Coob tus neeg mob ntshav qab zib hom 2, ntshav qab zib hom 1 hauv hom me, nrog rau cov menyuam muaj ntshav qab zib hom 1, xav tau txhaj tshuaj insulin me me. Hauv cov neeg mob li no, 1 ntu ntawm cov tshuaj insulin tuaj yeem txo cov ntshav qab zib kom ntau li 16-17 mmol / l. Rau qhov sib piv, hauv cov neeg mob uas muaj ntshav qab zib hom 2 nrog cov rog rog heev, 1 ntu ntawm insulin txo qis suab thaj los ntawm thaj tsam li 0.6 mmol / L. Qhov sib txawv ntawm cov nyhuv ntawm cov tshuaj insulin rau cov neeg sib txawv tuaj yeem nce txog 30 zaug.
Hmoov tsis zoo, koob tshuaj insulin tsawg dua tsis tuaj yeem sau kom raug yog siv cov koob txhaj tshuaj uas tam sim no nyob rau hauv kev ua lag luam. Cov teeb meem no tau tshawb xyuas hauv kev nthuav dav hauv tsab xov xwm "Insulin Syringes thiab Syringe Cwjmem". Nws kuj tseem qhia txog dab tsi cov koob txhaj tshuaj uas haum tshaj plaws tuaj yeem yuav hauv cov teb chaws hais lus Lavxias. Rau cov neeg mob ntshav qab zib uas rhiab heev rau insulin, qhov ntau npaum ntawm 0.25 units txhais tau tias yog cov ntshav qab zib ntawm ± 4 mmol / L. Qhov no yog categorically tsis tso cai. Yuav kom daws tau qhov teeb meem no, cov kev daws teeb meem tseem ceeb yog txhaws cov tshuaj insulin.
Leej twg xav tau lw tshuaj insulin
Mastering cov txheej txheem ntawm diluting insulin yog qhov tseem ceeb tshwj xeeb rau cov niam txiv uas lawv cov menyuam muaj kev mob ntshav qab zib hom 1. Nws kuj muaj txiaj ntsig zoo rau feem ntau cov neeg laus ntshav qab zib uas ua raws li cov zaub mov tsis muaj carbohydrate, thiab qhov no tso cai rau lawv los tswj nrog tsawg kawg ntawm cov tshuaj insulin. Nyeem cov hom kho ntshav qab zib hom 1 thiab hom kho ntshav qab zib hom 2 yog koj tseem tsis tau siv. Rov qab hais tias cov tshuaj insulin loj hauv kev txo qis txo qhov rhiab ntawm cov hlwb rau insulin, ua rau lub cev rog thiab inhibit poob phaus. Qhov no siv rau cov neeg mob ntshav qab zib hom 2 thiab ntshav qab zib hom 1. Thaum nws yog qhov ua tau kom txo qis tshuaj ntawm cov tshuaj insulin, nws coj tau txiaj ntsig zoo tsuas yog tias nws tsis tshwm sim ntawm tus nqi nce ntshav cov ntshav qab zib.
Hauv tebchaws Asmeskas, cov tuam txhab tshuaj insulin muab cov kua tshuaj rau lawv cov kua dej. Ntxiv mus, cov neeg mob ntshav qab zib uas yuav tsum tau txhawm rau tshuaj insulin txawm tias tau pub dawb hauv cov vials huv. Hauv cov teb chaws hais lus Lav Xias, hom kev daws teeb meem rau insulin dilution tsis muaj nyob thaum nruab hnub nrog hluav taws. Yog li, tib neeg txhaws insulin nrog dej rau kev txhaj tshuaj lossis dej qab ntsev, uas yog muag hauv khw muag tshuaj. Qhov kev xyaum no tsis tau txais kev pom zoo los ntawm ib tus neeg tsim tawm hauv ntiaj teb insulin. Txawm li cas los xij, cov tib neeg nyob rau hauv cov xov xwm ntshav qab zib tau tshaj tawm tias nws ua haujlwm zoo. Ntxiv mus, txhua tus tib yam muaj tsis pom qhov twg mus, xyov nws yog qhov tsim nyog los yug cov kua dej.
Cia tshawb xyuas qhov "pej xeem" kev ntawm cov tshuaj insulin dilution, uas tso cai ntau dua lossis raug qhov qis ntawm cov koob tshuaj tsawg. Ua ntej, cia peb kawm saib vim li cas thiaj li tsim muaj cov insulin.
