Momwe mungasungire insulin kunyumba

Ndizodziwika bwino kuti insulini ndi mahomoni a protein. Kuti insulini igwire bwino ntchito, siyiyenera kuyatsidwa ndi kutentha kotsika kwambiri kapena kutentha kwambiri, komanso sikuyenera kugwa ngati lakuthwa pang'ono. Izi zikachitika, insulini imayamba kugwira ntchito, motero osathandiza.

Insulini imalekerera kutentha kwa chipinda. Opanga ambiri amalimbikitsa kusunga insulini pamtunda wofunda (osapitirira 25-30 °) kwa milungu yopitilira 4. Pa kutentha kwa firiji, insulin imataya mphamvu yochepera 1% ya mphamvu yake pamwezi. Nthawi yosungidwa ya insulini imangokhudza kusamalira mphamvu zake kuposa mphamvu. Opanga amalimbikitsa kuyika chizindikiro pa zilembedwe tsiku la kudya koyamba kwa mankhwala. Ndikofunikira kuwerenga malangizo kuchokera pakukhazikitsa insulin yamtundu womwe umagwiritsidwa ntchito, ndipo samalani ndi tsiku lotha ntchito pa botolo kapena cartridge.

Chomwe chimachitika nthawi zonse ndikusunga insulini mufiriji (4-8 ° C), ndi botolo kapena cartridge lomwe likugwiritsidwa ntchito panopo kutentha.

Osayika insulini pafupi ndi mufiriji, popeza simalola kutentha kukhala pansi + 2 °

Mutha kusunga ma insulin otsekedwa mufiriji kufikira nthawi yomwe mankhwalawo atha. Moyo wa alumali wa insulin yotsekedwa ndi miyezi 30-36. Nthawi zonse yambirani ndi wachikulire (koma osamaliza!) Maphukusi a insulini kuchokera pazomwe mwapeza.

Musanagwiritse ntchito katemera watsopano wa insulin / vial, futhetsani kutentha kwa chipinda. Kuti muchite izi, chotsani mufiriji maola awiri musanalowetse insulin. Jakisoni wofinya wa insulin amatha kupweteka.

Osaonetsera insulin ku kuwala kowala kapena kutentha kwambiri monga kuwala kwa dzuwa m'galimoto kapena kutentha mu sauna - insulini imachepetsa mphamvu yake pamatenthedwe pamwamba pa 25 °. Kutentha kwa 35 ° kumayatsidwa maulendo 4 mwachangu kuposa kutentha kwa firiji.

Ngati muli kumalo komwe kutentha kwa mpweya ndi kupitirira 25 ° C, ikani insulini m'malo ena okhathamira, okhala ndi zida kapena milandu. Masiku ano, pali zida zosiyanasiyana zoyenera kunyamula ndi kusunga insulin. Pali ma coolers apadera amagetsi omwe amayendera mabatire obwezeretseka. Palinso zokutira zama Thermo ndi matumba a thermo osunga insulin, omwe ali ndi makhitchini apadera omwe amasintha kukhala ma gel akakumana ndi madzi. Kachipangizo kameneka kamayikidwa m'madzi, chimatha kugwiritsidwa ntchito ngati insulin kwa masiku atatu. Pambuyo pa nthawi imeneyi, kuti muchite bwino, muyenera kuyikanso m'madzi ozizira. M'miyezi yozizira, ndibwino kunyamula insulin poiyika pafupi ndi thupi, m'malo ndi kathumba.

Palibe chifukwa chosungira insulin mumdima wathunthu.

Osamagwiritsanso ntchito insulini pakatikati kapena nthawi yayitali ngati zimakhala ndi mkati. Komanso kuchita insulin yocheperako (yokhazikika) ngati kumakhala mitambo.

Kuzindikira insulin yosatheka

Pali njira ziwiri zokha zofunika kumvetsetsa kuti insulin yasiya kugwira ntchito:

• Kuperewera kwamakina a insulin (palibe kuchepa kwamagazi m'magazi),
• Sinthani mukuwoneka yankho la insulin mu cartridge / vial.

Ngati muli ndi shuga ochulukirapo m'magazi pambuyo pobayidwa jakisoni wa insulin (ndipo munatulutsa zifukwa zina), insulini yanu ingakhale itasiya kugwira ntchito.

Ngati mawonekedwe a insulini mu cartridge / vial asintha, mwina sigwiranso ntchito.

Mwa zina mwazindikiritso zomwe zikuwonetsa kusakwanira kwa insulin, zotsatirazi zimatha kusiyanitsidwa:

• Njira yothetsera insulin ndi yotentha, ngakhale iyenera kukhala yowonekera,
• Kuyimitsidwa kwa insulin pambuyo posakanikirana kuyenera kukhala yunifolomu, koma zotupa ndi zotupa zimakhalabe,
• Njira yothetsera vutoli imawoneka yosasangalatsa,
• Mtundu wa yankho la insulin / kuyimitsidwa kwasintha.

Ngati mukuwona kuti china chake sichabwino ndi insulin yanu, musayese mwayi wanu. Ingotenga botolo / cartridge yatsopano.

Malangizo posungira insulin (katiriji, vial, cholembera)

• Werengani malingaliro pa momwe zinthu ziliri komanso moyo wa alumali wopanga insulin. Malangizowo ali mkatimu,
• Tetezani insulini ku kutentha kwambiri (kuzizira / kutentha),
• Pewani kuwala kwa dzuwa (mwachitsanzo, kusungirako pazenera),
• Musasunge insulini mufiriji. Pakuzizira, imataya katundu wake ndipo iyenera kutayidwa,
• Osasiya insulin m'galimoto pamtunda wambiri / kutentha kwambiri,
• Pamawonekedwe otentha / otsika kwambiri, ndibwino kusungitsa / kunyamula insulini mwapadera mafuta.

Malangizo ogwiritsira ntchito insulin (katiriji, botolo, cholembera):

• Nthawi zonse muziwonetsetsa tsiku la kupanga ndi kumaliza kwake pamapaketi ndi ma cartridge / mbale,
• Osamagwiritsira ntchito insulin ngati itatha,
• Pendani insulin mosamala musanagwiritse ntchito. Ngati yankho lili ndi zotupa kapena ma flakes, insulin yotere singagwiritsidwe ntchito. Njira yodziwika bwino yopanda insulin siyikhala yopanda mitambo, yopanga mpweya kapena zotupa,
• Ngati mugwiritsa ntchito kuyimitsidwa kwa insulin (NPH-insulin kapena insulin yosakanikirana) - musanalowetse jakisoni, sakanizani mosamala zomwe zili mu vial / cartridge mpaka utoto wamtundu wa kuyimitsidwa utaperekedwa.
• Ngati mutabayira insulin yambiri mu syringe kuposa momwe mukufunikira, simukuyenera kuyesa kutsanulira insulini yonse mu vial, izi zingayambitse kuipitsidwa (kuipitsidwa) kwa yankho lonse la insulini mu vial.

