IPHAMPU YE-INSULIN: KUYINI, UKUSETSHENZISWA KOHLELO LOKUHLOLA USHUKELA OLUQHUBEKAYO LWESIFO SIKASHUKELA

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Isifo sikashukela sohlobo lokuqala kufanele sifake insulin phakathi nosuku ukuze sibe nempilo enhle.

Lokhu kuyize, kwenza isiguli sincike ekuhlolweni njalo kwamazinga kashukela kanye nemijovo.

Ukwelashwa okulula kunephampu ye-insulin.

Iphampu ye-insulin engenantambo: iyini futhi isebenza kanjani?

Impompo ye-insulin iyithuluzi elilimaza ngobuqili i-insulin hormone kwisifo sikashukela. Le divayisi iqukethe impompo enamabhethri, i-catheter enenaliti, indawo yokugcina kanye nomqaphi.

Ukusuka esitsheni, umuthi ungena esikhunjeni ngokusebenzisa i-catheter. I-insulin inikezwa ngohlobo lwe-bolus kanye ne-basal. Umthamo amayunithi angama-0,025-0.100 ngasikhathi. Idivayisi ifakiwe esiswini. Ama-catheter anompompo we-insulin afakwa esikhundleni njalo ezinsukwini ezintathu.

Iphampu ye-insulin nezinto zayo

Namuhla, amadivayisi angasebenzisi zintambo ayathengiswa. Ziqukethe indawo yokugcina amanzi ngemithi kanye nephaneli yokulawula. Idivayisi ilula ngesisindo, incane futhi inconspicuous. Ngenxa yohlelo lokulawula izidakamizwa olungenantambo, ukuhamba kweziguli akunqunyelwe.

Le mpompo ifakwe yi-endocrinologist. I-hormone ye-insulin ifakwa ngokuzenzakalela ngezikhathi ezithile kulo lonke usuku. Futhi, onesifo sikashukela anganikeza imiyalo yokuphatha i-insulin hormone ngokudla.

Iphampu ilingisa ama-pancreas.

Ukucaciswa kobuchwepheshe kanye nezimo zokusebenza

Kunezinhlobo ezahlukene zamaphampu. Ziyahlukahluka ngezimpawu zokusebenza, ikhwalithi, intengo, inkampani yokukhiqiza.

Amapharamitha wezobuchwepheshe amadivayisi wokulawula ngokuzenzakalela we-insulin:

indlela yokuphatha isidakamizwa (i-basal ne (noma) i-bolus);
impilo yebhethri yepompo;
umthamo wamathangi (amayunithi angama-180-30);
inkumbulo yokuphathwa kwezidakamizwa. Kumamodeli amaningi, kuyizinsuku ezingama-25-30. Kunamadivayisi agcina idatha kuze kufike ezinsukwini ezingama-90;
ubukhulu (85x53x24, 96x53x24 mm);
isisindo - 92-96 g;
ukuba khona kohlelo lokukhiya inkinobho oluzenzakalelayo.

Izimo zokusebenza kwamaphampu we-insulin:

umswakama ofanele - 20-95%;
izinga lokushisa lokusebenza - + -5-40 degrees;
ingcindezi yasemkhathini - 700-1060 hPa.

Amanye amamodeli adinga ukususwa ngaphambi kokugeza. Amadivayisi wanamuhla anokuvikelwa emanzini.

Izinzuzo nobubi bamadivayisi anohlelo lokuqapha ngokuqhubekayo ushukela esigulini

Amaphampu we-insulin athuthukisa kakhulu ikhwalithi yempilo yesifo sikashukela. Banezici eziningi ezinhle. Kepha ngenkathi amadivaysi anjalo engaphelele. Ukuqonda ukuthi ngabe kufanelekile yini ukufaka ipompo, kufanele ukalwe konke okuhle nokubi kwamadivayisi anjalo.

Izinzuzo zamadivayisi anohlelo lokuhlola ushukela oluqhubekayo:

i-hormone ihanjiswa ngemithamo emincane. Lokhu kunciphisa ingozi yokuthola isimo se-hypoglycemic;
asikho isidingo sokuziqapha njalo nokujova kwe-insulin;
induduzo engokwengqondo. Isiguli sizizwa njengomuntu ophile ngokuphelele;
inani lama-punermal punctures liyancipha;
Idivayisi ifakwe imitha elungiselelwe ushukela. Lokhu kukuvumela ukuthi ukhethe umthamo ophelele futhi uthuthukise inhlala-kahle yesiguli.

Okubi kwimpompo ye-insulin:

izindleko eziphakeme zedivayisi;
ukungabonakali (idivaysi iyabonakala esiswini);
ukuthembeka okuphansi (kunobungozi bokungasebenzi kahle kohlelo, i-crystallization yento ye-insulin);
ngesikhathi sokuzivocavoca umzimba, ukulala, ukugeza, umuntu uzizwa engemukelekile.

