Syringe ya insulin - chiwonetsero chazida, mawonekedwe a mawonekedwe, mtengo

Tikukupatsani kuti muwerenge nkhaniyi pamutuwu: "syringe ya insulin, kusankha kwa ma syringes a insulin" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Syringe ya insulin - chiwonetsero chazida, mawonekedwe a mawonekedwe, mtengo

Syringe ya insulin ndi chida chapadera chomwe chimakupatsani mwayi woperekera insulin mwachangu, mosapweteka komanso mopanda kupweteka. Kukula kumeneku ndikofunikira kwambiri, chifukwa kuchuluka kwa odwala matenda ashuga kukukula pang'onopang'ono ndipo anthu omwe amadwala matenda a shuga amayamba kukakamiza kubayirira insulin yawo tsiku lililonse. Syringe yapamwamba, monga lamulo, sagwiritsidwa ntchito chifukwa cha matendawa, chifukwa sioyenera kuwerengera molondola kuchuluka kofunikira kwa timadzi timene timabayidwa. Kuphatikiza apo, singano za kachipangizidwe kazithunzithunzi ndizitali komanso zazitali.

Ma insulin ma insulin amapangidwa ndi pulasitiki wapamwamba kwambiri, yemwe samayenderana ndi mankhwalawo ndipo sangathe kusintha kapangidwe kake ka mankhwala. Kutalika kwa singanoyo kunapangidwa kuti mahomoniwo ailowetsedwe ndendende m'timabowo tosinjirira, osalowa mu minofu. Ndi kukhazikitsidwa kwa insulin m'misempha, nthawi yamachitidwe a mankhwalawa imasintha.

Mapangidwe a syringe kuti apange jakisoni amabwereza kapangidwe kagalasi kapena mnzake pulasitiki. Muli zigawo izi:

• singano yofupikirako komanso yopyapyala kuposa syringe yokhazikika,
• silinda pomwe adaikapo mawonekedwe a sikelo yogawika,
• pisitoni yomwe ili mkati mwa cylinder ndi kukhala ndi chidindo cha mphira,
• flange kumapeto kwa silinda, komwe kumayikidwa jekeseni.

Singano yopyapyala imachepetsa kuwonongeka, chifukwa chake matendawa khungu. Chifukwa chake, chipangizochi ndichotetezeka kuti chizigwiritsidwa ntchito tsiku lililonse ndipo chinapangidwa kuti zitsimikizire kuti odwala amachigwiritsa ntchito paokha.

Pali mitundu iwiri ya ma insulin:

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

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

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

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

Ma insulin omwe amapezeka mu mitundu iwiri ya singano:

• zochotsa
• wophatikizidwa, ndiye kuti, wophatikizidwa ndi syringe.

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

Kukula kwa singano:

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

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

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

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

Syringe iliyonse ya insulin imakhala ndi chizindikiritso chosindikizidwa pamiyala. Gawoli wamba ndi gawo limodzi. Pali ma syringe apadera a ana, omwe amagawika mayunitsi 0,5.

Kuti mudziwe kuchuluka kwa mankhwala omwe ali mgulu la insulin, muyenera kugawa manambala ndi 100:

• 1 unit - 0,01 ml,
• 20 PIECES - 0,2 ml, etc.

Mulingo pa U-40 wagawika magawo makumi anayi. Chiyerekezo cha gawo lililonse ndi mulingo wa mankhwalawa ndi motere:

• Gawo limodzi ndi 0,025 ml,
• Magawo awiri - 0,05 ml,
• Magawo anayi akuwonetsa kuchuluka kwa 0,5 ml,
• Magawo asanu ndi atatu - 0,2 ml ya mahomoni,
• Magawo 10 ndi 0,25 ml,
• Magawo 12 apangidwira mlingo wa 0,3 ml,
• Magawo 20 - 0,5 ml,
• Magawo 40 amagwirizana ndi 1 ml ya mankhwalawa.

Ma algorithm oyendetsera insulini azikhala motere:

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

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

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

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

Pisitoni mu silinda iyenera kuyenda bwino, osayambitsa zovuta ndi kuyambitsa kwa mankhwala. Ngati wodwala matenda ashuga akhazikika ndipo amagwira ntchito, ndikulimbikitsidwa kuti musinthe kugwiritsa ntchito pampu ya insulin kapena cholembera.

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

Ma hand agawidwa mu:

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

Ma handware adziwonetsa ngati chida chodalirika komanso chosavuta. Ali ndi maubwino angapo.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Kuti mulowetse mankhwalawa molondola momwe mungathere, tsatirani malamulowo:

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

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

Zowerengedwa zikapezekanso, ndizolemba zazikulu. Mitundu iyi ya ma syringe ndi yabwino kwa odwala omwe ali ndi vuto lowona. M'mafakitala aku Russia, mitundu yayikulu yokhala ndi gawo la 2 kapena 1 imawonetsedwa, kawirikawiri 0.25 Unit.

Ndikofunikira kuwerengera molondola kuchuluka kwa insulin musanalowe. Pali mitundu ya U-40, U-100.

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

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

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

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

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

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

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

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

Pali malamulo angapo omwe angauze wodwalayo momwe angasakanizire mankhwala:

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

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

Ndikofunikira kupaka insulin pansi pa khungu, osati minofu minofu. Singano imalowedwa mwamphamvu pamakwerero a 45-75 madigiri, osaya. Simuyenera kutenga singano mutatha kugwiritsa ntchito mankhwalawa, dikirani masekondi 10-15 kuti mugawitse mahomoni pansi pa khungu. Kupanda kutero, mahomoni amatuluka pang'ono kulowa mu dzenje kuchokera pansi pa singano.

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

Cholembera chimakhala ndi zabwino zingapo:

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

Ndi syringe iti yomwe imakuyenderani nokha kutengera luso lanu komanso zomwe mumakonda. Ngati wodwala yemwe ali ndi matenda ashuga akhazikika, ndiye kuti cholembera sichikhala chofunikira, chifukwa anthu okalamba otchipa otchipa ndi oyenera.

Mitundu ndi mawonekedwe a kugwiritsidwa ntchito kwa insulin syringes

Syringe ya insulin ndi chida chobayira jakisoni wopanga pansi pa khungu kwa odwala matenda ashuga. Type Iabetes mellitus imakula mwa ana ndi achinyamata. Mlingo wa mahomoni amawerengedwa molingana ndi mfundo inayake, chifukwa cholakwika chaching'ono chimakhala ndi zotsatirapo zoyipa.

Pali mitundu yambiri ya ma syringe a jakisoni wa insulini - zida zoyenera kutayikira, ma syringe omwe amatha kugwiritsidwa ntchito mobwerezabwereza, makina apadera apampu okhala ndi gawo loyang'anira magetsi. Chisankho chomaliza chimadalira zosowa za wodwala, kusinthika kwake.

Kodi syringe yokhazikika ya insulin imasiyana bwanji ndi cholembera ndi pampu? Mungamve bwanji ngati chipangizo chosankhidwa ndi choyenera phula la insulini? Mudzalandira mayankho a mafunso ali pansipa.

Popanda jakisoni wambiri wa insulin, odwala matenda ashuga adzachotsedwa. M'mbuyomu, ma syringe wamba amagwiritsidwa ntchito pazinthu izi, koma sizingatheke kuwerengera molondola ndi kuperekera mlingo womwe umafunikira wa mahomoni ndi thandizo lawo.

Madotolo ndi akatswiri azamankhwala adalumikizana pamodzi kumapeto kwa zaka zapitazi kuti apange chida chapadera cha odwala matenda ashuga. Chifukwa chake ma syringes oyamba adawonekera.

Kuchuluka kwawo kochepa ndikochepa - 0.5-1 ml, ndipo pamlingo wogawidwa umakonzekera kuwerengera kwa insulin Mlingo, kotero kuti odwala safunika kuwerengera zovuta, ndikokwanira kuphunzira zambiri phukusi.

Pali mitundu yambiri ya zida zapadera zoperekera insulin:

1. Zingwe
2. Syringe zotayika
3. Ma syringe osungika,
4. Mafuta a insulin.

Njira yapamwamba kwambiri, yoyendetsera bwino ndikugwiritsa ntchito pampu. Chida ichi sichimangolowa muyezo woyenera wa mankhwalawo, komanso chimatsata shuga ya magazi yomwe ilipo.

Ma cholembera a syringe adawonekera m'moyo watsiku ndi tsiku posachedwapa. Amakhala ndi zabwino zambiri pamilambo yachikhalidwe yosavuta kuyendetsa bwino, komanso ali ndi zovuta zina.

