Momwe mungabayire insulin mu shuga: musanadye kapena musanadye?

Nthawi zambiri ndimadya insulin ndikatha kudya, ngakhale madokotala onse amati mankhwalawa amayenera kuperekedwa. Koma ndikuganiza XE, ndipo sindingakhale otsimikiza kuti insulini yovulala musanadye chakudya chikhala chokwanira (koma zilibe kanthu, mutha kupanga nthabwala) kapena sizikhala zapamwamba (zomwe ndizopweteka, ngakhale zilipo ziwiri - kapena timamwa chakudya mokakamiza, pansi pa mlingo wa insulin, kapena kudikirira mwamtendere ma hypo ndipo kumapeto kwake timayamwa chakudya chamthupi mwachangu. Pambuyo pake pamabweranso Hyper.
Chifukwa chake, ndimayamba kudya, ndikuganiza kuchuluka kwa momwe ndidadyera, kenako ndimagawa XE ndi 1.2 ndikuchita insulin, ngakhale kuti shuga yanga yamagazi izikhala yokwera theka la ola. Koma kenako ndimachita bizinesi yanga modekha. Pokhapokha ngati mukugwira ntchito yolimbitsa thupi, pangani insulini imodzi magawo awiri ndipo zonse zikhale moto.

Maxim Khorkov adalemba Meyi 25, 2014: 114

Makonda ake

Ndikukulangizani kuti mupange mtundu wanu wa insulin.

Chitsanzo: Ngati muti mudye 10 XE, ndiye kuti muyenera kudya 3-5 musanadye kaye ndikumaliza kudya. Mwanjira imeneyi, simudzakhala ndi hypoglycemia ndi hyperglycemia.

Kufunika: ndikofunikira kuti musamwe jakisoni kamodzi, koma awiri. Mwina mungayiwale mlingo musanadye.
Ubwino: Simudzakhala ndi Hypoglycemia ndi Hyperglycemia.

Elena Antonets adalemba 26 Meyi, 2014: 210

Guzel, ndikuwoneka, unapatsidwa kale malangizo apa))) Samalani mukamawerenga malingaliro pa intaneti!

Choyamba, POPANDA kudya zopitilira 7XE pachakudya, ngakhale zikondamoyo za munthu WOPatsa sizingathe kupereka zoposa 70 g zamankhwala okhala ndi insulin ndi madzi a pancreatic. 7 XE - kuchuluka kwake momwe munthu wamkulu wodwala matenda ashuga angakwaniritsire kudya chakudya chachikulu! Kuchulukitsa kumayambitsa kukula kwa kapamba ndi kunenepa kwambiri. Musaiwale kuti pali zoletsa pa chiwerengero cha tsiku ndi tsiku cha XE, chomwe chimadalira ntchito yanu ndi kumanga. Wachikulire wolemera thupi komanso wabwinobwino thupi. katundu safuna zosaposa 20 - 21 XE patsiku. Ndipo odwala matenda ashuga onenepa - osaposa 16-18 XE. Chilichonse chimawerengeredwa payekhapayekha, kumene. Chifukwa chake, ndibwino kugawa XE masana ku 4-5XE muyezo waukulu ndi 1-2 XE mu zokhwasula-khwasula. Zakudya zopatsa thanzi zomwe zalimbikitsidwa ndi matenda amtundu 1 sizinathebe)) Koma sokoneza CHAKUDYA CAKUTI ndi zopatsa thanzi za anthu athanzi omwe alibe matenda a shuga, chifukwa sianthu onse athanzi omwe amadya bwino)))

Kachiwiri, nthawi ya insulin makonzedwe zimatengera pharmacological katundu Wanu. Pazovala zazifupi, ndi MANDATORY kusunga nthawi yowonekera (iyi ndi nthawi kuyambira jekeseni mpaka chakudya amatengeka pang'onopang'ono kuchokera pansi pa mafuta onenepa. Ma Ultrashort insulins (Humalog, Novorapid, Apidra) amachita mofulumira kuposa ma insulin omwe amangokhala mwachidule (Actrapid, Humulin R, etc.). KOMA !! amafunikabe mphindi 5 mpaka 10 kuti alowe m'magazi kuchokera m'malo a jakisoni ndikuyamba kutsika ndi SC. Ma Ultrashort analogi a insulin yaumunthu amatha kuchitika musanayambe kudya. KOMA!

Chisankho chikuyenera kupangidwa momwe angapangire insulin PAMBU LONSE LA Kudya, kutengera zinthu ziwiri:

SC musanadye zakudya komanso mndandanda wazakudya za glycemic zomwe mukukonzekera kudya tsopano. Ngati GI yamalonda ili pamwamba pa avareji, ndiye kuti ma carbohydrate azitha kuyamwa mwachangu kwambiri kuposa momwe insulin imayamba kugwira ntchito, ndipo mu maola 1-2 tidzakhala ndi kukwera kowopsa mu SC.

