Qhov twg yuav txhaj tshuaj insulin, txhua tus neeg mob ntshav qab zib yuav tsum paub tus neeg uas tau txhaj tshuaj los hloov cov tshuaj hormone.
Muaj ntau thaj chaw ntawm tib neeg lub cev uas tsim nyog rau kev siv tshuaj.
Kev ua tiav ntawm cov txheej txheem muab cov kev kho mob siab tshaj plaws thiab ua rau qhov tsawg kawg uas tsis xav tau.
Cov yam ntxwv ntawm insulin kho rau ntshav qab zib mellitus hom 1 thiab 2
Ntshav qab zib Hom 1 yog tus yam ntxwv ntawm cov insulin tsis txaus. Qhov no txhais tau tias kev hloov pauv kev kho yog siv rau txhua theem ntawm tus kab mob pathology, thiab muaj lub neej ntev.
Hauv hom 2 Ntshav Qab Zib, kev txhaj tshuaj hormone tuaj yeem suav tias yog kev ntsuas ib ntus.Kev taw qhia txog kev kho tshuaj insulin rau hom 2 pathology yog:
- tsis muaj txiaj ntsig zoo los ntawm kev siv lwm hom kev kho mob;
- phais kev ua haujlwm;
- cev xeeb tub
- kev txhim kho ntawm cov mob hnyav;
- siab glycemia ntawm lub plab khoob.
Qhov twg yuav txhaj tshuaj insulin hauv ntshav qab zib?
Rau qhov nqus sai ntawm cov tshuaj insulin, nws yooj yim tshaj rau kev tswj hwm nws subcutaneously hauv:
- thaj tsam ntawm lub plab (tshwj tsis yog rau txoj hlab ntaws thiab thaj chaw ncig nws);
- sab nrauv lub xub pwg.
Rau qeeb:
- hauv cheeb tsam lub pob tw;
- poj niam nto nyob pem hauv ntej.
Txawm li cas los xij, nws raug nquahu kom txhaj tshuaj insulin ntawm koj tus kheej hauv plab (koj tuaj yeem sawv ntsug) thiab sab xub ntiag ntawm tus ncej puab.
Kuv puas yuav tsum tau hloov chaw txhaj tshuaj?
Qhov chaw txhaj tshuaj yuav tsum tau hloov tas li, zam kom tsis txhob mus txhaj tshuaj ntau zaus hauv ib cheeb tsam. Qhov kev ncua deb ntawm cov ntsiab lus ntawm tus dhau los thiab tam sim no puncture yuav tsum yog tsawg kawg 3 cm, txwv tsis pub tuab lipodystrophic thaj chaw tsim nyob rau hauv cov rog subcutaneous.
Txhawm rau lwm qhov chaw txhaj tshuaj, koj tuaj yeem siv cov txheej txheem yooj yim "plab, pob tw, ncej puab". Qhov no yuav tswj xyuas qhov rhiab ntawm cov thaj tsam mus rau insulin hauv qib kom tsim nyog.
Khoom cua loj hauv kev tswj fwm algorithm
Ua ntej ua kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum npaj:
- sterile syringe nrog rab koob;
- tshuaj insulin. Txhawm rau nws kom raug, ntawm chav sov, yuav tsum muab cov tshuaj tawm hauv tub yees ib nrab ib teev ua ntej kev txhaj tshuaj;
- paj rwb ntaub plaub thiab cov tshuaj cawv;
- tshwj xeeb ntim rau kev siv tshuaj phwj.
Thaum txhua yam npaj txhij, koj yuav tsum:
- ntxuav tes nrog xab npum thiab tom qab ntawd so qhuav;
- so qhov chaw ntawm txoj kev txhaj tshuaj yav tom ntej nrog lub paj rwb ntaub qhwv lawv hauv cawv.
Qhov chaw tau insulin
Txhawm rau kom hu rau cov tshuaj, koj yuav tsum:
- tso cov koob tawm ntawm lub hau, muab nws tso rau ntawm daim ntaub qhwv;
- rub lub piston, rov qab tawm qhov xav tau ntawm cov tshuaj los ntawm vial (ampoule).
