{"id":5865,"date":"2023-04-05T13:52:30","date_gmt":"2023-04-05T11:52:30","guid":{"rendered":"https:\/\/www.kliinikum.ee\/diabeet\/?page_id=5865"},"modified":"2023-10-28T13:06:00","modified_gmt":"2023-10-28T11:06:00","slug":"insuliin-ja-sustimine","status":"publish","type":"page","link":"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/insuliin-ja-sustimine\/","title":{"rendered":"Insuliin ja s\u00fcstimine"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Insuliin on k\u00f5hun\u00e4\u00e4rme beetarakkudes toodetud hormoon, mis reguleerib veresuhkrutaset. Ilma insuliinita ei saa keharakud gl\u00fckoosi oma energiatarbeks kasutada. Kui keha ei suuda ise insuliini toota, siis peab veresuhkru tervisliku taseme s\u00e4ilitamiseks insuliini s\u00fcstima. Insuliini ei saa manustada tabletina, sest seedekulgla happed lagundavad selle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Insuliinravi vajavad:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>k\u00f5ik <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/mis-on-diabeet\/\" target=\"_blank\" rel=\"noreferrer noopener\">1. t\u00fc\u00fcpi diabeediga<\/a> patsiendid alates haiguse diagnoosimisest;<\/li>\n\n\n\n<li>osad <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/mis-on-diabeet\/\" target=\"_blank\" rel=\"noreferrer noopener\">2. t\u00fc\u00fcpi diabeediga<\/a> patsiendid, kellel dieet, f\u00fc\u00fcsilise aktiivsuse suurendamine ja suukaudne tablettravi ei taga normaalset veresuhkru taset<a>.<\/a><\/li>\n\n\n\n<li>osad gestatsioondiabeediga patsiendid.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Patsiendile sobiva toimeajaga insuliini m\u00e4\u00e4rab arst. S\u00f5ltuvalt toimeajast eristatakse kolme t\u00fc\u00fcpi insuliine:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>basaalinsuliin ehk pikatoimeline insuliin<\/strong>, mis tagab veresuhkru stabiilse taseme \u00f6\u00f6p\u00e4evaringselt.<\/li>\n\n\n\n<li><strong>l\u00fchitoimelist ehk kiiretoimelist insuliini<\/strong> kasutatakse s\u00f6\u00f6gikordade eelselt, et toidust saadud gl\u00fckoos p\u00e4\u00e4seks rakkudesse ning veresuhkur s\u00f6\u00f6gij\u00e4rgselt liigselt ei t\u00f5useks. Samuti kasutatakse seda k\u00f5rge veresuhkru langetamiseks.&nbsp;<\/li>\n\n\n\n<li><strong>seguinsuliin <\/strong>on<strong> <\/strong>segu erineva toimega insuliinidest ning selle toimeaeg s\u00f5ltub nende kahe insuliini kontsentratsioonist.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Ravi alustamine basaal- ehk pikatoimelise insuliiniga<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Basaalinsuliini s\u00fcstitakse 1 kord p\u00e4evas enam-v\u00e4hem \u00fchel ja samal kellaajal. See tagab p\u00fcsiva \u00f6\u00f6p\u00e4evaringse insuliinitaseme, mis aitab hoida t\u00fchjak\u00f5hu veresuhkrut normipiires.<\/li>\n\n\n\n<li>Insuliinravi alustades tuleb vere gl\u00fckoosisisaldust m\u00f5\u00f5ta igap\u00e4ev hommikuti t\u00fchja k\u00f5huga, see v\u00f5imaldab leida sobiva insuliini annuse ehk \u00f6\u00f6p\u00e4evas manustatava toime\u00fchikute hulga.<\/li>\n\n\n\n<li>Sobiva insuliini annuse leidmine ei ole k\u00f5igil \u00fchesugune, kuna igal inimesel on erinev insuliinitundlikkus. \u00dche inimese jaoks v\u00f5ib olla \u00f6\u00f6p\u00e4evane insuliini annus n\u00e4iteks 20 T\u00dc, teisel aga&nbsp; 60 T\u00dc v\u00f5i 80 T\u00dc. Insuliini annusel ei ole \u00fclempiiri, eesm\u00e4rk on saavutada \u00f6\u00f6p\u00e4evane veresuhkru kontroll.