Insulin syringes, peni syringe a me nā pono no lākou

Loaʻa i nā papa lāʻau lapaʻau ma kou kūlanakauhale he nui a he koho liʻiliʻi paha nā syringes insulin. Hiki ke hoʻopau wale lākou āpau a pau, sterile a i hana ʻia me ka palaka, me nā ʻili ʻili lahilahi. Eia nō naʻe, ʻoi aku ka maikaʻi o nā syringes insulin a me nā mea ʻē aʻe, e nānā mākou i ke kumu o kēia ke ʻano. Hōʻike ʻia ke kiʻi ma lalo nei i kahi syringe maʻamau no ka hoʻoluhi ʻana i ka insulin.

Ke koho ʻana i kahi syringe, ʻo ia ka mea nui i paʻi ʻia ma luna o ia mea he mea nui. ʻO ke kumukūʻai hoʻohele (pae o ke ʻano) ka manaʻo koʻikoʻi no mākou. ʻO kēia ka ʻokoʻa i nā waiwai i pili i nā hōʻailona ʻelua i ka pākiha. Hoʻolaha maʻalahi, ʻo ia ka liʻiliʻi liʻiliʻi e hiki ke hoʻopaʻa ʻia i loko o ka syringe a ʻoi paha ka pololei.

E nānā pono i nā syringe i hōʻike ʻia ma ke kiʻi ma luna. Eia no ka laʻana, ma waena o nā hōʻailona 0 a 10 a loaʻa iā ia he 5 mau pilina. ʻO ke kumu kēia, ʻo ka pae o ke kauā 2 PIECES o insulin. He mea paʻakikī loa ke kūpono i ka inapoʻana i kahi dosis insulin o 1 IU a i ʻole me ka syringe like ʻole. ʻO kahi kikoʻī o 2 PIECES o ka insulin e loaʻa me kahi hewa nui. He kumuhana koʻikoʻi kēia, no laila e noho wau ma luna o nā kikoʻī hou aku.

Hōʻailona ʻo Syringe scale a me ka hewa o ka inake

ʻO ke anuʻo (ka palena ʻokoʻa) o ka ʻōwili syringe he helu koʻikoʻi, no ka mea, ʻo ka pololei o ke ana o ka insulin e hilinaʻi ai ma ia. Ua hōʻike ʻia i loko o ka ʻatikala nā ʻōlelo kumu no ka mālama ʻana i ka maʻi diabetes. "Pehea e hoʻoponopono ai i ke Kē Nisi me nā Dole liʻiliʻi o ka Insulin." ʻO kēia ka waiwai nui loa ma kā mākou pūnaewele, ke noi aku nei au e hoʻopaʻa ʻoluʻolu iā ia. Hāʻawi mākou i nā mea maʻi me ka maʻi type type 1 a pehea e hōʻemi ai i ka pono o ka insulin a mālama i ke kō kō koko koko a me ka maʻamau. Akā inā hiki ʻole iā ʻoe ke kuhi i nā wai liʻiliʻi o ka insulin i ka manawa ʻē nō, e nui ka nui o nā kō i ke kō koko, a hoʻomohala ʻia ka hewa o ka maʻi diabetes.

E makaʻala ʻoe e pili ana i ka hemahema maʻamau ʻo ½ o ka māka pihi ma ka syringe. Ka mea i huli ia oe i ke wailua i ka insulin me ka syringe i na hui o 2 mau paina, i ka inane o ka insulin e oi aku 1 1 papa. I kahi pākeke maʻi ʻōpiopio me ka maʻi maʻamau o ka maʻi 1, e hoʻēmi i ka wai U me ka wai haʻahaʻa ma ke ʻano he 8.3 mmol / L. No nā keiki, hana ka insulin i ka 2-8 mau manawa ikaika aku, e pili ana i ko lākou kaumaha a me ko lākou makahiki.

