Insulin koob txhaj tshuaj yuav tsum tau ua tib zoo xaiv, muab hais tias lawv yuav pab txhawb kev kho mob ntshav qab zib. Cov kws tshwj xeeb tau mob siab rau qhov tseeb tias:

txhawm rau txhawm rau tswj kev txhaj tshuaj, txhua yam khoom ua tiav kom pob tshab,
ib qho tshwj xeeb tsim piston ua rau nws tuaj yeem txhaj tshuaj tau yooj yim, yam tsis muaj kev sib cav uas ua rau mob,
Thaum xaiv cov koob txhaj tshuaj rau cov kua dej, cov ntshav qab zib ua ntej ntawm txhua qhov xaiv qhov ntsuas ntawm kev sib cais.

Rau cov neeg mob uas muaj ntshav qab zib, lub tswvyim tseem ceeb tshaj plaws yog tus nqi ntawm qhov khoom lag luam. Nws kuj tseem pom qhov txawv ntawm qhov sib txawv ntawm tus nqi ntawm ob chav nyob sib ze. Ib qho ntxiv, qhov ntev ntawm lub koob yuav tsum xav txog. Qhov no yuav ua rau yav tom ntej txhawm rau txheeb xyuas qhov tseeb ntawm cov tshuaj tiv thaiv hormonal thiab xaiv cov ntu ntawm lub cev uas koj tuaj yeem nkag mus rau insulin.

Kawm tiav ntawm kev txhaj tshuaj insulin

Txhua tus mob ntshav qab zib xav tau kev nkag siab yuav ua li cas thiaj txhaj tshuaj insulin rau hauv cov koob txhaj tshuaj. Txhawm rau ntsuas qhov tseeb ntawm cov koob tshuaj insulin, cov tshuaj insulin muaj kev sib cais tshwj xeeb, tus nqi uas tau sib haum rau kev saib xyuas ntawm cov tshuaj hauv ib lub raj mis.

Tsis tas li ntawd, txhua qhov kev faib qhia tau hais tias chav ntsuas ntawm insulin yog dab tsi, thiab tsis yog muaj pes tsawg ml ntawm kev daws tau sau. Tshwj xeeb, yog tias koj ntaus ntawv hu rau tshuaj nyob rau hauv lub siab ntawm U40, tus nqi ntawm 0.15 ml yuav yog 6 units, 05 ml yuav yog 20 units, thiab 1 ml yuav yog 40 units. Raws li, 1 chav tsev ntawm cov tshuaj yuav yog 0.025 ml ntawm cov tshuaj insulin.

Qhov sib txawv ntawm U 40 thiab U 100 yog tias nyob hauv rooj plaub thib ob, 1 ml tshuaj insulin yog 100 units, 0.25 ml - 25 units, 0.1 ml - 10 units. Txij li thaum lub ntim thiab qhov tsom ntawm cov koob txhaj tshuaj no yuav sib txawv, koj yuav tsum xam seb qhov khoom siv twg haum rau tus neeg mob.

Thaum xaiv lub siab ntawm cov tshuaj thiab cov hom insulin koob tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob. Yog tias koj nkag mus rau hauv ib qho kev nkag siab ntawm 40 units ntawm insulin hauv ib milliliter, koj yuav tsum siv cov koob txhaj tshuaj U40 koob txhaj, thaum siv qhov txawv ntawm xaiv cov khoom siv xws li U100.
Yuav ua li cas yog tias koj siv cov tshuaj insulin tsis ncaj ncees lawm? Piv txwv li, siv U100 koob txhaj tshuaj rau kev daws teeb meem ntawm kev saib xyuas ntawm 40 units / ml, tus mob ntshav qab zib yuav tuaj yeem qhia txog 8 pawg ntawm cov tshuaj hloov qhov xav tau 20 units. Qhov tshuaj no yog ob zaug qis dua qhov yuav tsum tau noj tshuaj.
Yog tias, ntawm qhov tsis sib xws, coj ib qho U40 koob txhaj thiab sau cov tshuaj ntawm 100 units / ml, cov ntshav qab zib yuav tau txais es tsis txhob muaj 20 ntau npaum li 50 units ntawm cov tshuaj hormones. Nws yog ib qho tseem ceeb kom nkag siab tias qhov xwm txheej txaus ntshai npaum li cas rau tib neeg lub neej.

Txhawm rau cov lus txhais tau yooj yim ntawm yam xav tau ntawm cov khoom siv, cov neeg tsim tawm los nrog cov yam ntxwv sib txawv. Tshwj xeeb, U100 koob txhaj tshuaj muaj txiv kab ntxwv tiv thaiv lub ntsej muag, thaum U40 muaj lub kaus mom xim liab.

Kev kawm tiav kuj tseem muaj kev sib xyaw hauv cov phwj syringe niaj hnub, uas yog tsim los rau 100 units / ml ntawm insulin. Yog li, yog tias cov cuab yeej tawg tawm thiab koj yuav tsum tau txhaj tshuaj sai, koj yuav tsum tau yuav tsuas yog U100 cov tshuaj insulin nyob ntawm lub tsev muag tshuaj.

Txwv tsis pub, vim qhov tshwm sim ntawm kev siv cov cuab yeej tsis zoo, kev siv ntau dhau ntawm cov milliliters tuaj yeem ua rau mob ntshav qab zib tsis xeev thiab txawm tias ua rau muaj mob ntshav qab zib.

