Iziguli ezinesifo sikashukela zivame ukuphathiswa "ukuhlala" nge-insulin. Isidingo somjovo oqhubekayo uvame ukucindezela abanesifo sikashukela, ngoba izinhlungu ezingapheli ezivela emijovo yabaningi babo ziba yingcindezi engapheli. Kodwa-ke, eminyakeni engama-90 yokuba khona kwe-insulin, izindlela zokuphatha zakhona zishintshe kakhulu.
Ukutholwa kwangempela kwabanesifo sikashukela kwakuwukusungulwa kwesipuni esikahle kakhulu nesiphephile sepeni ka-Novopen 4. Lezi zinhlobo ezingemuva kakhulu zanamuhla azizuzi nje kuphela ngokulula nangokuthembekile, kodwa futhi zikuvumela ukuthi ulondoloze izinga le-insulin egazini ngaphandle kobuhlungu ngangokunokwenzeka.
Kuyini lokhu okusha ezweni lemikhiqizo yezokwelapha, ukuyisebenzisa kanjani, futhi luhlobo luni lwe-insulin ipeni lesirinji yeNovopen 4 elifana.
Zinjani amapeni wesirinji
Amapeni wesirinji avele emaketangeni ekhemisi nasezitolo zemishini yezokwelapha eminyakeni engaba ngu-20 edlule. Ngaphezu kwakho konke "lesi simangaliso sobuchwepheshe" saziswa kakhulu yilabo okumele "bahlale ngenaliti" yempilo - abanesifo sikashukela.
Ngaphandle, isirinji enje ibukeka kahle futhi ibukeka njengepeni yomthombo wepiston. Ukulula kwayo kuyamangalisa: inkinobho ibekwe kolunye uhlangothi lwe-piston, kuthi inalithi iphume kolunye. I-cartridge (isitsha) esine-insulin engu-3 ml ifakwa emgodleni ongaphakathi wesirinji.
Ukwelula okukodwa kwe-insulin kuvame ukwanela iziguli izinsuku eziningana. Ukujikeleza kwe-dispenser engxenyeni yomsila yesirinji kuguqula ivolumu efiselekayo yesidakamizwa ngomjovo ngamunye.
Kubaluleke kakhulu ukuthi i-cartridge ihlale ine-insulin efanayo. I-1 ml ye-insulin iqukethe IZINHLOBO eziyi-100 zalo muthi. Uma ugcwalisa futhi i-cartridge (noma i-penfill) nge-3 ml, khona-ke izoqukatha ama-300 PIECES we-insulin. Isici esibalulekile sawo wonke amapeni wesirinji amandla abo okusebenzisa i-insulin evela kumenzi oyedwa kuphela.
Enye impahla eyingqayizivele yazo zonke izibaya zesirinji ukuvikelwa kwenalithi ekuthintweni ngengozi ngamakhanda angenazici. Inaliti kulezi amamodeli wesirinji ivezwa kuphela ngesikhathi somjovo.
Imidwebo yamapeni wesirinji inemigomo efanayo yokwakheka kwezinto zawo:
- Izindlu eziqinile ezinomkhono we-insulin ezifakwe emgodini. Umzimba wesirinji uvulekile ohlangothini olulodwa. Ekupheleni kwayo kunenkinobho eguqula umthamo owufunayo womuthi.
- Ukwethulwa kwe-1ED ye-insulin, udinga ukwenza okukodwa kwenkinobho emzimbeni. Isikali kuma-syringes alo mklamo sicacile ikakhulukazi futhi siyafundeka. Lokhu kubalulekile kubantu abangaboni kahle, abantu asebekhulile nezingane.
- Emzimbeni wesirinji kukhona umkhono lapho inaliti ihlangana khona. Ngemuva kokusetshenziswa, inalithi iyasuswa, bese kufakwa isiphuzo esivikelekile kwisirinji.
- Zonke izinhlobo zamapeni wesirinji ngokuqinisekile zigcinwa ezimweni ezikhethekile ukuze zilondolozwe kahle nangokuhamba ngokuphepha.
- Lo mklamo wesirinji ulungele ukusetshenziswa emgwaqweni, emsebenzini, lapho kwenzeka khona ukungaphatheki kahle okuningi kanye nokutholakala kwezifo zokuhlanzeka kuhlobene ne-syringe ejwayelekile.
