Uma ucabanga ngesifo sikashukela, imijovo ye-insulin ifika engqondweni, akunjalo? Yiqiniso, abantu abaningi basebenzisa i-insulin ukulawula isifo sikashukela sabo. Kodwa bewazi ukuthi kukhona nemithi ejovwayo, amaphilisi omlomo, ngisho nemithi ephefumulayo yokulawula isifo sikashukela? Le mithi ibizwa ngokuthi imithi yesifo sikashukela engajovwanga. Namuhla, sizoxoxa ngale mithi engajovwanga. Ake sibheke ukuthi isebenza kanjani, izinzuzo nezingozi, nokuthi ungayikhetha kanjani ekufanele.

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La maphilisi asebenza ngezindlela ezahlukene!

Akuwona wonke amaphilisi esifo sikashukela asebenza ngendlela efanayo. Amanye amaphilisi andisa ukukhiqizwa kwe-insulin emizimbeni yethu. Amanye alawula ukumuncwa kukashukela ekudleni esikudlayo. Kukhona olunye uhlobo, olusiza amangqamuzana emizimba yethu ukuba asabela kangcono ku-insulin. Ngakho udokotela wakho uzohlola isimo sakho futhi ancome uhlobo lomuthi noma izinhlobo eziningana zemithi ezifanele kakhulu kuwe.

Ukuze kube lula ukuqonda, ake sibheke lezi zigaba zezidakamizwa eziyinhloko nokuthi zisebenza kanjani etafuleni elifana naleli.

Isigaba Sezidakamizwa	Indlela esebenza ngayo ilula.	Imiphumela emibi evamile
Ama-Biguanides (isib. i-Metformin)	Lona umuthi ovame ukunqunywa yisifo sikashukela sohlobo 2. Unciphisa ukukhiqizwa kukashukela yisibindi. Uphinde usize amangqamuzana omzimba ukuthi asebenzise i-insulin.	Ukuphazamiseka kwesisu (isicanucanu, ukuhlanza), ukunambitheka kwensimbi emlonyeni.
Ama-Sulfonylurea (isb., iGlimepiride, Gliclazide)	Kuvuselela ama-pancreas ukuthi akhiqize i-insulin eningi.	Amazinga kashukela aphansi egazini (i-Hypoglycemia), ukucasuka kwesisu, isikhumba esilumayo, ukukhuluphala.
Ama-Meglitinides (isib. i-Repaglinide)	Lokhu kwandisa nokukhiqizwa kwe-insulin kusuka kuma-pancreas, kodwa kusebenza ngokushesha futhi isikhathi esifushane.	Amazinga kashukela aphansi egazini, ukucasuka kwesisu.
Ama-DPP-4 Inhibitors (isb. Sitagliptin, Vildagliptin)	Uma amazinga kashukela egazini enyuka, amazinga e-insulini ayakhuphuka. Kuphinde kusize ekunciphiseni ukukhiqizwa kukashukela yisibindi. Lokhu akubangeli ukukhuluphala .	Imiphumela emibi ivame ukuba mincane. Ngezinye izikhathi ubuhlungu bamalunga kanye nokutheleleka komphimbo kungaba khona.
Izithibi ze-SGLT2 (isib. i-Dapagliflozin, i-Empagliflozin)	Zivimba izinso ukuthi zingamunci ushukela emzimbeni, okuvumela ushukela omningi ukuthi ukhishwe emchameni. Lokhu kungaba wusizo nakubantu abanesifo senhliziyo.	Ukutheleleka komgudu womchamo, ukutheleleka kwemvubelo yesitho sangasese sowesifazane, ukuquleka.
Ama-Thiazolidinediones (ama-TZD) (isb. i-Pioglitazone)	Kusiza izicubu zemisipha namafutha ukuthi zisabele kangcono ku-insulin futhi kunciphisa ukukhiqizwa kukashukela yisibindi.	Ukugcinwa koketshezi, ukukhuluphala, kanye nengozi yesifo senhliziyo kufanele kuxoxwe nodokotela wakho.
Izithibi ze-Alpha-glucosidase (Isibonelo: i-Acarbose)	Izitashi noshukela esikudlayo kuyagaywa emathunjini bese kumuncwa emzimbeni.	Umoya, izinhlungu esiswini, ukuqunjelwa.

