Uma unesifo sikashukela sohlobo lwesibili , cishe usuvele wazi ukuthi impilo enempilo - kuhlanganise nokudla, ukuzivocavoca nokulawula isisindo - yingxenye ebaluleke kakhulu yokwelashwa kwakho. Ungase futhi udinga ukuthatha imithi yomlomo, noma imithi eyodwa noma inhlanganisela yezidakamizwa. Uma uhlobo lwakho lwesifo sikashukela 2 alulawulwa kahle emithini yomlomo, kungase kudingeke uthathe i-insulin.
I-Insulin Isebenza Kanjani?
I-insulin isiza ukugcina amazinga akho kashukela egazini ngaphakathi kohlobo olujwayelekile ngokuhambisa i-glucose egazini lakho emangqenjini omzimba wakho. Amaseli akho asebenzisa i-glucose amandla. Abantu abangenayo isifo sikashukela benza inani elifanele le-insulini ngokwabo.
Uma une-type 2 yesifo sikashukela, ungakwazi ukulawula amazinga akho e-insulini noshukela egazini ngemithi yomlomo . Kodwa-ke, abanye abantu abanesifo sikashukela sohlobo lwe-2 abakwazi ukulawula ushukela wabo wegazi ngemithi yomlomo kuphela futhi badinga ukungeza ama-insulin injection ekwelapheni kwabo.
Ngithatha kanjani i-insulin?
Kuzodingeka ufunde ukuthi ungazifaka kanjani nge-insulin, okungase kudingeke uthathe isikhathi esisodwa noma ngaphezulu ngosuku ngalunye. Udokotela wakho noma umhlengikazi wesifo sikashukela angakusiza ukuthi unqume ukuthi iyiphi indlela yokuthatha i-insulin engcono kuwe futhi izokufundisa ukuthi ungazifaka kanjani .
Ukuthatha injection. Uzothola izibhamu usebenzisa inaliti nesirinji. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungathola kanjani inani elifanele le-insulin kwisirinji nokuthi ungalifaka kanjani ngaphansi kwesikhumba sakho.
Abanye abantu basebenzisa ipeni le-insulini, elibukeka njengepeni kodwa linalitile yephuzu layo futhi lithandwa ngenani elifanele le-insulin.
Ukusebenzisa i-insulin jet injector. Le divayisi, ebonakala njengepeni elikhulu, ithumela i-insulin enhle ngesikhumba sakho nge-high-pressure air esikhundleni senaliti.
Ukusebenzisa ipompo ye-insulin. Ipompo ye-insulin ngumshini omncane ongawugqoka ngaphandle komzimba wakho ebhantshini noma ephaketheni. Ipompo ixhuma kwipayipi elincane lepulasitiki kanye nenaliti encane efakwe ngaphansi kwesikhumba sakho bese ihlala izinsuku eziningana. Umshini uphambanisa i-insulini ngokusebenzisa ithubhu emzimbeni wakho.
Ngifanele Ngithathe Nini I-Insulini?
Udokotela wakho uzokutusa isimiso sakho esikutshela isikhathi nokuthi ingakanani i-insulin engayithatha. Uhlelo lwakho luzoxhomekeka kunhlobo luni lwe-insulin oyisebenzisayo kanye nesimiso sakho sezinsuku zonke, kufaka phakathi uma udla ukudla kwakho nokuthi usebenzise kanjani futhi nini.
Abanye abantu abane-type 2 yesifo sikashukela abazithatha imithi yomlomo bangadinga ukudubula olulodwa lwe-insulin usuku ngalunye. Abanye bangadinga i-insulin injection ezimbili, ezintathu, noma ezine ngosuku ukuze bafinyelele imigomo yabo yegazi glucose.
Yiziphi izinhlobo ze-insulini ezitholakalayo?
Uhlobo ngalunye lwe-insulini lusebenza ngejubane elihlukile. Izinhlobo ezahlukene ze-insulin ziyahlukahluka ukuthi zisebenza kangakanani emzimbeni wakho.
Isibonelo, i-insulin esebenza ngokusheshayo iqala ukusebenza ngemva kwemizuzu engu-15 emva kokuyithatha futhi isebenza cishe amahora amathathu kuya kwamahlanu. I-insulin ehlala isikhathi eside iqala ukusebenza ngaphakathi kwehora elilodwa ngemuva kokuyithatha futhi isebenza cishe amahora angu-24. Abanye abantu abane-type 2 yesifo sikashukela badinga izinhlobo ezimbili noma ngaphezulu ze-insulini ukuze zifinyelele ekuhlosweni kwabo kwegazi.
Uhlobo ngalunye lwe-insulin lunokuqala, ukuphakama, nesikhathi eside.
- Ukuqala ukuthi ngokushesha i-insulin iqala ukusebenza kanjani ukwehlisa ushukela wakho wegazi ngemva kokuyijova.
- Ukuphakama yisikhathi lapho i-insulin isebenza kanzima kakhulu ukwehlisa ushukela wegazi lakho.
- Ubude besikhathi ukuthi i-insulin ihlala isikhathi eside kangakanani emzimbeni wakho - isikhathi esiningi siqhubeka sinciphisa ushukela wegazi lakho.
Ngenxa yokuthi umuntu ngamunye onesifo sikashukela sohlobo lwesibili uhlukile, izikhathi zokuqala, zokuphakama, nezikhathi zingase zihluke. Ithimba lakho lokunakekelwa kwempilo yesifo sikashukela lizosebenza nawe ukuba lize necebo le-insulin elisebenza kahle kuwe.
