Sashin insulin - kayan duba na'urar, fasalin kayan aiki, farashi

Muna ba ku karanta labarin a kan taken: "sirinji insulin, zaɓin sirinji don insulin" tare da sharhi daga kwararru. Idan kana son yin tambaya ko rubuta ra'ayi, zaka iya yin wannan a ƙasa, bayan labarin. Kwararrun masanan ilimin likitancin mu zasuyi muku amsar.

Sashin insulin - kayan duba na'urar, fasalin kayan aiki, farashi

Maganin insulin shine na'urar musamman wacce zata baka damar hanzarta, cikin kwanciyar hankali ba tare da jituwa ba don sarrafa abubuwan insulin da kanka. Wannan haɓaka yana da matukar dacewa, tunda yawan masu ciwon sukari suna ƙaruwa koyaushe kuma mutanen da ke fama da ciwon sukari-mellitus masu ƙarfi suna tilastawa yin allurar yau da kullun. Ba a amfani da sirinji na al'ada, a matsayin mai mulkin, don wannan cuta, tunda bai dace da ƙididdigar daidai na adadin da ake buƙata na ƙwayar haihuwar ba. Bugu da kari, allura a cikin kayan na zamani sunyi tsayi da kauri.

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

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

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

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

Akwai nau'ikan sirinjin insulin guda biyu:

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

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

Misali, idan ka kirkiri kanka da dari dari - GUDA 20 na insulin, to lallai kana bukatar kara girma 8 EDs tare da shingen (ninka 40 da 20 kuma ka rarraba 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.

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

• m
• haɗe, watau, haɗa cikin sirinji.

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

Girman allura:

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

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

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

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

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

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

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

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

Algorithm na insulin zai zama kamar haka:

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

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

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

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

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

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

Hannu ya kasu kashi biyu:

• yarwa, tare da kabad mai rufe wuta,
• za a iya amfani da shi, kicin a ciki wanda zaku iya canzawa.

Hannun hannu sun tabbatar da kansu azaman abin dogara kuma mai dacewa. Suna da fa'idodi da yawa.

1. Dokokin atomatik na yawan ƙwayoyi.
2. Iyawar yin allura da yawa a cikin yini.
3. Babban sashi daidai.
4. Yin allura yakan ɗauki mafi ƙarancin lokaci.
5. Allurar mara zafi, kamar yadda aka sanye na'urar da wata allura mai bakin ciki.

Daidaitaccen ma'aunin magani da abinci sune mabuɗin don tsawon rayuwa tare da ciwon sukari!

Likitocin duniya sun fara amfani da sirinji na musamman don allurar insulin shekaru da yawa da suka gabata. An inganta nau'ikan nau'ikan nau'ikan sirinji don masu ciwon sukari, waɗanda suke da sauƙin amfani, misali, alkalami ko famfo. Amma tsoffin misalai basu rasa dacewar su ba.

Babban mahimmancin samfurin insulin sun hada da sauƙin ƙira, wadatarwa.

Siririn insulin ya kamata ya zama irin wannan cewa mai haƙuri zai iya ɗaukar allura a kowane lokaci ba tare da allura ba, tare da ƙarancin rikitarwa. Don yin wannan, kuna buƙatar zaɓar samfurin da ya dace.

A cikin sarƙoƙi na kantin magani, an gabatar da sirinji na gyare-gyare iri-iri. Ta hanyar zane, suna da nau'ikan biyu:

• Abin iya zubar dashi, wanda alluran zasu iya canzawa.
• Syringes tare da allurar ginanniyar (hade). Tsarin ba shi da “yankin da ya mutu”, don haka babu asarar magani.

Wanne jinsin ne mafi kyau da wuya a amsa. Za'a iya ɗaukar sirinji na zamani ko kantunan tare da ku zuwa aiki ko makaranta. Magungunan da ke cikinsu yana sake farfadowa, kuma zai kasance bakararre har sai an yi amfani dashi. Suna da daɗi da ƙarami a girma.

Motocin tsada suna da kayan aikin lantarki waɗanda zasu tunatar da ku lokacin da za su bayar da allura, nuna yadda aka gudanar da magani da lokacin allura ta ƙarshe. An gabatar da makamantansu a hoto.

Madaidaicin sirinjin insulin yana da ganuwar bango domin mai haƙuri zai iya ganin yadda aka ɗauka kuma aka gudanar dashi. Piston an rubberized kuma an gabatar da magani a hankali kuma a hankali.

Lokacin zabar samfurin don allura, yana da muhimmanci a fahimci rarrabuwar sikelin. Yawan rarrabuwa akan mabambantan tsari na iya bambanta. Rukuni ɗaya ya ƙunshi mafi ƙarancin maganin da za a iya bugawa cikin sirinji

A cikin sirinjin insulin, dole ne a sami rarrabuwar zane-zane da sikelin, idan babu babu, ba mu bayar da shawarar sayen irin waɗannan samfuran ba. Rarraba da sikelin suna nuna wa mara lafiya menene ƙarin insulin ɗin da ke ciki. Yawanci, wannan 1 ml na maganin yana daidai da raka'a 100, amma akwai na'urori masu tsada a raka'a 40 ml / 100.

Don kowane samfurin insuline samfurin, rabo yana da ɗan alamar kuskure, wanda yake daidai ½ rarraba jimlar girma.

Misali, idan akayi allurar da wani sirinji tare da raba raka'a 2, jimlar zai zama + - raka'a 0.5 daga maganin. Ga masu karatu, raka'a 0,5 na insulin na iya rage sukarin jini ta 4.2 mmol / L. A ƙaramin yaro, wannan adadi ya fi girma.

