Momwe mungabayire komanso momwe mungabayire insulin

Insulin imayendetsedwa mosavuta. Kuti mupeze insulin yoyenera, ndikofunikira kutsatira jekeseni ndikugwiritsa ntchito malo pathupi, poganizira mtundu wa mankhwala omwe amagwiritsidwa ntchito. Asanadye, insulin yocheperako kapena yochepa imagwiritsidwa ntchito. Insulin yofupikitsa imalimbikitsidwa kuti iperekedwe theka la ola musanadye, komanso yochepa-musanadye.

Malo osankhira jakisoni wa "jakisoni" wa insulin ndi m'mimba, kuchokera pamafuta omwe mankhwalawo amamwa kwambiri. Ma insulin omwe amakhala nthawi yayitali amakonda kuperekera ntchafu kapena matako. Komabe, masiku ano pali mitundu ya insulini (yotchedwa insulin analogues) yomwe imatha kuperekedwa m'malo onse a jekeseni (m'mimba, ntchafu, matako), mosatengera kutalika kwa chochitikacho.

Ndikofunikira kwambiri kupaka insulin mu fiber (yathanzi), ndiye kuti, musagwiritse ntchito zipsera ndi lipohypertrophies monga malo opangira jakisoni (malo ochitira pakompyuta jakisoni). Ndikofunikira kusintha nthawi zonse jakisoni wa insulin mkati mwa gawo limodzi (mwachitsanzo, pamimba), ndiye kuti, jekeseni aliyense wotsatira ayenera kuchitidwa kutali ndi 1 cm kuchokera kwa woyamba. Pofuna kupewa kulowetsa singano mu minofu ya minofu (yomwe imapangitsa kuyamwa kwa mankhwala osadziwika), ndikofunikira kugwiritsa ntchito singano 4 kapena 6 mm. Singano yokhala ndi kutalika kwa 4 mm imabayidwa pakona pa 90 °, ndi singano yoposa 4 mm, mapangidwe a khola la khungu ndi singano ya 45 ° akulimbikitsidwa. Pambuyo pakupereka mankhwalawa, ndikofunikira kudikirira masekondi 10 ndikuchotsa singano yomweyo. Musalole kuti khungu lisunge mpaka kumapeto kwa jakisoni. Singano zizigwiritsidwa ntchito kamodzi.

Ngati mumagwiritsa ntchito mankhwala a NPH-insulin kapena ma insulin okonzeka (osankha pang'ono insulin limodzi ndi NPH-insulin), mankhwalawa amayenera kusakanizika musanagwiritse ntchito.
Kuphunzitsidwa mwatsatanetsatane mwanjira ya insulin yoyendetsera, kuwongolera jakisoni ndi kudzikonza nokha pa Mlingo wothandizidwa kuyenera kuchitika pagulu komanso / kapena payekha ndi endocrinologist.

Kukonzekera

Ambiri omwe ali ndi matenda ashuga amatenga okha insulin. Algorithm ndi yosavuta, koma kuiphunzira ndikofunikira. Muyenera kudziwa komwe mungayikemo jakisoni wa insulin, momwe mungakonzekere khungu ndikuwona mlingo.

Mwambiri, botolo la insulin limapangidwa kuti lizigwiritsidwa ntchito kangapo. Chifukwa chake, pakati pa jakisoni amayenera kusungidwa mufiriji. Nthawi yomweyo jekeseni isanachitike, mawonekedwe ake amayenera kupukutidwa pang'ono m'manja kuti atenthe zinthuzo musanayambe kulumikizana ndi thupi.

Ndikofunikira kudziwa kuti mahomoni ali amitundu yosiyanasiyana. Mtundu wokha wokhazikitsidwa ndi adokotala ndiwo woyenera kuperekedwa. Ndikofunika kuyang'anira mosamala mlingo ndi nthawi ya jakisoni.

Jakisoni wa insulini ungachitike kokha ndi manja oyera. Pamaso pa njirayi, ayenera kutsukidwa ndi sopo ndikuwuma bwino.

Njira yosavuta iyi imateteza thupi lathu ku matenda komanso matenda a jakisoni.

Syringe zida

Kubaya ndi insulin kumachitika molingana ndi algorithm yoyendetsedwa. Ndikofunikira kusamala kuti muchite zonse bwino.

Malangizo otsatirawa athandiza.

1. Chongani momwe dokotala akupatsirani mankhwala omwe mukufuna kuti mugwiritse ntchito.
2. Onetsetsani kuti mahomoni omwe adagwiritsidwa ntchito sanathere ndipo sanasungidweko kwa mwezi wopitilira kuyambira botolo loyamba.
3. Pukutirani botolo m'manja mwanu ndikusakaniza bwino zomwe zili mkati mwake osagwedezeka kuti mawonekedwe a thovu.
4. Pukuta pamwamba pa vala ndi nsalu yothira mowa.
5. Mu syringe yopanda kanthu, ikani mpweya wambiri momwe mungafunikire jakisoni imodzi.

Selo la jakisoni la insulin lili ndi magawano, lililonse likuimira kuchuluka kwa Mlingo. Ndikofunikira kusonkha mpweya wofanana ndi kuchuluka kwa mankhwala omwe amafunikira pakukonzekera. Pambuyo pa gawo lokonzekera ili, mutha kupitiliza dongosolo loyambitsa lokha.

Kodi ndiyenera kupukuta khungu langa ndi mowa?

Kuyeretsa khungu kumakhala kofunikira nthawi zonse, koma njirayi ikhoza kuchitika m'njira zosiyanasiyana. Ngati, jakisoni wa jakisoni asanadutse, wodwalayo adasamba kapena kusamba, kuti awonjezeranso mankhwala opha majeremusi osafunikira, chithandizo cha zakumwa sichofunikira, khungu limakhala loyera mokwanira. Ndikofunikira kulingalira kuti ethanol amawononga kapangidwe ka mahomoni.

Nthawi zina, musanagwiritse jakisoni wa insulini, khungu liyenera kupukutidwa ndi nsalu yothira mafuta. Mutha kuyamba njirayi pokhapokha khungu litauma.

Kusowa kwa singano

Mlengalenga wofunikira ukakokedwa mu syringe plunger, choyimitsa chopukutira pa vial ya mankhwalawa amayenera kulumikizidwa bwino ndi singano. Mphepo yomwe yatengedwa iyenera kulowetsedwa m'botolo. Izi zikuthandizira njira yoyenera kumwa mankhwalawa.

Vala iyenera kutembenuzidwira mozungulira ndikujambulitsa kuchuluka kwa mankhwala mu syringe. Mukukonzekera, gwiritsitsani botolo kuti singano isakimbe.

Pambuyo pake, singano yokhala ndi syringe imatha kuchotsedwa pambale. Ndikofunika kuonetsetsa kuti madontho a mpweya samalowa mchombocho limodzi ndi zinthu zomwe zimagwira. Ngakhale sizowopsa pamoyo ndi thanzi, kusungidwa kwa okosijeni mkati kumabweretsa kuti kuchuluka kwa zinthu zomwe zalowa mthupi zachepa.

Momwe mungayendetsere insulin?

Mankhwala atha kuperekedwa pogwiritsa ntchito njira zina zotayira insulin kapena kugwiritsa ntchito njira yamakono - cholembera.

Zingwe zamtundu wa insulin zotayidwa zimabwera ndi singano yochotseka kapena ndi -pabowo. Ma syringe ndi singano yophatikizika amapaka jekeseni lonse la insulin, pomwe ma syringe ndi singano yochotsa, gawo la insulin limatsalira pamutu.

Ma syringes a insulin ndiye njira yotsika mtengo kwambiri, koma ili ndi zovuta zake:

• insulini iyenera kusungidwa kuchokera pamtunda chisanafike jakisoni, choncho muyenera kunyamula Mbale za insulin (zomwe zitha kuthyoledwa mwangozi) ndi syringes zatsopano,
• Kukonzekera ndi kuyamwa kwa insulin kumapangitsa wodwalayo kukhala m'mavuto, ngati kuli koyenera kuperekera mlingo m'malo ambiri,
• sikelo ya insulini imakhala ndi zolakwika za units 0,5 mawunikidwe (kusalondola muyezo wa insulini pazinthu zina kungapangitse zotsatira zosayenera),
• Kuphatikiza mitundu iwiri ya insulini mumtambo umodzi nthawi zambiri kumakhala kovuta kwa wodwala, makamaka kwa anthu omwe ali ndi vuto lochepa, kwa ana ndi okalamba,
• singano za syringe ndi zokulirapo kuposa zolembera za syringe (zopyapyala singano, kupweteka kwambiri kwa jakisoni kumachitika).

Sipayilo lilibe zovuta izi, chifukwa chake akuluakulu ndi ana makamaka amawalimbikitsa kugwiritsa ntchito jakisoni.

Cholembera cha syringe chimakhala ndi zovuta ziwiri zokha - ndizokwera mtengo kwambiri (madola 40-50) poyerekeza ndi syringes wamba ndi kufunika kokhala ndi chipangizochi. Koma cholembera ndi chida chosinthanso, ndipo ngati mungachichiritse mosamala, chitha zaka zosachepera 2-3 (wopangayo akutsimikizira). Chifukwa chake, kupitanso apo tidzayang'ana kwambiri cholembera.

