Kulemba kwa insulin ma insulin, kuwerengetsa kwa insulin U-40 ndi U-100

4 (80%) adavotera 4

Kukonzekera kwa insulin koyamba kunali gawo limodzi la insulin pa millilita yankho. Popita nthawi, kusuntha kwasintha. Werengani mu nkhaniyi kuti syringe ndi insulin ndi momwe mungadziwire kuchuluka kwa insulini 1 ml ndikulembera.

Mitundu ya Insulin Syringes

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

• singano kapu
• nyumba za cylindrical zokhala ndi makina
• 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.

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 ) Poterepa, ndikofunikira kugwiritsa ntchito syringes yapadera.

Kunja, sizosiyana ndi ma syringes a U-40, komabe, omaliza omwe amapangidwira amapangidwira kuwerengera kwa insulin ndi kuzungulira kwa U-100. Insulin yotere 2,5 kukwera kuposa muyezo (100 u / ml: 40 u / ml = 2,5).

Mitundu ndi mawonekedwe a ma insulin ma insulin. Sankhani syringe yoyenera. Mankhwala akapezeka kuti awonongeka

Mwachitsanzo: Wodwala adamulowetsa ku dipatimenti yodziwitsa matenda ashuga a mtundu woyamba. Dokotala pamndandanda wopatsa mankhwala adauza wodwalayo kukhazikitsa insulin yosavuta 5 pa tsiku, 4 mayunitsi - subcutaneally. M'dipatimenti yachipinda chamankhwala mumakhala mabotolo okhala ndi insulin yosavuta pa Mlingo: 1 ml muli zigawo 100 za insulini ndi ma insulin omwe ali ndi voliyumu ya 1 ml kapena ma 100 a insulin.

1. Kutsimikiza kwa mtengo wogawa syringe

"Mtengo" wagawidwe la syringe ndiwomwe kuthana kungathere pakati pamagawo awiri apafupi a silinda. Kuti mudziwe "mtengo" wogawa syringe ya insulin, mupeze nambala yoyandikana kwambiri ndi cholembera pamasewera (pamalonda ndi ED), kenako onetsetsani kuchuluka kwa magawo pakati pa nambala iyi ndi cholumikizira masewera asanakwane ndikugawana nambala yomwe ili pafupi kwambiri ndi gawo la masewerawa. Ichi chidzakhala "mtengo" wogawika syringe ya insulin. T.O. pamlingo wa mayunitsi - manambala oyamba ndi 10, kuchuluka kwa magawano pakati pa cholowa cha singano ndi manambala ndi 10, kugawa magawo 10 mwa 10 timalandira 1 unit. Chifukwa chake "mtengo" wogawa syringe iyi ndi gawo limodzi.

CHIYAMBI Pali ma insulinge a insulin a mayunitsi 100 omwe ali ndi "mtengo" wagawo la 2 mayunitsi (mwachitsanzo, nambala yoyamba ya cholembera cha singano ndi 10, ndipo kuchuluka kwa magawo asanafike manambala -5, chifukwa chake 10: 5 = 2 mayunitsi)

2. Gulu la insulin

4ED (magawo 4) insulin kuchokera ku vial ndipo kuwonjezera 1 UNIT (1 gawo) imasonkhanitsidwa mu syringe. Magawo asanu a insulini (kapena magawo 5) azisonkhanitsa syringe.

CHIYAMBINgati syringe yokhala ndi "mtengo wa mayunitsi" wa mayunitsi awiri, ndiye kuti mayunitsi 4 (2 mayunitsi) ndi mayunitsi awiri owonjezera (1 unit) alemba mu syringe. Ndipo kotero mu syringe padzakhala PISITSI 6 za insulin (magawo atatu).

KUFotokozera Mawunitsi owonjezera a 1-2 amalembedwa kuti asachepetse mlingo wa insulin pamene mpweya watuluka mu syringe musanalowe.

3. Kuyambitsa insulin kwa wodwala

Tsamba la jakisoni la jekeseni wotsekemera amasankhidwa ndikuwunika. Ndipo namwino amapereka magawo anayi okha a insulin kwa wodwala (malinga ndi pepala lokhala ndi mankhwala).

CHIYAMBI Insulin sayenera kukhalabe mu syringe, chifukwa kuphatikiza 1-2 UNITS ya insulin imatulutsidwa ndi mpweya, pokonzekera syringe yogwira ntchito.

Zokhudza insulin

Insulin imayendetsedwa mosavuta. Malo oyambira: gawo lachitatu la kumtunda kwa ntchafu, dera lothandizira, khoma lakunja lam'mimba pamlingo wa navel, gawo lachitatu lakumapeto kwa phewa.

Malo oyambitsira amasinthidwa molingana ndi lamulo la "asterisk", mawotchi.

Malowo a jakisoni amathandizidwa kawiri ndi mowa wa 70 * ndipo ayenera kuti awume (mutha kuwapukuta ndi swab yowuma).

Akayambitsidwa m'chigawo cha phewa ndi ntchafu, singano imayikidwira mkhola kuchokera pamwamba kupita pansi, m'chigawo cha scapula kuchokera pansi mpaka pamwamba, kulowa m'chigawo cha khomo lamkati lakumbuyo kuchokera kumbali.

Pambuyo pokonzekera insulin, tsamba la jakisoni silimatentheka.

Pambuyo pokonzekera insulin, wodwalayo ayenera kukumbutsidwa chakudya.

Kukonzekera insulin vial ndi syringe kuti mugwiritse ntchito

1. Insulin imapezeka m'mbale 5 ml yomwe ili ndi 1 U of 100 U ya insulini (nthawi zambiri 40 U).

2. Insulin imasungidwa m'chipinda chosungiramo kutentha kwa + 1 * C mpaka + 10 * C, kuzizira sikuloledwa.

3. Mbale ya insulin imatsegulidwa ndikuyendetsedwa molingana ndi malamulo otsegulira Mbale. Pamaso pa insulin iliyonse, chivundikirocho chimathandizidwa ndi 70 * mowa. Onetsetsani kuti mowa watha.

4.Kusanayendetsedwe, insulin yomwe ili mu vial imatenthetsedwa kuti isenthedwe kutentha, komwe insulini imachotsedwa mu firiji 1 ora musanayambe kutsata (kapena mutha kuyendetsa vala ija ndi insulin m'manja kwa mphindi 3-5).

5. Pakukhazikitsa insulini, ma insulin ma insulin amagwiritsidwa ntchito, pomwe pali mamba (mg ndi ma unit). Pali mitundu ingapo ya ma syringe:

syringes ndi masikelo awiri

Syringe pa 1 ml ndi 100ED (ndi "mtengo" wogawa 1UED),

Syringe pa 1 ml ndi 100ED (ndi "mtengo" wagawidwe 2ED),

1 ml syringe ndi ma PIERES 40 (ndi mtengo wogawika wa 1 PIECE),

ma syringe onse ndi miyeso 3

Syringe pa 1 ml ndi pa 100 mayunitsi ndi 40 mayunitsi 40 (okhala ndi mtengo wogawika pachiyeso cha unit 1).

6. CHIYAMBI. Nthawi zina mawonekedwe amasulidwe a insulin ku dipatimenti samagwirizana ndi ma syringe omwe amapezeka ku dipatimenti (mwachitsanzo: pali mabotolo a insulin pomwe 1 ml ili ndi 40 U ya insulin, ndi ma syringes - 1 ml ndi 100 U).

Kenako ndikofunikira kuwerenganso mtengo wa magawidwe a syringe, kuti pakhale koyenera kwa mankhwala a insulin.

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 insulin syringes. pangani mayunitsi zana limodzi, 0,25 ml - 25 magawo, 0,1 ml - 10 magawo. 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!

Kuwerengera mlingo wa insulini: pezani chilichonse chomwe mukufuna. Phunzirani zamomwe mungapangire ndi ochepa Mlingo komanso khalani ndi shuga 3.9-5,5 mmol / L khola maola 24 patsiku. Mutha kuyimitsa kulumikizidwa kwa glucose m'magawo a shuga 1 mwa akulu ndi ana. Ndipo zochulukirapo, khalani ndi shuga wabwinobwino, monga momwe muli anthu athanzi, omwe ali ndi matenda a shuga a 2. Kumvetsetsa momwe mungasankhire mulingo woyenera wa mankhwala a insulin, poganizira momwe matenda a shuga alili.

Werengani mayankho a mafunso:

Zimatenga masiku angapo kuwona momwe magazi a shuga alili odwala matenda ashuga mosiyanasiyana, kenako ndikusankha mtundu wa insulin.

Insulin pochiza matenda amtundu 2 komanso matenda a shuga

Dziwani kuti Mlingo waukulu wa insulin ndi wosakhazikika komanso wosatsimikizika. Mphamvu yamachitidwe awo pamasiku osiyanasiyana ikhoza kusiyana ndi ± 56%. Kuti muchepetse matenda a shuga, muyenera kuthana ndi vutoli. Chida chachikulu ndikusintha, komwe kumachepetsa kuchuluka kwa nthawi 2-8.

Anthu odwala matenda ashuga omwe amachepetsa zakudya zawo zowonjezera chakudya sayenera kubayira insulin yopitilira magawo 8 panthawi. Ngati mukufuna mlingo wapamwamba, gawani pakati pawiri jekeseni ofanana. Apangeni amodzi m'malo osiyanasiyana ndi syringe yomweyo.

Chithandizo cha matenda a shuga a insulin - komwe mungayambire:

Ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin amakhulupirira kuti zochitika za shuga wochepa sizingapeweke. Amaganiza kuti kuukira kwa hypoglycemia ndi njira imodzi yosapeweka. M'malo mwake, imatha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune. Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti mudzilimbitse nokha motsutsana ndi hypoglycemia yoopsa. Onerani kanema yemwe akufotokoza nkhaniyi. Phunzirani momwe mungasinthire zakudya zopatsa thanzi komanso mulingo wa insulin.

Otsatirawa ndi mayankho a mafunso omwe nthawi zambiri amakhala Odwala.

Ndi zakudya ziti zomwe zimakhala ndi insulin?

