Momwe mungapangire jakisoni wa insulin

Osangotengera luso la wodwala, koma, moyo wa wodwalayo pawokha. Therapy ya insulin imakhazikika pophunzitsa wodwala aliyense momwe alili komanso momwe amagwiritsidwira ntchito munthawi zina. Malinga ndi akatswiri a World Health Organisation, wodwala matenda ashuga ndi dokotala wake yemwe. Endocrinologist amayang'anira chithandizo, ndipo njira zimaperekedwa kwa wodwala. Chimodzi mwazinthu zofunika kwambiri pakuwongolera matenda a endocrine yayitali ndi funso loti mutha kupaka insulin.

Vuto lalikulu

Nthawi zambiri, achinyamata amakhala ndi mankhwala a insulin, kuphatikiza ana aang'ono kwambiri omwe ali ndi matenda ashuga 1. Popita nthawi, amaphunzira luso lotha kugwiritsa ntchito jakisoni ndi chidziwitso chofunikira panjira yolondola, yoyenera moyenera.

Amayi oyembekezera omwe ali ndi vuto la pancreatic amadziwika kuti amakonzekera insulin kwakanthawi. Hyperglycemia wosakhalitsa, mankhwalawa omwe amafunikira timadzi ta mapuloteni, amatha kupezeka mwa anthu omwe ali ndi matenda ena amtundu wa endocrine motsogozedwa ndi kupsinjika kwakukulu.

Mu matenda a shuga a mtundu wachiwiri, odwala amamwa mankhwala osokoneza bongo pakamwa. Kusagwirizana kwa shuga m'magazi ndikusokonekera kwaumoyo wa wodwala wamkulu (pambuyo pa zaka 45) kumatha kuchitika chifukwa chophwanya kwambiri zakudya komanso kunyalanyaza malangizo a dokotala. Kubwezera m'magazi a shuga kumatha kudzetsa matenda ake.

Kuchedwetsa ndikusintha kwa wodwala kupita ku insulin, nthawi zambiri pamaganizidwe, kumathandizira kuthamanga kwa zovuta za matenda ashuga

Maonekedwe a jakisoni ayenera kusintha chifukwa:

• kuchuluka kwa mayamwidwe insulin ndi osiyana;
• kugwiritsa ntchito malo amodzi pena pa thupi kumatha kuyambitsa milomo ya m'thupi la minofu (kuzimiririka kwa gawo la mafuta pakhungu);
• jakisoni angapo amatha kudziunjikira.

Momwe zimapangidwira "insulin" insulin nthawi yomweyo zitha kuoneka mwadzidzidzi, chifukwa patatha masiku awiri itatha. Mkulu shuga m'magazi, zomwe zimayambitsa kuwopsa kwa hypoglycemia. Nthawi yomweyo, munthu amatulutsa thukuta lozizira, kumverera kwanjala, ndipo manja ake amanjenjemera. Khalidwe lake litha kuponderezedwa,, kapena, kusangalala. Zizindikiro za hypoglycemia zimatha kupezeka mwa anthu osiyanasiyana omwe ali ndi shuga wamagazi m'magawo a 2.0-5,5 mmol / L.

Zikatero, ndikofunikira kuwonjezera msanga kuti muchepetse kuyambika kwa hypoglycemic coma. Choyamba muyenera kumwa madzi otsekemera (tiyi, mandimu, juwisi) omwe alibe zotsekemera (mwachitsanzo, aspartame, xylitol). Kenako idyani chakudya chamoto (sangweji, makeke ndi mkaka).

Kubweretsa jakisoni m'thupi la wodwalayo

Kuchita bwino kwa mankhwala a mahomoni m'thupi kumadalira malo omwe amayambitsa. Zingwe za hypoglycemic wothandizira zosiyanitsira zosiyanasiyana zimachitika m'malo amodzi. Ndiye ndingabaneko pati insulin kukonzekera?

Cholembera Insulin Yothekanso

• Dera loyambirira ndi m'mimba: mchiuno, ndikusunthira kumbuyo, kumanzere ndi kumanzere kwa navel. Imatenga mpaka 90% ya mlingo womwe umayendetsedwa. Khalidwe likuwonekera pang'onopang'ono pazochita za mankhwala, pakatha mphindi 15-30. Peak imachitika pakadutsa ola limodzi. Kubaya jakisoni m'dera lino ndizovuta kwambiri. Anthu odwala matenda ashuga amabayirira insulin yayifupi m'mimba mwawo atatha kudya. "Kuti muchepetse chizindikiro cha kupweteka, gwiritsani ntchito zigawo zowonda, pafupi ndi mbali," - uphungu woterowo nthawi zambiri umaperekedwa ndi endocrinologists kwa odwala awo. Pambuyo poti wodwalayo ayamba kudya kapena kupanga jakisoni ndi chakudya, atangodya.
• Gawo lachiwiri ndi manja: gawo lakunja la nthambi yam'mwamba kuyambira phewa mpaka m'chiwuno. Kubaya jakisoni m'derali kuli ndi zabwino zake - ndizosapweteka kwambiri. Koma ndikosavuta kwa wodwalayo kupanga jakisoni m'manja ndi ndudu ya insulin. Pali njira ziwiri kuchokera pamenepa: jekeseni insulin ndi cholembera kapena phunzitsani okondedwa anu kupereka jakisoni kwa odwala matenda ashuga.
• Gawo lachitatu ndi miyendo: ntchafu yakunja kuchokera ku inguinal mpaka kulumikizana kwa bondo. Kuchokera m'malo omwe ali miyendo ya thupi, insulin imatengedwa mpaka 75% ya mankhwala omwe amaperekedwa ndikuyamba pang'onopang'ono. Kukhazikika kwa zochita kumachitika m'maola 1--1,5. Amagwiritsidwa ntchito jakisoni ndi mankhwala, yayitali (yowonjezeredwa, yowonjezeredwa mu nthawi) chochita.
• Gawo lachinayi ndi masamba amapewa: lomwe lili kumbuyo, pansi pa fupa lomwelo. Chiwerengero cha insulin chosafotokozedwa pamalo opatsidwa ndi kuchuluka kwa mayamwidwe (30%) ndizotsika kwambiri. Tsamba lamapewa limawerengedwa kuti ndi malo osagwira jakisoni wa insulin.

