Ayini amasirinji we-insulin?

Lapho kutholakala ukuthi unesifo sikashukela, umuntu kufanele afake i-hormone insulin emzimbeni nsuku zonke. Ngomjovo, kusetshenziswa amasirinji we-insulin aklanyelwe ngokukhethekile, ngenxa yokuthi inqubo yenziwa lula futhi umjovo uba buhlungu. Uma usebenzisa isirinji ejwayelekile, iziqubu nokulimala kungahlala emzimbeni wesifo sikashukela.

Amanani entengo ye-insulin ngokuvamile aphansi, futhi ngaphandle kwalokho, ngosizo lwedivayisi enjalo isiguli singakwazi, ngokwayo, ngaphandle kosizo lwangaphandle, ukufaka umjobo nganoma yisiphi isikhathi esikahle. Inzuzo eyinhloko yamamodeli we-insulin ukungabi lula kokuklama nokufinyeleleka komthengi.

Isirinji sokuqala se-insulin savela emashumini eminyaka edlule. Namuhla, emashalofini ezitolo zezokwelapha, kunezindlela eziningi ezahlukene zemishini yokwelashwa kwe-insulin, kufaka phakathi iphampu, ipeni lesirinji. Amamodeli amadala nawo asasebenza futhi afuneka kakhulu phakathi kwabanesifo sikashukela.

Izinhlobo ze-Insulin Syringes

Ama-syringes e-hormone kufanele abe ngendlela yokuthi umuntu onesifo sikashukela, uma kunesidingo, angazifaka ngokwakhe noma nini ngaphandle kobuhlungu nanoma yiziphi izinkinga. Ngakho-ke, ukuze wenze ukwelashwa kwe-insulin, kubalulekile ukukhetha imodeli ngokunembile, ngoba usufundile konke ukubhekana nobunzima kusengaphambili.

Emashalofini emakhemisi ungathola idivaysi yezinketho ezimbili, ezahlukahlukene ekuklameni nasekhonweni lawo. Ama-syringes we-insulin angabonakali alahlwayo anenaliti engasuswa asetshenziswa kanye.

Elula kakhulu futhi ephephe kakhulu ukuyisebenzisa ama-syringes ngenalithi eyakhelwe ngaphakathi. Lo mklamo awunalo okuthiwa "indawo efile", ngakho-ke umuthi usetshenziswa ngokuphelele, ngaphandle kokulahleka.

1. Kunzima ukusho ngokuqinisekile ukuthi yiliphi isirinji le-insulin elilungele umuntu onesifo sikashukela. Izinhlobo zanamuhla zamapeni wesirinji zilungele ukuthi zingathathwa nawe uzosebenza noma uzitadishe, kepha ziyahlukahluka ngezindleko.
2. Amapeni anjalo kubantu abanesifo sikashukela angasetshenziswa kaninginingi, anesilinganiso esisebenza kalula, ngakho-ke isiguli singabala masinyane ukuthi mangaki amayunithi e-insulin aqoqwayo.
3. Amapeni amaSiringe angagcwaliswa ngomuthi ngaphambi kwesikhathi, acubekile ngosayizi, ngokubukeka afana nepeni lebhola elijwayelekile, elilula futhi elisebenziseka kalula.
4. Amamodeli abizayo wesirinji noma amaphampu anendlela yokusebenza kagesi efana nesikhathi umjovo ozowuthatha. Futhi, amadivaysi kagesi angabonisa ukuthi mangaki ama-ml ngevolumu afakiwe futhi ngasikhathi sini kwenziwa umjovo wokugcina.

Imvamisa, isirinji le-insulin engu-1 ml lingatholakala ngokuthengiswa, kepha kunezinye izinhlobo zamadivayisi.

Umthamo omncane we-syringes we-hormone ngu-0,3 ml, kanti ubukhulu bungama-2 ml.

