Ma syringes a insulini ayenera kusankhidwa mosamala, kupatsidwa kuti azithandizira popewa matenda ashuga. Akatswiri amalipira chidwi chakuti:

kuti athandizire kuwongolera jakisoni, chilichonse chimapangidwa mosawonekera,
piston yopangidwa mwapadera imapangitsa kuti jakisoni aziyamwa bwino, popanda ma jerks omwe amapweteka.
Mukamasankha syringe ya insulin, wodwala matenda ashuga choyamba amasankha kuchuluka kwa magawikidwe.

Kwa wodwala yemwe ali ndi matenda ashuga, lingaliro lofunikira kwambiri ndi mtengo wake. Zimasiyanitsidwanso ndi kusiyana kwa phindu la magawo awiri oyandikana nawo. Kuphatikiza apo, kutalika kwa singano kuyenera kuganiziridwanso. Izi zimalola mtsogolomo kuwerengera molondola kuchuluka kwa gawo lamahomoni ndikusankha magawo amthupi momwe mungalowe insulin.

Kutsiliza pa syringe ya insulin

Aliyense wodwala matenda ashuga ayenera kumvetsetsa momwe angabayire insulin mu syringe. Kuti muwerenge molondola kuchuluka kwa insulini, ma insulin omwe ali ndi magawo awiri amakhala ndi magawano apadera, mtengo wake womwe umafanana ndi kuchuluka kwa mankhwalawa botolo limodzi.

Kuphatikiza apo, gawoli lirilonse likuwonetsa chomwe insulin ili, osati kuchuluka kwa mayankho omwe amatengedwa. Makamaka, ngati mungayimbira mankhwalawa pozungulira U40, phindu la 0.15 ml lidzakhala magawo 6, 05 ml adzakhala magawo 20, ndipo 1 ml adzakhala 40 mayunitsi. Malinga ndi ichi, gawo limodzi la mankhwalawa lidzakhala 0,2525 ml ya insulin.

Kusiyanitsa pakati pa U 40 ndi U 100 ndikuti pachiwiri, ma insulin 1 ml insulin ndi magawo zana, 0,25 ml - 25 magawo, 0,1 ml - 10 magawo. Popeza kuchuluka ndi kuchuluka kwa ma syringe amenewa kumasiyanasiyana, muyenera kudziwa kuti ndi chipangizo chiti chofunikira kwa wodwalayo.

Mukamasankha kuchuluka kwa mankhwalawa ndi mtundu wa syringe ya insulin, muyenera kufunsa dokotala. Ngati mumalowa mu insulin yokwanira 40 mu insilita imodzi, muyenera kugwiritsa ntchito syringes U40 syringe, mukamagwiritsa ntchito ndende ina yosankha ngati U100.
Chimachitika ndi chiani ngati mugwiritsa ntchito syringe yolakwika ya insulin? Mwachitsanzo, kugwiritsa ntchito syringe ya U100 pothana ndi yankho la kuchuluka kwa ma 40 / ml, wodwala matenda ashuga adzatha kuyambitsa magawo 8 a mankhwalawo m'malo mwa magawo 20 omwe mukufuna. Mlingo uwu ndiwotsika kawiri kuposa kuchuluka kwa mankhwala.
Ngati, m'malo mwake, mutenge syringe ya U40 ndikutenga yankho la mayunitsi 100 / ml, wodwalayo adzalandira m'malo 20 mpaka 50 magawo a mahomoni. Ndikofunikira kumvetsetsa kuti ndi yowopsa bwanji pa moyo wa munthu.

Pomvetsetsa kosavuta mtundu wamtundu wa zomwe mukufuna, opanga apanga mawonekedwe apadera. Makamaka, ma syringe a U100 ali ndi kapu yoteteza lalanje, pomwe U40 ili ndi kapu wofiyira.

Kutsiliza kumaphatikizidwanso m'mapensulo amakono a syringe, omwe amapangidwira mayunitsi 100 / ml a insulin. Chifukwa chake, ngati chipangizocho chikuwonongeka ndikufunika kuti mupange jekeseni mwachangu, muyenera kugula ma syringes a insulin a U100 kokha ku pharmacy.

Kupanda kutero, chifukwa chogwiritsa ntchito chipangizo cholakwika, ma milliliters ophatikizidwa kwambiri angayambitse kudwala matenda ashuga komanso ngakhale kuwonongeka kwa munthu wodwala matenda ashuga.

