Yin lakabi da sirinji na insulin, lissafin insulin U-40 da U-100

4 (80%) sun jefa 4

Shirye-shiryen insulin na farko sun ƙunshi ɗaya daga insulin a kowace milliliter na bayani. A tsawon lokaci, maida hankali ya canza. Karanta a wannan labarin menene sirinji na insulin, kuma yadda zaka tantance nawa insulin a cikin 1 ml ta hanyar yiwa alama.

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.

• 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 yadda ake amfani da shi, yana da daraja a la'akari da cewa kwalaben da aka gabatar a kasuwannin magunguna na Rasha da ƙasashen CIS suna ɗauke da raka'a 40 a mil 1.

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, wajibi ne don yin ƙididdigar insulin da ya dace bisa ka'idar: 0.5 ml na insulin - raka'a 20, raka'a 0.25 ml -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).

Nau'in da halaye na sirinji na insulin. Zaɓi sirinji na hannun dama. Lokacin da miyagun ƙwayoyi suke la'akari da lalacewa

Misali: An shigar da mara lafiya zuwa sashen tare da kamuwa da cutar sukari irin ta 1. Likita a cikin jerin magunguna ya ba da wannan haƙuri ga gabatarwar insulin sau 5 a rana, raka'a 4 - subcutaneously. A cikin sashin kulawa a cikin dakin magani akwai kwalabe masu sauki tare da insulin a cikin sashi: 1 ml ya ƙunshi raka'a insulin 100 da sirinjin insulin tare da ƙarar 1 ml ko kowace raka'a 100 na insulin.

1. determinationudarar farashin rarrabewar sirinji

"Farashin" rarrabuwa na sirinji shine yaya bayani zai iya kasancewa tsakanin sassan biyu mafi kusa na silinda. Don ƙayyade "farashin" don rarraba sirinji na insulin, ya kamata ku nemo lambar da ta fi kusa da maɓallin ƙananan wasan a kan silinda (a kan sikelin tare da ED), sannan ƙayyade yawan rarrabuwa a kan silinda tsakanin wannan lambar da pre-game cone kuma ku raba lambar kusa da maɓallin sub-game ta yawan rarrabuwa. Wannan zai zama "farashi" na rarraba sirinjin insulin. T.O. a kan sikelin raka'a - lambar farko ita ce 10, yawan rarrabuwa tsakanin mazugun wasa kuma wannan lambar ta zama 10, tana rarraba raka'a 10 zuwa 10 mun sami 1 raka'a. Don haka "farashin" rarraba wannan sirinji ya kasance 1 naúrar.

TAFIYA Akwai sirinji na insulin don raka'a 100 tare da “farashin” rabewar raka'a 2 (watau adadi na farko zuwa ramin allura shine 10, kuma adadin rarrabuwa kafin wannan adadi ya zama -5, sabili da haka 10: 5 = raka'a 2)

2. Saitin insulin a cikin sirinji

4ED (4 rarrabuwa) insulin daga vial an tattara a cikin sirinji kuma an ƙara ƙarin 1 UNIT (1 rabo). Unitsungiyoyi 5 na insulin (ko 5 rarrabuwa) za'a tattara a cikin sirinji.

TAFIYAIdan sirinji tare da "farashin raka'a" na raka'a 2, to raka'a 4 (raka'a 2) da ƙarin ƙarin raka'a 2 (raka'a 1) za'a shiga cikin sirinji. Sabili da haka a cikin sirinji za a sami PIECES 6 na insulin (rarrabuwa 3).

BAYYANA Recarin ƙarin raka'a 1-2 ana karɓa don kada su rage yawan insulin lokacin da aka saki iska daga sirinji kafin allura.

3. Gabatarwar insulin ga mara lafiya

An zaɓi wurin don allurar subcutaneous allura da kuma bincika su. Kuma ma'aikacin jinya yana kulawa da kawai raka'a 4 na insulin ga mai haƙuri (gwargwadon takardar takardar sayan magani).

TAFIYA Insulin bai kamata ya kasance cikin sirinji ba, kamar yadda bugu da gainedari yana samun 1-2 UNITS na insulin an saki su da iska, lokacin shirya sirinji don aiki.

Siffofin gudanarwar insulin

Ana sarrafa insulin a ƙarƙashin ƙasa. Matsayi na gabatarwa: tsakiya ta uku na cinya na cinya, yanki mai jujjuyawa, bangon ciki na ciki a matakin cibiya, tsakiyar na uku daga baya bayan kafada.

An canza wurin gabatarwar bisa ga ka'idar "alama", agogo.

Ana magance wurin allurar sau 2 tare da giya 70 * kuma dole ne ya bushe (zaku iya shafa shi da busasshen bakararre mai bushewa).

Lokacin da aka gabatar da shi zuwa cikin yankin kafada da cinya, ana saka allura cikin maɓallin daga sama zuwa sama, zuwa yankin da keɓaɓɓen daga ƙasa zuwa sama, zuwa yankin bangon baya na ciki daga gefe.

Bayan gudanar da insulin, ba a cika wurin da allurar ba.

Bayan gudanar da insulin, mai haƙuri yana buƙatar tuna da abinci.

Ana shirya vial na insulin da sirinji don amfani

1. Ana samun insulin a cikin vials na 5 ml tare da abun ciki na 1 U of 100 U na insulin (ba sau da yawa 40 U).

2. An adana insulin a cikin ɗakin a cikin firiji a zazzabi na + 1 * C zuwa + 10 * C, ba a yarda daskarewa.

3. Ana buɗe murfin insulin da sarrafa shi bisa ga ka'idodi don buɗe vials. Kafin kowane tsarin insulin, ana kula da murfi tare da 70 * barasa. Tabbatar a bar barasa ya bushe.

4. Kafin a fara, insulin a cikin murfin ana dumama wa zazzabi daki, wanda aka cire insulin daga firiji 1 awa kafin lokacin sarrafawa (ko zaka iya riƙe vial tare da insulin a hannunka na mintuna 3-5).

5. Don gabatarwar insulin, ana amfani da sirinji insulin, inda akwai sikeli (a cikin ml kuma a cikin raka'a). Akwai nau'ikan sirinji:

sirinji tare da sikeli 2

Syringe a cikin 1 ml da 100ED (tare da "farashin" rabo 1UED),

Syringe a cikin 1 ml da 100ED (tare da "farashin" rabo 2 2),

1 ml syringe da 40 IEarfafawa (tare da farashin rabo na 1 JARI),

sirinji na duniya tare da sikeli 3

Syringe a cikin 1 ml da raka'a 100 da raka'a 40 (tare da darajar rabo akan sikelin rukunin 1).

6. TAFIYA. Wasu lokuta nau'in sakin insulin a sashen ba ya daidaita da sirinji da ke cikin sashen (misali: akwai kwalaben insulin inda 1 ml ya ƙunshi insulin 40 na insulin, da sirinji - 1 ml da 100 U).

Sannan ya zama dole a sake kirkiri farashin rarrabewar sirinji, don gabatarwar daidai da adadin insulin da ake buƙata.

A yau, ana sayar da nau'ikan na'urorin guda biyu (sirinji) a cikin kantin magani, don haka duk mutumin da ke da ciwon sukari ya kamata ya san bambance-bambancensu da kuma yadda suke shan magani.

Digiri a kan sirinji na insulin

Duk mutumin da ke da ciwon sukari dole ne ya san yadda ake rubuta insulin da kyau a cikin sirinji. Don ƙididdigar daidai na yawan ƙwayoyi, sirinji insulin 'ana “sanye da su” da rarrabuwa na musamman waɗanda ke nuna natsuwa a cikin kwalbar ɗayan.

A lokaci guda, samun digiri a kan sirinji ba ya nuna nawa aka tattara ba, amma yana nuna rukunin insulin . Misali, idan ka tara magani a cikin taro na U40, ainihin darajar EI (naúrar) shine 0.15 ml. zai zama raka'a 6, 05ml. - raka'a 20. Kuma rukunin da kansa shine 1ml. zai zama daidai da raka'a 40. Don haka, rukunin mafita ɗaya zai zama 0.025 ml na insulin.

Ya kamata a ɗauka a hankali cewa bambanci tsakanin U100 da U40 shima ya ta'allaka ne akan cewa a farkon lamarin, 1ml insulines insulin. yi raka'a ɗari ɗari, 0.25 ml - 25 raka'a, 0.1 ml - raka'a 10. Tare da irin waɗannan mahimman bambance-bambance (maida hankali da girma) na sirinji, bari mu gano yadda za a zaɓi zaɓin da ya dace don wannan na'urar don masu ciwon sukari.

A zahiri, mataki na farko don zaɓar sirinji na insulin ya kamata ya kasance tare da tuntuɓar likitanka. Hakanan, idan kuna buƙatar shigar da taro na raka'a 40 na hormone a cikin 1 ml, ya kamata kuyi amfani da sirinji U40. A wasu halayen, ya kamata ku sayi na'urori kamar U100.

A farkon matakan cutar, masu ciwon sukari sukan yi mamakin, "Me zai faru idan kun yi amfani da sirinji da ba daidai ba don allurar insulin?" Misali, yin bugun maganin a cikin sirinji U100 don maganin tare da maida hankali kan raka'a 40 / ml, mutumin da ke fama da cutar sankara zai shigar da sassan jikin insulin guda takwas cikin jikin, maimakon raka'a ashirin da ake buƙata, wanda shine rabin adadin maganin da ake buƙata!

Kuma idan an dauki sirinji U40 kuma an tattara maganin tattarawa na raka'a 100 / ml a ciki, to mai haƙuri zai sami ninki biyu (raka'a 50) maimakon raka'a ashirin na hormone! Wannan rayuwa ce da ke haifar da barazanar kamuwa da cutar siga!

Lissafin kashi na insulin: gano duk abin da kuke buƙata. Koyi yadda ake rarraba tare da ƙananan allurai kuma a kiyaye sukari 3.9-5.5 mmol / L barga 24 a rana. Kuna iya dakatar da tsalle-tsalle cikin matakan glucose na jini ko da a cikin nau'in ciwon sukari na 1 a cikin manya da yara. Kuma har ma da ƙari, ci gaba da sukari na yau da kullun, kamar yadda a cikin mutane masu lafiya, tare da nau'in ciwon sukari na 2. Fahimci yadda za a zaɓi mafi kyawun ƙwayar insulin, la'akari da hanyar mutum na ciwon sukari.

Karanta amsoshin tambayoyin:

Yana ɗaukar kwanaki da yawa don lura da halayen sukari na jini a cikin masu ciwon sukari a cikin sa'o'i daban-daban, sannan zaɓi hanyar yin aikin insulin.

Insulin a cikin jiyya na nau'in 2 da nau'in ciwon sukari na 2

Ka lura cewa manyan allurar insulin ba su da tsayayye kuma ba za'a iya tantance su ba. Strengtharfin aikinsu a kan wasu ranaku na iya bambanta da% 56%. Don magance ciwon sukari da kyau, kuna buƙatar magance wannan matsalar. Babban kayan aiki shine sauyawa zuwa, wanda ke rage sashi sau 2-8.

Masu ciwon sukari da ke iyakance yawan abincin da suke amfani da su na carbohydrate kada su yi allurar insulin fiye da raka'a 8 a lokaci guda. Idan kana buƙatar ƙarin ƙwayar cuta, raba shi zuwa kashi 2-3 kamar injections daidai. Sanya su ɗaya bayan ɗaya a cikin wurare daban-daban tare da sirinji iri ɗaya.

