Noma yimuphi umuthi, ngeshwa, ungaba nemiphumela emibi. Kwezinye izidakamizwa aziphinyiswa kakhulu, kwezinye zinamandla. Lokhu kuyiqiniso ikakhulukazi ngezidakamizwa ezinamandla nezokuyalela. I-Insulin yi-hormone ngokwemvelo. Ama-Horona uyakwazi ukukhombisa umphumela wokuphilayo osebenzayo noma kumthamo omncane kakhulu.
Ingozi yemiphumela emibi yesidakamizwa inyuka ngokuphathwa kwayo okungalungile, umthamo okhethiwe ngokungafanele kanye nokwephulwa kwezimo zokugcina. Udokotela kuphela okufanele akunqume, ebheka izici zomzimba wesiguli ngamunye.
Lapho ujova ukwelashwa, kufanele uhambisane njalo nemiyalo yomuthi kanye nezincomo ze-endocrinologist. Uma kuvela noma yiziphi izimpawu ezingajwayelekile, isiguli akudingeki singabaze ukuvakashela udokotela, ngoba imiphumela emibi ye-insulin ingayenza kabi impilo yakhe futhi ilimaze kabi izinhlelo ezibalulekile nezitho zomzimba.
I-Hypoglycemia
I-Hypoglycemia ingenye yemiphumela emibi ejwayelekile eyenzeka ngokwelashwa kwe-insulin (lesi yisimo lapho ushukela wegazi wehla ngaphansi kwamazinga ajwayelekile). Kwesinye isikhathi amazinga eglucose angawehla afike ku-2.2 mmol / L noma ngaphansi. Ukwehluka okunjalo kuyingozi, ngoba kungaholela ekulahlekelweni yimizwa, ukwethuka, unhlangothi futhi ngisho nokukhubazeka. Kepha ngosizo olufika ngesikhathi ezigabeni zokuqala ze-hypoglycemia, isimo sesiguli, njengomthetho, sijwayelekile ngokwejwayelekile, futhi le ndlela yokudlula kwengqondo idlula icishe ngaphandle komkhondo.
Kunezizathu ezandisa ingozi yokuthola ukwehla kwe-pathological ushukela wegazi ngesikhathi sokwelashwa nge-insulin:
- ukuthuthukiswa okuzenzakalelayo emandleni amaseli ukumunca i-glucose ngezikhathi zokuxolelwa (ukutholakala kwezimpawu) zesifo sikashukela mellitus;
- ukwephulwa kokudla noma ukweqa ukudla;
- ukuvivinya umzimba ngokuzivocavoca;
- umthamo okhethwe ngokungafanele we-insulin;
- ukuphuza utshwala
- ukwehla kokudla kwekhalori ngaphansi kokujwayelekile okunconyelwe udokotela;
- izimo ezihambisana nokuphelelwa ngamanzi emzimbeni (isifo sohudo, ukugabha);
- ukuthatha imishanguzo engahambisani ne-insulin.
Okuyingozi kakhulu i-hypoglycemia etholakala ngesikhathi. Lo mkhuba uvame ukutholakala kulabo bantu osekuyisikhathi eside begula ngesifo sikashukela, kepha ngokuvamile abakwazi ukusinxephezela. Uma isikhathi eside bagcina uphansi noma ushukela omningi, bangahle bangaboni izimpawu ezethusayo, njengoba becabanga ukuthi lokhu kuyinto evamile.
Iziguli zidinga ukubheka ushukela wegazi njalo futhi ziqophe lezi zindinganiso, kanye nezimpawu zokuphila kahle kudayari yesifo sikashukela.
I-Lipodystrophy
I-Lipodystrophy iwukuncipha kwamafutha angaphansi, atholakala kwisifo sikashukela ngenxa yokulimala njalo kwe-insulin esifundeni esifanayo se-anatomical. Iqiniso ukuthi endaweni yokujova, i-insulin ingafakwa ngokubambezeleka futhi ingangeni ngokuphelele ezingxenyeni ezifiselekayo. Lokhu kungaholela ushintsho emandleni wethonya lawo nasekunciphiseni isikhumba kule ndawo. Njengomthetho, izidakamizwa zesimanje azivamile ukuba nomphumela omubi onjalo, kepha ekuvimbeleni kungakuhle ukuthi ngezikhathi ezithile zishintshe indawo yomjovo. Lokhu kuzovikela ngokumelene ne-lipodystrophy futhi kugcine ungqimba lwamafutha angaphansi lungashintshiwe.