Palibe zakudya zomwe zimakhala ndi insulin. Komanso, mapiritsi okhala ndi mahomoniwa kulibe. Chifukwa ikafotokozedwa kudzera mkamwa, imawonongeka m'mimba, simalowa m'magazi ndipo sikukhudza kagayidwe kakang'ono ka glucose. Mpaka pano, insulini yochepetsa shuga ya magazi imatha kubweretsedwa mthupi kokha mothandizidwa ndi jakisoni. Pali mankhwala osokoneza bongo omwe amapezeka ndi inhalation, koma sayenera kugwiritsidwa ntchito chifukwa samapereka mlingo woyenera komanso wosasunthika. Nkhani yabwino: singano pazingwe za insulin ndi ma syringe ndizochepa kwambiri kuti mutha kuphunzira.

Kodi ndi magawo ati a shuga omwe amapatsidwa kuti apange jakisoni?

Kuphatikiza pa milandu yoopsa kwambiri, odwala matenda ashuga ayenera kupita kaye ndikukhalitsa kwa masiku 3-7, amawonera shuga wawo wamagazi. Mutha kuwona kuti simukufunika jakisoni wa insulin konse.

Magazi a shuga omwe amakhala nawo ndi 3.9-5,5 mmol / L osachepera maola 24 patsiku. Odwala onenepa kwambiri amawonjezeranso ndi Galvus Met, Glucofage kapena Siofor pachakudya, pang'onopang'ono kuwonjezera mlingo wake.

Werengani za mapiritsi okhala ndi metformin:

Kusintha ku chakudya chopatsa thanzi ndikuyamba kudya metformin, muyenera kusuta zokhudzana ndi momwe shuga amasinthira tsiku lililonse kwa masiku 3-7. Popeza tadziwa zambiri, amagwiritsidwa ntchito kusankha mitundu yayikulu ya insulin.

Zakudya, metformin komanso zolimbitsa thupi ziyenera kubwezeretsa shuga m'magazi abwino, monga momwe zimakhalira ndi anthu athanzi - 3,9-5,5 mmol / l khansa maola 24 patsiku. Ngati zizindikiro zotere sizingatheke, pulula wina mu insulin.

Osagwirizana kuti mukhale ndi shuga 6-7 mmol / l, komanso kwambiri, apamwamba! Manambalawa amawonedwa ngati abwinobwino, koma kwenikweni amakhala okwera. Ndi iwo, zovuta za shuga zimayamba, pang'onopang'ono. Ambiri a anthu odwala matenda ashuga mazana ambiri omwe ali ndi mavuto ndi miyendo, impso ndi maso amadzanong'oneza bondo kuti anali aulesi kwambiri kapena owopa kubaya insulin. Osabwereza cholakwa chawo. Gwiritsani ntchito Mlingo wotsika, wowerengeka mosamala kuti mupeze zotsatira zokhazikika pansipa 6.0 mmol / L.

Nthawi zambiri ndikofunikira kupaka insulin usiku umodzi kuti mukhale ndi shuga wabwinso m'mawa wopanda kanthu. Werengani,. Choyamba, pezani ngati mukufuna jakisoni wa mankhwala omwe akhala akuchita kwa nthawi yayitali. Ngati zikufunika, yambani kuzikwaniritsa.

Werengani za kukonzekera kwa insulin yayitali:

Tresiba ndi mankhwala odziwika bwino kwambiri kotero kuti oyang'anira tsambalo adakonza kanema wazokhudza izi.

Kuyamba kubayila insulin, musayese kukana zakudya. Ngati onenepa kwambiri, pitilizani kumwa mapiritsi. Yesani kupeza nthawi ndi mphamvu zolimbitsa thupi.

Zofunika! Kukonzekera konse kwa insulin kumakhala kosalimba, kuwonongeka mosavuta. Aunikireni ndi kuwamaliza mwakhama.

Shuga wa 9.0 mmol / L ndi kukwera amatha kupezeka, ngakhale zakudya zimatsatiridwa mosamalitsa. Pankhaniyi, muyenera kuyamba kulandira jakisoni, kenako ndikulumikiza mankhwala ena. Komanso odwala omwe ali ndi matenda a shuga a mtundu woyamba komanso anthu owonda omwe apezeka ndi matenda a shuga a 2 amayamba kugwiritsa ntchito mankhwala a insulin akangomaliza kudya zakudya zama carb ochepa, ndikudutsa mapiritsi.

Ndi kuchuluka kwa shuga m'magazi, muyenera kuyamba mwachangu insulin, ndizowononga nthawi.

Mlingo wa insulin waukulu kwambiri ndi uti?

Palibe malamulo oletsa kuchuluka kwa insulin tsiku lililonse. Itha kuwonjezereka mpaka kuchuluka kwa glucose mwa odwala omwe ali ndi matenda ashuga kufike. M'magazini azambiri, milandu imafotokozedwa pamene odwala omwe ali ndi matenda a shuga a 2 alandila mayunitsi 100-150 patsiku. Funso lina ndilakuti kuchuluka kwa mahomoni ambiri kumapangitsa kuti mafuta azikhala mthupi komanso kuti matenda a shuga asamayende bwino.

Tsamba latsamba limaphunzitsira momwe mungakhalire ndi khola lalitali maola 24 patsiku ndipo nthawi yomweyo samalani ndi Mlingo wochepa. Werengani zambiri ndipo. Choyamba, pitani. Anthu odwala matenda ashuga omwe amathandizidwa kale ndi insulin, mutasintha zakudya zatsopano, muyenera kuchepetsa mankhwalawo nthawi 2-8 nthawi yomweyo.

Kodi pamafunika insulini ingati pa chakudya chimodzi (XE) yama chakudya?

Amakhulupirira kuti ngati mkate umodzi (XE), womwe umadyedwa ndi nkhomaliro kapena chakudya chamadzulo, muyenera kubaya ma insulin a 1,0-1.3. Kadzutsa M'malo mwake, izi sizolondola. Ndikwabwino osazigwiritsa ntchito powerengera kuchuluka kwa insulin. Chifukwa mu mitundu yosiyanasiyana ya odwala matenda ashuga, chidwi cha timadzi timeneti timatha kusiyanasiyana kangapo. Zimatengera zaka komanso kulemera kwa wodwalayo, komanso zinthu zina zomwe zalembedwa patebulo pansipa.

Mlingo wa insulin musanadye chakudya choyenera munthu wamkulu kapena wachinyamata amatha kutumiza mwana kudzakhala ndi matenda ashuga padziko lapansi. Komabe, kumwa mosaganizira, zomwe zingakhale zokwanira kwa mwana, sizingakhudze wodwala wa mtundu wa 2 wodwala kwambiri.

Muyenera kudziwa mosamala poyesa ndikulakwitsa kuti ndi magalamu angati a zakudya zomwe zimaphimba gawo limodzi la insulin. Zambiri zowonetsedwa zimaperekedwa mkati. Ayenera kufotokozedwa payekhapayekha kwa aliyense wodwala matenda ashuga, kudziunjikira zowerengera zamavuto a jekeseni m'thupi lake.Uku ndiye kuopsa koopsa. Kuti mupewe amayamba kulandira chithandizo chochepa kwambiri. Amakweza pang'onopang'ono komanso mosamala pakadutsa masiku 1-3.

Zosankha zamadyedwe kutengera ndi matendawa:

Tsambali limafotokoza momwe mungagwiritsire ntchito pochiza matenda ashuga. Mwa kusinthira ku zakudyazi, mutha kuletsa kulumpha m'magazi a shuga ndikupangitsa kuti shuga asungidwe m'magazi 3.9-5,5 mmol / L, monga mwa anthu athanzi.

Anthu omwe amadwala matenda ashuga omwe amatsatira zakudya zoyenera samadya zakudya zomwe amapatsa mphamvu osati chakudya, koma magalamu. Chifukwa mkate magawo amangosokoneza, popanda phindu. Pazakudya zama carb ochepa, kudya kwambiri kwa carbohydrate osapitilira masiku a 2 XE. Chifukwa chake, sizikupanga nzeru kutenga Mlingo wa insulin mwa magawo a mkate.

Kodi gawo limodzi la insulini limachepetsa bwanji shuga?

Zipangizo za Federal State Budgetary Institution "Endocrinological Science Science Center" ya Unduna wa Zaumoyo ku Russian Federation zimati gawo limodzi la insulini limatsitsa shuga ndi magazi pafupifupi 2.0 mmol / l. Chiwerengerochi sichikondweretsedwa bwino. Gwiritsani ntchito zomwe zanenedwazo ndi zopanda ntchito komanso zoopsa. Chifukwa insulini imabweretsa zotsatira zosiyanasiyana pa odwala matenda ashuga onse. Akuluakulu oonda omwe ali ndi matenda a shuga 1, komanso ana, amakhala amphamvu. Pokhapokha ngati malamulo osungira adaphwanyidwa ndipo insulin idasokonekera.

Mankhwala osiyanasiyana a hormone iyi amasiyana kwambiri mu mphamvu. Mwachitsanzo, mitundu ya ultrashort ya insulin Humalog, NovoRapid ndi Apidra ndi yolimba nthawi pafupifupi 1.5 kuposa Actrapid wamfupi. Mitundu ya insulin yowonjezera, yayitali, yapakati, yochepa komanso ya ultrashort imagwira ntchito mwa njira yake. Amakhala ndi zovuta zosiyanasiyana pa shuga wamagazi. Zolinga zoyambitsa ndi njira zowerengera milingo sizofanana. Ndikosatheka kugwiritsa ntchito mtundu wina wapakatikati woonetsa ntchito za onsewo.

Werengani za kukonzekera kwakanthawi ndi ma insulin:

Chitsanzo. Tiyerekeze kuti mwayesa komanso mwapeza vuto kuti 1 unit ya NovoRapid imachepetsa shuga yanu ndi 4.5 mmol / L. Pambuyo pake, munaphunzira za zozizwitsa ndikusintha. akuti insulin yochepa ndiyabwino pakudya kwama carb otsika kuposa kochepa. Chifukwa chake, musintha NovoRapid kukhala Actrapid, womwe ndi wocheperako nthawi 1.5. Kuti mupeze mlingo woyambira, mukuganiza kuti 1 PIECE imatsitsa shuga yanu ndi 4.5 mmol / L / 1.5 = 3.0 mmol / L. Kenako, patatha masiku ochepa, fotokozerani za chiwerengerochi potengera zotsatira za jakisoni woyamba.

