Momwe mungagwiritsire ntchito cholembera cha insulin?
Cholembera kubaya insulini chinadziwika nalo dzina lofanana ndi cholembera cholozera chofala. Zida zoterezi ndizosavuta kugwiritsa ntchito, popeza ndi izi wodwalayo amatha kuwombera mahomoni ndikuwamwa molondola. Mwa odwala matenda ashuga, palibe chifukwa chochezera ndi chipatala chokhazikitsidwa ndi insulin.
Chingwe cha insulini chimasiyanitsidwa ndi makina omwe amatulutsa, gawo lililonse la chinthu limatha kusiyanitsidwa ndikudina, kuyambitsa kwa hormone kumachitika ndikudina batani. Zingano za chipangizocho ndizovuta, mtsogolomo zitha kugulidwa padera.
Cholembera cha insulin ndi chosavuta kugwiritsa ntchito, chosavuta kunyamula, popeza ndichopanga komanso chopepuka.
Ngakhale ma syringe ambiri omwe amapezeka pamsika, aliyense wa iwo ali ndi zida zofanana. Chidacho chimaphatikizapo:
- sleeve (cartridge, cartridge) wa insulin,
- mlandu
- zida pisitoni,
- singano mu cap.
Chophimba chimafunikira kuti chitsekere singano chikakhala chogwira ntchito. Komanso, chipangizocho chimakhala ndi batani lothandizira kubaya komanso makina odzipaka okha popereka insulin.
Kugwiritsa ntchito syringe ndi kosavuta, chifukwa muyenera kuyichotsa pamlanduwo, kuchotsa kapu, kuyika singano mutachotsa kapu imodzi. Kenako syringe yokhala ndi insulin ikasakanikirana, mulingo wofunikira umatsimikiziridwa, singano imatulutsidwa kuchokera ku thovu ndikukanikiza batani la jakisoni.
Kuti jekeseni, khungu limakulungidwa, singano imayikidwa (jekeseni amaloledwa m'mimba, mwendo kapena mkono), batani limasungidwa kwa masekondi 10, kenako ndikumasulidwa.
Momwe mungapangire jakisoni moyenera, mfundo za kagwiritsidwe ntchito ka cholembera
Pathupi laumunthu pali malo ena omwe mutha kubayira insulin, kuyamwa kwa magawo awa ndi kosiyana, komanso kuchuluka kwa mankhwala. Ndiwothandiza kwambiri kubaya zinthuzo kukhoma lakumaso, komwe insulin imalowetsedwa ndi 90%, imayamba kugwira ntchito nthawi zambiri mwachangu.
Pafupifupi 70% ya mayamwidwe imachitika pambuyo pa jekeseni kutsogolo kwa ntchafu, gawo lakunja la mkono, nthawi zambiri limabayidwa m'deralo kuyambira phewa mpaka m'chiwuno. Kuchita bwino kwa mayamwidwe am'madzi m'dera la scapula kumafika 30% yokha. Mwachangu, insulini imayamba kugwira ntchito ngati muilowetsa kutali ndi zala ziwiri kuchokera ku navel.
Malangizowa amauza anthu odwala matenda ashuga kuti kumabayidwa nthawi yomweyo malo amodzi ndivulaza; Mtunda pakati pa jakisoni suyenera kukhala wochepera 2 cm, jekeseni isanakwane kupukuta khungu ndi mowa, nthawi zina ndikokwanira kutsuka khungu ndi sopo ndi madzi. Pamalo omwewo, jekesayo amabwerezedwanso palibe kale kuposa masiku 14 pambuyo pake.
Malamulo a insulin management ndi osiyana siyana m'magulu osiyanasiyana, mwachitsanzo, ndi miyeso yosiyana. Makamaka, momwe lingayambitsire singanoyo pakhungu ndi losiyana. Makona a jekeseni pafupi ndi perpendicular amalimbikitsidwa kwa odwala:
- Mafuta,
- wosanja wonenepa wa mafuta onunkhira.
Wodwala akasiyanitsidwa ndi kapangidwe ka thupi la asthenic, kuli bwino akuthira mankhwalawo pachimake. Ndi kupendekera kotsika kwamafuta ochulukirapo, pamakhala chiopsezo cha singano yolowa m'matumbo a minofu, momwe nthawi yanthawi ya mahomoni ingasinthe, komanso kwakukulu.
Kuphatikiza apo, kuchuluka kwa kayendetsedwe kazinthu zimakhudzidwa ndi kutentha kwa insulin. Ngati syringe ya insulin ndi zomwe zili mkati mwake kutentha kwambiri, mankhwalawa ayamba kugwira ntchito pambuyo pake.
