Pomwe ungabaye insulin - malamulo a jakisoni

Pomwe mungabaye jakisoni, aliyense wodwala matenda ashuga ayenera kudziwa amene jakisoni wotsekedwa wa mahomoni.

Pali malo pathupi la munthu omwe ali oyenera kuperekera mankhwala.

Kuchita moyenera ndendende kumapereka chithandizo chokwanira komanso kuchepetsa zotsatira zoyipa.

Zotsatira za insulin yothandizira matenda a shuga a mellitus 1 ndi 2

Matenda a shuga amtundu 1 amadziwika ndi kuperewera kwenikweni kwa insulin. Izi zikutanthauza kuti chithandizo cholandila m'malo chimagwiritsidwa ntchito nthawi zonse, ndipo chimatenga nthawi yayitali.

Zisonyezo za insulin mankhwala a mtundu 2 matenda ndi:

• kusowa kwa zotsatira zabwino kuchokera pakugwiritsa ntchito mtundu wina wamankhwala;
• opareshoni;
• mimba
• kukula kwa zovuta pachimake;
• glycemia wamkulu pamimba yopanda kanthu.

Kodi kubaya insulin mu shuga?

Kuthira insulin mwachangu, ndikosavuta kuyiyendetsa mosamala:

• dera lam'mimba (kupatula Mchombo ndi dera lozungulira);
• phewa lakunja.

Pang'onopang'ono:

• m'dera la matako;
• wachikazi kutsogolo.

Komabe, ndikulimbikitsidwa kupaka insulin nokha m'mimba (mutha kuyimirira) ndi kutsogolo kwa ntchafu.

Kodi ndifunika kusinthitsa mawebusayiti enanso?

Masamba a jakisoni amayenera kusinthidwa nthawi zonse, kupewa majekiseni pafupipafupi m'dera limodzi. Mtunda pakati pa mfundo zam'mbuyomu komanso za pakadali pano ziyenera kukhala wosachepera 3 cm, apo ayi malo owonda a milodystrophic amapanga mafuta osaneneka.

Kusintha malo ena a jakisoni, mutha kugwiritsa ntchito chiwembu chosavuta "m'mimba, matako, ntchafu". Izi zimasunga chidwi cha zigawo kuti insulini ikhale yoyenera.

Kupanga mahomoni oyendetsera algorithm

Musanapange jakisoni, ndikofunikira kukonzekera:

• syringe wosalala ndi singano;
• kukonzekera kwa insulin. Pofuna kuti likhale lolondola, kutentha kwa firiji, mankhwalawa amayenera kutulutsidwa mu firiji theka la ora lisanalowe;
• thonje la thonje ndi mowa wa boric;
• chidebe chapadera cha syringe yogwiritsidwa ntchito.

Zonse zikakhala bwino, muyenera:

• Sambani m'manja ndi sopo kenako ndikupukuta;
• pukuta malo a jekeseni wam'tsogolo ndi pepala la thonje lomwe lidanyowa m'mowa.

Masamba a insulin

Kuti muziimba bwino mankhwalawa, muyenera:

• tumasulira singano ku cap, uyike pa syringe;
• kukoka pisitoni, bweretsani kuchuluka kwa mankhwala kuchokera pambale (ampoule).

Pamaso jakisoni, ndikofunikira kuyang'ana zomwe zili mu syringe kutipezeke ndi thovu. Ngati apezeka, mpweya uyenera kuchotsedwa kudzera mu singano. Adotolo akakuphatikiza mitundu yambiri ya insulini, choyamba amalemba mwachidule kenako.

Ndikofunikira kudziwa kuti

• Osamabailidwa m'malo opaka khungu kapena mafuta a m'matumbo (lipomas, etc.);
• Pakulowa m'mimba, singano sayenera kudulilidwa osapitirira 5 cm kuchokera ku navel, ndi pamaso pa timadontho - kumbuyo pafupifupi 2 cm kuchokera kwa iwo.

Kukonzekera kwambiri kwa insulin

Mankhwala onse omwe ali ndi insulin amasiyana nthawi yomwe amakhudzana, chifukwa chake amadziyika mu:

• mwachidule
• sing'anga;
• lalitali (lalitali).

Mwa kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito pochotsa matenda a insulin, otchuka kwambiri ndi awa:

1. Lantus. Amasankhidwa kukhala odwala matenda ashuga:

• kukhala ndi khola tsiku lililonse m'magazi;
• kuletsa kusintha kwa matenda a shuga a mtundu wachiwiri kukhala woyamba;
• kuteteza kokwanira kwa kapamba kuti asawonongeke kwathunthu maselo a beta amtundu 1 shuga;
• kupewa ketoacidosis.

