Insulin Syringe needles: Tsarin Girma

Duk wani mai ciwon sukari ya san abin da allura don sirinji na insulin, kuma ya san yadda za a yi amfani da su, tunda wannan hanya ce mai mahimmanci don cutar. Sirriyoyi don sarrafa insulin koyaushe ana iya zubar dasu da kuma bakararre, wanda ke tabbatar da amincin aikin su. An yi su da filastik na likita kuma suna da sikelin musamman.

Lokacin zabar sirinji na insulin, kana buƙatar kulawa ta musamman akan sikelin da matakin rabuwa. Mataki ko farashin rabo shine bambanci tsakanin dabi'un da aka nuna akan alamomin kusa. Godiya ga wannan ƙididdigar, mai ciwon sukari yana iya yin daidai ƙididdigar yawan adadin da ake buƙata.

Idan aka kwatanta da sauran allura, insulin yakamata a gudanar dashi a kai a kai sannan kuma yaci karo da wata dabara, la’akari da zurfin gudanarwar, ana amfani da fatar fatar, da kuma wuraren bada allurar.

Sabbin samfura

Julie Arel, manajan tallace-tallace na kayayyakin insulin a cikin Can-Am Care Syringe Pens, yace: - Fasaha mai amfani da kayan lantarki na musamman yana kawar da kumburi, kuma kayan maye suna ba da allura ta sauƙaƙe kuma ta ratsa fata. Sirinjin insulin na zamani ya zo tare da madaidaicin allura da aka riga an shigar cikin tsayi da yawa, kauri da girma.

Lokacin zabar diamita ta waje (ma'auni), ka tuna cewa mafi girma lambar, finer allura - allurar 31G ta fika fiye da 28G. Abubuwan da aka buƙata don alkalannin sirinji, waɗanda za'a iya dissewa ko kuma sake amfani dasu, ana siyar dasu ko aka ƙaddamar dasu a ƙarƙashin shirin DLO dabam kuma ana raɗa su akan zaren silsila nan da nan kafin amfani. Alkalanin silsila na iya samun bambance-bambancen zaren. Tabbatar a duba daidaituwa na alkairin sirinji da allura. Don wannan, jerin allunan sirinji waɗanda suke dacewa da juna suna nuna akan kowane kunshin na allura.

Kula da umarnin don amfani da bayani kan dacewa da allura da alƙaluman siririn da aka nuna akan kunshin. Maƙallin alkalami ya kuma sanya sunayen allura masu dacewa da wannan na'urar a kwantena. Abubuwan buƙatu tare da daidaituwa na duniya suna haɗuwa da buƙatun ƙimar ingancin ƙasashen duniya ISO.

Amfani da tabbaci ta hanyar gwaje-gwaje masu zaman kanta an tsara shi azaman ISO “TYPE A” EN ISO 11608-2: 2000 kuma yana nuna cewa allurar sirinji da TYPE A allurar suna haɗuwa. Yin amfani da allura waɗanda basu dace da alkalami mai sirinji ba na iya haifar da yawan insulin.

Girman allura daidai

Abubuwan da aka fi amfani dasu shine 8 mm x 0.25 mm tsayi (30-31G), amma ba duka sun dace da girman ɗaya. Yadda za a zabi mafi kyawun zaɓi? “Abin takaici, yawancin mutane basa karbar takamaiman shawarwari na mutum game da tsawon ko kauri na allura,” in ji Ryan. "Magunguna sun ce 'insuline insulin' kuma shine kawai, a sakamakon haka, marasa lafiya sun sayi abin da ke kan kantin magani."

Mafi kyawun zaɓi a yau shine gajeren allurai 4-5 mm tsayi don kowane rukuni, ciki har da yara da mutane masu kiba. Ryan ya ce "Mutane da yawa suna tunanin cewa gajere da siraran buhunan, kamar 4-5 mm (32-31G) tsayi, yana hana ciwo kuma zai baka damar zama mai gamsuwa da allura," in ji Ryan. Mafi mahimmanci, gajerun allura suna rage hadarin kamuwa da insulin cikin bazari cikin tsoka.