Pankhaniyi, tikulimbikitsidwa kuti nthawi zonse mumakhala ndi masheya owonjezera a insulini.

Mlingo wa insulini

Pamaso pa jekeseni, ndikofunikira kuwerengera molondola kuchuluka kwa insulini ndi kuchuluka kwa ma cubes mu syringe. Mu Russian Federation, insulin imadziwika kuti U-40 ndi U-100.

Mankhwala a U-40 amapezeka m'mabotolo, omwe nthawi zambiri amakhala ndi magawo 40 a chinthu chimodzi (1 ml ya syringe) ya insulin. Sipulini ya insulini yapamwamba kwambiri ya 100 mgg imagwiritsidwa ntchito voliyumu yofananayo. Kuwerengera kuchuluka kwa mahomoni omwe agawidwa mgawo limodzi ndikosavuta. 1 unit yokhala ndi magawo 40 ndi 0,025 ml ya mankhwalawa.

Ichi ndi mankhwala amapangidwa muyezo ma CD ndi kuyikika mu zinthu zoyambira zochita. Nthawi zambiri, m'botolo wamba 5 ml muli magawo 200. mahomoni. Chifukwa chake, mu 1 ml muli magawo 40. insulin, muyenera kugawa mulingo wokwanira wa vial.

Mankhwala amayenera kuperekedwa mosamala ndi ma syringe ena apadera omwe amafunikira insulin. Mu syringe imodzi ya insulini, millilita imodzi imagawika magawo 20.

Chifukwa chake, kuti mupeze magawo 16. mahomoni amayimba magawo asanu ndi atatu. Mutha kupeza magawo 32 a insulin podzaza magawo 16 ndi mankhwalawo. Momwemonso, mulingo wina wa magulu anayi umayeza. mankhwala. Wodwala matenda ashuga ayenera kumaliza magawo awiri kuti apange magawo anayi a insulin. Malingana ndi mfundo yomweyo, kuwerengera kwa magawo 12 ndi 26.

Ngati mukugwiritsabe ntchito zida zoyenera jakisoni, ndikofunikira kuti muwerenge mokwanira gawo limodzi. Poganizira kuti mu 1 ml pali magawo 40, chiwerengerochi chimagawidwa ndi kuchuluka kwa magawano. Jekeseni, syringes zotayika za 2 ml ndi 3 ml ndizololedwa.

Gawo (mtengo wogawa) wa gawo la syringe ndi gawo lofunikira, chifukwa kulondola kwa mlingo wa insulin kumadalira. Mfundo za momwe angazithandizire odwala matenda ashuga zafotokozedwa m'nkhani yakuti "Momwe Mungapangire magazi a shuga ndi ma Mlingo ang'ono a insulin."

Izi ndiye zofunikira kwambiri patsamba lathu, ndikulimbikitsani kuti muziwerengenso mosamala. Timapatsanso odwala matenda amtundu wa 1 komanso mtundu wa 2 momwe angachepetse kufunika kwa insulini komanso kuti shuga yawo yamagazi ikhale yokhazikika komanso yabwinobwino.

Koma ngati simungayike jakisoni wochepa wa insulin, ndiye kuti pamakhala kuchuluka kwa shuga m'magazi, ndipo zovuta za matenda ashuga zimayamba.

Muyenera kudziwa kuti cholakwika chokhacho ndi ½ mtundu wa syringe. Ndikupezeka kuti mutapaka jakisoni ndi syringe muzowonjezereka zamitundu iwiri, mlingo wa insulini udzakhala units 1 magawo. Mwa munthu wamkulu wodwala matenda a shuga 1, 1 U ya insulin yochepa imachepetsa shuga la magazi ndi pafupifupi 8.3 mmol / L. Kwa ana, insulini imagwira ntchito kwambiri 2-8 mphamvu kwambiri, kutengera kulemera ndi msinkhu wawo.

Mapeto ake ndikuti cholakwika cha zigawo za insulin 0,25 zimatanthawuza kusiyana pakati pa shuga wabwinobwino wamagazi ndi hypoglycemia kwa odwala ambiri omwe ali ndi matenda ashuga. Kuphunzira kupaka jekeseni wa insulin pang'ono ndiye chinthu chachiwiri chofunikira kwambiri chomwe muyenera kuchita ndi matenda amtundu woyamba wa 2, mutatha kutsatira mosamalitsa zakudya zamafuta ochepa. Mungakwaniritse bwanji izi? Pali njira ziwiri:

gwiritsani ntchito ma syringe ndi gawo laling'onoting'ono ndipo, molondola, mulingo woyenera kwambiri,
kuchepetsa insulin (momwe mungachitire bwino).

