Njira yolondola yothandizira kuperekera insulin mu matenda ashuga - momwe angapangire jekeseni?

Matenda a shuga ndi matenda osachiritsika omwe amasintha moyo wamunthu. Odwala omwe ali ndi insulin-yodziyimira payokha ya matenda amapatsidwa mankhwala ochepetsa shuga.

Anthu omwe ali ndi matenda amtundu woyamba amakakamizidwa jakisoni wa mahomoni. Momwe mungabayire insulin mu matenda ashuga, nkhaniyi ifotokoza.

Algorithm ya mankhwala a insulin a mtundu 1 ndi matenda a shuga a 2

Mankhwalawa amaperekedwa mosavuta. Odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa matenda amalimbikitsidwa kuti azitsatira zotsatirazi za algorithm:

• yeretsani kuchuluka kwa shuga ndi glucometer (ngati chizindikirocho ndi chachikulu kuposa chofunikira, muyenera kupereka jakisoni);
• konzani zokwanira, syringe ndi singano, yankho la antiseptic;
• khalani omasuka;
• Valani magolovesi osasalala kapena sambitsani manja anu bwino ndi sopo;
• kuchitira jakisoni malo ndi mowa;
• sonkhanitsani insulin yotaya;
• kuyimba muyeso wa mankhwala;
• kupukuta khungu ndikupanga punction yozama 5-15 mm;
• kanikizani pistoni ndikuyambitsa pang'onopang'ono zomwe zili mu syringe;
• chotsani singano ndikupukuta jakisoni ndi antiseptic;
• idyani Mphindi 15-45 pambuyo pa njirayi (kutengera kuti insulin inali yochepa kapena yayitali).

Kuwerengetsa Mlingo wa jekeseni wa subcutaneous wa mtundu 1 ndi mtundu wa 2 odwala matenda ashuga

Insulin imapezeka m'm ampoules ndi ma cartridge ma voliyumu a 5 ndi 10 ml. Mililita iliyonse yamadzi imakhala ndi insulin ya 100, 80, ndi 40 IU. Mlingo umachitika m'malo amayiko osiyanasiyana. Musanalowetse mankhwalawa, ndikofunikira kuwerengera.

Chigawo cha insulin chimachepetsa glycemia ndi 2.2-2,5 mmol / L. Zambiri zimatengera machitidwe a thupi la munthu, kulemera kwake, kadyedwe, chidwi cha mankhwalawa. Chifukwa chake, tikulimbikitsidwa kusankha Mlingo.

Jekeseni nthawi zambiri amapatsidwa syringes yapadera. Kuwerengetsa kwa Mankhwala osokoneza bongo:

• kuwerengera magawano mu syringe;
• 40, 100 kapena 80 IU yogawika ndi kuchuluka kwa magawidwe - iyi ndiye mtengo wa gawo limodzi;
• gawani muyeso wa insulin yosankhidwa ndi dokotala ndi mtengo wogawa;
• dinani mankhwalawo, poganizira kuchuluka kwa magawidwe ofunika.

Mlingo woyenerera wa matenda ashuga:

• omwe angopezeka kumene - 0.5 IU / kg ya kulemera kwa odwala;
• yovuta ndi ketoacidosis - 0,9 U / kg;
• zopindika - 0,8 U / kg;
• mu mawonekedwe oyamba ndi chipukuta kuchokera chaka chimodzi - 0,6 PIECES / kg;
• ndi fomu yodalira insulini ndi chiphuphu chosakhazikika - 0,7 PIECES / kg;
• pa mimba - 1 unit / kg.

Kodi kujambula mankhwala mu syringe?

Timadzi tosungika tomwe timasungunuka timabayidwa mu syringe molingana ndi algorithm iyi:

• Sambani m'manja ndi sopo kapena pakani ndi zakumwa;
• yokulungira wokwanira ndi mankhwalawo pakati pa manja mpaka zomwe zili mkati mwake
• kukoka mpweya mu syringe mpaka magawo ofanana ndi kuchuluka kwa mankhwala omwe amaperekedwa;
• chotsani thumba lodzitchinjiriza ku singano ndikuyambitsa mzimu mu ampoule;
• kuyimba mahomoni mu syringe potembenuza botolo mozama;
• chotsani singano ku ampoule;
• chotsani mpweya wambiri pomenya ndi kukanikiza piston.

Njira yoperekera mankhwala omwe amagwira ntchito mwachidule ndi yofanana. Choyamba muyenera kulemba mtundu wa mahomoni achidule mu syringe, ndiye - yayitali.

