Yadda za a magance (isar da) insulin ga masu ciwon sukari

Don kiyaye ingantaccen sukari a cikin iyakoki na al'ada tare da taimakon insulin, ikon ƙididdige yawan daidai bai isa ba. Yana da mahimmanci a allurar insulin daidai: zaɓi kuma cika sirinji, samar da zurfin da ake so allura kuma a tabbata cewa allurar da take ciki ta kasance a cikin kyallen da aiki akan lokaci.

Tare da kyakkyawar fasaha na gudanarwa, maganin insulin zai iya zama mara jin zafi kuma rage rayuwar mai haƙuri. Wannan yana da mahimmanci musamman ga mutanen da ke da nau'in ciwon sukari na 2 na dogon lokaci, waɗanda, saboda tsoron allura, suna ƙoƙarin ƙoƙarinsu don jinkirta fara amfani da insulin. Tare da nau'in cuta ta 1, madaidaiciyar gudanar da maganin shine farkon abin da ake buƙata don isasshen diyya don ciwon sukari, sukari mai tsayayyar jini da kuma lafiyar haƙuri.

Me yasa dacewar insulin ya zama dole

Wararren injection insulin na baka damar samar da:

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

• Normalization na sukari -95%
• Cirewa kan jijiyoyin mara wuya - 70%
• Cire zuciyar mai karfin zuciya -90%
• Rabu da cutar hawan jini - 92%
• Increasearuwar kuzarin rana, inganta bacci da dare -97%

• matsakaicin (kusan 90%) da kuma shan lokacin magani a cikin jini.
• rage yiwuwar hauhawar jini.
• rashin jin zafi.
• kadan rauni a cikin fata da kuma subcutaneous mai.
• babu hematomas bayan injections.
• raguwa a cikin hadarin lipohypertrophy - haɓakar nama mai rauni a wuraren lalacewa akai-akai.
• rage tsoro na injections, tsoro ko damuwa na hankali kafin kowane allura.

Babban ma'aunin ingantaccen tsarin insulin shine sukari na al'ada bayan farkawa kuma yayin rana 'yan sa'o'i bayan cin abinci.

Daidai ne, masu ciwon sukari tare da kowane irin nau'in rashin lafiya ya kamata su iya yin allurar insulin, ba tare da la’akari da dalilin maganin insulin ba, har ma da danginsu da dangin su. Tare da nau'in ciwon sukari na 2, tsalle-tsalle na kwatsam a cikin sukari yana yiwuwa saboda raunin da ya faru, matsananciyar damuwa, cututtuka tare da kumburi. A wasu yanayi, cutar hawan jini na iya haifar da rikicewar damuwa na rayuwa, har zuwa coma (karanta game da cutar rashin lafiyar hyperglycemic). A wannan yanayin, allurar insulin ita ce hanya mafi kyau don kula da lafiyar mai haƙuri.

Wanne makirci ya zaɓa

Zaɓin tsarin makircin wanda ya zama dole don allurar insulin a cikin ciwon sukari mellitus yana gudana ne ta hanyar halartar likitan halartar. Kafin rubuta magani, ya kimanta matakin cutar, kasancewar rikice-rikice, halayen tunanin mai haƙuri, yiwuwar horarwarsa, yardarsa don yin ƙoƙari don sarrafa ciwon sukari.

Al'adun gargajiya

Tsarin maganin insulin na gargajiya shine mafi sauki. Dole ne a yi allura sau 2 kawai a rana, don auna sukari, har ma da hakan. Sauƙaƙan wannan tsari na maganin insulin, Abin takaici, ya juye da ƙarancin ƙarfinsa. Ana kiyaye mafi yawan sukari a cikin marasa lafiya a 8 mmol / L, don haka a cikin shekarun da suka gabata sun tara rikice-rikice na ciwon sukari - matsaloli tare da tasoshin da tsarin juyayi. Kowace abincin da ke da wadataccen carbohydrate a kan tebur yana juya zuwa wani karye a cikin glucose. Don rage sukari, masu ciwon sukari a cikin tsarin al'ada dole ne su rage yawan abincinsu, don tabbatar da daidaituwa da rarrabuwa da abinci mai gina jiki, kamar yadda marasa lafiya masu nau'in ciwon sukari na biyu suke yi.