Kuchulukana kwa insulin m'matimu kumatha kuchitika, izi zimachitika ngati jakisoni atayikidwa pafupi ndi inzake, izi zimachepetsa nawonso mayeso. Chifukwa chake, kugwiritsa ntchito cholembera cha insulin kuyenera kuchitidwa molingana ndi malamulowo. Panthawi imeneyi, kupepuka kwamphamvu kwa vuto kumathandiza.
Sungani zofunafuna insulin zolembera pamwambo wabwinobwino, koma osapitirira masiku 30 mutatha kugwiritsa ntchito. Insulin mu makatiriji imasungidwa pa alumali ya firiji, ngati yankho lapeza ndi mitambo yambiri, iyenera kusakanizika bwino kuti ikwaniritse boma loyambirira.
Zoyipa zazikulu za cholembera
Kwa odwala matenda ashuga, ma cholembera apamwamba kwambiri opangira insulin adapangidwa, koma nthawi yomweyo, zida zimakhala ndi zovuta zowonongeka. Muyenera kudziwa kuti ma syringe osinthanso sangakonzeke, mosasamala wopanga, mtengo wake ndi wokwera, makamaka poganizira kuti wodwalayo amagwiritsa ntchito zidutswa zitatu.
Opanga ambiri amapereka ma syringes a zolembera za jakisoni wa insulin, omwe amatha kugwiritsidwa ntchito pokhapokha ndi malaya apachiyambi, omwe, motsutsana ndi zolakwika zina, amakhala vuto lalikulu logwiritsa ntchito. Pali cholembera cha kubaya insulini ndi malaya osasinthika, izi zimathetsa vutoli posankha makatoni, koma zimayambitsa kukwera kwakukulu kwa mtengo wa chithandizo, chifukwa ndikofunikira kubwereza kuchuluka kwa zolembera.
Syringe ya insulin yodziwikiratu yolumikizira mankhwala imakhala ndi zovuta zowonjezereka zokhudzana ndi malire a chakudya chamafuta, ikaphatikizidwa mosiyanasiyana, imawonetsedwa kusintha kuchuluka, kuyambira kuchuluka kwa chakudya. Kwa odwala matenda ashuga, izi ndizodzala ndi malingaliro okana jakisoni akhungu.
Pali malingaliro olakwika ambiri pamomwe mungagwiritsire ntchito chipangizo cha insulin, ochepa okha ndi omwe alembedwa:
- muyenera kukhala ndi masomphenya abwino, mgwirizano,
- Ndikosavuta kusankha mlingo wopanda dokotala.
Sizowona kwathunthu kuti wodwalayo akuyenera kukhala ndi masomphenya akuthwa, popeza kuti mulingo wofanana ndi wodwalayo amatha kudziwa momwe mankhwalawo alili, ngakhale wodwala yemwe ali ndi vuto la matenda ashuga sangathe kulimbana ndi insulin.
Mavuto podzisankhira nokha mankhwalawa amakhalanso osocheretsa, kuchepa kwa chidziwitso paliponse sikumakhala kofunikira, komabe, pali nthawi zina pomwe kulondola kwakukulu ndikofunikira kwambiri.
Chabwino ndi chiyani, syringe kapena cholembera cha insulin? Kodi mungasankhe bwanji?
Ndikosavuta kuyankha chomwe chiri bwino, cholembera chosinthanso kapena syringe yokhazikika, chifukwa kusankha njira yothandizira mahomoni nthawi zonse kumangokhala kwa munthu payekha. Komabe, pali odwala matenda ashuga omwe madokotala amalimbikitsa kuti alembe insulini, ma syringe ndi singano wamba sizimawakomera. Gulu ili la odwala limaphatikizapo ana omwe amawopa jakisoni, anthu odwala matenda ashuga osawona bwino, odwala omwe amakhala ndi moyo wotakataka koma osapezeka kunyumba.
Momwe mungagwiritsire ntchito insulin mu cholembera ndizomveka, koma momwe mungasankhire mtundu woyenera wa chipangizocho kuti musadzetse vuto? Kwa jakisoni wa insulin, muyenera kusankha pensulo yokhala ndi lalikulu komanso momveka bwino.
Sizowawa kuwonetsetsa kuti zinthu zomwe syringe imapangidwa, singano za jakisoni, sizingayambitse mavuto. Ndikulimbikitsidwanso kuti muchepetse chidwi ndi kukuthwa kwa singano, singano yolondola ndi kuphika kwapamwamba kumathandiza kupewa zovuta zosasangalatsa monga lipodystrophy, pomwe:
- kuchuluka kwa jekeseni ndikuchepera,
- mabala, kutupa,
- kuchuluka kwa minofu ya subcutaneous yafupika.