Yini ekhombisa ubukhulu bokuhlukaniswa kwisirinji ye-insulin

Isirinji ye-insulin, izithombe zazo ezingabonakala ekhasini, zinezindonga ezibonakala obala. Umthamo onjalo uyadingeka ukuze umuntu onesifo sikashukela akwazi ukubona ukuthi kungakanani umuthi osele nokuthi imuphi umthamo osuvele ufakiwe. Ngenxa yepiston enjoloba, umjovo wenziwa kancane futhi kahle.

Ukuze wenze isirinji yesifo sikashukela sikashukela sisondele ngangokunokwenzeka, lapho uthenga, udinga ukunaka ukuhlukaniswa. Imodeli ngayinye ingaba namandla ahlukile, imvamisa abanesifo sikashukela babala amayunithi, ngoba kuma-milligrams akulula kakhulu.

Ngakho-ke, kubalulekile ukuqonda ukwanda futhi wazi ukuthi ungayikhetha kanjani kahle imithamo ye-insulin syringes yokwelapha isifo sikashukela. Esigabeni esisodwa, inani eliphansi lezidakamizwa eliqoqwa ngomjovo liqukethwe.

• Lapho uthenga, kufanele uhlole ukuthi ngabe kukhona isilinganiso nokuhlukaniswa kwesirinji se-insulin. Esikhathini sabo, akunconywa ukusebenzisa idivaysi enjalo, ngoba kungenzeka ukwenza iphutha ekubaleni ama-milliliters adingekayo. On the division kanye esikalini kuyinto mono ukubona ukuthi kungakanani izidakamizwa ezihlanganisiwe eqashiwe.
• Imvamisa, intengo yokuhlukaniswa kwesirinji engu-U elahlekayo ingu-1 ml - amayunithi ayi-100 e-insulin. Futhi ekuthengisweni kunamamodeli abiza kakhulu angaqukatha umthamo wama-40 ml / 100 amayunithi. Noma imuphi imodeli unephutha elincane, okungukuhlukanisa okungu-½ wevolumu yonkana yedivayisi.

Isibonelo, lapho umuthi uphathwa ngesirinji, ukwahlukaniswa kwawo kungamayunithi ama-2, umthamo ophelele uzoba amayunithi angama--0,5 wenani eliphelele le-insulin. Uma uqhathanisa, nenani le-0,5 U i-hormone, ungangehlisa ushukela wegazi kumuntu omdala ngo-4,2 mmol / ilitha.

Kubalulekile ngaso sonke isikhathi ukubheka izinombolo ezinjalo, ngoba ngisho nephutha elincane, umuntu angakhulisa i-glycemia. Ngakho-ke, udinga ukwazi ukuthi hlobo luni lwama-insulin we-insulin, futhi ukuze usebenzise unomphela kufanelekile ukukhetha okukhethwa kukho ngephutha elincane. Lokhu kuzokuvumela ukubala umthamo ofanele ku-syringe. Ukuze kube lula ukubala, ungasebenzisa umshini wokubala okhethekile.

Ngokunemba okuphelele, kufanele uhambisane nomthetho olandelayo:

1. Uma umucu omncane we-insulin esetshenzisiwe unesinyathelo sokuhlukanisa, umuzamo womuthi olungiselelwe uzoba ngokunembile ngokwengeziwe.
2. Ngaphambi kokwenza umjovo, i-insulin ifakwa ku-ampoules.

I-insulin ejwayelekile ye-insulin inomthamo wama-unit angaphezu kwe-10, ihambisana ne-GOST ISO 8537-2011. Idivayisi inesinyathelo sokuhlukanisa esibalwe amayunithi angama-0.25, iyunithi eli-1 namayunithi ama-2.

Ngokuvamile ekuthengisweni ungathola izinketho ezimbili zokugcina.

Ama-insulin ama-insulin: ungayikhetha kanjani imithamo efanele

Ngaphambi kokwenza umjovo, kubalulekile ukubala kahle umthamo we-insulin kanye nevolumu lekhiyubhu yesirinji. E-Russia, i-insulin ibizwa ngokuthi i-U-40 ne-U-100.

