Pampu za insulin > Chithandizo ndi kupewa

"Insulin Pump" ndi zida zing'onozing'ono zomwe zimagwira ntchito mwachangu mkati mwa maola 24. Zipangizo zamakono ndizochepa kwambiri ndipo zimabayira insulin kudzera mu chubu chopyapyala (catheter) ndi singano pansi pa khungu la wodwalayo.

Pampu ya insulini ndi njira yina yopangira jakisoni wambiri tsiku lililonse ndi cholembera cha insulin kapena cholembera cha insulin ndipo amalola kuti insulini ichite bwino ngati imagwiritsidwa ntchito limodzi ndi kuwunika kwa shuga ndi kuwerengera kwa chakudya.

Mpaka pano, pampu ya insulin padziko lonse lapansi imadziwika kuti ndiyo njira yabwino kwambiri yothandizira odwala matenda a shuga. Mu sitolo yathu yapaintaneti timapereka mapampu okha opanga odziwika padziko lonse lapansi: Medtronic ndi Akku-Chek.

Wothandizira wabwino kwambiri pa matenda ashuga

Kachipangizo kakang'ono kwambiri kamene kamatha kupitiriza kukhala ndi shuga m'magazi kumatchedwa pampu ya insulin. Chifukwa cha kukhalapo kwa chida chachipatala ichi, moyo wathanzi wa matenda ashuga wazaka zilizonse umatheka. Zimakuthandizani kuti nthawi ndi nthawi mopweteka mupeze mlingo wabwino wa insulin m'thupi la munthu. Ndizothandiza kwambiri pa matenda ashuga omwe safuna jakisoni wokhazikika ndi syringe wa insulin kapena syringe yokhala ndi cholembera.

Zabwino zoponya

Ngati mumagula pampu ya insulin, imakupatsani:

Sinthani zochita zokha ndi kutsatira ma pompopompo a Medtronic MMT-722 ndi MMT-754,
Chikumbutso chomveka ndi chokhudza kugwedezeka kwa katemera wa insulin ndi nthawi ya jakisoni,
Sinthani ndikukonzekera kugwiritsa ntchito ma alarm omwe ali mkati,
Bwezeretsani ndi kudzikonza nokha kwa chipangizochi,
Kuteteza makonda ngati loko,
Kuthekera kotola chidziwitso chonse cha momwe wodwalayo aliri mukukumbukira kwa chipangizocho,
Kusunga ndi kusamutsa zomwe zasonkhanitsidwa ku kompyuta ndi intaneti.

Mwambiri, mtengo wa chipangizocho chimatengera mtunduwo, koma chifukwa cha kufunika kwa chipangizocho, chimadzilungamitsa.

Mitengo ndi malo ogulitsa mapampu a insulin ku St.

Kuti mudziwe momwe mungagule pampu ya insulin ku St. Petersburg pamtengo wotsika mtengo, gwiritsani ntchito ntchito yathu. Mupeza zogulitsa zotsika mtengo komanso zabwino zogwirizana ndi mafotokozedwe, zithunzi, malingaliro ndi ma adilesi. Mitengo ndi mashopu amitengo yotsika mtengo amatha kupezeka patsamba lathu la intaneti la katundu wa St. Petersburg, komanso kudziwa komwe mapampu a insulini amagulitsidwa kwambiri ku St. Ngati mukuyimira kampani kapena sitolo, onjezani zinthu zanu zaulere.

MiniMed Paradigm Real-Time insulin pump ndi MMT-722 pulogalamu yowunikira mosalekeza (pulogalamu yosinthira)

Kodi chitsimikizo cha insulin yanu chikutha kapena pampu wasweka, koma mlandu si chitsimikizo?
Pezani mwayi ndi pulogalamu yapadera yosinthana.
Pulogalamu yosinthana imakupatsirani kuti musinthanitse ndi pampu ya insulin yakale kuti mukhale yatsopano, pamtengo wapadera.