Wodwala aliyense amasankha yekha, osasamala malingaliro a anthu ena, kupatula omwe amapita kwa asing'anga. Lumikizanani ndi endocrinologist wodziwa bwino yemwe angakupatseni malingaliro pazakugwiritsa ntchito zinthu zoyenera.

Syringe yodziwika bwino yomwe ili ndi zigawo izi:

1. Singano yochepa,
2. Silinda yotalikirapo komanso yopanda mawonekedwe
3. Pistoni wokhala ndi chidindo cha mphira mkati,
4. Flange yomwe ndi yabwino kugwirira ntchito povulala.

Zopangidwa zimapangidwa kuchokera ku zinthu zapamwamba kwambiri za polymer. Ndizotayidwa, syringe yokha kapena singano singagwiritsenso ntchito. Odwala ambiri amadabwitsidwa chifukwa chake izi ndizofunikira kwambiri. Nenani, akutsimikiza kuti palibe aliyense kupatula iwo amene amagwiritsa ntchito syringe iyi, simungatenge matenda oyipa kudzera singano.

Odwala saganiza kuti atagwiritsidwa ntchito mkati mwa chosungira, tizilombo tating'onoting'ono tomwe timalowa khungu tikulowetsanso tulo titha kugwiranso ntchito.

Singano imakhala yofinya kwambiri pakugwiritsa ntchito mobwerezabwereza, zomwe zimapangitsa microtrauma a kumtunda kwa khungu. Poyamba sizikuwoneka ndi maso amaliseche, koma popita nthawi zimayamba kusokoneza wodwalayo. Popeza momwe zimakhala zovuta kwa odwala matenda a shuga kuchiritsa mikwingwirima, mabala, muyenera kudzisamalira.

Yang'anani ndi mankhwala anu kuti mupeze ndindende ya insulini. Mudzazindikira kuti kupulumutsa sikothandiza. Mtengo wazomwe zimapangidwira ndizopanda phindu. Zipangizo zoterezi zimagulitsidwa m'matumba a 10 ma PC.

Mankhwala ena amagulitsa zinthu pawokha, koma musadabwe kuti alibe chilichonse payokha. Kuti muwonetsetse kuti mapangidwe ake ndi osabala, ndibwino kuti mugule mumapaketi otsekedwa. Ma syringe amagwiritsidwa ntchito tsiku ndi tsiku, motero kusankha kumeneku kumakhala koyenera.

Onetsetsani kuti mwawerengera pa syringe kuti muwone ngati njirayi ikugwirizana ndi inu. Gawo la syringe limasonyezedwa pamagawo a insulin.

Syringe yokhazikika idapangidwira 100 PIECES. Akatswiri samalimbikitsa kuti pakhale mitengo yoposa 7-8 nthawi imodzi. Pochiza matenda a shuga kwa ana kapena mwa anthu owonda, milingo yaying'ono ya mahomoni nthawi zambiri imagwiritsidwa ntchito.

Ngati mukulakwitsa ndi mlingo, mutha kuyambitsa kutsika kwamphamvu kwa shuga komanso kuphwanya kwa magazi. Ndikovuta kuyimba 1 unit ya insulin ndi syringe yovomerezeka. Pali zinthu zogulitsa ndi masitepe a 0.5 UNITS komanso 0.25 UNITS, koma ndizosowa. M'dziko lathu, ichi ndi vuto lalikulu.

Pali njira ziwiri kuchokera pamenepa - kuphunzira momwe mungalembe mwadongosolo mlingo woyenera kapena kuchepetsa insulini kuti mufunikire. Odwala omwe ali ndi matenda a shuga amatha kukhala amisiri enieni omwe amatha kukonza njira yothanirana yomwe ingathandize thupi osati kuipweteka.

Namwino wodziwa ntchito adzakuwuzani ndikuwonetsa momwe angatulutsire insulin mu syringe ya insulin, ndikuwonetseni zonse zomwe zimachitika munjira iyi. Popita nthawi, kukonzekera jakisoni kumatenga mphindi. Nthawi zonse muyenera kuwunika momwe insulin mumabayira - yayitali, yochepa kapena ya ultrashort. Mlingo umodzi umatengera mtundu wake.

Ogula amakonda kudziwa mankhwala kuti magawo angapo a insulin pa 1 ml ya syringe. Funso silolondola konse. Kuti mumvetsetse ngati chida china chili choyenera kwa inu, muyenera kuwerengera pawokha ndikumvetsetsa kuchuluka kwa insulin pagawo limodzi la syringe.

Tsopano muyenera kudziwa momwe mungagwiritsire ntchito insulin. Pambuyo pophunzira kukula ndi kudziwa kuchuluka kwa mlingo umodzi, muyenera kulembera insulin. Lamulo lalikulu ndikuwonetsetsa kuti thanki mulibe mpweya. Izi sizovuta kukwaniritsa, chifukwa mu zida zotere ngati chidindo cha mphira chimagwiritsidwa ntchito, zimalepheretsa kulowa kwa gasi mkati.

Mukamagwiritsa ntchito milingo yaying'ono ya mahomoni, mankhwalawa amayenera kuchepetsedwa kuti akwaniritse kukonzekera komwe mukufuna. Pali madzi apadera amadzimadzi a insulin pamsika wapadziko lonse, koma m'dziko lathuli ndizovuta kupeza.

Mutha kuthana ndi vutoli pogwiritsa ntchito thupi. yankho. Njira yotsirizidwa imasakanizidwa mwachindunji mu syringe kapena mbale zosapangidwa kale.

Kuti insulini itengeke mwachangu ndi thupi ndikuphwanya glucose, iyenera kuyambitsidwa mu wosanjikiza wamafuta ambiri. Chofunika kwambiri ndi kutalika kwa singano ya syringe. Kukula kwake kokwanira ndi 12-14 mm.

Ngati mukulumikizira malezala anu kumanja, ndiye kuti mankhwalawo agwera. Izi sizingavomerezedwe, chifukwa palibe amene anganenere momwe insulin "ingakhalire".

Opanga ena amapanga ma syringe ndi singano zazifupi za 4-10 mm, zomwe zimatha kubayidwa perpendicular to the body. Ndizoyenera kubayira ana ndi anthu ochepa thupi omwe ali ndi mafuta ochepa owonda.

Ngati mumagwiritsa ntchito singano yokhazikika, koma muyenera kuigwira pakadutsa 30-50 madigiri mokhudzana ndi thupi, pangani khungu kuti lisanalowe ndi jakisoni.

Popita nthawi, wodwala aliyense amaphunzira kubayikira yekha mankhwala, koma poyambira chithandizo, ndikofunika kugwiritsa ntchito thandizo la akatswiri odziwa ntchito zamankhwala.

Mankhwala samayima, matekinoloje atsopano amagwiritsidwa ntchito m'derali. Sinthani ma syringes amtundu wachikhalidwe ndi mapangidwe osinthika a cholembera. Awa ndi mlandu womwe makatiriji okhala ndi mankhwalawo ndi wogwirizira ndi singano yotayika amayikidwa.

Chogwirira chimabweretsedwa pakhungu, wodwalayo amasindikiza batani lapadera, pakalipano singano imabaya khungu, mlingo wa mahomoni umalowetsedwa mu mafuta.

Ubwino wa kapangidwe kake:

1. Kugwiritsa ntchito zochulukirapo, kokha cartridge ndi singano ndizofunika kuzisintha,
2. Kugwiritsa ntchito mosavuta - osafunikira kuwerengera kuchuluka kwa mankhwalawo, kuti muthe kujambula syringe,
3. Mitundu yosiyanasiyana, kuthekera kwa kusankha payekha,
4. Simukuphatikizidwa ndi nyumbayo, cholembera chimatha kunyamulidwa nanu, chikugwiritsidwa ntchito ngati chikufunika.

Ngakhale zabwino zambiri za chipangizocho, chili ndi zovuta zina. Ngati pakufunika kuperekera insulin yaying'ono, cholembera sichitha kugwiritsidwa ntchito. Apa, mlingo umodzi umalowetsedwa pomwe batani limakanikizidwa, sangathe kuchepetsedwa. Insulin ili mu katiriji kosavulaza mpweya, kotero kuyipitsanso sikungatheke.

Zithunzi za syringes za insulin zimatha kupezeka mosavuta pa intaneti. Kufotokozera mwatsatanetsatane ndi malangizo ogwiritsira ntchito ali phukusi.

