Nā pūnaewele injection

ʻO nā maʻi maʻi āpau i hala iho nei i ka maʻi e kahaha ana: "Ma hea e hoʻokomo ai i ka insulin?" E hoʻāʻo kākou e kiʻi i kēia. Hiki i ka maʻi ke hōʻomo ʻia ma ka wahi ma:

"Zole Belly" - ke kaha o ke kāʻei o ka ʻaoʻao hema a me ka hema o ka pusila me kahi nuku i ka kua
"ʻĀpana ikaika" - ka ʻaoʻao waho o ka lima mai ka poʻohiwi a i ka kihi.
"Kahihele wāwae" - mua o ka ʻūhā mai ka puʻu a i ke kuli,
"Kahi kikulu" kahi kahua maʻi ʻona kuʻuna (scapular base, ma ka ʻaoʻao ʻākau a me ka hema o ka kuʻi ʻai).

ʻO nā kinetics o ka absorption insulin

Pono nā maʻi āpau āpau e hoʻomaopopo i ka pono o ka insulin e hilinaʻi ma ka pūnaewele injection.

• Mai ka "ʻōpū" insulin e hana wikiwiki nei, ma kahi o 90% o ka nui o ka nui o ka insulin e komo.
• Ma kahi o 70% o ka hapai i mālama ʻia mai nā "wāwae" a i ʻole "mau lima", he nui ka lihi o ka insulin.
• ʻO 30% wale nō o ke kao i mālama ʻia e hiki ke hue mai i ka “scapula”, a hiki ʻole ke kaha ke komo i loko o ka scapula.

Ma lalo o nā kinetics, ʻike ʻia ka insulin e neʻe i loko o ke koko. Ua maopopo iā mākou ua pili kēia kaʻina hana ma ka pūnaewele hōʻola, akā ʻaʻole kēia wale nō ke kumu e kū like ai i ka wikiwiki o ka hana o ka insulin. ʻO ka hana pono a me ka manawa hoʻolaʻa i ka lā o ka insulin e pili ana i kēia mau mea:

• kahua wili
• kahi i loaʻa ai i ka insulin (ka pili ma ka ʻili, i loko o ke kīʻaha koko a i ʻole ʻāʻī)
• mai ka palena o ke ea (e hoʻonui ka wela i ka hana o ka insulin, a hemo hoʻi ke anu)
• mai ka papaki (ua hoʻohuihui ʻia ka insulin me ka hoʻomālamalama maʻalahi i ka ʻili),
• mai ka hōʻiliʻili ʻana o nā kahu o ka insulin (inā hana mau ʻia ka ʻaila ma kahi hoʻokahi, hiki i ka insulin ke hōʻiliʻili a hoʻohaʻahaʻa i ka pae o glucose i hope o kekahi mau lā).
• mai ke ʻano kū hoʻokahi o ke kino i kahi hōʻailona o ka insulin.

Ma hea e hiki ai iaʻu ke kuhi i ka insulin?

Noha no ka Diabetics Type 1

1. ʻO nā māka maikaʻi loa no nā inikini ma ka ʻaoʻao ʻākau a me ka ʻaoʻao hema o ka neʻe ma ka lōʻihi o nā manamana lima ʻelua.
2. He hiki ʻole ke ʻokiʻoki i ka manawa like ma nā manawa like, ma waena o nā poʻokela i hala a me nā ʻōlelo hou aʻe he pono ke nānā i kahi mamao ma kahi o 3 cm. Hiki iā ʻoe ke haʻi i ka injection ma kahi kokoke i ke kiko mua ma hope o nā lā ʻekolu mau lā.
3. Mai hoʻonāuki i ka insulin ma lalo o ka scapula. Nā kaha hou i ka ʻōpū, ka puʻuwai a me nā wāwae.
4. ʻO ka insulin pōkole e hoʻoulu maikaʻi ʻia i loko o ka ʻōpū, a lōʻihi ka lū ma ka lima a i ʻole wāwae paha.
5. Hiki iā ʻoe ke hōʻomo i ka insulin me ka peni a me nā ʻāpana syringe i loko o kēlā me kēia wahi, akā he paʻakikī ia e hoʻokomo i kahi syringe maʻamau i kou lima, no laila e aʻo aku i kekahi mai kou ʻohana e lawelawe i ka insulin. Mai ka ʻike pilikino hiki iaʻu ke haʻi i kahi hiki ke kūʻokoʻa kūleʻa i ka lima, pono ʻoe e hoʻohana wale i kēlā me kēia.

