Momwe mungasungire insulin kunyumba: malamulo oyambira ndi zoyambitsa

Kufalikira kwa mtundu wa matenda ashuga a mtundu wachiŵiri (T2DM) kwakhala mliri. Pakadali pano pali mitundu 8 yosiyanasiyana ya ma hypoglycemic agents (SSPs) yokhala ndi shuga wamagazi. Koma kukayikira kwa odwala matenda ashuga kusintha moyo wawo ndikutsatira njira yodziwika bwino yamankhwala kumabweretsa kuwonjezereka kwa matenda am'magazi ndikukula kwa matenda ofanana ndi matenda. Nthawi zambiri zophatikizidwa ...

Kuyesa kwa magazi kwa shuga - mitundu ndi kukonzekera kafukufuku, zolembedwa

Kodi pakhala pali ndipo osadutsa pakamwa mokhazikika, ludzu, kukodza mwachangu ndi kuphatikiza? Nthawi ndi nthawi komanso popanda chifukwa mumamvanso njala ngati nkhandwe? Yakwana nthawi yoti mukayezetse magazi. Ngati nthawi yomweyo kulemera kwa thupi sikwachilendo, ndipo m'mbiri ya mabanja muli matenda a matenda ashuga, ndikofunikira kuchita kafukufuku.

Kukhathamiritsa kwa zakudya za odwala matenda ashuga a comorbid ndi ana omwe ali ndi matenda amtundu woyamba 1 nthawi ya chimfine

Aliyense, kuyambira ang'ono mpaka akulu, ali pachiwopsezo chotenga SARS ndi chimfine, ndipo palibe munthu amene anathawa. Ambiri, pogona pogona ndi chithandizo chamankhwala, amalekerera matenda oterowo mosavuta kapena mosavuta. Kudya pakudya kuzizira kumafunika malamulo ena kuti atsatidwe. Nthawi yomweyo, kukhathamiritsa kwa odwala a shuga a comorbid panthawi ya chimfine ...

Opaleshoni ya Bariatric ya matenda a shuga a 2

Ku Russia, amuna oposa 8% komanso azimayi pafupifupi 11% amapezeka ndi matenda a shuga. Mwa awa, 7% okha ndi omwe ali ndi matenda ashuga omwe ali ndi mtundu 1. Zotsala zina za matenda ndi mtundu wachiwiri wa matenda ashuga, chifukwa cha kunenepa kwambiri (60%), kunenepa kwambiri (23%) ndikukhalanso ndi moyo (10%). Oposa theka la anthu odwala matenda ashuga a mtundu wa 2 sa ...

Matenda a diabetes a osteoarthropathy: Zizindikiro zapadera, mawonekedwe a matenda, chithandizo

Malinga ndi ziwerengero, zowononga zowononga minofu ya kumapazi zimachitika 1-55% ya odwala matenda ashuga. Khola lalikulu loterolo limachitika chifukwa chakuti anthu odwala matenda ashuga sangathe nthawi zonse, pali madokotala ambiri omwe amakumana ndi izi - ma endocrinologists, akatswiri a zamankhwala, madokotala ochita opaleshoni, ndipo onse amagwiritsa ntchito njira ndi njira zosiyanasiyana zodziwonera. M'malo mwake ...

Momwe mungatenge glucosamine ndipo amatha kuledzera ndi shuga?

Glucosamine (glucosamine) ndi metabolite wachilengedwe wopangidwa ndipo amapezeka m'mafupa a munthu ndi cartilage. M'dziko lathu, mankhwala omwe ali ndi glucosamine amawerengedwa ngati chondroprotectors, omwe amagwiritsidwa ntchito pochiza matenda a nyamakazi. Alinso m'gulu la masewera azakudya zamagetsi komanso zakudya zopangira zakudya zomwe zimapangidwa kuti zisawononge mtima wamatumbo a msana ...

Mankhwala ochepetsa shuga komanso liti?

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Kwa ndani ndi momwe mungagwiritsire ntchito mankhwala atsopano a hypoglycemic Solikva SoloStar

Oposa theka la odwala omwe ali ndi mtundu wa 2 matenda a shuga sofika pachimake pa shuga pambuyo pakatha zaka 1.5 chichitikireni chithandizo. Ambiri mwa odwala matenda ashuga awa, komanso ku Russia - anthu pafupifupi mamiliyoni awiri, amawona kufunikira kuti alimbikitse chithandizo ndi jakisoni wa insulin ngati ngozi komanso chiganizo. Zilibe kanthu pakusintha chithunzicho mu ...

Chifukwa komanso momwe mungatenge Thioctacid BV mu shuga

Matenda a shuga ndi matenda oopsa omwe ali oopsa ndi zovuta zake. 25% ya odwala ali ndi neuropathy (polyneuropathy). Komabe, adotolo atha kutumiza Thioctacid BV wa matenda osokoneza bongo kwa munthu aliyense, kupatula azimayi oyembekezera komanso oyembekezera, chifukwa amakhulupirira kuti mawonekedwe asymptomatic amapezeka mu matenda ashuga onse.