Tipereka zitsanzo zomveka zomanga zake.

Kusankha singano ya Insulin

Pali singano za syringe cholembera 4 mm, 5 mm, 6 mm, 8 mm, 10 ndi 12 mm.

Kwa akulu, kutalika kwa singano kwambiri ndi 8-10 mm, ndipo kwa ana ndi achinyamata - 4-5 mm.

Ndikofunikira kubaya insulin m'magulu a mafuta onunkhira, ndipo kusankha kolakwika kwa kutalika kwa singano kumatha kuyambitsa kubweretsa insulin m'misempha minofu. Izi zimathandizira kuyamwa kwa insulin, yomwe siili yovomerezeka kwathunthu ndikukhazikitsa insulini yapakatikati kapena yayitali.

Singano zopopera ndi zongogwiritsa ntchito kamodzi! Ngati mutasiya singano kuti mupeze jakisoni wachiwiri, kupindika kwa singano kumatha kubowoka, komwe kumabweretsa:

• kulephera kwa cholembera
• ululu pa jekeseni
• kuyambitsa insulin yolakwika,
• matenda a jekeseni tsamba.

Kusankha mtundu wa insulin

Pali insulin yochepa, yapakati komanso yayitali.

Mwachidule kuchita insulin (wokhazikika / sungunulira wa insulin) umaperekedwa musanadye m'mimba. Sizimayamba kuchitapo kanthu mwachangu, chifukwa chake imayenera kudulidwa mphindi 20-30 musanadye.

Mayina amalonda a insulin yochepa: Actrapid, Humulin Regular, Insuman Rapid (Mzere wachikaso umayikidwa pabokosi).

Mlingo wa insulini umakhala wambiri patatha pafupifupi maola awiri. Chifukwa chake, mutatha maola angapo mutatha kudya kwakukulu, muyenera kuluma kuti mupewe hypoglycemia (kutsitsa glucose m'magazi).

Glucose iyenera kukhala yabwinobwino: Kuchulukitsa kwake ndi kutsika kwake nkoyipa.

Kuchita mwachangu insulini kumatha kuchepa pambuyo maola 5. Pofika nthawi ino, ndikofunikira kubayanso insulin yochepa komanso kudya mokwanira (nkhomaliro, chakudya chamadzulo).

Komanso zilipo kwenikweni insulin (mzere wamtundu wa lalanje umayikidwa pa cartridge) - NovoRapid, Humalog, Apidra. Itha kuikidwa musanadye chakudya. Amayamba kuchita mphindi 10 pambuyo pa utsogoleri, koma zotsatira za insulin yamtunduwu zimachepa pambuyo pafupifupi maola atatu, zomwe zimapangitsa kuti shuga azikhala patsogolo chakudya chotsatira. Chifukwa chake, m'mawa, insulin ya nthawi yayitali imalowetsedwa mu ntchafu.

Insulin Yapakatikati Imagwiritsidwa ntchito ngati insulin yofunika kuwonetsetsa kuti shuga azikhala pakati pa chakudya. Amukhomerere m'chafu. Mankhwala amayamba kugwira ntchito patatha maola 2, nthawi yochita pafupifupi maola 12.

Pali mitundu yosiyanasiyana ya insulin yomwe imagwira ntchito pakati: NPH-insulin (Protafan, Insulatard, Insuman Bazal, Humulin N - Mzere wobiriwira pamtunda wa cartridge) ndi Lenta insulin (Monotard, Humulin L). Zomwe zimagwiritsidwa ntchito kwambiri ndi NPH-insulin.

Kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali (Ultratard, Lantus) akaperekedwe kamodzi patsiku samapereka kuchuluka kwa insulin mthupi masana. Amagwiritsidwa ntchito makamaka ngati insulin yofunika kugona, chifukwa kupanga shuga kumapangidwanso kugona.

Zotsatira zimachitika 1 ola pambuyo jekeseni. Zochita za insulin zamtunduwu zimatha kwa maola 24.

Odwala odwala matenda amtundu wa 2 amatha kugwiritsa ntchito jakisoni wa insulin kwa nthawi yayitali ngati monotherapy. M'malo mwawo, izi zidzakhala zokwanira kutsimikizira shuga wambiri masana.

Makatoni azitsulo okhala ndi ma syringe osakanikirana omwe amakhala okonzeka kupanga ma insulin achidule komanso apakati. Zosakaniza zoterezi zimathandiza kukhala ndi shuga m'masiku onse.

Simungathe kubaya insulin kwa munthu wathanzi!

Tsopano mukudziwa nthawi ndi mtundu wa insulini yoti mupeze. Tsopano tiyeni tiwone momwe angayichitsire.

Kuchotsa mpweya ku cartridge

• Sambani m'manja bwino ndi sopo.
• Chotsani singano yakunja ya cholembera ndikuyipatula. Chotsani mosamala kapu yamkati ya singano.

• Ikani jekeseni wa magawo anayi (katiriji watsopano) pokoka batani loyambitsa ndikutembenuza. Mlingo wofunika wa insulini uyenera kuphatikizidwa ndi chizindikiro cha mzere pawindo yowonetsera (onani chithunzi pansipa).

• Mukugwira cholembera ndi singano mmwamba, ikani bokosi la insulini mopepuka ndi chala chanu kuti thovu lakumwamba lithe. Kanikizani batani loyambira la cholembera njira yonse. Dontho la insulin liyenera kuwoneka pa singano. Izi zikutanthauza kuti mpweya watuluka ndipo mutha kupanga jakisoni.

Ngati malovu a pamphuno ya singano sawonekera, ndiye kuti muyenera kuyika 1 unit pazowonetsera, ikani bokosi ndi chala chanu kuti mpweya uwuke ndikukanikiza batani loyambira kachiwiri. Ngati ndi kotheka, bwerezani njirayi kangapo kapena poyamba yikani ziwonetsero zambiri (ngati kuwira kwa mpweya ndi kwakukulu).

Mwadzidzidzi dontho la insulin likatha kumapeto kwa singano, mutha kupitirira gawo lina.

Nthawi zonse tulukani makatoni am'mimba kuchokera jekeseni! Ngakhale mutawomba kale mpweya gawo loyambirira la insulin, muyenera kuchita chimodzimodzi jakisoni wotsatira! Panthawi imeneyi, mpweya umatha kulowa m'ngolo.

Mlingo

• Sankhani mlingo wa jakisoni amene dokotala wakupatsani.

Ngati batani loyambira lidakokedwa, mudayamba kuzunguliza kuti musankhe mlingo, ndipo mwadzidzidzi unazungulira, umazungulira ndikuyimilira - izi zikutanthauza kuti mukuyesera kusankha mlingo wokulirapo kuposa womwe watsala mukatoni.

Kusankha tsamba la jakisoni wa insulin

Madera osiyanasiyana a thupi ali ndi kuchuluka kwawo komwe kumayamwa mankhwalawo m'magazi. Mwachangu, insulini imalowa m'magazi m'mene imalowetsedwa pamimba. Chifukwa chake, tikulimbikitsidwa kupaka insulin yakhazikika pakhungu pamimba, ndikuyamba kupanga insulin pa ntchafu, matako, kapena minofu ya fupa la phewa.

Dera lililonse lili ndi malo akuluakulu, motero ndizotheka kubayanso jakisoni wa insulin m'malo osiyanasiyana m'dera lomwelo (malo operekera jakisoni akuwonetsedwa ndi madontho pofuna kumveka bwino). Ngati mukukonzanso pamalo amodzi, ndiye kuti pansi pa khungu chisindikizo chitha kupangika kapena lipodystrophy.

Pakapita nthawi, chisindikizo chithetsa, koma kufikira izi zichitika, simuyenera kubaya insulin pakadali pano (m'ndime iyi ndizotheka, koma osati pamalopo), apo ayi insuliniyo singatengeke bwino.

Lipodystrophy imakhala yovuta kwambiri kuchiza. Kodi chithandizo chake chimachitika motani, muphunzira kuchokera pa nkhani yotsatirayi: https://diabet.biz/lipodistrofiya-pri-diabete.html

Osalowetsedwa m'matumbo, khungu lojambula, zovala zofinya, kapena malo ofiira khungu.

Jakisoni wa insulin

Ma algorithm operekera insulin ndi awa:

• Chiritsani tsamba la jakisoni ndi pukuta la mowa kapena antiseptic (mwachitsanzo, Kutasept). Yembekezerani kuti khungu liume.
• Ndi chala chachikulu ndi chofiyira (makamaka chala ndi zala izi, ndipo osati zonse kuti sizingatheke kulanda minofu ya minofu), pofinyani khungu pang'onopang'ono.

• Ikani singano ya cholembera chindende molunjika pakhungu ngati singano ya 4-8 mm m'litali itagwiritsidwa ntchito kapena pakatikati pa 45 ° ngati singano ya 10-12 mm itagwiritsidwa ntchito. Singano iyenera kulowa khungu.

Akuluakulu omwe ali ndi mafuta okwanira mthupi, akamagwiritsa ntchito singano yotalika 4-5 mm, sangatenge khungu kulowa m'mimba.

