Ziziphi iinzuzo kunye neengozi zokutshintshela kwi-insulin kwi-Type 2 Diabetes?

Umxholo

• Ngaba ndingazama olunye unyango kuqala?
• Ndingayithatha i-insulin njengepilisi?
• Luhlobo luni lwe-insulin olundilungeleyo?
• Ndifanele ndiyithathe nini i-insulin yam?
• Ndizifaka njani inaliti ye-insulin?
• Ndingenza njani ukuba inaliti ye-insulin ibe lula?
• Ndingayigcina njani i-insulin?
• Ukuthatha

I-insulin luhlobo lwehomoni eveliswa yipancreas. Inceda ukugcina umzimba kunye nokusebenzisa iiCarbohydrate ezifumaneka ekutyeni.

Ukuba unodidi lwesibini lweswekile, oko kuthetha ukuba umzimba wakho awusebenzisi i-insulin ngokufanelekileyo kwaye iipancreas zakho azikwazi ukubuyekeza imveliso eyaneleyo ye-insulin. Ngenxa yoko, kuya kufuneka usebenzise unyango lwe-insulin ukukhusela iswekile yegazi ekuphakameni kakhulu.

Amathuba okuba usebenzise i-insulin kulawulo lweswekile yegazi iyanda ngexesha leswekile, ngakumbi ngaphezulu kweminyaka eli-10. Abantu abaninzi baqala ngeepilisi kodwa ekugqibeleni baqhubela phambili kunyango lwe-insulin. I-insulin inokusetyenziselwa yona kunye nokudibanisa nezinye iindlela zonyango lweswekile.

Ukugcina iswekile yegazi lakho kuluhlu olusempilweni kubalulekile kwimpilo yakho. Inokukunceda ukunciphisa umngcipheko weengxaki, ezinje ngobumfama, isifo sezintso, ukunqunyulwa kwamalungu omzimba, kunye nokuhlaselwa yintliziyo okanye ukubetha.

Ukuba ugqirha wakho ukuxelela ukuba kufuneka uthathe i-insulin ukulawula amanqanaba eswekile yegazi ngokufanelekileyo, kuya kufuneka uqale unyango ngokukhawuleza. Ukungayithathi i-insulin ukuba uyayifuna kunokukhokelela kwimicimbi ebalulekileyo yezempilo, kubandakanya iswekile ephezulu yegazi kunye ne-hyperglycemia.

Abantu abaninzi abaphila nohlobo lwesibini lweswekile banokuxhamla kunyango lwe-insulin, kodwa njengamayeza amaninzi, inobungozi. Umngcipheko omkhulu siswekile esezantsi yegazi, okanye i-hypoglycemia. Ukushiywa kunganyangwa, iswekile esezantsi yegazi kunokuba yimeko engxamisekileyo kwezonyango.

Iswekile esezantsi yegazi ihlala inyangwa ngokukhawuleza nangokufanelekileyo ngokutya into eneswekile eninzi, njengamacwecwe eglucose, emva koko ujonge amanqanaba eswekile yegazi. Ukuba ugqirha wakho ukumisela i-insulin kuwe, baya kuthetha nawe malunga nokulawula umngcipheko weswekile esezantsi yegazi.

Kukho eminye imingcipheko ngokuthatha i-insulin. Umzekelo, iinaliti zinokungonwabi. I-insulin nayo inokubangela ukutyeba okanye, kunqabile, ukusuleleka kwindawo yenaliti.

Ugqirha wakho unokukuxelela ngakumbi malunga nezibonelelo ezinokubakho kunye nomngcipheko wokongeza i-insulin kwisicwangciso sakho sonyango. Ukuba ucinga ukuba unokufumana iziphumo ebezingalindelekanga ezivela kwi-insulin, qhagamshelana nogqirha wakho ngoko nangoko.

Ngaba ndingazama olunye unyango kuqala?

Zininzi iindlela zonyango ezahlukeneyo zohlobo lwesibini lweswekile ezikhoyo. Ugqirha wakho unokucebisa ezinye iindlela zonyango ngaphezulu kwe-insulin. Umzekelo, banokukukhuthaza ukuba:

• yenza utshintsho kwindlela yokuphila njengokunciphisa umzimba okanye ukwandisa umthambo
• thatha amayeza omlomo
• thatha ii-insulin ezingenayo i-insulin
• fumana utyando lokunciphisa umzimba

Ngamanye amaxesha, olu nyango lunokusebenza ekulawuleni amanqanaba eswekile yegazi lakho. Ngamanye amaxesha unokufuna unyango lwe-insulin.

Ukuba ugqirha wakho ukumisela i-insulin, oko akuthethi ukuba usilele. Kuthetha kuphela ukuba isifo seswekile siqhubekile kwaye nesicwangciso sakho sonyango sitshintshile.

Ndingayithatha i-insulin njengepilisi?

I-insulin ayifumaneki kwifom yeepilisi. Ukuze isebenze ngokufanelekileyo, kufuneka iphefumlelwe okanye ifakwe. Ukuba i-insulin ibithathwa njengepilisi, inokutshatyalaliswa yinkqubo yakho yokwetyisa ngaphambi kokuba ibe nethuba lokusebenza.

