Ungayivikela kanjani i-insulin ekushiseni ngenkathi uhamba

Ukusebenza kwe-insulin kungancipha kakhulu lapho kuvezwa ukushisa. Ucwaningo lukhombisa ukuthi amazinga okuzwela kwe-insulin anganyuka ngo-35% kuye ku-70% kungakapheli amahora eshintshele ezimeni ezifudumele (P<0.001). Ukuvimbela lokhu, abahambi kufanele basebenzise amathuluzi afana nezikhwama ezivalekile, amaphakethe ejeli, noma isiqandisi se-insulin esenziwe embonini yezitolo esincane esenziwe ngokwezifiso ukuze sigcine izimo ezilungile zokugcinwa. Ngaphezu kwalokho, aifriji encane ephathekayokungaba inketho enkulu kulabo ohambeni. Ukuhlala uzilungiselele ngeamafriji amancanenoma aifriji yemoto encaneivikela impilo futhi iqinisekisa ukuhamba okungenakucindezeleka.

Kungani i-insulini Idinga Ukuvikelwa Ekushiseni

Ukuzwela Kwezinga Lokushisa Kwe-insulin

I-insulin umuthi ozwela ukushisa odinga ukuphathwa ngokucophelela ukuze ugcine ukusebenza kwawo ngempumelelo. Ukuchayeka emazingeni okushisa adlulele, kungakhathaliseki ukuthi kushisa kakhulu noma kubanda kakhulu, kungehlisa ukwakheka kwawo kwamangqamuzana. Lokhu kuncipha kunciphisa amandla ayo okulawula amazinga kashukela egazini ngempumelelo.

Ithiphu: Njalo gcina i-insulin endaweni elawulwayo ukuze ugweme ukubeka engcupheni amandla ayo.

Ucwaningo lwesayensi luqokomisa ukubaluleka kokugcina i-insulin ngaphakathi kwamazinga okushisa athile. Isibonelo, ukuchayeka okubandayo ngaphansi kwezinga lokushisa eliphansi elibucayi (LCT) kungaphazamisa ukuzwela kwe-insulin kanye ne-glucose metabolism. Ngakolunye uhlangothi, ukuchayeka ekushiseni kungasheshisa ukuwohloka kwe-insulin, okuholela ekunciphiseni ukusebenza kahle.

Izinga Lokushisa Elinconyiwe Lesitoreji Se-insulin

Iziphathimandla zezempilo zincoma imihlahlandlela ethile yokugcina i-insulin ukuze kulondolozwe ukusebenza kahle kwe-insulin. Izitsha ze-insulin ezingavuliwe noma ama-cartridges angahlala azinzile emazingeni okushisa afinyelela ku-25 °C izinyanga eziyisithupha. Emazingeni okushisa afinyelela ku-37 °C, isikhathi sokugcina sehla sibe yizinyanga ezimbili. I-insulin evuliwe kufanele igcinwe ekamelweni lokushisa futhi isetshenziswe phakathi kwamaviki ama-4-6.

Qaphela: Ezindaweni ezingenazo iziqandisi ezinokwethenjelwa,amadivaysi okupholisa aphathwayokungasiza ukugcina izimo zokugcina ezilungile.

Izingozi Zokuchayeka Kokushisa Ku-insulin

Ukuchayeka ekushiseni kubeka engcupheni enkulu kubasebenzisi be-insulin. Ucwaningo oluhlaziya ukubonisana okungaphezu kwezigidi ezingu-4 eNgilandi lwembula ukwanda okungu-1.097 kokuvakasha kwezokwelapha ngokukhuphuka okungu-1°C ngaphezu kuka-22°C. Abantu abadala kanye nalabo abanezimo zenhliziyo nemithambo yegazi babhekana nezingozi eziphakeme. Ukwengeza, ukuchayeka ekushiseni kukhulisa amathuba okulaliswa esibhedlela ngenxa yesifo sikashukela i-ketoacidosis (DKA), ngengozi ehlobene engu-1.23.

• Izingozi Eziyinhloko:
  • Kwehlisiwe ukusebenza kwe-insulin.
  • Ingozi eyengeziwe ye-hyperglycemia ne-DKA.
  • Amazinga aphezulu okuthintana nodokotela ngesikhathi samagagasi okushisa.