Lezi ezinye zezinhlobo ezijwayelekile ezinqunyelwe i-insulin:
I-insulin esebenza ngokushesha
Ukuqalwa: imizuzu emihlanu kuya kwemi-15
Inani eliphakeme: imizuzu engu-30 kuya kwangu-90
Ubude besikhathi: amahora amathathu kuya ku-5
Izibonelo:
- I-apidra (i-insulin glulisine)
- I-Humalog (i-insulin lispro)
- I-NovoLog (i-insulin aspart)
Ukususa i-insulin emfushane
Ukuqalwa: imizuzu engu-30 kuya ku-60
I-Peak: amahora amabili kuya kwangu-4
Ubude besikhathi: amahora angu-5 kuya kwangu-8
Izibonelo:
- I-Humulin R (i-insulin ejwayelekile)
- I-Novolin R (i-insulin ejwayelekile)
I-insulin esebenza ngaphakathi
Ukusetha: amahora angu-1 kuya kwangu-3
Inani eliphakeme: amahora angu-8
Ubude besikhathi: amahora angu-12 kuya kwangu-16, kodwa angakwazi ukuhlala isikhathi eside amahora angu-24
Izibonelo:
- I-Humulin N (i-NPH insulin)
- I-Novolin N (i-NPH insulin)
Ukushukela kwe-insulin ende
Ukusetha: ihora eli-1
Iphoyinti: ayikho inqwaba
Ubude besikhathi: amahora angu-20 kuya kwangu-26
Izibonelo:
- I-Lantus (i-insulin glargine)
- I-Levemir (i-insulin detemir) (le mithi ixhomeke kumthamo ukuze ihlale isikhathi esingangamahora angu-6)
I-insulini yangaphambi kokuxubana
Njengoba abanye abantu abanesifo sikashukela badinga ukuthatha izinhlobo ezimbili ze-insulin ukulawula ushukela wabo wegazi, ukuxuba kwe-insulin esebenzayo okuphakathi kanye nokungena kwe-insulini esheshayo noma i-insulin emifushane ekhona.
Ukusetha: imizuzu emihlanu ukuya kweyengu-60
I-Peak: ihlukahluka
Ubude besikhathi: amahora angu-10 kuya ku-16
Izibonelo:
- I-Humalog 50/50 (i-50% esebenzelana ngokuphakathi + 50% esebenza ngokushesha)
- I-Humalog 75/25 (i-75% esebenzayo phakathi + 25% esebenza ngokushesha)
- I-Humulin 50/50 (i-50% esebenza ngokuphambene-esebenzayo + 50% i-short acting-acting)
- I-Humulin 70/30 (i-70% esebenzelana okuphakathi + 30% esebenzayo okwesikhashana)
- I-Novolin 70/30 (i-70% esebenzelana okuphakathi + 30% ehamba kancane)
- I-NovoLog 70/30 (i-70% esebenzayo ephakathi + 30% esebenza ngokushesha)
Yiziphi Imiphumela Ezingezansi ze-Insulini?
Imiphumela emibi engenzeka ye-insulin ihlanganisa:
- i-blood glucose ephansi (i-hypoglycemia)
- inzuzo yesisindo
Ukuhlanganiswa kwe-insulini nemithi yomlomo ephathwa ukwelapha uhlobo lwesifo sikashukela kukhulisa ingozi yakho yokushukela egazini ikakhulukazi uma usebenzisa okuningi kunokujwayelekile noma uma weqa, wephuzile noma udlile kancane.
Ilungu lethimba lakho lesikashukela lizobukeza izimpawu zeshukela eliphansi legazi nawe futhi lizokufundisa ngezinto okufanele ukwenze uma ushukela wegazi lakho liphansi kakhulu.
Encwadini yokugcina, uma uthatha i-insulin yesifo sikashukela, ungase uthande ukucabangela ukusebenzisa ubuchwepheshe obusha obubizwa ngokuthi i-glucose monitoring monitor (CGM). Ngokuvamile, abantu abathwala i-insulin ngohlobo lwe-2 (noma ukuthayipha 1) isifo sikashukela kudingeka benze izinhlamvu ezimbalwa ezingenakulungiswa ngomunwe ukuze zivivinye amazinga egazi le-glucose. I-CGM iyisetshenziswa esingenakunyakaziswa esiqhubeka ngokuqapha amazinga wegazi glucose ngaphandle kwesidingo samathanga amaningi eminwe yansuku zonke. Kodwa-ke, phakathi kwezintathu ezintathu nezinye zomunwe kudingeke ukuba ulinganise umshini.
Ukusetshenziswa kwe-CGM kuzokusiza ukugcina ithrekhi yezinga lakho legazi likaglucose ngezikhathi ongavamile ukuhlola amazinga egazi legazi lakho, njengalapho ulele noma ngenkathi usebenzisa. Usebenzisa lolu lwazi, udokotela wakho angakwazi ukulungisa amavaysi akho e-insulin ukuze abonise kangcono izidingo zakho futhi anikeze ukulawula okungcono kwe-glycemic. I-CGM inconywa yizinhlangano ezihlukahlukene ze-diabetes futhi ngezinye izikhathi zihlanganiswa nomshuwalense. Uma unesithakazelo, sicela ubuze udokotela wakho nge-CGM.
Imithombo
Ukuqapha kweGlucose okuqhubekayo. www.niddk.nih.gov.
Imithi yesifo sikashukela. I-National Diabetes Information Clearinghouse. September 2006. https://www.niddk.nih.gov/health-information/diabetes/diabetes-medicines