Wannan bayanin dole ne kowa ya fahimci wannan cutar. Errorarancin kuskure, har ma a cikin raka'a 0.25, na iya haifar da glycemia. Smalleraramar kuskuren cikin samfurin, mafi sauƙi kuma mafi aminci ga amfani da sirinji. Wannan yana da mahimmanci a fahimta saboda haƙuri zai iya daidaita daidai da kashi na insulin akan nasu.

Don shigar da miyagun ƙwayoyi yadda yakamata, bi dokoki:

• da karami matakin rarraba, da mafi daidai sashi na magani ake gudanar zai zama,
• kafin gabatarwar hormone shine mafi kyau ga tsarma.

Tabbataccen sirinin insulin shine ikon da bai wuce 10 raka'a don gudanar da maganin ba. Alamar rarrabuwa alama ce tare da lambobi masu zuwa:

Da gabaɗa lambobin suna nan, mafi girma an rubuta su. Wadannan nau'ikan sirinji suna dacewa ga marasa lafiya da ƙananan hangen nesa. A cikin kantin magunguna na Rasha, galibi samfuran tare da rabo na 2 ko 1 Unit an gabatar dasu, ƙasa da kullun 0.25 Unit.

Yana da mahimmanci a lissafa yadda ya dace insulin kafin allura. Akwai nau'ikan U-40, U-100.

A kasuwa a ƙasarmu da CIS, ana fitar da hormone a cikin vials tare da bayani na raka'a 40 na miyagun ƙwayoyi a cikin 1 ml. Ana yi masa lakabi da U-40. An tsara sirinji na diski na musamman don wannan ƙarar. Lissafta yawan ml a cikin raka'a. rarrabuwa ba abu mai wahala bane, tunda 1 Unit. Rarraba 40 daidai yake da 0.025 ml na miyagun ƙwayoyi. Masu karatunmu na iya amfani da teburin:

Yanzu zamu tsara yadda za'a lissafta bayani tare da maida hankali kan raka'a 40 / ml. Sanin yawan ml a cikin sikelin guda, zaku iya lissafin adadin raka'o'in da ake samu a cikin 1 ml. Don saukakawa masu karatu, muna gabatar da sakamakon don alamar U-40, a cikin nau'in tebur:

Kasashen waje an samo insulin mai suna U-100. Maganin ya ƙunshi raka'a 100. hormone a 1 ml. Kayan sirinjinmu ba su dace da wannan magani ba. Bukatar musamman. Suna da tsari iri ɗaya kamar U-40, amma ana lissafin sikelin don U-100. Mayar da hankali daga shigo da insulin sau 2,5 ya fi U-40 mu. Kuna buƙatar yin lissafi, farawa daga wannan adadi.

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.

Alkalami mai sirinji wata na'ura ce da aka haɗa katako a ciki. Yana ba mai haƙuri damar ɗaukar kowane ƙa'idar sirinji na yau da kullun tare da kwalban tare da hormone. Iri alkalama an kasu kashi biyu kuma za'a iya amfani dasu. Na'urar da za a iya zubar da ita tana da kundin ginannun katako na suttura da yawa, daidaitaccen 20, bayan haka an jefa maƙarar. Reusable ya haɗa da canza katun.

Tsarin alkalami yana da fa'idodi da yawa:

• Za'a iya saita satin ta atomatik zuwa 1 Unit.
• Katin yana da babban girma, saboda haka mai haƙuri na iya barin gidan na dogon lokaci.
• Daidaitaccen sashi ya fi amfani da sirinji mai sauƙi.
• Injection insulin yana da sauri kuma mara jin zafi.
• Abubuwan zamani suna ba da damar yin amfani da hormones na nau'ikan saki.
• Abubuwan allura na alkalami sunyi laushi fiye da na sirinji mai tsada da tsada.
• babu buƙatar cire rigakafi don allura.

Wanne sirinji wanda ya dace da kai da kanka ya dogara da kayanka da abubuwan da ake zaɓinka. Idan haƙuri tare da ciwon sukari ya jagoranci salon rayuwa mai aiki, to, maganin alkalami zai zama ba makawa, ga tsofaffi marasa tsada waɗanda za'a iya musayar ƙirar sun dace.

Nau'in da fasalin amfani da sirinji na insulin

Sirinji don insulin shine na'urar don yin allurar roba a ƙarƙashin fata don marasa lafiya masu ciwon sukari. Nau'in na ciwon sukari na mellitus na tasowa a cikin yara da matasa. Ana lasafta allurai na kwayoyin halitta bisa wani ka’ida, saboda ƙaramin kuskure ya ƙunshi mummunan sakamako.

Akwai nau'ikan sirinji da yawa don injections insulin - na'urori masu iya dissewa, daidaitattun abubuwan da za'a iya amfani dasu akai-akai, tsarin famfo na musamman wanda aka sanya tare da naurar sarrafa lantarki. Zaɓin na ƙarshe ya dogara da buƙatun mai haƙuri, soyayyar sa.

Ta yaya sirinjin insulin na yau da kullun ya bambanta da alkalami da famfo? Yadda za a fahimta ko na'urar da aka zaɓa ya dace da takamaiman furen insulin? Za ku sami amsoshin waɗannan tambayoyin a ƙasa.

Ba tare da allurar insulin na yau da kullun ba, marasa lafiya masu ciwon sukari suna wanzuwa. A da, an yi amfani da sirinji na yau da kullun don waɗannan dalilai, amma ba gaskiya bane a yi lissafi da kuma sarrafa gwargwadon maganin da ake so tare da taimakon su.

Likitoci da masana magunguna sun haɗu tare a tsakiyar karni na karshe don ƙirƙirar na'urar musamman don masu ciwon sukari. Don haka farkon sirinjin insulin ya bayyana.

Totalididdigar su ƙanana kaɗan - 0.5-1 ml, kuma akan ma'aunin rabo an tsara su bisa la'akari da ƙididdigar insulin, don haka marasa lafiya ba sa buƙatar yin ƙididdigar hadaddun, ya isa su yi nazarin bayanai a kan kunshin.

