Ukunikeza umjovo we-insulin

Ukuze ujove umjovo we-insulin, udinga ukugcwalisa isirinji elifanele ngenani elifanele lomuthi, uthathe isinqumo sokuthi uzowufaka kuphi umjovo, futhi wazi ukuthi ungawufaka kanjani umjovo.

Umhlinzeki wakho wezokunakekelwa kwempilo noma uthisha oqinisekisiwe wesifo sikashukela (CDE) uzokufundisa zonke lezi zinyathelo, akubuke uzivocavoca, futhi aphendule imibuzo yakho. Ungathatha amanothi ukukhumbula imininingwane. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Yazi igama nomthamo womuthi ngamunye okufanele unikeze. Uhlobo lwe-insulin kufanele luhambisane nohlobo lwesirinji:

• I-insulin ejwayelekile iqukethe amayunithi ayi-100 nge-1 mL. Lokhu kubizwa nangokuthi yi-U-100 insulin. Iningi lemijovo ye-insulin imakwe ngokukunikeza i-U-100 insulin. Yonke inothi encane esirinji ejwayelekile ye-1 mL insulin iyunithi elilodwa le-insulin.
• Ama-insulins amaningi agxile ayatholakala. Lokhu kufaka phakathi u-U-500 no-U-300. Ngoba imijovo engu-U-500 ingaba nzima ukuyithola, umhlinzeki wakho angakunika iziyalezo zokusebenzisa i-U-500 insulin enamaphilisi e-U-100. Amasirinji we-insulin noma i-insulin egxilile manje isiyatholakala kabanzi. Ungahlanganisi noma ungcolise i-insulin egxilile nganoma iyiphi enye i-insulin.
• Ezinye izinhlobo ze-insulin zingaxubana zodwa ngesirinji eyodwa, kepha eziningi azikwazi ukuxubeka. Buza umhlinzeki wakho noma usokhemisi ngalokhu. Amanye ama-insulins ngeke asebenze uma exutshwe namanye ama-insulins.
• Uma unenkinga yokubona ukumakwa kusirinji, khuluma nomhlinzeki wakho noma i-CDE. Izikhulisi ziyatholakala ukuthi isiqeshana kusirinji yakho ukwenza ukumaka kubonakale kalula.

Amanye amathiphu ajwayelekile:

• Zama njalo ukusebenzisa izinhlobo ezifanayo zezinto. Ungayisebenzisi i-insulin ephelelwe yisikhathi.
• I-insulin kufanele inikezwe ekamelweni lokushisa. Uma uyigcine esiqandisini noma esikhwameni esipholile, khipha imizuzu engama-30 ngaphambi komjovo. Lapho usuqale ukusebenzisa isitsha se-insulin, singagcinwa ekamelweni lokushisa izinsuku ezingama-28.
• Hlanganisa izimpahla zakho: i-insulini, izinaliti, imijovo, izesuli zotshwala, nesitsha sezinaliti ezisetshenzisiwe.

Ukugcwalisa isirinji ngohlobo olulodwa lwe-insulin:

• Geza izandla zakho ngensipho namanzi. Zomise kahle.
• Bheka ilebula lebhodlela le-insulin. Qiniseka ukuthi iyi-insulin elungile. Qiniseka ukuthi ayiphelelwe yisikhathi.
• I-insulini akufanele ibe nezinhlayiya ezinhlangothini zebhodlela. Uma kwenzeka, yilahle ngaphandle bese uthola elinye ibhodlela.
• I-insulin esebenza phakathi nendawo (N noma i-NPH) inamafu futhi kufanele igoqwe phakathi kwezandla zakho ukuyixuba. Ungalinyakazisi ibhodlela. Lokhu kungenza i-insulin ivele.
• Sula i-insulin ayidingi ukuxutshwa.
• Uma isitsha se-insulin sinoqwembe lweplastiki, susa. Sula phezulu kwebhodlela ngokusula utshwala. Ake yomile. Ungayishayi.
• Yazi umthamo we-insulin ozowusebenzisa. Susa ikepisi enaliti, uqaphele ukuthi ungathinti inaliti ukuyigcina iyinyumba. Donsela emuva i-plunger yesipontsho ukuze ufake umoya omningi kusirinji njengomthamo womuthi owufunayo.
• Faka inaliti ngaphakathi nangaphezulu kwenjoloba yebhodlela le-insulin. Phusha i-plunger ukuze umoya ungene ebhodleleni.
• Gcina inaliti ebhodleleni bese uphendula ibhodlela ubheke phansi.
• Ngethiphu yenaliti kulolo ketshezi, buyela emuva ku-plunger ukuze uthole isilinganiso esifanele se-insulin esirinji.
• Bheka isirinji ukuthola amagwebu omoya. Uma kunamabhamuza, bamba kokubili ibhodlela kanye nomjovo ngesandla esisodwa, bese uthepha isipetu ngesinye isandla. Amabhamuza azodada aye phezulu. Phindisela emuva amagwebu ebhodleleni le-insulin, bese ubuyela emuva ukuze uthole isilinganiso esifanele.
• Uma engekho amabhamuza, khipha isirinji ebhodleleni. Beka umjovo phansi ngokucophelela ukuze inaliti ingathinti lutho.

