Kodi pampu ya insulin ndi chiyani?

Pampu ya insulin ndi chida chothandizira kuperekera insulin pochiza matenda ashuga. Izi ndi njira yabwinobwino jakisoni watsiku ndi tsiku ndi syringe kapena cholembera. Chida chachipatala chimakulolani kuti mupange jakisoni m'malo osagwiritsidwa ntchito mukamagwiritsa ntchito zida zina. Sikuti amangopereka chithandizo chanthawi zonse, komanso amawongolera kuchuluka kwa shuga m'magazi, kuwerengetsa kuchuluka kwa mafuta omwe amalowa mthupi la wodwalayo. Momwe mungagwiritsire ntchito pampu ndikuisunga?

Mfundo yogwira ntchito

Pampu ya insulini imakhala ndi magawo angapo:

kompyuta yokhala ndi insulin pump ndikuwongolera,
katoni posungira mankhwalawo,
singano zapadera (cannula),
wosamalira
sensor pakuyeza misempha ya shuga ndi mabatire.

Mwakugwiritsa ntchito, chipangizocho chikufanana ndi kapamba. Insulin imaperekedwa mu basal ndi bolus mode kudzera mwa njira yosinthira yamachubu. Wotsirizirayo amangiriza cartridge mkati pampu ndi mafuta osunthika.

Pulogalamu yopanga catheter ndi chosungira imatchedwa infusion system. Masiku atatu aliwonse amakulimbikitsidwa kuti muzisinthe. Zomwezi zimaperekanso inshuwaransi yoperekera insulin. Cannula ya pulasitiki imayikidwa pansi pa khungu m'malo omwewo omwe amaperekedwa jakisoni a insulin.

Ultra-yochepa-insulin analogue amathandizira kudzera pampu ya insulin. Ngati ndi kotheka, insulin yamunthu yovomerezeka imagwiritsidwa ntchito. Insulin imayendetsedwa mu Mlingo wocheperako - kuyambira 0,025 mpaka 0,100 mayunitsi nthawi (kutengera mtundu wa chipangizocho).

Zisonyezo za pampu insulin mankhwala

Akatswiri akuwonetsa izi:

Mlingo wosakhazikika wa glucose, kutsika kwakuthwa kwa zizindikiro pansi pa 3.33 mmol / L.
Zaka za odwala zimafika zaka 18. Mwa ana, kukhazikitsa mitundu ina ya mahomoni kumakhala kovuta. Chovuta mu kuchuluka kwa insulini yoyendetsedwa imatha kuyambitsa zovuta zazikulu.
Matenda a m'mawa otchedwa m'mawa kwambiri ndiwowonjezereka m'magazi a shuga m'magazi asanadzuke.
Nthawi yapakati.
Kufunika pafupipafupi makonzedwe a insulin ang'onoang'ono waukulu.
Matenda akulu a shuga.
Cholinga cha wodwala chokhala ndi moyo wachangu ndikugwiritsa ntchito pampu ya insulin pazokha.

Accu Check Combo Mzimu

Wopanga - Swiss kampani Roche.

Makhalidwe: 4 mabasi osankha, 5 mapulogalamu woyambira, pafupipafupi makonzedwe - 20 pa ola limodzi.

Zabwino: gawo laling'ono la basal, kuyang'anira kwakutali shuga, kutsutsana kwathunthu ndi madzi, kukhalapo kwa woyang'anira kutali.

Zoyipa: Zambiri sizingatengedwe kuchokera pamtundu wina.

Dana Diabecare IIS

Mtunduwo umapangidwa kuti athandizire ana kupopa pampu. Ndi njira yopepuka kwambiri komanso yophatikizika kwambiri.

Makhalidwe: Makonda 24 oyambira maola 12, LCD.

Zabwino: moyo wa batri wautali (mpaka masabata 12), madzi osadzaza.

Zoyipa: Zinthu zitha kugulidwa kokha pamasitolo apadera.