Malangizo Pamaulendo:

• Tengani insulin yowonjezera kawiri masiku omwe mukufuna. Ndikwabwino kuyiyika m'malo osiyana ndi katundu wamanja (ngati gawo limodzi la katunduyo latayika, ndiye kuti gawo lachiwiri likhalabe losavulaza),
• Mukamayenda pa ndege, nthawi zonse tengani insulini yonse m'manja mwanu. Mukadutsa m'chipinda cholongedza katundu, mumatha kuwuma chifukwa cha kutentha kochepa kwambiri m'chipinda chonyamula katundu panthawi yomwe amathawa. Frozen insulin siyingagwiritsidwe ntchito,
• Osatulutsira insulini kutentha kwambiri, kumusiya mgalimoto m'chilimwe kapena pagombe,
• Ndikofunikira nthawi zonse kusunga insulin m'malo abwino momwe kutentha kumatakhazikika, osasinthasintha. Pazomwezi, pali zambiri zophimba zapadera (zozizira), zotengera ndi milandu momwe insulin ikhoza kusungidwa m'malo oyenera:
• Insulin yotseguka yomwe mukugwiritsa ntchito pano iyenera kukhala yotentha nthawi zonse mpaka 4 ° C mpaka 24 ° C, osapitirira masiku 28,
• Zotsatira za insulin ziyenera kusungidwa pafupifupi 4 ° C, koma osati pafupi ndi mufiriji.

Insulin mu cartridge / vial sangathe kugwiritsidwa ntchito ngati:

• Maonekedwe a yankho la insulin adasinthika (kunakhala mitambo, kapena matayala kapena matope adatuluka),
• Tsiku lotha ntchito lomwe linapangidwa ndi wopanga phukusi latha,
• Insulin idawonetsedwa ndi kutentha kwambiri (kwamira kapena kutentha)
• Ngakhale atasakanikirana, choyera champhepete kapena chotupa chimakhalabe mkati mwa kuyimitsidwa kwa insulin vial / cartridge.

Kutsatira malamulo osavuta awa kukuthandizani kuti insulini ikhale yogwira ntchito nthawi yonse ya shelufu komanso kupewa kupewa mankhwala osayenera m'thupi.

Kugwiritsa ntchito insulin nthawi yayitali bwanji

Insulin ndiye mahomoni ofunika kwambiri m'thupi la munthu, ali ndi mapuloteni. Pofuna kuchepetsa mphamvu ya mankhwalawa, ndikofunikira kuyang'anira kutentha koyenera panthawi yosungirako. Kupanda kutero, mankhwalawa sangapereke chithandizo chofunikira. Amaloledwa kusunga mankhwalawo kutentha kwa firiji, zinthu zotere sizikhudza katundu wake. Pazokhumudwitsa za mankhwalawa, kutentha kwa kutentha kumawonetsedwa mpaka +25 ° C, kusasaposa mwezi umodzi, motero mankhwalawa amachepetsa mphamvu yake peresenti imodzi. Ngati kutentha kwa chipindacho kukupitilira +35 ° C, katundu wake amawonongeka kanayi.

Asanatsegule botolo latsopano, wodwalayo ayenera:

• phunzirani malangizo a mankhwalawo,
• lembetsani pamene jakisoni woyamba ndi mankhwalawa anapangidwa,
• fotokozerani tsiku la kumaliza kwake kwa mankhwalawo, lomwe lasonyezedwa pa phukusi.

Malo omwe amakhalapo chifukwa chosungira mankhwalawa ndi firiji, ngati botolo latsegulidwa kale, limasungidwa pamtunda wofunda, ndikofunikira kupewetsa mphamvu ya cheza cha ultraviolet. Mu malo ogwiritsira ntchito firiji, wodwalayo samamvetsetsa molondola momwe mankhwalawo amayenera kuyikidwira, gawo lomwe. Moyenera, malo omwe ali mufiriji ya firiji ndi oyenera izi, momwe angathere kuchokera mufiriji, ngati kutentha kumakhala kochepa kutentha madigiri awiri, mankhwalawo ataya katundu wake.

Kuwona boma la kutentha kwa + 4 ... + 8 ° C, insulini sidzataya mphamvu zake zochizira mpaka kumapeto kwa moyo wake. Ngakhale mankhwalawa amatha kusungidwa zaka zitatu, ndibwino kuti mukhale oyamba kugwiritsa ntchito masitolo okalamba a insulin.

Ngati mankhwalawo afooka, zizindikiro zotsatirazi zimachitika:

1. Njira yothetsera vutoli idasintha.
2. Pambuyo jekeseni, zochizira zotsatira zake sizinawoneke.

Malamulo osungira pakhomo mankhwala

Mosasamala mtundu wa mankhwalawa, sungani izi:

• Pewani kusiyana kwa kutentha
• mukasuntha, gwiritsani ntchito chivundikiro chamafuta,
• botolo sililoledwa kuzizira,
• mukatseguka, pewani kuwunika ndi dzuwa,
• mfundo yofunika ndikuphunzira malangizo musanatsegule phukusi,
• lembani tsiku lomwe muzigwiritsa ntchito koyamba.

Malamulo ogwiritsira ntchito insulin:

1. Tikuwona tsiku la zopangidwa ndi nthawi ya kuyenera.
2. Onaninso madzi. Ngati pali matope, mafunde, mbewu, kukonzekera kotere sikoyenera kugwiritsidwa ntchito. Njira yothetsera vutoli iyenera kukhala yopanda maonekedwe komanso yowonekera.
3. Ngati kuyimitsidwa kumagwiritsidwa ntchito, kuyenera kugwedezedwa mwamphamvu musanagwiritse ntchito kuti yankho limayambira moyenerera.

Madzi akakhala mu syringe ndipo amathiridwa mumtsinjewo musanasungidwe, mankhwalawo amatha kukhala osadetsedwa.

