Ingabe udokotela wakho ukutshelile ukuthi uqale ukuthatha imijovo ye-insulin njengokwelashwa kwesifo sikashukela ? Kungenzeka ukuthi uke wezwa amagama athi ' I-insulin Ejwayelekile' noma 'I-Insulin Esebenza Kafushane'. Ngakho-ke, lapho uzwa leli gama, imibuzo eminingi kumele ukuthi yafika engqondweni yakho. "Luhlobo luni lwe-insulin lolu?", "Lusebenza kanjani?", "Kufanele ngiluthathe nini?", "Ingabe kukhona imiphumela emibi ?" Ungase uzibuze izinto ezinjengalezi. Ungakhathazeki, sizoxoxa ngakho konke lokhu kalula namuhla, ngendlela ongayiqonda.
Iyini i-insulin ejwayelekile?
Kalula nje, i-insulin ejwayelekile iyi-hormone yokwenziwa ye-insulin esetshenziselwa ukulawula amazinga kashukela egazini kubantu abanesifo sikashukela . Ibizwa nangokuthi i-insulin esebenza isikhathi esifushane . Lokhu kungenxa yokuthi iqala ukusebenza ngesikhathi esifushane ngemva kokujova emzimbeni bese ilahlekelwa ukusebenza kwayo emahoreni ambalwa.
Lokhu akulona ikhambi lesifo sikashukela. Kodwa kungasiza ekulawuleni amazinga aphezulu kashukela egazini futhi kukuvikele ezinkingeni eziyingozi ezingabangelwa isifo sikashukela. Abantu abanesifo sikashukela sohlobo 1 kanye nesifo sikashukela sohlobo 2 , okuhlanganisa izingane kanye nabantu abadala, bangasebenzisa lolu hlobo lwe-insulin ngaphansi kwesiqondiso sikadokotela wabo.
Isebenza kanjani le insulin emzimbeni wethu?
Cabanga ngamaseli emizimbeni yethu njengezindlu ezincane. Ushukela ( i-glucose ) esiwudlayo unikeza amandla lawa makhaya adinga ukusebenza. Kodwa loshukela awukwazi ukungena ngqo ezindlini ezibizwa ngamaseli. Iminyango yalezo zindlu ivaliwe.
I-hormone i-insulin isebenza njenge- "key" evula le minyango. Emzimbeni womuntu ophilile, lesi sihluthulelo, i-insulin, sikhiqizwa ngokwemvelo. Kodwa-ke, kumuntu onesifo sikashukela, umzimba ukhiqiza lesi sihluthulelo esincane, noma noma ngabe sikwenza lokho, isihluthulelo asikwazi ukuvula umnyango kahle.
Yilapho-ke sikhipha khona i-insulin ngaphandle njengomjovo. I-insulin ejwayelekile enikezwa ngale ndlela yenza izinto ezintathu eziyinhloko:
1. Yehlisa amazinga kashukela egazini:Kuyasiza ekuthutheni ushukela oqongelelwe emithanjeni yegazi uye emangqamuzaneni.
2. Inikeza amangqamuzana amandla: Inikeza amangqamuzana ithuba lokusebenzisa ushukela ongena emaseli njengamandla.
3. Ilawula ukukhiqizwa kukashukela yisibindi: Ivimbela isibindi sethu ekukhiqizeni ushukela ngokungadingekile futhi siwufake egazini.
Ngale ndlela, le insulin ikusiza ukuthi ulawule amazinga kashukela egazini lakho futhi uphile impilo enempilo.
Iyiphi indlela efanele yokufaka i-insulin?
Ukuze uthole okuningi ngale insulin, kubaluleke kakhulu ukuyisebenzisa ngendlela efanele nangesikhathi esifanele.
Isikhathi yinto ebaluleke kakhulu.
Imijovo ye-insulin ejwayelekile kufanele inikezwe imizuzu engama-30 ngaphambi kokudla okuyinhloko . Lokhu kuyinto okufanele uyikhumbule nakanjani.