Mary Pat Lormann, wata mai ba da shawara kan cutar sankara a Cibiyar Kula da Lafiya ta Veterans ta ce "A wasu lokuta ana ba da shawarar mutane da su yi amfani da allura mai tsawo, amma wannan ba koyaushe gaskiya bane." "Organizationungiyarmu ta juya zuwa ga yin amfani da gajeriyar allura (4-5 mm) ga duk marasa lafiya - madaidaitan allura wani lokacin sukan shiga cikin tsoka maimakon ƙananan fatar mai ƙyalƙyali mai zurfi, zurfin wanda yake 1.5 mil 3 ne kawai."

Kadan daga yadda kuke tsammani

Idan baku da wata goguwar allura banda alluran rigakafi, gwada da kanku nawa insirin insulin yayi ƙasa da, alal misali, sirinji don maganin mura. Rubutun Sirrin Syringe: Ribobi da alkalami na insulin zaɓi ne don maganin sirinji na al'ada. Yawancin nau'ikan insulin (da sauran magungunan ƙananan ƙwayoyi don rage sukari jini) suna samuwa don amfani dasu a allon alkalami. Akwai nau'ikan alkalami iri biyu: alkalami mai sake amfani da maganin da za'a canza kundin magani, da kuma alkalannin da aka zubar wanda kuka zubar dasu lokacin da aka yi amfani da su sosai. An sanya allura akan nau'ikan biyu. Idan kuna ɗaukar insulin cikin sauri da aiki da inshin aiki wanda bai kamata ya cakuda ba, zaku buƙaci alkalami biyu da allura biyu (guda ɗaya tare da sirinji).

Syringes tare da madaidaicin (allura) allura na iya rage haɗarin asarar insulin a cikin “matattarar” sarari, saboda haka ana ba su shawarar insulin. Kula da maida hankali ga insulin lokacin da kake siyan siran insulin. Dole a yi amfani da Syring tare da alamar iri ɗaya don gudanar da insulin U-100.

Fasalin insulin allurar alkalami

Mutanen da ke fama da ciwon sukari suna yin amfani da allurar insulin wanda za'a iya zubar dashi, tunda yawan amfani da sirinji ɗaya yana haifar da microtrauma na fata, samuwar ɗamarar. Sabbin allura na bakin ciki ana yin su ne marasa ciwo. Ana siyar da allura don allurar sirinji insulin, dabam, ana saka su a ƙarshen allurar ta hanyar dunƙulewa ko hurawa ciki.

Masu kera na'urori don masu ciwon sukari suna samar da cannulas wanda ke iya jurewa da tsarin kulawa da ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta ba tare da shafi tsoka ba. Girman samfurin ya bambanta daga 0.4 zuwa 1.27 cm, kuma na'urar ba ta wuce 0.23 mm (daidaitattun allurar insulin suna da diamita na 0.33 mm). Mafi karami da gajera na gefan syringe, mafi gamsuwa allura shine.

Insulin allurai

Don maganin insulin, ya kamata a zaɓi allura waɗanda suka dace da shekaru, nauyin jiki da kuma hanyar da aka fi so don gudanar da maganin. A cikin ƙuruciya, ana yin allura tare da gajeren allura 0.4-0.6 cm tsayi Ga manya, na'urori masu amfani da sashi na 0.8-1 cm sun dace, don kiba mai nauyi, yana da kyau a allura tare da sirinji na al'ada. Kuna iya siyan allurai don allurar sirinji a kowane maɓallin magani ko oda a cikin kantin magani na kan layi.

Samfuran masana'antar almara na kayan aikin likita tare da karni na tarihi sun shahara sosai tsakanin marasa lafiya da masu ciwon sukari. Kamfanin Micro Fine yana samar da diamita daban-daban na allura waɗanda ke dacewa da yawancin na'urori da aka ƙera. Mafi kyawun siyarwar wannan kamfani ana ɗaukar wannan:

sunan samfurin: Micro Fine Plus database,
farashin: 820 r,
halaye: kauri 0.3 mm, tsawon 8 mm,
pluses: dunƙule dunƙule dunƙule,
fursunoni: ba samu.

