Lapho uthola ukuthi unesifo sikashukela, udokotela wakho cishe ukutshele ukuthi uthathe i-insulin. Kuvamile ukuzizwa wesaba futhi ukhathazekile, "O, kuzomele ngithathe imijovo kusukela manje?" Kodwa ungakhathazeki. Lokhu kuyinto ezosiza umzimba wakho kakhulu. Namuhla, sizokhuluma nge-Insulin Lispro, uhlobo olukhethekile lwe-insulin olusetshenziselwa isifo sikashukela olusebenza ngokushesha.
Okokuqala, iyini i-insulin?
Kalula nje, i-insulin iyi-hormone ekhiqizwa ngokwemvelo emizimbeni yethu. Cabanga ngayo njenge-"sugar controller" ehlakaniphile yomzimba wethu. Inemisebenzi emibili eyinhloko:
- Ukuguqula ushukela (i-glucose) ekudleni esikudlayo kube amandla, njengophethiloli wezimoto zemizimba yethu.
- Uma ushukela omningi uqongelela egazini kunalokho umzimba wethu okudingayo, okusele kugcinwa esibindini.
Ngale ndlela, i-insulin isiza kakhulu ekugcineni amazinga ethu kashukela egazini esezingeni elifanele.
Ngakho-ke iyini i-Insulin Lispro?
I-Insulin Lispro uhlobo lwe-insulin yomuntu eyenziwa elabhorethri. Ibizwa ngokuthi i-insulin esebenza ngokushesha . Lokhu kusho ukuthi:
- Lokhu kufana kakhulu ne-insulin yemvelo emizimbeni yethu.
- Kodwa-ke, lokhu kuklanyelwe ukusebenza phakathi nemizuzu embalwa yokujova.
Lo muthi utholakala ngaphansi kwamagama emikhiqizo ehlukene, njenge-'Admelog®' kanye ne-'Humalog®'. Udokotela wakho angase akunike enye yalezi.
I-Insulin Lispro isetshenziswa kubani?
Ungase udinge lo muthi wokugomela uma unesifo sikashukela. Kunezinhlobo ezimbili eziyinhloko zesifo sikashukela, akunjalo?
- Isifo sikashukela sohlobo 1: Lokhu kuvame ukuqala ebuntwaneni. Okwenzekayo lapha ukuthi amasosha omzimba wethu ahlasela futhi abhubhise amaseli enza i-insulin. Ngenxa yalokho, umzimba awukwazi ukukhiqiza i-insulin.
- Isifo sikashukela sohlobo 2: Lesi yisimo esikhula kancane kancane ngokuhamba kwesikhathi. Singabangelwa yizici ezifana nemikhuba yokudla engafanele kanye nokukhuluphala ngokweqile/ukukhuluphala ngokweqile. Okwenzekayo lapha ukuthi umzimba ukhiqiza i-insulin, kodwa ayanele ukulawula ushukela egazini, noma i-insulin ayisebenzi kahle.
I-Insulin Lispro isetshenziswa njengokwelashwa kwazo zombili lezi zinhlobo.
Lo mjovo usebenza kanjani emzimbeni?
Cabanga nje, lapho umuntu ophilile edla ukudla, ngokushesha nje lapho ukudla kugaywa futhi ushukela uqala ukunqwabelana egazini, umzimba ukhipha ngokuzumayo i-insulini njengokungathi uyilungiselela. Kodwa lokhu akwenzeki kahle emzimbeni womuntu onesifo sikashukela.
Yilokho okwenziwa umjovo we-insulin lispro. Uma uthathwa imizuzu embalwa ngaphambi kokudla, ukhipha ngokushesha inani le-insulin elidingekayo ukulawula inani likashukela elifakwe egazini ngemva kokudla.
Ingabe ngidinga ukusebenzisa ezinye izinhlobo ze-insulin?
Yebo, izikhathi eziningi, ikakhulukazi abantu abanesifo sikashukela sohlobo 1 kufanele basebenzise izinhlobo ezimbili ze-insulin. Isizathu salokhu ukuthi izinhlobo ezahlukene ze-insulin zisebenza ngezindlela ezahlukene. Ake sibone ukuthi lokho kusebenza kanjani.
| Uhlobo lwe-insulini | Isikhathi esithathiwe ukusebenza | Ubude bomphumela |
|---|---|---|
| Ukusebenza okusheshayo (Isibonelo: i-Insulin Lispro) | Imizuzu emi-5 - 15 | Amahora ama-2 - ama-4 |
| Okuvamile/Okusebenza Kafushane | imizuzu engama-30 | Amahora angu-3 - 6 |
| Isebenza isikhathi eside | Amahora ambalwa | Amahora angu-24 noma ngaphezulu |
Ama-insulin asebenza ngokushesha, njenge-Insulin Lispro, asetshenziswa ngaphambi kokudla ukulawula ukwanda koshukela egazini okwenzeka ngaleso sikhathi. Ama-insulin asebenza isikhathi eside asiza ukugcina amazinga kashukela egazini elawulwa usuku lonke. Udokotela wakho uzonquma uhlobo kanye nomthamo we-insulin oyidingayo.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Kubaluleke kakhulu ukunikeza udokotela wakho indaba ephelele ngempilo yakho. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Uma une-allergy ku-insulin, i-metacresol, eminye imithi, ukudla, amadayi noma izithasiselo.
