Ingabe ungumuntu onesifo sikashukela i-Diabetes Mellitus? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umjovo we-insulin okhethekile okufanele uwuthathe ngaphambi kokudla. Kungenzeka ukuthi utshelwe nokuthi udle zingakapheli imizuzu eyi-10-15 emva kokuthatha lokhu. Ungase uzibuze, "Kungani le insulin inikezwa ngokushesha kangaka? Ingabe ihlukile kwezinye i-insulin?" Yilokho esizokuphendula kulesi sihloko namuhla. Ake siqonde konke ngale insulin esebenza ngokushesha, okuyi-Insulin Lispro, ngokucacile nangokulula.
Okokuqala, iyini i-insulin?
Kalula nje, i-insulin iyi-hormone ekhiqizwa ngokwemvelo emizimbeni yethu. Isebenza njengesihluthulelo. Ushukela ekudleni esikudlayo, okubizwa ngokuthi i-glucose, udinga ukungena emaselini ethu bese uguqulwa ube amandla. Kodwa iminyango yamangqamuzana ivaliwe. I-insulin iyisihluthulelo esivula leyo minyango. I-insulin yenza izinto ezimbili eziyinhloko: 1. Isiza amangqamuzana ukuguqula ushukela (i-glucose) ekudleni esikudlayo ube amandla. 2. Uma imizimba yethu inoshukela omningi kunalokho ekudingayo, ushukela owengeziwe ugcinwa esibindini ukuze usetshenziswe kamuva. Ngale ndlela, i-insulin isiza ukugcina amazinga ethu kashukela egazini esezingeni elinempilo.
Ngakho-ke iyini i-Insulin Lispro?
I-Insulin Lispro uhlobo lwe-insulin olukhiqizwa elabhorethri ngabantu. Ifana kakhulu ne-insulin yemvelo emizimbeni yethu. Kodwa kukhona okukhethekile ngayo. Uhlobo lwe-insulin
olusebenza ngokushesha . Lokhu kusho ukuthi iqala ukusebenza kungakapheli imizuzu embalwa ijovwe. Itholakala ngaphansi kwamagama emikhiqizo ahlukene, njenge-Admelog® noma i-Humalog®. Udokotela wakho uzokunikeza uhlobo olufanele wena.
Ubani odinga le insulin esheshayo?
Ungase udinge le insulin uma unesifo sikashukela. Kunezinhlobo ezimbili eziyinhloko zesifo sikashukela, akunjalo?
- Isifo Sikashukela Sohlobo 1 : Lokhu kuvame ukuqala ebuntwaneni. Okwenzekayo lapha ukuthi ngenxa yephutha ohlelweni lokuzivikela lomzimba, amangqamuzana akhiqiza i-insulin ayabhujiswa. Ngakho-ke umzimba awukwazi ukukhiqiza i-insulin. Ngakho-ke, i-insulin kufanele ithathwe ngaphandle impilo yawo yonke.
- Isifo Sikashukela Sohlobo 2 : Lesi yisimo esikhula kancane kancane ngokuhamba kwesikhathi. Imikhuba yokudla engafanele, ukukhuluphala ngokweqileLokhu kungenzeka ngezizathu ezinjengokuthi: Okwenzekayo lapha ukuthi yize umzimba ukhiqiza i-insulin, amaseli omzimba awasabeli kahle kuleyo insulin ( ukumelana ne-insulin ). Bese kuba khona i-insulin eningi kunokuvamile ukulawula amazinga kashukela egazini.
Kubantu abanezinhlobo zombili zesifo sikashukela, odokotela banikeza i-insulin esebenza ngokushesha njenge-Insulin Lispro ukulawula ukwanda okungazelelwe kwamazinga kashukela egazini, ikakhulukazi ngemva kokudla.
Lokhu kusebenza kanjani ngokudla?
Ngokuvamile, lapho umuntu ophilile eqala ukudla, ngaphambi kokuba ukudla kugaywe futhi ushukela ufakwe egazini, i-insulin ikhishwa emzimbeni. Lokhu kwenzelwa ukulungiselela umzimba ukwamukela ushukela ongenayo. Kodwa-ke, le nqubo ayenzeki kahle emzimbeni womuntu onesifo sikashukela. Ukuze sigcwalise leso sikhala, sithatha umjovo we-Insulin Lispro imizuzu emi-5-15 ngaphambi kokudla. Bese kuthi, ngokushesha nje lapho ushukela ekudleni esikudlayo ufakwa egazini, le insulin iyasebenza ukuze ilawuleke.
Ake uzicabange ulungiselela ukudla ukudla okumnandi. Ngemva kokudla ukudla, ama-carbohydrate akuyo aphenduka ushukela bese engena egazini. I-Insulin Lispro ifana nomlindi ofika ngaphambi kokuba ushukela wamukelwe. Ivula iminyango yamaseli, ivumele ushukela ukuthi ungene.
