Kangati patsiku muyenera kubaya insulin

Odwala omwe adapezeka kuti ali ndi matenda a shuga kwa nthawi yoyamba amawopa kupweteka kwa jakisoni wa tsiku ndi tsiku wa insulin. Komabe, musakhale ndi mantha, chifukwa ngati mutha kudziwa maluso ake, ngati zonse zachitika molondola, zimapezeka kuti kubaya insulini ndikosavuta, ndipo majakisowa sangachititse dontho limodzi losasangalatsa.

Wodwalayo akamva ululu nthawi iliyonse yamanyengo, ndiye kuti nthawi zambiri 100 %yo amadzabereka molakwika. Mitundu yachiwiri ya odwala matenda ashuga ali ndi nkhawa kwambiri kuti atha kudalira insulini, makamaka chifukwa chofunikira kuti azilamulira shuga m'magazi mwawo.

Chifukwa chiyani kuli kofunikira kubaya moyenera?

Ngakhale wodwala atadwala matenda a shuga a mtundu wachiwiri, amafunikira kudzipeza, ngakhale akuwonetsetsa kuchuluka kwa shuga wamagazi ndikutsatira zakudya zapadera zamankhwala ochepa. Ndikwabwino kuti anthu awa azitha kupeza jakisoni ndi syringe yapadera ndi msuzi wowuma, mutha kugwiritsanso ntchito cholembera chosavuta kwambiri kwa anthu odwala matenda ashuga.

Izi ndizofunikira kwambiri kuti muchepetse kuchuluka kwa glucose komwe kumayamba chifukwa cha chimfine, zotupa za mano, zotupa m'm impso kapena mafupa. Ndi machitidwe awa omwe sangathe kuchita popanda gawo lowonjezera la insulin, lomwe limatha kubweretsa shuga mumagazi wamba.

Matenda a matenda opatsirana mu shuga amatha kukulitsa insulin ndikuchepetsa chidwi cha maselo kwa icho. Pazinthu zodziwika bwino, mtundu uliwonse wa odwala matenda ashuga amatha kuchita ndi insulin yomwe kapamba wake amapanga kuti akhale ndi shuga m'thupi. Panthawi ya matendawa, insulin yomweyi singakhale yokwanira ndipo muyenera kuwonjezera kuchokera kunja, ndiye kuti, jekeseni insulin.

Aliyense amene amadziwa pang'ono zamankhwala kapena wophunzirira bwino kusukulu amadziwa kuti insulini imapangidwa kudzera mu cell ya beta m'matumba aanthu. Matenda a shuga amayamba kukula chifukwa cha kufa kwa maselo awa pazifukwa zosiyanasiyana. Ndi matenda amtundu wachiwiri, ndikofunikira kuti muchepetse nkhawa kuti asunge kwambiri kuchuluka kwa maselo a beta. Monga lamulo, imfa imachitika chifukwa cha zifukwa izi:

• katundu wawo anali wamkulu kwambiri
• shuga wamagazi ake ochulukirapo asanduka poyizoni.

Wodwala matenda ashuga akamadwala matenda osachiritsika, kukana insulini kumawonjezeka. Zotsatira zake, maselo a beta amayenera kutulutsa insulin yambiri. Ndi matenda a shuga a mtundu 2, maselo amenewa amafooka kale, chifukwa amakakamizidwa kugwira ntchito molimba.

Zotsatira zake, zimakhala kuti katundu amakhala wosapirira ndipo kukana kumayamba. Mlingo wa glucose m'magazi umakwera, ndipo umayamba kuwopsa m'maselo a beta. Zotsatira zake, zochuluka za izo zimafa, ndipo matendawa amakula. Ndi maulosi abodza kwambiri, mtundu wachiwiri wa shuga umasandulika woyamba. Izi zikachitika, ndiye kuti wodwalayo amakakamizidwa kupanga jakisoni wambiri wa insulin 5 tsiku lililonse.

Tisaiwale kuti ngati lamuloli silikusungidwa, zovuta za matendawa zitha kuyamba, chiwopsezo cha kulumala chiziwonjezereka, zomwe zimapangitsa kuti nthawi ya wodwala ithe.

Ndi za inshuwaransi pamavuto amtunduwu kotero ndikofunikira kuti mudziwe nokha kuti mupeze jekeseni wa insulin, ndipo chifukwa cha izi muyenera kudziwa luso la njirayi, yomwe imakhala chinsinsi cha kupweteka. Pankhaniyi, pakafunika thandizo ladzidzidzi, kudzithandizira kudzaperekedwa posachedwa.

Momwe mungabayire insulin popanda kumva kuwawa?

Monga tanena kale, mutha kudziwa njira ya insulin yopanda ululu pogwiritsa ntchito saline wosabala komanso syringe yapadera ya insulin. Dokotala kapena katswiri wina wamankhwala yemwe amadziwa njira imeneyi amatha kuwonetsa jakisoni payokha. Ngati izi sizingatheke, mutha kudziwa nokha. Ndikofunikira kudziwa kuti chinthucho chimabayidwa pansi pa mafuta, omwe amapezeka pansi pakhungu.

Manja ndi miyendo si malo abwino kubaya insulin, chifukwa pali ochepa mafuta ochepa. Jekeseni wa miyendo sangakhale wopindika, koma wamitsempha, zomwe zimapangitsa kuti insulin idwale thupi la wodwalayo. Kuphatikiza apo, mankhwalawa azitha kumamwa mwachangu, ndipo ululu pa jakisoni woterewu ndiwofunika kwambiri. Ichi ndichifukwa chake ndibwino kusadula manja ndi mapazi ndi matenda ashuga.

Ngati dotolo aphunzitsa njira yolowetsera insulin popanda kupweteka, ndiye kuti akuwonetsera yekha ndikuwonetsa wodwalayo kuti kudukiza kotereku sikubweretsa vuto, komanso momwe angachitire bwino. Pambuyo pake, mutha kudziphunzitsa kale kupanga jakisoni nokha. Kuti muchite izi, ndikofunikira kuti mudzaze syringe yapadera yamaunitsi asanu (itha kukhala yopanda kanthu kapena ya saline).

Malamulo a jekeseni enieni:

1. Kulowetsa kumachitika ndi dzanja limodzi, ndipo chachiwiri muyenera kutenga chikondwerero kuti chikhale chobisika patsamba la jekeseni yomwe mukufuna.
2. Pankhaniyi, ndikofunikira kukoka fiber zokha pansi pa khungu.
3. Kuchita njirayi, simungathe kupitiliza, kusiya mabala.
4. Kusunga khungu kuti likhale labwino.
5. Omwe ali ndi kulemera kwambiri m'chiuno amatha kulowa pamenepo.
6. Ngati mulibe mafuta m'malo ano, ndiye kuti muyenera kusankha ina, yoyenera kwambiri pazolinga izi.

Pafupifupi munthu aliyense pamatako ali ndi mafuta okwanira osakwanira. Ngati mungabayire insulin m'thumba, ndiye kuti palibe chifukwa chokhazikitsira khungu. Ndikokwanira kupeza mafuta pansi pazikuto ndikujowina pamenepo.

Akatswiri ena amalimbikitsa kuti azisunga syringe ngati insulin. Kuti muchite izi, tengani ndi chala chanu ndi ena angapo. Ndikofunika kukumbukira kuti kupweteka kwa jakisoni kumadalira kuthamanga kwake, chifukwa mofulumira insulin ikalowetsedwa pansi pa khungu, ululu wocheperapo womwe wodwala angamve.

Muyenera kuphunzira kuchita izi ngati kuti masewera amasewera pamasewera omwe atchulidwa kale. Potere, njira yolowera yopanda ululu imaphunzitsidwa bwino kwambiri momwe mungathere. Pambuyo pakuphunzitsidwa, wodwalayo samamva ngakhale singano yomwe yalowa pansi pa khungu. Iwo amene amakhudza gawo lakumaloko la khungu kenako ndikuyamba kufinya amapanga cholakwika chachikulu chomwe chimapangitsa kupweteka. Ndikosayenera kuchita izi, ngakhale zitaphunzitsidwa kusukulu ya matenda ashuga.

Payokha, ndikofunikira kudziwa kuti ndikofunikira kupanga khola la khungu pamaso pa jakisoni kutengera kutalika kwa singano. Ngati ikuyenera kugwiritsidwa ntchito masiku ano, ndiye kuti ingakhale yabwino kwambiri jakisoni. Ndikofunika kuyamba kuthamangitsa masentimita 10 kuti mulingitse kuti singanoyo ipangire mwachangu liwiro ndikulowa pakhungu mwachangu. Izi zichitike mosamala momwe zingathere kuti syrinji isagwere m'manja.

Kuthamanga kudzatheka ngati dzanja lizisunthidwa pamodzi ndi mkono, pambuyo pake mkono umalumikizidwa ndi njirayo. Idzawongolera nsonga ya singano ya insulini mpaka pobayira. Pambuyo kuti singano ilowe pansi pakhungu, wolumayo ayenera kukanikizidwa njira yonse kuti alowetse bwino mankhwalawo. Musachotsere singano mwachangu, muyenera kudikirira masekondi ena 5, kenako ndikuchotsa ndi dzanja mwachangu.

