Iphampu -Indlela enhle yendlela yokujova nsuku zonke ngesirinji noma ipeni. Idivayisi ivumela ukwelashwa kwe-insulin ejwayelekile kuhlangene nokuqapha njalo inani le-glucose (kusetshenziswa i-glucometer) kanye nokubalwa kwama-carbohydrate angena emzimbeni.
Iphampu ye-insulin - njengoba igama lisho, lo yisixhobo sokujova i-insulin ekwelapheni isifo sikashukela. Ngesikhathi sokwelashwa ngale divayisi, iziguli zinikezwa ngokuhlinzekwa nge-insulin okujwayelekile, ngokuya ngezidingo zokwelapha.
Idivaysi ihlelwe kanjani futhi isebenza kanjani
Idivayisi iqukethe:
- Empeleni iphampu - iphampu yokuhlinzekwa njalo kwe-insulin nekhompyutha enohlelo lokulawula nesibonisi;
- ama-cartridge agqamile umuthi;
- ukufakwa okungabekelwa endaweni ethile nge-cannula (i-analogue yepulasitiki yenaliti) yomjovo we-hypodermic kanye nohlelo lwamashubhu wokuhlanganisa nedamu;
- amabhethri amandla.
Isiguli sidinga ukushintshwa nge-tube ne-cannula kanye njalo ezinsukwini ezi-3. Lapho kuthathelwa indawo uhlelo lokulethwa kwezidakamizwa, okwenziwa ngasekhaya kokuphatha ngokungaguquki kushintsha isikhathi ngasinye. Ishubhu lepulasitiki libekwa ngokuxhamazela ezindaweni lapho umuthi uvame ukujova ngesirinji - okungukuthi okhalweni, amabhlokhi namahlombe.
Amadivayisi wanamuhla wokupompa avumela ukuthi udale uhlelo ngokusho kwesilinganiso sokufakwa kwe-basal insulin ngokuya ngeshedyuli yehora. Ngasikhathi sinye insulin yasemuva ngezikhathi ezahlukahlukene zosuku ingena emzimbeni ngejubane elihlukile. Ngaphambi kokudla, isiguli sisebenzisa umthamo we-bolus insulin. Lokhu kwenziwa kusetshenziswa ukufaka ngesandla. Isiguli kufanele sihlelele lolu hlelo ekusetshenzisweni kokulawulwa okwengeziwe komthamo owodwa womuthi uma izinga likashukela wegazi ngemuva kokulinganisa liphezulu kakhulu.
Izinzuzo kanye nokubi
Le divayisi yenza kube nokwenzeka ukwethula i-insulin eyenziwe nge-ultra-iDemo-synthetic insulin (NovoRapid, Humalog), ukuze into iqhutshwe cishe ngaso leso sikhathi. Isiguli sinethuba lokwenqaba izidakamizwa ezisebenza isikhathi eside. Kungani lokhu kubalulekile?
Ezigulini ezinesifo sikashukela, ukuguquguquka kwamazinga kashukela kwenzeka ngenxa yamazinga ahlukene okufaka i-insulin isikhathi eside: umshini wokusebenzisa ipompo ususa le nkinga, ngoba i-insulin “emfishane” isebenza ngokunenkani nangejubane elifanayo.
Ezinye izinzuzo zifaka:
- Ukunemba kwemithamo ephezulu, igxathu lomthamo we-bolus - ama-PIERES ayi-0,1 kuphela;
- Amandla okushintsha inani lokuphakelayo lisuka ku-0,025 liye ku-0.1 PIECES / ihora;
- Ukunciphisa isibalo sokufika kwesikhumba ngezikhathi eziyi-10-15;
- Kuyasiza ukubala inani le-insulin ye-bolus: ngalokhu, kuyadingeka ukufaka idatha yomuntu ngamunye kuhlelo (i-carbohydrate coeffnty, inkomba yokuzwela i-insulin ngezikhathi ezihlukile zosuku, izinga likashukela);
- Uhlelo lukuvumela ukuthi uhlele umthamo osuselwa kunani labo eliqothulwe ama-carbohydrate;
- Amandla wokusebenzisa izinhlobo ezikhethekile zama-bolus: ngokwesibonelo, lungiselela idivaysi ukuthola umthamo oweluliwe (umsebenzi uyasiza lapho kudlalwa "ama-carbohydrate" noma uma kudliwa isikhathi eside);
- Ukuqapha i-glucose engaguquki: uma ushukela ehla ngezinga, iphampu inika isiguli isiginali (amamodeli wedivaysi yakamuva angashintsha ijubane lokuphathwa kwe-insulin ngokwawo, alethe izinga leshukela elidingekayo libe elijwayelekile, nge-hypoglycemia, ukugeleza kucishiwe);
- Ukulondolozwa kwengobo yemininingwane yokuyidlulisela ekhompyutheni nasekusebenzeni okulandelayo: idivaysi ingagcina ilogi lomjovo nolwazi ngamazinga kashukela ezinyangeni ezi-3-6 zokugcina ememori.
- Ukuphikiswa kokusetshenziswa kwensiza yizimo lapho isiguli singakwazi noma singafuni ukufunda imigomo yokulawulwa kwephampu, amaqhinga wokubala umthamo we-insulin kanye nenqubo yokubala ama-carbohydrate asetshenzisiwe.
- Okubi kubalwa nengozi yokuhlakulela i-hyperglycemia (ukwanda okunoshukela) kanye nokuvela kwesifo sikashukela sikashukela. Izimo zingavela ngenxa yokuntuleka kwe-insulin eyengeziwe. Lapho kuqeda impompo, kungavela isimo esibucayi ngemuva kwamahora ama-4.
- Amadivayisi awakwazi ukusetshenziswa kwiziguli ezikhubazeke ngokomqondo, nakwiziguli ezinombono ophansi. Esimweni sokuqala, kunengozi yokuphathwa okungafanele kwensiza, okwesibili - ubungozi bokuqashelwa okungalungile kwamanani esibukweni sokuqapha.
- Ukugqokwa njalo kwensiza kunciphisa ukusebenza kweziguli: insiza ayikuvumeli ukuba ubandakanyeke kweminye imidlalo yangaphandle.
Amamodeli athandwayo nentengo
Amamodeli afanele kakhulu:
- Umoya we-Accu-hlola;
- I-Medtronic Paradigm;
- Dana Diabecare
- Omnipod.
Intengo ikhuphuka ngokuya ngemisebenzi eyengeziwe efana ne-othomathikhi yokubala isilinganiso ngokuya ngesilinganiso esijwayelekile. Amaphampu abizayo anenzwa eyengeziwe, inkumbulo nezimpawu.
