KULENGA KWA CHIPANGIZO CHA INSULIN NDIPO MALO OGULITSIRA INSULIN

Makulidwe a insulin ndi njira yabwino. Mankhwala osokoneza bongo amatha kupangitsa kuti mukomoke kwambiri chifukwa cha kuchepa kwambiri kwa shuga m'magazi.

Makonzedwe osakwanira kapena insulin yokwanira amatha kukulitsa zizindikiro za kuchepa kwa insulin - hyperglycemia. Chifukwa chake, mlingo wa insulin uyenera kuwerengedwa mosamala.

Njira yotulutsira insulin ndi mabotolo pomwe 100 ml ili 1 ml. Pakadali pano, syringes yapadera imalimbikitsidwa pakukhazikitsa insulin.

Gawo la Insulin Syringes magawo 100 amagwiritsidwa ntchito motalika, ndipo gawo lililonse limafanana ndi insulin.

Kuti muthe kujambula bwino insulin mu syringe yopanda insulini yokhala ndi 1,8.0.0 ml, muyenera kuwerengera kuchuluka kwa insulini m'mililita: insulin yanyumba imapangidwa mu viba za 5.0 ml (mu 1 ml ya mayunitsi 100). Timapanga gawo:

hml - kumwa mankhwala

x = 1 • kumwa mankhwala / 100

Pakadali pano, "syringes ya cholembera" imagwiritsidwa ntchito kupangira insulin, yomwe ili ndi chitsulo chapadera ("cartridge" kapena "penfill") ndi insulin, pomwe insulin imalowera minofu yaying'ono pomwe batani limakankhira kapena kutembenuka. Mu cholembera, jekeseni isanakwane, muyenera kukhazikitsa mlingo womwe mukufuna. Kenako singano imayikidwa pansi pa khungu ndipo mlingo wonse wa insulin umayendetsedwa ndikanikiza batani. Zosungirako zama insulin / makatoni amtundu wa insulin ali ndi mawonekedwe (1 ml ya 100 PIECES).

Palinso ma syringe okha amtundu wa insulin yochepa, komanso a insulin yowonjezera, komanso kuphatikiza insulin.

Onetsetsani kuti mwawerengera mosamala malangizo ogwiritsa ntchito cholembera, popeza mitundu yawo imakonzedwa mosiyanasiyana.

Zida: onani "Kukonzekeretsa malo ogwirira ntchito ndi manja kugwiritsa ntchito syringes", "Kuphatikiza syringe yonyansa", "Kudzaza syringe ndi mankhwala kuchokera ku ma ampoules ndi mbale", phantom kuti jekeseni wofinya, insulini, insulin.

Malamulo osakaniza ma insulini osiyanasiyana mu syringe

Kugwiritsa ntchito mitundu yosiyanasiyana ya insulini mosamala mosamala kwambiri kumathandizira kwambiri kuchuluka kwa shuga m'magazi kuposa kupatsirana kwofananira kwa insulin. Komabe, posakaniza ma insulin osiyanasiyana, kusintha kwawo kwazomwe zimachitika ndizotheka, zomwe zimawoneka mwa zochita zawo.

Malamulo osakaniza ma insulin osiyanasiyana mu syringe:

woyamba kuphatikizidwa ndi syringe ndi insulin yochepa, yachiwiri mpaka pakati,
insulin yocheperako komanso yapakatikati NPH-insulin (isofan-insulin) atasakanikirana ikhoza kugwiritsidwa ntchito nthawi yomweyo ndikusungidwa kukonzekera kwotsatira.
Insulin yokhala ndiifupi siyenera kusakanikirana ndi insulin yokhala ndi kuyimitsidwa kwa zinc, chifukwa nthaka yochepa kwambiri imasinthira insulin "yayifupi" kukhala insulini yochepa kwambiri. Chifukwa chake, ma insulin amenewa amaperekedwa padera ngati mawonekedwe a jekeseni awiri am'madera a khungu omwe adalekanitsidwa ndi 1 cm,
mukasakanikirana mwachangu (lispro, aspart) ndi ma insulin omwe amakhala nthawi yayitali, kuyambitsidwa kwa insulin yofulumira sikuchepetsa. Kuchepetsa ndikotheka, ngakhale sizikhala nthawi zonse, posakaniza insulin yofulumira ndi NPH-insulin. Kusakaniza kwa insulini yofulumira ndi sing'anga kapena yolimbitsa thupi kwa nthawi yayitali imaperekedwa kwa mphindi 15 musanadye,
Kutalika kwapakati NPH-insulin sikuyenera kusakanikirana ndi insulin yayitali yokhala ndi kuyimitsidwa kwa zinc. Zotsatira zake chifukwa cha kuyanjana kwamankhwala kumatha kulowa insulini yocheperako mosakonzekera pambuyo pakukonzekera,
wokhala ndi insulin wofanana ndi glirgine komanso chizindikiritso chake sichiyenera kusakanikirana ndi ma insulini ena.

Ndikokwanira kupukuta malo a jakisoni wa insulin ndi madzi ofunda ndi sopo, osati ndi mowa, womwe umawuma ndikukulitsa khungu. Ngati mowa umagwiritsidwa ntchito, ndiye kuti uyenera kutuluka kwathunthu kuchokera pakhungu usanalowe.

Pamaso jakisoni, ndikofunikira kuphatikiza khungu lanu ndi mafuta osakanikirana ndi chala chachikulu. Singano imamatira m'mphepete mwa khola ili madigiri 45-75. Kutalika kwa singano zamatumba a insulin omwe angathe kutayidwa ndi 12-13 mm, chifukwa chake, pamene singanoyo idalowetsedwa pakhungu, insulini idzabayidwa kudzera m'mitsempha, makamaka mwa anthu ochepa thupi. Mukamapereka Mlingo waukulu wa insulini pakukoka, ndikofunikira kusintha njira ya singano, ndipo ndikatulutsa, tembenuzirani syringe pang'ono kuzungulira mphuno yake kuti insulini isayende m'mbuyo kudzera mu njira ya singano. Zilonda siziyenera kuchepetsedwa panthawi ya jakisoni, singano iyenera kuyikiridwa mwachangu.

Pambuyo pakubaya insulin, muyenera kudikirira masekondi 5 mpaka 10, kuti insulini yonse imalowetsedwa pakhungu, kenako, osatambasulira zala zanu, chotsani singano. Izi ndizofunikira makamaka pakubaya insulini wokhala ndi nthawi yayitali, komanso ma insulini osakanikirana (ophatikizidwa).

"Momwe mungagwiritsire ntchito syringe ya insulin" ndi zolemba zina kuchokera ku gawo la matenda a Pancreatic

Mlingo wa insulin ndi ma syringes u 40 ndi u 100 - shuga - malo azachipatala

Ambuye ali nanu, palibe 5 ml. Ma insulin onse a 1 ml! Yang'anirani mosamala!

Simumalemba pa ml, mumalemba mayunitsi, ndiosavuta.

Ngati muli ndi U 40, ndiye kuti pali sikelo: 5, 10, 15, 20, 25, 30, 35, 40 Units (mayunitsi) ndipo mulingo wake ndi 1 ml

Pa U 100, sikelo: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100 Units ndipo mulingo uwu ndi 1 ml.

Muli ndi kukonzekera: 1 ml = 100 mayunitsi
Mukufuna magawo 6.
Timapanga gawo:
1 ml - 100 mayunitsi
X ml - 6 mayunitsi

Kuchokera pagawo lomwe timapeza kuchuluka kwa ml: 6 times 1 ndikugawidwa ndi 100, tikupeza kuti muyenera kulowa 0.06 ml ya Humulin-100 yanu.

Simumamwa kuchuluka kwa mamililita ndi ma 40 a ma insulin, ndipo simukuchifuna, muli ndi cholinga m'mayunitsi, ndiye kuti simugwiritsa ntchito sikelo ya "ml", koma muyeso wa "Units".

Mu syringe U 100 (1 ml - 100 PIECES pa syringe lonse ndipo Humulin wanu alinso 1 ml - 100 PIECES) mpaka pamndandanda woyamba wa ma PIECES pali magawo asanu (5 x 2 = 10), i.e. Gawo limodzi limafanana ndi zigawo ziwiri za insulin. Mukufuna magawo 6, kenako magawo atatu ang'onoang'ono. Simungathe kufikira zigawo 10 pa syringe iyi. Mankhwalawa adzakhala pachiyambi cha syringe mbiya, droplet.

Mu syringe ya U 40, magawikawa amawerengedwa chimodzimodzi, mulinso 1 ml mu syringe, koma ngati mutayika 1 ml ya Humulin-100 yanu mu syringe iyi, ndiye kuti mu syringe simudzakhala PISCES 40, monga momwe zalembedwera pamlingo, koma 100 PISCES, chifukwa chanu mankhwalawa ali ndi mankhwala a insulin. Chifukwa chake mufunika kuwonjezera kuwerengera muyeso m'magawo molingana ndi formula: 40 nthawi 6 ndikugawa ndi 100 = 2.4, zomwe muyenera kuyimba pamiyeso ya syringe U 40.

