Ingabe nawe ungumuntu onesifo sikashukela sohlobo lwesibili futhi kufanele ujove i-insulin izikhathi eziningana ngosuku? Khona-ke ungase uzizwe sengathi ngezinye izikhathi ukunikeza le mijovo kuyinkathazo, into okufanele uyikhohlwe, noma ngisho nesithiyo empilweni yakho. Ngakho-ke, uke wezwa nge-'Insulin Pump' eza njengesixazululo salokhu? Leli gama lingase libe lisha. Kodwa lobu ubuchwepheshe obuthuthukisiwe obusetshenziswa emhlabeni manje, obusiza kakhulu ekuphatheni isifo sikashukela. Ake sixoxe ngakho konke ngendlela elula namuhla, njengokungathi sikhuluma nomngane.
Iyini le phampu ye-insulin?
Kalula nje, iphampu ye-insulin iyithuluzi elincane elisebenzisa ikhompyutha, elingangeselula encane, elinikeza inani le-insulin elidingwa ngumzimba wakho, kancane kancane, njalo usuku lonke.
Cabanga ukuthi uvame ukuzijova nge-insulin kathathu noma kane ngosuku. Lokho kusho ukuthi kufanele uzijove ngenaliti kathathu noma kane ngosuku. Kodwa ngaleli pompo, akudingeki ukuthi uzijove kaningi kangako.
Le phampu inepayipi elincane, eliguquguqukayo (silibiza ngokuthi "i-Catheter") elinamathiselwe kuyo. Ekupheleni kwepayipi kunenaliti encane kakhulu. Le naliti ifakwa ngaphansi kwesikhumba sesisu sakho bese iboshelwa esikhumbeni ngeplasta. Ngemuva kwalokho ungagcina le pompo encane ebhandeni lakho noma ephaketheni lakho. Cishe ayibonakali ngaphandle.
Enye yezinzuzo ezinkulu zalokhu ukuthi ikukhulula ekucindezelekeni kokujova i-insulin ngesirinji izikhathi eziningana ngosuku bese uyijova ngesikhathi.
Ngakho-ke le phampu isebenza kanjani?
Indlela lokhu okusebenza ngayo iyamangalisa. Le phampu yenzelwe ukukhulula i-insulin ngendlela efanayo naleyo esebenza ngayo i-pancreas kumuntu ophilile. Lokhu kwenzeka ngezindlela ezimbili eziyinhloko.
| Uhlelo lokulethwa kwe-insulin | Kalula nje... |
|---|---|
| Izinga Eliyisisekelo | Lokhu kusho ukuthi uma uzila ukudla futhi ulele ebusuku, udinga ukugcina amazinga kashukela egazini lakho elawulwa , njalo, amahora angama-24 ngosuku.Kungokomzimba. Kufana nengoma ehamba kancane edlala ngemuva. |
| Umthamo we-Bolus | Manje usukulungele ukudla ilayisi noma okunye. Khona-ke ushukela egazini uyakhuphuka ngokuzumayo. Ukuze ubhekane nalokho, udinga ukunikeza umzimba wakho umthamo owengeziwe we-insulin ngesikhathi esisodwa ngaphambi kokudla . Lokhu kubizwa ngokuthi umthamo we-bolus. Ungabala inani lama-carbohydrate ekudleni okudlayo bese ufaka inani elifanele le-insulin ephampini ngokwakho. |
Ngenxa yokuthi iphampu ikhipha i-insulin ngale ndlela, kwenza kube lula kakhulu ukugcina amazinga kashukela egazini esezingeni elifanayo.
Ngakho-ke akukho yini umthwalo wemfanelo ekusebenziseni lokhu?
Impela ikhona. Akuyona imilingo. Ukusebenzisa iphampu ye-insulin kusho ukuthi kufanele ube nesibindi futhi ube nomthwalo wemfanelo ngesifo sakho sikashukela.
- Ukuhlolwa ushukela okuvamile: Udinga ukuhlola amazinga kashukela egazini lakho okungenani izikhathi ezine ngosuku. Ngoba kufanele unqume umthamo 'we-bolus' ngokusekelwe kulokho okudlayo nokuthi uvivinya umzimba kangakanani.
- Ukubalwa Kwama-carbohydrate: Ngaphambi kokudla, udinga ukuba nomqondo oqondile wenani lama-carbohydrate kulokho kudla. Yileyo ndlela ozonikeza ngayo umthamo 'we-bolus' epompo.
