Zambiri za ma insulin ndi ma cholembera a insulin

Syringe ndi chida chachipatala chobayira jakisoni kulowa m'thupi la munthu kapena kuchotsetsa biomaterial. Lili ndi chidebe, pisitoni, ndikupanga kupanikizika ndi singano. Ponena za mitundu ya ma insulin, titha kusiyanitsa magalasi ndi pulasitiki.

Pankhaniyi, chida chobweretsa galasi sichimagwiritsidwa ntchito kwenikweni, chifukwa chimafunikira mosamalitsa ndipo ndizovuta kuwerengera insulin kuti ikwaniritse. Chifukwa chake, mtundu wa pulasitiki nthawi zambiri umakhala ndi singano yomanga ndipo umakulolani kuti muimalize jakisoni wa mankhwalawa osasiya zotsalira zilizonse mkati mwa chidebe.

Syringe yothandizira kupangira insulini yopangidwa ndi pulasitiki imatha kugwiritsidwa ntchito kangapo, koma ndi bwino kuchitira mankhwalawa ndi zakumwa zoledzeretsa kapena njira ina yothetsera matenda musanagwiritse ntchito.

Ponena za magawano omwe amapezeka pa syringe ya insulin, zimatenga nthawi yayitali kuti azizolowere, chifukwa si aliyense angamvetse kuchuluka kwa insulin mu 1-3 ml. Kuti muchite izi, muyenera kuphunzira njira yowerengera kuchuluka.

Pakadali pano, mdera la Soviet-post, mabotolo amagwiritsidwa ntchito polemba U-40 (40 mayunitsi / ml) ndi U-100 (100 mayunitsi / ml). Mtundu woyamba wa insulini wa insulin ukhoza kusunga magawo 40 a insulin pa 1 ml. Kuwerengera kwa mahomoni ndi motere:

1 ml ya mahomoni = 40 magawo,
0.5 ml ya mahomoni = 20 magawo,
0.25ml mahormoni = mayunitsi 10.

Izi zikutsatira kuti gawo limodzi lidzakhala lofanana ndi 0,025 ml ya mahomoni. Chifukwa chake, zisonyezo zina zitha kuwerengedwa, mwachitsanzo, mu 3 ml ya mahomoni padzakhala magawo 120, motsatana. Kuphatikiza apo, kwa anthu ena, ndikofunikira osati kuchuluka kwa insulini mu ma milliliters omwe amaikidwa mu syringe ya insulin, koma mu milligrams komanso pakuwerengera, mutha kugwiritsa ntchito kuwerengera:

1 ml = 1000 mg
U-40 = 1 ml = 1000 mg
U-100 = 2.5 ml = 2500 mg.

Ndikofunikira kudziwa mawonekedwe akuwerengera magawanidwe pa syringe ya U-40 (yomaliza):

Magawo 4 = 0,1 ml,
Magawo 20 = 0,5 ml
Magawo 40 = 1 ml.

Zotsatira zake kuti ma insulin omwe amapangidwira odwala matenda ashuga omwe amati U-100 (mayunitsi 100) ali ndi insulini yokwanira 2,5 kuposa U-40, chifukwa chake, izi ziyenera kukumbukiridwa mukabayidwa. Kuti muchite bwino, mutha kukumbukira njira iyi:

U-40 = 1 ml = 40 mayunitsi.
U-100 = 0.4 = 40 mayunitsi.

Njira Zogwiritsira Ntchito Mankhwala

Akatswiri ambiri amakupangirani kuti mugule syringe ndi singano yokhazikika, chifukwa munthawi ya kukhazikitsa mankhwalawa simumva kumva bwino. Kuphatikiza apo, alibe "otchedwa zone" omwe mankhwalawo amatha kupeza, choncho jakisoni imachitika kwathunthu.

Ndikofunika kudziwa kuti chifukwa chamtengo wapano, ambiri sangakwanitse kugwiritsa ntchito ma syringe kamodzi kokha, makamaka kwa omwe amapuma pantchito. Pachifukwa ichi, odwala ambiri omwe ali ndi matenda a shuga amagwiritsa ntchito kawiri kapena kuposa.

Akatswiri pankhaniyi adati zambiri izi zitha kuchitika, koma miyezo yonse yaukhondo iyenera kuyang'aniridwa ndipo pambuyo pa jakisoni, bweretsani syringeyo m'bokosi. Nthawi yomweyo, muyenera kukumbukira kuti simuyenera kuigwiritsa ntchito mopitilira kawiri, chifukwa singano imayamba kukhwinyata, ndipo izi zimabweretsa chisangalalo mukabaya mankhwala.

Kuphunzira kugwiritsa ntchito syringe ya insulin sikophweka ngati mukudziwa zovuta zonse zochita jakisoni, chifukwa zotsatira zomaliza zimadalira. Choyamba muyenera kukonza chivundikiro cha botolo momwe muli insulini ndipo nthawi yomweyo muyenera kuchita izi mosamala, chifukwa kugwedeza zomwe zili m'makokedwe sikofunikira nthawi zonse.

Kwa mankhwala omwe ali ndi yochepa komanso mwachangu, izi ndizoletsedwa, koma ngati ndi mankhwala omwe ali ndi kuchepetsedwa, ayenera kugwedezeka bwino musanagwiritse ntchito.

Mtundu wa mankhwalawo ulinso ndi zochenjera zake, chifukwa choyambirira muyenera kukokera pisitoni kuchigawo chomwe mukufuna, kenako kubaya khokho la botolo ndikutulutsa mpweya kunja uko. Chotsatira, muyenera kuzisintha ndikuyamba kupeza mahomoni.

Pali nthawi zina pomwe mpweya umalowa kudzera mu singano, ndipo kuuchotsa kumakhala kokwanira kukoka syringe pang'ono ndikumasula kukonzekera pang'ono. Pazifukwa izi, madokotala amalangiza kumwa mankhwalawo mopitilira muyeso wofunikira.

Pamaso jakisoni, malo pomwe adzaikemo amayenera kuthandizidwa ndi mowa, koma chifukwa cha khungu louma mopitirira muyeso mu odwala matenda ashuga ndibwino kugwiritsa ntchito madzi ofunda ndi zotchinga. Ponena za jakisoni weniweniyo, amachitidwa pakatikati pa 45 kapena 75 °, chifukwa mankhwalawa amatha kulowa mu minofu m'malo mwa minofu yaying'ono ndipo sipadzakhala kanthu.

Pambuyo pakuyambitsa kwa mahomoni, syringe iyenera kusungidwa m'malo amenewo kwa masekondi 10-15, ndipo pokhapokha mutenga singano. Izi zikuyenera kuchitika kuti mankhwalawo amamwe bwino ndipo zotsatira zake ndizokwanira.

Cholembera

Mwa zabwino zooneka bwino za cholembera, mutha kusiyanitsa:

Mlingo wa insulin ndiwosavuta, chifukwa cholembera chimakhala ndi gawo limodzi la 1, ngakhale kuti syringe yosavuta imakhala ndi magawo awiri,
Chifukwa cha kuchuluka kwake, malaya safuna kusinthidwa nthawi zambiri,
Kukhazikitsa kwa singano sikumveka kwenikweni
Mitundu yatsopano ya ma syringe imapangitsa kugwiritsa ntchito mitundu yambiri ya insulin,
Singano m'khola nthawi zonse imakhala yopyapyala kuposa syringe yodula kwambiri.

Ma insulin ma insulin

Kwa anthu omwe ali ndi matenda ashuga, ndikofunikira kuti azitha kudzipangira pawokha jakisoni wofunikira wa mankhwala a mahomoni. Pazifukwa izi, ma syringes apadera otayika a insulin apangidwa. Jakisoni wotsekemera yemwe ali ndi syringe ya insulin imakulowetsani kulowa mu mankhwalawa ofunikira mwachangu komanso mopweteka.

Izi ndizomwe malo ogulitsa pa intaneti amawoneka:

Ma syringe omwe ali ndi botolo la galasi lomwe amatha kuwonjezeredwa siligwiritsidwa ntchito poika insulin, popeza amafunika mankhwala opha tizilombo toyambitsa matenda ndipo samatsimikizira kuti 100% yadzala ndi jakisoni panthawi yogwiritsa ntchito nyumba.

Mankhwala otayika a insulin amtundu uliwonse amatsimikizira kuti sangadziwe kuchuluka kwa mankhwala a mahomoni. Mtengo wa ma syringe amenewa ndi wotsika, aliyense amatha kusankha mtundu wa syringe, kutengera zomwe amakonda (machitidwe, kunyumba, paulendo).

