Empini yokulwa nesifo sikashukela, isiguli kufanele sibe nesikhali sayo - inkemba lapho izolwa nesifo esikhohlisayo, isihlangu lapho izokhombisa khona ukushaya kanye nomkhumbi onika impilo, ukubuyisa amandla nokumnika amandla.
Akunandaba noma kungazwakala kangakanani, kepha kukhona ithuluzi lendawo yonke - lokhu kungukujova kwe-insulin. Nganoma yisiphi isikhathi, kufanele abe esesondele futhi badinga ukukwazi ukuyisebenzisa.
Uyini umjovo we-insulin?
Umjovo we-insulini wensimbi noma ngocingo lomuntu siqu olungadingeki. Ubude binaliti kuzakhiwo zenalithi alikho ngaphezu kuka-8 mm.
Yenzelwe ukuphatha i-insulin. Inzuzo yayo engenakuqhathaniswa ukungabikho kobuhlungu nokusizakala kokwesaba okuvela ekwelashweni kwe-insulin okuzayo ngendlela yomjovo, ikakhulukazi ezinganeni.
Ukwethulwa (umjovo) wesidakamizwa akwenzeki ngenxa yesici sedivayisi yepiston yama-syringes, kodwa ngenxa yokudalwa kwengcindezi ephezulu edingekayo yomshini wasentwasahlobo. Yikuphi kunciphisa isikhathi senqubo.
Idivaysi ejwayelekile ejwayelekile
Ngamazwi, isiguli, njengengane, asigcini nje ngokuba nesikhathi sokwesaba, kodwa futhi sikuqondi ngokwenzekile.
Isixazululo sobuhle futhi esakhayo se-ector sihlaba umxhwele impela futhi sifana nokuthile phakathi kwepeni lokubhala ipiston nomaka.
Ezinganeni, kusetshenziswa imibala ethokozisayo kanye nezitika ezahlukahlukene, ezingamesabi ingane nhlobo futhi iguqula inqubo ibe umdlalo olula ube "isibhedlela".
Ukucacisa okwakhayo kugadla ngobuhlakani bayo. Inkinobho igxunyekwe kolunye uhlangothi, kuthi inalithi liqhume kwelinye icala (uma kuyinaliti). Ngomzila wayo ongaphakathi, i-insulin ifakwa ngaphansi kwengcindezi.
Ngaphakathi kwecala kune-cartridge (isitsha) esingenakutholakala nesisombululo sezokwelapha. Umthamo we-capsule uhlukile - kusuka ku-3 kuye ku-10 ml. Ngokushintshwa kusuka kwelinye ithangi kuya kwelinye, kukhona ama-adaptha angama-adaptha.
Ngaphandle kwe- “refueling”, umjovo wokuzenzakalelayo womjovo ungasebenza izinsuku eziningi. Lokhu kulungele kakhulu isikhathi eside ngaphandle kwekhaya.
Okubaluleke kakhulu ukuthi umthamo we-insulin ofanayo uhlala ku-cartridge.
Ngokujikeleza i-dispenser emsileni wesirinji, isiguli ngokuzimela simisa ivolumu edingekayo yomjovo.
Yonke imijovo ye-insulin kulula kakhulu ukuyisebenzisa.
Inqubo ihlukaniswe isigaba esisodwa, ezimbili noma ezintathu:
- Ukuqaqa kwendlela yasentwasahlobo yokuhlinzekwa kwemithi ebekiwe.
- Okunamathiselwe esizeni sokujova.
- Ukucindezela inkinobho ukuqondisa intwasahlobo. Umuthi ufakwa ngaphakathi emzimbeni.
Futhi, phila - ujabulele impilo.
Izidumbu zabo bonke abahlinza zenziwe ngezinto eziqinile nezingasindi, cishe ziqeda ukulimala ngengozi. Yini elula kakhulu lapho uhamba ngezinyawo, uhamba nohambo olude lwebhizinisi.
Ukubuka konke Model
Ngokwezakhiwo, amagajethi we-insulin ayalingana, kodwa ezinye izinto ezivelele zobunjiniyela zikhuluma ngokuphakama nezinzuzo ngakunye. Lokhu kukuvumela ukuthi ucabangele ubudala nezici zomtholampilo zeziguli, kanye nokukhetha idivaysi ekhethwa kakhulu.
Insujet
Le modeli yomjovo we-insulin yathuthukiswa eNetherlands futhi yenzelwe abantu abahlushwa i-trypanophobia (ukwesaba imijovo nezinaliti).
Ngaphezu kwalokho, usezibonakalisile kahle ekwelashweni kwesifo sikashukela sabantwana, ngoba akubangeli ukwesaba ezinganeni.
Ngaphezu kwalokho, bathatha umjovo ithoyizi elisha elihehayo.
Ukungabikho kwenaliti kukhulisa kakhulu ukuphepha kwensiza enganeni, noma ngabe ungayikhiphi ngengozi enganeni.
