Odwala ambiri omwe ali ndi matenda a shuga a 2, mtundu 1 wa shuga wofatsa, komanso ana omwe ali ndi matenda amtundu 1, amafunika kubaya jakisoni wochepa kwambiri wa insulin. Mwa odwala, gawo limodzi la insulini limatsitsa shuga wamagazi pafupifupi 16-17 mmol / l. Poyerekeza, odwala omwe ali ndi matenda a shuga a 2 omwe ali ndi kunenepa kwambiri, 1 unit ya insulin imatsitsa shuga ndi 0,6 mmol / L. Kusiyana kwa zotsatira za insulin kwa anthu osiyanasiyana kumatha kukhala mpaka katatu.
Tsoka ilo, ma insulin otsika kwambiri sangathe kusungidwa molondola pogwiritsa ntchito ma syringe omwe ali pamsika. Vutoli limafotokozedwa mwatsatanetsatane m'nkhani "Insulin Syringes and Syringe Pens". Ikufotokozanso zomwe ma syringe oyenerera kwambiri angagulidwe m'maiko olankhula Russia. Kwa odwala omwe ali ndi vuto la shuga omwe amakonda kwambiri insulin, cholakwika cha kuchuluka ngakhale kwa 0,25 kumatanthauza kupatuka kwa shuga wamagazi a ± 4 mmol / L. Izi mwapadera sizovomerezeka. Kuti muthane ndi vutoli, yankho lalikulu ndikuchotsa insulin.
Ndani amafunika kuchepetsa insulin
Kuzindikira luso la kuchepetsera insulin ndikofunikira kwambiri kwa makolo omwe ana awo ali ndi matenda a shuga. Ndiwothandizanso kwa anthu ambiri odwala matenda ashuga omwe amatsatira zakudya zamafuta ochepa, ndipo izi zimawathandiza kuthana ndi insulin. Werengani mtundu wa 1 wa mankhwala othandizira odwala matenda ashuga ndi mtundu wachiwiri wa matenda a shuga ngati simunatero. Kumbukirani kuti Mlingo waukulu wa insulini mu jakisoni amachepetsa chidwi cha maselo kuti apange insulini, kupangitsa kunenepa kwambiri komanso kuletsa kunenepa kwambiri. Izi zikugwiranso ntchito kwa odwala matenda ashuga amtundu wa 2 ndi matenda a shuga 1. Ngati kuli kotheka kuchepetsa kuchuluka kwa insulini, kumabweretsa zabwino zambiri pokhapokha sizipezeka chifukwa cha kuwonjezeka kwa shuga m'magazi.
Ku United States, opanga insulini amapereka zinthu zamadzimadzi zopanga insulin. Komanso, odwala matenda a shuga omwe amafunika kuchepetsa insulin ngakhale imawatenga kwaulere mu mbale zosabala. M'mayiko olankhula Chirasha, njira zothetsera insulin dilution sizikupezeka masana ndi moto. Chifukwa chake, anthu amamwetsa insulin ndi madzi a jakisoni kapena saline, omwe amagulitsidwa ku mankhwala. Mchitidwewu sunavomerezedwe mwalamulo ndi wina aliyense wopanga insulini yapadziko lonse. Komabe, anthu omwe ali pamapulogalamu a matenda ashuga akuti zimachitika bwino. Kupatula apo, palibenso kwina kopitako, mwina ndikofunikira kubereka insulin.
Tiyeni tiwunikire njira za "wowerengeka" "wa insulin dilution, zomwe zimapangitsa kuti mitundu yayikulu kapena yolondola isamatulidwe. Choyamba, tiyeni tiwone chifukwa chake kulera insulin.
Bwanji mukuvutikira ndi zonsezi
Tiyerekeze kuti ndinu munthu wamkulu komanso matenda ashuga 1. Kudzera pazoyeserera, zidapezeka kuti insulini yochepa pamlingo wa 1 unit imachepetsa shuga ya magazi anu ndi pafupifupi 2.2 mmol / L. Pambuyo pa chakudya chamafuta ochepa, shuga m'magazi anu adalumphira mpaka 7.4 mmol / L ndipo mukufuna kutsitsa mpaka mulingo woyambira 5.2 mmol / L. Kuti muchite izi, muyenera kubaya 1 unit ya insulin yochepa.
Kumbukirani kuti cholakwika cha syringe wa insulin ndi gawo limodzi mwa magawo onse. Ma syringe ambiri omwe amagulitsidwa muma pharmacies ali ndi gawo la 2 mayunitsi. Kugwiritsa ntchito syringe yotere, ndizosatheka kutulutsa mlingo wa insulin kuchokera ku botolo la 1 UNIT. Mudzalandira mlingo wokhala ndi kufalikira kwakukulu - kuchokera ku 0 mpaka 2 mayunitsi. Izi zimapangitsa kusinthasintha kwa shuga m'magazi kuchokera pamwamba kwambiri mpaka kufupika kwa hypoglycemia. Ngakhale mutha kupeza ma insulin mu inshuwaransi ya 1 unit, izi sizingayende bwino mokwanira.