Malamulo oyambira

Choyamba muyenera kuwerenga zomwe zalembedwa pa ampoule, kuti muwerenge chizindikiro cha syringe. Akuluakulu agwiritse ntchito chida chomwe chili ndi mtengo wogawa osati wopitilira 1, ana - 0,5 unit.

Malamulo okonzekera insulin:

• kudukiza ndikofunikira ndi manja oyera. Zinthu zonse ziyenera kukonzedwa ndi kuchiritsidwa ndi antiseptic. Malowo a jekeseni ayenera kukhala ophera tizilombo toyambitsa matenda;
• osagwiritsa ntchito syringe kapena mankhwala omwe atha;
• Ndikofunika kupewa kulandira mankhwalawo mumitsempha yamagazi kapena mitsempha. Chifukwa cha izi, khungu pakhungu la jakisoni limasonkhanitsidwa ndikukweza pang'ono ndi zala ziwiri;
• mtunda pakati pa jakisoni uzikhala masentimita atatu;
• Musanagwiritse ntchito, mankhwalawa ayenera kutentha kwa kutentha kwa chipinda;
• Pamaso makonzedwe, muyenera kuwerengera mlingo, kutanthauza mulingo wa glycemia;
• jekesani mankhwala m'mimba, matako, m'chiuno, mapewa.

Kuphwanya malamulo oyendetsera mahomoni amakhudzana ndi zotsatirazi:

• kukulitsa kwa hypoglycemia monga zotsatira zoyipa za bongo;
• mawonekedwe a hematoma, kutupa m'malo a jakisoni;
• kuthamanga kwambiri (kufulumira) kwa mahomoni;
• dzanzi m'dera la thupi lomwe insulin idalowetsedwa.

Momwe mungagwiritsire ntchito cholembera?

Cholembera cha syringe chimathandizira kuti jakisoni apangidwe. Ndiosavuta kukhazikitsa. Mlingowo umakhala wophweka kwambiri kuposa polemba mankhwalawo kukhala syringe yokhazikika.

Algorithm yogwiritsira ntchito cholembera:

• chotsani chipangacho;
• chotsani chophimba;
• ikani katoni;
• ikani singano ndikuchotsa kapu kuchokera pamenepo;
• sansani cholembera mosiyanasiyana;
• khazikitsani mlingo;
• lolani mpweya wokhala m'manja;
• sonkhanitsani khungu ndi antiseptic mu khola ndikuyika singano;
• kanikizani pistoni;
• dikirani masekondi angapo mutadina;
• chotsani singano, valani chophimba;
• sonkhanitsani chogwirira ndikuchiyika mumlandu.

Kangati patsiku kupereka jakisoni?

Endocrinologist ayenera kudziwa kuchuluka kwa jakisoni wa insulin. Sikulimbikitsidwa kuti mupange ndandanda nokha.

Kuchulukana kwa kayendetsedwe ka mankhwala kwa wodwala aliyense ndi munthu payekha. Zambiri zimatengera mtundu wa insulin (yayifupi kapena yayitali), zakudya ndi zakudya, komanso matendawa.

Pa mtundu woyamba wa matenda ashuga, insulin imakonda kutumikiridwa 1 mpaka katatu patsiku. Ngati munthu akudwala matenda a angina, chimfine, ndiye kuti makonzedwe ake amadziwika: mahomoni amaphatikizidwa pakadutsa maola atatu aliwonse mpaka kasanu patsiku.

Pambuyo poti wachira, wodwalayo amabwereranso ku dongosolo. Mu mtundu wachiwiri wa endocrinological pathology, jakisoni amaperekedwa asanadye chilichonse.

Momwe mungapereke jakisoni kuti isavulazike?

Odwala ambiri amadandaula za kupweteka kwa jakisoni wa insulin.

Pofuna kuchepetsa kupweteka kwambiri, kugwiritsa ntchito singano yakuthwa ndikulimbikitsidwa. Jakisoni woyamba wa 2-3 amachitidwa m'mimba, ndiye mwendo kapena mkono.

Palibe njira imodzi yomwe jekeseni yopanda ululu. Zonse zimatengera kupendekera kwapang'onopang'ono kwa munthu komanso mawonekedwe a khungu lake. Ndi kupendekera kotsika, kumva kosasangalatsa kumapangitsa ngakhale kukhudza pang'ono kwa singano, ndikutalika, munthu sangamve kupweteka kwapadera.

