A na-ahụta ọrịa shuga mellitus dịka ọrịa siri ike nke chọrọ ịgbasochi usoro ọgwụgwọ anya. Usoro insulin bụ usoro dị mkpa nke ga-enyere gị aka ịchịkwa glucose ọbara n'ọbara gị nke insulin (homonụ pancreatic). Na ọrịa shuga, a na-enyekarị ọgwụ kwa ụbọchị.
Ndị okenye, yana ndị nwere nsogbu nke ọrịa na-esite n'ụdị retinopathy, enweghị ike ịbanye na homonụ na encephalopathy. Ha chọrọ enyemaka nke ndị ọrụ nọọsụ. Agbanyeghị, ọtụtụ ndị ọrịa na-amụta ngwa ngwa etu esi abanye insulin, ma emesịa na-eme usoro na-enweghị mgbakwunye. Ihe ndị a na-akọwa atụmatụ nke njikwa insulin na algorithm maka iwebata ọgwụ n'ime sirinji.
Isi okwu
Nke mbu, onye obia endocrinologist na-ahuta usoro insulin. Maka nke a, a na-eleba anya na ụzọ onye ọrịa si ele ya anya, na ọ ga-akwụ ụgwọ ọrịa shuga, mmega ahụ, yana ihe nlere. Ọkachamara ahụ na-ekpebi oge ọrụ insulin ga-arụ, otu usoro onunu ogwu ya na ọnụọgụ nke injections kwa ụbọchị.
N'ihe banyere ọrịa hyperglycemia awa ole na ole mgbe nri gasịrị, dọkịta depụtara iwebata ọgwụ ogologo oge na afọ efu. Maka spikes dị elu ozugbo ị risịrị nri, a na-ahọrọ insulin dị mkpụmkpụ ma ọ bụ nke ultrashort.
Onye na-arịa ọrịa shuga kwesịrị ịnya ya mgbe niile. Nke a dị mkpa iji chọpụta ókè carbohydrates dị na ingesed ma gbakọọ ọ̀tụ̀tụ̀ insulin. Ihe ozo di nkpa bu ntinye shuga obara n’ebe glucose otutu otutu oge n’eji idozi nsonaazụ ya n’edide nke onwe ya.
Nchikota ọgwụ bu oge ogwugwo nke dibia doziri anya
Onye ọrịa mamịrị kwesịrị ịnabata omume nchekwa ọgwụ ọgwụ eji eme ya, ebe ọ bụ na insulin emebiela nwere ike imetụta ahụ na-arịa ọrịa n'ụzọ enweghị atụ.
Enweghị mkpa ịtụ egwu inje. Na mgbakwunye na ịmara otu esi abanye insulin n'ụzọ ziri ezi, ịkwesịrị imeri egwu ị nwere ịme mgbatị a n'onwe gị na enweghị njikwa ndị ọrụ ahụike.
Chohọrọ Syringe Injection
Enwere ike ịmalite mmeghe nke insulin site na iji sirinji insulin ma ọ bụ sirinji ndị a pụrụ ịtụfu. Onwere udiri ogwu abuo nke insulin: ndi nwere agwara agwado na ndi nwere agwara agwara.
Enwere ike iwepu sirinji agịga
Ngwaọrụ nke ngwaọrụ dị mkpa iji mee ka usoro nke nnakọta insulin na karama ahụ. A na-eme piston nke sirinji ka emee mmegharị ahụ nwayọ na nwayọ, na-eme ka oke njehie na nhọrọ nke ọgwụ ọgwụ pere mpe, n'ihi na amaara na ọbụna mmejọ nke pere mpe maka ndị ọrịa mamịrị nwere ike ibute nsonaazụ.
Ọnụahịa nkewa nwere ọnụ ahịa sitere na 0.25 ruo 2 PINCES nke insulin. Ekwuputara data n’ikpe ahụ yana nkwakọ ngwaahịa nke sirinti ahọrọ. Ọ bụ ihe amamihe dị na ya iji sirinji jiri ọnụego nkewa kacha ala (ọkachasị maka ụmụaka). N'oge a, a na-ewere sirinji nke nwere 1 ml dị ka ihe a na-ahụkarị, nke nwere 40 na 100 PIECES nke ọgwụ.