Momwe mungachepetse cholakwika cha insulin? Chifukwa cha izi, njira yothetsera insulin imagwiritsidwa ntchito. Tiyerekeze kuti tayamba kulowetsamo insulin maulendo 10. Tsopano, kuti tithe kuyambitsa 1 inshuwaransi m'thupi, tifunika kubaya magawo 10 a yankho. Mutha kuchita izi. Tisonkhanitsa magawo 5 a insulini mu syringe, kenaka tiwonjezenso magawo 45 a mchere kapena madzi a jakisoni. Tsopano voliyumu yamadzi yomwe yatengedwa mu syringe ndi 50 PIECES, ndipo zonsezi ndi insulin, yomwe idasungunuka ndi kuchuluka kwa U-100 mpaka U-10. Tiphatikiza ma PISCES 40 owonjezera a yankho, ndikuyika ma PISCES 10 otsala m'thupi.
Kodi chimapereka chiyani ndi chiyani? Tikakoka 1 U ya insulin yosavomerezeka mu syringe, cholakwika wamba ndi UN 1 UNIT, i.e 100% ya mlingo wofunikira. M'malo mwake, tinayimira PISCES 5 mu syringe ndi cholakwika chofanana cha ± 1 PIECES. Koma tsopano amapanga kale ± 20% ya mlingo womwe umatengedwa, i.e, kulondola kwa mlingo womwe wakonzedwa wakuwonjezeka nthawi 5. Ngati tsopano mungothira ma insulin anayi a insulin kubwerera mgululi, ndiye kuti kuimiriraku kudzatsikanso, chifukwa muyenera "m'maso" kusiya 1 UNIT ya insulin. Insulini imadziwitsidwa chifukwa chokulirapo kuchuluka kwa madzimadzi mu syringe, kumawonjezera kuchuluka kwa kulondola.
Momwe mungapangire insulin ndi mchere kapena madzi a jakisoni
Ndikulimbikitsidwa kuti muchepetse insulin ndi mchere kapena madzi a jekeseni, pakalibe “zosungunulira” zoyenera. Mchere ndi madzi a jakisoni ndi zinthu zotsika mtengo zomwe mutha kugula ndikugula mankhwala. Osayesa kukonzekera mchere kapena madzi osungunuka nokha! Ndikotheka kuthira insulin ndi zakumwa izi mwachindunji mu syringe nthawi yomweyo musanabayidwe kapena musanadye mbale ina. Chosankha chodyera ndi botolo la insulin, lomwe m'mbuyomu limatulutsidwa ndi madzi otentha.
Pa kuchepetsedwa kwa insulini, komanso ndikulowetsedwa m'thupi la wodwala yemwe ali ndi matenda ashuga, machenjezo omwewo kuti musagwiritse ntchito ma syringe amtunduwu monga momwe amachitira nthawi zonse.
Zambiri komanso zamtundu wanji zowonjezera
Mchere kapena madzi a jakisoni amatha kugwiritsidwa ntchito ngati "solvent" ya insulin. Onsewa amagulitsidwa kwambiri m'mafakitale pamitengo yotsika mtengo. Lidocaine kapena novocaine osavomerezeka. Sitikulimbikitsidwanso kuti muchepetse insulin ndi yankho la albumin ya anthu, chifukwa izi zimawonjezera chiopsezo cha chifuwa
Anthu ambiri amaganiza kuti ngati akufuna kuchepetsa insulini maulendo 10, ndiye kuti muyenera kutenga 1 IU ya insulini ndikuwonjezera mu 10 IU ya saline kapena madzi a jekeseni. Koma izi sizolondola konse. Kuchulukitsa kwa yankho kumakhala ma PIERES 11, ndipo kuchuluka kwa insulini mmenemo ndi 1: 11, osati 1: 10
Kuti muchepetse insulin maulendo 10, muyenera kugwiritsa ntchito gawo limodzi la insulin m'magawo 9 a "solvent.
Kuti muchepetse insulin maulendo 20, muyenera kugwiritsa ntchito gawo limodzi la insulin m'magawo 19 a "zosungunulira.
Ndi mitundu iti ya insulin yomwe ingathe kuchepetsedwa ndipo siyingatheke
Kuchita kumawonetsa kuti mwina mumachepetsa mitundu yonse ya insulini, kupatula Lantus. Ichi ndi chifukwa china chogwiritsira ntchito Levemir, osati Lantus, monga insulin yowonjezera. Sungani insulini yovomerezeka mu firiji kwa maola osaposa 72. Tsoka ilo, intaneti ilibe chidziwitso chokwanira momwe Levemir amagwirira ntchito, kuchepetsedwa ndi saline kapena madzi a jekeseni. Ngati mumagwiritsa ntchito Levemir kuchepetsedwa - chonde fotokozani zotsatira zanu mu ndemanga ino.