Insulin Dispenser (Pump) Medtronic Paradigm PRT (Paradigm Real Time) ndi kachipangizo kakang'ono kakang'ono kwambiri kokhala ndi chidebe cha insulini kumapeto. Catheter imalumikizidwa kusungira; cannula ya catheter imayikidwa pang'onopang'ono pogwiritsa ntchito chipangizo cha Quick kapena Sil Serter. Pogwiritsa ntchito mota yama piston yomangidwa, pampu imatulutsa insulini mogwirizana ndi pulogalamu yomwe idalowe kale.

Accu-Chek Combo imayang'anira njira yogwiritsira ntchito shuga wamagazi ndikuthekera kwa kayendetsedwe ka insulin (malinga ndi pulogalamu yosinthira)

Kodi chitsimikizo cha insulin yanu chikutha kapena pampu wasweka, koma mlandu si chitsimikizo?
Pezani mwayi ndi pulogalamu yapadera yosinthana.

Pulogalamu yosinthana imakupatsirani kuti musinthanitse ndi pampu ya insulin yakale kuti mukhale yatsopano, pamtengo wapadera.

Mtengo wa pampu mukamapereka ndalama ku malo ogulitsira ndi 70,000₽

Wovala insulin dispenser AKKU-CHEK Mzimu Combo (wopanda Akku-Chek Performa Combo woyang'anira gulu la glucometer)

Pampu ya insulin Chida chachipatala chothandizira kuperekera Insulin pochiza matenda a shuga a mellitus, omwe amadziwikanso kuti insulin.

Pampu ya insulini ndi njira imodzi yopangira jakisoni wambiri tsiku ndi tsiku ndi insulini kapena cholembera cha insulin ndipo amalola kuti insulini ichite bwino ngati imagwiritsidwa ntchito molumikizana ndi kuwunika kwa shuga ndi kuwerengera kwa chakudya chamagulu.

Pampu ya insulin sikugwiritsa ntchito insulin yokwanira. Monga basulin insulin, insulin yaifupi kapena ya ultrashort action imagwiritsidwa ntchito.

Pampu ya insulin imapereka mtundu umodzi wa insulin yochepa kapena yocheperako-pang'onopang'ono m'njira ziwiri

bolus - mlingo womwe umaperekedwa chakudya kapena kukonza shuga wambiri.
mlingo woyambira umaperekedwa mosalekeza ndi Msamba wosinthika kuti upereke zofunika za insulin pakati pa chakudya ndi usiku.

Wogwiritsa ntchito pampu ya insulin amatha kutanthauzira mawonekedwe amtundu wa insulin yochepa kapena ya ultrashort posankha mawonekedwe a bolus. Wogwiritsa ntchito aliyense angathe kuyesa mitundu ya mabotolo kuti adziwe njira yabwino yazakudya zamtundu uliwonse ndikuthandizira kuwongolera kuchuluka kwa shuga m'magazi ndikusintha mawonekedwe a bolus pazosowa zawo.

Yoyambira yokhazikika - munthawi yomweyo makonzedwe a insulin. Izi zimakhala ngati jekeseni. Pankhani ya fomu "yotchulidwa", iyi ndiye kuperekera mwachangu kwa inshuwaransi yamtunduwu wa insulin. Bolus yokhazikika imakhala yabwino kwambiri ndi zakudya zamafuta kwambiri, zomanga thupi zochepa komanso zamafuta ochepa, chifukwa zimabweza shuga m'magazi anu mwachangu.

Chotetezera - pang'onopang'ono, nthawi yogawa insulin. Kulowetsa tinthu tating'onoting'ono ”kumapewetsa insulini yambiri, yomwe imalowera m'magazi ndikuyambitsa shuga m'magazi isanayendetse magazi kulowa m'magazi. A lalikulu bolus limawonjezera nthawi ya insulin zochita poyerekeza ndi pafupipafupi. Malo okwanira lalikulu ndi oyenera kudya omwe ali ndi mapuloteni ambiri komanso mafuta (steaks, etc.), omwe amawonjezera shuga wamagazi kwa maola ambiri kuyambira poyambira kukhazikitsa. Bolodi ya mraba imathandizanso kwa anthu omwe amatha kupukusa pang'onopang'ono (mwachitsanzo, odwala omwe ali ndi gastroparesis).