Madokotala ena a shuga amawerengera kuti jakisoni wa insulini uyenera kuchitidwa ndi malalanje kapena zipatso zina. Ndibwino kuti musachite izi, chifukwa mutha kuyamba yaying'ono - kuti muphunzire "kuponyera" syringe ya insulini pamalo pomwe ikupangika. Kenako zidzakhala zosavuta kuchita jakisoni weniweni, makamaka wopanda ululu.

Momwe mungaphunzirire momwe mungakwaniritsire kudzaza insulin?

Pali njira zingapo zodzazira musanalowe, komabe, njira yofotokozedwayo ili ndi kuchuluka kwake pazabwino. Mukaphunzira izi, ndiye kuti thovu sizikhala mu syringe. Ngakhale kuti kuphatikiza kwa mpweya ndi kumayambitsa insulin sikubweretsa vuto, pamankhwala ochepa amomwe amachititsa kuti mankhwalawo akhale olakwika.

Njira yofunsirayi ndiyabwino kwa mitundu yonse ya insulin yoyera komanso yowonekera. Kuti muyambe, muyenera kuchotsa kapu kuchokera ku singano ya syringe. Ngati pisitoni ili ndi kapu yowonjezera, ndiye kuti iyeneranso kuchotsedwa. Kupitilira apo, ndikofunikira kukoka mpweya wambiri mu syringe monga kuchuluka kwa insulin yomwe ingabayidwe.

Mapeto a chisindikizo cha piston chomwe chili pafupi ndi singano akuyenera kukhala opanda zero ndikusunthira ku chizindikiro chomwe chikugwirizana ndi kuchuluka kwa chinthu. M'malo momwe chosindikizira chimakhala ndi mawonekedwe a chulu, chikhala chofunikira kuwunikira momwe muliri osati kwenikweni, pamtunda waukulu.

Kenako, mothandizidwa ndi singano, chopukutira chovala chamtundu wa insulin chimakhomedwa pafupifupi pakati, ndipo mpweya kuchokera ku syringe umatulutsidwa mwachindunji. Chifukwa cha izi, utupu sukupanga, womwe ungathandize kupeza gawo lotsatira la mankhwalawa. Mapeto ake, syringe ndi vial zimasinthidwa. Pa intaneti pali maphunziro a makanema, kuwunikira, momwe angachitire izi kuti zikwaniritse mwanjira iliyonse molondola komanso moyenera, komanso momwe angagwirire ntchito ngati izi ndi insulin.

Momwe mungabayitsire mitundu yosiyanasiyana ya insulin panthawi imodzi?

Pali nthawi zina pakafunika kubayira mitundu ingapo ya mahomoni nthawi imodzi. Panthawi imeneyi, zimakhala zolondola kupaka insulin yothamanga kwambiri. Izi ndi analogue zachilengedwe za insulin, yomwe imatha kuyamba kugwira ntchito yake kwa mphindi 10-15 pambuyo pa dongosolo. Pambuyo pa insulin iyi ya ultrashort, jakisoni wokhala ndi zinthu nthawi yayitali amachitidwa.

M'malo omwe Lantus insulin imagwiritsidwa ntchito, ndikofunikira kuti jekeseni pansi pa khungu lanu pogwiritsa ntchito syringe yoyera yoyera. Izi ndizofunikira, chifukwa ngati mulingo wocheperako wa insulin ina ukalowa mu botolo, Lantus ataya gawo lake ndikuchita zinthu zosayembekezereka chifukwa cha kusintha kwa acidity.

Simungathe kusakaniza ma insulin osiyanasiyana ndi wina aliyense, komanso sikulimbikitsidwa kuti mupeze zosakaniza zopangidwa kale, chifukwa zotsatira zake zimakhala zovuta kulosera. Chokhacho chingakhale insulini yomwe idakokedwa, proteni yotsutsana, kutilepheretse insulin yochepa musanadye. Kumbali ina, iyi ndi njira yomwe insulin imagwiritsidwira ntchito pamasewera.

Kuphatikizidwa komwe kumawoneka kawirikawiri kumatha kuwonetsedwa kwa odwala omwe ali ndi matenda a shuga a gastroparesis. Matendawa amayambitsanso kuchepa kwambiri mutatha kudya, zomwe zimapangitsa kukhala zovuta kwa kuwongolera njira ya matenda ashuga, ngakhale mtundu wina wa zakudya zapadera ukatsatiridwa.

Khalidwe pamene insulini ikutuluka kuchokera m'malo a jakisoni

Pambuyo pobayira kanthu, muyenera kuphatikiza chala kumalo ano, ndikuwachotsa. Ngati insulin ikudontha, mudzanunkhiza metacresol (yosungirako). Zikatero, jekeseni wina siwofunikira.

Zikhala zokwanira kupanga cholembedwa choyenera muzolemba za kudziletsa. Ngati magazi a shuga akwera, iyi ndi kufotokoza kwa izi. Muyenera kuyamba kupanga shuga kukhala pambuyo pamapeto a insulin yoyamba.

Mu kanema yemwe akuwonetsedwa, mutha kudziwa bwino momwe mungagwiritsire ntchito mahomoni ndi malamulo ogwiritsira ntchito syringe.

Kuchita zinthu mwachidule kwa odwala matenda ashuga

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Makampani opanga mankhwala amapanga mitundu yambiri ya mankhwala a mahomoni kuti athandizire shuga. Chimodzi mwa izo ndi insulin yochepa. Imatha kusintha matenda a shuga mwa odwala omwe ali ndi matenda osokoneza bongo nthawi yochepa, zomwe zimapangitsa kukhala chida chofunikira kwambiri.

• Lingaliro la insulin yochepa
• Kodi insulin yamtunduwu imalembedwa liti?
• Kodi insulin yayifupi imagwira ntchito mpaka liti?
• Mitundu ya insulin yofatsa
• Ultra Yokhala-Mwachidule Insulin
• Momwe mungawerengere insulin yochepa - njira za anthu odwala matenda ashuga
• Mulingo woyenera wa osakwatira
• Momwe mungabayitsire insulin yochepa? (kanema)

Kusankha kwadongosolo

Choyamba, muyenera kusankha pazomwe zimayambira. Ili ndiye ntchito ya endocrinologist. Tiyenera kudziwa kuti chiwembuchi sichili muyezo kwa aliyense. Pafupipafupi ndi kumwa jakisoni wa insulin amatsimikiza chifukwa cha sabata yomwe amadziyang'anira yekha shuga. Ngati endocrinologist samvera chidwi ndi izi, kupangira jakisoni awiri patsiku, ndikofunikira kusintha katswiri. Dokotala wabwino amawerengera mlingo weniweni, ndikukuuzani momwe mungabayire insulin komanso kangati patsiku. Chiwembu cholakwika cholakwika chimatha kudzetsa thanzi!

Choyamba, adokotala amadziwa kufunikira kwa insulin yosakhalitsa. Kenako zimatsimikiziridwa ngati pakufunika jakisoni wa insulin mwachangu musanadye komanso kuchuluka kwake. Nthawi zina njira yoyamba komanso yachiwiri ya jakisoni wa insulin ndiyofunikira. Kuti achite izi, adotolo amawerengera kuchuluka kwa shuga m'magazi asanu ndi awiri m'mawa, madzulo, asanadye komanso atatha kudya, poganizira zomwe zingachitike. Izi zimaphatikizapo kudya kwa wodwala, kangati komanso momwe amadya kwambiri, zolimbitsa thupi, matenda opatsirana, kuchuluka kwa mankhwala a shuga, kuphatikiza, zinthu zomwe zimagwiritsidwa ntchito tsiku lililonse.

Chizindikiro chofunikira ndicho kuchuluka kwa shuga musanagone komanso mutadzuka. Mlingo wa jakisoni wa insulin usiku zimatengera izo.

Mtundu woyamba wa matenda

Anthu odwala matenda ashuga a Mtundu 1 amafunika jakisoni wa insulin musanadye kapena musanadye. Kuphatikiza apo, jakisoni wa insulin yayitali amakhala asanadziwe komanso m'mawa kuti azikhala ndi shuga. Kuphatikiza kwa insulin madzulo ndi m'mawa, komanso mwachangu insulin musanadye, kumakupatsani mwayi wofanana ndi kapamba mu thupi lathanzi.

• Insulin yayitali - jakisoni musanadye komanso pamimba yopanda kanthu kuti tsiku lililonse mukhale magazi.
• Mwachangu insulin - musanadye chakudya kuti mupewe kudumpha mukatha kudya.

Kuphatikiza apo, odwala matenda ashuga amtundu wa 1 amawonetsedwa ngati chakudya chochepa cha carb komanso masewera olimbitsa thupi ochepa. Kupanda kutero, kulumpha m'magazi a magazi sikungapeweke, ndipo chithandizo cha insulin chambiri musanadye sichitha.