Hauv qhov no, nws raug nquahu tias koj ib txwm muaj nyob rau hauv Tshuag ib qho kev teeb tsa ntxiv ntawm insulin koob txhaj tshuaj.

Muab cov tshuaj insulin

Ua ntej kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum xam qhov tseeb ntawm cov tshuaj insulin thiab tus naj npawb ntawm cov thawv rau hauv cov koob txhaj tshuaj. Hauv Lavxias Lavxias, insulin yog cim U-40 thiab U-100.

Cov tshuaj U-40 muaj nyob rau hauv lub hwj, uas feem ntau muaj 40 units ntawm kev tivthaiv (rau 1 ml hauv ib qho roj ntsha insulin). Ib qho koob txhaj 100 mcg insulin koob txhaj yog siv rau qhov ntim zoo sib xws. Xam xyuas seb qhov tshuaj hormone ntau npaum li cas nyob hauv ib qho kev faib tawm tau yooj yim. 1 Chav nrog 40 faib yog 0.025 ml ntawm cov tshuaj.

Cov tshuaj no yog tsim hauv ntim ntim hauv thiab qauv hauv kev siv roj ntsha ntawm kev ua. Feem ntau, hauv qhov dog dig 5 ml lub raj mis muaj 200 qhov. cov tshuaj hormones. Yog li, hauv 1 ml muaj 40 units. Cov tshuaj insulin, koj yuav tsum faib cov tshuaj tag nrho rau hauv lub peev xwm ntawm lub khob.

Cov tshuaj yuav tsum raug tswj hwm nruj me ntsis nrog cov koob txhaj tshuaj tshwj xeeb npaj rau kev kho tshuaj insulin. Hauv cov tshuaj insulin ib leeg-daim yeeb koob, ib qho milliliter tau faib ua 20 pawg.

Yog li, kom tau txais 16 units. hormone hu rau yim sib faib. Koj tuaj yeem tau txais 32 units ntawm insulin los ntawm kev sau 16 pawg nrog cov tshuaj. Hauv qhov zoo sib xws, ntau qhov sib txawv ntawm plaub units yog ntsuas. cov tshuaj. Tus mob ntshav qab zib yuav tsum tau ua tiav ob qho kev sib faib thiaj li tau 4 yam tshuaj insulin. Raws li tib lub ntsiab cai, kev muab xam ntawm 12 thiab 26 units.

Yog tias koj tseem siv cov cuab yeej ua qauv rau kev txhaj tshuaj, nws yog ib qho tseem ceeb kom ua tib zoo suav ntawm kev faib ib feem. Muab hais tias hauv 1 ml muaj 40 units, daim duab no tau muab faib los ntawm tag nrho cov kev sib faib. Rau kev txhaj tshuaj, cov koob txhaj tshuaj ntawm 2 ml thiab 3 ml tso cai.

Cov kauj ruam (faib tus nqi) ntawm cov koob txhaj yog qhov ntsuas tsis tseem ceeb, vim tias qhov tseeb ntawm qhov ntau npaum ntawm cov tshuaj insulin nyob ntawm nws. Cov hauv paus ntsiab lus txog kev tswj ntshav qab zib kom zoo yog tau hais hauv nqe lus "Yuav Ua Li Cas Tswj Cov Ntshav Qab Zib nrog Kev Noj Qog Me Ntshav Qab Zib."

Nov yog cov ntaub ntawv tseem ceeb tshaj plaws ntawm peb lub vev xaib, Kuv xav kom koj ua tib zoo kawm nws. Peb muab cov neeg mob ntshav qab zib hom 1 thiab ntshav qab zib 2 yuav ua li cas txo kev xav tau ntawm insulin thiab ua kom lawv cov ntshav qab zib cov ntshav nyob ruaj khov thiab li qub.

Tab sis yog tias koj tsis tuaj yeem tsis muaj peev xwm txhaj tshuaj insulin me me kom paub meej, ces yuav muaj ntshav qab zib ntxiv, thiab cov ntshav qab zib yuav tshwm sim.

Koj yuav tsum nco ntsoov tias tus qauv kev ua txhaum yog ½ nplai cim ntawm cov phwj. Nws hloov tawm tias thaum koj txhaj tshuaj insulin nrog koob txhaj tshuaj ntxiv rau hauv 2 zaug, koob tshuaj insulin yuav yog ± 1 units. Hauv cov laus rog nrog cov ntshav qab zib hom 1, 1 U ntawm cov tshuaj insulin luv luv yuav txo cov ntshav qab zib kom txog li 8.3 mmol / L. Rau cov menyuam yaus, cov tshuaj insulin ua 2-8 zaug ntau dua, nyob ntawm lawv qhov hnyav thiab hnub nyoog.

Qhov xaus yog tias ib qho yuam kev ntawm txawm tias 0.25 units ntawm insulin txhais tau tias qhov sib txawv ntawm cov ntshav qab zib ib txwm thiab ntshav qab zib rau feem ntau cov neeg mob ntshav qab zib. Kev kawm txhawm rau kev txhaj tshuaj insulin me me yog qhov tseem ceeb thib ob uas koj yuav tsum ua nrog mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2, tom qab ua tib zoo ua raws li kev noj zaub mov kom tsawg. Yuav ua li cas thiaj ua tiav qhov no? Muaj ob txoj hauv kev:

siv cov koob txhaj tshuaj nrog cov kauj ruam me dua ntawm qhov ntsuas thiab yog li ntawd, qhov ntau dua qhov ntau npaum ntawm qhov ntsuas,
laim insulin (yuav ua li cas thiaj li yog).