Dapagliflozin - chida chatsopano chomwe chimachepetsa shuga pochiza matenda ashuga

Posachedwa, makonzedwe okhala ndi dapagliflozin propanediol monohydrate, omwe ndi osakanikirana osankha a Na-amadalira mtundu 2 wama glucose co-transporter (SGLT2), awonekera pakati pa othandizira odwala matenda ashuga. M'masitolo athu ogulitsa mankhwala mutha kugula mankhwala okhala ndi mayina a Forsig ndi Jardins. Mtengo wa piritsi limodzi kutengera ndalama zaku US ndiwokwera pang'ono kuposa $ 2. Kodi mtengo wakukweza ndi chiyani, kuti musankhe ...

Malangizo onse

Insulin nthawi zambiri imalekerera kutentha mpaka madigiri 30. Zikatero, mankhwalawa amatha kusungidwa kwa masabata anayi. Pansi pa malo osungirako kutentha kwa chipinda, zinthu zomwe sizigwira ntchito sizitaya 1% yokha ya malo ake mwezi umodzi.

Madokotala amalimbikitsa kuti odwala awo aziika chizindikiro pa botolo tsiku lakutsegulira ndi mpanda woyamba. Malangizo pakugwiritsira ntchito izi kapena mtundu wa insulin uyenera kuphunzira usanayambe ntchito. Nthawi zina, nthawi zovomerezeka zosungira zimatha kusiyanasiyana.

Nthawi zambiri, tikulimbikitsidwa kuti insulini isungidwe mufiriji, izi zimakhalapo, koma zimangotanthauza zosungidwa zokhazokha, botolo lomwe limagwiritsidwa ntchito liyenera kukhala pakupanda kutentha.

Zogulitsa siziyenera kuzizira.

Chisamaliro cha odwala chiyenera kuyimitsidwa pazotsatira zotsatirazi, zofunika kwambiri:

1. Katunduyo sayenera kuyikidwa pafupi ndi freezer; chinthucho sichilola kutentha kuzikhala +2.
2. Mbale zosatsegulidwa zitha kusungidwa mufiriji mpaka tsiku lotha ntchito.
3. Choyamba, muyenera kugwiritsa ntchito insulin kuchokera m'matangadza akale.
4. Insulin itatha kapena yowonongeka chifukwa chosagwirizana ndi malamulo osungira iyenera kutayidwa.
5. Musanayambitse magawo kuchokera ku botolo latsopano, mankhwalawo amawotha. Kuti izi zitheke, botolo liyenera kutulutsidwa mufiriji patatsala maola atatu kuti jakisoni.
6. Mankhwalawa ayenera kutetezedwa ku zovuta zomwe zimapezeka pakatentha ndi dzuwa.
7. Sizoletsedwa kugwiritsa ntchito jekeseni chinthu chomwe chimapanga timiyala tating'onoting'ono kapena thambo.
8. Mankhwalawa ndi amfupi komanso kuwonongeka kwa ultrashort mkati mwa masabata awiri ndikasungidwa m'chipinda chofunda.
9. Kuyika malonda mumdima wathunthu sikupanga nzeru.

Mtengo wosatsata malamulo osavuta osungira insulin kunyumba ndiwokwera kwambiri. Izi ndichifukwa choti popanda chinthu chofunikira, wodwala matenda ashuga amatha kuthana ndi zoopsa.

Ndalama zomwe zatha ntchito ndizoletsedwa.

Sizotheka nthawi zonse kusungirako chithandizo chofunikira pazofunikira popanda zida zapadera. Izi zimachitika makamaka chifukwa cha kusinthasintha kwa kutentha kwa chilengedwe.

Pankhaniyi, zida zapadera zimabwera ndi thandizo la wodwala, zomwe zafotokozedwa pagome:

Zida zomwe zalembedwa zimathandizira kuti insulini isayende pamsewu, chifukwa mankhwalawo amafunikira zikhalidwe zomwezo mosasamala malo omwe munthu ali.

Mankhwala ayenera kupendedwa mosamala.

Yang'anani! Mu nyengo yozizira, mutha kuchita popanda kugwiritsa ntchito zida zapadera, mutanyamula insulin pamfundo ya "pafupi ndi thupi." Njira imeneyi ithandiza kupewa hypothermia wa mankhwala.

Anthu odwala matenda ashuga omwe akuyenda pa ndege ayenera kukumbukira kuti insulin yomwe idakonzedwa paulendowu iyenera kupita nawe ku kanyumba konyamula katundu. Poterepa, onetsetsani kuti mwawona kutentha kwa boma.

Momwe mungadziwire insulin yosweka

Pali njira ziwiri zomvetsetsa kuti insulin iwonongeka:

• kusowa kwa zotsatira za mankhwala omwe amaperekedwa,
• kusintha maonekedwe a malonda.

Ngati, inshuwaransi itatha kuperekedwa, popanda kukhazikika kwa shuga m'magazi kungachitike, ndiye kuti insulini idawonongeka.

