Umjovo ongenazinaliti manje usubonwa njengendlela ephephile nenethezeke kakhudlwana yomjovo we-insulin, futhi sesamukelwe iziguli eziningi ezinesifo sikashukela.Le ndlela entsha yomjovo isakazwa ngaphansi kwesikhumba lapho ujova uketshezi, olumunca kalula isikhumba.izicubu ezingaphansi kwesikhumba azicasuli kangako futhi ziseduze nokungahlaseli.Ngakho-ke, yiziphi izinyathelo zokuphepha okudingeka sizinake ngenkathi sisuka kumjovo yenaliti siye kumjovo ongenanaliti?
1. Ngaphambi kokushintshela kumjovo ongenanalithi, kufanele uxhumane nodokotela oya khona ukuze uthole uhlelo lokwelashwa kwe-insulin.
2. Ocwaningweni lukaSolwazi Ji Linong, ukuguqulwa komthamo okunconyiwe womjovo wokuqala ongenanaliti yilokhu okulandelayo:
A. I-insulin exutshwe ngaphambilini: Lapho ujova i-insulin exutshwe ngaphambili ngaphandle kwezinaliti, lungisa umthamo we-insulin ngokuya nge-pre-prandial blood glucose.Uma izinga likashukela egazini lingaphansi kuka-7mmol/L, sebenzisa umthamo onqunyiwe kuphela.
Yehliswa cishe ngo-10%;uma izinga likashukela egazini lingaphezu kuka-7mmol/L, kunconywa ukuphatha umuthi ngokwesilinganiso esivamile sokwelapha, futhi umcwaningi uyasilungisa ngokuvumelana nesimo sesiguli;
B. I-insulin glargine: Lapho ujova i-insulin glargine ngesipetu esingenanalithi, lungisa umthamo we-insulin ngokuhambisana noshukela egazini ngaphambi kwesidlo sakusihlwa.Uma izinga likashukela egazini liku-7- 10mmol/L, kutuswa ukuba unciphise umthamo ngo-20-25% ngokwesiqondiso.Uma izinga likashukela egazini liku-10- 15mmol/L Ngenhla, kutuswa ukuba unciphise umthamo ngo-10- 15% ngokuvumelana nesiqondiso.Uma izinga likashukela egazini lingaphezu kuka-15mmol/L, kuyanconywa ukuthi umthamo unikezwe ngokwesilinganiso sokwelapha, futhi umcwaningi awulungise ngokwesimo sesiguli.
Ngaphezu kwalokho, lapho ushintshela kumjovo ongenanaliti, kufanele kuqashelwe ukuqapha ushukela wegazi ukugwema i-hypoglycemia engenzeka.Ngesikhathi esifanayo, kufanele ube yingcweti yendlela yokusebenza efanele futhi unake ukusebenza okujwayelekile lapho ujova.
Isikhathi sokuthumela: Nov-07-2022