Ta yaya da kuma inda za a saka allurar insulin

Ba wai kawai ingancin ya dogara da halayen daidai na masu ciwon sukari ba, a zahiri, rayuwar mai haƙuri da kanta. Harkokin insulin ya dogara ne akan koyar da kowane marassa lafiya tsarin aiki da amfanin su a cikin yanayi na yau da kullun. A cewar masana na Hukumar Lafiya ta Duniya, mai ciwon sukari shine likitan nasa. Kwararren likitancin endocrinologist yana lura da jiyya, kuma an sanya hanyoyin zuwa ga mai haƙuri. Ofayan mahimman abubuwa a cikin kula da cututtukan cututtukan ƙwayar cuta na mahaifa shine tambayar inda za a saka insulin.

Babban matsala

Mafi sau da yawa, matasa suna kan aikin insulin, ciki har da yara kanana masu fama da ciwon sukari na 1. Bayan lokaci, suna koyon ƙwarewar sarrafa kayan injection da mahimmancin ilimin game da madaidaitan aikin, ya cancanci cancantar da likitan mata.

Matan da ke da juna biyu masu rauni tare da cututtukan cututtukan ƙwayar cutar jiki an sanya su su kasance cikin shirin insulin don wani lokaci. Hyperglycemia na wucin gadi, magani wanda yana buƙatar hormone na yanayin furotin, na iya faruwa a cikin mutane tare da wasu cututtukan endocrine na kullum a ƙarƙashin tasirin matsananciyar damuwa, kamuwa da cuta mai ƙuna.

A cikin ciwon sukari na mellitus na nau'in na biyu, marasa lafiya suna shan kwayoyi a baki (ta bakin). Rashin daidaituwa a cikin sukari na jini da kuma lalatawar cikin lafiyar mutum mai haƙuri (bayan shekaru 45) na iya faruwa sakamakon mummunan cin abinci mai ƙeta da ƙin yarda da shawarar likitan. Rashin raunin glucose na jini na iya haifar da matakin dogaro da insulin daga cutar.

Jinkirta tare da sauyawa daga mara lafiya zuwa insulin far, sau da yawa akan fannoni na hankali, yana taimakawa hanzarta fadada matsalar rikice-rikice

Yankin don allura dole ne ya canza saboda:

• rashi yawan shan insulin ya bambanta;
• yawan amfani da wuri guda akan jiki zai iya haifar da lipodystrophy na gida (ɓacewar ɗakin mai a cikin fata);
• da yawa injections na iya tara.

Cikakken subcutaneously "a cikin ajiyar" insulin na iya bayyana kwatsam, don kwanaki 2-3 bayan gudanarwa. Mahimmancin ƙananan ƙwayar jini, haifar da harin hypoglycemia. A lokaci guda, mutum ya sami gumi mai sanyi, jin yunwar, hannayensa kuma suna rawar jiki. Ana iya dakatar da halayensa ko, a taqaice, m. Kwayar cutar hypoglycemia na iya faruwa a cikin mutane daban-daban tare da ƙimar glucose na jini a cikin kewayon 2.0-5.5 mmol / L.

A cikin irin waɗannan yanayi, ya zama dole a hanzarta ƙara yawan sukari don hana farkon hauhawar ƙwayar cuta. Da farko ya kamata ku sha ruwa mai zaki (shayi, lemun tsami, ruwan 'ya'yan itace) waɗanda basu da kayan zaki (misali, aspartame, xylitol). Don haka ku ci abinci na carbohydrate (sandwich, kukis tare da madara).

Ziyaye don yin allura a jikin mai haƙuri

Tasirin magungunan hormonal a jiki ya dogara da wurin gabatarwar sa. Ana yin allurar da wakilin sakin jiki na wani nau'ikan rawar daban a cikin ba daya bane kuma wuri daya ne. Don haka ina zan iya yin shirye-shiryen insulin?

Abin amfani da insulin Pen

• Yankin farko shine ciki: tare da kugu, tare da sauyawa zuwa baya, zuwa dama da hagu na cibiya. Yana ɗaukar har zuwa 90% na kashi na sarrafawa. Halin hali shine bayyananne game da aikin miyagun ƙwayoyi, bayan mintuna 15-30. Ganiya yakan faru ne bayan awa 1. Yin allura a wannan yanki shine mafi hankalin. Masu ciwon sukari suna lalata gajeren insulin a cikin ciki bayan sun ci abinci. "Don rage alamar jin zafi, farashi a cikin manyan sassan biyu, mafi kusa ga bangarorin," - irin wannan shawara yawancin lokaci ana ba da ta hanyar endocrinologists ga masu haƙuri. Bayan mai haƙuri na iya fara ci ko ma yin allura tare da abinci, kai tsaye bayan abincin.
• Bangare na biyu hannaye ne: sashen waje na reshe na sama daga kafada zuwa gwiwar hannu. Yin allura a wannan yanki yana da fa'ida - shine mafi yawan jin zafi. Amma ba shi da wahala ga mara lafiyar ya yi allura a hannunsa tare da sirinjin insulin. Akwai hanyoyi guda biyu daga wannan halin: shigar allurar insulin tare da alƙalami mai kaɗa ko koyar da ƙaunatattun abubuwa don bayar da allura ga masu ciwon sukari.
• Bangare na uku sune kafafu: cinya na waje daga inguinal zuwa gwiwa gwiwa. Daga bangarorin dake jikin gabobin jikin mutum, ana amfani da insulin har zuwa kashi 75% na abubuwan da ake sarrafawa kuma yana fitowa a hankali. Farawar aiki yana cikin awanni 1.0-1.5. Ana amfani dasu don allura tare da magani, tsawaita (tsawaita, tsawaita cikin lokaci) aikin.
• Yanki na huɗu shine ruwan wukake na kafada: wanda yake a bayan baya, ƙarƙashin kashi ɗaya. Adadin buɗewar insulin a wani wuri da yawan adadin sha (30%) sune mafi ƙasƙanci. Consideredaƙƙarfan kafada ana ɗauka wani wuri ne mara amfani don allurar insulin.

