Kwa odwala omwe ali ndi matenda a shuga 1 a mtundu wachiwiri ndi mtundu wonyalanyaza wachiwiri, ndikofunikira kupaka insulin mthupi nthawi zonse kuti mukhale ndi thanzi labwino.
Koma kukhazikitsidwa kwa njirayi kumayambitsa zovuta zambiri, mwachitsanzo, ngati pakufunika kupanga jakisoni poyendera anthu onse.
Chifukwa cha kupita patsogolo kwa zamankhwala zamakono, odwala matenda ashuga amatha kupangitsa moyo wawo kukhala wosavuta pogwiritsa ntchito pampu ya insulin. Koma kodi pampu ya insulin ndi chiyani? Kodi chipangizocho chikugwira ntchito bwanji ndipo chikugwiritsidwa ntchito liti?
Kodi pampu ya insulin ndi chiyani? Ichi ndi chipangizo chapadera chomwe chimaperekedwa kuti apereke insulin kwa odwala matenda ashuga. Chipangizocho chili ndi kulemera pang'ono komanso kukula kwake.
Pampu ya insulin ya chithunzi pansipa, imakhala ndi magawo atatu - pampu, cartridge ndi seti ya kulowetsedwa. Pampu ya insulin ndiye pampu pomwe mankhwalawo amachokera. Komanso, kompyuta imamangidwa pano yomwe imakulolani kuti muzilamulira chida.
Kodi chipangizochi ndi chiyani ndipo chimagwira ntchito bwanji?
Insulin catheters ndiye malo osungira komwe kuli insulin. Makina a insulin pump kulowetsedwa akuphatikiza cannula ya kubaya yankho pansi pa khungu, ndi machubu omwe amalumikiza posungira ndi mankhwalawo ndi singano. Mutha kugwiritsa ntchito zonsezi kwa masiku atatu okha.
Cannula yokhala ndi catheter imayikidwa pogwiritsa ntchito chigamba cholumikizidwa pamalo pomwe thupi limalowetsedwa ndi insulin (phewa, pamimba, ntchafu). Kukhazikitsa kwa pampu ya insulin kuli motere: chipangizocho chimakhazikitsidwa pa lamba mpaka zovala za wodwala, pogwiritsa ntchito mafayilo apadera.
Ngati zoikirazi zakhazikitsidwa mwatsopano kapena chipangizocho ndi chatsopano, chipangizocho chimakonzedwa ndi adokotala. Dokotala amaika zofunikira pa pampu, amauza wodwalayo momwe imagwirira ntchito ndi momwe angaigwiritsire ntchito. Ndikwabwino kuti musakonzere zida zanu nokha, chifukwa ngakhale pang'ono pang'onopang'ono zimatha kudzetsa matenda ashuga.
Chida chogwiritsa ntchito insulin chimachotsedwa pokhapokha akamayamba kusambira. Pambuyo pa izi, wodwalayo ayenera kuyeza kuchuluka kwa shuga m'magazi.
Kodi pampu ya insulin imagwira ntchito bwanji? Chipangizocho chimagwira ntchito ngati kapamba wabwino wathanzi. Chipangizocho chimayambitsa yankho mu mitundu iwiri:
- basal;
- bolus.
Tsiku lonse, kapamba amabisa insulin mosiyanasiyana. Ndipo kupanga kwaposachedwa kwa mapampu a insulin kumapangitsa kukhazikitsa kuchuluka kwa kayendedwe ka basal hormone. Izi zimatha kusinthidwa mphindi 30 zilizonse malinga ndi dongosolo.
Musanadye chakudya, muyeso wa bolus nthawi zonse umayendetsedwa. Wodwala matenda ashuga amapanga njirayi ndi manja ake popanda zochita zokha. Mutha kuyikanso chipangizocho kukhazikitsa gawo limodzi la zinthu, zomwe zimachitika mutazindikira kuchuluka kwa shuga m'magazi.
Insulin imabwera pang'ono: kuchokera pa 0,025 mpaka 0,100 mayunitsi panthawi imodzi pa liwiro linalake. Mwachitsanzo, ngati kuthamanga kuli 0,60 PIECES mumphindi 60, ndiye kuti insulini ipereka yankho mphindi zisanu zilizonse kapena masekondi 150 mu voliyumu ya 0,025.