Magawo anayi pa thupi la wodwalayo kuti apange jakisoni wa kukonzekera kwa insulin

Malo abwino okhala ndi magwiridwe antchito kwambiri ndi dera la umbilical (pamtunda wa zala ziwiri). Ndikosatheka kukhazikika nthawi zonse m'malo "abwino". Mtunda pakati pa jekeseni lomaliza ndi likubwerali uyenera kukhala wosachepera 3 cm.

Ngati mutsatira malangizowo kuti musambe "kufupikitsika" m'mimba, komanso "kutalika" pa ntchafu kapena mkono, ndiye kuti wodwala matenda ashuga ayenera kuchita jakisoni 2 nthawi imodzi. Odwala omwe amawonetsetsa kuti amakonda kugwiritsa ntchito ma insulin osakanikirana (osakanikirana a Novoropid, Humalog) kapena kuphatikiza pawokha mitundu iwiri ya syringe ndikupanga jakisoni imodzi malo aliwonse. Si ma insulini onse omwe amaloledwa kusakanikirana. Amatha kukhala ofupikirako komanso apakatikati ochita.

Njira yolowetsera

Anthu odwala matenda ashuga amaphunzira njira zowerengera mkalasi m'masukulu apadera, omwe amapanga dongosolo la endocrinology department. Odwala ocheperako kapena osathandiza amathandizidwa ndi okondedwa awo.

Zochita zazikulu zomwe wodwala amachita ndi izi:

1. Pokonzekera khungu. Tsamba la jakisoni liyenera kukhala loyera. Pukutani, makamaka pakani, khungu silifunikira mowa. Mowa umadziwika kuti umawononga insulini. Ndikokwanira kusamba gawo limodzi ndi madzi ofunda a sopo kapena kusamba (kusamba) kamodzi patsiku.
2. Kukonzekera kwa insulin (zolembera, syringe, vial). Mankhwalawa akuyenera kuti azikulungika m'manja mwanu kwa masekondi 30. Ndikwabwino kuyiyambitsa yosakanikirana bwino komanso yotentha. Imbani ndikutsimikizira kulondola kwa mlingo.
3. Kuchita jakisoni. Ndi dzanja lanu lamanzere, pangani khungu lanu ndikulowetsa singano m'munsi mwake pakulowa kwa madigiri 45 kapena kumtunda, mutagwira syringe molunjika. Mukatsitsa mankhwalawa, dikirani masekondi 5-7. Mutha kuwerengera mpaka 10.

Zochitika ndi zomverera pajekeseni

Kwenikweni, zomwe wodwala amakumana nazo ndi jakisoni zimawerengedwa ngati mawonetseredwe apangiri. Munthu aliyense ali ndi gawo lolimbana ndi kupwetekedwa mtima.

Pali zowonera ndi zomverera:

• palibe ululu wocheperako, zomwe zikutanthauza kuti singano yakuthwa kwambiri imagwiritsidwa ntchito, ndipo sinalowe mu mitsempha yotsalira;
• kupweteka pang'ono kumatha kuchitika ngati kulowa mu mitsempha kwachitika;
• mawonekedwe a dontho la magazi amawonetsa kuwonongeka kwa capillary (mtsempha wamagazi ochepa);
• kuvulazidwa chifukwa cha singano yovuta.

Kuyaluka pamalo pomwe vutoli lidawonekera sikuyenera kukhalapo mpaka kukonzanso.

Singano mu syringe pensulo ndi yocheperako kuposa ma insulin, kwenikweni sikuvulaza khungu. Kwa odwala ena, kugwiritsa ntchito njira yomalizirayi ndikofunikira pazifukwa zamaganizidwe: mlingo wodziimira pawokha womwe ukuchitika ukuchitika. Hypoglycemic yoyendetsedwa imalowetsedwa osati magazi okha, komanso khungu ndi minofu. Kuti mupewe izi, ndikofunikira kusonkhanitsa khungu lanu monga zikuwonekera pachithunzichi.

Kutentha kosalala (sopo ofunda), kutikita minofu (kumenya pang'ono) kwa malo a jakisoni kungathandizire kuchititsa insulin. Musanagwiritse ntchito mankhwalawa, wodwalayo ayenera kuonetsetsa kuti alumali yamoyo, ndende ndikuzisunga. Mankhwala a shuga sayenera kuzizira. Itha kusungidwa mufiriji pamtunda wa +2 mpaka +8 Celsius. Botolo lomwe limagwiritsidwa ntchito pakadali pano, cholembera cha syringe (chotayidwa kapena cholocha dzanja la insulin) ndilokwanira kusunga kutentha.