U-40 da u-100 insirines insulin

Don gabatarwar insulin a cikin jikin mai haƙuri da ciwon sukari mellitus, ana amfani da sirinji 40 ko raka'a 100.

Ya dogara da sashin da aka sanya wa mai haƙuri don rage girman glucose.

A cikin wannan labarin, zamu bincika daki-daki game da nau'ikan sirinji, ƙarar su da kuma dalilin su.

Iri insulin Syringes

Maganin insulin na daidaitacce. Bambancin sun danganta ne da girman maɗaukakan allura wanda aka fyaɗa fata da ƙashi. Dangane da wannan, an rarraba sirinji zuwa nau'ikan da ke gaba:

Tare da gajeren allura, tsawon sa bai wuce 12-16 mm ba.
Alƙalin da ya fi girma fiye da mm 16 kuma yana da tushe mai bakin ciki.

Kowane sirinji an yi shi da filastik mai inganci, jikin yana da sikirin silima kuma yana da gaskiya. Wannan yana ba ku damar tara yawan insulin ɗin da ake buƙata a ciki kuma ku yi allura ta kansa a gida.

Kasuwancin magunguna na Rasha yana wakilta ta kwalalin insulin, wanda aka yiwa lakabi da U-40. Wannan yana nufin cewa kowane murfin ya ƙunshi aƙalla 40 na kwayoyin a cikin ml. Saboda haka, daidaitaccen sirinji waɗanda masu ciwon sukari ke amfani da su suna samuwa musamman ga wannan nau'in insulin.

Don ƙarin dacewa da amfani da sirinji don raka'a 40, dole ne da farko kayi ƙididdigar masu zuwa:

1 raka'a daga cikin jimlar 40 kashi 0.025 ml ne,
Raka'a 10 - 0.25 ml,
Raka'a 20 - 0.5 ml na insulin.

Dangane da haka, idan sirinji a sassa 40 ya cika da kayan magani, to 1 ml yana ƙunshe a ciki. tsarki insulin.

Raka'a 100

A cikin Amurka da yawancin ƙasashe na Yammacin Turai, ana amfani da sirinji insulin a cikin kashi 100. Akwai su don insulin mai taken U-100, wanda kusan ba a same shi a cikin Federationungiyar Tarayyar Rasha ba. A wannan yanayin, ana yin lissafin tattarawar kwayar cutar kafin a gabatar dashi a cikin mai haƙuri tare da ciwon sukari mellitus ana aiwatar da shi bisa ga ƙa'idodi iri ɗaya.

Bambanci yana cikin adadin ƙwayoyi ne kawai za'a iya sanya shi a cikin sirinji don yin allura. Sauran bambance-bambancen ba kowane bane. Jikin sirinji don raka'a 100 kuma yana da siffar silili, ɗakin filastik mai ma'ana, za'a iya sanye shi da bakin ciki, ko allura mai gajeru ko gajera. Haɗin kariya koyaushe yana haɗe tare da allura, wanda ke hana rauni mai haɗari ga fata yayin shiri don allurar insulin.

Nawa ml a cikin insulin

Ofarfin sirinji na insulin guda ɗaya kai tsaye ya dogara da yawan rarrabuwa akan jiki da girman ginin sa, sune:

Sishiyoyin raka'a 40 na iya riƙe matsakaicin adadin insulin na likita - 1 ml. kuma babu ƙari (ana ɗaukar wannan ƙimar mafi kyau, dacewa da daidaituwa a yawancin ƙasashe na CIS, Gabas ta Tsakiya da Gabas ta Turai),
an tsara sirinji a cikin raka'a 100 don adadi mai yawa na magunguna, tunda a lokaci ɗaya zaka iya zana 2.5 ml a ciki. insulin (a cikin aikin likita, yin amfani da irin wannan girma na miyagun ƙwayoyi ana ɗaukarsa ba shi da amfani, tun da lokacin gudanar da aikin kashi 100 na kwayoyin a lokaci guda ana iya buƙatar kawai a cikin mawuyacin halin da ake ciki, lokacin da mai haƙuri yana da saurin haɓaka glucose a cikin jini kuma akwai haɗarin kamuwa da cutar siga).

Marasa lafiya waɗanda ke fara karɓar magani na maye gurbin allurar insulin suna amfani da bayanan da aka shirya kafin farashi ko kuma farantin ƙididdigar da ke nuna yawan ruwan mil ɗin. hormone a cikin 1 naúrar.

Yawan kashe kudi a cikin sirinji

Kudin sirinji da sassanta kai tsaye ya dogara da masana'anta samfurin likitanci, gami da halaye masu halaye masu zuwa:

kasancewar sikelin da ba za a rushe ba a gefen gidaje inda sassan rarrabuwa suke,
karin murfin kwandon,
kauri da kauri da tsayi
Fitar da allura da aka za'ayi a cikin m hanya ko ta amfani da Laser,
Mai sana'anta ya sanye da kayan aikin likita tare da allura mai cirewa ko tsinkaye.

Marasa lafiya da ciwon sukari waɗanda ke fara amfani da insulin allurar ba a ba da shawarar su yanke shawarar kansu ba game da amfani da wani nau'in sirinji. Don samun cikakkun bayanai, dole ne ka fara bincika likitancin endocrinologist tare da likitanka.

Iri insulin Syringes

Maganin insulin yana da tsari wanda zai bawa mai ciwon kai damar iya yin allurar dashi da kansa sau da yawa a rana. Maganin sirinji yana da gajeru sosai (12-16 mm), mai kaifi da bakin ciki. Shari'ar a bayyane take, kuma an yi shi da filastik mai inganci.

Tsarin Syringe:

allura tafiya
gidan silima tare da alama
piston mai motsi don jagorantar insulin cikin allura

Shari'ar ta kasance mai tsawo ce kuma bakin ciki, ba tare da la'akari da masana'anta ba. Wannan yana ba ku damar rage farashin rarrabuwa. A wasu nau'ikan sirinji, ya kasance raka'a 0.5.

Sashin insulin - nawa raka'a insulin a cikin 1 ml

Don ƙididdigar insulin da kuma gwargwadonsa, yana da daraja la'akari da cewa vials da aka gabatar a kan kasuwannin magunguna na Rasha da ƙasashen CIS suna da raka'a 40 na insulin a cikin 1 milliliter.

An yi wa kwalban lakabi da U-40 (raka'a 40 / ml) . Magungunan insulin na al'ada da masu ciwon sukari ke amfani dasu musamman don wannan insulin. Kafin amfani, ya zama dole don yin lissafin da ya dace da insulin bisa ga ka'ida: 0.5 ml na insulin - raka'a 20, 0.25 ml - raka'a 10, raka'a 1 a cikin sirinji tare da ƙarar kashi 40 - 0.025 ml .

Kowane haɗari a kan sirinji na insulin ya nuna takamaiman girma, karatun digiri ɗaya na insulin shine karatun digiri ta hanyar bayani, kuma an tsara shi don insulin U-40 (Taro 40 u / ml):

4 raka'a insulin - 0.1 ml na bayani,
6 raka'a insulin - 0.15 ml na bayani,
Rakunan 40 na insulin - 1 ml na bayani.

A cikin ƙasashe da yawa na duniya, ana amfani da insulin, wanda ya ƙunshi raka'a 100 cikin 1 ml na bayani ( U-100 ) A wannan yanayin, dole ne a yi amfani da sirinji na musamman.

A waje, ba su bambanta da sirinji U-40, duk da haka, karatun da aka yi amfani da shi an yi niyya ne kawai don ƙididdigar insulin tare da taro na U-100. Irin wannan insulin 2.5 sau sama da daidaitaccen taro (100 u / ml: 40 u / ml = 2.5).

Yadda ake amfani da sirinji insulin wanda ba a ɗawarta ba

Sashi wanda likitan ya kafa shine ya kasance iri daya ne, kuma ya kasance ne sakamakon bukatar jiki na takamaiman adadin kwayoyin.
Amma idan mai ciwon sukari yayi amfani da insulin U-40, yana karbar raka'a 40 a rana, to idan ana maganin insulin U-100 to har yanzu zai buƙaci raka'a 40. Kawai waɗannan raka'a 40 suna buƙatar allurar tare da sirinji don U-100.
Idan ka saka insulin U-100 tare da sirinji na U-40, adadin insulin allurar dole ne ya zama sau 2,5 .

Ga marasa lafiya masu fama da cutar siga yayin yin lissafin insulin buƙatar tuna da dabara:

Raka'a 40 U-40 yana cikin 1 ml na bayani kuma daidai yake da raka'a 40. U-100 insulin yana cikin maganin 0.4 ml

Yawan sashin insulin din ba ya canzawa, kawai yawan insulin din da aka gudanar yana raguwa. Ana la'akari da wannan bambanci a cikin sirinji waɗanda aka yi nufin U-100.