Mitundu ya Insulin Syringes

Lero pogulitsa mungapeze mitundu ingapo ya ma syringe a jakisoni wa insulin:

ndi singano zochotseka,
ndi singano zophatikizika,

Zopatula zolembera ndi mapampu a insulin.

Kodi pali kusiyana kotani, zopindulitsa ndi zovuta za mtundu uliwonse wa insulin:

1. syringe ya insulini ndi singano yotulutsa- cholakwika chopezeka pakukhazikika kwa mankhwala omwe ali ndi syringe kotero sichingagwiritsidwe ntchito, zomwe ndizofunikira kwambiri kwa odwala matenda ashuga (zolakwa muyezo wa mankhwalawa zingayambitse zotsatira zoyipa zaumoyo). Singano imachotsedwa mosavuta, pisitoni imayenda bwino, osagwedezeka - ndikotheka kuti muone mosamala kuchuluka kwa mankhwalawa kuchokera ku galasi la vial kapena lamphamvu.

2. Yophatikizika (yokhazikika) singano monolithically cholumikizidwa ndi silinda ya pulasitiki - mwayi wopangidwawu ndikuti kutayika kwa mankhwalawa ndikochepa, chifukwa palibe "malo omwe akufa", monga syringes ndi singano yochotsa. Kudzera kwa kapangidwe kake - pali zovuta zina pakuyitanitsa kwa insulin, syringe yotayikayo siliyenera kugwiritsidwanso ntchito.

Zilembera -Chinthu chosavuta chomwe chimakulolani kuti mupeze jakisoni kulikonse. Makatoni apadera okhala ndi mlingo wokhazikika wa mankhwalawa amawaika mu pulasitiki yolimba ya syringe, yomwe ndi yabwino kwambiri. Zoyipa zokhazokha zamtundu wotere ndizokwera mtengo kwake. Peniji ya syringe ndi njira yatsopano yamakono yopangira jakisoni wa insulin wokhala ndi chitsimikizo chomveka cha mankhwalawo. Makatoni okhala ndi timadzi tambiri tomwe timayikidwamo amamuikiratu. Kuwona mwachidule zolembera pano.
Mapindu ake -posavuta komanso kugwiritsa ntchito, momveka bwino
Zoyipa - mtengo wokwera (avareji a ma ruble 2000), ndikofunikira kugwiritsa ntchito mankhwala a wopanga winawake, kufunika kotsatira zakudya zolimbitsa thupi, popeza kuchuluka kwa cartridge ndi okhazikika ndipo simungathe kusintha kuchuluka kwa mahomoni malinga ndi kuzindikira kwake.

Chida china chowongolera insulin ndi mapampu a insulini. Izi ndi njira yothandizira kubwereza jakisoni wa tsiku ndi tsiku ndi cholembera cha insulin kapena cholembera cha insulin ndipo zimapangitsa kuti azitha kuchitira insulin yolimba mukagwiritsidwa ntchito limodzi ndi kuwunika kwa shuga ndikuwerengera mafuta. Chipangizochi chimalumikizidwa ndi lamba wa wodwalayo, ndipo amadzichitira yekha jakisoni wa insulin. Palinso zitsanzo zomwe zimadziyang'anira nokha shuga. Nthawi yomweyo, moyo wa odwala umayenda bwino kwambiri. Singano imayikidwa pang'onopang'ono, chipangizocho chimapitiliza kuvulaza insulini yocheperako pang'ono pang'onopang'ono masana. Choyipa chachikulu cha mapampu a insulin ndi mtengo wokwera kwambiri (kuchokera ma ruble masauzande 50.) Zotsalira zokhazokha za pampu ya insulin ndizokwera mtengo kwambiri (kuchokera ma ruble 50,000).

Mukamasankha syringe ya insulin, funsoli nthawi zambiri limabuka - zomwe zili bwino 2-chinthu chimodzi kapena gawo 3 la gawo ndipo nkoyenera kulipira zambiri. Kodi pali kusiyana kotani pakati pa mitundu iwiri ya syringe iyi:

Syringe yokhala ndi zigawo ziwiri imakhala ndi magawo awiri - pisitoni ndi silinda ya polypropylene, singano ya ma syringes nthawi zambiri imatha kuchotsedwa. Choipa cha kapangidwe kake ndikuti pakubweretsa insulin, ndikofunikira kuchita zina mwa kukanikiza piston. Si aliyense angathe kugawa mphamvu chimodzimodzi, insulin imalowa m'thupi mosagwirizana. Ululu umatha kupezeka jakisoni,
Ma syringe 3 okhala ndi zigawo zili ndi ma cuffs osindikizidwa (opangidwa ndi mphira, mphira kapena lalabala), omwe amatsimikizira zolimba ndikuwongolera koyenda bwino kwamankhwala. Zingwe zoterezi zimapangitsa jakisoni kukhala wopanda ululu

Ma cell a insulin: 0,3 ml, 0,5 ml ndi 1 ml. Njira yosavuta yovomerezeka ndi 1 ml, mutha kusintha mtundu wa insulin kuchokera ku 40 mpaka 100 mayunitsi.

Palinso ma syringes otetezedwa (odziwonongetsa) kapena ma insulin omwe ali ndi chida choletsa kugwiritsanso ntchito, adzakambidwa munkhani zotetezedwa.

Zinthu za singano ya insulin

Tiyenera kukumbukira kuti mumapangidwe omwe ali ndi singano zochotsa, mwayi wachedwetsa mankhwalawa mu "gawo lakufa" ndiwokwera, womwe umatha kufika magawo 7. Mukumanga kwa monolithic, vuto lotere limapatula.

Kutalika kwa singano molondola kumatsimikizira kuyendetsedwa bwino kwa insulin, komwe ndikofunikira kwambiri kwa anthu odwala matenda ashuga.

Kutalika kwa singano kumatha kuchoka pa 6 mpaka 13 mm, ma syringes a insulini sakhala ndi singano zazitali. Pa nthawi ya jakisoni, kuyambitsa mahomoni pansi pa khungu ndikofunikira kwambiri, osakhudza minofu. Pachifukwachi, ma insulin omwe amagwiritsa ntchito insulin amagwiritsa ntchito masingano amfupi osapitirira 13 mm. Kutalika kokwanira ndi singano mpaka 8 mm.

Kukula kwa singano kumawonetsedwa ndi kalata "G", "Game" ndi nambala yolingana. Wocheperako m'mimba mwake wa singano, wosavuta komanso wosapweteka kwambiri. Kusankhidwa kwa singano yoyenera kumatengera magawo amomwe a thupi ndipo amasankhidwa mwayeso.

Mlingo wa insulin, kulembera ndi kuwerengera kwamawerengero

Zigawo pamlingo wa ma insulin ma insulin ndizosiyana ndi muyezo. Kuyika chizindikiro malinga ndi muyezo umodzi mu Russian Federation:

U-40 - 40 magawo a insulin pa millilita,
U-100 - 100 magawo a insulin pa millilita.

Syringe yofala kwambiri yolembedwa kuti U-100.

Chizindikiro pa burashi chitha kukhala chamitundu itatu:

gawani magawo 40 (magulu),
gawani magawo 100 (magulu),
kuchuluka kwa millilita.

Amapezeka pama syringes komanso muyeso wapawiri - mamililita ndi mayunitsi. Mulingo wokhala ndi U-100 ndi U-40 ndi woletsedwa ndi GOST 8537-2011 yapano.

Momwe mungadziwire mtengo wogawa komanso kuchuluka kwa mankhwalawa omwe muyenera kuyimba jakisoni wa tsiku ndi tsiku:

choyamba ndikofunikira kudziwa kuchuluka kwathunthu - kwawonetsedwa pamaphukusi,
kudziwa mtengo wogawika - gawani kuchuluka mwa kuchuluka kwa magawo a sikelo, lingalirani zopitilira pakati pa mizere ya sikelo.

Ndikofunikira. Ndi magawo a millimeter a sikelo, chiwonetserochi chikuwonetsa kuchuluka kwa insulin ndipo palibe chomwe chikuyenera kuwerengedwa.

Kuwerengera kwa U-40:

1 ml ya mahomoni = 40 magawo,
0.5 ml ya mahomoni = 20 magawo,
0,25 ml ya mahomoni - magawo 10.

Zili choncho 1 unit - 0,025 ml ya mahomoni.

Kwa odwala ena, ndikofunikira kuwerengera kuchuluka kwa insulin m'mamiligram, kuwerengera kuli motere:

1 ml - 1000 mg,
U-40 - 1 ml - 1000 mg,
U-100 = 2,5 ml - 2500 mg.

