Amakhemikhali asedolobheni lakho angaba nokukhethwa okukhulu noma okuncane kwama-insulin syringes. Zonke zazo ziyasebenziseka, ziyinyumba futhi zenziwe ngeplastiki, zinenalithi ezicijile ezibukhali. Kodwa-ke, amanye amasirinji we-insulin angcono kanti amanye abi kakhulu, futhi sizobheka ukuthi kungani kunjalo. Isibalo esingezansi sikhombisa isirinji ejwayelekile yokujova i-insulin.
Lapho ukhetha isirinji, isikali esinyatheliswa kuso sibaluleke kakhulu. Intengo yokuhlukanisa (isinyathelo sesikali) ngumqondo obaluleke kakhulu kithi. Lokhu ngumehluko kumanani ahambelana namamaki amabili aseduze esikalini. Kalula nje, leli inani elilinganiselwe lezinto elingathengiswa kwisirinji ngokwengeziwe noma ngaphansi.
Ake sibheke kahle isirinji ekhonjiswe esithombeni esingenhla. Isibonelo, phakathi kwamamaki 0 no-10 unezikhathi ezi-5. Lokhu kusho ukuthi isinyathelo sesikali singama-2 PIECES we-insulin. Kunzima kakhulu ukujova ngokunembile i-insulin umthamo we-1 IU noma ngaphansi nge-syringe enjalo. Ngisho nomthamo we-2 PIECES we-insulin uzoba nephutha elikhulu. Lokhu wudaba olubalulekile, ngakho-ke luzohlala kulo kabanzi
Isilinganiso sesikali se-syringe nephutha le-insulin
Isinyathelo (inani lokuhlukanisa) lesikali se-syringe siyiparamitha ebalulekile, ngoba ukunemba komthamo we-insulin kuncike kukho. Imigomo yokulawulwa kahle kwesifo sikashukela ichaziwe ku-athikili, "Ukulawula Kanjani Ushukela Wegazi Ngemithamo Emincane Ye-Insulin." Lokhu okuqukethwe okubaluleke kakhulu kuwebhusayithi yethu, ngincoma ukuthi uyifunde ngokucophelela. Sinika iziguli ezinesifo sikashukela sohlobo 1 nohlobo 2 ukuthi zinganciphisa kanjani isidingo se-insulin futhi zigcine ushukela wegazi wazo uzinzile futhi uvamile. Kepha uma ungakwazi ukufaka imithamo emincane ye-insulin ngokuqinisekile, kuzoba noshukela egazini, bese kuba nezinkinga zesifo sikashukela.
Kufanele wazi ukuthi iphutha elijwayelekile ½ lophawu lwesikali kusirinji. Kuyavela ukuthi lapho ufaka i-insulin ngesirinji ngo-2 amayunithi, umthamo we-insulin uzoba amayunithi ama-1. Kumuntu osekhulile onesifo sikashukela sohlobo 1, i-1 U ye-insulin emfushane izokwehlisa ushukela wegazi cishe ngo-8,3 mmol / L. Ezinganeni, i-insulin isebenza izikhathi ezi-2-8 ezinamandla amakhulu, kuye ngesisindo nobudala bayo.
Isiphetho ukuthi iphutha le-0,25 IU ye-insulin lisho umehluko phakathi koshukela wegazi ojwayelekile ne-hypoglycemia kwiziguli eziningi ezinesifo sikashukela. Ukufunda ukujova kahle imithamo emincane ye-insulin kuyinto yesibili ebaluleke kakhulu okudingeka uyenze ngohlobo 1 lwesifo sikashukela, ngemuva kokulandela ngokucophelela ukudla okune-carbohydrate ephansi. Ungakufeza kanjani lokhu? Kunezindlela ezimbili:
- sebenzisa amasirinji ngesinyathelo esincane sesikali futhi, ngalokho, ukunemba okuphakeme kwemithamo;
- hlanganisa i-insulin (ungayenza kanjani kahle).
