Ntshav qab zib yog ib hom mob uas haum thiab feem ntau tib neeg paub txog nws twb muaj lub hnub nyoog ras xeev. Txog rau cov ntshav qab zib, insulin yog qhov tseem ceeb ntawm lub neej thiab koj yuav tsum kawm paub txhaj yam tshuaj kom raug. Tsis tas yuav tsum muaj kev ntshai ntawm kev txhaj tshuaj insulin - lawv tsis mob kiag li, qhov tseem ceeb yog txhawm rau ua raws li qee yam kev paub tseeb.
Kev siv tshuaj insulin yog qhov tseem ceeb rau cov ntshav qab zib hom 1 thiab kev xaiv hom ntshav qab zib hom 2. Thiab yog tias thawj qeb ntawm cov neeg mob tau ntev dhau los ua txoj haujlwm no, uas tsim nyog txog li tsib zaug hauv ib hnub, ces cov neeg ntawm hom 2 feem ntau ntseeg tias qhov kev txhaj tshuaj yuav ua rau mob. Lub tswv yim no yog erroneous.
Txhawm rau kom nkag siab meej txog qhov koj yuav tsum tau txhaj tshuaj li cas, yuav sau cov tshuaj li cas, kab ntawv yog dab tsi sib txawv ntawm cov tshuaj insulin sib txawv thiab dab tsi yog cov algorithm rau kev siv tshuaj insulin, koj yuav tsum paub txog koj tus kheej nrog cov ntaub ntawv hauv qab no. Nws yuav pab cov neeg mob kom kov yeej kev ntshai ntawm ib qho kev txhaj tshuaj uas yuav tuaj tom ntej thiab tiv thaiv lawv los ntawm kev txhaj tshuaj yuam kev, uas tuaj yeem cuam tshuam tsis zoo rau lawv kev noj qab haus huv thiab tsis nqa lwm yam kev kho mob.
Kev Siv Tshuaj Insulin
Tus mob ntshav qab zib hom 2 siv ntau xyoo ntshai tsam kev txhaj tshuaj yav tom ntej. Tom qab tag nrho, lawv txoj kev kho mob tseem ceeb yog los txhawb lub cev kom kov yeej cov kab mob ntawm nws tus kheej nrog kev pab tshwj xeeb xaiv cov khoom noj, kev tawm dag zog lub cev thiab cov ntsiav tshuaj.
Tab sis tsis txhob ntshai los tswj hwm ib koob tshuaj insulin subcutaneously. Koj yuav tsum tau npaj kom txhij ua ntej rau cov txheej txheem no, vim tias qhov kev xav tau tuaj yeem tshwm sim nthawv.
Thaum tus neeg mob uas muaj ntshav qab zib hom 2, uas ua tsis tau txhaj tshuaj, pib mob, txawm tias muaj SARS, cov ntshav qab zib cov ntshav nce siab. Qhov no tshwm sim vim yog txoj kev loj hlob ntawm insulin tsis kam - qhov cuam tshuam ntawm cov hlwb rau insulin tsawg dua. Lub sijhawm no, muaj kev xav ceev nrawm rau txhaj tshuaj insulin thiab koj yuav tsum npaj kom zoo rau kev coj ua qhov xwm txheej no.
Yog hais tias tus neeg mob tswj cov tshuaj tsis subcutaneously, tab sis intramuscularly, ces kev nqus ntawm cov tshuaj nce siab zuj zus, uas ua rau muaj kev tsis zoo rau tus neeg mob lub cev. Nws yog ib qho tsim nyog los soj ntsuam hauv tsev, siv ntsej muag ntsej muag, qib suab thaj hauv cov ntshav thaum muaj mob. Qhov tseeb tiag, yog tias koj tsis tau txais kev txhaj tshuaj kom raws sijhawm, thaum cov suab thaj nce siab, ces qhov kev pheej hmoo ntawm kev hloov pauv ntawm tus mob ntshav qab zib hom 2 nce mus rau thawj qhov nce.
