Syringe insulin: Zabar Maganin insulin

Madaidaicin dabarar allurar ta ƙunshi gabatarwar insulin cikin kitse mai ƙarko (TFA), ba tare da yaduwar ƙwayoyi da rashin jin daɗi ba.

Zabi allurar da ta dace don tsawonka shine mabuɗin don cimma hakan. An yanke wannan shawarar ne tare da mai haƙuri tare da likitan halartar, la'akari da yawancin abubuwan da suka shafi jiki, magunguna da kuma tunanin mutum.

Ana amfani da tsoffin allura (tsayi) mai yuwuwar haɗari ga haɗarin allurar intramuscular (≥ 8 mm ga manya da kuma mm 6 mm ga yara), ba tare da ingantattun fa'idodi game da sarrafa glycemic ba. Shigar da insulin a cikin tsoka yana da haɗari ta hanyar ɗaukar insulin da sauri wanda ba a iya tsammani ba, wanda zai haifar da hypoglycemia (tuna "Rule 15").

Inarancin allura mai allura yana da aminci kuma gabaɗaya an jure maka. Nazarin asibiti ya tabbatar da daidai inganci da aminci / haƙuri yayin amfani da gajeren allurai (5 mm da 6 mm) idan aka kwatanta da tsofaffin tsayi (8 mm da 12.7 mm).

Bergenstal RM et al. Ya nuna irin wannan nau'in sarrafawar glycemic (HbA1c) a cikin marasa lafiya da ciwon sukari da kiba ta amfani da 4 mm (32G) vs 8 mm (31 G) da 12.7 mm (29 G) allurai a cikin allurai na insulin. A cikin wannan binciken, yin amfani da gajerun allura ya danganta da karancin jijiyoyin jiki dangane da yanayin iri guda na lokuta na fashewar insulin da samuwar lipohypertrophy.

Abin sha'awa ne cewa kaurin fatar fata a wurin allura a cikin mutanen da ke fama da ciwon sukari, ba tare da la'akari da shekaru ba, jinsi, jigon jikin mutum ko tsere, ya bambanta a ɗan ƙaramin lokaci kuma kusan yana da kusan (kusan 2.0 - 2.5 mm a wurin allurar, da wuya ya kai mm 4 mm). Mafi kauri daga cututtukan fitsari yana da yawa a cikin manya kuma ya dogara da jinsi (mata suna da ƙari), ƙididdigar jiki da sauran dalilai. Wani lokacin yana iya zama da bakin ciki lokacin da ake shigowa da allurar insulin (reshe)!

A cikin yara, kaurin fatar jiki yayi kadan da na manya kuma yana ƙaruwa da shekaru. Tsarin PUFA kusan iri ɗaya ne a duka mata har zuwa lokacin balaga, lokacin da ƙaruwa ke faruwa a cikin 'yan mata, yayin da a cikin maza maza, akasin haka, ƙwayar PUFA tana raguwa kaɗan. Don haka, a wannan zamani, yara maza suna cikin hatsarin yin allura ta wucin gadi.

Akwai ra'ayi cewa mutane masu kiba suna da kauri mai kauri, don haka yakamata suyi amfani da allura mai tsayi don insulin “ta kai gaci”. An ɗauka cewa mutane masu kiba a duk wuraren da aka allura suna da isasshen ƙwayar fitsari don amfani da allura mai tsawo, kuma, saboda dalilai da ba a sani ba, an yi imanin cewa insulin "yana aiki mafi kyau" a cikin yadudduka mai zurfi na ƙwayar huhu. Don haka, ana amfani da allura tare da tsawon 8 mm da 12.7 mm sau da yawa a cikin mutanen masu kiba don “dogaro” samun insulin a cikin jijiya, amma, sakamakon binciken da aka yi kwanan nan ya ɓata wannan ka'idar.

KYAUTA don zabin allura (FITTER 2015)

1. Allura mafi aminci shine allura tsawon mm 4 mm. Allurar ta zama sanadi ne - isa ya wuce gaban fatar jiki ya shiga cikin farji da rashin haɗarin allurar intramuscular.

• aka nuna wa dukkan yara, matasa da bakin ciki. Dole ne a yi amfani da shi a cikin manya tare da kowane BMI idan wurin yin allurar ya zama ƙafafu.

• za a iya yin amfani da shi cikin nasara cikin aminci cikin mutanen da ke da kiba.

