Komwe mungabaye insulin: ma insulin, algorithm a jakisoni wa insulin, malo a jakisoni ndi malamulo aukhondo

Matenda a shuga akapezeka, odwala amakhala ndi mantha ambiri. Chimodzi mwa izo ndi kufunika koyang'anira kuchuluka kwa shuga m'magazi ndi jakisoni. Nthawi zambiri njirayi imagwirizanitsidwa ndi kumva kusasangalala komanso kumva kuwawa. Mu milandu 100%, izi zikuwonetsa kuti sizichita molondola. Momwe mungabayire insulin kunyumba?

Chifukwa chiyani ndikofunikira kuti mupeze jakisoni moyenera

Kuphunzira kubaya insulin ndikofunikira kwa aliyense wodwala matenda ashuga. Ngakhale mutha kuwongolera shuga ndimapiritsi, masewera olimbitsa thupi, komanso zakudya zamafuta ochepa, njirayi ndiyofunikira. Ndi matenda aliwonse opatsirana, kutupa m'matumbo kapena impso, kuwonongeka kwa mano, kuchuluka kwa glucose m'magazi kumawonjezeka kwambiri.

Chifukwa chake, chidwi cha maselo a thupi kupita ku insulin amachepetsa (insulin kukana). Maselo a Beta amayenera kutulutsa zochuluka za chinthuchi. Komabe, ndi matenda 2 a shuga, amayamba kufooka kale. Chifukwa cha kuchuluka kwambiri, kuchuluka kwawo kumafa, ndipo matendawa amakula. Choyipa chachikulu, mtundu 2 wa shuga umasinthidwa kukhala mtundu 1. Wodwala azipanga jakisoni osachepera 5 a insulin tsiku lililonse moyo.

Komanso, shuga wokwanira amatha kuyambitsa zovuta zakupha. Mtundu woyamba wa matenda ashuga, iyi ndi ketoacidosis. Okalamba omwe ali ndi matenda a shuga a 2 amakhala ndi vuto la hyperglycemic. Ndi kagayidwe kabwino ka glucose, sipadzakhala zovuta zina. Komabe, izi zimabweretsa matenda osachiritsika - kulephera kwa impso, khungu ndi kuduladula kwam'munsi.

Njira zoyendetsera insulin mu mtundu 1 ndi mtundu wa 2 shuga

Tikafunsidwa kangati patsiku jakisoni wa insulin ayenera kuperekedwa, palibe yankho limodzi. Malamulo a mankhwalawa amatsimikiziridwa ndi endocrinologist. Kuchita pafupipafupi komanso kumwa mankhwalawa zimatengera zotsatira za kuwunika kwa sabata sabata iliyonse.

Matenda a diabetes 1 amtundu amafunika jakisoni wa insulin musanadye kapena musanadye. Kuphatikiza apo, asanagone komanso m'mawa, jekeseni wa insulin yayitali imayikidwa. Izi ndizofunikira kuti tisunge kwambiri magazi. Kuchita masewera olimbitsa thupi pang'ono komanso kudya pang'ono kwa carb kumafunikanso. Kupanda kutero, chithandizo cha insulin chambiri musanadye sichikhala chothandiza.

Ponena za odwala matenda ashuga amtundu wa 2, ambiri amakhala ndi jekeseni ochepa asanadye. Sintha shuga m'magazi limalola chakudya chamafuta ochepa. Wodwala akazindikira kutseguka komwe kumachitika chifukwa cha matenda opatsirana, jakisoni amalimbikitsidwa tsiku lililonse.

Nthawi zambiri ndi mtundu 2 wa shuga, jakisoni wa insulin mwachangu amasinthidwa ndi mapiritsi. Komabe, mutatha kutenga, muyenera kudikirira osachepera ola limodzi musanadye. Pankhaniyi, kuyikamo jakisoni ndikothandiza kwambiri: pambuyo pa mphindi 30 mutha kukhala pansi patebulo.

Kukonzekera

Kuti mudziwe kuchuluka kwa insulin yomwe muyenera kulowa komanso musanadye chakudya, pezani cholembera kukhitchini. Ndi thandizo lawo, mutha kuwongolera kuchuluka kwa chakudya chamagulu muzakudya.

Muyezenso shuga wamagazi anu. Chitani izi mpaka 10 pa tsiku kwa sabata limodzi. Lembani zotsatirazo mu kakalata.

Pezani insulin yapamwamba. Onetsetsani kuti mwamaliza bwanji tsiku la mankhwalawo. Onani mosamalitsa malo osungira. Malonda omwe atha ntchito sangathe kugwira ntchito ndipo atha kukhala ndi pharmacodynamics yosayenera.

Musanalowetse insulin, sikofunikira kuchitira khungu ndi mowa kapena mankhwala ena opha tizilombo. Ndikokwanira kuchisamba ndi sopo ndikumatsuka ndi madzi ofunda. Pogwiritsa ntchito singano imodzi ya syringe kapena syringe, matendawa ndiwokayikitsa.

Sringe ndi kusankha kwa singano

Zingwe za insulini zimapangidwa ndi pulasitiki ndipo zimakhala ndi singano yochepa, yopyapyala. Amapangidwa kuti azigwiritsa ntchito limodzi. Chofunikira kwambiri pazogulitsa ndi kukula. Imatsimikiza mlingo ndi kulondola kwa makonzedwe. Kuwerenga gawo la sikelo ndikosavuta. Ngati pali magawano asanu pakati pa 0 ndi 10, ndiye kuti magawo awiri ndi mankhwalawo. Yocheperako sitepe, imakhala yolondola. Ngati mukufuna mlingo wa 1 unit, sankhani syringe yokhala ndi gawo laling'ono.

Khola la syringe ndi mtundu wa syringe yomwe imakhala ndi katoni yaying'ono ndi insulin. Minus ya mawonekedwe ake ndi mulingo wokhala ndi gawo limodzi. Kukhazikitsidwa ndendende kwa mlingo wa mpaka mayunitsi 0,5 ndikovuta.

Iwo omwe amawopa kulowa mu minofu, ndibwino kusankha singano zazifupi za insulin. Kutalika kwake kumasiyana kuyambira 4 mpaka 8 mm. Poyerekeza ndi muyezo, ndi owonda kwambiri ndipo ali ndi mainchesi ang'ono.

Njira yothandizira yopanda ululu

Kuti mupeze jakisoni kunyumba, mudzafunika syringe ya insulini. Zinthu zimayenera kuperekedwa pansi pa mafuta. Kuthamanga kwake kofulumira kumachitika m'malo monga m'mimba kapena phewa. Sizothandiza kwenikweni kubaya insulin m'dera pamwamba pamabowo komanso pamwamba pa bondo.

Njira yodalirika yoperekera insulin yochepa komanso yayitali.

1. Lowani muyezo wofunikira wa mankhwala mu syringe cholembera kapena syringe.
2. Ngati ndi kotheka, pangani khola pakhungu pamimba kapena phewa. Pangani icho ndi chala chanu ndi chala chamtsogolo. Yesani kugunda ulusi wokha pansi pa khungu.
3. Ndi jerk yachangu, ikani singano pamakona a 45 kapena 90 °. Kupweteketsa kwa jakisoni kumatengera kuthamanga kwake.
4. Pang'onopang'ono pitani pazida za syringe.
5. Pambuyo masekondi 10, chotsani singano pakhungu.

Fulumizirani syringe 10 cm kwa chandamale. Chitani izi mosamala momwe mungathere kuti zida zisagwere m'manja mwanu. Kuthamanga ndikosavuta kukwaniritsa ngati mutasuntha dzanja lanu nthawi yomweyo ngati mkono wanu wamtsogolo. Pambuyo pake, dzanja limalumikizidwa ndikuchita. Idzawongolera nsonga ya singano kufikira pobayira.

Onetsetsani kuti syringe plunger imakanikizidwa kwathunthu pambuyo kuyika singano. Izi zitsimikiza jakisoni wa insulin bwino.

Momwe mungadzazire syringe moyenera

Pali njira zingapo zodzadza syringe ndi mankhwala. Ngati sangaphunzire, thovu limadzalowa mkati mwa chipangizocho. Amatha kuletsa makulidwe a mankhwala olondola.

Chotsani kapu ku singano ya syringe. Kusunthira piston ku chizindikiro chogwirizana ndi mlingo wa insulin. Ngati kutha kwa chisindikizo kumakhala kokhazikika, ndiye kuti mupeze kuchuluka kwa mankhwalawo. Singano kuboola kapu ya mankhwala vial. Tulutsani mpweya mkati. Chifukwa cha izi, utupu sunapangidwe mu botolo. Izi zikuthandizani kuti mupeze gulu lotsatira. Pomaliza, vutani vial ndi syringe.

Ndi chala chaching'ono, kanikizani syringe m'manja mwanu. Chifukwa chake singano siyimatuluka mu chipewa cha rabara. Ndi kuyenda kwakuthwa, kokerani piston mmwamba. Lowani kuchuluka kwa insulin. Kupitiliza kugwira galimalo moyenera, chotsani syringe kuchokera pambale.

Momwe mungayendetsere mitundu yosiyanasiyana ya insulin

Pali nthawi zina pamene muyenera kulowa mitundu ingapo ya mahomoni nthawi imodzi. Poyamba, zimakhala zolondola kupaka insulin yochepa. Ndi analogue yachilengedwe insulin. Machitidwe ake ayamba pambuyo pa mphindi 10-15. Pambuyo pa izi, jakisoni wokhala ndi chinthu chokwanira amachitidwa.

Lantus insulin wa nthawi yayitali amathandizidwa ndi syringe yosiyana ya insulin. Zofunikira zoterezi zimaperekedwa poteteza chitetezo. Ngati botolo lili ndi muyezo wochepa wa insulin ina, Lantus satha mphamvu. Ikusinthanso kuchuluka kwa acidity, zomwe zimayambitsa zochitika zosayembekezereka.

