Mu shuga mellitus, kagayidwe kachakudya mu thupi la munthu kamasokonezeka chifukwa chakuletsa kupanga kwa insulin. Ngati wodwala sanakhazikitsidwe mankhwala okwanira, mphamvu ya maselo kupita ku timadzi ya m'magazi imachepa, matendawa amafalikira.
Maziko othandizira odwala matenda a shuga a mtundu woyamba, pomwe thupi limadalira mahomoni, ndimabakisoni a insulin, omwe amafunikira anthu. Matenda a mtundu wa 2 akayamba, wodwala samadalira mahomoni, kapamba amadzibisa yekha.
Komabe, ngakhale atazindikira, wodwalayo ayenera kukhala ndi insulini yaying'ono kuti apereke ngati kuli koyenera. Mpaka pano, zida zambiri za jakisoni wa mankhwala adapangidwa, wodwalayo amakhala ndi chisankho. Chifukwa chake, amaloledwa kugwiritsa ntchito ma syringe apadera, zolembera za syringe, mapampu a insulin. Kuti musavulaze, muyenera kuphunzira momwe mungadzibayira jakisoni wa mankhwalawa.
Pali mitundu ya ma syringe:
- ndi singano yochotsa (amatenga mankhwalawo mu botolo);
- ndi singano yomangidwa (kuchepetsa mwayi wa kutaya kwa insulin).
Zonsezi zimapangidwa poganizira zofuna ndi zofuna za odwala.
Zidazi zimapangidwa ndi zinthu zowonekera, izi zimathandizira kuwongolera kuchuluka kwa mankhwala omwe adalowetsedwa, piston imakupatsani mwayi kuti mupange jakisoni bwino, popanda kuyambitsa kumva kopweteka komanso kupweteka.
Syringe ya kubaya insulin ili ndi gawo lotchedwa mtengo, choyimira chachikulu pakusankha chipangizocho ndi mtengo wogawa (gawo la sikelo). Zimawonetsa kusiyana pakati pa zomwe zili pafupi ndi zotsalazo. Mtengo wogawa wa Spitz wa insulin ukuwonetsa ochepa mankhwalawo, omwe angalowe molondola kwambiri. Muyenera kudziwa kuti syringe yamtundu uliwonse imakhala ndi vuto la theka la mtengo wogawa.
Mapindu a Insulin Pens
Cholembera jakisoni wofuna insulini chinadzipangira dzina lofanana ndi cholembera chofala wamba. Zida zoterezi ndizosavuta kugwiritsa ntchito, popeza ndi izi wodwalayo amatha kuwombera mahomoni ndikuwamwa molondola. Mwa odwala matenda ashuga, palibe chifukwa chochezera ndi chipatala chokhazikitsidwa ndi insulin.
Chingwe cha insulini chimasiyanitsidwa ndi makina omwe amatulutsa, gawo lililonse la chinthu limatha kusiyanitsidwa ndikadina, kuyambitsa kwa mahomoni kumachitika pakukhudza batani. Zingano za chipangizocho ndizovuta, mtsogolomo zitha kugulidwa padera.
Cholembera cha insulin ndi chosavuta kugwiritsa ntchito, chosavuta kunyamula, chifukwa ndichopanga komanso chopepuka.
Ngakhale ma syringe ambiri pamsika, iliyonse ya iwo ili ndi zida zofanana. Chidacho chimaphatikizapo:
- sleeve (cartridge, cartridge) ya insulin;
- nyumba;
- makina ogwiritsa ntchito pisitoni;
- singano mu cap.
Chophimba chimafunikira kuti chitsekere singano chikakhala chogwira ntchito. Chipangizocho chilinso ndi batani la jakisoni ndi makina ozipangira okha popereka insulin.
Kugwiritsa ntchito syringe ndi kosavuta, chifukwa muyenera kuyichotsa pamalopo, chotsani kapu, kukhazikitsa singano mutachotsa kapu imodzi. Kenako syringe yokhala ndi insulin ikasakanikirana, mulingo wofunikira umatsimikiziridwa, singano imatulutsidwa kuchokera ku thovu lamkati mwa kukanikiza batani la jakisoni.
