Dosing da gudanar da insulin

Ana gudanar da insulin a ƙarƙashin ƙasa, a cikin lokuta na gaggawa - a cikin ciki ko intramuscularly. Cutarancin insulin na insulin ba shine ilimin halittar jiki ba, amma a halin yanzu hanyace kawai da aka yarda da ita ta ci gaba da aikin insulin.

Mai haƙuri yakamata ya san ƙa'idoji da dalilai waɗanda ke shafar hanzari da girma na ɗaukar insulin cikin jini bayan allurar ta subcutaneous. Ya kamata a ɗauka cikin zuciya cewa insulin a matsayin magani ta musamman ce ta yadda ingancinta ya dogara ba kawai da halayen magungunan ba, har ma a kan abubuwan da yawa da suka danganci dabarar gudanarwarta.

Wurin insulin

A lokacin allurar cikin ciki a ciki (zuwa hagu da dama na cibiya), ana shigar da insulin cikin sauri cikin jini, yayin allura cikin cinya ta kasance a hankali kuma ba ta cikawa: kusan 25% ƙasa da lokacin da aka sa cikin ciki. Lokacin da aka sa shi cikin kafada ko gindi, hanzari da girma na yawan insulin ya ɗauki wani matsakaici.

Don haka, tare da canje-canje marasa tsari a cikin wuraren allura a sassa daban-daban na jikin mutum, zazzabi mai mahimmanci cikin tasirin glucose-insulin, musamman na ɗan gajeren aiki, mai yiwuwa ne. Saboda haka, canji wuraren allura (ciki, cinya, kafada) dole ne a canza shi cikin nasara a cikin yanki ɗaya gwargwadon wani tsarin, alal misali, koyaushe yi injections a cikin ciki da safe, a kafada da yamma, a cikin maraice da yamma, ko duk allura a ciki.

Zai dace a gudanar da insulin gajeran aiki zuwa cikin kashin mai na ciki na ciki, kuma insulins-mai dadewa a cikin kafada ko cinya.

Lokacin da aka saka insulin cikin yanki ɗaya na fata, canje-canje a cikin ƙwayar mai mai ƙananan nama yana faruwa, wanda ke ragewa kuma rage yawan insulin.

Ingancin insulin yana raguwa, wanda ke haifar da ra'ayi na karya game da buƙatar ƙara yawan allurai. Ana iya hana waɗannan abubuwan mamakin ta hanyar canza wuraren allurar da kuma lura da nisa tsakanin wuraren gabatar da allura zuwa cikin fata na akalla 1 cm.

Zazzabi

Canji bayyananne a cikin shan insulin yana faruwa lokacin da zafin jiki na fata ya canza a wurin allurar. Ruwan wanka ko wanka, amfani da murfin murhu mai zafi, zama cikin rana mai tsananin zafi yana hanzarta jan insulin (sau 2).

Kwantar da fata yakan rage rage yawan insulin da kusan kashi 50%. Ba'a bada shawarar yin allurar insulin kawai daga cikin firiji ba saboda ɗan jinkirin sha. Maganin insulin yakamata ya sami zazzabi a daki.

Massage wurin allurar insulin

Massage wurin allura yana kara yawan adadin insulin zuwa kashi 30 ko fiye. Saboda haka, wani haske tausa daga wurin allura nan da nan bayan aikin insulin ya kamata a yi kullun ko a'a. A wasu yanayi (alal misali, yayin abubuwan da suka faru tare da abinci mai yalwa), zaku iya hanzarta hanzarta ɗaukar insulin ta hanyar rufe wurin allura.

Aiki na Jiki

Aiki na ɗan lokaci yana hanzarta ɗaukar insulin, ba tare da la'akari da wurin allura ba da kuma halayen ayyukan jiki. Shawarwarin don canza wurin allura kafin aikin tsoka don rigakafin cututtukan cututtukan hanzari ba shi da tasiri, tun da aiki na jiki da kansa yana da babban tasirin glucose.

Zurfin Inulin

Sauye-sauye a cikin matakin glycemia na iya zama daga haɗari da rashin kulawa da kulawa na insulin intramuscularly ko intradermally maimakon subcutaneously, musamman lokacin amfani da allurar insulin mafi ƙanƙanta da mafi gajarta, kazalika a cikin mutanen da ke bakin ciki tare da bakin ciki na mai ƙarancin kitse na subcutaneous. Yawan sha daga cikin insulin yayin allurar intramuscular na iya ninki biyu, musamman tare da gabatarwar insulin cikin kafada ko cinya. Tare da gabatarwar insulin a cikin ciki, bambance-bambance tsakanin allurar ciki da na ciki ba shi da wata ma'ana. Marasa lafiya da ke da horo na iya yin amfani da insulin na wucin gadi a jiki kafin su dauki carbohydrates mai sauri-sauri ko kuma da alamun cutar ketoacidosis masu ciwon sukari.

Gudanar da sinadarin insulins na dogon aiki ba a bada shawarar saboda gajarta sakamakon rage girman glucose din su.

Tare da gudanarwar inradermal (wannan yana faruwa idan an saka allura a wani kusurwa da ƙarancin fatar fata ko ba zurfi ba), insulin ya ragu sosai, kuma ja da jijiyoyin jiki suna faruwa a wurin allurar.

Yawan insulin

Tare da karuwa a cikin subcutaneously an gudanar da kashi ɗaya, tsawon lokacin aikin insulin yana ƙaruwa kusan daidai da shi. Don haka, tare da gabatarwar raka'a 6 na insulin gajere a cikin mara lafiya mai nauyin 60 kilogiram, sakamakon rage girman glucose zai bayyana na tsawon awanni 4, tare da gabatarwar raka'a 12 na wannan insulin - 7-8 hours. Ya kamata a tuna cewa narkewar yawancin abinci da jita-jita (ba tare da la'akari da hakan ba) adadin) yana ƙare bayan sa'o'i 4-6. Idan baku ci abinci mai ɗauke da ƙwayar carbohydrate ba a wannan lokacin, to, bayan allura mai yawa har ma da “gajeren lokaci” insulin, zazzabi yana yiwuwa.

Ganin waɗannan abubuwan da ke sama waɗanda ke shafar sha da aiki na insulin bayan gudanarwarsa, kowane mai haƙuri dole ne ya kware ka'idoji da tsarin allurarsa na yau da kullun don hana ci gaba da gudana cikin matakan glucose na jini.

