Kupangitsa moyo kukhala wosavuta ndi matenda ashuga: Mapampu a insulin a Medtronic ndi mapindu ake ogwiritsa ntchito

Ukadaulo wamakono wa Medtronic umalola anthu odalira insulin kuti azikhazikika pamisempha yawo ya shuga. Wopanga uyu ndiwachinayi pakati pa makampani apadziko lonse lapansi omwe amapanga zida zamankhwala. Zaka ziwiri zapitazo, odwala adakakamizidwa kugwiritsa ntchito jakisoni, zomwe zimabweretsa chisangalalo. Mapampu amakono a kampani ya Medtronic adapangidwa kuti azitha kuwunika mwadongosolo shuga.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Mfundo zoyendetsera chipangizocho

Pampu ya insulin ndi chipangizo chothandizira kutsanulira insulin pansi pa khungu. Mlingo wofunikira umalowetsedwa pasadakhale mu zoikamo. Mlingo wocheperako uli mpaka mayunitsi 0,01. mankhwala pa ola limodzi. Mankhwalawa amalowa kudzera mu kulowetsedwa. Pali mitundu iwiri yamankhwala:

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

• bolus
• basal.

Mtundu woyamba wa makonzedwe ndikuphatikizira kudyetsa thupi nthawi zonse musanadye. Mlingo umayendetsedwa modutsa musanadye, pogwiritsa ntchito "bolus assist." Wopereka moyo amapulumutsa wodwalayo majekeseni angapo patsiku. Malangizowo athandizira kukhazikitsa zofunikira, chifukwa chomwe bolus imatha kutulutsa zofunikira pobwerera.

Mtundu wachiwiri umafunika kukhazikitsidwa kwakanthawi pomwe mankhwalawo amalowetsedwa pakhungu. Mwachitsanzo kuyambira 8:00 mpaka 12:00 m'mawa, mlingo udzakhala magawo 0,03. pa ola limodzi, komanso kuyambira 13: 00-16: 00-0.02 mayunitsi. malo azachipatala. Mlingo umatengera kuzindikira kwa wodwalayo. Mwanjira imeneyi, kutacha kumayambukira kuyambitsa ma insulin.

Zabwino ndi Mapindu

Ubwino wogwiritsa ntchito mapampu a Medtronic ndi:

Chipangizocho ndichosavuta kuyigwiritsa ntchito kutali.

• chiwonetsero chachikulu
• kuthekera koongolera chipangizocho ndikuthokoza kwawongolero lapadera,
• makonzedwe osiyanasiyana a insulin,
• yosavuta komanso yosavuta kumamvetsetsa ndi malangizo,
• chikumbutso chomangirira wotchi pakufunika kofunikira pakuchiritsa

Zoyipa zamagwiritsidwe ntchito ka insulin zopangira ndi:

• mtengo wokwera wa chipangizocho (mtengo wogwira ndi ma ruble 6000 pamwezi),
• kuchepa kwamphamvu kwa zowoneka bwino,
• kuwonekera kwa thupi lawo siligwirizana,
• The zimachitika kutupa njira zam'mimba thirakiti.

Mapampu a Medtronic Insulin

Wophatikiza insulini imapereka dongosolo la insulin pansi pa epithelium yapakhungu. Pampu ndi chipangizo chothandiza kwambiri chokhala ndi "wothandizira" wopangidwira. Zimakupatsani mwayi kuwerengera ndendende kuchuluka kwake kofunikira pakukhazikitsa othandizira. Insulin imalowa m'thupi la wodwalayo ngati pakufunika komanso imalepheretsa matenda ashuga. Pampu za Medtronic zokha zomwe zimakhala ndi kupenda kwakanthawi koloko kwamawonekedwe a shuga. Kuchita bwino kwa chipangizocho kwatsimikiziridwa ndi maphunziro ambiri azachipatala. Mndandanda wamapampu otchuka kwambiri a Medtronic: mmt 715, 522, 554, 754, mmt 722, komanso Real Time Paradigm 722/522 ndi VEO 754/554 Paradigm.