Ake sithi udla ngo-8 ekuseni. Bese kufanele ufake i-insulin cishe ngo-7:30 ekuseni. Ngoba kuthatha imizuzu engama-30-60 ukuthi le insulin ifike emzimbeni bese iqala ukusebenza. Lokho kusho ukuthi uma udla, i-insulin iqala ukusebenza futhi isilungele ukulawula ushukela owengezwa egazini elivela ekudleni.
- Iqala ukusebenza: Kungakapheli imizuzu engama-30-60
- Ukusebenza okuphezulu: zingakapheli amahora angu-2-3
- Amandla okuhlala: Cishe amahora angu-3-6
Okubalulekile: Ungalokothi weqe ukudla ngemva kokujova i-insulin. Ukwenza kanjalo kungabangela ukuthi ushukela wakho wegazi wehle kakhulu. Sizoxoxa ngalokho maduze.
Kufanele ngigonywe kuphi?
Le insulin ifakwa engxenyeni yamafutha ngaphansi kwesikhumba. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungakwenza kanjani lokhu. Izindawo ezivamile zokujova i-insulin yilezi:
- Isisu (esizungeze inkaba)
- Ingalo engenhla (ngemuva kwengalo)
- Ithanga elingaphezulu (ngaphambili noma ngemuva)
- Indawo yesinqe
Khumbula: Ungajovi i-insulin endaweni efanayo nsuku zonke. Ukujova okuphindaphindiwe endaweni efanayo kungabangela amaqhubu, izimbobo, noma ukuqina kwesikhumba . Ngakho-ke, uma ujova endaweni eyodwa, jova endaweni ehlukile ngesikhathi esilandelayo. Isibonelo, uma ujove ohlangothini lwesobunxele lwesisu sakho ekuseni, jova ohlangothini lwesokudla emini. Shintsha izandla ngosuku olulandelayo. Lolu hlobo lokujikeleza indawo lubaluleke kakhulu.
Yiziphi izingozi nemiphumela emibi okufanele uyiqaphele?
Njenganoma yimuphi umuthi, kunezinto ezimbalwa okudingeka siziqaphele uma sisebenzisa i-insulin ejwayelekile. Ukuqaphela lokhu kubaluleke kakhulu ukuze uphephe.
Njengomuntu onesifo sikashukela, uhlangabezana ne-"Hypo" kanye ne- "Hyper"Kudingeka wazi ngempela ngala magama amabili.
1. I-Hypoglycemia: Lokhu kusho ukuthi izinga likashukela egazini liphansi kakhulu .
2. I-Hyperglycemia: Lokhu kusho ukuthi izinga likashukela egazini liphezulu kakhulu .
Ukwazi izimpawu zalezi zimo zombili kungasiza ekusindiseni impilo yakho esimweni esiphuthumayo.
| Isici | Ushukela ophansi egazini (i-Hypoglycemia) | Ushukela ophezulu egazini (i-Hyperglycemia) |
|---|---|---|
| Isizathu | Ukungadli ukudla ngenkathi uthatha i-insulin, ukulibazisa ukudla, ukuzivocavoca ngokweqile, kanye nokwandisa imithamo ye-insulin. | Umthamo we-insulin onganele, ukudla ngokweqile, ukugula, noma ukucindezeleka. |
| Izici ezivamile | Ukujuluka okungazelelwe, ukuthuthumela, indlala enkulu, ukushaya kwenhliziyo okusheshayo, isiyezi, ukudideka, ukubona okufiphele. | Ukoma ngokweqile, umlomo owomile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele, isicanucanu. |
| Okufanele ngikwenze | Yidla okuthile okumnandi ngokushesha! Yidla/phuza okuthile okufana noshukela, i-glucose, isiphuzo esimnandi, noma i-toffee. Yidla ukudla okuyinhloko njengelayisi ngemva kwesikhashana. Uma ulahlekelwa ingqondo, myise esibhedlela ngokushesha. | Phuza amanzi amaningi. Landela imiyalelo kadokotela wakho. Uma izimpawu ziba zimbi kakhulu noma unenkinga yokuphefumula, bona udokotela ngokushesha. |
Ezinye izingozi
- I-Hypokalemia: Lesi yisimo lapho izinga le-potassium egazini liphansi. Izimpawu zingafaka ukushaya kwenhliziyo okungajwayelekile, ubuthakathaka, kanye nokudlidliza kwemisipha.