Yadda za a zabi sirinji na insulin mai inganci

A cikin kantin magunguna, sunaye daban-daban na masana'antun sirinji. Kuma tun da injections na insulin ya zama wuri gama gari ga mutumin da ke fama da ciwon sukari, yana da muhimmanci a zaɓi sirinji masu inganci. Maɓallin zaɓi:

rashin daidaitaccen sikelin akan lamarin
ginanniyar allurai
hypoallergenic
silicone shafi na allura da kuma sau uku sharpening tare da Laser
karamin farar
ƙaramin allura mai kauri da tsayi

Duba misalin allurar insulin. Informationarin bayani game da gudanar da insulin anan. Kuma tuna cewa ana iya zubar da sirinji wanda za'a iya zubar dashi, sake amfani dashi ba kawai ciwo bane, harma yana da haɗari.

Karanta labarin shima akan alkairin sirinji. Wataƙila idan kun kasance masu kiba, irin wannan alkalami zai zama kayan aiki mafi dacewa don injection na insulin na yau da kullun.

Zabi sirinjin insulin din daidai, la'akari da la'akari sosai game da sashi, da lafiya a gare ku.

Digiri a kan sirinji na insulin

Kowane mai ciwon sukari yana buƙatar fahimtar yadda ake saka insulin a cikin sirinji. Don yin ƙididdigar yawan adadin insulin, sirinji insulin yana da rarrabuwa na musamman, farashin wanda ya dace da taro na miyagun ƙwayoyi a cikin kwalba ɗaya.

Bugu da kari, kowane yanki yana nuna menene ramin insulin din, kuma ba yawan kwalliyar ml da ake tattarawa ba. Musamman, idan kun buga magani a cikin taro na U40, ƙimar 0.15 ml zai zama raka'a 6, 05 ml zai zama raka'a 20, kuma 1 ml zai zama raka'a 40. Saboda haka, rukunin 1 na maganin zai zama 0.025 ml na insulin.

Bambanci tsakanin U 40 da U 100 shine cewa a cikin na biyu, sirinji na insulin 1 ml shine raka'a 100, raka'a 0.25 ml - 25, raka'a 0.1 ml - 10. Tunda ƙarar da taro na irin waɗannan sirinji na iya bambanta, ya kamata ku tantance wanne naúrar da ta dace wa mai haƙuri.

Lokacin zabar taro na miyagun ƙwayoyi da nau'in sirinji na insulin, zaku nemi likita. Idan ka shiga cikin kashi 40 na insulin a cikin mililita guda ɗaya, kana buƙatar amfani da sirinji U40, lokacin amfani da nasiha daban-daban zaɓi na'urar kamar U100.
Me zai faru idan kun yi amfani da sirinirin insulin? Misali, yin amfani da sirinji U100 don maganin taro na raka'a 40 / ml, mai ciwon sukari zai iya gabatar da raka'a 8 na magani maimakon raka'a 20 da ake so. Wannan sashi sau biyu yana ƙasa da adadin maganin da ake buƙata.
Idan, akasin haka, ɗaukar sirinji U40 kuma tattara maganin 100 raka'a / ml, mai ciwon sukari zai karɓi maimakon 20 kamar adadin 50 na hormone. Yana da mahimmanci a fahimci yadda haɗari yake ga rayuwar ɗan adam.

Don ma'ana mai sauƙi na nau'in na'urar da ake so, masu haɓaka sun haɓaka da keɓantaccen fasali. Musamman, sirinji U100 yana da filafin kariya na orange, yayin da U40 yana da jan hula.

Hakanan an haɗa karatun digiri a cikin alkalami na zamani, wanda aka tsara don raka'a 100 / ml na insulin. Saboda haka, idan na'urar ta fashe kuma kuna buƙatar yin allurar cikin gaggawa, kuna buƙatar siyan sirinji na insulin U100 kawai a kantin kantin.

In ba haka ba, a sakamakon amfani da na'urar da ba ta dace ba, yawan rububin mililiters mai yawa na iya haifar da cutar rashin lafiyan ciki har ma da mummunan sakamako na masu ciwon sukari.

A wannan batun, ana ba da shawarar cewa koyaushe kuna cikin tara ƙwaƙwalwar insulin.

Menene sirinji na insulin

Sirinji don masu ciwon sukari ya ƙunshi jiki, fiston da allura, don haka ba ya bambanta da kayan aikin likita iri ɗaya. Akwai nau'ikan na'urorin insulin guda biyu - gilashin da filastik.

Ba a da amfani da na farko yanzu, saboda yana buƙatar aiki akai-akai da ƙididdigar yawan shigarwar insulin. Siffar filastik tana taimakawa wajen yin allurar daidai gwargwado kuma gabaɗaya, ba tare da barin ragowar magungunan a ciki ba.

Kamar gilashi, ana iya amfani da sirinji filastik akai-akai idan an yi niyya ga mai haƙuri ɗaya, amma yana da kyau a bi da shi tare da maganin maganin ƙwaƙwalwa kafin kowane amfani. Akwai zaɓuɓɓuka da yawa don samfurin filastik da za'a iya siyanta a kowane kantin magani ba tare da matsala ba. Farashin sirinji na insulin ya bambanta dangane da masana'anta, girma da sauran sigogi.

Tare da allura masu canzawa

Na'urar ta ƙunshi cire bututun tare da allura yayin tarin insulin. A irin waɗannan allurar, piston tana motsawa a hankali da sassauci don rage kurakurai, saboda ko da ƙaramin kuskure cikin zaɓin adadin ƙwayar zai iya haifar da mummunan sakamako.

Kayan aikin allura mai canzawa zasu iya rage waɗannan haɗarin. Mafi na kowa sune samfuran da za'a iya zubar dasu tare da ƙara 1 milligram, wanda ke ba ku damar tattara insulin daga raka'a 40 zuwa 80.

Tare da allurar da aka haɗa

Kusan ba su da bambanci da ra'ayin da ya gabata, kawai bambanci shine cewa an saka allurar cikin jikin, don haka ba za'a iya cire shi ba. Gabatarwa a ƙarƙashin fata yana da aminci, saboda masu haɗaɗɗun allurar ba su rasa insulin ba kuma ba su da yankin da ya mutu, wanda yake samuwa a samfuran da ke sama.

Yana biye daga wannan cewa lokacin da aka yi allurar rigakafi tare da allurar da aka haɗu, asarar hormone zai ragu zuwa sifili. Sauran halayen kayan aikin tare da allura masu canzawa suna da alaƙa da waɗannan, gami da sikelin rarrabuwa da workingarfin aiki.

Alkalami

Wata bidi'a wacce ta yadu cikin sauri tsakanin masu cutar sukari. Alƙalin insulin da aka haɓaka kwanan nan kwanan nan.

Yin amfani da shi, injections suna da sauri da sauƙi. Mara lafiya ba ya buƙatar yin tunani game da adadin horar da ake sarrafawa da canji a cikin taro.

An daidaita alkalami insulin don amfani da katukan katako na musamman da ke cike da magani. An shigar dasu cikin yanayin na'urar, bayan wannan basa buƙatar maye gurbin na dogon lokaci.

Yin amfani da sirinji tare da allura na bakin ciki-gaba-ɗaya yana kawar da ciwo yayin allurar.

Maganin insulin yana da tsari wanda zai bawa mai ciwon kai damar iya yin allurar dashi da kansa sau da yawa a rana. Maganin sirinji yana da gajeru sosai (12-16 mm), mai kaifi da bakin ciki. Shari'ar a bayyane take, kuma an yi shi da filastik mai inganci.

allura tafiya
gidan silima tare da alama
piston mai motsi don jagorantar insulin cikin allura

Shari'ar ta kasance mai tsawo ce kuma bakin ciki, ba tare da la'akari da masana'anta ba. Wannan yana ba ku damar rage farashin rarrabuwa. A wasu nau'ikan sirinji, ya kasance raka'a 0.5.

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.

Yi hankali, sashi na u100 da u40 sirinji dabam!

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.

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 jijiyar 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.

Da yake magana game da wane nau'in sirinji, yana da mahimmanci a lura cewa a yau za ku iya samun babban tsari na kowane nau'in ƙira, har ma da nau'ikan iri ɗaya. Game da wannan, yana da mahimmanci a bincika shawarwari a hankali sannan kawai nemo inda za'a siya samfurin gaske mai inganci kuma menene zai zama farashin sa.

Dokar farko lokacin zabar wannan samfurin shine amfani da samfuran musamman na musamman. Wannan saboda gaskiyar cewa kayan aikin yau da kullun ba sa cika bukatun mutane masu ciwon sukari.

Ba wai kawai suna sa allura ta yau da kullun suna jin zafi ba, har ma suna iya barin raunuka.Bugu da kari, na’urori na al'ada ba su bayar da ikon iya tantance adadin insulin da ake bukata ba, saboda akan sikelin sa zaka iya ganin adadin cubes da zaka shiga, amma ba adadin raka'a ba.

Don haka, akwai nau'ikan sirinji masu zuwa:

tare da allura mai cirewa,
tare da allurar da aka haɗa.