Sitikulimbikitsa kugwiritsa ntchito mapampu a insulini m'malo mwa ma syringe, kuphatikiza ana omwe ali ndi matenda a shuga 1. Chifukwa - werengani apa.

Kusankhidwa kwa singano ya insulin

Kuti jakisoni asakhale wopweteka, ndikofunikira kusankha mulifupi ndi kutalika kwa singano molondola. Wocheperako m'mimba mwake, osawonekera kwambiri ndi ululu panthawi ya jakisoni, izi zimayesedwa mwa odwala asanu ndi awiri. Ma singano onenepa kwambiri nthawi zambiri amagwiritsidwa ntchito ndi achichepere a shuga jekeseni woyamba.

Ma singano a ma insulinge onse omwe amagulitsidwa tsopano ndi olimba kwambiri. Opanga amakonda kutsimikizira odwala omwe ali ndi matenda ashuga kuti ma syringe awo ali ndi singano lakuthwa kuposa omwe akupikisana nawo. Monga lamulo, amakokomeza. Zingakhale bwinonso ngati akhazikitsa ma syringe ena oyenera kuti alowe m'malo molondola a insulin.

Zingwe zomwe angagwiritsidwe ntchito jakisoni wa insulin

Kubweretsa insulin kuyenera kuchitika mwa subcutaneous minofu (mafuta a subcutaneous). Ndikofunikira kuti jakisoniyo asatuluke intramuscularly (mwakuya koposa kofunikira) kapena intradermal, i.e. pafupi kwambiri pamtunda. Tsoka ilo, odwala matenda ashuga nthawi zambiri samapanga khola, koma amadzibaya kumanja. Izi zimapangitsa kuti insulin ilowe mu minofu, ndipo kuchuluka kwa shuga m'magazi kumasintha mosayembekezereka.

Opanga amasintha kutalika ndi makulidwe a singano ya insulin kuti pakhale ma jakisoni ochepa a insulin momwe angathere. Chifukwa mu akulu popanda kunenepa kwambiri, komanso ana, makulidwe amtundu wa subcutaneous nthawi zambiri amakhala ocheperako kutalika kwa singano yodziwika (12-13 mm).

Masiku ano, mutha kugwiritsa ntchito singano zazifupi za insulin, 4, 5, 6 kapena 8 mm. Ubwino wina ndiwakuti ma singano nawonso ndi ochepa kwambiri kuposa ena. Singano yofanana ndi syringe imakhala ndi mulifupi wa 0.4, 0,36 kapena 0,33 mm. Ndipo m'mimba mwake wa singano yofupikirako ndi 0,3 kapena 0,25 kapena 0,23 mm. Singano yotere imakuthandizani kuti mupeze insulin pafupifupi popanda kupweteka.

Tsopano tikupereka malingaliro amakono pazitali za singano yabwino kusankha bwino kwa insulin:

Singano 4, 5 ndi 6 mm kutalika - ndizoyenera kwa onse achikulire odwala, kuphatikiza anthu onenepa kwambiri. Ngati mumagwiritsa ntchito, ndiye kuti kupanga khola la khungu sikofunikira. Akuluakulu odwala matenda ashuga, kutsegula insulin ndi singano izi kuyenera kuchitika pakona 90 madigiri mpaka pakhungu.
Odwala achikulire ayenera kupanga khola la pakhungu ndi / kapena kubayidwa pakona ka madigiri 45 ngati insulini idabayira m'manja, mwendo kapena m'mimba. Chifukwa m'madera awa makulidwe a minofu yaying'ono amachepa.
Kwa odwala akuluakulu, sizikupanga nzeru kugwiritsa ntchito singano yayitali kuposa 8 mm. Mankhwala a shuga a insulin ayenera kuyambitsidwa ndi singano zazifupi.
Kwa ana ndi achinyamata - ndikofunika kugwiritsa ntchito singano 4 kapena 5 mm kutalika. Ndikofunika kuti magulu awa a odwala matenda ashuga apange khola la khungu patsogolo pa jakisoni kuti apewe kulowetsedwa kwa insulin. Makamaka ngati singano yotalika 5 mm kapena kuposerapo imagwiritsidwa ntchito. Ndi singano yayitali 6 mm, jakisoni itha kuchitidwa pakona madigiri 45, ndipo makutu a khungu sangapangidwe.
Wodwala wamkulu akamagwiritsa ntchito singano yotalika 8 mm kapena kupitilira, ndiye kuti ayenera kupanga khola la pakhungu ndi / kapena kubayiranso insulin pakona madigiri 45. Kupanda kutero, pali chiopsezo chachikulu cha jakisoni wa intramuscular.

