Cov tib neeg siv tshuaj insulin tas li xav tau cov tshuaj insulin. Txij li thaum txhaj tshuaj yuav tsum tau ua txhua hnub, nws yog qhov tseem ceeb kom paub tias thaj chaw twg ntawm lub cev yuav txhaj, kom tsis muaj qhov khaus thiab o.
Insulin txoj kev kho yog feem ntau nyuaj los ntawm qhov tseeb tias tib neeg tsuas yog tsis paub yuav ua li cas thiaj li tsim nyog txhaj tshuaj insulin. Cov niam txiv nrog cov menyuam muaj ntshav qab zib yuav ntsib qhov teeb meem no.
Tam sim no, tus naj npawb ntawm cov kabmob ntshav qab zib tau nce zuj zus. Rau coob leej neeg, qhov teeb meem ntawm cov tshuaj insulin yuav cuam tshuam, thiab kev paub txog lawv yuav yog qhov tseem ceeb.
Cov tshuaj insulin yog li cas rau hauv lub cev
Kev txhaj tshuaj txhua hnub mus tas ib sim rau cov neeg muaj ntshav qab zib hom 1. Hauv ob hom kab mob, insulin kuj tseem xav tau. Kev txhaj tshuaj insulin raws sij hawm tuaj yeem cawm koj kom tuag vim yog mob ntshav qab zib tsis xeev plab. Qhov tshuaj insulin tseem qhia rau cov ntshav qab zib hauv plab kom tsis txhob muaj qhov txawv txav ntawm lub cev thaum lub sijhawm cev xeeb tub.
Tam sim no txoj kev nrov tshaj plaws ntawm kev txhaj tshuaj insulin yog cov xaum xaum qhuav. Chav tsev no tuaj yeem noj nyob txhua qhov chaw nrog koj, muab tso rau hauv koj lub hnab tshos lossis hnab. Cov xaum xaum nqus muaj lub ntsej muag zoo nkauj, thiab cov koob xav tau pov tseg.
Tam sim no cov koob txhaj yuav luag tsis nyiam tso. Cov tes tuav cov koob txhaj tshuaj feem ntau siv vim tias nws yooj yim dua rau kev txhaj tshuaj insulin rau hauv caj npab thiab lwm qhov ntawm lub cev.
Muab cov tshuaj insulin rau:
- intramuscularly
- tso leeg ntshav
- subcutaneously.
Cov tshuaj insulin luv luv yog muab rau thaum lub sijhawm ua kom lub dag zog tsis hnov qab. Koj tuaj yeem ceev ceev tawm qhov yuav ua li cas txhaj tshuaj insulin, tab sis muaj ob peb yam zais ntshis. Thaum ua cov txheej txheem rau kev tswj cov tshuaj insulin, yuav tsum ua raws li qib kev coj ua.
Koj yuav tsum tau txhaj tshuaj raws li qee txoj cai:
- Ua ntej muab kev txhaj tshuaj, koj yuav tsum ntxuav koj txhais tes kom zoo nrog tshuaj ntxuav tes,
- Nco ntsoov tias qhov chaw koj txhaj tshuaj insulin yog qhov huv,
- thaj chaw tsis tau txhuam nrog cawv vim tias nws rhuav tshem cov tshuaj insulin,
- tig lub koob txhaj tshuaj ntau zaus kom tiv thaiv kev sib xyaw ntawm cov tshuaj,
- cov koob tshuaj yog tau suav, cov tshuaj tau raug hu mus rau hauv cov koob txhaj, uas tau kuaj ua ntej rau kev ua haujlwm,
- txhua zaus koj yuav tsum tau txais cov koob tshiab,
- txhawm rau txhaj tshuaj, koj yuav tsum quav cov tawv thiab txhaj tshuaj rau qhov ntawd,
- lub rab koob yog nyob rau hauv daim tawv nqaij rau 10 vib nas this, cov quav tshuaj yog maj mam txhaj,
- daim ntaub thaiv yog ncaj ncaj, thiab koj tsis tas yuav so qhov chaw txhaj tshuaj.