Kafushane ngeNovopen 4
I-Novopen 4 ibhekisa esizukulwaneni esisha samapeni wesirinji. Esichasisweni salo mkhiqizo kuthiwa i-insulin pen novopen 4 ibonakala ngokutholakala:
- Ukwethembeka kanye lula;
- Ukutholakala kokusetshenziswa noma kwabantwana nabadala;
- Isikhombi sedijithali esihlukanisa ngokusobala, amahlandla amathathu kukhudlwana futhi sibukhali kunamamodeli amadala;
- Inhlanganisela yokunemba okuphezulu nekhwalithi;
- Iwaranti yomkhiqizi okungenani iminyaka emi-5 yokusebenza okuphezulu kwale modeli yesirinji nokunemba kwethamo le-insulin;
- Umkhiqizo waseDenmark;
- Izinkinga eziseYurophu ngenguqulo enemibala emibili: eluhlaza okwesibhakabhaka nesiliva, ukusetshenziswa kwezinhlobo ezahlukene ze-insulin (amasirinji esiliva ayatholakala eRussia, futhi izitika zisetshenziselwa ukumaka zona);
- Umthamo we-cartridge otholakalayo wamayunithi angama-300 (3 ml);
- Izisetshenziswa ezinesibambo sensimbi, isisulu semishini kanye nesondo ukusetha umthamo owuthandayo;
- Ukunikeza imodeli ngenkinobho yedosi kanye nokufakwa kokuzalwa ngobushelelezi obukhulu kanye nokushaywa unhlangothi okufushane;
- Ngesinyathelo esisodwa esinamanani weyunithi eli-1 kanye nokwethulwa kokwethula kusuka kumayunithi ama-insulin ayi-1 kuye kwangama-60
- Iqoqo elifanelekile le-insulin U-100 (ilungele ukufakelwa ama-insulin ngokugcotshwa kwezikhathi ezi-2,5 kunephakethe elijwayelekile le-U-40).
Izici eziningi ezinhle zomjovo weNovopen 4 ziyivumela ukuba ithuthukise kakhulu ikhwalithi yempilo yeziguli ezinesifo sikashukela.
Kungani syringe pen novopen iziguli ezi-4 zesifo sikashukela
Ake sibheke ukuthi kungani i-syringe pen novopen 4 ingcono kunesirinji ejwayelekile yokulahlwa.
Ngokombono weziguli nodokotela, le modeli yesaliti ethile inezinzuzo ezilandelayo ngaphezulu kwamanye amamodeli afanayo:
- Umdwebo oyisitayela nokufana okuphezulu kwesibambo se-piston.
- Kunesilinganiso esikhulu futhi esibonakalayo esingahle sisetshenziselwe abantu asebekhulile noma abangaboni kahle.
- Ngemuva kokujova komthamo we-insulin onqwabelanayo, le modeli yesirinji yepeni ikukhombisa ngokushesha lokhu ngokuchofoza.
- Uma umthamo we-insulin ungakhethwanga kahle, ungangeza kalula noma uhlukanise ingxenye yawo.
- Ngemuva kwesiginali yokuthi umjovo wenziwe, ungasusa inalithi kuphela ngemuva kwemizuzwana eyi-6.
- Kule modeli, amapeni wesirinji afanelekile kuphela kuma-cartridge abekiwe anezimpawu (akhiqizwa yiNovo Nordisk) nezinaliti ezikhethekile zokulahlwa (Inkampani yeNovo Fine).
Abantu kuphela abaphoqelelwa ukuthi babekezelele izinkathazo ezivela kumijovo abangaqonda ngokugcwele konke ukusizakala kwale modeli.
I-insulin efanelekile yepeni yesirinjien 4
I-syringe pen novopen 4 “inobungane” nezinhlobonhlobo ze-insulin ezikhiqizwe yinkampani yemithi yaseDenmark kuphela uNovo Nordisk:
Inkampani yaseDenmark uNovo Nordisk yasungulwa emuva ngo-1923. Kuyinto enkulu kunazo zonke embonini yezemithi futhi isebenza ngokukhethekile ekukhiqizweni kwezidakamizwa ekwelapheni izifo ezingelapheki (i-hemophilia, isifo sikashukela, njll.) Inkampani inamabhizinisi emazweni amaningi, kufaka phakathi naseRussia.
Amagama ambalwa mayelana nokufakwa kwale nkampani okulungele i-Novopen 4 injector:
- I-Ryzodeg iyinhlanganisela yama-insulin amabili amafushane futhi ahlala isikhathi eside. Umphumela wayo ungahlala ngaphezu kosuku. Sebenzisa kanye ngosuku ngaphambi kokudla.
- I-Tresiba inesenzo eside esengeziwe: amahora angaphezu kwama-42.
- INovorapid (njengeningi le-insulin yale nkampani) iyi-analogue ye-insulin yabantu ngesenzo esifushane. Kwethulwa ngaphambi kokudla, kaningi esiswini. Kuvunyelwe ukuthi isetshenziswe ngabesifazane abakhulelwe nababambisayo. Ngokuvamile kuyinkimbinkimbi nge-hypoglycemia.
- I-Levomir inomphumela owapheli. Isetshenziselwe izingane ezineminyaka eyi-6.
- I-Protafan ibhekisa ezidakamizweni ezinesikhathi esilinganiselwe sesenzo. Kuyamukeleka kwabesifazane abakhulelwe.
- I-Actrapid NM isidakamizwa esisebenza esifushane. Ngemuva kokulungiswa kwamthamo, kuyamukeleka kwabesifazane abakhulelwe futhi abakhulelwe.
