Isifo sikashukela yisimo abantu abaningi emphakathini wethu ababhekene naso manje. Ngakho-ke udokotela wakho kungenzeka ukuthi ukutshelile ukuthi usebenzise umjovo we-insulin. Phakathi kwazo, sizokhuluma ngohlobo olubizwa ngokuthi i-Isophane Insulin, noma i-NPH, namuhla. Kunezinto eziningi ezibalulekile okufanele uzazi uma usebenzisa lokhu. Ake sixoxe ngakho ngokunembile, kalula.
Kuyini i-Isophane Insulin (NPH)?
Kalula nje, i-Isophane Insulin umuthi osetshenziselwa ukulawula isifo sikashukela. Isebenza ngokwandisa izinga le-insulin emzimbeni wethu nokunciphisa izinga likashukela (i-glucose) egazini. Ingaphansi kwesigaba 'se-insulin esebenza phakathi' . Lokhu kusho ukuthi ngemva kokunikezwa emzimbeni, isebenza amahora ambalwa, ilawula izinga likashukela egazini.
Ezimweni eziningi, kanye nalomuthi, kubaluleke kakhulu ukulawula ukudla kwakho kanye nokuzivocavoca . Kulapho kuphela lezi zinto ezintathu zihlangana lapho isifo sikashukela singalawulwa kangcono khona.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa umuthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezokwelapha ophelele. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi umtshela ngazo.
| Isimo sakho | Kungani kubalulekile? |
|---|---|
| Uma amazinga kashukela egazini ehla njalo (i-Hypoglycemia) | Lokhu kubalulekile ekulungiseni umthamo, njengoba i-insulin ingabangela ukuthi amazinga kashukela egazini ehle kakhulu. |
| Izifo zamehlo, ukukhubazeka kokubona | Njengoba isifo sikashukela sithinta amehlo, udokotela kufanele aqaphele izimo ezikhona. |
| Isifo sezinso | Ngenxa yokuthi i-insulin ikhishwa emzimbeni yizinso, iziguli zezinso zingadinga umthamo ophansi. |
| Isifo sesibindi | Isibindi sithinta isenzo se-insulin, ngakho-ke umthamo ungadinga ukulungiswa. |
| Ukungezwani komzimba ne-insulin noma eminye imithi, ukudla, noma udayi | Lokhu kubalulekile ukuvimbela ukungezwani komzimba nokukhetha imithi efanele kakhulu. |
| Uma ukhulelwe noma uzama ukukhulelwa | Izidingo ze-insulin ziyashintsha ngesikhathi sokukhulelwa, ngakho-ke kufanele ulandele iseluleko sikadokotela wakho. |
| Uma ungumama oncelisayo | Ukuqaphela ukuthi umthamo we-insulin uthinta kanjani umama nengane. |
Uyisebenzisa kanjani kahle le mithi?
Lona umjovo onikezwa ngaphansi kwesikhumba. Udokotela wakho noma umhlengikazi uzokutshela ngqo ukuthi uwusebenzisa kanjani. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo .
- Hlola ukubukeka: Le insulin kufanele ibe uketshezi olucacile, olufana nobisi oluvame ukuba nombala omhlophe . Ungayisebenzisi uma ingenamafu afanayo noma inombala ohlukile.
- Hlanganisa kahle: Ngaphambi kokusebenzisa, hlanganisa kahle ibhodlela noma ipeni ngokuligoqa phakathi kwezintende zezandla zakho. Ungalishukumisi.
- Ukulahla izinaliti: Ungalahli izinaliti ezisetshenzisiwe kanye nezinaliti emgqonyeni kadoti. Zifake esitsheni esikhethekile (isitsha sokuhlaba). Uma ungenayo, ungacela udokotela wakho ukuthi akunike yona.
- Uma usebenzisa ipeni: Uma usebenzisa ipeni ye-insulin, khumbula ukususa isembozo senaliti yangaphandle enalitini ngaphambi kokuyijova.
Isexwayiso: Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Lokhu kuyinto okufanele uyixoxe nodokotela wakho. Uzokunikeza uhlelo lokuthi wenzeni ngesikhathi esinjengalesi. Kwenze ngaleyo ndlela.Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nale insulin
Eminye imithi, amavithamini, noma imikhiqizo yamakhambi ongase uyithathe ingathinta indlela esebenza ngayo le insulin. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwakho konke okusebenzisayo. Qaphela kakhulu ngalokhu:
- Utshwala
- Izibulala-zinhlungu ezifana ne-aspirin
- Eminye imithi yokwelapha umfutho wegazi (isib. i-Atenolol, i-Metoprolol)
- Ama-hormone abesifazane (kufaka phakathi amaphilisi okuvimbela inzalo) nama-hormone wesilisa
- Imithi yokwehlisa isisindo
- Imithi yomkhuhlane, ukukhwehlela, kanye nokungezwani komzimba
- Eminye imithi yokwelapha isifo sengqondo
- Eminye imithi yesifo sikashukela (isib., i-Glyburide, i-Glipizide)
- Imithi equkethe ama-steroid (isb. i-Prednisone)
- Imithi ye-hormone ye-thyroid
- Ezinye izithasiselo zemithi
Lolu hlu aluphelele. Ngakho-ke, kuphephile ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzicabangele lapho usebenzisa i-insulin
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzokucela ukuthi uhlole igazi elibizwa ngokuthi i-HbA1C (A1C) . Lokhu kulinganisa ukuthi ulawule kahle kangakanani ushukela wakho wegazi ezinyangeni ezi-2-3 ezedlule.