Asikhuthazi ukusebenzisa amaphampu e-insulin esikhundleni sama-syringes, okubandakanya izingane ezinesifo sikashukela sohlobo 1. Kungani - funda lapha.
Iziguli zesifo sikashukela ezifunda isiza sethu ziyazi ukuthi awusoze udinge ukujova amayunithi we-insulin angaphezu kuka-7-8 kumjovo owodwa. Kuthiwani uma imithamo yakho ye-insulin inkulu? Funda ukuthi "Ungalanda Kanjani Imilinganiselo Emikhulu Ye-Insulin." Ngakolunye uhlangothi, izingane eziningi ezinesifo sikashukela sohlobo 1 zidinga imithamo ye-insulin engafinyeleleki cishe amayunithi ayi-0,1. Uma ikhishwa ngokwengeziwe, khona-ke ushukela wabo uyagxuma ngokuqhubekayo kanye ne-hypoglycemia kaningi kwenzeka.
Ngokusekelwe kukho konke lokhu, yini okufanele ibe yisirinji efanele? Kufanele kube umthamo ongeqi ngaphezu kwama-10 amayunithi. Ngezinga lawo wonke amayunithi angama-0.25 amakiwe. Ngaphezu kwalokho, lawa mamaki kufanele abe akude komunye nomunye ukuze kuthathwe ngisho nethamo le-⅛ IU le-insulin. Kulokhu, isirinji kufanele sibe yinde kakhulu futhi sibe mfushane. Inkinga ukuthi ayikho i-syringe enjalo emvelweni okwamanje. Abakhiqizi bahlala bengazizwa ngezinkinga zeziguli ezinesifo sikashukela, hhayi lapha kuphela, kodwa nakwamanye amazwe. Ngakho-ke, sizama ukukwenza ngalokho esinakho.
Kumakhemisi, kungenzeka ukuthi uthole ama-syringes kuphela ane-2 Ed amayunithi we-insulin, njengalawo aboniswe kwisibalo ngaphezulu kwendatshana. Ngezikhathi ezithile, ama-syringes anesahlukaniso sesilinganiselo 1 ayatholakala. Ngokwazi kwami, kunesirinji eyodwa kuphela ye-insulin lapho isikali siphawulwa amayunithi angama-0,25. Le yi-Becton Dickinson Micro-Fine Plus Demi enesilinganiso esingu-0.3 ml, i.e. I-30 IU ye-insulin ekugxambeni okujwayelekile kwe-U-100.
Lawa masirinji anentengo yokuhlukaniswa "okusemthethweni" yamayunithi angama-0.5. Futhi kunesilinganiso esingeziwe njalo emayunithi angama-0,25. Ngokuya kokubuyekezwa kweziguli ezinesifo sikashukela, umthamo we-insulin wamayunithi angama-0.25 utholakala ngokunemba. E-Ukraine, la ma-syringe awukushoda okukhulu. E-Russia, ungayi-oda uma usesha kahle. Azisekho izifaniso kuzo. Ngaphezu kwalokho, lesi simo emhlabeni wonke (!) Besilokhu senzeka isikhathi esiyiminyaka emihlanu.
Uma ngithola ukuthi amanye ama-syringe afanayo avele, ngizobhala ngokushesha lapha bese ngazisa bonke ababhalisele uhlu lwamakheli ngeposi. Okubaluleke kakhulu - funda ukuthi unganciphisa kanjani i-insulin ukuze ujova kahle imithamo ephansi.
Faka uphawu ku-syringe piston
Isigaxa episton lesirinji siyisiqeshana senjoloba emnyama. Isikhundla saso esikalini sibonisa ukuthi ingakanani into efakiwe kwisirinji. Umthamo we-insulin kufanele ubhekwe ekugcineni kophawu, olusondele kakhulu ngenaliti. Kuyinto efiselekayo ukuthi i-sealant ibe nobume obucwathile, kunokuba ibunjwe ngokhonkolo, njengakwamanye ama-syringes, ukuze kube lula kakhulu ukufunda umthamo. Ekhiqizweni kaphethiloli, injoloba yokwenziwa imvamisa isetshenziswa, ngaphandle kwe-latex yemvelo, ukuze kungabikho nzalo.
