Ọrịa shuga mellitus bụ ọrịa na-adịghị ala ala nke na-ebute n'ihi ọrịa metabolic na ahụ. Ọrịa ahụ nwere ike imetụta onye ọ bụla bi na mbara ala anyị, n'agbanyeghị agbụrụ nwoke na afọ. Kwa afọ ọnụ ọgụgụ ndị ọrịa na-arịa ọrịa shuga na-abawanye.
Na ọrịa shuga, pancreas na-ezo insulin homonụ. Iji mebie shuga ma mee ka ọnọdụ ahụ kwusi, a na-etinye nkwadebe insulin, dịka ọmụmaatụ, actrapid, nke anyị ga-ekwu maka ya taa, n'ime ahụ onye ọrịa.
N’enweghi injection insulin mgbe nile, a dịghị a absorụ shuga nke ọma, ọ na-ebute nsogbu n’ahụ n’ime akụkụ ahụ niile nke mmadụ. Iji mee Actrapid NM ka ọ rụọ ọrụ nke ọma, ọ dị mkpa ịgbaso iwu nke nchịkwa ọgwụ ma nyochaa oge ọkwa glucose dị n'ọbara.
Dabere na ntuziaka maka ojiji, A na-eji Actrapid agwọ ọrịa:
- Ọrịa shuga (dị (ndị ọrịa na-adabere na mmiri ọgwụ insulin n'oge niile.
- Ọrịa shuga 2dị nke abụọ (na-egbochi insulin. Ndị ọrịa nwere ụdị shuga a na-ejikarị ọgwụ ọgwụ, agbanyeghị, na mmụba na-arịa ọrịa shuga, ọgwụ ndị dị otú a na-akwụsị ịrụ ọrụ, a na-eji insulin insulin iji belata shuga n'ọnọdụ ndị ahụ).
Ha na-atụ aro insulin ọgwụ na-eme ihe n’oge afọ ime na n’ara ara, yana mmepe nke ọrịa na-eso shuga. Ogwu ahu nwere analogues nke di nma, ima atu, Actrapid MS, Iletin Regular, Betasint na ndi ozo. Biko mara na ntụgharị aka na analogues bụ nke a na-eme naanị na ụlọ ọgwụ n'okpuru nlekọta nke dibịa yana ilegide shuga ọbara mgbe niile.
Okwu Mmalite
A na-ahapụ ọgwụ nke Subcutaneous, intramuscular na intravenous ọgwụ ahụ. Site na nchịkwa subcutaneous, a na-adụ ndị ọrịa ọdụ ịhọrọ mpaghara apata ụkwụ maka ịgba ọgwụ, ọ bụ ebe a ka ọgwụ ahụ na-edozi nwayọ nwayọ.
Na mgbakwunye, enwere ike iji mgbị ụkwụ, aka n'ihu na mgbidi ihu nke oghere afọ maka injections (mgbe etinye ya n'ime afọ, mmetụta nke ọgwụ na-amalite ozugbo o kwere mee). Etinyela otu mpaghara ihe karịrị otu ugboro n'ọnwa, ọgwụ nwere ike kpasuo lipodystrophy.
Oftọ ọgwụ ahụ na sirinji insulin:
- Tupu ịmalite usoro ahụ, a ga-asa aka ma kpochapụ ya;
- Insulin na-adabakarị n’etiti aka (a gha agha ile ọgwụ a anya ka ọ dị n ’ọpụpụ na ihe ndị mba ọzọ, na maka ụbọchị mmebi ahụ);
- A na-adọta ikuku n'ime sirinji, a na-etinye agịga n'ime ampoule, a na-ahapụ ikuku;
- A na-adọta ego kwesịrị ị intoụ ọgwụ ọjọọ na sirinji;
- A na-ewepụ ikuku gafere site na sirinji site na ịme ọpịpị.
Ọ bụrụ na ọ dị mkpa ịgbakwunye insulin dị mkpụmkpụ na ogologo, a na-eme algorithm ndị a:
- A na-ewebata ikuku n'ime ma ampoules (ma nke mkpụmkpụ ma ogologo);
- Nke izizi, a na-adọta insulin ahụ na-adị mkpụmkpụ n'ime sirinji, mgbe ahụ, a na-etinye ya na ọgwụ ogologo oge;
- A na-ewepụ ikuku site na ịme ọpịpị.
Ọrịa shuga na-enwechaghị ahụmahụ anaghị atụ aro iwepụta Actropide n'ime mpaghara ubu n'onwe ha, ebe enwere nnukwu ihe imepụta abụba na-ezughi oke na ị inụ ọgwụ ahụ intramuscularly. Ọ dị mma ịmara na mgbe ị na-eji agịga ruo 4-5 mm, etinyere abụba subcutaneous ma ọlị.
Amachibidoro itinye ọgwụ ahụ n'ime anụ ahụ gbanwere site na lipodystrophy, yana n'ime ebe hematomas, akàrà, ọnya na ọnya.