Kuchokera pamndandanda wazisonyezo zakunja zomwe zingawonetse kusakwanira kwa ndalama zitha kuzindikirika:

• kukhalapo kwa nyansi mu njira - insulin iyenera kukhala yowonekera,
• Njira yothetsera vutoli,
• Kusintha kwa yankho.

Yang'anani! Ngati pali kukayikira kocheperako kuti kapangidwe kake kawonongeka, kugwiritsa ntchito kuyenera kutayidwa. Pankhaniyi, muyenera kutsegula botolo kapena cartridge yatsopano.

Kanemayo munkhaniyi adzafotokozera owerenga malamulo oyambira pakugwiritsira ntchito mankhwala ofunikira.

Malangizo a Insulin

Wodwala akuyenera kutsatira zotsatirazi:

1. Ndikofunikira kuti muwone tsiku lomwe lasonyezedwa paphukusili musanagwiritse ntchito.
2. Sizoletsedwa kuperekera mankhwala omwe adatha.
3. Ndikofunikira kuyang'ana yankho lisanayambike, pokonzekera kusintha maonekedwe, ndizoletsedwa kugwiritsa ntchito mawonekedwe.
4. Cholembera cha syringe (chojambulidwa) chokhala ndi singano yolumikizidwa sichiyenera kusungidwa.
5. Ndi zoletsedwa kulowa mu vial yotsalira pambuyo pa insulin yambiri, iyenera kutayidwa ndi syringe yomwe imagwiritsidwa ntchito.

Malangizo Pamaulendo

Wodwala matenda ashuga ayenera kudziwa malamulo otsatirawa:

1. Mukamayenda nanu muyenera kutenga insulini kawiri, yomwe imafunikira nthawi yowerengedwa. Musanayambe kulongedza zida zothandizira, ndikofunikira kuyang'ana masiku omwe atha ntchito.
2. Kufikira momwe mungathere, mankhwalawo amayenera kusungidwa pamsewu limodzi nanu monga katundu wonyamula.
3. Musatulutsire chinthucho kutentha kwambiri. Osasiya ma CD kuti aziwoneka mwachindunji pamakina.
4. Insulin iyenera kusungidwa pamalo abwino.
5. Insulin yotseguka imatha kusungidwa kutentha kwa madigiri anayi mpaka 25 kwa masiku 28.
6. Maselo a insulin amasungidwa mufiriji.

Kutsatira malamulo osavuta awa kumalepheretsa kuyambitsidwa kwa mankhwala osayenera m'thupi. Muyenera kudziwa kuti insulini, yomwe nthawi yake yakwanira yomwe ikufika kumapeto, singakhale othandiza, chifukwa chake kugwiritsa ntchito chida chotere panthawi yomwe shuga imakwezedwa sichikulimbikitsidwa.

Mankhwalawa atengedwe kupita nawe ku kanyumba kanyumba kamagudumu.

Mafunso kwa katswiri

Nikiforova Natalia Leonidovna, wazaka 52, Simferopol

Madzulo abwino Ndikukufunsani kuti mupereke chidwi ndi lingaliro langa, sindinakhalepo ndi vuto lotere, popeza ndimakhala kudera lina. Miyezi ingapo yapitayo anasamuka ku Ufa kupita kwawo. Ndikuda nkhawa ndi kusungidwa kwa mapaketi otsegulidwa m'chilimwe. Kutentha m'nyumba kumafikira madigiri 25, ngakhale izi zingakhudze mtundu wazopezeka.

Tsiku labwino, Natalia Leonidovna. Funso lanu ndilothandizadi, chifukwa chotsatira kukhudzana ndi kutentha, chinthu chogwiritsa ntchito chimataya ntchito. Moyo wololeza wolumikizidwa wa botolo lotseguka pa kutentha kwa madigiri 25 sapitirira masabata 3-4.

Mikhaleva Natalya, 32, Tver

Tsiku labwino. Chaka chino tinapita kunyanja, mwachilengedwe ndinatenga mankhwala a insulin kupita pagombe. Zidachitika kuti ndidatenga limodzi mlingo mu chikwama changa kwa masiku awiri. Kuphatikizikako kwasintha mtundu. Kodi izi ndimachitidwe abwinobwino chifukwa cha kuwunika kwa dzuwa kapena insulini yawonongeka? Zikatere, mankhwalawo adatayidwa.

Natalya, moni, mwachita zonse molondola. Kuwonetsedwa ndi kuwala kwa dzuwa kumasokoneza mkhalidwe wa mankhwalawo ndi ntchito yake. Chida choterocho sichoyenera kugwiritsidwa ntchito.

Zomwe zatsimikizidwa tsiku latha

Pali malamulo ena osungira insulin, koma choyamba, muyenera kuyang'ana tsiku lotha ntchito.

Kugwiritsa ntchito mankhwala omwe atha ntchito kumakhala kowopsa ku thanzi lanu komanso moyo.

Mitundu yosiyanasiyana ya insulini imakhala ndi nthawi zosiyana zosungira. Momwe mungasungire insulin imawuza malangizo a wopanga.