Okwangoku, kukho uhlobo olunye lwe-insulin engafunwayo e-United States. Iyasebenza ngokukhawuleza kwaye inako ukufuthwa ngaphambi kokutya. Ayisiyonto ifanelekileyo yokutshintsha i-insulin esebenza ixesha elide, enokujova kuphela.

Luhlobo luni lwe-insulin olundilungeleyo?

Kukho iintlobo ezininzi ze-insulin yokunyanga uhlobo lwesifo seswekile. Iindidi ezahlukeneyo ziyahluka, ngokwe:

• baqala ngokukhawuleza kangakanani ukusebenza
• xa bencopho
• zide kangakanani

Ukusebenza okuphakathi okanye i-insulin esebenza ixesha elide isetyenziselwa ukugcina inqanaba eliphantsi kunye nozinzo lwe-insulin emzimbeni wakho imini yonke. Oku kwaziwa njenge-basal okanye imvelaphi ye-insulin yokutshintsha.

Ukusebenza ngokukhawuleza okanye i-insulin emfutshane esetyenziselwa ukubonelela nge-insulin ngexesha lokutya. Ingasetyenziselwa ukulungisa iswekile ephezulu yegazi. Oku kwaziwa njengokutshintsha kwe-bolus insulin.

Thetha nogqirha wakho ukuba ufunde ukuba zeziphi iintlobo ze-insulin ezilungele wena. Ngamanye amaxesha unokufuna ukudityaniswa kwe-basal kunye ne-bolus insulin. Ii-insulins zangaphambili eziqulathe zombini ezi ntlobo ziyafumaneka nazo.

Ndifanele ndiyithathe nini i-insulin yam?

Abanye abantu abanesifo seswekile sesi-2 bafuna idosi enye ye-insulin ngemini. Abanye bafuna amathamo amabini okanye nangaphezulu ngemini.

Inkqubo yakho ye-insulin ekhuthazwayo ingahluka, kuxhomekeka:

• imbali yakho yonyango
• iintsingiselo kumanqanaba eswekile yegazi lakho
• ixesha kunye nomxholo wokutya kwakho kunye nokusebenza
• uhlobo lwe-insulin oyisebenzisayo

Iqela lakho lokhathalelo lwempilo liya kukuyalela malunga nokuba kufuneka uyithathe kangaphi i-insulin oyimiselweyo.

Ndizifaka njani inaliti ye-insulin?

Inaliti ye-insulin inokulawulwa kusetyenziswa:

• isirinji
• usiba lwe-insulin
• impompo ye-insulin

Ungasebenzisa nasiphi na kwezi zixhobo ukufakela i-insulin kumanqatha angaphantsi kolusu lwakho. Umzekelo, ungayifaka kumanqatha esisu sakho, emathangeni, ezinqeni, okanye ezingalweni eziphezulu.

Umboneleli wakho wezempilo unokukunceda ufunde indlela yokujova i-insulin. Babuze malunga nezibonelelo ezinxulumene noko kunye nokwehla kokusebenzisa isirinji, ipeni ye-insulin, okanye impompo ye-insulin. Banokukufundisa ukuba ungazilahla njani ngokukhuselekileyo izixhobo ezisetyenzisiweyo.

Ndingenza njani ukuba inaliti ye-insulin ibe lula?

Ukuzitofa nge-insulin kusenokubonakala kusisoyikiso ekuqaleni. Kodwa ngokuhamba kwexesha, unokukhululeka kwaye uzithembe uzinike inaliti.

Buza umboneleli wakho wezempilo malunga neengcebiso zokwenza ukuba iinaliti zibe lula kwaye zingakhululeki. Umzekelo, banokukukhuthaza ukuba:

• Sebenzisa isirinji ngenaliti emfutshane, ebhityileyo
• Sebenzisa ipeni ye-insulin okanye impompo endaweni yesirinji
• thintela ukujova i-insulin kwindawo enye ngalo lonke ixesha
• thintela ukujova i-insulin kwiimisipha, kwizihlunu ezibomvu, okanye kwimithambo ye-varicose
• vumela i-insulin yakho ukuba ifike kubushushu begumbi ngaphambi kokuyithatha

Ndingayigcina njani i-insulin?

Ngokwe-American Diabetes Association, i-insulin iya kuhlala kangangenyanga kubushushu begumbi. Ukuba uceba ukuyigcina ixesha elide, kuya kufuneka uyibeke efrijini.

Buza ugqirha wakho, usokhemisti, okanye omnye umboneleli wezempilo ngengcebiso engakumbi malunga nokugcina i-insulin.

Ukuthatha

Unyango lwe-insulini lunceda abantu abaninzi abanesifo seswekile sesibini ukuba balawule amanqanaba eswekile yegazi. Ugqirha wakho unokuchaza izibonelelo ezinokubakho kunye nemingcipheko yokongeza kwisicwangciso sakho sonyango. Banokukunceda ukuba ufunde ukugcina nokufaka inaliti ngokukhuselekileyo.