Ukugcwalisa isirinji ngezinhlobo ezimbili ze-insulin:

• Ungalokothi uhlanganise izinhlobo ezimbili ze-insulin esirinji eyodwa ngaphandle uma utshelwa ukuthi wenze lokhu. Uzotshelwa nokuthi iyiphi i-insulini okufanele uyakhe kuqala. Kwenze njalo ngaleyo ndlela.
• Udokotela wakho uzokutshela ukuthi uzodinga i-insulin engakanani. Faka lezi zinombolo ezimbili ndawonye. Leli inani le-insulin okufanele ube nalo kusirinji ngaphambi kokuyijova.
• Geza izandla zakho ngensipho namanzi. Zomise kahle.
• Bheka ilebula lebhodlela le-insulin. Qiniseka ukuthi iyi-insulin elungile.
• I-insulini akufanele ibe nezinhlayiya ezinhlangothini zebhodlela. Uma kwenzeka, yilahle ngaphandle bese uthola elinye ibhodlela.
• I-insulin esebenza phakathi nendawo inamafu futhi kufanele igoqwe phakathi kwezandla zakho ukuyixuba. Ungalinyakazisi ibhodlela. Lokhu kungenza i-insulin ivele.
• Sula i-insulin ayidingi ukuxutshwa.
• Uma i-vial inesembozo sepulasitiki, susa. Sula phezulu kwebhodlela ngokusula utshwala. Ake yomile. Ungayishayi.
• Wazi umthamo we-insulin ngayinye ozoyisebenzisa. Susa ikepisi enaliti, uqaphele ukuthi ungathinti inaliti ukuyigcina iyinyumba. Donsela emuva i-plunger yesipontsho ukuze ufake umoya omningi ku-syringe njengomthamo we-insulin esebenza isikhathi eside.
• Faka inaliti esicongweni senjoloba salelo bhodlela le-insulin. Phusha i-plunger ukuze umoya ungene ebhodleleni. Susa inaliti ebhodleleni.
• Faka umoya ebhodleleni le-insulin elifushane ngendlela efanayo nezinyathelo ezimbili ezedlule ngenhla.
• Gcina inaliti ebhodleleni elisebenza okwesikhashana bese uphendulela ibhodlela phansi.
• Ngethiphu yenaliti kulolo ketshezi, buyela emuva ku-plunger ukuze uthole isilinganiso esifanele se-insulin esirinji.
• Bheka isirinji ukuthola amagwebu omoya. Uma kunamabhamuza, bamba kokubili ibhodlela kanye nomjovo ngesandla esisodwa, bese uthepha isipetu ngesinye isandla. Amabhamuza azodada aye phezulu. Phindisela emuva amabhamuza ebhodleleni le-insulin, bese ubuyela emuva ukuze uthole isilinganiso esifanele.
• Uma engekho amabhamuza, khipha isirinji ebhodleleni. Yibheke futhi ukuze uqiniseke ukuthi unomthamo ofanele.
• Faka inaliti esicongweni senjoloba sebhodlela le-insulin elisebenza isikhathi eside.
• Jikisa ibhodlela ubheke phansi. Ngethiphu yenaliti kulolo ketshezi, buyela emuva ku-plunger uye esilinganisweni esifanele se-insulin esebenza isikhathi eside. Musa ukudonsa i-insulini eyengeziwe esirinji, ngoba akufanele uphinde ubuyisele i-insulin exubene ebhodleleni.
• Bheka isirinji ukuthola amagwebu omoya. Uma kunamabhamuza, bamba kokubili ibhodlela kanye nomjovo ngesandla esisodwa, bese uthepha isipetu ngesinye isandla. Amabhamuza azodada aye phezulu. Susa inaliti ebhodleleni ngaphambi kokukhipha umoya.
• Qinisekisa ukuthi unesilinganiso esifanele se-insulin. Beka umjovo phansi ngokucophelela ukuze inaliti ingathinti lutho.