Aliyense wodwala matenda ashuga ayenera kuphunzira kuyesa ndikulakwitsa kuti kuchuluka kwake kwa glucose kumachepetsedwa ndi gawo limodzi la insulin yomwe amalowetsa. Sikoyenera kugwiritsa ntchito kuchuluka komwe kumachokera pa intaneti kuti mupeze kuchuluka kwanu. Komabe, muyenera kuyambira penapake. Kuti muwerenge mlingo woyambira, mutha kugwiritsa ntchito zotsatirazi zomwe Dr. Bernstein amapereka.

za pa 3 mmol / l. Momwe wodwala amayenera kuchuluka ndi mafuta m'thupi mwake, amayamba kuchepa mphamvu kwambiri chifukwa cha insulin. Ubwenzi wapakati pa kulemera kwa thupi ndi mphamvu ya insulin ndiwofanana kwambiri, mzere. Mwachitsanzo, wodwala onenepa kwambiri wokhala ndi matenda a shuga a 2, wokhala ndi thupi lolemera 12 kg, 1 unit ya mankhwala a Humalog, Apidra kapena NovoRapid amachepetsa shuga mwachisawawa 1.5 mmol / l.

Kuti muwerenge mlingo woyenera, muyenera kupanga gawo molingana ndi kulemera kwa odwala matenda ashuga. Ngati simukudziwa momwe mungapangire gawo lanu, ndipo simukudziwa momwe mungawerengere popanda zolakwitsa, ndibwino kuti musayesere. Pezani ndi chithandizo chamunthu wazambiri. Chifukwa cholakwitsa muyezo wa insulin yolimba kwambiri imatha kukhala ndi vuto lalikulu, ngakhale kupha wodwalayo.

Kuphunzitsa. Tiyerekeze kuti munthu wodwala matenda ashuga akulemera 71 kg. Insulin yake yachangu - mwachitsanzo, NovoRapid. Mukawerengera kuchuluka kwake, mutha kudziwa kuti 1 unit ya mankhwalawa imachepetsa shuga ndi 2.66 mmol / l. Kodi yankho lanu linagwirizana ndi nambala iyi? Ngati ndi choncho, zili bwino. Tikubwerezanso kuti njirayi ndi yoyenera kokha kuwerengetsa mlingo woyamba, woyamba.Chithunzi chomwe mumapeza, kuwerengera kuchuluka kwake, kuyenera kufotokozedwa ndi zotsatira za jakisoni.

Kuchuluka kwa shuga kumachepetsa gawo limodzi - zimatengera kulemera kwa thupi, zaka, kuchuluka kwa zochita zolimbitsa thupi za munthu, mankhwala omwe amagwiritsidwa ntchito komanso zinthu zina zambiri.

Zomwe Zimakhudza Insulin Sensitivity

Mukakhala ndi chidwi chachikulu, gawo lirilonse la insulin limalowetsedwa (U) limatsitsa shuga. Ziwerengero zowonetsera zimaperekedwa komanso mkati. Izi zitha kugwiritsidwa ntchito kuwerengera mlingo woyambira. Kupitilira apo, amafunika kufotokozedwa aliyense payekhapayekha malinga ndi zotsatira za jakisoni wakale. Musakhale aulesi kusankha mosamala mulingo woyenera kuti mulingo wama glucose ukhale wa 4.0-5.5 mmol / l tsiku ndi tsiku.

Ndi magawo angati a insulin omwe amafunikira kuti muchepetse shuga ndi 1 mmol / l?

Yankho la funsoli limatengera zinthu zotsatirazi:

• M'badwo wa matenda ashuga
• kulemera kwa thupi
• mulingo wakuchita zolimbitsa thupi.

Zinthu zina zingapo zofunika zalembedwa patebulo pamwambapa. Mukakhala ndi chidziwitso cha masabata a 1-2 a jakisoni, mutha kuwerengera momwe 1 unit ya insulin imatsitsira shuga. Zotsatira zake ndizosiyana ndi mankhwala a nthawi yayitali, yochepa komanso ya ultrashort. Podziwa ziwerengerozi, ndikosavuta kuwerengera mlingo wa insulin, womwe umachepetsa shuga la magazi ndi 1 mmol / l.

Kusunga zolemba ndi kuwerengetsa kumakhala kovuta ndipo zimatenga nthawi. Komabe, iyi ndi njira yokhayo yopezera mlingo woyenera, khalani ndi glucose okhazikika, ndikudziteteza ku zovuta za shuga.

Zotsatira za jakisoni zidzawoneka liti?

Funso ili limafunikira yankho mwatsatanetsatane, chifukwa mitundu yosiyanasiyana ya insulini imayamba kuchita mwachangu.

Kukonzekera kwa insulin kumagawidwa:

• yowonjezera - Lantus, Tujeo, Levemir, Tresiba,
• sing'anga - Protafan, Biosulin N, Insuman Bazal GT, Rinsulin NPH, Humulin NPH,
• kuchitapo kanthu mwachangu - Actrapid, Apidra, Humalog, NovoRapid, apakhomo.

Palinso zosakanikirana za magawo awiri - mwachitsanzo, Humalog Mix, NovoMix, Rosinsulin M. Komabe, sizikulimbikitsidwa kuti muzigwiritsa ntchito. Sizinakambidwe patsamba lino. Kuti mukwaniritse chiwongolero chabwino cha matenda a shuga, muyenera kusintha mankhwalawa kuti mugwiritse ntchito nthawi yomweyo mitundu iwiri ya insulin - yotenga nthawi yayitali komanso yofulumira (yochepa kapena ya ultrashort).

Zimanenedwanso kuti odwala matenda ashuga amawunika ndikuwalandira insulin yaying'ono yomwe imagwirizana naye. Mlingo uwu ndiochulukitsa ka 2-7 kuposa omwe madokotala amazolowera. Chithandizo cha matenda ashuga omwe ali ndi insulin malinga ndi njira za Dr. Bernstein zimakupatsani mwayi wokwaniritsa shuga wokhazikika wa 3.9-5,5 mmol / L. Izi ndi zenizeni ngakhale ndi vuto lalikulu la kagayidwe kazakudya. Komabe, insulin yotsika Mlingo imayamba kugwira ntchito pambuyo pake ndikusiya kuyambiranso kale kuposa pamiyeso yambiri.

Insulin yofulumira (yofupikirapo ndi ya ultrashort) imayamba kuchita mphindi 10 mpaka 10 pambuyo pa jekeseni, kutengera mankhwala omwe anaperekedwa ndi mlingo. Komabe, izi sizitanthauza kuti pambuyo pa mphindi 10 mpaka 40 mita ikuwonetsa kuchepa kwa shuga. Kuti muwonetsetse, muyenera kuyeza mulingo wa glucose osati kale kuposa ola 1. Ndikwabwino kuchita izi pambuyo pake - pambuyo pa maola 2-3.

Dziwani zambiri. Osaba jakisoni waukulu wa mankhwalawa kuti muthamangire. Mosakayikira mudzadzipangira nokha mahomoni ochulukirapo kuposa momwe muyenera kuchitira, ndipo izi zidzabweretsa hypoglycemia. Padzakhala kugwedeza kwamanja, manjenje ndi zizindikiro zina zosasangalatsa. Ngakhale kutayika kwa chikumbumtima ndi imfa. Musamalire insulin mwachangu! Musanagwiritse ntchito, mverani mosamala momwe imagwirira ntchito komanso momwe mungadziwire mlingo woyenera.

Kukonzekera kwa insulin kwa nthawi yayitali komanso nthawi yayitali kumayamba kugwira ntchito patatha maola atatu jakisoni atayamba kubayidwa. Amapereka chosalala, chomwe chimavuta kutsatira ndi glucometer. Muyezo umodzi wa shuga sungawonetse chilichonse. M'pofunika kuchita kudziwunikira kwa shuga wamagazi kangapo tsiku lililonse.

Anthu odwala matenda ashuga omwe amadzipatsa jakisoni wa insulin yowonjezereka m'mawa, amawona zotsatira zawo madzulo, kutsatira zotsatira za tsiku lathunthu. Ndikofunika kumanga ma graph azitsulo zama shuga. M'masiku omwe adzaika insulin yochulukirapo, imasiyana kwambiri kuti ikhale yabwino. Inde, ngati mlingo wa mankhwalawa udasankhidwa bwino.

Jakisoni wa insulin yowonjezera, yomwe imachitika usiku, imapereka zotsatirazo m'mawa wotsatira. Kuthamanga shuga kumakhala bwino. Kuphatikiza pa muyeso wam'mawa, mutha kuwongolera kuchuluka kwa glucose pakati pausiku. Ndikofunika kupenda shuga usiku m'masiku oyambirira a mankhwalawa, ngati pali chiopsezo chowonjezera ndi mankhwala oyambira. Khazikitsani alamu kuti mudzuke panthawi yoyenera. Pimani shuga, lembani zotsatirazo ndikugona.

Fufuzani musanayambe mankhwala a shuga ndi mankhwalawa.

Kodi insulin imafunikira kuchuluka motani ngati wodwala matenda ashuga adakwera kwambiri?

Mlingo wofunikira umangotengera shuga wamagazi, komanso kulemera kwa thupi, komanso kuzindikira kwa wodwalayo. Pali zinthu zambiri zomwe zimakhudza kuchepa kwa insulin. Zalembedwa pamwambapa.

Mudzakhala othandiza. Kukonzekera kwapafupipafupi ndi ultrashort kumathandizidwa kwa odwala matenda ashuga ngati kuli kofunikira kuti athetse shuga msanga. Insulin yayitali komanso yapakati suyenera kugwiritsidwa ntchito pazinthu zotere.

Kuphatikiza pa jekeseni wa insulin, zingakhale zothandiza kuti munthu wodwala matenda ashuga amwe madzi ambiri kapena tiyi wa zitsamba. Zachidziwikire, popanda uchi, shuga ndi maswiti ena. Kumwa madzi amadzimadzi magazi, kumachepetsa kuchuluka kwa shuga m'magaziwo, ndipo kumathandizanso impso kuchotsa shuga wina wambiri m'thupi.