"Dokoki don gudanar da insulin" da sauran labaran daga sashen

Subcutaneous na insulin. Ana gudanar da insulin a ƙarƙashin ƙasa, a cikin lokuta na gaggawa - a cikin ciki ko intramuscularly. Cutarancin insulin na insulin ba shine ilimin halittar jiki ba, amma a halin yanzu hanyace kawai da aka yarda da ita ta ci gaba da aikin insulin. Mai haƙuri yakamata ya lura da abubuwanda ke shafar ƙima da ƙima na shan insulin cikin jini bayan allurar ta subcutaneous. Ya kamata a ɗauka cikin zuciya cewa insulin a matsayin magani ta musamman ce ta yadda ingancinta ya dogara ba kawai kan halayen magungunan ba, har ma a kan yanayi da yawa da ke da alaƙa da dabarun gudanarwarsa da kuma sauran wasu abubuwan.

Abubuwanda ke shafar sha da aiki na insulin

1. Wurin gabatarwa. A lokacin allurar cikin ciki a ciki (zuwa hagu da dama na cibiya), ana shigar da insulin cikin sauri cikin jini, yayin allura cikin cinya ta kasance a hankali kuma ba ta cikawa: kusan 25% ƙasa da lokacin da aka sa cikin ciki. Lokacin da aka sa shi cikin kafada ko gindi, hanzari da girma na yawan insulin ya ɗauki wani matsakaici. Don haka, lokacin da ake canza wuraren allura, mahimman canzawa a cikin tasirin glucose, musamman na gajeren aiki, mai yiwuwa ne, saboda haka, bangarorin gudanarwar insulin (ciki, cinya, kafada) dole ne a canza sauyi cikin yanki ɗaya na jiki bisa ga wani tsarin, alal misali, da safe koyaushe yin allurar cikin ciki, da rana - a kafada, da yamma - a cinya ko duk injections na ciki.

Yana da kyau a gudanar da insulin gajeran aiki zuwa cikin ciki, da kuma insulins din da suka dade suna aiki cikin kafada ko cinya. Lokacin da aka saka insulin cikin yanki ɗaya na fata, canje-canje a cikin ƙwayar mai mai ƙananan nama yana faruwa, wanda ke ragewa kuma rage yawan insulin. Ingancin insulin yana raguwa, wanda "yana haifar da ra'ayi mara kyau na buƙatar ƙara yawan allurai. Wadannan abubuwan zasu iya hanawa ta hanyar sauya wuraren allura da lura da nisan da ke tsakanin wuraren kula da insulin na akalla 1 cm.

2. Zazzabi Yawan sha daga insulin ya dogara da zafin jiki na fata a wurin allurar. Ruwan wanka ko wanka, sanya murfin murhu mai zafi, zama cikin rana mai tsananin zafi yana hanzarta jan insulin, wani lokacin sau 2. Kwantar da fata yakan rage rage yawan insulin da kusan kashi 50%. Ba'a bada shawara don sarrafa insulin kawai an cire shi daga firiji (jinkirin sha). Maganin insulin yakamata ya sami zazzabi a daki.

Z. Tausa mai ciki yana haɓaka ƙimar insulin zuwa 30% ko fiye. Saboda haka, wani haske tausa daga wurin allura nan da nan bayan aikin insulin ya kamata a yi ko dai kullun ko a'a. A wasu yanayi (alal misali, a yayin bukukuwan idi tare da abinci mai yalwar abinci), zaku iya hanzarta hanzarta ɗaukar insulin ta hanyar rufe wurin allura.

4. Aiki na Jiki dan kadan hanzarta jan insulin, ba tare da la’akari da wurin da allura ba da kuma halayen ayyukan jiki. Shawarwarin "yana da mahimmanci don canza wurin allura kafin kowane aikin tsoka don rigakafin cututtukan hypoglycemia" ba shi da inganci, tunda aikin jiki yana da babban tasirin glucose. Koyaya, mutum ba zai iya ba amma la'akari da cewa ɗaukar insulin daga yanki na tsokoki masu aiki suna da ƙarfi kuma matakin insulin a cikin jini zai zama mafi girma yayin da aka gabatar da miyagun ƙwayoyi a cikin mafi yawan sassan jiki na jiki, alal misali, a cinya kafin hawa keke.

5. Zurfin allura. Sauye-sauye a cikin matakin glycemia na iya zama daga haɗari da rashin kulawa da kulawa na insulin intramuscularly ko intradermally maimakon subcutaneously, musamman lokacin amfani da allurar insulin mafi ƙanƙanta da mafi gajarta, kazalika a cikin mutanen da ke bakin ciki tare da bakin ciki na mai ƙarancin kitse na subcutaneous. Yawan sha daga cikin insulin yayin allurar intramuscular na iya ninki biyu, musamman tare da gabatarwar insulin cikin kafada ko cinya. Tare da gabatarwar insulin a cikin ciki, bambance-bambance tsakanin allurar ciki da na cikin ciki ba su da wata ma'ana. Marasa lafiya da ke da horo na iya yin amfani da insulin na wucin gadi a jiki kafin su dauki carbohydrates mai sauri-sauri ko kuma da alamun cutar ketoacidosis masu ciwon sukari. Gudanar da sinadarin insulins na dogon aiki ba a bada shawarar saboda gajarta sakamakon rage girman glucose din su. Tare da allurar ciki (wannan na faruwa idan an ɗiban allura a ƙarancin kusurwa zuwa fata ko kuma m) insulin ya ragu sosai, kuma ja da jijiyoyin suna faruwa a wurin allurar.

6. Kashi insulin. Tare da karuwa a cikin kashi ɗaya na subcutaneous kashi, tsawon lokacin aikin insulin yana ƙaruwa kusan daidai da shi. Don haka, tare da gabatarwar raka'a 6 na insulin gajere a cikin mara lafiya mai nauyin 60 kilogiram, za a bayyana tasirin glucose a cikin sa'o'i 4, tare da gabatarwar raka'a 12 na wannan insulin - 7-8 hours. Ya kamata a tuna cewa narkewar yawancin abinci da abinci (ba tare da la'akari da adadinsu ba) ya ƙare bayan 4 - 6 hours. Idan ta wannan lokacin ba ku ci abincin da ke kunshe da carbohydrates, to bayan allurar manyan allurai ko da “gajere” insulin hypoglycemia mai yiwuwa ne. Yin la'akari da abubuwan da aka lissafa waɗanda ke shafar sha da aiki na insulin bayan aikinta, kowane mara lafiya dole ne ya kware a tsarin allurarsa ta yau da kullun, in ba haka ba zai sha wahala daga manyan canje-canje a matakan glucose na jini.