- Hlola ushukela wakho wegazi: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Funda izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.
- Gcina okuthile okumnandi eduze: Gcina okuthile okumnandi eduze, njenge -candy bar noma i-glucose tablet, ukuze udle ngokushesha uma ubona izimpawu zoshukela wegazi ophansi.
- Ungayeki ukudla: Yidla ngezikhathi ezijwayelekile. Buza udokotela wakho ngotshwala.
- Ungayishintshi imithi: Ungayishintshi i-insulin noma uhlobo lwesirinji ngaphandle kweseluleko sikadokotela wakho.
- Ungalokothi wabelane: Ungalokothi wabelane ngepeni noma i-cartridge yakho ye-insulin nanoma ubani omunye. Ngisho noma ushintsha inalithi, usengasakaza amagciwane afana ne-HIV kanye ne-Hepatitis.
- Gqoka i-ID yezokwelapha: Kubaluleke kakhulu ukuphatha isongo noma ikhadi le-ID yezokwelapha uma kwenzeka isimo esiphuthumayo, eliqukethe imininingwane ngesimo sakho sezokwelapha kanye nemithi.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-insulini ingabangela imiphumela emibi, eminye yayo engaba yingozi empilweni.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka ngokweqile, ukungahlaliseki, isiyezi, ukushaya kwenhliziyo okusheshayo, ukudideka. |
| Ukwehla kwe-potassium egazini | Ubuhlungu noma ukuqaqamba kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Izinguquko endaweni yomjovo (i-Lipodystrophy) | Ukubhoboza okuphindaphindwayo endaweni efanayo kungabangela ukuqina kwezicubu ezingaphansi kwesikhumba noma izibazi. |
| Ubuhlungu noma ukubomvu endaweni yokujova | Ubuhlungu obuncane, ukubomvu, noma ukuvuvukala endaweni yokujova. |
| Ukwanda kwesisindo | Abanye abantu bazuza isisindo ngokusebenzisa i-insulin. |
Ungagcina kanjani i-insulin?
Kubaluleke kakhulu ukugcina i-insulin ngendlela efanele. Ngaphandle kwalokho, ingase ilahlekelwe ukusebenza kwayo. Le miyalelo ingahluka kancane kuye ngohlobo lomkhiqizo owusebenzisayo.
| Isimo | Imiyalelo yokugcina |
|---|---|
| Amabhodlela namapeni angavulwanga | |
| Uzogcina kuphi | Yigcine esiqandisini , kodwa hhayi efrijini. Ungasebenzisi i-insulin eqandisiwe. |
| Ukuphelelwa yisikhathi | Ungayisebenzisi ngemva kosuku lokuphelelwa yisikhathi. |
| Amabhodlela namapeni asetshenziswayo | |
| Uzogcina kuphi | Gcina ekamelweni lokushisa. Ungafaki efrijini ngemva kokusebenzisa. Gcina kude nokushisa okukhulu kanye nokukhanya kwelanga okuqondile. |
| Isikhathi sokulahla | Lokhu kuyahlukahluka kuye ngohlobo. Isibonelo, amanye amapeni kufanele alahlwe ngemva kwezinsuku ezingu-14, amanye ngemva kwezinsuku ezingu-28, kanti amanye amabhodlela ngemva kwezinsuku ezingu-31 noma ezingu-42. Buza udokotela wakho ngosuku lokuphelelwa yisikhathi kohlobo lwakho lwe-insulin. Ngemva kosuku lokuphelelwa yisikhathi, lahla noma iyiphi i-insulin esele. |
Umlayezo Wokuya Nawe Ekhaya
- Thatha i-insulini ngesikhathi esiqondile kanye nomthamo oshiwo udokotela wakho. Ungalokothi ushintshe umthamo wena ngokwakho.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia). Gcina okuthile okumnandi eduze uma kwenzeka isimo esiphuthumayo.
- Ungabelani ngepeni lakho le-insulin, isirinji, noma inaliti nanoma ubani omunye nganoma yisiphi isizathu.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Gcina i-insulin ngendlela efanele. Vikela ekushiseni okukhulu, elangeni, kanye nasekuqandeni.
- Uma unemibuzo noma ukungabaza, khuluma nodokotela wakho ngokushesha.
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