Tare da wata cuta kamar su ciwon sukari, duk hanyoyin rayuwa a cikin jiki suna rikicewa sakamakon hanawar aikin insulin. A wannan yanayin, mutum yana farawa da nau'in ciwon sukari na 1. Idan ba a wajabta mai haƙuri da magani ba, to sai ya haɓaka masu ciwon suga na biyu, wanda ƙwaƙwalwar ƙwayar jikin mutum zuwa insulin ta ɓace.
Irin waɗannan ayyukan a cikin jiki na iya faruwa saboda ɓarna da ƙwayar ƙwayar cuta ta ƙwayar cuta, a cikin sel wanda aka samar da insulin.
Jiyya don ciwon sukari mai dogaro da insulin (nau'in 1) ya danganta ne da samarwar hormone na yau da kullun daga waje. Wannan ya wajaba don tabbatar da aiki na al'ada na haƙuri. A cikin ciwon sukari na mellitus na nau'in na biyu, insulin ba koyaushe ba dole bane, tunda pancreas na iya samar da kansa hormone.
A kowane hali, mai haƙuri da wannan cutar yakamata ya kasance yana da insulin a koyaushe don gudanar da aikin insulin idan ya cancanta.
A halin yanzu, akwai wasu na'urori daban-daban don gudanar da magani a kasuwa, ciki har da sirinji na musamman, almakunan sirinji, famfunan insulin, kamfanoni daban-daban waɗanda ke da farashi iri daban-daban. Domin kada ya cutar da jiki, dole ne mai haƙuri ya iya zama daidai kuma ba tare da jin zafi ba don bayar da allura.
Babban nau'ikan sirinji na insulin
Akwai nau'ikan sirinji masu zuwa:
- Syringes tare da allura mai cirewa, wanda za'a iya canzawa yayin ɗaukar miyagun ƙwayoyi daga kwalbar kuma gabatar da shi ga mai haƙuri.
- Syringes tare da allurar da aka gina a ciki wanda ke kawar da kasancewar wani “matattara”, wanda ke rage yiwuwar asarar insulin.
Yadda za a zabi sirinji
Dukkanin abubuwan insulin na cikin jiki an tsara su ne don biyan bukatun masu fama da ciwon sukari. Dole ne a samar da na'urori a sarari ta yadda za a iya sarrafa sarrafa magungunan, kuma an yi piston don a aiwatar da allurar ta yadda ya kamata, ba tare da kaifi mai kaifi ba kuma hakan ba zai haifar da ciwo ba.
Lokacin zabar sirinji, da farko, ya kamata koyaushe ku kula da sikelin da ake amfani da samfurin, ana kiranta farashin. Babban ma'aunin haƙuri shine farashin rarrabuwa (mataki na sikelin).
An ƙaddara ta da bambanci tsakanin dabi'u tsakanin alamun lambobi biyu. A saukake, mataki na sikelin yana nuna ƙaramar ƙarar bayani wanda za'a iya buga shi cikin sirinji tare da daidaituwa sosai.
Rarraba sirinji insulin
Bukatar sanin cewa yawanci kuskuren dukkan sirinji shine rabin farashin rarraba sikelin. Wato, idan mai haƙuri ya saka allura tare da sirinji a cikin adadin raka'a 2, to, zai karɓi kashi na insulin daidai da ƙara ko a raka'a 1.
Idan mutumin da ke da nau'in ciwon sukari na 1 ba shi da kiba kuma nauyin jikinsa ya zama al'ada, to kashi ɗaya na insulin gajeran aiki zai haifar da raguwar matakin glucose kusan 8.3 mmol / lita. Idan an ba da allura ga yaro, to, ƙarancin sukari zai zama da ƙarfi kuma kuna buƙatar sanin idan sukarin jini ya zama al'ada to menene matakin ya ragu, don kada ku rage shi da yawa.
Wannan misalin yana nuna cewa marasa lafiya da masu ciwon sukari ya kamata su tuna koyaushe cewa har ma da ƙaramin kuskuren sirinji, alal misali raka'a 0.25 na insulin na gajeren lokaci, ba wai kawai ba za a iya daidaita yawan ƙwayar jini ba, amma a wasu yanayi har ma suna haifar da hypoglycemia, don haka farashin ya yana da mahimmanci.
Domin allurar ta kasance mafi ƙwarewa, kuna buƙatar amfani da sirinji tare da ƙananan rabo, kuma, sabili da haka, tare da ƙaramin kuskure. Kuma zaka iya amfani da wata dabara kamar dilice na miyagun ƙwayoyi.