Ua ntej txhaj tshuaj, nws tsim nyog xyuas cov txheej txheem ntawm cov koob txhaj tshuaj kom pom kev muaj huab cua ua npuas. Yog tias lawv pom, cov cua yuav tsum tau muab tshem tawm los ntawm rab koob. Thaum kws kho mob tau sau tshuaj sib xyaw ntawm ntau hom tshuaj insulin, ua ntej lawv ntaus hauv luv thiab tom qab ntawd ntev.
Nws yog ib qho tseem ceeb kom paub tias
- Tsis txhob txhaj rau cov tawv nqaij tawv lossis chaw kab mob rog (lipomas, thiab lwm yam);
- thaum txhaj rau hauv lub plab, rab koob yuav tsum tau pricked tsis pub ze tshaj 5 cm ntawm lub ntaws, thiab nyob rau hauv muaj moles - rov qab tsawg kawg 2 cm ntawm lawv.
Kev siv tshuaj insulin nrov tshaj plaws
Txhua yam tshuaj insulin muaj sib txawv hauv lub sijhawm sib xyaw, yog li, tau faib rau:
- luv
- nruab nrab;
- ntev (ntev).
Ntawm qhov ntau ntawm cov tshuaj siv rau kev hloov tshuaj insulin, nrov tshaj plaws yog cov hauv qab no:
- Lauj Teeb. Nws yog ntawv rau cov kws kho ntshav qab zib rau:
- tswj cov ntshav qab zib nyob rau txhua hnub;
- tiv thaiv kev hloov pauv ntawm qab zib pathology ntawm hom thib ob rau hauv thawj;
- kev tiv thaiv siab tshaj plaws ntawm tus txiav ua tiav los ntawm kev rhuav tshem kom tiav ntawm cov kab mob hlwb hauv hom 1 ntshav qab zib;
- kev tiv thaiv ntawm ketoacidosis.
Lantus hais txog cov insulin ntev ntev. Nws cuam tshuam tau zoo nrog cov txais khoom zoo thiab cov ntaub ntawv tsawg dua, thaum piv nrog ntuj tsim neeg insulin. Vim qhov tseeb tias qhov muaj pes tsawg leeg maj mam nqus thiab "ua haujlwm" maj mam, nws, piv rau lwm cov insulins ntev, nws txaus los hno ib hnub ib zaug.
- NovoRapid Nws tseem yog ib qho piv txwv txog ntuj tsim insulin, tab sis nws muaj zog ntau dua hauv cov nyhuv.
Lub ntsiab lus tseem ceeb hauv nws cov muaj pes tsawg leeg yog insulin aspart, uas muaj cov nyhuv luv luv hypoglycemic. Vim tias qhov tseeb tias lub zog ntawm cov piam thaj hauv lub hlwb yuav ua haujlwm ntau dua, thiab tus nqi ntawm nws cov synthesis hauv lub siab poob qis, cov ntshav qab zib cov ntshav yuav poob qis heev.
NovoRapid
Hauv qhov no:
- ua kom nrawm nrawm rau cov khoom siv roj metabolism;
- kev txhim kho cov nqaij mos;
- cov txheej txheem ntawm lipogenesis thiab glycogenesis yog yam.
NovoRapid yog tsa:
- nrog ntshav qab zib mellitus yam 1 thiab 2;
- rau cov nyhuv ntau dua los ntawm kev ua kis las ncaws pob;
- txhawm rau kho lub cev hnyav rau kev rog;
- raws li ib txoj kev tiv thaiv kev txhim kho kev loj hlob ntawm hyperglycemic coma.
Cov tshuaj yog npaj rau subcutaneous lossis thaj tsam thawj coj, thiab thawj txoj hauv kev yog qhov zoo dua, vim nws tso cai rau kom ua nrawm dua. Nws yog tshuab txais 15 feeb tom qab txhaj tshuaj, qhov siab tshaj plaws tshwm sim tom qab 2-3 teev, thiab lub sijhawm dhau los 4-5 teev.
