Pamaso pa matenda a shuga, chida chapadera chogwiritsira ntchito insulin pompopompo ya insulin imatha kuyendetsa bwino kwambiri moyo. Chipangizochi panthawi inayake chimapereka kuchuluka kwa mahomoni mosazindikira.
Pampu ya insulin yopanda zingwe ndi mtundu wa pampu wokhala ndi mabatire. Ilinso ndi malo osungiramo mafuta a insulin, catheter wokhala ndi singano komanso cannula wofatsa, wowunika.
Kuchokera m'malo osungira, mankhwalawa amalowa minofu yaying'ono kudzera pa catheter. Catheter m'malo mwake amapezeka masiku atatu alionse. Chipangizochi chimayikidwa pamimba, phewa, ntchafu kapena matako.
Kodi mapampu a insulin ali bwanji?
Mapampu onse a insulin amatha kugwira ntchito m'njira ziwiri zoyendetsera mankhwala. Dongosolo lapa basal limakhala ngati analogue cha kapamba ndipo limakupatsani mwayi wofunsira jakisoni wa insulin ya nthawi yayitali.
Malangizo a bolus amakupatsani mwayi kuti mupeze mankhwala ochepa ngati wodwala matenda ashuga sanadye kwa nthawi yayitali. Izi zimakuthandizani kuti mudzaze thupi ndi kuchuluka kwa insulini.
Chipangizocho chili ndi polojekiti yaying'ono, yomwe imawonetsa zotsatira zonse za ndondomeko ndi tsiku ndi nthawi. Mapampu amakono a insulin amasiyana ndi mitundu yam'mbuyomu pakuphatikizana, kugwiritsa ntchito mosavuta komanso kuphweka. Insulin imalowetsedwa m'thupi pogwiritsa ntchito gulu lowongolera.
- Ngati m'mbuyomu mankhwalawo adaperekedwa kudzera mu catheter, lero pali njira zopopera popanda zingwe zomwe zimakhala ndi kuyambiranso komanso TV.
- Chida choterechi chimakupatsani mwayi wokhala ndi insulin nthawi zonse ngakhale kwa ana aang'ono omwe amafunikira kutsatira mlingo okhwima chifukwa cha kuchepa kwa thupi.
- Chida chomwechi chidzakhala chothandiza makamaka kwa odwala matenda ashuga omwe akulumphira mwadzidzidzi insulin masana.
- Chifukwa chakuwongolera pafupipafupi, wodwala amatha kumakumverani momasuka osawopa zomwe mumachita.
- Chipangizocho chidzadziimira palokha ngati chikufunika kupereka mankhwalawo ndikupanga jakisoni wa panthawi yake.
Ubwino ndi zoyipa za chipangizocho
Chipangizo chatsopano chili ndi zabwino zambiri ndipo ndizothandiza kwa odwala matenda ashuga. Pompo imatha kudziyimira payokha komanso pafupipafupi piritsi. Ngati ndi kotheka, chipangizocho chimayambitsanso mabotolo omwe amafunikira kuti chakudya cha chakudya cham'thupi chizikhala cholimba.
Chifukwa chakuti chipangizochi chimagwiritsa ntchito insulin yochepa komanso ya ultrashort, kuchuluka kwa shuga m'magazi kumakhala kolosera. Pampu imalowetsa insulini ndi mtsempha wama microscopic, motero pa vuto la hyperglycemia, pamakhala kusintha kosavuta kwa shuga m'magazi mwa kubayidwa molondola komanso mosalekeza ndi jakisoni wa mahomoni. Kuphatikiza chipangizochi chitha kuganizira zosowa za wodwala nthawi zosiyanasiyana masana.
Mitundu ina imathanso kuyeza shuga. Kusanthula kumachitika mu ma cell amadzimadzi a ma subcutaneous mafuta zigawo. Chifukwa chake, wodwala matenda ashuga amatha kudzilamulira yekha mkhalidwe wake, ndipo pakakhala kuwonjezeka kwambiri kapena kuchepa kwa glucose, chitani zinthu zofunika.
Zowonongekazo ndikuphatikizira kufunika kosintha malo omwe akupangidwawo ndi chipangizocho pakatha masiku atatu. Ngakhale kuti iyi ndi njira yachangu komanso yosavuta, odwala matenda ashuga ambiri sazikonda. Muyenera kuyang'anirabe chipangizocho, chifukwa pampu ndi njira yochita kusungira kapamba.