Sitikulimbikitsidwa kusakaniza mitundu ingapo ya insulin. Ndikosayenera kwambiri kubayira zosakaniza zopangidwa kale: zomwe zimavuta kudziwa. Chosiyana ndi insulin yokha, yomwe yayamba kale.

Mavuto omwe angakhalepo kuchokera ku jakisoni wa insulin

Ndi pafupipafupi makonzedwe a insulin m'malo omwewo, zisindikizo mawonekedwe - lipohypertrophy. Zindikirani mwa kukhudza ndi zowoneka. Edema, redness ndi bloating zimapezekanso pakhungu. Kuphatikizana kumalepheretsa kuyamwa kwathunthu kwa mankhwalawa. Mwazi wamagazi umayamba kudumpha.

Popewa lipohypertrophy, sinthani malo a jakisoni. Jekeseni insulin 2-3 masentimita kuchokera kumapangidwira kale. Osakhudza dera lomwe lakhudzidwalo kwa miyezi 6.

Vuto lina ndi kukoka magazi m'mimba. Izi zimachitika ngati mumenya mtsempha wamagazi ndi singano. Izi zimachitika mwa odwala omwe amapaka insulin m'manja, ntchafu, ndi malo ena osayenera. Jakisoni ndi intramuscular, osati subcutaneous.

Nthawi zina, thupi limachitika. Amatha kukayikiridwa ndi maonekedwe a kuyabwa ndi mawanga ofiira pamalo a jekeseni. Funsani othandizira anu azaumoyo. Mungafunike kusintha mankhwalawo.

Zochita mukadutsa insulin limodzi ndi magazi

Kuti muzindikire vutoli, ikani chala chanu pamalo opaka jakisoni, kenako ndikulipiritsa. Mumanunkhira mosungirako (metacrestol) wotuluka mu chipupa. Ndizosavomerezeka kulipira zolakwika ndi kubayidwa mobwerezabwereza. Mlingo wolandilidwa ukhoza kukhala waukulu kwambiri ndipo umayambitsa hypoglycemia. Sonyezani m'madayidwe akudziletsa za magazi omwe abwera. Izi pambuyo pake zithandiza kufotokozera chifukwa chake magawo a shuga anali otsika kuposa abwinobwino.

Nthawi yotsatira, muyenera kuwonjezera kuchuluka kwa mankhwalawa. Kutalika pakati pa jakisoni awiri a ultrashort kapena insulin yayifupi ayenera kukhala osachepera maola 4. Musalole milingo iwiri ya insulin mwachangu kuti ichite munthawi yomweyo mthupi.

Kutha kuyendetsa palokha insulin sikothandiza kwa odwala matenda ashuga amtundu umodzi wokha, komanso kwa anthu odwala matenda ashuga a 2. Kupatula apo, matenda aliwonse opatsirana angayambitse kuchuluka kwa shuga m'magazi. Kuti muchite izi mopweteka, pezani njira yolondola ya jakisoni.

Momwe vuto limayambira

Kodi kubaya insulin mu shuga? Funso ili limabuka kwa odwala omwe akumana ndi matenda ofanana nawo posachedwapa. Malinga ndi madotolo omwewo, matenda a shuga sazindikira, koma njira ya moyo. Inde, anthu omwe ali ndi matenda ofananawo ayenera kuzolowera gulu latsopano lazakudya ndi moyo wawo. Osangokhala bwino, komanso moyo wa munthu wodwala matendawa zimatengera mkhalidwe wawo wolondola.

Mtundu wa 1 wa matenda ashuga, wodwalayo adalandira mankhwala a insulin. Njira imeneyi imafunika kusintha. Imayamba kuchitidwa moyang'aniridwa ndi dokotala. Pankhaniyi, wodwala amadutsa mayeso angapo. Izi zimakuthandizani kusankha mtundu woyenera wa insulin. Wodwala aliyense amaphunzitsidwa, pomwe amaphunzira zamankhwala osokoneza bongo.

Mankhwala a insulin nthawi zambiri amaperekedwa kwa achinyamata. Ndi nthawi imeneyi pomwe matenda a shuga a mtundu woyamba amapezeka pafupipafupi. Komabe, chithandizo choterechi chitha kutumikiridwa osati pamaso pa matendawa. Ngati mayi wachepetsa ntchito ya pancreatic pa nthawi yapakati, amatha kupatsidwa mankhwala awa. Komanso, pamatenda owopsa kapena opatsirana opatsirana, panthawi yovuta kwambiri, komanso matenda ena angapo, anthu amafunikira insulin yongoyembekezera.

Chimodzi mwazinthu zofunika pakuchita chithandizo chotere ndi ichi: ndingapeze pati insulini? Pali malangizo omveka bwino a njirayi. Ndi kuphwanya kwawo, kukula kwa zopatuka zosiyanasiyana ndizotheka. Kuti mupewe izi, muyenera kudziwa zonse zamatenda ndi insulin. Dokotala ayenera kudziwa wodwalayo.

Mawonekedwe a jakisoni

Kuwerenga komwe jekeseni insulini (chithunzi cha imodzi mwazosankha zomwe zaperekedwa pamwambapa), zigawo zingapo zotheka ziyenera kulingaliridwa. Chowonadi ndi chakuti amafunika kusinthidwa nthawi ndi nthawi. Sikoyenera kubayidwa m'malo omwewo. Pali zifukwa zingapo izi:

1. Kuchuluka kwa mankhwalawa m'magawo osiyanasiyana amthupi sikofanana.
2. Kukhazikitsidwa kwa jakisoni m'dera lomwelo pakapita nthawi kumayambitsa lipodystrophy. Zosanjikiza zamafuta pansi pa khungu zimasowa m'malo ano.
3. Jakisoni wambiri amatha kudziunjikira mu minofu.

Makamaka kudziunjikira kwa insulin "m'malo osungira". Amatha kuchita mwadzidzidzi. Komanso, izi zitha kuchitika patatha masiku angapo jakisoni. Chifukwa cha izi, kuchuluka kwa glucose m'magazi kumatsika kwambiri komanso mwamphamvu. Izi zimaphatikizapo kuukira kwa hypoglycemia. Imadziwulula yokha ndi zizindikiro zina. Manja amanjenjemera, munthu amaponya thukuta lozizira, akumva njala komanso kufooka.

Izi zimafuna kuwonjezeka kwa msanga. Kupanda kutero, kukomoka kwa hypoglycemic kumatha kuchitika. Muyenera kumwa madzi otentha otentha (tiyi wokoma), kenako ndikudya sangweji, makeke kapena mankhwala ena osowa mafuta.

Kuti mupewe mavuto ngati amenewa, muyenera kudziwa komwe mungabaye jakisoni. Izi zimapewe mavuto akulu.

Zoning

Kodi kubaya insulin mu shuga? Iyenera kufotokozedwa nthawi yomweyo kuti mankhwalawa amatha kuperekedwa mosavuta, kudzera m'mitsempha mosavuta. Chisankho chimatengera momwe munthu aliri. Nthawi zambiri imayendetsedwa mosakakamiza. Kuti muchite izi, gwiritsani ntchito ma syringes apadera kapena ma syringes. Ali ndi singano yowonda kwambiri komanso lakuthwa. Izi zimathandizira njira ya jakisoni.

Kuti madokotala ndi odwala amvetsetsane bwino, magawo omwe mankhwalawo angagwiritsidwe ntchito amakhala ndi dzina losavuta. Komabe, maderawa ali ndi malire omveka. Pali malo otsatirawa omwe mutha kupangira insulin:

1. Belly Malire a kumtunda kwa gawo lino amayenda lamba, kudutsa kumbuyo. Ilinso kumanja ndi kumanzere kwa navel.
2. Manja. Apa mutha kubayira insulin kunja kwa nthawiyo kuchokera pakatikati mpaka kumapeto. Izi ndizosavomerezeka. Chifukwa chake, jakisoni wapaiyi ndiwotheka ndi cholembera chokha. Mutha kufunsanso munthu yemwe ali pafupi kuti apange jekeseni wa insulin m'derali.
3. Miyendo. Malowa amatanthauziridwa kuchokera ku inguinal mpaka kulumikizana kwa bondo. Insulin imalowetsedwa kunja kwa miyendo.
4. Mapewa. Magawo awa ali kumbuyo. Jakisoni amaperekedwa pansi pa fupa la scapular.

Wodwala aliyense yemwe wapezeka ndi mtundu woyamba wa matenda ashuga ayenera kudziwa momwe madera amasiyanirana. Ndikofunikira kusankha molondola momwe mungabweretsere izi kapena mtundu wa jekeseni.

Mawonekedwe

Iliyonse ya magawo awa ali ndi mawonekedwe ake. Izi ziyenera kukumbukiridwa posankha malo operekera mankhwala.

Ndi kuyambitsa kwa insulin m'mimba, mayamwidwe ake ndi 90%. Nthawi zambiri, mankhwalawa amalowetsedwa m'derali. Kusankha komwe mupeze insulin yayifupi, muyenera kusankha ndendende pamimba. Apa zimangotengeka osati pafupifupi kwathunthu, komanso mwachangu kwambiri. Chifukwa chake, musanadye, nthawi yakudya kapena itangotha, insulin iyenera kulowa m'mimba. Mankhwalawa ayamba kugwira ntchito mkati mwa mphindi 15-30 atatha kumwa. Pazitali zake zimawonekera patatha pafupifupi ola limodzi.

Ngati mankhwalawa alowetsedwa m'manja kapena m'miyendo, amakamizidwa ndi 75%. Ngati mukufuna kudziwa komwe mungapangire insulin yayitali, maderawa amasankhidwa pafupipafupi. Mankhwalawa, omwe amabweretsedwa m'manja kapena m'miyendo, amayamba kuchita pakatha ola limodzi ndi theka. Chifukwa chake, magawo awa ndi oyenera kukhazikitsidwa kwa mankhwala okhala ndi nthawi yayitali (yayitali).

