Mankhwala ogulitsa mu mzinda wanu atha kukhala ndi masakanizidwe akulu a insulin. Onsewa ndi otayikira, osabala komanso opangidwa ndi pulasitiki, wokhala ndi singano zowonda. Komabe, ma syringe ena a insulin ndiabwinoko pomwe ena amakhala oyipa kwambiri, ndipo tiwona chifukwa chake zili choncho. Chithunzi chomwe chili pansipa chikuonetsa syringe yodzibayira insulin.
Mukamasankha syringe, muyeso womwe umasindikizidwa ndizofunikira kwambiri. Mtengo wa magawidwe (gawo la sikelo) ndiye lingaliro lofunikira kwambiri kwa ife. Uku ndiye kusiyana pamitengo yolumikizana ndi zilembo ziwiri zapafupi pamalowo. Mwachidule, ndiye kuchuluka kwazinthu zomwe zingafanane ndi syringe molondola kapena pang'ono.
Tiyeni tiwone mosamala syringe yomwe ili pachifaniziro pamwambapa. Mwachitsanzo, pakati pa 0 ndi 10 amakhala ndi maulendo 5. Izi zikutanthauza kuti gawo la sikelo ndi 2 PIECES ya insulin. Ndikovuta kwambiri kupaka jakisoni wa 1 IU kapena mochepera ndi syringe yotere. Ngakhale mlingo wa 2 PIECES wa insulin udzakhala ndi cholakwika chachikulu. Ili ndi vuto lofunika, motero, lidzakhazikika pa iro mwatsatanetsatane
Syringe lonse gawo ndi insulin mlingo wolakwika
Gawo (mtengo wogawa) wa gawo la syringe ndi gawo lofunikira, chifukwa kulondola kwa mlingo wa insulin kumadalira. Mfundo za kagwiritsidwe ntchito kabwino ka matenda ashuga zafotokozedwa m'nkhani ija, "Momwe Mungasungire shuga ya Magazi Ndi Mlingo Wamtundu wa Insulin." Izi ndiye zofunikira kwambiri patsamba lathu, ndikulimbikitsani kuti muziwerengenso mosamala. Timapatsanso odwala matenda amtundu wa 1 komanso mtundu wa 2 momwe angachepetse kufunika kwa insulini komanso kuti shuga yawo yamagazi ikhale yokhazikika komanso yabwinobwino. Koma ngati simungayike jakisoni wochepa wa insulin, pamakhala kuchuluka kwa shuga m'magazi, ndipo zovuta za matenda ashuga zimayamba.
Mukuyenera kudziwa kuti cholakwika wamba ndi ½ cha chiphaso pa syringe. Ndikupezeka kuti mutaba jakisoni wa insulin ndi syringe mu muyeso wa mayunitsi awiri, mlingo wa insulin udzakhala units 1 magawo. Mwa munthu wachikulire wodwala matenda a shuga 1, 1 U ya insulin yochepa imachepetsa shuga la magazi ndi pafupifupi 8.3 mmol / L. Kwa ana, insulin imakhala yolimba kwambiri nthawi 2-8, kutengera kulemera ndi msinkhu wawo.
Mapeto ake ndikuti cholakwika cha zigawo za insulin 0,25 zimatanthawuza kusiyana pakati pa shuga wabwinobwino wamagazi ndi hypoglycemia kwa odwala ambiri omwe ali ndi matenda ashuga. Kuphunzira kupaka jekeseni wa insulin pang'ono ndiye chinthu chachiwiri chofunikira kwambiri chomwe muyenera kuchita ndi matenda amtundu woyamba wa 2, mutatha kutsatira mosamalitsa zakudya zamafuta ochepa. Mungakwaniritse bwanji izi? Pali njira ziwiri:
- gwiritsani ntchito ma syringe ndi gawo laling'onoting'ono ndipo, motero, kulondola kwakukulu;
- kuchepetsa insulin (momwe mungachitire bwino).
Sitikulimbikitsa kugwiritsa ntchito mapampu a insulini m'malo mwa ma syringe, kuphatikiza ana omwe ali ndi matenda a shuga 1. Chifukwa - werengani apa.
Odwala omwe ali ndi matenda a shuga omwe amawerenga tsamba lathu amadziwa kuti simudzasowa kubaya jakisoni wopiringana 7-8 wa jakisoni imodzi. Kodi mungatani ngati mankhwala anu a insulini ali okulirapo? Werengani "Momwe Mungatole Mlingo Waukulu wa Insulin." Komabe, ana ambiri omwe ali ndi matenda a shuga 1 amafuna mankhwala a insulin osakwanira pafupifupi mayunitsi 01. Ngati idalalidwa kwambiri, ndiye kuti shuga yawo imadumpha mosalekeza ndipo nthawi zambiri hypoglycemia imachitika.