Syringes nwere agịga agwakọtara
Ha dị iche na ndị nnọchi anya gara aga naanị na agịga anaghị ewepu ebe a. A na-ere ya n'ime akpa rọba. A na-ahụta ọghọm na usoro ọgwụgwọ ọgwụ dịka ọghọm nke sirinji ndị dị otu a. Uru ya bụ enweghị mpaghara a na-akpọ mpaghara nwụrụ anwụ, nke etinyere n'olu nke ọgwụ ntụtụ na mwepu mwepụ.
Agwọ agwakọta bụ otu n'ime uru ndị dị na ịhazi homonụ
Etu esi egbu ogwu
Tupu ị na-enye ọgwụ ahụ, ihe ọ bụla dị mkpa maka iji aghụghọ kwesịrị ịkwadebe:
- sirinji insulin ma ọ bụ mkpịsị;
- owu swabs;
- mmanya ethyl;
- karama ma ọ bụ katọn nwere homonụ.
A ga-ewepụ karama ahụ ọgwụ nwere ọkara ọkara tupu ntụtụ ahụ, nke mere na ihe ngwọta ahụ nwere oge ikpo ọkụ. A machibidoro ịkwanye insulin ọkụ site na ikpughe ndị ọrụ ikuku. Gbalịsie ike lelee ụbọchị ngaji ọgwụ ahụ yana ụbọchị nchọpụta ya na karama ahụ.
Dị Mkpa! Mgbe ị mepechara karama na-esote, ịkwesịrị ide ụbọchị ahụ n'ime akwụkwọ ịderede nke gị ma ọ bụ na akara.
Na-asacha aka
Jiri ncha na mmiri sachaa aka zuru oke. Jiri ahihia kpochaa. Jiri ọgwụ antiseptik (ma ọ bụrụ na ọ bụla) ma ọ bụ mmanya na-egbu egbu. Chere ka mmanya gbue. Ekwela ka mmanya jiri metụta ebe injection dị, ebe ọ nwere ihe na - eme ka insulin kwụsị ọrụ. Ọ bụrụ na ọ dị mkpa, a ga-eji mmiri ọ warmụ andụ sachapụ ebe a na-agba ya.
Ngwa eji eme ihe
Usoro maka inakọta insulin gụnyere usoro ndị a:
- Onye ọrịa ahụ gharị ịmara nke ọma ọgwụ achọrọ.
- Wepu okpu ahụ na agịga ma jiri nwayọọ dọnye pistọn gaa na akara nke ego ọgwụ ga-anakọta.
- Ekwesịrị iji aka na-akpachara anya agịga ahụ, na-enweghị ibitụ aka aka, azụ nke okpu ma ọ bụ mgbidi nke karama ahụ, ka enweghị ikewapụta ya.
- Tinye sirinji n’ime akpa okwu nke vial ahụ. Tụgharịa karama ahụ. Webata ikuku site na sirinji n'ime.
- Jiri nwayọ jiri pistin ahụ mee akara ọzọ achọrọ. Ngwọta ahụ ga-abanye sirinji.
- Lelee maka enweghị ikuku na sirinji; ọ bụrụ na ọ dị, hapụ.
- Jiri nwayọ mechie agịga sirinji ma dina n'elu ebe dị ọcha, a kwadebere tupu ya.
Gbaso usoro iwu maka nchikota ihe eji agwọ ogwu bu ihe di nkpa n’ozi oma
Ojiji insulin nwere ike ijikọ ya na iji ọgwụ ndị ejikọtara ọnụ. N'okwu a, dọkịta nyere iwu ka iwebata ọgwụ ọgwụ dị mkpirikpi na ogologo oge n'otu oge.
Ọtụtụ mgbe, a na-achịkọta homonụ dị mkpụmkpụ, na nke mbụ.