M

Tsarin insulin na tazara ya ƙunshi ƙarancin inje 5 a kowace rana. Biyu daga cikinsu insulin ne mai tsawo, 3 gajere ne. Dole sai an auna sukari da safe, kafin abinci kuma a shirye don lokacin kwanciya. Kowane lokaci kuna buƙatar sake lissafa adadin raka'a yau da kullun, insulin azumi yana buƙatar saka allurar. Amma akwai kusan babu ƙuntatawa na abinci a cikin wannan tsarin insulin na jijiya: zaku iya yin komai, babban abu shine ku lissafa abubuwan da ke cikin carbohydrate a cikin kwano kuma ku yi allurar farko na adadin insulin ɗin da ake buƙata.

Ba za a buƙaci kwarewar lissafi na musamman don wannan ba, don yin lissafin adadin insulin da ake buƙata, ilimin a matakin makarantar firamare ya isa. Don kullun daidai allurar cikin insulin, mako guda na horo ya isa. Yanzu babban shiri mai daukar hankali shine mafi girman cigaba da tasiri, amfaninsa yana samar da mafi karancin rikitarwa da matsakaicin rayuwa ga marasa lafiya da masu cutar siga.

A ina zan iya yin allurar insulin don masu ciwon sukari?

Kuna buƙatar allurar insulin a ƙarƙashin fata, cikin nama adipose. Don haka, wuraren da injections ɗin da ya fi kyau yakamata su kasance tare da ƙoshin mai mai cikin ƙasa:

1. Abun ciki shine yanki daga ƙananan hakarkarin har zuwa makwancin gwaiwa, gami da bangarorin tare da ƙaramin kusanci zuwa bayan, inda yawanci kitse yake. Ba za ku iya yin allurar insulin a cikin cibiya ba kuma ta fi kusan 3 cm zuwa gare ta.
2. Buttocks - quadrant a ƙarƙashin ƙananan baya kusa da gefen.
3. Hips - Gaban cinya daga tsintsiya zuwa tsakiyar cinya.
4. Sashin waje na kafada yana daga gwiwar hannu har zuwa hadin gwiwa kafada. A wannan yankin injections ana bada izinin kawai idan akwai isasshen ƙura mai a ciki.

Saurin sauri da cikar shan insulin daga sassan jiki daban daban. Cikin sauri kuma cikakke, hormone yana shiga jini daga kashin ciki na ciki. M - daga kafada, gindi, kuma musamman gaban cinya. Sabili da haka, allurar insulin a cikin ciki shine mafi kyau duka. Idan an rubuta mai haƙuri kawai insulin dogon, zai fi dacewa a allurar dashi a wannan yankin. Amma tare da tsarin kulawa mai zurfi, yana da kyau don adana ciki don gajeran insulin, tunda a wannan yanayin za a canza sukari zuwa nama nan da nan, kamar yadda yake shiga cikin jini. Don injections na dogon insulin a wannan yanayin, yana da kyau ayi amfani da kwatangwalo tare da gindi. Ultrashort insulin za'a iya allura a cikin kowane ɗayan waɗannan yankuna, tunda ba shi da bambance-bambance a cikin adadin sha daga wurare daban-daban. Idan allurar insulin a lokacin daukar ciki cikin ciki yana da wahala a tunanin mutum, a yarda tare da likita, zaku iya amfani da goshin ko cinya.

Yawan insulin shiga cikin jini zai karu idan an sanya wurin allurar cikin ruwan zafi ko a shafa kawai. Hakanan, shigar ciki na hormone yana da sauri a cikin wuraren da tsokoki suke aiki. Wuraren da za ayi allurar insulin a nan gaba bai kamata yayi zafi sosai kuma yana motsawa ba. Misali, idan kuna shirin tafiya mai zurfi akan doron ƙasa, zai fi kyau a allurar da maganin a cikin ciki, kuma idan kuna da niyyar fasa bututun - a cikin cinya. Daga kowane nau'in insulin, mafi haɗari shine ɗaukar hanzari na analogs na analogs na dogon lokaci; dumama wurin allura a wannan yanayin yana ƙara haɗarin haɗarin hypoglycemia.