Kutengera izi, kodi syringe yoyenera ndiyotani? Iyenera kukhala yopanda magawo khumi. Pa mulingo uliwonse mayunitsi 0,25 amalembedwa. Kuphatikiza apo, mankhwalawa ayenera kukhala okwanira kuchokera kwa wina ndi mzake kuti ngakhale mlingo wa ⅛ IU wa insulin ukhoza kuganiziridwa. Pazomwezi, syringe iyenera kukhala yayitali kwambiri komanso yopyapyala. Vuto ndilakuti palibe gawo la syringe mwachilengedwe pano. Opanga amakhalabe ogontha ku zovuta za odwala omwe ali ndi matenda ashuga, osati pano okha, komanso akunja. Chifukwa chake, tikuyesera kuchita ndi zomwe tili nazo.
M'mafakisi, mukupeza syringes yokha yomwe ili ndi gawo la 2 ED insulin, monga yomwe ili pamwambapa. Nthawi ndi nthawi, ma syringe omwe amakhala ndi gawo la 1 unit amapezeka. Monga momwe ndikudziwira, pali syringe imodzi yokha ya insulin momwe muyeso umalembedwera zigawo zonse za 0,25. Ichi ndi Dimininson Dickinson Micro-Fine Plus Demi yokhala ndi 0.3 ml, i.e. 30 IU ya insulini mu ndende ya U-100 yokhazikika.
Ma syringe awa ali ndi "official" sikelo yamagawo 0,5 mayunitsi. Kuphatikiza apo pali mulingo wowonjezera aliyense pamagawo 0,25 Malinga ndi ndemanga ya odwala matenda ashuga, insulin ya masentimita 0,25 imapezeka bwino kwambiri. Ku Ukraine, ma syringe awa ndi kuchepa kwakukulu. Ku Russia, mutha kuyitanitsa ngati mungasaka bwino. Palibe fanizo kwa iwo pano. Komanso, izi padziko lonse lapansi! (!) Zakhala zikuchitika kwa zaka zoposa zisanu.
Ngati ndazindikira kuti ma syringe ena ofananawo atuluka, ndilembera apa ndikuwadziwitsa onse olembetsa maimelo ndi makalata. Chofunika kwambiri koposa zonse - phunzirani momwe mungapangire insulin kuti mupeze jekeseni yotsika.
Sindikiza pa syringe piston
Chisindikizo pa piston ya syringe ndi chidutswa cha mphira wakuda. Maimidwe ake pamiyeso amawonetsa kuchuluka kwa zomwe adalowetsamo syringe. Mlingo wa insulin uyenera kuyang'aniridwa kumapeto kwa chisindikizo, chomwe chiri pafupi kwambiri ndi singano. Ndikofunikira kuti chosindikizira chimakhala ndi mawonekedwe osalala, osakhala ndi mawonekedwe a conical, monga momwe ziliri mu syringe zina, kotero kuti ndizosavuta kuwerenga mlingo. Popanga ma gaskets, ma rabara opangira zinthu nthawi zambiri amagwiritsidwa ntchito, popanda lalabala lachilengedwe, kotero kuti palibe ziwopsezo.
Singano
Ma singano a ma insulinge onse omwe amagulitsidwa tsopano ndi olimba kwambiri. Opanga amakonda kutsimikizira odwala omwe ali ndi matenda ashuga kuti ma syringe awo ali ndi singano lakuthwa kuposa omwe akupikisana nawo. Monga lamulo, amakokomeza. Zingakhale bwinonso ngati akhazikitsa ma syringe ena oyenera kuti alowe m'malo molondola a insulin.
Kodi singano ntchito ntchito jakisoni wa insulin
Kubweretsa insulin kuyenera kuchitika mwa subcutaneous minofu (mafuta a subcutaneous). Pankhaniyi, ndikofunikira kuti jakisoniyo asatuluke mwamphamvu (mwakuya kuposa kofunikira) kapena intradermal, i.e. pafupi kwambiri pamtunda. Tsoka ilo, odwala matenda ashuga nthawi zambiri samapanga khola, koma amadzibaya kumanja. Izi zimapangitsa kuti insulini ilowe m'matumbo, ndipo kuchuluka kwa shuga m'magazi kumasintha mosayembekezereka.
Opanga amasintha kutalika ndi makulidwe a singano ya insulin kuti pakhale ma jakisoni ochepa a insulin momwe angathere. Chifukwa mu akulu popanda kunenepa kwambiri, komanso ana, makulidwe amtundu wa subcutaneous nthawi zambiri amakhala ochepera kutalika kwa singano yodziwika (12-13 mm).
