Cholembera cholembera insulin: ndi chiyani?

Masiku ano ndizovuta kukumana ndi munthu yemwe ali ndi matenda ashuga ndipo samadziwa ma syringe a insulin. Zipangizo zosavuta izi masiku ano ndizofala ndipo zimasinthiratu masanjidwe wamba, mothandizidwa ndi momwe majekeseni amaperekedwa kwa odwala matenda ashuga m'zaka zapitazi. Mosiyana ndi jakisoni wodziwika bwino, syringe ya insulini ndi yaying'ono ndipo mawonekedwe ake amalola wodwalayo kuti adzivulaze yekha, osamva bwino komanso amva kupweteka. Udindo wofunikira umachitidwanso ndi kuchuluka kwa momwe mlingo wa insulin umakhazikitsidwa mwachangu, popanda kufunika kothana ndi kuwerengera kwa mlingo. Kodi ma syringe omwe amapangira insulin, ndi momwe mungagwiritsire ntchito, muyenera kumvetsetsa zambiri.

Momwe mungasankhire jakisoni?

Mutha kusankha syringe ya jakisoni wa insulin ndi mulingo woyenera kwambiri komanso kutalika kwa singano kutengera miyezo. Mwachitsanzo, kwa munthu wamkulu, makope okhala ndi singano mulifupi wa 0.3 mm ndi kutalika kwa 12 mm ndi oyenera bwino kwambiri, komanso kwa mwana wokhala ndi mulifupi wa 0.23 mm ndi kutalika kwa 4-5 mm. Ma syringe ofupikitsidwa amapangidwira mwachindunji kuti wodwalayo, podzibaya, asabayire jakisoni kwambiri pakhungu. Moyenerera, timadzi timene timayambitsa mafuta ochulukirapo, osapitilira 3-5 mm. Ngati makulidwe a insulin adachitika kwambiri, mankhwalawo amalowa m'matumbo a minofu ndikupangitsa kupweteka kwambiri, komwe kumapangitsa kuti pakhale nthawi yayitali. Kuphatikiza apo, njira zomwe zimayamwa yankho kuchokera ku minofu ndi ku epithelium zimasiyana mwachangu, zomwe zingayambitse kuchuluka kapena kusowa kwa magazi m'magazi.

Ndikofunika kudziwa kuti odwala omwe ali ndi kunenepa kwambiri amafunika singano zazitali (mpaka 12 mm), ngakhale atakhala amsinkhu uti. Izi ndichifukwa choti mwa munthu wathunthu, makulidwe amafuta ochulukirapo, monga lamulo, amakhala ochulukirapo kangapo poyerekeza ndi anzawo a thupi loonda. Chifukwa chake, kuyambitsa insulini kuyenera kuchitika mozama ma millimeter pang'ono kuti mulowe mkati mwa mafutawo.

Ndikofunikanso mgawo liti la thupi lomwe mukubaya. Ngati mukulowetsa timadzi tating'onoting'ono pakhungu pakhungu kapena manja, ndiye kuti kutalika kwa singano kuyenera kukhala kocheperako - 4-5 mm, ndipo jekeseni isanachitike, khungu limayenera kukokedwa pang'ono ndipo syringe imalowetsedwa m'khola ili. Ngati jakisoni wa insulin amachitika m'malo opezekera mafuta onunkhira, ndiye kuti mutha kutenga syringe yotalika ndi singano ndikuyilowetsa pamalo a 90 madigiri osakoka khungu.

Mukamagula syringes, chisamaliro chiyenera kulipidwa ku mtundu wawo komanso kudalirika kwawo. Mitundu yotsika mtengo, yomwe nthawi ndi nthawi imapezeka pamsika wapakhomo, imatha kukhala ndi gawo lochepetsa, lomwe lingachepetse malamulo onse a insulin oyang'anira. Kuphatikiza apo, ngati chitsulo chomwe singano imapangidwira ndikucheperachepera komanso chochepa, chimatha kuthyooka pakubaya ndipo chidacho chosweka chikhale pansi pakhungu lanu. Komabe, milandu yotereyi ndiyopadera, ndipo Unduna wa Zaumoyo ukuchita zonse zotheka kuti izi zisachitike. Mukamagula syringes ku malo ogulitsa ogulitsa, onetsetsani kuti zovuta ngati izi zikukudutsani.

Kugawa sikelo ndikuyika ma syringe

Kuti wodwala awone kuchuluka kwa insulini mu syringe, gawo logawika limagwiritsidwa ntchito pakuwonjezera kwa 0.25, 1 kapena 2 unit. Ku Russia, mitundu iwiri yomaliza imagwiritsidwa ntchito makamaka. M'pofunika kunena kuti gawo laling'onoting'ono, lokwera mulingo wocheperako, koma nthawi yomweyo, ochepa kwambiri amafunika masomphenya owoneka, omwe si onse odwala matenda ashuga omwe ali nawo. Mtheradi wonse wa insulin, ngakhale wapamwamba kwambiri, ali ndi zolakwa zawo. Monga lamulo, sichidutsa mayunitsi a insulin 0,5, koma ngakhale kufunikira kwake kungakhale ndi gawo ndikuchepetsa shuga m'magazi ndi 4.2 mmol / lita.

Mosiyana ndi maiko aku Western, komwe ma insulin Mbale ya zigawo zana zakukonzekera pa 1 ml imatha kugulitsidwa, zokhazo zokhala ndi mayunitsi 40 pa 1 ml zimagulitsidwa ku Russia. Ma syringe ena apadera ndi oyenera voliyumu iyi, ndipo kukula kwake kumakupatsani mwayi wowerengera mulingo wokwanira. Chifukwa chake, 0,025 ml ya insulin imagwera pa nambala imodzi pamagawo ogawika, 0,25 ml pamanambala khumi, ndi 0,5 ml pa makumi awiri, motsatana. Izi zikutanthauza yankho la insulin loyera, lopanda mafuta lomwe limagulitsidwa ku malo ogulitsa mankhwala. Ngati njira ya insulin yoyang'anira ikuphatikizira kuchepetsedwa kwa njira yothetsera mankhwala, ndiye kuti muyenera kuwerengera mlingo wake pokhapokha pazotsatira zomwe mwalandira.

Kutalika kwa ma insulin omwe amaperekedwa kwa makasitomala ku Russian pharmacies amachokera ku 0.3 ml mpaka 1 ml. Chifukwa chake, sayenera kusokonezedwa ndi ma syringes wamba, omwe mphamvu zake zimayamba ndi 2 ml ndikutha ndi voliyumu ya 50 ml.

Momwe mungagwiritsire ntchito syringe wa insulin?

Pambuyo powerengera, mutha kupitiliza jakisoni weniweniyo, poganizira malamulo oyendetsera insulin. Kuti muchite izi, kokerani piston yapadera pa syringe ku gawo lofunika ndikuyika singano mu botolo la yankho. Mothandizidwa ndi mpweya wothinikizidwa, chinthucho chimakokedwa ndi jakisoniyo moyenera, kenako botolo limatha kupakidwa ndipo khungu limakonzedwa. Ndikulimbikitsidwa kuti muthane ndi vutoli kuti mupewe matenda, kenako ndikubwezerani pang'ono ndikuiwowetsa mu khola la madigiri 45-70. Pali njira inanso yoyendetsera insulin, pomwe singano imayikidwa mu mafuta osunthika pakona yolondola, koma ndioyenera kwa anthu onenepa kwambiri komanso osayenera ana.

Ndikofunika kukumbukira kuti simungathe kutulutsa singano nthawi yomweyo jakisoni. Ndikofunikira kudikirira mphindi zosachepera khumi ndi zisanu mpaka makumi awiri kuti chinthucho chikhale ndi nthawi choti chitha kufooketsedwa ndi minyewa ndipo chisatuluke chifukwa cha bala. Ngati mukuchita ndi insulin yocheperako, nthawi yotalika pakati potsegula botolo ndi jakisoni sayenera kupitirira maola atatu.

Syringe cholembera ngati njira ina

Osati kale kwambiri, zida zatsopano zopangira jakisoni wodziyimira ndi odwala matenda ashuga adawonekera pama maalumali a mankhwala apakhomo - ma pen-syringes. Zovuta za kayendetsedwe ka insulin ndi kagwiritsidwe ntchito kake zasintha zina ndikulola odwala kusintha moyo wawo pang'ono, kutengera jakisoni wokhazikika. Phindu la zolembera za syringe ndi ili:

• kuchuluka kwama cartridge, komwe kumapangitsa wodwalayo kuti asakhale kwawo kwa nthawi yayitali, kutali ndi malo ogulitsira insulin,
• kuchuluka kwa mulingo woyenera
• kuthekera kwokhazikika kwa mlingo pa insulin yonse,
• singano zowonda zimathandizira kuchepetsa ululu
• pensulo zothetsera zingagwiritsidwe ntchito nthawi zambiri momwe mungafunire, popanda kufunika kosintha ma insulini nthawi zonse.

