Kuwerenga kwa Insulin Mlingo Algorithm

Matenda a shuga ndi matenda omwe matenda a hypoglycemic amadziwika mu thupi la munthu.

Horm iyi imagwira gawo lofunikira mthupi la munthu, koma ntchito yake yayikulu ndikuchepetsa shuga la magazi.

Odwala amtundu wa shuga 1 amamulembera jakisoni wa insulin.

Anthu omwe ali ndi matenda a shuga a 2 amatha kukhala ochepa pomatenga mapiritsi nthawi yayitali. Jekeseni amapatsidwa kwa iwo ngati kuwonongeka kwa matendawa ndi mawonekedwe a zovuta.

Mphamvu yokhudza thupi ya insulin

Pharmacology yamakono imapanga kufanana kwathunthu kwa mahomoni amunthu. Izi zimaphatikizapo nkhumba ndi insulini, zopangidwa ndi mainjiniering. Kutengera ndi nthawi yochitapo kanthu, mankhwalawa amagawidwa mwachidule komanso a ultrashort, aatali komanso opitilira muyeso. Palinso mankhwala omwe mahomoni amtundu wa nthawi yayitali amasakanikirana.

Anthu omwe ali ndi matenda a shuga 1 amalandira mitundu iwiri ya jakisoni. Msonkhano wapadera umatchedwa jekeseni "ofunika" komanso "wamfupi".

Mtundu 1 umapatsidwa gawo la 0,5-1 pa kilogalamu imodzi patsiku. Pafupifupi, magawo 24 amalandiridwa. Koma, zoona zake, mankhwalawa amatha kusiyanasiyana. Mwachitsanzo, mwachitsanzo, mwa munthu yemwe wangopeza kumene za matenda ake ndikuyamba kubayitsa mahomoni, mlingo umachepetsedwa kangapo.

Izi zimatchedwa "tsogolo la wokondedwa" wa matenda ashuga. Jakisoni amathandizira pancreatic ntchito ndipo maselo abwinobwino a beta amayamba kupanga mahomoni ena. Vutoli limatenga miyezi isanu ndi umodzi, koma ngati chithandizo chamankhwala, zakudya ndi zolimbitsa thupi zimawonedwa, "phokoso laukwati" limatha kukhalanso nthawi yayitali. Insulin yocheperako imabayidwa musanadye kaye.

Mangati magawo oti ayikere chakudya?

Kuti mupeze mlingo woyenera wa mankhwalawa, muyenera kuwerengetsa kuchuluka kwa XE m'mbale yophika. Ma insulin amafupizawa amakankhidwa pamiyeso ya mayunitsi a 0.5-1-1,5-2 pa XE.

Ndi matenda omwe angopezedwa kumene, munthu amagonekedwa m'chipatala ku dipatimenti ya endocrinology, komwe madokotala odziwitsa amasankha mitundu yoyenera. Koma kamodzi kunyumba, kuchuluka kwa mankhwalawa komwe adokotala atha kukhala sikokwanira.

Ichi ndichifukwa chake wodwala aliyense amaphunzira kusukulu ya shuga, komwe amauzidwa za momwe amawerengera mankhwalawo ndikusankha mlingo woyenera wa magawo a mkate.

Kuwerengera kwa shuga

Kuti musankhe mtundu woyenera wa mankhwalawa, muyenera kukhala ndi cholembera cha kudziletsa.

Ikuwonetsa:

• glycemia wambiri musanadye komanso pambuyo chakudya;
• anadya mkate;
• Mlingo kutumikiridwa.

Kugwiritsa ntchito diary kuthana ndi kufunika kwa insulin sikovuta. Ndi magawo angati oti ayambe kudwala, wodwalayo mwini ayenera kudziwa, poyesa ndi zolakwitsa kudziwa zosowa zake. Kumayambiriro kwa matendawa, muyenera kumayimbira foni pafupipafupi kapena kukumana ndi endocrinologist, funsani mafunso ndi kupeza mayankho. Iyi ndi njira yokhayo yobwezera matenda anu ndikukhalitsa.

