Kuti moyo ukhale wosavuta ndikusintha kayendetsedwe ka magazi, insulin therapy diabetesics imagwiritsa ntchito insulin. Chipangizochi chimawerengedwa kuti ndi njira yotsogola kwambiri poperekera mahomoni. Kugwiritsa ntchito pampu kumakhala ndi zotsutsana pang'ono, mutatha kuphunzitsa mokakamiza wodwala aliyense yemwe amadziwa bwino zoyambira masamu adzapirira.
Mitundu yapompopompo yaposachedwa ndiyokhazikika ndipo imapereka glucose wabwino kwambiri komanso hemoglobin, kuposa kupaka insulin ndi cholembera. Zachidziwikire, zida izi zilinso ndi zovuta. Muyenera kuwayang'anira, kusintha zosinthika nthawi zonse ndikukhala okonzeka kuyambitsa insulini m'njira yakalekale ngati zinthu sizinachitike mwadzidzidzi.
Kodi pampu ya insulin ndi chiyani?
Pampu ya insulin imagwiritsidwa ntchito ngati njira ina yopangira syringes ndi zolembera. Kuwona kwa dosing kwa pampu ndikokwera kwambiri kuposa kugwiritsa ntchito syringes. Mlingo wocheperako wa insulin womwe ungagwiritsidwe ntchito kwa ola limodzi ndi 0,025-0.05, kotero ana ndi odwala matenda ashuga omwe ali ndi chidwi chokwanira cha insulini amatha kugwiritsa ntchito chipangizocho.
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
Katemera wachilengedwe wa insulin amagawidwa kukhala yoyambira, yomwe imasunga kuchuluka kwa mahomoni, mosasamala kanthu za zakudya, komanso bolus, yomwe imatulutsidwa poyankha kukula kwa shuga. Ngati ma syringe amagwiritsidwa ntchito panjira ya matenda a shuga, insulin yayitali imagwiritsidwa ntchito kukwaniritsa zosowa zoyambirira za thupi za mahomoni, komanso yochepa musanadye.
Pampu imadzaza ndi insulin yochepa kapena yochepa kwambiri, kuti muthe kutengera kubisala kwakumbuyo, imayilowetsa pansi pa khungu nthawi zambiri, koma m'malo ochepa. Njira iyi yoyendetsera imakupatsani mwayi wowongolera shuga kuposa kugwiritsa ntchito insulin yayitali. Kupititsa patsogolo kubwezeretsa shuga kumawonekeranso osati odwala okha omwe ali ndi matenda amtundu wa 1, komanso ndi mbiri yayitali ya mtundu 2.
Makamaka zotsatira zabwino zimawonetsedwa ndi mapampu a insulin popewa neuropathy, ambiri odwala matenda ashuga amatsitsidwa, kupititsa patsogolo matendawa kumachepera.
Mfundo zoyendetsera chipangizocho
Pampu ndi yaying'ono, pafupifupi 5x9 cm, chipangizo chachipatala chomwe chimatha kubayira insulin pansi pa khungu mosalekeza. Ili ndi chophimba chaching'ono komanso mabatani angapo owongolera. Selo yokhala ndi insulin imayikidwa mu chipangizocho, imalumikizidwa ndi kulowetsedwa: machubu oonda opindika ndi cannula - pulasitiki yaying'ono kapena singano yachitsulo. Cannula imakhala pansi pa khungu la wodwala yemwe ali ndi matenda ashuga, motero amatha kupaka insulin pansi pa khungu mumadontho ang'onoang'ono mosalekeza.
Mkati mwa pampu ya insulin mumakhala piston yomwe imakankhira kuseri kwa mahomoni ndi pafupipafupi ndikudyetsa mankhwalawo mu chubu, kenaka kudzera mu cannula mumafuta ochulukirapo.