Kuphatikiza apo, zamakono zamakonozi zimakulolani kuti mugwiritse ntchito mabotolo okhala ndi yankho la zonse zomwe zikukhudzidwa komanso mafomu omasulidwa, omwe amakupatsani mwayi kupita nawo ku maiko ena. Tsoka ilo, chisangalalo choterechi ndiokwera mtengo kwambiri, ndipo mtengo wa zolembera za syringe mdziko lathu umachokera ku ruble zikwi ziwiri mpaka khumi.

Pomaliza

Kudzilamulira kwokha kwa insulin mu shuga mellitus kumachitika mosavuta pogwiritsa ntchito zida zapadera: ma syringe pensulo ndi ma insulin syringes. Kuchita kwakanthawi kachipatala kumawonetsa kuti pogwiritsa ntchito ndalamazi, kuthekera kwa mankhwala osokoneza bongo kapena kuyambitsa kuchuluka kosakwanira kwa mahomoni kumachepetsedwa kwambiri poyerekeza ndi majakisoni wamba. Izi zimateteza munthu kumlingo wina kuchokera ku kuthekera kwa hyperglycemia ndi kuperewera kwa shuga, zomwe zimatha kukhazikitsidwa ndi Mlingo wolakwika wa insulin. Tiyenera kukumbukira kuti kugwiritsa ntchito ma syringe ndikofunikira pokhapokha mukaonana ndi dokotala. Chifukwa chake, mwaluso kwambiri, katswiri wodziwa bwino yekha ndi yemwe angadziwe kuchuluka kwa momwe mungagwiritsire ntchito yankho ndi momwe ayenera kukhalira.

InsuJet Injector

Ichi ndi chipangizo chofanana chomwe chili ndi mfundo yofananira yogwiritsira ntchito. Jakisoniyo ali ndi nyumba yabwino, adapter ya mankhwala opangira jakisoni, adapter yoperekera insulin kuchokera ku botolo la 3 kapena 10 ml.

Kulemera kwa chipangizocho ndi 140 g, kutalika ndi 16 cm, gawo la mulingo ndi 1 unit, kulemera kwa ndege ndi 0.15 mm. Wodwala amatha kulowa mu kuchuluka kwa kuchuluka kwa magawo 4 mpaka 40, kutengera zosowa za thupi. Mankhwalawa amathandizidwa pakapita masekondi atatu, jakisoni angagwiritsidwe ntchito kupangira mtundu uliwonse wa mahomoni. Mtengo wa chipangizochi umafika $ 275.

Injector Novo Pen 4

Ichi ndi chiwonetsero chamakono cha jakisoni wa insulin kuchokera ku kampani Novo Nordisk, komwe kunali kupitiliza kwa mtundu wodziwika komanso wokondedwa wa Novo Pen 3. Chipangizocho chili ndi mawonekedwe okongoletsa, chitsulo cholimba chachitsulo, chomwe chimapereka nyonga yayikulu komanso kudalirika.

Chifukwa cha zimango zamakono zatsopano, kuyendetsa mahomoni kumafuna kuponderezedwa katatu kuposa mtundu wakale. Chizindikiro cha Mlingo chimasiyanitsidwa ndi kuchuluka kwakukulu, chifukwa chomwe odwala omwe ali ndi vuto lowona amatha kugwiritsa ntchito chipangizocho.

Ubwino wa chipangizochi ndi monga:

1. Mlingo wa kuchuluka umachulukitsidwa katatu, poyerekeza ndi zitsanzo zam'mbuyomu.
2. Ndi kukhazikitsidwa kwathunthu kwa insulin, mutha kumva chizindikiro chamtundu wanthawi yotsimikizira.
3. Mukakanikiza batani loyambira silitengera kulimbikira, kotero chipangizocho chitha kugwiritsidwa ntchito kuphatikiza ndi ana.
4. Ngati mulingo womwe unakhazikitsidwa molakwika, mutha kusintha chizindikirocho popanda kutaya insulin.
5. Mlingo womwe umayendetsedwa akhoza kukhala mayunitsi 1-60, chifukwa chida ichi chitha kugwiritsidwa ntchito ndi anthu osiyanasiyana.
6. Chipangizocho chili ndi kukula kosavuta kwa Mlingo, motero jakisoni ndiwofunikiranso okalamba.
7. Chipangizocho chili ndi kukula koyerekeza, kulemera kochepa, kotero kumakwanira kachikwama kanu, kosavuta kunyamula ndipo kumakupatsani kulowa insulin pamalo alionse abwino.

Mukamagwiritsa ntchito cholembera cha syvoge ya Novo pen 4, mutha kugwiritsa ntchito singano za NovoFine zogwirizana zokha komanso makatiriji a insulini a insulini okhala ndi 3 ml.

Jekeseni wothandizira wa insulin wokhazikika yemwe ali ndi cartridge ya Novo pen 4 ndi yosavomerezeka kuti agwiritsidwe ntchito ndi anthu akhungu popanda thandizo. Ngati wodwala matenda ashuga amagwiritsa ntchito mitundu ingapo ya mankhwala a insulin mankhwalawo, timadzi tina tonse tifunika kuyikamo jakisoni yosiyana. Kuti zitheke, kuti asasokoneze mankhwalawo, wopanga amapereka mitundu ingapo ya zida.

Ndikulimbikitsidwa kuti nthawi zonse muzikhala ndi chipangizo chowonjezera ndi cartridge kuti jakisoni atayika kapena atayika. Kuti wodwalayo azikhala wochepa komanso kuti achepetse matenda, wodwala aliyense ayenera kukhala ndi makatiriji ndi singano zotayira. Sungani zinthu kumalo akutali, kutali ndi ana.

Pambuyo pakuyendetsa mahomoni, ndikofunikira kuti musaiwale kuchotsa singano ndikuvala chophimba. Zida siziyenera kuloledwa kugwa kapena kugunda pamalopo, kugwa pansi pamadzi, kukhala uve kapena fumbi.

Cartridge ikakhala mu chipangizo cha Novo Pen 4, iyenera kusungidwa kutentha kwambiri muchipinda chopangidwa mwaluso.

Momwe mungagwiritsire ntchito jakisoni wa Novo Pen 4

• Musanagwiritse ntchito, ndikofunikira kuchotsa kapu yoteteza, vumbulutsani gawo lazinthuzo kuchokera pazosungira cartridge.
• Ndodo ya piston iyenera kukhala mkati mwa gawo lamagetsi, chifukwa mutu wa pisitoni umakanikizidwa njira yonse. Katiriji katachotsedwa, tsinde limatha kusuntha ngakhale mutu sunapanikizidwe.
• Ndikofunikira kuyang'ana cartridge yatsopano kuti iwonongeke ndikuonetsetsa kuti yadzazidwa ndi insulin yoyenera. Ma cartridge osiyanasiyana amakhala ndi kapu okhala ndi nambala zamitundu ndi zolemba zautoto.
• Makatoni amaikidwa m'munsi mwa wogwirizira, kuwongolera kapuyo ndi chizindikiro chopita kutsogolo.
• Wogwirizira ndi gawo la jakisoni limasulidwira wina ndi mzake mpaka kuwonekera kwa chizindikirocho. Ngati insulini ikayamba kukhala m'mitambo, imasakanizidwa bwino.
• Singano yotayikayo imachotsedwa pamalongedzo, chomata chimatulutsa. Chingalicho chimakulungidwa mwamphamvu kuchikuto cholowetsedwa ndi utoto.
• Chovala chotchinga chimachotsedwa pa singano ndikuyiyika pambali. Mtsogolomo, imagwiritsidwa ntchito kuchotsa ndikuchotsa singano yomwe imagwiritsidwa ntchito.
• Kupitilira apo, capu yowonjezera yamkati imachotsedwa mu singano ndikuitaya. Ngati dontho la insulin likuwoneka kumapeto kwa singano, simukuyenera kuda nkhawa, iyi ndi njira yabwino.

Injector Novo Pen Echo

Chipangizochi ndi chida choyamba chomwe chimagwira ntchito, chomwe chimatha kugwiritsa ntchito mulingo wocheperako pakukula kwa mayunitsi 0,5. Izi ndizofunikira mankhwalawa ana omwe amafunikira kuchepetsedwa kwa insulin. Mlingo wapamwamba ndi magawo 30.

Chipangizocho chili ndi chiwonetsero chomwe mlingo womaliza wa mahomoni omwe amaperekedwa ndi nthawi ya insulin makonzedwe akuwonetsedwa. Chipangizochi chinasunganso zabwino zonse za Novo pen 4. Jakisoniyo ungagwiritsidwe ntchito ndi singano za NovoFine zotayidwa.

