Uma ungumuntu olashelwa isifo sikashukela, udokotela wakho kungenzeka ukuthi ukunike lolu hlobo lomjovo we-insulin. Ungawuthola ngamagama anjengeHumulin 70/30, Novolin 70/30. Empeleni lolu akulona uhlobo olulodwa lwe-insulin, kodwa inhlanganisela yezinhlobo ezimbili ze-insulin. Yingakho kudingeka siqaphele kakhudlwana lapho siwusebenzisa. Ngakho-ke namuhla sizokhuluma ngokuthi uyini lo muthi, ukuthi usetshenziswa kanjani kahle, nokuthi yiziphi izinto okufanele uzinake.
Kwenzekani ngempela ngale insulin exubile?
Kalula nje, lo muthi osiza ukulawula isifo sikashukela. Usebenza ngokwandisa izinga le-insulin emzimbeni wakho kanye nokwehlisa izinga likashukela (i-glucose) egazini lakho.
Cabanga ngakho njengenhlanganisela ekhethekile ye-insulin esebenza isikhathi esifushane kanye ne-insulin esebenza isikhathi esiphakathi. Ukuhlanganiswa kwalokhu okubili kuzokusiza ukuthi ulawule amazinga kashukela egazini lakho kangcono. Kodwa khumbula, lo muthi wodwa akwanele. Ukudla okunempilo kanye nokuzivocavoca nakho kuyizingxenye ezibalulekile zalokhu kwelashwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Kubaluleke kakhulu ukuthi udokotela wakho akwazise ngalezi zinto ngaphambi kokuba uqale ukuthatha le insulin.
- Uma uneziqephu ezivamile ze-hypoglycemia (ushukela wegazi ophansi ).
- Uma unezifo zamehlo noma unenkinga yokubona kahle .
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma une -allergies ku-insulin, isithako se-metacresol, eminye imithi, ukudla, noma izinto zokufaka imibala.
- Uma ukhulelwe noma unethemba lokukhulelwa .
- Uma ungumama oncelisa ingane yakho .
Ngokusekelwe kulolu lwazi, udokotela uzokwakha uhlelo lokwelashwa olukufanele kakhulu.
Ungayisebenzisa kanjani le insulin ngendlela efanele?
Lena yingxenye ebaluleke kakhulu. Kumelwe ulandele le miyalelo ngqo.
1. Indlela yokujova: Lona umjovo ojova ngaphansi kwesikhumba. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungawujova kanjani ngendlela efanele.
2. Isikhathi ngaphambi kokudla: Udokotela uzokutshela ukuthi kufanele udle isikhathi esingakanani ngemva komjovo. Ngokuvamile, kufanele uthathe umjovo cishe imizuzu engama-30 ngaphambi kokudla .
3. Ukubonakala kwe-insulin: Lokhu kubaluleke kakhulu. Njalo bheka ibhodlela ngaphambi kokulisebenzisa.
- Ngaphambi kokuxuba: Lokhu kufanele kube mhlophe, kubonakale njengobisi.
- Ngemva kokuxuba: Kufanele ubone umbala ofanayo wobisi (ofana namafu).
- Uvuselela kanjani?Gingqa ibhodlela cishe izikhathi eziyishumi phakathi kwezandla zakho. Ungalokothi ulishukumise ngamandla.
- Ungasebenzisi: Uma i-insulin ishintshe umbala, uma ubona amaqhubu ayo, noma uma ingaxutshwanga kahle , ungayisebenzisi nhlobo.
4. Izinaliti namasirinji: Ungalokothi ulahle izinaliti namasirinji asetshenzisiwe emgqonyeni kadoti. Zifake esitsheni esibukhali. Uma ungenaso, buza udokotela wakho ngakho.
5. Amapeni e-Insulin: Uma usebenzisa ipeni, ungakhohlwa ukususa isembozo senaliti yangaphandle ngaphambi kokuyijova.
Uma kwenzeka ukudlula ngokweqile: Uma ucabanga ukuthi uphuze ngokweqile ngephutha, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo?
Akuyona into enhle ukuphuthelwa umthamo. Khuluma nodokotela wakho ngalokho okufanele ukwenze uma uphuthelwa umthamo bese wenza uhlelo lwawo. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe nganoma yisiphi isizathu.
Eminye imithi nezinto ezingase zihlangane ne-insulin
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo i-insulin, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nomkhiqizo wezitshalo owuthathayo.
| Uhlobo lwezidakamizwa/izidakamizwa | Izinto okufanele uzicabangele |
|---|---|
| Utshwala | Amazinga kashukela angathinteka ngokungalindelekile. |
| I-aspirini kanye nemithi efanayo | Kungandisa ingozi yokuba noshukela wegazi ophansi. |
| Ama-Beta-blocker | (isib. iMetoprolol, iPropranolol) - Ingafihla izimpawu zoshukela ophansi egazini (hypoglycemia). |
| Izinhlobo ze-Steroids | (isib. i-Prednisone) - Ingakhuphula amazinga kashukela egazini. |
| Imithi yokuhlanza | Kungathinta amazinga kashukela. |
| Eminye imithi yesifo sikashukela | (isib. i-Glyburide, i-Glipizide) - Udinga ukuqaphela kakhulu amazinga kashukela wakho. |
| Eminye imithi yomkhuhlane/ukukhwehlela | Lokhu kungaba noshukela noma utshwala. |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule uma usebenzisa
- Ukuhlolwa okuvamile: Vakashela udokotela wakho njalo ukuze uhlole isimo sakho. Ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C kungakunikeza umbono omuhle ngokulawulwa koshukela egazini lakho ezinyangeni ezi-2-3 ezedlule.
