Mitundu, chipangizo ndi malamulo pakusankhidwa kwa ma syringes a insulin

Munthu aliyense yemwe ali ndi matenda a shuga amadziwa ma insulin, chifukwa kupezeka kwa zida zothandizira odwala ndikofunikira. Ma syringes a insulini nthawi zonse amatayika ndipo samawoneka, omwe amawatsimikizira kuti azigwiritsidwa ntchito. Zinthu zoterezi zimapangidwa ndi pulasitiki wapadera, ndipo kumapeto kwa syringe kumakhala ndi singano zakuthwa.

Mukamasankha syringes ya insulini, muyezo wofunikira kwambiri ndiwowerengera, womwe amawerengedwa ngati mtengo. Lingaliro lalikulu kwambiri muzochitika zotere ndi gawo logawika.

Pansi pa sitepe (mtengo) wagawidwe uyenera kumvetsetsa kusiyana kwa kukula, komwe kumagwirizana ndi malo oyandikana.

Mwanjira ina, ichi ndi chinthu chochepa kwambiri chomwe chimatha kukokedwa mu syringe molondola kwambiri, ndipo 100% ikugunda.

Mulingo wamitundu ndi zolakwitsa

Ili pamasitepe, imatchedwa mtengo, kugawa kwa gawo la insulin kudzadalira kwathunthu kuthekera kwa kutulutsa bwino insulin, chifukwa cholakwika chilichonse pakayambitsa chinthucho chitha kubweretsa mavuto azaumoyo. Mlingo wa insulin wocheperako kapena wowonjezera, umadumpha mu shuga momwe wodwalayo akuwonekera, zomwe zimayambitsa zovuta za matendawa.

Ndikofunikira kuzindikira padera kuti cholakwika chofala kwambiri ndikukhazikitsa theka la mtengo wogawika pamlingo. Zikatero, zimapezeka kuti mtengo wogawika wa mayunitsi 2, gawo limodzi lokha (UNIT) limakhala theka.

Munthu wakhungu wokhala ndi matenda a shuga 1 amachepetsa shuga ya magazi ake ndi 8.3 mmol / L. Ngati timalankhula za ana, amayankha insulin kuyambira kawiri mpaka kawiri mwamphamvu. Mulimonsemo, zizindikiro zoyambirira za matenda ashuga mwa atsikana kapena abambo, mwa ana, zidzatsogolera pakufunika kokaphunzira ntchitoyi ndi syringe ya insulin.

Chifukwa chake, cholakwika cha kuchuluka kwa 0,25 kuchokera ku 100 chidzatengera kusiyana kosavuta pakati pa misempha yabwinobwino ndi hypoglycemia. Chifukwa chake, ndikofunikira kwambiri kwa aliyense yemwe ali ndi matenda a shuga amitundu yosiyanasiyana kuti aphunzire jekeseni wokwanira ngakhale waukulu Mlingo wa insulin, omwe 100% amavomerezedwa ndi adotolo.

Izi zitha kutchedwa imodzi mwazofunikira kwambiri kuti thupi lanu likhalebe labwinobwino, ngati simukuganizira kusunga kovomerezeka kwa chakudya.

Kodi mungakwaniritse bwanji?

Pali njira ziwiri zophunzirira momwe mungawerengere kuchuluka kwa insulini yofunika jakisoni:

• gwiritsani ntchito ma syringe omwe ali ndi gawo laling'ono, zomwe zingapangitse kuti mankhwalawo azigwiritsa ntchito moyenera,
• kuchepetsa insulin.

Kugwiritsa ntchito mapampu apadera a insulin sikulimbikitsidwa kwa ana ndi iwo omwe ali ndi matenda a shuga a mtundu woyamba.

Mitundu yosiyanasiyana ya matenda a shuga a insulin

Kwa odwala ambiri omwe ali ndi matenda ashuga, ndizovuta kudziwa nthawi yomweyo momwe syringe yolondola iyenera kukhalira zonse.

Choyambirira, sichiyenera kukhala ndi magawo opitilira 10, ndipo pamlingo wake uli ndi mayeso ofunikira kwambiri pafupifupi 0,25 PISCES. Kuphatikiza apo, ziyenera kugwiritsidwa ntchito mwanjira yoti popanda zovuta zapadera ndizotheka kupatulira mlingo mu 1/8 UNITS ya chinthu.

Kuti muchite izi, ndikofunikira kusankha mitundu yayitali komanso yopanda insulin.

Komabe, kupeza izi ndikovuta kwambiri, chifukwa ngakhale kumayiko ena zosankha za syringe ndizosowa. Chifukwa chake, odwala akudwala syringes yomwe mumawadziwa bwino, mtengo wogawika ndi magawo awiri.

Ma syringe omwe ali ndi gawo logawa gawo lawo kukhala 1 unit mumakementi am'mapiritsi ndi zovuta komanso zovuta kupeza. Ndi za Becton Dickinson Micro-Fine Plus Demi. Amakhala ndi mulingo wofotokozedwa momveka bwino ndi gawo lililonse logawikana ndi 0.25 PESES. Kukula kwa chipangizochi ndi ma PIERES 30 pazomwe zili ndi insulin U-100.

Kodi masingano a insulin ndi ati?

Choyamba muyenera kufotokozera kuti singano zonse, zomwe zimayimiriridwa kupulogalamu yamapiritsi, ndizowala zokwanira. Ngakhale kuti opanga amapereka mitundu ingapo ya singano zama insulin, amatha kusiyanasiyana, ndipo ali ndi mitengo yosiyanasiyana.

Ngati tikulankhula za singano zabwino kuti mupeze insulin kunyumba, ndiye kuti iyenera kukhala yomwe imakulolani kuti mulowe mu mafuta osaneneka. Njira iyi imapangitsa kuti apange jakisoni wabwino.

Jakisoni wozama kwambiri sayenera kuloledwa, chifukwa pamenepa jakisoni wa intramuscular amapezeka, yemwe 100% imapangitsa ululu. Kuphatikiza apo, zidzakhala zolakwika kupanga chodzikongoletsera pamakona oyenera, zomwe zingalole insulin kulowa mwachindunji. Izi zimayambitsa kusinthasintha kosadziwika bwino m'magazi a munthu wodwala ndipo kumakulitsa matenda.

Kuti atsimikizire kuyika bwino kwa chinthucho, opanga amapanga singano zapadera zomwe zimakhala ndi kutalika kwake komanso makulidwe. Izi zimapangitsa kuti musakhale ndi vuto lolowera zolakwika zamilandu zambiri, kuphatikiza mtengo ndizotheka.

Njira zoterezi ndizofunikira kwambiri, chifukwa akuluakulu omwe ali ndi matenda ashuga komanso osakhala ndi mapaundi owonjezera, amakhala ndi minofu yowonda kwambiri kuposa kutalika kwa singano yokhazikika ya insulin. Kuphatikiza apo, singano ya 12-13 mm siyabwino kwathunthu kwa ana.

Masingano amakono apamwamba kwambiri a syringe ya insulin amadziwika ndi kutalika kwa 4 mpaka 8 mm. Ubwino wawo wapamwamba pazingano zovomerezeka ndikuti nawonso ndiwocheperako m'mimba mwake motero amakhala omasuka, ndipo mtengo wake ndi wokwanira.

Ngati titha kuyankhula manambala, ndiye kuti singano yapamwamba ya insulini, kutalika kwa 0,4, 0,36, komanso 0.33 mm ndiyachilengedwe, ndiye kuti yofupikirako ndi kale mamilimita 0,3, 0,25 kapena 0,23. Singano yotereyi siyingatulutse zomverera zowawa, chifukwa zimapangitsa kupindika kukhala kovuta.

Mitundu ndi chida

Pali mitundu itatu ya ma syringe a subcutaneous makonzedwe a insulin:

• syringe ndi singano yochotsa,
• syringe ndi singano yophatikizika,
• syringe zolembera.

Ngakhale kuti lero syringe wamba wamba ndiye mtsogoleri wathunthu pakugulitsa pakati pa anthu omwe ali ndi matenda ashuga, kutchuka kwa zolembera za syringe zomwe zapezeka posachedwa pamsika waku Russia kukukulanso chaka chilichonse.

1) Syringe ndi singano yochotsa. Chipangizochi chimatanthawuza kuti chitha kuchotsa mphuno ndi singano kuti ikhale yosavuta kwambiri pamene mukusonkhanitsa insulin kuchokera ku vial. Pisitoni ya ma syringe amenewa imayenda bwino komanso modekha, zomwe zimaperekedwa ndi opanga kuti athe kuchepetsa cholakwika mukadzaza jakisoni. Monga mukudziwa, ngakhale cholakwika chochepa posankha mtundu wa insulin ya shuga imatha kumabweretsa zotsatirapo zovuta kwa wodwalayo. Ichi ndichifukwa chake syringe yomwe ili ndi singano yochotseka imapangidwa m'njira zochepetsera ngozi zotere.