Kuti jekeseni, khungu limakulungika, singano imayilidwa (jekeseni m'mimba, mwendo kapena mkono ndikuloledwa), batani limasungidwa kwa masekondi 10, kenako ndikumasulidwa.
Momwe mungabayire insulin molondola, mfundo zakugwiritsa ntchito cholembera
Pathupi laumunthu pali malo ena omwe mutha kubayira insulin, kuyamwa kwa magawo awa ndi kosiyana, komanso kuchuluka kwa mankhwala. Ndiwothandiza kwambiri kubaya zinthuzo kukhoma lakumaso, komwe insulin imalowetsedwa ndi 90%, imayamba kugwira ntchito nthawi zambiri mwachangu.
Pafupifupi 70% ya mayamwidwe imachitika pambuyo pa jekeseni kutsogolo kwa ntchafu, gawo lakunja la mkono, nthawi zambiri limabayidwa m'deralo kuyambira phewa mpaka m'chiwuno. Kuchita bwino kwa mayamwidwe am'madzi m'dera la scapula kumafika 30% yokha. Mwachangu, insulini imayamba kugwira ntchito ngati muilowetsa kutali ndi zala ziwiri kuchokera ku navel.
Malangizowa amauza anthu odwala matenda ashuga kuti nthawi zonse kubayidwa malo omwewo ndi koyipa; madera osinthika akuwonetsedwa. Mtunda pakati pa jakisoni suyenera kukhala wochepera 2 cm, jekeseni isanakwane kupukuta khungu ndi mowa, nthawi zina ndikokwanira kutsuka khungu ndi sopo ndi madzi. Pamalo omwewo, jekesayo amabwerezedwanso palibe kale kuposa masiku 14 pambuyo pake.
Malamulo a insulin management ndi osiyana pamagulu osiyanasiyana, mwachitsanzo, ndi miyeso yosiyana. Makamaka, momwe lingayambitsire singano padziko lapansi ndi yosiyana. Makona a jekeseni pafupi ndi perpendicular amalimbikitsidwa kwa odwala:
- Mwachionekere onenepa
- wosanja wonenepa wa mafuta onunkhira.
Wodwala akasiyanitsidwa ndi kapangidwe ka thupi la asthenic, ndi bwino kumugwira mankhwalawo pachimake. Ndi kachulukidwe kakang'ono ka mafuta osunthika, pamakhala chiopsezo cha singano kulowa m'matumbo a minofu, momwe momwe ma hormone amathandizira kusinthasintha, komanso kwakukulu.
Kuphatikiza apo, kutentha kwa insulin kumakhudza kuchuluka kwa kayendetsedwe kazinthu. Ngati syringe ya insulin ndi zomwe zili mkati mwake kutentha kwambiri, mankhwalawo amayamba kugwira ntchito pambuyo pake.
Kuchulukana kwa insulin m'matimu kumatha kuchitika, izi zimachitika ngati jakisoni atayikidwa pafupi ndi mnzake, kuchuluka kwa mayamwidwe kumacheperanso. Chifukwa chake, kugwiritsa ntchito cholembera cha insulin kuyenera kuchitidwa molingana ndi malamulowo. Panthawi imeneyi, kupepuka kwamphamvu kwa vuto kumathandiza.
Sungani zodzaza insulin pensulo yocheperako, koma osapitirira masiku 30 mutatha kugwiritsa ntchito. Insulin mu makatiriji imasungidwa pa alumali ya firiji, ngati yankho lapeza ndi mitambo yambiri, iyenera kusakanizika bwino kuti ikwaniritse boma loyambirira.
Zoyipa zazikulu za cholembera
Kwa odwala matenda ashuga, ma cholembera apamwamba kwambiri ogwiritsira ntchito insulin adapangidwa, koma zida zingakhale ndi zovuta zazikulu. Muyenera kudziwa kuti ma syringe osinthanso sangakonzeke, mosasamala wopanga, mtengo wawo ndi wokwera, makamaka poganizira kuti wodwalayo amagwiritsa ntchito zidutswa zitatu.
