Uma kunesidingo sokuphathwa okuqhubekayo kwe-insulin, isibani se-insulin siba yisixazululo esizwakalayo. Yithuluzi elithandekayo elifaka insulin esebenza ngokushesha emzimbeni womuntu.
Abantu abanesifo sikashukela banesikhathi esinzima sokunikezwa imijovo eqhubekayo ye-insulin. Zonke izinsuku udinga ukuthatha isilinganiso esithile somuthi, futhi ezindaweni eziningi ezingafanele ngokuphelele lokhu, ngokwesibonelo, emgwaqweni.
Iphampu ye-insulin ixazulula le nkinga. Ngale divayisi, imijovo yenziwa kalula futhi ngokushesha.
Yini iphampu ye-insulin
Isisabalalisi se-insulin iyithuluzi elenzelwe ukuphathwa kwe-insulin. Isisabalalisa sakha umjovo oqhubekayo wemithamo ye-insulin, esethwe izilungiselelo.
I-insulin ingena emzimbeni ngamanani amancane. Ukuphakama kwamanye amamodeli kuza kumayunithi we-insulin angu-0,001 ngehora.
Umuthi wethula usebenzisa i-infusion system, okungukuthi, ishubhu evele ngokusobala ye-silicone, isuka kwisilondolozi nge-insulin iye ku-cannula. Lokhu kokugcina kungaba yinsimbi noma ipulasitiki.
Amaphampu we-insulin we-medtronic anezindlela ezimbili zokulawulwa kwento:
- basal
- bolus.
Impompo isebenzisa ama-insulin ama-insrain amafushane kuphela noma amafushane. Ukuze wethule imithamo eyisisekelo yento, udinga ukumisa izikhathi lapho kuzonikezwa khona i-insulin ethile. Kungasukela ku-8 kuye ku-12 ekuseni ngamayunithi angama-0.03. ngehora. Ukusuka emahoreni ayi-12 kuye kwayi-15 kuzonikezwa amayunithi angama-0.02. izinto.
Indlela yokusebenza
Impompo yithuluzi elenzelwe ukukhipha umsebenzi wamanyikwe.
Le divayisi ifaka izinto eziningana. Kwithuluzi ngalinye, umehluko othile wezingxenye uvunyelwe.
Iphampu ye-insulin ine:
- yiphampu elawulwa yikhompyutha. Iphampu iletha i-insulin ngenani elibekiwe,
- umthamo we-insulin
- umshini ongashintshashintshwa, odingekayo ekwethulweni kwento.
Empompini uqobo kunama-cartridge (reservoir) ane-insulin. Kusetshenziswa amashubhu, kuxhuma i-cannula (inaliti yepulasitiki), efakwe emafutheni angaphansi esiswini. I-piston ekhethekile icindezela phansi ngejubane, ihlinzeke nge-insulin.
Ngaphezu kwalokho, kwiphampu ngayinye kunethuba lokuphathwa kwe-bolus kwehomoni edingekayo lapho idliwa. Ukuze wenze lokhu, cindezela inkinobho ethile.
Ukujova i-insulin, kubekwa inaliti esiswini, kuhlanganiswe ngosizo lwebhendi. Inaliti yepompo ixhumeke nge-catheter. Konke lokhu kugxiliwe phezu kwebhande. Ukuphatha i-insulin, i-endocrinologist iqala ukwenza uhlelo nokubala.
Izinsuku eziningana ngaphambi kokufaka iphampu ye-insulin, ukuqapha amazinga kashukela egazini kuyadingeka. Iphampu izosebenzisa umthamo ohleliwe ngokuqhubekayo.
Izinkomba kanye ne-contraindication
Ukwelashwa kwe-insulin yokwelapha okwamanje kuthola ukuthandwa.
Idivaysi ingasetshenziswa yinoma ngubani onesifo sikashukela.
Kepha kukhona izinkomba lapho odokotela bancoma le ndlela ethile yokulawulwa kwento. Ikakhulu, iphampu ye-insulin ingasetshenziswa uma:
- izinga ushukela alizinzile
- kaningi kuba nezimpawu ze-hypoglycemia, ushukela wehla ngaphansi kwe-3.33 mmol / l,
- iminyaka yesiguli ingaphansi kweminyaka eyi-18. Kunzima ngengane ukwenza umthamo othile we-insulin, kuyilapho iphutha enanini lama-hormone alawulwayo lingenza isimo sibe sibi,
- Owesifazane uhlela ukukhulelwa, noma ukukhulelwa sekufikile,
- kunesifo sokuvuka kokusa, okungukuthi, ukukhuphuka okukhulu kwe-glucose egazini ngaphambi kokuba umuntu avuke ekuseni,
- udinga ukuphatha i-insulin ngemithamo emincane, kepha kaningi,
- kutholakale nenkinga yesifo kanye nezinkinga,
- umuntu uphila impilo esebenzayo.