Masiku ano, mutha kugwiritsa ntchito singano zazifupi za insulin, 4, 5, 6 kapena 8 mm. Ubwino wina ndiwakuti ma singano nawonso ndi ochepa kwambiri kuposa ena. Singano yofanana ndi syringe imakhala ndi mulifupi wa 0.4, 0,36 kapena 0,33 mm. Ndipo m'mimba mwake wa singano yofupikirako ndi 0,3 kapena 0,25 kapena 0,23 mm. Singano yotere imakuthandizani kuti mupeze insulin pafupifupi mopweteka.
Tsopano tikupereka malingaliro amakono pazitali za singano yabwino kusankha bwino kwa insulin:
- Singano 4, 5 ndi 6 mm kutalika - ndizoyenera kwa onse achikulire odwala, kuphatikiza anthu onenepa kwambiri. Ngati mumagwiritsa ntchito, ndiye kuti kupanga khola la khungu sikofunikira. Akuluakulu odwala matenda ashuga, kuyamwa kwa insulin ndi singano kuyenera kuchitidwa pakadutsa madigiri 90 kufika pakhungu.
- Odwala achikulire ayenera kupanga khola la pakhungu ndi / kapena kubayidwa pakona ka madigiri 45 ngati insulini idabayira m'manja, mwendo kapena m'mimba. Chifukwa m'madera awa makulidwe a minofu yaying'ono amachepa.
- Kwa odwala akuluakulu, sizikupanga nzeru kugwiritsa ntchito singano yayitali kuposa 8 mm. Mankhwala a shuga a insulin ayenera kuyambitsidwa ndi singano zazifupi.
- Kwa ana ndi achinyamata - ndikofunikira kugwiritsa ntchito singano 4 kapena 5 mm kutalika. Ndikofunika kuti magulu awa a odwala matenda ashuga apange khola pakati pa jakisoni kuti apewe kulowetsedwa kwa insulin. Makamaka ngati singano yokhala ndi kutalika kwa 5 mm kapena kupitilira apo imagwiritsidwa ntchito. Ndikulowa ndi singano yayitali 6 mm, jakisoni itha kuchitidwa pakona madigiri 45, ndipo makutu a khungu sangapangidwe.
- Wodwala wamkulu akamagwiritsa ntchito singano yotalika 8 mm kapena kupitilira, ndiye kuti ayenera kupanga khola la pakhungu ndi / kapena kubayirira insulin pakona madigiri 45. Kupanda kutero, pali chiopsezo chachikulu cha jakisoni wa intramuscular.
Kutsiliza: yang'anirani kutalika ndi kutalika kwa singano ya syringe ndi cholembera. The wocheperako singano m'mimba, koposa ululu makonzedwe insulin. Nthawi yomweyo, singano za insulin zimatulutsidwa kale kochepa thupi momwe zingathere. Ngati atapangidwa kuti akhale ochepa thupi, ndiye kuti ayamba kuthyoka nthawi ya jakisoni. Opanga amamvetsetsa izi bwino.
Mutha kudzipereka jakisoni wa insulin kwathunthu popanda kupweteka. Kuti muchite izi, sankhani singano zowonda ndikugwiritsa ntchito njira yovulira jakisoni mwachangu.
Mankhwala angati a insulin angachitike ndi singano imodzi
Momwe mungasankhire singano za insulin - takambirana kale m'nkhaniyi. Kupanga singano zawo kukhala zosavuta kwambiri kwa odwala matenda ashuga, opanga akugwira ntchito molimbika. Malangizo a singano a insulin amawola pogwiritsa ntchito ukadaulo waposachedwa, komanso mafuta. Koma ngati mugwiritsa ntchito singano mobwerezabwereza, ndipo koposa pamenepo, mobwerezabwereza, ndiye kuti nsonga yake siyosalala, ndipo kuyimitsa kothira mafuta kumachotsedwa.
Mudzakhala otsimikiza kuti kuwongolera insulini mobwerezabwereza ndi singano yomweyo kumakhala kowawa nthawi zonse. Muyenera kuwonjezera mphamvu kuti muziboola khungu ndi singano yosalala. Chifukwa cha izi, chiopsezo chakukhotetsa singano kapena ngakhale kuchidula chimakulanso.
Pali chiwopsezo chachikulu chogwiritsanso ntchito singano za insulin zomwe sizingaoneke ndi maso. Izi ndizovulala zama microscopic. Ndi kukula kwamaso akulu, zitha kuoneka kuti mutagwiritsidwa ntchito ndi singano, nsonga yake imagwada mokulira ndipo imakhala ngati mbeza. Insulin ikaperekedwa, singano imayenera kuchotsedwa. Pakadali pano, mbeyo imaphwanya minofu, ndikuvulaza.