Bolus Yachiwiri / Multiwave Bolus - kuphatikiza kwa bolus imodzi yokhazikika ndi bolus lalikulu. Fomuyi imapereka insulin yayikulu koyamba ndipo kenako imatulutsa gawo lomaliza la insulin. Malo ophatikizira kawiri ndi oyenera zakudya zamafuta ambiri komanso chakudya, monga pizza, pasitala wokhala ndi msuzi wamafuta ndi keke ya chokoleti.

Super bolus - njira yowonjezerapo kanthu pachimodzimodzi pa bolus yokhazikika. Popeza kuchitapo kanthu kwa insulin m'magazi kumatha maola angapo, kupatsa insulin panthawi imeneyi kuyimitsidwa kapena kuchepetsedwa. Izi zimathandizira "kukhathamiritsa" kwa insulin insulin komanso kuphatikizika kwa phokoso la chibowo, chifukwa chomwe insulin yonse imaperekedwa, koma ndi kuchitapo kanthu mwachangu kuposa momwe zingathekere ndi munthawi yomweyo komanso munthawi yomweyo. Super-bolus ndi yothandiza pamitundu ina ya chakudya (mwachitsanzo, chimanga chotsekemera cham'mawa), pambuyo pake pamakhala chiwopsezo chachikulu m'magazi a shuga. Amayankha kuchuluka kwa shuga m'magazi ndikutulutsa kwa insulini mwachangu kwambiri, komwe kumatheka pogwiritsa ntchito pampu.

Mbiri yakuzizira kwa insulin masana imatha kuthandizidwa pazosowa za wogwiritsa ntchito pampu.

Kuchepetsa mlingo woyambira usiku kuteteza shuga ochepa wamagazi.
Kuwonjezeka kwa basal dozi usiku kuti athane ndi shuga yambiri.
Onjezani mankhwalawa m'mawa kwambiri usiku kuti muchepetse shuga yayikulu chifukwa chodabwitsika m'mamawa mwa akulu ndi achinyamata.
Muzotsatira zoyenera musanachite masewera olimbitsa thupi, monga masewera olimbitsa thupi.

Kukhazikika kwa Basal Dose

Kufunika kwa insulin ya basal kumasiyana ndi munthu komanso nthawi ya tsiku. Mlingo woyambira wa nthawi yotsimikiza umatsimikiziridwa ndi kusala kudya ndi kusanthula kwakanthawi kwamasamba amwazi. Zakudya ndi bolus insulin siziyenera kutumikiridwa panthawi yakuwunika komanso ochepera maola 4 isanachitike. Ngati mulingo wambiri wamagazi umasinthasintha kwambiri pakuwunikira, mlingo woyambira wa basal ukhoza kusinthidwa kuti uwonjezere kapena muchepetse kupezeka kwa insulini ndikukhala ndi shuga wokhazikika m'magazi.

Mwachitsanzo, kuti adziwe kufunika kwa m'mawa kwa insulin, munthu ayenera kudumphira chakudya cham'mawa. Kuyambira nthawi yomwe mumadzuka, muyenera kuyeza kuchuluka kwa shuga m'magazi musanadye chakudya chamadzulo. Kusintha kwa shuga m'magazi kumatha chifukwa chosintha mlingo woyambira wa m'mawa. Mchitidwewu umabwerezedwa kwa masiku angapo, nthawi yosala kudya ikusintha mpaka mawonekedwe a maola 24 atapangidwa omwe amasunga shuga yotsika magazi osasunthika. Doal basal ikakwaniritsa kufunika kwa insal insulin pamimba yopanda kanthu, wogwiritsa ntchito pampu amatha kusinthika kapena kusuntha chakudya, mwachitsanzo, kugona nthawi yayitali kumapeto kwa sabata kapena kugwira ntchito yowonjezera masabata.

