Ipeni le-insulin

Isifo sikashukela isimo esidinga ukuphathwa nsuku zonke kwe-insulin emzimbeni womuntu ogulayo. Inhloso yalokhu kwelashwa ukunxephezela ukushoda kwe-hormonal, ukuvikela ukukhula kwezinkinga zesifo, kanye nokuthola isinxephezelo.

Isifo sikashukela i-mellitus sibonisa ngokushoda ekuhlanganiseni kwe-insulin yi-pancreas noma ukwephulwa kwesenzo sayo. Futhi eqinisweni, kwesinye isimo, kuyeza isikhathi lapho isiguli singeke sikwenze ngaphandle kokwelashwa kwe-insulin. Kokuhlukahluka kokuqala kwalesi sifo, imijovo yama-hormone inqunywa ngokushesha ngemuva kokuqinisekiswa kokutholwa, okwesibili - ngesikhathi sokuqhubeka kwe-pathology, ukuncipha kwamangqamuzana emfihlo e-insulin.

I-hormone ingahanjiswa ngezindlela eziningi: usebenzisa i-insulin sindiso, iphampu noma isirinji. Iziguli zikhetha inketho elula kakhulu kubo, esebenzayo futhi efanele isimo sezezimali. Ipeni yesirinji ye-insulin iyithuluzi elingabizi kwabanesifo sikashukela. Ungafunda ngezinzuzo nobubi bokusetshenziswa kwaso ngokufunda i-athikili.

Luyini ipeni lesirinji?

Ake sibheke isethi ephelele yedivayisi esibonelweni sepeni kaNovoPen. Lokhu kungenye yamadivayisi athandwa kakhulu ekuphathweni kwe-hormone okunembile futhi okuphephile. Abakhiqizi bagcizelela ukuthi le ndlela inokuqina, ukuthembeka futhi ngasikhathi sinye ukubukeka okuhle. Leli cala lenziwa ngokuhlanganiswa kwepulasitiki nokukhanya kwensimbi alloy.

Idivayisi inezingxenye eziningi:

• umbhede wesitsha esinezakhi ze-hormonal;
• i-latch eqinisa isitsha endaweni oyifunayo;
• isabalalisa esilinganisa ngokunembile inani lesisombululo somjovo owodwa;
• inkinobho eshayela ucingo;
• iphaneli lapho kukhonjiswa khona yonke imininingwane edingekayo (kutholakala kudivayisi);
• cap ngenaliti - lezi zingxenye ziyasebenza futhi, ngakho-ke ziyasuswa;
• icala lepulasitiki lomkhiqizo lapho ipeni lesirinji ligcinwa futhi lihanjiswe khona.

Izici zesethi ephelele zenza ukuthi le ndlela isebenze kalula futhi iphephe ukusetshenziswa

Kubalulekile! Qiniseka ukuthi ufake imiyalo echaza indlela yokusebenzisa idivaysi ukufeza izinhloso zakho ngempumelelo.

Ngokubukeka kwayo, isirinji ifana nepeni le-ballpoint, lapho kwaqhamuka khona igama laleyo divayisi.

Yini izinzuzo?

Idivayisi ilungele ukuphathwa kwemijovo ye-insulin ngisho nakulezo ziguli ezingenalo uqeqesho olukhethekile namakhono. Kwanele ukutadisha ngokucophelela imiyalo. Ukushintshwa nokubanjwa kwenkinobho yokuqalisa kubangela indlela okwenzeka ngayo okuzenzakalelayo kwe-hormone ngaphansi kwesikhumba. Usayizi omncane wenaliti wenza inqubo yokubhula ngokushesha, inembe, futhi ingabi buhlungu. Akudingekile ukubala ngokuzimela ukubalwa kokuphathwa kwensiza, njengalapho usebenzisa isirinji evamile ye-insulin.

Kungcono ukuthi ulinde eminye imizuzwana engama-7000 ngemuva kokuthi ithuluzi lokusayina limemezele ukuphela kwenqubo. Lokhu kuyadingeka ukuvikela ukuvuza kwekhambi kusuka endaweni yokubhoboza.