Mtundu woyamba wa shuga

Ndi matenda amtunduwu, "maziko" ake amatulutsa 1 - 2 pa tsiku. Zimatengera mankhwala osankhidwa. Ena amakhala maola 12, pomwe ena amakhala tsiku lathunthu. Pakati pa mahomoni afupiafupi, Novorapid ndi Humalog amagwiritsidwa ntchito nthawi zambiri.

Ku Novorapid, chochitikachi chimayamba mphindi 15 pambuyo pa jakisoni, pambuyo pa ola limodzi chafika pachimake, ndiye kuti kuchuluka kwa hypoglycemic. Ndipo pakatha maola 4 amasiya kugwira ntchito.

The humalogue imayamba kugwira ntchito patatha mphindi 2-3 pambuyo pakubayidwa, imafika pachimodzimodzi pakatha theka la ora ndipo imathera pomwe imatha maola 4.

Kanema wokhala ndi chitsanzo chowerengera mlingo:

Type 2 shuga

Kwa nthawi yayitali, odwala samachita jakisoni, izi zimachitika chifukwa chakuti kapamba amapanga mahomoni pawokha, ndipo mapiritsi amawonjezera chidwi cha minofu kwa icho.

Kulephera kutsatira zakudya, kunenepa kwambiri, ndi kusuta kumayambitsa chiwopsezo champhamvu kwambiri cha ziphuphu, ndipo odwala amakhala ndi vuto la insulin lokwanira.

Mwanjira ina, kapamba amasiya kutulutsa insulin kenako odwala amafunika jakisoni.

Mu magawo oyamba a matendawa, odwala amapatsidwa jekeseni woyambira.

Anthu amawaba jakisoni 1 kapena 2 pa tsiku. Ndipo limodzi ndi jakisoni, mapiritsi amakonzedwa amatengedwa.

Ngati "maziko" ake akakhala osakwanira (wodwalayo amakhala ndi shuga wambiri, zovuta zimawonekera - kutaya kwamaso, mavuto a impso), amapatsidwa mahoni ochepa pakudya.

Pankhaniyi, ayeneranso kutenga maphunziro asukulu ya shuga pa kuwerengera XE ndikusankha mlingo woyenera.

Mankhwala a insulin

Pali mitundu ingapo yamalamulidwe:

1. Jakisoni m'modzi - regimen iyi imakonda kuperekedwa kwa odwala omwe ali ndi matenda a shuga a 2.
2. Jakisoni wambiri amagwiritsidwa ntchito pa matenda a shuga 1.

Asayansi amakono apeza kuti jakisoni wambiri amatengera ntchito ya kapamba ndipo amakhudza bwino ntchito ya chamoyo chonse. Chifukwa chaichi, pampu ya insulin idapangidwa.

Ichi ndi pampu yapadera pomwe ma ampoule omwe ali ndi insulin yochepa amayikidwa. Kuchokera pamenepo, maikolofoni imalumikizidwa ndi khungu la munthu. Pampu imapatsidwa pulogalamu yapadera, malinga ndi yomwe kukonzekera kwa insulin kumalowa pansi pa khungu la munthu mphindi iliyonse.

Mukamadya, munthu amayika magawo ofunikira, ndipo pampu imadzilowera payekha pazofunikira. Pampu ya insulin ndi njira yabwinoko yosinthira jekeseni mosalekeza. Kuphatikiza apo, pali mapampu omwe amayeza shuga. Tsoka ilo, chipangizocho pachokha komanso zothandizira mwezi uliwonse ndizokwera mtengo.

Boma limapereka zolembera zapadera za onse odwala matenda ashuga. Pali ma syringe otayika, kutanthauza kuti, insulin ikatha, imatayidwa ndipo yatsopano imayamba. M'mapensulo osinthika, cartridge yamankhwala imasintha, ndipo cholembera chikugwirabe ntchito.

Cholembera chimbale chili ndi njira yosavuta. Kuti muyambe kuzigwiritsa ntchito, muyenera kuyikamo kathumba ka insulin, kuvala singano ndikuyimba insulin.

Mapensulo ndi a ana ndi akulu. Kusiyanako kukukhala poti ma cholembera aana amakhala ndi gawo la insulin ya mayunitsi 0,5, pomwe akulu ali ndi 1 unit.