Peb tsis pom zoo siv cov tshuaj insulin hloov cov tshuaj txhaj, nrog rau cov menyuam muaj ntshav qab zib hom 1. Vim li cas - nyeem ntawm no.

Kev xaiv insulin koob

Txhawm rau txhawm rau txhawm rau kom tsis muaj kev mob, nws yog qhov tsim nyog los xaiv txoj kab uas hla thiab ntev ntawm rab koob kom raug. Cov taub me dua, qhov tsis tshua pom yuav yog qhov mob thaum txhaj, qhov tseeb no tau kuaj hauv xya tus neeg mob. Qhov koob txhaj me me feem ntau yog siv los ntawm cov neeg mob ntshav qab zib thaum xub thawj.

Qhov koob xav ntawm txhua tus insulin koob txhaj tshuaj uas tam sim no muag yog ntse heev. Cov neeg tsim khoom nyiam txhawm rau paub tseeb cov neeg mob ntshav qab zib tias lawv cov koob txhaj tshuaj muaj cov koob nrov dua li cov neeg sib tw. Raws li txoj cai, lawv exaggerate. Nws yuav zoo dua yog tias lawv teeb tsa ntau cov koob txhaj tshuaj kom tsim nyog txhawm rau txhaj tshuaj insulin me me.

Dab tsi txhaj siv los txhaj tshuaj insulin

Kev qhia ntawm cov kua dej yuav tsum tau nqa tawm ntawm cov nqaij subcutaneous (subcutaneous rog). Nws yog ib qho tseem ceeb tias kev txhaj tshuaj tsis thim tawm ntawm qhov tob tob (tob tshaj qhov tsim nyog) lossis intradermal, i.e. dhau mus ze rau qhov chaw. Hmoov tsis zoo, cov kab mob ntshav qab zib feem ntau tsis ua daim tawv nqaij, tab sis txhaj lawv tus kheej ntawm ib sab xis. Qhov no ua rau cov insulin nkag mus rau hauv cov leeg, thiab cov ntshav qab zib cov ntshav yuav txawv txav tsis txhua.

Cov neeg tsim khoom hloov qhov ntev thiab tuab ntawm cov koob txhaj tshuaj insulin yog li muaj tsawg dua li ob peb koob txhaj tshuaj tiv thaiv kab mob ntawm cov kua dej li sai tau. Vim hais tias nyob rau hauv cov neeg laus tsis muaj kev rog, zoo li hauv cov menyuam yaus, qhov tuab ntawm qhov nqaij me me feem ntau tsawg dua qhov ntev ntawm rab koob txheem (12-13 hli).

Tam sim no, koj tuaj yeem siv cov insulin luv luv, 4, 5, 6 lossis 8 mm ntev. Ib qho txiaj ntsig ntxiv yog tias cov koob no kuj tseem ua kom txawv dua li cov qauv. Ib txwm koob txhaj koob muaj lub taub 0.4, 0.36 lossis 0.33 hli. Thiab txoj kab uas hla ntawm koob insulin koob yog 0.3 lossis tseem 0.25 lossis 0.23 hli. Xws li lub koob tso cai rau koj tso cov tshuaj insulin yuav luag tsis mob.

Tam sim no peb yuav muab cov lus qhia niaj hnub ntawm qhov ntev npaum li cas ntawm rab koob yog qhov zoo dua rau kev xaiv rau kev tswj hwm insulin:

Koob 4, 5 thiab 6 hli ntev - haum rau txhua tus neeg laus, nrog rau cov neeg rog. Yog tias koj siv lawv, tom qab ntawd ces tsim daim tawv nqaij tawv tsis tas yuav yog qhov tsim nyog. Hauv cov neeg mob ntshav qab zib, cov thawj coj ntawm insulin nrog cov koob no yuav tsum tau ua ntawm kaum ntawm 90 degrees rau daim tawv nqaij.
Cov neeg laus yuav tsum tau ua daim tawv thiab / lossis txhaj ntawm lub kaum sab xis ntawm 45 degrees yog tias cov tshuaj insulin rau hauv caj npab, txhais ceg lossis lub plab me. Vim tias nyob hauv cov chaw no tuab ntawm cov nqaij subcutaneous yog txo qis.
Rau cov neeg mob neeg laus, nws tsis muaj kev paub siv cov koob ntev li 8 hli. Kev kho mob ntshav qab zib insulin yuav tsum pib ua nrog rab koob luv luv.
Rau cov menyuam yaus thiab tub ntxhais hluas - nws raug nquahu kom siv koob 4 lossis 5 hli ntev. Nws yog qhov zoo rau cov mob ntshav qab zib no los tsim daim tawv nqaij ua ntej txhaj tshuaj kom tsis txhob nkag mus ntawm cov tshuaj insulin. Tshwj xeeb tshaj yog yog tias rab koob nrog qhov ntev 5 hli lossis ntau dua yog siv. Nrog rau 6 hli ntev rab koob, kev txhaj tshuaj tuaj yeem ua nyob ntawm kaum ntawm 45 degrees, thiab daim tawv nqaij tsis tuaj yeem tsim.
Yog tias tus neeg mob laus siv lub koob uas ntev li 8 hli los yog tshaj, tom qab ntawd nws yuav tsim daim tawv nqaij quav thiab / lossis txhaj tshuaj insulin ntawm kaum ntawm 45 degrees. Txwv tsis pub, muaj qhov pheej hmoo siab ntawm kev txhaj tshuaj rau insulin.

