Kodi ma cell a insulin ndi ati?

Munthu akapezeka ndi matenda a shuga, ayenera kubaya insulini m'thupi tsiku lililonse. Wobayira jakisoni, ma syringes opangidwa mwapadera amagwiritsidwa ntchito, chifukwa chomwe njirayi imapangidwira mosavuta ndipo jakisoni amakhala wopanda ululu. Ngati mumagwiritsa ntchito ma syringe ena, matumpu ndi mikwingwirima zingakhalebe pa thupi la odwala matenda ashuga.

Mitengo ya insulini ya insulin nthawi zambiri imakhala yotsika, ndipo pambali, mothandizidwa ndi chipangizocho wodwala amatha, payekha, popanda thandizo lakunja, amapangira jakisoni nthawi iliyonse yabwino. Ubwino wawukulu wa mitundu ya insulin ndi kuphweka kwa kapangidwe ndi kupezeka kwa wogula.

Syringe yoyamba ya insulin idawoneka zaka makumi angapo zapitazo. Masiku ano, pamasamba azamasitolo azachipatala, pali zosankha zambiri zamitundu yosiyanasiyana yogwiritsira ntchito insulin, kuphatikizapo pampu, cholembera. Mitundu yakale imakhalabe yoyenera ndipo ikufunika kwambiri pakati pa odwala matenda ashuga.

Mitundu ya Insulin Syringes

Ma syringe a mahormoni ayenera kukhala kuti odwala matenda ashuga, ngati kuli kotheka, amatha kudziphatika nthawi iliyonse popanda ululu komanso zovuta zilizonse. Chifukwa chake, kuti mupange chithandizo cha insulini, ndikofunikira kusankha bwino, popeza mwaphunzira zofunikira zonse pasadakhale.

Patsamba lamasitolo ogulitsa mankhwala mumatha kupeza chipangizo chamitundu iwiri, chomwe chimasiyana pakupanga ndi kuthekera kwawo. Zingwe zotayirira zotayidwa ndi insulin zomwe zingagwiritsidwe ntchito kamodzi zimagwiritsidwa ntchito kamodzi.

Chosavuta kwambiri komanso chosavomerezeka kugwiritsa ntchito ndi ma syringe ndi singano yomangidwa. Kapangidwe kameneka kalibe zomwe zimatchedwa "zakufa", kotero mankhwalawa amagwiritsidwa ntchito kwathunthu, osatayika.

1. Sikovuta kunena motsimikiza kuti ndi syringe iti ya shuga yomwe ingakhale yabwino kwa odwala matenda ashuga. Mitundu yamakono yamapeni a syringe ndi yabwino chifukwa akhoza kumapita nanu kukagwira ntchito kapena kuphunzira, koma amasiyana mtengo.
2. Mapensulo oterewa a anthu odwala matenda ashuga amatha kugwiritsidwa ntchito kangapo, amakhala ndi chowapatsa chosavuta, motero wodwalayo amatha kuwerengetsa kuchuluka kwa magulitsi angati
3. Ma cholembera a syringe amatha kudzazidwa ndi mankhwalawo pasadakhale, ali yaying'ono kukula, mawonekedwe ake amafanana ndi cholembera cha mpira chokhazikika, chosavuta kugwiritsa ntchito.
4. Mitundu yowonjezera ya ma syringe kapena mapampu ali ndi makina amagetsi omwe amafanana ndi nthawi yomwe jakisoni idzatenge. Komanso, zida zamagetsi zimatha kuwonetsa kuchuluka kwa ml mwa kuchuluka kwa jakisoni komanso panthawi yomwe jekeseni womaliza anapangidwa.

Nthawi zambiri, syringe ya insulin ya 1 ml imatha kugulitsidwa, koma pali mitundu ina ya zida.

Kutalika kocheperako kwa ma syringe a mahormoni ndi 0.3 ml, ndipo kutalika ndi 2 ml.