• Kanikizani batani loyambira la cholembera (samikizani!). Kukanikiza kuyenera kukhala kosalala, osati lakuthwa. Chifukwa chake insulini imagawiridwa bwino kwambiri zimakhala.
• Jekeseni litamaliza, imvani kuwina (izi zikuwonetsa kuti chizindikiro cha mlingo chikugwirizana ndi "0", mwachitsanzo, mlingo wosankhidwa walowetsedwa kwathunthu). Musathamange kuchotsa chala chanu kumiyambi yoyambira ndikuchotsa singano kumakolo. Ndikofunikira kukhalabe m'malo awa kwa masekondi 6 (makamaka masekondi 10).

Batani loyambira nthawi zina limatha kudumphadumpha. Izi sizowopsa. Chachikulu ndichakuti mukamapereka insulini, batani limakhala lophwanyika ndikusungidwa kwa masekondi 6.

• Insulin imalowetsedwa. Pambuyo pochotsa singano pansi pa khungu, madontho angapo a insulin amatha kutsalira pa singano, ndipo dontho la magazi limatuluka pakhungu. Izi zimachitika mwadzidzidzi. Ingogwirani tsamba la jakisoni ndi chala chanu kwakanthawi.
• Ikani kapu yakunja (kapu yayikulu) pa singano. Mukugwira chophimba chakunja, chimasuleni (pamodzi ndi singano mkati) kuchokera kukhola la syringe. Osamagwira singano ndi manja anu, kokha kapu!

• Taya kapu ndi singano.
• Valani chovala cha cholembera.

Ndikulimbikitsidwa kuti muwonerere kanema wamomwe mungabayire insulin pogwiritsa ntchito cholembera. Simalongosola miyeso yokha yochitira jakisoni, komanso mfundo zina zofunika mukamagwiritsa ntchito cholembera.

Kuyang'ana Wotsalira wa Insulin ku Cartridge

Pali muyeso wopatula pa cartridge womwe umawonetsa kuchuluka kwa insulin (ngati gawo, koma osati zonse, zomwe zili mu cartridge zijambulidwa).

Ngati pisitoni ya mphira ili pamzere woyela pamalire ena onse (onanichithunzi pansipa), izi zikutanthauza kuti insulini yonse imagwiritsidwa ntchito, ndipo muyenera kusintha katiriyo ndi watsopano.

Mutha kuyendetsa insulini m'magawo. Mwachitsanzo, mlingo waukulu wopezeka mu cartridge ndi 60, ndipo magawo 20 ayenera kuyikidwa. Ndikukonzekera kuti katoni imodzi ndikokwanira katatu.

Ngati mukufunikira kulowa mayunitsi opitilira 60 nthawi imodzi (mwachitsanzo, mayunitsi 90), ndiye kuti bokosi lonse la mayunitsi 60 liyamba kuyambitsidwa, ndikutsatira magawo ena 30 kuchokera pagatolo yatsopano. Singano iyenera kukhala yatsopano pakukhazikitsa kulikonse! Ndipo musaiwale kuchita njira yotulutsira thovu mu mpweya.

Kusintha cartridge yatsopano

• Chophimba ndi singano sichinachotseredwe ndikuchotsedwa nthawi yomweyo jekeseni, kotero imasuliratu chotseketsa chotengera ku makina,
• Chotsani cartridge wogwiritsa ntchito

• kukhazikitsa cartridge yatsopano ndikusunga chogwiriracho pakumakina.

Imangoyika singano yatsopano yotaya ndikupanga jakisoni.

Njira yoperekera insulin ndi syringe (insulin)

Konzani insulin kuti mugwiritse ntchito. Chotsani mufiriji, monga momwe jekeseni wambiri ayenera kukhala kutentha.

Ngati mukufuna kubaya insulin yayitali (pamtambo ndikuwoneka ngati mitambo), ndiye kuti mukulungitsa botolo pakati pa manja mpaka lingaliro likhale loyera ndi mitambo. Mukamagwiritsa ntchito insulin yaifupi kapena ya ultrashort, izi siziyenera kuchitika.

Musanalowetse mphira poyimitsa insulin vial ndi antiseptic.

Maluso azinthu zotsatirazi ndi motere:

1. Sambani manja anu ndi sopo.
2. Chotsani syringe yake.
3. Tengani mpweya mu syringe momwe mungafunire jakisoni. Mwachitsanzo, adotolo adawonetsa kuchuluka kwa magawo makumi awiri, motero muyenera kutenga pisitoni ya syringe yopanda chizindikiro "20".
4. Pogwiritsa ntchito singano ya syringe, kuboola chitsulo chobisira cha insulin vial ndikujowulira mpweya mu vial.
5. Sinthani botolo mozama ndikusoka muyezo wa insulini mu syringe.
6. Penyani pang'ono pang'onopang'ono thupi la syringe ndi chala chanu kuti ma thovu amlengalenga awuke ndikutulutsa mpweya kuchokera ku syringe ndikakanikiza pang'ono piston.
7. Onani kuti mulingo wa insulin ndi wolondola ndikuchotsa singano mu vial.
8. Chitani jakisoni ndi antiseptic ndikulola khungu kuti liume. Pangani khungu lanu ndi chala chachikulu ndi chala chamtsogolo, kenako pobayira insulini pang'onopang'ono. Ngati mugwiritsa ntchito singano mpaka 8 mm, mutha kuyika pakona yoyenera. Ngati singano yayitali, ikanikeni pa ngodya ya 45 °.
9. Mankhwala onse akathandizidwa, dikirani masekondi 5 ndikuchotsa singano. Mumasulire kutuluka kwa khungu.

Njira yonseyi titha kuiona bwino mu vidiyo yotsatirayi, yomwe idakonzedwa ndi American Medical Center (tikulimbikitsidwa kuti tionere kuyambira mphindi zitatu):

Ngati kuli kofunikira kusakaniza insulin yocheperako (yankho lomveka bwino) ndi insulin yayitali (njira yovuta), machitidwe azikhala motere:

1. Lembani mu syringe yamlengalenga, momwe mungafunikire kulowa insulin "yamatope".
2. Lowetsani mpweya mu vidiyo ya insulin yamitambo ndikuchotsa singano mu vial.
3. Lowetsani mlengalenga mu syringe momwe mumafunikira kulowa insulin "yowonekera".
4. Lowetsani mpweya mu botolo la insulin yabwino. Nthawi zonse ziwiri zokha mpweya udalowetsedwa mu botolo lachiwiri.
5. Popanda kutenga singano, sinthani botolo lomwe lili ndi "mandala" mozungulira ndikuyimba muyezo wa mankhwalawo.
6. Dinani pa thupi la syringe ndi chala chanu kuti thovu lakuyimilira lithe ndikuwachotsa ndikuwongolera piston pang'ono.
7. Onani kuti insulin yodziwikiratu (yayifupi) yaikidwa bwino ndikuchotsa singano mu vial.
8. Ikani singano mu vial ndi insulin ya "mitambo" yambiri, tembenuzani botolo mozungulira ndikuyimba insulini yomwe mukufuna.
9. Chotsani mpweya mu syringe monga tafotokozera mu gawo 7. Chotsani singano mu vial.
10. Onani kulondola kwa insulin. Ngati mwapatsidwa mtundu wa insulin "yowonekera" wa 15 mayunitsi, "wopanda mitambo" - magawo 10, ndiye kuti magawo 25 akhale osakanikirana ndi syringe.
11. Chitani jakisoni ndi antiseptic. Yembekezerani kuti khungu liume.
12. Ndi chala chanu chakutsogolo ndi chala chamtsogolo, gwiritsani khungu pakulowetsamo ndi jekeseni.

Mosasamala mtundu wa chida chosankhidwa ndi kutalika kwa singano, kasamalidwe ka insulin kuyenera kukhala kosazungulira!

Kusamalira tsamba la jakisoni

Ngati jakisoni watenga kachilombo (nthawi zambiri amatenga matenda a staphylococcal), muyenera kulumikizana ndi a endocrinologist (kapena akatswiri) kuti akupatseni mankhwala othandizira.

Ngati kukwiya kwachitika pamalo a jakisoni, ndiye kuti antiseptic wogwiritsidwa ntchito jekeseni asasinthidwe.

Komwe kubaya ndi momwe timabayira insulin, tafotokozeratu, tsopano tiyeni tipite ku mawonekedwe a kapangidwe ka mankhwalawa.

Malonda a insulin

Pali mitundu ingapo yoyendetsera insulin. Koma mulingo woyenera kwambiri wa majekeseni angapo. Zimaphatikizapo kukhazikitsidwa kwa insulin yocheperako musanadye chakudya chachikulu chilichonse, kuphatikiza muyezo umodzi kapena iwiri ya insulin (yam'mawa ndi yamadzulo) kuti ikwaniritse kufunika kwa insulin pakati pa chakudya ndi nthawi yogona, zomwe zimachepetsa chiopsezo cha kugona kwa usiku. Kubwerezabwereza kwa insulin kumatha kupatsa munthu moyo wapamwamba kwambiri.

Mlingo woyamba insulin yochepa jekeseni mphindi 30 musanadye chakudya cham'mawa. Yembekezerani nthawi yayitali ngati glucose wanu wapezeka (kapena wocheperako ngati glucose wanu wachepa). Kuti muchite izi, yambani kuyeza kuchuluka kwa shuga m'magazi ndi glucometer.

Ma insulini wocheperako pang'ono amatha kuthandizidwa musanadye, bola shuga azikhala wochepa.