Insulin sikuti yayamba kubayidwa konsekonse. Wodwala sangathe kufikira yekha. Nthawi yomweyo, ndi 30% yokha ya insulini yomwe imachokera ku dera lodzala. Imeneyi ndi njira yosagwiritsa ntchito bwino mankhwala. Zimagwira pokha pazochitika zapadera.

Ndi kuchuluka kwake komanso kuchuluka kwa mayamwidwe a mankhwala komwe kumayambitsa komwe kumayambitsidwa mankhwala. Kutengera ndi dongosolo la kayendetsedwe ka insulin, kusankha kwa kayendetsedwe ka kayendetsedwe kake kumadalira. Simunganyalanyaze malangizowa. Ngati mungalowetse mankhwalawo molakwika, mutha kupeza zotsatira zosayembekezereka. Kukhala bwino kumawonongeka kwambiri, mavuto ena akhoza kuyamba.

Ndemanga pa kukhazikitsa mankhwala

Kudziwa komwe muyenera kupaka insulin mu matenda a shuga, muyenera kuganizira za momwe akumvera mu nthawi ya makonzedwe omwe odwala amasiya. Zowawa kwambiri ndi jakisoni m'mimba. Pali mathero ambiri amitsempha. Chifukwa chake, njirayi imadzetsa kusasangalala.

Madokotala amalangiza odwala awo kuti akweze khungu pakulowetsedwa m'matumbo kuti singano ilowe mkatikati. Zopwetekanso kwambiri zidzakhala jakisoni, yemwe anayikidwa m'deralo pafupi ndi mbali. Ngakhale njirayi imadzetsa ululu wina, simungathe kunyalanyaza malowa ndikuyambitsa insulin. Ngati mukufunikira kulowetsa mankhwala othamanga pakadali pano, izi ndizotheka m'mimba.

Kodi kubaya insulin kwa nthawi yayitali? Awa akhoza kukhala dera lamanja kapena miyendo. Munthu amatha kusankha yekha payekha. Komabe, odwala ambiri amadziwa kuti insulin ikalowetsedwa m'manja, ululu umakhalapo. Chifukwa chake, anthu ambiri omwe apezeka ndi matenda a shuga amayika jakisoni m'manja. Izi nthawi zina zimakhala zosavuta. Pankhaniyi, ndibwino kupempha thandizo kwa okondedwa.

Ngati palibe amene angakuthandizeni pakuyambitsa insulin, muyenera kugula cholembera. Ndi iyo, mutha kulowa mankhwalawo mosavuta, ngakhale m'manja. Nthawi ndi nthawi, amafunika kugwiritsa ntchito zigawo za phazi. Izi zimapewa kukokomeza kwa mankhwalawa mu minofu.

Kuti njirayi ikhale yopweteka, gwiritsani ntchito ma syringe okha apadera ndi singano zowonda kwambiri. Pankhaniyi, ngakhale ndi kuyambitsa kwa mankhwala m'mimba, ululu palibe.

Kodi muyenera kuchita kuti jakisoni?

Kudziwa komwe kuli bwino jekeseni insulin, muyenera kuganizira malo omwe mankhwalawo sangalowe. Ndi kudzilamulira nokha kwa mankhwalawo, muyenera kulowa gawo lopanda mafuta. Ngati mankhwalawa alowa m'matumbo a minofu, iyi si njira yabwino kwambiri yokhudza thupi. Izi ndizopweteka kwambiri, zimatha kubweretsa zovuta zingapo.

Pamalo omwe mankhwalawo akukonzekera kuti aperekedwe, sipayenera kukhala zisindikizo zamtundu uliwonse. Komanso, pakhale palibe redness, totupa, zipsera kapena abrasions. Sipangachitike kuwonongeka kwamakina pakhungu lanu. Zipatso ndizovomerezeka pano. Ngati chithandizo cham'mbuyomu cha mankhwala sichinaphule kanthu, chomwe chinapangitsa kuti chichitike, muyenera kusankha malo osiyana ndi khungu.

Ndizofunikiranso kudziwa kuti kusiyana pakati pa malo omwe jekeseni wam'mbuyomu komanso wapano akuyenera kukhala wosachepera 3. cm. Pafupifupi apa, jakisoni amatha kupangidwa pambuyo pa masiku atatu. M'mbuyomu, muyenera kusankha malo ena.

Ndikofunikanso kudziwa kuti osachepera 5 cm ayenera kuchotsedwa mu navel .. Ngati pali timadontho-timadontho (makamaka bulky) thupi, osachepera 2 cm ayenera kuchotsedwa kwa iwo. Ngati mukanyalanyaza malamulowa, mutha kudzipweteka. Zisindikizo ziyenera kudutsa ngati zakonzedwa kuti zidziwitse mankhwalawa apa. Kupanda kutero, insulin singatengeke ndi thupi. Mavuto aliwonse, mapangidwe pakhungu salola kuti mankhwala ayambitsidwe kuyandikira pafupi nawo.

Kusankha kwa ma syringe

Kudziwa komwe muyenera kupaka insulin mu matenda a shuga, muyenera kuwonetsetsa kuti syringe isankhidwa. Zimatengera ngati jakisoni adzakhala wopweteka. Insulin imayendetsedwa pogwiritsa ntchito cholembera kapena syringe yapadera. Njira yachiwiri imagwiritsidwa ntchito kwambiri ndi anthu okalamba. Amagwiritsidwa ntchito kutaya ma syringes amtundu wa insulin.

Mbadwo wachichepere umakonda kugwiritsa ntchito ma syringes. Ubwino wa chipangizochi ndi chitonthozo pakugwiritsa ntchito. Mankhwalawa amatha kuperekedwa mwachangu komanso mosavuta. Poterepa, cholembera cha syringe chingatengedwe nanu muchikwama chanu.

Mukamagwiritsa ntchito chipangizochi, muyenera kutsatira malamulo ena. Musanagwiritse ntchito, muyenera kuwona ngati cholembera chogwira ntchito. Nthawi zina izi zimasweka. Izi zimatha kuyambitsa mlingo woyenera wa mankhwalawo kapena makina osakwanira pansi pa khungu.

Ndikwabwino kuti muzikonda chida cha pulasitiki chokhala ndi singano yomanga. Pambuyo pa jekeseni, palibe insulin yomwe yasiyidwa mwa iwo.

Ma syringe onse wamba a insulin amatha kutulutsa. Kuchuluka kwawo nthawi zambiri amakhala 1 ml (100 IU). Chida choterechi chili ndi magawo 20. Aliyense wa iwo amafanana ndi 2 IU. Ngati cholembera cha syringe chagwiritsidwa ntchito, m'magawo onsewo mulingo wofanana ndi 1 IU.

Singano iyenera kukhala yakuthwa kwambiri komanso yochepa. Ngati sichingokhala bwino, chikwirira ndi chidindo chiziwoneka pamalowo. Izi, zachidziwikire, sizoyipa, koma zimayambitsa mavuto ambiri.

Momwe mungapangire jakisoni?

Mutaganizira koti mupeze jakisoni moyenera, muyenera kulabadira za algorithm munjira imeneyi. Ndizosatheka kuyambiranso. Zochita zonse ziyenera kuchitika momveka bwino malinga ndi dongosolo lokhazikitsidwa.

Choyamba muyenera kukonza khungu komwe mankhwalawa adzaperekedwe. Ziyenera kukhala zoyera. Komabe, kupaka khungu ndi mowa sikofunikira. Imawononga insulin. Chifukwa chake, mukungofunika kutsuka m'dera lomwe mukufuna kulowa mankhwala. Ndikokwanira kusamba kamodzi patsiku. Ngati mukufunikira kuperekera jakisoni mukamaliza njira zaukhondo, madziwo sayenera kutenthedwa. Ayenera kukhala wofunda. Kupanda kutero, mphamvu ya mankhwalawa itha kukhala yosatsimikizika.

Pambuyo pake, muyenera kukonzekera insulin. Mankhwalawa amafunika kuti azikulungika pakati pa manja. Izi zimachitika kwa masekondi 30. Mankhwala, omwe amalowetsedwa m'thupi, ayenera kukhala otentha komanso osakanikirana bwino. Kenako amakokedwa mu syringe. Ndikofunikira kuyang'anira bwino kuchuluka kwake pamlingo pamilandu.

Ndi dzanja lamanzere amapanga khola. Singano imayikidwamo. Ngati munthu ali wabwinobwino kapena wonenepa kwambiri, ayenera kulowa khungu mwachindunji. Kwa anthu ochepa thupi, muyenera kuyika singano pamakona a 45-60º. Kenako, mankhwalawa amaperekedwa pansi pa khungu. Chotsatira, muyenera kudikira pang'ono. Mukatenga singano nthawi yomweyo, insulini ina imatuluka.

Mawu ochepa za njirayi

Kuwerenga momwe ndi momwe mungapangire jakisoni, muyenera kuganizira njira zingapo za jakisoni. Kuti chidwi cha thupi cha insulin chisamachepe, magawo a kayendetsedwe ka mankhwala ayenera kusinthidwa. Choyamba, mankhwalawa amalowetsedwa m'mimba, kenako m'manja. Kenako m'mimba, komanso nthawi yotsatira kupita ku mwendo, etc.

Muyenera kuphunzira momwe munganyamule khungu kuti lipange mafuta. Mukafinya mwamphamvu, ulusi wa minofu nawonso umadzuka. Izi ndizosavomerezeka. Chifukwa chake, khungu limakulungidwa pang'ono, pogwiritsa ntchito zala ziwiri zokha zamanzere (kumanja kwa anthu akumanzere).

Singano iyenera kuyikika mwamphamvu. Zitachitika izi, pisitoni iyenera kubwezeretsedwerako mbali inayo. Zimachitika kuti singano ilowa mumtsempha wamagazi (osowa). Zotsatira zake, magazi amalowa mu syringe. Pankhaniyi, muyenera kupeza singano ndikusunthira jakisoni 3 cm kuchokera pamalo ano.