Kula da ciwon sukari na insulin - inda zan fara:

Yawancin masu ciwon sukari da ke kula da insulin sun yi imanin cewa ba za a iya barin sassan jikin sukari masu ƙarancin jini ba. Suna tsammanin cewa mummunan hare-hare na hypoglycemia sune sakamako mai illa da za'a iya fuskanta. A zahiri, na iya tsayar da sukari na al'ada har ma da mummunan cutar kansa. Kuma har ma fiye da haka, tare da gwada da laushi kamar nau'in ciwon sukari 2. Babu buƙatar ƙara girman matakin glucose na jini don insure kanka game da haɗarin hypoglycemia. Kalli bidiyon da ke tattauna wannan batun. Koyi yadda za a daidaita abinci mai gina jiki da allurai insulin.

Mai zuwa amsoshin tambayoyin da ke faruwa koyaushe a cikin marasa lafiya.

Waɗanne abinci ne suke ɗauke da insulin?

Babu kayayyakin abinci masu dauke da insulin. Hakanan, allunan dake dauke da wannan kwayar halittar ba su wanzu ba tukuna. Domin idan aka gabatar da shi ta bakin, to ya lalace a cikin jijiyoyin mahaifa, baya shiga cikin jini kuma baya shafar metabolism din. Zuwa yau, ana iya gabatar da insulin don rage sukari jini a cikin jiki kawai tare da taimakon injections. Akwai kwayoyi a cikin nau'ikan jijiyoyi don shawa, amma bai kamata a yi amfani da su ba saboda ba su bayar da ingantaccen matakin kwantar da hankali ba. Labari mai dadi: allura akan allurar insulin da allunan sirinji suna da bakin ciki sosai da zaku iya koya.

A waɗanne matakan matakan sukari na jini ke wajabta wa allurar insulin?

Baya ga lokuta mafi tsananin rauni, masu ciwon sukari suna buƙatar fara farko su zauna a kai har tsawon kwanaki 3-7, suna kallon sukarin jininsu. Kuna iya gano cewa baku buƙatar allurar insulin kwata-kwata.

Sugaroƙarin matakan sukari na jini sune 3.9-5.5 mmol / L a kan sa'o'i 24 a rana. Masu fama da kiba kuma suna haɗa Galvus Met, Glucofage ko Siofor a cikin abincin, a hankali suna ƙaruwa da sashi.

Karanta game da Allunan waɗanda suke ɗauke da metformin:

Sauyawa zuwa tsarin abinci mai lafiya kuma fara shan metformin, kuna buƙatar tattara bayanai game da halayen sukari a kowace rana don kwanaki 3-7. Bayan tattara wannan bayanin, ana amfani dasu don zaɓin mafi kyawun allurai na insulin.

Abincin abinci, metformin da aiki na jiki ya kamata su dawo da matakin glucose zuwa al'ada, kamar yadda suke cikin mutane masu lafiya - 3.9-5.5 mmol / l a tsaye sa'o'i 24 a rana. Idan ba za a iya samun irin waɗannan alamomin ba, to haɗa su da insulin.

Kada ku yarda ku zauna tare da sukari 6-7 mmol / l, har ma fiye da haka, mafi girma! Ana lissafin waɗannan adadi bisa hukuma daidai ne, amma a zahiri an ɗaukaka su. Tare da su, rikicewar ciwon sukari ke haɓaka, kodayake a hankali. Daruruwan dubban masu ciwon sukari waɗanda ke fama da matsaloli tare da kafafu, ƙodansu da idanun gani sunyi nadama cewa sun yi laushi ko suna tsoron allura. Kada ku sake yin kuskurensu. Yi amfani da ƙananan, allurai da aka ƙididdige a hankali don cimma sakamako mai ƙyalli a ƙasa da 6.0 mmol / L.

Sau da yawa ya zama dole a allurar da insulin na rana don dare don samun sukari na al'ada gobe da safe akan komai a ciki. Karanta,. Da farko dai, gano idan kuna buƙatar allurar rigakafin magunguna masu amfani da dogon lokaci. Idan ana buƙata su, fara aiwatar da su.

Karanta game da shirye-shiryen insulin na dogon lokaci:

Tresiba irin wannan fitaccen magani ne wanda shafin yanar gizon ya shirya shirin bidiyo game da shi.

Farawa don yin allurar insulin, kar a gwada ƙin rage cin abinci. Idan kun yi kiba, ci gaba da shan kwayoyin. Yi ƙoƙarin neman lokaci da kuzarin motsa jiki.

Mahimmanci! Duk shirye-shiryen insulin suna da rauni sosai, da sauƙi lalacewa. Ka bincika kuma ka cika su.

Za'a iya gano sukari na 9.0 mmol / L da mafi girma, duk da cewa abincin yana tsayayye sosai. A wannan yanayin, kuna buƙatar fara fara allurai, kuma kawai sai a haɗa wasu magunguna. Hakanan, marasa lafiya da ke dauke da nau'in 1 na ciwon sukari da kuma mutanen bakin ciki waɗanda suka kamu da kamuwa da nau'in 2 na ciwon sukari suna fara yin amfani da insulin nan da nan bayan abinci mai ƙanƙan da kai, ta hanyar kewaya magungunan.

Tare da matakan glucose mai yawa a cikin jini, kuna buƙatar fara farawar insulin, nan da nan cutarwa.

Menene kashin insulin na kowace rana?

Babu ƙuntatawa akan matsakaicin adadin insulin na yau da kullun. Ana iya haɓaka har sai matakin glucose a cikin haƙuri tare da ciwon sukari ya zo al'ada. A cikin mujallolin ƙwararru, ana bayanin lokuta yayin da marasa lafiya da nau'in ciwon sukari na 2 suka karɓi raka'a 100-150 kowace rana. Wata tambaya ita ce, yawan kashin da ke cikin kwayar halittar da ke motsa jiki na sanya kitse a jikin mutum kuma ya kara cutar da ciwon suga.

Gidan yanar gizon yana koyar da yadda ake kiyaye daidaitaccen sukari na sa'o'i 24 a rana kuma a lokaci guda sarrafa tare da ƙarancin allurai. Kara karantawa kuma. Da farko dai, je zuwa. Masu ciwon sukari waɗanda an riga an kula dasu tare da insulin, bayan sun canza zuwa sabon abinci, kuna buƙatar rage magunguna nan da nan sau 2-8.

Menene insulin ake buƙata a kowane yanki na abinci 1 (XE) na carbohydrates?

An yi imani da cewa na yanki na abinci guda ɗaya (XE), wanda aka ci abinci don abincin rana ko abincin dare, kuna buƙatar allurar 1.0-1.3 LATIHIN insulin. Don karin kumallo - ƙari, har zuwa raka'a 2.0-2.5. A zahiri, wannan bayanin ba daidai bane. Zai fi kyau kada a yi amfani da shi don ainihin ƙididdigar insulin allurai. Domin a cikin masu ciwon sikari daban-daban, sha'awar wannan hormone na iya bambanta sau da yawa. Ya dogara da shekaru da nauyin jikin mai haƙuri, da sauran abubuwan da aka lissafa a cikin tebur da ke ƙasa.

Kashi na insulin kafin abinci wanda ya dace da saurayi ko matashi na iya tura karamin yaro mai ciwon sukari duniya. A gefe guda, kashi mai sakaci, wanda zai isa ga yaro, kusan ba zai shafi ɗan ƙaramin nau'in mai ciwon sukari na 2 wanda ke da kiba ba.

Kuna buƙatar yanke shawara a hankali ta hanyar gwaji da kuskure nawa adadin grabs na carbohydrates da aka cinye sutura 1 na insulin. An bayar da bayanan alamu a ciki. Suna buƙatar tantance su daban-daban ga kowane mai ciwon sukari, yana tara yawan ƙididdiga game da sakamakon injections a jikinsa.Wannan babban haɗari ne kuma mai haɗari. Don hana shi fara magani tare da bayyananne ƙananan, isasshen allurai. A hankali suke a hankali a hankali har zuwa tsawan kwanaki 1-3.

Zaɓuɓɓukan Abincin dangane da cutar:

Shafin yanar gizon yayi bayanin yadda ake amfani da shi don magance cutar siga. Ta canza zuwa wannan abincin, zaku iya dakatar da tsalle-tsalle a cikin matakan glucose kuma ku sanya sukari jini ya kasance barga 3.9-5.5 mmol / L, kamar yadda yake cikin mutane masu lafiya.

Masu ciwon sukari da ke bin abinci masu ƙoshin lafiya suna yin la’akari da yawan abincin da suke amfani da shi na carbohydrate ba a cikin gurasar burodi ba, amma a cikin gram Saboda raka'a gurasa kawai ya rikice, ba tare da wani fa'ida ba. A kan karancin abinci mai karas, yawan karuwar carbohydrate bai wuce kwanaki 2.5 XE ba. Saboda haka, ba ma'ana bane a ɗauki allurai insulin ta hanyar gurasa.

Nawa ne kashi 1 na insulin ya rage sukari?

Kayan aiki na Cibiyar Kasafin Kudi ta Tarayya “Cibiyar Ilimin Kimiyya ta Endocrinological” na Ma'aikatar Lafiya ta Tarayyar Rasha sun ce 1 rukunin insulin yana saukar da sukari jini da matsakaita na 2.0 mmol / l. Wannan adadi a bayyane yake a bayyane yake. Amfani da bayanan da aka ƙayyade ba shi da amfani har ma da haɗari. Saboda insulin yana da tasiri daban-daban akan duk masu cutar siga. A kan manya na bakin ciki tare da nau'in ciwon sukari na 1, da kan yara, yana yin ƙarfi sosai. Saidai lokacin da aka keta dokokin ajiya kuma insulin ya lalace.

Magunguna daban-daban na wannan kwayoyin sun bambanta sosai a cikin ƙarfi. Misali, nau'ikan ultrashort na insulin Humalog, NovoRapid da Apidra sunkai kusan sau 1.5 fiye da gajeriyar Actrapid. Iri insulin na dogon-lokaci, tsawaita, matsakaici, gajeru da kuma aikin gwaji na aikin kowane ɗayan nasa. Suna da tasiri daban-daban akan sukarin jini. Manufar gabatarwar su da hanyoyin yin amfani da lissafin allurai ba kwatankwacinsu ba ne. Ba shi yiwuwa a yi amfani da wasu nau'ikan alamun matsakaici na dukansu.

Karanta game da shirye-shiryen insulin gajere da ultrashort:

Misali. A ce kuna gwadawa da kuskure sun gano cewa rukunin 1 na NovoRapid yana rage matakin glucose ta 4.5 mmol / L. Bayan haka, kun koya game da mu'ujiza kuma kun juya shi. ya ce gajeran insulin ya fi dacewa da karancin abinci-carb fiye da na gajere. Sabili da haka, za ku canza NovoRapid zuwa Actrapid, wanda kusan sau 1.5 yake rauni. Don ƙididdige yawan farawa, kuna ɗauka cewa 1 PIECE zai rage sukarin ku ta 4.5 mmol / L / 1.5 = 3.0 mmol / L. Bayan haka, a cikin 'yan kwanaki, a fayyace wannan adadi bisa ga sakamakon allurar farko.

Kowane mai ciwon sukari yana buƙatar koyo ta hanyar gwaji da kuskure daidai nawa rage girman glucose ya rage ta kashi 1 na insulin ɗin da ya saka. Ba ya da kyau a yi amfani da adadi da aka karba daga Intanet don lissafa allurai na mutum. Koyaya, kuna buƙatar fara wani wuri. Don yin lissafin kashi na farko, zaku iya amfani da wadannan bayanan da Dr. Bernstein ya bayar.

game da a 3 mmol / l. Da yake mai haƙuri yana yin nauyi da kuma yawan kitse a jikinsa, mai rauni shine aikin insulin. Dangantaka tsakanin nauyin jiki da ƙarfin insulin ya zama gwargwado, tsarin layi. Misali, a cikin mai haƙuri mai kamuwa da ciwon sukari na 2, yana da nauyin jiki na 126 kilogiram, rukunin 1 na miyagun ƙwayoyi Humalog, Apidra ko NovoRapid zai rage sukari na tantancewa 1.5 mmol / l.