Zizindikiro ndi contraindication

Chida cha Medtronic chilipo kwa odwala aliwonse omwe ali ndi matenda ashuga. Koma pali zisonyezo za adotolo, komwe ndikofunikira kugwiritsa ntchito insulin dispenser. Mwa zina mwa zomwe pali zizindikirozi ndi izi:

• shuga wamagazi osakhazikika
• Kukonzekera kutenga pakati kapena ngati mayiyo ali kale paudindo
• kukhala ndi moyo wokangalika,
• kutsika kwa shuga m'munsi 3.3 mmol / l, kuwonetsa kwa zizindikiro za hypoglycemia,
• kukhalapo kwa "mbandakucha" chodabwitsa (kuchuluka kowopsa m'mwazi m'magazi musanatuluke),
• matenda a mavuto ndi zofunikira kwambiri matenda.

Zoyipa zomwe zidalipo pakugwiritsa ntchito insulin dispenser:

• kukhalapo kwa matenda amisala,
• Palibe njira yoyezera kuchuluka kwa shuga m'magazi nthawi zosachepera 4 patsiku,
• kuwonekera kwa thupi lawo siligwirizana pamimba,
• otsika kukula kwa nzeru,

Insulin yotalikilapo sikugwiritsidwa ntchito mu insulin dispenser. Izi zimakwiyitsa kwambiri magazi a shuga ngati mutayimitsa chipangizocho.

Zotheka

Zomwe makonzedwe othandizira amapangira zimathandizira kwambiri odwala. Komabe, ziyenera kukumbukiridwa kuti ndikofunikira kugula zowonjezera, zowonjezera ndi zina zowonjezera pampu. Mndandandawu uyenera kuphatikizapo:

Kuti mugwiritse ntchito pulogalamu yomwe mukufuna kuti muthe kugula zowonjezera.

• posungira ndi mankhwala
• cannula yomwe imagwiritsidwa ntchito pakhungu pansi pa khungu,
• cholembera cholumikiza chipangacho ndi singano,
• Kuzindikira masensa a glucose (ngati pampu ili ndi ntchito yoyang'anira kuchuluka kwa shuga).

Zabodza zokhudza chipangizocho

Kulakwitsa Ayi. 1. Odwala omwe samamvetsa zoyambira kugwiritsa ntchito pampu, amakhulupirira kuti chipangizocho chimangopangira zonse wodwalayo. Koma izi siziri choncho. Kuchuluka kwa chakudya chamagulu musanadyeko kumalowetsedwa pamanja, palokha. Kuti muchite izi, muyenera kuyeza kuchuluka kwa shuga ndi glucometer, kuwerengetsa kuchuluka kwa shuga omwe amalowe m'thupi musanadye kadzutsa, nkhomaliro komanso chakudya chamadzulo. Chowunditsa sichinthu chongopeka, chomwe chikukula. Osasokoneza zinthu ziwiri zosiyana.

Maganizo olakwika Ayi. 2. Nthano yoti munthu akagwiritsa ntchito mankhwala opatsa insulin wodwalayo amachotsa chisamaliro chofuna kuyeza shuga sikulondola. Palibe amene amamasula wodwalayo kukakamiza kuchuluka kwa shuga asanagone, kudya, usiku. Chipangizocho chimayeza mayendedwe amasinthidwe amitundu. Kaya imasunthira mmwamba kapena pansi. Izi zikuthandizani kuti musankhe mwachangu mwachangu.

MiniMed Paradigm MMT-715

Chipangizocho chili ndi mndandanda wachilankhulo cha Chirasha, chothandiza kwambiri pantchitoyi.

Zofunikira:

• Mlingo woyambira kuchokera ku 0,05 mpaka 35.0 mayunitsi / h (mpaka jakisoni 48), mbiri zitatu,
• bolus la mitundu itatu (mayunitsi 0,25 mpaka 25), othandizira omangirira,
• chikumbutso chakufunika koyang'ana kuchuluka kwa shuga (palibe chowunikira chizindikiritso cha ola lonse)
• 3 ml kapena posungira 1.8 ml
• zikumbutso zisanu ndi zitatu (zitha kuyikidwa kuti usaiwale kudya chakudya kapena kuchita zina),
• mawu osangalatsa kapena kugwedeza
• Miyeso: 5.1 x 9.4 x 2.0 cm
• Chitsimikizo: zaka 4.

Chipangizocho chimayendetsa mabatire.