SYRINGES, SYRINGE - HANDLES DA MUTANE NA INSULIN

A bisa ga al'ada, ana amfani da sirinji insulin don allura, a halin yanzu filastik. Daidaitaccen sirinji da aka yi amfani dashi a Rasha an tsara shi don 1 ml na insulin a cikin taro na 40 raka'a. Ana amfani da alamar a jikin sirinji a cikin sassan insulin kamar yadda yake kan mai mulki na yau da kullun tare da lambobi 5, 10, 15,20,25,30,35,40, har ma tare da mataki guda - rarrabuwa tsakanin lambobin da aka nuna, wanda ya dace da 1 Unit. Abubuwan insulin na kasashen waje na iya zama 0.3, 0.5 da 2 ml a girma Kuma Tare da tattarawa yawancin 100ungiyoyi 100, ƙasa da ƙananan raka'a 40. Muhimmin mahimmancin yin la'akari da waɗannan alamun ana yin la'akari yayin gudanar da insulin wanda aka tattauna a sama, wanda kuma ya ce game da sauyawa mai zuwa zuwa sirinji a Rasha, wanda aka ƙididdige bisa ga ƙudurin ƙasa da ƙasa na raka'a 100. don yin allura, ya fi kyau a yi amfani da sirinji tare da allura walƙiya (tsayayyen).

Idan ana bin ka'idodin tsabta, ana iya sake amfani da sirinji na filastik kwana 2 zuwa 3: kawai rufe allura tare da hula kuma adana ta a wannan tsari ba tare da matakan haifuwa ba. Koyaya, bayan allura 4 zuwa 5, aikin insulin ya zama mai raɗaɗi saboda faɗuwar allura. Saboda haka, tare da maganin insulin mai zurfi, sirinji na disposes zai dace da sunan "yardar". Kafin allura, yana da kyau a goge marubutan roba na vial tare da ulu na insulin auduga wanda ya bushe da giya na 70. Vials tare da insulin-gajere, tare da analogs analogs (glargine, detemir), kar a girgiza. , wato, bayyananniyar siffofin a cikin murfin, kuma kuna buƙatar girgiza shi da kyau kafin ɗaukar insulin.

Lokacin tattara insulin a cikin sirinji ja mai sirinji zuwa alamar da ke nuna adadin raka'o'in insulin, sannan sai a huda mashin roba na kwayar insulin tare da allura, danna maɗaukin kuma bar iska ta shiga murfin. Bayan haka, sirinji tare da kwalbar an juye shi juye, yana riƙe su a hannu ɗaya a matakin ido, an cire piston zuwa alamar da ta wuce adadin insulin. Zai fi kyau a huda murfin murfin a cikin ainihinsa tare da babban allura don sirinji na yau da kullun, sannan a saka allurar insulin a cikin wannan hujin. Idan kumburin iska ya shiga cikin sirinjin da aka saka, danna kan sirinji tare da yatsunsu kuma a hankali yaɗa piston zuwa alamar da ake so. Amfani da cakuda insulin nau'ikan daban-daban a allurai da aka zaba daidai yana samar da sakamako ani da yawa akan matakin glucose a cikin jini sama da tsarin gudanar da insulins iri daya a cikin allurai iri daya. Koyaya, lokacin da suke haɗuwa da insulins daban-daban, canje-canjen su na ilimin likita suna yiwuwa, wanda ke shafar aikin insulin.

Sharuɗɗa don haɗuwa da insulins daban-daban a cikin sirinji:

* na farko yana allura a cikin sirinji na gajeran aiki, na biyu - matsakaicin lokacin aikin,

* insulin gajeriyar aiki da NPH-insulin na tsawon lokaci (isofan-insulin) bayan ana iya amfani da hadawa nan take kuma adana shi don gudanar da mulki,

* insulin gajarta aiki bazai hade shi da insulin mai dauke da dakatarwar zinc ba, tunda yawan excessan sarin ya canza kadan daga cikin insulin wanda yake aiki a matsakaici. Saboda haka, insulin gajeran aiki da zinc-insulin ana gudanar dasu daban-daban ta hanyar allura biyu zuwa cikin fagen fata da aƙalla 1 cm daga juna,

* lokacin da aka haɗu da sauri (lispro, kewa) da insulin aiki na tsawon lokaci, farkon insulin cikin sauri baya rage gudu. Slow yana yiwuwa, kodayake ba koyaushe ba, ta hanyar haɗa insulin mai sauri tare da NPH-insulin. Ana yin cakuda insulin mai sauri tare da matsakaici ko aiki mai tsayi na tsawon mintina 15 kafin abinci,

* NPH-insulin na matsakaita bai kamata a hade shi da insulin aiki na tsawon lokaci wanda ya ƙunshi dakatarwar zinc ba. Latterarshen, sakamakon hulɗar da kemikal, na iya wucewa cikin insulin-gajeran aiki tare da sakamako wanda ba a iya tsammani ba bayan gudanarwa, * insulin analogues analogues glargine da detemir ba zasu iya haɗuwa da wasu abubuwan insulins ba.

Maganin Injection Inulin

Wurin allurar insulin ya isa ya goge da ruwa mai ɗumi da sabulu, ba ruwan barasa ba, wanda yakan bushe ya yi fatar fata. Idan aka yi amfani da giya, to lallai ya ƙafe gaba ɗaya daga fata kafin a yi allura. Kafin allura, ya zama dole a tattara fatar jikin ta da mai kitse mai yatsa tare da babban yatsa da yatsan hannu. Alluhun allura suma tare da wannan babban reshe a wani kusurwa na 45 -75 digiri. Tsawon lokacin allura na abubuwan zubar da insulin shine 12-13 mm, sabili da haka, lokacin da aka soke allurar, insulin za a allura da shi cikin jijiyar wuya, musamman ga bakin ciki marassa lafiya, zuwa ga fata.

A babban allurai na insulin, ana bada shawara don canza gefen allura yayin gudanarwarsa, kuma lokacin fitar, juya sirinji kadan a gindinsa don hana insulin sake dawowa ta hanyar allura. Kada a tsaurara tsokoki yayin allura, ya kamata a saka allura da sauri.Bayan allurar insulin, ya zama dole a jira 5-10 seconds don duk insulin ya shiga cikin fatar, sannan, har yanzu ba a riƙe fatar fatar ba da fatalwar subcutaneous tare da yatsunsu, cire allura. Wannan yana da mahimmanci musamman a yayin allurar daskararrun abubuwa, da kuma cakuda (haɗuwa).