Zambiri zimatha kusintha kufunika kwa insulin ndikufunika kusintha kwa basal mlingo:

kufa kosalekeza kwa maselo a beta atazindikira kuti ali ndi matenda a shuga 1
Kukula kumachulukirachulukira, makamaka mukamakula
kulemera kapena kuchepa
mankhwala omwe amakhudza insulin sensitivity.
kusintha pakudya, kugona, kapena kuchita masewera olimbitsa thupi
utachepa hyperglycemia ulamuliro
kutengera nthawi ya chaka.

Wogwiritsa ntchito ayenera kudziwitsidwa ndi dokotala kuti ayenera kudziwa mtundu woyambira musanayambe mankhwala ndi pampu. Mlingo woyambira woyambira Popeza insulin ya basal imaperekedwa mwa mtundu wa insulin yofulumira, kuchuluka kwake kumatha kuwonjezeka msanga kapena kuchepetsedwa monga kumafunikira pogwiritsa ntchito mankhwala osakhalitsa a basal. Zitsanzo za momwe izi ndizothandiza:

Paulendo wawutali pagalimoto, pamene insulin yochulukirapo imafunikira chifukwa chosowa zolimbitsa thupi.
Nthawi yochita masewera olimbitsa thupi komanso pambuyo povomerezeka ndi masewera, pomwe thupi lifunika insulin yochepa.
Pa nthawi ya matenda kapena nthawi yovutikira, pomwe choyambira chikukula chifukwa cha kukana insulini.
Pamaso pa ma ketones m'magazi, pamene insulin yowonjezera ikufunika.
Pa nthawi ya msambo, pamene insulin yowonjezera ikufunika.

Ubwino wogwiritsa ntchito mapampu a insulin

Ogwiritsa ntchito pampu anena za kusintha kwa moyo wawo poyerekeza ndi zida zina zoperekera insulin (mwachitsanzo cholembera). Kusintha kwa moyo kwadziwika kwa odwala omwe ali ndi matenda ashuga a mtundu 1 komanso odwala 2 omwe amadalira matenda a shuga omwe amagwiritsa ntchito mapampu.
Kugwiritsa ntchito insulini yochepa kwambiri posakhalitsa pazofunikira zazikulu kumapereka ufulu wochepetsedwa kuchokera kuzakudya zophatikizidwa komanso masewera olimbitsa thupi omwe kale amafunikira kuti azilamulira shuga pogwiritsa ntchito insulin yayitali.
Ogwiritsa ntchito pampu ambiri amawona kuti kuperekera Mlingo wa insulin kuchokera pampompo ndikosavuta ndipo sikuwoneka bwino kuposa jakisoni.
Mapampu a insulini amakupatsani mwayi kuti mupereke insulin yolondola kwambiri kuposa jakisoni ndi syringe kapena cholembera. Izi zimathandiza kuwongolera bwino kuchuluka kwa shuga m'magazi, kuchepetsa mwayi wokhala ndi zovuta zokhudzana ndi shuga. Izi zikuyembekezeka kuchititsa kuti ndalama zitalizitali zizigwirizana ndi jakisoni tsiku lililonse.
Mapampu ambiri “anzeru” amakono ali ndi ntchito ya "bolus assist" yomwe imawerengera kuchuluka kwa insulini, poganizira kuchuluka kwa chakudya, kuchuluka kwa shuga m'magazi ndi insulin yoyamba yomwe idayamba kugwira ntchito.
Mapampu a insulini amatha kupereka chidziwitso cholondola cha insulin kudzera pa menyu yankhani. M'mapampu ambiri a insulin, nkhaniyi ikhoza kutsitsidwa pamakompyuta ndikuyipereka ngati graph kuti ifotokozere zomwe zikuchitika.
Neuropathy ndimavuto akulu a shuga omwe amalimbana ndi chithandizo chamankhwala. Pali malipoti akuchepetsa kapena ngakhale kuzimiririka kwathunthu kwa kupweteka kwakanthawi kwa neuropathic chifukwa chogwiritsa ntchito mapampu a insulin.
Ntchito yaposachedwa pakugwiritsa ntchito mapampu a insulini a matenda a shuga a 2 ikuwonetsa kuwongolera kwakukulu mu HbA1c, kugonana, ndi kupweteka kwa mitsempha.

