Uburyo bwo Kurinda Insuline Ubushyuhe Mugihe Urugendo

Imikorere ya insuline irashobora kugabanuka cyane iyo ihuye nubushyuhe. Ubushakashatsi bwerekana ko urwego rwa insuline rwiyongera kuri 35% kugeza kuri 70% mugihe cyamasaha yo kwimuka mubihe bishyushye (P<0.001). Kugira ngo wirinde ibi, abagenzi bagomba gukoresha ibikoresho nkimifuka yiziritse, udupaki twa gel, cyangwa uruganda rwinshi rwa firigo ya insuline ntoya ya firigo ntoya yabugenewe kugirango ibungabunge neza. Byongeye kandi, amini frigobirashobora kuba amahitamo meza kubo bagenda. Komeza witegurefirigo ntoyacyangwa amini frigoirinda ubuzima kandi ikanemeza ingendo zidafite ibibazo.

Impamvu Insuline ikeneye kurindwa ubushyuhe

Ubushyuhe bwa Insuline

Insuline ni imiti yubushyuhe busaba gufata neza kugirango ikomeze gukora neza. Guhura nubushyuhe bukabije, bwaba bushyushye cyane cyangwa bukonje cyane, burashobora gutesha agaciro imiterere ya molekile. Uku kwangirika kugabanya ubushobozi bwayo bwo kugenzura urugero rwisukari mu maraso neza.

Inama: Buri gihe ujye ubika insuline ahantu hagenzuwe kugirango wirinde guhungabanya imbaraga zayo.

Ubushakashatsi bwa siyansi bugaragaza akamaro ko kubungabunga insuline mu bipimo by'ubushyuhe bwihariye. Kurugero, ubukonje bukabije munsi yubushyuhe bwo hasi (LCT) burashobora guhungabanya insuline na glucose metabolism. Ibinyuranye, ubushyuhe burashobora kwihutisha gusenyuka kwa insuline, biganisha ku gukora neza.

Basabwe Kubika Ubushyuhe bwa Insuline

Inzego zubuzima zirasaba amabwiriza yihariye yo kubika kugirango insuline ikore neza. Amababi ya insuline adafunguwe cyangwa amakarito arashobora kuguma ahamye mubushyuhe bugera kuri 25 ° C mumezi atandatu. Ubushyuhe bugera kuri 37 ° C, igihe cyo kubika kigabanuka kugeza ku mezi abiri. Insuline ifunguye igomba kubikwa mubushyuhe bwicyumba kandi igakoreshwa mugihe cyibyumweru 4-6.

Icyitonderwa: Mu bice bidafite firigo yizewe,ibikoresho bikonjeshairashobora gufasha kubungabunga uburyo bwiza bwo kubika.

Ingaruka zo gushyushya insuline

Ubushyuhe bugira ingaruka zikomeye kubakoresha insuline. Ubushakashatsi bwasesenguye inama zirenga miliyoni 4 mu Bwongereza bwerekanye ko 1.097 yiyongereye ku gusura kwa 1 ° C hejuru ya 22 ° C. Abantu bakuze nabafite ibibazo byumutima nimiyoboro y'amaraso bahura nibibazo byinshi. Byongeye kandi, ubushyuhe bwongera amahirwe yo kuba mubitaro bya diyabete ya ketoacidose (DKA), hamwe na 1.23.

• Ingaruka z'ingenzi:
  • Kugabanya insuline ikora neza.
  • Kongera ibyago bya hyperglycemia na DKA.
  • Igipimo cyo hejuru cyo kugisha inama abaganga mugihe cy'ubushyuhe.

Kurinda insuline ubushyuhe ningirakamaro mugucunga neza diyabete nubuzima muri rusange.

Ibikoresho bifatika byo kugumana insuline ikonje

Imifuka ikingiwe hamwe nurubanza

Imifuka ikingiwe hamwe ningendo zingendo biri mubikoresho byizewe byo gukomeza insuline ikonje mugihe cyurugendo. Ibicuruzwa byabugenewe kugirango bigumane ubushyuhe bwimbere imbere, byemeza ko imiti ikomeza kuba nziza. Ibipande byabo byapanze kandi byubatswe, bikunze guhuzwa na aluminiyumu, bitanga ubushyuhe bwiza bwumuriro. Moderi nyinshi zirimo paki yongeye gukoreshwa, yongerera ubushobozi bwo gukonjesha.

