Anthu odalira insulin nthawi zonse amafunikira insulin. Popeza kuti jakisoni amayenera kuchitidwa tsiku ndi tsiku, ndikofunikira kudziwa madera omwe thupi limayenera kubayira, kuti pasakhale kukwiya ndi kutupa.
Mankhwala a insulin nthawi zambiri amakhala ovuta chifukwa anthu samadziwa momwe angapangire jakisoni wa insulin. Makolo okhala ndi ana omwe ali ndi matenda ashuga amakumana ndi vutoli.
Pakalipano, kuchuluka kwa matenda a shuga kukukulirakulira mosalekeza. Kwa anthu ambiri, vuto la jakisoni wa insulin limakhala lofunika, ndipo chidziwitso cha iwo chimakhala chofunikira.
Momwe insulin imalowetsedwera m'thupi
Jakisoni wa moyo watsiku ndi tsiku amafunikira anthu omwe ali ndi matenda a shuga 1. Mtundu wachiwiri wa matenda, insulin imafunikiranso. Jakisoni wa panthawi yake wa insulin amatha kukupulumutsani kuimfa chifukwa cha matenda a shuga. Insulin imasonyezedwanso kwa matenda ashuga osakhwima popewa zotupa za fetal nthawi ya pakati.
Tsopano njira yodziwika kwambiri ya kubayira insulin ndi cholembera. Chipangizochi chitha kutengedwa paliponse nanu, mutagona mthumba lanu kapena chikwama. Cholembera cha syringe chimawoneka bwino, ndipo singano zotayika zimaphatikizidwa.
Tsopano ma syringe samakonda kuti asayikidwe. Ma syringes am'manja amagwiritsidwa ntchito kwambiri chifukwa ndikosavuta kubaya insulin m'manja ndi mbali zina za thupi.
Jakisoni wa insulin atha kuperekedwa:
- kudzera m'mitsempha
- kudzera m'mitsempha
- mochenjera.
Insulin yofupikitsa imayendetsedwa pakapangidwa matenda a shuga. Mutha kudziwa mwachangu momwe mungabayire insulin, koma pali zinsinsi zingapo. Mukamapanga njira yoperekera insulin, machitidwe ena azinthu amayenera kuonedwa.
Muyenera kuchita jakisoni molingana ndi malamulo ena:
- Musanapereke jakisoni, muyenera kusamba m'manja ndi sopo wabwino,
- Onetsetsani kuti malo omwe mumabayira insulin ndi oyera,
- malowa samazunguliridwa ndi mowa chifukwa amawononga insulin,
- Sinthani syringe kangapo kuti mupewe kusakaniza mankhwalawa,
- Mlingowo umawerengeredwa, mankhwalawo amawayimbira mu syringe, yomwe amayang'aniridwa kuti ayambe kugwira ntchito,
- Nthawi iliyonse mukafuna kutenga singano yatsopano,
- kuti mupeze jakisoni, muyenera kupukuta khungu ndi kubaya mankhwalawo pamenepo,
- singano ili pakhungu masekondi 10, chinthucho chimabayidwa pang'onopang'ono,
- crease wakuwongoka, ndipo simukufunika kufafaniza jakisoni.
Ndikofunikira kudziwa komwe mungabaye insulin. Kukula kwazomwe zimayambitsa kumakhudzidwa ndi kulemera kwa munthu. Pali njira zosiyanasiyana zoperekera mahomoni awa. Kuti mudziwe komwe mungamwe jakisoni, muyenera kulabadira kulemera kwa munthuyo.
Ngati munthu ali ndi matenda onenepa kwambiri kapena abwinobwino, ndiye kuti amapaka jakisoni wambiri. M'malo mwa anthu ochepa thupi, syringe iyenera kuyikidwa pakona ka 45-60 madigiri mpaka khungu
Kukhazikika kwa jakisoni wa insulin ndiko njira yothandizira thanzi la munthu wodwala matenda ashuga.
Kodi jakisoni wa insulin amachitidwa kuti?
Mutha kuyika jakisoni wa insulin m'malo angapo a thupi. Kuthandizira kumvetsetsana pakati pa wodwala ndi dokotala, madera awa ali ndi mayina ena. Mwachitsanzo, dzina la generic "m'mimba" ndilo dera lozungulira pa lamba.