Alkalamiin sirinji kunshi hannun riga (katun, kataka) don insulin, jiki, injin sarrafa piston ta atomatik, allura da aka saka a saman hannun hannun mai tawada daga alƙalami (an cire allura bayan allura), hula don alkalami inoperative da shari'ar da ta yi kama da ta batun alkalami na tawada. Alƙalin sirinji yana da maɓallin ɗauka da kuma injin da zai ba ku damar saita kashi na insulin tare da daidaito na 0.5 da 1 Unit. Amfanin alkairin sirinji shine haɗakar sirinji da kwalin insulin da ka'idodin allura mai ƙarancin lokaci fiye da sirinji na al'ada.

Abubuwan allurar alkairin sirinji sun yi guntu, saboda haka ana yin allura a wani kusurwa na 75 - 90. Cikakkun allurai suna da bakin ciki har suna haifar da ciwo kadan. Ana iya ɗaukar alƙaluman Syringe a cikin aljihu ko jaka, sun dace wa mutane masu aiki, haka kuma ga marasa lafiya da hangen nesa mai ɓaci Ana saita sigar ta hanyar danna kayan: 1 danna shine 0.5 ko naúrar 1. Ana yin nau'in nau'in sirinji na alkalami (“Humapen”, “Plyapen”, “Optipen”, da sauransu), waɗanda yawanci suna da umarnin a cikin Rashanci. A matsayin misali, yi la’akari da almara na Novo Pen 3, wanda zai baka damar:

Kashi a cikin karin kashi 1,
- kasa da yawa don canza hannun riga saboda girman girma (300ungiyoyi 300),
- kashi tare da babban daidaito,
- bayar da allura da sauri kuma ba tare da matsala ba,
- daidai bin takaddara na likita,
- yi amfani da cikakkun kayan insulins, gami da abubuwan hade 5 da aka shirya.

A cikin alkairin syringe "Novo Pen 3" akwai "taga" tare da fadi da kallo da sikelin wanda zai ba mara lafiya damar sarrafa adadin insulin da ya rage da kuma daidaituwa na dakatarwa. Tsarin Novo Pen 3 yana amfani da hannayen riga 3 ml cike da insulin ta insulin da kuma abubuwan hadewar insulins masu fa'ida, waɗanda aka lamban launi don rarrabawa da sauri. Sauya hannun hannun yana ɗaukar secondsan mintuna. Alƙalin sirinji "Novo Pen 3 Demi" yana da duk fa'idodin alƙawarin sikari "Novo Pen 3", amma an tsara shi musamman ga waɗanda suke buƙatar ƙananan allurai na insulin da daidaitawa mai kyau.

Wannan sirinji ya kasance alkalami tare da mafi ƙarancin insulin wanda aka gudanar a cikin rukunin 1 da kuma bugun lamba na raka'a 0.5. Ana ba da shawarar sirinji mai novo Pen 3 Pen Mayt ga waɗanda suke jin tsoron injections har ma da ƙananan buƙatun. A ciki, allurar da ke ɓoye a cikin na'urar na'urar ana shigar da kanta ta atomatik cikin maɓallin subcutaneous bayan danna maɓallin, kuma wannan gabatarwar yana faruwa nan take kuma kusan ba shi da haƙuri ga mai haƙuri. Sakamakon haka, yawan maimaita insulin na yau da kullun ya zama nauyi mara nauyi. A cikin ƙasashe da yawa, alkalami na alkalami sun shahara sosai ga masu fama da cutar siga a Russia, alkalami na da matsala: suna da tsada, ba za a iya gyara su ba lokacin da ake ƙerawa, wadataccen insulin da ya cika ta hannayen riga ba shi da tsari sosai fiye da insulin a cikin vials.

Masu ba da insulin. Mafi inganci a cikin lura da marasa lafiya da ciwon sukari an gane shi azaman insulin magani mai zurfi, halayenda aka gabatar dasu a ƙasa. Hanyar da ta dace ta kwantar da hankali sosai shine amfani da insulin masu aiki (“matatun insulin”) tare da cigaba da aiki da insulin. A cikin Amurka, sama da marasa lafiya 200,000 masu ciwon sukari suna amfani da insulin a maimakon allurar tare da sirinji ko alkalami.

Tare da taimakon insulin masu aikawa, samarda shi ga jiki yana faruwa ne ta hanyar katangar da aka saka a ƙarƙashin subcutaneously kuma an haɗa shi da reshin insulin da ƙuƙwalwar ajiya. karshen yana dauke da bayani kan adadin insulin da za'a gudanar dashi. Girman mai aikawa yana da ƙananan - kimanin girman fakitin sigari. Masu nunin gargaji suna amfani da insulins na gajere da gajeriyar magana. Nasihu suna da yanayin insulin biyu: cigaba da bayarwa a cikin microdoses (ƙimar basal), gwargwadon adadin da mai haƙuri da kansa ya tsara.

Yanayin farko yana sake haifar da asalin insulin kuma ya maye gurbin gabatarwar insulin na matsakaita. Tsarin na biyu ana gudanar da shi ne ga marasa lafiya da abinci (yin la'akari da adadin carbohydrates da ke cinyewa) ko tare da wani babban matakin glucose a cikin jini kuma ya maye gurbin insulin gajeran aiki tare da maganin insulin na al'ada. Mai wutan lantarki ba ya auna tarowar glucose a cikin jini kuma baya yin lissafin adadin insulin da ake bukata. Wannan ya kamata mai haƙuri da kansa ya yi wannan, ya kuma maye gurbin ɗamarar catheter da aka saka subcutaneously kowane kwana biyu zuwa uku. Masu ba da kyauta na zamani (alal misali, samfurin 508 R da aka sayar a Rasha) suna da tsarin ƙararrawa kuma, idan akwai matsala, yi rahoton su ga mara lafiya tare da siginar sauti ko girgizawa.

Fa'idodi na amfani da injin insulin akan maganin insulin ta hanyar injections da yawa kamar haka:

Yin amfani da insulin na gajeran lokaci kawai da kuma ci a cikin microdoses yana hana saka insulin a cikin ƙwayar subcutaneous, wanda ke tabbatar da mafi kyawun shan ƙwayoyi kuma yana rage haɗarin hypoglycemia lokacin da aka "fito da insulin" daga mahaɗan da aka halitta.

Shirye-shiryen raba abinci na yau da kullun na asali (tushen) farashin insulin na gudanarwa ya danganta da lokacin rana, wannan yana da mahimmanci ga marasa lafiya da cututtukan fata na safiya,

Gabatar da ƙananan allurai na insulin (ya danganta da matakin kashi 0.05 - 0.1 Units) ya dace da mutane masu ƙarancin insulin,

Ci gaba mai mahimmanci na kulawa na insulin da kuma yiwuwar ƙarin ikonsa ta latsa haɗakar maɓallin maballin a kan mai karɓar damar ba mai haƙuri damar jagorantar yanayin rayuwa, baya dogara da lokacin allurar insulin, manyan abinci, kayan ciye-ciye, watau, inganta ingancin rayuwa.