Zinthu zazikulu posankha syringe ndi kuchuluka kwake ndi kuchuluka kwake, mtengo wogawika womwe ungakhale kuchokera ku zigawo za 0,25 mpaka 2. Chifukwa chake, wodwala wodwala matenda ashuga a mtundu woyamba 1 osakhala ndi mavuto onenepa kwambiri, kukhazikitsa gawo limodzi la insulini kudzachepetsa kuchuluka kwa shuga m'magazi pafupifupi 2,5 mmol / lita. Chifukwa chake, ngati mtengo wogawa wa syringe lonse ndi magawo awiri, ndiye kuti cholakwika chake ndi theka chazomwezi, chomwe ndi gawo limodzi la insulin. Izi zikutanthauza kuti ndikulakwitsa pang'ono podzaza syringe, odwala matenda ashuga angachepetse shuga osati ndi 2,5, koma ndi 5 mmol / lita, lomwe silabwino kwenikweni. Izi zimachitika makamaka kwa ana omwe mlingo wa mahomoni tsiku ndi tsiku amachepetsedwa kwambiri poyerekeza ndi mlingo wa munthu wamkulu.

Kutengera pamwambapa, pamlingo wotsika wa insulin womwe umayendetsedwa, tikulimbikitsidwa kusankha ma syringe omwe ali ndi mtengo wocheperako, womwe ndi ma koloko 0,25. Kwa iwo, cholakwika chovomerezeka ndi magawo a insulin 0,125 okha, ndipo kuchuluka kwa mahomoniwa kumachepetsa kuchuluka kwa shuga m'magazi posaposa 0.3 mmol / lita.

Zofala kwambiri masiku ano ndi ma insulin omwe amapezeka ndi singano yochotsa, wokhala ndi voliyumu 1 ml ndikulolani kuti nthawi yomweyo musonkhane ndi insulin pamtunda wamagulu 40 mpaka 80. Ma syringe opanga achilendo ndi omwe amakonda kugula, chifukwa jakisoni wamagwiritsidwe ake siowawa, komabe, amawononga ndalama zoposa zapakhomo. Kuchulukitsa kwawo kumatha kuyambira ku 0,5 ml mpaka 2 ml, koma mumasitolo apakhomo nthawi zambiri mumangopeza zitsanzo zokhala ndi 0,2 ml, 0,3 ml, 0,4 ml, 0,5 ml ndi 1 ml wogulitsa. Kugawika kofala kwambiri pankhaniyi ndi magawo awiri a insulin. Kukumana pama sampuli ogulitsa mu zowonjezera za mayunitsi 0,25 ndizovuta kwambiri.

2) syringe ndi singano yophatikizika. Kwakukulu, sizosiyana ndi momwe tidawonera kale, kupatula kuti momwemo singano imagulitsidwira m'thupi ndipo siyingachotsedwe. Kumbali ina, sichikhala chovuta nthawi zonse kusonkhanitsa insulin ndi chipangizo choterocho, koma, mulibe malo otchedwa akufa, omwe amapezeka mu syringe ndi singano zochotsa. Izi zikuchokera pamenepa kuti pogwiritsa ntchito jakisoni "wophatikizika", mwayi wa kutayika kwa insulin panthawi yolembedwa umachepetsedwa pafupifupi zero. Kupanda kutero, zida izi zimakhala ndi zofanana ndi zomwe tafotokozazi, kuphatikiza voliyumu yogwira ntchito komanso muyeso wogawika.

3) cholembera. Chipangizo chatsopano chomwe chakhala chofala pakati pa odwala matenda ashuga posachedwapa. Ndi chithandizo chake, mutha kupanga jakisoni wa insulin mosavuta komanso mwachangu popanda kuthana ndi ubongo wanu pakusintha kwa ndende ndi kuchuluka kwa timadzi timene timayendetsedwa. Cholembera cha syringe chimaphatikizapo kugwiritsa ntchito makatoni omwe ali ndi insulin, yomwe imayilidwa m'thupi lake. Ubwino wake poyerekeza ndi jakisoni achikhalidwe ndiwodziwikiratu:

• ndikwabwino kunyamula cholembera nthawi zonse pena paliponse nanu, podzipulumutsa pazovuta zomwe zimachitika chifukwa chanyamula ma insulin komanso ma syringe otayika m'matumba anu,
• kukhala ndi chipangizo chotere, simungathe kuwononga nthawi yowerengera insulin, chifukwa poyamba chimayambitsa gawo la 1 unit,
• kuchuluka kwa syringe cholembera ndizapamwamba kuposa syringe wamba
• kuchuluka kwa cartridge kumakupatsani mwayi woti mugwiritse ntchito mobwerezabwereza popanda kusintha kwa nthawi yayitali,
• kupweteka kwa jakisoni wotere kulibe (izi zimatheka chifukwa cha singano za ultrafine),
• Mitundu yapa ma syringe cholembera imakupatsani mwayi kuti muike ma cartridge omwe ali ndi mitundu yosiyanasiyana ya insulini yomwe imagulitsidwa kunja (izi zidzakupulumutsani kuti musatengeke pamakalata am'nyumba mukamayenda kunja).

Mwachilengedwe, chipangizochi, kuphatikiza zabwino, chimakhalanso ndi zovuta, zomwe ziyeneranso kutchulidwa. Izi zikuphatikiza:

• mtengo wokwera komanso kufunika kokhala ndi zolembera ziwiri kuti muthe kusintha wina ndi mzake kuti mulephera (mtengo wa cholembera chimodzi ndi pafupifupi $ 50, yomwe pa avareji imakhala yofanana ndi mtengo wa ma syringe 500 otayika, omwe ungakhale zaka zitatu wogwiritsa ntchito),
• kuperewera kwa ma insulin cartridge m'misika yanyumba (ambiri opanga ma syringe amapanga makatoni omwe ndi oyenera pazogulitsa zawo zokha, ndipo nthawi zina zimakhala zovuta kuwapeza akugulitsa),
• kugwiritsidwa ntchito kwa cholembera kumatanthauza kuti mupeze insulini yokhazikika (izi sizingakuthandizeni, mwachitsanzo, kudya chokoleti ndi kulipirira izi poonjezera kuchuluka kwa insulini).
• popanga jakisoni ndi cholembera, wodwalayo sawona kuchuluka kwa jakisoni wake m'thupi mwake (kwa ambiri, izi zimayambitsa mantha, popeza kupaka insulin ndi ma syringe owonekera kumawonekera kwambiri komanso kotetezeka),
• monga chipangizo china chilichonse chovuta, cholembera sichitha kulephera panthawi yake (ndizosatheka kuchisintha ndi chofanana ndi mizinda yayikulu, popeza sichigulitsidwa paliponse).

Kodi mungasankhe bwanji singano yoyenera ya zolembera?

Ma singano a ma insulin a pensulo amasankhidwa malinga ndi zomwe wodwalayo ali nazo. Mosiyana ndi ma syringes achizolowezi, komwe makulidwe ndi singano nthawi zambiri zimakonzedwa, cholembera cha syringe chimafuna njira yolondola kwambiri pakusankha magawo a chinthucho.

Ndizodziwika bwino kuti insulini imayenera kuyikiridwa mu minofu yaying'ono, momwe timadzi timagulu timagawidwa mu minyewa yonse kenako ndikuphatikizidwa m'magazi. Jakisoni wa mu mnofu ndi woletsedwa kwathunthu, chifukwa izi zimatha kuyambitsa ma spikes osayembekezereka m'magazi a shuga chifukwa chophatikizira timadzi tomwe timagwira mu minofu ya minofu. Iwo omwe adazolowera kugwiritsa ntchito syringe yokhazikika, monga lamulo, samakhala ndi vuto lobweretsa singano kuzama kwakufunika, ndipo amatha kuchita izi chifukwa cha zaka zawo zambiri zodziwira. Komabe, cholembera cha syringe chinapangidwa mwanjira yoti chimakhala chovuta kwambiri kusintha kuzama kwa kubaya kwa singano pakhungu. Chifukwa cha mawonekedwe a jakisoni, wodwala ayenera kusamala asanasankhe phokoso lomwe limamuyenerera.

Chifukwa chake, ma singano okhala ndi kutalika mamilimita asanu ndi limodzi mpaka asanu ndi atatu ndi oyenera kwa akuluakulu, ndipo ngakhale kwa iwo omwe ali ndi vuto la kunenepa kwambiri. Ndikofunika kuti ana azigwiritsa ntchito masingano osaposa mamilimita asanu, ndipo koposa zonse, mamilimita anayi. Komanso, singano zofupikitsidwa zimalimbikitsidwa kuti zizigwiritsidwa ntchito kumayambiriro kwenikweni kwa mankhwala a insulin, pomwe wodwalayo alibe nthawi yophunzitsira kuti apange jekeseni woyenera.