Ndikofunikira kukumbukira mtengo wogawika pama syringe a U-40:

Magawo 40 ali ofanana 1 ml,
chizindikiro cha magawo 20 ndi 0,5 ml,
gawani magawo 5 ofanana ndi 0.125 ml,

Hormone yolembedwa U-100 kuwerengetsa kumachitika mosiyanasiyana:

100 mayunitsi insulin - 1 ml ya yankho,
Kuti mudziwe kuchuluka kwa mahomoni ofunikira, zigawo zana ziyenera kugawidwa m'magawo 40, kuphatikizira kwa 2,5 kumachitika.

Ma syringes a insulini a U-100 (mayunitsi 100) ali ndi mahomoni a insulin ochulukirapo kuwirikiza kawiri kuposa ma syringes a U-40. Fomula yosavuta ingasinthe kuwerengera:

U-40 = 1 ml = 40 mayunitsi.

U-100 = 0.4 = 40 mayunitsi.

Ndikofunika kukumbukira kuti kuchuluka kwa mahomoni omwe adalembedwa ndi dokotala anu sasintha mukasintha zilembo za syringe kapena vial ndi mankhwalawa, kuchuluka kokha kumasintha, komwe ndikofunikira kuwerengera molondola.

Kodi syringe wa insulin ndi wosiyana bwanji ndi masiku onse?

Thupi la insulin yomwe imalowa ndi yayitali komanso yocheperako. Magawo oterewa amathandizira kuti achepetse mtengo wogawa muyeso mpaka 0.25-0.5 PIECES. Iyi ndi mfundo yofunika kwambiri yomwe imakupatsani mwayi wolondola kuchuluka kwa insulini, chifukwa thupi la ana ndi odwala omwe ali ndi vuto la insulini limayang'anira kwambiri kuyambitsa kwa kuchuluka kwa mankhwala ofunikira.
Pa thupi la insulini pali masikelo awiri. Imodzi mwa iyo ili ndi ma milliliters, ndi enawo mumayunitsi (UNITS), omwe imapangitsa kuti syringe ikhale yoyenera katemera ndi kuyesedwa kwa ziwengo.
Kuchuluka kwa gawo la insulin ndi 2 ml, otsika ndi 0.3 ml. Kukula kwa ma syringes amisonkhano ndikokulirapo: kuyambira 2 mpaka 50 ml.
Singano pazingwe za insulin zimakhala ndi mainchesi ang'ono ndi kutalika. Ngati mulifupi wakunja kwa singano wamba yamankhwala amatha kuchokera ku 0,33 mpaka 2 mm, ndipo kutalika kwake kumasiyana kuchokera pa 16 mpaka 150 mm, ndiye kuti ma insulin omwe ali ndi magawo awa ndi 0,23-0.3 mm ndipo kuchokera 4 mpaka 10 mm, motsatana. Ndizodziwikiratu kuti jakisoni wopangidwa ndi singano yopyapyala ndi njira yopweteka kwambiri. Kwa odwala matenda ashuga omwe amakakamizidwa kubaya insulin kangapo masana, izi ndizofunikira kwambiri. Matekinolo amakono samalola kupanga ma singano bwino, apo ayi amatha kung'amba panthawi ya jakisoni.
Ma singano a insulini ali ndi lakuthwa kwapadera laser laser, komwe kumawapatsa kukongola kwapadera. Kuti muchepetse kuvulala, nsonga za singano zimaphatikizika ndi mafuta a silicone, omwe amatsukidwa mutatha kugwiritsa ntchito mobwerezabwereza.
Kukula kwa ma syringes ena amasulidwe kumakhala ndi galasi lokulitsa kuti lithandizire kuti mulingo wa insulin ukhale wolondola. Ma syringe amenewa amapangidwira odwala omwe sangathe kuwona bwino.
Syringe ya insulin imakonda kugwiritsidwa ntchito kangapo. Atapanga jakisoni, singanoyo imangophimbidwa ndi kapu yoteteza. Palibe njira yolera yotseketsa. Singano yomweyi ya insulin imatha kugwiritsidwa ntchito mpaka kasanu, chifukwa chifukwa chabisalira kwambiri, nsonga yake imayamba kugwa, kutaya lakuthwa. Mwa jakisoni wachisanu, kutha kwa singano kumafanana ndi mbewa yaying'ono, yomwe singabowole khungu ndipo imatha kuvulaza minyewa singano itachotsedwa. Izi ndizomwe zimapangitsa kuti pakhale vuto lina lililonse kugwiritsa ntchito singano za insulin. Zambiri microscopic kuvulala kwa khungu ndi subcutaneous minofu kumayambitsa kupanga subcutaneous lipodystrophic zisindikizo, lodzala ndi zovuta. Ichi ndichifukwa chake amalimbikitsidwa kugwiritsa ntchito singano yomweyi mopitilira kawiri.

Kodi syringe imagwira ntchito bwanji?

Syringe ya insulini ndimapangidwe atatu okhala ndi:

Chizindikiro cha mlingo ndi gawo la chidindo chomwe chili kumbali ya singano. Ndiosavuta kudziwa kuchuluka kwa insulini, kukhala ndi syringe yokhala ndi chosindikizira osati chokhala, koma lathyathyathya, chifukwa chake ayenera kupatsidwa zitsanzo zotere.

Pakupereka insulin kwa odwala akuluakulu omwe ali m'magawo a thupi ndi mafupa owonda am'mimba (pamimba yolimba, phewa kapena gawo lakunja la ntchafu), syringe imakhala ikugwiritsidwa pakona madigiri makumi anayi ndi asanu kapena jakisoni amapangidwe pakhungu. Kugwiritsa ntchito singano yomwe kutalika kwake kupitirira 8 mm sikungatheke ngakhale kwa odwala matenda ashuga akuluakulu chifukwa choopsa cha timadzi timene timalowa mu minofu.

Opanga otchuka

M'mafakitala aku Russia mutha kupeza ma insulin omwe amapanga okha omwe akukonza zakunja ndi akunja. Malonda odziwika:

Kampani yaku Kipolishi TM BogMark,
Kampani yaku Germany SF Medical Hospital Products,
Kampani yaku Ireland ya Becton Dickinson,
wopanga makampani LLC Medtekhnika.

Gulani kumalo azamalonda apafupi kwambiri.
Dongosolo pa intaneti.
Pangani lamuloli pafoni yomwe ikupezeka patsamba la opanga.

Cholembera cha insulin

insulin cartridge slot,
katiriji wosungira wowonera pawindo ndi sikelo,
otumiza okhawo
batani loyambitsa
gulu lathyathyathya
singano yosinthika ndi kapu yachitetezo,
Chopondera chachitsulo chokhala ndi clip.

Malangizo ogwiritsa ntchito cholembera

Kuti akonzekere cholembera ntchito, katiriji wamafuta amaikidwamo.
Pambuyo pokhazikitsa mlingo wa insulin, njira yopatsanulira imadzuka.
Nditatulutsa singano ku kapu, singano ndikuyiyika, ndikuyigwira pakadutsa 70-90 madigiri.
Pakani batani jakisoni wa mankhwala kwathunthu.
Pambuyo pa jekeseni, singano yomwe imagwiritsidwa ntchito iyenera kusintha ndi ina yatsopano, kuiteteza ndi kapu yapadera.

Zabwino komanso zoyipa za cholembera

Zilonda zopangidwa ndi cholembera chindapusa zimapatsa wodwalayo chochepera.
Cholembera chachingwe chitha kumavalidwa m'thumba la m'mawere, chimapulumutsa wodwala wodalira insulini pakufunika kotenga botolo lalikulu ndi insulin.
Makatoni am'kati mwa syringe ndi yaying'ono, koma lalikulu: zomwe zili m'masiku atatu kapena atatu.
Kuti mupeze insulini ndi cholembera, wodwala safunikiranso kuchotsa.
Odwala omwe ali ndi vuto losaona amatha kukhazikitsa mlingo wa mankhwalawa osawoneka, koma mwa kuwonekera pa dosing. Ma jakisoni omwe amafunikira odwala akuluakulu, kudina kumodzi kuli kofanana ndi 1 PIECE ya insulin, mwa ana - 0,5 PESCES.

kulephera kukhazikitsa Mlingo wochepa wa insulin,
ukadaulo wopanga mwaluso,
mtengo wokwera
Kusokonekera kwachibale osati kudalirika kwambiri.