I-Lipodystrophy uqobo, empeleni, akubeki usongo empilweni yeziguli, kodwa kungaba yinkinga enkulu kuye. Okokuqala, ngenxa ye-lipodystrophy, amazinga e-cholesterol egazi ayanda, futhi ngenxa yalokhu kunengozi yokuthola izifo zenhliziyo. Okwesibili, ngenxa yako, izinga lomzimba le-pH yegazi lingashintshela ekwandeni kwe-acidity. Umuntu onesifo sikashukela angaqala ukuba nezinkinga ngesisindo somzimba ngenxa yokuphazamiseka kwendawo yemvelo. Enye into engathandeki nge-lipodystrophy yisigameko sokudonswa kobuhlungu kulezo zindawo lapho kutholakala khona amanoni angaphansi komhlaba athintekile.
Ezigabeni zokuqala, i-lipodystrophy iboniswa ukufakwa okuncane esikhumbeni, okuthi kamuva kwandise ngosayizi futhi kubangele ukukhubazeka okukhulu kokwenza izimonyo (ngaphezu kwezinkinga zezempilo ezihambisanayo)
Umphumela Wokubuka Nemetabolism
Imiphumela emibi evela emehlweni ayisijwayelekile, futhi, njengomthetho, idlula phakathi neviki lokuqala kusukela kuqalile ukwelashwa kwe-insulin ejwayelekile. Isiguli singathola ukwehla kwesikhashana kwe-acuity ebonakalayo, ngoba ushintsho ekugxambeni kweglucose egazini kuthinta i-turgor (ingcindezi yangaphakathi) yezicubu.
I-Visu acuity, njengomthetho, ibuyela ngokuphelele ezingeni layo elidlule kungakapheli izinsuku ezingama-7-10 kusukela kuqale ukwelashwa. Ngalesi sikhathi, impendulo yomzimba ku-insulin iba ngokomzimba (wemvelo) futhi zonke izimpawu ezingezinhle ezivela emehlweni zihamba. Ukwenza lula isigaba soguquko, kuyadingeka ukuvikela isitho sombono ekuqhamukeni ngokweqile. Ukuze wenze lokhu, kubalulekile ukukhipha ukufunda isikhathi eside, ukusebenza nekhompyutha nokubuka i-TV. Uma isiguli sinezifo zamehlo ezingamahlalakhona (ngokwesibonelo, i-myopia), khona-ke ekuqaleni kokwelashwa kwe-insulin kufanele isebenzise izingilazi kunokuba ixhumane namalensi, noma ngabe ijwayele ukuwagqoka njalo.
Njengoba i-insulin isheshisa inqubo ye-metabolic, kwesinye isikhathi ekuqaleni kokwelashwa isiguli singaba nokuvuvukala kanzima. Ngenxa yokugcinwa kwamanzi, umuntu angathola ama-3-5 kg ngesonto. Lokhu kwesisindo ngokweqile kufanele kudlule ngezinsuku eziyi-10-14 kusukela kuqale ukwelashwa. Uma ukuvuvukala kungahambi futhi kuqhubeka isikhathi eside, isiguli kudingeka sibonane nodokotela futhi senze okunye ukuxilongwa komzimba.
Allergy
Amalungiselelo e-insulin anamuhla atholakala kusetshenziswa izindlela ze-biotechnology nezindlela zofuzo zisezingeni eliphakeme futhi akuvamile ukuba kubange ukungezwani komzimba. Kepha ngaphandle kwalokhu, amaprotheni asangena kule mishanguzo, futhi ngemvelo yawo angaba ngama-antigen. Ama-antijeni ayizinto ezingaziwayo emzimbeni, futhi, uma zingena kuwo, zingavusa ukusabela kokuzivikela komzimba. Ngokwezibalo, ukungezwani ne-insulin kwenzeka ezigulini ezingama-5-30%. Kukhona nokubekezelelana komuntu ngamunye kulo muthi, ngoba umuthi ofanayo kungenzeka ungalungeki ezigulini ezihlukile ezinezibonakaliso ezifanayo zesifo sikashukela.