Akwai nau'ikan na'urori na musamman iri iri don gudanar da insulin:

1. Syringes
2. Ana iya zubar da sirinji na alkalami,
3. Abin da ake sake amfani da shi na sirinji,
4. Injin din insulin.

Mafi inganci, ingantacciyar hanyar gudanar da mulki shine amfani da famfo. Wannan na'urar ba wai kawai ta atomatik ya shiga madaidaitan maganin ba, har ila yau yana bin matakan suga na yanzu.

Alkalamilar sirinji ya bayyana a rayuwar yau da kullun kwanan nan. Suna da fa'idodi da yawa akan sirinji na gargajiya don sauƙaƙa gudanarwar, amma kuma suna da wasu raunin rashin nasara.

Kowane mara lafiya yana yin zaɓi na ƙarshe don kansa, yin watsi da ra'ayin sauran mutane, ban da likitan da yake halartar. Tuntuɓi ƙwararren masanin ilimin endocrinologist wanda zai ba da shawarwari game da amfani da kayayyaki masu dacewa.

Tabbataccen sirinin insulin ya ƙunshi waɗannan sassan:

1. M gajeren kaifi,
2. Silinda mai fadi da fadi tare da alamomi na sama
3. Piston tare da hatimin roba akan ciki,
4. Flange wanda ya dace don riƙe tsarin yayin allura.

Ana yin samfurori daga kayan kayan polymer masu ƙarfi. Ana iya jujjuya shi, ko sirinji da kansa ko allura ba za a iya sake amfani da su ba. Mutane da yawa marasa lafiya suna cikin damuwa dalilin da yasa wannan buƙatar ta kasance mai tsauri. Ka ce, sun tabbata cewa babu wani sai su face suna amfani da wannan sirinji, ba za ku iya samun mummunan cuta ba ta allura.

Marasa lafiya ba su tunanin cewa bayan amfani a cikin tafki na ciki, ƙananan ƙwayoyin cuta da ke shiga fata lokacin da aka sake amfani da sirinji na iya ninkawa a kan allura.

Alluhun ya yi ja sosai a lokacin da ake maimaitawa, yana haifar da microtrauma na babban ɓangaren farfajiyar. Da farko ba su ganuwa ga ido tsirara ba, amma a kan lokaci sun fara tayar da mara lafiya. Ganin yadda yake da wahala ga marasa lafiya da masu ciwon suga su warkar da sikari, raunuka, kuna buƙatar kulawa da kanku.

Duba tare da kantin ku na nawa farashin insulin insulin. Za ku fahimci cewa ceton ba shi da amfani. Kudin kayan tattara kayan sakaci ne. Ana sayar da irin waɗannan na'urori a cikin fakitoci 10 inji mai kwakwalwa.

Wasu kantin magunguna suna sayar da kaya daban-daban, amma bai kamata ku yi mamakin cewa ba su da marufi ɗai-ɗai. Don tabbatar da cewa ƙirar ɗin ta kasance bakararre ne, zai fi kyau ku saya ta cikin kunshin da aka rufe. Ana amfani da sirinji a cikin kullun, saboda haka zaɓin wannan lamunin tattalin arziƙi ne.

Tabbatar yin nazarin sikelin akan sirinji don ganin idan wannan zaɓin ya dace da kai. An nuna sikelin sirinji a raka'a insulin.

An tsara daidaitaccen sirinji don 100 PIECES. Masana sun ba da shawarar farashin farashi sama da raka'a 7-8 a lokaci guda. A cikin maganin cututtukan sukari a cikin yara ko a cikin mutane na bakin ciki, ana amfani da ƙananan allurai na hormone sau da yawa.

Idan kayi kuskure tare da sashi, zaku iya haifar da raguwa mai yawa a matakan sukari da cutar sikila. Zai yi wuya a buga 1 na insulin tare da daidaitaccen sirinji. Akwai samfurori a kan siyarwa tare da matakan sikelin na 0.5 UNITS har ma 0.25 UNITS, amma suna da wuya. A kasarmu, wannan babban rashi ne.

Akwai hanyoyi guda biyu daga wannan halin - don koyon yadda ake rubuta daidai gwargwado ko tsarke insulin zuwa taro da ake so. Entsarshe masu haƙuri da cutar sukari sun zama masu ilimin chem na gaske waɗanda ke da ikon shirya maganin warkewa wanda zai taimaki jiki kuma ba cutarwa ba.

Wata ƙwararren ma'aikacin jinya za ta faɗi kuma ta nuna yadda za a jawo insulin a cikin sirinji na insulin, za ta gabatar muku da dukkan sifofin wannan aikin. A tsawon lokaci, shiri don allura zai ɗauki minti. Koyaushe kuna buƙatar lura da abin da insulin ɗin ku ya dashe - tsawaita, gajere ko ultrashort. Singleaya daga cikin sashi ya dogara da nau'inta.

Masu sayen kasuwa suna sha'awar kantin magani sau da yawa raka'a insulin a cikin 1 ml na sirinji. Wannan tambayar ba daidai bace. Don fahimtar ko na'urar ta dace da ku, kuna buƙatar nazarin sikelin da kanta kuma ku fahimci adadin raka'a insulin a cikin kashi ɗaya na sirinji.

Yanzu kuna buƙatar gano yadda ake amfani da sirinji ta insulin. Bayan nazarin sikelin da kuma ƙayyade daidai adadin nauyin guda, kuna buƙatar buga insulin. Babban dokar shine tabbatar da cewa babu iska a cikin tanki. Wannan ba shi da wahala a cimma, saboda a irin waɗannan na'urori ana amfani da roƙon roba, yana hana haɓakar gas a ciki.

Lokacin amfani da ƙananan allurai na hormone, dole ne a tsinke magani don cimma burin da ake so. Akwai ruwayoyi na musamman don daskarar insulin a kasuwannin duniya, amma a kasarmu ba matsala samun su.