Bangarori huɗu a jikin mai haƙuri don allurar shirye-shiryen insulin

Mafi kyawun maki tare da matsakaicin aiki shine yankin mai wari (a nesa da yatsunsu biyu). Ba shi yiwuwa a tsayar da kullun a cikin "wurare masu kyau". Nisa tsakanin injection na ƙarshe da na gaba ya zama aƙalla 3 cm .. An sake maimaita allura a matakin da ya gabata bayan kwana 2-3.

Idan ka bi shawarwari don tsawan “gajere” a ciki, da “tsawo” a cinya ko hannu, to mai ciwon sukari dole yayi allura 2 a lokaci daya. Marasa lafiya masu ra'ayin mazan jiya sun gwammace yin amfani da cakuda insulins (Novoropid mix, Humalog mix) ko kuma a haɗa nau'ikan guda biyu a cikin sirinji kuma suna yin allura guda ɗaya a kowane wuri. Ba duk izinin insulins ba ne da damar haɗuwa da juna. Zasu iya zama ɗan gajeren lokaci da tsaka-tsakin mataki.

Maganin allura

Masu ciwon sukari suna koyon dabarun tsari a cikin aji a makarantu na musamman, wanda aka shirya akan sassan sassan ilimin endocrinology. Yaran kanana ko marasa karfi marasa lafiya ana allurar dasu da masoyan su.

Babban ayyukan mai haƙuri sune:

1. A cikin shirya yankin fata. Wurin allurar ya zama mai tsabta. Shafa, musamman rub, fata ba ya buƙatar barasa. Alcohol an san shi da lalata insulin. Ya isa a wanke wani ɓangare na jiki da ruwan dumi mai soapy ko shawa (wanka) sau ɗaya a rana.
2. Shirya insulin (alkalami, sirinji, vial). Dole ne ayi maganin a hannunka tsawon 30 na seconds. Zai fi kyau gabatar da shi gauraye da kyau. Kira da tabbatar da ingancin maganin.
3. Yin aikin allura. Ta hannunka na hagu, yi ɗan fatar ka saka allura a cikin gindinta a wani kusurwa na digiri 45 ko zuwa saman, riƙe sirinji a tsaye. Bayan saukar da magani, jiraka seconds 5-7. Kuna iya kirgawa zuwa 10.

Abun lura da abin mamaki yayin allura

Ainihin, abin da mai haƙuri ya fuskanta da allura ana ɗauka alamun bayyananniyar. Kowane mutum yana da bakin kofa na jin zafi.

Akwai abubuwan lura da abubuwan jin hankali gaba daya:

• babu wata 'yar alamar zafin, wanda ke nufin cewa an yi amfani da allura mai kaifi sosai, kuma bai shiga cikin ƙoshin jijiya ba;
• m zafi na iya faruwa idan shigarwar cikin jijiya ta faru;
• bayyanar da digo na jini na nuni da lalacewar gawar (karamin jirgin ruwa);
• bruze shine sakamakon allura mai kauri.

Farashi a wurin da bruise ya bayyana kada ya kasance har sai an gyara shi gabaɗaya.

Allura a cikin almalin sirinji yana da bakin ciki fiye da sirinjin insulin, to kusan ba ya cutar da fata. Ga wasu marassa lafiya, amfanin abin da ake so shine wanda aka fi dacewa saboda dalilai na tunani: wani yanki ne mai zaman kansa, wanda ake iya gani da shi. Hypoglycemic da aka gudanar zai iya shiga cikin jirgin jini kawai ba, har ma a karkashin fata da tsoka. Don gujewa wannan, ya zama dole tattara tarin fatar kamar yadda aka nuna a hoto.

Nau'in zafin jiki (ɗumi mai ɗumi), tausa (bugun haske) na wurin allura na iya hanzarta aikin insulin. Kafin amfani da maganin, mai haƙuri dole ne ya tabbatar da rayuwar rayuwar shiryayye, dubawa da yanayin ajiya na samfurin. Maganin ciwon sukari bai kamata ya daskarewa ba. Ana iya adanar shi a cikin firiji a zazzabi na +2 zuwa +8 digiri Celsius. Kwalban da ake amfani dashi a yanzu, alkalami na syringe (wanda za'a iya saka shi ko kuma an ɗora shi da hannun riga na insulin) ya isa ya kiyaye a zafin jiki.