Enwere ike ijikwa Actropid site na iji sirinji insulin, mkpịsị pen ma ọ bụ mgbapụta akpaaka. N'okwu nke abụọ, a na-ewebata ọgwụ ahụ n'ime ahụ n'onwe ya, na nke mbụ ọ bara uru ịghọta usoro nchịkwa.
Syringe:
- Site n'enyemaka nke isi mkpịsị aka ukwu na isi aka ya, a na-eme mpempe akwụkwọ na ebe a na-agba mbọ iji wee mee ka insulin banye n'ime abụba ahụ, ọ bụghị akwara (maka agịga ruo 4-5 mm, ị nwere ike ịme na-enweghị mpempe);
- A na-etinye syringe ahụ ka ọkpụrụkpụ n'ogige atụrụ (maka agịga ruo 8 mm, ma ọ bụrụ na ọ karịrị 8 mm - na akụkụ nke ogo 45 ruo n'oghere), a na-agbanye n'akuku ahụ niile, ọgwụ ahụ na-abanyekwa;
- Onye ọrịa ahụ gụpụrụ 10 ma wepụta agịga;
- Na njedebe nke mkpachapụ ahụ, a na-ahapụ abụba abụba, a na-eteghịkwa ebe ntụtụ ya.
Syringe Pen:
- A na-etinye agịga mkpofu diski;
- A na-agwakọta ọgwụ ọjọọ n'ụzọ dị mfe, site n'enyemaka nke onye nkesa ọgwụ 2, a na-ahọrọ ya n'ikuku;
- Iji ngbanwe, a na-edobe uru nke ọgwụ achọrọ;
- Abụba na abụba dị n'ahụ, dịka akọwara ya na usoro gara aga;
- A na-ahụ maka ọgwụ ahụ site na ịpị ọkpọ ahụ ogologo;
- Mgbe sekọnd iri gasịrị, a na-ewepụ agịga ahụ n’akpụkpọ ahụ, a na-ahapụ ogige ahụ.
Ọ bụrụ na ejiri ihe eji eme ihe na-adịghị adị oge, ekwesighi ịgwakọta tupu ejiri ya.
Iji wepu nnabata na-ezighi ezi nke ọgwụ yana ịba ụba hypoglycemia, yana hyperglycemia, ekwesighi ịbanye insulin n'ime mpaghara na-ekwesịghị ekwesị na usoro ọgwụ ekwenyeghi na dọkịta ahụ. Amachibidoro iji Actrapid emebiela, ọgwụ nwere ike ibute insulin ókè.
A na-eme nchịkwa ma ọ bụ intramuscularly naanị n'okpuru nlekọta nke dibịa bekee. A na-ewebata Actrapid n'ime ahụ ọkara elekere tupu nri, nri ga-enwerịrị ike carbohydrates.
Kedu ka esi eme Actrapid
Insulin Actrapid bụ otu ọgwụ ọgwụ, ihe bụ ebumnuche ya bụ nke a na-eme iji belata shuga ọbara. Ọ bụ ọgwụ na-eme obere oge.
Mbelata shuga bụ:
- Transportbawanye na njem nke glucose na ahụ;
- Mmegharị nke usoro nke lipogenesis na glycogenesis;
- Metabolism protein;
- Imeju na-amalite imepụta glucose dị ala;
- Ọkpụkpụ anụ ahụ na-etinye ahụ ike karịa.
Ogo ogo ya na ekpughe ya ọgwụ ji ọgwụ eme ihe sitere n'ọtụtụ ihe:
- Dos nke nhazi insulin;
- Ofzọ nchịkwa (sirinji, pen sirinji, insulin pump);
- Ebe ahọrọ maka nchịkwa ọgwụ (afọ, aka, ikpere ma ọ bụ isi).
Site na ochichi subcutaneous nke Actrapid, ọgwụ ahụ malitere ime ihe mgbe nkeji iri atọ gachara, ọ rutere n’uche ya kachasị n’arụ mgbe awa 1-3 gachara, dabere n’omume nke onye ọrịa, mmetụta hypoglycemic na-arụ ọrụ ruo elekere asatọ.
Nsonaazụ
Mgbe ị na-agbanye na Actrapid na ndị ọrịa ruo ọtụtụ ụbọchị (ma ọ bụ izu, dabere na njirimara onye ọrịa ahụ), enwere ike ịchọpụta ọzịza nke nsogbu na nsogbu ido anya.
Edere mmeghachi omume ndị ọzọ na -:
- Oriri na-ezighi ezi mgbe nchịkwa ọgwụ gachara, ma ọ bụ iri nri;
- Mgbalị siri ike nke anụ ahụ;
- Ewebata otutu insulin n’otu oge.
