I-Diabetesic insulin pump - imiyalo esetshenzisiwe

Iphampu ye-insulin iyithuluzi elibhekele ukuphathwa ngokuqhubekayo kwe-insulin kwezicubu ezinamafutha. Kuyadingeka ukugcina imetabolism ejwayelekile emzimbeni wesifo sikashukela.

Ukwelashwa okunjalo kunciphisa kakhulu ingozi ye-hypoglycemia. Izinhlobo zamanje zompompo zikuvumela ukuthi uqaphe njalo izinga le-glucose egazini futhi, uma kunesidingo, faka umthamo othile we-insulin.

Imisebenzi yePump

Iphampu ye-insulin ikuvumela ukuthi umise ukuphathwa kwale-hormone nganoma yisiphi isikhathi, okungenakwenzeka lapho usebenzisa ipeni lesirinji. Idivayisi enjalo yenza imisebenzi elandelayo:

1. Inamandla okuphatha i-insulin hhayi ngokwesikhathi, kodwa ngokwezidingo - lokhu kukuvumela ukuthi ukhethe irejimeni yokwelashwa ngakunye, ngenxa yokuthi inhlala kahle yesiguli ithuthuka kakhulu.
2. Njalo ulinganisa izinga le-glucose, uma kunesidingo, inikeza isibonakaliso esizwakalayo.
3. Ibala inani elidingekayo lama-carbohydrate, umthamo wesigaxa sokudla.

Iphampu le-insulin liqukethe lezi zinto ezilandelayo:

• Izindlu ezinokukhonjiswa, izinkinobho, amabhethri;
• Indawo yokugcina umuthi;
• Ukumiliselwa kusethiwe.

Izinkomba zokusetshenziswa

Ukushintshela kwiphampu ye-insulin kuvame ukwenziwa ezimweni ezilandelayo:

1. Ekuhlolweni kwesifo sikashukela enganeni;
2. Ngokucela isiguli uqobo;
3. Ngokuguquguquka okujwayelekile kushukela wegazi;
4. Lapho uhlela noma ngesikhathi sokukhulelwa, ngesikhathi sokubeletha noma ngemuva kwabo;
5. Ngokunyuka okungazelelwe kushukela egazini;
6. Uma ungekho amandla okwenza isinxephezelo esihle sesifo sikashukela;
7. Ngokuhlaselwa njalo kwe-hypoglycemia;
8. Nemiphumela ehlukahlukene yezidakamizwa.

Contraindication

Amaphampu we-insulin anamuhla angamadivaysi alungele futhi azisebenzele ngokuphelele angalungiselelwe umuntu ngamunye. Zingafakwa ohlelweni njengoba uludinga. Ngaphandle kwalokhu, ukusetshenziswa kwephampu yabanesifo sikashukela kusadinga ukubhekwa njalo nokubamba iqhaza kwabantu kule nqubo.

Ngenxa yengozi eyandayo yokuthola i-ketoacidosis yesifo sikashukela, umuntu osebenzisa iphampu ye-insulin angathola i-hyperglycemia nganoma yisiphi isikhathi.

Le nto ichazwa ukungabikho ngokuphelele kwe-insulin esebenza isikhathi eside egazini. Uma ngasizathu simbe idivaysi yehluleka ukuphatha umthamo odingekayo wemithi, izinga likashukela lomuntu likhuphuka kakhulu. Ngezinkinga ezinkulu, ukubambezeleka kwamahora angama-3-4 kwanele.

Imvamisa, amaphampu anjengalawa onesifo sikashukela ayahlukaniswa kubantu abane:

• Ukugula ngengqondo - kungaholela ekusetshenzisweni okungalawulwa kwepompo likashukela, okuzoholela kumonakalo omkhulu;
• Umbono ompofu - lezi ziguli ngeke zikwazi ukuhlola amalebula okubonisa, ngoba ngazo ngeke zikwazi ukuthatha izinyathelo ezidingekayo ngesikhathi;
• Ukungazimisele ukusebenzisa iphampu - ekwelashweni kwe-insulin usebenzisa iphampu ekhethekile, umuntu kufanele athole ukuthi angayisebenzisa kanjani insiza;
• Ukubonakaliswa kokungafani komzimba esikhumbeni sesisu;
• Izinqubo zokuvuvukala;
• Ukwehluleka ukulawula ushukela wegazi njalo emahoreni ama-4.