Abin da ya kamata ya zama sirinji mai kyau don gudanar da insulin
Mafi mahimmanci, ƙarar na'urar ya kamata ya zama bai zama ƙasa da raka'a 10 ba, kuma ya kamata a yiwa sikelin alama don farashin rarrabuwa ya kasance raka'a 0.25. A lokaci guda, farashin akan sikelin yakamata ya kasance ya isa nesa da juna saboda ba wuya ga mai haƙuri ya ƙayyade adadin maganin da ake buƙata. Wannan yana da mahimmanci musamman ga mutanen da ke da rauni na gani.
Abin takaici, masana'antun magunguna galibi suna ba da sirinji don gudanar da insulin wanda farashin shi rabe biyu. Amma har yanzu, wani lokacin akwai samfuran samfuri tare da matakan sikelin na 1 naúrar, kuma akan wasu, ana amfani da kowane raka'a 0.25.
Yadda za a yi amfani da alkairin sirinji
Yawancin likitoci sun yarda cewa yin amfani da sirinji tare da madaidaicin allura shine mafi kyau duka ga marasa lafiya da ke fama da cutar sankarar bargo, saboda ba su da yankin da “ya mutu”, wanda ke nufin cewa ba za a rasa asarar magani ba kuma mutum zai karɓi duk kashin da ake buƙata na hormone. Bugu da ƙari, irin waɗannan sirinji suna haifar da ƙarancin ciwo.
Wasu mutane suna amfani da irin wannan sirinji ba sau ɗaya ba, kamar yadda ya kamata, amma da yawa. Tabbas, idan ka bi duk ka'idodin tsabtace tsabta kuma a hankali sanya sirinji bayan allura, to sake amfani da shi ya halatta.
Amma ya kamata a tuna cewa bayan allura da yawa tare da samfurin iri ɗaya, mai haƙuri zai fara jin zafi a wurin allurar, saboda allurar ta zama maras nauyi. Sabili da haka, ya fi dacewa ana amfani da almara guda ɗaya a kalla sau biyu.
Kafin tattara maganin daga murfin, ya zama dole a goge abin ɓoye da abin sha, kuma abubuwan da ke cikin ba za su girgiza ba. Wannan ƙa'idar ta shafi insulin aiki na gajeriyar hanya. Idan mai haƙuri yana buƙatar bayar da magunguna na sakewa na dogon lokaci, to, akasin haka, kwalban dole ne ya girgiza, saboda irin wannan insulin shine dakatarwa wanda dole ne a haɗe shi kafin amfani dashi.
Kafin shiga cikin sirinji na maganin da ake buƙata, kana buƙatar jan piston zuwa alamar akan sikelin wanda ke ƙaddara adadin daidai, kuma ka huɗa abinɗar kwalbar. Sannan kuna buƙatar latsa kan piston don barin iska a cikin kwalbar. Bayan wannan, murfin da ke cikin syringe dole ne a jujjuya shi kuma mafita ta zazzage ta hanyar da ta wuce abin da ake buƙata ya wuce cikin sirinji abu.
Akwai ƙarin ƙari: yana da kyau a soki abin toshe kwalaba a cikin kwalbar da allura mai kauri, sannan a sa allurar da kanta da bakin ciki (insulin).
Idan iska ta shiga cikin sirinji, kuna buƙatar taɓa samfurin ta yatsarku kuma matsi fitar da ƙwanan iska da fistin.
Baya ga ka'idodi na asali don amfani da sirinji na insulin, akwai wasu ƙarin abubuwa waɗanda ke faruwa sakamakon buƙatar haɗin haɗi daban-daban yayin gudanar da isasshen ilimin insulin:
- A cikin sirinji, koyaushe kuna buƙatar kiran lambar insulin na ɗan gajeren lokaci, sannan kuma ya fi tsayi.
- Ya kamata a gudanar da gajeren insulin da shiri na matsakaici kai tsaye bayan hadawa, za'a iya ajiye su na ɗan gajeren lokaci.
- Bai kamata insulin da insulin na matsakaiciyar matsakaici tare da tsawan insulin wanda ya ƙunshi dakatarwar zinc. Domin in ba haka ba, canza dogon magani zuwa gajima na iya faruwa, kuma wannan zai haifar da sakamako wanda ba a tsammani.
- Ba za a taɓa haɗa waɗannan insulins Glargin da Detemir ba tare da sauran nau'in magani ba.