Pogula, ndikofunikira kupenda mwachangu chidebe ndi mankhwalawa, chikhoza kukhala:

Ndikofunikira kuyang'ana mkhalidwe wa insulin. Chifukwa chake, chinthu chongochita zinthu mwachidule chimawoneka ngati madzi oyera opanda mtundu. Ma insulin aatali komanso apakati samakhala chowonekera, kapena amatero atagwedezeka mchidebe.

Ngati kukonzekera kwa mitundu yotsirizira kunali kowonekera pambuyo pakugwedezeka, ndizoletsedwa kugwiritsa ntchito, popeza tsiku lotha ntchito lidatha. Amaletsanso kugwiritsa ntchito insulin ya insulin yochita chilichonse.

Zomwe zimapangidwa ndi zinthu zakunja, mwachitsanzo, tinthu tating'onoting'ono, sizimaloledwa mu insulin, chifukwa mankhwalawa amayenera kukhala nthawi zonse yunifolomu.

Zosungidwa zonsezi za zinthu ziyenera kukumbukiridwa kuti tipewe zovuta. Popanda kuyang'ana momwe mankhwalawo alili, ndizosatheka kugwiritsa ntchito mosamala.

Kusungidwa kwa chinthucho sikudzakhala koyenera, pakhala pali kusiyana kwa kutentha, komwe kungakulitse chiopsezo cha kusintha kosasinthika kwa mankhwalawo. Mutha kusungitsa insulin kunyumba ku:

Nthawi yochepa yosungirako ndiyambira maola angapo mpaka masiku 30, nthawi yayitali yosungirako ndiyambira mwezi umodzi. Ndikofunikira kudziwa momwe mungasungire insulin kwa nthawi yayitali. Kuti muthane ndi vutoli muyenera firiji ya m'nyumba.

Insulin yosungika idzawonongeka ngati itayang'aniridwa ndi hypothermia. Mankhwalawa amayenera kusungidwa pokhapokha pa firiji. Ngati sikotheka kuchita zosungiramo, ndikofunikira kuyika mankhwalawo pamalo amdima, abwino. Ndikofunika kudziwa ngati insulin idazizidwa kenako ndikuwotcha, ndiye kuti siyofunanso kuthandizidwa.

Mankhwala sayenera kusiyidwa ndi dzuwa. Maola angapo isanachitike jakisoni, ngati insulini isungidwa mufiriji, iyenera kuyikidwa m'chipinda kuti ikhale kutentha kwa chipinda.

Kuti munthu asakhale ndi vuto, insulini iyenera kukokedwa mu syringe, kutentha kwake komwe kumafanana ndi kutentha kwambiri kwa thupi. Zomwezi zikuyenera kuchitika ngati cholembera chagwiritsidwa ntchito poyambitsa chinthucho. Ngati chidebe chatsegulidwa kale, ndiye kuti mankhwalawo sangawonongeke mufiriji, komabe, kutalika kwa kukhalabe pamunsi kutentha kumadalira mtundu wake.

Kodi insulin imayenda bwanji?

Ngati wodwalayo achoka kwakanthawi kochepa, mutha kupita ndi insulini yomwe ikugwiritsidwa ntchito pano. Ndikofunikira kuyang'ana voliyumu yake kuti ikhale yokwanira paulendowu. Ngati palibe kutentha pamsewu, ndiye kuti chidebe chokhala ndi insulin chitha kunyamulidwa m'thumba wamba. Ndikofunika kuti chinthucho sichidziwikiridwa ndi dzuwa.

Kutentha kosunga insulin kuyenera kukhala kutentha kwa chipinda. Chifukwa chake, kuti musawononge katundu, mutha kugula:

Pakati pa anthu omwe ali ndi matenda ashuga, chotchuka kwambiri ndi chivundikiro chamakono cha mafuta. Izi ndizothandiza:

1. chitetezo
2. kukhalabe yogwira insulin,
3. kugwiritsa ntchito mosavuta.

Moyo wa chivundikiro chamafuta ndi zaka zingapo. Zotsatira zake, kusungidwa kwa insulini mu zida zamtunduwu kumakondedwa. Popeza mutawononga ndalama kugula chivundikiro, nthawi zonse mutha kukhala otsimikiza za chitetezo cha insulini.

Ngati munthu ali ndiulendo wautali kapena wothawa ndipo pali mtundu wina wotchedwa shuga, ndikofunikira kuwerengera ndi dokotala kuti mupeze insulini iti pakufunika kuthawa kapena paulendo wina. Pakadali pano, pali zida zosiyanasiyana zogulitsa zomwe zimakupatsani mwayi woti musunge ndikuyendetsa insulin. Makamaka, magetsi ozizira omwe amagwiritsa ntchito mabatire amapezeka.

Mu matumba amtundu wa thermo ndi zokutira zama Thermo pali makhiristo apadera omwe amasintha kukhala ma gel mukamacheza ndi madzi. Ngati mungayikemo zida zamagetsi m'madzi kamodzi, ndiye kuti zitha kugwiritsidwa ntchito ngati insulin kwa masiku atatu kapena anayi.