Udindo wofunikira umaseweredwa ndi makulidwe a chinthu chopyoza, chomwe chimatengera momwe kupweteka kwa jakisidwe kumakhalira. Chifukwa chake, singano zama syringe zolembera ndi 0,33 ndi 0,23 mamilimita. Kugwiritsa ntchito chotsirizachi kukupulumutsani ku zowawa zowawa ngati mukupweteka kwambiri.

Pomaliza

M'malo mwake, ndi ma syringe angati omwe amapanga jakisoni wa insulin, kwenikweni, sizovuta kudziwa. Odwala omwe ali ndi matenda osokoneza bongo amakakamizidwa kukhala ndi chidziwitso pamutuwu, chifukwa moyo wawo umadalira. Chizindikiro chachikulu cha ma insulin syringes ndi mtengo wogawa pamlingo wawo, momwe kulondola kwa mlingo kumadalira mwachindunji. Nthawi zambiri, kuyika chizindikiro pa majekeseni kumakhala kolondola, kutsika kwake, komwe nthawi zambiri kumasiyana kuchokera pa 0.3 ml mpaka 1 ml. Ma syringe amakulu akulu sasowa chochita ndi shuga, ndipo ichi ndiye kusiyana kwawo kwakukulu ma syringes apadera a insulin.

Kodi mungasankhe bwanji singano yabwino?

Malangizo amakono posankha kutalika kwa singano amati siopitilira 6 mm. 4, 5 kapena 6 mm singano amatha kukhala oyenera pafupifupi magulu onse odwala, ngakhale iwo onenepa kwambiri.

Pogwiritsa ntchito singano zotere, palibe chifukwa chokhazikitsira khola. Ngati tikulankhula za akulu omwe ali ndi matenda ashuga, ndiye kuti singano za kutalika uku zimapereka kayendetsedwe kamankhwala pamakona pafupifupi 90 kuchokera kwa wachibale mpaka khungu. Pali malamulo angapo:

• Iwo omwe amakakamizidwa kuti adziwitsire mwendo, m'mimba moyandikira kapena mkono ayenera kupanga khola la khungu, ndipo mudzafunikanso kupanga punction pakona madigiri 45. Izi ndichifukwa choti zili m'zigawo izi za thupi zomwe minofu yaying'ono imakhala yocheperako komanso yocheperako.
• Wodwala matenda ashuga safunika kugula syringes ndi singano zokulirapo kuposa 8 mm, makamaka ngati zifika pakumayambiriro kwenikweni kwa chithandizo.
• Kwa ana aang'ono ndi achinyamata, ndibwino kusankha singano 4 kapena 5 mm. Pofuna kuti insulini isalowe m'matumbo, gulu ili la odwala liyenera kupanga khola la pakhungu lisanalowe, makamaka pogwiritsira ntchito singano yoposa 5 mm. Ngati ndi 6 mm, ndiye muzochitika zotere, jakisoni amayenera kupangidwira mbali ya madigiri 45, osapanga crease.
• Tisaiwale kuti kuwawa kwa zomverera pakubwezeretsa kudzadalira pakulimba ndi kukula kwa singano. Komabe, nkwanzeru kuganiza kuti singano yopyapyala yopanga singaberekenso chinthu chokhacho, chifukwa singano yotere imaphulika pakabayidwa.

Kupanga jakisoni popanda ululu ndizotheka. Kuti muchite izi, muyenera kusankha singano zoonda komanso zapamwamba kwambiri ndikugwiritsanso ntchito njira yapadera pakuwongolera insulin mwachangu, monga pachithunzichi.

Kodi singano yoperekera insulin ingatenge nthawi yayitali bwanji?

Aliyense wopanga ma syringe ndi singano za anthu odwala matenda ashuga amayesetsa kuti njira ya jakisoni ikhale yosavuta momwe angathere. Pazomwezi, malangizo a singano amawongola mwanjira yapadera mothandizidwa ndiukadaulo wamakono komanso wopitilira patsogolo, kuwonjezera apo, amagwiritsa ntchito mafuta apadera.

Ngakhale njira yovuta kwambiri yamalonda, kugwiritsa ntchito singano mobwerezabwereza kumapangitsa kuti ziwoneke bwino komanso kuzimitsa kwake kwa mafuta ophimba, chimodzimodzi, sizigwira ntchito nthawi zana.

Poona izi, jakisoni aliyense wotsatira wa mankhwala omwe amakhala pansi pakhungu amakhala wowonjezereka komanso wowawa komanso wamavuto.

Nthawi iliyonse wodwala matenda ashuga ayenera kuwonjezera mphamvu kuti singano ilowe pansi pakhungu, zomwe zimawonjezera mwayi woperewera kwa singano komanso kuwonongeka kwake.

Palibe chovutanso kwambiri chomwe chingakhale kuvulaza kwakhungu pakhungu pogwiritsa ntchito masingano akhungu. Zilonda zoterezi sizingaoneke popanda kukulitsa kuwala. Kuphatikiza apo, mutagwiritsa ntchito singano yotsatira, nsonga yake imagwada kwambiri ndikuchita ngati mbedza, yomwe imang'amba minofu ndikuvulaza. Izi zimakakamiza nthawi iliyonse pambuyo pa jekeseni kuti abweretse singano pamalo ake oyambira.

Chifukwa chogwiritsa ntchito singano imodzi yolowetsa insulin, mavuto pakhungu ndi minofu yolowerera amawonedwa, mwachitsanzo, izi zitha kukhala mapangidwe azisindikizo, zovuta zomwe zimabweretsa zimadziwika ndi aliyense wodwala matenda ashuga.

Kuti muwazindikire, ndikokwanira kufufuza mosamala ndikusanthula khungu, fufuzani ndi chithunzi. Nthawi zina, kuwonongeka kowoneka sikumawoneka, ndipo kupezeka kwawo kumatha kuchitika ndikumverera, pomwe palibe chitsimikizo cha 100%.

Zisindikizo pansi pa khungu zimatchedwa lipodystrophic. Amangokhala vuto la zodzikongoletsera, komanso chovuta kwambiri kuchipatala. Zimakhala zovuta kuperekera insulin m'malo otere, omwe amachititsa kuti zinthu zisamayende bwino komanso kuti zisamayende mosiyanasiyana, komanso kulumpha ndi kusinthasintha kwa magazi m'thupi la wodwalayo.

M'malangizo aliwonse komanso pachithunzi cha syringe cholembera odwala matenda ashuga kumawonetsedwa kuti singano imayenera kuchotsedwa nthawi iliyonse mutatha kugwiritsa ntchito chipangizocho, ambiri mwa odwala amangonyalanyaza lamuloli. Potere, njira pakati pa katiriji payokha ndi sing'anga imatseguka, zomwe zimapangitsa kuti mpweya ukhale wotayika komanso kutaya kwa insulini chifukwa kutsika kwake ndi pafupifupi 100%.

Kuphatikiza apo, njirayi imayambitsa kuchepa kwa kulondola kwa insulin dosing ndikuchulukitsa matenda. Ngati pali mpweya wambiri m'makatoni, ndiye kuti nthawi zina munthu amene ali ndi matenda ashuga salandila kupitilira 70 peresenti ya 100 ya mankhwalawo. Pofuna kupewa zoterezi, ndikofunikira kuchotsa singano masekondi 10 mutabayidwa insulin, monga chithunzichi.

Popewa mavuto azaumoyo ndi kudumphadumpha omwe ali ndi shuga odwala matenda a shuga, ndibwino kuti musalumphe ndi kugwiritsa ntchito singano yatsopano. Izi zitha kupewa kutsekeka kwa njira yokhala ndi makhosi a insulin, omwe sangalole kuti pakhale zotchinga zina zowonjezera pazothetsera izi.

Ndikulimbikitsidwa kuti ogwira ntchito zachipatala azisanthula nthawi ndi nthawi kwa wodwala wawo njira iliyonse yobweretsera insulin pansi pa khungu, komanso momwe malo omwe majekesowo adapangidwira. Ichi ndiye njira ina yopewera kuwonjezerera zizindikiro za matenda ashuga komanso kuvulala pakhungu la wodwalayo.

Ma syringe azachipatala: mitundu ndi cholinga

Mankhwala omwe amalowa m'mimba, monga mukudziwa, nthawi zambiri amakhala ndi vuto lachiberekero. Kapenanso chitani zinthu pang'onopang'ono pakafunika thandizo ladzidzidzi.

Muzochitika izi, syringe yamankhwala imakhala chida chofunikira kwambiri. Komabe, mankhwalawa matenda a shuga, vaccinations, kufinya kwamanja ndi njira zina.

Ndi ma syrinji omwe alipo, ndani amawapanga, ndipo mitengo yake ndi iti masiku ano?