ʻO ka hopena ke hōʻike nei i kahi hemahema o 0.25 IU o ka insulin i ka hoʻokaʻawaleʻana ma waena o ke koko koko maʻamau a me ka hypoglycemia no ka hapa nui o nā maʻi me ka maʻi maʻi. E aʻo ʻana i ke kuhi ʻana i nā inika liʻiliʻi o ka insulin i ka mea nui e pono ai ʻoe e hana me ka maʻi type a me ka type 2, ma hope o ka mālama pono ʻana i ka ʻai haʻahaʻa. Pehea e hoʻokō ai i kēia? ʻElua mau ala:

• E hoʻohana i nā syringes me kahi liʻiliʻi o nā pae, a, no laila, ʻoi aku ka kiʻekiʻe o ka nui o nā dosages;
• dilute insulin (pehea e hana pololei ai).

ʻAʻole mākou e hōʻike i ka hoʻohana ʻana i nā pā i ka insulin ma kahi o nā syringes, e komo pū ana i nā keiki me ka maʻi diabetes 1 ʻano. No ke aha - e heluhelu ai ma aneʻi.

Hoʻomaopopo nā maʻi maʻi i ka poʻe e heluhelu ana i ko mākou pūnaewele ʻaʻole pono ʻoe e hōʻili i kahi ʻoi aku ʻoi aku ma mua o 7-8 mau mea o ka insulin i hoʻokahi maʻi. He aha inā ʻoi aku ka nui o nā inikena insulin? Heluhelu "Pehea e hoʻokomo ai i nā pona he nui o ka insulin." Ma kekahi ʻaoʻao, nui nā keiki me ka maʻi type kīpē e koi ʻia me nā wai ʻokoʻa no ka nui o 0.1 mau ʻāpana. Inā wīpoki nui ʻia ia, a laila hoʻomau mau kā lākou kōkō a kū pinepine i ka hypoglycemia.

Wahi a nā mea āpau, he aha ka ʻāpana maikaʻi ʻole? Pono ke kahe o nā mea ʻaʻole he 10 ma mua o nā papa hana. Ma kāna pākahi i hōʻailona ʻia nā helu 0.25. Eia kekahi, pono e mamao loa kēia mau hōʻailona mai kekahi i kekahi, a hiki ke ʻike ʻia kahi nui o ka ⅛ IU o ka insulin. No kēia mea, pono e lōʻihi loa ka laha o ke syringe. ʻO ka pilikia ʻoa inā ʻaʻohe ʻano syringe e like me kēia. Noho nā mea hana me nā kuli i nā pilikia o nā maʻi me ka maʻi maʻi maʻi maʻi, ʻaʻole wale nō maanei, akā i waho ʻē aʻe. No laila, ke ho'āʻo nei mākou e hana me nā mea i loaʻa iā mākou.

I loko o nā pakaʻai, ʻike paha ʻoe i nā syringes wale nō me kahi laʻa o 2 mau pūʻulu o ka insulin, e like me ka mea i hōʻike ʻia ma ke ʻano ma ka piko o ka ʻatikala. Mai ka manawa o ka manawa, ʻike ʻia nā syringes me ka hoʻokaʻina ʻāpana o ka ʻāpana 1 ʻike. I koʻu ʻike ʻana, hoʻokahi wale nō ka syringe insulin e hōʻailona ʻia ana ka pākahi i nā ʻāpana 0.25. ʻO kēia kahi Becton Dickinson Micro-Fine Plus Demi me ka nui o 0.3 ml, i.e. 30 IU o ka inane i loko o kahi paʻa maʻamau o U-100.

Aia kēia mau ʻāpana i ke kumukūʻai mākaʻi ʻona "kūhelu" ākea o nā ʻāpana 0.5. Eia kekahi pākuʻi ʻokoʻa āpau i kēlā me kēia helu 0.25 Wahi a nā loiloi o nā mea maʻi me ka maʻi maʻi, ka loaʻa ʻana o ka inikini insulin o nā ʻāpana 0.25. I Ukraine, kahi nāwaliwali nui kēia mau syringes. Ma Lūkia, hiki paha iā ʻoe ke kauoha iā ʻoe inā ʻimi maikaʻi ʻoe. ʻAʻohe mea kikoʻī aku iā lākou. Eia nō naʻe, ʻo kēia kūlana i ke ao holoʻokoʻa (!) I hala i mua o hoʻokahi mau makahiki ʻelima.

