Ingabe uthatha i-insulin ukulawula isifo sikashukela sakho? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umjovo obizwa ngokuthi i-Insulin Glargine. Igama lingase lizwakale liyinkimbinkimbi, kodwa ungakhathazeki. Namuhla, sizoxoxa ngalo muthi, ukuthi usebenza kanjani, ukuthi ungawusebenzisa kanjani kahle, nokuthi yini okudingeka uyiqaphele ngendlela elula neqondakalayo.
Kalula nje, iyini i-Insulin Glargine?
I-insulin glargine uhlobo olukhethekile lwe-insulin olusetshenziselwa ukwelapha isifo sikashukela. Isebenza ngendlela efanayo ne-insulin hormone emizimbeni yethu. Okwenza ibe ekhethekile ukuthi iyi -insulin "esebenza isikhathi eside" . Lokhu kusho ukuthi ngemva kokuyijova, ayisebenzi yonke ngesikhathi esisodwa. Kunalokho, ikhipha i-insulin kancane futhi ngesivinini esifanayo esikhathini esingamahora angaba ngu-24. Njengoba nje ama-pancreas ethu ekhipha inani elincane le-insulin ngokwemvelo usuku lonke. Lokhu kubizwa nangokuthi i-basal insulin .
Inzuzo eyinhloko yalokhu ukuthi kusiza ukulawula amazinga kashukela egazini lakho (i-glucose egazini) usuku lonke. Ngokuvamile, udokotela uzokweluleka ukuthi ushintshe ukudla kwakho futhi uvivinye umzimba kanye nalo muthi. Yilapho nenza zonke lezi zinto ndawonye lapho ningathola khona imiphumela emihle kakhulu.
Izinto ezibaluleke kakhulu okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi yilezi:
Ngaphambi kokuthi uqale ukuthatha i-insulin glargine, kubaluleke kakhulu ukutshela udokotela wakho incazelo ephelele yesimo sakho sempilo, njengoba lolu lwazi luzonquma umthamo kanye nemiyalelo ozoyinikwa.
Khumbula, ungamfihleli lutho udokotela wakho. Ngisho nento encane ingaba yinto ebalulekile ekwelashweni kwakho.
Uma unezinye zezimo ezingezansi, qiniseka ukuthi wazisa udokotela wakho ngakho.
| Isimo sempilo noma ithuba | Kungani lokho kubalulekile? |
|---|---|
| Isifo sezinso | Njengoba ukusebenza kwezinso kwehla, indlela i-insulin ekhishwa ngayo emzimbeni ingashintsha. Ngakho-ke, umthamo womuthi kungadingeka ushintshwe. |
| Isifo sesibindi | Isibindi yilapho umzimba wethu ugcina khona futhi ukhiqiza khona ushukela. Uma kunenkinga ngesibindi, izidingo ze-insulin zingashintsha. |
| Uma amazinga kashukela egazini lakho ephansi (hypoglycemia) | Uma ushukela wegazi uphansi njalo, ungase ukhuphuke kakhulu uma uqala ukuthatha i-insulin. Ngakho-ke kubalulekile ukuqaphela lokhu kusenesikhathi. |
| Ukukhubazeka kokubona | Udinga ukubona kahle ukuze ulinganise ngokunembile ama-milliliters ebhodleleni le-insulin kanye nesirinji. Uma unezinkinga zokubona, sicela usazise. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Lokhu kubalulekile ukwazi ukuthi une-allergy ku-insulin noma yini enye equkethwe yiyo. |
| Uma ukhulelwe noma uzama ukukhulelwa | Izidingo ze-insulin zishintsha ngesikhathi sokukhulelwa, ngakho-ke kubalulekile ukutshela udokotela wakho ngalokhu. |
| Uma uncelisa ingane yakho (Ukuncelisa) | Imithamo ye-insulin nayo ingadinga ukulungiswa ngesikhathi sokuncelisa. |
Ngiyisebenzisa kanjani ngempela le mithi?
Into ebaluleke kakhulu ukujova i-insulin ngendlela efanele. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungakwenza kanjani lokhu. Landela leyo miyalelo kahle.
Isinyathelo 1: Ukuhlola i-insulin
Njalo bheka i-insulin vial ngaphambi kokuyijova. I-insulin glargine iwuketshezi olucacile, olungenambala, njengamanzi . Ungalokothi uyisebenzise uma iguqubele, iguqubele, noma umbala wayo usushintshile. Futhi, bheka njalo igama nosuku lokuphelelwa yisikhathi e-vial.
