Matenda a shuga a insulin ndiye njira yayikulu yobwezeretsera shuga wambiri. Kuperewera kwa insulin kumabweretsa chakuti odwala matenda a shuga amadwala matenda amtima ndi mantha, kutsekeka kwa impso, kuwona, komanso kupweteka kwambiri mwa matenda a shuga, ketoacidosis.
Kuchulukana kwa mankhwalawa kumachitika kwa mtundu woyamba wa matenda ashuga amoyo, ndipo kwa mtundu wachiwiri, kusintha kwa insulin kumachitika mwa matenda akulu kapena matenda owopsa.
Poyambitsa insulini, jakisoni amagwiritsidwa ntchito, omwe amachitika ndi syringe wamba kapena cholembera. Njira yatsopano komanso yodalirika ndikugwiritsa ntchito pampu ya insulini, yomwe pamapeto pake, kuonetsetsa kuti insulini ikupezeka m'magazi ofunikira.
Kodi pampu ya insulin imagwira ntchito bwanji?
Pampu ya insulini imakhala ndi pampu yomwe imatulutsa insulin ndi chizindikiritso chochokera kuzowongolera, makatoni okhala ndi yankho la insulin, seti ya cannulas yoyikapo pansi pa khungu ndi machubu olumikiza. Zina zomwe zimaphatikizidwa ndi mabatire a pampu. Chipangizocho chimadzazidwa ndi insulin yochepa kapena ya ultrashort.
Mlingo wa insulini ukhoza kupangidwa, ndiye kuti palibe chifukwa chogwiritsira ntchito insulin yayitali, ndipo kubisala kwakumbuyo kumayesedwa ndi jakisoni wambiri. Asanadye chakudya, pamakhala mlingo wa bolus, womwe umakhazikitsidwa pamanja malinga ndi chakudya chomwe watenga.
Kusintha kwa shuga m'magazi mwa odwala omwe ali ndi insulin mankhwala nthawi zambiri kumayenderana ndi kuchuluka kwa insulin yayitali. Kugwiritsa ntchito pampu ya insulin kumathandiza kuthana ndi vutoli, chifukwa mankhwala ofupika kapena a ultrashort ali ndi mbiri yokhazikika ya hypoglycemic.
Ubwino wa njirayi ndi monga:
- Yodziwika dosing yaying'ono.
- Chiwerengero cha ma punctures a khungu amachepetsedwa - dongosolo limabwezeretsedwanso kamodzi masiku atatu.
- Mutha kuwerengera kufunika kwa insulin ya chakudya molondola kwambiri, ndikugawa kuyambitsa kwake kwa nthawi yopatsidwa.
- Kuwunikira kuchuluka kwa shuga ndi zochenjeza za odwala.
Zisonyezero ndi contraindication kwa pampu insulin mankhwala
Pofuna kumvetsetsa mawonekedwe a pampu ya insulin, wodwalayo ayenera kudziwa kusintha kwa insulin malinga ndi chakudyacho ndikusunga njira yoyambira ya mankhwala. Chifukwa chake, kuwonjezera pa chikhumbo cha wodwalayo, maluso a insulini ayenera kupezeka pasukulu yophunzitsa za matenda a shuga.
Ndikulimbikitsidwa kugwiritsa ntchito chipangizocho chokhala ndi glycated hemoglobin yambiri (oposa 7%), kusinthasintha kwakukulu kwa shuga m'magazi, pafupipafupi matenda a hypoglycemia, makamaka usiku, chodabwitsa cha "m'mawa", pakukonzekera kutenga pakati, kubereka mwana ndikubala, komanso ana.
Pampu ya insulin siyikulimbikitsidwa kwa odwala omwe sanadziwe luso la kudziletsa, kukonza zakudya, kuchuluka kwa zolimbitsa thupi, kulumala kwamisala ndi odwala omwe ali ndi vuto lowona.
Komanso, popanga insulin mankhwala ndikulowetsa kudzera pampu, ziyenera kukumbukiridwa kuti wodwalayo sanatenge nthawi yayitali insulin m'magazi, ndipo ngati mankhwalawo ayimitsidwa pazifukwa zilizonse, ndiye kuti magazi ayamba kukula mkati mwa maola 3-4 shuga, ndi kupangika kwa ma ketones kumakulira, zomwe zimayambitsa matenda a diabetesic ketoacidosis.