Anthu odwala matenda ashuga ayenera kukhazikitsidwa ndendende ndi kuchuluka kwa gawo limodzi la insulin komwe kumachepetsa shuga. Izi zitha kudziwika kwa masiku angapo kapena masabata poyesa ndi kulakwitsa. Chiwerengero chomwe chimawerengera mlingo uliwonse wa mankhwalawa chimayenera kusintha nyengo, matenda opatsirana ndi zina.

Pali nthawi zina pamene shuga watumphuka kale, muyenera kuigwetsa mwachangu, osatha kudziunjikira ndikulakwitsa ndikulakwitsa. Momwe mungawerengere kuchuluka kwa insulin pamenepa? Tiyenera kugwiritsa ntchito zambiri.

Mutha kugwiritsa ntchito njira yowerengetsera mlingo pansipa pangozi yanu. Mankhwala osokoneza bongo kwambiri amatha kuyambitsa matenda osautsa, kusokonezeka kwa chikumbumtima komanso ngakhale kufa.

Pa munthu wamkulu wolemera makilogalamu 63, gawo limodzi la ultrashort insulin Humalog, Apidra kapena NovoRapid amachepetsa shuga la magazi za pa 3 mmol / l. Mafuta ochulukirapo komanso kuchuluka kwa mafuta m'thupi, amachepetsa mphamvu ya insulin. Mwachitsanzo, wodwala onenepa kwambiri yemwe ali ndi matenda a shuga a 2 kg wolemera makilogalamu 126, gawo limodzi la Humalog, Apidra kapena NovoRapid amachepetsa shuga mwachisawawa 1.5 mmol / l. Ndikofunikira kupanga gawo lolingana ndi kulemera kwa odwala matenda ashuga.

Ngati simukudziwa momwe mungapangire kuchuluka, ndipo simukutsimikiza kuti mutha kuwerengetsa molondola, ndibwino kuti musayese. Pemphani thandizo kwa woyenera. Chovuta muyezo wa insulin yochepa kapena ya ultrashort imatha kukhala ndi vuto lalikulu, ngakhale kupha wodwalayo.

Tinene kuti munthu wodwala matenda ashuga wolemera makilogalamu 71. Insulin yake yachangu - mwachitsanzo, Apidra. Mutapanga gawo, munawerengera kuti 1 unit ithetse shuga ndi 2.66 mmol / l. Tiyerekeze kuti wodwala ali ndi shuga wamagazi 14mmol / L. Iyenera kuchepetsedwa mpaka 6 mmol / L. Kusiyana kwake ndi chandamale: 14 mmol / L - 6 mmol / L = 8 mmol / L. Mlingo wofunika wa insulin: 8 mmol / l / 2.66 mmol / l = 3.0 PIECES.

Apanso, iyi ndi mlingo wowonetsa. Zimatsimikiziridwa kuti sizingakhale zangwiro. Mutha kubaya 25-30% mochepera kuti muchepetse chiopsezo cha hypoglycemia. Njira yowerengera yomwe ikufotokozedwayo iyenera kugwiritsidwa ntchito pokhapokha ngati wodwala sanakudziwitse zambiri molondola ndi vuto.

Actrapid ndi wocheperako 1.5 nthawi kuposa Humalog, Apidra kapena NovoRapid. Amayambanso kuchita pambuyo pake. Komabe, Dr. Bernstein amalimbikitsa kugwiritsa ntchito mankhwalawa.Chifukwa yochepa insulini imagwirizana bwino ndi zakudya zama carb otsika kwambiri kuposa mafupipafupi.

Njira yowerengetsera kuchuluka kwa insulin yomwe yaperekedwa pamwambapa siili yoyenera kwa ana odwala matenda ashuga. Chifukwa ali ndi chidwi chofuna kuteteza insulini kangapo kuposa anthu akuluakulu. Jakisoni wa insulin yofulumira mu mlingo wowerengeka malinga ndi njira yodziwikirayo imatha kuyambitsa kwambiri hypoglycemia mwa mwana.

Kodi ndi chiyani chomwe chimawerengetsera kuchuluka kwa insulin kwa ana odwala matenda ashuga?

Mu ana odwala matenda ashuga mpaka unyamata, chidwi cha insulin chimakhala chambiri kangapo kuposa akuluakulu. Chifukwa chake, ana amafunika Mlingo wosayerekezeka poyerekeza ndi odwala akuluakulu. Monga lamulo, makolo omwe amawongolera matenda ashuga mwa ana awo ayenera kuthira insulini ndi saline, wogulidwa mu mankhwala. Izi zimathandiza jekeseni wolondola wa 0,25 mayunitsi.

Pamwambapa, tidasanthula momwe tingawerengere mlingo wa insulin kwa munthu wamkulu wolemera makilogalamu 63. Tinene kuti mwana wodwala matenda ashuga amalemera 21 kg. Titha kumaganiza kuti angafunikire mlingo wa insulin katatu poyerekeza ndi munthu wamkulu, yemwe ali ndi milingo yambiri ya shuga m'magazi. Koma lingaliro ili likhala lolakwika. Mlingo woyenera uyenera kukhala osapitilira katatu, koma nthawi 7-9.

Kwa ana odwala matenda ashuga, pamakhala chiwopsezo chachikulu cha magawo a shuga ochepa omwe amayamba chifukwa cha insulin. Popewa bongo wambiri, jekeseni insulin ndi mankhwala ochepa. Kenako amakwezedwa pang'onopang'ono mpaka magazi a m'magazi atakhala abwinobwino. Ndiosafunika kugwiritsa ntchito mankhwalawa amphamvu Humalog, Apidra ndi NovoRapid. Yesani Actrapid m'malo mwake.

Ana a zaka mpaka 8-10 akhoza kuyamba kubaya insulin ndi muyeso wa mayunitsi 0,25. Makolo ambiri amakayikira kuti mlingo wa "homeopathic" ungakhale ndi phindu lililonse. Komabe, mwachiwonekere, malingana ndi zomwe zikuwonetsa kuti pali glucometer, mudzazindikira zotsatira kuchokera kubayidwa koyamba. Ngati ndi kotheka, onjezani mankhwalawa ndi 0,25-0,5 PIERES masiku onse atatu aliwonse.

Zomwe zili pamwambapa zowerengera insulin ndizoyenera kwa odwala matenda ashuga omwe amatsatira kwambiri. Zipatso ndi zina siziyenera kuphatikizidwa kwathunthu. Mwanayo ayenera kufotokozera zotsatira za kudya zakudya zopanda pake. Palibe chifukwa chogwiritsa ntchito pampu ya insulin. Komabe, ndikofunika kuti muzivala mosamala njira yowonera shuga ngati mungakwanitse.

Palibe choletsa kugwiritsa ntchito insulin panthawi yapakati, popeza insulin siyidutsa chotchinga. Kuphatikiza apo, ngati simumachiza matenda ashuga pakatha nthawi, zimayambitsa: chiwopsezo kwa mwana wosabadwayo. Chifukwa chake, chithandizo cha matenda a shuga chiyenera kupitilizidwa pa nthawi yomwe muli ndi pakati.

Onse hypoglycemia ndi hyperglycemia, omwe amatha kukhala ndi vuto losagwiritsidwa ntchito mosiyanasiyana, kumakulitsa chiopsezo cha kusokonezeka kwa fetal ndi kufa kwa fetal. Amayi oyembekezera omwe ali ndi matenda ashuga amayenera kuyang'aniridwa panthawi yonse yomwe ali ndi pakati, ayenera kuti amawongolera kuchuluka kwa shuga wamagazi, malingaliro omwewo amagwiranso ntchito kwa amayi omwe akukonzekera kutenga pakati.

Kufunika kwa insulin nthawi zambiri kumachepera mu trimester yoyamba ya kutenga pakati ndipo kumawonjezeka pang'onopang'ono mu chachiwiri ndi chachitatu trimesters.

Pambuyo pa kubala, kufunikira kwa insulin kumabwereranso msanga momwe zidadziwikira mwana asanabadwe.

Palibenso zoletsa kugwiritsa ntchito mankhwalawa Protafan NM panthawi yoyamwa. Mankhwala a insulin kwa amayi oyamwitsa si owopsa kwa mwana. Komabe, mayi angafunike kusintha njira ya mankhwala Protafan NM ndi / kapena zakudya.

Kuchita ndi mankhwala ena

Zotsatira za hypoglycemic zimapangidwira ndi acetylsalicylic acid, mowa, alpha ndi ma beta blockers, amphetamine, anabolic steroids, clofibrate, cyclophosphamide, phenfluramine, fluoxetine, ifosfamide, MAO zoletsa, methyldopa, tetracycline, trifamazidigigidi, trifamizidigigidi, trifamizidigigidi, trifamizigidigigidi, trifamizigidigigidi, trifamigidigigidi, trifamigidigigidi, trifamizigigidi, trifamigidigigidi, trifamizigidigigidi, trifamizigigidi, trifamizigigidi, trifamizigidigigidi, trifamizigigidi. thiazides), glucocorticoids, heparin, kulera kwa mahomoni, isoniazid, lithiamu carbonate, nicotinic acid, phenothiazines, sympathomimetics, tricyclic antidepressants.

Zogwira ntchito: insulin-isophan (maumboni amtundu wa anthu),

Zothandiza: zinc chloride, glycerin (glycerol), metacresol, phenol, sodium hydrogen phosphate dihydrate, protamine sulfate, sodium hydroxide ndi / kapena hydrochloric acid (pakusintha pH), madzi a jakisoni

Bongo

Zizindikiro: Kukula kwa hypoglycemia (thukuta lozizira, palpitations, kunjenjemera, njala, kukwiya, kusakhazikika, pallor, kupweteka mutu, kugona, kusowa poyenda, kuyankhula komanso kuwonongeka kwamaso). Hypoglycemia imatha kubweretsa kuwonongeka kwakanthawi kapena kugwira ntchito kwa ubongo, chikomokere, ndi kufa.

Chithandizo: Matenda a shuga kapena shuga mkati (ngati wodwalayo akudziwa), s / c, mu / m kapena mu / mu - glucagon kapena mu / glucose.

