Namuhla, okuwukuphela kwendlela yokwelapha isifo sikashukela sohlobo 1 kanye nesigaba esithile sohlobo lwesibili lwesifo ngokuwohloka kwamaseli e-B nokukhula kokuntuleka kwe-insulin ukwelashwa kwe-insulin. Kepha eRussia, ukuqala kokulawulwa kwe-insulin kuvame ukubambezeleka, futhi naphezu kokusebenza kwayo okuphezulu, kunqunyelwe kodokotela nakwiziguli. Lokhu kuchazwa ngokwanda kwesisindo somzimba, hhayi isifiso sokujova nokwesaba ukuthuthukisa i-hypoglycemia.
Ngakho-ke, ukwesaba kwe-hypoglycemia kungaba yisilinganiso sokwethulwa komthamo oludingekayo we-insulin, okuzobangela ukuyeka ukwelashwa kusenesikhathi. Konke lokhu kwakusebenza njengesisekelo sokuthuthukiswa kweqembu lama-insulin elinokuguquguquka okungatheni kokusebenza kulo lonke usuku ezigulini ezahlukahlukene. Ukulungiswa okusha kwe-insulin kuhlinzeka ngokuqina kwe-insulin isikhathi eside, ngaphandle kokudala i-hypoglycemia.
Omunye wekhambi elinjalo unwetshwa iTojeo insulin. Lesi sidakamizwa sesizukulwane esisha esikhiqizwa yinkampani yaseFrance iSanofi, nayo ekhiqiza i-insulin Lantus.
Izakhiwo nezinzuzo zalo muthi omusha
Ithuluzi lihloselwe ukwelashwa kohlobo 1 nohlobo 2 sikashukela kwiziguli zabantu abadala. Isenzo se-insulin sithatha amahora angama-24 kuye kwangama-35. Ihanjiswa ngaphansi kwesikhumba kanye ngosuku.
Futhi, i-insulin iyatholakala ngesimo sepeni elahliwe equkethe i-450 IU ye-insulin (IU), kanti umthamo omkhulu womjovo owodwa yi-80 IU. Lezi zinhlaka zasungulwa ngemuva kocwaningo lapho abantu abangu-6,5 000 abanesifo sikashukela bahlanganyele. Ngakho-ke, ipeni liqukethe i-insulin engu-1.5 ml, futhi lokhu kuyingxenye yesigobolondo.
Inzuzo enkulu yokumiswa ukuthi ayifaki iqhaza ekuthuthukisweni kwe-hypoglycemia. Njengoba umuthi ukuvumela ukuthi ulawule ngempumelelo i-glycemia ezigulini ezinhlobo lwesibili sikashukela ngokuqhathaniswa nokusetshenziswa kwe-insulin Lantus. Ngakho-ke, ukubuyekezwa kweziguli eziningi mayelana nomuthi omusha muhle kakhulu.
Ekulungiseleleni kweTozheo, ukuqoqwa kwe-insulin glargine kudlulwe kathathu (amayunithi angama-300 / ml), uma kuqhathaniswa namanye ama-insulin anomthelela ofanayo. Ngakho-ke, umthamo we-insulin kufanele ube ngaphansi futhi ubalwe esigulini ngasinye ngawodwana.
Ngakho-ke, izinzuzo ezilandelayo nazo ziyahlukaniswa:
- Umphumela ohlala njalo (amahora angaphezu kwama-24).
- Umjovo owodwa udinga izinto ezingaphansi.
- Ikuvumela ukuthi uqaphe izinga le-glycemia ubusuku nemini.
Kodwa-ke, kufanele wazi ukuthi iToujeo ayikwazi ukusetshenziswa ekwelapheni izingane nesifo sikashukela sikashukela.
Imiyalo yokusebenzisa
Njengoba iTozheo inenqwaba ephakeme kuneLantus, ihanjiswa kubhaki lomthamo ophansi. Umthamo ojwayelekile wesidakamizwa amayunithi ayi-10-12 ngosuku, futhi uma amazinga kashukela eqhubeka nokuhlala ephezulu lapho inani le-insulin landa ngamayunithi angama-1-2.
Ukugwema i-hypoglycemia, i-hormone inconyelwa ukuphathwa amahlandla ama-2 ngosuku. Isibonelo, okokuqala ngqa emahoreni ayi-12 - amayunithi ayi-14, kanti owesibili ngamahora angama-22 - 24 amayunithi.
Ukubala umthamo wakusihlwa, ukuvikela ushintsho emazingeni kashukela okucasulwa yi-insulin emfushane noma isidlo sakusihlwa kusukela ngabo-18: 00 njalo emahoreni ayi-1.5, udinga ukukala ukuqina koshukela egazini. Ukudla isidlo sakusihlwa kungcono ukweqa, futhi uma kunesidingo (ukulungisa amazinga kashukela) ungafaka i-insulin elula.
Emahoreni angama-22 udinga ukwenza umjovo we-insulin esebenza isikhathi eside (umthamo olula). Umthamo wokuqala onconyiwe weToujeo SoloStar 300 ngamayunithi ayi-6. Kepha ngemuva kwamahora amabili emva kokuphathwa kwomuthi, kuyadingeka ukwenza izilinganiso ezijwayelekile zezinga le-glucose.
Ukuqakathekisa okuphezulu kwento kuzokwenzeka ngo-2-4 a.m., ngakho-ke kungakuhle ukuthatha izilinganiso njalo ngehora. Uma izinga likashukela lehla noma lenyuka ebusuku, khona-ke umthamo kufanele wehliswe noma unyuswe yiyunithi eyi-1, bese amanani we-glycemia kufanele alinganiswe futhi. Ngokufanayo, ungavivinya umthamo we-insal insulin wasekuseni nansuku zonke. Ividiyo ekulesi sihloko izokhombisa ukuthi i-insulin isebenza kanjani.
