Izidingo ezahlukeneyo ze-Insulin zohlobo lwe-1 kunye nohlobo lwe-2 lweswekile
Ukuba sele ufumene ukuba unesifo sikashukela, usenokuzibuza ukuba oko kuthetha ukuba uya kufuneka uqale ukuthatha i-insulin. Impendulo ixhomekeke kuhlobo lwesifo sikashukela onalo kunye nokuba imeko yakho iqhube kangakanani.
Izidingo ze-insulini kwiintlobo ezimbini zesifo sikashukela
Abantu abane-type 1 yeswekile badinga insulin eyongezelelweyo ngoba imizimba yabo ayikwazi ukuvelisa i-insulin ngokwayo.
Nangona kunjalo, uhlobo lwesi-2 lweswekile luhlukile.
Nangona ekugqibeleni unokugqitywa nge-insulin kunye nohlobo lwesibini lwesifo sikashukela, ugqirha wakho uya kukhangela ukutya okunempilo kunye nokuzivocavoca kuqala ukuze ubone ukuba oku kunceda. Nangona ugqiba ukufumana unyango kunye / okanye i-insulin, ukutya ngokufanelekileyo nokuzilolonga kunokukunceda ukuba udinga ngaphantsi kunokuba ungenjalo.
Ingaba ungayifuni i-insulin okanye awuyiyo na xa unesifo seswekile udidi lwesibini sisekelwe kwiimeko ezithile. Isinyathelo sokuqala? Ukwazi i nyaniso.
Ingxaki yokungafumaneki i-Insulin
Uhlobo lwe-1 uze uthayiphe i-2 yeswekile yimiqathango apho ungenayo i- insulin eyaneleyo okanye ungayifumani ngokufanelekileyo ukususa i-glucose egazini. Oku kudala iingxaki ezimbini:
- Amanqanaba ephakamileyo yegazi
- Ukungabikho kwe-glucose egcinwe, umthombo omkhulu wombane
Iingxaki Ezivela Kwiintlobo ezimbini zesifo sikashukela
Umehluko phakathi kohlobo 1 kunye nohlobo lwesibini lweswekile lukho ngenxa yolu meko.
Iiseli zeBeta, ezifumaneka kwi-pancreas, zivelisa i-insulin yomzimba.
Ngohlobo lwe-1 lweswekile, ininzi yee cell beta ichithekele, iyanciphisa ukunikezwa kwe-insulin. Ngenxa yoko, abantu abanesifo sikashukela se-type 1 kufuneka bathathe i-insulin ukulawula amazinga e-blood glucose.
Ngohlobo lwesi-2 lweswekile, i-pancreas isenokuthi ivelise i-insulini, kodwa ivelise inani elaneleyo okanye umzimba ulwa ne-insulin ngokwayo.
Ukutya, ukusetyenziswa, kunye neeyeza ezahlukeneyo zomlomo kunokunceda umzimba wakho usebenzise i-insulin eyakhe ngokwayo ngokufanelekileyo.
Nantsi i-catch: Uhlobo lwe-2 lwesifo sikashukela sisifo esiqhubekayo, esithetha ukuba iiseli ze-beta ezivelisa i-insulin ziye zonakalisa ngokuhamba kwesikhathi. Ekugqibeleni, unyango lwe-insulin lungafuneka . Enyanisweni, uphando lubonisa ubungqina obandayo bokusebenzisa i-insulin ngaphambili kwimihlobo yesi-2 yeswekile kunokunceda ama-pancreas aqhubeke nokwenza i-insulin kwaye inokuphucula isifo ngokubanzi.
Izinketho zonyango lwe-Insulin
Kukho inani le -insulin edayiswa eMelika. Ezi mveliso zihluke ngendlela ezenziwe ngayo, ukuba zisebenza njani emzimbeni, kwaye zininzi kangakanani. Ukusebenzisa nayiphi i-insulin idinga ingqwalasela ubuncinane kwiintlobo ezintathu:
- Ukusekwa (inani lexesha ngaphambi kokuba i-insulin iqale ukwenza)
- I-Peak (indawo apho i-insulin iphumelela kakhulu)
- Ubude (ixesha elingakanani i-insulin isebenza kakuhle emzimbeni)
Ngokusekelwe kwiinjongo kunye nesakhiwo socwangciso lwakho lolawulo, umqeqeshi wakho wezempilo unokumisela ukukhawuleza okufutshane, okufutshane, okuphakathi, okude, okanye kwe- insulin ende ende. Phakathi kwezi zigaba, ukuqala kwe-insulin kunokuqalisa ngokukhawuleza kwimizuzu eyi-10 ukuya kwe-15 okanye ixesha elide emva kweeyure ezintandathu emva kwejoyiki kwaye ihlala isebenza kakuhle ukuya kwiiyure ezingama-24.
