Txhua tus neeg mob ntshav qab zib paub yam koob txhaj tshuaj insulin koob txhaj tshuaj, thiab paub siv lawv, vim tias qhov no yog txheej txheem tseem ceeb rau tus kabmob. Cov koob txhaj tshuaj rau cov tshuaj insulin yog ib txwm pov tseg thiab muaj menyuam tsis taus, uas ua rau muaj kev nyab xeeb ntawm lawv txoj haujlwm. Lawv tau ua los ntawm cov yas kho mob thiab muaj qhov ntsuas tshwj xeeb.
Thaum xaiv cov tshuaj pleev insulin, koj yuav tsum tau them nyiaj tshwj xeeb rau cov nplai thiab cov kauj ruam ntawm nws txoj kev faib. Cov kauj ruam lossis nqe faib nyiaj yog qhov sib txawv ntawm cov txiaj ntsig tau taw qhia ntawm cov cim uas nyob ib sab. Ua tsaug rau qhov kev xam no, cov ntshav qab zib tau tuaj yeem ua kom tiav raws li qhov xav tau ntawm kev noj tshuaj.
Piv nrog rau lwm cov kev txhaj tshuaj, cov tshuaj insulin yuav tsum raug tswj hwm tsis tu ncua thiab raug rau qee qhov txheej txheem, suav nrog qhov tob ntawm kev tswj hwm, kev siv tawv nqaij siv, thiab cov chaw txhaj tshuaj yog hloov.
Kev xaiv insulin koob
Txij li thaum cov tshuaj tau qhia rau hauv lub cev ntau zaus nyob rau ib hnub, nws yog ib qho tseem ceeb uas yuav tsum xaiv qhov loj me ntawm rab koob rau cov tshuaj insulin kom qhov mob tsawg heev. Qhov tshuaj hormones yog muab tshwj xeeb rau cov roj ntsha subcutaneous, zam kev pheej hmoo ntawm cov tshuaj intramuscularly.
Yog tias cov tshuaj insulin nkag mus rau hauv cov leeg nqaij, qhov no tuaj yeem ua rau kev txhim kho hypoglycemia, txij li thaum cov tshuaj hormones pib ua sai sai hauv cov ntaub so ntswg no. Yog li ntawd, qhov tuab thiab ntev ntawm lub koob yuav tsum zoo tshaj qhov qub.
Qhov ntev ntawm rab koob tau xaiv, tsom mus rau ntawm tus kheej cov yam ntxwv ntawm lub cev, lub cev, pharmacological thiab lub hlwb yam. Raws li kev tshawb fawb, cov tuab ntawm txheej subcutaneous yuav txawv, nyob ntawm qhov nyhav, hnub nyoog thiab poj niam txiv neej.
Nyob rau tib lub sijhawm, cov tuab ntawm subcutaneous rog nyob rau ntau qhov chaw tuaj yeem sib txawv, yog li nws pom zoo kom tib tus neeg siv ob rab koob ntawm qhov ntev sib txawv.
Cov tshuaj insulin tuaj yeem yog:
- Luv - 4-5 hli;
- Qhov nruab nrab ntev yog 6-8 hli;
- Ntev - ntau dua 8 hli.
Yog tias yav dhau los cov neeg laus ntshav qab zib feem ntau siv 12.7 hli ntev koob, niaj hnub no cov kws kho mob tsis pom zoo kom siv lawv kom tsis txhob siv tshuaj ntau ntxiv. Raws li rau cov me nyuam, rau lawv 8 hli ntev koob kuj tseem ua ntev dhau.
Yog li kom tus neeg mob tuaj yeem xaiv qhov zoo ntawm qhov ntev ntawm rab koob, ib lub rooj tshwj xeeb nrog cov lus pom zoo tau tsim.
- Cov menyuam yaus thiab tub ntxhais hluas tau qhia kom xaiv cov koob uas muaj ntev li 5, 6 thiab 8 hli nrog kev tsim cov tawv nqaij quav nrog kev qhia ntawm cov tshuaj hormones. Kev txhaj tshuaj yog nqa tawm ntawm kaum ntawm 90 degrees nrog siv rab koob 5 mm, 45 degrees rau 6 thiab 8 mm koob.
- Cov neeg laus tuaj yeem siv cov koob txhaj tshuaj 5, 6 thiab 8 mm ntev. Hauv qhov no, ib daim tawv nqaij tawv yog tsim nyob rau hauv cov neeg nyias nyias thiab nrog rab koob ntev ntau dua 8 hli. Lub kaum sab xis ntawm lub zog insulin yog 90 degrees rau 5 thiab 6 mm koob, 45 degrees yog koob ntev dua 8 hli siv.