Isirinji le-insulin lifanela kalula esikhwameni noma ephaketheni. Kunezinhlobo eziningi zamadivayisi:

• Idivaysi elahlekayo - iza nekhabethe ngesixazululo esingasuswa. Ngemuva kokuthi umuthi usuphelile, idivaysi enjalo imane ilahlwe. Isikhathi sokusebenza singafika kumaviki ama-3, noma kunjalo, inani lesisombululo isiguli esisebenzisa nsuku zonke kufanele futhi libhekwe.
• Isirinji esisebenzisekayo - umuntu onesifo sikashukela uyisebenzisa kusuka eminyakeni emi-2 kuya kwemi-3. Ngemuva kokuthi i-hormone esebhokisini isiphelelwe, ishintshwa ibe yintsha.

Lapho uthenga ipeni lesirinji, kungakuhle ukuthi usebenzise iziqukathi ezisuswayo ngomuthi womenzi ofanayo, ozogwema amaphutha anokwenzeka ngesikhathi somjovo.

Ngaphambi kokufaka i-cartridge entsha kwipeni yesirinji, yinyakazise kahle ukuze isixazululo sibe homogeneous

Ngabe kukhona okungahambi kahle?

Noma iyiphi insiza ayiphelele, kufaka nepeni lesirinji. Okubi ngakho ukungakwazi ukulungisa injektha, izindleko eziphakeme zomkhiqizo, neqiniso lokuthi akuwona wonke amabhokisana aqukethe indawo yonke.

Ngaphezu kwalokho, lapho uphatha i-insulin ye-hormone ngale ndlela, kufanele ulandele ukudla okuqinile, ngoba isisulu sepeni sinomthamo omisiwe, okusho ukuthi kufanele ucindezele imenyu yomuntu ngamunye ohlakeni oluqinile.

Izidingo zokusebenza

Ukuze usebenzise kahle futhi kahle leli thuba isikhathi eside isikhathi eside, kufanele ulandele izeluleko zabakhiqizi:

Ukubuyekezwa Okufushane kwe-Insulin

• Ukugcinwa kwensiza kufanele kwenzeke emazingeni okushisa asekamelweni.
• Uma i-cartridge enesixazululo sento ye-hormonal ifakiwe ngaphakathi kwensiza, ingasetshenziswa isikhathi esingaphezu kwezinsuku ezingama-28. Uma, ekugcineni kwalesi sikhathi, umuthi usasele, kumele uchithiwe.
• Kwenqatshelwe ukubamba ipeni lesirinji ukuze imisebe eqondile yelanga iwele phezu kwalo.
• Vikela insiza kusuka kumswakama owedlulele kanye nokukhalaza.
• Ngemuva kokusebenzisa inaliti elandelayo, kufanele isuswe, ivalwe nge-cap futhi ifakwe esitsheni sezinto zokulahla udoti.
• Kungakuhle ukuthi ipeni lihlala lisenkingeni yebhizinisi.
• Nsuku zonke ngaphambi kokusetshenziswa, kufanele usule insiza ngaphandle ngendwangu ethambile (kubalulekile ukuthi emva kwalokhu akukho lint noma intambo kwisirinji).

Ungazikhetha kanjani izinaliti zamapeni?

Ochwepheshe abafanelekile bakholelwa ukuthi ukufaka inalithi esetshenzisiwe ngemuva komjovo ngamunye yindlela engcono kakhulu yesifo sikashukela. Abantu abagulayo banombono ohlukile. Bakholelwa ukuthi lokhu kuyabiza kakhulu, ikakhulukazi uma bebheka ukuthi ezinye iziguli zenza imijovo engama-4-5 ngosuku.

Ngemuva kokucingisisa, kwenziwa isinqumo esiqinile sokuthi kuvunyelwe ukusebenzisa inalithi eyodwa ekhishwa usuku lonke, kodwa ngokuya ngokungekho kwezifo ezihambisanayo, izifo kanye nokuhlanzeka komuntu siqu ngokucophelela.

Izinaliti ezinobude obungu-4 kuya ku-6 mm kufanele zikhethwe. Zivumela ikhambi ukuthi lingene ngokuqondile ngokushelelayo, futhi hhayi ngobukhulu besikhumba noma izicubu. Lokhu kusayizi kwezinaliti kufanelekile abanesifo sikashukela abadala, phambi kwesisindo somzimba we-pathological, izinaliti ezifinyelela ku-8-10 mm ubude zingakhethwa.

Izinaliti zinezicucu ezivikelayo, eziqinisekisa ukusetshenziswa kwazo okuphephile.

