Odwala ambiri omwe ali ndi matenda a shuga a mtundu woyamba 1, akaperekedwa ngati mankhwala a insulin, ali ndi chidwi ndi momwe angabayire insulin m'mimba moyenera.
Makonzedwe olondola a insulin panthawi ya odwala omwe ali ndi vuto la matenda a 1 amafunika kumvetsetsa kuchokera kwa wodwala:
- mtundu wamankhwala omwe amagwiritsidwa ntchito okhala ndi insulin;
- njira yogwiritsira ntchito mankhwala;
- kutsatira kugwiritsidwa ntchito kwa mankhwala a insulini pazomwe amalimbikitsa kuchokera kwa endocrinologist.
Dokotala endocrinologist amapanga njira yogwiritsira ntchito insulin, amasankha mtundu wa insulin yomwe imagwiritsidwa ntchito, amadziwitsa kuchuluka kwa mankhwalawo komanso malo amthupi lake pakubayidwa panthawi ya jakisoni.
Thupi lawo siligwirizana mukamagwiritsa ntchito insulin ya nyama
Musagwiritse ntchito insulini ngati wodwala akundana nazo. Zizindikiro zoyambirira za vuto lomwelo zitawonekera, muyenera kufunsa dokotala kuti akuthandizeni komanso kuti musinthe mankhwalawa a matenda a shuga.
Momwe thupi limagwirira ntchito mwa anthu limapezeka ndi insulin chifukwa chakuti ambiri a iwo amapezeka kuchokera ku nkhumba zapa pancreatic. Kuchokera ku insulin yamtunduwu, mankhwalawa amakumana ndi anthu omwe ali ndi vuto lalikulu la chifuwa.
Njira zambiri zoyipa zomwe zimagwirira ntchito ku mankhwala a insulin ndizomwe zimayambitsa matenda ena onse. Mawonekedwe amtundu wakomweko ndi mawonekedwe a kufiyira pang'ono, kutupira ndi kuyabwa m'dera la jakisoni. Kutengera kwa jakisoni wa insulin kumatha masiku angapo mpaka milungu ingapo.
A systemic allergic reaction amadziwikanso mu mawonekedwe a khungu loyipa, lomwe limatha kuphimba thupi lonse. Kuphatikiza apo, mwa anthu odwala matenda ashuga panthawi ya mankhwala a insulin, zizindikiro zotsatirazi za kayendedwe kamene kamayesedwa zitha kuchitika:
- kuvutika kupuma
- kuwoneka kufupika;
- kutsitsa magazi;
- kuthamanga kwa mtima;
- kutuluka thukuta kwambiri.
Kukonzekera kwa insulin sikuyenera kugwiritsidwa ntchito ngati wodwala ali ndi zizindikiro za hypoglycemic syndrome. Hypoglycemia m'thupi la wodwalayo imachitika pamene kuchuluka kwa shuga m'magazi kumatsika pansi pazovomerezeka. Kugwiritsa ntchito insulin pakadali pano kumachepetsa kwambiri mafuta a shuga, omwe angapangitse kuti pakhale chisokonezo komanso pamavuto akulu kwambiri.
Pankhani yolakwika ya insulin, matendawa amatha kuwongolera pakudya glucose monga mapiritsi kapena kumwa madzi a lalanje.
Vutoli lingathenso kuwongoleredwa chifukwa chodya mwachangu zakudya zomwe zimakhala ndi chakudya chambiri m'zipangidwe zawo.
Kupenda khungu musanalowe ndi jakisoni ndi kusankha kwa singano ya jakisoni
Pamaso jakisoni wa mankhwala okhala ndi insulin, kuunika kwa malo a insulin kuyenera kuchitidwa kuti lipodystrophy ipangidwe. Lipodystrophy ndimomwe zimachitika pakhungu pakhungu la pafupipafupi. Chizindikiro chachikulu cha kupezeka kwa lipodystrophy ndikusintha kwa minofu ya adipose pamtunda wofikira. Zosintha zowoneka zimaphatikizapo kuwonjezeka kapena kuchepa kwa makulidwe amtundu wa adipose pamalo opangira jekeseni.
Mukamagwiritsa ntchito mankhwala a insulini, kuyezetsa khungu pafupipafupi kuyenera kuchitika chifukwa cha zovuta zomwe zimachitika komanso mawonekedwe a lipodystrophy. Kuphatikiza apo, khungu pakukhazikitsa mankhwala omwe ali ndi insulin amayenera kuwunika kuti awoneke kutupa, kutupa ndi zizindikiro zina zakukula kwa matenda opatsirana.
Pamaso jakisoni, muyenera kusankha syringe ndi singano yoyenera yoyambitsa insulin kulowa mthupi.
Ma syringe ndi singano za insulini siziyenera kutayikiridwa ndi zinyalala wamba. Ma syringe omwe agwiritsidwa ntchito ndi zinthu zowononga zachilengedwe zomwe zimafunikira kutayidwa kwapadera.
Popereka mankhwalawa, ma syringe ndi singano sayenera kugwiritsidwa ntchito kawiri.
Singano yomwe imagwiritsidwa ntchito kamodzi imayamba kuzimiririka pambuyo poti imagwiritsidwa ntchito, ndipo kugwiritsa ntchito singano kapena syringe mobwerezabwereza kungayambitse kukula kwa matenda opatsirana m'thupi.
