Pampu ya insulin > Zogulitsa odwala matenda ashuga

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

mpope wokha (ndi maulamuliro, ma module ndi mabatire)
thanki yobweretsera insulin (mkati mwa pampu)
kulowetsedwa kosinthika kuphatikizidwa ndi cannula ya subcutaneous makonzedwe ndi dongosolo la machubu kulumikiza posungira ndi cannula.

Pampu ya insulini ndi njira imodzi 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.

Mlingo

Kuti mugwiritse ntchito pampu ya insulin, muyenera choyamba kudzaza posungira ndi insulin. Mapampu ena amagwiritsa ntchito makatoni amadzaza omwe amadzazidwa pambuyo pake. Komabe, nthawi zambiri, wodwalayo mwiniyo amadzaza chosungira ndi insulini yomwe imayikidwa kwa wogwiritsa ntchito (nthawi zambiri Apidra, Humalog kapena Novorapid).

Tsegulani thanki yopanda kanthu.
Chotsani piston.
Ikani singano mu ampoule ndi insulin.
Lowetsani mpweya kuchokera m'malo osungira kuti mulowe vutoli mukamamwa insulin.
Ikani insulin m'malo osungira pogwiritsa ntchito piston, ndiye kuti muchotsere singano.
Finyani thovu m'mpweya, kenako chotsani pisitoni.
Lumikizani posungira ndi kulowetsa chubu.
Ikani cholumikizidwacho pampope ndipo dzazani chubu (drive insulin ndi (ngati kupezeka) thovu la mpweya kudzera mu chubu). Poterepa, pampu iyenera kulekanitsidwa ndi munthu kuti apewe insulin mwangozi.
Lumikizanani ndi tsamba la jakisoni (ndikwaniritsani cannula ngati chida chatsopano chayikidwa).

Mlingo

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 wa ultrashort 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.

Ketoacidosis

Vuto lina lalikulu la mankhwala a insulin ndi chiopsezo chachikulu chotenga ketoacidosis ngati vuto la kubereka kwa insulin. Izi ndichifukwa choti pampu imapereka insulini yaying'ono mumachitidwe oyambira, palinso insulini yowonjezera.

Zotsatira zake, pali insulin yaying'ono yokha (depot) ya insulin m'mafuta ochepetsa. Nthawi zambiri izi zimachitika chifukwa cha kuchuluka kosakwanira kwa shuga m'magazi kapena chifukwa chogwiritsa ntchito nthawi yayitali kulowetsedwa. Kuyeza pafupipafupi kwa shuga m'magazi kudzakuthandizani kuti muwone kuchuluka kwake m'mbuyomu, ndipo mudzakhala ndi nthawi yoletsa kuwoneka kwa ma ketones.

Pogwiritsa ntchito kulowetsedwa kwanthawi yayitali, insulini yomwe imakhalamo imatha kutaya katundu wake, zomwe zimayambitsa kuphwanya kwake (kufalikira) kudzera chubu kapena cannula pansi pakhungu. Komanso kugwiritsidwa ntchito kwa nthawi yayitali ndi kulowetsedwa kungayambitse kutukusira kwa malo a kukhazikitsa cannula, izi zimasokoneza kuyamwa kwa insulin m'malo ano ndikuwonjezera mphamvu zake.

Gome 1. Zimayambitsa kuchuluka kwamphamvu kwa glucose wamagazi ndi maonekedwe a ma ketones

Kodi ma ketoni amatha kuwoneka mwachangu bwanji pakakhala kusokonezeka pakubwera kwa insulin?

Popeza insulin analogues imakhala yayifupi nthawi yayitali poyerekeza ndi insulin yochepa yaumunthu, mavuto omwe amabwera ndi insulin amabweretsa mawonekedwe a ma ketones m'magazi mofulumira akamagwiritsa ntchito insulin analogues. Mukamagwiritsa ntchito ma insulin analogue, kuwonjezeka kwa ma ketones kumayambira koyambirira pafupifupi maola 1.5-2.