Nthawi zonse timalamulira SC musanadye!

Ngati SC ili yokwera kuposa chandamale - NJIRA ZONSE zimawonjezera nthawi yowonekera, i.e. kupanga insulin ngakhale koyambirira. Mwachitsanzo, pa Actrapide, ndi SC 12 musanadye, ena odwala matenda ashuga amayenera kupirira mphindi 45-60, kwinaku akuchita insulin m'mimba, chifukwa kuchokera m'malo ano imakamizidwa mwachangu. Ngati mukupanga insulin monga mwa nthawi zonse, ndiye mukatha kudya pambuyo pa maola 2 a SK "inyamuka»Pamwamba pa 12!

Ngati SC isanadye sichikuposa 6-6.5 ndipo GI ya malondayo siyili pamwamba pa avareji - timasunga nthawi yanthawi zonse. Koma, ngati chakudyacho chili ndi GI pamwamba pamlingo wapamwamba, ndiye pankhaniyi, muyenera kuwonjezera kuwonekera.

Ngati SC ili yotsika kuposa 5.0, insulin ya ultrashort imatha kupangidwa musanadye, nthawi ya chakudya, kapena itatha, ndipo MANDATORY amaganizira GI ya malonda. Ingoganizirani mbale ya nyama, kabichi ndi chidutswa cha mkate. Palibe chakudya chofulumira, kabichi (CHIKWANGWANI) ndi nyama (mapuloteni) amachepetsa kuyamwa kwa mkate (chakudya), ndipo pamakhala chiwopsezo cha hypoglycemia pambuyo maora 1-2, ngati mukuyima nthawi yovomerezeka. Zakudya zomanga thupikukhala mochedwa", Ndipo insulin iyamba kuchepetsa SC.

MU GASTHROPATHY - kulowetsa chakudya pang'onopang'ono, timapanga insulini mochedwa PAMBUYO CHAKUDYA, apo ayi padzakhala hypoglycemia.

POPHUNZITSIRA KUGANIZIRA chakudya kuchokera m'mimba, insulini iyenera kupangidwa mofulumira, i.e. kuwonjezera kukhudzika.

Udindo wofunikira umachitika ndikusankhidwa kwa malo a insulin. Mwachangu, insulin imatengedwa kuchokera kukhoma lam'mimba, pang'onopang'ono kuposa ntchafu zawo, matako ndi mapewa.

Ngati munthu ali ndi lipodystrophy (kupumira kapena kupumira pa malo a jakisoni), ndiye kuti kuyamwa kwa insulin kudzachepetsa kwambiri, ndipo izi ziyenera kukumbukiridwa!

Ndikugwirizana ndi Maxim Khorkov pokhapokha PAMODZI: ndikofunikira kudziwa nthawi Yanu yowonekera ndi utsogoleri wa insulin komanso kuchuluka kwa SC pazinthu zosiyanasiyana. Chifukwa chake, muyenera kuyesa!)))

Elena FORCE adalemba 27 Meyi, 2014: 311

Mukafuna kuchita Insulin Asanadye kapena Pakudya

Moni Simunawonetse kuti ndi insulin iti - yochepa kapena yochepa kwambiri.
Choyamba, ndikofunikira kuti SC isanadye komanso zomwe muti mudye.
Ndapeza tsamba Latsopano: diabetes-med.com pali zothandiza kwambiri. Pezani zothandiza komanso zovomerezeka kwa inu, sizofunikira (koma zofunika) kutsatira malingaliro awo.

Elena Antonets adalemba 27 Meyi, 2014: 26

Wokondedwa Elena, musanapereke maulalo kumasamba oyipa, muyenera kuphunzira mosamala zambiri zomwe zalembedwa pamenepo !! Asayansi kuzungulira padziko lonse lapansi akudziwa kale kuti kuletsa kudya zakudya zamatenda a mtundu 1 ndi mtundu wa 2 kumayambitsa kuchuluka kwa mapuloteni muzakudya (ndipo zakudya zamatsamba lino zikuwonetsa bwino izi), zomwe sizingachepetse glycemia, koma kuwonjezera shuga! Glycogen nkhokwe mu chiwindi zidzatha, impso zikuvutika! Mapuloteni ochulukitsa amakulitsa SC !! Kodi mwakwanitsa?

Zomwe zalembedwa patsamba la tsambali ndi SHOCKING, ndikulemba kuti: "Kuti muchepetse kuwopsa kwa HYPOGLYCEMIA mu shuga, pitani zakudya zamafuta ochepa. Chifukwa choti mukamadya chakudya pang'ono, ndiye kuti INSULIN BIT yochepa."

Chiwopsezo cha hypoglycemia mu matenda a shuga amachepetsa chifukwa chowerengera zenizeni zama carbohydrate malinga ndi dongosolo la XE komanso kusankha kwa mankhwala a ADEQUATE a prandial insulin! Kuchuluka kwa XE patsiku kumawerengedwa malinga ndi zaka ndi mphamvu zamagetsi aliyense payekhapayekha !!