Momwe mungapangire jakisoni ndi insulin molondola?
Pofuna kukhazikitsa insulin m'thupi, muyenera kukonzekera chilichonse chomwe mukufuna musanachitike.
Kuti mupewe mavuto pambuyo pobayikira jakisoni m'thupi, muyenera kudziwa momwe mungabayire insulin molondola.
Musanagwiritse ntchito insulin, iyenera kuwotha kutentha mpaka madigiri 30. Pachifukwa ichi, muyenera kusunga botolo ndi mankhwalawo kwakanthawi m'manja.
Asanayambe insulini, moyo wa alumali wa mankhwalawa uyenera kuwunikidwa. Ngati tsiku lotha ntchito latha, kugwiritsa ntchito kwake ndikoletsedwa. Osagwiritsa ntchito jakisoni wotseguka kwa masiku oposa 28.
Kugwiritsa ntchito syringe ndi imodzi mwanjira zofala kwambiri zoperekera mankhwala kwa thupi.
Kupereka mlingo wa insulin muyenera kukonzekera:
- insulini ya insulini ndi singano;
- thonje;
- mowa
- insulin;
- chidebe cha zinthu zakuthwa.
Kubaya insulin kumachitika pambuyo kusamba m'manja ndi sopo wabwino. Malo a jakisoni amayenera kukhala oyera; ngati ndi kotheka, amayeneranso kutsukidwa ndi sopo ndikupukuta. Ndiosafunika kuchiza jakisoni ndi mowa, koma ngati chithandizo chotere chikuchitika, ndiye kuti muyenera kuyembekeza mpaka mowa utayamba.
Mukamagwiritsa ntchito mitundu ingapo ya insulini, ndikofunikira kuyang'ana musanadye jakisoni kuti mtundu wa insulini yofunikira pa insulin mankhwala umagwiritsidwa ntchito jekeseni.
Musanagwiritse ntchito, mankhwalawa amayenera kupimidwa kuti agwirizane. Ngati insulin yomwe imagwiritsidwa ntchito nthawi zambiri imakhala yamitambo, iyenera kuti igulike pang'ono m'manja kuti ipeze kuyimitsidwa koyenera. Mukamagwiritsa ntchito jekeseni yoonekera bwino ya jakisoni, sikofunikira kuti mugwedezeke kapena kukugulitsani m'manja.
Pambuyo pofufuza ndi kukonza insulin, imakokedwa ndi syringe mu kuchuluka koyenera kuti jakisoni.
Mankhwala atakokedwa mu syringe, zomwe zili mkati ziyenera kuyang'aniridwa kuti mupezeke ndi mpweya m'mibowo. Mukazindikira zakumapeto, ikani pompopompo thupi la syringe ndi chala chanu.
Mukabayidwa insulin ingapo, munthu sayenera kutayikira mitundu yambiri ya insulini mu syringe imodzi.
Ngati mitundu ingapo ya insulin imagwiritsidwa ntchito, makonzedwe awo amayenera kuchitika motsatira ndondomeko yomwe dokotala akuonetsa komanso Mlingo wovomerezeka ndi dokotala popanga dongosolo la insulin.
Njira yobweretsera insulin pansi pa khungu pamimba
Malo oyambitsa ndi insulin m'thupi pamimba liyenera kukhala patali osachepera 2,5 cm kuchokera ku zipsera ndi timadontho komanso kutalika kwa 5 cm kuchokera ku navel.
Osaba jekeseni wa mankhwalawo pamalo ovulala kapena pakhungu lowoneka bwino.
Kuti mupeze jakisoni moyenera, insulini imayenera kuyikiridwa mu mafuta ochepetsa. Pachifukwa ichi, muyenera kusonkhanitsa khungu ndi zala zanu mu crease ndikukoka pang'ono nthawi yomweyo. Kukonzekera koteroko musanapange jakisoni, kumapewetsa kuyamwa kwa mankhwalawa.
Singano ya syringe imayikidwa pansi pa khungu pakatikati pa 45 kapena 90 madigiri. Kukula kwa jakisoni kumatengera kusankha kwa malo a jakisoni ndi makulidwe amkhungu pamalo opaka jekeseni.
Dokotala, akayamba kupanga insulini yodzikongoletsera, ayenera kufotokozera wodwalayo momwe angasankhire jekeseni wa singano yapansi panthaka pakhungu. Ngati pazifukwa zina sanachite izi, kuti mumvetsetse bwino jakisoni, muyenera kuzolowera kanema wapadera wophunzitsira komwe kumathandizira kudziwa magwiridwe antchito onsewo.
Kubweretsa insulin pansi pa khungu kumachitika ndi kuyenda mwachangu. Pambuyo pakuyambitsa insulin, singano iyenera kumayikidwa pakhungu kwa masekondi asanu kenako ndikuchotsa pakona yomweyo.
Mukachotsa singano, khungu limamasulidwa. Syringe yomwe idagwiritsidwa ntchito iyenera kuyikidwa mu chidebe chapadera cha zinthu zakuthwa, kuti ikataye pambuyo pake.
Mu kanema munkhaniyi, njira ya insulin yovomerezeka ndi malamulo osankhidwa ndi singano akufotokozedwa mwatsatanetsatane.