Chifukwa chake, mawonekedwe otsatirawa angatchulidwe chifukwa cha zabwino za chipangizocho:

1. Kukhalapo kwa kukumbukira kwamkati,
2. Kuzindikira kosavuta komanso kosavuta kwa kukumbukira kukumbukira zinthu,
3. Mlingo ndiosavuta kukhazikitsa ndikusintha,
4. Wodulirayo ali ndi chophimba chophimba chachikulu chokhala ndi zilembo zazikulu,
5. Kukhazikitsa kwathunthu kwa Mlingo wofunikira kukuwonetsedwa ndikudina kwapadera,
6. Dinani batani ndiyosavuta kukanikiza.

Opanga amazindikira kuti ku Russia mutha kugula chipangizochi pokhapokha ndi mtundu wamtambo. Mitundu ina ndi zomata siziperekedwa kudzikolo.

Malamulo a jakisoni wa insulin aperekedwa mu kanema munkhaniyi.

Ndi insulin iti yomwe ili yoyenera kwa ma syringe zolembera Novopen 4

Odwala omwe ali ndi matenda a shuga nthawi zambiri amayenera "kukhala" pa insulin. Kufunika kwa jakisoni wosalekeza kumakhumudwitsa anthu odwala matenda ashuga, chifukwa kupweteka kosalekeza kwa jakisoni kwa ambiri kumakhala kupsinjika kosalekeza. Komabe, pazaka 90 kukhalapo kwa insulin, njira zomwe amayang'anira ntchito zake zasintha kwambiri.

Kupeza kwenikweni kwa odwala matenda ashuga kunali kukhazikitsidwa kwa syringe yosavuta kwambiri komanso yotetezeka ya cholembera cha Novopen 4. Mitundu iyi yamakono kwambiri sikuti imangopindula mosavuta komanso kudalirika, komanso kukulolani kuti musunge insulin m'magazi popanda kupweteka.

Kodi nzeru zapadziko lonse lapansi zamankhwala ndi zamankhwala, momwe mungagwiritsire ntchito, ndi mtundu wanji wa insulin yomwe cholembera 4 ndicoyenera.

Kodi ma syringe ali bwanji?

Kunja, syringe yotere imawoneka yokongola komanso imawoneka ngati cholembera cha akasupe a piston. Kuphweka kwake ndikodabwitsa: batani limayikidwa kumapeto amodzi a pisitoni, ndipo singano imatuluka kuchokera mbali inayo. Kathumba (kathumba) kamene kamakhala ndi insulini ya 3 ml amamuikika mkati mwa syringe.

Kukulitsa kamodzi kwa insulin nthawi zambiri kumakhala kokwanira kwa odwala kwa masiku angapo. Kutembenuka kwa dispenser mu gawo la mchala wa syringe kumasintha kuchuluka kwa mankhwala kwa jakisoni aliyense.

Ndikofunikira kwambiri kuti cartridge nthawi zonse imakhala ndi insulin yambiri. 1 ml ya insulin ili ndi ma PISCES a 100 a mankhwalawa. Mukadzazitsa katoni (kapena penfill) ndi 3 ml, ndiye kuti pakhale inshuwaransi 300 ya insulin. Chofunikira pa zolembera zonse za syringe ndiko kuthekera kwawo kugwiritsa ntchito insulin kuchokera kwa wopanga m'modzi yekha.

Katundu wina wapadera wa zolembera zonse za syringe ndi kuteteza singano kuti isakhudzike mwangozi ndi malo osabala. Singano mumitundu iyi ya syringe imawululidwa pokhapokha jakisoni.

Mapangidwe a zolembera za syringe ali ndi mfundo zofananira za kapangidwe kazinthu zawo:

1. Nyumba yolimba yokhala ndi malaya a insulin omwe adayikidwira dzenje. Thupi la syringe ndi lotseguka mbali imodzi. Pamapeto pake pali batani lomwe limasinthasintha kuchuluka kwa mankhwalawo.
2. Kupereka 1ED ya insulini, muyenera kubwereza batani limodzi mthupi. Kukula kwa ma syringes amapangidwe awa kumveka bwino komanso kuwerenga. Izi ndizofunikira kwa opuwala, okalamba ndi ana.
3. Mu syringe thupi pali malaya momwe singano imakhalira. Mukatha kugwiritsa ntchito, singano imachotsedwa, ndipo kapu yodziteteza imayikidwa syringe.
4. Mitundu yonse ya zolembera zama syringe imasungidwa mwapadera kuti izisungidwa bwino komanso mayendedwe otetezeka.
5. Mapangidwe a syringeyi ndi oyenera kugwiritsidwa ntchito pamsewu, kuntchito, komwe zosokoneza zambiri komanso kuthekera kwazovuta zaukhondo nthawi zambiri zimagwirizanitsidwa ndi syringe yachizolowezi.

Mwa mitundu yambiri ya zolembera za syringe, mfundo zazikulu ndi zokonda za anthu omwe ali ndi matenda ashuga oyenera mtundu wa Novopen 4 syringe wopangidwa ndi kampani yaku Danish Novo Nordinsk.

Mwachidule za Novopen 4

Novopen 4 amatanthauza mbadwo watsopano wa zolembera za syringe. Pofotokozeratu izi: akuti insulin pen novopen 4 imadziwika ndi zomwe:

• Kudalirika komanso kuphweka
• Kupezeka kwa ana ngakhale okalamba,
• Chizindikiro chowoneka bwino cha digito, chokulirapo katatu komanso chakuthwa kuposa mitundu yakale,
• Kuphatikiza kwamwambamwamba komanso bwino,
• Zovomerezeka za wopanga kwa zaka zosachepera zisanu za ntchito yapamwamba kwambiri pamtunduwu wa syringe komanso kulondola kwa insulin,
• Kupanga Danish
• Pali mitundu iwiri ku Europe: buluu ndi siliva, ogwiritsa ntchito mitundu yosiyanasiyana ya insulini (ma syringe amapezeka ku Russia, ndipo zomata zimagwiritsidwa ntchito polemba chizindikiro),
• Makatoni omwe amapezeka a 300 (3 ml),
• Zida zokhala ndi chida chachitsulo, chopukutira makina ndi gudumu loyika muyeso wofunikira,
• Kupereka chiwonetserochi ndi batani la mlingo woyambira ndi mtundu wa kulowera koyenera komanso kutsika kwakanthawi,
• Ndi gawo limodzi la voliyumu ya 1 unit ndi kuthekera kobweretsa 1 mpaka 60 PISCES ya insulin,
• Muli ndi insulin U-100 yoyenera (yoyenera ma insulin yokhala ndi kuchuluka kwa nthawi 2.5) kuposa ndende ya U-40).

Makhalidwe abwino ambiri a injector ya Novopen 4 amaloleza kusintha kwambiri moyo wa odwala omwe ali ndi matenda ashuga.

Chifukwa chiyani syringe pen novopen odwala 4 a shuga

Tiyeni tiwone chifukwa chake syringe pen novopen 4 ndiyabwino kuposa syringe yotayika yokhazikika.

Kuchokera pamawonekedwe a odwala ndi madotolo, cholembera chilinganizo chomwechi chimakhala ndi zotsatirazi kuposa mitundu ina yofananira:

• Kupanga kolimba ndi kufanana kwakukulu ndi chida cha pisitoni.
• Mulingo wokulirapo komanso wowonekera bwino ungagwiritsidwe ntchito ndi okalamba kapena olumala.
• Pambuyo pa jakisoni wa kuchuluka kwa insulini, cholembera cha syringe chija chimangowonetsa izi ndikudina.
• Ngati mlingo wa insulin sunasankhidwe molondola, mutha kuwonjezera kapena kupatula gawo lina lake.
• Mutatha kuwonetsa kuti jakisoni wapanga, mutha kuchotsa singano pokhapokha masekondi 6.
• Pa mtundu uwu, zolembera za syringe ndizoyenera kokha ma cartridge apadera opangidwa (opangidwa ndi Novo Nordisk) ndi singano zapadera zotayika (kampani ya Novo Fine).

Ndi anthu okhawo omwe amakakamizidwa kupirira mavuto kuchokera ku jakisoni omwe angayamikire zabwino zonse za mtunduwu.

Insulin yoyenera ya syringe cholembera 4

Mtundu wapadera wa cholembera ungathe kuperekedwa kokha ndi insulin ya kampani inayake ya mankhwala.