Don yin ƙididdigar adadin da ya dace, kana buƙatar yin gwargwado dangane da nauyin jikin mai ciwon sukari. Idan baku san yadda ake yin rabo ba, kuma ba ku san yadda ake ƙidaya ba tare da kurakurai, yana da kyau kada ku gwada. Nemi taimako tare da wani mai ci gaba a ilmin lissafi. Saboda kuskure a cikin sashi mai saurin insulin na iya samun mummunan sakamako, har ma a kashe mara lafiyar.

Misalin horo. A ce mai ciwon sukari ya kai kilogiram 71. Inganta insulin da sauri - alal misali, NovoRapid. Da yake ƙididdige yawanku, zaku iya gano cewa 1 rukunin wannan magani zai rage sukari da 2.66 mmol / l. Shin amsar ku ta yarda da wannan lambar? Idan haka ne, yana da kyau. Muna sake maimaita cewa wannan hanyar ta dace ne kawai don ƙididdige farkon, farawa kashi.Adadin da kuka samu, yana kirga rabo, dole ne a fayyace shi ta sakamakon injections.

Yaya yawan sukari ke rage ƙungiyar 1 - ya dogara da nauyin jikin mutum, shekaru, matakin aikin mutum, maganin da aka yi amfani dashi da kuma wasu dalilai da yawa.

Abubuwanda ke Tasirin Saurin Insulin

Thearfin ji na ƙwarai, mafi ƙarfi kowane ɓangare na insulin allura (U) yana rage sukari. Ana ba da adadi mai nuna alama a ciki da kuma a cikin. Ana amfani da waɗannan bayanan don yin lissafin farawa. Furtherari ga haka, suna buƙatar a keɓe su daban-daban ga kowane masu ciwon sukari bisa ga sakamakon allurar da ta gabata. Kada ku kasance mai laushi don a hankali zaɓi mafi kyau duka gwargwado don kiyaye matakan glucose 4.0-5.5 mmol / l barga 24 a rana.

Nawa raka'a insulin ake buƙata don rage sukari da 1 mmol / l?

Amsar wannan tambayar ya dogara da dalilai masu zuwa:

• Shekar masu ciwon sukari
• nauyin jiki
• matakin aiki na jiki.

Bayani mai mahimmanci importantan abubuwa masu mahimmanci ana jera su a cikin tebur da ke sama. Samun tara bayanan don 1-2 makonni na injections, zaku iya lissafa yadda 1 rukunin insulin yake rage sukari. Sakamakon zai bambanta don magunguna na dogon, gajere da aikin ultrashort. Sanin waɗannan almara, yana da sauƙi a lissafa kashi na insulin, wanda zai rinka rage ƙwan jini da 1 mmol / l.

Tsayar da littafin fitila da lissafi suna da matsala sannan kuma a dauki wani lokaci. Koyaya, wannan ita ce hanya daya tilo da za'a iya samun ingantacciyar hanyar, kiyaye lafiyar glucose dinka, kuma ka kare kanka daga rikicewar cutar sankara.

Yaushe sakamakon allura ya bayyana?

Wannan tambaya tana buƙatar cikakken bayani, saboda nau'ikan insulin daban-daban suna fara aiki da saƙo daban-daban.

Shirye-shiryen insulin ya kasu kashi biyu:

• mika - Lantus, Tujeo, Levemir, Tresiba,
• matsakaici - Protafan, Biosulin N, Insuman Bazal GT, Rinsulin NPH, Humulin NPH,
• aiki mai sauri - Actrapid, Apidra, Humalog, NovoRapid, cikin gida.

Akwai kuma gaurayawan matakai biyu - alal misali, Humalog Mix, NovoMix, Rosinsulin M. Duk da haka, ba a ba da shawarar yin amfani da su ba. Ba a tattauna su akan wannan rukunin yanar gizon ba. Don cimma ingantaccen iko na ciwon sukari, kuna buƙatar canzawa daga waɗannan kwayoyi zuwa yin amfani da insulin guda biyu - tsawaita da sauri (gajere ko ultrashort).

An kara nuna cewa mai ciwon sukari yana lura da karɓar allurar insulin da za ta dace da ita. Waɗannan allurai sau 2-7 ne ƙasa da waɗanda ake amfani da likitoci. Kula da ciwon sukari tare da insulin bisa ga hanyoyin Dr. Bernstein yana ba ku damar cimma matakan sukari mai ƙarfi na jini na 3.9-5.5 mmol / L. Wannan gaskiyane koda tare da matsanancin raunin metabolism. Koyaya, insulin a cikin allurai kaɗan yana fara aiki daga baya kuma ya daina aiki da wuri fiye da ƙaƙƙarfan matakan allurai.

Insulin mai sauri (gajere da ultrashort) yana farawa minti 10-40 bayan allura, gwargwadon maganin da aka bayar da kuma kashi. Koyaya, wannan baya nuna cewa bayan minti 10-40 na mitsi zai nuna ƙarin sukari. Don nuna sakamako, kuna buƙatar auna matakin glucose ba a baya ba bayan 1 awa. Zai fi kyau a yi wannan daga baya - bayan sa'o'i 2-3.

Koyi cikakken bayani. Kada a yiwa allurai magunguna don samun sakamako mai sauri. Tabbas kusan za ku yiwa kanku allurai fiye da yadda ya kamata, kuma wannan zai haifar da hauhawar jini. Za a yi rawar jiki, juyayi da sauran alamu mara kyau. Zai yiwu ma asarar sani da mutuwa. Yi maganin insulin mai saurin aiki a hankali! Kafin yin amfani da shi, a hankali fahimci yadda yake aiki da kuma yadda za'a tantance ƙimar da ya dace.

Tsarin insulin na matsakaici da tsawan lokaci suna fara aiki awanni 1-3 bayan allura. Suna ba da sakamako mai laushi, wanda yake da wahala waƙa tare da glucometer. Singleaya daga cikin ma'aunin sukari na iya nuna komai. Wajibi ne a aiwatar da aikin sa-kan kansa akan glucose na jini sau da yawa yayin kowace rana.

Masu ciwon sukari da ke bai wa kansu allura na ƙarin insulin da safe, suna ganin sakamakonsu da yamma, sakamakon sakamakon gaba ɗaya. Yana da amfani don gina zane-zanen gani na alamun sukari. A cikin kwanakin da suka sanya insulin tsawan, zasu bambanta sosai don mafi kyau. Tabbas, idan an zaɓi adadin maganin daidai.

Maganin allurar insulin, wanda ake yi da daddare, yana ba da sakamakon gobe. Yin azumi yana inganta. Baya ga ma'aunin safe, zaku iya sarrafa matakan glucose a tsakiyar dare. Yana da kyau a bincika sukari da daddare a farkon lokacin jiyya, lokacin da akwai haɗarin zubar da shi tare da farawa. Saita ƙararrawa don farkawa a kan kari. Auna sukari, yin rikodin sakamako kuma a ci gaba.

Yi nazarin wannan maganin kafin fara maganin cutar sukari.

Menene insulin yake buƙatar sakawa idan mai ciwon sukari ya tashi sosai?

Matsakaicin da ake buƙata ya dogara da sukarin jini kawai, har ma a kan nauyin jiki, da kan hankalin mutum na haƙuri. Akwai dalilai da yawa waɗanda ke shafar jijiyar insulin. An jera su a sama a wannan shafin.

Zaka shigo da hannu. Ana shirya shirye-shiryen Short da ultrashort ga masu ciwon sukari idan ya zama dole a hanzarta saukar da sukari mai yawa. Bai kamata a yi amfani da insulin mai tsayi da matsakaici ba a cikin irin wannan yanayi.

Baya ga yin allurar, zai iya zama da amfani ga masu ciwon suga su sha ruwa da yawa ko kuma shayi na ganye. Tabbas, ba tare da zuma, sukari da sauran kayan lefe ba. Shan ruwa mai narkewar jini, yana rage yawan glucose a ciki, haka kuma yana taimakawa kodan cire wasu abubuwan da suka wuce haddi a jiki.

Dole ne a tabbatar da masu ciwon sukari daidai da kashi 1 na insulin ya rage matakin glucose. Ana iya gano wannan a yawancin ranaku ko makonni ta hanyar gwaji da kuskure. Figureididdigar sakamako na kowane ƙididdigar ƙwayar buƙata yana buƙatar daidaita don yanayin, cututtukan cututtuka da sauran dalilai.

Akwai yanayi yayin da sukari ya riga ya yi tsalle, kuna buƙatar buga shi da sauri, kuma ba ku sami nasarar tara ingantattun bayanai ba ta hanyar gwaji da kuskure. Yaya za a lissafa adadin insulin a wannan yanayin? Dole ne mu yi amfani da bayanin alama.

Kuna iya amfani da hanyar lissafin kashi a ƙasa akan haɗarin ku. Doaukewar yawan insulin zai iya haifar da alamomin mara dadi, ƙarancin sani har ma da mutuwa.

A cikin mazan da ke da nauyin jiki na kilogram 63, naúrar 1 na ultrashort insulin Humalog, Apidra ko NovoRapid yana rage sukarin jini game da a 3 mmol / l. Yawancin nauyin jikin mutum da kuma girman kitse a jiki, mai rauni ne sakamakon insulin. Misali, a cikin babban mai haƙuri tare da nau'in ciwon sukari na 2 wanda yake nauyin kilo 126, rukunin 1 na Humalog, Apidra ko NovoRapid zai rage sukari na tantancewa 1.5 mmol / l. Yana da mahimmanci don yin la'akari da la'akari da nauyin jikin mai ciwon sukari.

Idan baku san yadda ake yin rabo ba, kuma ba ku tabbatar da cewa za ku iya ƙididdige daidai ba, to ya fi kyau kada ku gwada. Nemi taimako daga wani masani. Kuskure a cikin sashi na gajere ko ultrashort insulin na iya samun babban sakamako, har ma da kashe mai haƙuri.

Bari mu ce mai ciwon sukari ya kai kilogiram 71. Inganta insulin da sauri - alal misali, Apidra. Bayan kayi gwargwado, kun lissafa cewa guda ɗaya 1 zata rage sukari da 2.66 mmol / l. A ce mai haƙuri yana da matakin glucose na jini na 14 mmol / L. Dole ne a rage shi zuwa 6 mmol / L. Bambanci tare da maƙasudin: 14 mmol / L - 6 mmol / L = 8 mmol / L Matsakaicin insulin da ake buƙata: 8 mmol / l / 2.66 mmol / l = 3.0 PIECES.

Har yanzu, wannan sigar nuna alama ce. An ba da tabbacin ba zai zama cikakke ba. Kuna iya allurar 25-30% ƙasa don rage haɗarin cutar hypoglycemia. Za'a iya amfani da hanyar lissafin da aka ƙayyade kawai idan mai haƙuri bai tattara cikakken bayani ba ta hanyar gwaji da kuskure.

Actrapid kusan sau 1.5 yana da rauni fiye da Humalog, Apidra ko NovoRapid. Hakanan ya fara aiki daga baya. Koyaya, Dr. Bernstein ya ba da shawarar yin amfani da shi.Saboda gajeren insulin ya fi dacewa da tsarin low-carb fiye da ultra-short.