Popeza labu loyambirira mu syringe iyi ndi ma PIERES A 5, ndipo muyenera kuyimba ma PIERES 2.4, ndiye muyenera kuyimba theka kuti lilembedwe pa PISCES 5 pa syringe iyi (komanso mankhwala owonjezera kumayambiriro kwa syringe). Ndipo ali ndi gawolo: gawo limodzi - gawo limodzi (mizere isanu mpaka 5). Chifukwa chake, mikwingwirima iwiri ndi theka yopumira pakati pa mikwingwirizo yolembedwera syringe, _pakati pa syringe_ iyi ya Humulin yomwe mudayimira idzalingana ndi 6 PIECES. Hafu iyi ndiyovuta kutenga, chifukwa mumafunikira mayunitsi owonjezera a 0,4. Malinga ndi syringe ya U 40, izi sizoyenera kugawidwa, chifukwa chake mufunika ma syringe a U 100 a seti ya 6 PISCES ya Humulin 100.

Mlingo ndi Ma insulin

Chifukwa chake, anthu .. Lekani kusokoneza anthu. Tengani syringe ya insulin ya 100U ndikuwerengera mosamala kuchuluka kwa magawo ang'onoang'ono. Nthawi zambiri pamakhala magawano 50, magawo asanu pakati pa zilembo za 10,20,30,40,50,60,70,80,90,100. Si millilita awa ndi ma insulin magawo a insulini pamsasa wa mayunitsi zana ! Gawo limodzi laling'ono ndi 0,02 ml Ndipo nthawi zina zowonjezera kuchuluka pamamiloni zana a millilita (osawoneka amoyo), m'magawo zana limodzi, ndiye, mwachizolowezi, pakati pa magawo akulu khumi. Chifukwa chake, ndikufotokozeranso mosamalitsa - kuwerengera magawo ang'onoang'ono angati mu syringe ndikugawa 1 ml. pa chiwerengero chimenecho.
Wolemba: August 05, 2008, 00.51: 15 Ngati amawerengera ndi kuchuluka ndi insulin mayunitsi , ndiye 0,1 ml. ndi 5 magawano. Ngati mungawerengere kuchuluka kwa mamilionito ndiye 10 magawano.
ps Ndani samamvetsetsa bwino nkhani yama insulin unit, chonde osalankhula .. ayi, tonse tili osokonezeka kwathunthu pano ...
Yolembedwa pa: Ogasiti 05, 2008, 00.55: 00 http://rat.ru/forum/index.php?topic=7393.msg119012#msg119012
http://rat.ru/forum/index.php?topic=17089.msg324696#msg324696
Yolembedwa pa: Ogasiti 05, 2008, 01.07: 34 Uku ndi syringe wa insulin pa mayunitsi zana. Pa iye ndi muyeso m'magulu a insulin. Magawo 10 akulu, magawo asanu m'likulu lililonse:

Njira yotsika mtengo kwambiri yogwiritsira ntchito insulin kwa odwala matenda ashuga okhudzana ndi mahomoni ndi kugwiritsa ntchito ma syringe apadera. Amagulitsidwa athunthu ndi singano zazifupi zakuthwa. Ndikofunikira kumvetsetsa zomwe syulinge 1 ml amatanthauza, momwe mungawerengere kuchuluka kwake. Odwala omwe ali ndi matenda ashuga amakakamizidwa kudzipweteka. Ayenera kudziwa kuchuluka kwamahomoni omwe amayenera kuperekedwa, motsogozedwa ndi zomwe zikuchitika.

Kupanga mankhwala

Kuti muwerenge insulin mu syringe, muyenera kudziwa yankho lomwe limagwiritsidwa ntchito. M'mbuyomu, opanga amapanga mankhwala osokoneza bongo omwe ali ndi 40 mayunitsi. Pamapaketi awo mutha kupeza chizindikiro cha U-40. Tsopano taphunzira momwe tingapangire madzi okhala ndi insulin kwambiri, momwe magawo zana a mahomoni amagwera pa 1 ml. Zopangira zoterezi zimalembedwa kuti U-100.

Mu U-100 aliyense, Mlingo wa mahomoniwo udzakhala wapamwamba kwambiri kuposa U-40.

Kuti mumvetsetse kuchuluka kwa ml yomwe ilili mu syringe ya insulini, muyenera kuwunika mankhwalawo. Zipangizo zosiyanasiyana zimagwiritsidwa ntchito jakisoni, amakhalanso ndi zilembo za U-40 kapena U-100 pa iwo. Njira zotsatirazi zimagwiritsidwa ntchito powerengera.

U-40: 1 ml muli magawo 40 a insulin, zomwe zikutanthauza kuti 0,025 ml - 1 UI.
U-100: 1 ml - 100 IU, zimapezeka, 0,1 ml - 10 IU, 0,2 ml - 20 IU.

Ndikosavuta kusiyanitsa zida ndi mtundu wa kapu pazingano: ndi voliyumu yaying'onoyo ndi yofiyira (U-40), yokhala ndi voliyumu yayikulu ndi lalanje.

Mlingo wa mahomoni amasankhidwa ndi dokotala payekhapayekha, poganizira momwe wodwalayo alili. Koma ndikofunikira kwambiri kugwiritsa ntchito chida chofunikira cha jakisoni. Ngati mupeza yankho lomwe lili ndi 40 IU pa millilita mu syringe ya U-100, motsogozedwa ndi kuchuluka kwake, zimakhala kuti wodwala matenda ashuga adzalowetsa insulini kawiri mu thupi kuposa momwe anakonzera.

Zowonera

Muyenera kudziwa kuchuluka kwa mankhwala omwe amafunikira. Zida za jakisoni zokhala ndi 0,3 ml zikugulitsidwa, zomwe ndizofala kwambiri ndi buku la 1 ml. Mulingo wofanana ndendende umapangidwa kuti anthu akhale ndi mwayi wopereka insulin.

Kuchuluka kwa jakisoni kuyenera kutsatiridwa poganizira kuchuluka kwa ml yomwe ikutanthauza gawo limodzi la chizindikiro. Choyamba, kuchuluka kwathunthu kuyenera kugawidwa ndi manambala akulu. Izi zidzakwaniritsa kuchuluka kwa aliyense wa iwo. Pambuyo pake, mutha kuwerengera magawo ang'onoang'ono angani imodzi yayikulu, ndikuwerengera ndi algorithm yofanana.

Ndikofunikira kuti musaganizire zingwe, koma mipata pakati pawo!

Mitundu ina imawonetsa kufunikira kwa gawo lililonse. Pa syringe ya U-100, pakhoza kukhala ndi malo 100, ogawanika ndi akulu akulu khumi ndi awiri. Ndikofunikira kuwerengera kuchuluka kwa iwo omwe mukufuna. Pakukhazikitsa 10 UI, ndikwanira kuyimba yankho kufikira nambala 10 pa syringe, yomwe ikufanana ndi 0,5 ml.

Ma U-40 nthawi zambiri amakhala ndi muyeso kuchokera pa 0 mpaka 40: gawo lirilonse limafanana ndi 1 unit ya insulin. Pakuyambitsa 10 UI, muyeneranso kuyimba yankho la nambala 10. Koma apa likhala 0.25 ml m'malo mwa 0.1.

Payokha, kuchuluka kwake kuyenera kuwerengedwa ngati omwe akutchedwa "insulin" agwiritsidwa ntchito. Ili ndi syringe lomwe silikhala ndi khungubwe 1 la yankho, koma 2 ml.

Kuwerengeredwa kwa zolemba zina

Nthawi zambiri, odwala matenda ashuga alibe nthawi yopita ku malo ogulitsa mankhwala ndikusankha mosamala zida zofunika za jakisoni. Kusowa kwa nthawi yoyamba kukhazikitsidwa kwa timadzi timeneti kumatha kuyipa kwambiri mu moyo wathu, makamaka muzovuta zomwe zimakhala zovuta. Ngati wodwala matenda ashuga ali ndi syringe yomwe ingayankhe pothana ndi vuto lina, muyenera kuchiziranso.

Ngati wodwalayo akuyenera kupereka ma UI 20 a mankhwalawo ndi kalembedwe ka U-40 kamodzi, ndipo ma syringe okha a U-100 amapezeka, ndiye kuti si 0.5 ml ya yankho yomwe ikuyenera kukokedwa, koma 0,5 ml. Ngati pamakhala maphunziro pamtunda, ndiye kuti nkosavuta kuyipeza! Muyenera kusankha UI 20 yomweyo.

Gwiritsani ntchito njira zina za insulin

Gawo lachiwiri la ASD - chida ichi chimadziwika bwino kwambiri kwa anthu ambiri odwala matenda ashuga. Ndizowonjezera zomwe zili ndi biogenic zomwe zimakhudza machitidwe onse a metabolic omwe akuchitika m'thupi. Mankhwalawa amapezeka m'matumbo ndipo amathandizidwa ndi odwala omwe samadalira insulin omwe ali ndi matenda a 2.

Gawo lachiwiri la ASD limathandizira kuchepetsa kuchuluka kwa shuga mthupi komanso kubwezeretsanso kugwira ntchito kwa kapamba.

Mlingo waikidwa m'madontho, bwanji nanga syringe, ngati sichokhudza jakisoni? Chowonadi ndi chakuti madzi samayenera kuyanjana ndi mpweya, apo ayi makutidwe ndi okosijeni amapezeka. Pofuna kuti izi zisachitike, komanso pakulondola polandila, ma syringe amagwiritsidwa ntchito poimbira.