Syringe pen novopen 4 ndi "yaubwenzi" ndi mitundu ya insulin yopangidwa kokha ndi Danish kampani Novo Nordisk:

Kampani yaku Danish ya Novo Nordisk idakhazikitsidwa kale mu 1923. Ndizachikulu kwambiri pamakampani opanga mankhwala ndipo amagwira ntchito popanga mankhwala ochizira matenda akulu (hemophilia, matenda a shuga, etc.) Kampaniyi ili ndi mabizinesi m'mayiko ambiri, kuphatikizapo ndi ku Russia.

Mawu ochepa onena za insulini za kampaniyi omwe ali oyenera ndi injopen 4:

• Ryzodeg ndi kuphatikiza kwa insulin yayifupi komanso yayitali. Zotsatira zake zimatha kupitilira tsiku limodzi. Gwiritsani ntchito kamodzi patsiku musanadye.
• Tresiba ali ndi chochita china chowonjezera: maola opitilira 42.
• Novorapid (monga ambiri a insulin ya kampaniyi) ndi analogue ya insulin ya anthu yochepa. Amayambitsidwa musanadye, nthawi zambiri pamimba. Amaloledwa kugwiritsidwa ntchito ndi amayi apakati komanso oyembekezera. Nthawi zambiri zovuta ndi hypoglycemia.
• Levomir ali ndi mphamvu yayitali. Ntchito kwa ana azaka 6.
• Protafan amatanthauza mankhwala omwe amakhala ndi nthawi yayitali. Ndizovomerezeka kwa amayi apakati.
• Actrapid NM ndi mankhwala osokoneza bongo. Pambuyo pakusintha kwa mlingo, ndizovomerezeka kwa amayi apakati komanso oyamwitsa.
• Ultralente ndi Ultralent MS ndi mankhwala ogwiritsira ntchito nthawi yayitali. Zopangidwa pamaziko a ng'ombe insulin. Njira yogwiritsira ntchito imatsimikiziridwa ndi adokotala. Amaloledwa kugwiritsidwa ntchito ndi pakati komanso kuyatsa.
• Ultratard ali ndi vuto lalikulu. Oyenera matenda ashuga okhazikika. Pa nthawi yoyembekezera kapena mkaka wa m'mawere, kugwiritsa ntchito ndikotheka.
• Mikstard 30 NM imakhala ndi biphasic. Moyang'aniridwa ndi dokotala, imagwiritsidwa ntchito ndi azimayi oyembekezera komanso oyembekezera. Njira zamagwiritsidwe ntchito zimawerengeredwa payekhapayekha.
• NovoMix amatanthauza biphasic insulin. Zingagwiritsidwe ntchito ndi azimayi oyembekezera, omwe amaloledwa kuchita mkaka.
• Monotard MS ndi Monotard NM (magawo awiri) ndi a ma insulins okhala ndi nthawi yayitali. Osakhala koyenera kwa iv. Monotard NM imatha kutumikiridwa ngati mayi ali ndi pakati kapena mkaka.

Kuphatikiza pa zida zomwe zilipo, kampaniyi imasinthidwa pafupipafupi ndi mitundu yatsopano ya insulin yapamwamba kwambiri.

Novopen 4 - malangizo agwiritsidwe ntchito

Timapereka malangizo a pang'onopang'ono pokonzekera gawo la Novopen 4 cholembera insulin:

1. Sambani m'manja musanalowe jakisoni, ndiye kuti chotsani kapu yotetezera komanso chosasunga katoni kuti tisasunge.
2. Kanikizani batani mpaka pansi kuti tsinde likhale mkati mwa syringe. Kuchotsa katoni kumapangitsa kuti tsinde lisunthe mosavuta komanso popanda kukakamizidwa ndi pistoni.
3. Onani kukhulupirika kwa cartridge ndi kuyenerera kwa mtundu wa insulin. Ngati mankhwalawo ndi mitambo, ayenera kusakanikirana.
4. Ikani katiriji muchogoba kotero kuti kapu imayang'ana kutsogolo. Sungani katiriji pachifuwa mpaka chimalira.
5. Chotsani kanema woteteza ku singano yotaya. Kenako ikani singano kumutu wa syringe, pomwe pali mtundu wamitundu.
6. Tsekani chingwe cholumikizira mu singano ndikukweza magazi kuchokera pagulupo. Ndikofunikira kusankha singano yotaya ndikuyang'ana momwe mulifupi ndi kutalika kwa wodwala aliyense. Kwa ana, muyenera kutenga singano zoonda kwambiri. Pambuyo pake, cholembera sichingakonzeka kubayidwa.
7. Zilembozozo zimasungidwa kutentha nthawi yayitali, kutali ndi ana ndi nyama (makamaka mu nduna yotsekedwa).

Zoyipa za Novopen 4

Kuphatikiza pa kuchuluka kwa zabwino, zachilendo zazomwe zili ngati syringe pen novopen 4 zili ndi zovuta zake.

Pakati pazofunikira, mutha kutchula mayina a izi:

• Kupezeka kwa mtengo wokwera bwino,
• Kupanda kukonza
• Kulephera kugwiritsa ntchito insulin kuchokera kwa wopanga wina
• Kupanda kugawanika kwa "0.5", komwe sikuloleza aliyense kugwiritsa ntchito syringe iyi (kuphatikiza ana),
• Milandu yodalitsika ya mankhwala kuchokera ku chipangizocho,
• Kufunika kokhala ndi ma syringe angapo, omwe ndi okwera ndalama.
• Kuvuta kopanga syringe iyi kwa odwala ena (makamaka ana kapena okalamba).

Cholembera cha insulin ya novopen 4 insulin chitha kugulidwa ku malo ogulitsa mankhwala, m'masitolo azida zamankhwala, kapena kutsegula pa intaneti. Anthu ambiri amalamula ma syringes amtunduwu wa insulini ogwiritsira ntchito masitolo kapena mapulaneti apaintaneti, chifukwa si onse a Novopen 4 omwe akugulitsidwa m'mizinda yonse ya Russia.

Zotsatirazi zitha kunenedwa pamtengo wa injector wa Novopen 4: pafupifupi, mtengo wazogulitsa zamakampani a Danish a NovoNordisk ndi kuyambira 1600 mpaka 1900 rubles aku Russia. Nthawi zambiri, pa intaneti, syringe pen Novopen 4 imatha kugulidwa zotsika mtengo, makamaka ngati muli ndi mwayi wogwiritsa ntchito masheya.

Komabe, ndi mtundu uwu wogulira syringes, mulipirabe zowonjezera kuti mupereke.

Mwachidule, titha kunena kuti insulin ya insulin ya Novopen 4 ndiyenera kuyang'ana kwambiri ndipo ikufunika kwambiri pakati pa odwala.

Mankhwala amakono sanawone ngati matenda ashuga nthawi yayitali, ndipo mitundu yosinthika yotere yasintha kwambiri miyoyo ya odwala omwe akhala akugwiritsa ntchito insulin kwazaka zambiri.

Zina mwa zolephera zamtunduwu za syringe ndi mtengo wake wokwera mtengo sizitha kuphimba mbiri yawo yoyenera.

Ndi insulin iti yomwe ili yoyenera kwa ma syringe pens a Novopen 4 Lumikizanani kwakukulu

Novopen 4 Syringe cholembera - Insulin In injor

Chingwe cha syringe NovoPen 4 ndichida chofunikira kwambiri kwa anthu ofuna jakisoni wa insulin. Kwazaka makumi asanu ndi anayi kuchokera pamene kupezeka kwa insulin, njira zomwe amayang'anira zimasinthira. Ambiri mwa "odwala matenda ashuga" omwe amalandila mankhwala a insulin amakhalabe ndi syringe imodzi.

Koma pang'onopang'ono m'zaka zaposachedwa, ma syringe adalowetsa zolembera, kuphatikiza mankhwala omwe ndi osavuta, osavuta komanso samabweretsa ululu.

Kusinthidwa kwa jakisoni wa insulini cholembera NovoPen Echo ndi syringe cholembera NovoPen 3 gawo la odwala omwe ali ndi matenda osokoneza bongo amayamikiridwa.

Anthu ambiri odwala matenda ashuga ali ndi loto la kubaya ndi cholembera chofanana ndi HumaPen MEMOIR, omwe amakumbukira tsiku, nthawi, mlingo wa jakisoni anu khumi ndi asanu ndi limodzi omaliza. Ndizotheka kuti mtsogolo ...

Zambiri Zothandiza Pazaka za Syringe

Cholembera ndi chida chosavuta, chosavuta kugwiritsa ntchito chomwe chimawoneka ngati cholembera. Batani lozungulira limayikidwa kumapeto kwa chida ichi, ndipo singano imatuluka kuchokera mbali ina. Solo-phula imapangidwa ndi mkati mwake momwe mumakhala chidebe cha insulin, chotchedwa cartridge, kapena penfill, yomwe ili ndi 3 ml ya mankhwala.