Inganta karfin metabolism lokacin amfani da magungunan insulin don marasa lafiya da ke da nau'in 1 na ciwon sukari mellitus an tabbatar da su ta hanyar binciken da yawa. Dangane da Cibiyar Kimiyya ta Endocrinology na Kwalejin Kimiyya ta Rasha (2006), yin amfani da masu bayar da magani, an gano waɗannan abubuwan a matsayin manyan, tun da insulin a cikin nau'in famfo na insulin zai iya yin tasiri sosai ga nau'in ciwon sukari na 1 tare da raguwar alama a matakin glycated haemoglobin, sannan kuma yana inganta yanayin rayuwar marasa lafiya. .

Nesa maganin insulin don maganin ciwon sukari na 2 bai zama ruwan dare gama gari ba. Duk da fa'idodi da yawa na masu iskar insulin a samar da diyya ga masu cutar siga, wannan hanyar tana da nasa hasara:

Wasu matsaloli na fasaha a cikin aikin inshorar insulin sun iyakance kewayon marasa lafiyar da zasu iya amfani dashi da kansu

Za a iya amfani da masu siyarwar insulin ne kawai ta hanyar horar da likitoci da horar da su, tun da wannan nau'in insulin yana buƙatar ƙarin kulawa akai-akai game da matakan glucose na jini - a matakin farko, lokacin zabar hanzari, sau 6-10 a rana,

Mai haƙuri da ke amfani da injin insulin ya kamata koyaushe ya kasance yana da tsarin maye gurbin (tafki da catheter) a hannu, insulin, kazalika da sirinji na insulin ko alkalami,

Babban hauhawar farashin insulin har ya zuwa yanzu yana hana yiwuwar amfani da yawansu. Misali, farashin famfon din insulin na DANA Diabetcare II S wanda aka siyar dashi a 2007 tare da aikin gyaran inshora na kashi insulin shine Yuro 3300

Ana amfani da allurar insulin:

• gaban ciki na ciki (mafi sauri, ya dace da allurar insulin gajere da ultrashort abubuwa kafin abinci, abubuwan hade hade da insulin)
• cinya gaban-gwiwa, kafada ta waje, gindi-gindi (sharar hankali, ya dace da allura tsawanta insulin)

Yankin allurar insulin da ya dade yana aiki kada ya canza - idan yawanci ka dage a cinya, to yawan rashi zai canza yayin allura zuwa kafada, wanda hakan kan iya haifar da hawa da sauka a cikin sukarin jini!

Ka tuna cewa kusan bashi yiwuwa a allurar da kanka zuwa saman kafada da kanka (ga kanka) tare da madaidaicin dabarar allura, don haka amfani da wannan yankin zai yiwu ne kawai tare da taimakon wani!

Ana samun isasshen ƙwayar ƙwayar insulin ta hanyar saka shi cikin mai kitse mai kitse . Intradermal da intramuscular shigarwar insulin yana haifar da canji a cikin adadin sha da kuma canji a cikin tasirin hypoglycemic.

Me yasa muke buƙatar allura?

Don dalilai daban-daban, alade ya fara aiki ba daidai ba. Mafi yawan lokuta ana bayyana wannan a cikin raguwa a cikin samar da insulin na hormone, wanda, bi da bi, yana haifar da rushewar tsarin narkewar abinci da na rayuwa. Jiki ya kasa samun makamashi daga abincin da aka cinye sannan yana fama da matsanancin glucose, wanda a maimakon sel ya tsinci kansa, ya tara cikin jini. Lokacin da wannan yanayin ya faru, pancreas yana karɓar sigina game da buƙatar samar da insulin. Amma saboda rashin aiki na gabobin, ana sakin hormone din cikin ƙarancin kulawa. Yanayin ya kara yin muni, yayin da yawan insulin na ciki ya zuwa yanzu bai zama sifili ba.

Gyara yanayin zai yiwu ne kawai ta hanyar wadatar da sel tare da analog na hormone. Jiyya a lokaci guda yana ci gaba don rayuwa. Mai haƙuri da ciwon sukari kowace rana yana yin allura sau da yawa. Yana da mahimmanci a yi su a kan kari, don guje wa mawuyacin yanayi. Harkokin insulin yana ba ku damar sarrafa matakan sukari na jini da kuma kula da koda da sauran gabobin a matakin da ya dace.

Manyan dokokin allura

Hanyar sarrafa insulin shine abu na farko da ake koyar da marasa lafiya bayan sun gano cutar sankara. Tsarin yana da sauki, amma yana buƙatar ƙwarewar asali da fahimtar aiwatarwa. Da ake bukata ana bin ka'idoji ne, ko kuwa, isar da aikin. Don yin wannan, tuna da waɗannan ƙa'idodi game da tsabta:

• Ya kamata a wanke hannaye kafin aikin,
• an shafe yankin da allurar ta da kyalle mai tsabta ko maganin tausa,
• Don yin amfani da allura na musamman sirinji da allura na musamman.

A wannan matakin, ya kamata ku sani cewa barasa yana lalata insulin. Lokacin kulawa da fata tare da wannan samfurin, yana da buƙatar jira don ƙarewar sa ta ƙarshe, sannan kuma ci gaba zuwa aikin.

Yawanci, ana yin insulin minti 30 kafin cin abinci. Likita, wanda ya danganta da sifofin haɓakar kwayar roba da kuma yanayin haƙuri, zai ba da shawarwarin mutum akan allurai na maganin. Yawancin lokaci, ana amfani da nau'ikan miyagun ƙwayoyi guda biyu yayin rana: tare da ɗan gajeren lokaci ko tsawaitawa. Hanyar sarrafa insulin ta ɗan bambanta.

A ina suka sa allura?

Duk allurar ta ƙunshi wasu wuraren da aka ba da shawarar don ingantaccen halayenta. Ba za a iya sanya allurar insulin ga ko dai nau'in gudanarwar intramuscular ko nau'in gudanarwa ba. Dole a aika da mai aiki mai aiki a cikin mai mai subcutaneous. Lokacin da insulin ya shiga cikin ƙwayar tsoka, aikinsa ba a iya faɗi ba, kuma abubuwan jin daɗi yayin allurar suna da raɗaɗi. Saboda haka, ba za a iya sanya allura a ko'ina ba: kawai ba ya aiki, wanda hakan zai kara dagula yanayin haƙuri.

Hanyar sarrafa insulin ta ƙunshi yin amfani da sassan jikin mutum:

• gaban cinya sama
• ciki (yanki kusa da cibiya),
• madogara na gindi,
• kafada.