Zizindikiro ndi contraindication
Kuchiza kwa insulin kumachitika pokhapokha ngati wodwalayo akupempha. Amachitidwanso ndi chiphuphu chovuta kwa matenda ashuga, pamene glycated hemoglobin mwa ana ndi 7.5%, ndipo akuluakulu - 7%.
Kugwiritsa ntchito chipangizocho kumalimbikitsidwa pokonzekera kutenga pakati, pakukonzekera, kugwira ntchito ndi pambuyo. Ndi chodabwitsa cha "m'bandakucha", kusinthika kwakukulu kwa kuchuluka kwa shuga m'magazi, zotsatira zosiyanasiyana za mankhwalawa komanso kupita patsogolo kwa hypoglycemia, kugwiritsa ntchito jakisoni wa insulin kumasonyezedwanso.
Wina amapopa insulin yatsopano ana. Mwambiri, kugwiritsa ntchito chipangizocho kumakhala koyenera kwa mitundu yonse ya matenda a shuga omwe amafunikira kuyambitsa mahomoni.
Zotsutsana ndi:
- matenda amisala omwe samalola munthu kugwiritsa ntchito kachitidwe mokwanira;
- malingaliro olakwika komanso osayenera pa thanzi la wina (zakudya zopanda thanzi, kunyalanyaza malamulo ogwiritsira ntchito chipangizocho, ndi zina zambiri);
- kusawona bwino, zomwe zimapangitsa kuti zikhale zosatheka kuwerengera zowunikira;
- kugwiritsa ntchito insulin nthawi yayitali, yomwe imakwiyitsa kwambiri glycemia.
Ubwino ndi kuipa
Ubwino wa pampu ya insulin ndi yambiri. Izi ndi kusintha kwa moyo, kuchotsa kufunika kosamalira nthawi ndi jakisoni wodziyimira pawokha. Ma ndemanga amati pampu imagwiritsa ntchito mankhwala osakhalitsa, kotero chakudya cha wodwalayo sichingakhale chochepa kwambiri.
Ubwino wotsatira kugwiritsa ntchito chipangizocho ndi chilimbikitso cha wodwalayo, kumulola kuti asadzitamandire matenda ake. Chipangizocho chili ndi mita yapadera yomwe imawerengera mlingo wake moyenera momwe ungathere. Mbali ina yabwino ya mankhwala omwe amapangira insulin ndi kuchepetsedwa kwa zopumira za pakhungu.
Koma munthu wogwiritsa ntchito chipangizochi amadziwanso zolakwika zake:
- mtengo wokwera;
- kusadalirika kwa chipangizocho (insulin crystallization, pulogalamu yovuta), chifukwa chomwe kupezeka kwa homon kumasokonezedwa nthawi zambiri;
- osati aesthetics - odwala ambiri sakonda mfundo yoti machubu ndi singano zimangokhala pa iwo;
- madera a pakhungu lomwe cannula amaikidwapo nthawi zambiri amatenga kachilomboka;
- kusasangalala komwe kumachitika kugona, kuchita masewera olimbitsa thupi komanso kusamba.
Komanso, kuvulaza kwa zida zomwe zimayambitsa insulini ndi gawo lakuthamangitsa mlingo wa bolus ya mahomoni - mayunitsi a 0,1. Mlingo wotere umaperekedwa pasanathe mphindi 60 ndipo insulini yotsika tsiku ndi tsiku ndi magawo a 2.4. Kwa mwana wokhala ndi mtundu woyamba wa matenda ashuga ndi odwala achikulire pazakudya zochepa za carb, mlingo wake ndi waukulu.
Kungoganiza kuti tsiku ndi tsiku munthu wodwala matenda ashuga a basal insulin ndi 6 mayunitsi. Mukamagwiritsa ntchito zida zokhala ndi diito ya 0,1 PESCES, wodwalayo amayenera kulowa ma PIERES a 4,8 kapena 7 PESCES a insulin patsiku. Zotsatira zake, pali kusaka kapena kusowa.
