Yiziphi izinzuzo nezingozi zokushintshela ku-insulini yohlobo lwesibili sikashukela?

-Delile

• Ngingazama ezinye izindlela zokwelashwa kuqala?
• Ngingayithatha yini i-insulin njengephilisi?
• Uhlobo luni lwe-insulin olungifanele?
• Kufanele ngiyithathe nini i-insulin yami?
• Ngizinikeza kanjani imijovo ye-insulin?
• Ngingenza kanjani ukuthi imijovo ye-insulin ibe lula?
• Kufanele ngiyigcine kanjani i-insulin?
• Ukuthatha

I-insulin uhlobo lwehomoni ekhiqizwa amanyikwe akho. Isiza umzimba wakho ukugcina nokusebenzisa ama-carbohydrate atholakala ekudleni.

Uma une-type 2 yesifo sikashukela, kusho ukuthi umzimba wakho awusebenzisi i-insulin ngempumelelo futhi amanyikwe akho awakwazi ukunxephezela ngomkhiqizo owanele we-insulin. Ngenxa yalokho, kungadingeka ukuthi usebenzise ukwelashwa kwe-insulin ukuvimbela ushukela wegazi lakho ukuba ukhuphuke kakhulu.

Amathuba okuba usebenzise i-insulin ekulawuleni ushukela egazini ayakhula ngesikhathi sikashukela, ikakhulukazi eminyakeni eyishumi. Abantu abaningi baqala ngamaphilisi kodwa ekugcineni bathuthukela ekwelashweni nge-insulin. I-insulin ingasetshenziswa yodwa futhi ngokuhlanganiswa nezinye izindlela zokwelapha isifo sikashukela.

Ukugcina ushukela wegazi lakho uhla olunempilo kubalulekile enhlalakahleni yakho yonke. Kungasiza futhi ukwehlisa ubungozi bezinkinga, njengokungaboni, isifo sezinso, ukunqunywa, nokuhlaselwa yinhliziyo noma isifo sohlangothi.

Uma udokotela wakho ekutshela ukuthi udinga ukuthatha i-insulin ukuphatha amazinga kashukela egazini ngempumelelo, kufanele uqale ukwelashwa ngokushesha okukhulu. Ukungayithathi i-insulin uma uyidinga kungaholela ezindabeni ezibalulekile zezempilo, kufaka phakathi ushukela wegazi ophakeme kanye ne-hyperglycemia.

Abantu abaningi abaphila nohlobo 2 lwesifo sikashukela bangazuza ekwelashweni nge-insulin, kepha njengemithi eminingi, kunezingozi ezithile. Ingozi enkulu kakhulu ushukela ophansi wegazi, noma i-hypoglycemia. Uma ingalashwa, ushukela wegazi ophansi ungaba isimo esiphuthumayo kwezokwelapha.

Ushukela wegazi ophansi uvame ukwelashwa ngokushesha nangempumelelo ngokudla into enoshukela omningi, njengamaphilisi eglucose, bese ubheka amazinga kashukela egazini lakho. Uma udokotela wakho ekunika i-insulin, bazokhuluma nawe mayelana nokulawula ubungozi boshukela wegazi ophansi.

Kunezinye izingozi ngokuthatha i-insulin. Isibonelo, imijovo ingahle ingakhululeki. I-insulin nayo ingadala ukwanda kwesisindo noma, kuyaqabukela, ukutheleleka endaweni yokujova.

Udokotela wakho angakutshela kabanzi ngezinzuzo nezingozi ezingaba khona zokwengeza i-insulin ohlelweni lwakho lokwelashwa. Uma ucabanga ukuthi ungahle ube nemiphumela emibi evela ku-insulin, xhumana nodokotela wakho khona manjalo.

Ngingazama ezinye izindlela zokwelashwa kuqala?

Kunezindlela zokwelapha eziningi ezahlukahlukene zesifo sikashukela sohlobo 2 ezikhona. Udokotela wakho angancoma ezinye izindlela zokwelapha ngaphezu kwe-insulin. Isibonelo, bangakukhuthaza ukuthi:

• yenza izinguquko zokuphila njengokunciphisa isisindo noma ukwandisa umzimba
• thatha imithi yomlomo
• thatha imijovo engenayo i-insulin
• thola ukuhlinzwa kwesisindo

Kwezinye izimo, lezi zindlela zokwelashwa zingasebenza ekulawuleni amazinga kashukela egazini lakho. Kwezinye izimo, ungadinga ukwelashwa kwe-insulin.

Uma udokotela wakho ekunika i-insulin, akusho ukuthi wehlulekile. Kusho kuphela ukuthi isifo sakho sikashukela sithuthukile futhi uhlelo lwakho lokwelashwa selushintshile.

Ngingayithatha yini i-insulin njengephilisi?

I-insulini ayitholakali kwifomu lephilisi. Ukuze isebenze kahle, kufanele ihogelwe noma ijove. Uma i-insulin ithathwa njengephilisi, ibizobhujiswa uhlelo lwakho lokugaya ukudla ngaphambi kokuba ithole ithuba lokusebenza.