Malangizo apadera

Mankhwala osokoneza bongo atalephera kusankha kapena atasiya kugwiritsa ntchito mankhwala, hyperglycemia imatha kupezeka, makamaka kwa odwala matenda a shuga 1. Zizindikiro zoyambirira za hyperglycemia nthawi zambiri zimawonekera pang'onopang'ono kwa maola angapo kapena masiku. Zizindikiro zoterezi zimaphatikizapo nseru, kusanza, kugona kwambiri, redness, khungu lowuma, pakamwa kowuma, kutulutsa mkodzo, ludzu, kusowa chilakolako cha chakudya, komanso kununkhira kwa acetone mkamwa.

Ngati sanalandire, hyperglycemia mu mtundu 1 wa shuga angayambitse kukula kwa matenda ashuga a ketoacidosis. Pankhani ya kusintha kwakukulu pa kayendetsedwe ka glycemic, mwachitsanzo, chifukwa cholimbitsa insulin, Zizindikiro zomwe zimapangidwira ma harbinger a hypoglycemia zimasinthanso, zomwe odwala ayenera kuchenjezedwa.

Matenda ophatikizika, makamaka matenda ndi kufooka, kufunikira kwa insulin kumakulirakulira. Ngati wodwala wasamutsidwa kuchokera ku mtundu wina wa insulin kupita ku ina, ndiye kuti zizindikiro zoyambirira, zam'mbuyomu za hypoglycemia, zimatha kusintha kapena kuchepera kuposa zomwe zidanenedwa poyambitsa insulin.

Kusamutsa odwala ku mtundu wina wa insulin kapena insulin ya wopanga wina uyenera kuchitika moyang'aniridwa ndi achipatala. Posintha zochita zachilengedwe, kusintha wopanga, mtundu, mtundu (nyama, munthu, analogi ya insulin ya anthu) ndi / kapena njira yopangira, njira ya mulingo wambiri ungafunike kusinthidwa.

Ngati kusintha kwa mlingo kuli kofunikira, izi zitha kuchitidwa kale ndi kukhazikitsidwa kwa mlingo woyamba kapena milungu yoyamba kapena miyezi yothandizira.

Kudumpha zakudya kapena kuchita masewera olimbitsa thupi mosakonzekera kungayambitse hypoglycemia.

Ngati wodwala amayenera kuyenda ndi kudutsana kwa malo, ndiye kuti ayenera kupita kwa dokotala, chifukwa adzasintha nthawi ya insulin yolandila komanso kudya.

Protafan NM sangagwiritsidwe ntchito papampu ya insulin chifukwa chogwiritsa ntchito insulin nthawi yayitali.

Kapangidwe ka mankhwala a Protafan NM kumaphatikizira metacresol, omwe angayambitse kuyanjana.

Kukopa pa kuyendetsa galimoto ndikugwira ntchito ndi zinthu

Kuthekera kwa odwala kulolera komanso kuchuluka kwa momwe angachitire amatha kusokonezeka panthawi ya hypoglycemia ndi hyperglycemia, zomwe zimakhala zowopsa nthawi zomwe maluso amenewa amafunikira makamaka (mwachitsanzo, poyendetsa galimoto kapena kugwira ntchito ndi makina ndi makina). Odwala ayenera kulangizidwa kuti achitepo kanthu popewa kukulitsa kwa hypoglycemia ndi hyperglycemia poyendetsa galimoto ndikugwiritsa ntchito njira. Izi ndizofunikira kwambiri kwa odwala omwe alibe kapena kuchepa kwa zizindikiro zakutsogolo kwa hypoglycemia kapena akuvutika ndi zochitika zapafupipafupi za hypoglycemia. Muzochitika izi, kuyendetsa bwino kuyenera kuganiziridwa.

Kodi syringe wa insulin ndi chiani?

Mankhwala a insulin amafunikira kugwiritsa ntchito zida zapadera zachipatala ndi zinthu zina.

Nthawi zambiri, ma insulin a insulin amagwiritsidwa ntchito popereka mankhwala.M'mawonekedwe, ali ofanana ndi zida zachilendo zamankhwala, popeza ali ndi nyumba, pistoni yapadera, ndi singano.

Zogulitsa ndi chiyani:

Kupatula kwa galasi ndikofunika kuwerengera kuchuluka kwa mankhwalawa, motero amagwiritsidwa ntchito nthawi zambiri. Njira yapulasitiki imapereka jakisoniyo molondola. Mankhwalawa amathetsedwa kwathunthu osasiya zotsalira mkati mwa mlandu. Ma syringes aliwonse omwe atchulidwa atha kugwiritsidwa ntchito kangapo, pokhapokha ngati amathandizidwa mosagwirizana ndi antiseptic ndikugwiritsidwa ntchito ndi wodwala m'modzi.

Zinthu zopangidwa ndi pulasitiki zimapezeka m'mitundu ingapo. Mutha kuzigula mu mankhwala aliwonse.

Momwe mungagwiritsire ntchito syringe yolembedwa molakwika

• Mlingo wokhazikitsidwa ndi adotolo amakhalabe womwewo, ndipo chifukwa cha kufunika kwa thupi kwa kuchuluka kwakomwe kwa mahomoni.
• Koma ngati wodwala matenda ashuga agwiritsa ntchito insulin U-40, kulandira magawo 40 patsiku, ndiye kuti muthandizidwe ndi insulin ya U-100 adzafunikabe magawo 40. Magawo awa 40 okha amafunika kuti ajambulidwe ndi syringe ya U-100.
• Ngati mutaba jakisoni wa U-100 ndi syringe ya U-40, kuchuluka kwa insulini kuyenera kukhala kocheperako mpaka 2,5 .

Kwa odwala matenda a shuga powerengera insulin muyenera kukumbukira njira :

40 magawo U-40 wopezeka mu 1 ml ya yankho ndi ofanana 40 mayunitsi. 100-insulin yomwe ili mu 0.4 ml yankho

Mlingo wa insulini sunasinthike, kuchuluka kokha kwa insulin komwe kumathandizira kumachepa. Kusiyanaku kumawaganiziridwa mu ma syringe omwe adakonzera U-100.

Momwe mungasankhire syringe yabwino ya insulin

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

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

Onani chitsanzo cha jakisoni wa insulin. Mwatsatanetsatane pakukhazikitsa insulin. Ndipo kumbukirani kuti syringe yotayikirayi ndiyotayanso, ndikuyigwiritsanso ntchito sikuti yopweteka, komanso ndiyowopsa.

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.

Malangizo omaliza opanga 31.07.1999

Mlingo ndi makonzedwe

P / c, mwapadera - v / m, mphindi 15 musanadye. Mlingo woyamba mwa akulu ndi kuyambira 8 mpaka 24 IU, mwa ana - ochepera 8 IU. Ndi kuchepetsedwa kwa chidwi ndi insulin - waukulu. Mlingo umodzi siwaposa 40 IU. Posintha mankhwalawa ndi insulin yaumunthu, kuchepetsa mlingo kumafunika. Ndi matenda a shuga a shuga komanso acidosis, mankhwalawa nthawi zambiri amawathandizira iv.

Voliyumu ndi kutalika kwa singano

Ma syulin a insulini amatha kukhala ndi voliyumu yosiyana, yomwe imazindikira kuchuluka kwa insulini yomwe ilipo, komanso kutalika kwa singano. Pa mtundu uliwonse pali magawo komanso magawikidwe apadera omwe amathandizira kupitilira kuchuluka kwa mankhwalawa omwe mungayankhe m'thupi.

Malinga ndi miyezo yokhazikitsidwa, 1 ml ya mankhwalawa ndi 40 magawo / ml. Chida chachipatala choterechi chimalembedwa kuti u40. Mayiko ena amagwiritsa ntchito insulin yomwe ili ndi mayunitsi 100 pa ml ya yankho lililonse. Kuti mupeze jakisoni kudzera mumahomoni oterowo, muyenera kugula ma syringe ena apadera ndi u100. Musanagwiritse ntchito zida, ndikofunikira kuti mumveke bwino za kuchuluka kwa mankhwala omwe amaperekedwa.

Kukhalapo kwa ululu panthawi ya jakisoni wa mankhwalawa zimatengera singano yosankhidwa. Mankhwalawa amabwera ndi jekeseni wa subcutaneous mu minofu ya adipose. Kulowa kwake mwangozi m'mitsempha kumathandizira kukulitsa kwa hypoglycemia, chifukwa chake muyenera kusankha singano yoyenera. Makulidwe ake amasankhidwa polingalira za thupi lomwe mankhwalawo adzagwiriridwa.

Mitundu ya singano kutengera kutalika:

• lalifupi (4-5 mm),
• sing'anga (6-8 mm),
• Kutalika (kupitirira 8 mm).

Kutalika kwambiri ndi 5-6 mm. Kugwiritsa ntchito singano ndi magawo awa kumalepheretsa mankhwalawa kuti asalowe mu minofu, kuthetsa chiopsezo cha zovuta.

Mitundu ya Ma Syringes

Wodwala sangakhale ndi luso lachipatala, koma panthawi imodzimodziyo amatha kupanga jakisoni wa mankhwalawa. Kuti muchite izi, ndikwanira kusankha mtundu wosavuta kwambiri wazogulitsa insulin. Kugwiritsa ntchito ma syringe omwe ndi oyenera kwa wodwalayo m'njira zonse amalola kuti jakisoni ikhale yopanda ululu konse, komanso imapereka kuwongolera koyenera kwa kuchuluka kwa mahomoni.

Pali mitundu ingapo ya zida:

• ndi singano yochotsa kapena yolumikizidwa
• syringe zolembera.

Ndi singano zosinthika

Zipangizo zoterezi zimasiyana ndi zida zina zofananira pakutha kuchotsa nzzle pamodzi ndi singano panthawi ya mankhwala. Pisitoni mu chopangacho imayenda bwino komanso modekha m'thupi, kuchepetsa chiopsezo cha zolakwa.

Izi ndizothandiza, chifukwa ngakhale cholakwika chaching'ono chambiri chimatha kubweretsa mavuto. Zinthu zosintha ndi singano zimachepetsa chiopsezo cha zovuta panthawi ya mankhwala a insulin.