Kutsiliza: yang'anirani kutalika ndi kutalika kwa singano ya syringe ndi cholembera. Makulidwe a singano abwino kwambiri, ndiye kuti kupweteka kwambiri kwa insulin kudzakhala. Nthawi yomweyo, singano za insulin zimatulutsidwa kale kochepa thupi momwe mungathere. Ngati atapangidwa kuti akhale ochepa thupi, ndiye kuti ayamba kuthyoka nthawi ya jakisoni. Opanga amamvetsetsa izi bwino.

Kugwiritsa ntchito cholembera

Kugwiritsa ntchito ma cholembera kwa syringe kumayeneranso kusamalidwa. Amadzitamandira cartridge ya insulin, yomwe imachotsa kufunikira kosalekeza botolo la insulin.

Ma cholembera a syringe amatha kutulutsa komanso kusinthanso. Zoyambazo zimakhala ndi cartridge yamankhwala okwanira 20, pomwepo chipangizochi chimaganiziridwa kuti sichingayende bwino.

Simufunikanso kuchotsa cholembera chosinthanso, chifukwa chimapatsanso katoni.

Ubwino wodziwikiratu umaphatikizapo kuti mumalowedwe otha kudziwa kuchuluka kwa mankhwalawa atha kuyikidwa ku 1 unit, chipangizocho chimadzikuza kwambiri. Kuphatikiza apo, majekeseni amachitika mofulumira komanso popanda kupweteka.

Ndizodziwikanso kuti wodwala matenda ashuga amatha kugwiritsa ntchito mahomoni amitundu mitundu yotulutsidwa. Kuphatikiza apo, cholembera chitha kugwiritsidwa ntchito kubayidwa popanda kuvula zovala.

Musanagwiritse ntchito syringes, ndibwino kukambirana ndi dokotala.

Kunja, pa chipangizo chilichonse cha jakisoni, muyeso wokhala ndi magawo ofananira umagwiritsidwa ntchito popanga insulin yolondola. Monga lamulo, gawo pakati pamagawo awiri ndi magawo 1-2. Poterepa, manambalawa akuwonetsa mzere wolingana ndi 10, 20, 30, etc.

Pochita, jekeseni ndi motere:

Khungu lomwe limapezeka pamalo operekera matendawa limachiritsidwa ndi mankhwala opha tizilombo. Madokotala amalimbikitsa jekeseni m'mapewa, ntchafu yapamwamba, kapena pamimba.
Kenako muyenera kutola syringe (kapena kuchotsa cholembera mu nkhaniyo ndikusintha singano ndi ina). Chipangizo chokhala ndi singano yophatikizika chimatha kugwiritsidwa ntchito kangapo, momwe mungagwiritsire ntchito singano ndikuthandizanso ndi mankhwala azachipatala.
Sonkhanitsani yankho.
Pangani jakisoni. Ngati syringe ya insulini ili ndi singano yayifupi, jakisoni imachitidwa kumakona akumanja. Ngati mankhwalawa ali pachiwopsezo chofika m'matumbo am'mimba, jakisoni imapangidwa pakona pa 45 ° kapena pakhungu.

Matenda a shuga ndi matenda oopsa omwe amafunika kuyang'aniridwa ndi achipatala okha, komanso kudziwunika pawokha. Munthu yemwe ali ndi vuto lofananalo amayenera kubayila insulin moyo wake wonse, chifukwa chake ayenera kuphunzira momwe angagwiritsiritsire ntchito jakisoni.

Choyamba, izi zimakhudza kuwonongeka kwa insulin dosing. Kuchuluka kwa mankhwalawa kumatsimikiziridwa ndi adotolo, nthawi zambiri zimakhala zosavuta kuwerengera kuchokera pazomwe zimayikidwa syringe.

Ngati pazifukwa zina palibe chida chokhala ndi voliyumu yoyenera ndikugawa komwe kuli, kuchuluka kwa mankhwalawa kumawerengeredwa ndi gawo losavuta:

Mwa kuwerengera kosavuta zikuwonekeratu kuti 1 ml ya insulin yankho ndi mlingo wa mayunitsi zana. Atha kusintha 2,5 ml ya yankho ndi kuzungulira kwa 40 mayunitsi.