Omnipod UST 400

Mbadwo waposachedwa wopanda chopopera komanso wopanda waya. Wopanga - Omnipod kampani (Israel). Kusiyana kwakukulu kuchokera pama pampu amtundu wa insulin ndikuti mankhwalawa amaperekedwa popanda machubu. Kupereka kwa mahomoni kumachitika kudzera mu cannula mu chipangizocho.

Makhalidwe: Mita yopangidwa ndi Freestyl, mapulogalamu 7 a misinkhu yoyambira, zenera loyang'anira utoto, zosankha zamomwe wodwala angadziwe.

Zabwino: Zopanda zofunika.

Medtronic Paradigm MMT-715

Pachithunzithunzi cha pampu ya insulin chikuwonetsa zambiri za kuchuluka kwa shuga m'magazi (munthawi yeniyeni). Izi ndizotheka chifukwa cha sensor yapadera yomwe imalumikizidwa ndi thupi.

Makhalidwe: Menyu ya chilankhulo cha Russia, kukonza kwa glycemia komanso kuwerengera kwa insulin.

Zabwino: dosed hormone yobereka, yaying'ono.

Zoyipa: Zokwera mtengo zamagwiritsidwe.

Kodi chipangizochi ndi chiyani ndipo chimagwira ntchito bwanji?

Insulin catheters ndiye malo osungira komwe kuli insulin. Makina a insulin pump kulowetsedwa akuphatikiza cannula ya kubaya yankho pansi pa khungu, ndi machubu omwe amalumikiza posungira ndi mankhwalawo ndi singano. Mutha kugwiritsa ntchito zonsezi kwa masiku atatu okha.

Cannula yokhala ndi catheter imayikidwa pogwiritsa ntchito chigamba cholumikizidwa pamalo pomwe thupi la insulin limalowetsedwa (phewa, pamimba, ntchafu). Kukhazikitsa kwa pampu ya insulin kuli motere: chipangizocho chimakhazikitsidwa pa lamba mpaka zovala za wodwala, pogwiritsa ntchito mafayilo apadera.

Ngati zoikirazi zakhazikitsidwa mwatsopano kapena chipangizocho ndi chatsopano, chipangizocho chimakonzedwa ndi adokotala. Dokotala amaika zofunikira pa pampu, amauza wodwalayo momwe imagwirira ntchito ndi momwe angaigwiritsire ntchito. Ndikwabwino kuti musakonzere zida zanu nokha, chifukwa ngakhale pang'ono zolakwika zimayambitsa kudwala matenda ashuga.

Chida chogwiritsa ntchito insulin chimachotsedwa pokhapokha akamayamba kusambira. Pambuyo pa izi, wodwalayo ayenera kuyeza kuchuluka kwa shuga m'magazi.

Kodi pampu ya insulin imagwira ntchito bwanji? Chipangizocho chimagwira ntchito ngati kapamba wabwino wathanzi. Chipangizocho chimayambitsa yankho mu mitundu iwiri:

Tsiku lonse, kapamba amabisira insulin mosiyanasiyana. Ndipo kupanga kwaposachedwa kwa mapampu a insulin kumapangitsa kukhazikitsa kuchuluka kwa kayendedwe ka basal hormone. Izi zimatha kusinthidwa mphindi 30 zilizonse malinga ndi dongosolo.

Musanadye chakudya, mlingo wa yankho umaperekedwa nthawi zonse. Wodwala matenda ashuga amapanga njirayi ndi manja ake popanda zochita zokha. Mutha kutsegulanso chipangizocho kuti chidziwitsa mtundu umodzi wa chinthu, womwe umatha kudziwa kuchuluka kwa shuga m'magazi.

Insulin imabwera pang'ono: kuchokera pa 0,025 mpaka 0,100 mayunitsi pa nthawi imodzi pa liwiro linalake. Mwachitsanzo, ngati kuthamanga kuli 0,60 PIECES mumphindi 60, ndiye kuti insulini ipereka yankho mphindi zisanu zilizonse kapena masekondi zana limodzi mwa ziwerengero za 0.025.