Inama: Abagenzi bakunze gushima imifuka ikingiwe kugirango irambe hamwe nigishushanyo cyemewe na TSA, bigatuma biba byiza murugendo rwindege.

Amapaki ya Gel hamwe nudupapuro twa barafu

Amapaki ya gel hamwe nudupapuro twa barafu nibyingenzi mukubungabunga insuline kurwego rwubushyuhe bwa 2-8 ° C. Iyi paki iroroshye kuyikoresha kandi irashobora gushirwa mumifuka yiziritse cyangwa ingendo zogukonjesha. Amabwiriza y’amavuriro ashimangira akamaro ko gukoresha ibikoresho nkibi kugirango insuline idahura nubushyuhe bukabije.

Urugero, insuline itwara, irashobora gufata paki nyinshi kandi igakomeza ubushyuhe bwimbere mumasaha menshi. Ibi bituma uhitamo neza ingendo zumunsi cyangwa ingendo ngufi. Abakoresha bungukirwa nubworoherane nubushobozi bwa paki ya gel, ituma insuline ikomeza kuba umutekano kandi ikomeye murugendo rwose.

Imyuka ishingiye ku gukonjesha

Impumuro ishingiye ku gukonjesha itanga uburyo bushya bwo kubika insuline, cyane cyane mu turere dufite ubushobozi buke bwo gukonjesha. Sisitemu ikoresha inzira karemano kugirango igabanye ubushyuhe, bigatuma ikoreshwa neza kandi itangiza ibidukikije. Ubushakashatsi bwerekana imikorere yinkono zibumba nibikoresho bisa mukubungabunga imbaraga za insuline.

Ibi bisubizo bifitiye akamaro kanini abantu bagenda mukarere ka kure cyangwa ikirere gishyushye. Zitanga ubundi buryo bwizewe muburyo bwa gakondo bwo gukonjesha, kwemeza ko insuline ikomeza kuba ingirakamaro no mubihe bigoye.

Uruganda rwinshi rwa insuline ya firigo ya firigo Mini Ntoya ya firigo

Kubashaka igisubizo cyubuhanga buhanitse, uruganda rwinshi rwa insuline ya firigo ya firigo mini ntoya ya firigo yihariye itanga ibyoroshye kandi byizewe. Iki gikoresho kigendanwa cyagenewe kubika insuline nindi miti yangiza ubushyuhe. Ingano yoroheje hamwe nibishobora guhindurwa bituma ihitamo byinshi kubagenzi.

Firigo yerekana ibyuma bya firigo ituma abayikoresha bakurikirana ubushyuhe nimbaraga zoroshye. Ubushobozi bwa bateri butuma ubukonje budahagarara mugihe cyamasaha ane, bigatuma biba byiza murugendo rugufi. Byongeye kandi, igishushanyo cyoroheje nigikorwa cyurusaku ruke byongera ubushobozi bwacyo.

Icyitonderwa. Ibi bituma iba igisubizo gifatika kandi cyihariye cyo kubika insuline.

Inama zo gutembera hamwe na insuline

Urugendo rwo mu kirere: Amabwiriza ya TSA hamwe no Gutwara Inama

Kugenda mu kirere hamwe na insuline bisaba gutegura neza kugirango hubahirizwe amabwiriza ya TSA no kurinda imiti ihindagurika ry'ubushyuhe. Gukurikiza aya mabwiriza birashobora gufasha abagenzi kuyobora umutekano wikibuga cyindege neza mugihe barinze insuline zabo:

• TSA yemerera ibikoresho bijyanye na diyabete, harimo insuline, amakaramu ya insuline, na syringes, binyuze kuri bariyeri z'umutekano nyuma yo gusuzuma neza.
• Insuline igomba guhora itwarwa mumufuka wimizigo aho kugenzura imizigo. Amashashi yagenzuwe ahura nubushyuhe bukabije nimpinduka zumuvuduko, zishobora guhungabanya imikorere ya insuline.
• Abagenzi barasabwa gutwara ibyangombwa, nk'ibisabwa na muganga cyangwa icyemezo cya muganga, kugira ngo barebe ko hakenewe insuline n'ibikoresho bijyanye.
• Ibikoresho nka paki ya paki, paki, nibikoresho bikonjesha byemewe byemewe binyuze mumutekano kugirango ukomeze insuline kurwego rwubushyuhe.