Kuyenqatshelwa ngokuphelele ukusebenzisa iphampu yalabo abanesifo sikashukela bona ngokwabo abangafuni ukusebenzisa imishini enjalo. Ngeke babe nokuzithiba okufanele, ngeke babalwe inani lamayunithi esinkwa asetshenzisiwe. Abantu abanjalo abahola indlela yokuphila esebenzayo, bangasinaki isidingo sokubalwa okungajwayelekile komthamo we-bolus insulin.

Kubaluleke kakhulu ukuthi okokuqala ukwelashwa okunjalo kwalawulwa ngudokotela ohambelayo.

Imibandela yokusebenzisa

Ukuze ukhuphule ukusebenza kahle futhi uqinisekise ukuphepha okuphelele kokusetshenziswa kwempompo kwabanesifo sikashukela, kuyadingeka ukugcina imithetho ethile yokusetshenziswa. Kungale ndlela yokwelapha kuphela engakwazi ukukulimaza.

Izincomo ezilandelayo zokusebenzisa iphampu ye-insulin kumele zibhekwe:

• Kabili ngosuku, hlola izilungiselelo nokusebenza kwensiza;
• Amabhlogo angafakwa esikhundleni kuphela ekuseni ngaphambi kokudla, kuyenqatshelwe ngokuphelele ukwenza lokhu ngaphambi kokulala;
• Iphampu ingagcinwa kuphela endaweni evikelekile;
• Lapho ugqoke ipompo kusimo sezulu esishisayo, phatha isikhumba ngaphansi kwensimbi ngamagiya akhethekile alwa ne-allergenic;
• Shintsha inaliti lapho umile futhi kuphela ngokuya ngemiyalo.

Isifo sikashukela esincike ku-insulin siyindlela ebaluleke kakhulu. Ngenxa yalokho, umuntu udinga ukuthola njalo umthamo othile we-insulin ukuze azizwe esejwayelekile. Ngosizo lwepompo, uzokwazi ukusixosha isidingo njalo sokwethulwa kwakhe, futhi anciphise nengozi yemiphumela emibi.

Izinzuzo kanye nokubi

Kusetshenziswa iphampu yesifo sikashukela kunezinzuzo nezithiyo eziningi. Kubaluleke kakhulu ukunquma nabo ngaphambi kokunquma ukusebenzisa le divayisi.

Izinzuzo ezingabazeki zokwelashwa okunjalo zibandakanya:

• Idivayisi ngokwayo inquma ukuthi kufanele ifake insulin nini futhi kanjani - lokhu kusiza ukuvikela ama-overdoses noma ukwethulwa kwenani elincane lomuthi, ukuze umuntu azizwe engcono kakhulu.
• Ukusetshenziswa emaphampu, kusetshenziswa i-ultrashort kuphela noma i-insulin emfushane. Ngenxa yalokhu, ingozi ye-hypoglycemia incane kakhulu, futhi umphumela wokwelapha uyathuthuka. Ngakho-ke ama-pancreas aqala ukululama, bese uqobo lukhiqiza inani elithile lale nto.
• Ngenxa yokuthi i-insulin epompo ihlinzekwa emzimbeni ngesimo samaconsi amancane, kuqinisekiswa ukuphatha okuqhubekayo nokunembe ngokweqile. Uma kunesidingo, idivaysi ingashintsha ngokuzimela isilinganiso sokuphatha. Lokhu kuyadingeka ukuze kulondolozwe izinga elithile le-glucose egazini. Lokhu kubaluleke kakhulu kubantu abanezifo ezihlangene ezingathinta inkambo yesifo sikashukela.