Vim li cas thab nrog tag nrho cov no
Xws li koj yog ib tus neeg laus muaj ntshav qab zib hom 1. Los ntawm kev sim, nws tau pom tias cov insulin luv luv ntawm kev noj tshuaj ntawm 1 chav tsev txo qis koj cov piam thaj hauv ntshav txog li 2.2 mmol / L. Tom qab cov pluas noj uas tsis muaj carbohydrate, koj cov piam thaj hauv ntshav tau dhia mus rau 7.4 mmol / L thiab koj xav kom nws txo qis rau qhov kev xav ntawm 5.2 mmol / L. Txhawm rau ua qhov no, koj yuav tsum tau txhaj 1 ntu ntawm luv luv insulin.
Nco ntsoov tias qhov kev ua yuam kev ntawm cov koob txhaj tshuaj insulin yog ½ ntawm cov kauj ruam ntsuas. Feem ntau cov koob txhaj uas tau muag hauv khw muag tshuaj muaj theem ntawm 2 ntu. Siv cov koob txhaj tshuaj, nws yog qhov tsis yooj yim sua kom sau cov koob tshuaj ntawm cov tshuaj insulin los ntawm 1 lub UNIT lub raj mis. Koj yuav tau txais ntau npaum nrog qhov kis loj - ntawm 0 txog 2 chav nyob. Qhov no yuav ua rau kom cov ntshav qab zib ntshav nce siab los ntawm qhov ntau heev mus rau ntshav qog ntshav qab zib. Txawm hais tias koj tuaj yeem tau txais cov insulin koob txhaj tshuaj ntxiv hauv 1 chav, qhov no yuav tsis txhim kho qhov xwm txheej txaus.
Yuav ua li cas txo qis cov tshuaj insulin? Rau qhov no, cov txheej txheem ntawm diluting insulin yog siv. Cia li xav tias peb diluted insulin 10 zaug. Tam sim no, txhawm rau txhawm rau 1 ntu ntawm cov tshuaj insulin rau hauv lub cev, peb yuav tsum hno 10 units ntawm qhov kev daws teeb meem. Koj tuaj yeem ua cov hauv qab no. Peb sau 5 ntu ntawm cov tshuaj insulin rau hauv cov phwj tshuaj, tom qab ntawd ntxiv lwm chav 45 lossis dej qab ntsev los yog txhaj rau. Tam sim no qhov ntim ntawm cov kua dej hauv cov koob txhaj tshuaj yog 50 PIECES, thiab tag nrho cov no yog cov tshuaj insulin, uas tau xeb nrog kev mloog ntawm U-100 rau U-10. Peb sib tov nrog 40 PIECES ntxiv ntawm kev daws, thiab nkag mus rau 10 PIECES ntxiv rau hauv lub cev.
Dab tsi muab txoj hau kev ntawd? Thaum peb kos 1 U ntawm cov tshuaj dej tsis muaj zog rau hauv cov koob txhaj tshuaj, cov qauv kev ua yuam kev yog ± 1 UNIT, i.e.% 100% ntawm qhov koob xav tau. Hloov chaw, peb ntaus 5 PIECES rau hauv cov phwj hauv qab nrog tib qhov yuam kev ntawm ± 1 PIECES. Tab sis tam sim no nws twb ua txog ± 20% ntawm qhov koob tshuaj noj, i.e., qhov tseeb ntawm qhov ntau npaum li cas tau teev tau nce 5 zaug. Yog tias tam sim no koj cia li hliv tshuaj 4 pawg ntawm cov tshuaj insulin rov qab rau hauv lub hwj, ces qhov tseeb yuav poob dua, vim tias koj yuav tsum "qhov muag" tso 1 UNIT ntawm insulin hauv cov phwj tshuaj. Cov tshuaj insulin yog diluted vim tias qhov ntau dua qhov ntau ntawm cov kua hauv cov koob txhaj tshuaj, qhov ntau dua qhov ntau npaum qhov tseeb.
Yuav ua li cas txhawm rau insulin nrog saline lossis dej rau kev txhaj tshuaj
Nws raug nquahu kom laim insulin nrog saline lossis dej rau kev txhaj tshuaj, thaum tsis muaj tus tswv "solvent". Ntsev thiab dej rau kev txhaj tshuaj yog cov khoom pheej yig uas koj tuaj yeem thiab yuav tsum yuav hauv lub tsev muag tshuaj. Tsis txhob sim npaj dej qab ntsev lossis dej haus rau koj tus kheej! Nws yog qhov ua tau rau kom yaj cov kua dej nrog cov kua no ncaj qha hauv cov koob txhaj tam sim ua ntej txhaj tshuaj los yog ua ntej hauv lub tais cais. Kev xaiv zaub mov yog lub raj mis insulin, uas yav dhau los tau muab tshuaj ntxuav nrog dej npau npau.