Mapangidwe a zolembera amatanthauza kuphatikiza zonena zonse zomwe zalembedwazo.

Zipangizozi, zodzazidwa ndi penfill, zimagwira ntchito chimodzimodzi ndi ma syringes, insulin yokha imatha kukhala ndi zinthu zambiri kotero kuti imatha kuperekedwa kwa masiku angapo.

Kufunika kwa mankhwalawa kwa jakisoni aliyense amasinthidwa ndikusinthitsa gawo lomwe lili kumbuyo kwa chogwiriracho, mosamalitsa pa kuchuluka kwa madokotala.

Kukhazikitsa molondola mlingo wa insulin ndikosavuta kukonza. Popanda kutaya. Kuzunzidwa kwa insulin m'makalata ndi pafupipafupi: mayunitsi zana. 1 ml. Ngati katoni (kapena penfill) wadzaza kwathunthu ndi 3 ml, ndiye kuti mu mankhwalawa mulipo magawo 300. insulin Mtundu uliwonse wa zolembera sizingagwire ntchito ndi insulin kuchokera kwa wopanga wamba.

Kapangidwe ka cholembera (ndikadzisonkhanitsa) kumapereka chitetezo cha singano ndi mapewa awiri kuti asakumanane mwangozi ndi mawonekedwe ena.

Izi zimapatsa mpumulo, chifukwa chazikulu za singano palibemo alarm pamene chogwirizira chili m'thumba lanu kapena chikwama. Pokhapokha pofunafuna jekeseni ndi pomwe singano imawululidwa.

Ogulitsa lero pali ma cholembera a syringe omwe amapangira jakisoni wa Mlingo wosiyanasiyana ndi gawo lomwe limadutsa gawo limodzi komanso la ana - 0,5 mayunitsi.

Kufotokozera ndi mawonekedwe a cholembera cha insulin ya NovoPen 4

Musanagule ndikugwiritsa ntchito ndikofunikira kuti muzikambirana ndi katswiri.

Tikukupatsani kuti muwone kanema "Novopen" 4

Cholembera chimbale cha NovoPen 4 chogulidwa chimasonkhanitsidwa musanagwiritse ntchito:

• Bokosi la Penfill limayikidwa ndi kapu yokhala ndi code yotsogola ku bokosi la cartridge,
• gawo lamakina limasungidwa zolimba ku chosungira cartridge ndi kutembenukira kamodzi mpaka kumatsika,
• singano yatsopano imayikidwa
• Zovala zonse ziwiri za singano zimachotsedwa, jakisoni amatsatira malo ndi singano mmwamba,
• ma air Bubulo amasulidwa ku cartridge.

Koma ndi chidziwitso chiti chomwe chimafalitsidwa ndi zotsatsa za kampani yopanga mankhwala ku Danish Novo Nordisk:

1. Chowonetsera chomwe chili ndi manambala chikuwonjezeka katatu, ngakhale manambala - akulu, osamvetseka - ang'ono.
2. Kutembenuka kotala kumafunikira kuchotsa cholembera.
3. Kukanikiza batani lolowetsera mlingo kulibe ntchito.
4. Mapeto ake a mankhwalawa amayendetsedwa ndikudina.
5. Cholembera cha syringe NovoPen 4 chimawoneka chofanana ndi NovoPen 3 chokhala ndi chitsulo komanso kudzazidwa kwa pulasitiki. Amapezeka mumitundu iwiri - siliva ndi buluu - mitundu yosiyanasiyana ya insulin.
6. Kutsimikizika kopezeka kwa mlingo woyenera wa zaka 5.
7. Kubwerera kwa piston ku malo ake oyambira mukasinthira cartridge kumatheka kokha - popanda kusinthanitsa gudumu, kukanikiza chala mpaka kudina.
8. Batani lotsekera limakhala ndi chidule.
9. Diyala ya dial yoyendetsa imazungulira mbali ina.
10. Mlingo wa Mlingo umodzi umachitika mosiyanasiyana mu umodzi. - 60 mayunitsi

Kuunika kwa chipangizocho chomwe chatumizidwa pamaneti:

Michere ya Micro Fine Plus ya NovoPen 4

Kodi ndingabaye insulin ndi singano iti? Tikukudziwitsani mwachidule za singano za Micro-Fine Plus, zabwino zake ndizosatsutsika:

• Kuti muchepetse kuvulala - mutalumidwa - nsonga ya singano imadutsa chopepuka cha laser ndikuwongolera kawiri pamwamba ndi mafuta.
• Kuwonekera kwa singano kumachulukitsidwa chifukwa chogwiritsa ntchito ukadaulo wopanga-wokhala ndi khoma, womwe umachepetsa ululu ndikukhazikitsa insulin.
• Kuphatikiza kwa singano ndi cholembera kumatulutsidwa ndi ulusi.
• Mndandanda waukulu wa singano m'mimba mwake: 31, 30, 29 G ndi kutalika: 5, 8, 12, 7 mm ndipo umathandizira pakusankha njira za jakisoni malinga ndi msinkhu, index yam'mimba ndi jenda.
• Singano ya 5 mm ndiyabwino kwambiri kupangira ana omwe ali ndi matenda ashuga, kwa akulu akulu omwe ali ndi ziwengo ndi achinyamata.

Ulamuliro wa Insulin

Momwe mungayendetsere insulin? Zambiri za Insulin Administration

Tsiku labwino, abwenzi! Pakadali pano, anthu omwe amagwiritsa ntchito mankhwala a insulin ali ndi njira zosankhira insulin. Ndiyenera kunena nthawi yomweyo kuti zaka makumi angapo zapitazo sizinasankhidwe.

"Onse odwala matenda ashuga" amakakamizidwa kubaya insulini pogwiritsa ntchito syringes zamagalasi, zomwe zimayenera kuwiritsa nthawi iliyonse. Mwachilengedwe, kupeza mlingo woyenera wa mankhwalawo kunalinso kovuta, ndipo adafunikira insulin.

Koma tsopano zonse zasintha.

Tsopano munthu yemwe ali ndi matenda ashuga amakhala ndi moyo wosavuta, ndipo izi ziyenera kukumbukiridwa. Ngati titha kuwerengera nthawi ya maonekedwe a njira zoperekera insulin, ndiye kuti ma syringes omwe atengedwa ndi galasi asinthidwa ndi ma syringe amtundu wa pulasitiki.

Ndiwocheperako kwambiri kuposa ma syringes amakono omwe angatulutsenso jakisoni wamkati ndi mtsempha.

Pakapita kanthawi, ma cholembera a syringe wodziwikiratu, ndipo chotsogola kwambiri pakadali pano ndi pampu ya insulin.

Munkhaniyi, ndilankhula za zida ziwiri zoyambirira, koma ndilankhula za ma pump nthawi ina, ndizopweteka kupeza nkhani yayitali.

Chifukwa chake, popeza si anthu onse omwe ali ndi matenda a shuga omwe angathe kugula pampu ya insulini, ma syringe otayika komanso zolembera zokha za syringe zangokhala njira yodziwika kwambiri yoyendetsera insulin. Tilankhula za iwo.

Kutaya Insulin Syringes

Pali chiŵerengero chomakula cha "odwala matenda ashuga" omwe sanawone konse ma syringe awa m'miyoyo yawo. Ma syringe a insulini amatha kufananizidwa ndi nyama zomwe zatsala pang'ono kufa - ambiri adazimva izi, koma owerengeka adaziwona zachilengedwe. Komabe, ngakhale zimapezeka mosavuta, ma syringe awa amagwiritsidwabe ntchito popangira chiphuphu cha shuga, chifukwa chake tiyenera kukambirana za iwo.

Syringe ya insulini ndi silinda wocheperako wokhala ndi muyeso wa 1 ml kapena kuchepera. Potsirizira pake, singano yotaya, yomwe imatha kutalika mosiyanasiyana ndi makulidwe. Mbali inayi, pisitoni yokhala ndi chosindikiza kapena chopanda chidindo. Malingaliro anga, ndi chosindikizira kuli bwino, piston imayenda bwino ndipo ndikosavuta kuyimba mlingo womwe mukufuna.

Chofunikira kwambiri pakusankha ndikugwiritsa ntchito ma syringes ndi gawo logawika (mtengo wogawa). Pali mitundu iwiri ya ma syringe omwe amapangidwira insulin yokhala ndi mitundu yosiyanasiyana yoyambira:

• 40 magawo 1 ml
• pa mayunitsi 100 mu 1 ml

Ndipo ngakhale kuti dziko ladziko lonse la akatswiri ashuga atenga muyeso wa ma syringes ndi insulin wozungulira 100 mayunitsi / ml (U100), i.e.

syringe yonse iyenera kukhala pa mayunitsi 100, ndipo ma inulin onse pakakhala mayunitsi 100 / ml, koma mutha kuwonabe ma syringes pa 40, ndipo nthawi zina insulini pakukumana kwa 40 mayitsi / ml (U40).

