Imijovo ye-insulin isindisa izimpilo zezigidi zabantu abanesifo sikashukela nsuku zonke. Kodwa-ke, ukusetshenziswa okungafanele kwalesi sidakamizwa kungaholela emiphumeleni ehlukile futhi, esikhundleni sokuba lusizo, kungadala ukulimala okukhulu emzimbeni wesiguli.
Izici ezibaluleke kakhulu zokwelashwa okuphumelelayo nge-insulin yilezi: ukunemba kwesibalo somthamo, ukuphathwa okufanele komuthi futhi, iqiniso, ikhwalithi ye-insulin. Kodwa ukunemba nobude besikhathi sokugcina umuthi akubalulekile kangako ekwehlisweni ngempumelelo kwamazinga kashukela wegazi.
Abantu abaningi abanesifo sikashukela banethemba lokuthi uma ugcina i-insulin ezimeni ezifanele, lokhu kuzothuthukisa impilo yayo yeshalofu ngenye izinyanga eziyi-6 ngemuva kokuphela kwayo. Kepha odokotela abaningi babheka lo mbono njengengozi eyingozi.
Ngokusho kwabo, noma yikuphi, ngisho nokulungiswa kwe-insulin ephezulu kakhulu kungashintsha kakhulu izakhiwo zayo ngemuva kosuku lokuphela. Ngakho-ke, ukusetshenziswa kwama-insulin aphelelwe yisikhathi akuyona kuphela efiselekayo, kodwa futhi kusongela impilo.
Kodwa ukuze uqonde ukuthi kungani izidakamizwa ezinobungozi kangaka, kuyadingeka ukuqonda lo mbuzo kabanzi ukuthi kungenzeka yini ukusebenzisa i-insulin ephelelwe yisikhathi nokuthi kungaba namiphi imiphumela lokhu.
Imiphumela yokusebenzisa i-insulin ephelelwe yisikhathi
Phakathi kwabanesifo sikashukela, kunombono wokuthi impilo yeshalofu eboniswe ekuhlanganisweni kokulungiswa kwe-insulin ayiyona inhloso futhi lezi zimali zilungele ukusetshenziswa okungenani izinyanga ezintathu ngemuva kokuphelelwa yisikhathi.
Eqinisweni, lesi sitatimende asisho lutho, ngoba abakhiqizi abaningi bayibukela phansi ngamabomu impilo yamashalofu yemikhiqizo yabo ngezinyanga ezimbalwa. Lokhu kubavumela ukuthi baqinisekise ikhwalithi yezidakamizwa zabo futhi bavikele iziguli ekusebenziseni i-insulin, lapho izinguquko ezithile zingase zivele zivele khona.
Kepha lokhu akusho ukuthi nakancane ukuthi yonke insulin ephelelwe yisikhathi iphephile kubantu futhi ingasetshenziswa ngokuphepha ekwelapheni isifo sikashukela. Okokuqala, hhayi bonke abakhiqizi abathambekele ekubukeni phansi impilo yeshelu yezidakamizwa zabo, okusho ukuthi ngemuva kosuku lokuphelelwa isikhathi lokho kufakwa kungaba yingozi enkulu esigulini.
Futhi okwesibili, impilo yeshelufu yamalungiselelo e-insulin ayithinteki kuphela ngezinto ezingavuthiwe kanye nobuchwepheshe bokukhiqiza, kodwa futhi nezindlela zokuhamba nokugcina. Futhi uma kunamaphutha enziwe kulezi zigaba zokulethwa kwezidakamizwa esigulini, lokhu kungayinciphisa kakhulu impilo yeshelufu lakhe.
Okunye ukuqonda okuyiphutha phakathi kwabanesifo sikashukela umbono wokuthi ukusetshenziswa kwe-insulin ephelelwe isikhathi, uma kungasizakali isiguli, okungenani akumlimazi. Eqinisweni, noma ngabe i-insulin ephelelwe yisikhathi ayizitholi izinto ezinobuthi, okungenani izoshintsha umphumela wayo wehlisela ushukela.
Akunakwenzeka ukubikezela ngokunembile ukuthi i-insulin ephelelwe yisikhathi izothinta kanjani umzimba wesifo sikashukela. Imvamisa, le mishanguzo iba nomphumela onolaka ngokwengeziwe, ongadala ukwehla okusheshayo futhi okubukhali kushukela wegazi, futhi kwesinye isikhathi kuholele ekutheni ubuthi obunamandla be-insulin bube.
Ngakho-ke, ukusetshenziswa kwe-insulin ephelelwe yisikhathi, imiphumela yalokho okungabikezelwa, akuvunyelwe ngokuphelele. Uma lo mthetho ungabhekwa, isiguli singaba nezinkinga ezilandelayo:
- Ukuhlaselwa kakhulu kwe-hyperglycemia, ebonakaliswa yilezi zimpawu ezilandelayo: ubuthakathaka obukhulu, ukujuluka okwandayo, indlala ngokweqile, ukuthuthumela emzimbeni wonke futhi ikakhulukazi ezandleni;
- I-insulin ephezulu kakhulu ye-insulin, engenzeka uma isiguli sinquma ukusebenzisa i-insulin ephelelwe yisikhathi futhi yajova umthamo owengeziwe wokuthuthukisa umphumela womuthi. Kulokhu, isiguli singatholakala sinobuthi be-insulin, esiyingozi kakhulu kubantu;
- I-Coma, engaba wumphumela we-hypoglycemia ne-insulin ubuthi. Lokhu kungumphumela onzima kakhulu wokusetshenziswa kwe-insulin impilo yeshelufu ephelelwe yisikhathi, engaholela ekufeni kwesiguli.
