Unesifo sikashukela, ngakho udokotela wakho kungenzeka ukuthi ukunike umjovo obizwa ngokuthi i-Insulin Degludec. Ungase ukwazi ngegama lomkhiqizo iTresiba. Lolu uhlobo olusha lwe-insulin olusebenza isikhathi eside, cishe usuku lonke. Ngakho-ke namuhla, ake sixoxe ngezinto ezibalulekile okudingeka uzazi ngokusebenzisa lokhu.
Iyini ngempela i-Insulin Degludec?
Kalula nje, i-Insulin Degludec umuthi osetshenziselwa ukulawula isifo sikashukela. I-insulin esebenza isikhathi eside. Lokhu kusho ukuthi ngemva komjovo owodwa, ingagcina amazinga e-insulin adingekayo emzimbeni wakho amahora amaningana. Lokhu kunciphisa izinga likashukela (i-glucose) egazini lakho.
Khumbula, lo muthi wokugomela wodwa awanele. Ngokuvamile, kanye nalokhu kwelashwa , ukudla okufanele kanye nokuzivocavoca umzimba nakho kubaluleke kakhulu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuqala lo muthi wokugomela, kubalulekile ukutshela udokotela wakho ngesimo sakho sempilo, njengoba lokhu kuzonquma umthamo kanye nemiyalelo ozoyinikwa.
| Isimo sakho | Kungani kubalulekile ukutshela udokotela ? |
|---|---|
| Izigameko ezivamile zoshukela wegazi ophansi | Imithamo ye-insulin ingandisa kakhulu ingozi ye-hypoglycemia, ngakho-ke kufanele kuqashelwe. |
| Izifo zamehlo noma ukukhubazeka kokubona | Izinguquko emazingeni kashukela zingathinta ezinye izifo zamehlo. |
| Isifo sezinso | Uma izinso zingasebenzi kahle, indlela i-insulin ekhishwa ngayo emzimbeni ingashintsha, futhi umthamo ungadinga ukulungiswa. |
| Isifo sesibindi | Njengoba isibindi sihilelekile ekusebenzeni kwe-insulin, udokotela kufanele aqaphele lokhu. |
| Ukungezwani komzimba ne-insulin noma eminye imithi noma ukudla | Lokhu kubalulekile ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Izidingo ze-insulini zishintsha ngesikhathi sokukhulelwa nokuncelisa, ngakho-ke kubalulekile ukukhuluma nodokotela wakho ngalokhu. |
Lo muthi wokugoma usetshenziswa kanjani ngempela?
Lo mjovo unikezwa ngaphansi kwesikhumba (umjovo ongaphansi kwesikhumba). Udokotela wakho noma umhlengikazi wekliniki yesifo sikashukela uzokukhombisa ngqo ukuthi ungawunikeza kanjani.
- Sebenzisa isilinganiso esiqondile. Ungalokothi uthathe okungaphezu kwalokho udokotela wakho akutshele khona.
- Bheka ukubukeka kwe-insulin. Lo muthi kufanele ucace futhi ungabi nombala, njengamanzi. Ungawusebenzisi uma unamafu, ujiyile, unombala, noma unamaqhubu kuwo.
- Ungaxubi nezinye izinhlobo ze-insulin. Akuvunyelwe ngokuphelele ukuxuba lolu hlobo lwe-Insulin Degludec nezinye izinhlobo ze-insulin kwisirinji efanayo.
- Uma kuyipeni ye-insulin: Ungakhohlwa ukususa isembozo senaliti yangaphandle enalitini ngaphambi kokuyisebenzisa.
- Izinaliti ezisetshenzisiwe: Lezi kufanele zilahlwe ngokucophelela okukhulu. Faka izinaliti ezisetshenzisiwe kanye nesirinji esitsheni esibukhali. Ungalokothi uzilahle emgqonyeni kadoti. Uma ungenayo, buza udokotela wakho ukuthi ungayithola kanjani.
Yini okufanele uyenze uma umthamo wemithi ukhushuliwe?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
- Kwabantu abadala: Uma uphuthelwa umthamo, thola umuthi wokugoma ngokushesha nje lapho ukhumbula. Kodwa kufanele kube okungenani igebe lamahora angu-8 phakathi komthamo wakho olandelayo.Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Kwabantwana kanye nabantu abadala abasebasha: Udokotela wakho uzokunikeza uhlelo lokuthi yini okufanele uyenze uma uphuthelwa yi-aphoyintimenti. Landela lelo hlelo ngqo.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje imithi kadokotela, kodwa futhi nemithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela, amavithamini, kanye nezithasiselo zemithi, njengoba ezinye zalezi zingathinta indlela esebenza ngayo i-insulin.
Ngezansi kunezinye zezinto ezinjalo:
- Utshwala: Utshwala bungabangela ukuthi amazinga kashukela egazini ehle noma akhuphuke ngokungalindelekile.