Zizindikiro ndi contraindication

Kuchiza kwa insulin kumachitika pokhapokha ngati wodwalayo akupempha. Amachitidwanso ndi ziphuphu zosavomerezeka za shuga, pomwe hemoglobin ya glycated mwa ana ndi 7.5%, ndipo mwa akulu - 7%.

Kugwiritsa ntchito chipangizocho kumalimbikitsidwa pokonzekera kutenga pakati, pakukonzekera, kugwira ntchito ndi pambuyo. Ndi chodabwitsa cha "m'bandakucha", kusinthika kwakukulu kwa kuchuluka kwa shuga m'magazi, zotsatira zosiyanasiyana za mankhwalawa komanso kukula kwa hypoglycemia, kugwiritsa ntchito jakisoni wa insulin kumasonyezedwanso.

Wina amapopa insulin yatsopano ana. Mwambiri, kugwiritsa ntchito chipangizocho kumakhala koyenera kwa mitundu yonse ya matenda a shuga omwe amafunikira kuyambitsa mahomoni.

matenda amisala omwe samalola kuti munthu agwiritse ntchito bwino njirayi.
Maganizo olakwika komanso osayenera paumoyo wanu (zakudya zopanda thanzi, kunyalanyaza malamulo ogwiritsa ntchito chipangizochi, ndi zina zambiri),
kusawona bwino, zomwe zimapangitsa kuti zikhale zosatheka kuwerenga zambiri pa polojekiti,
kugwiritsa ntchito insulin nthawi yayitali, yomwe imakwiyitsa kwambiri glycemia.

Ubwino ndi kuipa

Ubwino wa pampu ya insulin ndi yambiri. Izi ndi kusintha kwa moyo, kuchotsa kufunika kosamalira nthawi ndi jakisoni wodziyimira pawokha. Ma ndemanga amati mankhwala omwe amagwiritsidwa ntchito posachedwa amagwiritsidwa ntchito pampu, kotero chakudya cha wodwala sichingakhale chochepa kwambiri.

Ubwino wotsatira kugwiritsa ntchito chipangizocho ndi chilimbikitso cha wodwalayo, kumulola kuti asadzitamande chifukwa cha matenda ake. Chipangizocho chili ndi mita yapadera yomwe imawerengera mlingo wake moyenera momwe ungathere. Mbali ina yabwino ya mankhwala a insulin yokhazikika ndi kuchepetsa ma punctures a khungu.

Koma munthu wogwiritsa ntchito chipangizochi amadziwanso zolakwika zake:

mtengo wokwera
kusadalirika kwa chipangizocho (insulin crystallization, pulogalamu yovuta), chifukwa chomwe kupezeka kwa homon kumasokonezedwa nthawi zambiri,
osati zokongoletsa - odwala ambiri sakonda mfundo yoti machubu ndi singano zimangokhala pa iwo,
madera a pakhungu lomwe cannula amaikidwapo nthawi zambiri amatenga kachilomboka.
kusasangalala komwe kumachitika kugona, kuchita masewera olimbitsa thupi komanso kusamba.

Komanso, kuvulaza kwa zida zomwe zimayambitsa insulini ndi gawo lakuthamangitsa mlingo wa bolus ya mahomoni - mayunitsi a 0,1. Mlingo wotere umaperekedwa pasanathe mphindi 60 ndipo insulini yotsika tsiku ndi tsiku ndi magawo a 2.4. Kwa mwana wokhala ndi mtundu woyamba wa matenda ashuga ndi odwala achikulire pazakudya zochepa za carb, mlingo wake ndi waukulu.

Kungoganiza kuti tsiku ndi tsiku munthu wodwala matenda ashuga a basal insulin ndi 6 mayunitsi. Mukamagwiritsa ntchito zida zokhala ndi diito ya 0,1 PESCES, wodwalayo amayenera kulowa ma PIERES a 4,8 kapena 7 PESCES ya insulin patsiku. Zotsatira zake, pali kusaka kapena kusowa.