Mfuti yoperekera insulin yokhala ndi gawo logawika pang'ono imapangitsa kuti pakhale kuchuluka kwa insulini, nthawi zambiri gawo la theka la mankhwalawa limathandizira gawo limodzi.
Singano yochepa imatengedwa kuti ndi mwayi wachitsanzo; M'mitundu ina muli chokulitsa mwapadera, zida zofanana zimapangidwira odwala matenda ashuga okhala ndi zowonongeka zowoneka bwino. Momwe mungagwiritsire ntchito syringe ndi cholembera cha mtunduwu, pakufunika nthawi yayitali kuti lisinthidwe kapena kusinthidwa ndi syringe yokhazikika, adokotala omwe amapezekapo angakuuzeni mu pharmacy. Mutha kuyitanitsanso syringe pa intaneti, ndibwino kuti mugule ndikugulitsa kunyumba.
Zambiri pa zolembera za insulin zimaperekedwa mu kanema munkhaniyi.
Kodi cholembera ndi chiyani?
Cholembera sichingafanane ndi cholembera. Malinga ndi zamankhwala, iyi ndi gawo lathunthu lomwe limalola kuti odwala matenda ashuga azisintha shuga. Cholembera chokha ndichida chovuta kuphatikizira chomwe chimaphatikizapo zinthu zambiri. Ichi ndi chopondera chophatikizira ndi chinthu chamafuta, ndi tanki yosungira, ndi chopereka chapadera. Kuphatikiza apo, chipangizocho chili ndi batani loyambira, singano yosinthika, mlandu wokhala ndi chidutswa.
Ma syringe omwe aperekedwa, omwe amagwiritsidwa ntchito ndi insulin, amatha kugwiritsa ntchito limodzi komanso kuyambiranso. Zachidziwikire, kusankha kwachiwiri kumapangitsa moyo kukhala wosavuta kwa odwala matenda ashuga. Komabe, ndikofunikira kumvetsetsa mwatsatanetsatane zabwino ndi zoyipa za chipangizocho.
Ubwino ndi zoyipa
Kutha kusintha ndi kugwira batani loyambira kumakupatsani mwayi wopanga makulidwe azomwe amapangira gawo la mahomoni pansi pa khungu. Mndandanda wazabwino ukuphatikiza zina:
- chifukwa cha kukula kochepa kwa singano, kupumula ndikuthamanga kwambiri, nkolondola ndipo sikumayanjana ndi ululu,
- palibe chifukwa chodziyimira pawokha pakuyambira kwa chipangizocho,
- kuthekera kogwiritsidwa ntchito ngakhale ndi anthu olumala chifukwa chachipangizo chosayina. Amadziwitsa za kumaliza kwa mankhwala a insulin.
Kuphatikiza apo, cholembera chilichonse cha insulin chimalowa m'thumba lanu kapena ngakhale mthumba lanu popanda mavuto. Monga tanena kale, pali mitundu iwiri ya zida yomwe yapangidwira: yotheka kuyisintha ndi kuyambiranso. Yoyamba imaphatikizapo cartridge yapadera yosachotsa. Gawo likamaliza, cholembera chimodzicho chimatayidwa. Pafupifupi, nthawi yogwira ntchito imakhala pafupifupi milungu itatu, komabe, nthawiyo imatha kusintha kutengera kuchuluka kwa insulini ndi zina za mankhwalawa.
Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>
Zida zothandiza zimagwiritsidwa ntchito ndi anthu odwala matenda ashuga kuyambira zaka ziwiri mpaka zitatu. Pambuyo poti gawo la mahormoni mu cartridge latha, lifunika kulowa m'malo mwatsopano. Akatswiri amalipira chidwi ndi kuphweka, kusakhazikika komanso chitetezo osati zoyendera zokha, komanso kugwiritsa ntchito insulin.
Nthawi yomweyo, zolembera za syringe zimakhala ndi zovuta zina. Samalani ndi kuchepa kwa kulephera kukonza jakisoni, mtengo wokwera wa chipangizocho. Kuphatikiza apo, si makatiriji onse omwe ali paliponse.
Mukamayambitsa gawo la mahomoni mwanjira iyi, muyenera kutsatira zakudya zosamalitsa kuti kuchuluka kwake kwa zomwe zikuyendetsedwa kuzikhala ndi zotsatira zoyenera m'thupi.
Kodi mungasankhe bwanji syringe?
Njira yosankha cholembera cholembera insulini iyenera kuchitika motsatira malamulo onse. Polankhula izi, tcherani khutu kuti:
- Chofunika kwambiri ndi sikelo, yomwe iyenera kukhala yayikulu mokwanira komanso yosavuta kuwerenga,
- pakupanga zolembera kufikira pano, zinthu zotheka kupangitsa ziwengo sizigwiritsidwa ntchito. Komabe, sizikhala zofunikira kuti zitsimikizire
- kukulitsa kwapadera, kuphatikizira kwa singano kumathandizira kupewa zovuta monga lipodystrophy.
