Njengoba unesifo sikashukela i-Diabetes Mellitus, kungenzeka ukuthi udokotela wakho ukutshelile ukuthi usebenzise i-insulin. Kunezinhlobo eziningi ze-insulin. Namuhla sikhuluma ngohlobo lwe-insulin olusebenza ngokushesha, okusho ukuthi luqala ukulawula amazinga kashukela egazini ngemuva nje kokujova. Leyo yi-Insulin Glulisine. Ake sibone ukuthi yiziphi izinto ezibaluleke kakhulu okudingeka uzazi ngayo.
Iyini le insulin Glulisine?
Kalula nje, lolu uhlobo lwe-insulin olusetshenziswa ukwelapha isifo sikashukela. Lusebenza ngokwandisa izinga le-insulin emzimbeni wethu nokunciphisa izinga likashukela (i-glucose) egazini. Lungolwesigaba se -insulin esebenza ngokushesha . Lokhu kusho ukuthi luqala ukusebenza zingakapheli imizuzu eyi-15 lujovwe. Ngokuvamile, uma usebenzisa lo muthi, kudingeka uqaphele ngokudla kwakho kanye nemikhuba yakho yokuzivocavoca. I-Apidra kanye ne-Apidra SoloStar yizona zinhlobo ezidumile emakethe.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho uzokubuza imibuzo ethile. Kubaluleke kakhulu ukuthi umtshele lolu lwazi ngaphandle kokulufihla. Ikakhulukazi uma unezinye zalezi zimo, qiniseka ukuthi umtshela ngazo.
- Uma uneziqephu ezivamile zoshukela wegazi ophansi .
- Uma unesifo samehlo noma unenkinga yokubona.
- Uma unesifo sezinso noma isifo sesibindi .
- Uma uke waba nokusabela kokungezwani komzimba nale insulin, into ebizwa ngokuthi i-metacresol, noma eminye imithi, ukudla, noma izithasiselo.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa .
Lolu lwazi lubaluleke kakhulu ekuphepheni kwakho.
Uyisebenzisa kanjani kahle le nto?
Lokhu kufanele kufakwe ngaphansi kwesikhumba. Kufanele ukusebenzise njengoba nje udokotela ekutshelile.
Into ebaluleke kakhulu isikhathi. Lokhu kufanele kufakwe imizuzu eyi-15 ngaphambi noma kungakapheli imizuzu engama-20 yokudla . Ngakho-ke, kubaluleke kakhulu ukuba nokudla okulungisiwe ngaphambi kokufaka umjovo. Ungalibali ukudla.
Hlola njalo ukubukeka kwe-insulin ngaphambi kokuyijova. Kufanele kube uketshezi olucacile, olungenambala, njengamanzi . Ungayisebenzisi uma ibukeka inamafu, ijiyile, ishintshile umbala, noma inamaqhubu kuyo.
Uma usebenzisa ipeni, udinga ukususa isembozo senaliti yangaphandle enalitini ukuze uthathe umthamo.
Qaphela kakhulu lapho ususa izinaliti.
Ungalahli izinaliti ezisetshenzisiwe kanye namasirinji emgqonyeni kadoti. Zifake esitsheni esikhethekile sezinto ezibukhali. Lokhu kuzosiza ekuvimbeleni abanye ukuthi bangagwazwa. Uma ungenayo, cela udokotela wakho akunike eyodwa.
Kuthiwani uma umthamo ukhuphuka?
Uma ucabanga ukuthi uthathe imithi eminingi kunaleyo oyinikeziwe, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nale insulin
Kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo, njengoba eminye yale mithi ingathinta indlela esebenza ngayo le insulin.