Kuna iya magance matsalar ta amfani da zahirin. mafita. Maganin da ya ƙare an cakuda kai tsaye a cikin sirinji ko kuma an shirya jita-jita marasa sihiri

Domin insulin cikin jiki ya zama mai sauri kuma ya rushe glucose, dole ne a shigar dashi cikin kitsen mai. Babban mahimmancin shine tsawon allurar sirinji. Matsakaicin daidaitaccensa shine 12-14 mm.

Idan kayi huda a kusurwar dama zuwa saman jiki, to maganin zai fada zuwa cikin rufin intramuscular. Ba za a yarda da wannan ba, saboda ba wanda zai iya yin hasashen yadda insulin zai “nuna hali”.

Wasu masana'antun suna samar da sirinji tare da gajerun allura na 4-10 mm, wanda za'a iya allura da shi a jiki. Sun dace don yin allura ga yara da mutanen da ke da bakin ciki wanda ke da kauri mai ƙarancin nama.

Idan kayi amfani da allura na yau da kullun, amma kuna buƙatar riƙe ta a wani kusurwa na 30-50 digiri game da jiki, samar da fatar jiki kafin a yi allura kuma a sa maganin a ciki.

A tsawon lokaci, kowane mara lafiya ya koyi yin allura da kansa, amma a matakin farko na magani, yana da kyau a yi amfani da taimakon ƙwararrun likitocin.

Magunguna ba su tsaya cik ba, ana amfani da sabbin fasahohi a wannan fannin. Sauya sirinji na insulin na gargajiya tare da zane-zanen da za'a iya amfani dasu game da alkalami. Matakinsu ne inda ake ajiye katukan tare da miyagun ƙwayoyi da mai riƙe da allurar da za'a iya zubar dashi.

An kawo abin da aka kawo a fata, mara lafiya yana danna maɓallin na musamman, a wannan lokacin allura tana fatar fatar, ana saka allurar hormone a cikin ɗakin mai.

Fa'idodin wannan ƙirar:

1. Amfani da yawa, katifa da allura kawai suna bukatar canzawa,
2. Saurin amfani - ba buƙatar yin lissafin adadin maganin ba, don zana sirinji da kansa,
3. Yawancin samfuran, da yiwuwar zaɓin mutum,
4. Ba a haɗe ku da gidan ba, ana iya ɗaukar alkalami tare da ku, ana amfani da shi yadda ake buƙata.

Duk da fa'idodi da yawa na irin wannan na'urar, yana da mahimmancin ragi. Idan ya zama dole don gudanar da ƙananan allurai na insulin, ba za a iya amfani da alkalami ba. Anan, ana amfani da kashi ɗaya lokacin da aka danna maballin, baza'a iya rage shi ba. Insulin yana cikin kwandon iska, don haka dillanta shima ba zai yiwu ba.

Ana iya samun hotunan insulin na insulin a cikin yanar gizo. Cikakken bayanin da umarnin don amfani suna kan kunshin.

A tsawon lokaci, duk mara lafiya ya fahimci yadda ake amfani da na’urar, yadda ake lissafin kashin da ake bukata na miyagun ƙwayoyi daidai da matakin glucose a cikin jini da lafiyar gaba ɗaya.

Insulin Syringe needles: Tsarin Girma

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

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

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

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

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

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

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

Insulin allurai na iya zama:

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

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

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

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

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

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

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

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

Marasa lafiya da ciwon sukari suna buƙatar 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 an 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 ƙwayar 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 kuma a haɗa shi da sirinji kanta - haɗa) 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. A diamita dukansu iri ɗaya ne, 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 tsayin 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 mafi dacewa, tunda a cikin shafin zaka iya sanin kanka da yanayin waɗannan na'urori daki-daki, kaga farashinsu 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.

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:

1. Ana kula da fatar a wurin bugun fitsari tare da mai maganin maye. Likitoci sun bada shawarar allura a kafada, cinya, ko ciki.
2. 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.
3. Tara bayani.
4. 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:

1. Sanya sabon allura mai rauni.
2. Bincika sauran adadin maganin.
3. Tare da taimakon mai tsara ta musamman, ana tsara adadin insulin da ake so (ana latsa kowane abu daban kowane juzu'i).
4. 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 kamata ya 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 abin da ake so. Alƙalin sirinji zai biya mai yawa - kimanin 2000 rubles. Don waɗannan kuɗaɗen ya kamata a ƙara sayan katunan katako.

1. 
   Frenkel I.D., Pershin SB. Ciwon sukari mellitus da kiba. Moscow, Gidan Bugawa na Kron-Press, 1996, shafuffuka 192, rarraba 15,000 na kwafi.
2. 
   Dedov I.I., Shestakova M.V., Milenkaya T.M. ciwon sukari mellitus: retinopathy, nephropathy, Medicine -, 2001. - 176 p.
3. 
   Danilova, N. A. Ciwon sukari da dacewa: wadatar da ci gaba. Aiki na jiki tare da fa'idodin kiwon lafiya / N.A. Danilova. - M.: Vector, 2010 .-- 128 p.

Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan don rukunin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.

Maganin insulin

Yanzu lokaci ya yi da za a yi magana game da sirinji.

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. Becton Dickinson ya fito da sirinjin insulin na farko a cikin 1924 - shekaru 2 bayan gano insulin.

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.

Karka sake amfani da sirinji da za'a iya zubar dashi!

Maganin insulin da kuma allura na allurar sirinji sune 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. “Tabbacin” allurar Ma'aikatar Lafiya da Ci gaban Jama'a a cikin adadin da ya ninka sau 10 ƙasa da buƙatun da ake buƙata. Amma game da sirinji na insulin, an manta da su gaba ɗaya kuma ba koyaushe zaka iya samun su kyauta.

