Alkalithm na insulin Dose

Ciwon sukari mellitus wata cuta ce wacce ake ƙaddara cikakken ko rashin isasshen ƙwayar halittar jini a jikin ɗan adam.

Wannan hormone yana da muhimmiyar rawa a jikin mutum, amma babban aikinsa shine rage sukarin jini.

An tsara wa marasa lafiya na masu cutar sukari nau'in 1 allurar insulin tsawon rayuwa.

Mutanen da ke da nau'in ciwon sukari na 2 ana iya iyakance su shan Allunan na dogon lokaci. An wajabta masu allura ta hanyar daddalar cutar da kuma bayyanar rikitarwa.

Tushen ilimin halittar jiki na ilimin insulin

Kimiyyar zamani na kirkirar kwayar halittar mutum. Waɗannan sun haɗa da naman alade da insulin, wanda aka haɓaka ta injiniyan kwayoyin. Ya danganta da lokacin aiki, magungunan sun kasu kashi biyu kuma masu tsayi, da tsayi da tsayi. Hakanan akwai magunguna waɗanda hormones na gajere da na aiki tsaka-tsaki suna hade.

Mutanen da ke dauke da nau'in 1 na ciwon sukari suna karɓar nau'in nau'in 2. A taro, ana kiran su da allurar "asali" da "gajere".

An sanya nau'in 1 a cikin adadin 0.5-1 naúrar kowace kilogram kowace rana. A matsakaici, ana samun raka'a 24. Amma a zahiri, sashi na iya bambanta sosai. Don haka, alal misali, a cikin mutumin da kawai ya gano game da rashin lafiyarsa kuma ya fara allurar hormone, ana rage sashi sau da yawa.

Wannan shi ake kira "amaryar rana" mai ciwon sukari. Inje shine inganta aikin cututtukan hanji da sauran ƙwayoyin beta masu lafiya da ke fara asirin hormone. Wannan yanayin ya kasance daga 1 zuwa 6 na watanni, amma idan an lura da magani, rage cin abinci da aikin jiki, "amaryar" zata iya ɗaukar tsawon lokaci. Ana amfani da gajeren insulin kafin manyan abinci.

Nawa raka'a in saka kafin abinci?

Don yin ƙididdigar daidai daidai, dole ne ka fara lissafin nawa XE a cikin dafaffen abinci. Ana ɗaukar ɗan gajeren dindindin a farashin 0.5-1-1.5-2 raka'a da XE.

Tare da sabon cutar da aka gano, an kwantar da mutum a cikin asibitin na endocrinology, inda likitoci masu ilimi suka zaɓi abubuwan da ake buƙata. Amma sau ɗaya a gida, sashin da likita ya umarta bazai isa ba.

Abin da ya sa kowane haƙuri ke yin karatu a makarantar ciwon sukari, inda aka gaya masa game da yadda za a ƙididdige maganin kuma zaɓi madaidaicin kashi don raka'a gurasa.

Yin lissafi don ciwon sukari

Don zaɓar madaidaicin ƙwayar magani, kuna buƙatar adana bayanan kula da kai.

Yana nuna:

• matakan glycemia kafin da bayan abinci;
• gurasa gurasa;
• allurai ana sarrafa su.

Yin amfani da littafin rubutu don magance matsalar insulin ba shi da wahala. Da yawa raka'a don farashin, haƙuri da kansa dole ne ya san, ta hanyar gwaji da kuskure yanke shawarar da bukatun. A farkon cutar, kuna buƙatar kiran sama sau da yawa ko kuma saduwa da likitancin endocrinologist, yi tambayoyi da kuma samun amsoshi. Wannan ita ce hanya daya tilo don rama maka rashin lafiya da tsawan rai.

Type 1 ciwon sukari

Tare da wannan nau'in cutar, "tushe" na farashi 1 - sau 2 a rana. Ya dogara da maganin da aka zaɓa. Wasu sun wuce awanni 12, yayin da wasu suke kwana cikakku. Daga cikin gajeren kwayoyin, Novorapid da Humalog sun fi amfani da su.