Koma pali mitundu yatsopano yamapangidwe aku Russia omwe ali ndi liwiro la mayunitsi 0,025. Izi zimakuthandizani kuti muthe kugwiritsa ntchito mankhwalawa m'magulu odwala matenda ashuga akuluakulu, koma ndi ana omwe ali ndi matenda amtundu woyamba, vutoli silithetsa.

Chododometsa china chofunikira kwa odwala omwe akhala akugwiritsa ntchito pampu kwa zaka zopitilira 7 ndikupangika kwa ma fibrosis pamalo oyika singano.

Mapangidwe ake amachititsa kuti mayendedwe a insulin akhale ovuta ndipo zotsatira zake zimakhala zosayembekezereka.

Mitundu yosiyanasiyana yamapampu a insulin ndi mitengo yawo

Masiku ano, odwala matenda ashuga amapatsidwa mwayi wosankha zida za insulin mankhwala zoperekedwa ndi opanga ochokera kumaiko osiyanasiyana. Pakati pa odwala, palinso mapampu a insulin.

Odwala amakhulupirira kuti pulogalamu ya jakisoni wa insulin iyenera kukhala ndi mikhalidwe zingapo. Mtengo uyenera kukhala wogwirizana ndi mawonekedwe komanso mawonekedwe.

Chipangizo chinanso chikuyenera kukhala ndi kukumbukira komwe kwakonzedwa ndikuwunika momwe glycemic ikuyang'anira. Zofunikira zina ndizakupezeka kwa menyu mu Russia ndikuwongolera kutali.

Ndikofunikira kuti mapampu a insulini adakonzedwa chifukwa cha mtundu wa jakisoni wa insulin ndipo amakhala ndi zoteteza. Komanso, pampu ya insulin iyenera kukhala ndi pulogalamu yowerengera okha jakisoni wa insulin ndi dongosolo la majekeseni a mahomoni.

Pakati pa odwala matenda ashuga, chipangizo chochokera ku kampani ya ROSH Accu Chek Combo ndiyotchuka kwambiri. Njira yowunikira mosamalitsa shuga ndi kuwonjezera (ntchito yowonjezera sitepe ndi mtengo womwe unakonzedweratu) ndiye zabwino zoyambirira pampu.

Ubwino wotsalira wa zida zoperekedwa ndi ROSH ndi monga:

kutsanzira kolondola kwa kudya kwa mahomoni.
kukhazikitsa mitundu inayi ya bolus,
kupezeka kwa mbiri zisanu ndi kuwongolera kutali,
mndandanda angapo woti musankhe,
kuyendetsa insulin nthawi yonse
kusamutsa chidziwitso pakompyuta,
kukhazikitsa zikumbutso ndi menyu pawokha.

Chipangizocho chili ndi chipangizo chokhazikitsira poyesa shuga (glucometer). Kuti mudziwe mulingo wa glycemia, maiketi a Accu-Chek Perform No. 50/100 amagwiritsidwa ntchito.

Accu Chek Combo ndiye pampu yabwino kwambiri ya insulin kwa ana. Chipangizocho chili ndi pulogalamu yakutali yopanda waya yomwe imalola makolo kuwongolera kutuluka kwa insulin ngakhale osayandikira mwana. Koma koposa zonse, samva kupweteka chifukwa cha jakisoni wambiri wa insulin.

Kodi pampu ya insulin ya ROSH imawononga ndalama zingati? Mtengo wa pampu ya insulin ya Accu Chek Combo ndi $ 1,300. Mitengo yamapompu a insulini - singano kuchokera ku 5,280 mpaka 7,200 ma ruble, batire - ma ruble 3,207, dongosolo lama cartridge - rubles 1,512, mizere yoyesera - kuchokera ku 1,115 rubles.

