Isifo sikashukela yisifo esijwayelekile futhi abantu bafunda ngaso usuvele usazi. Kwabanesifo sikashukela, i-insulin iyingxenye yempilo futhi udinga ukufunda ukuthi ungayifaka kanjani ngendlela efanele. Akunasidingo sokwesaba imijovo ye-insulin - ayinabuhlungu ngokuphelele, into esemqoka ukunamathela kuma-algorithm athile.
Ukuphathwa kwe-insulini kubalulekile kusifo sikashukela sohlobo loku-1 kanti ngokuzikhethela isifo sikashukela sohlobo 2. Futhi uma isigaba sokuqala seziguli sesijwayele le nqubo, esidingekayo kuze kube kahlanu ngosuku, khona-ke abantu bohlobo 2 bavame ukukholelwa ukuthi umjovo uzoletha izinhlungu. Lo mbono unephutha.
Ukuze uthole ukuthi kufanele wenze kanjani imijovo, kanjani ukuqoqa umuthi, yini ukulandelana kwezinhlobo ezahlukene zemijovo ye-insulin nokuthi yini i-algorithm yokulawulwa kwe-insulin, udinga ukuzijwayeza ulwazi olungezansi. Kuzosiza iziguli ukunqoba ukwesaba umjovo olandelayo futhi zibavikele emjovo oyiphutha, ongathinta kabi impilo yabo futhi ungalethi noma yimiphi imiphumela yokwelapha.
I-Insulin Injection Technique
Uhlobo lwesifo sikashukela sohlobo 2 sichitha iminyaka eminingi sisaba umjovo olandelayo. Ngemuva kwakho konke, ukwelashwa kwabo okukhulu ukuvusa umzimba ukunqoba lesi sifo ngokwawo ngosizo lokudla olukhethiwe, izivivinyo zokuzivocavoca kanye namathebulethi.
Kepha ungesabi ukuphathisa i-insulin ngokweqile. Udinga ukulungiswa kusengaphambili ngale nqubo, ngoba isidingo singavela ngokuzenzakalelayo.
Lapho isiguli esinesifo sikashukela sohlobo 2, esingayifaki imijovo, siqala ukugula, ngisho ne-SARS ejwayelekile, kuphakama izinga likashukela wegazi. Lokhu kwenzeka ngenxa yokuthuthuka kokumelana ne-insulin - ukuzwela kwamangqamuzana kuya ku-insulin kuyancipha. Okwamanje, kunesidingo esiphuthumayo sokufaka i-insulin futhi udinga ukulungela ukuqhuba kahle lo mcimbi.
Uma isiguli siwuphatha umuthi hhayi ngokungaziphathi, kodwa nge-intramuscularly, khona-ke ukumunca umuthi kukhuphuka kakhulu, okufaka imiphumela emibi empilweni yesiguli. Kuyadingeka ukuqapha ekhaya, usebenzisa i-glucometer, izinga loshukela osegazini ngesikhathi sokugula. Ngempela, uma ungatholi umjovo ngesikhathi, lapho izinga likashukela likhuphuka, khona-ke ingozi yokushintshwa kwesifo sikashukela sohlobo 2 iye ekhuphukeni kokuqala.
Icebo lokuphatha i-insulin alikho nzima. Okokuqala, ungacela i-endocrinologist noma noma yimuphi uchwepheshe wezokwelapha ukuthi akhombise ngokucacile ukuthi umjovo wenziwa kanjani. Uma isiguli senqatshelwe insizakalo enjalo, khona-ke asikho isidingo sokucasuka ekuphatheni i-insulin ngokweqile - akukho lutho oluyinkimbinkimbi, ulwazi olunikezwe ngezansi luzokwembula ngokuphelele inqubo yokujova engenampilo futhi engenabuhlungu.
Okokuqala, kufanelekile ukunquma ukuthi indawo lapho kuzokwenziwa umjovo khona, imvamisa lesi yisisu noma umphimbo. Uma uthola amafutha e-fiber lapho, ungakwenza ngaphandle kokufaka isikhumba ngomjovo. Ngokuvamile, isayithi lomjovo lincike ebukhoneni bokunamafutha angaphansi kwesiguli; ukuthi likhulu kangakanani, lingcono.
Udinga ukudonsa kahle isikhumba, ungafiphizi le ndawo, lesi senzo akufanele sibangele ubuhlungu futhi shiye iminonjana esikhunjeni, yize sincane. Uma ucindezela isikhumba, khona-ke inaliti izongena emisipha, futhi lokhu kwenqatshiwe. Isikhumba singaboshelwa ngeminwe emibili - isithupha nophambili, ezinye iziguli, kulula, zisebenzisa yonke iminwe esesandleni.
