Malamulo ndi algorithm yokhudza kuperekera kwa insulin mu shuga

Mankhwala a insulini tsopano ali gawo lofunika kwambiri pa matenda a shuga. Zotsatira za matendawa pamlingo waukulu zimatengera momwe wodwalayo angadziwire bwino njirayo ndipo amatsatira malamulo ndi ma algorithms oyenda kwambiri a insulin.

Mothandizidwa ndi njira zosiyanasiyana mthupi la munthu, zolakwika zamkati zimachitika. Kuchedwa secretion ndi mahomoni ake akuluakulu - Insulin. Chakudya chimasiya kugayidwa muizi zochuluka, chimachepetsa mphamvu kagayidwe. Hormoniyo sikokwanira kuthana ndi glucose ndipo imalowa m'magazi. Ndi mankhwala a insulin okha omwe amatha kuyimitsa njirayi. Pofuna kukhazikitsa bata, ma jakisoni amagwiritsidwa ntchito.

Malamulo onse

Jekeseni imachitika musanadye chilichonse. Wodwalayo sangathe kulumikizana ndi akatswiri nthawi zambiri ndipo amayenera kudziwa bwino za algorithm ndi malamulo oyendetsera, kuwerenga chipangizocho ndi mitundu ya ma syringe, momwe angagwiritsire ntchito, malamulo a kusunga mahomoni pawokha, kapangidwe kake ndi mitundu yosiyanasiyana.

Ndikofunikira kutsatira chikhalidwe chotsitsika, kutsatira miyezo yoyera:

• kusamba m'manja, gwiritsani magolovu;
• chitani bwino madera am'thupi momwe jakisoni udzachitikira;
• phunzirani kupaka mankhwala osakhudza singano ndi zinthu zina.

Ndikofunika kumvetsetsa mitundu ya mankhwalawa yomwe ilipo, nthawi yayitali bwanji, komanso kutentha kwake komanso kuchuluka kwa mankhwalawa.

Nthawi zambiri, jakisoni amasungidwa mufiriji kutentha kwa madigiri 2 mpaka 8. Kutentha kumeneku kumasungidwa pakhomo la firiji. Ndizosatheka kuti kuwala kwa dzuwa kugwere pamankhwala.

Pali chiwerengero chachikulu cha ma insulin omwe amatchulidwa molingana ndi magawo osiyanasiyana:

• Gulu
• chigawo chimodzi;
• digiri ya kuyeretsa;
• kuthamanga ndi kutalika kwa kuchitapo kanthu.

Gawo limatengera zomwe timadzi timene timapanga.

Itha kukhala:

• nkhumba;
• nsomba;
• zopangidwa kuchokera kapamba wama ng'ombe;
• munthu

Pali zokhazokha komanso kukonzekera kophatikiza. Malinga ndi kuchuluka kwa kuyeretsedwa, gulu limapita kwa iwo omwe amasefedwa ndi asidi ethanol ndipo amayeretsedwa ndi kuyeretsedwa kwakukuru pa mamolekyulu ndi ma ion-exchange chromatography.

Kutengera kuthamanga ndi kutalika kwa kuchitapo kanthu, zimasiyanitsa:

• ultrashort;
• mwachidule
• nthawi yayitali;
• lalitali
• kuphatikiza.

Mndandanda wa nthawi ya mahomoni:

Ndi endocrinologist wokhayo amene angadziwitse mankhwala komanso kupereka mankhwala.

Kodi amawabera kuti?

Kwa jakisoni, pali malo apadera:

• ntchafu (dera kumtunda ndi kutsogolo);
• m'mimba (pafupi ndi umbilical fossa);
• matako;
• phewa.

Ndikofunikira kuti jekeseni asalowe minofu yamatenda. Ndikofunikira kupaka mu mafuta osunthira, apo ayi, ndikumenya minofu, jakisoni idzayambitsa kusangalatsa kosasangalatsa komanso zovuta.

Ndikofunikira kuganizira za kuyambitsidwa kwa mahomoni omwe ali ndi nthawi yayitali. Ndikwabwino kuyilowetsa m'chiuno ndi matako - imagwiridwa pang'onopang'ono.

Zotsatira mwachangu, malo oyenera kwambiri ndi mapewa ndi m'mimba. Ichi ndichifukwa chake mapampu nthawi zonse amalipiritsidwa ndi ma insulin amafupikitsa.