Izazi ze-Endocrinologists ziphawula ukuthi isinyathelo sokuqasha umthamo we-bolus we-hormone amayunithi angu-0,1. Lomthamo uphathwa cishe kanye ngehora. Umthamo omncane we-insulin amayunithi ayi-2.4. Enganeni enohlobo lokuqala lwesifo sikashukela nomuntu omdala ohlezi ekudleni okuphansi kwe-carb, leli nani lansuku zonke lomuthi likhulu kakhulu.

Ungawubeka kanjani iphampu ye-insulin ezinganeni nakubantu abadala abanesifo sikashukela?

Izingane nabantu abadala abanesifo sokuxilongwa kwesifo sikashukela banepampu ye-insulin esiswini. Inalithi ye-catheter ifakwa ngaphansi kwesikhumba ihlanganiswe nopastor. Ithangi linamathiselwe ibhande.

Ukufaka iphampu yamahhala, isiguli sidinga ukuthola ukukhishwa ekhadini lokuphuma, isinqumo sekhomishini yezokwelapha ngesidingo sokusebenzisa imishini enjalo.

Ngemuva kwalokho isiguli sinikezwa ukudluliselwa emnyangweni wokwelapha i-insulin, lapho kwethulwa khona imishini yokumpompa bese kuthi kukhethwe irejimeni yokudla umuthi emzimbeni.

Izincomo zochwepheshe ngokusetshenziswa kwempompo:

lapho wethula izinsiza kusebenza, gcina imithetho ye-aseptic. Faka esikhundleni ucingo ucingo izandla ezihlanzekile;
shintsha ngezikhathi ukufakwa kwendawo yohlelo;
beka idivaysi kulezo zindawo lapho i-epidermal integument inempilo, kukhona ungqimba olufanele lwamafutha angaphansi;
phatha indawo yomjovo ngotshwala;
Ngemuva kokufaka iphampu, hlola ukusebenza kwayo. Ukuze wenze lokhu, isilinganiso se-serum glucose senziwa amahora ambalwa ngemuva kokwethulwa kwensiza;
Ungaguquki i-cannula ebusuku. Kungcono ukwenza le nqubo ngaphambi kokudla.

Ngabe lubukeka kanjani uhlelo lwesifo sikashukela kubantu?

Amaphampu we-insulin anamuhla acocekile futhi awasindi. Ebantwini, babukeka njengethuluzi elincane elingunxantathu esiswini. Uma kufakwe ipompo enezintambo, umbono awubukeki ubumnandi: kukhona i-catheter egxishwe nge-band-aid esiswini, ucingo luholela endaweni yokugcina insulin, egxunyekwe ebhande.

Isetshenziswa kanjani?

Ngaphambi kokuthi uqale usebenzise iphampu yesifo sikashukela, kudingeka ufunde imiyalo enikezwa umenzi kudivayisi. Ukusebenzisa uhlelo kulula, into esemqoka ukulandela imithetho ethile.

I-Algorithm yokusetshenziswa:

vula i-cartridge bese ususa i-piston;
vumela umoya ophume esitsheni ungene;
ukwethula into ye-hormonal ethangini usebenzisa ipiston;
susa inaliti;
khipha umoya esitsheni;
khipha ipiston;
xhuma isethi yokufaka ukumisa kwisilondolozi;
faka ishubhu kanye neyunithi ebuthene phakathi kwephampu;
namathisela insiza endaweni yomjovo.

Amamodeli athandwayo namanani awo

Namuhla, kunezinhlobo ezahlukene zamaphampu we-insulin. Kungcono ukuthenga amadivaysi kubakhiqizi abaziwayo: inhlala-kahle yesifo sikashukela incike kwikhwalithi yedivayisi. Ukuqonda ukuthi iyiphi engcono ukuthenga, kufanele ubheke izici zedivayisi ngayinye nezindleko.

I-Accu Chek Combo

Idivayisi ye-Accu Chek Combo evela kwi-ROSH idume kakhulu kubantu abanesifo sikashukela. Uhlelo ngokuqhubekayo luqapha futhi liguqula amazinga kashukela.

Ezinye izinzuzo ze-Accu Chek Combo yilezi:

ukwethulwa kwezinhlobo ezi-4 ze-bolus;
kukhona i-glucometer eyakhelwe ngaphakathi;
ukulingisa okunembe kakhulu kwamanyikwe;
i-insulin ikhishwa ubusuku nemini;
Ukukhetha okubanzi kwamamenyu;
kukhona ukulawula okukude;
kukhona umsebenzi wokukhumbuza;
ukwenza ngokwezifiso imenyu ngayinye kungenzeka;
idatha yokulinganisa idluliselwa kalula kwikhompyutha yomuntu siqu.