Dukansu na farko da na biyu za andu are areukan ana iya yarwa. Bambancin kawai shine cewa a farkon lamari, zaku iya canza allura bayan gabatarwar hormone. Koyaya, don amfani da gida, mafita mafi kyau shine don amfani da nau'in na biyu, tunda ba shi da “matattarar yankin” inda insulin yake yawan ɓata lokaci.

An ba da kulawa ta musamman ga irin wannan samfurin azaman insulin alkalami. Wannan injin shine halin da dacewa da aiki. Yana isar da magani ta hanya mai ma'ana daga wani gida na musamman sanye da kwalban kwalba. Pen-syringe na insulin za a iya daidaita shi da abinda ake buƙata na abu, bayan haka ana sarrafa shi ta hanyar taɓawar maɓallin.

Nawa ne farashin sirinji kai tsaye ya dogara da ƙyallen. Kudin daidaitattun samfuran koyaushe ƙasa da alkalami, duk da haka, a ƙarshe, har yanzu yana da barata. Bugu da kari, babu shakka wannan na'urar ta fi dacewa.

Menene sirinji? Yi amfani da samfura masu zuwa:

maganin sirinji na insulin tare da allurar cirewa ko haɗawa wanda ke kawar da asarar magani,
alkalami insulin
lantarki (sirinji atomatik, famfon insulin).

Na'urar sirinji mai sauki ce, mai haƙuri yana yin allura da kansa, ba tare da taimakon likita ba. A cikin sirinji na insulin:

Silinda tare da sikelin. Alamar alama tare da alamar zartaccen sifili yana bayyane akan shari'ar. Jikin silinda ya kasance a bayyane ta yadda adadin magunguna da aka dauka da kuma gudanarwa suke bayyane. Maganin insulin yana da tsawo da kauri. Ba tare da la'akari da masana'anta da farashin ba, wanda aka yi da filastik.
Sauya allura mai sanye da rigar kariya.
Piston. An tsara shi don jagorantar maganin a cikin allura. An tsara ta don allurar tayi yadda ya kamata, ba tare da ciwo ba.
Sealant. Wani yanki mai duhu na roba a tsakiyar sirinji wanda ke nuna adadin maganin da aka ɗauka,
Flange

Akwai nau'ikan na'urori daban-daban don gudanar da aikin insulin na insulin. Dukkansu suna da wasu fa'idodi da rashin amfani. Sabili da haka, kowane haƙuri zai iya zaɓar cikakkiyar magani don kansa.

Akwai nau'ikan da ke zuwa, waɗanda suke insulines insulin:

Tare da allura mai cirewa. "Esarin" na irin wannan na'urar shine ikon saita mafita tare da allura mai kauri, da allura ta lokaci guda. Koyaya, irin wannan sirinji yana da koma-baya mai mahimmanci - ƙaramin adadin insulin ya rage a cikin abin da aka makala na allura, wanda yake da mahimmanci ga marasa lafiya da ke karɓar ƙaramin maganin.
Tare da allurar da aka haɗa. Irin wannan sirinji ya dace don sake maimaitawa, koyaya, kafin kowane allurar da ta biyo baya, ya kamata a tsayar da allurar ta yadda ya kamata. Na'urar makamancin wannan tana ba ku damar ƙarin daidai gwargwado insulin.
Syringe Pen. Wannan sigar zamani ce ta sirinji ta al'ada. Godiya ga tsarin ginanniyar katako, zaku iya ɗaukar na'urar tare da ku kuma yin allura a duk inda kuke buƙata. Babban fa'idar maganin alkalami shine rashin dogaro akan tsarin zafin jiki na adana insulin, da bukatar ɗaukar kwalban magani da sirinji.

Yadda za'a tantance farashin rarrabuwa na sirinji

A cikin kantin magani a yau zaka iya ganin sirinji insulin a cikin kashi uku: 1, 0.5 da 0.3 ml. Mafi sau da yawa, ana amfani da sirinji na nau'in farko, suna da sikelin da aka buga ɗayan nau'ikan uku masu zuwa:

yayi digiri a ml
sikelin raka'a 100,
sikelin 40 raka'a.

Bugu da kari, ana amfani da sirinji wanda ake amfani da sikeli biyu lokaci guda kuma za'a iya siyarwa.

Don ƙayyade farashin rarrabuwa daidai, dole ne ka fara ɗaukar jimlar sirinji - wannan masana'antun masu nuna alama a mafi yawan lokuta sanya akan kunshin. Mataki na gaba shine tantance ƙarar babban rabo.

Don ƙayyade shi, ana rarraba jimlar adadin ta yawan adadin sassan da aka amfani. Lura cewa - kawai kuna buƙatar lissafta tazara.

A cikin abin da masanin ya tsara makircin miliyoyin a kan ganga na sirinji, to babu buƙatar ƙididdige komai a nan, tunda lambobin suna nuna ƙara.

Bayan kun san ƙarar babban rabo, zamu ci gaba zuwa mataki na gaba - lissafin girman ƙaramin rabo. Don yin wannan, ƙidaya yawan ƙananan rabe-raben dake tsakanin manyan biyu, bayan wannan adadin babban rabo da aka riga aka san ku da shi yakamata a rarrabe shi ta hanyar ƙidayar ƙananan.

Ka tuna: mafarin insulin ɗin da yakamata ya cika cikin sirinji kawai bayan kun san ainihin farashin rabo, saboda farashin kuskuren, kamar yadda aka ambata a sama, na iya zama mai girma a nan. Kamar yadda kake gani, babu wani abu mai rikitarwa - kawai kana buƙatar yin hankali sosai kuma kar a rikice da wane sirinji da wane mafita don tattarawa.

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 abubuwan da ake buƙata a 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 ake amfani da sirinji na insulin daidai

Muna ba da shawarar yin amfani da sirinji don allurar hormonal, allurai waɗanda ba a cirewa ba. Ba su da yankin da ya mutu kuma za a gudanar da magunguna a cikin matakan da suka dace. Abinda kawai yake jawowa shine cewa bayan sau 4-5 da allurai zasu zama marasa gushewa. Syringes wanda allurarsu za'a iya cirewa sunada tsafta, amma allunan su sunada kauri.

Zai fi dacewa don sauya: yi amfani da sirinji mai sauƙi wanda za'a iya zubar dashi a gida, kuma sake sake amfani dashi tare da madaidaicin allura a wurin aiki ko wani wuri.

Kafin sanya hormone a cikin sirinji, dole ne a goge kwalbar da barasa. Don gudanar da gajeren lokaci na ƙaramin kashi, ba lallai ba ne a girgiza maganin. Ana samar da babban sashi ta hanyar dakatarwa, don haka kafin saita, kwalban ya girgiza.

Ponon a kan sirinji an ja da baya zuwa ga rabo mai mahimmanci kuma an saka allura a cikin murfin. A cikin kumfa, ana tura iska a ciki, tare da piston da magani a cikin matsin lamba, ana kiransa cikin na'urar. Adadin magani a cikin sirinji ya kamata ya wuce ɗan abin da aka sarrafa. Idan kumfa mai iska ya shiga ciki, sai a sauƙaƙa shi kan yatsa.

Daidai ne a yi amfani da allura daban-daban don saita maganin da gabatarwar. Don saitin magunguna, zaku iya amfani da allura daga sirinji mai sauƙi. Za ku iya bayar da allura kawai tare da allura ta insulin.

Akwai ƙa'idodi da yawa waɗanda za su gaya wa mara lafiya yadda za a haɗa maganin:

fara allura mai gajeran aiki cikin sirinji, sannan mai yin dogon aiki,
Ya kamata a yi amfani da insulin gajere ko NPH nan da nan bayan haɗawa ko adana shi ba fiye da sa'o'i 3 ba.
Kada ku haɗa insulin na yau da kullun (NPH) tare da dakatarwar da ta dade tana aiki. Filin zinc yana sauya tsokar hormone zuwa gajeru. Kuma yana da barazanar rayuwa!
Dogon detemir da insulin Glargin bai kamata su hade da juna da sauran nau'ikan kwayoyin ba.

Wurin da za a sanya allurar zai shafe shi da maganin maganin taɓin ƙwayar magani ko kuma kayan adon mai saukin shiga. Ba mu bayar da shawarar amfani da maganin barasa ba, gaskiyar ita ce a cikin marasa lafiya da masu ciwon sukari, fatar jiki ta bushe. Alkahol zai bushe shi sosai, fasa mai zafi zai bayyana.

Wajibi ne a allurar da insulin a ƙarƙashin fata, kuma ba cikin ƙwayar tsoka ba. An daidaita allura sosai a wani kusurwa na 45-75, m. Ba za ku fitar da allura bayan gwamnatin magani ba, jira na minti 10-15 don rarraba hormone a ƙarƙashin fata. In ba haka ba, hormone zai wani bangare ya fito zuwa ramin daga ƙarƙashin allura.