Nā wikiō wikiō:

He ʻokoʻa paha nā ʻano o ka injections. I kekahi manawa ʻaʻole ʻoe e loaʻa ka ʻeha, a inā ʻoe i loko o ke aʻa paha a i loko o ke kīʻaha koko e ʻike ʻoe i kekahi ʻeha. Inā ʻoe e hana i kahi maʻi me kahi kui nui, a laila e ʻike ʻia ke hōʻeha a hiki i kahi ʻūhā liʻiliʻi ke pae ʻia ma ka pūnaewele hoʻonāukiuki.

ʻO ka hana pono o ka hili ʻana a me ka hana ʻana o ka insulin e hilinaʻi ana ma ka pūnaewele injection

ʻOiai ʻo nā inikina ma lalo o ka pahi o ka poʻohiwi ka mea maikaʻi loa ʻole, maʻamau maʻamau.

ʻO kahi maikaʻi a me ka maikaʻi loa no ka inikipiki i nā wahi ma ka hema a me ka ʻaoʻao hema o ka pusada, ma kahi mamao o nā manamana lima ʻelua. Eia naʻe, e hoʻomanaʻo ʻoe: ʻaʻole hiki iā ʻoe ke ʻake i nā manawa a pau i nā wahi like! ʻO nā wailele ʻoiʻo ka naʻau loa. He ʻoi aku ka maʻalahi ma ke komo ʻana i nā lō o ka ʻōpū, kokoke i nā ʻaoʻao. ʻEha a ʻano ʻole ka pīpī ma ka lima. ʻO nā injections i ke wāwae ka mea e ʻike nui ʻia.

ʻAʻole hiki ke ʻōleʻa ʻia kahi ma ka inikua me ka waiʻona, akā holoi ʻia me ka wai mahana a me ka ʻono. No ka hoʻopaʻa ʻana me nā manamana lima hema, pono ʻoe e huki i ka ʻili i ka wahi kūpono a hoʻokomo i ka lāʻau lāʻau i ke kumu o ka paʻu i ka kihi o ke kihi he kanalimakūmālima a i ʻole paha i ka piko o ka paʻu. Paʻa ikaika ʻia ke syringe. A laila e kali i ʻelima a ʻehiku mau kekona (helu ʻia i ka ʻumi). E lawe i ka pūloi a hoʻomoʻi i ka piston i nā manawa he nui e wehe ai i ke koena o ka insulin i ka pūmaʻomaʻo a maloʻo ia mai loko mai me kahi kahawai o ka lewa. E kau i ka pāpale a kau i ka syringe ma kahi.

ʻO ka mea hana kila, kahi mea i pani ʻia ma luna o ka ʻeke, ʻaʻole pono ke neʻe ʻia. Ua kāʻei lākou iā ia me kahi ʻāʻī a hōʻili i nā insulin. Me kēlā me kēia puʻupuʻu, palupalu nā kaʻe. No laila, e lawe pono i ka pono lāʻau no ka syringe lapaʻau a kuʻi i ka ʻōpū i loko o ke kikowaena i nā manawa he nui. E hoʻokomo i kahi pū waikahi insulin e waiho i kēia ana.

Ma mua o ka ʻōlelo ʻana, pono e ʻōwili ʻia ka ʻōpū insulin ma waena o nā pāma no kekahi mau sekona. Pono kēia hana no ka insulins hoʻōla waena a me ka lōʻihi, no ka mea e hui pū ʻia ka mea lōʻihi me ka insulin (noho ia). Eia kekahi, e hoʻomoʻi ka insulin, a ʻoi aku ka maikaʻi e komo i loko me ka mahana.

Hoʻokomo ʻia nā inikua me kekahi ʻoni a me kahi peni a i ʻole he syringe peni. Ke hoʻohana nei i kahi syringe, he mea hikiʻole ke hoʻolilo iā ʻoe iho i ka lima. E huakaʻi i ke kōkua o waho. Hiki iā ʻoe ke kāpili iā ʻoe iho me ka peni syringe i kēia mau wahi āpau me ke kōkua ʻole ʻole.