Popita nthawi, odwala onse amadziwa momwe angagwiritsire ntchito chipangizochi, momwe angaerengere kuchuluka kwa mankhwalawo mogwirizana ndi kuchuluka kwa shuga m'magazi komanso thanzi lonse.

Insulin Syringe singano: Makulidwe Aakulu

Aliyense wodwala matenda ashuga amadziwa zomwe singano zama cell a insulini ali, ndipo amadziwa momwe angagwiritsire ntchito, popeza iyi ndi njira yofunika kwambiri yamatendawo. Ma syringes a insulin makonzedwe nthawi zonse amatayika komanso osabala, omwe amawatsimikizira otetezeka pakuchita kwawo. Amapangidwa ndi pulasitiki wazachipatala ndipo ali ndi mawonekedwe apadera.

Mukamasankha syringe ya insulini, muyenera kuyang'anira kwambiri kuchuluka kwake ndi gawo la magawidwe ake. Gawo kapena mtengo wogawa ndiye kusiyana pakati pa mtengo womwe ukuwonetsedwa pamawu oyandikana nawo. Chifukwa cha kuwerengera kumene, wodwala matenda ashuga amatha kuwerengetsa bwino kuchuluka kwa mankhwala ofunikira.

Poyerekeza ndi jakisoni wina, insulini iyenera kuperekedwa pafupipafupi komanso kutengera njira inayake, poganizira kuya kwa kayendetsedwe, mafupa a khungu amagwiritsidwa ntchito, ndipo malo owonetsera jakisoni

Popeza mankhwalawa amalowetsedwa m'thupi nthawi zambiri tsiku lonse, ndikofunikira kusankha kukula kwa singano yoyenera kuti insulini ipweteke. Hormoni imalowetsedwa mu subcutaneous mafuta, kupewa chiopsezo cha mankhwala intramuscularly.

Ngati insulin ilowa m'matumbo a minofu, izi zimatha kuyambitsa kukula kwa hypoglycemia, chifukwa timadzi timene timayamba kugwira ntchito mwachangu mu minofu iyi. Chifukwa chake, kukula ndi kutalika kwa singano kuyenera kukhala koyenera.

Kutalika kwa singano kumasankhidwa, kumayang'ana machitidwe a thupi, zathupi, zamankhwala komanso zamaganizidwe. Malinga ndi kafukufuku, kukula kwa gawo locheperako kumatha kusintha, kutengera kulemera, msinkhu komanso jenda ya munthu.

Nthawi yomweyo, makulidwe amafuta onunkhira m'malo osiyanasiyana amatha kusiyanasiyana, motero tikulimbikitsidwa kuti munthu yemweyo agwiritse ntchito singano ziwiri zazitali zosiyanasiyana.

Singano ya insulin ikhoza kukhala:

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

Ngati anthu odwala matenda ashuga kale amagwiritsa ntchito singano 12,7 mm, masiku ano madokotala salimbikitsa kuti azigwiritsa ntchito mankhwalawa kuti asagwiritse ntchito mankhwalawa. Ponena za ana, kwa iwo singano ya 8 mm ndi yayitali kwambiri.

Kuti wodwalayo athe kusankha bwino kutalika kwa singano, tebulo lapadera lokhala ndi malingaliro lakhazikitsidwa.

1. Ana ndi achinyamata akulangizidwa kuti asankhe mtundu wa singano wokhala ndi kutalika kwa 5, 6 ndi 8 mm ndikapangidwe kakhola khungu ndikukhazikitsa mahomoni. Jakisoni imachitika pakona kwa madigiri 90 pogwiritsa ntchito singano ya 5 mm, madigiri 45 a singano 6 ndi 8 mm.
2. Akuluakulu amatha kugwiritsa ntchito ma syringes a 5, 6 ndi 8 mm. Poterepa, khola lakhanda limapangidwa mwa anthu ochepa thupi komanso ndi singano kutalika kopitilira 8 mm. Makona otsogolera insulin ndi madigiri 90 a singano 5 ndi 6 mm, madigiri 45 ngati masingano atali kuposa 8 mm amagwiritsidwa ntchito.
3. Kwa ana, odwala oonda komanso odwala matenda ashuga omwe amaba jakisoni mu ntchafu kapena phewa, kuti achepetse jakisoni wamkati, timalimbikitsidwa kupukuta khungu ndikupanga jakisoni pakona madigiri 45.
4. Singano yochepa ya insulin 4-5 mm imatha kugwiritsidwa ntchito mosamala pazaka zilizonse za wodwalayo, kuphatikizapo kunenepa kwambiri. Sikoyenera kupanga khola pakhungu mukamagwiritsa ntchito.

Ngati wodwalayo akubaya insulin kwa nthawi yoyamba, ndibwino kuti mutenge singano yayifupi 4-5 mm. Izi zimathandiza kupewa kuvulala komanso jekeseni yosavuta. Komabe, mitundu iyi ya singano imakhala yodula, nthawi zambiri odwala matenda ashuga amasankha masingano ataliitali, osangoyang'ana pa thupi lawo komanso malo oyang'anira. Pankhani imeneyi, adotolo ayenera kuphunzitsa wodwalayo kuti apetse jakisoni kumalo aliwonse ndikugwiritsa ntchito singano zazitali zosiyanasiyana.

Anthu ambiri odwala matenda ashuga amakonda kudziwa ngati zingatheke kubaya khungu ndi singano yowonjezera pambuyo pa insulin.

Ngati syringe ya insulini imagwiritsidwa ntchito, singano imagwiritsidwa ntchito kamodzi komanso jakisoniyo atasinthidwa ndi wina, koma ngati kuli kotheka, musagwiritsenso ntchito nthawi zopitilira kawiri.

Syringe ya insulini: mawonekedwe apadera, mawonekedwe a kuchuluka kwake ndi kukula kwa singano

Odwala omwe ali ndi matenda ashuga amafunikira insulin nthawi zonse. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi mtundu woyamba wa matenda.

Monga mankhwala ena a mahomoni, insulin imafunikira mlingo woyenera kwambiri.

Mosiyana ndi mankhwala ochepetsa shuga, pawiri uyu sangatulutsidwe mwa ma piritsi, ndipo zosowa za wodwala aliyense ndi payekhapayekha. Chifukwa chake, pakuyendetsa pang'onopang'ono njira yothetsera mankhwalawa, syringe ya insulin imagwiritsidwa ntchito, yomwe imakupatsani mwayi kuti muzipange jakisoni panokha pa nthawi yake.

Pakadali pano, ndizovuta kulingalira kuti mpaka posachedwapa zida zamagalasi zinagwiritsidwa ntchito jakisoni, zomwe zimafunikira chokhazikika, ndi singano wandiweyani, osachepera 2,5 cm. Majakisoni oterewa anali limodzi ndi zomverera zowawa kwambiri, kutupa ndi hematomas pamalo opaka jekeseni.

Kuphatikiza apo, nthawi zambiri m'malo mochulukitsa minofu, insulin imalowa m'matumbo a minofu, zomwe zimayambitsa kuphwanya kwa glycemic bwino. Popita nthawi, kukonzekera kwa insulin kwakanthawi, komabe, vuto la zovuta limakhalabe lofunikira, chifukwa cha zovuta zomwe zimakhudzana ndi kayendetsedwe ka timadzi tokha.

Odwala ena amakonda kugwiritsa ntchito pampu ya insulin. Chimawoneka ngati chipangizo chaching'ono chomwe chimavulaza insulin mosadukiza tsiku lonse. Chipangizocho chimatha kuyang'anira kuchuluka kwa insulin. Komabe, syringe ya insulin ndiyabwino chifukwa chokhoza kuperekera mankhwala panthawi yofunikira kwa wodwala komanso muyezo woyenera kuti mupewe zovuta zazikulu za matenda ashuga.

Malinga ndi lingaliro la kachitidwe, chida ichi sichimasiyana ndi ma syringe omwe amagwiritsidwa ntchito popanga njira zochizira. Komabe, zida zoperekera insulin zimasiyana. Pistoni yokhala ndi chosindikizira cha mphira imasiyananso ndi mtundu wawo (chifukwa chake, syringe yotereyi imatchedwa gawo limodzi), singano (yotulutsa kapena yophatikizika ndi syringe yokha - yophatikizidwa) ndi patsekeke yogawa kunja komwe kutengera mankhwala.