Timawerengetsa madontho angati a ASD kachigawo 2 mu "insulin": magawo 1 amafanana ndi 3 tinthu timadziti. Nthawi zambiri kuchuluka kwake kumayikidwa kumayambiriro kwa mankhwalawa, kenako ndikuwonjezeka.

Mawonekedwe amitundu yosiyanasiyana

Pogulitsa pali ma syringe a insulini okhala ndi singano zochotsa, ndikuyimira kapangidwe kofunikira.

Ngati nsingayo ikagulitsidwa ku thupi, ndiye kuti mankhwalawo amachotsedwa kwathunthu. Ndi singano zosasunthika, omwe amatchedwa "akufa zone", pomwe gawo lamankhwala limatayika, palibe. Ndikosavuta kukwaniritsa kuti mankhwalawo atachotsedwa. Kusiyana pakati pa kuchuluka kwa ma typed ndi mahomoni ophatikizidwa amatha kufikira 7 UI. Chifukwa chake, madokotala amalangiza odwala matenda ashuga kugula syringe ndi singano zosasunthika.

Ambiri amagwiritsa ntchito jakisoni kangapo. Kuchita izi nkoletsedwa. Koma ngati palibe chosankha, ndiye kuti singano ndi mankhwala ophera tizilombo toyambitsa matenda. Kuyeza kumeneku ndikosayenera kwambiri komanso kovomerezeka pokhapokha ngati wodwalayo agwiritsa ntchito syringe ngati nkotheka kugwiritsa ntchito ina.

Ma singano a "ma insulin", mosasamala kuchuluka kwa ma cubes mwa iwo, amafupikitsidwa. Kukula kwake ndi 8 kapena 12,7 mm. Kutulutsidwa kwa zosankha zing'onozing'ono ndikosathandiza, chifukwa mabotolo ena a insulin ali ndi mapulagini akuda: simungangotulutsa mankhwalawo.

Kukula kwa singano kumatsimikiziridwa ndi chizindikiro chapadera: chiwerengero chimasonyezedwa pafupi ndi kalata G. Muyenera kuyang'ana pa iyo posankha. Wochepetsetsa singano, kupweteka kwambiri jakisoni. Popeza insulin imayendetsedwa kangapo tsiku lililonse, izi ndizofunikira.

Zoyenera kuyang'ana mukamapanga jakisoni

Vala iliyonse ya insulin ingagwiritsidwenso ntchito. Zotsalira zomwe zili mu ampoule ziyenera kusungidwa mosamala mufiriji. Asanayambe makonzedwe, mankhwalawa amawotha kutentha. Kuti muchite izi, chotsani chidebecho kuzizira ndikuyimilira pafupifupi theka la ola.

Ngati mukuyenera kugwiritsa ntchito syringe mobwerezabwereza, iyenera kuthilitsidwa

Ngati singano ikuchotsedwa, ndiye kuti mupeze mankhwala ndi kuyambitsa kwake, muyenera kugwiritsa ntchito mitundu yawo. Ndizosavuta kwa okulirapo kuti atolere insulini, pomwe ang'ono ndi owonda ndi bwino jakisoni.

Ngati mukufuna kuyeza magawo 400 a mahomoniwo, ndiye kuti mutha kuyimba m'magawo 10 olembedwa U-40 kapena 4 mwa U-100.

Mukamasankha chida choyenera cha jakisoni, muyenera kuganizira:

Kukhalapo kwa sikelo yosagwira thupi,
Gawo laling'ono pakati pamagawo
Makulidwe a singano
Zipangizo za Hypoallergenic.

Ndikofunikira kusungitsa insulin pang'ono (mwa 1-2 UI), popeza kuchuluka kumatha kukhalabe mu syringe yokha. Mahomoni amatengedwa mosadukiza: chifukwa chaichi, singano imayikidwa pakona ya 75 0 kapena 45 0. Mlingo wokonda izi umapewa kulowa m'misempha.

Akapezeka ndi matenda a shuga omwe amadalira insulin, endocrinologist ayenera kufotokozera wodwalayo momwe ayenera kuchitira timadzi timene timatulutsa. Ngati ana akhala odwala, ndiye kuti njira yonseyo imafotokozedwera kwa makolo awo. Kwa mwana, ndikofunikira kwambiri kuwerengera moyenera mlingo wa mahomoni ndikuthana ndi malamulo a kayendetsedwe kake, popeza kuchuluka kochepa kwa mankhwalawo kumafunikira, ndipo ndizosatheka kupewa kuchuluka kwake.

Masiku ano, njira yotsika mtengo komanso yofala kwambiri yobweretsera insulini m'thupi ndi kugwiritsa ntchito ma syringe omwe amatulutsa.

Chifukwa chakuti njira zoyambirira zamahomoni zomwe m'mbuyomu sizinapangidwe zimapangidwa, 1 ml inali ndi magawo 40 a insulini, motero mu mankhwala mungapeze ma syringe omwe amapangidwira kuchuluka kwa 40 / ml.

Lero, 1 ml yankho lili ndi magawo 100 a insulini; makina ake a insulini ndi magawo zana / ml.

Popeza ma syringes onse pano akugulitsidwa, ndikofunikira kuti odwala matenda ashuga amvetsetsetse mwatsatanetsatane kuti athe kuwerengetsa moyenera kuchuluka kwake.

Kupanda kutero, pogwiritsa ntchito kusaphunzira, hypoglycemia ikhoza kuchitika.

Zofunikira Kutalika

Pofuna kuti musalakwitsa muyezo, ndikofunikanso kusankha masingano a kutalika koyenera. Monga mukudziwa, ndi mitundu yochotsa komanso yosachotsa.

Masiku ano akupezeka kutalika kwa 8 ndi 12.7 mm. Sichifupikitsidwa kufupikitsa, popeza Mbale zina za insulin zimapangitsabe mapulagini okhuthala.

Komanso, singano zimakhala ndi makulidwe ena, zomwe zimasonyezedwa ndi kalata G ndi nambalayo. Dongosolo la singano limatengera momwe insulini imapwetekera. Mukamagwiritsa ntchito singano zopyapyala, jekeseni pakhungu silimamveka.

Ndi mtundu wa chida chosonyezera

Ma syringes a insulini amasiyanitsidwa ndi singano, kuwayika chizindikiro, kukula kocheperako komanso kugwiritsa ntchito pisitoni kosalala. Amabwera ndi mitundu iwiri ya singano:

Ubwino wamtundu woyamba ndikuti singano yayikulu ingagwiritsidwe ntchito kupangira mankhwala kuchokera ku vial, ndipo singano yopyapyala ikhoza kugwiritsidwa ntchito pakubaya palokha. Mapangidwe amtundu wachiwiri amadziwika kuti gawo lopyoza silimalumikizidwa. Izi zimakuthandizani kuti muthane ndi "gawo lakufa" (mahomoni otsalira pambuyo pa jekeseni wapitalo), omwe amawonjezera kulondola kwa mankhwalawa ndikuchepetsa zoopsa za zovuta.

Zolembera za insulin

Mlingo wa mankhwalawa umayikidwa mwachindunji kwa iwo, ndipo insulin imatengedwa kuchokera ku cartridgeges apadera, omwe amakupatsani mwayi kuti mugwiritse jakisoni mankhwala osiyanasiyana, osati kunyumba. Mlingo pakugwiritsa ntchito zida izi umakhala wolondola kwambiri, ndipo ululu womwe umabayidwa ndi jakisoni umakhala wosapweteka. agawidwa m'mitundu iwiri: yotayika komanso yosinthika. Chidebe chopanda kanthu chopanda ndi mankhwala sichingasinthidwe ndi chatsopano. Cholembera ichi ndi chokwanira pafupifupi 20 jakisoni. Pezanso kusinthika, katoni yomwe yatha ndikusinthidwa ndi ina.

Ma syringe amalinso ndi zovuta: ndi okwera mtengo, ndipo makatoni amitundu yosiyanasiyana ndiosiyana, omwe amaphatikizira kugula.

Maphunziro

Lero mu pharmacy mutha kugula syringe ya insulini, yomwe voliyumu yake ndi 0,3, 0,5 ndi 1 ml. Mutha kudziwa kuchuluka kwake ndikuyang'ana kumbuyo kwa phukusi.

Nthawi zambiri, odwala matenda ashuga amagwiritsa ntchito syringes imodzi ya 1 ml ya insulin, momwe mungagwiritsire mitundu itatu ya masikelo:

Muli magawo 40,
Muli mayunitsi zana,
Omaliza maphunziro a milliliter.

Nthawi zina, ma syringe omwe ali ndi mamba awiri nthawi imodzi angagulitsidwe.

Kodi mtengo wogawa umatsimikizika bwanji?

Gawo loyamba ndikudziwa kuchuluka kwa syringe yomwe, kuchuluka kwake kumawonetsedwa phukusi.

Kenako, muyenera kudziwa kuti ndi gawo limodzi lalikulu liti. Kuti muchite izi, voliyumu yonse iyenera kugawidwa ndi kuchuluka kwa magawo pa syringe.

Pankhaniyi, zophatikizika zokha zimawerengeredwa. Mwachitsanzo, syringe ya U40, kuwerengera ndi ¼ = 0.25 ml, ndipo kwa U100 - 1/10 = 0,1 ml. Ngati syringe ili ndi magawo mamilimita, kuwerengera sikofunikira, chifukwa chiwerengero chomwe chiikidwa chikuwonetsa kuchuluka.

