Indlela elungile yokusebenzisa i-insulin kushukela - kanjani nokuthi ungawufaka kuphi?

Isifo sikashukela yisifo esingalapheki esiguqula indlela ejwayelekile yomuntu. Iziguli ezinendlela yokuthola i-insulin ezimele ye-pathology zibekelwa amaphilisi anciphisa ushukela.

Abantu abanesifo sohlobo lokuqala baphoqelelwa ukwenza imijovo yamahomoni. Ungawujova kanjani i-insulin kushukela, i-athikili izotshela.

I-algorithm yokwelashwa kwe-insulin yohlobo 1 nohlobo 2 lwesifo sikashukela

Umuthi lo uphathwa ngokungaziphathi. Iziguli ezinohlobo lwesifo sokuqala nolwesibili zinconywa ukuba zinamathele kuma-algorithm alandelayo:

• ukukala izinga loshukela nge-glucometer (uma inkomba ingaphezulu kunokwejwayelekile, udinga ukunikeza umjovo);
• lungiselela i-ampoule, isirinji enenalithi, isixazululo se-antiseptic;
• thatha isikhundla ntofontofo;
• gqoka amagilavu ​​awugqinsi noma geza izandla zakho ngensipho;
• phatha isayithi lomjovo ngotshwala;
• ukuqoqa isirinji okulahlwa yi-insulin;
• shayela umthamo odingekayo wemithi;
• ukugoqa isikhumba bese wenza ukubhoboza nge-5-15 mm;
• cindezela ku-piston bese wethula kancane okuqukethwe i-syringe;
• khipha inaliti bese usula isayithi lomjovo nge-antiseptic;
• yidla imizuzu eyi-15-45 emva kwenqubo (kuya ngokuthi i-insulin yayimfishane noma ihlala isikhathi eside).

Ukubalwa kwemithamo yemijovo engasasebenzi yohlobo 1 nohlobo 2 sikashukela

I-insulin iyatholakala kuma-ampoules nakuma-cartridges angama-5 no-10 ml. I-millilita ngayinye ye-ketshezi iqukethe i-insulin eyi-100, 80 kanye ne-40 ye-insulin. Umthamo wenziwa kumayunithi wezenzo zomhlaba wonke. Ngaphambi kokujova umuthi, kubalulekile ukubala umthamo.

Iyunithi le-insulin lehlisa i-glycemia ngo-2.2-2.5 mmol / L. Okuningi kuya ngezici zomzimba womuntu, isisindo, ukondleka, ukuzwela umuthi. Ngakho-ke, kunconywa ukukhetha imithamo.

Imijovo ivame ukunikezwa ngemijovo ekhethekile ye-insulin. Ukubalwa Kwezidakamizwa Algorithm:

• abale inani lokuhlukaniswa kwisirinji;
• I-40, 100 noma i-80 IU ihlukaniswe ngenani lokwehlukaniswa - lokhu kuyintengo yesigaba esisodwa;
• hlukanisa umthamo we-insulin okhethwe udokotela ngentengo yokuhlukaniswa;
• shayela umuthi, uthatha inani elidingekayo lokwehlukana.

Imithamo efanelekile yesifo sikashukela:

• ngokusanda kutholwa - i-0.5 IU / kg yesisindo sesineke;
• yinkimbinkimbi ye-ketoacidosis - 0,9 U / kg;
• kubolile - 0,8 U / kg;
• kwifomu lokuqala lesinxephezelo kusuka ngonyaka - 0,6 PIECES / kg;
• ngefomu elincike ku-insulin elinesinxephezelo olungazinzile - 0,7 PIECES / kg;
• ngesikhathi sokukhulelwa - i-1 unit / kg.

Ungawudweba kanjani umuthi kwisirinji?

I-insulin ye-insulin ekhululwayo ifakwa kwisirinji ngokusho kwale algorithm:

• geza izandla ngensipho noma uzihlambe ngotshwala;
• gingqa i-ampoule nomuthi phakathi kwezandla kuze kube yilapho okuqukethwe kunamafu;
• ukudonsela umoya ku-syringe kuze kube yilapho ukwahlukaniswa kulingana nenani lezidakamizwa ezilawulwayo;
• khipha isicoco esivikela ngenaliti bese wethula umoya ku-ampoule;
• shayela i-hormone kwisirinji ngokuguqula ibhodlela libheke phansi;
• khipha inaliti ku-ampoule;
• khipha umoya omningi ngokuthepha nokucindezela i-piston.

Inqubo yokunquma izidakamizwa ezisebenza ngamafishane ziyefana. Okokuqala udinga ukuthayipha i-hormone ebamba okufushane kwisirinji, bese kuba yinde.