Opanga ambiri amapereka ma syringes a zolembera za jakisoni wa insulin, omwe angagwiritsidwe ntchito kokha ndi malaya apachiyambi, omwe motsutsana ndi zolakwika zina amakhala vuto lalikulu logwiritsa ntchito. Pali cholembera cha kubaya insulini ndi malaya osasinthika, izi zimathetsa vutoli ndikusankha cartridge, koma zimayambitsa kukwera kwakukulu kwa mtengo wamankhwala, chifukwa ndikofunikira kubwezeretsanso kuchuluka kwa zolembera.
Syringe ya insulin yokhala ndi dosing yomweyo ya mankhwalawa imakhala ndi zofunikira zambiri mokhudzana ndi malire a chakudya chamagulu, ikaphatikizidwa mosiyanasiyana, imawonetsedwa kusintha kuchuluka, kuyambira kuchuluka kwa chakudya. Kwa odwala matenda ashuga, izi ndizodzala ndi malingaliro okana jakisoni akhungu.
Pali malingaliro olakwika ambiri pamomwe mungagwiritsire ntchito chipangizo cha insulin, ochepa okha ndi omwe alembedwa:
- muyenera kukhala ndi masomphenya abwino, ogwirizana;
- Ndikosavuta kusankha mlingo wopanda dokotala.
Sizowona kwathunthu kuti wodwalayo akuyenera kukhala ndi masomphenya akuthwa, popeza kuti mulingo wofanana ndi wodwalayo amatha kudziwa momwe mankhwalawo alili, ngakhale wodwalayo yemwe ndi wakhungu kwathunthu amatha kuthana ndi insulin.
Mavuto podzisankhira nokha mankhwalawa amakhalanso osocheretsa, kuchepa kwa chidziwitso paliponse sikumakhala kofunikira, komabe, pali milandu pomwe kulondola kwakukulu ndikofunikira kwambiri.
Chabwino ndi chiyani, syringe kapena cholembera cha insulin? Kodi mungasankhe bwanji?
Ndikosavuta kuyankha chomwe chiri bwino, cholembera chosinthanso kapena syringe yokhazikika, chifukwa kusankha njira yothandizira mahomoni nthawi zonse kumangokhala kwa munthu payekha. Komabe, pali ena omwe ali ndi matenda ashuga omwe madokotala amalimbikitsa kuti alembe cholembera insulin, ma syringe ndi singano wamba sizimawakomera. Gulu ili la odwala limaphatikizapo ana omwe amawopa kwambiri jakisoni, odwala matenda ashuga osawona bwino, odwala omwe ali ndi moyo wotakataka ndipo sapezeka kunyumba.
Momwe mungagwiritsire ntchito insulin mu cholembera ndizomveka, koma momwe mungasankhire mawonekedwe oyenera a chipangizocho kuti musadzetse vuto? Kwa jakisoni wa insulin, muyenera kusankha pensulo yokhala ndi lalikulu komanso momveka bwino.
Sizopweteka kuonetsetsa kuti zinthu zomwe syringe imapangidwa, singano za jakisoni, sizingayambitse mavuto. Ndikulimbikitsidwanso kuti muchepetse chidwi ndi kukuthwa kwa singano, in singano yolondola ndi kuphimba kwapamwamba kumathandizira kupewa zovuta zosasangalatsa monga lipodystrophy, pomwe:
- chikhazikitso pamalo jakisoni ndikuchepera;
- mabala, chotupa chikuwonekera;
- kuchuluka kwa minofu ya subcutaneous yafupika.
Mfuti yoperekera insulini yokhala ndi gawo laling'ono logawa limapangitsa kuyeza kuchuluka kwa insulini, nthawi zambiri gawo la theka la mankhwalawa limakonzekera gawo limodzi la mlingo.
Singano yochepa imatengedwa kuti ndi mwayi wachitsanzo; M'mitundu yina, pamakhala chowonjezera chachikulu; zida zofanana zimapangidwira odwala matenda ashuga omwe ali ndi vuto lowonera. Momwe mungagwiritsire ntchito syringe ndi cholembera cha mtunduwu, pakufunika nthawi yayitali kuti lisinthidwe kapena kusinthidwa ndi syringe yokhazikika, dokotala kapena wafizikisi wanu adzakuwuzani mu mankhwala. Mutha kuyitanitsanso syringe pa intaneti, ndibwino kuti mugule ndikugulitsa kunyumba.
Zambiri pa zolembera za insulin zimaperekedwa mu kanema munkhaniyi.