Nws yog ib qho tseem ceeb kom paub txog qhov koj tuaj yeem txhaj tshuaj insulin. Qhov peculiarity ntawm kev taw qhia yog cuam tshuam los ntawm qhov hnyav ntawm ib tug neeg. Nws muaj ntau txoj kev sib txawv los tswj cov tshuaj no. Txhawm rau txiav txim siab seb qhov twg thiaj li txhaj tshuaj insulin, koj yuav tsum them sai sai rau qhov hnyav ntawm tus neeg.
Yog tias mob ntshav qab zib tus neeg mob hnyav dhau lossis ib txwm dhau, tom qab ntawd lawv txhaj insulin lawm. Txheem ntawm cov tib neeg nyias, cov koob txhaj yuav tsum tso ntawm kaum ntawm 45-60 degrees rau saum npoo ntawm daim tawv nqaij quav.
Kev tswj hwm raws sij hawm ntawm kev txhaj tshuaj insulin yog tus yuam sij rau kev noj qab haus huv thiab kev txuag lub neej ntawm tus mob ntshav qab zib.
Cov tshuaj insulin txhaj rau qhov twg?
Koj tuaj yeem tso cov tshuaj insulin rau ntau qhov chaw hauv lub cev. Txhawm rau kom sib nkag siab zoo ntawm tus neeg mob thiab kws kho mob, cov chaw no muaj qee lub npe. Piv txwv li, lub npe hu ua "lub plab" yog thaj av ntawm txoj hlab ntaws ntawm theem ntawm txoj siv tawv.
Bioavailability yog qhov feem pua ntawm cov tshuaj nyob rau hauv cov ntshav. Qhov ua tau zoo ntawm cov tshuaj insulin yog ncaj qha nyob ntawm qhov chaw ntawm cov tshuaj insulin.
Nws yog qhov zoo tshaj plaws los txhaj tshuaj insulin rau hauv plab. Cov ntsiab lus zoo tshaj plaws rau kev txhaj tshuaj yog thaj chaw li ob peb centimeters rau sab laug thiab sab xis ntawm lub pij ntaws. Qhov hno hauv cov chaw no mob heev, yog li txhaj tom qab kev txhim kho ntawm cov txuj ci.
Txhawm rau txo qis mob, tshuaj insulin tuaj yeem raug txhaj rau hauv tus ncej puab, ze rau sab. Hauv cov chaw no rau kev txhaj tshuaj koj yuav tsum tau pleev qhov tsis txaus. Koj tsis tuaj yeem ua koob thib ob rau ntawm qhov pom, koj yuav tsum thim tawm ob peb centimeters.
Hauv thaj tsam ntawm lub xub pwg hniav, cov kua dej tsis tuaj yeem nqus tau zoo li nyob rau lwm qhov chaw. Cov chaw rau cov insulin yuav tsum ua lwm yam. Piv txwv, "ceg" yog "plab" lossis "tes" yog "plab". Yog hais tias kev kho mob yog nqa nrog ntev thiab luv ua yeeb yaj kiab insulins, ces lub luv luv muab tso rau hauv lub plab, thiab qhov ntev ntev tau muab tso rau sab caj npab lossis txhais ceg. Nov yog yuav ua li cas cov tshuaj yuav ua kom sai li sai tau.
Nrog kev qhia ntawm insulin kev txhaj tshuaj uas siv tus cwj mem-koob txhaj, txhua qhov ntawm lub cev nkag mus tau yooj yim. Siv cov tshuaj insulin ib txwm siv, txhaj rau hauv ceg lossis plab yuav ua tau yooj yim.
Ib tus neeg uas muaj ntshav qab zib yuav tsum qhia nws tsev neeg thiab cov neeg hlub txog kev txhaj tshuaj insulin.
Tshuaj insulin pab li cas?
Tam sim no cov tshuaj insulin feem ntau muab tswj nrog cov xaum xaum xaum lossis cov xaim hluav taws xob uas siv pov tseg. Qhov kev xaiv tom kawg yog feem ntau siv los ntawm cov neeg laus, cov tub ntxhais hluas nyiam siv daim duab syringe, vim tias cov cuab yeej no yooj yim dua, nws tuaj yeem nqa nrog koj.