Ezinganeni, ezigulini zokuthomba, kanye nabanesifo sikashukela abaqala ukwelashwa kwe-insulin, ubude obungu-4-5 mm buthathwa njengeyona ndlela engcono. Lapho ukhetha, akudingeki ucabangele ubude kuphela, kodwa futhi nobubanzi binaliti. Ukuthi kuncane kangakanani, lapho umjovo ungeva buhlungu kakhulu, futhi nendawo yokubhoboza izophola ngokushesha okukhulu.

Ungayisebenzisa kanjani ipeni yesirinji?

Ividiyo nezithombe zendlela yokujova kahle umuthi wama-hormone ngepeni zingatholakala kuwebhusayithi. Le ndlela ilula impela, ngemuva kokuqala kwesifo sikashukela ukwenza ubuqili ngokuzimela:

1. Geza izandla zakho kahle, uphathe ngesibulala magciwane, ulinde kuze kube yilapho umuthi womile.
2. Hlola ubuqiniso bedivayisi, faka inaliti entsha.
3. Ngokusebenzisa indlela ekhethekile yokujikeleza, kuthathwa umthamo wesixazululo esidingekayo somjovo. Ungacacisa izinombolo ezifanele kuwindi. Abenzi besimanje benza ama-syringe akhiqize ukuchofoza okuthile (okukodwa kufana ne-1 U ye-hormone, kwesinye isikhathi i-2 U - njengoba kukhonjisiwe kwimiyalo).
4. Okuqukethwe ikhareji kudinga ukuxutshwa ngokukugingqa phansi naphansi kaningi.
5. Umjovo wenziwa endaweni ekhethwe ngaphambili yomzimba ngokucindezela inkinobho yokuqala. Ukukhwabanisa kuyashesha futhi akukho buhlungu.
6. Inaliti esetshenzisiwe ayithunguliwe, ivalwe ngephepha lokuvikela futhi ilahlwe.
7. Isirinji sigcinwa ecaleni.

Ukwethulwa kwe-insulin kungenzeka kunoma yiziphi izimo (ikhaya, umsebenzi, ukuhamba)

Indawo okwethulwa ngayo umuthi we-hormonal kumele iguqulwe ngaso sonke isikhathi. Le yindlela yokuvimbela ukuthuthukiswa kwe-lipodystrophy - ukuhlanganiswa okubonakaliswa ngokunyamalala kwamafutha angaphansi endaweni yemijovo ejwayelekile ye-insulin. Umjovo ungenziwa kulezi zindawo ezilandelayo:

• ngaphansi kwesihlakala sehlombe;
• udonga lwesisu lwangaphakathi;
• izinqe;
• ithanga
• ehlombe.

Izibonelo Zedivayisi

Okulandelayo izinketho zamapeni wesirinji athandwa abathengi.

• I-NovoPen-3 neNovoPen-4 zingamadivayisi asetshenziswe iminyaka engu-5. Kungenzeka ukuphatha i-hormone enanini lama-1 kuye kwangama-60 amayunithi ezinhlinini ze-1 yunithi. Banesikali esikhulu semithamo, idizayini enhle.
• INovoPen Echo - inesinyathelo sama-unit ayi-0,5, umkhawulo omkhulu ngamayunithi angama-30. Kukhona umsebenzi wokukhumbula, okuwukuthi, idivaysi ikhombisa usuku, isikhathi kanye nomthamo wokuphathwa kwamahomoni okugcina esibukweni.
• I-Dar Peng - insiza ephethe ama-cartridge ama-3 ml (kusetshenziswa ama-cartridge ama-Indar kuphela).
• IHumaPen Ergo iyithuluzi elihambisana neHumalog, uHumulin R, uHumulin N. Isinyathelo esincane esingu-1 U, umthamo omkhulu ngu-60 U.
• ISoloStar yipeni elihambisana ne-Insuman Bazal GT, Lantus, Apidra.

Udokotela oqeqeshiwe we-endocrinologist uzokusiza ukhethe idivaysi efanele. Uzocacisa irejimeni yokwelashwa kwe-insulin, acacisa umthamo odingekayo kanye negama le-insulin. Ngaphezu kokwethulwa kwe-hormone, kuyadingeka ukubheka amazinga kashukela egazini nsuku zonke. Lokhu kubalulekile ukucacisa impumelelo yokwelashwa.