Ndikofunikira kuti odwala omwe ali ndi shuga omwe amadalira insulin alandire insulin yabwino. Mankhwala omwe amagwiritsidwa ntchito amakhala osakhudzika, amataya katundu wawo pang'ono atayatsidwa kutentha ndi kuwala, kotero funso la momwe mungasungire insulin ndiyofunika kufufuza kwa odwala matenda ashuga onse. Zotsatira zakugonetsa mahomoni osadziwika zimatha kukhala zovulaza thanzi.
Kuti muwonetsetse kuti insulini imagwira ntchito momwe ziyenera kukhalira, muyenera kutsatira malamulo onse osungira kunyumba, kuwunika masiku omwe atha ntchito, ndikudziwa zizindikiro za mankhwala omwe adasungidwa. Ngati simukulola kuti mankhwalawo apite mwamwayi ndikusamalira zida zoyendetsera insulin pasadakhale, wodwala matenda ashuga sangathe kumangolekerera, kuphatikizapo maulendo ataliatali.
Njira ndi malamulo osungira insulin
Njira yothetsera insulini imatha kuwonongeka ikamadziwika ndi zinthu zakunja - kutentha pamwamba pa 35 ° C kapena pansi pa 2 ° C ndi dzuwa. Kutalika kwa zovuta za insulin, ndiye kuti katundu wake amakhalapobe. Kusintha kwa kutentha kambiri kumakhalanso kovulaza.
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
Moyo wa alumali wa mankhwala ambiri ndi zaka 3, nthawi yonseyi sataya katundu wawo ngati akusungidwa pa +2 - + 10 ° C. Kutentha kwachipinda, insulin imasungidwa osaposa mwezi umodzi.
Kutengera zofunikira izi, titha kupanga malamulo osungira:
- Zowonjezera insulin ziyenera kukhala mufiriji, zabwino pakhomo. Mukayika mabotolo mozamafufuzira, pali chiopsezo cha kuzizira pang'ono kwa yankho.
- Phukusi latsopanoli limachotsedwa mufiriji maola angapo musanagwiritse ntchito. Botolo loyambalo limasungidwa mu bulangeti kapena malo ena amdima.
- Pakapita jakisoni aliyense, cholembera cha syringe chimatsekedwa ndi kapu kuti insulini isadutse padzuwa.
Pofuna kuti musadandaule kuti zitheka kugula kapena kugula insulin pa nthawi yake, komanso osayika moyo wanu pachiwopsezo, tikulimbikitsidwa kuti mupangire mankhwalawa a miyezi iwiri. Musanatsegule botolo latsopano, sankhani yomwe ili ndi lalifupi kwambiri.
Aliyense wodwala matenda ashuga ayenera kukhala ndi insulin yochepa, ngakhale atakhala kuti mankhwalawo sawagwiritsa ntchito. Amayambitsa milandu mwadzidzidzi kuti ayimitse mikhalidwe ya hyperglycemic.
Kunyumba
Vial yothetsera kugwiritsidwa ntchito jekeseni iyenera kukhala kutentha. Malo osungirako kunyumba ayenera kusankhidwa popanda kulowa kwa dzuwa - kuseri kwa chitseko cha nduna kapena khabati yamankhwala. Malo m'chipinda chosinthira pafupipafupi kutentha sikugwira ntchito - windowsill, zida zanyumba, makabati kukhitchini, makamaka pachitofu ndi microwave.
Pa cholembera kapena pazolemba za kudziletsa sonyezani tsiku lomwe mankhwalawo amagwiritsidwa ntchito koyamba. Pakadutsa milungu inayi chitsegulidwe cha vial, ndipo insulin isanathe, imayenera kutayidwa, ngakhale kuti pofika nthawi imeneyi sinafooke. Izi ndichifukwa choti kusakhazikika kwa yankho kumaphwanyidwa nthawi iliyonse yomwe pulagi yiboola, kotero kutupa kumatha kupezeka pamalo a jekeseni.
Zimachitika kuti odwala matenda ashuga, amasamalira chitetezo cha mankhwalawo, amasunga ma insulini onse mufiriji, ndikuwachotsa pamenepo ndikupanga jakisoni. Kukhazikika kwa mahomoni ozizira kumawonjezera chiopsezo cha zovuta za insulin, makamaka lipodystrophy. Uku ndi kutukusira kwa timadzi tam'mimba tomwe timabayidwa jakisoni, komwe kumachitika chifukwa cha kupsa mtima pafupipafupi. Zotsatira zake, wosanjikiza wamafuta m'malo ena amazimiririka, ena umadzunjikira m'zisindikizo, khungu limakhala lozungulira komanso lathanzi.