Ina wau e ʻike i ua hele ʻia mai nā ʻano like like ʻole, e kākau koke wau ma ʻaneʻi a hōʻike i nā mea kākau inoa e hoʻouna ana ma ka leka uila. ʻOiai a ʻoi aku ka mea nui - e aʻo pehea e hoʻowalewale i ka insulin e hoʻopaʻa pololei i nā dosis haʻahaʻa.

ʻO ka hoʻopaʻa ʻana i ka piston syringe

ʻO ke sila ma ka pūlima o ka syringe he ʻāpana ia i ʻaloʻo. ʻO kona kūlana ma ka kiko e hōʻike ai ka nui o nā waiwai i hoʻopaʻa ʻia i ka syringe. Pono e nānā ʻia ka nui o ka insulin i ka hopena o ke sila, e pili loa ana i ka pono. He mea makemake ia e loaʻa i ka mea i loaʻa i kahi papahele, ma mua o ke ʻano conical, e like me i kekahi mau syringes, i ʻoi aku ka maʻalahi o ka heluhelu ʻana i kēia mauʻano. No ka hana ʻana o nā paukū, e hoʻohana pinepine ʻia nā synt synthetic, me ka lōkō maoli kūloko, no laila ʻaʻohe mea āpau.

Ka pono

ʻO nā pono o nā syringes insulin e hana nei i kēia manawa i kūʻai aku ai. Makemake nā mea hana e hōʻoia i ka poʻe maʻi me ka maʻi maʻi o ko lākou mau ʻōpī i nā mea pono a ʻoi aku ma mua o nā mea hoʻokūkū. Ma ke ʻano he lula, ua hoʻonui lākou. ʻOi aku ka maikaʻi inā ua hoʻonohonoho lākou i ka hana o nā ʻili ʻili pono e hoʻopuka pono i nā inikua liʻiliʻi o ka insulin.

ʻO nā mea e hoʻohana ai no ka injections o ka insulin

Pono ka hoʻokomo ʻana i nā insulin i loko o ka kiko kikoʻī (subcutaneous fat). I kēia hihia, he mea nui ia ʻaʻole ke kaohi o ka maʻi i ka intramuscular (hohonu aʻe e pono ai) a i ʻole ka intradermal, i.e. kokoke loa i ka papa. ʻO ka mea pōʻino, ʻaʻole pinepine ka poʻe maʻi maʻi i ka ʻili o ka ʻili, akā e kau iā lākou iho ma kahi kūpono. Hoʻopilikia kēia i ka insulin i ka ʻiʻo, a me ka piʻi nui o ke kōpaʻa koko i ka ulu ʻole.

Hoʻololi nā mea hana i ka lōʻihi a me nā māno o ka pono ʻāwili o ka insulin e like me nā mea liʻiliʻi he intramuscular injections o ka insulin e like me ka mea. Ma muli o nā pākeke me ka ʻōpiopio, ʻo ia hoʻi i nā kamaliʻi, nā mānoanoa o ka nui o ka subcutaneous ka liʻiliʻi ma mua o ka lōʻihi o kahi pono lāʻau maʻamau (12-13 mm).

I kēia manawa, hiki iā ʻoe ke hoʻohana i nā pōkole ponoʻī insulin, 4, 5, 6 a 8 mm paha ka lōʻihi. ʻOi aku kahi pōmaikaʻi ʻokoʻa a ʻoi kēia mau pōpoki ma mua o ka mea maʻamau. ʻO kahi hāmeʻa mauʻu syringe kahi lōʻihi o 0.4, 0.36 a i 0.33 mm paha. A ʻo ke aniani o ke kahikina insulin peka ʻia he 0.3 a i ʻole 0.25 a i ʻole 0.23 mm. ʻO kēlā mau ʻanuʻu e hiki ai iā ʻoe ke hoʻoili i ka insulin a me ka ʻeha ʻole.

