Izidingo ezahlukene ze-Insulin zohlobo luka-1 nohlobo lwesifo sikashukela
Uma usuvele uthola ukuthi unesifo sikashukela, ungase uzibuze ukuthi lokho kusho ukuthi kuzodingeka uqale ukuthatha i-insulin. Impendulo ixhomeke kuhlobo lwesifo sikashukela onalo nokuthi isimo sakho sithuthukile kangakanani.
Izidingo ze-insulini ezinhlobo ezimbili zesifo sikashukela
Abantu abanesifo sikashukela sohlobo 1 badinga i-insulin eyengeziwe ngoba imizimba yabo ayikwazi ukukhiqiza i-insulin ngokwayo.
Kodwa-ke, uhlobo lwesifo sikashukela sesibili luhlukile.
Nakuba ekugcineni ungabekwa i-insulin nge-type 2 yesifo sikashukela, udokotela wakho cishe uzoqala ukudla okunempilo nokuzivocavoca kuqala ukuze abone ukuthi lokhu kusiza. Ngisho noma ugcina imithi edingayo kanye / noma i-insulin, ukudla kahle nokuzivocavoca kungakusiza ukuthi udinga ngaphansi kunalokho okungeke ukwenze.
Kungakhathaliseki ukuthi uzodinga i-insulin noma cha, uma unesifo sikashukela uhlobo 2 kusekelwe ezimweni ezihlukile. Isinyathelo sokuqala? Ukwazi amaqiniso.
Inkinga Ye-Insulin Enganele
Thayipha 1 futhi uthayiphe u-2 wesifo sikashukela yizimo ongenalo i- insulin eyanele noma ungaphenduli kahle ngokwanele ukususa i-glucose egazini. Lokhu kudala izinkinga ezimbili:
- Amazinga e-glucose ephezulu
- Ukuntuleka kweglucose egcinwe, umthombo omkhulu kagesi
Izimbangela Zezinhlobo ezimbili Zesifo Sikashukela
Umehluko phakathi kohlobo 1 nohlobo lwesibili lwesifo sikashukela lukhona ngenxa yalesi simo.
Amaseli e-Beta, atholakala kuma-pancreas, akhiqiza i-insulin yomzimba.
Ngohlobo lwe-1 lwesifo sikashukela, iningi lalawo maseli e-beta libhujisiwe, linciphisa ukunikezwa kwe-insulini. Ngenxa yalokho, abantu abanesifo sikashukela sohlobo 1 kumele bathathe i-insulin ukuze balawule amazinga egazi le-glucose.
Ngohlobo lwe-2 lwesifo sikashukela, ama-pancreas angase akhiqize i-insulini, kodwa noma iveza inani elinganele noma umzimba uphikisana ne-insulin uqobo.
Ukudla, ukuvivinya umzimba, kanye nemithi ehlukahlukene yomlomo kungasiza umzimba wakho usebenzise i-insulini yayo eyakhiwe ngokucophelela.
Nakhu okubanjwayo: Uhlobo lwesibili lwesifo sikashukela yisifo esiqhubekayo, okusho ukuthi amaseli e-beta okhiqiza i-insulini ahlahloka ngokuhamba kwesikhathi. Ekugcineni, ukwelashwa kwangempela kwe-insulin kungadingeka. Ngempela, ucwaningo lubonisa ubufakazi obandayo bokuthi ukusebenzisa i-insulin ekuqaleni kohlobo lwesibili lwesifo sikashukela kungasiza ama-pancreas aqhubeke enza i-insulin futhi angathuthukisa isifo jikelele.
Izinketho zokwelashwa kwe-Insulin
Kunezinhlobo zezinhlobo ze-insulini ezithengiswa e-United States. Le mikhiqizo ihluke ngendlela eyenziwe ngayo, ukuthi isebenza kanjani emzimbeni, nokuthi zingakanani izindleko. Ukusebenzisa noma yikuphi i-insulin kudinga ukunakekelwa okungenani okungenani ezintathu:
- Ukuqalwa (isikhathi esithile ngaphambi kokuba i-insulin iqale ukwenza)
- Iphoyinti (iphuzu lapho i-insulin iphumelela kakhulu)
- Ubude besikhathi (i-insulin isebenza kangakanani emzimbeni)
Ngokusekelwe emigomweni kanye nesakhiwo sohlelo lwakho lokuphatha, uchwepheshe wakho wezempilo uzokunikeza i- insulin esheshayo, emfushane, ephakathi, ede, noma ehlala isikhathi eside. Phakathi kwalezi zigaba, ukuqala kwe-insulin kungase kuqale ngokushesha imizuzu engu-10 kuya kwezingu-15 noma isikhathi esingangamahora ayisithupha ngemuva kokujova futhi kungasebenza ngempumelelo kuze kube amahora angu-24.