MiniMed Paradigm REAL-Nthawi MMT-722

Makhalidwe:

• Mlingo woyambira kuchokera pa055 mpaka 35.0 mayunitsi / h,
• kuwunikira kosalekeza kwa shuga (magawo 3 ndi 24),
• kuchuluka kwa shuga kumawonetsedwa mu nthawi yeniyeni, mphindi zisanu zilizonse (pafupifupi 300 patsiku),
• bolus la mitundu itatu (mayunitsi 0,25 mpaka 25), othandizira omangirira,
• amachenjeza odwala zokhudzana ndi zoopsa zomwe zingayambitse kuchepa komanso kuchuluka kwa shuga,
• Miyeso: 5.1 x 9.4 x 2.0 cm
• kuthekera kosankha tank 3 kapena 1.8 ml,
• kusintha kwa shuga muyezo.

Malangizo mu Russian akuphatikizidwa.

MiniMed Paradigm Veo MMT-754

Pampu yomwe imadzitsekemera yokha mahomoni akayamba magazi.

Zina:

• chenjezo la hypo- kapena hyperglycemia. Chizindikirocho chikhoza kukhazikitsidwa kuti chizimveka maminiti 5-30 nthawi isanakwane kuti ifike pamtengo wofunikira,
• kupenda kolimba kwa kuthamanga kapena kutsika kwa shuga mu nthawi yogwiritsa ntchito,
• bolus ya mitundu itatu, imeneyi kuchokera pa 0,025 mpaka 75 mayendedwe, othandizira-omangira,
• Mlingo woyambira kuchokera ku 0,025 mpaka 35.0 mayunitsi / h (mpaka jekeseni 48 patsiku), kuthekera kosankha imodzi mwazambiri zitatu,
• 1.8 kapena 3 ml posungira
• zikumbutso zomwe mungachite nazo (zomveka kapena zong'ambika),
• yoyenera anthu omwe ali ndi chidwi chambiri ndi insulin (mayunitsi 0,025), komanso yochepetsedwa (mayunitsi 35 pa ola limodzi),
• Chitsimikizo - zaka 4. Kulemera: 100 magalamu, miyeso: 5.1 x 9.4 x 2.1 cm.

Ubwino wogwiritsa ntchito shuga

Kugwiritsa ntchito pampu ya matenda a shuga, mutha kupeza zabwino zingapo:

• kuchuluka kwakukulu kwa kuyenda, chifukwa palibe chifukwa chonyamula glucometer, syringes, mankhwala, etc.
• mutha kukana insulini yowonjezera, popeza mahomoni omwe amapangidwa kudzera pampu amatengedwa nthawi yomweyo komanso kwathunthu,
• Kuchepetsa kuchuluka kwa ma penti a khungu kumachepetsa ululu,
• kuwunikira kumachitika nthawi yonseyi, zomwe zikutanthauza kuti chiopsezo chosowa panthawi yomwe shuga ikakwera kapena kugwa kwambiri amachepetsa mpaka zero,
• kuchuluka kwa chakudya, Mlingo ndi zizindikiro zina zamankhwala zimatha kusintha, komanso molondola kwambiri.

Pazowonjezera pampu, zotsatirazi zitha kudziwika: chipangizochi ndiokwera mtengo kwambiri, sikuti aliyense angathane nacho, pali zoletsa kuchita masewera ena.

Malangizo ovomerezeka ogwiritsa ntchito

Chipangizocho ndichovuta kwambiri, motero ndikofunikira kuti muphunzire mosamala malangizo a wopanga. Nthawi zina zimatenga masiku angapo kapena masabata kukhazikitsa pampu ndikumvetsetsa kwathunthu momwe imagwiritsidwira ntchito.

Magawo:

1. Kukhazikitsa masiku ndi nthawi,
2. kukhazikika kwake. Konzani pulogalamuyo monga momwe adalimbikitsira dokotala. Mungafunike kusintha zina mtsogolo.
3. kudzazidwa kwa thanki
4. kukhazikitsa kwa kulowetsedwa,
5. kulumikizana ndi dongosolo ndi thupi,
6. kuyamba kwa pampu.

Mu buku la zida, chida chilichonse chimaphatikizidwa ndi chojambula ndi chitsogozo chatsatane-tsatane.

Mitengo yamapulogalamu a inshuwaransi a Medtronic

Mtengo umatengera mtundu, timapereka:

• MiniMed Paradigm Veo MMT-754. Mtengo wake wapakati ndi ma ruble 110,000,
• MiniMed Paradigm MMT-715 imawononga ndalama pafupifupi ma ruble 90,000,
• MiniMed Paradigm REAL-Time MMT-722 itenga ndalama zokwana ma ruble 110-120.