Mitundu ya Ma Syringes azachipatala

Tonse tikudziwa kuti syringe ndi silinda, pisitoni ndi singano. Koma sikuti aliyense amadziwa kuti zida izi zimakhala ndi zosiyana zambiri m'njira zingapo. Tikumvetsa ...

Kumanga

• Zigawo ziwiri. Kupanga: silinda + pisitoni. Voliyumu yapamwamba: 2 ndi 5 ml, 10 ml kapena 20 ml.
• Zinthu zitatu. Kuphatikizika: silinda + pisitoni + plunger (pafupifupi. - gasket yosunthira bwino kwa pisitoni pamiyala). Zida zimasiyana pakalumikizidwe ndi kukula kwake.

Voliyumu

• Kufikira 1 ml: amagwiritsidwa ntchito ngati zitsanzo za intradermal, ndi vaccinations, pakukhazikitsa mankhwala.
• 2-22 ml: Nthawi zambiri amagwiritsidwa ntchito ngati subcutaneous (mpaka 3 ml), ma intramuscular (mpaka 10 ml) ndi jakisoni wamkati (mpaka 22 ml).
• 30-100 ml: zida izi ndizofunikira poyeretsa, kupatsa zakumwa, pochapa mano ndi kukhazikitsa mayankho a michere.

Kufunika kwa singano

• Luer: ndi kulumikizana kwamtunduwu, singano imayikidwa syringe. Uwu ndi muyeso wa zida za voliyumu 1-100 ml.
• Luer Lock: apa singano idakulungidwa mu chida. Mtundu wamtunduwu umakhala wofunikira mu mankhwala okomoletsa, ndikamayambitsa mankhwalawa mu minofu yowonda, panthawi yomwe zitsanzo zazomera zimafunikira, etc.
• Mtundu wa Catheter: wogwiritsidwa ntchito podyetsa chubu kapena popereka mankhwala kudzera mu catheter.
• Singano yolumikizidwa: singano siyichotsa, yophatikizidwa kale m'thupi palokha. Nthawi zambiri izi zimakhala syringe mpaka 1 ml.

Chiwerengero cha ntchito

• Zotayira: izi nthawi zambiri zimakhala ndi ma syringe omwe amapangidwa ndi pulasitiki komanso singano yopanda zitsulo.
• Zingatheke: Nthawi zambiri zida zamagalasi. Izi zikuphatikiza mitundu yachikale monga Record, komanso ma syringe, zolembera, mfuti, ndi zina zambiri.

Kutalika kwa singano

Opaleshoni yodziwika komanso jekeseni. Zomwe mungachite pa 2: kusankha mkati, kusankha kumakhala malinga ndi mawonekedwe ndi mtundu wa nsonga.

• Kwa syringe 1 ml, singano 10 x 0,45 kapena 0,40 mm.
• Kwa 2 ml - singano 30 x 0,6 mm.
• Kwa 3 ml - singano 30 x 06 mm.
• Kwa 5 ml - singano 40 x 0,7 mm.
• Kwa 10 ml - singano 40 x 0,8 mm.
• Kwa 20 ml - singano 40 x 0,8 mm.
• Kwa 50 ml - singano 40 x 1.2 mm.
• Kwa syringe ya Janet 150 ml - 400 x 1.2 mm.

Cones yathetsa

• Concentric: malo opezeka pakatikati pa cholembera. Nthawi zambiri, nsonga ngati imeneyi imapezeka mu ma syringes 1-11 ml.
• Chopentric: Pankhani ya celera, momwe kakhazikitsidwe kawonedwe ka mbali ya cylinder ndi kakhalidwe. Ndi chida chotere (22 ml) magazi nthawi zambiri amatengedwa kuchokera mu mtsempha.

Zonse

Mitundu, cholinga ndi mitengo

Monga momwe dzinalo likunenera, amafunikira pakubaya insulin. Chida chotere chimasiyanitsidwa ndi voliyumu mpaka 1 ml, singano yochepa pang'ono, zolemba mu ED, ndi mawonekedwe apadera a piston. Ndi zotheka. Mtengo: pafupifupi ma ruble 150-300 pa ma PC 10.

Amawerengedwa kuti ndi wamkulu kwambiri (mpaka 150 ml kukula kwake). Amagwiritsidwa ntchito kuyamwa zakumwa kapena kutsuka mitsuko, komanso zakudya zamafuta, kuyambitsa mayankho pogwiritsa ntchito kafukufuku, ndi zina. Mtengo: ma ruble 50-90 a 1 pc.

Cholinga: jakisoni wambiri, mapulogalamu a Katemera, ma punctosis oyesa kudziwa zinthu. Pomwepo chiwopsezo cha matenda / kuvulala mwangozi chimachepetsedwa, ndipo vuto lotaya limathetsedwa. Mtengo: pafupifupi ma ruble 10 a 1 pc.

Cholinga: jakisoni imodzi ya mankhwalawa. Mawonekedwe: chida choterechi chimakhala chili ndi mlingo wa mankhwalawa, sichitha komanso chodonthetsa. Ma syringe amenewa amapezeka pa paramedic iliyonse mu zida zothandizira. Mtengo wake umatengera mankhwalawo.

Zowonetsa: galasi silinda, singano yachitsulo + pisitoni ndi gasket, voliyumu 1-20 ml. Kugawa: Kugwiritsa ntchito mobwerezabwereza, mwayi wothandizirana. Masiku ano, siikupanga kapena kugwiritsidwa ntchito. Mtengo: pafupifupi 50-100 rubles.

Cholinga cha chida: kukhazikitsa insulin. Ntchito ndi odwala matenda a shuga. Mawonekedwe: mawonekedwe ofanana ndi cholembera wamba, singano yopyapyala, kugwiritsa ntchito mosavuta mankhwala, kupanga dosing, kusintha kosavuta kwa cartridge. Kupanga: mlandu, singano yochotsa, makina a piston, katoni ya insulin, mlandu. Mapensulo oterowo amasungidwa madigiri 18-26. Mtengo: rubles 1800-3000 1 pc.

Kusankhidwa: kuchita njira za radiopaque. Nthawi zambiri amapangidwa ndi pulasitiki wa polymer. Mtengo: 1500-3000 rubles 1 pc.

Kuika: gwiritsani ntchito mano makamaka pothandizira kukhazikitsa mano. Mawonekedwe: osinthika ndikugwiritsa ntchito kamodzi, singano yopyapyala, yokwanira. Mtengo: 400-600 rubles 1 pc.

Mawonekedwe: chida cha iwo omwe akuwopa jakisoni. Syringe imayikidwa mu kapangidwe kake (mpaka 5 ml) ndikakanikiza choyambitsa mankhwalawo amayamba. Kusankhidwa: Kukhazikitsa mwachangu komanso kopweteka kwa mankhwalawa (kuphatikizapo kudzilamulira nokha). Mtengo: pafupifupi 400-2000 rubles 1 pc.

Kusankhidwa: Chithandizo chamankhwala chamankhwala chothandizira kuperekera mankhwala kwa nyama kapena matenda ena osakhalitsa. Amagwiritsidwa ntchito mfuti zapadera m'malo mwa makatiriji. Mtengo: 60-200 rubles ndipo pamwambapa 1 pc.

Kuikika: kulowetsedwa kwa mankhwala osokoneza bongo, kutsuka kwa matayala, ku matenda azitsamba, zina. Zinthu: Malangizo apadera, kukhalapo kwa mphete ngati syringe, mutu wokweza. Mtengo: pafupifupi 500-700 ma ruble a 1 pc.

• Sirinji yamagalasi amtundu wa Luer

Mawonekedwe: galasi lamasewera, kuthekera kwa chimbudzi, 2 masilindala, pistoni yayitali, voliyumu: kuchokera pa 2 mpaka 100 ml. Kusankhidwa: kugwiritsa ntchito ma punctures, kulowetsedwa kwamkati.

Sir pen insulin: uti usankhe ndi momwe ungagwiritsire ntchito?

Kwa anthu omwe ali ndi matenda ashuga, vuto lofunikira kwambiri ndi tsiku ndi tsiku, ndipo nthawi zina kubwereza jakisoni wa mankhwala ena a insulin.

Nthawi zina, mankhwala omwe dokotala amakupangira ndi ochepa kwambiri kotero kuti ndi kosatheka kuwayika jakisoni wa pisitoni wa insulin popanda cholakwika: Nthawi zambiri, ma syringe amenewa amakhala ndi gawo lofanana ndi magawo awiri a insulin. Izi zimayambitsa vuto ndi kipimo cha 1 unit kapena zochepa.

Ndipo m'malo otere, zolembera za insulin zimathandizira, zomwe zimakhala ndi mayunitsi a insulin 0,5. Pali makampani ambiri osiyanasiyana okhala ndi mawonekedwe osiyanasiyana pamsika. Chifukwa chake, pofuna kukhala kosavuta, muyenera kumvetsetsa zabwino ndi zirizonse za izi.