Kutengera mtundu wake, pampu ya insulin ikhoza kukhala ndi:
- njira yowunika shuga;
- automulin insulin shutdown ntchito ya hypoglycemia;
- Zizindikiro zochenjeza zomwe zimayambitsidwa ndi kusintha kwamphamvu kwa glucose kapena zikadutsa malire osazolowereka;
- chitetezo pamadzi;
- mphamvu yakutali
- kuthekera kosunga ndikusamutsa chidziwitso pakompyuta chokhudza mlingo ndi nthawi ya jakisoni wambiri, shuga.
Kodi phindu la pampu ya matenda ashuga ndiotani?
Ubwino waukulu wa pampu ndikutha kugwiritsa ntchito kokha insulin. Imalowa m'magazi mwachangu ndikuchita mosasunthika, motero imapambana kwambiri chifukwa cha insulin yayitali, momwe mayamwidwe ake amatengera zinthu zambiri.
Ubwino wosakayikira wa mankhwala a insulin insulin ungaphatikizeponso:
- Kuchepetsa punctures khungu, lomwe limachepetsa chiopsezo cha lipodystrophy. Mukamagwiritsa ntchito ma syringe, pafupifupi jakisoni 5 amapangidwa patsiku. Ndi pampu ya insulin, kuchuluka kwa ma punctures kumachepetsedwa kamodzi pakapita masiku atatu.
- Mlingo wolondola. Ma syringe amakulolani kuti mupeze insulin molondola ndi mayunitsi a 0,5, pampu imamwetsa mankhwalawa mu kuwonjezeka kwa 0,1.
- Kuwongolera kuwerengera. Munthu wodwala matenda ashuga kamodzi amalowetsa kuchuluka kwa insulini pa 1 XE kukumbukira zinthu, kutengera nthawi ya tsiku komanso kuchuluka kwa shuga. Kenako, musanadye chilichonse, ndikokwanira kulowa kuchuluka kokha kwa chakudya, ndipo chida chanzeru chimawerengera insulin.
- Chipangizocho chimagwira ntchito mosayang'aniridwa ndi ena.
- Kugwiritsa ntchito pampu ya insulin, ndikosavuta kukhala ndi shuga wabwinobwino mukamasewera masewera, maphwando a nthawi yayitali, komanso odwala matenda ashuga ali ndi mwayi wosatsatira zakudyazo popanda kuvulaza thanzi lawo.
- Kugwiritsa ntchito zida zomwe zimatha kuchenjeza za shuga wambiri kapena wotsika kwambiri zimachepetsa chiopsezo cha matenda a shuga.
Yemwe akuwonetsedwa ndikutsutsana ndi pampu ya insulin
Wodwala aliyense wodwala matenda a shuga a insulin, mosasamala mtundu wa matenda, amatha kukhala ndi insulin. Palibe zotsutsana kwa ana kapena kwa amayi apakati komanso oyamwitsa. Zomwe zimachitika ndikutha kudziwa bwino malamulo oyendetsera chipangizocho.
Ndikulimbikitsidwa kuti pampu iyikiridwe odwala omwe ali ndi chiphuphu chosakwanira cha matenda a shuga, kupumula pafupipafupi m'magazi a glucose, nocturnal hypoglycemia, ndi shuga othamanga. Komanso, chipangizocho chitha kugwiritsidwa ntchito bwino ndi odwala omwe ali ndi insulin.
Chofunikira kwa wodwala yemwe ali ndi matenda ashuga ndimatha kudziwa magawo onse a mankhwala a insulini: kuwerengetsa zam'thupi, kukonzekera katundu, kuwerengetsa kwa mankhwala. Musanagwiritse ntchito pampu paokha, wodwala matenda ashuga ayenera kudziwa bwino ntchito zake zonse, azitha kuzipatsanso payokha, ndikuwonetsa mtundu wa mankhwalawo. Pampu ya insulin simaperekedwa kwa odwala omwe ali ndi matenda amisala. Cholepheretsa kugwiritsa ntchito chipangizochi chitha kukhala chosawoneka bwino cha wodwala matenda ashuga amene salola kugwiritsa ntchito chidziwitso.