<\/li>\n\n\n\n<li>Kuna on v\u00f5imatu ette teada, milline annus on diabeeti p\u00f5devale inimesele sobilik, siis alustatakse v\u00e4ikestest annustest (6-8 T\u00dc) ja suurendatakse seda j\u00e4rk-j\u00e4rgult kuni on saavutatud parim t\u00fchjak\u00f5hu veresuhkur. T\u00fchjak\u00f5hu veresuhkru eesm\u00e4rk v\u00e4\u00e4rtuste saavutamiseks on vaja insuliini annuseid kohandada.<\/li>\n\n\n\n<li>Kui sobiv insuliiniannus on leitud, siis j\u00e4tkatakse ravi sobiva insuliini doosiga, m\u00f5\u00f5tes igal hommikul veresuhkrut. 1-2 korda n\u00e4dalas tuleks veresuhkrut m\u00f5\u00f5ta enne ja \/v\u00f5i p\u00e4rast s\u00f6\u00f6ki.<\/li>\n\n\n\n<li>Basaalinsuliin ravi on kombineeritud teiste ravimitega.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">L\u00fchitoimelise ehk kiiretoimelise insuliini paindlik s\u00fcstimine<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00fchitoimeline insuliin hakkab veresuhkrut alandavat toimet avaldama juba 10-15 minutit peale s\u00fcstimist. <strong>L\u00fchitoimelist insuliini on \u00fcldjuhul soovitav s\u00fcstida 10-15 minutit enne s\u00f6\u00f6ki, sest nii ei j\u00f5ua veresuhkur s\u00f6\u00f6gij\u00e4rgselt liiga k\u00f5rgeks minna.<\/strong><\/li>\n\n\n\n<li>Insuliini annus valitakse vastavalt sellele, milline on veresuhkru n\u00e4it enne toidukorda ja kui palju s\u00fcsivesikuid plaanitakse \u00fcheks toidukorraks s\u00fc\u00fca. Juhul, kui on juba enne s\u00f6\u00f6ma hakkamist madal veresuhkur v\u00f5i ei ole toidu lauda saabumise aeg ette teada, siis tuleks l\u00fchitoimelist insuliini s\u00fcstida toidu lauda saabumisel v\u00f5i p\u00e4rast s\u00f6\u00f6ma hakkamist.<\/li>\n\n\n\n<li><strong>Paindlikkus<\/strong> t\u00e4hendab, et insuliini annus ja toidukogused liiguvad k\u00e4sik\u00e4es. Juhul, kui plaanitakse s\u00fc\u00fca tavalisest rohkem, vajatakse \u00fcheks toidukorraks rohkem insuliini. Kui aga toidukord on tavalisest v\u00e4iksem, siis s\u00fcstitakse insuliini v\u00e4hem.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00e4ide:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">70 kg kaaluva diabeedihaige \u00f6\u00f6p\u00e4evane insuliini vajadus on 50 T\u00dc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">10 g s\u00fcsivesikuid t\u00f5stab veresuhkrut umbes 2 mmol\/L ja omakorda 1 T\u00dc insuliini langetab umbes 2 mmol\/L veresuhkrut. Juhul, kui diabeedihaige s\u00f6\u00f6b 40 g s\u00fcsivesikuid, siis peaks ta veresuhkru langetamiseks s\u00fcstima endale 4 T\u00dc insuliini. Kui aga patsiendi s\u00f6\u00f6gieelne veresuhkur oli juba k\u00f5rge (nt 8 mmol\/L), mida v\u00f5iks 2 mmol\/L alandada, siis vajaks ta t\u00e4iendavalt 1 T\u00dc l\u00fchitoimelist insuliini.<\/p>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-5b3e3a49 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-79c2381a \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Insuliini s\u00e4ilitamine<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>- Kasutamata insuliini s\u00e4ilitatakse k\u00fclmikus temperatuuril +2\u2026+8 \u00baC. K\u00fclmikust esmakordselt kasutusele v\u00f5etav insuliin peab enne s\u00fcstimist soojenema toatemperatuurini. Vajadusel soojendada pen-i k\u00e4te vahel v\u00e4hemalt kaks minutit.