Uma isiguli ngengozi sizenzele umjovo we-insulin ephelelwe yisikhathi futhi kuphela ngemuva kwalapho sesibonile ukuthi usuku lokuphelelwa kwakhe isikhathi siphele, kufanele alalelisise kahle isimo sakhe.
Lapho kuvela izimpawu zokuqala ze-hypoglycemia noma ubuthi, kufanele uthinte isibhedlela ngokushesha ukuthola usizo lodokotela.
Ungayinquma kanjani impilo yeshalofu ye-insulin
Lapho uthenga i-insulin ekhemisi, udinga ukunaka impilo yeshelufu lomuthi, oluhlala luboniswa ekufakweni kwalo. Akufanele uthenge umuthi osuku lokuphelelwa kwalo olusondele ukuphelelwa yisikhathi ngaphandle kokuthi uqinisekile ukuthi luzosetshenziswa ngokugcwele usuku oluboniswe ebhodleleni noma e-cartridge.
Kufanele futhi kwaziwe ukuthi izinhlobo ezahlukene ze-insulin zinempilo ehlukile yeshelufu, okuncike kakhulu kumenzi wayo. Leli qiniso kufanele likhunjulwe ngaso sonke isikhathi ukuze ungasebenzisi ngephutha umuthi ophelelwe yisikhathi.
Ngaphezu kwalokho, kufanele kugcizelelwe ukuthi abantu abanesifo sikashukela esisongela impilo bangaba nje izidakamizwa eziphelelwe yisikhathi, kodwa futhi futhi befaka nokuphila okujwayelekile eshalofini. Iqiniso ukuthi ama-insulin izidakamizwa ezidinga izimo ezikhethekile zokugcina, ukwephulwa kwako okuholela ekuwohlakalweni ngokushesha komuthi.
Ukulungiswa okunjalo kwe-insulin kuguqula hhayi kuphela izakhiwo zayo, kodwa nokubukeka kwayo, ngakho-ke, kulula kakhulu ukuthola ukuthi unakekela ngokwanele yini.
Ngakho-ke ama-insulin we-Ultra-short-obambele ngaso sonke isikhathi kufanele abe sesimweni sesisombululo esikhanyayo, futhi lapho insulin ephakathi nendawo ende isici esincane siyisici. Ngakho-ke, ngaphambi kokusebenzisa, izidakamizwa ezisebenza isikhathi eside kufanele zizanyazanyiswe ukuthola isixazululo se-opaque homogeneous solution.
Izimpawu ezibonisa ukungafaneli kwe-insulin yomjovo:
- Ukuguquguquka kwesisombululo se-insulin esifushane. Futhi akunandaba ukuthi umuthi wonke noma ingxenye yawo kuphela unamafu. Ngisho nokumiswa okuncane kwamafu phansi kwebhodisi kuyisizathu esihle sokuyeka ukusetshenziswa kwe-insulin;
- Ukuvela kwizixazululo zezinto zakwamanye amazwe, ikakhulukazi izinhlayiya ezimhlophe. Uma umuthi ungabukeki umfaniswano, lokhu kukhombisa ngokuqondile ukuthi sewonakele;
- Isixazululo eside se-insulin sahlala sicacile ngisho nangemva kokuqhaqhazela. Lokhu kusikisela ukuthi umuthi usuphelelwe amandla futhi akumele uwusebenzise ekwelapheni isifo sikashukela.
Ungasindisa kanjani umuthi
Ukuvikela amalungiselelo e-insulin ekuthothweni ngaphambi kwesikhathi, kufanele agcinwe kahle. Ukuze wenze lokhu, izimbotshana noma ama-cartridge omuthi kufanele abekwe esiqandisini, ngoba ngaphansi kwethonya lokushisa okuphezulu noma ukukhanya kwelanga, ama-insulins asheshe alahlekelwe yizindawo zawo.
Ngaso leso sikhathi, lesi sidakamizwa sinqatshelwe ngokuphelele ukudalula emazingeni okushisa aphansi kakhulu. Ama-insulin afakwe iqhwa abese ancibilikisiwe alahlekelwa ngokuphelele yimpahla yawo yokuphulukisa futhi awakwazi ukusetshenziselwa ukwehlisa ushukela wegazi wabashukela.
2 amahora 2 ngaphambi kokufakwa kwe-insulin, kufanele isuswe esiqandisini futhi ishiywe ukuze ifudumale ekushiseni kwegumbi. Uma wenza umjovo nge-insulin ebandayo, kuzoba buhlungu kakhulu. Ukuze unciphise izinhlungu kusuka ngomjovo, kuyadingeka ukuletha izinga lokushisa le-insulin eduze kokushisa komzimba wesiguli, isb. 36.6 ℃.
Ividiyo ekulesi sihloko izokutshela kabanzi ngokusetshenziswa nezinhlobo ze-insulin.