Xaus: them sai sai rau qhov ntev thiab qhov ntev ntawm lub koob rau cov kua insulin thiab cov xaum xaum. Tawv taub zoo dua li cov taub ntawm lub koob, ntau qhov kev mob tshaj tawm kev tswj hwm ntawm insulin yuav. Tib lub sijhawm, insulin koob txhaj tshuaj yog twb tau tso tawm nyias li sai tau. Yog tias lawv tau ua rau nyias dua, tom qab ntawd lawv yuav pib tawg thaum lub sijhawm txhaj tshuaj. Cov neeg tsim khoom nkag siab zoo txog qhov no.

Siv Tus Cwj Mem Sau

Kev siv cov koob txhaj tshuaj tsim nyog tsim nyog tshwj xeeb. Lawv khav theeb ua kua tshuaj insulin, uas tshem tawm qhov xav tau tas mus li siv lub raj mis insulin.

Cov xaum xaum yuav siv tau pov tseg thiab rov siv dua. Lub qub muaj lub thawv rau 20 qhov tshuaj, tom qab ntawd cov cuab yeej txiav txim siab tawm ntawm kev txiav txim.

Koj tsis tas yuav yog tshem tawm ntawm daim ntawv rov qab siv lub raj dua, vim tias nws muab rau kev hloov lub taub ntim.

Cov txiaj ntsig pom tseeb suav nrog qhov tseeb tias nyob rau hauv hom tsis siv neeg ntau npaum li cas teev tuaj yeem teeb tsa 1 Unit, cov cuab yeej khav theeb ntau dua. Tsis tas li ntawd, kev txhaj tshuaj yog nqa tawm sai thiab tsis muaj mob.

Nws kuj tseem ceeb tias ib tus neeg mob ntshav qab zib tuaj yeem siv cov tshuaj hormones ntawm ntau hom kev tso tawm. Ntxiv rau, tus cwj mem tuaj yeem siv los hno yam tsis tau hle khaub ncaws.

Ua ntej siv cov koob txhaj tshuaj, nws yog qhov zoo tshaj plaws los sab laj nrog koj tus kws kho mob.

Sab nraud, ntawm txhua lub cuab yeej siv rau kev txhaj tshuaj, ib qho kev ntsuas nrog cov kev sib cais ua haujlwm tau thov rau kev txhaj tshuaj ntawm qhov tseeb. Raws li txoj cai, lub sijhawm sib nrug ntawm ob faib yog 1-2 chav nyob. Nyob rau tib lub sijhawm, cov naj npawb qhia cov strips uas sib haum rau 10, 20, 30 units, thiab lwm yam.

Hauv kev xyaum, kev txhaj tshuaj yog raws li hauv qab no:

Daim tawv nqaij ntawm qhov chaw hno yog kho nrog tshuaj tua kab mob. Cov kws kho mob pom zoo kom txhaj tshuaj rau ntawm lub xub pwg, sab qaum, lossis hauv plab.
Tom qab ntawd koj yuav tsum khaws cov koob txhaj tshuaj (lossis tshem cov xaum xaum xaum los ntawm rooj plaub thiab hloov rab koob nrog lub tshiab). Cov cuab yeej siv nrog rab koob sib xyaw tuaj yeem siv ntau zaus, nyob rau hauv rooj plaub no lub koob kuj yuav tsum tau kho nrog dej cawv kho mob.
Sau ua kev daws teeb meem.
Ua ib qho kev txhaj tshuaj. Yog tias cov tshuaj insulin yog nrog lub taub luv, qhov kev txhaj tshuaj yog ua tiav ntawm kaum sab xis. Yog tias muaj kev pheej hmoo ntawm cov tshuaj nkag mus rau hauv cov leeg nqaij, qhov kev txhaj tshuaj yog tsim ntawm kaum ntawm 45 ° lossis rau hauv daim tawv nqaij.

Mob ntshav qab zib mellitus yog ib qho mob hnyav uas yuav tsum tsis yog saib xyuas kev kho mob nkaus xwb, tab sis kuj tseem xyuas tus neeg mob. Ib tug neeg uas muaj kev kuaj mob zoo sib xws yuav tsum tau txhaj tshuaj insulin hauv nws lub neej, yog li nws yuav tsum kawm paub siv cov cuab yeej siv rau kev txhaj tshuaj.

Ua ntej tshaj plaws, qhov kev txhawj xeeb no qhov peculiarities ntawm insulin dosing. Qhov tseem ceeb ntawm cov tshuaj tau txiav txim siab los ntawm tus kws kho mob mus koom, feem ntau nws yog qhov yooj yim heev los xam los ntawm cov cim ntawm cov koob txhaj tshuaj.

Yog tias rau qee qhov laj thawj tsis muaj cuab yeej nrog cov ntim zoo thiab kev faib tawm ntawm tes, qhov nyiaj ntawm cov tshuaj tau muab xam los ntawm cov ntsuas tsis yooj yim:

Los ntawm kev suav yooj yim nws yog qhov tseeb tias 1 ml ntawm tshuaj insulin nrog tshuaj rau ntawm 100 units. tuaj yeem hloov 2.5 ml ntawm kev daws teeb meem nrog kev saib xyuas ntawm 40 units.