Pono e nānā pono i ka mamao (ma kahi o ʻelua mau kenimika) ma waena o nā maʻi a mua aʻe. ʻO ka hana hou ʻana o ka maʻi i ka wahi like ʻole e hiki ke hoʻololi wale ʻia ma hope o ʻelua a ʻekolu mau lā.

ʻAʻole paʻa wale ka hopena o ka insulin i ka pūnaewele injection. Aia nō ia e pili ana i ke kūlana ambient: e hoʻolohi ana ke anu i ka hana o ka insulin, ka wikiwiki o ka wela. Inā ua hana ʻoe i kekahi mau inikini ma ka lālani ma kahi hoʻokahi, hiki iā ia ke "hōʻiliʻili" i loko o nā ʻāpana a ʻike hou ʻia ka hopena ma hope, hiki iā ia ke hōʻemi i ka glucose koko.

No ka mālamaʻana o ka insulin, hiki iā ʻoe ke hana i kahi massage māmā o ka pūnaewele injection.

Hoʻokomo ʻia nā syringes injection i loko o nā'āina he nui e nā hui āpau. He hua syringe i hana ʻia he hua i hana ʻia i ka ʻāpana poloka, nona nā ʻāpana ʻehā: kahi kino cylindrical me ka mākaʻikaʻi, kahi ʻano neʻe, ke kuʻi, a me ke kapa i paʻa ʻia ma luna. Hoʻokahi kahi o ka lāʻau piston i ka hale, a ʻo ka ʻē aʻe he ʻano ʻano ʻē aʻe kahi e neʻe ai ke koʻokoʻo a me ka piston. ʻO ke kao pono i loko o kekahi mau hiʻohiʻona o nā ʻili ʻili ke hiki ke hoʻopau ʻia, i loko o kekahi e pili mau ʻia i ke kino.

ʻO ka syringes Insulin he kūleʻa a hoʻokuʻu ʻia. Hoʻonohonoho ʻia kahi syringe maʻamau no kahi milliliter o ka insulin i kahi paʻa o 40 U / ml. Hoʻohui ʻia ka māka ʻana ma ke kino ʻākina i loko o nā ʻāpana ʻĀina, me ka hana hoʻokahi a he helu 5.10,15, 20, 25, 30, 35, 40.

No ka poʻe e pono ke lawelawe ʻia ma mua o hoʻokahi kanaha ʻoihana, aia nā syringes nui i hoʻolālā ʻia no ʻelua mau mililika a aia iā 80 PIECES o ka insulin o ka maʻamau maʻamau (40 PIECES / ml).

ʻOi aku ka maikaʻi ma ka hoʻohana ʻana i ka syringe i ʻole ke ʻano ai i ka ʻeha. Akā hiki ke huʻi ʻia he syringe like ʻekolu a ʻehā mau manawa (ʻoiai ua palalolo ia mai ka maʻi ʻana i ka injection). I mea e hōʻeha ʻole, pōkole i ke koi ʻana o ka syringe, ʻelua a ʻelua paha ʻekolu mau manawa - i loko o ka ʻōpū, a laila - ma ka lima a i ʻole ka wāwae.

Ua hoʻokumu mua ʻia ʻo Syringe pens e Novo Nordisk. Ua kūʻai ʻia ka kumu mua ma 1983. I kēia manawa, hana kekahi mau ʻoihana i nā peni syringe. ʻO ka peni ʻo ka syringe ʻoi aku ka paʻakikī e ʻoi aku ka paʻakikī. I ka hoʻolālā a me nā hiʻohiʻona, like ia me kahi peni mania pana kūleʻa no ka inika.

Loaʻa nā penikala Syringe i kā lākou mau pono a me nā pōʻino. ʻO kā lākou mea pono nui ma ka hiki ke hoʻokele ʻia ka insulin me ka ʻole o ka haki ʻana, ma nā wahi āpau. ʻO ka ʻāpana ʻāwīwī peni ʻoi aku ka ʻ ʻoi ma mua o ka pono o ke syringe maikaʻi. ʻAʻole hoʻomaʻamaʻa ia i ka ʻili.