Anthu ambiri omwe ali ndi matenda ashuga akukhulupirira kuti ndibwino kugwiritsa ntchito chipangizo cha America Medtronic insulin. Ichi ndi chipangizo chatsopano cha mibadwo yatsopano chomwe chimapereka ma dulin insulin.

Kukula kwa chipangizocho ndi kochepa, kotero sikuwoneka pansi pa zovala. Chipangizocho chimayambitsa vutoli molondola kwambiri. Ndipo pulogalamu yothandizidwa ndi Bolus Yogulika imakupatsani mwayi kuti mupeze ngati pali insulini yogwira ndikuwerengera kuchuluka kwa zinthu zogwira ntchito potengera kuchuluka kwa shuga ndi kuchuluka kwa chakudya chomwe chimadyedwa.

Ma pumpt a insulin omwe ali ndi zovuta zina:

Alamu omangidwa
kulowetsedwa kwa catheter m'thupi,
menyu ambiri
kiyi
chikumbutso kuti insulini ithe.

Mitundu ya Medtronic insulin pump yowonjezera imapezeka nthawi zonse. Ndipo zida zomwezo ndizabwino kuposa mapampu ena okhala ndi kuwunika koyenda kwa nthawi kwa mawonetsero a glycemia.

Zipangizo zamtundu wa Medtronic sizimangopereka timadzi ku thupi, komanso zimayimitsa kayendetsedwe kake ngati pakufunika. Kutsitsa kumachitika maola awiri pambuyo pa nthawi pomwe sensor ya chipangizo chogwiritsa ntchito ikuwonetsa kuchuluka kwa shuga.

Pafupifupi madola zikwi ziwiri - mtengo wokwanira wa mapampu amtundu uliwonse wa insulin, zothetsera - catheters - kuchokera ma ruble 650, singano - kuchokera ku ma ruble 450. Mtengo wa thanki yamapampu a insulin ndi ma ruble 150 ndi pamwamba.

Mapampu amtundu wa insnipod opanda zingwe amatchuka pakati pa odwala matenda ashuga. Dongosololi, lomwe limapangidwa ndi kampani yaku Israeli ya Geffen Medical, ndiwotsogolera pochiza matenda ashuga. Pofuna kuteteza mawu oyamba aja, anali ndi pulogalamu yomata komanso yolamulira.

Pansi - thanki yaying'ono yolumikizidwa ndi thupi pogwiritsa ntchito pulasitala yomatira. Njira yoperekera insulini imayendetsedwa ndi kayendedwe kab kutali.

Chifukwa chiyani mapampu a Omnipod ali bwino kuposa zida zina? Mukamagwiritsa ntchito palibe chifukwa chogwiritsa ntchito mawaya, zothetsera komanso cannulas.

Ndiwosavuta kuyang'anira kugwiritsa ntchito chipangizo cha Omnipod pogwiritsa ntchito kachidindo kakang'ono kofanana ndi foni yam'manja. Makhalidwe otere amakulolani kuti muzitha kupita nawo kulikonse komwe mungakhale.

Dongosolo la Omnipod ndi chida chanzeru komanso chambiri. Kupatula apo, imakhala ndimapulogalamu ambiri omwe adakhazikitsidwa komanso gluroeterical glucometer kuwerengera kuchuluka kwa insulini.

Mitundu yamapampu iyi ndiyopanda madzi, yomwe imakupatsani mwayi kuti musachotse chipangizocho mukusambira. Mtengo wa chipangizochi - kuchokera kumadola 530, makutu pampampu - madola 350.

Ndizosangalatsa kuti pachiwonetsero cha 2015 ku Russia, chomera cha Medsintez chinapereka pampu kuchokera kwa wopanga. Ubwino wake ndikuti ukhoza kusinthidwa kwathunthu ndi anzako okwera mtengo akunja.

