Isitofu esingenanaliti ngoku siye sabonwa njengeyona ndlela ikhuselekileyo nekhululekileyo yokutofa i-insulin, kwaye yamkelwe zizigulana ezininzi ezinesifo seswekile.Le ndlela entsha yokutofa isasazwa ngaphantsi kwesikhumba xa utofa ulwelo, olufunxwa lula lulusu.izicubu ezingaphantsi kwesikhumba azicaphuki kangako kwaye zisondele kwi-nonvasive.Ke, ngawaphi amanyathelo okhuseleko ekufuneka sinikele ingqalelo kuwo kwinkqubo yokutshintsha ukusuka kwisitofu senaliti ukuya kwisitofu esingenanaliti?
1. Phambi kokuba utshintshele kwisitofu esingenanaliti, kufuneka unxibelelane nogqirha okhoyo ukuze amisele isicwangciso sonyango lwe-insulin.
2. Kuphando lukaNjingalwazi uJi Linong, ukuguqulwa kwethamo okucetyiswayo kwiinaliti zokuqala ezingenanaliti zezi zilandelayo:
A. I-insulin exutywe ngaphambili: Xa ujova i-insulin exutywe ngaphandle kweenaliti, lungisa umthamo we-insulin ngokwe-pre-prandial blood glucose.Ukuba iqondo leswekile yegazi lingaphantsi kwe-7mmol/L, sebenzisa kuphela idosi emiselweyo.
Incitshiswe malunga ne-10%;ukuba izinga leshukela legazi lingaphezulu kwe-7mmol / L, kucetyiswa ukuba ulawule iyeza ngokwe-dose yesiqhelo yonyango, kwaye umphandi uyayilungisa ngokwemeko yesigulane;
B. I-insulin glargine: Xa utofa i-insulin glargine ngesirinji engenanaliti, hlengahlengisa idosi ye-insulin ngokweswekile yegazi ngaphambi kwesidlo sangokuhlwa.Ukuba izinga leshukela legazi liyi-7- 10mmol / L, kucetyiswa ukunciphisa umthamo nge-20-25% ngokwesikhokelo.Ukuba inqanaba leswekile yegazi li-10- 15mmol / L Ngaphezulu, kucetyiswa ukunciphisa umthamo nge-10- 15% ngokwesikhokelo.Ukuba inqanaba leshukela legazi lingaphezulu kwe-15mmol / L, kucetyiswa ukuba umthamo ulawulwe ngokwemilinganiselo yonyango, kwaye umphandi uyayilungisa ngokwemeko yesigulane.
Ukongeza, xa utshintshela kwisitofu esingenanaliti, ingqalelo kufuneka ihlawulwe ekubekeni iliso kwiswekile yegazi ukuthintela i-hypoglycemia enokwenzeka.Kwangaxeshanye, kuya kufuneka ulawule ubuchule obuchanekileyo bokusebenza kwaye unike ingqwalasela ekusebenzeni okusemgangathweni xa utofa.
Ixesha lokuposa: Nov-07-2022