Maziko a zakudya mu shuga ndi zakudya zabwino. Osati kupatsa thanzi kwa ANTHU ACHiritsi, chifukwa sianthu onse amoyo wathanzi omwe amadya molondola komanso amakhalanso ndi moyo wathanzi, koma POPANDA CHIWONSE cha protein, mafuta ndi zakudya, zowerengedwa pa kulemera, kwakuthupi. katundu, mtundu wa ntchito zaluso!

Kuwerengetsa kwa insulin

Class B matenda a shuga ndi mitundu yowopsa (i.e., insulin-wodwala matenda a shuga amellitus asanakhale ndi pakati). Pa nthawi ya pakati, kufunika kwa insulin nthawi zambiri kumakwera, motero kubwezeretsa shuga kumakhala kovuta.

Pofuna kupewa zovuta zomwe zimachitika kwa odwala omwe amalandila nkhumba kapena bovine insulin, amasamutsidwa ku insulin yaumunthu nthawi yapakati. Ngati asanakhale ndi pakati pamatha kupereka chindapusa cha matenda osokoneza bongo, ndi isanayambike mimba, dongosolo la insulin silinasinthidwe.

Class A2 shuga mellitus, kalasi B matenda ashuga nthawi ya mankhwalawa panthawi ya mankhwala opatsirana pakamwa. Pa nthawi ya pakati, othandizira a hypoglycemic amayamba m'malo mwa insulin. Kusamutsa wodwala kupita ku insulin kumachitika bwino kwambiri musanakhale ndi pakati.

Mlingo woyambirira wa insulin amawerengedwa potengera kulemera kwa mkazi komanso msambo wa msambo. Mlingo woyamba wa tsiku lililonse wa insulin mu trimester yoyamba ya kutenga pakati ayenera kukhala ofanana ndi 0,6 mayunitsi / kg, wachiwiri trimester - 0.7 mayunitsi / kg ndipo wachitatu trimester - 0,8 mayunitsi / kg.

Mwachitsanzo, kwa mayi wolemera makilogalamu 80 wokhala ndi msambo wama 26 milungu, mlingo woyambirira wa insulin ndi magawo 64 (80 kg ґ 0.8 units / kg = 64 units).

Kwa amayi apakati omwe ali ndi vuto lochepa, mankhwalawa oyamba tsiku lililonse a insulin ayenera kukhala ofanana ndi 0,4, 0,5 ndi 0,6 unit / kg, motsatana. Nthawi zambiri 2/3 ya okwanira tsiku ndi tsiku a insulin amathandizidwa musanadye chakudya cham'mawa, 1/3 - asanadye.

Pafupifupi 1/3 ya mlingo wam'mawa imagwera pa insulin yochepa, 2/3 - pa insulin yomwe sing'onoting'ono. Kuphatikizidwa kwa jakisoni wachiwiri wa insulin, musanadye chakudya, mankhwala a magulu onsewa amaphatikizidwa pazofanana.

Matenda a shuga amamuwona ngati malipiro ake pamene kusala kwa plasma glucose kuli 50-90 mg% (2.8-5.0 mmol / L), plasma glucose 1 ora pambuyo chakudya sichidutsa 140 mg% (7.8 mmol / L ), ndi maola awiri mutatha kudya - 120 mg% (6.7 mmol / L).

Hypoflycemia yofatsa siyowopsa kwa amayi apakati. Odwala omwe ali ndi vuto la shuga la mellitus yolipidwa nthawi zambiri amalekerera mosavuta kuchepa kwa glucose wambiri mpaka 40 mg% (2.2 mmol / L). Komabe, njira zonse ziyenera kuchitika pofuna kupewa usiku hypoglycemia.

Kupeza chindapusa cha matenda a shuga sikophweka, makamaka ndi zovuta za matendawa komanso munthawi yoyamba kubereka. Chofunika kwambiri pakuchiritsa bwino ndikuphunzitsa odwala kuti azitha kuyendetsa magazi m'thupi lawo ndikusankha mtundu wawo wa insulin.

Pankhani ya kulolerana kwa shuga, izi ndizokwanira kudziwa nthawi 1 m'masabata awiri. Ngati kuthamanga kwa shuga m'magazi ndikwabwinobwino komanso kukwezedwa mutatha kudya, pali mwayi waukulu wa insulin. Muzochitika pamene msanga wamagazi othamanga ali ofanana kapena amapitilira 105 mg% (5.8 mmol / L) kapena ola limodzi chakudya chikangofanana ndi kapena kupitirira 140 mg% (7.8 mmol / L), insulin imayikidwa.

Class 2 matenda a shuga. Kuzindikira kumayamba ndi kuyeza shuga m'magazi 4 pa tsiku - m'mawa pamimba yopanda kanthu komanso musanadye chilichonse. Ngati matendawa amalipiriridwa mokwanira, kuchuluka kwa shuga m'magazi komanso ola limodzi mutatha kudya pitilizani kutsimikiza nthawi imodzi patsiku.