Mtundu wachiwiri wa matenda

Choyambitsa chachikulu cha matenda amtunduwu ndi kuchepa kwa insulin sensitivity kapena insulin kukana. Pankhaniyi, kupanga insulini kumachitika, nthawi zina ngakhale kowonjezera. Odwala ambiri omwe ali ndi matenda a shuga a 2 amasunga bwino shuga m'magazi chifukwa chamadyedwe ochepa a carb, kupewa majekeseni ochepa musanadye.

Ngati wodwalayo amadzimva kuti ali ndi matenda opatsirana, ndikofunikira kuchita jakisoni tsiku lililonse, mwinanso, chifukwa chobwereza, matendawa amatha kusintha mtundu wina.

Nthawi zambiri mapiritsi amatenga jakisoni wa insulin yofulumira. Koma mutatha kumwa mapiritsi omwe amalimbikitsa chidwi cha insulin, muyenera kudikira osachepera ola limodzi musanayambe chakudya chanu. Pankhaniyi, jakisoni ndiwothandiza - pambuyo pa jekeseni, mumatha kudya pambuyo theka la ola, ndipo odwala ambiri sangathe kudikirira nthawi yayitali tsiku logwira ntchito.

Natalia adalemba 03 Dec, 2013: 118

Ndipo zidziwitso zimati zakuti simungathe kulowa mayunitsi opitilira 6? Ndipo zikufotokozedwa bwanji?

Zikuwoneka kuti palibe chomwe chidandichitira kuchokera pakugwiritsa ntchito insulin yambiri.

Ponena za kutsika kwamphamvu kwa shuga, ndinamva kuti izi sizothandiza. Ngakhale nthawi zonse ankakonda kutsika kwambiri shuga kukhala wabwinobwino, chifukwa kuyenda ndiwambiri sikulinso bwino.

Marina Kozhuhova analemba 03 Dec, 2013: 314

Eya, mnyamatayo akufotokozera kuti adotolo adamupatsa upangiri wotere.

Marina Kozhuhova analemba 03 Dec, 2013: 314

Ndipo akufotokozera motere: madotolo amakunena zopanda pake. nanga bwanji kuti chifukwa cha kuchuluka kwakanthawi m'thupi, kumayamba kuchedwetsa kenako ndikumapeto kwa tsikulo kumakwaniritsa bwino zonse ndi mimbulu yakuya, komwe imagwedezeka ngati chipwirikiti ..

Elena Antonets analemba 05 Disembala, 2013: 312

Marina! Prandial insulin (yomwe timapangira chakudya) ili ndi mankhwala omwe amapanga - kuchuluka kwake ndi nthawi yayitali. Kuchepetsa kwa shuga kumadalira mlingo nthawi zonse: kukwera mlingo, kutsika kwa SC ndi insulin kumachotsedwa nthawi yayitali. Prandial insulin sangathe KUCHITITSA NDIPONSO KULIMBIKITSA Madzulo. Izi, ndikhululukireni, ndizopanda pake)))) Ndipo auzeni mnyamatayo)) Ma insulin afupiafupi azitha kugwira ntchito pambuyo pa maola 7-8, ndipo owerengeka mwachidule mu maola 4 (pazambiri 5, novorpid, mwachitsanzo, chifukwa chakuti zimachitika pang'onopang'ono).
Ndimagwirizana kwathunthu ndi Larisa Tsybaeva, wopitilira 7 XE, ngakhale chamba chathanzi chimatha kugaya movutikira komanso popanda zovuta.

Koma zovuta zako, Marina, zandisokoneza. UK 3 ndi yayitali kwambiri kwa msungwana wonenepa kwambiri. Ambiri insulin insulini siinatenge ndipo mumachirikiza kumbuyo ndi parulial insulin. Kodi mwakhala mukutenga nthawi yayitali bwanji pokonzekera Thioctic acid (ngati mulibe zotsutsana ndi choletsa dokotala)? Pepani kuti musokoneze, sindingathandize koma lembani mphindi ino))) Ngati mukufuna thandizo, lembani diary yanu patsamba langa. Tiyeni tiganize pamodzi)))

Eugene Nolin analemba 05 Disembala 2013: 213

Momwe ine ndikudziwira, mu zochuluka patsiku mutha kuchita zochulukirapo kuposa zigawo zambiri molingana ndi kulemera kwanu ma kilogalamu. Mwachitsanzo, ndi kulemera kwa 80 kg. patsiku, tikulimbikitsidwa kuti tisamachulukitse 80 magawo a insulin yonse. Chitani magawo 6. osati nthawi? Mwina, m'malo mwanu, sizikulimbikitsidwa kwenikweni ngati muli ndi mtengo wapakati.

O, panali nthawi, kamodzi ndimachita mayunitsi 2-3. nthawi (patsiku losapitirira 10)! Tsopano, pafupifupi, 16 mayunitsi. 1 nthawi.

Mwachitsanzo, ndili ndi zopitilira 16. palibe chifukwa chochitira izo panthawi, chifukwa insulini iyi simangotengeka (mayunitsi 16, magawo 20, magawo 26 - onse ali amodzi). Pankhaniyi, ndikofunikira kuchita m'magawo - pang'onopang'ono kuboola maola otsatira.

Elena Antonets analemba 05 Disembala, 2013: 318

Eugene, ichi chikukuchitikira ndi chiyani?)) Kodi zikutanthauza chiyani kuti "Mwachitsanzo, sindikhala ndi magawo 16 nthawi imodzi, chifukwa insulin iyi SIKULIMA kwambiri (mayunitsi 16, magawo 20, osachepera 26) unit - zonse chimodzi "" Izi zimachitika ndi lipodystrophy pamalo opangira jakisoni wa mtundu wa insulin wokhala ndi mtundu woyamba 1 komanso ndikulimbana ndi insulin yayikulu mwa anthu omwe ali ndi matenda a shuga a 2. Muli ndi mtundu 1, kotero muyenera kuwona ngati pali ma cones omwe ali ndi malo opangira jakisoni (awa ndi minofu hypertrophy) kapena mafinya (awa amatchedwa minofu hypotrophy) ndikuchira. Hypertrophy imathandizidwa kokha ndi LONG CANCELLATION ya jekeseni m'malo omwe akhudzidwa. Hypotrophy imachitika ngati mumathira khungu ndi mowa, osasintha singano (singano yolakwika "yang'anitsani" minofu), kuchokera ku insulin yozizira.

Kuphatikiza apo, kuchepa kwa mphamvu ya insulin kumadalira nthawi ya tsiku. Zimavomerezeka kuti mpaka 12 a.m. insulini imayendetsedwa ndi mahomoni a contra-mahormone, omwe "amakwiya" panthawiyi yamasiku. M'malo mwake, insulin imagwira ntchito panthawiyi mu theka lamphamvu. Chifukwa chake, shuga 12, mwachitsanzo, nthawi zonse amachepetsa pang'onopang'ono m'mawa kuposa shuga yemweyo yemweyo madzulo, ntchito ya mahomoni ikachepa kwambiri. Chifukwa chake, m'mawa tonse timakhala ndi chakudya chambiri, komanso madzulo otsika.

Elena Antonets analemba 05 Disembala, 2013: 319

Marina! Ndikuganiza kuti ndamvetsetsa zomwe mnyamatayo amatanthauza!

Simungathe kulowa zopitilira 10 za insulin yochepa pamalo amodzi.

Ndipo simungathe kuchita zopitilira 20 mu chakudya chimodzi!

Marina Kozhuhova analemba 05 Disembala, 2013: 39

Elena, ayi, adalimbikira kundiuza kuti sachita zoposa 6 mayunitsi. Adatinso madotolo anga osakwanira.
Ngati, za ine .. Ndangobwezeretsa kg ndi 5. Chifukwa chake siwocheperako ngati chithunzi.
Mankhwala omwe mukukambirana, sindinatengepo.
Ponseponse, ndikawonjezera yayitali, nthawi yomweyo ndimangoganiza.

Lyudmila K. analemba 05 Disembala, 2013: 117

Ine ndimawerenga kwinakwake kuti sikulimbikitsidwa kuyendetsa pafupifupi magawo 6 pa jakisoni imodzi ya insulin yayifupi, i.e. ngati mukufuna kulowa mayunitsi 12, ndi bwinonso kumangoyambitsa zigawo zingapo za zigawo zisanu ndi chimodzi. kapena mwachitsanzo muyenera kudula mayunitsi 10, kenako mtengo 2 majekeseni a 6 malo m'malo osiyanasiyana. Kwambiri mwachangu komanso shuga kutsika ndipo kumayamwa bwino kwambiri. Ine ndekha ndimachita izi, mwachitsanzo, ndiyenera kubayitsa mayunitsi 6, ndiye kuti ndimabaya bwino ma jakisoni 2 + 2

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Lingaliro la insulin yochepa

Insulin ikangoyambitsidwa, imasungunuka ndipo imasinthasintha mwachangu njira za metabolic zomwe zimagwirizanitsidwa ndi kuyamwa kwa shuga.