Za a iya amfani da allurar rigakafin abubuwan insulin na allurar ta dace da yara da masu fama da cutar siga tare da fata mai mahimmanci, daga cikin mahimman kayan aikinsa:

sunan samfurin: DB Micro Fine Plus 32G No. 100
farashi: 820 r,
halaye: girman 4 mm, kauri 0.23,
pluses: laser sharpening, guda 100 a kowace fakiti,
fursunoni: ba samu.

Lantus Solostar

Don gabatar da miyagun ƙwayoyi, kamfanin Lantus Solostar ya haɓaka alamar alkalami mai launin toka mai suna iri ɗaya tare da maɓallin lilac. Bayan kowace allura, dole ne a cire sirinji da aka yi amfani da shi, rufe na'urar da hula. Kafin allura ta gaba, shigar da sabon kwalba mai keɓaɓɓiyar. Cannulas masu zuwa suna dacewa da irin wannan kayan aikin masu ciwon sukari:

sunan samfurin: Insupen,
farashin: 600 r,
halaye: girman 0.6 cm, kewaye 0.25 mm,
pluses: mai kaifi uku,
fursunoni: babu.

Maganin Lantus Solostar yana contraindicated a cikin ƙananan yara, saboda haka tsayi da ƙanƙara mai kauri sun dace da allurar. Don yin amfani da allurar ciki da wannan nau'in insulin, ana amfani da wani nau'in sirinji:

sunan samfurin: Insupen,
farashin: 600 r,
Alamomi: Insupen, girman 0.8 cm, kauri 0.3 mm,
pluses: dunƙule zare, ƙarancin raunin da ya faru yayin allura,
fursunoni: ba samu.

Ultraaƙƙarfan allura na bakin ciki don sirinji na wannan kamfani yana haɗuwa tare da duk tsarin don allurar subcutaneous. Fasahar samarwa ta zamani, ƙarara mai yawa, fesawa na musamman yana hana lalacewar fata, bayyanar kumburi da kumburi. Tsarin da ke zuwa na allurai na NovoFine ya zama ruwan dare a tsakanin majinyata:

sunan samfurin: 31G,
farashin: 699 p.
halaye: saitin 100, girman 0.6 cm, amfani guda,
pluses: polishing lantarki, silicone shafi,
Cons: babban farashi.

NovoFine yana da wasu nau'ikan cannulas don kayan aikin shigar insulin a cikin kayan da ya dace. Abubuwan samfuran an yi su ne don masu ciwon sukari na manya waɗanda nauyin jikinsu ya fi al'ada. Siffofin samfurin sune kamar haka:

sunan samfurin: 30G No. 100,
farashin: 980 r,
bayani dalla-dalla: girman 0.8 cm, nisa 0.03 cm,
ƙari: wadatar insulin cikin sauri,
Cons: iyaka iyaka.

Yadda za a zabi allura don alƙalaran insulin

Binciken na'urorin da za'a iya amfani dasu, yakamata a ɗauka a hankali cewa mafi girman kirin mai allura, alal misali, 31G, ƙanƙantar da girman ta. Lokacin sayen siranin, yana da mahimmanci don bayyana daidaituwa na samfurori tare da sirinji da aka yi amfani dashi. Ana iya karanta wannan bayanin a kan marufi. Yana da mahimmanci cewa an allurar da magani sosai cikin mai mai subcutaneous ba tare da shiga cikin ƙwayar tsoka ba, wanda ke da haɗari ta hanyar haɓakar hypoglycemia. Yarda da wannan yanayin ana samun shi ta hanyar yin amfani da tsawon lokacin da ake so allura.

Christina, mai shekara 40 ta dogara ne da insulin har tsawon shekaru biyu. A watan da ya gabata na kasance ina amfani da sirinji na atomatik na Novopen, wanda na sayi microfine wanda za'a iya zubar da allurai mai rauni. Ba kamar samfuran samfuran yau da kullun ba, suna da zurfi, allurar kusan ba tare da jin zafi ba, kuma babu shinge ko kayan adon da aka kafa a wurin allurar. Akwai isasshen marufi na dogon lokaci.

