Zofunikira pa pampu ya insulin: ndizokwera mtengo zingati komanso kuti mugule?

Matenda a shuga ndi matenda omwe amasintha kwambiri moyo wawo.

Atalandira matendawa, wodwala wa endocrinologist ayenera kumvetsera dokotala wake ndikutsatira malangizo ake onse.

Ndikofunika kulabadira kuti kuti mupereke insulin yofunika kwambiri m'thupi la wodwalayo, muyenera kupeza chida chapadera chotchedwa insulin pump. Chipangizochi chimawonedwa ngati chobwezeretsera m'malo mwa ma cholembera ndi ma syringe.

Imagwira ndikuwapatsanso mankhwalawa mosalekeza, womwe ndi mwayi wake waukulu pobayira jakisoni wa mahonda am'mimba.

Pansipa pali zambiri pazogulitsa izi. Ndiye kodi mukufunikira zilizonse zofunika pampu yanu ya insulin kapena ayi?

Njira Zowonjezera Zovuta za shuga

Ndikofunika kulabadira kuti njira yoperekera mankhwala osokoneza bongo pothandizira matenda ashuga nthawi zambiri imagwiritsidwa ntchito pazovuta komanso zowopsa zomwe zimapangitsa kuchuluka kwa shuga m'magazi kutsimikiziridwa ndikuwonetsa kofunikira. Monga mukudziwa, zochitika zowopsa ngati izi zimadziwika ndi hypoglycemic, ketoacidotic, hyperosmolar coma.

Madonthowa chifukwa cha zovuta za carbohydrate metabolism amathandizidwanso kukonzekera kuchitapo kanthu ndikuthandizira odwala pazakudya zosamalidwa bwino.

Ikani kulowetsedwa mankhwala kupewa ndi kuchiza zovuta zokhudzana ndi mapangidwe a mitsempha. Makamaka izi zimagwira ntchito kumatenda omwe amawoneka motsutsana ndi maziko a matenda a shuga a mitundu yonse iwiri.

Pampu ya insulin

Matendawa ndi monga polyneuropathy, retinopathy, komanso mawonekedwe a cholesterol plaque m'mitsempha. Chithandizo cha kulowetsedwa ndikofunikira kuti muchepetse thrombosis, komanso mitundu ina ya angiopathy.

Ubwino waukulu pampu ya insulin ndi monga:

1. kuyambitsa kosavuta kwa ochepa ma cell a pancreatic;
2. Palibe chifukwa chofunikira chobayira jakisoni wa insulin.

• pampu - wotchedwa pampu, yomwe imatulutsa magawo a mahomoni am'mimba kapangidwe kaumbidwe koyambira limodzi ndi kompyuta;
• cartridge yomwe imayikidwa mkati mwa chipangizocho - chosungira cha mankhwalawa;
• kulowetsedwa, komwe kumakhala ndi cannula yoyika pansi pa khungu ndi machubu angapo polumikizana ndi chosungira;
• mabatire

Tiyenera kudziwa kuti zida zatsopano ndizochepa kwambiri, ndipo kukula kwake amafanana ndi pager. Synthetic pancreatic timadzi timadzi tinatake timalowa m'thupi.

Ndilo lolumikizana komwe kumalumikizana ndi madzi osungirako ndi insulin mkati mwa chipangizocho ndi mafuta osaneneka. Tsamba la malonda, omwe amaphatikiza posungira ndi catheter, amatchedwa "infusion system."

Wodwala wake amafunika kusintha masiku atatu aliwonse. Nthawi yomweyo, ndikusintha kwa kulowetsedwa, malo omwe amaperekera mahomoni amayenera kusinthidwa nthawi zonse.

Cannula wopangidwa ndi pulasitiki amayenera kuikidwa mosanjikana m'malo omwewo momwe mahomoni amathandizira ndi njira yosavuta komanso yotsika mtengo ya jakisoni.

Olowetsedwa mwachangu-a insulin m'malo mwake amayamba kugwiritsa ntchito pampu. Koma nthawi zina, insulin yochepa imagwiritsidwanso ntchito. Hormayo imapangidwa m'magawo ochepera kwambiri, pafupifupi mu Mlingo wa zigawo za0025.

Kuchuluka kwa mankhwalawa kumatengera mtundu wa chipangizocho. Zochizira zamavuto a kagayidwe kazakudya pogwiritsa ntchito chipangizocho, ndi ma cell a ma pancreatic okhawo omwe amagwiritsidwa ntchito.

Komanso, yankho kuchokera pampu limadyetsedwa mozungulira zinthu zambiri, koma ndi mavoliyumu ochepa. Kubzala kumachitika pafupifupi nthawi yomweyo.

Ndikofunikira kulabadira kuti odwala omwe ali ndi endocrinologists, kusinthasintha kwa shuga m'misempha nthawi zambiri kumachitika molondola chifukwa cha kusintha kwa mayamwidwe okhalitsa a insulin.

Pampu imatha kuthetsa vutoli, lomwe limawonedwa ngati mwayi wake waukulu. Ma insulin omwe amagwira ntchito mwachidule, omwe amafunikira pampu ngati imeneyi, amakhala olimba.