Faka isirinji ngokushesha, sitsheke inaliti engela noma ngokulinganayo. Ungasiqhathanisa lesi senzo nokuphonsa i-dart. Akunandaba, ungafaki inaliti kancane. Ngemuva kokuchofoza isirinji, awudingi ukusithola ngokushesha, kufanele ulinde imizuzwana emi-5 kuye kweli-10.
Indawo yomjovo ayicutshungulwa lutho. Ukuze ulungele ukujova, i-insulin, ngoba isidingo esinjalo ungavela nganoma yisiphi isikhathi, ungajwayeza ukufaka i-sodium chloride, kubantu abavamile - i-saline, hhayi ngaphezu kwama-5 amayunithi.
Ukuzikhethela kwesirinji nakho kudlala indima ebalulekile ekusebenzeni ngempumelelo komjovo. Kungcono ukunika izintambo kuma-syringes ngenaliti ehleliwe. Nguye oqinisekisa ukuphathwa ngokuphelele komuthi.
Isiguli kufanele sikhumbule, uma okungenani kubuhlungu obukhulu obukhulu bukhona phakathi komjovo, khona-ke inqubo yokusebenzisa i-insulin ayizange ibonwe.
Ungashayela kanjani umuthi
Lokhu futhi akulutho oluyinkimbinkimbi. Le ndlela ichazwe ngokucophelela ukuze kugwenywe ama-bubble angena kwisirinji. Lokhu ngokuqinisekile akwesabisi, kepha kungasiphambukisa kancane isithombe somtholampilo ngemuva kokulimala i-insulin, okubaluleke kakhulu lapho kuthathwa imithamo emincane. Ngakho-ke kufanelekile ukuthatha imithetho yokuthatha umuthi ngokungathi sína.
Lo mthetho unikezwa i-insulin ebonakalayo, ngaphandle kokuqukethwe kwe-protamine engathathi hlangothi - lapha i-insulin inamafu futhi inesimo esichazayo. Uma i-insulin ebonakalayo inamafu, khona-ke kufanele ifakwe esikhundleni, iyaphangwa.
Okokuqala, udinga ukususa zonke izimbobo zokuzivikela kwisirinji. Ngemuva kwalokho udinga ukudonsela i-piston engxenyeni ohlela ukuqoqa ngayo i-insulin, ungaba amayunithi ayi-10 ngaphezulu. Kube sekuthathwa ibhodlela lomuthi bese kubhobozwa isigaxa senjoloba ngenaliti phakathi.
Isinyathelo esilandelayo ukufulathela ibhodlela ama-degrees angama-180 bese wethula umoya ovela kwisirinji. Lokhu kuyadingeka ukudala ingcindezi oyifunayo ebhodleleni, le nqubo izosiza ukuqoqwa kwemithi. Ipiston yesirinji icindezelwa kuze kube sekupheleni. Sonke lesi sikhathi, isikhundla se-vial esine-syringe asishintshi kuze kube yilapho isiguli sifinyelela umthamo osifunayo.
Kwabashukela abanesifo sikashukela abathela i-insulin efana ne-NPH (protafan), imithetho iyafana, ekuqaleni udinga ukwenza ukukhombisa okukodwa. Njengoba lo muthi unesici esinqunyiwe, unyakaziswa kahle ngaphambi kokuwusebenzisa. Ungesabi ukuyixhashisa ngokungadingekile, udinga ukufezekisa ukusatshalaliswa okufanayo kokudonsela phansi kulolo ketshezi futhi kuphela ngemuva kwalokho kuqhubeke nokuqoqwa kwe-insulin.
Izinyathelo ezilandelayo zokuqoqwa kwe-NPH - i-insulin kwisirinji zihlala zifana ngokusobala. Ukufingqa, singakwazi ukwahlukanisa izenzo eziphambili:
- thinta ibhodlela (le-NPH - insulin);
- thatha umoya omningi kwisirinji njengoba kudingeka i-insulin yokujova;
- faka inaliti engxenyeni yenjoloba yebhodlela bese uyiguqula libe ngama-degrees angama-180;
- khipha umoya kwisirinji ungene ku-vial;
- ukuqoqa inani elifanele lomuthi ngaphandle kokushintsha isikhundla se-vial;
- khipha isirinji, gcina i-insulin ngokushisa kuka 2 - 8 C.