ʻO ka maʻamau, hoʻokomo ʻia kahi kāmole me ka insulin i loko o kona lua, a ma ka ʻaoʻao ʻē kekahi me ka mea pani shutter a me kahi hana e hiki ai iā ʻoe ke hoʻonohonoho i ka pāʻiliʻi me nā kiko o ka 1 ED (ka pākiha o nā hana ke kau i ka ʻāʻī: kahi pākahi - hoʻokahi papa).

Kuhi pinepine ʻia kēlā me ia i kahi pahu i ka pahu-like, e like me ka hihia no ka peni wai. Pehea e hoʻohana ai i kahi peni syringe - hōʻike ʻia i nā ʻōlelo kuhikuhi.

ʻO ka pilikia nui

I ka hapanui pinepine, ʻo ka poʻe ʻōpio e kau ana i ka therapy insulin, me nā keiki ʻōpio nui me ka maʻi diabetes type 1. I ka wā lōʻihi, ʻike lākou i ke akamai o ka lawe ʻana i nā lako ʻeha a me nā ʻike i ʻike pono e pili ana i ke kaʻina hana kūpono, kūpono ʻia ka pono o ke kauka.

ʻO nā wahine hāpai a me ka hana pancreatic impaired e kuhikuhi i kahi hoʻomākaukau no ka insulin no kekahi manawa. ʻO ka hyperglycemia wā, ʻo ka mālama ʻana e pono ai i kahi hormone o ke ʻano protein, hiki ke hele i loko o ka poʻe me nā maʻi endocrine maʻi ma lalo o ke kumu o ke kaumaha loa, ka maʻi a me ka maʻi.

Ma ka maʻi diabetes type 2, lawe nā mea maʻi i ka lāʻau lapaʻau ma ka waha (ma o ka waha). ʻO kahi helu hoʻokaʻawale i ke koko koko a me ka hōʻemi ʻana i ka maikaʻi o ka mea maʻi pākahi (ma hope o 45 mau makahiki) hiki ke hele mai ma muli o ka hana hewa ʻole ʻana a me ka hōʻole ʻole i nā ʻōlelo a ke kauka. ʻO ka uku hōʻemi o ka hoʻokaʻina koko hiki ke alakaʻi i kahi hana kūlike i ka insulin.

Pono e hoʻololi i nā ʻōnaʻi no ka injection:

• ʻokoʻa ka like o ke kō ʻana o ka insulin.
• ʻO ka hoʻohana pinepine ʻana i kekahi wahi ma ke kino ke alakaʻi i ka lipodystrophy kūloko o ke kiko (ka nalo ʻana o ka puna momona i loko o ka ʻili),
• hōʻiliʻili paha nā ʻōlelo he nui.

E k suddenlykohu e like 'ana' o ka subcutaneously "i ka mālama 'ai'. ʻO ka hoʻohaʻahaʻa nui i ka hoʻokahe koko, e hōʻeha ana i ka hoʻouka kaua hypoglycemia. Ma ka manawa like, hoʻomohala a ke kanaka i ka palulu maloʻo, ka manaʻo o ka pōloli, a haʻalulu kona mau lima. E hoʻomau ʻia ana kāna ʻano, a i ʻole, i ka hauʻoli. Hiki i nā hōʻailona o ka hypoglycemia i nā poʻe ʻē aʻe me nā helu glucose o ke koko ma ka waena o 2.0-5.5 mmol / L.

I kēlā mau kūlana, pono e hoʻonui wikiwiki i ka pae gula i mea e pale aku ai i ka hoʻomaka ʻana o ka maikaʻi o ka hypoglycemic coma. ʻO ka mea mua pono e inu i kahi wai momona (ʻawa, ka lemona, ka wai) ʻaʻole ia nā mea momona (no ka laʻana, aspartame, xylitol). A laila ʻai i nā meaʻai kālai (kākei, nā kuki me ka waiū).

Zoning no ka maʻi maʻi ma ke kino o ka mea maʻi

ʻO ke kūlike o ka lāʻau hormonal ma ke kino e hilinaʻi nei ma kahi o kāna hoʻolaha. Ua hoʻokomo ʻia nā ʻōkuhi o kahi loea hypoglycemic a i ʻole e loaʻa i kahi ʻano like ʻole i ka wahi hoʻokahi. No laila pehea e hiki ai iaʻu ke kuhi i ka hoʻomākaukau ʻana o ka insulin?