<br>- Kasutusel olevat pen-i ei ole vaja k\u00fclmikusse asetada, kuna temperatuuri muutused v\u00f5ivad p\u00f5hjustada pen-is \u00f5humulle. Kasutusel olevat pen-i hoida toatemperatuuril, mitte kauem kui \u00fcks kuu.<br>- Insuliin ei tohi j\u00e4\u00e4tuda. Talvel ei tohi j\u00e4tta insuliini seisvasse autosse ning k\u00e4ekoti asemel on soovitav kanda insuliini kaasas keha l\u00e4hedal taskus.<br>- Suvel palavate ilmadega ei tohi j\u00e4tta insuliini p\u00e4ikese k\u00e4tte, samuti pole lubatud insuliini hoida radiaatorite ja lampide l\u00e4heduses. Insuliini temperatuur ei tohiks t\u00f5usta \u00fcle 30\u00b0C, sest insuliini toime langeb ja temperatuuril \u00fcle 50\u00b0C kaob insuliini toime \u00fcldse.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-cf2203cb \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>S\u00fcstevahendid<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Insuliinipliiats ehk pens\u00fcstel<\/strong> on \u00fchekordne s\u00fcstevahend, mis on eelt\u00e4idetud insuliiniga ning visatakse \u00e4ra selle t\u00fchjaks saamisel. Osadel pen-idel on m\u00e4lu funktsioon, mis v\u00f5imaldab n\u00e4ha, millal ja kui palju viimati insuliini s\u00fcstiti. Korduvt\u00e4idetava pen-i kasutamisel tuleb k\u00f5igepealt paigaldada insuliini kolbampull (3 ml) ja selle otsa pennin\u00f5el. Insuliini kolbampull vahetatakse selle t\u00fchjaks saamisel. Igal diabeetikul peaks olema kodus varuks \u00fcks lisa pens\u00fcstel.<br>-<strong>Insuliinin\u00f5elad ehk pens\u00fcstli n\u00f5elad <\/strong>on \u00fchekordsed torkevahendid, mis tuleks p\u00e4rast s\u00fcstimist \u00e4ra visata. Insuliinin\u00f5elad muutuvad p\u00e4rast s\u00fcstimist saastunuks ja n\u00fcriks. Korduvalt \u00fche ja sama n\u00f5elaga s\u00fcstimine armistab kudet, viib naha kahjustuse ehk lipoh\u00fcpertroofiani ning halvendab oluliselt insuliini imendumist. Mitte mingil juhul ei tohi s\u00fcstida insuliini l\u00e4bi riiete, sest sel juhul viiakse n\u00f5elaga kudedesse ka riidekiudusid ning see p\u00f5hjustab s\u00fcstekohtade muutusi. Eestis on kasutusel 4, 5, 6 ja 8 mm pikkused pen-i n\u00f5elad, kuid eelistada v\u00f5iks 4 ja 5 mm n\u00f5elu, mille korral toimub s\u00fcstimine 90\u00b0 nurga all.<br>- S\u00fcstal on s\u00fcstevahend, mida kasutavad diabeetikud t\u00e4nap\u00e4eval harva. S\u00fcstlaga t\u00f5mmatakse kolbampullist v\u00f5i penist v\u00e4lja vajalik kogus insuliini.<br>- <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/insuliinipump\/\" target=\"_blank\" rel=\"noreferrer noopener\">Insuliinipump<\/a> on v\u00e4ike aparaat, mis tagab insuliini pideva manustamise organismi vastavalt programmile. Pumba sisse paigaldatakse v\u00e4ike insuliini reservuaar. Aparaadist v\u00e4ljub umbes 0,5 m pikkune kateeter, mis on omakorda \u00fchendatud patsiendi nahaaluskoesse paigaldatud kan\u00fc\u00fcliga, mille sisestab n\u00f5ela abil patsient ise. Kan\u00fc\u00fcle tuleb vahetada iga 48-72 tunni j\u00e4rel. Insuliinipumbas kasutatakse ainult \u00fclil\u00fchitoimelist insuliini.