Pambuyo maola 2-3, mumafunikira chakudya. Simuyenera kuchita china chilichonse, mulingo wa insulin ukadali wapamwamba kuyambira kubayidwa kwam'mawa.

Mlingo wachiwiri kutumikiridwa maola 5 itatha yoyamba. Pofika nthawi ino, insulini yochepa kwambiri yochokera mu "chakudya cham'mawa" imakhalabe mthupi, ndiye kuti muyeze kuchuluka kwa shuga m'magazi, ndipo ngati shuga wambiri ndi yochepa, jekeseni mlingo wa insulin yochepa musanadye kapena kudya, kenako ndi kulowa. kwenikweni insulin.

Ngati magazi a glucose ndi okwera, muyenera kubaya insulin yochepa ndikudikirira mphindi 45-60, kenako ingoyambani kudya. Kapena mutha kubayira insulini ndi zochita za ultrafast ndipo mukatha mphindi 15-30 kuyamba kudya.

Mlingo wachitatu (musanadye chakudya chamadzulo) chimachitika molingana ndi chiwembu chofananira.

Mlingo wachinayi (komaliza patsiku). Asanagone, insulin (NPH-insulin) kapena wochita zinthu kwa nthawi yayitali amalembedwa. Jekeseni lomaliza la tsiku ndi tsiku liyenera kupangidwa maola atatu pambuyo pa kuwombera kwa insulin yochepa (kapena maola awiri pambuyo pa ultrashort) mu chakudya chamadzulo.

Ndikofunika jekeseni wa "usiku" tsiku lililonse nthawi yomweyo, mwachitsanzo, nthawi ya 22:00 nthawi isanakhale yogona. Mlingo wothandizidwa ndi NPH-insulin utha kugwira ntchito pambuyo pa maola 2-4 ndipo udzatha maola 8-9 onse ogona.

Komanso, m'malo mokonzekera insulin, mutha kubayira insulin yayitali musanadye chakudya ndikusintha mtundu wa insulin yochepa yomwe mumapereka musanadye.

Insulin yokhala ndi nthawi yayitali imagwira ntchito kwa maola 24, kotero kuti ogona amatha kugona nthawi yayitali osavulaza thanzi lawo, ndipo m'mawa sikudzakhala kofunikira kupereka insulini yocheperako (okhawo omwe amakhala ndi insulin asanadye chilichonse).

Kuwerengedwa kwa mtundu wa insulin yamtundu uliwonse kumachitika ndi adokotala, kenako (atazindikira zenizeni), wodwalayo mwiniyo amatha kusintha mankhwalawo kutengera mtundu wina.

Kodi muyenera kuchita chiyani ngati mwaiwala kupereka insulin musanadye?

Ngati mukukumbukira izi mukatha kudya, muyenera kulowa muyeso ya insulin yochepa kapena ya ultrashort kapena kuichepetsa ndi gawo limodzi kapena awiri.

Ngati mukukumbukira izi pambuyo pa maola 1-2, ndiye kuti mutha kulowetsamo theka la insulin yochepa, makamaka pakakhala yochepa.

Ngati nthawi yayitali yapita, muyenera kuwonjezera kuchuluka kwa insulini yochepa ndi magawo angapo chakudya chotsatira, mutayezera kale kuchuluka kwa shuga m'magazi.

Kodi ndingatani ngati nditha kuiwala kupereka mankhwala a insulin musanagone?

Ngati mudadzuka 2:00 a.m. ndikukumbukira kuti mwaiwala jakisoni, mutha kulowetsabe insulin ya "usiku", yochepetsedwa ndi 25-30% kapena magawo 1-2 kwa ola lililonse lomwe latha kuyambira nthawi yomwe iyenera Insulin "nocturnal" idayendetsedwa.

Ngati pasanathe maola asanu isanakwane nthawi yanu yodzuka, muyenera kuyeza kuchuluka kwa glucose ndikukhala ndi insulini yocheperako (musangobayitsa insulini yochepa kwambiri!).

Ngati mutadzuka ndi shuga wambiri ndi mseru chifukwa choti simunalowetse insulin musanagone, lowetsani insulini yochepa (ndipo makamaka yochepa kwambiri). pa kg iliyonse ya kulemera kwa thupi ndikuyezanso shuga pambuyo pamaola awiri. Ngati kuchuluka kwa glucose sikunachepe, lowetsani mlingo wina pamlingo wa mayunitsi 0. pa kilogalamu ya thupi. Ngati mukudwala kapena mukusanza, muyenera kupita kuchipatala mwachangu!

Kodi ndi nthawi iti yomwe mlingo wa insulin ungafunikebe?

Kuchita masewera olimbitsa thupi kumawonjezera kuchuluka kwa shuga m'thupi. Ngati mlingo wa insulini sunachepe kapena kuchuluka kwa chakudya sikudyedwe, hypoglycemia imayamba.

Kuchita zolimbitsa thupi pang'ono komanso pang'ono

• ndikofunikira kudya chakudya cham'mbuyo musanaphunzitse (kutengera 15 g ya chakudya chamagetsi cham'mimba kwa mphindi 40 zilizonse zolimbitsa thupi).

Zolimbitsa thupi zolimbitsa thupi komanso zopitilira ola limodzi:

• pa nthawi yophunzirira komanso maola 8 otsatira atatha, mlingo wa insulin umachepetsedwa, umachepetsedwa ndi 20-50%.

Tapereka malingaliro achidule pakugwiritsa ntchito ndi kuyang'anira insulin pochiza matenda a shuga 1. Ngati muthana ndi matendawa ndikuwonetsetsa kuti muli ndi chidwi, ndiye kuti odwala matenda ashuga amatha kukhala athunthu.

Zokhudza insulin

Glucose amapangidwa kuchokera ku chakudya chamagulu, omwe nthawi zonse amakhala akudya. Ndikofunikira pakugwira bwino ntchito kwa ubongo, minofu ndi ziwalo zamkati. Koma imatha kulowa m'maselo mothandizidwa ndi insulin. Ngati timadzi tomwe timapangidwa kuti tisapangidwe mokwanira m'thupi, glucose amadziunjikira m'magazi, koma osalowa minofu. Izi zimachitika ndi matenda amtundu 1 shuga, pamene maselo a pancreatic beta amataya kutulutsa insulin. Ndipo matenda a mtundu 2, insulin imapangidwa, koma singagwiritsidwe ntchito mokwanira. Chifukwa chake, zonse, shuga simalowa m'maselo.

Matenda a shuga amatha kuchuluka ndi jakisoni wa insulin. Ndizofunikira makamaka pa matenda ashuga amtundu 1. Koma ndi mtundu wosadalira insulin wa matenda, muyenera kudziwa momwe mungapangire jakisoni moyenera. Zowonadi, nthawi zina, ndi munjira imeneyi momwe shuga angapangidwire. Popanda izi, zovuta zazikulu zimatha kukhazikika, popeza kuchuluka kwa glucose m'magazi kumawononga makhoma amitsempha yamagazi ndikupangitsa kuwonongeka kwa minofu.

Insulini sangadzikundikire m'thupi, chifukwa chake, kudya pafupipafupi ndikofunikira. Mlingo wa shuga m'magazi umatengera mlingo womwe timadzi timene timayendetsedwera. Ngati mulingo wa mankhwalawa ukakulirakulira, hypoglycemia imayamba. Chifukwa chake, ndikofunikira kudziwa momwe mungabayire insulin molondola. Mlingo umawerengeredwa ndi dokotala payekhapayekha pambuyo poyesa mobwerezabwereza magazi ndi mkodzo. Zimatengera zaka zodwala, nthawi yayitali ya matendawa, kuuma kwake, kuchuluka kwa shuga, kulemera kwa wodwalayo komanso machitidwe ake azakudya. Ndikofunikira kuti mupewe kuchuluka kwa mankhwalawa omwe adotchulidwa ndi adokotala molondola. Nthawi zambiri jakisoni amapangidwa kanayi pa tsiku.

Ngati mukufuna kuperekera mankhwalawa pafupipafupi, wodwalayo ayenera kudziwa kaye momwe angabayire insulin molondola. Syringe yapadera ilipo, koma odwala ndi ana amakonda kugwiritsa ntchito cholembera. Chipangizochi ndichothandiza pakumwa mankhwala osavuta komanso osapweteka. Kukumbukira momwe umabayira insulin ndi cholembera ndikosavuta. Jakisoni oterewa ndiwopweteka, amatha kuchitika kunja kwanyumba.

Mitundu yosiyanasiyana ya insulin

Mankhwala awa ndi osiyana. Siyanitsani pakati pa insulin ultrashort, yochepa, yapakati komanso yayitali. Ndi mtundu wanji wa mankhwala omwe amalumikizidwa kwa wodwala, adokotala amawona. Mahomoni a zochita zosiyanasiyana amagwiritsidwa ntchito masana. Ngati mukufuna kulowa mankhwala awiri nthawi imodzi, muyenera kuchita izi ndi ma syringe osiyanasiyana komanso m'malo osiyanasiyana. Sitikulimbikitsidwa kugwiritsa ntchito zosakaniza zopangidwa kale, chifukwa sizikudziwika kuti zingakhudze bwanji shuga.