Kusiyana kwakukulu kuli motere:

• pisitoni imayenda mofewa komanso bwino, zomwe zimapangitsa kuti pakhale kupweteka pakubaya ndi jakisoni wothandizirana,
• singano yopyapyala kwambiri, jakisoni amapangidwa kamodzi patsiku, motero ndikofunika kupewa kusasokonezeka komanso kuwonongeka kwakukulu pachivuto cha khungu,
• Mitundu ina ya ma syringe ndi yoyenera kugwiritsidwanso ntchito.

Koma chimodzi mwazakusiyana kwakukulu ndi zilembo zomwe zimagwiritsidwa ntchito posonyeza kuchuluka kwa syringe. Chowonadi ndi chakuti, mosiyana ndi mankhwala ambiri, kuwerengera kuchuluka kwa insulini yofunika kukwaniritsa cholinga cha glucose kumatsimikiziridwa osati m'mililita kapena milligram, koma magawo omwe amagwira ntchito (UNITS). Malangizo a mankhwalawa amapezeka muyezo wa 40 (wokhala ndi kapu wofiyira) kapena mayunitsi 100 (wokhala ndi kapu ya lalanje) pa 1 ml (osankhidwa ndi u-40 ndi u-100, motero).

Kuchuluka kwa insulini kofunikira kwa wodwala matenda ashuga kumatsimikiziridwa ndi adokotala, kudzikonza nokha ndi wodwala ndikololedwa pokhapokha kuyika chizindikiro cha syringe ndi ndende ya yankho sikugwirizana.

Insulin ndi yoyambira yokha. Ngati mankhwalawa akukhala ndi intramuscularly, chiopsezo chotenga hypoglycemia ndi chambiri. Popewa zovuta zotere, muyenera kusankha kukula kwa singano. Pawiri onse ndi ofanana, koma amasiyanasiyana m'litali ndipo atha kukhala aafupi (0.4 - 0.5 cm), apakati (0.6 - 0.8 cm) ndi kutalika (oposa 0.8 cm).

Funso la zomwe muyenera kuganizira zimatengera kuphatikizika kwa munthu, jenda komanso zaka. Kunena zowona, kukula kwake kwa minofu yaying'ono, kutalika kwa singano kumaloledwa. Kuphatikiza apo, njira yothandizira jakisoni imathandizanso. Syringe ya insulini ingagulidwe pafupi ndi mankhwala aliwonse, kusankha kwawo kuli konsekonse m'makliniki apadera a endocrinology.

Mutha kuyitanitsanso chipangizo choyenera kudzera pa intaneti. Njira yomalizirayi yopezera zinthu ndiyabwino koposa, popeza pamasamba mungathe kuzidziwa bwino zomwe mwapeza mwatsatanetsatane, muwone mtengo wawo komanso momwe chipangizocho chikuwonekera. Komabe, musanagule syringe ku malo ogulitsa kapena ku malo ena aliwonse, muyenera kufunsa dokotala, akatswiriwo akuuzaninso momwe mungachitire bwino momwe mungagwiritsire ntchito jakisoni.

Kunja, pa chipangizo chilichonse cha jakisoni, muyeso wokhala ndi magawo ofananira umagwiritsidwa ntchito popanga insulin yolondola. Monga lamulo, gawo pakati pamagawo awiri ndi magawo 1-2. Potere, manambala amawonetsa mzere wofanana ndi zigawo 10, 20, 30, ndi zina zambiri.

Ndikofunikira kulabadira kuti manambala omwe adasindikizidwa komanso mizere yayitali ikhale yayikulu mokwanira. Izi zimathandizira kugwiritsidwa ntchito kwa syringe kwa odwala omwe sangathe kuwona bwino.

Pochita, jekeseni ndi motere:

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

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

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

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

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

Atazindikira kuchuluka kwake, wodwalayo ayenera kutsanulira khokho lomwe lili m'botolo limodzi ndi mankhwalawo. Kenako, mpweya pang'ono umakokedwa kulowa mu insulin (pisitoniyo imatsitsidwa kuti isungidwe pajekesayo), cholembera chopondera chimabaya ndi singano, ndipo mpweya umamasulidwa. Pambuyo pa izi, vial imatembenuzidwa ndipo syringe imakhala ndi dzanja limodzi, ndipo chidebe chamankhwala chimasonkhanitsidwa ndi chinacho, amapeza zochuluka kuposa kuchuluka kwa insulin. Izi ndizofunikira kuchotsa mpweya wambiri kuchokera ku syringe patity ndi piston.

Insulin iyenera kusungidwa mufiriji yokha (kutentha kuyambira 2 mpaka 8 ° C). Komabe, kwa subcutaneous makonzedwe, yankho la kutentha kwa chipinda limagwiritsidwa ntchito.

Odwala ambiri amakonda kugwiritsa ntchito cholembera chapadera. Zipangizo zoyambirira zoterezi zidawoneka mu 1985, kugwiritsa ntchito kwawo kudawonetsedwa kwa anthu opanda khungu kapena operewera, omwe sangathe kuyimira payekha insulin. Komabe, zida zotere zimakhala ndi zabwino zambiri poyerekeza ndi syringe yamasiku onse, kotero zimagwiritsidwa ntchito kulikonse.

Ma cholembera a syringe ali ndi singano yotaya, chipangizo chowonjezera, chophimba pomwe magawo otsalira a insulin amawonetsedwa. Zipangizo zina zimakulolani kuti musinthe ma cartridge ndi mankhwalawo ngati atatha, ena amakhala ndi magawo 60-80 ndipo amapangidwira kuti azigwiritsidwa ntchito kamodzi. Mwanjira ina, ziyenera m'malo mwa zina zatsopano pamene kuchuluka kwa insulin kuli kochepa kuposa mlingo umodzi wofunikira.

Ma singano omwe amapezeka mu cholembera ayenera kusinthidwa mutatha kugwiritsa ntchito iliyonse. Odwala ena samachita izi, zomwe zimakhala ndi zovuta zovuta. Chowonadi ndi chakuti nsonga ya singano imathandizidwa ndi mayankho apadera omwe amathandizira kupindika pakhungu. Mukatha kugwiritsa ntchito, malekezero amapindika. Izi sizikuwoneka ndi maso amaliseche, koma zikuwoneka bwino pansi pa mandala a microscope. Singano yopuwala imavulaza khungu, makamaka pamene syringe yatulutsidwa, yomwe ingayambitse matenda a hematomas komanso yachiwiri yamkati.

Ma algorithm opanga jakisoni pogwiritsa ntchito cholembera:

1. Ikani singano yatsopano yosabala.
2. Onani kuchuluka kwa mankhwalawo.
3. Mothandizidwa ndi woyang'anira wapadera, kuchuluka kwa insulin kumayendetsedwa (kutanthauzira mosiyanasiyana kumamveka mbali iliyonse).
4. Pangani jakisoni.

Chifukwa cha singano yaying'ono yopyapyala, jakisoni silipweteka. Cholembera chimbale chimakupatsani mwayi wopewa kudzipatsa nokha. Izi zimawonjezera kulondola kwa mulingo, zimathetsa chiopsezo cha maluwa okhala pathogenic.

Zirinji za insulin: mitundu yofunika, mfundo zosankha, mtengo

Pali mitundu ingapo ya zida za subcutaneous makonzedwe a insulin. Onsewa ali ndi zabwino komanso zovuta zina. Chifukwa chake, wodwala aliyense amatha kusankha yekha njira yabwino yothandizira.

Mitundu yotsatirayi ilipo, yomwe ndi ma insulin:

• Ndi singano yosinthika yotulutsidwa. "Ma pluses" a chipangizocho ndi kuthekera kukhazikitsa mayankho ndi singano yayikulu, komanso jakisoni wowonda nthawi imodzi. Komabe, syringe yotereyi ili ndi vuto lalikulu - insulini yochepa imakhalabe m'dera lothandizidwa ndi singano, ndikofunikira kwa odwala omwe amalandira mlingo wochepa wa mankhwalawo.
• Ndi singano yophatikizika. Syringe yotere ndiyoyenera kugwiritsidwanso ntchito, komabe, jekeseni iliyonse isanachitike, singano iyenera kuyeretsedwa. Chipangizo chofananacho chimakupatsani mwayi wowunika bwino kwambiri insulini.
• Cholembera. Umu ndi mtundu wamakono wa syringe wachilengedwe. Chifukwa cha dongosolo lama cartridge, mutha kupita ndi chipangizocho ndikupereka jakisoni kulikonse mukafuna. Ubwino wawukulu wa cholembera ndi kusadalira pa kutentha kwa boma posungira insulin, kufunika konyamula botolo la mankhwala ndi syringe.