ʻĀnō e hāʻawi mākou i nā ʻōnaehana o kēia mau lā i ka lōʻihi o ka pono ʻoi aku ka maikaʻi no ke koho ʻana no ka hoʻomehana insulin.

• ʻO ka pono 4, 5 a me 6 mm ka lōʻihi - kūpono i nā maʻi pākeke a pau, me nā kānaka momona loa. Inā ʻoe e hoʻohana ai iā lākou, a laila, ʻaʻole pono nā kulu ʻili. I nā maʻi maʻi pākeke, pono ke hoʻokō i ka insulin me kēia mau ʻili e pono ai ma kahi o 90 degere a hiki i ka ili o ka ʻili.
• Pono ka poʻe maʻi makua e hana i kahi pālima a me / a i ʻole ke kau ʻana ma kahi kihi o 45 degere inā e hoʻokomo ʻia ka insulin i ka ʻāʻī, wāwae a i ʻole ka ʻōpū. No ka mea i kēia mau wahi ua hoʻemi ʻia ka mānoanoa o ka kiko subcutaneous.
• No nā poʻe maʻi maʻi, ʻaʻole i noʻonoʻo pono e hoʻohana i nā lāʻau e ʻoi aku ma mua o 8 mm. E hoʻomaka ka hoʻomaka ʻana i ka maʻi ʻaʻinā Inulin me nā manina pokole.
• No nā keiki a me nā'ōpiopio - e aʻo ʻia e hoʻohana pono i nā pono 4 a 5 paha paha ka lōʻihi. He mea kūpono ia no kēia mau maʻi o ka maʻi maʻi e hana i kahi paʻu ma mua o kahi inake no ka pale ʻana i ka intramuscular ingress o ka insulin. Hoʻohana pinepine ʻia inā he mau manamanaʻu me ka lōʻihi o 5 mm a i ʻole e hoʻohana ʻia. Me kahi pūlea 6 mm lōʻihi, hiki ke hoʻopaʻa ʻia ma ke kihi o 45 degere, a ʻaʻole hiki ke kūkulu ʻia nā lula ʻili.
• Inā hoʻohana ka mea maʻi maʻi i ka mauʻu me ka lōʻihi o 8 mm a i ʻole, pono ia e hana i ka ʻāʻī o ka ʻili a a / a i ʻole inject insulin i ke kihi o 45 degere. Inā ʻaʻole, aia kekahi pilikia nui o ka intramuscular injection o ka insulin.

Hoʻohālikelike: e nānā i ka lōʻihi a me ke anawaena o ka pono no ka ʻāʻā kaulike o ka insulin a me ka peni ʻo ka syringe. ʻO ka mānoʻoliʻu o ka manamana, ʻoi aku ka ʻehaʻeha o ka hoʻokele ʻana o ka insulin. I ka manawa like, ua hoʻokuʻu ʻia nā pulupulu syringe insulin e hoʻokuʻu i ka pena hiki. Inā e hoʻomaʻemaʻe loa ʻia lākou, a laila e hoʻomaka lākou e uha i ka wā o ka ʻeha. Ua hoʻomaopopo maikaʻi kēia mea hana.

Hiki iā ʻoe ke hāʻawi iā ʻoe iho i nā inikini insulin a pau ʻole ʻeha. No ka hana ʻana i kēia, e koho i nā manina aʻokiʻoki a hoʻohana i ke kaʻina holo wikiwiki.

Ehia mau inikini insulin e hiki ke hana me kahi pūahi hoʻokahi

Pehea e koho ai i nā pono jarele - ua kamaʻilio mua ma mua o kēia ʻatikala. E hana i ko lākou mau pono me ka mea maʻalahi loa no ka maʻi maʻi, hana ikaika nā mea hana. Hoʻopili ʻia nā ʻākā o nā pēpē insulin me ka hoʻohana ʻana i ka ʻenehana hou, a hoʻomaʻemaʻe ʻia hoʻi. Akā inā ʻoe e hoʻohana pinepine i ka pono, a ʻoi aku hoʻi hana pinepine, a laila hoʻonaninani ka hopena, a pau ka hala.

