Izwe liphumula izinsuku eziyishumi ngamaholide oNyaka oMusha ngo-2019. Vuma, isizathu esihle sokushintsha lesi simo bese uthatha uhambo. Ngabe wesaba ukuthi kuzoba nobunzima phakathi nohambo ngenxa yesidingo sokujova i-insulin? Sesivele sithola ku-endocrinologist ukuthi yiziphi izindlela okufanele sizithathe ukuze singabhubhisi iholide lethu.
Ukuhamba kusuka ebusika kuya ehlobo - amaRussia amaningi "ama-thermophilic" aphupha ngakho. Bahehwa yilanga elishisayo, ulwandle olunomusa namabhishi amhlophe. Hhayi, umuntu ukhetha ubuhle obunamandla bamazwe asenyakatho. Njengoba wazi, abaphikisani ngokunambitheka, ngakho-ke le ndatshana izogxila ezintweni ezibalulekile ezizodingeka ohambweni, kungakhathalekile ukuthi abantu abanesifo sikashukela baya kuphi ngempela eholidini.
Lokho okufanele ukwenze kanye nawe, nokuthi imaphi ama-nuances okufanele ucabangele, sitshele Karina Grigoryevna Sarkisova, endocrinologist, CDC MEDSIkuKrasnaya Presnya.
Insulin yemithwalo yezandla
"I-insulin kumele ihanjiswe esikhwameni esibanda kakhulu esiphathwayo. Kuyadingeka kuphela ukuphatha i-insulin esikhwameni sakho sempahla uma kungenzeka ulahlekelwe yimithwalo yakho. Ibhodlela le-thermos elingenalutho efriziwe efrijini, lapho abanye abahambisi bokufika abakade beluleka belihambisa umuthi, akuwona umqondo omuhle, njengoba izinga lokushisa lishintsha kabi nekhwalithi ye-insulin. Isikhwama esiqandayo sanele. Into esemqoka ukungakushiyi i-insulin elangeni elihangayo noma emakhazeni emazingeni okushisa aphansi, "kululeka uchwepheshe wethu.
Ukuze ugweme imibuzo evela kumasiko, ngaphambi kohambo, kudingeka ubheke owakhona i-endocrinologist bese uthatha isitifiketi esibhalwe kuye mahhala.
"Lo mbhalo kufanele ube nemininingwane yokuthi isiguli sinesifo sikashukela, igama lomhlaba jikelele le-insulin elitholile kanye nomuthi. Ungakhombisa nokuthi uhlela ukuthatha malini ne-insulin (isincomo esijwayelekile akumele sikhawulelwe kumthamo ojwayelekile, kepha qiniseka ukuthi lokho isitoko), "kuxwayisa uDkt Sarkisova.
Okuhle kakhulu ngaphambili: lapho i-insulin iba yinto engabonakali futhi imitha iqala ukuqamba amanga
Khumbula ukuthi emazingeni okushisa aze afike ku-30 ° C, i-insulin ilungile emavikini amane. Uma i-thermometer ikhuphuka ifike ku-40 ° C noma ngaphezulu, umuthi uzolahlekelwa yizakhiwo zawo ngokushesha okukhulu. Emazingeni okushisa aphansi, i-insulin iyaqhuma futhi, futhi, iyeka ukusebenza (kulesi simo, i-hormone kufanele idluliselwe ngaphansi kwezingubo - eduze komzimba ngangokunokwenzeka.
Abathandi ngokweqile baxwayiswa ukuthi, njengomthetho, emazingeni okushisa angaphansi kuka-0 ° C, ama-glucometer kungenzeka ayeke ukusebenza nhlobo noma abonise izibalo zamanga. Ngakho-ke, ngaphambi kokulinganisa izinga loshukela wegazi, linda kuze kube yilapho insimbi isifudumala. Futhi, khumbula ukuthi amabhethri e-lithiamu ahlala isikhathi eside emakhazeni kunamabhethri e-alkaline.
