Iningi leziguli ezinomdlavuza wesifo sikashukela sohlobo 1, lapho lunqunyelwe njengendlela yokwelapha i-insulin, zinesifiso sendlela yokujova i-insulin esiswini kahle.
Ukuphathwa okuyikho kokulungiswa kwe-insulin ngesikhathi sokwelashwa kwe-insulin esimweni sesiguli esinohlobo 1 sikashukela kudinga ukuqonda okusobala okuvela esigulini:
- uhlobo lwemithi esetshenziswayo equkethe i-insulin;
- indlela yokusebenzisa umkhiqizo wezokwelapha;
- ukuhambisana nokusetshenziswa kokulashwa kwe-insulin yazo zonke izincomo ezitholwe ku-endocrinologist.
Udokotela we-endocrinologist wakha uhlelo lokusebenzisa i-insulin, ukhetha uhlobo lwe-insulin esetshenzisiwe, unquma umthamo womuthi nendawo yomzimba wokuphathwa kwayo ngesikhathi somjovo.
Ukusabela komzimba lapho usebenzisa i-insulin yomsuka wesilwane
Ungayisebenzisi i-insulin uma isiguli sisabela kuyo. Lapho kuvela izimpawu zokuqala zokuvela kokungezwani komzimba, kufanele uthintane nodokotela wakho ukuze uthole izincomo nezinguquko ohlotsheni lokulashwa kwe-insulin lesifo sikashukela i-mellitus.
Ukusabela komzimba kubantu kwenzeka kwe-insulin ngenxa yokuthi iningi lazo litholakala ezingulubeni zepancreatic. Kulolu hlobo lwe-insulin, ukusabela komzimba kulo muthi kuba kubantu abahlushwa izinhlobo ezinzima zokwaliwa yilesi sifo.
Izindlela ezivame kakhulu ezingemanga ngayo zemithi ye-insulin yilezi zindlela zomzimba wasendaweni nezomzimba. Uhlobo lwendawo lokubonakaliswa komzimba ukubonakala kokubomvu okuncane, ukuvuvukala nokulunywa endaweni yomjovo. Lolu hlobo lokuphendula umjovo we-insulin lungahlala ezinsukwini eziningana luye emasontweni ambalwa.
Ukusabela okuphathelene ne-systemic azibonakalisi ngesimo sokuqhuma kwe-allergic, okwaziyo ukumboza iningi lomzimba. Ngaphezu kwalokho, kwisifo sikashukela ngesikhathi sokwelashwa kwe-insulin, lezi zimpawu ezilandelayo zokuphendula komzimba zingabonakala:
- ubunzima bokuphefumula
- ukubonakala kokushoda komoya;
- ukwehlisa umfutho wegazi;
- ukushesha kwenhliziyo;
- ukukhuphuka kokujuluka.
Ukulungiswa kwe-insulin akufanele kusetshenziswe uma isiguli sinezimpawu ze-hypoglycemic syndrome. I-Hypoglycemia emzimbeni wesiguli yenzeka lapho izinga le-glucose ye-plasma lehla ngaphansi kweleveli eyamukelekayo. Ukusetshenziswa kwe-insulin njengamanje kunganciphisa kakhulu i-glucose index, ezodala ukwenzeka kwesimo sokudideka futhi ezimweni ezinzima zomphumela obulalayo.
Uma kwenzeka ukuphathwa okungalungile kwedosi ye-insulin, lesi simo singalungiswa ngokudla ushukela ngendlela yamathebulethi noma ukuphuza ujusi we-orange.
Lesi simo singalungiswa nokudla okusheshayo kokudla okunamanani amaningi we-carbohydrate asheshayo ekwakhiweni kwawo.
Ukuhlolwa kwesikhumba ngaphambi komjovo nokukhethwa kwenaliti lomjovo
Ngaphambi komjovo wesidakamizwa esine-insulin, kufanele kwenziwe ukuhlolwa kwendawo yokulawulwa kwe-insulin ukuze kuthuthukiswe i-lipodystrophy. I-Lipodystrophy ukusabela okwenzeka esikhunjeni endaweni yemijovo ejwayelekile. Isibonakaliso esiyinhloko sokuvela kwe-lipodystrophy wukushintsha kwezicubu ze-adipose kungqimba olungaphansi. Izinguquko ezibonakalayo zifaka ukwanda noma ukwehla kobukhulu bezicubu ze-adipose endaweni yomjovo.
Lapho usebenzisa i-insulin therapy, ukuhlolwa okujwayelekile kwesikhumba kumele kwenziwe ngemiphumela yokungezwani komzimba kanye nokubonakala kwezimpawu ze-lipodystrophy. Ngaphezu kwalokho, isikhumba endaweni yokulawulwa kwezidakamizwa eziqukethe i-insulin kufanele sihlolwe ukuze kubonakale ukuvuvukala, ukuvuvukala nezinye izimpawu zokukhula kwenqubo yokutheleleka.
Ngaphambi komjovo, kufanele ukhethe isirinji nenaliti efanelekile yokwazisa kwe-insulin emzimbeni.
Isirinji nezinaliti ze-insulin akumele ziphonswe kude nodoti ojwayelekile. Isirinji esetshenzisiwe ukungcola okuyingozi kwemvelo okufuna ukulahlwa okukhethekile.
Lapho uphatha umuthi, isirinji nezinaliti akufanele zisetshenziswe kabili.
Inaliti esetshenzisiwe uma iba buthuntu emva kokusetshenziswa, futhi ukusebenzisa inaliti noma isiphuzo okuphindaphindwayo kungadala ukukhula kwesifo esithathelwanayo emzimbeni.
Ungawenza kanjani umjovo nge-insulin kahle?