Sashin insulin: halaye na gaba ɗaya, fasalin girma da girman allura

Marasa lafiya da ciwon sukari suna buƙatar maganin insulin akai-akai. Wannan yana da mahimmanci musamman ga marasa lafiya da nau'in cutar ta farko.

Kamar sauran magungunan hormonal, insulin na buƙatar sashi sosai.

Ba kamar magunguna masu rage sukari ba, ba za a iya fitar da wannan kwayar ta hanyar kwamfutar hannu ba, kuma bukatun kowane mai haƙuri sun kasance mutum ɗaya. Sabili da haka, don subcutaneous na maganin maganin, ana amfani da sirinji insulin, wanda zai ba ka damar yin allura da kanka a lokacin da ya dace.

A halin yanzu, yana da wuya a yi tunanin cewa har kwanan nan aka yi amfani da na'urorin gilashin don injections, waɗanda ke buƙatar kullun haifuwa, tare da allura masu kauri, aƙalla 2.5 cm .. Irin waɗannan injections suna tare da raɗaɗi mai raɗaɗi, kumburi da hematomas a wurin allurar.

Bugu da ƙari, sau da yawa maimakon ƙwaƙwalwar subcutaneous, insulin ya shiga cikin ƙwayar tsoka, wanda ya haifar da cin zarafin ma'aunin glycemic. A tsawon lokaci, an inganta shirye-shiryen insulin tsawan lokaci, duk da haka, matsalar tasirin sakamako kuma ya kasance mai dacewa, saboda rikice-rikice masu alaƙa da tsarin gudanarwar hormone kansa.

Wasu marasa lafiya sun fi son yin amfani da famfon. Yana kama da ƙaramar na'urar da ke shigo da insulin cikin ƙasa gabaɗaya.

Na'urar tana da ikon tsara adadin insulin da ake buƙata.

Koyaya, sirinji na insulin shine mafi kyawu saboda yiwuwar gudanar da maganin a lokacin da ya dace ga mai haƙuri kuma a cikin adadin da ya dace don hana manyan cututtukan ciwon sukari.

Dangane da ka'idodin aikin, wannan na'urar kusan babu bambanci da sirinji waɗanda aka saba amfani da su don aiwatar da hanyoyin likita. Koyaya, kayan aikin sarrafa insulin suna da wasu bambance-bambance.

Piston tare da sealant na roba kuma an rarrabe shi a cikin tsarin su (saboda haka, ana kiran wannan sirinji mai haɗaɗɗen abubuwa guda uku), allura (za'a iya cire shi ko a haɗa shi da sirinji da kanta - hade) da kuma rami tare da rarrabuwa da aka sanya akan waje don tarin magunguna.

Babban bambanci shine kamar haka:

piston yana motsa jiki sosai kuma ya sauƙaƙe, wanda ya tabbatar da rashin jin zafi yayin allura da kuma kulawar maganin,
wata siriri mai bakin ciki, ana yin allurar a kalla sau daya a rana, saboda haka yana da muhimmanci a guji rashin jin daɗi da kuma mummunan lalacewar murfin epidermal,
wasu nau'ikan sirinji sun dace don amfani dashi.

Amma ɗayan manyan bambance-bambancen shine tasirin da aka yi amfani da shi don nuna ƙarar sirinji.

Gaskiyar ita ce, ba kamar magunguna da yawa ba, ƙididdigar yawan adadin insulin da ake buƙata don cimma burin glucose manufa an ƙaddara ba a cikin milliliters ko milligram ba, amma a cikin raka'a masu aiki (UNITS).

Ana samun maganin ta wannan maganin a kashi 40 (tare da jan kyandir) ko raka'a 100 (tare da hula mai tsami) a cikin 1 ml (an tsara u-40 da u-100, bi da bi).

Adadin yawan insulin da ake buƙata don mai ciwon sukari ya ƙayyade ta likita, gyaran kansa da mai haƙuri ya yarda kawai idan alamar sirinji da maida hankali ga mafita bai dace ba.

Insulin shine don gudanar da subcutaneous kawai. Idan miyagun ƙwayoyi sun samu intramuscularly, haɗarin haɓakar haɓakar jini yana da girma. Don guje wa irin waɗannan rikice-rikice, ya kamata ku zaɓi girman madaidaicin allura. Dukansu iri ɗaya ne a cikin diamita, amma sun bambanta cikin tsayi kuma suna iya zama gajeru (0.4 - 0.5 cm), matsakaici (0.6 - 0.8 cm) da tsayi (fiye da 0.8 cm).

Tambayar ainihin abin da za'a mayar da hankali a kai ya dogara da rikodin mutum, jinsi da shekaru. Daidaita magana, ya fi girma yadudduka kasusuwa, mafi girman tsawon allura an yarda. Bayan haka kuma, hanyar gudanar da allura ita ma tana da mahimmanci. Ana iya siyan sirinji ta insulin a cikin kusan kowane kantin magani, zaɓinsu yana da yawa a cikin ɗakunan shan magani na musamman na endocrinology.

Hakanan zaka iya yin oda na'urar da ake so ta Intanet.

Hanyar samarwa ta ƙarshe ita ce ta fi dacewa, tunda a shafin za ka iya sanin kanka da tsarin waɗannan na'urori daki-daki, ganin farashi da yadda irin wannan na'urar take.

Koyaya, kafin siyan sirinji a kantin magani ko kowane kantin sayar da kayayyaki, yakamata ka nemi likitanka, kwararren shima zai gaya maka yadda ake aiwatar da aikin yadda yakamata.

Magani don insulin: markup, ka'idojin amfani

A waje, akan kowace na'ura don inje, ana amfani da sikelin tare da rarrabuwa masu rarrabewa don cikakken insulin na insulin. A matsayinka na mai mulkin, tazara tsakanin sassan biyu shine raka'a 1-2. A wannan yanayin, lambobin suna nuna tsararren da suka dace da raka'a 10, 20, 30, da sauransu.

Wajibi ne a kula cewa lambobin da aka buga da tsararren tsinkaye su kasance manya manya. Wannan yana sauƙaƙe amfani da sirinji don marasa lafiya na gani.

A aikace, allurar kamar haka:

Ana kula da fatar a wurin bugun fitsari tare da mai maganin maye. Likitoci sun bada shawarar allura a kafada, cinya, ko ciki.
Don haka kuna buƙatar tattara sirinji (ko cire alkairin sirinji daga shari'ar kuma maye gurbin allura tare da sabon). Za'a iya amfani da na'urar tare da allura mai haɗawa sau da yawa, wanda hakan ya sa ya kamata a kula da allurar tare da barasa na likita.
Tara bayani.
Yi allura. Idan sirinjin insulin yana tare da ɗan gajeren allura, ana yin allura a kusurwar dama. Idan akwai haɗarin ƙwayar za ta shiga cikin ƙwayar tsoka, ana yin allura a wani kusurwa na 45 ° ko a cikin fata na fata.

Cutar sankara (mellitus) cuta ce mai girma wacce take buƙatar kulawa ba likita kawai ba, har ma da kula da haƙuri. Mutumin da irin wannan cutar ya kamata ya shiga allurar cikin rayuwarsa, don haka dole ne ya koyi yadda ake amfani da injin don yin allura.

Da farko, wannan ya shafi peculiarities na insulin dosing. Babban adadin maganin yana ƙaddara ne daga likitan halartar, yawanci yana da sauƙin ƙididdigewa daga alamomin akan sirinji.

Idan saboda wasu dalilai babu na'urar da ke da madaidaicin girma da rarrabuwa a kusa, ana lissafta adadin magungunan ta hanyar sauƙaƙe mai sauƙi:

Ta hanyar sauki lissafin a bayyane yake cewa 1 ml na insulin bayani tare da sashi na raka'a 100. zai iya maye gurbin 2.5 ml na bayani tare da maida hankali kan raka'a 40.

Bayan ƙayyade ƙarar da ake so, mai haƙuri ya kamata ya yanke alkama a kan kwalbar tare da miyagun ƙwayoyi.

Bayan haka, an zana ɗan ƙaramin iska a cikin sirinji na insulin (an saukar da piston zuwa alamar da ake so akan allurar), an soke mashin roba tare da allura, kuma ana fitar da iska.

Bayan wannan, ana jujjuyar da vial kuma ana riƙe sirinji da hannu ɗaya, kuma an tattara ganyen magani tare da ɗayan, sun sami kadan fiye da adadin insulin ɗin da ake buƙata. Wannan ya zama dole don cire wuce haddi oxygen daga cikin sirinji tare da piston.

Ya kamata a adana insulin a cikin firiji kawai (zazzabi zazzabi daga 2 zuwa 8 ° C). Koyaya, don gudanarwa na ƙarƙashin ƙasa, ana amfani da maganin zazzabi na ɗakin.

Yawancin marasa lafiya sun fi son amfani da alkalami na musamman. Na farko irin waɗannan na’urorin sun bayyana ne a shekarar 1985, an nuna amfaninsu ga mutane masu ƙarancin gani ko ƙarancin iyakoki, waɗanda ba sa iya auna girman insulin da kansa. Koyaya, irin waɗannan na'urori suna da fa'idodi masu yawa idan aka kwatanta da sirinji na al'ada, don haka ana amfani dasu yanzu.