Abinda yakamata ayi Don tunawacewa sirinjin insulin da alluran alkalami sune kayan aikin diski 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.

An maimaita injections tare da allurar disposable - waɗannan ba kawai abubuwan jin daɗi ba ne cewa ana amfani da membobinmu don jimrewa da dorewa. 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 sirinji na 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 zama "20 IU", maimakon 1 ml, 40 za'a nuna IU. A wannan yanayin, kawai 0.025 ml na bayani ya dace da rukunin insulin guda ɗaya. Dangane da haka, sirinji a kan U100 zai sami maimakon 1 ml alama ce ta 100 PIECES, akan 0.5 ml - 50 PIECES, kuma ɗayan insulin zai dace da 0.01 ml.

Tebur A'a. 65. Rashin daidaituwa na sirinji insulin zuwa ƙarar cikin milliliters

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. Don rage kuskuren bazuwar, masana'antun sirinji sun yanke shawarar U 40 za su sami madaidaiciyar kariya a ja da U100 a cikin orange.

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! Ba tare da al'ada ba, mara lafiya yana jan insulin daga katun a cikin sirinji: koyaushe yana saka a cikin alkalami, alal misali, raka'a 20 guda ɗaya, sannan ya zana ɗaya ... Mun riga munyi magana game da sakamakon, amma maimaitawa shine mahaifiyar koyo.

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 wannan dalili, kuna buƙatar yin hankali lokacin da kwalba ɗaya ta ƙare kuma ku ɗau wata, musamman idan abokai daga ƙasashen waje sun aiko da wannan: a Amurka, kusan dukkanin insulins suna da taro na 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 lamba 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.

Ofarar sirinji ya dace da kashi na allurar allurar. Misali, idan kuna shirin gudanar da sassan 25 na maganin, zabi sirinji na 0.5 ml. Ingancin dosing na ƙananan sirinji mai ƙarfi shine raka'a 0.5-1. Don kwatantawa, daidaituwar sashi (mataki tsakanin haɗarin ma'auni) na sirinji 1 ml - 2 PIECES.

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 suna da nasu diamita (duba tebur mai lamba 66).

Tebur A'a 66 Girma na allura

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 8 mm, don sirinji - 5 mm. Wannan mulkin yana taimakawa rage haɗarin samun insulin cikin bazata cikin tsoka.

Dabarar Injection

Algorithm a wannan yanayin zai zama kamar haka. Aauki sirinji wanda ya dace da insulin ɗin tare da ingataccen (haɗa) allura. Binciko murfin waje na sirinji - dole ne ya kasance cikin aiki, ba tare da lahani ba. Bugu da kari, yakamata a nuna ranar sirinji a kanta.

Ya ƙare? Shin marufin ya tsage? Jefa shi. Shin marufin yana cikin yanayi mai kyau kuma lokacin ajali bai ƙare ba? Amma idan marufi yana filastik mai sirinji 10? Ka tuna cewa sirinjin insulin ɗin ta zama bakararre har sai an cire maɓallin kariya daga allura da piston.. Buga, fitar da sirinji, cire piston zuwa alamar da ke nuna ƙarin insulin ɗin da kuke buƙata ƙari da ƙarin raka'a 1-2 (alal misali, 20 + 2 PIECES). A zahiri, kun sami adadin iska da ya dace.

Additionalarin ƙarin raka'a 1-2 zai tafi zuwa ga kuskuren saiti: ɓangaren zai zauna a cikin allura, wani sashi zai zubo lokacin da kuka saki iska.Sannan ɗauki kwalban da aka shirya da insulin (bincika lokacin karewa, tabbatar cewa an adana shi daidai kuma babu istigfari a ƙasashen waje, mai ɗumi zuwa zafin jiki, mirgine tsakanin tafin hannunka, ka goge ƙwal da barasa) ka huda maɓallin roba na kwalbar tare da allurar sirinji. Ba shi yiwuwa a cire baƙin ƙarfe-wafer daga wannan murfin har ma fiye da haka don buɗe kwalbar, cire murfin gaba ɗaya.

Matsi da duk iskar da ke cikin sirinji a cikin kwalbar, juya kwalban domin ta kasance a saman kuma sirinjin yana ƙasa. Wannan ya zama dole don ƙirƙirar matsanancin matsin lamba a cikin murfin - zai zama da sauƙi a tattara insulin cikin sirinji. Yanzu sake jan piston zuwa gare ku - insulin zai fara gudana cikin sirinji. Dangane da dokokin kimiyyar lissafi, daidai yawan insulin (da girma) dole ne a allurar dashi cikin sirinji kamar yadda kawai aka fitar da ita daga cikin kwalban iska.

Idan wannan ba batun bane, nemi dalilin: wataƙila allurar ta baci, ko sirinji mai lahani na iya buƙatar musanya shi. Kuna iya dan sa piston din dan kadan ki sami insulin din da ya bace. Cire allura da sirinji daga murfin kuma a hankali a kan bangon sirinji don kumburin da suka tattara a saman ciki ya tashi zuwa allura. Sannu a hankali matse iska daga sirinji tare da fistin. Binciki girma insulin sake kuma ta hanyar sirinji zuwa matakin ido.

Tsarin allurar

A matsayinka na mai mulkin, muna ɗaukar allura guda 2 na insulin sau ɗaya 1-2 sau ɗaya a rana: gajeru da tsawaita aiki. Wanne ne ya kamata ya fara, kuma wanne ya bi? Tsarin ba shi da mahimmanci, mafi mahimmanci, kada a rikita kuma kada ku shigar da 2 sau "gajere" kuma ba - "tsawaita" ko akasin haka. Bayyana wa kanka babu makawa: allurar farko ita ce “insulin” gajere ko kuma kuna so, koyaushe “naɗa”! Bayan haka komai zai faru ta atomatik. Bayan tattara insulin guda ɗaya a cikin sirinji, ta amfani da wannan fasaha, kira na biyu, ku rufe allura tare da hula kuma ku fahimci wacce ta farko cikin shirin ku.