Ingabe ngizodinga ezinye izinhlobo ze-insulin?
Yebo, kuvame ukuba njalo. Abantu abanesifo sikashukela sohlobo 1, ikakhulukazi, bavame ukudinga izinhlobo ezimbili ze-insulin. Lokho kungenxa yokuthi i-insulin isebenza ngesivinini esihlukile nangezikhathi ezahlukene. Cabanga ngalezi zinhlobo ze-insulin njengabagijimi abagijima ngesivinini esihlukile.
| Uhlobo lwe-insulini | Indlela esebenza ngayo |
|---|
| Isebenza ngokushesha (isib. i-Insulin Lispro) | Lokhu kufana nomgijimi webanga lamamitha ayi-100. Kuqala ukusebenza ngemizuzu embalwa, kodwa kuthatha amahora ambalwa ukuqeda ukusebenza. Lokhu kusetshenziswa nokudla. |
| Okusebenza isikhathi esifushane/Okuvamile | Lokhu kuqale ukusebenza kungakapheli imizuzu engama-30 futhi sekusebenze amahora amaningana. |
| Isebenza isikhathi eside | Kufana nomgijimi we-marathon. Kuthatha amahora ambalwa ukuqala ukusebenza, kodwa kusebenza amahora angama-24 noma ngaphezulu. Lokhu kwenza ngokugcina amazinga e-insulin ayisisekelo adingwa ngumzimba ngesikhathi sokudla nasebusuku. |
Ngakho udokotela wakho angase akunike i-insulin esebenza isikhathi eside, njenge-Insulin Lispro, kanye ne-insulin esebenza ngokushesha. Kubantu abanesifo sikashukela sohlobo 2, bangase batuse ukusebenzisa lokhu kanye namaphilisi noma eminye imijovo.
Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?
Kubaluleke kakhulu ukutshela udokotela wakho umlando wakho wezempilo ophelele. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Uma ukhulelwe , uzama ukukhulelwa, noma uncelisa .
- Uma une -allergies ku-insulin, i-metacresol, eminye imithi, ukudla, izithasiselo, noma udayi.
- Uma unenkinga yokubona, umbono ofiphele, noma i-retinopathy yesifo sikashukela .
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma izinga likashukela egazini lakho livame ukuba phansi (i-Hypoglycemia) .
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma umthamo kanye nohlelo lokwelashwa olufanele kakhulu kuwe.
Uyithola kanjani ngempela le mithi yokugoma?
Ukujova i-insulin kungabonakala kuyesabisa kancane ekuqaleni, kodwa uma usujwayele, kulula kakhulu. Udokotela wakho noma umhlengikazi emtholampilo wesifo sikashukela uzokukhombisa ukuthi ungakwenza kanjani ngokucacile. Nazi izinyathelo ezijwayelekile: 1.
Ukulungela: Lungisa ipeni lakho le-insulin noma i-vial kanye nesirinji. Uma kuyipeni, faka inalithi entsha kuyo. 2.
Ukuvula ipeni: Susa isivalo esivikelayo epeni noma kwisirinji. 3.
Ukufaka ipeni nge-primer: Kufanele 'ufake ipeni nge-primer' ngaphambi komjovo ngamunye. Lokhu kusho ukudayela cishe amayunithi amabili, uphendule inalithi phezulu, bese ucindezela kuze kube yilapho kungekho mabhamuza omoya bese kuphuma ithonsi le-insulin. Lokhu kwenzelwa ukususa noma yimuphi umoya ovaleleke enalitini bese uqinisekisa ukuthi uthola umthamo ofanele. 4.
Ukuthola umjovo:Faka umjovo imizuzu emi-5 kuya kweyi-15 ngaphambi kokudla. 5. Ukulungiselela ukudla: Lungisa ukudla ngaphambi kokufaka umjovo. Ungalibali ukudla ngemva kokufaka umjovo. Ukwenza kanjalo kungabangela amazinga kashukela egazini aphansi ngendlela eyingozi. Okubalulekile: Ungajovi endaweni efanayo nsuku zonke. Jikelezisa izindawo zokujova, njengesisu, ithanga, kanye nengalo engenhla. Uma uqhubeka nokujova endaweni efanayo, indawo ingaba nkulu njengongqimba lwamafutha ngaphansi kwesikhumba (i-lipohypertrophy). Lokhu kungavimbela umzimba ekumunceni i-insulin kahle. Jova okungenani isentimitha elilodwa ukusuka endaweni yokujova yokugcina.
Yiziphi izinzuzo zokusebenzisa le insulin?