Isinyathelo 2: Ukukhetha indawo yokugoma
Lo muthi wokugomela unikezwa ezicutshini ezingaphansi kwesikhumba, ungqimba olunamafutha ngaphansi kwesikhumba. Izindawo ezinhle kakhulu zokuwugomela yilezi:
- Indawo ezungeze i-buttock (cishe amasentimitha angu-2 ngaphansi kwe-buttock)
- Ingxenye engenhla yengalo
- Izingxenye ezingenhla neziseceleni zethanga
Okubalulekile: Ungajovi ezindaweni ezilimele, eziphukile, ezivuvukele, ezinamaqhubu, noma ezinesikhumba esijiyile.
Isinyathelo 3: Ukuzungeziswa Kwendawo
Lokhu kubaluleke kakhulu. Ungajovi endaweni efanayo nsuku zonke . Uma wenza kanjalo, ungqimba lwamafutha ngaphansi kwesikhumba lungajiya futhi lwakhe amaqhubu. Lokhu kubizwa ngokuthi `(Lipodystrophy)`. Uma lokhu kwenzeka, i-insulin efakwe kuleyo ndawo ngeke imuncwe kahle. Ngakho-ke, gcina incwadi encane bese uphawula izindawo ozijovile kuzo. Isibonelo, uma ujove ohlangothini lwesokudla lwesisu kuleli sonto, jova ohlangothini lwesobunxele ngosuku olulandelayo. Bese uye ethangeni. Noma ngabe kuyindawo efanayo, jova cishe nge-intshi ukusuka lapho ujove khona ngosuku olwedlule.
Isinyathelo 4: Ukulahla izinaliti ezisetshenzisiwe kanye nesirinji
Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Zingaba yingozi kwabanye. Kunezitsha zepulasitiki ezikhethekile ('izitsha ezibukhali') zalezi. Buza udokotela wakho ukuthi ungazithola kanjani.
Lo muthi ngezinye izikhathi unikezwa izingane ezingaphezu kweminyaka engu-6 ubudala, kodwa lokhu kunqunywa udokotela wezingane.
Kuthiwani uma uphuza ngokweqile? Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umjovo wakho we-insulin ngesikhathi esibekiwe, ungesabi. Khumbula, ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela ukuthi ushukela wakho wegazi wehle kakhulu, okungaba yingozi. Uma uphuthelwe umthamo, shayela udokotela wakho ukuze akunike iseluleko. Uzokutshela ukuthi wenzeni ngokulandelayo.
Izinto okufanele uziqaphele lapho uthatha lo muthi
Uma uthatha ukwelashwa nge-insulin, udinga futhi ukuqaphela kakhulu indlela yakho yokuphila.
- Hlola amazinga kashukela egazini lakho njalo: Sebenzisa imitha kashukela egazini lasekhaya bese uhlola amazinga kashukela egazini lakho njalo njengoba kuqondiswe udokotela wakho. Gcina irekhodi lamazinga kashukela egazini lakho.
- Qaphela i-hypoglycemia: Lokhu kwenzeka lapho amazinga kashukela egazini ehla kakhulu. Lesi yisimo esiyingozi kakhulu esingase senzeke kumuntu othatha i-insulin.Izimpawu zifaka phakathi ukujuluka , ukuthuthumela, indlala enkulu, ukushaya kwenhliziyo okusheshayo, ukukhathazeka, isiyezi kanye nokudideka.
- Hlala ugcina okuthile okumnandi nawe: Hlala ugcina okuthile okumnandi nawe, njenge -glucose toffee, iphakethe likashukela, isiphuzo esinoshukela, noma ijusi yezithelo, ukuze ukudle ngokushesha nje lapho uzwa izimpawu zoshukela ophansi egazini. Uma ulahlekelwa ingqondo ngenxa yoshukela ophansi egazini, ungafaki lutho emlonyeni wakho. Yiya esibhedlela ngokushesha.
- Qaphela i-hyperglycemia: Lokhu amazinga aphezulu kashukela egazini. Izimpawu zifaka ukoma ngokweqile , ukuchama njalo, ukukhathala okukhulu, kanye nokungaboni kahle . Tshela udokotela wakho uma unezinye zalezi zimpawu.
- Qaphela ngezinsuku zokugula: Uma unesifo esifana nomkhuhlane, umkhuhlane, noma isifo sohudo, amazinga kashukela egazini lakho angakhuphuka ngenxa yezinguquko zamahomoni emzimbeni wakho. Buza udokotela wakho uma udinga ukulungisa umthamo wakho we-insulin ngalezo zinsuku.
- Ungayeki ukudla: Uma uthatha i-insulin bese weqa ukudla, ushukela wakho wegazi ungase wehle kakhulu. Yidla ukudla ngesikhathi esifanele.