Isingeniso imithetho

Okokuqala kudingeka ufunde okulotshwe ku-ampoule, ukuze ufunde ukumaka isirinji. Abantu abadala kufanele basebenzise ithuluzi ngentengo yokuhlukanisa engeqi ngaphezu kweyunithi elilodwa, izingane - iyunithi engu-0,5.

Imithetho yokuphatha i-insulin:

• ukukhohlisa kubalulekile ngezandla ezihlanzekile. Zonke izinto kufanele zilungiswe ngaphambili futhi ziphathwe nge-antiseptic. Indawo yomjovo kufanele ibulawe amagciwane;
• ungasebenzisi isirinji noma umuthi ophelelwe yisikhathi;
• Kubalulekile ukugwema ukuthola umuthi emgqonyeni wegazi noma wezinzwa. Lokhu, isikhumba endaweni yomjovo siqoqwa futhi siphakanyiswe kancane ngeminwe emibili;
• ibanga phakathi kwemijovo kufanele libe amasentimitha amathathu;
• ngaphambi kokusetshenziswa, umuthi kumele uvuselelwe ekushiseni kwegumbi;
• ngaphambi kokuphatha, udinga ukubala umthamo, ubhekise ezingeni lamanje le-glycemia;
• jovela umuthi esiswini, izinqe, okhalweni, emahlombe.

Ukwephulwa kwemithetho yokuphathwa kwehomoni kufaka imiphumela elandelayo:

• ukuthuthukiswa kwe-hypoglycemia njengomthelela ongemuhle we-overdose;
• ukubonakala kwe-hematoma, ukuvuvukala endaweni yomjovo;
• isenzo esisheshayo (esisheshayo) se-hormone;
• ubukhulu bendawo yomzimba lapho kwafakwa khona i-insulin.

Ungayisebenzisa kanjani ipeni yesirinji?

Ipeni lesirinji lenza lula inqubo yokujova. Kulula ukusetha. Umthamo usethwe lula kakhulu kunalokho uma uthayipha umuthi kwisirinji evamile.

I-algorithm yokusebenzisa ipeni yesirinji:

• khipha ucingo ecaleni;
• susa ithumba lokuvikela;
• faka i-cartridge;
• setha inaliti futhi ususe cap kuyo;
• thinta ipeni lesirinji ezindaweni ezihlukile;
• setha umthamo;
• khipha umoya onqwabelene emkhombeni;
• ukuqoqa isikhumba siphathwe nge-antiseptic esibayeni bese ufaka inaliti;
• cindezela piston;
• linda imizuzwana embalwa ngemuva kokuchofoza;
• khipha inaliti, ubeke uthango lokuvikela;
• hlanganisa isibambo usibeka ecaleni.

Kukangaki ngosuku lokunikeza umjovo?

I-endocrinologist kufanele inqume inani lemijovo ye-insulin. Akunconywa ukwenza uhlelo ngokwakho.

Ukuphindaphindeka kokuphathwa kwezidakamizwa esigulini ngasinye kungabantu. Okuningi kuya ngohlobo lwe-insulin (emfishane noma ende), ukudla nokudla, kanye nesifundo salesi sifo.

Ngohlobo lokuqala lwesifo sikashukela, i-insulin ivame ukuphathwa izikhathi ezi-1 kuye kwezingu-3 ngosuku. Lapho umuntu egula yi-angina, umkhuhlane, lapho-ke ukuphathwa okuphathelene nemikhakha kuyakhonjiswa: into ye-hormonal ijova njalo emahoreni ama-3 kuye ezikhathini ezi-5 ngosuku.

Ngemuva kokululama, isiguli sibuyela esimisweni esivamile. Ngohlobo lwesibili lwe-endocrinological pathology, imijovo inikezwa ngaphambi kokudla ngakunye.

Ungawunikeza kanjani umjovo ukuze ungalimali?

Iziguli eziningi zikhononda ngobuhlungu kumijovo ye-insulin.

Ukuze kuncishiswe usizi lobuhlungu, kunconywa ukusetshenziswa kwenaliti ebukhali. Imijovo yokuqala engama-2-3 yenziwa esiswini, bese emlenzeni noma engalweni.

Ayikho indlela eyodwa yomjovo ongenabuhlungu. Konke kuncike embundwini wobunzima bomuntu kanye nezimpawu ze-epidermis yakhe. Ngomkhawulo ophansi wezinhlungu, umuzwa ongathandeki uzobangela ngisho nokuthinta okuncane kwenaliti, ngesilinganiso esiphakeme, umuntu ngeke azizwe ekhubazekile ngokukhethekile.

Kungenzeka yini ukuthi ujoe intramuscularly?

