Izinto ezibalulekile zempompo ye-insulin: zibiza malini futhi uzithenga kuphi?

Isifo sikashukela yisifo esishintsha kakhulu indlela yokuphila ejwayelekile.

Ngemuva kokuthola ukuxilongwa, isiguli se-endocrinologist kumele silalele udokotela wakhe ngokucophelela futhi sinamathele kuzo zonke izincomo zakhe.

Kubalulekile ukunaka ukuthi ukuze unikeze i-insulin ebalulekile emzimbeni wesiguli, udinga ukuthola ithuluzi elikhethekile elibizwa nge-insulin pump. Le divayisi ithathwa njengokuthatha indawo engabizi yamapeni wesirinji kanye nesirinji.

Isebenza futhi ihambise umuthi ngokuqhubekayo, okuyinzuzo yayo eyinhloko ngaphezu kwemijovo elula ye-hormone yamanyikwe emvelaphi yokufakelwa.

Ngezansi kunolwazi mayelana nalomkhiqizo. Ngakho-ke udinga noma yiziphi izinsiza zephampu yakho ye-insulin noma cha?

Ama-Diabetes Akulukhuni Ukufakwa Ngaphansi Kwamasistimu

Kuyadingeka ukuthi unake iqiniso lokuthi ukuphathwa okubandakanya izidakamizwa ekwelapheni isifo sikashukela kuvame ukusetshenziswa ezimweni ezinzima nasongela impilo lapho izinga lokuvuselela ushukela egazini linqunywa yizimpawu ezibalulekile. Njengoba wazi, izimo ezinjalo ezisongela impilo ziphawulwa nge-hypoglycemic, ketoacidotic, hyperosmolar coma.

Amaconsi ngenxa yokuphazamiseka okuyingozi kwe-carbohydrate metabolism nawo anqunywe lapho kulungiselelwa ukungenelela okusebenzayo kanye nokudla kwabazali ekunakekelweni okukhulu.

Faka isicelo sokwelashwa kokufaka ukuze uvikele futhi welaphe izinkinga ngokusebenza kwemithambo yegazi. Kakhulu lokhu kusebenza kulezo zifo ezivela ngemuva kwesizinda sesifo sikashukela salezi zinhlobo zombili.

Iphampu ye-insulin

Lokhu kugula kufaka i-polyneuropathy, i-retinopathy, kanye nokuvela kwama-cholesterol plaque emithanjeni yemithambo yegazi. Ukwelashwa kokufakwa kuyadingeka ukuvikela i-thrombosis, kanye nezinye izinhlobo ze-angiopathy.

Izinzuzo eziphambili zephampu ye-insulin ifaka okulandelayo:

1. ukwethulwa okwenziwe ngamanani amancane we-hormone yokufakelwa kwe-pancreatic;
2. asikho isidingo esiphuthumayo sokunikeza imijovo ye-insulin eyengeziwe.

• ipompo - lowo obizwa ngokuthi yipampu, okhipha izingxenye zehomoni yamanyikwe asuka ngokuhlangana ngokuhlangana nekhompyutha;
• ikhareji elibekwe ngaphakathi kwensiza - indawo yokugcina umuthi;
• isethi yokufaka, equkethe i-cannula yokufakelwa ngaphansi kwesikhumba namabhubhu ambalwa wokuxhuma kwayo nesixhumi;
• amabhethri

Kufanele kuqashelwe ukuthi amadivaysi amasha ancane ngosayizi, futhi ngosayizi afana ne-pager. I-Synthetic pancreatic hormone ingeniswa kancane kancane emzimbeni ngama hoses amancane.

Yikokugcina okusixhumanisi phakathi kwendawo yokugcina amanzi ne-insulin ngaphakathi kwesisetshenziswa esinamafutha angaphansi. Indawo yomkhiqizo, okufaka phakathi idamu kanye ne-catheter, ibizwa nge- "infusion system."

Isiguli sakhe siyadingeka ukuba siguquke njalo ezinsukwini ezintathu. Ngasikhathi sinye, ngokushintshwa kohlelo lokufakwa, indawo lapho kunikezwa khona ama-hormone kumele iguqulwe njalo.

I-cannula eyenziwe ngeplastiki kufanele ibekwe ngokungaxhamazeli ezindaweni ezifanayo lapho i-hormone ihlinzekwa indlela yomjovo elula futhi engabizi.

I-Ultra-iDemo-insulin substitutes yethulwa kusetshenziswa iphampu. Kepha kwezinye izimo, kusetshenziswa i-insulin esebenza ngokufushane. I-hormone ikhiqizwa ngamanani aphansi kakhulu, cishe kumilinganiso wamayunithi angama-0,025.

Inani lezidakamizwa lincike kwimodeli yedivayisi. Ekwelapheni ukuphazamiseka kwe-carbohydrate metabolism usebenzisa idivaysi okukhulunywa ngayo, kusetshenziswa kuphela ama-enzymes e-ultrashort we-pancreatic hormone yabantu.

Ngaphezu kwalokho, isixazululo esivela kwimpompo sinikezwa ohlelweni lokujikeleza kwegazi, kodwa ngamanani amancane. Ukudalwa kwenzeka cishe ngokushesha.

Kuyadingeka ukuthi unake iqiniso lokuthi ezigulini ezine-endocrinologists, ukuguquguquka kwamazinga kashukela kuvame ukwenzeka ngokunembile ngenxa yezinguquko ezilinganisweni zokufakwa kwe-insulin isikhathi eside.

Iphampu iyakwazi ukuqeda ngempumelelo le nkinga, ebhekwa njengenzuzo yayo eyinhloko. Ama-insulin asebenza ngokufushane, adingekayo kwimpompo enjalo, anomphumela ozinzile.