Koma pali mitundu yatsopano yamapangidwe aku Russia omwe ali ndi gawo la 0.025 PIECES. Izi zimakuthandizani kuti muthe kugwiritsa ntchito mankhwalawa m'magulu odwala matenda ashuga akuluakulu, koma ndi ana omwe ali ndi matenda amtundu woyamba, vutoli silithetsa.
Chododometsa china chofunikira kwa odwala omwe akhala akugwiritsa ntchito pampu kwa zaka zopitilira 7 ndikupangika kwa fibrosis pamalo oyika singano.
Mapangidwe ake amachititsa kuti mayendedwe a insulin akhale ovuta ndipo zotsatira zake zimakhala zosayembekezereka.
Mitundu yosiyanasiyana yamapampu a insulin ndi mitengo yawo
Masiku ano, odwala matenda ashuga amapatsidwa mwayi wosankha zida za insulin mankhwala zoperekedwa ndi opanga ochokera kumaiko osiyanasiyana. Pakati pa odwala, palinso mapampu a insulin.
Odwala amakhulupirira kuti pulogalamu ya jakisoni wa insulin iyenera kukhala ndi mawonekedwe angapo. Mtengo uyenera kukhala wogwirizana ndi mawonekedwe komanso mawonekedwe.
Chipangizo chinanso chikuyenera kukhala ndi kukumbukira komwe kumayang'anira ndi kuwunika kwa glycemic. Zofunikira zina ndizakupezeka kwa menyu mu Russia ndikuwongolera kutali.
Ndikofunikira kuti mapampu a insulini adakonzedwa chifukwa cha mtundu wa jakisoni wa insulin ndipo amakhala ndi zoteteza. Komanso, pampu ya insulini iyenera kukhala ndi pulogalamu yowerengera okha jakisoni wa insulin ndi dongosolo lamagetsi lama hormone.
Pakati pa odwala matenda ashuga, chipangizo chochokera ku kampani ya ROSH Accu Chek Combo ndiyotchuka kwambiri. Njira yowunikira mosamalitsa shuga ndi kuwonjezera (ntchito yowonjezera sitepe ndi mtengo womwe unakonzedweratu) ndiye zabwino zoyambirira pampu.
Ubwino wotsalira wa zida zoperekedwa ndi ROSH ndi monga:
- kutsanzira kolondola kwa thupi;
- kukhazikitsidwa kwa mitundu inayi ya bolus;
- kupezeka kwa mbiri zisanu ndi kuwongolera kwakutali;
- menyu angapo oti musankhe;
- kuzungulira-koloko kwa insulin;
- kusamutsa chidziwitso cha muyezo pa kompyuta;
- kukhazikitsa zikumbutso ndi menyu payekha.
Chipangizocho chili ndi chipangizo chokhazikitsira poyesa shuga (glucometer). Kuti mudziwe mulingo wa glycemia, Akku-Chek Perform No. 50/100 amagwiritsidwa ntchito.
Accu Chek Combo ndiye pampu yabwino kwambiri ya insulin kwa ana. Chipangizocho chili ndi pulogalamu yakutali yopanda zingwe yolola kuti makolo azilamulira kayendedwe ka insulin ngakhale osayandikira mwana. Koma koposa zonse, samva kupweteka chifukwa cha jakisoni wambiri wa insulin.
Kodi ROSH Insulin Pump imawononga ndalama zingati? Mtengo wa pampu ya insulin ya Accu Chek Combo ndi $ 1,300. Mitengo yamapampu a insulin - singano kuchokera ku 5,280 mpaka 7,200 ma ruble, batire - ma ruble 3,207, dongosolo lama cartridge - 1,512 rubles, ma strips oyesa - kuchokera ku 1,115 rubles.
Ambiri omwe ali ndi matenda ashuga akukhulupirira kuti ndibwino kugwiritsa ntchito jakisoni wa American Medtronic insulin. Ichi ndi chipangizo chatsopano cha mibadwo yatsopano chomwe chimapereka ma dulin insulin.
Kukula kwa chipangizocho ndi kochepa, kotero sikuwoneka pansi pa zovala. Chipangizocho chimayambitsa vutoli molondola kwambiri. Ndipo pulogalamu yothandizidwa ndi Bolus yomwe yamangidwa imakupatsani mwayi kuti mupeze ngati pali insulini yogwira ndikuwerengera kuchuluka kwa zinthu zogwira ntchito potengera kuchuluka kwa shuga ndi kuchuluka kwa chakudya chomwe chadyedwa.
