Uma unesifo sikashukela, igama elithi 'insulin' cishe lijwayeleke kakhulu kuwe. Ungase ube ngisho nokusebenzisa imijovo ye-insulin nsuku zonke. Kodwa iyini ngempela i-insulin? Yenzani emizimbeni yethu? Ake sixoxe ngayo kalula nangokucacile. Uzothola izimpendulo zayo yonke imibuzo yakho kulesi sihloko.
Iyini i-insulin futhi isebenza kanjani?
Kalula nje, i-insulin iyi-hormone ekhiqizwa yimizimba yethu. Yenziwa yisitho esibizwa ngokuthi i-pancreas, esitholakala esiswini sethu, ngemuva kwesisu. Ngakho-ke umsebenzi oyinhloko walo insulin ukusiza ukuguqula ukudla esikudlayo kube amandla, kuyilapho futhi kulawula amazinga kashukela egazini lethu.
Ake sithi udla into equkethe ama-carbohydrate, njengocezu lwelayisi noma ucezu lwesinkwa. Lawa ma-carbohydrate ayagaywa emathunjini ethu bese eba ushukela olula obizwa ngokuthi 'i-glucose'. Lo glucose ube usungena egazini lethu. Bese amazinga ethu kashukela egazini ayakhuphuka.
Yilapho i-insulin yethu 'eyiqhawe' iphuma khona. Lapho izinga likashukela egazini litholakala ukuthi liyakhuphuka, i-pancreas ikhipha i-hormone i-insulin egazini. Kufana ne-AC endlini yethu. Lapho izinga lokushisa ekamelweni likhuphuka, i-AC iyavula bese ipholisa igumbi, futhi lapho izinga lokushisa lehla, iyacima.
Ngakho-ke le insulin ekhishwayo ithatha i-glucose egazini bese iyiletha emaselini omzimba wethu. Amaseli asebenzisa leyo glucose ukwenza amandla esiwadingayo usuku lonke. I-insulin isitshela nokuthi sigcine i-glucose eyengeziwe esibindini nasemisipheni yethu ukuze siyisebenzise kamuva. Lapho i-glucose ingena emaseli ngale ndlela, izinga likashukela egazini libuyela esimweni esijwayelekile.
Kodwa kwabanye abantu, i-pancreas ayikwazi ukukhiqiza i-insulin eyanele, noma umzimba awukwazi ukusebenzisa i-insulin oyikhiqizayo ngendlela efanele. Lokhu kubizwa nangokuthi 'ukumelana ne-insulin'. Kulesi simo, ushukela uyanqwabelana egazini futhi izinga likashukela lihlala liphezulu. Lesi simo sibizwa ngokuthi i-hyperglycemia . Ukuba noshukela omningi egazini isikhathi eside yikho okubangela isifo sikashukela.
I-insulini ne-Glucagon: Abangane Ababili Abalawula Ushukela
I-Glucagon , enye i-hormone ebalulekile ekhiqizwa yi-pancreas yethu, kanye ne-insulin, isebenza ngokuphambene, kodwa ukugcina amazinga kashukela emzimbeni elinganisela.
- I-insulin: Yehlisa amazinga kashukela egazini.
- I-Glucagon: Yandisa amazinga kashukela egazini.
Cabanga ukuthi awudlanga ngesikhathi, noma uzivivinye umzimba kakhulu. Khona-ke izinga likashukela egazini lakho lingase lehle. Ngalesi sikhathi, i-pancreas ikhipha i-glucagon. I-Glucagon itshela isibindi ukuthi singeze ushukela ogcinwe ngaphambilini (i-glycogen) egazini. Bese izinga likashukela egazini libuyela esimweni esijwayelekile.
Ngale ndlela, ama-hormone amabili i-insulin ne-glucagon asebenza usuku lonke, egcina amazinga ethu kashukela egazini esezingeni elithile.
Yiziphi izinhlobo ze-insulin ezinikezwa isifo sikashukela?
Njengoba umuntu onesifo sikashukela engakwazi ukulawula i-insulin yakhe, kufanele anikezwe i-insulin ngaphandle ngendlela yokujova. Kunezinhlobo eziningana ze-insulin. Zihlukaniswe ngezigaba ezintathu eziyinhloko.
1. Ukuqala: Ukuthi umuthi wokugoma uqala ukusebenza ngokushesha kangakanani ngemva kokunikezwa.
2. Isiqongo: Isikhathi esithathayo ukuze amandla omjovo afinyelele ezingeni eliphezulu.
3. Ubude besikhathi (isikhathi esihlala emzimbeni): Isikhathi esingakanani umjovo owodwa olawula ushukela egazini.
Uhlobo lwe-insulini udokotela wakho akunike yona lungahluka kuye ngalezi zici.
| Uhlobo lwe-insulin (Uhlobo) | Isikhathi sokuqala | Ukusebenza okuphezulu | Ubude besikhathi |
|---|---|---|---|
| Ukusebenza okusheshayo Isibonelo: i-insulin aspart, i-insulin lispro | Cishe imizuzu eyi-15 | Cishe ihora eli-1 | Amahora angu-2-4 |
| Okusebenza isikhathi esifushane Isibonelo: I-insulin ejwayelekile (i-Humulin R, i-Novolin R) | Cishe imizuzu engama-30 | Amahora angu-2-3 | Amahora angu-3-6 |
| Ukusebenza okuphakathi nendawo Isib: i-NPH insulin (Humulin N, Novolin N) | Amahora angu-2-4 | Amahora angu-4-12 | Amahora angu-12-18 |
| Isebenza isikhathi eside Isibonelo: I-Insulin glargine (Lantus), i-Insulin detemir (Levemir) | Cishe amahora amabili | Akukho Peak | Kufika emahoreni angu-24 |
| Isebenza isikhathi eside kakhulu Isibonelo: I-Insulin degludec (Tresiba) | Cishe amahora ayi-6 | Akukho Peak | Amahora angu-36 noma ngaphezulu |
Ungayikhetha kanjani i-insulin efanele wena?