Hanyar yin lissafin adadin insulin da aka bayar a sama bai dace da yara masu cutar siga ba. Saboda suna da hankali na insulin sau da yawa sama da na manya. Maganin insulin cikin sauri a cikin kashi wanda aka lissafta bisa ga ƙayyadadden hanyar na iya haifar da mummunan cutar hypoglycemia a cikin yaro.

Mene ne siffofin yin lissafin kashi na insulin ga yara masu ciwon sukari?

A cikin yara masu ciwon sukari har zuwa lokacin samartaka, hankalin insulin ya ninka sau da yawa fiye da na manya. Sabili da haka, yara suna buƙatar allurai masu sakaci idan aka kwatanta da masu haƙuri. A matsayinka na mai mulki, iyayen da ke sarrafa ciwon sukari a cikin yaransu dole ne su narke insulin tare da ruwan gishiri, da aka siya a cikin kantin magani. Wannan yana taimakawa daidai gwargwado allurai na 0.25 raka'a.

A sama, mun bincika yadda ake ƙididdige yawan insulin ga mazan da ke da nauyin nauyin kilogram 63. Bari mu faɗi cewa ɗan yaro mai ciwon sukari ya cika kilogiram 21. Ana iya ɗauka cewa zai buƙaci adadin insulin sau 3 ƙasa da dattijo, tare da matakan glucose iri ɗaya cikin jini. Amma wannan zato zai zama ba daidai ba. Matsayi mai dacewa da alama ba zai zama 3 ba, amma sau 7-9.

Ga yara masu ciwon sukari, akwai babban haɗari na ƙananan sukari aukuwa wanda ya haifar da yawan insulin. Don hana yawan wuce gona da iri, allura da allurar a fili. Daga nan sai a hankali a hankali har matakan glucose na jini ya zama al'ada. Ba a so a yi amfani da madafan iko magungunan Humalog, Apidra da NovoRapid. Gwada Actrapid maimakon.

Yara har zuwa shekaru 8-10 na iya fara allurar insulin tare da kashi 0.25 raka'a. Yawancin iyaye suna shakka cewa irin wannan "homeopathic" kashi na da tasiri. Koyaya, wataƙila, bisa ga alamu na glucometer, zaku lura da tasirin daga allurar farko. Idan ya cancanta, ƙara kashi ta 0.25-0.5 LATSA kowace kwana 2-3.

Bayanin lissafin insulin kashi na sama ya dace da yara masu ciwon sukari waɗanda ke yin biyayya da ƙarfi. 'Ya'yan itãcen marmari da sauransu ya kamata a cire su gaba ɗaya. Yaro yana buƙatar bayyana sakamakon cin abinci takarce. Babu buƙatar amfani da famfo na insulin. Koyaya, yana da kyau a sa tsarin ci gaba da lura da glucose idan har zaka iya hakan.

Babu ƙuntatawa game da amfani da insulin a lokacin daukar ciki, tunda insulin ba ya ƙetare shingen mahaifa ba. Haka kuma, idan ba ku kula da ciwon sukari ba yayin daukar ciki, to hakan yana haifar da: hadari ga tayin. Sabili da haka, dole ne a ci gaba da maganin cutar sankara yayin daukar ciki.

Dukkanin hypoglycemia da hyperglycemia, wanda zai iya haɓaka halayen cututtukan da aka zaɓa da kyau, suna kara haɗarin rikicewar tayin da mutuwar tayi. Ya kamata a sa ido ga mata masu juna biyu masu ciwon suga a duk lokacin da suke cikin ciki, suna buƙatar samun ingantaccen iko na matakan glucose na jini, shawarwari iri ɗaya sun shafi matan da ke shirin daukar ciki.

Bukatar insulin yawanci yana raguwa a farkon farkon ciki kuma sannu a hankali yana ƙaruwa a cikin na biyu da na uku.

Bayan haihuwa, bukatar insulin cikin sauri ta koma matakin da aka lura da shi kafin daukar ciki.

Hakanan babu wasu ƙuntatawa game da amfani da miyagun ƙwayoyi Protafan NM yayin shayarwa. Rashin lafiyar insulin ga mata masu shayarwa ba haɗari ga jariri. Koyaya, mahaifiyar na iya buƙatar sake saita tsarin magunguna na Protafan NM da / ko abinci.

Yin hulɗa tare da wasu kwayoyi

Tasirin hypoglycemic yana haɓaka ta hanyar acetylsalicylic acid, barasa, alpha da beta blockers, amphetamine, steroids anabolic, clofibrate, cyclophosphamide, phenfluramine, fluoxetine, ifosfamide, MAO inhibitors, methyldopa, tetracycline, trifamaxigin triincigin, trifamazigin triincigin thiazides), glucocorticoids, heparin, maganin hana haihuwa, isoniazid, carbonate lithium, nicotinic acid, phenothiazines, sympathomimetics, tricyclic antidepressants.

Abunda yake aiki: insulin-isophan (injiniyan ɗan adam),

Fitattun abubuwa: zinc chloride, glycerin (glycerol), metacresol, phenol, sodium hydrogen phosphate dihydrate, sulfate protamine, sodium hydroxide da / ko hydrochloric acid (don daidaitawa pH), ruwa don allura

Yawan abin sama da ya kamata

Bayyanar cututtuka: haɓakar hauhawar jini (gumi mai sanyi, guguwar bugun zuciya, rawar jiki, yunwar, tashin hankali, haushi, ciwon kai, ciwon kai, nutsuwa, rashin motsi, magana da rashin hangen nesa, rashin damuwa). Babban tsananin rashin ƙarfi na iya haifar da rashi na ɗan lokaci ko na dindindin na aikin kwakwalwa, coma, da mutuwa.

Jiyya: sukari ko bayani na glucose a ciki (idan mai haƙuri yana da hankali), s / c, i / m ko iv - glucagon ko iv - glucose.

Umarni na musamman

Tare da wani zaɓi da aka zaɓa ba daidai ba ko tare da dakatar da jiyya, hyperglycemia na iya haɓaka, musamman a cikin marasa lafiya da ke dauke da ciwon sukari na 1. Alamar farko ta hawan jini yawanci yakan bayyana a hankali akan sa'o'i da yawa ko kuma kwanaki. Irin waɗannan bayyanar cututtuka sun haɗa da tashin zuciya, amai, matsanancin nutsuwa, ja, fata bushe, bushewar bushe, fitowar fitowar fitsari, ƙishirwa, rashin ci, da ƙamshin acetone daga bakin.

Idan ba a kula da shi ba, zazzabin hyperglycemia a cikin nau'in 1 na ciwon sukari na iya haifar da haɓakar cutar ketoacidosis mai barazanar rayuwa. A cikin lokuta na babban ci gaba a cikin sarrafa glycemic, alal misali, saboda karɓar maganin insulin, alamu na yau da kullun na abubuwan da ke haifar da ciwon sukari na iya canzawa, game da abin da ya kamata a faɗakar da marasa lafiya.

Tare da cututtukan haɗuwa, musamman cututtuka da yanayin febrile, buƙatar haƙuri ga insulin yawanci yana ƙaruwa. Idan an canza mara lafiya daga wani nau'in insulin zuwa wani, to alamomin farkon, wadanda suka fara aiki da ƙwararrakin jini, na iya canzawa ko zama ƙasa da sanarwa kamar waɗanda aka ambata tare da gabatarwar insulin na baya.

Canja wurin marasa lafiya zuwa wani nau'in insulin ko zuwa insulin na wani kamfanin yakamata a gudanar da shi kawai a karkashin kulawar likita. Lokacin canza ayyukan halitta, canza masana'anta, nau'in, nau'in (dabba, ɗan adam, analog na insulin na mutum) da / ko hanyar masana'anta, tsarin kulawa na iya buƙatar canzawa.

Idan daidaitawa kashi yana da mahimmanci, ana iya yin wannan riga tare da gabatarwar kashi na farko ko a farkon makonni ko watanni na far.

Ski abinci ko babban aiki na jiki wanda ba a shirya shi ba na iya haifar da cututtukan jini.

Idan mara lafiyar ya yi tafiya tare da tsaka-tsakin lokuttan lokacin, to ya kamata ya nemi shawara tare da likita, tunda dole ne ya canza lokacin sarrafa insulin da abincin.

Ba za a iya amfani da Protafan NM a cikin famfunan insulin ba don tsawaita aikin insulin na ƙasa.

Abun magani na Protafan NM ya haɗa da metacresol, wanda zai haifar da halayen rashin lafiyan.

Tasiri kan iya tuƙin mota da aiki tare da kayan aiki

Thearfin marasa lafiya su mai da hankali kuma ana iya rage ƙarfin tashin hankali yayin raunin hypoglycemia da hyperglycemia, wanda zai iya zama haɗari a cikin yanayi inda waɗannan damar ke da mahimmanci musamman (alal misali, lokacin tuki mota ko aiki tare da injuna da injuna). Ya kamata a shawarci marassa lafiya su dauki matakan hana ci gaban hypoglycemia da hyperglycemia yayin tuki mota da aiki da hanyoyin. Wannan yana da mahimmanci musamman ga marasa lafiya da basu da cikakkun alamu na abubuwan ci gaban haila ko kuma fama da yawan cututtukan cututtukan zuciya. A cikin waɗannan halayen, yakamata ayi la'akari da dacewar tuki.

Menene sirinji na insulin?

Harkokin insulin yana buƙatar yin amfani da na'urorin likita na musamman da kayan haɗi.

Mafi sau da yawa, ana amfani da sirinji insulin don sarrafa magani.A bayyanar, suna kama da na'urorin likita na al'ada, kamar yadda suke da gidaje, piston na musamman, da allura.

Menene samfuran:

Rage samfurin gilashin shine buƙata don ƙidaya yawan raka'a na miyagun ƙwayoyi, saboda haka ana amfani da shi ba sau da yawa. Zaɓin filastik yana samar da allura a gwargwado daidai. Ana amfani da miyagun ƙwayoyi gaba ɗaya ba tare da barin wasu sharan gona a cikin shari'ar ba. Za'a iya amfani da kowane sirinjin da aka jera sau da yawa, muddin ana ci gaba da bi dasu da maganin maganin kashe maganin cuta da kuma haƙuri ɗaya.

Akwai samfuran filastik a cikin sigogi da yawa. Kuna iya siyan su a kusan dukkanin kantin magani.

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 ya yi amfani da insulin U-40, yana karbar raka'a 40 a kowace rana, to a yayin jiyya tare da insulin U-100 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, akwai da yawa daban-daban sunaye 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. A cikin cikakkun bayanai game da gabatarwar insulin. Kuma tuna cewa ana iya zubar da sirinji wanda za'a iya zubar dashi, sake amfani dashi bawai kawai mai raɗaɗi bane, harma yana da haɗari

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

Zaɓi sirinji na insulin daidai, a hankali la'akari da sashi, da lafiyar ku.

Sabuntawa ta karshe daga masana'anta 31.07.1999

Sashi da gudanarwa

P / c, a lokuta na musamman - v / m, mintina 15 kafin abinci. Maganin farko a cikin manya yana daga 8 zuwa 24 IU, a cikin yara - ƙasa da 8 IU. Tare da rage jin hankali zuwa insulin - manyan allurai. Single kashi - ba fiye da 40 IU. Lokacin maye gurbin miyagun ƙwayoyi da insulin na mutum, ana buƙatar raguwa na kashi. Tare da coma mai ciwon sukari da acidosis, yawanci ana ba da magani ga iv.

Volumeara da tsawon allura

Sirinjin insulin na iya samun ƙara mai girma, wanda ke kayyade adadin insulin da ke ciki, da tsawon allura. A kan kowane samfurin akwai sikeli da rarrabuwa na musamman waɗanda ke taimakawa ci gaba da adadin mililiters na magani za ku iya rubutawa a cikin jiki.