Bioavailability ndi kuchuluka kwa zinthu zomwe zili m'magazi. Kuchita bwino kwa insulin kumadalira mwachindunji komwe insulin imayendetsedwa.
Ndikofunika kubaya insulin m'mimba. Malo abwino kwambiri a jekeseni ndi madera ochepa masentimita pang'ono kumanzere ndi kumanja kwa msomali. Jakisoni m'malo awa ndiwopweteka kwambiri, kotero jekeseni pambuyo pakupanga maluso.
Kuti muchepetse kupweteka, insulin imatha kubayidwa mu ntchafu, pafupi ndi mbali. M'malo awa kuti mupeze jakisoni muyenera kumadabwitsika pafupipafupi. Simungachitenso jakisoni wachiwiri pamalopo, muyenera kubwereranso masentimita angapo.
M'dera lamapeto, insulini simakhudzidwa komanso malo ena. Malo a insulin ayenera kusinthidwa. Mwachitsanzo, "mwendo" ndi "m'mimba" kapena "dzanja" ndi "m'mimba". Ngati chithandizo chikuchitika ndi ma insulin okhala ndi nthawi yayitali komanso yochepa, ndiye kuti yochepa amawayika m'mimba, ndipo yayitaliyo imayikidwa nkono kapena mwendo. Umu ndi momwe mankhwalawa amathandizira msanga.
Pogwiritsa ntchito jakisoni wa insulini pogwiritsa ntchito cholembera, gawo lililonse la thupi limapezeka. Kugwiritsa ntchito syringe ya insulin yokhazikika, jakisoni m'miyendo kapena m'mimba imatha kuchitika mosavuta.
Munthu yemwe wapezeka ndi matenda a shuga ayenera kuphunzitsa banja lake ndi okondedwa ake jakisoni wa insulin.
Kodi insulin imayendetsedwa bwanji?
Tsopano insulin nthawi zambiri imayendetsedwa ndi ma cholembera kapena ma syringe wamba wamba. Njira yotsatirayi imakonda kugwiritsidwa ntchito ndi anthu okalamba, mbadwo wachichepere umakonda kugwiritsa ntchito cholembera, popeza chipangizochi ndichosavuta, chitha kunyamulidwa.
Musanapange jakisoni, muyenera kuyang'ana ngati cholembera chake chikugwira ntchito. Chipangizocho chimatha kuthyoka, chomwe chingapangitse kuti mupewe mankhwala olakwika kapena osagwiritsa ntchito mankhwalawo.
Pakati pa ma syringe apulasitiki, muyenera kusankha zosankha ndi singano yomanga. Monga lamulo, insulini sikhala mu zida zotere pambuyo pa jakisoni, zomwe zikutanthauza kuti kuchuluka kwake kumafikira wodwala kwathunthu. Ndikofunika kuzindikira kuti magawo angati a insulini amaphatikizira gawo limodzi.
Ma syringe onse a insulin amatha kutulutsa. Nthawi zambiri, voliyumu yawo ndi 1 ml, izi zimafanana ndi 100 IU - mayunitsi azachipatala. Syringeyi ili ndi magawo 20, iliyonse yomwe imagwirizana ndi zigawo ziwiri za insulin. Mu cholembera, gawo logawika ndi 1 IU.
Anthu nthawi zambiri amawopa kuyambitsa jakisoni wa insulin, makamaka m'mimba. Koma ngati mugwiritsa ntchito njirayi moyenera, ndiye kuti mutha kuchita bwino jakisoni, pomwe insulin imabayira intramuscularly.
Anthu odwala matenda ashuga a mtundu wachiwiri a shuga safuna kusinthana ndi jakisoni wa insulin kuti asalandire jakisoni tsiku lililonse. Koma ngakhale munthu atakhala ndi mtundu uwu wa matenda, amafunikabe kuphunzira njira ya insulin.
Podziwa komwe ma jakisoni amaperekedwa ndi insulin, komanso momwe izi zimayenera kuchitikira, munthu amatha kuonetsetsa kuchuluka kwa shuga m'magazi. Chifukwa chake, kupewa mavuto.