Kuunika mphamvu ya mankhwalawa ndikusankha kuchuluka kwa insulin, kuchuluka kwa shuga m'magazi kumatsimikizidwanso ola limodzi mutatha kudya. Kuwerengera nthawi yomweyo zamagulu a shuga m'magazi musanadye chakudya ndikofunikira kwambiri kumayambiriro kwa insulin mankhwala komanso kuwonongeka kwa matenda a shuga.

Pa nthawi yapakati, insulin imagwiritsidwa ntchito kusunga thanzi la mkazi yemwe ali ndi matenda ashuga. Hormoni iyi imalowetsedwa mu Mlingo uliwonse wowerengeka wa dokotala aliyense payekhapayekha. Matenda a shuga oyembekezera amatha kupezekanso mwa amayi athanzi.

Zikatero, chithandizo ndi insulin sichofunikira, mutha kudzipereka kuti muchepetse mapiritsi ochepetsa shuga ndikutsatira kwambiri zakudya zoyenera, popeza matendawa amatengera mtundu wachiwiri. Koma ngati adotolo adawona kuti ndikofunikira kupereka insulini, ndiye kuti muyenera kutsatira mosamalitsa malangizo ake pakukonzekera kuti athe kubereka komanso kubereka mwana wathanzi.

Zomwe zimagwiritsidwa ntchito pakugwiritsa ntchito mahomoni

Mankhwala a insulin panthawi yomwe ali ndi pakati amapatsidwa mankhwala mosamala, muyenera kusankha mankhwalawa ndikuwerengera molondola. Kulemera kwa mzimayi ndi msinkhu wazoyeserera zimawerengedwa. Mlingo ungathe kutumizidwa ndi katswiri kokha, mankhwala omwe amadzipatsa okha panthawiyi sakuvomerezedwa.

Kufunikira kwakukulu kumalumikizidwa ndi kubala mwana. Pobadwa, timadzi timene timayamwa timagulu ting'onoting'ono, timene timayendetsa kuchuluka kwa shuga m'magazi.

Pofuna kuti achepetse thupi, jakisoni woyamba amayenera kukhala ndi milingo ¼ yokhayo, kenako magawo awiri a 2-3 amaperekedwa nthawi ndi ola limodzi ndi magawo asanu shuga. Mwana akaonekera, kuchuluka kumachepetsedwa kawiri kapena katatu.

Patatha masiku angapo mwana atabadwa, insulin "yayitali" imaperekedwa kwa mayi.

Mosakayikira, kudya insulin ndi chinthu chofunikira kwambiri pakubala mwana. Ngati mayi woyembekezera ali ndi matenda a shuga a 2, olipidwa ndi zakudya zoyenera komanso kuchita masewera olimbitsa thupi kumayambiriro kwa bere, ndiye kuti njira zomwezi zimapitilizabe kutsatiridwa ndimikhalidwe yoyenera ya shuga.

Ngati mayi woyembekezera amamwa mapiritsi ochepetsa glucose, ndiye kuti amamulembera insulin. Izi zimafunikira miyezi itatu asanakhazikitse pakati.

Kusankha kukhala ndi mwana ndi chimodzi mwazinthu zofunikira kwambiri pamoyo wa banja lililonse. Mimba si nthawi yachisangalalo ndi yosangalatsa. Izi ndiye, choyambirira, kukonzekera mosamala ndi chisamaliro mwatsatanetsatane.

Zizindikiro ndi kuzindikira kwa matendawa akufotokozedwa pansipa. Zambiri pofotokozera za mankhwalawa ndi zakudya komanso jakisoni wa insulin. Werengani miyezo ya shuga wamagazi kwa amayi apakati, momwe mungachepetse shuga m'mawa, zomwe mungadye, momwe mumafunikira jekeseni wa insulin, ndi mankhwala ati.

Njira zofayira

Wodwala akatsika shuga kapena magazi ochulukirapo amawonekera, ndikofunikira kumwa mankhwala omwe amakhala ndi shuga. Nthawi zambiri, jakisoni wa insulin amatchulidwa, chifukwa timadzi timeneti timayendetsa kagayidwe kachakudya m'thupi. Pali njira zosiyanasiyana zoperekera insulin. Itha kuthandizidwa mosagwirizana, intramuscularly ndipo nthawi zina kudzera m'mitsempha. Njira yotsirizayi imachitika pokhapokha ngati ma insulin amafupikitsa ndipo imagwiritsidwa ntchito popanga matenda a shuga.

Kodi alumali moyo wa insulin kukonzekera umatsimikiziridwa bwanji?