Dangane da ka'idodin da aka kafa, 1 ml na miyagun ƙwayoyi shine raka'a 40 / ml. Irin wannan na'urar likita ana yiwa alamarsa u40. Wasu ƙasashe suna amfani da insulin waɗanda ke ɗauke da raka'a 100 a cikin kowane ml na bayani. Don yin allurar ta hanyar irin waɗannan kwayoyin halittu, kuna buƙatar sayi sirinji na musamman tare da zanen u100. Kafin amfani da kayan aikin, ya zama dole a kara bayyanar da hankali kan magungunan da ake sarrafawa.

Kasancewar jin zafi a lokacin allurar yana dogara da allurar insulin da aka zaɓa. Magani yana zuwa ta hanyar allurar subcutaneous cikin jijiyar adipose. Shigarsa mai haɗari cikin tsokoki yana ba da gudummawa ga haɓakar haɓaka, don haka kuna buƙatar zaɓar allurar da ta dace. Zaɓin farin ciki an zaɓi yin la'akari da yankin akan jikin inda za'a gudanar da maganin.

Iri needles dangane da tsawon:

• gajere (4-5 mm),
• matsakaici (6-8 mm),
• tsayi (sama da mm 8).

Matsakaicin mafi kyau shine 5-6 mm. Yin amfani da allura tare da waɗannan sigogi yana hana miyagun ƙwayoyi shiga cikin tsokoki, yana kawar da haɗarin rikitarwa.

Iri Syringes

Mai haƙuri bazai da ƙwarewar likitanci, amma a lokaci guda zai iya yin sauƙin allurar magungunan. Don yin wannan, ya isa zaɓi zaɓi mafi dacewa da samfurin insulin. Yin amfani da sirinji wanda ya dace ga mai haƙuri a duk fannoni yana ba da damar yin allura ta zama mara jin zafi, kuma yana ba da isasshen ikon kula da ƙwayoyin hormone.

Akwai nau'ikan kayan aikin:

• tare da allura mai cirewa ko haɗawa
• alkalanin sirinji.

Tare da allura masu canzawa

Irin waɗannan na'urorin sun bambanta da sauran na'urori masu kama da irin wannan damar don cire bututun tare tare da allura a lokacin magani. Piston a cikin samfurin yana tafiya daidai kuma a hankali tare da jiki, yana rage haɗarin kurakurai.

Wannan fasalin yana da amfani mai mahimmanci, tunda ko da ƙananan kuskuren sashi yana iya haifar da mummunan sakamako. Abubuwan da ke canza allura suna rage haɗarin rikice-rikice yayin ilimin insulin.

Abubuwan da aka saba dasu na yau da kullun suna da nauyin 1 ml kuma an yi niyya don saita sassan 40-80 na miyagun ƙwayoyi.

Syringes tare da allura mai hade ko mai musayar musayar halitta kusan babu bambanci da juna. Bambanci tsakanin su shine kawai cewa cikin samfurin inda babu yuwuwar sauya wutsiya don huda, ana sayar da allurar.

Abbuwan amfãni na sirinji tare da ginannun kayan haɗin ciki:

• amintacciya, saboda ba sa rasa asarar da maganin kuma tabbatar da cewa mai haƙuri ya sami cikakkiyar maganin da aka zaɓa,
• ba ku da yankin da ya mutu.

Sauran halaye, gami da rarrabuwa da sikelin kan lamarin, daidai suke da sigogin wasu na'urorin lafiya.

Alkalami

Kayan aikin likita tare da piston atomatik ana kiran shi azaman sirinji. Samfurin na iya zama duka filastik da gilashi. Zaɓin farko shine mafi yawan gama gari tsakanin marasa lafiya.

• harka
• magungunan ƙwayar cuta
• mai rarraba
• hula da allura tsare,
• hatimi na roba
• nuna alama (dijital),
• maballin don shigar da magani,
• hula na rike.

Fa'idodin irin waɗannan na'urorin:

• rashin raunin tare da huda,
• sauƙi na gudanarwa
• babu buƙatar canza taro na miyagun ƙwayoyi, tunda ana amfani da katako na musamman,
• kunshin magani ya isa na dogon lokaci,
• da cikakken ma'aunin zabar sashi,
• Yana yiwuwa a daidaita zurfin hujin.

• ba za a iya gyara allurar ba idan ba tare da matsala ba,
• yana da wuya a nemo takaddun magani na gaskiya,
• babban farashi.

Daidaituwa akan samfurin ya dace da maida hankali kan ƙwayar. Alama akan jikin yana nufin wani adadin ragunan magani. Misali, a cikin injections nufi don maida hankali ne u40, 0.5 milliliters yayi daidai da raka'a 20.

Yin amfani da samfurori tare da alamar da ba ta dace ba na iya haifar da adadin da aka gudanar ba daidai ba. Don ingantaccen zaɓi na adadin ƙwayar, an samar da wata alama ta musamman. Abubuwan U40 suna da jan hula da kayan aikin u100 suna da hula mai ruwan lemo.

A allon insulin shima yana da nasa karatun. Ana amfani da allurar tare da kwayoyin halittun wanda yawansa yakai raka'a 100. Accuracyididdigar sashi ya dogara da tsawon matakin tsakanin rarrabuwa: mafi ƙarancin shi, da ƙima za a tantance yawan insulin.

Daidaita maganar kungiyoyin nosological

A yau, mafi arha kuma mafi yawan zaɓi don gabatar da insulin a cikin jiki shine amfani da sirinji mai diski.

Sakamakon gaskiyar cewa a baya an samar da mafita mai kyau na hormone, 1 ml yana ƙunshe da raka'a insulin 40, don haka a cikin kantin magani zaku iya samun sirinji waɗanda aka tsara don taro 40 / ml.

A yau, 1 ml na mafita ya ƙunshi raka'a 100 na insulin; don gudanarwarsa, samfuran insulin waɗanda suke daidai sune raka'a 100 / ml.

Tunda duka nau'ikan sirinji biyu suna kan sayarwa yanzu, yana da mahimmanci ga masu ciwon sukari su fahimci sashi a hankali kuma zasu iya yin lissafin shigarwar daidai.

In ba haka ba, tare da amfani da jahilcinsu, zazzabin hypoglycemia mai ƙarfi na iya faruwa.

Yaya ake amfani?

Kafin aiwatar da aikin, ya kamata ku shirya duk kayan aikin da kwalban magani.

Idan ya cancanta, gudanar da homones lokaci guda tare da tsawaita da gajeriyar aiki, kuna buƙatar:

1. Introduaddamar da iska a cikin akwati tare da miyagun ƙwayoyi (tsawaita).
2. Yi irin wannan hanya ta amfani da gajeren insulin.
3. Yi amfani da sirinji na gajeriyar magana sannan sai an tsawanta ɗaya.

Dokokin gudanar da magani:

1. Shafa kwalban magani tare da goge goge. Idan kana son shigar da babban adadin, to dole ne a girgiza insulin da farko don samun dakatarwar daidaiton mutum.
2. Saka allura a cikin murfin, sannan kaja piston zuwa rabo da ake so.
3. Maganin ya kamata ya juya a cikin sirinji kadan fiye da yadda ake buƙata.
4. Lokacin da kumfa suka bayyana, mafita ya kamata a girgiza kuma a matse iska tare da piston.
5. Shafa yankin don allura tare da maganin rigakafi.
6. Ninka fatar, sannan ka yi allura.
7. Bayan kowace allura, dole ne a canza alluran idan suna iya canzawa.
8. Idan tsawon mai aikin ya wuce mm 8, to dole ne a yi allura a wani kusurwa don gujewa shiga cikin tsoka.

Hoton yana nuna yadda ake gudanar da maganin daidai:

Alamomin markade

Don haka masu ciwon sukari na iya zagayawa da yardar kaina, ana amfani da digirin digirgir a cikin sirinji na insulin, wanda ya yi daidai da tattarawar hormone a cikin murfin. Haka kuma, kowane rarraba alamar akan silinda yana nuna adadin raka'a, ba milliliters na bayani ba.

Don haka, idan an tsara sirinji don taro na U40, alamar, inda yawanci ana nuna 0.5 ml, raka'a 20 ne, a 1 ml, ana nuna raka'a 40.

A wannan yanayin, ɗayan insulin shine 0.025 ml na hormone. Don haka, sirinji U100 yana da mai nuna raka'a 100 maimakon 1 ml, kuma raka'a 50 a matakin 0.5 ml.

A cikin ciwon sukari na mellitus, yana da mahimmanci don amfani da sirinji insulin tare da maida hankali daidai. Don amfani da insulin 40 u / ml ya kamata ku sayi sirinji U40, kuma don 100 u / ml kuna buƙatar amfani da sirinjin U100 mai dacewa.

Me zai faru idan kun yi amfani da sirinirin insulin? Misali, idan aka sami mafita daga kwalban da ke tattare da yawan 40 u / ml a cikin sirinji U100, maimakon adadin da aka kiyasta raka'a 20, za a samu 8 ne kawai, wanda yafi rabin adadin abin da ake buƙata. Hakanan, lokacin amfani da sirinji U40 da kuma maganin raka'a 100 / ml, maimakon adadin da ake buƙata na raka'a 20, 50 za a zira.

Don haka masu ciwon sukari za su iya sanin yanayin insulin ɗin da ake buƙata daidai, masu haɓaka sun haɗu da alamar tantancewa wanda zaku iya rarrabe nau'in sirinji na insulin daga wani.

Musamman, sirinji U40, wanda aka sayar a yau a cikin kantin magani, yana da filafin kariya a cikin ja da U 100 a cikin orange.

Hakanan, alkalami na insulin, wanda aka tsara don maida hankali ga 100 u / ml, suna samun digiri. Sabili da haka, a yayin lalacewar na'urar, yana da mahimmanci a la'akari da wannan fasalin kuma siyan sikanin U 100 kawai a cikin kantin magani.

In ba haka ba, tare da zaɓin da ba daidai ba, mai ƙarfin zubar da jini yana yiwuwa, wanda zai haifar da laima da ma mutuwar haƙuri.

Sabili da haka, ya fi kyau sayen-kayan sayan kayan aikin yau da kullun da za su kasance a kullun kuma suyi gargaɗin kanku game da haɗari.

Siffofin Tsawon Allura

Domin kada kuyi kuskure a cikin sashi, yana da mahimmanci a zabi alluran madaidaitan daidai. Kamar yadda kuka sani, nau'ikan cirewa ne da basa cirewa.

A yau ana samun su da tsawon 8 da 12.7 mm. Ba a gajarta su ba, kamar yadda wasu kwaran insulin din har yanzu suna samar da kauri.

Hakanan, allura suna da kauri, wanda harafin G ke nuni da lambarta. Zurfin allura ya dogara da yadda zafin insulin yake ciwo. Lokacin amfani da allura na bakin ciki, allura a kan fata ba zai ji ba.

Karatu

A yau a cikin kantin magani zaka iya siyan sirinji na insulin, girmansa shine 0.3, 0.5 da 1 ml. Kuna iya gano ainihin ƙarfin ta hanyar duban ƙarshen kunshin.

Mafi sau da yawa, masu ciwon sukari suna amfani da sirinji 1 ml don maganin insulin, wanda za'a iya amfani da nau'ikan sikeli uku:

• Kasancewa raka'a 40,
• Kasancewa raka'a 100,
• An sauke hankali a cikin milliliters.

A wasu halaye, za'a iya siyar da sirinji waɗanda aka yiwa alama tare da sikeli biyu a lokaci guda.

Yaya aka ƙayyade farashin rabo?