• ʻO ka ʻaoʻao mua ka ʻōpū: ma ka pūhaka, me ka neʻe ʻana i ke kua, ma ka ʻaoʻao ʻākau a me ka hema o ka pusela. Hoʻopili ia a hiki i ka 90% o ka hoʻomoe waʻa. Hōʻike ka hiʻona i ka wikiwiki o ka hana o ka lāʻau lapaʻau, ma hope o 15-30 mau minuke. Hōʻike ka piʻi ma hope o ka hola 1. ʻO ka maʻi maʻi ma kēia wahi ka mea kūpono loa. Hoʻokomo ke Diabetics i ka insulin liʻiliʻi i loko o ko lākou ʻōpū ma hope o ka ʻai. "E hōʻemi i ka hōʻailona o ka ʻeha, ka pīkī ma nā kiko o ka subcutaneous, kokoke i nā ʻaoʻao," - ke hāʻawi ʻia nei kēlā mau ʻōlelo a ka poʻe endocrinologists i kā lākou mau maʻi. Ma hope o ka mea maʻi e hoʻomaka e ʻai a hana paha i kahi inikua me ka meaʻai, ma hope o ka ʻai.
• ʻO ka lua kahi i nā lima: ʻo ka ʻaoʻao ʻāpana o ke kuʻekuʻe kiʻekiʻe mai ka poʻohiwi a i ka kiki. Loaʻa i nā maʻi ma kēia wahi - nā mea hōʻeha loa. Akā he paʻakikī no ka mea maʻi e hana i kahi lāʻau i kona lima me ka syringe e hana ʻia i ka insulin. ʻElua mau ala i waho o kēia ʻano: ke inikini i ka insulin me ka peni a me nā kumu aʻo i nā mea aloha e hāʻawi i nā inikini i ka maʻi maʻi.
• ʻO ke kolu o nā kolu nā wāwae: ʻo ka ʻūhā waho loa mai ka inguinal a hiki i ka paʻa pume. Mai nā kikowaena e kū ana ma nā limu o ke kino, ua hoʻopili ʻia ka insulin a hiki i ka 75% o ka nui i hoʻomoe ʻia a hoʻomāhuahua iki me ka wikiwiki. ʻO ka hoʻomaka ʻana o ka hana i nā hola 1.0-1.5. Hoʻohana ʻia lākou no ka injection me ka lāʻau lapaʻau, hiki i ka lōʻihi (hoʻonui ʻia, hoʻonui ʻia i ka manawa) hana.
• ʻO ka hā ʻehā ka pūhaka kuʻekuʻe: aia ma ka kua, i lalo o ka iwi hoʻokahi. ʻO ka helu o ka wehe ʻana o ka insulin i kahi wahi i hāʻawi ʻia a me ka hapa nui o ka ʻimi ʻana (30%) ka haʻahaʻa. ʻIke ʻia ka ʻūhā poʻohiwi i kahi maikaʻi ʻole no ka inikini insulin.

ʻO nā kuhi maikaʻi loa me ka hoʻokō kiʻekiʻe loa ka ʻāpana umbilical (ma ka lōʻihi o ʻelua mau manamana lima). ʻAʻole hiki ke ʻeha pinepine i nā wahi "maikaʻi". ʻO ka mamao ma waena o nā inikua hope loa a me ka wā e hiki mai ana ma kahi o 3 cm mau.

Inā ʻoe e ʻimi i nā loiloi e ʻā ai i ka pōkole "pōkole" i loko o ka ʻōpū, a ʻo "lōʻihi" i ka ʻūhā a lima paha, a laila e hana ka mea maʻi me 2 mau inikoa i hoʻokahi manawa. Pono nā mea maʻi maʻi e hoʻohana i ka insulins i hui ʻia (Hoʻohui Novoropid, Hoʻohui Humalog) a hui ʻole kūʻokoʻa ʻelua mau ʻano i kahi syringe a hana i kahi maʻi hoʻokahi i kekahi wahi. ʻAʻole ʻae ʻia nā insulins a pau e hui pū me kekahi. Hiki iā lākou ke pōkole wale nō me ka hōʻohi hoʻoweliweli.