Mukamasankha syringe, chisamaliro chiyenera kulipira pamagawo otsatirawa:

• "Gawo" magawikano. Palibe vuto pamene zingwezo zimasanjidwa pakadutsa gawo limodzi kapena ziwiri. Malinga ndi ziwerengero zamankhwala, zolakwika zapakati pa kuphatikiza insulin ndi syringe pafupifupi theka la magawikidwe. Ngati wodwala alandira insulin yayikulu, izi sizofunikira kwambiri. Komabe, pocheperako pang'ono kapena muubwana, kupatuka kwa magawo a 0.5 kungayambitse kuphwanya kwa kuchuluka kwa shuga m'magazi. Ndizabwino kwambiri kuti mtunda pakati pamagawowo ndi magawo 0,25.
• Ntchito. Magawikowo akuyenera kuwonekera bwino, osafafanizika. Kuthwa, kulowa mosalala pakhungu ndikofunikira pa singano, muyeneranso kulabadira piston ikuyang'ana bwino mu jakisoni.
• Kukula kwa singano. Zogwiritsidwa ntchito mwa ana omwe ali ndi matenda a shuga 1 mellitus, kutalika kwa singano sikuyenera kupitirira 0,4 - 0,5 masentimita, ena ndi oyeneranso achikulire.

Kuphatikiza pa funso la ma syringe amtundu wa insulin, odwala ambiri amachita chidwi ndi mtengo wazinthu zotere.

Zipangizo zachilendo zamankhwala opanga zakunja zitha kugula ma ruble 150-200, zapakhomo - zotsika mtengo kawiri, koma malinga ndi odwala ambiri, mawonekedwe awo amasintha kuti akhale ofunika. Cholembera cha syringe chimawononga ndalama zambiri - pafupifupi ma ruble 2000. Kuti izi zitheke ziyenera kuwonjezeredwa kugula kwama cartridge.

1. 
   Frenkel I.D., Pershin SB. Matenda a shuga ndi kunenepa kwambiri. Moscow, Kron-Press Publishing House, 1996, masamba 192, kufalitsa makope 15,000.
2. 
   Dedov I.I., Shestakova M.V., Milenkaya T.M. Matenda a shuga: retinopathy, nephropathy, Mankhwala -, 2001. - 176 p.
3. 
   Danilova, N. A. Matenda a shuga ndi kulimbitsa thupi: zabwino ndi zovuta. Zochita zolimbitsa thupi zokhala ndi phindu laumoyo / N.A. Danilova. - M: Vector, 2010 .-- 128 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Ma insulin ma insulin

Tsopano nthawi yakwana za syringes.

Tipangitseni pang'ono kufinya, popeza ma syringes ndi mutu wapadera. Ma syringe oyambilira sanali osiyana ndi wamba. Kwenikweni, izi zinali syringes wamba zosinthika. Syringe yoyamba ya insulin idatulutsidwa ndi Becton Dickinson mu 1924 - 2 patatha insulin.

Ambiri amakumbukirabe chisangalalochi: wiritsani syringe kwa mphindi 30 mu sucepan, kukhetsa madzi, ozizira. Ndi singano?! Mwinanso, zinali choncho kuchokera nthawi zomwe anthu adakumbukirabe kubadwa kwa jakisoni wa insulin. Inde mungatero! Mukapanga kuwombera kangapo ndi singano yotere, ndipo simukufuna china ... Tsopano ndi nkhani yosiyananso. Tithokoze kwa aliyense amene amagwira ntchito pamakampaniwa! Poyamba, ma syringe otayika - simuyenera kuchita nawo chimbudzi pena paliponse. Kachiwiri, ndi opepuka, chifukwa amapangidwa ndi pulasitiki, samamenya (kangati ndikadula zala zanga, ndikutsuka syringe zomwe zimagawika m'manja mwanga!). Chachitatu, singano zowonda zokhala ndi nsonga yakuthwa yokhala ndi zokutira-tinthu tating'onoting'ono timagwiritsidwa ntchito masiku ano, zomwe zimachotsa kukangana pakudutsa zigawo zikuluzikulu za khungu, komanso ngakhale lakuthwa ngati laser, chifukwa choti kubowola khungu sikumamveka ndipo sikunasinthe.

Osagwiritsanso ntchito syringe yotaya!

Syringe ya insulini ndi singano za zolembera za syringe ndi chida chapadera chachipatala. Kumbali inayo, ndi othandiza, osabala, ndipo pomwepo, amagwiritsidwa ntchito kangapo. Zowonadi, izi sizoyambira moyo wabwino. Zingwe za syringe zolembera "ndizotsimikizika" ndi mulingo wa Unduna wa Zaumoyo ndi Chitukuko cha anthu pazachuma kakhumi mopitilira zosowa zomwe zilipo. Ponena za ma syringes a insulin, anali kuyiwalika kwathunthu ndipo simungathe kuwapeza nthawi zonse kwaulere.

Zoyenera kuchita Kukumbukirakuti ma insulin ndi ma singano a cholembera ndi chida chosabala. Kodi mumapanga ma jakisoni 10 a penicillin ndi syringe imodzi? Ayi! Kodi pali kusiyana kotani pankhani ya insulin? Kufika kumapeto kwa singano kumayamba kupunduka pambuyo pa jakisoni woyamba, pomwe kumavulaza khungu ndi mafuta ochulukirapo.

Kubwereza jakisoni ndi singano zotayira - Izi sizongomva zosasangalatsa zomwe othandizira athu amagwiritsa ntchito kupirira mosalekeza. Uku ndikukula kwakakulidwe ka lipodystrophy pamalo a jekeseni, zomwe zikutanthauza kuchepa m'dera la khungu lomwe lingagwiritsidwe ntchito jekeseni mtsogolo. Kugwiritsanso ntchito syringe kuyenera kuchepetsedwa. Ndi nthawi imodzi, ndipo ndi.

Pamakhala chizindikiro pa insulin

Kuti zikhale bwino kwa odwala, ma syringes amakono amasinthidwa (amalemba) molingana ndi kukhazikika kwa mankhwalawo mu vial, ndipo chiwopsezo (cholembera mzere) pa mbiya ya syringe sichikugwirizana ndi milliliters, koma magawo a insulin. Mwachitsanzo, ngati syringe yalembedwa ndi kuchuluka kwa U40, pomwe "0,5 ml" iyenera kukhala "20 UNITS", m'malo mwa 1 ml, 40 UNITS iwonetsedwa. Pankhaniyi, 0,2525 ml ya yankho yofanana ndi gawo limodzi la insulin. Chifukwa chake, syringes ku U100 idzakhala ndi m'malo mwa 1 ml chisonyezo cha 100 PIECES, pa 0.5 ml - 50 PIECES, ndipo gawo limodzi la insulin lidzayenerana ndi 0,01 ml.

Tebulo Na. 65. Makulidwe a magawo a insulini kuti akhale mamililita

Kuchepetsa zochitika ndi insulin syringes (yesani kudzaza syringe yokhazikika ndi 0,025 ml!), Kutsiliza nthawi imodzimodzi kumafunikira chisamaliro chapadera, popeza ma syringe amenewa amangogwiritsa ntchito insulin ya ndende inayake. Ngati insulin yokhala ndi ndende ya U40 imagwiritsidwa ntchito, syringe ndiyofunikira ku U40. Ngati mutaba jakisoni wa insulin ndi kuchuluka kwa U100, ndikutenga syringe yoyenera - ku U100. Ngati mumamwa insulini kuchokera mu botolo la U40 kulowa mu syringe ya U100, m'malo mwa zomwe mwakonzekera, nenani, magawo makumi awiri, mumangotola 8. Kusiyana kwa mlingo kumadziwika kwambiri, sichoncho? Ndipo mosinthanitsa, ngati syringe ili pa U40, ndipo insulini ndi U100, m'malo mwa 20 yomwe, mudzayimba mayunitsi 50. Hypoglycemia yoopsa kwambiri imaperekedwa. Kuti muchepetse zolakwika zopanda pake, opanga syringe adaganiza kuti U 40 ikhale ndi kapu yofiyira mu ofiira ndi U100 mu lalanje.

