Matenda a shuga m'mankhwala amatengedwa ngati matenda a moyo wonse. Sizikudziwika kwenikweni pazomwe zimayambitsa matendawa.
Odwala ambiri sadziwa momwe angapangire jakisoni wa insulini komanso malo a thupi.
Anthu omwe ali ndi matenda amtundu wa 1 amafunika jakisoni kuti akhale ndi moyo. Komanso, odwala matenda ashuga omwe ali ndi matenda amtundu wa 2 amatha kumva kuperewera kwa mankhwala, masewera olimbitsa thupi, komanso zakudya, zomwe zimafunikira jakisoni wa insulin.
Mitundu ya matenda ashuga
Matenda a shuga nthawi zambiri amagawika m'magulu awiri. Anthu omwe ali ndi matenda oyamba (amadalira insulin) ayenera kugwiritsa ntchito insulin mwachangu asanadye chakudya.
Nthawi zambiri mumayenera kubayira insulin m'malo opezeka anthu ambiri. Zachidziwikire, izi zimasokoneza bwino psyche ya wodwala, makamaka mwana. Anthu omwe ali ndi matenda ashuga amafunika kubaya jakisoni wam'mawa komanso usiku.
Umu ndi momwe kapamba angatsanzirire. Momwe ndi momwe mungapangire jakisoni wa matenda a shuga opezeka muzithunzi ndi makanema.
Insulin imagawika potenga nthawi:
- kuchitapo kanthu kwa nthawi yayitali. Amagwiritsidwa ntchito ngati mankhwala othandizira asanadutse kapena atadzuka,
- kuchitapo kanthu mwachangu. Kugwiritsidwa ntchito musanadye kapena musanadye zakudya kuti musatseke ma shuga m'magazi.
Mu shuga mellitus wamtundu wachiwiri, jekeseni wa insulin kapena mapiritsi amalembedwa, omwe amachititsa chidwi ndi insulin, yomwe imapangidwa ndi kapamba. Matenda amtunduwu ndi owopsa, koma ndi chithandizo choyenera, mutha kukhala moyo wakhama.
Ngati mutsatira zakudya mokhazikika komanso kuchita masewera olimbitsa thupi, mutha kuchita osagwiritsa ntchito mankhwala kwakanthawi, chifukwa shuga wamagazi sidzauka.
Komabe, mulingo wake uyenera kuyezedwa nthawi zonse kunyumba pogwiritsa ntchito glucometer.
Kuchita jakisoni wa insulin ndi cholembera
Cholembera ndi chida chamakono, chomwe ndi katoni kakang'ono komwe kamakhala ndi mankhwala mkati. Chojambula chokha cha cholembera ndi choti mulingo wawo ukhale ndi gawo limodzi.
Makulidwe enieni a kuchuluka kwa mayunitsi mpaka 0,5 okhala ndi cholembera, ndizovuta. Muyenera kulabadira cartridge nthawi zonse, chifukwa nthawi zonse pamakhala chiopsezo chotenga insulin.
Choyamba muyenera kudzaza cholembera ndi kupopera madontho ochepa a chinthucho kuchokera pa singano kuti muwonetsetse kuti mulibe thovu la mpweya, ndipo kutuluka kwa insulin kudzakhala kwaulere. Chidacho chikakhala kuti chigwiritsidwe ntchito, ikani choperekera ku mtengo womwe mukufuna.
Cholembera cha syringe chikadzaza ndikuwonetsa chikuyimira chomwe mukufuna, mutha kupitirira kubaya. Ndikofunikira kutsatira malingaliro a dokotala pokhudzana ndi kusakanikirana kwa zikopa za khungu ndi ngodya yomwe singano yayikidwapo.
Insulin imalowetsedwa, ndipo munthu atakanikiza batani kwathunthu, muyenera kuwerengera mpaka 10, kenako kutulutsa singano. Ngati insulin yayikulu ikulowetsedwa, adokotala angakulangizeni kuti itenge nthawi yayitali kuti mutsimikizire kuti jakisoni yathunthu.