Ukuqapha Hypoglycemia
Ukushintsha kwezindawo zesikhathi kugqame hhayi ngamajethi kuphela, kepha futhi ne-hypoglycemia. "Uma lolu hambo lufushane, izinsuku ezingama-2-3, khona-ke ungabheka isikhathi sakho sasekhaya futhi, ngaphandle kokuhambisa iwashi, wenze imijovo ekhaya," kuncoma i-endocrinologist. Uma kwenzeka ukuthi lolu hambo lude, kukhona imithetho ethile okufanele ilandelwe. Ukuqonda ukuthi basebenza kanjani, khumbula okulandelayo - njalo emahoreni amabili umehluko wesikhathi, isidingo sokushintsha kwe-insulin cishe nge-10%. Manje ake sisuke emcabangweni wokuzijwayeza:
Uma udinga ukundizela esifundeni lapho izinsuku zinde
"Ngosuku olwandulela ukuhamba, udinga ukwenza umthamo ojwayelekile we-insulin enwetshiwe, ngosuku lokuhamba - uhhafu womthamo we-insulin enwetshiwe ngesikhathi esijwayelekile. Okulandelayo, faka ingxenye yesibili yomthamo ojwayelekile ngesikhathi esijwayelekile, kodwa ususele ngokwesigaba sesikhathi lapho isiguli sifika," kucebisa uDkt Sarkisova .
Uma undizela esifundeni lapho izinsuku zimfushane
"Ngosuku olwandulela ukuhamba, udinga ukwenza umthamo ojwayelekile we-insulin enwetshiwe, ngosuku lokuhamba, ulethe isilinganiso esincane (esingaphansi komthamo ojwayelekile) we-insulin enwetshiwe mayelana ne-60-65% yomthamo ojwayelekile uma izindawo ezi-6 ziwele, noma u-40% womthamo ojwayelekile uma eyi-10 Okulandelayo, yenza umthamo ophelele we-insulin enwetshiwe ngesikhathi esijwayelekile ngokuya ngesikhathi sokufika, "udokotela uchaza uhlelo lwesibili.
"Umthamo we-insulin ubalwa ngokuya ngesidingo esijwayelekile kanye nenani lama-carbohydrate ekudleni okudliwayo. Futhi, lapho ubala imithamo ye-bolus insulin, kuzodingeka ucabangele amaprotheni namafutha ekudleni. Mhlawumbe isidingo se-insulin sizoshintsha ngenxa yokushintsha kwesimo sokudla (lapha kufanele ugxile ekubalweni kwama-carbohydrate) "- Kusho uDkt Sarkisova.
Izibalo, odokotela abaseYurophu abathembela kuzo, zithi cishe ingxenye yabantu abanesifo sikashukela ngesikhathi sokuhamba bathola iqiniso lokuthi ngenxa yezinga elishintshile lokuzivocavoca ngokomzimba kungenzeka kakhulu kunokuba namazinga kashukela egazini.
Njengomthetho, ezimweni eziningi sikhuluma nge-hypoglycemia. Ngakho-ke, lapho uqala uhambo, thatha kanye nezimpahla eziphindwe kabili ukuze ulawule izinga likashukela wakho. Kuyadingeka futhi ukucubungula okulandelayo: iningi lezinkinga ohambeni olude zilinde abantu abanesifo sikashukela nhlobo ngesikhathi sokundiza. Isikhathi esiyingozi kakhulu usuku lokuqala noma lwesibili ngemuva kokufika endaweni, ikakhulukazi ebusuku - ngalesi sikhathi, ngenxa yokushintsha kwesigqi sokulala, i-metabolism iyahlelwa kabusha.
Uhlu lwezinto ezidingekayo:
• i-insulin nezindlela zokwethulwa kwayo (ene-reservation, eithuthwa ngemithwalo yezandla);
• i-glucometer nemichilo yokuhlola / izindlela zokuqapha nsuku zonke i-glycemia (enomugqa);
• isitifiketi sezokwelapha (thatha kanye nawe, uphathe ephaketheni lakho)
• imali yokuvuselela i-hypoglycemia: ushukela, ujusi, amasiraphu amnandi ("HypoFree", njll);
• izidakamizwa zobuthi bokudla, ama-antipyretics, njll. uma kwenzeka ungenasifo sikashukela
• imikhiqizo yokunakekela izinyawo ezizovikela izinyawo ezinxebeni nasezinkingeni.