Kupanga kudzayamba kumapeto kwa chaka cha 2017. Amaganiza kuti pampu wa insulin yaku Russia udzagula 20-25% yochepera kuposa analogues ochokera kunja. Kupatula apo, mtengo wamba wa chipangizo chakunja chimachokera ku ruble 120 mpaka 160,000, ndipo wodwala matenda ashuga pafupifupi amawononga ma ruble 8,000 pazowonjezera (mawanga, singano, kulowetsedwa).

Chifukwa chake, mapampu atsopano a insulin, maubwino ndi zofanana ndi zofanana. Koma kupanga zida zachipatala kukukula mwachangu, motero mankhwala olimbana ndi matenda a shuga akukonzedwa mosalekeza, ndipo mwina patapita zaka zingapo pampu ya insulin ipezeka pafupifupi ndi anthu onse odwala matenda ashuga.

Katswiri wa kanemayu munkhaniyi azikamba za pampu ya insulin.

Medtronic Paradigm MMT-754

Mtundu wapamwamba kwambiri poyerekeza ndi woyamba. Muli ndi pulogalamu yowunikira shuga.

Makhalidwe: sitepe ya bolus - mayunitsi 0,1, basal insulin gawo - 0,025 vitengo, kukumbukira - masiku 25, loko lofunikira.

Zabwino: chenjezo: glucose akatsika.

Zoyipa: kusapeza bwino panthawi yolimbitsa thupi komanso kugona.

Contraindication

Zotsatira zosagwiritsidwa ntchito pokopa insulin:

ntchito kwa insulin yayitali, kuyambitsa glycemia,
zovuta zamaganizidwe zomwe sizimalola wodwala kugwiritsa ntchito kachitidwe mokwanira,
kusawona bwino, zimapangitsa kuti zikhale zovuta kuwerenga zambiri pa polojekiti,
malingaliro olakwika komanso osayenera paumoyo (kunyalanyaza malamulo ogwiritsira ntchito pampu, zakudya zopanda thanzi).

Malangizo ogwiritsira ntchito

Pakugwiritsa ntchito pampu ya insulin, ndikofunikira kutsatira njira zingapo.

Tsegulani cartridge yopanda kanthu ndikuchotsa piston.
Witsani mpweya kuchokera pachidebecho. Izi zimalepheretsa kupangika kwa vacuum panthawi ya zosungitsa za insulin.
Ikani mahomoni m'chosungira pogwiritsa ntchito piston. Ndiye kuchotsa singano.
Finyani thovu m'mbale, kenako chotsani pisitoni.
Gwirizanitsani kulowetsedwa kwa chubu ku chosungira.
Ikani chophatikizika ndi chubu pampu. Chotsani mpope kuchokera kwa inu panokha pofotokozedwa.
Pambuyo posonkhanitsa, polumikizani chipangizocho ndi malo a subcutaneous makonzedwe a insulin (malo amapewa, ntchafu, pamimba).

Kuwerengetsa kwa insulin

Kuwerenga kwa Mlingo wa insulin kumachitika malinga ndi malamulo ena. Mu mtundu woyambira wa basal, kuchuluka kwake kwa mahomoni kumadalira kuchuluka kwa mankhwala omwe wodwala adalandira asanayambe insulin pump. Mlingo watsiku ndi tsiku umachepetsedwa ndi 20% (nthawi zina ndi 25-30%). Mukamagwiritsa ntchito pampu momwe mumakhala basal, pafupifupi 50% ya kuchuluka kwa insulin tsiku lililonse.

Mwachitsanzo, jakisoni angapo a insulin, wodwalayo amalandira magawo 55 a mankhwalawa tsiku lililonse. Mukasinthira kupampu ya insulin, muyenera kulowa magawo 44 a mahomoni patsiku (mayunitsi 55 x 0.8). Potere, mlingo woyambira uyenera kukhala magawo 22 (1/2 ya kuchuluka kwa tsiku ndi tsiku). Mlingo woyambirira wa insulin ya basal ndi mayunitsi 0,9 pa ola limodzi.