Ọkpụkpụ
Usoro nke nchịkwa insulin na-egosi ịchebe mpaghara ndị a na-egbu egbu. Emegide ọgwụ mgbochi adịghị nso karịa 2.5 cm site na ntụpọ ojii na nchapu na 5 cm site na otube. Ọzọkwa, ọgwụ a abanyeghị na mmebi, ọnya, ma ọ bụ ọzịza.
Ọ dị mkpa ịgbanye insulin n'ime akwa abụba subcutaneous (ntụtụ subcutaneous). Okwu mmeghe a na-egosiputa ojiputa ya n’isi ya na iweghachi ya iji gbochie osisa ya banye n’olu. Mgbe apịkọtachara, agbanye agịga n'otu akụkụ (45 Celsius) ma ọ bụ aka nri (90 Celsius).
Dịka iwu, n'oge dị mkpirikpi, a na-eme ntụtụ n'ebe ndị nwere obere abụba abụba, maka ụmụaka na mgbe ị na-eji ọkọlọtọ 2 ml syringe (na enweghị ọgwụ insulin, ndị na-ahụ maka paramedic na-eji obere sirinji obere olu na ụlọ ọgwụ, a naghị atụ aro iji ya n'adabereghị). N'ọnọdụ ndị ọzọ, a na-eme insulin insulin na akụkụ aka nri.
Ekwesịrị itinye eriri agịga insulin n'ụzọ niile n’akpụkpọ ahụ wee jiri nwayọ gaa piston ruo mgbe o ruru akara efu. Chere 3-5 sekọnd wee dọpụta agịga na-enweghị ịgbanwe akụkụ ahụ.
A ga-echetarịrị na enwere ike iwepu sirinji. Anaghị anabata iji ya.
Na-anakọta n'ogige atụrụ ahụ n'ụzọ ziri ezi
Inzọ incut dị n'okpuru, yana ndị ọzọ, na-adị irè karịa n'ịgbaso usoro iwu maka iji aghụghọ. Atherchịkọta anụ ahụ na ude bụ otu n'ime ha. Ikwesiri iji mkpịsị aka abụọ bulie anụ ahụ elu: ukwu ukwu na isi mkpịsị aka. Iji mkpịsị aka ndị ọzọ mee ihe na-ebute nsogbu nke ikechi aka.
Akpukpo akpụkpọ maka ntụtụ - usoro iji bulie arụmọrụ nke ọgwụgwọ
Ekwesighi ka apịaji apịaji a, kama ọ bụ naanị ka ejide ya. Squeemịpụta siri ike ga-eduga na mgbu mgbe a gbanyere insulin ma ọgwụ ọgwụ ga-esi na saịtị mgbapụta.
Ọkpụkpụ Syringe
Ngwakọta insulin injection algorithm gụnyere ọ bụghị naanị iji sirinji ot. N’ụwa nke oge a, iji sirinji eme ihe aghọwo ewu ewu. Tupu ịmalite ntụtụ, ngwaọrụ dị otú ahụ kwesịrị ijupụta. Maka sirinji pen, a na-eji insulin na katridges. Enwere pensụl ebe enwere ike iji dobe mmadụ iri abụọ, nke a na-enweghị ike dochie ya, ma jighachi ya, ebe a na-eji nke ọhụrụ dochie “ndochi”.
Atụmatụ nke ngwa na uru:
- ezigbo usoro onodu ogwu ziri ezi;
- nnukwu ọgwụ, na-enye gị ohere ịhapụ ụlọ ogologo oge;
- nchịkwa na-adịghị mgbu;
- mkpa dị gịrịgịrị karịa sirinjin insulin;
- ọ dịghị mkpa ịkwa akwa iji nye ntụtụ.
Mgbe itinyechara katriki ọhụụ ma ọ bụ mgbe ị na-eji nke ochie, kpochapụ mmiri ole na ole nke ọgwụ iji jide n'aka na ikuku adịghị. A na-etinye ihe nkedo na ihe ngosi ndi di nkpa. Ọ bụ dọkịta na-elegara anya na-ekpebi ebe nlekọta insulin na akụkụ ya. Mgbe onye ọrịa ahụ pịa bọtịnụ ahụ, ị kwesịrị ichere sekọnd 10 ma ọ bụ naanị wepu agịga ahụ.