Mitundu yamtundu wa syringe wotchuka

Mtundu wodziwika kwambiri wa Novo Pen 3 wa kampani yaku Danish Novo Nordisk. Kuchuluka kwa cartridge - 300 PISCES, gawo la Mlingo - 1 PISCES. Ili ndi zenera lalikulu komanso sikelo yomwe imalola wodwalayo kuti azilamulira kuchuluka kwa mahomoni omwe atsalira mu cartridge. Imagwira pamitundu yonse ya insulin, kuphatikiza mitundu isanu ya zosakanikirana zake. Mtengo - 1980 rubles.

Chachilendo cha kampani yomweyo ndi mtundu wa Novo Pen Echo, wopangidwa makamaka kwa odwala ang'ono ndikulola kuyeza kuchuluka kwa insulin. Mlingo wa miyeso ndi mayunitsi 0,5, ndipo muyezo umodzi wapamwamba ndi magawo 30. Kuwonetsera kwa jakisoni kumakhala ndi chidziwitso cha kuchuluka kwa gawo lomaliza la timadzi ndi nthawi yomwe yadutsa jekeseni. Mulingo wogawaniza umakhala ndi ziwerengero zochulukirapo. Phokoso lomaliza mukamaliza jakisoni limveka kwambiri. Mtunduwu umakhala ndi ntchito yachitetezo, ndikuchotsa mwayi wokhazikitsa mlingo wopitilira timadzi totsalira mu katiriji wochotsa. Mtengo wa chipangizocho ndi ma ruble 3,700.

Zitsanzo ndi zosiyana

Zidachitika pamsika wamankhwala kuti wopanga insulini apange chida choyambitsa. Masiku ano mu pharmacy pamakhala cholembera cha insulin kuchokera kwa opanga otsatirawa:

Eli Lilly,
NovoNordisk,
Sanofi-Aventis et al.

Makampani awa amatulutsa syringes zothetsera insulin yopanga zawo, komanso zolembera za syringe zotayika zimapezeka kwa odwala. Ma insulini ambiri amabwera m'matumba opindulitsa a jakisoni.

Mtundu uliwonse wa cholembera ndi woyenera mtundu wa insulin inayake. Mwachitsanzo, ndi zolembera za NovoNordisk mutha kubaya insulini yokha yopangidwa ndi kampani iyi: NovoRapid, Aktrapid, Levemir. Syringe cholembanso HumaPenLuxura ku kampani Eli Lilly ndi yoyenera insulin Humulin Regular, Humulin NPH. Syringe cholembera Solostar cholinga chake ndi kukhazikitsa mankhwala Lantus ndi Apidra.

Sizingatheke kubaya inshuwaransi ya NovoNordisk ndi zolembera zochokera ku Lilly pa chifukwa chimodzi chokha - kapangidwe ka cholembera (vial-ampoule) cha mtundu umodzi sikuloleza kuphatikizidwa mu chipangizo cha mtundu wina. Chifukwa chake, pansi pa insulin ya mtundu uliwonse, chida chobweretsa mtundu wofananira chimasankhidwa. Njira yosavuta ndikusankha insulini yolongedza cholembera. Koma yankho lotere silabwino kwa aliyense ndipo osati nthawi zonse.

Kodi pali kusiyana kotani pakati pa zolembera za syringe (zotayika, zosinthika)?

Cholembera chotayika, chomwe chimaphatikizidwa ndi insulin, ngati phukusi komanso chida cha jakisoni, chimakhala ndi gawo limodzi la jekeseni la 1 unit (pafupipafupi 2 mayunitsi). Izi zikutanthauza kuti mulingo wa insulin ungathe kuyerekezera zochulukitsa izi. Mutha kulowa mu 1-2-3-4-5, etc. mayunitsi panthawi. Koma zolembera za insulin zotayika zilibe gawo loyambitsa 0,5. Ndipo izi ndizosavomerezeka ngati pakufunika kuwerengedwa kolondola, kuphatikiza gawo lomwe lili ndi mayunitsi angapo. Mapensulo ogwiritsanso ntchito syringe (si onse) akuwonetsa zotheka kuwerengetsa mulingo. Mwachitsanzo, injector ya NovoNordisk Novo pen Echo ili ndi kutsika kochepa kwa 0,5. Ndipo izi zikutanthauza kuti zitheke kupatsa insulin mu Mlingo wa 0.5-1.5-2.5-3.5. Ngati ndi kotheka, mutha kulowa mayunitsi awiri kapena atatu mpaka atatu kapena atatu.

Komanso, mtundu wa chida chothandizira kuperekera insulin nthawi zambiri chimakhala ndi zosankha zina. Mwachitsanzo, HumaPen Luxura DT ndi NovoPen Echo ali ndi kukumbukira kwakumbukira. Pachitetezo cha zolembera izi pali chikwangwani chocheperako chomwe mlingo womalizira unalowa (kukula kwake m'mayunitsi) kuwonetsedwa. Kugwiritsa ntchito cholembera chotere, ndizosatheka kuiwala kuchuluka kwa insulini yomwe idalowa mu jekeseni kwambiri. Palinso zolembera zomwe zimakupatsani mwayi kuti mutsatire osati zomaliza zokha, komanso nthawi ya kayendetsedwe kake.

Zina zomwe ndizothandiza cholembera chosakanizira, mutha kumvetsetsa mwachindunji panthawi yomwe ikugwira ntchito. Njira yoperekera insulin mu majakisoni oterewa imagwira ntchito modekha. Palibe kung'amba, kukuntha kumveka pakumveka pisitoni. Makina omveka, aunifolomu okha, omwe amawonetsa kuchuluka kwa "masitepe" a kipimo, ndi kupepuka, kuthamanga kwa njira - jakisoni. Kugwiritsa ntchito chida chobwezeretsera matenda a shuga ndichosangalatsa.

Syringe singano

Ambiri adzafunsa, koma kodi mitundu yonse ili ndi singano zoyenera, zopyapyala? Kupatula apo, odwala matenda ashuga olipiridwa ndi insulin amadziwadi kufunika kwa singano yopanda jakisoni wopanda vuto komanso womasuka. Pankhaniyi, zonse ndizosavuta. Pafupifupi singano zonse (zamtundu uliwonse) zomwe zimapangidwa kuti zizigwiritsidwa ntchito ndi cholembera cha insulin zingakwaniritse chipangizocho popanda mawu. Ine.e. mwamtheradi, ziribe kanthu kuti ndi insulin ndi cholembera chiti, mungatenge zinthu ngati zomwezo ndi zokwanira. Chofunikira kwambiri ndikuti pakhale ma singano a zolembera za syringe.

Cholembera chindapusa: mtengo

Mtengo wa chida cha jakisoni wa insulinyu umasiyanasiyana kuchokera ku ma ruble 1200 mpaka ma ruble 15000. Msika wamakono umapereka zolembera zama syringe kuchokera kosavuta, komwe kumangokhala ntchito yothandiza ndi kuyendetsa mankhwalawo, mpaka zovuta kwambiri, kukumbutsa za mlingo womwe waphonya, wokhala ndi kukumbukira komanso chizindikiro chomveka.

Mtengo wapakatikati wamapeni a syringe ndi ma ruble 2100. Ndilo mtengo wa imodzi mwazodziwika kwambiri za insulin zamakampani a Danish NovoNordisk - Novopen Echo. Cholembera cha syringe "Rinsulin Comfort cholembera" chopangidwa ku Russia, chopangidwa kuti chizigwiritsidwa ntchito ndi analogue ya Russia, chimatengera ma ruble 1400-1500. Ili ndiye mtengo wotsikira wa chipangizo chotere. Mtundu umodzi wapamwamba kwambiri wa Pendiq 2.0 masiku ano umawononga ndalama pafupifupi ma ruble 15,000. Ichi ndi cholembera cha digito chokhala ndi gawo la 0,1, chomwe chingagwiritsidwe ntchito ndi mitundu ingapo ya insulin (Sanofi Aventis, Novo Nordisk, Lilly).

Kodi mungasankhe bwanji cholembera?

Monga akunenera, matenda ashuga ndi matenda amodzi, ndiye kuti, aliyense amakhala ndi njira yake. Njira ndi zida zoperekera chipukuta misozi zimasankhidwanso payokha. Dongosolo lambiri lazinthu ndi mankhwala osankha oyamba amalimbikitsidwa ndi adokotala. Koma, komanso mukuwonekera kwa kusinthika kwa njira zoperekera ndalama, wodwalayo mwiniyo kapena makolo ake amamvetsetsa ngati tikulankhula za anthu ochepa odwala matenda ashuga.