Victor, dan shekara 24 Ni mai ciwon sukari ne tun shekaru 20, daga nan ne ya zama dole in gwada abubuwa da yawa don gudanar da insulin. Tunda akwai matsala game da samar da sirinji kyauta a cikin asibitin, Dole ne in sayi kaina da kaina. Hanyoyin Novofine sun haɗu da na'urar injection na. Na yi matukar farin ciki da samfuran wannan kamfani, kawai saitin yana da tsada kadan.

Natalya, yar shekara 37. Yarinya tare da ciwon sukari (shekara 12); tana buƙatar allurar shirin insulin kowace rana don jin lafiya. A kan shawarar malamin mu na endocrinologist, sun fara amfani da allurar Humapen Luxur. Micro Fine bakin ciki needles ya zo mata. Yaron yana sauƙaƙe yin allura a kan kansa, baya jin zafi, rashin jin daɗi.

Zaɓi insulin allura

Tunda an gabatar da miyagun ƙwayoyi a cikin jiki sau da yawa a cikin kullun, yana da mahimmanci don zaɓar madaidaicin allura don insulin don jin zafin yana ƙarancin. An saka allurar ta cikin kitse na subcutaneous, tana gujewa hadarin da kwayar cutar ta intramuscularly.

Idan insulin ya shiga cikin ƙwayar tsoka, wannan na iya haifar da haɓakar hypoglycemia, tun lokacin da hormone ya fara aiki da sauri a cikin waɗannan kyallen takarda. Sabili da haka, kauri da tsawon allura ya zama mafi kyau duka.

An zaɓi tsayin allura, yana mai da hankali kan halayen mutum na jiki, na jiki, abubuwan magunguna da abubuwan tunani. Dangane da bincike, kauri daga cikin babban murfin subcutaneous na iya bambanta, gwargwadon nauyi, shekaru da jinsi na mutum.

A lokaci guda, kauri daga cikin kitse a cikin wurare daban-daban na iya bambanta, saboda haka an bada shawarar mutum ɗaya yayi amfani da allura biyu na tsayi daban-daban.

Insulin allurai na iya zama:

Gajere - 4-5 mm,
Tsawon matsakaici - 6-8 mm,
Dogon - fiye da 8 mm.

Idan a baya tsoffin masu ciwon sukari sukan yi amfani da allura 12,7 mm, a yau likitoci basu bada shawarar amfani da su don kauce wa shigarwar kwayoyin cutar ba. Amma ga yara, a garesu allurar tsawon mm 8 mm shima yayi tsayi da yawa.

Don haka mai haƙuri zai iya zaɓan madaidaicin tsinken allura, an tsara tebur na musamman tare da shawarwari.

An shawarci yara da matasa su zabi nau'in allura tare da tsawon 5, 6 da 8 tare da ƙirƙirar fatar fatar tare da gabatarwar hormone. Ana yin allurar ne a wani kusurwa na digiri 90 ta amfani da allura 5 mm, digiri 45 don allura 6 da 8.
Manya na iya amfani da sirinji 5, 6 da 8 mm. A wannan yanayin, ana yin ninka fata a cikin mutane na bakin ciki kuma tare da tsawon allura fiye da mm 8. Lokaci na gudanarwar insulin shine digiri 90 na allurai 5 da 6, 45 digiri idan anyi amfani da allurai da sukafi mm guda 8.
Yara, masu bakin ciki da masu ciwon sukari waɗanda ke yin allurar cikin cinya ko kafaɗa, don rage haɗarin allura na ciki, ana ba da shawarar ninka fata da yin allura a wani kusurwa na digiri 45.
Ana iya amfani da gajeren allurar insulin 4-5 mm mai tsayi a kowane zamani na haƙuri, har da kiba. Ba lallai ba ne don samar da takalmin fata lokacin amfani da su.