Komabe, insulin yoyandikana kwambiri ndi khungu siyilandira. Izi zimvedwa nthawi yomweyo ndikamayambitsa mankhwalawa. Piston pankhaniyi amayenda movutikira. Chisindikizo chimawonekera pansi pa khungu. Chisoni chikuwonekera. Onetsetsani kuti mwakankhira singano mozama pang'ono.

Muyenera kupeza singano kwambiri, komanso ikanikeni. Mukamachita izi pang'onopang'ono, ululu umawoneka.

Malamulo ogwiritsira ntchito mankhwala ndi zida

Mutaganizira momwe ndi momwe mungapangire insulin, muyenera kuphunzira malamulo angapo ogwiritsira ntchito mankhwalawa. Mankhwalawa amagwira ntchito mwachangu ngati kutentha kwaposachedwa kukwera. Kuti muchite izi, mutha kusamba bwino kapena kupukutira pang'ono pamalo a jakisoni. Pankhaniyi, khungu limangofunika kukhwanyata pang'ono. Simuyenera kuchita kulikakamiza.

Musanagwiritse ntchito mankhwalawa, muyenera kuyang'ana nthawi yake yomwe amatha. Ngati yatulutsidwa, insulin singagwiritsidwe ntchito jakisoni. Komanso, kuphatikiza kwake kuyenera kufanana ndi mlingo womwe madokotala amawerengedwa.

Sungani insulini mufiriji. Komabe, kuzizira kozizira sikovomerezeka. Kutentha kwambiri posungira mankhwalawa ndi 2 + + 8ºС. Potere, cholembera kapena syringe yotayika ikhoza kukhala kutentha kwambiri. Pambuyo pa njirayi, ayenera kutayidwa molondola. Kuti muchite izi, ikani ma syringe mu chidebe chapadera. Ikadzaza, imaperekedwa ku kampani kuti igwiritse ntchito zida zoperekera mankhwala. Sungani chidebe kutali ndi ana.

Mutaganizira koti mupeze insulin, mutha kuchita molondola nthawi zonse. Izi zimapewa kukulitsa zovuta zazikulu, kuwawa ndi kusasangalala.

Zizindikiro za matenda ashuga komanso chithandizo chake

Tisanakambe momwe titha kuperekera insulin bwino, tiyeni tikambirane za matenda ashuga. Mwa munthu wathanzi, shuga wamagazi amayenera kukhala osiyanasiyana kuyambira 3.5 mpaka 6.0 mmol / L. Shuga wokwezeka nthawi zonse ndiye chizindikiro choyamba cha matenda ashuga. Zomwe zafotokozedwazi ndi zoona kwa matenda ashuga amtundu woyamba.

Mu mtundu 2 wa matenda ashuga, munthu amakhala ndi mahomoni, koma thupi lake "silimva". Zimapezekanso ndi shuga wamagazi ambiri. Chizindikiro ichi cha matenda a shuga chimatsimikiziridwa ndi kuyezetsa magazi kwa venous. Koma ngakhale musanawunike, mutha kukayikira matenda pazizindikiro zina:

• wodwala nthawi zambiri amakhala ndi ludzu,
• ziume zowuma ndi khungu
• wodwala sangathe kupeza chakudya chokwanira - m'nthawi yochepa atatha kudya, ndikufuna ndidyenso,
• kutopa ndi kufooka,
• mitsempha ya varicose,
• matenda a pakhungu amayamba popanda chifukwa.
• akusweka mafupa.

Kodi kumwa insulin? Pankhani ya matenda a shuga a mtundu woyamba, wodwalayo amapatsidwa insulin. Kutengera ndi momwe alili, jakisoni amayenera kuchitidwa kawiri pa tsiku, kapena musanadye chilichonse. Dokotala atha kukulemberani mankhwala ena aliwonse. Adziwitsanso momwe angabayire insulin molondola ndikuisunga, komanso kuphunzitsa wodwalayo jakisoni.

Mtundu wachiwiri wa matenda ashuga, timadzi timeneti timabayidwa, koma kuphatikiza apo, mankhwala omwe amalimbikitsa kukhudzika kwa zomwe tafotokozazi ndi mankhwala. Kuphatikiza apo, nthawi zambiri limodzi ndi kuchepa kwa kuchuluka kwa mahomoni mwa anthu, zomwe zimagwiritsidwa ntchito pa anticoagulants zimachepa, zomwe zimabweretsa zilonda zam'mimba, zotupa, gangrene mu shuga, ndichifukwa chake dokotala amafotokozera kugwiritsa ntchito anticoagulant - heparin. Mankhwala sayenera kugwiritsidwa ntchito popanda kukakamizidwa ndi katswiri, popeza ali ndi zolakwika zingapo.

Mafuta a jakisoni

Pofuna kuti katswiri azikupereka chiwembu chothandizirana ndi mahomoni, wodwalayo ayenera kuyang'ana kuchuluka kwa shuga m'magazi nthawi zosiyanasiyana masana mkati mwa sabata. Chifukwa cha izi, glucometer amagulitsidwa m'masitolo ogulitsa mankhwala ndi zida zamankhwala.

Kutengera ndi izi, insulin imayikidwa malinga ndi chiwembu. Kwa odwala matenda a shuga mellitus, posachedwa komanso pang'ono, angakhale okwanira kuti azikhala ndi chakudya choyenera, kuwonjezera masewera olimbitsa thupi, ndipo shuga ibwereranso mwakale. Mwambiri zovuta, kuwonjezera pakudya ndi masewera olimbitsa thupi, jakisoni wa insulin sangapewedwe.

Mtundu woyamba wa shuga, insulin nthawi zambiri imayendetsedwa kawiri pa tsiku, m'mawa ndi madzulo. Mahomoni opangira nthawi yayitali amagwiritsidwa ntchito. Pankhani yodwala matenda a shuga a mtundu wachiwiri, jakisoni amayenera kuperekedwa musanadye kuti asadye, chifukwa cha kudya, palibe kuwonjezeka kwambiri kwa shuga m'magazi. Mwa izi, timadzi tomwe timagwira ntchito mofulumira timagwiritsidwa ntchito, omwe amayamba kugwira ntchito mphindi 5 atabayidwa jakisoni wa insulin mosalekeza. Momwe mungadzibweretsere insulini, tiyeni tikambirane pansipa. Ndi mtundu wanji wa shuga kuti mupeze mahomoni amtundu umodzi kapena angati, kangati patsiku, katswiri adzakuuzani.

Kusankha Chida Cholowera

Momwe mungayendetsere insulin? Anthu ena odwala matenda ashuga amagwiritsa ntchito ma syringe amtundu wa jakisoni. Ma syringe amenewa amakhala ndi chidebe chamafuta cha pulasitiki chomwe chimagawidwa magawo 10 kuti awerenge kuchuluka kwa mankhwalawo kuti apangidwe ndi singano yopyapyala. Zovuta zomwe amagwiritsa ntchito ndikuti gawo limodzi la insulin mpaka 1 amatanthauza magawo awiri a mahomoni. Momwe mungagwiritsire, kodi syringe ndi yolondola? Zimapereka cholakwika pakugawa. Kwa ana odwala, izi ndizofunikira kwambiri, chifukwa ndikamayambitsa kuchuluka kwa mahomoni awo, shuga awo amatsika pansi.

Kuti zitheke kudzivulaza, mapampu a insulini apangidwa. Ichi ndi chipangizo chokhacho chomwe chingapangidwe kuti chitha kuperekera kuchuluka kwa zinthu mukabayidwa. Ndiosavuta kubayira insulin. Koma mtengo wazida zotere ndi zovomerezeka - mpaka ma ruble 200,000. Si wodwala aliyense amene angakwanitse kugula zinthu zotere.

Njira yovomerezeka kwambiri ndi ma insulin omwe amaphatikiza ndi singano yaying'ono kapena ma syringes. Amalandira 1 unit ya voliyumu ya hormone kwa munthu wamkulu kapena mayunitsi 0,5 kwa mwana. Masingano angapo amakhala ndi chogwirizira, chilichonse chingagwiritsidwe ntchito nthawi 1. Chida chomwe chimagwiritsidwa ntchito jakisoni chimakhudza kulondola kwa mulingo.

Njira yolowetsera

Zomwe zimayambitsa insulini ndizoti singano sikufunika kuti idulidwe kwambiri. Ndikofunikira kusakaniza insulin mu syringe molingana ndi malamulo. Njira zoyendetsera insulin yoyendetsera izi ndi motere:

1. Sambani manja anu bwino lomwe. Ndikwabwino kuwapukuta ndi mowa kapena vodika.
2. Mu syringe, jambulani mpweya kuzomwe zikuwonetsa kuchuluka kwa timadzi tomwe timafunikira.
3. Kenako ikani singano kudzera mumkokomo wa m'mimba mwa timadzi tambiri ndikufinya m'mlengalenga.
4. Thirani insulini mu syringe kuchokera pa vial ndikulemba kale kuposa momwe mukufuna.
5. Chotsani syringe mu vial, ikupaka ndi chala chanu kuti mutulutse thovu.
6. Finyani kuchuluka kwa mahomoniwo m'mbale kuti mulibe mphamvu yoyenera.
7. Mafuta jakisoni ndi antiseptic - mowa, vodika, hydrogen peroxide.
8. Tengani gawo labwinobwino la khungu mu mafuta. Ngati syringe yokhala ndi singano yayifupi ya insulin, ndiye kuti sizofunikira.
9. Kenako ndikofunikira kuyambitsa singano yopanda tanthauzo kuti mankhwalawo alowe m'mafuta onunkhira. Sungani singano ya insulini pamalo a 90 kapena 45 madigiri.
10. Finyani mahomoni mu syringe.
11. Chotsani singano, amasula khungu pakapita masekondi angapo.
12. Dzozani malo omwe adalonjezedwa ndi antiseptic.