Pambuyo pake, kuchuluka kwa magawidwe yaying'ono kumatsimikiziridwa. Pachifukwa ichi, ndikofunikira kuwerengera magawano ang'onoang'ono aliwonse pakati pa yayikulu. Komanso, kuchuluka komwe kumawerengeredwa koyamba kwa magawo akulu kumagawidwa ndi chiwerengero cha ang'ono.

Pambuyo mawerengero atapangidwa, mutha kusonkhanitsa kuchuluka kwa insulin.

Momwe mungawerengere kuchuluka kwake

Hemulini ya insulini imapezeka m'mapaketi amtundu uliwonse komanso yoyikika mu zigawo za zochita, zomwe zimapangidwa ngati magawo. Nthawi zambiri botolo limodzi lokhala ndi 5 ml limakhala ndi magawo 200 a mahomoni. Mukawerengera, zimapezeka kuti mu 1 ml yankho pali magawo 40 a mankhwalawa.

Kubweretsa insulin kumachitika bwino pogwiritsa ntchito syringe yapadera, yomwe imawonetsa magawanidwe m'mayunitsi. Mukamagwiritsa ntchito syringes yodziwika bwino, muyenera kuwerengetsa mosamala kuchuluka kwa magawo a mahomoni omwe amaphatikizidwa pagawo lililonse.

Kuti muchite izi, muyenera kuyang'ana kuti 1 ml ili ndi magawo 40, kutengera izi, muyenera kugawa chizindikiritsochi ndi kuchuluka kwa magawano.

Chifukwa chake, ndi chisonyezo cha gawo limodzi m'magawo awiri, syringe imadzaza m'magawo asanu ndi atatu kuti athe kuyambitsa magawo 16 a insulin kwa wodwala. Momwemonso, ndi chizindikiro cha magawo 4, magawo anayi ali odzazidwa ndi mahomoni.

Vial imodzi ya insulin imagwiritsidwa ntchito mobwerezabwereza. Njira yosagwiritsidwa ntchito imasungidwa mufiriji pa alumali, ndipo ndikofunikira kuti mankhwalawa asazizire. Pakakhala insulin yochita ntchito kwa nthawi yayitali, vial imasunthidwa isanayikidwe mu syringe mpaka ipangike chophatikizika chopanda pake.

Pambuyo pochotsa mufiriji, yankho lake liyenera kutenthedwedwa ndi kutentha kwa chipinda, kuyigwira kwa theka la ola mchipindacho.

Momwe mungayimbitsire mankhwala

Pambuyo pa syringe, singano ndi ma tileeza atasilidwa, madzi amathiridwa mosamala. Panthawi yozizira, zida zamtundu wa aluminiyamu zimachotsedwa pamkokomo, kankhumbayo amapukutira ndi yankho la mowa.

Pambuyo pake, mothandizidwa ndi ma tweezers, syringe imachotsedwa ndikusonkhanitsidwa, pomwe kukhudza piston ndi nsonga ndi manja anu ndizosatheka. Pambuyo pa msonkhano, poboweka singano ndikuikapo madzi otsala amachotsedwa ndikusindikizira piston.

Pisitoni iyenera kuyikidwa pamwamba pake pomwe pomwe mukufuna. Singano imalowetsa choletsa, kuti igwere masentimita 1-1,5 ndipo mpweya wotsalira mu singalowo umalowetsedwa. Zitatha izi, singano imadzuka pamodzi ndi vial ndi insulini imasonkhanitsidwa magawo awiri a 1-2 kuposa mlingo wofunikira.

Singano imatulutsidwa mumkangowo ndikuchotsa, singano yatsopano yopyapyala imayikidwa m'malo mwake ndi ma tweezers. Kuti muchotse mpweya, kupanikizika pang'ono kuyenera kuyikidwa kwa piston, pambuyo pake madontho awiri a yankho amayenera kukhetsa singano. Mankhwala onse akachitika, mutha kulowa insulin.

Mitundu ya Insulin Syringes

Syringe ya insulini imakhala ndi gawo lomwe limalola wodwala matenda ashuga kuti adziyimira pawokha kangapo patsiku. Singano ya syringe ndiyifupi kwambiri (12-16 mm), yothina ndi yopyapyala. Mlanduwo ndiwowonekera, komanso wopangidwa ndi pulasitiki wapamwamba kwambiri.

kapu ya singano
nyumba za cylindrical okhala ndi chizindikirocho
chosunthika piston kutsogolera insulin mu singano

Mlanduwo ndi wautali komanso wowonda, mosaganizira wopanga. Izi zimakuthandizani kuti muchepetse mtengo wamagawo. M'mitundu ina ya ma syringe, ndi mayunitsi 0,5.

Momwe mungasankhire syringe yamtengo wapatali

Mosasamala mtundu wa jakisoni yemwe mumakonda, muyenera kuyang'anira kwambiri mawonekedwe ake. Chifukwa cha iwo, mutha kusiyanitsa mtengo wapamwamba kwambiri kuchokera ku mabodza.

Chida cha syringe chimaganizira kupezeka kwa zinthu zotsatirazi:

silinda yoyenda
flange
pisitoni
chosindikiza
singano.

Ndikofunikira kuti chilichonse mwazomwe zili pamwambapa zizitsatira mfundo za pharmacological.

Chida chapamwamba kwambiri chimapatsidwa zinthu monga:

chodziwika bwino m'magulu ang'onoang'ono,
kusowa kwa zolakwika pamlanduwo,
ufulu wama piston
kapu ya singano
mawonekedwe oyenera a chisindikizo.

Ngati tikulankhula za syringe yotchedwa automatic, tiyenera kuonanso momwe mankhwalawo amaperekedwera.

Mwina munthu aliyense amene ali ndi matenda a shuga amadziwa kuti kuchuluka kwa insulini nthawi zambiri kumawerengedwa m'njira zomwe zimazindikira ntchito ya mahomoni. Chifukwa cha njirayi, njira yowerengera Mlingo imapangidwira mosavuta, popeza odwala safunikiranso kusintha mamililita kukhala mamililita. Kuphatikiza apo, pofuna kuthandiza odwala matenda ashuga, ma syringe ena apangidwapo pomwe pamakhala zigawo zingapo, pomwe zida zamagetsi zimachitika mwa mamililita.

Vuto lokhalo lomwe anthu ali ndi matenda ashuga ndi kulembedwa kosiyanasiyana kwa insulin. Itha kuperekedwa mu U40 kapena U100.

Mbali yoyamba, vial imakhala ndi magawo 40 a zinthu 1 ml, wachiwiri - mayunitsi 100, motsatana. Pa mtundu uliwonse wa zilembo, pali ma injulin omwe ali ndi insulin omwe amafanana nawo. Zigawo 40 za mgawo zimagwiritsidwa ntchito kuyendetsa insulin U40, ndipo magawo zana, amagwiritsidwanso ntchito mabotolo otchulidwa U100.

Zingwe za insulin: mawonekedwe

Zowona kuti singano za insulin zitha kuphatikizidwa ndikuchotsedwa zatchulidwa kale. Tsopano tiyeni tikambirane mwatsatanetsatane mikhalidwe monga kukula ndi kutalika. Makhalidwe oyamba ndi achiwiri amakhala ndi gawo limodzi pakukonzekera kwa mahomoni.

Kufupikitsa singano, ndikosavuta kubaya. Chifukwa cha izi, chiopsezo cholowa m'matumbo chimachepetsedwa, chomwe chimaphatikizapo kupweteka komanso kukhudzana ndi mahomoni nthawi yayitali. Singano za syringe pamsika zimatha kutalika mamilimita 8 kapena 12,5. Opanga zida za jakisoni sathamanga kuti achepetse kutalika kwawo, chifukwa m'mbale zambiri za insulin, zisoti zoterezi ndizopondabe.

Zomwezo zimagwiranso ndi makulidwe a singano: yaying'ono ndiyotani, ululu womwe ulibe jekeseni. Jakisoni wopangidwa ndi singano ya mainchesi yaying'ono kwambiri samamveka.

Mtengo wogawa

Khalidwe ili ndilofunika kwambiri. Aliyense wodwala matenda ashuga ayenera kudziwa momwe angawerengere kugawanika kwake, chifukwa izi zimatsimikizira kuchuluka kwa mahomoni.

M'mafakitala, odwala amatha kugula syringes, voliyumu yake ndi 0,3, 0,5, komanso zinthu zotchuka za 1 ml, 2 ml ya chinthu. Kuphatikiza apo, mungapezenso ma syringes, voliyumu yomwe imafika pa 5 ml.

Kuti mudziwe mtengo wogawika (gawo) la jakisoni, ndikofunikira kugawa voliyumu yonse, yomwe ikuwonetsedwa phukusi ndi kuchuluka kwa magawo akulu, pafupi pomwe manambala adalembedwa. Kenako, mtengo wolandiridwawo uyenera kugawidwa ndi kuchuluka kwa magawo ang'onoang'ono omwe ali pakati pa awiri akuluakulu. Zotsatira zake zidzakhala mtengo womwe ukufunika.