Mukamagwiritsa ntchito chipangizocho, kutsimikiza mtima kwa shuga kunyumba kuyenera kuchitika maulendo anayi patsiku. Kupanda kutero, pampu imatha kukhala yowopsa posalamulira pazomwe zikugwira ntchito. Ndikofunikira kuti muzitha kuyendetsa bwino chipangizocho kuti musankhe moyenera jakisoni. Chifukwa chake, chida chotere ndi choyenera kwa achinyamata kuposa achikulire.
Chifukwa chake, pampu ya insulin ingathe:
- Pa nthawi yake, jekeseni insulin mthupi;
- Mulingo woyenera wa mankhwalawa;
- Kusunga momwe wodwalayo aliri kwa nthawi yayitali osatenga nawo mbali;
- Apatseni thupi mulingo woyenera wa mankhwala, ngakhale wodwalayo sanadye chakudya kapena wogwira ntchito zolimbitsa thupi.
Mwambiri, mapampu amachepetsa kufunika kwa insulin tsiku lililonse, kuchepetsa kuchuluka kwa jakisoni, komanso kuchepetsa chiopsezo cha hypoglycemia.
Mitundu ya mapampu a insulin
Pampu ya insulini ya Accu-Chek Combo ili ndi mitundu inayi ya bolus. Chifukwa cha njira yopanda zingwe ya Bluetooth, wodwala matenda ashuga amatha kuwongoletsa pampuwo kuchokera patali. Mbiri iliyonse imapangidwira zochitika zakuthupi, zonse zimawonetsedwa. Mtengo wa chida chotere m'masitolo a pa intaneti ndi ma ruble 100,000.
Mtundu wa MMT-715 umakupatsani mwayi kukhazikitsa njira zoyambira ndi mabonasi, molingana ndi kukhazikitsidwa, nthawi zonse mumavulaza insulin m'thupi. Kukhazikitsidwa kwa basal hormone kumachitika zokha. Komanso, wodwala amatha kukhazikitsa zikumbutso za kufunika kwa jakisoni ndi kuchuluka kwa jakisoni. Mtengo wa chipangizocho ndi ma ruble 90,000.
Pampu ya insulin yopanda zingwe imathandizira odwala kuwongolera momwe alili muzochitika zilizonse komanso osadandaula ndi kuchuluka kwa shuga m'magazi - chipangizocho chizichita zonse kwa odwala matenda ashuga. Chipangizocho chili ndi miyeso yosavuta yocheperako, kulemera kopepuka, kotero pampu imakwanira mosavuta muchikwama chanu.
- Chifukwa cha kukhalapo kwa zingwe zopanda zingwe, kukhazikitsidwa kwa catheter sikofunikira, kotero kayendedwe ka wodwala sikungokhala ndi machubu osasangalatsa. Pampu ya jakisoni wa insulini ili ndi magawo awiri akuluakulu - chosungira chochepa cha AML chowotcha komanso gulu lolamulira mwanzeru. Chipangizocho ndichosavuta kugwiritsa ntchito komanso mwanzeru kuyigwiritsa ntchito.
- Pampu ya insulin yopanda zingwe imayikidwa ndi akatswiri apadera a endocrinologists atatha kuyesa koyenera, kudutsa mayeso a munthu payekha ndikuwunika.
- POD ndi thanki yotayika yomwe imakhala yaying'ono komanso yayikulu, yopanda malire, yoyesera. Cannula imayendetsedwa bwino m'dera la insulin. Chifukwa chake, insulin imaperekedwa mwachangu komanso mosavuta.
- Komanso AML ili ndi njira yodziwitsira yokha cannula, chidebe cha mankhwalawo ndi pampu. Cannula imayikidwa yokha pakukhudza batani, pomwe singano sawoneka kwathunthu.
Ngati munthu wodwala matenda ashuga asamba, ayendera dziwe, palibe chifukwa chochotsera, popeza AML ili ndi chosanjikiza madzi. Chipangizocho ndichabwino kunyamula pansi pa zovala, matepi ndi zosefera sizigwiritsidwa ntchito pamenepa.
Chifukwa cha kukula kwake kakang'ono, gulu lowongolera opanda zingwe ndilothekanso kunyamula mchikwama kapena thumba. Amadziwa gawo ndi sitepe kuti afotokozere masitepe onse. Kuphatikiza kuphatikiza kwamabampu ndi kuwerengera kwa glucose kapena milingo ya bolus panthawi yakudya.
Zomwe zapezedwa zimakonzedwa ndi chipangizocho ndipo chitha kuperekedwa ngati lipoti losavuta komanso lomveka bwino, lomwe lingaperekedwe kwa dokotala ngati kuli kofunikira.
Kanemayo m'nkhaniyi afotokoza za zoyenera kuchita mapampu a insulin.