Umuthi U-40 uthengiswa emabhodleleni aqukethe amayunithi angama-40 e-insulin nge-1 ml. Isirinji se-insulin eyi-100 μg ejwayelekile isetshenziselwa leli nani le-hormone. Kulula ukubala ukuthi ingakanani i-insulin ngokuhlukaniswa ngakunye. IYunithi eli-1 elihlukaniswe ngama-40 ngu-0,025 ml wesidakamizwa.

Ukuze kube lula, ekuqaleni, umuntu onesifo sikashukela angasebenzisa itafula elikhethekile. Kubonisa ukuthi umthamo we-insulin engu-0,5 ml uhambelana nenani esikalini sokuhlukaniswa kwama-20, 0,25 ml eliqondana nenkomba 10, 0.025 kwisibalo 1.

• Emazweni aseYurophu, uvame ukuthola kwi-insulin ethengiswayo, ebizwa ngokuthi i-U-100, isidakamizwa esinjalo senzelwe amayunithi ayi-100. Isifo sikashukela kwesinye isikhathi sinesifiso sokuthi kungenzeka yini ukusebenzisa isirinji le-insulin ejwayelekile engu-1 ml umuthi onjalo. Eqinisweni, lokhu ngeke kwenziwe.
• Iqiniso ngukuthi ebhodleleni elinjalo kune-insulin eningi, ukuqoqwa kwaso kudlula izikhathi ezi-2,5. Ngakho-ke, isiguli kufanele sisebenzise ama-syringes akhethekile we-GOST ISO 8537-2011 ejwayelekile yomjovo, nawo afaka ngosizo lwamapeni wesirinji enzelwe insulin enjalo.

Okuqukethwe kwe-insulin ngqo ku-mg kungafundwa ngokufakwa komuthi.

Ungayisebenzisa kanjani isirinji ye-insulin

Ngemuva kokuthi umuntu onesifo sikashukela esithole ukuthi siyini isirinji le-insulin, ukuthi libukeka kanjani nokuthi lingasetshenziswa yini ngomjovo, kudingeka ufunde ukuthi ungayifaka kanjani ngokufanele insulin emzimbeni.

Kunconywa ukusebenzisa ama-syringes ngezinaliti ezingaguquki zomjovo noma ukujova ngamapeni wesirinji. Isirinji elinjalo le-insulin 1 ml inendawo efile, ngakho-ke i-insulin ingena emzimbeni inani eliqondile. Kepha kubalulekile ukuqonda ukuthi izinaliti zamadivayisi anjalo azifiphele ngemuva kokuwusebenzisa kaninginingi.

Izinsimbi ezinaliti ezisuswayo zibhekwa njengokuhlanzeka okuthe xaxa, kepha izinaliti zazo zikhulu kakhulu. Ngokuvamile, ungashintsha ukusetshenziswa kwama-syringes, ngokwesibonelo, ekhaya nasemsebenzini.

1. Ngaphambi kwesethi ye-insulin, ibhodlela kufanele lisulwe ngesisombululo sotshwala. Uma udinga ukwethula kafushane umthamo omncane, umuthi awukwazi ukunyakaziswa. Umthamo omkhulu ukhiqizwa ngendlela yokumiswa. Kulokhu, ngaphambi kokusebenzisa i-hormone, ibhodlela liyanyakaziswa.
2. I-syringe piston idonswa emuva ukuhlukaniswa okudingekile futhi inaliti ifakwe kwi-vial. Umoya uqhutshelwa kwi-vial, kulapho kuphela i-insulin eqoqwa ngaphansi kwengcindezi yangaphakathi. Umthamo wezokwelapha kwisirinji kufanele ube mkhulu kakhulu kunethamo elungiselelwe. Uma amabhamuza womoya engena ngaphakathi kwebhodlela, thinta kancane ngeminwe yakho.

Ukuqoqa umuthi nokujova i-insulin, izinaliti ezihlukile kufanele zifakwe kwisirinji ye-insulin eyi-1 ml. Ukuthola umuthi, ungasebenzisa izinaliti kusuka kwisirinji elula, futhi umjovo wenziwa ngenaliti eziqinile ze-insulin.

Ukuxuba umuthi, kubalulekile ukuthi isiguli sinamathele emithethweni ethile.