Chimodzi mwazinthu zazikulu zomwe muyenera kulabadira mukamagula cholembera ndi singano. Itha kukhala:

• zochotsa - zitha kusinthidwa mukamamwa mankhwalawo ndikuwapereka kwa wodwala,
• zopangidwa-kuthetsa kuwonongeka kwa gawo la mlingo wa mahomoni mu zomwe amati "gawo lakufa", ndiye kuti mkati mwa singano.

Pafupifupi ma syringe onse amapangidwa ndi vuto lowonekera, pomwe sikelo yamtengo wogawika imayikidwa. Mtengo wogawa ndi gawo pakati pa malo awiri oyandikana. Mwanjira ina, gawo la sikelo (kapena mtengo wogawika) limawonetsa kuchuluka kwa mankhwala omwe angafanizidwe ndi kulondola kwakukulu kwambiri.

Ndikofunikira kusankha cholembera ndi mtengo wochepetsetsa wocheperako, womwe ndi magawo 0,25.

Mfundo yachiwiri yofunika pogula chipangizocho ndi chakuti ikhoza kugwiritsidwanso ntchito kapena ngati ingatayike. Odwala ena amagwiritsa ntchito ma syringe enanso kangapo, kuwayika mosamala ndikusunga koyenera izi ndizovomerezeka. Koma singano yogwiritsidwa ntchito mobwerezabwereza imakhala yosakhazikika ndipo wodwalayo amayamba kumva kupweteka akakhazikitsa jakisoni.

Chifukwa chake, ngati mutayipa mahomoni mu madzi a U-40, ndiye kuti mu 0.15 ml mudzakhala magawo 6. insulin, mu 0,5 ml - 20 mayunitsi, ndi 1 ml - 40 mayunitsi. Pankhani ya U-100, izi ndizosiyana pang'ono: ma syringe omwe ali mu 1 ml ali ndi mayunitsi a 100 a insulin, osati 40. Chifukwa chake, 0,25 ml adzakhala ndi gawo la magawo 25, ndipo m'magawo a 0.5 ml - 50.

, mu 1 ml - 100 mayunitsi. Kulondola kwa kuwerengera kumeneku ndikofunikira kwambiri, chifukwa kuperewera kapena kuchuluka kwakadwala kumatha kuyambitsa zovuta zingapo kwa wodwala. Kuchokera pamenepa titha kunena kuti pakubweretsa mahomoni pamtunda wa 40 U / ml, muyenera kugwiritsa ntchito syringe ya U-40, komanso pakukhazikitsa yankho ndi mlingo wa 100 Units.

Poyerekeza ndi ma syringes achizolowezi, insulini ili ndi zabwino zambiri zomwe sizingatheke:

• gawo laling'ono
• chovala chokulirapo chokulirapo chimakulolani kuti musinthe nthawi zambiri,
• Mlingo wofanana wa mankhwalawa
• jekeseni wosapweteka kwambiri
• mutha kunyamula cholembera momwe mungalembere insulin yosiyanasiyana,
• poyerekeza ndi ma syringes amchizolowezi, insulo zimakhala ndi singano yotalikira kwambiri,
• kuti apange jakisoni, wodwala safunika kuvula zovala zake.

M'mafakisi ndi zida zamankhwala, mutha kupeza zolembera zamakampani osiyanasiyana ndi mitundu:

Pali mitundu ingapo ya singano za majekeseni ogulitsa. Amasiyana kutalika ndi mainchesi.

Zapamwamba kwambiri ndi singano ndi kutalika kwa 4 mm, chifukwa, nthawi zambiri, kupatula kumeza kwa mankhwala a mahomoni m'misempha ya minofu.

Masingano amenewa ndi oyenera ana, anyamata ndi atsikana, akulu oonda komanso mtundu wina uliwonse, koma akabayidwa ndi dzanja, wina ayenera kukumbukira kuti nthawi zonse pamakhala mafuta osachepera kuposa khoma lam'mimba lakunja.

Ngati sizotheka kugula singano 4 mm kutalika, ndiye kuti akhoza kusintha ndi singano 5 ndi 6 mm kutalika. Koma ziyenera kukumbukiridwa kuti jakisoni wokhala ndi singano ayenera kuyikiridwa pakhungu ndikuyang'anitsitsa madigiri 45 kuti mankhwalawo asalowe m'misempha.

Syringe ya insulin, singano ndi cholembera

Omwe ali ndi matenda ashuga ayenera kukhala ndi zida zowonjezera za insulin pafupi.

Lero mu assortment mutha kupeza zida zambiri ndi cholinga: pakati pawo pali ma insulin, mapampu ndi zolembera.

Kusankha syringe yabwino kwambiri ya insulin sikophweka monga momwe kumawonekera poyamba, chifukwa pogula chida chotere, mfundo zingapo zofunika ziyenera kukumbukiridwa.

Kodi ma insulin omwe ali ndi insulin, mavoliyumu awo

M'pofunika kudziwa kuti opanga amakono amapereka mitundu yambiri ya ma insulin omwe amalimbana bwino ndi zosowa za ogwiritsa ntchito. Panthawi yopanga, zinthu zimayesedwa mosamala, zomwe zimachepetsa chiopsezo chodwala.

Kuchuluka kwa syulinge ya insulin kumatha kusinthanso. Zogulitsa pali mitundu yotere:

• 1 ml (syringe yovomerezeka)
• 0,5 ml ndi 0,3 ml (syringes yaying'ono ya insulin).

Komanso pali ma syringe ndi omwe angathe kuchotsedwa komanso ndi singano yopangidwa.

Ndi insulin yomwe mungasankhe

Pogula chida ichi pChoyamba, muyenera kulabadira gawo (mtengo wogawa) wa gawo la syringe. Kupatula apo, chepetsani chizindikiro ichi, momwe mungathe kuwona kulondola kwakukulu muyezo wa insulin. Ma syringe okhala ndi singano omwe osachotsa ndi oyenera jakisoni.

Momwe mungagwiritsire ntchito

Mumabotolo yodziwika mochedwa-insulin, msambo umakhala nthawi zambiri pakusungira ndipo umayenera kugwedezedwa bwino musanamwe mankhwala. Palibe chifukwa chogwirira insulin, komanso botolo lomwe lili ndi mankhwala othamanga.

Musanagwiritse ntchito mankhwalawa, ndikofunikira kupukuta khokho ndi chidutswa cha ubweya wa thonje wokhazikika mu mowa.

Ndikofunika kupukuta tsamba la jakisoni ndi sopo ndi madzi, chifukwa kupitiliza kumwa kwa zakumwa izi pazinthu izi kumabweretsa vuto pakhungu.

Choyamba, khola la khungu ndi mafuta ochulukirapo ayenera kupangidwa. Singano imayikidwa pambali iyi ndi ngodya inayake (makamaka 45-75 madigiri).

Kodi ma insulin ma insulin | Kodi mungasiye bwanji kusuta? - Aliyense angathe kuzichita!

Chida chimodzi chofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin ndi syringe yapadera yoperekera mankhwala osokoneza bongo. Masiku ano, m'masitolo a mzinda wanu, gawo lalikulu la ma syringe wothandizira insulin lingaperekedwe.

Ma syringe onse ndi osabala ndi singano zopyapyala, ndipo simungathe kuzigwiritsa ntchito mopitilira kamodzi. Komabe, ena amakonda mitundu ina ya ma syringe, chifukwa chake tiyesa kudziwa chifukwa chake.

Musanayambe kuperekera insulin, ndikofunikira kukaonana ndi dokotala yemwe angakuwuzeni muyezo komanso momwe mungagwiritsire ntchito syringe, onetsani tsamba la jakisoni. Syringe ya insulin ili ndi voliyumu inayake. Mtengo wogawa ndiye chofunikira kwambiri pazida izi, chifukwa zimatengera mtundu wa mankhwalawa omwe mumayambitsa.

Cholembera cha insulin chimakhala ndi chosindikizira chapadera, chomwe chimawonetsera kuchuluka kwa zinthu zomwe zimatengedwa, ndibwino kuti mupangitse kukondera kwa mawonekedwe a conical mawonekedwe, chimawunikira molondola.

Syringe ya insulin ya magawo omwe pali mitundu ingapo, ndipo mumasankha kutengera mlingo womwe muyenera kulowa. Mwachitsanzo, muyenera kubaya 1 unit ya insulin, ndipo syringe idapangidwira awiri.

Muyenera kudziwa kuwerengera mtengo umodzi wokha ndikuudziwa kuchuluka kwakenthu kuti muwerenge kuchuluka komwe mumalowa.

Kumbukirani kuti ma syringe onse ali ndi vuto loyezera, ndipo amawerengedwa kuti atha kukwera mpaka + -0,5% pagawo lililonse.

