakho mayelana nokuphuza utshwala.
- Gqoka ikhadi lomazisi noma isongo elinohlu lwezimo zakho zezokwelapha kanye nemininingwane yemithi.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Ezinye zezimpawu ezingezansi zingaba zimbi kakhulu.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Izimpawu okufanele zibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukukhathazeka, ukujuluka ngokweqile, ukubanda, ukucasuka, isiyezi, ukushaya kwenhliziyo okusheshayo. |
| I-potassium ephansi egazini | Ubuhlungu noma ukuqaqamba kwemisipha, ukukhathala okungavamile, ukushaya kwenhliziyo okungajwayelekile, ukuqunjelwa. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| I-Lipodystrophy | Ukuqina, ukuqina, noma ukuba nezibazi esikhumbeni endaweni yokujova. |
| Endaweni yokujova... | Ubuhlungu, ukubomvu, noma ukuvuvukala okuncane. |
| Ukwanda kwesisindo | Abanye abantu bangase bazuze isisindo. |
Ungagcina kanjani i-insulin?
Lokhu kubaluleke kakhulu. Uma i-insulin ingagcinwanga ezingeni lokushisa elifanele, ingase ilahlekelwe ukusebenza kwayo.
Umuthi ongavulwanga
- Amabhodlela:Gcina esiqandisini phakathi kwama-degree Celsius amabili nangu-8. Ngaphandle kwalokho, ungayigcina ekushiseni kwegumbi (ngaphansi kwama-degree Celsius angu-30). Kodwa-ke, uma uyigcina ekushiseni kwegumbi, kufanele uyisuse ngemva kwezinsuku ezingu-28. Ungalokothi uyigcine efrijini .
- Ama-FlexPens (ipeni): Gcina esiqandisini phakathi kwama-degree Celsius amabili nangu-8. Uma igcinwe ekushiseni kwegumbi (ngaphansi kwama-degree Celsius angu-30), yilahle ngemva kwezinsuku ezingu-14.
Imithi esetshenziswayo
- Ama-Vials: Angagcinwa esiqandisini noma ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Lahla noma yikuphi okusele ngemuva kwezinsuku ezingu-28 zokusebenzisa.
- Ama-FlexPens (ipeni): Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30) . Ungayifaki efrijini ipeni elisetshenziswayo. Lahla noma iyiphi i-insulin esele kuyo ngemva kwezinsuku ezingu-14 zokusebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- Lolu hlobo lwe-insulin luyingxube yezinhlobo ezimbili ze-insulin, eyodwa esebenza ngokushesha kanye nenye esebenza kancane. Ngakho-ke, kufanele ijovwe imizuzu eyi-15 ngaphambi kokudla.
- Ngaphambi kokujova, hlola ukubukeka kwe-insulin (emhlophe, enamafu) bese uyixuba ngokuyijikelezisa kancane phakathi kwezandla zakho.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina ushukela eduze.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, njengoba eminye imithi ingathinta amazinga kashukela egazini.
- Ungabelani ngamapeni noma ngamasirinji e-insulin nanoma ubani. Lahla izinaliti ezisetshenzisiwe ngokuphephile.
- Gcina i-insulin ngendlela efanele. Qaphela kakhulu izinga lokushisa. Uma unezinkinga, buza udokotela wakho.
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