Ciwon sukari cuta ce ta kowa gama gari kuma mutane da yawa suna koyo game da shi tun yana da ƙarancin sani. Ga masu ciwon sukari, insulin wani bangare ne na rayuwa kuma kuna buƙatar koyon yadda ake allurar dashi daidai. Babu buƙatar jin tsoron allurar insulin - suna da rauni sosai, babban abin shine bin wani algorithm.
Gudanar da insulin yana da mahimmanci ga nau'in 1 na ciwon sukari kuma ba dole ba ga masu ciwon sukari na 2. Kuma idan nau'in farko na marasa lafiya sun saba da wannan hanyar, wanda ya zama dole har zuwa sau biyar a rana, to mutanen da ke da nau'in 2 sau da yawa sun yi imanin cewa allurar zata kawo zafi. Wannan ra'ayin kuskure ne.
Don gano daidai yadda kuke buƙatar yin allurar, yadda ake tattara ƙwayoyi, menene jerin allurar insulin daban-daban kuma menene algorithm don gudanarwar insulin, kuna buƙatar sanin kanku tare da bayanin da ke ƙasa. Zai taimaka wa marasa lafiya su shawo kan fargaba game da allurar mai zuwa kuma tana kare su daga allurar rigakafi, wanda hakan zai iya cutar da lafiyar su kuma ba zai haifar da wani illa ba.
Maganin Injection Inulin
Masu ciwon sukari na 2 suna kashe shekaru da yawa don tsoron allurar mai zuwa. Bayan duk wannan, babban maganin su shine motsa jiki don shawo kan cutar ta kansa tare da taimakon abinci da aka zaɓa musamman, motsa jiki da kuma allunan.
Amma kada kuji tsoron gudanar da kwayar insulin na wani yanki. Kuna buƙatar shirya a gaba don wannan hanya, saboda buƙatun na iya tashi kwatsam.
Lokacin da mai haƙuri da ciwon sukari na 2, wanda ba tare da allura ba, zai fara yin rashin lafiya, har ma tare da SARS gama gari, matakin sukari na jini ya tashi. Wannan na faruwa ne saboda ci gaban juriya na insulin - hankali na sel wanda insulin ke raguwa. A wannan lokacin, akwai buƙatar gaggawa don allurar insulin kuma kuna buƙatar kasancewa da shiri don gudanar da wannan bikin da kyau.
Idan mai haƙuri ya sarrafa magungunan ba subcutaneously, amma intramuscularly, to, sha daga cikin miyagun ƙwayoyi yana ƙaruwa sosai, wanda ya ƙunshi mummunan sakamako ga lafiyar haƙuri. Wajibi ne a saka idanu a gida, ta amfani da glucometer, matakin sukari a cikin jini yayin rashin lafiya. Tabbas, idan baku karɓi allura ba cikin lokaci, lokacin da sukari ya tashi, to haɗarin canji na ciwon sukari na 2 zuwa na farko yana ƙaruwa.
Hanyar da ke tattare da gudanar da aikin insulin na cikin gida bashi da rikitarwa. Da fari dai, zaku iya tambayar endocrinologist ko duk wani kwararren likita don nuna a fili yadda aka yi allura. Idan an hana mai haƙuri irin wannan sabis ɗin, to babu buƙatar zama mai fushi a cikin gudanar da insulin subcutaneously - babu wani abu mai rikitarwa, bayanin da ke ƙasa zai bayyana cikakkiyar nasara ta dabarun allurar rauni.
Da farko, yana da kyau yanke shawara a kan wurin da allurar za a yi, yawanci wannan shi ne ciki ko gindi. Idan ka sami fiber mai kitse a wurin, to zaka iya yin ba tare da matsi fata don yin allura ba. Gabaɗaya, wurin allurar ya dogara da kasancewar ƙwayar mai ƙashi a cikin mai haƙuri; mafi girma shine mafi kyau.
