Ukusebenzisa i-insulin yesifo sikashukela ngezinye izikhathi kungabonakala kuyinkimbinkimbi kancane. Kunezinhlobo ezahlukene ze-insulin. Namuhla sikhuluma ngenye yazo, i-Insulin Detemir. Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi uyisebenzise. Iphinde iqanjwe ngegama lomkhiqizo i-Levemir. Ngakho-ke, ake sibheke ukuthi iyini, ukuthi isetshenziswa kanjani kahle, nokuthi yini okudingeka uyiqaphele.
Iyini i-Insulin Detemir?
Kalula nje, i-Insulin Detemir uhlobo lwe-insulin olusetshenziselwa ukwelapha isifo sikashukela. Ikakhulukazi, iyi- insulin esebenza isikhathi eside . Ngezinye izikhathi ibizwa ngokuthi 'i-basal insulin'.
Kusho ukuthini lokho? Uma uthatha lo mjovo, awusebenzi ngesikhathi esisodwa. Kunalokho, ukhipha i-insulin emzimbeni wakho kancane kancane esikhathini esingamahora. Lokhu kusiza ukulawula nokuqinisa amazinga kashukela egazini lakho imini nobusuku, njenge-insulin ekhiqizwa yimizimba yethu ngokwemvelo.
Into ebalulekile ukuthi i-insulin yodwa ayanele. Ukudla kanye nokuzivocavoca, njengoba kwelulekwe udokotela wakho, nakho kuyingxenye yalolu hlobo lokwelashwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Uma uxoxa ngalo muthi nodokotela wakho, kubaluleke kakhulu ukunikeza incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi usho okulandelayo:
- Uma uneziqephu ezivamile zoshukela wegazi ophansi .
- Uma unesifo samehlo noma izinkinga zokubona.
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma uke waba nokusabela kokungezwani komzimba ne-insulin, eminye imithi, ukudla, amadayi, noma izithasiselo esikhathini esidlule.
- Uma ukhulelwe, noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukwelashwa okufanele kakhulu kuwe.
Ngingayijova kanjani kahle le mithi?
Lona umjovo ngaphansi kwesikhumba. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi uwufaka kanjani ngqo.
- Ngesikhathi: Kubaluleke kakhulu ukuthatha umjovo ngesikhathi esifanayo nsuku zonke.
- Ungaxubi: Ungalokothi uxube i-Insulin Detemir nanoma iyiphi enye i-insulin e-syringe efanayo.
- Unganyakazisi: Unganyakazisi i-vial noma ipeni ye-insulin ngamandla ngaphambi kokusebenzisa.
- Hlola ukubukeka: Hlola njalo ukubukeka kwe-insulin ngaphambi kokuyisebenzisa. Kufanele kube uketshezi olucacile, olungenambala, njengamanzi . Ungayisebenzisi uma ibukeka inamafu, ijiyile, ishintshile umbala, noma inezinhlayiya kuyo.
- Ukususa inalithi: Uma usebenzisa ipeni ye-insulin, khumbula ukususa isembozo senalithi sangaphandle ngaphambi kokuthatha umthamo wakho.
- Ukulahla izinaliti: Ungalahli izinaliti ezisetshenzisiwe kanye nezinaliti emgqonyeni kadoti. Kufanele zifakwe esitsheni esibukhali. Uma ungenayo, buza udokotela wakho ukuthi ungayithola kanjani.
Yini okufanele uyenze uma uphuthelwa umthamo?
Kubaluleke kakhulu ukungaphuthelwa umthamo. Kodwa uma wenza kanjalo, udokotela wakho uzobe ekunike imiyalelo yokuthi wenzeni esimweni esinjalo. Landela lelo hlelo. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma umthamo unyusiwe?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, thatha isinyathelo ngokushesha. Ungashayela iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo, amavithamini, imikhiqizo yamakhambi, nakho konke. Ngoba ezinye izinto zingathinta indlela esebenza ngayo i-insulin. Lokho kusho ukuthi amazinga kashukela egazini lakho angaba phansi kakhulu noma aphezulu kakhulu.