Chifukwa cha izi, odwala ambiri amakhala ndi zovuta pakhungu. Nthawi zambiri pamakhala zotupa za zotumphukira, zomwe zimawonetsedwa ndi zisindikizo. Kuti muwazindikiritse mu nthawi, muyenera kuyang'ana ndi kufufuza khungu. Chifukwa nthawi zina mavuto awa sawoneka, ndipo mutha kuwazindikira pokhapokha.
Zisindikizo za pakhungu za Lipodystrophic sikuti ndizongolakwika zokha. Amatha kubweretsa mavuto akulu azachipatala. Simungathe kulowetsa insulin m'malo ovuta, koma odwala nthawi zambiri amapitiliza kuchita izi. Chifukwa majakisoni alipo owawa. Chowonadi ndi chakuti kuyamwa kwa insulin kuchokera pamasamba awa ndikosasiyana. Chifukwa cha izi, kuchuluka kwa shuga m'magazi kumasintha kwambiri.
Malangizo a zolembera za syringe amawonetsa kuti singano imayenera kuchotsedwa pambuyo pobayidwa aliyense. Ambiri odwala matenda ashuga samatsata lamuloli. Zikatero, njira pakati pa insulin cartridge ndi chilengedwe imakhalaotseguka. Pang'onopang'ono, mpweya umalowa mu vial, ndipo gawo la insulin limatayika chifukwa cha kutayikira.
Mphepo ikawonekera mukatoni, kulondola kwa insulin kumachepa. Ngati pali thovu lambiri mu cartridge, ndiye kuti nthawi zina wodwala amalandira 50-70% yokha ya insulin. Kuti mupewe izi, mukamayendetsa insulini pogwiritsa ntchito cholembera, singano sayenera kuchotsedwa nthawi yomweyo, koma masekondi 10 pambuyo piston itafika pamalo ake otsika.
Ngati mugwiritsa ntchito singano kangapo, izi zimapangitsa kuti njirayo ikhale yolumikizidwa ndi makhiristo a insulin, ndipo mayendedwe ake ndiovuta. Popeza zonsezi pamwambapa, singano iliyonse imagwiritsidwa ntchito kamodzi. Madokotala amayenera kudziwa nthawi iliyonse wodwala matenda ashuga momwe amathandizira insulin komanso malo omwe ali ndi jekeseni pakhungu.
Cholembera cha insulin
Cholembera cha insulin ndi syringe yapadera mkati momwe mumatha kuyikamo cartridge yaying'ono ndi insulin. Cholembera cha syringe chimapangitsa moyo kukhala wosavuta kwa odwala matenda ashuga, chifukwa simuyenera kunyamula syringes komanso botolo la insulin. Vuto ndi zida izi ndikuti gawo la kukula kwawo limakhala gawo limodzi la insulin. Pabwino kwambiri, ndi ma PISCES a 0,5 a zolembera za ana a insulin. Ngati mutsatira zakudya zamafuta ochepa ndikuphunzira kuwongolera matenda ashuga omwe ali ndi milingo yaying'ono ya insulin, ndiye kuti izi sizingakuthandizeni.
Mwa odwala omwe amaliza mtundu wathu wa 2 wa matenda a shuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga (onani maulalo pamwambapa), zolembera za insulin ndizoyenera kwa anthu omwe ali onenepa kwambiri. Mlingo wofunika wa insulin amafunikira mwa anthu odwala matenda ashuga, ngakhale amatsatira kwambiri mankhwalawo. Kwa iwo, zolakwa za ± 0,5 U za insulin sizichita mbali yayikulu.
Kwa odwala ambiri omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 omwe amathandizidwa malinga ndi njira zathu, mwayi wogwiritsa ntchito zolembera ungathe kuwonedwa pokhapokha atayamba kutulutsidwa m'magulu a insulin a 0,25. M'mabwalo a matenda ashuga, mutha kuwerengera kuti anthu akufuna 'kupotoza' zolembera za syringe kuti apange jakisoni wa insulin yosakwana 0.5. Koma njira yodalirayi simalimbikitsa.
Ngati mumagwiritsa ntchito mankhwala a shuga omwe amathandizira kuti musakhale ndi chidwi, ndiye kuti muyenera kumawadulira ndi zolembera zomwe zingabwere ndi zida. Koma ndi mankhwalawa palibe mavuto ndi kumwa, monga jakisoni wa insulin. Kuthira mankhwala a shuga kuti athandizire kuthandizira kuti musakhale ndi chidwi ndi cholembera. Kugwiritsa ntchito zolembera za syringe kuti mupeze insulini ndi koyipa, chifukwa simungathe kubayiza molondola. Gwiritsani ntchito bwino mankhwala a insulin. Onaninso nkhani zakuti "Njira Yopanda Pulogalamu Yopanda Matenda a insulini" komanso "Momwe Mungayeretsere Insulin Kuti Muyambitse Mankhwala Oyenera".