Ingozi yokungezwani komzimba yanda uma isiguli sine-angiopathy, neuropathy, nezinye izinkinga zesifo.
Allergies kungaba yendawo futhi jikelele. Imvamisa, yimpendulo yalapha ekhaya ebonakala njengokuvuvukala, ubomvu, ukuvuvukala nokuvuvukala endaweni yomjovo. Kwesinye isikhathi ukuqubuka okuncane okufana ne-urticaria kanye nokulunywa kungajoyina lezi zimpawu.
Izindlela ezimbi kakhulu zokungezwani komzimba okuvamile yi-edema kaQuincke kanye ne-anaphylactic shock. Ngenhlanhla, zivamile, kepha udinga ukwazi ngalezi zimo ze-pathological, ngoba zidinga ukunakekelwa okuphuthumayo.
Imithetho yokuphatha i-insulinUma ukusabela kwendawo kwe-insulin kwenzeka ngokuqondile endaweni eseduzane nendawo yomjovo, khona-ke ngezindlela ezivamile zokungezwani komzimba, ukuqubuka kusakazeka emzimbeni wonke. Ukudumba okukhulu, izinkinga zokuphefumula, ukungasebenzi kahle kwenhliziyo nokucindezelwa kwenhliziyo kuvame ukungezelelwa kukho.
Ungasiza kanjani? Kuyadingeka ukumisa ukuphathwa kwe-insulin, shayela i-ambulensi futhi ukhulule isiguli ezingutsheni eziphoqayo ukuze kungabikho lutho olunyakazisa isifuba. Abantu abanesifo sikashukela badinga ukunikeza ukuthula nokuthola umoya omusha opholile. Lapho umhlaseli we-ambulensi ebiza umuntu ophethe umshado, angakutshela ukuthi ungasiza kanjani ngokwezimpawu zakho ukuze ungalimazi isiguli.
Ungayinciphisa kanjani ingozi yemiphumela emibi?
Lapho usebenzisa umuthi ofanele futhi ulandela izincomo zikadokotela wakho, unganciphisa kakhulu ingozi yemiphumela engafuneki ye-insulin. Ngaphambi kokwethulwa kwe-hormone, kufanele unake njalo ukubukeka kwesixazululo (uma isiguli siqoqa i-vial noma i-ampoule). Ngokwe-turbidity, discoloration kanye nokuvela kokuzamazama, i-hormone ayikwazi ukulimala.
I-insulin kufanele igcinwe ngokuhambisana nezincomo zomenzi, ezihlala zikhonjiswa kwimiyalo. Imvamisa, imiphumela emibi nokungahambi kahle komzimba kuphakama ngokunembile ngenxa yokusebenzisa umuthi ophelelwe yisikhathi noma owonakele.
Ukuze uvikeleke emiphumeleni emibi ye-insulin, kungakuhle ukuthi uhambisane nezincomo ezinjalo:
- Ungashintshi ngokuzimela ohlotsheni olusha lwe-insulin (noma ngabe izinhlobo ezahlukile zinento efanayo esebenzayo ngomthamo ofanayo);
- lungisa umthamo womuthi ngaphambi nangemva kokuvivinya umzimba;
- lapho usebenzisa amapeni we-insulin, qapha njalo impilo yabo neshelufu lama-cartridge
- ungayeki ukwelashwa kwe-insulin, uzama ukuyibuyisela ngemithi yabantu, i-homeopathy, njll;
- landela ukudla futhi unamathele emithethweni yempilo enempilo.
Imithi yesimanje esezingeni eliphakeme yesifo sikashukela inganciphisa umthelela omubi emzimbeni. Kepha, ngeshwa, akekho umuntu ongavikelekile emiphumeleni emibi. Kwesinye isikhathi zingenzeka ngisho nangemva kwesikhathi eside zisebenzisa umuthi ofanayo. Ukuze uvikeleke emiphumeleni emibi yezempilo, uma kuvela izimpawu ezingabazayo, akufanele ukubambezele ukuvakasha kudokotela. Udokotela ohambela i-endocrinologist uzokusiza ukuthi ukhethe umuthi omuhle kakhulu, uma kunesidingo, ulungisa umthamo bese unikeza izincomo zokuxilongwa nokwelashwa okuqhubekayo.