Mukamasankha syringe cholembera insulin, tikulimbikitsidwa kuti muganizire mfundo izi:

Zaka zodwala - ana amalimbikitsidwa kuti asankhe mtundu womwe umakulolani kuti mulowe Mlingo yaying'ono ya mayunitsi a 0-0-05 - 0,5.
Kutalika kwa matenda ashuga - kuchuluka kwa Mlingo ndipo, kuchulukana kwa gawo la kayendetsedwe kumatengera zomwe akumana nazo. Pokhala ndi zochepa zazomwe mumamwa, ndibwino kuti musinthe magawo a 0-1-1 mayunitsi. Ndi chithandizo chachikulu, odwala nthawi zambiri amasintha mankhwalawo molimba mtima. Komabe, mfundozi zimakambirana bwino ndi dokotala.
Mtundu wa insulin yomwe imagwiritsidwa ntchito - popanga mtundu uliwonse, zolembera zosiyana ndi zina zomwe zilipo.
Zosowa za wodwala - kwa anthu ena cholembera chokhazikika chimakhala chokwanira, ena amagwiritsidwa ntchito mosamala kuti alandire nkhani za chipukuta misozi ndipo akufunafuna chida chomwe chili ndi ntchito zowonjezera (kukumbukira, blubuu, chikumbutso).

Zina ziyenera kuzikidwa pamsika. Mitengo yofunikira, mitundu yazinthu zatsopano. Popeza taphunzira mwatsatanetsatane zomwe zanenedwazo mwatsatanetsatane, aliyense wodwala matenda ashuga azitha kusankha cholembera, chomwe chikhala chida chothandiza komanso chothandiza pobweretsa mankhwala ofunikira.

Ndikofunikira kudziwa kuti nthawi zambiri ndi zovuta insulin mankhwala, ma syringe awiri ofunikira amafunikira. Imodzi ya insulin yayitali, yachiwiri pakukhazikitsa milingo ya chakudya (yaifupi, ya ultrashort) ya insulin.

Unikani: Novo Nordisk NovoPen 4 Insulin Syringe cholembera - Zomwe Zapitapo.

Ndipo flekspen kapena quikpen - cholembera chotayika ndi penfil chokhazikitsidwa kale. Kenako, ma singano otayika amalasidwa pazonse izi.

Inemwini, sindikumvetsa kuti chifukwa chiyani maulendo amodzi nthawi yomweyo, ngati cholembera cha syringe chikuwoneka bwino ndikugwira ntchito popanda kudandaula. Flekspen ndi yemweyo, pulasitiki yokha. Izi ndi zochuluka motani zomwe zimapangidwa?
Cholembera cha sindanoPen 4 ndi cholembera cha insulin chopangidwa ndi Novo Nordisk (Denmark). M'malo mwanga, ndi Novorapid. Pakhala pali Protofan, koma amasinthana ndi insulin ina - kuchokera ku kampani Sanofi, ndipo pamenepo, zolembera zochokera ku sanofi. Yoyeneranso ku Actrapid ndi Novomikst.
Chogwiririra chikubwera pamenepa:

Ndi zomwe Penfil (cholembera chinalembeka, NovoPen3 ndi NovoPen4 amawoneka)

Choikiracho chimakhala ndi gawo la makina

chofukizira flekspen,

Pomwe ma singano otayika ndi chipewa chovulazidwa.

Kapangidwe kamakina pali pistoni komanso kunja kwakukulu, yowerengeka bwino.

Kutsegula gawo lamakina muyenera kuyika mkati mwa flekspen. Musanabwezeretse ndodo ya piston mkati mwa gawo lamakina. Kuti muchite izi, kanikizani mutu ndodo njira yonse.

Mosiyana ndi chogwirizira cham'mbuyo cha kampani yomweyo, NovoPen 3. M'mbuyomu, kuti abwezeretse mutu wa tsinde mkati mwake unkayenera kupakidwa.

Kenako gawo lamakina ndi chogwirizirayo limasulidwira wina ndi mzake mpaka atadina. Pambuyo pake, singano imakunkhunizidwa pa cholembera, komwe chomata chimatichotsera. Pali zipewa zina ziwiri pa singano: zamkati ndi zakunja. Kunja nthawi yomweyo amaponyera pansi - chidole chabwino cha mphaka, ndikusiya mkati.

Panokha, sindisintha singano zotayika kwa masabata (kapena mwina miyezi).

Kuti muyike mlingo wofunikira pa NovoPen4, gawo lomwe likuzungulira liyenera kuchotsedwa, mosiyana ndi NovoPen3. Mutayimba muyeso wofunikira, cholembera cha syringe ndi chokonzeka kugwiritsidwa ntchito.

Chogwirira chokha chimapangidwa ndi chitsulo chosangalatsa ndipo chimawoneka bwino. Pa NovoPen4, zenera linakulitsidwa, manambala ndi akulu ndipo kumbuyo kwake ndi koyera mosiyana ndi NovoPen3.

Mlingo pakuwunika bwino, ngati simukufuna kuyatsa magetsi m'galimoto usiku, kapena kunyumba ngati ndinu aulesi kwambiri kuti mufikire switch, mutha kuyiyimira ndikudina. Kubwereza kamodzi - gawo limodzi la insulin.

Pa NovoPen4, kudina kumamveka ngakhale kumapeto kwa mlingo. Kachitatu, izi sizinali.

Cholembera cha syringe ndi choyenera kwa iwo omwe ali ndi gawo la 1 unit. Ngati gawo 0,5 ndi NovoPen Echo.

Mankhwala akaperekedwa, singano iyenera kuchepetsedwa kwa masekondi 10-20. Kupanda kutero, gawo la insulin limakhalabe m'bokosi. Ndipo atachotsa piston imafinya zotsalira mlengalenga.

Magawo khumi omaliza a piston alibe. Ndimachotsa ndi syringe yokhazikika ya insulin.

Chingwe ndichabwino kwambiri, chodalirika - mgodiwo uli kale ndi zaka zisanu ndi chimodzi. Cholembera kuchokera ku sanofi ndi chaka sichinakhale ndi ine. Akwatirana achi French, gwiritsitsani ma Danes pamkhalidwe wabwino. Inde, komanso ndi kapangidwe kake.
Kuyambira koyamba ndidapatsidwa "mabuluni" ndi insulin. Ndidadzigulira ndekha zotayira. Zinali zovuta. Ngakhale ndikuyerekeza ndi omwe amagwiritsa ntchito ma syringe, ndizabwinobwino. Ma cholembera nthawi zambiri amakhala kalasi.

Ndipo tsopano insulin imagawiridwa kokha m'mapensulo otayika - zikuwoneka kuti ndizothandiza kupanga pulasitiki yowonjezera. Inemwini, ndimaponyera cholembera chimodzi mu zinyalala sabata iliyonse, ndipo pali anthu omwe ali ndi mitundu yambiri. Komanso, alipo angati padziko lapansi.

Novopen 4 Syringe cholembera - Insulin In injor

Cholembera ndi chida chosavuta, chosavuta kugwiritsa ntchito chomwe chimawoneka ngati cholembera. Batani lozungulira limayikidwa kumapeto kwa chida ichi, ndipo singano imatuluka kuchokera mbali ina. Solo-phula imapangidwa ndi mkati mwake momwe mumakhala chidebe cha insulin, chotchedwa cartridge, kapena penfill, yomwe ili ndi 3 ml ya mankhwala.

Kuchokera pamawu pamsonkhanowu. "Mwana wanga wamwamuna wazaka khumi ndi zisanu, yemwe wakhala akudwala matenda a shuga kuyambira ali ndi zaka khumi ndi chimodzi, safuna kugwiritsa ntchito cholembera, akufotokozera kuti ma singano, ngakhale ndi ochepa thupi, koma amalumwa ndi ululu wambiri. Izi zimatsogolera ku insulin, sizikudziwika kuti adalandira mankhwalawa angati, ndipo adayika zochuluka motani. "Amagwiritsa ntchito ma syringe otayika, omwe kwa miyezi iwiri amapatsidwa zidutswa 100 + za singano zana."

Mapangidwe a zolembera amatanthauza kuphatikiza zonena zonse zomwe zalembedwazo. Zipangizozi, zodzazidwa ndi penfill, zimagwira ntchito chimodzimodzi ndi ma syringes, insulin yokha imatha kukhala ndi zinthu zambiri kotero kuti imatha kuperekedwa kwa masiku angapo. Kufunika kwa mankhwalawa kwa jakisoni aliyense amasinthidwa ndikusinthitsa gawo lomwe lili kumbuyo kwa chogwiriracho, mosamalitsa pa kuchuluka kwa madokotala.