Kuna buƙatar cire fata da kyau, kada ku matse wannan yanki, wannan aikin bai kamata ya haifar da ciwo ba kuma ya bar burbushi akan fatar, har ma da ƙananan. Idan kun matse fata, to allura zata shiga cikin tsoka, kuma an haramta wannan. Za'a iya ɗaure fatar da yatsu biyu - yatsa da goshin hannu, wasu marasa lafiya, don saukakawa, amfani da dukkan yatsunsu akan hannu.
Sanya sirinji da sauri, karkatar da allura a kwana ko a ko'ina. Kuna iya kwatanta wannan aikin tare da jefa dutsen. A kowane hali, kada a sa allura a hankali. Bayan danna kan sirinji, ba kwa buƙatar samun shi nan da nan, ya kamata ku jira 5 zuwa 10 seconds.
Ba abin da ake sarrafa shafin allurar ba ta kowane abu. Don kasancewa a shirye don allura, insulin, saboda irin wannan buƙatar na iya tashi a kowane lokaci, zaku iya yin ƙarawa don ƙara sodium chloride, a cikin mutane gama gari - saline, ba fiye da raka'a 5 ba.
Zaɓin sirinji kuma yana taka muhimmiyar rawa a cikin ingancin allura. Zai fi kyau bayar da fifiko ga sirinji tare da madaidaicin allura. Ita ce ta ba da tabbacin cikakken kyakkyawan maganin.
Yakamata mai haƙuri ya tuna, idan aƙalla mafi ƙarancin ciwo na faruwa yayin allura, to ba a lura da dabarar sarrafa insulin ba.
Yadda ake kiran lamba
Wannan kuma ba komai bane mai rikitarwa. An yi bayanin wannan hanyar a hankali don guje wa kumfa da ke shiga cikin sirinji. Tabbas wannan ba mai ban tsoro bane, amma yana iya ɗan dagula hoton asibiti bayan allurar insulin, wanda yake da matukar mahimmanci yayin ɗauka cikin ƙananan allurai. Don haka yana da daraja ɗaukar ka'idodi don ɗaukar magani da mahimmanci.
An ba da wannan doka don insulin a bayyane, ba tare da abun ciki na protamine na tsaka tsaki ba - anan insulin yana da hadari kuma yana da halayyar hazo. Idan insulin daskararre yana da hadari, to ya kamata a musanya shi, ya lalace.
Da farko, kuna buƙatar cire duk matakan kariya daga sirinji. Sannan kuna buƙatar jan piston zuwa rukunin da kuka shirya tattara insulin, zaku iya raka'a 10 more. Sannan sai a ɗauki kwalban magani sai a huɗa murfin roba tare da allura a tsakiyar.
Mataki na gaba shine matse kwalban 180 da kuma gabatar da iska daga sirinji. Wannan ya zama dole don ƙirƙirar matsin da ake so a cikin kwalbar, wannan hanyar zata sauƙaƙe tarin magunguna. An matse piston na sirinji zuwa ƙarshen. Duk wannan lokacin, matsayin vial tare da sirinji ba ya canzawa har sai haƙuri har ya kai matakin da ake so.
Ga masu ciwon sukari waɗanda ke yin allurar insulin kamar NPH (protafan), ƙa'idojin iri ɗaya ne, kawai da farko kuna buƙatar yin amfani da magudi ɗaya. Tun da wannan magani yana da halayyar halayyar mutum, yana girgiza sosai kafin amfani dashi. Kada kuji tsoron girgiza shi ba lallai bane, kuna buƙatar cimma daidaitaccen rarraba laka a cikin ruwa kuma kawai bayan hakan yaci gaba da tarin insulin.
Matakan da zasu biyo baya don tarin NPH - insulin cikin sirinji ya kasance iri ɗaya da na gaskiya. Ta tattarawa, zamu iya bambance manyan ayyukan:
- girgiza kwalban (don NPH - insulin);
- dauki iska da yawa a cikin sirinji kamar yadda ake buƙatar insulin don allura;
- saka allura a cikin rukunin roba daga cikin kwalbar sannan a juya shi digiri 180;
- saki iska a cikin sirinji a cikin murfin;
- tattara adadin magungunan da suka dace ba tare da canza matsayin vial ba;
- fitar da sirinji, adana sauran insulin a zazzabi 2 - 8 C.