I-InsuJet "ibukhali" kuma-insulin ase-U100 futhi ilungele zonke izinhlobo zayo.
Uyini umgomo wokujova okungenasidingo osetshenziswa ku-InsuJet ngokusekelwe?
Ukwethulwa kwalesi sidakamizwa senziwa ngokwakha uxinzelelo oluphezulu ku-nozzle wedivayisi endaweni lapho lithintana nesikhumba. Ingcindezi yakheka ngokucindezela kwentwasahlobo e-piston ngaleso sikhathi sokukhula ngokushesha. Le ndlela yobunjiniyela inikezela ngomjovo we-insulin oshesha kakhulu, ongenabuhlungu ngaphansi kwesikhumba sesiguli. Ukuphela kwesifo sikashukela esikuzwayo kungukucindezela komsakazo onamandla, kepha omncane kakhulu.
Umgomo we-InsuJet kuvidiyo:
Okokusebenza okujwayelekile kufaka:
- Isikhuhlu sokususa cap cap.
- I-Nozzle nge-piston.
- Ama-adaptha amabili amabhodlela ayi-10 no-3 ml.
Izinzuzo zokwelapha nezokusebenza zedivayisi:
- Ukulawulwa kwe-Inkjet kwe-insulin kuyindlela ephumelelayo yokuletha umuthi, onomthelela ekuthweni kwawo ngokushesha.
- Ukwandisa ukuphepha ngesikhathi sokuphatha (ukusetshenziswa) sedivayisi, kusetshenziswa indlela engafani nenye yokuvikela. Kuqinisekisa ukuthi indawo yokuxhumana phakathi kwe-nozzle nomzimba ayiphukile. Ngaphandle kwalokho, lapho kungekho kubamba okuqinile, umjovo ngeke usebenze.
Imiyalo yevidiyo yokusebenzisa i-autoinjector:
I-NovoPen 4
INovoPen insulin injector yokushintshwa kwesine iguqulwa ukuze isetshenziswe nsuku zonke iziguli ezinesifo sikashukela mellitus.
Lapho uthuthukisa lo modeli, kwathathwa yonke imibono kanye nezifiso zabasebenzisi bezinguqulo zangaphambilini zeNovoPen injectors.
Ukuthuthukiswa kwezimpawu ezintathu kulithuthukise kakhulu i-dive:
- Isikrini esithuthukisiwe esibuka umthamo obekiwe.
- Kuqaliswe ukusebenza kokushintsha umthamo ophakathi nendawo ngaphandle kokulahleka kwe-insulin.
- Kusetshenziswe idivaysi yokusayina i-acoustic signing (chofoza) ukuphela kokuphathwa kwama-hormone, ngemuva kwalokho inalithi ingasuswa.
Kodwa-ke, ukuhambisana kwama-cartridge kanye nezinaliti ezisetshenziselwa imijovo kufanele kubhekwe.
Kulolu hlobo lwedivayisi, kunconywa ama-insulin ka-Novo Nordisk kuphela:
- I-Ryzodeg. Lokhu kuyinhlanganisela evumelanayo yokuthatha isikhathi eside futhi emfushane ngokubambelela. Kusetshenziswa kanye ngosuku futhi umphumela wazo uzizwa isikhathi esingaphezu kwamahora angama-24.
- I-Novorapid. I-insulin elisebenza ngokushesha komuntu. Ukujova kwenziwa esiswini, ngaphambi kokudla. Ukusetshenziswa kwayo akuvinjelwe omama abancelisa futhi ngisho nabesifazane abakhulelwe.
- I-Protafan. Lo muthi onomphumela wesikhashana wesikhashana uyanconywa ukuthi usetshenziswe ngabesifazane abakhulelwe.
- ITresiba. Kubhekiswa kuma-hormone esenzo esengeziwe. Umphumela wenzelwe amahora angaphezu kwangu-42.
- I-Levemir. Inconyelwe izingane ngemuva kweminyaka eyisithupha. I-insulin esebenza isikhathi eside.
Ngaphezu kwazo, le divayisi isebenza futhi ngokuthembekile nezinye izinto ezifakwayo: i-Actrapid NM, i-Ultratard, i-Ultralente, i-Ultralent MS, iMikstard 30 NM, iMonotard MS neMonotard NM.
Kunezici ekusebenziseni igajethi yeNovoPen 4, noma kunjalo, ijwayelekile kuzo zonke izifaniso zamadivayisi anjalo:
- Lapho ukhulisa umjovo, qiniseka ubuqotho besikhwanyana ne-hormone.
- Ngomjovo owalandela, kuyadingeka ukusebenzisa inalithi entsha oyinyumba kuphela, ukuyiqaqa emaphethelweni mahhala. Ngemuva kokukhohlisa, izimbobo zokuzivikela kumele zisuswe. Okuphezulu kufanele kugcinwe ukuze kulahlwe.
- Ukuqinisekisa ukufana kwengqangi, kunikine izikhathi eziyi-15 ngaphambi kokuyisebenzisa.