- Gqoka i-ID yezokwelapha: Hlala uphethe isongo noma ikhadi elibhalwe ukuthi uthatha i-insulin yesifo sikashukela. Kungasindisa impilo yakho esimweni esiphuthumayo.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzokucela ukuthi uhlole igazi elibizwa ngokuthi ``(HbA1C)`` cishe kanye njalo ezinyangeni ezi-3. Lokhu kungakusiza ubone ukuthi isilinganiso sakho sokulawula ushukela egazini sibe kanjani ezinyangeni ezi-2-3 ezedlule.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana)
Yebo, eminye imithi ingasebenzisana ne-insulin futhi ithinte amazinga kashukela egazini lakho. Eminye imithi iphakamisa amazinga kashukela egazini lakho, kanti eminye iyawehlisa. Futhi, kuneminye imithi ecindezela izimpawu zikashukela wegazi ophansi (hypoglycemia). Ngakho-ke ungase uzizwe sengathi ushukela wegazi uphansi.
Ngakho-ke, tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo (kufaka phakathi amavithamini, imithi yendabuko, kanye nezithasiselo) .
| Umthelela | Isibonelo, imithi |
|---|---|
| Imithi engathinta amazinga kashukela egazini | |
| Eminye imithi yokucindezeleka kwegazi okuphezulu | Isibonelo: i-enalapril, i-losartan |
| Izinhlobo zama-steroid | Isibonelo: i-prednisolone, i-cortisone |
| Imithi yokuhlanza | Isibonelo: i-hydrochlorothiazide |
| Imithi yezifo ezithile zengqondo | Isibonelo: i-fluoxetine, i-olanzapine |
| Utshwala | Utshwala lunganciphisa noma lunyuse amazinga kashukela egazini ngokungalindelekile. |
| Imithi engafihla izimpawu ze-hypoglycemia | |
| Izinhlobo ze-beta-blockers | Lena imithi esetshenziselwa ukwelapha umfutho wegazi ophakeme kanye nesifo senhliziyo. Isibonelo: i-metoprolol, i-propranolol. |
Ingabe ikhona imiphumela emibi?
Njenganoma yimuphi umuthi, i-insulin glargine ingabangela imiphumela emibi kwabanye abantu. Esikhathini esiningi, lokhu akukubi kangako, kodwa kunezinto ezithile okufanele siziqaphele.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| I-Hypoglycemia (ushukela ophansi egazini) | Ukuthuthumela, ukujuluka ngokweqile, ukungahlaliseki, ukudideka, isiyezi, kanye nokushaya kwenhliziyo okusheshayo. |
| Amazinga e-potassium anciphile | Ubuhlungu noma ukuqaqamba kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Okuvamile (uma kuqhubeka, tshela udokotela wakho) | |
| Izinguquko endaweni yokujova | Ukubomvu, ubuhlungu obuncane noma ukulunywa endaweni yokujova. Kungenzeka kube nezigaxa ngaphansi kwesikhumba (i-Lipodystrophy). |
| Ukwanda kwesisindo | Kungase kube nokukhuluphala okuncane lapho uqala ukwelashwa nge-insulin. |
Ungawugcina kanjani umuthi ngendlela efanele?
I-insulini umuthi owonakala ngokushesha uma ungagcinwanga kahle.
- Amabhodlela angavulwanga: Gcina lawa emnyango wefriji. Ungalokothi uwagcine efrijini. Ungasebenzisi i-insulin uma iqandisiwe.
- Amabhodlela Avuliwe/Asetshenziswayo: Ungagcina ibhodlela lakho elisetshenziswa njengamanje ezingeni lokushisa legumbi (ngaphansi kwama-degree Celsius angu-30). Kodwa kufanele ulisebenzise zingakapheli izinsuku ezingu-28. Uma kukhona okusele ngemva kwezinsuku ezingu-28, lilahle.
- Vikela elangeni eliqondile kanye nokushisa okweqile.
Ngiyethemba ukuthi lawa macebiso azokusiza. Khumbula, isifo sikashukela yisimo esidinga ukuphathwa kahle. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokukhuluma naye nganoma yimiphi imibuzo noma ukukhathazeka onakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Glargine uhlobo lwe-insulin olusebenza usuku lonke futhi lulawula amazinga kashukela egazini.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zempilo kanye neminye imithi oyithathayo.
- Esikhundleni sokuthola umuthi wokugoma endaweni efanayo nsuku zonke, shintsha indawo yokugoma.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Hlala ugcina okuthile okumnandi eduze.
- Ungayeki ukudla. Yidla ngesikhathi esifanele.
- Uma uphuthelwe umthamo, ungalokothi uphinde kabili umthamo. Xhumana nodokotela wakho.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukukhuluma nodokotela wakho.
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