Ukuvikela i-insulin ekushiseni kubalulekile ekulawuleni okusebenzayo kwesifo sikashukela kanye nempilo yonke.

Amathuluzi Awusizo Okugcina I-insulin Ipholile

Izikhwama Ezingagxiliwe kanye Namacala Okuhamba

Izikhwama ezivalekile kanye namacala okuhamba aphakathi kwamathuluzi athembekile wokugcina i-insulini ipholile ngesikhathi sohambo. Le mikhiqizo iklanyelwe ngokukhethekile ukugcina izinga lokushisa langaphakathi elizinzile, ukuqinisekisa ukuthi imithi ihlala isebenza kahle. Izendlalelo zabo ezigoqiwe nezifakwe amapulangwe, ezivame ukuhlanganiswa ne-aluminium foil, zihlinzeka ngokufakwa okuhle kakhulu kokushisa. Amamodeli amaningi afaka amaphakethe eqhwa asebenziseka kabusha, athuthukisa amandla awo okupholisa.

Ithiphu: Abahambi bavamise ukudumisa izikhwama ezifakwe i-insulated ngokuqina kwazo kanye namadizayini agunyazwe yi-TSA, okuzenza zilungele ukuhamba ngendiza.

Amaphakethe we-Gel nama-Ice Packs

Amaphakethe we-gel nama-ice pack abalulekile ekugcineni i-insulin emazingeni okushisa anconywayo angama-2-8°C. Lawa maphakethe asebenziseka kalula futhi angafakwa ngaphakathi kwezikhwama ezivalekile noma amakesi okuhamba ukuze azipholise okwengeziwe. Izinkombandlela zomtholampilo zigcizelela ukubaluleka kokusebenzisa amathuluzi anjalo ukuvimbela i-insulin ukuthi ingachayeka emazingeni okushisa adlulele.

Isikhwama esithwala i-insulin, ngokwesibonelo, singabamba amaphakethe eqhwa amaningi futhi sigcine izinga lokushisa langaphakathi amahora ambalwa. Lokhu kukwenza kube ukukhetha okusebenzayo ohambweni losuku noma uhambo olufushane. Abasebenzisi bayazuza ekululameni nasekuphumeleleni kwamaphakethe ejeli, aqinisekisa ukuthi i-insulin ihlala iphephile futhi inamandla kulo lonke uhambo.

Izixazululo Zokupholisa Ezisekelwe Emhwamukeni

Izixazululo zokupholisa ezisekelwe ekuhwamukeni zinikeza indlela entsha yokugcina i-insulin, ikakhulukazi ezifundeni ezingakwazi ukufinyelela esiqandisini okulinganiselwe. Lezi zinhlelo zisebenzisa izinqubo zemvelo ukunciphisa amazinga okushisa, okuwenza womabili angabizi kakhulu futhi avumelane nemvelo. Ucwaningo lugqamisa ukusebenza kahle kwezimbiza zobumba nemishini efanayo ekugcineni amandla e-insulin.

Lezi zixazululo ziwusizo ikakhulukazi kubantu abahamba ezindaweni ezikude noma ezindaweni ezishisayo. Banikeza enye indlela ethembekile yezindlela zokupholisa zendabuko, iqinisekisa ukuthi i-insulin ihlala isebenza ngisho nasezimeni eziyinselele.

Isiqandisi Esincane Se-Factory Insulin Isiqandisi Esincane Esenziwe ngokwezifiso

Kulabo abafuna isixazululo sobuchwepheshe obuphezulu, isiqandisi se-insulin esenziwe ngokwezifiso sasefekthri esincane esenziwe ngokwezifiso sinikeza ukunethezeka okungenakuqhathaniswa nokuthembeka. Lo mshini ophathwayo uklanyelwe ngokukhethekile ukugcina i-insulin neminye imithi ezwelayo kukushisa. Usayizi wayo ohlangene kanye nezici ongayenza ngendlela oyifisayo kuyenza ibe yinketho eguquguqukayo kubahambi.