Atazindikira kuchuluka kwake, wodwalayo ayenera kutsanulira khokho lomwe lili m'botolo limodzi ndi mankhwalawo. Kenako, mpweya pang'ono umakokedwa kulowa mu insulin (pisitoniyo imatsitsidwa kuti isungidwe pajekesayo), cholembera chopondera chimabaya ndi singano, ndipo mpweya umamasulidwa.

Pambuyo pa izi, vial imatembenuzidwa ndipo syringe imakhala ndi dzanja limodzi, ndipo chidebe chamankhwala chimasonkhanitsidwa ndi chinacho, amapeza zochuluka kuposa kuchuluka kwa insulin. Izi ndizofunikira kuchotsa mpweya wambiri kuchokera ku syringe patity ndi piston.

Vuto ndi zida izi ndikuti gawo la kukula kwawo limakhala gawo limodzi la insulin. Zabwino zonse, ndi ma PISCES a 0,5 a zolembera za ana a insulin.

Ngati mutsatira zakudya zamafuta ochepa ndikuphunzira momwe mungayang'anire shuga ndi milingo yaying'ono ya insulin, ndiye kuti izi sizingakuthandizeni.

Mwa odwala omwe amaliza mtundu wathu wa 2 wa matenda a shuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga (onani maulalo pamwambapa), zolembera za insulin ndizofunikira kwa anthu omwe ali onenepa kwambiri. Mlingo wofunika wa insulin amafunikira mwa anthu odwala matenda ashuga, ngakhale amatsatira kwambiri mankhwalawo. Kwa iwo, zolakwa za ± 0.5 U za insulin sizichita mbali yayikulu.

Kwa odwala ambiri omwe ali ndi matenda a shuga amtundu wa 1 kapena mtundu wa 2 omwe amathandizidwa malinga ndi njira zathu, mwayi wogwiritsa ntchito zolembera ungathe kuwonedwa pokhapokha atayamba kutulutsidwa mu insulin ya 0.25. M'mabwalo a matenda ashuga, mutha kuwerengera kuti anthu akufuna 'kupotoza' zolembera za syringe kuti apange jakisoni wa insulin yosakwana 0.5. Koma kudalirika kumeneku sikulimbikitsa.

Pampu ya insulin

Ichi ndi chida chachipatala chothandizira kukhazikitsa gawo la mahomoni pakuchiritsa matenda a shuga. Pompo amadziwika ngati mankhwala okhala ndi insulin mosalekeza. Chipangizochi chikuphatikiza:

pampu iyokha (yokhala ndi zowongolera, kukonza ma module ndi mabatire),
chosungira chosinthira cha chinthu chamafuta (mkati mwa pampu),
kulowetsedwa kosinthika, komwe kumaphatikizapo jekeseni wa jekeseni wofunda, komanso dongosolo la machubu ophatikiza posungira ndi cannula.

Pampu ya insulin ndi njira ina yobwerezeranso jakisoni wa insulini pang'onopang'ono ndi cholembera kapena cholembera cha insulin. Ndiamene amapangitsa kuti azitha kugwiritsa ntchito mankhwala osakanikirana kwambiri poyang'anira kuwonetsa mayendedwe a shuga wamagazi ndi kugwiritsa ntchito chakudya.

Ma insulin, ma syringe zolembera ndi singano zawo

Mankhwala ogulitsa mu mzinda wanu atha kukhala ndi masakanizidwe akulu a insulin. Onsewa ndi otayikira, osabala komanso opangidwa ndi pulasitiki, wokhala ndi singano zowonda. Komabe, ma syringe ena a insulin ndiabwinoko pomwe ena amakhala oyipa kwambiri, ndipo tiwona chifukwa chake zili choncho. Chithunzichi pansipa chikuonetsa syringe imodzi ya jakisoni wa insulin

Mukamasankha syringe, muyeso womwe umasindikizidwa ndizofunikira kwambiri. Mtengo wa magawidwe (gawo la sikelo) ndiye lingaliro lofunikira kwambiri kwa ife.Uku ndiye kusiyana pamitengo yolumikizana ndi zilembo ziwiri zapafupi pamalowo. Mwachidule, ndiye kuchuluka kwazinthu zomwe zingayikidwe mu syringe moyenera kapena pang'ono.