| Uhlobo lomuthi/into ethile | Incazelo |
|---|---|
| Eminye imithi yesifo sikashukela | Kungathinta amazinga kashukela egazini. |
| Iziphuzo ezidakayo | Amazinga kashukela angancipha noma akhuphuke ngokuzumayo. |
| Amanye ama-painkiller (ama-NSAID) | Imithi efana ne-Ibuprofen ne-Naproxen. |
| Imithi yokucindezeleka kwegazi nesifo senhliziyo | Ezinye izinhlobo zithinta amazinga kashukela. |
| Izinhlobo zama-hormone | Amaphilisi okuvimbela inzalo, ama-steroid (njenge-Prednisone). |
| Imithi ye-asthma kanye nemikhuhlane | Amanye amasiraphu angase abe noshukela noma utshwala. |
| Okunye | Imithi ye-HIV/AIDS, eminye imithi yesifo sengqondo, eminye imithi elwa namagciwane, kanye nezithasiselo zemithi. |
| Ukunakwa okukhethekile: Imithi efihla izimpawu zoshukela wegazi ophansi | |
| Ama-Beta-blocker | Imithi efana ne-Atenolol, i-Metoprolol, ne-Propranolol, esetshenziselwa ukucindezeleka kwegazi okuphezulu noma isifo senhliziyo, ingabangela izimpawu ezifana nokuthuthumela kanye nokwanda kwesilinganiso senhliziyo okwenzeka lapho amazinga kashukela egazini ehla. |
Izinto okufanele uzikhumbule uma usebenzisa umuthi
- Ukuhlolwa okuvamile: Vakashela udokotela wakho ngezikhathi ezithile ukuze uhlole isimo sakho. Kuzodingeka ukuthi uhlolwe igazi elibizwa ngokuthi i-HbA1C (A1C) njalo ezinyangeni ezi-2-3 ukuze ubone ukuthi isifo sakho sikashukela silawuleka yini.
- Hlola ushukela wakho wegazi: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Futhi, yazi izimpawu zoshukela ophezulu egazini (i-hyperglycemia) kanye noshukela ophansi egazini (i-hypoglycemia) nokuthi yini okufanele uyenze ngazo.
- Uma uneshukela eliphansi egazini: Uma ubona izimpawu zeshukela eliphansi egazini, hlala ugcina ushukela, ithebhulethi yeglucose, noma into efana noswidi eduze. Kodwa khumbula, uma unesimo seshukela eliphansi egazini njengokuquleka noma ukulahlekelwa ukwazi, akuwona umqondo omuhle ukufaka noma yini emlonyeni wakho. Uma kunjalo, kufanele ufune usizo lwezokwelapha ngokushesha.
- Ungabelani: Ungalokothi wabelane ngepeni noma i-cartridge yakho ye-insulin nomunye umuntu. Ngisho noma ushintsha inalithi, usengasakaza amagciwane ayingozi njenge-Hepatitis ne-HIV.
- I-ID yezokwelapha: Kungumqondo omuhle ukuphatha i-ID yezokwelapha equkethe imininingwane ngesimo sakho sezokwelapha kanye nemithi oyiphuzayo.
Imiphumela emibi engase ivele ngenxa yemithi
| Umphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukukhathazeka, ukujuluka, ukubanda, isiyezi, ukushaya kwenhliziyo okusheshayo, kanye nokudideka. |
| Amazinga aphansi e-potassium | Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile, ukuqunjelwa. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka | |
| I-Lipodystrophy | Ukuqina kwezicubu ngaphansi kwesikhumba, amaqhubu, noma izibazi endaweni yokujova. (Shintsha njalo indawo yokujova ukuze ugweme lokhu). |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu, noma ukuvuvukala okuncane endaweni yokujova. |
| Ukwanda kwesisindo | Abanye abantu bangase baqaphele ukukhuluphala. |
Ungawugcina kanjani umuthi?
Ukugcina i-insulin ngendlela efanele kubaluleke kakhulu ukuze iqhubeke isebenza kahle.
- Amabhodlela/amapani angavulwanga:
- Gcina esiqandisini phakathi kwama-degree Celsius amabili kuya kwangu-8.
- Ungagcini efrijini. Ungasebenzisi i-insulin eqandisiwe.
- Ungayisebenzisi ngemva kosuku lokuphelelwa yisikhathi.
- Amabhodlela/amapani asetshenziswayo:
- Uma isivuliwe, ingagcinwa ekamelweni lokushisa (ngaphansi kwama-degrees Celsius angu-25) noma ifakwe efrijini.
- Ngemva kwezinsuku ezingu-28 zokuvula, lahla noma yikuphi okusele.
- Gcina kude nokukhanya kwelanga okuqondile nokushisa okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Glulisine iyi-insulin esebenza ngokushesha. Jova imizuzu eyi-15 ngaphambi noma phakathi nemizuzu engama-20 ngemva kokudla.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okufana noshukela eduze uma ukudinga.
- Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo. Eminye imithi ingase ihlangane nale insulin.
- Ungalokothi wabelane ngepeni lakho le-insulin, izinaliti, noma amasirinji nanoma ubani omunye.
- Yazi indlela efanele yokugcina imithi yakho. Lahla ibhodlela noma ipeni elivuliwe ngemva kwezinsuku ezingu-28.
- Uma uhlangabezana nanoma yiziphi izinkinga noma izimpawu ezingavamile, khuluma nodokotela wakho ngokushesha.
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