Ndi chindapusa cholondola cha matenda ashuga, ndikofunikira kuti mumvetsetse momwe mungabayire insulin yayitali molondola. Mankhwala monga Levemir, Tutzheo, Lantus, Tresiba akulimbikitsidwa kuti abweretsedwe mu ntchafu kapena m'mimba. Jakisoni wotere amaperekedwa mosasamala chakudya. Jekeseni wa insulin yayitali nthawi zambiri amayikidwa m'mawa m'mimba yopanda kanthu komanso madzulo asanagone.

Koma wodwala aliyense amafunikanso kudziwa momwe angabayire insulin yayifupi. Ndikofunika kuti muzilowetsa theka la ola musanadye, chifukwa zimayamba kuchita mwachangu ndipo zingayambitse kukula kwa hypoglycemia. Ndipo musanadye, ndikofunikira kuti muzitha kumulemerera kuti mulingo wa shuga usakwere kwambiri. Kukonzekera mwachidule kwa insulini kumaphatikizapo Actrapid, NovoRapid, Humalog ndi ena.

Momwe mungapangire jakisoni wa insulini

Posachedwa, zida zamakono zowonjezera jakisoni wa insulin zatuluka. Ma syringe amakono a insulin amakhala ndi singano zowonda komanso zazitali. Amakhalanso ndi mulingo wapadera, chifukwa insulin nthawi zambiri imayezedwa osati mamililita, koma magawo a mkate. Ndikofunika kuchita jakisoni aliyense ndi syringe yatsopano, popeza madontho a insulin amakhalamo, omwe amatha kuwonongeka. Kuphatikiza apo, tikulimbikitsidwa kusankha syringe ndi pistoni yachindunji, chifukwa chake zimakhala zosavuta kumwa mankhwalawo.

Kuphatikiza posankha mlingo woyenera, ndikofunikira kusankha kutalika kwa singano. Pali singano zoonda za insulin 5 mpaka 14 mm kutalika. Zaching'ono kwambiri ndi za ana. Singano za 6-8 mm zimapereka jakisoni kwa anthu owonda omwe alibe pafupifupi minofu yam'madzi. Nthawi zambiri ntchito singano 10-14 mm. Koma nthawi zina, jakisoni wosalondola kapena singano yotalikirapo, mitsempha yamagazi imatha kuwonongeka. Zitatha izi, mawanga ofiira amawoneka, mikwingwirima yaying'ono ikhoza kuchitika.

Komwe mungagwiritse ntchito mankhwalawa

Odwala akakhala ndi funso lokhudza jakisoni moyenera, madokotala nthawi zambiri amalimbikitsa kuchita izi m'magawo a thupi momwe mumakhala mafuta ochulukirapo. Zili mu minofu yotere kuti mankhwalawa amaphatikizidwa bwino ndipo amakhala nthawi yayitali. Jakisoni wamkati amachitika kokha muchipatala, chifukwa pambuyo pawo pamachepa kwambiri shuga. Wolowa mu minofu, insulin imakhudzanso nthawi yomweyo m'magazi, zomwe zingayambitse hypoglycemia. Koma nthawi imodzimodzi, mahomoniwo amathiridwa mwachangu, sikokwanira mpaka jakisoni wotsatira. Chifukwa chake, jekeseni yotsatira isanakwane, kuchuluka kwa shuga kumatha kuchuluka. Ndipo poyang'anira shuga wa tsiku ndi tsiku, insulin iyenera kugawidwa chimodzimodzi. Chifukwa chake, madera okhala ndi mafuta ochulukirapo amawonedwa ngati malo abwino kwambiri obayira. Kuchokera pamenepo, insulin imalowera m'magazi pang'onopang'ono. Izi ndi ziwalo za thupi:

• m'mimba paminga lamba,
• kutsogolo kwa chiuno
• kunja kwa phewa.

Pamaso jakisoni, muyenera kupenda malo omwe mankhwalawo amati akuwunikira. Ndikofunikira kupatuka masentimita atatu kuchokera pamalo omwe jakisoni wam'mbuyomu amachokera, zotupa ndi zotupa. Ndikofunika kuti musalowe m'malo omwe mumakhala ma pustule, chifukwa izi zingayambitse matenda.

Momwe mungabayire insulin m'mimba

Ndi malo omwewa omwe wodwala amapatsidwa jekeseni mosavuta payekha. Kuphatikiza apo, nthawi zambiri pamakhala mafuta ochulukirapo ambiri m'mimba. Mutha kubaya paliponse lamba. Chachikulu ndikubweza msana 4-5 cm.Ngati mukudziwa kupangira insulin bwino m'mimba mwanu, mungathe kuyang'anira shuga yanu nthawi zonse. Mankhwala amtundu uliwonse amaloledwa kuti abweretsedwe m'mimba; onse adzaphatikizidwa.

Pamalo ano ndikofunikira kupereka jakisoni kwa wodwala iye mwini. Ngati pali mafuta ochulukirapo ambiri, simungathe kusunganso khungu. Koma ndikofunikira kuti muwonetsetse kuti jakisoni wotsatira alibe jekeseni m'mimba, mukuyenera kubwereranso masentimita 3-5.Ngoyang'anira insulin pafupipafupi pamalo amodzi, kukulitsa kwa lipodystrophy ndikotheka. Poterepa, minofu yamafuta imakhala yopyapyala ndipo imasinthidwa ndi minofu yolumikizidwa. Malo ofiira, ofiira khungu limawonekera.

Jekeseni wa ziwalo zina za thupi

Mphamvu ya insulin mwamphamvu imadalira komwe ingabowere. Kuphatikiza pamimba, malo omwe amapezeka kwambiri ndi m'chiuno ndi phewa. Pamatako, mutha kubayanso jakisoni, ndi pomwe amapaka insulin ana. Koma ndizovuta kuti munthu wodwala matenda ashuga azidzibayira yekha pamalo ano. Tsamba losagwira bwino kwambiri ndi malo omwe ali pansi pa scapula. Ndi 30% yokha ya insulin yomwe imabayidwa kumene. Chifukwa chake, majekeseni oterewa sachitidwa pano.

Popeza pamimba imawerengedwa kuti ndi malo opweteka kwambiri, jakisoni ambiri amakonda kuchita ndi mkono kapena mwendo. Kuphatikizanso apo, tikulimbikitsidwa kuti tisinthe mawebusayiti enanso. Chifukwa chake, wodwala aliyense ayenera kudziwa momwe angabayire insulin m'manja molondola. Malowa amawerengedwa ngati osapweteka kwambiri, koma sianthu aliyense amene angadzipatse jakisoni pano pawokha. Insulin yofikira mwachidule imalimbikitsa mkono. Kuchita jakisoni kumachitika m'chigawo chapamwamba cha phewa.

Muyeneranso kudziwa momwe mungakhalire ndi insulin pamwendo. Kutsogolo kwa ntchafu kuli koyenera jakisoni. Ndikofunikira kubweza 8-10 cm kuchokera ku bondo komanso kuchokera ku khola la inguinal. Zotsatira za jakisoni nthawi zambiri zimakhala pamiyendo. Popeza pali minofu yambiri komanso mafuta ochepa, tikulimbikitsidwa kupaka jekeseni wa mankhwala owonjezera, mwachitsanzo, Levemir insulin. Sikuti onse odwala matenda ashuga amadziwa momwe angabayire molondola ndalama chotere m'chiuno, koma izi ziyenera kuphunzira. Kupatula apo, atabayidwa mu ntchafu, mankhwalawa amatha kulowa minofu, motero amachita mosiyanasiyana.

Mavuto omwe angakhalepo

Nthawi zambiri, ndi chithandizo chotere, mulingo woyipa wa insulin umachitika. Izi zitha kuchitika ngakhale mutayambitsa mlingo womwe mukufuna. Zowonadi, nthawi zina pambuyo pa jakisoni, gawo lina la mankhwalawo limabwerera m'mbuyo. Izi zitha kuchitika chifukwa cha singano yochepa kwambiri kapena jakisoni wolakwika. Izi zikachitika, musafunikenso kubaya jekeseni wachiwiri. Nthawi yotsatira insulin ikaperekedwa palibe kale kuposa maola 4. Koma ziyenera kudziwika mu diary kuti panali kutayikira. Izi zikuthandizira kufotokozera kuwonjezeka kwa misempha ya shuga musanabaye jekeseni wotsatira.

Nthawi zambiri pamakhalanso funso la odwala momwe angabayire insulin molondola - musanadye kapena pambuyo pake. Nthawi zambiri, wogwiritsa ntchito mwachangu mankhwala amathandizidwa theka la ola asanadye. Imayamba kugwira ntchito patatha mphindi 10-15, insulini yovulaza imagwiritsa ntchito glucose komanso kudya kwake kowonjezereka ndi chakudya kumafunika. Ndi insulin yoyenera kapena yoposa mlingo woyenera, hypoglycemia imayamba. Vutoli limatha kudziwika ndi malingaliro ofooka, nseru, chizungulire. Ndikulimbikitsidwa kuti nthawi yomweyo muzidya chakudya chilichonse chomanga thupi: phukusi la shuga, maswiti, supuni ya uchi, msuzi.

