Ngati pakufunika kupitiliza kuperekera insulin, nyali ya insulin imakhala yankho loyenera. Ndi chipangizo chonyamulira chomwe chimalowetsa insulin yothamanga kulowa mthupi la munthu.
Anthu omwe ali ndi matenda a shuga amakhala ndi nthawi yovuta kwambiri chifukwa amapatsidwa jakisoni wambiri wa insulin. Tsiku lililonse mumayenera kumwa mankhwala ena ake, ndipo nthawi zambiri m'malo osayenera izi, mwachitsanzo, mumsewu.
Pampu ya insulini imathetsa vutoli. Ndi chipangizochi, jakisoni amapangidwa mosavuta komanso mwachangu.
Kodi pampu ya insulin ndi chiyani?
Chithandizo cha insulin ndi chipangizo chamakina chogwiritsira ntchito insulin. Wopereka amatulutsa jakisoni wopitirira wa insulin Mlingo, womwe umayikidwa mu makonzedwe.
Insulin imalowa m'thupi m'magawo ang'onoang'ono. Phula la mitundu inayake imabwera kumagawo a insulin 0,001 okha pa ola limodzi.
Thunthu limapereka pogwiritsa ntchito kulowetsedwa, ndiye kuti, chubu yowoneka ndi silicone, imachoka kuchimbudzi ndi insulin. Zotsirizazo zimakhala zachitsulo kapena pulasitiki.
Mapampu a insulin a Medtronic ali ndi mitundu iwiri ya kayendetsedwe ka zinthu:
- basal
- bolus.
Pampu imagwiritsa ntchito insulin yochepa kwambiri kapena yochepa. Pofuna kukhazikitsa Mlingo woyambira wa chinthucho, muyenera kusintha nthawi yomwe insulin ingaperekedwe. Itha kukhala kuyambira 8 mpaka 12 m'mawa kwa mayunitsi 0,03. pa ola limodzi. Kuyambira maola 12 mpaka 15 adzapatsidwa magawo 0,02. zinthu.
Njira yamachitidwe
Pampu ndi chida chomwe chapangidwira m'malo mwa ntchito kapamba.
Chipangizochi chimaphatikizapo zinthu zingapo. Mu chipangizo chilichonse, kusiyanasiyana kwazinthuzo ndizovomerezeka.
Pampu ya insulin ili:
- pampu yomwe imayendetsedwa ndi kompyuta. Pompo imapereka insulini mu kuchuluka kwake,
- mphamvu ya insulin
- chipangizo chosinthika, chomwe chikufunika pakukhazikitsa zinthu.
Pa pampu palokha pali ma cartridge (reservoir) okhala ndi insulini. Pogwiritsa ntchito machubu, limalumikizana ndi cannula (singano yapulasitiki), yomwe imayikidwa mu mafuta osunthika omwe ali m'mimba. Piston wapadera amasindikiza pansi mwachangu, ndikupereka insulini.
Kuphatikiza apo, pampu iliyonse pali kuthekera kwa kuyang'anira kwa bolus ya timadzi timene timafunika tikamadya. Kuti muchite izi, dinani batani linalake.
Kubayira insulin, singano imayikidwa pamimba, ndipo imakonzedwa ndi band-assist. Singano yampope imalumikizidwa kudzera catheter. Zonsezi zimakhazikitsidwa pa lamba. Kuwongolera insulin, endocrinologist nthawi yoyamba imapanga mapulogalamu ndi kuwerengera.
Kwa masiku angapo musanakhazikitse pampu ya insulin, kuyang'anira kuchuluka kwa shuga m'magazi kumafunika. Pompo imathandizira kumwa mosalekeza.
Zizindikiro ndi contraindication
Chithandizo cha insulin cha pump chikuyamba kutchuka.
Chipangizocho chikutha kugwiritsidwa ntchito ndi aliyense amene ali ndi matenda a shuga.
Koma pali zizindikiro zomwe madokotala amalimbikitsa njira imeneyi yothandizira mankhwalawa. Makamaka, pampu ya insulin ingagwiritsidwe ntchito ngati:
- kuchuluka kwa shuga sikokhazikika
- Nthawi zambiri pamakhala zizindikiro za hypoglycemia, kuchuluka kwa shuga kumatsika pansi pa 3.33 mmol / l,
- Zaka za wodwalayo ndizosakwana zaka 18. Zimakhala zovuta kuti mwana apange kuchuluka kwa insulin, pomwe cholakwika cha kuchuluka kwa mahomoni omwe amaperekedwa chimatha kukulitsa vutolo,
- Mayiyo akufuna kubereka, kapena kuti mimba yafika kale,
- pali matenda otsegula m'mawa, kutanthauza kuti kuchuluka kwa shuga m'magazi munthu asanadzuke m'mawa,
- muyenera kuperekera insulin m'malo yaying'ono, koma nthawi zambiri,
- wapezeka ndi matenda oopsa a zovuta ndi zovuta,
- munthu amakhala ndi moyo wokangalika.