Malo osagwirizana ndi malamulo osintha malo a jakisoni

Madera am'mimba ndi m'chiuno ndi abwino kwambiri kwa iwo omwe amadzipangira okha jakisoni. Apa ndikosavuta kutola khola ndi prick, kuonetsetsa kuti ndi malo enieni a mafuta. Zitha kukhala zovuta kupeza malo omwe jakisoni wa anthu owonda, makamaka omwe ali ndi vuto la dystrophy.

Lamulo la kukhazikitsa pansi liyenera kutsatiridwa. Osachepera masentimita awiri ayenera kubwezeretsanso kubayidwa kulikonse.

Masamba obayira ayenera kusinthidwa nthawi zonse. Ndipo popeza mukufunika kubaya pafupipafupi komanso kambiri, ndiye kuti pali njira ziwiri zothetsera izi - kugawa malo omwe adapangira jakisoni m'magawo 4 kapena 2 ndikujowina m'malo momwe ena onse akupumulirabe, osayiwala kubwereranso masentimita awiri kuchokera pamalo omwe jakisoni wapita kale .

Ndikofunika kuonetsetsa kuti tsamba la jakisoni silisintha. Ngati makonzedwe a mankhwalawa mu ntchafu ayamba kale, ndiye kuti ndikofunikira kukhazikika m'chiuno nthawi zonse. Ngati m'mimba, ndiye pamenepo ndikofunikira kupitilira kuti liwiro la kaperekedwe ka mankhwala lisasinthe.

Njira Yokhazikika

Mu shuga mellitus, pali njira yodziwika bwino yothandizira mankhwalawa.

Syringe yeniyeni yapangidwa kuti apangidwe jakisoni wa insulin. Kugawikana m'menemo sikufanana ndi magawano wamba. Zolembedwa mayunitsi - mayunitsi. Iyi ndi mlingo wapadera wa odwala matenda ashuga.

Kuphatikiza pa syringe ya insulin, pali cholembera, ndi chosavuta kugwiritsa ntchito, chilipo kuti mugwiritse ntchito. Pali magawano pazomwe zimagwirizana ndi theka la mlingo.

Mutha kuwonetsa kuyambitsa kugwiritsa ntchito pampu (dispenser). Ichi ndi chimodzi mwazinthu zamakono zopangira, zomwe zili ndi gulu lowongolera lomwe lili ndi lamba. Deta imalowetsedwa kuti idye mlingo wapadera ndipo munthawi yoyenera wopereka amawerengera gawo la jakisoni.

Kukhazikikaku kumachitika kudzera mu singano yomwe imayikidwa m'mimba, yokhazikika ndi tepi yolumikizira komanso yolumikizidwa ku botolo la insulin pogwiritsa ntchito machubu otanuka.

Syringe Kugwiritsa Algorithm:

• samatirani manja;
• chotsani kapu kuchokera ku singano ya syringe, ndikani mpweya ndikutulutsa mu botolo ndi Insulin (mumafunikira mpweya wambiri monga momwe mungapangire jakisoni wa jekeseni);
• kugwedeza botolo;
• kuyimba mlingo wocheperako kuposa chizindikiro chomwe mukufuna;
• chotsani thovu;
• pukuta jakisoni ndi antiseptic, kukhetsa;
• ndi chala chanu ndi chala chachikulu, sonkhanitsani khola kumalo komwe kubayirako;
• pangani jakisoni m'munsi mwa makola atatu ndikubaya, pang'onopang'ono piston;
• chotsani singano powerengera masekondi 10;
• pokhapokha mutulutse mafutawo.

Algorithm popereka mahomoni ndi cholembera:

• mlingo umapezeka;
• pafupifupi mayunitsi awiri apakidwa danga;
• mlingo wofunikawo wakhazikitsidwa pambale ya manambala;
• khola limapangidwa pathupi, ngati singano ndi 0.25 mm, silofunikira;
• mankhwala amakhazikitsidwa mukakanikiza kumapeto kwa chogwirizira;
• patatha masekondi 10, cholembera cha syringe chimachotsedwa ndipo crease imamasulidwa.