Dole ne a riƙa yin amfani da wuraren allurar a koyaushe. Kuna iya sanya maganin a nesa na 2 cm daga wurin allurar da ta gabata. Allura ta biyu a cikin wuri guda mai yiwuwa ne bayan kwana 3 idan har ba a gano fata ba.

Koyo don saka insulin daidai

Gudanar da sinadarin insulin na kashin kansa wanda ba a son shi, tunda a wannan yanayin aikin kwayar ya kara tabarbarewa gaba daya, saboda haka, yiwuwar raguwar sukari mai karfi yana da girma. Zai yiwu a rage haɗarin insulin shiga cikin ƙwayar tsoka, maimakon tso adi nama, ta zaɓin sirinji na dama, wurin da dabarar allura.

Idan allurar sirinji tayi tsayi ko kuma kitsen mai bai wadatar ba, ana yin allura cikin fatar fatar: a hankali a matse fata tare da yatsu biyu, a sanya allurar a saman rufin, fitar da sirinji sannan kawai sai a cire yatsunsu. Yana yiwuwa a rage zurfin shigar azzakarin farji ta hanyar gabatar da shi a cikin 45% zuwa saman fata.

Ingantaccen tsawon allura da fasalin allura:

Zabin Syringe da kuma cika

Don gudanar da insulin, ana sakin sirinji insulin na musamman na musamman. Alluhun da ke cikinsu ya yi kauri, ana kaɗa shi ta musamman don haifar da ƙaramin ciwo Ana kula da tip tare da man shafawa na silicone don sauƙaƙe shigar cikin yadudduka fata. Don saukakawa, ana shirya layin karatun a kan gangar mai sirinji yana nuna ba mililiters amma raka'a insulin.

Yanzu zaku iya siyan nau'ikan sirinji guda 2 waɗanda aka tsara don dilution daban-daban na insulin - U40 da U100. Amma taro 40 na insulin a kowace ml kusan ba akan siyarwa bane. Matsakaicin taro na miyagun ƙwayoyi yanzu shine U100.

Don ingantaccen allura, nisan dake tsakanin layin kusa da karatun ya kamata ya zama kaɗan, har izuwa 1 na insulin. Mafi sau da yawa, waɗannan sune sirinji tare da ƙarar 0.5 ml. Magungunan da ke ɗauke da 1 ml ba su da daidaito - tsakanin haɗarin guda biyu, raka'a 2 na miyagun ƙwayoyi sun dace a cikin silinda, don haka ya fi wahalar tattara ainihin adadin.

Yanzu alkairin sirinji yana samun karuwa sosai. Waɗannan na'urori ne na musamman don allurar insulin, waɗanda suka dace don amfani a wajen gida. An kammala alkalami insulin tare da magani a cikin capsules da allurai da za'a iya zubar dashi. Abubuwan da suke cikin su sun fi guntu da bakin ciki fiye da yadda aka saba, saboda haka akwai karancin damar shiga cikin jijiya, kusan babu wani ciwo. Yankin insulin da za'a gudanar dashi tare da alkalami don ciwon suga an saita shi ta hanyar magini ta hanyar kunna zobe a karshen na'urar.

Yadda za a zana insulin cikin sirinji:

1. Duba ranar karewa na miyagun ƙwayoyi. A gani na ƙayyade ƙarewar insulin ta hanyar ƙwayar maganin. Duk magunguna, ban da NPH-insulin, yakamata a bayyane.
2. NPH-insulin (duk shirye-shiryen opaque) dole ne a zuga shi da farko har sai lokacin da aka sami daidaituwa - girgiza kwalbar kamar sau 20. Rashin insulin na fili ba ya buƙatar irin wannan shiri.
3. Buɗe murfin sirinji, cire maɓallin kariya.
4. Bayan fitar da sanda, don tara raka'a iska kamar yadda akayi shirin allurar.
5. Saka sirinji a cikin marubutan roba na kwalbar, cika silinda kaɗan da kudaden da ake buƙata.
6. Juya tsarin kuma a hankali a kan silinda domin kumfa iska ya fito daga shiri.
7. Matsi matsanancin insulin cikin murfin tare da iska.
8. Cire sirinji.