Mataki na farko shine gano nawa adadin sirinji yake, ana nuna waɗannan alamu yawanci akan kunshin.

A wannan yanayin, tsaka-tsakin tsaka-tsaki kawai ana lissafta. Misali, don sirinji U40, lissafin shine ¼ = 0.25 ml, kuma don U100 - 1/10 = 0.1 ml. Idan sirinji yana da rabuwa na milimita, ba a buƙatar lissafin lissafi, tunda adadi da aka sanya yana nuna ƙara.

Bayan haka, an ƙarar da girman karamar rarrabuwa. A saboda wannan dalili, yana da mahimmanci don ƙididdige yawan ƙananan rarrabuwa tsakanin babba. Bugu da ari, girman kashi da aka lissafta a baya an rarraba shi da adadin ƙananan.

Bayan an ƙididdige lissafin, zaku iya tattara nauyin insulin da ake buƙata.

Yadda ake lissafin sashi

Ana samun insulin na hormone a cikin daidaitattun kayan kwalliya kuma ana yin allurai a cikin sassan kwayoyin halitta na aikin, waɗanda aka sanya su azaman raka'a. Yawancin lokaci kwalban guda ɗaya tare da ƙarfin 5 ml ya ƙunshi raka'a 200 na hormone. Idan kayi lissafin, ya zama cewa a cikin 1 ml na maganin akwai raka'a 40 na maganin.

Gabatar da insulin ya fi dacewa ta amfani da sirinji na insulin, na musamman, wanda ke nuna rarrabuwa a cikin raka'a. Lokacin amfani da daidaitattun sirinji, dole ne a ƙididdige ƙididdigar yawan hodar da aka haɗa a kowane rabo.

Don yin wannan, kuna buƙatar kewaya cewa 1 ml ya ƙunshi raka'a 40, dangane da wannan, kuna buƙatar rarraba wannan mai nuna alama ta yawan rarrabuwa.

Don haka, tare da alamar nuna rabo ɗaya a cikin raka'a 2, sirinji ya cika zuwa kashi takwas don gabatar da raka'a 16 na insulin ga mai haƙuri. Hakanan, tare da mai nuna raka'a 4, rarrabuwa huɗu sun cika da hormone.

Ialaya daga cikin kwayar insulin ɗin an yi nufin don maimaitawa. An adana maganin da ba a amfani dashi a cikin firiji akan shiryayye, kuma yana da mahimmanci cewa maganin bai daskare ba. Lokacin da aka yi amfani da insulin na tsawan lokaci-lokaci, vial tana girgiza kafin cika ta cikin sirinji har sai an sami haɗuwa ɗaya.

Bayan cirewa daga firiji, mafita dole ne a warmed zuwa zafin jiki na ɗakin, riƙe shi tsawon rabin sa'a a cikin dakin.

Yadda ake kiran lamba

Bayan sirinji, allura da kuma hancin ya kasance haifuwa, an zana ruwan a hankali. A lokacin sanyaya kayan kwalliya, ana cire hula alumini daga murfin, an goge abin toshe tare da maganin barasa.

Bayan wannan, tare da taimakon hancin, ana cire sirinji kuma ya taru, alhali ba zai yiwu a taɓa fiston da tip tare da hannuwanku ba. Bayan taro, an saka allura mai kauri kuma an cire sauran ruwa ta latsa piston.

Dole ne a shigar da piston sama da alamar da ake so. Alluhun ya huda matattakalar roba, ya faɗi 1-1.5 cm zurfin kuma an matse sauran iska a cikin murfin. Bayan wannan, allura ta tashi tare da vial kuma ana tara insulin 1-2 fiye da yadda ake buƙata.

An cire allura daga abin toshe kwalaba kuma an cire shi, an saka sabon allura ta bakin ciki a wurin sa hancin. Don cire iska, ya kamata a shafa ɗan ƙaramin ƙarfi a cikin piston, bayan wanan digo biyu na bayani ya kamata magudana daga allura. Lokacin da aka gama amfani da dukkan jan kafa, zaku iya shigar insulin cikin lafiya.

Hanyar da ta fi dacewa mai sauƙi don gudanar da insulin ga masu fama da ciwon sukari shine amfani da sirinji na musamman. An sayar dasu cikakke tare da gajeren kaifi. Yana da mahimmanci a fahimci me ake nufi da sirinji na insulin na 1 ml, yadda ake lissafin sashi. Marasa lafiya da ciwon sukari ana tilasta musu yin allura da kansu. Yakamata su iya tantance yawan abin da dole ne a gudanar da shi, wanda ya jagoranci halin da ake ciki.

Aikin magunguna

Hypoglycemic. Protafan HM yana hulɗa da takamaiman mai karɓar ƙwayar plasma membrane kuma ya ratsa cikin tantanin halitta, inda yake kunna ƙwayar sel ta jiki, yana motsa glycogen synthetase, pyruvate dehydrogenase, hexokinase, kuma yana hana mai lipase lipase da lipoprotein lipoase. A hade tare da takamaiman mai karɓa, yana sauƙaƙa shigarwar glucose a cikin sel, yana haɓaka haɓakawarsa ta kyallen kuma yana inganta juyawa zuwa glycogen. Muscleara yawan ƙwayar jijiyar glycogen, yana ƙarfafa ƙwayar peptide.

Pharmacokinetics

Tasirin yana inganta 1,5 hours bayan sc gwamnati, ya kai matsakaici bayan sa'o'i 4-12 kuma yana ɗaukar awanni 24. Ana amfani da Protafan NM Penfill don ciwon sukari na insulin-ins a matsayin basal insulin a hade tare da insulin-gajeran aiki, don insulin-dogara-kamar na monotherapy , kuma a hade tare da insulins masu aiki da sauri.

Yadda ake lissafin insulin?

Don ingantaccen tsarin maganin, ya zama dole don iya yin lissafin sashi. Yawan insulin da mai haƙuri ke buƙata ya dogara da glycemic index. Sashi ba zai iya zama iri ɗaya ba koyaushe, tunda ya dogara da XE (raka'a gurasa). Yana da mahimmanci ga mai haƙuri ya koyi yadda ake lissafin buƙatar insulin, tun da ba shi yiwuwa a fahimta daban yadda ake buƙatar miliyon maganin da ake buƙata don ramawa da ƙwayoyin carbohydrates.

Kowane rabo a kan injector shine karatun digiri na biyu, yana dacewa da ƙayyadaddun ƙarfin bayani. Idan mai haƙuri ya karɓi 40 PIECES, to, ta amfani da mafita a cikin 100 PIECES, zai buƙaci gabatar da raka'a 2.5 / ml akan samfuran u100 (100: 40 = 2.5).

Dokar lissafi na doka:

Abubuwan bidiyo akan lissafin abubuwan da ake buƙata na insulin:

Yaya ake amfani da alkalami?

Amfani da abin da ya saɓa na sirinji kamar haka:

1. Sanya sabon allurar da za'a iya zubar dashi akan samfurin.
2. Eterayyade kashi na miyagun ƙwayoyi.
3. Gungura bugun kiran har lambar da ake so ta bayyana akan lambar.
4. Yi allura ta latsa maɓallin da ke saman riƙewan (bayan hujin).

Umarni na bidiyo akan amfani da alkairin sirinji:

Abun da kwayoyi

Don yin lissafin insulin a cikin sirinji, kuna buƙatar sanin wane mafita ake amfani da shi. A baya can, masana'antun sun sanya magunguna tare da abubuwan hormone na 40 raka'a. A kan kunshin su zaka iya samun alamar U-40. Yanzu mun koyi yadda ake yin ƙarin ruwa mai dauke da insulin, wanda raka'a 100 na kwayoyin suka faɗi a cikin 1 ml. Irin waɗannan kwantena na warwarewa suna alamar U-100.

A cikin kowane U-100, kashi na hormone zai zama 2.5 mafi girma fiye da na U-40.

Don fahimtar yawan ml ɗin da ke cikin sirinin insulin, kuna buƙatar kimanta alamomin akan shi. Ana amfani da na'urori daban-daban don inje, su ma suna da alamun U-40 ko U-100 a kansu. Ana amfani da dabarun masu zuwa a lissafin.

1. U-40: 1 ml ya ƙunshi raka'a 40 na insulin, wanda ke nufin 0.025 ml - 1 UI.
2. U-100: 1 ml - 100 IU, ya juya, 0.1 ml - 10 IU, 0.2 ml - 20 IU.

Zai dace don rarrabe kayan aiki ta launi na fila a kan allura: tare da ƙaramin abu mai launin ja ne (U-40), tare da ƙara girma shi orange.

Za'a iya samar da sigar din din din ta hanyar likita daban-daban, la'akari da yanayin mai haƙuri. Amma yana da matukar muhimmanci a yi amfani da kayan aikin da ake bukata don yin allura. Idan kun tattara maganin da ke kunshe da 40 IU a kowane milliliter a cikin sirinji na U-100, gwargwadon nauyinta, ya zama cewa mai ciwon sukari zai shigar da insulin sau 2 sau biyu cikin jiki kamar yadda aka tsara.

Farashi da ka'idojin zaba

Mutanen da ke yin aikin insulin koyaushe sun san yawan kayan da ake buƙata don wannan farashin.

An kiyasta farashin kowane yanki:

• daga 130 rubles don samfurin u100,
• daga 150 rubles don samfurin u40,
• kimanin 2000 rubles don alkalami mai sirinji.

Farashin da aka nuna sun shafi na'urori ne kawai aka shigo da su. Kudin gida (na lokaci ɗaya) kusan 4-12 rubles ne.

Akwai ƙa'idodi don la'akari lokacin zabar samfuran don maganin insulin.

Wadannan sun hada da:

1. Tsawon allura ya dogara da shekarun mai haƙuri. An shawarci yara matasa don amfani da allura tare da tsawon 5 mm, da manya - har zuwa 12.
2. Mutanen da ke da kiba yakamata suyi amfani da samfuran da ke bugun zuciya zuwa zurfin 8 mm.
3. Kayan kayayyaki masu arha suna da ƙarancin inganci da aminci.
4. Ba duk alkalanin sirinji ba ne kawai zasu iya samun samfuran maye, saboda haka lokacin sayen su ya kamata ku nemi bayani a gaba game da wadatar kayan da ake buƙata don allura.

Yana da mahimmanci a fahimci cewa tasirin ilimin insulin ya dogara da kayan aikin da mai haƙuri ya zaɓa don injections.

Mafi sau da yawa, masu ciwon sukari sun fi son yin amfani da sirinji na insulin, wannan shine mafi arha kuma mafi yawan zaɓi don gabatar da insulin na hormone a cikin jiki. A baya can, mafita kawai tare da ƙananan taro aka bayar; 1 ml yana dauke da raka'a 40 na insulin. A wannan batun, masu ciwon sukari sun sami sirinji 40 na insulin guda 40 don raka'a insulin 40 a cikin 1 ml.

A yau, 1 ml a cikin sirinji na insulin ya ƙunshi adadin insulin a cikin raka'a 100, don haka mai ciwon sukari yana amfani da sirinji U 100 tare da allura daban-daban don ƙayyade daidai. Idan ana gudanar da mafi yawan magunguna, mutumin yana cikin haɗarin haɗarin kamuwa da cuta mai karya garkuwar jiki.

A yanzu, a cikin kantin magunguna zaka iya siyan nau'ikan na'urorin biyu don gudanar da insulin, saboda haka yana da muhimmanci a san yadda suka bambanta da yadda ake rubuta maganin yadda ya kamata. Idan mai ciwon sukari yayi amfani da sirinji na 1 ml, ta yaya kuka san raka'a insulin da ake tarawa da kuma yadda ake lissafin kashi a cikin sirinji?