<\/p><\/div><\/div><\/div>\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" data-id=\"6681\" src=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustal-Copy-3-1024x724.jpg\" alt=\"\" class=\"wp-image-6681\" srcset=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustal-Copy-3-1024x724.jpg 1024w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustal-Copy-3-300x212.jpg 300w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustal-Copy-3-768x543.jpg 768w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustal-Copy-3.jpg 1123w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" data-id=\"6680\" src=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/punp-Copy-1-1024x724.jpg\" alt=\"\" class=\"wp-image-6680\" srcset=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/punp-Copy-1-1024x724.jpg 1024w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/punp-Copy-1-300x212.jpg 300w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/punp-Copy-1-768x543.jpg 768w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/punp-Copy-1.jpg 1123w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Insuliini on v\u00f5imalik osta retsepti alusel kuni 6 kuu kogus. Pen-i n\u00f5elu saab Tervisekassa soodustusega osta apteegist v\u00f5i tellida otse tootjalt. Vajalik on raviarsti kirjutatud meditsiiniseadme kaart, mis uueneb poole aasta m\u00f6\u00f6dudes automaatselt. Soodustusega saadaolevate n\u00f5elte kogus s\u00f5ltub diabeedi t\u00fc\u00fcbist ja diabeedi ravimeetodist (vt tabel).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tervisekassa poolt \u00fclev\u00f5etava kohustuse piirm\u00e4\u00e4r on 90%, 15.05.23 seisuga.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td>Raviviis<\/td><td>\u00dchekordse kasutusega n\u00f5elad (kalendripoolaastas)<\/td><\/tr><tr><td>Alla 19-aastane diabeeti p\u00f5dev inimene<\/td><td>*<\/td><td>kuni 700<\/td><\/tr><tr><td>I t\u00fc\u00fcpi diabeeti p\u00f5dev inimene<\/td><td>*<\/td><td>kuni 700<\/td><\/tr><tr><td>Rasedusdiabeeti p\u00f5dev inimene<\/td><td>s\u00fcsteravi<\/td><td>kuni 700<\/td><\/tr><tr><td>II t\u00fc\u00fcpi diabeeti p\u00f5dev inimene<\/td><td>s\u00fcsteravi<\/td><td>kuni 700<\/td><\/tr><tr><td>Muu t\u00e4psustatud diabeeti p\u00f5dev inimene (diagnoosikood E13)<\/td><td>*<\/td><td>kuni 350<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">*Ei s\u00f5ltu raviviisist<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Lisaks h\u00fcvitab Tervisekassa 90% ulatuses korduvkasutatava insuliini s\u00fcstevahendi \u00fcks kord kolme aasta jooksul juhul kui inimene p\u00f5eb I t\u00fc\u00fcpi diabeeti (diagnoosikood&nbsp;E10) ning kasutab raviks kolbampullis l\u00fchitoimelist insuliini. <\/p>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-b85f6508 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-2f2cd524 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>S\u00fcstepiirkonnad<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Soovitatavad s\u00fcstepiirkonnad on k\u00f5ht, reite ees- ja v\u00e4limine k\u00fclgpind, tuhara \u00fclemine v\u00e4limine neljandik. \u00d5lavarsi s\u00fcstekohtadeks t\u00e4nap\u00e4eval ei soovitata, kuna s\u00fcstimispind on v\u00e4ike ja suurte dooside korral tekivad kergesti nahaalused t\u00fcsistused, millest insuliin ei imendu. Samuti v\u00f5ib \u00f5lavarde s\u00fcstides sattuda insuliin kergemini lihasesse. S\u00fcstekohti tuleb regulaarselt vahetada, et eelmine s\u00fcstekoht saaks t\u00e4ielikult paraneda. Iga j\u00e4rgnev s\u00fcst peaks olema eelmisest v\u00e4hemalt 1 cm v\u00f5rra kaugemal.