Zida zotayidwa kwambiri zomwe zimakhala ndi voliyumu ya 1 ml ndipo zimapangidwira magulu 40-80 a mankhwalawo.

Ma syringe okhala ndi singano yosakanikirana kapena yosinthika sasiyana ndi wina ndi mnzake. Kusiyanitsa pakati pawo ndikuti pokhapokha ngati chinthu chomwe sichingasinthe kapangidwe kake, singano imagulitsidwa.

Ubwino wa ma syringe ndi zinthu zomangidwa:

• otetezeka, chifukwa samataya madontho a mankhwalawo ndikuwonetsetsa kuti wodwalayo alandira bwino mlingo woyenera.
• osakhala ndi gawo lakufa.

Zina, kuphatikiza magawano ndi sikelo pamilandu, ndizofanana ndi magawo a zida zina zamankhwala.

Cholembera

Chida chachipatala chokhala ndi piston yodziwira yokha chimatchedwa cholembera. Chogulitsachi chimatha kukhala chilichonse pulasitiki ndi galasi. Njira yoyamba ndi yofala kwambiri pakati pa odwala.

• mlandu
• katoni wamankhwala
• wogulitsa
• kapu ndi singano,
• chisindikizo cha mphira
• chizindikiro (digito),
• batani lolowani mankhwalawo,
• kapu ya chogwirira.

Ubwino wazida zotere:

• kupweteka kosavomerezeka ndi punction,
• kasamalidwe ka kasamalidwe
• palibe chifukwa chosinthira kuchuluka kwa mankhwalawa, chifukwa makatiriji apadera amagwiritsidwa ntchito,
• cartridge yamankhwala ndikokwanira kwa nthawi yayitali,
• Muli mwatsatanetsatane posankha mlingo,
• Ndikothekanso kusintha kuzama kwa kuputa.

• jakisoni sangakonzeke ngati vuto,
• ndizovuta kupeza cartridge yoyenera yamankhwala,
• mtengo wokwera.

Kuwerengetsa pamalonda kumafanana ndi kuchuluka kwa mankhwalawa. Kuyika chizindikiro pa thupi kumatanthauza magawo angapo a mankhwala. Mwachitsanzo, jakisoni wofunafuna kuchuluka kwa u40, mamililita 0,5 amafanana ndi magawo 20.

Kugwiritsa ntchito zinthu zokhala ndi zilembo zosayenera kungapangitse kuti mupeze mankhwala olakwika. Kuti musankhe molondola kuchuluka kwa timadzi tam'thupi, timapadera timasiyanitsidwa. Zogulitsa za U40 zimakhala ndi kapu wofiira ndipo zida za u100 zimakhala ndi kapu ya lalanje.

Mu zolembera za insulin mulinso ndi maphunziro ake. Jekeseni imagwiritsidwa ntchito ndi mahomoni omwe kukhazikika kwake kuli mayunitsi 100. Kuwona kwa mulingo woyenera kumatengera kutalika kwa magawo: ocheperako, ndizowonjezereka bwino za insulini.

Mafotokozedwe a magulu a nosological

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 insulin, kotero ma syringe omwe amafunsidwa kuti akhale ndi mayunitsi 40 ml / ml akhoza kupezeka mu pharmacy.

Lero, 1 ml yankho lili ndi magawo 100 a insulini; makina ake a insulin ndi mayunitsi 100 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.

Momwe mungagwiritsire ntchito?

Musanachite izi, muyenera kukonzekera zida zonse ndi botolo la mankhwala.

Ngati ndi kotheka, makonzedwe omwewo a mahomoni okhala ndi nthawi yayitali komanso yochepa, muyenera:

1. Lowetsani mpweya mu chidebe ndi mankhwala (owonjezera).
2. Chitaninso chimodzimodzi pogwiritsa ntchito insulin yochepa.
3. Gwiritsani ntchito syringe ya mankhwala yochepa pakangodutsa ndiye yotalikirapo.

Malangizo okhudzana ndi mankhwala:

1. Pukutirani botolo la mankhwala ndikupukuta ndi mowa. Ngati mukufuna kulowa zochuluka, ndiye kuti insulin iyenera kugwedezeka kaye kuti muimitse homogeneous.
2. Ikani singano mu vial, kenako ndikokerani pisitoni pagawo lomwe mukufuna.
3. Njira yothetsera vutoli iyenera kukhala mu syringe pang'ono pofunikira.
4. Pakumveka thovu, yankho limayenera kugwedezeka ndikufinya mzimu ndi piston.
5. Pukuta malowo ndi jakisoni.
6. Pindani khungu, kenako jekeseni.
7. Pambuyo pa jekeseni aliyense, singano zimasinthidwa ngati zingasinthane.
8. Ngati kutalika kwa punctr kumapitirira 8 mm, ndiye kuti jakisoni iyenera kuchitidwa pakona kuti isalowe mu minofu.

Chithunzichi chikuwonetsa momwe mungagwiritsire ntchito mankhwalawo moyenera:

Zowonera

Kuti odwala matenda ashuga azitha kuyendayenda momasuka, omaliza amapatsidwa gawo la insulini, lomwe limafanana ndi kuchuluka kwa mahomoni m'mbale. Komanso, gawo lililonse lolemba papulogalamuyo limaonetsa kuchuluka kwa mayunitsi, osagwiritsa ntchito mamililita.

Chifukwa chake, ngati syringe idapangidwa kuti ikhale ya U40, kuyika chizindikiro, komwe 0.5 ml nthawi zambiri imawonetsedwa, ndi magawo 20, pa 1 ml, 40 mayunitsi akuwonetsedwa.

Poterepa, gawo limodzi la insulin ndi 0,025 ml ya timadzi. Chifukwa chake, syringe U100 ili ndi chisonyezo cha mayunitsi 100 mmalo mwa 1 ml, ndi magawo 50 pamlingo wa 0,5 ml.

Mu shuga mellitus, ndikofunikira kugwiritsa ntchito mankhwala a insulin omwe ali ndi ndende yoyenera yokha. Kuti mugwiritse ntchito insulin 40 u / ml muyenera kugula syringe ya U40, ndipo kwa 100 u / ml muyenera kugwiritsa ntchito syringe yolingana ya U100.

Chimachitika ndi chiani ngati mugwiritsa ntchito syringe yolakwika ya insulin? Mwachitsanzo, ngati yankho kuchokera ku vial yokhala ndi mayunitsi 40 / ml ikusungidwa mu syringe ya U100, m'malo mwa magawo 20, 8 okha ndi omwe angalandire, omwe amapitilira kawiri kuposa mlingo wofunikira. Momwemonso, mukamagwiritsa ntchito syringe ya U40 ndi yankho la mayunitsi 100 / ml, m'malo mwazofunikira za 20 mayunitsi, 50 adzalandira mphotho.

Kuti odwala matenda ashuga azindikire molondola kuchuluka kwa insulini, opanga omwewo adapeza chizindikiritso chomwe mutha kusiyanitsa mtundu wina wa insulin yomwe ingagwiritsidwe ntchito.

Makamaka, syringe ya U40, yomwe ikugulitsidwa lero m'mafakisi, ili ndi kapu yoteteza ku red ndi U 100 mu lalanje.

Momwemonso, zolembera za insulin, zomwe zimapangidwira kuchuluka kwa 100 u / ml, zimaliza maphunziro. Chifukwa chake, pakuwonongeka kwa chipangizocho, ndikofunikira kuganizira izi ndikugula ma syringe a U 100 okha mu pharmacy.

Kupanda kutero, ndikasankha kolakwika, mankhwala osokoneza bongo olimba ndiwotheka, omwe angayambitse kupweteka komanso ngakhale kufa kwa wodwalayo.

Chifukwa chake, ndikwabwino kugula musanadye zida zofunika zomwe zikhala zikusungidwa nthawi zonse ndikuchenjeza nokha za ngozi.

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 akuda.

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.

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.

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 isanazungulidwe mu syringe mpaka ipangike osakaniza.

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.

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.

Zotsatira za pharmacological

Hypoglycemic. Protafan HM imalumikizana ndi plasma membrane receptor ndikulowa mu cell, momwe imayendetsa phosphorylation ya mapuloteni am'magazi, imathandizira glycogen synthetase, pyruvate dehydrogenase, hexokinase, ndikuletsa ma adipose minofu ya lipase ndi lipoprotein lipase. Kuphatikiza ndi cholandilira china chake, chimathandizira kulowa kwa glucose m'maselo, kumathandizira kukoka kwake ndi minofu ndikulimbikitsa kutembenuka kukhala glycogen. Kuchulukitsa minofu ya glycogen, kumapangitsa kaphatikizidwe ka peptide.

Pharmacokinetics

Zotsatira zimayambika maola 1.5 pambuyo poyang'anira sc, zimafika patadutsa maola 4-12 ndipo zimatha maola 24. Protafan NM Pulogalamu yodwala matenda a shuga omwe amadalira insulin amagwiritsidwa ntchito ngati insulin insulin limodzi ndi insulin yotsalira, kwa osagwirizana ndi insulini - monga monotherapy , komanso kuphatikiza ma insulini othamangira mwachangu.

Momwe mungawerengere insulin?

Kuti mumve mankhwala molondola, ndikofunikira kuti mupewe kuchuluka kwake. Kuchuluka kwa insulin komwe wodwala amafunikira kumadalira index ya glycemic. Mlingo sungakhale wofanana nthawi zonse, chifukwa zimatengera XE (magawo a mkate). Ndikofunikira kuti wodwalayo aphunzire kuwerengera momwe amafunikira insulini, chifukwa ndizosatheka kumvetsetsa mosiyanasiyana kuchuluka kwa mankhwala omwe amafunikira kuti amalize chakudya chomwe amadya.

Gawo lirilonse pa jakisoni ndi kumaliza kwa mankhwalawo, mogwirizana ndi kuchuluka kwa yankho. Ngati wodwala adalandira ma PISCES 40, ndiye, pogwiritsa ntchito yankho mu 100 PIECES, adzafunika kuyambitsa mayunitsi a 2,5 / ml pazinthu za u100 (100: 40 = 2,5).

Gawo lalamulo:

Makanema pazakuwerengera Mlingo wa insulin:

Momwe mungagwiritsire ntchito cholembera?