Timasunga insulin

Popeza matendawa ndi a shuga kwa moyo wonse, odwala amalandila mankhwala mwezi uliwonse kuchipatala. Nthawi zambiri, odwala matenda ashuga amasunga kwambiri kuchuluka kwa mankhwalawo kuti adziteteze ngati atalandira mankhwalawo mosayembekezereka. Pachifukwa ichi, malo olondola amasungidwa:

• osatsegula phukusi (sungani mufiriji pa + 4 ... + 8 ° C),
• malo osungirako ayenera kukhala khomo kapena mashelufu apansi,
• ngati tsiku lotha ntchito latha, nkoletsedwa kugwiritsa ntchito mankhwalawo.

Ngati muyamba kukonzekera kozizira, mutha kuyambitsa kupweteketsa mtima mwa kutsegula botolo, limasungidwa m'chipinda chofunda m'malo amdima. Ngati munayenera kupanga jakisoni kunja kwa nyumba, nthawi yozizira, sungani mankhwalawo mthumba lanu. Moyo wa alumali wa botolo lotseguka ndi mwezi umodzi ndi theka.

Kusunga kwa insulini panthawi ya mayendedwe

Anthu odwala matenda ashuga amatha, ngati anthu onse, kupita paulendo kapena paulendo wopita kuntchito. Ndikofunika kuti adziwe momwe angaisungire bwino mankhwalawo panjira kuti katundu wake asatayike. Malamulowa ayenera kutsatiridwa:

1. Timwa mankhwalawa pawiri.
2. Timagawa mankhwalawo m'magawo ang'onoang'ono m'malo osiyanasiyana. Njirayi imagwiritsidwa ntchito kuti mwina katundu wina atayika, wodwala samasiyidwa wopanda mankhwala.
3. Panthawi yothawa, ndikofunikira kumwa mankhwalawo palokha, mikhalidwe ya chipinda chonyamula katundu ndi kutentha kochepa, mwina mankhwalawa adzawuma.
4. Kutenga insulini kupita pagombe kapena galimoto, muyenera kuyiyika pamalo opaka mafuta kapena m'thumba lamafuta.

Thermocover itha kugwiritsidwa ntchito kwa zaka zitatu, ichi ndi chinthu chofunikira kwambiri kwa odwala matenda ashuga. Siyenera kupulumutsidwa, pofuna chitetezo, komanso kusungidwa kwa mankhwalawa.

Mu nyengo yotentha yozungulira, mankhwalawa amayenera kunyamulidwa mumapulasitiki. Mukateteza botolo ku kuwonongeka kwamakina.

Ngati poyamba zikuwoneka kuti zikuvuta kusunga insulini, ndiye sichoncho. Odwala amazolowera njirayi, izi sizibweretsa mavuto.

Njira ndi malamulo osungira insulin

Njira yothetsera insulini imatha kuwonongeka ikamadziwika ndi zinthu zakunja - kutentha pamwamba pa 35 ° C kapena pansi pa 2 ° C ndi dzuwa. Kutalika kwa zovuta za insulin, ndiye kuti katundu wake amakhalapobe. Kusintha kwa kutentha kambiri kumakhalanso kovulaza.

Moyo wa alumali wa mankhwala ambiri ndi zaka 3, nthawi yonseyi sataya katundu wawo ngati akusungidwa pa +2 - + 10 ° C. Kutentha kwachipinda, insulin imasungidwa osaposa mwezi umodzi.

Kutengera zofunikira izi, titha kupanga malamulo osungira:

1. Zotsalira za insulin ziyenera kukhala mufiriji, zabwino pakhomo. Ngati mungayike mabotolo mozamafufuzira, pali chiopsezo cha kuzizira pang'ono kwa yankho.
2. Phukusi latsopanoli limachotsedwa mufiriji maola angapo musanagwiritse ntchito. Botolo loyambalo limasungidwa mu bulangeti kapena malo ena amdima.
3. Pakapita jakisoni aliyense, cholembera cha syringe chimatsekedwa ndi kapu kuti insulini isade padzuwa.

Pofuna kuti musadandaule kuti zitheka kugula kapena kugula insulini pa nthawi, komanso kuti musayike moyo wanu pachiwopsezo, ndikofunikira kuti mupange 2nds mankhwala a miyezi iwiri. Musanatsegule botolo latsopano, sankhani yomwe ili ndi lalifupi kwambiri.

Aliyense wodwala matenda ashuga ayenera kukhala ndi insulin yochepa, ngakhale atakhala kuti mankhwalawo sawagwiritsa ntchito. Zimayambitsidwa pazochitika zadzidzidzi kuti ziimitse mikhalidwe ya hyperglycemic.

Kunyumba

Botolo yothetsera yomwe ingagwiritsidwe ntchito jekeseni iyenera kukhala kutentha. Malo osungirako kunyumba ayenera kusankhidwa popanda kupezeka kwa dzuwa - kuseri kwa chitseko cha nduna kapena khabati yamankhwala. Malo mu chipinda chosinthira pafupipafupi kutentha sikokwanira - windowsill, zida zapanyumba, makabati kukhitchini, makamaka pamwamba pa chitofu ndi microwave.

Pa cholembera kapena pazolemba za kudziletsa sonyezani tsiku lomwe mankhwalawo amagwiritsidwa ntchito koyamba. Pakadutsa milungu inayi chitsegulidwe cha vial, ndipo insulin isanathe, iyenera kutayidwa, ngakhale kuti nthawi imeneyi simunafooke. Izi ndichifukwa choti kusakhazikika kwa yankho kumaphwanyidwa nthawi iliyonse yomwe pulagi yiboola, kotero kutupa kumatha kupezeka pamalo a jekeseni.

Zimachitika kuti odwala matenda ashuga, amasamala kuti mankhwalawo asungidwe, asungidwe onse m'thupi la firiji, ndikuwachotsa pamenepo pokhapokha jakisoni. Kukhazikika kwa mahomoni ozizira kumawonjezera chiopsezo cha zovuta za insulin, makamaka lipodystrophy. Uku ndi kutukusira kwa timadzi tam'mimba tomwe timabayidwa jakisoni, komwe kumachitika chifukwa cha kupsa mtima pafupipafupi. Zotsatira zake, wosanjikiza wamafuta m'malo ena amazimiririka, ena umadzunjikira m'zisindikizo, khungu limakhala lozungulira komanso lathanzi.

Kutentha kwakukulu kovomerezeka kwa insulin ndi 30-35 ° C. Ngati dera lanu limatentha nthawi ya chilimwe, mankhwala onse ayenera kukhala othandiza. Jekeseni iliyonse isanachitike, yankho lake lifunika kuwotchera m'manja kuti lizitha kutentha komanso kuyang'aniridwa mosamala kuti muwone ngati mavutowo adakula.