Tom qab txiav txim siab qhov ntau txaus, tus neeg mob yuav tsum cork lub cork ntawm lub raj mis nrog cov tshuaj. Tom qab ntawd, cov cua me me tau kos rau hauv cov tshuaj insulin (lub twj tso kua mis ua kom qis rau qhov xav tau ntawm lub taub hau), cov roj hmab nres tso rau ntawm rab koob, thiab cov pa tawm.

Tom qab qhov no, lub thauv rov qab thiab cov koob txhaj tshuaj yog tuav nrog ib sab tes, thiab lub taub ntim tshuaj tau sau nrog lwm tus, lawv nce me ntsis ntau dua qhov yuav tsum tau ntim ntawm cov tshuaj insulin. Qhov no yog qhov tsim nyog kom tshem tawm cov pa ntau dhau ntawm cov kab noj hniav tas nrog lub twj.

Qhov teeb meem nrog cov khoom siv no yog tias cov kauj ruam ntawm lawv cov nplai feem ntau yog 1 ntu ntawm cov tshuaj insulin. Qhov zoo tshaj plaws, nws yog 0.5 PIECES rau menyuam yaus cov insulin cwjmem.

Yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate thiab kawm paub txog kev tswj ntshav qab zib kom tsawg nrog cov tshuaj insulin, ces qhov tseeb no yuav tsis ua haujlwm rau koj.

Ntawm cov neeg mob uas ua tiav peb hom kev kho mob ntshav qab zib hom 2 lossis hom kho mob ntshav qab zib hom 1 (saib cov kab txuas saum toj), insulin syringe pens tsuas yog tsim rau cov neeg rog dhau los. Yuav tsum tau muaj cov tshuaj insulin ntau hauv cov neeg mob ntshav qab zib, txawm hais tias yuav tsum ua raws li cov txheej txheem. Rau lawv, muab cov kev ua yuam kev ntawm ± 0.5 U ntawm cov kua dej tsis ua si lub luag haujlwm loj.

Rau feem ntau cov neeg mob uas muaj ntshav qab zib hom 1 lossis hom 2 uas kho raws li peb txoj hauv kev, kev siv koob txhaj tshuaj tuaj yeem tsuas yog txiav txim siab yog tias lawv tau pib tso tawm hauv kev nce ntawm 0.25 units ntawm insulin. Hauv cov ntawv xov xwm txog ntshav qab zib, koj tuaj yeem nyeem tias tib neeg sim "ntswj" cov xaum xaum rau kev txhaj tshuaj tsawg dua 0.5 PIECES ntawm cov tshuaj insulin. Tab sis hom kev ntseeg siab no tsis yog txhawb.

Insulin twj tso kua mis

Nov yog cov cuab yeej siv kho mob rau kev qhia txog kev tiv thaiv kab mob los kho ntshav qab zib. Lub twj tso kua mis yog lub npe hu ua kev kho nrog kev ua haujlwm tsis tu ncua ntawm cov kua dej. Cov cuab yeej no suav nrog:

lub twj tso kua mis nws tus kheej (nrog rau kev tswj hwm, kev coj ua thiab roj teeb),
hloov chaw rau dej rau cov tshuaj tiv thaiv hormonal (sab hauv lub twj tso kua mis),
sib pauv sib xyaw teeb tsa, uas suav nrog cannula rau kev txhaj tshuaj subcutaneous, nrog rau lub kaw lus ntawm txoj kab hluav taws xob rau kev sib txuas nrog lub pas dej nrog cov cannula.

Lub tshuab nqus ntshav insulin yog lwm txoj hauv kev rau kev txhaj tshuaj txhua hnub ntawm cov insulin nrog cov koob txhaj tshuaj lossis cov cwj mem insulin. Nws yog nws leej twg ua rau nws ua tau los ua txoj kev kho mob sib sib zog ua ke nrog kev saib xyuas cov ntshav qab zib thiab kev suav nrog cov tshuaj carbohydrates.

Cov tshuaj insulin cov koob txhaj tshuaj, koob txhaj tshuaj thiab koob rau lawv

Cov chaw muag tshuaj hauv koj lub nroog yuav muaj kev xaiv loj los yog tsawg ntawm cov tshuaj insulin. Txhua tus pov tseg yog pov tseg, siv tsis tau thiab ua los ntawm cov yas, nrog cov koob xav tau ntse nrog. Txawm li cas los xij, qee qhov koob tshuaj insulin ua tau zoo dua thiab lwm qhov tsis zoo, thiab peb yuav saib vim li cas qhov no tshwm sim. Daim duab hauv qab no qhia cov kev txhaj tshuaj rau cov tshuaj insulin

Thaum xaiv cov syringe, cov nplai uas tau luam tawm ntawm nws yog qhov tseem ceeb heev. Tus nqi ntawm kev faib (cov kauj ruam ntsuas) yog lub tswvyim tseem ceeb tshaj plaws rau peb.Qhov no yog qhov sib txawv hauv cov txiaj ntsig sib haum rau ob kab ntawv uas nyob ib sab ntawm cov ntsuas. Yooj yim muab, qhov no yog qhov tsawg kawg nkaus ntawm cov tshuaj uas tuaj yeem raug txhaj rau hauv cov koob txhaj tshuaj ntau dua lossis tsawg dua cov.