Haka kuma, don allurar kai, wuraren da suka fi dacewa sune kwatangwalo da ciki. Wadannan bangarorin biyu don nau'ikan insulin ne daban-daban. Zai fi dacewa a saka allurar dansandan a cikin kwatangwalo, da injections masu saurin gudana cikin cibiya ko kafada.

Menene dalilin wannan? Masana sun ce a cikin kashin cinya mai cinya na cinya da kuma na waje na gindin gwiwowi, shakar hankali yake faruwa. Kawai abin da kuke buƙata don insulin aiki na dogon lokaci. Kuma, akasin haka, kusan nan take a lokacin da ƙwayoyin jikin mutum suka karɓi kayan da ke ciki ya faru a cikin ciki da kafadu.

Waɗanne wuraren allura ne suka fi dacewa?

A bayyane jagororin jagora dangane da zaɓin wurin allurar. Zasu iya zama wurare kawai da aka lissafa a sama. Haka kuma, idan mai haƙuri ya yi allura da kansa, to, zai fi kyau zaɓi gaban cinya don abu mai amfani, da ciki don analogues na gajere da gajere. Wannan saboda gudanar da miyagun ƙwayoyi zuwa kafada ko kafa yana iya zama da wahala. Sau da yawa, marasa lafiya ba sa iya yin gashin kansa da kansa a cikin waɗannan wuraren don shiga cikin ƙashin mai mai cikin ƙasa. A sakamakon haka, an sanya kuskuren ƙwayar cikin ƙwayar tsoka a cikin ƙwayar tsoka, wanda baya inganta yanayin masu ciwon sukari.

Guji wuraren lipodystrophy (yankuna da karancin kitse subcutaneous) da kuma nisantar da shafin allurar da ta gabata game da santimita 2. Ba a gudanar da allurar rigakafin fata ko warkarwa. Don keɓance waɗannan wuraren da ba a dace da hanyar ba, a tabbata cewa babu jan launi, toka, ƙamshi, bruises, alamun lalacewar fata da fatar akan wurin allurar da aka shirya.

Yaya za a canza wurin allurar?

Yawancin masu ciwon sukari suna dogara da insulin. Wannan yana nufin cewa kowace rana dole ne suyi yawancin injections na miyagun ƙwayoyi don jin farin ciki. A lokaci guda, yankin allura ya kamata canza koyaushe: wannan dabara ce don gudanar da insulin. Algorithm na ayyukan da aka yi ya ƙunshi shimfidar abubuwa uku:

1. Gudanar da allura kusa da wurin da allurar ta gabata, tana komawa daga ciki kimanin 2 cm.
2. Raba yankin gudanarwa zuwa kashi 4. A cikin mako guda, yi amfani da ɗayansu, sannan matsa zuwa na gaba. Wannan yana bawa fatar sauran wuraren damar hutawa da murmurewa. Har ila yau ana kiyaye nesa daga santimita da yawa daga wuraren allura a cikin ɗayan lobe guda.
3. Raba yankin da aka zaɓa a cikin rabin kuma sara a cikin kowane ɗayan.

Hanyar da ke cikin ƙananan ƙwayar insulin yana ba ku damar sadar da abu mai aiki a cikin jiki a cikin saurin da ake buƙata. Saboda wannan, yakamata mutum ya bi daidaito a zaɓin yankin. Misali, idan magani na tsawaita mataki, mara lafiya ya fara shiga kwatangwalo, to lallai ne a ci gaba. In ba haka ba, rashi yawan insulin zai zama daban, wanda a ƙarshe yakan haifar da hawa da sauka a matakan sukari na jini.

Lissafin kashi na magani ga manya

Zaɓin insulin shine ainihin aikin mutum. Adadin yau da kullun da aka ba da shawarar raka'a na miyagun ƙwayoyi yana shafar alamomi daban-daban, ciki har da nauyin jiki da "ƙwarewar" cutar. Masana sun gano cewa a cikin janar, bukatun yau da kullun na mai haƙuri da ciwon sukari a cikin insulin bai wuce raka'a 1 a 1 kg na nauyin jikinsa ba. Idan wannan ƙofar ya wuce, rikice-rikice suna ci gaba.

Maganar gaba ɗaya don ƙididdige yawan insulin shine kamar haka:

• D day - kashi na yau da kullum na miyagun ƙwayoyi,
• M shine nauyin jikin mai haƙuri.

Kamar yadda za'a iya gani daga cikin dabara, dabarar yin lissafin gudanarwar insulin ta dogara ne akan girman bukatun jikin mutum na insulin da nauyin jikin mai haƙuri. An kafa alamomi na farko dangane da tsananin cutar, shekarun mai haƙuri da "ƙwarewar" ciwon sukari.

Bayan gano maganin yau da kullun, ana yin lissafi. Za'a iya gudanar da maganin ciwon sukari na lokaci guda ba fiye da raka'a 40 ba, kuma a cikin rana guda ɗaya - a cikin raka'a 70-80.

Misalin Lissafin Kuzarin Insulin

Ka ce nauyin jikin mai ciwon sukari shine kilogiram 85, kuma ranar D shine 0.8 U / kg. Yi lissafin: 85 × 0.8 = 68 IEARYA. Wannan shine adadin insulin da mai haƙuri yake buƙata kowace rana. Don yin ƙididdigar yawan magunguna masu amfani da dogon lokaci, adadin ya kasu ya kasu kashi biyu: 68 ÷ 2 = 34 LATSA. An rarraba allurai tsakanin allura safe da maraice a cikin rabo na 2 zuwa 1. A wannan yanayin, za'a sami raka'a 22 da raka'a 12.

A kan "gajere" insulin ya rage raka'a 34 (daga cikin 68 kowace rana).An kasu kashi uku a jere kafin abinci, ya danganta da yawan abincin da yake a cikin carbohydrate, ko kuma an kaso shi kashi biyu, yana lissafin 40% da safe da kuma 30% na abincin rana da yamma. A wannan yanayin, mai ciwon sukari zai gabatar da raka'a 14 kafin karin kumallo da raka'a 10 kafin abincin rana da abincin dare.

Sauran hanyoyin insulin na iya yiwuwa, wanda a cikin dogon lokaci insulin yin aiki zai zama “gajere”. A kowane hali, yakamata a tallafawa lissafin allurai ta hanyar auna sukari na jini da sanya ido a hankali game da zaman lafiya.