Ngati gawo locheperachepera kwambiri silikhala lofunika kwambiri, m'pofunika kwambiri kuyeza kuchuluka kwa gawo la mahomoni. Mwachitsanzo, gawo limodzi la 0,5 kwathunthu lidzakhala labwino kwa gawo limodzi. Singano yofupikirako imatha kuonedwa ngati yoyenera ya mtundu wosankhidwa, chifukwa yofupikirako, yofunikira kwambiri ndizotheka kwa insulini kulowa mkati mwa minofu.
Tiyeneranso kukumbukira kuti opanga ena amapereka sikelo ndi galasi lokulitsa. Kwa odwala matenda ashuga omwe ali ndi vuto lowonongeka kwambiri, uwu ndi mwayi pakusankha mtundu kuti mugwiritse ntchito mosalekeza.
Momwe mungagwiritsire ntchito cholembera?
Cholembera cha insulin chiyenera kugwiritsidwa ntchito molingana ndi malamulo ena. Chifukwa chake, pakudziyambitsa pawokha kwa gawo la mahomoni, ndikofunikira kukonza malo opumula pogwiritsa ntchito yankho la aseptic. Kenako, chotsani kapu ku jakisoni, ikani chidebe ndi insulin m'chipangizo ndi cholembera. Kenako njira yopatsirayo imatha kutsegulidwa.
Gawo lotsatira ndikuphatikiza zomwe zili mchikwama potembenukira mmwamba ndi pansi. Kenako muyenera:
- kupanga khola pakhungu pakulowerera kwambiri kwa insulin ndi singano m'matumbo amkati,
- insulin imayendetsedwa yokha kapena mothandizidwa ndi winawake mwa kukanikiza batani njira yonse,
- kupatula jakisoni patali kwambiri,
- kuti musamve kupweteka pamatumbo, musangogwiritsa ntchito singano yosalala.
Njira yobweretsera insulini ndi cholembera cha syringe imatanthawuza kuti malo opumira amatha kukhala malo omwe ali pansi pamapewa, khola pamimba, komanso m'chiuno ndi matako, ndi kutsogolo. Ndi kuyambitsa kwa mahomoni m'mimba, mayamwidwe ake amapangidwa bwino kwambiri komanso mwachangu. Madera otsatirawa ogwira ntchito ndi madera monga manja ndi chiuno. Mwina malo othandiza kwambiri pakukhazikitsa gawo la mahomoni ndi gawo lachiberekero. Zonsezi ziyenera kukumbukiridwa kuti mudziwe momwe mungabayitsire insulin.
Tiyeneranso kumvetsetsa kuti kubayidwanso kwina komwe kumapangidwira kumalo amodzi ovomerezeka ndikovomerezeka pambuyo masiku 14-15. Kwa odwala omwe ali ndi thupi loonda, mbali ya jakisoni wa insulin iyenera kukhala yakuthwa momwe ingathekere. Kwa odwala omwe ali ndi chiwalo chambiri cha mafuta, ndikulimbikitsidwa kuti mupeze syringe cholembera perpendicularly. Popeza wamvetsetsa jakisoni wa insulin ndi cholembera, sayenera kunyalanyaza zovuta zomwe amasunga chida.
Momwe mungasungire chipangizocho?
Sentensi yomwe ingagwiritsidwenso ntchito, ngati chingwe chotayikira, iyenera kusungidwa malinga ndi malamulo ena. Choyamba, zizindikiro za kutentha kwa chipinda ziyenera kuonedwa, ndikofunikanso kuwunika chinyezi mchipindacho. Chotsatira chofunikira kwambiri ndichitetezo chodalirika popewa fumbi. Kupanda kutero, cholembera sichingathe kulephera.
Sidzakhalanso zofunikira kuti muthe kutetezedwa ku zotsatira zoyipa za mwachindunji za ultraviolet. Ndikulimbikitsidwa kuti muzisunga nthawi zonse kachipangizocho ndikukana kuyeretsa ndi mankhwala.
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Ndikotheka kusunga insulini mu cholembera, mu malaya ogwiritsidwa ntchito, kwa mwezi umodzi firiji. Ndikofunika kuti musunge malaya owoneka bwino mufiriji, koma osayandikira firiji. Tiyenera kudziwa kuti kutentha kwa yankho kumakhudza kwambiri kuchuluka kwa mphamvu ya mahomoni, kutanthauza kuti, ofunda adzatengedwa mwachangu.