- Cov menyuam yaus, cov neeg mob nyias thiab ntshav qab zib uas txhaj tshuaj insulin rau hauv tus ncej puab lossis txhais taw, kom txo qhov kev pheej hmoo ntawm txhaj tshuaj intramuscular, nws raug nquahu kom quav cov tawv nqaij thiab ua ib qho kev txhaj tshuaj ntawm kaum ntawm 45 degrees.
- Ib qho tshuaj insulin luv luv 4-5 hli ntev tuaj yeem siv tau kev nyab xeeb thaum muaj hnub nyoog ntawm tus neeg mob, suav nrog kev rog. Nws tsis tsim nyog los ua daim tawv nqaij tawv thaum ua ntawv thov lawv.
Yog tias tus neeg mob tau txhaj tshuaj insulin thawj zaug, nws yog qhov zoo tshaj plaws rau kev siv rab koob luv luv 4-5 mm ntev. Qhov no yuav zam kom raug mob thiab yooj yim txhaj. Txawm li cas los xij, cov hom koob no kim dua, yog li cov neeg mob ntshav qab zib xaiv cov koob ntev dua, tsis tsom mus rau lawv tus kheej lub cev thiab qhov chaw tswj hwm ntawm cov tshuaj. Hauv kev hais txog qhov no, tus kws kho mob yuav tsum qhia tus neeg mob muab tshuaj rau ib qho chaw twg thiab siv rab koob ntawm ntau qhov ntev.
Ntau tus neeg mob ntshav qab zib tau xav paub seb nws puas muaj peev xwm tho qhov tawv nqaij nrog rab koob ntxiv tom qab muaj cov tshuaj insulin.
Yog tias ib qho tshuaj insulin siv, lub koob tau siv ib zaug thiab tom qab kev txhaj tshuaj raug hloov los ntawm lwm qhov, tab sis yog tias tsim nyog, rov siv tsis pub ntau tshaj ob zaug tau tso cai.
Qhov sib txawv ntawm cov tshuaj insulin thiab ib qho zuj zus
Cov insulin koob txhaj tshuaj muaj lub cev yuag thiab ntev dua, yog li tus nqi kawm tiav ntawm qhov ntsuas tiav yog txo mus txog 0.25-0.5 units. Qhov no yog qhov tseem ceeb rau cov neeg mob ntshav qab zib, raws li cov menyuam yaus thiab cov neeg muaj lub siab yoog tau txais ib qho nyiaj ntau dhau ntawm cov tshuaj. Cov tshuaj tiv thaiv denatured emulsified placenta yog qhia nrog tib lub koob txhaj tshuaj.
Cov tshuaj insulin muaj ob lub ntsuas ntsuas, ib qho yog qhov ntsuas ntawm milliliter, thiab lwm yam ntsuas. Qhov siab ntau tshaj plaws tuaj yeem yog 2 ml, thiab qhov tsawg kawg - 0.3 hli, feem ntau cov ntshav qab zib siv feem ntau siv 1 ml koob txhaj. Cov koob txhaj tshuaj zoo tib yam muaj qhov ntim ntau dua li ntawm 2 txog 50 ml.
Qhov ntev thiab taub ntawm rab koob nyob rau hauv cov tshuaj insulin yog qhov luv dua, yog li ntawd, txhaj tshuaj insulin nws tsis tshua mob thiab muaj kev nyab xeeb rau cov ntaub so ntswg. Cov koob tshwj xeeb kuj tseem muaj qhov tshwj xeeb trihedral laser ua kom tiav, yog li lawv tau ntse dua.
Txo qhov kev pheej hmoo ntawm kev raug mob, lub hau yog coated nrog silicone roj.
Yuav ua li cas txhaj tshuaj nrog cov koob ntawm ntau yam ntev
- Thaum siv rab koob luv, qhov kev txhaj tshuaj yog ua ntawm kaum ntawm 90 degrees rau daim tawv nqaij.
- Cov tshuaj insulin yog ntxig rau daim tawv nqaij nrog pob nruab nrab, thiab lub kaum sab xis yuav tsum yog.
- Yog tias ntev koob ntau dua 8 hli siv, cov tshuaj yuav txhaj rau hauv daim tawv nqaij quav, lub kaum sab xis yog 45 degrees.
Nws yog ib qho tseem ceeb kom kawm paub yuav ua li cas teeb tsa daim tawv nqaij, muab cov tawv nqaij tsis tuaj yeem raug txo qis kom txog thaum cov tshuaj puv tawm. Nws yog ib qho tsim nyog yuav tsum paub tseeb tias daim tawv nqaij tsis nyem thiab tsis txav, txwv tsis pub qhov txhaj tshuaj yuav ua kom tob thiab cov tshuaj yuav nkag mus rau cov leeg nqaij.