Lissafin sashi don yara

Jikin yaron yana buƙatar insulin fiye da girma. Wannan saboda girman ci gaba ne da ci gaba. A cikin farkon shekarun bayan gano cutar ta kilogram na nauyin jikin yaro, matsakaita raka'a 0.5-0.6. Bayan shekaru 5, sashi yakan yawaita zuwa 1 U / kg. Kuma wannan ba iyaka bane: a lokacin samartaka, jiki na iya buƙatar har zuwa 1.5-2 UNITS / kg. Bayan haka, darajar ta rage zuwa raka'a 1. Koyaya, tare da tsawan tsawa da ciwon sukari, buƙatar insulin sarrafawa ya karu zuwa 3 IU / kg. An rage ƙimar a hankali, yana kawowa na asali.

Tare da shekaru, rabo daga cikin horarwa na tsayi da gajere kuma ya canza: a cikin yara 'yan kasa da shekaru 5, yawan maganin da ke tsawaita aikin, ta hanyar samartaka ya ragu sosai. Gabaɗaya, dabarar gudanar da insulin ga yara bai bambanta da sarrafa allura ga manya. Bambancin yana cikin kullun da allurai guda ɗaya, har da nau'in allura.

Yadda ake yin allura tare da sirinji ta insulin?

Ya danganta da irin maganin, masu ciwon sukari suna amfani da sirinji na musamman ko alkalancin sirinji. A kan silinda akwai sikelin rarrabuwa, farashin abin don na manya ya kamata ya zama na 1, kuma ga yara - raka'a 0.5. Kafin allurar, ya wajaba a aiwatar da jerin matakai, waɗanda fasahar sarrafa insulin ta tsara ta. Algorithm don amfani da sirinji na insulin shine kamar haka:

1. Shafa hannuwanku da maganin antiseptik, shirya sirinji kuma ɗauka iska a ciki zuwa alamar adadin sassan da aka tsara.
2. Saka allura cikin murfin insulin kuma ka saki iska a ciki. To zana dan kadan fiye da dole a cikin sirinji.
3. Matsa kan sirinji don cire kumfa. Saki insulin da ya wuce a cikin murfin.
4. Ya kamata a fallasa wurin allurar, a goge shi da wani datti mai ɗamarar ko kuma maganin taɗama. Airƙira da crease (ba a buƙatar gajerun allura). Saka allura a gindin fata fiska a kwana na 45 ° ko 90 ° zuwa farfajiyar fata. Ba tare da sakinin da kirjin ba, tura piston din a kullun.
5. Bayan sekan na 10-15, saki fati, cire allura.

Idan ya zama dole a hada NPH-insulin, ana tattara maganin gwargwadon ka’ida daga kwalabe daban-daban, da farko barin iska a cikin kowannensu. Hanya na kulawa da insulin ga yara yana nuna daidai tsarin aikin aiki.

Maganin Sirinji

Magunguna na zamani don daidaita sukari na jini ana yin su sau da yawa a cikin alkalanin sirinji na musamman. Ana iya jujjuyawa ko za'a sake amfani dasu tare da allura mai canzawa kuma sun bambanta a matakin daya rabo. Hanyar da ke tattare da gudanar da aiki na insulin, hanyar aiwatar da ayyuka ya ƙunshi masu zuwa:

• haxa insulin in ya cancanta (karkatar da hannu cikin tafukan hannayenku ko runtse hannunku da sirinji daga tsayin kafada zuwa ƙasa),
• saki 1-2 UNITS cikin iska don bincika iyawar allura,
• juya abin nadi a ƙarshen sirinji, saita sashin da ake buƙata,
• samar da allura da yin allura mai kama da hanyar fasahar shigo da allurar insulin,
• bayan gudanar da maganin, jira 10 seconds kuma cire allura,
• rufe shi da hula, gungurawa da jefa shi (allurar da za'a iya zubar da ita),
• rufe murfin sirinji.

Ana yin irin waɗannan ayyukan don yin allurar yara.

Ciwon sukari mellitus cuta ce mai mahimmanci wanda ke buƙatar kulawa da sukari na jini koyaushe da ƙa'ida tare da injections tare da insulin. Hanyar yin allura abu ne mai sauki kuma mai sauki ne ga kowa da kowa: Babban abu shine a tuna da wurin allurar. Ka'idar asali ita ce shiga cikin kitse na subcutaneous, samar da ninka akan fatar. Saka allura cikin shi a wata kusurwar 45 ° ko tafin ƙasan da ke sama kuma danna piston. Hanyar tana da sauki da sauri fiye da karanta umarnin don aiwatarwa.

Ciwon sukari mellitus babban cuta ne, na kullum da ke hade da cuta na rayuwa a cikin jiki. Zai iya buge kowa, ba tare da la'akari da shekaru da jinsi ba. Siffofin cutar sune lalatawar hanji, wanda baya fitar ko kuma baya samarda isasshen insulin na hormone.

Idan ba tare da insulin ba, ba za a iya karya sukari da jini ba kuma a sha shi yadda yakamata. Sabili da haka, mummunan rikice-rikice yana faruwa a cikin aiki kusan dukkanin tsarin da gabobin. Tare da wannan, rigakafin ɗan adam yana raguwa, ba tare da magunguna na musamman ba zai iya wanzu.

Insulin na roba magani ne wanda aka kera shi ya zama wajan marassa lafiya da ke fama da cutar sikila domin gyarawa game da rashi na halitta.

Domin maganin magani ya zama mai tasiri, akwai ƙa'idodi na musamman don gudanar da insulin. Rashin tasirin su na iya haifar da cikakken asarar iko da matakan glucose na jini, hauhawar jini, har ma da mutuwa.

Ciwon sukari mellitus - alamu da magani

Duk matakan matakan likita da hanyoyin cutar siga ana yin su ne a babban manufa guda ɗaya - don daidaita matakan sukari na jini. A yadda aka saba, idan bai fadi kasa da 3.5 mmol / L ba kuma ya tashi sama da 6.0 mmol / L.

Wani lokaci don wannan, kawai bin abinci da abinci ya isa. Amma sau da yawa ba za ku iya yin ba tare da injections na insulin roba. Dangane da wannan, an bambanta manyan nau'ikan kamuwa da guda biyu:

• Insulin-dogara da insulin, lokacin da aka gudanar da insulin a karkashin subcutaneously ko a baki,
• Non-insulin-dogara, lokacin da isasshen abinci ya wadatar, tunda ana ci gaba da samarda insulin a cikin adadi kaɗan. Gabatar da insulin ana buƙatar kawai a cikin mafi wuya, lokuta na gaggawa don kauce wa harin hypoglycemia.