Pambuyo pophwanya insulin, kuchuluka kwa ma ketoni kumakwera msanga mokwanira. Kulemetsa pampu kwa maola 5 kumapangitsa kuti ma ketoni awonjezeke pambuyo pa maola awiri, ndipo pambuyo pa maola 5 mulingo wawo umafikira pazotsatira zofanana ndi ketoacidosis.

Chithunzi 1. Kuwonjezeka kwa ma ketones (beta-hydroxybutyrate) m'magazi atangozimitsa pampu kwa maola 5

Kutsimikiza kwa Ketones

Mukamagwiritsa ntchito pampu ya insulin, kutsimikiza kwa ma ketones kumathandizira kuzindikira kuperewera kwa insulin m'magazi, komanso kusankha zochita zina. Ambiri amagwiritsabe ntchito mawayilesi oyesera kuti adziwe ma ketones a mkodzo. Komabe, tsopano mutha kugula ma glucometer omwe amayeza ma ketones m'magazi. Amayeza mtundu wina wa ketone, betahydroxybutyrate, ndipo mukayeza ma ketoni mumkodzo wanu, mumayeza acetoacetate.

Kuyeza ma ketoni m'mwazi kumakupatsani mwayi wodziwa zovuta za kuperekera kwa insulin kale komanso kuchitapo kanthu popewa ketoacidosis!

Ma ketones amayesedwa bwino m'magazi, chifukwa mkodzo msonkha wawo umasinthika pambuyo pake ndipo amatha kuwonekera pamene mulingo wa ma ketoni m'mwazi uli kale wokwanira. Nthawi yomwe ketosis imatha kupezeka pakutsimikiza kwamatumbo mumkodzo ndiwowoneka kwotalikirapo kuposa kutsimikizira kwa ma ketones m'magazi. Mukawona ma ketoni mumkodzo, simungathe kudziwa nthawi yomwe adapanga.

Ma ketoni mumkodzo amatha kupezekanso maola opitilira 24 patachitika gawo la ketoacidosis. Kudziwa ma ketones am'magazi mwa anthu omwe amagwiritsa ntchito insulin pump kungakhale kofunika kwambiri, chifukwa amakupatsani mwayi wofufuza zovuta za insulin, musamapange chitukuko cha ketoacidosis, kapena kuyamba kulandira chithandizo.

Gawo 2. Momwe mungawerengere zotsatira?

Kuwonjezeka kwa shuga m'magazi anu opitilira 15 mmol / L ndikuwonekera kwa ma ketones m'magazi (> 0.5 mmol / L) kapena mkodzo (++ kapena +++) kumawonetsa kusowa kwa insulin mthupi. Izi zitha kuchitika chifukwa cha kukoka kwa insulini kapena kufunikira kwakukulu kwa insulin, mwachitsanzo chifukwa cha kudwala kapena kupsinjika. Potere, muyenera kulowa mu insulin yokonza ndi cholembera.

Sitikulimbikitsidwa kugwiritsa ntchito pampu, chifukwa simungatsimikize kuti ikugwira ntchito. Pambuyo pa izi, pampu, kulowetsedwa ndi cannula ziyenera kuyang'aniridwa mosamala. Lumikizani chubu yolumikizira dongosolo kuchokera ku cannula ndiku "kulowa" (pampu iyenera kuti idulidwe kuchokera m'thupi!) Magawo angapo a insulini okhala ndi bolus yokhazikika.

Insulin iyenera kuwoneka kuchokera chubu. Ngati insulini sinaperekedwe kapena kudyetsedwa pang'onopang'ono, izi zikutanthauza kuti kwathunthu kutulutsa kwa chubu. Sinthani kulowetsedwa kwathunthu (cannula ndi tubule). Onani ngati muli ndi zotupa kapena kutayika kwa insulin pamalo a cannula.

Ma cannulas ena amakhala ndi "mawindo" apadera pomwe gawo la singano limawonekera, muwone ngati muli magazi. Ngati insulin idya bwino kudzera mu chubu, ingochotsani ndi cannula. Ngati ma ketoni apezeka, imwani zakumwa zambiri, jekeseni insulin yowonjezera, ndikufunsani dokotala ngati pakufunika. Ngati shuga m'magazi ndi ochepera 10 mmol / L ndipo pali ma ketoni, ndikofunikira kumwa madzi omwe ali ndi glucose ndikubaya insulin yowonjezera.