Ua ntej kev txhaj tshuaj, koj yuav tsum xyuas seb tus puas syringe cwj mem ua haujlwm. Lub cuab yeej tuaj yeem tsoo, uas yuav ua rau qhov tsis raug lossis siv tsis ua haujlwm ntawm cov tshuaj.
Ntawm cov koob txhaj yas, koj yuav tsum xaiv cov kev xaiv nrog koob tsim-ua koob. Raws li txoj cai, cov tshuaj insulin tsis nyob twj ywm rau hauv cov cuab yeej ntawd tom qab txhaj, uas txhais tau hais tias lub ntim yuav ua tiav rau tus neeg mob. Nws yog ib qho tseem ceeb kom pom tias muaj pes tsawg chav nyob ntawm insulin suav nrog ib txoj kev faib tawm.
Tag nrho cov insulin koob txhaj tshuaj pov tseg. Feem ntau cov feem ntau, lawv lub ntim yog 1 ml, qhov no sib raug rau 100 IU - chav kho mob. Cov koob txhaj tshuaj muaj 20 qhov kev sib cais, txhua qhov sib haum rau ob chav dej ntawm insulin. Hauv tus cwj mem syringe, txoj kev faib tawm ntawm lub nplai yog 1 IU.
Cov neeg feem ntau ntshai pib tsim cov tshuaj insulin, tshwj xeeb tshaj yog nyob hauv plab. Tab sis yog tias koj ua tiav cov txheej txheem, tom qab ntawd koj tuaj yeem ua tiav kev txhaj tshuaj, qhov twg cov tshuaj insulin raug txhaj tshuaj intramuscularly.
Cov neeg mob ntshav qab zib nrog hom 2 mob ntshav qab zib mellitus tsis xav hloov mus rau kev txhaj tshuaj insulin thiaj li tsis xav txais kev txhaj tshuaj txhua hnub. Tab sis txawm hais tias ib tus neeg muaj tseeb txog hom kab mob no, nws tseem yuav tsum tau kawm txheej txheem ntawm insulin tswj.
Paub tias qhov twg txhaj tshuaj nrog insulin yuav muab rau, thiab nrog qhov tsawg zaus qhov no yuav tsum tau tshwm sim, ib tus neeg yuav muaj peev xwm ua kom muaj kev nce qib zoo tshaj plaws ntawm cov piam thaj hauv cov ntshav. Yog li, kev tiv thaiv ntawm cov teeb meem yuav tau muab.
Tsis txhob hnov qab tias ib cheeb tsam twg muab cov tshuaj insulin tuaj yeem hloov nws tus yam ntxwv. Yog tias koj ua kom tawv nqaij sov, piv txwv li, da dej, tom qab ntawd thaj tsam ntawm kev txhaj tshuaj, cov txheej txheem roj ntsha yuav pib.
Cov qhov txhab yuav tsum tsis txhob tshwm sim ntawm qhov chaw txhaj tshuaj, tshwj xeeb hauv plab. Nyob rau thaj chaw no, cov tshuaj yuav cuam sai dua.
Xws li lub pob tw, qhov kev nqus ntawm cov tshuaj yuav nrawm yog tias koj ua kev tawm dag zog lub cev lossis caij tsheb kauj vab.
Kev hnov mob ntawm cov tshuaj insulin
Thaum ua cov tshuaj insulin hauv thaj chaw, qhov kev xav txawv yuav pom. Nrog kev hno hauv caj npab, qhov mob yuav luag tsis hnov, thaj tsam hauv plab feem ntau yog qhov mob tshaj plaws. Yog tias rab koob yog ntse thiab qhov kawg ntawm tes tsis chwv, ces mob feem ntau tsis tuaj thaum txhaj rau hauv ib cheeb tsam thiab ntawm cov nqi sib txawv.
Txhawm rau kom muaj qhov ua tau zoo ntawm cov tshuaj insulin, nws yuav tsum nkag mus rau cov roj txheej subcutaneous. Hauv qhov no, qhov mob ib txwm mob me, thiab nqaij doog sai sai. Koj tsis tas yuav muab tshuaj rau hauv cov chaw no ua ntej hematoma ploj. Yog hais tias tso tawm cov ntshav tawm thaum lub sijhawm txhaj, qhov no txhais tau hais tias rab koob tau nkag rau hauv cov hlab ntshav.