Nrog cov txheej txheem kev txhaj tshuaj, koj tuaj yeem hno rau hauv ib qho chaw twg.
Xaiv ib qho chaw los tswj cov insulin
Kev kho tshuaj Insulin yuav tsum ua raws li cov cai lij choj. Yog tias cov tshuaj hormone tau tswj hwm nws tus kheej, nws yog qhov zoo uas yuav tau xaiv thaj chaw ntawm lub plab lossis tus ncej puab. Koj tseem tuaj yeem muab kev txhaj tshuaj rau hauv lub pob tw, tab sis qhov no yog qhov chaw yooj yim dua.
Nws tsis pom zoo rau kev tswj hwm cov tshuaj mus rau thaj tsam ntawm lub xub pwg ntawm nws tus kheej, vim nws nyuaj heev rau kev ua daim tawv nqaij, uas yuav ua rau muaj kev pheej hmoo ntawm cov tshuaj nkag mus rau hauv cov leeg. Tsis tas li, cov tshuaj insulin tsis raug tso cai rau kev txhaj tshuaj rau hauv qhov chaw ntawm daim tawv nqaij uas muaj kab mob, nti, mob tshwm sim.
Nyob ntawm seb hom tshuaj insulin twg siv, qhov chaw txhaj tshuaj yog xaiv.
- Ib qho piv txwv ntawm tib neeg cov kua dej ntawm kev ua ntev thiab luv tau qhia rau hauv ib cheeb tsam twg, vim tias qhov nqus ntawm cov tshuaj yog tib yam nyob txhua qhov chaw.
- Kev siv yeeb yaj kiab luv luv neeg lub cev feem ntau yog txhaj rau hauv lub plab txhawm rau nce ntxiv kev nqus.
- Tib neeg lub cev ntev insulin raug txhaj rau hauv tus ncej puab, pob tw, txhawm rau kom qeeb tus nqi ntawm kev nqus. Nws yog ib qho tseem ceeb kom paub meej tias cov tshuaj tsis nkag mus rau ntawm intramuscularly, vim tias qhov no yuav ua rau muaj kev pheej hmoo ntawm hypoglycemia.
Ua ntej txhaj cov tshuaj, tus neeg mob yuav tsum kuaj qhov chaw cov tshuaj insulin. Yog tias koj pom cov tsos mob ntawm mob o, pob thiab qog, koj yuav tsum hu rau koj tus kws kho mob sai.
Qhov chaw txhaj tshuaj anatomical yuav tsum tau hloov mus tiv thaiv cov ntaub so ntswg noj qab haus huv. Koj yuav tsum hloov chaw nyob txhua lub lim tiam, pib txij hnub Monday. Ntxiv mus, cov phiaj xwm raug xaiv los mus txuas ntxiv, tsis tas yuav ua txhaum daim ntawv xaj.
Txhua zaus koj muab cov tshuaj hormone los tso rau tib qho chaw, koj yuav tsum tsim ib qho kev ntxig me me ntawm qhov taw qhia yav dhau los los ntawm 1-2 cm txhawm rau kom tsis txhob ua kom cov nqaij mos dua ntxiv.
Kev txhaj tshuaj yog ua tiav ntawm lub sijhawm twg kom thiaj li nqus tau cov tshuaj insulin yog ib yam zoo ib yam.
Siv Yeeb Yaj Kaub Cwjmem
Insulin syringe cwjmem yog cov kua dej tshwj xeeb hauv cov kab noj hniav uas yog lub thawv me me nrog cov tshuaj insulin raug ntsia. Xws li cov cuab yeej ua kom yooj yim rau lub neej muaj ntshav qab zib, vim tias tus neeg mob tsis tas yuav nqa cov koob txhaj tshuaj thiab lub raj mis nrog tshuaj.
Nyob rau hauv tsos, tus ntaus ntawv tsa ib tug cwj mem zoo tib yam. Nws muaj lub vias cartridge, daim cartridge khaws cia, lub tshuab hluav taws xob tsis siv neeg, lub pob khawm taw, lub ntsuas qhov taw qhia, ib rab koob sib hloov tau nrog lub hau kev nyab xeeb, thiab stylish hlau rooj-rooj plaub nrog clip.
Xws li cov xaum xaum hluav taws xob feem ntau muaj qhov ntsuas qhov ntsuas 1 Unit lossis 0.5 Unit rau cov menyuam yaus; nws tsis tuaj yeem tsim qhov me me. Yog li, siv cov cuab yeej rau hom 1 lossis hom 2 mob ntshav qab zib mellitus tsuas yog tom qab ua tib zoo xaiv ntawm txoj kev xav tshuaj.
Ua ntej pib ua haujlwm, ib lub taub roj ntsha insulin yog ntsia. Qhov yuav tsum tau tshuaj ntau yog txiav txim siab, qhov dispenser mechanism yog cocked.