Iri daban-daban na allurar insulin
Yawancin masu ciwon sukari an wajabta su don gudanarwa, nau'ikan insulin - ultrashort, gajere, tsawaita. Kada kuji tsoron wani yanayi yayin da kuke buƙatar allurar har ma da nau'ikan magani. Babban ƙa'idar ita ce: na farko, ana gudanar da insulin mafi sauri. Tsarin shine kamar haka:
- ultrashort;
- gajere
- tsawaita.
Lokacin da Lantus (ɗayan nau'in nau'in insulin naɗaɗɗa) an wajabta shi ga mai haƙuri, to, cirewa daga kwalbar ana yin shi ne kawai da sabon sirinji. Idan koda karamin sashin insulin din ya shiga cikin murfin, to Lantus zai rasa wani muhimmin sashi na ingancinsa kuma ba zai yuwu ba hango hasashen tasirinsa a cikin sukarin jini.
Insulin ya fita daga allurar
Hakanan yana faruwa cewa a cikin haƙuri wani ɓangaren insulin yana gudana daga wurin allura. Tambayar ta taso - shin yana da kyau ayi amfani da wani sabon abu ko ka iyakance kanka ga samun nasarar shiga cikin kiba.
Amsar da ba ta dace ba ita ce ba kwa buƙatar shigar da wani abu. Mai haƙuri kawai yana buƙatar yin rubutu a cikin kundin tarihinsa, wanda zaiyi bayanin ɗan tsalle cikin sukarin jini. To, yaya za ku fahimta - cewa magani a ɗan bai shiga jiki ba?
Don wannan, nan da nan bayan cire allura daga wurin allura, ana amfani da yatsa a wannan wurin kuma an riƙe shi cikin wannan matsayi na 5 seconds. Idan bayan wannan akwai warin halayyar abin hana daukar ciki a yatsa, kuma za a ji wannan nan da nan, to, a hankali insulin ya tashi.
Dokoki masu mahimmanci
Akwai ƙa'idodi masu yawa da yawa, rashin kiyaye abin da ke haifar da mummunan sakamako ga rayuwar masu ciwon sukari. An gabatar dasu a kasa:
- Kada kuyi amfani da wurin allura da barasa da kowane maganin maye;
- ana yin allura ne kawai don lalata nama;
- kada kuyi amfani da mafita idan ta fara gajimare (ba ta amfani da protophan, shi ma NPH - insulin) - wannan yana nuna asarar kayan aikinta;
- bayan sarrafa magani, sirinji ya zauna a cikin tso adi nama na 5 zuwa 10 seconds;
- ba za ku iya haɗa nau'ikan insulins daban-daban ba, ko dai a cikin murfin bugun ciki ko a cikin sirinji;
- idan bayan allura, insulin ya yi yaduwa, ba kwa buƙatar sake yin takaddar;
- Kar a sake amfani da allurar sirinji wacce za'a iya aikawa.
Lastarshe na ƙarshe mafi yawan lokuta ana cutar da masu ciwon sukari, saboda farashin sirinji, kodayake ba shi da mahimmanci, yana da tabbas sosai, musamman idan yawan injections ya kai sau 5 a rana. Amma yana da kyau kashe kuɗi sama da lalata magani. Kuma a nan shi ne dalilin.
Duk wannan saboda gaskiyar cewa karamin adadin insulin na iya kasancewa a cikin allura. Lokacin hulɗa da iska, yakan fashe da kuka. Wannan matakin ana kiransa polymerization.
Game da shan magani ta amfani da allura da aka riga aka yi amfani dashi, lu'ulu'u insulin zai iya shiga cikin murfin. Sakamakon wannan, polymerization yana faruwa, kuma sauran abin da ya rage gaba ɗaya yana asarar kayan aikinsa. Idan vial tare da insulin girgije mai magani ne wanda ya lalace kuma baza'a iya ɗaukarsa ba saboda cikakken rashin ƙarfi.
Don haka ya kamata ku bi algorithm don subcutaneous management na insulin don kare lafiyar mai haƙuri kuma ku guji jin zafi.