Kada ku shiga cikin ƙwayar tsoka!

Bayan haka, kuna buƙatar tattara fatar fatar tare da hannu ɗaya kuma a ɗan ɗaga shi. Me yasa haka? Don rage haɗarin insulin shiga cikin tsoka, wanda zai ba da gudummawa ga yawan shan magunguna, wanda bazai shirya ku ba.

Hoto na farko akan hannun dama yana nuna yadda ake yin hakan daidai. Dole ne a riƙe sirinji saboda ya dogara akan yatsunsu huɗu kuma ya riƙe a saman yatsa. A wannan yanayin, ƙaramin yatsa ya kamata ya kasance ƙarƙashin dokar taɓo. Ya dace da wasu mutane su sami goyon baya akan yatsu uku, suna taɓar ɗan ƙaramin yatsa, cannula kuma ya kan yatsan zobe. Don haka yana iya yiwuwa. Buƙatar soya fata a wani kusurwa kusan 45 °. Zai fi kyau ga marasa lafiya masu kiba su bi dokar “90 °”, watau a saka allurar kusan a tsaye dangi a farfajiyar fata. Tare da babban nauyin mai yawa, ba za a iya tattara crease ba.

Dauki lokacinku!

Yayin yin piston, shigar da insulin - duk maganin da kuka ɗauka. Kar a yi saurin cire allurar nan da nan, in ba haka ba wani ɓangaren magani zai zube da baya akan fatar. Jira 5-10 seconds, kuma insulin zai zama inda ya kamata. Juya allura a cikin fata a kusa da dogon zazzabin allura da misalin 45 °, domin digon maganin na karshe ya kasance a cikin kyallen, sannan kawai cire shi.

Shin ina bukatan tausa wurin yin allura?

Bari kawai mu ce za a iya yin hakan, amma ba lallai ba ne. Kuma ba shakka, kuna buƙatar tuna cewa tausa yana saurin ɗaukar insulin, don haka idan kuna tausa, to, bayan kowane allura, don haka adadin sha bayan gudanarwar kowace rana kusan daidai yake. Idan ba ku yi tausa ba, to kada ku taɓa tausa, in ba haka ba zai zama da wahala a daidaita sashi.

Me za a yi da sirinji da aka yi amfani da shi?

Mun riga mun amince cewa ba zaku sake amfani da shi ba, saboda haka kuna buƙatar watsa sirinji, ku fasa allura daga cannula, ku jefa duka cikin kwandon shara. Me yasa baza a fitar da sirinji gaba daya? A zahiri, zaku iya yin wannan, ba wanda zai azabtar da ku, amma ina da dalilin da zan ba ku shawarar kada ku aikata wannan. Na yi aiki a matsayin likitan dabbobi na dogon lokaci, kuma iyayen yaran da suka ga sun yi amfani da sirinji a kan titi suna wasa "a asibiti" akai-akai sun tuntube ni.

Bayan irin waɗannan wasannin, an ba wa yaro akalla aƙidar maganin rigakafi, kuma iyaye za su yi shekara da tsammanin damuwa: sirinji ya kamu da kwayar cutar HIV ko za ta biya. Af, saboda wannan dalili, don Allah kar a watsar da kunshin kwamfutocin da suka ƙare. Idan ba'a sanya wa nyan wasan yaro aan yaro ba, yana da damar da yawa don “sha magani” ta hanyar wasa. Cire allunan ka sanya su cikin bayan gida, yayin da kayan ɓoye marasa amfani za'a iya jefa su cikin kwandon shara.

Yanzu mu koma ga batun mu.

Alkalamiin sirinji

Yau, ba a amfani da sirinji na insulin. Nasarar da aka kirkiro ta kamfanin Novo-Nor-disk - nau'ikan sirinji - yana samun karbuwa sosai. A halin yanzu, dukkanin masana'antun insulin sun sake su. Alƙalumman Syringe suna ba da kyauta ga yara masu fama da ciwon sukari, mata masu juna biyu da marasa lafiya masu fama da matsanancin ciwon sukari.

Sirinjin alkalami na farko ya bayyana akan siyarwa a cikin 1983 kuma tun daga nan, inganta kullun, an canza su zuwa kayan aiki mai sauƙi, mai ɗaukar nauyi mai sauƙi. Yana kama da alkalami na maɓallin marmaro na yau da kullun. Firms suna samar da nau'ikan nau'ikan sirinji, amma sun banbanta ne daki-daki.

Bari mu kasance da masaniyar na'urar na'urar sikanin almara akan misalin Novo Pen3. A wannan yanayin, alkalami na syringe ya ƙunshi jiki wanda yake buɗe kuma fanko daga wannan ƙarshen. An saka katako a cikin wannan rami - ƙwal mai kunkuntar kwalba tare da insulin. Endarshen katif ɗin da ba ya shimfida zurfi a cikin kayan ba yana haɓaka ɗan kaɗan daga mahalli. Ya ƙare tare da filastar roba, wanda ba lallai ba ne don cirewa. An saka allurar ƙira ta musamman a wannan ƙarshen kabad ɗin, sannan kuma abin rufe tare da buɗewa wanda allurar zata “harbi” yayin allurar.

A ƙarshen ƙarshen shari'ar akwai maɓallin ɗauka, na'urar don buga lamba (ringi tare da taga wanda lambobin da suka dace da kashi na insulin da za a yi magana a bayyane). Tare da nuna alama na dijital, akwai kuma siginar sauraren kunne - kowane ɓangaren insulin insped yana haɗuwa tare da dannawa, wanda ke ba mutum mai ƙarancin hangen nesa ƙidaya kashi ta kunne.