Mosiyana ndi mankhwala omwe akhala akuchita kwa nthawi yayitali, amakhala ndi yankho loyera la mahomoni popanda zowonjezera zina. Kuchokera ku dzinalo ndizodziwikiratu kuti akatha kuyambitsa, amayamba kugwira ntchito mwachangu, ndiye kuti, kwakanthawi kochepa amatsitsa shuga. Koma panthawi imodzimodziyo, amasiya kuchitapo kanthu mwachangu kuposa mankhwala omwe amakhala ndi nthawi yayitali pochita, monga momwe tikuwonera pachitsanzo chotsatira:

Malangizo operekera jakisoni

Kuwerengera kuchuluka kwa insulini kumafunikira jakisoni iliyonse sikovuta. Koma izi ndizofunikira kwa iwo omwe amatsata zakudyazo. Kupanda kutero, kudumpha mu shuga kumawonedwa mosasamala mlingo.

Kuwerengera kumaganizira kuti wodwalayo amapanga jakisoni asanagone komanso atagona, potero amasunga kuchuluka kwa tsiku ndi tsiku, zomwe zikutanthauza kuti amadzuka atangodya. Kuzunzidwa kwa shuga kwa magazi kuyenera kuyezedwa kangapo patsiku, ndipo mitayo imayenera kukhala yolondola mwamtheradi.

Ngati wodwalayo amatsatira zakudya zomwe wapatsidwa, ndiye atadya, madokotala amalimbikitsa jakisoni wa insulin yochepa. Palinso ultrashort, koma ndioyenera kubweza pompopompo kwa mafunde akuthwa mu shuga ndipo kuperewera bwino kwa chakudya sikungakhale kothandiza.

Kodi insulin yamtunduwu imalembedwa liti?

Zovala zazifupi zimagwiritsidwa ntchito zokhazokha kapena kuphatikiza ndi mahomoni okhala ndi nthawi yayitali. Amaloledwa kulowa mpaka 6 pa tsiku. Nthawi zambiri, amawalemba ngati:

• kuyambiranso,
• chosafunikira thupi insulin,
• othandizira opaleshoni
• zophulika
• matenda a shuga - ketoacidosis.

Kukonzekera koyenera

Payenera kukhala zolemera zakukhitchini m'nyumba ya munthu wodwala matenda ashuga. Izi zithandiza iwo omwe akufuna kuti azindikire kuchuluka kwa chakudya chamafuta omwe ali mgulumo. Miyezo ya shuga ya magazi iyenera kutengedwa mpaka khumi patsiku kwa sabata limodzi. Kulemba zotsatira za tsiku lililonse zikuthandizira kudziwa kuti jekeseni lisanafike liti, ndi magawo angati a insulin omwe amafunikira.

Moyo wa alumali ndi malo osungira ayenera kutsatiridwa mosamalitsa. Kuchedwa insulin kungalephereke kapena kuchita mosayembekezereka. Kuphatikiza apo, mankhwala omwe atha ntchito ali ndi ma pharmacodynamics osiyanasiyana, omwe sangatsatidwe modabwitsa, makamaka pankhani yamahomoni. Osagwiritsa ntchito insulin yomwe yatha.

Osawopa jakisoni. Akazindikira kuchuluka ndi komwe angapangire insulin, ndikosavuta kudziwa njira yoyenera yoyendetsera. Ndipo kwa odwala omwe ali ndi zakudya zoyenera, kudziwa za insulin dilution kumafunikanso.

Odwala ayenera kukhala ndi mapiritsi a glucose kuti athe kuchuluka kwa kuchuluka. Kusiyana pakati pa gawo la dieter osati ayi.

Kusankha kwa ma syringe

Ma syringe a insulini ndi ogwiritsidwa ntchito kamodzi. Amapangidwa ndi pulasitiki ndipo ali ndi singano yochepa thupi. Komabe, pali kusiyana kwakukulu pamitundu yawo.

Chofunikira kwambiri mu syringe ndi sikelo. Imatsimikiza kulondola kwa makonzedwe ndi mlingo. Kuwerenga gawo la sikelo ndikosavuta. Ngati pali magawo asanu pakati pa zero ndi khumi, ndiye kuti gawolo ndi magawo awiri a insulin. Ndikosavuta kugwira ntchito ndi syringe yotere ngati mlingo wa gawo limodzi ukufunika.

Kuphatikiza apo, palinso cholakwika kuwerengera mlingo ndi kuyambitsa kwake - cholakwika ichi ndi theka la magawo owerengedwa, ndiko kuti, pamwambapa, iyi ndi gawo limodzi la insulini! Zotsatira zake ndi kuti mzere pakati pa shuga wambiri ndi hypoglycemia ndi wochepa thupi. Luso lofunikira kwambiri ndikukhazikitsa kukhazikitsidwa kwa mlingo weniweni. Pakutero mutha kugwiritsa ntchito ma syringe ndi liwu lolondola kwambiri. Yocheperako sitepe, imakhala yolondola. Ndikulimbikitsidwanso kudziwa luso la njira yochizira insulin.

Jakisoni m'modzi sayenera kupitirira magawo asanu ndi atatu a insulin. Ndende yomwe syringe idapangidwira yasonyezedwa phukusi ndi kalata U.

Kutengera ndi zomwe tafotokozazi, syringe siyikhala yopanda magawo khumi, ndipo malire agawidwe sayenera kupitirira kotala la magawo. Komanso gawoli liyenera kuchokera kwa wina ndi mnzake pamtunda wokwanira kumayambitsa kopanda cholakwika. Amakhala kuti syringe iyenera kukhala yocheperako komanso yayitali. Koma, mwatsoka, palibe zinthu zogulitsa pano. Muyezo wamba ndi ma syringe ndi gawo la magawo awiri.

Kusankha masingano ndi luso la mawu ake oyamba

Kukhazikitsidwa kwa mankhwalawa kumachitika ndi magawo ena a mafuta onunkhira. Popeza minofu ya minofu imatsata nthawi yomweyo, ndikofunikira kuti isalowe, osabailanso kwambiri, komanso osapangira pakhungu. Cholakwika wamba ndikukuyika singano pakona inayake pamene insulin ilowa minofu yamatumbo.

Singano zazifupi za insulin ndizabwino kwa iwo omwe amawopa kulowa mu minofu. Kutalika kwawo kumayambira 4 mpaka 8 mm, ndi ochepa pang'ono pang'onopang'ono kuposa singano wamba ndipo ali ndi mainchesi ang'ono. Amagwiritsidwa ntchito muukadaulo wa makonzedwe osapweteka. Izi singano ndizabwino kwambiri kwa odwala akuluakulu.

M'malo omwe pakhungu pakhale mafuta osachepera, ndikofunikira kupanga khola, ngakhale ndikofunikira kuti isapangitse kuti ikhale yolimba kwambiri kuti isalowe mu minofu. Madera oterowo khungu limakhala m'manja, miyendo, ndipo ngati jekeseni wayikidwa m'mimba yolimba.

Ngati wodwala wamkulu amagwiritsa ntchito singano zoposa 8 mm, ndikofunikira kupanga khola lamkati ndikuyika singano pakona madigiri 45. Kupanda kutero, jakisoni adzadutsa mu minofu. Ndikwabwino kusagwiritsa ntchito singano iyi ngati m'mimba mwanu mukusuntha.

Ndikulimbikitsidwa kuti musagwiritse ntchito singano imodzi pakagwiritsidwe ntchito kale. Jakisoni wotsatira azikhala wowawa kwambiri pamenepa, pomwe nsonga ya singano imayamba kukhazikika. Kuphatikiza apo, izi zimabweretsa kuwoneka kwa zovuta mu mawonekedwe a hematomas, zisindikizo ndi ma microscopic.

Pogwiritsa ntchito cholembera, ambiri amanyalanyaza malingaliro a wopanga, omwe amati singanoyo imayenera kuchotsedwa pambuyo pobayira iliyonse. Kupanda kutero, ma thovu amomwe amalowa mkati mwa cholembera, omwe amachititsa kuti mankhwalawo asamayende bwino ndikuchokera komwe akukonzekera amachepetsa pafupifupi theka.

Ma cholembera

Uwu ndi mtundu wapadera wa syringe momwe katoni kakang'ono kamankhwala amaperekera. Chokhacho chingabweze ndikuti ali ndi muyeso umodzi. Chifukwa chake, kuyambitsa ndendende mlingo wa mpaka mayunitsi mpaka 0,5 okhala ndi cholembera chikhalirebe kuli kovuta. Sitikulimbikitsidwa kuti muzigwiritsa ntchito ngati mulingo wochepa. M'pofunikanso kulabadira katiriji, kuti musagule insulin yomwe yatha.

Kodi insulin yayifupi imagwira ntchito mpaka liti?

Ndi subcutaneous makonzedwe, mphamvu yayitali kwambiri ya mankhwalawa imawonedwa, yomwe imachitika pakadutsa mphindi 30 mpaka 40, nthawi yomwe chimbudzi cha chakudya chodyedwa chimachitika.