Zovuta zakugwiritsa ntchito mapampu a insulin

Mapampu a insulin, ma reservoirs, ndi ma infilates amakhala okwera mtengo kwambiri kuposa ma syringe kapena ma syringe penent a insulin.

Pampu za insulin zikugwiritsa ntchito kwambiri padziko lonse lapansi chifukwa cha:

kumasuka kwa jekeseni wa insulin ingapo kwa anthu omwe amagwiritsa ntchito intulin Insulin Therapy
kuperekera molondola kwa mabotolo ochepa kwambiri, komwe ndikofunikira kwa ana
chilimbikitso chokulira pakati pa madotolo ndi makampani a inshuwaransi chifukwa chochepetsedwa pamavuto obwera kwanthawi yayitali
Njira zowunikira shuga zatsopano Zipangizo zatsopano zimafuna madontho ang'ono amwazi, kotero kupaka chala ndi lancet kumakhala kochepa komanso kopweteka. Zida izi zimathandizanso kutsata mitundu yosiyanasiyana ya zitsanzo pamasampulu ambiri, chifukwa cha zitsanzo zopanda ululu. Izi zimapangitsa kuti pakhale kufunika kwama sampuli zama shuga ochulukirapo kuchokera kwa ogwiritsa ntchito pampu.
Kuthandizira chiwonetsero cha gulu la njira yosinthira kugwiritsa ntchito mapampu a insulin m'masewera (kuphatikizapo zochitika zam'madzi) komanso masewera olimbitsa thupi. Thandizo la akatswiri limapezeka m'magulu odwala komanso m'mabuku. Pampu imakulolani kuphatikiza insulin pang'ono kuchokera pampu komanso insulin pang'ono kuchokera ku insulin yowonjezera, mwachitsanzo, Lantus ndi Levemir. Njira imeneyi yadziwika ndi dzina loti Asamagwiritsidwe.

insulin yotsalira: Kutengera ndi nthawi komanso kuchuluka kwa bolus yomaliza, pulogalamu yamapompo imawerengera insulin yomwe ili m'magazi ndikuwonetsa mtengo wake pawonetsero. Izi zimathandizira njira yoyendetsera bolus yatsopano musanathe mphamvu ya bolus yapita, ndipo potero imathandiza wosuta kupewa kubwezera kwambiri shuga yayikulu ndimalovu osafunikira
makina owerengera: Pulogalamu yamapampu imakuthandizani kuwerengetsa mlingo wa insulin yanu yotsatira. Wogwiritsa ntchito amalowa m'magalamu kuchuluka kwa chakudya chofunikira kudya, ndipo "wothandizira" wapadera amawerengera kuchuluka kwa insulini. Pankhaniyi, kuchuluka kwa glucose komaliza ndi insulin yotsalira imayang'aniridwa ndipo mulingo wabwino kwambiri wa insulini umaperekedwa, womwe umavomerezedwa ndikulowetsedwa ndi wogwiritsa ntchito
ma alarm azikhalidwe: Pompo imatha kutsata zochitika zosiyanasiyana masana ndikuwachenjeza ogwiritsa ntchito ngati zomwe akuyembekezera sizinachitike. Zitsanzo za Zochita: chosowa chakumwa musanadye chakudya cham'mbuyo, kuyesedwa kwa shuga m'magazi, kuyesa kwatsopano kwa shuga m'magazi 15 patatha zotsatira zoyeserera zochepa za glucose wamagazi, ndi zina.
kulumikizana ndi kompyuta yanu: kuyambira kumapeto kwa ma 1990, mapampu ambiri amatha kulumikizana ndi PC kuti athe kuwongolera ndikusungitsa zoikamo mpope ndi / kapena kutsitsa deta kuchokera pampompo.Izi zimapangitsa kusuntha kwa deta ndikupereka kuphatikiza ndi mapulogalamu othandizira a shuga.