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 rabo 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 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.

1. 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 milliliter guda ɗaya, kana buƙatar amfani da sirinji U40, lokacin amfani da nasiha daban-daban zaɓi na'urar kamar U100.
2. 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.
3. 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 kamuwa da cutar sankarau har ma da mummunan sakamako na masu ciwon sukari.

Zaɓi insulin allura

Domin allurar ta zama mara jin zafi, ya zama dole a zabi diamita da tsawon allura daidai. Smalleraramin diamita, noticearancin abin lura zai zama zafi yayin allurar, an gwada wannan gaskiyar a cikin marasa lafiya bakwai. Mafi ƙarancin needles mafi yawanci matasa masu ciwon sukari suna amfani da shi a farkon allurar.

Maganin insulin yana zuwa tare da allurar da aka haɗa da kuma wanda za'a iya cirewa. Likitocin sun bada shawarar a zabi na’urar don allurar da kwayoyin allura, wannan yana tabbatar da cewa an sami cikakkiyar maganin, wanda aka auna a gaba.

Gaskiyar ita ce wani adadin insulin yana jinkirtawa a cikin wata allura mai cirewa, sakamakon wannan kuskuren, mutum bazai sami raka'a 7-6 na miyagun ƙwayoyi ba.

Insulin allurai na iya samun tsawon mai zuwa:

• Gajere - 4-5 mm,
• Matsakaici - 6-8 mm,
• Dogon - fiye da 8 mm.

Yayi tsayi tsawon tsayi na 12.7 mm kusan ba a amfani dashi a yau, tunda yayin aikinsa akwai hadarin kamuwa da cutar kansa ta cikin jiki.

Mafi kyawun zaɓi ga yara da manya shine allura mai tsawon mm 8 mm.

Yadda za'a tantance farashin rabo

A yanzu, a cikin kantin magunguna zaka iya samun sirinji insulin guda uku tare da ƙara 0.3, 0.5 da 1 ml. Za'a iya samun bayanai game da ainihin ƙarfin a kan kunshin.

Yawancin lokaci masu ciwon sukari sun fi son amfani da sirinji tare da ƙarar mil ml guda, sikelin wanda zai iya haɗawa da raka'a 40 ko 100, kuma wani lokaci ana amfani da karatun digiri a cikin milliliters. Ciki har da na'urori tare da sikelin ninki biyu.

Kafin amfani da sirinji na insulin, ya zama dole don ƙididdige ƙarar duka. Bayan wannan, farashin babban rabo an ƙaddara shi ta hanyar rarraba jimlar yawan sirinji ta hanyar adadin rarrabuwa. Yana da mahimmanci a kirga tazara kawai. A gaban bangarorin millimita, irin wannan lissafin ba a buƙatar.

Abu na gaba, kuna buƙatar lissafta girman ƙananan rarrabuwa. Don yin wannan, lambar su a cikin babban yanki an ƙaddara. Idan muka rarraba girman babban rabo da adadin ƙananan, muna samun farashin rabo da ake so, wanda mai ciwon sukari ke jibge shi. Zai yiwu a yi allurar insulin ne kawai bayan mai haƙuri ya ce da ƙarfin zuciya ya ce: "Na fahimci yadda ake ƙididdige yawan maganin."

Lissafin insulin insulin

Ana samar da wannan magani a cikin daidaitattun marufi kuma ana ƙaddara shi a sassan rayayyun halittu na aikin. Yawanci, a cikin gilashin 5 ml na talakawa ya ƙunshi raka'a 200. kwayoyin. Saboda haka, a cikin 1 ml ya ƙunshi raka'a 40. insulin, kuna buƙatar rarraba jimlar sashi zuwa ƙarfin vial.

Dole ne a gudanar da miyagun ƙwayoyi tare da sirinji na musamman waɗanda aka yi niyya don maganin insulin. A cikin sirinji na insulin guda-ɗaya, milliliter ɗaya ya kasu kashi 20.

Don haka, don samun raka'a 16. hormone kira takwas rarrabuwa. Kuna iya samun raka'a insulin guda 32 guda ɗaya ta hanyar cike sassan 16 tare da maganin. Ta wannan hanyar, ana auna sashi daban na raka'a huɗu. da miyagun ƙwayoyi. Mai ciwon sukari dole ne ya kammala rabuwa biyu don samun raka'a insulin 4. Dangane da wannan ka'ida, lissafin raka'a 12 da 26.

Idan har yanzu kuna amfani da daidaitaccen na'urar don yin allura, yana da mahimmanci ku gudanar da ƙididdigar lissafin cikakken rabo. Ganin cewa a cikin 1 ml akwai raka'a 40, wannan adadi ya kasu kashi biyu na yawan rarrabuwa.Don allura, ana ba da izinin sirinji na 2 ml da 3 ml.

1. Idan ana amfani dashi, girgiza murfin kafin allura don yin cakuda mai yi daidai.
2. Ana iya amfani da kowane kwalban akai-akai, ana iya samun sashi na biyu a kowane lokaci.
3. Dole ne a adana maganin a cikin firiji, guje wa daskarewa.
4. Kafin yin allura, maganin da aka cire daga firiji dole ne a kiyaye shi na mintina 30 a cikin ɗakin don ya ɗora har zuwa zafin jiki na ɗakin.

Yadda ake insulin daidai

Kafin dukkanin kayan aikin allura suna haifuwa, bayan wanan ruwan an sha. Yayin da sirinji, allura da hancin ya yi sanyi, an cire rufin kariya na alumini daga murfin, an goge matatar tare da maganin barasa.

Yin amfani da takalmin hanzari, ana cire sirinji kuma an haɗo, ba tare da taɓa piston da tip tare da hannuwanku ba. Bayan haka, an saita allura mai kauri, an matse piston, kuma an cire ragowar ruwa daga sirinji.

An saita piston kawai a saman alamar da ake buƙata. An buga matattakalar roba, ana saukar da allura mai zurfi a cikin kwalbar da 1.5 cm, bayan haka piston ɗin ya matse sauran adadin iska. Bayan an ɗaga allura ba tare da cire shi daga cikin murfin ba, ana tattara magungunan a cikin ƙaramin matakin da ya fi girma.

An cire allura daga abin toshe kwalaba kuma an cire shi, an kafa sabon allura mai ƙugu tare da hancin maimakon. An cire iska ta danna kan piston, ana cire digo biyu na magunguna daga allura. Bayan wannan shine allurar insulin a cikin wurin da aka zaɓa akan jiki.

An ba da bayani game da sirinji na insulin a cikin bidiyon a cikin wannan labarin.

Don inganta rayuwar rayuwa, kowane mai ciwon sukari da ke dogaro da kansa yakamata ya iya yin lissafin abubuwan insulin yau da kullun da yake buƙata, kuma baya canza wannan nauyin zuwa likitocin waɗanda ƙila koyaushe ba sa kasancewa a wurin. Bayan ƙwarewar dabarun asali don lissafin insulin, zaku iya guje wa wucewar hormone, kuma ku kula da cutar.

Babban lissafin dokokin

Doka mai mahimmanci a cikin algorithm don ƙididdige yawan insulin shine buƙatuwar mai haƙuri ba fiye da raka'a 1 na hormone kowace kilo na nauyi ba. Idan kun yi watsi da wannan dokar, yawan shan insulin da yawa zai faru, wanda zai haifar da mummunan yanayi - cutar sikila. Amma don ainihin zaɓi na adadin insulin, ya zama dole yin la'akari da matakin diyya na cutar:

• A cikin matakan farko na nau'in cuta ta 1, an zaɓi adadin insulin da ake buƙata ta hanyar ba fiye da raka'a 0.5 na kwayoyin ba a kilo kilogram na nauyi.
• Idan nau'in 1 na ciwon sukari mellitus yana da kyau a cikin shekara, to matsakaicin adadin insulin zai zama raka'a 0.6 na hormone a kowace kilo na nauyin jikin.
• A cikin nau'in ciwon sukari mai tsanani na 1 da yawan canzawa a cikin glucose jini, ana buƙatar raka'a 0.7 na hormone a kowace kilogram na nauyi.
• Game da cutar sikari mai narkewa, kashi na insulin zai zama raka'a 0.8 / kg,
• Tare da ciwon sukari na mellitus - 1.0 PIECES / kg.

Don haka, lissafin adadin insulin yana faruwa ne bisa ga algorithm mai zuwa: Kullum kashi na insulin (U) * Girman jiki / 2.

Misali: Idan kashi na yau da kullun na insulin shine raka'a 0,5, to lallai ne ya zama ya yawaita ta nauyin jikin mutum, misali kilogiram 70. 0.5 * 70 = 35. Lamarin da ya haifar 35 ya kamata a raba shi da 2. Sakamakon shine lambar 17.5, wanda dole ne a zagaye shi, shine, sami 17. Ya juya cewa kashi na safe na insulin zai zama raka'a 10, kuma maraice - 7.

Wani kashi na insulin ake buƙata a kowane yanki na gurasa 1

Breadungiyar burodi shine ra'ayi da aka gabatar dashi don sauƙaƙe ƙididdigar yawan abin da aka sarrafa insulin kafin cin abinci. Anan, a cikin lissafin sassan gurasa, ba duk samfuran da ke dauke da carbohydrates ba, ana ɗaukar su, amma "ƙidaya":

• dankali, beets, karas,
• kayayyakin hatsi
• 'ya'yan itãcen marmari
• Sweets.

A Rasha, rukunin abinci guda ɗaya ya dace da gram 10 na carbohydrates. Breadaya daga cikin gurasa ɗaya daidai daidai da farin burodi, apple mai matsakaici, madaidaitan cokali biyu.Idan rukunin burodi ɗaya ya shiga cikin ƙwayar halitta wanda ba zai iya samar da insulin da kansa ba, to, matakin glycemia yana ƙaruwa a cikin kewayon daga 1.6 zuwa 2.2 mmol / l. Wato, waɗannan sune ainihin alamomi ta hanyar abin da glycemia ke raguwa idan aka gabatar da ɓangaren insulin guda ɗaya.

Daga wannan yana biye da kowane ɗayan gurasar gurasar da ake buƙata ana buƙatar gabatar da kusan guda ɗaya na insulin a gaba. Abin da ya sa ke nan, an ba da shawarar cewa duk masu ciwon sukari su sami teburin gurasa don yin ƙididdigar mafi daidai. Bugu da ƙari, kafin kowane allura, ya zama dole don sarrafa glycemia, wato, gano matakin sukari a cikin jini tare da glucometer.

Idan mai haƙuri yana da hyperglycemia, wato, sukari mai yawa, kuna buƙatar ƙara adadin madaidaiciyar ƙwayoyin hormone zuwa adadin gurasar gurasar da ta dace. Tare da hypoglycemia, kashi na hormone zai zama ƙasa.

Misali: Idan mai ciwon sukari yana da matakin sukari na 7 mmol / l rabin sa'a kafin abinci kuma yana shirin cin 5 XE, yana buƙatar gudanar da sashi na insulin gajeriyar aiki. Sannan sukarin jini na farko zai ragu daga 7 mmol / L zuwa 5 mmol / L. Har yanzu, don rama raka'a 5 na abinci, dole ne ku shigar da raka'a 5 na hormone, jimlar insulin shine raka'a 6.

Yaya za a zaɓi kashi na insulin a cikin sirinji?