Tiyeni tiwone mosamala syringe yomwe ili pachifaniziro pamwambapa. Mwachitsanzo, pakati pa ma 0 mpaka 10 ali ndi magawo asanu. Izi zikutanthauza kuti gawo la sikelo ndi 2 PIECES ya insulin. Ndikovuta kwambiri kupaka jakisoni wa insulin ya 1 PESI kapena zochepa ndi syringe yotere. Ngakhale mlingo wa 2 PIECES wa insulin udzakhala ndi cholakwika chachikulu. Ili ndi vuto lofunikira, motero lidzakhazikika pazi tsatanetsatane wake

Syringe lonse gawo ndi insulin mlingo wolakwika

Gawo (mtengo wogawa) wa gawo la syringe ndi gawo lofunikira, chifukwa kulondola kwa mlingo wa insulin kumadalira. Mfundo zothandiza pa matenda ashuga odwala matenda a shuga zafotokozedwa m'nkhani yakuti "Momwe Mungasungire shuga ya Magazi Ndi Mankhwala Aang'ono a Insulin" Izi ndiye zofunikira kwambiri patsamba lathu, ndikulimbikitsani kuti muziwerengenso mosamala. Timapatsanso odwala matenda amtundu wa 1 komanso mtundu wa 2 momwe angachepetse kufunika kwa insulini komanso kuti shuga yawo yamagazi ikhale yokhazikika komanso yabwinobwino. Koma ngati simungayike jakisoni wochepa wa insulin, ndiye kuti pamakhala kuchuluka kwa shuga m'magazi, ndipo zovuta za matenda ashuga zimayamba.

Mapeto ake ndikuti cholakwika cha zigawo za insulin 0,25 zimatanthawuza kusiyana pakati pa shuga wabwinobwino wamagazi ndi hypoglycemia kwa odwala ambiri omwe ali ndi matenda ashuga. Kuphunzira kupaka jekeseni wa insulin pang'ono ndiye chinthu chachiwiri chofunikira kwambiri chomwe muyenera kuchita ndi matenda amtundu wa 2, mutatha kutsatira mosamala kudya zakudya zamagulu ochepa. Mungakwaniritse bwanji izi? Pali njira ziwiri:

gwiritsani ntchito ma syringe ndi gawo laling'onoting'ono ndipo, molondola, mulingo woyenera kwambiri,
kuchepetsa insulin (momwe mungachitire bwino).

Sitikulimbikitsa kugwiritsa ntchito mapampu a insulini m'malo mwa ma syringe, kuphatikiza ana omwe ali ndi matenda a shuga 1. Chifukwa - werengani apa.

Insulin pa matenda a mtundu 1 ndi matenda ashuga 2:

Chithandizo cha matenda a shuga ndi insulin: yambani apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
Momwe mungapangire jakisoni wa insulin mopweteka. Njira Ya Insulinane Insulin
Lantus ndi Levemir - omwe akukhala insulin. Sinthani shuga m'mawa pamimba yopanda kanthu
Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
Kuwerengera mlingo wa insulin musanadye. Momwe mungachepetse shuga kuti akhale wabwinobwino ngati adalumpha
Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog
Pampu ya insulini: zabwino ndi zowopsa. Chithandizo cha insulin

Odwala omwe ali ndi matenda a shuga omwe amawerenga tsamba lathu amadziwa kuti simudzasowa kubaya jakisoni wopiringana 7-8 wa jakisoni imodzi. Kodi mungatani ngati mankhwala anu a insulin ali okulirapo? Werengani "Momwe Mungatole Mlingo Waukulu wa Insulin." Komabe, ana ambiri omwe ali ndi matenda amtundu wa 1 amafuna mankhwala osokoneza bongo a mayunitsi pafupifupi 0,5. Ngati idalalidwa kwambiri, ndiye kuti shuga yawo imadumpha mosalekeza ndipo nthawi zambiri hypoglycemia imachitika.

Kutengera izi, kodi syringe yoyenera ndiyotani? Iyenera kukhala yopanda magawo khumi. Pa mulingo uliwonse mayunitsi 0,25 amalembedwa. Kuphatikiza apo, mankhwalawa ayenera kukhala okwanira kuchokera kwa wina ndi mzake kuti ngakhale mlingo wa ⅛ IU wa insulin ungaganiziridwe. Pazomwezi, syringe iyenera kukhala yayitali kwambiri komanso yopyapyala. Vuto ndilakuti palibe syringe yotere m'chilengedwe pano. Opanga amakhalabe ogontha ku zovuta za odwala omwe ali ndi matenda a shuga, osati pano okha, komanso akunja. Chifukwa chake, tikuyesera kudutsa zomwe tili nazo.

