Lapho kukhona isifo sikashukela i-mellitus, idivaysi ekhethekile yokuhlinzekwa ngokuzenzakalela kwe-insulin ngendlela yepompo ye-insulin ingasiza kakhulu impilo. Le divayisi ngesikhathi esithile iletha inani elidingakalayo le-hormone ngokuzithoba.
Iphampu ye-insulin engenantambo luhlobo lwepompo elinamabhethri. Inendawo yokugcina indawo ye-insulin ye-hormone, i-catheter enenalithi ne-cannula enempilo, umqaphi.
Ukusuka endaweni yokugcina amanzi, umuthi ungena kwezicubu ezingaphansi kwe-catheter. Ukufakwa esikhundleni se-catheter kwenzeka njalo ezinsukwini ezintathu. Idivaysi ivame ukufakwa esiswini, ehlombe, ethangeni noma emabhulokini.
Ayini amaphampu e-insulin
Wonke amaphampu e-insulin ayakwazi ukusebenza ngezindlela ezimbili zokulawulwa kwezidakamizwa. Uhlobo lwe-basal lusebenza njenge-analogue ye-pancreas futhi likuvumela ukuthi uthathe isikhundla sesidingo sokujova kwe-insulin yesikhathi eside.
Uhlobo lwe-bolus likuvumela ukuthi udedele umthamo omncane we-hormone njalo ngemizuzu embalwa uma onesifo sikashukela engadli isikhathi eside. Lokhu kukuvumela ukuthi ubuyise umzimba ngenani elidingekayo le-insulin.
Idivayisi ine-qapha elincane, elibonisa yonke imiphumela yezinqubo ngosuku nosuku. Amaphampu we-insulin anamuhla ahlukahluka kumamodeli wangaphambilini we-compactness, ukusetshenziswa kalula kanye nokulula. I-insulin ingeniswa emzimbeni isebenzisa iphaneli yokulawula.
- Uma ngaphambili umuthi uhanjiswa nge-catheter, namuhla kunezinketho zompompo ezingenazintambo ezineyunithi yokuvuselela kanye nesikrini sethelevishini.
- Umshini onjalo ukuvumela ukuthi ugcine ukunikezwa njalo kwe-insulin ngisho nasezinganeni ezincane ezidinga ukunamathela kumthamo oqinile ngenxa yesisindo somzimba sabo esiphansi.
- Idivaysi efanayo izolungela ikakhulukazi abanesifo sikashukela abathola ukugxuma okungazelelwe nge-insulin phakathi nosuku.
- Ngenxa yokulawulwa okuzenzakalelayo okuqhubekayo, isiguli singakuzwa sikhululekile futhi singesabi isimo sakho.
- Le divayisi izonquma ngokuzimela lapho kunesidingo khona ukuphatha umuthi futhi wenze umjovo osesikhathini.
Izinzuzo kanye nokubi kwensiza
Idivaysi yokuqamba inezinzuzo eziningi futhi ilungele kakhulu kwabanesifo sikashukela. Iphampu ingakwazi ngokuzimela futhi ihlabe ukujova umthamo odingekayo womuthi emzimbeni. Uma kunesidingo, idivaysi yangeza ngokwengeziwe ama-boluses adingekayo ukuze ukudla kwe-carbohydrate kungeniswe kahle.
Ngenxa yokuthi ithuluzi lisebenzisa i-insulin emfushane ne-ultrashort, ukugcwala kweglucose egazini kuyaqagela. Iphampu ilimaza i-insulin ngomsuka we microscopic, ngakho-ke esimweni se-hyperglycemia, kulungiswa kahle ushukela wegazi ngokujova okuqondile nangokuqhubekayo kwehomoni. Ukufaka phakathi idivaysi kungabheka izidingo zomuntu ngamunye zesiguli ngezikhathi ezihlukile zosuku.
Amanye amamodeli ayakwazi ukukala ushukela wegazi. Ukuhlaziywa kwenziwa kumafrijini weselula wezingqimba zamafutha ezingama-subcutaneous. Ngakho-ke, isifo sikashukela singasilawula ngokuphelele isimo sakhe futhi, uma kwenzeka sanda noma sokwehla ushukela, thatha izinyathelo ezidingekayo.
Okubi kufaka phakathi isidingo sokushintsha indawo ebekwe khona yensiza njalo ezinsukwini ezintathu. Ngaphandle kokuthi le yinqubo esheshayo futhi elula, abanesifo sikashukela abaningi abayithandi. Kufanele usayinakekele leyo divayisi, ngoba iphampu iyindlela yokufakelwa yokulondolozwa kwamanyikwe.