Izinaliti
Izinaliti zawo wonke ama-insulin ama-insulin athengiswayo manje abukhali kakhulu. Abakhiqizi bathanda ukuqiniseka iziguli ezinesifo sikashukela ukuthi imijovo yazo inenalithi ezibukhali kunezimbangi. Njengomthetho, bandisa. Kungangcono uma bemisa ukukhiqizwa kwama-syringe afanelekile ukujova kahle imithamo emincane ye-insulin.
Yiziphi izinaliti ongazisebenzisa ngemijovo ye-insulin
Ukwethulwa kwe-insulin kumele kwenziwe ngezicubu ezi-subcutaneous (fat subcutaneous). Kulokhu, kubalulekile ukuthi umjovo ungaphumi emgqeni (ujule kakhulu kunesidingo) noma ungaphakathi, i.e. usondele kakhulu ebusweni. Ngeshwa, abanesifo sikashukela bavame ukungazibeki isibaya sesikhumba, kodwa bazijovele ngakwesokudla. Lokhu kudala ukuthi i-insulin ingene emsipha, futhi amazinga kashukela egazi aguquka ngokungalindeleki.
Abakhiqizi bashintsha ubude nobukhulu bezinaliti zesirinji ye-insulin ukuze kube nokulimana okungatheni okungahleliwe kwe-insulin ngangokunokwenzeka. Ngoba kubantu abadala ngaphandle kokukhuluphala, kanye nasezinganeni, ubukhulu bezicubu ezingaphansi buvame ukungabi ngaphezu kobude binaliti elijwayelekile (12-13 mm).
Kulezi zinsuku, ungasebenzisa izinaliti ezimfishane ze-insulin, 4, 5, 6 noma 8 mm ubude. Inzuzo eyengeziwe ukuthi lezi zinaliti nazo zizacile kunezijwayelekile. Inaliti ejwayelekile yesirinji inobukhulu obungama-0,4, 0.36 noma u-0.33 mm. Futhi ububanzi bokubotshwa kwenaliti efakwe ku-insulin ngu-0.3 noma ngisho u-0.25 noma u-0,23 mm. Inalithi enjalo ikuvumela ukuthi ujove nge-insulin cishe ngaphandle kobuhlungu.
Manje sizonikeza izincomo zesimanje mayelana nokuthi ungakanani ubude bokubukwa kwenaliti ongayikhetha ukuphatha i-insulin:
- Izinaliti 4, 5 no-6 mm ubude - zilungele zonke iziguli ezindala, kubandakanya nabantu abakhuluphele. Uma uzisebenzisa, ukwakheka isibaya lesikhumba akudingekile. Esikhathini sikashukela sabadala, ukuphathwa kwe-insulin enalezi zinaliti kumele kwenziwe nge-angle engama-90 degrees ebusweni besikhumba.
- Iziguli zabantu abadala zidinga ukwakha isibaya kanye / noma ukujova nge-angle engu-45 degrees uma i-insulin ilimale engalweni, emlenzeni noma esiswini esifiphele. Ngoba kulezi zindawo ubukhulu bezicubu ezingaphansi buncishisiwe.
- Ezigulini ezindala, akunangqondo ukusebenzisa izinaliti ezinde kuno-8 mm. Ukwelashwa kwesifo sikashukela se-insulin kufanele kuqalwe ngezinaliti ezifushane.
- Ezinganeni nasentsheni - kuyalulekwa ukusebenzisa izinaliti 4 noma 5 mm ubude. Kungcono ukuthi lezi zigaba zabanesifo sikashukela zenze isibaya sesikhumba ngaphambi komjovo ukuze kugwenywe ukumuncwa kwe-insulin. Ikakhulu uma kusetshenziswa inalithi enobude obungu-5 mm noma ngaphezulu. Ngenaliti ende engu-6 mm, umjovo ungenziwa nge-angle engu-45 degrees, futhi amafolda esikhumba awanakwakheka.