- Eminye imithi yesifo sikashukela: Ingozi yokuba noshukela ophansi egazini (hypoglycemia) iyanda uma ithathwa kanye nale mithi.
- Eminye imithi yomfutho wegazi ophakeme (ama-Beta-blockers): Lokhu kungafihla izimpawu zoshukela ophansi egazini (njengokuqhaqhazela, ukushaya kwenhliziyo okukhuphukile), ngakho-ke ungase ube noshukela ophansi egazini ungaqapheli.
- Ama-Painkiller (ama-NSAID): Imithi efana ne-ibuprofen ne-naproxen.
- Ama-Steroids: Imithi efana ne-Prednisone ingakhuphula amazinga kashukela egazini.
- Eminye imithi yokwelapha i-asthma, ukukhwehlela, kanye nomkhuhlane.
- Ukubhema.
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
- Ukuhlolwa okuvamile: Ungaphuthelwa ukuya emtholampilo kadokotela wakho. Kubalulekile ukuqapha intuthuko yakho.
- Ukuhlolwa kwe-HbA1C: Lokhu ukuhlolwa kwegazi okulula okubonisa ukuthi isifo sakho sikashukela silawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
- Ukulinganisa amazinga kashukela egazini: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho ekhaya. Qaphela izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi yini okufanele uyenze ngazo.
- Gcina okuthile okumnandi eduze: Hlala ugcina okuthile ongakudla ngokushesha (isib., ama-sugar cubes, i-toffee, amaphilisi e-glucose) eduze uma uzizwa izimpawu zoshukela wegazi ophansi.
- Ungayeki ukudla: Yidla ngesikhathi esifanele.
- Ikhadi lokuzazisa: Ukugqoka ikhadi noma isongo elisho ukuthi unesifo sikashukela kanye nohlobo kanye nomthamo we-insulin oyithathayo kubaluleke kakhulu esimweni esiphuthumayo.
Kubaluleke kakhulu: Ungalokothi wabelane ngepeni noma i-cartridge yakho ye-insulin nomunye umuntu . Ngisho noma ushintsha inalithi, kunengozi enkulu yokudlulisela izifo eziyingozi zamagciwane njenge-Hepatitis noma i-HIV.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu.
| Izinhlobo zemiphumela emibi | |
|---|---|
| Izinto okufanele uzitshele udokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka, ukwesaba, ukuzizwa ubanda, isiyezi, ukushaya kwenhliziyo okusheshayo. |
| Amazinga aphansi e-potassium | Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Izinto okufanele uzitshele udokotela wakho uma ngokuvamile zingabi zimbi kakhulu, kodwa ziqhubeka | |
| I-Lipodystrophy | Ukujiya kwezicubu ngaphansi kwesikhumba noma izibazi endaweni yokujova. (Ukuvimbela lokhu, shintsha indawo yokujova njalo.) |
| Izinguquko endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala okuncane. |
| Ukwanda kwesisindo | Abanye abantu bangase bakhuluphale kancane ngemva kokuqala i-insulin. |
Ungagcina kanjani imithi?
I-insulini umuthi okumele ugcinwe kahle, ngaphandle kwalokho ungase ulahlekelwe ukusebenza kwawo.
Amabhodlela namaPeni angavulwanga
- Indlela engcono kakhulu: Gcina eshalofini elingaphakathi lefriji, hhayi emnyango, ezingeni lokushisa eliphakathi kwama-degree Celsius angu-2 no-8.
- Okunye: Ungagcina futhi ezingeni lokushisa legumbi (ngaphansi kwama-degree Celsius angu-30).
- Ungalokothi uyifake efrijini. Ungasebenzisi i-insulin eqandisiwe.
- Lahla ngemva kosuku lokuphelelwa yisikhathi.
Amabhodlela namaPeni asetshenziswa njalo
- Ungagcina ibhodlela noma ipeni osuqalile ukulisebenzisa esiqandisini noma ezingeni lokushisa legumbi (ngaphansi kwama-degree Celsius angu-30).
- Okubaluleke kakhulu: Kufanele ilahlwe zingakapheli izinsuku ezingu-56 (amasonto angu-8) kusukela ekusetshenzisweni kokuqala. Akunandaba ukuthi kukhona yini i-insulin esele ngaphakathi, vele uyilahle.
- Gcina kude nokukhanya kwelanga okuqondile nokushisa okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Degludec iyi-insulin esebenza isikhathi eside. Ungayixubi nezinye izinhlobo ze-insulin kwisirinji efanayo.
- Njalo hlola ukuthi ikhambi le-insulin licacile futhi alinambala ngaphambi kokusebenzisa.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia) futhi uhlale ugcina okuthile okumnandi eduze.
- Ungalokothi wabelane ngepeni noma izinaliti zakho ze-insulin nabanye.
- Gcina i-insulin ngendlela efanele. Yilahle ngemuva kwezinsuku ezingu-56 zokusebenzisa.
- Uma unemibuzo noma ukukhathazeka mayelana nalo muthi, khuluma nodokotela wakho.
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