Lantus amatanthauza insulin. Amathandizirana bwino ndi ma receptor achilengedwe ndipo amapanga metabolites ochepa, poyerekeza ndi insulin yaumunthu yachilengedwe. Chifukwa chakuti kapangidwe kake kamalowa pang'ono pang'onopang'ono ndipo "amagwira ntchito" pang'onopang'ono, iko, mosiyana ndi ma insulin ena autali, ndikokwanira kubayira kamodzi patsiku.

2. NovoRapid Ndi analogue yachilengedwe ya insulin ya anthu, koma imakhala yolimba kwambiri.

Chofunikira kwambiri pakapangidwe kake ndi insulin aspart, yomwe imakhala ndi kufupika kwa hypoglycemic. Chifukwa chakuti kusuntha kwa glucose m'maselo kumayamba kugwira ntchito kwambiri, ndipo kuchuluka kwa kapangidwe kake m'chiwindi kumachepa, shuga ya magazi amatsika kwambiri.

NovoRapid

Pankhaniyi:

• inapita patsogolo intracellular kagayidwe;
• zakudya minofu bwino;
• machitidwe a lipogenesis ndi glycogenesis adachita.

NovoRapid adaikidwa:

• ndi matenda a shuga a mellitus 1 ndi 2;
• kuchititsa kwakukulu pakuchita masewera;
• pofuna kuwongolera kulemera kwa thupi kunenepa kwambiri;
• ngati njira yoletsa kukula kwa chikomokere cha hyperglycemic.

Mankhwalawa amapangidwira ma subcutaneous kapena mtsempha wamitsempha, ndipo njira yoyamba ndiyabwino, chifukwa imathandizira kuchitapo kanthu. Amayambitsa mphindi 15 pambuyo pa jakisoni, mphamvu yake yokwanira imachitika pambuyo pa maola 2-3, ndipo nthawi yake ndi maola 4-5.

3. Chichewa. Mphamvu zake zamankhwala zimakhazikitsidwa pa umunthu wa yogwira - insulin lispro - analogue ya hormone ya munthu.

Chichewa

Amagwiritsidwa ntchito pochiza matenda a shuga a shuga

• tsankho la insulin ina, postprandial hyperglycemia, yomwe singathe kukonzedwa ndi mankhwala ena, komanso kukana insulini ndi subcutaneous makonzedwe;
• Pali chitetezo cha pakamwa chothandizira;
• mayamwidwe ena ofanana;
• ndi kuchitapo kanthu pochita opaleshoni, komanso zovuta zina zomwe zimakhudza matendawa.

Humalogue imanena za insulins zazifupi. Iyenera kuperekedwa kwa mphindi 15 musanadye. Mwanjira yake yoyenera, mankhwalawa amagwiritsidwa ntchito katatu patsiku, komanso osakanikirana ndi mitundu - katatu.

Phindu la doko lapadera la insulin

Anthu omwe akumalandira mankhwala a insulin m'malo mwake nthawi zambiri amadzipatsa jakisoni kuonetsetsa kuti mankhwalawo ali mthupi. Izi zimabweretsa zovuta. Kuti achepetse njirayi, padapangidwa doko lapadera.

• chifukwa cha kukula kwake kocheperako, imakhala yosaoneka thupi;
• catheter imodzi ikhoza kugwiritsidwa ntchito kwa masiku atatu, pomwe mankhwalawa amalowetsedwa mu doko, osati mwachindunji pakhungu;
• pali mwayi wochotsa kuboola thupi kambiri;
• Kugwiritsa ntchito kumachepetsa chiopsezo cha hematomas, soreness, lipodystrophic khungu pathologies m'malo a jekeseni.

Chipangizocho ndichabwino kugwiritsa ntchito ndi zolembera za insulin, komanso ma syringe ena apadera, pomwe:

• Kukhazikitsa sikuyambitsa kupweteka ndipo kumafunikira chidziwitso chochepa,
• Chipangizocho ndi choyenera kwa anthu omwe ali ndi matenda ashuga, osatengera zaka komanso thupi. Doko ndilothandiza ana.

Wachikulire amatha kuyiyika pakhungu palokha. Ngati muli ndi nkhawa kapena musakhale ndi nkhawa, mutha kupempha thandizo kwa dokotala kapena anamwino. Katswiriyu azichita zonse moyenera, ndipo nthawi yomweyo adzaphunzitsa momwe mungachitire nokha, kunyumba.

Kudziwa ndikuwonetsetsa malamulo omwe amayendetsera kukonzekera kwa insulin, komanso kugwiritsa ntchito ma syringe ena apadera ndi zida, zithandiza kupewa mavuto ndikukhazikitsa malangizo a dokotala. Kuphatikiza apo, izi zipangitsa kuti athe kuchita zodzitetezera mosatekeseka komanso kusapeza bwino.