- Uma une-diabetic diabetic retinopathy noma une-diabetic retinopathy.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma ushukela wakho wegazi wehla njalo (hypoglycemia).
Ngingawusebenzisa kanjani lo muthi ngendlela efanele?
Udokotela wakho uzokutshela ngqo ukuthi udinga umthamo muni. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo. Indlela evamile yokuthola umuthi wokugoma yilena elandelayo:
1. Thola ama-vial e-insulin, ama-cartridge, noma amapeni njengoba kunqunywe udokotela wakho.
2. Uma usebenzisa ipeni, faka inalithi entsha ngaphambili kwalo.
3. Susa isivalo sokuvikela esiphezu kwesitsha.
4. Hlohla ipeni ngaphambi kokuyijova (okungukuthi, lungisa inaliti kuze kuphume ithonsi elincane le-insulin enalitini). Lokhu kuzosusa noma yimaphi amabhamuza omoya abanjwe enalitini.
5. Jova i-Insulin Lispro imizuzu emi-5-15 ngaphambi kokudla okuyinhloko .
Kubaluleke kakhulu: Kubalulekile ukuba nokudla okulungisiwe ngaphambi kokuthola lo muthi wokugomela. Ungalibali ukudla ngemva kokuthola umuthi wokugomela. Ukwenza kanjalo kungabangela ushukela wegazi ophansi ngendlela eyingozi.
Kwenzekani uma uthatha i-Insulin Lispro eningi kakhulu (umthamo oweqile)?
Yebo, uma ujova kakhulu kulo muthi wokugoma, kungaba yingozi. Uma lokho kwenzeka, ushukela wakho wegazi uzokwehla kakhulu (i-hypoglycemia). Ake sihlaziye izimpawu zalokhu nokuthi yini okufanele uyenze ngakho.
| Isimo | Izimpawu | Okufanele ngikwenze |
|---|---|---|
| Izinga likashukela elijwayelekile | • Ukukhathazeka • Ukukhathazeka • Isiyezi • Isicanucanu • Ukujuluka ngokweqile noma indlala | Yidla noma uphuze okuthile okunoshukela ngokushesha (izipuni ezimbili kuya kwezingu-3 zikashukela, i-glucose, isiphuzo esimnandi). |
| I-hypoglycemia enkulu (ukudlula ngokweqile) | • Ubunzima bokuphefumula • Ukulahlekelwa ingqondo (i-syncope) • Ukuquleka | Myise esibhedlela i-Emergency Treatment Unit (ETU) ngokushesha. Lesi yisimo esiphuthumayo sezokwelapha. Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. |
Kuthiwani uma ngikhohlwa ukugonywa ngaphambi kokudla?
- Uma kungakadluli isikhathi eside udlile, ungathola umuthi wokugoma ngokushesha nje lapho ukhumbula.
- Kodwa uma sekuyisikhathi eside, linda kuze kube yilapho uthola umthamo olandelayo. Ungalokothi uthathe imithamo emibili ukuze ubuyisele umthamo ongawusebenzisi.
- Uma ungaqiniseki ukuthi wenzeni, shayela udokotela wakho ukuze akunike iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Insulin Lispro iyi-insulin esebenza ngokushesha ethathwa imizuzu embalwa ngaphambi kokudla.
- Lungisa ukudla njalo ngaphambi kokugonywa. Ungalibali ukudla ngemva kokugonywa.
- Qaphela izimpawu zoshukela ophansi egazini (i-hypoglycemia) (isiyezi, ukujuluka, indlala enkulu). Uma lokhu kwenzeka, yidla okuthile okunoshukela ngokushesha.
- Ungalokothi ushintshe umthamo wakho we-insulin ngaphandle kweseluleko sikadokotela wakho.
- Ungalahli izinaliti ezisetshenzisiwe emgqonyeni kadoti. Ziqoqe ngokuphephile esitsheni esibukhali bese uzilahla ngendlela efanele.
- Uma unemibuzo, ukukhathazeka, noma ukwesaba ngalo muthi, xoxa ngakho nodokotela wakho.
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