- Ukusabela Okubi Kakhulu Kokungezwani Nomzimba: Lokhu akuvamile. Kodwa-ke, uma kwenzeka, kungase kube nezimpawu ezifana nobunzima bokuphefumula, ukuqunjelwa, nokuvuvukala kolimi/umphimbo/ubuso. Lesi yisimo esiphuthumayo sezokwelapha (i-anaphylaxis) . Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (i-ETU) ngokushesha.
- Ukusabela endaweni yomjovo: Abanye abantu bangase babe nokubomvu, ukulunywa, ukuvuvukala, noma ubuhlungu endaweni yomjovo.
Kuthiwani uma uphuza i-insulin ngokweqile?
Yebo, ukuthatha i-insulin eningi kakhulu kuyingozi kakhulu. Uma wenza kanjalo, amazinga kashukela egazini lakho angase ehle kakhulu (i-Severe Hypoglycemia) , ukuquleka, i-coma, ngisho nokufa kungenzeka.
Uma ucabanga ukuthi ujove i-insulin eningi kakhulu ngephutha, noma uma ubona othile ojove i-insulin eningi kakhulu, shayela u-911 ngokushesha ukuze uthole i-ambulensi noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Ungazami ukubhekana nalokhu ekhaya.
Ingabe lokhu kungasebenzisana neminye imithi engiyithathayo? (Ukusebenzisana Kwemithi)
Yebo, impela. Eminye imithi oyithathayo ingasebenzisana ne-insulin futhi ithinte amazinga kashukela egazini lakho. Eminye imithi ingabangela ukuthi ushukela egazini lakho wehle kakhulu, kanti eminye ingabangela ukuthi ushukela egazini lakho ukhuphuke.
Ngakho-ke, uma uya kudokotela wakho, mtshele ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo . Kubaluleke kakhulu ukumtshela uma uthatha noma yimuphi wale mithi elandelayo:
- Imithi yokucindezela kwegazi (ikakhulukazi ama-beta-blockers)
- Izibulali-zinhlungu (i-aspirin, ama-NSAID)
- Ezinye izinhlobo zamaphilisi esifo sikashukela
- Imithi yokuhlanza
- Imithi ye-asthma noma i-allergies
- Imithi yokwelapha i-cholesterol
- Imithi yokwelapha isifo sengqondo
- Imithi equkethe ama-steroid
- Amaphilisi okuvimbela inzalo
Lolu hlu aluphelele, ngakho qiniseka ukuthi ukhuluma nodokotela wakho wesifo sikashukela ngaphambi kokuqala noma yimuphi umuthi omusha. Futhi, ukuphuza utshwala kungaba yingozi uma uthatha i-insulin.
Yiziphi izinto okudingeka uzitshele udokotela?
Ngaphambi kokuqala i-insulin ejwayelekile, qiniseka ukuthi utshela udokotela wakho ngalokhu okulandelayo:
- Uma une-allergies kunoma yimuphi umuthi noma ukudla.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Uma unesifo samehlo noma unenkinga yokubona.
- Uma uneziqephu zikashukela eziphansi egazini njalo (iziqephu ze-hypoglycemia).
Ngokusekelwe kulolu lwazi, kuzoba lula ngodokotela ukunquma indlela yokwelapha efaneleka kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-insulin ejwayelekile uhlobo lwe-insulin olusebenza ngokushesha olusiza ukulawula isifo sikashukela.
- Kubalulekile ukuthi lo muthi wokugoma unikezwe imizuzu engama-30 ngaphambi kokudla okuyinhloko .
- Ungayeki ukudla nganoma yisiphi isizathu ngemva kokujova i-insulin.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia). Yazi ukuthi yini okufanele uyenze esimweni esiphuthumayo.
- Jikelezisa njalo indawo yokujova. Ungaqhubeki ujova endaweni efanayo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Ungashintshi umthamo wakho we-insulin noma uyeke ukuthatha i-insulin ngaphandle kweseluleko sikadokotela wakho.
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