Chithunzi 2. Chochita ndi kukwera kosadziwikika kwa shuga m'magazi?

Kupewa kwa ma ketoni pakapita nthawi yayitali pampu

Pamafunika chiwopsezo cha ma ketones (mwachitsanzo, kufunika kwa kutsekemera kwa pampu nthawi yayitali mukamachita masewera olimbitsa thupi kapena kupuma kunyanja), jakisoni wowonjezera wa insulin yowonjezereka angaperekedwe. Ndikokwanira kupereka insulin yokwanira, pafupifupi 30% ya mlingo woyambira wa tsiku ndi tsiku.

I.I. Agogo, V.A. Peterkova, T.L. Kuraeva, D.N. Laptev

Kodi pampu ya insulin imagwira ntchito bwanji

Pampu yamakono ya insulin ndi chida chopepuka chofanana ndi phale. Insulin imalowera m'thupi la odwala matenda ashuga kudzera m'njira yozizira yotsekemera (catheter yomwe imatha mu cannula). Amagwirizanitsa madzi osungirako ndi insulin mkati mwa pampu ndi mafuta onunkhira. Zosungira ndi insulini zimatchulidwira pamodzi kuti "kulowetsedwa." Wodwala azisintha masiku atatu aliwonse. Mukamasintha kulowetsedwa, malo omwe amaperekera insulin amasintha nthawi iliyonse. Cannula ya pulasitiki (osati singano!) Imayikidwa pansi pa khungu m'malo omwe omwe insulin nthawi zambiri imabayidwa ndi syringe. Uyu ndiye m'mimba, m'chiuno, matako ndi mapewa.

Pampu nthawi zambiri imalowetsa analogue yaifupi-yochepa-yolimba pakhungu (Humalog, NovoRapid kapena Apidra). Chomwe chimagwiritsidwa ntchito kwambiri ndi insulin yochepa ya anthu. Insulin imaperekedwa pa Mlingo wocheperako, nthawi zonse 0,025-0.100 nthawi iliyonse, kutengera mtundu wa pampu. Izi zimachitika mwachangu. Mwachitsanzo, pa liwiro la 0,60 PIECES pa ola limodzi, pampu imayendetsa 0,05 PISCES ya insulin mphindi zisanu zilizonse kapena 0,025 PIECES masekondi 150 aliwonse.

Pampu ya insulin imatsanzira kapamba wa munthu wathanzi. Izi zikutanthauza kuti amapereka ma insulin m'njira ziwiri: basal ndi bolus. Werengani zambiri mu nkhani "Insulin Therapy Schemes". Monga momwe mumadziwira, nthawi zosiyanasiyana masana, kapamba amalemba insulin kwambiri mwachangu. Mapampu amakono a insulin amakulolani kusintha kuchuluka kwa insulin, ndipo amatha kusintha pa theka lililonse la ola. Zotsatira zake kuti nthawi yosiyanasiyana ya insulin "yoyambira" imalowa m'magazi othamanga mosiyanasiyana. Asanadye, mankhwala a insulin amaperekedwa nthawi iliyonse. Izi zimachitika ndi wodwala pamanja, i.e., osati zokha. Komanso, wodwalayo angapatsenso pampu “chisonyezo” chowonjezeranso kupatsidwa mlingo umodzi wa insulin ngati shuga ya magazi pambuyo pakuwonjezeka kwambiri.

Ubwino wake kwa wodwala

Pochiza matenda a shuga ndi pampu ya insulin, ndi analogue yokhayo yokhala ndi insulin yochepa kwambiri (Humalog, NovoRapid kapena ina). Chifukwa chake, insulin yowonjezera siigwiritsidwa ntchito. Pompo imapereka yankho la magazi nthawi zambiri, koma pamilingo yaying'ono, ndipo chifukwa cha izi, insulini imamwa nthawi yomweyo.