Lapho usebenzisa insiza, ukunqunywa koshukela wegazi ekhaya kumele kwenziwe okungenani amahlandla amane ngosuku. Ngaphandle kwalokho, iphampu ingaba yingozi ekubeni kungabikho olawulayo ekusebenzeni kohlelo. Kubalulekile ukukwazi ukulawula kahle idivaysi ukuze ulungiselele kahle imodi yokulimala. Ngakho-ke, idivaysi enjalo ilungele kakhulu abantu abasha kunabantu abadala.
Ngakho-ke, iphampu ye-insulin inga:
- Ngesikhathi esifanele, faka i-insulin emzimbeni;
- Thatha umuthi ngendlela efanele;
- Gcina isimo sesifo sikashukela ngokujwayelekile isikhathi eside ngaphandle kokubamba iqhaza kwakhe;
- Nikeza umzimba inani elifanele lezidakamizwa, noma ngabe isiguli singadli ukudla noma sisebenze ngokomzimba.
Ngokuvamile, amaphampu anciphisa isidingo se-insulin nsuku zonke, anciphisa inani eliphelele lemijovo, futhi anciphise nengozi ye-hypoglycemia.
Amamodeli wamaphampu we-insulin
Impompo ye-insu-Chek Combo insulin inezinhlobo ezine ze-bolus. Ngenxa yohlelo olungenantambo lwe-Bluetooth, umuntu onesifo sikashukela uyakwazi ukulawula ipompo kude. Iphrofayili ngayinye yenzelwe umsebenzi othize womzimba, yonke idatha iyakhonjiswa. Intengo yedivayisi enjalo ezitolo eziku-inthanethi ngama-ruble ayi-100,000.
Imodeli ye-MMT-715 ikuvumela ukuthi uhlele ngokuhlukile izindlela ezisezingeni eliphansi nezebhonasi futhi, ngokuya ngesimo esinikeziwe, uhlala ujova i-insulin emzimbeni. Ukwethulwa kwe-basal hormone kwenzeka ngokuzenzakalelayo. Futhi, isiguli singasetha izikhumbuzo mayelana nesidingo somjovo kanye nomthamo womjovo. Izindleko zedivayisi zingama-ruble angama-90,000.
Iphampu ye-insulin ye-wireless ye-omnipod isiza iziguli ukulawula isimo sazo kunoma yisiphi isimo futhi zingakhathazeki ngamazinga kashukela wegazi - umshini uzokwenza konke koshukela. Idivaysi inobukhulu obulinganayo obulinganiselayo, isisindo esikhanyayo, ngakho-ke iphampu ilingana kalula esikhwameni sakho.
- Ngenxa yokuba khona kohlelo olungenantambo, ukufakwa kwe-catheter akudingekile, ngakho-ke ukuhamba kweziguli akugcini lapho kumashubhu angakhululeki. Iphampu lomjovo we-insulin linezingxenye ezimbili ezibalulekile - indawo encane yokulahla ye-AML engasetshenziswa kanye nephaneli yokulawula ehlakaniphile. Idivayisi kulula kakhulu ukuyisebenzisa futhi enembile ukuyisebenzisa.
- Iphampu ye-insulin engenantambo ifakwe ama-endocrinologists akhethekile kakhulu ngemuva kokwenza ukuhlolwa okudingekayo, kudlula ukuhlolwa komuntu ngamunye nokuhlaziywa.
- I-POD ithangi elisebenzisekayo elisebenzisekayo elincane ngosayizi nokukhanya, cishe okungenakuchithwa, ngesisindo. I-cannula ilawulwa ngokuphepha endaweni yokulawulwa kwe-insulin. Ngakho-ke, i-insulin ihlinzekwa ngokushesha futhi kalula.
- Futhi, i-AML inomshini wokwethula ngokuzenzakalelayo i-cannula, isitsha somuthi kanye nepompo. I-cannula ifakwa ngokuzenzakalelayo lapho kuthathwa inkinobho, kuyilapho inalithi ingabonakali ngokuphelele.
Uma umuntu onesifo sikashukela egeza, evakashela ichibi, asikho isidingo sokususa insiza, ngoba i-AML inongqimba olungangeni manzi. Idivayisi ilungele ukuthwalwa ngaphansi kwezingubo, iziqeshana neziqeshana azisetshenziselwa lokhu.
Ngenxa yobukhulu bayo obuncane, iphaneli yokulawula ngaphandle kwentambo nayo ilungele ukuthwalwa esikhwameni noma ephaketheni. Wazi isinyathelo ngesinyathelo ukuchaza isinyathelo ngasinye. Kubandakanya ukukhipha okuzenzakalelayo kwama-bubble nokubalwa kwama-glucose noma amazinga we-bolus wesikhathi sokudla.
Imininingwane etholakele icutshungulwa yithuluzi futhi inganikezwa ngesimo sombiko olula futhi oqondakalayo, onganikezwa udokotela uma kunesidingo.
Ividiyo ekulesi sihloko izotshela ngomgomo wokusebenza kwamaphampu we-insulin.