- Ukuxhumana njalo nodokotela wakho: Kufanele uhlale uxhumana njalo nodokotela wakho, umbonise amazinga kashukela egazini lakho, futhi wenze noma yiziphi izinguquko ezidingekayo.
Kungani iphampu ingcono kunemijovo ye-insulin?
Kunezizathu eziningana ezenza abanye odokotela bakhethe le ndlela.
1. Ukuba yindlela yemvelo: Njengoba sishilo ngaphambili, njengoba lokhu kusebenza njenge-pancreas enempilo, ukwenyuka nokwehla okungazelelwe kwamazinga kashukela emzimbeni kuncipha kakhulu.
2. Ukulawulwa okungcono kwamazinga kashukela: Ucwaningo luthole ukuthi abantu abanobunzima bokulawula amazinga kashukela abo ngokujova, ikakhulukazi labo abanobunzima bokulawula amazinga kashukela abo, bakwazile ukulawula amazinga kashukela abo kahle kakhulu besebenzisa le phampu.
3. Indlela yokuphila elula: Ukujova kaningi ngosuku kungaba yinkinga lapho uhamba, uya ephathini, noma uya emcimbini. Kodwa ngepompo, leyo nkinga iyasuswa, okukuvumela ukuthi uphile impilo yokuzimela kakhudlwana.
4. Ukuzivumelanisa nezimo: Ake sithi ufika sekwephuzile emini namuhla. Noma kufanele uvivinye umzimba ngaphezu kwalokho obukucabanga. Ngendlela yokujova, kunethuba elikhulu le-hypoglycemia ngezikhathi ezinjengalezi. Kodwa ngepompo, unganciphisa okwesikhashana izinga lakho eliphansi ukuze uvumelane nalezo zikhathi. Lokhu kuguquguquka kuyinzuzo enkulu.
Ingabe lokhu kufaneleka kuwo wonke umuntu? Kufanelekela bani kakhulu?
Kubalulekile ukuqaphela ukuthi iphampu ye-insulin ayifanele wonke umuntu onesifo sikashukela sohlobo 2, futhi akuyona indlela yokwelapha yokuqala.
Udokotela uvame ukuncoma le ndlela kubantu abanjengalaba:
- Kulabo abathatha imijovo ye-insulin izikhathi eziningana ngosuku.
- Kulabo abanenkinga yokulawula amazinga kashukela egazini labo ngisho nangendlela yokujova.
- Kulabo abavame ukuba namazinga kashukela egazini aphansi kakhulu (i-hypoglycemia enzima).
- Kulabo abafuna ukusebenza ngalolu hlobo lwemishini yobuchwepheshe futhi abanentshisekelo nekhono lokufunda ngayo.
- Kulabo abakwaziyo ukukala amazinga kashukela egazini labo njalo futhi benze izinqumo ezifanele ngokufanele.
Into ebaluleke kakhulu ukunquma ukuthi lokhu kulungile yini kuwe ngemuva kwengxoxo ejulile nodokotela wakho wesifo sikashukela. Uzokwenza isinqumo esingcono kakhulu ngokusekelwe emazingeni akho kashukela egazini, indlela yokuphila, nezinye izici. Ungalokothi wenze lesi sinqumo ngokwakho ngemva kokuzwa ngomunye umuntu osisebenzisayo.
Umlayezo Wokuya Nawe Ekhaya
- Iphampu ye-insulin iyithuluzi elithuthukisiwe elihambisa i-insulin emzimbeni njalo usuku lonke, okunciphisa ubunzima bokujova njalo.
- Lokhu kusiza ukugcina amazinga kashukela egazini ezinzile, njengoba kulingisa umsebenzi we-pancreas enempilo.
- Ukuze usebenzise iphampu, kubalulekile ukuhlola amazinga kashukela egazini lakho izikhathi eziningana ngosuku futhi ube nomthwalo wemfanelo ngokudla kwakho kanye nokuzivocavoca umzimba.
- Lena akuyona indlela efanelekile kubo bonke abanesifo sikashukela. Kufanele unqume kuphela ukuthi lokhu kuyakufanelekela yini ngemuva kokuxoxa ngayo nodokotela wakho.
- Nakuba lobu buchwepheshe bungakavamile eSri Lanka, kubalulekile ukubuqaphela nokukhuluma nodokotela wakho ngakho.
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