Mfundo yoti ma insulin omwe ali ndi ma insulin ali ndi magawo osiyanasiyana iyenera kukumbukiridwa ndi omwe amagwiritsa ntchito zolembera za syringe. Kuyankhulana kwatsatanetsatane kuli patsogolo pawo, koma pakadali pano ndikungonena kuti zonse zidapangidwa kuti zizikhala ndi insulin U100. Ngati chida cholembera mwadzidzidzi chasokonekera pa cholembera, abale akewo amapita kuchipatala kuti akagule syringe, monga akunena, osayang'ana. Ndipo amawerengedwa kuti akhale ndende ina - U40! Pachizolowezi, wodwalayo amatulutsa insulin kuchokera ku katiriji kulowa mu syringe: nthawi zonse amayika cholembera, mwachitsanzo, magawo 20 omwewo, kenako amamenya zomwezo ... Talankhula kale za zotulukapo, koma kubwereza ndi mayi wa kuphunzira.

Magawo 20 a insulin U40 mu ma syringes omwe amapatsana amapatsidwa 0,5 ml. Ngati mutabaya insulin U100 mu syringe yofika pa 20 PIECES, imakhalanso 0,5 ml (voliyumu imakhala yosasintha), mu 0.5 ml yomweyo, izi sizitchulidwa 20, koma maulendo a 2,5 sakusonyezedwa pa syringe, koma maulendo 2,5 zambiri - 50 mayunitsi! Mutha kuyimba ambulansi.

Pazifukwa zomwezo, muyenera kusamala ngati botolo limodzi litha ndipo mutenga linanso, makamaka ngati abwenzi ochokera kutsidya lina atumiza enawa: ku USA, pafupifupi ma insulin onse amakhala ndi U100. Zowona, insulin U 40 ikupezekanso pang'ono ku Russia lero, komabe - control and control kachiwiri! Ndikofunika kugula phukusi la ma syringe a U100 pasadakhale, mofatsa, kenako ndikudziteteza ku mavuto.

Kutalika kwa singano ndikofunikira

Chosafunikanso kwambiri ndi kutalika kwa singano. Zingano zokha ndizomwe zimachotsedwa komanso zosachotsa (kuphatikiza). Zotsalazo zimakhala bwino, chifukwa ma syringe ndi singano yochotsa mu "malo okufa" amatha kukhalabe mpaka magawo 7 a insulin.

Ndiko kuti, mudalemba ma PISCES 20, ndipo mudadzilowetsa PISITSI 13 zokha. Kodi pali kusiyana?

Kutalika kwa singano ya insulin ndi 8 ndi 12,7 mm. Zochepa sizinafikebe, chifukwa ena opanga insulin amapanga zisoti zakuda pamabotolo.

Kuchuluka kwa syringe kuyenera kufanana ndi kuchuluka kwa insulin. Mwachitsanzo, ngati mukufuna kupereka mankhwala 25 magawo a mankhwalawa, sankhani syringe ya 0,5 ml. Kulondola kwa dosing kwa masing'alu ocheperako ndi magawo a 0,5-1. Poyerekeza, kutsimikiza kwa mulingo (gawo pakati pa zoopsa pazakukula) la syringe 1 ml - 2 PIECES.

Ma singano amadzimadzi a insulini samasiyana kutalika komanso kukula (mulen diam). Kukula kwa singano kumasonyezedwa ndi kalata yachilatini G, yotsatira yomwe ikuwonetsa nambalayo.

Nambala iliyonse ili ndi mainchesi ake (onani tebulo Na. 66).

Tebulo Na. 66 Kukula kwa singano

Kuchulukitsa kwa kupweteka pakhungu kumadalira pakubowola kwa singano, monganso kuwongoka kwa nsonga yake. Wocheperako ndi singano, samacheperachepera.

Maupangiri atsopano a njira za jakisoni wa insulin asintha njira zazitali za preexisting. Tsopano odwala onse (achikulire ndi ana), kuphatikiza anthu onenepa kwambiri, akulangizidwa kusankha singano zazitali kwambiri. Kwa ma syringe ndi 8 mm, kwa ma syringes - 5 mm. Lamuloli limathandizira kuchepetsa mwayi wokhala ndi insulin mwangozi.

Njira Yolera

Zoyang'anira pankhaniyi zikhala motere. Tengani syringe yoyenera ya insulin yanu ndi singano yokhazikika (yophatikizika). Onani kuyika kwa syringe - kuyenera kukhala kolimba, kopanda chilema. Kuphatikiza apo, tsiku la kumaliza syringe liyenera kuwonetsedwa pa ilo.

Zamaliza? Kodi phukusi lang'ambika? Ponyani kutali. Kodi phukusi lili bwino komanso nthawi yake yatha? Koma bwanji ngati ma CD ndi pulasitiki ndi ma syringe khumi? Kumbukirani kuti syringe ya insulini sikhala yodetsedwa mpaka zoteteza zimachotsedwa mu singano ndi piston.. Sindikizani, tengani syringe, kokerani piston ku chizindikiro chosonyeza kuchuluka kwa insulini yomwe mukufuna komanso magawo ena a 1-2 (mwachitsanzo, 20 + 2 PIECES). M'malo mwake, mwalandira mpweya woyenera.

Mawunitsi owonjezera a 1-2 apita pazolakwika zoyika: gawo lidzatsalira mu singano, gawo lidzatsanulidwa mukamasula mpweya.Kenako, tengani botolo lopangidwa ndi insulini (onani kuti nthawi yatha bwanji, onetsetsani kuti yasungidwa molondola komanso kuti palibe zakunja, kutentha kutentha kwa chipinda, yokulungira pakati pamafinya anu, pukuta kapu ndi mowa) ndikuboola kapu ya botolo ndi singano ya syringe. Ndikosatheka kuchotsa zitsulo zamafuta pazitsikizo komanso kwambiri kuti mutsegule botolo, ndikuchotsa chivindikiro kwathunthu.

Finyani mpweya wonse womwe uli mu syringe mu botolo, tembenuzani botolo kuti lili pamwamba ndipo syringe ili pansi. Izi ndizofunikira kuti pakhale kupanikizika kopitilira muyeso - zidzakhala zosavuta kutolera insulini. Tsopano kokerani piston kwa inu kachiwiri - insulin iyamba kulowa mu syringe. Malinga ndi malamulo a fizikiki, ndendende kuchuluka kwa insulin (mwa voliyumu) ​​kuyenera kuyikiridwa mu syringe momwe idangoponyedwera kunja kwa botolo la mpweya.

Ngati sizili choncho, yang'anani chifukwa: kwambiri singano ndi yotayirira, kapena syringe yolakwika ingafunike m'malo mwake. Mutha kukoka pisitoni pang'onopang'ono kuti mupeze kuchuluka kwa insulin. Chotsani singano ndi syringe kuchokera pamtundu ndikugunda pang'onopang'ono pakhoma la syringe kuti mabuluni omwe asonkhanitsa mkati mwake atulutse singano. Pang'onopang'ono pukutsani mpweya kunja kwa syringe ndi piston. Onaninso kuchuluka kwa insulini pakukweza syringe kuti ikhale m'maso.

Mlingo wothandizira

Monga lamulo, timatenga jakisoni 2 wa insulin kamodzi pa 1-2 patsiku: kuchitapo kanthu kwakanthawi komanso kotalika. Yoyenera kuchita choyamba ndi iti? Kusinthana sikofunikira, koposa zonse, musasokoneze ndipo musalowe 2 nthawi "yayifupi" ndipo osatinso - "kukulitsidwa" kapena mosemphanitsa. Dzifotokozereni mosasunthika: jakisoni woyamba amakhala insulin "yochepa" kapena, ngati mukufuna, imakulitsidwa nthawi zonse! Kenako zonse zidzachitika zokha. Mukatola insulini imodzi mu syringe, pogwiritsa ntchito ukadaulo womwewo, piyani yachiwiriyo, kuphimba singano ndi kapu ndikumvetsetsa yomwe ili yoyamba mapulani anu.

Osalowetsa minofu!

Kenako, muyenera kusonkha khungu ndi dzanja limodzi ndikukweza pang'ono. Chifukwa chiyani izi? Kuchepetsa chiopsezo cha insulini kulowa m'minyewa, zomwe zimapangitsa kuti muthamangitse mankhwala mwachangu, omwe mwina simunakonzekere.

Chithunzi choyambirira kumanja chikuwonetsa momwe angachitire izi molondola. Syringe iyenera kuchitika kuti ipumule pazala zinayi ndikuyimilira pamwamba ndi chala. Pankhaniyi, chala chaching'ono chimayenera kukhala mosamalitsa pansi pa cannula. Ndizosavuta kuti anthu ena azitha kukhala ndi chothandizira pazala zitatu, amangolowera chala chaching'ono, ndipo cannula imapuma kumanja mphete. Chifukwa chake ndizothekanso. Muyenera kuboola khungu pakona pafupifupi 45 °. Ndikwabwino kuti odwala onenepa atsatire "90 ° lamulo", ndiye kuti, kuyika singano pafupi ndi vertically pokhudzana ndi khungu. Ndi kuchuluka kwakulemera kwambiri, khola silitha kusonkhanitsidwa.