Abanye abantu abanenkinga yokuzilinganisa ngokwabo basebenzisa umkhiqizo wangaphambili ohlangene wezinhlobo ezahlukene ze-insulini.
Ukusebenzisa i-Insulin
Izinketho ezahlukene zokuhambisa nazo ziyatholakala. Ukwelashwa kwe-insulin yendabuko isebenzisa ama-injection, noma nge-syringes noma i- insulin ipeni . Lezi zikhombe zingaba lula ukuzisebenzisa kunezilinganiso futhi ubukeke kakhulu njengezinkuni zokubhala. Ukuphindaphinda nokulingana kuncike emazingeni akho e-glucose kanye nohlobo lwe-insulini oyimisiwe.
Ungasebenzisa futhi amapulisi we-insulin noma i-insulin engenayo. Ipompe inikeza ukuqhutshwa okuqhubekayo kwe-insulin esheshayo ngokusebenzisa i-catheter ngaphansi kwesikhumba. Ukugeleza okuqhubekayo okulethwa yipompi kubizwa ngokuthi yi-basal rate.
Ngezikhathi zokudla, noma ngezinye izikhathi lapho ufuna ukuthatha i-insulin ukumboza ukudla okulula noma ukulungisa amazinga we-glucose egazi, ungahlela ipompo ukuletha umthamo owengeziwe, obizwa nge- bolus .
Umkhiqizo omusha, ukungena kwe-insulini, isisetshenziswa esincane esifakwe ngaphakathi ngaphambi kokudla noma ukudla okulula. Iqeda ama-injection, okungenani i-insulin engama-short-acting, kodwa akuyona ecacile njengamajojo. Izingozi zezempilo zesikhathi eside, uma zikhona, aziwa.
Intuthuko yesineke kusuka emilonyeni yomlomo kuya kwi-insulin
Abanye abantu bangakwazi ukulawula uhlobo lwesifo sikashukela sohlobo lwe-2 ngokudla okulinganiselayo nokuvivinya umzimba njalo. Kodwa-ke, amazinga egazini egazini ephakeme ahlale ekhombisa isidingo sokuphathwa kwemithi.
Ngokwesiko, iziguli ezimbili ziqalile ukwelashwa ngemithi yomlomo, kodwa lokhu sekuqale ukushintsha eminyakeni yamuva. Namuhla, uma izinga lakho le- A1c (ukuhlolwa okulinganisa isilinganiso segazi segazi ezinyangeni ezimbalwa zokugcina) lingaphezu kwamaphesenti ayisikhombisa, uchwepheshe wezempilo wakho angase aqale i-insulin ngokushesha.
Njengoba uhlobo lwesifo sikashukela 2 luqhubeka, amasethingi e-beta e-pancreatic kancane alahlekelwa amandla awo okukhiqiza i-insulin. Ekugcineni, udinga i-supplemental insulin yokuphatha lesi sifo. Kodwa-ke, ijubane lapho isifo sikashukela siqhubeka khona-okungukuthi, isilinganiso lapho umsebenzi we-beta cell uyanqamuka-kuncike ezintweni eziningi, kufaka phakathi isisindo sakho, izakhi zofuzo, ukudla, nezinga lomsebenzi. Kubalulekile ukuthi uhlale usondelene kakhulu nochwepheshe wakho wezempilo.
Izwi elivela
Ukuzwa ukwesaba noma ukungakhululekile ngokuqala i-insulin kuvamile kakhulu, kodwa lokhu okukhathazayo akufanele kukuvimbele. Uma isetshenziswa kahle, i-insulin iyizidakamizwa ezikhuthaza ukuphila. Uma ngabe izidakamizwa zikukwenza ukuthi ufunde, kufanele ukhulume nethimba lakho lokunakekelwa kwezempilo noma ubuze uchwepheshe wakho wezempilo ukuze uthole usizo lokuthola iqembu lokusekela.
> Imithombo:
> Iklinikhi yaseCleveland. Ingabe Ukhathazeka Ngokuthola I-Insulin Shots for Type 2 Isifo sikashukela? Ishicilelwe ngo-Agasti 9, 2016.
> McCulloch DK. Imfundo yeziguli: Isifo sikashukela Mellitus Uhlobo 2: Ukwelapha kwe-Insulin (Ngaphandle Kwezingisekelo). Kubuyekezwe ngo-Februwari 27, 2017.
> McCulloch DK. Imfundo yeziguli: Isifo sikashukela Mellitus Uhlobo 2: Ukwelashwa (Ngaphandle Kwezingisekelo). Kubuyekezwe ngo-Okthoba 26, 2017.