Alkalai na sirinji suna sanye da allura mai iya yankewa, na'urar don fadada shi, allo inda sauran sassan insulin suke bayyana.

Wasu na'urori suna ba ku damar canza katako tare da miyagun ƙwayoyi kamar yadda aka cika, wasu sun ƙunshi raka'a 60-80 kuma an yi nufin amfanin guda ɗaya.

A wasu kalmomin, ya kamata a maye gurbinsu da sababbi yayin da adadin insulin ɗin ya yi ƙasa da kashi ɗaya da ake buƙata.

Dole ne a canza alluran dake cikin alkairin sirinji bayan kowane amfani. Wasu marasa lafiya ba su yin wannan, wanda yake cike da rikice-rikice. Gaskiyar ita ce, ana amfani da maganin allurar tare da mafita na musamman wanda ke sauƙaƙa fatar fatar.

Bayan aikace-aikacen, ƙarshen nuna ya lanƙwasa kaɗan. Wannan ba zai zama sananne ga ido tsirara ba, amma a bayyane yake a karkashin ruwan tabarau na madubin.

Wani lalurar da aka yi wa rauni ta cutar da fata, musamman idan aka fitar da sirinji, wanda hakan na iya haifar da hematomas da cututtukan cututtukan fata.

Algorithm don aiwatar da allura ta amfani da allurar alkalami shine kamar haka:

Sanya sabon allura mai rauni.
Bincika sauran adadin maganin.
Tare da taimakon mai tsara ta musamman, ana tsara adadin insulin da ake so (ana latsa kowane abu daban kowane juzu'i).
Yi allura.

Godiya ga wata karamar allura na bakin ciki, allurar ba ta jin zafi. Alƙalin sirinji na ba ku damar gujewa bugawar kai. Wannan yana ƙaruwa daidaito na sashi, yana kawar da haɗarin cututtukan pathogenic flora.

Menene sirinjin insulin: nau'ikan asali, ƙa'idodin zabi, farashi

Akwai nau'ikan na'urori daban-daban don gudanar da aikin insulin na insulin. Dukkansu suna da wasu fa'idodi da rashin amfani. Sabili da haka, kowane haƙuri zai iya zaɓar cikakkiyar magani don kansa.

Akwai nau'ikan da ke zuwa, waɗanda suke insulines insulin:

Tare da allura mai iya canzawa. "Esarin" na irin wannan na'urar shine ikon saita mafita tare da allura mai kauri, da allura ta lokaci guda. Koyaya, irin wannan sirinji yana da koma-baya mai mahimmanci - ƙaramin adadin insulin ya rage a cikin abin da aka makala na allura, wanda yake da mahimmanci ga marasa lafiya da ke karɓar ƙaramin maganin.
Tare da allurar da aka haɗa. Irin wannan sirinji ya dace don sake maimaitawa, koyaya, kafin kowane allurar da ta biyo baya, ya kamata a tsayar da allurar ta yadda ya kamata. Na'urar makamancin wannan tana ba ku damar ƙarin daidai gwargwado insulin.
Alkalami. Wannan sigar zamani ce ta sirinji ta al'ada. Godiya ga tsarin ginanniyar katako, zaku iya ɗaukar na'urar tare da ku kuma yin allura a duk inda kuke buƙata. Babban fa'idar maganin alkalami shine rashin dogaro akan tsarin zafin jiki na adana insulin, da bukatar ɗaukar kwalban magani da sirinji.

Lokacin zabar sirinji, yakamata a kula da waɗannan sigogi masu zuwa:

Rarrabuwa. "Mataki". Babu matsala idan aka sanya filayen a cikin tsaka-tsakin raka'a 1 ko 2. Dangane da ƙididdigar asibiti, matsakaiciyar kuskure a cikin tarin insulin ta sirinji shine kusan rabin rabo. Idan mai haƙuri ya karɓi babban adadin insulin, wannan ba mahimmanci bane. Koyaya, tare da ƙaramin adadin ko a lokacin ƙuruciya, karkatar da raka'a 0,5 na iya haifar da cin zarafin haɗuwar glucose a cikin jini. Yana da kyau duka nesa tsakanin sassan shine raka'a 0.25.
Ma'aikata. Rukunan ya kamata a bayyane a bayyane, ba share su ba. Sharpness, laushi shiga cikin fata suna da mahimmanci don allura, ya kamata ka kula da piston da ke juyewa cikin lafiya a cikin allurar.
Girman allura. Don amfani a cikin yara masu nau'in 1 mellitus na ciwon sukari, tsawon allura bai wuce 0.4-0.5 cm ba, wasu kuma sun dace da manya.

Baya ga wannan tambaya menene nau'in sirinji na insulin, yawancin marasa lafiya suna sha'awar farashin irin waɗannan samfuran.

Na'urorin likitanci na al'ada na kera na ƙasan waje zai kai 150-200 rubles, cikin gida - aƙalla sau biyu rahusa, amma bisa ga yawancin marasa lafiya, ingancinsu yana barin yawancin abin da ake so. Alƙalin sirinji zai biya mai yawa - kimanin 2000 rubles. Don waɗannan kuɗaɗen ya kamata a ƙara sayan katunan katako.

Me ake nufi da lakabin U 40 da U100 akan sirinji? Ciwon sukari ba magana ba ce

| Ciwon sukari ba magana ba ce

Shirye-shiryen insulin na farko sun ƙunshi ɗaya daga insulin a kowace milliliter na bayani. A tsawon lokaci, maida hankali ya canza.

Magungunan insulin na al'ada da masu ciwon sukari ke amfani dasu musamman don wannan insulin. Kafin amfani, wajibi ne don yin ƙididdigar insulin da ya dace bisa ka'idar: 0.5 ml na insulin - raka'a 20, 0.25 ml - raka'a 10.

Kowane haɗari a kan sirinji na insulin ya nuna takamaiman girma, karatun digiri na insulin yanki shine karatun digiri ta hanyar girman mafita, kuma an tsara shi don insulin U-40 (unitsungiyoyi 40 / ml):

4 raka'a insulin - 0.1 ml na bayani,
6 raka'a insulin - 0.15 ml na bayani,
Rakunan 40 na insulin - 1 ml na bayani.

A cikin ƙasashe da yawa na duniya, ana amfani da insulin, wanda ya ƙunshi raka'a 100 a cikin 1 ml na bayani (U-100). A wannan yanayin, dole ne a yi amfani da sirinji na musamman. A waje, ba su bambanta da sirinji U-40, duk da haka, karatun da aka yi amfani da shi an yi niyya ne kawai don yin lissafin taro insulin U-100. Irin wannan insulin ya ninka sau 2.5 sama da matsayin daidaituwa (100 u / ml: 40 u / ml = 2.5).

Lokacin yin lissafin insulin, mara lafiya yakamata ya sani: sashi na likita da aka saita shi ɗaya ne, kuma ya kasance ne sakamakon buƙatar jiki don takamaiman adadin ƙwayar. Amma idan mai ciwon sukari yayi amfani da insulin U-40, yana karbar raka'a 40 a rana, to a cikin maganin U-100 har yanzu zai buƙaci raka'a 40. Yawan adadin insulin U-100 ya kamata ya zama sau 2 ƙasa da ƙasa.

Ga marasa lafiya da ciwon sukari, lokacin yin lissafin insulin, dole ne ku tuna da dabara:

Raka'a 40 U-40 yana cikin 1 ml na bayani kuma yayi daidai raka'a 40. U-100 insulin yana cikin maganin 0.4 ml

Yawan sashin insulin din ba ya canzawa, kawai yawan insulin din da aka gudanar yana raguwa. Ana la'akari da wannan bambanci a cikin sirinji waɗanda aka tsara don U-100

Sau nawa sirinji na insulin?

Maganin insulin shine abu mai mahimmanci ga mutumin da ke fama da ciwon sukari.

Koyaya, ba duk mutanen da suka kamu da wannan cuta kwanan nan ba su san yadda za su zaɓi madaidaicin insulin don allurar ba, miliyon ɗaya don siyan sirinji don. Wannan yana da mahimmanci musamman ga mutanen da suke da ciwon sukari na 1.

A gare su, yawancin insulin na yau da kullun suna da mahimmanci, ba tare da su mutum zai iya mutuwa ba. Nan ne inda tambaya ta tashi: sau nawa ne sirinji na insulin?

Sabili da haka, allurar irin wannan sirinji yana da ɗan gajeren gajere don sauƙi na shigar da (mm 12 kawai).

Kari akan haka, masana'antun suna fuskantar aikin yin wannan allura mai bakin ciki da kaifi, tunda mara lafiya yana buƙatar sarrafa kwayar insulin har zuwa lokuta da yawa a rana.