Ma insulin ma insulin, mitundu yomwe imasiyana, imasiyananso ndi mitundu ya singano yomwe imagwiritsidwa ntchito mwa iwo. Masingano onse ndi akuthwa kwambiri, otsekeka ndi zisoti. Aliyense wa opangirawo akuti singano yake ndiyofupira motero ndi bwino komanso osapweteka kuyamwa mankhwalawo.

Komabe, monga momwe zowonetserazi zimasonyezera, zonse ndi zofanana, ndipo opanga amayenera kuyang'anira kwambiri mankhwala ndi ma insulin, kuchuluka kwake komwe kungakhale kochepa kuti mutha kulowa 1 unit kapena zochepa.

Ma singano a insulin ndi osabala ndipo amapangidwira ntchito imodzi kuti ateteze motsutsana ndi zovuta za matenda.

Ndi ma jakisoni angati omwe angapangidwe ndi singano imodzi?

Masiku ano, nkhani ya mutu wambiri ndi yokhudza kuchuluka kwa nthawi yomwe mutha kupaka insulin ndi syringe ya insulini. Ma singano amawongoleredwa mwamakina ku fakitoli, kenako nkuthira ndi njira yapadera. Ichi ndichifukwa chake jakisoni imachitika kamodzi.

Syringe ya insulini imagulitsidwa ndi malangizo omwe munganene kuti mutha kulowa ndikugwiritsa ntchito kamodzi. Komabe, si onse odwala matenda ashuga omwe amatsatira lamuloli, osazindikira kuti nthawi iliyonse yatsopano akavulaza minofu, chifukwa singano imakhala yosayera ndipo mafuta apadera amatha.

Kumbukirani kuti mtsogolomo, kugwiritsidwa ntchito mobwerezabwereza kwa ma insulin kudzatsogolera ku microtrauma ya minofu, yomwe sikuti ndi zodzikongoletsera zokha, komanso chiwopsezo cha matenda.

Ganizirani zonsezi pamwambapa, komabe, pazovuta zilizonse, ndibwino kukaonana ndi dokotala kuti akupatseni malangizo.

Dingulo la matenda ashuga a shuga - kusankha masingano, magawo olondola a magawo

Pafupifupi mankhwala onse mutha kugula syringe. Idzakhala yosabala kanthunso, yochotsera komanso yopyapyala. Lero tikuuzani momwe mungasankhire syringe yoyenera, yomwe singano mungasankhe ndikufotokozera zochita za zolembera za syringe.

Syringe sikelo yopanda tanthauzo la cholakwika

Musanasankhe, muyenera kuyang'anira gawo la sikeloyo. Awa ndi magawikidwe pa thupi omwe amakulolani kuyeza kuchuluka kwa insulin. Mu ma syringe ena, gawo lonse ndi magawo awiri. Chifukwa chake, kudzakhala kovuta kuti wodwalayo apange jakisoni wa gawo limodzi la insulin.

Munthu akamagwiritsa ntchito mankhwala a insulin pazowonjezera ziwiri, mlingo wake umayambira kuphatikiza 1 kapena 1. Kwa wodwala yemwe ali ndi matenda a shuga 1, ngakhale gawo limodzi la insulini lingachepetse shuga. Izi ndizowopsa kwa ana, omwe mankhwalawo amachita mwamphamvu kwambiri kasanu.

Madokotala amadziwa kuti cholakwika mu syringe ya masentimita 0,25 chimatanthawuza kusiyana kwakukulu pakati pa chizolowezi cha munthu ndi hypoglycemia. Pofuna kupewa kuwonongeka kwa wodwalayo, muyenera kudziwa jakisoni wa insulin yaying'ono. Pachifukwa ichi, akatswiri amalimbikitsa kugwiritsa ntchito syringes ndi gawo laling'ono. Mwa iwo, mlingo wake udzakhala wolondola kwambiri.

Syringe ya insulini ingakhale yabwino, yomwe siyidutsa magawo 10 pakukweza. Pa sikelo yake padzakhala zigawo zilizonse za 0.25. Ndikofunika kuti zilembo za syringe zili patali kwambiri wina ndi mnzake, kuti munthu asachite cholakwika ndi kumwa.

Thupi la chida chotere liyenera kukhala lalitali. Komabe, opanga sanakwanitse kupanga syringe yabwino ya odwala matenda ashuga. Nthawi zambiri, syringes amagulitsidwa mu zowonjezera 2 mayunitsi.

Sikovuta kupeza mitundu yokhala ndi 1 unit ndi 0.5 unit.

Sindikiza pa syringe piston

Ichi ndi chidutswa chaching'ono cha mtundu wakuda chomwe chimabwera ndi syringe yokhazikika. Komwe kuli chisindikizo kumawonetsa kuchuluka kwa insulini yomwe idatha kutolera. Wodwalayo amayenera kuwunika mankhwalawo kumapeto kwa chisindikizo, chomwe chili pafupi ndi singano.

Ingogwiritsani ma insulin omwe ali ndi chosindikizira ndipo pewani mawonekedwe amtunduwo. Kenako mutha kudziwa bwino kuchuluka kwa insulin. Opanga amagwiritsa ntchito rabara lopanda fakisi kuti apange gasket kuti asayambitse odwala.

Ndi singano ziti zomwe angagwiritse ntchito jakisoni?

Ma syringe a insulin ali ndi singano zakuthwa kwambiri, zomwe zimachepetsa kuyambitsa kwa magazi m'magazi. Odwala nthawi zambiri amakumana ndi vuto loperekera mankhwalawa kwa minofu, osati minofu yaying'ono. Chifukwa cha izi, kuchuluka kwa shuga kumasinthasintha ndipo kumatha kukhala zotsatira zoyipa.

Ichi ndichifukwa chake insulin imasinthasintha mawonekedwe ndi kutalika kwa singano ndikusintha kosavuta kuti njira ya insulin iyende. Nthawi zambiri mwa akulu ndi ana, minofu yolimba imachepera kutalika kwa singano yokhazikika.

Dokotalayo ayenera kuwonetsa wodwala komwe angabayire insulini komanso momwe angachitire moyenera kuti makonzedwe a mankhwalawa asachitike mwadzidzidzi.

Kupewa matenda a shuga: Malangizo Othandizira kupewa Matenda A shuga

Tsopano mutha kugula padera masingano apafupi, kutalika kwake ndi 4-8 mm. Amapangidwa mwapadera kuti azigwira bwino ntchito mwachangu komanso moyenera pa insulin. Ngati syringe yovomerezeka ili ndi singano m'mimba mwa 0,4 mm, ndiye pamasewera ofupikirako sapitilira 0,25 mm. Zimathandizira wodwala kuti alowe mankhwalawo popanda kumva zowawa zilizonse.

Ndikofunikira kusankha kukula kwa singano kwa munthu aliyense wodwala aliyense payekhapayekha:

1. Singano ya 4-6 mm ndi yoyenera kwa munthu aliyense wazaka zabwinobwino kapena wonenepa kwambiri. Chida choterocho chiyenera kuperekedwa ndi insulin pakona kwa 90 madigirii pakhungu.
2. Madokotala salimbikitsa kugwiritsa ntchito singano zokulirapo kuposa 8 mm. Ndi bwinonso kuyamba njira yoyambira ya matenda ashuga ndi singano zazifupi.
3. Ana ayenera kusankha singano ya 5 mm. Mukabayidwa, onetsetsani kuti mwapanga khola kuti khungu lisalowe m'misempha. Ngati singano yayikulu kuposa 6 mm imagwiritsidwa ntchito, ndiye kuti jakisoni wa insulini azikhala pamakwerero a madigiri 45. Dokotala akuwonetseratu komwe ayenera kubayirira insulin ya ana, ndi momwe angapangire moyenera.
4. Akuluakulu amatha kugwiritsa ntchito singano kutalika kuposa 8 mm. Poterepa, mukufunikanso kupanga khola la khungu ndikupanga jakisoni pa ngodya ya madigiri 45.

Pangani ma jakisoni angati omwe angachitike ndi singano imodzi?

Ngati mukulitsa mankhwalawo kangapo ndi singano imodzimodzi, mumamva kusasangalala komanso kumva kupweteka kwakanthawi. Singano imakhala yosalala komanso khungu limabowoka kwambiri. Izi nthawi zambiri zimayambitsa kupindika kwa singano panthawi ya jakisoni komanso ngakhale pang'onopang'ono.

Kugwiritsa ntchito singano pafupipafupi kumayambitsa kuvulala kwa minofu yaying'ono komwe kumakhala kovuta kuti muwone kwa munthu wamba. Singano imapindika ndikukhala mbewa yaying'ono. Munthu akakokedwa ndi “mbedza” yotere kuchokera pakhungu, amang'amba minofuyo.