- Ukulinganisa amazinga kashukela egazini: Funda ukuthi ungawaqapha kanjani amazinga kashukela egazini ekhaya. Qaphela izimpawu ze-hypoglycemia kanye ne-hyperglycemia .
- Uma ushukela wakho wegazi wehla: Hlala ugcina okuthile kuwe, njenge-sugar cube, i-toffee, noma i-glucose tablet. Kodwa khumbula, uma unesifo sokuwa noma ulahlekelwa ingqondo, akufanele neze ufake noma yini emlonyeni wakho , ngoba ingabangela ukuminyana. Uma lokho kwenzeka, kufanele uye esibhedlela ngokushesha.
- Ungabelani: > Ungalokothi, ungalokothi wabelane ngamapeni noma amakhatriji e-insulin nomunye umuntu. Ngisho noma nihlanganyela inaliti, nisengasakaza amagciwane ayingozi njenge-Hepatitis ne-HIV.
- I-ID Yezokwelapha: Ukugqoka ikhadi noma isongo (i-ID Yezokwelapha) elinemininingwane ngesimo sakho sezokwelapha kanye nemithi kungasiza ekusindiseni impilo yakho esimweni esiphuthumayo.
Imiphumela emibi engaba khona
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka, ukungahlaliseki, isiyezi, ukushaya kwenhliziyo okusheshayo, kanye nokudideka. |
| Amazinga e-potassium anciphile | Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka obungavamile, izinguquko ekushayeni kwenhliziyo. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho (kodwa tshela udokotela wakho uma kuqhubeka) | |
| I-Lipodystrophy | Ukuqina kwezicubu ngaphansi kwesikhumba, amaqhubu, noma izibazi endaweni yokujova. (Lokhu kungenzeka uma uthola umjovo endaweni efanayo.) |
| Endaweni yokujova | Ubuhlungu obuncane, ukubomvu, noma ukulunywa. |
| Ukwanda kwesisindo | Abanye abantu bayaqaphela ukukhuluphala. |
Ungagcina kanjani i-insulin?
Lokhu futhi kuyinto okudingeka uyiqaphele. Uma igcinwe ngendlela engafanele, i-insulin ingalahlekelwa ukusebenza kwayo.
Amabhodlela namapeni angavulwanga
- Amabhodlela e-Humulin 70/30:Gcina esiqandisini (phakathi kwama-degree Celsius angu-2-8) noma ezingeni lokushisa legumbi (ngaphansi kwama-degree Celsius angu-30). Uma igcinwe ezingeni lokushisa legumbi, yilahle ngemva kwezinsuku ezingu-31 .
- Amabhodlela e-Novolin angu-70/30: Gcina esiqandisini (2-8 Celsius) noma ekamelweni lokushisa (ngaphansi kuka-25 Celsius). Uma igcinwe ekamelweni lokushisa, yilahle ngemva kwezinsuku ezingu-42 .
- I-Humulin 70/30 KwikPens: Gcina esiqandisini (2-8 Celsius) noma ezingeni lokushisa legumbi (ngaphansi kwama-30 Celsius). Uma igcinwe ezingeni lokushisa legumbi, yilahle ngemva kwezinsuku eziyi-10 .
- I-Novolin 70/30 FlexPens: Gcina esiqandisini (2-8 Celsius) noma ezingeni lokushisa legumbi (ngaphansi kwama-30 Celsius). Uma igcinwe ezingeni lokushisa legumbi, yilahle ngemva kwezinsuku ezingama-28 .
Amabhodlela namapeni asetshenziswayo
- Amabhodlela eHumulin angu-70/30: Gcina esiqandisini noma ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Lahla zingakapheli izinsuku ezingu-31 kusukela ekuvulweni.
- Amabhodlela e-Novolin 70/30: Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-25). Ungafaki efrijini. Lahla zingakapheli izinsuku ezingu-42 kusukela ekuvulweni.
- I-Humulin 70/30 KwikPens: Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Ungafaki efrijini. Lahla zingakapheli izinsuku eziyi-10 kusukela ekuvulweni (noma ngabe kukhona i-insulin esele).
- I-Novolin 70/30 FlexPens: Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Ungafaki efrijini. Lahla zingakapheli izinsuku ezingu-28 kusukela ekuvulweni (noma ngabe kukhona i-insulin esele).
Okubalulekile: Ungalokothi uqandise i-insulin. Ungayisebenzisi i-insulin eqandisiwe. Gcina kude nokushisa okukhulu nokukhanya. Lahla imithi ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Hlola njalo ukubonakala kwe-insulin (umbala ofana nobisi, akukho ziqu) ngaphambi kokuyijova. Hlanganisa kahle.
- Ungabelani ngepeni lakho le-insulin, isirinji, noma izinaliti nanoma ubani omunye nganoma yisiphi isizathu.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Hlala ugcina okuthile okunoshukela eduze.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Gcina i-insulin ngendlela efanele. Uma usuyivulile, qiniseka ukuthi uyayilahla zingakapheli izinsuku ezibekiwe.
- Uma unenkinga noma ungaqiniseki ngokuthile, ungalokothi unqikaze ukukhuluma nodokotela wakho.
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