Pambuyo kuchuluka kwa nthawi, muyenera kuyikanso chipangizocho m'madzi ozizira. M'nyengo yozizira, kunyamula ndi kusunga insulin ndikosavuta. Ndikofunika kuonetsetsa kuti chinthucho sichimawundana. Chifukwa cha izi, insulin imasungidwa pafupi ndi thupi, mwachitsanzo, m'thumba la bere.

Simungagule zida zapadera zosungira insulin, koma gwiritsani ntchito chotengera chanyumba chophweka komanso chothandiza. Chotengera cha pulasitiki chotere sichikhala ndi mafuta apadera, koma chimathetsa vuto la kukhulupirika komanso kumasuka kunyamula mkati mwa matumba kapena matumba. Kuteteza dzuwa moyenera kumaperekedwa. Dokotala wopezekanso amathanso kudziwa momwe angasungire insulin bwino.

Kanemayo munkhaniyi akupitiliza mutu wa momwe angasungire insulin.

Kuzindikira insulin yosatheka

Pali njira ziwiri zokha zofunika kumvetsetsa kuti insulin yasiya kugwira ntchito:

• Kuperewera kwamakina a insulin (palibe kuchepa kwamagazi m'magazi),
• Sinthani mukuwoneka yankho la insulin mu cartridge / vial.

Ngati muli ndi shuga ochulukirapo m'magazi pambuyo pobayidwa jakisoni wa insulin (ndipo munatulutsa zifukwa zina), insulini yanu ingakhale itasiya kugwira ntchito.

Ngati mawonekedwe a insulini mu cartridge / vial asintha, mwina sigwiranso ntchito.

Mwa zina mwazindikiritso zomwe zikuwonetsa kusakwanira kwa insulin, zotsatirazi zimatha kusiyanitsidwa:

• Njira yothetsera insulin ndi yotentha, ngakhale iyenera kukhala yowonekera,
• Kuyimitsidwa kwa insulin pambuyo posakanikirana kuyenera kukhala yunifolomu, koma zotupa ndi zotupa zimakhalabe,
• Njira yothetsera vutoli ikuwoneka yopweteka,
• Mtundu wa yankho la insulin / kuyimitsidwa kwasintha.

Ngati mukuwona kuti china chake sichabwino ndi insulin yanu, musayese mwayi wanu. Ingotenga botolo / cartridge yatsopano.

Malangizo posungira insulin (katiriji, vial, cholembera)

• Werengani malingaliro pa momwe zinthu ziliri komanso moyo wa alumali wopanga insulin. Malangizowo ali mkatimu,
• Tetezani insulini ku kutentha kwambiri (kuzizira / kutentha),
• Pewani kuwala kwa dzuwa (mwachitsanzo, kusungirako pazenera),
• Musasunge insulini mufiriji. Pakuzizira, imataya katundu wake ndipo iyenera kutayidwa,
• Osasiya insulin m'galimoto pamtunda wambiri / kutentha kwambiri,
• Pamawonekedwe otentha / otsika kwambiri, ndibwino kusungitsa / kunyamula insulini mwapadera mafuta.

Malangizo ogwiritsira ntchito insulin (katiriji, botolo, cholembera):

• Nthawi zonse muziwonetsetsa tsiku la kupanga ndi kumaliza kwake pamapaketi ndi ma cartridge / mbale,
• Osamagwiritsira ntchito insulin ngati itatha,
• Pendani insulin mosamala musanagwiritse ntchito. Ngati yankho lili ndi zotupa kapena ma flakes, insulin yotere singagwiritsidwe ntchito. Njira yodziwika bwino yopanda insulin siyikhala yopanda mitambo, yopanga mpweya kapena zotupa,
• Ngati mugwiritsa ntchito kuyimitsidwa kwa insulin (NPH-insulin kapena insulin yosakanikirana) - musanalowetse jakisoni, sakanizani mosamala zomwe zili mu vial / cartridge mpaka utoto wamtundu wa kuyimitsidwa utaperekedwa.
• Ngati mutabayira insulin yambiri mu syringe kuposa momwe mukufunikira, simukuyenera kuyesa kutsanulira insulin yonse mu vial, izi zingayambitse kuipitsidwa (kuipitsidwa) kwa yankho lonse la insulin mu vial.

Malangizo Pamaulendo:

• Tengani insulin yowonjezera kawiri masiku omwe mukufuna. Ndikwabwino kuyiyika m'malo osiyana ndi katundu wamanja (ngati gawo limodzi la katunduyo latayika, ndiye kuti gawo lachiwiri likhalabe losavulaza),
• Mukamayenda pa ndege, nthawi zonse tengani insulini yonse m'manja mwanu. Mukadutsa m'chipinda cholongedza katundu, mumatha kuwuma chifukwa cha kutentha kochepa kwambiri m'chipinda chonyamula katundu panthawi yomwe amathawa. Frozen insulin siyingagwiritsidwe ntchito,
• Osatulutsira insulini kutentha kwambiri, kumusiya mgalimoto m'chilimwe kapena pagombe,
• Ndikofunikira nthawi zonse kusunga insulin m'malo abwino momwe kutentha kumatakhazikika, osasinthasintha. Pazomwezi, pali zambiri zophimba zapadera (zozizira), zotengera ndi milandu momwe insulin ikhoza kusungidwa m'malo oyenera:
• Insulin yotseguka yomwe mukugwiritsa ntchito pano iyenera kukhala yotentha nthawi zonse mpaka 4 ° C mpaka 24 ° C, osapitirira masiku 28,
• Zotsatira za insulin ziyenera kusungidwa pafupifupi 4 ° C, koma osati pafupi ndi mufiriji.