Thaum lub sijhawm ua kom cov kua dej tsis txaus, thiab thaum nws txhaj rau lub cev ntawm tus neeg mob ntshav qab zib, tib cov lus ceeb toom tawm tsam rov qab siv cov koob txhaj tshuaj uas siv tas li.
Npaum li cas thiab seb cov kua dej dab tsi los ntxiv
Ua kua ntsev los yog dej rau kev txhaj tshuaj tuaj yeem siv los ua "cov kuab tshuaj" rau cov kua dej. Ob qho tib si lawv tau dav muag hauv cov khw muag tshuaj ntawm tus nqi pheej yig. Tsis pom zoo lidocaine lossis novocaine. Nws kuj tseem tsis pom zoo kom dilute insulin nrog kev daws ntawm tib neeg albumin, vim tias qhov no yuav ua rau muaj kev fab tshuaj tsis haum tshuaj
Ntau tus neeg xav tias yog tias lawv xav mus lwg insulin 10 zaug, tom qab ntawd koj yuav tsum noj 1 IU ntawm insulin thiab dilute nws hauv 10 IU ntawm dej qab ntsev lossis dej rau kev txhaj tshuaj. Tab sis qhov no tsis yog tag nrho. Qhov ntim ntawm cov kev daws teeb meem yuav yog 11 PIECES, thiab cov concentration ntawm cov tshuaj dej hauv nws yog 1:11, tsis yog 1:10
Txhawm rau cov tshuaj insulin 10 zaug, koj yuav tsum siv 1 feem ntawm insulin hauv 9 feem ntawm “solvent.
Txhawm rau nqus cov insulin 20 zaug, koj yuav tsum siv 1 ntu ntawm insulin hauv 19 ntu ntawm “solvent.
Hom tshuaj insulin twg tuaj yeem ua rau qeeb thiab uas tsis tuaj yeem ua
Kev xyaum ua qhia tau tias ntau dua lossis tsawg dua koj tuaj yeem zom cov insulin txhua hom, tshwj tsis yog Lantus. Qhov no yog lwm qhov laj thawj los siv rau Levemir, thiab tsis yog Lantus, li cov tshuaj insulin txuas ntxiv. Khaws cov tshuaj insulin rau hauv lub tub yees rau tsis pub ntev tshaj 72 teev. Hmoov tsis zoo, Is Taws Nem tsis muaj cov ntaub ntawv txaus hais txog yuav ua li cas Levemir ua haujlwm, diluted nrog dej qab ntsev lossis dej rau kev txhaj tshuaj. Yog tias koj siv cov roj ntsha Levemir - thov piav qhia koj cov txiaj ntsig hauv cov lus rau kab lus no.
Cov tshuaj insulin ntau npaum li cas tuaj yeem khaws cia
Nws yog ib qho tsim nyog yuav tsum tau muab cov tshuaj kua roj nyeem ua kua rau hauv lub tub yees ntawm qhov kub ntawm + 2-8 ° C, ib yam li "feeb meej". Tab sis nws tsis tuaj yeem khaws cia ntev, txwv tsis pub nws yuav poob nws cov peev xwm kom cov ntshav qab zib kom qis. Tus qauv kev pom zoo yog khaws cov tshuaj insulin diluted nrog saline lossis dej rau kev txhaj tshuaj kom tsis pub dhau 24 teev. Koj tuaj yeem sim khaws nws mus txog 72 teev thiab xyuas seb nws ua haujlwm. Kawm cov cai tswj kav khaws cov kua dej. Rau cov roj ntsha insulin, lawv zoo ib yam li rau cov kev kub siab, tsuas yog lub txee lub neej txo xwb.