Pampu ya insulin: ndi chiyani?

Kuti muyambe kulingalira mwatsatanetsatane nkhaniyi ndiyenera mwachindunji kuchokera pazomwe zimagwirira ntchito. Pampu ya insulin ndi chida chapadera chomwe chimapereka mahomoni molingana ndi algorithm yomwe yapatsidwa. Mbali yake yosiyanitsa ndikuyambitsa zinthu.

Chipangizocho chili ndi magawo atatu:

mwachindunji pampu (pa / mkati mwake mumayang'anira ndipo chipinda cha mabatire chimayikidwa),
insulin insulin (itha kusinthidwa)
kulowetsedwa (imaphatikizapo: cannula - imayikidwa pansi pa khungu: machubu angapo omwe zinthu zimaperekedwa).

Zipangizozi sizimangopereka thupi ndi mahomoni, komanso zimangoyang'anira kuchuluka kwa shuga m'magazi. Izi, zimamulola kuti apereke kuchuluka kwa insulini yomwe ikufunikira pakali pano.

M'malo mwake, pampu ya insulin imayamba kugwira ntchito yamatumbo a pancreatic. Kuphatikiza pa chifukwa ichi, odwala omwe ali ndi matenda ashuga amadziwika ndi kugwiritsa ntchito chipangizochi poyerekeza ndi syringes. Tsopano muyenera kuganizira zabwino za chipangizochi.

Choyamba, odwala ambiri amati ali ndi moyo wosintha kwambiri atasinthira kukhala pampu ya insulin. Izi zikugwirizana ndi zinthu zitatu. Choyamba, munthu amene ali ndi zida zotere safunika kuyang'anitsitsa mtundu wa mayendedwe a mahomoni. Ndikokwanira kwa iye kungodzaza thanki mu nthawi kapena kusintha ina.

Kachiwiri, chifukwa cha kuchuluka kwa shuga m'magazi, kufunika kotsatira zakudya zolimba kumachepetsedwa. Ngakhale shuga atakwera kwambiri mutatha kudya, pampuyo imazindikira izi kenako ndikupatsa insulini moyenerera.

Chachitatu, chipangizocho chimapatsa thupi mphamvu yofananira yokhala ndi mahomoni.

Amalumikizidwa bwino ndi thupi, chifukwa chake sizoyambitsa zosasangalatsa. Pampu ndiye njira yokhayo yothetsera vuto la shuga monga neuropathy. Itha kukula ndi jakisoni wa insulin kulowa mthupi.

Mukasinthira ku kayendetsedwe ka hormone mothandizidwa ndi pampu, kuchepa kwakukulu kwa mawonekedwe a neuropathy kumawonedwa, ndipo nthawi zina zomverera zowawa zimatha.

Chachiwiri - wodwalayo ayenera kutsatira malamulo ena akavala. Izi ndikuti tilewe kuwononga chipangizocho mwangozi.

Chachitatu, zamagetsi zama pampu zimatha kulephera. Komabe, kuthekera kwotsirizira sikuli kwambiri.

Mitundu yamakono ya zida zotere imakhala ndi njira yodziyesa yomwe imasanthula nthawi zonse za zigawo za zinthu. Muzipangizo zina, gawo lina lama kompyuta limapangidwira cholinga ichi.

Zowonetsa za mitundu yotchuka ya zida za matenda ashuga ndi ntchito zawo

Zosankha zamapampu osiyanasiyana ndizogulitsa. Chifukwa cha izi, wodwala wofuna chida chotere amatha kutayika pamitundu yosiyanasiyana yotere. Kuti mupange chisankho, mutha kusankha njira 4 zotchuka kwambiri.

Omnipod ndi kachipangizo kamene kamasiyana posonyeza kuti palibe timachubu. Ndi kachitidwe kachigamba. Izi zimapereka ufulu wambiri kuchitapo kanthu. Ndipo Chofunika kwambiri - thankiyo ndiyotetezedwa ku chinyezi, kuti muthanso kusamba nayo.