Isibonisi sedijithali sesiqandisi sivumela abasebenzisi ukuthi baqaphe izinga lokushisa kanye nesimo samandla kalula. Umthamo webhethri layo uqinisekisa ukupholisa okungaphazamiseki kuze kufike emahoreni amane, okuyenza ilungele uhambo olufushane. Ukwengeza, idizayini engasindi kanye nokusebenza komsindo ophansi kuthuthukisa ukuphatheka kwayo.

Qaphela: Isiqandisi se-insulin esenziwe ngokwezifiso sasefekthri esincane esenziwe ngokwezifiso asisebenzi nje kuphela kodwa futhi sisesitayeleni, sinezinketho zelogo nokwenziwa ngokwezifiso kombala. Lokhu kwenza kube yisixazululo esisebenzayo nesiqondene nomuntu siqu sokugcinwa kwe-insulin.

Amathiphu Wokuhamba Nge-insulin

Ukuhamba Ngezindiza: Izinkombandlela ze-TSA kanye Namathiphu Wokuqhubeka

Ukuhamba ngendiza nge-insulin kudinga ukuhlela ngokucophelela ukuze kuqinisekiswe ukuhambisana nemithetho ye-TSA nokuvikela umuthi ekuguquguqukeni kwezinga lokushisa. Ukulandela le mihlahlandlela kungasiza abahambi ukuthi bazulazule ngokuphepha kwesikhumulo sezindiza ngokushelela kuyilapho beqapha ukunikezwa kwe-insulin yabo:

• I-TSA ivumela izinsiza ezihlobene nesifo sikashukela, okuhlanganisa i-insulin, amapeni e-insulin, namasirinji, ngokusebenzisa izindawo zokuhlola zokuphepha ngemva kokuhlolwa okufanele.
• I-insulin kufanele ihlale ithwalwa esikhwameni semithwalo yesandla kunomthwalo ohloliwe. Izikhwama ezilayishwayo zichayeka ekushintsheni kwezinga lokushisa okudlulele kanye nokucindezela, okungabeka engcupheni ukusebenza kahle kwe-insulin.
• Abahambi bayelulekwa ukuthi baphathe imibhalo, njengencwadi kadokotela noma isitifiketi sezokwelapha, ukuze baqinisekise isidingo se-insulin nezinto ezihlobene nayo.
• Izinsiza ezifana namaphakethe ejeli, amaphakethe eqhwa, namadivayisi okupholisa aphathwayo avunyelwe ngokuvikeleka ukuze kugcinwe i-insulin ebangeni lokushisa elinconywayo.

Ithiphu: Sebenzisa isixazululo sokupholisa esihlangene, njengeIsiqandisi esincane se-insulin esiqandisini esenziwe ngokwezifiso, ukugcina i-insulin ipholile phakathi nezindiza ezinde. Ukuphatheka kwayo nezici zokulawula izinga lokushisa kuyenza ibe inketho ekahle yokuhamba ngendiza.

Ngokulandela lezi zincomo, abahambi bangaqinisekisa ukuthi i-insulin yabo ihlala iphephile futhi isebenza kahle kulo lonke uhambo lwabo.

Ukuphatha i-insulin emazingeni ashisayo

Izimo zezulu ezishisayo zibeka izinselele eziyingqayizivele ekugcineni i-insulin, njengoba amazinga okushisa aphezulu angehlisa umuthi. Abahambi abavakashela izindawo ezifudumele kufanele bathathe izinyathelo zokuphepha ezengeziwe ukuze bavikele i-insulin yabo:

• Gwema ukushiya i-insulin ezindaweni ezishisayo, njengangaphakathi kwemoto emile, njengoba amazinga okushisa angakhuphuka ngokushesha futhi alimaze umuthi.
• Sebenzisa isikhwama sokupholisa se-insulin noma isiqandisi esiphathwayo ukuze ugcine izinga lokushisa elilungile lesitoreji. Ezinye izikhwama zokupholisa zingagcina i-insulini ipholile isikhathi esingafika emahoreni angama-45, okuyenza ibe inketho ethembekile yokuvakasha okunwetshiwe.
• Cabangela ukutshala imali efrijini eliphathwayo eligunyazwe yi-TSA, njengeIsiqandisi esincane se-insulin esiqandisini esenziwe ngokwezifiso. Le divayisi inikezela ngokulawula okunembile kwezinga lokushisa nokuphatheka, iqinisekisa ukuthi i-insulin ihlala isebenza ngisho nalapho kushisa kakhulu.