Ebe ntinye aka
Usoro iwu nchịkwa insulin na-emesi ike mkpa ịgbaso ndụmọdụ ndị a:
- Debe akwukwo nkeonwe. Imirikiti ndị ọrịa na-arịa ọrịa shuga na-edekọ data na ntanetị. Nke a dị mkpa maka igbochi lipodystrophy (ọnụọgụ ọrịa nke ego nke abụba subcutaneous na saịtị nke homonụ na-apụ n'anya ma ọ bụ na-agbadata nke ọma).
- Ọ dị mkpa ịgbanye insulin ka saịtị na-esochi ọzọ "ga - emegharị" elekere. Enwere ike itinye ọgwụ mgbochi mbụ n'ime mgbidi ihu nke ime 5 cm site na otube. Na-ele onwe gị na enyo ahụ, ịkwesịrị ikpebi ebe "ọganihu" dị n'usoro a: quadrant elu ekpe, elu aka nri, ala aka ekpe na ala ekpe ekpe ala.
- Ebe ọzọ dabara adaba bụ hips. Mpaghara ịgba ya na-agbanwe site n’elu ruo na ala.
- N'ụzọ dị mma iji ịgbanye insulin n'ime ihe mgbochi dị mkpa n'usoro a: n'akụkụ aka ekpe, n'etiti etiti aka ekpe, n'etiti etiti aka nri, n'akụkụ aka nri.
- Ogbugba n'ubu, dị ka mpaghara apata ụkwụ, na-egosi mmeghari “ala”. Ọ bụ dibia ana-ekpebi ọkwa ọkwa nchịkwa dị ala.
Nhọrọ dị mma nke ebe ịgba agba bụ ikike igbochi mmepe nke nsogbu nke ọgwụ insulin
A na-atụle afọ ime otu n'ime ebe a ma ama maka ọgwụgwọ insulin. Uru ndị dị na ya bụ ntinye ọgwụ ngwa ngwa yana mmepe nke ihe o mere, enweghi mgbu. Na mgbakwunye, ogiri afọ nke ihe na-adịkarị adịghị adị lipodystrophy.
Ubu elu dịkwa mma maka nchịkwa nke ndị na-eme ihe dị mkpirikpi, mana bioavailability nke dị na nke a bụ ihe dịka 85%. Anakwere oke nke mpaghara dị otú ahụ na mgbatị ahụ zuru oke.
A gbanye insulin n'ime ihebe, nkuzi nke na-ekwu maka ọrụ ya ogologo. Usoro ịmịpụta dị nwayọ ma e jiri ya tụnyere mpaghara ndị ọzọ. A na-ejikarị ya na ọgwụgwọ nke ọrịa shuga.
A na-ahụta ihu nke apata ụkwụ dị ka nke kachasị mma maka ọgwụgwọ. A na-enye ntaneti ebe a ma ọ bụrụ na iji insulin eme ihe ogologo oge dị mkpa. Nnabata ọgwụ a na-egbu egbu.
Nsonaazụ ọgwụ mgbochi insulin
Ntuziaka maka iji homonụ na-ekwusi ike na ọ nwere ike ịmalite nsonaazụ ndị ọzọ:
- ngosipụta nfụkasị nke ọdịdị mpaghara ma ọ bụ nke izugbe;
- lipodystrophy;
- hypersensitivity (bronchial spasm, angioedema, mbelata ọbara mgbali elu, ọnọdụ ịma jijiji);
- pathology nke ngwa anya;
- guzobe ọgwụ mgbochi iji arụ ọrụ nke ọgwụ.
Ofzọ isi nye insulin ahụ dịgasị iche iche. Nhọrọ nke usoro na usoro bụ prerogry nke ndị ọkachamara na-abịa ihe. Agbanyeghị, na mgbakwunye na ọgwụ insulin, ị ga-echetakwa banyere nri na ezigbo mmega ahụ. Naanị ngwakọta dị otú a ga-eme ka ndụ onye ọrịa ka ọ dị elu.