Vim li cas cov tshuaj insulin nrog dej qab ntsev lossis dej rau kev txhaj tshuaj kom sai dua? Vim tias peb zom tsis tau zoo nkaus li cov tshuaj insulin, tab sis kuj muaj cov tshuaj khaws cia uas tiv thaiv nws kom txhob lwj. Cov kua tshuaj rau cov roj ua kom sib txawv ntawm cov kua dej muaj cov tshuaj zoo ib yam. Vim tias qhov no, cov tshuaj ntawm cov tshuaj muaj peev xwm nyob hauv cov kua dej insulin tseem nyob tib yam, thiab nws tuaj yeem khaws cia ntev. Hauv cov dej muaj ntsev los yog dej rau kev txhaj tshuaj, uas peb yuav hauv lub tsev muag tshuaj, tsis muaj cov tshuaj cia (peb cia siab tias tsis :)). Yog li no, insulin, diluted nyob rau hauv txoj kev "pej xeem", deteriorates sai dua.
Ntawm qhov tod tes, ntawm no yog cov lus qhia uas qhia "Kev Kho Mob rau Me Nyuam nrog Humalog Insulin Diluted nrog Saline (Kev Paub Ntxiv)". Ib tus menyuam hnub nyoog 2.5 xyoo muaj lub siab ua mob vim muaj kev tiv thaiv, uas ua rau muaj Humalogue yog qhov muaj lub siab dav. Ua ke nrog cov tshuaj insulin, cov tshuaj txuag no tau yaj nrog saline. Yog li ntawd, tom qab qee lub sijhawm, kuaj ntshav mus kuaj mob rau daim siab hauv tus menyuam rov qab zoo li qub. Tib tsab xov xwm hais tias Humalog, diluted 10 zaug nrog saline, tsis poob nws cov khoom tom qab 72 teev ntawm kev tso cia hauv tub yees.
Yuav daws cov tshuaj insulin li cas: cov lus xaus
Kev tso cov tshuaj insulin yog cov haujlwm tseem ceeb tshaj plaws rau cov niam txiv uas lawv cov menyuam muaj ntshav qab zib hom 1, thiab rau cov neeg mob ntshav qab zib uas ua raws li cov zaub mov muaj protein tsawg, thiab vim tias qhov no lawv xav tau insulin tsawg kawg. Hmoov tsis zoo, hauv cov neeg hais lus Lavxias nws yog qhov nyuaj rau lwg insulin, vim tias tsis muaj cov kua tshuaj uas tsim los rau qhov no.
Txawm li cas los xij, nyuaj - tsis txhais tau tias tsis yooj yim sua. Tsab xov xwm piav qhia txog "txoj kev" pej xeem txoj hauv kev yuav daws cov tshuaj insulin sib txawv li cas (tshwj tsis yog Lantus!) Siv chaw muag tshuaj saline lossis dej rau kev txhaj tshuaj. Qhov no tso cai tseeb kev txhaj tshuaj ntawm cov koob tshuaj qis qis ntawm insulin, tshwj xeeb tshaj yog cov koob txhaj tshuaj siv nrog cov roj insulin.
Kev ntiab tawm ntawm cov sib txawv ntawm cov tshuaj insulin siv cov dej qab ntsev lossis dej rau kev txhaj tshuaj yog ib txoj kev uas tsis tau pom zoo los ntawm ib qho ntawm cov tuam ntxhab. Muaj cov ntaub ntawv tsawg tsawg ntawm cov ncauj lus no, ob qho tib si hauv Lavxias-hais lus thiab txawv teb chaws. Kuv pom ib tsab ntawv xov xwm, “Kev Kho Mob Rau Me Nyuam nrog Humalog Insulin Diluted nrog Saline (Kev Paub Dua), uas kuv tau muab txhais los ntawm lus Askiv rau koj.
Hloov chaw ntawm kev ua kom cov tshuaj insulin, nws yuav muaj peev xwm muab cov koob txhaj tshuaj qis nrog cov koob txhaj tshuaj. Tab sis, alas, tsis muaj ib qho ntawm cov chaw tsim khoom, nyob ntawm no lossis txawv teb chaws, tau tsim cov koob txhaj tshuaj tshwj xeeb rau cov koob tshuaj insulin tsawg tsawg. Nyeem ntxiv hauv kab lus “Insulin Syringes, Koob thiab koob txhaj tshuaj”.
Kuv txhawb txhua tus nyeem uas kho ntshav qab zib nrog cov tshuaj insulin kom qhia lawv qhov kev paub hauv cov lus. Los ntawm kev ua qhov no, koj yuav pab lub zej zog loj ntawm Lavxias-hais lus neeg mob ntshav qab zib. Vim tias cov neeg mob ntshav qab zib ntau hloov mus rau qhov kev noj haus uas tsis muaj carbohydrate ntau, lawv yuav xav tau cov tshuaj insulin tsawg.