• Dole ne a shigar da shi a kwana na 90 °.

3. Yara yan kasa da shekara 6 da manya manya (BMI Material)
da amfani? 24

Farashin sikeli da kuskuren sashi

Yana kan mataki, ana kiran shi Farashin, rarrabuwar sikelin insulin na insulin gaba daya zai dogara ne akan iyawar insulin yadda yakamata, saboda kowane kuskure a gabatarwar abu zai iya haifar da matsalolin kiwon lafiya. A kananan ko kuma allurai na insulin, tsalle-tsalle a cikin matakin sukari na jini a cikin mara lafiya za'a lura dashi, wanda zai kai ga rikice-rikice yayin cutar.

Yana da mahimmanci a lura dabam cewa kuskuren da aka fi sani shine gabatarwar rabin farashin rarraba sikelin. A irin wannan yanayi, sai ya zama cewa tare da farashin raka'a raka'a 2, raka'a 1 (UNIT) ce kawai ta zama rabi.

Mutumin da ke da fata mai nau'in 1 na ciwon sukari zai haka zai rage sukarin jininsa da 8.3 mmol / L. Idan muna magana game da yara, suna amsa insulin daga kusan sau 2 zuwa 8. A kowane hali, alamun farko na ciwon sukari a cikin 'yan mata ko maza, a cikin yara, zai haifar da buƙatar nazarin aikin tare da sirinji na insulin.

Don haka, kuskure a cikin sashi na 0.25 daga 100 zai haifar da bambanci mai ban sha'awa tsakanin matakan sukari na yau da kullun da ƙwanƙwasa jini. Saboda haka, yana da matukar mahimmanci ga duk wanda ke fama da cutar siga na nau'ikan nau'ikan su koyi shan isasshen allurar har ma da wasu allurai na insulin, wadanda likita ya yarda da su 100%.

Ana iya kiran wannan wannan ɗayan manyan halaye don kula da jikinku a cikin yanayin al'ada, idan baku la'akari da wajibi da kuma lura da tsarin abinci na carbohydrate.

Ta yaya za'a cimma nasara?

Akwai hanyoyi guda biyu don koyon yadda ake lissafin adadin insulin da ake buƙata don allura:

• yi amfani da sirinji tare da matsakaicin sikelin, wanda zai sa ya yiwu a ƙima abin da ya fi daidai,
• tsarma insulin.

Yin amfani da famfon na insulin na musamman ba a bada shawarar ga yara da waɗanda ke fama da ciwon sukari na 1 ba.

Daban-daban nau'in insulin na ciwon suga

Ga yawancin marasa lafiya da masu ciwon sukari, yana da matukar wahala a gane nan da nan madaidaicin sirinjin insulin wanda dole ne a duk fannoni. Da farko dai, bai kamata ya sami ƙarfin fiye da raka'a 10 ba, kuma a kan sikelin yana da alamomi masu mahimmanci a kowane 0.25 PIECES. Bugu da kari, dole ne a yi amfani dasu ta wannan hanyar wanda ba tare da matsaloli na musamman ba zai yiwu a iya bambance sashi a kashi 1/8 UNITS na kayan. A saboda wannan, ya wajaba don zaɓar madaidaicin sikeli da siraran insulin na insulin.

Koyaya, samun irin wannan abu ne mai matuƙar wahala, saboda ko a ƙasashen waje irin waɗannan zaɓuɓɓuka don sirinji sun sha wuya. Saboda haka, marassa lafiya suna da alaƙa da sirinji mafi sani, farashin rarrabuwa raka'a 2 ne.

Syringes tare da wani mataki na rarraba ma'aunin su a cikin rukunin 1 a cikin sarƙoƙin kantin magani suna da wahala da wahala. Labari ne game da Becton Dickinson Micro-Fine Plus Demi. Tana samar da ingantaccen tsari gwargwado tare da matakin rarraba kowane 0.25 LATSA. Thearfin na'urar shine 30 PIECES a daidaitaccen taro na insulin U-100.

Menene alluran insulin?

Da farko kuna buƙatar bayyana cewa ba duk allura ba, waɗanda aka wakilta su sosai a cikin kantin magani, suna da kaifi sosai. Duk da gaskiyar cewa masana'antun suna ba da kyawawan nau'ikan allura don sirinjin insulin, suna iya bambanta a matakin inganci, kuma suna da farashin daban-daban.