Kuwongolera kumachitika kudzera mu mawonekedwe apadera okhala ndi mawonekedwe. Komanso, chipangizocho chimatha kudziwa zambiri za kuchuluka kwa shuga ndikusunga zofunikira pakuwunika kwotsatira.

Medtronic MiniMed Paradigm MMT-754

Chipangizo china MMT-754 ndi chimodzi mwazodziwika bwino kwambiri kuchokera ku Medtronic. Amapangidwa ngati mawonekedwe a pager. Pompo ili ndi chophimba cha LCD chaching'ono kuti chisonyeze chidziwitso chofunikira.

Mosiyana ndi Omnipod, chipangizochi chili ndi dzanja limodzi. Amapereka insulin kuchokera kuchosungira. Zizindikiro za kuchuluka kwa shuga, zimasinthidwa popanda zingwe. Kwa izi, sensor yapadera imalumikizidwa padera ndi thupi.

Accu-Chek Mzimu Combo

Acu-Chek Mzimu Combo - wofanana ndi MMT-754, koma ali ndi kayendedwe kanthawi komwe amalumikizana ndi mpope kudzera pa Bluetooth. Pogwiritsa ntchito, mutha kuwerengera kuchuluka kwa insulin popanda kuchotsa chida chachikulu.

Monga zida zam'mbuyomu, imatha kudula mitengo. Chifukwa cha iye, munthu amatha kuwona zokhudzana ndi kumwa kwa insulini komanso kusintha kwa shuga m'masiku 6 apitawa.

Dana Diabecare IIS

Dana Diabecare IIS ndi chipangizo china chotchuka. Imatetezedwa ku chinyontho ndi madzi. Wopanga akuti ndi pampu iyi mutha kulowa pansi mpaka mamita 2.4 popanda kuvulaza zamagetsi.

Makina owerengera amapangidwira, ndikukulolani kuwerengera kuchuluka kwa insulini yomwe imayendetsedwa molingana ndi kuchuluka ndi mawonekedwe a chakudya chomwe mumadya.

Kodi pampu ya insulin imawononga ndalama zingati: mtengo mayiko osiyanasiyana

Mtengo wakewo umatengera mtundu. Chifukwa, mwachitsanzo, MINIMED 640G amagulitsidwa 230,000.

Mukasinthidwa kukhala ma ruble aku Belarusi, mtengo wa pampu ya insulin uyambira 2500-2800. Ku Ukraine, izi, zida zoterezi zimagulitsidwa pamtengo wa 23,000 hryvnia.

Mtengo wa pampu ya insulin umadalira makamaka pamapangidwe, magwiridwe, kudalirika kwa chipangizocho ndi wopanga.

Kodi munthu wodwala matenda ashuga angathe kupeza chipangizo kwaulere?

Ku Russia kuli zosankha zitatu: Nambala 2762-P ndi No. 1273 kuchokera ku Boma ndi No. 930n kuchokera ku Unduna wa Zaumoyo.

Malinga ndi iwo, odwala matenda ashuga ali ndi ufulu wodalira kulandira chida chilichonse mwaulere.

Koma madotolo ambiri sadziwa izi kapena samangofuna kusokoneza mapepalawo kuti wodwalayo apatsidwe pampu ya insulin potayira boma. Chifukwa chake, tikulimbikitsidwa kuti mudzalandire ndi zolemba za zikalata.

Ngati dokotala akukana, muyenera kufunsa a Dipatimenti ya Zaumoyo, ndipo ngati izi sizingathandize, pitani mwachindunji ku Unduna wa Zaumoyo. Ngati kukana kwalandiridwa m'magawo onse, pulogalamu yoyenera iyenera kutumizidwa ku ofesi ya wotsutsa pamalo omwe akukhalamo.