Insulin mu cartridge / vial sangathe kugwiritsidwa ntchito ngati:

• Maonekedwe a yankho la insulin adasinthika (kunakhala mitambo, kapena matayala kapena matope adatuluka),
• Tsiku lotha ntchito lomwe linapangidwa ndi wopanga phukusi latha,
• Insulin idawonetsedwa ndi kutentha kwambiri (kwamira kapena kutentha)
• Ngakhale atasakanikirana, choyera champhepete kapena chotupa chimakhalabe mkati mwa kuyimitsidwa kwa insulin vial / cartridge.

Kutsatira malamulo osavuta awa kukuthandizani kuti insulini ikhale yogwira ntchito nthawi yonse ya shelufu komanso kupewa kupewa mankhwala osayenera m'thupi.

Kodi insulin ndi chiyani?

Insulin ndi mahomoni amino omwe amapanga maselo a endocrine pancreas. Imagwira mosiyanasiyana kagayidwe kakang'ono m'zinthu zonse. Ntchito yayikulu ya insulini ndikuchepetsa kuchuluka kwa shuga m'magazi, omwe ndi gwero lamphamvu la zinthu.

Mu thupi lathanzi, secretion ya amino acid hormone imachitika mosalekeza. Ndi matenda ena ammutu komanso endocrine, kukakamizidwa kwa dextrose, komwe kumapangidwa chifukwa cha kuperewera kwathunthu kapena insulin, kumalephera. Izi zimathandizira kukulitsa kuwonjezeka kwa zomwe zili monosaccharide mu plasma ya magazi (hyperglycemia). Kuchiza ndi insulin kungapangitse kagayidwe kazakudya, kupewa hyperglycemia ndi zovuta za matenda ashuga. Kukonzekera kwa insulin ndikofunikira kwa anthu omwe ali ndi matenda amtundu wa I ndipo amagwiritsidwa ntchito mwanjira zina mtundu wachiwiri wa matenda ashuga.

Mitundu ya insulin: mankhwala osokoneza bongo

Kugwiritsa ntchito kwambiri insulini kumathandizira kuti pakhale mankhwala omwe amawonetsetsa kuti timadzi timalowa m'magazi mwachangu. Othandizira a Hypoglycemic ali ndi gulu lina, koma kwa wodwalayo, kutalika kwa kuchitapo kanthu ndikofunikira.

Mankhwala ochita kupanga mwachidule ndi insulin yopangidwa ndi chibadwa cha anthu yomwe amalembera mtundu woyamba wa II ndi matenda a shuga. Ma mahomoni a Protein-peptide amagwiritsidwa ntchito paokha komanso pophatikiza mankhwala. Mankhwalawa amaperekedwa mosavuta, m'mitsempha, ndipo nthawi zina m'mitsempha.

Kutalika konse kwa kuchitapo kanthu ndi maola 4-6, mphamvu yakeyo imatheka pambuyo pamaora atatu. Pambuyo pakutseguka, moyo wa alumali wa insulin suli wopitilira maola 4, mutatsekedwa, ndi zaka 2. Mankhwalawa ali ndi mayina otsatsa awa: "Actrapid", "Humulin Regular", "NovoRapid", "Insuman Rapid".

Mankhwala a Surfen-Insulin

Aminomethylquinolyl-urea (Surfen) ndi chinthu chopangidwa chomwe chimakulitsa kuchitapo kanthu kwa insulin ndikutsutsana ndi secretion yake yapansi. Mothandizidwa ndi gawo, yankho limakhala loonekera komanso lamasamba. Khalidwe lotsirizali limayambitsa kukhudzana ndi khungu kwakanthawi kofiyira komanso kuyamwa.

Zisonyezo zogwiritsidwa ntchito ndi shuga kwa amayi apakati, ana, insulin, lipodystrophy. Mankhwalawa amaperekedwa pakatha maola 8 aliwonse, kuyambika kwa ntchito - 1.5 mawola osokoneza bongo. Mayina ena a mankhwala: "Homofan 100", "Protofan", "Monodar B".

Kusunga kwa insulini wa nthawi yayitali kuyenera kuchitika malinga ndi malangizo - mufiriji pa t 2-8 ° C. Pambuyo pazaka 2, malonda adatayidwa.