Izi zimatha kuwononga minofu yaying'ono komanso kupangitsa zomata zopweteka m'thupi. Ngati mukuwona kuti khungu limayamba kuvuta pang'ono, sinthani singano yomweyo mu syringe.

Pambuyo pake, adotolo ayenera kuwonetsa komwe angapangire insulini, chifukwa jakisoni wotsekera pamalo osindikizidwa amatha kuvulaza thupi.

Kodi kupewa ndi kuchiritsa matenda ashuga a polyneuropathy?

Ngati simutsatira vutoli, zimabweretsa zotsatira zowopsa. Kukhazikitsidwa kwa insulini m'malo ngati amenewa sikungathandize, chifukwa mankhwalawo sagawidwa mokwanira. Izi zimabweretsa kusinthasintha kwa shuga ndikuwonjezera mkhalidwe wa wodwalayo.

Dziwani kuti muma syringe ambiri, ndikofunikira kuchotsa singano pambuyo pa jakisoni. Izi zikapanda kuchitika, mpweya wambiri umalowa mu vial ndipo insulini imayamba kutuluka. Zotsatira zake, munthu amalandira theka lokha la insulini lomwe liyenera kuperekedwa.

Akatswiri amalangizidwa kuti asatulutse pang'onopang'ono singano pakhungu pambuyo pokhazikitsa. Choyamba muyenera kubweretsa piston pansi, pirirani masekondi 10 ndikutulutsa singano.

Madokotala amalangiza kugwiritsa ntchito singano kamodzi kokha. Kupanda kutero, imatsekeka ndimakristali a mankhwalawo, ndipo yankho locheperako limalowa m'magazi.

Cholembera cha insulin

Uwu ndi mtundu wapadera wa syringe momwe kabokosi kakang'ono kokhala ndi insulin kamayikidwa. Chida ichi ndi chosavuta. Anthu odwala matenda ashuga sayenera kuvala syringes ndi insulin mosiyana.

Nthawi zambiri gawo la maselo oterowo limakhala gawo limodzi la insulin. Mu ma syringes a ana pokhapokha pokhapokha magawo a 0,5. Nthawi zina mitundu yotere imakhala yosavuta kugula.

Njira zoterezi pamlingo sizoyenera kwa odwala ambiri ngati atha kuwongolera matenda ashuga omwe ali ndi Mlingo wochepa wa insulin.

Madotolo anati odwala onenepa kwambiri amatha kugwiritsa ntchito ma insulin. Amaloledwa kupereka mitundu yayikulu ya insulin ndipo cholakwacho sichingakhudze thanzi lawo. Ndipo kwa mtundu 1 ndi mitundu yachiwiri ya ashuga omwe ali ndi kulemera kwabwinobwino, zimakhala zowopsa kugwiritsa ntchito zolembera ndi magawoli.

Akatswiri akutsimikizira kuti cholembera cha insulin ndi chabwino kwa mankhwala ena a odwala matenda ashuga kuthandiza kuthandizira kulakalaka kwanu. Ngati mutayambitsa chida chotere ndi cholakwika cha 0,5 PISCES, sizivulala.

Syringe ya insulin: mitundu, nuances posankha, kulembapo

Oposa anayi mwa anthu 100 alionse padziko lapansi amadwala matenda ashuga. Ngakhale dzina la matendawa ndi "lokoma", limakhala pachiwopsezo chachikulu kwa odwala.

Wodwala amafunikira insulin nthawi zonse - yomwe ndi shuga wa kapamba, komwe thupi la anthu odwala matenda ashuga silipanga lokha, wowagwiritsa ntchito okhawo ndi mankhwala olowa m'malo.

Amakatenga kudzera mu syringe yapadera ya singano yokhala ndi singano yopyapyala ndikuyimira gawo mwa mayunitsi, osati mamililita, monga nthawi zonse.

Syringe ya odwala matenda ashuga imakhala ndi thupi, pisitoni ndi singano, kotero siyosiyana kwambiri ndi zida zofananira zamankhwala. Pali mitundu iwiri ya zida za insulin - galasi ndi pulasitiki.

Yoyamba siigwiritsidwa ntchito pano, chifukwa imafunikira kukonzanso ndikuwerengera kuchuluka kwa insulin.

Mtundu wa pulasitiki umathandizira kupanga jakisoni molondola komanso kwathunthu, osasiya zotsalira za mankhwala mkati.

Monga galasi, syringe ya pulasitiki imatha kugwiritsidwa ntchito mobwerezabwereza ngati idakonzedwa kwa wodwala m'modzi, koma ndikofunika kuchitira ndi antiseptic musanagwiritse ntchito. Pali zosankha zingapo za pulasitiki zomwe zitha kugulidwa ku pharmacy iliyonse popanda zovuta. Mitengo ya insulin syringe imasiyana malinga ndi wopanga, voliyumu ndi magawo ena.

Aliyense wodwala matenda ashuga ayenera kudziwa kuchuluka kwa gawo la insulin. Mtundu uliwonse umakhala ndi penti yoyala ndi magawo omwe amawonetsa wodwala kuchuluka kwa insulin yolumikizidwa. Nthawi zambiri, 1 ml ya mankhwalawa ndi 40 u / ml, ndipo zotere zimadziwika kuti ndinu 40.

M'mayiko ambiri, insulin imagwiritsidwa ntchito, yomwe ili ndi yankho limodzi la mayunitsi 100 (u100). Pankhaniyi, muyenera kugula zinthu zapadera ndi maphunziro ena.

Panthawi yogula, limodzi ndi funso la kuchuluka kwa ml ya insulini, muyenera kukhala ndi chidwi ndi kuchuluka kwa mankhwalawa omwe amaperekedwa.

Popeza mankhwalawa amalowetsedwa m'thupi tsiku ndi tsiku komanso mobwerezabwereza, muyenera kusankha singano za insulin zoyenera. Homoni imalowetsedwa m'mafuta ochulukirapo, kupewa kulowa mu minofu, apo ayi imatha kubweretsa hypoglycemia.

Makulidwe a singano pazifukwa izi amasankhidwa potengera mawonekedwe amunthu. Malinga ndi kafukufuku, gawo loyambira limasiyanasiyana malinga ndi jenda, zaka komanso kulemera kwa munthuyo.

Kuchuluka kwa minofu yamafuta kumasiyananso pathupi, motero ndikofunika kuti wodwalayo azigwiritsa ntchito singano za insulin za kutalika kosiyanasiyana. Atha kukhala:

• lalifupi - kuchokera 4 mpaka 5 mm
• sing'anga - kuchokera 6 mpaka 8 mm,
• Kutalika - oposa 8 mm.

Tsopano, kuti mupange jakisoni wa insulin, simuyenera kukhala ndi luso lapadera la zamankhwala.

Wodwala yemwe ali ndi matenda ashuga amatha kugula mitundu ingapo ya mankhwala a insulin a jakisoni, omwe amasiyana wina ndi mzake magawo angapo.

Syringe yosankhidwa bwino imapangitsa kuti jakisoniyo akhale otetezeka, osapweteka komanso zimapangitsa kuti wodwalayo azilamulira kuchuluka kwa timadzi tambiri. Masiku ano, pali mitundu itatu ya zida zopangira insulin:

• ndi singano yotulutsa
• ndi singano yophatikizika
• insulin syringe zolembera.

Ndi singano zosinthika

Chipangizochi chimaphatikizapo kuchotsa ululu wamizu ndi singano panthawi yomwe akusunga insulini.

M'mabakiteriya otere, pisitoni imayenda modekha komanso bwino kuti muchepetse zolakwika, chifukwa ngakhale cholakwika chochepa posankha kuchuluka kwa timadzi timene timayambitsa matenda.

Zida zosinthika za singano zimachepetsa ziwopsezozi. Zomwe zimapezeka kwambiri ndizotayidwa zomwe zimakhala ndi 1 milligram, zomwe zimakupatsani mwayi wokusonkhanitsa insulin kuchokera ku 40 mpaka 80 mayunitsi.

Ndi singano yophatikizika

Sali osiyana ndi momwe anawonera kale, kusiyana kokhako ndikuti singano imagulitsidwa m'thupi, chifukwa chake singathe kuchotsedwa.

Malambidwe pansi pa khungu ndi otetezeka, chifukwa ma jakisoni ophatikizidwawo sataya insulin ndipo alibe malo okufa, omwe amapezeka muzithunzithunzi pamwambapa.

Izi zimatsata izi kuti ngati mankhwala apakidwa ndi singano yophatikizika, kutayika kwa timadzi timadzi kumachepa. Zida zotsalazo za zida zogwiritsa ntchito ndi singano zosinthika ndizofanana kwathunthu ndi izi, kuphatikizapo kukula kwa magawikidwe ndi voliyumu yogwira ntchito.