Makanema okhudzana nawo

Kodi pampu ya insulini imawononga ndalama zingati komanso kuti musankhe bwino:

Pampu ya insulin ndi chida chomwe sichosavuta kugwiritsa ntchito, komanso chothandiza pa thanzi la wodwala yemwe ali ndi matenda ashuga. Chifukwa chake, tikulimbikitsidwa kukhala nacho pafupifupi odwala matenda ashuga onse.

Chokhacho chomwe chingakulepheretseni kugula ndiye mtengo wake wokwera. Koma, monga tafotokozera pamwambapa, ku Russia chipangizochi chitha kupezeka kuphatikiza kwaulere.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Mapindu ake

Pampu ya insulin ya shuga imakhala ndiubwino pakukhazikitsa insulin kuchokera ku syringe. Izi ndi zabwino zazikulu:

Chipangizocho chimakonzedwa payokha kutengera zosowa za thupi.
Palibe chifukwa chothandizira kuperekera jakisoni nthawi zonse.
Glucometer yomangidwa imapangitsa kuti azitha kuyendetsa shuga.
Chipangizocho chimasunga kuchuluka kwa shuga.

Mukakhazikitsa chipangizochi, thupi limalandira Mlingo wofunika wa insulin munthawi yake popanda kuchitapo kanthu. Ndi yaying'ono komanso yosavuta kunyamula. Ngati ndi kotheka, kuperekedwa kwa insulin kumatha kuzimitsidwa kwakanthawi.

Makolo ayenera kugulira ana mapampu a insulin. Izi zimathandizanso kuwongolera kayendedwe ka mankhwalawa ndikupulumutsa mwana ku majekeseni osalekeza.

Komwe mungagule pampu ya insulin kwa odwala matenda ashuga

Mu malo ogulitsira a DiaChek, mutha kugula zida kuchokera kwa opanga awiri:

Palinso zida ndi zinthu zofunika pantchito yawo. Timapereka zopezeka ku Moscow, St. Petersburg komanso ku Russia konse.

Mtengo wa mapampu a insulin wowunika umatengera mtundu ndi zida. Tili ndi pulogalamu yogulitsa. Malinga ndi pulogalamuyi, mutha kutembenuza chipangizo chakale ndikupeza kuchotsera pakugula chatsopano.

Kodi pampu ya insulin imagwira ntchito bwanji

Chipangizocho chimapereka magawo ang'onoang'ono a insulin monga momwe thupi la munthu limakhalira mwanjira yachilengedwe: mlingo wokhazikika masana ndi usiku (basal insulin), komanso muyeso wowonjezereka panthawi ya chakudya. kudya zakudya. Wogwiritsa ntchito amatha kukonza pampu kuti apatsidwe mlingo wofunika wa basal ndi bolus kuti athe kuchuluka kwa chakudya chamagulu.

Kugwiritsa ntchito pampu ya insulin ndikosavuta: wosuta amaikonza pathupi ndi kulowetsedwa (chubu lakuthwa pulasitiki ndi singano kapena chubu chaching'ono chotchedwa cannula chomwe chimakwanira pansi pa khungu). Pompo imatha kuyikiridwa pamimba, matako, kapena ntchafu (tsamba lovinira).

Ubwino wa pampu ya insulin:

Pompo imalola wogwiritsa ntchito kukhala ndi moyo waufulu komanso wosangalatsa, osadandaula za kupezeka kwa insulin nthawi zonse, monga momwe zimakhalira ndi ma insulin.
Chipangizocho chimatha kusankhidwa malinga ndi momwe zimamangidwira (mwachitsanzo, kwa anthu apakati komanso akulu m'thupi, kwa ana).
Ndikosavuta kwa wogwiritsa ntchito kukonzekera milandu yantchito, zakudya, kuyenda komanso masewera.

Mkhalidwe wofunikira mukamagwiritsa ntchito pampu ya insulin ndikuyimitsidwa kwatsopano (tsiku lililonse 3-4, kutengera mtundu). Ngati mukufuna kugula zida zotsimikizira zamankhwala pamitengo yotsika mtengo, yang'anani chipangizo choyenera mu shopu ya intaneti ya Diabetes Control.