Kuti chipasulo cha insulini chisawonongeka, wodwala azikhala ndi zida zonse zothandizira:
- cholembera chodzaza cha jakisoni wa insulin ngati chipangizocho sichitha;
- kusunga kulowetsedwa dongosolo kuti asinthidwe;
- insulin reservoir;
- mabatire a pampu;
- magazi shuga mita;
- chakudya champhamvu kwambirimwachitsanzo, mapiritsi a shuga.
Kodi pampu ya insulin imagwira ntchito bwanji
Kukhazikitsa koyamba kwa pampu ya insulin kumachitika moyang'aniridwa ndi dokotala, nthawi zambiri kuchipatala. Wodwala matenda a shuga amadziwa bwino magwiridwe antchito.
Momwe mungakonzekere ntchito pampu:
- Tsegulani ma phukusi ndi chosungiramo insulin.
- Ikani mankhwalawa mankhwala momwemo, nthawi zambiri Novorapid, Humalog kapena Apidra.
- Lumikizani posungira ndi kulowetsedwa kogwiritsa ntchito cholumikizira kumapeto kwa chubu.
- Yambitsaninso pampu.
- Ikani thanki mu chipinda chapadera.
- Yambitsani ntchito yolimbikitsa pa chipangizocho, dikirani mpaka chubuyo itadzaza ndi insulin, ndipo dontho lithe kumapeto kwa cannula.
- Aphatikize cannula pamalo a jakisoni a insulin, nthawi zambiri pamimba, koma ndizothekanso m'chiuno, matako, mapewa. Singano ili ndi tepi yomatira, yomwe imakonza zolimba pakhungu.
Simuyenera kuchotsa cannula kuti musambe. Imachotsedwa mu chubu ndikutseka ndi chipewa chosavomerezeka ndi madzi.
Zotheka
Akasinja amakhala ndi 1.8-3.15 ml ya insulin. Ndizotayidwa, sizingagwiritsidwenso ntchito. Mtengo wa thanki imodzi umachokera ku ma ruble 130 mpaka 250. Makina a kulowetsedwa amasinthidwa masiku atatu aliwonse, mtengo wotsatsa ndi 250-950 rubles.
Chifukwa chake, kugwiritsa ntchito pampu ya insulin tsopano ndikokwera mtengo kwambiri: zotsika mtengo komanso zosavuta ndiz 4,000 pamwezi. Mtengo wautumiki ukhoza kufikira rubles 12,000. Zinthu zowunikira mosalekeza zamagulu a shuga ndizokwera mtengo kwambiri: sensa, yopangidwira masiku 6 ovala, imakhala pafupifupi ma ruble 4000.
Kuphatikiza pa zowonjezera, pali zida zogulitsa zomwe zimapangitsa moyo kukhala wosavuta ndi pampu: zidutswa zophatikiza zovala, zokutira mapampu, zida zokhazikitsira cannulas, matumba ozizira a insulin, komanso zomata zoseketsa zapampu za ana.
Kusankha kwa Brand
Ku Russia, ndizotheka kugula ndipo, ngati kuli kofunikira, kukonza mapampu a opanga awiri: Medtronic ndi Roche.