Don cika sirinji na yau da kullun tare da ƙara 1.0-2.0 ml tare da adadin da ya dace na magani, kuna buƙatar lissafa farashin rarraken sirinji. Don yin wannan, ƙayyade yawan rarrabuwa a cikin 1 ml na kayan aiki. Ana sayar da Hormone cikin gida a cikin vials na 5.0 ml. 1 ml shine raka'a 40 na hormone. Ya kamata a rarraba raka'a 40 na kwayoyin ta hanyar lambar da za'a samu ta hanyar yin lissafin rarrabuwa a cikin 1 ml na kayan aiki.

Misali: A cikin 1 ml na sirinji 10 rarrabuwa. 40:10 = raka'a 4. Wato, a kashi ɗaya na sirinji, an sanya raka'a insulin 4. Matsakaicin insulin da kuke buƙatar shiga ya kamata ya raba ta farashin rabo ɗaya, saboda haka kuna samun adadin rabuwa akan sirinji wanda dole ne ya cika insulin.

Akwai kuma sirinji na alkalami wanda ya aunshi flask na musamman wanda aka cika da hormone. Ta latsawa ko juya maɓallin sirinji, an saka insulin a ƙarƙashin. Har zuwa lokacin allura a cikin sirinji, dole ne a saita sashi na dole, wanda zai shiga jikin mai haƙuri.

Yadda ake gudanar da insulin: ƙa'idodi gaba ɗaya

Gudanar da insulin ya gudana bisa ga algorithm mai zuwa (lokacin da aka ƙididdige yawan maganin da ake buƙata):

1. Ya kamata hannayen su gurbata, sa safar hannu na likita.
2. Mirgine kwalban maganin a hannunku don ya gauraya a hankali, ku sa hula da abin toshe kwalaba.
3. A cikin sirinji, zana iska a cikin adadin da za'a yiwa allurar.
4. Sanya vial tare da maganin a tsaye akan teburin, cire motarka daga allura kuma saka shi cikin kwalen a cikin abin toshe kwalaba.
5. Latsa sirinji don iska daga shi ta shiga cikin murfin.
6. Juya kwalban a gefe ya sanya a cikin sirinji na 2-4 ya fi abin da ya kamata ya bayar ga jikin.
7. Cire allura daga vial, kwantar da iska daga sirinji, daidaita sashi don dole.
8. Wurin da allurar da za a yi an sanya shi santsi sau biyu tare da ɗan ulu da auduga.
9. Introduaddamar da insulin subcutaneously (tare da babban kashi na hormone, allurar an yi shi ta cikin ciki).
10. Bi da wurin allurar da kayan aikin da aka yi amfani da su.

Don ɗaukar hanzarin horar da hormone (idan allurar ta kasance subcutaneous), ana bada shawarar allura a cikin ciki. Idan aka yi allura a cinya, to shaƙar zai zama jinkirin kuma ba ta cika ba. Yin allura a gindi, kafada yana da matsakaicin adadinshi.

Ingantaccen insulin da kashi (bidiyo)

An wajabta insulin daɗaɗɗa insulin ga marasa lafiya don ya kula da matsayin glucose na jini na yau da kullun, don haka hanta tana da ikon samar da glucose gaba (kuma wannan ya zama dole don kwakwalwa ta yi aiki), saboda a cikin ciwon sukari mellitus jiki ba zai iya yin wannan da kansa ba.

Ana gudanar da insulin na tsawon lokaci sau ɗaya a cikin kowane sa'o'i 12 ko 24 dangane da nau'in insulin (a yau ana amfani da nau'ikan insulin guda biyu - Levemir da Lantus).Yadda za a ƙididdige yawan adadin maganin da ake buƙata na insulin na tsawan lokaci, in ji wani kwararre a cikin masu kula da ciwon sukari a cikin bidiyon:

Iyawar yin lissafin adadin insulin daidai shine fasaha wanda kowane mai fama da ciwon sukari yakamata ya kware dashi. Idan ka zaɓi sashin insulin da ba daidai ba, to yawan zubar da ciki na iya faruwa, wanda idan ba a taimaka taimako na iya haifar da mutuwa. Matsakaicin insulin shine madaidaici ga mai ciwon sukari.

Yin lakabi da sirinji na insulin, lissafin insulin U-40 da U-100

4 (80%) sun jefa 4

Shirye-shiryen insulin na farko sun ƙunshi ɗaya daga insulin a kowace milliliter na bayani. A tsawon lokaci, maida hankali ya canza. Karanta a wannan labarin menene sirinji na insulin, kuma yadda zaka tantance nawa insulin a cikin 1 ml ta hanyar yiwa alama.

Lissafi don wasu alamun

Yawancin lokaci, masu ciwon sukari ba su da lokaci don zuwa kantin magani kuma a hankali zaɓi kayan aikin da suka dace don allurar. Rashin kalmar don gabatarwar hormone na iya haifar da mummunar tabarbarewa cikin kwanciyar hankali, musamman mawuyacin hali akwai haɗarin fadawa cikin rashin lafiya. Idan mai ciwon sukari yana da sirinji a hannu don gudanar da maganin tare da maida hankali, dole ne a sake sauri.

Idan ana buƙatar mai haƙuri don gudanar da 20 UI na miyagun ƙwayoyi tare da alamar U-40 sau ɗaya, kuma kawai sirinji U-100 yana samuwa, to, ba 0.5 ml na mafita ya kamata a zana ba, amma 0.2 ml. Idan akwai digiri a saman, to ya fi sauƙi sauƙaƙe shi! Dole ne ku zabi UI iri ɗaya.

Ta yaya kuma amfani da sirinji insulin

Rukunin ASD 2 - wannan kayan aikin sananne ne ga yawancin masu ciwon sukari. Abin motsa jiki ne wanda yake tasiri sosai akan dukkan hanyoyin tafiyar da rayuwa suke faruwa a jiki. Ana amfani da miyagun ƙwayoyi a cikin faɗuwa kuma an wajabta shi ga masu ciwon sukari da basu da insulin a cikin nau'in cuta ta 2.

Rashin kashi na 2 na ASD yana taimakawa rage yawan sukari a cikin jikin mutum kuma ya dawo da aikin koda.

An saita sashi a saukad, amma me yasa mai sirinji, idan ba batun allura ba ne? Gaskiyar ita ce cewa ruwa ba lallai ne ya kasance tare da iska ba, in ba haka ba iskar shaka zai faru. Don hana wannan faruwa, haka kuma don daidaituwar liyafar, ana amfani da sirinji don bugawa.

Mun lissafta adadin silsilar ASD 2 a cikin "insulin": 1 rabo ya dace da barbashi 3 na ruwa. Yawancin lokaci ana yin wannan adadin a farkon maganin, sannan sannu a hankali yana ƙaruwa.

Siffofin samfuran daban-daban

A kan tallace-tallace akwai sifofin insulin wanda aka sanye da kayan buƙatun da za'a iya cirewa, da kuma wakilcin ƙirar haɗin gwiwa.

Idan an sayar da gangar jikin ne, to za a cire maganin gaba daya. Tare da kafaffen allura, abin da ake kira "yankin mutu", inda ɓangarorin miyagun ƙwayoyi suka ɓace, ba ya nan. Zai fi wahala a sami cikakkiyar kawar da maganin idan an cire allura. Bambanci tsakanin adadin typed da allurar hormone na iya zuwa 7 UI. Sabili da haka, likitoci suna ba da shawara ga masu ciwon sukari don siyan sirinji tare da ingantattun allura.

Da yawa suna amfani da na'urar allura sau da yawa. Yin hakan haramun ne. Amma idan babu zabi, to lallai ne an share allurar. Wannan gwargwado abu ne wanda ba a son sa kuma yana halatta kawai idan mai haƙuri ɗaya ya yi amfani da sirinji idan ba zai yiwu a yi amfani da wani ba.

Abubuwan da suke a jikin "insulins", ba tare da la'akari da yawan cubes a cikinsu ba, suna gajarta. Girman shine 8 ko 12.7 mm. Addamar da ƙananan zaɓuɓɓuka ba fa'ida ba ne, tunda wasu kwalalin insulin suna sanye da bututu masu kauri: ba za ku iya fitar da maganin ba.

Yawan kauri na allura an yanke shi ta alama ta musamman: an nuna lamba kusa da harafin G. Ya kamata ka mai da hankali a kai lokacin zabar. Sashin bakin ciki da allura, da ƙarancin azaba zai zama. Ganin cewa ana yin insulin sau da yawa a kowace rana, wannan yana da mahimmanci.

Abinda ya kamata nema yayin yin allura

Kowane vial na insulin za'a iya sake amfani dashi.Sauran adadin a cikin ampoule ya kamata a adana su a cikin firiji. Kafin gudanarwa, ana sanyaya maganin a cikin zazzabi. Don yin wannan, cire akwati daga cikin sanyi kuma bari a tsaya na kimanin rabin sa'a.

Idan dole ne a yi amfani da sirinji akai-akai, dole ne a sake haifeshi bayan kowace allura don hana kamuwa da cuta.

Idan allurar tana cirewa, to don tarin kwayoyi da gabatarwarsa, ya kamata kuyi amfani da ire-iren su. Zai fi dacewa ga manya manya da yawa su tattara insulin, yayin da ƙarami da maraba sun fi dacewa da allura.

Idan kuna son auna raka'a 400 na kwayoyin, to za ku iya buga ta cikin sirinji 10 da aka yiwa masu alama U-40 ko a cikin 4 ta U-100.

Lokacin zabar na'urar injection ta dace, ya kamata ka mai da hankali kan:

• A gaban indelible sikelin a jiki,
• Karamin mataki tsakanin rarrabuwa
• Nessarfin allura
• Abubuwan Hypoallergenic.

Wajibi ne a tattara ƙarin insulin kaɗan (ta 1-2 UI), tunda wasu adadin na iya kasancewa cikin sirinji da kanta. Ana ɗaukar hormone a cikin yanki: saboda wannan dalili, an saka allura a wani kusurwa na 75 0 ko 45 0. Wannan matakin son zuciya yana hana shi shiga cikin tsoka.

Lokacin da aka gano shi da ciwon sukari mai dogaro da insulin, dole ne endocrinologist ya bayyana wa mai haƙuri yadda da kuma lokacin da ya zama dole a bayar da maganin. Idan yara sun zama marasa lafiya, to, an bayyana tsarin duka ga iyayensu. Ga yaro, yana da mahimmanci musamman ƙididdige yawan adadin homon ɗin da ma'amala da ka'idojin gudanarwarsa, tunda ana buƙatar adadi kaɗan na miyagun ƙwayoyi, kuma ba a yarda ya wuce gona da iri ba.

Mafi sau da yawa, masu ciwon sukari sun fi son yin amfani da sirinji na insulin, wannan shine mafi arha kuma mafi yawan zaɓi don gabatar da insulin na hormone a cikin jiki. A baya can, mafita kawai tare da ƙananan taro aka bayar; 1 ml yana dauke da raka'a 40 na insulin. A wannan batun, masu ciwon sukari sun sami sirinji 40 na insulin guda 40 don raka'a insulin 40 a cikin 1 ml.

A yau, 1 ml a cikin sirinji na insulin ya ƙunshi adadin insulin a cikin raka'a 100, don haka mai ciwon sukari yana amfani da sirinji U 100 tare da allura daban-daban don ƙayyade daidai. Idan ana gudanar da mafi yawan magunguna, mutumin yana cikin haɗarin haɗarin kamuwa da cuta mai karya garkuwar jiki.

A yanzu, a cikin kantin magunguna zaka iya siyan nau'ikan na'urorin biyu don gudanar da insulin, saboda haka yana da muhimmanci a san yadda suka bambanta da yadda ake rubuta maganin yadda ya kamata. Idan mai ciwon sukari yayi amfani da sirinji na 1 ml, ta yaya kuka san raka'a insulin da ake tarawa da kuma yadda ake lissafin kashi a cikin sirinji?