Tengani nthawi yanu!

Mukafinya pisitoni, lowetsani insulini - mlingo wonse womwe mwamwa. Musathamangire kuchotsa singano mwachangu, apo ayi gawo lina la mankhwalawo lidzakhazikika pakhungu. Yembekezani masekondi 5 mpaka 10, ndipo insulin ikakhala komwe ikuyenera kukhala. Zungulitsani singano mkati mwa khungu kuzungulira khosi lalitali ndi pafupifupi 45 °, kuti dontho lomaliza lamankhwala likhalebe mu minofu, kenako ndikuchichotsa.

Kodi ndifunika kufikisa jakisoni?

Tinene kuti zitha kuchitika, koma osafunikira. Ndipo, inde, muyenera kukumbukira kuti kutikita minofu kumathandizira kwambiri kuyamwa kwa insulini, kotero ngati mukuchita kutikita minofu, ndiye pambuyo pa jekeseni aliyense, kotero kuti kuchuluka kwa mayamwidwe pambuyo pa makonzedwe tsiku lililonse kuli pafupifupi ofanana. Ngati simuchita kutikita minofu, ndiye kuti musachite kutikita minofu, apo ayi sikungakhale kotheka kusintha mankhwalawo.

Zoyenera kuchita ndi syringe yogwiritsidwa ntchito?

Tavomerezana kale kuti simungagwiritse ntchito, ndiye kuti muyenera kutaya syringe, kusiya singano kuchokera mu cannula, ndikuzitaya zonse mu chidebe chanthawi zonse. Chifukwa chiyani sindingataye? Kwenikweni, mutha kuchita izi, palibe amene adzakulange, koma ndili ndi chifukwa chokulangizani kuti musachite izi. Ndinagwira ntchito ngati mwana wautali kwa nthawi yayitali, ndipo makolo a ana omwe adapeza akugwiritsa ntchito syringe mumsewu ndikusewera "kuchipatala" adandilumikizana pafupipafupi.

Pambuyo pamasewera oterowo, mwana amapatsidwa njira ya mankhwala ochepetsa mphamvu ya kachilomboka, ndipo makolo amakhala ndi chaka chokhala ndi chiyembekezo: syringeyo idatenge kachilombo ka HIV kapena mtengo. Mwa njira, pazifukwa zomwezo, chonde musataye mapiritsi omwe adatha. Ngati mwana sanapatsidwe ntchito kwa mwana, amakhala ndi mwayi wambiri “yakuchitiridwa” mosangalatsa. Chotsani mapiritsiwo ndikuwatsitsa kuchimbudzi, pomwe matayala opanda kanthu atha kuponyedwa mu bin.

Tsopano kubwerera ku mutu wathu.

Ma cholembera

Masiku ano, ma syringes a insulini sagwiritsidwa ntchito kawirikawiri. Kupangidwa kopambana kwa kampani ya Novo-Nor-disk - syringe pen - ikukulira. Pakadali pano, amasulidwa ndi onse omwe amapanga insulin. Ma cholembera a syringe amapereka kwaulere kwa ana omwe ali ndi matenda ashuga, amayi oyembekezera komanso odwala omwe ali ndi zovuta kwambiri za matenda ashuga.

Ma syringe oyamba adawoneka pa malonda mu 1983 ndipo kuyambira pamenepo, akusintha nthawi zonse, asinthidwa kukhala chida chopepuka, chogwirana komanso chosavuta kugwiritsa ntchito. Chimawoneka ngati cholembera wamba. Makina opanga ma syringe amapanga osiyanasiyana, koma amasiyana mwatsatanetsatane.

Tiyeni tidziwe chipangizo cha ma syringe cholembera pa chitsanzo cha Novo Pen3. Mwanjira imeneyi, cholembera cha syringe chimakhala ndi thupi lotseguka komanso lopanda kanthu kuchokera kumodzi. Katoni imayikidwa mu kabowo - botolo lopapatiza ndi insulin. Kutha kwa cartridge komwe sikulowerera kwambiri mu chogwirira kumatuluka munyumba. Zimatha ndi kapu ya mphira, zomwe sizofunikira kuchotsa. Wopaka ulusi wapadera umakhala kumapeto kwa katiriji, kenaka kapu yotsegulira momwe singano "imawombera" panthawi ya jekeseni.

Kumapeto kwina kwa milandu kuli batani lotsekera, kachipangizo kogwiritsira ntchito diolo (mphete yokhala ndi zenera momwe manambala ofanana ndi mlingo wa insulini yomwe ikupangidwira akuwonekera). Pamodzi ndi chisonyezo cha digito, palinso chizindikiro chomveka - gawo lililonse la insulin yolumikizidwa limayendera limodzi ndi kuwonekera, komwe kumalola kuti munthu amene ali ndi vuto lochepa athe kuwerengera khutu.

Inde, zolembera za syringe ndizosavuta komanso zosavuta kugwiritsa ntchito.

Njira yogwiritsira ntchito cholembera

Kuti mulowetse insulini pogwiritsa ntchito cholembera, muyenera kuchotsa kachipepalako kumapeto kwake, ndikuyika singano m'malo mwake ndikuchotsa kansaluyo, ikani cholembera (chomwe chili ndi bowo), ndikulowetsani cholembera pakati pama manja anu, monga momwe mumachitira ndi mabotolo wamba "otambasuka" »Insulin, tembenuzani dispenser, ikani muyeso wa mayunitsi 2 ndikusindikiza batani lotulutsa. Magawo awiri a insulin adzaponyedwa kunja, omwe adzaza singano. Ngati izi sizichitika, mlingo wa insulin womwe ungayambitsidwe uzikhala wofanana ndendende ndi ziwiri kuposa momwe amafunikira, ndipo mpweya umadzaza pansi pakhungu, ndikudzaza singano.

Tsopano mukufunikira kutembenuzira dispenser ndikukhazikitsa mlingo womaliza, kubweretsa kumapeto ndi dzenje kumalo a jakisoni pakulowa kwa 45 °, kanikizani mwamphamvu ndikudina batani la shutter. Ndikofunikira kugwirizira ndi singano mkati kwa masekondi 10, ndikuzunguliza pang'ono ndi kayendedwe kazungulira kuzungulira kwake ndikuti ndikutulutsa. Ndizo zonse! Ntchitoyo yatha. Sangathe kusungunula cholembera m'njira yosinthirayo, ndipo singanoyo imachotsedwa, apo ayi, insulin imayamba kutuluka pang'onopang'ono. Ma singano nawonso amatayika, ndiye muyenera kungowataya. Kenako cholembera chizimba chizichotsedwa padera.

Zofunikira zofunikira

Malangizo omwe adabwera ndi cholembera chilichonse cha syringe amawonetsa malo ake pakhungu la 90 ° pakuboola khungu, koma izi zitha kuchitika kokha ndi anthu onenepa, popeza pali chiopsezo chakuti insulini ingalowe m'matumbo. Kuphatikiza apo, atazolowera kukhazikitsa "perpendicular", munthu amagwiritsanso ntchito syringe nthawi zonse, ngakhale atasiyana ndi kutalika kwa singano - ndi 8-13 mm mu syringe ndi 5 mm mu cholembera nthawi zambiri. , zomwe zikutanthauza kuthamangitsidwa kwa insulin, komwe wodwalayo sangakhale wokonzekera.

Singano za zolembera za syringe ndi 5, 8 ndi 12.7 mm kutalika. Ngati muli ndi singano yayitali 5 mm, njira yothandizira jekeseni ya achikulire ndi yosavuta: pakona 90 ° mpaka pakhungu, ndipo ngati ndi 8 kapena 12.7 mm, musaiwale kupanga khola. Ndi singano kutalika kwa 12,7 mm, jakisoni ndi bwino kuchitira osati kungokhala, komanso mbali ya 45 °. Kumbukirani kuti khola la khungu limachitika nthawi yonse ya jekeseni ndipo limangotulutsidwa pambuyo pochotsa singano.