Ngati mankhwalawo atha kuzizira, kukhalabe padzuwa nthawi yayitali kapena kutenthedwa, ndikosayenera kugwiritsa ntchito, ngakhale insulin itasinthiratu. Ndi bwino kuti thanzi lanu litaye botolo ndikutsegula lina.

Malamulo akunyamula ndi kusunga insulin kunja kwanyumba:

1. Nthawi zonse tengani mankhwalawo limodzi ndi malire, onetsetsani musanachoke mnyumba kuti mupeze insulini ingati.Nthawi zonse khalani ndi vuto nanu ngati mukugwiritsa ntchito jakisoni wa jakisoni: cholembera chachiwiri kapena syringe.
2. Pofuna kuti musaphwanye mwangozi botolo kapena kuthyola cholembera, osawaika m'matumba akunja a zovala ndi matumba, thumba la kumbuyo la thalauza. Ndikwabwino kuzisunga mwapadera.
3. Munthawi yozizira, insulin yomwe imagwiritsidwa ntchito masana iyenera kunyamulidwa pamavalidwe, mwachitsanzo, mthumba. M'thumba, amadzimadzi amatha kupaka bwino ndikuwotcha zina zake.
4. Mu nyengo yotentha, insulin imanyamulidwa mu zida zozizira kapena pafupi ndi botolo lozizira koma osati madzi oundana.
5. Mukamayenda pagalimoto, simungathe kusunga insulini m'malo omwe mwina ndi otentha: m'chipinda cha glove, pa alumali kumbuyo kwake padzuwa.
6. M'chilimwe, simungasiye mankhwala m'galimoto yoyimirira, monga momwe mpweya m'mawu umatentemera pamwamba pazovomerezeka.
7. Ngati ulendowu suwatenga kupitilira tsiku, insulin imatha kunyamulidwa mu thermos wamba kapena chikwama chazakudya. Pamaulendo ataliatali gwiritsani ntchito zida zapadera kuti musunge mosamala.
8. Ngati muli ndi ndege, insulini yonse iyenera kunyamula katundu m'manja ndikuitengera kanyumba. Muyenera kukhala ndi setifiketi kuchokera ku chipatala chokhudzana ndi mankhwala omwe amupatsa odwala matenda ashuga ndi mlingo wake. Ngati zotengera zozizira ndi ayezi kapena gelisi zimagwiritsidwa ntchito, ndikofunikira kutsatira malangizo a mankhwalawo, omwe akuwonetsa bwino momwe angasungire.
9. Simungathe kulowetsa insulin m'thumba lanu. Nthawi zina (makamaka pa ndege zakale), kutentha m'chipinda cha katundu kumatha kutsikira mpaka 0 ° C, zomwe zikutanthauza kuti mankhwalawo adzawonongeka.
10. Sikoyenera kupereka katundu ndi zinthu zina zofunika: ma syringe, syringe pensi, mita yamagazi. Ngati katunduyu watayika kapena wachedwa, sikuti muyenera kuyang'ana fodya mumzinda wopanda tanthauzo ndikugula zinthu zodula.

Zifukwa zoyipa za insulin

Insulin ili ndi mapuloteni, chifukwa chake, zomwe zimapangitsa kuti ziwonongeke zimagwirizana kwambiri ndi kuphwanya mapuloteni:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

• pakatentha kwambiri, kuphatikizika kwa mayankho kumapangitsa insulin - mapuloteni amakhala limodzi, amapezeka amisamba, mankhwala amataya gawo lake lalikulu,
• motsogozedwa ndi kuwala kwa ultraviolet, yankho limasintha mawonekedwe, limakhala mitambo, njira zowonongera zimawonedwa mmenemo.
• Kutentha kokhako, mapangidwe a mapuloteni amasintha, ndipo kutentha kwotsatira sikubwezeretsedwanso,
• gawo lamagetsi lamagetsi limakhudza kapangidwe ka maselo a protein, kotero insulin sayenera kusungidwa pafupi ndi mbaula zamagetsi, ma micowa, makompyuta,
• Botolo lomwe lidzagwiritsidwe ntchito posachedwa siligwedezeka, chifukwa thovu la mpweya limalowetsa yankho, ndipo mlingo wotengedwa sudzakhala wofunikira. Kupatula ndi NPH-insulin, yomwe iyenera kusakanizika bwino isanayambe. Kugwedezeka kwa nthawi yayitali kumatha kudzetsa kukokoloka ndi kuwonongeka kwa mankhwalawa.

Momwe mungayesere insulin kuti ikhale yoyenera

Mitundu yambiri ya mahomoni opanga ndi yankho lomveka bwino. Chokhacho chokha ndi insulin NPH. Mutha kusiyanitsa ndi mankhwala ena ndi chidule cha NPH m'dzina (mwachitsanzo, Humulin NPH, Insuran NPH) kapena ndi mzere mu malangizo "Clinical and Pharmacological Group". Zikuwonetsedwa kuti insulini iyi ndi ya NPH kapena ndi mankhwala apakati. Insulin iyi imapanga mpweya woyera, womwe ndi kusunthika kumapereka nyansi yankho. Simuyenera kukhala ndi ma flakes mukati mwake.

Zizindikiro zosungira mosakhalitsa, ultrashort, ndi insulin yayitali:

• kanema pamakoma a botolo komanso pamtundu wa yankho,
• nyansi
• chikasu kapena beige,
• maluwa oyera kapena oyera,
• kuwonongeka kwa mankhwalawa popanda kusintha kwakunja.

Zosungira & Zopangira

Zipangizo zonyamula ndi kusunga insulin:

Njira yabwino kwambiri yonyamula insulin mukamayenda mtunda wautali - firiji yowonjezera mini. Amakhala opepuka (pafupifupi 0,5 makilogalamu), owoneka bwino ndikuwathetseratu mavuto osungirako kumayiko otentha. Ndi chithandizo chawo, wodwala matenda ashuga amatha kubweretsa mahomoni kwa nthawi yayitali. Kunyumba, itha kugwiritsidwa ntchito panthawi yamagetsi. Ngati matenthedwe ochulukira ali pansi pa ziro, njira yotenthetsera imangoyambika. Mafiriji ena ali ndi LCD yowonetsera yomwe imawonetsa chidziwitso cha kutentha, nthawi yozizira komanso mphamvu yotsalira ya batri. Choyipa chachikulu cha zida zotere ndi mtengo wokwera.

Zophimba zamafuta ndizabwino kugwiritsa ntchito nthawi yotentha, zimakhala ndi malo ochepa, amawoneka okongola. Mlandu wokudzazidwa ndi gel umakhala wopanda katundu kwa zaka zingapo.

Matumba amafuta ndi oyenera kuyenda maulendo akunyumba, ali ndi lingwe lamapewa ndikuwoneka okongola. Chifukwa cha pad yofewa, insulini imatetezedwa ku zisonkhezero zathupi, ndipo zowunikira zamkati zimaperekedwa kuti zizitetezere ku radiation ya ultraviolet.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Zizindikiro za mankhwalawa

Magulu otsatirawa a anthu ali ndi chizindikiro cha insulin:

• Anthu omwe ali ndi matenda a shuga amtundu woyamba, omwe amakula kuyambira ubwana, kuyambira ubwana. Ndi matenda oopsa a autoimmune.
• Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri, omwe adapeza matenda - kuphwanya minofu ya kapamba chifukwa cha matenda ena osachiritsika.

Poti ndi momwe mungasungire insulin

Nthawi zambiri pamasiku onse, munthu amagwiritsa ntchito mabotolo awiri ndi ma cartridge (35 cartridge) a insulin. Ndikofunika kuti nthawi zonse malo osungirako anchito okonzedweratu amakhala kunyumba 23 23 ° C. Koma musayike mankhwalawo pafupi ndi galasi la pawindo, pomwe amatha kuwundana kapena kuyatsidwa ndi kutentha kwa dzuwa. Komanso, mabotolo okhala ndi madzi amasungidwa kutali ndi magwero otentha - mabatire, zotenthetsa kapena poyatsira mafuta.

Bokosi kapena botolo losasakanizidwa ndiloyenera kugwiritsidwa ntchito mkati mwa mwezi umodzi. Pamapeto pa nthawiyo, iyenera m'malo mwake yatsopano, ngakhale kuti madzi akadali mkati mwake alipo. Ngakhale kusungidwa bwino kwa insulin sikumalepheretsa kuchepa kwa mphamvu yake mwezi umodzi.

Ndikofunika kunena padera pa kagwiritsidwe kake ndi kasungidwe kake pakutentha kwa chilimwe chotentha (kapena nthawi yotentha), kutentha m'chipindacho kukayamba kukwera mwachangu mpaka + 30 ° C ndi zina zambiri. Izi kutentha boma siziwonetsedwa bwino mu protein ya insulin yokonzekera. Chifukwa chake, ziyenera kusungidwa mufiriji. Koma mufiriji chipinda, mwachitsanzo, "m'matumba" pakhomo lomwe malo okonzera insulin amasungidwa, ndikofunikira kuyang'anira kutentha. Malo osungirako bwino kwambiri a insulin ndi +6 - + 8 ° C. Kuti muwone kutentha kwa mpweya, gwiritsani ntchito choyezera kutentha kwapakati. Mukasunga mankhwalawa kwakanthawi kambiri pa kutentha pang'ono kapena pafupi ndi 0 ° C, ndiye kuti adzataya mankhwalawo. Kuchokera pa jakisoni wotere, index ya glycemic sichitha.

Pamaso pa jekeseni iliyonse, tikulimbikitsidwa kuti mutenthe botolo lozizira ndi manja anu kutentha kwa firiji. Pokhazikitsa kukonzekera kwa insulini yozizira, ma pharmacodynamics a puloteni amatha kusintha ndipo pali chiopsezo cha lipodystrophy (ndiye kuti ma subropaneous fat atrophies).

Mlingo wina wa insulin "wosungidwa" kunyumba nthawi zonse uyenera kugona nthawi zonse ndikusungidwa ku +6 - + 8 ° C. Nthawi zina pamakhala mavuto ndi mankhwala omwe mumalandira, chifukwa kuchuluka kwake m'mafakitala ndi zipatala kumawerengedwa mosamala. Koma palibe amene angayembekeze kuti kaphikidwe komwe kali komweko kamatsimikizira kuti kabwera posachedwa. Kuphatikiza apo, malo opangira mankhwala samaganizira milandu yovulaza ya mankhwala osokoneza bongo.

Chifukwa chake ndikwabwino kwambiri ngati, ndi mankhwala a boma, mukupatsa jakisoni wambiri wa insulin. Kutengera chiwerengerochi, awerenge kuchuluka kwa insulini yomwe yaperekedwa.

Moyo wa alumali wa mtanda winawake wa mankhwalawa umachokera zaka 2-3, choncho nthawi zonse muyenera kuganizira tsiku lotulutsira ndikukumbukira tsiku lomwe mugwiritse ntchito. Mwa odwala matenda ashuga, amakhulupirira kuti ena opanga mwadala amafupikitsa moyo wawo wa alumali. Izi zimachitika pofuna kupewa zovuta zogwiritsidwa ntchito ndi mankhwala osayenera ndi munthu atatha nthawi yeniyeni yovomerezeka, yomwe imalamulidwa pang'ono + - miyezi 1-2. Nthawi zina, zambiri kuchokera kwa wopanga zimatha kuonedwa kuti ndizoyenera, koma mwa ena pali ngozi ya poizoni ndi mankhwala osakhala bwino.

Kodi njira yabwino kwambiri yoyendetsera timbale ta insulin ndi iti?

Munthu aliyense ndi ochezeka ndipo ayenera kulumikizana, onse akapita kukacheza, pitani patchuthi. Sichosangalatsa kwambiri pamene mapulani amasintha chifukwa chosowa malo osungira insulin pamsewu. Pali njira zingapo zoyenera kunyamula cholembera chopangidwa ndi momwe mungasungire insulin kunja kwanyumba.

Ndikofunikira kudziwa nthawi yomwe ulendowu wakonzekera. Ngati uku ndikuyendera masiku 1-2, ndiye kuti mutha kupita ndi kukonzekera kwa insulini kokha komwe kukugwiritsidwa ntchito. Ndikofunikira kuonetsetsa kuti kuchuluka kwa madzimadzi osokoneza bongo omwe amapezeka mu cartridge, botolo ndilokwanira. Ngati kutentha kumakhala kotentha komanso kosakhazikika kunja, ndiye kuti bokosi lomwe lili ndi syringe ndi chikwanje chitha kuikidwa m'chikwama kapena m'thumba lakuda, lopanda kuwala.

Ngati kunja kukuzizira kunja, ndibwino kusamutsira chidebe ndi mankhalawo mthumba lamkati la jekete kapena thumba la malaya, pafupi ndi thupi.

Pa tchuthi chachitali kapena paulendo wautali, gwiritsani ntchito thumba lapadera lozizira. Pali mitundu iwiri yozizira yomwe imasungabe kutentha kwa insulin - gel ndi elektroniki. Chozizira chamagetsi chimayatsidwa kuchokera pa mabatire, nthawi yake ikugwira ntchito kuyambira maola 12 (mabatire amakonzedwanso). Kuti mugwiritse ntchito mafuta ozizira a gel, sinthani makristali a gel. Matumba a Gel amawaika pachiwonetsero cha chikwamacho ndipo amakhala mpaka maola 45. Titafika pamalowo - hotelo, sanatorium, matenthedwe oyenera amatha kusungidwa pogwiritsa ntchito madzi ozizira komanso thermometer.

Ngakhale ulendo wopita kunyanja, ndibwino kuti mukhale otetezeka ndikumwa insulini ndi malo ena osungirako.

Zizindikiro zomwe mankhwalawo afota

Nthawi yomweyo jekeseni isanakwane, ndikofunikira kupenda mosamalitsa botolo ndi mankhwalawo. Ngati zizindikiro zakusokoneza zikupezeka, tengani botolo (cartridge) ndikutenga lina. Njira zotsatirazi zomanga mapuloteni onyentchera ndi izi:

• Maonekedwe oyera ngati filimu yoyera mkati mwa botolo. Cholinga chake ndikuyenda kwamphamvu kwamadzimadzi mkati, kusinthasintha kwakanthawi pamsewu. Izi ndizofala makamaka ndi insulin yochepa, yomwe imakhala ndi mtundu wowonekera. Kukonzekera kwa insulin-kumasulidwa kuli ndi mawonekedwe akumasulidwa - kuyimitsidwa ndipo, m'malo mwake, kuyenera kugwedezeka mpaka chinthu chopanda pake.
• Kuyimitsidwa kunasanduka chikaso, ndikulekanitsa ma flake ndi zinyenyeswazi zopangidwa mumadzi.
• Pambuyo pa jekeseni, pharmacology ya mankhwalawa idasintha - zotsatira za hypoglycemic sizinawonekere. Ndi kukula kwamasewera a mahomoni, mwachitsanzo, 16ED, index ya shuga idakhalabe yokwera.
• Madzi amadzimadzi adataya mawonekedwe ake - idakhala mitambo. Kusasinthika kwa mapuloteni ake asintha - kwasanduka viscous.

Ndikofunikira kukumbukira zinthu izi ndi zinthu zomwe zimawononga ma protein a mapuloteni - Kutentha, kuzizira, kuwala kwa dzuwa mwachindunji, malo ac acid, mowa. Ndikofunikira kuyang'anira mosungiramo mawonekedwe a insulin, apo ayi zovulaza thupi.

Chifukwa chiyani shuga sanachepetse jakisoni?

Ngati kusungidwa kwa insulin kunayang'aniridwa mosamala, ndipo jakisoni sanakhudze kuchepa kwa shuga, ndiye kuti pamenepa pali kuthekera kwakuti njira yoyendetsera mahomoni sinawonedwe.

• Ndondomeko imafunikira chida chokwanira cha zida, jakisoni wothandizira ayenera kuthandizidwa ndi antiseptic. Mukamamwa mowa, ziyenera kukumbukiridwa kuti mowa womwe umatsala pakhungu lomwe limalowa pa singano ya syringe udzathetseratu insulin. Chifukwa chake, ndikofunikira kuyembekezera kutuluka kwathunthu kwa mowa kuchokera pakhungu.
• Kuphatikiza mitundu yambiri ya insulini mu syringe imodzi kumabweretsa kufooka kwa mawonekedwe ake omwe amakhala nthawi yayitali.
• Sinthani kutayikira kwa insulini yovulaza kuchokera kukopeka ndikuchotsa singano pakhungu. Izi zimapangitsa kuchepa kwa kupsinjika kwake mthupi.
• Ngati singano ya syringe singalowe m'khola, koma m'mafuta am'magazi, zotsatira ndi mayamwa a jakisoni amatha kuchepa.
• Kuuma kwa chida chowongolera sichili bwino - madzi amatuluka mumabowo oonda a pen-syringe kesi.

Kodi chiwopsezo cha insulini podzichiritsa nokha ndi chiani? Kugwiritsa ntchito mankhwala a insulin - Mlingo wambiri, kugwiritsa ntchito zinthu zake zomwe watha ntchito, miyezo yolakwika ya shuga musanadye kapena chakudya chatha kumabweretsa chiwopsezo chachikulu cha hypoglycemia.

Zizindikiro za bongo ndi zovuta za insulin: kumva kwambiri njala, chizungulire, kusokonezeka kwa chikumbumtima - mantha. Ndi kuchepa kwamphamvu kwa chakudya chama carbohydrate, zotere monga kufooka, kunenepa kwa minofu, kutopa kwambiri, palpitations kumachitika. Mtsogolomo, kumakhala kuda kapena kuda nkhawa, kukhumudwitsidwa, kuwonongeka kwa mawonekedwe, kuchepa kwa malingaliro ndi malingaliro. Gawo lowopsa kwambiri la hypoglycemia ndi chikomokere: palibe kutikita minofu, mawonekedwe, ngati palibe chomwe chimachitika, ndiye kuti kumwalira.

Ndikofunikanso kuwerengetsa mosamala muyezo wa mankhwalawa posintha syringe, mukasinthira ku mankhwala amitundu ina akumasulidwa. Sayenera kugwiritsidwa ntchito nthawi imodzi ndi mowa, kuti musalandire zovuta za insulin.

Momwe mungasungire insulin kunyumba?

Kukonzekera kwa insulin kumatha kusungidwa m'mitundu ingapo: cholembera, syringe ndi mbale.Migwirizano ndi magwiritsidwe zimasiyana malinga ndi momwe ma CD atsegulidwa kapena ayi.

Insulin yotsekedwa imasungidwa pakhomo la firiji pamtunda wa +2 mpaka +8 ° С. Moyo wa alumali ndi zaka 2 kuyambira tsiku lopangira.