Malangizo a jekeseni

Odwala ambiri omwe angopezeka kuti ali ndi matenda a shuga amawopa jakisoni. Koma ngati mukudziwa kupaka insulin molondola, mutha kupewa kupweteka ndi zina zomata. Jakisoni amatha kupweteka ngati sanachitike molondola. Lamulo loyamba la jakisoni wopanda vuto ndilakuti muyenera kubaya singano mwachangu. Mukayamba kubweretsa khungu, kenako ndi kubaya, ndiye kuti ululu umayamba.

Onetsetsani kuti musintha jakisoni nthawi iliyonse, izi zikuthandizani kupewa kuchuluka kwa insulini komanso kupanga lipodystrophy. Mutha kubayira mankhwala pamalo omwewo pakatha masiku atatu. Simungathe kufinya jakisoni wa jekeseni, mafuta ndi mafuta aliwonse ofunda. Sitikulimbikitsidwanso kuchita masewera olimbitsa thupi pambuyo pobayira. Zonsezi zimabweretsa kuyamwa mwachangu kwa insulin komanso shuga yotsika.

Zomwe mumafunikira jakisoni wa insulin

Kukonzekera pamaso jakisoni wa insulin ndi monga:

• Konzani zokwanira ndi ntchito yogwira

Mu firiji kokha momwe insulini ingasungidwe bwino. Mphindi 30 lisanayambike ndalamayo, mankhwalawo amayenera kuchotsedwa kuzizira ndikudikirira mpaka mankhwala afikire kutentha kwa chipinda. Kenako sakanizani zomwe zili m'botolo bwino, ndikuzikuta pakati pa kanjedza kwakanthawi. Mankhwala oterowo athandizira kukwaniritsa kufanana kwa mphamvu ya mahomoni mu opoule.

• Konzani insulin

Tsopano pali mitundu ingapo ya zida zamankhwala zomwe zimalola kuyambitsidwa kwa insulin mwachangu komanso zowawa zazing'ono - syringe yapadera ya insulin, syringe ya cholembera yokhala ndi cartridge yomwe ingathe kusintha, komanso pampu ya insulin.

Mukamasankha syringe ya insulin, chidwi chiyenera kulipidwa pazosintha zake ziwiri - ndi singano yochotsa ndi yophatikizika (monolithic ndi syringe). Ndikofunika kudziwa kuti syringes ya jakisoni wothandizila ndi singano yochotsa ingagwiritsidwe ntchito mpaka katatu (sungani malo abwino pokhazikitsa koyambirira, gwiritsani ntchito singano ndi mowa musanagwiritse ntchito), ndi kuphatikiza - kugwiritsa ntchito nthawi imodzi yokha.

• Konzani mankhwala aseptic

Mowa ndi ubweya wa thonje, kapena wopukuta wosabala adzafunika kupukuta malo a jakisoni, komanso kukonza ma ampoules kuchokera ku mabakiteriya musanamwe mankhwala. Ngati chida chitha kugwiritsidwa ntchito pobayitsa jakisoni, ndi kusamba koyera amatengedwa tsiku ndi tsiku, ndiye kuti malo a jakisowa safunika kukonzedwa.

Ngati aganiza kuti aphera majakisoni pamalowo, ndiye kuti mankhwalawo amayenera kuperekedwa atatha kupukutiratu, chifukwa mowa ungathe kuwononga insulin.

Malangizo ndi njira yoyambira

Mukakonza chilichonse chomwe chikufunika munjira imeneyi, muyenera kuganizira momwe mungapangire insulin. Pali malamulo apadera a izi:

• Tsatirani kwambiri ma regimens a tsiku lililonse
• yang'anirani mosamala.
• Ganizirani kuchuluka kwa odwala matenda ashuga posankha kutalika kwa singano (kwa ana ndi kupyapyala - mpaka 5 mm, onenepa kwambiri - mpaka 8 mm),
• sankhani malo abwino obayira jakisoni a insulin malinga ndi kuchuluka kwa mankhwalawo
• ngati mukufuna kulowa mu mankhwalawa, muyenera kutero mphindi 15 musanadye,
• Onetsetsani kuti mwasinthasintha tsamba la jakisoni.

Zochita za algorithm

1. Sambani m'manja bwino ndi sopo.
2. Sungani mankhwalawa mu syringe ya insulin. Musanachize botolo ndi thonje.
3. Sankhani malo omwe adzapatsidwe insulin.
4. Ndi zala ziwiri, sonkhanitsani khola la khungu pamalo oyikapo jakisoni.
5. Pakani pang'onopang'ono komanso molimba mtima kuyika singano pakhungu la pakhungu la 45 ° kapena 90 ° poyenda.
6. Pang'onopang'ono pitani pa piston, jekeseni mankhwala.
7. Siyani singano kwa masekondi 10-15 kuti insulini iyambe kupasuka mwachangu. Kuphatikiza apo, izi zimachepetsa mwayi wa kubwerera kwa mankhwalawa.
8. Kokani singano kwambiri, chiritsani bala ndi mowa. Kusokoneza malo a jakisoni wa insulin sikungatheke. Kuti muthane mwachangu kwambiri ndi insulin, mutha kuyambitsa mwachidule malo a jekeseni.

Mankhwala oterewa amachitika ngati jakisoni wachitika pogwiritsa ntchito mankhwala a insulin.

Cholembera

Cholembera chimbale ndi chotulutsa chokha chokha chomwe chimathandizira kuyendetsa insulin. Katoni yomwe ili ndi insulin ili kale m'thupi la cholembera, lomwe limalola odwala omwe akudalira insulin kuti akhalepo bwino (osafunikira kunyamula syringe ndi botolo).

Momwe mungagwiritsire ntchito jakisoni wa insulin:

• Ikani bokosi lamankhwala mu cholembera.
• Valani singano, chotsani kapu yoteteza, pofinyani madontho ochepa a insulini ku syringe kuti muchotse mpweya.
• Khazikitsani wogulitsa momwe mungafunire.
• Sungani khola la khungu pamalo ofunikira jakisoni.
• Lowani mu horoni ndikukanikiza batani kwathunthu.
• Yembekezani masekondi 10, chotsani ndi singano kwambiri.
• Chotsani singano, iduleni. Kusiya singano pa syringe kuti mupeze jakisoni wotsatira ndikosafunikira, chifukwa kumataya lakuthwa kofunikira ndipo pali mwayi wamankhwala olowa mkati.

Masamba obayira a insulin

Odwala ambiri amadabwa komwe angabayire insulin. Nthawi zambiri, mankhwalawa amalowetsedwa pansi pakhungu kupita m'mimba, ntchafu, matako - malo awa amawonedwa ndi madokotala kuti ndi abwino kwambiri komanso otetezeka. Ndikothekanso kubaya insulini m'minyewa yotentha ya phewa ngati pali mafuta okwanira amthupi pamenepo.

Tsambalo la jakisoni limasankhidwa molingana ndi kuthekera kwa thupi la munthu kumamwa mankhwalawo, ndiye kuti, kuchokera kuthamanga kwa mankhwalawo kupita m'magazi.

Kuphatikiza apo, posankha tsamba la jakisoni, kuthamanga kwa mankhwalawa kuyenera kukumbukiridwa.

Momwe mungapangire jakisoni mu ntchafu

Jekeseni wa insulin ya mwendo amapatsidwa kutsogolo kwa ntchafu kuchokera poyambira kufikira bondo.

Madotolo amalangiza kuti kubaya insulini kuchedwa. Komabe, ngati wodwalayo ali ndi moyo wotakataka, kapena wachita ntchito yayikulu, kuyamwa kwa mankhwalawa kumachitika kwambiri.

Momwe mungapangire insulin m'mimba

Amakhulupilira kuti pamimba ndiye malo oyenera kwambiri jakisoni wa insulin. Zifukwa zomwe amapangira jakisoni m'mimba zimafotokozedwa mosavuta. Kudera lino, mafuta ochulukirapo kwambiri alipo, zomwe zimapangitsa kuti jakisoniyo asakhale wopweteka. Komanso, akabayidwa m'mimba, mankhwalawa amatengedwa mwachangu ndi thupi chifukwa cha mitsempha yambiri yamagazi.

Ndi zoletsedwa kugwiritsa ntchito malo a navel ndi kuzungulira kuti apereke insulin. Popeza kuthekera kopangira singano mu nsemphe kapena chotengera chachikulu ndikokwera. Kuchokera msomali, ndikofunikira kubwereranso masentimita 4 mbali iliyonse ndikupanga jakisoni. Ndikofunika kugwira gawo lam'mimba mbali zonse, momwe mungathere, mpaka kufupi ndi thupi. Nthawi iliyonse, sankhani malo atsopano jakisoni, kubwereza osachepera 2 cm kuchokera pachilonda cham'mbuyo.

Mimba ndi yabwino pochita insulin yochepa kapena ya ultrashort.

Malangizo apadera

Mankhwala a insulin ndi omwe amadziwika kuti ndiwovuta kwambiri ngati sikutheka kusintha kuchuluka kwa shuga m'magazi m'njira zina (zakudya, chithandizo cha matenda a shuga ndi mapiritsi). Dokotala payekhapayekha amasankha kukonzekera kofunikira kwa wodwala aliyense, njira yolandirira insulin, ndi njira ya jakisoni imapangidwa. Njira yodziwika payekha ndiyofunikira kwambiri makamaka kwa odwala apadera monga amayi apakati ndi ana aang'ono.