Nsonaazụ kachasị emetụta bụ hypoglycemia. Ọ bụrụ na onye ọrịa ahụ nwere akpịrị na-acha ọbara ọbara, oke mgbakasị ahụ na mmetụta nke agụụ, ọgba aghara, oke nke oke yana ịrị elu ọsụsọ, hụrụ ọbara shuga nwere ike gbadata n'okpuru ọkwa kwere.
Na ngosipụta nke mbụ nke ihe mgbaàmà, ọ dị mkpa iji tụọ shuga ma rie carbohydrates dị omimi ngwa ngwa, bụrụ na ọnwụ amaghị, a na-enye onye ọrịa glucose ọbara intramuscularly.
N'ọnọdụ ụfọdụ, insulin na -akpụ insulin nwere ike ibute mmeghachi omume nfụkasị:
- Ngosiputa ya na ebe igba mkpasu iwe, na-acha uhie uhie, osisa mgbu;
- Ọgbụgbọ na ọgbụgbọ;
- Nsogbu iku ume;
- Tachycardia;
- Dizziness.
Ọ bụrụ na onye ọrịa anaghị agbaso iwu nke ịgba ọgwụ na ebe dị iche iche, lipodystrophy na-etolite na anụ ahụ.
Ọrịa dị iche iche a hụrụ hypoglycemia na usoro na - aga n'ihu, ọ dị mkpa ịkpọtụrụ dọkịta gị iji dozie usoro ị na-ahụ maka ya.
Ntụziaka pụrụ iche
Ọtụtụ mgbe enwere ike kpatara hypoglycemia ọ bụghị naanị site na ịdoụ ọgwụ oke, kamakwa n'ọtụtụ ihe ndị ọzọ:
- Ngbanwe ogwu ahu rue analog nke dibia na ejighi ya;
- Nkwekorita nke na nri n’oge ahihia;
- Vomiting
- Mgbalị siri ike ma ọ bụ ụdị anụ ahụ;
- Mgbanwe nke ebe igba ogwu ogbugba.
Ọ bụrụ na onye ọrịa ahụ ewebata ọgwụ ezughi oke ma ọ bụ kwubie okwu mmeghe ya, ọ na-ebute ọrịa hyperglycemia (ketoacidosis), ọnọdụ nke adịchaghị njọ, nwere ike ibute coma.
Ihe ịrịba ama nke hyperglycemia:
- Mmetụta akpịrị ịkpọ nkụ na agụụ;
- Ọkpụkpụ anụahụ;
- Urination ugboro ugboro;
- Ire acetone site n'ọnụ ọnụ;
- Ahụ erughị ala
Jiri n’oge ime
Anakwere ọgwụgwọ ọgwụgwọ ma ọ bụrụ na ịtụrụ ime nke onye ọrịa. N'ime oge niile, ọ dị mkpa ịchịkwa ọkwa shuga ma gbanwee usoro onunu ogwu. Yabụ, n'oge oge nke mbụ, mkpa ọgwụ a na-ebelata, n'oge nke abụọ na nke atọ - na ntụle, ọ na-abawanye.
Mgbe ịmụchara nwa, a chọghachila ịchọrọ insulin etu o si dị tupu ime ime.
N'oge a na-enye nwa ara, mbelata usoro ọgwụgwọ nwere ike ịdị mkpa. Ọrịa dị mkpa iji nlezianya nyochaa ọkwa shuga dị n'ọbara ka ọ ghara ileghara oge oge mkpa ọgwụ ahụ kwụsịrị.
Zụ ihe na nchekwa
Nwere ike ịzụta Actrapid na ụlọ ahịa ọgwụ dịka ọgwụ dọkịta gị nyere gị.
Ọ kachasị mma ịchekwa ọgwụ ahụ na friji n'oge okpomọkụ 2 ruo 7 Celsius. Ekwela ka ekpughere ngwaahịa a ka ọ bụrụ ọkụ ọkụ ma ọ bụ ìhè anyanwụ. Mgbe oyi kpọnwụrụ, Actrapid na-efunyụọ njimara shuga ya.
Tupu ntụtụ ahụ, onye ọrịa ahụ kwesịrị ịchọpụta ụbọchị ọgwụ kwụsịrị, a naghị anabata iji insulin emebiela. Gbalia ilele ampoule ma obu vial ya na Actrapid maka sedimenti na ihe ndi ozo si mba ozo.
A na-eji Actrapid ndị ọrịa nwere ma ụdị 1 ma ụdị ọrịa shuga mellitus abụọ mee ihe. N'iji ya mee ihe kwesiri ekwesi na onunu ogwu nke dọkịta gosiputara, o dighi eme ka ogwori ihe ndi ozo n’anu.
Cheta na ekwesịrị ịgwọ ọrịa shuga n'ụzọ zuru ezu: na mgbakwunye na ọgwụ ị dailyụ ọgwụ kwa ụbọchị, ị ga-agbasosi ụdị nri gị anya, nyochaa ọrụ anụ ahụ ma ghara ikpughe ahụ ahụ n'ọnọdụ ndị na-akpata nrụgide.