Mutatha kumwa mankhwalawa, nsonga ya insulin imatheka pambuyo pa maola awiri ndi atatu. Kutalika kumatengera mlingo womwe umaperekedwa:

• ngati ma 4 UNITS - 6 UNITS, nthawi yodziwika bwino ndi pafupifupi maola 5,
• ngati 16 mayunitsi kapena kupitilira apo, itha kufika maola 6-8.

Pambuyo pakutha kwa chochitikacho, mankhwalawa amachotsedwa m'thupi ndi mahomoni olimbana ndi mahomoni.

Jakisoni wopanda vuto

Ngakhale jakisoni atathetsa ndipo adokotala adakuwuzani mankhwala m'mapiritsi, kuthekera koperekera jakisiko kuyenera kukhazikitsidwa bwino. Izi ndizofunikira ngati wodwala akudwala matenda opatsirana, kapena ma caries kapena njira ina yotupa ikapezeka. Pankhaniyi, chidwi cha maselo kuti apange insulin amachepetsa kwambiri ndipo kuyambitsa ndi jakisoni ndikofunikira.

Malo omwe mutha kuyikamo jakisoni amasiyana kuchuluka kwa mafuta m'thupi. Kuthamanga mwachangu kwa mankhwalawa kumachitika jakisoni akapangidwa m'malo monga m'mimba kapena phewa. Nthawi zambiri, madokotala amalimbikitsa kuti ndi m'mimba. Zothandiza kwambiri - m'dera pamwamba pa bondo komanso pamwamba pa matako.

Khungu la khungu la jakisoni m'mimba liyenera kuchitidwa ndi chala chololeza ndi chala chake, osafinya kwambiri. Kuti njirayi ipite popanda kuwawa, iyenera kuchitika mwachangu kwambiri. Njira yoyambira ndikupanga jakisoni wofanana ndi kuponyera dart mumasewera a darts, chifukwa chomwe chimadutsa mwachangu.

Kukhudza singano ndi khungu, ndikulikanda ndikulakwitsa komwe kumayambitsa zovuta pokhudzana ndi zomverera komanso zovuta zamtundu pamalo a jekeseni, makamaka zikafika pamimba, pomwe khungu limakhala lokwanira. Akakhala wowawa, sankhani malo ena.

Ndikotheka kuyambitsa kuthamanga kwa syringe 5-8 masentimita mpaka pomwepo kuti liwiro lolembe ndilokwanira kuyika singano mwachangu. Pamene singano ili pansi pa khungu, mutha kuyamba kusunthira msipu wa syringeyo mwachangu, chifukwa chomwe insulin imadutsa yopweteka. Madzi akatha, musachotsere singano mwachangu. Muyenera kudikirira masekondi 5, mutatha kuchotsera syringe kuchokera pamalo a jakisoni ndikuyenda mwachangu.

Ndikofunikira kutola mlingo mu nthito iyi ya syringe mukakhala pansi pa botolo lomwe lidzayikidwe ndi singano. Ndi zoletsedwa kusakanikirana ndi mitundu yosiyanasiyana ya insulin!

Ngati ndi kotheka, kuchepetsa insulini, ndi bwino kuichita ndi saline yochokera ku mankhwala kapena madzi a jakisoni. Kuchepetsa ungathe kuchitika nthawi yomweyo mu syringe, chifukwa yankho lakonzeka jakisoni.

Mukafuna kukwaniritsa dilution khumi, muyenera kutenga gawo limodzi la mankhwalawo mpaka magawo 9 a mchere kapena madzi a jekeseni.

Mitundu ya insulin yofatsa

Pali zokonzekera zambiri za insulin zomwe zimakhalapo mwachidule, zomwe mankhwalawa omwe ali patebulopo ndi otchuka kwambiri:

Zosindikizira zomwe zalembedwazo zimawoneka ngati zomangamanga pamtundu wa anthu, kupatula Monodar, womwe umatchedwa nkhumba. Amapezeka mu mawonekedwe a njira yosungunuka mumbale. Zonse zimapangidwa kuti athandize odwala matenda amtundu wa 1 komanso a 2 matenda ashuga. Nthawi zambiri zotchulidwa musanayambe mankhwala.

Mankhwala sanaperekedwe kwa azimayi oyembekezera komanso oyembekezera, chifukwa insulini yamtunduwu simalowa m'matumbo ndi mkaka wa m'mawere.

Ultra Yokhala-Mwachidule Insulin

Izi ndi zomwe zapangidwa posachedwapa mu pharmacology. Amasiyana ndi mitundu ina yonse monga momwe zimakhalira nthawi yomweyo, ndikupanga shuga m'magazi. Mankhwala odziwika bwino ndi awa:

Mankhwalawa ndi fanizo la munthu la munthu. Ndiwothandiza panthawi yomwe muyenera kudya, koma kuchuluka kwake sikudziwika, pakakhala zovuta kudziwa kuchuluka kwa insulin yokumba. Mutha kudya kaye, kenako kuwerengera ndi kumwa mankhwalawo. Popeza zochita za insulin ndizothamanga, chakudya sichikhala ndi nthawi yokwanira.

Insulin iyi ya ultrashort idapangidwa kuti izigwiritsidwa ntchito pamene anthu omwe ali ndi matenda ashuga amaswa zakudya zawo ndikudya maswiti ambiri kuposa omwe adalimbikitsa. Nthawi zambiri muzochitika zotere mumakhala kuchuluka kwambiri kwa shuga, komwe kumatha kubweretsanso thanzi. Kenako mankhwalawa atha kuthandiza. Nthawi zina, pamene wodwala sangathe kudikirira kwa mphindi 40, ndikulakwira chakudyacho kale, inshuwaransi yamtunduwu ikhoza kuphatikizidwanso.

Insulin yotereyi sikuti imaperekedwa kwa odwala omwe amatsatira malamulo onse azakudya. Nthawi zambiri, ngati ambulansi yokha yolumphira shuga.

Sipakhudzidwa mu amayi apakati omwe ali ndi matenda a shuga. Amaloledwa kugwiritsidwa ntchito, ngakhale pali toxosis ya mimba.

Phindu la ultrashort insulini ndikuti:

• muchepetse kuchuluka kwa shuga m'magazi usiku, makamaka kumayambiriro kwa kutenga pakati,
• thandizirani kusintha matendawa msanga mwa mayi woyembekezera panthawi ya cesarean,
• kuchepetsa chiopsezo cha zovuta mukatha kudya.

Mankhwalawa ndi othandiza kwambiri mwakuti amatha kusinthitsa shuga pakanthawi kochepa, pomwe mankhwalawa amathandizidwa pang'ono, omwe amathandiza kupewa zovuta zingapo.

Kutengera glycemia

Kuwerengera kuchuluka kwa zakudya zomwe zimamwa

Mlingo umodzi wothandizirana ndi insulin mwachidule samangotengera kuchuluka kwa shuga m'magazi, komanso zakudya zomwe zimamwa. Chifukwa chake, pakuwerengera nkoyenera kuganizira mfundo zotsatirazi:

• Chiyeso cha chakudya chamoto ndi magawo a buledi (XE). Chifukwa chake, 1 XE = 10 g shuga,
• Pa XE iliyonse muyenera kulowa gawo limodzi la insulin. Kuti muwerengedwe molondola kwambiri, tanthauzo lake limagwiritsidwa ntchito - 1 unit ya insulin imachepetsa mahomoni ndi 2.0 mmol / l, ndi 1 XE ya chakudya chamafuta imakwera ku 2.0 mmol / l, kotero pa 0.28 mmol / l iliyonse yomwe imaposa 8, 25 mmol / l, 1 unit ya mankhwala imayendetsedwa,
• Ngati chakudyacho chilibe chakudya, kuchuluka kwa mahomoni m'magazi sikukwera.

Kuti kuwerengera kumakhala kosavuta, tikulimbikitsidwa kusunga zolemba motere:

Mwachitsanzo: Ngati kuchuluka kwa glucose ndi 8 mmol / l musanadye, ndipo akukonzekera kudya 20 g ya chakudya chamafuta kapena 2 XE (+4.4 mmol / l), ndiye kuti mutadya shuga mutha kufika pa 12.4, pomwe mankhwalawa ndi 6. Chifukwa chake, ndikofunikira kuyambitsa magawo atatu a mankhwalawa kotero kuti index ya shuga igwere ku 6.4.

Mulingo woyenera wa osakwatira

Mlingo uliwonse wa insulin umasinthidwa ndi adotolo, koma sayenera kukhala apamwamba kuposa ma PIECES, omwe amawerengedwa pa kilogalamu imodzi ya kuchuluka kwake. Uwu ndiye mlingo waukulu.

Mankhwala osokoneza bongo amatha kubweretsa zovuta.