A cikin Novorapid, aikin yana farawa a cikin mintina 15 bayan allura, bayan awa 1 ya kai kololuwarsa, wato mafi girman tasirin hypoglycemic. Kuma bayan awa 4 ya daina aikinsa.

Humalogue tana farawa minti 2-3 bayan allura, ta kai kololuwa a cikin rabin awa kuma ta daina tasirin bayan awa 4.

Bidiyo tare da misalin lissafin kashi:

Type 2 ciwon sukari

Na dogon lokaci, marasa lafiya suna yin ba tare da allura ba, wannan ya faru ne saboda gaskiyar cewa kumburin kumburin kansa yana samar da hormone a kansa, kuma allunan suna kara yawan jijiyoyin jikinsa.

Rashin bin tsarin abinci, kiba, da shan sigari yana haifar da lalacewa mai saurin haifar da ƙwayar ƙwayar cuta, kuma marasa lafiya suna haɓaka ƙarancin insulin.

Ta wata ma'ana, kumburin ya dakatar da samar da insulin sannan kuma marassa lafiya suna bukatar allura.

A farkon matakan cutar, an wajabta masu haƙuri kawai allurar basal.

Mutane na yin allura dashi sau 1 ko 2 a rana. Kuma a layi daya tare da injections, ana ɗaukar shirye-shiryen kwamfutar hannu.

Lokacin da "tushe" ya zama kasawa (mara lafiya sau da yawa yana da yawan jini mai hawan jini, rikice-rikice sun bayyana - asarar hangen nesa, matsalolin koda), an wajabta masa hormone na gajere kafin kowane abinci.

A wannan yanayin, yakamata su dauki hanyar makarantar sikandire akan lissafin XE da zabar kashi da ya dace.

Yana maganin insulin

Akwai hanyoyin da yawa sashi:

1. Jectionaya daga cikin allurar - wannan tsarin shine mafi yawan lokuta ana tsara shi ga marasa lafiya da masu ciwon sukari na 2.
2. Ana amfani da injections da yawa don ciwon sukari na 1.

Masana kimiyya na zamani sun gano cewa ƙarin injections na gaba-ɗaya suna kwaikwayon aikin ƙwayar cutar ƙwaƙwalwar ƙwayar cuta kuma yana da tasiri sosai ga aikin ƙwayar halitta gaba ɗaya. A saboda wannan dalili, an kirkiro famfo na insulin.

Wannan famfon na musamman ne wanda aka saka ampoule tare da ɗan insulin. Daga gare ta, microneedle yana haɗe zuwa fatar mutum. An ba da famfo ta musamman shirye-shiryen, wanda bisa ga abin da shirin insulin yake samu a jikin fatar mutum kowane minti daya.

Yayin cin abinci, mutum yana saita sigogi masu mahimmanci, kuma famfo zai shiga cikin kashi mai mahimmanci. Rashin insulin shine babban madadin zuwa ciwan injections. Bugu da kari, yanzu haka akwai wasu maguna wadanda zasu iya auna sukarin jini. Abin takaici, na'urar da kanta da wadatar wata-wata suna da tsada.

Jihar tana ba da almarar allura na musamman ga duk masu ciwon suga. Akwai sirinji da za'a iya zubar dashi, shine, bayan ƙarshen insulin, ana watsar dashi kuma sabon zai fara. A cikin alkalan da za'a sake amfani dasu, kayan kwalliyar magunguna suna canzawa, alkalami yaci gaba da aiki.

Alƙalin sirinji yana da injin sauƙi. Don fara amfani da shi, kuna buƙatar saka kwalin insulin a ciki, sa allura kuma ku buga lambar insulin ɗin da ake buƙata.