Kuwerengera Mlingo

Ngati kulembapo kwa jakisoni ndi vial ndikufanana, sipangakhale zovuta pakamawerenga kuchuluka kwa insulin, popeza kuchuluka kwa magawano kumafanana ndi kuchuluka kwa mayunitsi. Ngati kuyika chizindikiro ndikosiyana kapena syringe ili ndi muyeso wa millimeter, ndikofunikira kupeza machesi. Mtengo wa magawikidwe sukudziwa, kuwerengera koteroko ndikosavuta kokwanira.

Potengera kusiyana kwa zilembo, zotsatirazi ziyenera kukumbukiridwa: zomwe zili mu inshuwaransi pokonzekera U-100 ndizokwera ka2,5 kuposa U-40. Chifukwa chake, mtundu woyamba wa mankhwala ochulukirapo umafunikira kawiri ndi theka.

Pa mulingo wa millilita, ndikofunikira kuwongoleredwa ndi zomwe zili ndi insulin m'mililita imodzi ya mahomoni. Kuti mupeze mlingo wa ma syringes mu milliliters, kuchuluka kwakufunika kwa mankhwalawo kuyenera kugawidwa ndi chizindikiro cha magawidwe.

Momwe mungagwiritsire ntchito

Ndizoyenera kuganizira kuti, pogwiritsa ntchito insulin yayifupi komanso yachangu, botolo sililoledwa kugwedezeka. Ngati dokotala walamula kuti kukhazikitsidwa kwa timadzi tambiri tambiri, botolo, m'malo mwake, liyenera kusakanizika.

Musanalowe m'botolo, poyimitsa pake ayenera kupukutidwa ndi poto ya thonje ndikunyowetsedwa mu 70% yankho.

Wokhala ndi syringe yoyenera, ndikofunikira kuyimbira muyeso womwe ukuyenera. Kuti muchite izi, pisitoni imakokedwa kuti ibwezereni pang'onopang'ono ndipo bokosi la botolo limapyoledwa. Kenako amalimbira pa piston, chifukwa choti ndi mpweya wanji womwe umalowetsa kuwira. Mbale yokhala ndi syringe iyenera kutembenuzidwira ndipo mahomoni omwe amasonkhanitsidwa pang'ono kuposa momwe amafunikira. Ngati mpweya uli mu syringe, uyenera kumasulidwa ndikukhazikika piston.

Malo omwe amakonzekera kupanga jakisoni amafunikiranso kupukutidwa ndi antiseptic. Mankhwalawa samaperekedwa mwakuya pansi pa khungu, pakatikati pa madigiri 45 mpaka 70. Kuti insulin igawidwe moyenera, singano imachotsedwa patatha pafupifupi masekondi 10 atatha njirayi.

Ndikofunika kulingalira kuti kugwiritsa ntchito chida chowataya mobwerezabwereza, simukukhala ndi zowawa zokha, komanso kuphwanya singano nthawi ya jekeseni.

Momwe mungasankhire singano ndikudziwa mtengo wogawa?

Odwala ali ndi ntchito, osati kungosankha kuchuluka kwa syringe, komanso kusankha singano ya kutalika kofunikira. Mankhwala amagulitsa mitundu iwiri ya singano:

Akatswiri azachipatala amakulangizani kuti musankhe njira yachiwiri, chifukwa singano zomwe zimachotsedwa zimatha kusunga mankhwala enaake, omwe kuchuluka kwake kungakhale mpaka magawo 7.

Masiku ano, singano amapangidwa, kutalika kwake ndi mamilimita 8 ndi 12.7. Sizimatulutsa kochepera kutalika kwake, chifukwa mabotolo am'mankhwala omwe ali ndi zipewa zakuda zamoto amagulabe.

Kuphatikiza apo, kukula kwake kwa singano sikofunika kwenikweni. Chowonadi ndi chakuti pokhazikitsa insulin ndi singano yayikulu, wodwalayo amamva kupweteka. Pogwiritsa ntchito singano yoponda kwambiri, jakisoni sakumva konse ndi anthu odwala matenda ashuga. Pamankhwala mungagule ma syringe okhala ndi voliyumu yosiyana:

Mwambiri, odwala amakonda kusankha 1 ml, wodziwika mitundu itatu:

Nthawi zina, mutha kugula insulini yokhala ndi mawonekedwe awiri. Musanayambitse mankhwala, muyenera kudziwa kuchuluka kwa syringe. Kuti muchite izi, muyenera kuchita izi:

Choyamba, voliyumu ya gawo la 1 imawerengeredwa.
Kupitilira apo, voliyumu yonse (yomwe ikuwonetsedwa pa phukusi) imagawidwa ndi kuchuluka kwa magawo pazogulitsa.
Chofunikira: ndikofunikira kungowerenga zokhazikika.
Kenako muyenera kudziwa kuchuluka kwa gawo limodzi: magawo onse ang'onoang'ono pakati pa onse akuluakulu amawerengedwa.
Kenako, voliyumu yayikuluyo imagawidwa ndi kuchuluka kwa magawo ang'onoang'ono.

Kodi mlingo wa insulin amawerengedwa bwanji?

Zinapezeka kuti syringe ndi yochuluka bwanji, ndipo posankha syringe ku U40 kapena pa U100, muyenera kuphunzira momwe mungawerengere kuchuluka kwa mahomoni.

Njira yothetsera mahomoni imagulitsidwa mu phukusi lopangidwa molingana ndi mfundo zamankhwala, mulingo umasonyezedwa ndi BID (mayunitsi achibadwa), omwe ali ndi dzina "unit".

Nthawi zambiri, vial 5 ml imakhala ndi magawo 200 a insulin. Mukafotokozedwanso mwanjira ina, zimapezeka kuti 1 ml ya madzi ali ndi magawo 40 a mankhwalawa.

Zomwe zingayambitse Mlingo:

Kubayirira kumachitidwa makamaka ndi syringe yapadera, yomwe imakhala ndi magawano amodzi.
Ngati syringe yovomerezeka imagwiritsidwa ntchito, ndiye kuti mlingowo usanaperekedwe, muyenera kuwerengetsa kuchuluka kwa magawo omwe akuphatikizidwa pagawo lililonse.

Botolo la mankhwala lingagwiritsidwe ntchito nthawi zambiri. Mankhwalawa amasungidwa m'malo ozizira, koma osati kuzizira.

Mukamagwiritsa ntchito mahomoni okhala ndi katundu wautali, musanamwe mankhwalawo, muyenera kugwedeza botolo kuti mupange osakaniza. Asanakhazikitsidwe, mankhwalawa amayenera kutentha.

Pakufotokozera mwachidule, ndikofunikira kudziwa kuti aliyense wodwala matenda ashuga ayenera kudziwa tanthauzo la syringe, singano yosankha bwino, komanso momwe angawerengere mlingo woyenera. Pafupifupi chidziwitso ichi chithandiza kupewa zoyipa, komanso kusunga thanzi la wodwalayo.

Masiku ano, mitundu yonse iwiri ya zida (ma syringe) amagulitsidwa ku malo ogulitsa mankhwalawa, chifukwa chake munthu aliyense yemwe ali ndi matenda ashuga ayenera kudziwa kusiyana kwake komanso momwe amamwa mankhwala.

Kutsiliza pa syringe ya insulin

Munthu aliyense yemwe ali ndi matenda ashuga ayenera kudziwa momwe angayankhire bwino insulin. Pakuwerengera molondola mlingo wa mankhwalawa, ma insulin omwe amakhala ndi "inshuwalansi" ali ndi "magawo" apadera omwe amawonetsa ndende imodzi ya botolo.

Nthawi yomweyo, kumaliza maphunziro a syringes sikuwonetsa kuchuluka kwa njira yothetsera, koma kumawonetsa gawo la insulini . Mwachitsanzo, ngati mutatenga mankhwala mosokoneza U40, mtengo weniweni wa EI (unit) ndi 0,15 ml. adzakhala 6 mayunitsi, 05ml. - 20 magawo. Ndipo gawoli palokha ndi 1ml. akhale ofanana 40 mayunitsi. Chifukwa chake, gawo limodzi la yankho lidzakhala 0,2525 ml ya insulin.

Tiyenera kukumbukira kuti kusiyana pakati pa U100 ndi U40 kumagonekanso poti poyamba, 1ml insulini syringes. pangani mayunitsi zana limodzi, 0,25 ml - 25 magawo, 0,1 ml - 10 mayunitsi. Ndi kusiyana kwakukulu (kuchuluka ndi kuchuluka kwa ma syringes, tiyeni tiwone momwe tingasankhire chinthu choyenera cha munthu wodwala matenda ashuga).

Mwachilengedwe, gawo loyamba posankha syringe ya insulin iyenera kukhala kukambirana ndi adokotala. Komanso, ngati mukufunikira kulowa masentimita 40 a mahomoni mu 1 ml, muyenera kugwiritsa ntchito ma syringes a U40. Nthawi zina, muyenera kugula zida monga U100.

M'magawo oyamba matendawa, odwala matenda ashuga nthawi zambiri amafunsa kuti, "chimachitika ndi chiyani ngati mugwiritsa ntchito syringe yolakwika kuti mupeze insulin?" Mwachitsanzo, atayimira mankhwalawo mu syringe ya U100 kuti apeze yankho ndi kuchuluka kwa mayunitsi 40 / ml, munthu wodwala matenda a shuga adzabayitsa magawo asanu ndi atatu a insulin mthupi, m'malo mwa magawo makumi awiri, omwe ndi theka lofunikira la mankhwala!