Nthawi zambiri, dokotala amatsatira malamulo otsatirawa:

• Ngati matenda a shuga a mtundu woyamba wangopezedwa kumene, muyezo wosaposa 0,5 / kg mankhwala.
• Ndikulipirira kwabwino chaka, mankhwalawa ndi 0.6 U / kg.
• Ngati kusakhazikika kumawonedwa mu mtundu 1 wa shuga, shuga amasinthasintha, ndiye kuti 0,7 U / kg amatengedwa.
• Ndi matenda a shuga ophatikizika, mlingo ndi 0.8 IU / kg.
• Ndi ketacidosis, 0,9 U / kg amatengedwa.
• Ngati pakati mu trimester yomaliza ndi mayunitsi 1.0 / kg.

Momwe mungabayitsire insulin yochepa? (kanema)

Mitundu yonse ya insulini nthawi zambiri imayendetsedwa chimodzimodzi asanadye. Ndikulimbikitsidwa kuti musankhe madera amthupi la munthu pomwe mitsempha yayikulu ya magazi siyidutsa, pali ma amana amafuta ochepa.

Ndi makonzedwe a venous, zochita za insulin zidzakhala nthawi yomweyo, zosavomerezeka pamankhwala amasiku onse. Chifukwa chake, kuyamwa kwa mankhwalawa kumalimbikitsidwa, zomwe zimapangitsa kuti mayendedwe a insulin ayambe kulowa m'magazi.

Mutha kusankha pamimba, koma osasuntha mkati mwa masentimita 6 kuchokera ku navel. Pamaso pa jekeseni, muyenera kutsuka malowa ndikusamba m'manja ndi sopo ndikuuma. Konzani chilichonse chomwe chikufunika munjira yake: syringe yotayidwa, botolo lokhala ndi mankhwala komanso pedi. Onetsetsani kuti mwamaliza bwanji!

Chotsatira, muyenera kutsatira malangizo awa:

1. Chotsani kapu ku syringe, ndikusiya kapu ya mphira.
2. Chitani ndi singano ndi mowa ndikuyika mosamala mu botolo ndi mankhwala.
3. Sonkhanitsani kuchuluka kwa insulin.
4. Tulutsani singano ndikutulutsa mpweya, kutsogoza wopondayo mpaka dontho la insulin lithe.
5. Ndi chala chachikulu ndi chofiyira, tengani kachikopa kakang'ono. Ngati subcutaneous mafuta wosanjikiza ndi wandiweyani, ndiye kuti timayambitsa singano pamakona madigiri 90, ndi yopyapyala - singano ndiyofunika kupendekeka pang'ono pakona madigiri 45. Kupanda kutero, jekeseni sangakhale wosinjirira, koma wamitsempha. Ngati wodwalayo alibe kulemera kwambiri, ndibwino kugwiritsa ntchito singano yopyapyala komanso yaying'ono.
6. Pang'onopang'ono komanso bwino insulin. Kuthamanga kuyenera kukhala kumayeso limodzi
7. Syringe ikapanda kanthu, chotsani singano yomweyo pansi pa khungu ndikumasula khola.
8. Ikani kapu yoteteza pa singano ya syringe ndikuitaya.

Simungakhale malo amodzi nthawi zonse, ndipo mtunda kuchokera pa jakisoni wina kupita kwina uzikhala wa masentimita awiri. Majekeseni enanso: koyambirira m'ntchafu imodzi, kenako kwina, kenako kumatako. Kupanda kutero, kuphatikizika kwamafuta kumatha kuchitika.

Kuchuluka kwa mahomoni kumadalira kusankha malo. Mofulumira kuposa zonse, insulin imatengedwa kuchokera kukhoma lakutsogolo kwa m'mimba, kenako mapewa ndi matako, ndipo pambuyo pake kuchokera kutsogolo kwa ntchafu.

Ndikofunika kubayira m'mimba, kuti chochitikacho chichitike mwachangu akangodya.

Kuti mudziwe zambiri zamomwe mungagwiritsire ntchito kupatsa insulin, onani nkhani iyi kapena kanema wotsatira:

Pomaliza, ndikofunikira kudziwa kuti simungathe kusankha nokha mankhwala osankha mwachidule, kusintha mlingo wake popanda mankhwala a dokotala. Ndikofunikira kukhazikitsa, pamodzi ndi endocrinologist, dongosolo la kayendetsedwe kake malinga ndi regimen ndi kuchuluka kwa chakudya chomwe chimatengedwa. Ndikofunika kuti musinthe nthawi zonse jakisoni, sungani bwino mankhwalawo, onani masiku omwe atha. Ndipo pakusintha pang'ono komanso zovuta, funsani dokotala.

Momwe mungabayire insulin molondola komanso mopweteka

Jakisoni wa insulin ndi gawo lofunikira m'miyoyo ya anthu ambiri omwe ali ndi matenda ashuga. Ambiri ali otsimikiza kuti njira yotereyi imapweteka kwambiri ndipo imapatsa munthu mavuto. M'malo mwake, ngati mukudziwa ndendende mankhwala a insulin, mwayi womva ululu ndi zovuta zina panthawi imeneyi umakhala wotsika kwambiri.

Kafukufuku akuwonetsa kuti mu 96% ya milandu, kusapeza bwino panthawi imeneyi kumamvedwa chifukwa cha zinthu zosayenera.

Kodi chofunikira ndi jekeseni wa insulin ndi chiani?

Kupanga jakisoni wa insulin, mudzafunika botolo limodzi ndi mankhwalawo, komanso syringe yapadera, cholembera cha syringe kapena mfuti.

Tengani mafuta amodzi ndikusisita m'manja mwanu kwa masekondi angapo. Panthawi imeneyi, mankhwalawa amasangalala, ndiye kuti mumatenga syringe ya insulin. Itha kugwiritsidwa ntchito maulendo 3-4, kotero mukatha njira yoyamba, onetsetsani kuti mumapopa ma piston kangapo. Izi ndizofunikira pochotsa zotsalira za mankhwalawo pamtunda wake.

Gwiritsani ntchito cholembera ngati mphira kumata botolo ndi singano. Kumbukirani kuti samachotsa, ndiye kuti akaboola. Pankhaniyi, muyenera kugwiritsa ntchito singano kuchokera ku ma syringe wamba, osati insulini. Kupanda kutero, mumawakwiyitsa kuposa kupangitsa kuti mankhwalawo akhale opweteka kwambiri. Singano ya insulin yaikidwapo kale m'dzenje loboola. Poterepa, musakhudze choletsa ndi mphira ndi manja anu kuti musasiye majeremusi ndi mabakiteriya.

Ngati mugwiritsa ntchito mfuti kubaya insulini, ndiye kuti palibe maluso ena ofunikira omwe amafunikira. Ndikofunikira kukhazikitsa syringes wamba zotayika mmenemo. Ndiwosavuta kuperekera mankhwalawo, pomwe wodwalayo sawona momwe singano imalowera pakhungu - izi zimathandizira kayendetsedwe ka kayendetsedwe kake.

Musanaikeko pakhungu, pukuta malowo ndi mankhwala osokoneza bongo. Sungani mfutiyo pamalo amdima, owuma kutali ndi owotha.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kusankha Njira Yolera

Ngati mutaba jakisoni pogwiritsa ntchito mankhwalawa, mudzadutsanso zotsatirazi:

1. Kusankha singano ndiye mfundo yoyamba komanso yofunika kwambiri jakisoni wa insulin. Kuchokera pa ndodo iyi ndi momwe machitidwe azikhala othandiza. Kumbukirani kuti insulini iyenera kulowa mkati mwa minofu yaying'ono - siyiyenera kupita pakhungu kapena minofu. Malinga ndi miyezo, singano ya insulin imakhala ndi kutalika kwa mamilimita 12-14. Komabe, anthu ambiri amakhala ndi khungu lokwanira - amafunika singano yoposa 8 mm kutalika. Pankhaniyi, pali singano za ana za insulin za 5-6 mm kutalika.
2. Kusankhidwa kwa jekeseni - magwiridwe ake a njirayi kumatanthauzanso gawo ili, komanso ngati mukumva kupweteka kapena ayi. Komanso, zimatengera chisankho chanu momwe insulin imayamwa mwachangu. Kumbukirani kuti sipayenera kukhala mabala kapena abrasions m'dera la jakisoni. Timaletsanso mosamala kupanga jakisoni malo omwewo. Malangizowa angakuthandizeni kuti mupewe kukhala ndi vuto la lipodystrophy - mafuta.
3. Seti ya insulini mu syringe - zimatengera momwe machitidwewo angakhalire. Ndikofunika kwambiri kuti mudzaze syringe ndi mulingo woyenera kwambiri kuti mupewe mavuto.

Onetsetsani kuti mwakonzekera zida zonse zoyendetsera insulin pasadakhale. Potere, mankhwalawo pawokha amatha kusungidwa mufiriji mpaka womaliza. Sichikhala pamalo otentha komanso owala.

Kodi kujambula syringe pamaso jekeseni?

Musanalowetse insulin, muyenera kuilemba molondola mu syringe. Potere, muyenera kuwunika mosamala kuti thovu la mpweya lisalowe mu jakisoni. Zachidziwikire, ngati amakhalabe, sizidzapangitsa kuti magazi azitsekeka - jakisoni adalowetsedwa mu minofu yodutsa. Komabe, izi zitha kubweretsa kuphwanya kwa chidziwitso cholondola.