Maganar insringes yana da bakin ciki sosai don rage yawan rarrabuwa. Bugu da ƙari, wannan nau'i yana ba shi mafi dacewa don sarrafa magunguna ga yara masu ciwon sukari.

A matsayinka na mai mulki, ana lasafta yawancin sirinji na insulin akan yawa na 1 ml don magani wanda yawansa shine 40 U / ml.

Wato, idan mutum yana buƙatar shigar da 40 ml na miyagun ƙwayoyi, yana buƙatar cika sirinji har zuwa alamar 1 ml.

Don sauƙaƙa shi ga marasa lafiya da kuma adana su daga ƙididdigar da ba dole ba, sirinjin insulin yana sanye da alamar marassa tabbas, a cikin raka'a. A wannan yanayin, mutum zai iya cika sirinji tare da adadin ƙwayar da take buƙata.

Hakanan, ban da daidaitattun masu, akwai sirinji na insulin don adadin hormone mai yawa. Smallestaramin ya ƙunshi 0.3 ml, matsakaicin 2 ml. Sabili da haka, idan, lokacin yin lissafin insulin, ya juya cewa kuna buƙatar fiye da 40 U / ml, to ya kamata ku sayi sirinji mafi girma, 2 ml. Don haka a ƙarshe, adadin sirinji na ml guda ɗaya ya kamata wani mutum ya saya? Akwai dabarun lissafi da yawa na wannan.

Ofayansu yana kama da wannan:

(mg /% - 150) / 5 = kashi na insulin (guda daya) Wannan dabarar ta dace da mutumin da glycemia ta fi 150 mg /%, amma kasa da 215 mg /%. Ga wadanda ke da sama da 215 mg /%, dabarar ta bambanta : (mg /% - 200) / 10 = kashi na insulin (guda). Misali, a cikin mutum, sukarin jini ya kai 250 mg /% (250-200) / 10 = 5 raka'a insulin

Wani misali:

Ruwan ɗan adam 180 mg /%
(180-150) / 5 = 6 raka'a insulin

Dangane da abubuwan da aka ambata, ya bayyana a sarari: nawa ake buƙatar sirinji na insulin na kowane mutum da ke fama da ciwon sukari. Amma a matsayin mai mulkin, likitoci da kansu suna lissafa adadin maganin da ya kamata mai haƙuri ya kamata ya sha.

Yadda za a zabi mafi kyawun sirinji na insulin?

Ga marasa lafiya da ciwon sukari, yana da muhimmanci a kula da wani sinadarin insulin.

Kurakurai koda a cikin goma na ɗaya daga ɓangare na aiki na iya haifar da mai haƙuri zuwa cikin yanayin hypoglycemia da barazanar rayuwa.

Don haka, alal misali, raka'a ɗaya daga cikin gajeren insulin ɗin zai rage sukari a cikin mai haƙuri na ƙara ta hanyar 8 mmol / l A cikin yara, wannan aikin zai zama sau 2-8. Sabili da haka, lokacin zabar sirinji, kuna buƙatar la'akari da wasu abubuwan:

Kwararru suna ba da shawarar zaɓar sirinji tare da allurar da aka gina, tunda ba su da abin da ake kira “matattarar matacciyar hanya” a cikin wacce ɓangaren insulin zai iya shiga. A cikin sirinji da aka sake amfani dashi, bayan kowace allura, wani ɓangare na magunguna ya ragu wanda ba a amfani dashi.
Lokacin zabar allura akan sirinji, kuna buƙatar fifita gajeriyar - 5 - 6 mm. Wannan zai ba da izinin madaidaicin allurar cikin ƙasa kuma ya hana insulin shiga cikin tsoka. Dole ne a tuna cewa gudanarwar insulin na ciki yana ƙara yawan shan shi sau da yawa. Wannan yana haifar da mafi yawan hanzarin hypoglycemia kuma akwai buƙatar sake maimaita maganin.
Kafin yin amfani da allurar da take cirewa a allon alkairin, duba dacewar su. Duk bayanan daidaituwa an haɗa su cikin umarnin allura. Game da rashin jituwa da allura da sirinji, yaduwar miyagun ƙwayoyi zai faru.
Wajibi ne a kula da matakin "sikelin sikelin" - wannan adadin maganin ne wanda zai kasance tsakanin sassan biyu na sikelin. Thearamin wannan matakin, daidai zai iya rubutawa cikin adadin insulin ɗin da ake buƙata. Don haka, madaidaicin sirinji ya kamata ya sami sikelin 0.25 LATSA, kuma rabe-raben yakamata suyi nesa da juna ta yadda zaku iya buga lambobin 0.1 PIECES.
Zai fi kyau cewa hatimin a cikin sirinji yana da siffar ɗakin kwana maimakon siffar conical. Don haka zai zama sauƙi a gani da wane alama. Tealant mafi yawanci duhu ne a launi. Kuna buƙatar kewaya tare da gefen da yake kusa da allura.

Menene allurai don alkalami na insulin?

Dukkanin allurai don sirinjin insulin ya kasu kashi mai kauri (diamita) da tsayi. Lokacin zabar allura, dole ne mutum yayi la'akari da shekarun mai haƙuri, suturar sa (nauyi, jijiyar jiki) da kuma hanyar gudanar da maganin (cikin fatar fata ko a'a). Akwai allura tare da diamita na 0.25 mm, wanda ke da tsawon 6 da 8 mm, allura tare da diamita na 0.3 mm da tsawon 8 mm, har ila yau, allura tare da diamita na 0.33 mm da tsawon 10 da 12 mm.

Ga yara da matasa na normosthenics, yana da kyau a sayi allurai 6 ko 8 mm tsayi. Ana iya amfani dasu don kowane nau'in gudanarwar insulin. Don hypersthenics (kiba mai yawa), yin amfani da allura 8 ko 10 mm halatta. Ga manya, ana amfani da allura na kowane tsayi dangane da nau'in gudanarwar. Tare da ninka fata, yana da kyau a dauki 10 - 12 mm, ba tare da ninka ba - 6 - 8 mm.

Me yasa ba zan iya yin amfani da allura na zubar sau da yawa?

Rashin kamuwa da cututtukan bayan allura bayansa yana ƙaruwa, kuma wannan yana da haɗari sosai ga marasa lafiya da ke fama da ciwon sukari.
Idan ba ku canza allura ba bayan amfani, to allura ta gaba na iya haifar da fashewar maganin.
Tare da kowane allurar da ta biyo baya, rukunin alluran ya lalata, wanda ke kara hadarin rikicewa - “kumbura” ko bugu a wurin allurar.

Menene alkalami na insulin?

Wannan nau'in sirinji na musamman wanda ya ƙunshi katako tare da insulin na hormone. Amfaninsu shi ne cewa mara haƙuri ba ya buƙatar ɗaukar vials, pararinges. Suna da komai a hannu a alƙalima. Rashin kyawun wannan nau'in sirinji shine cewa yana da babban sikelin girma - aƙalla 0.5 ko 1 PIECES. Wannan baya bada izinin ƙaramin allurai ba tare da kurakurai ba.

Yadda ake amfani da sirinji insulin daidai?

Kafin amfani da sirinji wanda za'a iya amfani dashi, tabbatar an goge shi da giya.
Don samun madaidaicin kashi na insulin, kuna buƙatar yanke shawara akan rarrabuwa. Da yawa raka'a zasu ƙunshi lakabin ɗaya akan sirinji. Don yin wannan, kuna buƙatar ganin nawa milliliters suke cikin sirinji, adadin rarrabuwa. Misali, idan akwai 1 ml a cikin sirinji, da kuma rarrabuwa 10, to rabo na 1 zai ƙunshi 0.1 ml. Yanzu kuna buƙatar yanke shawarar abin da taro aka tsara don. Idan 40 U / ml ne, to 0.1 ml na maganin, shine, kashi ɗaya na sirinji zai ƙunshi 4 U na insulin. Sannan, gwargwadon yawan abin da nake so in shiga, ƙididdige girman aikin allurar.
Dole ne a tuna cewa insulin-gajeran aiki koyaushe shine farkon wanda za'a zana a cikin sirinji (mafita tare da wannan magani ba zai girgiza shi ba). Kuma sannan an tattara insulin-matsakaici mai aiki (vial dole ya girgiza kafin amfani). Insulin yin aiki na dogon lokaci baya hade da komai.

Maganin insulin: lissafin sashi, nau'ikan, sikelin sirinji

Wata cuta ce ta tsarin endocrine, kamar su cutar sankara, saboda karancin abinci mai narkewa a cikin jiki yana haifar da rashin daidaituwa a cikin aikin metabolism.

Ga masu ciwon sukari na farko, aikin insulin yana da matukar mahimmanci, tunda yana yin aikin ramawa game da abubuwan narkewar carbohydrates. Ga irin waɗannan mutane, gudanar da insulin na yau da kullun yana da mahimmancin gaske. Kuma ya kamata ku kusanci wannan batun da mahimmanci, farawa daga zaɓi na musamman sirinji insulin kuma ƙare tare da madaidaiciyar dabara.