Ndipo ngati syringe ya U40 itatengedwa ndikuyendetsedwa ndi yunifolomu ya 100 / mamililita mukati, ndiye kuti wodwalayo azilandira mochulukirapo (magawo 50) mmalo mwa magawo makumi awiri a mahomoni! Ichi ndi chiopsezo kwambiri cha matenda ashuga!

Kulemba komanso kuwerengera

Gawoli pamlingo wa syringe imatengera kuchuluka kwa insulini, komwe ndi bwino kugwiritsa ntchito nayo: U40 kapena U100 (muli 40 kapena 100 PIECES / ml). Zipangizo za mankhwalawa U40 zili ndi chisonyezo cha 20 PIECES polemba 0,5 ml, komanso pamlingo wa 1 ml - 40 mayunitsi. Ma syringes a insulin U100 ali ndi chisonyezo cha 50 PIECES pa theka la millilita, ndipo pa 1 ml - 100 PIECES. Kugwiritsa ntchito chida cholakwika molakwika sikovomerezeka: ngati insulini ingalowetsedwe mu syringe ya U100 pamtunda wa 40 PIECES / ml, ndiye kuti muyezo womaliza wa mahomoniwo udzakhala wokwanira nthawi 2.5 kuposa momwe amafunikira, zomwe zimakhala zowopsa thanzi komanso moyo wa munthu wodwala matenda ashuga. Chifukwa chake, muyenera kuwonetsetsa kuti mulingo womwewo ukufanana ndi kuchuluka kwa mankhwala omwe amapereka. Mutha kusiyanitsa zida ndi kalozera pamilandu ndi mtundu wa kapu yoteteza - ndi lalanje pamakina a U40 komanso ofiira pa U100.

Nuances posankha insulin: zomwe muyenera kuyang'ana

Kuti musankhe syringe yabwino ya insulini, muyenera kuganizira gawo la kukula ndi mtundu wa singano yomwe mumagwiritsa ntchito. Mtengo wotsika wotsika suchepetsa cholakwika posankha mitundu. Ma syringe abwino ali ndi muyeso wa mayunitsi 0,25. Kuphatikiza apo, kuyika chizindikiro sikuyenera kuzotsedwa mosavuta pamakoma a nyumba. Singano zabwino kwambiri za ma syringes, momwe zimapangidwira, ndipo makulidwe ake osachepera ndi kutalika kumachepetsa ululu panthawi ya jakisoni. Ndikofunika kukumbukira kuti chida chokhazikika pakubaya ndi hypoallergenic, chili ndi silicone ating kuyanika ndi kupindika katatu ndi laser.

Ndi singano iti yomwe imakwanira bwino?

Kwa jakisoni wa insulin, singano zazing'ono zimagwiritsidwa ntchito. Kutalika kwawo ndi 4-8 mm, ndipo mulifupi ndi 0.23 ndi 0,3 mm. Kusankha singano yoyenera, mawonekedwe a khungu ndi gawo la chithandizo amathandizidwa. Singano 4-5 mm kutalika ndi koyenera kwa ana, achinyamata kapena kwa iwo omwe angoyamba kumene maphunziro a insulin ndipo akuphunzira kupanga jakisoni moyenera. Ma singano onenepa (5-6 mm) ndi abwino kwa akuluakulu kapena anthu onenepa kwambiri. Ngati singano idasankhidwa molakwika, pamakhala chiopsezo cha insulin yolowera minofu ya minofu. Jekeseni wam'mitsempha ndi osagwira chifukwa cha kuperewera kwa mankhwala m'thupi. Tiyenera kukumbukira kuti kufupikitsa singano ndikocheperako m'mimba mwake, kumachepetsa chisangalalo mukabayidwa.

Masingano okhala ndi kutalika kwa 8 mm ndi osatheka kugwiritsa ntchito ngakhale munthu wodwala matenda a shuga.

Momwe mungayezere mankhwala ndi insulin?

Moni anyamata! Ndili ndi vuto lopusa komanso vuto lopusa. Pali fraksiparin 0,3, pali mankhwala ake. Katswiri wa hematologist tsopano wasintha kadyedwe kuti akhale fakosiparin 0,4. Kuti ndilandire mankhwala ake, ndiyenera kuyenda kwa theka la tsiku (ndimakhala ku Latvia.

Momwe mungayezere 0,2 ml wa syringe wa insulin?

Atsikana amandiuza osayankhula momwe mungayezere 0,5 ml ya syringe ya insulin? Syringe ku 40 U.

Momwe mungathiritsire ndendende theka la Fragmin mu insulin.

Atsikana, thandizani, plizzzzzzzzzzzzzzzzz) ndili ndi gawo la 5000 IU, ndipo ndikufunika kubayitsa 2500 IU tsiku lililonse. kugawa pakati. (((monga ine:: Ndinagula syringe) ya insulin, idandiyang'ana 5,000.

Momwe mungagawanitsire Clexane 0,4 ndi syringe ya insulin m'magawo awiri?

Atsikana Kodi mungathe bwanji kuchita izi? Kupatula apo, simungatsegule syrane ya clexane. Momwe mungathirere mankhwalawo kuti mutengere syringe? Kodi zikuyenda bwanji? Ndipo mumagawa bwanji? Ndi diso? Zikuwoneka kuti palibe zoopsa

Menopur - ndi syringe iti yoti uyike?

Masana abwino Amati anali kubaya ma menopur ndi syringe ya insulin. Koma zikuwoneka kuti si aliyense amene ali woyenera. Ndili ndi 1ml ndi singano yokhazikika. Mankhwalawa adasungunuka ndi syringe wamba ndi singano yayikulu. Kenako anaikamo singano ya insulin mu chingamu m'botolo.

Ma syringes aku Menopur

Atsikana, ndiuzeni, ndani amene adalowetsa kusintha kwa menopur, ndi misambo iti yomwe amafuna? Chipatalacho chinapereka zokhazikika, limodzi ndi nthawi yomwe azimayi amawagulira pamenepo, koma ndidagulanso mankhwala enanso awiri kuchipatalako kuti asawonongeke. Syringe mu pharmacy ndizabwinobwino.

Asungwana abwino masana! Funso lotere labuka. Kodi ndizotheka kutenga pakati ndi syringe, i.e. kutolera umuna mu syringe ndikupereka mofulumira ngati pakufunika? Pakanikizidwa, spermics amathamanga mwachangu, eti? Kapena kodi zonsezi ndi zopanda pake?

Odwala omwe ali ndi matenda ashuga amafunika jakisoni wa insulin tsiku lililonse. Ngati mugwiritsa ntchito majakisoni wamba jakisoni, pamenepo padzakhala michere ndi mabampu. Ma cell a insulini amapangitsa kuti njirayi ikhale yopweteka komanso kuti ikhale yosavuta. Mtengo wa syringe wa insulin ndi wotsika, ndipo wodwalayo mwiniwakeyo amatha kudzipatsa jakisoni, popanda thandizo lakunja. Ndi ma syringe ati omwe ali oyenera kulandira jakisoni wa insulin, mitundu ndi zatsopano pamzere wazithunzi mu chithunzi ndi kanema munkhaniyi.

Syringe - syringe kusamvana

Madokotala padziko lonse lapansi adayamba kugwiritsa ntchito jakisoni wapadera wa jakisoni wa insulin zaka makumi angapo zapitazo. Mitundu ingapo ya ma syringes a anthu odwala matenda ashuga apangidwa, omwe ndiosavuta kugwiritsa ntchito, mwachitsanzo, cholembera kapena pampu. Koma Mitundu yachikale sinatayikidwe.

Ubwino waukulu wa mtundu wa insulin umaphatikizapo kuphweka kwa kapangidwe, kupezeka.

Syringe ya insulini iyenera kukhala yofunikira kuti wodwalayo nthawi iliyonse sangapange jakisoni, ndi zovuta zochepa. Kuti muchite izi, muyenera kusankha mtundu woyenera.

Zomwe pharmacology imapereka

Mu maunyolo a pharmacy, ma syringe amasinthidwe osiyanasiyana amaperekedwa. Mwapangidwe, ali amitundu iwiri:

Kutaya konkera, momwe singano imasinthira.
Ma syringe ndi singano yomanga (yophatikizidwa). Mtunduwu ulibe "gawo lakufa", kotero palibe kutaya kwa mankhwala.

Ndi mitundu iti yomwe ili bwino ndiyovuta kuyankha. Ma syringe amakono kapena mapampu amakono amatha kunyamula nanu kupita kuntchito kapena kusukulu. Mankhwala mwa iwo amathandizidwira pasadakhale, ndipo amakhala osabala mpaka atagwiritsidwa ntchito. Amakhala omasuka komanso ochepa kukula.

Mitundu yotsikirako imakhala ndi zida zamagetsi zomwe zimakumbutsa nthawi yomwe mupereke jekeseni, onetsani kuchuluka kwa mankhwala omwe adaperekedwa komanso nthawi ya jekeseni womaliza. Zofananazo zimawonetsedwa pazithunzi.

Kusankha syringe yoyenera

Syringe yolondola ya insulin ili ndi makoma owonekera kuti wodwalayo athe kuwona kuchuluka kwa mankhwala omwe adamwa ndikuwathandizira. Pisitoni imakhala ndi labala ndipo mankhwalawo amayamba kuyendetsedwa bwino komanso pang'onopang'ono.