Kugwiritsa ntchito cholembera:

1. Ikani singano yatsopano kutaya pa malonda.
2. Dziwani kuchuluka kwa mankhwalawa.
3. Kanikizani kuyimba mpaka nambala yomwe mukufuna idawonekera pompopompo.
4. Chitani jakisoni ndikudina batani lomwe lili pamwamba pa chogwirira (mutapumira).

Malangizo a kanema ogwiritsa ntchito cholembera:

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 zofunikira kwambiri za insulin, momwe magawo zana a mahomoni amagwera pa 1 ml. Zotengera zoterezi zimakhala ndi 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.

1. U-40: 1 ml muli magawo 40 a insulin, zomwe zikutanthauza kuti 0,025 ml - 1 UI.
2. 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.

Malamulo a mtengo ndi kusankha

Anthu omwe nthawi zonse amapanga mankhwala a insulini amadziwa kuchuluka kwa zinthu zofunika pa mtengo wake.

Mtengo wongoyerekeza chidutswa chilichonse:

• kuchokera ku ma ruble 130 a product u100,
• kuchokera ma ruble 150 a product u40,
• pafupifupi 2000 ma ruble a cholembera.

Mitengo yowonetsedwa imangogwira ntchito pazinthu zofunikira zokha. Mtengo wa zoweta (nthawi imodzi) ndi ma ruble 4-12.

Pali mfundo zomwe muyenera kuziganizira mukamasankha mankhwala a insulin.

Izi zikuphatikiza:

1. Kutalika kwa singano kumatengera zaka za wodwalayo. Ana aang'ono amalangizidwa kuti azigwiritsa ntchito masingano okhala ndi kutalika kwa 5 mm, ndi akulu - mpaka 12.
2. Anthu omwe ali ndi kunenepa kwambiri ayenera kugwiritsa ntchito zinthu zomwe zimapanga punto yakuya kwa 8 mm.
3. Zogulitsa zotsika mtengo zimakhala ndi zotsika komanso kudalirika.
4. Sikuti zolembera zonse za syringe zimatha kupeza makatoni osinthika mosavuta, chifukwa chake mukamagula muyenera kudziwa zam'tsogolo zakugawika kwa zinthu zofunika pajekeseni.

Ndikofunika kumvetsetsa kuti kuthandizira kwa insulin mankhwala kumatengera chida chomwe wodwala wasankha.

Nthawi zambiri, anthu odwala matenda ashuga amakonda kugwiritsa ntchito mankhwala a insulin, iyi ndi njira yotsika mtengo komanso yofala kwambiri yobweretsera timadzi tambiri tulo tambiri. M'mbuyomu, mayankho okha omwe anali ndi kuperewera kwa magazi anali kuperekedwa; 1 ml inali ndi magawo 40 a insulin. Mwakutero, odwala matenda ashuga anapeza ma insulini a U 40 a 40 magawo a insulin mu 1 ml.

Masiku ano, 1 ml ya insulin yomwe ili ndi gawo la insulin pa magawo zana, motero munthu wodwala matenda ashuga amagwiritsa ntchito ma syringe a U 100 okhala ndi singano zosiyanasiyana kuti adziwe mlingo wake. Ngati mankhwala ambiri aperekedwa, munthuyo amakhala pachiwopsezo cha hypoglycemia yayikulu.

Pakadali pano, m'mafakitala mutha kugula mitundu yonse ya zida zoperekera insulin, kotero ndikofunikira kudziwa momwe zimasiyanirana komanso momwe mungalembe mankhwalawo moyenera. Ngati wodwala matenda ashuga amagwiritsa ntchito 1 ml insulini, mumadziwa bwanji kuchuluka kwa mankhwala a insulin omwe amatengedwa komanso momwe angawerengere mu syringe?

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.

1. 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.
2. 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.
3. 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.

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 syringe a insulin amabwera ndi singano yophatikizika komanso yochotsa. Madokotala amalimbikitsa kusankha chida chobayirira mahomoni ndi singano yokhazikika, izi zimatsimikizira kuti mulingo wokwanira wa mankhwala amayeza, womwe unayezedwa pasadakhale.

Chowonadi ndi chakuti kuchuluka kwina kwa insulin kumachedwa ndi singano yochotsa, chifukwa cha cholakwikachi, munthu sangapeze magawo 7-6 a mankhwalawa.

Ma singano a insulin amatha kutalika motere:

• Mwachidule - 4-5 mm,
• Yapakatikati - 6-8 mm,
• Kutalika - zoposa 8 mm.

Kutalika kotalika 12,7 mm sikugwiritsidwa ntchito masiku ano, chifukwa panthawi yomwe amagwira ntchito mankhwalawa amatha kuchuluka kwa intramuscular.

Njira yabwino kwambiri kwa ana ndi akulu ndi singano yayitali 8 mm.

Momwe mungadziwire mtengo wogawa

Pakadali pano, m'mafakitare mutha kupeza syringe ya zigawo zitatu yokhala ndi 0,3, 0,5 ndi 1 ml. Zambiri pazomwe zili zenizeni zimapezeka kumbuyo kwa phukusi.

Nthawi zambiri odwala matenda ashuga amakonda kugwiritsa ntchito syringe yokhala ndi voliyumu imodzi, muyeso womwe umatha kukhala ndi mayunitsi 40 kapena 100, ndipo nthawi zina kumaliza maphunziro kumakhala kugwiritsidwa ntchito ngati milliliters. Kuphatikiza zida zomwe zili ndi muyeso wambiri.

Musanagwiritse ntchito syringe ya insulin, ndikofunikira kudziwa kuchuluka konse. Pambuyo pa izi, mtengo wa magawo akulu umatsimikizika pogawa kuchuluka kwa syringe ndi kuchuluka kwa magawo. Ndikofunikira kuwerengera zokhazokha. Pamaso pa magawano a millimeter, kuwerengera koteroko sikofunikira.

Chotsatira, muyenera kuwerengetsa kuchuluka kwa magawo ang'onoang'ono. Kuti muchite izi, kuchuluka kwawo pagawo limodzi lalikulu kumatsimikizika. Tikagawa kuchuluka kwa magawo akulu ndi ochepa, timapeza mtengo wogawika, womwe wodwala matenda ashuga amauzindikira. Ndizotheka kubaya insulini pokhapokha wodwala atatha kunena molimba mtima kuti: "Ndimamvetsetsa kuwerengera kuchuluka kwa mankhwalawa."

Mlingo wa insulini

Ichi ndi mankhwala amapangidwa muyezo ma CD ndi kuyikika mu zinthu zoyambira zochita. Nthawi zambiri, m'botolo wamba 5 ml muli magawo 200. mahomoni. Kotero kuti 1 ml ili ndi 40 mayunitsi. 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.

1. Ngati agwiritsidwa ntchito, gwiritsani ntchito vial musanabayidwe kuti mupange osakaniza.
2. Botolo lililonse lingagwiritsidwe ntchito mobwerezabwereza, mlingo wachiwiri ungapezeke nthawi iliyonse.
3. Mankhwalawa ayenera kusungidwa mufiriji, kupewa kuzizira.
4. Musanapange jekeseni, mankhwalawa amachotsedwa mufiriji amayenera kusungidwa kwa mphindi 30 m'chipindacho kuti kutentha kumafikire.

Momwe mungasungire bwino insulin

Zida zonse za jekeseni zisanayesedwe, kenako madzi amathiridwa. Ngakhale syringe, singano ndi ma twejito ozizira, zotchinga za aluminiyamu zichotsedwa mu vial, poyimitsa chimapukutidwa ndi yankho la mowa.

Pogwiritsa ntchito ma tweezers, syringe imachotsedwa ndikusakanikirana, osakhudza pistoni ndi nsonga ndi manja anu. Kenako, singano yayikulu imayikidwa, pisitoni imakanikizidwa, ndipo madzi otsalawo amachotsedwa mu syringe.

Pisitoni imayikidwa pamwamba pake pomwepo. Woyimitsa mphira, ukubowoleka, singanoyo imatsitsidwa mkati mwa botolo ndi 1.5 masentimita, kenako mpweya wotsalira umatsitsidwa ndi piston. Pambuyo pa singano atakweza popanda kutulutsa kuchokera mu vial, mankhwalawa amasonkhanitsidwa mumtengo waukulu.

Singano imatulutsidwa mumkono ndikuchotsa, singano yatsopano yopyapyala imayikidwa ndi ma tweezers m'malo mwake. Mpweya umachotsedwa ndikumakankhira pa piston, madontho awiri amomwe amachotsedwa ndi singano. Pambuyo pokhapokha ndi jakisoni wa insulin m'malo osankhidwa pathupi.

Zambiri za ma syringes a insulin zimaperekedwa mu kanema munkhaniyi.

Kusintha kwa moyo, aliyense wodwala matenda a shuga ayenera kudalira pawokha Mlingo wa insulin womwe angafune, osasinthana ndi madotolo omwe mwina sangakhalepo nthawi zonse. Mukazindikira njira zopangira insulin, muthanso kupewa kuchuluka kwa mahomoni, ndikugwiritsanso ntchito matendawa.

Malamulo owerengera

Lamulo lofunikira mu algorithm yowerengetsera kuchuluka kwa insulini ndikofunikira kwa wodwalayo kuposa gawo limodzi la 1 la mahoni pa kilogalamu imodzi ya kulemera. Mukanyalanyaza lamuloli, kudzakhala ndi insulin yambiri, yomwe ingayambitse vuto lalikulu - kukomoka kwa hypoglycemic. Koma posankha ndendende mlingo wa insulin, ndikofunikira kuganizira kuchuluka kwa kubwezeretsedwa kwa matendawa:

• Mu magawo oyamba a matenda amtundu 1, muyezo wa insulin mumasankhidwa malingana ndi 0,5 ya mahomoni pa kilogalamu yolemera.
• Ngati mtundu 1 wa shuga umakhala wolipiridwa bwino pachaka, ndiye kuti inshuwaransi yokwanira imakhala magawo 0,6 a timadzi ta kilogalamu imodzi ya kulemera kwa thupi.
• Mu mtundu woyamba wa shuga 1 komanso kusinthasintha kosalekeza m'magazi am'magazi, mpaka magawo 0,7 a mahomoni pa kilogalamu imodzi ya kulemera amafunikira.
• Pankhani ya shuga wowola, muyezo wa insulin udzakhala magawo 0.8 / kg,
• Ndi gestational shuga mellitus - 1.0 PIECES / kg.