Chifukwa chake, ndikofunikira nthawi zonse kuganizira zovuta za chipangizocho ndikukhala ndi insulin ndi syringe yolamulira, komanso kulumikizana pafupipafupi ndi dipatimenti yomwe idayika chipangizocho.
Nthawi yoyamba yomwe mumagwiritsa ntchito pampu kwa odwala omwe ali ndi matenda ashuga ayenera kuyang'aniridwa ndi dokotala nthawi zonse.
Pampu ya insulin yaulere
Mtengo wa pampu ndi wokwera kwambiri kwa ogwiritsa ntchito wamba. Chipangacho chokha chimagwiritsa ntchito ma ruble oposa 200, kuphatikiza apo, muyenera kugula kugula zinthu mwezi uliwonse. Chifukwa chake, odwala matenda ashuga ambiri ali ndi chidwi ndifunsolo - momwe angatulutsire inshuwaransi yaulere.
Musanafotokozere za dokotala za pampu, muyenera kuonetsetsa kuti ikugwira bwino ntchito komanso kufunika kwa vuto linalake la matenda ashuga. Kuti muchite izi, malo ogulitsa ambiri omwe amagulitsa zida zamankhwala amapereka kuyesa pampu yaulere.
Pakangotha mwezi umodzi, wogula ali ndi ufulu wogwiritsa ntchito mtundu uliwonse wa zomwe wasankha popanda kupereka, ndiye muyenera kuibweza kapena kuigula mwanjira yanu. Munthawi imeneyi, mutha kuphunzira momwe mungagwiritsire ntchito ndikuzindikira zovuta ndi zabwino za mitundu yambiri.
Malinga ndi kayendetsedwe kake, kuyambira kumapeto kwa chaka cha 2014 ndizotheka kupeza pampu yothandizira insulini mwakutaya ndalama zomwe zimaperekedwa ndi boma. Popeza madotolo ena alibe chidziwitso chambiri zokhuza izi, ndikofunikira kuti mukhale ndi zochitika musanapite kukacheza, zomwe zimakupatsani mwayi wopeza odwala matenda ashuga.
Kuti muchite izi, muyenera zikalata:
- Lamulo la Boma la Russian Federation No. 2762-P la Disembala 29, 2014.
- Lamulo la Boma la Russian Federation No. 1273 la 11/28/2014.
- Order of the Ministry of Health of the Russian Federation Nambala 930n pa Disembala 29, 2014.
Ngati mwalandira kukanidwa kuchokera kwa dokotala, ndikulimbikitsidwa kuti mulumikizane ndi Dipatimenti ya Zaumoyo kapena Unduna wa Zaumoyo kuti mulumikizane ndi zikalata zoyenera. Mwalamulo, mwezi umaperekedwa kuti uganizire ntchito izi.
Pambuyo pake, poyankha molakwika, mutha kulumikizana ndi ofesi ya wotsutsa.
Kukhazikitsa kwaphampu
Dotolo atapereka lingaliro lakufunika kokapereka mapampu a insulini yaulere, muyenera kupeza zochotseredwa zonse kuchokera ku khadi lakunja, komanso lingaliro la bungwe la zamankhwala kukhazikitsa chida. M'munda wa wodwalayo mumalandira zothandizira kupita ku insulin pump pump, komwe kudzayambitsidwa pampu.
Ikaikidwa mudipatimenti, odwala matenda ashuga amayesedwa ndipo amatsata njira yochizira matenda a insulin, komanso kuphunzitsidwa bwino kwa chipangizo chamagetsi. Pamapeto pa maphunziro a sabata ziwiri wokhala mu dipatimentiyo, wodwalayo amapemphedwa kuti apange chikalata chomwe chimanena kuti zotsalazo za pampu siziperekedwa kwaulere.
Mwa kusaina pangano loterolo, wodwala wodwala matenda a shuga amavomera kugula zinthu mwaulere. Malinga ndi kuyerekezera kosakhala bwino, zingawonongeke kuchokera ku ruble 10,000 mpaka 15,000. Chifukwa chake, mutha kuyika mawu awa: "Ndikudziwa bwino zomwe zalembedwazo, koma simukugwirizana nazo", kenako ndikuyika siginecha.