Idan zamuyi magana game da kyawawan allurai don allurar insulin a gida, to ya kamata su zama irin wannan don su ba ku damar shigar da abu cikin mai mai ƙyalli. Wannan hanyar tana ba da damar yin allurar da ta dace.

Bai kamata a ba da izinin allura mai zurfi sosai ba, saboda a wannan yanayin za'a sami allurar cikin ciki, wanda kashi 100% shima zai haifar da ciwo. Bugu da kari, zai zama kuskure ne don yin huda a wata kusurwa ta dama, wacce zata ba insulin damar shiga cikin tsoka kai tsaye. Wannan zai haifar da sauƙin yanayin da ba'a iya faɗi ba a cikin sukari na jini a cikin mara lafiya kuma zai kara cutar.

Don tabbatar da daidaitaccen shigarwar abu, masana'antun sun haɓaka allurai na musamman waɗanda suke da tsayi da kauri. Wannan yana sanya ya yiwu a ware shigarwar mara kuskure a cikin mafi yawan lokuta, tare da farashin mai araha ne.

Irin waɗannan matakan suna da matukar muhimmanci, saboda manya waɗanda ke fama da ciwon sukari kuma ba su da ƙarin fam, suna da ƙananan nama na bakin ciki fiye da tsawon lokacin allura na insulin na yau da kullun. Bugu da ƙari, allurar 12-13 mm ba ta dace da yara ba.

Abubuwan da ake buƙata na zamani masu inganci don sirinji na insulin shine ana ɗaukar tsawon 4 zuwa 8 mm. Babban fa'idarsu akan madaidaicin needles shine cewa suma suna da bakin ciki a diamita sabili da haka suna da dadi, kuma farashin ya wadatar.

Idan muna magana cikin lambobi, to, don allurar insulin ta al'ada, tsawon 0.4, 0.36, haka kuma 0.33 mm yana da asali, to gajerar ta takaice ya riga ya zama 0.3, 0.25 ko 0.23 millimeters a tsawon. Irin wannan allura baya iya isar da azaba mai radadi, saboda yana yin jifan kusan ba zai yiwu ba.

Yaya za a zabi allura mai kyau?

Shawarwarin zamani game da zaɓar tsawon allurar yana ba da ƙimar fiye da mm 6 mm. 4, 5 ko 6 mm allurai na iya dacewa da kusan duk nau'ikan marasa lafiya, har ma da masu kiba.

Lokacin amfani da irin waɗannan allura, babu buƙatar samar da maya ta fata. Idan muna magana ne game da tsofaffi masu ciwon sukari, to, needles na wannan tsawon yana ba da gabatarwar magunguna a wani kusurwa kusan 90 digiri daga 100 dangi zuwa saman fata. Akwai dokoki da yawa:

• Wadanda aka tilasta musu yin allura da kansu a kafa, cinikin ciki ko hannu yakamata su samar da fatar, haka kuma zaku buƙaci yin falle a kwana na 45. Wannan saboda gaskiyar cewa yana cikin waɗannan sassan jikin mutum cewa ƙyallen ƙwaƙwalwa tana da ƙarami da ƙari.
• Wani dattijo mai ciwon sukari baya buƙatar siyan sirinji tare da allura sama da mm 8, dukda haka idan yazo batun farkon aikin jiyya.
• Ga yara ƙanana da matasa, ya fi kyau a zaɓi allurar 4 ko 5 mm. Don hana insulin shiga cikin tsoka, wannan rukuni na marasa lafiya yana buƙatar ƙirƙirar fatar fata kafin allura, musamman lokacin amfani da allura fiye da 5 mm. Idan mm 6, to, a irin waɗannan yanayi, ya kamata a yi allura a wani kusurwa na digiri 45, ba tare da ƙirƙirar crease ba.
• Kada mu manta cewa ƙwararrakin jijiyoyin gani yayin kamfani zai dogara ne kan diamita da kauri daga allura. Koyaya, yana da ma'ana a ɗauka cewa ko da mafificin allura ba za a iya samar da priori ba, saboda irin wannan allura zai karye yayin allura.

Yin allura ba tare da jin zafi ba zai yiwu. Don yin wannan, kuna buƙatar zaɓar bututun bakin ciki masu laushi masu ƙima kuma suna amfani da wata dabara ta musamman don hanzarta gudanar da insulin, kamar yadda yake a cikin hoto.

