Uma sicabanga ngesifo sikashukela, iningi lethu licabanga ngomjovo we-insulin. Kwabanye, ukuzijova ngenaliti nsuku zonke kunzima futhi kuyacasula. Kodwa manje, uzomangala ukwazi ukuthi kukhona ikhambi elisha lalokhu, indlela engasetshenziswa ngaphandle kwezinaliti. Okungukuthi, impuphu ye-insulin ephefumulwa ngomlomo. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.
Iyini le insulin yomlomo?
Kalula nje, lena yi-insulin. Kodwa esikhundleni sokunikezwa njengomjovo, iza njengempuphu ecolekile kakhulu. Iphefumulwa ngomlomo kusetshenziswa i-inhaler ekhethekile. Impuphu ye-insulin ibe isimuncwa emzimbeni ngokushesha ngamaphaphu. Lokhu kubizwa ngokuthi i-insulin esebenza ngokushesha . Lokhu kusho ukuthi uma uyisebenzisa, iqala ukulawula amazinga kashukela egazini ngokushesha.
Lo muthi uvame ukunqunywa udokotela wakho kanye nezinguquko ekudleni kwakho nasekuzivocavoceni. Nakuba lena kuyindlela entsha nelula yokulawula isifo sikashukela, ayifanele wonke umuntu. Ngakho-ke, kubaluleke kakhulu ukwazi kahle ukuthi iyini.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba uqale lokhu kwelashwa, kubalulekile ukuthi unikeze udokotela wakho incazelo ephelele yesimo sakho sempilo. Ikakhulukazi, kufanele nakanjani umtshele ngalokhu okulandelayo:
| Isimo sakho sempilo noma umkhuba wakho | Kungani lokho kubalulekile? |
|---|---|
| Uma ubhema noma usanda kuyeka. | Lo muthi awunconywa kubantu ababhemayo kanye nabasemaphashini. Ungathinta amaphaphu. |
| Uma unesifo samaphaphu njenge-asthma noma i-COPD. | Ngenxa yokuthi isebenza emaphashini, ingabangela ubunzima bokuphefumula kubantu asebenesifo samaphaphu kakade. |
| Uma uvame ukuba noshukela ophansi egazini (hypoglycemia). | Ngenxa yokuthi lo muthi wehlisa amazinga kashukela egazini, ingozi inganda kumuntu osevele enoshukela wegazi ophansi. |
| Uma unesifo sezinso noma sesibindi. | Njengoba lezi zitho zomzimba zisiza ekususeni imithi emzimbeni, uma ukusebenza kwazo kuphazamiseka, umthamo womuthi kungadingeka ushintshwe. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Kulezi zimo, kufanele ukhulume nodokotela wakho ngemiphumela yomuthi bese wenza isinqumo. |
| Uma uke waba nokusabela kokungezwani komzimba ne-insulin noma eminye imithi, ukudla, noma udayi. | Lokhu kubaluleke kakhulu ukugwema ukusabela okungase kube khona kokungezwani komzimba. |
Uyisebenzisa kanjani kahle le mithi?
Indlela esetshenziswa ngayo ihlukile kancane kune-inhaler evamile, ngakho-ke kubaluleke kakhulu ukulandela imiyalelo enikezwe udokotela wakho noma ithimba lezempilo ngqo.
- Kufanele usebenzise lokhu ngokushesha ngemva kokuqala ukudla kwakho okuyinhloko .
- Udokotela wakho uzokufundisa ukuthi ungayisebenzisa kanjani le inhaler, ukuthi ungawushintsha kanjani umthamo wakho, nokuthi ungawushintsha kanjani umthamo wakho uma ugula noma uzivocavoca.
- Ungalokothi usebenzise okungaphezu noma okungaphansi kwenani elinqunywe udokotela wakho.
- Funda incwajana yemiyalelo ehambisana nalo muthi ngokucophelela. Uma unemibuzo, buza udokotela wakho.