Musaiwale kuti gawo lililonse lomwe insulin imayendetsedwa imatha kusintha mawonekedwe ake. Ngati mutenthetsera khungu, mwachitsanzo, kusamba, ndiye kuti m'dera la jakisoni, njira zotsalira zidzayambira.
Zilonda siziyenera kuwonekera pamalo a jekeseni, makamaka pamimba. M'derali, chinthucho chimatengedwa mwachangu.
M'malo mwa matako, kuyamwa kwa mankhwalawa kumathandizira ngati mumachita masewera olimbitsa thupi kapena kukwera njinga.
Maphunziro a jakisoni wa insulin
Mukamapanga jakisoni wa insulin m'malo ena, zotulutsa zimasiyana. Ndi jakisoni m'manja, ululu sukumveka konse, dera lam'mimba kwambiri ndizopweteka kwambiri. Ngati singano ili yakuthwa ndipo malekezero amitsempha sakukhudzidwa, ndiye kuti ululu nthawi zambiri umasowa ndikulowetsedwa m'dera lililonse komanso kosiyanasiyana.
Kuonetsetsa kuti insulini ikuyenerera bwino, iyenera kuyikidwamo. Pankhaniyi, ululu umakhala wofatsa nthawi zonse, ndipo mabala ake amapita mwachangu. Simuyenera kuchita jakisoni m'malo awa hematoma isanathe. Ngati dontho la magazi litulutsidwa mkati mwa jakisoni, izi zikutanthauza kuti singano yalowa m'mitsempha yamagazi.
Mukamapangira insulin mankhwala ndikusankha dera la jakisoni, muyenera kudziwa kuti kuthandizira pang'onopang'ono komanso kuthamanga kwa chinthu kumatengera, choyamba,:
- dera la jakisoni
- kutentha kwa chilengedwe.
Potentha, zochita za insulin zimathandizira, ndipo kuzizira zimayamba kuchepera.
Kupepuka kwa gawo la jakisoni kudzasintha mayamwidwe a insulin komanso kupewa kutulutsa. Ngati ma jakisoni awiri kapena kupitilira apo amapangika malo amodzi, ndiye kuti kuchuluka kwa shuga m'magazi kumatha kuchepera.
Pamaso jakisoni, adotolo amawunika momwe wodwalayo amamvera ndi ma insulin osiyanasiyana kuti ateteze zotsatira zosayembekezeka panthawi ya insulin.
Madera a jakisoni omwe samachotsedwapo bwino
Ndikofunika kuyang'anitsitsa malingaliro a adokotala ndikupanga jakisoni pazinthu za thupi zomwe amaloledwa. Wodwalayo akadzipangira yekha jakisoni, ndiye kuti muyenera kusankha kutsogolo kwa ntchafu kwa insulin. Ma insulin amfupi ndi a ultrashort amalowetsedwa mu peritoneum.
Kubaya insulin m'matako kapena phewa kumatha kukhala kovuta. Nthawi zambiri, munthu sangathe kupanga khungu kuti lisalowe m'malo oterowo.
Zotsatira zake, mankhwalawo amalowetsedwa m'matumbo a minofu, omwe samathandiza konse kuti munthu akhale ndi matenda ashuga. Kuti muchepetse malo osagwirizana ndi ndondomekoyi, muyenera kuwonetsetsa kuti palibe jakisoni m'dera lomwe mwakonzekera:
- zisindikizo
- redness
- zipsera
- Zizindikiro zakuwonongeka pakhungu,
- mikwingwirima.
Izi zikutanthauza kuti tsiku lililonse munthu amafunika kutenga jakisoni angapo a insulin kuti amve bwino. Pankhaniyi, malo a insulin ayenera kusinthidwa nthawi zonse, mogwirizana ndi njira yoyendetsera mankhwala.
Kutengera kwa zochita kumaphatikizapo zingapo zomwe zingapangidwe kuti zikule. Mutha kubaya pafupi ndi yapita, ndikubwerera pafupifupi masentimita awiri.
Amaloledwanso kugawanitsa gawo la jakisoni m'magawo anayi. Imodzi mwa iyo imagwiritsidwa ntchito kwa sabata, kenako jakisoni imayamba lotsatira. Chifukwa chake, khungu limatha kupuma ndikupuma.
Katswiri mu kanema mu nkhaniyi akuwuzani zambiri za njira ya insulin management.
