Ukuhlala naye sikashukela kungaba inselele, kodwa intuthuko yakamuva kwesayensi yezokwelapha ivule indlela yamasu okwelapha aqondene nawe. Ithuluzi elibalulekile kulolu hambo ukuhlolwa kwe-insulin. Lokhu kuhlola kuvumela odokotela ukuthi bahlole amazinga akho e-insulin, banikeze ulwazi olubalulekile ukuze balungise uhlelo lwakho lokulawula isifo sikashukela. Kule bhulogi, ake sihlole ubunkimbinkimbi bokuhlolwa kwe-insulin, inhloso yayo, inqubo, nendlela yokuchaza imiphumela. Ukuqonda lokhu kuhlolwa kuzokunika amandla okulawula isifo sakho sikashukela futhi usebenzele ikusasa elinempilo.

Kuyini ukuhlolwa kwe-insulin?

Ukuhlolwa kwe-insulin kuwukuhlola kwezokwelapha okulinganisa izinga insulin i-hormone (ukuhlolwa kwezinga le-insulin okungahleliwe kanye nokuzila ukudla) egazini lakho. I-insulin yi-hormone ekhiqizwa indlala ye-pancreas elawula inani le-glucose egazini lakho. Kubantu abanesifo sikashukela, kungenzeka ukuthi umzimba awukhiqizi i-insulin eyanele (Uhlobo 1 lwesifo sikashukela) noma ungayisebenzisi kahle i-insulin (Uhlobo 2 lwesifo sikashukela). Kuyindlela yokuthi odokotela baqonde ukuthi umzimba wakho ukhiqiza kahle kangakanani futhi basebenzise i-insulin ukuze banqume uhlelo lokwelapha olufaneleka kakhulu lomuntu ngamunye. 

Inhloso yokuhlolwa kwe-insulin

Inhloso eyinhloko yokuhlolwa kwe-insulin ukuhlola ukukhiqizwa nokusebenza kwe-insulin yomzimba wakho. Lolu lwazi lubalulekile ekuxilongeni isifo sikashukela noma ukumelana ne-insulin ngokunembile nokuqapha ukuqhubeka kwaso. Ukwengeza, ukuhlolwa kusiza ukunquma ukusebenza kwemithi yesifo sikashukela, njengomjovo we-insulin noma imithi yomlomo, ngokuhlola ukuthi umzimba wakho usabela kahle kangakanani kuyo.

Kudingeka Nini Ukuhlolwa Kwe-insulin?

Udokotela wakho angancoma ukuhlolwa kwe-insulin ngaphansi kwezimo ezahlukahlukene, kufaka phakathi: 

• Ukuxilongwa kwesifo sikashukela: Uma unezimpawu zesifo sikashukela, njengokoma ngokweqile, ukuvuthwa njalo, ukwehla kwesisindo okungachazwanga, noma ukukhathala, ukuhlolwa kwe-insulin kungasiza ekuqinisekiseni ukuxilongwa.
• Ukuqapha ukusebenza kokwelashwa kwesifo sikashukela: Ukuhlolwa kwe-insulin okuvamile kwabanesifo sikashukela kungasiza ukuqapha ukuthi uhlelo lokwelapha lusebenza kahle kangakanani.
• Ukumelana ne-insulin: Ukuhlolwa kwe-insulin kungasiza ukuxilonga ukumelana ne-insulin, okwenzeka lapho amangqamuzana omzimba engasabeli kahle ku-insulin, okuholela emazingeni aphezulu kashukela egazini.
• I-Hypoglycemia: Ukuhlolwa kwe-insulin kungasiza ekunqumeni ukuthi amazinga kashukela aphansi (hypoglycemia) abangelwa ukukhiqizwa kwe-insulin ngokweqile noma ezinye izici.
• Ukuqapha njalo amazinga e-insulin nakho kubalulekile kubantu abanesifo sikashukela ngesikhathi sokukhulelwa noma labo abanomlando wesifo sikashukela emndenini.

Kwenzekani Ngesikhathi Sokuhlolwa Kwe-insulin?