E ʻike koke ʻia ʻoe i ka hoʻoikaika ʻana o ka insulin i ka lāʻau like pono e lilo a ʻeha hou i kēlā me kēia manawa. Pono ʻoe e hoʻonui i ka ikaika e hou i ka ʻili me kahi pūmaʻa blunt. Ma muli o kēia, ʻo ka paʻakikī o ke kakā ʻo ka ʻili a i ʻole ke wāwahi ʻia e hoʻonui.

Aia kahi pilikia koʻikoʻi no ka ʻaihue ʻana i nā pulima insulin e hiki ʻole ke ʻike ʻia e nā maka. ʻO kēia mau hōʻeha kino maʻa. Me ka hoʻonui ʻia optical ikaika, hiki ke ʻike ʻia ma hope o kēlā me kēia me ka hoʻohana ʻana i ka pono, kū a hoʻolōʻihi nā ʻāpana a hāpai i ke ʻano o kahi kaula. Ma hope o ka lawelawe ʻana i ka insulin, pono e hoʻoneʻe ʻia ka pono. I kēia manawa, ua haki ka pahu i ka ʻōpū, e hōʻeha ana iā lākou.

Ma muli o kēia, nui nā mea maʻi e hoʻomohala i nā hōʻeha i ka ʻili. ʻO ka pinepine he mau palapu o nā kiko o ka subcutaneous, kahi i hōʻike ʻia e nā sila. I mea e maopopo ai iā lākou ka manawa, pono ʻoe e nānā a hoʻomaikaʻi i ka ʻili. No ka mea, ʻaʻole ʻike ʻia kēia mau pilikia, a hiki ke ʻike ʻoe iā ʻoe ma nā paʻi ʻana.

ʻO nā mea hoʻopaʻa pehu lipodystrophic ʻaʻole wale kahi pale lima. Hiki iā lākou ke alakaʻi i nā pilikia olakino koʻikoʻi. ʻAʻole hiki iā ʻoe ke komo i ka insulin i nā wahi pilikia, akā pinepine ka poʻe maʻi e hoʻomau i kēia. No ka mea he mau ʻehaʻeha ʻaʻole i hōʻeha ʻia. ʻO ka ʻoiaʻiʻo ʻana o ka hoʻoili ʻana o ka insulin mai kēia mau pūnaewele i ka like ʻole. Ma muli o kēia, ua loli nui ke kō o ke kō.

Ke hōʻike nei nā ʻōkuhi no nā peni syringe he pono ke kāpae ʻia ka pono ma hope o kēlā me kēia ʻino. ʻAʻole ka hapa nui o nā maʻi maʻi maʻi i kēia rula. I kēlā kūlana, e kū mālie ke kahawai ma waena o ka pahu kēkelē insulin. Hoʻolaha, komo i ka ea i ka pahu, a nalowale kekahi hapa o ka insulin ma muli o ka leakage.

Ke kū ka ea o ka lewa i loko o ka pahu pahu, ka hopena o ka dosis ʻana o ka insulin. Inā nui nā pulu o ka ea i loko o ka pahu hau, a laila i kekahi manawa e loaʻa ka mea maʻi iā 50-70% wale nō o ka nui o ka ʻemi o ka insulin. I mea e pale aku ai i kēia, i ka hoʻokau ʻana i ka insulin me ka hoʻohana ʻana i kahi peni huʻu, ʻaʻole pono e hoʻokaʻawale ʻia ka lāʻau pono, akā he 10 mau kekona ma hope o ka hoʻokō ʻana o ka pana i kona wahi i lalo.