Kukhazikitsa molondola mlingo wa insulin ndikosavuta kukonza. Popanda kutaya. Kuzunzidwa kwa insulin m'makalata ndi pafupipafupi: mayunitsi zana. 1 ml. Ngati katoni (kapena penfill) wadzaza kwathunthu ndi 3 ml, ndiye kuti mu mankhwalawa mulipo magawo 300. insulin Mtundu uliwonse wa zolembera sizingagwire ntchito ndi insulin kuchokera kwa wopanga wamba.

Kapangidwe ka cholembera (ndikadzisonkhanitsa) kumapereka chitetezo cha singano ndi mapewa awiri kuti asakumanane mwangozi ndi mawonekedwe ena. Izi zimapatsa mpumulo, chifukwa chazikulu za singano palibemo alarm pamene chogwirizira chili m'thumba lanu kapena chikwama. Pokhapokha pofunafuna jekeseni ndi pomwe singano imawululidwa. Ogulitsa lero pali ma cholembera a syringe omwe amapangira jakisoni wa Mlingo wosiyanasiyana ndi gawo lomwe limadutsa gawo limodzi komanso la ana - 0,5 mayunitsi.

Kufotokozera ndi mawonekedwe a cholembera cha insulin ya NovoPen 4

Musanagule ndikugwiritsa ntchito ndikofunikira kuti muzikambirana ndi katswiri.

Tikukupatsani kuti muwone kanema "Novopen" 4

Cholembera chimbale cha NovoPen 4 chomwe chagulidwa

Bokosi la Penfill limayikidwa ndi kapu yokhala ndi code yotsogola ku bokosi la cartridge,
gawo lamakina limasungidwa mwamphamvu kwa cholembera ndi kotembenukira nthawi imodzi mpaka litadina,
singano yatsopano imayikidwa
Zovala zonse ziwiri za singano zimachotsedwa, jakisoni amatsatira malo ndi singano mmwamba,
ma air Bubulo amasulidwa ku cartridge.

Ndemanga za ogwiritsa ntchito phula la syringe."Zosokoneza ndikuti ma doses ndi ochulukitsa a 1. Njira zopangira ntchito ndikutaya dontho ndikwabwino poyerekeza ndi Flex, Demi ndi Troika."

Koma ndi chidziwitso chiti chomwe chimafalitsidwa ndi zotsatsa za kampani yopanga mankhwala ku Danish Novo Nordisk:

Chowonetsera chomwe chili ndi manambala chikuwonjezeka katatu, ngakhale manambala - akulu, osamvetseka - ang'ono.
Kutembenuka kotala kumafunikira kuchotsa cholembera.
Kukanikiza batani lolowetsera mlingo kulibe ntchito.
Mapeto ake a mankhwalawa amayendetsedwa ndikudina.
Cholembera cha syringe NovoPen 4 chimawoneka chofanana ndi NovoPen 3 chokhala ndi chitsulo komanso kudzazidwa kwa pulasitiki. Amapezeka mumitundu iwiri - siliva ndi buluu - mitundu yosiyanasiyana ya insulin.
Kutsimikizika kopezeka kwa mlingo woyenera wa zaka 5.
Kubwerera kwa piston ku malo ake oyambira mukasinthira cartridge kumatheka kokha - popanda kusinthanitsa gudumu, kukanikiza chala mpaka kudina.
Batani lotsekera limakhala ndi chidule.
Diyala ya dial yoyendetsa imazungulira mbali ina.
Mlingo wa Mlingo umodzi umachitika mosiyanasiyana mu umodzi. - 60 mayunitsi

Wogwiritsa ntchito "Kuchulukitsa kwa gawo limodzi la 1 unit ndi cholembera. Ndizosatheka kupotoza mlingo, monga 0. 25 Chifukwa chakufuna kukhala ndi mtengo wogawika wa magawo 0,5. Chifukwa cha kukonzekera, anthu anali ofunitsitsa kugula NovoPen 3 ndi Demi. ”

Kuunika kwa chipangizocho chomwe chatumizidwa pamaneti:

Katya. "Imagwira ntchito nthawi zonse, ndikangobayira jakisoni watsopano aliyense, ndikasintha singano yatsopano kukhala yatsopano. Zogwiritsidwa ntchito kupulumutsa, osasintha. Zinapezeka kuti insulini imatsala mkati mwa singano yomwe imagwiritsidwa ntchito, yomwe imabowola singano chifukwa cha crystallization. "Ndinakonza vuto ndi cholembera - osasunga singano, tulutsani singano yakale, ikani yatsopano musanabaye jekeseni."

Valery. "Cholembera choyipa kwambiri. Mukakhazikitsa cartridge yatsopano, monga amafunikira malangizowo, muyenera kuwonetsa (kuyika) zigawo 4 ndikuzitaya kuti mulingo woyenera upitirire. ZISADZIWE IZI! Insulin ikupita LACHITATU KUSINTHA KWAMBIRI KOPOSA KWAMBIRI. Cholembera chimadzetsa chiwopsezo cha moyo! ”

Kodi ndingabaye insulin ndi singano iti? Tikukudziwitsani mwachidule za singano za Micro-Fine Plus, zabwino zake ndizosatsutsika:

Kuti muchepetse kuvulala - mutalumidwa - nsonga ya singano imadutsa chopepuka cha laser ndikuwongolera kawiri pamwamba ndi mafuta.
Kuwonekera kwa singano kumachulukitsidwa chifukwa chogwiritsa ntchito ukadaulo wopanga-wokhala ndi khoma, womwe umachepetsa ululu ndikukhazikitsa insulin.
Kuphatikiza kwa singano ndi cholembera kumatulutsidwa ndi ulusi.
Mndandanda waukulu wa singano m'mimba mwake: 31, 30, 29 G ndi kutalika: 5, 8, 12, 7 mm ndipo umathandizira pakusankha njira za jakisoni malinga ndi msinkhu, index yam'mimba ndi jenda.
Singano ya 5 mm ndiyabwino kwambiri kupangira ana omwe ali ndi matenda ashuga, kwa akulu akulu omwe ali ndi ziwengo ndi achinyamata.

Cholembera cha syvoge ya NovoPen 4 chitha kuphatikizidwa ndi insulin iliyonse kuchokera ku kampani yopanga mankhwala ku Danish Novo Nordisk - Novomiks, Aktrapid NM, Protofan NM, Novorapid, Mikstard 30 NM, Levemir, etc.

Anthu olumala owoneka bwino adzapatsidwa jakisoni ndi mlingo wofunikira pa Novopen 4 yokhala ndi mayendedwe amanjenje. Wogwiritsa ntchito adzamvanso ngati wavulaza kapena sangathe, mlingo wa insulin yomwe watenga.

Kuphatikiza ndi singano zonse kumaperekedwa kwa zolembera zilizonse.

Odwala omwe ali ndi matenda a shuga nthawi zambiri amayenera "kukhala" pa insulin. Kufunika kwa jakisoni wosalekeza kumakhumudwitsa anthu odwala matenda ashuga, chifukwa kupweteka kosalekeza kwa jakisoni kwa ambiri kumakhala kupsinjika kosalekeza. Komabe, pazaka 90 kukhalapo kwa insulin, njira zomwe amayang'anira ntchito zake zasintha kwambiri.

Kupeza kwenikweni kwa odwala matenda ashuga kunali koyamba kwa cholembera cha Novopen chophweka kwambiri komanso chosavuta kwambiri. Mitundu iyi yamakono sikuti imangopindula komanso kuthandizira, komanso imakupatsani mwayi wokhala ndi insulini m'magazi popanda kupweteka.

Kodi nzeru zapadziko lonse lapansi zamankhwala ndi zamankhwala, momwe mungagwiritsire ntchito, ndi mtundu wanji wa insulin yomwe cholembera 4 ndicoyenera.

Ma cholembera a syringe adawonekera mu malo ogulitsira mankhwala ndi zida zamankhwala pafupi zaka 20 zapitazo. Zambiri mwa "zozizwitsa zamakono" izi zimayamikiridwa ndi iwo omwe ayenera "kukhala pa singano" ya moyo - odwala matenda ashuga.

Kunja, syringe yotere imawoneka yokongola komanso imawoneka ngati cholembera cha akasupe a piston. Kuphweka kwake ndikodabwitsa: batani limayikidwa kumapeto amodzi a pisitoni, ndipo singano imatuluka kuchokera mbali inayo. Kathumba (kathumba) kamene kamakhala ndi insulini ya 3 ml amamuikika mkati mwa syringe.