Ana shirin yin allura da alkalami:

1. Idan ya cancanta, haɗu da insulin, zaku iya kai tsaye a alƙalin sirinji.
2. Saki ofan saukad guda biyu don bincika amincin allura.
3. Saita kashi na miyagun ƙwayoyi tare da zobe.

Yin allura

Dabarar allura:

• theauki sirinji don kada allurar ta kasance saman;
• ninka fata;
• saka allura a kusurwar da ake so;
• allura duk insulin ta latsa matattaka mai tsayawa;
• jira 10 seconds;
• a hankali cire allurar sirinji;
• narke ɗakin;
• Idan kayi amfani da alkalami, murɗa allura kuma rufe alƙalami tare da hula.

Ba lallai ba ne don kula da fata kafin allurar, ya isa ya tsaftace shi. Yana da mahimmanci musamman kada kuyi amfani da barasa don sarrafawa, kamar yadda yake yana rage tasiri insulin.

Shin yana yiwuwa a gudanar da insulin daban-daban a lokaci guda

Idan kana buƙatar yin allura guda biyu na insulin, yawanci tsayi da gajeru ne, yana da kyau ayi amfani da sirinji daban-daban da wuraren allura. A akasin haka, insulins ɗan adam ne kaɗai za a iya haɗe cikin sirinji ɗaya: NPH da gajeru. Yawancin lokaci, likita yana ba da izinin gwamnati na lokaci guda idan mai haƙuri ya rage aikin narkewar abinci. Da farko, an jawo ɗan gajeren magani a cikin sirinji, sannan babba. Analogues na insulin ba zai iya hadewa ba, saboda wannan yana canza abubuwan da ba a sani ba.

Yadda za a bayar da allura ba mara jin zafi

Ainihin dabarar allurar zazzabin cizon sauro ce ke koyar da ita a ofis na endocrinologist. A matsayinka na mai mulkin, zasu iya tsayawa da sauri kuma ba tare da jin zafi ba. Kuna iya yin horo a gida. Don yin wannan, kuna buƙatar ɗaukar sirinji kamar Karin - tare da babban yatsa a gefe ɗaya na silinda, alƙaluma da na tsakiya - a ɗayan. Domin kada ku ji zafi, kuna buƙatar saka allura a ƙarƙashin fata da sauri. Don wannan, hanzarin sirinji yana farawa game da 10 cm a gaban fatar, ba kawai tsokoki na wuyan hannu ba, har ma hannu suna da alaƙa da motsi. A wannan yanayin, sirinji ba a sake shi daga hannun ba, suna lura da kusurwa da zurfin shigar azzakarin allura. Don horo, da farko yi amfani da sirinji tare da hula, sannan tare da raka'a 5 na ruwan gishiri.

Yin amfani da sirinji da za'a iya zubar dashi ko allura don insulin insulin yafi shafa fata da nama mai rauni. Tuni aikace-aikacen na biyu yafi jin zafi, tunda tip na allura ya rasa kaifinsa kuma an share lubricant din, yana samar da sauƙaƙewa cikin kyallen.

Idan insulin ya biyo baya

Za'a iya gano ragowar insulin ta warin halayyar phenolic daga wurin allura, wanda yayi kama da ƙanshi na gouache. Idan wani ɓangare na miyagun ƙwayoyi ya gudana, ba za ku iya yin allura ta biyu ba, tunda ba shi yiwuwa a tantance rashi insulin daidai, kuma sukari na iya faɗuwa ƙasa da al'ada. A wannan yanayin, dole ne ku sami daidaito tare da hyperglycemia na wucin gadi kuma ku gyara shi tare da allura ta gaba, tabbatar da gwada sukari jini da farko.

Don hana insulin daga fitowa daga cikin fata, tabbatar tabbatar da tazara ta-10 kafin cire allura. Kadan zai iya zubawa idan ka harka allurar a kwana na 45 ko 60 °.