Momwe mungabayire insulin panthawi yapakati

Amayi oyembekezera omwe ali ndi matenda ashuga samapatsidwa mankhwala ochepetsa shuga. Kukhazikitsidwa kwa insulin mwanjira ya jakisoni ndikotetezeka kwa mwana, koma ndikofunikira kwa mayi woyembekezera. Mlingo ndi ma insulin regimens amakambirana ndi dokotala. Kukana jakisoni kumaopseza pathupi, matenda akulu a mwana wosabadwa komanso thanzi la mkazi.

Kukhazikitsidwa kwa insulin mwa ana

Njira ya jakisoni wa insulini komanso dera loyang'anira ana limafanana ndi akulu. Komabe, chifukwa cha kuchepa komanso kulemera kwa wodwalayo, pali zina mwa njirayi.

• mankhwala kuchepetsedwa ndi madzi ena osabala kuti akwaniritse Mlingo wambiri wa insulin,
• gwiritsani ntchito ma syringe a insulini okhala ndi kutalika kochepa kwambiri komanso kukula kwa singano,
• ngati zaka zololeza, posachedwa pophunzitsa mwana kuti adzigwiritse ntchito jakisoni popanda thandizo la akulu, tiuzeni chifukwa chake mankhwala a insulin amafunikira, kutsatira zakudya ndi moyo zomwe zili zoyenera matendawa.

Syringe ndi chiyani?

Model ndi singano yophatikizika

• ndi singano yotulutsa - pakati pa jakisoni, gawo lina la mankhwalawa limatha kulowa mu singano, chifukwa chomwe insulin yaying'ono kwambiri kuposa momwe imalowera kulowa m'magazi
• ndi kuphatikiza (yomangidwa mu syringe) singano, yomwe imachotsa kutaya kwa mankhwalawa pakukonzekera.

Ma syringe otayika, kugwiritsanso ntchito sikuletsedwa. Pambuyo jakisoni, singano imayamba kuzimiririka. Ngati mugwiritsidwa ntchito mobwerezabwereza, ngozi ya microtrauma ya khungu pakubaya imachuluka. Izi zimatha kubweretsa kukulira kwa purulent complication (abscesses), popeza njira zosinthira zimasokonezeka mu matenda a shuga.

Syringe yapamwamba ya insulin

1. Silinda yowoneka bwino yokhala ndi chizindikiro - kotero kuti mutha kuwerengera kuchuluka kwa mankhwala omwe amalembedwa komanso kuwola. Syringe ndi yopyapyala komanso yayitali, yopangidwa ndi pulasitiki.
2. Chingwe chosinthika kapena chophatikizika, chokhala ndi kapu yoteteza.
3. Pisitoni yopangidwira kudyetsa mankhwala mu singano.
4. Chisindikizo. Ndi chidutswa chakuda pakati pa chipangizocho, chikuwonetsa kuchuluka kwa mankhwalawo omwe adalemba.
5. Flange (adapangidwa kuti agwire syringe nthawi ya jekeseni).

Ndikofunikira kuphunzira mosamalitsa pamthupi, popeza kuwerengera kwa mahomoni omwe amaperekedwa kumadalira izi.

Kodi mungasankhe bwanji?

Mitundu yosiyanasiyana ilipo yogulitsa. Kusankha kuyenera kuonedwa mozama, popeza thanzi la wodwalayo limadalira mtundu wa chipangizocho.

Micro-Fine Plus Demi Syringes

Chida "cholondola" chili ndi:

• piston yosalala, yomwe kukula kwake imafanana ndi thupi la syringe,
• zopangidwa ndi singano yopyapyala komanso yochepa,
• thupi lowonekera ndi zolemba zomveka komanso zosasunthika,
• mulingo woyenera.

Zofunika! Ma syringe amafunikira kuti mugulidwe kokha mumasitolo odalirika!

Momwe mungapangire mlingo woyenera wa mahomoni?

Wodwalayo amaphunzitsidwa ndi namwino wodziwa zambiri. Ndikofunikira kwambiri kuwerengetsa kuchuluka kwa mankhwalawa omwe amafunika kubayidwa, chifukwa kuchepa kwambiri komanso kuwonjezeka kwa shuga m'magazi ndi zinthu zomwe zingawononge moyo wanu.

Insulin 500 IU mu 1 ml

Ku Russia mutha kupeza ma syringes ndi chizindikiro:

• U-40 (wowerengeka pa mlingo wa insulin 40 PIERES mu 1 ml),
• U-100 (1 ml ya mankhwalawa - 100 PIERES).

Nthawi zambiri, odwala amagwiritsa ntchito mitundu yolembedwa kuti U-100.

Yang'anani! Zizindikiro za ma syringe ndi ma zilembo osiyanasiyana ndizosiyana. Ngati kale mudapereka "zana" la mankhwala, mwa "magpie" mukufunikira.

Kuti mugwiritse ntchito, zida zilipo ndi zipewa zamitundu yosiyanasiyana (ofiira a U-40, lalanje kwa U-100).

"Makumi anayi"

Kuti mupeze jakisoni wopanda vuto, kusankha koyenera kutalika ndi singano ndikofunikira. Zowonda kwambiri zimagwiritsidwa ntchito paubwana. Mulingo woyenera kwambiri wa singano ndi 0,23 mm, kutalika - kuchokera 8 mpaka 12,7 mm.

"Kuluka"

Momwe mungalowe ndi insulin?

Kuti mahomoni azitha kutengeka ndi thupi, amayenera kuyang'aniridwa mosiyanasiyana.

Memo wa Matendawa

Malo abwino kwambiri kwa insulin

• phewa lakunja
• dera lamanzere ndi lamanja la navel ndikusinthira kumbuyo,
• kutsogolo kwa ntchafu
• subscapular zone.

Kuti muchite zinthu mwachangu, ndikulimbikitsidwa kubayidwa pamimba. Insulin yayitali kwambiri imatengedwa kuchokera kudera lowerengera.

Njira yoyambira

1. Chotsani kapu yoteteza ku botolo.
2. Pierce poyimitsa mphira,
3. Tembenuzani botolo pansi.
4. Sungani kuchuluka kwa mankhwalawo, kupitilira mlingo ndi magawo a 1-2.
5. Kusunthira pisitoni mosamala, chotsani mpweya ku silinda.
6. Chiritsani khungu lanu ndi zakumwa zamankhwala zakumwa jakisoni.
7. Pangani jakisoni pa ngodya ya madigiri 45, jekeseni insulin.

Mawu oyambira mulingo wosiyanasiyana wa singano

Chida cholowetsera

Mitundu yotsatirayi ikupezeka yogulitsa:

• ndi makatoni osindikizidwa (otayika),
• Refillable (katiriji amatha kusinthidwa).

Cholembera cha syringe chimadziwika kwambiri pakati pa odwala. Ngakhale pakuwala koyipa, ndikosavuta kulowa muyezo wa mankhwalawo, popeza pali njira ina (yolumikizira imamveka paliponse la insulin).

Makatoni amodzi amakhala nthawi yayitali

• kuchuluka kwa mahomoni kumayendetsedwa kokha,
• sterility (safunika kusungitsa insulin kuchokera ku vial),
• jakisoni angapo amatha kupanga masana,
• Mlingo weniweni
• kugwiritsa ntchito mosavuta
• Chipangizocho chili ndi singano yayifupi komanso yopyapyala, choncho wodwalayo samamva jakisoni,
• mwachangu "kukankha-batani" makhwala.

Chipangizo cha jakisoni wodziwikiratu ndizovuta kwambiri kuposa syringe yapamwamba.

Kuyambitsa kwamakono

• pulasitiki kapena chitsulo,
• cartridge yokhala ndi insulin (voliyumu imawerengeredwa pa 300 PIECES),
• singano yotulutsa
• choteteza
• okhazikitsa mlingo wa mahoni (batani lotulutsa),
• kuperekera kwa insulin
• windo lomwe mulingo umawonekera.
• kapu yapadera yokhala ndi clip clip.

Zipangizo zina zamakono zili ndi pulogalamu yamagetsi momwe mungawerengere zofunikira: kuchuluka kwake kwa mkono, mulingo wokhazikitsidwa. Zida zothandiza - chosungira chapadera chomwe chimalepheretsa kuyambitsidwa kwa mankhwala ambiri.

Momwe mungagwiritsire ntchito "cholembera cha insulin"?

Chipangizocho ndichoyenera ana ndi okalamba, sichikufuna maluso apadera. Kwa odwala omwe sangadzibweretse jakisoni, mutha kusankha mtundu ndi automatic system.

Kubweretsa insulin m'mimba

1. Yang'anani kukhalapo kwa mankhwalawo mu jakisoni.
2. Chotsani chophimba.
3. Konzani singano yotayika.
4. Kuti mumasule chida kuchokera kumabampu amlengalenga, muyenera kukanikiza batani lomwe lili pomwepo zero jekeseni. Dontho liyenera kuwonekera kumapeto kwa singano.
5. Pogwiritsa ntchito batani lapadera, sinthani mlingo.
6. Ikani singano pansi pa khungu, kanikizani batani lomwe limayambitsa kuchuluka kwa mahomoni. Zimatenga masekondi khumi kupereka mankhwalawa.
7. Chotsani singano.

Zofunika! Musanagule cholembera, tenganani ndi dokotala yemwe angasankhe bwino komanso akuphunzitseni momwe mungasinthire mankhwalawo.