Lub koob tawm ntawm lub hau thiab ua kom zoo ntawm lub kaum ntawm 70-90 degrees, lub pob nyem yog nias txhua txoj kev.
Kev siv tshuaj yaj yeeb
Ua ntej qhia cov tshuaj, yuav tsum ua tib zoo tshuaj daim tawv nqaij. Yog tias muaj cov cim ntawm kev cog lus ntawm, kev sib kis, lossis mob, qhov chaw txhaj tshuaj yuav tsum tau hloov.
Qhov kev txhaj tshuaj yog ua nrog txhais tes huv, daim tawv nqaij kuj yuav tsum tau kho yog tias muaj kev pheej hmoo ntawm kev kis lossis daim tawv nqaij muaj paug. Thaum siv cov tshuaj tov dej cawv, ib qho kev txhaj tshuaj tuaj yeem ua tau tsuas yog tom qab ua tiav evaporation ntawm cov kua los ntawm daim tawv nqaij.
Qee cov neeg mob xum xaj txhaj dua cov khaub ncaws. Qhov no yog qhov kev tso cai, tab sis nrog cov txheej txheem no nws tsis tuaj yeem tsim daim tawv nqaij, yog li qhov tseeb no yuav tsum tau muab rau hauv.
- Kev txhaj tshuaj yog ua tiav qeeb, koj yuav tsum ua kom lub piston ntawm cov koob txhaj tshuaj lossis qhov tseem ceeb ntawm rab koob txhaj tshuaj yog qhov tsau. Kev tswj hwm sai ntawm cov tshuaj insulin yog siv nruj me ntsis.
- Thaum siv rab koob txhaj tshuaj tom qab siv cov tshuaj, koj yuav tsum tos 10 seconds ua ntej tshem tawm rab koob kom cov tshuaj tsis ntws rov qab, thiab cov ntshav qab zib yuav tau txais tag nrho cov tshuaj ntawm cov tshuaj. Thaum siv koob tshuaj ntau, koj yuav tsum tau tos ntev dua.
- Massaging qhov chaw txhaj tshuaj ua ntej thiab tom qab coj cov tshuaj hormones tsis pom zoo, vim tias qhov kev hloov pauv ntawm tus nqi nqus.
Ib qho tshuaj insulin rau rab koob txhaj tshuaj yuav tsum tau siv ib zaug thiab siv rau txhua tus neeg mob. Tsis txhob hloov cov cuab yeej siv rau lwm tus neeg, vim tias qhov no yuav ua rau nqus cov khoom siv roj ntsha mus rau hauv lub hauv paus ntawm daim cartridge.
Tom qab siv cwj mem syringe, cov koob yuav tsum tau txiav tawm kom tsis muaj pa thiab cov khoom ua kom tsis haum nkag rau hauv lub taub hau. Tsis tas li, qhov no yuav tsis tso cai rau cov tshuaj kom ntws tawm.
Yog tias siv cov tshuaj insulin ib txwm siv, 1 ml u 100 3 x comp n100 luersmt, cov koob tsis tas yuav tsum tau tuav hauv qab daim tawv nqaij kom ntev. Thaum sib xyaw nrog ntau hom tshuaj insulin, nws raug nquahu kom noj cov koob txhaj nrog lub koob ruaj, nws pab txhawm rau txiav txim qhov ntau npaum thiab txo qhov chaw tuag.
Yog tias cov npuas tshwm sim hauv cov phwj hauv tom qab siv tshuaj, co lub tog raj kheej me ntsis thiab nias lub piston kom tso pa. Ib yam li cov koob txhaj tshuaj, thaum siv cov koob txhaj tshuaj, cov koob tau hloov tom qab kev txhaj tshuaj.
Tom qab siv, insulin koob thiab koob txhaj tshuaj yuav tsum muab tso rau hauv lub thawv tshwj xeeb, thiab ib lub tsho tiv thaiv yuav tsum muab tso rau ntawm rab koob. Lawv tsis tuaj yeem raug pov rau hauv cov dej haus tsis tu ncua, zoo li lwm tus neeg tuaj yeem raug mob yog tias tsis saib xyuas.
Cov tshuaj feem ntau khaws cia hauv chav sov. Yog tias cov tshuaj nyob hauv lub tub yees, nws yuav tsum tau muab tshem tawm ib nrab ib teev ua ntej kev qhia ntawm yam tshuaj no kom nws tau txais qhov kub thiab txias. Txwv tsis pub, qhov kev npaj txias yuav ua rau hnov mob thaum txhaj. Daim vis dis aus hauv tsab xov xwm no yuav qhia koj kom siv cov tshuaj insulin thiab koob txhaj tshuaj.