Uhlobo 2 sikashukela yisifo esiqhubekayo. Iningi labantu abanalokhu kugula kungekudala noma isikhathi esizayo bathola ukuthi izinhlobo zokwejwayelekile zokuelapha azisasebenzi njengakuqala. Uma lokhu kwenzeka kuwe, wena nodokotela wakho kufanele nenze uhlelo olusha lomsebenzi. Sizokutshela kalula futhi ngokucacile ukuthi yiziphi ezinye izindlela ezikhona ezivamile.
Amaphilisi
Kunamakilasi amaningana wezidakamizwa ezingeyona i-insulin ukwehlisa ushukela wegazi othinta isifo sikashukela sohlobo 2 ngezindlela ezihlukile. Ezinye zazo zihlanganisiwe, futhi udokotela angakunikeza eziningi zazo ngasikhathi sinye. Lokhu kubizwa ngokuthi ukwelashwa okuhlanganisa.
Nazi eziphambili:
- I-Metforminosebenza esibindini sakho
- I-Thiazolidinediones (noma i-Glitazones)ezithuthukisa ukusetshenziswa koshukela wegazi
- Ama -retretinsezisiza ama-pancreas akho ukuthi akhiqize i-insulin eningi
- Ama-starch blockersokwehlisa ukumunca ushukela emzimbeni wakho ekudleni
Imijovo
Amanye amalungiselelo angewona we-insulin awekho ngendlela yamathebulethi, kodwa ngendlela yemijovo.
Izidakamizwa ezinjalo zezinhlobo ezimbili:
- Ama-agonists we-GLP-1 receptor - Enye yezinhlobo zama-insretin ezandisa ukukhiqizwa kwe-insulin futhi isize isibindi ukuthi sikhiqize ushukela omncane. Kunezinhlobo ezahlukahlukene zemithi enjalo: ezinye kufanele ziphathwe nsuku zonke, ezinye zihlala isonto.
- I-Amylin analogebambezela ukugaya kwakho bese ngaleyo ndlela yehlise izinga lakho likashukela. Zikhishwa ngaphambi kokudla.
Ukwelashwa kwe-insulin
Imvamisa, i-insulin ayinqunyelwe uhlobo 2 sikashukela, kepha kwesinye isikhathi iyadingeka. Uhlobo olunjani lwe-insulin oludingekayo kuya ngesimo sakho.
Amaqembu amakhulu:
- Izinsimbi ezisebenza ngokushesha. Baqala ukusebenza ngemuva kwemizuzu engaba ngu-30 futhi baklanyelwe ukulawula amazinga kashukela ngesikhathi sokudla nezihlosi. Kukhona futhi ama-insulin asheshayo "asebenza ngokushesha okukhulu, kepha isikhathi sawo sifushane.
- Ama-insulin aphakathi nendawo: umzimba udinga isikhathi esithe xaxa sokuwathola kunama-insulin asebenza ngokushesha, kepha asebenza isikhathi eside. Ukufakwa okunjalo kufanelekile ukulawula ushukela ebusuku naphakathi kokudla.
- Ama-insulin asebenza isikhathi eside aqinisa amazinga kashukela cishe iningi losuku. Basebenza ebusuku, phakathi kokudla nalapho ushesha noma weqa ukudla. Kwezinye izimo, umphumela wazo uhlala ngaphezu kosuku.
- Kukhona futhi izinhlanganisela zokubamba okusheshayo nokuthatha isikhathi ngokuzinikela okukhulu futhi zibizwa ... ukumangala! - kuhlangene.
Udokotela wakho uzokusiza ekukhetheni uhlobo olufanele lwe-insulin, futhi futhi akufundise ukuthi ungayinikeza kanjani imijovo yakho.
Yini esetshenziselwa umjovo
Isirinjiongangena ngalo nge-insulin:
- Belly
- I-Thigh
- Amabhokisi
- Ihlombe
Ipeni lesirinji basebenzise ngendlela efanayo, kepha kulula ukuyisebenzisa kunesirinji.
Iphampu: Lokhu kuyiyunithi ophethe wena ecaleni lakho noma ephaketheni lakho ebhande. Uneshubhu elincanyana, linamathele kwinaliti elifakwe kwizicubu ezithambile zomzimba wakho. Ngalo, ngokuya ngesheduli emisiwe, uthola ngokuzenzakalelayo umthamo we-insulin.
Ukuhlinzwa
Yebo, yebo, kunezindlela zokuhlinzwa zokulwa nesifo sikashukela sohlobo 2. Cishe wezwa ukuthi enye yezinkanyezi yehle emzimbeni ngenxa yokuthambisa isisu. Ukusebenza okunjalo kuhlobene nokuhlinzwa kwe-bariatric - isigaba somuthi ophatha ukukhuluphala. Muva nje, lokhu kungenelela kokuhlinzwa sekuqalile ukunconywa kwiziguli ezinesifo sikashukela sohlobo 2 esikhuluphele. Ukuqinisa isisu akuyona indlela ekhethekile yesifo sikashukela sohlobo 2. Kepha uma udokotela wakho ekholelwa ukuthi inkomba yakho yobukhulu bomzimba ingaphezu kwama-35, le ndlela kungenzeka ikugcinele. Kubalulekile ukuqaphela ukuthi imiphumela yesikhathi eside yalokhu kusebenza kwesifo sikashukela sohlobo 2 ayaziwa, kepha le ndlela yokwelapha iya ngokuya ithandwa kakhulu eNtshonalanga, ngoba ifaka ukunciphisa umzimba okuyisisindo, okuzijwayeza amazinga eglucose ngokuzenzakalelayo.
Amanyikwe ngamanyala
Njengoba kuhlelwe ososayensi, lokhu kufanele kube uhlelo olulodwa oluzobheka amazinga kashukela egazini ngemodi engaphazamiseki futhi likufake ngokuzenzakalelayo nge-insulin noma ezinye izidakamizwa lapho uzidinga.
Uhlobo lolu, olubizwa ngokuthi yi-loop hybrid system evaliwe, lwamukelwa yi-FDA (ejensi yoMnyango Wezempilo kanye Nezinsizakalo Zabantu BaseMelika) ngonyaka we-2016. Uhlola ushukela njalo ngemizuzu emi-5 bese elimaza i-insulin lapho kudingeka.
Lokhu kusungulwa kwenzelwe abantu abanesifo sikashukela sohlobo 1, kodwa kungahle kulungele iziguli ezinesifo sikashukela sohlobo 2.