Kukulitsa kamodzi kwa insulin nthawi zambiri kumakhala kokwanira kwa odwala kwa masiku angapo. Kutembenuka kwa dispenser mu gawo la mchala wa syringe kumasintha kuchuluka kwa mankhwala kwa jakisoni aliyense.

Ndikofunikira kwambiri kuti cartridge nthawi zonse imakhala ndi insulin yambiri. 1 ml ya insulin ili ndi ma PISCES a 100 a mankhwalawa. Mukadzazitsa katoni (kapena penfill) ndi 3 ml, ndiye kuti pakhale inshuwaransi 300 ya insulin. Chofunikira pa zolembera zonse za syringe ndiko kuthekera kwawo kugwiritsa ntchito insulin kuchokera kwa wopanga m'modzi yekha.

Katundu wina wapadera wa zolembera zonse za syringe ndi kuteteza singano kuti isakhudzike mwangozi ndi malo osabala. Singano mumitundu iyi ya syringe imawululidwa pokhapokha jakisoni.

Mapangidwe a zolembera za syringe ali ndi mfundo zofananira za kapangidwe kazinthu zawo:

Nyumba yolimba yokhala ndi malaya a insulin omwe adayikidwira dzenje. Thupi la syringe ndi lotseguka mbali imodzi. Pamapeto pake pali batani lomwe limasinthasintha kuchuluka kwa mankhwalawo.
Kupereka 1ED ya insulini, muyenera kubwereza batani limodzi mthupi. Kukula kwa ma syringes amapangidwe awa kumveka bwino komanso kuwerenga. Izi ndizofunikira kwa opuwala, okalamba ndi ana.
Mu syringe thupi pali malaya momwe singano imakhalira. Mukatha kugwiritsa ntchito, singano imachotsedwa, ndipo kapu yodziteteza imayikidwa syringe.
Mitundu yonse ya zolembera zama syringe imasungidwa mwapadera kuti izisungidwa bwino komanso mayendedwe otetezeka.
Mapangidwe a syringeyi ndi oyenera kugwiritsidwa ntchito pamsewu, kuntchito, komwe zosokoneza zambiri komanso kuthekera kwazovuta zaukhondo nthawi zambiri zimagwirizanitsidwa ndi syringe wamba.

Novopen 4 amatanthauza mbadwo watsopano wa zolembera za syringe. Pofotokozeratu izi: akuti insulin pen novopen 4 imadziwika ndi zomwe:

Kudalirika komanso kuphweka
Kupezeka kwa ana ngakhale okalamba,
Chizindikiro chowoneka bwino cha digito, chokulirapo katatu komanso chakuthwa kuposa mitundu yakale,
Kuphatikiza kwamwambamwamba komanso bwino,
Zovomerezeka za wopanga kwa zaka zosachepera zisanu za ntchito yapamwamba kwambiri pamtunduwu wa syringe komanso kulondola kwa insulin,

Makhalidwe abwino ambiri a injector ya Novopen 4 amaloleza kusintha kwambiri moyo wa odwala omwe ali ndi matenda ashuga.

Chifukwa chiyani syringe pen novopen odwala 4 a shuga

Tiyeni tiwone chifukwa chake syringe pen novopen 4 ndiyabwino kuposa syringe yotayika yokhazikika.

Kuchokera pamawonekedwe a odwala ndi madotolo, cholembera chilinganizo chomwechi chimakhala ndi zotsatirazi kuposa mitundu ina yofananira:

Kupanga kolimba ndi kufanana kwakukulu ndi chida cha pisitoni.
Mulingo wokulirapo komanso wowonekera bwino ungagwiritsidwe ntchito ndi okalamba kapena olumala.
Pambuyo pa jakisoni wa kuchuluka kwa insulini, cholembera cha syringe chija chimangowonetsa izi ndikudina.
Ngati mlingo wa insulin sunasankhidwe molondola, mutha kuwonjezera kapena kupatula gawo lina lake.
Mutatha kuwonetsa kuti jakisoni wapanga, mutha kuchotsa singano pokhapokha masekondi 6.
Pa mtundu uwu, zolembera za syringe ndizoyenera kokha ma cartridge apadera opangidwa (opangidwa ndi Novo Nordisk) ndi singano zapadera zotayika (kampani ya Novo Fine).

Ndi anthu okhawo omwe amakakamizidwa kupirira mavuto kuchokera ku jakisoni omwe angayamikire zabwino zonse za mtunduwu.

Syringe pen novopen 4 ndi "yaubwenzi" ndi mitundu ya insulin yopangidwa kokha ndi Danish kampani Novo Nordisk:

Kampani yaku Danish ya Novo Nordisk idakhazikitsidwa kale mu 1923. Ndizachikulu kwambiri pamakampani opanga mankhwala ndipo amagwira ntchito popanga mankhwala ochizira matenda akulu (hemophilia, matenda a shuga, etc.) Kampaniyi ili ndi mabizinesi m'mayiko ambiri, kuphatikizapo ndi ku Russia.

Mawu ochepa onena za insulini za kampaniyi omwe ali oyenera ndi injopen 4:

Timapereka malangizo a pang'onopang'ono pokonzekera gawo la Novopen 4 cholembera insulin:

Sambani m'manja musanalowe jakisoni, ndiye kuti chotsani kapu yotetezera komanso chosasunga katoni kuti tisasunge.
Kanikizani batani mpaka pansi kuti tsinde likhale mkati mwa syringe. Kuchotsa katoni kumapangitsa kuti tsinde lisunthe mosavuta komanso popanda kukakamizidwa ndi pistoni.
Onani kukhulupirika kwa cartridge ndi kuyenerera kwa mtundu wa insulin. Ngati mankhwalawo ndi mitambo, ayenera kusakanikirana.
Ikani katiriji muchogoba kotero kuti kapu imayang'ana kutsogolo. Sungani katiriji pachifuwa mpaka chidachepa.
Chotsani kanema woteteza ku singano yotaya. Kenako ikani singano kumutu wa syringe, pomwe pali mtundu wamitundu.
Tsekani chingwe cholumikizira mu singano ndikukweza magazi kuchokera pagulupo. Ndikofunikira kusankha singano yotaya ndikuyang'ana momwe mulifupi ndi kutalika kwa wodwala aliyense. Kwa ana, muyenera kutenga singano zoonda kwambiri. Pambuyo pake, cholembera sichingakonzeka kubayidwa.
Zilembozozo zimasungidwa kutentha nthawi yayitali, kutali ndi ana ndi nyama (makamaka mu nduna yotsekedwa).

Kuphatikiza pa kuchuluka kwa zabwino, zachilendo zazomwe zili ngati syringe pen novopen 4 zili ndi zovuta zake.

Pakati pazofunikira, mutha kutchula mayina a izi:

Kupezeka kwa mtengo wokwera bwino,
Kupanda kukonza
Kulephera kugwiritsa ntchito insulin kuchokera kwa wopanga wina
Kupanda kugawanika kwa "0.5", komwe sikuloleza aliyense kugwiritsa ntchito syringe iyi (kuphatikiza ana),
Milandu yodalitsika ya mankhwala kuchokera ku chipangizocho,
Kufunika kokhala ndi ma syringe angapo, omwe ndi okwera ndalama.
Kuvuta kopanga syringe iyi kwa odwala ena (makamaka ana kapena okalamba).

Cholembera cha insulin ya novopen 4 insulin chitha kugulidwa ku malo ogulitsa mankhwala, m'masitolo azida zamankhwala, kapena kutsegula pa intaneti. Anthu ambiri amalamula ma syringes amtunduwu wa insulini ogwiritsira ntchito masitolo kapena mapulaneti apaintaneti, chifukwa si onse a Novopen 4 omwe akugulitsidwa m'mizinda yonse ya Russia.

Mwachidule, titha kunena kuti insulin ya insulin ya Novopen 4 ndiyenera kuyang'ana kwambiri ndipo ikufunika kwambiri pakati pa odwala. Mankhwala amakono sanawone ngati matenda ashuga nthawi yayitali, ndipo mitundu yosinthika yotere yasintha kwambiri miyoyo ya odwala omwe akhala akugwiritsa ntchito insulin kwazaka zambiri.

Zina mwa zolephera zamtunduwu za syringe ndi mtengo wake wokwera mtengo sizitha kuphimba mbiri yawo yoyenera.