Cia peb ua tibzoo saib lub koob txhaj uas qhia hauv daim duab saum toj no. Piv txwv li, ntawm cov cim 0 thiab 10 nws muaj 5 ntu. Qhov no txhais tau hais tias cov kauj ruam ntawm cov nplai yog 2 PIECES ntawm insulin. Nws yog qhov nyuaj heev rau kev ntxaws cov tshuaj insulin ntawm 1 PIECE lossis tsawg dua nrog cov koob txhaj tshuaj no. Txawm hais tias ib koob tshuaj 2 PIECES ntawm insulin yuav nrog qhov yuam kev loj. Qhov no yog qhov teeb meem tseem ceeb, yog li kuv yuav nyob rau hauv nws qhov kev qhia ntau dua.

Syringe nplai theem thiab insulin koob txhaj yuam kev

Cov kauj ruam (faib tus nqi) ntawm cov koob txhaj yog qhov ntsuas tsis tseem ceeb, vim tias qhov tseeb ntawm qhov ntau npaum ntawm cov tshuaj insulin nyob ntawm nws. Cov hauv paus ntsiab lus txog kev tswj ntshav qab zib kom zoo yog tau hais hauv nqe lus "Yuav Ua Li Cas Tswj Cov Ntshav Qab Zib nrog Kev Noj Qog Me Ntshav Qab Zib." Nov yog cov ntaub ntawv tseem ceeb tshaj plaws ntawm peb lub vev xaib, Kuv xav kom koj ua tib zoo kawm nws. Peb muab cov neeg mob ntshav qab zib hom 1 thiab ntshav qab zib 2 yuav ua li cas txo kev xav tau ntawm insulin thiab ua kom lawv cov ntshav qab zib cov ntshav nyob ruaj khov thiab li qub. Tab sis yog tias koj tsis tuaj yeem tsis muaj peev xwm txhaj tshuaj insulin me me kom paub meej, ces yuav muaj ntshav qab zib ntxiv, thiab cov ntshav qab zib yuav tshwm sim.

siv cov koob txhaj tshuaj nrog cov kauj ruam me dua ntawm qhov ntsuas thiab yog li ntawd, qhov ntau dua qhov ntau npaum ntawm qhov ntsuas,
laim insulin (yuav ua li cas thiaj li yog).

Peb tsis pom zoo siv cov tshuaj insulin hloov cov tshuaj txhaj, nrog rau cov menyuam muaj ntshav qab zib hom 1. Vim li cas - nyeem ntawm no.

Insulin hauv kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2:

Kev kho mob ntshav qab zib nrog cov tshuaj insulin: pib ntawm no. Hom insulin thiab txoj cai rau nws cov khoom cia.
Yuav siv hom tshuaj insulin dab tsi rau kev txhaj tshuaj, sijhawm lub sijhawm twg thiab siv sijhawm twg. Cov txheej txheem rau hom ntshav qab zib hom 1 thiab ntshav qab zib hom 2.
Yuav ua li cas thiaj li txhaj tshuaj insulin tsis hnov mob. Subcutaneous Qhov Kev Siv Insulin
Lantus thiab Levemir - ncua kev ua yeeb yam insulin. Ncuav qab zib thaum sawv ntxov nyob rau ntawm lub plab khoob
Ultrashort insulin Humalog, NovoRapid thiab Apidra. Tib neeg luv insulin
Muab xam los ntawm cov koob tshuaj insulin ua ntej noj mov. Yuav ua li cas kom qis qab zib rau li qub yog tias nws dhia
Yuav ua li cas txhawm rau cov tshuaj insulin kom raug txhaj tshuaj qis
Kev kho mob rau cov menyuam yaus uas muaj hom 1 ntshav qab zib diluted insulin Humalog (Kev paub txog Polish)
Cov Insulin Twj Tso Kua Mis: Pros thiab Cons. Tso kua mis kho

Cov neeg mob ntshav qab zib uas nyeem peb lub xaib paub tias koj tsis tas yuav txhaj ntau tshaj 7-8 ntu ntawm cov tshuaj insulin hauv kev txhaj ib zaug. Yuav ua li cas yog koj cov tshuaj insulin ntau dua? Nyeem “Yuav Ua li cas Pho kom txhaj ntau cov tshuaj Insulin.” Ntawm qhov tod tes, ntau cov menyuam yaus uas muaj ntshav qab zib hom 1 yuav tsum tau tshuaj cov tshuaj insulin tsis pub ntsuas txog 0.1 ntu. Yog tias nws yog pricked ntau dua, ces lawv cov suab thaj tsis tu ncua thiab cov ntshav qab zib feem ntau tshwm sim.

Raws li txhua yam no, dab tsi yuav tsum yog cov koob txhaj tshuaj zoo? Nws yuav tsum muaj peev xwm tsis tshaj 10 units. Ntawm nws ntsuas txhua txhua 0.25 units yog cim. Ntxiv mus, cov cim no yuav tsum tau deb ntawm txhua lwm yam txawm tias ib koob ntawm ⅛ IU ntawm cov tshuaj insulin tuaj yeem pom. Rau qhov no, cov phwj yuav tsum yog ntev thiab nyias. Qhov teeb meem yog tias tsis muaj lub koob txhaj tshuaj zoo li no. Cov neeg tsim khoom lag ntseg nyob hauv cov teeb meem ntawm cov neeg mob ntshav qab zib, tsis yog nyob ntawm no, tab sis kuj txawv teb chaws. Yog li no, peb tab tom sim ua kom tiav nrog yam peb muaj.