Khetha lapho ozofaka khona umjovo. Gcina ishadi lezindawo oseke wazisebenzisa, ukuze ungayifaki i-insulin endaweni efanayo ngaso sonke isikhathi. Buza udokotela wakho ishadi.

• Gcina isibhamu sakho esingu-1 intshi (2.5 cm, cm) kude nezibazi namasentimitha ama-5 kude nenkaba yakho.
• Ungafaki isibhamu endaweni elimele, evuvukile noma ethambile.
• Ungafaki isibhamu endaweni enamaqhuqhuva, eqinile, noma endikindiki (lokhu kuyimbangela ejwayelekile kakhulu ye-insulin engasebenzi ngendlela efanele).

Isiza osikhethela umjovo kufanele sihlanzeke futhi somile. Uma isikhumba sakho sibonakala singcolile, sihlanze ngensipho namanzi. Ungasebenzisi ukusula utshwala kusayithi lakho lomjovo.

I-insulin idinga ukungena kungqimba lwamafutha ngaphansi kwesikhumba.

• Ncinza isikhumba bese ufaka inaliti engela elingu-45º.
• Uma izicubu zakho zesikhumba zijiyile, ungakwazi ukujova uqonde phezulu naphansi (i-engela engu-90º). Buza umhlinzeki wakho ngaphambi kokwenza lokhu.
• Phusha inaliti ungene esikhunjeni. Vumela ukuhamba kwesikhumba esikhonjiwe. Jova i-insulin ngokunensa nangokuqinile kuze kube konke sekufakiwe.
• Shiya isirinji endaweni efanele imizuzwana emi-5 ngemuva kokujova.

Khipha inaliti nge-engeli elifanayo nayo. Beka isipontsho phansi. Akunasidingo sokuyiphinda. Uma i-insulin ivame ukuvuza endaweni yakho yomjovo, cindezela indawo yokujova imizuzwana embalwa ngemuva komjovo. Uma lokhu kwenzeka kaningi, hlola umhlinzeki wakho. Ungashintsha isayithi noma i-engeli yomjovo.

Faka inaliti nomjovo esitsheni esiqinile esiphephile. Vala isitsha, usigcine uphephile ezinganeni nasezilwaneni. Ungalokothi usebenzise izinaliti noma imijovo.

Uma ujova ngaphezu kwama-50 kuya kuma-90 amayunithi we-insulin kumjovo owodwa, umhlinzeki wakho angakutshela ukuthi uhlukanise imithamo ngezikhathi ezehlukene noma usebenzise amasayithi ahlukile ngomjovo ofanayo. Lokhu kungenxa yokuthi amanani amakhulu e-insulin angabuthaka ngaphandle kokufakwa. Umhlinzeki wakho angakhuluma nawe futhi ngokushintshela kuhlobo olugxile kakhulu lwe-insulin.

Buza usokhemisi wakho ukuthi kufanele uyigcine kanjani i-insulin yakho ukuze ingahambi kabi. Ungalokothi ufake i-insulin efrijini. Ungayigcini emotweni yakho ngezinsuku ezifudumele.

Isifo sikashukela - umjovo we-insulin; Isifo sikashukela - i-insulin shot

• Ukudweba umuthi esitsheni

I-American Diabetes Association. 9. Izindlela ze-Pharmacologic ekwelashweni kwe-glycemic: Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S98-S110. I-PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

Iwebhusayithi yeAmerican Diabetes Association. Izindlela ze-insulin. www.diabetes.org/diabetes/medication-management/insulin-other-injectables/insulin-routines. Kufinyelelwe ngoNovemba 13, 2020.

Iwebhusayithi yeAmerican Association of Diabetes Educators. Ukwazi ngomjovo we-insulin. www.diabeteseducator.org/docs/default-source/legacy-docs/_resource/pdf/general/Insulin_Injection_How_To_AADE.pdf. Kufinyelelwe ngoNovemba 13, 2020.

U-PM omfushane, uCibula D, uRodriguez E, u-Akel B, u-Weinstock RS. Ukuphathwa okungalungile kwe-insulin: inkinga edinga ukunakwa. Isifo Sikashukela Sasemtholampilo. 2016; 34 (1): 25-33. I-PMID: 26807006 pubmed.ncbi.nlm.nih.gov/26807006/.

• Isifo sikashukela
• Imithi Yesifo Sikashukela
• Uhlobo lwesifo sikashukela 1
• Uhlobo lwesifo sikashukela 2
• Isifo Sikashukela Ezinganeni Nasebusheni