Chifukwa chake, kuwerengetsa kwa kuchuluka kwa insulin kumachitika molingana ndi algorithm: Mlingo wa insulin wa tsiku ndi tsiku (U) * Chiwerengero chonse cha thupi / 2.

Mwachitsanzo: Ngati mlingo wa insulin wa tsiku ndi tsiku ndi magawo 0,5, ndiye kuti uyenera kuchulukitsidwa ndi kulemera kwa thupi, mwachitsanzo makilogalamu 70. 0.5 * 70 = 35. Chiwerengero chotsatirachi 35 chikuyenera kugawidwa ndi 2. Zotsatira zake ndi nambala 17.5, yomwe iyenera kuzunguliridwa, ndiye kuti, peze 17. Ndipo likukonzekera kuti m'mawa mankhwala a insulin akhale magawo 10, ndipo madzulo - 7.

Mlingo wa insulin umafunika pa 1 mkate uti

Gulu la mkate ndi lingaliro lomwe lakhazikitsidwa kuti lipange zosavuta kuwerengera mlingo wa insulin musanadye chakudya. Pano, powerengera magawo a mkate, sizinthu zonse zomwe zimakhala ndi chakudya zomwe zimatengedwa, koma "zowerengedwa" zokha:

• mbatata, beets, kaloti,
• mankhwala a chimanga
• zipatso zokoma
• maswiti.

Ku Russia, mkate umodzi umafanana ndi magalamu 10 a chakudya. Gulu limodzi la mkate limafanana ndi kagawo ka mkate woyera, apulo wina wamkulu, masipuni awiri a shuga.Ngati gawo limodzi la mkate likalowa m'thupi lomwe silitha kudzipangira payokha, ndiye kuti glycemia imakulirakulira kuchokera 1.6 mpaka 2.2 mmol / l. Ndiye kuti, izi ndizomwe zisonyezero zomwe glycemia imatsika ngati gawo limodzi la insulin lipangidwe.

Izi zikutanthauza kuti pachakudya chilichonse chokhala ndi mkate, chimayenera kukhazikitsa gawo limodzi la insulin. Chifukwa chake, ndikulimbikitsidwa kuti onse odwala matenda ashuga azitha kupeza patebulo la chakudya kuti awerenge molondola kwambiri. Kuphatikiza apo, jekeseni iliyonse isanachitike, ndikofunikira kuwongolera glycemia, ndiye kuti, pezani kuchuluka kwa shuga m'magazi ndi glucometer.

Ngati wodwalayo ali ndi hyperglycemia, ndiye kuti, shuga wambiri, muyenera kuwonjezera kuchuluka koyenera kwamagulu a mahomoni ku chiwerengero choyenera cha magawo a mkate. Ndi hypoglycemia, mlingo wa mahomoni umacheperachepera.

Mwachitsanzo: Ngati wodwala matenda ashuga ali ndi shuga okwanira 7 mmol / l theka la ola musanadye ndipo akufuna kudya 5 XE, ayenera kuyang'anira gawo limodzi la insulin yochepa. Kenako shuga woyamba wamagazi amachepa kuchoka pa 7 mmol / L mpaka 5 mmol / L. Komabe, kuti mumalize mkate wa magawo asanu, muyenera kulowa magawo asanu a mahomoni, mlingo wonse wa insulin ndi magawo 6.

Momwe mungasankhire mlingo wa insulin mu syringe?

Kuti mudzaze syringe yokhazikika ndi voliyumu ya 1.0-2.0 ml ndi kuchuluka kwa mankhwalawa, muyenera kuwerengera mtengo wogawa wa syringe. Kuti muchite izi, sankhani kuchuluka kwa magawo 1 ml a chida. Hormone yomwe imapangidwa mkati imagulitsidwa mumbale za 5.0 ml. 1 ml ndi 40 magawo a mahomoni. Magawo 40 a mahomoni amayenera kugawidwa ndi nambala yomwe idzapezeke powerengera magawo 1 ml a chipangizocho.

Mwachitsanzo: Mu 1 ml ya syringe magawo 10. 40:10 = 4 mayunitsi. Ndiye kuti, mgawo limodzi la syringe, zigawo 4 za insulin zimayikidwa. Mlingo wa insulin womwe muyenera kulowamo uyenera kugawidwa ndi mtengo wogawika, kotero mumalandira kuchuluka kwa magawo omwe ayenera kudzazidwa ndi insulin.

Palinso ma syringe omwe amakhala ndi chubu yapadera yodzaza ndi mahomoni. Pakukanikiza kapena kutembenuza batani la syringe, insulin imabayidwa pang'onopang'ono. Mpaka nthawi ya jakisoni mu syringes, muyeso wofunikira uyenera kukhazikitsidwa, womwe udzalowe m'thupi la wodwalayo.

Momwe mungayendetsere insulin: malamulo apadera

Makulidwe a insulini amapezeka molingana ndi algorithm wotsatira (pamene kuchuluka kwa mankhwala kwawerengedwa kale):

1. Manja azikhala ndi tizilombo toyambitsa matenda, valani magolovesi azachipatala.
2. Pukutirani botolo la mankhwalawo m'manja mwanu kuti lisakanikidwe, gwiritsani ntchito kapu ndi nkhumba.
3. Mu syringe, jambulani mpweya mu kuchuluka kwa momwe ma hormone adzagwiritsidwire ntchito.
4. Ikani vial ndi mankhwalawo molunjika patebulo, chotsani kapu ku singano ndikuyiyika mu vial kudzera pa cork.
5. Kanikizirani syringe kuti mpweya kuchokera mkati mwake ulowe.
6. Sinthani botolo moyang'anitsitsa ndikuyika syringe 2-4 zambiri kuposa zomwe ziyenera kuperekedwa kwa thupi.
7. Chotsani singano mu vial, imasulani mpweya ku syringe, ndikusintha mlingo kuti ukhale wofunikira.
8. Malo omwe jakisoni idzachitikire amayesedwa kawiri ndi chidutswa cha ubweya wa thonje ndi antiseptic.
9. Yambitsani insulin mosakakamiza (ndi kuchuluka kwa mahomoni, jakisoni umachitika intramuscularly).
10. Chiritsani tsamba lanu jekeseni ndi zida zomwe zikugwiritsidwa ntchito.

Kuthira mwachangu kwa mahomoni (ngati jakisoni ndiwofatsa), jekeseni wam'mimba ndikulimbikitsidwa. Ngati jakisoni wapangidwa ntchafu, ndiye kuti kuyamwa kumakhala pang'onopang'ono komanso kosakwanira. Jekeseni m'matako, phewa limakhala ndi mayeso ambiri.

Insulin yowonjezera ndi mlingo wake (kanema)

Insulin yotalikilapo imaperekedwa kwa odwala kuti akhale ndi shuga othamanga wamagazi, kotero kuti chiwindi chikhale ndi mphamvu yopanga glucose mosalekeza (ndipo izi ndizofunikira kuti ubongo uzigwira ntchito), chifukwa mu shuga mellitus thupi silingachite izi zokha.

Insulin yayitali imayendetsedwa kamodzi pa maola 12 kapena 24 kutengera mtundu wa insulin (masiku ano mitundu iwiri yogwira insulin imagwiritsidwa ntchito - Levemir ndi Lantus).Momwe mungawerengere molondola kuchuluka kwa insulin yayitali, akutero katswiri wodziletsa matenda ashuga mu kanema:

Kutha kuwerengera moyenera mlingo wa insulin ndi luso lomwe munthu aliyense wodwala matenda a shuga ayenera kudziwa. Mukasankha mtundu wa insulin yolakwika, ndiye kuti bongo umatha kugwiritsidwa ntchito mopitirira muyeso, womwe ungathandizike ngati munthu atathandizidwadi. Mlingo woyenera wa insulin ndi chinsinsi cha kukhala ndi matenda ashuga.

Kulemba kwa insulin ma insulin, kuwerengetsa kwa insulin U-40 ndi U-100

4 (80%) adavotera 4

Kukonzekera kwa insulin koyamba kunali gawo limodzi la insulin pa millilita yankho. Popita nthawi, kusuntha kwasintha. Werengani mu nkhaniyi kuti syringe ndi insulin ndi momwe mungadziwire kuchuluka kwa insulini 1 ml ndikulembera.

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 yaperekedwa yothandizira yankho lina, muyenera kuyambiranso.

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 gawo la ASD 2 mu "insulin": gawo limodzi limafanana ndi tinthu 3 tadzu. 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 zimatsalira zimayenera kusungidwa kwambiri 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 atengere insulin, 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 molondola kuchuluka kwa mahomoni ndikuthana ndi malamulo ake

Nthawi zambiri, anthu odwala matenda ashuga amakonda kugwiritsa ntchito mankhwala a insulin, iyi ndi njira yotsika mtengo komanso yofala kwambiri yobweretsera timadzi tambiri tulo tambiri. M'mbuyomu, mayankho okha omwe anali ndi kuperewera kwa magazi anali kuperekedwa; 1 ml inali ndi magawo 40 a insulin. Mwakutero, odwala matenda ashuga anapeza ma insulini a U 40 a 40 magawo a insulin mu 1 ml.

Masiku ano, 1 ml ya insulin yomwe ili ndi gawo la insulin pa magawo zana, motero munthu wodwala matenda ashuga amagwiritsa ntchito ma syringe a U 100 okhala ndi singano zosiyanasiyana kuti adziwe mlingo wake. Ngati mankhwala ambiri aperekedwa, munthuyo amakhala pachiwopsezo cha hypoglycemia yayikulu.

Pakadali pano, m'mafakitala mutha kugula mitundu yonse ya zida zoperekera insulin, kotero ndikofunikira kudziwa momwe zimasiyanirana komanso momwe mungalembe mankhwalawo moyenera. Ngati wodwala matenda ashuga amagwiritsa ntchito 1 ml insulini, mumadziwa bwanji kuchuluka kwa mankhwala a insulin omwe amatengedwa komanso momwe angawerengere mu syringe?