Inā ʻoe e hoʻohana ai i ka pono ma ke ʻano he mau manawa, ke alakaʻi nei kēia mea e hoʻopili ʻia ke kahawai me nā crystals insulin, a he paʻakikī ke kahe o ka hoʻonā. Hāʻawi ʻia i nā mea a pau i luna, ma ke ʻano, pono e hoʻohana ʻia kēlā me kēia lā. Pono nā kauka i nā manawa maʻamau me kēlā me kēia maʻi hānai i kāna ʻano no ka lawelawe ʻana i ka insulin a me ke ʻano o nā pūnaewele injection ma ka ʻili.

Pā peni peni

ʻO kahi peni insulin kahi syringe kūikawā i loko e hiki ai iā ʻoe ke hoʻokomo i kahi pahu liʻiliʻi me ka insulin. Pono ka penikala penikala e hoʻomaikaʻi i ke ola no ka maʻi maʻi maʻi, no ka mea ʻaʻole pono ʻoe e halihali i nā syringes hoʻokaʻawale a me kahi pahu o ka insulin. ʻO ka pilikia me kēia mau hāmeʻa, ʻo ia ka pae o kā lākou paila ka maʻamau 1 ʻāpana o ka insulin. Ma ka hopena maikaʻi loa, ʻo ia ʻo 0.5 PIECES no nā peni insulin o nā keiki. Inā ʻoe e hāhai i ka ʻai haʻahaʻa-haʻahaʻa a me ke aʻo ʻana e hoʻoponopono i ka maʻi diabetes me nā papa liʻiliʻi o ka insulin, a laila ʻaʻole e hana kēia pololei iā ʻoe.

Ma waena o nā mea maʻi e hoʻopiha i kā mākou papa hana maʻi maʻi 'ōkaʻi' ole a i ʻole nā ​​lā ma ka lāʻau lapaʻau 'umekau' 1 (e ʻike i nā loulou ma luna), he kūpono kūpono nā peni syringe penemeni no nā poʻe makemake loa. Ke koi ʻia nā wai nui o ka insulin i loko o nā mea maʻi maʻi maʻi, ʻoiai me ka pili pono i ka regimen. No lākou, ʻaʻole hewa nā papa hana dosage o ka ± 0.5 U o ka insulin.

No ka hapa nui o nā mea maʻi me ka diabetes type type 1 a i ʻole 2 e mālama ʻia e like me kā mākou mau ala, hiki ke noʻonoʻo ʻia ka hiki ʻana o ka hoʻohana ʻana i nā peni syringe inā hoʻomaka wale lākou i hoʻokuʻu ʻia ma nā 0.25 mau pūʻulu o ka insulin. Ma nā papa kūkala maʻi, hiki iā ʻoe ke heluhelu e ʻimi nei i nā poʻe e ʻāwīwī i nā ʻāwili syringe e hoʻoiho i nā wai haʻahaʻa ma mua o ka 0.5 PIECES o ka insulin. Akā ʻaʻole kēia kumu e hilinaʻi.

Inā ʻoe e hoʻohana i nā lāʻau lapaʻau maʻi e kōkua ana i ka mālama ʻana i kou leʻaleʻa, a laila pono ʻoe e kihi iā lākou me nā penikala syringe e hele mai me ka pahu kuhi. Akā me kēia mau lāʻau lapaʻau ʻaʻohe pilikia me ka ineka, e like me nā inikini insulin. Ke kau nei i nā lāʻau lapaʻau maʻi e kōkua i ke mālama ʻana i kou leʻaleʻa me kahi penikala syringe maʻamau. ʻO ka hoʻohana ʻana i nā peni syringe no ka injecting insulin he maikaʻi ʻole, no ka mea hiki ʻole ʻoe e ʻae pololei i ke kau ʻana ma nā haʻahaʻa haʻahaʻa. Hoʻohana maikaʻi ka hoʻohana ʻana i nā syringine maʻamau. E nānā pū i nā ʻatikala "Technique for Injless Injection of Insulin" a me "Pehea e hoʻomoʻa ai i ka insulin i ka pehu haʻahaʻa haʻahaʻa".