Pogula, ndikofunikira kumvetsetsa kuti chipangizocho chimafuna kusintha pafupipafupi pazinthu zodula. Zogwiritsira ntchito zoterezi, zopangidwa miyezi itatu, zimatengera ruble 20-25,000.

Ndemanga Zahudwala

Iwo omwe agula kale pompo wa insulini amayankha bwino za izi. Zoyipa zazikulu zimakhala motere: chipangizocho chimayenera kuchotsedwa pamaso pa njira zamadzi kapena masewera olimbitsa thupi, mtengo wokwera wa chida ndi zinthu.

Musanagule, muyenera kuwunika zabwino ndi zowonongeka, chifukwa sizowagawa onse odwala kusowa kwa jakisoni wa jakisoni ndi syringe yolungamitsa mtengo wapamwamba wa chipangizocho.

Malingaliro atatu olakwika okhudza mapampu:

1. amagwira ntchito ngati kapamba wochita kupanga. Izi siziri choncho. Kuwerengedwa kwa magawo a mkate, komanso kulowa kwa zizindikiro zina, kuyenera kuchitika. Chipangizocho chimangowayeza zokha ndipo chimawerengera molondola,
2. munthu safunika kuchita chilichonse. Izi ndi zolakwika, chifukwa mumayenera kuyeza magazi ndi glucometer (m'mawa, madzulo, musanakagone, etc.),
3. phindu la shuga litha kubwereranso mwakale. Izi sizowona. Pampu imangopangitsa moyo kukhala wosavuta komanso mankhwala a insulini, koma sizithandiza pakuchiza matenda ashuga.

Makanema okhudzana nawo

Kubwereza kwa Pulogalamu ya shuga ya Medtronic MiniMed Paradigm Veo:

Mtundu wa shuga wodalira insulin umayika zofooka zambiri pa moyo wa wodwalayo. Pompo adapangidwa kuti athe kuthana nawo ndikuwonjezera kusuntha ndi moyo wamunthu.

Kwa ambiri, chipangizocho chimakhala chipulumutso chenicheni, komabe, ndikofunikira kumvetsetsa kuti ngakhale chida "chanzeru" choterocho chimafuna chidziwitso china komanso kutha kuwerengera kuchokera kwa wogwiritsa ntchito.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kodi pampu ya insulin ndi chiyani?

Chithandizo cha insulin ndi chipangizo chamakina chogwiritsira ntchito ma insulin. Wopereka amatulutsa jakisoni wopitirira wa insulin Mlingo, womwe umayikidwa mu makonzedwe.

Insulin imalowa m'thupi m'magawo ang'onoang'ono. Gawo la mitundu ina limabwera pamagawo a insulin 0,001 okha.

Thunthu limatulutsa kudzera mu kulowetsedwa, ndiye kuti, chubu lowonekera kwa silicone, limachoka kuchimbudzi ndi insulin. Zotsirizazo zimakhala zitsulo kapena pulasitiki.

Mapampu a insulin a Medtronic ali ndi mitundu iwiri ya kayendetsedwe ka zinthu:

Pampu imagwiritsa ntchito insulin yochepa kwambiri kapena yochepa. Pofuna kukhazikitsa Mlingo woyambira wa chinthucho, muyenera kusintha nthawi yomwe kuchuluka kwa insulin kudzaperekedwa. Itha kukhala kuyambira 8 mpaka 12 m'mawa kwa mayunitsi 0,03. pa ola limodzi. Kuyambira maola 12 mpaka 15 adzapatsidwa magawo 0,02. zinthu.

Njira yamachitidwe

Pampu ndi chida chomwe chapangidwira m'malo mwa ntchito kapamba.

Chipangizochi chimaphatikizapo zinthu zingapo. Mu chipangizo chilichonse, kusiyanasiyana kwazinthuzo ndizovomerezeka.

Pampu ya insulin ili:

1. pampu yomwe imayendetsedwa ndi kompyuta. Pompo imapereka insulini mu kuchuluka kwake.
2. mphamvu ya insulin
3. chipangizo chosinthika, chomwe chikufunika pakukhazikitsa zinthu.