Mukamasankha mtundu wa jakisoni, ndikofunikira kumvetsetsa magawikidwe a muyeso. Chiwerengero cha magawo pamitundu yosiyanasiyana chingasiyane. Gawoli limodzi lili ndi kuchuluka kwa mankhwalawa omwe amatha kusindikizidwa mu syringe

Chifukwa chiyani chofunikira chikufunika?

Pa syringe ya insulin, payenera kukhala magawo opaka ndi muyeso, ngati palibe, sitipangira kugula mitundu yotere. Magawikidwe ndi muyeso zimamuwonetsa wodwala kuchuluka kwa insulin yomwe ili mkati. Mwambiri, 1 ml ya mankhwalawa ndi wofanana ndi mayunitsi 100, koma pali zida zamtengo wapatali pa 40 ml / 100 mayunitsi.

Mwa mtundu uliwonse wa syringe wa insulin, gawoli limakhala ndi cholakwika chochepa, chomwe chiri ½ kugawa kwathunthu.

Mwachitsanzo, ngati mankhwala alumikizidwa ndi syringe yokhala ndi magawo awiri, muyeso wonse ukhale + - 0,5 kuchokera ku mankhwalawo. Kwa owerenga, mayunitsi 0,5 a insulin amatha kutsika magazi ndi 4.2 mmol / L. Mwa mwana wamng'ono, chiwerengerochi ndi chokwera kwambiri.

Izi ziyenera kumvedwa ndi aliyense wodwala matenda ashuga. Chovuta chaching'ono, ngakhale mu mayunitsi 0,25, chimatha kubweretsa glycemia. Chocheperachepera cholakwika m'fanizoli, chosavuta komanso chosavuta kugwiritsa ntchito syringe. Izi ndizofunikira kumvetsetsa kuti wodwalayo athe kupereka okha insulini payekha.

Kuti mulowetse mankhwalawa molondola momwe mungathere, tsatirani malamulowo:

ochepera magawo, ndiye kuti mulingo woyenera wa mankhwala omwe angaperekedwe,
isanayambike mahomoni ndibwino kuti uchepetse.

Syringe yodziwika bwino ndi mphamvu yopanda magawo 10 pokonzekera mankhwalawa. Gawo logawikirali lili ndi nambala zotsatirazi:

Kulembera insulin

Pa msika mdziko lathu ndi CIS, timadzi timene timamasulidwa mumiyeso ndi yankho la magawo 40 a mankhwalawa pa 1 ml. Ili ndi U-40. Ma syringe otayika omwe amapangidwira bukuli. Muwerengere kuchuluka kwama ml mg. kugawa sikovuta, popeza 1 Unit. Magawo 40 ofanana ndi 0,025 ml ya mankhwalawa. Owerenga athu amatha kugwiritsa ntchito gome:

Tsopano tiwona momwe tingawerengere yankho ndi kuchuluka kwa magawo 40 / ml. Kudziwa kuchuluka kwamilingo ingapo pamlingo umodzi, mutha kuwerengetsa kuchuluka kwa magawo a mahomoni omwe amapezeka 1 ml. Posavuta owerenga, timapereka zotsatira zolemba U-40, monga gome:

Kunjaku kumapezeka insulin yolembedwa kuti U-100. Yankho lake lili ndi mayunitsi zana. timadzi pa 1 ml. Ma syringe athu oyenera sioyenera mankhwalawa. Ayenera apadera. Alinso ndi mapangidwe ofanana ndi U-40, koma muyeso amawerengedwa U-100. Kuchuluka kwa insulin yomwe idalowetsedwa kumakhala kukuwonjezera nthawi 2.5 kuposa U-40 wathu. Muyenera kuwerengera, kuyambira pamenepa.

Momwe mungagwiritsire ntchito insulinge molondola

Timalimbikitsa kugwiritsa ntchito majakisoni a jakisoni wa mahomoni, singano zake zomwe sizichotsa. Alibe gawo lakufa ndipo mankhwalawa adzaperekedwa mu Mlingo wolondola kwambiri. Chokhacho chingabwezeretse ndikuti pambuyo 4-5 ma singano azikhala opanda pake. Ma syringe omwe masingano ake amatha kuchotsedwera amakhala aukhondo, koma singano zawo ndizowonda.

Ndikofunika kwambiri kusinthanitsa: gwiritsani ntchito syringe yotayika kunyumba, komanso kusinthanso ndi singano yokhazikika kuntchito kapena kwina.

Asanayikenso timadzi mu syringe, botolo liyenera kupukuta ndi mowa. Kwa kanthawi kochepa kochepa kwa mankhwala ochepa, sikofunikira kugwedeza mankhwalawa. Mlingo wawukulu umapangidwa mwanjira ya kuyimitsidwa, kotero asanaikidwe, botolo limagwedezeka.

Pisitoni pa syringe imakokedwa ndikugawa kofunikira ndipo singano imayikidwa mu vial. Mkati mwa kuwira, mpweya umayendetsedwa mkati, ndi pistoni ndi mankhwala opanikizika mkati, imayilowetsedwa mu chipangizocho. Kuchuluka kwa mankhwala mu syringe kuyenera kupitilira mlingo womwe umalandira. Ngati ma thovu am'mlengalenga alowera mkati, ndiye dinani pang'ono ndi iyo ndi chala chanu.

Ndizolondola kugwiritsa ntchito singano zosiyanasiyana poyambira mankhwalawo ndikuwonetsa. Mankhwala angapo, mutha kugwiritsa ntchito singano kuchokera ku syringe yosavuta. Mutha kungopereka jakisoni ndi singano ya insulin.

Pali malamulo angapo omwe angauze wodwalayo momwe angasakanizire mankhwala:

jekesani insulin posakhalitsa mu syringe, kenako
insulin yochepa kapena NPH iyenera kugwiritsidwa ntchito atangopangika kapena kusungidwa kwa osaposa maola atatu.
Osasakaniza insulin (NPH) yapakatikati ndikuyimitsidwa kwakanthawi. Zinc filler imatembenuza timadzi tambiri tambiri kukhala lalifupi. Ndipo ndikuwopseza moyo!
Kunyentchera kwa nthawi yayitali komanso insulin Glargin sayenera kusakanikirana wina ndi mzake komanso mitundu ina ya mahomoni.

Malo omwe jekeseni adzaikidwe amapukutidwa ndi yankho la mankhwala a antiseptic kapena njira yophweka yotsekera. Sitikulimbikitsa kugwiritsa ntchito yankho la zakumwa zoledzeretsa, chidziwitso ndichakuti odwala omwe ali ndi matenda ashuga, khungu limawuma. Mowa udzawumitsa koposa, ming'alu yopweteka adzaonekera.

Ndikofunikira kupaka insulin pansi pa khungu, osati minofu minofu. Singano imalowedwa mwamphamvu pamakwerero a 45-75 madigiri, osaya. Sikoyenera kutulutsa singano mutatha kuperekera mankhwala, dikirani masekondi 10-15 kuti mahomoni agawire pansi pakhungu. Kupanda kutero, mahomoni amatuluka pang'ono kulowa mu dzenje kuchokera pansi pa singano.

Katswiri wodziwa kupazi - syringe cholembera

Khola la syringe ndi chipangizo chokhala ndi cartridge yolumikizidwa mkati. Zimathandizira wodwala kuti asatengeko syringe yotayika paliponse ndi botolo lomwe lili ndi mahomoni. Mitundu ya zolembera imagawidwa kuti ikhale yosinthika komanso yotayika. Chida choyatsira chimakhala ndi cartridge yomangidwa pamiyeso ingapo, 20, pambuyo pake chida chimatayidwa. Kukonzanso kumaphatikizapo kusintha katiriji.

Cholembera chimakhala ndi zabwino zingapo:

Mlingo umatha kukhazikitsidwa 1 Unit.
Katirijiyu amakhala ndi voliyumu yayikulu, motero wodwalayo amatha kutuluka mnyumbamo kwa nthawi yayitali.
Mlingo woyenera ndi wapamwamba kuposa kugwiritsa ntchito syringe yosavuta.
Jakisoni wa insulin ndiwofulumira komanso wopanda ululu.
Mitundu yamakono imapangitsa kugwiritsa ntchito mahomoni amitundu mitundu yotulutsidwa.
Singano za cholembera ndizochepa thupi kuposa za syringe yamtengo wapatali komanso yapamwamba kwambiri.
palibe chifukwa chotsitsira jakisoni.

Ndi syringe iti yomwe imakuyenderani nokha kutengera luso lanu komanso zomwe mumakonda. Ngati wodwala yemwe ali ndi matenda ashuga akhazikika, ndiye kuti syringe ingakhale yofunikira, mitundu yoyipa yotayika ndiyofunika.

Kuteteza majakisoni otayika - malamulo amalingaliro Syringe cholembera cha insulin ndi singano yochotseredwa - mungasankhe bwanji?

Masiku ano, njira yotsika mtengo komanso yofala kwambiri yobweretsera insulini m'thupi ndi kugwiritsa ntchito ma syringe omwe amatulutsa.

Lero, 1 ml yankho lili ndi magawo 100 a insulini; makina ake a insulini ndi magawo zana / ml.