Iphampu ye-insulin ine-contraindication ethile. Ikakhulu, idivaysi akufanele isetshenziswe ngabantu abagula ngengqondo. Kubalulekile ukuyiphatha ngendlela efanele isifo sikashukela.
Imvamisa iziguli azifuni ukubheka njalo inkomba ye-glycemic yemikhiqizo yokudla, indiva imithetho yokwelashwa futhi ayilandeli imiyalo yokusebenzisa iphampu ye-insulin. Ngakho-ke, lesi sifo siyanda, kuvela izinkinga eziningi ezivame ukusongela impilo yomuntu.
I-insulin esebenza isikhathi eside ayisetshenziswa empompini, ngoba lokhu kungavusa igxuma elibukhali ushukela wegazi uma ucingo luvaliwe. Uma umbono womuntu mncane, kuzodingeka ucele abanye abantu ukuthi bafunde okubhalwe esikrinini sephampu ye-insulin.
Pump Medtronic
I-Medtronic insulin pump ihlinzeka njalo nge-insulin yama-hormone ukuze kulondolozwe inani elidingwa ngumzimba. Inkampani yezokukhiqiza yenze konke ukwenza ukuthi ipompo ibe ntofontofo ngangokunokwenzeka ukuyisebenzisa. Idivayisi yincane ngosayizi, ngakho-ke ingagqokwa ngokuqonda ngaphansi kwezingubo.
Izinhlobo ezilandelayo zompompo ziyatholakala njengamanje:
- I-Accu-Chek Ghost Combo (i-Accu-check Ghost Combo noma iphampu ye-insu-Chek Combo insulin),
- Dana Diabecare IIS (Dana Diabekea 2C),
- I-MiniMed Medtronic REAL-Isikhathi MMT-722,
- I-Medtronic VEO (iMedical MMT-754 VEO),
- Guardian REAL-Isikhathi CSS 7100 (Guardian Real-Isikhathi CSS 7100).
Ungafaka iphampu ye-insulin okwesikhashana noma unomphela. Kwesinye isikhathi idivaysi ifakiwe mahhala. Isibonelo, lokhu kwenzeka esimweni senkambo yesifo sikashukela esingafakwanga kwabesifazane abakhulelwe.
Idivayisi ikuvumela ukuthi ufake i-hormone ngokunemba okukhulu. Ngenxa yohlelo lweBolus Helper, ungakwazi ukubala umthamo wento, kucatshangelwa inani lokudla kanye nezinga le-glycemia.
Phakathi kwezinzuzo zohlelo:
- izikhumbuzo mayelana nesikhathi sokuphathwa kwe-insulin,
- iwashi le-alamu elineqoqo elibanzi le-beeps,
- isilawuli kude
- Ukukhetha kwezilungiselelo ezahlukahlukene,
- imenyu elula
- ukubukisa okukhulu
- amandla okukhiya ikhibhodi.
Yonke le misebenzi yenza sikwazi ukuphatha i-insulin ngokuya ngezidingo zomuntu, ezingavumeli izinkinga. Izilungiselelo zibonisa ukuthi kufanele zenziwe kanjani futhi kanjani izinqubo.
Izinto ezisebenzisekayo zephampu ye-insulin zihlala zitholakala. Ngaphambi kokuthenga, ungabheka izithombe kunethiwekhi ukuze wazi okuningana nedivaysi.
Amaphampu aseMedtronic American anamathuluzi okuhlola ushukela we-state-of-the-art. Zonke izingxenye zalamadivayisi, namuhla, zibhekwa njengenye yezinto ezinhle kakhulu emhlabeni. Esebenzisa iphampu ye-insulin, isiguli sikashukela singalawula ngempumelelo lesi sifo sayo futhi siqaphele ingozi yokwakheka kwe-glycemic coma.
Izinga loshukela wegazi lilawulwa ngempumelelo ngohlelo lweMedtronic. Isifo sikashukela sibhekwa kakhulu futhi asikwazi ukuya esigabeni esinzima kakhulu. Uhlelo alugcini ngokuletha i-insulin kwezicubu, kodwa futhi luvimba nomjovo uma kunesidingo. Ukumiswa kwento kungenzeka ngemuva kwamahora ama-2 ngemuva kokuba inzwa iqale ukukhombisa ushukela ophansi.
Iphampu yeMedtronic yaziwa njengelinye lamathuluzi amahle kakhulu okulawula ushukela wegazi. Izindleko zamamodeli amahle cishe ama- dollar ayi-1900.
Isazi sevidiyo esikulesi sihloko sizokhuluma kabanzi ngamaphampu we-insulin.