Mitundu yoyerekeza yamtunduwu:
| Wopanga | Model | Kufotokozera |
| Medtronic | MMT-715 | Chida chosavuta, chophunzitsidwa mosavuta ndi ana komanso okalamba odwala matenda ashuga. Okonzeka ndi wothandizira kuwerengera bolus insulin. |
| MMT-522 ndi MMT-722 | Kutha kuyeza glucose mosalekeza, kuwonetsa msinkhu wake pazenera ndikusunga deta ya miyezi itatu. Chenjeza za kusintha kwakukulu kwa shuga, wasowa insulini. | |
| Veo MMT-554 ndi Veo MMT-754 | Chitani ntchito zonse zomwe MMT-522 imakhala nayo. Kuphatikiza apo, insulin imangoyimitsidwa yokha pa hypoglycemia. Amakhala ndi insulin yotsika kwambiri - ma unit 0,2525 pa ola limodzi, kotero amatha kugwiritsidwa ntchito ngati mapampu a ana. Komanso, muzipangizo zamtunduwu, mankhwalawa amatha kukhala okwanira tsiku lililonse mpaka 75, motero mapampu a insulini angagwiritsidwe ntchito mwa odwala omwe amafunikira kwambiri mahomoni. | |
| Roche | Accu-Chek Combo | Yosavuta kuyendetsa. Imakhala ndi pulogalamu yakutali yomwe imakonzanso chida chachikulu, motero, imatha kugwiritsidwa ntchito mochenjera. Amatha kukumbutsa zakufunika kosintha zomwe zimadya, nthawi yoyang'ana shuga komanso nthawi yotsatira kukaonana ndi dokotala. Zimalekerera kumizidwa kwakanthawi m'madzi. |
Chosavuta kwambiri pakadali pano ndi pampu yopanda zingwe ya Israeli ya Omnipod. Mosaloledwa, saperekedwa ku Russia, chifukwa chake iyenera kugulidwa kunja kapena m'malo ogulitsira pa intaneti.
Ndemanga ya odwala matenda ashuga omwe akudziwa zambiri
Mtengo wa mapampu a insulin
Kodi pampu ya insulini imawononga ndalama zingati:
- Medtronic MMT-715 - 85 000 ma ruble.
- MMT-522 ndi MMT-722 - pafupifupi ma ruble 110,000.
- Veo MMT-554 ndi Veo MMT-754 - pafupifupi ma ruble 180,000.
- Accu-Chek yokhala ndi mawonekedwe akutali - ma ruble 100 000.
- Omnipod - gulu lowongolera pafupifupi 27,000 malinga ndi ma ruble, makina ogwiritsa ntchito pamwezi - rubles 18,000.
Kodi ndingathe kuipeza yaulere
Kupereka anthu odwala matenda ashuga ndi mapampu a insulin ku Russia ndi gawo la pulogalamu yapamwamba kwambiri yachipatala. Kuti mudziwe zaulere, muyenera kulankhulana ndi dokotala. Amalemba zikalata malinga ndi malinga ndi Unduna wa Zaumoyo 930n pa 12/29/14pambuyo pake amatumizidwa ku dipatimenti ya Zaumoyo kuti akawaganizire ndi kusankha pakugawidwa kwa voti. Pakadutsa masiku 10, mwayi wopereka VMP umaperekedwa, pambuyo pake wodwala yemwe ali ndi matenda ashuga amafunika kungodikirira nthawi yake ndikuyitanitsa kuchipatala.
Ngati endocrinologist wanu akukana kuthandiza, muthane ndi Unduna wa Zaumoyo mwachindunji kuti mupeze malangizo.
Ndizovuta kwambiri kuti nditengere zotsukira za pampu yaulere. Samaphatikizidwa pamndandanda wazofunikira kwambiri ndipo sapereka ndalama kuchokera ku bajeti. Kuzisamalira zimasinthidwa kupita kumadera, kotero kuti kulandira zinthu kumadalira kwathunthu aboma. Monga lamulo, ndikosavuta kwa ana ndi anthu olumala kuti alandire mayeso. Nthawi zambiri, odwala matenda ashuga amayamba kupereka zowonjezera kuchokera chaka chamawa atayika pampu ya insulin. Nthawi iliyonse, kuperekedwa kwaulere kumatha kutha, choncho muyenera kukhala okonzeka kulipira ndalama zambiri nokha.