Zomwe zimawonetsa kukula kwa magawikidwe a syringe

Ma syringes a insulin, zithunzi zomwe zitha kuwoneka patsamba, zili ndi makoma owoneka bwino. Kufunika koteroko ndikofunikira kuti wodwala matenda ashuga awone kuchuluka kwa mankhwalawa ndi momwe adalowetsamo kale. Chifukwa cha pisitoni ya labala, jakisoni amapangidwa pang'onopang'ono komanso osalala.

Kuti matenda a shuga a inshuwaransi akhale pafupi kwambiri, pogula, muyenera kuyang'anira gawo logawika. Mtundu uliwonse umatha kukhala ndi mphamvu zosiyanasiyana, ndipo nthawi zambiri odwala matenda ashuga amawerengera m'magawo, popeza m'mamiligiramu simavuta.

Chifukwa chake, ndikofunikira kuti mumvetsetse pang'onopang'ono ndikudziwa momwe mungasankhire moyenera mulingo wa ma insulini a matenda a shuga. Gawo limodzi, kuchuluka kwa mankhwala omwe amasonkhanitsidwa jakisoni ali.

• Pogula, muyenera kuwunika ngati pali muyeso ndi magawikidwe a insulin. Popanda kukhalapo, sikulimbikitsidwa kugwiritsa ntchito chipangizocho, chifukwa ndizotheka kupanga cholakwika pakuwerengera mamililita ofunikira. Pa magawidwe ndi muyeso ndi mono kuti mudziwe kuchuluka kwa mankhwala omwe amaphatikizidwa.
• Nthawi zambiri, mtengo wogawa wa syringe U 100 ndi 1 ml - magawo zana a insulin. Komanso pamalonda pali mitundu yazodula kwambiri yomwe ingakhale ndi 40 40/100 mayunitsi. Mtundu uliwonse uli ndi cholakwika chaching'ono, chomwe ndi ½ kugawa kwamagulu onse a chipangizocho.

Mwachitsanzo, mankhwalawa akaperekedwa ndi syringe, magawo omwe ali magawo awiri, muyeso wonse ukhale + -0,5 magawo a insulini yonse. Ngati mungayerekeze, ndi kuchuluka kwa mahomoni a 0.5 U, mutha kutsitsa shuga wamagazi mwa munthu wamkulu ndi 4.2 mmol / lita.

Ndikofunika nthawi zonse kuganizira ziwerengero zotere, popeza ngakhale atakhala ndi zolakwika zochepa, munthu amatha kukhala ndi glycemia. Chifukwa chake, muyenera kudziwa mtundu wanji wa ma syringe amtundu wa insulin, ndipo kuti mugwiritse ntchito kwamuyaya ndikofunikira kusankha zosankha zolakwika zochepa. Izi zikuthandizani kuwerengera mulingo woyenera mu syringe. Kuti mupewe kuwerengera, mutha kugwiritsa ntchito Calculator yapadera.

Kuti muchite zolondola kwambiri, muyenera kutsatira lamulo lotsatirali:

1. Syringe yocheperako yomwe imagwiritsidwa ntchito imakhala ndi gawo logawanitsa, ndiye kuti mankhwalawa amathandizira kwambiri.
2. Asanapange jakisoni, insulini imadzipaka m'mapiritsi.

Syringe yodziwika bwino ya insulin ili ndi voliyumu yoposa 10, imagwirizana ndi GOST ISO 8537-2011. Chipangizocho chili ndi gawo logawa lomwe amawerengera mayunitsi 0,25, 1 unit ndi 2 unit.

Nthawi zambiri pogulitsa mungapeze zosankha ziwiri zomaliza.

Syringes ya insulin: momwe mungasankhire mlingo woyenera

Musanapange jakisoni, ndikofunikira kuwerengera moyenera kuchuluka kwa insulini ndi kuchuluka kwa kiyibodi yomwe ili mu syringe. Ku Russia, insulin imalembedwa kuti U-40 ndi U-100.