Lokhu akuyona into ongazinqumela yona wedwa. Udokotela wakho uzonquma uhlobo, umthamo, kanye nesikhathi se-insulin esikulungele wena ngokusekelwe esimweni sakho. Kunezici eziningana ezithinta lokhu:
- Izinhlobo kanye nenani lokudla okudlayo
- iminyaka yakho
- Izinga lakho lomsebenzi womzimba (uyazivocavoca noma cha)
- Indlela yokulawula amazinga kashukela egazini lakho
- Isikhathi esithathayo ukuze i-insulin imuncwe ngumzimba
Izindlela zokuthola i-insulin:
- Amasirinji: Indlela evame ukusetshenziswa kakhulu. Umthamo ofanele we-insulin ukhishwa ebhodleleni uye esirinji bese ufakwa ngaphansi kwesikhumba.
- Amapeni: Kulula kakhulu ukuwasebenzisa. Ayithuluzi elifana nepeni eliqukethe i-cartridge egcwele i-insulin. Ungasetha umthamo ofanele nge-dial bese uwufaka ngokucindezela inkinobho.
- Iphampu Ye-Insulin: Lena ithuluzi elincane elikhipha i-insulin emzimbeni kancane kancane esikhathini esingamahora angama-24. Ngokuvamile lifakwa ngaphansi kwesikhumba sesisu.
Ingabe ikhona imiphumela emibi yokujova nge-insulin?
Yebo, umphumela oyinhloko novame kakhulu wokusebenzisa i-insulin ukuthi izinga likashukela egazini lehla kakhulu. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-hypoglycemia . Lesi simo singavela uma izinga likashukela egazini lehla ngaphansi kuka-70 mg/dL.
Izimpawu ezivamile ze-hypoglycemia:
- Ukuzizwa ukhathazekile, ungahlaliseki
- Ukujuluka kakhulu
- Ukuthuthumela komzimba
- Ukuzizwa ulambile kakhulu
- Isiyezi , amehlo aluhlaza okwesibhakabhaka
- Ukudideka, intukuthelo
Okubalulekile: Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kungaba yisimo esiphuthumayo. Ungakushayi indiva. Uma nje usola ukuthi ushukela wakho uphansi egazini, phuza okuthile okumnandi (isipuni sikashukela, ushukela omncane, isiphuzo esimnandi) bese ushayela udokotela wakho ngokushesha. Kwezinye izimo ezinzima, kungadingeka uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (i-ETU).
Akuvamile kakhulu ukuthi kube nokusabela kokungezwani komzimba okufana nokubomvu, ukulunywa, nokuvuvukala endaweni yomjovo. Uma lokhu kwenzeka, khuluma nodokotela wakho ngakho.
Uyifaka kuphi i-insulin?
Imijovo ye-insulin kufanele inikezwe ungqimba lwamafutha ngaphansi kwesikhumba. Yilapho imuncwa khona egazini futhi isebenze kahle. Izindawo ezinhle kakhulu zalokhu yilezi:
- Isisu: Noma yikuphi esiswini, okushiya cishe amasentimitha amabili esikhala esizungeze inkaba.
- Ingemuva lengalo: Ingemuva lengalo engenhla.
- Ithanga: Ingaphambili noma izinhlangothi zethanga.
- Ingxenye engenhla yendawo yezinqe.
Into ebaluleke kakhulu ukuthi, ungajovi endaweni efanayo nsuku zonke. Uma ujova engalweni yesokudla namuhla, jova engalweni yesobunxele kusasa. Uma ujova ohlangothini lwesokudla lwesisu namuhla, jova ohlangothini lwesobunxele kusasa. Lolu hlobo lokujikeleza indawo luyimpoqo. Ngaphandle kwalokho, uma uqhubeka nojova endaweni efanayo, amaqhubu amancane (i-lipohypertrophy) angakheka ngaphansi kwesikhumba kulezo zindawo. Ngenxa yalawo maqhubu, umzimba ungase ungamunci kahle i-insulin kamuva.
Umlayezo Wokuya Nawe Ekhaya
- I-insulin iyi-hormone ebalulekile ekhiqizwa emzimbeni wethu elawula ushukela egazini.
- Uma unesifo sikashukela, ukusebenza kwalolu hlelo lwe-insulin kuyaphazamiseka, ngakho-ke kufanele uthathe i-insulin ngaphandle.
- Kunezinhlobo eziningana ze-insulin. Udokotela wakho uzonquma uhlobo kanye nomthamo ofanele isimo sakho.
- Ingozi enkulu yokusebenzisa i-insulini ushukela ophansi egazini (i-hypoglycemia). Hlala uqaphela izimpawu zayo .
- Uma unemibuzo, ukukhathazeka, noma ukungabaza nge-insulin, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho