Cholembera cholembera insulin: ndi chiyani?

Nkhani zaposachedwa kwambiri pochiza matenda ashuga mu 2016 nthawi ino zidafika kuchokera ku University of Lincoln.

Asayansi akhala akuyesera kwazaka zambiri kuti atulutsire chinsinsi chachipatala chifukwa chake mtundu wa chitetezo cha mthupi mwa odwala omwe ali ndi matenda amtundu woyamba amadzipha. Kafukufuku wotsogozedwa ndi Dr. Michael Christie waku University of Lincoln tsopano athandizira kuzindikira kukula kwa matendawa mwachangu ndikugwiritsanso ntchito njira zatsopano.

Fomu yodalira insulini imayamba pamene thupi likulephera kutulutsa insulini - chinthu chomwe chimafunikira pokonza shuga kuti ipange mphamvu.

Awa ndi matenda otchedwa autoimmune pomwe chitetezo cha thupi, chomwe nthawi zambiri chimateteza ku matenda ndi kuukiridwa, chimayamba kuwononga maselo omwe amapanga insulini mu kapamba. Mtundu woyamba wa matenda ashuga, chitetezo cha mthupi chimakumana ndi mamolekyulu ena am'mapapo, amatchedwa autoantigens.

Anthu otere amakhala ndi ma antibodies m'magazi omwe amakhala mwachindunji kumolekyu iliyonse. Ma antibodies ambiri atapezeka, ndiye kuti akhoza kukhala ndi matenda ashuga amtundu woyamba.

Pakadali pano, asayansi akudziwa mamolekyulu anayi omwe amathandizira kuwononga chitetezo cha mthupi mwa odwala omwe ali ndi matenda ashuga a mtundu woyamba. Molekyu yachisanu idakhala chinsinsi.

Gulu la Dr. Christie lazindikira bwino molekyu yachisanu iyi - tetraspanin-7. Nkhani ngati izi pochiza matenda amishuga amtundu wa 1 mu 2016, zithandizira kuti kuyesedwa kwa matendawa kukhale kolondola.

Tsopano asayansi akufunafuna njira yothanirana ndi matendawa komanso kupewa matenda.

Phunziroli limasindikizidwa mu magazini ya American Diabetes Association.

Momwe mungakwaniritsire njira yochizira matenda ashuga ndi Whey

Zambiri zofufuza
Zolemba zogwiritsira ntchito
Zowonjezera

Njira imodzi yatsopano yothandizira matenda monga matenda ashuga, iyenera kuganiziridwa kuti ndi Whey. Chida ichi chadzikhazikitsa ngati chothandiza kwambiri komanso chopanda vuto lililonse. Komabe, momwe mungagwiritsire ntchito komanso ngati pali zoonjezera zina zingapezekenso.

Zambiri zofufuza

Akatswiri azindikira kuti kugwiritsa ntchito mkaka ndi mkaka pafupipafupi kwambiri, kumathandizanso kuchepetsa zovuta zomwe sizikhala mtundu wachiwiri wa shuga zokha, komanso matenda amtima.

Makamaka, Whey ndiyabwino chifukwa imakulitsa kupanga kwa glucagon-ngati peptide-1 (GLP-1), yomwe ndi mahomoni am'mimba.

Ndiye amene amalimbikitsa kupanga insulini, amachotsa mwadzidzidzi kuchuluka kwa glucose m'magazi atatha kudya.

Ngati mukukhulupirira mawu a Pulofesa D. Yakubovich, ndiye kuti kuchuluka kwa protein ya mkaka kumayerekezedwa ndi zotsatira za mankhwala amakono odana ndi matenda ashuga.

Komabe, pofuna kukwaniritsa kwambiri thupi la odwala matenda ashuga, tikulimbikitsidwa kuti muzolowere mawonekedwe onse ogwiritsira ntchito mtundu 1 komanso matenda a shuga.

Pokha pazochitika izi, Whey amatha kuonedwa kuti ndi othandiza.

Endocrinologists amalimbikitsa kugwiritsa ntchito Whey m'mawa, kapena m'malo, chakudya choyamba.

Potere, zotsatira za chida, pang'onopang'ono, zitha kugwiradi ntchito:

imayambitsa kutulutsa kwa tiziwalo timene timayamwa, motero tinganene kuti mankhwalawa ndi othandiza mu matenda a shuga a mtundu 1 ndi 2, chifukwa amathandiza kwambiri kapamba,
amachotsa zamadzimadzi m'thupi la munthu, amazichita mokwanira, zomwe zimathandiza poizoni, slag ndi zina zoyipa.
amachepetsa kutukusira kulikonse komwe kumachitika pakhungu, m'mimba, zimagwira ntchito zam'mimba, zomwe zimathandizanso kwambiri kwa matenda a shuga ndipo zimangoyendetsa bwino ntchito yofunikira.

Titha kunena kuti Whey ndi yofunikira chifukwa cha kugwedeza kwamanjenje. Kuti mukwaniritse zomwe mukuwonetsa, ndikofunikira kugwiritsa ntchito chinthu chomwe chikuwonetsedwa tsiku ndi tsiku, kuyambira ndi ochepa. Ndikofunika kuonana ndi dotolo pafupipafupi ndikuwunika mosamala kusintha kulikonse kwa kuchuluka kwa shuga m'magazi.

Pang'onopang'ono, kuchuluka kwa seramu kuyenera kubweretsedwa pazowerengeka zokwanira, koma pankhani iyi ndikofunikira kuti musayambitse kuyamwa kwa gawo la thupi kupita ku gawo lalikulu.

Popewa izi, ma endocrinologists amalimbikitsa kuti achepetsenso mlingo wa Whey kapena kusiya ntchito kwanthaŵi yochepa.

Popeza tili ndi zovuta komanso zochenjera mukamagwiritsa ntchito Whey, ndikufuna kulimbikitsanso upangiri waluso kwambiri kuti muchepetse chizolowezi kapena zochita zina zoipa m'thupi.

Zowonjezera

Chochita chodzaza kwambiri chimatha kugwiritsidwa ntchito ngati Whey mu shuga 1 ndi 2, ngati nthawi yomweyo mugwiritse ntchito vitamini ndi zinthu zina zolimbitsa thupi.

Izi zithandizira kufulumizitsa njirayi, ngati sichichira, ndiye kuti chiphuphucho chikuyenera kulipira omwe ali ndi matenda ashuga. Makamaka, ndikofunikira kugwiritsa ntchito magulu osiyanasiyana azinthu zopanga mavitamini, A, B ndi C.

Kuphatikiza apo, ngati endocrinologist ikalangiza mitundu ina, mutha kuyimitsa ndikugwiritsa ntchito.

Mu matenda ashuga, gawo lofunikira la chithandizo lingayang'anitsidwe ndikuyambiranso ntchito zonse zolimbitsa thupi. Kupatula apo, monga mukudziwira, matenda omwe adalankhulidwayo akumukhudza kotheratu - chifukwa chake kukonzanso kuyenera kuchitika mbali zonse: khungu, ziwalo zamkati, minyewa ndi machitidwe onse a thupi.

Ndizowona kubwezeretsa kapena kukonza ntchito zawo ngati Whey ndi zina zowonjezera zikugwiritsidwa ntchito mtundu woyamba wa 2.

Kuphatikiza apo, endocrinologists amalimbikitsa kuti odwala matenda ashuga ayenera kukhala ndi moyo wokangalika ndikutsatira zakudya zina.

Pokhapokha pokhapokha pazotheka kulankhula za chithandizo chilichonse.

Chinthu chofunikira kwambiri chamankhwala ndi Whey chiyenera kuganiziridwa ndikuyenda tsiku ndi tsiku, kuthamanga, komanso kusiya zizolowezi zoyipa: chikonga chamledzera komanso uchidakwa, kugwiritsa ntchito mankhwalawa.

Chithandizo cha matenda amtundu 1 komanso matenda a shuga a 2 chimatheka pokhapokha ngati pakuwonekera bwino.

Kugwiritsa ntchito chinthu chilichonse, kungakhale kothandiza, koma sikungakhale kokwanira.

Pankhani imeneyi, tikulimbikitsidwa kufunsa katswiri yemwe angathandize payekhapayokha kudziwa njira zomwe zikuyenera kugwiritsidwa ntchito pamenepa, ndi matenda omwe akudziwitsidwa.

Cholembera cholembera insulin: ndi chiyani?

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Jakisoni wa insulin ndi chida chothandizira kuperekera insulin popanda kugwiritsa ntchito singano. Chida choterechi chimatha kukhala milungu ya anthu omwe amawopa jakisoni kapena kuyesa kuchepetsa ululu momwe angathere panthawi ya insulin.

Chipangizocho pakuwoneka chimafanana kwambiri ndi cholembera cha insulin, chimatha kubayitsa kachidutswa kakang'ono ka insulin ya pansi pa khungu popanga kupanikizika kwina. Chifukwa chake, mankhwalawo amalowetsedwa m'thupi kudzera mumtsinje, womwe umathamanga kwambiri.

Jakisoni woyamba wopangira jakisoni wopangira insulin anapangidwa ndi Equidyne mchaka cha 2000, amatchedwa Injex 30. Kuyambira nthawi imeneyo, ambiri okhala ku United States adayamba kugwiritsa ntchito zida mosalekeza, ndipo masiku ano zida zotere zimapezeka pamashelefu omwe amakhala m'masitolo azachipatala apadera.

Medi-Jector Vision Inentor
Ichi ndi chimodzi mwazida zoyambira zomwe zadziwika kwambiri pakati pa odwala matenda ashuga kuchokera ku Antares Pharma. Mkati mwa chipangizocho muli kasupe yemwe amathandiza kukankhira insulini kudzera pabowo loonda kwambiri kumapeto kwa cholembera chosafunikira.

Bokosi limakhala ndi katoni woyenera, yemwe ndi wokwanira kuperekera mankhwalawa kwa milungu iwiri kapena 21 jakisoni. Malinga ndi opanga, jakisoniyo ndi wolimba ndipo amatha kukhala zaka ziwiri.

Umu ndi mtundu wachisanu ndi chiwiri wachipangizochi.
Mtundu woyamba anali ndi mitundu yonse yazitsulo ndi kulemera kokwanira, zomwe zidapangitsa kusokonekera kwa ogwiritsa ntchito.
Maonero a Medi-Jector ndiwosiyana chifukwa pafupifupi mbali zake zonse zimapangidwa ndi pulasitiki.
Pali mitundu itatu yamazira am'magazi, motero mutha kusankha kusowa ndi kuzama kwa kulowa kwa timadzi mu thupi.

Mtengo wa chipangizocho ndi madola 673.

InsuJet Injector

Ichi ndi chipangizo chofanana chomwe chili ndi mfundo yofananira yogwiritsira ntchito. Jakisoniyo ali ndi nyumba yabwino, adapter ya mankhwala opangira jakisoni, adapter yoperekera insulin kuchokera ku botolo la 3 kapena 10 ml.

Kulemera kwa chipangizocho ndi 140 g, kutalika ndi 16 cm, gawo la mulingo ndi 1 unit, kulemera kwa ndege ndi 0.15 mm. Wodwala amatha kulowa mu kuchuluka kwa kuchuluka kwa magawo 4 mpaka 40, kutengera zosowa za thupi. Mankhwalawa amathandizidwa pakapita masekondi atatu, jakisoni angagwiritsidwe ntchito kupangira mtundu uliwonse wa mahomoni. Mtengo wa chipangizochi umafika $ 275.

Injector Novo Pen 4

Ichi ndi chiwonetsero chamakono cha jakisoni wa insulin kuchokera ku kampani Novo Nordisk, komwe kunali kupitiliza kwa mtundu wodziwika komanso wokondedwa wa Novo Pen 3. Chipangizocho chili ndi mawonekedwe okongoletsa, chitsulo cholimba chachitsulo, chomwe chimapereka nyonga yayikulu komanso kudalirika.

Chifukwa cha zimango zamakono zatsopano, kuyendetsa mahomoni kumafuna kuponderezedwa katatu kuposa mtundu wakale. Chizindikiro cha Mlingo chimasiyanitsidwa ndi kuchuluka kwakukulu, chifukwa chomwe odwala omwe ali ndi vuto lowona amatha kugwiritsa ntchito chipangizocho.

Ubwino wa chipangizochi ndi monga:

Mlingo wa kuchuluka umachulukitsidwa katatu, poyerekeza ndi zitsanzo zam'mbuyomu.
Ndi kukhazikitsidwa kwathunthu kwa insulin, mutha kumva chizindikiro chamtundu wanthawi yotsimikizira.
Mukakanikiza batani loyambira silitengera kulimbikira, kotero chipangizocho chitha kugwiritsidwa ntchito kuphatikiza ndi ana.
Ngati mulingo womwe unakhazikitsidwa molakwika, mutha kusintha chizindikirocho popanda kutaya insulin.
Mlingo womwe umayendetsedwa akhoza kukhala mayunitsi 1-60, chifukwa chida ichi chitha kugwiritsidwa ntchito ndi anthu osiyanasiyana.
Chipangizocho chili ndi kukula kosavuta kwa Mlingo, motero jakisoni ndiwofunikiranso okalamba.
Chipangizocho chili ndi kukula koyerekeza, kulemera kochepa, kotero kumakwanira kachikwama kanu, kosavuta kunyamula ndipo kumakupatsani kulowa insulin pamalo alionse abwino.

Mukamagwiritsa ntchito cholembera cha syvoge ya Novo pen 4, mutha kugwiritsa ntchito singano za NovoFine zogwirizana zokha komanso makatiriji a insulini a insulini okhala ndi 3 ml.

Jekeseni wothandizira wa insulin wokhazikika yemwe ali ndi cartridge ya Novo pen 4 ndi yosavomerezeka kuti agwiritsidwe ntchito ndi anthu akhungu popanda thandizo. Ngati wodwala matenda ashuga amagwiritsa ntchito mitundu ingapo ya mankhwala a insulin mankhwalawo, timadzi tina tonse tifunika kuyikamo jakisoni yosiyana. Kuti zitheke, kuti asasokoneze mankhwalawo, wopanga amapereka mitundu ingapo ya zida.

Ndikulimbikitsidwa kuti nthawi zonse muzikhala ndi chipangizo chowonjezera ndi cartridge kuti jakisoni atayika kapena atayika. Kuti wodwalayo azikhala wochepa komanso kuti achepetse matenda, wodwala aliyense ayenera kukhala ndi makatiriji ndi singano zotayira. Sungani zinthu kumalo akutali, kutali ndi ana.

Pambuyo pakuyendetsa mahomoni, ndikofunikira kuti musaiwale kuchotsa singano ndikuvala chophimba. Zida siziyenera kuloledwa kugwa kapena kugunda pamalopo, kugwa pansi pamadzi, kukhala uve kapena fumbi.

Cartridge ikakhala mu chipangizo cha Novo Pen 4, iyenera kusungidwa kutentha kwambiri muchipinda chopangidwa mwaluso.

Momwe mungagwiritsire ntchito injector ya Novo pen 4

Musanagwiritse ntchito, ndikofunikira kuchotsa kapu yoteteza, vumbulutsani gawo lazinthuzo kuchokera pazosungira cartridge.
Ndodo ya piston iyenera kukhala mkati mwa gawo lamagetsi, chifukwa mutu wa pisitoni umakanikizidwa njira yonse. Katiriji katachotsedwa, tsinde limatha kusuntha ngakhale mutu sunapanikizidwe.
Ndikofunikira kuyang'ana cartridge yatsopano kuti iwonongeke ndikuonetsetsa kuti yadzazidwa ndi insulin yoyenera. Ma cartridge osiyanasiyana amakhala ndi kapu okhala ndi nambala zamitundu ndi zolemba zautoto.
Makatoni amaikidwa m'munsi mwa wogwirizira, kuwongolera kapuyo ndi chizindikiro chopita kutsogolo.
Wogwirizira ndi gawo la jakisoni limasulidwira wina ndi mzake mpaka kuwonekera kwa chizindikirocho. Ngati insulini ikayamba kukhala m'mitambo, imasakanizidwa bwino.
Singano yotayikayo imachotsedwa pamalongedzo, chomata chimatulutsa. Chingalicho chimakulungidwa mwamphamvu kuchikuto cholowetsedwa ndi utoto.
Chovala chotchinga chimachotsedwa pa singano ndikuyiyika pambali. Mtsogolomo, imagwiritsidwa ntchito kuchotsa ndikuchotsa singano yomwe imagwiritsidwa ntchito.
Kupitilira apo, capu yowonjezera yamkati imachotsedwa mu singano ndikuitaya. Ngati dontho la insulin likuwoneka kumapeto kwa singano, simukuyenera kuda nkhawa, iyi ndi njira yabwino.

Injector Novo Pen Echo

Chipangizochi ndi chida choyamba chomwe chimagwira ntchito, chomwe chimatha kugwiritsa ntchito mulingo wocheperako pakukula kwa mayunitsi 0,5. Izi ndizofunikira mankhwalawa ana omwe amafunikira kuchepetsedwa kwa insulin. Mlingo wapamwamba ndi magawo 30.

Chipangizocho chili ndi chiwonetsero chomwe mlingo womaliza wa mahomoni omwe amaperekedwa ndi nthawi ya insulin makonzedwe akuwonetsedwa. Chipangizochi chinasunganso zabwino zonse za Novo pen 4. Jakisoniyo ungagwiritsidwe ntchito ndi singano za NovoFine zotayidwa.

Chifukwa chake, mawonekedwe otsatirawa angatchulidwe chifukwa cha zabwino za chipangizocho:

Kukhalapo kwa kukumbukira kwamkati,
Kuzindikira kosavuta komanso kosavuta kwa kukumbukira kukumbukira zinthu,
Mlingo ndiosavuta kukhazikitsa ndikusintha,
Wodulirayo ali ndi chophimba chophimba chachikulu chokhala ndi zilembo zazikulu,
Kukhazikitsa kwathunthu kwa Mlingo wofunikira kukuwonetsedwa ndikudina kwapadera,
Dinani batani ndiyosavuta kukanikiza.

Opanga amazindikira kuti ku Russia mutha kugula chipangizochi pokhapokha ndi mtundu wamtambo. Mitundu ina ndi zomata siziperekedwa kudzikolo.

Malamulo a jakisoni wa insulin aperekedwa mu kanema munkhaniyi.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Syringe cholembera insulini - mwachidule mawonekedwe, malingaliro ndi mitengo

Mu 1922, jakisoni woyamba wa insulin anapatsidwa. Mpaka nthawi imeneyo, anthu odwala matenda ashuga anali ataweruzidwa. Poyamba, anthu odwala matenda ashuga amakakamizidwa kubaya jakisoni wa pancreatic ndi zotulutsira zamagalasi, zomwe sizinali bwino komanso zopweteka.

Popita nthawi, ma cell a insulin otayika okhala ndi singano zopyapyala adawonekera pamsika. Tsopano zida zosavuta kwambiri zopangira insulin zimagulitsidwa - zolembera za syringe.

Izi zimathandizira odwala matenda ashuga kukhala ndi moyo wakhama ndipo samakumana ndi zovuta ndi mankhwalawa.

Khola la syringe ndi chida chapadera (jakisoni) wothandizidwa ndi mankhwalawa, omwe nthawi zambiri amakhala ndi insulin. Mu 1981, woyang'anira kampaniyo Novo (tsopano Novo Nordisk), Sonnik Frulend, anali ndi malingaliro opanga chipangizochi. Pakutha kwa 1982, zitsanzo zoyambirira za zida zoyendetsera insulin zosavuta zinali zitakonzeka. Mu 1985, NovoPen adayamba kuwonekera.

Jakisoni wa insulin ndi:

Zingasinthidwe (ndi ma cartridge)
Zotayidwa - katiriji kamene kakugulitsidwa, ntchito itatha.

Ma syringe otchuka otayika - Solostar, FlexPen, Quickpen.

Zida zomwe zingagwiritsidwe ntchito zimakhala ndi:

chonyamulira makatoni
gawo lamakina (batani loyambira, chizindikiro cha mlingo, ndodo ya piston),
kapu yothandizira
singano zosinthika zimagulidwa mosiyana.

Ubwino wogwiritsa ntchito

Ma cholembera a syringe ndi otchuka pakati pa odwala matenda ashuga ndipo ali ndi zabwino zingapo:

Mlingo wofanana wa mahomoni (pali zida zina zowonjezera mayunitsi 0,1),
kupezeka poyendera - zimakwanira mosavuta m'thumba lanu kapena chikwama,
jakisoni ndiwofulumira komanso wopanda msoko
Mwana komanso wakhungu amatha kupereka jakisoni popanda thandizo,
kuthekera kosankha masingano azitali zosiyanasiyana - 4, 6 ndi 8 mm,
kapangidwe kazithunzi kabwino kamakupatsani mwayi wothandizira anthu omwe ali ndi insulin diabetes pagulu popanda kukopa chidwi cha anthu ena,
zolembera zamakono za syringe zikuwonetsa zambiri pa tsiku, nthawi komanso mlingo wa insulin,
Chitsimikizo kuyambira zaka ziwiri mpaka 5 (zonse zimatengera wopanga ndi mtundu wake).

Zovuta zoyipa

Chipangizo chilichonse sichabwino ndipo chili ndi zovuta zake, izi:

si ma insulini onse omwe ali ndi chifanizo cha chipangizo,
mtengo wokwera
Ngati china chasweka, sungathe kukonza,
Muyenera kugula zolembera ziwiri nthawi imodzi (kwa insulin yayifupi komanso yayitali).

Zimachitika kuti amapereka mankhwala m'mabotolo, ndipo makatoni okha ndi oyenera kupangira ma syringe! Anthu odwala matenda ashuga apeza njira yotithandizira. Amapopa insulini kuchokera ku vial yokhala ndi syringe yosalala mu katoni yopanda kanthu.

Mwachidule

Syringe cholembera NovoPen 4. Chida chotsitsa, chosavuta komanso chodalirika cha Novo Nordisk insulin shipping. Ichi ndi mtundu wabwinobwino wa NovoPen 3. Woyenerera kokha wa insulin ya cartridge: Levemir, Actrapid, Protafan, Novomiks, Mikstard. Mlingo kuchokera pa 1 mpaka 60 mayunitsi mukukula kwa 1 unit. Chipangizocho chili ndi zokutira pazitsulo, chitsimikizo chogwira ntchito kwa zaka 5. Mtengo wongoyerekeza - 30 madola.
HumaPen Luxura. Sir Lilly syringe cholembera cha Humulin (NPH, P, MZ), Humalog. Mlingo wapamwamba ndi mayunitsi 60, gawo ndi gawo limodzi. Model HumaPen Luxura HD ili ndi gawo la mayunitsi 0,5 komanso mulingo wapamwamba wamaunitsi 30. Mtengo woyenerera - madola 33.
Novopen Echo. Jekeseni adapangidwa ndi Novo Nordisk makamaka kwa ana. Imakhala ndi chiwonetsero chomwe mlingo womaliza wa mahomoni adalowonekera amawonetsedwa, komanso nthawi yomwe wadutsa kuyambira jakisoni womaliza. Mlingo wapamwamba ndi magawo 30. Gawo - 0,5 mayunitsi. Kugwirizana ndi inshuwaransi ya penfill cartridge. Mtengo wapakati ndi ma ruble 2200.
Cholemba Chamoyo. Chipangizocho chimangopangidwira zinthu zopangidwa ndi Pharmstandard (Biosulin P kapena H). Kuwonetsedwa kwamagetsi, gawo la 1, nthawi ya jekeseni - zaka 2. Mtengo - 3500 rubles.
Humapen Ergo 2 ndi Humapen Savvio. Eli Ellie syringe cholembera yokhala ndi mayina osiyanasiyana ndi mawonekedwe. Oyenera insulin Humulin, Humodar, Farmasulin. Mtengo - $ 27.
PENDIQ 2.0. Chingwe cha insulin cha digito mu kuwonjezeka kwa 01.U. Ma Memory a jakisoni 1000 omwe ali ndi chidziwitso cha kuchuluka kwake, tsiku ndi nthawi ya kukhazikitsa kwa mahomoni. Pali Bluetooth, betri imayimbidwa kudzera pa USB. Opanga insulin oyenerera: Sanofi Aventis, Lilly, Berlin-Chemie, Novo Nordisk mtengo - 15,000 rubles.

cholembera cholembera insulin:

Sankhani cholembera ndi singano molondola

Kuti musankhe jakisoni woyenera, muyenera kulabadira:

Mlingo umodzi wapamwamba ndi sitepe,
kulemera ndi kukula kwa chipangizocho
kuyanjana ndi insulin yanu
mtengo.

Kwa ana, ndibwino kutenga jakisoni mukuwonjezera kwa mayunitsi 0,5. Akuluakulu, njira yayitali komanso yosavuta yogwiritsira ntchito ndiyofunikira.

Moyo wautumiki wa zolembera za insulin ndi zaka 2-5, zonse zimatengera mtundu. Kuti muwonjezere chipangizocho, ndikofunikira kusunga malamulo ena:

sungani choyambirira
Pewani chinyezi komanso kuwongolera dzuwa
Osadandaula.

Mwa malamulo onse, jekeseni aliyense atatha, ndikofunikira kusintha singano. Sikuti aliyense angakwanitse kugula, chifukwa chake odwala matenda ashuga ena amagwiritsa ntchito singano imodzi patsiku (jakisoni 3-4), pomwe ena amatha kugwiritsa ntchito singano imodzi masiku 6.7. Popita nthawi, singano zimayamba kukhala zowoneka bwino ndipo zomverera zowawa zimawonekera mukabayidwa.

Zingwe za majekeseni amabwera m'mitundu itatu:

4-5 mm - kwa ana.
6 mm - kwa achinyamata komanso anthu owonda.
8 mm - kwa anthu amphamvu.

Opanga otchuka - Novofine, Microfine. Mtengo umatengera kukula kwake, nthawi zambiri masingano 100 pa paketi iliyonse. Komanso pakugulitsa mutha kupeza opanga odziwika bwino a singano zapadziko lonse zopangira syringe - Comfort Point, Droplet, Akti-Fine, KD-Penofine.

Malangizo ogwiritsira ntchito

Algorithm ya jakisoni woyamba:

Chotsani cholembera pachikuto ndi kuchotsa kapu. Gwiritsani ntchito mawotchi osasunthika kuchokera konyamulira katundu.
Tsekani ndodo ya piston pamalo ake oyambayo (kanikizani mutu wa piston ndi chala).
Ikani cartridge mu chosungira ndikugwirizanitsa ndi gawo la makina.
Phatikizani singano ndikuchotsa kapu yakunja.
Shake insulin (pokhapokha ngati NPH).
Onani kuyika kwa singano (yotsika magawo anayi - ngati katiriji watsopano ndi 1 unit musanagwiritse ntchito.
Ikani Mlingo wofunikira (womwe uwonetsedwa pazenera lapadera).
Tisonkhanitsani khungu mu khola, kupanga jakisoni pakona madigiri 90 ndikudina batani loyambira njira yonse.
Timadikirira masekondi 6-8 ndikutulutsa singano.

Pambuyo pa jekeseni iliyonse, ndikofunikira kuti mubwerere ndi singano yakale ndi yatsopano. Jekeseni wotsatira uyenera kupangidwa ndi indent ya 2 cm kuchokera kumbuyomu. Izi zimachitika kuti lipodystrophy isakule.

Malangizo ogwiritsa ntchito zolembera:

Anthu ambiri odwala matenda ashuga amangosiya ndemanga zabwino zokha, chifukwa cholembera cha syringe ndichopepuka kwambiri kuposa syringe yokhazikika ya insulin. Izi ndi zomwe odwala matenda ashuga akunena:

Adelaide Fox. Novopen Echo - chikondi changa, chida chodabwitsa, chimagwira ntchito moyenera.

Olga Okhotnikova. Ngati mungasankhe pakati pa Echo ndi PENDIQ, ndiye kuti choyambirira, chachiwiri sichokwanira ndalama, zamtengo kwambiri!

Ndikufuna kusiya malingaliro anga ngati dokotala komanso odwala matenda ashuga: "Muubwana ndimagwiritsa ntchito cholembera cha ergo 2 Humapen, ndine wokhutira ndi chipangizocho, koma sindinakonde pulasitiki (idasweka pambuyo pa zaka zitatu). Tsopano ine ndiye mwini zitsulo Novopen 4, pomwe imagwira bwino ntchito. ”

Jakisoni wa insulin - chifukwa chofunikira ndi momwe angagwiritsire ntchito?

Pankhondo yolimbana ndi matenda ashuga, wodwalayo ayenera kukhala ndi chida chake - lupanga lomwe amalimbana nalo matenda osokoneza bongo, chishango chomwe amachiwonetsa zolaka ndi chotengera chopatsa moyo, ndikudzazitsa mphamvu ndikumupatsa mphamvu.

Ziribe kanthu momwe zingamvekere, koma pali chida chachilengedwe chonse - uyu ndi injulin wa insulin. Nthawi iliyonse, ziyenera kukhala pafupi ndipo akuyenera kuzigwiritsa ntchito.

Kodi jakisoni wa insulin ndi chiyani?

Jakisoni wa insulini ndi singano kapena chida chachipatala chosafunikira. Kutalika kwa singano m'mapangidwe a singano sikupitilira 8 mm.

Amapangidwira kukhazikitsa insulin. Ubwino wake wosasinthika ndikusowa kwa ululu ndi mpumulo wa mantha kuchokera ku insulin yothandizira momwe akukhudzidwira jakisoni, makamaka kwa ana.

Kukhazikitsa (jekeseni) wa mankhwalawa sizichitika chifukwa cha chipangizo cha piston cha ma syringe, koma chifukwa cha kupangidwa kwa kukakamizidwa kwakukulu ndi kachitidwe ka kasupe. Zomwe zimachepetsa kwambiri nthawi ya njirayi.

Chida chovomerezeka cha injector

Mwanjira, wodwala, ngati mwana, samangokhala ndi nthawi yochita mantha, komanso samamvetsetsa zomwe zachitika.

Njira yokongoletsera komanso yothandiza ya cholembera ndiyabwino kwambiri ndipo imafanana ndi chinthu cholemba cholembera pisitoni ndi chikhomo.

Kwa ana, mitundu yosangalatsa ndi zomata zosiyanasiyana zimagwiritsidwa ntchito, zomwe sizowopsa mwana ndikusintha njirayi kukhala masewera osavuta kukhala "chipatala".

Kuphweka kopanga kumachitika ndi luso lake. Batani limakhazikika mbali imodzi, ndipo singano imatulukira mbali ina (ngati singano). Kupyola pa njira yake yamkati, insulin imalowetsedwa ndikapanikizika.

Mkati mwachipatacho muli katiriji (chotengera) chosakanikirana ndi njira yachipatala. Kuchuluka kwa kapisozi ndizosiyana - kuyambira 3 mpaka 10 ml. Kuti musinthe kuchokera ku tanki imodzi kupita ku ina, pamakhala ma adapter ma adapter.

Popanda "kuongeza", jekeseni yodzipangira jekeseni imatha kugwira ntchito masiku angapo. Ndibwino kuti mukhale nthawi yayitali kunja kwa nyumba.

Chofunika kwambiri ndikuti mankhwalawo a insulini nthawi zonse amakhala m'matumba.

Potembenuza chotulutsa mu mchira wa syringe, wodwalayo amangodziyimira payokha pobayira.

Onse jakisoni a insulin ndiwosavuta kugwiritsa ntchito.

Ndondomeko agawika magawo awiri, awiri kapena atatu:

Kudumphadumulira kwa kasupe wopanga mankhwala.
Kuphatikiza malo a jekeseni.
Kukanikiza batani kuwongola kasupe. Mankhwalawo amalowetsedwa m'thupi.

Ndipo, khalani ndi - sangalalani ndi moyo.

Milandu ya majekeseni onse amapangidwa ndi zinthu zolimba komanso zopepuka, pafupifupi kuthetsa ngozi. Chomwe chimakhala chosavuta kwambiri mukamayenda maulendo, kuyenda ndi maulendo ataliatali.

NovoPen Echo

Cholembera cha sindano cha NovoPen Echo ndichitsanzo chaposachedwa kwambiri cha njira zoperekera insulin zomwe kampani ya Danish Novo Nordisk (Novo Nordis), ndi m'modzi mwa atsogoleri aku West Europe omwe amapanga mankhwala.

Mitundu iyi imasinthidwa mokwanira ndi ana. Izi zimatheka ndi mawonekedwe a dispenser, omwe amalola kupangika kwa mankhwalawa kuchokera ku 0 mpaka 30 magawo a insulin, omwe ali ndi gawo la magawo a 0,5.

Kukhalapo kowonetsera kukumbukira kumakupatsani mwayi woti usaiwale mlingo ndi nthawi yomwe idatha pambuyo pa jekeseni "lowonjezera".

Kusunthika kwa autoinjector kumachitika pakugwiritsa ntchito mitundu yambiri ya insulin, monga:

Ntchito yokumbukira. Ichi ndi chipangizo choyamba cha mtundu uwu chopangidwa ndi kampaniyi, chomwe chimakupatsani mwayi wowongolera nthawi ndi mlingo wa kubera. Gawo limodzi limafanana ndi ola limodzi.
Mwayi wokwanira wosankha mlingo - magawo atatu mpaka 30 okhala ndi gawo limodzi la mayunitsi 0,5.
Kupezeka kwa ntchito ya "Chitetezo". Simalola kupitirira muyeso wa insulin.
Kuti mutsimikizire ndikusintha mtundu wanu wa chida chanu, mutha kugwiritsa ntchito zomata zonse.

Kuphatikiza apo, jakisoniyo ali ndi mwayi wosaneneka womwe umatha kulumikiza ma sensor receptors:

Kuti mumve. Kudina kumatsimikizira kukonzekera kwathunthu kwa mlingo wa insulin.
Kuti muwone. Kukula kwa manambala kumawonjezeka katatu, zomwe zimachotsa mwayi wolakwika posankha mlingo.
Kuti mumve. Kuti muyambitse chipangizocho, muyenera kuyesetsa kuti muchepetse 50% poyerekeza ndi zitsanzo zam'mbuyomu.

Pakugwiritsa ntchito bwino kwa chipangizocho, ndi okhawo omwe akuyenera kugwiritsa ntchito omwe ayenera kugwiritsidwa ntchito:

Penfill insulin cartridge 3 ml.
Njirazi zotayikira NovoFayn kapena NovoTvist, mpaka 8 mm kutalika.

Kufuna ndi kuchenjeza:

Popanda kuthandizidwa ndi anthu osavomerezeka, jekeseni wa NovoPen Echo samavomerezedwa kuti azigwiritsa ntchito akhungu kapena osawona.
Popereka mankhwala a insulin awiri kapena kupitilira apo, nyamulani zida zingapo zamtunduwu.
Ngati mwawonongeka mwangozi chipewa, nthawi zonse khalani ndi cartridge yopuma ndi inu.

- Kumanga kwa kugwiritsa ntchito NovoPen Echo:

Ngati, pazifukwa zina, mwasiya "kudalira" chiwonetserochi, mwataya kapena kuiwaliratu masanjidwewo, yambani kubayitsa jakisoni wotsatira ndi shuga kuti mupeze mulingo woyenera wa mankhwalawo.