Choyamba, pampu imakonzedwa mwanjira yoti iwonso azilandira mlingo womwewo wa insulin tsiku lililonse. Komanso, liwiro limasintha usana ndi usiku (nthawi iliyonse osaposa 10%). Zimatengera zotsatira za kuwunika kosalekeza kwamisempha a m'magazi.

Mlingo wa bolus insulin yoyendetsedwa musanadye chakudya. Amawerengeredwa chimodzimodzi monga jakisoni wa insulin.

Mapindu ake

Pampu ya insulin ili ndi mapindu ambiri.

Kukula mu moyo wa wodwala. Munthu safunikira kuda nkhawa kuti atenge jakisoni panthawi. Mahomoni enieniwo amapatsidwa chakudya mthupi.
Insulin yofulumira imagwiritsidwa ntchito pamapampu. Chifukwa cha izi, mutha kuchita popanda zoletsa zovuta pazakudya. Komanso kugwiritsa ntchito chipangizocho kumakupatsani mwayi wobisira anthu ena matenda anu. Kwa odwala ena, izi ndizofunikira m'maganizo.
Chiwerengero cha jakisoni wowawa amachepa. Mosiyana ndi ma syringes a insulini, pampu imawerengera Mlingo mokwanira. Pankhaniyi, wodwalayo mwiniyo amasankha mtundu wa insulin yoyenera.

Zoyipa

Mwa zolakwika za pampu ya insulin, titha kusiyanitsa:

mtengo wokwera wogwirira ntchito.
Nthawi zambiri muyenera kusintha zosowa.
Nthawi zina, mukamagwiritsa ntchito chipangizochi, pamabuka mavuto: cannula slipping, insulin crystallization, dosing kulephera. Chifukwa cha kusadalirika kwa chipangizochi, wodwala matenda ashuga amatha kukhala ndi vuto la ketoacidosis, hypoglycemia, kapena zovuta zina. Palinso chiopsezo chotenga kachilomboka pamalo oyika cannula. Zofukizira zomwe zimafunikira chithandizo cha opaleshoni sizimachotsedwa.
Odwala ambiri amadandaula chifukwa chosasangalala chifukwa cha kupezeka kwa cannula pansi pa khungu. Amavutikanso kugona, kusambira, njira zamadzi kapena kusewera masewera.

Njira zosankhira

Mukamasankha pampu ya insulin, yang'anirani kuchuluka kwa cartridge. Iyenera kukhala ndi mahomoni ambiri monga momwe amafunikira masiku atatu. Komanso, phunzirani kuchuluka kwa insulin yoyenera komanso yochepetsetsa yomwe ikhoza kukhazikitsidwa. Kodi akuyenera inu?

Funsani ngati pali chida chowerengera chokhazikitsidwa. Chimakupatsani inu kuti mukhale ndi deta yaumwini: chakudya chokwanira, nthawi ya zochita za mankhwalawo, zomwe zimapangitsa kuti munthu azindikire mphamvu ya mahomoni, umalimbana ndi shuga. Kuwerenga kosalembera bwino makalata, kunyezimira kokwanira ndi kusiyanitsa kowonetsera sizofunikanso.

Zothandiza - alamu. Onani ngati kugwedeza kapena kaphokoso kumamveka mavuto akachitika. Ngati mukufuna kugwiritsa ntchito chipangizocho mu chinyontho chambiri, onetsetsani kuti ndi chosavomerezeka ndi madzi.

Chitsimikizo chomaliza ndicho kuyanjana ndi zida zina. Mapampu ena amagwira ntchito molumikizana ndi zida zamagazi zamagazi ndi ma glucose metres.

Tsopano mukudziwa kuti pampu ya insulin ndi chiyani. Tsoka ilo, komabe, chipangizo chimodzi cha matenda ashuga sichitha kupulumutsidwa. Ndikofunika kutsatira zakudya, kutsogola moyo wathanzi, kutsatira malangizo a madokotala.