- Uma isiguli esikhulile sisebenzisa inaliti ubude obungu-8 mm noma ngaphezulu, khona-ke kufanele sakhe isibaya kanye / noma sifake i-insulin engela kwama-degree angama-45. Ngaphandle kwalokho, kunengozi enkulu yokujova kwe-insulin.
Isiphetho: naka ubude kanye nobubanzi besenaliti yesirinji ye-insulin nepeni yesirinji. Lapho uncipha ubukhulu bokubamba kwenaliti, kungabi bunzima kakhulu ukuphathwa kwe-insulin. Ngasikhathi sinye, izinaliti zesirinji zensulin sezivele zikhishwa zizacile ngangokunokwenzeka. Uma zenziwe zaba mncane kakhulu, khona-ke zizoqala ukuphula phakathi nomjovo. Abakhiqizi bakuqonda kahle lokhu.
Empeleni ungazinika imijovo ye-insulin ngokuphelele ngaphandle kobuhlungu. Ukuze wenze lokhu, khetha izinaliti ezondile bese usebenzisa inqubo yokujova esheshayo.
Mangaki imijovo ye-insulin engenziwa ngenalithi eyodwa
Ungayikhetha kanjani izinaliti ze-insulin - sesivele sixoxe ngaphambili ngalo mbhalo. Ukwenza izinaliti zabo zisebenziseke kangcono kwabanesifo sikashukela, abakhiqizi basebenza kanzima. Izeluleko zezinaliti ze-insulin zilolwa kusetshenziswa ubuchwepheshe bamuva, futhi bukhiqizwa. Kepha uma usebenzisa inaliti kaninginingi, futhi nangaphezulu, iphindaphindwe, iphupho layo liyathambileka, bese kuthi ukuloba okugcobisayo kusulwe.
Uzoqiniseka ngokushesha ukuthi ukuphathwa okuphindaphindiwe kwe-insulin ngenalithi efanayo kuya kuba nzima futhi isikhathi ngasinye. Kufanele ukhuphule amandla okubhoboza isikhumba ngenaliti emfushane. Ngenxa yalokhu, ingozi yokugoba inaliti noma ngisho nokuyaphula iyanda.
Kunengozi enkulu yokusebenzisa futhi izinaliti ze-insulin ezingabonakali ngamehlo. Lokhu kungukulimala kwezicubu ezinama-microscopic. Ngokukhulisa okuqinile kwamehlo, kungabonakala ukuthi ngemuva kokusebenzisa inalithi ngayinye, ichopho layo ligobeka ngokwengeziwe futhi lithatha ukwakheka kwesicwegwe. Ngemuva kokuthi i-insulin ikhishwe, inaliti kufanele isuswe. Ngalesi sikhathi, igwegwe liphula izicubu, lizilimaze.
Ngenxa yalokhu, iziguli eziningi ziba nezinkinga esikhunjeni. Imvamisa kuba khona izilonda zezicubu ezingaphansi, ezivezwa yizimpawu zamanzi. Ukuze ubakhombe ngesikhathi, udinga ukuhlola futhi uhlole isikhumba. Ngoba kwesinye isikhathi lezi zinkinga azibonakali, futhi ungazithola kuphela ngokuthinta.
Izimpawu zesikhumba ze-Lipodystrophic azisiyisihla nje sezici zokugcoba. Zingaholela ezinkingeni ezinkulu zempilo. Awukwazi ukufaka i-insulin ezindaweni eziyinkinga, kepha iziguli eziningi ziyaqhubeka ukwenza lokhu. Ngoba imijovo ayibuhlungu kangako. Iqiniso ngukuthi ukufakwa kwe-insulin kulezi zingosi akulingani. Ngenxa yalokhu, amazinga kashukela wegazi aguquka kakhulu.
Imiyalo yepeni yesirinji ikhombisa ukuthi inaliti kumele isuswe ngemuva komjovo ngamunye. Iningi labanesifo sikashukela alilandeli lo mthetho. Esimweni esinjalo, isiteshi phakathi kwe-insulin cartridge nemvelo kuhlala kuvulekile. Kancane kancane, umoya ungena e-vial, futhi ingxenye ye-insulin iyalahleka ngenxa yokuvuza.