Into ebaluleke kakhulu ukuthi lo muthi ungowakho kuphela. Ungabelani nge-inhaler yakho noma i-insulin powder nanoma ubani omunye nganoma yisiphi isizathu.
Kuthiwani uma ngiphuthelwa isikhathi sokubonana nodokotela?
Kubalulekile ukungayeki imithi yakho. Kodwa udokotela wakho cishe uzokunikeza uhlelo lokuthi wenzeni uma wenza kanjalo. Landela lelo hlelo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawusebenzisi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lokhu kungaba yisimo esiphuthumayo.
Izinto okufanele uziqaphele lapho uthatha lo muthi
Kufanele uhlale unake impilo yakho ngenkathi uthatha lolu hlobo lokwelashwa.
- Bona udokotela wakho njalo: Yiya emtholampilo ngezinsuku ezihleliwe ukuze uhlole inqubekela phambili yokwelashwa kwakho.
- Ukuhlolwa kwe-HbA1C: Lokhu ukuhlolwa kwegazi okulula. Kungakutshela ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Udokotela wakho cishe uzoncoma ukuthi wenze lokhu kuhlolwa njalo ezinyangeni ezi-3-6.
- Funda ukuhlola ushukela wakho wegazi: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Yazi izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.
- Uma ushukela wakho wegazi uphansi: Uma uzizwa uqhaqhazela, ujuluka, noma udidekile, lokhu kungaba izimpawu zoshukela ophansi egazini. Hlala ugcina okuthile okufana namaphilisi e-glucose, i-sugar cube, noma i-sweet toffee eduze uma ukudinga.
- Isimo Esiphuthumayo: Uma unoshukela ophansi egazini futhi unesifo sokuwa noma ulahlekelwa ingqondo, ungafaki lutho emlonyeni wakho. Kungabangela ukuminyana. Yazisa abanye ngalokhu. Kufanele uyiswe esibhedlela ngokushesha.
- Ungayeki ukudla. Buza udokotela wakho ngotshwala. Eminye imithi yokukhwehlela kanye neyomkhuhlane ingaba noshukela noma utshwala. Lokhu kungathinta ushukela wegazi lakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula noma ukukhwehlela ngemva kokusebenzisa umuthi. |
| I-Hypoglycemia (ushukela ophansi egazini) | Ukuthuthumela, ukujuluka ngokweqile, ukungahlaliseki, isiyezi, ukuquleka, ukushaya kwenhliziyo okusheshayo. |
| I-ketoacidosis yesifo sikashukela (i-DKA) | Ukoma ngokweqile, ukuchama njalo, umlomo owomile, iphunga lokuphefumula elifana nezithelo, ubunzima bokuphefumula, ubuhlungu besisu, isicanucanu. |
| Amazinga e-potassium anciphile | Ubuhlungu noma ukuqaqamba kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukukhwehlela | Kungenzeka uma uqala ukusebenzisa umuthi. |
| Umphimbo obuhlungu | Kungase kube nokungakhululeki okuncane noma ubuhlungu emphinjeni. |
Umlayezo Wokuya Nawe Ekhaya
- I-insulin yomlomo iyindlela yokwelapha isifo sikashukela engenazinaliti, esebenza ngokushesha. Kodwa kufanele isetshenziswe kuphela njengoba udokotela wakho ekuyalile.
- Kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo, zonke izimo zakho zezokwelapha, ikakhulukazi izifo zamaphaphu (njenge-asthma) nokubhema.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okufana ne-sugar cube noma i-toffee eduze ngezikhathi ezinjalo.
- Uma ubhekene nobunzima bokuphefumula, ukuqubuka kwesikhumba, noma eminye imiphumela emibi kakhulu ngemva kokuthatha lo muthi, funa iseluleko sezokwelapha ngokushesha.
- Lona umuthi onikezwe wena kuphela. Ungabelani nge-inhaler yakho noma i-insulin powder nomunye umuntu.
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