Cov txheej txheem ntawm subcutaneous tswj hwm ntawm insulin tsis yog qhov nyuaj. Ua ntej, koj tuaj yeem nug tus kws endocrinologist lossis tus kws tshaj lij kws kho mob kom pom tseeb tias kev txhaj tshuaj yuav ua li cas. Yog hais tias tus neeg mob tau raug tsis kam lees muab kev pabcuam, tom qab ntawd tsis tas yuav tsum ua kev chim siab rau kev tswj hwm insulin subcutaneously - tsis muaj dab tsi nyuaj, cov ntaub ntawv hauv qab no yuav qhia tag nrho cov kev ua kom zoo thiab tsis muaj kev txhaj tshuaj.
Yuav pib nrog, nws tsim nyog los txiav txim siab rau ntawm qhov chaw uas yuav tau txhaj tshuaj, feem ntau qhov no yog lub plab lossis pob tw. Yog tias koj pom cov rog fiber nyob ntawd, tom qab ntawd koj tuaj yeem ua yam tsis tau nyem daim tawv rau kev txhaj tshuaj. Feem ntau, qhov chaw txhaj tshuaj nyob ntawm qhov muaj cov subcutaneous rog txheej hauv tus neeg mob; qhov loj dua nws yog, qhov zoo dua.
Koj yuav tsum rub daim tawv nqaij kom zoo, tsis txhob nyem thaj chaw no, qhov kev ua no yuav tsum tsis txhob ua rau mob thiab tawm ntawm cov kab mob ntawm daim tawv nqaij, txawm tias muaj hnub nyoog me me. Yog tias koj nyem daim tawv nqaij, tom qab ntawd cov koob yuav nkag mus rau hauv cov leeg nqaij, thiab qhov no yog txwv tsis pub. Cov tawv nqaij tuaj yeem muab kaw nrog ob tug ntiv tes - ntiv tes xoo thiab ntiv tes, qee cov neeg mob, kom yooj yim, siv txhua tus ntiv tes rau ntawm tes.
Xa cov koob txhaj sai sai, qaij lub koob ntawm lub kaum sab xis lossis tusyees. Koj tuaj yeem piv qhov kev txiav txim no nrog ntuav dart. Thaum zoo li cas, tsis txhob ntxig lub koob maj mam. Tom qab txhaj rau koob txhaj tshuaj, koj tsis tas yuav tsum tau txais nws tam sim ntawd, koj yuav tsum tos 5 txog 10 vib nas this.
Lub tsev txhaj tshuaj tsis tiav hauv txhua yam. Txhawm rau npaj rau kev txhaj tshuaj, cov tshuaj insulin, vim tias qhov kev xav tau no yuav tshwm sim tau txhua lub sijhawm, koj tuaj yeem xyaum ntxiv sodium chloride, nyob rau hauv cov neeg ib txwm - muaj ntsev, tsis ntau dua 5 units.
Qhov kev xaiv ntawm cov koob txhaj tshuaj kuj tseem yog lub luag haujlwm tseem ceeb hauv qhov kev ua tau zoo ntawm kev txhaj tshuaj. Nws yog qhov zoo dua los muab kev nyiam rau cov koob txhaj tshuaj nrog lub koob uas khi. Nws yog nws leej twg lav tau cov tshuaj tag nrho.
Tus neeg mob yuav tsum nco ntsoov, yog tias tsawg kawg qhov mob me ntsis tshwm sim thaum txhaj tshuaj, tom qab ntawd cov txheej txheem ntawm kev muab tshuaj insulin tsis tau pom.
Yuav hu li cas
Qhov no kuj tseem tsis muaj dab tsi nyuaj. Hom no tau piav qhia zoo kom tsis txhob muaj npuas nkag mus hauv cov phwj. Qhov no yog qhov tseeb tsis txaus ntshai, tab sis nws tuaj yeem cuam tshuam me ntsis ntawm cov duab hauv chav saib tom qab tshuaj insulin, uas yog qhov tseem ceeb heev thaum coj hauv koob tshuaj me. Yog li nws tsim nyog ua raws cov cai rau kev noj tshuaj hnyav.
Txoj cai no tau muab rau cov tshuaj insulin tsis muaj pob tshab, tsis muaj cov ntsiab lus ntawm cov tshuaj tiv thaiv nruab nrab - ntawm no insulin yog pos huab thiab muaj cov yam ntxwv ntawm nag lossis daus. Yog tias cov kua dej ntxig ntxig rau huab, ces nws yuav tsum tau hloov, nws yog piam.