Gulu la NPH Insulin

Hagedorn's Neutral Protamine (NPH) imapezeka ndikuwonjezera protamine, zinc, ndi phosphate buffer yankho lalifupi la insulin. Kugwiritsa ntchito mankhwalawa kumaloledwa kuchokera zaka 2, ndipo kwa mankhwala ena - kuyambira 6. Mwambiri, izi zimachitika chifukwa cha zovuta zambiri. Othandizira a hypoglycemic awa amawonetsedwa kwa anthu osungulumwa komanso osawona bwino omwe ali ndi matenda ashuga omwe adalowetsedwa ndi namwino wothandizira.

Moyo wa alumali wa gululi la insulin ndi zaka 3 pa kutentha kwa 2-8 ° C. Mankhwala amayamba kugwira ntchito maola 2-4, nthawi yayitali ndi maola 16-18. Mayina ogulitsa kukonzekera: "Lantus", "Lantus SoloStar".

Njira Zosungira ndi Malamulo

Insulin ndi mankhwala okhala ndi michere. Pofuna kupewa zovuta komanso kusunga zonse zofunikira pazomwe zimagwiritsidwa ntchito, kuwunika mwachindunji ndi kutentha kwakukulu kuyenera kupewedwa. Mahomoni sayenera kuwonetsedwa ndi kutentha kwambiri.

Nthawi ndi malamulo osungira insulin zimatengera mtundu wa mankhwalawa komanso nthawi yake yochitapo kanthu. Zinthu zokhala ndi hypoglycemic yodziwika bwino ziyenera kugwiritsidwa ntchito mkati mwa masabata anayi. Ndipo moyo wa alumali wa NPH-insulin ndi zaka 3.

Koma zofunikira zakusungidwa ndizofanana kwa mitundu yonse yamankhwala:

• Mankhwalawa ayenera kukhala mufiriji pamtunda wa +2 mpaka +8 ° C, kutali ndi kowongolera - m'malo awa kutentha ndi kutsika kuposa momwe amafunikira. Osasunga pakhomo, chifukwa mukatseka ndi kutseguka m'malo ano pamakhala dontho lakuthwa. Ndikofunika kuyika mankhwala m'chipinda (bokosi) la masamba ndi zipatso.
• Makatoni otseguka amachotsedwa mufiriji ndikusungidwa pamalo owuma, amdima pamtunda wokhazikika osapitirira 30 ° C.
• Insulin yomwe idamalizidwa ikuyenera kutayidwa nthawi yomweyo kuti isagwiritsidwe ntchito mwangozi.
• Mankhwala sayenera kupezeka kwa ana.

Kusungidwa kwa insulin kunyumba

Malinga ndi malangizo, mankhwalawa odwala matenda ashuga atatsegula sangathenso kuikidwa mufiriji. Mu nyengo yotentha, kusungidwa kwa insulin kumakhala vuto lalikulu. Tiyenera kudziwa nthawi yomweyo kuti chipinda chokhala ndi chowongolera mpweya sichabwino kugwiritsa ntchito mabotolo otseguka chifukwa cha kusintha kwa kutentha. Ndikofunikira kupatula khitchini, bafa (chinyezi chambiri), nazale (mwana akhoza kutaya yankho kapena, moyipitsitsa, amamwa), zenera la windows. Ndikofunikira kuti mupeze malo pomwe dzuwa silimagwa, pomwe kutentha kumakhala kosasintha (kuphatikiza kapena kutsitsa madigiri 1-2) ndipo osapitirira 30 ° C.

Odwala ambiri amagula zotengera zapadera zomwe zimathandizira zosungirako zofunika: thermoses, thermobags. Ngati mungafune, zida zoterezi zimatha kupangidwa popanda kugwiritsa ntchito zinthu zosiyanasiyana zobweretsa kutentha.

Opanga amalangizidwa kuti azindikiritsa tsiku lomwe muyenera kugwiritsa ntchito pachidebe. Ngati mankhwalawa sagwiritsidwa ntchito pakatha milungu inayi, ayenera kutayidwa. Chowonadi ndi chakuti pobayira chilichonse, kusakhazikika kwa yankho kumaphwanyidwa, zomwe zimathandizira kukulitsa njira yotupa pamalowo jekeseni.

Katundu wamkulu amasungidwa mufiriji, koma osapanga chisanu. Kutentha kokhazikika kwa mafiriji onse ndizabwino kwambiri pakusungidwa kwa nthawi yayitali kwa othandizira a hypoglycemic.

Malamulo osungira maselo a insulin

Anthu omwe amadwala matenda a shuga omwe amadalira insulin ayenera kumwa mankhwala a hypoglycemic nthawi zonse. Kuti zitheke, odwala amayesa kukhala ndi mitundu ina ya jakisoni. Onse odwala matenda ashuga amalembetsedwa ku chipatala ndipo amayenera kulandira mankhwala aulere, nthawi zambiri amalembedwa pamwezi. Kuti musataye kukonzekera kosayenera, ndikofunikira kuchita kusungidwa bwino kwa insulin mufiriji:

1. Mbale zotsekedwa ziyenera kukhala pamalo pomwe kutentha ndi 2-8 ° C.
2. Mankhwala osokoneza bongo sayenera kuchoka m'malo ndi ena kuti "amadzala" ndi zinthu.
3. Nthawi ndi nthawi werengani masiku oti atha ntchito.
4. Insulin yosayenera iyenera kutayidwa nthawi yomweyo molingana ndi malamulo.
5. Ana akuyenera kufotokozera kuti mankhwalawa sayenera kukhudzidwa.