Hauv cov khw muag tshuaj, koj yuav pom tsuas yog koob txhaj tshuaj nrog cov kauj ruam ntawm 2 ED ntawm cov tshuaj insulin, zoo li cov uas tau qhia hauv daim duab rau saum toj ntawm tsab xov xwm. Qee zaum, cov koob txhaj nrog cov nplai sib faib ntawm 1 chav pom. Raws li kuv paub, muaj tsuas yog ib qho roj ntsha insulin hauv qhov ntsuas uas yog qhov cim txhua 0.25 units. Qhov no yog Becton Dickinson Micro-Nplua Ntxiv Demi nrog lub peev xwm ntawm 0.3 ml, i.e. 30 IU ntawm cov tshuaj insulin nyob rau hauv tus qauv concentration ntawm U-100.

Cov koob txhaj tshuaj no muaj qhov yuav tau faib ua feem "0.5" ntawm ib chav. Ntxiv rau qhov muaj qhov ntsuas ntxiv txhua 0.25 units. Raws li kev tshuaj xyuas ntawm cov neeg mob ntshav qab zib, koob tshuaj insulin ntawm 0.25 ntsuas tau txais meej heev. Nyob rau hauv Ukraine, cov koob txhaj tshuaj no yog ib qho kev poob peev ntau. Hauv Lavxias, tej zaum koj tuaj yeem xaj nws yog tias koj tshawb nrhiav zoo. Tsis muaj cov analogues rau lawv tseem. Ntxiv mus, qhov xwm txheej no thoob plaws ntiaj teb (!) Tau mus ntau dua ib xyoos tsib xyoos.

Yog tias kuv pom tias lwm cov koob txhaj tshuaj zoo sib xws tau tshwm sim, Kuv yuav sau tam sim no thiab qhia tag nrho cov npe neeg xa npe uas yog xa ntawv. Zoo thiab tseem ceeb tshaj - kawm seb yuav ua li cas txhawm rau cov tshuaj insulin kom raug txhaj tshuaj qis.

Sib khi ntawm rab koob piston

Cov foob ntawm lub piston ntawm cov phwj tuaj yog daim ntawm cov roj hmab xim tsaus. Nws txoj hauj lwm ntawm qhov ntsuas pom ntau npaum li cas cov tshuaj tau txhaj rau hauv cov koob txhaj tshuaj. Cov koob tshuaj ntawm cov tshuaj insulin yuav tsum tau saib tom qab kawg ntawm lub foob, uas yog ze rau ntawm rab koob. Nws yog qhov tsim nyog uas tus foob tau tiaj tus zoo nkauj, thiab tsis yog conical, zoo li hauv qee cov koob txhaj tshuaj, kom nws yooj yim dua rau kev nyeem cov koob tshuaj. Rau kev tsim cov pa roj gaskets hluavtaws, cov roj hmab hluavtaws siv feem ntau, tsis muaj ntuj tso, yog li tsis muaj kev fab tshuaj.

Muaj pes tsawg lub tshuaj insulin tuaj yeem ua nrog ib rab koob

Yuav ua li cas xaiv cov koob tshuaj insulin - peb twb tau sib tham ua ntej lawm hauv tsab xov xwm no. Ua kom lawv cov koob txhaj tshuaj yooj yim tshaj plaws rau cov ntshav qab zib, cov tuam ntxhab ua haujlwm hnyav. Cov tswv yim ntawm insulin koob yog ntse ntse siv cov kev siv thev naus laus zis kawg li, thiab tseem kom ntub. Tab sis yog tias koj siv rab koob ntau dua, thiab ntau dua yog li, rov ua dua, tom qab ntawd nws cov taub yog npub, thiab txheej lubricating yog lwv.

Koj tuaj yeem ntseeg sai sai tias qhov kev rov ua dua ntawm cov tshuaj insulin los ntawm tib rab koob dhau los ua ntau dua thiab mob dua txhua zaus. Koj yuav tsum tau ntxiv dag zog los txhawm rau tawv nqaij nrog rab koob xaj. Vim tias qhov no, txoj kev pheej hmoo ntawm curving lub koob los yog txawm tawg nws nce.

Muaj kev pheej hmoo loj ntawm kev rov siv tshuaj insulin uas tsis tuaj yeem pom nrog lub qhov muag. Cov no yog cov leeg raug mob me me. Nrog lub zog kho qhov muag tau pom muaj zog, nws pom tau tias tom qab txhua tus siv rab koob, nws cov ntsis taub ntau dua thiab ntau dua thiab siv rau ntawm cov duab ntawm cov hook. Tom qab muaj cov tshuaj insulin, cov koob yuav tsum tau muab tshem tawm. Txij ntawm no pom, tus nuv rhuav cov ntaub so ntswg, raug mob rau lawv.

Vim tias qhov no, ntau tus neeg mob pib txhim kho cov teeb meem ntawm daim tawv nqaij. Feem ntau muaj qhov txhab ntawm cov nqaij mos subcutaneous, uas tau pom los ntawm ntsaws ruaj ruaj. Txhawm rau txheeb xyuas lawv raws sijhawm, koj yuav tsum kuaj xyuas thiab sojntsuam tawv nqaij. Vim tias qee zaum cov teeb meem no tsis pom, thiab koj tuaj yeem tsuas pom lawv los ntawm kov.