U-40 wa mankhwalawo amagulitsidwa m'mabotolo okhala ndi magawo 40 a insulin pa 1 ml. Syringe ya insulin yokwanira 100 μg nthawi zambiri imagwiritsidwa ntchito pa kuchuluka kwa mahomoni awa. Ndikosavuta kuwerengetsa kuchuluka kwa insulini pazogawika. 1 unit yokhala ndi magawo 40 ndi 0,025 ml ya mankhwalawa.

Kuti zitheke, poyamba, wodwala matenda ashuga amatha kugwiritsa ntchito tebulo lapadera. Zikuwonetsa kuti kuchuluka kwa insulin 0,5 ml ikufanana ndi kuchuluka kwa magawo 20, 0,25 ml - kwa chizindikiro 10, 0,2525 - kwa chithunzi 1.

• M'mayiko a ku Europe, mumatha kupeza pa insulin yogulitsa, yomwe imadziwika kuti U-100, mankhwalawa amapangidwira mayunitsi zana. Anthu odwala matenda ashuga nthawi zambiri amakonda kudziwa ngati zingatheke kugwiritsa ntchito syringe ya 1 ml ya insulin pamankhwala otere. M'malo mwake, izi sizingachitike.
• Chowonadi ndi chakuti mu botolo lotere mumakhala insulini yambiri, kuphatikiza kwake kumaposa ma 2,5. Chifukwa chake, wodwalayo ayenera kugwiritsa ntchito syringes yapadera ya GOST ISO 8537-2011 ya jakisoni, amaperekanso jakisoni mothandizidwa ndi zolembera za syringe zopangidwira insulin yotere.

Zomwe zili zenizeni za insulin mu mg zitha kuwerengeka pakankhwala.

Momwe mungagwiritsire ntchito insulin

Wodwala matenda ashuga atazindikira kuti ndi syringe ya insulini ndi chiyani, momwe amawonekera komanso ngati angagwiritsidwe ntchito jakisoni, muyenera kudziwa momwe angabayire insulin mthupi bwino.

Ndikulimbikitsidwa kugwiritsa ntchito ma syringe ndi singano zosasinthika za jakisoni kapena kubaya ndi zolembera za syringe. Syringe 1 ya insulin ili ndi gawo lakufa, kotero insulin imalowa m'thupi chimodzimodzi. Koma ndikofunikira kumvetsetsa kuti singano za zida zotere zimakhala zopanda pake pambuyo pogwiritsidwa ntchito mobwerezabwereza.

Ma syringe okhala ndi singano zochotseka amawonedwa ngati aukhondo, koma masingano awo ndiakakulu. Mwambiri, mutha kusintha magwiritsidwe a ma syringe, mwachitsanzo, kunyumba ndi kuntchito.

1. Pamaso pa insulin, botolo liyenera kupukutidwa ndi yankho la mowa. Ngati mukufuna kuyambitsa mwachidule mlingo yaying'ono, mankhwalawo sangagwedezeke. Mlingo wawukulu umapangidwa mwa mawonekedwe a kuyimitsidwa. Pankhaniyi, musanagwiritse ntchito mahomoni, botolo limagwedezeka.
2. Pistoni ya syringe imakokedwa ndikugawa koyenera ndipo singano imayikidwa mu vial. Mpweya umayendetsedwa mu vial, pokhapokha insulin imasonkhanitsidwa ndikuwapanikiza mkati. Kuchuluka kwa mankhwala mu syringe kuyenera kukhala kokulirapo pang'ono kuposa mlingo womwe waperekedwa. Ngati mabatani amlengalenga amalowa m'botolo, ikani bomba pang'ono ndi zala zanu.

Kutenga mankhwalawa ndi jakisoni wa insulin, masingano osiyanasiyana ayenera kuyikiridwa pa syringe ya 1 ml ya insulin. Kuti mupeze mankhwalawa, mutha kugwiritsa ntchito singano kuchokera ku ma syringe osavuta, ndipo jakisoni imachitika ndi singano zowonjezera za insulin.