Yadda za a zabi sirinji mai inganci

Ko da wane nau'in allurar da kuka fi so, ya kamata ku kula musamman da halayenta. Godiya garesu, zaku iya bambance ingantaccen samfurin gaske daga fakes.

Na'urar sirinji tana ɗaukar kasancewar abubuwan da ke gaba:

silinda ya girgiza
ɗaukar fansa
fiston
bakin teku
allura.

Wajibi ne kowane ɗayan abubuwan da ke sama su bi ka'idodin magunguna.

Ainihin kayan aiki masu inganci na hakika yana da halaye kamar:

a bayyane alama sikeli tare da kananan rarrabuwa,
babu lahani cikin lamarin,
free piston motsi
allura tafiya
madaidaicin nau'i na hatimi.

Idan muna magana ne game da abin da ake kira sirinji na atomatik, to ya kamata mu kuma bincika yadda ake kawo maganin.

Wataƙila kowane mutumin da ke da ciwon sukari ya san cewa yawan ƙwayar insulin yawanci ana auna shi a cikin ɓangarorin aiki waɗanda ke tantance ayyukan kwayar halittar.

Godiya ga wannan tsarin, tsarin ƙididdigar yawan abubuwa yana sauƙaƙawa sosai, tun da marasa lafiya ba sa buƙatar sake canza milligram zuwa milliliters.

Bugu da ƙari, don dacewa da masu ciwon sukari, an ƙirƙiri sirinji na musamman wanda akan shirya sikelin a cikin raka'a, yayin da kayan aikin al'ada ma'aunin yana faruwa ne a miliyoyin.

Matsalar kawai mutane masu fama da ciwon sukari shine keɓaɓɓen lakabin insulin. Ana iya gabatar dashi a cikin nau'in U40 ko U100.

A farkon lamari, vial ta ƙunshi raka'a 40 na abu a cikin 1 ml, a karo na biyu - raka'a 100, bi da bi. Ga kowane nau'in alamar, akwai insulin allurar da ta dace da su. Ana amfani da sirinji 40 rarraba don gudanar da insulin U40, kuma rarraba 100, bi da bi, ana amfani da kwalabe waɗanda aka alama U100.

Insulin allurai: fasali

Haƙiƙa cewa allurar insulin za a iya haɗe shi kuma za'a iya magana dashi. Yanzu bari muyi cikakken bayani game da halaye kamar kauri da tsawon. Dukansu halaye na farko da na biyu suna da tasiri kai tsaye akan gudanar da aikin hormone.

Guntun allura, mafi sauki shine yin allura. A saboda wannan, haɗarin shiga cikin tsokoki yana raguwa, wanda ya haifar da jin zafi da kuma kasancewa mafi tsayiwar hormone. Abubuwan syringe a kasuwa zasu iya zama 8 ko 12.5 milimita tsawo. Wadanda ke kera na'urorin allura ba su cikin sauri don rage tsawon su, tunda a cikin kwari da yawa tare da insulin, makullin har yanzu suna da kauri.

Hakanan yana amfani da kauri daga allura: ƙaramin shi ne, ƙarancin azaba da allurar zai zama. Alurar da aka yi tare da allura na karamin diamita kusan ba a jinsa.

Lissafin sashi

Idan lakabin allurar da vial iri ɗaya ne, bai kamata a sami wata matsala ba wajen aiwatar da lissafin adadin insulin, tunda yawan rarrabuwa ya dace da adadin raka'a. Idan alamar tana da bambanci ko sirinji yana da sikelin millimita, ya zama dole a sami dacewa. Lokacin da ba a san farashin rarrabuwa ba, irin waɗannan ƙididdigar suna da sauƙin isa.

Idan akwai bambance-bambance a cikin lakabi, ya kamata a la'akari da abubuwa masu zuwa: abubuwan insulin a cikin shirye-shiryen U-100 ya ninka 2.5 sau sama da na U-40. Don haka, nau'in magani na farko a cikin buƙatar yana buƙatar sau biyu da rabi ƙasa.

Don ma'aunin milliliter, ya zama dole a bishe shi da abubuwan insulin a cikin mililiter na hormone. Don ƙididdige kashi don sirinji a cikin milliliters, ƙimar da ake buƙata ta miyagun ƙwayoyi ya kamata ya raba ta nuna alamar rarrabuwa.

Yadda zaka fahimci lakabin sirinji na insulin

Mafi na kowa kuma a lokaci guda mafi kyawun zaɓi don gabatar da insulin a cikin jiki a halin yanzu sirinji mai iya diski tare da allura mai ɗan gajeren lokaci kuma mai kaifi sosai. Wannan lamari ne mai mahimmanci, saboda a cikin mafi girman yanayin, marasa lafiya suna allurar da kansu.

A baya can, masana'antun sun samar da ƙarancin mafita wanda a cikin raka'a 40 na insulin ɗin ke ƙunshe cikin 1 ml. Sabili da haka, a cikin kantin magani ya yiwu a sayi sirinji wanda aka tsara don maida hankali kan raka'a 40 a 1 ml.

A halin yanzu, ana samar da mafita na hormone a cikin wani nau'i mai mahimmanci - 1 ml na maganin riga ya ƙunshi raka'a 100 na insulin.

Dangane da haka, sirinji na insulin ma ya canza - daidai da sabbin abubuwa, an riga an tsara su don raka'a 10 / ml.

Koyaya, har yanzu yana yiwuwa a samo duka nau'ikan farko da na biyu akan shelves na kantin magani, sabili da haka yana da mahimmanci ga marasa lafiya da masu ciwon sukari su fahimci wane sirinji zuwa wane mafita in saya, don samun damar yin lissafin adadin magunguna don gudanarwa a cikin jikin, kuma, ba shakka don fahimtar sashi. Duk wannan yana da matukar muhimmanci - babu wani karin gishiri, tunda kuskuren wannan yanayin ya juya zuwa babban hypoglycemia, kuma sanannen karin magana wanda ke kira don auna sau bakwai, kuma kawai bayan wannan yanke sau ɗaya, yana da matukar dacewa a nan.

Abubuwan da aka shafa sun shafi insuline sirinji

Domin mutane masu fama da ciwon sukari su sami damar kewaya wannan duka, masana'antun sun sanya alamura a kan sirinji na insulin, karatun wanda ya dace da maida hankali kan kwayar hormone a cikin mafita. Ya kamata a biya kulawa ta musamman zuwa batu guda ɗaya: kowane ɓangaren rarrabuwa ya shafi sirinji ba ya nuna adadin ml na mafita ba, amma adadin raka'a.

Musamman, idan insulin na insulin don yin maganin raka'a 40, to 1 ml akan alamar sa ya dace da raka'a 40. Hakanan, 0.5 ml yayi dace da raka'a 20.

0.025 ml na kwalayen anan yana yin rukunin insulin 1, kuma sirinji da akayi nufin maganin naúrar 100 an yiwa mai alama yayin da 1 ml yayi dace da raka'a 100. Idan kayi amfani da sirinjin da ba daidai ba, sashi zai zama ba daidai bane.

Misali, tattara mafita tare da maida hankali kan raka'a 40 a kowace ml daga vial a cikin sirinji na U100, zaka samu raka'a 8 a maimakon 20 da ake tsammani, wato, ainihin maganin zai zama sau 2 kasa da abin da mara lafiyar yake bukata.

Dangane da haka, tare da zaɓi na akasin haka, wato, lokacin amfani da maganin 100 raka'a a cikin ml da sirinji na U40, mai haƙuri zai sami raka'a 50, yayin da sigar da ake so shine 20.

Masu haɓakawa sun yanke shawarar sauƙaƙa rayuwa don mutanen da ke dogara da insulin ta hanyar ƙirƙirar alamar asali na musamman. Wannan alamar tana ba ku damar rikicewa, kuma tare da taimakon rarrabe sirinji ɗaya daga wani abu ne mai sauqi. Muna magana ne game da makullu masu launuka masu kariya: sirinji U100 sanye yake da irin wannan hula a cikin ruwan lemo, U40 a ja.

Har yanzu, Ina so in tunatar da ku, tunda wannan ainihin mahimmin mahimmanci ne - sakamakon zaɓin da ba daidai ba na iya zama mummunan zubar da magani wanda zai iya haifar da rashin jinƙai ko ma haifar da mummunan sakamako. Dangane da wannan, zai zama mafi kyau lokacin da duk kayan aikin da ake buƙata don siye a gaba. Ta hanyar kiyaye shi da sauri, zaka cire buƙatar yin sayan cikin sauri.

Tsawon allura shima mahimmanci ne.

Babu ƙarancin mahimmanci shine diamita na allura. A halin yanzu, an san allura sun kasance nau'ikan biyu:

Don allurar hormonal, ana ba da shawarar yin amfani da nau'in na biyu, tunda ba su da yankin da ya mutu, kuma, gwargwadon haka, sashi na magungunan da aka gudanar zai zama daidai. Abun da ya ɓata na waɗannan wasannin shine iyakantaccen albarkatu, a matsayin mai mulkin, sun zama maras nauyi bayan aikace-aikacen na huɗu ko na biyar.