Thaum ua qhov kev kho tshuaj insulin thiab xaiv thaj tsam ntawm kev txhaj tshuaj, koj yuav tsum paub tias qhov kev ua tau zoo ntawm kev kho thiab qhov ceev ntawm kev txiav txim ntawm cov tshuaj nyob ntawm, ua ntej ntawm txhua yam, ntawm:
- chaw txhaj tshuaj
- qhov kub thiab txias ntawm ib puag ncig.
Thaum tshav kub kub, qhov kev txiav txim ntawm cov kua dej yog qhov ua kom nrawm, thiab thaum mob khaub thuas nws tau qeeb qeeb.
Lub teeb zaws ntawm thaj chaw txhaj tshuaj yuav txhim kho kom nqus tau cov tshuaj insulin thiab tiv thaiv kev tso tawm. Yog tias ob lossis ntau dua kev txhaj tshuaj nyob hauv tib qho chaw, ces theem ntawm cov piam thaj hauv cov ntshav tuaj yeem txo qis.
Ua ntej txhaj tshuaj, tus kws kho mob tshuaj xyuas tus neeg mob lub siab xav rau ntau yam insulins kom tsis txhob muaj cov kev mob tshwm sim thaum lub sij hawm siv tshuaj insulin.
Thaj chaw ntawm kev txhaj tshuaj uas yog qhov zoo tshaj plaws cais tawm
Nws yog ib qho tseem ceeb uas kev lav phib xaub mus kom ze rau cov lus pom zoo ntawm tus kws kho mob koom thiab txhaj tshuaj rau thaj chaw ntawm lub cev uas lawv tso cai. Yog tias tus neeg mob ua yeeb yam txhaj rau nws tus kheej, tom qab ntawd koj yuav tsum xaiv rau sab xub ntiag ntawm lub ncej puab ntev kom txhaws qhov ntev. Cov insulins luv luv thiab ultrashort raug txhaj rau hauv peritoneum.
Kev txhaj tshuaj insulin rau hauv pob tw lossis xub pwg tuaj yeem nyuaj. Feem ntau, ib tus neeg tsis tuaj yeem ua daim tawv nqaij quav nyob hauv cov chaw no hauv txoj hauv kev uas yuav nkag mus rau hauv cov roj av subcutaneous rog txheej.
Yog li ntawd, cov tshuaj raug txhaj rau hauv cov leeg nqaij, uas tsis zoo txhua qhov txhim kho tus neeg mob ntshav qab zib. Txhawm rau tshem tawm cov chaw tsis tsim nyog rau cov txheej txheem, koj yuav tsum ua kom tsis muaj kev txhaj tshuaj nyob hauv thaj chaw npaj:
- ntsaws ruaj ruaj
- liab
- nti
- cov cim qhia ntawm kev puas tsuaj rau cov tawv nqaij,
- doog ntshav.
Qhov no txhais tau hais tias txhua txhua hnub ib tus neeg yuav tsum tau hno ntau cov tshuaj insulin kom nws txaus siab. Hauv qhov no, qhov chaw tswj hwm ntawm insulin yuav tsum hloov tas li, ua raws li cov txheej txheem ntawm kev tswj hwm ntawm cov tshuaj.
Kev sib lawv liag ntawm kev nqis tes ua yuav muaj ntau txoj kev xaiv rau kev tsim cov xwm txheej. Koj tuaj yeem hno kom ze rau ib qho dhau los, rov qab nqis li ob centimeters.
Nws tseem raug tso cai faib thaj chaw txhaj tshuaj ua plaub ntu. Ib qho ntawm lawv yog siv rau ib lub lim tiam, tom qab ntawd cov tshuaj hno pib rau tom ntej. Yog li, daim tawv nqaij yuav tuaj yeem rov qab thiab so.
Cov kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no yuav qhia koj ntau ntxiv txog cov txheej txheem ntawm kev tswj hwm insulin.