Malamulo opereka insulin ndi osavuta. Pambuyo jakisoni angapo, aliyense aphunzira kuperekera jakisoni. Kubayilitsa mothandizidwa ndi cholembera mu syringe ndi kosiyana chifukwa mothandizidwa ndi gudumu lapadera mlingo wa mahomoni umayikidwa nthawi yomweyo, womwe umatengedwa kuchokera pambale.

Momwe mungagwiritsire ntchito cholembera chapadera cha insulin akufotokozedwa m'mawu omwe aphatikizidwa. Malo omwe insulin amayendetsedwera imatsimikiziridwa ndi zomwe madokotala ndi odwala amachita.

Kodi ndibwino kuti ndikabaye?

Komwe kubaya insulin ndi vuto laumwini. Nthawi zambiri, jakisoni wa insulini amaperekedwa kunja kwa mikono kapena miyendo, matako kapena m'mimba. Mphamvu ya mahomoni imatengera kusankha kwa malo a jakisoni - kuthamanga kwa mayamwidwe ake, kutalikirana kwa thupi.

Ndikosatheka kupaka insulin m'thumba lanu, kotero kuti mikono yanu, miyendo ndi m'mimba zimatsalira. Momwe mungapangire jakisoni? Simungasinthe nthawi zonse pamalo amodzi. Ngati ndizotheka kwambiri kuti mupange jakisoni m'mimba, sungani mtunda pakati pa singano yolowera osachepera 2 cm. Kuponderezedwa kwamakonzedwe a insulin kumabweretsa chiopsezo cha lipodystrophy - uku ndi kuphwanya kapangidwe ka mafupipafupi pamalo opakidwa jekeseni wambiri, ndikuwunjikana kwa mafuta m'miyendo. Koma apo ayi mankhwalawo sangapereke zomwe mukufuna. Mitambo imatha kuthandizidwa ndimafuta a Troxevasin, kapena kujambulitsa ukonde ndi thonje swab choviikidwa mu ayodini m'dera la jakisoni. Mafoni samadutsa mwachangu, koma pamapeto, amazimiririka. Pang'onopang'ono, wodwalayo amaphunzira kubayitsa mahomoni kuti zovuta zisachitike ndi insulin yolakwika. Chachikulu ndichofunika kuona. Chomwe muyenera kuwopa ndikulowa chilonda cha matenda. Njira zoperekera insulin ndizosankha pawokha la jakisoni. Masamba obayira jakisoni, ma algorithm omwe amathandizira pamankhwala amalumikizana.

Malo a jakisoni a insulin:

1. Pakati pa odwala matenda ashuga omwe akudziwa bwino, ndi chizolowezi kubaya insulin m'mimba. Hormoni yomwe imayambitsidwa m'mafuta am'mimba am'madzi amayamba kuyamwa mwachangu ndikuyamba kugwira ntchito. Zilonda m'derali sizopweteka kwambiri, ndipo mabala omwe amapangidwa amayamba kuchira mwachangu. M'mimba sichivuta kugwiritsidwa ntchito ndi milomo.
2. Mbali yakunja ya mkono. Mankhwalawa samamwetsa thupi nthawi yonse ya jekeseni - mpaka 80%. Mafoni amatha kupanga. Kuti izi zisachitike, manja amayenera kupatsidwa masewera olimbitsa thupi pakatikati pa jakisoni.
3. Gawo lakunja la mwendo limagwiritsidwa ntchito kupatsa mahomoni okhudzana kwanthawi yayitali. Gawo ili la thupi limayenda pang'onopang'ono mankhwala omwe amalowa. Pofuna kupewa mapangidwe a ma cones, masewera olimbitsa thupi amafunikanso.
4. Kodi insulin ingalowerenso pati mwana? Mwanayo amapatsidwa jakisoni m'matako, chifukwa samatha kudzilimbitsa, ndipo jakisoni m'matako samapweteka. Timadzi timadzi timapangidwa pang'onopang'ono koma kwathunthu. Ma mahomoni omwe amagwira ntchito mwachidule nthawi zambiri amalowetsedwa m'matako.

Mulimonsemo, njira ya subcutaneous makonzedwe a insulin iyenera kuwonedwa. Iwo amene akudwala ayenera kukumbukira kuti timadzi timene timatumizidwa tsiku lililonse. Koma izi sizichotsa kufunika kwa zakudya zomwe zimakhala ndi zakudya zochepa zotsekemera komanso zowoneka bwino, komanso masewera olimbitsa thupi. Chithandizo ndi algorithm yothandizira kuperekera insulin imatha kuperekedwa ndi dokotala. Kudzichitira nokha zinthu kumabweretsa mavuto.

Kodi zimapweteka kubaya insulin?

Chithandizo cha insulin chimapweteketsa anthu omwe amagwiritsa ntchito njira yolakwika ya jakisoni. Muphunzira momwe mungabayitsire homuyi kwathunthu mopweteka. Mu ma syringe amakono ndi ma syringe, singano ndizochepa thupi. Malangizo awo amawongoleredwa ndi ukadaulo wamlengalenga pogwiritsa ntchito laser. Mkhalidwe waukulu: jakisoni ayenera kukhala wachangu . Njira yolowetsera singano yofanana ndi kuponyera dart mukamasewera madole. Kamodzi - ndipo mwatha.

Simuyenera kubweretsa pang'onopang'ono singano pakhungu ndikuyiganizira. Pambuyo pa gawo lalifupi la maphunziro, mudzaona kuti jakisoni wa insulin ndi wopanda pake, palibe ululu. Ntchito zazikulu ndikugula kwa mankhwala abwino ochokera kunja ndi kuwerengera kwa mankhwala oyenera.

Chimachitika ndi chiani ngati anthu odwala matenda ashuga samalowetsa insulin?

Zimatengera kuopsa kwa matenda anu ashuga. Mwazi wamagazi ukhoza kukwera kwambiri ndikuyambitsa zovuta zakupha. Odwala okalamba omwe ali ndi matenda a shuga a 2, ndiye kuti ali ndi vuto la hyperglycemic. Odwala omwe ali ndi matenda a shuga 1, ketoacidosis. Ndi kagayidwe kabwino ka glucose, sipadzakhalanso zovuta zilizonse. Komabe, shuga amakhalabe okwera kwambiri ndipo izi zimapangitsa kuti pakhale zovuta. Zowopsa kwambiri mwa izo ndi kulephera kwa impso, kudula miyendo ndi khungu.

Vuto la mtima wophedwa kapena la sitiroko limatha kupezeka zovuta m'miyendo, kupenya kwam'maso ndi impso. Kwa odwala matenda ashuga ambiri, insulin ndi chida chofunikira kwambiri chopewera shuga wamagazi ndi kuwateteza ku zovuta. Phunzirani kubayiza popanda kupweteka, monga tafotokozera pansipa.

Chimachitika ndi chiani ngati muphonya jakisoni?

Mukaphonya jakisoni wa insulin, kuchuluka kwa glucose m'magazi kumakwera. Kuchuluka shuga zochuluka motani kumatengera kukula kwa matenda ashuga. Muzochitika zazikulu, titha kusokonezeka chifukwa cha zotsatira zakupha. Ichi ndi ketoacidosis mu mtundu 1 wa matenda ashuga ndi hyperglycemic coma mu mtundu 2 wa matenda ashuga. Mkulu wokwanira wama glucose amalimbikitsa kukula kwa zovuta za matenda ashuga. Miyendo, impso ndi vuto la m'maso zimatha kukhudzidwa. Chiwopsezo cha kugunda kwamtima koyambira ndi kugunda kwamwala chikuwonjezerekanso.

Kodi kuyika insulin: isanayambe kapena itatha chakudya?

Kufunsa kotereku kumawonetsa chidziwitso chochepa cha odwala matenda ashuga. Sakani mosamala patsamba lino pazomwe mungawerenge Mlingo wa insulin yofulumira komanso yowonjezereka musanayambe jakisoni. Choyamba, onani nkhani "Kuwerengera kwa insulin Mlingo: mayankho a mafunso a odwala". Komanso werengani malangizo a mankhwalawa omwe mwawalembera. Malangizo aubwino payekha atha kukhala othandiza.

Kodi mumafunikira kubayira insulin kangati?

Ndikosatheka kuyankha funsoli, chifukwa munthu aliyense wodwala matenda ashuga amafunika munthu wodwala matenda a insulin. Zimatengera momwe shuga yanu imakhalira tsiku lonse. Werengani nkhani zina:

Mukawerenga izi, mutha kudziwa kuti mufunika kudula kangati patsiku, kuchuluka kwa magawo komanso maola angati. Madokotala ambiri amapereka mtundu womwewo wa mankhwala a insulin kwa onse odwala matenda ashuga, osaganizira momwe iwowo alili. Njirayi imachepetsa kuchuluka kwa ntchito zomwe adokotala amachita, koma zimapereka zotsatira zoyipa kwa odwala. Osamagwiritsa ntchito.

Njira ya Inulinion ya Insulin

Njira yama insulini yoyendetsera ntchito imasiyanasiyana pang'ono kutengera kutalika kwa singano kapena cholembera. Mutha kupanga khola la khungu kapena kuchita popanda ilo, kupanga jakisoni pa ngodya ya 90 kapena 45 madigiri.

1. Konzani kukonzekera, syringe yatsopano, kapena singano ya cholembera, ubweya wa thonje, kapena nsalu yoyera.
2. Ndikofunika kusamba m'manja ndi sopo. Osapukuta tsamba la jakisoni ndi mowa kapena mankhwala ena opha tizilombo.
3. Ikani mlingo woyenera wa mankhwalawo mu syringe kapena cholembera.
4. Ngati ndi kotheka, pangani khungu lanu ndi chala chachikulu.
5. Lowani singano pamakona 90 kapena 45 madigiri - pamafunika kuchitika mwachangu, motsika.
6. Pang'onopang'ono gwerani pansi mpaka pansi kuti mupeze mankhwalawa pansi pakhungu.
7. Osathamangira kukatenga singano! Yembekezani masekondi 10 ndipo kenako chotsani.

Kodi ndiyenera kupukuta khungu langa ndi mowa ndisanapereke insulin?