Pa anthu odwala matenda ashuga, kusinthasintha kwa shuga m'magazi kumachitika kawirikawiri chifukwa insulin yayitali imatha kulowetsedwa mosiyanasiyana. Mukamagwiritsa ntchito pampu ya insulin, vutoli limachotsedwa, ndipo ndiwo mwayi wake waukulu. Chifukwa ndi insulin "yochepa" chabe yomwe imagwiritsidwa ntchito kwambiri.

Ubwino wina wogwiritsa ntchito insulin pump:

Sitepe yaying'ono komanso kulondola kwapamwamba kwambiri. Gawo la inshuwaransi ya insulin m'mapampu amakono ndi 0.1 PESCES okha. Kumbukirani kuti ma syringe zolembera - 0.5-1.0 PIECES. Kuchulukitsa kwa insulin ya basal kumatha kusinthidwa kukhala 0,025-0.100 PIECES / ora.
Chiwerengero cha ma punctures a khungu amachepetsa nthawi 12-15. Kumbukirani kuti kulowetsedwa kwa pampu ya insulin kuyenera kusinthidwa nthawi 1 m'masiku atatu. Ndipo mankhwala achikhalidwe a insulin malinga ndi njira yolimbitsira, muyenera kuchita jakisoni 4-5 tsiku lililonse.
Pampu ya insulin imakuthandizani kuwerengera mankhwala a insulin. Kuti muchite izi, odwala matenda ashuga ayenera kudziwa ndikuyika magawo awo mu pulogalamuyo (kuchuluka kwa chakudya, kusungunuka kwa insulin panthawi zosiyanasiyana za tsiku, kulimbana ndi shuga m'magazi). Dongosolo limathandiza kuwerengera mulingo woyenera wa insulin bolus, potengera zotsatira za kuyeza glucose m'magazi asanadye komanso kuchuluka kwa zakudya zomwe zimapangidwira kudya.
Mitundu yapadera ya mabulusi. Pampu ya insulini imatha kupangidwira kuti phulusa la inshuwaransi siliperekedwa nthawi imodzi, koma liwuleni kwa nthawi. Ichi ndi gawo lothandiza pamene munthu wodwala matenda ashuga amadya zakudya zosakwiya pang'ono, komanso ngati pali phwando lalitali.
Kupitiliza kosalekeza kwa shuga wamagazi munthawi yeniyeni. Ngati shuga m'magazi satha - pampu ya insulin imachenjeza wodwalayo. Mitundu "yapamwamba" yaposachedwa imatha kusintha pawokha insulin kuti ikwaniritse shuga. Makamaka, amachepetsa kutuluka kwa insulin panthawi ya hypoglycemia.
Kusungidwa kwa chipika cha data, ndikuwasamutsa ku kompyuta kuti ikakonzedwe ndikuwunika. Mapampu ambiri a insulin amakumbukiramo chikumbutso cha data kwa miyezi 6 yapitayo. Izi ndizomwe milingo ya insulin idayamwa ndi kuchuluka kwa glucose m'magazi. Ndikosavuta kusanthula zaumoyo kwa wodwalayo komanso adokotala ake.

Chithandizo cha insulin: Zizindikiro

Zizindikiro zotsatirazi ndizodziwika bwino pakusintha kwa pump pump insulin:

kufunitsitsa kwa wodwala iye mwini
sizotheka kupeza chiphuphu chabwino kwa odwala matenda ashuga (index ya hemoglobin ya glycated imasungidwa pamwamba pa 7.0%, mwa ana opitilira 7.5%),
kuchuluka kwa shuga m'magazi a wodwala nthawi zambiri komanso kumasinthasintha kwakukulu,
kumakhala kuwonetsedwa pafupipafupi kwa hypoglycemia, kuphatikiza okhwima, komanso usiku,
m'mawa kutacha
insulin masiku osiyanasiyana amakhudza wodwala m'njira zosiyanasiyana (kutchulidwa kusintha kwa insulin),
Pampu ya insulin ikulimbikitsidwa kuti igwiritsidwe ntchito pokonzekera kutenga pakati, pakubala, pakubala kwa mwana komanso pambuyo pake.
zaka za ana - ku USA pafupifupi 80% ya ana odwala matenda ashuga amagwiritsa ntchito mapampu a insulin, ku Europe - pafupifupi 70%,
Zizindikiro zina.