Abanye abantu abanenkathazo yokuzithengisa ngokwabo basebenzisa umkhiqizo odibeneyo weentlobo ezahlukeneyo ze-insulin.
Benzisa i-insulin
Iinketho ezahlukeneyo zokuhanjiswa nazo ziyafumaneka. I-anti-insulin yonyango isebenzisa ama-injections, mhlawumbi nge-syringes okanye ipenki ye-insulin . Ezi ipenki zingaba lula ukuzisebenzisa ngaphandle kweesringire kwaye zikhangele kakhulu njengeepenki zokubhala. Ukuphindaphindwa kunye ne-dosing kuxhomekeke kumanqanaba akho e-glucose kunye nohlobo lwe-insulin oye wachazwa.
Ungasebenzisa kwakhona iimpompo ze-insulin okanye u-insulin ongenayo. Ipom ihlinzeka ngokuqhubekayo kokuhambisa i-insulin esebenza ngokukhawuleza ngekathetha phantsi kwesikhumba. Umjikelezo oqhubekayo owenziwe ngumpompi ubizwa ngokuba ngumlinganiselo we-basal.
Ngexesha lokudla, okanye ngamanye amaxesha xa ufuna ukuthatha i-insulin ukugubungela ukutya okuncinci okanye ukulungisa i-blood glucose level, unokucwangcisa umpompo ukuhambisa i-dose eyongezelelweyo, ebizwa ngokuba yi- bolus .
Imveliso entsha, inhalisa i-insulin, isisombululo esifutshane esifakwe ngaphakathi phambi kokutya okanye ukutya. Iphelisa iinjenge, ubuncinane kwi-insulin engamfutshane, kodwa ayikho into echanekileyo njengegciwane. Iingozi zempilo zexesha elide, ukuba zikhona, aziwayo.
Inkqubela yeMonde evela kwiMlomo yomlomo kwi-insulin
Abanye abantu banokulawula isifo sikashukela sohlobo lwe-2 ngokutya okunokulinganisela nokuzilolonga rhoqo. Nangona kunjalo, amanqanaba egazini ephakamileyo egazini mhlawumbi abonisa isidingo sokunyanga kwamayeza.
Ngokwesiko, uhlobo lwezigulane 2 luqalise unyango ngamachiza omlomo, kodwa le nto iqalile ukutshintsha kwiminyaka yamuva. Namhlanje, ukuba izinga lakho le- A1c (uvavanyo olulinganisa i-glucose yegazi kwiinyanga ezimbalwa zokugqibela) lingaphezulu kweepesenti ezisixhenxe, umqeqeshi wakho wezempilo uyakuqalisa ngokusemthethweni i-insulin ngokukhawuleza.
Njengoko uhlobo lwe-2 lweswekile luqhubekela phambili, iiseli ze-beta ze-pancreatic zinciphisa amandla abo okuvelisa i-insulin. Ekugqibeleni, ufuna i-insulin eyongezelelweyo ukulawula eso sifo. Nangona kunjalo, isantya apho isifo sikashukela siyaqhubeka-oko kukuthi, izinga apho i-cell cell ye-beta iyancipha-kuxhomekeka kwizinto ezininzi, kubandakanya ubunzima bakho, i-genetics, ukutya kunye nomgangatho womsebenzi. Kubalulekile ukuba uhlale unxibelelwano olusondeleyo kunye neengcali zezempilo.
ILizwi
Ukuvakalelwa okanye ukhathazeka ngokuqala i-insulin kuyinto eqhelekileyo, kodwa ezi nkxalabo akufanele zikunqande. Ukuba isetyenziswe kakuhle, i-insulin yipilisi ekhuthaza ukuphila. Ukuba isicatshulwa senza ukuba ulunge, kufuneka uxoxe neqela lakho lezempilo okanye ubuze unonophelo lwenkonzo yakho yezempilo ukuze uncede ufumane iqela lokuxhasa.
> Imithombo:
> Ikliniki yaseCleveland. Ngaba Unenkxalabo Ngokufumana I-Insulin Shots ye-Type 2 Diabetes? Ipapashwe ngo-Agasti 9, 2016.
> McCulloch DK. Imfundo yesineke: I-Diabetes Mellitus Uhlobo lwesi-2: Ukwelashwa kwe-insulin (ngaphaya kweZiseko). Ukuhlaziywa ngoFebruwari 27, 2017.
> McCulloch DK. Imfundo yesineke: I-Diabetes Mellitus Uhlobo lwe 2: unyango (ngaphaya kwezinto ezisisiseko). Ukuhlaziywa kwe-Oktobha 26, 2017.