Palibe chifukwa chopukuta khungu ndi mowa musanapereke insulin. Ndikokwanira kusamba ndi madzi ofunda ndi sopo. Kukhazikitsidwa kwa matenda mthupi la jekeseni wa insulin ndikokayikitsa kwambiri. Pokhapokha mutagwiritsa ntchito syringe kapena singano ya cholembera pena penipeni kamodzi.

Zoyenera kuchita ngati insulin ikuyenda pambuyo pa jakisoni?

Simuyenera kuchita kutenga jekeseni yomweyo kuti mupeze mlingo womwe watsala. Izi ndizowopsa chifukwa zimatha kuyambitsa hypoglycemia (shuga wochepa). Ndikumvetsetsa kuti mumasungira diary yodzilamulira nokha. Pazindikirani muyeso wa shuga, lembani kuti insulin yatuluka. Sili vuto lalikulu ngati zimachitika kawirikawiri.

Mwina, mwa miyeso yotsatira, kuchuluka kwa glucose m'magazi kudzakulitsidwa. Mukapanga jekeseni wotsatira, lowetsani kuchuluka kwa insulini kuposa momwe mungakwaniritsire kulipirira kuchuluka kumeneku. Ganizirani kusuntha kwa singano zazitali kuti mupewe kubwereza kubwereza. Mutapanga jakisoni, musathamangire kuti mutenge singano. Yembekezani masekondi 10 ndipo kenako ndi kutulutsa.

Ambiri omwe ali ndi matenda ashuga omwe amadzipaka ndi insulin amawona kuti shuga yotsika ndimimpawu zake zowopsa sizingapewe. M'malo mwake, izi siziri choncho. Mutha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune. Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti muthe kutsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1. Phunzirani zamomwe mungasinthire zakudya komanso zakudya za insulin.

Momwe mungabayitsire insulin

Ntchito yanu ndikulowetsa insulin m'mafuta ochulukirapo. Jakisoni sayenera kukhala wakuya kwambiri kuti asalowe mu minofu. Nthawi yomweyo, ngati jakisoni sanali wokwanira, mankhwalawo amatha kutuluka pakhungu ndipo siligwira ntchito.

Ma singano amtundu wa insulin nthawi zambiri amakhala ndi kutalika kwa 4-13 mm. Kufupikitsa singano, kumakhala kosavuta kuti mupeze jakisoni ndipo sikhala womvera. Mukamagwiritsa ntchito singano 4 ndi 6 mm, akulu safunika kupanga khola ndipo mutha kupanga jakisoni pakona madigiri 90. Mawilowedwe apakati amafuna khungu kuti pakhale. Mwina ali bwino kubaya jekeseni wa madigiri 45.

Chifukwa chiyani singano zazitali zimapangidwabe? Chifukwa kugwiritsidwa ntchito kwa singano zazifupi kumawonjezera ngozi ya insulin.

Kodi kuli kuti kuperekera insulin?

Ndikulimbikitsidwa kupaka jakisoni mu ntchafu, matako, m'mimba, komanso minyewa ya m'mapewa. Pangani jakisoni pokhapokha pakhungu lomwe lasonyezedwa pachithunzichi. Masamba obayira enanso nthawi iliyonse.

Zofunika! Kukonzekera konse kwa insulin kumakhala kosalimba, kuwonongeka mosavuta. Phunzirani kusunga malamulo ndikuwatsata mosamala.

Mankhwala obayira m'mimba, komanso m'manja, amamwetsedwa mwachangu. Pamenepo mutha kubaya insulin yochepa komanso ya ultrashort insulin. Chifukwa zimangoyambira kuchitapo kanthu mwachangu. Jakisoni wochepa thupi uyenera kuchitika patali osachepera 10-15 cm kuchokera pa bondo, ndi kukhazikitsidwa kwa khola la khungu ngakhale kwa achikulire onenepa. M'mimba, muyenera kulowa mankhwalawo mtunda wa pafupifupi 4 cm kuchokera ku navel.

Kodi kubaya insulin? Malo ati?

Insulin yayitali Levemir, Lantus, Tujeo ndi Tresiba, komanso sing'anga Protafan amatha kuyilowetsa m'mimba, ntchafu ndi phewa. Ndikosayenera kuti mankhwalawa azichita mwachangu kwambiri. Insulin yowonjezera imayenera kugwira ntchito bwino komanso kwa nthawi yayitali. Tsoka ilo, palibe ubale womveka pakati pa tsamba la jakisoni ndi kuchuluka kwa mayamwidwe.

Mwapadera, insulin yolowetsedwa m'mimba imakhulupirira kuti imatha kuyamwa mwachangu, koma pang'onopang'ono m'mapewa ndi ntchafu. Komabe, chimachitika ndi chiyani ngati wodwala matenda ashuga amayenda kwambiri, kuthamanga, kapena kumangogwedeza miyendo yake pamakina olimbitsa thupi? Mwachidziwikire, kufalikira kwa magazi m'chiuno ndi miyendo kukwera. Insulin yotalikilika mu ntchafu imayamba ndikumaliza kuchita posachedwa.

Pazifukwa zomwezi, Levemir, Lantus, Tujeo, Tresiba ndi Protafan sayenera kubayidwa mapewa a odwala matenda ashuga omwe amagwira ntchito zolimbitsa thupi kapena kugwirana chanza pakulimbitsa mphamvu. Mapeto ake ndikuti mutha kuyesa malo a jakisoni wa insulin yayitali.

Kodi kulowa yochepa ndi ultrashort insulin? Malo ati?

Amakhulupirira kuti insulin yofulumira imamwidwa mwachangu ngati idalowetsedwa m'mimba. Itha kuyikidwanso m'tchafu ndi matako, dera la minofu ya m'mapazi. Malo oyenera akhungu la insulin makonzedwe akuwonetsedwa pazithunzi. Zomwe zikuwonetsedwa zimatanthauzira kukonzekera kwaifupi ndi ultrashort insulin Actrapid, Humalog, Apidra, NovoRapid ndi ena.

Kodi zikuyenera kudutsa nthawi yayitali bwanji pakati pa jakisoni wa insulin yayitali komanso yochepa?

Insulin yayitali komanso yochepa imatha kubayidwa nthawi yomweyo. Pokhapokha ngati wodwala matenda ashuga amvetsetsa zomwe jakisoni onse amadziwa, amawerengera moyenera mankhwalawo. Palibe chifukwa chodikira. Zingwe ziyenera kupangidwa ndi ma syringe osiyanasiyana, kutali ndi inzake. Kumbukirani kuti Dr. Bernstein salimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo a insulin yayitali komanso yachangu kwambiri - Humalog Remix ndi zina zotero.

Kodi ndizotheka kubayira insulin m'thumba?

Mutha kubaya insulini m'thumba, ngati kuli koyenera. Lingalirani mtanda wambiri pakati pa bowo. Mtanda uwu udzagawanitsa zingwezo kukhala zigawo zinayi zofanana. Kuyala kuyenera kukhala pamalo apamwamba akunja.

Momwe mungapangire jakisoni mu ntchafu?

Zithunzizi zikuwonetsa madera omwe muyenera kubayira insulin mu ntchafu. Tsatirani malangizowa. Masamba obayira enanso nthawi iliyonse. Kutengera zaka komanso kuchuluka kwa odwala matenda ashuga, pangafunike kupanga khungu kuti lisanaberekedwe. Ndikulimbikitsidwa kuvala jakisoni wambiri mu ntchafu. Ngati mukuchita masewera olimbitsa thupi, mankhwala omwe adalowetsedwa ayamba kuchita zinthu mwachangu, ndikumaliza - posachedwa. Yesani kukumbukira izi.

Kodi ndingathe kuyika insulin ndikugona nthawi yomweyo?

Monga lamulo, mutha kugona mutatha jakisoni wamadzulo a insulin yowonjezera. Palibe nzeru kukhala maso, kudikirira kuti mankhwalawo agwire ntchito. Mwambiri, zitha kuchita bwino kwambiri kuti musazindikire. Poyamba, ndikofunikira kudzuka pa koloko ya alamu pakati pausiku, kufufuza kuchuluka kwa glucose, kenako kugona. Chifukwa chake mumadziteteza ku nocturnal hypoglycemia. Ngati mukufuna kugona masana mutatha kudya, palibe chifukwa chokana izi.

Kodi mungabayire kangati insulin ndi syringe yomweyo?

Syringe iliyonse ya insulin ingagwiritsidwe ntchito kamodzi kokha! Osaba jakisoni ndi syringe yomweyo kangapo. Chifukwa mutha kuwononga kukonzekera kwanu kwa insulin. Ngozi ndi yayikulu kwambiri, izi zichitikadi. Osanena kuti jakisoni amakhala wowawa.

Pambuyo jakisoni, insulin yaying'ono imangokhala mkati singano. Mitengo yamadzi ndi ma molekyulu a protein amapanga ma microscopic. Nthawi ina ikagwilidwa jekeseni, amadzakhala ndi insulin vial kapena cartridge. Pamenepo, makhiristo awa adzapangitsa kuti anthu aziganiza, chifukwa mankhwalawo amawonongeka. Kusunga ndalama kwa ma syringe nthawi zambiri kumabweretsa kuwonongeka kwa kukonzekera kwa insulini okwera mtengo.

Kodi ndingagwiritse ntchito insulin yomwe yatha?

Insulin yomwe idamalizidwa ikuyenera kutayidwa, siyiyenera kudulidwa. Kulanda mankhwala omwe adatha kapena owonongeka pamitengo yapamwamba kuti apangire ntchito yochepetsedwa ndi malingaliro olakwika. Ingotayetsani. Yambani kugwiritsa ntchito cartridge kapena botolo latsopano.