Pump yochokera ku insulin chithandizo ndi choyenera kwa odwala onse omwe ali ndi matenda a shuga omwe amafunikira insulin. Kuphatikiza, ndi shuga ya autoimmune yoyambira mochedwa komanso mitundu ya matenda ashuga. Koma pali zotsutsana ndi kugwiritsa ntchito pampu ya insulin.

Contraindication

Mapampu amakono a insulin amapangidwira kuti azitha kukhala kosavuta kwa odwala kuti azigwiritsa ntchito. Komabe, chithandizo cha insulin chogwiritsa ntchito pampu chimafuna kuti wodwalayo akhale nawo pantchito yawo. Pampu ya insulin siyenera kugwiritsidwa ntchito ngati zinthu zotere sizotheka.

Pump-insulin therapy imawonjezera mwayi wodwala wa hyperglycemia (kuchuluka kwambiri kwa shuga m'magazi) komanso kukula kwa matenda ashuga a ketoacidosis. Chifukwa mukamagwiritsa ntchito pampu ya insulin m'mwazi wa munthu wodwala matenda ashuga, palibe insulin yowonjezera. Ngati insulin yayifupi itayima mwadzidzidzi, ndiye kuti zovuta kwambiri zimatha kuchitika patatha maola 4.

Contraindication for pump insulin therapy ndi nthawi zomwe wodwalayo sangathe kapena safuna kuphunzira njira zochizira matenda ashuga, i.e., luso lodziyang'anira shuga m'magazi, kuwerengetsa chakudya monga dongosolo la chakudya, kukonza zochita zolimbitsa thupi, kuwerengetsa Mlingo wa insulin.

Chithandizo cha insulin cha pampu sichikugwiritsidwa ntchito kwa odwala omwe ali ndi matenda amisala omwe angayambitse chida chokwanira. Ngati wodwala matenda ashuga amalephera kuwona, ndiye kuti adzakhala ndi mavuto pozindikira zolemba pazenera la pampu ya insulin.

Mu nthawi yoyamba kupopa insulin, kuyang'anira pafupipafupi ndikofunikira. Ngati sichitha kuperekedwa, ndiye kuti kusinthira kwa mankhwala ogwiritsira ntchito insulin ayenera kuyikidwiratu “kufikira nthawi yabwino”.

Momwe mungasankhire pampu ya insulin

Zomwe muyenera kulabadira posankha pampu ya insulin:

Kuchuluka kwa voliyumu. Kodi imakhala ndi insulin yokwanira masiku atatu? Kumbukirani kuti kulowetsedwa koyenera kuyenera kusinthidwa kamodzi pakapita masiku atatu.
Kodi ndizosavuta kuwerenga zilembo ndi manambala pachikuto? Kodi mawonekedwe owonekera ndi mawonekedwe?
Mlingo wa insulin. Samalani osachepera Mlingo wambiri wa bolus insulin. Kodi akuyenera inu? Izi zili choncho makamaka kwa ana omwe amafunikira kwambiri.
Makina owerengera. Kodi pampu yanu ya insulin imakulolani kugwiritsa ntchito zovuta zanu? Izi ndizomwe zimapangitsa chidwi cha insulin, chakudya chokwanira, nthawi yayitali ya insulin, chandamale m'magazi a shuga.Kodi kulondola kwa ma coefficientswo ndikokwanira? Kodi siziyenera kukhala zozungulira kwambiri?
Zowawa Kodi mumatha kumva ma alarm kapena kunjenjemera mavuto atayamba?
Madzi osagwira. Kodi mukufuna pampu yomwe singathe madzi konse?
Kuchita ndi zida zina. Pali mapampu a insulin omwe amatha kulumikizana mwaokha ndi glucometer ndi zida zowunika mosalekeza m'magazi a magazi. Kodi mukufuna imodzi?
Kodi ndizotheka kuvala pampu m'moyo watsiku ndi tsiku?