Mwambo uwu unatengedwa kuti pasakhale chisokonezo pakati pa ogwiritsa ntchito, chifukwa ambiri samalabadira ngakhale syringe ndi omwe amasokoneza insulin m'manja mwawo.

Mwachidule, ngati mumagwiritsa ntchito ma syringe kuti mulipire shuga, onetsetsani kuti insulini yogulitsa phukusi imagwirizana ndi chizindikiro cha syringe. Pakadali pano, sindinakumanepo ndi insulin yokhala ndi U40, koma ma syringe amapezekabe. Samalani!

Syringe pa mayunitsi 100, ali ndi magawo pafupifupi 100. Ngozi iliyonse pa syringe yotere imatanthawuza magawo awiri a insulin. Syringe ya mayunitsi 40 ali ndi magawano kuchokera 0 mpaka 40 ndipo chiwopsezo chilichonse pamlingo chimatanthawuza 1 unit ya insulin.

Ngati mumagwiritsa ntchito insulin ndi kuchuluka kwa ma U100 m'magawo 40 / ml, ndiye kuti mutha kuyambitsa mlingo wopitilira 2,5, womwe umadzaza ndi hypoglycemia.

Ndipo ngati sichoncho, kuphatikiza insulini ndi ndende ya U40 mu syringe pa mayunitsi 100 / ml, ndiye kuti mlingowo udzakhala wocheperako 2.5.

Tsoka ilo, mu gawo la 2, pali cholakwika chachikulu kwambiri, pafupifupi kuphatikiza kapena kuchepera 1, ndipo izi ndizofunikira kwambiri kwa odwala omwe angopezeka kumene ndi matenda ashuga, odwala owonda ndi ana omwe ali ndi insulin yayikulu ndipo amafunikira waukulu.

Chifukwa chake, pali njira zitatu zomwe zingachitike:

• gwiritsani ntchito ma syringes pazowonjezera zosakwana 1, koma koyenera kwa a insulin
• kubereka insulin
• yambani kugwiritsa ntchito pampu ya insulin momwe gawo la 0,05 limathekera

Poyamba, kupeza ma syringe amenewo ndikovuta. Pali ma syringe mukukula kwa mayunitsi a 0,5, komanso kukhala ndi magawo owonjezera ndi 0.25. Inde, kuchuluka kwa syringe yotere kudzakhala kochepera 1 ml.

Mwachitsanzo, syringe ya insulin yochokera ku kampani ya BD microfayn kuphatikiza Demi 0,3 ml mukukula kwa mayunitsi a 0,5 kapena microfayn 0,5 ml mukukula kwa mayunitsi 1.0

Pankhani yachiwiri, ndikofunikira kudziwa luso la insulin dilution, koma nkhaniyi ili kale ndi nkhani yatsopano. Pachitatu, ndalama zimafunika kugula pampu ya insulin kenako ndikupereka zomwe zingagwiritsidwe ntchito.

Kutalika kwa singano ndi makulidwe

Mfundo ina posankha syringe. Mukufuna kusankha ma syringe ndi singano yokhazikika. Chifukwa chake, sipadzataya insulin, yomwe imatha kutayikira ngati singano sikukhala mwamphamvu.

Chofunika kwambiri ndikusankha kutalika ndi singano. Wochepetsetsa singano, kupweteka kwambiri jakisoni. Makulidwe a singano akuwonetsedwa ndi kalata G. Pali ma singano okhala ndi makulidwe amtundu wa G33 (0.33 mm), G32 (0.32 mm), G31 (0.31 mm), ndi singano zopyapyala komanso makulidwe a 0.30 mm (G30) ndi 0.29 mm (G29) kapena ngakhale 0.25 mm (G25)

Kutalika kwa singano kumatha kuyambira 4 mm mpaka 12-14 mm. Ngati munthu ali ndi minofu yoyera ya adipose, ndiye kuti masingano a kutalika kwa 8-12 mm amagwiritsidwa ntchito. Ngati uyu ndi mwana kapena munthu wowonda, ndiye kuti kugwiritsa ntchito singano zazifupi za 4-6 mm ndizabwino. Ngakhale singano zazifupi ndizoyeneranso kwa anthu olimba.

Njira yoperekera insulin ndi syringe ya insulin ndiyosavuta.

Sambani m'manja pamaso jakisoni aliyense.

Onetsetsani kuti kulemba kwa insulin ndi syringe.

Tsamba la jakisoni wokhala ndi mowa sayenera kuthandizidwa ndi mowa kapena antiseptic ina. Mutha kufinya ndi thonje la mowa mutatha jakisoni, ngati magazi atuluka. Kanikizani tsamba lanu jekeseni kwa masekondi angapo kuti pasapezeke mitundu yopweteketsa.

Ngati mugwiritsa ntchito singano kutalika kwa 12 mm kapena kupitilira, ndiye kuti muyenera kupanga khola, osalanda minofu. Jakisoni amaikidwa mu tinthu tating'onoting'ono tokulumikizira madigiri 45. Ngati singano kutalika ndi 8-10 mm, ndiye pangani khola, koma mutha kuyiyika molumikizana. Ngati singano ndi 4-6 mm, ndiye kuti ma crease akhoza kutayidwa paliponse ndikuyikidwa paliponse. Ana amafunika kupukutira khungu lanu pakhungu lililonse.

Werengani mpaka 20, osachotsa singano pakhungu, ndipo mukachotsa singano, titero ,zungulira Chifukwa chake mudzapewa kutaya kwa insulin pambuyo pa jakisoni.

Ma syringe otayika samalimbikitsidwa kuti azigwiritsidwa ntchito ndi ana osaposa zaka 12, komanso odwala omwe ali ndi vuto lochepa, pofuna kupewa zolakwika zazikulu pakupanga insulin. Nanga amaperekanso insulin motani?

Makina odziletsa a insulin

Ma syringe otomata otayika amachotsa masheya amsika pamsika wogulitsa. Ndipo onse chifukwa kugwiritsa ntchito zida zotere ndi kosavuta kwambiri. Ngakhale mwana amatha kugwiritsa ntchito cholembera cha syringe, osanenapo odwala akulu ndi anthu omwe ali ndi vuto lowona.

Cholembera cha insulin ndi makina omwe insulin ili kale mkati mwa cholembera. Mbale za insulin zimatchedwa ma cartridge kapena penfill. Pa dzanja limodzi pali ulusi wokhotera singano, mbali inayo pali pisitoni yokhala ngati gudumu, lomwe, likapendekeka, limadula nambala ya insulin yofunika.

Ma cholembera a syringe adapangira insulini yokhala ndi kuchuluka kwa 100 u / ml. Ndipo ma cartridge amapezeka kokha ndi kuchuluka kwa 100 u / ml, kotero sikudzakhala chisokonezo pano. Cartridges amapezeka mu 3 ml, kotero mu botolo limodzi la 300 ma insulin.

Poyambirira, chogwirira sichikuwonongeka, makatoni amagulitsidwa mwamphamvu mumakina a jakisoni ndipo mutha kuwapeza pongowononga chogwirira chokha. Mapeto a insulini mkati mwake, cholembera amatayidwa. Mapensulo oterowo amatchedwa FlexPen for Novorapid ndi Levemir, QuickPen for Humalog, SoloStar for Apidra, Lantus, Insuman Bazal ndi Insuman Rapid. Kampani iliyonse ili ndi dzina lake.

Pachiwonetsero chachiwiri, zolembera za syringe zimatha kugwiritsidwa ntchito mobwerezabwereza, chifukwa zimatha kuwonongeka ndipo cartridge ikhoza kuyikidwa mosavuta mu slot yapadera.

Gawo la ma syringe pensulo mu mayunitsi a 1.0 kapena 0,5. Zolembera zotayika zimakhala ndi mayunitsi 1.0 okha.

• Kwa insulin Humalog, Humulin R, Humulin NPH, Humalog Remix pali cholembera cha HumaPen Luxura kapena HumaPen Ergo2 chokhala ndi masitepe a 1.0. Komanso HumaPen Luxura DT mukuwonjezeka kwa mayunitsi 0,5. Cholembera chanzeru cha Humapen Memoir chokhala ndi gawo la mayunitsi 1.0 chimakumbukira nthawi ndi mlingo wa insulin yomwe idagulitsidwa (osati yogulitsa ku Russia).
• Kwa ma insulins Lantus, Apidra, Insuman Bazal ndi Insuman Rapid, cholembera cha OptiPen Pro ndi Opticlik chikugwiritsidwa ntchito pazowonjezera za mayunitsi 1.0. Yang'anani! Makatoni a zolembera izi amagwiritsidwa ntchito mosiyanasiyana. Optiklik amagwiritsidwa ntchito kokha kwa Lantus ndi Apidra. Sizikudziwika bwino chifukwa chake izi zidachitidwa, koma izi ziyenera kukumbukiridwa.