Izindleko zemishini enjalo zingama-ruble angama-80,000. Intengo yokusebenzisa okulandelayo:

ibhethri - ama-ruble angama-3200;
izinaliti - ama-ruble angama-5300-7200;
imichilo yokuhlola - ama-ruble ayi-1100;
uhlelo lwe-cartridge - ama-ruble ayi-1,500.

Imichilo ye-Accu-Chek Performa No. 50/100 isetshenziselwa ukunquma izinga kashukela. I-Accu Chek Combo iyindlela engcono kakhulu yezingane nezingane nentsha.

I-Medtronic

Odokotela abaningi batusa ukusetshenziswa kwepompo le-insulin elenziwa eMelika, iMedtronic, kwabanesifo sikashukela. Idivayisi ihlinzeka ngokuhlinzekwa okukhishwa kwe-insulin hormone emzimbeni. Idivayisi ixubekile futhi ayikwazi ukubonwa ngaphansi kwezingubo.

I-Medtronic ibonakala ngokunemba okuphezulu. Ngenxa yohlelo Lomsizi weBolus, umuntu onesifo sikashukela angafunda ngokuba khona kwe-insulin futhi abale umthamo osuselwa kokuqukethwe kweglucose nokudla okudliwayo.

Ezinye izinzuzo zamaphampu we-Medtronic:

ukhiye okhiye;
imenyu ebanzi;
iwashi le-alamu elakhelwe ngaphakathi;
isikhumbuzi umsebenzi wokuthi umuthi uyaphela;
ukufakwa kwe-catheter okuzenzakalelayo;
ukutholakala kokudla kwepompo.

Intengo ephakathi yepampu yalolu hlobo ingama-ruble ayi-123,000. Izindleko zokuthenga:

izinaliti - kusuka kuma-ruble angama-450;
ama-catheters - ama-ruble angama-650;
ithangi - kusuka kuma-ruble ayi-150.

Idivayisi ayinikezi i-insulin kuphela emzimbeni, kodwa futhi iyamisa nokuphathwa kwayo uma kunesidingo.

Omnipod

I-Omnipod iyimodeli yepampu ye-insulin eyaziwayo yabanesifo sikashukela. Le divayisi yenziwa yinkampani yakwa-Israyeli iGeffen Medical.

I-OmniPod Pump

Uhlelo lolu luhlotshiswe yiphaneli yokulawula nokuzwa (ithangi elincane elibekwe esiswini nge-tepi yokunamathela). I-Omnipod iyithuluzi elenza imisebenzi eminingi.

Kukhona imitha eyakhelwe ngaphakathi. Idivayisi ayivikeleki ngamanzi. Intengo yayo iqala kusuka kuma-ruble angama-33,000. Izithende zephampu zithengiswa ama-ruble angama-22,000.

Dana Diabecare IIS

Le modeli yakhelwe ngqo ukwelashwa kwezingane ezinesifo sikashukela. Uhlelo luhlangene futhi alula.

Kukhona ukubukisa kwekristalu ewuketshezi. Ngokwezinzuzo, kuyadingeka ukugqamisa umsebenzi omude (cishe izinyanga ezi-3), ukumelana namanzi.

Kunzima ukuthola izimpahla: zithengiswa ezitolo ezikhethekile futhi azihlali zitholakala. I-Dana Diabecare IIS ibiza cishe ama-ruble angama-70,000.

Ukubuyekezwa kochwepheshe nabanesifo sikashukela

I-Endocrinologists, abanesifo sikashukela esincike ku-insulin bakhuluma kahle ngokusetshenziswa kwamaphampu.

Iziguli ziphawula ukuthi ngenxa yamadivaysi angaphila impilo ejwayelekile: ukuzivocavoca, ukuhamba, ukusebenza futhi ungakhathazeki ngesidingo sokulinganisa amazinga eglucose futhi uphathe umuthi womuthi.

Okuwukuphela kwendlela edonsa ngayo ukuthi iziguli zibiza izindleko eziphakeme zamadivayisi anjalo nokuhlinzekelwa zona.

Odokotela baxwayisa ngokuthi kungenzeka ukuthi insiza isebenze kahle, ngakho-ke kwesinye isikhathi kufanele ukuthi uhlole izinga likashukela nge-glucometer.

Amavidiyo ahlobene

Mayelana nepompo yesifo sikashukela kuvidiyo:

Ngakho-ke, indlela yokuqala yesifo sikashukela isifo esinzima, esingelapheki. Ukuze uphile ngokuxilongwa okunjalo, udinga ukuphatha umthamo we-insulin kaningana nsuku zonke, sebenzisa i-glucometer njalo. Amadivayisi akhethekile ahambisa i-hormone ngokuzenzakalelayo kumthamo ofanele - amaphampu, enza lula ukwelashwa.

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