Ithebula elingezansi libonisa ezinye zezinto ezingangqubuzana nalokho.
| Isigaba sezidakamizwa/izidakamizwa | Izibonelo nalokho okufanele ukwazi |
|---|---|
| Eminye imithi yesifo sikashukela | Imithi efana ne-Glyburide, i-Glipizide, ne-Metformin. Ukuthatha lokhu ndawonye kwandisa ingozi yokuba noshukela wegazi ophansi. |
| Utshwala | Utshwala bungabangela izinguquko ezingalindelekile emazingeni kashukela egazini. Buza udokotela wakho ngalokhu. |
| Imithi yokucindezeleka kwegazi/yesifo senhliziyo | Imithi efana ne-beta-blockers (isib. i-Metoprolol, i-Propranolol) ingasiza ekuvimbeleni izimpawu zokwehla koshukela egazini (ukushaya kwenhliziyo). |
| Ama-Painkiller | Ama-NSAID (isib., i-Ibuprofen, i-Naproxen), imithi efana ne-aspirin. |
| Ama-steroid | Imithi efana ne-Prednisone ne-Cortisone ingakhuphula amazinga kashukela egazini. |
| Okunye | Amaphilisi okuvimbela inzalo, ama-hormone e-thyroid, eminye imithi yokwelapha izifo zengqondo, kanye neminye imithi yomkhuhlane/ukukhwehlela. |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele uma usebenzisa i-insulin
- Ukuhlolwa okuvamile: Vakashela udokotela wakho ngezinsuku ezihleliwe ukuze uhlole isimo sakho. Uzokwenza ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C njalo ezinyangeni ezi-2-3 ukuze abone ukuthi ushukela wakho ulawulwa kahle kangakanani.
- Hlola ushukela wakho wegazi: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Yazi izimpawu ze-hypoglycemia kanye ne-hyperglycemia, nokuthi yini okufanele uyenze ngazo.
- Gcina ushukela eduze: Hlala ugcina i-toffee, i-sugar cube, noma i-glucose tablet eduze ukuze uyidle ngokushesha uma kwenzeka uzwa izimpawu zoshukela wegazi ophansi.
- Ungalokothi wabelane: Ungalokothi wabelane ngepeni noma ikhatriji yakho ye-insulin nanoma ubani omunye. Ngisho noma ushintsha inalithi, usengasakaza amagciwane afana ne-Hepatitis noma i-HIV.
- I-ID Yezokwelapha: Ukugqoka noma ukuphatha isongo noma ikhadi le-ID yezokwelapha elibonisa isimo sakho sezokwelapha, imithi, kanye nomthamo kubaluleke kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela engemihle engaba khona ngenxa yalokhu?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka, ukungahlaliseki, isikhumba esibandayo, isiyezi, ukushaya kwenhliziyo okusheshayo. |
| Amazinga e-potassium anciphile | Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukushintsha indawo yomjovo (i-Lipodystrophy) | Ukuqina kwezicubu ngaphansi kwesikhumba, izibazi, noma amaqhubu endaweni yomjovo. |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu, noma ukuvuvukala okuncane endaweni yokujova. |
| Ukwanda kwesisindo | Abanye abantu bangase baqaphele ukukhuluphala. |
Ngingawugcina kanjani umuthi?
I-insulini umuthi okumele ugcinwe kahle, ngaphandle kwalokho ungase ulahlekelwe ukusebenza kwawo.
Amabhodlela namaPeni angavulwanga
- Indlela engcono kakhulu: Gcina emnyango wefriji. Kodwa ungalokothi ufake efrijini. Ungasebenzisi i-insulin eqandisiwe.
- Izinga lokushisa legumbi:Uma ungakwazi ukuyibeka efrijini, ungayigcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Kodwa-ke, uma wenza kanjalo, kufanele uyisuse ngemva kwezinsuku ezingu-42 .
- Uma usuku lokuphelelwa yisikhathi seludlulile, lulahle ngaphandle kokulisebenzisa.
Amabhodlela namaPeni asetshenziswa njalo
- Gcina ibhodlela noma ipeni osanda kuqala ukulisebenzisa ezingeni lokushisa legumbi . Ungaliphindi ulifake esiqandisini ngemva kokusebenzisa.
- Gcina kude nokukhanya kwelanga okuqondile nokushisa okukhulu.
- Okubaluleke kakhulu: Kufanele ulahle ibhodlela noma ipeni osuqalile ukulisebenzisa ngemva kwezinsuku ezingu-42 . Akunandaba ukuthi kukhona yini umuthi osele kulo.
Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Detemir iyi-insulin esebenza isikhathi eside elawula amazinga kashukela egazini lakho usuku lonke.
- Thatha umthamo onqunyiwe njengoba nje udokotela wakho ekutshelile, ngesikhathi onqunyiwe. Ungalokothi uphindwe kabili umthamo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ngisho namavithamini.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Hlala ugcina okuthile okufana ne-candy bar eduze.
- Ungalokothi wabelane ngepeni noma isirinji yakho ye-insulin nomunye umuntu.
- Gcina i-insulin ngendlela efanele. Lahla zingakapheli izinsuku ezingu-42 kusukela ekusetshenzisweni.
- Uma unenkinga noma inkinga, ungesabi ukuyixoxa nodokotela wakho.
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