Phakathi kwezinye izinzuzo zokusebenzisa le phampu ye-insulin:

1. Ukunemba metering okuphelele nokubiza okuncane. Iqoqo lomthamo olandelayo kumaphampu wamamodeli wanamuhla umakwe negxathu lama-PIECES angu-0, kuyilapho amapeni wesirinji enentengo yokuhlukanisa engu-0.5 - 1 IZITHOMBE. Izinga lokungeniswa kwe-insal insulin lingashintshwa uma lifiswa;
2. inani lama-punctures lehliswa kaninginingi, ngoba uhlelo lokungenisa lufuna ushintsho cishe cishe njalo ezinsukwini ezimbalwa;
3. iphampu ikuvumela ukubala ngokunembile umthamo we-insulin. Kulokhu, isiguli se-endocrinologist kumele sinqume ngokuzimela imingcele yaso yomuntu siqu: uzwela we-hormone wamanyikwe wemvelaphi yokufakelwa, kuya ngesikhathi sosuku, i-carbohydrate coeffnty, iphesenti lokuhlaselwa ushukela. Kumele azingene kulolu hlelo. Kungemva kwalokhu kuphela, uhlelo ngokuzimela lubala umthamo odingekayo we-insulin, kuya ngemiphumela yezinga le-glucose ngaphambi kokudla ngokuqondile nokuthi ingakanani i-carbohydrate ehlelelwe ukuthi idliwe esikhathini esizayo esiseduze;
4. uma ufisa, iphampu ingaguqulwa ukuze umthamo we-bolus wesidakamizwa ungalawulwa ngokushesha, kepha usatshalaliswa esikhathini esithile. Lo msebenzi uyadingeka uma umuntu onesifo sikashukela esebenzisa kakhulu ama-carbohydrate ahamba kancane. Imvamisa kuzoba wusizo emikhosini emikhulu;
5. ukuqapha njalo ushukela emzimbeni ngesikhathi sangempela. Uma inkomba idlula yonke imikhawulo efanelekile, lapho-ke ipompo isayina lokhu esigulini. Amamodeli wakamuva wedivayisi angaba ukubala ijubane lokuphathwa kwezidakamizwa ngokwabo ukubuyisa ushukela kokujwayelekile. Isibonelo, ngokwehla okuqinile kulesi sikhombisi, idivaysi ikuvimba ngokuphelele ukuhamba komuthi.

Kits zokusetshenziswa for amaphampu insulin

Okwamanje, lezi zithandwa kakhulu zazo:

1. I-Accu-Chek Umoya Combo. Le setha livela kumenzi waseSwitzerland. Siqukethe: isembozo sebhethri eyodwa, i-adaptha eyodwa, ukhiye nebhethri. Kudingeka i-adaptha ukuxhuma i-cartridge. Idinga ukuguqulwa kanye ezinyangeni ezimbili;
2. I-Medtronic Paradigm. Kule divayisi, uhlelo lokufakwa kochungechunge lwePARADIGM luyasetshenziswa. Uhlelo olusetshenziswayo lusetshenziselwa ukuphathwa kwe-insulin. Isethi iqukethe i-cannula ethambile engu-9 mm ubude, ishubhu enento yokuxhuma ipulaki;
3. I-Medtronic MiniMed Paradigm. Ikhithi ifaka amadamu okugcina ama-insulin kanye namasethi wokungenisa ukulethwa kwe-pancreatic hormone;
4. I-Medtronic Paradigm Veo. Ama-Enlight kanye ne-glucose sensors ayenziwa asebenze, aqondiswe emzimbeni esebenzisa amadivaysi wokufaka futhi asebenze ngokubambisana ne-transmitter (transmitter);
5. I-Medtronic MiniMed Paradigm REAL-Isikhathi. Kulesi sisetshenziswa, ngeke kube yisidina ukuthenga iphakethe elikhethekile lokugeza.

Imigomo nemibandela yesitoreji

Lapho uthenga izinto zokusebenzisa amaphampu we-insulin, khumbula ukuthi akufanele usebenzise imikhiqizo ephelelwe isikhathi. Kubalulekile ukunaka usuku lokukhiqiza.

Intengo yokudla, lapho uku-oda nokuthenga khona

Njengoba wazi, izindleko zokusetshenziswa ziphansi kakhulu kunentengo yamaphampu we-insulin. Izindleko ziyahlukahluka kusuka kuma-ruble ayi-100 kuye kwangama-800.

Izinaliti, amasethi wokungenisa, ama-cartridge, amashubhu wokunwebeka wohlelo lokungenisa - konke lokhu kuyatholakala kubo bonke abanesifo sikashukela.

Ungawathengela amadivaysi nezinto ezidliwayo kuzo zombili ezitolo eziku-inthanethi nakumakhemisi.

Amavidiyo ahlobene

Ukubuka konke kwezinhlelo zokufakwa kwe-Medtronic kuvidiyo:

Amaphampu we-insulin angamadivayisi anamuhla angenza lula impilo enzima yabanesifo sikashukela. Ukubukeka kwabo sekuguqukele ekuphathweni kwesifo sikashukela. Kepha, udinga ukunaka ukuthi lawo madivayisi abiza kakhulu.

Kungenxa yalesi sizathu ukuthi akuzona zonke iziguli ze-endocrinologists ezingathola le divayisi elula futhi ewusizo. Ngenxa yezinhlobo ezahlukahlukene zemikhiqizo nezinto ezidliwayo, wonke umuntu angazikhetha ngokwamandla abo wezezimali.