Ko da wane irin nau'in ciwon sukari, manyan alamu da alamun cutar iri ɗaya ne. Wannan shi ne:

1. Dry fata da mucous membranes, m ƙishirwa.
2. Urination akai-akai.
3. Jin yunwa na kullum.
4. Rashin ƙarfi, gajiya.
5. Haɗin gwiwa, cututtukan fata, sau da yawa varicose veins.

Tare da (insulin-dogara), ƙirar insulin gabaɗaya, wanda ke haifar da dakatar da ayyukan dukkanin gabobin ɗan adam da tsarin. A wannan yanayin, allurar insulin wajibi ne a duk rayuwa.

A cikin nau'in ciwon sukari na 2 na sukari, ana samar da insulin, amma a cikin sakaci mai yawa, wanda bai isa ba jiki yayi aiki yadda yakamata. Kwayoyin narkewa a sauƙaƙe ba su gane shi ba.

A wannan yanayin, ya zama dole don samar da abinci mai gina jiki wanda za'a iya haɓaka samarwa da ƙwaƙwalwar insulin, a cikin mafi yawan lokuta, gudanarwar insulin na cikin ƙasa na iya zama dole.

Maganin Magungunan Inulin

Ana buƙatar adana shirye-shiryen insulin a cikin firiji a zazzabi na 2 zuwa 8 sama da sifilin. Mafi sau da yawa, ana samun maganin a cikin nau'in sirinji-alkalami - sun dace don ɗaukar ku idan kuna buƙatar allurar inluctions da yawa a cikin rana. Irin waɗannan sirinji ana adana su don ba su wuce wata ɗaya ba a zazzabi wanda bai wuce digiri 23 ba.

Suna buƙatar amfani dasu da sauri. Abubuwan da ke tattare da maganin sun ɓace lokacin da aka fallasa su ga zafi da radiation na ultraviolet. Sabili da haka, ana buƙatar adana sirinji daga kayan ɗakuna da hasken rana.

Wajibi ne a kula da farashin rarraba sirinji. Ga mai haƙuri, wannan yanki 1 ne, ga yara - rukunin 0.5. An zaɓi allurar yara da bakin ciki da gajeru - baifi 8 mm ba. Diamita na irin wannan allura shine kawai 0.25 mm, sabanin daidaitaccen allura, mafi ƙarancin diamita wanda shine 0.4 mm.

Ka'idojin tattara insulin a cikin sirinji

1. A wanke hannu ko bakara.
2. Idan kana son shigar da magani mai dogon aiki, ampoule tare da shi dole ne a birgeshi a tsakanin dabino har sai ruwan ya zama mai girgije.
3. Daga nan sai aka jan iska zuwa cikin sirinji.
4. Yanzu ya kamata ku gabatar da iska daga sirinji a cikin ampoule.
5. Sanya saitin insulin a cikin sirinji. Cire wuce haddi sama ta hanyar buga maɓallin sirinji.

Plementarin ƙarin insulin dogon aiki tare da insulin aiki gajere kuma ana gudana da su bisa ga wasu algorithm.

Da farko, ya kamata a jawo iska a cikin sirinji kuma saka shi a cikin vials. Bayan haka, da farko, ana tattara insulin na gajere, shine, bayyananne, sannan kuma insulin aiki tsawon lokaci - gajimare.

Wane yanki da kuma yadda yafi dacewa don gudanar da insulin

An saka insulin a cikin kashi biyu cikin kayan mai, idan ba haka ba zaiyi aiki. Wadanne wurare ne suka dace da wannan?

• Hanya
• Belly
• Manya a gaban cinya,
• Gluteal na waje.

Ba'a ba da shawarar yin allurar insulin a cikin kafada da kansa ba: akwai haɗarin cewa mara lafiyar ba zai sami damar yin sikiran gaɓoɓin mai mai ba da izinin sarrafa kwayoyi.

Ana saurin motsa jiki idan an gabatar dashi a cikin ciki. Saboda haka, lokacin da aka yi amfani da allurai na insulin gajeren lokaci, don allura shine yafi dacewa a zabi yankin da ciki.

Mahimmanci: Ya kamata a canza sashin allura a kowace rana. In ba haka ba, ingancin ɗaukar insulin yana canzawa, kuma matakin sukari na jini ya fara canzawa kwata-kwata, gwargwadon matakin da aka bayar.

Tabbatar cewa ka tabbata cewa a cikin yankin allura bai inganta ba. Ba a bada shawarar gabatar da insulin a cikin kyallen takaddun musanya. Hakanan, ba za'a iya yin wannan ba a wuraren da akwai kumburi, al'ajabi, ƙyallen fata da ƙuraje.

Syringe Insulin Technique

Don gabatarwar insulin, ana amfani da sirinji na al'ada, alkalami mai sikirin ko famfo tare da injin. Don sanin fasaha da algorithm don duk masu ciwon sukari shine kawai zaɓuka biyu na farko. Lokacin shigar azzakari cikin farji na yawan maganin yana dogara ne akan yadda ake yin allurar daidai.

1. Da farko, kuna buƙatar shirya sirinji tare da insulin, yi dilution, idan ya cancanta, bisa ga algorithm da aka bayyana a sama.
2. Bayan sirinji tare da shirye-shiryen da aka shirya, ana yin ninka da yatsunsu biyu, yatsa da goshin hannu. Har yanzu, ya kamata a biya hankali: ya kamata a saka insulin cikin mai, kuma ba a cikin fata ba ba cikin tsoka ba.
3. Idan an zaɓi allura tare da diamita na 0.25 mm don gudanar da kashi na insulin, nadawa ba lallai ba ne.
4. An sanya sirinji mai ƙwanƙwasa madaidaiciya zuwa ga crease.
5. Ba tare da sakin biyun ba, kuna buƙatar tura duka zuwa tushen sirinji kuma kuna kula da miyagun ƙwayoyi.
6. Yanzu kuna buƙatar ƙidaya zuwa goma kuma kawai bayan haka a cire sirinji a hankali.
7. Bayan duk magudanar, zaku iya saki da crease.

Dokoki don allurar insulin tare da alkalami

• Idan ya zama dole don gudanar da wani aiki na insulin-karin aiki, lallai ne a fara motsa shi da karfi.
• Don haka ya kamata a sake raka'a 2 na mafita a cikin iska kawai.
• A kan mitar ringi na alkalami, kuna buƙatar saita adadin adadin da ya dace.
• Yanzu ana yin rikodin kamar yadda aka bayyana a sama.
• Sannu a hankali kuma daidai, ana amfani da maganin ta hanyar latsa sirinji a kan piston.
• Bayan sekan 10, za a iya cire sirinji daga cikin gunkin, sai kuma babban fayil ɗin an sake shi.