Botolo lotseguka kapena cartridge liyenera kugwiritsidwa ntchito pakatha mwezi umodzi. Mutha kusunga mankhwala otentha firiji m'malo abwino, owuma, kupewa kuyatsidwa ndi dzuwa. Pankhaniyi, wopanga osalimbikitsa kupitirira kutentha Pamwambapa +30 ° C. Osasiya vial kapena cartridge pafupi ndi malo otentha. Ngati kutentha kwa chipindacho ndikokwezeka kuposa kutentha kwake, wopanga amalangiza kusuntha zomwe zatsegulidwa mufiriji. Musanagwiritse ntchito, ndikofunikira kutenthetsa mankhwalawo ndikutchingira kwakanthawi m'manja.

Kutumiza kwa insulin, pamakhala mabokosi apadera ndi zotchingira zamafuta. Amathandizira kusunga kutentha kwinaku ndikuthandizira kuchepetsa zachilengedwe zomwe zimapangitsa mankhwalawo. Zitha kugwiritsidwa ntchito paulendo wautali, mukanyamulidwa ndi ndege kapena sitima.

Katundu Wosungirako wa Insulin

Kusunga kwa insulin kumafunikira mikhalidwe ina. Kuti muchite izi, mabokosi apadera, zokutira ndi zida zina adapangidwa zomwe zimateteza mankhwalawo ku mphamvu ya dzuwa ndi kutentha kwakukulu.

• Mabokosi ali ndi zotengera za pulasitiki zomwe zimateteza mabotolo a insulin pakuwonongeka kwa makina. Alibe ntchito yozizira. Mwa iwo, insulin ikhoza kusungidwa mufiriji, kapena kutentha kwa firiji, ngati vial yatsegulidwa kale.
• Milandu imapangidwa monga matumba ang'ono, momwe ma syringe 1 ndi 2 makatiriji amayikidwa. Amapangidwa ndi nsalu yapadera yopanda kutulutsa chinyontho. Mbali yamkati imatha kupangidwa ndi zojambulazo, chifukwa chomwe kutentha kofunikira kumakhalabe kwa maola angapo.
• Milandu yamafuta imasiyanasiyana ndi zolembera pensulo kupezeka kwa phukusi lapadera la gel, lomwe liyenera kukhala lonyowa musanagwiritse ntchito. Thupi la gel limasunga kutentha kofunikira mkati mwazinthu, kupewa kutenthedwa kapena hypothermia ya insulin. Mafuta amtunduwo amasunga malo osungira kwa maola 10. Amakhala abwino maulendo ndi maulendo apandege, komanso kuyenda maulendo ataliitali, ngati nyengo yotentha kapena yozizira ikukhala.
• Zophatikiza zama thermoba ndi thermobags zimagwira ntchito pamfundo ya chivundikiro chamafuta. Amapangidwa ndi nsalu yapadera yowonda, yomwe imatha kukhalabe kutentha kwinakwake kwa nthawi yayitali. Zikwama ndi zida zili ndi matumba otentha okhala ndi mafiriji. Ayenera kuyikidwa mufiriji kwa maola awiri musanagwiritse ntchito. Pambuyo pake, ikani mu dipatimenti yapadera mkati mwa chidebe kapena chikwama. Kutentha kwenikweni kumakhalabe kwa maola 10-12, ngakhale kunja + 40 ° C.
• mafiriji amagwiritsidwa ntchito m'mabungwe azachipatala, mafakitala ndi kunyumba kuti azisunga mankhwala osagwirizana.

Zosungidwa za insulin musanatsegule

Asanatsegule, kukonzekera kwa insulin kuyenera kukhala mufiriji pa +2 ... + 8 ° С. Izi ndizofunikira kuti chinthu chogwiritsa ntchito chisataye mawonekedwe ake komanso kuti chisachepetse mphamvu ya mankhwalawo. Moyo wa alumali wa bokosi lotsekedwa ndi zaka 2.5 mpaka 3 kuyambira tsiku lopangidwa. Ndizosavomerezeka kuwonetsa insulini pamtunda wambiri kapena wotsika, chifukwa izi zimapangitsa kuwonongeka kwa chinthu chomwe chikugwira komanso kuchepa kwa mphamvu yake. Kusintha kwakanthawi kamodzi kwa kayendetsedwe ka kutentha kumaloledwa, ndikutsatira kubwerera kwa mankhwalawo kumalo olondola osungirako.

• Kuyambira -20 ° mpaka -10 ° osapitilira mphindi 10,
• Kuchera -10 ° mpaka -5 ° osapitilira mphindi 25,
• Kuchokera -5 ° mpaka + 2 ° osaposa maola 1.5,
• Kuchokera pa + 8 ° mpaka + 15 ° osaposa masiku atatu,
• Kuchokera pa + 15 ° mpaka + 30 ° osaposa masiku awiri,
• Kuchokera pa + 30 ° mpaka + 40 ° osapitilira maola 5.

Popanda firiji, mutha kungosunga cartridge kapena botolo loyambira, ndikuwona zonse zomwe wopanga akupanga. Mankhwala oterowo ayenera kugwiritsidwa ntchito pakatha mwezi umodzi kuchokera pakutsegulidwa. Mu nyengo yotentha, tikulimbikitsidwa kugwiritsa ntchito zofunda zapadera zamafuta kapena pensulo zolembera kuti mankhwalawa akhalebe osavuta. Osayika ma insulin m'matumba a zovala zamkati. Zotsatira zake, yankho limayatsidwa kuchokera mthupi la munthu ndipo ntchito yake imachepa.

Moyo wa alumali umawonetsedwa pamakatoni, komanso pa botolo lokha. Pochita zinthu mokhazikika, mutha kuyika chizindikiro kuti musagwiritse ntchito mwangozi mankhwala omwe atha. Ngati kwadutsa nthawi yochulukirapo kuchokera pa tsiku lopanga kuposa momwe wopangira, ndiye kuti mankhwalawo amataya ntchito yake ndikugwiritsanso ntchito koletsedwa. Komanso, ngati zomwe sizikwaniritsidwa sizikwaniritsidwa, kuwonongeka kwa mankhwalawo ndikotheka kwambiri kuposa nthawi yomwe idamwalira. Muyankho lotere, mpweya kapena ma flakes angachitike. Kugwiritsa ntchito mankhwalawa ndizoletsedwa, chifukwa sikuti kungakhale kopindulitsa, komanso kungayambitse kuvulaza thanzi.

Zosungirako ndi alumali moyo wa zolembera za insulin

Kusungidwa kwa insulin m'mapensulo a syringe kumakhala ndi mawonekedwe ake kutengera mtundu ndi wopanga.