Alkalami ga yara da manya. Bambanci ya ta'allaka ne akan gaskiyar cewa alkalan yara suna da matakin insulin na raka'a 0.5, yayin da manya ke da raka'a 1.

Ya kamata a adana insulin a ƙofar firiji. Amma sirinji da kuke amfani da shi yau da kullun a cikin firiji kada ya yi karya, tun lokacin da horon mai sanyi ya canza kaddarorinsa kuma yana tsokani haɓakar lipodystrophy - rikicewar rikicewar insulin na yau da kullun, wanda ke haifar da tsari a wuraren allura.

A lokacin zafi, har ma da lokacin sanyi, kuna buƙatar ɓoye sirinjinku a cikin injin daskarewa na musamman, wanda ke kare insulin daga hypothermia da overheating.

Dokokin gudanar da insulin

Yin aikin allurar da kanta yayi sauki. Yawancin lokaci ana amfani da ciki don insulin gajere, kuma kafada, cinya ko buttock na tsawon tsayi (tushe).

Dole ne maganin ya shiga cikin kitse mai subcutaneous. Tare da allurar da aka yi ba daidai ba, haɓakar lipodystrophy mai yiwuwa ne. An saka allura a ƙwanƙolin zuwa fatar fata.

Syringe Algorithm:

1. Wanke hannu.
2. A kan zobe mai matsin lamba, buga lamba 1, wanda aka saki a cikin iska.
3. An saita sashi gwargwado bisa ga rubutaccen likita, dole ne a yarda da canjin kashi tare da endocrinologist. Lambar da ake buƙata ana buga lambobi, ana sanya fatar fata. Yana da mahimmanci a fahimci cewa a farkon cutar, ko da ƙara ƙarancin raka'a na iya zama kashi na mutuwa. Wannan shine dalilin da ya sa koyaushe ya zama dole a auna sukari na jini da kuma riƙe adabin kula da kai.
4. Bayan haka, kuna buƙatar latsawa a kan asalin sirinji kuma allurar mafita. Bayan an sha maganin, ba a cire maganin shafawa ba. Wajibi ne a ƙidaya zuwa 10 sannan kawai cire fitar da allura kuma saki falle.
5. Ba za ku iya yin allurar shiga cikin wuri tare da buɗe raunuka ba, kumburi a kan fata, a cikin yanki na scars.
6. Kowane sabon allura ya kamata a aiwatar da shi a cikin sabon wuri, wato, haramun ne yin allura cikin wannan wuri.

Koyarwar bidiyo akan amfani da alkalami na syringe:

Wani lokaci marasa lafiya masu fama da ciwon sukari na 2 suna amfani da sirinji na insulin. Vial na maganin insulin na iya ƙunsar 40 ml, 80 ko 100 raka'a a cikin 1 ml. Dangane da wannan, an zaɓi sirinji da ake buƙata.

Algorithm don gabatarwar sirinji na insulin:

1. Shafa marubutan roba na kwalbar da kayan giya. Jira barasa ya bushe. Sanya cikin sirinjin da ake buƙata na insulin daga raka'a + 2, saka kan kwalkwali.
2. Bi da wurin allurar tare da gogewar giya, jira alkama ya bushe.
3. Cire hula, bar iska ta fita, da sauri sanya allura a wani kusurwa na digiri 45 zuwa tsakiyar maɓallin kitse na subcutaneous akan duk tsawonsa, tare da yanke.
4. Saki fata kuma a hankali saka allurar.
5. Bayan cire allura, haša busasshen auduga mai bushe zuwa wurin allurar.

Abilityarfin yin lissafin adadin insulin da kuma yin injections daidai shine tushe don lura da ciwon sukari. Kowane mai haƙuri dole ne ya koyi wannan. A farkon cutar, duk wannan yana da alama mai rikitarwa, amma kaɗan lokaci zai ƙare, kuma ƙididdigar sashi da gudanarwar insulin da kanta zai faru akan injin.