M'mafakisi, mukupeza syringes yokha yomwe ili ndi gawo la 2 ED insulin, monga yomwe ili pamwambapa. Nthawi zina, ma syringe omwe amakhala ndi gawo la 1 unit amapezeka. Monga momwe ndikudziwira, pali syringe imodzi yokha ya insulin momwe muyeso umalembedwera zigawo zonse za 0,25. Ichi ndi Dimininson Dickinson Micro-Fine Plus Demi yokhala ndi 0,3 ml, i.e. 30 IU ya insulini mu ndende yoyenera ya U-100.

Ma syringe awa ali ndi "official" sikelo yamagawo 0,5 mayunitsi. Kuphatikiza apo pali mulingo wowonjezera aliyense pamagawo 0,25. Malinga ndi ndemanga ya odwala omwe ali ndi matenda ashuga, insulin ya masentimita 025 imalandiridwa molondola kwambiri. Ku Ukraine, ma syringe amenewa ndi vuto lalikulu. Ku Russia, mutha kuyitanitsa ngati mungasaka bwino. Palibe fanizo kwa iwo pano. Komanso, izi padziko lonse lapansi! (!) Zakhala zikuchitika kwa zaka zoposa zisanu.

Ngati ndazindikira kuti ma syringe ena ofananawo atuluka, ndilembera apa ndikuwadziwitsa onse olembetsa maimelo ndi makalata. Chofunika kwambiri koposa zonse - phunzirani momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika.

Sindikiza pa syringe piston

Chisindikizo pa piston ya syringe ndi chidutswa cha mphira wakuda. Maudindo ake pamalowo akuwonetsa kuchuluka kwa zomwe adayikiramo syringe. Mlingo wa insulin uyenera kuyang'aniridwa kumapeto kwa chisindikizo, chomwe chiri pafupi kwambiri ndi singano. Ndikofunika kuti chosindikizira chili ndi mawonekedwe osazungulira, osatinso monga ma syringe ena, kotero kuti ndizosavuta kuwerengera. Pakupanga ma gaskets, ma rabara opangira nthawi zambiri amagwiritsidwa ntchito, popanda lalabala lachilengedwe, kotero kuti palibe ziwonetsero.

Mankhwala angati a insulin angachitike ndi singano imodzi

Momwe mungasankhire singano za insulin - takambirana kale m'nkhaniyi. Kupanga singano zawo kukhala zosavuta kwambiri kwa odwala matenda ashuga, opanga akugwira ntchito molimbika. Malangizo a singano a insulin amawola pogwiritsa ntchito ukadaulo wapamwamba, komanso wothira mafuta. Koma ngati mugwiritsa ntchito singano mobwerezabwereza, ndipo koposa pamenepo, mobwerezabwereza, ndiye kuti nsonga yake siyosalala, ndipo kuyimitsa kothira mafuta kumachotsedwa.

Mudzakhala otsimikiza kuti kuwongolera insulini mobwerezabwereza ndi singano yomweyo kumakhala kowawa nthawi zonse. Muyenera kuwonjezera mphamvu kuti muziboola khungu ndi singano yosalala. Chifukwa cha izi, chiopsezo chopondera singano kapena ngakhale kuchidula chimakulanso.

Pali chiwopsezo chachikulu chogwiritsanso ntchito singano za insulin zomwe sizingaoneke ndi maso. Izi ndizovulala zazing'onoting'ono. Ndi kukula kwamaso akulu, zikuwoneka kuti mutagwiritsidwa ntchito ndi singano, nsonga yake imagwada kwambiri ndikuyamba kugwira mbedza. Insulin ikaperekedwa, singano imayenera kuchotsedwa. Pakadali pano, mbeyo imaphwanya minofu, ndikuvulaza.

Chifukwa cha izi, odwala ambiri amakhala ndi zovuta pakhungu. Nthawi zambiri pamakhala zotupa za subcutaneous zimakhala, zomwe zimawonetsedwa ndi zisindikizo. Kuti muwazindikiritse mu nthawi, muyenera kuyang'ana ndi kufufuza khungu. Chifukwa nthawi zina mavuto awa sawoneka, ndipo mutha kuwazindikira pokhapokha.