Lapho umoya uvela ebhokisini, ukunemba komthamo we-insulin kuyancipha. Uma kunamabhamuza omoya amaningi ku-cartridge, khona-ke kwesinye isikhathi isiguli sithola kuphela i-50-70% yomthamo onqwabelanayo we-insulin. Ukugwema lokhu, lapho uphatha i-insulin usebenzisa ipeni yesirinji, inaliti akufanele isuswe ngokushesha, kodwa imizuzwana eyi-10 ngemuva kokuba ipiston isifinyelele endaweni yayo ephansi.
Uma usebenzisa inaliti kaningana, lokhu kuholela ekutheni isiteshi sivaleke ngamakristalu e-insulin, futhi ukuphuma kwesisombululo kunzima. Njengoba kunikezwe konke lokhu okungenhla, ngokunengqondo, inaliti ngayinye kufanele isetshenziswe kanye kuphela. Odokotela kumele ngezikhathi ezithile bahlole nomuntu ngamunye onesifo sikashukela indlela yakhe yokusebenzisa i-insulin nesimo sezindawo zokujova esikhumbeni.
Ipeni le-insulin
Ipeni le-insulini yisirinji ekhethekile ngaphakathi ongafaka kuso ibhokisi elincane le-insulin. Ipeni lesirinji kufanele lenze impilo ibe lula kwabanesifo sikashukela, ngoba akudingeki ukuthi uphathe ama-syringes ahlukile kanye nebhodlela le-insulin. Inkinga ngala madivaysi ukuthi isinyathelo sesilinganiso saso sivame 1 iyunithi le-insulin. Esimweni esihle kunazo zonke, kungama-0.5 PIECES amapeni wezingane we-insulin. Uma ulandela ukudla okune-carbohydrate ephansi futhi ufunde ukulawula ushukela ngemithamo emincane ye-insulin, khona-ke lokhu kunemba ngeke kukusebenzele.
Phakathi kweziguli eziqeda uhlelo lwethu lokwelapha isifo sikashukela sohlobo lwe-2 noma uhlobo lwe-1 yesifo sikashukela (bheka izixhumanisi ngenhla), amapeni we-insulin afakwa kuphela kubantu abakhuluphele kakhulu. Imithamo ebalulekile ye-insulin iyadingeka ezigulini ezinesifo sikashukela, noma ngabe kunamathela ngokuqinile kulolo hlobo. Kubo, amaphutha umthamo we-± 0.5 U we-insulin awadlali indima enkulu.
Ezigulini eziningi ezinesifo sikashukela sohlobo 1 noma uhlobo 2 eziphathwa ngokwezindlela zethu, ukuthi kungenzeka ukuthi ukusebenzisa amasamu wesirinji kungabhekwa kuphela uma ziqala ukukhishwa amayunithi we-insulin angama-0.25. Kumaforamu wesifo sikashukela, ungafunda ukuthi abantu bazama “ukusonta” izibaya zesirinji ukujova imithamo engaphansi kwe-0,5 PIECES ye-insulin. Kepha le ndlela yokuthembana ayikhuthazi.
Uma usebenzisa imishanguzo yesifo sikashukela esiza ukulawula iphango lakho, khona-ke kuyadingeka ukuthi uwahlambe ngamapeni wesirinji aqhamuka nekhithi. Kepha ngale mishanguzo azinankinga ngomthamo, njengokujova kwama-insulin. Ukufaka imithi yesifo sikashukela ukusiza ukulawula iphango lakho ngepeni yesirinji kuyinto ejwayelekile. Sebenzisa amapeni wesirinji okujova i-insulin akukubi, ngoba awukwazi ukufaka imithamo ephansi ngokunembile. Sebenzisa kangcono amasirinji e-insulin ejwayelekile. Bheka futhi izindatshana ezithi "I-Technique for Inainion Painless of Insulin" nethi "How to Dilute Insulin to Precisely Prick Low Doses".