<br>- <strong>K\u00f5hupiirkonda<\/strong>\u00a0 soovitatakse eelk\u00f5ige s\u00fcstida \u00fclil\u00fchitoimelisi, l\u00fchitoimelisi v\u00f5i seguinsuliine,\u00a0 sest k\u00f5hupiirkonnast on insuliini imendumine k\u00f5ige kiirem. Juhul, kui nahka on v\u00f5imalik volti t\u00f5sta v\u00f5i rasvkude on k\u00fcllaldane, soovitatakse k\u00f5hupiirkonda s\u00fcstides kasutada kogu k\u00f5htu (va naba \u00fcmbrust 3 cm raadiuses). Kuna insuliini imendumiskiirus on piirkonniti erinev, soovitatakse insuliini s\u00fcstida iga p\u00e4ev samal kellaajal samasse piirkonda, arvestusega, et iga j\u00e4rgmine s\u00fcst oleks v\u00e4hemalt 1 cm vahedega eelmisest s\u00fcstekohast. Insuliin imendub nabast k\u00f5rgemal kiiremini kui nabast allpool.<br>- <strong>Tuharatesse<\/strong> s\u00fcstimine on turvaline, sest tuharatel on ka k\u00f5hnadel inimestel ja lastel tavaliselt rohkem rasvkudet. Tuhara- v\u00f5i reie piirkonda on soovitav s\u00fcstida basaalinsuliini ehk pikatoimelist insuliini, sest seal on imendumine aeglasem.<br>- <strong>Reitel<\/strong> kasutatakse s\u00fcstekohtadena reite ees- ja k\u00fclgosi. Sobiv piirkond on labak\u00e4e laiuselt kubemest allpool ja labak\u00e4e laiuselt \u00fclespoole p\u00f5lve. K\u00f5hnadel ja palju liikumist harrastavatel inimestel on reitel rasvkudet v\u00e4he ning suur oht on s\u00fcstida lihasesse. Sellisel juhul tuleb kasutada 4-5 mm n\u00f5ela ja \u00f5iget s\u00fcstimistehnikat (45\u00b0 nurga all).\u00a0<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-69e976ce \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Insuliini s\u00fcstimine<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Insuliini s\u00fcstitakse nahaalusesse rasvkoesse, et tagada v\u00f5imalikult \u00fchtlane insuliini imendumine. Kindlasti tuleb v\u00e4ltida lihasesse s\u00fcstimist, sest see kiirendab insuliini imendumist. Kogemata lihasesse s\u00fcstitud insuliin, eriti pikatoimeline, v\u00f5ib p\u00f5hjustada raske <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/korge-ja-madal-veresuhkur\/\" target=\"_blank\" rel=\"noreferrer noopener\">h\u00fcpogl\u00fckeemia<\/a>. \u00d5de \u00f5petab patsiendile v\u00f5imalikke s\u00fcstepiirkondi, insuliini annustamist ja s\u00fcstimist. Diabeedi\u00f5e vastuv\u00f5tul kasutatakse s\u00fcstimise \u00f5ppimisel \u00f5ppe insuliinipliiatsit ehk pen-i.<br><br><strong>Insuliinipliiatsi ehk pens\u00fcstli kasutamine:<\/strong><br><strong>1.<\/strong> Kontrollida alati, kas valitud sai \u00f5iget t\u00fc\u00fcpi pens\u00fcstel (toimeaeg, nimetus). Seguinsuliini tuleks enne s\u00fcstimist segada. Selleks tuleks pen-i peos k\u00fcmme korda rullida ja rahulikke \u00fcles alla liigutusi kasutades loksutada (mitte tugevalt raputada), kuni pen-i sisu muutub \u00fchtlaselt h\u00e4guseks.<br><strong>2.<\/strong> Eemaldada peni n\u00f5elalt kaitsekleebis ja paigaldada n\u00f5el penile.<br><strong>3.<\/strong> Kontrollida peni t\u00f6\u00f6korda. Keerata doseerimisnupust peale 2 toime\u00fchikut (T\u00dc) insuliini, hoides n\u00f5ela \u00fclespidi vajutada s\u00fcstenupp l\u00f5puni sisse nii, et dosaator jookseks nulli. Juhul, kui n\u00f5ela otsa ilmub tilk insuliini on s\u00fcstevahend t\u00f6\u00f6korras.<br><strong>4.