Ngati palibe chikalata chotere m'lemba, ndiye kuti zingakhale zovuta kupeza zinthu popanda kulipiritsa. Njira yowalembetsa muzochitika zilizonse ndi yayitali ndipo muyenera kukonzekera kuteteza bwino ufulu wanu. Choyamba muyenera kukhala ndi chitsimikizo kuchokera kwa bungwe lachipatala pachipatalachi ponena za kufunika kopereka zida zatsopano za pampu ya insulin.
Popeza zida zamankhwala zotere sizikuphatikizidwa pamndandanda wofunikira, lingaliro ili kuti mupeze ndilovuta. Kuti mupeze zotsatira zabwino, mungafunike kulumikizana ndi olamulira otsatirawa:
- Oyang'anira chipatala ndi sing'anga wamkulu kapena wothandizira wake.
- Ofesi yoimira boma pamilandu.
- Roszdravnadzor.
- Khothi.
Pa gawo lililonse, ndikofunikira kufunafuna chithandizo chalamulo choyenera. Ngati mukufunikira kukhomera ana mapampu a insulin, ndiye kuti mutha kuyesa kupempha thandizo ku mabungwe aboma omwe amalipiritsa ndalama zogulira pampu ndi zina.
Chimodzi mwa mabungwe oterowo ndi a Rusfond.
Kubweza msonkho
Gawo la mtengo wopeza insulin pump yaana litha kubwezeretsedwanso kudzera mu njira yochotsera msonkho. Popeza kupezeka kwa chipangizo chamagetsi ichi, kuyika ndi ntchito zake ndikokhudzana ndi chithandizo chodula chomwe chikuphatikizidwa mndandanda wofanana, ndiye kuti, ndizotheka kufunsa kuti anthu azichotsa msonkho.
Ngati kugula kwagwiritsidwa ntchito pofuna kuchiritsa mwana yemwe ali ndi vuto lobadwa nalo, ndiye kuti m'modzi mwa makolo angalandire chipepeso. Kuti muchite izi, muyenera kutumiza zikalata zomwe zingatsimikizire kuti ndi bambo kapena mayi chifukwa cha mwana yemwe akufunika pampu ya insulin.
Nthawi yomwe imalandira ndikubwezera ndi zaka zitatu kuyambira tsiku lomwe mudagula pampu. Ndikofunikanso kukhala ndi kuchotsa kuchokera ku dipatimenti ya inshuwaransi ya pampu ndi tsiku lomwe chipangizocho chidayikiratu. M'dipatimenti yowerengera zachuma kuchipatala, muyenera kutenga chikalata chokhala ndi chilolezo kukhazikitsa pampu ndi zowonjezera kuti zitheke.
Njira yopezera chipukuta misozi imachitika potsatira zotsatirazi:
- Wogula amalipira msonkho wapamwezi, womwe ndi 13% ya malipiro.
- Kukhazikitsa pampu kuyenera kuchitika ndi achipatala omwe ali ndi mwayi wochita izi.
- Pakutha kwa chaka, kubweza msonkho kuyenera kutumizidwa ndikufotokoza kuchuluka kwa ndalama zomwe zagwiritsidwa ntchito kugula pampu ya insulini ndikukhazikitsa pampu.
Ndalama zonse zimatsimikiziridwa ndi ndalama komanso ma risiti ogulitsa, buku la chilolezo chogwiritsira ntchito zamagetsi, chowonjezera kuchokera ku dipatimenti yothandizira zamankhwala a insulin, zomwe zikuwonetsa nambala ya seri ndi mtundu wa pampu ya insulin, buku la layisensi yaku chipatala ndi ntchito yofananira.
Chifukwa choganizira kupemphedwa ndi msonkho wa federal, wogula amabwezeredwa gawo 10% la ndalama zomwe amagulira pogula chipangizochi ndi kuyika kwake, koma pokhapokha kuti chindapusa ichi sichokwera kuposa ndalama zomwe boma limalipirira.
Kuti muthane ndi vuto la kulipidwa, ndikofunikira kugula pampu ndi zowononga m'misika yodziwika bwino yomwe imatha kupereka zikalata zotsimikizira kugula. Chifukwa chake, muzochitika zotere, simungagwiritse ntchito njira yolandirira chipangizocho pogwiritsa ntchito malo ogulitsira pa intaneti, kapena konzekerani makonzedwe a risiti yogulitsa.
Werengani zambiri za mfundo yakugwiritsa ntchito pampu ya insulin mu kanema munkhaniyi.