Tabbas, almarar sirinji suna da sauƙi kuma dace don amfani.

Hanyar amfani da alkalami mai sirinji

Don shigar insulin ta amfani da alkalami na syringe, kuna buƙatar cire hula daga ƙarshensa, saka madaidaici a maimakon kuma cire hula daga allura, saka murfin alkalami (wanda yake da rami) kuma, mirgine alkalami tsakanin tafin hannunka, kamar yadda kuka yi da kwalaben “ƙara” karafa »Insulin, kunna mai watsawa, saka sashi na 2 kuma danna maɓallin saki na maɓallin. 2 raka'a insulin za a jefa, wanda zai cika allura. Idan ba a yi hakan ba, kashi na insulin zai zama raka'a 2 ƙasa da abin da ake buƙata, iska kuma zata cika fata, yana cika allura.

Yanzu kuna buƙatar kunna mai sake rarraba kuma saita sashi na ƙarshe, kawo ƙarshen tare da rami zuwa wurin allurar a wani kusurwa na 45 °, latsa da ƙarfi kuma latsa maɓallin ɗauka. Wajibi ne a riƙe allura a ciki na dakikoki 10, a ɗan juya shi tare da jujjuyawa wani abu wanda yake zagaye da shi har tsayin shi sannan kawai cire shi. Wannan shi ke nan! An yi aikin. Ya saura don watsa alƙalami a juye juye, kuma dole a cire allura, in ba haka ba, a hankali insulin zai fita daga cikin kicin ta hanyar shi. Hakanan ana iya zubar da waɗannan allura, don haka kawai kuna buƙatar jefa su. Sa'an nan ya kamata a cire alkairin sirinji a cikin takamaiman yanayi.

Nuances masu mahimmanci

Umarnin da ya zo tare da kowane sirinji na syringe yana nuna matsayinta a wani kusurwa na 90 ° lokacin da yake sokin fata, amma wannan na iya yin hakan ne ta hanyar mutanen da ke kiba kawai, tunda akwai haɗarin cewa insulin zai shiga cikin tsoka. Bugu da kari, tunda ya saba da tsarin “perpendicular”, mutum zaiyi amfani da sirinji na yau da kullun a daidai wannan hanya, duk da bambanci a cikin tsawon allura - shine 8-13 mm a cikin sirinji da kuma 5 mm a cikin sirinji na alkalami mafi sau da yawa .. Irin wannan allura yana da fadi tare da shiga cikin tsoka , wanda ke nufin hanzarta ɗaukar insulin, wanda mai haƙuri bazai shirya ba.

Abubuwan da ake buƙata don alƙaluman siririn suna 5, 8 da 12.7 mm tsayi. Idan kana da allura mai tsawon 5 mm, dabarar allura ga manya tana da sauqi: a wani kusurwa na 90 ° zuwa ga fata, kuma idan ya kasance 8 ko 12.7 mm, kar ka manta ka kirkiri fatar. Tare da allura tsawon 12.7 mm, allurar zai fi kyau a yi ba kawai a cikin wata madaidaiciya ba, har ma a kwana na 45 °. Ka tuna cewa ana riƙe fatar fatar a kowane lokaci yayin allurar kuma ana sake ta ne bayan cire allura.

Lesarancin allura suna da ƙarin fa'ida: suna ƙasa da lalata fata da kitsen mai ƙanƙara, wanda ke nufin cewa haɗarin cones da ƙyallen a wurin yin allura bai yi ƙasa ba. Shawarwarin yanzu sune: "Kula da hankali: zaɓi gajeren allura kuma canza su koyaushe."

Ka'idojin sarrafa insulin a cikin yara sun fi sauki - Injections koyaushe ana yin su ne kawai a cikin fatar fata kuma a wani kusurwa na 45 °.

Wace allura zaka zabi don alkalami mai sirinji? Jerin shawarar allura da aka ba da shawarar galibi ana nuna shi a kan kunshin. Masu masana'antun allura suma suna saka jakar jerin abubuwan alkairin da kayayyakin aikinsu suka dace. Abubuwan buƙatu tare da daidaituwa na duniya suna haɗuwa da bukatun daidaitattun ingancin ƙimar ISO. Yarjejeniyar da aka tabbatar ta hanyar gwaje-gwaje masu cin gashin kai an tsara shi azaman ISO "TURE A" EN ISO 11608-2: 2000 kuma wanda masana'anta suka nuna shi kan kunshin.

Shin zai yiwu a gudanar da insulin “gajere” da “tsawa” insulin a cikin sirinji guda?

Mun kware dabarun gabatarwa. Menene kuma yake da muhimmanci a tuna game da insulin?

Marasa lafiya da gogewa sun san cewa ana iya rage adadin allura idan “gajere” da “tsawan” insulin ana yinsu a cikin sirinji daya. Za a iya yin wannan? A zahiri, komai ya dogara da insulin: “a takaice” ana iya gudanar da insulin tare da insulinine-insulin, amma ba tare da insulin-zincin ba. A farkon lamari, tsawon lokacin farawa na “gajere” insulin ba ya canzawa, kuma a cikin na biyu yana tsawaitawa sosai kuma ba a iya tsinkaye shi (mun riga mun yi magana game da wannan).

Wasu lokuta marassa lafiya suna ƙoƙarin yin allurar “gajere”, sannan cire haɗin allura daga sirinji, “haɗa” wani tare da sinadarin zinc-insulin, ɗan ɗan canza yanayin allura da allura. A wannan yanayin, ba shi yiwuwa a ware hulɗa da insulins guda biyu a cikin allura da kanta, kuma a cikin ƙwayar subcutaneous suna da kusanci da za su iya haɗuwa, an riga an gabatar da su a ƙarƙashin fata. Don haka, babu zaɓuɓɓuka a nan - kuna buƙatar allurar insulin tare da sirinji daban-daban, allura daban-daban kuma a sassa daban-daban na jiki - nesa da aƙalla 4 cm daga juna. Lokacin amfani da insulin protamine, halin yana da sauƙi. Kuna iya haxa su, amma kuna buƙatar yin wannan a hankali, bin wasu ƙa'idodi, waɗanda zamuyi magana akai.