Zisindikizo za pakhungu za Lipodystrophic sikuti ndizongolakwika zokha. Amatha kubweretsa mavuto akulu azachipatala. Simungathe kulowetsa insulin m'malo ovuta, koma odwala nthawi zambiri amapitiliza kuchita izi. Chifukwa majakisoni alipo owawa. Chowonadi ndi chakuti kuyamwa kwa insulin kuchokera pamasamba awa ndikosasiyana. Chifukwa cha izi, kuchuluka kwa shuga m'magazi kumasintha kwambiri.

Malangizo a zolembera za syringe amawonetsa kuti singano imayenera kuchotsedwa pambuyo pobayidwa aliyense. Ambiri odwala matenda ashuga samatsata lamuloli. Zikatero, njira pakati pa insulin cartridge ndi chilengedwe imakhala yotseguka. Pang'onopang'ono, mpweya umalowa mu vial, ndipo gawo la insulin limatayika chifukwa cha kutayikira.

Mphepo ikawonekera mukatoni, kulondola kwa mlingo wa insulin kumachepa. Ngati pali ma thovu ambiri mu cartridge, ndiye kuti nthawi zina wodwala amalandira 50-70% yokha ya insulin. Kuti mupewe izi, mukamayendetsa insulini pogwiritsa ntchito cholembera, singano sayenera kuchotsedwa nthawi yomweyo, koma masekondi 10 pambuyo piston itafika pamalo ake otsika.

Ngati mugwiritsa ntchito singano kangapo, izi zimapangitsa kuti njirayo ikhale yolumikizidwa ndi makhiristo a insulin, ndipo mayendedwe ake ndiovuta. Popeza zonsezi pamwambapa, singano iliyonse imagwiritsidwa ntchito kamodzi. Madokotala amayenera kudziwa nthawi iliyonse wodwala matenda ashuga momwe amathandizira insulini komanso malo omwe ali ndi jekeseni pakhungu.

Kugwiritsa ntchito bwino matenda a shuga a 2:

Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
Mankhwala 2 a shuga: nkhani yatsatanetsatane
Mapiritsi a Siofor ndi Glucofage
Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

Kugwiritsa ntchito bwino matenda a shuga 1:

Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
Nthawi ya tchuthi ndi momwe mungakulitsire
Njira ya jakisoni wopweteka wa insulin
Matenda a shuga 1 amtundu wa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
Momwe mungachepetse kuwonongeka kwa impso

Cholembera cha insulin

Cholembera cha insulin ndi syringe yapadera mkati momwe mumatha kuyikamo cartridge yaying'ono ndi insulin. Ripeni ya syringe imapangitsa moyo kukhala wosavuta kwa odwala matenda ashuga, chifukwa simuyenera kunyamula syringes komanso botolo la insulin. Vuto ndi zida izi ndikuti gawo la kukula kwawo limakhala gawo limodzi la insulin. Zabwino zonse, ndi ma PISCES a 0,5 a zolembera za ana a insulin. Ngati mutsatira zakudya zamafuta ochepa ndikuphunzira momwe mungayang'anire shuga ndi milingo yaying'ono ya insulin, ndiye kuti izi sizingakuthandizeni.

Mwa odwala omwe amaliza mtundu wathu wa 2 wa matenda a shuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga (onani maulalo pamwambapa), zolembera za insulin ndizoyenera kwa anthu omwe ali onenepa kwambiri. Mlingo wofunika wa insulin amafunikira mwa anthu odwala matenda ashuga, ngakhale amatsatira kwambiri mankhwalawo. Kwa iwo, zolakwa za ± 0.5 U za insulin sizichita mbali yayikulu.

Ngati mumagwiritsa ntchito mankhwala a shuga omwe amathandizira kuti musakhale ndi chidwi, ndiye kuti muyenera kumawadulira ndi zolembera zomwe zingabwere ndi zida. Koma ndi mankhwalawa palibe mavuto a kipimo, monga jakisoni wa insulin. Kuthira mankhwala a shuga kuti athandizire kuthandizira kuti musakhale ndi chidwi ndi cholembera. Kugwiritsa ntchito zolembera za syringe kuti mupeze insulini ndi koyipa, chifukwa simungathe kubayiza molondola. Gwiritsani ntchito bwino mankhwala a insulin. Onaninso nkhani zakuti "Njira Yopanda Pulogalamu Yopanda Matenda a insulini" komanso "Momwe Mungayeretsere Insulin Kuti Muyambitse Mankhwala Oyenera".