- I-Ultralente ne-Ultralent MS izidakamizwa ezisebenza isikhathi eside. Kwenziwe ngesisekelo se-insulin yenkomo. Iphethini yokusetshenziswa inqunywa ngudokotela. Kuvunyelwe ukuthi isetshenziswe ngokukhulelwa nokukhonkotha.
- I-Ultratard inomphumela we-biphasic. Ilungele ushukela ozinzile. Ekukhulelwe noma ekuxambekeni, ukusetshenziswa kungenzeka.
- IMikstard 30 NM inomphumela we-biphasic. Ngaphansi kokuqondisa udokotela, isetshenziswa ngabesifazane abakhulelwe nababambisayo. Izinhlelo zokusebenzisa zibalwa ngawodwana.
- I-NovoMix isho i-biphasic insulin. Kukhawulelwe ukusetshenziswa ngabesifazane abakhulelwe, abavunyelwe ukunqunywa.
- IMonotard MS neMonotard NM (isigaba sesibili) kungokwama-insulins anesikhathi esijwayelekile sokusebenza. Ayilungele ukuphathwa kwe-iv. IMonotard NM ingabekelwa ukuthi ikhulelwe noma i-lactating.
I-Novopen 4 - imiyalo esemthethweni yokusetshenziswa
Sinikezela ngemiyalo yezinyathelo nezinyathelo yokulungiselela isirinji yepeni likaNovopen 4 lokulawulwa kwe-insulin:
- Geza izandla ngaphambi komjovo, bese ususa isimbobo sokuzivikela se-cap kanye ne-unscrew cartridge retainer.
- Cindezela inkinobho yonke indlela kuze kube yilapho isiqu singaphakathi kwesirinji. Ukususa i-cartridge kuvumela isiqu ukuba sihambe kalula futhi ngaphandle kwengcindezi evela piston.
- Hlola ubuqiniso be-cartridge nokufaneleka kohlobo lwe-insulin. Uma umuthi unamafu, kufanele uhlanganiswe.
- Faka i-cartridge kwisibambo ukuze ikepuli libheke phambili. Skena ikhareji kwisibambo kuze kube yilapho lichofoza.
- Khipha ifilimu evikela inaliti elahlekayo. Bese usula inaliti kwikholamu yesirinji, lapho kunekhodi yombala.
- Khiya isibambo sesirinji esikhala senaliti nomoya ophume komoya kuphume ebhokisini. Kubalulekile ukukhetha inaliti elahliwayo icubungula ububanzi bayo nobude besiguli ngasinye. Ezinganeni, udinga ukuthatha izinaliti ezinwebekile. Ngemuva kwalokho, ipeni lesirinji lilungele ukujova.
- Amapeni wesirinji agcinwa ekushiseni kwegumbi ecaleni elikhethekile, kude nezingane nezilwane (mhlawumbe kwikhabethe elivaliwe).
Izinhlungu zeNovopene 4
Ngaphezu kobuningi bezinzuzo, into entsha emfashinini ngesimo se-syringe pen novopen 4 inezinkinga zayo.
Phakathi kokuphambili, ungabiza amagama ngezici:
- Ukutholakala kwentengo ephezulu kakhulu;
- Ukuntuleka kwezindawo zokulungisa;
- Ukungakwazi ukusebenzisa i-insulin kusuka komunye umakhi;
- Ukuntuleka kokuhlukaniswa kwe "0.5", okungavumeli wonke umuntu ukuthi asebenzise lesi syringe (kufaka nezingane);
- Amacala wokuvuza kwemithi kusuka kudivayisi;
- Isidingo sokuba nokuhlinzekwa kwama-syringes amaningana, okubiza ngokwezezimali;
- Ubunzima bokuthuthukisa lesi sindiso kwezinye iziguli (ikakhulukazi izingane noma asebekhulile).
Intengo
Ipeni le-insulin lokujova i-novopen 4 insulin lingathengwa endaweni ekhemisi, ezitolo zezinto zokwelapha, noma kwi-inthanethi. Abantu abaningi ba-oda le modeli yesirinji yokusebenzisa i-insulin ezitolo eziku-inthanethi noma amasayithi, ngoba akuyona yonke iNovopen 4 ethengiswayo kuwo wonke amadolobha aseRussia.
Ukufingqa, singasho ukuthi ipeni le-insulin edonsa u-Novopen 4 lifanelwe ukubuyekezwa okuningi okuhle futhi liyadingeka kakhulu ezigulini. Umuthi wanamuhla awuthathi njengesifo sikashukela isikhathi eside, futhi amamodeli anjalo aguquliwe abenze lula izimpilo zeziguli ebezisebenzisa amashumi eminyaka i-insulin.
Okunye ukushiyeka kwalezi zinhlobo zama-syringe nentengo yazo ebizayo ayikwazi ukufihla udumo lwazo olufanelwe kahle.