Zoyang'ana mukamagula chida?

Ndikofunikira kugula jakisoni kokha kuchokera kwa opanga odalirika.

Milandu yabwino

• gawo logawanitsa (monga lamulo, lofanana 1 UNIT kapena 0.5),
• kukula (kukula kwa mawonekedwe, kukula kwakokwanira kwa manambala kuti muwerengere),
• singano yabwino (4-6 mm kutalika, lakuthwa komanso lakuthwa, ndi ating kuyala kwapadera),
• ntchito yake pamakina.

Chipangizocho sichikopa chidwi cha alendo.

Mfuti ya syringe

Chipangizo chaposachedwa, chopangidwa mwachindunji pakumwa kosapweteka kwa mankhwala kunyumba ndikuchepetsa kuwopa jakisoni.

Chida chothandizira

Zopangira chipangizocho:

• mlandu wapulasitiki
• pa kama pomwe ntchiremo amatayika.
• choyambitsa.

Poyendetsa mahomoni, chipangizocho chimapatsidwa ma syringes apamwamba kwambiri.

Zakudya za insulin

• maluso apadera ndi chidziwitso chachipatala sizofunikira kuti mugwiritse ntchito,
• Mfuti imawonetsetsa kuti singano ndiyofunika ndikuyiyika pakumalizira komwe mukufuna,
• jakisoni ndiwachangu komanso wopanda ululu.

Mukamasankha mfuti ya jakisoni, muyenera kudziwa ngati bedi likufanana ndi syringe.

Malo oyenera a syringe

1. Sonkhanitsani mlingo woyenera wa insulin.
2. Konzani mfuti: tambala mfuti ndikuyika syringe pakati pamawu ofiira.
3. Sankhani dera la jakisoni.
4. Chotsani chophimba.
5. Pindani khungu. Ikani chida pamtunda wa 3 mm kuchokera pakhungu, pakona pa madigiri 45.
6. Kokani zoyambitsa. Chipangizocho chimamiza singano pamalo ocheperako pang'ono mpaka pakuya kwakufunika.
7. Pang'onopang'ono komanso bwino mankhwalawa.
8. Ndikusunthira lakuthwa, chotsani singano.

Mukatha kugwiritsa ntchito, sambani chida ndi madzi ofunda ndi sopo ndi youma firiji. Kusankha kwa syringe kwa jakisoni kumatengera msinkhu wa wodwala, mlingo wa insulin ndi zomwe munthu amakonda.

Koyambira?

Masana abwino Mwana wamwamuna wazaka 12 anapezeka ndi matenda a shuga. Kodi ndigule chiyani kuti ndipereke insulin? Anali atangoyamba kumene nzeru izi.

Moni Ndikwabwino kuyamba ndi syringe yokhazikika. Ngati mwana wanu amatha kugwiritsa ntchito chipangizochi, ndiye kuti amatha kusinthana ndi jekeseni iliyonse yodziwira yokha.

Momwe mungasungire makatiriji?

Masana abwino Ndine wodwala matenda ashuga. Posachedwa ndagula syringe yodziwikiratu ndi makatoni ogwiritsidwanso ntchito. Ndiuzeni, kodi zisungidwe mufiriji?

Moni Kwa subcutaneous makonzedwe, amaloledwa kugwiritsa ntchito insulin kutentha firiji, koma mwa izi, moyo wa alumali wa mankhwalawa ndi mwezi umodzi. Ngati mutanyamula cholembera m'thumba lanu, mankhwalawo amachotsedwa pambuyo pake pakatha milungu 4. Ndikwabwino kusungira ma cartridge m'malo otsika firiji, izi zidzakulitsa moyo wa alumali.

Pomwe ungabaye insulin

Masamba osiyanasiyana obayira insulin angagwiritsidwe ntchito. Amasiyana pamlingo wonyamula zinthu ndi njira yoyendetsera. Madokotala odziwa bwino amalimbikitsa kusintha makonzedwe nthawi iliyonse.

Jakisoni wa insulin atha kubayidwa m'magawo otsatirawa:

Tiyeneranso kuganizira kuti mitundu ya insulin yomwe imagwiritsidwa ntchito mtundu 2 wa shuga ndi yosiyana.

Kuchita insulin nthawi yayitali

Insulin yokhala ndi nthawi yayitali ili ndi izi:

• kutumikiridwa kamodzi patsiku,
• imalowa m'magazi mkati mwa theka la ola pambuyo pa utsogoleri,
• wogawidwa moyenerera ndi kuchita,
• Amasungidwa m'magazi kwa tsiku lomwe lili mosalekeza.

Syringe ya insulin imatsanzira ntchito ya kapamba ya munthu wathanzi. Ndikulimbikitsidwa kuti odwala azipatsidwa jakisoni nthawi yomweyo. Chifukwa chake mutha kuwonetsetsa kuti mankhwalawo ndi okhazikika komanso osiyanasiyana.

Yaifupi ndi ya insulin

Mitundu ya insulin imayamba pamalo omwe amapezeka jekeseni. Chachilendo chake ndikuti chikuyenera kugwiritsidwa ntchito mphindi 30 chakudya chisanachitike. Imagwira ntchito makamaka kwa maola 2-4 otsatira. Imasungabe ntchito yake m'magazi kwa maola 8 otsatira.

Kumayambiriro kumachitika pogwiritsa ntchito cholembera kapena syringe yeniyeni. Amagwiritsidwa ntchito kuti azikhalabe ndi shuga m'magulu a mitundu yachiwiri kapena yoyamba.

Pakutha nthawi yayitali bwanji pakati pakubayidwa insulin yayitali komanso yayifupi

Ngati kugwiritsa ntchito insulin yayifupi ndi insulin yayitali ndikufunika panthawi yomweyo, kuphatikiza kwakuphatikizika kwawo ndikwabwino kukambirana ndi dokotala.

Kuphatikiza kwa mitundu iwiri ya mahomoni ndi motere:

• insulin yochita ntchito kwa nthawi yayitali imalowetsedwa tsiku lililonse kuti mukhale ndi shuga wokhazikika wamagazi kwa maola 24,
• asanadye, amapatsidwa mlingo wochepetsera kuti muchepetse kulumpha kwa glucose mukatha kudya.

Kuchuluka kwake kwa nthawi kumatha kutsimikiziridwa ndi dokotala.

Jakisoni ukachitika tsiku lililonse nthawi yomweyo, thupi limazolowera ndikuyankha moyenera kugwiritsa ntchito mitundu iwiri ya insulin nthawi yomweyo.

Momwe mungagwiritsire ntchito cholembera

Ndikosavuta kupaka insulin molondola ndi cholembera chindende. Kwa jakisoni sikufuna thandizo lakunja. Ubwino wawukulu wa chida ichi ndikutha kuchita njirayi kulikonse.

Singano pazida zoterezi zimakhala ndi makulidwe ofooka. Chifukwa cha izi, kusapeza bwino sikumapezeka kwathunthu pakubaya. Njirayi ndi yoyenera kwa iwo omwe amawopa kupweteka.

Kuti mupeze jakisoni, ingosinizani chogwirizira kumalo komwe mukufuna ndikusindikiza batani. Ndondomekoyo ndi yachangu komanso yopweteka.

Zomwe zimayambitsa ana ndi amayi apakati

Nthawi zina ngakhale ana aang'ono amayenera kupanga jakisoni wa insulin. Kwa iwo pali ma syringe apadera omwe ali ndi kutalika kwa singano ndi makulidwe a singano. Ana azaka zophunzira ayenera kuphunzitsidwa jekeseni ndi kuwerengera mlingo wofunikira.

Amayi oyembekezera ayenera kubaya ntchafu zawo. Mlingo ukhoza kuchuluka kapena kutsitsidwa kutengera kuchuluka kwa shuga m'magazi.

Pambuyo jekeseni

Ngati jakisoni wa insulin m'mimba itachitika ndikugwiritsa ntchito mankhwala osakhalitsa, theka la ola pambuyo pa njirayi, ndikofunikira kudya.

Kuti kukhazikitsidwa kwa insulin sikumayambitsa kupangika kwa ma cones, malowa akhoza kumezedwa pang'ono. Ndondomeko imathandizira mphamvu ya mankhwalawa ndi 30%.

Kodi ndizotheka nthawi yomweyo kugona

Osagona nthawi yomweyo ngati mumagwiritsa ntchito mankhwala osokoneza bongo - payenera kukhala chakudya.

Ngati jakisoni wotalika wa insulin akukonzekera madzulo, mutha kupumula mukangotha.

Ngati insulin ikutsatira

Ngati madzimadzi amatayikira pambuyo poti insulini idalowa m'mimba kapena kudera lina, ndiye kuti jakisoniyo anali ngodya yoyenera. Ndikofunikira kuyesa kuyika singano pamakwerero 45-60 madigiri.

Popewa kutayidwa, musachotserepo singano mwachangu. Muyenera kudikirira masekondi 5 mpaka 10, kuti mahomoni akhalebe mkati ndikukhala ndi nthawi yokwanira.

Jakisoni woyenera wa matenda a shuga ndi kukhoza kumva bwino, ngakhale atazindikira. Ndikofunikira kuphunzira momwe mungadzithandizire muzochitika zilizonse.