Kuwerengedwa kwa Mlingo wa insulin wa pampu insulin

Kumbukirani kuti mankhwala osankha a pampu insulin mankhwala masiku ano ndi aifupi. Monga lamulo, gwiritsani ntchito Humalog. Lingalirani za malamulo owerengera insulin pazoyendetsa ndi pompo mu basal (maziko) ndi bolus mode.

Kodi mumapereka insulin pamlingo uti? Kuti mupeze izi, muyenera kudziwa kuchuluka kwa insulin yomwe wodwala adalandira asanagwiritse ntchito pampu. Mankhwala okwanira tsiku lililonse a insulin ayenera kuchepetsedwa ndi 20%. Nthawi zina amachepetsa ngakhale 25-30%. Mukamapaka insulin mankhwala mu njira yoyambira, pafupifupi 50% ya tsiku ndi tsiku insulin imayendetsedwa.

Taganizirani chitsanzo ichi. Wodwalayo amalandira mayunitsi 55 a insulin tsiku lililonse pamafakisoni angapo. Pambuyo posinthira pampu ya insulin, ayenera kulandira mayunitsi 55 x 0.8 = 44 magawo a insulin tsiku lililonse. Mlingo woyambira wa insulin ndi theka la okwanira tsiku lililonse, i.e. magulu 22. Mlingo woyambira wa basal insulin management udzakhala maola 22 U / 24 = 0,9 U / ola.

Choyamba, pampuyo imasinthidwa kotero kuti kuchuluka kwa insulin ya basal kumakhala chimodzimodzi tsiku lonse. Kenako amasintha kuthamanga uku usana ndi usiku, malinga ndi zotsatira za miyeso yambiri ya m'magazi. Nthawi iliyonse, tikulimbikitsidwa kuti tisinthe 10% ya basal insulin.

Mlingo wa kuperekera kwa insulin usiku ndimasankhidwe malinga ndi zotsatira za kayendedwe ka shuga m'magazi, atadzuka komanso pakati pausiku. Mulingo wa makonzedwe a basal insulin masana umayendetsedwa ndi zotsatira za kudziwunikira kwa shuga m'magazi pazomwe zimalumpha kudya.

Mlingo wa belus insulin, womwe umaperekedwa kuchokera pampope kupita m'magazi asanadye, umakonzedwanso pamanja ndi wodwala nthawi iliyonse. Malangizo owerengera ndi ofanana ndi okhazikika a insulin mankhwala ndi jakisoni. Pofotokoza, kuwerengera kwa insulin, amafotokozedwa mwatsatanetsatane.

Mapampu a insulini ndiye njira yomwe timayembekezera zambiri tsiku lililonse. Chifukwa chitukuko cha pampu ya insulin chikuchitika, chomwe chidzagwira ntchito palokha, monga kapamba weniweni. Chida chotere chikawoneka, chimakhala chosintha pochiza matenda ashuga, ofanana ndi mawonekedwe a glucometer. Ngati mukufuna kudziwa nthawi yomweyo, lembani uthenga wathu.

Zovuta zakuchiza matenda ashuga ndi pampu ya insulin

Kachilombo kakang'ono ka insulini kapenanso matenda ashuga:

Mtengo woyambirira wa pampu ndiwofunika kwambiri.
Mtengo wazogulira ndiwokwera kwambiri kuposa momwe mungagwiritsire ntchito ma insulin syringes.
Mapampu sakhala odalirika kwambiri, kuperekedwa kwa insulin kwa odwala matenda ashuga nthawi zambiri kumasokonezedwa chifukwa cha zovuta zamaluso. Izi zitha kukhala kulephera kwa mapulogalamu, insulin crystallization, cannula kutuluka kuchokera pakhungu, ndi mavuto ena wamba.
Chifukwa cha kusadalirika kwa mapampu a insulini, ketoacidosis yausiku odwala omwe ali ndi vuto la mtundu woyamba 1 omwe amawagwiritsa ntchito amachitika nthawi zambiri kuposa omwe amapaka insulin ndi ma syringes.
Anthu ambiri sakonda lingaliro kuti cannula ndi machubu azikhazikika m'mimba zawo. Ndikwabwino kuyeretsa njira ya jakisoni wosapweteka ndi syringe ya insulin.
Malo a cannula of subcutaneous amakhala ndi kachilombo. Palinso ma abscesses omwe amafunikira opaleshoni.
Opanga amati "kupendekera kwakukulu kwa dosing", koma pazifukwa zina hypoglycemia imapezeka pakati pa ogwiritsa mapampu a insulin nthawi zambiri. Mwinanso chifukwa cha kulephera kwamakina kwamakina a dosing.
Ogwiritsa ntchito pampu ya insulin amakhala ndi mavuto akamayesa kugona, kusamba, kusambira kapena kugona.

Zolakwika zazing'ono

Mwa zabwino za mapampu a insulini, zikuwonetsedwanso kuti ali ndi gawo loti atenge mlingo wa insulin - mayunitsi 0,1 okha. Vutoli ndikuti mankhwalawa amaperekedwa kamodzi pa ola limodzi! Chifukwa chake, osachepera mlingo wa insulin ndi magawo 2.4 patsiku. Kwa ana omwe ali ndi matenda a shuga 1, izi ndizambiri. Kwa odwala matenda ashuga akuluakulu omwe amatsata zakudya zamagulu ochepa, amathanso kukhala ambiri.

Tiyerekeze kuti zofunikira zanu za tsiku ndi tsiku za basulin insulin ndi 6 magulu. Kugwiritsa ntchito pampu ya insulini yokhala ndi masentimita a 0.1 PESCES, muyenera kuyang'anira insulin 4.8 PIECES patsiku kapena 7.2 PIECES patsiku. Zimapangitsa kuchepa kapena kupasuka. Pali mitundu yamakono yomwe ili ndi phula lokhazikika la mayunitsi a 0,025. Amathetsa vutoli kwa achikulire, koma osati kwa ana aang'ono omwe amathandizidwa ndi matenda a shuga a mtundu woyamba.

Popita nthawi, ma suture (fibrosis) amapezeka m'malo a jekeseni wa cannula wokhazikika. Izi zimachitika kwa onse odwala matenda ashuga omwe amagwiritsa ntchito insulin pump zaka 7 kapena kupitilira. Zinthu zoterezi sizimangowoneka zosangalatsa, koma zimalepheretsa kuyamwa kwa insulin. Zitatha izi, insulin imachita mosayembekezereka, ndipo ngakhale kuchuluka kwake kwakulu kwambiri sikungabwezeretse shuga m'magazi. Mavuto a chithandizo cha matenda ashuga omwe timathetsa bwino mothandizidwa ndi njira ya zinthu zazing'ono zomwe tagwiritsira ntchito pampu ya insulin sizingathetsedwe m'njira iliyonse.

Chithandizo cha insulin: mapeto

Ngati mutsatira pulogalamu yothana ndi matenda a shuga a mtundu woyamba kapena pulogalamu ya 2 yokhala ndi matenda ashuga ndikutsatira zakudya zochepa zam'mafuta, ndiye kuti pampu ya insulini sikupereka magazi moyenera kuposa kugwiritsa ntchito ma syringe. Izi zipitilira mpaka pampu itaphunzira kuyesa shuga m'magazi a matenda ashuga ndipo imasinthira mlingo wa insulin potengera zotsatira za izi. Mpaka nthawi ino, sitipangira izi kugwiritsa ntchito mapampu a insulin, kuphatikiza ana, pazifukwa zomwe tafotokozazi.

Tumizani mwana yemwe ali ndi matenda a shuga a mtundu woyamba kukhala chakudya chochepa kwambiri mutangomaliza kuyamwitsa. Yesetsani kumuthandiza kudziwa luso la jakisoni wopanda insulin ndi syringe m'njira yosangalatsa.