Amaphilisi Ahlanganisiwe

Ngezinye izikhathi, amazinga kashukela egazini lakho angase angalawulwa kahle ngomuthi owodwa nje. Ezimweni ezinjalo, udokotela wakho angase akunike imithi emibili. Bekungeke yini kube lula ukuphuza iphilisi elilodwa elihlanganisa imithi emibili esikhundleni sokuthatha amaphilisi amabili nsuku zonke? Yilokho okwenziwa amaphilisi ahlanganisiwe.

Isibonelo, imithi efana ne-metformin ene-Glimepiride, noma i-metformin ene-Sitagliptin, iza ngephilisi elifanayo. Lokhu kunciphisa inani lamaphilisi okudingeka uwathathe ngosuku, okwenza kube lula ukuthatha imithi ngezikhathi ezithile.

I-insulin ephefumulayo

Lokhu kuyinto entsha. Luhlobo lwe-insulin esebenza ngokushesha. Le insulin iza ngesimo se-capsule futhi ihogelwa nge-inhaler ekhethekile. Ngokuvamile isetshenziswa ngaphambi kokudla. Lokhu kuvumela i-insulin ukuthi ingene ngokushesha egazini ngamaphaphu.

Kodwa khumbula, lokhu akusikho okwawo wonke umuntu. Uma ubhema, noma unesifo samaphaphu njenge-asthma noma i-COPD, lokhu akusikho okwakho. Futhi, akusikho okungathatha indawo ye-insulin esebenza isikhathi eside.

Uyikhetha kanjani imithi efanele wena?

Manje ungase ucabange, "Hawu, njengoba kunemithi eminingi kangaka laphaya, ngingakhetha kanjani efanele mina?" Leso akusona isinqumo okufanele usithathe wedwa. Yisinqumo wena nodokotela wakho okufanele nisenze ndawonye. Lapho nithatha lesi sinqumo, kufanele nicabangele lezi zinto:

Linjani izinga likashukela egazini lakho? Abanye abantu bangalawula ushukela wabo egazini kahle ngomuthi owodwa. Abanye badinga imithi eminingana.
Ibiza malini le mithi? Eminye yemithi emisha ibiza kakhulu. Khuluma nodokotela wakho ngalokhu futhi.
Ingabe unezinye izimo zezokwelapha? Uma unesifo senhliziyo, isifo sezinso, noma izinkinga zesibindi, eminye imithi ingase ifaneleke kakhulu kuneminye. Isibonelo, izithibi ze-SGLT2 zitholakale ziwusizo kwezinye izimo zenhliziyo.
Ingabe imiphumela emibi iyabekezeleleka? Umuthi ofanayo awuthinti wonke umuntu ngendlela efanayo. Abanye abantu babhekana nezinto ezifana nokuphazamiseka kwesisu kanye nokukhuluphala. Uma unemiphumela emibi okunzima ukuyibekezelela, kufanele utshele udokotela wakho ngayo.

Khuluma nodokotela wakho ngokukhululekile ngakho konke lokhu ukuze nikwazi ukukhetha ukwelashwa okunempilo, okuphephile, nokuphumelela kakhulu kuwe.

Umlayezo Wokuya Nawe Ekhaya

Kukhona imijovo ye-insulin yesifo sikashukela, kanye namaphilisi omlomo kanye nemithi ephefumulwayo.
Umuthi ngamunye ulawula amazinga kashukela emzimbeni ngezindlela ezahlukene.
Ukukhetha umuthi okulungele wena kufanele kwenziwe ngokubonisana nodokotela wakho, kucatshangelwa isimo sakho sempilo, indlela ophila ngayo, nezinye izici.
Ungalokothi uyeke ukuthatha imithi yakho, ushintshe umthamo, noma uqale imithi emisha ngaphandle kweseluleko sikadokotela.
Uma uhlangabezana nanoma yimiphi imiphumela emibi evela emuthini, ungesabi futhi wazise udokotela wakho ngokushesha.