Ngati mumagula insulini ku pharmacy, onetsetsani kuti mukusamala ndi moyo wa alumali, womwe umawonetsedwa pa phukusi. Simuyenera kugula mankhwala omwe atha kale kapena imodzi yokhala ndi nthawi yofikira yomwe ikutha, ngakhale insulini yotereyi ikagulitsidwa pamtengo. Tsiku lotha ntchito limalembedwa mobwerezabwereza pabotolo kapena pa cartridge.

Musaiwale kuti magwiritsidwe ake ndi momwe amasungidwira amasiyanasiyana kutengera wopanga ndi mtundu wa mankhwala. Izi zimayenera kukumbukiridwa kuti zisachitike mwangozi jakisoni ndi mankhwala omwe atha. Ndikofunika kuti muwone tsiku lotha ntchito asanalowe jekeseni aliyense, kuti mudziteteze.

Chofunikira: insulini yokhala ndi alumali yokhazikika imakhalanso yoopsa kwa thupi la munthu, panthawi yosungirako komwe mikhalidwe idaphwanya.

Insulin imafunikira malo ena osungirako, kuphwanya komwe kumawonongeka msanga ndikutaya katundu wake wotsitsa shuga.

Pofuna kuti musabare jakisoni wovunda, muyenera kuyang'anira osati moyo wa alumali okha, komanso mawonekedwe a yankho:

• Ultrashort insulin nthawi zonse imakhala yowonekera komanso popanda zowonjezera zina,
• Insulin yokhala ndi nthawi yayitali imakhala ndi mpweya wocheperako, womwe, ukagwedezeka, umasungunuka komanso yunifolomu, yankho la opaque limapezeka.

Zizindikiro kuti insulini yanu yatha:

1. Turbid yankho mwachidule insulin. Simungagwiritse ntchito kukonzekera matope okha, kapena malo pomwe matope osafunikira ali pansi.
2. Zitupa zoyera zidawoneka mu insulini zomwe sizimatha atagwedeza mankhwalawo.
3. Kugwiritsa ntchito insulini kwa nthawi yayitali kusakanikirana ndi kupindika kwakanthawi - mankhwalawa asintha ndipo kugwiritsa ntchito kwina kungakhale ndi vuto m'thupi la wodwalayo.

Momwe mungasankhire jakisoni wabwino kwambiri

Pa mtundu uliwonse wa matenda ashuga, mumakhala jakisoni wa jakisoni, yemwe mapangidwe ake amakhudzidwa ndi mtundu wa mankhwala, kumwa ndi kudya. Ndi nthawi yanji yomwe muyenera kudula - musanadye kapena mutatha kudya - ndibwino kukaonana ndi dokotala. Zithandiza kusankha osati dongosolo ndi mtundu wa jakisoni, komanso zakudya, popeza mwalemba zomwe muyenera kudya komanso nthawi yanji. Ndikofunika kumvetsetsa kuti Mlingo wa mankhwalawa umadalira calories omwe adalandira mutatha kudya komanso shuga ya boma. Chifukwa chake, ndikofunikira kujambula kuchuluka kwa zakudya zomwe zimadyedwa mu magalamu ndi ma calories, tengani miyezo ya shuga m'magazi kuti mupeze molondola kuchuluka kwa jakisoni.Kuti mupewe hypoglycemia, ndikwabwino kubaya jakisoni wocheperako, kenako ndikuwonjezera pang'onopang'ono, kukonza shuga mutatha kudya ndikumwa insulin pamtunda wa 4.6 ± 0.6 mmol / L.

Kusankha tsamba la jakisoni

Chofunika kwambiri ndikusankha komwe mungabayire insulin. Zabwino kwambiri chifukwa cha jakisoni ndi ziwalo za thupi zomwe zimakhala ndi mafuta ambiri: m'mimba, ntchafu, matako. Mutha kuyika ngodya m'mbali. Koma chifukwa cha kuchuluka kwa minofu ya adipose, imatha kupweteka.

Jekeseni aliyense wotsatira amakonda kuchitidwa m'malo osiyana. Kutsatira dongosolo lamasamba kumathandizira kukonzeratu.

Odwala ambiri amayenda motsitsa thupi. Mwachitsanzo, kuyambira pamimba, pang'onopang'ono kusunthira m'chiuno, kenako mpaka matako.

Mu gawo limodzi la thupi, mutha kupanga majekeseni angapo pogwiritsa ntchito nkhope yake yonse. Chifukwa cha kusintha kosasintha kwa mipando, chiwopsezo cha zisindikizo chitha kuchepetsedwa.

Ngati dokotala walola kuyikamo jakisoni m'manja, muyenera kusintha malo kuchokera pamwamba mpaka pansi komanso motsatira dongosolo.

Ndikofunikira kudziwa kuti mankhwalawa adalowetsedwa m'manja ndi m'mimba amatengedwa mwachangu, ndikuwayika pang'onopang'ono m'matako ndi matako.

Kuti muchepetse ululu, muyenera kusankha kutalika kwa singano. Njira yabwino ndikugwiritsa ntchito chida chokhala ndi kukula kwa 4.5, 5 kapena 6 mm.