• Isinyathelo sokuqala ukuthatha i-hormone esebenza kancane, kuphela ngemuva kwalokho uthathe i-insulin esebenza isikhathi eside.
• Kafushane, i-insulin noma i-NPH isetshenziswa masisha lapho umuthi uhlanganiswa, noma umuthi ugcinwa isikhathi esingaphansi kwamahora amathathu.
• I-insulin esebenza njenge-Medium ayikaze ihlanganiswe nokumiswa okwesikhashana. Ngenxa yokuxuba, i-hormone ende iguqulwa ibe mfushane, okuyingozi empilweni yomuntu onesifo sikashukela.
• Ama-insulin asebenza isikhathi eside ne-detemir Glargin nawo awenqatshelwe ekuhlanganiseni nawo wonke amanye, nawo angahlanganiswa namanye ama-hormone.
• Indawo lapho kuzokwenziwa umjovo khona ihlikihlwa nge-antiseptic. Odokotela abakukhuthazi ukusebenzisa izixazululo zotshwala zalokhu, ngoba utshwala bomisa isikhumba kakhulu, okuholela ekwakhekeni kwemilanjana ebuhlungu.

Umuthi uphathwa ngokungagudluki, hhayi nge-intramuscularly. Umjovo oshubile wenziwa ekhoneni lika-45-75 degrees. Ngemuva kokufakwa kwe-insulin, inaliti ayisuswa masinyane ukuze umuthi usabalale ngaphansi kwesikhumba.

Ngaphandle kwalokho, i-insulin ingavela ingxenye ethile yembobo eyenziwe ngenaliti.

Kusetshenziswa amapeni wesirinji

Amapeni amaSiringe ane-cartridge eyakhelwe ngaphakathi ene-insulin, ngakho-ke umuntu onesifo sikashukela awadingi ukuthwala amabhodlela e-hormone. Amadivaysi anjalo ayatholakala futhi ayasebenza futhi.

Amadivaysi alahliweyo ahlukaniswa ngokuba khona kwe-cartridge yemithamo engama-20, ngemuva kwalokho isibambo singaphonswa ngaphandle. Ipeni lesirinji elisebenzisekayo alidingi ukuthi likhishwe; lihlinzeka ngokufakwa esikhundleni sebhokisi, kuthengiswa emakhemisi.

Isiguli sitshelwa ukuba siphathe amapeni amabili anjalo. Eyokuqala isetshenziswa njalo, futhi uma kwenzeka yephuka, kuyithuluzi ledivayisi yesibili. Le yidivaysi elula kakhulu enezinzuzo eziningi ngaphezu kwesirinji ejwayelekile.

Izinzuzo ezisobala zifaka lezi zinto ezilandelayo:

1. Umthamo kwimodi yokuzenzakalelayo isethwe ku-1 Iyunithi;
2. Ama-Cartridges makhulu ngevolumu, ngakho-ke ipeni elilodwa likuvumela ukuthi wenze imijovo eminingana, kuyilapho ukhetha inani elilinganayo lomuthi;
3. Idivayisi inokunemba okukhulu, ngokungafani nesirinji;
4. Umjovo wenziwa ngokushesha futhi ngaphandle kobuhlungu;
5. Isifo sikashukela singasebenzisa ama-hormone ezinhlobo ezahlukahlukene zokukhishwa;
6. Inalithi yedivayisi incane kakhulu kunama-syringe abiza kakhulu futhi aphezulu;
7. Ukuze wenze umjovo, akudingeki ukhumule izingubo zakho.

Ngaphezu kwesigamu seziguli ezitholakala zinesifo sikashukela sohlobo 1 zithenga amapeni. Namuhla, emashalofini ezitolo zezokwelapha kunamamodeli anhlobonhlobo anamuhla ngamanani ahlukile, ngakho-ke wonke umuntu angakhetha inketho efanelekayo kakhulu ngentengo nekhwalithi.

Mayelana nesirinji ye-insulin ichazwa ngokuningiliziwe kuvidiyo kule ndatshana.