Ua ntej, koj yuav tsum tshem tag nrho cov kaus mom tiv thaiv los ntawm daim phuam. Tom qab ntawd koj yuav tsum rub lub piston mus rau qhov kev faib tawm uas koj npaj siab yuav sau cov tshuaj insulin, koj tuaj yeem ua tau 10 units ntxiv. Tom qab ntawd ib lub raj mis tshuaj tau coj thiab lub taub hau roj hmab yog rab koob nrog ib rab koob nyob hauv nruab nrab.
Cov kauj ruam tom ntej yog tig lub raj mis 180 degrees thiab qhia cov huab cua los ntawm daim ntaub nqus dej. Qhov no yog qhov tsim nyog los tsim qhov xav tau siab hauv lub raj mis, txoj kev ua no yuav pab txhawb kev sib sau ntawm cov tshuaj. Lub piston ntawm rab koob qhwv yeej nias rau qhov kawg. Txhua lub sijhawm no, txoj haujlwm ntawm lub vial nrog lub koob txhaj tshuaj tsis hloov pauv kom txog thaum tus neeg mob ncav cuag qhov xav tau.
Rau cov neeg mob ntshav qab zib uas txhaj tshuaj insulin xws li NPH (protafan), txoj cai yog zoo ib yam, tsuas yog thaum xub thawj koj xav ua ib qho kev ntxias. Txij li cov tshuaj no muaj cov yam ntxwv ua kom nag, nws yog ua kom lub ntsej muag tag ua ntej siv. Tsis txhob ntshai tshee nws tsis tsim nyog, koj yuav tsum ua tiav qhov teeb meem sib faib khoom ntawm kev ua kom loog hauv cov kua thiab tsuas yog tom qab ua tiav nrog kev sib sau ntawm cov tshuaj insulin.
Cov kauj ruam tom ntej rau kev sib sau ntawm NPH - insulin mus rau hauv cov koob txhaj tshuaj yuav nyob li qhov qub rau cov pob tshab. Tshaj Tawm, peb tuaj yeem paub qhov txawv cov haujlwm tseem ceeb:
- co lub raj mis (rau NPH - insulin);
- noj cua ntau npaum li cas rau hauv cov koob txhaj tshuaj li xav tau insulin rau kev txhaj tshuaj;
- ntsaws lub koob rau hauv lub taub roj hmab ntawm lub raj mis thiab tig nws 180 degrees;
- tso cov pa hauv lub koob txhaj tshuaj mus rau hauv lub vial;
- sau cov tshuaj kom raug yog tsis hloov pauv chaw ntawm vial;
- hle tawm cov phwj tawm, khaws cov tshuaj insulin ntxiv rau ntawm qhov kub ntawm 2 - 8 C.
Sib txawv ntau hom kev txhaj tshuaj insulin
Ntau tus neeg mob ntshav qab zib tau sau tseg rau kev tswj hwm, ntau hom tshuaj insulin - ultrashort, luv, ncua. Tsis txhob ntshai qhov xwm txheej thaum koj xav tau txhaj tshuaj txawm tias ntau hom tshuaj. Lub ntsiab cai tseem ceeb yog qhov no: ua ntej, insulin ceev tshaj plaws yog tswj hwm. Kev ua ntu zuj zus muaj raws li hauv qab no:
- xob;
- luv
- txuas ntxiv.
Thaum Lantus (ib qho ntawm cov hom ntshav txuas ntxiv) yog kho rau tus neeg mob, tom qab ntawd nws tawm hauv lub raj mis tsuas yog nqa nrog ib lub koob txhaj tshuaj tshiab. Yog hais tias txawm tias qhov me tshaj plaws ntawm lwm qhov insulin nkag mus rau hauv lub vial, ces Lantus yuav plam qhov tseem ceeb ntawm nws cov hauj lwm zoo thiab nws yuav tsis yooj yim sua kom paub nws cov nyhuv ntawm cov ntshav qab zib.