Ukuqonda Kwangempela Kwempilo: Umhambi wake wabika ukuthi i-insulin yaso ayizange isetshenziswe ngemva kokushiywa emotweni eshisayo. Lokhu kugqamisa ukubaluleka kokusebenzisa amathuluzi okupholisa afanele ukuvimbela izigameko ezifanayo.

Ngokuhlala beqaphile nokusebenzisa izixazululo ezifanele zokupholisa, abahambi bangakwazi ukulawula ngokuzethemba i-insulin yabo ezindaweni ezishisayo.

Ukulungiselela Uhambo Olunwetshiwe noma Izigigaba Zangaphandle

Uhambo olwandisiwe nokuzidela kwangaphandle kudinga ukulungiswa okwengeziwe ukuze kuqinisekiswe ukuthi i-insulin ihlala iphephile futhi ifinyeleleka. Abahambi kufanele bacabangele amasu alandelayo:

• Gcina i-insulin esitsheni esivaleke kahle ukuze uyivikele kukho kokubili ukushisa nokubanda.
• Pakisha isipele se-insulin bese uyigcina endaweni ehlukile ukuze unciphise ubungozi bokulahlekelwa noma ukulimala.
• Yakha izinqubo ezizimele zokuqapha i-glucose kanye nokudla kwama-carbohydrate ngokusekelwe emlandweni womuntu wezokwelapha kanye nezimo zemvelo.
• Hlala uhlanzekile ngokuhlanganisa amasu e-hydration ezicini ezifana nezinga lokushisa, ileveli yomsebenzi, nobude besikhathi sohambo.
• Xhumana nomhlinzeki wezokunakekelwa kwempilo ngaphambi kohambo ukuze nixoxe ngezinguquko ezingaba khona kumithamo ye-insulin nezinye izinto ezithinta ukwelashwa.

Ithiphu ye-Pro: Isiqandisi se-insulin esenziwe ngokwezifiso zasefekthri esincane esenziwe ngokwezifiso siyisinqumo esihle kakhulu sohambo olunwetshiwe. Idizayini yayo ehlala isikhathi eside, izici ongayenza ngendlela oyifisayo, namandla okupholisa athembekile ayenza ibe yisixazululo esiguquguqukayo sohambo lwangaphandle.

Ngokuhlela kusenesikhathi nokusebenzisa amathuluzi afanele, abahambi bangajabulela uhambo lwabo ngaphandle kokuphazamisa ukuphathwa kwabo kwesifo sikashukela.

Ukuxazulula Izinselele Ezivamile

Okufanele Ukwenze Uma I-insulin Ishisa Ngokweqile

I-insulin evezwe emazingeni okushisa aphezulu ingalahlekelwa ukusebenza kwayo, okwenza kube semqoka ukusukumela phezulu uma kwenzeka ukushisa ngokweqile. Abahambi kufanele baqale bahlole ukuthi i-insulini igcinwe ngaphandle kwezinga lokushisa elinconyiwe elingu-40°F kuya ku-86°F (4°C–30°C). Uma kusolwa ukushisa ngokweqile, gwema ukusebenzisa i-insulin kuze kuqinisekiswe ukuphepha namandla ayo.

Ukuze uvimbele ukushisa ngokweqile, gwema ukugcina i-insulin kumapotimende, obhaka, noma kumakhompathi ezimoto, njengoba lezi zindawo zivame ukuba nokuguquguquka okukhulu kwezinga lokushisa. Kunalokho, sebenzisa ikesi lokuhamba elifakwe amaphakethe eqhwa ukuze ugcine indawo ezinzile, epholile. Imikhiqizo efana nephakethe elibandayo le-Frio linganikeza ukupholisa okuphumelelayo phakathi nemisebenzi yangaphandle. Ngaso sonke isikhathi qinisekisa ukuthi i-insulin ayiqandi futhi uyigcine ingangeni elangeni ukuze ulondoloze ikhwalithi yayo.