• NovoPen yokhala ndi cartridge imasungidwa kutentha kwa chipinda, osapitirira + 25 ° C kwa mwezi umodzi kuyambira pomwe watsegulidwa. Kuti muchite izi, ndikulimbikitsidwa kugwiritsa ntchito zofunda zapadera popanda gelisi yozizira.
• HumaPen imabwera ndi chophimba chapadera chomwe chimateteza ku kuwonongeka kwamakina ndi kuwonetsa kuwala kwa dzuwa. Malo osungirako ndi magawo ndi ofanana ndi chigwiriro cha Novopen.
• Autopen Classic sikutanthauza malo apadera ndipo imasungidwa m malo mchipinda pamalo owuma, kutali ndi kutentha ndi kuwala.
• Cholembera cha Biomatic chimasungidwa mufiriji mpaka kutsegulidwa, pambuyo pake chimasiyidwa mu firiji yopitilira milungu inayi.
• Rosinsulin ndi cholembera chotayika chomwe chimayenera kuti chisalemo. Singano imayikidwa syringe isanagwiritse ntchito, ndipo isanachitike imasungidwa mu capu popanda singano. Chingwe chomwe chikugwiritsidwa ntchito panthawiyi chizisungidwa pakatentha ka +15 mpaka + 25 ° C osapitirira masiku 28.

Momwe mungasungire insulin mu syringe yotayika

Pakukhazikitsa insulin, mutha kugwiritsa ntchito ma syringe ena apadera. Potere, mankhwalawa amatengedwa kuchokera m'botolo nthawi yomweyo jakisoni. Syringe iyi itha kugwiritsidwa ntchito mpaka nthawi 3-4 popanda kusalala. Komabe, pakapita nthawi, singano imakhala yosadetseka ndipo yatsopano imayenera kutengedwa. Alumali kwambiri nthawi ya syringe yogwiritsidwa ntchito popanda kuwongoletsa ndi masiku awiri atatu kutentha. Sikulimbikitsidwa kusunga mankhwalawa mu syringe yotayika.

Insulin Syringe Shelf Life

Ma syringes onse a insulin, kaya akhale mtundu wanji, ali ndi moyo wa alumali wazaka 5 atatsekedwa. Mukatha kugwiritsa ntchito, syringe iyenera kutayidwa malinga ndi mfundo zina zotayira zinyalala za Class B.

MicroFine, 100ME ndi Artrex ndi ma syringes apadera otayidwa. Singano yokhazikika yapadera imakuthandizani kuti muzitha kutola chinthu chogwira ntchito ndikuchibayira pang'onopang'ono. Ma syringe amenewa ayenera kutayidwa atatha kugwiritsa ntchito. Insulin imasungidwa mosungirako ndipo imasonkhanitsidwa pokhapokha povulala.

Masingano a insulin: moyo wa alumali ndi malo osungira

Singano za insulin zimapangidwa m'makatoni a zidutswa 50 ndi 100. Moyo wa alumali uli Zaka 5 kuyambira tsiku lopanga.

Chifukwa cha lakuthwa kwapadera patatu, amachepetsa kuvulala pakhungu panthawi yoyang'anira. Singano zotere zimasungidwa mumapulasitiki, kutali ndi kutentha ndi kuwunikira kwa dzuwa. Osagwiritsanso ntchito ndipo mutatha jekeseni imodzi ya insulin muyenera kutaya.

Malamulo osungira insulin kukonzekera mabungwe azachipatala

Kuwerengera ndi kusungitsa insulini ku malo ogulitsira, komanso kuzipatala kumayendetsedwa ndi Unduna wa Zaumoyo ku Russia Federation 23.08.2010 N 706n "Kuvomerezedwa kwa malamulo osungira mankhwala", komanso "Panjira yojambulira, kupereka malipoti ndi kugawa mankhwala antidiabetes ndi njira zoperekera insulin" . Chifukwa chake, makatoni otsekedwa ndi mabotolo amasungidwa m'mabokosi apulasitiki mufiriji pamawonekedwe ena owonetsedwa ndi wopanga pa phukusi.

Mayendedwe amachitidwa mu mafuta apadera okhala ndi mafuta kuti asunge kutentha komwe mukufuna ndikuchepetsa mphamvu ya zinthu zakunja.

Chipinda chachipatala, ogwira ntchito zachipatala amatsatira malamulo osungira insulin yotsekedwa ndikutsegulidwa. Mabotolo otsekedwa amakhala mufiriji kutentha kwa + 2 ... + 8 ° С. Kutseguka kuyenera kusungidwa m'chipinda kutentha kwa cholembedwa m'mabokosi apulasitiki kumbuyo kwagalasi.

Zosungirako ndi alumali moyo wa insulin kukonzekera

Zokonzekera zonse za insulin nthawi zambiri zimagawidwa m'mitundu isanu:

• Ultrashort action (NovoRapid Flexpen, NovoRapid Penfill, Humalog, Apidra, Rosinsulin, Protafan)
• Mwachidule (Actrapid, Rinsulin, Insuman Rapid, Humulin)
• Kutalika Kwapakatikati Kachitidwe (Biosulin N, Gensulin N, Rosinsulin C)
• Woleza mtima (Tujeo SoloStar, Glargin, Lantus, Levemir Penfill, Levemir FlexPen, Tresiba FlexTach)
• Kuphatikizika (NovoMix FlexPen, NovoMiks Penfill)

Zinthu ultrashort ndi mwachidule Zochita ndi yankho lomveka lomwe latsalira nthawi yonse gwiritsani ntchito. Amapezeka m'makalata ndi ma syringe pensulo, chifukwa amafunika kuyambitsa chakudya chilichonse.

Pakati Zochita ndi nthawi yayitali nthawi zambiri zimakhala opaque, makamaka atagwedezeka, amatchedwanso kuti kwamtambo kapena kwamtambo. Mankhwala otere amapangidwa nthawi zambiri m'mabotolo, chifukwa nthawi yomwe amachita pafupifupi maola 24 ndikuwongolera kosalekeza sikofunikira.

Zosungirako sizitengera mtundu wa mankhwalawa. Chifukwa chake, njira ndi malo osungira zimafanana ndi zomwe zili pamwambapa.

Pophwanya mikhalidwe ya kumangidwa, mankhwalawa amasiya kugwira ntchito komanso kapangidwe kake. Chifukwa cha kuyang'anira kwa insulin yotere, zotsatira zoyipa za matenda a shuga, mpaka ku hypoglycemic coma. Kusungidwa koyenera kwa mankhwala kumatsimikizira ntchito yake munthawi yonse yomwe muzigwiritsa ntchito.