Chifukwa cha kutalika kochepa, insulin imalowetsedwa mwachindunji pansi pa khungu, ndipo osati minofu yamatumbo. Patsamba la jakisoni, ndikofunikira kusakaniza khungu pakhungu.

Ngati tinthu tating'onoting'ono ta adipose timakhala tambiri, ndiye kuti singano yayifupi ikhoza kuyikiridwa paliponse. Ngati khungu lawonda pang'onopang'ono m'malo osankhidwa a thupi, ndiye kuti singano imayikidwa pakona pa 45 °.

Lamulo lalikulu - saloledwa kunyamula zinthu za narcotic ndi psychotropic. Komanso, kutali ndi mankhwala onse omwe amagulitsidwa momasuka mumafakitale aku Russia atha kupita kumayiko ena momasuka.

Muli pachiwopsezo panthawi yodziletsa - maantibayotiki, opweteka kwambiri, mapiritsi ogona komanso mapiritsi oyenda, zakumwa zamadzimadzi ndi mowa wambiri. Choyamba, pansi pazoletsa zovomerezeka zamayiko ambiri, zinthu zamankhwala zina zamankhwala, monga phenobarbital, chlorphenamine maleate, codeine, pseudoephedrine, chlorphenamine maleate, diazepam, kugwa.

Lamulo lalikulu lonyamula mankhwala pa ndege ndikuti amene wakwerapo amaloledwa kumwa mankhwala ochuluka momwe angafunire nthawi yonse ya ulendowu. Chonde dziwani: mankhwala ndi zopangira zakudya zitha kunyamulidwa pamatumba okhala ndi mulingo woposa 100 ml ndipo pamwamba pa chizolowezi cha katundu wamanja (tchulani malamulo a ndege inayake), ndikofunika kuwanyamula m'chikwama chowonekera ndi zipper.

Madontho ambiri (a mphuno, khutu) amatha kunyamulidwa motsika ndege. Kumbukirani za algorithm: kuzolowera momwe mumapangidwira kukhalapo kwa zinthu zoletsedwa, kumwa mankhwala ochepa - pokhapokha mutakwera, ena onse - katundu.

Ponyamula zakumwa mumthumba zikuluzikulu, mungafunike setifiketi ya kuchipatala kapena mankhwala okutsimikizirani kuti mukufunikira kugwera mundegeko musanakwere (mwachitsanzo, ngati mukumenyedwa ndikuwongolera nthawi inayake).

Ngati mukudwala matenda osachiritsika, afunseni dokotala za njira yankhomaliro yomwe mungamwe kapena mankhwalawa pamadongosolo angapo nthawi musananyamuke.

Pamakhazikitsidwe othandizira oyambira omwe akukwera ndege nthawi zambiri amatengedwa ngati zida zofunikira kwambiri - mitundu yayitali yosavuta komanso yotetezeka yomwe ingakhale yothandiza kwa sabata limodzi kapena awiri.

Awa ndi mankhwala a chimfine ndi ma antipyretics, mankhwala ochepetsa ululu ndi zikondamoyo, zikondamoyo (zopanda codeine - mwachitsanzo, citramone), anti-allergenic, kuchiritsa, ayodini kapena zelenka pensulo (ndizosavuta kuzitenga kuposa hydrogen peroxide).

Mutha kutenga zochepa zomwe mungakhale nanu ngati muuluka pandege yosakhala ndi katundu ndipo simukufuna kuwononga ndalama ponyamula katundu, apo ayi ndibwino kugawa kuchuluka ndi kupatsa zina mwa zinthu zanu musutikesi yanu.

Chifukwa chake, choyambirira, zokonzekera zonse zomwe sizimakwaniritsa zofunikira zonyamula zakumwa zimatumizidwa katundu, ngati simungathe kutsimikizira kufunikira kwake paulendowu: zonsezi ndi zophukira ndi madontho omwe amatengedwa "mosungira", ma antiseptics amadzimadzi okhala mumadzi oposa 100 ml. Musaiwale kuti mutha kuyang'ana katundu wanu ngati wosalimba (mwachitsanzo, kuphatikiza pa mankhwala, pali zida zina zamagalasi).

Kuchuluka kwa mankhwalawa m'zonyamula anthu akuyenera kuwerengeredwa pokhapokha ngati akukhala mdziko muno.

Popeza katundu wazolowera azitha kusintha kutentha, mutha kutenga ayezi wouma nanu kuti muziziritsa mitundu ina yamankhwala ndi thumba lamafuta. Zomwe zimalephereka zokha pamafiriji okhala ndi katundu zikukwera pafupifupi 2 kg pa okwera.

Mndandanda wofunika wa mankhwala omwe ali pamsewu ndi malingaliro onse atha kupezeka mu "Safe Tourism".