• Amaphampu amaningi wesifo sikashukela anenqwaba yezinhlelo. Ngosizo lwabo, kungenzeka ukubala umthamo ophelele kakhulu we-insulin, okudingeka umzimba okwamanje. Ucwaningo luye lwabonisa ukuthi ukunemba kwamaphampu kuphakeme kakhulu kunalokho kwamaphenti wesirinji. Ngenxa yalokhu, ubungozi bemiphumela emibi liphansi kakhulu.
• Amandla okuqapha njalo ukugcwala kwe-glucose egazini - lokhu kuvimbela ubungozi bokukhula nge-hypo- noma i-hyperglycemia.
• Kulula kakhulu ukusebenzisa insiza yezingane ezine-insulin encike kuma-insulin, kodwa ngeke zikwazi ukuzisebenzisa zodwa ngomuthi.

Uma esetshenziswa kahle, amaphampu e-insulin asiza ukufeza imiphumela emihle kakhulu. Kulokhu, azikwazi ukulimaza, kepha zizothuthukisa kakhulu inhlala-kahle yomuntu.

Ukwanelisa isidingo sakhe se-insulin, umuntu manje akadingi ukuba ahlukane njalo futhi aziphathe ngokuzimela umthamo we-insulin. Kodwa-ke, uma isetshenziswe ngokungafanele, iphampu yesifo sikashukela ingaba yingozi.

Idivayisi enjalo inezinkinga ezilandelayo:

1. Njalo ngezinsuku ezi-3 kuyadingeka ukuthi ushintshe indawo yohlelo lokungenisa. Ngaphandle kwalokho, ugijimisa ubungozi bokulimala kwesikhumba nobuhlungu obukhulu.
2. Njalo emahoreni amane umuntu udinga ukulawula izinga le-glucose egazini. Uma kwenzeka noma yikuphi ukuphambuka, kubalulekile ukwethula imithamo eyengeziwe.
3. Lapho usebenzisa iphampu yesifo sikashukela, kufanele ufunde ukuthi ungayisebenzisa kanjani. Le divayisi yimbi kakhulu, enezici eziningi ezisetshenziswayo. Uma wephula noma iyiphi yazo, uthola ingozi yezinkinga.
4. Abanye abantu abaphakanyisiwe ukusebenzisa amaphampu e-insulin, ngoba leyo divayisi ngeke ikwazi ukuphatha isilinganiso esanele somuthi.

Ungayikhetha kanjani iphampu ye-insulin?

Ukukhetha iphampu ye-insulin kunzima impela. Namuhla, kunenombolo enkulu yemishini enjalo ehlukile ezimweni zobuchwepheshe. Ngokuvamile, ukukhetha kwenziwa ngudokotela ohambelayo. Nguye kuphela ozokwazi ukuhlola wonke amapharamitha futhi akhethe inketho enhle kakhulu kuwe.

Ngaphambi kokuncoma lokhu noma lelo phampu le-insulin, uchwepheshe udinga ukuphendula imibuzo elandelayo:

• Uyini umthamo wethangi? Kubaluleke kakhulu ukuthi akwazi ukuhlalisa inani elinjalo le-insulin, elinganele izinsuku ezintathu. Kungalesi sikhathi lapho kunconyelwa khona ukufaka esikhundleni se-infusion esethe.
• Ngabe intengisiseka kangakanani insimbi yokugqoka kwansuku zonke?
• Ingabe uhlelo lokusebenza lunokubala okwakhelwe ngaphakathi? Le nketho iyadingeka ekubaleni ama-coefficients ngamanye, okuzosiza ukulungisa ukwelashwa ngokunembile.
• Ingabe iyunithi inayo i-alamu? Amadivaysi amaningi ayavala futhi ayeke ukuhambisa inani elifanelekile le-insulin emzimbeni, yingakho i-hyperglycemia ikhula kubantu. Uma iphampu inenhlabamkhosi, ukuthi uma kwenzeka ingasebenzi kahle, izoqala ukudonsa.
• Ingabe uhlelo lokusebenza lunokuvikelwa umswakama? Amadivaysi anjalo anokuqina okukhulu.
• Uyini umthamo we-bolus insulin, kungenzeka ukuthi ushintshe inani eliphakeme nelincane lomuthi?
• Iziphi izindlela zokuxhumana ezikhona ngedivayisi?
• Ingabe kufanelekile ukufunda imininingwane evela ekubonisweni kwedijithali kwephampu ye-insulin?