- Neej Neeg. Nws cov khoom siv tshuaj yog los ntawm qhov ua tau zoo ntawm cov tshuaj nquag - insulin lispro - ib qho hluav taws xob ntawm tib neeg lub cev.
Neej Neeg
Nws yog siv rau hauv kev kho mob ntawm qhov mob ntshav qab zib-tiv thaiv ntshav qab zib mellitus thaum:
- intolerance ntawm lwm yam insulins, postprandial hyperglycemia, uas tsis tuaj yeem kho nrog lwm cov tshuaj, nrog rau cov tshuaj insulin tsis kam nrog cov kab mob subcutaneous;
- muaj kev tiv thaiv kab mob rau qhov ncauj kev kho mob;
- tsis hnov lus zoo ntawm lwm yam khoom;
- nrog kev phais mob, nrog rau cov kev phiv tshuaj uas cuam tshuam rau chav kawm ntawm tus kab mob hauv qab.
Humalogue hais txog cov insulins luv luv. Nws yuav tsum tau muab 15 feeb ua ntej noj mov. Hauv nws daim foos, cov tshuaj siv 4-6 zaug ib hnub, thiab ua ke nrog cov hom txuas ntxiv - 3 zaug.
Qhov txiaj ntsig ntawm qhov chaw txhaj tshuaj insulin tshwj xeeb
Cov neeg siv tshuaj insulin hloov kho ntau zaus yuav tsum tau txhaj tshuaj kom lawv tus kheej txhaj tshuaj kom paub meej tias muaj cov tshuaj hauv lub cev. Qhov no tsim qee qhov tsis yooj yim. Los piv rau cov txheej txheem, ib qho chaw nres nkoj tshwj xeeb tau tsim tawm.
Qhov zoo ntawm cov khoom siv no yog tias:- vim nws loj me me, nws yuav luag pom ntawm lub cev;
- ib txoj raj yas siv tau rau 3 hnub, thaum cov tshuaj tau txhaj rau hauv chaw nres nkoj, thiab tsis ncaj qha rau ntawm daim tawv nqaij;
- muaj ib lub sijhawm tawm ntawm ntau txoj kev chob ntawm lub cev;
- nws siv txo cov kev pheej hmoo ntawm hematomas, mob, lipodystrophic pathologies ntawm daim tawv nqaij hauv qhov chaw txhaj tshuaj.
Cov cuab yeej zoo rau kev siv nrog cov tshuaj insulin, ntxiv rau cov koob txhaj tshuaj tshwj xeeb, thaum:
- cov txheej txheem kev teeb tsa tsis ua rau mob thiab yuav tsum muaj qhov tsawg kawg nkaus ntawm kev paub tshwj xeeb,
- Cov cuab yeej siv haum rau cov neeg mob ntshav qab zib, tsis hais hnub nyoog li cas thiab cev nqaij daim tawv. Qhov chaw nres nkoj yooj yim rau menyuam yaus.
Ib tus neeg laus tuaj yeem txhim kho nws ntawm lub cev ntawm nws tus kheej. Yog tias koj muaj kev txhawj xeeb lossis tsis nyab xeeb, koj tuaj yeem nrhiav kev pab ntawm kws kho mob lossis kws saib xyuas neeg mob. Tus kws tshaj lij yuav ua txhua yam tsis raug, thiab tib lub sijhawm nws yuav qhia koj yuav ua li cas koj tus kheej, tom tsev.
Kev paub thiab kev pom ntawm cov cai rau kev siv tshuaj insulin, nrog rau kev siv cov koob txhaj tshuaj tshwj xeeb thiab cov twj, yuav pab kom tsis txhob muaj teeb meem nrog kev siv tshuaj ntawm cov kws kho mob. Tsis tas li ntawd, qhov no yuav ua rau nws muaj peev xwm ua tiav kev tswj hwm kev nyab xeeb thiab nrog tsawg qhov tsis xis nyob.