Kwa Novorapid, Levemir, Novomix, Actrapid, ndi Protafan insulins, cholembera cha syvoge ya NovoPen imagwiritsidwa ntchito kwa maola 4 mu 1.0 unit kukuza ndi NovoPen Echo (amakumbukira nthawi yoyenera ya kasamalidwe ka mankhwala) mu mayunitsi 0,5.

• Kwa Russia biosulin insulin, syringe ya Biomatik Pen imagwiritsidwa ntchito ndi gawo la mayunitsi 1.0. Muthanso kugwiritsa ntchito zolembera za Autopen Classic pakukula kwa magulu a 1.0 ndi 2.0

• Kwa insulin Gensulin yaku Chipolishi, cholembera chokhala ndi chidutswa cha 1,0 chomwe chidadya Gensu pen chimapezeka. Muthanso kugwiritsa ntchito zolembera za Autopen Classic mu 1.0 ndi 2.0.

• Palibe zolembera zapadera za Rinsulin insulin. Imapezeka m'mapensulo otayika a RinAstra. Ndipo ma cartridge ndi oyenera kupangira cholembera HumaPen Luxura kapena HumaPen Ergo2. Mutha kugwiritsanso ntchito zolembera za Autopen Classic pakukula kwa magulu a 1.0 ndi 2.0

Popeza Lantus, Apidra ndi Insumanov firm SanofiAvensis palibe zolembera pakukula kwa mayunitsi 0,5, mutha kugwiritsa ntchito cholembera cha Huma Pen Lux HD pakukula kwa mayunitsi 0,5 Pokhapokha muyenera kupopera mafuta okwana 20 a insulin. Mwanjira imeneyi, cartridge ya insulin imayenda bwino ndi cholembera cha wina.

Tsoka ilo, cholembera cha NovoPen Echo chokhala ndi mayunitsi 0,5 sichoyenera kuchita izi, koma amisiri ena adasinthasintha. Komabe, izi zimakhala ndi chiopsezo pakusankha molakwika wa insulin. Mutha kupeza izi mu mabungwe a shuga.

Pakadali pano, ku Russia, Novorapid ndi Levemir amaperekedwa ku FlexPen kokha. Popeza a FlexPenes sakhala olondola muyezo komanso amabwera mu kukuza kwa mayunitsi 1.0, mutha kuchotsa katoniyo ndikutaya cholembera ndikukhazikitsanso NovoPen 4 kapena NovoPen Echo mu cholembera chanu. Pankhaniyi, muyenera kuwononga chimbudzi chotayika. Onani zambiri za momwe mungachitire izi pamapulogalamu.

Kodi ndi masingano ati omwe amafanana ndi zolembera?

Mfundo zoyendetsera masingano a insulin oyang'anira ndizofanana ndi za syringe zotayika, zomwe ndidalemba pamwambapa. Wocheperako komanso wocheperako singano amakhala bwino.

Singano za BD microfine kuphatikiza ndizosiyanasiyana ndipo ndizofanana ndi zolembera za kampani iliyonse.

Njira yoperekera insulin ndi zolembera za syringe ndi yosiyana kwambiri ndi njira yoperekera ma insulin ma syringes. Mumangodula kuchuluka kwa ma insulin omwe mukufuna, koma kumbukirani ndi gawo lomwe muli nalo cholembera.

Chifukwa chake, mwaphunzira chinthu chofunikira kwambiri chogwiritsira ntchito ma insulin syringes ndi ma syringe a shuga. Chifukwa chake, samalani, chifukwa palibe njira zoyenera zoperekera insulin. Amakhulupirira kuti kuyambitsa insulini yokhala ndi ma syringe ndi kolondola kuposa kugwiritsa ntchito zolembera, koma zolembera za syringe ndizosavuta kugwiritsa ntchito. Koma iyi ndi nkhani ina komanso nkhani ina.

Insulin Syringe cholembera cha Insulin Therapy

Chithandizo cha insulin chimaperekedwa kwa onse odwala omwe ali ndi mtundu woyamba wa matenda osokoneza bongo komanso odwala omwe samadalira insulin. Posachedwa, odwala matenda ashuga ochulukirapo amagwiritsa ntchito majakisoni opangira nzeru - zolembera.

Iyi ndi njira yosavuta kwambiri komanso yothandiza ngati njira yothandizira kutaya jekeseni. Syringe yamtunduwu imasankhidwa chifukwa chophweka komanso chitetezo.

Cholembera cha insulin chimachepetsa kwambiri moyo wa wodwala yemwe ali ndi matenda ashuga, amapangitsa kuti jakisoni asakhale ovuta komanso osapweteka. Wodwalayo amatha kudzipatsanso jakisoni pafupifupi kulikonse, osakopa chidwi cha ena.

Monga mukuwonera pachithunzichi, syringe yamtunduwu imadziwika kuti ndi cholembera chokhazikika. Chifukwa chake, chida ichi chimadziwika pakati pa odwala matenda ashuga omwe ali ndi moyo wokangalika omwe safuna kutsatira matenda awo.

Kodi cholembera ndi chiyani?

Ino ndi injinine yodziyimira yokha yopanga mankhwalawa. Pazithandizo zadzidzidzi, zolembera za syringe zimagwiritsidwa ntchito kupangira jakisoni mitundu ingapo ya mankhwala. Mitundu ya insulin ndi ya insulin yokha.

Zida zachilendo za chipangizochi ndi:

• kupezeka kwa njira yabwino yopangira mahomoni (mawilo mawotchi),
• kuphatikizika kwamawu omasulira (kusintha dinani gawo lililonse),
• kuvala kosavuta, kwachangu komanso kowoneka bwino (palibe chifukwa chotolera insulin kudzera m'botolo, kumuboola ndi singano),
• kukanikiza kwa ma horoni a konzekera (kosavuta kuposa kayendetsedwe ka piston kwa odwala omwe akuwopa jakisoni),
• singano yopyapyala komanso yochepa (jakisoni sakhala wopanda ululu, kupopera pang'ono komanso kuya kosaya - mwayi woperewera kulowa minyewa).

Zachidziwikire, mwayi waukulu wa jakisoni wamakono ndizothandiza zake. Ndi chipangizo chotere, majakisoni amatha kuchitidwa pamsewu, patchuthi, kuntchito. Palibe chifukwa chotengera insulini, ngakhale m'chipinda chosayatsidwa bwino ndikosavuta kulowa muyezo wa mahomoni. Kuphatikizira kumveka kwa kagwiritsidwe ka ntchito kamene kumapangitsa chipangizocho kukhala chofunikira kwa anthu omwe ali ndi vuto lowona.

Kukula kwa ma syringes amtunduwu ndikufanana ndi kukula kwa cholembera cha kasupe kokhazikika. Majekesi amoto ndi achepetsa, opepuka, chifukwa chake amakhala wosavuta kunyamula. Anthu ozungulira sangathe kudziwa cholinga cha chida. Mitundu yosiyanasiyana imakhala ndi mtundu wosangalatsa kapena kapangidwe ka laconic monophonic.

Chida ichi ndi choyenera kwa ana ndi okalamba, popeza sizifunikira maluso apadera kuchokera kwa wodwala. Kugwiritsa ntchito mankhwala a insulin mwachizolowezi kumaphatikizapo kuphunzitsira wodwalayo maluso a wothandizira zaumoyo. Ndi cholembera cha insulin, kukonzekera koteroko sikofunikira. Ngati wodwala sangathe kuyika bwino singano, mutha kusankha chida chokhala ndi chipangizo chodziwira chokha.

Chida chopangira majakisoni

Kapangidwe ka cholembera ka insulini nkovuta kwambiri kuposa syringe wamba. Zitha kusiyana pamtundu wa chipangizocho (zida zamagetsi kapena zamagetsi) ndi wopanga. Mwanjira yapamwamba, chida chopangira jakisoni chimaphatikizapo zinthu monga izi:

• mlandu (pulasitiki wouma kapena chitsulo),
• katoni yomwe ingasinthidwe ndikukonzekera insulini (kuchuluka kwa botolo kumawerengeredwa pafupifupi magawo 300 a mahomoni),
• singano yotayidwa yokhala ndi kapu yoteteza,
• batani lamasulidwe (ndi adjuster ya mlingo),
• makina operekera mankhwala,
• pazenera
• kapu yokhala ndi chosungira.