Kusungirako Koyenda

Anthu omwe amatenga insulin, monga ena onse, amapita maulendo a bizinesi, tchuthi, maulendo. Pofuna kuti musayang'ane mankhwala omwe amapezeka m'mafakitore, amapita nawo, choncho muyenera kudziwa zomwe muyenera kutsatira mukamanyamula mankhwala a hypoglycemic.

Chimodzi mwazinthu zazikulu zosungira insulin ndi kutentha, kapena kukonzanso. Ndikofunikira kutengera kuchokera ku malo ati (galimoto, ndege, hotelo) komanso kuchuluka kwa mankhwalawo kukhala kunja kwa firiji. Pali maupangiri amachitidwe osiyanasiyana:

1. Muyenera kugula chisanadze mafuta omwe amatha kusunga kutentha kwa maola 12.
2. Pouluka, ndibwino kuti mutenge mankhwalawo m'manja, popeza ndizosatheka kupereka kutentha koyenera m'chipinda cha katundu.
3. Mugalimoto, chidebe chokhala ndi insulini chimasungidwa kutali ndi owongolera ozizira / mpweya otentha.

Zipangizo zoyendera ndi zosungira

Pali mitundu ingapo ya zotengera zomwe zimakupatsani mwayi woperekera insulin kwakanthawi kochepa:

• Firiji yosinthika mini. Amasunga kutentha kofunikira pakusungidwa kwa insulin kwa maola 12.
• Zokhudza Matendawa.
• Chikwama chamafuta. Kutalika kwapakati pakumazizira ndi maola 3-8. Kuphatikiza pa zamankhwala, mutha kuyikanso chipangizo choyezera shuga m'magazi m'thumba losungira insulin.
• Mlandu wamafuta a cholembera.
• Mlandu wa Neoprene wa cholembera. Amateteza ku zowonongeka, chinyezi ndi kuwala kwa dzuwa.

Zifukwa Insulin Imalephera

Insulin ndi amino acid. Mu zinthu zoterezi, nyengo zina zosakhazikika (kutentha, ma radiation a ultraviolet) zimayambitsa kusintha kwa zinthu zachilengedwe:

• Kusungidwa kwa insulin pamatenthedwe amtundu kumayambitsa kuphatikizika (kumamatira) kwamapuloteni, ntchito yake yolengedwa imatayika.
• Mothandizidwa ndi ma radiation a ultraviolet (kuwala kwa dzuwa), kusinthidwa kwa mawonekedwe obisika a molekyulu kumachitika. Mchitidwewu ndi osasinthika, choncho ngati wogwirizira wa hypoglycemic anali bwino dzuwa, ndibwino kutaya.
• Kuzizira kumapangitsa kuti pakhale kupanikizika kwambiri, komwe kumayendetsedwa ndi mapuloteni ndikuwapangitsa kuchepa kwawo.
• Mothandizidwa ndi gawo lamagetsi, mawonekedwe a puloteni amamasulidwa. Kukonzekera kwa insulin kuyenera kusungidwa kutali ndi zida zapanyumba.
• Kugwedezeka kwakanthawi kwa yankho kumatha kulimbikitsa kufooka kwa chinthu. Chosiyana ndi NPH insulin.
• Singano imodzi ingagwiritsidwe ntchito kamodzi. Kugwiritsa ntchito kwachiwiri kumaphwanya mphamvu yotsalira yankho.

Momwe mungadziwire kuti insulini siyabwino

Othandizira a Hypoglycemic nthawi zambiri amakhala ndi yankho lofananira. Mankhwala omwe akhala akuchita kwa nthawi yayitali ndi othandizira amakhala ngati madzi akumwa kapena mkaka. Ma paramu amenewa, bola kuti tsiku lotha ntchito lisanathe, akuwonetsa kuti mankhwalawa amatha kugwiritsidwa ntchito pazomwe anakonza.

Kusungidwa kolakwika kwa insulin, kusagwirizana ndi zofunika pa mayendedwe kapena koyambirira kwa mankhwalawa kumapangitsa kuti ikhale yosagwira. Chifukwa chake, pofuna kupewa zoyipa musanazigwiritse ntchito, yankho liyenera kuwunikiridwa pazinthu zomwe zikuwonetsa kusayenera kwake:

• Mu madzi, zosayera ndi ma flakes zimawonedwa.
• Pamene insulin idatengedwa kuchokera ku vial, kusasinthika kunayamba kuonekera.
• Sinthani mtundu wa yankho.
• Kukonzekera kwanthaŵi yayitali kumapangika ma flakes osangalatsa, tinthu tating'ono tomwe timamamatira kukhoma la cartridge.

Kuthana ndi momwe mumasungira insulin komanso machitidwe malinga ndi malangizo ogwiritsira ntchito angakupatseni mwayi wothandizirana ndi mankhwalawo.