Kuwerengera mpaka 10 kapena kuposa kumawonetsetsa kuti mlingo wathunthu waperekedwa. Zimathandizanso kuti phukusi lisatuluke pamalo a jakisoni patatha kuti singano idulidwe. Khola la syringe ndi chida chilichonse, sichiletsedwa kugwiritsa ntchito anthu ena.
Osasiya singano pamakina. Insulin, pankhaniyi, siyimatulutsa singano kuchokera ku zida zamagetsi. Pamene singano yatulutsidwa, mpweya ndi zinthu zovulaza sizingalowe mu cholembera. Ma singano nthawi zonse amayenera kutayidwa molondola pakuyika chidebe chawo chapadera cha zinthu zakuthwa.
Madera amthupi omwe ali oyenera kwambiri jakisoni wa insulin ndi awa:
- matako
- m'chiuno
- m'mimba.
Komanso, jakisoni amatha kuchitidwa kumbuyo, ngati pali gawo lokwanira la minofu ya adipose.
Madotolo amalangizira kusintha jakisoni pamalo nthawi iliyonse. Ndikofunikira kukhazikitsa dongosolo lanu lomwe munthu amasintha mosalekeza malo obayira. Jakisoni watsopano aliyense ayenera kupanga mbali yatsopano ya thupi.
Nthawi zambiri odwala amafunsa kuti chifukwa chiyani insulin imalowetsedwa m'mimba, yankho lake ndilosavuta - mu gawo ili la thupi kuchuluka kwambiri kwa minofu ya adipose.
Mutha kugwiritsa ntchito chojambula kapena chojambula cha thupi kudziwa malo omwe jakisoniyo wapangidwapo kale ndi komwe ungapangire pambuyo pake. Dokotala wopezekapo angakuthandizeni kupanga ndandanda yakusintha kwa khungu la jakisoni.
Kanemayo akukuuzani mwatsatanetsatane za momwe mungabayire insulin ndi cholembera. Mutha kupanga jakisoni m'mimba, masentimita 5-6 kuchokera ku navel osati pafupi kwambiri ndi mbali. Kenako muyenera kudziyang'ana nokha pagalasi ndikuyamba kuchokera kumanzere kumtunda kwa jakisoni, kusunthira kumtunda wakumanja, kenako kumanzere kumanzere kumanzere kumanzere.
Mukabayidwa matako, muyenera kupanga jakisoni m'chiuno chakumanzere pafupi, kenako chapakati. Chotsatira, muyenera kupanga jakisoni pakati pakabowo, ndikusunthira kumanja.
Ngati dokotala wanena kuti munthu atha kupaka jakisoni padzanja, muyenera kusunthira jakisoniyo kuchokera pansi mpaka pansi. Muyenera kutenga singano yaying'ono yotalika ndi kutalika. Ma jakisoni ofanana ndi ofunikira amakhala osinthasintha ndipo ndi abwino kwa odwala ambiri.
Kutalika kwa singano yayifupi kungakhale:
- 4,5 mm
- 5 mm
- 6 mm.
Khungu limatha kukwezedwa kokha ndi chala chachikulu ndi chofiyira. Ngati mutagwira khungu ndi zala zambiri, mutha kulumikizana ndi minofu ya minofu, yomwe imakulitsa chiopsezo cha jakisoni.
Pomaliza
Osafinya khungu. Khungu liyenera kusamalidwa popanga jakisoni. Ngati mumafinya khungu kwambiri, ndiye kuti munthuyo amamva bwino komanso movutikira kuperekera insulin.
Chisamaliro chiyenera kutengedwa kuti musankhe kutalika koyenera kwambiri kwa singano yovulaza. Ngati chidwi chachulukitsa, muyenera kusankha singano zazifupi.
Mukasuntha pakati pa malo omwe jakisoni, muyenera kukumbukira kufunika kosonkhanitsa khungu. Ngati jakisoni wapangidwa pamalo okhala ndi khungu laling'ono ndi minyewa, ndikofunika kusamala khungu mosakasa ndikulowetsa singano pakona.
Pofuna kupewa kupezeka kwa lipodystrophy mu shuga mellitus, ndikofunikira kusintha malo opangira jakisoni, atapanga chiwembu cha munthu payekha.
Kanemayo munkhaniyi akuwonetsa mfundo ya jakisoni ndi cholembera.