Hanyar gudanarwa na lokaci daya

Abinda ya fara shiga cikin sirinji shine "insalin" gajere kuma sai bayan shi “tsawaita”. In ba haka ba, hura iska a cikin murfin tare da insulin gajere, zaku gabatar da kwararar abubuwan '' tsawaita '' a ciki, wanda zai haifar da girgijewar "gajere", bayan haka dole ne a zubar dashi.

Don haka, jawo iska cikin sirinji zuwa matakin, alal misali, raka'a 8, soya murfin murfin tare da insulin “gajere”, saki iska a ciki, ja maganin a cikin sirinji ka cire allura daga murhun. Abu na gaba, bari mu ce, 20 Ana buƙatar insulin 20 'insulinine' na tsawaitawa.

Auki sirinji wanda ya riga ya ƙunshi “gajere” insulin, ja iska a ciki zuwa matakin 8 + 20 = 28 raka'a, huda murfin kwalbar da insulin 'ya' kara, saki iska kawai, “insul” insulin ya kasance gaba ɗaya cikin sirinji. Bayan haka, buga abinda ke ciki na murfin a cikin sirinji don alama 28, kuma ya shirya don allurar.

Buga allura

Mun riga mun yarda cewa zamuyi amfani da sirinji sau ɗaya kawai, amma, sanin cewa wasu masu karatu zasuyi da kansu, ina so in faɗakar da cewa bayan gabatar da irin wannan cakuda, idan sake amfani da sirinji duk da haka ana zaton shi, yakamata a kula dashi sosai tare da iska. Lokaci na gaba da kuka yi amfani da sirinji, dole ne ya bushe gaba ɗaya, in ba haka ba kuna haɗarin lalata insulin “gajere” ta hanyar cika cakuda kuma.

Rayuwar sabis ɗin irin wannan sirinji zai zama ya fi guntu fiye da tare da allura dabam: tare da wannan allura zaka sau biyu mafi sauƙin dame roba na ɗakunan kwalabe, wannan kuma baya wucewa ba tare da wata alama ba. Wannan wata hujja ce don amfanin guda ɗaya na sirinji.

Yi amfani da gaurayawan insulin da aka shirya

Tabbas, zai fi kyau gabatar da gabatarwa daban, tunda lokacin da sukari bai isa ba kuma “fara magana” ya fara, akwai manyan shakku: watakila wannan shine inda irin wannan kuskuren yake? Idan har yanzu akwai babban buri don rage adadin allurar, zai fi dacewa a yi amfani da daidaitattun abubuwan hadewar insulin, tunda yanzu sun isa su gamsar da bukatun yawancin masu haƙuri. Banda shi akwai lokuta masu matsanancin ciwon sukari, lokacin biyan diyya tare da ajiyayyun hadadden insulin ba zai yiwu ba, amma a wannan yanayin, gabatarwar insulin guda biyu a cikin sirinji daya shima ya kasance contraindicated.

Insulin mai ɗumi yana da haɗari!

Ina so in tunatar da ku cewa insulin danshi yana dafewa da sauri fiye da samun zazzabi dakin. Haka abin yake idan kuna “dumama” wurin allurar. A cikin wallafe-wallafen na musamman, ana bayanin shari'ar lokacin da wani saurayi, yayi allurar '' gajere '' insulin kafin abincin rana, ya yanke shawarar cewa cikin minti 30 ɗin da yake da abinci kafin lokaci, zai sami lokacin wanka. An same shi bai sane ba ... Yana da kyau cewa babu ruwa kaɗan, kuma kansa ya wanzu. Shin ko kun san abin da ya faru? Wannan daidai ne: ruwa mai ɗumi yana haɓaka ɗaukar insulin, abinci ya makara, kuma cutar rashin ƙarfi a cikin jiki ba ta daɗe. Kusan za a iya samun sakamako iri iri idan an daskare wurin allurar daidai kafin allurar. Ya kamata a tuna da wannan yanayin a lokacin bazara .. A ƙarƙashin rinjayar rana mai zafi, yanayin fatar jiki yana dumama zafi, wanda ke haifar da ba kawai girgiza zafi ba, har ma don haɓaka insulin.Domin wannan dalili, ya kamata ka mai da hankali a cikin wanka da sauna.

Amma ga aiki na jiki, shi, ba shakka, yana shafar aikin insulin duka biyu ta hanyar hanzarta ɗaukar ciki da ƙara haɓakar jijiyoyin jiki zuwa ƙwayoyi. Ba haka ba da daɗewa, an yi imani da cewa idan an gabatar da insulin a cikin wani yanki da ba ya shiga cikin aikin jiki, za a iya guje wa hauhawar jini. Kwarewa ya nuna cewa wannan ba haka bane. Ba zai yuwu ba! Yanzu mun fahimci dalilin da yasa: yin amfani da insulin a cikin tsokoki ba ya dogara da wurin gabatarwar shi cikin jiki ba. Sabili da haka, ka'idoji don rigakafin cututtukan hypoglycemia yayin aiki na jiki sun kasance iri ɗaya - sarrafa sukari da ƙarin ɗaukar carbohydrates tare da abinci.

Kun riga kun san yadda ake sarrafa insulin. Ya kasance mafi “sauki” - don yanke shawara wanne, a cikin abin da allurai kuma a yaushe. A nau'in 1 da nau'in ciwon sukari na 2, dabarar maganin insulin na iya bambanta sosai, amma wani lokacin yana da kyau a magance nau'in ciwon sukari na 2 kamar na farko.