Maganin insulin

Bari mu dan yi dan karamin digiri, tunda insulin din ya kasance magana ce ta musamman.

Magungunan insulin na farko basu da bambanci da na talakawa. A zahiri, waɗannan su ne talakawa reusable gilashin sirinji.

Mutane da yawa har yanzu suna tuna da wannan jin daɗin: tafasa sirinji na mintina 30 a cikin saucepan, cire ruwa, sanyi. Kuma allura?! Wataƙila, daga waɗannan lokutan ne mutane har yanzu suna da ƙwaƙwalwar ƙwaƙwalwar ƙwayar jijiya game da raɗaɗin injections na insulin. Tabbas zakuyi! Za ku yi tsan harbe biyu da irin wannan allura, kuma ba ku son wani abu ... Yanzu dai al'amari ne daban. Godiya ga duk wanda ke aiki a wannan masana'antar!

Da fari dai, sirinji mai diski - ba lallai ne ka ɗauki sterilizer tare da kai ko'ina ba.
Abu na biyu, suna da nauyi, saboda ana yin su ne da filastik, ba sa doke (sau nawa na yanka yatsuna, na wanke sirinji na gilashin da ke raba ni a hannuna!).
Abu na uku, allurai na bakin ciki tare da kaifi mai kaifin gaske wanda yake da murfin silicone mai dumbin yawa ana amfani dashi a yau, wanda ke kawar da gogewar fuska yayin wucewa ta fatar fatar, har ma tare da laser trihedral sharpening, saboda wanda daskarar da fata ba a zahiri yake ji ba kuma ba ta barin wata alama a kai.

Ringwararren sirinji da allura syringe - alkalama - kayan aikin likita na musamman. A gefe guda, suna disposable, bakararre, kuma a gefe guda, ana amfani dasu sau da yawa. A gaskiya, wannan ba daga kyakkyawar rayuwa bane. “Tabbatattun allura” game da sirinji alkawuran “an tabbatar dasu” ta matsayin ma'aunin Ma'aikatar Lafiya da Ci gaban Jama'a a cikin adadin da ya ninka sau 10 ƙasa da buƙatun da ake buƙata.

Abinda yakamata ayi Ka tuna cewa sirinjin insulin da allurar sirinji kayan aiki ne mai diski. Ana yin allurar 10 na penicillin da sirinji ɗaya? A'a! Menene bambanci idan ya shafi insulin? Gashin allurar ya fara lalata bayan allura ta farko, tare da kowane irin ƙari kuma yana cutar da fata da kitsen mayuka.

Me kuke tsammani aka nuna dodo akan shi? Don sauƙaƙa ganewa, kuna buƙatar ganin hoto tare da ƙara girman ɗaukaka.

Lafiya, yanzu sun sani? Haka ne, wannan daidai ne, wannan shi ne tip na allura bayan allurar ta uku. M, ko ba haka ba?

Maimaita injections tare da zubar da allura ba kawai m ji da gani cewa mu compatriots ana amfani da su jure ci gaba. Wannan shine haɓakar haɓakar lipodystrophy a wurin allurar, wanda ke nufin raguwa a cikin yankin fata wanda za'a iya amfani dashi don yin allura a nan gaba. Amfani da sirinji ya kamata a rage girman. Lokaci daya ne, kuma wancan ne.

Abubuwan da ke yiwa alama alama akan sirinjin insulin

Don sanya shi dacewa ga marasa lafiya, an kammala digirin insulin na zamani (alama) daidai da tattarawar miyagun ƙwayoyi a cikin murfin, kuma haɗarin (alamar tsiri) a kan ganga sirinji ba shi da alaƙa da milliliters, amma ga raka'a insulin. Misali, idan aka yiwa sirinji mai kwaskwarima tare da maida hankali kan U40, inda "0.5 ml" yakamata ya kasance "20 UNITS", maimakon 1 ml, 40 UNITS zasu nuna.

A wannan yanayin, kawai 0.025 ml na bayani ya dace da rukunin insulin guda ɗaya. Dangane da haka, sirinji akan U 100 zai sami maimakon 1 ml alama ce ta 100 PIECES, akan 0.5 ml - 50 PIECES.

Sauƙaƙe ayyukan tare da sirinji insulin (gwada cika cikin sirinji na yau da kullun tare da 0.025 ml!), Karatun a lokaci guda yana buƙatar kulawa ta musamman, tunda irin waɗannan sirinji kawai za'a iya amfani dasu don insulin na wani taro. Idan ana amfani da insulin tare da maida hankali na U40, ana buƙatar sirinji a U40.

Idan ka shiga insulin tare da maida hankali kan U100, kuma ɗaukar sirinjin da ya dace - a U100. Idan kun dauki insulin daga kwalbar U40 zuwa cikin sirinji na U100, maimakon abin da aka tsara, sai kuce, raka'a 20, zaku tattara kawai 8. Bambancin kashi yana da matukar masaniya, ko ba haka ba? Bayan haka kuma, idan sirinji ya kasance a kan U40, kuma insulin din ya zama U100, maimakon kafa 20, za ku buga raka'a 50. Ana bayar da mafi yawan hypoglycemia.

Gaskiya cewa abubuwan insulin na da maki daban-daban yakamata a tuna da waɗanda suke amfani da almarar maganin sirinji.

Cikakken tattaunawa yana gabansu, amma yanzu zan faɗi cewa an tsara su duka domin tattara insulin U100.

Idan na'urar shigarwar ba zato ba tsammani ya karye a alƙalami, dangin mai haƙuri na iya zuwa kantin magani su sayi sirinji, kamar yadda suka faɗa, ba tare da dubawa ba. Kuma ana lasafta su don maida hankali ne daban - U40!

An ba da raka'a 20 na insulin U40 a cikin sirinji masu dacewa 0,5 ml. Idan kun shiga insulin U100 cikin irin wannan sirinji zuwa matakin 20 PIECES, zai kuma zama 0.5 ml (ƙarar akai akai), kawai a cikin 0.5 ml guda a wannan yanayin, a zahiri ba a nuna raka'a 20 akan sirinji, amma sau 2.5 ƙari - raka'a 50! Kuna iya kiran motar asibiti.

Saboda dalilai iri ɗaya, kuna buƙatar yin hankali lokacin da kwalba ɗaya ta ƙare kuma ku ɗau wata, musamman idan abokanan wannan sashin sun fito daga ƙasashen waje zuwa Amurka, kusan dukkanin abubuwan insulins suna da haɗuwa da U100.

Gaskiya ne, insulin U 40 kuma ya zama ƙasa da kullun a cikin Rasha a yau, amma ba tare da la'akari ba - sake sarrafawa da sarrafawa! Zai fi kyau ka sayi fakiti na sirinji U100 a gaba, a natse, kuma hakan zai kare kanka daga matsaloli.

Abubuwan da ake bukata na tsawon lokaci

Babu ƙarancin mahimmanci shine tsawon lokacin allura. Abubuwan da suke buƙata sun zama marasa iyawa kuma ba a cire su (haɗe) Latterarshen ya fi kyau, tunda a cikin sirinji tare da allura mai cirewa a cikin "sararin samaniya" na iya kasancewa har zuwa raka'a 7 na insulin.

Wato, kun ciro maki 20, kuma ku shiga kanku 13 KUDI guda 13. Shin akwai banbanci?

Tsawon allurar insulin shine 8 da 12.7 mm. Kadan bai zo ba tukuna, saboda wasu masana'antun insulin suna yin kauri akan kwalayen.

Misali, idan kuna shirin gudanar da sassan 25 na maganin, zabi sirinji na 0.5 ml. Singididdigar yawan ƙwayar ƙananan sirinji shine 0.5-1 UNITS Don kwatantawa, daidaituwar dosing (mataki tsakanin haɗarin ma'auni) na sirin 1 ml shine 2 UNITS.

Abubuwan da aka buƙata don sirinji na insulin sun bambanta ba kawai tsayin tsayi ba har ma da kauri (diamita lumen). Ana nuna diamita na allura ta harafin Latin G, kusa da wanda ke nuna lamba.

Kowane lamba yana da nunin allura na kansa.

Matsayin jin zafi a cikin fatar fatar jiki ya dogara da kaifin allura, kamar dai yadda girman ƙirin nasa yake. Sashin bakin ciki da allura, da kadan farashin za a ji.

Sabbin jagorori don fasahar allurar insulin sun canza hanyoyin riga-kafi na gaba-gaba mai amfani.

Yanzu duk marasa lafiya (manya da yara), gami da mutanen da suka wuce kima, an shawarce su da su zabi mafi girman tsawon allurai. Don sirinji wannan shine 8 mm, don sirinji - alkalami - 5 mm. Wannan mulkin yana taimakawa rage haɗarin samun insulin cikin bazata cikin tsoka.