Lipodystrophic cov tawv nqaij ntsaws ruaj ruaj tsis tsuas yog kev kho kom zoo nkauj hauv lub cev. Lawv tuaj yeem ua rau muaj mob loj. Koj tsis tuaj yeem nkag rau hauv insulin hauv thaj chaw teeb meem, tab sis feem ntau cov neeg mob txuas ntxiv ua qhov no. Vim tias kev txhaj tshuaj muaj qhov mob tsawg dua. Qhov tseeb yog tias kev nqus ntawm insulin los ntawm cov chaw no yog qhov tsis sib xws. Vim li no, cov ntshav qab zib cov ntshav yuav hloov pauv tau.

Cov lus qhia rau syringe cwjmem qhia tias rab koob yuav tsum tau muab tshem tawm tom qab txhua txoj kev txhaj tshuaj. Yuav luag txhua tus neeg mob ntshav qab zib tsis ua raws txoj cai no. Hauv cov xwm txheej zoo li no, cov channel nruab nrab ntawm lub laub insulin thiab ib puag ncig tseem qhib. Maj mam, huab cua nkag mus rau hauv lub khob, thiab ib feem ntawm cov tshuaj insulin ploj vim xau.

Thaum huab cua pom nyob rau hauv daim cartridge, qhov tseeb ntawm cov tshuaj insulin poob qis. Yog tias muaj huab cua ntau ntau nyob rau hauv lub taub hau, tom qab ntawd qee zaum tus neeg mob tau txais tsuas yog 50-70% ntawm cov tshuaj insulin sib npaug. Txhawm rau zam qhov no, thaum muab cov tshuaj insulin siv cov koob txhaj tshuaj, lub koob yuav tsum tsis txhob muab tshem tawm tam sim ntawd, tab sis 10 vib nas this tom qab lub piston tau mus txog nws txoj haujlwm qis.

Yog tias koj siv rab koob ntau zaus, qhov no coj mus rau qhov tseeb tias lub channel tau daig nrog insulin muaju, thiab cov dej ntws ntawm kev daws yog qhov nyuaj. Muab tag nrho cov saum toj no, qhov xav tau, txhua rab koob yuav tsum tsuas yog siv ib zaug xwb. Cov kws kho mob yuav tsum soj ntsuam ib zaug nrog txhua tus mob ntshav qab zib nws cov txheej txheem rau kev siv tshuaj insulin thiab kev mob ntawm qhov chaw txhaj tshuaj ntawm daim tawv nqaij.

Kho tau tus mob ntshav qab zib hom 2:

Yuav kho li cas rau hom ntshav qab zib 2: txheej txheem ib qib zuj zus
Cov tshuaj ntshav qab zib hom 2: cov ncauj lus kom ntxaws
Siofor thiab Glucofage ntsiav tshuaj
Li cas los kawm kom txaus siab rau kev kawm siv lub cev

Kho tau tus mob ntshav qab zib hom 1:

Hom 1 kho mob ntshav qab zib rau cov neeg laus thiab menyuam
Honeymoon lub sijhawm thiab yuav ua li cas txuas ntxiv nws
Cov txheej txheem ntawm kev siv tshuaj insulin tsis muaj mob
Mob ntshav qab zib Hom 1 rau menyuam yaus raug kho yam tsis raug siv tshuaj noj kom yog. Xam phaj nrog tsev neeg.
Yuav ua li cas qeeb ntawm kev ua haujlwm ntawm lub raum

Cov tshuaj insulin

Qhov xaum insulin yog cov koob txhaj tshwj xeeb sab hauv uas koj tuaj yeem ntxig tus cartridge me me nrog insulin. Ib qho xaum xaum yuav tsum ua lub neej yooj yim rau cov neeg mob ntshav qab zib, vim tias koj tsis tas yuav nqa koob sib xyaw thiab ib qho tshuaj insulin. Qhov teeb meem nrog cov khoom siv no yog tias cov kauj ruam ntawm lawv cov nplai feem ntau yog 1 ntu ntawm cov tshuaj insulin. Qhov zoo tshaj plaws, nws yog 0.5 PIECES rau menyuam yaus cov insulin cwjmem. Yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate thiab kawm paub txog kev tswj ntshav qab zib kom tsawg nrog cov tshuaj insulin, ces qhov tseeb no yuav tsis ua haujlwm rau koj.

Yog tias koj siv cov tshuaj ntshav qab zib uas pab tswj hwm koj qhov qab los noj mov, ces koj yuav tsum tau rhais lawv nrog cov kua phoov uas tuaj nrog cov khoom siv. Tab sis nrog cov tshuaj no tsis muaj teeb meem siv tshuaj, zoo ib yam li cov tshuaj insulin. Txhaj tshuaj kho ntshav qab zib los pab tswj koj qhov qab los noj mov nrog rab koob xaum qhuav yog qhov qub. Siv cov xaum xaum rau kev txhaj cov tshuaj insulin yog qhov tsis zoo, vim tias koj tsis tuaj yeem kho lub koob tshuaj qis. Zoo dua siv cov insulin syringes tsis tu ncua. Saib cov ntawv sau “Cov Txheej Txheem Rau Kev Txhaj Tshuaj Tsis Zoo ntawm Insulin” thiab “Yuav Ua Li Cas Tso Tshuaj Tua Hluav Taws Xob kom tsis txhob txhaj tshuaj tau.”