Zina mwazinthu zabwino zakugwiritsa ntchito pampu ya insulin:

1. Kulondola kwa metering yangwiro komanso kusuntha pang'ono. Mlingo wotsatira wotsatira mumapampu amitundu yamakono amalembedwa ndi gawo la 0.2 PIECES, pomwe zolembera za syringe zili ndi mtengo wogawika wa 0,5 - 1 PIECES. Mlingo wa kukhazikitsa insulin ya basal imatha kusinthidwa ngati mukufuna;
2. kuchuluka kwa ma punctures kumachepetsedwa kangapo, popeza kulowetsedwa kumafunikira kusintha pafupifupi kamodzi masiku angapo;
3. pampu imakulolani kuwerengera molondola kuchuluka kwa insulin. Pachifukwa ichi, wodwala wa endocrinologist ayenera kudziwa payekha magawo ake: kudziwa mphamvu ya mahansa am'mimba, kutengera nthawi ya tsiku, chakudya chambiri, kuchuluka kwa shuga. Ayenera kulowa nawo mu pulogalamuyo. Pambuyo pokhapokha izi, dongosololi limadziyimira palokha kuchuluka kwa insulin, kutengera zotsatira za kuchuluka kwa shuga musanadye mwachindunji komanso kuchuluka kwa zakudya zomwe zakonzedwa kuti zidyedwe posachedwa;
4. ngati mungafune, pampu imatha kusintha kuti mankhwala a bolus asamaperekedwe mwachangu, koma amagawidwa kwakanthawi. Ntchito imeneyi ndiyofunika ngati wodwala matenda ashuga amadya zakudya zopatsa pang'onopang'ono. Nthawi zambiri zimakhala zothandiza pamaphwando akulu;
5. kuyang'anira shuga mthupi mokwanira panthawi yeniyeni. Ngati chizindikirocho chimaposa malire onse oyenera, ndiye kuti pampu imasinira wodwalayo. Mitundu yaposachedwa ya chipangizochi imatha kuwerengetsa kuthamanga kwa kayendetsedwe ka mankhwala pawokha kuti umabwezeretse shuga mwanjira yeniyeni. Mwachitsanzo, ndi kutsika kwakuthwa kwa chizindikirochi, chipangizocho chimaletseratu kutsika kwa mankhwala.

Kiti za zothetsera zotumphuka za insulin

Pakadali pano, awa ndi odziwika kwambiri:

1. Accu-Chek Mzimu Combo. Makina awa amachokera ku wopanga waku Switzerland. Amakhala ndi: chivundikiro chimodzi cha batri, adapter imodzi, fungulo ndi batri. Makina ophatikizira amafunika kulumikiza cartridge. Imafunika kusinthidwa kamodzi miyezi iwiri;
2. Medtronic Paradigm. Pa chipangizochi, pulogalamu yolowetsa mzere wa PARADIGM imagwiritsidwa ntchito. Dongosolo lotayikiratu limapangidwira kukonzekera kwa insulin. Setiyo imakhala ndi cannula yofewa 9 mm kutalika, chubu yokhala ndi cholumikizira ndi pulagi;
3. Medtronic MiniMed Paradigm. Kitayo imaphatikizapo zosungira za insulin ndi kulowetsedwa kwa kuperekera kwa mahomoni a pancreatic;
4. Medtronic Paradigm Veo. Zomunikira ndi glucose zimayatsidwa, zomwe zimakhazikitsidwa ndi thupi kugwiritsa ntchito zida zamagetsi ndikugwira ntchito limodzi ndi transmitter (transmitter);
5. Medtronic MiniMed Paradigm REAL-Nthawi. Pa chipangizochi, sichingakhale chopusa kugula phukusi lapadera posamba.

Migwirizano ndi magwiritsidwe akusungidwa

Mukamagula mapampu a insulin, kumbukirani kuti simuyenera kugwiritsa ntchito zinthu zomwe zatha. Ndikofunika kulabadira tsiku lakapangidwe.

Mtengo wa zothetsera, komwe mungayitanitse ndikugula

Monga mukudziwa, mtengo wazakudya ndi wotsika kwambiri kuposa mtengo wa mapampu a insulini. Mtengo umasiyanasiyana kuchokera ku ruble 100 mpaka 800.

Singano, kulowetsedwa, makatiriji, machubu owonjezera a kulowetsedwa - zonsezi zimapezeka kwa aliyense wodwala matenda ashuga.

Mutha kugula zogulira ndi zogulira zonse mu malo ogulitsira pa intaneti komanso m'masitolo ogulitsa mankhwala.

Makanema okhudzana nawo

Makina a kulowetsedwa kwa Medtronic muvidiyo:

Mapampu a insulin ndi zida zamakono zomwe zimatha kuyendetsa bwino moyo wovuta wa odwala matenda ashuga. Maonekedwe awo adasintha kale chithandizo cha matenda ashuga. Koma, muyenera kulabadira kuti zida izi ndizokwera mtengo kwambiri.

Ndi chifukwa ichi kuti si odwala onse a endocrinologists omwe angapeze chida ichi chothandiza komanso chothandiza. Chifukwa cha zinthu zambiri komanso zowonjezera, aliyense amatha kuzisankha malinga ndi kuthekera kwa ndalama.