Singano zazifupi zimakhala ndi mwayi wowonjezera: zimawononga pang'ono khungu ndi mafuta ochulukira, zomwe zikutanthauza kuti chiopsezo cha ma cones ndi zisindikizo pamalo opangira jakisoni ndizochepa. Malangizo apano ndi akuti: "Samalani: sankhani singano zazifupi ndi kuzisintha nthawi zonse momwe mungathere."

Malamulo a insulin yothandizira ana ndi osavuta - Zingwe zimapangidwa nthawi zonse pakhungu ndi pakhungu la 45 °.

Ndi singano iti yomwe mungasankhe cholembera? Mndandanda wa singano wolimbikitsidwa nthawi zambiri umawonetsedwa phukusi. Opanga singano amaikanso pamataya mndandanda wa zolembera zomwe syringe yawo imakhala yogwirizana. Masingano omwe ali ndi mgwirizano wapadziko lonse amakwaniritsa zofunikira za ISO zapadziko lonse lapansi. Kugwirizana komwe kumayesedwa ndi mayeso odziyimira pawokha kumayikidwa kuti ISO "TURE A" EN ISO 11608-2: 2000 ndipo akuwonetsedwa ndi wopanga pa paketayo.

Kodi ndizotheka kuperekera insulin "yayifupi" komanso "kukulitsa" mu syringe imodzi?

Takudziwa njira yoyambira. Kodi ndichani china chofunikira kukumbukira pa insulin?

Odwala omwe akudziwa zambiri amadziwa kuti kuchuluka kwa jakisoni kumatha kuchepetsedwa ngati "yayifupi" ndi "kukulira" insulin ikuperekedwa mu syringe imodzi. Kodi izi zitha kuchitika? M'malo mwake, chilichonse chimadalira insulin: insulin "yayifupi" imatha kuperekedwa ndi protamine-insulin, koma osati ndi zinc-insulin. Poyamba, nthawi ya kuyamba kwa insulin "yayifupi" sasintha, ndipo yachiwiri ikukula kwambiri komanso mosayembekezereka (tanena kale izi).

Nthawi zina odwala amayesa kubayira insulini "yofupikirapo", kenako ndikumatula singano ku syringe, "kulumikiza" inanso ndi zinc-insulin, ndikusintha pang'ono kulowa kwa singano ndikuibaya. Pankhaniyi, ndizosatheka kupatula kulumikizana kwa ma insulin awiri mu singano palokha, ndipo pazinthu zowerengeka zimakhala pafupi kwambiri kuti athe kusakaniza, zikulowetsedwa kale pakhungu. Chifukwa chake, palibe zosankha pano - muyenera kubaya insulin ndi ma syringe osiyanasiyana, singano zosiyanasiyana komanso magawo osiyanasiyana a thupi - motalikirana pafupifupi 4 cm kuchokera kwa wina ndi mnzake. Mukamagwiritsa ntchito protamine insulin, vutolo limakhala losavuta. Mutha kuwasakaniza, koma muyenera kuchita izi mosamala, kutsatira malamulo ena, omwe tikambirane.

Njira imodzimodzi yolamulira

Woyamba kulowa mu syringe nthawi zonse amakhala wa insulin "yifupi" pokhapokha ngati "amawonjezeka". Kupanda kutero, mukawomba mpweya mosavomerezeka ndi insulin yocheperako, mosalephera mudzalowetsa m'malovu omwe amapitilizidwa, omwe amachititsa kuti "posachedwa", pambuyo pake ataye pansi.

Chifukwa chake, ikani mpweya mu syringe kufikira, mwachitsanzo, magawo 8, kubaya chivundikirocho ndi insulin "yofupika", ndikutulutsa mpweya, ikani mankhwalawo mu syringe ndikuchotsa singano mu vial. Chotsatira, tinene kuti, PISITSI 20 za "protin insulin" zowonjezera zimafunikira.

Tengani syringe yomwe ili ndi "insulin" yayifupi kale, ikani mpweya m'magawo a 8 + 20 = 28, kuboola chivundikiro cha botolo lomwe lili ndi "insulin" yotulutsidwa, kumasula mpweya wokha, "insulin" yofupikitsa imayenera kukhalabe mu syringe. Kenako, lembani zomwe zili mumtinjiri kuti mulembedwe 28, ndipo zakonzeka kubayidwa.

Patumizirani jakisoni

Tavomera kale kuti tizigwiritsa ntchito syringe kamodzi kokha, koma, pozindikira kuti owerenga ena azichita momwe akufunira, ndikufuna kuchenjeza kuti mutayambitsa kusakanikirana kotereku, ngati kugwiritsanso ntchito syringeyo kuli koyenera, kuyenera kupopedwa mosamala ndi mpweya. Nthawi ina mukadzagwiritsa ntchito syringe, imayenera kukhala yowuma mkati, chifukwa mukatero mutha kuwononga insulini "yofupikirapo" pakudzazanso msanganizowo.

Moyo wamasewera oterowo udzakhala wofupikirapo kuposa ndi jakisoni wosiyana: ndi singano iyi mudzakhala kuboola kawiri konse kwa mabotolo, ndipo izi sizingodutsanso popanda kutsatira. Iyi ndi mfundo inanso yogwirizana ndi syringe imodzi.

Gwiritsani zosakaniza zopangidwa ndi insulin

Zachidziwikire, ndibwino kuphatikiza mawu oyambira, popeza momwe shuga sangakwaniritsire "ndikuyambitsa" ikayamba, pamakhala kukayikira kwakukulu: mwina ndi pomwe pali mtundu wina wa cholakwika? Ngati pali chidwi chachikulu chofuna kuchepetsa kuchuluka kwa jakisoni, ndikofunikira kugwiritsa ntchito mankhwala osakanikirana a insulin, popeza pano ndi okwanira kukwaniritsa zosowa za odwala ambiri. Kupatula komwe kumachitika ndi matenda osokoneza bongo a shuga, pomwe kubwezeredwa ndi insulin yosakanikirana sikungatheke, koma pamenepa, kuyambitsidwa kwa insulin iwiri yomweyi mu syringe yomweyo imaphatikizidwanso.

Insulin yofunda ndiyowopsa!

Ndikufuna kukumbutsani kuti insulin yofunda imamwidwa mwachangu kuposa kukhala ndi chipinda chocheperako. Zomwezi zimachitikanso ngati "mwotha" jakisoni. M'mabuku apadera, milandu imafotokozedwa pomwe wachinyamata, atabaya insulin "yayifupi" asanadye, adaganiza kuti m'mphindi 30 zomwe ali asanadye, akhale ndi nthawi yosamba. Anamupeza osazindikira ... Ndibwino kuti panali madzi pang'ono, ndipo mutu wake udali pamwamba. Kodi mwaganiza zomwe zachitika? Ndizowona: madzi ofunda adathandizira kwambiri kuyamwa kwa insulin, chakudya chidachedwa, ndipo hypoglycemia sichinatenge nthawi. Pafupifupi mphamvu yofananira imatha kupezeka ngati tsamba la jakisoni limasungidwa bwino jakisoni. Izi ziyenera kukumbukiridwa m'chilimwe. Mothandizidwa ndi dzuwa lowawitsa, khungu limatenthetsedwa kwambiri, komwe sikungotulutsa kutentha, komanso kuthamanga kwa insulini. Chifukwa chomwecho, muyenera kusamala pakusamba komanso sauna.

Ponena za kuchita zolimbitsa thupi, izi, zimakhudza ntchito ya insulin onse pothamangitsira mayamwidwe ndi kuwonjezeka kwa minofu kumankhwala. Osati kale kwambiri, tinkakhulupirira kuti ngati insulin idayikidwa m'dera lomwe silikuchita nawo masewera olimbitsa thupi, hypoglycemia imatha kupewedwa. Zochita zawonetsa kuti sichoncho. Sizingatheke! Tsopano tikumvetsa chifukwa chake: kugwiritsa ntchito kwa insulin m'misempha sikudalira malo omwe amayambitsa thupi. Chifukwa chake, malamulo oletsa kupewedwa kwa hypoglycemia panthawi yantchito yakuthupi amakhalabe omwewo - kuwongolera shuga ndi zina zowonjezera za chakudya ndi chakudya.

Mukudziwa kale momwe mungapangire insulin. Imakhalabe "yosavuta" - kusankha yani, muyezo uti komanso liti. Mtundu 1 komanso mtundu wachiwiri wa matenda ashuga, njira zamatenda a insulin zimatha kusiyanasiyana, koma nthawi zina zimakhala bwino kuchiza matenda amtundu wa 2 chimodzimodzi monga mtundu 1.