Izinhlobo ezahlukene zemijovo ye-insulin
Ama-diabetes amaningi anqunyelwe ukuphatha, izinhlobo ezahlukahlukene ze-insulin - i-ultrashort, emfishane, enwetshiwe. Ungesabi ngesimo lapho udinga ukujova khona noma izinhlobo eziningana zemithi. Umthetho oyinhloko yilokhu: okokuqala, kwenziwa i-insulin esheshayo. Ukulandelana kulandelana okulandelayo:
- i-ultrashort;
- mfushane
- kunwetshiwe.
Lapho uLantus (enye yezinhlobo ze-insulin enwetshiwe) ebekelwe isiguli, khona-ke ukuhoxa kwakhe ebhodleleni kwenziwa kuphela nge-syringe entsha. Uma ngisho nengxenye encane kakhulu yomunye i-insulin ingena kwi-vial, khona-ke uLantus uzolahlekelwa ingxenye ebalulekile yokusebenza kwayo futhi ngeke kube khona ukubikezela umphumela wawo kushukela wegazi.
I-insulin ivuthiwe esizeni somjovo
Futhi kwenzeka ukuthi esigulini ingxenye ye-insulin igeleza isuka endaweni yomjovo. Umbuzo uphakama - kungakuhle yini ukuthi ufake umjovo omusha noma uzibeke umkhawulo ekutheni ukwazi ukungena ezingxenyeni ezinamafutha.
Impendulo engenakuqhathaniswa ukuthi awudingi ukufaka okunye. Isiguli sidinga kuphela ukubhala inqaku kudayari yakhe, okuzochaza ukugxuma okuncane kushukela wegazi. Ngabe uqonda kanjani - ukuthi umuthi ngokwengxenye awungenanga emzimbeni?
Lokhu, ngokushesha ngemuva kokukhipha inaliti esizeni somjovo, kufakwa umunwe kule ndawo futhi ubanjwe kulesi sikhundla imizuzwana emi-5. Uma ngemuva kwalapho kunephunga lesimo sokulondolozwa emunweni, futhi lokhu kuzwakale ngokushesha, khona-ke i-insulin ivuza kancane.
Imithetho Ebalulekile
Kunemithetho eminingana ebalulekile, ukungagcinwa kwayo okubandakanya imiphumela emibi empilweni yesifo sikashukela. Kwethulwa ngezansi:
- Musa ukuphatha indawo yomjovo ngotshwala kanye nanoma yisiphi esinye isixazululo se-gciwane;
- umjovo ukhishwa kuphela kwizicubu ze-adipose;
- ungasebenzisi ikhambi uma liqala ukusibekela amafu (alisebenzi ku-protophan, libuye liyi-NPH - insulin) - lokhu kukhombisa ukulahleka kwezindawo zalo zokwelapha;
- ngemuva kokuphathwa kwezidakamizwa, isiporho sihlala kwezicubu ze-adipose imizuzwana emi-5 kuye kweli-10;
- awukwazi ukuxuba izinhlobo ezahlukahlukene zama-insulin, kungaba nge-vial noma isirinji;
- uma ngemuva komjovo, i-insulin isibambile, awudingi ukwenza ukukhohlisa futhi;
- Ungayisebenzisi kabusha inaliti ye-syringe elahlekayo.
Umthetho wokugcina uvame ukwephulwa ngabanesifo sikashukela, ngoba izindleko zama-syringes, noma zincane, zibonakala impela, ikakhulukazi uma inani lemijovo lifika amahlandla ama-5 ngosuku. Kepha kungcono ukusebenzisa imali kunokulimaza umuthi. Futhi nakhu.
Konke lokhu kungenxa yokuthi inani elincane le-insulin lingakwazi ukuhlala inaliti. Uma uxhumana nomoya, uyakhala. Lokhu kusabela kubizwa ngokuthi i-polymerization.
Endabeni yokuphuza umuthi usebenzisa inaliti esetshenzisiwe, amakristalu e-insulin angangena ku-vial. Ngenxa yalokhu, i-polymerization iyenzeka, futhi into eseleyo ilahlekelwe ngokuphelele yizakhiwo zayo. Uma i-vial ene-insulin enamafu ingumuthi onakele futhi ayinakuthathwa ngenxa yokungasebenzi ngokuphelele.
Ngakho-ke kufanele ulandele i-algorithm yokulawulwa kwe-insulin okungaqondakali ukuze uvikele impilo yesiguli futhi ugweme izinhlungu.