Anthu omwe ali ndi matenda amtundu 1 amayenera kumwa jakisoni wa insulin nthawi zonse. Popanda iwo, ndizosatheka kutulutsa glycemia.

Chifukwa cha zotukuka zamakono pankhani zamankhwala ngati cholembera, kupanga jakisoni tsopano kwakhala kopweteka. Chimodzi mwa zida zotchuka kwambiri ndi mitundu ya NovoPen.

Ma cholembera a syringe ndi otchuka kwambiri pakati pa anthu omwe ali ndi matenda ashuga. Kwa odwala ambiri, amakhala zida zofunikira kwambiri zomwe zimapangitsa kuti jakisoni azilowa mosavuta.

Chogulitsiracho chimakhala ndi mkati mwake momwe makatiri amaikidwa. Chifukwa cha chothandizira chapadera chomwe chimapezeka m'thupi la chipangizocho, ndizotheka kupereka mlingo wa mankhwala ofunikira kwa wodwalayo. Cholembera chimapangitsa kuti chitha kupanga jakisoni wokhala ndi magawo 1 mpaka 70 a mahomoni.

Kumapeto kwa cholembera kuli bowo lapadera lomwe mutha kuyikamo cartridge ya Penfill ndi mankhwalawo, kenako ndikulowetsa singano kuti mupangeko.
Chimaliziro chakumaso chimakhala ndi dispenser yomwe ili ndi gawo la 0.5 kapena 1 unit.
Choyambira batani ndikuyendetsa mwachangu mahomoni.
Masingano otayika omwe amagwiritsidwa ntchito pokonza jakisoni amathandizidwa ndi silicone. Kufunda kumeneku kumabweretsa kubowola kosapweteka.

Kuchita kwa cholembera ndikofanana ndi ma syringes achizolowezi. Mbali yodziwika bwino ya chipangizochi ndi kukhoza kuchita jakisoni kwa masiku angapo mpaka mankhwala omwe amapezeka mu cartridge atatha. Pakusankha mulingo woyenera, mutha kusinthidwa mosavuta osasiya magawo omwe akhazikitsidwa kale pamakala.

Ndikofunikira kugwiritsa ntchito zomwe kampaniyo imapanga yomwe imapangitsa insulansi yomwe adokotala amawalimbikitsa. Makatoni kapena cholembera chilichonse amayenera kugwiritsidwa ntchito ndi wodwala m'modzi yekha.

Zolembera za NovoPen insulin ndizophatikizana zomwe akatswiri odetsa nkhawa omwe akutsogolera komanso othandizira odwala matenda ashuga. Kit ndi chogulitsiracho chili ndi malangizo ake, omwe amafotokozera mwatsatanetsatane magwiridwe antchito a chipangizocho ndi momwe amasungidwira. Cholembera cha insulin ndi chosavuta kugwiritsa ntchito, chifukwa chake chimawonedwa ngati chida chosavuta kwa onse akulu ndi odwala ang'onoang'ono.

Kuphatikiza pa zabwino zake, malonda awa amakhalanso ndi zovuta:

Ma hand sangakonzeke pakaonongeka kapena kuwonongeka kwakukulu. Njira yokhayo ndikusintha chida.
Chogulacho chimatengedwa ngati chodula poyerekeza ndi syringes wamba. Ngati pakufunika kuchitira insulin mankhwala kwa odwala omwe ali ndi mitundu ingapo ya mankhwalawa, pamafunika kugulidwa kwa zolembera zosachepera ziwiri, zomwe zingakhudze bajeti ya wodwalayo.
Popeza kuti ndi odwala ochepa omwe amagwiritsa ntchito zinthu ngati izi, odwala matenda ashuga ambiri alibe chidziwitso chokhudza mawonekedwe ndi malamulo ogwiritsira ntchito pa chipangizocho, motero sagwiritsa ntchito zida zatsopano poperekera chithandizo.
Palibe mwayi wosakanikirana ndi mankhwalawa malinga ndi malangizo azachipatala.

Mapensulo a NovoPen amagwiritsidwa ntchito molumikizana ndi makatiriji kuchokera kwa opanga NovoNordisk okhala ndi mahomoni ndi ma singano otayika a NovoFayn.

Musanagwiritse ntchito, muyenera kudziwa mtundu wa insulin yomwe ndi yoyenera. Wopangayo amapereka mitundu yosiyanasiyana ya zolembera zomwe zimawonetsera kuti ndi mankhwala ati omwe amapangidwira.

Zodziwika kuchokera ku kampaniyi:

Zomwe mungagwiritse ntchito Novopen 4 ma handel:

Kutsiliza kwa kayendetsedwe ka mahomoni kumayendetsedwa ndi chizindikiro chapadera chamawu (dinani).
Mlingo ungasinthidwe ngakhale mutayika molondola kuchuluka kwa mayunitsi, omwe sangakhudze insulin.
Kuchuluka kwa mankhwala omwe amaperekedwa nthawi imodzi amatha kufikira 60 magawo.
Mulingo wogwiritsidwa ntchito kukhazikitsa mlingo uli ndi gawo limodzi.
Chipangizocho chimatha kugwiritsidwa ntchito mosavuta ndi odwala okalamba chifukwa cha chithunzi chachikulu cha manambala pa dispenser.
Pambuyo jakisoni, singano imatha kuchotsedwa pokhapokha masekondi 6. Izi ndizofunikira pakukonzekera kwathunthu kwa mankhwalawa pakhungu.
Ngati m'mbale mulibe timadzi tam'matumbo, chotulutsa sichimasuntha.

Zapadera za zolembera za NovoPen Echo:

ili ndi kukumbukira ntchito - ikuwonetsa tsiku, nthawi ndi kuchuluka kwake kwa kuchuluka kwa mahomoni omwe akuwonetsedwa,
Mlingo wa mgawo ndi mayunitsi 0,5,
pazoyenera zovomerezeka zakuperekedwa kwa nthawi imodzi ndi magawo 30.

Zipangizo zoperekedwa ndi wopanga NovoNordisk ndizolimba, zimawonekera ndi kapangidwe kake kolimba ndipo ndizodalirika. Odwala omwe amagwiritsa ntchito zinthu ngati izi amadziwa kuti palibe zoyesayesa zilizonse zofunika kuchita jakisoni. Ndikosavuta kukanikiza batani loyambira, lomwe ndi mwayi wopitilira zolembera zam'mbuyomu. Zogulitsa zomwe zili ndi cartridge yomwe idayikidwa ndizoyenera kugwiritsa ntchito kulikonse, ndizofunika kwambiri kwa achinyamata achinyamata.

Kanema wokhala ndi mawonekedwe ofanana ndi zolembera zama syringe ochokera kumakampani osiyanasiyana:

Kugwiritsa cholembera cha insulin kuyenera kusamala. Kupanda kutero, kuwonongeka kulikonse kungakhudze kulondola ndi chitetezo cha jekeseni. Chachikulu ndikuwonetsetsa kuti chipangizocho sichikugwedezeka pamtunda wolimba ndipo sichigwa.

Malamulo oyendetsera:

Singano zimayenera kusinthidwa pambuyo pa jekeseni aliyense, onetsetsani kuti mumavala chipewa chapadera kuti musavulaze ena.
Chida chomwe chili ndi cartridge yathunthu chizikhala m'chipinda mozama kutentha.
Ndikwabwino kusungitsa chinthucho kwa anthu osawadziwa pakuchiyika pamlandu.

Dongosolo la jakisoni:

Malangizo a kanema pokonzekera jekeseni wa insulin:

Ndikofunikira kumvetsetsa kuti ma singano otayika ayenera kusankhidwa payekhapayekha, potengera zaka ndi mawonekedwe a thupi.

Vinogradov V.V. Tumors ndi ma cysts a kapamba, State Publishing House of Medical Literature - M., 2016. - 218 p.
Petrides Plato, Weiss Ludwig, Leffler Georgia, Wyland Otto Shuga, Mankhwala -, 1980. - 200 p.
Manukhin I. B., Tumilovich L. G., Gevorkyan M. A. Gocrecological endocrinology. Nkhani zamankhwala, GEOTAR-Media - M., 2014. - 274 p.
Kogan-Yasny V.M. Matenda a shuga, State akufalitsa nyumba ya mabuku azachipatala - M., 2011. - 302 p.
Lodewick P.A., Biermann D., Tuchey B. Mwamuna ndi shuga (otanthauziridwa kuchokera ku Chingerezi). Moscow - St. Petersburg, Binom Publishing House, Nevsky Dialect, 2001, masamba 254, makope 3000.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.