Cholembera

Chuma chomwe chafalikira kwambiri pakati pa odwala matenda ashuga. Cholembera cha insulin chapangidwa posachedwapa. Kugwiritsa ntchito, jakisoni ndiwofulumira komanso wosavuta.Wodwala safunikira kuganizira kuchuluka kwa mahomoni omwe amaperekedwa komanso kusintha kwa ndende.

Cholembera cha insulini chimasinthidwa kuti chigwiritse ntchito makatiriji apadera odzaza ndi mankhwala. Amayikidwa mu kachipangizoka ka zida, pambuyo pake sikutanthauza kuti pakhale nthawi yayitali. Kugwiritsa ntchito ma syringe ndi singano zowonda kwambiri kumathetseratu kupweteka panthawi ya jekeseni.

Mwa kuyang'ana kwaulere kwa jakisoni wa insulin, pali maphunziro omwe amafanana ndi kuchuluka kwa mankhwalawo mu vial. Chizindikiro chilichonse pa cholembera chimawonetsa kuchuluka kwa mayunitsi.

Mwachitsanzo, ngati jakisoni adapangira kuchuluka kwa U40, ndiye kuti 0.5 ml akuwonetsedwa, chiwerengerochi ndi 20 magawo, ndipo pamlingo wa 1 ml - 40.

Ngati wodwala agwiritsa ntchito zilembo zolakwika, ndiye m'malo mwa mlingo womwe waperekedwa, amadzidziwitsa yekha kuchuluka kapena kwakukulu kwa mahomoni, ndipo izi ndizodzaza ndi zovuta.

Kuti mudziwe molondola kuchuluka kwa insulini, pali chizindikiro chapadera chomwe chimasiyanitsa mtundu wamtundu wina ndiwomwe. Syringe ya U40 ili ndi kapu wofiyira ndipo nsonga ya U100 ndi lalanje. Mapensulo a insulini nawonso ali ndi maphunziro awo. Zogulitsa zimapangidwa kuti zizikhala ndi mayunitsi a 100, kotero zikasweka, muyenera kugula majakisoni otayika okha U100.

Njira yoperekera mahomoni kwa anthu odwala imachitika molingana ndi malangizo. Ndikofunikira kuti musalembe mozama kuti musalowe mu minofu. Chovuta choyamba cha oyamba kumene ndiko kukhazikitsidwa kwa mankhwalawo pamakona, chifukwa cha momwe wojambulira amalowera minofu ya minofu ndipo samapanga zomwe akufuna. Malamulo okonzekera insulin:

1. Imaperekedwa pokhapokha. Malo abwino oti jakisoni ndi m'mimba, miyendo, mikono.
2. Mukamagwiritsa ntchito singano yoposa 8 mm, ndikofunikira kuti mupeze jakisoni wa madigiri 45. M'mimba, kudula ndi singano yayikulu sikuyenera.
3. Singano yokhazikika ikhoza kugwiritsidwa ntchito mobwerezabwereza kwa wodwala yemweyo. Pamaso jakisoni watsopano, ayenera kuthandizidwa ndi mowa.

Momwe mungawerengere insulin

Kuti mulowetse mankhwalawo moyenera, muyenera kuwerengetsa kuchuluka kwake. Kuti adziteteze pazotsatira zoyipa, wodwalayo ayenera kuphunzira kuwerengera kuchuluka kwa kuchuluka kwa shuga.

Gawo lirilonse mu jakisoni ndi kumaliza maphunziro a insulin, omwe amafanana ndi kuchuluka kwa yankho. Mlingo wolembedwa ndi adokotala suyenera kusinthidwa. Komabe, ngati wodwala matenda ashuga amalandira 40 magawo patsiku.

mahomoni, akagwiritsa ntchito mankhwala a mayunitsi zana, amafunika kuwerengera insulini mu syringe malinga ndi kakhalidwe: 100: 40 = 2,5. Ndiye kuti, wodwalayo amayenera kuyendetsa magulu a 2,5 / ml mu syringe ndi kumaliza mayunitsi a 100.

Malamulo a kuwerengera insulin pagome:

Momwe mungapezere insulin

Musanalandire mlingo woyenera wa timadzi tambiri, muyenera kukoka pisitoni ya jakisoni, yemwe akuwona mlingo woyenera, ndiye kubaya nkhata ya botolo.

Kuti mupeze mpweya mkati, muyenera kukanikizira piston, kenako ndikutembenuzira botolo ndikuyamba kuthana ndi vutoli mpaka kuchuluka kwake kumakhala kwakukulu kuposa mlingo wofunikira.

Pofuna kuthamangitsa thovu kuchokera mu syringe, muyenera kuwina ndi chala chanu, kenako ndikufinya pamilindayo.

Momwe mungagwiritsire ntchito cholembera

Chipangizo chamakono cha insulin sichovuta kugwiritsa ntchito. Choperetsetsa chimakhala chokhacho pambuyo pothandizidwa ndi mankhwalawo, zomwe zikutanthauza kuti munthu samalandira timadzi tambiri. Muyenera kuganizira izi ndikupeza njira ina. Kuti machitidwe akhale omasuka momwe mungathere, muyenera kudziwa momwe mungagwiritsire ntchito cholembera:

1. Pamaso jakisoni, singano yotayika iyenera kuyikiridwa pa chipangizocho. Malonda a Optimum amaonedwa ngati mamilimita 6-8.
2. Muyenera kudziwa kuchuluka kwa mahomoni. Kuti muchite izi, sinthani chogwirizira mpaka nambala yomwe mukufuna ikuwonekera pawindo lapadera.
3. Pangani jakisoni pamalo osankhidwa. Chida chogwirana chimapangitsa njirayi kukhala yopweteka.

Ogulitsa, tsopano ndi kosavuta kupeza mtundu uliwonse wama insulin. Ngati mankhwala apafupi sakupatsa chisankho, ndiye kuti ma jakisoni opanga zosavuta ndi zovuta atha kugulika pa intaneti. Intaneti imapereka kusankha kwa zinthu zambiri za insulin kwa odwala azaka zonse.

Mtengo wapakati wazinthu zomwe zimalowetsedwa ku malo ogulitsa mankhwala ku Moscow: U100 pa 1 ml - 130 rubles. Zogulitsa za U40 sizingawonongeke zotsika mtengo kwambiri - ma ruble 150. Mtengo wa cholembera udzakhala pafupifupi ma ruble 2000.

Ma syringes am'nyumba ndiotsika mtengo kwambiri - kuchokera ku ma ruble 4 mpaka 12 pa unit iliyonse.

Sankhani jakisoni wa insulin potengera miyezo. Kwa munthu wamkulu, zopangidwa ndi singano kutalika kwa 12 mm ndi m'mimba mwake mwa 0.3 mm ndizoyenera. Ana adzafunika masentimita 4-5 mm, mulifupi 0.23 mm.

Odwala onenepa ayenera kugula singano zazitali, osatengera zaka. Pogula, kudalirika komanso mtundu wa zinthu sizofunika kwenikweni.

Zogulitsa zotsika mtengo zitha kukhala ndi kumaliza maphunziro anu, kutengera momwe sizingatheke kuwerengera ma cubes ofunika. Singano yopanda tanthauzo imatha kuthyoka ndikukhalabe pakhungu.

Victoria, wazaka 46

Ndakhala ndikumenya Biosulin kwazaka zambiri ndi jakisoni wotsika mtengo wanyumba ndi singano zotulutsa. Kuno ku St. Petersburg amagulitsidwa pa pharmacy iliyonse pa ma ruble 9 pa unit iliyonse. Ndimagwiritsa ntchito singano imodzi kawiri patsiku, ndipo sipanakhalepo mavuto. Zogulitsa zikuwoneka bwino, pisitoni ndi singano zimatsekedwa ndi zisoti, zomwe zimatha kuchotsedwa mosavuta.

Sindinathane ndi ma syringe, koma nthawi yozizira mayi anga anapezeka ndi matenda ashuga, ndimayenera kuphunzira kuperekera jakisoni. Poyamba ndidagula chilichonse, koma posakhalitsa ndidazindikira kuti si onse omwe ali apamwamba. Ndidayima ku BD Micro-Fine Plus, yomwe ndimagula ma ruble 150 pa phukusi (zidutswa 10). Zinthu zopangidwa mwapamwamba, masingano owonda osachotsa insulini, owuma.

Anastasia, wazaka 29

Kuyambira ndili mwana ndalembedwa ndi endocrinologist yemwe ali ndi matenda ashuga. M'mbuyomu, sindimatha kuganiza kuti zida zopangira jakisoni ngati cholembera zingapangike. Ndakhala ndikugwiritsa ntchito Insulin Lantus kwa nthawi yayitali kwa zaka ziwiri - ndikusangalala kwambiri. Sizopweteka kupereka jakisoni, ndikofunika kumamatira ku chakudya, chifukwa chake mutha kukhala ndi zosangalatsa zanu komanso matenda ashuga.