Yaya tsawon lokacin da allura don insulin gudanarwa?

Kowane masana'anta na sirinji da allura don masu ciwon sukari suna ƙoƙarin yin aikin allurar kamar yadda zai yiwu. A saboda wannan, tukwicin allura suna kaɗawa ta hanya ta musamman tare da taimakon fasahar zamani da ci gaba, kuma a haɗe, suna amfani da ruwan shafawa na musamman.

Duk da irin wannan mummunan yanayin na kasuwanci, maimaitawa ko maimaita amfani da allura yana haifar da faduwa da kuma shafewa da shafa mai, duk iri daya, ba zaiyi aiki sau 100 ba. Ganin wannan, kowane ɗayan allurar miyagun ƙwayoyi a ƙarƙashin fata zai zama ƙara ciwo da matsala. Duk lokacin da mai ciwon sukari dole ya kara karfi don allura ta shiga karkashin fata, wanda hakan na iya kara yiwuwar lalacewawar allura da kuma karyewar ta.

Babu ƙarancin haɗari zai iya zama raunin fata na microscopic lokacin amfani da allura mai ƙyalƙyali. Ba za a iya ganin waɗannan raunuka ba tare da inganta girman gani ba. Bugu da kari, bayan amfani da allura ta gaba, hanjin sa ya kara karfi sosai kuma ya dauki wani irin sape, wanda yake zubarda jijiyar yana lalata su. Wannan yana tilasta kowane lokaci bayan allura don kawo allura zuwa matsayinsa na asali.

Sakamakon amfani da allura guda daya don allurar insulin, ana lura da matsaloli tare da fata da ƙananan kyallen takarda, alal misali, wannan na iya zama siɓarin ɗimbin hatimin, menene matsalolin da suke haifarwa sanannu ga kowane mai ciwon sukari.

Don gano su, ya isa a bincika a hankali kuma bincika fatar, bincika hoto. A wasu halaye, lalacewar gani a zahiri ba za iya gani ba, kuma gano su na iya yiwuwa ne ta hanyar ji, alhali babu garantin 100%.

Seals a karkashin fata ana kiranta lipodystrophic. Sun zama ba wai kawai matsalar kwaskwarima ba, har ma da babbar matsala likita. Yana da wuya a gudanar da insulin a cikin irin waɗannan wurare, wanda ke haifar da isasshen kuma ɗaukar nauyin abu, kazalika da tsalle-tsalle da sauyawa a cikin matakin sukari na jini na haƙuri.

A kowane umarni kuma a cikin hoto ga alkalami na sikelin masu ciwon sukari ana nuna cewa dole ne a cire allura kowane lokaci bayan amfani da na'urar, duk da haka, yawancin marasa lafiya kawai suna watsi da wannan dokar. A wannan yanayin, hanyar tsakanin katako kanta da matsakaici ya buɗe, wanda ke haifar da ci gaba da iska da asarar insulin saboda saurin lalacewarsa kusan kashi 100%.

Bugu da kari, wannan tsari yana haifar da raguwa cikin daidaito na doulin insulin da kuma cutar da cutar. Idan akwai iska mai yawa a cikin kicin, to a wasu halaye mutum mai ciwon sukari yana karɓar sama da kashi 70 cikin 100 na magunguna. Don hana irin waɗannan yanayi, yana da mahimmanci don cire allura 10 seconds bayan allurar insulin, kamar yadda yake a cikin hoto.

Don hana matsalolin kiwon lafiya da tsalle-tsalle a cikin matakin sukari na jini na masu ciwon sukari, zai fi kyau kar a yi skimp da amfani da sabon allura kawai. Wannan zai hana rufe hanyar tashoshi tare da lu'ulu'un insulin, wanda ba zai bada damar kirkirar wasu abubuwan toshe hanyoyin shigar mafita ba.

An ba da shawarar cewa ma’aikatan kiwon lafiya su bincika lokaci zuwa lokaci ga kowane marassa lafiyar dabarun shigar da insulin a ƙarƙashin fatar, da kuma yanayin wuraren da aka yi allura. Wannan zai zama ƙarin rigakafin wuce gona da iri alamun bayyanar cututtuka da raunin da ya faru ga fatar mai haƙuri.