- Ngemuva komjovo, ungasusi inaliti kuze kuzwakale ukuqhafaza okuhlukile.
- Ngemuva kwenqubo, vala inaliti bese uyikhipha ukuze uyilahle.
- Gcina umjovo endaweni ephephile.
Ngazo zonke izinzuzo ezisobala, idivaysi yeNovoPen 4 inezinkinga eziningi, okufanelekile ukusho:
- Intengo ephakeme kakhulu.
- Ukwehluleka ukwenza ukulungiswa.
- Isidingo sesigaba sokusetshenziswa kwe-insulin nguNovo Nordis kuphela.
- Ukuthweswa iziqu kwe-0.5 kweshumi akunikezwanga, okufaka ngaphandle ukusetshenziswa kwensiza yezingane ezincane.
- Amacala okuvuza kwekhambi kusuka kudivayisi aqoshwe.
- Ngokusebenzisa kanyekanye izinhlobo ezahlukene ze-insulin, kudingeka imijovo eminingi, ebiza kakhulu ngokwezezimali.
- Ukulawula umjovo kwezinye izigaba zeziguli kubangela ubunzima.
Imiyalo yevidiyo esetshenziswayo:
I-NovoPen Echo
Ipeni yesirinji yeNovoPen Echo iyisibonelo sakamuva sezinhlelo zokulethwa kwe-insulin ezikhiqizwe yinkampani yaseDenmark uNovo Nordisk (Novo Nordis), omunye wabaholi baseNtshonalanga Yurophu kwimikhiqizo yezemithi.
Lezi amamodeli zishintshwe ngokuphelele izingane. Lokhu kutholwa yizici zokuklanywa kwe-dispenser, ezivumela ukwanda komuthi kusuka kumayunithi angama-0,5 kuye kwangama-30 e-insulin, ngesinyathelo sokuhlukanisa amayunithi ayi-0.5.
Ukuba khona kwesibuko sememori kukuvumela ukuthi ungakhohlwa umthamo nesikhathi esidlulile ngemuva komjovo "owedlulele".
Ukuhluka kwe-autoinjector kulele kungenzeka kokusebenzisa izinhlobo ezahlukahlukene ze-insulin, njenge:
- I-Novorapid;
- Ama-Novomiks;
- I-Levemir;
- I-Protafan;
- UMikstard;
- I-Actrapid.
Izinzuzo zomuntu ngamunye:
- Umsebenzi wememori. Le yidivayisi yokuqala yalolu hlobo eyenziwe yinkampani, ekuvumela ukuthi ulawule isikhathi kanye nethamo lokukhwabanisa. Ukuhlukaniswa okukodwa kufana nehora elilodwa.
- Amathuba amaningi okukhethwa komthamo - uhla lwamayunithi afinyelela kwangama-30 ngesinyathelo esincane samayunithi angama-0.5.
- Ukutholakala kohlelo "Lokuphepha". Akuvumeli ukwedlula umthamo obekiwe we-insulin.
- Ukuze ugcizelele futhi uguqule ubunjalo begajethi yakho, ungasebenzisa iqoqo lonke lezitika ezikhethekile.
Ngaphezu kwalokho, umjovo unezinzuzo ezingenakuphikwa ezingakwazi ngaphezu kwalokho ukuxhuma ama-receptors athile wezinzwa:
- Ukuzwa. Ukuchofoza kuzoqinisekisa ukuphathwa okuphelele komthamo onikezwe we-insulin.
- Ukubona. Usayizi wamadijithi wokuqapha ukhuphuka ngezikhathi ezingama-3, okususa amathuba wephutha lapho ukhetha umthamo.
- Ukuze uzizwe. Ukuze usebenzise umshini, kuzodingeka wenze imizamo engu-50% ngokuqhathaniswa namamodeli wangaphambilini.
Ngokusebenza kahle kwensiza, kuyadingeka ukusebenzisa kuphela izinto ezinconyiwe:
- I-penfill insulin cartridge 3 ml.
- Izinaliti ezilahlayo i-NovoFayn noma i-NovoTvist, ifinyelela ku-8 mm ubude.
Izifiso nezixwayiso:
- Ngaphandle kosizo lwabantu abangagunyaziwe, injektha yeNovoPen Echo ayinconywa ukuthi isetshenziswe ngabantu abangaboni noma abangaboni kahle.
- Lapho unquma izinhlobo ezimbili noma ngaphezulu ze-insulin, phatha amadivayisi amaningana alolu hlobo.
- Uma kwenzeka ukulimala kwengozi kwelebula, ngaso sonke isikhathi yiba nebhokisi lephepha.
Imiyalo yevidiyo yokusebenzisa i-NovoPen Echo:
Uma, ngenxa yezizathu ezithile, usuyekile “ukwethemba” isibuko, ulahlekelwe noma wakhohlwa izilungiselelo, qala ukujova okwalandela ngezilinganiso ze-glucose ukuze usethe kahle umthamo.