Yesani kutsatira ma algorithm otsatirawa, chifukwa chomwe mutha kubayira insulin molondola:

• Chotsani kapu yoteteza ku singano ndi piston.
• Mu syringe, jambulani mpweya wofunikira - mutha kuulamulira chifukwa cha ndege yapamwamba. Sitilimbikitsa kuti tigule ma syringes omwe ma piston amapangidwa mu mawonekedwe a chulu - mwanjira iyi mumasokoneza ntchito yanu.
• Pierce chidutswa cha mphira ndi singano, kenako ndikulowetsani mpweya jakisoni.
• Sinthani mankhwalawo mozondoka kuti mpweya upite ndipo insulin ikwere. Kapangidwe kanu kazikhala kotsalira.
• Kokani piston pansi ndikudzaza muyezo wofunikira wa mankhwala. Nthawi yomweyo, iyenera kutengedwa ndi zochulukirapo.
• Kanikizani pistoni kuti musinthe kuchuluka kwa insulin mu syringe. Pankhaniyi, zochulukazo zitha kutumizidwa ku botolo.
• Chotsani syringe mwachangu osasinthira malo osakira. Musadandaule kuti mankhwala anu adzatsanulira - dzenje laling'ono m'mamuamu silidzatha ngakhale madzi ochepa.
• Chofunikira: ngati mungagwiritse ntchito insulin yotere yomwe imatha kufinya, gwiritsani ntchito mankhwala musanayankhe.

Malangizo ndi njira yoyambira

Nenani momwe mungabayitsire insulin, endocrinologist wanu athe. Akatswiri onse amauza odwala awo mwatsatanetsatane za njira yoyendetsera mankhwalawo komanso mawonekedwe a njirayi. Ngakhale izi zili choncho, ambiri odwala matenda ashuga samapereka izi kapena kungoiwala. Pachifukwa ichi, akufunafuna momwe angabayire insulin m'magulu achipani chachitatu.

Tikukulimbikitsani kuti muthe kutsatira izi:

• Sizoletsedwa kubayira jakisoni wa insulin m'madzi kapena mafuta ouma,
• Pankhaniyi, ndikofunikira kuwonetsetsa kuti palibe ma moles mkati mwa masentimita awiri,
• Ndikofunika kubaya insulin m'matako, matako, m'mapewa ndi m'mimba. Akatswiri ambiri amakhulupirira kuti ndi m'mimba womwe ndi malo abwino kwambiri opangira jakisoni. Pamenepo ndipamene mankhwalawo amasintha mofulumira ndikuyamba kuchitapo kanthu,
• Musaiwale kusintha tsamba la jakisoni kuti magawo asataye chidwi ndi insulin,
• Musanalowetse ntchito jekeseni, gwiritsani ntchito moyenera zakumwa zanu,
• Kuti mupeze insulini mwakuya momwe mungathere, pukuta khungu ndi zala ziwiri ndikulowetsa singano,
• Insulin iyenera kutumikiridwa pang'onopang'ono komanso mosiyanasiyana, ngati mukumva vuto lililonse, siyimitsani ndikuyikanso singano,
• Osakankha kwambiri piston, sinthani bwino malo a singano,
• Singano iyenera kuyikidwa mwachangu komanso mwamphamvu,
• Pambuyo popereka mankhwalawa, dikirani masekondi angapo ndikuchotsa singano yokha.

Malangizo & zidule

Kuti mankhwala a insulin akhale omasuka komanso osapweteka kwambiri, tikulimbikitsidwa kutsatira zotsatirazi:

1. Kubaya insulini ndikwabwino m'mimba. Malo abwino kwambiri oyang'anira ndi malo ochepa masentimita kuchokera kuchombo. Ngakhale izi, njira zake zimatha kukhala zopweteka, koma apa mankhwalawa amayamba kuchitapo kanthu mwachangu kwambiri.
2. Kuti muchepetse kupweteka, jakisoni amatha kupanga m'derali pafupi ndi mbali.
3. Ndi zoletsedwa kuperekera insulini nthawi yomweyo. Nthawi iliyonse, sinthani malo omwe majekesowo amatalikirana kuti pakhale mtunda wa masentimita atatu pakati pawo.
4. Mutha kuyikanso jakisoni pamalo omwewo pakatha masiku atatu.
5. Sikoyenera jekeseni wa insulin m'dera lamapete - m'dera lino, insulin imakhala yovuta kwambiri.
6. Akatswiri ambiri othandizira amalimbikitsa mwamphamvu kusintha kwa insulin m'mimba, manja ndi miyendo.
7. Ngati insulin yayifupi komanso yayitali imagwiritsidwa ntchito pochiza matenda ashuga, ndiye kuti iyenera kutumikiridwa motere: yoyamba - m'mimba, yachiwiri - m'miyendo kapena mikono. Chifukwa chake zotsatira za pulogalamuyi zimachitika mofulumira.
8. Ngati mumayambitsa insulini pogwiritsa ntchito cholembera, ndiye kuti jakisoni wa jakisoniyo ndiwosavomerezeka.

Pamaso pa zowawa, ngakhale malamulowo atsatiridwa molondola, tikulimbikitsani kuti mulankhule ndi dokotala. Adzayankha mafunso anu onse, komanso kusankha njira yoyenera kwambiri.

Momwe mungabayire insulin, musanadye kapena pambuyo pake?

Insulin imatchedwa maziko a carbohydrate metabolism. Hormone iyi imapangidwa ndi thupi laumunthu kuzungulira nthawi. Ndikofunikira kumvetsetsa momwe mungabayire bwino insulin - musanadye kapena mutatha, chifukwa chinsinsi cha insulin chimapangidwira ndipo chimakhala choyambira.

Ngati munthu ali ndi vuto la insulin lokwanira, ndiye kuti cholinga cha mankhwalawa ndicho kubwereza molondola kwambiri kwachinsinsi chonse komanso cholimbitsa cha mpira.

Kuti maziko a insulini azikhala okhazikika, komanso kuti azikhala okhazikika, ndikofunikira kuti pakhale mlingo wokwanira wa insulin.

Kuchita insulin nthawi yayitali

Dziwani kuti jekeseni wambiri wa insulin amayenera kuyika m'thumba kapena ntchafu.Zingwe za insulin zoterezi m'manja kapena m'mimba sizololedwa.

Kufunika koyamwa pang'onopang'ono kumafotokozera chifukwa chake ma jakisoni amayenera kuyikidwa m'malo awa. Mankhwala osakhalitsa ayenera kubayidwa m'mimba kapena mkono. Izi zimachitika kuti nsonga yayitali ikulingana ndi nthawi yamagetsi yamagetsi.

Kutalika kwa mankhwala a sing'anga nthawi yayitali mpaka maola 16. Mwa otchuka:

• Gensulin N.
• Insuman Bazal.
• Protafan NM.
• Biosulin N.
• Humulin NPH.

Mankhwala osokoneza bongo opitilira muyeso amagwira ntchito maola opitilira 16, mwa iwo:

Lantus, Tresiba ndi Levemir ndiosiyana ndi kukonzekera kwina kwa insulini osati kokha ndi kupezeka kosiyana, komanso kuwonekera kwakunja. Kukonzekera kwa gulu loyambalo kuli ndi mitambo yoyera, pamaso pa oyang'anira, chidebe chizikulungika m'manja. Pankhaniyi, yankho lake limakhala mitambo.

Kusiyanaku kukufotokozedwa ndi njira zosiyana zopangira. Mankhwala a nthawi yayitali ali ndi nsonga zambiri. Palibe ziwonetsero zotere popanga mankhwala osokoneza bongo osakhalitsa.

Ma insulini okhala ndi nthawi yayitali alibe mitengo. Mukamasankha mtundu wa insulin ya basal, mawonekedwewa amayenera kukumbukiridwa. Malamulo onse, komabe, amagwira ntchito pa mitundu yonse ya insulin.

Mlingo wa insulin yomwe yakhalapo kwa nthawi yayitali iyenera kusankhidwa kuti kuchuluka kwa shuga m'magazi pakati pa chakudya kumakhala koyenera.

Kusinthasintha pang'ono kwa 1-1.5 mmol / L ndikuloledwa.

Yaitali usiku usiku insulin

Ndikofunikira kusankha insulin yoyenera usiku. Ngati wodwalayo sanachite izi pano, mutha kuyang'ana kuchuluka kwa shuga usiku. Mukuyenera kuyeza miyezo maola atatu aliwonse:

Ngati nthawi inayake pamakhala kusunthika kwakukulu mu kuchuluka kwa glucose motsogozedwa kapena kuchepa, izi zikutanthauza kuti insulini yausiku sinasankhidwe bwino. Pankhaniyi, ndikofunikira kuwunika mankhwalawa panthawiyi.

Munthu amatha kupita kukagona ndi index ya 6 mmol / L, nthawi ya 00:00 usiku amakhala ndi 6.5 mmol / L, nthawi ya 3:00 glucose imakwera mpaka 8.5 mmol / L, ndipo pofika m'mawa imakhala yotalika kwambiri. Izi zikusonyeza kuti insulini pogona isanalowe muyezo ndipo iyenera kukulitsidwa.