Inqubo yokuhlola i-insulin ifaka:

• Ukulungiselela: Ukuhlolwa kwe-insulin ukuhlolwa kwegazi okulula okungenziwa elabhorethri yezokwelapha noma ehhovisi likadokotela wakho. Ngokuya ngemiyalo ethile evela kudokotela wakho, kungase kudingeke ukuthi uzile ukudla isikhathi esithile ngaphambi kokuhlolwa, ngokuvamile amahora angu-8 kuya kwangu-12. 
• Ukuqoqwa kwesampula yegazi: Ngaphambi kokuhlolwa, uchwepheshe wezokunakekelwa kwempilo uzohlanza indawo engalweni yakho ngekhambi elibulala amagciwane futhi akhiphe isampula yegazi elincane ebhodleleni. 
• Isikali se-insulin: Udokotela uzothumela leli sampula legazi elabhorethri ukuze lihlaziywe. Elabhu, ochwepheshe bakala izinga le-insulin egazini lakho. Bangase futhi balinganise abanye omaka abahlobene nokulawulwa kukashukela egazini, kuye ngokuhlolwa okuqondile okuyalwe udokotela wakho. 
• Imiphumela yokuhlolwa ivamise ukutholakala ezinsukwini ezimbalwa, futhi udokotela wakho uzoxoxa nawe ngalokho okutholakele.

Ukusetshenziswa kokuhlolwa kwe-insulin

Ukuhlolwa kwe-insulin kusebenza ngezinhloso eziningi ekulawulweni kwesifo sikashukela. 

• Ngokuyinhloko, kusiza ochwepheshe bezokunakekelwa kwempilo ukuthi bahlole futhi bahlukanise phakathi kohlobo loku-1 nesifo sikashukela sohlobo 2. Kusifo sikashukela soHlobo loku-1, ukuhlolwa kwe-insulin kuzokhombisa ukukhiqizwa kwe-insulin okuphansi noma akukho, okubonisa isidingo sokwelashwa esikhundleni se-insulin. Ngakolunye uhlangothi, ohlotsheni lwesifo sikashukela sohlobo 2, ukuhlolwa kungase kwembule amazinga avamile noma aphezulu e-insulin, okusikisela ukumelana ne-insulin kanye nesidingo sezinye izindlela zokwelashwa.
• Ngaphezu kwalokho, izinga lokuhlolwa kwe-insulin egazini liqapha ukusebenza kwemishanguzo yesifo sikashukela. Uma amazinga akho e-insulin engaphenduli ngendlela efanele ekwelashweni okunqunyiwe, udokotela wakho angenza izinguquko ukuze athuthukise uhlelo lwakho lokulawula isifo sikashukela. 
• Ukuhlolwa kubalulekile ekuhloleni amathuba okuba nesifo sikashukela kubantu abane-prediabetes noma labo abanomlando womndeni walesi simo.

Isho ukuthini imiphumela yokuhlolwa kwe-insulin?

Ukuhumusha imiphumela yokuhlolwa kwe-insulin kudinga ubungcweti futhi kuncike ezintweni ezahlukahlukene, okuhlanganisa umlando wakho wezokwelapha, izimpawu, nomongo othile wokuhlolwa. 

Ngokuvamile, uma amazinga akho e-insulin ephansi kunokuvamile, kungase kubonise uhlobo lwesifo sikashukela soHlobo loku-1 noma ukukhiqizwa kwe-insulin eyanele. Ngokuphambene, amazinga e-insulin aphezulu kune-avareji angase abonise ukumelana ne-insulin, ngokuvamile okuhlotshaniswa nesifo sikashukela soHlobo 2. 

Udokotela wakho uzocabangela le miphumela nezinye izivivinyo zokuxilonga kanye nomlando wakho wezokwelapha ukuze anqume uhlelo lokwelapha olufaneleka kakhulu kuwe.

Isho Ukuthini Imiphumela Engavamile

Imiphumela yokuhlolwa kwe-insulin engavamile ingabonisa izinkinga zempilo eziyisisekelo futhi isize iqondise izinqumo zokwelashwa. Uma amazinga akho e-insulin ephansi, kungase kudinge ukuthi uqale ukwelashwa ngokubuyisela i-insulin noma ulungise uhlobo lwakho lokwelapha lwamanje. Ngakolunye uhlangothi, amazinga aphezulu e-insulin angase adinge ukuguqulwa kwendlela yokuphila, njengokushintsha indlela yokudla, ukwanda kokuzivocavoca umzimba, nokulungiswa kwemithi ukuze kuthuthukiswe ukuzwela kwe-insulin.