Ukuze ungenise i-insulin emzimbeni, kufanele ulungiselele konke okudingayo ngaphambi kwenqubo.
Ukuze ugweme izinkinga ngemuva kokufaka umuthi emzimbeni, kufanele wazi ukuthi ungawujova kanjani i-insulin kahle.
Ngaphambi kokusebenzisa i-insulin, kufanele ifudunyezwe kuze kufike ekushiseni kwama-30 degrees. Ngale njongo, kufanele ubambe ibhodlela nomuthi isikhashana ezandleni zakho.
Ngaphambi kokuphathwa kwe-insulin, impilo yeshelufu yesidakamizwa kufanele ihlolwe. Uma usuku lokuphelelwa isikhathi seluphelelwe yisikhathi, ukusetshenziswa kwalo kwenqatshelwe ngokuphelele. Musa ukusebenzisa umuthi wokujova osevulwe ngaphezu kwezinsuku ezingama-28.
Ukusebenzisa isirinji kungenye yezindlela ezivamile zokuhambisa umuthi emzimbeni.
Ukuphatha umthamo we-insulin kufanele ulungiselelwe:
- isirinji le-insulin ngenaliti;
- uvolo okotini;
- utshwala
- insulin;
- isitsha sezinto ezibukhali.
Ukufakwa kwe-insulin kwenziwa ngemuva kokugeza ngesandla ngensipho esezingeni elifanele. Indawo yomjovo kufanele ihlanzeke; uma kunesidingo, kufanele futhi igezwe ngensipho futhi isulwe. Kuyinto engathandeki ukwelapha indawo yomjovo ngotshwala, kodwa uma ukwelashwa okunjalo kwenziwa, khona-ke kufanele ulinde kuze kube yilapho utshwala buqhuma.
Lapho usebenzisa izinhlobo eziningi ze-insulin, kuyadingeka ukuthi uhlole ngaphambi kokujova ukuthi uhlobo lwe-insulin oludingekayo ngokuya ngohlelo lwe-insulin therapy lusetshenziselwa injekiseni.
Ngaphambi kokuwusebenzisa, umuthi kufanele uhlolwe ukuthi ufanelekile. Uma i-insulin esetshenzisiwe imvame kakhulu, kufanele igoqwe kancane ezandleni ukuthola ukumiswa okufana. Lapho usebenzisa ukulungiselela okusobala komjovo, akudingekile ukuwunyakazisa noma ukuwuhambisa ngezandla.
Ngemuva kokubheka nokulungiselela i-insulin, kudonswa kwisirinji elikhona ngevolumu edingekayo ngomjovo.
Ngemuva kokuthi umuthi udonswe kwisirinji, okuqukethwe kufanele kuhlolwe ngamabhamuza omoya akulo. Lapho ukhomba owokugcina, thepha kancane umzimba wesirinji ngomunwe.
Lapho ufaka amalungiselelo amaningi e-insulin, umuntu akufanele athayiphe izinhlobo ezihlukile ze-insulin kwisirinji esisodwa.
Uma kusetshenziswa izinhlobo eziningana ze-insulin, ukuphathwa kwazo kufanele kwenziwe ngokulandelana okulandelanayo okuboniswe udokotela nemithamo enconywe udokotela lapho enza uhlelo lwe-insulin therapy.
Inqubo yokwazisa nge-insulin ngaphansi kwesikhumba esiswini
Indawo lapho kungeniswa khona i-insulin emzimbeni esiswini kufanele ibekwe kude kungabi ngaphansi kwama-2,5 cm kusuka kwizibazi nakuma-moles futhi kude ne-5 cm ukusuka enkabeni.
Ungawufaki umuthi endaweni yokulimala noma endaweni yesikhumba esibuthakathaka.
Ukuze ujove ngokufanele, i-insulin iyadingeka ukuthi ifakwe emafutheni angaphansi kwe-subcutaneous. Ngale njongo, kufanele uqoqe isikhumba ngeminwe yakho ku-crease ukusidonsa kancane ngasikhathi sinye. Ukulungiselela okunjalo, ngaphambi kokwenza umjovo, kugwema ukwethulwa komuthi ezicutshini zemisipha.
Inaliti yesirinji ifakwa ngaphansi kwesikhumba ekhoneni lika-45 noma ngama-90 degrees. I-angle yomjovo incike ekukhetheni kwesayithi lomjovo nokuqina kwesikhumba endaweni yomjovo.
Udokotela, lapho enza uhlobo lwe-insulin therapy regimen, kufanele achaze isiguli ukuthi singayikhetha kanjani i-angle yokulimala kwenaliti yesirinji ngaphansi kwesikhumba ngesikhathi sokujova. Uma ngasizathu simbe angakwenzanga lokhu, ukuqonda okungcono kwenqubo yokujova, kufanele uzijwayeze nevidiyo yokuqeqeshwa ekhethekile echaza wonke ama-nuances wenqubo.
Ukwethulwa kwe-insulin ngaphansi kwesikhumba kwenziwa ngokunyakaza okusheshayo. Ngemuva kokuphathwa kwe-insulin, inaliti kufanele ibanjwe ngaphansi kwesikhumba imizuzwana emi-5 bese ikhishwa engxenyeni efanayo lapho kwenziwa khona umjovo.
Ngemuva kokukhipha inaliti, kuphuma isikhumba. Isirinji elisetshenzisiwe kufanele libekwe esitsheni esikhethekile sezinto ezibukhali, zokulahla kwalo okulandelayo.
Kwividiyo ekulesi sihloko, indlela yokujova kwe-insulin nemithetho yokukhetha inaliti ichazwa ngokuningiliziwe.