Ngati zochuluka zotere zimalembedwa usiku, izi zikuwonetsa kusowa kwa insulin. Nthawi zina zomwe zimachitika ndi hypently hypemlycemia, yomwe imabwezera m'magazi momwe magazi amawonjezera.

Muyenera kuyang'ana chifukwa chake shuga akuwonjezeka usiku. Nthawi yoyeza shuga:

Yaitali tsiku ndi tsiku insulin

Pafupifupi mankhwala onse omwe akhala akuchita kwa nthawi yayitali amafunika kubayidwa kawiri pa tsiku. Lantus ndi m'badwo waposachedwa wa insulin, uyenera kutengedwa nthawi imodzi mu maola 24.

Tisaiwale kuti ma insulin onse kupatula Levemir ndi Lantus ali ndi chinsinsi chawo. Nthawi zambiri amapezeka mankhwala atatha maola 6-8. Munthawi imeneyi, shuga amatha kuchepetsedwa, omwe akuyenera kuwonjezeka pakudya mkate wowerengeka.

Mukamayesa insulin ya tsiku ndi tsiku mutatha kudya, ayenera kudutsa maola anayi. Mwa anthu omwe amagwiritsa ntchito ma insulin afupiafupi, nthawi ndi maola 6-8, chifukwa pali mawonekedwe a machitidwe a mankhwalawa. Zina mwa insulini izi ndi:

Pezani jakisoni musanadye

Ngati munthu ali ndi mtundu woyamba wa shuga wambiri, amakhala ndi jakisoni wa nthawi yayitali madzulo komanso m'mawa, ndikuchotsetsa chakudya chisanafike. Koma ndi matenda a shuga a mtundu wachiwiri kapena matenda ashuga 1, ndi chizolowezi kupanga jakisoni ochepa.

Kuyeza shuga kumafunika nthawi iliyonse musanadye chakudya, ndipo mutha kuchita izi maola ochepa mukatha kudya. Kuwona kungawonetsetse kuti shuga ali bwino masana kupatula kupumira madzulo. Izi zikusonyeza kuti jakisoni wa insulin yochepa ndiyofunikira pakadali pano.

Kugawana njira yomweyo ya insulin kwa aliyense wodwala matenda ashuga ndi koopsa komanso kosavomerezeka. Ngati mutsatira zakudya zamafuta ochepa, zimatha kudziwa kuti munthu m'modzi amafunika kupatsidwa jakisoni asanadye, ndipo chinthu china ndikwanira.

Chifukwa chake, mwa anthu ena omwe ali ndi matenda ashuga a 2, zimakhala kuti pakhale shuga wabwinobwino. Ngati uwu ndi mtundu wa matendawa, ikani insulini yochepa musanadye chakudya cham'mawa komanso m'mawa. Asanadye nkhomaliro, mungotenga mapiritsi a Siofor.

M'mawa, insulin imakhala yofooka pang'ono kuposa nthawi ina iliyonse masana. Izi ndichifukwa cha m'mawa. Zomwezo zimaperekanso insulin yomwe, yomwe imatulutsa kapamba, komanso yomwe odwala matenda ashuga amalandira ndi jakisoni. Chifukwa chake, ngati mukufuna insulin yofulumira, monga lamulo, mumawaba jakisoni musanadye chakudya cham'mawa.

Aliyense wodwala matenda ashuga ayenera kudziwa momwe angapangire jakisoni molondola musanadye kapena pambuyo chakudya. Kuti mupewe hypoglycemia momwe mungathere, muyenera choyamba kuti muchepetse kuchuluka kwake, kenako ndikuwonjezera pang'onopang'ono. Poterepa, ndikofunikira kuyeza shuga kwakanthawi.

M'masiku ochepa mutha kudziwa kuchuluka kwanu. Cholinga ndikupanga shuga pamlingo wokhazikika, monga mwa munthu wathanzi. Pankhaniyi, 4,6 ± 0,6 mmol / L musanadye chakudya kapena chakudya mukamatha kudya ndiye kuti ndi zofunikira.

Nthawi iliyonse, chizindikirocho sichiyenera kukhala ochepera 3.5-3.8 mmol / L. Mlingo wa insulin yofulumira komanso kuchuluka kwa nthawi yomwe amatenga zimatengera mtundu ndi chakudya. Ziyenera kulembedwa zomwe zakudya zimadyedwa m'magalamu. Kuti muchite izi, mutha kugula muyeso wamakhitchini. Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda a shuga, ndibwino kugwiritsa ntchito insulin yochepa musanadye, mwachitsanzo:

1. Actrapid NM
2. Humulin Wokhazikika,
3. Insuman Rapid GT,
4. Biosulin R.

Mutha kubayanso Humalog, ngati mukufunikira kuti muchepetse shuga mofulumira. Insulin NovoRapid ndi Apidra ndizosachedwa kuposa Humalog. Pofuna kuti muzitha kuyamwa zakudya zamagulu ochepa zam'mimba, insulini yocheperako posakhalitsa siyabwino kwambiri, chifukwa nthawi yochita ndiyifupi komanso yachangu.

Kudya kumayenera kukhala katatu katatu patsiku, pakadutsa maola 4-5. Ngati ndi kotheka, ndiye kuti masiku ena mutha kulumpha limodzi lamadyedwe.

Zakudya ndi chakudya ziyenera kusintha, koma mtengo wa zopatsa thanzi suyenera kukhala wotsika kuposa zokhazikitsidwa.

Momwe mungapangire ndondomekoyi

Musanayambe kuchita njirayi, sambani manja anu ndi sopo. Kuphatikiza apo, tsiku lopanga insulini limayendera.

Simungagwiritse ntchito mankhwala omwe ali ndi moyo wa alumali womwe watha, komanso mankhwala omwe adatsegulidwa masiku oposa 28 apitawo. Chipangizocho chikuyenera kukhala kutentha kwambiri, chifukwa chimachotsedwa mufiriji osapitirira theka la ola jakisoni.

• thonje
• syringe insulin
• botolo ndi mankhwala
• mowa.

Mlingo wosankhidwa wa insulin uyenera kukokedwa mu syringe. Chotsani zisoti mu piston ndi singano. Ndikofunikira kuwonetsetsa kuti nsonga ya singano singakhudze chinthu chakunja komanso kusabala sikutiwongolera.

Piston imakokedwa ndikuwonetsa chizindikiro cha mlingo womwe ukuperekedwa. Kenako, cholembera chokumbira chimabowedwa ndi singano pamalopo ndipo mpweya wotulutsidwa umamasulidwa. Njira imeneyi ipangitsa kuti popewa kupanga katemera mumtsuko ndipo izithandizanso kuwerengetsa ena mwa mankhwalawa.

Kenako, sinthani syringe ndi botolo kukhala malo ofukula kuti pansi pa botolo mukhale pamwamba. Kugwira mapangidwe awa ndi dzanja limodzi, ndi dzanja lina muyenera kukoka pisitoni ndikukoka mankhwalawo mu syringe.

Muyenera kumwa mankhwala ochulukirapo kuposa momwe mukufunira. Kenako, kukanikiza pang'ono piston, madziwo amabwezeretsedwanso m'chiwiya mpaka voliyumu yomwe ikusowa ipitirire. Mpweya umakakamizidwa ndipo madzi ambiri amatengedwa, ngati pakufunika. Kenako, singanoyo imachotsedwa mosamala mu khunguyo, syringe imachitika.

Malo a jakisoni akhale oyera. Asanalowetse insulin, khungu limazunguliridwa ndi mowa. Pankhaniyi, muyenera kudikirira masekondi angapo mpaka utuluke kwathunthu, pambuyo poti jekeseni. Mowa umawononga insulin ndipo nthawi zina umayambitsa kukwiya.

Musanapange jakisoni wa insulin, muyenera kupanga khungu. Kuigwira ndi zala ziwiri, muyenera kukoka kachilomboka pang'ono. Chifukwa chake, mankhwalawa sangalowe m'matumbo a minofu. Sikoyenera kukoka khungu kwambiri kuti mabala asawonekere.

Kuchuluka kwa zida zogwiritsira ntchito kumatengera malo a jakisoni ndi kutalika kwa singano. Syringe imaloledwa kugwira osachepera 45 osati kupitirira 90 madigiri. Ngati mafuta osunthika kwambiri ndi ochepa, ndiye kuti mukulumikizani.

Mukayika singano mu khola la khungu, muyenera kukanikiza pisitoni pang'onopang'ono, kubaya insulin mosalekeza. Pisitoni iyenera kutsikira kwathunthu. Singano imayenera kuchotsedwa pakona pomwe mankhwalawo adalowetsedwa. Singano yomwe imagwiritsidwa ntchito ndi syringe zimayikidwa mu chidebe chapadera, chofunikira pakuchotsa zinthu zotere.

Momwe mungabayire insulin ndikuwuzani vidiyo yomwe yalembedwa.