Ndikofunikira kukumbukira kuti singano za jakisoni wa insulin ndizochepa kwambiri - kutalika kwa 8-12 mm ndi 025-25.4 mm m'mimba mwake.

Jakisoni wokhala ndi syringe ya insulini uyenera kuchitika pakatikati pa 45 °, ndi cholembera - pamzere wowongoka.

Kumbukirani kuti mankhwalawa sangagwedezeke. Kutenga singano, simungathe kupaka malowa. Simungapange jakisoni ndi yankho lozizira - mutakoka chinthucho mufiriji, muyenera kuyigwira m'manja mwanu ndikupukutira pang'onopang'ono kuti mutenthe.

Pambuyo pa jekeseni, muyenera kudya chakudya pakatha mphindi 20.

Mutha kuwona bwino izi mu vidiyo ya Dr. Malysheva:

Zovuta za njirayi

Mavuto nthawi zambiri amabwera ngati simutsatira malamulo onse oyendetsa.

Kusavomerezeka kwa mankhwalawa kumatha kuyambitsa zovuta zomwe zimagwirizanitsidwa ndi tsankho la mapuloteni omwe amapanga.

Zoyipa zitha kunenedwa:

• redness, kuyabwa, ming'oma;
• kutupa
• bronchospasm;
• Edema ya Quincke;
• anaphylactic mantha.

Nthawi zina zochitika za Arthus zimayamba - kufupika ndi kutupa, kutupaku kumapeza mtundu wofiirira. Pofuna kuletsa zizindikirazo, pitani ku insulin. Njira yosinthira imalowa ndikukula kwa malo a necrosis.

Monga momwe zilili zilizonse, desensitizing othandizira (Pipolfen, diphenhydramine, Tavegil, Suprastin) ndi mahomoni (Hydrocortisone, microdoses of multicomponent porcine kapena insulin yaumunthu, Prednisolone).

Kumene komwe mukugulitsa kumapangitsa kuti insulin iwonjezeke.

Zovuta zina:

1. Kukana insulini. Apa ndipamene maselo amasiya kuyankha ku insulin. Mwazi wamagazi umakwera kwambiri. Insulin imafunika kwambiri. Zikatero, perekani zakudya, masewera olimbitsa thupi. Mankhwala othandizira ndi biguanides (Siofor, Glucofage) popanda kudya komanso kuchita masewera olimbitsa thupi sikugwira ntchito.
2. Hypoglycemia - imodzi mwazovuta zowopsa. Zizindikiro zamatenda - kuwonjezeka kwa mtima, thukuta, kugona mosalekeza, kugwedezeka, kunjenjemera (kugwedezeka) kwa miyendo. Ngati palibe chochitidwa, kukomoka kwa hypoglycemic kumatha kuchitika. Thandizo loyamba: perekani kukoma.
3. Lipodystrophy. Pali mitundu ya atrophic ndi hypertrophic. Amadziwikanso kuti subcutaneous fat degeneration. Zimachitika nthawi zambiri pamene malamulo opangira jakisoni samatsatiridwa - osayang'anira mtunda woyenera pakati pa jakisoni, kupereka mahosi ozizira, kuyambitsa malo komwe jekeseni idapangidwira. Vuto lenileni la pathogenesis silinazindikiridwe, koma chifukwa cha kuphwanya minofu trophism ndi kuvulala kosalekeza kwa mitsempha panthawi ya jekeseni ndikuyambitsa Insulin. Bwezeretsani malo omwe akukhudzidwawo ndikuthinana ndi mahomoni ofanana. Pali njira yomwe Pulofesa V. Talantov - amagwiritsa ntchito ndi njira ya novocaine. Kuchiritsa kwa minofu kumayambira kale mu sabata yachiwiri yamankhwala. Chidwi chachikulu chimaperekedwa pakuphunzira mwakuzama njira ya jakisoni.
4. Kutsitsa potaziyamu m'magazi. Ndi kuvutikaku, kuchuluka kwa chidwi kumawonedwa. Fotokozerani zakudya zapadera.

Mavuto otsatirawa atchulidwa:

• chophimba pamaso pa maso;
• kutupa kwa m'munsi;
• kuchuluka kwa kuthamanga kwa magazi;
• kunenepa.

Sizovuta kuthana ndi zakudya zapadera komanso zakudya zapamwamba.