Idan mai haƙuri yana yin allurar insulin a karon farko, zai fi kyau a ɗauki gajeren allurai 4-5 mm mai tsawo. Wannan zai guji rauni da allura mai sauƙi. Koyaya, waɗannan nau'ikan allura sun fi tsada tsada, saboda haka galibi masu ciwon sukari kan zaɓi allurai masu tsayi, ba mai da hankali kan asalinsu da wurin gudanar da maganin ba. Dangane da wannan, likita dole ne ya koya wa mai haƙuri ya yi allura ga kowane wuri kuma ya yi amfani da allura na tsawon tsayi.

Yawancin masu ciwon sukari suna sha'awar ko yana yiwuwa a soki fata tare da ƙarin allura bayan kulawar insulin.

Idan aka yi amfani da sirinji insulin, ana amfani da allura sau ɗaya kuma bayan an maye gurbin allurar ta wani, amma in ya zama dole, sake sake yin amfani da sau biyu.

Insulin sirinji insulin

Magungunan insulin yana da filastik mai inganci, wanda baya amsawa ga maganin kuma baya iya canza tsarin sunadarai. Tsawon allura an tsara shi domin ana sanya hodar daidai a cikin tsokar subcutaneous, ba cikin tsoka ba. Tare da gabatarwar insulin a cikin tsoka, tsawon lokacin aikin miyagun ƙwayoyi ya canza.

Designirƙirar sirinji don allurar insulin ya maimaita zanen gilashinsa ko takarda ta filastik. Ya ƙunshi waɗannan sassa:

allura da ta fi guntu da bakin ciki fiye da sirinji na yau da kullun,
silinda akan wane alamar akan nau'i na sikelin tare da rarrabuwa ke aiki,
fistin da ke a cikin silinda kuma yana da hatimin roba,
flange a ƙarshen sililin, wanda aka riƙe ta allura.

Allura na bakin ciki tana rage lalacewa, sabili da haka kamuwa da fata. Don haka, na'urar tana da lafiya don amfanin yau da kullun kuma an tsara ta don tabbatar da cewa marasa lafiya suna amfani da ita da kansu.

Syringes U-40 da U-100

Akwai nau'ikan sirinjin insulin guda biyu:

U - 40, wanda aka kirga akan kashi 40 na insulin a kowace 1 ml,
U-100 - a cikin 1 na 100 raka'a insulin.

Yawanci, masu ciwon sukari suna amfani da sirinji u 100 kawai. Na'urori da ba a taɓa amfani da su ba a cikin raka'a 40.

Misali, idan ka kirkiri kanka da dari dari - GUDA 20 na insulin, to kana buƙatar farashi 8 EDs tare da katangar (ninka 40 da 20 kuma ka rarraba ta 100). Idan kun shigar da magungunan ba daidai ba, akwai haɗarin haɓakar hypoglycemia ko hyperglycemia.

Don saukaka amfani, kowane nau'in naurar yana da iyakoki masu kariya a cikin launuka daban-daban. U - 40 an sake shi tare da jan hula. U-100 an yi shi da wata madaidaicin kariya ta orange.

Menene allurai

Akwai insringes insulin a cikin nau'ikan allura guda biyu:

m
haɗe, watau, haɗa cikin sirinji.

Na'urori masu amfani da allura mai cirewa suna sanye da iyakokin kariya. Ana ɗaukarsu za'a iya dasu kuma bayan an yi amfani dasu, bisa ga shawarwarin, dole ne a saka hula a allura da kuma sirinji da aka zubar.

Girman allura:

G31 0.25mm * 6mm,
G30 0.3mm * 8mm,
G29 0.33mm * 12.7mm.