Kutentha kovomerezeka kwa insulin ndi 30-35 ° C. Ngati dera lanu limatentha nthawi yotentha, muyenera kuyika mankhwala onse mufiriji. Jekeseni iliyonse isanachitike, yankho lake lifunika kutenthetsedwa m'manja kuti lisungunuke kutentha ndi kuyang'aniridwa mosamala kuti muwone ngati zotsatira zake zawipira.
Ngati mankhwalawa atha kuzizira, kukhalabe padzuwa nthawi yayitali kapena kutenthedwa, ndikosayenera kugwiritsa ntchito, ngakhale insulin itasinthiratu. Ndi bwino kuti thanzi lanu litaye botolo ndikutsegula lina.
Panjira
Malamulo akunyamula ndi kusunga insulin kunja kwanyumba:
- Nthawi zonse tengani mankhwalawo limodzi ndi malire, onetsetsani musanachoke mnyumba kuti mupeze insulini ingati. Nthawi zonse khalani ndi inu pokhapokha ngati pachitika chida chovulala cha jakisoni: cholembera chachiwiri kapena syringe.
- Pofuna kuti musaphwanye mwangozi botolo kapena kuthyola cholembera, osawaika m'matumba akunja a zovala ndi matumba, thumba la kumbuyo la thalauza. Ndikwabwino kuzisunga mwapadera.
- M'nyengo yozizira, insulin yomwe imagwiritsidwa ntchito masana iyenera kunyamulidwa pamavalidwe, mwachitsanzo, mthumba. M'thumba, amadzimadzi amatha kuyika mafuta ndikuwotcha zina zake.
- Mu nyengo yotentha, insulin imanyamulidwa mu zida zozizira kapena pafupi ndi botolo lozizira koma osati madzi oundana.
- Mukamayenda pagalimoto, simungathe kusunga insulini m'malo omwe mwina ndi otentha: m'chipinda cha glove, pa alumali kumbuyo kwake padzuwa.
- M'chilimwe, simungasiye mankhwala m'galimoto yoyimirira, monga momwe mpweya m'mawu umatentemera pamwamba pazovomerezeka.
- Ngati ulendowu suwatenga kupitilira tsiku, insulini imatha kunyamulidwa mu thermos wamba kapena m'thumba la chakudya. Pamaulendo ataliatali gwiritsani ntchito zida zapadera kuti musunge mosamala.
- Ngati muli ndi ndege, insulini yonse iyenera kunyamula katundu m'manja ndikuitengera kanyumba. Ndikofunikira kukhala ndi setifiketi kuchokera ku chipatala chokhudzana ndi mankhwala omwe amupatsa odwala matenda ashuga ndi mlingo wake. Ngati zotengera zozizira ndi ayezi kapena gelisi zimagwiritsidwa ntchito, ndikofunikira kutsatira malangizo a mankhwalawo, omwe akuwonetsa bwino momwe angasungire.
- Simungathe kulowetsa insulin m'thumba lanu. Nthawi zina (makamaka pa ndege zakale), kutentha m'chipinda cha katundu kumatha kutsikira mpaka 0 ° C, zomwe zikutanthauza kuti mankhwalawa adzawonongeka.
- Simuyenera kunyamula katundu ndi zinthu zina zofunika: ma syringe, ma syringe, mita yama glucose. Ngati katunduyu watayika kapena wachedwa, sikuti muyenera kuyang'ana fodya mumzinda wopanda tanthauzo ndikugula zinthu zodula.
Pakuwerengera kuchuluka kwa insulin - //diabetiya.ru/lechimsya/insulin/raschet-dozy-insulina-pri-diabete.html
Zifukwa zoyipa za insulin
Insulin ili ndi mapuloteni, chifukwa chake, zomwe zimapangitsa kuti ziwonongeke zimagwirizana kwambiri ndi kuphwanya mapuloteni:
- pa kutentha kwambiri, kugundana kumachitika mu njira ya insulini - mapuloteni amamatira limodzi, amagwera pansi ngati ma flakes, mankhwalawo amataya gawo lake lalikulu;
- motsogozedwa ndi kuwala kwa ultraviolet, njira yothetsera vutoli imasinthira mamasukidwe, kukhala kwamitambo, njira zowonongera zimawonedwa mmenemo;
- pa kutentha kwina, kapangidwe ka mapuloteniwo amasintha, ndipo kutentha kwotsatira sikubwezeretsedwanso;
- gawo lamagetsi limakhudza kapangidwe ka maselo a protein, kotero insulin sayenera kusungidwa pafupi ndi mbaula zamagetsi, ma micowa, makompyuta;
- Botolo lomwe lidzagwiritsidwe ntchito posachedwa siligwedezeka, chifukwa thovu lazomwe zimalowa mu yankho, ndipo mlingo womwe umatola udzakhala wochepera. Kupatula ndi NPH-insulin, yomwe iyenera kusakanizika bwino isanayambe. Kugwedezeka kwa nthawi yayitali kumatha kuyambitsa kukhudzana kwa mankhwala ndi kuwonongeka kwa mankhwalawa.