<\/strong> Valida \u00f5ige doos ehk insuliini toime\u00fchikute arv vastavalt oma raviskeemile. J\u00e4lgida, et enne annuse m\u00e4\u00e4ramist oleks pen-i dosaator nullis.<br><strong>5.<\/strong> Kodustes tingimustes ei pea insuliini s\u00fcstepiirkondi desinfitseerima. Soovitav on enne s\u00fcstimist pesta k\u00e4ed ja hoida s\u00fcstevahendid puhtad.<br><strong>6.<\/strong> Torgata n\u00f5el naha alla kasutades diabeedi\u00f5e poolt soovitatud s\u00fcstimistehnikat. Kui kasutatakse 4\u20135 mm n\u00f5elu, siis v\u00f5ib s\u00fcstida nii 45\u00b0 nurga all kui ka otse ehk 90\u00b0 nurga all. 90%-l t\u00e4iskasvanud inimestel on naha paksus 1,25-3,25 mm, keskmine on umbes 2,0-2,5 mm. Seega 4-5 mm pikkused n\u00f5elad peaksid sobima enamikule inimestele. Tavaliselt ei ole naha voltimine vajalik.<br>Pikemate n\u00f5elte puhul (6\u20138 mm) on oluline j\u00e4lgida rasvkoe paksust ning ka seda, et n\u00f5el ei ulatuks lihasesse. S\u00fcstimiseks t\u00f5stetakse nahavolt \u00fcles p\u00f6idla ja nimetiss\u00f5rme abil ning n\u00f5el viiakse naha alla 45\u00ba (piisava rasvkoe korral kuni 90\u00ba) nurga all.\u00a0<br><strong>7.<\/strong> S\u00fcstimise tegemiseks vajutada s\u00fcstenupp l\u00f5puni sisse nii, et dosaator jookseks nulli. S\u00fcste j\u00e4rgselt hoida n\u00f5ela veel 5-6 sekundit naha all ennem v\u00e4lja t\u00f5mbamist. N\u00f5ela liiga varase v\u00e4ljat\u00f5mbamise korral ei pruugi kogu insuliini doos olla j\u00f5udnud pen-ist v\u00e4ljuda ning osa insuliini doosist v\u00f5ib minna raisku.<br><strong>8.<\/strong> T\u00f5mmata n\u00f5el v\u00e4lja, eemaldada n\u00f5el penil k\u00fcljest kasutades selleks v\u00e4list n\u00f5elakaitset. Visata kasutatud n\u00f5el torkekindlasse konteinerisse (nt karp, purk, pudel vms). Konteineri t\u00e4itumisel visake see olmepr\u00fcgisse. Kaitstud n\u00f5ela korral ei ole konteineri kasutamine vajalik ja n\u00f5ela v\u00f5ib visata kohe olmepr\u00fcgi hulka.<br><strong>9.<\/strong> S\u00fcstepiirkonna masseerimine enne ja\/v\u00f5i p\u00e4rast s\u00fcstimist ei ole soovitatav, sest see v\u00f5ib kiirendada insuliini imendumist.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-998562ae \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Insuliini imendumist m\u00f5jutavad tegurid<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Organismi insuliini vajadust ja insuliini imendumise kiirust v\u00f5ivad m\u00f5jutada mitmed tegurid, mist\u00f5ttu v\u00f5ib vajalikuks osutuda lisa insuliini manustamine v\u00f5i annuse ajutine v\u00e4hendamine. Organismi insuliini vajadust v\u00f5ib suurendada haigestumine, kehatemperatuuri t\u00f5us, <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/diabeedi-tusistused\/\" target=\"_blank\" rel=\"noreferrer noopener\">ketoatsidoos<\/a>. Organismi insuliini vajadust v\u00f5ib v\u00e4hendada intensiivne <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/elu-diabeediga\/liikumine-sport\/\" target=\"_blank\" rel=\"noreferrer noopener\">f\u00fc\u00fcsiline koormus<\/a>.<sup> <\/sup>\u00a0<br><br>Insuliini imendumist s\u00fcstekohast kiirendavad aktiivne liikumine, k\u00f5rgenenud kehatemperatuur, saunas, kuumas vannis v\u00f5i\u00a0 rannas viibimine ja s\u00fcstekoha masseerimine. Nimetatud juhtudel v\u00f5ib veresuhkru tase ka liigselt langeda, mille tagaj\u00e4rjeks on <a href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/korge-ja-madal-veresuhkur\/\" target=\"_blank\" rel=\"noreferrer noopener\">h\u00fcpogl\u00fckeemia<\/a>.