Inama: Koresha igisubizo gikonje gikonje, nkauruganda rwinshi rwa insuline ya firigo ya firigo ntoya, kugirango insuline ikonje mugihe cyindege ndende. Imiterere yacyo hamwe nubushyuhe bwo kugenzura bituma ihitamo neza ingendo zindege.

Mugukurikiza ibyo byifuzo, abagenzi barashobora kwemeza ko insuline ikomeza kuba umutekano kandi ikora neza murugendo rwabo.

Gucunga insuline mubihe bishyushye

Ikirere gishyushye gitera imbogamizi zidasanzwe zo kubika insuline, kuko ubushyuhe bwinshi bushobora kwangiza imiti. Abagenzi basura uturere dushyushye bagomba gufata ingamba zidasanzwe kugirango barinde insuline:

• Irinde gusiga insuline ahantu hashyushye, nko mumodoka ihagaze, kuko ubushyuhe bushobora kuzamuka vuba kandi byangiza imiti.
• Koresha umufuka ukonjesha wa insuline cyangwa frigo yikuramo kugirango ukomeze ubushyuhe bukwiye. Pouches zimwe zikonje zirashobora gutuma insuline ikonja mugihe cyamasaha 45, bigatuma iba amahitamo yizewe yo gusohoka hanze.
• Tekereza gushora imari muri TSA yemewe ya firigo, nkauruganda rwinshi rwa insuline ya firigo ya firigo ntoya. Iki gikoresho gitanga ubushyuhe bwuzuye kandi bworoshye, byemeza ko insuline ikomeza gukora neza no mubushuhe bukabije.

Ubushishozi-Buzima: Umugenzi yigeze kuvuga ko insuline zabo zidakoreshwa nyuma yo gusigara mumodoka ishyushye. Ibi birerekana akamaro ko gukoresha ibikoresho bikonje kugirango wirinde ibintu nkibi.

Mugukomeza kuba maso no gukoresha ibisubizo bikonje, abagenzi barashobora gucunga neza insuline zabo mubihe bishyushye.

Kwitegura Ingendo Zagutse cyangwa Amahirwe yo Hanze

Ingendo zagutse hamwe no kwidagadura hanze bisaba imyiteguro yinyongera kugirango insuline ikomeze kuba umutekano kandi igerweho. Abagenzi bagomba gusuzuma ingamba zikurikira:

• Bika insuline mu kintu gikingiwe neza kugirango urinde ubushyuhe n'imbeho.
• Gapakira ibikoresho bya insuline hanyuma ubibike ahantu hatandukanye kugirango ugabanye ingaruka zo gutakaza cyangwa kwangirika.
• Gutegura protocole yihariye yo kugenzura glucose no gufata karubone ya hydrata ukurikije amateka yubuvuzi bwihariye nibidukikije.
• Guma uhindagurika muguhuza ingamba zo kuyobora ibintu nkubushyuhe, urwego rwibikorwa, nigihe cyurugendo.
• Baza abashinzwe ubuzima mbere yurugendo kugirango uganire kubishobora guhinduka kuri dosiye ya insuline nibindi bitekerezo byubuvuzi.

Impanuro: Uruganda rwinshi rwa insuline ya firigo ya firigo mini ntoya ikonjesha ni ihitamo ryiza ryingendo ndende. Igishushanyo cyacyo kirambye, ibiranga ibintu, hamwe nubushobozi bwo gukonjesha bwizewe bituma biba igisubizo cyinshi kubitekerezo byo hanze.

Mugutegura mbere no gukoresha ibikoresho byiza, abagenzi barashobora kwishimira ingendo zabo bitabangamiye ubuyobozi bwa diyabete.

Gukemura Ibibazo Bisanzwe

Icyo wakora niba insuline ikabije

Insuline ihura nubushyuhe bwinshi irashobora gutakaza imbaraga zayo, bigatuma biba ngombwa gukora vuba mugihe habaye ubushyuhe bukabije. Abagenzi bagomba kubanza gusuzuma niba insuline yabitswe hanze yubushyuhe bwateganijwe bwa 40 ° F kugeza 86 ° F (4 ° C - 30 ° C). Niba hakekwa ubushyuhe bukabije, irinde gukoresha insuline kugeza igihe umutekano wacyo byemejwe.