Ithiphu: Phatha i-insulin esikhwameni semithwalo yesandla phakathi nohambo ukuze unciphise ukuchayeka ekushintsheni kwezinga lokushisa.

Ungahlola kanjani i-insulin ukuze uthole Izimpawu Zokulimala

Ukuhlola okubonwayo kuyindlela ethembeke kakhulu yokuthola ukuthi i-insulin iye yafakwa engcupheni. I-insulin ecacile, njengezinhlobo ezisebenza ngokushesha noma ezithatha isikhathi eside, kufanele ibonakale ingenambala futhi ingenazo izinhlayiya. I-insulin eguquguqukayo, njengezinhlobo ezisebenza phakathi nendawo, kufanele ibe nokulingana, okunobisi lapho ixutshwe. Noma yikuphi ukushintsha kombala, ukunqwabelana, noma ukwakheka kwekristalu kubonisa umonakalo, futhi i-insulin akufanele isetshenziswe.

Qaphela: Uma i-insulin ikhombisa izimpawu zomonakalo, thintana nomhlinzeki wezempilo noma usokhemisi ukuze uthole isiqondiso.

Izinhlelo Zesipele Esiphuthumayo Sesitoreji Se-insulin

Abahambi kufanele ngaso sonke isikhathi bazilungiselele izimo ezingalindelekile ezingase zibe sengozini yokugcina i-insulin. Ukuphatha i-insulin eyisipele ngokuhlukile,isitsha esivalekileiqinisekisa ukufinyelela okuqhubekayo emithini uma kwenzeka ukulahleka noma ukulimala. Izixazululo eziphathwayo zokupholisa, njengesiqandisi se-insulin esenziwe ngokwezifiso zasefekthri esincane esenziwe ngokwezifiso, sinikeza ukulawula okuthembekile kwezinga lokushisa isikhathi eside. Lawa madivayisi awusizo ikakhulukazi phakathi nokuphela kukagesi noma uhambo olude.

Ukuze uthole ukuvikeleka okwengeziwe, abahambi bangasebenzisa izikhwama zokupholisa noma amaphakethe ejeli ukuze balondoloze i-insulin emazingeni okushisa aphephile. Ukuhlela kusengaphambili nokuba nezinketho eziningi zokugcina kuqinisekisa ukuthi i-insulin ihlala isebenza kahle, ngisho nasezimeni eziphuthumayo.

Ithiphu ye-Pro: Hlala uthintana nomhlinzeki wezempilo ngaphambi kokuhamba ukuze nixoxe ngamasu omuntu siqu okugcina nokuphatha i-insulin.

Ukuvikela i-insulin ekushiseni kuqinisekisa ukusebenza kwayo futhi kusekela ukuphathwa kwesifo sikashukela phakathi nohambo. Iziqandisi neziqandisi zezinga lezokwelapha zigcina i-insulin ingaphansi kuka-77°F, ngisho nasezimeni ezimbi kakhulu. Izikhwama zokupholisa ezintsha zinikeza isitoreji esithembekile kuze kube amahora angu-45 ngaphandle kweqhwa noma ugesi. Abahambi kufanele bahlele kusengaphambili futhi basebenzise la mathuluzi ukuze bavikele impilo yabo ngokuzethemba.

FAQ

I-insulin ingahlala isikhathi esingakanani ipholile esiqandisini esiphathwayo?

Iningiamafriji ephathekayogcina i-insulin ku-2-8°C kuze kufike emahoreni ama-4 ngamandla ebhethri. Ubude besikhathi eside budinga imithombo yamandla yangaphandle.

Ingabe i-insulini ingaba yiqhwa kumishini yokupholisa?

Yebo, izilungiselelo ezingalungile noma ukuchayeka isikhathi eside emakhazeni amakhulu kungamisa i-insulin. Njalo qapha izinga lokushisa ledivayisi ukuze uvimbele ukubanda.

Ingabe izixazululo zokupholisa ezigunyazwe yi-TSA ziyadingeka ekuhambeni ngendiza?

I-TSA ivumela amadivaysi okupholisa afana namaphakethe ejeli neziqandisi eziphathwayo. Lawa mathuluzi aqinisekisa ukuthi i-insulin ihlala iphephile phakathi nezindiza futhi ithobela imithetho yezokuphepha.