ʻLelo loea

Ua aʻo nā maʻi hānō i nā hana aʻoaʻo i loko o ka lumi papa ma nā kula kūikawā, i hoʻonohonoho ʻia ma ke kumu o nā keʻena endocrinology. Hoʻokomo ʻia nā poʻe maʻi liʻiliʻi a paʻa ʻole i kā lākou mea i aloha ʻia.

ʻO nā hana nui a ka mea maʻi e:

1. I ka hoʻomākaukau ʻana i ka ʻili o ka ʻili. Pono ka maʻa ʻōlelo maʻemaʻe. ʻIli, ʻoi aku ka palaki, ʻaʻole pono ka ʻili i ka waiʻona. ʻIke ʻia ka meaʻona make e hoʻopau i ka insulin. He mea lawa ia e holoi i kahi hapa o ke kino me ka wai mahana me ka wai iʻa me ka wai (a ʻauʻau) i ka lā hoʻokahi.
2. Ka hoʻomākaukau ʻana o ka insulin ("pen", syringe, vial). Pono e ʻōʻili ʻia ka lāʻau lapaʻau i loko o kou mau lima no 30 mau kekona. ʻOi aku ka maikaʻi e hoʻolauna me kaʻili a me nā mahana. Kāhea a hōʻoia i ka pololei o ke kū ʻana.
3. Hana ʻia kahi huakaʻi. Me kou lima hema, e hana i kahi ʻili o ka ʻili a hoʻokomo i ka pūpū i loko o kona waihona i ke kihi o 45 degere a i ka piko paha, e hoʻopaʻa ana i ka syringe kūlima. Ma hope o ka hoʻohaʻahaʻa ʻana i ka lāʻau lapaʻau, kali i ka 5-7 kekona. Hiki iā ʻoe ke helu a me ka 10.

ʻO nā nānā a me nā manaʻo i ka wā o ka maʻi maʻi

Basically, kahi mea e ʻike ai ka mea maʻi me nā injections i manaʻo ʻia he hōʻike kumupaʻa. Loaʻa i kēlā me kēia kanaka ka paepae o ka hōʻeha ʻana o ka naʻau.

Loaʻa nā ʻike maʻamau a me nā ʻike.

• aole he eha puupuu liilii, ka mea, ua hoiliiliia kekahi huila nui loa, a aole i komo i loko o ke aanaka,
• hiki ke hōʻeha ke hōʻeha inā pōpilikia kekahi
• ke hōʻike ʻana o kahi kahe o ke koko e hōʻike i ka hōʻino i ka capillary (lawe koko liʻiliʻi),
• ke kīpō ʻana ka hopena o kahi palau blunt.

ʻO ka huila ma ka penikala syringe ʻoi aku ka ʻ ʻoi ma ke ʻano o ka ʻili pūnē, ʻaʻole pono e hōʻeha ka ʻili. No kekahi mau mea maʻi, ʻoi aku ka makemake o ka hoʻohana ʻana i nā mea hope no nā kumu noʻonoʻo: aia kekahi ʻano setona kūʻokoʻa, ʻike ʻia. Hiki i ka hypoglycemic lawelawe ʻia ke komo wale ʻana i ka moku koko, akā ma lalo o ka ʻili a me ka ʻiʻo. No ka hōʻalo ʻana i kēia, pono ia e hōʻiliʻili i ka ʻili o ka ʻili e like me ka hōʻike ʻana i ke kiʻi.

Hiki i ka mahana o ke kaiapuni (ka wela wela), waʻa (light stroking) o ka pae injection e hiki ai i ka wikiwiki ke hana i ka insulin. Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono ka mea maʻi e hōʻoia i ke ola kūpono kūpono, ka hoʻokaumaha a me nā kūlana mālama o ka huahana. ʻAʻole pono ke kanu ʻana i ka lāʻau lapaʻau. Hiki ke mālama i loko o ka friji i kahi mahana o +2 a +8 degere Celsius. ʻO ka hue i hoʻohana ʻia i kēia manawa, ʻo ka peni ʻo ka syringe (ʻae ʻia a hoʻoemi ʻia paha me kahi kāneka insulin) ua lawa ia e mālama i ka mālama ʻana o ka lumi.