Popeza ma syringes onse pano akugulitsidwa, ndikofunikira kuti odwala matenda ashuga amvetsetsetse mwatsatanetsatane kuti athe kuwerengetsa moyenera kuchuluka kwake.

Kupanda kutero, pogwiritsa ntchito kusaphunzira, hypoglycemia ikhoza kuchitika.

Syringes U-40 ndi U-100

Pali mitundu iwiri ya ma insulin:

U - 40, wowerengeka pa mlingo 40 wa insulin pa 1 ml,
U-100 - mu 1 ml ya mayunitsi 100 a insulin.

Nthawi zambiri, odwala matenda ashuga amangogwiritsa ntchito syringes u 100. Zipangizo zomwe sizigwiritsidwa ntchito kwambiri m'magulu 40.

Samalani, kuchuluka kwa syringe ya u100 ndi u40 ndikusiyana!

Mwachitsanzo, ngati mumadzipukusa nokha ndi insulin zana la 20 la insulin, ndiye kuti muyenera kudula ma EDs makumi atatu ndi makumi anayi (kuchulukitsa 40 ndi 20 ndikugawa ndi 100). Ngati mutha kumwa mankhwalawo molakwika, pamakhala chiopsezo chotenga hypoglycemia kapena hyperglycemia.

Kuti muzigwiritsa ntchito mosavuta, mtundu uliwonse wa chipangizocho chili ndi zipewa zoteteza mumitundu yosiyanasiyana. U - 40 amasulidwa ndi kapu wofiyira.U-100 imapangidwa ndi kapu yoteteza malalanje.

Kodi singano ndi ziti?

Ma insulin omwe amapezeka mu mitundu iwiri ya singano:

zochotsa
wophatikizidwa, ndiye kuti, wophatikizidwa ndi syringe.

Zipangizo zokhala ndi singano zochotseka zimakhala ndi zoteteza. Amaonedwa kuti ndi otayikira ndipo ukatha kugwiritsa ntchito, malinga ndi malingaliro, chipewa chikuyenera kuyikidwa pa singano ndi syringe yotaya.

G31 0.25mm * 6mm,
G30 0.3mm * 8mm,
G29 0.33mm * 12.7mm.

Anthu odwala matenda ashuga nthawi zambiri amagwiritsa ntchito syringe mobwerezabwereza. Izi zimadzetsa ngozi pazifukwa zingapo:

Singano yophatikizika kapena yochotsera sinapangidwire kuti igwiritsenso ntchito. Imagunduka, yomwe imawonjezera ululu ndi microtrauma ya khungu pakubaya.
Ndi matenda a shuga, njira yosinthira imatha kukhala yovuta, kotero microtrauma iliyonse imakhala pachiwopsezo cha zovuta za jakisoni.
Pogwiritsidwa ntchito ndi zida zomwe muli ndi singano zochotsa, gawo la insulin yomwe ingabayidwe imatha kulowa mu singano, chifukwa cha timadzi ta pancreatic timene timalowa m'thupi kuposa masiku onse.

Pogwiritsa ntchito mobwerezabwereza, singano za syringe zimakhala zopanda pake komanso zowawa pakubaya.

Malangizo a jekeseni

Ma insulin oyang'anira algorithm azikhala motere:

Chotsani kapu yoteteza ku botolo.
Tengani syringe, ndikukhomera poyimitsa mphira pa botolo.
Tembenuzani botolo ndi syringe.
Kusunga botolo mozondoka, jambulani nambala yofunikira ya syringe, yoposa 1-2ED.
Dinani pang'ono pang'onopang'ono pa silinda, kuonetsetsa kuti magulu onse am'mlengalenga atuluke.
Chotsani mpweya wambiri mu silinda pang'onopang'ono piston.
Chiritsani khungu pamalo omwe jekeseni idakonzekera.
Pierce khungu pakona madigiri 45 ndikuyamwa mankhwalawo pang'onopang'ono.

Momwe mungasankhire syringe

Mukamasankha chida chachipatala, ndikofunikira kuonetsetsa kuti zolemba zake zili zomveka komanso zowoneka bwino, zomwe zimakhala zowona makamaka kwa anthu omwe ali ndi vuto lowona. Kumbukirani kuti popenga mankhwalawa, kuphwanya Mlingo nthawi zambiri kumachitika ndi vuto la theka la magawidwe amodzi. Ngati mumagwiritsa ntchito syringe ya u100, ndiye kuti musagule u40.

Kwa odwala omwe akupatsidwa muyeso wochepa wa insulin, ndibwino kugula chida chapadera - cholembera chokhala ndi masentimita 0,5.

Mukamasankha chida, mfundo yofunika ndi kutalika kwa singano. Singano amalimbikitsidwa kwa ana omwe ali ndi kutalika kosaposa 0.6 cm, odwala okalamba amatha kugwiritsa ntchito masingano a akulu ena.

Pisitoni mu silinda iyenera kuyenda bwino, osayambitsa zovuta ndi kuyambitsa kwa mankhwala. Ngati wodwala matenda ashuga azikhala ndi moyo wakhama ndikugwira ntchito, ndikofunikira kuti musinthe kugwiritsa ntchito syringe kapena cholembera.

Cholembera

Chipangizo cha insulin cholembera ndi chimodzi mwazomwe zachitika posachedwa. Imakhala ndi cartridge, yomwe imathandizira kwambiri ma jakisoni kwa anthu omwe amakhala ndi moyo wakhama ndipo amakhala nthawi yayitali kunja kwa nyumba.

Ma hand agawidwa mu:

zotaya, ndi cartridge losindikizidwa,
kusinthika, katoni komwe mungasinthe.

Makulidwe odziwika a kuchuluka kwa mankhwalawo.
Kutha kupanga majekeseni angapo tsiku lonse.
Mlingo woyenera.
Kuvulala kumatenga nthawi yochepa.
Jakisoni wopanda vuto, popeza chipangizocho chili ndi singano yopyapyala.

Mlingo woyenera wa mankhwalawa komanso zakudya ndizofunikira kuti mukhale ndi moyo wautali ndi matenda ashuga!

Syringe ya insulin - magawo angati a insulin mu 1 ml

Pakuwerengera kwa insulin ndi mlingo wake, ndikofunikira kulingalira kuti mabotolo omwe amaperekedwa pamisika yamankhwala ku Russia ndi mayiko a CIS ali ndi magawo 40 pa mamililita imodzi.

Botolo linalembedwera ngati U-40 (40 mayunitsi / ml) . Ma syringes amchikhalidwe omwe amagwiritsidwa ntchito ndi odwala matenda ashuga amapangidwira insulin iyi. Musanagwiritse ntchito, ndikofunikira kuwerengera insulin molingana ndi mfundo: 0,5 ml ya insulin - 20 magawo, mayunitsi 0,25 ml -10, 1 unit mu syringe yokhala ndi magawo 40 - 0,025 ml .

Chiwopsezo chilichonse pa insulini ya insulini chimakhala ndi kuchuluka kwake, kumalizitsa gawo lililonse la insulini ndiko kumaliza kwa vutoli, ndipo adapangira insulin U-40 (Ndondomeko 40 u / ml):

Magawo anayi a insulin - 0,5 ml ya yankho,
Magawo 6 a insulin - 0,15 ml ya yankho,
40 magawo a insulin - 1 ml ya yankho.

M'mayiko ambiri padziko lapansi, insulin imagwiritsidwa ntchito, yomwe ili ndi mayunitsi zana mu 1 ml yankho (U-100 ) Potere, ma syringe apadera ayenera kugwiritsidwa ntchito.

Kunja, sizimasiyana ndi ma syringes a U-40, komabe, kutsiriza komwe kumagwiritsidwa ntchito kumangoyimira kuwerengera kwa insulin ndende ya U-100. Insulin yotere 2,5 kukwera kuposa muyezo (100 u / ml: 40 u / ml = 2,5).

Momwe mungasankhire syringe yabwino ya insulin

Mumafakisi, mumapezeka mayina osiyanasiyana opanga ma syringe. Ndipo popeza jakisoni wa insulin wayamba kukhala ponseponse kwa munthu wodwala matenda ashuga, ndikofunikira kusankha ma syringe apamwamba. Njira zazikulu zosankhira :

kuchuluka kosalephera pamlanduwo
zopangidwa ndi singano zopangidwa
wachikachik
silicone wokutira singano ndi kupindika katatu ndi laser
phula laling'ono
makulidwe angano aang'ono ndi kutalika

Onani chitsanzo cha jakisoni wa insulin. Mwatsatanetsatane pakukhazikitsa insulin. Ndipo kumbukirani kuti syringe yotayikiranso ndiyotayidwa, ndikugwiritsanso ntchito sikuti yopweteka, komanso yowopsa.

Werengani komanso nkhaniyo pa. Mwina ngati ndinu wonenepa kwambiri, cholembera choterocho chimakhala chida chothandiza kwambiri pakubayira masiku onse a insulin.

Sankhani syringe ya insulini molondola, lingalirani mosamala mlingo, ndi thanzi kwa inu.

Kutsiliza pa syringe ya insulin

Mwachilengedwe, gawo loyamba posankha syringe ya insulin iyenera kukhala kukambirana ndi adokotala. Komanso, ngati mukufunikira kulowa masentimita 40 a mahomoni mu 1 ml, muyenera kugwiritsa ntchito ma syringes a U40. Nthawi zina, muyenera kugula zida monga U100.