Mapampu a insulin a Medtronic ali ndi zabwino zina:
- alamu yomangidwa;
- kulowetsedwa kwa catheter mthupi;
- menyu ambiri;
- kiyibodi yoyimba;
- chikumbutso kuti insulini ithe.
Zinthu zopezeka papampu ya insulin ya Medtronic zimapezeka nthawi zonse. Ndipo zida zomwezo ndizabwino kuposa mapampu ena okhala ndi kuwunika koyenda kwa nthawi kwa mawonetsero a glycemia.
Zipangizo zamtundu wa Medtronic sizimangopereka mahomoni m'thupi, komanso zimayimitsa kayendetsedwe kake ngati pakufunika. Kutsitsa kumachitika pakatha maola awiri kuchokera nthawi yomwe sensor yothandizira ikuwonetsa kuchuluka kwa shuga.
Pafupifupi madola zikwi ziwiri - mtengo wokwanira wa mapampu amtundu uliwonse wa insulin, zothetsera - catheters - kuchokera ma ruble 650, singano - kuchokera ku ma ruble 450. Mtengo wa thanki yamapampu a insulin ndi ma ruble 150 ndipo pamwamba.
Mapampu a Omnipod opanda zingwe amatchuka pakati pa odwala matenda ashuga. Dongosololi, lomwe limapangidwa ndi kampani yaku Israeli ya Geffen Medical, ndiwotsogolera pochiza matenda ashuga. Pofuna kuteteza mawu oyamba aja, anali ndi pulogalamu yomvera komanso yolamulira.
Pansi - thanki yaying'ono yolumikizidwa ndi thupi pogwiritsa ntchito pulasitala yomatira. Njira yoperekera insulini imayendetsedwa ndi kayendedwe kab kutali.
Chifukwa chiyani mapampu a Omnipod ali bwino kuposa zida zina? Mukamagwiritsa ntchito, palibe chifukwa chogwiritsa ntchito mawaya, zotsekemera ndi ma cannulas.
Ndiwosavuta kuyang'anira kugwiritsa ntchito chipangizo cha Omnipod pogwiritsa ntchito kachidindo kakang'ono kofanana ndi foni yam'manja. Makhalidwe otere amakulolani kuti muzitha kunyamula paliponse nanu.
Dongosolo la Omnipod ndi chida chanzeru komanso chambiri. Kupatula apo, imakhala ndimapulogalamu ambiri omwe adakhazikitsidwa komanso gluroeterical glucometer kuwerengera kuchuluka kwa insulini.
Mitundu yamapampu iyi ndiyopanda madzi, yomwe imakuthandizani kuti musachotse chipangizocho mukusambira. Mtengo wa chipangizochi - kuchokera kumadola 530, makutu ampompo - madola 350.
Ndizofunikira kudziwa kuti pachiwonetsero cha 2015 ku Russia, chomera cha Medsintez chinapereka pampu kuchokera kwa wopanga wanyumba. Ubwino wake ndikuti ukhoza kusinthidwa kwathunthu ndi anzako okwera mtengo akunja.
Kupanga kudzayamba kumapeto kwa chaka cha 2017. Amaganiza kuti pampu wa insulin wa ku Russia utenga 20-25% yotsika mtengo kuposa ma analogues omwe amalowetsedwa. Kupatula apo, mtengo wamba wa chipangizo chakunja chimachokera ku ruble 120 mpaka 160,000, ndipo wodwala matenda ashuga pafupifupi amawononga ma ruble 8,000 pazowonjezera (mawanga, singano, kulowetsedwa).
Chifukwa chake, mapampu atsopano a insulin, maubwino ndi zofanana ndi zofanana. Koma kupanga zida zachipatala kukukula mwachangu, motero mankhwala olimbana ndi matenda ashuga akupitilizidwa, ndipo mwina m'zaka zingapo pampu ya insulin ipezeka pafupifupi kwa anthu onse odwala matenda ashuga.
Katswiri wa kanemayu munkhaniyi azikamba za pampu ya insulin.