- Ya kamata a goge wurin da allurar ta da ruwan dumi mai ɗauke da kayan wanka, ko kuma maganin ƙwari. Zaɓin farko shine mafi dacewa ga waɗancan mutanen da ke da ciwon sukari waɗanda ke da fata mai bushe. A wannan yanayin, barasa zai bushe shi sosai.
- Lokacin yin allura, ya kamata a saka allura koyaushe a wani kusurwa na 45 ko digiri 75 domin insulin ba ya shiga cikin ƙwayar tsoka, amma a ƙarƙashin fata. Bayan allura, kuna buƙatar jira 10 seconds don maganin ya cika, kuma kawai sai a fitar da allurar.
Mene ne sirinji na insulin - alkalami
Alƙalin sirinji don insulin wani nau'in sirinji ne na musamman don gudanar da magani wanda ake shigar da katako na musamman da ke ɗauke da ƙwayar jijiya. Alƙalin sirinji yana ba wa marasa lafiya masu ciwon sukari damar ɗaukar kwalaben homon da sirinji tare da su.
Kyakkyawan kaddarorin na sirinji alkalami:
- ana iya saita kashi na insulin dangane da farashin naúra 1;
- abin rikewa yana da babban hannun riga, wanda yake bashi damar canza shi da wuya;
- Ana yin insulin sosai fiye da yadda yake tare da sirinji na al'ada;
- allurar ba shi yiwuwa da azumi;
- akwai samfuran alkalami wanda zaku iya amfani da nau'ikan insulin daban-daban;
- da allura a cikin almalin sirinji a koyaushe ya zama na bakin ciki fiye da na sirinji mafi kyau;
- akwai wata dama ta saka allura ko'ina, marassa lafiya baya buƙatar cire rigar, don haka babu matsalolin da ba dole ba.
Daban-daban na allura don sirinji da alkalami, fasali na zaɓi
Babban mahimmanci ga marasa lafiya da ciwon sukari ba kawai farashin rarrabewar sirinji ba ne, har ma da kaifin allura, saboda wannan yana ƙayyade motsin raɗaɗin raɗaɗi da ƙaddamar da magunguna daidai cikin ƙwayar subcutaneous.
A yau, ana samar da allura mai kauri daban-daban, wanda ke ba da damar samar da allurar daidai daidai ba tare da haɗarin shiga ƙwayar tsoka ba. In ba haka ba, canji a cikin sukari na jini na iya zama wanda ba'a iya faɗi ba.
Zai fi kyau a yi amfani da allura suna da tsawon mil 4 zuwa 8, saboda suma sun fi bakin ciki fiye da allurai na al'ada don gudanar da insulin. Matsakaitan allura suna da kauri na 0.33 mm, kuma don irin waɗannan allura shine diamita 0.23 mm. A zahiri, bakin ciki da allura, da mafi m allura. iri ɗaya ke faruwa don sirinjin insulin.
Sharuɗɗa don zaɓar allura don allurar insulin:
- Ga tsofaffi masu ciwon sukari da kiba, allura tare da tsawon mm mm 4-6 sun dace.
- Don farawa na insulin, yana da kyau a zaɓi gajeren allurai zuwa 4 millimita.
- Ga yara, har ma da matasa, allurai 4 zuwa 5 mm tsayi sun dace.
- Wajibi ne a zabi allura ba kawai tsayin tsayi ba, amma kuma diamita, tunda ƙarami ne, ƙarancin azaba zai zama.
Kamar yadda aka ambata a sama, sau da yawa marasa lafiya masu ciwon sukari suna amfani da guda allurar don injections akai-akai. Babban ramin wannan aikace-aikacen shine microtraumas ya bayyana akan fatar da ba a ganuwa ga ido tsirara. Irin waɗannan ƙananan ƙwayoyin cuta suna haifar da keta alfarma na fata, hatimi na iya bayyana akan sa, wanda a nan gaba zai haifar da matsaloli daban-daban. Bugu da ƙari, idan aka sake shigar da insulin a cikin irin waɗannan yankuna, zai iya yin halayen gabaɗaya wanda ba zai iya faɗi ba, wanda zai haifar da hawa da sauka a matakan glucose.
Lokacin amfani da almarar sirinji, irin waɗannan matsalolin kuma zasu iya faruwa idan mai haƙuri ya sake amfani da allura ɗaya. Kowane allurar da aka maimaita a cikin wannan yanayin yana haifar da karuwa a cikin adadin iska a tsakanin kabad din da waje na waje, kuma wannan yana haifar da asarar insulin da asarar kaddarorin warkarwa a lokacin yaduwa.