I-hormone ye-insulin ilawulwa ngokungaziphathi. Uma ulufaka emsipha, akukho okuzokukhathazeka ngakho, kepha izinga lokufakwa kwalo muthi lizokwenyuka kakhulu.

Lokhu kusho ukuthi umuthi uzosebenza ngokushesha. Ukuze ugweme ukungena emsipha, kufanele usebenzise izinaliti ezifika ku-5 mm ngosayizi.

Lapho kukhona ungqimba olukhulu lwamafutha, kuvunyelwe ukusebenzisa izinaliti ezinde kuno-5 mm.

Ngingakwazi ukusebenzisa i-insulin yokugcwala insulin kaningana?

Ukusetshenziswa kwensiza elahlwayo kaningana kuvunyelwe ngokuya ngemithetho yokubeka.

Gcina isirinji ephaketheni endaweni epholile. Inaliti kufanele iphathwe ngotshwala ngaphambi komjovo olandelayo. Ungabilisa futhi insimbi. Okokugcina amasirinji we-insulin amade futhi amafushane angcono ukusebenzisa okuhlukile.

Kodwa kunoma yikuphi, ukubhula kuyaphulwa, izimo ezinhle zenzelwe ukubonakala kwe-pathogenic microorganisms. Ngakho-ke, kungcono ukusebenzisa isirinji entsha ngaso sonke isikhathi.

Isu lokusebenzisa i-insulin ezinganeni ezinesifo sikashukela

Ezinganeni, i-insulin hormone iphathwa ngendlela efanayo neyabantu abadala. Amaphuzu wodwa ahlukile yilawa:

• kufanele kusetshenziswe izinaliti ezifushane nezincane (cishe ubude obungama-3 mm, ububanzi obuyi-0,25);
• ngemuva komjovo, ingane yondliwa ngemuva kwemizuzu engama-30 bese kuthi ngokwesibili emahoreni ambalwa.

Ukufundisa izingane isethi nezindlela zokuzijova

Ezinganeni, abazali bavame ukujova i-insulin ekhaya. Lapho ingane ikhula futhi izimele, kufanele ifundiswe indlela yokwelashwa kwe-insulin.

Lokhu okulandelayo izincomo zokukusiza ufunde ukuthi ungenza kanjani inqubo yokujova:

• chazela ingane ukuthi iyini i-insulin, ukuthi unamthelela muni emzimbeni;
• tshela ukuthi kungani edinga imijovo yaleli hormone;
• Chaza ukuthi umthamo ubalwa kanjani
• bonisa ukuthi yiziphi izindawo lapho unganikeza khona umjovo, ukuthi ungabiza kanjani isikhumba ku-crease ngaphambi komjovo;
• geza izandla nengane;
• khombisa ukuthi umuthi udonswa kanjani kwisirinji, cela ingane ukuthi iphinde;
• nikeza isirinji ezandleni zendodana (yendodakazi) bese, eqondisa isandla sayo, enze ukubhoboza esikhunjeni, afake umuthi.

Imijovo yokuhlangana kufanele yenziwe kaninginingi. Lapho ingane iqonda umgomo wokukhwabanisa, ikhumbule ukulandelana kwezenzo, kuyakufanele-ke ukumcela ukuba anikeze umjovo ngokwakhe ngaphansi kokugadwa.

Izindoni esiswini kusuka kumijovo: ukuthi wenzeni?

Uma zingabangeli ukukhathazeka okukhulu, zingalimazi futhi zingashisi, khona-ke inkinga enjalo izonyamalala ngokwayo ezinsukwini noma amasonto ambalwa.

Uma uketshezi lukhishwa ekhondweni, kubuhlungu, ubomvu kanye nokuvuvukala okunzima, lokhu kungakhombisa inqubo yokuvuvukala. Kulokhu, ukunakekelwa kwezokwelashwa kuyadingeka.

Kuyafaneleka ukuxhumana nodokotela noma nodokotela ohlinzayo.Imvamisa, odokotela banquma ukwelashwa kwe-heparin, iTraumeel, iLyoton, noma iTroxerutin ukuthola ukwelashwa.. Abelaphi bendabuko baluleka ukusabalalisa izigaxa noju olucwiyiwe ngofulawa noma ujusi we-aloe.

Ividiyo elusizo

Mayelana nokuthi ungawenza kanjani umjovo we-insulin ngepeni yesirinji, kuvidiyo:

Ngakho-ke, ukujova i-insulin ngesifo sikashukela akunzima. Into esemqoka ukwazi umgomo wokuphatha, ukwazi ukubala umthamo bese ulandela imithetho yokuhlanzeka komuntu. Uma ukufiphala kwesigaxa kufinyelela endaweni yomjovo, bonana nodokotela ohlinzayo.