Kuphatikiza mankhwalawa, ndikofunikira kuti wodwalayo azitsatira malamulo ena.

• Gawo loyamba ndilo kutenga mahomoni osakhalitsa, ndikatha kutenga insulin.
• Mwachidule, ultrashort insulin kapena NPH imagwiritsidwa ntchito mankhwala akangophatikizika, kapena mankhwalawa amasungidwa osaposa maola atatu.
• Insulin yochita kupanga pakati sichiphatikizidwa ndi kuyimitsidwa kwakanthawi. Chifukwa chosakanikirana, timadzi tambiri tambiri timasinthidwa kukhala tatifupi, komwe ndi kowopsa pamoyo wa munthu wodwala matenda ashuga.
• Insulin yokhala ndi nthawi yayitali komanso detirir Glargin amaletsedwanso kusakanikirana, sangathenso kuphatikiza mahomoni ena.
• Malo omwe jakisoniyo adzapangidwira amachikulunga ndi antiseptic. Madokotala samalimbikitsa kuti azigwiritsa ntchito vutoli chifukwa zakumwa zimaletsa khungu kwambiri, zomwe zimapangitsa kuti pakhale ming'alu yopweteka.

Mankhwala chikuyendetsedwera, osati kudzera m'mitsempha. Jakisoni wosaya kanthu amachitidwa pakatikati pa madigiri a 45-75. Insulin ikabayidwa, singano sichichotsedwa nthawi yomweyo kuti mankhwalawo afalikire pansi pa khungu.

Kupanda kutero, insulin ikhoza kutuluka pang'ono kudzera mu bowo lopangidwa ndi singano.

Kugwiritsa ntchito zolembera

Ma cholembera a syringe ali ndi cartridge yomangidwa ndi insulin, kotero kuti odwala matenda ashuga sayenera kunyamula mabotolo a mahomoni. Zipangizo zoterezi ndizothandiza ndipo zimatha kusinthika.

Zida zotayidwa zimasiyanitsidwa ndi kukhalapo kwa cartridge yamankhwala 20, pambuyo pake chida chimatha kuponyedwa kunja. Cholembera chosinthanso sichikuyenera kutayidwa kunja; chimapatsanso katoni kameneka, kamene amagulitsidwa muma pharmacies.

Wodwalayo amalangizidwa kuti atenge zolembera ziwiri zotere. Yoyamba imagwiritsidwa ntchito pafupipafupi, ndipo ikasokonekera, ili chida chachiwiri. Ichi ndi chipangizo chothandiza kwambiri chomwe chili ndi zabwino zambiri kuposa syringe yokhazikika.

Ubwino wodziwikiratu ndi monga izi:

1. Mlingo wampangidwe wokhazikika ukhoza kukhazikitsidwa ku 1 unit;
2. Ma cartridges ndi akulu mu voliyumu, kotero cholembera chimodzi chimakulolani kuti mupange jakisoni angapo, ndikusankha kuchuluka kofanana ndi mankhwalawo;
3. Chipangizocho chili ndi kulondola kwakukulu, mosiyana ndi ma syringe;
4. Jakisoni amachitidwa mwachangu komanso mopweteka;
5. Wodwala matenda ashuga amatha kugwiritsa ntchito mahomoni amitundu mitundu yotulutsidwa;
6. Singano ya chipangizocho ndi yocheperako kuposa ma syringe okwera mtengo kwambiri komanso apamwamba;
7. Kuti mupange jakisoni, simuyenera kuvula zovala zanu.

Oposa theka la odwala omwe amapezeka ndi matenda a shuga 1 amagula zolembera. Masiku ano, pamashelefu amalo ogulitsa zamankhwala pali mitundu ingapo yamakono pamitengo yosiyanasiyana, kotero aliyense angathe kusankha njira yoyenera kwambiri yamtengo ndi mtengo.

About ma insulinge a insulin amafotokozedwa mwatsatanetsatane mu kanema munkhaniyi.