Ndi mtundu woyamba wa matenda ashuga

Pankhani ya matenda a shuga a mtundu woyamba, makamaka mawonekedwe osakhazikika, jakisoni wa insulin amayenera kuperekedwa m'mawa ndi madzulo, kusankha mankhwala omwe akhala akuchita kwa nthawi yayitali. Pankhaniyi, jakisoni wa insulin amaloledwa musanadye, chifukwa mahomoni okhala ndi nthawi yayitali amayamba kugwira ntchito mochedwa, kulola wodwalayo kudya ndikukhazikitsa shuga. Ndi mtundu woyamba wa matenda ashuga osavuta, mankhwalawa amachepetsedwa, ayeneranso kuchitidwa musanadye.

Ndi mtundu wachiwiri wa matenda ashuga

Nthawi zambiri, odwala matenda ashuga amtunduwu amatha kukhala ndi shuga wabwino tsiku lonse. Ndikulimbikitsidwa kuti apange jakisoni wochepa asanadye chakudya chamadzulo komanso asanadye chakudya cham'mawa. M'mawa, machitidwe a insulin ndi ofooka, ndiye kuti insulini yochepa imathandizira kukhalabe olimba chifukwa chonyamula mwachangu. Ma jakisoni akudya a shuga amatha kusinthidwa ndi mapiritsi monga Siofor.

Kodi amalemba bwanji?

Kuti muchite bwino, insulini iyenera kuperekedwa moyenera. Mankhwala osasunthika othandizira ayenera kuphatikizidwa ndi ntchafu kapena ntchafu. Simungathe kuwubaya m'manja ndi m'mimba. Koma m'magawo amtunduwu mutha kubaya jakisoni wogwiritsa ntchito mwachangu, wodziwika ndi kuyamwa mwachangu. Ana ayenera kudyetsedwa pambuyo pobayira jakisoni kapena isanachitike, mosamalitsa malinga ndi malangizo a dokotala. Kulapa sikoyenera.

Jakisoni woyamba wa insulin ndiofunikira kwambiri kwa ana. Kuti njirayi isadzetse nkhawa, phunzitsani mwana wanu kugwiritsa ntchito syringe ndi jakisoni moyenera, komanso idyani malinga ndi dongosolo lokhazikika kuti musavutike. Kulanga ndi njira yofunikira, koma kumapangitsa kuti chithandizo chisakhale chothandiza komanso chothandiza. Njira yothandizira kuperekera insulin kwa ana siyosiyana ndi wamkulu. Mwa njirayi, kumbukirani malingaliro omwe akukhudzidwa ndi kudya. Mu mtundu woyamba wa matenda ashuga, mwana ayenera kudyetsedwa theka la ola jakisoni, pomwe mankhwalawo ayamba kale kuchitapo kanthu. Samalira kwambiri zakudya. Mtundu wachiwiri wa matenda ashuga, pamene shuga ndi ochepa, amaloledwa kumwa madzi asanalowe jakisoni, koma osati mtundu wina wamadzimadzi.

Momwe mungakonzekerere jakisoni wa insulin?

Mankhwala a insulin samafunikira chidziwitso chapadera kuti apetse jakisoni. Pali malamulo ovomerezeka nthawi zonse. Kuti apange jakisoni, munthu adzafunika botolo lamankhwala, syringe ndi singano, mowa ndi ubweya wa thonje. Ndikwabwino kusunga insulini mufiriji, koma musanaigwiritse ntchito ndikofunikira kuti mupeze ndikuwotha kutentha kwa firiji, ndiye ikalowa m'magazi imayamba kugwira ntchito mwachangu. Mutapukuta malo a jakisoni ndi mowa, mlingo wa insulin umakokedwa mu syringe. Yembekezerani kuti mowa uume kwathunthu, chifukwa umatha kuwononga mankhwalawo ndipo ungayambitse ziwengo.

Ma algorithm ochita kuphedwa ndi osavuta: botolo limatembenuzidwira mozama ndipo madziwo amakokedwa molunjika kwa chizindikiro. Ndikwabwino kutunga madzi ochulukirapo kuposa momwe amafunikira. Zowonjezera zimachoka pakukokomeza mpweya mu syringe. Mpaka jakisoni, syringe imagwidwa molunjika kuti yankho lake lisatayike. Kupusitsa kumafunika chisamaliro, singano sayenera kulumikizana ndi matupi akunja kuti asatayike. Insulin yayitali ndi yoyenera kuphatikiza ndi kuphatikiza mitundu yosiyanasiyana ya mankhwala mu syringe. Mitundu yake imakokedwa kuchokera kuzitini pogwiritsa ntchito singano yomweyo. Mukamaliza gawo lokonzekera, kukhazikitsa insulin kumayamba.

Musanakulitse kuchuluka kwa insulini chifukwa cha kuchepa kwa mphamvu ya chochitikacho, onetsetsani kuti mwalowa mankhwala molondola.