Zipangizo zambiri zamakono zili ndi pulogalamu yamagetsi, yomwe imawonetsa chidziwitso chofunikira, monga chizindikiro cha chidzalo, mpango womwe uli. Ena amakhala ndi ntchito yokumbukira.

Chida chothandiza kwambiri ndi latch yomwe imateteza motsutsana ndi kuyambitsa kwa kuchuluka kwa mankhwalawa. Chizindikiro chomveka cha kutha kwa jakisoni chimapangitsanso kuti mankhwala a insulin akhale omasuka kwa wodwalayo.

Momwe mungagwiritsire ntchito syringe?

Musanayambe kugwiritsa ntchito chida chatsopano cha jakisoni, muyenera kufunsa dokotala. Ndikofunika kuyendera katswiri musanagule chipangizocho.

Dokotala amalangizira mitundu yoyenera kwambiri, ndikukuwuzani momwe mungagwiritsire ntchito chipangizocho molondola. Ngakhale kuti kugwiritsa ntchito zowonjezerapo kukhala kosavuta, maluso ena ndi ofunikabe. Muyenera kuphunzira momwe mungasinthire katiriji ndikuyika singano.

Mlingo uyeneranso kukonzedwa ndi dokotala.

Kugwiritsa ntchito jakisoni kumaphatikizira kudzilowetsa ndi singano pansi pa khungu (kupatula zida zomwe zili ndi makina oboola okha). Malamulo a jakisoni wokhala ndi syringe yachilendo ndi othandizanso cholembera.

Jakisoni amachitika m'malo opaka mafuta pang'ono. Kufupikitsa singano, kukulitsa lingaliro lakukhazikika (mpaka malo a perpendicular). Madera oyenera kwambiri oyendetsera mahomoni ndi m'mimba, ntchafu, ndi phewa. Ayenera kusinthidwa. Mtunda wovomerezeka pakati pa jakisoni awiri wotsatira ndi masentimita 2-3.

Njira yogwiritsira ntchito cholembera imatha kusiyanasiyana kutengera mtundu wa chipangizocho. Koma zosiyana izi ndizochepera. Kwenikweni, malangizo ogwiritsa ntchito chipangizochi amawoneka chonchi.

1. Chotsani chophimba. Onani mankhwala mukatoni.
2. Ikani singano yotayika, ndikuiteteza ku chipangizocho. Monga lamulo, chimakhazikika ndi kupotoza.
3. Tulutsani jakisoni kuchokera ku thovu lakumalo ndikukanikiza batani pamalo pomwe pali zouza. Dontho liyenera kutuluka kumapeto kwa singano.
4. Sinthani mlingo pogwiritsa ntchito batani la metering. Onani kukhazikitsa koyenera kwa owongolera.
5. Ikani singano mosadukiza. Kanikizani batani loyendetsera mahona basi.Chotsani singano mutayamwa mankhwala (masekondi 10).

Musanayambe kubayidwa, muyenera kudziwa mulingo wamagazi anu. Malo a jakisowa suyenera kuthandizidwa ndi mowa, ingochotsani ndi sopo ndi madzi. Chifukwa chachilendo cha chipangizocho chokha-jakisoni kugwiritsa ntchito kwake kumaloledwa ngakhale kudzera mu zovala za wodwalayo.

Kodi ndimafunikira kangati kuti ndisinthe ma cartridge, singano zama cholembera?

Jakisoni wamtunduwu, ngakhale amatha kusinthika, mosiyana ndi zida wamba zamankhwala othandizira, zina zake zimatha kuwonongeka. Kuti mugwiritse ntchito kamodzi, masingano ndi makatiriji amapangidwa. Kusiyanitsa kokhako ndikuti botolo limodzi limakhala kwa nthawi yayitali (mkati mwake 3 ml ya mankhwalawo). Singano ndiyoyenera jakisoni imodzi.

Kufunika kochotsa malaya munthawi yake ndi insulin ndikuwonekeratu. Ikani botolo latsopano mutathira yoyamba. Koma pali zina zomveka.

Monga tikudziwika, insulin ya kutentha kwa chipinda imagwiritsidwa ntchito pozungulira. Zikatero, zitha kusungidwa osaposa mwezi umodzi. Izi zikutanthauza kuti kusintha kwa botolo mu jakisoni kumayenera kukhala pamwezi.

Sungani makatoni ogwiritsira ntchito ena mufiriji kuti muwonjezere moyo wawo.

Ponena za singano, odwala ambiri, makamaka omwe ali ndi mbiri yayitali ya matenda, amagwiritsa ntchito mobwerezabwereza. Apa ndipomwe ngozi zake zimagona.

Pambuyo pa jakisoni wachisanu, singano imakhala yofewetsa kotero kuti kupopera kumayendetsedwa ndi kusokonezeka kooneka, jakisoniyo amakhala wopweteka kwambiri.

Kuphatikiza apo, mwanjira imeneyi khungu limavulala kwambiri, ndipo kwa odwala matenda ashuga sizovomerezeka. Mosakayikira, zovuta za njirayi zilinso ndi funso.

Momwe mungasankhire jakisoni wa insulin

Pogula, yang'anirani magawo awa:

• gawo logawa (pazida zamakono ndi gawo limodzi kapena 0,5),
• mulingo wopakidwa (mawonekedwe ayenera kukhala akulu komanso omveka bwino, manambala ayenera kusiyanika mosavuta),
• mtundu wa singano (kutalika kokwanira 4-6 mm, kochepa thupi momwe mungathere, kukulitsa kolondola ndi kukhalapo kwa kupangira kwapadera kumafunika),
• serviceability yamakina onse.

Magwiridwe a chipangizocho ndi vuto laumwini. Wodwala aliyense ali ndi zomwe akufuna kuchita pamalopo. Zipangizo zam'makalasi ndizokwanira ena, pomwe ena akufuna ntchito zowonjezera. Mawonetsero omwewo pakompyuta akhoza kuphatikizira mosavuta, ngati chophatikiza ndi chotulutsira.

Lamulo lalikulu pakugula jakisoni ndikugula kokha kuchokera kwa opanga odalirika. Ichi ndi chida chofunikira kwa munthu wodwala matenda ashuga yemwe ayenera kukhala amtundu wapamwamba komanso wodalirika. Sankhani opanga omwe ali odalirika.

Osowa insulin jakisoni

Zipangizo zopanda singano zoperekera insulin mosakayikira ndizopeza anthu omwe akufuna kuchepetsa ululu (ngakhale ndi singano zamakono za caliberi yaying'ono, mwachidziwikire, zomverera za jakisoni zitha kufananizidwa), kapena akuvutika ndi acupuncture.

Mmodzi mwa oyimira woyamba a zida za gululi anali Medi-Jector Vision kuchokera ku Antares Pharma, yomwe idasamutsa mphamvu zake ku Minnesota Rubber & Plastics.

Mkati mwa jakisoni (mtundu wa 7 wopezedwa bwino) pamakhala kasupe yemwe amakankhira insulin kudzera pabowo loonda kwambiri pamphepete mwa syringe yopanda tanthauzo.

Gawo lama cartridge ogwiritsa ntchito limodzi ndiwotuluka ndipo limapangira jakisoni 21 kapena masiku 14 (chilichonse chimabwera koyamba). Chipangizocho chimakhala cholimba, ndipo, malinga ndi wopanga, chitha zaka zosachepera ziwiri.

Mtundu woyambirira wa chipangizocho unali ndi zigawo zazitsulo ndipo zimalemera kwambiri, tsopano magawo ambiri adasinthidwa ndi apulasitiki, nkhani ya kusakhazikika ndi kuzama kwa insulini idaganiziridwa (pali ma nozzles atatu apadera, wogwiritsa ntchito amasankha yoyenera). Mtengo wa zovuta zake ndi $ 673.

Chipangizo chofananacho ndi injuJet injector (pachithunzichi). Mfundo za kayendetsedwe kake ndizofanana, mawonekedwe a chipangizocho, omwe amapanga thupi, adapter yoyendetsera insulin ndi adapter yowonjezera kuchokera ku vial ya insulin (3 kapena 10 ml):

- kuthekera kobweretsa mtundu wa magawo anayi mpaka 40,

- mulifupi mwake ndi 0,15 mm,

- yogwirizana ndi ma insulin onse omwe alipo pamsika,

- nthawi yoyendetsa insulin ndi 0,3 sec. (pamalangizo a kanema omwe aperekedwa patsamba la opanga, muyenera kudikiranso masekondi ena 5 mutapanga "jakisoni").

Mtengo wa nkhaniyi ndi $ 275.

Njira zosafunikira za Pharmajet ndi J-Tip, monga zida zoperekera insulin mwachindunji, sizinafotokozeredwe (kupereka katemera, makonzedwe a lidocaine akutchulidwa), koma lingaliro lofananako.