Cov tshuaj insulin los ntawm qhov chaw txhaj tshuaj
Nws kuj tseem tshwm sim uas nyob rau hauv tus neeg mob ib feem ntawm cov insulin ntws los ntawm qhov chaw txhaj tshuaj. Lo lus nug tshwm sim - nws yog qhov tsim nyog kom txhaj ib koob tshuaj tshiab lossis txwv koj tus kheej kom muaj kev tswj kom nkag mus rau hauv cov nqaij rog.
Qhov lus teb tsis zoo yog koj tsis tas sau lwm yam. Tus neeg mob tsuas yog yuav tsum tau sau ib daim ntawv hauv nws qhov chaw khaws cia, uas yuav piav qhia me ntsis dhia hauv ntshav qab zib. Zoo, koj nkag siab li cas - tias cov tshuaj ib nrab tsis nkag mus rau hauv lub cev?
Rau qhov no, tam sim ntawd tom qab tshem rab koob tawm ntawm qhov chaw txhaj tshuaj, ntiv tes siv rau qhov chaw no thiab tuav hauv txoj haujlwm no li 5 vib nas this. Yog tias tom qab ntawd muaj tus yam ntxwv tsis hnov tsw ntawm cov kua khaws cia ntawm tus ntiv tes, thiab qhov no yuav hnov zoo tam sim ntawd, tom qab ntawd cov tshuaj insulin tsis so tawm.
Cov Cai Tseem Ceeb
Muaj ntau tus txheej txheem tseem ceeb, kev tsis saib xyuas uas muaj cuam tshuam loj heev rau lub neej cov ntshav qab zib. Lawv muab nthuav tawm hauv qab no:
- Tsis txhob kho qhov chaw txhaj tshuaj nrog cawv thiab lwm yam tshuaj tua kab mob;
- kev txhaj tshuaj yog muab rau cov nqaij mos adipose xwb;
- tsis txhob siv cov tshuaj yog tias nws pib huab (tsis siv rau protophan, nws kuj yog NPH - insulin) - qhov no qhia tias qhov poob ntawm nws cov khoom siv tshuaj;
- tom qab kev tswj hwm tshuaj, cov koob tshuaj tseem nyob rau hauv daim ntaub adipose li 5 txog 10 vib nas this;
- koj tsis tuaj yeem sib xyaw ntau hom insulins, nrog rau hauv lub thauv lossis hauv lub raj tshuaj siv;
- yog tias tom qab txhaj tshuaj, cov tshuaj insulin tau xau, koj tsis tas yuav rov ua dua li qhov kev tswj hwm;
- Tsis txhob rov qab siv lub koob txhaj tshuaj uas siv pov tseg.
Cov kev cai kawg yog feem ntau ua txhaum los ntawm cov neeg mob ntshav qab zib, vim tias tus nqi txhaj tshuaj, txawm hais tias tsis tseem ceeb, yog qhov tseem ceeb, tshwj xeeb tshaj yog thaum cov naj npawb ntawm cov tshuaj mus txog 5 zaug hauv ib hnub. Tab sis nws zoo dua yog siv nyiaj tshaj li rhuav tshem cov tshuaj. Thiab ntawm no yog vim li cas.
Tag nrho cov no yog vim muaj qhov tseeb tias qhov me me ntawm cov tshuaj insulin tuaj yeem nyob hauv rab koob. Thaum sib cuam tshuam nrog huab cua, nws crystallizes. Cov tshuaj tiv thaiv no yog hu ua polymerization.
Kev noj cov tshuaj uas siv cov koob siv twb tau siv lawm, insulin muaju yuav nkag tau rau hauv vial. Raws li qhov tshwm sim ntawm qhov no, polymerization tshwm sim, thiab cov khoom seem ntxiv poob nws lub zog. Yog tias lub vial nrog insulin uas muaj huab yog qhov tshuaj noj piam thiab nws tsis tuaj yeem noj vim qhov ua tiav tsis tiav.
Yog li koj yuav tsum ua raws li cov kev daws teeb meem rau kev tswjhwm ntawm cov tshuaj insulin kom tiv thaiv tus neeg mob kom tsis txhob muaj mob thiab zam kev mob.