Njengamanje, kukhona uhlobo olulodwa lwe-insulini ehogelwayo etholakala e-United States. Kusebenza ngokushesha futhi kungaphefumulelwa ngaphambi kokudla. Akuyona indawo efanelekayo ye-insulin esebenza isikhathi eside, engajovwa kuphela.

Uhlobo luni lwe-insulin olungifanele?

Kunezinhlobo eziningi ze-insulin yokwelapha uhlobo lwesifo sikashukela sohlobo 2. Izinhlobo ezahlukahlukene ziyahlukahluka, ngokuya:

• baqala ngokushesha kangakanani ukusebenza
• lapho ziphakama
• zihlala isikhathi esingakanani

I-insulin esebenza phakathi nendawo noma esebenza isikhathi eside ijwayele ukusetshenziselwa ukugcina izinga eliphansi futhi elizinzile le-insulin emzimbeni wakho usuku lonke. Lokhu kwaziwa njengokushintshwa kwe-insulin eyisisekelo noma engemuva.

I-insulin esebenza ngokushesha noma esebenza okwesikhashana ijwayele ukusetshenziselwa ukuhlinzeka nge-insulin ngesikhathi sokudla. Ingasetshenziswa futhi ukulungisa ushukela ophakeme wegazi. Lokhu kwaziwa ngokuthi ukushintshwa kwe-bolus insulin.

Khuluma nodokotela wakho ukuze ufunde ukuthi iziphi izinhlobo ze-insulin ezikulungele kakhulu. Kwezinye izimo, ungadinga inhlanganisela ye-basal ne-bolus insulin. Ama-insulins we-premixed aqukethe zombili izinhlobo ayatholakala.

Kufanele ngiyithathe nini i-insulin yami?

Abanye abantu abanesifo sikashukela sohlobo 2 badinga umthamo owodwa we-insulin ngosuku. Abanye badinga imithamo emibili noma ngaphezulu ngosuku.

Uhlobo lwakho lwe-insulin olunconyiwe lungahluka, kuye ngokuthi:

• umlando wakho wezokwelapha
• izitayela emazingeni kashukela egazini lakho
• isikhathi nokuqukethwe ekudleni nasekusebenzeni kwakho
• uhlobo lwe-insulin oyisebenzisayo

Ithimba lakho lezokunakekelwa kwempilo lizokuyalela ukuthi kufanele uyithathe kangaki futhi nini i-insulin oyinqunyelwe.

Ngizinikeza kanjani imijovo ye-insulin?

Imijovo ye-insulin ingalawulwa kusetshenziswa:

• isipetu
• ipeni le-insulin
• iphampu ye-insulin

Ungasebenzisa noma yimaphi kulawa madivayisi ukufaka i-insulin kungqimba lwamafutha ngaphansi kwesikhumba sakho. Isibonelo, ungayifaka emafutheni esisu sakho, emathangeni, ezinqeni, noma ezingalweni ezingaphezulu.

Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza ukuthi ufunde ukujova i-insulin. Babuze ngezinzuzo ezihambisanayo kanye nokwehla kokusebenzisa isirinji, ipeni le-insulin, noma ipompo ye-insulin. Bangakufundisa nokuthi ungayilahla kanjani ngokuphepha imishini esetshenzisiwe.

Ngingenza kanjani ukuthi imijovo ye-insulin ibe lula?

Ukuzijova nge-insulin kungabonakala kusabisa ekuqaleni. Kepha ngokuhamba kwesikhathi, ungakhululeka futhi uzethembe uma uzinika imijovo.

Buza umhlinzeki wakho wezokunakekelwa kwempilo ngamathiphu okwenza imijovo ibe lula futhi ingakhululeki. Isibonelo, bangakukhuthaza ukuthi:

• sebenzisa isipontsho ngenaliti emfushane, ezacile
• sebenzisa ipeni le-insulin noma ipompo, esikhundleni sesipetu
• gwema ukujova i-insulin endaweni efanayo njalo
• gwema ukujova i-insulin emisipheni, ezicutshini ezibomvu, noma emithanjeni ye-varicose
• vumela i-insulin yakho ukuthi ifike ekamelweni lokushisa ngaphambi kokuyithatha

Kufanele ngiyigcine kanjani i-insulin?

Ngokusho kwe-American Diabetes Association, i-insulin izogcina isikhathi esingangenyanga emazingeni okushisa ekamelweni. Uma uhlela ukuyigcina isikhathi eside, kufanele uyifake esiqandisini.

Buza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezokunakekelwa kwezempilo ukuthola izeluleko ezithe xaxa mayelana nokugcina i-insulin.

Ukuthatha

Ukwelashwa kwe-insulin kusiza abantu abaningi abanesifo sikashukela sohlobo lwesibili ukuphatha amazinga kashukela egazini labo. Udokotela wakho angachaza izinzuzo nezingozi ezingaba khona zokuzifaka ohlelweni lwakho lokwelashwa. Zingakusiza nokuthi ufunde ukugcina nokujova ngokuphepha i-insulin.