\u00a0Insuliini imendumist s\u00fcstekohast aeglustab suitsetamine ja paks rasvkude.<br><br>S\u00fcstekohti ja s\u00fcstetehnikat tuleb regulaarselt kontrollida. S\u00fcstekohtades tekkinud paksendid, tursed v\u00f5i armistumised aeglustavad insuliini imendumist ning muudavad selle toime eba\u00fchtlaseks, mist\u00f5ttu liiga suur veresuhkur k\u00f5ikumine v\u00f5ib olla tingitud s\u00fcstekohaga seotud probleemidest v\u00f5i lihasesse s\u00fcstimisest.<\/p><\/div><\/div><\/div>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" src=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustekohad-1-1024x724.jpg\" alt=\"\" class=\"wp-image-6300\" srcset=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustekohad-1-1024x724.jpg 1024w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustekohad-1-300x212.jpg 300w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustekohad-1-768x543.jpg 768w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustekohad-1.jpg 1123w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" src=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustimine-2-1024x724.jpg\" alt=\"\" class=\"wp-image-6305\" srcset=\"https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustimine-2-1024x724.jpg 1024w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustimine-2-300x212.jpg 300w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustimine-2-768x543.jpg 768w, https:\/\/www.kliinikum.ee\/diabeet\/wp-content\/uploads\/2023\/10\/sustimine-2.jpg 1123w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Insuliin on k\u00f5hun\u00e4\u00e4rme beetarakkudes toodetud hormoon, mis reguleerib veresuhkrutaset. Ilma insuliinita ei saa keharakud gl\u00fckoosi oma energiatarbeks kasutada. Kui keha ei suuda ise insuliini toota, siis peab veresuhkru tervisliku taseme s\u00e4ilitamiseks insuliini s\u00fcstima. Insuliini ei saa manustada tabletina, sest seedekulgla happed lagundavad selle. Insuliinravi vajavad: Patsiendile sobiva toimeajaga insuliini m\u00e4\u00e4rab arst. S\u00f5ltuvalt toimeajast eristatakse kolme [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":0,"parent":5845,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"class_list":["post-5865","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Insuliin ja s\u00fcstimine - Diabeedikeskus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kliinikum.ee\/diabeet\/diabeet\/insuliin-ja-sustimine\/\" \/>\n<meta property=\"og:locale\" content=\"et_EE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Insuliin ja s\u00fcstimine - Diabeedikeskus\" \/>\n<meta property=\"og:description\" content=\"Insuliin on k\u00f5hun\u00e4\u00e4rme beetarakkudes toodetud hormoon, mis reguleerib veresuhkrutaset. Ilma insuliinita ei saa keharakud gl\u00fckoosi oma energiatarbeks kasutada. Kui keha ei suuda ise insuliini toota, siis peab veresuhkru tervisliku taseme s\u00e4ilitamiseks insuliini s\u00fcstima. Insuliini ei saa manustada tabletina, sest seedekulgla happed lagundavad selle. Insuliinravi vajavad: Patsiendile sobiva toimeajaga insuliini m\u00e4\u00e4rab arst. 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