Masu ciwon sukari sukan yi amfani da sirinji akai-akai. Wannan yana haifar da haɗarin kiwon lafiya saboda dalilai da yawa:

Ba a haɗa allurar da aka cire ko cirewa ba don sake amfani da shi. Yana haske, wanda ke kara zafi da microtrauma na fata lokacin da soke shi.
Tare da ciwon sukari, tsarin farfadowa na iya lalacewa, saboda haka kowane microtrauma shine haɗarin rikice-rikice na bayan-bayan.
Yayin amfani da na'urori tare da allura mai cirewa, wani ɓangaren insulin allurai na iya zama a cikin allura, saboda wannan ƙarancin ƙwayar jijiyoyin jiki da ke shiga jiki fiye da yadda aka saba.

Tare da amfani da maimaitawa, allurar sirinji tayi ɗaci da raɗaɗi yayin allurar ta bayyana.

Alamomin markade

Kowane sirinji na insulin yana da alamar da aka buga akan jikin silinda. Matsakaicin rabo shine 1 rabe. Akwai sirinji na musamman ga yara, tare da rarraba raka'a 0.5.

Don gano Miliyan Miliyan na miyagun ƙwayoyi suna cikin ɗaya na insulin, kuna buƙatar rarraba adadin raka'a ta 100:

1 naúrar - 0.01 ml,
20 FITOWA - 0.2 ml, da dai sauransu.

Matsakaicin akan U-40 ya kasu kashi arba'in. Matsakaicin kowane rabo da sashi na miyagun ƙwayoyi kamar haka:

1 rabo shine 0.025 ml,
2 rarrabuwa - 0.05 ml,
Rukuni 4 sun nuna kashi 0.1 ml,
8 rarrabuwa - 0.2 ml na hormone,
Rukuni 10 ne 0.25 ml,
An tsara rarrabuwa 12 don adadin 0.3 ml,
Rarraba 20 - 0.5 ml,
Rukunan 40 sun dace da 1 ml na miyagun ƙwayoyi.

Dokokin allura

Algorithm na insulin zai zama kamar haka:

Cire kwalban kariya daga kwalbar.
Takeauki sirinji, murɗa matattakalar roba akan kwalbar.
Juya kwalban tare da sirinji.
Oshe kwalban a drawasa, zana adadin adadin raƙuman cikin sirinji, wanda ya wuce 1-2ED.
Taɓa ɗauka da sauƙi a kan silinda, tabbatar da cewa dukkanin kumfa suna fitowa daga ciki.
Cire sararin sama iska daga sililin ta hanyar motsa piston a hankali.
Kula da fata a wurin da aka yi niyya.
Soya fata a wani kusurwa na digiri 45 kuma a hankali allurar take.

Yadda za a zabi sirinji

Lokacin zabar na'urar likita, yana da mahimmanci don tabbatar da alamun alamun da ke jikinta a bayyane kuma suna da ƙarfi, wanda yake gaskiya ne ga mutanen da suke da ƙananan hangen nesa. Dole ne a tuna cewa lokacin daukar ma'aikata, yawan cin zarafin sashi sau da yawa yakan faru tare da kuskuren har zuwa rabin rabo ɗaya. Idan kayi amfani da sirinji u100, to, kar ka sayi u40.

Ga marasa lafiya waɗanda aka wajabta ƙaramin sashi na insulin, ya fi kyau ku sayi na musamman na'urar - alkalami mai sikeli tare da mataki na raka'a 0.5.

Lokacin zabar na'ura, mahimmin mahimmanci shine tsawon tsawon allura. Ana ba da shawarar allura ga yara waɗanda tsawonsu ba su wuce 0.6 cm ba, tsofaffin marasa lafiya na iya amfani da allurar wasu masu girma dabam.

Piston a cikin silinda ya kamata ya motsa daidai, ba tare da haifar da matsaloli tare da gabatarwar miyagun ƙwayoyi ba. Idan mai ciwon sukari ya jagoranci salon rayuwa mai aiki kuma yana aiki, ana bada shawara don canzawa zuwa amfani da famfon insulin ko alkalami.

Alkalami

Na'urar insulin na alkalami shine ɗayan sabbin abubuwan ci gaba. An sanye shi da katako, wanda ke sauƙaƙe injections ga mutanen da ke jagorantar rayuwa mai aiki kuma suna ciyar da lokaci mai yawa a wajen gida.

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