Inzuzo eyinhloko ukuthi ikusiza ukuthi ugcine amazinga kashukela egazini enempilo, okungakusiza ugweme izinkinga eziningi eziyingozi ezingabangelwa isifo sikashukela.- Izinkinga zamehlo (ezingabangela ubumpumputhe)
- Isifo sezinsini
- Isifo senhliziyo
- Ukwehluleka Kwezinso
- Ukulimala kwemizwa (Ubuhlungu be-Neuropathic)
- Isifo sohlangothi
Ingabe ikhona imiphumela emibi?
Yebo, eminye imiphumela emibi ingenzeka uma uqala i-insulin entsha noma ushintsha umthamo. Kodwa eminingi yale miphumela ayimibi kakhulu.- Umbono ofiphele
- Ubuhlungu, ukuvuvukala, noma ukubomvu endaweni yokujova
- Ukuzwa sengathi ubuthakathaka noma ubuthakathaka emalungeni
Kulokhu, umphumela omubi okufanele siwunake kakhulu ukwehla okungazelelwe kwamazinga kashukela egazini, noma i-hypoglycemia . Izimpawu ze-hypoglycemia (ushukela wegazi ophansi)
Yini okufanele uyenze uma unezimpawu ezincane? Yidla noma uphuze okuthile okunoshukela ngokushesha. Isibonelo, ithisipuni likashukela, isiphuzo esimnandi (hhayi ukudla okunempilo), amaphilisi ambalwa e-glucose, noma ijusi yezithelo.
Uma unezimpawu ezinkulu, myise esibhedlela esiseduze ngokushesha. | Izimpawu ezincane/eziphakathi nendawo (ezilawulekayo) | Izimpawu ezinkulu (zidinga usizo lwezokwelapha ngokushesha) |
|---|
- Ukuzizwa wesaba futhi ungakhululekile
- Ukujuluka kakhulu kunokujwayelekile
- Isiyezi
- Ukuzizwa ulambile kakhulu kunokujwayelekile
- Isicanucanu
- Ukudideka
| - Ubunzima bokuphefumula
- Ukuquleka / Ukungakwazi ukunyakaza
- Ukuquleka
|
Kuthiwani uma ngikhohlwa ukujova ngaphambi kokudla?
Kungenzeka. Ungakhathazeki.- Uma ukhumbula ngemuva nje kokudla, ungaphuza umthamo ophuthelwe ngokushesha.
- Kodwa uma sekuyisikhathi eside , landela imiyalelo kadokotela wakho. Uma ungaqiniseki ukuthi wenzeni, shayela udokotela wakho umbuze.
- Ungalokothi uphindwe kabili umthamo ekudleni okulandelayo ukuze ubuyisele umthamo ongawuphuzanga. Ukwenza kanjalo kungabangela amazinga kashukela egazini aphansi ngendlela eyingozi.
Ezinye izinto ezibalulekile okufanele uzazi
Gcina la maphuzu engqondweni ukuze uphephe futhi uphumelele ekwelashweni kwakho.- Ipeni elifanele kanye nomthamo: Hlola njalo ukuthi yipeni lakho le-insulin, igama lilungile, nokuthi umthamo odayelwe ufana nowakho ngaphambi kokujova.
- Umbala we-insulin: I-Insulin Lispro iwuketshezi olucacile, njengamanzi. Ungayisebenzisi uma inamafu, imhlophe, noma inamaqhubu kuyo.
- Izinaliti ezisetshenzisiwe: Ungalahli izinaliti ezisetshenzisiwe emgqonyeni kadoti. Zibukhali futhi zingaba yingozi. Zibeke esitsheni esikhethekile (isitsha esibukhali) lapho zingaqoqwa khona ngokuphephile. Ungathola okwengeziwe ngalokhu ekhemisi lakho noma esibhedlela.
- Ukugcina i-insulin: Gcina amapeni noma ama-vial e-insulin angavulwanga esiqandisini (hhayi efrijini). Amapeni asetshenziswayo angagcinwa ekushiseni kwegumbi (ngokuvamile izinsuku ezingu-28). Vikela ekushiseni okukhulu naselangeni eliqondile.
Uma unemibuzo mayelana ne-insulin yakho, umthamo, noma eminye imibuzo, sicela ubuze udokotela wakho. Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Lispro iyi-insulin esebenza ngokushesha kakhulu ethathwa ngokudla.
- Lo mjovo kufanele unikezwe njalo imizuzu emi-5-15 ngaphambi kokudla. Lungisa ukudla ngaphambi kokunikeza umjovo.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Uma uzwa izimpawu ezifana nesiyezi, ukujuluka, noma indlala enkulu, yidla okuthile okunoshukela ngokushesha.
- Uma uphuthelwa umthamo, ungalokothi uphinde kabili umthamo olandelayo. Uma ungaqiniseki, buza udokotela wakho.
- Ungajovi umuthi wokugoma endaweni efanayo nsuku zonke. Jikelezisa izindawo ezifana nesisu, ithanga kanye nengalo engenhla.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho.
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