Mutha kuzolowera kugwiritsa ntchito zakudya zomwe zatha ntchito nthawi yabwino. Komabe, ndi mankhwala osokoneza bongo, makamaka ndi insulin, chiwerengerochi sichikugwira ntchito. Tsoka ilo, mankhwala a mahomoni ndi osalimba. Amadziwonongeka chifukwa chophwanya pang'ono malamulo osungira, komanso tsiku latha. Kuphatikiza apo, insulini yowonongeka nthawi zambiri imakhala yowonekera, sasintha maonekedwe.

Kodi jakisoni wa insulin amachititsa bwanji kuthamanga kwa magazi?

Jakisoni wa insulin samachepetsa kwambiri magazi. Amatha kuzikulitsa kwambiri, komanso kulimbikitsa edema, ngati mlingo wa tsiku ndi tsiku umaposa 30-50 mayunitsi. Kusinthana ndi chakudya chamafuta ochepa kumathandiza odwala matenda ashuga ambiri kuchokera ku matenda oopsa komanso edema. Pankhaniyi, Mlingo wa insulin umachepetsedwa ndi 2-7 times.

Nthawi zina chomwe chimayambitsa kuthamanga kwa magazi ndimavuto a impso - matenda ashuga nephropathy. Kuti mumve zambiri, onani nkhani yakuti “Impso mu matenda a shuga.” Edema imatha kukhala chizindikiro cha kulephera kwa mtima.

Kodi ndingabayire insulin kuchokera kwa opanga osiyanasiyana?

Inde, odwala matenda ashuga omwe amaba jakisoni wautali komanso wachangu nthawi zambiri amagwiritsa ntchito mankhwala kuchokera kwa opanga osiyanasiyana nthawi imodzi. Izi sizikukweza chiopsezo cha kugwidwa ndi ziwopsezo ndi mavuto ena. Mofulumira (wafupifupi kapena ultrashort) ndikuwonjezera insulini (yayitali, yapakatikati) imatha kubayidwa nthawi yomweyo, ndi ma syringe osiyanasiyana, m'malo osiyanasiyana.

Kodi wodwala amayenera kudwala kangati

Mwanjira ina, mumafunsa mphindi zingati musanadye zakudya zomwe muyenera kupanga jakisoni. Phunzirani nkhani "Mitundu ya Insulin ndi Zotsatira Zake". Amapereka tebulo lowoneka, lomwe limawonetsa kuti patatsala mphindi zochuluka bwanji jekeseni, mankhwala osiyanasiyana ayamba kuchita. Anthu omwe adaphunzira tsambali ndipo amathandizidwa ndi matenda a shuga malinga ndi njira zomwe Dr. Bernstein amadzipaka okha ndi Mlingo wa insulin 2-8 nthawi yotsika kuposa yoyenera. Mlingo wocheperako umayamba kugwira ntchito mochedwa kusiyana ndi momwe wapangidwira. Muyenera kudikirira mphindi zochepa musanayambe kudya.

Mavuto omwe angakhalepo kuchokera ku jakisoni wa insulin

Choyamba, werengani nkhani ya "shuga wamagazi (hypoglycemia)". Chitani zomwe ukunena musanayambe kuchiza matenda a shuga ndi insulin. Ma protocol a insulin omwe afotokozedwa patsamba lino nthawi zambiri amachepetsa chiopsezo cha hypoglycemia ndi zovuta zina zowopsa.

Kukonzanso mobwerezabwereza kwa insulin m'malo omwewo kumapangitsa kuti khungu likhale lolimba lotchedwa lipohypertrophy. Mukapitiliza kumayamwa m'malo omwewo, mankhwalawa adzakumwa kwambiri, shuga wamagazi ayamba kudumpha. Lipohypertrophy imatsimikiza zowoneka ndi kukhudza. Izi ndizovuta zovuta za insulin. Khungu limatha kukhala ndi redness, kuumitsa, kutulutsa, kutupa. Lekani kupereka mankhwala kumeneko kwa miyezi 6 yotsatira.

Lipohypertrophy: kuphatikiza koyipa kwa matenda osokoneza bongo omwe ali ndi insulin

Popewa lipohypertrophy, sinthani malo a jakisoni nthawi iliyonse. Gawani madera omwe mukubayira m'magawo monga akuwonetsera. Gwiritsani ntchito magawo osiyanasiyana. Mulimonsemo, gwiritsani insulin osachepera 2-3 masentimita kuchokera pamalo opangira jekeseni.Anthu ena omwe ali ndi matenda ashuga amapitilirabe kubayira mankhwala awo m'malo a lipohypertrophy, chifukwa majekeseni oterewa samapweteka. Lekani kuchita izi. Phunzirani momwe mungapiritsire jakisoni ndi syringe kapena insulini yopweteka, monga tafotokozera patsamba lino.

Kodi jakisoni nthawi zina amatuluka magazi? Zoyenera kuchita pankhani ngati izi?

Nthawi zina, pakubaya insulin, singano imalowa m'mitsempha yamagazi (ma capillaries), omwe amayambitsa magazi. Izi zimachitika nthawi zonse mwa onse odwala matenda ashuga. Izi siziyenera kukhala chifukwa chodera nkhawa. Kutulutsa magazi nthawi zambiri kumayima pawokha. Pambuyo pawo akhale ochepa mabala kwa masiku angapo.

Chovuta chimatha kukhala magazi pama zovala. Anthu ena okalamba odwala matenda ashuga amakhala ndi hydrogen peroxide kuti athe kuchotsa mosavuta madontho a magazi pazovala. Komabe, musagwiritse ntchito mankhwalawa kuletsa kutulutsa magazi kapena kuyeretsa khungu, chifukwa zimatha kuyambitsa kuyaka ndikupangitsa kuchira kukhala kovuta. Pazifukwa zomwezo, osamayamwa ndi ayodini kapena wobiriwira wanzeru.

Gawo limodzi la insulin yomwe imalowa ndi magazi. Osayesa kulipira izi nthawi yomweyo ndi jekeseni wachiwiri. Chifukwa mlingo womwe umalandilidwa ukhoza kukhala waukulu kwambiri ndipo umayambitsa hypoglycemia (shuga wochepa). M'dongosolo lodziyang'anira nokha, muyenera kuwonetsa kuti magazi akutuluka ndipo mwina gawo la insulin yovulaza yatuluka. Izi zikuthandizira pambuyo pake kufotokoza chifukwa chake shuga anali wamkulu kuposa wabwinobwino.

Pangakhale kofunikira kuti muwonjezere mlingo wa mankhwalawa jekeseni wotsatira. Komabe, munthu sayenera kuthamangira mwa iwo. Pakati pa jakisoni awiri aifupi kapena a insulin ya insulin, osachepera maola 4 ayenera kudutsa. Mlingo wachiwiri wa insulin yothamanga sayenera kuloledwa kuchita nthawi imodzi mthupi.

Chifukwa chiyani pamakhala malo owoneka ofiira ndi kuyabwa pamalowo jakisoni?

Mwambiri, zotupa zamkati mwake zimachitika chifukwa choti mtsempha wamagazi (capillary) unagundika mwangozi ndi singano. Izi zimachitika kawirikawiri kwa anthu odwala matenda ashuga omwe amabaya insulin m'manja, m'miyendo, ndi m'malo ena osayenera. Chifukwa amadzipatsa jakisoni wa intramuscular m'malo mwa subcutaneous.

Odwala ambiri amaganiza kuti mawanga ofiira ndi kuyabwa ndi mawonetseredwe a insulin. Komabe, pochita izi, chifuwa sichimapezeka ndikusiya kukonzekera kwa insulin.

Allergies akuyenera kumangoganiziridwa pokhapokha ngati mawanga ofiira komanso kuyimitsidwa pambuyo pobayidwa m'malo osiyanasiyana. Masiku ano, kusalolera kwa insulin mwa ana ndi akulu, monga lamulo, ali ndi chikhalidwe cha psychosomatic.

Anthu odwala matenda ashuga omwe amatsata zakudya zama carb ochepa amafuna ma insulin 2-2 nthawi yotsika kuposa yoyenera. Izi zimachepetsa kwambiri chiopsezo cha zovuta za insulin.

Momwe mungabayire insulin panthawi yapakati?

Amayi omwe apezeka kuti ali ndi shuga kwambiri panthawi yoyembekezera amayenera kupatsidwa zakudya zapadera. Ngati kusintha kwa zakudya sikokwanira kusintha matenda a shuga, ma jakisoni ayenera kupangidwabe. Palibe mapiritsi ochepetsa shuga omwe ayenera kugwiritsidwa ntchito panthawi yomwe muli ndi pakati.

Amayi mazana zikwizikwi apita kale kudzera mu jakisoni wa insulin panthawi yapakati. Zimatsimikiziridwa kuti ndizotetezeka kwa mwana. Komabe, kunyalanyaza shuga a magazi mwa amayi apakati kumatha kubweretsa mavuto kwa mayi ndi kwa mwana wosabadwayo.

Kangati patsiku lomwe amayi apakati nthawi zambiri amapatsidwa insulin?

Nkhaniyi iyenera kukonzedwa payekhapayekha kwa wodwala aliyense, limodzi ndi adokotala. Jakisoni imodzi kapena isanu ya insulin patsiku ingafunike. Ndondomeko ya jakisoni ndi Mlingo zimatengera kuopsa kwa kagayidwe kazakudya. Werengani zambiri mu nkhani za Pregnant Diabetes and Gestational Diabetes.

Kukhazikitsidwa kwa insulin mwa ana

Choyamba, pezani momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika woyenera kwa ana. Makolo a ana odwala matenda ashuga sangathe kupatsa insulin. Akuluakulu ambiri owonda omwe ali ndi matenda amtundu 1 amayeneranso kuwononga insulin yawo asanalowe. Izi zikuwonongerani nthawi, komabe zili bwino. Chifukwa kuchepetsa madontho omwe amafunikira, ndiye kuti amachita mopatsa chidwi komanso moyenera.