Kodi ndizotheka kubaya intramuscularly?

Homoni ya insulin imayendetsedwa mosagwirizana. Ngati mukulowetsa mu minofu, palibe chomwe mungade nkhawa, koma kuchuluka kwake kwa mankhwalawa kumakulira kwambiri.

Izi zikutanthauza kuti mankhwalawa azichita mwachangu. Kuti musalowe mu minofu, muyenera kugwiritsa ntchito singano mpaka 5mm kukula kwake.

Pamaso pa gulu lalikulu lamafuta, amaloledwa kugwiritsa ntchito singano kwakutali kuposa 5 mm.

Kodi ndingagwiritse ntchito sindirinji ya insulini kangapo?

Kugwiritsa ntchito chida chotayikira kangapo kumavomerezeka malinga ndi malamulo osungira.

Sungani syringe mu phukusi pamalo abwino. Singano iyenera kuthandizidwa ndi mowa pamaso pa jekeseni wotsatira. Muthanso kuwiritsa chida. Kwa nthawi yayitali komanso yochepa insulini ndi bwino kugwiritsa ntchito mosiyanasiyana.

Koma mulimonsemo, kusabala kumaphwanyidwa, malo abwino amapangidwira mawonekedwe a tizilombo tating'onoting'ono. Chifukwa chake, ndibwino kugwiritsa ntchito syringe yatsopano nthawi iliyonse.

Njira yoperekera insulin kwa ana omwe ali ndi matenda ashuga

Kwa ana, mahomoni a insulin amawongoleredwa chimodzimodzi monga akulu. Zoyenera kusiyanitsa ndi izi:

• singano zazifupi komanso zopyapyala zizigwiritsidwa ntchito (pafupifupi 3 mm kutalika, 025 mainchesi);
• pambuyo pa jekeseni, mwana amadyetsedwa pambuyo pa mphindi 30 kenako kachiwiri maola angapo.

Kuphunzitsa ana njira komanso njira zodzibweretsera

Kwa ana, makolo nthawi zambiri amawabayira insulin kunyumba. Mwana akamakula ndi kudziyimira payekha, ayenera kuphunzitsidwa njira ya insulin.

Izi ndi malingaliro kukuthandizani kuti muphunzire jakisoni:

• Fotokozerani mwana tanthauzo la insulin, momwe imakhudzira thupi;
• fotokozerani chifukwa chomwe amafunikira jakisoni wa timadzi timeneti;
• Fotokozani momwe mlingo amawerengedwa
• onetsani malo omwe mungapereke jekeseni, momwe mungakhinikizire khungu ndikutulutsa jekeseni musanalowe;
• kusamba m'manja ndi mwana;
• onetsani momwe mankhwalawo amachokera mu syringe, funsani mwana kuti abwereze;
• apereke syroke m'manja mwa mwana (wamkazi) ndipo, ndikuwongolera (dzanja) lake, kupanga chokhoma pakhungu, jekeseni mankhwala.

Ma jakisoni ophatikizira amayenera kuchitika kangapo. Mwana akamvetsetsa tanthauzo la kunyinyirika, kukumbukira njira zake, ndiye kuti ndi bwino kum'patsa jakisoni payekha moyang'aniridwa.

Mafoni pamimba kuchokera ku jakisoni: chochita?

Ngati siziyambitsa nkhawa, sizipweteka komanso sizitentha, ndiye kuti mavutowa adzatha paokha m'masiku ochepa kapena masabata.

Ngati madzi amamasuka kupumphuno, kupweteka, kufupika ndi kutupa kwambiri kumawonedwa, izi zitha kutanthauza njira yotupa. Pankhaniyi, chithandizo chamankhwala chofunikira.

Ndikofunika kulumikizana ndi dokotala kapena wothandizira.Nthawi zambiri, madokotala amapereka mankhwala a heparin, Traumeel, Lyoton, kapena Troxerutin.. Ochiritsa achikhalidwe amalimbikitsa kufalitsa ma conse ndi uchi wokometsedwa ndi ufa kapena msuzi wa aloe.

Kanema wothandiza

Za momwe mungapangire jakisoni wa insulin ndi cholembera, mu kanemayo:

Chifukwa chake, kubaya insulin ndi matenda a shuga sikovuta. Chachikulu ndikudziwa mfundo za kayendetsedwe, kudziwa kuwerengera kwake ndi kutsatira malamulo a ukhondo. Ngati maonekedwe ofala akuoneka bwino m'malo opezeka jakisoni, pitani kuchipatala.