Pa pampu palokha pali ma cartridge (reservoir) okhala ndi insulini. Pogwiritsa ntchito machubu, limalumikizana ndi cannula (singano yopangidwa ndi pulasitiki), yomwe imalowetsedwa m'mafuta oyambira m'mimba. Piston wapadera amasindikiza pansi mwachangu, ndikupereka insulini.

Kuphatikiza apo, pampu iliyonse pali kuthekera kwa kuyang'anira kwa bolus ya timadzi timene timafunika tikamadya. Kuti muchite izi, dinani batani linalake.

Kubayira insulin, singano imayikidwa pamimba, ndipo imakonzedwa ndi band-assist. Singano ya pampu imalumikizidwa kudzera mu catheter. Zonsezi zimakhazikitsidwa pa lamba. Kuwongolera insulin, endocrinologist nthawi yoyamba imapanga mapulogalamu ndi kuwerengera.

Kwa masiku angapo musanakhazikitse pampu ya insulin, kuyang'anira kuchuluka kwa shuga m'magazi kumafunika. Pompo imathandizira kumwa mosalekeza.

Pump Medtronic

Pampu ya Medtronic insulin imapereka insulini ya mahomoni nthawi zonse kuti isunge kuchuluka komwe thupi limafunikira. Kampani yopanga ija idachita chilichonse kuti ipangitse mpopewo kukhala wosavuta kugwiritsa ntchito. Chipangizocho ndi chaching'ono kukula, kotero chimatha kuvala moyenera pansi pa zovala zilizonse.

Mitundu yotsatsira pampu iyi ilipo:

• Accu-Chek Mzimu Combo (Accu-cheke Combo Combo kapena Accu-Chek Combo insulin pump,)
• Dana Diabecare IIS (Dana Diabekea 2C),
• MiniMed Medtronic REAL-Nthawi MMT-722,
• Medtronic VEO (Medronic MMT-754 VEO),
• Guardian REAL-Time CSS 7100 (Guardian Real-Time CSS 7100).

Mutha kukhazikitsa pampu ya insulin pakanthawi kochepa kapena kwamuyaya. Nthawi zina chipangizochi chimayikidwa kwaulere. Mwachitsanzo, izi zimachitika panjira ya matenda osakhazikika a shuga kwa amayi apakati.

Chipangizocho chimakulolani kuti mulowe mu hormone molondola kwambiri. Chifukwa cha pulogalamu ya Bolus Helper, mutha kuwerengera kuchuluka kwa zinthu, mutapatsidwa kuchuluka kwa chakudya komanso kuchuluka kwa glycemia.

Mwa zabwino zamadongosolo:

• zikumbutso za nthawi ya insulin
• Alamu yokhala ndi milozo yambiri,
• mphamvu yakutali
• kusankha makonda osiyanasiyana,
• zosavuta
• chiwonetsero chachikulu
• kuthekera kotsekeka kiyibodi.

Ntchito zonsezi zimapangitsa kupereka insulin kutengera zosowa za munthu, zomwe sizimalola zovuta. Makonda akusonyeza nthawi ndi momwe mungagwiritsire njira.

Zinthu zopezeka papampu ya insulin zimapezeka nthawi zonse. Musanagule, mutha kuganizira za zithunzi za pa intaneti kuti mudziwe zambiri za chipangizocho.

Mapampu a Medtronic American ali ndi zida zapamsewu zothandiza kuwona ngati magazi abwera. Zigawo zonse za zidazi, lero, zimadziwika ngati imodzi mwazabwino kwambiri padziko lapansi. Pogwiritsa ntchito pampu ya insulin, wodwala yemwe ali ndi matenda ashuga amatha kuwongolera matenda ake ndikuwunika kuopsa kwa mapangidwe a glycemic coma.

Mulingo wa shuga wamagazi umayendetsedwa bwino ndi dongosolo la Medtronic. Matenda a shuga amawonekera kwambiri ndipo sangathe kupita kumalo owopsa. Dongosololi silimangopereka insulin m'matupi, komanso limayimitsa jakisoni ngati pakufunika. Kuyimitsidwa kwa zinthu kumatha kuchitika 2 patatha maola sensor atayamba kuwonetsa shuga.

Pampu ya Medtronic imadziwika kuti ndi imodzi mwazida zabwino kwambiri zolamulira shuga. Mtengo wamitundu yabwino ndi pafupifupi madola 1900.

Katswiri wa kanemayu munkhaniyi azilankhula zambiri za mapampu a insulini.