Sringe ndi kusankha kwa singano

Mothandizidwa ndi jakisoni, odwala matenda ashuga nthawi zambiri sangasankhe syringe yoyenera ndi singano yoyenera. Kuopsa kwafunso kumabuka pamene hematomas ndi mawonekedwe opweteka kwambiri pamalo opangira jekeseni. Pofuna kupewa zovuta, kumbukirani malamulo osankha syringe ndi singano:

Pampu ya insulin siyabwino jekeseni mwa ana ndi anthu omwe ali ndi matenda oyamba.

• Zingwe. Amagwiritsidwa ntchito kamodzi. Chofunikira kwambiri ndi mtengo wogawa, womwe umapereka mlingo woyenera wa mankhwala. Sirinji yabwino kwambiri ya insulin ndi syringe ya cholembera yokhala ndi mamayipi a mayeso a 0,25. Pali mapampu a insulini apadera omwe amathandizira kuyamwa kwa mankhwalawa, koma sayenera kugwiritsidwa ntchito ndi ana ndi mtundu wa 1 odwala matenda ashuga.
• Singano. Choyimira chachikulu posankha ndi kutalika. Ndikofunikira makamaka kuti jekeseni lifunikira pansi pakhungu. Pabwino ndi singano kuchokera 4 mpaka 5 mm. Kugwiritsa ntchito singano yotere, ndikosavuta kumangobayira jakisoni wa insulin kulikonse popanda chiopsezo chotenga hematoma. Insulin imalowetsedwa pamimba ndi singano ya 6-8 mm. Singano iyenera kukhala yosabala nthawi zonse, ndiye kuti ndibwino kuti ikhale imodzi pachilichonse.

Bweretsani ku zomwe zalembedwa

Momwe mungalowere?

Kutengera ndi malo omwe jekeseni amayikidwa, matekinoloje a insulin management amasankhidwa. Nthawi zambiri, mankhwalawa amapaka jekeseni pang'ono, motero ndikofunikira kuti musalowe mu minofu ndi singano. Pazomwezi, njirayi imapereka kupangidwe kwa zikola za khungu pamalo amachitidwe. Khungu limatengedwa ndi chikhomo ndi chala chake ndikukoka pang'ono. Simufunikanso kugwiritsa ntchito mphamvu, apo ayi mfuti idzawoneka.

Kupendekera kwa syringe kumadalira gawo la jekeseni komanso kutalika kwa singano. Iyenera kuperekedwa pakona yopanda madigiri 90 ndipo osachepera 45. Zilonda zam'mimba zomwe zimayambitsa matenda a shuga zimatha kubayidwa pakona yoyenera, makamaka ngati mafuta ali osalala komanso amanenepa. Ndikwabwino kubaya mankhwalawo ndi makina amodzi mwachangu pa piston, yomwe imayenera kupita pansi. Singano imachotsedwa mbali yomweyo momwe idayikidwira. Kuyika moyenera syringe kuonetsetsa kuti palibe edema ndi ma syndromes opweteka.

Kodi singano amapita kuti jakisoni wopanda vuto?

Kuti muchepetse kupsinjika ndi kupweteka mkati mwa njirayi, pali malo ena apadera a jakisoni. Akakakamizidwa mwa iwo ndi malamulo ake, jakisoni sangakhale wopweteka. Mankhwalawa amapakidwa m'malo osiyanasiyana: paphewa, m'mendo, m'chiuno ndi matako. Malo awa ndi oyenera jakisoni wokhala ndi singano yochepa kapena pampu ya insulin. Mukamapanga mankhwalawa ndi singano yayitali, jakisoni wam'mimba imawonedwa ngati yopweteka kwambiri, chifukwa m'mafuta amenewo mumakhala ochulukirapo ndipo chiopsezo chofika minofu ndi chochepa.

Ndikofunikira kusinthanitsa malo, makamaka ngati mankhwalawo ali ndi jekeseni musanadye, pamene mayamwidwe ake ali othamanga kwambiri. Nthawi zina zimawoneka ngati odwala matenda ashuga kuti pambuyo pothandiza pambuyo pa jakisoni, mutha kuyimitsa kaye kwakanthawi kenako ndikuyambiranso, koma izi sizingachitike. Ndikofunikira kumangoyamwa nthawi zonse, osasokera ku dongosolo komanso osasinthasintha mlingo.

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 mungasinthire njira yoyendetsera 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

Kwa funso, kangati patsiku la kubayidwa, 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 kumwa, 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.

Asanayambitse insulin, palibe chifukwa chochitira khungu ndi zakumwa zina zophera. Ndikokwanira kuchisamba ndi sopo ndikumatsuka ndi madzi ofunda. Pogwiritsa ntchito singano imodzi ya syringe kapena syringe, matendawa ndiwokayikitsa.

Njira yamakonzedwe opweteka

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 mu diary ya kudziletsa pazomwe zinachitika magazi. 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.

Makanema okhudzana nawo

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:

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:

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.

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.