Kugira ngo wirinde ubushyuhe bwinshi, irinde kubika insuline mu ivarisi, mu gikapu, cyangwa mu bice by'imodoka, kuko uturere dukunze guhindagurika cyane. Ahubwo, koresha urugendo rwurugendo rufite paki kugirango ubungabunge ibidukikije bihamye, byiza. Ibicuruzwa nkibikoresho bikonje bya Frio birashobora kandi gukonjesha neza mugihe cyo hanze. Buri gihe menya neza ko insuline idakonja kandi ikayirinda izuba ryinshi kugirango ibungabunge ubuziranenge bwayo.

Inama: Witwaza insuline mumufuka wimizigo mugihe cyurugendo kugirango ugabanye ihindagurika ryubushyuhe.

Nigute Kugenzura Insuline kubimenyetso byangiritse

Igenzura ryerekanwa nuburyo bwizewe bwo kumenya niba insuline yarangiritse. Insuline isobanutse, nkibikorwa byihuta cyangwa birebire bikora, bigomba kugaragara bitagira ibara kandi bitarimo ibice. Insuline yibicu, nkubwoko bukora hagati, bigomba kugira iringaniza, ryamata iyo rivanze. Ibara iryo ariryo ryose, gufunga, cyangwa kristu yerekana ibyangiritse, kandi insuline ntigomba gukoreshwa.

Icyitonderwa: Niba insuline yerekana ibimenyetso byangiritse, baza abashinzwe ubuzima cyangwa umufarumasiye kugirango akuyobore.

Gahunda Yibitse Yihutirwa Kubika Insuline

Abagenzi bagomba guhora bitegura ibihe bitunguranye bishobora guhungabanya ububiko bwa insuline. Gutwara ibikubiyemo bya insuline muburyo butandukanye,ibikoresho byabitsweituma hakomeza kubona imiti mugihe habaye igihombo cyangwa cyangiritse. Ibisubizo bikonjesha byoroshye, nkuruganda rwinshi rwa insuline ya firigo ya firigo ntoya, itanga ubushyuhe bwizewe mugihe kirekire. Ibi bikoresho ni ingirakamaro cyane mugihe umuriro wabuze cyangwa ingendo ndende.

Kubwumutekano wongeyeho, abagenzi barashobora gukoresha ibishishwa bikonje cyangwa paki kugirango bakomeze insuline mubushyuhe bwiza. Guteganya mbere no kugira uburyo bwinshi bwo kubika bituma insuline ikomeza kuba ingirakamaro, ndetse no mubihe byihutirwa.

Impanuro: Buri gihe ujye ubaza abashinzwe ubuzima mbere yingendo kugirango baganire ku ngamba zihariye zo kubika insuline no gucunga.

Kurinda insuline ubushyuhe bituma ikora neza kandi igafasha gucunga diyabete mugihe cyurugendo. Urwego rwo kwa muganga rukonjesha hamwe na firigo bikomeza insuline munsi ya 77 ° F, ndetse no mubihe bikabije. Udushya two gukonjesha udushya dutanga ububiko bwizewe mugihe cyamasaha 45 nta rubura cyangwa amashanyarazi. Abagenzi bagomba gutegura mbere bagakoresha ibyo bikoresho kugirango barinde ubuzima bwabo bizeye.

Ibibazo

Insuline ishobora kumara igihe kingana iki muri firigo igendanwa?

Benshifirigo zigendanwagumana insuline kuri 2-8 ° C mugihe cyamasaha 4 kumashanyarazi. Igihe kirekire gisaba imbaraga zituruka hanze.

Insuline irashobora gukonjesha mubikoresho bikonjesha?

Nibyo, igenamiterere ridakwiye cyangwa igihe kirekire guhura nubukonje bukabije birashobora guhagarika insuline. Buri gihe ukurikirane ubushyuhe bwigikoresho kugirango wirinde gukonja.

Ese ibisubizo byemewe bya TSA birakenewe mugukora ingendo?

TSA yemerera ibikoresho byo gukonjesha nka paki ya gel hamwe na firigo zigendanwa. Ibi bikoresho byemeza ko insuline ikomeza kuba umutekano mugihe cyindege kandi ikurikiza amabwiriza yumutekano.