Makolo ambiri a ana odwala matenda ashuga amayembekeza chozizwitsa kuti azigwiritsa ntchito pompo la insulin m'malo mwa ma syringe okhawo ndi zolembera. Komabe, kusinthira pampu ya insulini ndikokwera mtengo ndipo sikubweretsa chiwongolero cha matenda. Zipangizozi zimakhala ndi zovuta zina, zomwe zikufotokozedwa mu kanema.

Zovuta za mapampu a insulin zimaposa zabwino zawo. Chifukwa chake, Dr. Bernstein amalimbikitsa kubaya insulin mwa ana ndi ma syringes achizolowezi. The subcutaneous management algorithm ndi chimodzimodzi kwa akulu.

Kodi mwana ayenera kupatsidwa mpata wodziwa kubayira insulin ali ndi zaka zingati? Makolo amafunika njira yosinthira kuti athetse nkhaniyi. Mwina mwana angafune kuwonetsa kudziyimira pawokha pobayira jakisoni ndikuwerengera mulingo woyenera wa mankhwala. Ndi bwino kuti tisamusokoneze pamenepa, kugwiritsa ntchito mphamvu mosazungulira. Ana ena amasamalira chisamaliro cha makolo ndi chisamaliro. Ngakhale ali ndi zaka 13, safuna kuti azilamulira pawokha.

• kukulitsa nthawi yoyamba ya tchuthi,
• choti achite pamene acetone awonekera mkodzo,
• momwe mungasinthire mwana wa matenda ashuga kusukulu,
• Zomwe zimayimira shuga wamagazi mwa achinyamata.

Ndemanga 8 pa "Jekeseni wa Insulin: Kumene Mungatani Ndipo"

Masana abwino Ndili ndi matenda ashuga a 2 kwa zaka 6. Chaka chatha, shuga wamagazi ochepera 17 sanali. Adalemba ma insulin Novorapid magawo 8 asanadye komanso Tujeo Solostar 30 unit usiku. Msuzi wa shuga udatsikira ku 11. Palibe zochepa. Mukatha kudya, imakwera mpaka 15, ndipo imagwera mpaka 11. Madzulo, ndiuzeni, ndiyenera kuchita chiyani kuti ndichepetse shuga? Mwina kusintha mankhwalawa? Zaka zanga ndili ndi zaka 43, kutalika kwa 170 masentimita, kulemera kwa makilogalamu 120.

Ndichite chiyani kuti ndichepetse shuga?

1. Pitani pa zakudya zamafuta ochepa - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - mudzafunika muchepetse gawo la insulin

2. Phunzirani malamulo osungira insulin - http://endocrin-patient.com/hranenie-insulina/ - ndikutsatira mosamala. Onetsetsani kuti zokonzekera zanu sizinawonongeke.

Moni Ndili ndi zaka 29, kutalika ndi kulemera ndizabwinobwino. Posachedwa ndidayamba matenda ashuga 1. Tsopano ndiyenera kuphunzira insulin mankhwala ndi zakudya zatsopano. Funso ndi ili. Ndimayika majakisoni a insulin m'mimba mwanga, ndipo ndimakhala ndi tsitsi. Kodi pali zofunika kumeta tsitsi lanu?

Ndimayika majakisoni a insulin m'mimba mwanga, ndipo ndimakhala ndi tsitsi. Kodi pali zofunika kumeta tsitsi lanu?

Moni Mwamuna wanga ali ndi zaka 51, kutalika 174 cm, kulemera kwama kilogalamu 96. Masiku atatu apitawo, adatengedwa kupita kuchipatala ali ndi shuga wambiri, 19 mmol / l. Anazindikira ndi matenda a shuga a 2. Adakali m'chipatala, kulandira chithandizo, shuga yatsikira ku 9-11. Madokotala adati azilowa jakisoni kangapo tsiku lililonse. Kodi ndingathe kusinthira mapiritsi m'malo mwa insulin?

Kodi ndingathe kusinthira mapiritsi m'malo mwa insulin?

Zimatengera momwe matendawa amakulira, momwe adzathere, komanso kutsatira malangizo a zakudya komanso mapiritsi.

Ndili ndi zaka 54, kutalika 174 cm, 80 makilogalamu. Anazindikira kuti ali ndi matenda a shuga 2 miyezi iwiri yapitayo. Shuga koyambirira anali pafupifupi 28, koma ndinayenda. Metformin pang'onopang'ono adatsitsa shuga mpaka 23, kenako kukakamiza - 10 mpaka 13, kenako zotsatira zake zinali ngakhale 7.5, koma makamaka kuyambira pa 8 mpaka 10. Kwa masabata atatu omaliza, Forksig adasinthidwa kukhala Sinjardi, ndipo m'mawa ndi madzulo, mapiritsi awiri a glybeklamide. Zotsatira zake ndizofanana - 8-10, koma mankhwalawa adaperekedwa mwamphamvu kwambiri chifukwa cha chikhodzodzo, kukodza pafupipafupi. Adasiya kumwa Sinjardi, shuga adayamba kuyambira 11 (madzulo) mpaka 13.5 m'mawa. Kulemerako kunachepera kuposa miyezi iwiri kuchokera pa 93 kg kufika pa 79,5 kg. Tsopano dotolo wothandizirayo akufuna kupereka mankhwala a insulin. Funso - mwina. Kodi pali mapilitsi mwanjira iliyonse, omwe ali ndi vuto lofanana ndi langa, amatha kutsitsa shuga mpaka 7?

mwina. Kodi pali mapilitsi mwanjira iliyonse, omwe ali ndi vuto lofanana ndi langa, amatha kutsitsa shuga mpaka 7?

Monga akunenera, palibe ndemanga.

Nkhani yanu idzakhala phunziro labwino kwa owerenga ena atsambali, okwanira, omwe amatha kudziwa zambiri.

Momwe mungapangire insulin

• Chotsani kapu ku singano.
• Kokani syringe yomwe yalumikiza zigawo zambiri za insulin momwe mungafunire.
• Ikani singano mu vial ya insulin, sungani chozungulira bwino osachisintha, ndikuwongolera singano mwachangu kuchokera pamwamba mpaka pansi. Finyani mpweya wonse wophatikizira mu botolo.
• Mukayika singano, tembenuzani botolo mozondoka, ndikugwira syringe ndi insulin ndi dzanja limodzi, ndipo inayo, kukankha pisitoni, sonkhanitsani kuchuluka kwa insulini.
• Onani syringe ya thovu, iduleni pang'ono ndi chala chanu, ndikufinya ngati pakufunika kutero.
• Kokani singano kuchokera pamalopo ndikuyika pamalopo.

Ngati mukufunika kupaka jakisoni wa mitundu ingapo ya insulini, onetsetsani kuti yoyamba ikulandila insulin yayifupi, kenako yayitali.

Malangizo ndi njira zoperekera insulin, algorithm

Dokotala yemwe amapezekapo nthawi zambiri amawonetsa momwe amapangira jekeseni wa insulin, koma odwala ambiri samvera kapena amangoiwala mayendedwe onse. Tikuthandizani kukumbukira mfundo zazikuluzikulu, koma muyenera kuganizira za momwe thupi limakhalira ndi matendawa. Chifukwa chake, fotokozerani malamulo anu pakukhazikitsa insulini ndi mankhwala anu a endocrinologist.

1. Simungathe kuyambitsa insulin m'malo olimbitsa khungu kapena mafuta mafuta (lipomas, etc.). Mtunda kuchokera ku navel ndi osachepera 5cm, kuchokera ku timadontho - osachepera 2 cm.

Pomwe ungabaye insulin

2. Malo ofunikira a insulin ndi m'mimba, mapewa, m'chiuno ndi matako.. Malo abwino kwambiri a jakisoni wa insulin ndi pamimba, chifukwa amakhala ndi mayamwidwe ambiri. Ndizosavuta chifukwa jakisoni ikhoza kuchitika mutayimirira. Ndikofunikira kusinthitsa malo a jakisoni wa insulin, kuti mutha kumadula molingana ndi pateni - m'mimba, butu, ntchafu. Chifukwa chake, chidwi cha zigawo za insulin sichitha.

Yankho la mafunso: "Nditha kubera kuti, ikani insulini" - pamimba.

Zomwe zimayambitsidwa ndi insulin, momwe mungabayire

3. Dera lomwe insulin ingalowe mkamwa liyenera kuthandizidwa mosamala ndi ethanol ndikuloledwa kuti liume kwathunthu. Tengani khungu pamalopo ndi zala ziwiri kuti khola lolondola lipezeke, ikani singano mosabisa.

4. Lowetsani singano m malojekeseni mwamphamvu, ndikukankha, kenako ndikokerani piston pang'ono. Zikachitika kuti magazi alowe mu syringe (kawirikawiri, singano imalowa mchombo chaching'ono), jakisoni amayenera kupita kumalo ena.

5. Insulin iyenera kuthandizidwa pang'onopang'ono komanso moyenera. Zizindikiro za jakisoni wosalondola (intradermal) - pisitoni imayenda movutikira, khungu lomwe limapezeka m'malo a jakisoni limatupa ndipo limayamba kuyera. Zikatero, onetsetsani kuti mukukankhira singano mozama.

6. Pambuyo insulin makonzedwe wathunthu, dikirani masekondi 5 ndi kutulutsa singano ndi lakuthwa kayendedwe.

Taya syringe wogwiritsidwa ntchito moyenera - pali zotengera zapadera za izi. Chotengera chokwanira chimatha kupita ku kampani yobwezeretsanso. Sungani chidebe ichi kwa ana.

Momwe mungapangire insulin popanda ululu

• Zowawa zomwe wodwala wodwala matenda ashuga amakonda kumva chifukwa chachedwa (machitidwe osatsimikizika).
• Sankhani singano zowonda kwambiri komanso zazifupi.
• Osafinya kakhungu ka khungu mwamphamvu.

Tsopano mukudziwa momwe mungapangire (kuyika) jakisoni wa insulin m'matenda a shuga, pomwe insulin imabayidwa komanso momwe mungapewere zopweteka.

Werengani za mawonekedwe akugwiritsa ntchito zolembera pano.