Kuchuluka kwa insulin yomwe ingasungidwe
Ndikofunikira kusunga insulin yovomerezeka mu firiji pamtunda wa + 2-8 ° C, ngati "wokhazikika". Koma sangathe kusungidwa kwanthawi yayitali, apo ayi amalephera kuchepetsa magazi. Malangizo oyenera akusunga insulin yovutitsidwa ndi saline kapena madzi a jekeseni osaposa maola 24. Mutha kuyesa kuyisunga mpaka maola 72 ndikuwona momwe imagwirira ntchito. Phunzirani malamulo osungira insulin. Kwa insulin yowonjezera, imakhala yofanana ndi yokhazikika yokhazikika, moyo wa alumali okha ndi womwe umachepetsedwa.
Kodi chifukwa chiyani insulin imasungunuka ndi mchere kapena madzi a jakisoni amawonongeka msanga? Chifukwa timangopaka insulin, komanso zoteteza ku matenda. Mafuta okhala ndi mafuta obetchera amitundu yosiyanasiyana omwe ali ndi insulin. Chifukwa cha izi, kuchuluka kwa mankhwala osungidwa mu insulin yowonjezera kumakhalabe chimodzimodzi, ndipo amathanso kusungidwa kwanthawi yayitali. Mu saline kapena madzi a jekeseni, omwe timagula ku pharmacy, palibe mankhwala osungirako (tisayembekezere :). Chifukwa chake, insulini, yothira mu "anthu", imawonongeka mofulumira.
Mbali inayi, nayi nkhani yophunzitsa "Kuthandiza Mwana ndi Humalog Insulin Wophatikizidwa ndi Saline (Zochitika ku Poland)". Mwana wazaka zisanu ndi ziwiri zakubadwa anali ndi mavuto a chiwindi chifukwa cha zoteteza pakompyuta, zomwe zimakhudza kwambiri Humalogue. Pamodzi ndi insulin, zotetezazi zinkaphatikizidwa ndi mchere. Zotsatira zake, patapita kanthawi, kuyezetsa magazi kwa mayesero a chiwindi kwa mwana kunabwezeretsedwa. Nkhani yomweyi ikutchulanso kuti Humalog, yomwe idasungunulidwa nthawi 10 ndi saline, sinatayike katundu wake pambuyo pochita kusungirako maola 72 mufiriji.
Momwe mungapangitsire insulin: mawu omaliza
Kuwonongeka kwa insulin ndi chinthu chofunikira kwambiri kwa makolo omwe ana awo ali ndi matenda amtundu wa 1, komanso odwala matenda ashuga akuluakulu omwe amatsata zakudya zamagulu ochepa, ndipo chifukwa cha izi amafunikira insulini kwambiri. Tsoka ilo, m'maiko olankhula Chirasha ndizovuta kuthira insulin, chifukwa palibe zakumwa zakunja zomwe zimapangidwira izi.
Komabe, zovuta - sizitanthauza kusatheka. Nkhaniyi ikulongosola njira za "wowerengeka" zamomwe munthu amachepetsa mitundu yambiri ya insulini (kupatula Lantus!) Kugwiritsa ntchito mankhwala a saline kapena madzi a jekeseni. Izi zimapangitsa kuti jakisoni wolondola wa insulin yotsika, makamaka ngati ma syringe amagwiritsidwa ntchito ndi insulin yovomerezeka.
Kuwonongeka kwa mitundu yosiyanasiyana ya insulini pogwiritsa ntchito mchere kapena madzi a jakisoni ndi njira yomwe sinavomerezedwe ndi opanga iliyonse. Pali zambiri zochepa pamutuwu, onse mu chilankhulo cha Russia komanso zakunja. Ndidapeza nkhani imodzi, "Kuthandiza Mwana ndi Humalog Insulin Yodalitsika ndi Saline (Zomwe Zinachitika ku Poland)," yomwe ndidamasulira kuchokera ku Chingerezi kwa inu.
M'malo mopaka insulin, ndizotheka kupaka molondola Mlingo wotsika ndi ma syringe oyenera. Koma, tsoka, palibe aliyense wa omwe akupanga, kaya kuno kapena akunja, atulutsa syringes yapadera ya Mlingo wochepa wa insulin. Werengani zambiri mu nkhani ya "Insulin Syringes, singano ndi Syringe Pens".
Ndikulimbikitsa aliyense wa owerenga omwe amachiza matenda ashuga omwe ali ndi insulini yowonjezera kuti agawane zomwe akukumana nazo mu ndemanga. Pochita izi, mudzathandiza gulu lalikulu la odwala olankhula Chirasha omwe ali ndi matenda ashuga. Chifukwa chakuti odwala matenda ashuga ambiri amasintha kudya zakudya zamagulu ochepa, m'pofunika kuti athandizire insulin.