Pampu ya insulin ili ndi zotsutsana zina. Makamaka, chipangizocho sichiyenera kugwiritsidwa ntchito ndi anthu odwala matenda amisala. Ndikofunika kuchitira odwala matenda a shuga mellitus.
Nthawi zambiri odwala safuna kuyang'anira mndandanda wazakudya za glycemic, osalabadira malamulo a chithandizo ndipo samatsatira malangizo ogwiritsa ntchito pampu ya insulin. Chifukwa chake, matendawa amakula, zovuta zingapo zimawonekera zomwe nthawi zambiri zimawopseza moyo wa munthu.
Insulin yokhala nthawi yayitali sigwiritsidwa ntchito pampope, chifukwa izi zimatha kudzutsa magazi mu glucose ngati chipangizocho chikuzimitsa. Ngati mawonekedwe amunthuyo ndi ochepa, ndiye muyenera kufunsa anthu ena kuti awerenge zolemba pazenera la pampu ya insulin.
Pump Medtronic
Pampu ya Medtronic insulin imapereka insulin nthawi zonse kuti isunge kuchuluka komwe thupi limafunikira. Kampani yopanga ija idachita chilichonse kuti ipangitse mpopewo kukhala wosavuta kugwiritsa ntchito. Chipangizocho ndi chaching'ono kukula, kotero chimatha kuvala moyenera pansi pa zovala zilizonse.
Mitundu yotsatsira pampu iyi ilipo:
- Accu-Chek Mzimu Combo (Accu-cheke Mzimu Combo kapena Accu-Chek Combo insulin pump,)
- Dana Diabecare IIS (Dana Diabekea 2C),
- MiniMed Medtronic REAL-Nthawi MMT-722,
- Medtronic VEO (Medronic MMT-754 VEO),
- Guardian REAL-Time CSS 7100 (Guardian Real-Time CSS 7100).
Mutha kukhazikitsa pampu ya insulin pakanthawi kochepa kapena kwamuyaya. Nthawi zina chipangizochi chimayikidwa kwaulere. Mwachitsanzo, izi zimachitika panjira ya matenda oopsa a shuga kwa amayi apakati.
Chipangizocho chimakulolani kuti mulowe mu hormone molondola kwambiri. Chifukwa cha pulogalamu ya Bolus Helper, mutha kuwerengera kuchuluka kwa zinthu, poganizira kuchuluka kwa chakudya komanso kuchuluka kwa glycemia.
Mwa zabwino zamadongosolo:
- zikumbutso za nthawi ya insulin
- Alamu yokhala ndi milozo yambiri,
- mphamvu yakutali
- kusankha makonda osiyanasiyana,
- zosavuta
- chiwonetsero chachikulu
- kuthekera kotsekeka kiyibodi.
Ntchito zonsezi zimapangitsa kupereka insulin kutengera zosowa za munthu, zomwe sizimalola zovuta. Makonda akusonyeza nthawi ndi momwe mungagwiritsire ntchito njira.
Zinthu zopopera insulin pampu zimapezeka nthawi zonse. Musanagule, mutha kuganizira za zithunzi za pa intaneti kuti mudziwe zambiri za chipangizocho.
Mapampu a Medtronic American ali ndi zida zapamsewu zothandiza kuwona ngati magazi abwera. Zida zonse za zidazi, lero, zimadziwika ngati imodzi mwazabwino kwambiri padziko lapansi. Pogwiritsa ntchito pampu ya insulin, wodwala yemwe ali ndi matenda ashuga amatha kuwongolera matenda ake ndikuwonetsetsa kuti matendawa ayambika.
Mulingo wa shuga wamagazi umayendetsedwa bwino ndi dongosolo la Medtronic. Matenda a shuga amawonekera kwambiri ndipo sangathe kupita kumalo owopsa. Dongosololi silimangopereka insulin m'matupi, komanso limayimitsa jakisoni ngati pakufunika. Kuyimitsidwa kwa zinthu kumatha kuchitika 2 patatha maola sensor atayamba kuwonetsa shuga.
Pampu ya Medtronic imadziwika kuti ndi imodzi mwazida zabwino kwambiri zolamulira shuga. Mtengo wamitundu yabwino ndi pafupifupi madola 1900.
Katswiri wa kanemayu munkhaniyi azilankhula zambiri za mapampu a insulini.