Momwe mungayesere insulin kuti ikhale yoyenera
Mitundu yambiri ya mahomoni opanga ndi yankho lomveka bwino. Chokhacho chokha ndi insulin NPH. Mutha kusiyanitsa ndi mankhwala ena ndi chidule cha NPH m'dzina (mwachitsanzo, Humulin NPH, Insuran NPH) kapena ndi mzere mu malangizo "Clinical and Pharmacological Group". Zikuwonetsedwa kuti insulini iyi ndi ya NPH kapena ndi mankhwala apakati. Insulin iyi imapanga mpweya woyera, womwe ndi kusunthika kumapereka nyansi yankho. Simuyenera kukhala ndi ma flakes mmenemo.
Zizindikiro zosungira mosakhalitsa, ultrashort, ndi insulin yayitali:
- kanema pamakoma a botolo komanso pamwamba pa yankho;
- nyansi;
- chikasu kapena beige;
- oyera kapena otumphuka;
- kuwonongeka kwa mankhwalawa popanda kusintha kwakunja.
Zosungira & Zopangira
Zipangizo zonyamula ndi kusunga insulin:
| Kuphatikizika | Njira yokhalira kutentha kwambiri | Mawonekedwe |
| Firiji yosungirako mini | Batiri yokhala ndi Chaera ndi chosinthira pamagalimoto. Popanda kuyikanso, imasunga kutentha komwe kumafunikira kwa maola 12. | Ili ndi kukula kochepa (20x10x10 cm). Mutha kugula batiri yowonjezera, yomwe imakulitsa nthawi yogwira ntchito ya chipangizocho. |
| Pensulo yamafuta opaka ndi thermobag | Chikwama cha gel, chomwe chimayikidwa mu freezer usiku. Nthawi yokonza kutentha ndi maola 3-8, kutengera nyengo zakunja. | Itha kugwiritsidwa ntchito kunyamula insulin kuzizira. Kuti muchite izi, gel osakaniza amamuwotcha mu microwave kapena madzi otentha. |
| Zokhudza Matendawa | Zosagwirizana. Itha kugwiritsidwa ntchito ndi matumba a gel kuchokera ku cholembera cha pensulo yamafuta kapena thumba lamafuta. Insulin sangathe kuyika mwachindunji pa gel, botolo liyenera kukulungidwa m'matumba angapo a ma napkins. | Chowonjezera chonyamula mankhwala ndi zida zonse zomwe wodwala matenda ashuga angafunikire. Ili ndi kesi yolimba pulasitiki. |
| Mlandu wamafuta a cholembera | Gel yapadera yomwe imakhala yozizira kwa nthawi yayitali itayikidwa m'madzi ozizira kwa mphindi 10. | Imakhala malo ochepa, ikanyowa ndi thaulo imawuma kukhudza. |
| Nkhani ya Neoprene Syringe Pen | Kuteteza ku kusintha kwa kutentha. Ilibe zinthu zozizira. | Madzi osavomerezeka, amateteza ku kuwonongeka ndi ma radiation a ultraviolet. |
Njira yabwino kwambiri yonyamula insulin mukamayenda mtunda wautali - mafiriji okonzedwanso a mini. Ndiwopepuka kulemera (pafupifupi 0,5 makilogalamu), owoneka bwino ndikuwathetsa kwathunthu mavuto osungira m'maiko otentha. Ndi chithandizo chawo, wodwala matenda ashuga amatha kubweretsa mahomoni kwa nthawi yayitali. Kunyumba, itha kugwiritsidwa ntchito panthawi yamagetsi. Ngati matenthedwe ochulukira ali pansi pa ziro, njira yotenthetsera imangoyambika. Mafiriji ena ali ndi LCD yowonetsera yomwe imawonetsa chidziwitso cha kutentha, nthawi yozizira komanso mphamvu yotsalira ya batri. Choyipa chachikulu cha zida zotere ndi mtengo wokwera.
Zophimba zamafuta ndizabwino kugwiritsa ntchito nthawi yotentha, zimakhala ndi malo ochepa, amawoneka okongola. Mlandu wa kudzazidwa kwa gel sukutaya katundu wake kwa zaka zingapo.
Matumba amafuta ndi oyenera kuyenda maulendo akunyumba, ali ndi lingwe lamapewa ndikuwoneka okongola. Chifukwa cha pad yofewa, insulini imatetezedwa ku zisonkhezero zathupi, ndipo zowunikira zamkati zimaperekedwa kuti zizitetezere ku radiation ya ultraviolet.