Insulin iyenera kusungidwa pakhomo la firiji. Koma syringe yomwe mumagwiritsa ntchito tsiku lililonse mufiriji siyiyenera kunama, chifukwa mahomoni ozizira amasintha katundu wake ndikupangitsa kuti pakhale lipodystrophy - zomwe zimachitika pafupipafupi ndi insulin, momwe zimapangira malo operekera jakisoni.

M'nyengo yotentha, komanso kuzizira, muyenera kubisa syringe yanu mufiriji yapadera, yomwe imateteza insulini ku hypothermia komanso kutentha kwambiri.

Malamulo a insulin

Kupanga jekeseni palokha ndikosavuta. Mimba imakonda kugwiritsidwa ntchito ngati insulin yayifupi, ndipo phewa, ntchafu kapena matako kwakutali (maziko).

Mankhwalawa amayenera kupita m'mafuta osakanikirana. Ndi jakisoni wokhoza molakwika, kukula kwa lipodystrophy ndikotheka. Singano imayilidwa perpendicular pakhungu la pakhungu.

Syringe Pen Algorithm:

1. Sambani manja.
2. Pa mphete ya kukakamira, imbani 1 unit, yomwe imatuluka mlengalenga.
3. Mlingowo umayikidwa mosamalitsa malinga ndi zomwe dokotala wakupatsani, kusintha kwa mankhwalawa kuyenera kuvomerezedwa ndi endocrinologist. Chiwerengero chofunikira cha mayunitsi amalembedwa, khola limapangidwa. Ndikofunika kumvetsetsa kuti kumayambiriro kwa matendawa, ngakhale kuwonjezeka pang'ono m'mayunitsi kumatha kukhala koopsa. Ichi ndichifukwa chake nthawi zambiri kumakhala kofunikira kuyeza shuga la magazi ndikusunga diary ya kudziletsa.
4. Chotsatira, muyenera kukanikiza pamunsi pa syringe ndikubaya yankho. Pambuyo pa mankhwala, mankhwalawo samachotsedwa. Ndikofunikira kuwerengera mpaka 10 ndipo pokhapokha mutulutse singano ndikumasula khola.
5. Simungathe kubayira m'malo ndi mabala otseguka, chotupa pakhungu, m'dera la zipsera.
6. Jekeseni yatsopano iliyonse iyenera kuchitika m'malo atsopano, ndiye kuti, ndizoletsedwa kulowetsamo malo omwewo.

Phunziro la kanema pogwiritsa ntchito cholembera:

Nthawi zina odwala omwe ali ndi matenda a shuga a 2 amafunika kugwiritsa ntchito mankhwala a insulin. Vial ya insulin solution itha kukhala 40 ml, 80 kapena 100 mayunitsi 1 ml. Kutengera izi, syringe yofunikira imasankhidwa.

Algorithm yakhazikitse insulin:

1. Pukutani chopopera cha botolo ndi nsalu. Yembekezerani mowa kuti uume. Ikani syringe muyezo wofunika wa insulini kuchokera ku vial + 2, yikani kapu.
2. Chiritsani tsamba la jakisoni ndi pukuta la mowa, dikirani kuti mowawo uume.
3. Chotsani kapu, tulutsani mpweya, nthandizani mofulumira singano pamakwerero mpaka madigiri 45 kulowa pakati pamafuta osanjikiza kutalika konse, ndikudula.
4. Mumasuleni crease ndikubowola jakisoni pang'onopang'ono.
5. Mukachotsa singano, ikanikeni ndi swab ya thonje youma pamalo a jekeseni.

Kuwerengera kuchuluka kwa insulini ndikuchita jakisoni moyenera ndiko maziko othandizira odwala matenda ashuga. Wodwala aliyense ayenera kuphunzira izi. Kumayambiriro kwa matendawa, zonsezi zimawoneka ngati zovuta kwambiri, koma nthawi yochepa kwambiri idzadutsa, ndipo kuwerengera kwa mankhwalawo ndi kuyambitsa insulin kudzachitika pamakinawo.