Kubalulekile ukukhumbula ukuthi imiphumela engajwayelekile ayikuchazi ukubaluleka kwakho njengomuntu. Kunalokho, bakunikeza ulwazi olubalulekile olukunika amandla okulawula impilo yakho futhi wenze izinqumo ezinolwazi mayelana nokuphathwa kwesifo sikashukela.

Isiphetho

Ukuhlolwa kwezinga le-insulin egazini kuyithuluzi elibalulekile ekuhlanganiseni amasu okwelapha isifo sikashukela. Ngokuhlola amazinga akho e-insulin, odokotela bangaxilonga isifo sikashukela ngokunembile, banqume uhlelo lokwelapha olusebenza kahle kakhulu, futhi baqaphe ukuqhubeka kwakho. Ukuqonda inhloso, inqubo, kanye nokuchazwa kwemiphumela yokuhlolwa kwe-insulin kukunika amandla okuba ubambe iqhaza ekulawulweni kwesifo sikashukela. 

Imibuzo Evame Ukubuzwa

1. Liyini Izinga Elijwayelekile Lokuhlolwa Kwe-insulin?

Ibanga elijwayelekile lamazinga e-insulin lingahluka futhi lincike ezintweni ezinjengobudala, ubulili, izimo zempilo yomuntu ngamunye, kanye nelabhorethri eyenza ukuhlolwa. Ngokuvamile, uhla olujwayelekile lokuhlolwa kweleveli ye-insulin yokuzila ukudla luphakathi kuka-2 no-25 ama-microunits ngemililitha (µU/mL) namazinga e-insulin ngemva kwemizuzu engama-30 yokuthatha ushukela aphakathi kuka-30-230 mIU/L.

2. Kwenzekani Uma Ukuhlolwa Kwe-insulin Kuhle?

Umphumela wokuhlolwa omuhle we-insulin ukhombisa amazinga aphezulu e-insulin egazini lakho. Ingase iphakamise izimo noma izimo ezimbalwa ezingaba khona, njengohlobo lwesifo sikashukela sohlobo 2, i-hyperinsulinemia, ukumelana ne-insulin, izimo ezithile ze-pancreatic, njenge-insulinoma noma i-pancreatitis, ukukhulelwa, i-polycystic ovary syndrome (PCOS), nemiphumela engemihle yeminye imithi.

3. Kwenzekani Uma Ukuhlolwa Kwe-insulini Negethivu?

Umphumela wokuhlolwa kwe-insulin ongemuhle ukhombisa ukuthi kungase kube nenkinga ngokukhiqizwa kwe-insulin noma indlela umzimba wakho osabela ngayo ku-insulin. Kungaba uphawu lwesifo sikashukela soHlobo loku-1 noma ukumelana ne-insulin okuhlotshaniswa nesifo sikashukela soHlobo 2. Udokotela wakho uzophinde ahlole imiphumela yokuhlolwa futhi atuse izinketho zokwelashwa ezifanele.

4. Yimaphi Amapharamitha Akalwa Ekuhlolweni Kwe-insulin?

Ukuhlolwa kwe-insulin kulinganisa amazinga e-insulin egazini lakho. Inikeza imininingwane ngokukhiqizwa kwe-insulin yomzimba wakho, ukusebenza kwayo, kanye nokusabela emithini yesifo sikashukela. Le mingcele isiza odokotela ukuthi balungise uhlelo lwakho lokulawula isifo sikashukela ukuze balawule kahle ushukela wegazi.

5. Kuthatha Isikhathi Esingakanani Ukuhlolwa Kwe-insulin?

Ukuhlolwa kwe-insulin kuthatha imizuzu embalwa kuphela ukuqoqa isampula yegazi. Kodwa-ke, inqubo iyonke ingathatha amahora ambalwa noma izinsuku, okuhlanganisa ukulungiselela nokulinda imiphumela. Udokotela wakho uzohlinzeka ngolwazi oludingekayo mayelana nomugqa wesikhathi kanye nokuthi ungayilindela nini imiphumela.